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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 09WC 23253 POKORNY, ELIZABETH A VILLAGE OF WESTCHESTER 01/26/09 FIGLIOLI, DAVID RUSIN MACIOROWSKI & FRIEDMAN 16 09WC 27064 MALONE, MARILYN CHICAGO BOARD OF EUCATION 01/17/08 GAINES & GAINES LAW DEPARTMENT 09WC027065 -C 10WC009929 -C 17 09WC 29460 TORNINCASA, LEE CHICAGO TRANSIT AUTHORITY 09/26/04 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 12WC003957 -C 12WC003958 -C 12WC003959 -C 12WC003960 -C 12WC003961 -C 12WC003962 -C 12WC003963 -C 12WC003964 -C 12WC003965 -C 12WC003966 -C 18 09WC 30777 WHITE, JESSICA PALOS HILLS EXTENDED CARE 06/23/09 BURNES & LIBMAN 19 09WC 38288 KASKIE, KEVIN T SEARS 08/23/09 NEWMAN, BOYER & STATHAM GAROFALO SCHREIBER STORM 20 09WC 38369 EDOSIO, SILVER ASPEN HOMES INC @ W 12/11/07 LAW OFFICES OF JORDAN B. R 21 09WC 40842 GUZZO, KAREN A PALOS COMMUNITY HOSPITAL 09/15/08 PETER D CORTI LAW GROUP LORENZ & BERGIN PC 22 09WC 45140 ZDERAD, RON SOUTHWEST AIRLINES 11/07/06 MILLON & PESKIN LTD HENNESSY & ROACH PC 09WC045141 -C 09WC045142 -C 09WC045143 -C 09WC045144 -C 09WC045145 -C 13WC021333 -C 23 09WC 48498 HOLDER, MARCUS JOEY'S MOVERS & TRUCKING W 09/29/09 VASILATOS & COTTER LLC 24 09WC 50330 CIESLA, FRED CITY OF CHICAGO 04/20/07 HEALY LAW FIRM LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 25 09WC 51734 REDMOND, TAWONDA F/K/A CTA 12/08/08 KATZ FRIEDMAN EAGLE ET AL CHICAGO TRANSIT AUTHORITY 11WC029159 -C 26 10WC 02706 HERNANDEZ, LORRAINE L CITY OF CHICAGO 12/16/09 WOODRUFF & JOHNSON CITY OF CHICAGO 12WC038055 -C 27 10WC 08727 RODEA, NANCY CHIPOTLE MEXICAN GRILL 02/08/10 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 28 10WC 09113 JAROG, MARIA CLUB KOROLINKA/URSZULA CI W 01/22/10 NICHOLIS J STEIN 29 10WC 12464 DOMINQUEZ, ARACELI P DOUBLE CORPORATION D/B/ 03/26/10 COHN LAMBERT RYAN & SCHNEI 30 10WC 23001 WINDLE, JOHN P SIMPLEX-GRINNELL 08/07/08 HEALY LAW FIRM POWER & CRONIN LTD 31 10WC 23946 JAMES, DWIGHT BRINKS HOME SECURITY 07/08/09 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 32 10WC 25899 MARTINEZ, ROSARIO UPS 05/12/10 LAW OFFICE OF OSVALDO RODR MEACHUM & STARCK 33 10WC 33317 NEVAREZ, ALEJANDRO RAMIRO RODRIGUEZ @ 07/28/10 LUIS A ACEVES & ASSOC 34 10WC 36210 MC FERREN, FREDDIE L CITY OF CHICAGO 08/30/10 DRANIAS HARRINGTON & WILSO CITY OF CHICAGO 35 10WC 36840 O'LEARY, THOMAS AMERICAN AIRLINES 08/16/10 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 11WC027810 -C 12WC004934 -C 36 10WC 38748 PHILLIPS, SHARNIA ILLINOIS DEPARTMENT 08/02/10 LEE VASILATOS ASSISTANT ATTORNEY GENERAL 37 10WC 44136 PEREZ, FLORA HERNANDEZ EL MILAGRO INC. 08/25/10 LAW OFFICE OF SCOTT B SHAP 38 10WC 44149 MC NICHOLS, BRIDGET M CITY OF CHICAGO 10/25/10 ROSS TYRRELL CITY OF CHICAGO 10WC044150 -C 39 10WC 45487 HOFFMAN, LIA DELTA AIRLINES 10/30/10 SOSTRIN AND SOSTRIN PC ROBERT L. SMITH 40 11WC 01905 BARAJAS, LEONARD AVIS BUDGET RENTAL CAR CO 12/13/10 SCHACTER, JEROME & ASSOC L BRADY CONNOLLY & MASUDA PC 41 11WC 08318 OSIPAVICIUS, PAUL CHICAGO TRANSIT AUTHORITY 02/21/11 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 11WC 11194 SAADEH, THAER POWER PLAY DISTRIBUTORS I 10/22/10 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY LLC 43 11WC 11800 VILLALOBOS, FELIPA BERG WARNER CORP 01/17/11 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 11WC011803 -C 44 11WC 13982 19B SANCHEZ, VERONICA MI COSTANITA 12/15/09 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 11WC013983 -C 11WC014476 -C 45 11WC 18059 MALCIC, DANIEL SERV CORP INTERN'L 08/04/10 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 11WC041734 -C SERVICE CORP INT'L 11WC048493 -C 12WC004086 -C SERVICE CORP. INTERNATIONA 46 11WC 20307 HERNANDEZ, EUSEBIA HILTON WORLDWIDE, INC 05/15/11 ACEVES & PEREZ PC NOBLE & ASSOCIATES PC 47 11WC 23123 RAMIREZ, RONALD ALL TECH DECORATING COMPA 06/03/10 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 48 11WC 24377 BANDA, ELVIRA CHICAGO PUBLIC SCHOOL 05/24/10 BERG & BERG 49 11WC 24412 BERMUDEZ, FRANCISCO CVS PHARMACY 06/22/11 PETER G. LEKAS 50 11WC 25601 KALLEN, JENNIFER S CRETE MONEE SCHOOL 01/18/11 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 51 11WC 26390 LOCOCO, ANTHONY CITY OF CHICAGO 06/02/11 PARENTE & NOREM PC CITY OF CHICAGO 52 11WC 28888 CIPOLLA, FRANK A CITY OF CHICAGO 07/21/11 SALVATO & O'TOOLE CITY OF CHICAGO 53 11WC 30029 RAINES, JONIKKA Q CHICAGO TRANSIT AUTHORITY 07/22/11 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 12WC019883 -C CHIAGO TRANSIT AUTHORITY 54 11WC 30122 RUFFIN, THELMA SECRETARY OF STATE @ 06/04/11 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 11WC043467 -C 13WC042619 -C STATE OF ILLINOIS OFFICE O 55 11WC 30363 THOMAS, LUWANDA VICTORY CENTRE OF ROSELAN 02/07/11 LAW OFFICES PETER LEKAS THOMAS & PORTELA 56 11WC 34286 PRAVINCHANDRA, DAVID AT&T MIDWEST 06/15/11 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 11WC 34825 BRYANT, ADAM L HARTFORD & SONS LLC 08/02/11 THE FITZ LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 58 11WC 35950 BAMPOE, VERA JACKSON PARK HOSPITAL 08/12/11 GOLDSTEIN BENDER & ROMANOF ODELSON & STERK 59 11WC 36112 AKKARI, CHRISTINA FIRST PEEK ULTRASOUND W 08/10/11 STEVEN J SEIDMAN LAW OFFIC WESSELS & PAUTSCH 60 11WC 36523 RAMIREZ, ALEJANDRO RUPARI FOODS SERVICES 09/09/11 61 11WC 38514 MAXWELL, REGIMOND CHICAGO TRANSIT AUTHORITY 04/13/11 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 62 11WC 43886 ZEPEDA, JOSE MOORE LANDSCAPING INC 05/31/11 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 63 11WC 44445 RAFALZIK, WLADIMIR CITY OF CHICAGO 11/04/11 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 64 11WC 44583 RODRIGUEZ, ROCIO LOLITA'S RESTAURANT W 10/03/11 LUIS A ACEVES & ASSOC 65 12WC 05264 VILLARTE, RODOLFO SR TEC FOOD INC 01/19/12 FRIEND LEVINSON & BERGAL MEACHUM & STARCK 66 12WC 09555 TOLEDO, JOSE ECONOMY FOLDING BOX CORP 08/11/11 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 67 12WC 09567 WALLACE, ANTHONY PARK PLACE TOWER 12/12/11 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 68 12WC 09684 REDMOND, MARLO S PREFERRED MEAL SYSTEMS IN 03/12/12 CHASE & WERNER LTD POWER & CRONIN LTD 69 12WC 14810 NELSON, PATRICK F CITY OF CHICAGO 08/25/11 GOLDSTEIN BENDER & ROMANOF CITY OF CHICAGO 70 12WC 17620 KAREN, ABEDELKARIM H&M INTERNATIONAL TRANS I 02/15/12 FOTOPOULOS, JOHN S 71 12WC 17683 SZPUNAR, EDWARD ADVOCATE HEALTH CARE 01/22/11 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 72 12WC 18021 KAVROULAKIS, NICK G COUNTY OF COOK COUNTY SHE 05/10/12 FOTOPOULOS, JOHN S STATES ATTORNEY OF COOK COUN 73 12WC 19138 LOVE, LAWRENCE TOWER AUTOMOTIVE 05/24/12 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 74 12WC 19405 HERNANDEZ, JAVIER GARY MENCL D/B/A 08/12/10 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 12WC 20328 KALENGA, JANE TRUMP INTERNATIONAL HOTEL 12/26/11 NOBLE & ASSOCIATES PC QUINN JOHNSTON HENDERSON ETA 76 12WC 20680 ROHRER, MARY ECHO 04/14/11 LAW OFFICE OF KEVIN O'BRIE BRADY CONNOLLY & MASUDA PC 77 12WC 20752 HALE, ZYPORAH J SOUTH SHORE HOSPITAL 03/31/12 KARP & ELLIS NYHAN BAMBRICK KINZIE & LOWR 78 12WC 21299 OYOQUE, RAMON CHICAGO TRANSIT AUTHORITY 06/06/12 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 79 12WC 29020 MC SHERRY, THOMAS CITY OF CALUMET CITY 03/02/12 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 80 12WC 29065 BAVARO, MATT S TIRE SERVICES COMPANY 07/26/12 PATRICOSKI, MARK G BRADY CONNOLLY & MASUDA PC 81 12WC 29092 JOHNSON, NATHANIAL FULTON MARKET COLD STORAG 07/20/12 STEWART C ORZOFF RUSIN MACIOROWSKI & FRIEDMAN 82 12WC 29342 GUZMAN, ELIZABETH OPW FUELING COMPONENTS 08/06/12 OSVALDO RODRIGUEZ PC MEACHUM & STARCK 83 12WC 29577 FRANKS, ROBERT PERFECTION BAKERY 05/10/12 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 84 12WC 29840 RALLINGS-ROBINSON, ROCHEL GOTTLIEB MEMORIAL HOSPITA 05/31/11 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 85 12WC 30037 BIVENS, SHERRILYN CHICAGO BOARD OF EDUCATIO 09/29/11 HETHERINGTON KARPEL BOBBER LEAHY EISENBERG & FRAENKEL 15WC001673 -C CHGO BORAD OF ED 15WC001674 -C 86 12WC 30073 VARELA, CARLOS LARSEN ENVELOPE COMPANY 04/03/12 COLLISON LAW OFFICES POWER & CRONIN LTD 13WC008239 -C 87 12WC 31128 AGUIRRE, DAVID J JR CHICAGO PUBLIC SCHOOLS 11/02/10 STUART H GALESBURG LAW DEPARTMENT 88 12WC 31359 SOLOJ, MAYRA SWEDISH COVENANT HOSPITAL 02/22/12 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 89 12WC 31894 THOMAS, TARINA CHICAGO TRANSIT AUTHORITY 08/12/12 GOLDBERG WEISMAN & CAIRO L 90 12WC 32357 ALIJA, GASPAR QUALITY CARTAGE 09/20/09 EPSTEIN, JACK R LAW OFFICE JAMES M KELLY 91 12WC 40604 MACIEL, ANDRES BILLY CASPER COOK COUNTY 06/30/12 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 92 12WC 40910 SANDERS, LINDA UNIVERSITY OF ILLINOIS HO 10/29/12 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 93 12WC 40921 MONTANO, JOSE CITY OF CHICAGO 09/04/12 KARCHMAR & STONE CITY OF CHICAGO 94 12WC 41060 SANCHEZ, JOSE WELSCH READY MIX 10/16/12 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 16WC022764 -C 16WC031139 -C 95 12WC 41087 STEPHANITES, JOHN AMERICAN STEEL WORKS 07/02/12 COVEN LAW GROUP HENNESSY & ROACH PC 12WC041088 -C 96 12WC 41287 DOMASHEVSKY, KATHERINE CITY OF CHICAGO, STEPHANI 12/08/11 FIORENTINO LAW OFFICES CITY OF CHICAGO 97 12WC 41809 WALKER, TERRY ED'S LIQUIDATION CONSTRUC 09/01/12 COHN LAMBERT RYAN & SCHNEI 98 12WC 42206 RODRIGUEZ, PATRICA CIRCUIT COURT OF COOK CTY 11/13/12 STEVEN J SEIDMAN LAW OFFIC STATES ATTORNEY OF COOK COUN 99 12WC 42644 JEFFERY, ALSHON C/O CHICAGO BEARS FOOTBALL CL 10/07/12 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 12WC044257 -C 100 12WC 42677 GUZMAN, ACENSION MOST VALUABLE PERSONNEL 10/07/12 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 101 12WC 42837 TULLY, ANA CHICAGO BOARD OF EDUCATIO 11/26/12 JAMES ELLIS GUMBINER & ASS LAW DEPARTMENT 102 12WC 43906 MEDINA, ARMANDO BILL'S PAINTING 04/23/12 ANKIN LAW OFFICE MEACHUM & STARCK 103 13WC 06778 CANELA, RICARDO M HOLLANDER HOME FASHIONS 07/02/11 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 104 13WC 07222 MORALES, PETRA D&K INTERNATIONAL INC 04/18/12 LUIS A ACEVES & ASSOC RUSIN & MACIOROWSKI LTD 14WC033977 -C D & K GROUP INC 15WC030076 -C D&K GROUP INC 15WC030077 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 13WC 07408 WIORSKI, ANTHONY CITY OF CHICAGO 02/22/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 106 13WC 07936 THOMPSON, ANGELA CITY OF CHICAGO 02/26/13 BARRY STEWART SILVER CITY OF CHICAGO 14WC008585 -C 107 13WC 08204 MILLER, GERALD WESTSIDE HEALTH AUTHORITY 02/28/13 DEUTSCHMAN, JEFFREY S 108 13WC 08251 STEWART, CHERYL CITY OF CHICAGO 02/29/12 GORDON & CENTRACCHIO LLC CITY OF CHICAGO 109 13WC 08258 SARLO, ROBERT F IDOT @ 02/26/13 PARENTE & NOREM PC ASSISTANT ATTORNEY GENERAL 110 13WC 15490 LAUGHLIN, PATRICK CITY OF CHICAGO 04/03/13 O'CONNOR & NAKOS CITY OF CHICAGO 111 13WC 16513 TSIAPERAS, JOHN A FEDEX OFFICE & 09/20/12 RICHARD O. GREENFIELD BRADY CONNOLLY & MASUDA PC 13WC016514 -C 14WC024859 -C WALGREEN CO 14WC024860 -C 112 13WC 16632 CRUZ, SONIA CHICAGO PUBLIC SCHOOLS 04/03/13 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 113 13WC 16953 STANCIEL, ROSEMARY CTA 05/03/13 GRAVLIN, MICHAEL J LLC CHICAGO TRANSIT AUTHORITY 114 13WC 17426 WILLIAMS, WILBERT CITY OF CHICAGO 05/02/13 CIARDELLI CUMMINGS CAMPAGN 115 13WC 17460 MILLS, DARRYL L FORD MOTOR CO 05/06/13 BOWMAN & CORDAY POWER & CRONIN LTD 116 13WC 17568 ABEJA-LOPEZ, ALFONSO RECYCLING DEPOT 05/14/13 GORDON & CENTRACCHIO LLC KOREY COTTER HEATHER RICHARD 117 13WC 17789 OLDEN, CLAUDIS TRANSIT