ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 30543 GASPARETTI, GUY FORD MOTOR 01/25/02 BLEAKNEY & TROIANI POWER & CRONIN LTD 03WC030544 -C 05WC027890 -C 2 05WC 35276 BROWN, THOMAS F JR. CHICAGO TRANSIT AUTHORITY 08/07/05 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 3 06WC 05809 KENNEDY, JANET CITY OF CHICAGO-MUNICIPAL 11/15/05 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 4 06WC 19572 LINDAHL, ALLEN PAPPADEAUX SEA FOOD KITCH 01/07/06 JACOBSON & SORKIN LTD HOLECEK & ASSOCIATES 5 06WC 44648 19B PARA, DAVID JACK'S SPECIALIZE SERVICE 04/26/06 SAUNDERS CONDON & KENNY JAMES M KELLY 06WC044649 -C 6 07WC 01761 POLENISIAK, RONALD CHICAGO BOARD OF EDUCATIO 11/17/06 R. MARK MARITOTE PC LAW DEPARTMENT 08WC051314 -C 09WC027580 -C 10WC040302 -C 13WC006421 -C 13WC006422 -C 7 07WC 35704 NEE, THOMAS A. CITY OF CHICAGO 03/30/07 HEALY LAW FIRM CITY OF CHICAGO 8 08WC 01470 MORGAN, STANLEY NIMI TRANPORTATION 11/17/07 ERIC M GLASSON 9 08WC 29390 LIGGINS, JAMES T CITY OF CHICAGO 06/22/08 VITELL & SPITZ LTD CITY OF CHICAGO 10WC031817 -C 10WC031818 -C 10WC031819 -C 10 08WC 30491 NELSON, CATHERINE CITY OF CHICAGO 03/20/08 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 11 08WC 31482 MESSINA, RILEY ANN ROSCOE BLOOMS W 07/03/08 LAW OFFICE OF SCOTT B SHAP JAMES R. JENKINS 12 08WC 38110 TORRES, GENOVEVA CHICAGO PUBLIC SCHOOLS 05/04/07 KENNETH B GORE, LTD LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 08WC 45652 GUILLERMO, RODRIGO CITY OF CHICAGO HEIGHTS 09/26/08 SMOLER LAW OFFICE, PC DEL GALDO LAW GROUP LLP 11WC002314 -C 11WC002315 -C 14WC025521 -C 14 08WC 48942 GREEN, ROOSEVELT CHICAGO TRANSIT AUTHORITY 11/10/06 THOMAS R LICHTEN CHICAGO TRANSIT AUTHORITY 08WC048943 -C 13WC017126 -C 15 09WC 08406 SAMPSON, SHUANTA CITY OF CHICAGO 01/28/09 COPELAND FINN & FIERI LTD 16 09WC 10188 EBERT, MARGARET DEPT OF HUMAN SERVICES @ 02/18/09 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 17 09WC 20521 ADCOCK-KALTER, CONNIE SHERIFF OF COOK COUNTY 11/05/08 BARRETT & SRAMEK STATES ATTORNEY OF COOK COUN 18 09WC 22399 FLEMING, BEATRICE AVIS BUDGET CAR RENTAL GR 05/23/08 BRADY CONNOLLY & MASUDA PC 19 09WC 29782 CORONADO, ISAIAS PULASKI AUTOMOTIVE 04/23/09 LUIS A ACEVES & ASSOC LAW OFFICE HUGO ORTIZ 20 09WC 30125 ESQUIVEL, ESTEBAN ERIC KIM W 05/18/09 RUBIN & MACHADO GORDON & CENTRACCHIO LLC 21 09WC 39937 SNYDER, KIRK MIDWAY MOVING AND STORAGE 08/15/09 DWORKIN AND MACIARIELLO DALEY & GEORGES LTD 22 09WC 42030 WARDINGTON, AARON L AT & T 05/13/09 SMOLER LAW OFFICE, PC HENNESSY & ROACH PC 11WC002812 -C AT&T 12WC004152 -C 12WC039524 -C 13WC033170 -C AT&T 15WC004895 -C 16WC026271 -C 23 09WC 45470 RAGO, ANGELO BAX GLOBAL 01/22/08 NEWLAND NEWLAND & NEWLAND LAW OFFICES OF EDWARD J. KOZ 24 10WC 05852 HOPSON, SYMON D ILLINOIS STATE RETIREMENT @ 10/02/09 BRUSTIN & LUNDBLAD LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 25 10WC 21431 TORRES, DANIEL ILL DEPT OF @ 04/08/10 BRILL & FISHEL ASSISTANT ATTORNEY GENERAL 26 10WC 23001 WINDLE, JOHN P SIMPLEX-GRINNELL 08/07/08 HEALY LAW FIRM POWER & CRONIN LTD 10WC044649 -C 27 10WC 28918 WILLIAMS, TRACEY J P MORGAN CHASE 07/09/09 PORRO NIERMANN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 28 10WC 31568 PETROVIC, DAJANA STATE OF ILLINOIS @ 07/09/10 STEVEN J SEIDMAN LAW OFFIC SHUAIB A. AHMED 29 10WC 35201 RUIZ, OSCAR AUTOLANDIA TOWING 08/28/10 GOLDSTEIN AIOSSA & GOOD 30 10WC 37930 HALDERMAN, LAURA STATE OF ILLINOIS - DEPT @ 09/12/08 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 31 10WC 38439 19B TOMAYO, MARICELA RALPH P GENOVESE, REG AGE 05/28/10 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 32 10WC 39490 ROMERO, ADELFIRA DEHLER MANUFACTURING CO, 06/24/10 CULLEN HASKINS NICHOLSON GRANT & FANNING 33 10WC 42413 AHLFELD, THOMAS J JR AT & T 01/03/10 CRONIN & PETERS HENNESSY & ROACH PC 34 10WC 46519 MUNOZ, JOSE JESUS FERRARA PAN CANDY CO 09/04/10 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 35 10WC 47737 POWELL, JOHN Z-FORCE 10/05/09 COPELAND FINN & FIERI LTD STONE & JOHNSON CHARTERED 36 10WC 48122 CONNOLLY, STEVEN J FREEMAN DECORATING CO 12/02/10 KOSIN LAW OFFICE LTD MC ANDREWS & NORGLE LLC 37 10WC 48458 TURNER, LURAY CHICAGO TRANSIT AUTHORITY 10/23/08 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY 10WC048459 -C 10WC048460 -C 10WC048461 -C 10WC048462 -C 10WC048463 -C 38 10WC 49573 SANCHEZ, JUAN MCCORMICK & SCHMICK 06/01/10 NEWLAND NEWLAND & NEWLAND GRANT & FANNING 39 11WC 07830 PENEFF, ESTHER VILLAGE OF SCHAUMBURG 09/01/08 BOUDREAU & NISIVACO LLC MACIOROWSKI SACKMANN & ULRIC 11WC007831 -C 11WC007832 -C 11WC007833 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 11WC 15993 ROACH, JULIETTE CITY OF CHICAGO 04/09/11 COSTA IVONE LLC CITY OF CHICAGO 41 11WC 16753 STEFANI, MICHAEL CITY OF CHICAGO 03/11/11 TAMVAKIS, GEORGE L CITY OF CHICAGO 42 11WC 20441 GRASTY, DIAHANN CAMBRIDGE INTEGRATED SERV 04/09/11 MICHAEL MOORE HENNESSY & ROACH PC 10WC048176 -C 43 11WC 25844 DE GUZMAN, SELFIDE IBARRA ILLINOIS DEPARTMENT OF @ 04/28/09 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENERAL 44 11WC 26433 KEDROK, JENNIFER M SOUTHWEST AIRLINES 06/10/11 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 12WC007019 -C 13WC038522 -C 45 11WC 26645 DEMYROV, OLEG HMD TRUCKING INC 06/09/11 MCANANY VANCLEVE & PHILLIPS 46 11WC 29292 TRUJILLO, MARIA SUPERIOR MAILING SERVICES 11/17/10 CORTI ALEKSY & CASTANEDA RUSIN & MACIOROWSKI LTD 15WC017355 -C THE CALMARK GROUP 47 11WC 33847 WARREN, BELINDA DEPT OF CHILDREN & @ 09/03/09 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 11WC033848 -C 48 11WC 34132 FOGARTY, MOLLY L HARDWARE ON WESTERN INC 04/09/11 STUART H GALESBURG 11WC034133 -C 49 11WC 35068 ORTEGA, DAISY BANK OF AMERICA 06/08/11 DAVID W MARTAY WOLFE & JACOBSON, LTD 50 11WC 39604 YORK, DAR'REL CITY OF CHICAGO 09/09/11 BRISKMAN BRISKMAN GREENBER CITY OF CHICAGO 13WC028253 -C 14WC007003 -C 14WC007004 -C 17WC010105 -C 51 11WC 40439 SHAW, MELVIN K EZ TRUCKING 10/10/11 COLLISON & O'CONNOR LTD 52 11WC 40672 BUFORD, LEON CHICAGO TRANSIT AUTHORITY 09/14/11 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 53 11WC 41611 REDMOND, RODGES CTA 09/25/11 MARIA BOCANEGRA 54 11WC 44543 MURILLO, ROSA HYATT REGENCY CHICAGO 08/10/11 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 11WC044544 -C 14WC039563 -C 16WC000487 -C 55 12WC 03153 GATLIN, MILDRED CHICAGO PUBLIC SCHOOLS 01/13/12 LEONARD LAW GROUP LLC LAW DEPARTMENT 56 12WC 08077 CAYLOR, AARON ELITE INDUSTRIES/ W 02/23/12 SOSTRIN AND SOSTRIN PC MALLORY ZIMET 57 12WC 15706 JASTRZEBSKI, KRZYSZTOF JERNBERG INDUSTRIES INC 02/08/12 SUTTER & ORI LLC HOLECEK & ASSOCIATES 58 12WC 16151 ARCHIE, ADREAN CHICAGO TRANSIT AUTHORITY 12/01/11 CHICAGO TRANSIT AUTHORITY 59 12WC 16284 LINZ, WILLIAM JR FLOOSMOOR SCHOOL DST 09/13/11 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 12WC016285 -C FLOSSMOOR SCHOOL DST 60 12WC 16642 ZENTENO, SALVADOR CARRIAGE CAB 02/12/12 SKOLNICK & ROSENTHAL 61 12WC 17302 MADAIO, MARIE PATRICIA HEAVENLY MASSAGE 12/29/11 MEGAN A WAGNER LAW OFFICES JOSEPH MARCINIAK 62 12WC 24971 KRASNIQI, RAME HD SUPPLY CROWN BOLT 06/25/12 COSTA IVONE LLC POWER & CRONIN LTD 63 12WC 25104 RODRIGUEZ, IVETTE IL DEPT OF EMPLOYMENT @ 07/18/12 ANGELINI & ORI LLC 64 12WC 25177 WALKER, KOBINA A YELLOW CAB COMPANY 07/20/12 WARREN W MARK 65 12WC 25710 WILSON, LATONYA CITY OF CHICAGO 11/20/11 LEONARD LAW GROUP LLC CITY OF CHICAGO 13WC023068 -C 15WC005210 -C 15WC012753 -C 66 12WC 26586 POOLE, TANISHA CTA 04/01/11 RATHBUN CSEVENYAK & KOZOL CHICAGO TRANSIT AUTHORITY 12WC026587 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 12WC 26921 VEGA, ROBERTO UNITED PARCEL SERVICE 08/01/12 COVEN LAW GROUP 68 12WC 31573 MAGNIFICO, FRANK SWISSPORT USA 09/18/11 JONATHAN SCHLACK KNELL & O'CONNOR 69 12WC 32080 SPASOJEVIC, LANA TJ MAXX 08/10/12 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 70 12WC 37459 SHAMENA, EPHREM CHICAGO ELITE CAB COMPANY 09/04/12 SANTILLI LAW GROUP LAW OFFICES OF JAY REESE PC 71 12WC 37622 GRANGER, PAMELA CITY OF CHICAGO DEPRTMENT 08/31/12 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 13WC007362 -C 72 12WC 37637 FERRARA, ANTONELLA RESURRECTION MEDICAL CENT 01/24/12 HEALY LAW FIRM KEEFE CAMPBELL & ASSOC LLC 73 12WC 38193 PERIC, MILAN CITY OF CHICAGO 06/11/12 PATRICIA HARDIMAN LAW OFFI BRUCE WARREN 74 12WC 38321 CREMER, DAVID FORD MOTOR 10/16/12 STROM, NEAL B POWER & CRONIN LTD 75 12WC 38391 WELSH, GIA Y COOK COUNTY JUVENILE CTR 09/20/12 TAMVAKIS, GEORGE L STATES ATTORNEY OF COOK COUN 13WC009022 -C 76 12WC 38912 MORRIS, JAUYONTA CITY OF CHICAGO 11/07/12 COVEN LAW GROUP CITY OF CHICAGO 77 12WC 39187 PETO, JAMES LOHRE PAINTING INC 07/12/12 GOLDBERG WEISMAN & CAIRO L CASSANO & ASSOCIATES 78 12WC 39926 MULL, TAJUANA BREMEN HIGH SCHOOL DIST # 07/31/12 STEVEN J SEIDMAN LAW OFFIC 79 12WC 41287 DOMASHEVSKY, KATHERINE CITY OF CHICAGO, STEPHANI 12/08/11 FIORENTINO LAW OFFICES CITY OF CHICAGO 80 12WC 42395 MENDOZA, LUIS CITY OF CHICAGO 12/02/12 FRANCIS J DISCIPIO LAW OFF CITY OF CHICAGO 81 13WC 06970 STOCKMANN, JEANNE INGALLS 12/31/12 JASINSKI, GEORGE J NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 13WC 12286 PEREZ, ALBERTO CARIBBEAN LANDSCAPE INC W 03/01/13 JAMES ELLIS GUMBINER & ASS 83 13WC 12453 STYRCZULA, ANDRZEJ ANDY'S DELI & MIKOLAJCZYK 08/18/12 BELLAS & WACHOWSKI RUSIN & MACIOROWSKI LTD 13WC012454 -C 84 13WC 12966 SPENCER, SANDRA JEWEL 05/22/12 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 13WC013058 -C 13WC032487 -C 85 13WC 13125 ALI, ABDINASIR JAMA S STAR FLASH, INC 04/04/13 SALK, STEVEN B & ASSOC LTD 86 13WC 14580 MUNOZ, IRMA HOST INTERNATIONAL, INC. 04/20/13 LAW OFFICE OF SCOTT B SHAP ROBERT L. SMITH 87 13WC 15034 SORIANO, MARIA E I T DAY CARE CENTER @ W 01/04/11 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 88 13WC 15471 SEGURA, JUAN F LAND O'FROST INC 01/14/13 STYKA & STYKA GAROFALO SCHREIBER STORM 14WC008782 -C 89 13WC 15825 TAPIA, JOVITA VESUVIUS USA CORP # 04/03/13 SCHIFF GORMAN LLC RUSIN & MACIOROWSKI LTD 90 13WC 16028 SHAKIR, AHMED TACICAB MEDALLION 12/16/12 HUNER LAW OFFICES LLC 91 13WC 18459 GIAMBRONE, ANTONIO PRO CLASS INSTALLATIONS 05/08/13 KARCHMAR & STONE RODDY LAW LTD 92 13WC 19747 REISENER, LINDA J THERAPY MASTERS INC 04/09/13 DAVENPORT & WHITE KEEFE CAMPBELL & ASSOC LLC 93 13WC 22199 SIMS, TONYA CTA 07/07/13 CHICAGO TRANSIT AUTHORITY 94 13WC 23470 HOGUE, JAJUANNA STATE OF ILLINOIS @ 05/06/13 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENERAL 13WC023695 -C SOI DEPT OF HUMAN SERVICES 95 13WC 23757 ANDRADE, SHAUN CR ENGLAND 06/21/13 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 13WC 23883 VARGAS DE GANDARILLA, FER ELITE STAFFING 04/26/13 THOMAS R LICHTEN 97 13WC 24152 BLACHER, KENNETH M FOOD FOR LESS 06/23/13 SMOLER LAW OFFICE, PC STONE & JOHNSON CHARTERED 16WC016752 -C 98 13WC 24635 HANSON, KERRY L SOUTHWEST AIRLINES 05/09/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 99 13WC 25318 SHIMKUS, JAMES FEDEX 05/16/13 DEBORAH M LANCASTER LTD HANSON LAW OFFICE 100 13WC 25449 FULLER, GLENN A VULCAN MATERIALS COMPANY 06/20/11 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 13WC025450 -C 101 13WC 25863 OLOKO, TOYIN A CHICAGO CARRIAGE CAB 07/31/13 WARREN W MARK 102 13WC 26131 JIMENEZ, EMILIO H DAVIS STAFFING, INC 07/10/13 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 103 13WC 26569 DIAZ, EDUARDO FRESH FARMS 07/26/13 JOHN S. ELIASIK GANAN & SHAPIRO 104 13WC 27506 KENNEDY, CHARLES FAMOUS DAVE'S 12/30/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 105 13WC 33586 BURKE, KEVIN NATIONAL RESTORATION SYST 08/10/10 JOHN E LUSAK RUSIN & MACIOROWSKI LTD 106 13WC 33601 REYES, JOSE EMPLOYCO USA INC 04/24/13 VASILATOS & COTTER LLC POULOS & DIBENEDETTO LAW 107 13WC 33905 SMITH, ALPHONSO SAFER FOUNDATION 08/25/12 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 13WC033906 -C 108 13WC 33933 BARAJAS, PEDRO FERRARA PAN CANDY CO 10/03/13 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 109 13WC 34611 VRCHOTA, WILLIAM DD&G DEVELOPMENT & @ W 10/09/13 JOHN S. ELIASIK GANAN & SHAPIRO 110 13WC 34781 ALEXANDER, BRANDON UNIVERSITY