ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 33472 LOEHMAN, RHONDA TRU GREEN 05/01/06 SALVATO & O'TOOLE MICHAEL JASPER 06WC042978 -C 2 07WC 50888 POTTER, TIMOTHY RELIANCE GEAR CORPORATION 06/14/07 RIFFNER BARBER ROWDEN & SC GAROFALO SCHREIBER STORM GRA 07WC050889 -C 3 08WC 03798 HALLIN, PETER R JIM'S TOWING 10/22/07 ROMANUCCI & BLANDIN THOMAS & PORTELA 4 08WC 04869 KEATHLEY, PATRICIA DOUMAK, INC 08/26/07 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 5 08WC 13928 MEDINA, RAFAEL MINUTE MAN 10/17/07 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 6 09WC 05689 KOCEV, ILIJA TRIVISTA PLASTICS 08/07/08 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 7 09WC 12014 DUAMROH, SOLOMON SPRAYING SYSTEMS CO 04/16/08 WOODRUFF & JOHNSON DONALD J. MORAN 8 09WC 15894 SVOBODA, ROBERT TRANS-LINK INC W 03/05/09 CULLEN, HASKINS, NICHOLSON CHRISTOPHER BUCHCAR LAW OFF 9 10WC 08549 SABLIK, ARTHUR CAC CORPORATION 10/01/09 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS 10 10WC 23473 ORZECHOWSKI, JAY WHEATON PARK DISTRICT 11/25/09 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 11 10WC 24194 GERK, MICHAEL MORSE ELECTRIC 05/18/10 NEWLAND NEWLAND & NEWLAND CACCHILLO LAW GROUP LLC 12 10WC 35515 JAKOBSONS, VICTOR LISLE WOODRIDGE FIRE DEPT 05/26/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 11WC045442 -C 13 11WC 01669 MOULTON, AMANDA VITAS HEALTHCARE 10/02/10 STRONG LAW OFFICE HENNESSY & ROACH PC 12WC039338 -C 14 11WC 15322 GLASGOW, TAMMY NICOR GAS 09/02/10 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 15 11WC 27086 MATA, MARIA T ELMHURST MEMORIAL HOSPITA 12/22/10 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 16 11WC 37638 19B WALKER, DEWAYNE ILLINOIS MEDI CAR INC 08/25/11 KARCHMAR & STONE POWER & CRONIN LTD 17 11WC 39618 CASAS, CANDELARIA RON'S STAFFING SERVICES 09/26/11 CULLEN HASKINS NICHOLSON KOREY LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 11WC 45039 VASQUEZ, SALVADOR APPLIANCE DISTRIBUTION 06/18/11 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 19 11WC 46787 SOTELO, EZEQUIEL PREFERRED MEAL SYSTEMS IN 11/17/11 MINKOW DOMIN POWER & CRONIN LTD 12WC012571 -C 12WC012572 -C 12WC012573 -C 20 12WC 03180 TORRES, EVANGELINA CRATE & BARREL 09/03/10 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 12WC003181 -C 21 12WC 10541 JEFFREY, THERESE GLENDALE HTS POLICE DEPT 01/19/12 BLOCK, KLUKAS & MANZELLA P STORINO RAMELLO & DURKIN 22 12WC 13737 MARTIN, ROBERT CENTRAL TURF AND 10/25/11 MINKOW DOMIN THOMAS & PORTELA 23 12WC 16045 MENA, ZEFERINA SPRAYING SYSTEMS 03/22/12 THE ROMAKER LAW FIRM DONALD J. MORAN 24 12WC 23227 ARITA, ALEX CORNERSTONE EXTERIORS 05/28/12 CULLEN HASKINS NICHOLSON ANKIN LAW OFFICE 25 12WC 26074 TENNEY, JEFFREY D HERTZ CORPORATION D/B/A 09/15/11 BUDIN LAW OFFICES NOBLE & ASSOC 26 12WC 37847 REYNA, JOSEPH NICOR GAS 09/16/10 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 16WC013294 -C 27 12WC 39254 DUNN, WILLIE NEIL RESSIN RACING STABLE W 05/23/12 28 12WC 42476 FERNANDEZ, MAYTE WORKFORCE, LLC 08/13/12 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 29 13WC 01331 IVETIC, JAMES SR BENSENVILLE FIRE PROTECTI 03/06/08 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 30 13WC 06199 DENOYELLES, CHRISTINA BURGESS SQUARE HEALTH CEN 05/31/12 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 31 13WC 11847 SHERROD, PAUL E LISLE-WOODRIDGE FIRE 12/21/12 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 13WC011848 -C 13WC011849 -C 32 13WC 14606 19B ARNDT, EARL J AMERICAN MESSAGING 02/06/12 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 33 13WC 19282 VELAZQUEZ, GABRIEL PEREZ LANDSCAPING 05/28/13 LUIS A ACEVES & ASSOC MICHELOTTI & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 13WC 21474 PETERSEN, ISABEL G4S TECHNOLOGY LLC 09/19/12 HART & DAVID LLP BRYCE DOWNEY & LENKOV LLC 35 13WC 24158 SHELTON, BONNIE SIMPLY HAIR 01/06/13 KARNO, MARK L & ASSOC KRAKER FANNING & OLSEN 36 13WC 25034 DOLE, CYNTHIA NAPERVILLE SCHOOL 04/19/12 LAW OFFICE STEVEN J SEIDMA RUSIN & MACIOROWSKI LTD 37 13WC 25529 UNRUH, CATHERINE CENTRAL DUPAGE HOSPITAL 09/04/12 TRUEMPER HOLLINGSWORTH ET GAROFALO SCHREIBER STORM GRA 18WC008959 -C CADENCE HEALTH/ 38 13WC 26438 RAMIREZ, JUAN M CONTINENTAL WEB PRESS 05/09/13 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 39 13WC 28267 19B GARCIA, APOLONIO EDDIE'S LANDSCAPING MAINT 07/26/13 WIEDNER & MCAULIFFE LTD 40 13WC 29958 PLETSCH, JAMES SOUTHERN WINE & SPIRITS O 12/27/12 CRONIN PETERS & COOK, PC MACIOROWSKI SACKMANN & ULRIC 273 13WC029959 -C 16WC008875 -C 41 13WC 30533 VIRZI, ANNA M LIFETIME FITNESS 08/28/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 42 14WC 02362 ARNETT, ADAM SCHRAMM CONSTRUCTION 07/08/13 LAW OFFICE OF SCOTT B SHAP 43 14WC 02375 FELTON, BRIAN W THE SCOTTISH PLUMBER 09/19/13 COMPTON LAW GROUP CASSANO & ASSOCIATES 44 14WC 03621 POHL, BILL PTO SERVICES 08/05/13 DWORKIN & MACIARIELLO 14WC023196 -C 45 14WC 04861 DE BIAS, ANTHONY JB HUNT TRANSPORT INC 12/06/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 46 14WC 05414 INSERRA, JOANNA GIANT STEPS 11/15/13 MARTIN L GLINK LAW OFFICE HOLECEK & ASSOCIATES 47 14WC 08295 GLASGOW, TAMMY NICOR GAS COMPANY 05/01/12 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 48 14WC 08975 AYALA, PEDRO AMERICA'S BEST INC 09/06/13 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 14WC025831 -C 15WC018232 -C 49 14WC 11227 LYDON, DARYL LARLIN HOME CARE SERVICES 03/07/14 CONWAY LAW OFFICE RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 14WC 14408 ARGUELLO, JOSE METROSTAFF INC 04/14/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 51 14WC 18280 TAPIA, JOSE UNITED LAWN & SEAL COATIN W 05/06/14 CULLEN HASKINS NICHOLSON 52 14WC 18710 MUNOZ, CRISTINO WILDFIRE 09/13/13 ANKIN LAW OFFICE NOBLE & ASSOC 53 14WC 18815 ORTEGA, SERGIO SEARS, ROEBUCK AND CO. 02/02/14 DIXON LAW FIRM GAROFALO SCHREIBER STORM GRA 54 14WC 21987 RUSEVIC, ALICE EDWARD HEALTH & FITNESS C 07/19/12 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 55 14WC 23253 WOODALL, BRIAN MB TRANSPORTATION 05/20/14 CULLEN HASKINS NICHOLSON 56 14WC 23922 GROSS, RACHAEL CERMAK FOODS 06/06/14 WHITESIDE & GOLDBERG LTD KOPKA, PINKUS DOLIN, PC 57 14WC 28826 SANCHEZ, JACOBO KRHR DISTRIBUTORS, INC. 05/15/14 LEWIS & DAVIDSON, LTD 58 14WC 30469 MONROY, MARIA MARRIOTT OAKBROOK 01/01/14 SALVATO & O'TOOLE POWER & CRONIN LTD 16WC031485 -C 16WC031486 -C 18WC035157 -C 59 14WC 36344 MARTIN, JAMES P NOLAND SALES CORP 06/02/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 60 14WC 37379 MARTINEZ, MARCO A ELITE STAFFING 07/01/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 15WC014937 -C 61 14WC 37780 SERRANO, DANIEL PROFESSIONAL TREE REMOVAL W 07/22/14 THOMAS J STIBERTH LAW OFFI ASSISTANT ATTORNEY GENERAL 62 14WC 38758 CALDERON, RAMIRO CCA MIDWEST 10/02/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 63 14WC 39350 GUZMAN, LUIS BUILDERS CONCRET SERVICE 10/17/14 KALOGERAKOS & ASSOC 64 14WC 41265 SMITH, TYNITHIA ELMHURST MEMORIAL HEALTHC 02/05/14 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 65 14WC 42310 AYALA, MANUELA ELITE STAFFING INC 11/01/14 SALK FLORES & BRODERICK GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 15WC 00676 VAZQUEZ, DIEGO ADDANTE'S CATERING & PIZZ 10/03/14 MUELHAUSEN & STEFANI PATRICOSKI, MARK G 67 15WC 01918 KNITTER, DEBORAH HCR MANORCARE 07/17/14 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 15WC001919 -C 68 15WC 02898 MARTINEZ, CLAUDIA FOREST ENVELOPE CO 11/05/14 RATHBUN CSEVENYAK & KOZOL 69 15WC 03457 BIEDA, JOHN US FOOD SERVICES 06/11/14 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 15WC003458 -C 16WC020059 -C 18WC033150 -C 70 15WC 03764 DELEON, KATRINA EMBASSY SUITES CHICAGO 11/17/14 RAPAPORT, STEVEN I NOBLE & ASSOC 71 15WC 04666 FULWILEY, EBONY MARIE UNITED PARCEL SERVICE AND 01/07/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 72 15WC 04890 GALVAN, ERASTO UNIVERSAL TAXI DISPATCH I W 01/09/15 MICHAEL HELLMAN 73 15WC 06375 RIZZI, ANGELO C PRO SERVICES INC 12/30/14 SEIDMAN MARGULIS & FAIRMAN 74 15WC 07028 NAVA, MARIA ELITE STAFFING 02/20/15 JONATHAN SCHLACK 75 15WC 08703 SALGADO, ROCIO E&C CUSTOM PLASTICS INC 01/15/15 FRIEND LEVINSON & BERGAL LAW OFFICES JOSEPH MARCINIAK 76 15WC 09706 SCHERRER, RAYMOND W JR EMPLOYMENT MANAGEMENT SER 10/07/14 VRDOLYAK LAW GROUP LLC 77 15WC 12566 RIEBEL, FRED TURNER INDUSTRIAL MAINTEN 12/23/14 ROMANUCCI & BLANDIN SPIEGEL & CAHILL, PC 78 15WC 13139 HUTTON, HAROLD BATESVILLE CASKET CO 03/15/15 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 79 15WC 14407 BERNDT, ROBERT KEENAN TRANSIT COMPANY 03/23/15 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 16WC006712 -C 16WC020206 -C PHOENIX LOGISTICS INC 16WC020211 -C 80 15WC 15425 FONSECA, MARIA SPRAYING SYSTEMS CO 08/15/13 TAMVAKIS, GEORGE L DONALD J. MORAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 15WC 15805 LODESTRO, VINCENT CAPUTO'S FRESH MARKET 11/13/14 STEVEN M SELAN GANAN & SHAPIRO 82 15WC 15875 HUITZ, AMALIA DEMAR 05/12/14 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 15WC015876 -C 83 15WC 16179 RICCARDO, MARGARET THE BONTON 03/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 84 15WC 16267 MCCORKELL, KYLE MANSFIELD OIL CO. 08/12/14 CAPRON & AVGERINOS PC CAPUANI, FRANK S 85 15WC 16379 LAKE, LYLE CITY OF WHEATON 03/13/15 THOMAS W DUDA BRADY CONNOLLY & MASUDA PC 86 15WC 17364 MYSLINSKI, DAVID PIR TANO CONSTRUCTION CO. 05/23/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 87 15WC 20744 SYDOR, JASON TOP HAT LOGISTICS 03/29/13 STEWART C ORZOFF SMITH AMUNDSEN LLC 88 15WC 21079 LOPEZ, DIANA PROTECTO SEAL 02/18/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 16WC014948 -C 89 15WC 22475 PROCICH, ALEXANDER J. THOMAS INTERIOR SYSTEMS 06/05/15 MARKER & ASSOCIATES CASSANO & ASSOCIATES 90 15WC 22745 LOCKERT, STEVEN PLOTE CONSTRUCTION 02/14/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM GRA 91 15WC 23248 BUENO, ROSALINDA M&R HVAC 08/06/12 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 92 15WC 23578 ZIELEZINSKI, STEPHEN IL STATE TOLL HWY AUTHORI 04/27/15 STROW LAW LLC GANAN & SHAPIRO 93 15WC 23683 GARNICA, JUAN THE JEL SERT COMPANY 07/08/15 SALVATO & O'TOOLE POWER & CRONIN LTD 94 15WC 24491 CLAYTON, L.C. KRAFT FOODS 07/12/15 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 16WC020657 -C MONDELEZ 95 15WC 27293 FLORES, DANIEL JEL SERT CO 07/18/14 SALVATO & O'TOOLE 96 15WC 28322 SMITH-MYLES, KATHERINE HCR MANOR CARE 04/02/15 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 97 15WC 31635 MEDRANO, MANUEL DREYER TRANSPORTATION W 10/01/14 SYREGELAS, NICHOLAS C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 15WC 33457 LA COUR, ANTHONY CARLISLE STAFFING LTD 06/05/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 99 15WC 33751 PICHARDO, BENJAMIN LISLE/NAPEVILLE HILTON 01/17/13 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 100 15WC 34038 VEGA, MARIA E KESTER, INC. 11/25/14 NYHAN BAMBRICK KINZIE & LOWR 101 15WC 35635 LEJA, LOTTIE ANTHELIO HEALTHCARE SOL 11/15/12 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 102 15WC 36182 ELLMAN, STEVEN IL STATE TOLL HWY AUTHORI @ 10/05/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 103 15WC 36675 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 104 15WC 36949 MILLER, THERESA BLACKHAWK RESTAURANT GROU 10/27/15 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD 15WC036951 -C 105 15WC 38817 JORDAN, MICHELLE ADVENTIST HOSP HINSDALE 09/29/15 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 106 15WC 39678 CISNEROS, JESUS QUESTMARK 03/06/14 PORRO NIERMANN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 107 15WC 39852 JONES, PAUL SR. IRON MOUNTAIN 07/15/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 108 15WC 41126 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 109 15WC 41261 MENDOZA, ROSMERY HANDI-FOIL 10/16/15 MC HARGUE, JAMES P LAW OFF 110 15WC 41973 WESTOVER, JONATHAN PUSH LOGISTICS INC W 10/17/15 RITTENBERG & BUFFEN 111 15WC 42627 CUCHETTO, CANDACE ELMHURST HOSPITAL 11/26/15 LAW OFFICE OF KEVIN O'BRIE JOSEPH J LOSS PC 112 16WC 01204 HARTTUNG, CHRISTOPH BUZZFIRE INC 12/18/15 VRDOLYAK LAW GROUP LLC GRIFFIN, LORETTA M LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 113 16WC 01334 SCALES, SAM ILLINOIS DEPARTMENT OF @ 01/05/16 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 114 16WC 03196 MILENKOV, NIKOLA SCOPE ENERGY RESOURCES, I 02/18/15 NILSON STOOKAL GLEASON CAP 16WC003197 -C 16WC003198 -C 115 16WC 03378 GLOWINSKI, JENNY MENARDS 01/20/16 MARC J SHUMAN & ASSOCIATES CHILTON YAMBERT PORTER LLP 116 16WC 03492 FARMANFARMAEE, MAMAK NORDSTROM 11/15/15 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 117 16WC 04769 STEIL, JAMES CD TRUCK & TRAILER CDM 05/07/15 CULLEN HASKINS NICHOLSON 118 16WC 06733 MARTINEZ, ROGELIO NORTHSTAR METAL PRODUCTS 10/29/15 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 119 16WC 07189 BRUMMEL, TODD PIVOTAL HOME SOLUTIONS 12/02/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 120 16WC 07546 TREXLER, STEVE R W DUNTEMAN CO 11/14/14 THE BRADLEY LAW FIRM STONE & JOHNSON CHARTERED 121 16WC 08097 DANILO ARIAS, ELDIN A/K/A MORELOS CONSTRUCTION 03/13/13 NEMEROFF LAW OFFICES 122 16WC 08600 DEBOK, DAVID STATE OF IL, @ 12/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 123 16WC 08822 DAVIS, ORA TOTAL NURSES NETWORK, LLC 03/07/16 ANKIN LAW OFFICE THOMAS & PORTELA 124 16WC 08978 HUICOCHEA, INES DOUBLETREE HILTON 02/28/16 LAW OFFICE HUGO ORTIZ HENNESSY & ROACH PC 125 16WC 09133 BARBER, PATRICK US FOODS 06/22/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 16WC022326 -C 126 16WC 10137 GILLON, JASMINE A-1 LIMOUSINE 10/17/15 LAW OFFICE OF SCOTT B SHAP 127 16WC 10922 RAMIREZ, LEOPOLDO JUST IN TIME STAFFING INC 02/23/16 DISPARTI LAW GROUP PA INMAN & FITZGIBBONS 128 16WC 12150 HAMMAD, BILAL A & Z TRANSPORT COMPANY 03/31/16 SANDMAN LEVY & PETRICH CIARDELLI CUMMINGS CAMPAGNA 129 16WC 12374 RODRIGUEZ, JAVIER KRONOS FOODS CORP 09/25/14 CHRISTINE F DAVID NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 16WC 13166 ROLDAN, EMILIO IRON MOUNTAIN 01/20/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 131 16WC 13605 GRZYBEK, JAMES GENERAL MILLS, INC. 02/26/16 KATZ FRIEDMAN EAGLE ET AL 132 16WC 14705 DARRIN, TRINA ODEUM, INC. 02/29/16 GOTTREICH & GRACE WIEDNER & MCAULIFFE LTD 133 16WC 14878 LOPEZ, GREGORIA JOYS CLEANING SERVICES 02/19/16 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 134 16WC 15216 19B LINEN, CURTIS MARTEN TRANSPORTATION 04/25/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 135 16WC 15611 SYLVE, MARY AIMBRIDGE HOSPITALITY 08/24/14 ODELSON & STERK KRAKER FANNING & OLSEN 136 16WC 15782 BELTRAN, JOSE ABM INDUSTRIAL 12/03/15 CURTIS S BURKE LAW OFFICE BRADY CONNOLLY & MASUDA PC 137 16WC 16244 YARBROUGH, NIDIEA SPEEDWAY 11/23/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 