ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 45118 19B LANDA, MARIBEL SOLO CUP CO 09/23/99 LICHTEN, THOMAS R GAROFALO SCHREIBER STORM 00WC048763 -C 02WC036196 -C 05WC000620 -C 2 02WC 16858 19B NELSON, BONNIE ST JAMES HOSPITAL 11/22/01 NYHAN BAMBRICK KINZIE & LOWR 3 02WC 65980 DILLON, RODGER CITY OF CHICAGO 12/07/00 JOHN E LUSAK 04WC053974 -C 4 04WC 08716 WALTON, JANET CHICAGO BOARD OF EDUCATIO 04/26/01 ROSS TYRRELL LAW DEPARTMENT 5 04WC 50171 MYLES, SAMUEL L INTERSTATE BRAND COMPANIE 12/08/03 CAMERON CLARK ADELSON TESTAN & BRUNDO 04WC050172 -C 08WC054195 -C 09WC046685 -C 09WC046686 -C 10WC043779 -C 6 06WC 52669 SIMON, DONN CHICAGO BOARD OF EDUCATIO 10/11/06 JACK R EPSTEIN LAW DEPARTMENT 09WC045189 -C 12WC031970 -C 15WC019102 -C 7 07WC 05276 SANCHEZ, ISRAEL FELIPE LA CONDESA W 04/15/06 EPSTEIN, JACK R LAW OFFICE 8 08WC 10298 ROA, RHODORA R STATE OF IL DEPT OF HS @ 10/10/07 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 12WC012462 -C ST OF IL DEPT OF HS 12WC014707 -C 13WC000696 -C 13WC000697 -C 13WC000698 -C 15WC032517 -C ST OF IL, DEPT OF HS 15WC032518 -C 15WC032519 -C ST OF IL, DEPT OF HS 15WC032520 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 9 08WC 18264 HURST, DIANE ST OF IL ELIZABETH LUDEMA @ 11/14/05 WOODRUFF & JOHNSON LAW OFF ASSISTANT ATTORNEY GENERAL 08WC018265 -C 08WC018266 -C 08WC036443 -C ELIZABETH LUDEMANN CENTER 11WC031882 -C 10 08WC 24208 HAMPTON, RUBY CARSON PIRIE SCOTT 06/06/05 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 08WC024209 -C 09WC043191 -C 10WC049628 -C 10WC049629 -C 12WC009961 -C 11 08WC 38219 GARZA, ELVIA RUDOLPH LEARNING CENTER 08/31/07 SHELDON I MINKOW & ASSOCIA LAW DEPARTMENT 12WC038157 -C CHICAGO BOARD OF EDUCATION 12 08WC 43781 WRAGGS, CRYSTAL JEWEL BUS CO W 09/22/08 NICHOLIS J STEIN 13 08WC 51076 MARTINEZ, GUADALUPE CHICAGO PUBLIC SCHOOLS 05/09/08 ELFENBAUM EVERS & AMARILIO LEAHY EISENBERG & FRAENKEL 08WC051077 -C 14 09WC 00438 LETT, JAMES D CITY OF CHICAGO 02/21/07 MEYERS & FLOWERS CITY OF CHICAGO 15WC037623 -C CHICAGO CITY CLERK 15 09WC 02207 SMITH, VELMA UNIVERSITY OF ILLINOIS 10/08/08 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 09WC006113 -C 16 09WC 07627 CAMPBELL, PAULA ELA SECURITY 01/30/09 STEVEN J SEIDMAN LAW OFFIC ACCIDENT FUND HOLDINGS 17 09WC 13378 RODRIQUEZ, ROCIO UNIVERSITY OF CHICAGO 08/03/08 STEVEN J SEIDMAN LAW OFFIC SCOPELITIS GARVIN LIGHT 18 09WC 15716 NOVICKAS, RAYMOND R CITY OF CHICAGO 02/25/09 THE BARRY LAW GROUP PC CITY OF CHICAGO 19 09WC 19481 JOHNSON, JAMES VILLAGE OF ELK GROVE 11/01/07 ANESI OZMON RODIN NOVAK KO NOBLE & ASSOCIATES PC 09WC019482 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 20 09WC 20145 IANNONI, AL CITY OF CHICAGO 04/22/09 CULLEN, HASKINS, NICHOLSON HENNESSY & ROACH PC 14WC013036 -C 21 09WC 27593 HUMPHREY, KELLY METROPOLITAN PIER & 05/30/08 THE FITZ LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 22 09WC 48992 19B-1 STUPAY, MICHAEL HESTER DECORATING CO INC 02/18/09 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 23 09WC 53101 BARTUCCI, JESSICA MENARD'S 08/26/09 MARSZALEK AND MARSZALEK CHILTON YAMBERT PORTER LLP 24 10WC 01806 19B TORIAN, VAHE INTERNATIONAL TEST & 10/14/08 CAMERON CLARK LAW OFFICES JOSEPH MARCINIAK 25 10WC 13205 MANNINO, VINCE FOUR SEASONS HEATING AND 10/13/09 COVEN LAW GROUP ROSARIO CIBELLA 26 10WC 14633 HERNANDEZ, ALICIA SOURCE INTERLINK DISTRIBU 03/10/10 SALK, STEVEN B & ASSOC LTD GAROFALO, SCHREIBER, HART 10WC014634 -C 27 10WC 14903 MICOVIC, NADEZDA MAVA ROMANOFF CORPORATION 04/30/07 ROMANUCCI & BLANDIN LAW OFFICES JOSEPH MARCINIAK 28 10WC 18632 FLORIDIA, JOHN NAVISTAR INC 01/25/07 GORDON & CENTRACCHIO LLC NYHAN BAMBRICK KINZIE & LOWR 29 10WC 28730 VILLANUEVA, EFRAIN ALVARE LVI ENVIRONMENTAL SERVICE 07/08/10 GOLDBERG WEISMAN & CAIRO L RUSIN MACIOROWSKI & FRIEDMAN 30 10WC 30464 AVILA, ERIC ALBERTO TEMPUS CONSTRUCTION SERVI 12/01/08 FRANK A SANTILLI & ASSOC 31 10WC 30626 AHMED, KHADAR CHICAGO CARRIAGE CAB CO 07/24/10 VRDOLYAK LAW GROUP LLC STONE & JOHNSON CHARTERED 32 10WC 30670 WILEY, TRACY CHICAGO STATE UNIVERSITY 07/12/10 LEO ALT ASSISTANT ATTORNEY GENERAL 33 10WC 32593 PANIAGUA, LUCINA COOK COUNTY CLERK CIRCUIT 08/11/10 EPSTEIN, JACK R LAW OFFICE STATES ATTORNEY OF COOK COUN 34 10WC 32940 LOGAN, VANESSA CHICAGO STATE UNIVERSITY 09/23/08 WILLIAMS, ROBERT B LAW OFF ASSISTANT ATTORNEY GENERAL 35 10WC 43818 POLOMIK, DAVID KRAFT FOODS MANUFACTURING 07/18/10 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 36 10WC 44120 NAVARRO, LADISLAO A FINKL & SONS CO 12/22/09 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 37 10WC 45070 LUSBY, GERTHA CTA 11/12/08 BRAD J. BALKE, PC CHICAGO TRANSIT AUTHORITY 11WC019357 -C CHICAGO TRANSIT AUTHORITY 38 10WC 47155 MERCADO, RODOLFO FOX VALLEY CONTRACTORS LL @ W 11/11/10 JONATHAN SCHLACK LAW OFFICES GERALD DOLL 39 10WC 48235 HICKS, ALICIA CITY OF CHICAGO 11/17/10 COVEN LAW GROUP CITY OF CHICAGO 40 11WC 06850 SANTOS, JAIME CHICAGO TRANSIT AUTHORITY 09/29/08 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 41 11WC 08403 WATSON, MARY ST OF ILL DEPT OF HUMAN S 02/24/10 BAUM RUFFOLO & MARZAL LTD SHUAIB A. AHMED 42 11WC 10077 LATTANZIO, KERRY A FINKL & SONS 11/05/10 STEVEN J SEIDMAN LAW OFFIC GAROFALO SCHREIBER STORM 43 11WC 13406 TOMASELLO, DOMINICK CITY OF CHICAGO 03/06/11 HEALY LAW FIRM CITY OF CHICAGO 44 11WC 13730 JUAREZ, MARIA CHICAGO HILTON CORP 04/16/08 SCHWEICKERT & GANASSIN NOBLE & ASSOCIATES PC 11WC013795 -C HILTON HOTELS CORP 16WC023137 -C 45 11WC 15057 LOPEZ, LUCIANO CHICAGO AUTO REPAIR & W 04/04/11 CULLEN HASKINS NICHOLSON 46 11WC 19452 KEY, JOSEPH BEST TRANSPORTATION 04/21/11 COHN & COHN SPIEGEL & CAHILL, PC 47 11WC 21426 MARTIN, EDGAR IL DEPT OF EMPLOYMENT SEC @ 03/17/11 MARVIN A BRUSTIN LTD ASSISTANT ATTORNEY GENERAL 12WC036359 -C ILLINOIS DEPARTMENT OF 14WC011262 -C 48 11WC 25764 AYALA, ALEXANDER J DIAZ INC 07/18/08 JOHNSON, MICHAEL D & ASSOC BRADY CONNOLLY & MASUDA PC 49 11WC 25874 WEATHERALL, IRENE THE CATALYST SCHOOL 07/02/09 STEVEN J SEIDMAN LAW OFFIC LAW OFFICES JOSEPH MARCINIAK 50 11WC 26641 BAUTISTA, MIGUEL FRANCO'S TACOS W 04/22/11 JAMES ELLIS GUMBINER & ASS 51 11WC 27276 ESCUDERO, OSCAR SANDRA'S FOOD INC 06/28/11 SALK, STEVEN B & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 52 11WC 32066 ELLIS, MORRIS G JOHN CRANE INC 08/15/11 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 53 11WC 33165 SOTO, OSCAR L FLYING FOOD GROUP 07/21/11 RUBIN LAW GROUP HOLECEK & ASSOCIATES 54 11WC 33231 HOLLINS, ALVIN IDOT @ 06/06/11 BART DURHAM ASSISTANT ATTORNEY GENERAL 14WC007166 -C ST OF IL DEPT OF 14WC028262 -C IL DEPT OF TRANSPORATION 55 11WC 37897 RODRIGUEZ,MARIA AS GUARDI NOVAK CONSTRUCTION 08/25/11 MEYERS & FLOWERS KLAUKE LAW GROUP LLC 56 11WC 38411 RIVERA, JOSE LUIS JR USED CAR FACTORY 07/06/11 CULLEN HASKINS NICHOLSON 57 11WC 40074 HOLMES, JIM W JERNBERG INDUSTRIES 08/23/11 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 11WC040075 -C 58 11WC 43539 PLEASANT, DESHUN CITY OF CHICAGO 02/11/11 KARCHMAR & STONE CITY OF CHICAGO 59 11WC 43879 WOOD, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 07/03/11 JAMES M RIDGE LAW OFFICE CHICAGO TRANSIT AUTHORITY 60 11WC 44015 RAMIREZ, MARIA LUZ ROBERTSON INNOVATIVE LIGH 05/18/11 EPSTEIN, JACK R LAW OFFICE 61 11WC 44264 MCLAIN, WILLIAM BRIAN & CINDY BUTLER 10/20/11 CHRISTIAN & MANNO COSTIGAN & WOLLRAB PC 62 11WC 44590 SALDIVAR, STEVE CITY OF CHICAGO 11/11/11 RUBIN LAW GROUP 63 11WC 46124 GANT, THELMA SMART STOP 11/08/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 64 11WC 47647 MEDINA, JOSE C ROLLEX CORP 11/15/11 JOSEPH A DEL CAMPO GRANT & FANNING 65 12WC 03741 MCKILLION, GINNA UNIVERSITY OF ILL AT CHIC 12/27/11 CHARLES LEVY & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 12WC034998 -C 14WC016272 -C 66 12WC 06028 PEREZ, JORGE NORWEGIAN AMERICAN HOSPIT 12/06/11 JAMES ELLIS GUMBINER & ASS 67 12WC 08634 SURON, ANNA NILES NURSING & REHAB CTR 03/13/09 NEMEROFF LAW OFFICES LAW OFFICES FRANCESCA LARSEN 68 12WC 10197 ORTIZ, GABRIEL ACME REFINING 03/17/11 RUSSO & RUSSO LTD RUSIN & MACIOROWSKI LTD 69 12WC 12238 19B MILLS, DAVID PARK DISTRICT OF OAK PARK 09/29/11 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 70 12WC 14415 MADRIGAL, ALEJANDRA UNITED MAINTENANCE 11/27/11 71 12WC 17340 TAYLOR, TANEISHA JETRO CASH CARRY ENTERPRI 04/02/12 MEACHUM & STARCK 72 12WC 18392 ALVAREZ, NANCY HOWARD JOHNSON 04/24/12 JONATHAN SCHLACK MEACHUM & STARCK 73 12WC 18434 VANTREASE-HENLEY, KELLI MERCY HOSPITAL 10/20/11 LAW OFFICES PETER LEKAS NYHAN BAMBRICK KINZIE & LOWR 74 12WC 20245 THOMAS, WENDY NORTHEASTERN ILLINOIS @ 05/01/12 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 75 12WC 24849 DAVIS, DAVID EAST LAKE MANAGEMENT GROU 06/19/12 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 76 12WC 27229 PALUMBO, CHARLES AMERICAN AIRLINES 06/23/12 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 14WC011046 -C 16WC013925 -C 77 12WC 28112 BOKINA, ALEX POWER PLANT/GENERAL MAN 07/20/12 CHRISTOPHER BUCHCAR, LTD CASSANO & ASSOCIATES 78 12WC 28848 VELASCO, GERARDO CARDINAL WINE & LIQUORS I 06/14/12 LEWIS & DAVIDSON, LTD MACIOROWSKI SACKMANN & ULRIC 12WC028849 -C 79 12WC 28873 BROWN, TIMOHTY MAY FOOD W 06/25/12 MARSZALEK AND MARSZALEK 80 12WC 29281 HILLERY, JACQUELINE HELP AT HOME 06/26/12 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 14WC041566 -C 81 12WC 30064 PAPAFIO, GERMINATU UNIVERSITY OF CHICAGO 02/03/11 ROGER D RUDICH LTD HENNESSY & ROACH PC 82 12WC 30755 OSBOURNE, RICK WINDWARD 08/27/12 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 83 12WC 30901 NEGRON, ISABEL COUNTY OF COOK 06/23/10 LAW OFFICES PETER LEKAS STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 12WC 31078 RAMIREZ, LEONOR ROCK BOTTOM 04/21/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 85 12WC 31448 MEHANOVIC, DZEVAD LAKESIDE ABM 08/10/12 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 13WC016683 -C ABM LAKESIDE BUILDING MAIN 13WC033893 -C ABM JANITORIAL 86 12WC 32019 ULMEN, JEAN CHICAGO PUBLIC SCHOOLS 02/15/12 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 87 12WC 36225 DOTSON, NANCY CITY OF CHICAGO 01/01/12 STEPHEN G PINTO LTD CITY OF CHICAGO 88 12WC 40483 MERTES, PAULETTE MT PROSPECT PARK DIST 07/09/12 PETER D CORTI LAW GROUP POWER & CRONIN LTD 13WC029021 -C 89 12WC 40759 GOINS, LA BARBA CHICAGO BOARD OF EDUCATIO 05/29/12 POLTROCK & POLTROCK LAW DEPARTMENT 90 12WC 41097 BRYANT, BRENDA B CHICAGO BD OF EDUCATION 10/17/12 CULLEN HASKINS NICHOLSON LAW DEPARTMENT 91 12WC 41908 BOOTH, LATONYA CTA 11/25/12 SAUNDERS CONDON & KENNY 92 12WC 42169 KELLY, CARVEL CITY OF CHICAGO BLDG DEPT 08/16/12 SANDMAN LEVY & PETRICH CITY OF CHICAGO 93 12WC 42325 GRAY, KENNETH WATER ONE INC 09/01/12 JAMES M RIDGE LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 94 12WC 43140 REED, JUANITA CTA 12/07/12 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 13WC023919 -C 95 12WC 43293 TAYLOR, DIANE CITY OF CHICAGO 11/26/12 MAY & BUEGE HENNESSY & ROACH PC 14WC029314 -C 15WC029123 -C PACHECO, DIANE F/K/A 96 13WC 04959 GRYGIERCZYK, WIESLAW OAK PARK ARMS, LLC 12/16/09 MINKOW DOMIN NYHAN BAMBRICK KINZIE & LOWR 13WC004960 -C 97 13WC 05507 ROCCASALVA, JASON M WESTSIDE MECHANICAL INC 06/18/12 RUBIN LAW GROUP HOLECEK & ASSOCIATES 13WC005508 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 13WC 06261 HALKO, DELIA CITY OF CHICAGO 03/16/12 DE SALVO, SCOTT D LAW OFFI CITY OF CHICAGO 99 13WC 06546 SCOTT, KIMBERLY FORD MOTOR CO 02/11/13 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 13WC032104 -C 100 13WC 06783 LEVI, JONATHAN CHATFIELD ELECTRIC 11/01/12 JOHN S. ELIASIK QUINTAIROS PRIETO WOOD & BOY 101 13WC 07794 KANG, RICHARD Q NEXT GENERATION TECHNOLOG 01/31/13 LAW OFFICE OF SCOTT B SHAP 102 13WC 12364 NEGRETE, HEYN SIMS RECYCLING SOLUTIONS 07/24/12 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES OF EDWARD J. KOZ 14WC026948 -C 103 13WC 15621 FELIX, LUIS COMCAST 10/11/11 RUBIN LAW GROUP SPIEGEL & CAHILL, PC 104 13WC 16036 BERDUSIS, ASPASIA KRAFT FOODS N/K/A MONDELE 11/01/11 CHRISTY & CHRISTY WIEDNER & MCAULIFFE LTD 105 13WC 16933 GUZMAN, SALVADOR MONDELEZ INTL SERVICE D/B 02/16/13 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 106 13WC 16991 GIAMARUSTI, MICHAEL CITY OF CHICAGO 10/14/12 DAVID W MARTAY CITY OF CHICAGO 