ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 97WC 06195 BARTUCCI, ROBERTA NABISCO BRANDS, INC. 03/06/96 MARSZALEK AND MARSZALEK MACIOROWSKI SACKMANN & ULRIC 97WC069690 -C 98WC013867 -C 2 01WC 63217 SCARPELLI, ANTHONY JR CITY OF CHICAGO 01/20/01 JOSEPH J SPINGOLA, LTD MICHAEL A. PEDICONE LTD 04WC043126 -C 3 02WC 58348 WEIR, MARTIN G CITY OF CHICAGO 03/27/02 CULLEN, HASKINS, NICHOLSON 04WC008139 -C 4 03WC 04268 SCONIERS, ANJONNETTE GLOBE GROUND NORTH AMERIC 03/02/02 WILLIAM MARTAY MEACHUM & STARCK LAW OFFICES 5 04WC 31344 FALCON, EDWIN NORTHWESTERN UNIVERSITY 12/13/03 GERACI, ARREOLA, HERNANDEZ 6 04WC 58457 FEDELE, GENNARO CITY OF CHICAGO 10/21/04 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 7 06WC 25152 THOMAS, EDDIE CITY OF CHICAGO 04/10/06 CULLEN, HASKINS, NICHOLSON 06WC025153 -C 8 06WC 27912 SHEEHAN, TIMOTHY VILLAGE OF ARLINGTON HEIG 02/15/06 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 9 06WC 32980 HILL, SHIRLEY CHICAGO BOARD OF EDUCATIO 05/17/06 LEE VASILATOS LEAHY EISENBERG & FRAENKEL 10 06WC 48672 VELEZ, JESUS CITY OF CHICAGO - STRS & 06/02/06 JAMES ELLIS GUMBINER & ASS CITY OF CHICAGO 08WC054093 -C 11 06WC 51279 XANOS, VALERIE CHICAGO BOARD OF EDUCATIO 11/03/06 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 12 07WC 01707 JOHNSON, HAROLD CITY OF CHICAGO 09/21/05 DAVID W MARTAY HENNESSY & ROACH PC 09WC036442 -C 10WC016005 -C 10WC023651 -C 13 07WC 24016 COSTELLO, THOMAS E AIR WISCONSIN AIRLINES 03/10/07 CULLEN, HASKINS, NICHOLSON BRADY CONNOLLY & MASUDA PC 07WC027875 -C 07WC027876 -C 07WC027877 -C 10WC009235 -C 14 07WC 56637 CASTANEDA, PENNY CITY OF CHICAGO 08/14/06 HEALY LAW FIRM 11WC038904 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 08WC 20096 VEGA, MARIA ELENA BRIGHT SKY CLEANING 02/09/08 JAMES ELLIS GUMBINER & ASS 16 08WC 21107 CHAGOYA, ROXANA CHICAGO TRANSIT AUTHORITY 03/24/08 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 17 08WC 22268 SIERRA, GUILLERMINA EDSAL MANUFACTURING 01/18/08 JAMES M GERAGHTY SLAVIN & SLAVIN 18 08WC 33869 FIPPS-GINNIS, GWEN CITY OF CHICAGO 06/25/08 SKOLNICK & ROSENTHAL CITY OF CHICAGO 09WC045925 -C 19 08WC 35026 FIKADU, FANTU PARKING CO OF AMERICA 12/05/07 BELCHER LAW OFFICE THOMAS & PORTELA 08WC035027 -C 20 08WC 54544 MACHROLI, MARK MR BULTS, INC 11/22/08 BOUDREAU NISIVACO LLC KNELL & O'CONNOR 21 09WC 03335 BURRIS, STEPHANIE FAMILY DOLLAR 09/20/08 VITELL & SPITZ LTD CHILTON YAMBERT PORTER LLP 09WC029100 -C 22 09WC 06111 MEDINA, RICHARD CITY OF CHICAGO 12/30/08 ANESI OZMON RODIN NOVAK KO 23 09WC 08039 RICHIED, SANDRA FULLERTON SURGICAL CENTER 02/02/08 SHELDON I MINKOW & ASSOCIA MEACHUM & STARCK 24 09WC 18516 CALLAHAN, KATHY IL DEPT OF CHILDREN @ 09/12/08 LAW OFFICES OF MARK SCHAFF ASSISTANT ATTORNEY GENERAL 25 09WC 18561 GOMEZ, LAURA TOOTSIE ROLL INDUSTRIIES 04/01/07 BERNAT & BERNAT PC MACIOROWSKI SACKMANN & ULRIC 10WC040308 -C 26 09WC 19999 COREY, MICHAEL J ABT ELECTRONICS & APPLIAN 12/16/07 SOSTRIN AND SOSTRIN PC MEACHUM & STARCK 11WC044539 -C WALGREEN CO 27 09WC 20982 RIVERA, GRACIELA KAR KARE W 05/04/09 JAMES ELLIS GUMBINER & ASS GRANT & FANNING 28 09WC 26053 CIBRIAN, RAMON FEDERAL MOGUL 08/09/06 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 09WC026054 -C 29 09WC 27462 CONE, SUSAN UNITED AIRLINES INC. 05/31/09 CULLEN, HASKINS, NICHOLSON WIEDNER & MCAULIFFE LTD 10WC027426 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 09WC 30837 SPEILMAN, CHARLES ATLANTIC PRESS 06/19/09 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 31 09WC 34832 LEVATO, JOHN CITY OF CHICAGO 01/28/08 JOSEPH J SPINGOLA, LTD SPIEGEL & CAHILL, PC 10WC012527 -C 32 09WC 39145 WILLIAMS, FRED CHICAGO BOARD OF EDUCATIO 02/26/08 LEO ALT LAW DEPARTMENT 33 09WC 40314 SWIATKO, ANDRZEJ CARL BUDDIG & CO. 07/05/08 BELLAS & WACHOWSKI KNELL & O'CONNOR 34 09WC 42588 DODDS, MALLORY OLYMPIA FIELDS PARK DISTR 03/31/09 FINE, MARK S LAW OFFICES 35 09WC 44118 CORTES, RALPH CITY OF CHICAGO 08/21/09 HEALY LAW FIRM CITY OF CHICAGO 10WC003758 -C 10WC003759 -C 36 09WC 48323 19B BLUE, TONYA CITY OF CHICAGO 11/02/09 CUDA LAW OFFICES CITY OF CHICAGO 37 09WC 51706 HUNT, CLIFTON CHICAGO PUBLIC SCHOOLS 04/07/09 PETER G. LEKAS LAW DEPARTMENT 38 09WC 52678 BELTRAN, PATRICIA LEXINGTON HEALTHCARE 06/02/09 KUGIA & FORTE PC ACCIDENT FUND HOLDINGS 10WC001690 -C 10WC033572 -C 093 13WC010027 -C 39 10WC 00389 MC GHEE, JOYCE CHICAGO BOARD OF EDUCATIO 11/19/09 JAMES J BURKE LAW OFFICE LAW DEPARTMENT 40 10WC 05417 HANKINS, YVONNE STATE OF ILLINOIS @ 01/01/09 CORNFIELD & FELDMAN SHUAIB A. AHMED 12WC006223 -C 41 10WC 05875 FAMUYIWA, VICTORIA CITY OF CHICAGO 06/17/09 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 42 10WC 05907 PARISI, DANIEL M AT&T, INC 01/29/09 ASHER, RAYMOND L LTD HENNESSY & ROACH PC 43 10WC 07225 CROSSON, MARK RESTAURANT DEPOT 09/04/07 DAVID W MARTAY MEACHUM & STARCK 10WC007226 -C 10WC007227 -C 44 10WC 08772 CORTES, MIGUEL CHICAGO PUBLIC SCHOOLS 10/14/09 LEO ALT LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 10WC 21493 MILLS, CHERI ECHO CORP 01/25/10 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 46 10WC 26473 DODARO, ROCCO AVON PRODUCTS 07/29/09 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 47 10WC 31728 DEFELL, ANDREA CTA 09/22/09 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 48 10WC 32827 GASTON, MICHAEL WASTE MANAGEMENT 06/28/10 STEVEN J SEIDMAN LAW OFFIC 49 10WC 38216 ESCALANTE, MARIA ALDI'S 04/06/10 HUGHES SOCOL PIERS RESNICK MACIOROWSKI SACKMANN & ULRIC 13WC004117 -C 13WC004118 -C ALDIS 13WC009811 -C ALDI INC 50 10WC 38279 RAWLINS, TALANTA NORTH SHORE UNIVERSITY 06/15/10 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 51 10WC 38750 HOWELL, TAMIEKA CITY OF CHICAGO 08/09/10 STEVEN M SELAN 11WC007119 -C 12WC031663 -C 13WC028767 -C 52 10WC 40166 SKOWRONSKI, LEONARD SUN-TIMES MEDIA HOLDINGS 05/24/10 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 53 10WC 41327 CONNER, LINDA ANN GERRESHEIMER 10/06/10 ANKIN LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 54 10WC 43350 RUM, HALINA TYSON FOODS INC 11/02/10 RUBIN LAW GROUP GANAN & SHAPIRO 55 10WC 48780 URIOSTEGUI, ENILU TAQUERIA EL CHORRITO 09/22/10 ENCINAS & ORNELAS 56 10WC 49230 MATARRESE, SHERRY FAMILY MEDICINE 03/10/10 DECARLO LAW GROUP KEEFE CAMPBELL & ASSOC LLC 57 11WC 01172 19B JAMISON, PATRICIA CITY OF CHICAGO DEPT OF 12/10/10 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 58 11WC 06279 MORALES, HECTOR MILLWOOD INCORPORATED 01/25/11 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 59 11WC 08086 GREEN, ANGELA CTA 09/04/10 KALAGIS & JACOBS CHICAGO TRANSIT AUTHORITY 13WC039849 -C 60 11WC 09520 MITCHELL, CASSANDRA METROPOLITAN PIER & EXPO 01/08/11 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 11WC 10096 ORTIZ, OLGA STROGER HOSPITAL 02/02/11 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 62 11WC 11054 DAWKINS, ETHEL DHS FCRC 12/13/10 BUDIN LAW OFFICES COLIN KICKLIGHTER 14WC037144 -C 63 11WC 13172 MASTALSKI, MARY P CHICAGO BOARD OF EDUCATIO 01/25/11 MARSZALEK AND MARSZALEK LAW DEPARTMENT 64 11WC 14015 MENDOZA, FAUSTO CITY OF CHICAGO * 04/04/11 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 65 11WC 14497 BROWN, JACQUELINE EASTER SEALS GM 04/06/11 STEPHEN G PINTO LTD 66 11WC 18967 EDEH, AUGUSTUS COOK COUNTY JUVENILE 04/24/11 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 11WC022198 -C 12WC001968 -C 67 11WC 23380 RODRIGUEZ, JOSE A CITY OF CHICAGO/DEPT OF 12/12/10 PETER D CORTI LAW GROUP 68 11WC 24440 ROBINSON, SHEENA C C BON APPETIT 04/14/11 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 69 11WC 25204 CASTILLO, SAL M FED EX FREIGHT 06/13/11 O'CONNOR & NAKOS SCOPELITIS GARVIN LIGHT 14WC021403 -C 70 11WC 25527 BEHA, AJISA WE CLEAN INC 01/13/11 VRDOLYAK LAW GROUP LLC THOMAS & PORTELA 11WC025528 -C 71 11WC 27071 KHAIRALLAH, LILLIAN LASALLE & RANDOLPH RESTAU 07/08/11 BOWMAN & CORDAY RIPES NELSON BAGGOT KALOBRAT 12WC018153 -C 72 11WC 28939 SERRANO, JAVIER BRIDGEVIEW MANUFACTURING 02/04/11 SALK, STEVEN B & ASSOC LTD STONE & JOHNSON CHARTERED 73 11WC 29840 THURSTON, DANYEAL PARK SHORES ESTATE NURSIN 07/08/11 KENNETH B GORE, LTD MICHAEL D JACOBS 74 11WC 31073 COURRY, CARRITA CHICAGO BOARD OF EDUCATIO 08/30/10 MINKOW DOMIN LAW DEPARTMENT 75 11WC 31096 LITTLE, GLORIA A KINDRED HOSPITAL 05/28/11 VRDOLYAK LAW GROUP LLC ARNETT LAW GROUP 76 11WC 33318 TOBIN, CHRIS UNIVERSITY OF CHICAGO 07/19/11 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 11WC 33858 DAVIS, DOLORES PETER A BAUER/ELIZABETH B 07/27/11 LUIS A ACEVES & ASSOC 78 11WC 34297 EARLEY, ALMA COOK COUNTY 08/30/11 JOHN S. ELIASIK STATES ATTORNEY OF COOK COUN 79 11WC 39347 MCLAURIN, MAKEESHA CHICAGO PUBLIC SCHOOLS 02/15/11 FINE, MARK S LAW OFFICES LAW DEPARTMENT 80 11WC 41603 FRON, VICTORIA THE UNIVERSITY OF CHICAGO 11/24/09 CULLEN HASKINS NICHOLSON SCOPELITIS GARVIN LIGHT 81 11WC 43124 PRINGLE, ADAM CENTRAL BLACKTOP, INC. 09/09/11 LAW OFFICES OF PHILLIP FAR GAROFALO SCHREIBER STORM 82 12WC 01421 VARGAS, LUIS NEA-AGORA PACKING CO 12/22/11 LEONARD LAW GROUP LLC 83 12WC 01830 RUIZ, AUGUSTIN CONGLOBAL INDUSTRIES INC 10/14/11 SALK, STEVEN B & ASSOC LTD LAW OFFICES OF EDWARD J. KOZ 84 12WC 02012 DENNIS, PATRICE HELP AT HOME INC 12/23/11 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 85 12WC 04872 DAVIS, BETTY ARAMARK 08/10/11 MINKOW DOMIN 86 12WC 09816 19B BALDWIN, MICHELLE CHICAGO TRANSIT AUTHORITY 01/27/12 LANNON LANNON & BARR LTD CHICAGO TRANSIT AUTHORITY 87 12WC 13129 METEO, NORMAL I STATE OF ILLINOIS @ 01/21/11 BUDIN LAW OFFICES ASSISTANT ATTORNEY GENERAL 88 12WC 13973 JOHNSON, NICKOLINA SUPERVALU D/B/A JEWEL 07/25/11 CRONIN & PETERS QUINTAIROS PRIETO WOOD & BOY 89 12WC 14374 ERVIN, CAROLYN IL CENTRAL SCHOOL BUS CO 12/14/11 LAW OFFICES LAWRENCE M MAC MACIOROWSKI SACKMANN & ULRIC 90 12WC 14509 ALVAREZ, HECTOR DIPAOLO COMPANY 03/28/11 RICHARD E ALEKSY THOMAS & PORTELA 91 12WC 16542 DAVILA, SERGIO NUVISION CUSTOM BUILDERS 08/05/11 FINE, MARK S LAW OFFICES 92 12WC 17966 CAAL, DINORA FEDERAL MOGUL CORP 02/24/11 EVAN A HUGHES LAW OFFICE HOLECEK & ASSOCIATES 93 12WC 22785 CHISHOLM, PATRICIA UNITED AIRLINES INC. 05/19/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 12WC022786 -C 94 12WC 24069 GUZMAN, BEATRIZ MIDWEST DIRECT MAILERS 03/21/12 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 12WC 24449 ALEXANDER, CAROL BAKER & MCKENZIE, LLC 11/29/11 VRDOLYAK LAW GROUP LLC 96 12WC 24677 LOZADA, ANNETTE COOK COUNTY 07/04/12 LAW OFFICES RONALD SKLARE STATES ATTORNEY OF COOK COUN 97 12WC 25556 DOLAN, JAMES ABT ELECTRONICS AND 08/24/11 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 98 12WC 25692 FINISTER, LEKEISHA CHICAGO TRANSIT AUTHORITY 06/29/12 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 99 12WC 25812 REEVES, STELLA UNDERWRITERS LABORATORIES 06/02/11 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 100 12WC 26084 JOSEPH, JASMIN UNIVERSITY OF ILL MEDICAL 06/04/12 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 101 12WC 27251 GUZMAN, PHIL MID-AMERICAN ELEVATOR 02/18/11 PARENTE & NOREM PC 102 12WC 27908 ORTEGA, MARIA R ED MINIAT 10/05/10 MICHAEL P MCCREADY & ASSOC POWER & CRONIN LTD 103 12WC 28082 CAMARGO, MIGUEL FEDERAL-MOGUL CORPORATION 07/16/12 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 104 12WC 34403 BAUGH, CHARLES CITY OF CHICAGO 09/20/12 HEALY LAW FIRM CITY OF CHICAGO 105 12WC 35703 RENDON, MELISSA CTR HOME FOR HISPANIC ELD 07/11/12 FOHRMAN, DONALD W & ASSOCS KEEFE CAMPBELL & ASSOC LLC 13WC017965 -C 106 12WC 35859 TERZIYSKI, SPAS REGAL CINEMA ENTERTAINMEN 10/09/12 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 107 12WC 35868 NERI, ROBERT ESTES EXPRESS LINES, INC 10/03/12 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 108 12WC 36298 BARRAZA, ALICIA TYSON FOODS, INC. 06/17/12 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 12WC036299 -C 15WC011875 -C 109 12WC 36540 RAY, COREY CITY OF CHICAGO 08/07/12 ANKIN LAW OFFICE CITY OF CHICAGO 110 12WC 36792 CIOCOIU, STEFAN EL LAGO CONDOMINIUM 02/29/12 BERNAT & BERNAT PC POWER & CRONIN LTD 13WC004769 -C 111 12WC 37855 GIBSON, HAROLD CHICAGO TRANSIT AUTHORITY 07/03/11 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 12WC 38158 ALLEN, DWIGHT CITY OF CHICAGO DEPT