OF CHICAGO 05/14/13 JOHN F GREGORIO & ASSOC HENNESSY & ROACH PC 111 13WC 35816 LOPEZ, FLORENCIO TOMOEGAWA(USA)INC. 10/29/13 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 112 13WC 36828 WASHINGTON, RHONDA CTA 07/11/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 113 13WC 37377 BRADARICH, THOMAS CITY OF CHICAGO 02/29/12 DWYER AND COOGAN CITY OF CHICAGO 114 13WC 37423 MCCARTHY, KATHLEEN OUR LADY OF THE RESURRECT 10/09/13 SMOLER LAW OFFICE, PC NYHAN BAMBRICK KINZIE & LOWR 115 13WC 38055 GOODWIN, NIKITA V FORD MOTOR COMPANY 06/07/12 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 116 13WC 40022 SHUTTZ, TIMOHTY CHICAGO TRANSIT AUTHORITY 09/06/13 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 117 13WC 42070 19B RAMOS, LUIS A PARAGON SECURITY, INC 12/02/13 RUBIN LAW GROUP HENNESSY & ROACH PC 118 14WC 01824 FAIR, JANET LOWE'S HOME IMPROVEMENT 01/02/14 SLAVIN & SLAVIN KEEFE CAMPBELL & ASSOC LLC 15WC036823 -C 16WC026476 -C 119 14WC 01874 DONOHOE, KATHRYN JP MORGAN CHASE & CO 08/30/12 SHEA LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 120 14WC 02283 MAHAMED, ABDOLLAHI HIGHWAY TAXI INC 10/13/13 HUNER LAW OFFICES LLC 121 14WC 02416 GALE, ANN UNITED AIRLINES INC 12/27/13 BRIAN J MC MANUS & ASSOC, BRYCE DOWNEY & LENKOV LLC 122 14WC 03374 SIX, HARRY BIG RED TRANSPORTATION 12/16/13 FRANCIS J DISCIPIO LAW OFF RIPES NELSON BAGGOT KALOBRAT 123 14WC 03415 HARVEY, JOSEPH WARD CONTRACTING & BUILDI 03/20/13 BOUDREAU & NISIVACO LLC GRANT & FANNING 14WC003416 -C 124 14WC 07976 PETRO, BRADLEY S CITY OF CGO FLEET MGMT 02/14/14 O'CONNOR & NAKOS CITY OF CHICAGO 125 14WC 08107 HENLEY, ARCHIE JR FORD MOTOR COMPANY 05/22/13 BOWMAN & CORDAY POWER & CRONIN LTD 126 14WC 11571 ARMSTRONG, LINDA ADDUS HEALTHCARE 01/29/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 127 14WC 12256 REYES, GERARDO CHADE FASHIONS INC 02/26/14 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 14WC038067 -C 128 14WC 13116 GRIFFIN SR, TERRY CHICAGO TRANSIT AUTHORITY 01/26/14 CHARLES LEVY & ASSOC LTD CHICAGO TRANSIT AUTHORITY 129 14WC 13174 REED, OCEDELL INDUSTRIAL INDUSTRIES 03/25/14 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 14WC 13198 LATHAM, CLYDE S & D MASONRY AND 11/26/13 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 131 14WC 13714 RYAN, MICHAEL CITY OF CHICAGO 02/06/14 HEALY LAW FIRM CITY OF CHICAGO 132 14WC 13813 DELGADO, FRANCISCO SOLO CUP COMPANY 04/13/14 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 133 14WC 14240 HR, MYUNG OK TOZI KOREAN RESTAURANT 11/15/12 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 134 14WC 14246 LEYVA-MACIAS, TERESA CAPITOL WHOLESALE MEATS I 02/25/14 CUDA LAW OFFICES HOLECEK & ASSOCIATES 135 14WC 14854 GRIGGS, ROBERT L ABF FREIGHT SYSTEM INC 04/20/14 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 136 14WC 15448 JONES, HENRY BULL MOOSE 12/07/12 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 137 14WC 22380 GOMEZ-MONKO, ELIZABETH STRASSBURG ELEMENTARY SCH 09/24/13 RAYMOND M SIMARD, PC RUSIN & MACIOROWSKI LTD 138 14WC 22703 KURZEJA, LESZEK NATIONWIDE ENVIRONMENTAL 06/24/14 HETHERINGTON KARPEL BOBBER ORENSTEIN & ASSOCIATES 139 14WC 22833 O'DONNELL, NEIL P FED-EX 04/16/14 GOLDSTEIN BENDER & ROMANOF KOPKA, PINKUS DOLIN, PC 140 14WC 22895 RAZZAK, ABDUL YELLOW CAB CO 06/13/14 LAW OFFICE RYAN ROSENTHAL 141 14WC 22961 JOHNSON, IVORY CHICAGO COMMONS 07/02/14 ROBIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 14WC022962 -C 14WC022963 -C 15WC020189 -C 15WC038845 -C 16WC015166 -C 16WC015167 -C 16WC015168 -C 142 14WC 23337 HUDSON, LOTTIE EMERITUS SENIOR LIVING 10/21/13 GOLDSTEIN BENDER & ROMANOF ROSARIO CIBELLA 14WC023338 -C 143 14WC 23361 RAMOS, MARIA KOCH FOODS 05/22/14 MC HARGUE & JONES INMAN & FITZGIBBONS 144 14WC 23726 MANSKI, CHRISTOPHER NITE LITE SIGNS & BALLOON 03/19/13 COVEN LAW GROUP 145 14WC 23954 MORATOYA, HERBER HAPPY FOODS 10/10/13 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 14WC 24678 ROBINSON, KEITH L VARGAS GROUP 07/10/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA 147 14WC 25345 TAHIRI, SIMO FLASH CAB 06/22/14 DWORKIN AND MACIARIELLO 148 14WC 26429 PAISANT, ROY UNITED AIRLINES INC. 05/04/13 JOHN F GREGORIO & ASSOC BRYCE DOWNEY & LENKOV LLC 149 14WC 29315 POLK, KEVIN SMG/MCCORMICK PLACE 04/20/13 ANKIN LAW OFFICE GRANT & FANNING 150 14WC 34484 TYLER-KIRKSEY, BILLIE ILL DEPT HUMAN SERVICES 12/05/13 DWORKIN AND MACIARIELLO ILLINOIS ATTORNEY GENERAL 151 14WC 34768 GRZYB, ALEKSANDRA PRESENCE HEALTH 09/05/14 BELLAS & WACHOWSKI KEEFE CAMPBELL & ASSOC LLC 152 14WC 35518 LOPEZ, ISRAEL FARMINGTON FOODS 06/12/14 WITTENBERG DOUGHERTY MAGLI CAPUANI, FRANK S 153 14WC 35632 COOPER, AMY COOK CTY SHERIFF'S DEPT 06/30/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 154 14WC 35691 OLUKOYA, ABIODUN AUSTIN ATLANTIC CORP 2511 09/27/14 VASILATOS & COTTER LLC LAW OFFICES DEBORAH SCHAEFER 155 14WC 35926 ARROYO, JUAN MORTON'S OF CHGO/WACKER 09/26/14 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 156 14WC 36065 SALAZAR, BENIGNO TIO LUIS TACOS 09/17/14 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 157 14WC 36129 INGRAM, ROBERT GLENBROOK GROUP INC 09/06/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 158 14WC 36280 AGOSTINELLI, NICHOLAS PALOS FIRE PROTECTION DIS 10/01/14 JASINSKI, GEORGE J RUSIN & MACIOROWSKI LTD 17WC000499 -C 17WC027843 -C 159 14WC 36529 CLIFF, WILLIAM D CITY OF CHICAGO 10/03/14 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 160 14WC 36904 GARFIAS-HERNANDEZ, GABRIE ALCOVE CONSTRUCTION INC W 09/09/14 LAW OFFICE ROBERTO ACEVEDO 161 14WC 36948 DAVIES, TRISTAN D TALENT HOLDINGS, LLC 08/14/13 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 162 14WC 41185 JAAFARI, ABDELOUAHAB SUN TAXI ASSOCIATION 11/26/14 KARNO, MARK L & ASSOC LAW OFFICES OF DEBORAH SCHAE 163 15WC 00321 ESCALERA, ROCIO STAFFING NETWORK 12/11/14 COVEN LAW GROUP SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 15WC 00680 MONTOYA, JOSE EMPLOYCO 10/30/14 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 165 15WC 00742 WALKER, CARL JARVIS HANDY W 10/06/14 SCHACTER, JEROME & ASSOC L 166 15WC 00808 ELFORD, DAWN ORLAND PRIMARY CARE SPECI 05/28/14 COLLISON & O'CONNOR HOLECEK & ASSOCIATES 167 15WC 00836 SNOW, CLENNON CTA 12/11/14 ROSS TYRRELL CHICAGO TRANSIT AUTHORITY 168 15WC 01148 DINELLI, KAREN B COWORX STAFFING LLC 08/10/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 169 15WC 01511 QUINTANA, LUZ MVP - NORTHBROOK, IL 12/16/14 GOLDSTEIN AIOSSA & GOOD KOREY RICHARDSON LLC 170 15WC 01590 GASPAR, ALFONSO SURE STAFF, INC 01/02/15 CULLEN HASKINS NICHOLSON LOUIS MUNDY 171 15WC 01689 LEDEZMA, JUAN LEGGETT & PLATT 12/05/14 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 172 15WC 02209 BAILEY, SYMMORRON UNIVERSITY OF ILLINOIS 12/19/14 BRISKMAN BRISKMAN GREENBER HEYL ROYSTER VOELKER & ALLEN 16WC024503 -C 173 15WC 02362 BARRIOS, MARIA E. A H MANAGEMENT GROUP INC. 01/08/15 JONATHAN SCHLACK HENNESSY & ROACH PC 174 15WC 02430 HURST, DAVID MA STEEL ERECTORS 09/09/14 ANESI OZMON RODIN NOVAK KO LITCHFIELD CAVO 175 15WC 02817 BROWN, KIM PACE NORTHWEST DIVISION 01/11/15 LEONARD LAW GROUP LLC SLAVIN & SLAVIN 176 15WC 03008 MCCLUNG, TRANEIL CON-WAY FREIGHT 12/23/14 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 177 15WC 10630 MAGLOIRE, ROSELENE PRESBYTERIAN HOMES 02/11/15 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 16WC026557 -C 178 15WC 10837 GIACOBBE, MICHAEL GRAND RAPIDS PRINTING INK 07/25/14 GIACOBBE, THOMAS M ANCEL GLINK DIAMOND BUSH & E 15WC012948 -C OLDHAM GROU 179 15WC 10939 CALVO, ENRIQUE FRESH FARMS 11/29/14 BALTAZAR MENDOZA 180 15WC 11035 NEWTON, WILLIAM CAPITAL TRUCKING AKA 01/11/15 JOHN E LUSAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 15WC 11076 MCDUFF, BETTY CITY OF CHICAGO 01/26/15 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 182 15WC 11444 DANIELS, MAKENYA CHICAGO DUPAGE TRANSPORAT 03/16/15 SEIDMAN MARGULIS & FAIRMAN 183 15WC 11681 LOPEZ, DANIEL CLEAR STAFF 03/27/15 NEWLAND & NEWLAND ACCIDENT FUND HOLDINGS 184 15WC 11819 ROMERO, CARMEN EMBASSY SUITES 12/07/14 CHRISTIAN & MANNO GRANT & FANNING 185 15WC 12186 WARREN, ROBERT FORD MOTOR COMPANY 01/14/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 186 15WC 12654 MACKLIN, DARRELL NORTH EASTERN UNIVERSITY 03/19/15 DAVID W MARTAY ILLINOIS ATTORNEY GENERAL 187 15WC 12752 DRINKARD, MONIQUE CITY OF CHICAGO 04/06/15 RITTENBERG & BUFFEN 188 15WC 12780 ARROYO, DIONICIA BBJ RENTALS INC C/O 09/26/14 HETHERINGTON KARPEL BOBBER HOLECEK & ASSOCIATES 189 15WC 13315 DIAZ, RICARDO LAKIN GENERAL CORP 05/21/13 JONATHAN SCHLACK BRYCE DOWNEY & LENKOV LLC 190 15WC 13437 ANGLEMIRE, RUSSELL CITY OF CHICAGO - 03/19/15 O'CONNOR & NAKOS CITY OF CHICAGO 191 15WC 13583 THOMAS, LAURIE ELISABETH LUDEMAN CENTER 01/21/15 LAW OFFICE EDWARD LICHTENS MALLORY ZIMET 192 15WC 13667 ANDERSON, TINA A C.T.A. 04/22/15 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 193 15WC 14081 JONES, LAKEISHA L COOK COUNTY SHERRIFF'S OF 06/01/14 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 194 15WC 14118 BASS, VICTOR RUSH UNIV MEDICAL CTR 12/10/14 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 195 15WC 14165 GRISALEZ, FABIO O NESTLE CHOCOLATE & CONFEC 08/07/14 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 16WC022512 -C 16WC022551 -C 196 15WC 14355 WHISENTON, HILDA CARAUSTER CUSTOM PACKAGIN 12/09/14 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 18WC006656 -C 197 15WC 14443 PIERSON, LEISSA THORNTON TOWNSHIP DIST #2 04/02/14 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 15WC 14695 O'ROURKE, JOSEPH COOK CTY FACILITIES MGMT 04/14/15 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 199 15WC 15096 QUINONES, MANUEL FORD MOTOR CO 03/03/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 200 15WC 21252 SPILOTRO, PATRICIA L CHGO STREETS & SAN DEPT 02/17/15 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 201 15WC 21566 LANGSTON, STANLEY LVL LEASING INC 07/16/14 WOODRUFF & JOHNSON EVANS & DIXON, LLC 202 15WC 21789 BUSH, CAMERON FORD MOTOR COMPANY 05/23/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 203 15WC 21852 DENISON, LESLIE JEWEL OSCO STORES 12/14/14 KATZ FRIEDMAN EAGLE ET AL 204 15WC 21922 ARCHIE, DESIREE CTA 06/26/15 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 205 15WC 22442 GUERRERO, ALICIA F. MARIANO'S 05/17/15 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 206 15WC 22500 MICUS, DENISE PARTY CITY CORP 04/26/15 RALPH T STENGER HOLECEK & ASSOCIATES 207 15WC 22750 CONCEPCION, HECTOR COOK COUNTY SHERIFFS DEPT 06/11/15 TAXMAN POLLOCK STATES ATTORNEY OF COOK COUN 208 15WC 22770 CAMPBELL, BRIAN CHICAGO DEPT OF WATER MGM 09/18/13 GREGORIO & MARCO CITY OF CHICAGO 209 15WC 22934 SOLBERG, PAUL ELC INSTALLATION COMPANY 06/17/15 FRANCIS J DISCIPIO LAW OFF JOSEPH MARCINIAK 210 15WC 23117 LUSK, DAVID US XPRESS INC 06/08/15 BLEAKNEY & TROIANI WIEDNER & MCAULIFFE LTD 211 15WC 23162 001 DELRE, LINDA L ADVOCATE CHRIST MED CTR 09/06/13 KROCKEY CERNUGEL COWGILL E GAROFALO SCHREIBER STORM 001 15WC004060 -C 001 15WC005696 -C 212 15WC 24262 BROUSALIS, GEORGE SUBURBAN ACCESS INC 05/06/15 DAN COLLINS LAW FIRM 213 15WC 24670 GONZALEZ, IRMA ELITE STAFFING INC 10/20/14 214 15WC 24878 DAVIS, DOUGLAS CHICAGO TRANSIT AUTHORITY 06/30/15 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 215 15WC 24913 DAVIS, LATARSA CTA 03/01/14 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 216 15WC 25112 ABUDAYYEH, MAJDOLIN DART CONTAINER 06/09/15 HUGHES SOCOL PIERS RESNICK GAROFALO SCHREIBER STORM 217 15WC 25235 CLARK, DAVID F ILLINOIS CENTRALSWEEPING 07/07/15 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 218 15WC 25405 BERGH, ASHLEY ALDEN TOWN MANOR 04/08/15 LAW OFFICES FRANCESCA LARSEN 219 15WC 25406 EFFIE, LAURYN CORE POWER YOGA 11/02/14 INJURY LAWYERS OF IL 220 15WC 25483 DEPOLO, ROBERT CITY OF MARKHAM 04/21/15 HORWITZ HORWITZ & ASSOC SMITH AMUNDSEN LLC 221 15WC 25752 GRANCIANO, LUIS FERNANDO TAQUERIA EL PASTOR AND FE 02/20/15 OSVALDO RODRIGUEZ PC 222 15WC 25830 BARRAGAN, ELIZABETH UNITED AIRLINES 