107 13WC 17410 SOLARTE, YOLANDA CHICAGO STATE UNIVERSITY @ 03/01/13 MAURICE E DUSKY PC ASSISTANT ATTORNEY GENERAL 108 13WC 17524 FRAPANPINA, JOSEPH M, III GARDA CASH LOGISTICS 02/22/13 LANZILLOTTI GRIBBEN & MARC KEEFE CAMPBELL & ASSOC LLC 16WC004572 -C 109 13WC 17733 GRAHAM, VASA BRIDGFORD QUALITY FOODS 05/08/13 ASHER, RAYMOND L LTD GRANT & FANNING 110 13WC 18990 RAMIREZ, AARON CITY OF CHICAGO 05/30/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 111 13WC 19234 JONES, HENRIKA CHICAGO TRANSIT AUTHORITY 04/15/12 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 112 13WC 20614 FERNANDEZ, IMELDA CITY OF CHICAGO 05/20/13 GRAZIAN & VOLPE PC CITY OF CHICAGO 113 13WC 20626 MATTHEWS, CARY CITY OF CHICAGO 01/12/12 JOHN E LUSAK CITY OF CHICAGO 14WC034252 -C 114 13WC 23779 GARNER, BARBARA CITY OF CHICAGO 06/14/13 STEVEN J MALMAN & ASSOCIAT CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 13WC 24875 19B REDEAUX, ALLISON CTA 07/26/13 ASHER, RAYMOND L LTD CHICAGO TRANSIT AUTHORITY 116 13WC 25772 HANSEN, JAMES R BANNER PLUMBING 11/09/12 THOMAS R LICHTEN ANCEL GLINK DIAMOND BUSH & E 13WC025773 -C 117 13WC 25969 LUEVANOS, YOLANDA ST ANTHONY HOSPITAL 07/01/13 MARVIN A BRUSTIN LTD KLAUKE LAW GROUP LLC 14WC022957 -C 14WC022958 -C 118 13WC 26400 19B WATROBA, STEFANIA THOMAS ENGINEERING INC 09/11/12 BELCHER LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC026143 -C 119 13WC 26726 WRIGHT, CYNTHIA UNITED AIRLINES INC. 06/27/13 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 120 13WC 26949 GREEN-JERNIGEN, MELANIE ST OF IL DEPT OF JUVENILE @ 04/08/13 MEYERS & FLOWERS LLC ASSISTANT ATTORNEY GENERAL 121 13WC 27474 MORENO, GENOVEVA RENAISSANCE HOTEL 06/22/13 STYKA & STYKA NYHAN BAMBRICK KINZIE & LOWR 16WC020845 -C 122 13WC 27831 FAUST, WALLACE JERNBERG INDUSTRIES 10/25/12 CHRISTINE F DAVID 13WC027833 -C 123 13WC 27866 PIERRE-JACQUES, DALINE LOWE ENTERPRISES INC 06/14/13 COVEN LAW GROUP HENNESSY & ROACH PC 124 13WC 28117 DEINEMA, LORI FORD MOTOR CO 08/06/13 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 13WC028125 -C 125 13WC 28412 ZIMONT, LARRY L UNIVERSITY OF CHICAGO 03/04/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 126 13WC 28511 DAVIS, PAMELA YVETTE OAK LAWN RESPIRATORY AND 05/17/13 COLLISON & O'CONNOR LTD RIPES NELSON BAGGOT KALOBRAT 127 13WC 29978 BARNER, BERTHA JOHN J MADDEN 07/06/13 HORWITZ HORWITZ & ASSOC TERESA R MAHER 128 13WC 33957 SILVA, JOSE N MAURITZON INC 09/23/13 129 13WC 34152 NUNEZ, ANDRES MARVEL COMPANY W 09/23/13 O'CONNOR & NAKOS 130 13WC 38206 PLOETZ, DAWN M ARCHIDIOCESE OF CHICAGO 10/08/13 NEWMAN, BOYER & STATHAM WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 131 13WC 38603 MUNOZ, JULIO CITY OF CHICAGO DEPT OF 09/27/12 O'CONNOR & NAKOS CITY OF CHICAGO 132 13WC 38663 VERMILLION, VIVI FRANCISCAN ST JAMES HEALT 06/17/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 133 13WC 38723 KOPINSKI, CECYLIA UNITED AIRLINES INC. 10/17/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 14WC002430 -C 134 13WC 38989 PEREZ, JOSE GONZALO CHICAGO PUBLIC SCHOOLS 01/30/13 ELFENBAUM EVERS & AMARILIO LAW DEPARTMENT 15WC037953 -C 135 13WC 39468 RAMIREZ, MARCO HIGHLAND BAKING 10/03/13 RUBIN MACHADO ROSENBLUM RIPES NELSON BAGGOT KALOBRAT 136 13WC 39552 KOLK, TRACI DISTRICT U46 09/25/13 RICHARD O. GREENFIELD NYHAN BAMBRICK KINZIE & LOWR 137 13WC 39640 NAVAS, TIMOTHY DR PEPPER/SNAPPLE GROUP 09/27/13 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 138 13WC 39896 MANNEY, DELORES STATE OF ILLINOIS @ 12/14/11 MINKOW DOMIN ASSISTANT ATTORNEY GENERAL 139 13WC 41427 BARTOSZEK, ROBERT WINDY CITY METAL 12/02/13 NILSON STOOKAL GLEASON CAP HOLECEK & ASSOCIATES 140 14WC 01602 JUNIOUS, DARNELL CITY OF CHICAGO 08/25/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 141 14WC 04551 ANDERSEN, WALTER CITY OF CHICAGO 04/16/13 CUDA LAW OFFICES CITY OF CHICAGO 142 14WC 04941 STOVER, PRESTON METROPOLITAN WATER RECLAM 01/14/14 LAW OFFICE OF SCOTT B SHAP HEYL ROYSTER VOELKER & ALLEN 14WC004942 -C 143 14WC 04964 COATES, SHARLATTE NET HANDS HOME CARE INC 01/08/14 COLLISON LAW OFFICES STONE & JOHNSON CHARTERED 144 14WC 04987 RODRIGUEZ DE LOPEZ, YOLAN RAS SERVICES INC A/K/A W 09/20/12 KRISIK, DENNIS J LTD SPIEGEL & CAHILL, PC 145 14WC 05105 SAHABAZ, DAMIR HASO WC TRANPORT INC W 12/13/13 TAMVAKIS, GEORGE L SALVATO & O'TOOLE 146 14WC 05277 PULVERMACHER, WILLIAM SECO TOOLS 08/21/13 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 147 14WC 05353 SCHWIER, NATALIE BUD'S AMBULANCE 02/24/11 HEALY LAW FIRM THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 148 14WC 05409 HAITHAM, SAMEH GRANITE INNOVATIONS 01/24/14 RUBIN MACHADO ROSENBLUM QUINTAIROS PRIETO WOOD & BOY 149 14WC 05443 HAWN, THOMAS SUPERIOR TRUSS & PANEL IN 02/04/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 150 14WC 05471 HARRISON, JOHN B OGGLESBY ELEMENTARY SCHOO 01/31/14 KENNETH B GORE, LTD LEAHY EISENBERG & FRAENKEL 151 14WC 05626 BECK, BRIAN MAHONEY ENVIRONMENTAL 09/12/13 TARADASH LAW OFFICE LITCHFIELD CAVO 152 14WC 05654 TAYLOR, KENDALL DRAPER & KRAMER 10/08/13 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 14WC008527 -C 14WC008528 -C 14WC008529 -C 14WC008530 -C 153 14WC 05782 PETERS, ELIA V CLERK OF COOK COUNTY 02/03/14 STEPHEN G PINTO LTD STATES ATTORNEY OF COOK COUN 154 14WC 05844 SIERRA, MANUEL ABM JANITOR SERVICES 02/08/14 HEALY LAW FIRM GOLDBERG SEGALLA LLC 155 14WC 05857 EDMARK, ERIKA HU-FRIEDY MANUFACTURING 01/01/14 HOLECEK & ASSOCIATES 156 14WC 06035 SVOBODA, ROGER CITY OF CHICAGO 02/05/14 PARENTE & NOREM PC CITY OF CHICAGO 157 14WC 06292 CASTINNEYRA, MARTHA RADISON BLUE AQUA HOTEL 02/02/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 158 14WC 06709 PIZANO, GUADALUPE PITA PAN OLD WORKD BAKERY 08/09/13 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 159 14WC 07023 WARNER, PHYLLIS CTA 12/10/13 MARSZALEK AND MARSZALEK CHICAGO TRANSIT AUTHORITY 14WC012865 -C CTA-KEDZIE GARAGE 160 14WC 07537 CESAR, FELICITAS ALTERNATIVE STAFFING, INC 02/03/14 KENNETH B GORE, LTD MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 14WC 07713 CONNOLLY, FREDERICK A VILLAGE OF SCHAUMBURG 02/07/14 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 162 14WC 07971 DODD-WESTON, KIMBERLY CHICAGO PUBLIC SCHOOL 01/22/14 BRISKMAN BRISKMAN GREENBER LAW DEPARTMENT 14WC011146 -C 15WC009923 -C CORLISS HIGH SCHOOL - CPS 15WC009924 -C 16WC011162 -C CORLISS HIGH SCHOOL CPS 17WC011749 -C 163 14WC 14827 GIUSEPPE, DILIBERTO UNIQUE PLUMBING 10/03/13 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 164 14WC 16119 MICHELIS, MAUREN OFELIA'S PROFESSIONAL 01/17/14 CULLEN HASKINS NICHOLSON 165 14WC 16301 SANDERS, MICHAEL KFC 05/03/14 ANKIN LAW OFFICE 166 14WC 16409 BATTIE, JEANETTE CITY OF COUNTRY CLUB HILL 05/05/14 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 167 14WC 16534 JIMENEZ, BERNARDINO MARCELLS PAPER & METAL IN 04/03/14 NICHOLIS J STEIN HOLECEK & ASSOCIATES 168 14WC 16930 IRIZARRY, AGRACIADO UNITED PARCEL SERVICE 04/24/14 KINNALLY FLAHERTY KRENTZ & NYHAN BAMBRICK KINZIE & LOWR 169 14WC 17091 DELGADO, LINDA CITY OF CHICAGO DEPT OF 12/04/10 CUDA LAW OFFICES CITY OF CHICAGO 14WC017092 -C 14WC017093 -C 14WC017094 -C 14WC017095 -C 17WC015912 -C 170 14WC 17633 ZABRAUSKAS, JULIUS RUSH UNIVERSITY MEDICAL C 03/27/14 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 17WC000836 -C 171 14WC 18086 REYES, JOSE TAQUERIA LOS GALLOS #4 11/03/12 CULLEN HASKINS NICHOLSON 172 14WC 18369 BOYD, L TOMMY CITY OF CHICAGO DEPT OF 03/27/14 RUBIN LAW GROUP HENNESSY & ROACH PC 173 14WC 18400 SANCHEZ, HILDA DYNOMAX INC 08/01/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 174 14WC 18623 BLACKBURN, DENISE CHE TRINITY INC (LUMC) 02/19/14 LEONARD LAW GROUP LLC LORENZ & BERGIN PC 175 14WC 18702 FLOURNOY, DEJEANETTE M COOK COUNTY SHERIFF 04/27/14 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 14WC 18740 JONES, GLORIA CHICAGO TRANSIT AUTHORITY 05/29/14 LAW OFFICES OF 177 14WC 19166 CAZARES, ADELA DURABLE INC 05/29/11 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 178 14WC 24623 DELUCA, FRANK PACE SUBURBAN BUS 11/22/13 JOHN J CASTANEDA SLAVIN & SLAVIN 16WC007203 -C 16WC010102 -C 179 14WC 25665 DELLSY, JERRY KENNETH PROTNOY OD PEARLE 01/02/12 LEWIS & DAVIDSON, LTD GRANT & FANNING 180 14WC 25803 CRUZ, GILDARDO BOSTON MARKET 04/06/14 CRONIN & PETERS SPIEGEL & CAHILL, PC 181 14WC 26887 BRITTON, JAMES TURNER CONSTRUCTION 08/20/11 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 182 14WC 27024 EVANS, CHARLENE NEAR WEST SIDE CDC INC 07/16/14 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 183 14WC 27025 ROMOZZI, ANNAMARIE GRAND RIVER ONE INC 06/25/14 THE FITZ LAW GROUP LAW OFFICES JOSEPH MARCINIAK 184 14WC 27095 MORALES, SOFIA GRAPHIC PACKAGING 07/21/14 GOLDSTEIN BENDER & ROMANOF DOHERTY & PROGAR LLC 15WC018295 -C 185 14WC 27116 HERNANDEZ, MARTINA PRIMARY STAFFING INC 11/10/11 DEPAOLO ZADEIKIS GORE 186 14WC 27285 SIRCHER, THOMAS CHILDREN'S HOME & AID 05/08/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 187 14WC 27308 BATES, JEVON COOK COUNTY SHERIFF'S DEP 06/30/14 OLMSTEAD, GREGORY J LAW OF STATES ATTORNEY OF COOK COUN 188 14WC 27528 SPENCER, ANDRE CHICAGO TRANSIT AUTHORITY 08/07/14 STEVEN J MALMAN & ASSOCIAT CHICAGO TRANSIT AUTHORITY 189 14WC 27633 OZIMINSKI, MICHAEL U S SMOKELESS TOBACCO CO 06/05/14 HORWITZ HORWITZ & ASSOC 190 14WC 27868 MANSON, DERRICK FORD MOTOR COMPANY 08/15/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 15WC029413 -C 191 14WC 28215 THOMAS, CHARLES SEMFORD CONTRACTORS 07/17/13 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 14WC 28627 BOONE, VIVIAN DAVIS CHICAGO TRANSIT AUTHORITY 07/25/14 WARREN W MARK CHICAGO TRANSIT AUTHORITY 193 14WC 28871 MARTINEZ, ADONIAS M PRESTIGE MAINTKENANCE USA 10/10/13 LEAHY, JAMES P MEACHUM & STARCK 17WC028138 -C 194 14WC 28992 WNUK, NANCY CFER UNION 09/05/12 LAW OFFICES OF MARK SCHAFF RITTENBERG & BUFFEN 195 14WC 29118 LONGORIA, LONN E MODERN DROP FORGE 04/21/13 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 196 14WC 29343 LANDA, JOSE GOLDEN COUNTRY 05/30/12 FOHRMAN, DONALD W & ASSOCS 197 14WC 29366 WILLIAMS, LADON CITY OF CHICAGO 10/07/13 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 198 14WC 29421 YUNG, MAY Y CITY OF CHICAGO 02/17/14 RICHARD E ALEKSY CITY OF CHICAGO 199 14WC 29445 RICHARD, WILLIE CTA 08/14/14 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 200 14WC 29810 HERNANDEZ, RICARDO AEP INDUSTRIES 07/02/14 FINE, MARK S LAW OFFICES GRANT & FANNING 201 14WC 31426 COLBERT, ALLISON BURLINGTON COAT FACTORY 06/15/13 RUBIN MACHADO ROSENBLUM BRADY CONNOLLY & MASUDA PC 202 14WC 33951 EVANS, MILTON SOUTH COOK COUNTY 09/08/14 WITTENBERG DOUGHERTY MAGLI INMAN & FITZGIBBONS 203 14WC 34404 NEE, THOMAS DJH INC D/B/A DEL MAR BUI 09/22/14 FRANK A CELANI HOLECEK & ASSOCIATES 204 14WC 34591 DELGADO, JAIME CTA 05/29/14 SHANNON LAW GROUP CHICAGO TRANSIT AUTHORITY 205 14WC 34952 THOMAS, KEVIN CITY OF CHICAGO 10/10/14 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 206 14WC 36337 GUZMAN, BENJAMIN SHINE ON GROUP INC 10/01/14 DEPAOLO ZADEIKIS GORE BRYCE DOWNEY & LENKOV LLC 207 14WC 37225 WHITE, ANTHONY UPS 03/21/13 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 208 14WC 37648 CARDONE, JOHN AUTOMOTIVE ENGINE SPECIAL 07/07/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 209 14WC 37895 VILLANOVA, FRANK COOK COUNTY ASSESSOR 04/11/14 STROM, NEAL B STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 14WC 38010 TORO, JOHNNY MATERIAL SCIENCE CORPORAT 02/11/14 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 211 14WC 38065 SILVAR, JOSE MVP EMPLOYMENT AGENCY 10/03/14 DEPAOLO ZADEIKIS GORE GRANT & FANNING 212 14WC 38109 BARLOG, JOSEPH HOG HAVEN CAFETERIA 10/24/14 BARRY E BLUMENFELD POWER & CRONIN LTD 213 14WC 38167 MELLS, SEAN C COOK DUPAGE TRANSPORTATIO 10/29/14 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 214 14WC 38371 VEGA, RICHARD METROPOLITAN WATERRECLAIM 01/17/14 HORWITZ HORWITZ & ASSOC 15WC002864 -C 215 14WC 38415 ZAJICEK, THOMAS B JR STATE OF ILLINOIS @ 10/26/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 216 14WC 38419 VARGAS, OMAR CBM PLUMBING 07/14/14 CUDA LAW OFFICES CASSANO & ASSOCIATES 217 14WC 38438 PHILLIP, TORIA CITY OF CHICAGO 07/05/14 MC HARGUE, JAMES P LAW OFF