OF 10/09/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 113 12WC 38204 FLORES, GERONIMO MOST VALUABLE PERSONNEL 10/16/12 JAMES ELLIS GUMBINER & ASS KOREY COTTER HEATHER RICHARD 114 12WC 38223 MOTYKA, JASON MIDWEST AMBULANCE W 06/26/12 PETER C KOPOULOS 115 12WC 39194 CRUZ, CORET MIZENER CONSTRUCTION INC 10/30/12 MC HARGUE, JAMES P LAW OFF ANCEL GLINK DIAMOND BUSH & E 116 12WC 39688 STANFIELD, YVONNE SOLO CUP 11/06/12 MICHAEL P MCCREADY & ASSOC GAROFALO SCHREIBER STORM 117 12WC 39877 CIESLA, HELENA CARL BUDDIG CO 03/27/12 FRIEDMAN & SOLMOR LTD KNELL & O'CONNOR 12WC039878 -C 118 12WC 43839 SVITAK, DAVID UNITED PARCEL SERVICE @ 02/08/12 LEE A CAMPBELL LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 119 13WC 00603 FRENCH, BARBARA ALDI 03/24/12 NEWLAND & NEWLAND MACIOROWSKI SACKMANN & ULRIC 120 13WC 00853 PEREZ, JOSEPH CITY OF CHICAGO 12/26/12 RUBIN LAW GROUP HENNESSY & ROACH PC 121 13WC 01183 MACK, REGINALD CITY OF CHICAGO 11/26/12 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 122 13WC 01643 GUZMAN, JUAN KELLOGG COMPANY 10/10/12 THERMAN LAW OFFICES HINSHAW & CULBERTSON 123 13WC 01979 SMITH, JEROME CTA 01/18/13 MICHAEL P MCCREADY & ASSOC CHICAGO TRANSIT AUTHORITY 15WC031260 -C C.T.A. 124 13WC 02487 DAVIS, EVELYN CHICAGO TRANSIT AUTHORITY 12/21/12 DONALD W FOHRMAN CHICAGO TRANSIT AUTHORITY 125 13WC 02571 GARRITY, WAYNE D CITY OF CHICAGO 12/06/12 HEALY LAW FIRM CITY OF CHICAGO 126 13WC 02574 DEWITT, JESSICA LISA THOMAS SALON 02/13/12 RIDGE & DOWNES LAW OFFICES JOSEPH MARCINIAK 13WC002575 -C 127 13WC 02810 VALENTINE, WINDSTON CHICAGO TRANSIT AUTHORITY 12/30/12 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 128 13WC 03013 AVET, GEORGE COOK COUNTY 01/18/13 BOWMAN & CORDAY STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 13WC 03210 CARPENTER, MARIA E W DIAMOND GROUP CO 08/01/12 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 130 13WC 03813 LO BIANCO, DENISE CATHOLIC CHARITIES 12/21/12 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 131 13WC 04649 O'ROURKE, CHRISTOPHER CHICAGO OF CHICAGO WATER 01/08/13 RIDGE & DOWNES CITY OF CHICAGO 132 13WC 08882 BARTHOLOMEW, OXANA TEVA, INC. 09/07/10 LAW OFFICE OF JAMES URTIS HOLECEK & ASSOCIATES 133 13WC 09266 MENDOZA-ORDUNO, LAZARO BANKIER COMPANIES, INC. 01/14/13 ACEVES & PEREZ PC LITCHFIELD CAVO 134 13WC 10805 JAIMES, EDER ULTRA FOODS 06/25/12 COLLISON LAW OFFICES 135 13WC 11523 BEECHAM, SHUCOOLY ILLINOIS DEPT JUVENILE JU @ 05/23/12 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 136 13WC 12472 JANIAK, ANGELA CITY OF CHICAGO 04/10/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 14WC001231 -C 137 13WC 12617 MILAZZO, TONI DR MICHAEL FAGAN 12/27/12 PATRICIA HARDIMAN LAW OFFI ACCIDENT FUND HOLDINGS 138 13WC 12680 VELASCO, ELIZABETH KOHL'S 09/12/12 MILLON & PESKIN LTD HENNESSY & ROACH PC 139 13WC 12857 HOGAN, THOMAS C CHICAGO TRIBUNE CO 12/07/12 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 140 13WC 13036 HOULDIESON, TERRI FORD MOTOR COMPANY 03/11/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 14WC023836 -C 141 13WC 13048 PATUSH, CHRISTOPHER REPUBLIC SERVICES 05/01/10 CHRISTINE F DAVID GILDEA & COGHLAN 13WC013049 -C 13WC013050 -C 13WC013051 -C 142 13WC 13441 INGOLD, ANITA AMERICAN AIRLINES 12/09/12 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 143 13WC 13864 DAILEY, AMY NORTHSHORE UNIVERSITY 12/10/12 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL & ASSOC LLC 13WC013865 -C 144 13WC 13908 THOMPSON, THOMAS UPS 07/24/12 MARTIN V KUGIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 13WC 14336 TUNSTALL, BETTY CITY OF CHICAGO - FLEET D 03/21/13 STROM, NEAL B CITY OF CHICAGO 146 13WC 15325 KNICKREHM, MARIA ELIZABETH ARDEN RED DOOR 02/16/13 RUBIN MACHADO ROSENBLUM MEACHUM & STARCK 147 13WC 15460 CARRILLO, LYDIA STAFFING NETWORK 04/30/13 KATZ FRIEDMAN EAGLE ET AL SLAVIN & SLAVIN 148 13WC 18912 HUSSAIN, SHAHID DIL FOODS INC 05/09/13 KATZ FRIEDMAN EAGLE ET AL KOPKA, PINKUS & DOLIN, PC 149 13WC 19957 ORTEGA, HECTOR DND ELECTRIC 04/22/13 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 150 13WC 20022 GRAY, CHAUNDELL E CITY OF CHICAGO 06/10/13 COVEN LAW GROUP CITY OF CHICAGO 151 13WC 20446 GONZALEZ, MARLEN STAFF RIGHT LLC 02/08/13 IVAN A RUEDA 152 13WC 21515 BLAKELY, JOHN A PINNACLE CONTRACTING GROU 06/10/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 153 13WC 22048 CLINE, CRAIG SCOTT JR METAL-MATIC INC 06/21/13 KELLY & KING HENNESSY & ROACH PC 154 13WC 22687 RAINES, JONIKKA CTA 06/18/13 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 155 13WC 22910 HERRON, MIKE CHICAGO PUBLIC SCHOOLS 01/10/13 DWORKIN AND MACIARIELLO 156 13WC 23148 GRZETIC, CATHERINE M LOYOLA UNIVERSITY 06/13/12 HEALY LAW FIRM LORENZ & BERGIN PC 157 13WC 23552 SOLIS, ERINEO HIBACHI GRILL 05/20/13 CORNFIELD & FELDMAN LAW OFFICES JOSEPH MARCINIAK 158 13WC 23749 SOLORZANO, MARISA INDUSTRIAL MOTION CONTROL 12/15/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 159 13WC 24220 GARCIA, ADOLFO CADENA CARTAGE INC 07/01/13 ACEVES & PEREZ PC 160 13WC 24466 WILLIAMS, DARA HAIR CUTTERY 09/18/12 STEPHEN G PINTO LTD HENNESSY & ROACH PC 161 13WC 25210 ORTIZ, MARIA CPS 01/08/13 DWORKIN AND MACIARIELLO LAW DEPARTMENT 162 13WC 25211 ORTIZ, MARIA CPS 04/01/13 DWORKIN AND MACIARIELLO LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 13WC 25543 ARROYO, TELESFORO FISHER PIZZA INC DBA DOMI 01/01/13 JONATHAN SCHLACK 164 13WC 26279 ANAYA, LUIS G FOUR SEASONS HEATING 07/09/13 THE ROMAKER LAW FIRM ROSARIO CIBELLA 16WC016540 -C 165 13WC 26342 MITCHELL, CYNTHIA D COOK COUNTY SHERIFF 07/15/13 LAW OFFICE NANCY HIRSCH LL STATES ATTORNEY OF COOK COUN 166 13WC 28826 MENDOZA, IVAN DELAVAL MANUFACTURING 06/22/13 LAW OFFICE STEVEN J SEIDMA 167 13WC 29524 MAZUR, EUGENE CITY OF CHICAGO DEPT OF 04/18/13 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 168 13WC 33323 GREEN, JOVAN COMMERCE INDUSTRIAL SERVI @ W 07/01/13 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 169 13WC 33566 ALVAREZ, ALEJANDRINA JC PENNY 11/20/12 ENCINAS & ORNELAS 170 13WC 33607 STIEBER, MATT CHICAGO INTERNATIONAL 02/02/12 RAYMOND M SIMARD, PC MACIOROWSKI SACKMANN & ULRIC 171 13WC 33878 JUAREZ, MARIA ABM JANITORIAL SERVICES 08/09/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 172 13WC 33926 HERNANDEZ ALVARDO FLOR DE THE SALVATION ARMY ADULT 08/25/13 GAINES & GAINES NYHAN BAMBRICK KINZIE & LOWR 173 13WC 34154 RAMIREZ, ANTONIA HCR MANOR CARE 09/12/13 GORDON & CENTRACCHIO LLC BRYCE DOWNEY & LENKOV LLC 174 13WC 34212 HANNAH, SHALONDA CTA 10/16/13 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 175 13WC 34344 BISHU, ERMIUS SERVICE TAXI ASSOCIATION 09/13/13 RODRIGUEZ LAW CENTER LLC 176 13WC 34656 DEGRACIA, MIREYA CTA 10/19/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 177 13WC 34709 CHEN, MATTHEW CITY OF CHICAGO DEPT OF 01/02/13 KATZ FRIEDMAN EAGLE ET AL 178 13WC 34738 GODOY, CLARA VALOR TECHNOLOGIES INC 07/15/13 CULLEN HASKINS NICHOLSON ORENSTEIN & ASSOCIATES 179 13WC 34960 STRONG, CAROLINE CHICAGO PUBLIC SCHOOLS 09/25/13 KENNETH B GORE, LTD LAW DEPARTMENT 180 13WC 35048 MACEDO, AURELIANO GOLD STANDARD BAKING, INC 06/12/13 JOHN C SERKLAND GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 13WC 35145 ASCENCIO, HECTOR SEARS 09/30/13 LAW OFFICES OF JOSEPH YOUN GAROFALO SCHREIBER STORM 182 13WC 35784 BOGON, ANDRZEJ JACEK HARKABUZ 10/04/13 ANKIN LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 183 13WC 36206 DOWNS, JOHN M CITY OF CHICAGO 08/21/13 ARGIONIS & ASSOCIATES LLC 184 13WC 36629 RODRIGUEZ, BRENDA BERNARD LABOR SOLUTIONS 09/23/13 JONATHAN SCHLACK KLAUKE LAW GROUP LLC 185 13WC 36815 MARIA, ESPINOZA ARAMARK 09/29/13 KARP & ELLIS STONE & JOHNSON CHARTERED 186 13WC 36948 JUAREZ, SILVIA METRO STAFF INC 05/01/13 KENNETH B GORE, LTD HENNESSY & ROACH PC 187 13WC 37089 CASTANEDA, GUADALUPE L MEAD FLUID DYNAMICS, INC. 11/01/11 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 13WC037090 -C 188 13WC 37185 CRUZ, ERASTO UNIQUE THRIFT STORE 06/10/12 KENNETH B GORE, LTD 189 13WC 37605 ESCAMILLA, JAIME DAVID PUMA @ W 08/11/13 COHN & COHN ASSISTANT ATTORNEY GENERAL 190 13WC 40333 PRZEKOP, HARRY J CERMAK HEALTH SERVICES OF 07/07/11 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 191 13WC 42159 NUSINOW, BARBARA HANCOCK FABRICS 10/02/13 CAPRON & AVGERINOS PC MEACHUM & STARCK 192 13WC 42507 TARIO, VICTOR J AT & T 12/10/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 193 14WC 00174 ARREDONDO, ISABEL ELITE STAFFING INC 11/20/13 GAINES & GAINES MARC CAIRO 194 14WC 00281 LAMOUR, GERRARD UCMC 11/30/13 MINKOW DOMIN HENNESSY & ROACH PC 15WC038812 -C UNIV OF CHGO MEDICAL CTR 195 14WC 00341 GRAY, LENNICE CTA 12/31/13 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 196 14WC 00393 HUJAR, MICHAEL VILLAGE OF PALATINE 08/04/11 RIDGE & DOWNES POWER & CRONIN LTD 15WC011260 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 14WC 00420 VAZQUEZ, MARIA ELENA ABLE ELECTROPOLISHING CO 03/31/07 EPSTEIN, JACK R LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 198 14WC 00503 CROWLEY, JANE L LOYOLA UNIVERSITY 12/09/13 MEYERS & FLOWERS LORENZ & BERGIN PC 14WC000504 -C 199 14WC 00885 SUGGS, MERCEDES CHICAGO TRANSIT AUTHORITY 12/24/13 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 200 14WC 01022 MUI, JENNY RESURRECTION HEALTH CARE 10/19/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 201 14WC 01034 MAYEN, JUAN M BELHAVEN NURSING AND REHA 09/18/13 BUDIN LAW OFFICES 202 14WC 01047 CLINTON, MACK SOUTHWEST AIRLINES 12/26/13 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 14WC029457 -C 203 14WC 01142 JANIAK, ANGELA CITY OF CHICAGO 11/26/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 204 14WC 01215 ANGELL, LOUISE AMERICAN AIRLINES INC 06/17/11 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 205 14WC 01258 RODRIGUEZ, PAUL A CITY OF JOLIET 12/13/13 PARENTE & NOREM PC CITY OF JOLIET 206 14WC 01286 MANUEL, LATRICE CHICAGO PUBLIC SCHOOLS 11/26/13 KISS & ASSOCIATES LTD 207 14WC 01303 GUTIERREZ, ROSA M BERRY PLASTICS CORP 05/31/13 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 208 14WC 01307 WILLIAMS, WILLIE JEWEL FOODS 08/14/13 BOUDREAU & NISIVACO LLC HENNESSY & ROACH PC 209 14WC 01377 CARDONA, FELIPE ENGINEERED GLASS PRODUCTS 06/16/13 ACEVES & PEREZ PC 210 14WC 01561 GALLOWAY, SHIRAN AVON PRODUCTS INC 01/03/14 SANDMAN LEVY & PETRICH HOLECEK & ASSOCIATES 211 14WC 01913 RICHARDSON, LATRICIA CTA 01/07/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 212 14WC 02338 MANNING, JAMES METROPOLITAN WATER RECLAM 07/15/13 FIGLIOLI, DAVID NOBLE & ASSOCIATES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 14WC 02849 BROWN, DERRICK CTA 12/22/13 DONALD W FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 214 14WC 05160 FRAZIER, CLARA WARNER PAIGE BUS ENTERPRI 08/15/13 KENNETH B GORE, LTD GALLIANNI DOELL & COZZI LTD 14WC008539 -C 215 14WC 06716 REXFORD, AGYEMANG CHICAGO CARRIAGE CAB 08/19/12 RUSIN MACIOROWSKI & FRIEDMAN 216 14WC 08245 COKER, SYNETHIA CHICAGO PUBLIC SCHOOLS 02/10/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 217 14WC 08536 COX, REGENIA SOUTHWEST AIRLINES 04/10/13 KENNETH B GORE, LTD 14WC008537 -C 14WC034692 -C 218 14WC 08888 HARRIS, WILLIE UNIQUE CAR WASH @ W 07/04/11 DAMISCH & DAMISCH LTD 219 14WC 08971 BANDSTRA, WILLIAM SET ENVIRONMENTAL INC 02/07/14 FRANK A CELANI RUSIN MACIOROWSKI & FRIEDMAN 220 14WC 09379 HOSEMAN, DARLENE STATE OF IL @ 03/10/14 CULLEN HASKINS NICHOLSON JEANNINE SIMS 221 14WC 09586 JACKSON, VIVIAN CITY OF CHICAGO DEP OEMC 02/26/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 222 14WC 09814 JOHNSON, SAMUEL FORD MOTOR COMPANY 02/02/14 CULLEN HASKINS NICHOLSON 223 14WC 09901 BUCKNER, CLARENCE TOWER AUTOMOTIVE 02/11/14 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 224 14WC 10047 HERKEL, WAYNE UNITED AIRLINES INC. 03/13/14 STEVEN M SELAN WIEDNER & MCAULIFFE 225 14WC 10755 MILCAREK, KAREN A NEW ALBERTTSONS INC 02/27/10 STROM, NEAL B QUINTAIROS PRIETO WOOD & BOY 226 14WC 10763 CEDILLO, JOSE G U S SAMPLE CORP 11/27/12 LAW OFFICE OF OSVALDO RODR WIEDNER & MCAULIFFE LTD 227 14WC 11087 CASTELLI, MICHAEL SCOTTISH PLUMBER 03/22/14 ANKIN LAW OFFICE CASSANO & ASSOCIATES 14WC014657 -C 228 14WC 11278 BRAVO, GELACIA CARDINAL BUILDING MAINTEN 03/21/14 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 229 14WC 11549 VARGAS (MARTINEZ), ADRIAN SEMPER FI 12/23/13 KINNALLY FLAHERTY KRENTZ &

