ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 97WC 19969 CARRINGTON, DAVID W JP FOODSERVICE 03/21/97 MATTHEW T. GUBBINS PC LIVINGSTONE MUELLER ET AL 03WC026888 -C ST OF IL ILLINOIS DEPARTME 2 00WC 61429 PEARSON, ROY EVENS TRANSPORTATION SERV 09/25/00 GARRISON FABRIZIO & HANSON DAVID M SHIFFER 3 03WC 26987 RITZ, ELIZABETH ST OF IL-DEPT OF CORRECTI @ 04/11/03 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 4 04WC 13698 RIZO, AURELIA ILL STATE POLICE-CRIME LA 01/09/96 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 04WC013699 -C IL STATE POLICE CRIME LAB 04WC013700 -C 04WC013736 -C ILLINOIS STATE POLICE 06WC006834 -C STATE OF ILLINOIS 10WC039044 -C ILLINOIS STATE POLICE- 5 05WC 05593 VOSATKA, FRANK RANGER, INC 02/07/02 BLOCK, BLOCK & KLUKAS P.C. NYHAN BAMBRICK KINZIE & LOWR 6 05WC 35608 BEAVERS, CLIFTON SBC 06/30/05 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 7 06WC 06563 WILLIAMS, AQUILLA K FIVE CONSTRUCTION CORP. 12/11/05 PORRO NIERMANN LAW GROUP GRANT & FANNING 8 06WC 09776 19B-1 MENDOZA, ROBIN PASCH & SON CONSTRUCTION 12/12/05 HORWITZ HORWITZ & ASSOC NYHAN PFISTER BAMBRICK KINZI 9 06WC 25007 SMITH, JODY L DOW CHEMICAL 10/31/05 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 10WC007593 -C 10WC007594 -C 10 06WC 28811 SINAJ, MIKE HINTSCHE FERTILIZER 01/31/05 SCHWICKERT & GANASSIN CAPUANI, FRANK S 11 07WC 42380 HALL, CURTIS K HYDRITE CHEMICAL COMPANY 08/11/06 COHN & COHN COZZI & GOGGIN-WARD 12 07WC 52211 SIBERT, JOSEPH STATESVILLE CORRECTIONAL 11/08/05 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 13 08WC 12792 MINTON, JOSEPH AUTOBAHN COUNTRY CLUB 11/20/07 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 08WC 25684 THOMPSON, BEVERLY A JOLIET TOWNSHIP HIGH SCHO 08/10/07 FABRIZIO, HANSON & PEYLA THOMAS & ASSOCIATES 15 08WC 28581 MILLER, RONALD STATE OF ILLINOIS @ 12/27/05 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 08WC028582 -C 16 08WC 39796 COBB, JACQUELYN M SCHOOL DISTRICT 201-U 01/23/08 CULLEN, HASKINS, NICHOLSON INMAN & FITZGIBBONS 17 08WC 53251 CLAFFY, MILTON TOYS R US 01/09/08 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 18 08WC 54554 RICHARDSON, KEVIN ILLINOIS DEPARTMENT OF @ 10/21/08 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 12WC038471 -C STATE OF ILLINOIS 19 09WC 02676 19B-1 LABOY, LOUIS CASSENS TRANSPORT COMPANY 11/07/08 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 20 09WC 06744 RODEGHERO, ROBERT J CITY OF JOLIET 12/16/08 PATRICIA HARDIMAN LAW OFFI CITY OF JOLIET 13WC025275 -C 21 09WC 14349 PATTERSON, ZIDAR STATE OF ILLINOIS @ 03/06/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 22 09WC 14411 MALECKI, CLYDE COLEMAN FLOOR CO 12/17/08 LEO ALT KNELL & O'CONNOR 23 09WC 18363 THOMAS, JANET DEPT OF HUMANS SERVICES @ 04/16/09 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC021092 -C STATE OF ILLINOIS 24 09WC 21991 SALAS, MAXIMINO JOSE LUIS GONZALEZ @ W 08/24/08 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 25 09WC 23713 ANDERSON, CALVIN DISTRICT OF WILL COUNTY 09/05/08 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 12WC027576 -C FOREST PRESERVE DISTRICT O 12WC027579 -C 15WC035158 -C FOREST PRESERVE DISTRICT 26 09WC 32946 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 06/16/09 ASSISTANT ATTORNEY GENERAL 10WC011534 -C 12WC032769 -C 27 09WC 48109 KEANE, STEPHEN IDOT @ 10/15/09 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENERAL 12WC000213 -C 28 09WC 49653 CRONK, KEVIN DEPENDENT SO KIMBALL HILL HOMES # 03/26/56 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 09WC 53141 GRAY, DEBORAH AM PM 12/15/09 RICHARD E ALEKSY THOMAS & ASSOCIATES 30 10WC 06467 WYNNE, RENEE PROVENA ST JOSEPHS 01/17/10 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 