CITY OF CHICAGO 218 14WC 38565 BEARD, TANGELA CHICAGO PUBLIC SCHOOLS 10/29/14 MICHAEL A. HIGGINS 219 14WC 38857 AGUDO, GLORIA T REGAL HEALTH FOOD 05/07/14 AIOSSA LAW FIRM ACCIDENT FUND HOLDINGS 220 14WC 38862 ALVAREZ, RUBEN CLASSIC SHEET METAL INC 04/04/12 FRIEDMAN & SOLMOR LTD HOLECEK & ASSOCIATES 221 14WC 38964 DANZY, IVAN CHICAGO PUBLIC SCHOOL/ 10/30/14 PETER D CORTI LAW GROUP 222 14WC 39100 ELKIN, KAREN CIM GROUP 02/06/14 LAW OFFICE OF SCOTT B SHAP 223 14WC 39209 MERCADO, ANGEL A FANTASY DIAMOND 08/06/14 STORTO FINN & ROSINSKI LAW OFFICES OF EDWARD J. KOZ 224 14WC 39253 SIMMONS, DARNELL CITY OF CHICAGO 09/10/84 KARCHMAR & STONE CITY OF CHICAGO 225 14WC 39372 SMITH, VANESSA STATE OF ILLINOIS HFS @ 10/07/14 ASSISTANT ATTORNEY GENERAL 226 14WC 39625 NAUGHTON, JOHN ATLAS TUBE 11/11/14 GOLDBERG WEISMAN & CAIRO L 227 14WC 39639 PERINI, RANDY METROPOLITAN WATER RECLAM 11/08/12 RICHARD E ALEKSY NOBLE & ASSOCIATES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 14WC 39664 NAJERA, JIMMY SEARS HOLDINGS CORPORATIO 09/15/14 CHRISTINE F DAVID GAROFALO SCHREIBER STORM 229 14WC 40598 DIAZ, ELLIS O JEWEL - OSCO 01/06/14 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 230 14WC 40625 REANEY, JAMES UNITED AIRLINES INC. 07/23/14 JAMES P. TUTAJ WIEDNER & MCAULIFFE LTD 231 14WC 40672 DIAZ, MARGARITA MARRIOTT HOTELS 08/14/11 DAVID W MARTAY GANAN & SHAPIRO 14WC040673 -C 232 14WC 40724 WALKER, ROOSEVELT JR INTEGRUS REALTY GROUP 10/01/14 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 15WC000491 -C 233 14WC 41107 CONSTANZO, DEBORAH JEWEL-OSCO 10/13/14 COVEN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 234 14WC 42871 REA, JULIO SIERRA MADRE RENOVATION, 12/23/13 O'CONNOR & NAKOS 235 15WC 01053 KONTAXIS, HAROLD TYCO SIMPLEX GRINNELL 02/01/14 ANKIN LAW OFFICE POWER & CRONIN LTD 236 15WC 02066 YELLI, MENISHI ZENITH FACILITY SERVICES 10/23/14 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 237 15WC 03812 CISNEROS, BALTAZAR TOMAHAWK TRUCKING 10/28/14 STEVEN A CRIFASE, LTD 238 15WC 03997 MARTINEZ, ROGELIO BERTOG LANDSCAPING 11/25/14 JOHN J CASTANEDA ANCEL GLINK DIAMOND BUSH & E 15WC003998 -C 239 15WC 04354 LONBERGER, VICKIE COMMONWEALTH EDISON W 02/22/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 240 15WC 04360 REYES, MARCO MORFIN CONSTRUCTION 12/24/14 RITTENBERG & BUFFEN BRADY CONNOLLY & MASUDA PC 241 15WC 04621 ESPINOZA, JESUS MOHAMMAD TARIQ ANWAR 10/21/14 242 15WC 04877 LOERA, JAIME NICOR GAS 01/30/15 COHN & COHN MACIOROWSKI SACKMANN & ULRIC 243 15WC 04939 ALVAREZ, SANDRA PANDA EXPRESS 12/19/13 PARENTE & NOREM PC 244 15WC 04995 PARRY, JANET NORTH SUBURBAN 12/24/12 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 15WC 05016 KRAMER, ROGELIA ELI'S CHEESECAKE FACTORY 09/03/14 EVAN A HUGHES LAW OFFICE 246 15WC 05055 CAMACHO, DAVID NORTH SHORE UNDERGROUND I 10/17/14 SIGMOND, STEVEN MEACHUM & STARCK 247 15WC 05196 JENKINS, JOHNNY N COMCAST 01/04/15 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 248 15WC 05411 ORLOS, THOMAS HOME DEPOT 01/12/15 WOODRUFF & JOHNSON ADELSON TESTAN & BRUNDO 249 15WC 05436 WILSON, DELLMUS CITY OF CHICAGO 09/09/14 LAW OFFICES OF CITY OF CHICAGO 250 15WC 05454 HIDALGO, VICTORINO II IN ONE CONTRACTORS INC 12/03/14 WHITING LAW GROUP LITCHFIELD CAVO 251 15WC 05514 ALSHWAYIT, HATEM UBER TECHNOLOGIES INC 08/01/14 BRUSTIN & LUNDBLAD LTD WIEDNER & MCAULIFFE LTD 252 15WC 05606 DUGUE, NICOLAS MOST VALUABLE PERSONNEL 11/03/14 AIOSSA LAW FIRM KOREY RICHARDSON LLC 253 15WC 05778 SMITH, RHONDA MACY'S 12/23/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 254 15WC 06016 HASSAN, MIR YELLOW CAB AFFILIATION IN 09/15/13 LAW OFFICE OF JAMES URTIS 255 15WC 06040 QUEZADA, ANTHONY SULLIVAN'S STEAKHOUSE 11/15/14 HART & DAVID LLP 256 15WC 06109 REYES, DAVID SR BCI COMPONENTS AND 09/09/14 BAUM RUFFOLO & MARZAL LTD 257 15WC 06172 JACKSON, NAKIA DEPARTMENT OF STREETS 02/06/15 GOLDSTEIN BENDER & ROMANOF 258 15WC 06231 CHAUDHRY, SAEED NORTHSTAR AEROSPACE 12/15/13 LAW OFFICE WILLIAM STEARNS 259 15WC 06296 WYNN, LAKISHA SUPERIOR AMBULANCE CO 02/03/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 15WC025901 -C 260 15WC 06318 WILLIAMS, TRACY CHICAGO TRANSIT AUTHORITY 02/07/15 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 261 15WC 06562 MARTINEZ, FRANCELIA ALTERNATIVE STAFFING INC 03/19/14 CHEPOV & SCOTT LLC MACIOROWSKI SACKMANN & ULRIC 262 15WC 06715 CLEVELAND, RALPH CTA 02/14/15 JOEL STEPHEN CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 15WC 06764 SMITH, MARJORIE SEASONS HOSPICE, INC 08/01/13 COLLISON LAW OFFICES 264 15WC 06908 FRAIRE, MARIA MENASHA PACKAGING COMPANY 02/10/15 COHN & COHN GOLDBERG SEGALLA LLC 265 15WC 07083 RYDER, JULIET UNITED AIRLINES INC. 10/16/14 JOHN F GREGORIO & ASSOC WIEDNER & MCAULIFFE LTD 266 15WC 08673 19B ROBLES, ANDREW CITY OF CHICAGO 01/24/15 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 267 15WC 09943 HOWARD, IRIS NAVISTAR 04/08/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 268 15WC 10005 19B AITKEN, RITA COVENANT 10/13/14 RUBENS AND KRESS ASHER, RAYMOND L LTD 269 15WC 10594 ALEXANDER, WILLIAM TOWER AUTOMOTIVE 01/12/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 270 15WC 14467 PONCE, MARCO A LIFEWAY FOODS INC 04/15/15 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 271 15WC 14550 HUFF, CINDY CHICAGO TRANSIT AUTHORITY 03/17/14 ERIC M GLASSON & ASSOCIATE CHICAGO TRANSIT AUTHORITY 272 15WC 14579 WILLIAMS, GLENDA DOLTON SCHOOL DISTRICT #1 09/17/14 LEONARD LAW GROUP LLC WARREN E DANZ, PC 273 15WC 14715 ANAYA, JOSE SECURITAS 04/18/15 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 274 15WC 14819 CANALE, LORETTA MARIANO'S/ROUNDY'S 11/20/13 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 275 15WC 14902 HARRIS, CHANTEL LENART ELEMENTARY SCHOOL/ 04/15/15 SANDMAN LEVY & PETRICH 276 15WC 15287 CRUZ-TORRES, QUINTIN ALERIS RECYCLING INC 03/28/15 277 15WC 15311 TOWNSEND, CELESTE ATKORE INTERNATIONAL 11/05/13 DANIEL PERIASWAMY KNELL & O'CONNOR 15WC015312 -C 278 15WC 15421 ALLEN, TYRONE CHICAGO TRANSIT AUTHORITY 09/22/14 THOMAS W DUDA CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 15WC 15554 BARRERA, JUANA BURGER KING 06/10/13 DEPAOLO ZADEIKIS GORE 280 15WC 15569 GONZALEZ, JOSE G GLEN ELLYN STORAGE CORP 02/25/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 15WC015570 -C 281 15WC 15771 KARTHEISER, DAVID CTA 01/16/15 PORRO NIERMANN LAW GROUP CHICAGO TRANSIT AUTHORITY 282 15WC 15846 WICKS, KWEIKIELEE Z JEWEL FOOD STORES 01/17/15 KARNO, MARK L & ASSOC 283 15WC 16081 JONES, LATARA CHICAGO TRANSIT AUTHORITY 05/14/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 284 15WC 16137 CISNEROS, PEDRO COLUMBIA GLASS INC 02/06/15 LAW OFFICES LEONARDO MORAL 285 15WC 16200 ALFARO, ABEL A. MOST VALUABLE PERSONNEL 04/23/15 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 286 15WC 16204 WALTHOUR, MARY CHICAGO BOARD OF EDUCATIO 03/23/15 DEER & STONE PC 287 15WC 16223 GUTIERREZ, JAVIER GREYHOUND 04/22/15 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 288 15WC 16241 CARPENTER, DENISE THE SALVATION ARMYSTORE # 11/22/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 289 15WC 16549 GARCIA, GERARDO VESUVIUS 10/22/14 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 290 15WC 16608 PEAKE, ROBYN CTA 01/29/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 291 15WC 16760 GARRARD, LARA-TERESA UNITED AIRLINES 04/27/15 CULLEN HASKINS NICHOLSON 292 15WC 16918 MEZA, LEOPOLDO METALS USA 09/25/13 GOLDBERG WEISMAN & CAIRO L POULOS & DIBENEDETTO LAW 293 15WC 16948 GARCIA, LAURA REDFIN CORP 04/27/15 PORRO NIERMANN LAW GROUP MEACHUM & STARCK 294 15WC 17003 OCAMPO, FLEICIANO IRVINGTON, INC. 04/12/15 JOHN S. ELIASIK 295 15WC 17028 HENRY, LAWANDA FORD MOTOR COMPANY 10/11/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 296 15WC 17050 DIXON, TAMIRRA CTA 09/08/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 297 15WC 17233 MACIAS, MAURICIO CLOONE, INC. 05/05/15 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 298 15WC 17408 PAWINSKI, JOHN PROPERTY RECYCLING 05/20/15 FOHRMAN, DONALD W & ASSOCS THOMAS & PORTELA 299 15WC 17489 MOORE, DIANNA CITY OF CHICAGO 03/04/15 CORNFIELD & FELDMAN CITY OF CHICAGO 300 15WC 17566 CULLUM, MATTHEW ROLLING IN THE DOUGH 11/12/14 MILLON & PESKIN LTD HENNESSY & ROACH PC 301 15WC 17608 BUSSE, MARTIN J NATIONAL HEAT & POWER 04/20/15 LAW OFFICE ILONKA ULRICH ACCIDENT FUND HOLDINGS 302 15WC 17767 JANETZKE, LYNETTE NORTHWESTERN MEMORIAL HOS 04/12/14 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 303 15WC 17801 MALONE, JOSEPH DAVIS STAFFING INC 05/01/15 GOLDFEIN LAW OFFICE PC 304 15WC 17847 DELGADO, ERIC PENTAIR 02/07/15 WARREN W MARK HENNESSY & ROACH PC 305 15WC 17882 BRIDGES, ERICA CHICAGO TRANSIT AUTHORITY 05/28/15 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 306 15WC 18019 RAMIREZ, ANTHONY WALGREENS #12426 05/18/15 ANKIN LAW OFFICE GILDEA & COGHLAN 307 15WC 18059 LEE, SANG DEUK CITY SPORTS 04/29/15 LULAY LAW OFFICES 308 15WC 18138 CEASER, NATECE L SCR MEDICAL TRANSPORTATIO 03/02/15 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 309 15WC 18259 PIRTLE, BEVERLY ANN EMBASSY SUITES 11/01/14 ANKIN LAW OFFICE 15WC018260 -C 310 15WC 18345 GUERRERO, ALEJANDRO WHEATLAND TUBE CO 04/06/15 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 311 15WC 18363 HARRIS, RONELL KFC 04/25/15 GOLDSTEIN AIOSSA & GOOD 312 15WC 18415 WELLS, MICHAEL A. HUDSON BOILER & TANK COMP 09/26/14 BAUM RUFFOLO & MARZAL LTD THOMAS & ASSOCIATES 15WC018417 -C 15WC018418 -C 15WC018419 -C 313 15WC 18641 BIGGS, JETTIE WESTSIDE FOOD & LIQUOR 12/13/14 LANGENDORF, ROBERT A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 15WC 19007 HUGHES-BOOTH, VICKIE FRANCISCAN ST MARGARET HE 10/12/14 JAMIE M TRAPP, PC NYHAN BAMBRICK KINZIE & LOWR 315 15WC 19825 RZASINSKI, JAROSLAW DART CASTING, INC. 01/26/15 BELCHER LAW OFFICE WOLFE & JACOBSON, LTD 316 15WC 23644 THOMAS, JENNIFER ARCHDIOCESE OF CHICAGO 06/04/15 O'MARA GLEASON O'CALLAGHAN WIEDNER & MCAULIFFE LTD 317 15WC 23912 THOMPSON, JAMES CHICAGO TRANSIT AUTHORITY 06/27/14 STEPHAN L. HOFFMAN CHICAGO TRANSIT AUTHORITY 318 15WC 23939 CUNDARI, ALBERT CITY OF CHICAGO 07/30/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 319 15WC 23964 WILLIAMS, BRANDON C VILLAGE OF DOLTON 07/14/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 320 15WC 24111 PICHA, PETER SIGNATURE PAINTING 07/08/15 LAW OFFICES MICHAEL C BRAN HENNESSY & ROACH PC 321 15WC 24137 CEDILLO, PABLO CONTINENTAL AIRPORT EXPRE 01/22/14 WHITESIDE & GOLDBERG LTD 322 15WC 24266 SOLIS, MILTON GUARDIAN HEATING & COOLIN 02/14/13 LANCASTER, DEBORAH GANAN & SHAPIRO 323 15WC 24320 MARTINEZ, RAQUEL ELITE STAFFING FKA 08/01/15 STROM, NEAL B 324 15WC 24334 AYALA, ISAAC Y UTI INTEGRATED LOGISTICS 05/23/15 RUEDA, IVAN A 325 15WC 24850 KELLY, LISA HEARTLAND MANORCARE 01/19/15 BRISKMAN BRISKMAN GREENBER BRYCE DOWNEY & LENKOV LLC 326 15WC 25245 MILLER, JANET SCR TRANSPORT 07/13/15 MICHAEL P MCCREADY & ASSOC NYHAN BAMBRICK KINZIE & LOWR 327 15WC 26261 ALMIRON, GRACIELA R. W CHICAGO CITY CENTER 11/02/14 CHRISTIAN & MANNO QUINTAIROS PRIETO WOOD & BOY 328 15WC 26615 REYES, EMILIO APOGEE TRUCKING LLC 05/12/15 CULLEN HASKINS NICHOLSON RODDY LAW LTD 329 15WC 26696 FLEENOR, RONALD J UNITED AIRLINES INC. 12/08/14 KATZ FRIEDMAN EAGLE ET AL 330 15WC 26877 BLUE, EUGENE CITY OF CHICAGO 06/24/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 331 15WC 26894 MALDONADO, DAVID LIBERTY STAFFING 01/29/15 JOHN S. ELIASIK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 332 15WC 27032 SHARON, ROSE CPS 06/29/15 THE MACK LAW GROUP PC 333 15WC 27118 COLE, IVAN CTA (3) 05/31/15 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 334 15WC 27152 FRISBEE, JEFFREY M. BREX ARLINGTON INC. 09/16/14 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 335 15WC 27179 IACOVETTI, CHRIS NCR 03/10/15 COSTA IVONE LLC SPIEGEL & CAHILL, PC 336 15WC 27325 FIGUEROA, MITCHELL CHICAGO DEPT OF WATER 04/06/15 ARGIONIS & ASSOCIATES LLC 337 15WC 27519 HERNANDEZ, ERIC NE MOTOR FREIGHTWAYS 01/03/15 LAW OFFICE OF ROBERT J. IR WIEDNER & MCAULIFFE LTD 338 15WC 27531 GARCIA, ROSA COMPASS GROUP/LEVY RESTAU 05/08/15 LAW OFFICES CHRISTOPHER ED GANAN & SHAPIRO 15WC027537 -C 339 15WC 27575 GAWLE, GRAZYNA CHIQUITA BRANDS INTERNATI 