01/25/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 223 15WC 25875 WILLIAMS, DENNIS CITY OF CHICAGO DEPT. OF 07/13/15 LAW OFFICE OF SCOTT B SHAP 224 15WC 25936 RIOS, JESUS CITY OF CHICAGO 07/23/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 225 15WC 26044 BRODNAN, LAURA ON BEHALF CITY OF PROSPECT HEIGHTS 08/01/12 HEALY SCANLON LAW FIRM INMAN & FITZGIBBONS 226 15WC 31241 AUFMANN, KURT A. CITY OF CHICAGO- DEPT. OF 08/19/15 CRONIN & PETERS CITY OF CHICAGO 227 15WC 31658 MELENDEZ, ARTURO CITY OF CHICAGO 07/25/15 JOHN E LUSAK CITY OF CHICAGO 228 15WC 31696 LARSON, GREGORY H OAK BROOK PRODUCTIONS INC 06/05/15 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 229 15WC 31731 SANCHEZ, OLGA POWER STAFFING AND 09/29/15 EPSTEIN, JACK R LAW OFFICE 230 15WC 32047 GASSO, MICHAEL BARRINGTON CUSD #220 02/05/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 231 15WC 32049 GALARZA, WILFREDO LJUBOMIR SIMIC W 09/04/15 ARGIONIS & ASSOCIATES LLC 232 15WC 32150 RODRIQUEZ-LOPEZ, MARIA(MO CHICAGO PARK DISTRICT 07/16/15 CULLEN HASKINS NICHOLSON CHICAGO PARK DIST LAW DEPT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 15WC 32370 MACK, JEREMY ABCO ELECTRIC AKA ABCO 09/17/15 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 234 15WC 33043 STRICKLAND, MICHAEL DUNNET BAY CONSTRUCTION 10/08/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 16WC010462 -C 16WC016807 -C 17WC023297 -C 235 15WC 33081 ASLAM, SHAIKH CTA 09/02/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 236 15WC 33093 GARCIA, JESUS 18 WHEELER DIESEL SERVICE 04/13/15 SANDMAN LEVY & PETRICH HOLECEK & ASSOCIATES 237 15WC 33243 MANZELLA, JAMES CITY OF CHICAGO 08/25/15 JOHN F GREGORIO & ASSOC CITY OF CHICAGO 238 15WC 33315 FOWLER, JASON COOK COUNTY SHERIFF'S OFF 12/15/14 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 239 15WC 33474 COSIO, MARIA FAMILY FOCUS INC. 10/05/15 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 240 15WC 33499 SMITH, PAMELA CHICAGO TRANSIT AUTHORITY 08/28/15 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 241 15WC 33532 MARTIN, GARY FEDEX EXPRESS 12/09/14 STEINBERG BURTKER & GROSSM HANSON LAW OFFICE 242 15WC 33795 ESMERALDA, ALBERTO ACCURATE GROUP 06/15/15 ABELS & ANNES, PC 243 15WC 33945 CATALANO, MARK CITY OF CHICAGO DEPT OF W 10/09/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 244 15WC 34030 MOLINA, ANGEL SPORTS AWARDS 07/09/15 SAUNDERS CONDON & KENNY CAPUANI, FRANK S 245 15WC 34079 AKINBUSUYI, BOLATITO JACKSON PARK HOSPITAL 09/19/15 ODELSON & STERK 246 15WC 34368 EVERBECK, SHANE A MH LODGING LLC/ 09/05/15 247 15WC 34408 VERDUZCO, ROSA VILLAGE DISCOUNT OUTLET I 04/22/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 15WC 34491 TOLIVER, NICHOLE FRESENIUS MEDICAL CARE 10/06/15 STEVEN A CRIFASE, LTD HENNESSY & ROACH PC 249 15WC 34518 TATE, KEONA UNIVERSITY OF CHICAGO 06/29/15 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 17WC010525 -C 17WC010526 -C 17WC014661 -C 250 15WC 34955 MCKINNEY, ANDRE MY PERSONAL TAXI & LIVERY 10/14/15 ANKIN LAW OFFICE LOSS & PAVONE 251 15WC 35151 HENDERSON, TERRENCE J THORNTON TOWNSHIP 01/20/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 17WC010100 -C 252 15WC 35184 ALLEN, TOYA CTA 10/26/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 253 15WC 35264 WHITE, SHARON STATE OF IL, MADDEN MENTA @ 08/31/15 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 254 15WC 38190 PHILLIPS, HAROLD CONTINENTAL MIDLAND 12/28/14 POLANSKY & CICHON CHTD GRANT & FANNING 255 16WC 00269 TAYLOR, ADRIAN CHICAGO TRANSIT AUTHORITY 12/10/15 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 256 16WC 01283 GONZALEZ, ELVA C TUTHILL PUMP CORPORATION 08/25/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 257 16WC 01396 ROFAS, IGNACIO AM CASTLE METALS 10/05/15 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 258 16WC 01546 GUSTAFSON,STEVEN LKQ CORPORATION, INC. 11/09/15 CULLEN HASKINS NICHOLSON 259 16WC 01613 ROBINSON, RICHARD H KRAMER & CO 09/28/15 BRISKMAN BRISKMAN GREENBER SCOPELITIS GARVIN LIGHT 260 16WC 01767 NIEVES, LUIS ANTONIO'S DRYWALL W 01/07/16 WOLFE LAW PC BAUM RUFFOLO & MARZAL LTD 261 16WC 01839 MACKAY, PATRICIA UNITED AIRLINES 11/02/15 SCOTT BARBER WIEDNER & MCAULIFFE LTD 262 16WC 01871 GIZEL, JOSEPH JEWEL OSCO 01/10/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 263 16WC 01963 HERNANDEZ, MARI LUZ UNISTAFF CHICAGO 12/17/15 HERRERA LAW CENTER LITCHFIELD CAVO 264 16WC 02187 GUERRERO, LUIGI USF HOLLAND 10/23/15 LEONARD LAW GROUP LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 16WC 02209 NAVA, HECTOR TAYLOR BROS CONSTRUCTION 01/18/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 266 16WC 02333 STUCZYNSKI-SHELTON, DONNA THE NURSE AGENCY 12/10/15 KREITER, BYCK & ASSOC LLP RIPES NELSON BAGGOT KALOBRAT 267 16WC 02358 MATURO, NICOLE CITY OF CHICAGO 01/05/16 HEALY SCANLON LAW FIRM 268 16WC 02613 DUNLAP, THEODORE Q CITY OF CHICAGO 12/11/15 LEONARD LAW GROUP LLC CITY OF CHICAGO 269 16WC 02643 PRICE, CAROLYN COUNTY OF COOK COUNTY 12/11/15 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 270 16WC 02892 MCCANN, JARVIS CTA 12/12/15 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 271 16WC 02947 KROL, JOZEF (WIDOW) BERNADETTE SERVICE, INC./ #W 12/11/14 BELLAS & WACHOWSKI 272 16WC 03036 PALACIOS, CESAR Z BAKING CO 01/18/16 THE ROMAKER LAW FIRM MEACHUM & STARCK 273 16WC 03144 GUERRERO, RAMONA ZF LEMFORDER 09/14/15 CAMERON CLARK KEEFE CAMPBELL & ASSOC LLC 274 16WC 03198 MILENKOV, NIKOLA SCOPE ENERGY RESOURCES, I 08/23/15 NILSON STOOKAL GLEASON CAP 275 16WC 03328 HAMPTON, DARIUS THILLENS 08/28/15 BAUM RUFFOLO & MARZAL LTD 276 16WC 03363 SWIDER, ANDREW METROPOLITAN WATER RECLAM 12/30/15 CORBOY & DEMETRIO PC CORBOY & DEMETRIO PC 277 16WC 03394 FITZPATRICK-AVANT, FERN A MOUNT SINAI HOSPITA 09/05/15 CHARLES LEVY & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 278 16WC 03819 TAYLOR, ADRIAN CTA 12/28/15 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 279 16WC 03844 BEITZEL, THOMAS UNITED PARCEL SERVICE 01/25/16 HEALY SCANLON LAW FIRM ASA LAW GROUP 280 16WC 03951 JABLONSKA, HALINA ABM ONSITE SERVICES 07/31/15 ATSAVES, LOUIS G LTD GOLDBERG SEGALLA LLC 281 16WC 04005 KNERR, GLENN L MEADE ELECTRIC 05/30/14 GALLAGHER, DONALD V RUSIN & MACIOROWSKI LTD 16WC004006 -C 16WC004007 -C 282 16WC 04089 SEPULVEDA, SALVADOR AMERICAN AIRLINES 11/19/15 ALAN A BLUM, PC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 16WC 04147 DELGADO, JUAN POWER STOP LLC 11/30/15 LAW OFFICES JOSEPH MARCINIAK 284 16WC 04286 LICCIARDI, LOUIS E IL DEPT OF TRANSPORTATION @ 01/11/16 MICHAEL HELLMAN ILLINOIS ATTORNEY GENERAL 285 16WC 07609 CARLSON, GERALD LAKE POINT TOWERS 05/09/14 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 286 16WC 11473 HERNANDEZ, RICARDO RT RODRIGUEZ TRUCKING 09/19/14 LEONARD LAW GROUP LLC ROSARIO CIBELLA 287 16WC 11511 ROMAINE, DANIEL CITY OF CHICAGO-DEPT OF 02/18/16 O'CONNOR & NAKOS 288 16WC 11623 PUCCIO, ROBERT H JOJO'S RESTAURANT 10/22/15 ROBERT EDENS KEEFE CAMPBELL & ASSOC LLC 289 16WC 11929 PIMENTEL, ALBERTO ADVANCED AUTO PARTS 04/12/16 BERG & BERG 290 16WC 11955 NELSON-DANLEY, CRYSTAL Y COOK DUPAGE TRANSPORT CO 02/09/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 291 16WC 12266 MENCONI, MARCO IMPERIAL CONSTRUCTION 03/17/16 RUBIN LAW GROUP BRYCE DOWNEY & LENKOV LLC 292 16WC 12293 ALVAREZ, FERNANDO ALPHA BAKING CO., INC. 03/16/16 BERG & BERG MACIOROWSKI SACKMANN & ULRIC 293 16WC 12389 MATSUMOTO, MARJORIE AMERICAN AIRLINES 06/01/14 ROSS TYRRELL 294 16WC 12428 DAVILA, ANTONIO PLOY SCIENCE CORP 03/29/16 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 295 16WC 12448 SOSA, MARIA PANDA EXPRESS 01/19/15 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 296 16WC 12548 BHARDWAJ, RAJIV OHARE AIRPORT HOTEL LLC 03/01/16 FRIEND LEVINSON & BERGAL INMAN & FITZGIBBONS 297 16WC 12688 GUTIERREZ, JORGE L ALLIANCE STAFFING 03/29/16 THE ROMAKER LAW FIRM NEWLAND & NEWLAND 298 16WC 12751 ZARATE, DANIEL LABOR NETWORK, INC. 03/23/16 DEPAOLO ZADEIKIS GORE ROBERT L. SMITH 299 16WC 12821 JACKSON, CRANDALL CITY OF CHICAGO 01/10/16 SALVATO & O'TOOLE CITY OF CHICAGO 300 16WC 12928 MOTISI, JOAN ST XAVIER UNIVERSITY 02/19/16 ROMANUCCI & BLANDIN LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 16WC 12972 CLARK, WANDA D UNIVERSAL PROTECTION SVCE 04/19/16 GOLDSTEIN AIOSSA & GOOD SPIEGEL & CAHILL, PC 302 16WC 13107 IBARRA, JOSE ELITE STAFFING, INC. 04/06/16 SANDMAN LEVY & PETRICH 303 16WC 13496 FREEMAN, FREDDIE KOCH FOODS, INC. 04/19/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 16WC013623 -C 304 16WC 13540 JOHNSON, EDMUND UNIV OF CHICAGO HOSPITALS 02/01/15 PORRO NIERMANN LAW GROUP 305 16WC 13661 COATES, PATRICIA CTA 02/10/16 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 306 16WC 13799 BUTRUS, TONY HARBADQ CARRIER, INC. 04/15/16 MINKOW DOMIN KOPKA, PINKUS DOLIN, PC 307 16WC 13831 MONTILLA, ANTHONY CITY OF CHICAGO 01/05/16 PHILLIP FARINA CITY OF CHICAGO 308 16WC 13870 ROA, RHODORA MADDEN CENTER HEALTH CENT @ 08/30/15 SKLARE LAW GROUP ILLINOIS ATTORNEY GENERAL 309 16WC 13888 BRAGG, MARC CHICAGO TRANSIT AUTHORITY 03/16/16 LAW OFFICE OF KEVIN O'BRIE CHICAGO TRANSIT AUTHORITY 310 16WC 14209 MERKEL, JANINE EXEC OF TH CITY OF CHICAGO 04/07/16 WHITESIDE & GOLDBERG LTD 311 16WC 14289 RILEY, PATRICK CHICAGO TRANSIT AUTHORITY 02/19/16 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 312 16WC 14575 BROWN, TRUMAN KOCH FOODS 02/15/16 SHEA LAW GROUP MACIOROWSKI SACKMANN & ULRIC 313 16WC 14648 MORA, MARGARITO VPC ROSEMONT PIZZA, LLC 09/13/15 HORWITZ HORWITZ & ASSOC 314 16WC 15051 JACKSON, GENE METROPLEX INC 02/09/15 315 16WC 15094 WHITE, BRANDON COSMOPOLITAN TEXTILE RENT 04/22/16 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 16WC 19776 RAINEY, MARGO UNIVERSITY OF ILLINOIS AT 02/08/16 DEPAOLO ZADEIKIS GORE 317 16WC 21656 SMITH, ALBERTA CDT-COOK DUPAGE TRANSPORT 05/10/16 GORDON & CENTRACCHIO LLC HENNESSY & ROACH PC 16WC021657 -C CDT - COOK DUPAGE 318 16WC 21883 ROGUS, STEVE KINDER MORGAN 06/14/16 PARENTE & NOREM PC SPIEGEL & CAHILL, PC 319 16WC 22015 GALLO, VINCENT BENNET & BROSSEAU ROOFING 10/21/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 320 16WC 22058 VILLANUEVA, CARLOS O'LEARY PAINTING COMPANY 04/26/16 CULLEN HASKINS NICHOLSON 321 16WC 22066 NIETO, MARA ACE COFFEE BAR 07/02/15 JOHN J CASTANEDA ACCIDENT FUND HOLDINGS 322 16WC 22207 JETT, CONSTANCE CHIACGO TRANSIT AUTHORITY 07/07/16 LEO ALT CHICAGO TRANSIT AUTHORITY 323 16WC 22274 LINARES, MICHAEL A. FRONTIER CONSTRUCTION 07/07/16 CRONIN & PETERS HOLECEK & ASSOCIATES 324 16WC 22310 MORENO, AGUSTINA ST PAUL'S HOUSE & HEALTH 04/09/16 FAJARDO LAW GROUP BRADY CONNOLLY & MASUDA PC 325 16WC 22406 SIMMONS, MARK SPECTRUM SHOW SERVICES 05/23/16 JASINSKI, GEORGE J HENNESSY & ROACH PC 326 16WC 22438 SOTO-BETANCOURT, ANTONIO PACIFIC TRAILER REPAIR SE 06/29/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 327 16WC 22455 MADRIGAL, RAUL TRUFAB GROUP USA LLC 05/26/16 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 328 16WC 22630 MONGE, ANITA D PRESENCE RESURRECTION 07/10/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 329 16WC 22684 VALENTE, JAMES N FORD MOTOR STAMPING PLANT 06/01/16 O'CONNOR & NAKOS 330 16WC 22754 HERNANDEZ, VERONICA HARRIS AND HARRIS 07/06/16 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 331 16WC 23008 KUBICZ, MIROSLAW PEXCO LLC 06/25/16 NEMEROFF LAW OFFICES 332 16WC 23061 PAVLENKO, YAROSLAV JKC TRUCKING, INC 07/25/16 MICHALSKI & GUBERNAT NYHAN BAMBRICK KINZIE & LOWR 333 16WC 23084 MC REYNOLDS, PATRICIA J REGIS CORP 04/04/15 NILSON STOOKAL GLEASON CAP ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 16WC 23090 ESCHENLOHR, APRIL RAILA 7 ASSOC PC 07/15/16 335 16WC 23134 VELEZ, ISRAEL WATERS TRUCKING, INC 03/15/16 COSTA IVONE LLC 336 16WC 23190 FEASTER, BRYANT GREAT LAKES COCA COLA 05/27/16 JOHN C SERKLAND NYHAN BAMBRICK KINZIE & LOWR 16WC024728 -C COCA-COLA REFRESHMENTS 18WC009660 -C 18WC021137 -C 337 16WC 23247 DAKER, MARYANN COOK COUNTY SHERIFF'S DEP 07/25/16 GORDON LAW OFFICES LTD STATES ATTORNEY OF COOK COUN 338 16WC 23266 HERNANDEZ, CARMELINA