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 14WC 12040 SCHIENBEIN, TED C CITY OF EVANSTON 03/17/14 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 231 14WC 12501 DIAZ, JUAN FINAL TOUCH DECORATING 10/11/13 SHELDON I MINKOW & ASSOCIA RUSIN MACIOROWSKI & FRIEDMAN 232 14WC 12651 PORTER, GAIL SOUTHPOINT NURSING 02/10/14 CANDIANO LAW OFFICE 233 14WC 12654 INOSTROZA,JUANA UNIVERSITY OF ILLINOIS AT @ 01/03/13 CANDIANO LAW OFFICE POWER & CRONIN LTD 234 14WC 12832 PACHE, MICHAEL ROMAN DECORATING PRODUCTS 09/20/13 HOLECEK & ASSOCIATES 235 14WC 12844 BENITEZ, NIXIA LABOR NETWORK, INC 04/02/14 SANDMAN LEVY & PETRICH ROBERT L. SMITH 236 14WC 13038 OZCAN, JOHN CITY SERVICE TAXI ASSOCIA 03/02/14 DWORKIN AND MACIARIELLO LAW OFFICES OF DEBORAH SCHAE 237 14WC 13303 GONZALEZ, RENE WESTERN RECYCLING 03/01/14 STROM, NEAL B 238 14WC 13440 HERRERA, ELVIRA CITY OF CHICAGO STREET AN 03/27/14 THE FITZ LAW GROUP CITY OF CHICAGO 239 14WC 13935 ZUBAIRUDDIN, MOHAMMED YELLOW CAB AFFILIATION, I 04/08/14 WARREN W MARK 240 14WC 13947 FOUNTAIN, ROBIN STATE OF IL @ 03/14/14 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 241 14WC 14239 HUR, MYUNG OK TOZI KOREAN RESTAURANT 10/20/12 CULLEN HASKINS NICHOLSON 242 14WC 14241 POTTS, BERNADETTE AMERICAN AIRLINES INC 07/24/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 243 14WC 14303 DURKIN, THOMAS CITY OF CHICAGO 02/10/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 244 14WC 14753 JINADU, SAFIU CHICAGO MEDALLION MANAGEM 04/26/14 245 14WC 15111 MORALES, HARVEY R CTA 04/15/14 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 246 14WC 15202 AVALOS, JULIA UNISTAFF 04/16/14 PAUL D POWELL WIEDNER & MCAULIFFE LTD 247 14WC 17095 DELGADO, LINDA CITY OF CHICAGO DEPT OF 01/23/14 CUDA LAW OFFICES 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 ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 14WC 17665 CARRANZA, MARIA ELITE STAFFING 05/13/14 HART & DAVID LLP MARC CAIRO 249 14WC 21736 KURTZ, ROBERT PARK DISTRICT OF OAK PARK 08/03/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 250 14WC 21794 ALVAREZ, MARISOL DURABLE PACKAGING 06/13/13 SOSTRIN AND SOSTRIN PC 251 14WC 22401 WATKINS, NICHOLAS DOULGLAS COLLEGE 05/27/14 BRISKMAN BRISKMAN GREENBER ODELSON & STERK 252 14WC 22454 CARRANZA, JOSE POLO MASONRY BUILDERS 06/12/14 BRUSTIN & LUNDBLAD LTD WIEDNER & MCAULIFFE LTD 253 14WC 22471 RAMIREZ, LAURA FIVE STAR BROTHERS 06/07/14 DEPAOLO ZADEIKIS GORE 254 14WC 22831 SOTO, AARON CLEAR LAM PACKAGING, INC 04/17/14 GOLDSTEIN BENDER & ROMANOF 255 14WC 22984 OWCA, ASHLEY ALTA STAFF 05/01/14 SCOPELITIS GARVIN LIGHT 256 14WC 23065 SWEEZY, FREDRICK CITY OF CHICAGO 05/30/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 257 14WC 23307 CONTY, DONISE M AMERICAN AIRLINES INC 05/04/13 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM 14WC023308 -C 258 14WC 23676 SPAGNOLA, ANTHONY UNIVERSAL STEEL AMERICA 07/01/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 259 14WC 23723 WILSON, TOBIAS SYSCO FOODS 02/27/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 260 14WC 24236 HUBKA, PAUL PALATINE PARK DISTRICT 02/09/14 STELZMAN, RUTH 261 14WC 24308 DANIEL, DENISE TOTAL FACILITY MAINTENANC 07/08/14 SHELDON I MINKOW & ASSOCIA STONE & JOHNSON CHARTERED 262 14WC 24310 PALEVINO, MYRA FRESENIUS MEDICAL CARE 05/08/14 GIAMANCO & OOINK LAW OFFIC HENNESSY & ROACH PC 263 14WC 24314 JACKSON, SHAUN KOCH FOODS INCORP. 07/19/11 ROBERT A. WILSON 264 14WC 24861 PORRATA, JENNIFER MANOR CARE OF ROLLING MEA 06/02/14 RICHARD O. GREENFIELD HINSHAW & CULBERTSON 265 14WC 25370 DIAZ, REYNALDO CHICAGO TRANSIT AUTHORITY 07/22/14 NILSON STOOKAL GLEASON CAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 14WC 25530 MANSWOR, NATHER WESTERN RECYCLING 04/25/13 VRDOLYAK LAW GROUP LLC 267 14WC 25533 HUNTER, CELESTE CTA 07/21/14 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 268 14WC 27251 MARTINEZ, ELIZABETH SCA 07/09/14 269 14WC 30636 FINISTER, RAMONDA LUDEMAN CENTER 08/27/14 WOODRUFF & JOHNSON JILL OTTE 270 14WC 30781 ONATE, ALBERTO CITY OF CHICAGO 07/22/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 271 14WC 31399 DAWSON, THERESA COSTCO 08/27/14 LAW OFFICE OF SCOTT B SHAP GANAN & SHAPIRO 272 14WC 31676 THURMOND, CYNTHIA CHICAGO TRANSIT AUTHORITY 09/13/14 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 273 14WC 31715 JIMENEZ, IRMA FERRERA PAN CANDY CO 03/10/14 RUEDA, IVAN A 274 14WC 31887 BURGER, STEVEN GW BERKHEIMER CO 07/08/14 EVAN A HUGHES LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 275 14WC 32134 CARDENAS, STEPHANIE VISITING ANGELS OF CHICAG 11/18/13 ROSS J HELFAND NOBLE & ASSOCIATES PC 276 14WC 32584 ROMAN, GILBERTO ROE/EVOLUTION INTERIORS L 08/21/14 MARKS & ASSOCIATES LAW OFFICES JOSEPH MARCINIAK 277 14WC 33132 VALDEZ, JESUS G LETTUCE ENTERTAIN YOU/HUB 05/11/14 GOLDSTEIN BENDER & ROMANOF NOBLE & ASSOCIATES PC 278 14WC 33205 BATIYE, DURESO TYSON-THE BRUSS CO 05/15/14 C DEAN MATSAS GANAN & SHAPIRO 14WC033206 -C 279 14WC 33415 GALINDO, ALICIA ACCURATE PERSONNEL 07/22/14 JONATHAN SCHLACK GRANT & FANNING 14WC033784 -C 14WC042856 -C 280 14WC 34434 SALGADO, CORNELIO PACELLA TRUCKING EXPRESS 08/18/12 MCANANY VANCLEVE & PHILLIPS 281 14WC 34740 LOPEZ, MARIA L RUPARI FOODS 09/23/14 ANKIN LAW OFFICE CHILTON YAMBERT PORTER LLP 282 14WC 34763 MONTES, OLIVIA ST OF IL DEPT OF DCFS 01/03/14 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 14WC 34892 CARDENAS, ROSA CALUMET CARTON 07/23/14 JOHN C SERKLAND GANAN & SHAPIRO 284 14WC 35008 ELLINGTON, NATHAN CHICAGO TRANSIT AUTHORITY 07/08/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 285 14WC 35573 BROOKINS, BRENDA CHICAGO PUBLIC SCHOOLS 09/10/14 ABELS & ANNES, PC LAW DEPARTMENT 286 14WC 35875 BANUELOS, JOSEFINA SCHILLER LODGES LLC 09/20/14 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 287 14WC 36553 DAGANS, LAVERNE ANIXTER INC 10/08/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 288 14WC 36572 VARGAS, EDDIE CAPSTONE LOGISTICS LLC 12/10/13 ANKIN LAW OFFICE 289 14WC 37311 MC CULLUM, WILLIE SR PACE SUBURBAN BUS SERVICE 10/09/14 FISHER & LAMONICA SLAVIN & SLAVIN 290 14WC 41748 LOCKHART, LINDA CHILDREN'S HOME & AID 04/16/13 BRADY CONNOLLY & MASUDA PC 291 14WC 41952 BROWN, SHERYL L CITY OF CHICAGO 09/12/13 CUDA LAW OFFICES CITY OF CHICAGO 292 14WC 42359 ROGERS, DEBORAH UNITED AIRLINES INC. 11/15/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 293 14WC 43092 RILEY, ADRIA KENMARE CATERING 12/05/14 SHELDON I MINKOW & ASSOCIA 294 14WC 43505 SZULC, PETER F FIRESTONE 12/22/14 ANESI OZMON RODIN NOVAK KO 295 14WC 43521 GARCIA, ELSA STONEGATE CONFERENCE AND 12/06/14 JONATHAN SCHLACK GANAN & SHAPIRO 296 15WC 00041 MARTINEZ, TERESA FOUR POINTS BY SHERATON 10/29/14 BUDIN LAW OFFICES GRANT & FANNING 297 15WC 00055 WACLAWER, ANNA CARL BUDDIG & CO 12/12/11 298 15WC 00061 KELLY, BRENDAN P COOK COUNTY DEPT 12/10/14 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 15WC014107 -C 299 15WC 00375 MEDINA, ALBERTO RON'S STAFFING SERVICES I 12/23/14 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 300 15WC 00417 BARNES-DAVIS, JOANN LORETTO HOSPITAL C/O 12/22/14 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 15WC 00444 TOAPANTA, JORGE HILLSIDE HOSPITALITY 11/24/14 SALK, STEVEN B & ASSOC LTD 302 15WC 00456 MOTEN, MOHAMMAD BLUE RIBBON TAXI 12/05/14 LAW OFFICE RYAN ROSENTHAL 303 15WC 00483 ZAYAS, AGUSTIN COCA-COLA REFRESHMENTS US 12/16/14 CIARDELLI CUMMINGS CAMPAGN BRADY CONNOLLY & MASUDA PC 304 15WC 00533 KEBR, JAMES CTA 06/23/14 RANDOLPH GREUNE LAW OFFICE CHICAGO TRANSIT AUTHORITY 305 15WC 00873 SPANN, JACKIE ENTERPRISE RENT-A-CAR 05/14/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 306 15WC 00887 PATTERSON, ZIDAR ILLINOIS DEPT OF CORRECTI 06/05/14 MICHAEL P MCCREADY & ASSOC ASSISTANT ATTORNEY GENERAL 307 15WC 00908 STEWART, KIMBERLY CDT 11/07/14 SIGMOND, STEVEN 308 15WC 01457 DE LA PUENTE, BRIAN C/O CHICAGO BEARS FOOTBALL CL 11/23/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 15WC001458 -C 309 15WC 01471 KENT, REGINA ALEXIAN BROTHERS MEDICAL 01/09/15 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 310 15WC 01563 ARROYO, MARIA HU-FRIEDY MFG CO 11/21/14 DEPAOLO ZADEIKIS GORE POWER & CRONIN LTD 15WC006627 -C 16WC023117 -C 311 15WC 01809 RAFFERTY, KELLY A W HOTEL 01/09/15 CAMERON CLARK QUINTAIROS PRIETO WOOD & BOY 312 15WC 02042 LUIZZI, LAUREN OLD TOWN SCHOOL 11/07/14 OWENS & LAUGHLIN LLC 313 15WC 02243 FONSECA, ROBERTO STAFF RIGHT INC 07/18/14 VRDOLYAK LAW GROUP LLC 314 15WC 02268 REYES, ADAN WKJS COIN 12/27/14 ANKIN LAW OFFICE 315 15WC 02370 BANKS, REGINALD CENTRAL TRANSPORT 10/09/14 LEO ALT HINSHAW & CULBERTSON 316 15WC 02522 LUMPKIN-INGLAM, JACQUELIN CHICAGO DEPT OF WATER 03/31/14 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 317 15WC 03007 ALCAZAR, LICIA VICTORY CENTRE OF 12/09/14 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 15WC 03009 JUSTICE, WINSTON INDIANAPOLIS COLTS 09/09/12 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 319 15WC 03695 CHRISTON, LEROY WASTE MANAGEMENT 12/16/14 DAVID W MARTAY 320 15WC 04145 LOVE, CARMELITA CTA 01/10/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 321 15WC 06095 MIKLAS, MICHAEL ARENA AMERICAS 01/09/15 LULAY LAW OFFICES INMAN & FITZGIBBONS 322 15WC 08041 ZEBRAUSKAS, MARIA CITY OF CHICAGO - DEPTART 02/17/15 O'CONNOR & NAKOS CITY OF CHICAGO 323 15WC 08653 FORD, MARY RUSH UNIVERSITY MEDICAL C 04/23/14 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 15WC014831 -C 324 15WC 08776 COLLINS, JOHN SCR MEDICAL TRANSPORTATIO 02/27/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 325 15WC 09247 SHURMAN, DESIREE CITY OF CHICAGO 01/27/15 RITTENBERG & BUFFEN CITY OF CHICAGO 326 15WC 09279 WHITMORE, SHIRETHA SCR MEDICAL TRANSPORTATIO 01/24/15 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 327 15WC 09680 BOOKER, CHARLES E SCR MEDICAL TRANSPORATION 03/10/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 328 15WC 09796 CROWDER, DANIEL A SEARS HOLDING CORPORATION 07/15/14 LASSEN, BRIAN D LAW OFFICE 329 15WC 09870 QUARLES, DARRYL EAGLE EXPRESS LINES 06/19/14 COPLAN & CRANE, LTD THOMAS & PORTELA 330 15WC 09930 MCELROY, SOPHIA CITY OF CHICAGO 11/14/14 KREITER, BYCK & ASSOC LLP CITY OF CHICAGO 331 15WC 10301 DELTORO, MARILU UNIQUE THRIFT STORE 03/18/15 LAW OFFICES OF ANSELMO DUR WIEDNER & MCAULIFFE LTD 332 15WC 10374 WAISE, MIKE CROWN CORK & SEAL CO 07/27/12 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 333 15WC 10753 MACIAS, JULIO SHELL OIL CO 12/24/14 DEPAOLO ZADEIKIS GORE 334 15WC 11062 SANCHEZ, RUBEN EL CUBANO WHOLESALE MEATS 01/12/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 335 15WC 11098 HUMPHREY, JERRY LOKEN ENTERPRISE LLC 02/27/15 ANKIN LAW OFFICE 336 15WC 11102 FISHER, HAROLD S & C ELECTRIC CO 02/26/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 15WC011103 -C 337 15WC 11183 HERNANDEZ, NORA CARL BUDDING AND CO 10/01/13 BRUGGEMAN HURST & ASSOC KNELL & O'CONNOR 338 15WC 11248 EBERWEIN, AUTUMN E TCA PALATINE LLC 08/19/13 PAUL W GRAUER & ASSOC HENNESSY & ROACH PC 339 15WC 11271 ABUHANI, AKRAM PEACE TAXI ASSO. 03/11/15 BELCHER LAW OFFICE LAW OFFICES OF DEBORAH SCHAE 15WC019480 -C 340 15WC 11306 MOORE, PATTI FORD MOTOR CO 09/09/14 MARSZALEK AND MARSZALEK 341 15WC 11309 WISHARD, MADHULIKA ZURICH INSURANCE 03/04/15 STEVEN A CRIFASE, LTD 342 15WC 11328 ALEX, MICHAEL JEWEL FOODS 01/27/15 BOUDREAU NISIVACO LLC 343 15WC 11379 QUINTANA, DOROTEO MIDWEST INDUSTRIAL METALS 02/19/15 JOHN J CASTANEDA 344 15WC 11442 ASKEW, CHESTER CHICAGO TRANIST AUTHORITY 02/25/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 345 15WC 11678 DIAZ, JOSE ANTONIO TURANO 10/15/14 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 346 15WC 11688 KAZMAIER, SCOTT JOHN M NEFF ROOFING CO 12/12/14 MUELHAUSEN & STEFANI HOLECEK & ASSOCIATES 347 15WC 11735 TEAGUE, PEARLIE CHICAGO PUBLIC SCHOOLS 03/10/15 GOLDBERG WEISMAN & CAIRO L 348 15WC 11783 RIOS, GUADALUPE LPS PAVEMENT CO 11/04/14 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO 349 15WC 11790 