01/02/15 CUSHING LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 16WC016769 -C FRESH EXPRESS INC 340 15WC 28014 HUNT, SANFORD CITY OF CHICAGO POLICE DE 07/14/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 341 15WC 28057 JOHNSON, LAWRENCE O TRINUC LLC 08/16/15 ANKIN LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 342 15WC 28090 JACKSON, ANTHONY MONDELEZ INTERNATIONAL 08/14/14 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 343 15WC 28112 GORSKI, GRETCHEN LANSING SPROT SHOP INC 01/10/13 KARCHMAR & STONE BRYCE DOWNEY & LENKOV LLC 344 15WC 28207 HERNANDEZ, JOSE RON'S STAFFING SERVICES I 08/06/15 DANIEL PERIASWAMY KOREY RICHARDSON LLC 345 15WC 28408 HERNANDEZ, VICTOR GQ HOME IMPROVEMENTS 06/27/15 JOHN S. ELIASIK 346 15WC 30570 19B MOYA, MARIO TOWN OF CICERO 02/27/15 KOSIN LAW OFFICE LTD DEL GALDO LAW GROUP LLP 15WC007807 -C CICERO DEPT OF PUBLIC WORK 347 15WC 32966 BROWN, CHARLES SUPERVALU INC 07/15/15 RIDGE & DOWNES QUINTAIROS PRIETO WOOD & BOY 348 15WC 33833 ROSALIO BALTAZAR, JESUS OK AUTO REPAIR & BODY SHO W 10/02/15 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 15WC 34553 MARGALUS, WILLIAM T JR COOK COUNTY SHERIFF 01/29/15 FOTOPOULOS, JOHN S INMAN & FITZGIBBONS 350 15WC 35592 NOSSEM, ROBERT CARSON'S CLEARANCE CENTER 06/14/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 351 15WC 35985 ANDERSON, MARCINE CHICAGO TRANSIT AUTHORITY 10/25/15 352 15WC 36126 COOK, ELAINE F NOKA AKOR 08/28/15 STYKA & STYKA GANAN & SHAPIRO 353 15WC 36161 CHAPPLE, YVETTE PEDIATRIC SERVICES OF 01/27/15 LEO ALT INMAN & FITZGIBBONS 354 15WC 36468 CRUZ, YANELI BRETT ANTHONY FOODS 10/21/15 MARTIN V KUGIA HOLECEK & ASSOCIATES 355 15WC 36489 HAWN, ALEXANDER HESIK-PRYBYLO LAW OFFICES 10/02/15 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 356 15WC 36514 SQUIRES, MICHAEL LOTT ENTERPRISES, INC 10/17/14 COLLISON & O'CONNOR 357 15WC 36526 FOSTER, SUNGHWA COOK COUNTY 09/03/15 DAN COLLINS LAW FIRM STATES ATTORNEY OF COOK COUN 358 15WC 36610 DELONEY, TOMICA FORD MOTOR COMPANY 01/16/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 16WC004181 -C 359 15WC 36684 BRONAKOWSKI, NANCY ALL TRUST 10/01/15 FINE, MARK S LAW OFFICES GAROFALO SCHREIBER STORM 360 15WC 36848 SIDNEY, MARCELL FORD MOTOR COMPANY 10/30/15 361 15WC 36942 HAUBRICH, REBECCA K NORTHWESTERN UNIVERSITY 07/25/14 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 362 15WC 36970 WARD, APRIL CITY OF CHICAGO 05/20/15 SANDMAN LEVY & PETRICH CITY OF CHICAGO 17WC018556 -C 363 15WC 37092 FREEMAN, JERMAINE CITY OF CHICAGO 07/14/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 364 15WC 37334 WIERZBOWSKA, ALICJA ANDY'S DELI & MIKOLAJCZYK 01/16/15 LEWIS & DAVIDSON, LTD 365 15WC 37395 LUMPKIN-INGRAM, JACQUELIN CITY OF CHICAGO-DEPT OF W 07/30/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 366 15WC 37618 FIGUEROA, MIRNA KOCH FOODS 10/12/15 KROL BONGIORNO & GIVEN LTD MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 15WC 37641 MARTINEZ, JESUS MANUEL METRO STAFF INC 11/05/15 BOTTO GILBERT FRANCIS J DISCIPIO LAW OFFIC 368 15WC 37918 GUZMAN, ANTONIO SCOTT BYRON & CO. 06/16/14 FOOTE MIELKE CHAVEZ & O'NE NYHAN BAMBRICK KINZIE & LOWR 369 15WC 37936 LUTTERY, TEISHA CHICAGO TRANSIT AUTHORITY 11/18/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 370 15WC 37982 TYLER, ETRINA ADVOCATE CHRIST HOSPITAL 06/24/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 371 15WC 38008 UGWA, KINGSLEY CHICAGO CARRIAGE CAB - 08/23/15 HORWITZ HORWITZ & ASSOC 372 15WC 38378 SAMPSON, KENNETH CTA 05/18/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 373 15WC 38469 DUNN, SANDRA FAMILY PARTNERS INC 06/13/15 JOHN E LUSAK 374 15WC 38736 FALLEN, DEREK EATALY CHICAGO LLC 10/20/15 ANKIN LAW OFFICE 375 15WC 38821 SILVA, SIDNEY RJB PROPERTIES INC 12/24/14 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 376 15WC 38840 YOUNG, DAYMEON STEVENS TRANSPORT 03/09/15 COHN & COHN GAROFALO SCHREIBER STORM 377 15WC 38903 POLK, ROBERT CTA 03/29/15 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 378 15WC 39037 ARANDA, SERGIO IMPACT STAFFING/PRECISION 09/28/15 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 379 15WC 39081 GARCIA, PORFIRIO A SAFE HAVEN LANDSCAPING 05/29/15 CAMERON CLARK 380 15WC 39367 RIOS, ANGEL GREAT LAKES COCA-COLA 10/15/15 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 381 15WC 39905 JANY, SYLVIE UNITED AIRLINES INC. 08/27/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 382 15WC 41016 VITAL, MARIA WHOLE FOODS MARKET 11/18/15 ANKIN LAW OFFICE 383 15WC 41255 ZABRIN, RICKI K TRISH MCEVOY 11/21/15 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 384 15WC 41470 PEREZ, EDGAR HALL'S RENTAL 11/04/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 385 16WC 00505 LORENZI, CHRISTOPHER NATIONAL POWER RODDING 10/07/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 386 16WC 02139 SAJWANI, SHAMSHA MB FINANCIAL BANK 01/19/16 ACEVES & PEREZ PC 387 16WC 03368 VALENZUELA, LILLIAM M FLEXIBLE STAFFING SERVICE 12/10/15 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 388 16WC 03809 BOKENYA, RAYMOND BLUE RIBBON TAXI 12/16/15 389 16WC 03875 JADIN, DENNIS CONTINENTAL PAINTING & 11/20/15 SOSTRIN AND SOSTRIN PC 390 16WC 03937 SPURGEON, SAMANTHA SHIMURIMAINC DBA DUNKIN D 10/08/15 LAW OFFICE OF ANDREW HAMIL BRADY CONNOLLY & MASUDA PC 391 16WC 03978 PABON, MARIA WILSON TORRES W 01/25/16 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 392 16WC 04017 DOMINGUEZ, FABIOLA F FARMINGTON FOODS 12/16/15 CULLEN HASKINS NICHOLSON CAPUANI & SCHNEIDER 393 16WC 04047 KHAN, MOHOMMED JAAT CAB 01/03/16 LEITER LAW OFFICES LAW OFFICES DEBORAH SCHAEFER 394 16WC 04197 VILLALOBOS, GILBERTO GPA CONTRACTING SERVICES @ 12/18/15 EFTEKHARI LAW OFFICES GANAN & SHAPIRO 395 16WC 04243 HICKMAN, DIANA UNITED AIRLINES 09/26/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 396 16WC 04264 HOWARD, SHIRLEY CTA 02/08/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 397 16WC 04297 HERNANDEZ, ROQUE E CHICAGO TRANSIT AUTHORITY 01/15/16 GRAZIAN & VOLPE PC 398 16WC 04349 CERVANTES, RAUL JB&A REMOLDELING LLC 12/21/15 JONATHAN SCHLACK 399 16WC 04404 GUZMAN, JOSE G MENASHA PPACKAGING CO 01/17/15 ACEVES & PEREZ PC 400 16WC 04670 DUNMARS, KOURTNEY CHICAGO TRANSIT AUTHORITY 02/04/16 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 401 16WC 04772 WIMSATT, DARREN FORD MOTOR COMPANY 01/07/06 FOHRMAN, DONALD W & ASSOCS 402 16WC 04948 JOSON, ZENAIDA UNIVERSITY OF IL AT CHICA 01/11/16 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 16WC 04951 KOGUT, PAWEL HENRY CONSTRUCTION SERVIC 11/19/15 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 404 16WC 04961 TOMINELLO, JOHN R CITY OF CHICAGO DEPT 02/10/16 RUBIN LAW GROUP CITY OF CHICAGO 405 16WC 04972 CUDIA, LUZ RAQUELITA 1ST ASSIST HOME HEALTHCAR 12/30/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 406 16WC 04994 RODRIGUEZ, JULIO CARMEL CRISP LLC DBA GARR 12/12/15 ROSS TYRRELL 407 16WC 05135 PARKINSON, ANJEL COOK COUNTY JUVENILE DEPT 03/24/14 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 408 16WC 05229 KISIELIUS, RICHARD LA GROU MTOR SERVICE 01/26/16 BOUDREAU NISIVACO LLC QUINTAIROS PRIETO WOOD & BOY 409 16WC 05242 YULDASHEV, AZAMAT MCCAB XX CORP. 01/16/16 HUNER LAW OFFICES LLC 410 16WC 05310 PASSARELLA, VICKIE L AMERICAN AA GROUP PO BOX 09/24/14 GOLDBERG WEISMAN & CAIRO L 411 16WC 05534 LOPRESTI, SAMUEL DOUBLE A ELECTRIC * 02/06/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 412 16WC 05537 RUETSCHE, KEVIN UNITED AIRLINES INC. 02/05/16 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 413 16WC 05538 MORTERA, JACOB CHICAGO TRANSIT AUTHORITY 01/01/16 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 414 16WC 05596 URIBE, HUBALDO GOLDEN STATE FOODS CORP 11/25/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 415 16WC 05616 LOVE, CLEOTTIS FORD MOTOR COMPANY 02/10/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 416 16WC 06309 SUSCAVAGE, RONALD NEWLY WEDS FOODS INC 01/29/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 417 16WC 06333 PACHECO, DAVID CITY OF CHICAGO 06/09/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 418 16WC 06390 CHOMENKO, ANTHONY ECOLAB INC 08/04/14 BOWMAN & CORDAY KEEFE CAMPBELL & ASSOC LLC 419 16WC 06430 TORRES, NICHOLAS GE TRANSPORTATION 09/15/15 COHN LAMBERT RYAN & SCHNEI MACIOROWSKI SACKMANN & ULRIC 420 16WC 06465 VAZQUEZ, CAROLINA O'KEEFE MANAGEMENT COMPAN 01/02/16 BUDIN LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 16WC 06487 SAEZ, EDWIN SMITH-COPPER INTERNATIONA 10/19/15 ANKIN LAW OFFICE 422 16WC 06700 OJEDA, MIGUEL THE STEEL SUPPLY COMPANY 01/06/16 JONATHAN SCHLACK GRANT & FANNING 423 16WC 06818 PERCY, GARY AMERICAN AIRLINES 01/14/16 LAW OFFICE OF SCOTT B SHAP 424 16WC 06845 SPENCER, VASHAWN GLENWOOD ACADEMY 06/19/15 LAW OFFICES KRISTEN M KOZL LITCHFIELD CAVO 425 16WC 06915 PALCZYNSKI, DANIEL DARPET DOOR AND TRIM CO 01/19/16 NEWLAND & NEWLAND 426 16WC 06956 GLASS, MARK E. IT'S A WONDERFUL LIGHT, L 01/14/16 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 427 16WC 06962 STEWART, CHERYL CITY OF CHICAGO 02/26/16 GORDON & CENTRACCHIO LLC CITY OF CHICAGO 428 16WC 06988 DAVIS, ANYA UNITED AIRLINES, INC. 11/01/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 429 16WC 08817 VILLAGOMEZ, AUDELIO SWISSPORTS CARGO SERVICE 02/27/16 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 430 16WC 12820 ROBERTS, CAROLYN FEDEX 03/16/16 BURNES & LIBMAN 431 16WC 14075 MARICLE, KATHERINE AFS-USA, INC. 02/19/15 FRIEND LEVINSON & BERGAL 432 16WC 14109 AMATO, FRANK ILLINOIS DEPARTMENT @ 08/04/15 FIGLIOLI, DAVID STEPHANIE KEVIL 433 16WC 14340 SPENCER, PAMELA ROMANIAN AMERICAN COMMUTY 04/27/16 DWORKIN AND MACIARIELLO 434 16WC 14375 STAPLES, MICHAEL CTA 04/18/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 435 16WC 14380 SANCHEZ, OSIEL MIDWEST CANVAS CORP. 11/13/14 CRONIN & PETERS KNELL & O'CONNOR 17WC007839 -C 436 16WC 14421 HARRIS, ROSHA D. IL. DEPT. OF HUMAN SERVIC @ 01/07/16 DEPAOLO ZADEIKIS GORE STEPHANIE KEVIL 16WC014422 -C 437 16WC 14492 PALMER, ROY F REPUBLIC SERVICES 01/18/16 DWYER AND COOGAN GILDEA & COGHLAN 438 16WC 14514 FISS, JOHN KONNZ CORP 11/28/15 WOLFE LAW PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 439 16WC 14540 CASTILLO, MELISSA MERCY HOSPITAL 11/09/15 440 16WC 14569 LAMBRECHTS, ERIC NILES POLICE DEPARTMENT 12/31/15 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 441 16WC 14820 SMITH, JEFFERY ABM JANITORIAL 01/01/16 COLLISON LAW OFFICES GOLDBERG SEGALLA LLC 442 16WC 14843 SMITH, MARK LAZ PARKING CHICAGO, LLC. 04/05/16 DOUGLAS C DORN PC MEACHUM & STARCK 443 16WC 14906 PEREZ, EDWIN CARLOS CONSTRUCTION CO. 08/02/14 JAMES ELLIS GUMBINER & ASS 444 16WC 15067 LAWAL, LINDA CHICAGO TRANSIT AUTHORITY 11/05/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 16WC015068 -C 445 16WC 15176 ROGERS, LEROY JOHN TODD 04/08/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 16WC015526 -C 446 16WC 15201 GUNN, SANDRA ZURICH NORTH AMERICA 05/22/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 447 16WC 15227 SMITH, JAMES CHICAGO TRANSIT AUTHORITY 04/14/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 448 16WC 15306 SLAYTON, STANLEY TOWNE PARK, LLC AND BROAD 04/01/16 RITTENBERG & BUFFEN HINSHAW & CULBERTSON 449 16WC 15360 HENSON, ERIC DSTM, INC. 04/21/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 450 16WC 15376 PURDY, PAMELA ADVOCATE SOUTH 03/01/16 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 451 16WC 15456 GONZALEZ, MARIA PRESENCE ST MARY'S AND 03/27/16 ASHER, RAYMOND L LTD KEEFE CAMPBELL & ASSOC LLC 452 16WC 15505 ROJAS, JENNIFER D'AGOSTINO'S PIZZA & PUB 12/12/14 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 453 16WC 15708 HERRERA, ESTELA APERION CARE INTERNATIONA 03/07/16 HERRERA LAW CENTER 454 16WC 15813 CHAVEZ, ANA LABOR NETWORK ARYZA 03/20/16 CHEPOV & SCOTT LLC ROBERT L. SMITH 455 16WC 15983 WYNN, TOI ALDI 09/01/15 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 456 16WC 16007 MONTERO, JOSE LUIS DICICCO CONCRETE PRODUCTS 04/13/15 CORBOY & DEMETRIO PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 457 16WC 16033 JORDAN, JASMINE ST OF IL/REED MENTAL HEAL @ 05/01/16 MICHAEL P MCCREADY & ASSOC STEPHANIE KEVIL 458 16WC 16127 LATHAM, MICHAEL OAK PARK & RIVER FOREST 05/12/16 LEE, MARK N LAW OFFICE 459 16WC 16147 ALVAREZ, HECTOR BUEDEL FINE MEATS 03/16/16 GOLDSTEIN BENDER & ROMANOF HUGHES SOCOL PIERS RESNICK & 460 16WC 16203 TRIMBLE, GARY CHICAGO PUBLIC SCHOOLS 03/04/16 HUGHES SOCOL PIERS RESNICK 461 16WC 16231 JONES, ANTOINE D COOK CNTY DEPT OF CORRECT 05/18/16 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 462 16WC 16348 ARIZPE, MARIA LABOR NETWORK INC. 04/20/16 COSTA IVONE LLC ROBERT L. SMITH 463 16WC 16418 DIAZ, CHRISTINA ARYZTA LLC 03/25/16 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC016419 -C 16WC022841 -C 464 16WC 16585 MARTINEZ, LUIS FLEXIBLE STAFFING 10/14/15 EPSTEIN, JACK R LAW OFFICE 465 16WC 16752 BLACHER, KENNETH M FOOD FOR LESS 03/27/16 PERRY M LAKS LAW OFFICE 466 16WC 16873 JOHNSON, TESSIE HOLLAND HOME 04/26/16 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 467 16WC 16901 MARTINEZ, ANTONIO SISTAR CONSTRUCTION 01/12/16 AIOSSA LAW FIRM QUINTAIROS PRIETO WOOD & BOY 468 16WC 17004 EKRAM, MUHAMMED N LUQMAN CORP 03/29/16 LAW OFFICE RYAN ROSENTHAL 469 16WC 17091 ROBINSON, KEITH L. VARGAS GROUP 07/10/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA 470 16WC 17213 PHELPS, EUGENE BUNN-O-MATIC CORP 06/18/15 DUDLEY & LAKE LLC HOLECEK & ASSOCIATES 16WC037772 -C 471 16WC 17290 RANGEL, ZENAIDA SUBMARINE PORT 04/15/16 SPENCER LAW OFFICES GAROFALO SCHREIBER STORM 472 16WC 17306 WOODSON, RONALD VILLAGE OF RIVERDALE 05/23/16 THE MACK LAW GROUP PC PETERSON JOHNSON & MURRAY 473 16WC 17353 MARIANI, MICHAEL F. H. PASCHEN 06/21/14 STUART H GALESBURG BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 16WC 17369 VALDEZ, ADELAIDA AMERICAN MOLDING 12/18/15 NILSON STOOKAL GLEASON CAP LAW OFFICES JOSEPH MARCINIAK 475 16WC 17418 RODRIGUEZ, JAVIER ANDREWS STAFFING 05/25/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 476 16WC 17491 RIVERA, EDDIE SWEDISH COVENANT HOSPITAL 08/06/12 CHRISTINE F DAVID MACIOROWSKI SACKMANN & ULRIC 477 16WC 17546 FOSTER, PATRICIA A CITY OF CHICAGO DEPT OF 04/01/16 478 16WC 17575 BUTLER, DATRIN MARIANO'S FRESH MARKET 04/09/16 CHARLES LEVY & ASSOC LTD 479 16WC 17608 MCLELLAND, ROBERT JOE RIZZA FORD 11/28/15 CAPRON & AVGERINOS PC 480 16WC 21868 TAMAYO, JORGE CITY OF CHICAGO 06/30/16 COVEN LAW GROUP 481 16WC 23897 KERMAN, ROBERT CHICAGO BOARD OF EDUCATIO 08/04/16 ANESI OZMON RODIN NOVAK KO 482 16WC 24327 RANDALL, RHAN CHICAGO PUBLIC SCHOOLS 07/18/16 ANKIN LAW OFFICE 483 16WC 24445 MARIOTTI, MICHAEL J. NORTHROP GRUMMAN CORPORAT 11/30/15 LAW OFFICE PHILIP BLOMBERG 484 16WC 24510 JONES, TORRENCE CPS/RYDER SCHOOL 08/09/16 COSTA IVONE LLC 485 16WC 24611 LILLARD, CAROL CHICAGO TRANSIT AUTHORITY 07/19/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 486 16WC 24619 HOPE, CHERYL THE RESIDENCES AT RIVER 03/18/16 FRIEDMAN, MICHAEL T & ASSO HENNESSY & ROACH PC 487 16WC 24663 HARRIS, JASON FRITO LAY 08/01/15 STEVEN J. MORTON & ASSOC GILDEA & COGHLAN 488 16WC 24712 HARRISON, CHRISTOPHER UNIFIED CML LLC 06/21/16 GRAZIAN & VOLPE PC 489 16WC 24763 LELONKIEWICZ, HALINA ANDY'S DELI & MIKOLAJCZYK 05/12/16 ANKIN LAW OFFICE 490 16WC 24872 ROBERTS, MAURICE SOUTH HOLLAND POLICE DEPT 07/23/15 KREITER, BYCK & ASSOC LLP INMAN & FITZGIBBONS 491 16WC 24897 SOPYS, CHAMILLE MEDIX WORKFORCE 08/04/16 DWORKIN AND MACIARIELLO THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 16WC 24945 GOLIK, ANTONI ARLINGTON METALS CORP 07/26/16 RICHARD O. GREENFIELD HOLECEK & ASSOCIATES 493 16WC 25161 BURGE, DESTAINEA PACE BUS 05/12/16 VASILATOS & COTTER LLC 494 16WC 25238 JONES, HENRY JR METROPOLITAN WATER 05/27/16 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 495 16WC 25251 CHAVEZ, PATRICIA SUPERCUTS CORPORATE SHOP 05/06/16 SOSTRIN AND SOSTRIN PC ADELSON TESTAN & BRUNDO 496 16WC 25342 MUTHART, TERESA MV TRANSPORTATION 06/09/16 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 497 16WC 25343 GAWLIK, ROSEMARIE COOK COUNTY FACILITIES 07/29/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 498 16WC 25389 MURPH, DANIELLE CTA 07/12/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 499 16WC 25410 ESTANISLAO, ELEANOR HMS HOST 07/25/16 ELFENBAUM EVERS & AMARILIO ROBERT L. SMITH 500 16WC 25532 BELL, DOREEN CHICOS FAS, INC 07/05/16 MC HARGUE, JAMES P LAW OFF QUINTAIROS PRIETO WOOD & BOY 16WC037087 -C 501 16WC 25557 GRIFFIN, RYAN NATIONAL HEAT & POWER COR 05/03/16 TEWS THEISEN & THEISEN ACCIDENT FUND HOLDINGS 502 16WC 25598 WILLIAMS, CYNTHIA UPS 06/13/16 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 503 16WC 25645 ABDI, DEEQ M. SWIFT TRANSPORTATION 10/15/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 504 16WC 25724 REED, CORTISIA AMERICAN ELECTRIC 06/23/16 GIACOBBE, THOMAS M 505 16WC 25729 RIVERA, ESTEVAN D.T. CHICAGOLAND EXPRESS 01/09/15 BOGUSZ & BOGUSZ LTD RODDY LAW LTD 506 16WC 25932 THOMPSON, SHELLIE J. CREW GROUP, INC. 05/23/15 ANGELINI & ORI LLC GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 507 16WC 26084 OTERO, RICARDO F.H. PASCHEN, INC 10/06/15 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 508 16WC 26115 GUZMAN, CARLOS SIPI METALS CORPORATION 08/11/16 CHEPOV & SCOTT LLC LITCHFIELD CAVO 17WC001353 -C 509 16WC 26130 MAMPE, EDWIN J VILLAGE OF ARLINGTON HEIG 08/02/14 CORNFIELD & FELDMAN MACIOROWSKI SACKMANN & ULRIC 510 16WC 26158 GIRDLER, RICHARD L ACH FOOD COMPANIES, INC 08/01/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 511 16WC 26169 ANDRADE, TERESA OSS SERVICES LLC 06/25/16 COSTA IVONE LLC 512 16WC 26247 JARAMILLO, SOCORRO AS WID THE ACACIA ASSOCIATION # 05/05/16 PORRO NIERMANN LAW GROUP THOMAS & PORTELA 513 16WC 26303 WIGITON, DEBRA SOUTHWEST AIRLINES CO 07/02/16 PATRICOSKI, MARK G HENNESSY & ROACH PC 514 16WC 26392 CUSACK, PATRICIA CITY OF CHICAGO 03/09/16 HEALY SCANLON LAW FIRM 515 16WC 26457 ROGERS, RAYMOND JR CITY OF CHICAGO 06/07/16 BERG & BERG CITY OF CHICAGO 516 16WC 26537 AROSENA, CARMEN Y THE ALLERTON HOTEL 06/30/16 ELFENBAUM EVERS & AMARILIO WOLFE & JACOBSON, LTD 517 16WC 26609 LEVINE, KATHERINE COOK COUNTY 01/10/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 518 16WC 26715 COLLINS, ANNA MEIJER INC 08/11/16 ANKIN LAW OFFICE KNELL & O'CONNOR 519 16WC 26799 RESENDEZ, HUMBERTO ACQUA CORPORATION 07/08/16 BUDIN LAW OFFICES 520 16WC 26915 RIVERA, ARMANDO CITY OF BERWYN (POLICE) 05/15/16 CHRISTINE F DAVID 521 16WC 27148 ROBERSON, ROBIN CDT 08/22/16 COSTA IVONE LLC 522 16WC 27311 DUSZYNSKI, THOMAS DEPAUL UNIVERSITY 08/03/15 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 523 16WC 27357 GUTIERREZ, JANET UNIVERSITY OF IL HOSPITAL 07/17/16 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 524 16WC 27446 BRANCH, PATRICK ED MINIAT 07/06/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 17WC011371 -C 525 16WC 27469 ROBINSON, TYLER KMART 08/12/16 COHN LAMBERT RYAN & SCHNEI GAROFALO SCHREIBER STORM 526 16WC 27522 SANDOVAL, ALFREDO CONGLOBAL INDUSTRIES, INC 03/22/16 SHEA LAW GROUP BRYCE DOWNEY & LENKOV LLC 527 16WC 27699 SADLER, MARYELLEN AMERICAN AIRLINES 07/12/16 STRELLIS & FIELD CTD GAROFALO SCHREIBER STORM 528 16WC 28896 BAILEY-ROPPOLO, JENNIFER PALOS COMMUNITY HOSPITAL * 07/11/16 DWYER AND COOGAN POWER & CRONIN LTD 529 16WC 29560 CUEVAS, MERCEDES LAND O'FROST INC * 09/09/16 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 530 16WC 32735 DRINKARD, MONIQUE CITY OF CHICAGO 10/05/16 RITTENBERG & BUFFEN CITY OF CHICAGO 531 16WC 33979 LACH, ERIC FEDEX 10/11/16 O'CONNOR & NAKOS 532 16WC 34087 WILLIAMS, ANTHONY CHICAGO PUBLIC SCHOOLS 10/27/16 SKLARE LAW GROUP 533 16WC 34121 WATSON, EL'ZA EXPRESS EMPLOYMENT 08/19/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 534 16WC 34173 HODGES, MELVINA UBER 11/02/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 535 16WC 34205 HARRIS, SHEMETRIC CTA 11/03/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 536 16WC 34332 BOJKO, MARK BONDED FILTER CO 08/18/16 JOHN E LUSAK LAW OFFICES JOSEPH MARCINIAK 537 16WC 34350 WIRTH, GERHARD UNITED AIRLINES INC. 05/12/16 GORDON LAW OFFICES LTD WIEDNER & MCAULIFFE LTD 538 16WC 34399 MILKE, GREGORY C KIK CORPORATION D/B/A 08/11/16 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 539 16WC 34428 SANTOS, MAURA SONESTA HOTEL 10/19/16 HERRERA LAW CENTER 540 16WC 34497 NIEVES, ENRIQUE COOK COUNTY 09/08/15 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 541 16WC 34540 ROMO-SANCHEZ, GERARDO DOC B'S FRESH KITCHEN 10/15/16 RUEDA, IVAN A 542 16WC 34612 SALDIVAR, MARCO CITY WIDE DISPOSAL 08/05/15 PAUL LUKA PC 543 16WC 34682 KENNEDY, EDDIE WOLVERINE WIRELESS 11/14/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 544 16WC 34705 MASTERSON, MICHELLE UNITED AIRLINES 11/05/16 KATZ FRIEDMAN EAGLE ET AL 545 16WC 34782 CORTEZ, RUBEN CNC LAWN CARE INC 04/18/16 CHEPOV & SCOTT LLC WOLF LAW LTD 546 16WC 34800 AGBOHLAH, DANIEL AMERICAN AIRLINES/ENVOY 10/25/15 LAW OFFICE OF SCOTT B SHAP 547 16WC 34843 PEREZ, ERIKA FRESH EXPRESS 03/11/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 548 16WC 34863 GOEPPNER, DANIEL P RG CONSTRUCTION SERVICES 07/20/16 RICHARD E ALEKSY MACIOROWSKI SACKMANN & ULRIC 549 16WC 34890 SANTIAGO, FLORANTE SEAFOOD CITY 09/15/16 LAW OFFICE RYAN ROSENTHAL 550 16WC 34926 PIZARRO, ADAN CHARTER STEEL TRADING CO. 10/31/16 JOHN E LUSAK 551 16WC 34992 NORWOOD, LEON COOK COUNTY HIGHWAY DEPT 09/06/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 552 16WC 35004 MIRELES, SERGIO QUALITY EXCAVATION INC 07/18/16 LAW OFFICES LEONARDO MORAL COZZI & GOGGIN-WARD 553 16WC 35075 COLLINS, DUANE COOK COUNTY DEPT OF CORR 10/20/16 LANGENDORF, ROBERT A INMAN & FITZGIBBONS 554 16WC 35137 TAMAYO, JUICE JUICE TYME 12/23/13 LAW OFFICE HUGO ORTIZ 555 16WC 35157 MCDONAGH, KEVIN G VILLAGE OF ARLINGTON HEIG 11/13/13 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 556 16WC 35198 RUIZ, CARLOS ACME TRANSPORTATION CO 08/25/16 LIPKIN & HIGGINS LAW OFFIC HINSHAW & CULBERTSON 557 16WC 35226 SCHULTZ, ROBERT A COOK COUNTY SHERIFF'S DEP 11/07/16 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 558 16WC 35248 DE FILIPPO, BARBARA PROVIDENCE HOME HEALTH 03/24/16 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 559 16WC 35315 GRAHAM, MAHLIKE FIVE STAR, LLC 09/13/16 HORWITZ HORWITZ & ASSOC LAW OFFICE OF PAUL O WATKISS 560 16WC 35366 TATARA, KRYSTYNA CENTRAL STATE JOINT BOARD 08/11/14 PARAD LAW OFFICES PC LAW OFFICES JOSEPH MARCINIAK 561 16WC 35405 HERNANDEZ, ERI BED BATH & BEYOND 10/24/16 LAW OFFICES LEONARDO MORAL 562 16WC 35523 THOMAS, ALAN J NELSEN STEEL & WIRE 10/25/16 ANKIN LAW OFFICE 563 16WC 35541 MATIJASEVIC, MARY ST ALEXIUS MEDICAL 08/12/16 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 564 16WC 35598 DIXON, GLORIA D VILLA AT WINDSOR PARK NUR 11/09/16 THE ROMAKER LAW FIRM LAW OFFICES FRANCESCA LARSEN 565 16WC 35625 HAGGERTY, MARQUITHE O'REILLY AUTO PARTS 11/15/16 COSTA IVONE LLC HENNESSY & ROACH PC 566 16WC 35634 LUCCHESI, CHERYL TRADER JOES 11/20/15 COVEN LAW GROUP GAROFALO SCHREIBER STORM 567 16WC 35666 HARRIS, CAROLYN COUNTRY CLUB HILLS POLICE 11/14/16 SKLARE LAW GROUP KEEFE CAMPBELL & ASSOC LLC 568 16WC 35731 CARROLL, MARGARET E COOK COUNTY SHERIFF'S OFF 06/08/16 CRONIN & PETERS 569 16WC 35774 LATIMER, SHARON WALGREENS 11/01/14 DWORKIN AND MACIARIELLO 570 16WC 35807 WASEWICZ, JOZEF PRIME TIME WINDOW CLEANIN 11/04/16 571 16WC 35960 MORELOS, RODOLFO AREA DISPOSAL INC D/B/A 11/19/16 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 17WC023877 -C 572 16WC 35990 AGYEMAN, ELVIS HYATT REGENCY 06/03/15 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 573 16WC 36070 MIRAMONTES, MARIA CONCORDIA UNIVERSITY 05/05/16 WOODRUFF & JOHNSON 574 16WC 36089 CONTRERAS, JIMMY UPS FREIGHT 10/13/16 STEPHAN L. HOFFMAN COZZI & GOGGIN-WARD 575 16WC 36123 ESTRADA, AGUSTIN PARAMOUNT STAFFING 02/16/16 STEPHEN G PINTO LTD 576 16WC 36146 BROWN JR., EMMITTE CHICAGO TRANSIT AUTHORITY 11/18/16 PETER D CORTI LAW GROUP CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 577 16WC 36164 GARLAND, TIKORI TEMPS NOW EMPLOYMENT & 11/14/16 ANKIN LAW OFFICE 578 16WC 36280 PITTMAN, BEVERLY SHERIDAN SHORES 08/15/16 JOHN E LUSAK BRYCE DOWNEY & LENKOV LLC 579 16WC 36324 DE BUHR, KIMBERLYN AVISON YOUNG 05/16/16 CORBOY & DEMETRIO PC CORBOY & DEMETRIO PC 580 16WC 36344 POPOCA, OCTAVLO EMPLOYER SOLUTION STAFFIN 10/07/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 581 16WC 36346 