ELITE STAFFING 06/17/16 DEPAOLO ZADEIKIS GORE 339 16WC 23287 BALUK, JOSEPH COOKCOUNTY SHERIFF DEPT-D 06/28/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 340 16WC 23450 WILLIAMS, ROGER D THE HABITAT COMPANY LLC 02/01/16 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 16WC023651 -C 17WC000442 -C 341 16WC 23493 MORENO, EDITH FLASH TACO 06/13/16 342 16WC 23640 MORENO, GLORIA QBE AMERICAS, INC. 04/11/16 LAW OFFICE OF ROBERT J. IR 343 16WC 23662 WATSON, BENITA N ARAMARK CORPORATION 07/18/16 ANKIN LAW OFFICE 344 16WC 23835 WALL, DARRYL DIMENSION CRAFT INC 03/01/15 KROL BONGIORNO & GIVEN LTD GILDEA & COGHLAN 345 16WC 23968 MARSHALL, RONALD ATKOR INTERNATIONAL 07/26/16 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 16WC038706 -C 346 16WC 24006 MARIANI, MICHAEL F. H. PASCHEN 07/06/16 STUART H GALESBURG BRADY CONNOLLY & MASUDA PC 347 16WC 24095 OLECHNO, OSCAR DAYA RESTAURANT MGT, INC. 07/05/16 CIARDELLI CUMMINGS CAMPAGN RUSIN & MACIOROWSKI LTD 348 16WC 24112 MARTINEZ, RICHARD CHICAGO TRANSIT AUTHORITY 07/07/16 STEPHEN G PINTO LTD CHICAGO TRANSIT AUTHORITY 349 16WC 24134 PEOPLES, DEREK D XYLEM, INC. 07/19/16 CAMERON CLARK POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 350 16WC 24153 STEWART, DENITA UNIVERSAL PROTECTIVE SERV 06/26/16 BRISKMAN BRISKMAN GREENBER 351 16WC 24179 FRANCO, ISABEL PACTIV 10/17/14 ROSENFELD HAFRON SHAPIRO F 352 16WC 24408 LEWIS, JAYLA NETWORK INNOVATIONS, INC. 05/10/16 CUDA LAW OFFICES COZZI & GOGGIN-WARD 353 16WC 24460 DAVIS, DIANE PARKER CRONWELL 03/20/16 GOLDBERG WEISMAN & CAIRO L ROBERT L. SMITH 354 16WC 24748 POZZI, LISA COMMUNITY CONSOLIDATED 03/15/16 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 355 16WC 24852 MCADAM, AMANDA SCRANTON GILLETTE 01/10/12 ROCK FUSCO & CONNELLY 356 16WC 24884 YEEND, DAVID ST OF IL DEPT OF 08/07/16 CUDA LAW OFFICES ILLINOIS ATTORNEY GENERAL 357 16WC 24910 ROSS, VALENCIA COOK COUNTY PUBLIC DEFEND 12/31/15 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 358 16WC 25072 URYASY, PAUL RTC 07/21/16 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 359 16WC 25426 HERNANDEZ, ADALBERTO ZF LEMFORDER 09/09/15 WILLIAM B MEYERS, LTD KEEFE CAMPBELL & ASSOC LLC 360 16WC 26410 BRADFIELD, YAKENA CTA 08/22/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 361 16WC 31132 UBILES, TOMAS T FERRARA CANDY CO 09/22/16 CHRISTIAN & MANNO HOLECEK & ASSOCIATES 362 16WC 31841 COLLINS, DEREK J PALMER HOUSE HILTON HOTEL 01/19/16 ELFENBAUM EVERS & AMARILIO NOBLE & ASSOCIATES PC 363 16WC 32091 MCGILL, RENATA BROOKDALE SENIOR LIVING 07/31/16 LAW OFFICE OF SCOTT B SHAP ROSARIO CIBELLA 364 16WC 32164 WELCH, ARTIS 1 TEMP HOME ENERGY 09/22/16 LAW OFFICES MICHAEL HELLMA 365 16WC 32191 PEREZ, FRANCISCO RESERVE MANAGEMENT GROUP 07/11/16 RAYMOND M SIMARD, PC 366 16WC 32370 MORALES, ROGELIO SWIFT TRANSPORTATION CORP 09/16/16 RAYMOND M SIMARD, PC WIEDNER & MCAULIFFE LTD 16WC032371 -C 367 16WC 32549 WALKER, BILLY ARMSTRONG PROFESSIONAL GL 06/18/16 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 368 16WC 32589 NICKENS, DEBRA UNILEVER 04/01/16 STEPHEN G PINTO LTD WIEDNER & MCAULIFFE LTD 369 16WC 32609 SICILIANO, JOSEPH CITY OF CHICAGO 07/14/16 KARCHMAR & STONE HENNESSY & ROACH PC 370 16WC 32828 URZEDOWSKI, LESTER DANIEL LISTON CONSTRUCTIO 07/20/16 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 371 16WC 32883 ESTEBAN, ROSALIA EL MILAGRO, INC 10/11/16 SALK, STEVEN B & ASSOC LTD 372 16WC 32951 MOU, XINLIYU YU'S MANDARIN 07/10/16 SCOTT BARBER RUSIN & MACIOROWSKI LTD 373 16WC 32975 GONZALEZ, JUAN SBK BUILDING RESTORATION 10/07/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 374 16WC 33233 CAPUTO, DOMINIC V VILLAGE OF BARRINGTON HIL 06/05/16 LAW OFFICE MICHAEL M WOJIT RUSIN & MACIOROWSKI LTD 375 16WC 33263 BLAND, ANDRE P COOK COUNTY DEPT OF CORRE 05/18/16 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 376 16WC 33468 GREEN JR., DAVID FORD MOTOR CO 09/09/16 FOHRMAN, DONALD W & ASSOCS 377 16WC 33501 DUAMROH, ANNA CAMELOT SCHOOLS 09/22/16 WOODRUFF & JOHNSON JOSEPH MARCINIAK 378 16WC 33536 TUCKER, ARLISA JOHN H STROGER 06/26/16 STEVEN J MALMAN & ASSOCIAT STATES ATTORNEY OF COOK COUN 379 16WC 33564 CABALLERO, JOSE D WABASH SEAFOOD COMPANY 06/20/16 CULLEN HASKINS NICHOLSON 380 16WC 33606 OCASIO, JONATHAN SHERIFF'S OFFICE OF COOK 09/24/16 LAW OFFICES PETER LEKAS STATES ATTORNEY OF COOK COUN 381 16WC 33747 LOPEZ, JOSE L AMERICAN UNITED TAXI 09/25/16 STEPHEN G PINTO LTD 382 16WC 33960 VARGUEZ, SALOMON CHI CARGO 06/24/16 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 383 16WC 34049 BUDZ, JOE ADVANTAGE CHEVROLET 09/15/16 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 384 16WC 34212 GARCIA, RUBEN GROOT INDUSTRIES, INC 04/07/16 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD 385 16WC 34265 RAMCHOUN, MOHAMID SUN TAXI ASSOCIATION 11/05/16 KARNO, MARK L & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 16WC 34360 BOONE, ALISA F CHICAGO BOARD OF EDUCATIO 03/15/16 ROSS TYRRELL 387 16WC 34405 OLADELE, OLUWASEUN YELLOW CAB COMPANY 10/23/16 MANDELL, GREGG 388 16WC 34535 SLEDGE, DIANA ADVOCATE HEALTH CARE 04/25/16 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 389 16WC 34554 JACKSON, BOBBY ABF FREIGHT SYSTEMS 05/09/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 390 16WC 34730 BELL, GREGORY CITY OF CHICAGO 10/05/16 BAUM RUFFOLO & MARZAL LTD 391 16WC 36132 ZIRKELBACH, MICHAEL L SUPERIOR FLOOR COVERING, 09/22/16 GOLDBERG WEISMAN & CAIRO L 392 17WC 00573 MENCONI, MARCO METROPOLITAN STEEL, INC 02/17/15 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 393 17WC 01456 QUINLAN, TARA GLENVIEW PARK DISTRICT 04/22/16 KARCHMAR & STONE HENNESSY & ROACH PC 394 17WC 01478 AVILA, EDGAR 3 TIER COMMUNICATIONS LLC 10/11/16 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 395 17WC 01569 SURDYK, DANIEL CITY OF CHICAGO 12/12/16 DUDLEY & LAKE LLC 396 17WC 01755 NORTON, JAMES MEADE ELECTRIC INC. 10/11/16 THE ROMAKER LAW FIRM GILDEA & COGHLAN 397 17WC 01870 RODRIGUEZ, SANTA FEDEX GROUND 12/13/16 COSTA IVONE LLC MCANANY VANCLEVE & PHILLIPS 398 17WC 01913 WILLIAMS, CHARLES CHICAGO TRANSIT AUTHORITY 01/14/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 399 17WC 01961 LANDEROS, THOMAS JR CENTRAL STEEL & WIRE CO 05/23/16 COVEN LAW GROUP 400 17WC 01993 GEORGES, ODISHO DANDANNA 01/01/17 BERNSTEIN, PHILIP L 401 17WC 02064 BUENZOW, KEITH E VILLAGE OF SKOKIE 02/20/15 FIGLIOLI, DAVID VILLAGE OF SKOKIE 402 17WC 02072 HUFF, RONALD STARCOM INTL, INC 12/22/16 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 403 17WC 02213 ASONGWE, FRIDA GRAND PRAIRIE SERVICES 12/20/16 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 404 17WC 02266 ERBY, TIQUNIKA STAFFING NETWORK BURBANK 01/08/17 HERRERA LAW CENTER SLAVIN & SLAVIN 405 17WC 02366 PATRASZEWSKI, LINDA IMAGEWORKS MANUFACTURING 08/16/16 SPIROS LAW PC 406 17WC 02479 TOPPS, VENESTA ADDUS HOME HEALTHCARE 10/24/16 BRISKMAN BRISKMAN GREENBER 407 17WC 02579 SMITH, VALERIE COACH USA-MEGABUS USA, LL 11/06/16 HORWITZ HORWITZ & ASSOC POULOS & DIBENEDETTO LAW 408 17WC 02659 RAFAC, MELISSA NILES ANIMAL HOSPITAL 10/10/16 WOODRUFF & JOHNSON LAW OFFICES JOSEPH MARCINIAK 409 17WC 02796 QUINTON, ANDREW COOKC OUNTY SHERIFF'S DEP 12/14/16 KARCHMAR & STONE STATES ATTORNEY OF COOK COUN 410 17WC 02850 HINOJOSA, JOSE CALUMET PARK WATER DEPART 08/09/16 SMOLER LAW OFFICE, PC 411 17WC 02904 MERAZ, MARIELENA FORD MOTOR COMPANY 01/13/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 412 17WC 02998 LITTERIO, MARK N PAN AMERICAN CONCRETE CO 01/12/17 RUBIN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 413 17WC 03156 WOLONCIEJ, MIROSLAWA HOST INTERNATIONAL, INC 06/04/16 MICHALSKI & GUBERNAT ROBERT L. SMITH 414 17WC 03235 DOMBROWSKI, THERESE UNIVERSITY OF CHICAGO 07/18/14 NICHOLAS ROBERT RECCHIA NYHAN BAMBRICK KINZIE & LOWR 17WC003236 -C 415 17WC 03328 LEAL, GENARO A-OK AUTOMOTIVE 01/18/17 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 416 17WC 03330 RIOS, JUANITA RTS PACKAGING 10/14/16 ACEVES & PEREZ PC HENNESSY & ROACH PC 417 17WC 03370 HOLLOWAY, BRIANA AGB INVESTIGATIVE SERVICE 01/14/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 418 17WC 03428 HERNANDEZ, SIXTO KERRY INGREDIENTS & FLAVO 01/09/17 BAUM RUFFOLO & MARZAL LTD STONE & JOHNSON CHARTERED 419 17WC 03470 WOLAK, SIMON CSL CLIMATE CONTROL CO 01/30/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 420 17WC 03535 MITCHELL, VERNICE DAKKOTTA INTEGRATED SYSTE 05/01/16 SPENCER LAW OFFICES RIPES NELSON BAGGOT KALOBRAT 421 17WC 03585 YATES, KEIA CITY OF CHGO-DEPT OF AVIA 06/18/16 BURNETT & CARON, LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 422 17WC 03651 SOLANO-MIJARES, ROGELIO SENIOR OPERATIONS 06/06/15 STEWART C ORZOFF BRADY CONNOLLY & MASUDA PC 423 17WC 03680 WISZOWATY, ANDRZEJ ERS CONSTRUCTION, INC 01/19/17 ALEKSY BELCHER HENNESSY & ROACH PC 424 17WC 03706 BAILEY, BRANDY UPS 12/13/16 WHITESIDE & GOLDBERG LTD ASA LAW GROUP 425 17WC 03768 BRONSON, MICHAEL FORD MOTOR COMPANY 01/20/17 FOHRMAN, DONALD W & ASSOCS 426 17WC 03922 PATTERSON, YVETTE AMAZON 12/30/16 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 427 17WC 03993 GUERRERO, JOSE ACCURATE PERTITIONS CORP 11/11/16 TAMVAKIS, GEORGE L GAROFALO SCHREIBER STORM 17WC018911 -C 428 17WC 04188 TINSLEY, LATRELL TRACE AMBULANCE SERVICE, 12/02/15 ABELS & ANNES, PC 429 17WC 04258 MONROY, JOSE MAURITZON, INC 05/05/16 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 430 17WC 04280 JACKSON, TIMOTHY FORD MOTOR COMPANY 01/19/17 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 431 17WC 04311 HANSEN, MATTHEW COMMERCIAL CARPET CONSULT 11/23/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 432 17WC 04383 BUCKINGHAM, ARIELL UBER 02/08/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 433 17WC 04496 JELSKI-SCHREIBER, JANET AMERICAN AIRLINES- O'HARE 07/10/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 434 17WC 04518 COLLINS, STEVEN GUARDIAN SECURITY SERVICE 06/15/16 CRONIN & PETERS RODDY LAW LTD 435 17WC 04554 RUIZ, MARTIN ARAMARK 01/29/17 SMOLER LAW OFFICE, PC 436 17WC 08076 MORALES, JUAN GET FRESH PRODUCE INC 01/30/17 LEONARD LAW GROUP LLC POWER & CRONIN LTD 437 17WC 08937 LEWIS, TYRONE HOME JUICE CORPORATION 09/30/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 438 17WC 09404 IRON, LAURA TARGET STORES 01/25/17 LAW OFFICES OF JOSEPH YOUN NYHAN BAMBRICK KINZIE & LOWR 439 17WC 11282 COLLIER, DOROTHY C TENET CONCEPTS LLC 04/06/17 ANKIN LAW OFFICE 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 KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 440 17WC 11472 ELEBY, STEPHEN HOMEWOOD-FLOSSMOOR HIGH S 04/11/17 RIDGE & DOWNES ANCEL GLINK DIAMOND BUSH & E 441 17WC 11728 GLORIA, ADRIANA FLEXIBLE STAFFING 10/07/16 EPSTEIN, JACK R LAW OFFICE 442 17WC 11756 PORYS, MARK CHICAGO TRANSIT AUTHORITY 04/13/17 RIDGE & DOWNES CHICAGO TRANSIT AUTHORITY 443 17WC 11785 DIAZ, CESAR GRECIAN DELIGHT 03/03/17 SEIDMAN MARGULIS & FAIRMAN 444 17WC 11808 SILVA, BENJAMIN COZZINI LLC 03/29/17 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 445 17WC 11816 FALCON, MARIA CHICAGO PARK DISTRICT 03/15/17 CHICAGO PARK DIST LAW DEPT 446 17WC 11839 MATTHEWS, ELAINE SYMPHONY OF CRESTWOOD 01/26/17 ARGIONIS & ASSOCIATES LLC MCCABE KIRSHNER PC 447 17WC 11877 VANROYEN, ROSS TEKNOR APEX 04/23/14 MARINO & SIMONETTI 448 17WC 11901 PRIETO, RAUL SILVA INTERNATIONAL 06/08/16 COSTA IVONE LLC 449 17WC 11985 JOHNSON, BRENT GROOT INDUSTRIES, INC 11/17/16 GOLDBERG WEISMAN & CAIRO L 450 17WC 12038 DELGADO, ALECMAR CHICAGO TRANSIT AUTHORITY 04/14/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 451 17WC 12077 TIGER, THERESA JP MORGAN CHASE 02/23/17 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 452 17WC 12108 ROJAS-CORRERA, ALBERTO NARY'S GRILL & PIZZA 08/05/15 HART & DAVID LLP 453 17WC 12273 WAGNER, MONTE WHITE ARROW 03/05/17 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 454 17WC 12350 DELGADO, ISABEL INTERNATIONAL PAPER 02/03/17 SALVATO & O'TOOLE 455 17WC 12385 BUTLER, LISA CVS HEALTH CORPORATION 12/13/16 EVAN A HUGHES LAW OFFICE HINSHAW & CULBERTSON 456 17WC 