FUEL HOLDINGS 09/11/12 DWORKIN & MACIARIELLO 118 13WC 17936 MILLER, BARBARA R CITY OF CHICAGO 08/17/12 HENNESSY & ROACH PC 119 13WC 18730 FEAGINS, BEVERLY CITY OF CHICAGO 05/03/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 120 13WC 18813 MEDRANO, VICTOR TOTAL STAFFING 05/27/13 ACEVES & PEREZ PC KNELL & O'CONNOR 121 13WC 19135 GUZMAN, ERASMO GIANT WHOLESALE W 05/18/13 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 13WC 19747 REISENER, LINDA J THERAPY MASTERS INC 04/09/13 DAVENPORT & WHITE KEEFE CAMPBELL & ASSOC LLC 123 13WC 25180 SINGLETON, ERIKA L CITY OF CHICAGO STREETS & 07/12/13 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO 124 13WC 26531 RODRIGUEZ, VIRGINIA ALONZ SCHNEIDER ELECTRIC 07/27/13 JONATHAN SCHLACK SPIEGEL & CAHILL, PC 125 13WC 28208 MATTHEWS, RAYMOND DOUMAK, INC. 07/17/13 RAPAPORT, STEVEN I HOLECEK & ASSOCIATES 126 13WC 28405 GOODMAN, TERRY RISS BORG 07/20/12 STROM, NEAL B WOLFE & JACOBSON, LTD 127 13WC 28420 MILLER, ROXIE MICHELLE SOUTHWEST AIRLINES 09/25/11 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 128 13WC 28565 CABAN, ESTELA CASTRO CARL BUDDIG & COMPANY 03/13/13 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 129 13WC 28704 ORIEDO, KENBELLAH TNT EXPRESS 05/31/13 STROM, NEAL B MEACHUM & STARCK 130 13WC 28718 AGUILAR, ROLANDO FREEDMAN SEATING CO 08/26/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 131 13WC 28877 MORALES, CARLOS SENIOR FLEXONICS INC 05/22/13 LEAHY, JAMES P BRADY CONNOLLY & MASUDA PC 16WC008985 -C 132 13WC 29061 VELAZQUEZ, NEFTALI WILFREDO RODRIGUEZ 07/23/13 ANKIN LAW OFFICE 133 13WC 29676 SINGLETON-ALLEN, NANETTA COUNTY OF COOK 05/01/13 LAW OFFICES OF PHILLIP FAR STATES ATTORNEY OF COOK COUN 134 13WC 29942 SHAMPINE, EDWARD MICHAEL VILLAGE OF CICERO 08/06/12 JOHNSON, MICHAEL D & ASSOC DEL GALDO LAW GROUP LLP 135 13WC 30032 EVANS, JOAN FORD MOTOR COMPANY 07/12/13 DONALD W FOHRMAN & ASSOC POWER & CRONIN LTD 136 13WC 30154 JORDAN, EDDIE D KINDRED HEALTHCARE 08/17/13 BOWMAN & CORDAY ARNETT LAW GROUP 14WC024498 -C 137 13WC 32273 GILMORE, ERIC CITY OF CHICAGO 08/19/13 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 09WC035814 -C 138 13WC 33121 AMBROGI, ANA CANADA 10/29/99 SEIDMAN MARGULIS & FAIRMAN

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155 14WC 04646 GUILLEN, CESAR WHEATLAND TUBE02/07/14 DAVID W MARTAY GAROFALO SCHREIBER STORM

156 14WC 04712 GATTI, JORDAN PERFORMANCE TRUCK REPAIR,01/28/14 MANDELL, GREGG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 14WC 04749 GARCIA, LUIS SUPERIOR STAFFING 12/09/13 ACEVES & PEREZ PC GRANT & FANNING 158 14WC 04904 MALDONADO, WILLIAM CITY OF CHICAGO 07/31/13 O'CONNOR & NAKOS CITY OF CHICAGO 159 14WC 04952 SYED, AZMATULLAH AMERICAN TAXI DISPATCH IN 12/10/13 LAW OFFICE OF EDYTA SALATA BAUM RUFFOLO & MARZAL LTD 160 14WC 05112 LOPEZ, EDGAR SHARK TRANSPORT 12/02/13 CHRISTIAN & MANNO RODDY LAW LTD 161 14WC 05225 O'CONNOR, TANYA EASTER SEAL 12/10/13 GOLDFEIN LAW OFFICE PC 162 14WC 05375 DOMINGUEZ, MARIA UNIVERSITY OF ILLINOIS 03/22/12 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 163 14WC 05515 MC QUILLAN, MICHELLE DUNBAR ARMORED INC 07/28/13 MARSZALEK AND MARSZALEK MEACHUM & STARCK 164 14WC 05580 BEKIELEWSKI, MARYLEE A RAINBOW HOSPICE AND PALLI 08/05/13 GALLAGHER, DONALD V 165 14WC 06175 BEARD, ISIAH CITY OF CHICAGO DEPT OF 12/17/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 166 14WC 06211 OBASI, LONGINUS ACROSS THE TOWN CAB CORP/ 02/17/14 LAW OFFICE OF SCOTT B SHAP 167 14WC 06249 KOPIEC, CHRIS CITY OF CHICAGO 12/23/13 THE KARMEL LAW FIRM 168 14WC 06277 HALEY, BRITTANY AMERI DREAM, INC. @ W 01/25/14 SKLARE LAW GROUP 169 14WC 06281 OEI, JULIANO GE HEALTHCARE 08/30/13 MULLIGAN LAW LLC MACIOROWSKI SACKMANN & ULRIC 170 14WC 06313 OLIVA, HUMBERTO THE ART OF PIZZA 02/09/14 ARGIONIS & ASSOCIATES LLC ROMANUCCI & BLANDIN 171 14WC 06330 BURTON, KIOWA FORD MOTOR COMPANY 11/19/13 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 172 14WC 07041 QUERCIOLI, DANA THE SECOND CITY INC 10/23/12 BUSSE, BUSSE & GRASSE MEACHUM & STARCK 173 14WC 07129 WOODRIDGE, ROBERT CITY OF CHICAGO 01/21/14 KARCHMAR & STONE CITY OF CHICAGO 174 14WC 07203 PARILLE, ANTHONY UNITED MAINTENANCE CO INC 02/14/14 ANGELINI & ORI LLC STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 14WC 07301 MARTLINK, MARIANNE PALOS HEIGHTS SCHOOL DIST 12/18/13 O'CONNOR LAW GROUP LLC ANCEL GLINK DIAMOND BUSH & E 176 14WC 07532 MC DONALD, JAMES CITY OF CHICAGO 01/06/14 SALVATO & O'TOOLE CITY OF CHICAGO 177 14WC 07582 BALES, MICHAEL TEMPERATURE EQUIPMENT COR 10/31/13 LEO ALT RUSIN MACIOROWSKI & FRIEDMAN 178 14WC 07600 HORNE, AJ MY FIT FOOD 01/23/14 CANDIANO LAW OFFICE MEACHUM & STARCK 179 14WC 07762 GLASSMAN, MICHELLE NEW CONNECTIONS ACADEMY 10/03/13 RIFFNER BARBER ROWDEN & SC STONE & JOHNSON CHARTERED 180 14WC 07777 GALLEGOS, RODRIGO MC GRATH HYUNDAI 10/02/13 HUGHES SOCOL PIERS RESNICK RODDY LAW LTD 181 14WC 13797 SCONIERS, KEITH ATT 02/27/14 KARCHMAR & STONE HENNESSY & ROACH PC 16WC012220 -C AT&T 182 14WC 13869 STERLING, DORA L AMERICAN AIRLINES 03/20/14 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 16WC009659 -C 16WC038184 -C 183 14WC 14810 ZAYAS, AGUSTIN COCA COLA REFRESHMENTS US 12/16/13 CIARDELLI CUMMINGS CAMPAGN BRADY CONNOLLY & MASUDA PC 14WC017188 -C COCA-COLA REFRESHMENTS 184 14WC 15448 JONES, HENRY BULL MOOSE 12/07/12 LEE, MARK N LAW OFFICE HENNESSY & ROACH PC 185 14WC 15570 TAYLOR, REGINALD W COOK COUNTY SHERIFF'S DEP 02/11/13 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 186 14WC 15757 KIMBROUGH, DENNIS SOUTHWEST AIRLINES 01/31/14 DAVID W MARTAY HENNESSY & ROACH PC 187 14WC 15789 ROJAS, GABRIELLA SUPERIOR STAFFING INC 01/30/14 HORWITZ HORWITZ & ASSOC GRANT & FANNING 188 14WC 15862 ADREANI, MICHAEL AT & T INC 03/16/13 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 189 14WC 15903 SANTOR, SHARON PALOS COMMUNITY HOSPITAL 02/08/14 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 190 14WC 16245 GARCIA, JOSE ANDREWS STAFF FORCE 04/28/14 JOHN S. ELIASIK BRADY CONNOLLY & MASUDA PC 191 14WC 16447 MCQUILLAN, PADRAIG REVCON CONSTRUCTION 09/03/13 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 14WC 16504 DEALVA, JOSUE TEMPUS AUTO SPA 04/02/14 FOHRMAN, DONALD W & ASSOCS GANAN & SHAPIRO 193 14WC 16606 JACKSON, JAMEL TJX COMPANIES, INC 02/26/14 KARNO, MARK L & ASSOC 194 14WC 16902 RAMIREZ, OMAR CHICAGO BOARD OF EDUCATIO 04/02/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 195 14WC 17187 MAGALLON, AZUCENA LAWSON PRODUCTS, INC. 03/03/14 SCHIFF GORMAN LLC HENNESSY & ROACH PC 196 14WC 17236 SAAVEDRA, IRMA Y MIDWEST GAMING & ENTERTAI 04/29/14 COVEN LAW GROUP GRANT & FANNING 197 14WC 17608 CUTRI, DANTE CUTRI CARPENTRY INC 04/24/13 VRDOLYAK LAW GROUP LLC RUSIN MACIOROWSKI & FRIEDMAN 198 14WC 17649 STALLWORTH, WILLIE COOK COUNTY HOSPITAL 05/24/12 TRUGLIO, FRED A & ASSOC STATES ATTORNEY OF COOK COUN 199 14WC 17924 NIETO, MARIO FARMINGTON FOODS 04/16/14 CULLEN HASKINS NICHOLSON EDWARD JANUSZKIEWICZ 200 14WC 18002 MORENO, CASSANDRA ADVOCATE CHRIST MEDICAL C 02/08/14 LAW OFFICE KEITH SHORT NYHAN BAMBRICK KINZIE & LOWR 201 14WC 18041 AUGUSTIN, ODVELT FIRST TRANSIT 05/16/14 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 202 14WC 18066 GREENE, ROSANNA PALOS COMMUNITY HOSPITAL 04/16/14 KARCHMAR & STONE POWER & CRONIN LTD 203 14WC 18074 THOMAS, SYBIL C CIRCUIT COURT OF COOK COU 03/06/13 CAMERON CLARK STATES ATTORNEY OF COOK COUN 204 14WC 18111 HERRERA, LAZARO PJ'S EXCAVATING SEWER & W 05/21/14 SMOLER LAW OFFICE, PC ACCIDENT FUND HOLDINGS 205 14WC 18208 IQBAL, SHAKIL ANIL SAINI 05/12/13 HUNER LAW OFFICES LLC 206 14WC 18276 KOLOPELNIK, DMITRI EDEN LOGISTIC INC & 07/04/13 LEE A CAMPBELL LAW OFFICE MCANANY VANCLEVE & PHILLIPS 207 14WC 18317 SNARSKI, JEFF VILLAGE OF SCHILLER PARK 10/11/11 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 208 14WC 18375 TAMAN, WALID CALIFORNIA GARDEN NURSING 02/21/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 16WC007916 -C MANORCARE HEALTH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 14WC 18784 LEWIS, JOHN SPEED SEJA SCHOOL DIST # 10/19/13 SEIDMAN MARGULIS & FAIRMAN 210 14WC 22232 ROMANO, KENNETH J JR LAGUNAS INC 01/30/14 FIORENTINO LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 14WC022233 -C 14WC038697 -C 211 14WC 23498 MOLONY, DANIEL FEDERAL EXPRESS GROUND 12/04/13 DAVID W MARTAY SCOPELITIS GARVIN LIGHT 212 14WC 24204 19B VELA VALLEJO, ALEJANDRO SUPERIOR STAFFING 04/22/14 CULLEN HASKINS NICHOLSON GRANT & FANNING 213 14WC 24284 WEDDEL, DAVID WASTE MANAGEMENT 04/11/14 MEYERS & FLOWERS GAROFALO SCHREIBER STORM 214 14WC 24301 BALDERAMA, JUAN CITY ESCAPE GARDEN CENTER 05/10/14 LEONARD LAW GROUP LLC WOLF LAW LTD 215 14WC 25514 FREY, SHAWN M COOK COUNTY 07/13/14 BOTTO GILBERT STATES ATTORNEY OF COOK COUN 216 14WC 25888 WILSON, JULES CTA 07/27/14 FOHRMAN, DONALD W & ASSOCS 217 14WC 26031 VEGA-ALCALA, ANGEL TOMOTTO CO 07/05/14 GOLDBERG WEISMAN & CAIRO L 14WC035475 -C 218 14WC 26864 19B CURRAN, STEFANIE E THE DRAKE HOTEL 07/21/14 ANESI OZMON RODIN NOVAK KO SPIEGEL & CAHILL, PC 219 14WC 26900 OCEGUERA, GABRIEL CREATIVE INDUSTRIES TERRA 07/16/14 HUGHES SOCOL PIERS RESNICK COZZI & GOGGIN-WARD 220 14WC 27032 DIXON, LEVITICUS FORD MOTOR COMPANY 03/31/14 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 221 14WC 27355 DABBAH, ALI WWA LIMO 07/04/14 VRDOLYAK LAW GROUP LLC 222 14WC 27417 LAIN, JERAMIAH MR BULTS INC 03/21/14 STROM, NEAL B 223 14WC 27421 MACIAS, HERIBERTO LAKOTA 04, INC 07/31/14 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 224 14WC 27518 WHITFIELD, MARK CHICAGO TRANSIT AUTHORITY 08/01/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 225 14WC 27612 HOWELL, DAWN CERMAK HEALTH SERVICES 08/02/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 226 14WC 27926 PARKER, ALFRED SR JANI KING 04/30/14 227 14WC 28223 BROWN, CRAIG CITY OF CHICAGO 05/24/14 CITY OF CHICAGO 228 14WC 28250 DOWNEY, JOHNIE M VILLAGE OF PALATINE 04/03/14 THOMAS W DUDA POWER & CRONIN LTD 229 14WC 28265 VAUGHN, RICKEY CHICAGO TRANSIT AUTHORITY 08/20/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 230 14WC 28577 SNARSKI, MARIAN TEMPEL STEEL COMPANY 07/07/14 COVEN LAW GROUP RODDY LAW LTD 231 14WC 28780 RANKIN, CHARLES JR UNIVERSITY OF CHICAGO (PS 08/13/14 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 232 14WC 28937 BOKSA, KEVIN AT&T 02/07/14 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 233 14WC 28974 RAMIREZ, CARLOS MASON DIXON/UNIVERSAL 04/25/14 SOSTRIN AND SOSTRIN PC HINSHAW & CULBERTSON 234 14WC 29133 JOHNSON, KELLY VILLAGE OF LYNWOOD 05/30/14 SILVERMAN, CLIFFORD A SCOPELITIS GARVIN LIGHT 235 14WC 29428 SCARBOROUGH, GREGORY CITY OF CHGO STREETS & SA 07/29/14 WILLIAM MARTAY CITY OF CHICAGO 236 14WC 29444 BELL, CLIFTON SOUTHWEST MANAGEMENT SYST 06/13/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 237 14WC 29481 WRIGHT, NATHAN FORD MOTOR CO 05/30/13 RATHBUN CSEVENYAK & KOZOL 238 14WC 30272 PHIPPS, BENJAMIN CTA 08/20/14 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 239 14WC 36177 TORRES, SERAFIN L KERRY AMERICAS 08/16/14 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 240 14WC 36376 PLAZA, MARIA TOOTSIE ROLL INDUSTRIES L 07/17/14 BARRY E BLUMENFELD NYHAN BAMBRICK KINZIE & LOWR 241 14WC 36754 MILLSAP, ALLEN HHI GROUP HOLDINGS 04/06/14 FOHRMAN, DONALD W & ASSOCS HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 14WC 36883 ESPARZA-NIETO, ISABEL CHICAGO PARK DISTRICT 07/15/14 CHICAGO PARK DIST LAW DEPT 243 14WC 37261 BONILLA, MIGUEL MR ROOTER PLUMBING 09/03/14 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 15WC018114 -C MT ROOTER PLUMBING 244 14WC 37423 CHOATE, THOMAS VESUVIES USA 10/13/14 LEO ALT RUSIN & MACIOROWSKI LTD 245 14WC 37557 RAMIREZ, ULISES PANDA EXPRESS 02/06/14 KATZ FRIEDMAN EAGLE ET AL LEWIS BRISBOIS BISGAARD 246 14WC 37571 JEFFRIES, TORIANO STATE OF ILLINOIS @ 05/20/14 MINKOW DOMIN JILL OTTE 247 14WC 37719 AHRENS, WALTER JERNBERG INDUSTRIES 05/19/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 248 14WC 37857 L'ABBE, ANNE UNITED AIRLINES INC. 08/11/14 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 249 14WC 37889 BROWN, LOFIET METAL MATIC INC 07/06/14 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 250 14WC 37904 MC DUFFIE, PHILLIP COOK DUPAGE TRANSPORTATIO 11/02/14 LAW OFFICE OF SCOTT B SHAP 251 14WC 37926 CHEARS, KIMBERLY CTA 10/13/14 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 252 14WC 38034 BALOG, ISTVAN TELEFLEX MEDICAL 10/31/14 POLANSKY & CICHON CHTD HOLECEK & ASSOCIATES 253 14WC 38218 REBRONJA, ALMASA PLANET FITNESS 10/26/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 254 14WC 38253 YOUNG, TIRESIAS POWER STOP 10/30/14 MARC J SHUMAN & ASSOCIATES 255 14WC 38265 RADDATZ, JAMES CHICAGO BOARD OF EDUCATIO 08/22/14 SLAVIN & SLAVIN LEAHY EISENBERG & FRAENKEL 256 14WC 38307 MICHEL, CHANTALE SEASON HOSPICE 06/17/14 JAMES J BURKE LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC038308 -C 257 14WC 38329 GILL, CHARLES PROVIDENCE HIGH SCHOOL 10/19/14 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 258 14WC 38346 GRIFFITH, JACQUELINE CITY OF CHICAGO 09/27/13 GOLDSTEIN BENDER & ROMANOF CITY OF CHICAGO 259 14WC 38469 BURDINE, LC HOWARD ROOFING COMPANY 10/10/14 SANTILLI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 14WC 38678 MOSES, JAMIL MOST VALUABLE PERSONNEL 10/28/14 261 14WC 38837 KOWALSKI, BRIAN J SCURTO CEMENT 06/16/12 VITELL & SPITZ LTD EDWARD JANUSZKIEWICZ 262 14WC 38896 GLOSSINGER, CLAYTON WEB PRODUCTIONS & FABRICA 11/11/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 263 14WC 39261 SANCHEZ, SANTIAGO ARLINGTON PARK RACECOURSE 05/07/14 COSTA IVONE LLC POWER & CRONIN LTD 14WC043520 -C 264 14WC 39273 MAGDALENO, JORGE CDE BODY SHOP D/B/A COLLI 10/29/14 JONATHAN SCHLACK GANAN & SHAPIRO 265 14WC 39479 FABBRI, TRAVIS GOLF MILL FORD 06/23/12 FOOTE MIELKE CHAVEZ & O'NE ROBERT L. SMITH 266 14WC 39556 HECKINGER, CHARLES GRAPHIC PACKAGING 09/11/14 RIFFNER BARBER ROWDEN & SC DOHERTY & PROGAR LLC 267 14WC 39577 CAGE, ANTHONY CITY OF CHICAGO 09/09/14 ANKIN LAW OFFICE CITY OF CHICAGO 268 14WC 39597 PEREZ, VICTOR A&R JANITORIAL SERVICE IN 10/20/14 PATRICOSKI, MARK G RUSIN & MACIOROWSKI LTD 269 14WC 39673 PIERCE, DAVID L KEYSTONE LKQ CORPORATION 06/02/14 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 270 14WC 40461 HUDSON, LANG FORD MOTOR CO 11/17/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 271 14WC 40560 GARIBAY, DANIEL FORD MOTOR COMPANY 11/16/14 SAUNDERS CONDON & KENNY 272 14WC 40688 WELLS, REGINA UNITED AIRLINES INC. 04/20/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 273 14WC 40733 SHIELDS-HALL, DONNA MANORCARE HEALTH SERVICES 04/16/14 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 274 14WC 41232 PEARSON, JOAN CHICAGO PUBLIC SCHOOL 12/03/12 275 14WC 41905 ALLEN, PAUL USF HOLLAND 09/29/14 ANGELINI & ORI LLC HENNESSY & ROACH PC 276 15WC 01021 HUIRAS, RICHARD J CHICAGO TRANSIT AUTHORITY 10/27/14 WILLIAMS, ROBERT B LAW OFF CHICAGO TRANSIT AUTHORITY 277 15WC 01057 WALKER, TYRONE CTA 01/06/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 15WC 03090 GALLO, STEVEN ABLE ENGINEERING 10/10/06 SALVATO & O'TOOLE GRANT & FANNING 279 15WC 03223 TAYLOR, MICHAEL CHICAGO BOARD OF EDUCATIO 11/18/13 CHARLES J. GALE PC LEAHY EISENBERG & FRAENKEL 280 15WC 03301 GONZALEZ, GINO DISPATCH TAXI AFFILIATION 01/24/15 ANKIN LAW OFFICE 281 15WC 03383 ANDRADE, ANGELICA FOOD 4 LESS 09/03/14 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 282 15WC 03511 FARSHORI, UMAR CHICAGO BOARD OPTIONS EXC 10/23/14 LOUIS A PLZAK & ASSOCIATES 283 15WC 03772 GREEN, SIRELL FORD MOTOR CO 05/14/13 FOHRMAN, DONALD W & ASSOCS 284 15WC 03841 GRANDA, JEFFREY FEDEX CORPORATE OFFICES 10/28/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 285 15WC 04044 LESPIER, LILY JC PENNY 10/24/14 RUBIN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 286 15WC 04169 HERNANDEZ, DANIELA IHOP #3132 12/02/12 AIOSSA LAW FIRM 287 15WC 04369 BYRON, PATRICIA BETHESDA HOME & RETIREMEN 01/12/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 288 15WC 04499 PANIKOWSKI, URSZULA PACE SUBURBAN BUS SERVICE 05/10/13 LEO ALT 289 15WC 04554 CARDOZO, ALMA LORREN FLEXIBLE BENEFIT 11/23/13 RICHARD O. GREENFIELD LAW OFFICES JOSEPH MARCINIAK 15WC016263 -C 15WC016264 -C 290 15WC 04611 BARON, ARTHUR CITY OF CHICAGO 05/07/13 LEE, MARK N LAW OFFICE 291 15WC 04680 DORSEY, SUZETTE MAYFIELD HEALTH CARE 01/08/15 CHARLES LEVY & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 292 15WC 04789 DOTLICH, DANIEL VILLAGE OF HOFFMAN ESTATE 12/08/14 HANNIGAN & BOTHA, LTD RODDY LAW LTD 293 15WC 04893 WILLIAMS, STEVEN SECRETARY OF STATE 12/09/14 SMOLER LAW OFFICE, PC MALLORY ZIMET 15WC004894 -C 294 15WC 04931 PRATT, CLARA HALFWAY HOUSE COMMITTEE I 10/15/14 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 295 15WC 04970 SUERTH, JOSEPH CITY OF CHICAGO 02/06/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 296 15WC 05107 SAMBELL, PETER KLEEN AIR SERVICE CORP 04/11/13 CIARDELLI CUMMINGS CAMPAGN NYHAN BAMBRICK KINZIE & LOWR 297 15WC 05159 ABRUSCI, TRACY UNIVERSITY OF ILLINOIS HO @ 02/23/12 STEVEN S. SHONDER WILSON ELSER 298 15WC 05453 GAMBLE, LETREONA COOK JUVENILE DETENTION C 04/28/14 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 15WC005636 -C 15WC005637 -C 299 15WC 05478 SOTO, MARIA COOK COUNTY COURT HOUSE 07/22/14 KARCHMAR & STONE 300 15WC 05505 KEICHER, KARL RIVER TRAILS TRANSIT LINE 12/18/14 CAPRON & AVGERINOS PC 301 15WC 05632 VILLAGOMEZ, MARTIN JFC INTERNATIONAL INC 12/18/14 KP LAW LLC HOLECEK & ASSOCIATES 302 15WC 06002 BUDZINSKA, IRINA SMAKOWSKI SAUSAGE AND DEL 10/24/14 JOHN P GOGGIN HOLECEK & ASSOCIATES 303 15WC 06110 COGLIANESE, THERESA TRINITY HEALTH/ 07/31/14 DWYER AND COOGAN 304 15WC 06286 CHIMAN, JOSE VIDAL FRANK'S AUTO GLASS 01/02/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 305 15WC 06311 KIRKSEY, BILLIE ST OF IL DEPT OF HUMAN SE 02/19/15 DWORKIN AND MACIARIELLO MALLORY ZIMET 306 15WC 06331 FELTHOUSE, STEVEN THREE WAY TRANSPORTATION 02/18/15 JOHN E LUSAK NYHAN BAMBRICK KINZIE & LOWR 307 15WC 06503 ROMAN, JOSE CTA 02/12/15 BAUM RUFFOLO & MARZAL LTD CHICAGO TRANSIT AUTHORITY 308 15WC 06601 NIEVES RAMIREZ, FRANCISCO COOPER'S HAWK 09/16/14 JONATHAN SCHLACK HOLECEK & ASSOCIATES 16WC002353 -C 309 15WC 06755 QUINLAN, JAIME STATE OF ILLINOIS @ 07/17/14 TAMVAKIS, GEORGE L ASSISTANT ATTORNEY GENERAL 310 15WC 06890 GONZALEZ, RAUL JFC INTERNAIONAL INC 03/27/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 311 15WC 07289 GILLIAM, ROLAND AIR SERV CORP 01/24/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 15WC 09073 SALINAS, PAUL FORD MOTOR COMPANY 09/25/14 ANKIN LAW OFFICE 313 15WC 10074 SANCHEZ, CECILIO J MEN'S WAREHOUSE 10/30/14 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 314 15WC 13922 SNIECIKOWSKI, BEATA MJ CLECO INC 03/18/15 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 15WC013923 -C 315 15WC 15170 CLAUSEN, ERIC EAGLE MANAGEMENT 05/02/14 NEWLAND & NEWLAND LAW OFFICES OF EDWARD J. KOZ 316 15WC 15199 SPILOTRO, DIANA GROUPON INC 08/15/14 KATZ FRIEDMAN EAGLE ET AL 317 15WC 15477 RUFFIN, EDDIE L AT&T 05/01/15 GOLDSTEIN AIOSSA & GOOD 318 15WC 15592 WASHINGTON, DINETTA CTA 04/28/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 319 15WC 15726 KOSIEK, JOSEPH UNIV CHGO MEDICAL CENTER 05/31/13 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 15WC015727 -C 16WC032857 -C UNIVERSITY OF CHICAGO 320 15WC 15751 BOLLERO, MEGHAN MARATHONFOTO 06/02/14 MILLON & PESKIN LTD GRANT & FANNING 321 15WC 15762 MANNINA, MICHAEL VIPER TRADESHOW SERVICES 06/03/13 RIFFNER BARBER ROWDEN & SC COZZI & GOGGIN-WARD 322 15WC 15919 BROWN, BRENDA CHICAGO TRANSIT AUTHORITY 04/07/15 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY 323 15WC 16093 LEVITT, JAMES L FORD MOTOR COMPANY 01/11/13 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 324 15WC 16142 UGBAJA, SYLVANUS E CHICAGO ELITE CAB CORP 02/05/15 LAW OFFICE RASHIDA MAHAMA 325 15WC 16516 19B RUFIN, LOUIS GET FRESH PRODUCE, INC. 04/03/15 JOHN F GREGORIO & ASSOC WIEDNER & MCAULIFFE LTD 326 15WC 16541 CRNICH, MICHAEL U OF I - CHICAGO 05/13/13 RICHARD O. GREENFIELD HEYL ROYSTER VOELKER & ALLEN 16WC037318 -C UNIVERSITY OF IL AT CHICAG 17WC009959 -C 327 15WC 16634 KAUTZ, EDWARD K WALMART INC STORE #1497 11/23/14 STUART H GALESBURG WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 15WC 16822 ADELFIO, ROSEMARIE ELI'S CHEESCAKE FACTORY 06/23/13 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 329 15WC 16924 VILLALVA, EBERARDO CURTO-LINGONIER FOUNDRIES 12/12/14 LAW OFFICES PETER LEKAS KNELL & O'CONNOR 15WC016925 -C 15WC016926 -C 15WC016927 -C 15WC041601 -C 330 15WC 17056 TABORN, LA QUINTAE TLX TRANSOLGIX 09/30/14 RIDGE & DOWNES MEACHUM & STARCK 15WC032379 -C 331 15WC 17058 ADELFIO, ROSEMARIE ELI'S CHEESECAKE FACTORY 01/14/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 332 15WC 17136 SENKINS, INDIA ANTI CRUELTY SOCIETY 02/21/14 333 15WC 17321 HARRIS, DYLAN ROBERT BAIR PLUMBING 03/20/15 LAW OFFICES ROBERT WARSASK RUSIN & MACIOROWSKI LTD 16WC032593 -C 334 15WC 17476 DRABIK, DAVID AMERICAN AIRLINES INC 02/06/15 PETER D CORTI LAW GROUP POWER & CRONIN LTD 335 15WC 18065 HERNANDEZ, VICTOR ESCOGID CHAMP CONSTRUCTION, INC. 05/05/15 HOWARD S. KAVENOW LLC RUSIN & MACIOROWSKI LTD 336 15WC 21161 LONG, PAUL AAA RENTAL SYSTEMS 06/16/15 KURASCH & KLEIN, LTD THOMAS & PORTELA 337 15WC 23511 ALBA, JOSEPH A SR IL DEPT OF JUVENILE JUSTI @ 06/29/15 SEIDMAN MARGULIS & FAIRMAN MALLORY ZIMET 338 15WC 23571 SPILOTRO, PATRICIA L CITY OF CHICAGO DEPT OF S 10/15/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 339 15WC 23572 HERNANDEZ, PABLO MACK ALLAN & SONS CONSTRU 02/20/15 GOLDBERG WEISMAN & CAIRO L 340 15WC 23637 BRITO, MARIO LVI ENVIRONMENTAL SVCS 08/27/14 CHEPOV & SCOTT LLC 341 15WC 23731 PAGE, TERRENCE FLEXICORPS INC 06/27/15 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 342 15WC 23924 TENA, DARIO MIDAS AUTO SERVICE/AAMCO 12/02/14 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 343 15WC 23951 GUDINO, GERARDO VIP CUTZ 08/01/15 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 344 15WC 24032 MORA, ANDRES REPUBLIC SERVICES 07/28/15 GOLDBERG WEISMAN & CAIRO L 345 15WC 24073 PULIDO, RALPH ELK GROVE VLGE FIRE DEPT 08/24/14 ANESI OZMON RODIN NOVAK KO NOBLE & ASSOCIATES PC 346 15WC 24131 FAJARDO-GUTIERREZ, GUSTAV ELECTRONIC PLATING COMPAN 09/25/14 GOLDSTEIN BENDER & ROMANOF 347 15WC 24369 JEREZ, SEGUNDO ECUATAX INC 08/13/15 JAMES ELLIS GUMBINER & ASS 348 15WC 24404 FRED, JIMMY SAFE AIR OF ILLINOIS 07/29/15 HERRERA LAW CENTER ALLEN KOPET & ASSOCIATES 349 15WC 24440 GUEVARA-LOAIZA, FREDY CHICAGO DRYER CO 05/27/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 350 15WC 25807 BRYANT, GERALDINE UNIVERSITY OF CHICAGO 05/11/15 WITTENBERG DOUGHERTY MAGLI NYHAN BAMBRICK KINZIE & LOWR 351 15WC 26366 ROBINSON, DOUGLAS GT PLUMBING 07/09/15 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 352 15WC 26427 JUAREZ, VIRGINIA PEREZ HOSPITALITY STAFFING SOLU 07/06/15 JAMES M GERAGHTY 353 15WC 26455 COX, TINA NATION PIZZA PRODUCTS 06/02/14 RUBENS AND KRESS MEACHUM & STARCK 354 15WC 26509 ROSER, WILLIAM OAK LAWN FIRE DEPARTMENT 11/25/14 