17WC029338 -C 138 16WC 16604 BUDURIS, MARK CASSENS TRANSPORT 05/16/16 LAW OFFICES ROBERT WARSASK KNAPP, OHL & GREEN 139 16WC 17442 FLORES, CLARA CRESTLINE HOTELS & RESORT 09/13/15 DEPAOLO & ZADEIKIS 140 16WC 17913 BORZYM, JOZEF MARIO'S TRUCKING SERVICES 04/14/16 CUSHING LAW OFFICES HENNESSY & ROACH PC 141 16WC 19027 SALAZAR, LISA BROOKDALE GLEN ELLYN 10/06/15 WOODRUFF & JOHNSON ROSARIO CIBELLA 142 16WC 19262 HARRIS, MICHAEL VAL-MATIC VALVE & MFG COR 12/23/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 143 16WC 19593 ROSA, JOSE HEWLETT PACKARD 05/12/16 GOLDBERG WEISMAN & CAIRO L 144 16WC 20036 VODA, ELLEN NAPERVILLE DISTRICT 203 08/06/09 KINNALLY FLAHERTY KRENTZ & RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 16WC 29884 SHILKA, RUSSELL UNITED RENTALS INC 08/05/16 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 163 16WC 30015 DEL RIO, VERONICA RR DONNELLEY AND SONS CO 08/23/16 WARREN W MARK BRADY CONNOLLY & MASUDA PC 164 16WC 30193 MARTIN, RONNIE ILLINOIS DEPT OF HUMAN SR 08/30/16 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 165 16WC 30251 OPALINSKI, DANA L CITY OF WHEATON POLICE 09/13/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 166 16WC 31070 CARUSO, PHILLIP RUAN LOGICS CORP 05/15/15 SCHREINER MALLOY & ETZLER JAMES M KELLY 167 16WC 31536 MURILLO, ALEXANDER G ESSENDANT 08/09/16 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 17WC025310 -C 18WC002774 -C 168 16WC 33269 MALONEY, RON TERRANCE ELECTRIC 01/07/14 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 169 16WC 34068 MARTINEZ, PEDRO DIAZ BLACK CREEK CANYON, INC 01/14/15 HODES GREENSTEIN & LITWIN GILDEA & COGHLAN 170 16WC 34346 ANDROS, NIVIA MARIANO'S 04/20/16 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 171 16WC 35606 GARRY, SUSAN 2 TOOTS TRAIN WHISTLE GRI 04/12/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 172 16WC 36723 JOHNSON, CAROL MACY'S 11/17/12 JASINSKI, GEORGE J BRYCE DOWNEY & LENKOV LLC 173 16WC 36772 DEL VESCOVO, DOMENIC ILLINOIS TOLLWAY 09/28/16 BARRY A KETTER GANAN & SHAPIRO 174 16WC 37305 DE LA TORRE, ROBERTO CHAMPION PACKAGING & DIST 08/21/15 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 175 16WC 37734 FAORO, MICHELLE SUPERIOR AMBULANCE 08/03/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 176 16WC 37745 19B BLACK, LOLETA STATE OF IL DEPT OF HUMAN @ 12/01/16 MC HARGUE & JONES ASSISTANT ATTORNEY GENERAL 177 16WC 37768 COLEMAN, LAURA, DGHTR/NXT MACY'S FURNITURE GALLERY 11/26/16 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 178 16WC 37845 SANDOVAL, ELENA OLIVE GARDEN 08/29/16 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 179 16WC 38204 EZQUIVEL, ADOLFO GENESIS CONSTRUCTION 12/06/16 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 17WC 00036 MORA, ELVIRA PLASTECH, INC 08/10/16 DEPAOLO ZADEIKIS GORE 181 17WC 00338 SANCHEZ, CARLOS GRAVURE INK 05/28/15 182 17WC 00368 SARABIA, VIRGINIA RELIABLE CLEANING W 08/20/16 FOOTE MIELKE CHAVEZ & O'NE 183 17WC 00637 VOGT, MICHAEL KH RANOVATIONS INC 12/09/16 GOLDBERG WEISMAN & CAIRO L 184 17WC 01083 KRYNSKI, GERHAND MADDEN COMMUNICATIONS 03/09/14 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 185 17WC 01336 HAYES, JUANITA ARGONNE NATIONAL LABORATO 11/30/16 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 186 17WC 01484 MUNOZ, JOSE ARAMARK 10/04/16 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 187 17WC 01660 SCRANTON, WILLIAM F STANDARD MARKET 08/31/16 GARDI & HAUGHT RUSIN & MACIOROWSKI LTD 188 17WC 01914 NELSON, JUDITH HR IMAGING 03/18/16 LAW OFFICE OF SCOTT B SHAP LAW OFFICES JOSEPH MARCINIAK 189 17WC 01984 SCHNAYER, LEROY AT&T INC 12/19/16 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 190 17WC 02577 PARRIS, RICK MONROE TRANSPORTATION 11/29/16 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 191 17WC 02843 ORTIZ, WILLIAM DUKANE PRECAST 11/11/16 BURNES & LIBMAN GAROFALO SCHREIBER STORM GRA 192 17WC 02887 WILTSE, RICHARD BATH PLANET OF CHICAGO IN 01/26/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 193 17WC 03704 FAORO, MICHELLE SUPERIOR AMBULANCE 08/11/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 194 17WC 03799 PIERCE, GREGORY RICOH USA INC 12/27/16 CHILTON YAMBERT PORTER LLP 195 17WC 04588 SIMS, RENEE ADVOCATE HEALTHCARE 12/11/16 TOPPER & WEISS LTD NYHAN BAMBRICK KINZIE & LOWR 196 17WC 05300 PEREZ, RICARDO OPTIMAS 06/12/16 MC HARGUE & JONES KRAKER FANNING & OLSEN 197 17WC 05357 WILLIAMS, BENNIE BROADWIND ENERGY, INC 10/26/15 SEIDMAN MARGULIS & FAIRMAN MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 17WC 05900 HUG, TOM DIAMOND CARPET SERVICES 11/03/16 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 199 17WC 06033 MOHN, CORY GORDON FOOD SERVICE 01/27/17 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO 200 17WC 06751 BAILEY, RHONDA FCA US LLC 11/16/16 CHILTON YAMBERT PORTER LLP 201 17WC 06813 FAIRCHILD, ASHLEY TOUCHPOINT COMPASS GROUP 11/15/16 BRISKMAN BRISKMAN GREENBER GOLDBERG SEGALLA LLC 202 17WC 06904 FALCONIO, JOHN NAPERVILLE SCHOOL DISTRIC 11/23/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 203 17WC 07149 VEGA, MARIA HYATT HOTEL 08/25/16 LUSAK AND COBB 204 17WC 07236 GAJEWSKIK, RICHARD S JR CONSOLIDATED ELECRICAL DI 05/24/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 205 17WC 07468 MCPOLIN, MEGHAN ACCESS FINANCIAL 12/06/16 SAUNDERS CONDON & KENNY 206 17WC 07767 SREY, LEA TABOR HILLS HEALTHCARE 12/17/15 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 17WC007768 -C 207 17WC 08046 LOWERY, LISA SPRINT 05/13/16 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 208 17WC 08592 KELLY, BRIAN NAPERVILLE SCHOOL DIST #2 10/01/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 209 17WC 09117 ALNATOUR, MAHMOUD DIRECT MARKETING GROUP, C W 02/24/17 GORDON & CENTRACCHIO LLC MICHAEL J MORRISROE 210 17WC 09657 ZAHROUNI-KHAMISSI, MOHSEN PLATED, INC 09/13/16 PORRO NIERMANN LAW GROUP GRANT & FANNING 17WC009658 -C 17WC010779 -C 17WC010780 -C 18WC028482 -C DINE IN FRESH, INC/PLATED 18WC029236 -C 211 17WC 09787 WILLIS, KERBY EDWARD DON AND COMPANY 04/04/14 KEVIN L WILLIS NYHAN BAMBRICK KINZIE & LOWR 212 17WC 10379 HEWAK, CAITLIN ELMHURST SCHOOL DISTRICT 01/20/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 213 17WC 10666 MYERS, JEFFREY M. AT&T 03/09/17 SALVATO & O'TOOLE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 214 17WC 10878 WILLIAMS, ASHLEY EDWARD HOSPITAL 12/05/16 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 215 17WC 11392 VAZQUEZ, VICTOR INNOCOR 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 216 17WC 11983 PEREZ, JAIME ARCHON CONSTRUCTION CO 08/22/16 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 217 17WC 12342 VAUGHAN, TIA DUPAGE COUNTY SHERIFF 01/29/17 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 18WC016819 -C 218 17WC 12451 RODAS, LESTER GABRIEL LIN ELITE STAFFING INC LOANIN 04/10/17 SALK, STEVEN B & ASSOC LTD 219 17WC 13074 GRON, MARLENE KEHE DISTRIBUTORS 11/30/16 WOODRUFF JOHNSON NOBLE & ASSOC 220 17WC 13383 CARTER, JOYCE A UCP SEGUIN OF GREATER CHI 03/25/17 ANKIN LAW OFFICE 221 17WC 13461 GARCIA, ORLANDO COLONIAL BAG CORPORATION 04/28/17 R. MARK MARITOTE PC GANAN & SHAPIRO 222 17WC 13576 AVILEZ, MARIO ALLIED WATERPROOFING 09/06/16 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 223 17WC 13878 FREEMAN, REGINA MG ROHAN, INC. DBA 01/01/17 MARC J SHUMAN & ASSOCIATES THOMAS & PORTELA 224 17WC 14252 GONZALEZ, MARTA G PERSONALIZATIONMALL.COM, 05/01/16 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 18WC025752 -C 225 17WC 14367 GREINER, CRAIG SIMS RECYCLING SOLUTIONS 06/11/15 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 226 17WC 14724 PATEL, DAHIBEN VALID USA 10/24/16 BURNETT & CARON, LTD GRANT & FANNING 227 17WC 14826 KMIEC, BRIAN ICON RESOURCES GROUP, INC 04/25/16 PORRO NIERMANN LAW GROUP 228 17WC 14864 HINES, KATHRYN RESIDENTIAL HOME HEALTH 04/04/17 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 229 17WC 14906 STRONG, DZINTRA BP PRODUCTS NORTH AMERICA 05/12/15 PARENTE & NOREM PC ROSARIO CIBELLA 230 17WC 15608 FLORES, MARISELA METRO STAFF, INC 08/22/16 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 231 17WC 15617 VELAZQUEZ, MARIA ROSALBA ELITE STAFFING 05/24/17 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 232 17WC 16537 SUTHERLAND, WILLIAM L. FRITO LAY 02/08/17 ERIC H CHECK, LAW OFFICES GILDEA & COGHLAN 233 17WC 16691 RAYNER, KENNETH CAMEO MOLD 01/22/16 ROBERT EDENS GANAN & SHAPIRO 18WC023836 -C 234 17WC 16770 DERECZENIK, MAREK THE MILLARD GROUP 05/26/17 CHEPOV & SCOTT LLC EVANS & DIXON 235 17WC 16876 NAVARRO, MARIA DOUBLE TREE OAK BROOK 05/05/17 CHRISTIAN & MANNO GRANT & FANNING 236 17WC 17114 SLOBODECKI, AMANDA M COMMUNITY HIGH SCHOOL DIS 01/12/17 ANKIN LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 237 17WC 17152 JIMENEZ, JAIME A.J. OSTER 06/14/16 COLLISON LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 238 17WC 17505 KALICKI, JACEK Z IL DEPT OF TRANSPORTATION 04/12/17 MICHAEL HELLMAN ASSISTANT ATTORNEY GENERAL 239 17WC 17641 NEMEC, BRETT EDDIE MERLOTS 02/20/17 240 17WC 18270 SANDOVAL, MARISOL OL-USA LLC 04/18/17 PORRO NIERMANN LAW GROUP CASSANO & ASSOCIATES 241 17WC 18413 RABULINSKI, DANIEL WILKINS BUICK 04/13/17 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM GRA 242 17WC 18494 KOTZEV, JIVKO GT TRANS INC 12/15/14 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 243 17WC 18720 AMBROSIO, JANE HOME GOOD/TJX 10/07/16 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 244 17WC 19000 MOORE, JETANTE ILLINOIS STATE TOLLWAY 12/29/16 TRUGLIO, FRED A & ASSOC NYHAN BAMBRICK KINZIE & LOWR 245 17WC 19345 PERFECT, BRIAN D IL STATE TOLL HWY AUTHORI 10/20/16 LANZILLOTTI GRIBBEN & MARC NYHAN BAMBRICK KINZIE & LOWR 17WC019346 -C 246 17WC 19871 GUERRA, OLGA PORTILLOS 04/14/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 17WC019872 -C 18WC011610 -C 247 17WC 20634 MARTINEZ, JENNIFER CGC MANAGEMENT LLC 12/06/16 ANKIN LAW OFFICE KRAKER FANNING & OLSEN 248 17WC 20689 JAVONILLO, MARCELO SPRAYING SYSTEMS CO. 06/15/17 KIPNIS & KAHN DONALD J. MORAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 17WC 20790 THOMPSON, MICHAEL MR. DAVID'S FLOORING 12/12/16 SPIROS LAW PC 250 17WC 20826 THOMPSON, MICHAEL MR DAVIDS FLOORING 03/27/17 SPIROS LAW PC 251 17WC 20933 RODRIGUEZ, RAYMUNDO FOUR LAKES CONDO 07/24/14 GILDEA & COGHLAN 252 17WC 21020 AH-YO, MERNALEE ADDUS HOME CARE- DOWNERS 12/06/16 WILLIAM H MARTAY WIEDNER & MCAULIFFE LTD 253 17WC 21309 FRUSOLONE, MARY CAROL STREAM PARK DISTRIC 05/20/17 LAW OFFICES DANIEL E MURPH HENNESSY & ROACH PC 254 17WC 21448 MOSER, RICHARD CHICAGO TRANSIT AURTHORIT 03/17/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 255 17WC 21911 VALLE, ANGEL DANCO CONVERTING 07/25/17 GOLDSTEIN BENDER & ROMANOF 256 17WC 22246 VALASEK, TIMOTHY J NEW ERA PAINTING 07/26/17 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 257 17WC 22936 SNYDER, JAMES TEAM INC. 07/14/17 JOHNSON, MICHAEL D & ASSOC HENNESSY & ROACH PC 258 17WC 23260 GARCIA, VICTORIA E FIRST HOSPITALITY GRP INC 06/08/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 259 17WC 23832 ELSMAN, BRIAN W UBER TECHNOLOGIES 07/29/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 260 17WC 24023 LOPEZ, HUMBERTO J&K CABINETRY, INC 03/05/16 RUSIN & MACIOROWSKI LTD 261 17WC 24563 STEWART, PAUL MARIANO'S 08/09/17 RATHBUN CSEVENYAK & KOZOL 262 17WC 24912 DECESARE, DOMENIC UNITED PARCEL SERVICE INC 07/17/17 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 263 17WC 25002 SCOTT, CHRYSTAL DRIVE TIME 04/01/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 264 17WC 25920 WILLARD, RYAN LAUREL BMW OF WESTMONT 06/24/17 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 265 17WC 25963 BABU, ALEYAMMA ELMHURST MEMORIAL HOSPITA 07/02/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 266 17WC 26003 BARTON, MICHAEL VILLAGE OF VILLA PARK 07/25/17 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 17WC 26076 MCDUFFEE, KELLY WILDSIDE JEEP CUSTOMS 07/24/17 MEYERS & FLOWERS COZZI & GOGGIN-WARD 268 17WC 26292 DATTOLO, OTTAVIO NOLTES AUTO REPAIR 07/27/17 DAVID W MARTAY JOSEPH MARCINIAK 269 17WC 26334 ESTRADA, LOURDES VILLAGE OF CAROL STREAM/C 06/23/17 LAW OFFICES DANIEL E MURPH 270 17WC 26601 BROWN, TEWAN NICOR GAS 08/12/17 SHELDON I MINKOW & ASSOCIA RUSIN & MACIOROWSKI LTD 271 17WC 27142 WILLIAMS, AUDREY PARKER HANNIFIN CORPORATI 08/24/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 272 17WC 27336 WITKUS, ANGELA C CITY OF WARRENVILLE 01/28/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 273 17WC 27364 REYNOLDS, DANIEL KALLEMEYN COLLISION CENTE 08/29/17 COPELAND FINN & FIERI LTD 274 17WC 27468 MUNOZ, JOSE CLIPPER INDUSTRIES 04/27/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 275 17WC 27895 MENDEZ, CARLOS PARKER HANNAFIN 08/23/17 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 276 17WC 28155 SANTIAGO, BRANDON M VILLAGE OF VILLA PARK 10/29/14 GOLDBERG WEISMAN & CAIRO L 277 17WC 28536 MONTEZ, MICHAEL NRJM INC, DBA DOMINO'S PI 09/08/17 MARC J SHUMAN & ASSOCIATES CHILTON YAMBERT PORTER LLP 278 17WC 28824 SANTOYO, PEDRO F&J RODRIGUEZ LANDSCAPING 09/09/17 CULLEN HASKINS NICHOLSON JAMES M GERAGHTY 279 17WC 28997 AVILES, NORMA ADVANCED URETHAN TECHNOLO 11/04/16 LAW OFFICES OF ANSELMO DUR GAROFALO SCHREIBER STORM GRA 280 17WC 29433 IVANOVSKA, KARAVILKA WALMART 04/29/17 WHITESIDE & GOLDBERG LTD GANAN & SHAPIRO 281 17WC 29526 NUNO, ABIGAIL EMERITUS 10/31/14 EPSTEIN, JACK R LAW OFFICE ROSARIO CIBELLA 17WC029527 -C BROOKDALE BURR RIDGE 18WC008483 -C 282 17WC 29550 ROGERS, BRAD CITY OF NAPERVILLE 07/12/17 GOLDBERG WEISMAN & CAIRO L CITY OF NAPERVILLE 283 17WC 30537 BOLAND, MERCEDITA XANITOS 08/11/17 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 284 17WC 30543 ACEVEDO, CECILIA GF MANAGEMENT, INC. 03/10/17 ARIANO HARDY NYULI JOHHSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 17WC 30613 MITCHELL JR, KEITH AEROTEK 11/03/16 HORWITZ HORWITZ & ASSOC 286 17WC 30627 JOERNDT, WILLIAM CECCHIN PLUMBING & HEATIN 11/25/14 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 287 17WC 30708 CHRISTENSEN, SCOTT RELIABLE BASEMENT SERVICE 09/15/17 288 17WC 31306 GUZMAN, RICARDO PACKAGING DESIGN CORP 09/14/17 GANAN & SHAPIRO 289 17WC 31404 HODUR, KENNETH W METROPOLITAN STEEL 12/01/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM GRA 290 17WC 31502 GARCIA, RAYMUNDO H2 OPS HOLDING INC 10/15/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 291 17WC 32041 TOVAR, JOSE MANUEL ALMARA DELL RHEA'S CHICKEN BASKE 10/20/17 SALK, STEVEN B & ASSOC LTD KOPKA, PINKUS DOLIN, PC 292 17WC 32109 MARTINEZ, JOSE DE JESUS D ERA VALDIVIA 06/14/17 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 293 17WC 32277 TOVAR, PEDRO GREEK ISLANDS RESTAURANT 08/10/17 SCHWEICKERT & GANASSIN JOSEPH MARCINIAK 294 17WC 32378 HILL, VERNON PORTILLOS 08/24/17 