12464 FORREST, AHMAL SEAFOOD CITY 03/05/17 MARTIN V KUGIA 457 17WC 12610 LLOYD, WILLIAM E SR. THE HOME DEPOT USA INC 03/29/17 BUDIN LAW OFFICES MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 458 17WC 12627 KING, LATOY MACY'S 02/13/17 VRDOLYAK LAW GROUP LLC ROBERT L. SMITH 459 17WC 12659 WRIGHT, MERCEDES CPS 05/04/16 DWORKIN AND MACIARIELLO 460 17WC 12707 D'APICE, CHRISTOPHER VILLAGE OF FLOSSMOOR 11/21/16 HORWITZ HORWITZ & ASSOC 17WC012708 -C 461 17WC 12749 SHORT, TERRY FORD MOTOR COMPANY 04/03/17 COVEN LAW GROUP 462 17WC 12805 YANKAWAY, DOROTHY MEDSPEED 02/14/17 BIZZIERI LAW OFFICES ACCIDENT FUND HOLDINGS 463 17WC 12857 GAMBOA, LILIANA ABC ACQUISITION CO 02/10/17 KARCHMAR & STONE 464 17WC 12901 COLE, PATRICIA CHICAGO PUBLIC SCHOOLS 04/05/17 HORWITZ HORWITZ & ASSOC LAW DEPARTMENT 465 17WC 12933 RUANO, ANGEL ARWAY CONFECTIONS 04/08/17 MC HARGUE, JAMES P LAW OFF 466 17WC 13023 BUDLOVE, SHAUN TRAVEL CENTERS OF AMERICA 03/24/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 467 17WC 13069 GOARD, TYRONE ARENA FOOTBALL ONE LLC 06/03/16 GORDON LAW OFFICES LTD 468 17WC 13084 GASS-CARASOTTI, ROBIN UPS 02/21/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 469 17WC 13104 WEST, JEFFERY BRUNO'S TUCKPOINTING 08/16/16 KROL BONGIORNO & GIVEN LTD GANAN & SHAPIRO 470 17WC 13155 LUSTIG, EDWARD W CITY OF CHICAGO HEIGHTS 04/08/17 THOMAS W DUDA PETERSON JOHNSON & MURRAY 471 17WC 13295 TRAPP, EDWARD HAYES BEER DISTRIBUTION C 04/12/17 ARNOLD & KADJAN 472 17WC 13442 SON, ANNE PIE & COFFEE, LLC 03/03/17 BELLAS & WACHOWSKI NYHAN BAMBRICK KINZIE & LOWR 473 17WC 13526 WILSON, DARLISA UBER 05/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 474 17WC 13567 ROJAS, GERARDO LANG'S TOWING 01/25/16 MENDOZA LAW PC 475 17WC 13618 SAVAGE, KEVIN RILAN EVENTS SERVICES,INC 06/06/16 TAMVAKIS, GEORGE L COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 476 17WC 13645 MARQUEZ, ARMANDO CHICAGO TRANSIT AUTHORITY 04/20/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 477 17WC 13698 GARCIA, CHRISTOPHER COOK COUNTY SHERIFF'S POL 05/02/17 STEVEN J TENZER, LTD INMAN & FITZGIBBONS 478 17WC 13791 ROACH, MICHELLE CHICAGO TRANSIT AUTHORITY 01/26/17 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 479 17WC 14021 TOMS, SHAWN GREECO AND SONS 11/01/16 MARTIN V KUGIA BRADY CONNOLLY & MASUDA PC 480 17WC 14196 WILHITE, DONALD CITY OF BERWYN 04/15/15 THOMAS A MORRISSEY 481 17WC 14232 EKE-MBAH, LISA JACKSON PARK HOSP & MED C 08/03/16 LEONARD LAW GROUP LLC ODELSON & STERK 482 17WC 14307 LOPEZ, ISMAEL APEK INC 04/17/17 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 483 17WC 14357 HATTRUP, SHAWNEE JEWEL FOOD STORES, INC 04/28/17 SALK, STEVEN B & ASSOC LTD 484 17WC 14489 PONZIANO, THOMAS AMERICAN AIRLINES 04/25/17 ELFENBAUM EVERS & AMARILIO 485 17WC 14526 ROJAS, GERARD THE NEIMAN MARCUS GROUP L 02/23/17 BERNAT & BERNAT PC 486 17WC 14556 ORTIZ, BLANCA LABOR NETWORK 04/24/17 MENDOZA LAW PC 487 17WC 14609 BAUER, WILLIAM COOK COUNTY BOARD UP 04/07/17 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 488 17WC 14709 RIVERA, GUSTAVO L&L HARDWOODS LLC 11/15/16 PATRICIA HARDIMAN LAW OFFI 489 17WC 14760 DE SANTIAGO-DE LA CRUZ, E AUTOMART NATIONWIDE, INC 05/04/17 ANKIN LAW OFFICE RODDY LAW LTD 490 17WC 14779 HERNANDEZ, LUIS AT&T 04/30/17 DAVID W MARTAY HENNESSY & ROACH PC 491 17WC 14886 RUSSELL, LYNN DEPT OF FACILITIES MGMT 04/13/17 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 492 17WC 17573 JAZRAWI, BASHAR NILES TOWNSHIP HS DISTRIC 04/27/17 FISHER & LAMONICA ANCEL GLINK DIAMOND BUSH & E 493 17WC 18593 KELLY, DAVID CTA 06/08/17 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 494 17WC 20070 GASTON, ANGELA FALLAS DISCOUNT STORES 02/20/17 MARC J SHUMAN & ASSOCIATES THOMAS & PORTELA 495 17WC 20304 GARCIA, RODRIGO ELECTRO-MOTIVE DIESEL 07/29/14 GRAUER & KRIEGEL LLC GOLDBERG SEGALLA LLC 496 17WC 21011 ANWAR, MOHAMMED FERRARA CANDY 02/22/17 RANDALL A. WOLFF & ASSOC 497 17WC 21064 ADELKUNLE, JOHNSON ACROSS THE TOWN CAB CORP 05/17/17 LAW OFFICE RYAN ROSENTHAL 498 17WC 21080 CALDERON, JOSE NORTHERN GLASS, INC 05/22/17 GOLDBERG WEISMAN & CAIRO L 499 17WC 21157 MONZON, ALEXANDER CHICAGO TRANSIT AUTHORITY 06/09/17 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 500 17WC 21160 HANNIGAN, TIMOTHY J COOK COUNTY SHERIFF 06/27/17 THOMAS G. RUUD & ASSOCIATE STATES ATTORNEY OF COOK COUN 501 17WC 21204 OROZCO, RAMIRO ELITE STAFFING 06/28/17 DWORKIN AND MACIARIELLO 502 17WC 21246 SALDIVAR, IVAN MECHANICAL SERVICCES 06/21/17 BOTTO GILBERT GILDEA & COGHLAN 503 17WC 21305 PEERCY, GEORGE IL DEPT OF TRANSPORTATION 03/30/17 GREGORIO & MARCO ASSISTANT ATTORNEY GENERAL 504 17WC 21352 LOCONTE, ANTHONY J STERLING MORTON HS DIST 06/09/17 LANZILLOTTI GRIBBEN & MARC 505 17WC 21391 CRUZ, MIGUEL GRECO AND SONS INC 04/11/17 HANNIGAN & BOTHA, LTD ROBERT L. SMITH 506 17WC 21417 VILLEGAS, EVANGELINA RESTAURANT ASSOCIATES 06/14/17 HERRERA LAW CENTER 507 17WC 21453 MUHAMMAD, ALIF JR FORD MOTOR COMPANY 08/01/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 508 17WC 21457 SANCHEZ, ROGELIO BROOKDALE NURSING ASSISTA * 04/26/17 MC HARGUE & JONES ROSARIO CIBELLA 509 17WC 21473 HOLMES, LAURA ARDOGH GLASS, INC 03/18/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 17WC 21508 TRIGG, TIA MIGNON INGALLS MEMORIAL HOSPITAL 05/09/17 KURASCH & KLEIN, LTD NYHAN BAMBRICK KINZIE & LOWR 511 17WC 21536 MENDOZA, AURORA CHICAGO HILTON & TOWERS 04/01/15 SANDMAN LEVY & PETRICH NOBLE & ASSOCIATES PC 17WC021537 -C 512 17WC 21659 MCCLAIN, DAVID ELLIOT THE HOME DEPOT #1906 04/29/17 DREW J FERRACUTI 513 17WC 21686 FIGUEROA, NANCY CLAIRE'S 01/11/17 HERRERA LAW CENTER ARNETT LAW GROUP 514 17WC 21758 BARBER, DARLINE CTA 07/13/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 515 17WC 21798 RUDDY, JAMES UNITED AIRLINES INC. 01/12/17 GREGORIO & MARCO 516 17WC 21890 MELNIC, PATRICIA MCDONALD'S 05/11/17 DWORKIN AND MACIARIELLO 517 17WC 21922 DRANE, DEVONTA C/A LANDSCAPING 07/11/17 POMPER & GOODMAN 518 17WC 21942 WATSON, ERNESTINA ADVOCATE SHERMAN HOSPITAL 07/03/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 519 17WC 22031 BRYANT, CURTIS M2 PROPERTY GROUP, LLC 05/24/17 ASHER, RAYMOND L LTD RUSIN & MACIOROWSKI LTD 520 17WC 22057 WHITE, ACCARDO AMERICAN AIRLINES/L US 07/04/17 DWORKIN AND MACIARIELLO 521 17WC 22101 VASQUEZ, ELMA COOK COUNTY 07/10/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 522 17WC 22141 MUNOZ, ELIGIO CHEP RECYCLED PALLET 07/05/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 523 17WC 22163 WILK, RUSS J&A PALLET CO 02/27/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 524 17WC 22217 LOPEZ, FRANCISCO EDSAL MANUFACTURING 06/26/17 WILLIAM S. WOJCIK LTD 525 17WC 22244 MATHEWS, JOSEPH W TOWN OF CICERO 07/19/17 CRONIN & PETERS DEL GALDO LAW GROUP LLP 526 17WC 22331 MOTA, ESTRELLA LABOR NATION LLC 07/02/17 HORWITZ HORWITZ & ASSOC 527 17WC 22370 CARLSON, JOHN THR PROPERTY MANAGEMENT, 01/31/17 VOGG, MARK J LAW OFFICE MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 17WC 22411 GONZALEZ, JOSE FORD MOTOR CO 06/17/17 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 529 17WC 22444 JACKSON, CURTIS WRIGLEY ROOF TOPS 07/22/17 GESMER & REYNOLDS PC POWER & CRONIN LTD 17WC022445 -C 530 17WC 22467 MUNOZ, GLORIA VICTORIA SECRET STORES LL 07/25/17 HART & DAVID LLP GALLIANI DOELL & COZZI LTD 531 17WC 22496 ZDUNIEWICZ, ZOFIA GENERAL ELECTRIC TRANSP S 03/17/17 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 532 17WC 22541 VALENZUELA, GREGORIO LOW VOLTAGE INDUSTRIES, I 07/03/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 533 17WC 22574 BELMARES, JOSEPH COOK COUNTY SHERIFF OFFIC 06/28/17 LAW OFFICES ROBERT WARSASK STATES ATTORNEY OF COOK COUN 534 17WC 22604 VICTORIA, GUILLERMO JR ELECTRIC MOTOR CORP, C/O 08/04/14 HETHERINGTON KARPEL BOBBER 535 17WC 22642 VERNI, REBECCA SPINE CONSULTANTS, LLC 06/17/15 STROM, NEAL B HOLECEK & ASSOCIATES 536 17WC 22659 MYLES, MINNIE CHILDREN'S HABILITATION C 07/08/17 DWORKIN AND MACIARIELLO 537 17WC 22700 WEHRWEIN, JASON CITY OF CHICAGO 08/28/16 SHANCER, JEFFREY M CITY OF CHICAGO 538 17WC 22781 KELLY, SHAUNA ARETE, LLC 07/22/17 TAXMAN POLLOCK 539 17WC 22893 PATTY, CHRIS LINDAHL BROTHERS 04/13/17 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 540 17WC 22965 LUKASZEWSKI, JOHN W VILLAGE OF STREAMWOOD 11/09/16 COMPTON LAW GROUP 541 17WC 23030 WHITE, SHANICE CHRIST HOSPITAL 01/23/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 542 17WC 23102 MORAN, DIANA MACNEAL HOSPITAL 05/19/17 LAW OFFICES LEONARDO MORAL HENNESSY & ROACH PC 543 17WC 23202 BILLUPS, LATRICE NEW STAR INC 04/11/17 GORDON & CENTRACCHIO LLC 544 17WC 23232 COLLIER, MARIE DAVITA 06/07/17 DWORKIN AND MACIARIELLO 545 17WC 23257 BROWN, KEVOY ELITE STAFFING INC. 07/20/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 546 17WC 23303 LONDON, ROXANNE AT&T INC 06/15/17 GOLDBERG WEISMAN & CAIRO L 547 17WC 23408 REYES, CELSO ALEJANDRO UTICA NATIONAL INSURANCE 06/12/17 EPSTEIN, JACK R LAW OFFICE 548 17WC 23458 HOFMANN, RICHARD INTREN LLC 09/30/15 FRIEND LEVINSON & BERGAL WIEDNER & MCAULIFFE LTD 549 17WC 23500 DWOJAK, URSZULA RUSH OAK PARK HOSPITAL 05/16/17 CUSHING LAW OFFICES ROBERT L. SMITH 550 17WC 23537 DACQUISTO, KELLY ADVOCATE MEDICAL GROUP 01/16/17 LEO ALT NYHAN BAMBRICK KINZIE & LOWR 551 17WC 23569 GLEASON, TIM ESCORZA TILE INC 12/12/16 GREGORIO & MARCO BRADY CONNOLLY & MASUDA PC 17WC023570 -C MR. DAVID'S FLOORING 552 17WC 23600 MANCE, RICKY HOME DEPOT USA, INC 11/20/16 ANKIN LAW OFFICE 553 17WC 23611 VERVILAS, GUS PACE 07/21/17 ARGIONIS & ASSOCIATES LLC 554 17WC 23687 PEREZ, ROSA ARROW PLASTIC 08/07/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 555 17WC 23722 SAUCEDO, RAMIRO ALPHA BAKING COMPANY INC 11/18/16 KRALOVEC & MARQUARD MACIOROWSKI SACKMANN & ULRIC 556 17WC 23738 HIGH, WILLIAM D. SNAK KING 05/15/16 SAUNDERS CONDON & KENNY 557 17WC 23773 GAMBOA, TONANTZIN ENLACE CHICAGO 01/13/17 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 558 17WC 23856 NORWOOD, BRANDON KRUPSKE SPRINKLER SYSTEMS 05/15/17 ROMANUCCI & BLANDIN 559 17WC 23931 ALVARDO, PEDRO VPC PIZZA HOLILDNGS, LLC 07/17/17 HART & DAVID LLP LAWRENCE COZZI - LAW OFFICE 560 17WC 23992 IVERSEN, TRACEY METRO SOUTH MEDICAL CENTE 05/28/17 JONATHAN SCHLACK 18WC002243 -C 561 17WC 24037 BILLOCK, TYRONE CTA 08/15/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 562 17WC 24106 BASILE, VITO UNITED COFFEE SERVICES 04/17/17 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 563 17WC 24138 URBANIAK, SAMUEL TRINITY SVCS, INC 05/24/17 ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 564 17WC 30257 ORTIZ, SAUL CTA 09/28/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 565 17WC 30300 PHILLIPS, LESLIE ACCURATE PERSONNEL SERVIC 10/13/17 LAW OFFICE NICHOLAS H. MIH LAW OFFICES FRANCESCA LARSEN 566 17WC 30375 WILLIAMS, YVONNE TARGET 12/01/16 BAUM RUFFOLO & MARZAL LTD 567 17WC 30402 JONES JR., TIMOTHY BLACK HORSE CARRIERS INC 09/01/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 568 17WC 30431 BAEZ, EDWARD R TGM APARTMENT PARTNERS 09/30/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 569 17WC 30445 BADILLO, ANDRES COOK COUNTY FOREST PRESER 07/24/17 LEONARD LAW GROUP LLC FOREST PRESERVE DIST COOK CO 570 17WC 30477 SIERRA, LETICIA HYATT PLACE O'HARE 09/15/17 ENCINAS & ORNELAS HENNESSY & ROACH PC 18WC010270 -C 571 17WC 30586 HALBERTHAL, JENNIFER STREAMWOOD BEHAVIORAL 11/07/16 GERALD CONNOR MC ANDREWS & NORGLE LLC 572 17WC 30628 WALKER, RENARD PEPSI BEVERAGES CO 09/27/17 MARC J SHUMAN & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 573 17WC 30645 REICH, CATHERINE CITY OF CHICAGO 11/10/16 SEIDMAN MARGULIS & FAIRMAN 574 17WC 30697 HART, JANELL FORD 02/17/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 575 17WC 30734 TORRES, MARIA DE JESUS STAMPEDE MEAT 05/16/17 SHELDON I MINKOW & ASSOCIA GANAN & SHAPIRO 576 17WC 30829 HAYS, GREGORY COOK COUNTY 08/15/16 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 577 17WC 30851 COLLINS, MICHAEL GROUP INC 04/10/17 ANKIN LAW OFFICE MEACHUM & STARCK 578 17WC 30914 BERG, MELANIE S SCHOOL DISTRICT U-46 