11WC014355 -C 31 10WC 08205 CRAGG, TIM ILLINOIS DEPARTMENT OF 04/02/09 HORWITZ HORWITZ & ASSOC DANIEL SULLIVAN 32 10WC 08319 SMOTHERS, DENZIL WILL COUNTY 04/30/07 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 10WC008320 -C 10WC008321 -C 10WC008322 -C 11WC013197 -C 13WC019566 -C 14WC038763 -C FOREST PRESERVE DISTRICT O 15WC034227 -C 33 10WC 13679 CONTRERAS, ANGELICA FILTRATION GROUP 03/17/10 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 34 10WC 14589 STAHR, BRIAN ILLINOIS DEPARTMENT @ 02/24/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 35 10WC 15004 ROBERTS, ALICIA NURSEPOWER 04/01/10 VRDOLYAK LAW GROUP LLC THOMAS & ASSOCIATES 36 10WC 19486 19B BUSTAMANTE, ANTONIA INSPIRE STAFFING W 05/10/10 STROM, NEAL B SPIEGEL & CAHILL, PC 37 10WC 19642 SANDERS, CLARENCE VILLAGE OF MOKENA 01/15/10 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 12WC038052 -C 38 10WC 21769 ESQUIVEL, GRISELDA SATO LABELING SOLUTIONS 04/20/10 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 39 10WC 35709 BRENCZEWSKI, RAY IL DEPT OF CORRECTIONS @ 11/09/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 40 10WC 39702 SQUARE, LEONARDO TRINITY SERVICES INC 12/25/09 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 41 10WC 41202 KRUC, MARY SUE SILVER CROSS HOSPITAL 08/14/10 JASINSKI, GEORGE J MACIOROWSKI SACKMANN & ULRIC 42 10WC 41609 BAIRD, KEN ILLINOIS DEPARTMENT OF @ 10/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 10WC 44712 19B KING, MICHAEL TURNER INDUSTRIES GROUP 10/11/10 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 44 10WC 48721 ZAKRZEWSKI, STENIA QUANTUM FOODS 11/26/10 MINKOW DOMIN COZZI & GOGGIN-WARD 45 10WC 49078 WILLIAMS-LEWIS, LORRAINE STATE OF ILLINOIS @ 09/23/10 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 46 11WC 00597 MENESES, JUAN M MVP INC 11/29/10 DAVID W MARTAY KOREY LAW LLC 47 11WC 06061 MELENDEZ, SHARON TARGET 09/29/09 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 48 11WC 06127 POULOS, STEVE VILLAGE OF BOLINGBROOK 02/20/08 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 11WC006128 -C 12WC000928 -C 13WC018087 -C 13WC020362 -C 49 11WC 12884 GANZER, RICHARD JR ILLINOIS SECRETARY OF STA @ 02/16/11 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 50 11WC 15540 BRILL, DONALD STATEVILLE CORRECTIONAL @ 09/09/10 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 51 11WC 16452 GAMBOA, VICTOR PROGRESSIVE LOGISTICS SER 02/17/11 GALLAGHER, DONALD V THOMAS & ASSOCIATES 52 11WC 18523 LOZENSKI, RONALD P PARSEC 10/04/10 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 53 11WC 19787 MERCER, PAUL JOLIET TERRACE NURSING HO 03/04/11 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 54 11WC 20027 PALER, ADAM ILLINOIS DEPT OF CORRECTI @ 05/04/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 55 11WC 21048 ORTIZ, CONSUELO C CATTICO INC D/B/A MC DONA 12/10/10 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 56 11WC 21056 SZMERGALSKI, MARK G(SURVI LOCKPORT TOWNSHIP # 12/01/10 BRUGGEMAN HURST & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 11WC 21551 REITZ, KRISTINE L SILVER CROSS HOSPITAL 05/12/11 KROCKEY CERNUGEL COWGILL E MACIOROWSKI SACKMANN & ULRIC 58 11WC 28108 DIAZ, EDUARDO DEER CREEK GOLF CLUB 06/24/11 LAW OFFICES PETER LEKAS CAPUANI, FRANK S 59 11WC 28429 JONES, PHILIP D ENTERPRISE TRANSPORTATION 05/16/11 BARRETT & SRAMEK HENNESSY & ROACH PC 60 11WC 32217 JACOBO, MARIELA KEHE FOOD DISTRIBUTORS IN 08/13/11 EPSTEIN, JACK R LAW OFFICE NOBLE & ASSOCIATES PC 12WC008373 -C 61 11WC 33498 BULMER, PATRICIA (SURV SP COLFAX CORPORATION 06/20/11 VRDOLYAK LAW GROUP LLC THOMAS & PORTELA 62 11WC 34469 PADILLA, CELIA SCHNEIDER LOGISTICS 06/08/11 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 63 11WC 