DWORKIN AND MACIARIELLO 295 17WC 32597 MARTINEZ, MATIAS F.R.Y INSTALLATIONS CORP 01/25/16 CUSHING LAW OFFICES 296 17WC 32614 DE'AQUINO, ISMAEL SPARKS COMPLETE CAR CARE 10/28/17 LEONARD LAW GROUP LLC NOBLE & ASSOC 297 17WC 32773 LAYER, WAYNE COOK COUNTY SHERIFF'S OFF 06/14/17 DRISCOLL LAW OFFICES PC STATES ATTORNEY OF COOK COUN 298 17WC 32938 ALVARADO, MARGARITA M, SU MICHAEL & MAREK CITOVSKY # 10/09/17 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM GRA 299 17WC 33097 ORTA, OSCAR OX BOX 08/08/17 COSTA IVONE LLC EVANS & DIXON 300 17WC 33378 SCHUPINKA, CHRISTOPHER SUZIE FUN FOODS LLC 07/02/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA 301 17WC 33626 HOCKSTEIN, GREGG E US FOODS 10/24/17 JOHNSON, MICHAEL D & ASSOC BRADY CONNOLLY & MASUDA PC 302 17WC 33855 GILL, KATHLEEN INDIAN PRAIRIE SD 204 05/08/17 RONALDSON & KUCHLER BRADY CONNOLLY & MASUDA PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 18WC 00233 GRIMALDO, GABRIEL UNISTAFF INC 12/05/17 ANKIN LAW OFFICE GANAN & SHAPIRO 322 18WC 00506 REUM, ROBERT VALLEY FASTENER GROUP 04/01/15 KEEFE CAMPBELL & ASSOC LLC 323 18WC 00609 TILLMAN, RICO D.T. CHICAGOLAND EXPRESS, 01/02/18 THE ROMAKER LAW FIRM HINSHAW & CULBERTSON 324 18WC 00969 BONNEVILLE, GEOFFREY COLLIERS INTL 09/19/17 HEALY SCANLON LAW FIRM GOLDBERG SEGALLA LLC 325 18WC 01016 VERA, ANGELICA C TEXAS ROADHOUSE MANAGEMEN 12/02/17 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 403 15WC025860 -C 326 18WC 01047 MOOI, SHARYN WALGREENS 09/02/16 MARKER & ASSOCIATES GILDEA & COGHLAN 327 18WC 01281 BARBER, LAWRENCE A SR IL TOLL HIGHWAY AUTHORITY 05/31/17 BARRY A KETTER GANAN & SHAPIRO 328 18WC 01369 JACKSON, MARILYN AMERICAN TAXI DISPATCH 01/03/18 KARCHMAR & STONE 329 18WC 01427 LAZCANO, SILVESTRE MORGAN OHARE INC 04/08/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 330 18WC 01447 BOONE, JESSICA SEASONS HOSPICE NAPERVILL 12/31/16 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 331 18WC 01481 SUBASIC, JASMINA CHICAGO AUTISM BEHAVIOR S 09/25/17 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 332 18WC 01866 TRUJILLO, KARLA ILLINOIS CENTRAL SCHOOL B 10/30/15 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 333 18WC 02117 SANDOVAL, SALVADOR MADISON INDUSTRIES 10/19/17 MARC J SHUMAN & ASSOCIATES THOMAS & ASSOCIATES 334 18WC 02198 LANGE, LAURA ALLIANCE DATA SYSTEMS 02/06/17 PAUL MARZANO JOSEPH MARCINIAK 335 18WC 02218 MADISON, COLIN ARENA FOOTBALL ONE, LLC 08/04/17 GORDON & CENTRACCHIO LLC 336 18WC 02493 PASILLAS, ISRAEL CITY OF NAPERVILLE 08/15/17 WOODRUFF JOHNSON CITY OF NAPERVILLE 337 18WC 02645 LEONARD, GARRETT PERSONALIZATIONMALL.COM 12/18/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 338 18WC 02782 BASHIR, ABDIRAZAK BENEFIT TRUCKING INC 07/30/16 ANKIN LAW OFFICE KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 18WC 02786 AVILA, JAVIER NCAB GROUP USA INC 08/15/15 OSVALDO RODRIGUEZ PC RUSIN & MACIOROWSKI LTD 340 18WC 02861 CIESLER, KAREN JEWEL-OSCO 04/13/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 341 18WC 03039 SARALLO, ANDREW VILLAGE OF OAKBROOK TERRA 01/02/17 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 342 18WC 03061 BRZEZON, ZDZISLAWA PARKER HANNIFIN CORPORATI 01/10/18 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 343 18WC 03177 LEON, LUIS M CERMAK FRESH MARKET 10/27/17 SALVATO & O'TOOLE GANAN & SHAPIRO 344 18WC 03222 RAMOS, FRANCISCO CHATEAU NURSING AND REHAB @ 01/01/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 345 18WC 03359 JAQUEZ, ALICIA A.J. ANTUNES & CO 09/05/17 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 346 18WC 04321 MICHAUD, DIANE ELM BROOK HEALTHCARE & RE 01/08/18 NILSON STOOKAL GLEASON CAP BRADY CONNOLLY & MASUDA PC 18WC004322 -C 347 18WC 04473 AMOS, EARLINE SPRAYING SYSTEMS CO 07/29/16 HORWITZ HORWITZ & ASSOC DONALD J. MORAN 20WC000084 -C 20WC000085 -C 20WC000086 -C 348 18WC 04782 JACKSON, RAYSHON ELHURST MEMORIAL HOSPITAL 02/06/18 MARK SCHAFFNER JOSEPH J LOSS PC 349 18WC 05250 MUENCH, BRIAN UNITED PARCEL SERVICE 07/11/17 ARNOLD & KADJAN 350 18WC 05679 REA, GABRIELA CRATE & BARRELL 11/22/17 SALVATO & O'TOOLE RUSIN & MACIOROWSKI LTD 351 18WC 06275 ESCOBAR, LEO OAK TRACE 01/20/18 MC HARGUE & JONES WOLFE & JACOBSON, LTD 352 18WC 06505 BRUFF, JO ANN EDWARD ELMHURST VENTURES 02/20/18 SKLARE LAW GROUP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 18WC 06631 POTTS, NANCY ALDI, INC 09/10/17 RIPES NELSON BAGGOT KALOBR BRADY CONNOLLY & MASUDA PC 354 18WC 06649 MIJATOVIC, LJUBICA TARGET 11/23/17 GORDON & CENTRACCHIO LLC NYHAN BAMBRICK KINZIE & LOWR 19WC019127 -C 355 18WC 06817 SHEPPARD, DESIREE M CENTRAL DUPAGE HOSPITAL 01/10/18 PHILIP BLOMBERG HENNESSY & ROACH PC 356 18WC 06978 PULEO, JOSEPH W EUCLID BEVERAGE, LTD. 01/09/18 TURNER & SACKETT LLC ROBERT L. SMITH 357 18WC 07054 PAGSISIHAN, ANDREI MENARD, INC 03/02/18 GOLDSTEIN AIOSSA & GOOD GANAN & SHAPIRO 358 18WC 07139 ANDERSON-MCDONALD, DELISA DUNKIN DONUTS 02/06/18 359 18WC 07161 LEAM, SAMNANG T-SYSTEMS INC 01/29/18 KROCKEY CERNUGEL COWGILL E HOLECEK & ASSOCIATES 360 18WC 07602 CONTRERAS, ANTONIO FIVE STAR CONCRETE/ 12/16/17 SCOTT B SHAPIRO CLAYBORNE SABO & WAGNER 361 18WC 07885 PEREZ, SISTO EDWARD HOSPITAL & HEALTH 12/22/17 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 362 18WC 07981 HARDESTY, LINDA MEIJER #0198 03/01/16 KEVIN O'BRIEN KOPKA, PINKUS DOLIN, PC 403 18WC022912 -C 363 18WC 08025 NEMEC, JERRY U SPECIALTY CONSTRUCTION 10/31/16 DEPAOLO & ZADEIKIS GAROFALO SCHREIBER STORM GRA 364 18WC 08605 BANKS, ARCHIE APC TRUCKING, INC 01/19/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 365 18WC 08833 GUTIERREZ, FRANK LKQ AUTO PARTS 12/28/17 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 366 18WC 08951 ZEISS, PETER TRANSPARENT CONTAINER CO, 03/01/16 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 367 18WC 09029 19B NAREL, JOYCE CVS PHARMACY 12/05/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 368 18WC 09133 SALAS JR, PEDRO FED EX 10/03/17 SLAVIN & SLAVIN 369 18WC 09147 SMITH, JAMES AIRGAS DRY ICE STORE 09/26/17 KATZ FRIEDMAN EAGLE ET AL MC ANDREWS & NORGLE LLC 370 18WC 09437 FAVELA, TERESA THE XCEL STAFFING SOLUTIO 12/05/17 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 18WC 09576 KWIDZINSKI, EVELYN VERICLAIM, INC. 06/06/17 GALLIANI DOELL & COZZI LTD DAVORE RADUNSKY MILLER 372 18WC 09816 SPERRY, BRANDON ESTATE OF AAA AMERICAN CLEANOUTS, I 06/08/17 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 373 18WC 09873 ROBINSON, STARLA MAXIM HOME HEALTH 08/17/17 JACKOWIAK LAW OFFICES RUSIN & MACIOROWSKI LTD 374 18WC 09923 THOMAS, TERESSA THE GEO GROUP INC. 12/28/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 375 18WC 10172 RIOS, CRISTINO PARTS TOWN 11/20/17 MARC J SHUMAN & ASSOCIATES FRANCESCA LARSEN 376 18WC 10234 BARRAZA, FRANCISCO LUNA PARAMOUNT STAFFING, INC. 09/14/16 THOMAS J STIBERTH LAW OFFI 377 18WC 10485 ORMOND, THOMAS A EUCLID BEVERAGE, LTD 02/20/18 COLLISON LAW OFFICES ROBERT L. SMITH 18WC010486 -C 378 18WC 10802 MITCHELL, CYNTHIA PORTILLO'S 01/20/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 379 18WC 11217 GONZALEZ, HERLINDA EXCELLENCE CLEANING INC 01/02/18 SANDMAN LEVY & PETRICH 380 18WC 11551 SHORT, TAMLA CHATEAU NURSING AND REHAB 10/13/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 381 18WC 11987 GUSMAN, ZACK EUCLID BEVERAGE 01/23/18 PORRO NIERMANN LAW GROUP ROBERT L. SMITH 382 18WC 11992 RICE, MICHAEL A PACK RAT MOVING & STORAGE 06/12/17 PORRO NIERMANN LAW GROUP 383 18WC 12129 ROMAN, TIMOTHY J WINFIELD FIRE PROTECTION 03/21/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 384 18WC 12204 AGUILAR, JOSE TECH USA 04/11/18 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 385 18WC 12406 MENDOZA, ISIDRO WIEGEL TOOL WORK INC 06/01/15 HANNA VANDER PLOEG LLC 386 18WC 12455 RANGEL, CARLOS NICASIO GRAND EXTERIORS 06/21/16 MINKOW DOMIN SMITH AMUNDSEN LLC 387 18WC 12548 HURSTIK, SUSAN EXELON 10/26/17 SLAVIN & SLAVIN HENNESSY & ROACH PC 388 18WC 12830 SIERRA, ADAM NTA PRECISION AXLE 01/02/18 TRAPP & GELLER PORRO NIERMANN 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 TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 18WC 13044 CID, VALERIA ELITE STAFFING 11/22/17 CULLEN HASKINS NICHOLSON 390 18WC 13062 TOLLIVER, DEWAYNE ASG STAFFING INC 04/11/18 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 391 18WC 13150 TORRES, JOELLE NICOR 01/24/18 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 392 18WC 13506 RAMIREZ, MARTHA PORTILLO'S HOT DOGS LLC 01/19/18 GALLIANI DOELL & COZZI LTD HOLECEK & ASSOCIATES 393 18WC 13550 DELEONE, DAVID METRO STAFF 09/28/16 FRANCIS J DISCIPIO LAW OFFIC 394 18WC 13813 MC CLAIN, WENDELL STEPHENSON COUNTY SHERIFF 04/10/18 R. MARK MARITOTE PC 395 18WC 13855 WETHERSPOON, JAMES MIKA LOGISTICS INC 03/08/18 SCOTT B SHAPIRO SCOPELITIS GARVIN LIGHT 396 18WC 14002 ALMAGUER, JOSE MARS INC 05/01/18 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM GRA 397 18WC 14025 JOHNSON, JACQUELINE UPS 01/17/18 COVEN LAW GROUP ASA LAW GROUP 398 18WC 14064 HORICE, FELICHA MEADOWBROOK MANOR 03/10/16 COPLAN & CRANE, LTD BRADY CONNOLLY & MASUDA PC 399 18WC 14149 RODRIGUEZ, JUAN CLYDE'S DONUTS 10/17/17 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 400 18WC 14165 TINAJERO, DINO CITY OF NAPERVILLE 12/21/17 MEYERS & FLOWERS CITY OF NAPERVILLE 401 18WC 14267 CANTU, MARTHA NESTLE 03/21/18 MICHAEL HELLMAN KEEFE CAMPBELL BIERY & ASSOC 402 18WC 14278 MEDIA, TERRY VICTORIA'S SECRET 01/11/17 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC 403 18WC 14597 OQUENDO, RUTH WAL-MART 07/26/17 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 404 18WC 14751 RAMIREZ, ANA MELIDA TOTAL INTERACTIVE SOLUTIO 05/08/18 405 18WC 14962 SIEG, MARY PEPPERIDGE FARM 04/26/18 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 406 18WC 15204 PIZZITOLA, TINA SCHOOL DISTRICT U-46 04/30/18 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 18WC 15478 MONDRAGON, NADIA ASSOCIATED LABOR CORP 05/02/18 JOHN S. ELIASIK POWER & CRONIN LTD 408 18WC 15794 TREJO, ROSALINDA MOLDTRONICS INC 05/07/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 409 18WC 15965 O'CONNOR, DOUGLAS STATE OF ILLINOIS @ 11/03/17 STEVEN L. VENIT ASSISTANT ATTORNEY GENERAL 410 18WC 15978 DUFFY, JASON CITY OF NAPERVILLE 11/24/17 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 411 18WC 16147 RAMIREZ, MARIA G TOWNE PLANTE SUITES 12/13/17 WHITESIDE & GOLDBERG LTD 412 18WC 16250 GARCIA, JESUS THE PLASTICS GROUP INC 03/16/18 MARK SCHAFFNER JOSEPH MARCINIAK 413 18WC 16308 MARIN, ALEJANDRO VIKING SUPPLY NET 03/02/18 SKLARE LAW GROUP HENNESSY & ROACH PC 414 18WC 16408 QUINN, DEWITT ELITE STAFFING 05/25/18 DWORKIN AND MACIARIELLO 415 18WC 16501 ROBERTSON, DIANE GLEN OAKS HOSPITAL 01/31/16 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 416 18WC 16564 ARTEAGA, JOSE JUAN ACE ROOFING SERVICES INC 08/19/16 JOHN J CASTANEDA BRADY, CONNOLLY & MASUDA, PC 417 18WC 16617 OLAN, DELILAH SAM'S CLUB 04/26/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 418 18WC 16865 VOSHALL, ROBERT E USF HOLLAND 05/01/17 HART & DAVID LLP HENNESSY & ROACH PC 419 18WC 16977 LYCKBERG, MARK AT&T 05/01/18 NILSON STOOKAL GLEASON CAP INMAN & FITZGIBBONS 420 18WC 17085 SERRANO, ANA EMBASSY SUITES 11/12/17 STANCZAK LAW OFFICES KRAKER FANNING & OLSEN 421 18WC 17334 HOLLIS, PAULA FIRST STUDENT 12/19/17 RATHBUN CSEVENYAK & KOZOL 422 18WC 17599 JOHNSON, ANDRE ELITE STAFFING 05/30/18 423 18WC 17877 FOSTER, JEANETTE I MONDELEZ INTL 02/28/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 424 18WC 17981 WERSCHKUL, MICHAEL MICHAEL WERSCHKUL AND 05/08/18 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 18WC 17996 OJEDA, JUAN A NAPA AUTO PARTS 03/21/18 HECTOR ESPITIA KEEFE CAMPBELL BIERY & ASSOC 426 18WC 18012 BOYD, JAMON UNITED STATIONERS SUPPLY 06/06/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 427 18WC 18081 BARNES, LAURA M ELMHURST MEMORIAL HOSPITA 12/19/17 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 428 18WC 18697 SCHRETTER, RICHARD SIMPLEX GRINNELL 02/13/18 THOMAS J STIBERTH LAW OFFI RUSIN & MACIOROWSKI LTD 429 18WC 18908 MARTINEZ-RUIZ, ABEL CJ INSULATION 06/07/18 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 430 18WC 19043 MARROQUIN, DAVID CHEMIFLEX 04/13/18 R. MARK MARITOTE PC JOSEPH MARCINIAK 431 18WC 19715 HARPER, CRYSTAL COSTCO 07/18/15 STELZMAN, RUTH GANAN & SHAPIRO 432 18WC 19865 GLAVAN, ARMANDO DIMENSIONAL STONE INC 10/27/17 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 433 18WC 20054 SMITH, ARTHUR FLAVORCHEM 06/21/18 COSTA IVONE LLC CAPUANI, FRANK S 434 18WC 20363 MAYON, CLINTISTINE T TMI HOSPITALITY 04/22/18 COSTA IVONE LLC HENNESSY & ROACH PC 435 18WC 20377 HERT, BOBBY IL DEPT OF TRANSPORTATION 06/25/18 MARKER & CRANNELL ASSISTANT ATTORNEY GENERAL 436 18WC 20473 ALVAREZ, JUAN C VERTIV 06/05/18 LEO ALT HEYL ROYSTER VOELKER & ALLEN 437 18WC 20529 ZEPEDA, MIGUEL MIDWEST GROUNDCOVERS LLC 06/28/18 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 438 18WC 20556 YASAK, CHRISTOPHER AMERICAN LITHO 07/01/17 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 439 18WC 20667 LOPEZ, MARIA PRIMARY STAFFING 06/01/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 440 18WC 20728 JOHNSON, PETRA TRANS AID SERVICES 06/22/18 BRISKMAN BRISKMAN GREENBER 441 18WC 20807 JORDAN, KIMBERLY INDIAN PRAIRIE SD 204 05/03/18 WOODRUFF JOHNSON BRADY CONNOLLY & MASUDA PC 442 18WC 20819 ESCUTIA, PEDRO CLARENCE DAVIDS & CO 02/14/18 MC HARGUE & JONES INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 18WC 21125 RAIMONDI, MICHAEL CRATE AND BARREL 03/16/18 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 444 18WC 21153 HAYES, GEORGE NAPERVILLE SCHOOL DIST 20 08/22/17 PATRICOSKI, MARK G RUSIN & MACIOROWSKI LTD 445 18WC 21406 RODRIGUEZ, MARIA DAVID'S BRIDAL 05/04/18 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 446 18WC 21473 PEREZ, HILDA HANDI-FOIL CORP 11/29/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 447 18WC 21592 GOEZ, ERIKA BRIDGEWAY SENIOR LIVING 04/17/18 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 448 18WC 21949 BURRAGE, JESSE HOTLINE FREIGHT 07/12/18 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 449 18WC 22142 PEARSON, DEAN M PHOENIX VETERANS PRINT 07/09/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 450 18WC 22198 SANTIAGO, MARIO AT&T 07/03/18 KATZ FRIEDMAN EAGLE ET AL 451 18WC 22394 CANNON, ROBERT EDWARD HOSPITAL 05/23/18 MARKER & CRANNELL POWER & CRONIN LTD 452 18WC 22412 FRENCH, JOSHUA BLACKHAWK CORRUGATED 04/20/17 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 453 18WC 22476 FREY, JOSEPH CARAVAN FACILITIES MNGMNT 06/21/18 THE ROMAKER LAW FIRM 454 18WC 22555 MCGUIRE, TIMOTHY K AT&T 06/15/18 GOLDBERG WEISMAN & CAIRO L 455 18WC 22620 SOBUS, JERZY GO TO LOGISTICS 05/14/18 CULLEN HASKINS NICHOLSON KRAKER FANNING & OLSEN 456 18WC 22664 CAPECE, GUISEPPE