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 355 15WC 26780 MORGAN, DEAN VILLAGE OF MT PROSPECT 03/17/15 GAINES & GAINES BRADY CONNOLLY & MASUDA PC 356 15WC 26812 REYNOSO, ALEJANDRA WORK FORCE 07/20/15 COSTA IVONE LLC KOREY RICHARDSON LLC 357 15WC 27018 HOBSON, CHRISTOPHER CHICAGO PUBLIC SCHOOLS 06/16/15 GOLDBERG WEISMAN & CAIRO L 358 15WC 27330 AMARO, ALEXANDER SOUTHWEST AIRLINES 08/10/15 BERG & BERG 359 15WC 27396 PALMER, ROY REPUBLIC SERVICES 05/06/13 MICHAEL P MCCREADY & ASSOC GILDEA & COGHLAN 360 15WC 27590 KURMYLO, DIANA SK CLEANING, INC. 07/22/15 DAVID M SPADA 361 15WC 27654 FUNSTON, STEPHANIE UNITED AIRLINES INC. 06/30/15 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 362 15WC 27787 ERWIN, STEPHEN WLS-TV/WALT DISNEY CORP 10/16/14 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD 363 15WC 28003 BODNAR, SHARON BARNES & NOBLE 12/20/14 VASILATOS & COTTER LLC 364 15WC 28356 CACKLER, JOHN E, ADMIN OF JEWISH COUNCIL FOR YOUTH 10/27/14 ALBERT R. PINO LAW OFFICE BRADY CONNOLLY & MASUDA PC 365 15WC 28435 FREEMAN, ANN JOHN J MADDEN HEALTH CENT @ 07/22/15 ANKIN LAW OFFICE MALLORY ZIMET 366 15WC 28465 HERNANDEZ, MARIO ARCOS MINUTE MEN OF ILLINOIS 08/05/15 STEPHEN G PINTO LTD 367 15WC 28604 VELEZ, LIZET C. ACCURATE PERSONNEL LLC 06/30/15 OSVALDO RODRIGUEZ PC MC ANDREWS & NORGLE LLC 15WC028605 -C 368 15WC 28666 GARBACZ, ANA ABM JANITORIAL SERVICES 02/20/15 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 369 15WC 32998 BECKER, ROBERT ALLIED TUBE (ATKORE) 12/18/14 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 370 15WC 33085 DAVIS, SCHARMAINE TENET HEALTHCARE CORP 09/28/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 371 15WC 34080 AGHAJAN, ANGELA GONNELLA FROZEN PRODUCTS 09/10/14 ALAN A BLUM, PC RUSIN & MACIOROWSKI LTD 372 15WC 34248 CODY, MICHAEL BRENNAN ELECTRIC INC 10/16/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 373 15WC 35291 MACK, ONITA CITY OF CHICAGO - OEMC 09/20/15 ANKIN LAW OFFICE CITY OF CHICAGO 374 15WC 35380 JOSEPH, MICHELLINE FORD MOTOR CO 10/02/14 COHN LAMBERT RYAN & SCHNEI POWER & CRONIN LTD 375 15WC 35552 GORTA, CYNTHIA UNITED AIRLINES 06/22/15 HUGHES SOCOL PIERS RESNICK 376 15WC 35626 ADAMS, JAMES UGN INC. 10/02/15 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 377 15WC 35669 WILEY, CRAIG BRIDGFORD FOODS CORPORATI 07/08/15 KEDZIE LAW OFFICE PC 378 15WC 35701 HARRIS, PETER BEKINS VAN LINES, INC 07/06/15 DAN COLLINS LAW FIRM 379 15WC 35736 LUNA, LLOYD DUNKIN DONUTS 10/19/15 VASILATOS & COTTER LLC ARNETT LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 15WC 35752 RAMIREZ, ANGELICA BOYZO MIDWEST MOLDING 08/10/15 MC HARGUE, JAMES P LAW OFF WOLFE & JACOBSON, LTD 381 15WC 35814 VALERIO, TIMOTEO LABOR SOLUTIONS 02/19/15 BUDIN LAW OFFICES KLAUKE LAW GROUP LLC 382 15WC 35838 JARAMILLO, WILLIAM TOWN OF CICERO 09/20/15 VRDOLYAK LAW GROUP LLC DEL GALDO LAW GROUP LLP 383 15WC 35883 HAYES, BEVERLY SCR MEDICAL TRANSPORATION 06/17/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 384 15WC 35965 QUINN, JUANITA MULTI SERVE CO 10/21/15 POMPER & GOODMAN 385 15WC 35977 NORTMAN, TIMOTHY ALLEN BROTHERS 12/04/14 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 15WC035978 -C 386 15WC 36017 IZQUIERDO, GUSTAVO CPS 10/16/15 DWORKIN AND MACIARIELLO LAW DEPARTMENT 387 15WC 36052 MARTINO, DIANA UNITED AIRLINES 04/13/15 LAW OFFICE OF JAMES URTIS 388 15WC 36077 LAWSON, RANDALL CRST INTERNATIONAL 09/08/14 LEONARD LAW GROUP LLC THOMAS & PORTELA 389 15WC 36136 JAMES, THOMAS COOK COUNTY FACILITY MANA 10/22/14 VRDOLYAK LAW GROUP LLC 390 15WC 36179 HOLT, SHAUN CITY OF CHICAGO-DEPT OF W 07/24/15 NILSON STOOKAL GLEASON CAP CITY OF CHICAGO 391 15WC 36195 19B JONES, ANGELIQUE CTA 10/03/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 392 15WC 36243 RAMOS, ESTHER ILLINOIS VEHICLE INSURANC 05/19/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 393 15WC 36381 LOWERY, DOUGLAS BINNY'S 07/31/15 PARENTE & NOREM PC MEACHUM & STARCK 394 15WC 36424 TURNER, ALFREDA SOUTH AFRICA TOURISM USA 04/29/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 15WC 36502 MAGURNO, JOHN REPUBLIC SERVICES 09/22/15 CHRISTINE F DAVID GILDEA & COGHLAN 396 15WC 36813 HARMAN, LYNN UNITED AIRLINES, INC. 10/12/15 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 397 15WC 36843 JOHNSON, KERRY CITY OF CHICAGO 07/30/13 VRDOLYAK LAW GROUP LLC 398 15WC 36864 BOYLAND, ADRYENNE MARIANO'S FRESH MARKSET 10/03/15 MEYERS & FLOWERS CLAYBORNE SABO & WAGNER 399 15WC 36884 HORNER, BARRY CITY OF DES PLAINES 01/08/15 O'CONNOR LAW GROUP LLC ANCEL GLINK DIAMOND BUSH & E 400 15WC 36930 DUNCAN, FLORIA CHICAGO TRANSIT AUTHORITY 11/02/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 401 15WC 36948 MCLAUGHLIN, STEVEN HARVEST FOODS 01/01/13 SEIDMAN MARGULIS & FAIRMAN 402 15WC 36978 MARTINEZ, JOSE M BONTERRA, INC. 07/03/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 403 15WC 37013 MENDEZ, JUAN DON FRESCO MEXICAN EATERY 10/08/15 EPSTEIN, JACK R LAW OFFICE 404 15WC 37117 PHILLIP, NANCY IL CENTRAL SCHOOL BUS CO 11/05/15 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 405 15WC 37157 MURPH, LINDA UNIVERSITY OF ILLINOIS 10/05/15 LEO ALT HEYL ROYSTER VOELKER & ALLEN 406 15WC 37249 MEYER, MICHELLE A INDIAN SPRINGS SCHOOL DIS 02/26/14 CULLEN HASKINS NICHOLSON 407 15WC 37287 CAIN, JAMES JOHN H STROGER JR HOSPITA 04/30/14 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 408 15WC 37318 ADAMO, RICHARD E CITY OF BURBANK 10/30/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 409 15WC 37346 JOHNSON, NICHOLAS LINCARE INC 10/27/15 SLAVIN & SLAVIN HOLECEK & ASSOCIATES 410 15WC 37365 GRADY, KENDRIC FORD MOTOR COMPANY 11/08/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 411 15WC 37479 ROBINSON, JENNIFER FORD MOTOR CO. 05/03/15 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 17WC005668 -C 412 15WC 37507 CHEGOUR, ABDELKADER GREENWICH CAB CORP 4101TX 11/08/15 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 15WC 37557 VEGA, MARGARITA HILTON WORLDWIDE INC 11/19/15 FRIEDMAN, MICHAEL T & ASSO NOBLE & ASSOCIATES PC 414 15WC 37589 VELEZ, MARIA FRANCISCA BORGWARNER TRANSMISSION, 11/03/15 HECTOR ESPITIA KEEFE CAMPBELL & ASSOC LLC 15WC037590 -C 415 15WC 37607 SOTO, JOSEPH CHICAGOWATER MGMT DEPT 10/29/14 LUIS A ACEVES & ASSOC CITY OF CHICAGO 416 15WC 37633 HEPLER, GARY FORD MOTOR CO 10/10/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 417 15WC 37946 ANTONELLI, THOMAS SIEMENS 05/01/15 CASSANO & ASSOCIATES 418 15WC 37962 RUFF, PATRICK J KORNERSTONE CONSTRUCTION 04/01/15 GOLDBERG WEISMAN & CAIRO L 419 15WC 38168 010 CIOCH, CHRISTOPHER CITY OF CHGO - SANITATION 06/26/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 010 15WC011082 -C 420 15WC 38249 GUTIERREZ, ROSA MARIA CHURCH CREEK SENIOR LIVIN 02/11/15 HERRERA LAW CENTER HENNESSY & ROACH PC 421 15WC 38424 MCFADDEN, MICHAEL CITY OF CHICAGO 11/04/15 GOLDSTEIN AIOSSA & GOOD CITY OF CHICAGO 422 15WC 38744 RATLIFF, NELSON CHGO DEPT OF AVIATION 11/22/15 ANKIN LAW OFFICE MEACHUM & STARCK 423 15WC 38941 BURKES, STEPHANIE STATE OF ILLINOIS @ 09/09/15 WHITING LAW GROUP MALLORY ZIMET 424 15WC 38978 VARELA, MARITZA CVS 07/22/15 GOLDBERG WEISMAN & CAIRO L 15WC038979 -C 425 15WC 39151 ZIZUMBO, GLORIA ALOFT HOTEL 10/26/15 COSTA IVONE LLC GRANT & FANNING 426 15WC 39169 TAYLOR, MARJORIE O'RELLY AUTO ENTERPRISES 11/23/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 427 15WC 39229 COBLE, ARTHUR AAS CABLE INSTALLERS 10/07/15 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK 428 15WC 39378 GARCIA, ULISES SOUTHWEST AIRLINES CO 03/10/15 LAW OFFICE TIMOTHY DEFFET 429 15WC 39418 RICO, VERONICA FAMILY DOLLAR 09/17/15 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 15WC 39490 CARRILLO, PEDRO A ALDI 01/10/14 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 431 15WC 39732 PYRZ, PETER HAYES MECHANICAL LLC 11/24/15 RITTENBERG & BUFFEN GAROFALO SCHREIBER STORM 432 15WC 39751 NELLESSEN, JEFF WIDOWER/N NORTHWEST COMMUNITY 06/30/15 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 433 15WC 39800 CARRENO, JORGE 630 N STATE PARKWAY 10/16/15 STEVEN J TENZER, LTD HENNESSY & ROACH PC 434 15WC 39909 COVARRUBIAS, JUAN C CHICAGO WATER DEPT 10/27/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 435 15WC 39993 ROLDAN, ANGEL TOWN OF CICERO 11/29/15 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 436 15WC 41027 REYES, ESTEBAN UNITED AIRLINES 10/23/15 BOWMAN & CORDAY 437 15WC 41059 HOFMANN, WILLIAM BUSINESS OFFICE SYTEMS 10/03/15 ROBBINS & ROBBINS LTD GAROFALO SCHREIBER STORM 438 15WC 41143 SMITH, DIANE FORD MOTOR CO 08/04/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 439 15WC 41190 LOPEZ, MARIA HYATT REGENCY O'HARE 10/19/15 CHRISTIAN & MANNO HENNESSY & ROACH PC 440 15WC 41301 MULLENS, MYESHA I ATLANTIC AVIATION 11/19/15 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 441 15WC 41407 GRAY, ROBERT NATIONAL BEVERAGE COMPANY 09/25/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 442 15WC 41423 SEVILLA, PEDRO BRENNAN MASONRY COMPANY 10/22/15 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 443 16WC 01990 HERNANDEZ, JULIO SANCHEZ CHICAGO TANK REMOVAL 07/30/15 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 444 16WC 04541 MUSZALSKI, ANGELA MONDELEZ GLOBAL LLD DBA 09/29/15 445 16WC 04636 CHAVEZ, ARNUIFO MILROSE BREWING COMPANY 11/21/15 RUEDA, IVAN A HOLECEK & ASSOCIATES 446 16WC 04702 BROWN, GEORGE MACY'S 12/13/15 SEIDMAN MARGULIS & FAIRMAN ROBERT L. SMITH 447 16WC 04730 GUTIERREZ, MARIA AMERICAN AIRLINES 10/11/15 TURCYCHUTE LLC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 448 16WC 04750 TURNER, MAKABRA UNIVERSITYOFCHICAGOPOLICE 11/21/15 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 449 16WC 04839 RICE, RHYIDAND PARSEC 01/24/15 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 450 16WC 04892 KANNOUR, HICHAM CARLOS J SANCHEZ 01/08/16 FISHER & LAMONICA LAW OFFICES DEBORAH SCHAEFER 451 16WC 04935 BRICENO, GUSTAVO KENNY CONSTRUCTION 04/23/15 BURNETT & CARON, LTD LAW OFFICES OF EDWARD J. KOZ 452 16WC 04958 CALDERA, JUAN BLACK SWAN MANUFACTURING 09/22/15 JONATHAN SCHLACK HENNESSY & ROACH PC 453 16WC 04980 PELAYO, ALBERTO THE TOWN OF CICERO 11/01/15 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 454 16WC 05011 FELKER, PATRICE FORD MOTOR CO 01/21/16 WITTENBERG DOUGHERTY MAGLI POWER & CRONIN LTD 455 16WC 05039 ORTEGA, PORFIRIO HIGH EFFICIENCY PROFESSIO 01/25/16 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 456 16WC 05124 TAPIA, RODOLFO JR ROEVOLUTION 226 LLC 06/01/15 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 457 16WC 05303 BOYKIN, DEMETREAUS CITY OF CHICAGO DEPARTMEN 11/06/15 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 458 16WC 05386 GARY, BARBARA MEADE ELECTRIC 02/01/16 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 459 16WC 05405 MCCANN, MARGARET COOK COUNTY STATES ATTORN 03/31/15 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 460 16WC 05512 CONTRERAS, MARIA WEBER STEPHEN PRODUCTS 07/01/15 GOLDBERG WEISMAN & CAIRO L 461 16WC 05602 FRANKLIN-MABRY, TYLENE BLUE CAP FOUNDATION INC 01/28/16 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 462 16WC 05623 ALEJANDRO, ROBERTO HERNAN CHRISTIAN BLANCAS CARPENT 01/04/16 SALK, STEVEN B & ASSOC LTD 463 16WC 05774 DULMAGE, DAVID JCFS THERAPEUTIC DAY SCHO 09/17/15 ERIC H CHECK, LAW OFFICES 464 16WC 05926 SOUARI, ADAM SUN TAXI ASSOCIATES 02/21/16 KARNO, MARK L & ASSOC 465 16WC 06038 GALVAN RIVERA, MARINA FRIENDSHIP MOTEL, LLC 11/16/15 JAMES ELLIS GUMBINER & ASS ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 466 16WC 06074 OCHWAT, MICHAEL CTA 10/26/15 