MORALES, JAVIER TOVAR SNOW PROFESSIONALS 12/01/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 350 15WC 11826 WATKINS, BRANDI POWER SHOP 03/23/15 GOLDBERG WEISMAN & CAIRO L 351 15WC 11907 WADE, PATRICIA CTA 09/30/14 LAW OFFICE EDWARD LICHTENS CHICAGO TRANSIT AUTHORITY 352 15WC 11918 JOHNSON, LAWRENCE CHICAGO PUBLIC SCHOOLS 03/19/15 WITTENBERG DOUGHERTY MAGLI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 15WC 12061 MORI, SIDNEY SEARS 01/25/15 HART & DAVID LLP GAROFALO SCHREIBER STORM 354 15WC 12127 CONLEY, NADINE CITY OF CHICAGO DEPT. OF 08/22/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 355 15WC 12145 YOUNG, ASTON CITY OF CHICAGO 02/17/15 CULLEN HASKINS NICHOLSON 356 15WC 12146 YOUBNG, ASTON CITY OF CHICAGO 03/20/15 CULLEN HASKINS NICHOLSON 357 15WC 12154 SANCHEZ, JOSE JUNO LIGHTING GROUP 03/10/15 SPIEGEL & CAHILL, PC 358 15WC 12189 QUIROZ, RAUL CTA 01/26/15 CHEPOV & SCOTT LLC CHICAGO TRANSIT AUTHORITY 359 15WC 12260 FIGURSKI, MAREK SERVICES BY NORTHWEST 07/28/14 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 360 15WC 12264 BOWEN, LAURIE ADVOCATE HEALTH CARE 02/14/15 SIGMOND, STEVEN NYHAN BAMBRICK KINZIE & LOWR 361 15WC 12515 COLLINS, YOLANDA THRESHOLDS 02/18/14 NEWLAND & NEWLAND MC ANDREWS & NORGLE LLC 362 15WC 12716 HUNNICUTT, THOMAS ARGO COMMUNITY HIGH SCHOO 12/01/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 363 15WC 12717 WALKER, JILL COOK COUNTY JUVENILE 03/15/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 364 15WC 12939 MURPHY, BRENDA BOARD OF EDUCATION 06/01/12 SCHACTER, JEROME & ASSOC L 365 15WC 12995 ROBLES, FRANCISCO J. INTERLAKE MECALUX 09/23/14 THE ROMAKER LAW FIRM COZZI & GOGGIN-WARD 366 15WC 13155 NAVARRO, PABLO CITY OF CHICAGO-GRAFITTI 01/12/15 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 367 15WC 13441 GARCIA, JOSE IMPERIAL ZINC 09/22/11 JOHN S. ELIASIK 368 15WC 13458 WARBURTON, DIANE FRANCISCAN ALLIANCE ST 12/12/14 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 369 15WC 13504 AHMEH, FEKRIJE LIFETIME FITNESS 11/11/14 NEWLAND & NEWLAND MACIOROWSKI SACKMANN & ULRIC 15WC013505 -C 370 15WC 13925 OAKES, JOSEPH W. MIG TRUCKING INC. 02/24/15 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 15WC 13935 DAMASIO, PEDRO FLEXING STAFFING SERVICE 02/19/15 ACEVES & PEREZ PC KNELL & O'CONNOR 372 15WC 14252 GUERRERO, ROSA MARIA ARBOR MANAGEMENT INC 01/27/15 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 373 15WC 14410 BANCES, GERONIMO ELITE STAFFING, INC 02/10/15 SHEA LAW GROUP 374 15WC 14585 AHMED, ABDUL GIBSON ROSEMONT 09/06/14 WOLF & TENNANT INMAN & FITZGIBBONS 375 15WC 14971 HOGAN-MEEKS, SHARICEE CTA 05/06/15 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 376 15WC 15044 OLVERA, HIGINIO VANEE FOODS PRODUCTS 12/02/14 STYKA & STYKA WIEDNER & MCAULIFFE LTD 16WC024291 -C 377 15WC 15197 HAMMONDS, SCOTT C UPS FRIEGHT 03/17/15 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 378 15WC 19488 WILLOIGHBY, SAMUEL C BROWN & MOMEN INC 04/01/12 SALVATO & O'TOOLE 379 15WC 19791 OJEDA, ROBIN ADDUS HEALTHCARE 05/18/15 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 380 15WC 20221 JANASZEK, STANISLAW LIV LOGISTICS CORP 02/12/15 LEONARD S. BECKER RUSIN & MACIOROWSKI LTD 381 15WC 20369 GALINDEZ, GIOVANNI ENVOY 06/13/15 BERG & BERG 382 15WC 20493 FRASER, JAMES JADE-STERLING STEEL COMPA 05/28/14 BOUDREAU NISIVACO LLC MEACHUM & STARCK 383 15WC 20533 MONTOYA, ALEJANDRA WENDY'S 06/09/15 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 15WC036925 -C 384 15WC 20740 KOTEK, ANITA AMERICAN AIRLINES 06/12/13 ALAN A BLUM, PC POWER & CRONIN LTD 15WC020741 -C 385 15WC 20877 LARIA, JOSEPH UNITED AIRLINES INC 03/01/14 ALFRED L KNORR WIEDNER & MCAULIFFE LTD 386 15WC 20899 CAULFIELD, JASON UNIVERSITY OF CHICAGO 02/16/13 LAW OFFICES OF MARK SCHAFF NYHAN BAMBRICK KINZIE & LOWR 15WC020900 -C 15WC020901 -C 15WC034047 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 15WC 21182 HAMPTON, PATRICK UPS 06/09/15 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 388 15WC 21193 CONNERS, JOHN CHGO STREETS & SAN DEPT 09/03/14 THOMAS A MORRISSEY CITY OF CHICAGO 389 15WC 21210 PINEDA, JUAN CARLOS CUXCO CONSTRUCTION CO 02/04/15 JOHN J CASTANEDA WIEDNER & MCAULIFFE LTD 390 15WC 21277 JONES, SHARON CTA 06/16/15 THE FITZ LAW GROUP CHICAGO TRANSIT AUTHORITY 391 15WC 21305 GRIFFIN, MICHAEL J UGN INC 06/21/15 VITELL & SPITZ LTD 392 15WC 21548 GARDNER, DEMETRIS JEWEL FOOD STORES INC 12/31/14 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 393 15WC 21721 KELLY, PATRICK COOK COUNTY JAIL 01/27/15 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 394 15WC 21765 CIFUENTES, MARK ARWAY CONFECTIONS 10/21/13 COHN LAMBERT RYAN & SCHNEI GANAN & SHAPIRO 395 15WC 21771 CHAVEZ, ORLANDO AIR AND GROUND SVCS INC 06/09/15 JOHN S. ELIASIK THOMAS & PORTELA 396 15WC 21773 GARIBAY, HERMINIA WINGATE INN 04/06/15 JOHN S. ELIASIK BRADY CONNOLLY & MASUDA PC 397 15WC 21873 COLEMAN, PRENTES MARIO'S CONSTRUCTION 06/09/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 398 15WC 22105 BARD, AMY UNITED AIRLINES 05/07/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC009334 -C 399 15WC 22174 ALVAREZ, SERGIO LITTLE LADY FOODS, INC. 05/19/15 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 400 15WC 22400 GOLDEN, MARK PRO LOGISTICS AGENCY 04/22/15 SHELDON I MINKOW & ASSOCIA 401 15WC 22663 PETERSON, MARIA L GOTTLIEB MEMORIAL HOSPITA 06/15/14 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 402 15WC 22753 WHITCRAFT, STEVE ANGUS CONTRACTORS INC 06/22/15 GOLDBERG WEISMAN & CAIRO L THOMAS & PORTELA 403 15WC 22789 TAKUSKI, APOLONIA HARVARD SERVICES GROUP IN 05/26/15 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 404 15WC 23037 WATSON, LATONYA CTA 05/10/15 FOHRMAN, DONALD W & ASSOCS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 405 15WC 23184 VARGAS, DAVID SR CALUMET CITY 09/09/14 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 406 15WC 23559 OROZCO, JUAN R APL LOGISTICS 06/26/15 PARENTE & NOREM PC GRANT & FANNING 407 15WC 23610 GALLEGOS, PEDRO NAI HOFFMAN 06/15/15 KATZ FRIEDMAN EAGLE ET AL SPIEGEL & CAHILL, PC 408 15WC 24571 ADELMAN, MARIA P BALLARD RESPIRATORY & 07/10/15 ANKIN LAW OFFICE LAW OFFICES FRANCESCA LARSEN 409 15WC 24628 GREEN, ALAN C 1630 SHERIDAN CORP 01/11/15 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 15WC024629 -C 410 15WC 24709 WHITE, JASON INSTALLATION PLUS 02/04/15 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 411 15WC 24968 SOWA, MARK CITY OF CHICAGO 06/08/15 VRDOLYAK LAW GROUP LLC ODELSON & STERK 412 15WC 25012 SULZMANN, PHIL F MADISON SQ GARDEN DBA 12/09/14 PAUL F PETERS WIEDNER & MCAULIFFE LTD 413 15WC 25020 SALINAS, GABRIELA TARGET CORP 02/15/15 CHEPOV & SCOTT LLC 414 15WC 25269 KAMPWIRTH, TAMARA CHICAGO BOARD OF EDUCATIO 03/30/15 LEO ALT 415 15WC 25362 GUTIERREZ, ARMANDO RAMIRO PEREZ 07/06/15 DEPAOLO ZADEIKIS GORE 416 15WC 25367 AGUAYO, RACHELLE VISION SALON RESOURCE 04/24/14 MC HARGUE, JAMES P LAW OFF LAW OFFICES OF EDWARD J. KOZ 417 15WC 25401 SEPPER, RANDI L ST JAMES HOSPITAL 10/28/12 BOWMAN & CORDAY 418 15WC 25817 SCHNEIDER, STEVE MAYWOOD PARK RACE TRACK 06/22/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 419 15WC 25829 MOSLEY, CYNTHIA JO-ANN FABRIC AND CRAFT 04/07/15 POLANSKY & CICHON CHTD 420 15WC 25832 ROROS, ZAVIERE UNITED AIRLINES 04/03/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 421 15WC 26134 NOLAN, JESSE BLUENET LLCC/O BLUE MAN G 05/23/15 ERIC H CHECK, LAW OFFICES 422 15WC 26318 KHAN, TAHIR CTA 08/01/15 ROBERT A. WILSON CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 15WC 26421 TAVERA, MARIA GUCKENHEIMER ENTERPRISES, 02/10/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 424 15WC 27792 MENDEZ-LOPEZ, MARIA D LA-CO INDUSTRIES INC 04/13/15 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 425 15WC 29855 PEREZ, MARCOS EDSAL MFG CO INC 06/23/15 RUEDA, IVAN A SLAVIN & SLAVIN 426 15WC 29909 CORRAL, GERARDO METALMASTER ROOFMASTER IN 07/07/15 ROMANUCCI & BLANDIN ACCIDENT FUND HOLDINGS 427 15WC 30096 KUERSTEN, ALEXANDRA COOK COUNTY JUVENILE 08/06/14 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 428 15WC 30558 PENA, JESUS MERCHANDISE MART 09/15/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 429 15WC 30571 FISCHER, ADAM METROPOLITAN WATER 05/22/12 BOWMAN & CORDAY NEUSON LAW, PC 430 15WC 30682 OCHOA, FERNANDO AMIGOS FOODS 09/10/15 JONATHAN SCHLACK RODDY LAW LTD 431 15WC 31113 ALLEN, SHATIA ELITE STAFFING 09/11/15 SKLARE LAW GROUP 432 15WC 31236 ROMERO, CARMEN EMBASSY SUITES 08/29/15 CHRISTIAN & MANNO GRANT & FANNING 433 15WC 31477 DIAZ DE LOS SANTOS, CELIA 5555 S BRAINARD AVENUE, L 08/15/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 434 15WC 31540 MEDINA, MARCO A CENTRAL SOD FARM 09/18/15 STROW LAW LLC 435 15WC 31685 WOZNIAK, NADINE KOHL'S 07/17/15 ROBIN LAW OFFICE HENNESSY & ROACH PC 436 15WC 31691 CIPICH, JOHN PEPSI BEVERAGES CO 09/08/15 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 437 15WC 31722 BELL, JOSEPH ARROW SPECIALIZED CARRIER 09/22/15 SHELDON I MINKOW & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR 438 15WC 31919 BARTH, SUZANNE U S SECURITY ASSOC 11/03/14 NEWMAN, BOYER & STATHAM MEACHUM & STARCK 439 15WC 32036 SMITH, DANITA SOUTHWEST AIRLINES 07/02/13 KARCHMAR & STONE HENNESSY & ROACH PC 440 15WC 32151 HASELTINE, ALAN CITY OF CHICAGO 08/11/14 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 15WC 32175 HUGHES, DEON SMITH COOPER INTERNATIONA 02/13/14 DAN COLLINS LAW FIRM LAW OFFICES JOSEPH MARCINIAK 442 15WC 32329 RAMOS, ALEJANDRA CROWN SERVICES 07/01/14 KAUFFMAN, NEIL & ASSOC RODDY LAW LTD 443 15WC 32430 TORRES, GLORIA CHARLES RIVE LABS INC 08/06/15 LIPKIN & HIGGINS LAW OFFIC HENNESSY & ROACH PC 444 15WC 32475 ARELLANO, ELISA UIC @ 10/01/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 445 15WC 32486 NTANDJA, RUTHIE MACY'S 06/28/15 SANDMAN LEVY & PETRICH BRYCE DOWNEY & LENKOV LLC 446 15WC 32522 VILLASANA, MIGUEL SHALE-INLAND STAMPING 06/12/14 MARSZALEK AND MARSZALEK THOMAS & PORTELA 447 15WC 32543 ENGER, THOMAS M LAKEVIEW BUS LINES INC 08/15/13 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 15WC032544 -C 448 15WC 32545 ENGER, THOMAS M LAKEVIEW BUS LINES INC 07/01/15 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 449 15WC 32571 HUNKER, HARVEY CITY OF CHICAGO DEPT OF W 04/11/15 SHELDON I MINKOW & ASSOCIA CITY OF CHICAGO 450 15WC 32598 GALE, ROBERT XL TOWING & STORAGE 10/01/15 VASILATOS & COTTER LLC 451 15WC 32678 GONZALEZ, ANTONIO SWC CONSTRUCTION 07/17/14 CULLEN HASKINS NICHOLSON 452 15WC 32797 HULON, ENISE R PARCEL PRO INC. 09/11/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 453 15WC 32802 PADILLAS, VERNOICA ILLINOIS TOOL 08/05/15 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 454 15WC 32809 ORPHAN, RONALD HANDM INTERNATIONAL 08/12/15 ANKIN LAW OFFICE KLAUKE LAW GROUP LLC 455 15WC 32817 PEREZ, NICOLAS UNITED SCRAP METAL 08/21/15 LEONARD LAW GROUP LLC WOLF LAW LTD 456 15WC 32883 BEMIS, JERRY CHARLES CB-RICHARD ELLIS 09/10/15 GOLDBERG WEISMAN & CAIRO L 457 15WC 32946 LEON, ENEREYDA A LAVA & SON CO 11/17/14 KARNO, MARK L & ASSOC GRANT & FANNING 458 15WC 32947 QUIROZ, MARIA Z BAKING LLC 06/26/15 GRAZIAN & VOLPE PC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 15WC 33045 ANDRIOLA, MATTHEW D YRC INC C/O CT CORPORATIO 09/25/15 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 460 15WC 33104 HOWELL, GOODMAN DEPARTMENT OF STREETS & 09/30/15 STEVEN M SELAN CITY OF CHICAGO 461 15WC 33199 STEELE, KELLEN SERVPRO FLOOD CLEANUP 07/23/15 GOLDBERG WEISMAN & CAIRO L 462 15WC 33254 WASHINGTON, QUINCY LACI TRANSPORT 06/14/15 CULLEN HASKINS NICHOLSON 463 15WC 33316 FOWLER, JASON COOK COUNTY SHERIFF'S OFF 07/15/15 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 464 15WC 33492 EVANS, CASMIRA C FORD MOTOR COMPANY 02/27/14 GOLDFEIN LAW OFFICE PC WIEDNER & MCAULIFFE LTD 465 15WC 34046 DAVIS, STEVEN CITY OF CHICAGO 10/02/14 WILLIAM MARTAY CITY OF CHICAGO 466 15WC 34516 LEE, STEVEN ORKIN PEST CONTROL 08/14/15 DAVID W MARTAY 467 15WC 34825 CLEAR, VIVIAN MACY'S 10/03/15 DWORKIN AND MACIARIELLO ROBERT L. SMITH 468 15WC 35488 LOWE, PATRICIA A ILLINOIS GAMING BOARD @ 10/13/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 