FOREST PRESERVE DIST 04/16/16 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV LLC 457 18WC 22733 BARRERA, JOSE SILVER CAR WASH 07/09/18 HERRERA LAW CENTER HOLECEK & ASSOCIATES 458 18WC 22942 MURRAY, JEAN E MARIANOS 06/03/18 COYNE REINKE LAW 459 18WC 23359 TORRES, HECTOR M DUNAWAY BROTHERS 11/21/17 STROM & ASSOC WIEDNER & MCAULIFFE LTD 460 18WC 23694 GARCIA JR, LINO NICOR GAST 05/08/18 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 18WC 23806 FIGUEROA-RAMIREZ, OFELIA HILTON CHICAGO/ 07/19/18 KATZ FRIEDMAN EAGLE ET AL 462 18WC 23848 RODRIGUEZ, GUSTAVO THE PATE COMPANY 06/05/18 RUEDA, IVAN A 463 18WC 24040 QUEZADA, OSCAR DIVERSIFIED LABELING 06/14/18 HUGHES SOCOL PIERS RESNICK 464 18WC 24612 ORTIZ, ANDRES COMCAST 12/11/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 465 18WC 24646 CRUZ, ROBERTO HONEY JAM CAFE 05/09/17 CRONIN & PETERS PAUL O WATKISS 466 18WC 24790 TAPIA, VIDAL CROWN METAL MANUFACTURING 01/24/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 467 18WC 24881 SAUCEDO, JUVENAL SURE STAFF 07/26/18 HERRERA LAW CENTER LOUIS MUNDY 468 18WC 24938 NIESMAN, WILLIAM VILLAGE OF NAPERVILLE 08/06/18 TAXMAN POLLOCK CITY OF NAPERVILLE 469 18WC 24986 GEHRING, GREGG NABISCO INC/KRAFT 07/24/18 STROM & ASSOC 470 18WC 25127 GUERRERO, ENRIQUE SEAL TIGHT EXTERIORS 07/31/18 HORWITZ HORWITZ & ASSOC EDWARD J. KOZEL 471 18WC 25490 CASTANEDA, RICHARD SQUEAKY CLEAN 06/01/18 TURNER & SACKETT LLC QUINTAIROS PRIETO WOOD & BOY 472 18WC 25551 GOMEZ, MANUEL SAINT-GOBAIN ABRASIVES IN 03/12/18 PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 473 18WC 25581 OLMOS, FERNANDO HINSDALE NURSERIES 09/07/17 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 474 18WC 25747 FAJARDO, SAUL SYSCO 05/07/18 JONATHAN SCHLACK GAIDO & FINTZEN 475 18WC 25852 19B OROZCO, JORGE DECO LABELS & TAGS 07/09/18 ARGIONIS & ASSOCIATES LLC ACCIDENT FUND HOLDINGS 476 18WC 25897 CASTIGLIA, JOANNA MEATHEADS BURGERS AND FRI 08/03/18 SCHRAMM LAW GROUP 477 18WC 26147 CAPASSO, FRANK AGILITY LOGISTICS CORP 04/17/18 LOUIS A PLZAK & ASSOCIATES 478 18WC 26267 BARNETT, JEREMY A MAPEI CORP 08/20/18 ANKIN LAW OFFICE HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 18WC 26674 TERRAZAS, LORENZO AEROTEK 07/17/18 BOWMAN & CORDAY 480 18WC 26775 KUNERT, SUSAN A MAXIM HEALTHCARE SERVICES 04/11/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 19WC017655 -C 481 18WC 26783 SKOWRINSKA, DOROTA PARKER HANNIFIN 07/10/18 MARKER & CRANNELL RUSIN & MACIOROWSKI LTD 482 18WC 26792 COSTNER, ELI SCREW MACHINE ENGINEERING 01/15/18 ANGELINI & ORI LLC 483 18WC 26910 POLANSKY, JESSE JOINT COMMISSION 05/12/16 CULLEN HASKINS NICHOLSON LAWRENCE COZZI - LAW OFFICE 484 18WC 27035 COLLINS, WINCE ALDI 08/23/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 485 18WC 27109 SENOYUIT, TAMMY AUTOZONE 06/06/18 MARKER & CRANNELL GILDEA, COGHLAN & REGAN LTD. 486 18WC 27135 COCKAYNE, JUSTIN INDUSTRIAL GAS ENGINEERIN 06/26/17 O'CONNOR & NAKOS GILDEA, COGHLAN & REGAN LTD. 487 18WC 27302 RICHARDS, SHERRY WILLIAM F MURPHY ELMENTRY 05/22/18 HORWITZ HORWITZ & ASSOC 488 18WC 27313 KOGUT, MARIAN Z-B CONSTRUCTION GROUP, I 07/26/18 CORBOY & DEMETRIO PC QUINTAIROS PRIETO WOOD & BOY 489 18WC 27383 RAMIREZ, CONSUELO VINAYAKA HOSPITALITY, INC 05/22/18 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICE 490 18WC 27788 MC KNIGHT, JARMAR US FOODS 07/23/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 19WC007115 -C 491 18WC 28175 SANAULLAH, SHEENA APTUDE INC 06/27/17 MARKER & CRANNELL 492 18WC 28241 JERNSTAD, MARK E ANDERSON WINDOWS & DOORS 01/16/17 CAMERON CLARK BRADY CONNOLLY & MASUDA PC 18WC028242 -C 493 18WC 28254 SWETT, JANICE GE HEALTHCARE 01/29/18 FRIEDMAN & SOLMOR LTD RUSIN & MACIOROWSKI LTD 494 18WC 28388 MOORE, STEPHANIE HAND AND STONE SPA 08/28/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 495 18WC 28633 ZEDNICK, MARK COURTNEY'S SAFETY LANE, I 09/17/18 MARKER & CRANNELL GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 18WC 31728 KORNFIELD, CRISTY IL DEPT OF PUBLIC HEALTH @ 08/06/18 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 515 18WC 31802 GARVIN, MICHAEL AT&T 08/10/18 MARKER & CRANNELL INMAN & FITZGIBBONS 516 18WC 31848 VARGAS, CARLOS FIVE STAR DECORATING, INC 10/03/17 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 517 18WC 31945 SHELTON, LAURIE VILLAGE OF ADDISON 03/16/17 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 518 18WC 32051 KIRMSE, MICHAEL CHICAGO BAKERY BUTTERNUT 09/24/18 WOODRUFF JOHNSON POWER & CRONIN LTD 519 18WC 32236 HANSON, ZOER BRIGHTSTAR CARE 10/12/18 BART DURHAM ACCIDENT FUND HOLDINGS 520 18WC 32482 PINTARO, JEROME PACE SYSTEMS, INC 08/20/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 521 18WC 32804 RUIZ, SERGIO BREAK THRU ENTERTAINMENT 02/06/18 KARCHMAR & STONE STONE & JOHNSON CHARTERED 522 18WC 32959 PAEZ, ILLIANA JEL-SERT 07/17/18 MC HARGUE & JONES 523 18WC 33038 LA ROCHE, TIMOTHY MEADE ELECTRIC 08/23/18 TAXMAN POLLOCK RUSIN & MACIOROWSKI LTD 524 18WC 33156 BRUNS, LINDA INDIAN PRAIRIE SCHOOL DIS 05/14/18 GALANTI LAW OFFICES BRADY CONNOLLY & MASUDA PC 525 18WC 33258 RISSMAN, PAMELA IL STATE TOLLWAY HWY AUTH 08/24/17 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 526 18WC 33397 RITTER, LOIS FRANCISCAN SISTERS OF CHI 09/19/17 NILSON STOOKAL GLEASON CAP ARNETT LAW GROUP 527 18WC 33412 TILLMAN, ALEX ESSENDANT 10/25/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 528 18WC 33476 19B VAZQUEZ, GREGORY VILLAGE OF LOMBARD 11/22/17 GORDON LAW OFFICES LTD KLEIN THORPE & JENKINS LTD 529 18WC 33567 BROOKS, MYSOLINE SUBCONTRACTING CONCEPTS, 11/09/17 DWORKIN AND MACIARIELLO SEGAL MCCAMBRIDGE SINGER MAH 530 18WC 33621 BIERUT, DALE COMCAST 02/26/16 DAVID W MARTAY 531 18WC 33652 HERNANDEZ, VIRGINIA HAMRA MANAGEMENT COMPANY, 01/25/18 EPSTEIN, JACK R LAW OFFICE FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 18WC 33854 DUBIEL, ZBIGNIEW JBX GROUP CO 08/09/18 JAMES H MILLER JR 533 18WC 33971 ALVARADO, ELVIRA OSI INDUSTRIES 11/01/17 JOHN J CASTANEDA ASA LAW GROUP 534 18WC 34032 JAGGERS, MICHAEL JOHNSON CONTROLS 06/15/18 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 535 18WC 34254 DOMBROWSKI, THOMAS OLIN CORPORATION 07/16/18 DANIEL E MURPHY SPIEGEL & CAHILL, PC 536 18WC 34327 GARCIA, ELIZABETH INHANCE TECHNOLOGIES, LLC 02/27/18 JOHN S. ELIASIK KEEFE CAMPBELL BIERY & ASSOC 18WC034328 -C 19WC005068 -C 537 18WC 34336 TAMAYO, NOE SCG MAINTENANCE INC. 10/10/18 STEWART C ORZOFF 538 18WC 34373 RIVERO-BERNAL, YAMILA IMAGE FIRST HEALTHCARE 10/02/17 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 539 18WC 34464 GOERING, JILLIAN WILLIAMS-SONOMA INC 04/05/18 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV LLC 540 18WC 34658 GARCIA, MATILDE OSI 07/05/18 GALLAGHER, DONALD V ASA LAW GROUP 541 18WC 34714 SIMS, TOYLA AEROTEK/ALLEGIS GROUP 10/15/18 JAY S. SHETH LLC WIEDNER & MCAULIFFE LTD 542 18WC 34765 SOSTAK, JUSTIN SHERWIN-WILLIAMS 10/26/18 MICHAEL HELLMAN 543 18WC 34836 CHIATTELLO, MILLER MC DONALD'S 11/20/18 DWORKIN AND MACIARIELLO 544 18WC 34932 SEWELL, AUDREY HOME DEPOT 05/01/18 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 545 18WC 35107 CHNIELEWSKI, JOHN JD NORMAN INDUSTRIAL 09/24/18 DWORKIN AND MACIARIELLO 546 18WC 35196 ZAJAC, SUSAN INDIAN PRAIRIE SCHOOL DIS 09/13/18 BRIAN T MORROW, LAW OFFICE BRADY CONNOLLY & MASUDA PC 547 18WC 35357 SOLDWISCH, SCOTT S ILLINOIS STATE TOLL HIGHW @ 08/21/18 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 548 18WC 35421 PARKER, ROBERT GREEN CORE 04/02/18 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 549 18WC 35521 SALINAS, JORGE MIDWAY MATTRESS NO. 1 11/19/18 POLANSKY & CICHON CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 18WC 35646 GONZALEZ, GABRIEL OWENS & MINOR DISTRIBUTIO 05/01/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 551 18WC 35822 JANTZER, MARK NATIONAL EXPRESS CORP 11/09/18 COSTA IVONE LLC GAIDO & FINTZEN 552 18WC 35847 MANZANARES, YURIDIA PAYCHEX 11/27/18 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 553 18WC 35961 CORTES, CRISTINA ED HOYS INTERNATIONAL 11/02/18 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 554 18WC 36130 PULLIAM-CROOM, MARY ILLINOIS CENTRAL SCHOOL B 10/31/18 DANIEL E MURPHY 555 18WC 36499 LAWLOR, KEVIN UBER 12/09/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 556 18WC 36521 STEVENSON, ALEX MC MASTER CARR 06/02/17 SCOTT BARBER GAROFALO SCHREIBER STORM GRA 18WC036522 -C MCMASTER CARR 18WC036523 -C 18WC036524 -C MCMASTER CARR 557 18WC 36553 SOTELO, CARMEN ELITE LABOR SRVS, LTD 08/06/18 THE ROMAKER LAW FIRM 558 18WC 36703 GUERRERO, ESTEFANY UBER EATS 12/10/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 559 18WC 37005 SANTIAGO, NELSON OEC GRAPHICS INC 08/27/18 STROM & ASSOC NYHAN BAMBRICK KINZIE & LOWR 560 18WC 37120 ROGERS, BRADLEY CITY OF NAPERVILLE 05/21/18 GOLDBERG WEISMAN & CAIRO L CITY OF NAPERVILLE 561 18WC 37219 NYKAZA, ROBERT FREDRIKSEN FIRE EQUIPMENT 01/25/18 MC HARGUE & JONES JOSEPH MARCINIAK 562 18WC 37235 SCHWEPPE, KIMBERLY HAGGERTY FORD 06/21/17 RONALDSON & KUCHLER NOBLE & ASSOC 563 18WC 37323 NEMEC, NORMAN P VILLAGE OF OAK BROOK 11/06/18 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 564 18WC 37570 PEREZ, MIGUEL ROSBOROUGH PARTNERS, INC 06/18/18 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 565 18WC 37716 LOPEZ, ENRIQUE ADDISON FRESH MARKET 06/19/18 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 566 18WC 37903 FORMAS, GLADYS M OAK TRACE HEALTH CENTER 11/08/18 GOLDSTEIN BENDER & ROMANOF WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 18WC 38096 RAMIREZ, MARITZA HOME INSTEAD SENIOR CARE 04/05/18 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 568 18WC 38195 RANCIC, MARIANNE AMERICAN AIRLINES 03/28/18 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM GRA 569 18WC 38302 LEIFHEIT, ELMER PEPSI CO 12/07/18 WOODRUFF JOHNSON GAIDO & FINTZEN 570 18WC 38408 HOUSTON, ROOSEVELT US FOODS 12/05/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 571 18WC 38425 VARGAS, JOSE PETEL, INC 01/24/18 STEVEN J MALMAN & ASSOCIAT EDWARD J. KOZEL 572 19WC 00314 HUBBERT, JOLEEN ZENITH INSURANCE COMPANY 02/22/17 JOSEPH J LOSS PC HENNESSY & ROACH PC 19WC000315 -C 573 19WC 00320 SEMRO JR, RICHARD J BOERMAN MOVING AND STORAG 08/02/18 VITELL & SPITZ LTD SCOPELITIS GARVIN LIGHT 574 19WC 00339 CLIFFORD, ATHENA L IL STATE TOLL HWY AUTHORI @ 10/18/18 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 575 19WC 00365 CORTEZ, SAMUEL JUST IN TIME STAFFING, LL 12/19/18 GREGORIO & MARCO QUINTAIROS PRIETO WOOD & BOY 576 19WC 00449 LEWIS, PATRICE DESTINATION MATERNITY 12/17/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 577 19WC 00502 LOPEZ, ARTURO ARIAS PETE'S FRESH MARKET 06/30/18 KARCHMAR & STONE KEEFE CAMPBELL BIERY & ASSOC 578 19WC 00993 BUCK, TERRAN D GLEN ELLYN STORAGE CORP 12/15/18 ANKIN LAW OFFICE 579 19WC 01283 GIEBELHAUSEN, RYAN F.E. MORAN 10/23/18 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 580 19WC 01400 GREGOIRE, PAMELA ADVANTAGE SALES & MARKETI 09/08/18 DWORKIN AND MACIARIELLO KELLEY KRONENBERG 581 19WC 01482 VAZQUEZ, MANUEL STANDARD MARKET 12/05/18 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 582 19WC 01553 ALVAREZ, AMELIA ST ISIDORE PARISH 09/26/17 MORICI FIGLIOLI & ASSOC STONE & JOHNSON CHARTERED 583 19WC 01555 RAMOS, MANUEL WALMART 01/02/19 ASHER, RAYMOND L LTD QUINTAIROS PRIETO WOOD & BOY 584 19WC 01635 YANEZ, ROSA ROYAL DIE & STAMPING CO, 10/15/18 STANCZAK LAW OFFICES EDWARD J. KOZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 19WC 01696 CORTEZ-RUIZ, RIGOBERTO QMI SECURITY SOLUTIONS 10/05/18 PHILIP BLOMBERG 586 19WC 01814 TORLO, VELIO VILLAGE OF OAK BROOK 01/23/18 FRANCIS J DISCIPIO LAW OFF 587 19WC 01857 SANTOYO, CARMEN JEWEL FOOD STORE INC 05/25/18 SCOTT B SHAPIRO 588 19WC 01997 APOSTOLOPOULOS, GEORGIA THE BON-TON STORES, INC 11/28/17 LUCAS & APOSTOLOPOULOS COZZI & ZAPF LAW OFFICE 589 19WC 02034 NOGUEDA, SALOMON ACCURATE PERSONNEL LLC 01/15/19 EPSTEIN, JACK R LAW OFFICE JOHN T GONNELLA 590 19WC 02129 WINTERS, KENNY APL LOGISTICS/BOBCAT 07/26/18 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 591 19WC 02232 NOWICKI, JACQUELINE CRATE & BARREL 12/18/18 RUSIN & MACIOROWSKI LTD 592 19WC 02285 MIHO, PIRO GCA SERVICES GROUP 09/12/17 THERMAN LAW OFFICES GOLDBERG SEGALLA LLC 593 19WC 02506 MEDINA, ARCELIA JEL SERT CO 12/14/18 KATZ FRIEDMAN EAGLE ET AL 594 19WC 02676 HILBORN, DEBRA J NTA PRECISION AXLE 10/03/17 TIMOTHY HENDERSON 595 19WC 02735 BIZIOS, DIMITRI CONSTRUCTION BROKERS, INC 09/11/18 SEIDMAN MARGULIS & FAIRMAN CLAYBORNE SABO & WAGNER 596 19WC 02925 PIPPIN, DONALD HOME RUN INN 11/06/18 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 597 19WC 02979 WINESBURG, DONNA M MOLECULAR IMAGING CHICAGO 11/12/18 TIMOTHY HENDERSON JOSEPH MARCINIAK 19WC014773 -C 19WC014774 -C 598 19WC 03234 NAVA, RAFAEL NATIONAL DATA LABEL CORP. 06/13/18 THE ROMAKER LAW FIRM GANAN & SHAPIRO 599 19WC 03368 THYGESEN, SANDRA GOOD SAMARITAN HOSPITAL 08/27/18 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 600 19WC 03463 RYLE, DENISE WHOLE FOODS 12/29/16 ALEKSY BELCHER 601 19WC 03466 LOPEZ, HERMINIA JAMAR PACKAGING 01/31/19 BAUM RUFFOLO & MARZAL LTD JOSEPH MARCINIAK 602 19WC 03572 ARREOLA, JUAN AIRGAS 11/15/18 LEONARD LAW GROUP LLC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 19WC 03601 JIMENEZ, RAMON GARCIA FINN CARPENTRY, INC 10/12/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 604 19WC 03622 EAGLE, JACOB FED EX 01/10/19 605 19WC 03664 CLARK, PAMELA GPM INVESTMENTS LLC 11/29/18 STEVEN J MALMAN & ASSOCIAT 606 19WC 03809 MOLINA, WILLIAM CHRIST PANOS FOOD CORP 11/27/18 LEO ALT JOSEPH MARCINIAK 607 19WC 03942 GARCIA, JOSEPH ILLINOIS STATE POLICE @ 01/31/19 RIDGE & DOWNES GANAN & SHAPIRO 608 19WC 03997 LOPEZ, ELSA CD ONE PRICE CLEANERS, A/ 01/22/19 JOHN J CASTANEDA JOSEPH MARCINIAK 609 19WC 04153 DENTON, TRACY CAROLSTREAM FIRE PROTECTN 03/26/17 THOMAS LAW POWER & CRONIN LTD 610 19WC 04189 TORRES, RAMIRO ANCHOR BRAKE SHOE 01/10/19 MEYERS & FLOWERS KRAKER FANNING & OLSEN 611 19WC 04324 SMITH, STEPHANIE RAYMES STEAK & FISH HOUSE 09/07/18 DWORKIN AND MACIARIELLO 612 19WC 04335 MERCADO, OSCAR M BRAHMA MASONRY CONST., IN 04/12/18 LINN, CAMPE & RIZZO LTD 613 19WC 04384 CALLAHAN, ARBE CITGO LEMONT REFINERY 11/06/18 KATZ FRIEDMAN EAGLE ET AL 614 19WC 04475 PIOTROWSKI, MARIAN JKC TRUCKING INC 12/18/18 ROBERT WARSASKI GOLDBERG SEGALLA LLC 19WC008796 -C 615 19WC 04567 IBARRA, FERNANDO KOALA STUDIOS 08/15/18 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 616 19WC 04591 PRAH, NANA B CRATE AND BARREL HOLDINGS 10/15/18 RAPAPORT, STEVEN I RUSIN & MACIOROWSKI LTD 617 19WC 04604 NORRIS, ROSE NAPERVILLE MANOR HRC LLC 02/06/19 CUSHING LAW OFFICES BRADY CONNOLLY & MASUDA PC 618 19WC 04725 DENIHAN, REBECCA O CHATEAU NURSING & 02/10/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 619 19WC 04881 LUNA, CARMEN ASPEN