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 467 16WC 06117 BONILLA, PEGGY EL VALOR CORPORATION 01/05/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 468 16WC 06217 HANCOCK, SIGLINDE PET SUPPLIES PLUS 02/11/16 COVEN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 469 16WC 06258 RIVERA, OSCAR GET FRESH PRODUCE, INC. 02/08/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 470 16WC 06297 FERNANDO, TERESA SPECIALTY PRINT COMMUNICA 03/31/15 HORWITZ HORWITZ & ASSOC 471 16WC 06317 HANTON, EDWARD HILL MECHANICAL CORP 11/02/15 ANESI OZMON RODIN NOVAK KO 472 16WC 06331 MONRROY, JUAN ELITE STAFFING/PACTIV 02/16/16 RUEDA, IVAN A 473 16WC 06354 MCGOARTY, TOM UNITED PARCEL SERVICE 02/25/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 474 16WC 06401 PATIBANDA, SHERMA V O'HARE AIRPORT TRANSIT SY 10/05/15 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 475 16WC 06444 BEDNOWICZ, NORMAN THE TOWN OF CICERO 02/17/16 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 476 16WC 06493 TARIHI, JANNET AT&T 06/24/15 DAVID W MARTAY HENNESSY & ROACH PC 477 16WC 06621 BURNETT, PHILIP LEGAL & GENERAL INVESTMEN 10/08/15 LAW OFFICE MATHYS& SCHNEID LAW OFFICES OF EDWARD J. KOZ 478 16WC 06647 MARTINEZ, MARIA D OSI INDUSTRIES LLC 02/18/16 HERRERA LAW CENTER HENNESSY & ROACH PC 479 16WC 06659 CATANIA, BERNARD F. MAINES PAPER & FOOD SERVI 05/06/14 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 480 16WC 06753 ELLIS, BRITTANY RED LOBSTER 01/31/16 STROM, NEAL B 481 16WC 06805 KARIUKI, VERONICA THE IMPERIAL OF LINCOLN P 10/16/15 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 482 16WC 06854 PANGANIBAN, KRISTY FIFTH THIRD BANCORP 11/06/15 MORGENSEN & ASSOCIATES HOLECEK & ASSOCIATES 483 16WC 06927 MESSINA, PAUL CHICAGO FLEET MGMT DEPT 08/31/15 CUDA LAW OFFICES CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 16WC 07005 AGUILAR, CRISSEL AKA LA CONCHITA SUPERMARKET 07/09/14 JONATHAN SCHLACK 485 16WC 07245 CUENCA, ALINA R. HYATT REGENCY-OHARE 07/07/15 RUEDA, IVAN A HENNESSY & ROACH PC 486 16WC 07394 BUCKLES, BRYAN STAFF SOURCE 02/19/16 HORWITZ HORWITZ & ASSOC 487 16WC 07558 ISOM, SHUWANDA CHICAGO PUBLIC SCHOOL 02/04/16 BOGUSZ & BOGUSZ LTD 488 16WC 07616 MARTINEZ, MARTHA DEBBIE'S CUSTOMIZED STAFF 11/25/15 GOLDSTEIN AIOSSA & GOOD 489 16WC 07682 MC MILLIAN, JOHNNETHA GERRESHEIMER GLASS INC 02/29/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 490 16WC 07705 MEXICANO, ALEJANDRO THE BEER BISTRO 08/20/13 LAW OFFICES LEONARDO MORAL LAW OFFICES JOSEPH MARCINIAK 491 16WC 07773 LOPEZ, ERIKA CASTELLANO DOUBLETREE CHICAGO 02/19/16 HART & DAVID LLP 492 16WC 07799 AGUILAR, MARIA DE JESUS ORIGINAL PIZZA LLC 02/10/16 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 493 16WC 07964 ODONKOR OWUSU, BEATRICE W MEDALLION FUNDING CHICAGO # 05/24/14 ANKIN LAW OFFICE 494 16WC 11801 VASQUEZ, JOSE UNITED VAN LINES 02/11/15 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 495 16WC 14106 SMITH, NORRELLE COOK DUPAGE TRANSPORTATIO 04/28/16 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 496 16WC 14400 DAVY, MARCIA INGALLS MEMORIAL HOSPITAL 12/14/15 BLOCK, KLUKAS & MANZELLA P 497 16WC 14923 MYERS, HAL UNITED AIRLINES 08/25/15 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 498 16WC 14938 LUNKES, JOHN CITY OF CHICAGO-DEPT OF F 07/08/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 499 16WC 15339 ELLWOOD, JOHN THE HERTZ CORPORATION 01/06/16 HEALY SCANLON LAW FIRM BRYCE DOWNEY & LENKOV LLC 500 16WC 15348 GASCA, JUAN CHETAK CHICAGO LLC 07/22/15 THE ROMAKER LAW FIRM 501 16WC 15370 DE LA TORRE, FABIOLA RML SPECIALTY HOSPITAL 03/29/16 BERG & BERG KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 502 16WC 15466 SLIFKA, CARL DELTA AIRLINES INC 05/05/15 RIDGE & DOWNES ROBERT L. SMITH 503 16WC 15484 SANCHEZ, RICARDO KOCH FOODS 01/09/16 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC 504 16WC 15618 SWIECH, MARIA FMI, LLC C/O CT CORPORATI 03/29/16 HETHERINGTON KARPEL BOBBER HOLECEK & ASSOCIATES 505 16WC 15656 BROOKS, JOHN COOK COUNTY SECURITY DEPA 04/15/16 ANESI OZMON RODIN NOVAK KO STATES ATTORNEY OF COOK COUN 506 16WC 15676 CALLIS, ROBERT W TEKSYSTEMS 04/15/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 507 16WC 15694 MCGAHA, RENESHA SCR MEDICAL TRANSPORTATIO 04/13/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 508 16WC 15733 SHLAIMON, FARIS CHICAGO PUBLIC SCHOOLS 04/21/14 ASHER, RAYMOND L LTD 509 16WC 15820 PEREZ, LUZ M SENIOR OPERATION INC 04/10/15 LEAHY, JAMES P BRADY CONNOLLY & MASUDA PC 510 16WC 15871 MCCRAY, AARON CTA 05/17/16 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 511 16WC 15904 PACHECO, SARAH D MENARDS 05/04/16 THERMAN LAW OFFICES 512 16WC 15967 REDMOND, LEKIA D CHICAGO PUBLIC SCHOOLS 09/30/13 GOLDBERG WEISMAN & CAIRO L 513 16WC 16063 FIGUEROA, ARMANDO L MARIANOS 04/01/16 MONDRY & MONDRY 514 16WC 16159 SANKS, LASHAWN CPS 04/05/16 LANGENDORF, ROBERT A 515 16WC 16191 HARRELL, SHANICE CTA 04/21/16 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 516 16WC 16270 HERBST, MATTHEW PRIME SCAFFOLD, INC 10/20/15 VLANTIS LAW LLC 517 16WC 16433 BURTON, CHRISTOPHER ECO JOINT AGREEMENT 05/04/16 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 518 16WC 16482 YORK, JEFFREY A CITY OF HARVEY 02/16/16 D&O LAW GROUP INMAN & FITZGIBBONS 519 16WC 16570 PRYST, JOE VILLAGE OF SKOKIE 05/07/16 MURPHY & MURPHY VILLAGE OF SKOKIE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 520 16WC 16612 MUNOZ, RAMIRO NOW NATURAL FOODS 03/23/16 BARRY STEWART SILVER ACCIDENT FUND HOLDINGS 521 16WC 16728 KENNEDY, DANIEL CICERO SCHOOL DISTRICT 99 05/09/16 THOMAS A MORRISSEY INMAN & FITZGIBBONS 522 16WC 16741 SMITH, JEROME KINDRED HOSPITAL 05/19/16 ANKIN LAW OFFICE ARNETT LAW GROUP 523 16WC 16818 BARNES, CHARLES W GUY F ATKINSON 02/24/15 ANESI OZMON RODIN NOVAK KO 524 16WC 16831 GHISOLF, RONALD DEPAUL UNIVERSITY 05/11/16 SEIDMAN MARGULIS & FAIRMAN 525 16WC 16912 ISMAIL, ISMAIL A. 3860 TAXI CORP. 01/08/16 STEPHEN G PINTO LTD 526 16WC 16947 TOWNSEND, CELESTE ALLIED TUBE ATKORE 05/10/16 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 527 16WC 16957 SPILLONE, JOSEPH IL STATE TOLL HWY AUTHORI 05/07/16 GREGORIO & MARCO GANAN & SHAPIRO 528 16WC 17016 GASPER, ALFONSO SURE STAFF INC 05/27/16 LAW OFFICES LEONARDO MORAL KEEFE CAMPBELL & ASSOC LLC 529 16WC 17163 ROBINSON, JASMINE PRESENCE RESURRECTION MED 01/15/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 530 16WC 17278 ROHAN, JOHN UNITED AIRLINES INC. 10/17/15 RIDGE & DOWNES 531 16WC 17318 DIAZ, ALEJANDRO GEORGIS CATERING 05/11/16 HUGHES SOCOL PIERS RESNICK 532 16WC 17502 LOPEZ, JOSE RAUL LAKESIDE METALS 10/12/15 HOWARD S. KAVENOW LLC 533 16WC 17733 PARAMO, ANTHONY JEWEL FOODS 04/15/16 BOUDREAU NISIVACO LLC 534 16WC 17778 CEPICKA, HELEN JEWEL-OSCO 07/05/14 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 535 16WC 17877 WIMBERLY, ARNOLD QUAKER OATS 02/05/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 536 16WC 17922 JELLOVITZ, AZUCENA CARDINAL BUILDING MAINT I 08/09/14 HART & DAVID LLP HOLECEK & ASSOCIATES 537 16WC 17949 HILL, BARBARA CHICAGO PUBLIC SCHOOL 05/04/16 ROGER D RUDICH LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 538 16WC 17966 MEGED, HOLLY THE ARK 05/26/16 RUBIN MACHADO ROSENBLUM INMAN & FITZGIBBONS 539 16WC 18134 BELLHAMM, TIERRA CAPITAL ONE 06/05/16 JOHN E LUSAK GRANT & FANNING 540 16WC 18161 BOGASKI, JOHN J HERTZ EQUIPMENT RENTAL 04/04/16 O'CONNOR & NAKOS HENNESSY & ROACH PC 541 16WC 18180 VAZQUEZ, TAMARA ENVOY AIR INC 04/14/15 COVEN LAW GROUP 542 16WC 18188 POZNIAK, AMANDA PACTIV # 06/13/13 PORRO NIERMANN LAW GROUP 543 16WC 18456 KNIGHT, GREGORY A CITY OF CHGO DEPT OF AVIA 11/21/15 ANKIN LAW OFFICE MEACHUM & STARCK 544 16WC 18472 DIAZ, VICTORIA SEARS HOLDING CO 10/13/14 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 16WC018473 -C 16WC018475 -C 545 16WC 19372 GERHART, RICHARD J. CITY OF CHICAGO, DEPT OF * 04/29/16 ANKIN LAW OFFICE 16WC019373 -C 546 16WC 21746 REECE, DANIEL DANIEL G. HODGES 12/04/13 CHRISTIAN & MANNO FRANCIS J DISCIPIO LAW OFFIC 547 16WC 22948 DYNAK, SWAY DR. PEPPER SNAPPLE GROUP, 12/24/15 MILLON & PESKIN LTD GAROFALO SCHREIBER STORM 548 16WC 24048 JACKSON, ZERRY CITY OF CHICAGO 07/25/16 JOSEPH J SPINGOLA, LTD 549 16WC 24182 DELGADO, EDGAR STANDARD EQUIPMENT COMPAN 04/28/16 ANESI OZMON RODIN NOVAK KO 550 16WC 24881 RODRIGUEZ, PRECHAE ARENA FOOTBALL ONE 02/27/14 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 551 16WC 25293 BABINSKI, KRZYSZTOF PRO TEMP OF ILLINOIS, INC 08/09/16 ALEKSY BELCHER LAW OFFICES JOSEPH MARCINIAK 552 16WC 25316 LAMA, BARRY ILLINOIS DEPARTMENT @ 01/25/15 FIGLIOLI, DAVID ILLINOIS ATTORNEY GENERAL 553 16WC 25490 HERNANDEZ, CONRADO ELITE STAFFING 07/14/16 HART & DAVID LLP 554 16WC 25519 KIMBROUGH, GREGORY AIRBORNE TREE SERVICE 08/13/16 GOLDSTEIN AIOSSA & GOOD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 16WC 25563 RICE, AUSTIN M. JACKSON PARK HOSPITAL 01/17/15 VITELL & SPITZ LTD ODELSON & STERK 556 16WC 25582 STACY, CYNTHIA THE UNIVERSITY OF CHICAGO 08/01/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 557 16WC 25611 CASTILLO, ASUNCION ELITE STAFFIN INC. 05/04/16 THE ROMAKER LAW FIRM 558 16WC 25703 COLEMAN, NICOLE ADVOCATE CHRIST MEDICAL C 08/23/15 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM 559 16WC 25736 ALCALA, LUCINDA CHICAGO TRANSIT AUTHORITY @ 08/08/16 LAW OFFICE HOWARD ABRAMS CHICAGO TRANSIT AUTHORITY 560 16WC 25863 O'CONNOR, MAURICE NORTHEASTERN ILLINOIS UNI 08/15/15 HEALY SCANLON LAW FIRM MALLORY ZIMET 561 16WC 25970 GIRA, PATRICIA A VILLAGE OF ORLAND PARK 08/26/14 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 562 16WC 26138 MEZA, ROBERTO METRO STAFF, INC 08/05/16 STROM, NEAL B FRANCIS J DISCIPIO LAW OFFIC 563 16WC 26161 WEST, STEVE JB HUNT TRANSPORT, INC.C/ 08/18/16 O'CONNOR & NAKOS GRANT & FANNING 564 16WC 26182 WALKER, TEKESHA SCR MEDICAL TRANSPORTATIO 08/18/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 565 16WC 26315 BORKO, GALINA Y LOYOLA MEDICINE HOME CARE 02/22/16 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 566 16WC 26319 CLEMENTS, ALAN YRC FREIGHT 08/01/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 567 16WC 26340 HOGUE, HOWARD SEIU LOCAL 73 08/03/16 LEE, MARK N LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 568 16WC 26369 SCHOLTENS, RANDY PRIME ELECTRIC CO., INC. 04/06/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 569 16WC 26400 FAJARDO, ORBELIN MUDWEST CONSTRUCTION 08/16/16 DWORKIN AND MACIARIELLO 570 16WC 26421 CURTIS, DARREN CITY OF CHICAGO 08/15/16 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 571 16WC 26468 MORTALI, ANDREA UNITED AIRLINES INC. 02/12/16 BRIAN J MC MANUS & ASSOC, 572 16WC 26527 ALFARO, EUGENIA SUNRISE SR LIVING 04/05/16 FOHRMAN, DONALD W & ASSOCS NOBLE & ASSOCIATES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 16WC 26543 SHAIKH, NOOR NEW ALBERTSON'S INC 07/09/16 RUBENS AND KRESS 574 16WC 26595 PERRITANO, ANTHONY SMITH CROSSING SENIOR LIV 07/16/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 575 16WC 26767 HARSLEY, STEVE M. COOK COUNTY SHERIFF'S DEP 11/10/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 576 16WC 26826 HUDSON, ELIZABETH JEWEL FOOD STORES, INC. 04/01/16 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 577 16WC 26902 LEWANDOWSKI, JOYCE M JEWEL FOODS 04/01/16 TOSCAS, JOHN Z LAW OFFICE RODDY LAW LTD 578 16WC 27016 ROSKOPF, ANGELA BAR-TINI LOUNGE 03/27/15 DWORKIN AND MACIARIELLO WOLF LAW LTD 579 16WC 27100 MURAWSKI, RENEE AMERICAN SALE 06/11/15 MARC S. MAYER & ASSOCIATES GANAN & SHAPIRO 580 16WC 27136 VAZQUEZ, ANICETA