469 15WC 35976 DAVIS, KELLI PRAIRIE-HILLS ELEMENTARY 03/09/15 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 470 15WC 42016 DENT, CRYSTAL CTA 11/30/15 POLANSKY & CICHON CHTD CHICAGO TRANSIT AUTHORITY 471 16WC 00341 RAINSFORD, KATHLEEN DURBIN'S OF PALOS HILLS 10/08/15 PETER D CORTI LAW GROUP WOLFE & JACOBSON, LTD 472 16WC 00342 FAGAN, ALISHA CHARLESTON TRANSITIONAL 12/29/15 PETER D CORTI LAW GROUP HEYL ROYSTER VOELKER & ALLEN 473 16WC 00833 GOMEZ, BELIA DART CONTAINERS F/K/A 01/09/14 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 474 16WC 00856 MCGLOWN, TYRONE UNITED AIRLINES 06/29/15 FRIEDMAN & SOLMOR LTD WIEDNER & MCAULIFFE LTD 475 16WC 00886 WHITEHEAD, DEBRA D. UPS 11/23/15 LEONARD LAW GROUP LLC ASA LAW GROUP 476 16WC 00907 DIAZ, ROSA E RENAISSANCE BLACKSTONE HO 11/02/15 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 16WC 01019 BAKER, LAMAR FORD MOTOR CO 07/08/15 DEPAOLO ZADEIKIS GORE POWER & CRONIN LTD 478 16WC 01064 SPANN, IDA J RUSH UNIVERISTY MEDICAL C 12/18/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 479 16WC 01090 JUAREZ, CANDIDO GEORGIA NUT COMPANY 11/18/15 KOSIN LAW OFFICE LTD CAPUANI & SCHNEIDER 480 16WC 01149 WILSON, JOSEPH L CTA 12/12/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 481 16WC 01177 THOMAS, CORY CITY OF CHICAGO- DEPT OF 12/17/15 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 482 16WC 01247 JAIN, ALKA ST OF IL DEPT OF 12/15/15 STEVEN H MEVORAH & ASSOCIA ASSISTANT ATTORNEY GENERAL 483 16WC 01249 O'CONNOR, KEVIN LYONS TOWNSHIP HIGH SCHOO 09/26/15 STEVEN H MEVORAH & ASSOCIA ANCEL GLINK DIAMOND BUSH & E 484 16WC 01287 WASHINGTON, VALDA CITY OF COUNTRY CLUB HILL 09/15/15 KEEFE CAMPBELL & ASSOC LLC 485 16WC 01340 DOWELL, HOWARD CITY OF CHICAGO- ELECTRIC 10/27/15 THE FITZ LAW GROUP 486 16WC 01366 ZOMPARELLI, DAVID ALLIED TUBE AND CONDUIT 12/05/15 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 487 16WC 01450 VALDEZ, RODOLFO NAF NAF GRILL 12/21/15 GOLDSTEIN BENDER & ROMANOF 488 16WC 01492 KULIKOWSKI, HENRYK ALL HIGH WORK INC 11/10/15 URSULA BABICZ & ASSOC GAROFALO SCHREIBER STORM 489 16WC 01507 GARCIA, REYES THE NATURE CONSERVATORY 09/05/15 ANGELINI & ORI LLC THOMAS & PORTELA 490 16WC 01589 WINFERT, LEONARD ELITE STAFFING INC. 12/21/15 ANKIN LAW OFFICE 491 16WC 01617 JOHNSON, THOMAS CTA 01/08/16 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 492 16WC 01642 KING, BRIAN EDSAL MANUFACTURING 12/29/15 ARGIONIS & ASSOCIATES LLC SLAVIN & SLAVIN 493 16WC 01675 CULLEN, WILLIAM RYDER LOGISTICS 01/07/16 HORWITZ HORWITZ & ASSOC 494 16WC 01693 MCREE, L.C. CHICAGO TRANSIT AUTHORITY 01/10/16 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 16WC 01710 PISANI, ROSA GE TRANSPORTATION SYSTEMS 06/15/15 DAPRATO, DENNIS MACIOROWSKI SACKMANN & ULRIC 496 16WC 01728 ACA, ELIZABETH GIANBIA 01/06/16 CHRISTOPHER J CLARK LLC INMAN & FITZGIBBONS 497 16WC 01844 GAJEWSKI, JAMES J LIFESOURCE 12/29/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 498 16WC 01882 LAMBERT, WILLIE MAE WEST SUBURBAN 10/17/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 499 16WC 01896 OCONNOR, VALENTINA L JAMES BOWEN HIGH SCHOOL 11/01/15 KP LAW LLC 500 16WC 01928 GONZALEZ, ORLANDO GREEN MONKEY 12/02/15 MC HARGUE, JAMES P LAW OFF 501 16WC 02044 MARSELLOS, WILLIAM STATE OF IL/DEPT OF TRANS @ 01/03/15 LANNON LANNON & BARR LTD C. FLETCHER 502 16WC 02123 SILVA, ANTHONY T J COYNE CONSTRUCTION INC 07/13/15 FIGLIOLI, DAVID ROSARIO CIBELLA 503 16WC 02193 MOORE, RALPH L COOK COUNTY HIGHWAY DEPT 07/27/15 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 504 16WC 02322 GRAHAM, PATRICK A FORD MOTOR STAMPING PLANT 01/05/16 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 505 16WC 02339 DORINI, LAWRENCE MACON CONSTUCTION GROUP I 09/29/15 PETER D CORTI LAW GROUP LAW OFFICES OF EDWARD J. KOZ 506 16WC 02385 NICHOLS, FELICIA LIFELINE YOUTH & 12/21/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 507 16WC 02386 MC GINNIS, JOUCUGIN HCR MANOR CARE 01/02/16 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 508 16WC 02411 MCCRORY, DANIEL FEDEX GROUND 05/07/15 COVEN LAW GROUP SCOPELITIS GARVIN LIGHT 509 16WC 02491 MCCOY, MARCUS FORD MOTOR COMPANY 11/04/15 KUMLIN & FROMM 510 16WC 02521 GREER, TIMOTHY PAMCO LABEL CO INC 08/11/15 MARSZALEK AND MARSZALEK HOLECEK & ASSOCIATES 511 16WC 02569 DAVIS, MARGARET NEW ALBERTON'S 07/15/15 COSTA IVONE LLC 512 16WC 02590 BAILLIE, BRIAN TRADER JOE'S 10/18/15 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 16WC 02622 DIAZ, HERMAN CHICAGO MEAT AUTHORITY IN 08/25/14 JOHN E LUSAK LITCHFIELD CAVO 514 16WC 02647 TILLMAN, ANTHONY UNIVERSAL PROTECTION 12/07/15 COHN LAMBERT RYAN & SCHNEI SPIEGEL & CAHILL, PC 515 16WC 02697 NOTHHELFER, JOHN M PEPSI CO 11/03/15 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 516 16WC 02722 MACK, JOHN STATE OF IL @ 02/26/13 FRANCIS J DISCIPIO LAW OFF C. FLETCHER 517 16WC 02763 HERRERA, IGNACIO RON'S STAFFING SERVICES 11/10/15 JAUREGUI & ASSOCIATES GAROFALO SCHREIBER STORM 518 16WC 02809 BELIN, ROBERT THOMAS FRACTIONAL SOUTH H 12/15/15 LEE, MARK N LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 519 16WC 02896 SZAFLARSKI, JOSEPH CORNELL FORCE COMPANY 10/06/14 STROM, NEAL B WIEDNER & MCAULIFFE LTD 16WC007521 -C 520 16WC 02911 POREMBA, TIM CITY OF CHICAGO-BUREAU OF 07/27/15 O'CONNOR & NAKOS 521 16WC 02924 CORDERO, MARY UNITED AIRLINES INC. 11/30/15 LEONARD LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 522 16WC 03007 HOWARD, JOHN L NATIONAL LIFT TRUCK 01/09/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 523 16WC 03041 RICHARDS, CAROL UNITED AIRLINES, INC. 09/24/15 RIDGE & DOWNES HEYL ROYSTER VOELKER & ALLEN 524 16WC 03059 MOHR, MARGARET C AMERICAN AIRLINES AMR 10/15/15 BAUM RUFFOLO & MARZAL LTD 525 16WC 03060 CANTU, ROBERT KOPPERS INC 12/29/15 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 526 16WC 03102 THIGPEN, ARMIDA COUNTRYSIDE NURSING & REH 08/09/15 FRIEDMAN & SOLMOR LTD 527 16WC 03199 CARTWRIGHT, LORI CORIX UTILITIES, INC. 01/28/15 BRIAN J MC MANUS & ASSOC, 16WC003200 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 16WC 03225 STACK, JAMES CITY OF CHICAGO DEPT OF S 12/29/15 SALVATO & O'TOOLE 529 16WC 03250 MONTERO, JORGE ROSE PACKING COMPANY INC 12/15/15 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 16WC027910 -C 530 16WC 03276 ROSS, ETTA CHICAGO TRAINING AUTHORIT 01/11/16 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 531 16WC 03349 ENGLISH, ANNA AMERICAN AIRLINES 05/08/15 SAUNDERS CONDON & KENNY 532 16WC 03398 JOHNSON, MALIK CHICAGO PUBLIC SCHOOLS 01/19/16 LAW OFFICES OF ANSELMO DUR 533 16WC 03462 MOYAO, NELLY TOTAL STAFFING SOLUTIONS 01/22/16 BARRY E BLUMENFELD GILDEA & COGHLAN 534 16WC 03570 MAXIMOV, RICH UNITED AIRLINES INC 12/09/15 JOHN F GREGORIO & ASSOC 535 16WC 03601 GILMORE, CHARLES NFI LOGISTICS 02/14/15 RIDGE & DOWNES QUINN JOHNSTON HENDERSON ETA 536 16WC 03665 FRAZIER, MARGIE TOOTSIE ROLL INDUSTRIES I 07/13/15 BRUGGEMAN HURST & ASSOC 537 16WC 03766 COLLINS, BERNICE TURNER NEW YORK & COMPANY 11/07/14 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 538 16WC 03847 ALLENDE, ARMANDO JUSTUS IMPACT FOODS 01/13/16 VRDOLYAK LAW GROUP LLC 539 16WC 03871 NAVARRO, GLORIA KOCH FOODS INC 12/23/15 ENCINAS & ORNELAS POWER & CRONIN LTD 540 16WC 03930 SMITH, EDWARD SOUTHWEST AIRLINES CO. 11/19/14 LAW OFFICE TIMOTHY DEFFET 541 16WC 03963 GASBY, LUCION UNIVERSITY OF CHICAGO 10/11/15 LAW OFFICES OF MARK SCHAFF NYHAN BAMBRICK KINZIE & LOWR 542 16WC 04010 LUX, LUIS JUST IN TIME STAFFING, LL 01/29/16 JAMES ELLIS GUMBINER & ASS RUSIN & MACIOROWSKI LTD 543 16WC 04028 CHELEPIS, STEVEN G RIDGEWAY PETROLEUM 01/02/16 BOWMAN & CORDAY QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 16WC 04113 POTOSKI, CHAD WASTE MANAGEMENT 12/18/15 GOLDBERG WEISMAN & CAIRO L 545 16WC 04150 DORITY, GINGER CITY OF CHICAGO 09/10/15 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 16WC009502 -C 546 16WC 04191 GOODLOE, EDWARD E PEOPLES GAS LIGHT & COKE 10/13/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 16WC036435 -C 16WC036436 -C 547 16WC 04209 CALDERON, OSCAR VORNADO REALTY TRUST 02/20/15 ANKIN LAW OFFICE 548 16WC 04256 SEGURA, WANDA AMERICAN AIRLINES 01/03/16 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 549 16WC 04312 BEAN, MARK CITY OF CHICAGOFLEET MGMT 11/21/15 SAUNDERS CONDON & KENNY 550 16WC 04398 BUTRUS, SOFIA ORGANIC LIFE LLC 02/03/16 TOPPER & WEISS LTD INMAN & FITZGIBBONS 551 16WC 05546 MURPHY, SHERYL UNIVERSITY OF CHICAGO MED 01/31/15 BLEAKNEY & TROIANI HENNESSY & ROACH PC 552 16WC 10382 NAGEL, THOMAS W JR PROFESSINAL METERS, INC. 01/26/16 BAUM RUFFOLO & MARZAL LTD KNELL & O'CONNOR 553 16WC 10910 VIGEANT, JAMES FREEMAN EXPOSITIONS, INC. 01/04/16 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 554 16WC 10936 WANDERER, ISIS UNITED AIRLINES, INC. 04/27/15 BRIAN J MC MANUS & ASSOC, BRYCE DOWNEY & LENKOV LLC 555 16WC 10968 STONIKAS, WILLIAM J. ACTIVE GRAPHICS, INC. 10/30/15 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 556 16WC 10991 DOMINGUEZ, CHRISTIAN ACCURATE PERSONNEL 11/30/15 COSTA IVONE LLC 557 16WC 11090 JUDD, KEVIN SUPERIOR BEVERAGE 05/28/15 ROMANUCCI & BLANDIN MEACHUM & STARCK 558 16WC 11132 CIOC, CARMEN MARIA ALDI 10/02/15 KP LAW LLC MACIOROWSKI SACKMANN & ULRIC 16WC011133 -C 559 16WC 11178 TYLER, PHILLIP SYSCO FOODS 03/30/16 POLLOCK, BRIAN A 560 16WC 11200 TELLEZ, JUANA EMBASSY SUITES 12/18/15 LARRY FLEISCHER & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 16WC 11276 FLORES, MAIRELA ALC HOME 03/25/16 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 562 16WC 11326 AVALOS-BERMUDEZ, JULIO CE PROGRESSIVE ROOFING & 03/26/16 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 563 16WC 11365 BAUTISTA, MIGUEL HEALTHCARE ALTERNATIVE SY 01/11/16 JAMES M GERAGHTY 564 16WC 11497 WALKER, SARON THE ESTATES OF HYDE PARK 01/31/16 PARENTE & NOREM PC BRYCE DOWNEY & LENKOV LLC 565 16WC 11514 ECHEVERRIA, ENRIQUE NOVA FIRE PROTECTION, INC 05/22/15 HEALY SCANLON LAW FIRM ACCIDENT FUND HOLDINGS 566 16WC 11544 SCHMITZ, JOHN BATTERY SALES 02/19/16 DWORKIN AND MACIARIELLO 567 16WC 11687 POESCU, GEORGETA CHICAGO BOARD OF EDUCATIO 10/05/15 HORWITZ HORWITZ & ASSOC 568 16WC 11715 DE LA TORRE, ABEL CCP EXPRESS, INC. 04/06/16 MC HARGUE, JAMES P LAW OFF DWORKIN AND MACIARIELLO 569 16WC 11716 HAGER, BRUCE A. COOK COUNTY SHERIFF DEPT. 10/12/15 BRILL & FISHEL STATES ATTORNEY OF COOK COUN 570 16WC 11758 MAILEY, SEMIKA R CITY OF CHICAGO/DEPT OF 02/29/16 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 571 16WC 11791 MENA, JESUS HECTOR REYES 08/25/15 STROM, NEAL B 572 16WC 11797 CRISTOBAL, MARCELO LAWSON PRODUCTS 02/18/16 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 573 16WC 11860 MARTINEZ, RAUL HMS HOST 01/28/16 O'CONNOR & NAKOS 574 16WC 11935 RAMIREZ, ROBERT ENTERTAINMENT PARTNERS 10/06/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 575 16WC 11990 FLORES, ENRIQUE EMMERS CORP * 09/09/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 576 16WC 12033 REVELLE, JANICE A UNDERWRITERS LABORATORIES * 12/04/13 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 577 16WC 12094 WANHALA, PAMELA VERITAS TAX AND 03/02/16 ASHER, RAYMOND L LTD 578 16WC 12138 HARTER, MARJORIE COMMUNITY CONSOLIDATED SC 12/01/15 CORBOY & DEMETRIO PC ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 579 16WC 12168 MUDARO, JOHN DART CONTAINER 03/01/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 580 16WC 12267 VAZQUEZ, JESUS ELITE STAFFING INC 02/04/16 CHEPOV & SCOTT LLC 581 16WC 12338 SHAMOUN, KHAMIS UNITED EXPRESS SYSTEM INC 03/21/16 LOSS & PAVONE SCOPELITIS GARVIN LIGHT 582 16WC 12392 MC CULLOUGH, MELVIN B ARAMARK MANAGEMENT 01/31/16 ROSS TYRRELL INMAN & FITZGIBBONS 583 16WC 12433 ESPINOZA, LUIS JEWEL FOOD STORES 12/10/15 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 16WC012434 -C 584 16WC 12510 GARZA, IRENE AMERICAN AIRLINES 03/14/14 FRANKS & RECKENBERG 585 16WC 12610 SMITH, ASHLEY METRO STAFF INC 04/14/16 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 586 16WC 12722 JACKSON, KEOSHIA K TACO BELL 04/14/16 FIGLIOLI, DAVID 587 16WC 12754 GRAY, REGGIE C/O GORDON ARENA FOOTBALL ONE LLC 04/12/14 GORDON LAW OFFICES LTD ADELSON TESTAN & BRUNDO 588 