MANUFACTURING 01/31/19 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 620 19WC 04940 KLYANA, SAM VICTOR ENVELOPE COMPANY 07/26/18 THE ROMAKER LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 19WC 05177 FRIEDMAN, PETER M UCHICAGO ARGONNE, LLC 07/18/18 MORICI FIGLIOLI & ASSOC KEEFE CAMPBELL BIERY & ASSOC 622 19WC 05217 GUZMAN, RIGOBERTO APPIAN STONE WERKS 09/21/18 GIACOBBE, THOMAS M 623 19WC 05387 RUIZ, GUADALUPE NORDSTOM RACK 05/14/18 RUBIN LAW GROUP GAIDO & FINTZEN 20WC003441 -C 624 19WC 05392 CUEVAS, MARLEN CHICKS 'N SALSA 11/17/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 625 19WC 05498 JONES, MAY E NAPERVILLE HOTEL LLC (MOT 05/19/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 626 19WC 05617 ROSAL, ANA M PEPPERIDGE FARM 02/15/18 NEWLAND & NEWLAND CHILTON YAMBERT PORTER LLP 20WC006241 -C 627 19WC 05763 MONTERUBIO, MICHAEL U ILLINOIS DEPT OF TRANSPOR @ 06/14/18 CRONIN PETERS & COOK ASSISTANT ATTORNEY GENERAL 628 19WC 05833 HANRAHAN, KATHLEEN TECHNY ADVISORS, LLC 11/14/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 629 19WC 05890 GUERRERO, GUADALUPE QUEST FOOD MANAGEMENT SRV 02/05/19 KATZ FRIEDMAN EAGLE ET AL 630 19WC 05958 GURROLA, LASHON EDWARD-ELMHURST HEALTH 02/02/19 GALLAGHER LAW PC RUSIN & MACIOROWSKI LTD 631 19WC 06139 BOLTON, ROBERT CLARIANT MASTER BATCH INC 02/25/19 COSTA IVONE LLC KRAKER FANNING & OLSEN 632 19WC 06226 HARRIS, CHRISTINA L ACADEMY MORTGAGE 02/05/19 DAMISCH & DAMISCH LTD HOLECEK & ASSOCIATES 633 19WC 06358 RUIZ, TOMAS M MIDWEST INDUSTRIAL RUBBER 02/07/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 634 19WC 06574 RECENDEZ, JOSE PEACOCK FOODS DBA GREENCO 11/20/17 LULAY LAW OFFICES HOLECEK & ASSOCIATES 19WC006806 -C 635 19WC 06634 SAM, DARA ALDEN ESTATES OF NAPERVIL 01/22/19 HUGHES SOCOL PIERS RESNICK 636 19WC 06716 TOWNSEND, GREGORY FEDEX 01/22/19 ERIC H CHECK, LAW OFFICES 637 19WC 06788 SARANIECKI, WALTER SARANECKI BROTHERS CATERI 04/27/17 ERIC M GLASSON & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 638 19WC 06879 CHAUDHRY, NASEEM AUTONATION 01/05/17 MARKHAM M JEEP & ASSOCIATE NYHAN BAMBRICK KINZIE & LOWR 639 19WC 06987 SCOTT-HARVEY, IRVINA GIFT OF HOPE ORGAN 05/14/18 ANKIN LAW OFFICE 640 19WC 07103 DMYTRO, MICHAEL LEE RESTAURANT DEPOT 10/10/18 DRISCOLL LAW OFFICES PC LAWRENCE COZZI - LAW OFFICE 641 19WC 07110 BURKS, TAMICKA ACCURATE PERSONNEL, LLC 02/11/19 ANKIN LAW OFFICE JOHN T GONNELLA 642 19WC 07117 KOLAR, FRANK DOYLE SIGN 10/31/17 LEONARD LAW GROUP LLC FRIEDRICH LAW LLC 19WC007118 -C 19WC007119 -C 643 19WC 07130 KOZIOL, JUANITA AIT WORLDWIDE LOGISTICS, 02/23/19 GRAUER & KRIEGEL LLC HENNESSY & ROACH PC 644 19WC 07220 ROBLES, ROLANDO SPI STAFFING 12/28/18 WHITESIDE & GOLDBERG LTD SLAVIN & SLAVIN 645 19WC 07230 KOZIEL, DAVID NORTH CENTRAL COLLEGE 02/01/19 CRAIG L MANCHIK & ASSOC. 646 19WC 07406 THURMOND, PATRICIA CRATE & BARREL 02/28/19 GERALD CONNOR MACIOROWSKI SACKMANN & ULRIC 647 19WC 07717 RUSH, AMANDA LIFETOUCH 10/23/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 648 19WC 07756 VILLATORO, WALTER STAFFING NETWORK 12/29/18 MC HARGUE & JONES SLAVIN & SLAVIN 649 19WC 07790 BILLINGSLEA, RHONDA MERRY MAIDS 11/27/18 DAVID W MARTAY JOSEPH MARCINIAK 650 19WC 07904 KOUKOL, KEVIN ILLINOIS STATE TOLL HWY A 03/04/19 THE MACK LAW GROUP PC GANAN & SHAPIRO 651 19WC 07941 DIAZ, MARIA PRIMARY STAFFING 02/03/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 652 19WC 08067 MITCHELL, MEGAN FAYE STARDUST BOWL OF ADDISON 12/28/18 SEIDMAN MARGULIS & FAIRMAN 653 19WC 08299 TREDE, RAYMOND COTTAGE HILL OPERATING CO 02/12/19 ANGELINI & ORI LLC RIPES NELSON BAGGOT KALOBRAT 654 19WC 08449 POPIEL-ARNDT, HENRYKA XCELLENT CLEANING INC 06/14/17 PORRO NIERMANN LAW GROUP 655 19WC 08584 RAMIREZ, MIGUEL CERMAK PRODUCE NO 14 02/03/19 SALVATO O'TOOLE FROYLAN GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 672 19WC 09820 RAMIREZ, JUAN JAIME EDDY & SONS TOWING 03/13/19 ANSELMO DURAN 673 19WC 09969 BURCIAGA, BRENDA O'REILLY DISTRIBUTION CEN 02/05/19 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 19WC016799 -C 674 19WC 09991 AZOFF, STEVE VICOSTONE 03/12/19 WOODRUFF JOHNSON 675 19WC 10031 PHILLIPS, OSCAR ILLINOIS DEP OF TRANSPORT @ 02/12/19 ROGER D RUDICH LTD ASSISTANT ATTORNEY GENERAL 676 19WC 10178 CLAROS, HERBERT A SCANDINAVIAN DESIGNS, INC 12/15/18 RUBIN LAW GROUP JOSEPH MARCINIAK 677 19WC 10204 DAUPHIN, GINA NAPERVILLE SCHOOL DISTR 2 09/19/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 678 19WC 10258 MCCULLOCH, RYAN UPS 01/23/19 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 19WC020981 -C 679 19WC 10341 GONZALEZ, GUADALUPE METRO STAFF 03/11/19 CULLEN HASKINS NICHOLSON 680 19WC 10413 PEREZ GARCIA, ANDRES ANCHOR BRAKE SHOE COMPANY 10/17/18 STEPHANIE WEISSMAN 681 19WC 10697 GUTIERREZ, ALFREDO EXELON - COMED 04/16/18 PORRO NIERMANN LAW GROUP CHILTON YAMBERT PORTER LLP 682 19WC 10705 RYS, GARY GOODCENTS SOLUTIONS 11/15/18 GOLDBERG WEISMAN & CAIRO L KRAKER FANNING & OLSEN 683 19WC 10738 GUZMAN, MARIA SOCORRO ARAMARK CLEANROOM SERVICE 01/25/19 STROM & ASSOC STONE & JOHNSON CHARTERED 684 19WC 10867 KAMMER, JOHN VULCAN MATERIALS COMPANY 10/10/18 BOLLINGER CONNOLLY KRAUSE NYHAN BAMBRICK KINZIE & LOWR 685 19WC 11202 GOMEZ, JUAN GARCIA UNIVERSAL CONSTRUCTION 03/06/19 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 686 19WC 11226 DUFFIE, DEANDREY BDK QUALITY SERVICES INC 04/12/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 687 19WC 11239 VELEZ, ARMINDO UNIQUE PRODUCTS 02/19/18 ANGELINI & ORI LLC LEAHY EISENBERG & FRAENKEL 688 19WC 11297 SALGADO, RAMON US FOOD SERVICE 03/07/19 TAMVAKIS, GEORGE L 689 19WC 11325 SERRATO, RICHARD M LABOR TEMPS 10/09/18 LULAY LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 690 19WC 11390 AMBRAY, LERIZA EDWADS HOSPITAL 10/19/18 COYNE REINKE LAW POWER & CRONIN LTD 691 19WC 11419 BARNES, LORNE WOODS BROTHERS TRANSPORT, 06/20/16 MARC J SHUMAN & ASSOCIATES LAWRENCE COZZI - LAW OFFICE 692 19WC 11443 SHARP, JADA ULTIMATE NINJAS NAPERVILL 10/18/18 DAVID W MARTAY JOSEPH MARCINIAK 693 19WC 11504 MARTIN, CHRISTOPHER ORKIN PEST CONTROL 04/11/19 KUMLIN & FROMM BRADY CONNOLLY & MASUDA PC 694 19WC 11819 FLOWERS, DANIELLE RESCARE PREMIER 08/15/18 SPIROS LAW PC SPIEGEL & CAHILL, PC 695 19WC 11962 LOPEZ, MARIA Y SUPERIOR STAFFING 02/27/19 FRIEDMAN & SOLMOR LTD SLAVIN & SLAVIN 696 19WC 11992 REED, AARON MAPEI CORP 04/02/19 FRIEND LEVINSON & BERGAL HINSHAW & CULBERTSON 697 19WC 12011 TURNER, JAMES EMPLOY SOURCE TEMP SOLUTI 05/16/18 DWORKIN AND MACIARIELLO 698 19WC 12023 SCHWEPPE, KIMBERLY HAGGERTY FORD 01/22/19 RONALDSON & KUCHLER GANAN & SHAPIRO 699 19WC 12135 HEWLETT, LORAN US FOODS 04/07/19 BRISKMAN BRISKMAN GREENBER 700 19WC 12217 FISHER, DAVID A DICK'S SPORTING GOODS 03/13/19 DIXON LAW FIRM BRYCE DOWNEY & LENKOV LLC 701 19WC 12252 RODRIGUEZ, JUAN PAVE PLUS 11/21/18 THOMAS J STIBERTH LAW OFFI GANAN & SHAPIRO 19WC013432 -C 702 19WC 12396 AVILA, MARCO US FOODS 04/21/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 703 19WC 12548 BABCOCK, NICHOLAS W VILLAGE OF OAK BROOK 04/03/19 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 704 19WC 12678 HERRERA, MARIA MALONE STAFFING 03/14/19 MC HARGUE & JONES 705 19WC 12845 BUJNOWSKA, ANNA UPS 10/12/18 THE MACK LAW GROUP PC NYHAN BAMBRICK KINZIE & LOWR 706 19WC 13018 SWAGLER, SHAWN VILLAGE OF OAK BROOK 04/12/19 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 707 19WC 13077 PEREZ, MARIA TERESA RANGE EUROMARKET DESIGNS, INC 04/04/19 STEVEN B SALK & ASSOC LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 19WC 13219 DAVIS, FRANSHAWN ADVOCATE 02/25/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 709 19WC 13236 SABIA, CHRISTOPHER EARLE M. JORGENSEN 08/24/18 RIDGE & DOWNES HENNESSY & ROACH PC 710 19WC 13387 JARDING, ROBERT PORTILLO'S 02/20/19 RAYMOND M SIMARD, PC HOLECEK & ASSOCIATES 711 19WC 13555 SPINKS, RENEE SCHNEIDER NATIONAL 05/04/19 VASILATOS & COTTER LLC ASA LAW GROUP 712 19WC 13657 SORENSEN, THEODORE TED VILLAGE OF GLENDALE HEIGH 04/15/19 SEIDMAN MARGULIS & FAIRMAN GAIDO & FINTZEN 713 19WC 13666 LINGIER, MEAGAN XSPORT 01/29/19 PORRO NIERMANN LAW GROUP ACCIDENT FUND HOLDINGS 714 19WC 13747 ADOLPH, BARRY PRO DRIVERS STAFFING 02/27/19 ROGER D RUDICH LTD NYHAN BAMBRICK KINZIE & LOWR 715 19WC 13782 GONAZLEZ, HECTOR ANTHONY CONSTRUCTION 04/09/19 STANCZAK LAW OFFICES LITCHFIELD CAVO 716 19WC 13819 SMITH, STEVEN ADVOCATE GOOD SAMARITAN 05/09/19 STYKA & STYKA NYHAN BAMBRICK KINZIE & LOWR 717 19WC 13970 MCHALE, SANDY GLENBARD TOWNSHIP DIST 87 04/15/19 R. MARK MARITOTE PC ANCEL GLINK PC 718 19WC 13996 GOMEZ, JESUS THE PROTECTOSEAL CO 01/28/19 RUEDA, IVAN A JOSEPH MARCINIAK 719 19WC 14050 VARGAS, LUIS KRONOS 03/04/19 ROBERT WARSASKI KRAKER FANNING & OLSEN 720 19WC 14062 GOROSTIETA CASAS, DANIEL COMPLETE BUILDING 12/05/18 STEVEN B SALK & ASSOC LTD BRADY CONNOLLY & MASUDA PC 19WC014063 -C 721 19WC 14068 RODRIGUEZ, LUIS VILLAGE OF WOODRIDGE 12/29/18 EAMES LAW GROUP LTD RUSIN & MACIOROWSKI LTD 722 19WC 14126 ZWIER, RODNEY AIR-RITE HEATING 11/29/17 SAUNDERS CONDON & KENNY CACCHILLO LAW GROUP LLC 723 19WC 14144 VEGA JR, ALFONSO AEROTEK, INC 05/10/19 ANKIN LAW OFFICE 724 19WC 14282 RODRIGUEZ, ADAM PSI INTERNATIONAL SOLUTIO 03/26/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 725 19WC 14344 KONEZNEY, ROBERT VILLAGE OF DOWNERS GROVE 10/06/17 MCNABOLA & ASSOC VILLAGE OF DOWNERS GROVE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 726 19WC 14506 SANCHEZ, CARLOS PATRICK INDUSTRIES, INC. 02/06/19 O'CONNOR & NAKOS 727 19WC 14786 SKENANDOEW, PAUL AUTO NATION/LAUREL BMW 01/31/19 RONALDSON & KUCHLER NYHAN BAMBRICK KINZIE & LOWR 728 19WC 14834 LEMUS, TRINIDAD SYSCO GUEST SUPPLY, LLC. 11/12/18 GIACOBBE, THOMAS M 729 19WC 14895 NIEMIEC, JAMES, FOR ESTAT WAYFAIR 04/26/19 WOODRUFF JOHNSON 730 19WC 14990 BAKER, DENNIS L.L. BEAN 05/13/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 731 19WC 15051 VARGAS, JOSE PERMA-SEAL BASEMENT SYSTM 04/19/19 DEPAOLO & ZADEIKIS 732 19WC 15060 TEJEDA, MARTIN CLASSIC CAR WASH 05/03/19 EPSTEIN, JACK R LAW OFFICE 733 19WC 15068 SIPIORA, DANIEL JUAN B MORALES ROOFING 03/20/18 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 734 19WC 15071 EBBELE, FELIX N APTIVE ENVIRONMENTAL, LLC 05/15/19 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 735 19WC 15243 ARNDT, EDWARD PELCO TOOL 10/10/18 STORTO FINN & ROSINSKI 736 19WC 15339 DIMAYUGA, MANOLO A POWER SOLUTIONS INTERNATI 02/18/19 GALLAGHER, DONALD V HENNESSY & ROACH PC 737 19WC 15437 TYNAN, WILLIAM FLETCHER CHICAGO INC 05/12/19 DWORKIN AND MACIARIELLO 738 19WC 15492 ELLINGSWORTH, CHRISTINE RED LOBSTER 05/27/19 GERALD CONNOR BRYCE DOWNEY & LENKOV LLC 739 19WC 15546 DREW, TODD NORTHWESTERN FLAVORS LLC 05/09/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 740 19WC 15609 CORONA, ADAN MILLENIA PRODUCTS GROUP, 04/29/19 FRIEDMAN & SOLMOR LTD 741 19WC 15648 ARMBRUST, GLENN NAPERVILLE COMMUNITY 11/14/17 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 19WC015649 -C 742 19WC 15842 FISHER, CHRISTOPHER UNITY FENCING 04/13/19 DWORKIN AND MACIARIELLO EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 19WC 15912 VARZINO, VICKI CRATE & BARREL HOLDINGS I 02/23/19 HETHERINGTON KARPEL & BOBB RUSIN & MACIOROWSKI LTD 744 19WC 15965 LAVEILLE, CHRISTINE EDWARD HOSPITAL 11/16/18 ANKIN LAW OFFICE POWER & CRONIN LTD 19WC016772 -C 745 19WC 16120 GARCIA, ANGEL MAGGIANO'S LITTLE VILLAGE 04/07/19 BAUM RUFFOLO & MARZAL LTD 746 19WC 16149 VYHNANEK, ELVIRA COSTCO WHOLESALE CORPORAT 04/22/19 JOSEPH PIEROTTI BRADY CONNOLLY & MASUDA PC 747 19WC 16313 GUTTER, JARVIS STERICYCLE 12/03/18 PETER C KOPOULOS 748 19WC 16414 GARCIA, ALBERT SYSTEM ONE 02/21/19 ANESI OZMON RODIN NOVAK KO MC ANDREWS & NORGLE LLC 749 19WC 16632 PRYOR, ZACHARY TARGET CORPORATION 05/05/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 750 19WC 16676 FAJARDO, JOSEPH EXPOLANKA USA LLC 04/07/17 ARNOLD & KADJAN 19WC001398 -C 751 19WC 16980 WALKER, RUTHIE E AEROTEK, INC 06/03/19 HERRERA LAW CENTER 752 19WC 17007 CORTEZ, ISAIAS GLENDALE GAS & FOOD, INC 05/16/19 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 753 19WC 17041 CHIPMAN, JOHN C NA FAVIA BUILDERS INC 11/12/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 19WC017042 -C 754 19WC 17253 DURAN, NILA RANDSTAD 10/02/18 BURNETT & CARON, LTD SLAVIN & SLAVIN 755 19WC 17397 BELCASTRO, ANTHONY GOOD SAMARITAN D/B/A ADVO 02/25/19 GORDON & CENTRACCHIO LLC NYHAN BAMBRICK KINZIE & LOWR 756 19WC 17497 DEMMA, JOHN A WEBER GRILL RESTAURANTS, 10/09/18 MICHAEL C. GOODE WOLFE & JACOBSON, LTD 757 19WC 17576 DEAN, CARL NORTHWESTERN MEDICINE CEN 05/03/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 758 19WC 17661 IBARRA, AMEYALY JP MORGAN CHASE & CO 04/16/19 EAMES LAW GROUP LTD INMAN & FITZGIBBONS 759 19WC 17720 GONZALEZ, CHRISTINA ARAMARK UNIFORM & CAREER 09/27/16 PHILLIP FARINA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 760 19WC 17777 TSANTIS, STEVEN SILVERADO NAPERVILLE 05/04/19 RUSIN & MACIOROWSKI LTD 761 19WC 17815 SCHULZE, AUDREY ILLINOIS BELL TELEPHONE 08/02/18 ROBERT WARSASKI 762 19WC 17841 JAWORSKI, DEBORAH NATIVE FLORAL GROUP 06/26/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 763 19WC 17882 RAINEY, DANIEL JIMMY JOHN'S 05/03/19 TRAPP & GELLER 764 19WC 18058 MCLEESE, PHILLIP J ADDISON FIRE PROTECTION D 01/22/19 SEROWKA LAW RUSIN & MACIOROWSKI LTD 765 19WC 18392 VIRZI, ANNA LIFE TIME FITNESS INC 03/15/19 KATZ FRIEDMAN EAGLE ET AL 766 19WC 18416 JIMENEZ, MARIA E PERSONALIZATIONMAIL.COM 04/05/19 JONATHAN SCHLACK HENNESSY & ROACH PC 767 19WC 18516 RIOS, JORGE WESTERN DUPAGE LANDSCAPIN 05/22/19 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 768 19WC 18553 DE LA CRUZ, ARTURO SEALEXPRESS TRUCKING INC 05/20/19 PORRO NIERMANN LAW GROUP LAWRENCE COZZI - LAW OFFICE 769 19WC 18588 MILLER, NORMAN UNIQUE PRODUCTS 09/25/18 GRAUER & KRIEGEL LLC LEAHY EISENBERG & FRAENKEL 770 19WC 18646 MARTINEZ, BAILISA ELITE STAFFING, INC. 03/08/17 JOHN S. ELIASIK 771 19WC 18675 HOWELL, PAUL B HUB GROUP 02/12/19 TIMOTHY DEFFET ASA LAW GROUP 772 19WC 18753 LOJAS, JOHN GENE'S TIRE & AUTO REPAIR 09/27/18 RATHBUN CSEVENYAK & KOZOL INMAN & FITZGIBBONS 773 19WC 18834 ZATORSKI, JILLAN HAIR CLUB 05/04/19 STEVEN J MALMAN & ASSOCIAT 774 19WC 18860 BURTON, MICHAEL BLACKHAWK MOLDING 05/14/19 MEYERS & FLOWERS INMAN & FITZGIBBONS 775 19WC 18987 GUERRERO, FRANCISCO LOPEZ HURSTHOUSE, INC. 05/14/19 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 776 19WC 19252 GARCIA, FREDDY PINPOINT MAINTENANCE, INC 06/13/19 ROMANUCCI & BLANDIN 777 19WC 19373 MYERS, REGINA LAKHANI HOSPITALITY, INC 03/26/19 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 778 19WC 19498 MC DONALD, DENNISE COSTCO 10/04/18 CUDA LAW OFFICES WOLFE & JACOBSON, LTD 779 19WC 19526 SKLAVOS, ARISTIDIS KRONOS FOODS CORP 04/04/19 GWC INJURY LAWYERS LLC KRAKER FANNING & OLSEN 780 19WC 19588 PEREZ, DAVID FEDEX 06/29/19 COVEN LAW GROUP 781 19WC 19608 ROBINSON, DEBORAH FEDEX 06/28/19 BARRY STEWART SILVER 782 19WC 19765 MANDOCK, JAMES UNITED PARCEL SERVICE 07/07/15 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 19WC019766 -C 783 19WC 19896 MLYNIEL, MARK HONDA SUPERSTORE OF LISLE 04/30/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 784 19WC 19925 MASSARO, ANGELO M FREIGHT TECH CARTAGE, INC 02/18/19 ANKIN LAW OFFICE 785 19WC 19978 ROMERO SERRANO, MARIA LUI STAFFING NETWORK LLC 06/21/19 STEVEN B SALK & ASSOC LTD SLAVIN & SLAVIN 786 19WC 20049 MORALES, JOSE L VOTAVA LAWN CARE/GREGRY V 06/25/18 PATRICOSKI, MARK G 787 19WC 20440 WEBSTER, KATHERINE NAPERVILLE FIRE DEPARTMEN 04/02/19 RIDGE & DOWNES CITY OF NAPERVILLE 788 19WC 20544 ALVARADO, DIMAS ANTICO POSTO 06/22/19 KROL BONGIORNO & GIVEN LTD NOBLE & ASSOC 789 19WC 20607 CHARNAS, ROBERT NAPERVILLE COMMUNITY UNIT 07/22/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 790 19WC 20679 SEIBERT, JEROME LENZE AMERICAS CORPORATIO 06/10/19 GRAUER & KRIEGEL LLC KOPKA, PINKUS DOLIN, PC 791 19WC 20776 SLOAN, TIM CITY OF NAPERVILLE 01/14/19 MEYERS & FLOWERS CITY OF NAPERVILLE 792 19WC 20936 GRAY, DONNASHAY BURGESS SQUARE HEALTHCARE 06/27/19 ANKIN LAW OFFICE 793 19WC 20955 MORROW, ANGELINA HEARTHSIDE FOODS 08/09/18 BAUM RUFFOLO & MARZAL LTD 794 19WC 20969 PISANO, CHRISTINA GLEN ELLYN POLICE DEPARTM 11/08/18 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 795 19WC 20986 ZAGD, MUNKHJARGAL MARILYN DIFOGGIO W 05/22/17 ADRIAN MURATI WESSELS & PAUTSCH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 796 19WC 21036 BYRNE, ANNE SEPTRAN STUDENT SERVICES 06/24/19 DWORKIN AND MACIARIELLO 797 19WC 21055 LEBLANC, GORDON T PREMIUM CUSTOM PRODUCTS 05/08/18 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 20WC000412 -C 798 19WC 21070 HUERTA, EVERARDO COMPLETE BUILDING MAINTNC 05/18/19 CORBOY & DEMETRIO PC 799 19WC 21300 WIELGUS, LAURA FRANCISCAN SISTERS OF CHI 05/11/19 MCNAMARA PHELAN MCSTEEN LL 800 19WC 21440 NELSON, KODY HYDROCHEM PSC 06/18/19 JAY S. SHETH LLC SPIEGEL & CAHILL, PC 801 19WC 21597 VIVEROS, RICARDO JVM MANAGEMENT, INC. 12/18/18 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 802 19WC 21685 DZIEDZIC, ANNA SUBURBAN CLEANING SYSTEMS 12/18/18 MINKOW DOMIN 803 19WC 22049 KOPCZYNSKI, KAREN SUNRISE SENIOR LIVING 12/07/17 WOODRUFF JOHNSON HENNESSY & ROACH PC 804 19WC 22064 O'CONNOR, BRANDON IMPERIAL SURVEILLANCE INC 11/16/18 HORWITZ HORWITZ & ASSOC 805 19WC 22070 LACY, MARTIN SCA SURGICAL CARE AFFILIA 05/22/18 LUSAK AND COBB 806 19WC 22139 JIMENEZ, ANGELICA EDWARD HOSPITAL 01/17/19 CHEPOV & SCOTT LLC POWER & CRONIN LTD 807 19WC 22151 KONFRST, JEFFREY GONDA CONCRETE 07/17/19 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 808 19WC 22250 LYNCH, WILLIAM PEOPLE READY 07/08/19 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 809 19WC 22269 GONZALEZ, GABRIEL SUNSOURCE 07/03/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 810 19WC 22326 OVERMYER, TODD A CITY OF NAPERVILLE 05/27/19 THOMAS W DUDA CITY OF NAPERVILLE 811 19WC 22427 COOGLER, JODIE II CPC LOGISTICS, INC. 07/15/19 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 812 19WC 22564 RAMIREZ, GENARO FIRST PLACE PAINT/DECORAT 10/13/14 INMAN & FITZGIBBONS 813 19WC 22620 MORALES, GONZALO MULTI-TEMPS INC 04/15/19 GOLDSTEIN BENDER & ROMANOF GAIDO & FINTZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 814 19WC 22634 GAINEY, RAYNARD KEHE DISTRIBUTORS, LLC 06/19/19 STEVEN J. MORTON & ASSOC NOBLE & ASSOC 815 19WC 22723 LYDON, JOSHUA TRADER JOE'S 07/17/19 KROL BONGIORNO & GIVEN LTD 816 19WC 23098 MELENDEZ, MELISSA PICTURE SHOW 07/22/18 LUSAK AND COBB 817 19WC 23177 SEEGO, ANTHONY EAGLE CARPET 04/16/19 STELZMAN, RUTH BRADY CONNOLLY & MASUDA PC 818 19WC 23209 GAGLIANO, ROBERT VILLAGE OF LOMBARD 07/24/19 HEALY SCANLON LAW FIRM KLEIN THORPE & JENKINS LTD 819 19WC 23259 COTTIER, LAURA JEWEL OSCO 01/30/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 820 19WC 23303 NELLETT, WILLIAM H INTERSTATE POWERSYSTEMS, 04/19/19 ANKIN LAW OFFICE 821 19WC 23369 BURCIAGA, ABRAHAM ALLYING FORCE LOGISTICS 08/06/19 GERALD CONNOR ARNETT LAW GROUP 822 19WC 23412 MONTALVO, EDWIN JUST IN TIME STAFFING 05/14/19 LAW OFFICES OF ADRIAN CHER QUINTAIROS PRIETO WOOD & BOY 823 19WC 23474 RAUN, BLAKE LIFETIME FITNESS 10/17/16 RUBENS KRESS MULHOLLAND 824 19WC 23554 BOYLE, CANDICE ALLERGEN 06/05/19 SCOTT B SHAPIRO BRADY CONNOLLY & MASUDA PC 825 19WC 23601 MARTINEZ, IRMA ANTUNEZ JD NORMAN INDUSTRIES, INC 07/01/19 STANCZAK LAW OFFICES 826 19WC 23662 MILLER, CORYNNE JOURNEY CARE 07/26/19 WOODRUFF JOHNSON 827 19WC 23849 ADAMS, SCOTT KROGER 02/10/19 TURNER & SACKETT LLC 19WC023852 -C 828 19WC 23924 OZOBIA, HELEN SUNRISE OF BLOOMINGDALE 05/16/19 RUBENS KRESS MULHOLLAND NOBLE & ASSOC 829 19WC 24146 MAHONEY, SEAN HUGHES ENTERPRISES 11/13/18 STROM & ASSOC HOLECEK & ASSOCIATES 830 19WC 24192 DAGGETT, BRENT CITY OF NAPERVILLE 07/05/19 MEYERS & FLOWERS CITY OF NAPERVILLE 831 19WC 24257 RIVAS, GILMA ILLINOIS TOOL WORKS 06/05/19 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 832 19WC 24265 LOPEZ, DANIEL A/K/A SARKU JAPAN 07/19/19 JONATHAN SCHLACK 833 19WC 24309 VERGARA, FRAK V SR FRENENIUS KIDNEY CARE 07/01/19 GARDI & HAUGHT HENNESSY & ROACH PC 834 19WC 24338 MARTINEZ, SOCORRO INNOCAR, INC/ADVANCED 06/13/19 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM GRA 835 19WC 24371 INIGUEZ, SILVIA RBP OAK BROOK, LLC 05/16/19 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 836 19WC 24428 KENNEY, STEVEN D J.C. PENNEY CORPORATION 07/30/18 ROSS TYRRELL 837 19WC 24801 JOHNSON, DEXTER ILLINOIS TOLLWAY AUTHORIT 04/08/19 GORDON & CENTRACCHIO LLC 838 19WC 24938 RILEY, TEQUILLA CVS 07/18/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 839 19WC 24957 SANCHEZ, ROSA TAILORED BRANDS 04/01/19 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 840 19WC 25072 BELT-ROSELIEB, JOY DOWNERS GROVE SOUTH HIGH 08/21/19 KATZ FRIEDMAN EAGLE ET AL LAWRENCE COZZI - LAW OFFICE 841 19WC 25181 BILLICH, JOHN XPO LOGISTICS 05/06/19 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 842 19WC 25215 KENNINGTON, FLOYD G JR COURIER EXPRESS ONE, INC 08/06/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 843 19WC 25346 DAWSON, EDWARD ELITE STAFFING 08/14/19 LAW OFFICES OF ADRIAN CHER 844 19WC 25423 MOLINA ROJAS, RAFAEL MAS CARPENTRY CO 08/14/19 FRIEDMAN & SOLMOR LTD LAWRENCE COZZI - LAW OFFICE 845 19WC 25522 KRUGER, ALICIA WEISS, KUNZ & OLIVER, LLC 05/06/19 NO ATTORNEY RUSIN & MACIOROWSKI LTD 846 19WC 25645 MONTALVO, JESUS BANNER SERVICE 07/30/19 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 847 19WC 25823 SUKUTIENE, SANDRA ORBUS EXHIBIT & DISPLAY G 08/23/19 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 848 19WC 26039 MONGE-NAVARRO, LUZ LIFT ALL COMPANY 08/15/18 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 849 19WC 26144 KEATING, MICHAEL J LOGAN SQUARE ALUMINUM SUP 07/12/19 HEALY SCANLON LAW FIRM ANCEL GLINK PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 850 19WC 26213 SZOSTAK, DOROTA ARAMARK 01/16/19 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 851 19WC 26330 SIMPSON, JOSEPH MCMASTER-CARR 05/21/19 RITTENBERG BUFFEN NYHAN BAMBRICK KINZIE & LOWR 18WC021093 -C 852 19WC 26365 DUNNE, STEVE UNIVAR 08/13/19 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 853 19WC 26416 REYES, DAVID ADVANCED DISPOSAL 06/01/19 JOSEPH J LOSS PC INMAN & FITZGIBBONS 854 19WC 26475 PEREZ, JULIA FOOD EVOLUTION 06/19/19 CHEPOV & SCOTT LLC 855 19WC 26490 MENDIA, SAUL HYDRA-STOP 02/01/18 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 856 19WC 26538 NOVAK, GARY IMS GLOBAL GEAR & MACHINI 05/29/19 KOSIN LAW OFFICE LTD 857 19WC 26619 RODRIGUEZ, JOSE L INDUSTRIAL BUSINESS SRVS, 02/13/19 ANKIN LAW OFFICE 858 19WC 26722 PATEL, NARSININBHAI S&S INTERNATIONAL INC 02/16/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 859 19WC 26734 LISAK, JOZEF PERFECT CLEANING SERVICES 08/03/19 KATZ FRIEDMAN EAGLE ET AL MEACHUM BOYLE TRAUFMAN 860 19WC 27040 DAVIDSON, ERIC A CITY OF ELMHURST 07/12/19 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 861 19WC 27056 SIMMONS, EBONIE CAMELOT OF NAPERVILLE 05/14/19 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 862 19WC 27114 KRUGER, ALICIA WEISS, KUNZ & OLIVER, LLC 08/09/19 RUSIN & MACIOROWSKI LTD 863 19WC 27205 ESTRADA, DEANNA FLAVORCHEM CORP 08/19/19 PORRO NIERMANN LAW GROUP 864 19WC 27248 GONZALEZ-LOPEZ, ELIZABETH MIDWAY STAFFING 06/17/19 LULAY LAW OFFICES SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 865 19WC 27310 YATES, ROCHELLE STATE OF ILLINOIS @ 08/28/19 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 866 19WC 27390 AVILA, ALEJANDRO MSM SOLUTIONS, INC 08/15/19 SEROWKA LAW LAWRENCE COZZI - LAW OFFICE 20WC006767 -C 867 19WC 27446 DUENAS, EDITH ROGERS CORPORATION 08/01/18 KELLY & KING LAWRENCE COZZI - LAW OFFICE 868 19WC 27572 POTTS, JOSEPH R AREA ERECTORS INC 08/21/19 FRED J BEER LAW OFFICES LITCHFIELD CAVO 869 19WC 27700 OLADIPO, OMOTOYOSI LYFT 09/05/19 LAW OFFICES OF ADRIAN CHER ANCEL GLINK PC 870 19WC 27735 ORTEGA, DANA ATRIA SENIOR LIVING 08/20/19 MC HARGUE & JONES 871 19WC 27915 JACKSON, WILLIAM H ILLINOIS TOLLWAY AUTHORIT @ 07/23/19 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 872 19WC 27976 DELAURIE, LORI CCSD #93 08/17/19 SEIDMAN MARGULIS & FAIRMAN 873 19WC 28016 RODRIGUEZ, SHERRY TRINITY HEALTH CORPORATIO 04/09/19 JAMES URTIS HENNESSY & ROACH PC 874 19WC 28053 ROBINSON, CHARLENE COURIER EXPRESS ONE, INC 09/19/19 RUBENS KRESS MULHOLLAND WIEDNER & MCAULIFFE LTD 875 19WC 28124 PRIEST, BENJAMIN D CITY OF OAKBROOK TERRACE 08/05/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 876 19WC 28141 WOODS, MELVIN C RJW 09/03/19 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 877 19WC 28317 FARIAS, NORMA A DOUBLETREE BY HILTON 08/22/19 LEONARD LAW GROUP LLC ROSARIO CIBELLA 878 19WC 28586 CORONA, JOSE WILDFIRE 08/28/19 MANUAL CARDENAS & ASSOC NOBLE & ASSOC 879 19WC 28606 ABDALHADI, IYAD ADVANCE FOREIGN CAR REPAI 08/05/19 R. MARK MARITOTE PC CAPUANI, FRANK S 880 19WC 28728 NAVA, FRANCISCO JAVIER HYPER MICROSYSTEMS, INC 08/14/19 SHELDON I MINKOW & ASSOCIA 881 19WC 28767 SHIRLEY, AARON J VILLAGE OF CLARENDON HILL 03/15/19 ANESI OZMON RODIN NOVAK KO 882 19WC 28803 SCALFANO, DAVID ARIA PERSONNEL SERVICES, 09/13/19 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 883 19WC 29015 BAZOS, TOM JRK RESIDENTIAL GROUP 09/09/19 R. MARK MARITOTE PC 884 19WC 29044 GONZALEZ, SANTOS WALTERSCHEID POWERTRAIN G 07/11/19 TAMVAKIS, GEORGE L 885 19WC 29066 ARANDA, GUADALUPE CHAMPION CONTAINER CORPOR 09/18/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 886 19WC 29183 MURRAY, DENNIS KROGER 07/29/19 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 887 19WC 29222 BARON, BARBARA MORTON ARBORETUM 09/14/19 MARKER & CRANNELL JOSEPH MARCINIAK 888 19WC 29255 BENNETT, TRESHIA DUPAGE CARE CENTER 01/30/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 889 19WC 29351 RODRIGUEZ, LETICIA ARAMARK CO 06/23/19 CULLEN HASKINS NICHOLSON 890 19WC 29395 RODRIGUEZ, BREIANNA ALDI INC 05/09/19 GRAZIAN & VOLPE PC NYHAN BAMBRICK KINZIE & LOWR 891 19WC 29436 BECK, BRIAN MECHANICAL CONCEPTS OF IL 01/22/18 CULLEN HASKINS NICHOLSON EDWARD J. KOZEL 892 19WC 29531 BROADHEAD, ROBIN EDWARDS HOSPITAL 09/23/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 893 19WC 29580 OIDTMAN, GEOFFREY FOX BOWL 09/28/19 SLAVIN & SLAVIN 894 19WC 29632 MARSICO, MARRICO EVEREST EXCAVATING INC. 09/09/19 SHANCER, JEFFREY M ACCIDENT FUND HOLDINGS 895 19WC 29639 MILLAN, CONSUELO (SALGADO WHOLESOME PRODUCTS, LLC 08/09/19 CULLEN HASKINS NICHOLSON 896 19WC 29764 CASTELLANOS, FERNANDO ABM 08/21/19 SALVATO O'TOOLE FROYLAN ASA LAW GROUP 897 19WC 29790 KOSTELNY, WILLIAM NAPERVILLE FIRE DEPT 09/21/19 RIDGE & DOWNES CITY OF NAPERVILLE 898 19WC 29867 RODRIGUEZ ALMANZAR, ALEJA RAI CONCRETE INC 10/08/18 FRIEDRICH LAW LLC 899 19WC 29900 COVINGTON, CORNELL ROTECH HEALTHCARE 08/01/19 SIGMOND, STEVEN WIEDNER & MCAULIFFE LTD 900 19WC 29953 GOETZ, RICHARD W AMAZON.COM SRVS, INC 09/28/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 901 19WC 30001 CAMACHO, MIGUEL ABRASIVE FORMS, LLC 06/10/19 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 902 19WC 30043 BAYS, TERRELL C GREENCORE 12/07/17 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 903 19WC 30079 FUENTES, CRESCENCIO COLONIAL BAG CORPORATION 08/22/19 EPSTEIN, JACK R LAW OFFICE 904 19WC 30220 CARDENAS, JOSEPH HOWARD AUTO GROUP 12/21/13 GANAN & SHAPIRO 905 19WC 30359 ENGLISH, TOM FLEXCO 04/23/18 MCNAMARA PHELAN MCSTEEN LL 906 19WC 30417 ROMERO, SOFIA JELSERT 08/29/19 BART DURHAM 907 19WC 30515 VALDOVINOS, MARIANO RG CONSTRUCTION SERVICES, 07/06/19 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 908 19WC 30544 BERMUDEZ, ROBERTO A ABBOTT TREE CARE PROFESSI 05/31/18 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 909 19WC 30613 ROHNER, JESSICA, DEPENDEN VINAYAKA HOSPITALITY 01/16/19 FOOTE MIELKE CHAVEZ O'NEIL LAWRENCE COZZI - LAW OFFICE 910 19WC 30652 HARRIS, MICHELE CENTRAL DUPAGE HOSPITAL 09/04/19 BLOCK, KLUKAS & MANZELLA P 911 19WC 30786 URBINA, SIRA NOW HEALTH GROUP 06/29/19 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 912 19WC 30794 MC CARTHY, JUSTIN NAPERVILLE FIRE DEPARTMEN 10/02/19 RIDGE & DOWNES CITY OF NAPERVILLE 913 19WC 30829 LYNCH, JAMES YMCA OF METROPOLITAN CHIC 12/08/18 KOSIN LAW OFFICE LTD 914 19WC 30862 ARCE, FRANCISCO BALANCED ENVIRONMENTS 10/03/19 BAUM RUFFOLO & MARZAL LTD EDWARD J. KOZEL 915 19WC 30915 ZACATZI, ADOLFO CRATE & BARREL 07/09/19 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 916 19WC 31016 TOVAR, DANIEL ILLINOIS SANITATION SERVI 10/11/19 BARRY STEWART SILVER KOPKA, PINKUS DOLIN, PC 917 19WC 31251 ROGERS, ANGELA AMAZON DISTRIBUTION 08/01/19 EDWIN REYES LAW FIRM 918 19WC 31281 JEFFERSON, TRACEY FIRST STUDENT 03/11/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 919 19WC 31387 RAMIREZ, FREDY BA CONSTRUCTION 07/06/19 DUDLEY & LAKE LLC 920 19WC 31427 RODRIGUEZ, PEDRO LABOR NETWORK, INC 07/03/19 ANKIN LAW OFFICE 921 19WC 31478 LOPEZ, OSCAR BRAVO CASSENS TRANSPORT 04/22/19 GESMER & REYNOLDS PC KNAPP, OHL & GREEN 922 19WC 31542 TATE, SAMUEL MC KESSON 07/17/19 WOODRUFF JOHNSON EARLY & MIRANDA PC 923 19WC 31578 HARABURDA, ANNE TEK SYSTEMS 04/16/19 MARKER & CRANNELL 924 19WC 31610 HEJZA, DEAN SCOOBY'S RED HOTS, INC 10/02/19 WIEDNER & MCAULIFFE LTD KEEFE CAMPBELL BIERY & ASSOC 925 19WC 31638 GARCIA-OJEDA, SANTIAGO SPARTAN FENCE CO. 10/03/19 GORDON LAW OFFICES LTD 926 19WC 31674 PODRASKY, NANCY LIFESPACE COMMUNITIES 04/15/19 TURNER & SACKETT LLC 927 19WC 31720 MALKOWSKI, HENRY MCDONALDS 09/29/19 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 928 19WC 31753 SINGLETON, RASHUN AMITA HEALTH 11/02/16 NO ATTORNEY NYHAN BAMBRICK KINZIE & LOWR 929 19WC 31807 GONZALEZ, LUCIA JEL SERT CO 05/22/19 GOLDSTEIN BENDER & ROMANOF 20WC000583 -C 930 19WC 