36263 HITE, KRYSTLE STATE OF IL DEPT OF HUMAN @ 07/22/11 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 64 11WC 44675 KURE, JEFFREY FOREST PRESERVE DISTRICT 10/26/11 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 12WC030469 -C 13WC013461 -C 16WC004154 -C 65 11WC 47732 LANGON, SHARON SAMUEL H SHAPIRO @ 11/25/11 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 66 11WC 47836 HOVORKA, ROGER J PLAINFIELD SCHOOL DIST 04/11/11 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM 67 11WC 47862 MEDINA, VICTOR SR AARON THOMAS COMPANY, INC 07/18/11 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 68 12WC 01482 MARTIN, DAVE STATE OF IL/CO @ 12/03/11 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 69 12WC 03755 STOVER, GARY EAGLE EXPRESS LINE 01/26/12 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 70 12WC 03863 CORCORAN, THOMAS JOLIET PUBLIC LIBRARY 10/07/11 NEWMAN, BOYER & STATHAM RIPES NELSON BAGGOT KALOBRAT 14WC009009 -C 71 12WC 04539 PALMER, TARIEA LAKEWOOD NURSING REHAB 12/10/11 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 12WC 06042 GIOVENGO, JERRY MACY'S LOGISTICS AND 11/28/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 73 12WC 07496 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 11/30/10 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 12WC007497 -C 74 12WC 07622 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 09/28/11 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 75 12WC 10199 OWEN, CLYDE UNITED ROAD SERVICES 03/08/12 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 76 12WC 10987 PARISI, LINDA SOI - DEPT OF CORRECTIONS @ 01/16/12 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 77 12WC 11175 THRALL, MICHELLE PREMIER GYMNASTICS 05/19/11 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 78 12WC 11340 LOPEZ, HECTOR HOME DEPOT 02/14/12 GOLDSTEIN BENDER & ROMANOF MC ANDREWS & NORGLE LLC 79 12WC 12250 COLNAR, RON JOLIET SCHOOLS DISTRICT 03/02/11 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 80 12WC 12394 GARCIA, MARTINA WALGREENS 03/09/11 WHITESIDE & GOLDBERG LTD GILDEA & COGHLAN 81 12WC 14398 KLUSKA, CAROL COUNTY OF WILL, ADULT DET 01/12/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 82 12WC 15327 HAKEMAN, VALERIE IROQUOIS MEMORIAL HOSPITA 02/22/11 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 83 12WC 17979 NIEMIEC, DAVID SHAMROCK STAFFING W 02/12/12 DWORKIN AND MACIARIELLO JOHN LEE 84 12WC 19479 COLEMAN, RICKEY STATE OF ILLINOIS @ 05/23/12 BLOCK, KLUKAS & MANZELLA P 85 12WC 19877 RAINEY, MARY SEPTRAN INC 05/22/12 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 12WC034618 -C 86 12WC 22011 BLACK, ROY S ECOLAB 02/03/12 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 12WC 23436 WHITE, JUDY JOLIET SCHOOL DISTRICT 86 09/01/11 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 12WC023441 -C 12WC023442 -C 88 12WC 23509 ZIGMAN, TODD C AT&T 01/27/12 ANKIN LAW OFFICE HENNESSY & ROACH PC 12WC023510 -C 89 12WC 24941 RASKER, PHILIP JACOBSON CO 06/04/12 MCCARRON LAW FIRM, PC CACCHILLO LAW GROUP LLC 90 12WC 26942 BEATTY, BARBARA (MOTHER) GT TRANSPORTING/PABLO GON W 02/14/12 WOODRUFF & JOHNSON 91 12WC 26972 HENDRIX, PAUL ST OF IL DEPT OF STATEVIL @ 06/25/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 92 12WC 30276 CHENEY, KAREN LAKEWOOD NURSING & REHAB 03/01/12 BLOCK, KLUKAS & MANZELLA P RIPES NELSON BAGGOT KALOBRAT 93 12WC 31889 19B MC GEE, KARA SYMPHONY INC 07/10/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 94 12WC 33366 WHITED, RENEE WILL COUNTY SHERIFF'S DEP 08/08/12 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 95 12WC 34352 TANTILLO, PATRICK P T O SERVICES INC 06/02/12 ANKIN LAW OFFICE 96 12WC 36394 DITTMAR, PATRICK M ILLINOIS GAMING BOARD 