16WC 12805 PINEDA, ABRAHAM PRECISION STAMPING PRODUC 11/05/14 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK 589 16WC 12848 BERNAL, ANGELICA LETTUCE ENTERTAIN YOU 05/29/15 THE ROMAKER LAW FIRM NOBLE & ASSOCIATES PC 16WC012849 -C 590 16WC 12934 HENDRICKS, LISA CHICAGO PUBLIC SCHOOL 03/03/16 GOLDBERG WEISMAN & CAIRO L 591 16WC 12975 WILLIAMS, MALISSA GLENCREST HEALTHCARE&REHA 03/21/16 ROSS TYRRELL LAW OFFICES FRANCESCA LARSEN 592 16WC 12976 CONNOLLY, STEPHEN GREAT LAKES PLUMBING 10/20/15 HEALY SCANLON LAW FIRM KLAUKE LAW GROUP LLC 593 16WC 13085 ALVAREZ, ETELVINA ASPEN FOODS INC 06/01/14 JONATHAN SCHLACK 594 16WC 13111 LEWIS, ANNETTE HALLMARK 11/23/15 DAVID W MARTAY INMAN & FITZGIBBONS 595 16WC 13127 THURMOND, DEBRA METROPOLITAN WATER DISTRI 11/18/15 BRISKMAN BRISKMAN GREENBER 596 16WC 13156 GETTINGS, MICA STARBUCKS 01/10/16 CIFELLI SCREMENTI & DORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 16WC 13211 ZARYCI, LOUIS CAPITOL WHOLESALE 08/02/14 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 598 16WC 13248 DAVIS, RAYMOND TOWER AUTOMOTIVE 03/22/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 599 16WC 13281 BOYD, ASHLEY MARYVILLE ACADEMY 10/07/14 STEVEN J MALMAN & ASSOCIAT 600 16WC 13308 ADEYE, HAILEYESUS MIDWEST CAB CO INC 04/17/16 FISHER & LAMONICA 601 16WC 13329 SOLARTE, ORLANDO QUALITY ASSURANCE 02/26/16 COVEN LAW GROUP SPIEGEL & CAHILL, PC 602 16WC 13355 QUINN, JOSEPH ST OF IL DEPT OF 04/21/16 TOSCAS, JOHN Z LAW OFFICE C. FLETCHER 603 16WC 13395 PARAMO, FRANCISCO MAKRAY 02/19/16 EPSTEIN, JACK R LAW OFFICE 604 16WC 13483 BOROUGHS, MICHELLE FORD MOTOR COMPANY 04/08/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 605 16WC 13484 BELCASTRO, MARK FRONTIER LEAGUE BASEBALL 05/11/13 LANNON LANNON & BARR LTD 16WC013485 -C 606 16WC 13500 LITTLE, LYNDA CITY OF CHICAGO 03/18/16 LEONARD LAW GROUP LLC 607 16WC 13561 DESCALZI, CECILIA ACCURATE PERSONNEL 04/11/16 CUSHING LAW OFFICES 608 16WC 13589 JONES, STEPHEN FIRST TRANSIT 04/15/16 KUMLIN & FROMM 609 16WC 13631 ENGLISH, RANDY CHICAGO PUBLIC SCHOOLS 03/18/16 BAUM RUFFOLO & MARZAL LTD 610 16WC 13668 CARTHRON, KRYSTAL CTA 03/04/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 611 16WC 13714 VERPLANK, CHRISTOPHER UNITED AIRLINES INC. 05/28/14 RIDGE & DOWNES 612 16WC 13740 KRIZKA, FRANCES LOYOLA UNIVERSITY MEDICAL 04/26/16 PETER D CORTI LAW GROUP 613 16WC 13804 EDWARDS, KENNETH CITY OF CHICAGO DEPT OF 03/14/16 ANKIN LAW OFFICE CITY OF CHICAGO 614 16WC 13854 HOFFMAN, BRIAN H & M INTERNATIONAL 04/13/15 HETHERINGTON KARPEL BOBBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 615 16WC 13891 PHAM, PETER S & C ELECTRIC CO 03/22/16 KREITER, BYCK & ASSOC LLP MACIOROWSKI SACKMANN & ULRIC 616 16WC 13912 HALL, JASON X-CEL TECHNOLOGIES INC 07/01/14 SLAVIN & SLAVIN HOLECEK & ASSOCIATES 617 16WC 13934 KEMPA, CHRISTINA THE COCA COLA COMPANY 04/06/16 NEWMAN, BOYER & STATHAM NYHAN BAMBRICK KINZIE & LOWR 618 16WC 14076 GLADNEY, KIERRE GREAT LAKES COCA-COLA 12/14/15 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 619 16WC 14174 THATCH, SONNY CONTINENTAL AIR TRANSPORT 04/03/16 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 620 16WC 14260 LLAMAS SUAREZ, CECILIA ADVOCATE IL MASONIC MEDIC 04/27/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 621 16WC 14411 HOARD, CHRISONE SCR TRANSPORTATION 03/24/16 STEVEN J MALMAN & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 622 16WC 14485 PENG, XIAO LING ROYAL ILLINOIS LLC 06/14/14 ROMANEK & ROMANEK 623 16WC 14579 RIVERA, MARK DHL GLOBAL 03/23/16 LEONARD LAW GROUP LLC 624 16WC 14598 MISKANIS, RONALD D2K TRAFFIC EQPMT & DESIG 11/12/15 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 625 16WC 14652 MELILLO, DOMINIC NORWEIGAN AMERICAN HOSPIT 04/21/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 626 16WC 14663 BELLAFIORE, MICHAEL UNITED PARCEL SERVICE 01/19/15 O'CONNOR LAW GROUP LLC ASA LAW GROUP 627 16WC 14730 ESTRADA, SIGFRIDO WEST LAWN MARKET 02/25/14 DAVID W MARTAY 628 16WC 14761 CISNEROS, JOSE F GOLD STANDARD BAKING INC 04/20/16 BRILL & FISHEL GRANT & FANNING 629 16WC 20679 BRAMBILA, JUAN ALBERTO UNITED TEMPS 06/16/16 SIMS, ZACHARY K PC 630 16WC 21262 CARRERA, DANIEL ROJAS LVI SERVICES, INC 05/23/16 COSTA IVONE LLC 631 16WC 21720 BROWN, BRENDA A. CHICAGO TRANSIT AUTHORITY 07/03/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 632 16WC 21757 WILLIAMS, CALVIN STATE OF IL DOC PAROLE DE * 12/27/15 BLOCK, KLUKAS & MANZELLA P STEPHANIE KEVIL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 633 16WC 21812 BROWN, TAMIKA ADVOCATE HOME CARE 06/14/16 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 634 16WC 21840 OLIVA, ALICIA COWORKS 10/07/15 AIOSSA LAW FIRM 635 16WC 21893 BANKS, KEVIN W. O'HARE ENGINEERING, INC. 06/29/16 SOSTRIN AND SOSTRIN PC ANCEL GLINK DIAMOND BUSH & E 636 16WC 21903 RAZZINO, AMY/SPOUSE AND M VILLAGE OF OAK PARK 06/13/16 MAURICE E DUSKY PC 637 16WC 21936 VELEZ, JOSHUA AMERICAN AIRLINES 08/15/15 FOOTE MIELKE CHAVEZ & O'NE 638 16WC 21986 BEACH, CODY CHICAGO WOLVES 12/26/15 FLOYD LAW FIRM HOLTKAMP LIESE ET AL 639 16WC 22151 ARREOLA, MIGUEL C. DAYTON SUPERIOR CORPORATI 06/16/16 FIGLIOLI, DAVID 640 16WC 22173 SIKORA, STEWART M. DISTRICT 504-TRITON COLLE 06/01/15 BARRETT & SRAMEK POWER & CRONIN LTD 641 16WC 22185 MILES, MONIQUE DAKKOTA INTEGRATED SYSTEM 03/01/12 MENDOZA LAW PC 642 16WC 22281 WILLMA, ANNAMARIE CREME DE LA CREME 06/21/16 LOSS & PAVONE BRADY CONNOLLY & MASUDA PC 643 16WC 22314 ROBINSON, JACQUELINE B WALMART STORE #3601 06/12/15 DWYER AND COOGAN QUINTAIROS PRIETO WOOD & BOY 644 16WC 22391 MCCANICK, TIMOTHY JIM TUCKER W 03/15/16 CUDA LAW OFFICES 645 16WC 22410 MAGANA, LUIS CENTRAL STEEL & WIRE CO. 06/13/16 COVEN LAW GROUP 646 16WC 22419 ODDMAN, ROHAN A LEVY PREMIM FOOD SERVICES 06/20/16 ANKIN LAW OFFICE 647 16WC 22472 DAMATO, JAMES COOK COUNTY FOREST PRESER 07/11/16 LAW OFFICES ROBERT WARSASK FOREST PRESERVE DIST COOK CO 648 16WC 22473 STRICKLAND, LAMAR COOK COUNTY FOREST PRESER 07/11/16 LAW OFFICES ROBERT WARSASK FOREST PRESERVE DIST COOK CO 649 16WC 22487 MURPHY, TERRANCE CULVER'S 10/29/14 THOMAS M. PARIS 650 16WC 22717 RODRIQUES, JOSE LUIS DURABLE PACKAGING INTERNA 06/24/16 AIOSSA LAW FIRM WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 651 16WC 22739 KING, CRYSTAL D. PACE SUBURBAN BUSES 04/17/14 VITELL & SPITZ LTD SLAVIN & SLAVIN 652 16WC 22782 BRENNAN, J OHN F UNIVERSITY OF ILLINOIS @ 06/25/16 SHANCER, JEFFREY M POWER & CRONIN LTD 653 16WC 22804 MCALPIN, LAURA UNITED AIRLINES INC. 06/11/16 BRIAN J MC MANUS & ASSOC, 654 16WC 22970 BOSWELL, JOHN PREFERRED WINDOW AND DOOR 05/13/16 SPIROS LAW PC 655 16WC 22982 LAWRENCE, MELISSA MANOR CARE 07/05/16 WHITESIDE & GOLDBERG LTD 656 16WC 23021 FRAGA, JOEL ELIAS II IN ONE CONTRACTORS 05/11/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 657 16WC 23064 TEARS, PATRICE COOK COUNTY DEPARTMENT 07/15/16 DWYER AND COOGAN STATES ATTORNEY OF COOK COUN 658 16WC 23093 FREIER, JESSE T VICTOR CONSTRUCTION, INC. 07/20/15 FRANKS & RECKENBERG KEEFE CAMPBELL & ASSOC LLC 659 16WC 23147 KENDRICK, ESTINA PACE SUBURBAN BUS SERVICE 06/29/16 WILLIAM B MEYERS, LTD SLAVIN & SLAVIN 660 16WC 23164 ARGOUDELIS, JAMES P & H TRUCKING AND DISPOS 05/03/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 661 16WC 23236 GNATEK, DENISE M T.H. RYAN CARTAGE COMPANY 06/14/16 BUDIN LAW OFFICES ACCIDENT FUND HOLDINGS 662 16WC 23271 MARTIN, BARRI THE VILLA AT EVERGREEN PA 01/31/16 SPINAK & BABCOCK BRADY CONNOLLY & MASUDA PC 663 16WC 23291 HAYNES, MARIELLA CHIPOTLE MEXICAN GRILL 06/27/16 DWORKIN AND MACIARIELLO 664 16WC 23307 TILLER, TANIKA A. ASG STAFFING INC 06/02/16 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 665 16WC 23308 GRAHAM, DARRELL LCV STAFFING LLC. 07/18/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 666 16WC 23326 TERRAZAS, TERESA MAKRAY MANUFACTORING 02/19/16 LAW OFFICES LEONARDO MORAL 667 16WC 23367 ROSALES, CHRISTIAN FLEXIBLE STAFFING AND 07/11/16 EPSTEIN, JACK R LAW OFFICE ROSARIO CIBELLA 668 16WC 23472 CHIUYE, TRINA M ADVOCATE HOME HEALTH SERV 04/01/16 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 669 16WC 23500 DALE, LEON GEORGIA NUT COMPANY 06/02/16 COSTA IVONE LLC 670 16WC 23513 ANSTED, JEFFREY COOK COUNTY SHERIFF'S DEP 07/01/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 671 16WC 23559 PRIETO, EDWIN CLAYCO 04/17/15 LITCHFIELD CAVO 672 16WC 23577 DAVENPORT, ROCHELLE COOK DUPAGE TRANSPORTATIO 07/06/16 LAW OFFICE OF SCOTT B SHAP 673 16WC 23608 GUZMAN, NOEL LS LEGACY CORP DBA RADIO 06/17/15 MARC J SHUMAN & ASSOCIATES 674 16WC 23725 TELLADO, JUAN ADVOCATE HEALTHCARE 07/15/16 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 675 16WC 23774 AGUILAR, MARTIN LABRIOLA BAKING COMPANY 05/05/16 PARENTE & NOREM PC CAPUANI & SCHNEIDER 676 16WC 23791 RICHARDSON, LASALLE TIGERFLEX CORP. 07/20/16 WOODRUFF & JOHNSON RODDY LAW LTD 677 16WC 23836 TISLEY, FINOR CHICAGO PARK DISTRICT 06/29/16 KROL BONGIORNO & GIVEN LTD CHICAGO PARK DIST LAW DEPT 678 16WC 23872 HARGUS, EDWARD CITY OF BURBANK-FIRE DEPT 10/25/15 MANASSA, STASSEN WIEDNER & MCAULIFFE LTD 679 16WC 23918 BABERO, CHRISTIAN MENARD 03/30/16 SHELDON I MINKOW & ASSOCIA 680 16WC 23972 ROJAS, JUANA ALDEN MANAGEMETN SVCS INC 10/21/15 OSVALDO RODRIGUEZ PC LAW OFFICES FRANCESCA LARSEN 681 16WC 24009 ARCE, CORNELIO SCS TRANSPORTATION INC 06/14/16 FRIEND LEVINSON & BERGAL 682 16WC 24016 CHATMAN, VONKISHA METRO STAFF 07/19/16 BURNETT & CARON, LTD FRANCIS J DISCIPIO LAW OFFIC 683 16WC 24100 MASORY, ABIGAIL ALIXPARTNERS, LLP. 04/07/16 HETHERINGTON KARPEL BOBBER 684 16WC 24106 DESIDRIO, JULIAN VOESTALPINE NORTRAK, INC 05/02/16 DEPAOLO ZADEIKIS GORE COZZI & GOGGIN-WARD 685 16WC 24118 TYLER, JOLIN UNITED AIRLINES INC. 07/03/16 CULLEN HASKINS NICHOLSON 686 16WC 24137 ADEBOYE, OWOLABI YELLOW CAB 07/24/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 687 16WC 24156 BUZO, PANDORA WALMART 11/04/15 ROSENBERG EISENBERG ASSOC QUINTAIROS PRIETO WOOD & BOY 688 16WC 24183 FISHBACK, WILLIAM REX ELECTRIC TECHNOLOGIES 11/14/13 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 689 16WC 24245 HOLMES, CAROLLON KING'S KIDDIE KINGDOM 09/15/14 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 690 16WC 24264 RAMIREZ, VICTOR CHICAGO GREYHOUND LINE 08/02/16 KREITER, BYCK & ASSOC LLP 691 16WC 24307 O'CONNOR, LASHANDA LABOR READY 04/17/16 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 692 16WC 24348 FOX, DENNIS KEN FELTON DBA PRO MAINTE 06/01/15 WILLIAM S. WOJCIK LTD BRADY CONNOLLY & MASUDA PC 693 16WC 24592 QUINTANILLA, DANIEL AMERICAN TIRE DISTRIBUTER 08/03/16 GRAVLIN, MICHAEL J LLC 694 16WC 24626 KIELAR, CZESLAW H MONARCH RENOVATION INC 01/14/15 JEROME FOREMAN & ASSOCIATE MACIOROWSKI SACKMANN & ULRIC 695 16WC 24738 PRICE, VINCENT FOREST PRESERVE DISTRICT 05/27/16 VRDOLYAK LAW GROUP LLC 696 16WC 24757 TREMBLAY, KEVIN PRIORITY CARE SOLUTIONS 08/02/16 DAVID W MARTAY COZZI & GOGGIN-WARD 697 16WC 24785 NETTLES, GABRIELLE ELIZABETH LUDEMAN @ 07/19/16 MARC J SHUMAN & ASSOCIATES MATTHEW J KELLER 698 16WC 24821 OLIVER, THEODORE R MEGA BUS/COACH USA 07/02/16 GOLDSTEIN BENDER & ROMANOF POULOS & DIBENEDETTO LAW 699 16WC 24882 CASAREZ, RAUL M BROOKFIELD IRON & METAL L 02/09/16 VRDOLYAK LAW GROUP LLC 700 16WC 24891 RICKS, SHANNON WALMART 07/09/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 701 16WC 24939 WATKINS, BERSHONDA L SVT, LLC/ ULTRA FOODS 08/06/16 ANKIN LAW OFFICE 702 16WC 24975 TORRES, SALVADOR COMPLETE MAILING SERVICE, 10/07/15 CARONE LAW OFFICES 703 16WC 25086 BREWSTER, NEDRA CTA 08/03/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 704 16WC 25247 ANDERSON, RANDY JOIE DE VIVRE HOSPITALITY 06/10/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 705 16WC 25430 RAMIREZ, JORDAN INLAND DIE CASTING 07/22/16 LAW OFFICES OF ANSELMO DUR WIEDNER & MCAULIFFE LTD 706 16WC 29083 ESTATE OF TINCU, MAXIM DREMEX TRANS INC VICTOR T # 05/27/16 707 16WC 29509 THOMAS, STEVEN PEOPLES GAS LIGHT & COKE 08/03/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 708 16WC 29582 HARVEY, EDDIE CITY OF CHICAGO 07/06/16 ARGIONIS & ASSOCIATES LLC 709 16WC 30958 ROSS, NICOLE RUSH UNIVERSITY MEDICAL C 07/05/16 ROGER D RUDICH LTD KEEFE CAMPBELL & ASSOC LLC 710 16WC 31036 