05/17/17 LEE, MARK N LAW OFFICE 579 17WC 30954 BLAKEMORE, BURNETTE CHICAGO TRANSIT AUTHORITY 09/18/17 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 580 17WC 30985 AGUSI, CHINEDU SOUTH SHORE HOSPITAL 09/17/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 581 17WC 31008 RIVERA, EDWIN JUST MANUFACTURING 10/04/17 DWORKIN AND MACIARIELLO GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 582 17WC 31141 CORTES, ROSAURA STAMPEDE MEAT 08/31/17 STEVEN A CRIFASE, LTD 583 17WC 31164 MONTGOMERY, JOEL EVANGELICAL LUTHERAN CHUR 07/28/17 ANKIN LAW OFFICE 584 17WC 31208 DEMBRY, ANNISSA UPS 10/06/17 LEONARD LAW GROUP LLC ASA LAW GROUP 585 17WC 31233 SOTELO, MARICELA COSTCO 10/08/17 INJURY LAWYERS OF IL GANAN & SHAPIRO 586 17WC 31325 ESTRADA, PHIL FORD MOTOR COMPANY 10/15/17 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 587 17WC 31340 FULTZ, DIAVALON CITY OF CHICAGO 09/18/17 WILLIAM MARTAY 588 17WC 31379 BUTLER, BRENDON M LEONA'S PIZZERIA 09/03/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 589 17WC 31409 DIXON, NICOLE WENDY'S 10/19/17 POLANSKY & CICHON CHTD 590 17WC 31459 EDWARDS, TUWANA A CHICAGO TRANSIT AUTHORITY 10/21/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 591 17WC 31482 IMISHAW, WORKEA G ADVOCATE HEALTH AND HOSPI 06/21/17 CZAPLA LAW NYHAN BAMBRICK KINZIE & LOWR 592 17WC 31499 DIAZ, LEANDRA STATE OF ILLINOIS @ 07/16/15 GRAVLIN, MICHAEL J LLC ASSISTANT ATTORNEY GENERAL 593 17WC 31550 ADETUNJI, MOHAMMED CHICAGO POLO XI, INC 09/14/17 LAW OFFICE RYAN ROSENTHAL 594 17WC 31606 VARGAS, LUCIA MCDONALD'S 08/26/17 CULLEN HASKINS NICHOLSON 595 17WC 31623 HOLLIDAY, RONNIE RCN TELECOM 06/15/17 DAVID W MARTAY LAW OFFICES OF EDWARD J. KOZ 596 17WC 31646 RELF, WALTER CTA CHICAGO TRANSIT AUTHO 10/22/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 597 17WC 31677 DE LA CRUZ, PETRA STAMPEDE MEAT 04/20/17 STROM, NEAL B RODDY LAW LTD 598 17WC 31696 GUSICH, DAVID CASSENS TRANSPORT CO 09/05/15 RUBIN LAW GROUP KNAPP, OHL & GREEN 599 17WC 31712 SLAUGHTER, LEMUEL FORD MOTOR COMPANY 09/01/16 FOHRMAN, DONALD W & ASSOCS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 600 17WC 31729 DUDAS, MICHAEL J CUMMINS INC 09/18/17 ANKIN LAW OFFICE GOLDBERG SEGALLA LLC 601 17WC 31761 WILLIFORD, ANGELA CERMAK HEALTH SERVICES OF 07/20/17 CORNFIELD & FELDMAN STATES ATTORNEY OF COOK COUN 602 17WC 31847 ALAYGODOY, LUCIANO CARNICERIAS JIMENEZ 09/25/17 CARONE LAW OFFICES 603 17WC 31888 BIEL, AMELIA (AKA BIEL, A MONDELEZ INTL 07/14/15 DISPARTI LAW GROUP PA WIEDNER & MCAULIFFE LTD 604 17WC 31910 SCRINA, ANTHONY LOU MALNATI'S 10/16/17 ROSENBERG EISENBERG ASSOC 605 17WC 31951 COLE, RODNEY BLACK HORSE CARRIERS INC 10/16/17 ANKIN LAW OFFICE HINSHAW & CULBERTSON 606 17WC 31974 MOLINA, FRANCISCO AMERICA STEVEN & DORING 03/06/17 DWORKIN AND MACIARIELLO SCHOUEST BAMDAS SOSHEA 607 17WC 32007 QUINTANA, JAMES LOWE ENTERPRISE INC (REH) 07/19/17 RUBENS AND KRESS 608 17WC 32034 LOVE, GREGORY L IL DEPT OF JUVENILE JUSTI @ 10/18/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 609 17WC 32064 MAROLLI, MARJETA LUTHERAN HOME FOR THE AGE 11/24/16 KENNETH C. APICELLA BRADY CONNOLLY & MASUDA PC 610 17WC 32148 ROBERTS, JOSETTE K CTA 10/28/17 CHICAGO TRANSIT AUTHORITY 611 17WC 32203 FRIERI, JACQLYN SEVEN STAR JANITORIAL 08/04/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 612 17WC 32225 STRODE, MELISSA VANEE FOODS 08/08/17 SHEA LAW GROUP SLAVIN & SLAVIN 613 17WC 32306 MATTHIES, KAROLYN ALDI, INC 09/19/15 WITTER LAW OFFICE BRADY CONNOLLY & MASUDA PC 614 17WC 32328 SCARAVALLE, MARIA AMERICAN AIRLINES 10/08/17 TURCYCHUTE LLC 615 17WC 32344 GALVAN, MARCO UPS 07/25/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 616 17WC 32587 DAVIS, STEVEN RANDALL HOUSING AUTHORITY OF COOK 10/23/17 SEIDMAN MARGULIS & FAIRMAN GILDEA & COGHLAN 617 17WC 32617 FRALEY, FRANK ASPHALT SPECIALTY SERVICE 04/25/17 GRAUER & KRIEGEL LLC WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 618 17WC 32716 PHAD, KIM JAECKLE DISTRIBUTORS 07/07/16 WOODRUFF & JOHNSON LAW OFFICES OF EDWARD J. KOZ 619 17WC 32772 HEALY, JAMES CITY OF CHICAGO 05/09/17 CULLEN HASKINS NICHOLSON 620 17WC 32791 WOODWARD, MARTIN A SAFE HAVEN FOUNDATION 07/15/16 DWORKIN AND MACIARIELLO 621 17WC 32808 LEWIS, DAVID LEARN CHARTER SCHOOL 11/01/17 BERG & BERG 622 17WC 32857 GALLAGHER, SHAWN EVERGREEN PARK ELEMENTARY 08/06/14 ASHER, RAYMOND L LTD 623 17WC 32876 GONZALEZ, MIGUEL STAMPEDE MEAT INC 09/22/17 KATZ FRIEDMAN EAGLE ET AL 624 17WC 32954 O'NEAL, NANNETTE LEE ALBERTSON JEWEL/OSCO 09/04/17 DAVID W MARTAY 625 17WC 33014 JOHNSON, TERRY ABC PLUMBING HEATING, COO 11/12/15 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 626 17WC 33048 MEHORCZYK, KARYN WALT'S FOOD CENTERS 09/26/17 SLAVIN & SLAVIN MEACHUM & STARCK 627 17WC 33088 FAHEEM, ABDUL WILLIAM P GRAY ELEMTRY SC 07/06/15 VASILATOS & COTTER LLC 628 17WC 33104 TAYLOR, MICHAEL CTA 10/11/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 629 17WC 33144 ZUCKER, STANFORD TAILORED BRANDS A/K/A 03/13/17 LAW OFFICE ILONKA ULRICH NYHAN BAMBRICK KINZIE & LOWR 630 17WC 33287 GARCIA, MARIA E HARVARD MAINTENANCE INC 09/07/17 STROM, NEAL B 631 17WC 33301 ORDAZ, MICHAEL FEDEX EXPRESS 10/18/17 JOSEPH G HAFFNER LAW OFFIC 632 17WC 33321 ROOSEVELT, DEANES III YRC WORLDWIDE, IN 08/09/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 633 17WC 33411 KELLER, SEAN D RAYNOR DOOR COMPANY 08/07/17 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 634 17WC 33426 WALTER, RONALD ADVANCED AUTO PARTS 09/13/17 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 635 17WC 33443 GOLD, DION RENZO DAIRY 11/06/17 COSTA IVONE LLC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 636 17WC 33468 KERRIGAN, SANDRA IL SECRETARY OF STATE 10/12/16 JOHNSON, MICHAEL D & ASSOC ASSISTANT ATTORNEY GENERAL 637 17WC 33527 ANDERSON, SHANIECE L CHICAGO TRANSIT AUTHORITY 08/10/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 638 17WC 35555 MONTOYA, JOSE JG CARGO TRANSPORTATION 07/06/16 CULLEN HASKINS NICHOLSON 639 18WC 01144 OLSON, JOSEPH CITY OF BLUE ISLAND FIRE 11/22/17 THOMAS W DUDA 640 18WC 01259 LYONS, HOMER III CTA-CHICAGO TRANSIT AUTHO 12/21/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 641 18WC 01287 ZAMUDIO, MARIA BUCIO WORKFORCE 11/29/17 FRIEDMAN & SOLMOR LTD KOREY RICHARDSON LLC 642 18WC 01305 RUSSELL, DARNELL SR SODREL TRUCK LINES INC 12/26/17 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICES 643 18WC 01323 CALI, JOSEPH E JR. VILLAGE OF WHEELING 04/25/16 THOMAS W DUDA KLEIN THORPE & JENKINS LTD 644 18WC 01342 FERNANDEZ, CLETO MIDLAND INDUSTRIES, INC 12/12/17 CHEPOV & SCOTT LLC 645 18WC 01358 WASHINGTON, DYNETTA CHICAGO TRANSIT AUTHORITY 12/13/17 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 646 18WC 01392 MILES, KATRINA MACY'S 05/12/17 WHITESIDE & GOLDBERG LTD ROBERT L. SMITH 647 18WC 01396 PELLECER, JOSE COOK COUNTY 12/28/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 648 18WC 01420 COPELAND, MICHAEL BUSY BEE BOAT & AUTO STOR 01/10/18 GOLDBERG WEISMAN & CAIRO L 649 18WC 01472 PAUL, MICHAEL FREEMAN 01/04/17 WHITING LAW GROUP MC ANDREWS & NORGLE LLC 18WC006760 -C 650 18WC 01494 RODRIGUEZ, STEPHANIE PCC WELLNESS 01/08/18 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 651 18WC 01523 GASKIN, CANDACE COOK COUNTY JUVENILE 12/11/17 BLOCK, KLUKAS & MANZELLA P STATES ATTORNEY OF COOK COUN 652 18WC 01574 JOHNSON, DANIEL G ABLE ENGINEERING SERVICES 06/15/16 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 653 18WC 01644 SCHAMBERGER, ROGER GEORGIA NUT COMPANY 07/15/16 SANDMAN LEVY & PETRICH CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 654 18WC 01669 SIRCHER, GARY R CHASE ENTERPRISES, INC. 08/04/17 RAYMOND M SIMARD, PC HOLECEK & ASSOCIATES 655 18WC 01685 GIBSON, MARSHON FRESNO TRUCKING 01/09/18 DWORKIN AND MACIARIELLO 656 18WC 01734 ASUNCION, NELIA MYD MCDONALDS 12/12/17 FREDRICK B BARDER, LTD 657 18WC 01760 NOBLE, NICOLE SHAY NURSING HEALTH SERVI 01/03/18 PARENTE & NOREM PC 658 18WC 01808 TORRES, ROBERT ENTERFORCE, INC 01/08/18 LEONARD LAW GROUP LLC EDWARD J. KOZEL 659 18WC 01845 COOKS, RICKY B & G EQUIPMENT INC 04/18/17 HART & DAVID LLP 660 18WC 01925 FRAZIER, GLENN UNITED AIRLINES 03/07/17 SAUNDERS CONDON & KENNY 661 18WC 01944 RESULI, NAIL GROUP FOX, INC 03/03/17 ERIC H CHECK, LAW OFFICES 662 18WC 01971 DUNHAM, SCOTT NBC 12/14/17 RUBENS AND KRESS POWER & CRONIN LTD 663 18WC 01991 ROMERO, ELIZABETH MCDONALDS 12/27/17 EDWIN REYES LEGAL GROUP 664 18WC 02010 ACEVEDO, JESSICA VILLANUE FREEDMAN SEATING CO. 09/05/17 EPSTEIN, JACK R LAW OFFICE 665 18WC 02084 ESPINOZA, JOSE L JALPA CONSTRUCTION CORP 10/30/17 BAUM RUFFOLO & MARZAL LTD 666 18WC 02110 CATALANO, RICHARD APS CONSULTING 01/16/18 JOHN E LUSAK HOLECEK & ASSOCIATES 667 18WC 02137 CRUZ, EDUARDO ABM FACILITY SERVICE 01/12/18 COSTA IVONE LLC GOLDBERG SEGALLA LLC 668 18WC 02159 TRAVIS, DAVID J BEDFORD MOTOR SERVICE, IN 01/10/18 TOSCAS, JOHN Z LAW OFFICE WOLFE & JACOBSON, LTD 669 18WC 02265 HILL, ARNOLD CHICAGO TRANSIT AUTHORITY 03/28/17 RIDGE & DOWNES CHICAGO TRANSIT AUTHORITY 670 18WC 02292 LARSON, DANIEL S VILLAGE OF SCHAUMBURG 08/11/17 GRAUER & KRIEGEL LLC MACIOROWSKI SACKMANN & ULRIC 671 18WC 02314 COLLINS, HELEN RICE CHILDREN'S HOME 09/26/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 672 18WC 02369 BADGER, STEVEN MIDLOTHIAN FIRE DEPT 01/16/18 RIDGE & DOWNES 673 18WC 02393 BOVAN, DONOVAN T CITY OF CHICAGO 01/16/18 GOLDSTEIN AIOSSA & GOOD 674 18WC 02417 RIVERO, ANGELICA THE KROGER CO 12/18/17 JOHN S. ELIASIK 675 18WC 02434 WHITE, TAMMY PORTILLO'S HOT DOG LLC 01/18/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 676 18WC 02450 CONLEY, DOMINIQUE AMAZON DISTRIBUTION CTR. 01/20/18 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD 677 18WC 02492 THOMPSON, INGRID AMERICAN AIRLINES 12/18/17 LAW OFFICE OF SCOTT B SHAP 678 18WC 02509 KARPINSKI, ANDRZEJ DF CONSTRUCTION INC 08/12/16 GAUZA LAW OFFICE 679 18WC 02534 MORGAN, DENA GLOBAL AVIATION SERVICES 12/28/17 MARC J SHUMAN & ASSOCIATES 680 18WC 02569 SEKULSKI, JIM RYDER SYSTEM, INC 07/02/16 LAW OFFICES OF MARK SCHAFF HEYL ROYSTER VOELKER & ALLEN 681 18WC 02601 STATEN, DEMETRIUS SB SPECIALTY METALS 12/04/17 TRAPP & GELLER 682 18WC 02703 LOPEZ, ANTONIA RJB PROPERTIES 11/15/17 SALVATO & O'TOOLE HENNESSY & ROACH PC 683 18WC 02781 STRONG, KEITH COOK COUNTY HEALTH DEPT 06/29/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 684 18WC 02808 MAGLIANO, THOMAS CHICAGO PARK DISTRICT 09/19/17 SCHWEICKERT & GANASSIN CHICAGO PARK DIST LAW DEPT 685 18WC 02867 MCCORMICK, CHAD KK STEVENS PUBLISHING COM 01/20/15 KELLY LAW RODDY LAW LTD 18WC015100 -C 686 18WC 02905 LAGUNAS, TOMAS TORTILLERIA ATOTONILCO 12/09/17 SEIDMAN MARGULIS & FAIRMAN 687 18WC 02939 MALDONADO, MARTHA S A DOGS WORLD INC AKA A DO 09/12/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 688 18WC 02975 GUTIERREZ, JAIME SOUTHWEST AIRLINES 01/06/18 ELFENBAUM EVERS & AMARILIO 689 18WC 03010 PACHECO, JORGE LAKESHORE BEVERAGES 07/27/17 FREDRICK B BARDER, LTD LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 690 18WC 03045 HERNANDEZ, MYNOR MUSIC GARAGE CHICAGO 11/07/17 JONATHAN SCHLACK 691 18WC 03109 BIBBS, ASHIKA MONTERREY SECURITY 12/25/17 CELSO FUENTES JR 692 18WC 03154 HAAG, PATRICK CHICAGO TRANSIT AUTHORITY 12/27/17 THE MACK LAW GROUP PC CHICAGO TRANSIT AUTHORITY 693 18WC 03191 SMITH, CAPRICE LITTLE COMPANY OF MARY 10/27/17 ANGELINI & ORI LLC 694 18WC 03209 BLOUNTT, OSCAR LIBERTY BANK 12/18/17 JOHN S. ELIASIK 695 18WC 03215 GONZALEZ, ELBA JIMMY JOHNS 11/29/17 SANDMAN LEVY & PETRICH 696 18WC 03234 KANNEH, MAKEILA ADVOCATE CHRIST MEDICAL C 11/27/16 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 697 18WC 03341 NAJERA, ENRIQUETA CARL BUDDING AND COMPANY 01/24/18 ANKIN LAW OFFICE KNELL & O'CONNOR 698 18WC 03363 JONES, BRIAN TLG LOGISTICS, INC 01/25/18 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 699 18WC 03408 ENGLISH, VERNON FEDEX 09/01/17 MC HARGUE & JONES 700 18WC 03424 FERGUSON, EGO CHICAGO BEARS FOOTBALL 09/01/16 WOLFE LAW PC MC ANDREWS & NORGLE LLC 18WC003425 -C 701 18WC 03436 BROWN, MICHAEL RESTAURANT TECHNOLOGIES 