SUEVEL, ERIC B CITY OF DES PLAINES 11/02/16 THOMAS W DUDA 582 16WC 36366 KOLASKI, MICHAEL PETE'S PERFECTION PLUS 10/21/16 MARTIN L GLINK LAW OFFICE NOBLE & ASSOCIATES PC 583 16WC 36454 FARAG, RONALD COOK COUNTY SHERIFF 11/07/16 THERMAN LAW OFFICES STATES ATTORNEY OF COOK COUN 584 16WC 36585 HARRIS, TIENEH HYATT REGENCY MCCORMICK P 10/18/16 MORGENSEN LAW LLC 585 16WC 36689 QUARLES, SHERESE MISERICORDIA HOME 11/26/16 DWORKIN AND MACIARIELLO 586 16WC 36718 WITHERSPOON, KYRISSA COOK COUNTY JUVENILE DET 11/05/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 587 16WC 36742 THOMAS, CHARLES GREEN DOLPHIN INC/ 10/23/16 KOFOED, RUSSEL M 588 16WC 36794 STEPHENS, EVADNEY RUSH UNIVERSITY MEDICAL C 11/12/16 STEVEN J TENZER, LTD KEEFE CAMPBELL & ASSOC LLC 589 16WC 36813 KING, MICHAEL CITY OF CHICAGO 11/04/16 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 590 16WC 36832 NOWICKI, EVA WATER TOWER NURSING & HOM 11/24/16 ANKIN LAW OFFICE HOLTKAMP LIESE ET AL 591 16WC 36867 MOLENKAMP, MICHAEL NLES, INC 01/07/14 DOHERTY & PROGAR LLC 592 16WC 37065 CARTHANS, LYSANDRA VARA GROUP, INC 08/09/16 KUMLIN & FROMM KEEFE CAMPBELL & ASSOC LLC 593 16WC 37135 DRIVER, AARON S IL DEPTMENT OF HUMAN SERV 02/16/16 CHEPOV & SCOTT LLC 594 16WC 37165 BOERMA, KEVIN INTERNATIONAL DECORATORS, 01/16/15 CUTLER & SILVERGLADE ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 595 16WC 37239 MARTINEZ, VERONICA CARAUSTAR CUSTOM PACKAGIN 09/28/16 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 596 16WC 37254 VELASQUEZ, CARLOS G UIC POLICE DEPT 06/30/15 O'CONNOR & NAKOS POWER & CRONIN LTD 597 17WC 02744 MORGAN, CAIEMIA UIC HOSPITAL 12/12/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 598 17WC 03664 CASTANEDA CALDERON, MARIA UMW, INC 01/10/17 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 599 17WC 03719 SITTON, JOSH CHICAGO BEARS FOOTBALL CL 10/16/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 600 17WC 03734 REED, SHERWIN MESSINA GROUP 02/17/16 DAVID W MARTAY 601 17WC 03745 JACKSON, STEPHANIE INGALLS MEMORIAL HOSP 01/24/17 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 602 17WC 03837 MOLINA, ANGEL CHICAGO PUBLIC SCHOOLS 07/11/16 HEALY SCANLON LAW FIRM 603 17WC 03861 WILLIAMS, NICOLE CHICAGO TRANSIT AUTHORITY 06/15/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 604 17WC 03884 DUNOVSKY, ANTHONY MIDWEST STEEL ERECTORS 01/27/17 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 605 17WC 03916 BUTLER, DONNELL WORKFORCE INC 01/06/17 LAW OFFICE OF SCOTT B SHAP KOREY RICHARDSON LLC 606 17WC 03981 KYSER, LARRY BERRY PLASTICS 02/05/17 JAMES J BURKE LAW OFFICE 607 17WC 04073 MORZEL, GUS L ROOFING SOURCE AKA 07/30/15 GARDI & HAUGHT LAW OFFICES OF EDWARD J. KOZ 608 17WC 04208 GUIDO, ANA L WINGATE BY WYNDHAM HOTEL 09/08/15 VITELL & SPITZ LTD 609 17WC 04242 ROSALES, JOSE E GCA SERVICES GROUP 01/12/17 WEISS ORTIZ PC POWER & CRONIN LTD 610 17WC 04260 FREEMAN, SHERYL AMERICAN AIRLINES 11/06/16 LEONARD LAW GROUP LLC 611 17WC 04270 GILES, PAULETTE AMERICAN AIRLINES INC 12/02/16 RICHARD O. GREENFIELD 612 17WC 04341 FOSTER, JOHN TOP TIER SAFETY 01/28/17 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 613 17WC 04360 BARKER, DENISE B CHICAGO BOARD EDUCATION 12/16/16 LEONARD LAW GROUP LLC 614 17WC 04410 MOORE, ALLEN B CHICAGO TRANSIT AUTHORITY 02/03/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 615 17WC 04486 COOPER, MICHELLE L FORD MOTOR COMPANY 12/09/16 RAYMOND M SIMARD, PC WIEDNER & MCAULIFFE LTD 616 17WC 04508 TARVER, TAMIKA DAKKOTA INTEGRATED SYSTEM 09/25/16 KATZ FRIEDMAN EAGLE ET AL 617 17WC 04529 SILVERMAN, MARA KURTZ AMBULANCE 01/31/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 618 17WC 04564 BROWN, SAM COOK DUPAGE TRANSPORTATIO 11/06/14 JOHN E LUSAK HENNESSY & ROACH PC 619 17WC 04594 TAMASZEWSKI, NATALIE WINPAK PORTION PACKAGING 05/04/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 620 17WC 04622 KOHN, ROBERT IL DEPT OF TRANSPORTATION 09/27/15 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 621 17WC 04659 JACOBSEN, MATT REPUBLIC SERVICES 01/31/17 SCOTT BARBER 622 17WC 04687 TYLKA, MICHAL M & K TRUCK CENTERS 07/03/14 ROSS TYRRELL 623 17WC 04729 ORTIZ, THANIA CALIFORNIA GARDENS NURSIN 01/18/17 BUDIN LAW OFFICES MCCABE KIRSHNER PC 624 17WC 04755 CERVANTES, JUAN L TIFFANY MATTRESS 01/20/17 SALVATO & O'TOOLE 625 17WC 04769 MURPHY, PETER RC HOME MAINTENANCE INC 10/09/16 ANKIN LAW OFFICE 626 17WC 04822 MINAO, ALBERT MEDPRO 02/07/17 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 627 17WC 04877 BOYLE, RICHARD A CITY OF CHICAGO 12/03/16 CHRISTY & CHRISTY 628 17WC 04941 WILSON, CORLISS LLP HEALTH CARE SERVICES 01/23/61 SALVATO & O'TOOLE 629 17WC 04982 RILL, DAVID W CITY OF ROLLING MEADOWS F 11/17/16 LAW OFFICES OF MARK SCHAFF POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 630 17WC 05006 VARIKATT, GEORGE UPS 01/31/17 LEONARD LAW GROUP LLC ASA LAW GROUP 631 17WC 05111 MALEK, RICHARD COOK COUNTY JUVENILE 02/23/15 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN 17WC005112 -C 17WC005113 -C 632 17WC 05148 SULTANKHODZHAEV, DASTAN FLASH CAB CO 01/01/17 LAW OFFICES YEVGENIY VAYSM 633 17WC 05213 CASTANEDA, TAMARA ARAMARK SERVICES INC 01/13/17 ANKIN LAW OFFICE 634 17WC 05255 BUCHANAN, FREDERIC G CITY OF CHICAGO, DEPARTME 11/16/16 BOWMAN & CORDAY 635 17WC 05301 BAYARD, DAVID A SUNSET BUILDERS 07/07/16 WILLIAMS, ROBERT B LAW OFF QUINN JOHNSTON HENDERSON ETA 636 17WC 05324 ROSARIO, ANDRES AMERISOURCE BERGEN 02/09/17 HUGHES SOCOL PIERS RESNICK SPIEGEL & CAHILL, PC 637 17WC 05351 GALLARDO, GABRIEL SOUTHWEST AIRLINES 04/29/14 KARCHMAR & STONE HENNESSY & ROACH PC 638 17WC 05393 CONTRERAS, EDWIN S ANRO CONSTRUCTION CO INC 08/06/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 639 17WC 05415 TERRY, MARK ELITE STAFFING 01/26/17 LEONARD LAW GROUP LLC 640 17WC 05450 BOCCIA, JOSEPH CITY OF CHICAGO 12/09/16 KARCHMAR & STONE LEAHY EISENBERG & FRAENKEL 641 17WC 05501 MORENO, JORGE SHAW'S CRAB HOUSE 01/13/15 JONATHAN SCHLACK NOBLE & ASSOCIATES PC 17WC005502 -C 642 17WC 05537 HEFFERNAN, BRAIN CITY OF CHICAGO DEPT OF T 02/03/17 CULLEN HASKINS NICHOLSON 643 17WC 05559 STAMPS, MARSHA CHICAGO PUBLIC SCHOOLS 09/25/15 DWORKIN AND MACIARIELLO 644 17WC 05612 NORIEGA, LUIS A PACE NORTHWEST 02/24/14 645 17WC 05655 THOMAS, DAPHNE J CITY OF CHICAGO, DEPT OF 02/07/17 COHN LAMBERT RYAN & SCHNEI 646 17WC 05692 AGLE, BRIAN ORLAND FIRE PROTECTION DI 02/02/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 647 17WC 05793 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 01/25/17 GORDON LAW OFFICES LTD 648 17WC 05858 TIRADO, ANTONIO MORI MILK & ICE CREAM CO 02/21/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 649 17WC 05955 GUTIERREZ, EDGAR SCOPE INDUSTRIES DBA 08/04/16 KRISIK, DENNIS J LTD 650 17WC 05980 SOTO, GERMAN CARRILLO METRO STAFF INCORPORATED 02/15/17 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 651 17WC 05998 THOMAS, LLOYD SCHECK & SIRESS 09/21/15 ABELS & ANNES, PC 652 17WC 06103 FORTINEAUX, MAREK NICOR 12/05/16 STEPHAN L. HOFFMAN MACIOROWSKI SACKMANN & ULRIC 653 17WC 06148 COLLINS, JORDAN SWISSPORT USA INC 12/26/16 DISPARTI LAW GROUP PA COSTA IVONE LLC 654 17WC 06164 CHATMAN, GWENDOLYN SCR MEDICAL TRANSPORTATIO 08/12/16 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 655 17WC 06178 SHANNON, QUINTON MEDIZ WORKFORCE 02/02/17 DWORKIN AND MACIARIELLO 656 17WC 06196 DIAZ, JULIO CESAR CHICAGO STEEL WELDING 01/05/17 GONZALEZ LAW GROUP JAMES M GERAGHTY 657 17WC 06282 PENDLETON, DEBRA JOHN H STROGER JR HOSPITA 09/24/15 ROGER D RUDICH LTD STATES ATTORNEY OF COOK COUN 658 17WC 06317 ZAID, RAJA CHICAGO CARRIAGE CAB 07/11/16 FINE, MARK S LAW OFFICES 659 17WC 06338 HERRERA, RUDY MVP WORKFORCE 02/06/17 HERRERA LAW CENTER KOREY RICHARDSON LLC 660 17WC 06356 ZIENTEK, JENA LOYOLA UNIVERSITY MEDICAL @ 09/23/16 LAW OFFICE OF SCOTT B SHAP 661 17WC 06407 SMITH, LESIA CHYSLER 01/11/17 RUBENS AND KRESS CHILTON YAMBERT PORTER LLP 662 17WC 06435 HARRINGTON, DANYELL SMG FOOD & BEVERAGE, LLC 02/23/17 RITTENBERG & BUFFEN 663 17WC 06466 MANEY, KEITH L SR UNITED RD SERVICES 10/29/16 CULLEN HASKINS NICHOLSON 664 17WC 06547 STADNYCHUK, MYKOLA REMODLERS SUPPLY CNTR DIV 02/06/17 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 665 17WC 06578 ANGELES LEON, MARIA UNITED SERVICES COMPANY 02/03/17 RUEDA, IVAN A 666 17WC 06642 SAYED, NABIL MACY'S 10/23/16 MC HARGUE, JAMES P LAW OFF ROBERT L. SMITH 667 17WC 06722 O'SHAUGHNESSY, SANDRA J JEWEL FOODS, INC 06/16/16 FIGLIOLI, DAVID 668 17WC 06746 REGNER, BRENT CHICAGO WOLVES 03/15/14 FLOYD LAW FIRM 669 17WC 06817 HERNANDEZ, MARIA LAND O FROST 02/22/17 670 17WC 06837 WENZ, MATTHEW ABT ELECTRONICS & APPLIAN 12/08/16 THERMAN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 671 17WC 06865 LAUER, KENNETH CITY OF CHICAGO/ 02/17/17 WHITESIDE & GOLDBERG LTD 672 17WC 06880 GAZLAY, GLORIA UNITED AIRLINES INC 01/03/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 673 17WC 06933 OAKLEY, HOLLY ABBOTT MOLECULAR INC 12/23/16 CZAPLA LAW 674 17WC 06966 DENISON, LESLIE JEWEL OSCO STORES 12/18/14 KATZ FRIEDMAN EAGLE ET AL 675 17WC 06996 ROBLES, NELLI MENARDS 02/02/17 RUBENS AND KRESS CHILTON YAMBERT PORTER LLP 676 17WC 07033 OUSLEY, LAKENYA SCHWAB REHAB HOSPITAL 01/04/17 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 677 17WC 11427 CARAWAY, MEGAN AMERICAN AIRLINES 12/10/16 SAUNDERS CONDON & KENNY 678 17WC 11590 MELLER, JULIE ROBERT MORRIS UNIVERSITY 09/02/15 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 679 17WC 13637 CURTIS, LATEESHA M AMAZON 05/02/17 FRIEDMAN & SOLMOR LTD 680 17WC 13664 WALKER, RENE ADVOCATE HEALTH CARE/ 03/06/17 LANNON LANNON & BARR LTD NYHAN BAMBRICK KINZIE & LOWR 681 17WC 13690 STEWART, ORLANDO ST MARTHA MANOR 05/27/16 DAVID W MARTAY GALLIANI DOELL & COZZI LTD 682 17WC 13706 CAMACHO, JORGE H. INTERMODAL REPAIRS SERVIC 10/16/15 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 683 17WC 13727 HOLM, WILLIAM BILL CONNORS TRANSPORTATION CO 10/25/16 JOHN E LUSAK 684 17WC 13744 DELACRUZ, ANTONIO UNIVERSITY OF CHICAGO 10/16/16 SIMS, ZACHARY K PC NYHAN BAMBRICK KINZIE & LOWR 685 17WC 13832 BUTLER, GREGORY VETERANS DISTRIBUTION-HIL 04/03/17 ANGELINI & ORI LLC INMAN & FITZGIBBONS 686 17WC 13882 BARWEGEN, CINDY R ADVOCATE GOOD SHEPHERD HO 12/18/16 LAW OFFICE DAVID W CLARK NYHAN BAMBRICK KINZIE & LOWR 687 17WC 13913 GEORGE, VIRGIL SEGUIN SERVICES INC 05/01/17 DWORKIN AND MACIARIELLO 688 17WC 13934 JAIMES, LORENZO WALGREENS 03/30/17 EPSTEIN, JACK R LAW OFFICE 689 17WC 13984 MIZINSKI, JOE FORD MOTOR COMPANY 10/16/16 KATZ FRIEDMAN EAGLE ET AL 690 17WC 14014 MORRIS, JAMES TENET CONCEPTS LLC 09/16/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 691 17WC 14033 OLORUNFUNMI, OLANREWAJU MIKHALIA CABS FOUR, INC 04/11/17 LAW OFFICE RYAN ROSENTHAL 692 17WC 14152 TATE, ISAIAH MIMI GOURMET DBA 04/23/17 STEVEN J MALMAN & ASSOCIAT CHILTON YAMBERT PORTER LLP 693 17WC 14189 GALLEGOS, TERESA LAND O' FROST 03/14/17 CIARDELLI CUMMINGS CAMPAGN 694 17WC 14221 GIPSON, DEANTE NB COATING INC 01/12/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 695 17WC 14258 WEST, RONALD ABLE ELECTROPOLISHING CO. 03/31/17 JOHN E LUSAK 696 17WC 14284 HENKELS, RANDALL CMI DISTRIBUTION 02/14/17 STROM, NEAL B 697 17WC 14296 TISLEY, FINOR CHICAGO PARK DISTRICT 05/03/17 KROL BONGIORNO & GIVEN LTD CHICAGO PARK DIST LAW DEPT 698 17WC 14317 MAKA, JAN ABO CONSTRUCTION INC 04/06/17 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 699 17WC 14339 LOFTMAN-DAVIS, MARIKA STATE OF IL LUDEMAN @ 05/01/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 700 17WC 14420 MITTLER, DANIEL LOHRE PAINTING 03/15/17 SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 701 17WC 14423 FINNEY, LEONARD TYSON FOODS INC 04/03/17 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 702 17WC 14482 BYRD, YAHALOM HAYES-GIBSON INT & LENZY 01/16/17 COSTA IVONE LLC 703 17WC 14573 HARWELL, DAVID FRANK H GILL CO 04/17/17 VASILATOS & COTTER LLC 704 17WC 14696 GARCIA, GONZALO OSI INDUSTRIES 05/08/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 705 17WC 14720 PALMA, CONSTANTINA BWAY CORPORATION 12/01/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 706 17WC 14744 HERNANDEZ, SANDRA WEBER STEPHENS PRODUCTS 01/10/17 LAW OFFICE OF SCOTT B SHAP 707 17WC 14768 THOMPSON, LAMONT S