31862 BORGE, NICOLE WHOLE FOODS MARKET 06/19/19 HART & DAVID LLP 931 19WC 31930 CABRAL, RICHARD ROBERT TACKNOLOGIES LTD 05/17/19 SALVATO O'TOOLE FROYLAN 932 19WC 31964 GACEK, RONALD AT&T 09/18/19 FOOTE MIELKE CHAVEZ O'NEIL 933 19WC 32050 LAHEY, JOHN THE PATE COMPANY 10/09/18 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 934 19WC 32057 ATLAS, FRED RND EXHIBITS INTERNATIONA 10/02/19 DAVID SZCZECIN & ASSOC GILDEA, COGHLAN & REGAN LTD. 935 19WC 32120 SANDERS, LOLETA AMITA HEALTH HINSDALE 10/07/19 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 936 19WC 32204 NEWREN, JOSEPH AMS MECHANICAL 01/23/19 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 937 19WC 32241 NEAL, EVERETT DSC LOGISTICS 10/15/19 SOSTRIN AND SOSTRIN PC MC ANDREWS & NORGLE LLC 938 19WC 32260 NAVARRO, JOSE VILLAGE OF BENSENVILLE 09/22/19 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 939 19WC 32315 WEEDEN, ANTHONY HEARTHSIDE FOODS 10/28/19 KATZ FRIEDMAN EISENSTEIN 940 19WC 32380 STOEV, DELCHO PIT-KORZ ENTERPRISES, INC 09/17/19 COSTA IVONE LLC 941 19WC 32437 RAMOS, YURI JANETH BRIONE SPECIALIZED STAFFING SOLU 10/19/19 JONATHAN SCHLACK GOLDBERG SEGALLA LLC 942 19WC 32470 DUDEK, RYAN VILLAGE OF HINSDALE 10/11/19 HETHERINGTON KARPEL & BOBB RUSIN & MACIOROWSKI LTD 943 19WC 32492 HINCKLEY, LARRY MARIANO'S 07/16/19 LEONARD LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 944 19WC 32654 FOSTER, TIMOTHY ESSEDENT - CHICAGO OFFICE 10/09/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 945 19WC 32720 RAMOS, VICTOR ACE METAL REFINISHERS INC 09/20/18 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 946 19WC 32862 POLIZZI, MICHAEL NAPERVILLE FIRE DEPT 09/13/19 RIDGE & DOWNES CITY OF NAPERVILLE 947 19WC 32901 PACHECO, WALTER IYC-NAPERVILLE @ 10/17/19 CAPRON & AVGERINOS PC ASSISTANT ATTORNEY GENERAL 948 19WC 33012 LOPEZ, LOURDES ACL LAB 09/27/19 WILLIAM H MARTAY NYHAN BAMBRICK KINZIE & LOWR 949 19WC 33020 CERVANTES, ELSIE GRAND PRAIRIE TRANSIT 02/13/19 TOPPER & WEISS LTD 950 19WC 33057 PISARSKI, J. JOSETTE L. BRAND SERVICE COMPANY, 07/01/19 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 951 19WC 33092 CONSTANZO, DEBORAH ALL FLOWERS WITH EXPRESSI 10/14/19 TRENT LAW FIRM PC JOSEPH MARCINIAK 952 19WC 33166 RODRIGUEZ, JOSE F TOP ROOFING 12/10/18 PETER C KOPOULOS 953 19WC 33201 DE LA LUZ PEREZ, MARIA SUPERIOR STAFFING 11/17/16 JAUREGUI & ASSOCIATES SLAVIN & SLAVIN 954 19WC 33327 AMBROSCH, JARED PREEMO PAINTING & REPAIRS 07/25/19 JAY S. SHETH LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 955 19WC 33445 EDRISI, HANAN AEROTEK, INC 11/07/19 EFTEKHARI LAW OFFICES LLC 956 19WC 33513 MONTBRIAND, WILLIAM WATER E SMITHE FURNITURE 09/16/18 ERIC H CHECK, LAW OFFICES HENNESSY & ROACH PC 957 19WC 33611 ANDERSON, LATASHA L RML SPECIALTY HOSPITAL 09/14/19 GALLAGHER, DONALD V KEEFE CAMPBELL BIERY & ASSOC 958 19WC 33638 MARQUEZ, ANDREW EDGE PEST CONTROL @ 09/05/19 NEWLAND & NEWLAND 959 19WC 33655 TATE, SAMUEL MCKESSON 09/26/19 WOODRUFF JOHNSON EARLY & MIRANDA PC 960 19WC 33698 ZENDEJAS, AUDELIO FINAL TOUCH DECORATING 03/11/19 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICE 961 19WC 33740 NOVAK, NICK GENERAL MECHANICAL SERVIC 07/17/19 KARNO, MARK L & ASSOC HENNESSY & ROACH PC 962 19WC 33761 PAZ, GREGORIO CARAVAN FACILITIES MANAGE 11/04/19 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 963 19WC 33819 ACOSTA-HERNANDEZ, JUAN SPANDICO ROOFING LLC 10/04/19 ANGELINI & ORI LLC ACCIDENT FUND HOLDINGS 964 19WC 33853 VEGA, ALLEN NORTHWESTERN MEDICINE 07/28/19 STEWART C ORZOFF 965 19WC 33887 SISTOWICZ, THOMAS HAGGERTY FORD, INC. 05/31/18 GWC INJURY LAWYERS LLC NOBLE & ASSOC 966 19WC 33930 DAVIS, KENNETH COURIER EXPRESS ONE INC 06/01/19 MICHAEL G. MILLER 967 19WC 34053 BENTON, DENISE FEDEX GROUND 11/15/19 STEVEN J MALMAN & ASSOCIAT 968 19WC 34086 MARLOWE, GREG AMERICAN AIRLINES 12/30/18 CAPRON & AVGERINOS PC 969 19WC 34110 DELUNA, EDUARDO RELADYNE 10/11/19 MICHAEL HELLMAN CAPUANI, FRANK S 970 19WC 34136 GAONA, SANDRA ASG STAFFING 06/04/19 EPSTEIN, JACK R LAW OFFICE 971 19WC 34179 ESPANA, JUAN PRO-TROOP LLC-D/B/A INFIN 11/05/19 BURNETT & CARON, LTD 972 19WC 34219 SANCHEZ, ALFONSO MUNOZ CLEAR STAFF, INC 10/03/19 LULAY LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 973 19WC 34316 PATEL, NARESH APNA FOOD IMPORTS W 10/19/19 CULLEN HASKINS NICHOLSON 974 19WC 34320 PANDUROFLORES, JULIO DEERFIELD CONSTRUCTION GR 04/22/19 BALKE & WILLIAMS 975 19WC 34380 SARNA, MARJORIE (WIDOW OF ACOSTA SALES AND MARKETIN 02/14/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 976 19WC 34418 WILEY, DENNIS PEOPLE READY TEMPORARY AG 11/15/19 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 977 19WC 34479 OLIVAREZ, SUSANA DOUBLETREE BY HILTON 06/23/19 CORNFIELD & FELDMAN GANAN & SHAPIRO 978 19WC 34502 BENNETT, DAVID SOUTHWEST MECHANICAL INC 07/23/19 MC HARGUE & JONES JOSEPH MARCINIAK 979 19WC 34529 TRIPP, YEMONJA FORMCO 06/18/19 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 980 19WC 34563 DELGADO, DARIELA LIBERTY STAFFING, INC 10/15/19 EPSTEIN, JACK R LAW OFFICE 981 19WC 34569 VILLAREAL, ADELFO STRELECKI ENTERPRISES INC 07/15/19 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 982 19WC 34602 URBANCZYK, PHILIP ARROW GEAR COMPANY 08/05/19 DAVID W MARTAY 983 19WC 34638 GALLO, RAUL KEN'S BEVERAGE 03/20/19 COSTA IVONE LLC INMAN & FITZGIBBONS 984 19WC 34746 PERRICONE, NANCY A ITASCA SCHOOL DISTRICT 10 06/06/19 PHILIP BLOMBERG NYHAN BAMBRICK KINZIE & LOWR 985 19WC 34826 GALVEZ, JOSE CPR TRANSIT 11/25/19 TAXMAN POLLOCK LEAHY EISENBERG & FRAENKEL 986 19WC 34873 ASHFORD, RAHSAAN FLOOR & DECOR 05/07/19 ANGELINI & ORI LLC 987 19WC 34891 VAUGHANS, MARISSA MIDWEST DISTRIBUTION 11/11/19 JAMES ELLIS GUMBINER & ASS 988 19WC 34997 STRAUEL, CHRISTINE CADENCE HEALTH 05/13/14 KEEFE CAMPBELL BIERY & ASSOC 989 19WC 35192 MCGOWAN, DEADRE CENTAL DUPAGE HOSPITAL 07/01/18 BLOCK, KLUKAS & MANZELLA P 990 19WC 35261 BASSEY, ANTHONY ILLINOIS TOOL WORKS 05/12/18 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1009 19WC 36342 OROZCO, JOSE ZURN CHICAGO SERVICE CENT 12/04/19 STEVEN J MALMAN & ASSOCIAT 1010 19WC 36382 RUFF, TAYLOR NRJM, INC. DBA DOMINO'S P 11/01/19 THOMAS J STIBERTH LAW OFFI CHILTON YAMBERT PORTER LLP 1011 19WC 36420 SUNDSTROM, TASHA ADVOCATE GOOD SAMARITAN 04/19/19 WOODRUFF JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1012 19WC 36515 NICHOLSON, DUSTY IL MARINE TOWING, INC 05/01/18 ANKIN LAW OFFICE 1013 19WC 36540 TRUSS, JOVAN LE MERIDIEN CHICAGO 12/03/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 1014 19WC 36555 BERNASEK, JAMES RJW TRANSPORT 02/18/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 1015 19WC 36824 RAFAEL, MARIA FLORENCE GENUINE PARTS COMPANY 07/17/19 JONATHAN SCHLACK 1016 19WC 36860 SALABAI, ROMAN LUCKY WAY EXPRESS 08/23/19 LEO ALT 1017 19WC 36934 VAN NESS, ROBERTJR. AT&T 10/02/18 FRANKS, GERKIN & MCKENNA P 1018 19WC 37179 RIVERA, AMELIA PROSORT/MICOR DYNAMIC GRO 06/05/14 NO ATTORNEY 1019 19WC 37312 BALTIERREZ, LEOCADIO FORMCO METAL PRODUCTS, IN 10/25/19 OSVALDO RODRIGUEZ PC HOLECEK & ASSOCIATES 1020 19WC 37342 LOFTON, JERMAINE US FOODS 12/16/19 CULLEN HASKINS NICHOLSON 1021 19WC 37488 BARLOW, LAFAYETTE ALLIED GARAGE DOORS, INC 06/11/18 ACEVES & PEREZ PC 1022 19WC 37552 MIRELES, EDGAR EVERADO LABOR SOLUTIONS 12/18/19 MC HARGUE & JONES MC ANDREWS & NORGLE LLC 1023 20WC 00007 MATTAR, ELIAS ARGONNE NATIONAL LABORATO 12/11/19 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 1024 20WC 00095 MACKENZIE, JOHN ASPIRE VENTURES, LLC W 12/03/19 BRISKMAN BRISKMAN GREENBER 1025 20WC 00161 SHELTON, LAURIE A VILLAGE OF ADDISON POLICE 03/03/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 1026 20WC 00185 WEBB, NATHAN MONDELEZ INTERNATIONAL 07/19/19 STROM & ASSOC WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1081 20WC 03732 MERCADO, JACQUELINE ADVOCATE HEALTH CARE 01/10/20 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 1082 20WC 03772 SANCHEZ-RODRIGUEZ, ARGENT STAFFING NETWORK 01/06/20 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 1083 20WC 03835 SMITH, JASON NEXTERRA WINERY 09/16/19 GIAMANCO & OOINK LAW OFFIC 1084 20WC 03876 BALLINES, JULIO TREDROC TIRE SERVICE 08/02/19 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 1085 20WC 03922 CUTHBERTSON, SHANNON FIRST STUDENT 01/24/20 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 1086 20WC 03962 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO 01/03/20 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 1087 20WC 04015 MILLER, CAROLYNN ROUNDY'S ILLINOIS, LLC/ 01/30/20 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 1088 20WC 04023 MEJIA, JORGE DSI SPACE FRAMES 12/09/19 ARGIONIS & ASSOCIATES LLC 1089 20WC 04156 SORENSEN, CHRISTIAN V VICTOR CONSTRUCTION CO, I 04/01/19 DOUGLAS RALLO PC EDWARD J. KOZEL 1090 20WC 04193 APPLEWHITE, DOROTHY BROOKDALE SENIOR LIVING I 01/23/20 ANKIN LAW OFFICE 1091 20WC 04258 COWANS, SHAWN ELKAY MANUFACTURING 10/15/18 COVEN LAW GROUP GANAN & SHAPIRO 1092 20WC 04279 KENT, CAMERON WISCO WELDING INDUSTRIAL 09/20/19 LEONARD LAW GROUP LLC COZZI & ZAPF LAW OFFICE 1093 20WC 04407 KRAMER, JOHN HINSDALE TOWNSHIP DISTR # 11/14/19 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK PC 1094 20WC 04463 COOK, MICHAEL L&W SUPPLY CO 02/10/20 BRIAN J MC MANUS & ASSOC, 1095 20WC 04491 SISON, NOEL ALDEN VALLEY RIDGE 01/18/20 THERMAN LAW OFFICES 1096 20WC 04684 SEPE, MARK VILLAGE OF LOMBARD 02/02/20 EAMES LAW GROUP LTD 1097 20WC 04741 HULLETT, ANN JEWEL FOOD STORES 03/14/17 ROSS TYRRELL 1098 20WC 04819 PATRANA, HECTOR JB HUNT 02/03/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1099 20WC 04853 ESPARZA RODRIGUEZ, JOSE F ACE METAL REFINISHERS INC 09/20/18 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 1100 20WC 04875 SANTIAGO, ANA ILLINOIS TOLL HIGHWAY AUT 01/19/20 ANGELINI & ORI LLC MC ANDREWS & NORGLE LLC 1101 20WC 04881 BARRIENTOS, JUAN CARLOS PROLINE TRANSPORT, INC W 12/03/19 CHEPOV & SCOTT LLC 1102 20WC 04903 WARDA, SARGON GREYSTAR MANAGEMENT SRVCS 09/05/19 GRAUER & KRIEGEL LLC HENNESSY & ROACH PC 1103 20WC 04952 THOMAS, BEENA WALGREENS 02/01/18 STEVEN A CRIFASE, LTD 1104 20WC 04991 KAHN, RAZA OFFICE DEPOT, INC 09/17/19 DAVID W CLARK NYHAN BAMBRICK KINZIE & LOWR 1105 20WC 05109 MONTGOMERY, JASMINE STARBUCKS COFFEE CO 10/24/19 TURCYCHUTE LLC 1106 20WC 05181 CONTRERAS, DORIS NATIVE FLORAL COMPANY 03/22/19 AIOSSA LAW FIRM 1107 20WC 05268 RAMIREZ, ICELA AJA ANTUNEZ & COMPANY 01/29/20 WHITING LAW GROUP 1108 20WC 05277 NAVARRO, ABEL ALL METAL, ICN 08/05/19 MC HARGUE & JONES 1109 20WC 05288 STIEGLER, JOHN K CITY OF NAPERVILLE 11/26/19 THOMAS W DUDA CITY OF NAPERVILLE 1110 20WC 05317 SALINAS, ESTELA RRI D/B/A RED ROOF PLUS 01/18/20 EPSTEIN, JACK R LAW OFFICE 1111 20WC 05365 SALAZAR, GERARDO WINFIELD FIRE PROTECTION 12/01/19 PORRO NIERMANN LAW GROUP 1112 20WC 05485 GAYTAN HERNANDEZ, NICOLAS GH PRINTING 07/26/19 DRISCOLL LAW OFFICES PC 1113 20WC 05548 NOVAK, CHRISTOPHER PIZZA HUT 01/24/20 HORWITZ HORWITZ & ASSOC KRAKER FANNING & OLSEN 1114 20WC 05573 POWERS, JONATHAN MONDELEZ INTERNATIONAL 02/13/20 ROGER D RUDICH LTD 1115 20WC 05611 HOLMES, BONARD WALMART SUPERCENTER 01/02/20 LEONARD LAW GROUP LLC GANAN & SHAPIRO 1116 20WC 05780 WOOD, JEANETTE IAT/TRANSGAURD GROUP 05/24/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1135 20WC 07014 PEREZ, RAFAELA METRO STAFF INC. 04/19/19 GOLDSTEIN BENDER & ROMANOF 1136 20WC 07077 GARCIA, RICKY JR SAIA 12/20/19 NICHOLAS ROBERT RECCHIA CHILTON YAMBERT PORTER LLP 1137 20WC 07375 HERNANDEZ, ISSAC SUPERMERCADO LINDO MICHOA 03/07/20 ARGIONIS & ASSOCIATES LLC COZZI & ZAPF LAW OFFICE 1138 20WC 07421 WELLS, THOMAS AMERICAN LITHO 02/23/19 LOUIS A PLZAK & ASSOCIATES 1139 20WC 07536 HARBUT, JENNIFER JEWEL OSCO 09/05/19 HORWITZ HORWITZ & ASSOC 1140 20WC 07581 RODRIGUEZ, ALEJANDRO DMD STAFFING LLC 01/10/20 CORNFIELD & FELDMAN JOSEPH MARCINIAK 1141 20WC 07819 RENTERIA, JULIO ATRIUM 11/18/19 GWC INJURY LAWYERS LLC ACCIDENT FUND HOLDINGS 1142 20WC 07827 HOWARD, SABRINA COURIER DISTRIBUTION SYST 02/14/20 ANKIN LAW OFFICE 1143 20WC 07831 GLANZ, WALTER FERGUSON FIRE & FABRICATI 12/18/19 BLEAKNEY & TROIANI 1144 20WC 07919 GAFFORD, NIKITA THE GROVE OF ELMHURST 03/08/20 COVEN LAW GROUP 1145 20WC 08064 BAIRAMI, LIRIDONA PT INTERMEDIATE HOLDINGS 09/04/19 STROW LAW LLC FRANCESCA LARSEN 1146 20WC 08098 REZA, LORETTA J SPECTRUM RETIREMENT 01/21/20 KOSIN LAW OFFICE LTD 1147 20WC 08158 STILTNER, ROCKY INNOVATIVE TRANSPORT SOLU 11/04/19 EVAN A HUGHES LAW OFFICE 1148 20WC 08274 CANNELLA, ANTHONY ALLIED UNIVRSITY SECRITY 03/10/20 MEYERS & FLOWERS GAROFALO SCHREIBER STORM GRA 1149 20WC 08294 MITCHELL, MAUREEN APEX HOSPICE AND PALLIATI 02/10/20 COHN LAMBERT RYAN & SCHNEI ANCEL GLINK PC 1150 20WC 08328 EDWARDS, AMY HARDWELL LLC 01/05/20 HEALY SCANLON LAW FIRM 1151 20WC 08356 GEMELLI, RICHARD WAL MART 10/01/19 COMPTON LAW GROUP 1152 20WC 08357 LUNCEFORD, TAIT PRAIRIE FARMS DAIRY 10/27/18 CAPRON & AVGERINOS PC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1153 20WC 08435 SMITH, ELSIE EDWARD HOSPITAL 02/25/20 MEYERS & FLOWERS POWER & CRONIN LTD 1154 20WC 08484 BROWN, MARKEVA SEASONS HOSPICE 03/03/20 DWORKIN AND MACIARIELLO 1155 20WC 08506 BAILEY, ERIC FIRST KEY HOMES 11/03/17 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 1156 20WC 08581 MOY, CHRISTOPHER M DMD PROPERTY MGMT & 12/06/19 DEPAOLO & ZADEIKIS 1157 20WC 08606 SKELTON, MICHAEL TRUENORTH 12/16/19 SLAVIN & SLAVIN CAPUANI, FRANK S 1158 20WC 08630 BROWN, LINDA VETERINARY PRACTICE 02/03/18 ROSS TYRRELL EDWARD J. KOZEL 1159 20WC 08676 BROWN, GREGORY MULTITECH INDUSTRIES LLC 03/04/20 CULLEN HASKINS NICHOLSON 1160 20WC 08738 PYTEL, MARK CASSENS TRANSPORT 11/07/19 PORRO NIERMANN LAW GROUP KNAPP, OHL & GREEN 1161 20WC 08790 COFFIE, CARLEEN IMAGEFIRST HEALTHCARE 03/24/20 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 1162 20WC 08844 FELIX, LIZANDRO SOUTH WATER SIGNS, LLC 09/12/19 CHRISTIAN & MANNO 1163 20WC 08856 BAH, AISSATOU IMAGE FIRST 02/06/20 ROBERT J. IRSUTO 1164 20WC 08897 SANCHEZ, STEVEN FROZEN FOOD EXPRESS 03/25/20 SEIDMAN MARGULIS & FAIRMAN HINSHAW & CULBERTSON 1165 20WC 08925 HERRERA, RAUL CLEAR STAFF INC 02/12/20 CHEPOV & SCOTT LLC ACCIDENT FUND HOLDINGS 1166 20WC 09015 TIRADO, EDDIE DIRECT CHASSISLINK INC. 11/15/19 STEVEN J MALMAN & ASSOCIAT EDWARD J. KOZEL 1167 20WC 09028 PUMPHREY, DERRICK TACONY CORPORATION 03/12/20 STEVEN J MALMAN & ASSOCIAT 1168 20WC 09165 COAKLEY, KENYATA LOWE'S 07/10/18 STYKA & STYKA 1169 20WC 09214 GONZALEZ, MARTHA HYATT REGENCY LISLE 03/04/20 DWORKIN AND MACIARIELLO 1170 20WC 09347 KAMINSKI, SHARI TERRA VISTA OF OAKBROOK 03/24/20 EAMES LAW GROUP LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1171 20WC 09423 KLEINAITIS, AMBER RUFFLED FEATHERS GOLF CLU 12/28/19 HENNESSY & ROACH PC 1172 20WC 09446 ARZETA, ALEJANDRO AMTAB 02/06/19 SALVATO O'TOOLE FROYLAN 1173 20WC 09694 PEREZ, CARLOS ANCHOR BRAKE