ARYZTA LLC 10/10/15 SALK, STEVEN B & ASSOC LTD 16WC027137 -C 16WC027138 -C 581 16WC 27187 WASHINGTON, TOMMY PROLOGISTIX STAFFING 08/26/16 SOSTRIN AND SOSTRIN PC 582 16WC 27213 DUDZIAK, DOROTA PRESENCE RESSURECTION MED 01/28/16 ALEKSY BELCHER KEEFE CAMPBELL & ASSOC LLC 583 16WC 27432 GONZALEZ, DAVID AKERS PACKAGING SERVICE G 08/15/16 VRDOLYAK LAW GROUP LLC 584 16WC 27509 ADAMS, FRANK A BASSWOOD CONSTRUCTION, IN 07/25/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 585 16WC 27536 YOUNGER, HALEMA CHICAGO PUBLIC SCHOOLS 01/26/16 EVAN A HUGHES LAW OFFICE 586 16WC 27600 MOON, TRAVIS COOK COUNTY JUVELINE DETE 08/26/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 587 16WC 27689 FIGARELLI, IRENE NORTHWEST COMMUNITY HOSPI 01/20/16 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 588 16WC 27709 MCCAFFREY, BRIAN VICTORY SPUD SERVICE, INC 06/02/16 CORBOY & DEMETRIO PC 589 16WC 27721 HARDING, BRANDON FORD MOTOR COMPANY 07/20/16 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 590 16WC 27751 HOLTON, CONSTANCE AUNTMARTHA'S HEALTH & WEL 02/16/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 591 16WC 27784 CARAJOHN, JEFFREY GW BERKHEIMER 02/18/16 COVEN LAW GROUP 16WC027786 -C G.W. BERKHEIMER 592 16WC 27796 GONZALEZ, MARIA ELENA VIENNA BEEF 09/07/16 PETER D CORTI LAW GROUP MEACHUM & STARCK 593 16WC 27835 HARTY, ROBERT ABLE ENGINEERING SERVICES 11/27/14 HEALY SCANLON LAW FIRM 594 16WC 27903 SHANAHAN, MICHAEL CHICAGO TRANSIT AUTHORITY 12/06/14 MEYERS & FLOWERS CHICAGO TRANSIT AUTHORITY 595 16WC 27936 MUNOZ, LUCIA STERLING SLEEP PRODUCTS, 08/26/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 596 16WC 28072 ALCOZER, JOSE DEPARTMENT OF HUMAN SERVI @ 08/08/16 DAVID W MARTAY 597 16WC 28109 LUNA, BLADIMIR CHICAGO MATTRESS CO 08/30/16 DWORKIN AND MACIARIELLO 598 16WC 28241 HARRIS, MARLOW JEWEL FOODS 09/03/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 599 16WC 28269 KENNEDY, ZERLINKA LETTS INVESTMENT REALTY I 05/12/16 DEUTSCHMAN, JEFFREY S 600 16WC 28299 CAMPBELL, RUSSELL COOK-DUPAGE TRANSPORTATIO 10/27/13 601 16WC 28329 DELEON, LUIS G FE MORAN INC 08/19/16 FIGLIOLI, DAVID 602 16WC 33137 FUMEZ, ANGELA HYATT REGENCY 10/20/16 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 603 16WC 33285 SHERMAN, ROSS CHICAGO TRANSIT AUTHORITY 03/15/16 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 604 16WC 33588 WILSON, NATHAN CITY OF CHICAGO 06/08/15 TRUGLIO, FRED A & ASSOC 605 16WC 33784 MORRIS, MARQUITA ABM ONSITE SERVICES, INC 09/22/16 ELFENBAUM EVERS & AMARILIO LITCHFIELD CAVO 606 16WC 34660 SLUSARCZYK, MICHAL P NEW PETER PAINGING INC 10/18/16 ANKIN LAW OFFICE MEACHUM & STARCK 607 16WC 34693 FOUNTAIN, MELINDA UNITED AIRLINES 12/19/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 608 16WC 34775 TORRES, ELVIRA MARIANO'S 04/30/16 COSTA IVONE LLC CLAYBORNE SABO & WAGNER 609 16WC 34789 TAYLOR, ROGIE JOHN STROGER JR HOSPITAL 06/08/16 TOPPER & WEISS LTD STATES ATTORNEY OF COOK COUN 610 16WC 34823 ASH, PATRICIA FRIENDSHIP VILLAGE 11/03/14 WARREN W MARK LAW OFFICES FRANCESCA LARSEN 611 16WC 34853 WOODS, CHRISTOPHER A COOK COUNTY DEPTOF CORREC 11/07/16 VITELL & SPITZ LTD 612 16WC 34873 MORALES, ROSALINDA BEAUTY EXPRESS SALONS & S 07/08/16 BRIAN J MC MANUS & ASSOC, MEACHUM & STARCK 613 16WC 34896 ROSS, CRYSTAL COOK COUNTRY JUVENILE 11/04/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 614 16WC 34937 QUAM, JOHN O CLEVELAND INTEGRITY SERVI 09/28/16 TUITE LAW WIEDNER & MCAULIFFE LTD 615 16WC 34981 JACKSON, CAROLYN R AMERICA'S KIDS LLC 11/04/16 616 16WC 35097 MCLAUGHLIN, THOMAS MIDWAY INDUSTRIAL EQUIP 01/29/16 GREGORIO & MARCO LITCHFIELD CAVO 617 16WC 35165 VILLEGAS, ARTURO COZZINI BROS, INC 03/10/16 CHEPOV & SCOTT LLC 618 16WC 35235 MCSHERRY, THOMAS CITY OF CALUMET CITY 11/07/16 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 619 16WC 35256 YOUNG, JOSEPH RON'S STAFFING 09/18/16 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM 620 16WC 35306 STOCKDALE, TITUS DEPARTMENT OF WATER MANAG 11/02/16 RIDGE & DOWNES CITY OF CHICAGO 621 16WC 35308 SPAAGAREN, TIMOTHY MAYFIELD TRANSFER COMPANY 08/18/16 GOLDBERG WEISMAN & CAIRO L 622 16WC 35344 LANDA-HERNANDEZ, AGUSTINA ALAVA & SON 10/15/15 JAMES ELLIS GUMBINER & ASS 623 16WC 35424 WILSON, ROBERT ABRA AUTO BODY & GLASS 11/04/16 BURNES, EDWARD M MEACHUM & STARCK 624 16WC 35506 FOX, MARTIN T KNICKERBOCKER ROOFING & 08/24/15 O'CONNOR & NAKOS 625 16WC 35552 ACOSTA, ENRIQUETA CHICAGO BOARD OF EDUCATIO 11/07/16 LEO ALT LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 626 16WC 35611 MCINTYRE, MARTIN T PEOPLES ENERGY/PEOPLES GA 04/22/15 O'CONNOR LAW GROUP LLC 627 16WC 35641 DAVIS, NICHOLAS ZF LEMFORDER 10/08/16 LAW OFFICE OF SCOTT B SHAP KEEFE CAMPBELL & ASSOC LLC 16WC035642 -C 17WC003045 -C 628 16WC 35686 DOOBAY, LUCIENE ESQUIRE HOSPITALITY STAFF 01/16/16 VASILATOS & COTTER LLC 629 16WC 35721 GILLIES, RICK AMERICAN AIRLINES 09/09/16 KATZ FRIEDMAN EAGLE ET AL 630 16WC 35799 PERSON-BROWN, CYNTHIA ALLIANCE FOR COMMUNITY PE 11/04/16 631 16WC 35816 NUNN-PAGE, NATASHA CITY OF CHICAGO 08/15/16 DANIEL PERIASWAMY CITY OF CHICAGO 632 16WC 35892 SHERWOOD, NIGEL JB HUNT ENTERPRISE 05/24/16 LEONARD LAW GROUP LLC GRANT & FANNING 633 16WC 35997 EDWARDS, AMANDA COOK COUNTY JUVENILE 09/21/16 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 634 16WC 36003 DAVIS-BUCKNER STATE OF IL MENTAL HEALTH @ 11/13/16 STEPHEN G PINTO LTD MALLORY ZIMET 635 16WC 36023 MILLER, MARVIN FED EX 11/08/16 STEVEN J TENZER, LTD BRADY CONNOLLY & MASUDA PC 636 16WC 36078 CRUZ, MARTIN KDK DECORATORS LLC 10/07/16 BERG & BERG LAW OFFICES JOSEPH MARCINIAK 637 16WC 36172 AGUILOS, FRANCHESCA D MAA ST PAULS HOUSE & HEALTHCA 07/08/16 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 638 16WC 36194 RODRIGUEZ, DOMINIC CITY OF EVANSTON 06/24/16 FOHRMAN, DONALD W & ASSOCS 639 16WC 36207 LEE, LONDON INDEPENDENCE PLUS INC 04/23/16 ANKIN LAW OFFICE 640 16WC 36271 CARAVANTES, VERONICA CVS 11/23/16 SEIDMAN MARGULIS & FAIRMAN HINSHAW & CULBERTSON 641 16WC 36354 FERRARIS, ANTHONY CITY OF CHICAGO FIRE DEPA 09/12/16 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 642 16WC 36378 STENSLIK, CATHERINE D LOEWS CHICAGO HOTEL 10/09/16 RICHARD E ALEKSY MEACHUM & STARCK 643 16WC 36420 POLUHA, JOELLA BORG WARNER 07/19/16 PONNE LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 644 16WC 36421 WELLINGTON, LAWRENCE FIRST CHOICE TRANSPORATIO 07/01/16 DE SALVO, SCOTT D LAW OFFI 645 16WC 36441 LAUGHERY, RICK UBER 10/12/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 16WC037009 -C 646 16WC 36485 SANCHEZ, WILLIAM A VILLAGE OF ORLAND PARK 08/13/16 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 647 16WC 36541 MIREA, SORIN YELLOW CAB CO/NECT 40 LLC 11/21/16 ROBIN LAW OFFICE 648 16WC 36562 FAVORS, LENISE RAINBOW BEACH CARE CTR 11/29/16 DWORKIN AND MACIARIELLO 649 16WC 36612 HERMAN, RICHARD UPS 03/30/16 STEWART C ORZOFF NYHAN BAMBRICK KINZIE & LOWR 650 16WC 36706 HARTIGAN, JOHN UNIVERSITY OF ILLINOIS AT 09/09/15 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 651 16WC 36733 LEWIS, CHANCELLOR BRITE LOGISTICS INC 06/02/16 EMERSON & ELDER 652 16WC 36847 NAVARRO, OSCAR NORTHWEST CLEANING SOLUTI 09/09/16 CARONE LAW OFFICES 653 16WC 36857 AGUILAR, EDITH THE GROVE OF NORTHBROOK 10/10/14 JONATHAN SCHLACK 654 16WC 36878 MORRISSETTE, KAREN COOK COUNTY C/O RISK MGMT 07/21/16 ROBERT A. WILSON 655 16WC 36979 LARAMORE, BERNARD PARAGON SYSTEMS, INC 10/28/16 GOLDBERG WEISMAN & CAIRO L 656 16WC 37002 SOLIS, MARTIN HIGHLINE BAR & GRILL 10/25/16 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 657 16WC 37048 NELSON, ANTWON CITY OF CHICAGO 11/16/16 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 658 16WC 37086 PERKINS, ANTHONY AMERICA'S KIDS 11/30/16 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 659 16WC 37112 ALEXANDER, JASMIN DHL GLOBAL FORWARDING 12/02/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 660 16WC 37141 BAUTISTA, PERFECTA ECOCO, INC. 09/29/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 661 16WC 37187 MARION-JOHNSON, SAMANTHA WINDMILL NURSING HOME 09/28/16 STROM, NEAL B

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 680 16WC 37959 COURTNEY, SHAWN VILLAGE OF SCHAUMBURG 01/10/14 RICHARD E ALEKSY MACIOROWSKI SACKMANN & ULRIC 681 16WC 38001 NIELEEN, HEATHER BLUE PEARL VETERINARY 09/15/16 KROL BONGIORNO & GIVEN LTD MC ANDREWS & NORGLE LLC 682 16WC 38018 MONTIJO, ABRAHAM DPI DEDICATED LOGISTICS 12/01/16 COSTA IVONE LLC 683 16WC 38103 MATTI, ALIN NELLESSENS EXPRESS INC 03/25/16 DWORKIN AND MACIARIELLO 684 16WC 38172 KOETZLE, CYNTHIA ACH FOOD COMPANIES 09/07/16 WILLIAMS, ROBERT B LAW OFF 685 16WC 38209 MOORE, LEON A UPS 11/21/16 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 686 17WC 01055 BALIKIAN, CYNTHIA UNITED AIRLINES 07/24/15 KATZ FRIEDMAN EAGLE ET AL 687 17WC 03539 LAGUNAS, ADRIAN AMEX NOOTER, LLC 10/29/16 ROSS TYRRELL HENNESSY & ROACH PC 688 17WC 03769 CLEVELAND, JASMINE FORD MOTOR COMPANY 01/18/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 689 17WC 03971 PRYBIL, MICHAEL CHICAGO TRANSIT AUTHORITY 01/19/17 LANNON LANNON & BARR LTD CHICAGO TRANSIT AUTHORITY 690 17WC 04337 CUMMINS, MCKINLEY ENTERPRISE 06/21/16 STEVEN J MALMAN & ASSOCIAT KNELL & O'CONNOR 691 17WC 04349 COLIANNE, MIKE ENTERTAINMENT PARTNERS 12/20/16 CULLEN HASKINS NICHOLSON 692 17WC 04418 GASQUOINE, SARAH H & R BLOCK ENTERPRISES L 01/07/15 ANKIN LAW OFFICE 693 17WC 04601 PATTON, JAZLYN SCOOBEEZ 02/08/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 694 17WC 04641 WILSON, RYAN STATE OF ILLINOIS-LOTTERY @ 10/14/16 LEE, MARK N LAW OFFICE MALLORY ZIMET 695 17WC 04742 TOBIAS, SHERRITA UNILEVER USA 09/14/16 GOLDSTEIN AIOSSA & GOOD 696 17WC 04781 BANNISTER, MONIQUE CHICAGO TRANSIT AUTHORITY 01/19/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 17WC005788 -C 697 17WC 04806 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO 04/12/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 698 17WC 04863 HERNANDEZ, JOSE L SEBERT LANDSCAPING 11/24/15 WARREN W MARK 699 17WC 04898 HORTON, PATRICIA CHICAGO PUBLIC SCHOOLS 01/30/17 STROM, NEAL B LAW DEPARTMENT 700 17WC 04949 JOHNSON, JO ANN CATHOLIC CHARITIES 09/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 701 17WC 04951 WILLIS, GERMAINE LAZ PARKING ENFORCEMENT 11/02/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 702 17WC 04996 THOMAS, TAMICA CHECKERS 02/12/17 DWORKIN AND MACIARIELLO RODDY LAW LTD 703 17WC 05009 SMITH, JEANINE HOLY CROSS HOSPITAL 11/21/16 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 704 17WC 05013 NASH, BRENDA VITA FOOD PRODUCTS INC. 01/03/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 705 17WC 05119 MARTIN, GLENN UNIVERSITY OF ILLINOIS 01/27/16 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 706 17WC 05204 STEELE, REGINA CHICAGO TRANSIT AUTHORITY 02/07/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 707 17WC 05221 DELFI, MADELINE DUNKIN DONUTS 01/26/17 BRISKMAN BRISKMAN GREENBER COZZI & GOGGIN-WARD 708 17WC 05242 TRUJILLO, GASPAR ASBACH & VANSELOW, INC 02/09/17 O'CONNOR & NAKOS 709 17WC 05262 MILLER, DENNIS MCHUGH CONSTRUCTION 12/06/16 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 710 17WC 05283 THOMAS, MAURICE SR CITY OF CHICAGO 12/13/16 CUDA LAW OFFICES 711 17WC 05314 SAMARS, RAYMOND ELEVATOR INDUSTRIES OF IL 12/05/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 712 17WC 05332 DURAN, EDUARDO IRON MOUNTAIN 01/03/17 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 713 17WC 05380 ORTIZ, JOEL ARAMACK SERVICE INC 02/02/17 STEVEN J MALMAN & ASSOCIAT 714 17WC 05402 CANADA, KENNETH