CHICAGO INTERNATIONAL 05/09/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 708 17WC 14907 SCHMUECKER, DAVID ABF FREIGHT SYSTEMS INC 05/10/17 PARENTE & NOREM PC 709 17WC 14927 BRADLEY, JIMMY DENTON CARTAGE TRUCKING C 04/28/17 ANGELINI & ORI LLC HENNESSY & ROACH PC 710 17WC 14946 COLEMAN, JERONE BAR LOUIE 04/23/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 711 17WC 14990 DOROBA, FRANK ORKIN 03/08/17 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 712 17WC 15095 MHANGO, ZILAN AMERICAN AIRLINES 05/04/17 POLANSKY & CICHON CHTD GAROFALO SCHREIBER STORM 713 17WC 15124 MCMAHON, WILLIAM J UPS AIRLINES 11/13/16 NILSON STOOKAL GLEASON CAP ASA LAW GROUP 714 17WC 15145 RAAB, MARGARET CHICAGO BOARD OF EDUCATIO 01/10/17 MARC S. MAYER & ASSOCIATES LAW DEPARTMENT 715 17WC 15165 DUMANLANG, DENNIS TOTAL AIRPORT SERVICES 05/05/17 FISHER & LAMONICA 716 17WC 15209 DIMPFL, WILLIAM SERVICE CORP INTL 03/31/16 SALVATO & O'TOOLE 717 17WC 15222 DYSON, DARLENE M COOK DUPAGE TRANSPORTATIO 05/19/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 718 17WC 15240 PEREZ, TIMOTHY COOK CNTY DEPT OF CORRECT 04/06/16 MC HARGUE, JAMES P LAW OFF STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 719 17WC 15319 TROTTER, JONATHAN SWISSPORT FKA 02/26/17 PETER D CORTI LAW GROUP KNELL & O'CONNOR 720 17WC 15343 CARABALLO, PATRICIA MUCH SHELIST, P.C. 05/05/17 DWORKIN AND MACIARIELLO 721 17WC 15363 OCHOA, MARIO SPANCIL HILL DEVELOPMENT 07/31/16 ANKIN LAW OFFICE 722 17WC 15408 MONTANA, DENNIS YRC 04/03/17 JASINSKI, GEORGE J 723 17WC 15536 ALATORRE, GLORIA WALMART 03/02/17 LOSS & PAVONE QUINTAIROS PRIETO WOOD & BOY 724 17WC 15556 SAMPSON, SHARON NEXUS EMPLOYMENT SOLUTION 05/07/17 ANGELINI & ORI LLC 725 17WC 15571 MCGEE, LELAND OSI FOODS CO LLC 04/18/17 DWORKIN AND MACIARIELLO 726 17WC 15596 HEDGE, JERRY GLOBAL EXPERIENCE SPECIAL 05/16/17 ELFENBAUM EVERS & AMARILIO 727 17WC 15628 KUREK, THOMAS CHICAGO TEMPERED GLASS IN 05/18/17 ALEKSY BELCHER BRADY CONNOLLY & MASUDA PC 728 17WC 15654 ZUMBA, MARISOL LABOR NETWORK, INC 03/11/17 GOLDBERG WEISMAN & CAIRO L ROBERT L. SMITH 729 17WC 15672 REARDON, JOAN INGALLS MEMORIAL HOSPITAL 04/09/17 CUDA LAW OFFICES 730 17WC 15696 VEGA, CESAR ITALIA MARBLE & TILE INC 04/17/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 731 17WC 15741 RODRIGUEZ, JUAN SHERWIN WILLIAMS 07/26/16 BRUSTIN & LUNDBLAD LTD GANAN & SHAPIRO 732 17WC 15779 BARRETT, EDWIN IMPERIAL ZINC 04/13/17 MARC S. MAYER & ASSOCIATES 733 17WC 15803 RICHMOND, LEVI N ELITE LABOR SERVICES, LTD 05/19/17 ANKIN LAW OFFICE 734 17WC 15818 VILLEGAS, HERMINDA EDSAL MANUFACTURING CO IN 12/27/16 CHEPOV & SCOTT LLC 735 17WC 15876 SALGADO, TOMAS GENERATION BRANDS HOLDING 03/15/17 RUEDA, IVAN A 736 17WC 15915 FEARON, ELLEN CHICAGO BOARD OF EDUCATIO 05/16/17 LEO ALT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 737 17WC 15955 GUERRERO, ALICIA F MCDONALD'S 02/25/17 CULLEN HASKINS NICHOLSON 738 17WC 15970 CORONA, JAVIER THE CUSTOM COMPANY 03/06/17 COSTA IVONE LLC ROBERT L. SMITH 739 17WC 15993 TLAPANCO, ROMULO SPECIALIZED STAFFING 11/29/16 EPSTEIN, JACK R LAW OFFICE SPIEGEL & CAHILL, PC 740 17WC 16033 JOHNSON, NATHANAEL AMBAR I NC 07/29/16 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 741 17WC 16049 ECKELS, KIMBERLEE H CLEARBROOK 04/19/17 CRONIN & PETERS ACCIDENT FUND HOLDINGS 742 17WC 16184 RIX, JONATHAN UBER EATS 03/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 743 17WC 16205 WYMAN, EDGAR AAR CORP 09/29/16 CUDA LAW OFFICES GAROFALO SCHREIBER STORM 744 17WC 16276 MIXON, DE'JHANICE CHICAGO TRANSIT AUTHORITY 04/25/17 ERIC M GLASSON & ASSOCIATE CHICAGO TRANSIT AUTHORITY 745 17WC 16294 KAVOURAS, ADAM UPS 02/28/17 GOLDSTEIN AIOSSA & GOOD ASA LAW GROUP 746 17WC 16313 CLAYTON, NICOLE BIONIC PROSTHETICS & ORTH 03/10/17 KENNETH FLEISCHER 747 17WC 16374 CALDARULO, MAURO UNITED PARCEL SERVICE 03/17/17 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 17WC016375 -C 748 17WC 16417 NEGRON, LUIS CONTAINER INTERNATIONAL 05/05/17 GORDON LAW OFFICES LTD 749 17WC 16435 POLLOCK, EVELYN COOK COUNTY SHERIFF DEPT 05/22/17 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 750 17WC 16500 BURTON, VICTOR GIBSON'S STEAKHOUSE 08/01/16 WILLIAM B MEYERS, LTD RODDY LAW LTD 751 17WC 16528 CALVACHE, JESUS PARAMOUNT STAFFING 08/03/15 CULLEN HASKINS NICHOLSON 752 17WC 16585 DAVIS, RICARDO S R & L CARRIERS AND SHARED 05/10/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 753 17WC 16635 MCFADDEN, MARILYN PREMIER HOME HEALTHCARE 04/10/17 MARC J SHUMAN & ASSOCIATES 754 17WC 16682 ARMENTA, VICTOR CITY FOOD 04/24/17 MC HARGUE, JAMES P LAW OFF CAPUANI & SCHNEIDER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 755 17WC 16709 CORONA, JAVIER THE CUSTOM COMPANY 04/11/16 COSTA IVONE LLC 756 17WC 16752 THOMPSON, C ELEGANTE CUISINE, INC 05/20/17 ANKIN LAW OFFICE 757 17WC 16785 GALAN, DIANE COOK COUNTY SHERIFF'S 05/22/17 TAMVAKIS, GEORGE L STATES ATTORNEY OF COOK COUN 758 17WC 16833 MAGLICIC, DAVOR JEWEL FOOD STORES 05/28/17 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 759 17WC 16878 VILLAGOMEZ, CARLOS NAF NAF GRILL 05/22/17 POMPER & GOODMAN 760 17WC 16959 PIERCE, REGINA EVEREST NATIONAL INSURANC 05/10/17 LAW OFFICE OF JAMES H MILL GOLDBERG SEGALLA LLC 761 17WC 22445 JACKSON, CURTIS WRIGLEY ROOF TOPS * 07/08/17 GESMER LAW OFFICES, PC POWER & CRONIN LTD 762 17WC 23391 ZARETSKY, EDWARD OSCO OIL COMPANY * 06/26/17 THERMAN LAW OFFICES 763 17WC 23417 DAVIS, ROBERT COCA COLA * 07/11/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 764 17WC 23435 KINSLOW, ADAM RED LOBSTER MANAGEMENT, L * 07/18/17 LAW OFFICE NICHOLAS H. MIH BRYCE DOWNEY & LENKOV LLC 765 17WC 23467 MARTIN, LESLIE UCAN ACADEMY * 07/20/17 CAPRON & AVGERINOS PC BRADY CONNOLLY & MASUDA PC 766 17WC 23521 ALAGNA, PETER WILL COOK COUNTY * 05/04/15 COVEN LAW GROUP HINSHAW & CULBERTSON 767 17WC 23551 MORATAYA, OSCAR LOWE'S * 07/14/17 MANDELL, GREGG KEEFE CAMPBELL & ASSOC LLC 768 17WC 23575 ORTA, ANGEL R LIFTING GEAR HIRE CORP * 08/03/17 LANGENDORF, ROBERT A COZZI & GOGGIN-WARD 769 17WC 23590 JONES, MORRIS UNITED AIRLINES * 06/18/17 VASILATOS & COTTER LLC 770 17WC 23640 GALLEGOS, MARDONIO AMERICAN GRINGING & MACHI * 07/17/17 ANKIN LAW OFFICE 771 17WC 23659 ANKARLO, STEVE CHICAGO HEIGHTS POLICE DE * 07/02/17 COVEN LAW GROUP PETERSON JOHNSON & MURRAY 772 17WC 23678 RODRIGUEZ, JAVIER CHICAGO BOARD OF EDUCATIO * 10/18/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 773 17WC 23693 GOODLOE, PATRICIA WALMART * 08/01/17 HERRERA LAW CENTER QUINTAIROS PRIETO WOOD & BOY 774 17WC 23714 DOUGHERTY, DWAYNE FFC * 06/26/17 CHASE & WERNER LTD RUSIN & MACIOROWSKI LTD 775 17WC 23730 DELL-PETERSON, MONIQUE ILLINOIS TOLLWAY * 12/02/16 SKLARE LAW GROUP GANAN & SHAPIRO 17WC025747 -C 776 17WC 23744 PATEL, JAYANTIBHAI K. DUNKIN DONUTS OF AMERICA, * 04/16/17 BAUM RUFFOLO & MARZAL LTD 777 17WC 23766 APPLING, KENNETH HMS HOST * 08/12/17 BRISKMAN BRISKMAN GREENBER 778 17WC 23782 TOVAR, CARLOS A. FINKL & SONS CO. * 09/11/15 BOWMAN & CORDAY 779 17WC 23808 ZIRETTE, JAMILA JEWEL FOOD STORES, INC. * 07/01/17 FISHER & LAMONICA 780 17WC 23821 MUGHUL, FAISAL DHL EXPRESS * 12/29/16 LEONARD LAW GROUP LLC 781 17WC 23839 MERRITT, GLORIA CHICAGO YOUTH PROGRAM * 05/10/17 DWORKIN AND MACIARIELLO 782 17WC 23866 BARNETT, LISA CITY OF CHICAGO, DEPART O * 06/14/17 HORWITZ HORWITZ & ASSOC 783 17WC 23883 DOCKUM, JOHN C LOYOLA UNIVERSITY MEDICAL * 11/23/16 ANESI OZMON RODIN NOVAK KO 784 17WC 23902 ERCEG, JORGE ST ANDREWS GOLF AND COUNT * 08/03/17 CHEPOV & SCOTT LLC 785 17WC 23920 PATLAN, MARIA BRENTWOOD SUB-ACUTE * 07/16/17 DWORKIN AND MACIARIELLO 786 17WC 23968 ENRIQUEZ, GEORGINA CASAS ALL-STATE INDUSTRIES, INC * 10/26/16 DIBELLA LAW FIRM PC 787 17WC 24016 MANZON, HAROLD UNITED AIRLINES, INC * 02/05/17 BRIAN J MC MANUS & ASSOC, 788 17WC 24030 GREEN, KAREN THORNTON TOWNSHIP * 05/15/17 GRECO, MICHAEL J RUSIN & MACIOROWSKI LTD 789 17WC 24128 MCKINNEY, JAMES H CALMARK GROUP, LLC * 05/10/17 KOSIN LAW OFFICE LTD 790 17WC 24151 RENTERIA, IRENE EL POLLO CRIS CRIS * 07/20/17 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 791 17WC 24217 MCCANN, JENNIFER VILLAGE OF THORNTON FIRE * 10/13/16 O'CONNOR LAW GROUP LLC 792 17WC 24243 LEWIS, CHERISSE COOK COUNTY CLERK OFFICE * 04/01/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 793 17WC 24263 MUNOZ, ANDREA ARROW HOME PRODUCTS CO * 08/10/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 794 17WC 24343 KIRK, FELICIA METRO SOUTH HOSPITAL * 07/22/17 TAMVAKIS, GEORGE L 795 17WC 24355 ARRUELA, SALUSTIANO CAVO BROADBAND CORPORATIO * 01/25/16 GARDNER LAW LLC LITCHFIELD CAVO 796 17WC 24406 GONZALEZ-URIBE, MARIA LEGENDARY BAKING, * 08/10/15 DEPAOLO ZADEIKIS GORE 17WC024407 -C 17WC024408 -C 17WC024409 -C 797 17WC 24424 BROOKS, ERIC CITY OF CHICAGO * 07/19/17 EDWIN REYES LEGAL GROUP 798 17WC 24452 DOMINGUEZ, HECTOR TBS PROPERTIES, LLC * 07/16/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 799 17WC 24469 SALGADO, FELIPA WARWICK ALLERTON-CHICAGO * 03/31/17 HERRERA LAW CENTER WOLFE & JACOBSON, LTD 800 17WC 24499 KELLY, SEAN COOK COUNTY RISK MANAGEME * 08/09/17 WHITESIDE & GOLDBERG LTD 801 17WC 24517 HERNANDEZ, ANGEL C/O MAURITZON INC * 04/06/16 GORDON LAW OFFICES LTD 802 17WC 24537 CHAPMAN, MICHAEL INFANT JESUS OF PRAGUE PA * 06/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 803 17WC 24572 FOUGHALI, HOCINE GEORGIA NUT COMPANY * 07/03/17 LAW OFFICES ROBERT WARSASK 804 17WC 24588 COBBINS, CHERESSE HALSTED PHARMACY, INC * 08/08/17 ANKIN LAW OFFICE 805 17WC 24634 TOBEL, STEVEN PJ'S EXCAVATING SEWER & W * 07/06/17 THOMAS W DUDA ACCIDENT FUND HOLDINGS 806 17WC 24672 TRIPLETT, LANELL CHICAGO PARK DISTRICT * 09/09/16 LEONARD LAW GROUP LLC CHICAGO PARK DIST LAW DEPT 807 17WC 24697 CANALES, PEDRO REYES DECORATING * 07/28/17 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 808 17WC 24730 PINA, YNOCENCIO THE ELI'S CHEESECAKE COMP * 08/13/16 ANESI OZMON RODIN NOVAK KO 809 17WC 24748 LAMPKIN, MARIDA CTA * 08/22/17 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 810 17WC 24775 TEDMON, CHRISTOPHER SWISSPORT USA INC * 08/18/17 TAXMAN POLLOCK 811 17WC 24811 DIAL, CHRISTOPHER SATELLITE AIR-LAND MOTOR * 06/23/17 RANDALL A. WOLFF & ASSOC 812 17WC 24836 GORDON, JIMMY ARENA ONE FOOTBALL LLC * 06/20/15 GORDON LAW OFFICES LTD 813 17WC 24870 HARRINGTON, ANTWAN FEDERAL EXPRESS CORP * 08/12/17 RITTENBERG & BUFFEN 814 17WC 24920 ESCO, JAMES E. POWER STOP LLC * 08/12/17 ANKIN LAW OFFICE 815 17WC 24938 LUNA, JAVIER GOMEZ SHELL SERVICE CENTE * 02/14/17 MC HARGUE, JAMES P LAW OFF ALLEN & NEWMAN 816 17WC 24955 LEVIN, MYRA SERVICE CORPORATION * 10/22/14 VASILATOS & COTTER LLC 817 17WC 24996 BIBBS, SONYA FREE ENTERPRISE SYSTEM * 08/06/17 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 818 17WC 25020 PUMFERY, CHRISTOPHER RUSH TRUCK CENTERS * 08/20/15 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 17WC025021 -C 819 17WC 25045 IZURIETA, CARLOS CHICAGO MESSENGER SVC * 07/01/15 JOHN C SERKLAND 820 17WC 25069 BROWNLEE, TANETTA DIY GROUP INC * 06/14/16 DWORKIN AND MACIARIELLO 821 17WC 25120 O'NEILL, BRIAN UIC HEALTH SERVICE * 07/25/17 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 822 17WC 25149 RODRIGUEZ, FELIX C. NORTHWESTERN MEDICINE * 08/31/15 HENNESSY & ROACH PC 823 17WC 25213 CRUZ, FRANCISCO SUGAR FACTORY * 08/17/17 SALK, STEVEN B & ASSOC LTD 824 17WC 25236 MORROW, THOMAS G2K LOGISTICS * 08/21/17 DWORKIN AND MACIARIELLO 825 17WC 25263 ESCALERA, HUMBERTO CTA * 08/26/17 GARDI & HAUGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 826 17WC 25302 JACKSON, LAKECIA THE UNIVERSITY OF CHICAGO * 08/10/17 BRIAN J MC MANUS & ASSOC, MACIOROWSKI SACKMANN & ULRIC 827 17WC 25320 LITTLE, EMANUEL COOK COUNTY CLERK OF COUR * 08/07/17 GERRY LAW FIRM STATES ATTORNEY OF COOK COUN 828 17WC 25341 CRUZ, MARCELINO DEPENDABLE STAFFING GROUP * 06/29/17 HERRERA LAW CENTER LITCHFIELD CAVO 829 17WC 25365 ROJAAS, SANDRA PSSI-PACKERS SANITATION * 11/22/15 GOLDSTEIN BENDER & ROMANOF 830 17WC 25423 GARCIA, GUILLERMINA LCV STAFFING * 08/21/17 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM 831 17WC 25432 NELSON, STEVEN GLENVIEW SCHOOL DISTRICT * 02/02/15 WOODRUFF & JOHNSON GANAN & SHAPIRO 832 17WC 25456 ROSENTHALL, JOSEPH GRT TRANSPORATION * 08/28/17 COSTA IVONE LLC 833 17WC 25477 