WILLIAMS, ARTHUR DHL 09/06/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 711 16WC 31516 SMALL, BOYD C BUFFETS, INC 05/04/16 TUITE LAW HENNESSY & ROACH PC 712 16WC 31544 PINEDA, ALFREDO CLOVERHILL LABOR NETWORK 12/22/13 CULLEN HASKINS NICHOLSON 713 16WC 31583 MATA, MARIA PEACOCK FOODS 08/08/16 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 714 16WC 31584 ROMAN, JOSE L D BLACKWOOD GROUP LLC 08/12/16 EPSTEIN, JACK R LAW OFFICE GILDEA & COGHLAN 715 16WC 31639 HALAWA, NAHID TRIBECA CAB CORP 06/24/16 FISHER & LAMONICA 716 16WC 31658 MCNEAL, ANGLE FITNESS FORMULA CLUB 10/10/16 DWORKIN AND MACIARIELLO 717 16WC 31678 LEDEZMA, HECTOR UNITED PARCEL SERVICE OF 08/31/16 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 718 16WC 31704 SWEET, JOYCE ACCURATE PERSONNEL LLC 10/03/16 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 719 16WC 31758 JOHNSON, REGINALD ALLIED TUBE & CONDUIT COR 05/31/16 KATZ FRIEDMAN EAGLE ET AL 720 16WC 31803 MOOSMANN, MICHAEL COOK ILLINOIS CORP - 02/26/15 COLLISON LAW OFFICES 721 16WC 31847 PETWAY, KEVIN MILLICARE BY FLOOR INNOVA 09/22/16 HERRERA LAW CENTER CAPUANI & SCHNEIDER 722 16WC 31898 EVANS, ANTONIO PLANET FITNESS 07/21/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 723 16WC 31947 KEKERE-EKUN, SIDI GLTI CAB CORP 1505TX 10/06/16 LAW OFFICES TIMOTHY HENDER LAW OFFICES DEBORAH SCHAEFER 724 16WC 32061 PERRY, LACHELLE ALBERTSON'S/JEWEL OSCO 08/17/16 DAVID W MARTAY 725 16WC 32069 ALVARDO, VICTOR GREYSTAR 08/23/16 HART & DAVID LLP HENNESSY & ROACH PC 726 16WC 32129 ORDUNA, GLORIA HYATT REGENCY O'HARE 08/02/16 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 727 16WC 32166 SILLS, ZACK FEDEX EXPRESS 03/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 728 16WC 32167 JERICH, PORTIA FORD MOTOR COMPANY 10/11/16 DWORKIN AND MACIARIELLO 729 16WC 32195 MONROE, SHANNON C NORDSTROM RACK 11/30/15 NILSON STOOKAL GLEASON CAP ROBERT L. SMITH 730 16WC 32225 STANEK, BARRY K&K IRONWORKS INC 09/21/16 ANESI OZMON RODIN NOVAK KO MEACHUM & STARCK 731 16WC 32249 HUMPHRIES, ANTHONY WINPAK 08/25/16 732 16WC 32257 KHAN, SHAHIDA F STAFFING NETWORK 12/19/13 SLAVIN & SLAVIN 733 16WC 32317 ADAMS, GAIL TOTAL MAINTENANCE 07/05/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 734 16WC 32350 KHAN, MOHAMMED DH CAB CO 08/30/16 HUNER LAW OFFICES LLC 735 16WC 32376 PURNELL, ROCHESTER NEXUS EMPLOYMENT SOLUTION 10/14/16 DWORKIN AND MACIARIELLO 736 16WC 32421 GIVLER, TROY HOLLANDER INTERNATIONAL 07/15/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 737 16WC 32440 RICHARDSON, KATHY INGALLS 04/15/16 TRAPP & GELLER 738 16WC 32464 WALKER, LOVLEE MANHEIM ARENA/DBA 10/06/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 739 16WC 32498 WONSON, DOUGLAS P BT AMERICA 12/04/13 SEIDMAN MARGULIS & FAIRMAN 740 16WC 32502 SHOEMAKER JR., WILLIAM U OF I HOSP & HEALTH SCIE 12/02/15 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 741 16WC 32552 RUVALCABA, ELSA MANOR TOOL & MANUFACTURIN 12/16/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 742 16WC 32594 SCHENK, MARIANNE COOK COUNTY, SKOKIE COURT 06/15/16 POLTROCK & POLTROCK STATES ATTORNEY OF COOK COUN 743 16WC 32611 WATKINS, STACY LOYOLA MEDICAL CENTER 06/23/15 ERIC H CHECK, LAW OFFICES 744 16WC 32613 BANKS, LATESHA AGING CARE CONNECTIONS 07/12/16 PERRY M LAKS LAW OFFICE INMAN & FITZGIBBONS 745 16WC 32635 CRAIG, KATHERINE A ADA S MCKINLEY COMM SVCS 10/07/16 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 746 16WC 32655 KABIR, MOHAMMED ABDELHAFED AL-KHALAYLEH 10/11/16 FISHER & LAMONICA 747 16WC 32707 JONES, CLENNON EM JORGENSEN STEEL CO 01/27/15 MICHAEL P MCCREADY & ASSOC 748 16WC 32729 GONZALEZ, MARGARITA HOME RUN INN INC 09/02/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 749 16WC 32797 BELL, GWENDOLYN MONTGOMERY PLACE RETIREME 03/04/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 16WC032798 -C 750 16WC 32835 AYALA, ALBERTO PEPSICO 05/16/16 RUBIN LAW GROUP 751 16WC 32891 MATIAS, MIGUEL LABOR SOLUTIONS 10/19/16 LAW OFFICES LEONARDO MORAL 752 16WC 32938 KAVOURINOS, NICK KLM EXPRESS INC 09/16/15 LIPKIN & HIGGINS LAW OFFIC 753 16WC 32956 GOMEZ, NAHUM ARGUELLO CORPORATION 10/13/16 O'CONNOR & NAKOS MANUAL CARDENAS & ASSOC 754 16WC 32979 CARTER, JOAN CITY OF CHICAGO 10/20/16 STEWART C ORZOFF 755 16WC 33008 WINTON, MICHAEL L IDOT @ 08/16/16 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTY GENERAL 756 16WC 33033 PRUITT-GILMORE, WANDERLYN THE BON TON STORES, INC 10/17/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 757 16WC 33056 GARCIA, ARMANDO LABRIOLA BAKING CO 04/15/16 ROBERT H HANAFORD 758 16WC 33078 HAISER, MUHAMMAED A HATIZ TAJ CAB CO INC 02/13/14 STEPHEN MCMULLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 759 16WC 33122 DESHOTEL JR., WARREN LOMBARD ARCHITECTURAL PRE 10/25/16 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK 760 16WC 33145 LUCKETT, GREGORY MV TRANSPORTATION 03/02/16 COPELAND FINN & FIERI LTD BRADY CONNOLLY & MASUDA PC 761 16WC 33163 RUIZ, JULIO GOOD TO GROW LANDSCAPING 06/24/16 MC HARGUE, JAMES P LAW OFF 762 16WC 33177 AHARANWA, FELICIA BRIDGEVIEW HEALTH CARE CT 08/06/16 RITTENBERG & BUFFEN POWER & CRONIN LTD 763 16WC 33178 CAMPBELL, NIEKA MAYFIELD NURSING HOME 10/10/16 THOMAS R LICHTEN GILDEA & COGHLAN 764 16WC 33197 VACA, JAVIER JR. SYSCO CHICAGO INC 10/17/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 765 16WC 33240 FENTON, MICHAEL NEW HORIZON 06/03/16 KUMLIN & FROMM 766 16WC 33272 TAIWO, TEMITOPE BERKSHIRE NURSING & 06/20/14 CORNFIELD & FELDMAN 767 16WC 33292 FRAKE, JOHN COOK COUNTY SHERIFF 07/08/16 LANNON LANNON & BARR LTD 768 16WC 33393 BALDEROS-MASON, JOANN UNIVERSITY OF CHICAGO 10/25/16 VASILATOS & COTTER LLC HENNESSY & ROACH PC 769 16WC 33439 SABLICH, MICHAEL COOK COUNTY 10/22/16 BERG & BERG STATES ATTORNEY OF COOK COUN 770 16WC 33471 KING, JACALYN ILLINOIS CENTRAL SCHOOL B 10/19/16 771 16WC 33513 ALSTON, ARTHURA MV TRANSPORTATION 06/06/16 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 772 16WC 33539 CARTER, SEANNA J MANAGEMENT & TRAINING COR 09/22/16 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 773 16WC 33569 WAGNER, NEIL THERMO FISHER SCIENTIFIC 10/28/16 DWORKIN AND MACIARIELLO 774 16WC 33668 SABYKOVA, ZHIBEK DISPATCH TAXI AFFILIATION 09/25/16 LAW OFFICES YEVGENIY VAYSM 775 16WC 33700 TAYLOR, KENNETH A CITY OF CHICAGO 04/05/16 GOLDBERG WEISMAN & CAIRO L 776 16WC 33701 MUNOZ, JUAN EL RANCHERO FOOD PRODUCTS 08/01/16 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 777 16WC 33721 BAKOWSKI, JEFFREY COOK COUNTY SHERIFF 10/25/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 778 16WC 33755 VASILIADHI, LAERTES COSTCO WHOLESALE CORP 02/26/16 LAW OFFICES OF MARK SCHAFF GANAN & SHAPIRO 779 16WC 33786 ANDERSON, TIMOTHY STAFFING NETWORK 10/11/16 MEYERS & FLOWERS SLAVIN & SLAVIN 780 16WC 33818 MCCANTS, KATHLEEN SPECIALTY PHYSICIANS OF I 10/02/15 BRISKMAN BRISKMAN GREENBER 781 16WC 33849 FLORES-GONZALEZ, LORENA ELITE STAFFING 10/01/15 SALVATO & O'TOOLE 782 16WC 33869 LOPEZ, JOSE LUIS OMAR CRUZ/CRUZ CONSTRUCTI 06/25/16 ACEVES & PEREZ PC 783 16WC 33924 MCCRAVEN, WILLIAM CHICAGO RUSH MEDICAL CTR 06/18/16 LOCASCIO, MARK A LTD 784 16WC 33965 WINQUIST, KAREN FEDEX 09/14/16 MARC J SHUMAN & ASSOCIATES 785 16WC 33990 VALENCIA, ANGEL SEVEN D CORP 06/23/16 COSTA IVONE LLC GANAN & SHAPIRO 786 16WC 34041 HOLMES, TYRELLE MARSHALLS OF ILLINOIS, LL 10/07/16 DEPAOLO ZADEIKIS GORE BRADY CONNOLLY & MASUDA PC 787 16WC 34077 JACOBS, PHILIP G BRIDGESTONE FIRESTONE 09/02/16 GOLDSTEIN BENDER & ROMANOF SLAVIN & SLAVIN 788 16WC 34098 WILLIAMS, JEROME UNITED TEMPS, INC 07/20/16 DEPAOLO ZADEIKIS GORE 789 16WC 34164 MOLENHOUSE, ROGER CITY BEVERAGE DBA 08/08/16 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 790 16WC 34196 ARROYO, BERENICE JW MARRIOTT CHICAGO 10/23/16 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 791 16WC 34219 ORTIZ, JUAN MCLEOD BUILDERS, INC 09/26/16 BUDIN LAW OFFICES 792 16WC 34270 MOORE, RONNIE PARKSHORE ESTATES 10/20/16 KATZ FRIEDMAN EAGLE ET AL KNELL & O'CONNOR 793 16WC 34292 DUDLEY, TRE CHICAGO PROFESSIONAL SPOR 10/23/16 RUBENS AND KRESS HENNESSY & ROACH PC 794 17WC 00412 SHERIFF, WATTA XSPORT FITNESS 10/17/16 COSTA IVONE LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 813 17WC 01590 SHIRDAN-KNOX, BABETTE UNITED AIRLINES, INC/ 10/21/16 BRIAN J MC MANUS & ASSOC, 814 17WC 01637 MARAVILLA, CARLOS UPS C/O LIBERTY MUTUAL 12/28/16 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 815 17WC 01667 GONSUR, BARBARA DARVIN FURNITURE 09/14/15 MAGNUSON, LAWRENCE K, PC 816 17WC 01740 DI LORENZO, JOSEPH CLEAR LAM PACKAGING INC 03/02/16 O'CONNOR LAW GROUP LLC 817 17WC 01759 MCNAMARA-COUGHLIN, JOYCE IL DEPT OF PUBLIC HEALTH @ 08/29/16 O'CONNOR & NAKOS MATTHEW J KELLER 818 17WC 01779 VALLAS, MICHAEL C PALOS FIRE PROTECTION DIS 11/05/16 THOMAS W DUDA 819 17WC 01826 GRAHAM, CEDRIC D ACCURATE PERSONNEL, LLC 11/02/16 COHN LAMBERT RYAN & SCHNEI 820 17WC 01877 BLAIR, RASHAAD FORD MOTOR CO 05/23/14 FOHRMAN, DONALD W & ASSOCS 821 17WC 01920 MORRIS, SEAN M RED LOBSTER 12/18/14 LAW OFFICE HUGO ORTIZ 822 17WC 01995 SZERLAG, JEREMY RANDY'S MEAT MARKET & DEN 10/17/15 INMAN & FITZGIBBONS 823 17WC 01996 BALDWIN, TYLER APEX BRANDS CHICAGO KFC 11/29/16 SKLARE LAW GROUP HENNESSY & ROACH PC 824 17WC 02006 CHERIM, JAY VILLAGE OF ROSEMONT 01/05/15 VASILATOS & COTTER LLC STORINO RAMELLO & DURKIN 825 17WC 02084 RIVERA, EDGAR ELITE STAFFING INC 12/26/16 CUSHING LAW OFFICES 826 17WC 02123 COLEMAN, WILLIAM THE CALMARK GROUP 09/30/16 ARGIONIS & ASSOCIATES LLC 827 17WC 02126 MALDONADO, JAMES EAST LAKE MGMT GROUP INC, 10/27/16 HETHERINGTON KARPEL BOBBER 828 17WC 02197 STOCKS, JANET UNITED AIRLINES INC 09/24/16 BRIAN J MC MANUS & ASSOC, 829 17WC 02218 WILSON, RENEE COOK DUPAGE TRANSPORTATIO 01/20/17 EDWIN REYES LEGAL GROUP 830 17WC 02251 HUSBAND, ERIC REM 12/14/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 831 17WC 02309 ESQUIVEL, MARK COOK COUNTY FOREST PRESER 03/01/16 GOLDBERG WEISMAN & CAIRO L FOREST PRESERVE DIST COOK CO 832 17WC 02329 JACKSON, ANGELICA HABITAT CO 02/25/16 BAUM RUFFOLO & MARZAL LTD 833 17WC 02346 MILTON, LYNAE UNIVERSITY OF CHICAGO HOS 11/28/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 834 17WC 02389 MOVSESSIAN, MASES CHICAGO TRANSIT AUTHORITY 01/04/17 BRIAN J MC MANUS & ASSOC, CHICAGO TRANSIT AUTHORITY 835 17WC 02418 REED, MONICA THORNTON HEIGHTS TERRACE 01/04/17 DAVID W MARTAY 836 17WC 02443 ADAMS, LASHAWN RUSH UNIVERSITY MEDICAL C 10/29/16 SKLARE LAW GROUP KEEFE CAMPBELL & ASSOC LLC 837 17WC 02465 CAPUTO, DIANE UNITED PARCEL SERVICE INC 01/21/16 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 838 17WC 02482 SNOW, ERNIE D HAYES MECHANICAL5959 S HA 11/17/14 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 839 17WC 02483 JOHNSON, KENYATTA UPS 11/17/16 LEONARD LAW GROUP LLC ASA LAW GROUP 840 17WC 02502 RAMIREZ, CARMEN PETRA MANUFACTURING CO 12/13/16 HERRERA LAW CENTER ANCEL GLINK DIAMOND BUSH & E 841 17WC 02519 TAYLOR, ZACHARY R D&B CONRETE 08/22/16 VELLA & LUND 842 17WC 02583 RODRIGUEZ, AMRIA I QUAM-NICHOLS CO 01/19/17 FIGLIOLI, DAVID 843 17WC 02620 WATSON, GINGER TOOTSIE ROLL INDUSTRIES 12/01/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 844 17WC 02713 ALEXANDER, DENISE SHERWIN WILLIAMS 11/07/16 JASINSKI, GEORGE J ROBERT L. SMITH 845 17WC 02749 LIGHTFORD, MICHELLE RENZENDERGER 01/19/17 DWORKIN AND MACIARIELLO 846 17WC 02778 NOGAR, ANDREW COOK COUNTY SHERIFF 07/01/14 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 847 17WC 02801 NYQUIST, EDWARD CHICAGO TRANSITY AUTHORIT 01/12/17 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 848 17WC 02809 PEREZ, GIOVANNI THOMAS M. DOYLE BUILDERS 09/30/16 LEONARD LAW GROUP LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 867 17WC 03410 PAVLIS, ROBERT ALL TRUCK TRANSPORTATION 06/05/15 ROMANUCCI & BLANDIN CHILTON YAMBERT PORTER LLP 868 17WC 03434 JOHNSON-WILSON, BIANCA CLAIRE'S ACCESSORIES 11/29/16 BRISKMAN BRISKMAN GREENBER 869 17WC 03457 STRUNKA, MICHAEL UPS 12/16/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 870 17WC 03475 PEKAREK, JIRI MRDAK ELECTRIC 01/20/17 NILSON STOOKAL GLEASON CAP 871 17WC 03541 DREHOBL, GUY ADVOCATE HEALTHCARE 01/24/17 BLAKE HORWITZ LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 872 17WC 03561 CLEMONS, SAMUEL COOK COUNTY IL - 01/18/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 873 17WC 03593 FREEMAN, WENDELL AMERICAN AIRLINES 01/10/17 ANESI OZMON RODIN NOVAK KO 874 17WC 03614 KIETA, TOMASZ FRAMAR PORCHES & DECKS IN 01/21/16 CUSHING LAW OFFICES 875 17WC 03656 GUZMAN, SANDRA UPS PALATINE 06/20/16 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 876 17WC 03684 TORRES, MARIO GRECO AND SONS, INC 09/28/16 GOLDSTEIN BENDER & ROMANOF 877 17WC 03746 SMITH, CATHERINE SOUTHWEST AIRLINES 10/08/16 DWORKIN AND MACIARIELLO 878 17WC 03771 GLASCOW, JACLYN FORD MOTOR COMPANY 04/15/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 879 17WC 03798 RIVERA, MARIO L PAN-OCEANIC ENGINEERING C 10/21/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 880 17WC 03825 HOLETZKY, JOHN HOMEWOOD DISPOSAL SRVCS, 10/31/16 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 881 17WC 03856 BEZARES, CARMEN EUROPEAN AMERICAN ASSOCIA 01/27/17 SKLARE LAW GROUP 882 17WC 03875 ANTHONY, CHRIS AIR SERVICES CO 08/13/15 GREGORIO & MARCO 883 17WC 03892 BRADLEY, EVELYN ALDI 09/26/16 LAW OFFICE OF KEVIN O'BRIE BRADY CONNOLLY & MASUDA PC 884 17WC 03910 RING, JOSEPH JEWEL OSCO/NEW ALBERTSONS 08/08/16 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 885 17WC 03972 FRONTERA, ANTHONY WESTERN UTILITY CONTRACTO 11/11/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 886 17WC 04035 CHEEK, SCOTT AWC-AUTO WAREHOUSING CO 01/05/17 KROL BONGIORNO & GIVEN LTD MEACHUM & STARCK 887 17WC 04065 MOORE, KRISTIN FORD MOTOR COMPANY 02/03/17 KARNO, MARK L & ASSOC WIEDNER & MCAULIFFE LTD 888 17WC 04110 BRANCH, BRIAN DSC LOGISTICS 02/03/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 889 17WC 04200 HARSLEY, STEVE COOK COUNTY SHERIFF 01/02/17 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN 890 17WC 04228 CASTELLANOS, DAVID A LA ESPANOLA 01/10/17 RUEDA, IVAN A ROSARIO CIBELLA 891 17WC 04589 MATCHEM, LOREAL(CHILD) EASTLAKE MANAGEMENT # 12/12/16 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 892 17WC 04605 BRUNDIDGE, ESTHER (MINOR) HORSEHEAD CORP # 06/15/15 DWORKIN AND MACIARIELLO 893 17WC 09894 URBAN, PHILIP CHICAGO TRANSIT AUTHORITY * 02/23/17 BRAD J. BALKE, PC CHICAGO TRANSIT AUTHORITY 894 17WC 10106 REDMOND, NICOLE UPS * 03/22/17 KREITER, BYCK & ASSOC LLP NYHAN BAMBRICK KINZIE & LOWR 895 17WC 10312 AGEE, ANKAA DEXTER MAGNETIC TECHNOLOG * 12/29/16 RUBENS AND KRESS THOMAS & PORTELA 896 17WC 10573 PALAFOX, CECILIA BLUE PLATE CATERING, LTD * 02/07/17 LAW OFFICES LEONARDO MORAL HOLECEK & ASSOCIATES 897 17WC 10692 SHUGG, JUSTIN CAROLINE HURRICANES * 10/12/14 WOLFE LAW PC 898 17WC 10762 MADERA, DOMINIC HALLETT & SONS EXPERT MOV * 03/18/16 BOWMAN & CORDAY HENNESSY & ROACH PC 899 17WC 10825 CHAVEZ, LUIS LUIS CHAVEZ D/B/A LUIS CH * 03/08/17 HORWITZ HORWITZ & ASSOC 900 17WC 10833 MARKS, LATOYA CITY OF CHICAGO * 03/08/17 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 901 17WC 10881 BRISENO, HECTOR FOX HOME IMPROVEMENT * 01/26/17 HEALY SCANLON LAW FIRM 902 17WC 10899 DIAZ, CARLOS GRAYMILLS CORP * 06/06/16 BRUCE RAFALSON LTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 903 17WC 10918 KRUPA, BARTHOLOMEW SUPERIOR AIR GROUND AMBUL * 11/23/16 JOSEPH G HAFFNER LAW OFFIC POWER & CRONIN LTD 904 17WC 10999 KASSING, MARC ILLINOIS STATE POLICE * 03/29/17 RIDGE & DOWNES MATTHEW J KELLER 905 17WC 11042 STUCZYNSKI, DEBORA JEAN RIVERSIDE POLICE DEPT * 10/13/16 SANDMAN LEVY & PETRICH 906 17WC 11089 GONZALEZ, MARGARITA CHICAGO PUBLIC SCHOOLS * 02/23/17 STEVEN J MALMAN & ASSOCIAT 907 17WC 11090 ALLEN, JEFFERY J. INDUSTRIAL HANDLING & * 01/16/17 STEVEN J MALMAN & ASSOCIAT LAW OFFICES OF EDWARD J. KOZ 908 17WC 11115 WALSH, MICHAEL ELITE PROTECTION & SECURI * 04/11/17 BIZZIERI LAW OFFICES 909 17WC 11132 MUNOZ, BART RAMCEL ENGINEERING * 02/20/17 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 910 17WC 11248 PATTON, JAMES III FORD MOTOR CO * 10/18/16 HETHERINGTON KARPEL BOBBER 911 17WC 11284 DUNCAN, JIMMIE FEDERAL MODUL CORP * 03/16/17 ANKIN LAW OFFICE 912 17WC 11320 BROWN, DAVID CHICAGO BOARD OF EDUCATIO * 02/16/16 ROMANEK & ROMANEK LAW DEPARTMENT 913 17WC 11359 MOOSH, RICHARD E THE HOME DEPOT USA INC * 06/08/15 MC ANDREWS & NORGLE LLC 914 17WC 11384 HAYES, PATRICIA JEWEL BUS CO * 02/21/17 CHASE & WERNER LTD 915 17WC 11429 MORETTI, LUKE M M.A. DAVIDO D/B/A MATTHEW W* 04/17/14 HELFAND, MICHAEL J 916 17WC 11449 CAGE, ELISA ADA S MCKINLEY * 03/14/17 DEPAOLO ZADEIKIS GORE 917 17WC 11452 SMITH, LONELL CITY OF CHICAGO * 02/10/17 ROSS TYRRELL CITY OF CHICAGO 918 17WC 11493 MC NUTT, PATTIE EXPRESSJET AIRLINES * 10/19/15 GREGORIO & MARCO 919 17WC 11518 FRISON, ANGELA GEO CARE LLC * 03/14/17 COSTA IVONE LLC 920 17WC 11534 LEWIS, JERRY CTA * 04/13/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 921 17WC 11610 ANTUSAS, DAVID STANDARD FORWARDING * 03/27/17 JOHN E LUSAK HENNESSY & ROACH PC 922 17WC 11641 LOPEZ, OLGA UNION LEAGUE CLUB * 10/18/16 JOHN J CASTANEDA 923 17WC 11668 DEPASQUALE, JERRY TRIALCO * 12/18/16 STEWART C ORZOFF 924 17WC 11709 MORALES, CARLOS MALIBU EAST CONDO ASSOCIA * 03/21/17 SALVATO & O'TOOLE 925 17WC 11734 CAPILI, TERESITA KINDRED HEALTHCARE-NORTHL * 01/23/16 TRAPP & GELLER ARNETT LAW GROUP 926 17WC 11758 HERNANDEZ, ROGELIO SP PLUS CORPORATION * 03/31/17 LAW OFFICE OF JAMES URTIS 927 17WC 11789 HAYES, ROBERT MCLANE FOOD SVC * 06/24/15 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 928 17WC 11820 SHARNELL-DOBBS, EBONY FORD MOTOR COMPANY * 03/13/17 FOHRMAN, DONALD W & ASSOCS 929 17WC 11846 COLLUM, ROSCOE FRITO-LAY * 12/16/16 THE HOPSON FIRM PC 930 17WC 11879 TORRES, ALEJANDRO COOK COUNTY SHERIFF * 12/12/16 DESTEFANO, ROBERT A & ASSO 931 17WC 11904 RUIZ, HERIBERTO VEGATABLE JUICES INC * 02/11/17 LAW OFFICES PETER LEKAS 932 17WC 11924 CAMPOS, JUAN CHAMPION NATIONAL SECURIT * 04/18/17 ANKIN LAW OFFICE 933 17WC 11954 RAMOS, ROBERT DAKKOTA INTEGRATED SYSTEM * 02/06/17 KATZ FRIEDMAN EAGLE ET AL 934 17WC 11995 MARTIN, SHERROD CHICAGO BEARS FOOTBALL CL * 11/22/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 935 17WC 12022 THOMAS, HATTIETA QUEST DIAGNOSTICS * 04/20/17 DWORKIN AND MACIARIELLO 936 17WC 12042 MCDOWELL, JOHN ALTERNATIVE STAFFING, INC * 10/28/16 RUSSO & RUSSO LTD 937 17WC 12056 WADE, NANCY D SYMPHONY OF LINCOLN PARK * 02/17/17 ROMANUCCI & BLANDIN 938 17WC 12079 CAREY, SCOTT DOUBLE D EXPRESS, INC * 07/28/15 PETER F FERRACUTI & ASSOCI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 939 17WC 12087 MIHALOVICH, JAMES SOUTHERN GALZERS WINE * 09/23/16 GAINES & GAINES 940 17WC 12110 STEPPES, RICKY SUNRISE TRANSPORTATION * 03/20/17 JAMES ELLIS GUMBINER & ASS 941 17WC 12150 LAWSON, WILLIAM WAREHOUSE DIRECT, INC * 04/29/16 LAW OFFICE PHILIP BLOMBERG 942 17WC 12168 PLACEK, ROBERT CTA * 02/10/17 STEWART C ORZOFF 943 17WC 12219 JACKSON, TYUS ARENA FOOTBALL ONE, LLC * 05/30/14 GORDON & CENTRACCHIO LLC 944 17WC 12224 DRAKE, MATTHEW CITY OF CHICAGO * 03/15/17 BARRY A KETTER 945 17WC 12276 MORELLO, VINCENT KING BRUWAERT HOUSE * 03/10/16 COVEN LAW GROUP 946 17WC 12335 SWARD, JIM ADJUSTABLE FORMS INC * 05/21/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 947 17WC 12352 GOMEZ, MARICELA FERRARA PAN CANDY COMPANY * 02/16/17 EPSTEIN, JACK R LAW OFFICE 948 17WC 12400 MITCHELL, RALPHEL FORD MOTOR COMPANY * 04/12/17 FOHRMAN, DONALD W & ASSOCS 949 17WC 12438 PATAKI, HENRIETTE UNITED AIRLINES * 03/13/17 LAW OFFICE OF SCOTT B SHAP 950 17WC 12474 GARVEY-GRIGSBY, NIKKII THE GRIAT INSURANCE AGENC * 01/07/15 R. MARK MARITOTE PC 951 17WC 12545 DUKES, LAKENNA WELLPOINT, INC * 09/21/14 MC HARGUE, JAMES P LAW OFF 952 17WC 12596 VILLASENOR, LUIS FINKL STEEL * 04/24/17 LAW OFFICES OF PHILLIP FAR GAROFALO SCHREIBER STORM 953 17WC 12630 MARIN, MARGARITA MAKOWSKI'S REAL SAUSAGE C * 04/13/17 CHEPOV & SCOTT LLC 954 17WC 12644 GIBSON, MELISSA M MCR MANOR CARE/MANORCARE * 04/17/17 ANKIN LAW OFFICE 955 17WC 12665 THOMAS, MIESHA S.O.I DEPT OF HUMAN SERVI @ * 12/21/16 CORNFIELD & FELDMAN MATTHEW J KELLER 956 17WC 12685 KRUSE, PHIL RED ROBIN * 04/01/17 FISHER & LAMONICA WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 957 17WC 12711 SPENCER, RODNEY YRC FREIGHT * 03/18/17 JASINSKI, GEORGE J 958 17WC 12725 PURTELL, JAMES COCA COLA * 04/22/17 DWORKIN AND MACIARIELLO 959 17WC 12767 AYERS, JAMIE PYRAMID CONSULTING, INC * 04/08/15 HANNIGAN & BOTHA, LTD 960 17WC 12811 GIERULSKI, PETER COZZINI, LLC; MIDDLEBY WO * 09/03/14 WIEDNER & MCAULIFFE LTD 961 17WC 12861 POWLES, WILLIAM JOHNSON FLOORING CO * 08/01/16 BRYCE DOWNEY & LENKOV LLC 962 17WC 12876 ALLEN, VICTOR TRINITY HEATING COOOLING * 08/29/16 ELFENBAUM EVERS & AMARILIO 963 17WC 12898 LLOYD, ALTHEA NORTHWESTERN MEMORIAL HOS * 04/01/17 DWORKIN AND MACIARIELLO 964 17WC 12905 DZIEZAK, RAYMOND SUTTON FORD * 01/03/17 LANNON LANNON & BARR LTD 965 17WC 12936 JACKSON, TYRA FORD MOTOR COMPANY * 05/11/15 FOHRMAN, DONALD W & ASSOCS 966 17WC 12960 BAILEY, DAVID UPS * 04/05/17 LEONARD LAW GROUP LLC 967 17WC 13027 FRIEH, JOSEPH AT&T * 04/24/17 GOLDBERG WEISMAN & CAIRO L 968 17WC 13045 ROJKOWSKI, PAUL CITY OF CALUMET CITY * 11/28/16 ROSENFELD HAFRON SHAPIRO F 969 17WC 13073 EGGERT, GREGORY SOUTHWEST AIRLINES * 04/12/17 RUBENS AND KRESS 970 17WC 13088 HENDERSON, TAMARA ABM JANITORIAL * 01/20/17 DWORKIN AND MACIARIELLO 971 17WC 13113 ZARANSKI, KRYSTIAN WILLOW ELECTRICAL SUPPLY * 12/15/16 CHEPOV & SCOTT LLC 972 17WC 13160 TREVINO, LAURIANO FREEMAN SEATING CO * 04/12/17 HERRERA LAW CENTER 973 17WC 13222 BARONE, ARTURO INTREN * 11/17/16 BOUDREAU NISIVACO LLC 974 17WC 13245 JOHNSON, AMBER AMERICAN AIRLINES INC * 08/23/16 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 975 17WC 13297 VENTURA, ADRIANA STAFF RIGHT LLC * 10/19/15 CULLEN HASKINS NICHOLSON 976 17WC 13317 CHAVEZ, MARIA FAMSA * 04/28/17 MC HARGUE, JAMES P LAW OFF 977 17WC 13374 TORRES, JOEL XPO LOGISTICS * 02/28/17 LEONARD LAW GROUP LLC 978 17WC 13390 VILLARES, ELVIS RUPARI FOOD SERVICES INC * 05/27/16 ANKIN LAW OFFICE 979 17WC 13415 WATSON, DOROTHY CVS * 06/29/16 LAW OFFICES ROBERT WARSASK 980 17WC 13458 DENOMIE, JON BANNER PERSONNEL SERVICE * 09/25/16 HART & DAVID LLP 981 17WC 13497 DELGADO, ROBERTO WOUND CARE SOLUTIONS, INC * 04/08/17 JONATHAN SCHLACK 982 17WC 13504 WASHINGTON, NANA PENINSULA HOTEL * 04/09/17 LAW OFFICES TIMOTHY HENDER 983 17WC 13528 BROWNLEE, SHEMIKA FIRST STUDENT * 04/27/17 DWORKIN AND MACIARIELLO 984 17WC 13570 TORRES, VICTOR ALPHA BAKING CO * 04/10/17 KARCHMAR & STONE 985 17WC 13574 TALKOWSKI, BRAIN JEWEL * 04/17/16 CULLEN HASKINS NICHOLSON 986 17WC 13622 JACKSON, MARQUISE ARENA FOOTBALL ONE LLC * 06/06/14 GORDON LAW OFFICES LTD 987 17WC 13628 HOLLINGS, ANGELINA DART CONTAINER * 12/21/16 KARCHMAR & STONE GAROFALO SCHREIBER STORM 988 17WC 13647 TYEPTNAR, DAVID J JR. PAPA PIZZANO'S PIZZA INC * 11/05/16 ANKIN LAW OFFICE 989 17WC 13715 TORRES, JUAN J FOUR SEASONS HOTEL CHICAG * 04/03/17 OSVALDO RODRIGUEZ PC 990 17WC 13738 PIERCE, KENYANA CHICAGO TRANSIT AUTHORITY * 05/03/17 LAW OFFICE EDWARD RUEDA 991 17WC 13775 ZAMORA, RICARDO AD BUSH CONCRETE * 10/12/16 WHITESIDE & GOLDBERG LTD 992 17WC 13821 DEVAUGHN, PETER AMERICAN AIRLINES INC * 01/14/16 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 06/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 993 17WC 13875 LUGO, ALEJANDRO CITY OF CHICAGO * 04/20/17 DEPAOLO ZADEIKIS GORE 994 17WC 13894 TOWNS, MICHAEL MIRO DEVELOPMENT * 03/27/17 DWORKIN AND MACIARIELLO 995 17WC 13903 CHATMAN, LAKEITHA JEWEL FOOD STORES INC * 04/07/17 ANKIN LAW OFFICE 996 17WC 13928 AVILES, LUPITA LA-CO INDUSTRIES * 04/06/17 LAW OFFICE OF SCOTT B SHAP 997 17WC 13972 KURTZ, ROBERT PARK DISTRICT OF OAK PARK * 01/12/16 GOLDBERG WEISMAN & CAIRO L 998 17WC 13996 GONZALEZ, JULIO BORG WARNER, INC * 04/29/17 JAMES ELLIS GUMBINER & ASS 999 17WC 14026 GOMEZ, JESUS A FOCAL POINT, LLC * 04/21/17 STANCZAK LAW OFFICES 1000 17WC 14043 HODGES, ROBERT ALAN B SHEPARD HIGH SCHOO * 06/19/16 GOLDBERG WEISMAN & CAIRO L 1001 17WC 14065 MUFFOLETTO, MELODIE STARBUCKS COFFEE COMPANY * 04/18/17 BARRY STEWART SILVER 1002 17WC 14125 ACOBA, MILAGROS PRESENCE ST FRANCIS HOSPI * 09/11/16 PARENTE & NOREM PC 1003 17WC 14163 SHEPARD, JACQUELINE MAXIMUM REHAB SVCS, INC * 12/27/16 TRAPP & GELLER