COOK COUNTY SHERIFF EMERG 12/07/16 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 715 17WC 05408 ARENAS, ARTURO EARLY SOCIETY BAR AND GRI 01/23/17 SALK, STEVEN B & ASSOC LTD WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 716 17WC 05428 MILAN, KEVIN ATKORE INTERNATIONAL 08/15/15 FINE, MARK S LAW OFFICES 717 17WC 05509 RUBIO, ALFONSO NALCO CO 09/13/16 DEPAOLO ZADEIKIS GORE KEEFE CAMPBELL & ASSOC LLC 718 17WC 05525 GOLONKA, CHRIS COOK COUNTY SHERIFF'S DEP 01/23/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 719 17WC 05550 COULIBALY, MARY COOK COUNTY- JUVENILE TEM 07/31/15 BRISKMAN BRISKMAN GREENBER STATES ATTORNEY OF COOK COUN 720 17WC 05570 BUFORD, CYNTHIA WELLS FARGO 02/05/16 VRDOLYAK LAW GROUP LLC 721 17WC 05653 MANNING, CORTEZ AMAZON 01/03/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 722 17WC 05678 CAMPOVERDE, CARLOS MARRIOT/HOTEL 07/27/16 WILLIAM MARTAY 723 17WC 05708 MARTINEZ, MARIA DEL CARME TAQUERIA LOS COMALES 01/27/17 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 724 17WC 05801 SCOTT, CHAD W FORD MOTOR COMPANY 01/19/17 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 725 17WC 05822 HARDY, ANNASTASIA CITY OF CHICAGO 03/14/16 DWORKIN AND MACIARIELLO 726 17WC 05824 DANIELS, MUZETTE SEGUIN SERVICES INC 02/21/17 DWORKIN AND MACIARIELLO 727 17WC 05845 DELGADILLO, NICHOLAS ALANSON MANUFACTURING 03/01/16 BRAD J. BALKE, PC 728 17WC 05933 FORDE, JARED FORDE WINDOWS & REMODELIN 06/28/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 17WC005934 -C 729 17WC 05962 MOTELY, SUSAN M CENTRAL STATES PENSION FU 02/08/17 ANKIN LAW OFFICE 730 17WC 05989 MENDOZA, LORI TOWER AUTOMOTIVE 10/28/14 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 17WC005990 -C 17WC005991 -C 17WC005992 -C 17WC005993 -C 731 17WC 06014 HAYES, PAUL A CORRECT CONTRUCTION 09/02/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 732 17WC 06051 KHAMISSI, FARZANEH DYNAMEX INC 12/09/16 EFTEKHARI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 733 17WC 06132 BOUHOUTSOS, PANAGIOTIS EAST BALT COMMISARY 10/13/16 CORNFIELD & FELDMAN 734 17WC 06157 SCHULLER, MICHAEL JEWEL FOOD STORES 06/12/16 ROSS TYRRELL 735 17WC 06184 JOHNSON, ANGELA RELATED MANAGEMENT 06/16/16 DWORKIN AND MACIARIELLO 736 17WC 06213 ALEJO, GUADALUPE STAFFING NETWORK 01/12/16 AIOSSA LAW FIRM RODDY LAW LTD 737 17WC 06258 SHANNON, PEGGY ALEXIAN BROTHERS MEDICAL 10/12/15 ARIANO HARDY NYULI JOHHSON HENNESSY & ROACH PC 738 17WC 06298 CIBRIAN, JUAN PLATINUM PEST SOLUTIONS 02/20/17 WHITESIDE & GOLDBERG LTD ANCEL GLINK DIAMOND BUSH & E 739 17WC 06329 MUELLER, ANN FERTILITY CENTERS OF AMER 01/02/15 COVEN LAW GROUP HOLECEK & ASSOCIATES 740 17WC 06331 BARRON, RANDY CITY OF CALUMET CITY 02/03/17 COVEN LAW GROUP 741 17WC 06381 FIELDS, NORMA CHICAGO TRANSITY AUTHORIT 02/01/17 STEVEN M SELAN CHICAGO TRANSIT AUTHORITY 742 17WC 06417 OSTROWSKI, CHRISTOPHER WASTE MANAGEMENT 11/01/16 GOLDBERG WEISMAN & CAIRO L 743 17WC 06453 NEVAREZ, EFREN OSI INDUSTRIES, LLC 10/01/16 SALVATO & O'TOOLE HENNESSY & ROACH PC 744 17WC 06507 SKRYD, THOMAS MARS CHOCOLATE NORTH AMER 09/29/16 CUDA LAW OFFICES GAROFALO SCHREIBER STORM 745 17WC 06560 SULLIVAN, MICHAEL JERNBERG INDUSTRIES 03/01/17 VASILATOS & COTTER LLC 746 17WC 06588 GARRISON, ERNEST HARRINGTON & KING 12/09/16 DIXON LAW FIRM 747 17WC 06632 HOPKINS, LAMOUNT CTA 02/04/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 748 17WC 06680 ROMANO, MICHAEL SRC ELECTRIC 02/17/17 THOMAS A MORRISSEY 749 17WC 06731 SISTO, KELLY PALATINE PARK DISTRICT 01/23/17 SEIDMAN MARGULIS & FAIRMAN MC CABE & HOGAN 750 17WC 06762 SZCZUDLO, MICHAEL AMERICAN AIRLINES 01/02/17 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 751 17WC 06778 GONZALES, DEXTER DINDO V UNITED AIRLINES 02/12/17 ANKIN LAW OFFICE 752 17WC 06851 ZAMARRIPA, ANGELICA AVIS BUDGET 02/24/17 LAW OFFICE HOWARD ABRAMS 753 17WC 06891 JOHNSON, DELOYD JR UNITED PARCEL SERVICE 10/24/16 ANESI OZMON RODIN NOVAK KO ASA LAW GROUP 754 17WC 06913 RAMIREZ, SALVADOR Q.A. HR SRVC., INC. 01/05/17 COSTA IVONE LLC POWER & CRONIN LTD 755 17WC 06947 PATEL, SHASHIKANT SHURE, INCORPORATED 03/01/17 ANDREW J KRIEGEL INMAN & FITZGIBBONS 756 17WC 06974 MARKOWSKI, JENNIFER L VILLAGE OF BROADVIEW - 08/30/16 FIGLIOLI, DAVID 757 17WC 07006 MALDONADO, JORGE RGP INDUSTRIES 02/26/17 POLANSKY & CICHON CHTD WIEDNER & MCAULIFFE LTD 758 17WC 07022 HILTON, ERYLE FRESH EXPRESS 10/18/16 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 759 17WC 07040 GABRIELE, MICHAEL F PALOS FIRE PROTECTION DIS 02/12/17 THOMAS W DUDA 760 17WC 07063 CHAMBERS, BRITTNEY WEST 40 SCHOOL 02/08/17 STEVEN A CRIFASE, LTD 761 17WC 07160 ORTEGON, JOSEPH CHICAGO TRANSIT AUTHORITY 02/21/17 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 762 17WC 07199 TROTTER, JONATHAN SWISSPORT USA INC 12/24/16 JOHN C SERKLAND KNELL & O'CONNOR 763 17WC 07247 TOGBA, ELTON POWERS CONSTRUCTION COMPA 04/04/14 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 764 17WC 07264 PAPALEO, JONATHON MARIANO'S 03/04/17 LEONARD LAW GROUP LLC 765 17WC 07298 AMPONG, NANA TEL AVIV CAB CORP. 03/08/17 ROGER D RUDICH LTD 766 17WC 07359 GAVIN, WENDY ADVOCATE CHRIST MEDICAL C 12/15/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 767 17WC 07379 GRANT, FRANK GLENN H JOHNSON CONTRUCTI 10/27/16 GORDON & CENTRACCHIO LLC 768 17WC 07469 POMPA, MICAELA SILVER LINE BUILDING PROD 12/30/16 SAUNDERS CONDON & KENNY LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 769 17WC 07505 BOBLIE, RICHARD COHESIVE NETWORKS, INC 10/29/16 INMAN & FITZGIBBONS 770 17WC 07522 MAGEE, JAMIE REHABILITATION INSTITUTE 08/20/16 POLANSKY & CICHON CHTD KEEFE CAMPBELL & ASSOC LLC 771 17WC 07540 GARDNER, ANTHONY L SR. CHICAGO TRANSIT AUTHORITY 02/06/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 772 17WC 07557 IBARRA, ALBERTO NATIONAL PATEURIZED EGG 02/13/17 DWORKIN AND MACIARIELLO 773 17WC 07585 RAHMAN, TAOFEEK YELLOW CAB COMPANY 03/03/17 WEISS & WEISS LAW OFFICES 774 17WC 07656 MOGUEL, EMANUEL CHICAGO PARK DISTRICT 02/23/17 TOPPER & WEISS LTD CHICAGO PARK DIST LAW DEPT 775 17WC 07717 SALAS, ALFRED POMEROY 10/06/16 MC HARGUE, JAMES P LAW OFF LAW OFFICES OF EDWARD J. KOZ 776 17WC 07744 THOMPSON, KEZIA CHICAGO TRANSIT AUTHORITY 03/07/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 777 17WC 07823 NIXON, JOSEPH MATTHEWS ROOFING CO 12/01/16 FIGLIOLI, DAVID LAW OFFICES OF EDWARD J. KOZ 778 17WC 08003 RAMOS, ROBERT DAKKOTA INTEGRATED SYSTEM 07/13/16 KATZ FRIEDMAN EAGLE ET AL 779 17WC 11917 LEWIS, CHRISTINA ADVOCATE CHRIST HOSPITAL 04/18/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 780 17WC 12371 HUBBERT, BERNADETTE CHICAGO PARK DISTRICT 04/22/17 KATZ FRIEDMAN EAGLE ET AL 781 17WC 12676 WINDHAM, KEITH PACE 03/21/17 CHASE & WERNER LTD POWER & CRONIN LTD 782 17WC 13166 ALVARADO, PABLO KIMPTON HOTELS 10/31/15 HERRERA LAW CENTER HENNESSY & ROACH PC 783 17WC 13555 CERDA, HIGINIO TOOTSE ROLL COMPANY, INC. 06/16/16 HETHERINGTON KARPEL BOBBER 784 17WC 13606 MARTINEZ, MARTHA UIC HOSPITAL 11/14/16 CURTIS S BURKE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 785 17WC 13921 THOMPSON, DEJUAN DR PEPPER SNAPPLE GROUP 05/03/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 786 17WC 14937 WILLIAMS, SHERMAN FORD MOTOR COMPANY 11/02/16 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 787 17WC 14974 DAVIS, MICHAEL COOK COUNTY SHERIFF'S DEP 11/15/16 ARGIONIS & ASSOCIATES LLC 788 17WC 15014 NIKOV, DIMITAR A SIGNODE INDUSTRIAL GROUP 04/19/17 WILLIAM MARTAY HENNESSY & ROACH PC 789 17WC 15080 COOPER, MICHAEL DR PEPPER/SNAPPLE 03/07/17 SAUNDERS CONDON & KENNY 790 17WC 15107 TREJO, IRMA ALBANY CARE 05/15/15 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 791 17WC 15132 HELMRICH, CHRISTOPHER A FLOOR & DECOR OUTLETS 04/25/17 FIGLIOLI, DAVID 792 17WC 15157 BURGER, MATTHEW BINNY'S 10/31/15 KROL BONGIORNO & GIVEN LTD COZZI & GOGGIN-WARD 793 17WC 15193 CHATMAN, KENNETH RANDSTAD MAUFACTURING & 03/23/17 LAW OFFICE OF JAMES H MILL SLAVIN & SLAVIN 794 17WC 15229 VALENTIN, FELIX CLEAR LAM PACKAGING 05/11/17 STEIN & CHERNY LTD 795 17WC 15305 BURNSIDE, GINA UNITED AIRLINES 04/26/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 796 17WC 15336 WHELAN, BRIANNA FRONTIER AIRLINES 04/25/17 CULLEN HASKINS NICHOLSON 797 17WC 15351 SPAN, ALONO K JR. CINTAS CORPORATE SERVICES 05/18/17 ANKIN LAW OFFICE POWER & CRONIN LTD 798 17WC 15385 DACIOLAS, KENNETH CITY OF CHICAGO 03/15/17 JOSEPH J SPINGOLA, LTD 17WC015386 -C 799 17WC 15455 THOMPSON, BRENDA NESTLE USA 01/09/17 GOLDSTEIN AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR 800 17WC 15522 BRAVO, ADRIANA INDEPENDENT PUBLISHERS GR 04/27/17 JONATHAN SCHLACK 801 17WC 15545 POLK, GREGORY JERNBERG INDUSTRIES 08/17/15 SEIDMAN MARGULIS & FAIRMAN 802 17WC 15583 ROBINSON, JAMES AT&T 08/09/16 HERRERA LAW CENTER 803 17WC 15611 REESE, DARRELL LAFOURNETTE BAKERY 05/10/17 MANDELL, GREGG 804 17WC 15682 ESPINO, PROSPERO SCHENKER, INC. 02/18/17 STROM, NEAL B LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 805 17WC 15702 ALEXIOU, ATHINA DEPT OF HUMAN SERVICES /S 04/06/15 TIMOTHY E. TAKASH ASSISTANT ATTORNEY GENERAL 806 17WC 15728 VASSAR-BELL, CARRIE JOHN H STROGER 03/21/17 LAW OFFICES OF ANSELMO DUR STATES ATTORNEY OF COOK COUN 807 17WC 15752 ABDULLAHI, MUHUMED DISPATCH AFFILIATION LLCC 05/19/17 HETHERINGTON KARPEL BOBBER 808 17WC 15788 RAYA, JORGE GEORGIA NUT COMPANY 02/21/17 SHELDON I MINKOW & ASSOCIA CAPUANI & SCHNEIDER 809 17WC 15809 WALKER, MAURICE UNIVERSITY OF CHICAGO MED 04/21/17 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 810 17WC 15843 RAMIREZ, EDUARDO SKYLINE FURNITURE 11/07/16 THE ROMAKER LAW FIRM 811 17WC 15900 GROSS, GREGORY FORD MOTOR COMPANY 06/11/16 FOHRMAN, DONALD W & ASSOCS 812 17WC 15936 CAYETANO, DAVID ALPHA OMEGA PLASTICS CO I 05/05/17 FAJARDO LAW GROUP 813 17WC 15975 FIGUEROA, ELENA FRESENIUS KABI USA, LLC 03/13/17 SALK, STEVEN B & ASSOC LTD 814 17WC 16022 HUNTER, ALEXANDRA ALOFT CHICAGO CITY CENTER 05/28/17 COLLISON LAW OFFICES WILSON ELSER 815 17WC 16041 TOMLIN, TERRELL LYFT 04/08/17 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 816 17WC 16073 WRIGHT, DEBBIE JERNBERG INDUSTRIES, INC 12/16/16 CHRISTINE F DAVID MEACHUM & STARCK 817 17WC 16093 FOSTER-DEAN, REGINA STATE OF IL- DEPT OF HS, 05/12/17 VITELL & SPITZ LTD HELEN LOZANO 818 17WC 16106 VELEZ, JAIME ALLIED TUBE & CONDUIT 04/14/17 O'CONNOR & NAKOS 819 17WC 16133 HARDY, PHILANDERS CITY OF CHICAGO- DEPT OF 05/30/17 ARGIONIS & ASSOCIATES LLC 820 17WC 16176 SAMPEN, DAVID UNITED AIRLINES, INC 05/22/17 GREGORIO & MARCO 821 17WC 16197 DAVIS, GARY ASPEN FOODS 02/08/17 SPINAK & BABCOCK POWER & CRONIN LTD 822 17WC 16247 ANDERSON, CHRIS HYATT CORPORATION DBA HYA 04/04/17 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 823 17WC 16283 WILKERSON, SHERMAN FEDEX 07/05/16 COVEN LAW GROUP 824 17WC 16305 DEERING, DAVID LAZAR'S JUVENILE FURNITUR 03/21/17 LAW OFFICE OF SCOTT B SHAP 825 17WC 16424 ADELEKAN, COLETTE ADDUS HEALTHCARE INC 05/17/17 MATTHIAS D. GILL HENNESSY & ROACH PC 826 17WC 16465 OSORIO, LUIS NORTHWEST EXPRESS 03/12/16 LAW OFFICE OF GREGORY MART HENNESSY & ROACH PC 827 17WC 16508 RADZIWANOWSKI, JERZY JV GROUP INC 05/30/17 ALEKSY BELCHER 828 17WC 16540 SUTTON, FRANK CITY OF CHICAGO 12/27/16 THE ROMAKER LAW FIRM 829 17WC 16554 NUGUID, HELEN UNIVERSITY OF CHICAGO HOS 04/18/17 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 830 17WC 16576 THOMAS, DEBRA COOK DUPAGE TRANSPORTATIO 05/08/17 ANKIN LAW OFFICE 831 17WC 16592 MOUBARAK, JAWAD HYATT REGENCY O'HARE 02/27/17 SYREGELAS, NICHOLAS C 832 17WC 16608 NICHOLSON, SHAWN Y AUNT MARTHAS 02/26/17 RANDOLPH GREUNE LAW