MILLER, JORDAN ARENA FOOTBALL ONE, LLC * 05/21/17 GORDON & CENTRACCHIO LLC 834 17WC 25562 FOSTER, SEAN D CHILDREN'S HOME AND AID * 05/06/17 LEE, MARK N LAW OFFICE 835 17WC 25659 ALCALA, RAMON FLEXIBLE STAFFING * 08/03/17 BRILL & FISHEL 836 17WC 25681 HAMILTON, ANTOINETTE CHICAGO TRANSIT AUTHORITY * 08/18/17 VRDOLYAK LAW GROUP LLC VRDOLYAK LAW GROUP LLC 837 17WC 25704 WILSON, RICHARD ARYZTA, LLC * 08/08/17 CULLEN HASKINS NICHOLSON 838 17WC 25721 RIOS, BENITO A TOYOTA TSUSHO AMERICA INC * 12/03/16 LAW OFFICES DEBORAH SCHAEF 839 17WC 25796 SANTIAGO, JESUS SIGMATRON INTERNATIONAL * 07/18/17 RITTENBERG & BUFFEN 840 17WC 25802 VAZQUEZ, JOANNA NORWEGIAN AMERICAN HOSPIT * 05/29/17 WHITESIDE & GOLDBERG LTD 841 17WC 25830 PIPES, DAVID ARYZTA PLANT * 08/15/17 FICHERA & MILLER 842 17WC 25848 WRIGHT, SAMUEL UBER * 07/05/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 843 17WC 25879 KUS, NEWMAN NESTLE WATERS * 06/05/17 BOGUSZ & BOGUSZ LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 844 17WC 25903 TILLMAN, ROBERT L CITY OF CHICAGO DEOT OF * 06/23/17 ANKIN LAW OFFICE 845 17WC 25922 XIE, QIANG WU'S HOUSE * 05/02/17 KELLY & KING COZZI & GOGGIN-WARD 846 17WC 25924 SCOTT, DONESHA JAMILA RICH PRODUCTS CORP * 04/07/17 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 847 17WC 25961 ALVAREZ, MIGUEL SRU ELECTRIC * 07/06/17 CULLEN HASKINS NICHOLSON GRANT & FANNING 848 17WC 26005 ROMERO, MARCO KIMCO SERVICES * 02/06/17 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 849 17WC 26027 JOHNSON, ANDRE CHICAGO PUBLIC SCHOOLS * 06/20/17 RUBENS AND KRESS 850 17WC 26038 EDWARDS, PATRICIA EVANSTON TOWNSHIP HIGH SC * 07/05/17 JONATHAN SCHLACK 851 17WC 26059 AYALA, JOSE BONIFACIO MO2 PROPERTIES LLC W* 08/25/17 CHEPOV & SCOTT LLC 852 17WC 26095 DE LO SANTO, JULIO SCRUB INC * 03/02/17 JAMES ELLIS GUMBINER & ASS 853 17WC 26141 OWENS, DAVID WHOLE FOODS MARKET * 07/09/17 HORWITZ HORWITZ & ASSOC 854 17WC 26162 MADRIGAL, RIGOBERTO WORLD'S FINEST CHOCOLATE * 07/12/17 RUEDA, IVAN A 855 17WC 26176 SEGURA, ADRIAN WHITE LODGING/COURTYARD * 08/21/17 BAUM RUFFOLO & MARZAL LTD WILSON ELSER 856 17WC 26232 ERICSON, KERRY UNITED AIRLINES * 06/15/17 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 857 17WC 26255 NIETO, RICARDO ON OFF HOSPITALITY GROUP * 08/05/17 HERRERA LAW CENTER 858 17WC 26272 OSAMN, IMAD WALMART * 07/19/17 DWORKIN AND MACIARIELLO 859 17WC 26320 GADBOW, ROBERT CINTAS CORPORATION * 07/10/17 STEVEN H MEVORAH & ASSOCIA POWER & CRONIN LTD 860 17WC 26943 RIVERA, JOSE L CITY OF CHICAGO * 06/22/17 VITELL & SPITZ LTD 861 17WC 32925 BEASLEY, CHARLES TOTAL STAFFING SOLUTIONS * 11/10/16 CHADWICK & LAKERDAS SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 862 17WC 32944 ROMO, ALEJANDRO INFINITY TRAILER REPAIR * 10/01/17 HERRERA LAW CENTER 863 17WC 32964 PEREZ-SAMANO, RUPERTO CARE SHEET METAL INC DBA * 09/21/17 CHEPOV & SCOTT LLC 864 17WC 33002 TORRES, MARIA KARAVITES RESTAURANT 26,I * 07/16/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 865 17WC 33040 BANYAMIN, GLADES RGB, INC * 07/11/17 ANESI OZMON RODIN NOVAK KO 866 17WC 33074 SAWYER, USHER III COOK COUNTY HIGHWAY DEPT @ * 11/03/16 ELFENBAUM EVERS & AMARILIO 867 17WC 33096 ROBINSON, APRIL CTA * 10/21/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 868 17WC 33118 SWIENTEK, NICHOLAS CHICAGO PARK DISTRICT * 03/31/17 DANIEL PERIASWAMY CHICAGO PARK DIST LAW DEPT 869 17WC 33175 JAMES, SANDRA CHILDREN'S HOME AND AID * 09/24/17 LEE, MARK N LAW OFFICE 870 17WC 33225 DEMICHEL, DENISE COOK COUNTY SHERIFF DEPT * 09/06/17 GORDON & CENTRACCHIO LLC 871 17WC 33250 SABA, MICHAEL CHICAGO TRANSIT AUTHORITY * 09/08/17 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY 872 17WC 33278 GARCIA, OMAR RICH PRODUCTS CORP. * 02/19/16 LEONARD LAW GROUP LLC GILDEA & COGHLAN 873 17WC 33292 JAMAL, MUHAMMAD VEEN TAXI INC * 10/20/17 FISHER & LAMONICA 874 17WC 33311 LINCOLN, NICOLE CCHSD #160 * 10/31/17 CHASE & WERNER LTD 875 17WC 33328 SMITH, ASHLEY SARPINO'S PIZZERIA * 10/14/17 ANKIN LAW OFFICE 876 17WC 33346 WATSON, DENISE GATE GOURMET * 11/07/17 RUSIN & MACIOROWSKI LTD 877 17WC 33399 BOLDEN-SMITH, LILLIAN ADDUS HOME * 10/21/17 VRDOLYAK LAW GROUP LLC 878 17WC 33419 NOLASCO, PASTOR TEC FOODS INC * 10/05/16 KALOGERAKOS & ASSOC 879 17WC 33435 JOHNSON, JOHNATHAN QUAKER OATS CO * 10/23/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 880 17WC 33452 OMEROVIC, DENIS GREYSTAR * 10/03/17 DWORKIN AND MACIARIELLO 881 17WC 33516 CARNEY, THOMAS F YRC, INC * 09/27/17 DWYER AND COOGAN HENNESSY & ROACH PC 882 17WC 33526 ANDERSON, SHANIECE L CHICAGO TRANSIT AUTHORITY * 08/06/16 VITELL & SPITZ LTD 883 17WC 33537 PEREZ-ROSALES, MARCELA ALTERNATIVE STAFFING, INC * 04/06/17 KATZ FRIEDMAN EAGLE ET AL SLAVIN & SLAVIN 884 17WC 33562 MAJEWSKI, JACEK ASSOCIATED INTERGRATED SU * 11/20/14 KATZ FRIEDMAN EAGLE ET AL 885 17WC 33576 PATTERSON, SHELDON STAFF RIGHT AND QUINCY * 11/01/17 THOMAS R LICHTEN 886 17WC 33595 CROWLEY, SHARON UNITED PARCEL SERVICE AME * 12/19/16 ASA LAW GROUP 887 17WC 33611 BERMUDEZ, ELVA FLYING FOOD GROUP, LLC. * 11/05/17 SALK, STEVEN B & ASSOC LTD 888 17WC 33636 GROVE, BRIAN D POWER STOP, LLC * 09/15/17 LAW OFFICE OF DAVID CLOUGH 889 17WC 33657 HUGHES, WILLIW A AMERICAN STAFFING * 07/05/17 DAMISCH & DAMISCH LTD 890 17WC 33697 BROWN, LEBRYANT RUSH UNIVERSITY MEDICAL C * 09/27/17 WHITESIDE & GOLDBERG LTD 891 17WC 33728 LOSOS, DEBORAH SOUTHWEST AIRLINES * 09/14/17 ELFENBAUM EVERS & AMARILIO 892 17WC 33785 VELAZQUEZ, YOLANDA CITY OF CHICAGO * 10/25/17 BURNETT & CARON, LTD 893 17WC 33854 RICKS, DARIUS SOUTHWEST AIRLINES * 09/07/17 RONALDSON & KUCHLER 894 17WC 33879 GARDNER, TERRENCE PROVISO TOWNSHIP HIGH SCH * 10/28/17 HEALY SCANLON LAW FIRM 895 17WC 33894 SINNATHURAI, MURUGANADARA JEWEL (WILMETTE) * 09/17/17 ELFENBAUM EVERS & AMARILIO 896 17WC 33915 ROUILLE, JOHN UNITED AIRLINES * 11/03/17 COVEN LAW GROUP 897 17WC 33941 ALBRIGHT, RICK STAPLES * 08/22/17 FOOTE MIELKE CHAVEZ & O'NE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 898 17WC 33994 VARGAS, ONORINA TQL SERVICES * 02/29/16 MILLON & PESKIN LTD 899 17WC 34027 PATTERSON, SHEILA JJ MADDEN * 09/28/17 EDWIN REYES LEGAL GROUP 900 17WC 34074 GONZALEZ HERNANDEZ, JUAN WORLD CLEANING SVCS, INC * 09/19/17 NIEMANN & PARKER 901 17WC 34100 ABUBAYEH, ANAN LCV STAFFING * 11/06/17 ANGELINI & ORI LLC 902 17WC 34134 MARTIN, CLAUDIA RUSH UNIV, MED CENTER * 10/12/17 ANKIN LAW OFFICE 903 17WC 34148 PIPIKIOS, JOANNE CVS HEALTH FKA CVS CAREMA * 05/11/15 BELLAS & WACHOWSKI 904 17WC 34167 LOZANO, PASCALE THE ADMIRAL AT THE LAKE * 08/07/17 DWORKIN AND MACIARIELLO 905 17WC 34198 HOFFMAN, MICHAEL R ECOLAB, INC * 12/01/16 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 906 17WC 34241 IZAGUIRRE, FERNANDO CHICAGO TRANSIT AUTHORITY * 10/20/17 COHN LAMBERT RYAN & SCHNEI 907 17WC 34262 KUZMA, KEITH FORD MOTOR CO * 11/12/17 KREITER, BYCK & ASSOC LLP 908 17WC 34267 VIDES, ABRAHAM MENARDS, INC * 10/04/17 LIPKIN & HIGGINS LAW OFFIC 909 17WC 34285 NAREJKO, ZBIGNIEW JCF REAL ESTATE * 11/25/14 THE CAVANAUGH LAW FIRM COZZI & GOGGIN-WARD 910 17WC 34317 MAGURNO, MARCELA CHICAGO AM TRANSPORTATION * 10/05/17 HERRERA LAW CENTER 911 17WC 34336 HENDERSON, AHKEEM EMPIRE FILMS INC * 10/24/17 DWORKIN AND MACIARIELLO 912 17WC 34377 EMMANUEL, ADESHINA O SUN TAXI * 11/03/17 LAW OFFICE OF SCOTT B SHAP 913 17WC 34386 SCHOEPKE, DAVID U-HAUL * 06/06/17 FINE, MARK S LAW OFFICES 914 17WC 34398 CORTES, JOSE FUTURE STAFFING * 11/09/17 ENCINAS & ORNELAS COZZI & GOGGIN-WARD 915 17WC 34445 SMITH, VIVIAN O'HARE AIRPORT/ARIES BUS * 09/17/17 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 916 17WC 34468 MC BRIDE, MARGARET P WALGREENS CO * 06/21/17 ANKIN LAW OFFICE 917 17WC 34490 WASHINGTON, APRIL OAK STREET HEALTH * 10/16/17 JAMES ELLIS GUMBINER & ASS 918 17WC 34529 PERRINO, EMANUEL EVANSTON FIRE DEPT * 03/13/15 HUGHES SOCOL PIERS RESNICK 919 17WC 34563 RODRIGUEZ, ROSA JUNO LIGHTING GROUP * 09/05/17 RUEDA, IVAN A 920 17WC 34581 ALCANTAR, ANTHONY H FISHER PRINTING * 10/20/17 GOLDSTEIN BENDER & ROMANOF 921 17WC 34606 BUCHMEIER, LOREN CITY OF BERWYN * 11/07/16 CHRISTINE F DAVID 922 17WC 34628 MENDEZ, ISMAEL EURO COLLISION * 11/20/17 COSTA IVONE LLC 923 17WC 34652 MC ADORY, JACQUELINE ADDUS HEALTH CARE * 09/11/17 CHARLES LEVY & ASSOC LTD 924 17WC 34703 ALPHONSE, LANTANYA CTA * 07/29/16 LAW OFFICE JOSHUA KARMEL 925 17WC 34748 PEREZ, BEATRIZ JUNO LIGHTING GROUP * 06/16/17 LAW OFFICES KRISTEN M KOZL 926 17WC 34769 BOSTIC, JON CHICAGO BEARS FOOTBALL CL * 08/29/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 927 17WC 34781 BAGGETT, KIMBERLY CITY OF CHICAGO * 11/13/17 WILLIAM MARTAY 928 17WC 34802 HARKINS, JAMES VILLAGE OF ARLINGTON HEIG * 01/02/16 FOHRMAN, DONALD W & ASSOCS 929 17WC 34816 ANDERSON, PAULETTE AMERICAN AIRLINES INC;AME * 03/18/16 GRAUER & KRIEGEL LLC 930 17WC 34838 BOSTIC, ALBERT NEXUS EMPLOYMENT * 11/15/17 DWORKIN AND MACIARIELLO 931 17WC 34866 HAMMONS, JAMES SWISSPORT USA INC * 11/13/17 ASHER, RAYMOND L LTD 932 17WC 34889 CLARK, STACEY WICHITA PACKING COMPANY * 06/01/17 GOLDBERG WEISMAN & CAIRO L 933 17WC 34909 KOCH, CHESTER COOK COUNTY RISK MGMT * 11/06/17 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 934 17WC 34953 GOMEZ, JOSE LUIS H&S CABINETS LLC * 09/21/17 HERRERA LAW CENTER 935 17WC 34978 VESELI, TEFIKE ASHA SALON & SPA * 05/24/16 SCOTT BARBER 936 17WC 35004 IRIGOYEN, RODOLFO RELIANCE TOOL AND MFG * 10/01/17 MC HARGUE, JAMES P LAW OFF 937 17WC 35028 MORALES, NORMAN JF LABS, INC * 09/14/17 CAPRON & AVGERINOS PC 938 17WC 35042 MOORE, VINCENT THE HABITAT CO, LLC * 11/16/17 ROSENFELD HAFRON SHAPIRO F 939 17WC 35068 HUMMEL, RICHARD DARLING INGREDIENTS * 09/29/17 CIFELLI SCREMENTI & DORE 940 17WC 35088 MCKINNEY, CHARMANE FORD MOTOR CO CHICAGO STA * 10/29/16 DWORKIN AND MACIARIELLO 941 17WC 35124 LOPEZ, ARTURO CORAL REEF ROSELLE INC * 08/22/17 ROMANUCCI & BLANDIN 942 17WC 35146 RODRIGUEZ, OSCAR EL POLLO VAGABUNDO * 11/25/17 SKLARE LAW GROUP 943 17WC 35177 MURRAY, MARK VILLAGE OF BEDFORD PARK * 08/07/16 RUSIN & MACIOROWSKI LTD 944 17WC 35196 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY * 01/16/15 GORDON LAW OFFICES LTD 945 17WC 35213 PADILLA, JAIME FRANCESCA'S RESTURANTS LL * 07/21/17 ANKIN LAW OFFICE 946 17WC 35236 GOLDEN, DWIGHT KOCK FOODS * 10/15/17 JAMES ELLIS GUMBINER & ASS 947 17WC 35256 BOGDANOV, IVAN CASSENS TRANSPORT CO * 11/03/17 CULLEN HASKINS NICHOLSON 948 17WC 35306 TERRY JR, MARK NICHOLAS ELITE STAFFING INC * 10/02/17 POMPER & GOODMAN 949 17WC 35322 BALL, DONALD L CITY OF CHGO DEPT OF WATE * 10/11/17 KOSIN LAW OFFICE LTD 950 17WC 35362 UDROW, KEVIN COOK COUNTY SHERIFF'S DEP * 10/08/17 KARCHMAR & STONE 951 17WC 35380 HERMAN, DIONNDREA SOUTH SUBURBAN REHAB CENT * 09/15/17 FRIEDMAN & SOLMOR LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 952 17WC 35399 GRAZIANO, AARON MARIANO'S * 11/23/17 DWORKIN AND MACIARIELLO 953 17WC 35426 JENNER, EDWARD O'HARE CAB CO. * 10/29/17 HUNER LAW OFFICES LLC 954 17WC 35493 AGUILAR, JUAN EMA GROUP, INC * 11/15/17 ACEVES & PEREZ PC 955 17WC 35511 VEGA, ISAIAH IL STATE POLICE @ * 11/20/17 FIGLIOLI, DAVID 956 17WC 35541 MARTINEZ, MARITZA HARVARD MAINTENANCE * 11/20/17 SEIDMAN MARGULIS & FAIRMAN 957 17WC 35563 REDMOND, KEVIN CHICAGO BOARD OF EDUCATIO * 05/17/17 SALK, STEVEN B & ASSOC LTD 958 17WC 35588 O'BRIEN, JOHN RANDEL ELECTRIC INC * 10/17/16 COZZI & GOGGIN-WARD 959 17WC 35614 LACEY, LEWIS FORD MOTOR CO * 10/21/17 STROM, NEAL B 960 17WC 35652 SKINNER JR, GROVER KOPPERS INC * 05/31/17 ANKIN LAW OFFICE 961 17WC 35675 KARIMI, KAYVON VILLAGE OF HOMEWOOD * 11/25/17 THOMAS W DUDA 962 17WC 35696 MUNOZ, HILARIO CASTRO HARVARD MAINTENANCE * 10/05/17 COSTA IVONE LLC 963 17WC 35729 KENNEDY-PLECKI, SHANNON AERO SPECIAL EDUCATION * 11/30/15 NYHAN BAMBRICK KINZIE & LOWR 964 17WC 35784 DEROSA, JEREMY FIRST PRIORITY RESTORATIO * 10/21/17 GOLDBERG WEISMAN & CAIRO L 965 17WC 35818 THOMAS, DARRELL SOUTHWEST AIRLINES * 10/24/17 KROL BONGIORNO & GIVEN LTD 966 17WC 35864 SOLER, MICHAEL D KENNICOTT BROTHERS * 10/18/17 HANNIGAN & BOTHA, LTD 967 17WC 35888 IBARRA, AMELIA TERRACE MOTEL * 11/12/17 HERRERA LAW CENTER 968 17WC 35961 STOKES, MOLLY CTA * 11/11/17 EDWIN REYES LEGAL GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 969 17WC 35993 MCLAIN, AARON EAGLE SERVICE * 10/24/17 SAUNDERS CONDON & KENNY