01/22/18 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 702 18WC 03488 CARROLL, CHARLES VILLAGE OF PALATINE 06/01/17 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 703 18WC 03552 TORRES, JOSE M KETCHMARK CUT AND CARE IN 12/24/17 THE ROMAKER LAW FIRM 704 18WC 03671 HILDRETH, CHANDRA COOK COUNTY 06/08/17 EDWIN REYES LEGAL GROUP STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 705 18WC 03694 CLARO, JOCELYN THE RESERVE NETWORK, INC 01/08/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 706 18WC 03716 GREENWOOD, LONZO JEWEL FOODS 09/19/17 SEIDMAN MARGULIS & FAIRMAN 18WC015040 -C 707 18WC 03734 AGYEI, RICHARD Z FORCE TRANSPORTATION 01/05/18 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 708 18WC 03807 SANCHEZ, ERIKA CITY OF CHICAGO 01/18/18 BURNETT & CARON, LTD 709 18WC 03818 LOYD, SONDRA D SKYWEST AIRLINES 01/11/16 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 710 18WC 03837 THAMES, ANDREW H CTA-CHICAGO TRANSIT AUTHO 01/20/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 711 18WC 03876 O'MAHONY, TERRENCE P JEWEL OSCO 11/01/17 O'CONNOR & NAKOS 712 18WC 03979 HUNT, QUADDUS KERRY INGREDIANTS & FLAVO 02/02/18 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 713 18WC 04015 HAMPTON, MELANIE DAVIS STAFFING, INC 01/08/18 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 714 18WC 04047 MOLINA, MARIA ODGEN FOODS @ 01/23/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 715 18WC 04069 SCOTT, ALICIA CTA 02/01/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 716 18WC 04091 WILLIAMS, TRON AEROTEK 01/26/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 717 18WC 04139 GARCIA, JUAN DR PEPPER/SNAPPLE 09/29/17 SAUNDERS CONDON & KENNY 718 18WC 04164 WILSON, SHARI UNIVERSITY OF CHICAGO MED 09/22/17 MC HARGUE & JONES POWER & CRONIN LTD 719 18WC 04182 HERNANDEZ, ROMUALDO CHICAGO SWEETS CONNECTION 12/28/17 CHEPOV & SCOTT LLC 720 18WC 04197 O'BRIEN, ROBINE MIDWEST TRANSPORT, INC 02/01/18 HETHERINGTON KARPEL BOBBER HINSHAW & CULBERTSON 721 18WC 10534 BRUNO, MIRELLA NESTLE HOLDING INC 09/15/15 ARGIONIS & ASSOCIATES LLC NYHAN BAMBRICK KINZIE & LOWR 722 18WC 10634 BUSH, TEMIKA ADVOCATE CHRIST HOSPITAL 01/16/18 JAMES J BURKE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 723 18WC 11075 GUTIERREZ, MARICRUZ ALDI 12/21/17 DAVID SZCZECIN & ASSOC 724 18WC 11146 PURYEAR, LASHUNDA COOK COUNTY SHERIFF'S DEP 01/09/18 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 725 18WC 11163 VAZQUEZ, GERARDO YAFFO, INC 01/29/18 ANKIN LAW OFFICE 726 18WC 11202 PALMER JR, RANDALL GUARDIAN PROTECTION SVCS 10/25/17 KARCHMAR & STONE HENNESSY & ROACH PC 727 18WC 11226 GUTIERREZ, LETICIA ABM 07/24/17 CHEPOV & SCOTT LLC 728 18WC 11250 TAPP, LARRY THE KROGER CO. 10/18/17 FREDERICK & HAGLE GANAN & SHAPIRO 729 18WC 11304 FINDLEY, THOMAS M CLIMATE PROS, INC 10/01/16 THE FITZ LAW GROUP RODDY LAW LTD 730 18WC 11370 REID, JAMES CARDINAL LOGISTICS 12/30/15 KINNALLY FLAHERTY KRENTZ & SMITH AMUNDSEN LLC 731 18WC 11443 BOYD, LAKESHA DIVERSE FACILITY SOLUTION 03/22/18 BRISKMAN BRISKMAN GREENBER BRYCE DOWNEY & LENKOV LLC 732 18WC 11458 MONTANO, GUSTAVO UPS 03/29/18 STEWART C ORZOFF ASA LAW GROUP 733 18WC 11526 FITZSIMMONS, ERIC MATTRESS FIRM 12/30/17 OWENS & LAUGHLIN LLC 734 18WC 11552 ALEXANDER, DEBORAH NORTHWESTERN MEDICINE 10/16/17 MC HARGUE & JONES 18WC011553 -C 18WC011554 -C 735 18WC 11580 MCCULLOUGH, LENA QUALITY BUSINESS SOLUTION 04/07/18 ANKIN LAW OFFICE 736 18WC 11617 GONZALEZ-MARTINEZ, MONICA AUNT MARTHAS 03/12/18 DWORKIN AND MACIARIELLO 737 18WC 11637 DAVIS, MELVIN SODEXCO 07/04/17 DWORKIN AND MACIARIELLO 738 18WC 11655 GATES, VICTORIA JOSEPH ACADEMY, INC 03/07/18 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS 739 18WC 11673 SHAVERS, ROZELLE LOYOLA UNIVERSITY MED CTR 03/08/18 RUBENS AND KRESS 740 18WC 11691 RIPOLI, MICHAEL J CONTINENTAL ELECTRICAL 02/20/18 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 741 18WC 11710 WILLIAMS, KEVIN J COMCAST CORP 04/07/18 ANKIN LAW OFFICE POWER & CRONIN LTD 742 18WC 11738 JONES, LATASHA ADVOCATE LUTHERAN GENERAL 11/13/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 743 18WC 11780 CABRERA, ELSA CITY OF CHICAGO 01/25/18 DWORKIN AND MACIARIELLO 744 18WC 11798 RANDLE, LISA UBER 02/10/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 745 18WC 11872 SALLY JR, PEGGY WALMART 04/02/18 BAUM RUFFOLO & MARZAL LTD GANAN & SHAPIRO 746 18WC 11891 COONEY, KEVIN FRANK COONEY CO, INC 02/14/18 ROMANUCCI & BLANDIN 747 18WC 11924 OSAKUE, STEPHEN I BOBBY WRIGHT COMPREHENSIV 11/21/17 STEVEN J MALMAN & ASSOCIAT BRADY CONNOLLY & MASUDA PC 748 18WC 11948 VILCEK, PETER MIETUS BROS CO. 03/23/18 ANKIN LAW OFFICE MEACHUM & STARCK 749 18WC 11977 MORI, DAMIEN A PULLMAN SUGAR LLC 03/26/18 PHILIP BLOMBERG CAPUANI, FRANK S 750 18WC 12022 KNIGHT, ROBERT ALL TRUCK TRANSPORATION C 10/24/17 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 751 18WC 12059 BALMES, ROBERT AT&T 02/01/17 DANIEL E MURPHY 752 18WC 12078 BROWN, SHERVITA PACE SUBURBAN BUS 12/08/17 SNYDER, JAMES B 753 18WC 12098 KULLICK, LINDAMARIE UNITED CONTINENTAL HOLDIN 08/22/17 BRIAN J MC MANUS & ASSOC, 754 18WC 12119 HALEEM, HESHAM UNITED PARCEL SERVICE 04/20/18 COVEN LAW GROUP ASA LAW GROUP 755 18WC 12143 CIOCHON, DONALD DHL 02/08/18 LEONARD LAW GROUP LLC 756 18WC 12201 THOMAS, GENEVA CTA 04/04/18 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 757 18WC 12218 001 MCCLINTON, CORRINA T NATIONAL EXPRESS TRANSIT 04/08/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 001 17WC015614 -C PACE/COOK DUPAGE 758 18WC 12236 MARRERO, ORLANDO BROOK FURNITURE RENTAL 06/01/16 GOLDSTEIN AIOSSA & GOOD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 759 18WC 12252 ROMERO, YOLANDA RESOURCE MFG/KIK 01/30/18 NEWMAN, BOYER & STAT0HAM 760 18WC 12273 SANTIAGO, JORGE DE QUALITY ASSURANCE HUMAN @ 03/13/18 JAMES ELLIS GUMBINER & ASS SLAVIN & SLAVIN 761 18WC 12302 MCDONNELL, JOHN M VILLAGE OF OLYMPIA FIELDS 07/15/16 SMOLER LAW OFFICE, PC 762 18WC 12321 PANEK, ADAM R RICHELIEU FOODS INC 04/03/17 RANDALL A. WOLFF & ASSOC HOLECEK & ASSOCIATES 763 18WC 12343 CARTWRIGHT, GYPSY NORTHWESTERN MEMORIAL HOS 01/16/18 KUMLIN & FROMM 764 18WC 12378 ABDULLAHI, SHABEEL YELLOW CAB AFFILIATION, I 04/16/18 HETHERINGTON KARPEL BOBBER 765 18WC 12415 DINARDO, LUISA UNITED AIRLINES 02/22/18 JOSEPH J SPINGOLA, LTD 766 18WC 12436 ANANZEH, OSAMA M GLOBAL TRANSPORTATION, LL 01/03/18 GARDI & HAUGHT 767 18WC 12457 LARA, JEANETTE M EXPRESS EMPLOYMT PROFESSI 10/06/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 768 18WC 12484 RZESZUTKO, GERALD UNITED AIRLINES 03/13/17 JASINSKI, GEORGE J 769 18WC 12514 ESCAMILLA, JESSE COMMONWEALTH EDISON 01/31/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 770 18WC 12543 STREB, MARC STATE OF IL 02/28/18 JOHN E LUSAK ASSISTANT ATTORNEY GENERAL 771 18WC 12571 RIKEVIK, RITA FIRST STUDENT 02/15/18 GAINES & GAINES 772 18WC 12605 RIVERA, LUIS CASTWELL PRODUCTS LLC 12/20/16 CHARLES C HARTH 773 18WC 12642 DIRYAWISH, NANCY WALGREENS 02/13/18 WARREN W MARK 774 18WC 12649 DAVIS, WILLIAM JR. CITY OF CHICAGO-DEPT OF B 04/20/18 MANDELL, GREGG CITY OF CHICAGO 775 18WC 12712 WOODARD, VERNESSA BED, BATH & BEYOND 04/19/18 MC HARGUE & JONES KOPKA, PINKUS DOLIN, PC 776 18WC 12736 ANDERSON, MARGARET LOU MALNATI'S PIZZERIA 09/22/17 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 777 18WC 12786 JOHNSON, LAVALE GATE GOURMET 04/25/18 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 778 18WC 12801 IVY, FREDDIE ABM JANITORIAL 04/03/18 DWORKIN AND MACIARIELLO 779 18WC 12818 MAINZ, PHIL COOK COUNTY SHERIFF'S DEP 08/24/17 EFTEKHARI LAW OFFICES STATES ATTORNEY OF COOK COUN 780 18WC 12869 ROHR, JOAN OUR LADY OF RESURRECTION 04/27/15 SLAVIN & SLAVIN GRANT & FANNING 781 18WC 12878 LANDFAIR, CHRISTOPHER CHICAGO HEIGHTS STEEL 04/23/18 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 782 18WC 12898 DELGADO, MIGUEL HERNANDEZ UPS 01/04/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 783 18WC 12902 VEGA, CARLOS CENVEO 06/08/17 LEONARD LAW GROUP LLC 784 18WC 12927 FORD, ANNETTE NIELSEN TV RATINGS 04/24/18 DWORKIN AND MACIARIELLO 785 18WC 12977 MARTENS, EELNA UNITED AIRLINES INC. 08/23/17 CORNFIELD & FELDMAN 786 18WC 13001 SCHMITZ, DAVID UNITED RENTALS 04/25/18 DAPRAT0O, DENNIS KEEFE CAMPBELL BIERY & ASSOC 18WC013002 -C 787 18WC 13016 FREEMAN, LINDA J MV TRANSPORTATION 10/12/17 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 18WC013017 -C 788 18WC 13052 ISLAND, ALEXIS S CONVENANT HEALTHCARE SERV 12/23/17 VITELL & SPITZ LTD 789 18WC 13070 PAVLICA, DAVID M CH HOLDINGS USA INC. 09/15/16 JOHNSON, MICHAEL D & ASSOC HOLECEK & ASSOCIATES 790 18WC 13095 ROQUE, RICARDO FILOTTO CONSTRUCTION, INC 04/13/18 AIOSSA LAW FIRM 791 18WC 13130 WOODWARD, DEANDRE COOK COUNTY-ADULT PROBATI 05/28/17 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 792 18WC 13149 FRAZIER, GLENN UNITED AIRLINES INC. 03/02/18 SAUNDERS CONDON & KENNY 793 18WC 13176 GUINTU, ALLAN P ARHAUS, LLC 01/31/18 ANKIN LAW OFFICE GRANT & FANNING 794 18WC 13198 LIMA MUNOZ, ELIEZER ISMAE FORTUNE RESTORATION PAINT 04/16/18 JOHN S. ELIASIK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 795 18WC 13264 CAMPBELL, CONCHEDA CTA TRANSPORTATION NORTH 02/26/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 796 18WC 13320 VILLEGAS, IRMA PAYLESS SHOE SOURCE 11/16/17 ANSELMO DURAN 797 18WC 13351 ALMANZA, GEORGE VARGAS GROUP, INC 11/06/17 MC HARGUE & JONES 798 18WC 13392 WOODSON, SCOTT COOK COUNTY SHERIFF'S DEP 10/26/16 ELFENBAUM EVERS & AMARILIO STATES ATTORNEY OF COOK COUN 799 18WC 13516 KLINGER, MICHAEL J BLACKWOOD HOLDINGS, LLC 04/17/18 BUDIN LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 800 18WC 13541 ROMERO, ELVIS LEYDEN HIGH SCHOOL DIST 2 03/27/18 FRANCIS J DISCIPIO LAW OFF ANCEL GLINK DIAMOND BUSH & E 801 18WC 13570 HINTON, CHRISTOPHER CLEAR STAFF INC 04/06/18 DWORKIN AND MACIARIELLO 802 18WC 13630 FOULKS, BREONNA ESTATES OF HYDE PARK 04/20/18 DWORKIN AND MACIARIELLO 803 18WC 13652 SAUSTEGUI, JOSE MR BEEF & PIZZA ON 04/26/18 JONATHAN SCHLACK ROSARIO CIBELLA 804 18WC 13663 JOHNSON, ROBERT TAUBENSEE STEEL 04/06/18 COVEN LAW GROUP EDWARD J. KOZEL 805 18WC 13688 SAMUELS, TINA SCR TRANSPORTATION 03/19/18 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 806 18WC 13715 CHUDZYNSKI, ANDRZEJ PROLINE CONSTRUCTION & 04/23/18 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 807 18WC 13749 THUNE, JEFFREY ENVOY AIRLINES 04/25/18 ASHER, RAYMOND L LTD 808 18WC 13772 REILLY, MARTIN J IL TOLL HIGHWAY AUTHORITY 01/23/18 BARRY A KETTER NYHAN BAMBRICK KINZIE & LOWR 809 18WC 13789 BRIANO, MARIO A HORN INC 03/27/18 VRDOLYAK LAW GROUP LLC 810 18WC 13820 FOSTER, RANCES L THE ESTATES OF HYDE PARK 05/02/18 ANKIN LAW OFFICE 811 18WC 13838 KAPP, LAURA JEWEL-OSCO 06/02/17 COVEN LAW GROUP 812 18WC 13862 YOUNG, GREGORY L CHICAGO TRANSIT AUTHORITY 04/22/18 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 813 18WC 13896 MENDZA, JOSEPH CITY OF CHICAGO- DEPARTME 05/03/18 GOLDBERG WEISMAN & CAIRO L 814 18WC 13933 LOPEZ, GUTIERREIZ ROJELIO PEPSI-CO FRITO LAY 02/24/16 MC HARGUE & JONES GILDEA & COGHLAN 815 18WC 13967 MARTINEZ, EVERTO RIVERS RESTAURANT 02/21/18 JONATHAN SCHLACK 816 18WC 13986 SILER, CEDRIC SWIFT TRANSPORTATION 10/04/17 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 817 18WC 14027 NERI, MARILU STAFFING NETWORK 02/07/18 JAMES ELLIS GUMBINER & ASS 818 18WC 14076 SLUSHER, WELLINGTON FEDEX GROUND 02/21/18 GOLDSTEIN BENDER & ROMANOF 819 18WC 14114 AYERS, MESHAWN CITY OF CHICAGO 04/13/18 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 820 18WC 14173 HUTCHINSON, LARRY CTA 04/24/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 821 18WC 14225 ABRUZZO, JOANN COOK COUNTY SHERIFF'S DEP 02/27/18 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 822 18WC 14271 DEBONVILLE, JOHN P CARTER'S INC 03/12/18 CULLEN HASKINS NICHOLSON 823 18WC 14309 FERRELL, DEZHETTE CTA 05/07/18 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 824 18WC 14389 WENKUS, JAMES COOK COUNTY PUBLIC GUARDI 07/05/17 RICHARD E ALEKSY 825 18WC 14452 TELPHIA, PAUL ABF