SHOE CO 03/03/20 COSTA IVONE LLC 1174 20WC 09736 PEREZ, CARLOS ANCHOR BRAKE SHOE CO 03/11/20 COSTA IVONE LLC 1175 20WC 09806 MCSPADDEN, DAVID GOODWILL INDUSTRIES OF 10/21/19 MILLON & PESKIN LTD 1176 20WC 09816 SHIPOVSKAYA, NATALIYA INDEPENDENCE -4 SENIOR 06/01/19 MILLON & PESKIN LTD INMAN & FITZGIBBONS 1177 20WC 09874 ADAMS, SUSAN VICTORIA'S SECRET 01/24/20 MEYERS & FLOWERS GOLDBERG SEGALLA LLC 1178 20WC 09907 VELAZQUEZ, JOSE LA HACIENDA DE LOS 12/05/19 HERRERA LAW CENTER 1179 20WC 09924 DAUGHTERS, MARY ARJO, INC 10/24/19 HORWITZ HORWITZ & ASSOC 1180 20WC 09953 DANNER, TRISTAN ECP INCORPORATED 01/28/20 WHITESIDE & GOLDBERG LTD 1181 20WC 10015 RUBIO, JESSE WILLOWS OF WHEATON, LLC 12/11/19 ANESI OZMON RODIN NOVAK KO 1182 20WC 10062 MIRACLE-POND, VERNITA REALPAGE 12/14/19 LAW OFFICES OF ADRIAN CHER 1183 20WC 10108 MELONE, STEVEN ALBERTSONS 02/24/20 GALLIANI DOELL & COZZI LTD 1184 20WC 10136 JASIORSKI, JOLANTA WINDSOR PARK MANOR 03/28/20 JOSEPH J LOSS PC ASHER, RAYMOND L LTD 1185 20WC 10161 BURCIAGA, DARIO A A&J CONCRETE 04/14/20 CHEPOV & SCOTT LLC 1186 20WC 10220 GONZALEZ, JAIME ESCO TECHNOLOGIES INC 12/07/15 RUSIN & MACIOROWSKI LTD 1187 20WC 10251 ANDRZEJEWSKI, TADEUSZ ACCENT REMODELERS & BUILD 07/20/18 BELLAS & WACHOWSKI 1188 20WC 10280 VAZQUEZ, MARIA HENRICKSEN 11/21/19 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1189 20WC 10293 SAUCEDO, JAVIER NAPERVILLE FIRE DEPT 03/28/20 RIDGE & DOWNES CITY OF NAPERVILLE 1190 20WC 10390 MASTNY, JASON AMERICAN MUNICIPAL PRIVAT 02/03/20 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 1191 20WC 10472 CHAVEZ, JORGE GROUND PROS, INC 04/27/20 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 1192 20WC 10489 MORGAN, SHIRLEY INNOVATIVE HOME CARE 04/08/20 DISPARTI LAW GROUP PA 1193 20WC 10545 VACA, LUIS COMPASS LAWN & LANDSCAPE 10/12/19 RUEDA, IVAN A RUSIN & MACIOROWSKI LTD 1194 20WC 10650 CLARK, ROSEMARY DUPAGE SENIOR CITIZENS CO 03/26/20 LOUIS A PLZAK & ASSOCIATES 1195 20WC 10701 LOPUSZYNSKI, MALGORZATA RML SPECIALITY HOSPITAL 04/11/20 STROM & ASSOC KEEFE CAMPBELL BIERY & ASSOC 1196 20WC 10727 CANALES, BLANCA S PLASTIPAK PACKAGING INC 12/18/19 ROSS TYRRELL HOLECEK & ASSOCIATES 1197 20WC 10814 YATES, MARK C COMCAST CORP 09/03/19 HENNESSY & ROACH PC 1198 20WC 10847 SCHICKEL, DIANA COLLIERS INTERNATIONAL 04/13/20 BIZZIERI LAW OFFICES 1199 20WC 10872 ANGUIANO, HECTOR GRAHAM PACKAGING CO 10/22/19 CULLEN HASKINS NICHOLSON 1200 20WC 10924 LOPEZ, JAIME MARIANJOY REHABILITATION 04/03/20 MICHAEL HELLMAN 1201 20WC 11011 THOMAS, DANIEL W MAPEI CORPORATION 05/05/20 ANKIN LAW OFFICE 1202 20WC 11088 GUNDERSON, MICHAEL T. MARTIN CONCRETE, LLC 04/14/20 STEVEN J MALMAN & ASSOCIAT 1203 20WC 11189 CANTELLAN, ADOLFO WINCUP 06/16/19 PORRO NIERMANN LAW GROUP JOSEPH MARCINIAK 1204 20WC 11306 BRIESCHKE, MATTHEW L VILLAGE OF GLENDALE HEIGH 02/28/20 PHILIP BLOMBERG 1205 20WC 11364 RAGO JR, RONALD P HIGH STANDARD SERVICES, L 06/05/19 ANKIN LAW OFFICE 1206 20WC 11489 SPINKS, RENEE SCHNEIDER NATIONAL 04/18/20 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1207 20WC 11527 AVALA, SARAHI UPS 12/04/17 HERRERA LAW CENTER 1208 20WC 11552 LIPPERT, CHARLES ANDERSON TRANSPORTATION 04/30/18 COLLISON LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 1209 20WC 11573 BADE, HERBERT WESTBROOK WEST CONDOMINIU 12/18/18 EAMES LAW GROUP LTD GANAN & SHAPIRO 1210 20WC 11608 CLARKE, GARY ILLINOIS TOLLWAY 05/17/20 LAW OFFICE OF LAURA A CHIL 1211 20WC 11646 GUZMAN, ANDY U.S. FOODS 03/10/20 MARTIN V KUGIA 1212 20WC 11676 THOMAS, DONALD WIDE OPEN WEST 03/16/20 BURNETT & CARON, LTD HOLECEK & ASSOCIATES 1213 20WC 11745 SIVELS, VASHON AMAZON FULFILLMENT CENTER 03/12/20 ANSELMO DURAN 1214 20WC 11812 SHIELDS, LESLIE EDWARD HOSPITAL 09/07/19 CORBOY & DEMETRIO PC POWER & CRONIN LTD 1215 20WC 11849 HERNANDEZ, MARIA O'REILLY AUTO PARTS 02/11/20 FOOTE MIELKE CHAVEZ O'NEIL 1216 20WC 11897 YOUNGBRANDT, STEFAN KINTETSU WORLD EXPRESS 05/07/19 THE MACK LAW GROUP PC 1217 20WC 11922 ANDERSON, ERIC J EXELON CORPORATION 02/21/19 STEVEN B SALK & ASSOC LTD 1218 20WC 11944 COLEMAN, NICOLE LEXINGTON HOME HEALTH 05/15/20 VASILATOS & COTTER LLC 1219 20WC 12001 BELTRAN, JUANA APERION CARE WEST CHICAGO 10/15/18 CHEPOV & SCOTT LLC 1220 20WC 12065 STANEK, CHRISTOPHER AT&T 02/07/19 CULLEN HASKINS NICHOLSON 1221 20WC 12163 MOLITOR, DUSTIN PROSTAR 04/13/20 DWORKIN AND MACIARIELLO 1222 20WC 12215 FARINA, ANNA NDC TECHNOLOGIES 01/15/20 ANGELINI & ORI LLC 1223 20WC 12354 HOSKINS, BRYANT PREMIER TRANSPORTATION 03/10/20 MINKOW DOMIN MARTIN, PATRICK W 1224 20WC 12390 LARA, RODOLFO BARRICADE LITES INC 04/22/20 KATZ FRIEDMAN EISENSTEIN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1243 20WC 13766 SOLANO, ABEL CERTIFIED STAFFING SPECIA 07/22/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 1244 20WC 13929 FABER, JAMIE MYLIFE HOME HEALTH CARE 03/13/20 ROMANUCCI & BLANDIN KEEFE CAMPBELL BIERY & ASSOC 1245 20WC 13970 PRATES, DOUGLAS JAM INSTALLATIONS INC 10/10/19 DESTEFANO, ROBERT A & ASSO 1246 20WC 14008 ADAMS, JEFF WOODRIDGE INTERVENTIONS 05/30/20 JOHN S. ELIASIK 1247 20WC 14053 HOUSTON, TANA HUB GROUP 01/27/20 WOODRUFF JOHNSON ASA LAW GROUP 1248 20WC 14092 PRATES, DOUGLAS JAM INSTALLATIONS INC. 06/01/20 NO ATTORNEY 1249 20WC 14228 BURNS, ALEXES M TY, INC 06/24/16 RICHARD O. GREENFIELD JOSEPH MARCINIAK 1250 20WC 14268 LESLIE, SHAWN FIRESTONE/BRIDGESTONE 06/06/20 WILLIAM S. WOJCIK LTD 1251 20WC 14326 VILLEGAS, RICHARD COVENANT LIVING AT WINDSO 03/25/20 R. MARK MARITOTE PC ASHER, RAYMOND L LTD 1252 20WC 14459 CARDENAS, MARCOS UPS 06/16/19 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 1253 20WC 14495 HERNANDEZ, ESTELLA FELLOWES MANUFACTURING CO 04/29/20 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 1254 20WC 14523 FUDYMA, ZYGMUNT THE RDI GROUP INC 06/22/20 JONATHAN SCHLACK 1255 20WC 14587 MCINTOSH, VALETA HEALTH CARE SERVICE CORPO 10/05/18 LIDOV & BLOCK HENNESSY & ROACH PC 1256 20WC 14612 DURZAN, PAUL ENSONO LP 07/11/19 SEIDMAN MARGULIS & FAIRMAN 1257 20WC 14716 WILD, JESSICA RESIDENTIAL HOME HEALTH 11/05/19 KINNALLY FLAHERTY KRENTZ 1258 20WC 14744 CARRASCO, ISIDRO N SEMBLEX CORP 05/18/20 ACEVES & PEREZ PC 1259 20WC 14786 ESTRADA, LOURDES VILLAGE OF CAROL STREAM 02/07/19 DANIEL E MURPHY 1260 20WC 14802 ZAVALA , RICARDO JEWEL OSCO 04/14/20 HERRERA LAW CENTER

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1279 20WC 16030 MERAZ, DANIEL ULTIMATE GRANITE & DESIGN 05/01/19 BAUM RUFFOLO & MARZAL LTD 1280 20WC 16051 COMPASIO, JAMIE VON MAUR 09/23/19 DWORKIN AND MACIARIELLO 1281 20WC 16160 RODRIGUEZ, CLAUDIO FRESH THYME 03/24/20 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 1282 20WC 16240 PATEL, HEMANI PARTS TOWN 01/31/20 TURNER & SACKETT LLC HOLECEK & ASSOCIATES 1283 20WC 16316 ARCIGA, ISMALDO RAMIREZ ANCHOR BRAKE SHOE CO. LLC 05/14/20 JOHN J CASTANEDA 1284 20WC 16333 GARRITY, KENT UPS 05/06/20 COHN LAMBERT RYAN & SCHNEI ASA LAW GROUP 1285 20WC 16352 FAVELA, EDUARDO MONROE TRANSPORTATION SER 05/18/20 HETHERINGTON KARPEL & BOBB 1286 20WC 16408 SOLIS, MARIA J THE PAMPERED CHEF, LTD 06/19/20 ANKIN LAW OFFICE WOLF & LAUDICINA LTD 1287 20WC 16441 TARSA, MARISA WEST CHICAGO 03/09/20 SEIDMAN MARGULIS & FAIRMAN 1288 20WC 16472 FERREIRA VALDES, MARIA D GOOD SAMARITAN HOSPITAL * 02/07/20 EPSTEIN, JACK R LAW OFFICE 1289 20WC 16501 QUINN, MELANIE TOTAL NURSES NETWORK * 06/22/20 DWORKIN AND MACIARIELLO 1290 20WC 16590 RANK, FOREST SCHOOL DISTRICT 45 DUPAGE * 08/05/19 RUSSO & RUSSO LTD 1291 20WC 16651 DELAO, MERY THE SPRINGS AT MONARCH LA * 05/04/20 ANKIN LAW OFFICE 1292 20WC 16765 ARMENTO, ANDREU PARTNERS AND PAWS * 07/01/20 RATHBUN CSEVENYAK & KOZOL GRIFFIN, LORETTA M LAW OFFIC 1293 20WC 16823 VENTERS, BRITTNI NAPERVILLE VETERINARY ASS 06/27/20 MEYERS & FLOWERS 1294 20WC 16885 HESS, WILHELM WILHELM HESS PLUMBING LLC * 09/05/17 RATHBUN CSEVENYAK & KOZOL 1295 20WC 16943 HILLER, KRISTINA EDWARD AMBULANCE SVCS * 06/14/19 MILLON & PESKIN LTD 1296 20WC 16985 OUTLAY III, JAMES A ILLINOIS YOUTH CTR * 06/17/20 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1297 20WC 17014 LONG, CHARLES JOSEPH MCMAHON DAIRY SERV * 06/17/20 ANGELINI & ORI LLC GANAN & SHAPIRO 1298 20WC 17053 MIRANDA, JUAN WILLOWBROOK FORD AND KIA * 06/24/20 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1299 20WC 17117 MORENO MOJICA, JOSE GUADA NATIONAL WRECKING COMPANY * 06/24/20 EPSTEIN, JACK R LAW OFFICE MCANANY VANCLEVE & PHILLIPS 1300 20WC 17237 SERRANO, MANUELA MASSAGE LUXE * 07/02/20 DEPAOLO & ZADEIKIS MCANANY VANCLEVE & PHILLIPS 1301 20WC 17269 PUCH, CARLOS EDUARDO MS LINES & MORE * 05/26/20 MC HARGUE & JONES 1302 20WC 17280 ROCHE, CHRISTOPHER L MONDELEZ INTERNATIONAL * 12/13/19 SMOLER LAW OFFICE, PC 1303 20WC 17352 HESSLER, JULIE COOK'S DIRECT * 12/23/19 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 1304 20WC 17387 MURPHY, LISA TRADER JOES * 11/09/19 STEVEN J MALMAN & ASSOCIAT GAROFALO SCHREIBER STORM GRA 1305 20WC 17403 CHIPRES, JOSE NOW HEALTH GROUP * 09/03/19 BRISKMAN BRISKMAN GREENBER 1306 20WC 17506 WILLHOIT, JEFFREY VILLAGE OF VILLA PARK * 06/26/17 FOOTE MIELKE CHAVEZ O'NEIL 1307 20WC 17547 CIAFFARAFA, LAURA MENARDS * 02/07/20 WOODRUFF JOHNSON 1308 20WC 17562 PEARSON, HERBERT HMT, LLC. * 03/11/20 MARKHAM M JEEP & ASSOCIATE 1309 20WC 17585 BENNETT, WILLIAM KENDRICK IL STATE TOLL HWY AUTHORI @ * 05/08/19 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 1310 20WC 17669 NORWOOD, ANGELA GDI INTEGRATED FACILITY S * 07/16/20 MOGENSEN LAW LLC 1311 20WC 17733 DADY, ROSALINDA ARROW GEAR * 04/01/20 RIDGE & DOWNES 1312 20WC 17764 ALVAREZ, ABRAM VELA APL LOGISTICS * 06/13/20 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 1313 20WC 17874 DEROSETT, ALLEN CLASSIC AIR, INC * 07/10/20 MARKS INJURY LAW 1314 20WC 17897 GOMEZ, RUBEN FERRARA CANDY COMPANY * 10/02/19 MILLON & PESKIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1315 20WC 17968 ROMAN, RICHARD COWORX * 07/01/20 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1316 20WC 18020 GARCIA, YARLLI ALEJANDRA SPROVIERIS CUSTOM COUNTER * 02/17/20 GWC INJURY LAWYERS LLC BRYCE DOWNEY & LENKOV LLC 1317 20WC 18102 STASKA, DALE LEMONT FIRE PROTECTION DI * 03/10/20 DANIEL E MURPHY 1318 20WC 18118 DOLEZAL, DANIEL S ALL AMERICA PHILLIPS * 02/13/20 MORICI LONGO & ASSOC GRIFFIN, LORETTA M LAW OFFIC 1319 20WC 18176 ARZER, JACOB G VILLAGE OF OAK BROOK * 05/04/20 THOMAS W DUDA 1320 20WC 18215 YATES, TIFFANY UPS * 01/31/20 PARENTE & NOREM PC ASA LAW GROUP 1321 20WC 18250 FELIX, CRISTINA UNLIMITED STAFFING * 07/17/20 LEONARDO MORALES 1322 20WC 18283 ESPINAL, PAULA THE JEL SERT COMPANY * 01/01/01 LULAY LAW OFFICES 1323 20WC 18398 PREWITT, JOE WHEATON COLLEGE * 07/06/20 DWORKIN AND MACIARIELLO 1324 20WC 18424 ANDRADE GONZALEZ, CLAUDIA FROZEN FOODIES * 05/03/20 EPSTEIN, JACK R LAW OFFICE 1325 20WC 18443 KUZNIAR, MICHAEL J COYNE CONSTRUCTION INC * 11/20/19 GWC INJURY LAWYERS LLC FRIEDRICH LAW LLC 1326 20WC 18492 HEASLEY, CHARLES JEWEL FOOD STORE, INC * 02/06/20 ASHER, RAYMOND L LTD 1327 20WC 18544 AVILES, JOSE VIS-O-GRAPHIC * 06/11/20 SALK FLORES & BRODERICK 1328 20WC 18557 ORTEGA, JAVIER ATLAS TOYOTA MATERIAL HAN * 05/21/20 SALGADO, DAVID L 1329 20WC 18626 ESCOBEDO ROSAS, RICARDO SOURCE ONE STAFFING * 07/22/20 ENCINAS & ORNELAS KNELL O'CONNOR DANIELWICZ 1330 20WC 18655 MITCHELL, KIMBERLY MASSAGE ENVY * 10/01/19 MORICI LONGO & ASSOC 1331 20WC 18699 AYERS, VERNIQUA MEDSPEED LLC * 07/14/20 ANKIN LAW OFFICE SCHOUEST BAMDAS SOSHEA 1332 20WC 18717 CARCAMO, WALTER INDUSTRIAL BUSINESS SVCS * 07/24/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1333 20WC 18760 JONES JR, WILLIE L GREAT LAKES COCA COLA DIS * 05/06/20 ANKIN LAW OFFICE 1334 20WC 18769 SANCHEZ, MARIA BUCK SERVICES, INC * 02/11/19 CURNYN, JOHN 1335 20WC 18781 WRIGHT, NICOLE M ROUNDY'S ILLINOIS, LLC * 06/13/20 GAINSBERG LAW PC 1336 20WC 18800 CHAVEZ, JAIMIE KANE CONSTRUCTION * 07/27/20 STROM & ASSOC 1337 20WC 18829 PTACK, JEFF COMCAST * 07/24/20 WOODRUFF JOHNSON HENNESSY & ROACH PC 1338 20WC 18916 URIOSTEGUI, JESSICA ZEMAN MANUFACTURING * 11/06/19 ROMANUCCI & BLANDIN GRIFFIN, LORETTA M LAW OFFIC 1339 20WC 19000 HICKS, LEE KRONOS PRODUCTS, INC * 07/24/20 GOLDSTEIN BENDER & ROMANOF KRAKER FANNING & OLSEN 1340 20WC 19045 ENRIQUEZ, LAURA ROW INC * 12/01/19 STEVEN H MEVORAH & ASSOCIA GRIFFIN, LORETTA M LAW OFFIC 1341 20WC 19101 PANIAGUA, ALEJANDRO WOLF MOTORS OF NAPERVILLE * 07/02/20 KEVIN O'BRIEN 1342 20WC 19127 MYERS, LAURA ELMHURST MEMORIAL HEALTHC * 04/27/20 HETHERINGTON KARPEL & BOBB POWER & CRONIN LTD 1343 20WC 19173 ORTIZ, JERONIMO UNISTAFF * 02/14/20 FOOTE MIELKE CHAVEZ O'NEIL 1344 20WC 19245 BEJARANO, LAURA OSI INDUSTRIES * 07/13/20 RUBENS KRESS MULHOLLAND INMAN & FITZGIBBONS 1345 20WC 19331 KOLAN, RICHARD CONCORDIA INTERNATIONAL * 03/28/20 GORDON LAW OFFICES LTD WIEDNER & MCAULIFFE LTD 1346 20WC 19364 DAVIS, MARY KANKAKEE NURSERY CO * 04/19/19 BRYCE DOWNEY & LENKOV LLC 1347 20WC 19376 EVJEN, ALEXIS MASASGE LUXE * 09/14/19 LEITER LAW OFFICES 1348 20WC 19474 SANCHEZ, ALFREDO WASTE MANAGEMENT * 07/22/20 DAVID W CLARK 1349 20WC 19500 SHARMA, AKASH USIC LOCATING SERVICES, L * 07/25/20 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 1350 20WC 19510 LOPEZ, MARITZA ARAMARK * 11/28/18 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1351 20WC 19573 ALBARRAN, CLAUDIA J PEREZ & PEREZ INC * 05/13/20 KATZ FRIEDMAN EISENSTEIN GANAN & SHAPIRO 1352 20WC 19669 HANNERMAN, JEANNE EDWARD HOSPITAL * 06/01/20 MARKER & CRANNELL POWER & CRONIN LTD 1353 20WC 19685 REMPERT, DUANE D JR DOWNER'S GROVE SCHOOL * 09/17/19 STIBERTH, SCARLATI & 1354 20WC 19717 ASHE, DIANNE JEWEL FOOD STORES, INC * 05/29/17 ANKIN LAW OFFICE 1355 20WC 19783 HUNTER, RAPHAEL ALTERNATIVE STAFFING INC * 07/20/20 JOHN S. ELIASIK LITCHFIELD CAVO 1356 20WC 19826 DONNAHUE, ADAM THE TERMINIX INTERNATIONA * 07/31/20 DISPARTI LAW GROUP PA MICHAEL JASPER 1357 20WC 19858 HUNTER, REGINALD NORTHWESTERN MEDICINE * 12/26/19 FOOTE MIELKE CHAVEZ O'NEIL 1358 20WC 19877 SANTOYO, ALEJANDRO FISCAL METALS & SERVICES, INC * 03/22/20 EPSTEIN, JACK R LAW OFFICE 1359 20WC 19897 ORTIZ, NORA UPS * 03/27/20 CHEPOV & SCOTT LLC NYHAN BAMBRICK KINZIE & LOWR 1360 20WC 19970 PAGONIS, JOANNE LOYOLA MEDICINE * 01/17/19 KINNALLY FLAHERTY KRENTZ 1361 20WC 19994 PEREZ, BERNARDINA WORLDPAC, INC * 01/27/20 STANCZAK LAW OFFICES 1362 20WC 20082 HENNING, MICHAEL IL FIRE INSPECTIONS, INC * 08/04/20 TARADASH LAW OFFICE 1363 20WC 20149 CAMPOZANO, AGUSTINA JEL SERT * 08/01/20 ROBERT WARSASKI 1364 20WC 20180 GREGORIO, GREG IDOT @ * 08/05/20 SLAVIN & SLAVIN 1365 20WC 20219 ALAIMO, JOHN WINDY CITY SKYLIGHTS * 08/12/20 VASILATOS & COTTER LLC 1366 20WC 20245 ALCARAZ, MARTHA ARAMARK * 12/31/19 MC HARGUE & JONES 1367 20WC 20304 RAMOS, OSCAR SPECIALIZED STAFFING SOLU * 06/12/20 GOLDSTEIN BENDER & ROMANOF 1368 20WC 20320 FARMANFARMEE, MAMAK NORDSTROM * 11/23/19 FRANCIS J DISCIPIO LAW OFF

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