OFFICE 833 17WC 16650 LUCAS, SHAWANDA CHICAGO BOARD OF EDUCATIO 05/26/17 FRIEDMAN & SOLMOR LTD LAW DEPARTMENT 834 17WC 16653 HARRIS-REED, BERNICE BELLWOOD SCHOOL DISTRICT 10/23/14 COHN LAMBERT RYAN & SCHNEI 835 17WC 16672 SWIFT, CHABREKA SURE STAFF 05/23/17 ANGELINI & ORI LLC LOUIS MUNDY 836 17WC 16696 TOPOR, STEVEN MCMAHON TRANSPORT 05/10/17 HEALY SCANLON LAW FIRM 837 17WC 16739 ORTEGA, LUIS F ERA VALDIVIA CONTRACTORS, 05/08/17 NILSON STOOKAL GLEASON CAP 838 17WC 16763 LACH, WLADYSLAW NIELSON BAINBRIDGE LLC 05/10/17 BELLAS & WACHOWSKI 839 17WC 16795 CASO, MYRLIE TARIQ SIDDIQUIE 01/13/17 BAUM RUFFOLO & MARZAL LTD 840 17WC 16859 SANTILANA, ELIZABETH CHICAGO PUBLIC SCHOOLS 04/25/17 THOMAS A MORRISSEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 841 17WC 16915 BERRY, SIDNEY C SR. LAKE SHORE SPORT & FITNES 03/22/17 DAVID W MARTAY CAPUANI & SCHNEIDER 842 17WC 16933 MONTERO, WILFREDO INTEGRITY TRADE SERVICES 04/27/17 KREITER, BYCK & ASSOC LLP GAROFALO SCHREIBER STORM 843 17WC 16980 RIZWAN, KHATEEB AZMEER INC 05/21/17 FISHER & LAMONICA 844 17WC 17016 TYRELL, MICHAEL J OZINGA BROS INC 07/22/16 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 845 17WC 17048 CHUN, BRANDON ARCHDIOCESE OF CHICAGO 04/18/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 846 17WC 17070 ALVARES, EUGENIE CPS 09/23/16 DWORKIN AND MACIARIELLO 847 17WC 17098 ANDERSON, EVELYN MAXIM HEALTHCARE SVCS 02/05/16 FRIEND LEVINSON & BERGAL 848 17WC 17129 MONROY, HUGO R DEL FRISCO'S RESTAURANT G 04/23/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 849 17WC 17172 DEAR-TOWNSEND, BASEEMAH CHICAGO TRANSIT AUTHORITY 05/08/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 850 17WC 17199 PEHL, AUDREY UNITED AIRLINES, INC 08/14/16 GREGORIO & MARCO BRYCE DOWNEY & LENKOV LLC 851 17WC 17216 COYNE, MICHELE R AMERICAN AIRLINES INC 05/10/17 CULLEN HASKINS NICHOLSON 852 17WC 17235 CARDENAS, EMMA HELP AT HOME 06/27/16 COSTA IVONE LLC 853 17WC 17264 FRANCO, ALEJANDRO CASTWELL PRODUCTS 04/15/17 MC HARGUE, JAMES P LAW OFF 854 17WC 17301 HOLMES, PAMELA STATE OF ILLINOIS 04/05/17 SALK, STEVEN B & ASSOC LTD HELEN LOZANO 855 17WC 17318 RAFELSON, ANNE E BANNER PROPERTY MANAGEMEN 07/05/16 SOSTRIN AND SOSTRIN PC 856 17WC 17343 SEREDIUK, CHRISTIAN UNITED AIRLINES INC CT CO 05/23/17 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 857 17WC 17361 AMADOR, MARILYN AMERICAN SOCIETY FOR 05/07/17 LARSON & GREENBERG 858 17WC 17396 JOHNSON, ANTHONY AMERICAN AIRLINES 05/10/17 LAW OFFICES MICHAEL HELLMA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 859 17WC 17452 ASHFORD, KEVIN COCA-COLA PRODUTION 06/02/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 860 17WC 17504 HEIDT, KEVIN LOESCHER HEATING AND 05/23/17 WILLIAM S. WOJCIK LTD 861 17WC 17573 JAZRAWI, BASHAR NILES TOWNSHIP HS DISTRIC 04/27/17 GREGORY J. ABBOTT 862 17WC 17621 JOHNSON, ROBERT AAA RENTAL 06/06/17 ANGELINI & ORI LLC 863 17WC 17645 HOBSON, DAHNSHIEL ALTASTAFF 06/09/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 864 17WC 17684 HOGAN, GEORGIA DOLLAR TREE 05/30/17 LAW OFFICES ROBERT WARSASK 865 17WC 17702 KEKERE-EKUN, SIDI PINK ZONE CAB CORP LSE 06/10/17 LAW OFFICES TIMOTHY HENDER 866 17WC 17726 WILLIAMS, SETH ARENA FOOTBALL ONE LLC 05/29/16 GORDON LAW OFFICES LTD 867 17WC 20182 PASSMORE, MARLON PEPSI BEVERAGES * 06/13/17 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 868 17WC 20469 BESSIX, ALYLECE HELP AT HOME * 04/05/17 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 869 17WC 24254 SPARANO, DOMINIC CITY OF CHICAGO * 01/19/17 KROL BONGIORNO & GIVEN LTD 870 17WC 24308 TYLER, JACQUELINE UPS * 03/16/17 ASA LAW GROUP 871 17WC 24365 WILSON, CAROL KINSCH VILLAGE FLORIST & * 04/12/17 ZANCK COEN WRIGHT & SALADI 872 17WC 24389 GARCIA, GUILLERMO KOLE CONSTRUCTION CO, INC * 05/26/17 O'CONNOR & NAKOS 873 17WC 24417 WALTING, PHILLIP USF HOLLAND * 08/08/17 LEONARD LAW GROUP LLC 874 17WC 24444 TRYBULA, BARTLOMIEJ UNITED PARCEL SERVICE * 07/11/17 BOWMAN & CORDAY 875 17WC 24460 LOPEZ, GUADALUPE ELITE STAFFING * 06/07/17 CHEPOV & SCOTT LLC 876 17WC 24480 MEDINA SR, CHRISTOPHER A IL DEPT OF TRANSPORTATION * 08/17/17 THE FITZ LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 877 17WC 24508 SMITH, DONALD JR CITY OF CHICAGO STREETS A * 04/20/16 LAW OFFICE OF SCOTT B SHAP 878 17WC 24519 RUFFINS, MOQUT ARENA FOOTBALL ONE LLC * 07/23/16 GORDON LAW OFFICES LTD 879 17WC 24525 KREZEL, ANNA ABM INDUSTRIES INCORPORAT * 01/11/17 BERNAT & BERNAT PC 880 17WC 24560 TRIPAM, DYMPHNA MIDWEST OPERATING ENGINEE * 02/25/16 ROBERT JUSINO 881 17WC 24580 LAUREN, EDWARD RANDSTAD USA, LLC * 08/14/17 ANKIN LAW OFFICE 882 17WC 24622 ALLAN, HELWA DUNKIN DONUTS * 02/14/16 SANDMAN LEVY & PETRICH COZZI & GOGGIN-WARD 883 17WC 24664 JOHNSTON, JEFFERY PEOPLES GAS * 07/18/16 LEONARD LAW GROUP LLC 884 17WC 24680 SALDIVAR, MARTHA ALPHA BAKING CO * 08/28/15 TAMVAKIS, GEORGE L 885 17WC 24718 EDWARDS, FREDERICK SECURAMERICA, LLC * 07/18/17 ASHER, RAYMOND L LTD 886 17WC 24762 SONDAG, CONNIE BASINGER'S PHARMACY, INC. * 12/23/16 THE FITZ LAW GROUP 887 17WC 24801 HERNANDEZ, BENJAMIN FORD MOTOR COMPANY * 06/27/17 FOHRMAN, DONALD W & ASSOCS 888 17WC 24823 MARTINEZ, MIGUEL PEPPER CONSTRUCTION COMPA * 06/21/17 STEVEN H MEVORAH & ASSOCIA KEEFE CAMPBELL & ASSOC LLC 889 17WC 24861 THORNE, BRIAN IHOP RESTAURANT * 08/10/17 BIZZIERI LAW OFFICES 890 17WC 24891 TANKSLEY, DANTE JEWEL-OSCO * 08/20/17 LEONARD LAW GROUP LLC 891 17WC 24901 TORRES, FRANK SWISSPORT NORTH AMERICA * 08/15/17 LAW OFFICE HOWARD ABRAMS 892 17WC 24913 GAITTENS, NEAL NORCON INC * 12/15/16 LAW OFFICE MARTHA NILES CAPUANI & SCHNEIDER 893 17WC 24929 WHITE, NAKIA DND ELECTRIC, INC * 08/10/17 ANKIN LAW OFFICE 894 17WC 24949 HUTCHERSON, EVELYN BED BATH & BEYOND * 07/01/17 EDWIN REYES LEGAL GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 895 17WC 24966 GOMA, HANIN LORD AND TAYLOR * 07/11/17 KALOGERAKOS & ASSOC 896 17WC 25013 DAVILA, JESUS T&J MEAT PACKING CO * 03/21/17 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 897 17WC 25034 WATTS, EARL DISTRICT #209 * 08/09/17 CHRISTIAN & MANNO 898 17WC 25063 HAWKINS, ELIZABETH BLOOM TRAIL SCHOOL DIST * 10/01/15 FOHRMAN, DONALD W & ASSOCS 899 17WC 25093 GANVIC, BIANCA LEGACY MARKETING PARTNERS * 10/11/08 ORENSTEIN & ASSOCIATES 900 17WC 25135 KING, JULIANA ALDI INC * 12/09/16 URBAN & BURT LTD 901 17WC 25164 CASTEEL, HENRY LEE METRO STAFF, INC * 08/22/17 ACEVES & PEREZ PC 902 17WC 25171 ROBINSON, MICHELLE WINDSOR PARK MANOR * 07/17/17 DEPAOLO ZADEIKIS GORE 903 17WC 25206 KEMNETZ, ERNEST DEDICATED LOGISTICS * 12/18/16 GILDEA & COGHLAN 904 17WC 25222 CASTRO, VICTOR V&V SUPREMO * 05/13/17 JOHN J CASTANEDA 905 17WC 25251 ZABOROWSKI, DARIUSZ LAKESHORE RECYCLING SYSTE * 04/26/17 KALOGERAKOS & ASSOC 906 17WC 25271 VALDEZ, JOSE G KERRY, INC * 07/20/17 GORDON LAW OFFICES LTD 907 17WC 25335 YOUNG, GENEVIVE R DELUXE CORPORATION * 04/17/17 THE FITZ LAW GROUP HENNESSY & ROACH PC 908 17WC 25352 ALESINLOYE, SAMUEL NJ CAB CO * 08/19/17 FISHER & LAMONICA 909 17WC 25383 SANCHEZ, RICARDO TOWN OF CICERO * 05/29/17 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 910 17WC 25414 JACKSON, CAROL ILLINOIS SCHOOL BUS * 05/30/17 GOLDSTEIN BENDER & ROMANOF 911 17WC 25430 GARCIA, ANTONIO PAPPAS CO * 03/28/17 JONATHAN SCHLACK 912 17WC 25446 KENT, BARBARA J RUSH UNIVERSITY MEDICAL C * 08/23/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 913 17WC 25468 JONES, TAITANI BURLINGTON COAT FACTORY * 03/03/17 SCHAFFNER RABINOWITZ FEINA 914 17WC 25492 BETTASSO, LUIS CITY OF NORTH CHICAGO * 08/05/17 COVEN LAW GROUP 915 17WC 25608 SIEDLECKI, BETTY ADVOCATE HEALTHCARE * 04/13/17 LAW OFFICE OF KEVIN O'BRIE 916 17WC 25627 SOTO, EFREN LAKESHORE BEVERAGE * 08/09/17 GOLDBERG WEISMAN & CAIRO L 917 17WC 25668 COLLAZO, DIANA CTA * 04/05/17 SAUNDERS CONDON & KENNY 918 17WC 25693 DIMITROV, BOJIDARR MIKE BELL & WESTWATER PAT * 07/24/17 ANKIN LAW OFFICE 919 17WC 25714 TURNER, STEPHEN J UPS GROUND FREIGHT * 08/09/17 SOSTRIN AND SOSTRIN PC 920 17WC 25757 EVANS, TERRELL SURESTAFF, INC * 08/17/17 JOHN E LUSAK 921 17WC 25814 WILLIAMS, CATHY FORD MOTOR COMPANY * 08/27/17 FOHRMAN, DONALD W & ASSOCS 922 17WC 25855 GUNDERSON, DAVID SOUTHWEST AIRLINES * 12/12/15 KROL BONGIORNO & GIVEN LTD 923 17WC 25895 JONES, ISABELLA UNIVERSITY OF CHICAGO MED * 08/19/17 ANKIN LAW OFFICE 924 17WC 25913 SIDDIQ, SYED FLASH CAB CO * 08/18/17 SEIDMAN MARGULIS & FAIRMAN 925 17WC 25937 HUNKER, HARVEY CITY OF CHICAGO * 04/12/15 MARC S. MAYER & ASSOCIATES 926 17WC 25991 FLOWERS, DWIGHT UNITED PARCEL SERVICE * 08/15/17 HOWARD S. KAVENOW LLC 927 17WC 26018 GARCIA, MARIA CHICAGO PUBLIC SCHOOLS * 06/02/16 RITTENBERG & BUFFEN 928 17WC 26046 GIERCZAK, MIROSLAWA ST ALEXIUS MEDICAL CENTER * 08/31/16 EVAN A HUGHES LAW OFFICE 929 17WC 26082 BLUMENBERG, YOLANDA CTA * 09/06/17 COVEN LAW GROUP 930 17WC 26118 SURFACE, TYRONE KEYSTONE AUTOMOTIVE * 08/02/17 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 931 17WC 26150 DAVIS, JACQUELINE Y SHIRLEY ABILITYL LABORATO * 07/10/17 WARREN W MARK 932 17WC 26170 STAPLETON, CHRISTOPHER W CITY OF CALUMET CITY-FIRE * 08/16/17 FIGLIOLI, DAVID 933 17WC 26192 BENITEZ-LOPEZ, GERMAN AEROTEK * 08/03/17 ANGELINI & ORI LLC 934 17WC 26221 GIEWONT, JOZEF TREND TECHNOLOGIES LLC * 07/19/17 COSTA IVONE LLC 935 17WC 26248 CHILDERS, FRANK JOHNSON FLOORING * 08/18/17 LEONARD LAW GROUP LLC 936 17WC 26262 EGAN, RICHARD B CITY OF CHGO DEPT OF AVIA * 07/31/17 BOWMAN & CORDAY 937 17WC 26284 BUTLER, LONNELL KELLY SERVICES * 03/16/17 DWORKIN AND MACIARIELLO 938 17WC 26314 LUSK, DAVID SOUTHERN REFRIGERATED * 01/18/17 BLEAKNEY & TROIANI 939 17WC 26332 WORSHAM, CALVIN UPS * 06/26/17 ASHER, RAYMOND L LTD 940 17WC 26363 SMITH, BRITTANY SRC OF ILLINOIS LLC * 09/02/17 GOLDSTEIN AIOSSA & GOOD 941 17WC 26382 STEWART, DEVIN ROAD KNIGHTS, INC * 02/15/17 VRDOLYAK LAW GROUP LLC 942 17WC 26404 CZEKALA, TIMOTHY P VILLAGE OF BEDFORD PARK * 05/06/17 CULLEN HASKINS NICHOLSON 943 17WC 26440 TATUM, SHIRLEY VERIZON WIRELESS * 06/14/16 PORRO NIERMANN LAW GROUP 944 17WC 26497 GARCIA, JUAN MCHUGH CONSTRUCTION * 08/15/17 GOLDBERG WEISMAN & CAIRO L 945 17WC 26537 BINGENHEIMER, CARRIE LIFE SCAN LABORATORY * 01/17/17 KREITER, BYCK & ASSOC LLP 946 17WC 26554 MAXIMO-GOMEZ, GLENN ASR, INC * 06/03/14 BRADY CONNOLLY & MASUDA PC 947 17WC 26571 SANCHEZ, FERNANDO PMG FRAMING, INC * 08/14/17 MC HARGUE, JAMES P LAW OFF 948 17WC 26593 NAWROT, SEBASTIAN GO 2 LOGISTICS * 08/14/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 10/18/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 949 17WC 26612 JEWELL, DAVID CONCEPT PLUMBING * 11/30/16 DWORKIN AND MACIARIELLO 950 17WC 26645 MERTINS, AMY L APPLE INC * 02/08/17 FIGLIOLI, DAVID 951 17WC 26662 MURPHY, KEVIN DES PLAINES FIRE DEPT * 09/02/17 SEIDMAN MARGULIS & FAIRMAN 952 17WC 26687 MARRON, FRANCISCO MODAGRAFICS, INC * 01/31/17 ABELS & ANNES, PC 953 17WC 26734 DYE, KARL CITY OF CHICAGO- DEPT OF * 06/29/17 ARGIONIS & ASSOCIATES LLC 954 17WC 26774 JASKOWIAK, WILLIAM DO & CO CHICAGO CATERING, * 07/13/16 PARAD LAW OFFICES PC 955 17WC 26809 CUNNINGHAM, KARL COOK COUNTY SHERIFF DEPT * 10/20/15 GOLDBERG WEISMAN & CAIRO L 956 17WC 26835 MARTINEZ, RAUL REDS GARDEN CENTER & FIRE * 07/07/17 HERRERA LAW CENTER 957 17WC 26851 RYMUS, PHILLIP II IN ONE CONTRACTORS, IN * 04/26/17 O'CONNOR & NAKOS 958 17WC 26866 ALCALA, ADRIAN THE PROFESSIONALS * 06/14/17 JONATHAN SCHLACK 959 17WC 26887 STONE, MARY ASG STAFFING * 08/26/17 JAMES ELLIS GUMBINER & ASS 960 17WC 26941 SOTO, MARIA E MARRIOTT INTERNATIONAL * 05/24/17 VITELL & SPITZ LTD 961 17WC 26975 LUNA, JAVIER GOMEZ SHELL SVC CTR * 05/18/17 MC HARGUE, JAMES P LAW OFF