FREIGHT SYSTEM 04/16/18 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 826 18WC 14518 SMITH, WILLIAM SOUTHWEST AIRLINES 05/13/16 GOLDSTEIN BENDER & ROMANOF 827 18WC 14542 LUKAS, TIM ARENA FOOTBALL ONE LLC 03/29/18 GORDON LAW OFFICES LTD 828 18WC 19139 VEGA, FRANCISCO NESTLE PROFESSIONAL BEVER * 06/12/18 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 829 18WC 20685 WILSON, STEVE UPS * 05/31/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 830 18WC 20734 MCCLINTON, STEVEN INGREDION INC * 04/11/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 831 18WC 20756 MARTINEZ, LUIS E SALGADO BERRY GLOBAL * 07/07/18 VASILATOS & COTTER LLC 832 18WC 20820 POWELL-CAMP, JAMIE VILLA AT EVERGREEN PARK * 07/11/18 MC HARGUE & JONES 833 18WC 20836 HOBBS, JAMES CITY OF CHICAGO 06/05/18 VRDOLYAK LAW GROUP LLC 834 18WC 20842 RIOS, MARIA MCDONALD'S * 11/01/16 CULLEN HASKINS NICHOLSON 835 18WC 20860 LABISSONIERE, SHERI UNITED AIRLINES * 05/13/18 CULLEN HASKINS NICHOLSON 836 18WC 20912 DIMMICK, DONNA JOLIET SCHOOL DISTRICT 86 * 05/24/16 HORWITZ HORWITZ & ASSOC 837 18WC 20931 BURRAGE, ANTHONY UPS * 07/11/18 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 838 18WC 20939 REPPEN, REBECCA LUNAN CORPORATION * 01/04/17 ANKIN LAW OFFICE 839 18WC 20952 LUCAS, CARL FORD MOTOR COMPANY * 07/08/18 GOLDBERG WEISMAN & CAIRO L 840 18WC 20975 BALLARD, WILLIAM M MIKE'S MACHINE REPAIR * 03/26/18 O'CONNOR & NAKOS 841 18WC 21006 HUTCHINS, ROSHIVEL FORD MOTOR COMPANY * 06/01/16 DONALD FOHRMAN & ASSOC 842 18WC 21033 COLON, LUIS EMPIRE COOLER SERVICE INC * 04/30/18 ARGIONIS & ASSOCIATES LLC 843 18WC 21126 NAPOLES, MARIA THE BLUE KANGAROO * 05/02/18 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 844 18WC 21159 BUCIO, ELEASER VIENNA BEEF * 05/07/18 COVEN LAW GROUP 845 18WC 21213 VILLAGOMEZ, KAVEN UPS * 02/16/18 NYHAN BAMBRICK KINZIE & LOWR 846 18WC 21228 STROMYER, CHARLES ARDOGH GLASS INC * 07/03/18 DWORKIN AND MACIARIELLO 847 18WC 21262 LIPSEY, LEON CITY OF CHICAGO * 02/23/18 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 848 18WC 21280 TAYLOR, DAVID D ELITE STAFFING, INC * 06/28/18 NILSON STOOKAL GLEASON CAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 849 18WC 21301 CLARK, KARON ADVOCATE CHRIST MEDICAL C * 03/12/18 ANKIN LAW OFFICE 850 18WC 21330 LAMMERTIN, NICOLE UNIV OF CHICAGO HOSPITALS * 08/17/17 MARC J SHUMAN & ASSOCIATES 851 18WC 21346 COTTON, MEGAN CTA * 07/15/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 852 18WC 21370 WILLIAMS, ADAM H&M * 09/17/16 DWORKIN AND MACIARIELLO 853 18WC 21394 ARANA, IZABELLA AMERICAN AIRLINES * 07/13/18 POLANSKY & CICHON CHTD 854 18WC 21427 RIVAS, BARBARA FEDERAL-MOGUL CORPORATION * 10/01/17 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 855 18WC 21462 JORDAN, GRACIE R RUSH OAK PARK HOSPITAL * 03/01/17 SEIDMAN MARGULIS & FAIRMAN 856 18WC 21500 PEREZ, SALVADOR SANTANA ED MINIAT INC * 06/11/18 STEVEN B SALK & ASSOC LTD POWER & CRONIN LTD 857 18WC 21520 CAMARA, LESSZEST S COOK COUNTY JUVENILE DETE * 04/23/18 GARDI & HAUGHT 858 18WC 21551 HERNANDEZ, ALBERTO PIZZANOS * 06/16/18 JONATHAN SCHLACK INMAN & FITZGIBBONS 859 18WC 21574 HERNANDEZ, GUILLERMINA INLAND DIE CASTING * 11/15/16 LARRY FLEISCHER & ASSOCIAT SLAVIN & SLAVIN 860 18WC 21586 HAZLEY, ASHLEY FORD MOTOR COMPANY * 05/21/18 DONALD FOHRMAN & ASSOC 861 18WC 21642 TAVAREZ, JOSE R GREEN-UP LANDSCAPE, INC * 04/27/17 GOLDSTEIN BENDER & ROMANOF 862 18WC 21669 HAGGARD, TISHA COMMAND SECURITY COPORATI * 06/17/18 KATZ FRIEDMAN EAGLE ET AL 863 18WC 21691 HYLEK, MICHAEL UNITED PARCEL SVC * 06/25/18 KUMLIN & FROMM ASA LAW GROUP 864 18WC 21728 PIKUS, ZDZISALW TREVION CARPET & TILE CO, * 07/11/18 DEPAOLO & ZADEIKIS 865 18WC 21763 SIMS, SARETTA CHICAGO PUBLIC SCHOOL * 06/12/18 TAXMAN POLLOCK 866 18WC 21779 BANKS, KIMBERLY AMERICAN AIRLINES/AMR * 07/11/18 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 867 18WC 21796 RACHAL, ANDREW SR. UPS * 05/24/18 SOSTRIN AND SOSTRIN PC 868 18WC 21822 KOZERSKI, BRUCE W USF HOLLAND * 07/12/18 DANIEL PERIASWAMY 869 18WC 21875 MARTINEZ, ANTHONY PRESENCE ST MARY'S HOSPIT * 04/23/18 HORWITZ HORWITZ & ASSOC 870 18WC 21910 REYES, SALVADOR UNIFIED CML * 06/23/18 STANCZAK LAW OFFICES 871 18WC 21961 RODRIGUEZ, ESMERALDA HYATT REGENCY MCCORMICK P * 06/30/18 ELFENBAUM EVERS & AMARILIO 872 18WC 21982 VITAL, MATIAS CASINO * 07/09/18 STROM & ASSOC RIPES NELSON BAGGOT KALOBRAT 873 18WC 22014 BANKS, BEVERLY NORTHWESTERN MEMORIAL HOS * 07/17/18 DWORKIN AND MACIARIELLO 874 18WC 22056 TAYLOR, JALANDA CITY OF CHICAGO * 06/16/18 BURNETT & CARON, LTD 875 18WC 22084 BROWN, AMY UNITED AIRLINES * 04/06/18 LANGENDORF, ROBERT A 876 18WC 22107 JOHNSON, CHARLOTTE NORTHWESTERN UNIVERSITY * 02/03/17 CUDA LAW OFFICES 877 18WC 22125 OSIDELE, ABIODUN DISPATCH TAXI COMPANY * 07/18/18 WEISS & WEISS LAW OFFICES 878 18WC 22145 THOMAS, SERBARBARA HOLY CROSS HOSPITAL * 01/21/18 MARK SCHAFFNER NYHAN BAMBRICK KINZIE & LOWR 879 18WC 22170 LATTBER, BRIAN ADVANCED MAYTAG C/O * 07/13/18 POLANSKY & CICHON CHTD 880 18WC 22189 LUKLAN, TALEE BRIA OF FOREST EDGE * 07/04/18 ROBERT WARSASKI 881 18WC 22228 VEGA, UBALVO A NEW DAIRY * 06/28/18 ANGELINI & ORI LLC 882 18WC 22255 DEVEREAUX, MARIBETH ELK GROVE VLGE PUBLIC LIB * 06/06/18 MINKOW DOMIN JOSEPH MARCINIAK 883 18WC 22296 KAY, ROBERT MAY DECORATING II, INC * 07/09/18 GOLDBERG WEISMAN & CAIRO L 884 18WC 22356 CAMPUZANO, JAVIER COMAST CORP * 05/09/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 885 18WC 22391 MONSY, MORLY JOHN H. STROGER HOSPITAL * 04/26/18 GIACOBBE, THOMAS M 886 18WC 22400 BOLLHEIMER, ANDREW CHICAGO TRANSIT AUTHORITY * 03/21/18 TIMOTHY E. TAKASH CHICAGO TRANSIT AUTHORITY 887 18WC 22419 KULIK, JOHN ABBEY PAVING & SEALCOATIN * 09/21/17 BRYCE DOWNEY & LENKOV LLC 888 18WC 22423 CASTLEMAN, ERNA DRAKE HOTEL * 05/23/18 DAVID W MARTAY 889 18WC 22469 BUTLER, ARNISE DAKOTA INTEGRATED SYSTEMS * 07/19/18 TIMOTHY E. TAKASH 890 18WC 22514 WASHINGTON, CEDRIC HERTZ RENT A CAR * 06/22/18 BRISKMAN BRISKMAN GREENBER 891 18WC 22531 GUZMAN, MARIA ATLAS EMPLOYMENT * 03/04/16 CHEPOV & SCOTT LLC 892 18WC 22558 ORTIZ, DOUGLAS CITY OF CHICAGO WATER DEP * 04/28/17 SEIDMAN MARGULIS & FAIRMAN 893 18WC 22591 DEGAND, DAVID NEWBERRY PLAZA * 07/06/18 SALVATO O'TOOLE FROYLAN 894 18WC 22619 CORTEZ, JOSE M THE DOCK AT MONTROSE BEAC * 07/01/18 CULLEN HASKINS NICHOLSON 895 18WC 22644 THOMAS, GARY GOLD STANDARD BAKING INC * 07/23/18 ANKIN LAW OFFICE 896 18WC 22661 PAYTON, QUIZETT COOK DUPAGE TRANSPORTATIO * 07/19/18 ANGELINI & ORI LLC 897 18WC 22709 MEURK, PEGGY J STARBUCKS * 05/09/17 CULLEN HASKINS NICHOLSON 898 18WC 22744 NARANJO, FERNANDO EXCEL PLUMBING & SEWER SE * 07/17/18 MARKHAM M JEEP & ASSOCIATE 899 18WC 22772 HOLLON, STEVEN YRC FREIGHT * 07/17/18 RIDGE & DOWNES 900 18WC 22815 ARBOGAST, CHARLES ASSOCIATED PRESS * 07/26/18 CAPRON & AVGERINOS PC 901 18WC 22840 CARMONA, GILBERTO ROINS WHOLESALE PRODUCE * 07/10/18 KREITER, BYCK & ASSOC LLP 902 18WC 22872 WATNE, STEPHEN ADVANTAGE AMBULANCE * 03/16/18 THOMAS J STIBERTH LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 903 18WC 22921 FUENTES, GUILLERMINA RON'S STAFFING * 03/27/18 JAUREGUI & ASSOCIATES 904 18WC 22961 ECKHOFF, JORDAN CHICAGO QUARTZ LLC * 02/28/18 COSTA IVONE LLC 905 18WC 22984 HINES, CHERYL PACE * 07/26/18 DWORKIN AND MACIARIELLO 906 18WC 23004 SIGNORE, STEVEN RM OPCO, LLC * 05/19/18 HORWITZ HORWITZ & ASSOC 907 18WC 23024 LOCICERO, CECILIA DAVITA RENAL CARE * 05/08/18 MARC J SHUMAN & ASSOCIATES 908 18WC 23047 BROWN, TAWANA WEST SUBURBAN HOSPTAL * 04/27/18 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 909 18WC 23064 PEREZ, CARLOS GOLD STANDARD BAKING INC * 05/10/18 STANCZAK LAW OFFICES 910 18WC 23091 BURNETT, CAMISHA STAFF SOURCE * 06/22/18 MONDRY & MONDRY 911 18WC 23150 PERRI, JEFFERY P HARTMANN ELECTRIC CO * 12/10/15 BRILL & FISHEL 912 18WC 23178 JOHNSON, MARY SURE STAFF * 07/11/18 JAMES ELLIS GUMBINER & ASS 913 18WC 23199 TRUELOVE, ASHLEY SCHWAB REHABILITATION HOS * 07/30/18 STEPHAN L. HOFFMAN NYHAN BAMBRICK KINZIE & LOWR 914 18WC 23200 REVUELTA, JORGE L GARCIA RESTURANT HOLDINGS LLC * 07/06/18 POMPER & GOODMAN 915 18WC 23240 ORTIZ, VINCENTE ED MINIAT * 05/16/18 VRDOLYAK LAW GROUP LLC 916 18WC 23294 SHIH, JACK YI CHAO CHINA AIRLINES, LTD * 11/14/17 QUINTAIROS PRIETO WOOD & BOY 917 18WC 23317 JACKSON, STEVEN UNITED AIRLINES, INC * 05/19/18 GREGORIO & MARCO 918 18WC 23323 FORT, LA TEISHA N UNIVERSITY OF CHICAGO MED * 07/22/18 DAVID W MARTAY 919 18WC 23352 GUZALDO, CHRIS SWISSPORT CARGO SERVICES, * 05/23/18 ROMANUCCI & BLANDIN 920 18WC 23393 EVANS, ROYCE JMJ TALENT SOLUTIONS * 07/13/18 WITTENBERG DOUGHERTY MAGLI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 921 18WC 23416 LOPEZ, ROCIO BEVOLUTION GROUP * 07/14/18 KATZ FRIEDMAN EAGLE ET AL 922 18WC 23450 ALLY, NADIA JEWEL FOOD STORES INC * 08/21/17 BRADY CONNOLLY & MASUDA PC 923 18WC 23467 BROWN, AUDREY L MACNEAL HOSPITAL * 02/05/18 ANESI OZMON RODIN NOVAK KO 924 18WC 23495 DUARTE, FELIPE HANS NNOMBACH ROOFING & * 07/30/18 EPSTEIN, JACK R LAW OFFICE 925 18WC 23516 MCFALL, WILLIE CHICAGO TRANSIT AUTHORITY * 08/06/18 COSTA IVONE LLC 926 18WC 23529 MUHAMMAD, KHALID GDI INTERGRATED FACILITY * 08/01/18 LEONARD LAW GROUP LLC 927 18WC 23552 MOORE, EDWARD AT&T * 02/19/18 STEWART C ORZOFF 928 18WC 23593 BLONSKI, NANCY UNDERWRITERS LABORATORIES * 10/12/17 NYHAN BAMBRICK KINZIE & LOWR 929 18WC 23622 POLFUS, JULIE JEWEL * 07/23/18 KEVIN O'BRIEN 930 18WC 23642 DIAZ, SULEMA ALDI FOODS, INC * 09/23/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 931 18WC 23678 WEAVER, JAMES UNITED AIRLINES, INC * 07/15/18 GREGORIO & MARCO 932 18WC 23705 FULTON, RHIANNA SUBWAY * 09/10/17 RUSIN & MACIOROWSKI LTD 933 18WC 23725 INIQUEZ, MICHAEL A TOWN OF CICERO BUILDING D * 07/02/18 KOSIN LAW OFFICE LTD 934 18WC 23769 MOTLEY, DIANNA SUPERIOR AMBULANCE SERVIC * 07/29/18 DWORKIN AND MACIARIELLO 935 18WC 23797 JARVIS, PETER WHOLE FOODS MARKET * 04/06/16 HORWITZ HORWITZ & ASSOC 936 18WC 23815 CRAIG, ROBIN L MARIANO'S * 07/17/18 VITELL & SPITZ LTD 937 18WC 23851 APANCIO, FAUSTINA DRIFTWOOD HOSPITALITY MGM * 12/04/17 RUEDA, IVAN A 938 18WC 23879 LAIST, MARK ROSE CARTAGE SVCS * 01/10/18 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 939 18WC 23889 RAYA, VINCENT UPS * 06/20/18 LEONARD LAW GROUP LLC 940 18WC 23913 THOMAS, MARLO CTA * 07/12/18 DWORKIN AND MACIARIELLO 941 18WC 23941 SAUNDERS, KENNETH TAXI TOWN * 06/17/18 VRDOLYAK LAW GROUP LLC 942 18WC 23965 TORRES, ARTURO PARAMOUNT CABLE CONSTRUCT * 12/16/17 JAMES J. GAY 943 18WC 23998 COLEMAN, KIMBERLY NORTHWESTERN MEMORIAL HOS * 10/20/16 MICHAEL HELLMAN 944 18WC 24034 ELERY, NANCY NESTLE USA * 04/04/17 THOMAS LAW 945 18WC 24056 DELAGARZA, BENJAMIN AMERICAN AIRLINES * 06/25/18 JOHN F EICHLER 946 18WC 24080 WILLIAMS, QUENTIN COMCAST CORP * 06/08/18 ANKIN LAW OFFICE 947 18WC 24097 SANCHEZ, ROBERTO JR. 1-800-GOT-JUNK? * 04/01/15 COHN LAMBERT RYAN & SCHNEI 948 18WC 24113 AVILA, BIANCA L LIVE NATION * 07/15/18 GALLAGHER, DONALD V 949 18WC 24143 GUERRERO, FRANK CITY OF CHICAGO * 04/27/18 WILLIAM S. WOJCIK LTD 950 18WC 24161 FALBO, JOHN COOK COUNTY * 08/08/18 WHITESIDE & GOLDBERG LTD 951 18WC 24195 BRAWNER, KENNETH POWER STEP EXTREME PERFOR * 07/14/18 COSTA IVONE LLC 952 18WC 24215 COLEMAN, JENNIFER CITY OF CHICAGO-DEPT OF W * 04/16/18 ARGIONIS & ASSOCIATES LLC 953 18WC 24239 GOINES, EYELYSHA UPS * 08/07/18 DWORKIN AND MACIARIELLO 954 18WC 24271 MORALES, MARGHERITA GOOD EATS RESTAURANT GROU * 05/17/18 FAJARDO LAW GROUP 955 18WC 24293 MILLER, ZACH CHICAGO BEARS FOOTBALL CL * 12/27/15 GORDON LAW OFFICES LTD 956 18WC 24311 BUKSA, WOJCLECH BRUNO'S TRUCKPOINTING INC * 08/07/18 MOGENSEN LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 09/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 957 18WC 24339 OUTLAW, JOWAYN UPS * 08/10/18 DWORKIN AND MACIARIELLO 958 18WC 24362 AVANS, LISA UPS * 06/08/18 SHELDON I MINKOW & ASSOCIA 959 18WC 24464 URBINA, JOSE I&L CONSULTING DBA NUTTER * 06/18/18 GRAZIAN & VOLPE PC 960 18WC 24510 MAGAFAS, ALEC UPS * 07/19/18 DAVID W MARTAY 961 18WC 24570 MAHER, DANIEL ZURICH NA * 01/18/17 INMAN & FITZGIBBONS