09/13/12 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 15WC001369 -C 97 12WC 38124 FARMER, TYLER VILLAGE OF COAL CITY 10/06/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 16WC034879 -C FLINT HILLS RESOURCES 98 12WC 38309 NEAL, NORMAN MADDOX BROTHERS W 10/17/12 SKLARE LAW GROUP 99 12WC 38961 MOTSCH, TRACY PRO MOVERS 11/03/12 JOHN E LUSAK GANAN & SHAPIRO 100 12WC 38979 REMINGTON, JERRY NAVISTAR 08/27/12 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 101 12WC 39894 JAMESON, BARBARA PLAINFIELD SCH DIST 202 09/10/12 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 102 12WC 41309 ABERNATHY, PEGGY V CORNERSTONE SERVICES INC 08/02/10 FABRIZIO, HANSON & PEYLA BRADY CONNOLLY & MASUDA PC 103 12WC 42130 GALLO, PHILLIP A FOREST PRESERVE DISTRICT 07/31/12 ANESI OZMON RODIN NOVAK KO 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 ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 12WC 42741 RODRIGUES, VIRGINIA SABOR INTERNACIONAL 11/30/12 JONATHAN SCHLACK RATHBUN CSEVENYAK & KOZOL 105 12WC 43292 BUCKLEY, YALONDA AMERICAN SCHOOL BUS CO 11/06/12 SHELDON I MINKOW & ASSOCIA GALLIANI DOELL & COZZI LTD 106 13WC 00607 CHAVEZ, JOSE GUZMAN METROSTAFF, INC AND VTKK 10/17/12 EPSTEIN, JACK R LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 107 13WC 01126 THOMPSON, LINDA WAL-MART 12/20/11 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 108 13WC 01304 SCHMECKPEPPER, RYAN VILLAGE OF BOLINGBROOK FI 12/09/12 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 109 13WC 02461 MCCORD, RUTY JOLIET PUBLIC SCHOOL 12/18/12 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 110 13WC 03682 19B RIDDICK, GREGORY ST OF IL DJJ IYC JOLIET @ 01/10/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 111 13WC 04853 MARTIN, JAMES BERKOT LTD 09/08/12 NEWMAN, BOYER & STATHAM GANAN & SHAPIRO 112 13WC 05665 ROGERS, HELICE ST OF IL DOC STATEVILLE @ 12/08/12 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 113 13WC 06084 ZANGRI, MICHAEL ROBERT ELLIOT CONSTRUCTIO 01/08/13 PAUL A COGHLAN & ASSOC HENNESSY & ROACH PC 114 13WC 08459 SMITH, EDWARD L PARSEC INDUSTRIES 06/08/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 115 13WC 09827 WEIS, DWAYNE CITY OF JOLIET 02/02/12 HORWITZ HORWITZ & ASSOC KAVANAGH GRUMLEY & GORBOLD 116 13WC 10643 PROWETT, SHANE TRANSPORT ONE, INC. 02/22/13 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 117 13WC 10662 MCGEE, DEVIN T FLEXIABLE STAFFING 11/15/11 GAINES & GAINES GRANT & FANNING 118 13WC 10843 MARTINEZ, ANGELINA ELITE STAFFING INC., 12/20/12 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 119 13WC 11838 JACOBS, JOHN D VILLAGE OF OAK BROOK 08/28/12 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD 120 13WC 12593 MANRIQUEZ, ORALIA KENT PRECISION FOODS INC 01/22/13 JOHN J CASTANEDA MICHAEL BEST & FRIEDRICH LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 13WC 12835 AVALOS, ABEL PHILLIPS HR SHARED SERVIC 08/17/12 EPSTEIN, JACK R LAW OFFICE 122 13WC 12972 WILLIAMS, MARY ANN STATEVILLE CORRECTIONAL C @ 02/13/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 14WC033343 -C 123 13WC 15837 MITCHELL, STACEY TRINITY SERVICES, INC 04/30/13 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 124 13WC 17068 OROZCO, RUTH FOOD 4 LESS 12/28/12 STEVEN J SEIDMAN LAW OFFIC 125 13WC 17825 BROWN, WILLIE STATE OF ILLIONIS @ 03/29/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 126 13WC 18659 MACEDO, JOSE L ALTERNATIVE STAFFING, INC 03/14/13 MC HARGUE & JONES MACIOROWSKI SACKMANN & ULRIC 127 13WC 21274 MUNOZ, CRUZ FILTRATION GROUP 04/10/13 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 128 13WC 23005 KURTYAK, NICOLAS LOCKPORT TOWNSHIP FIRE AN 01/28/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 13WC023006 -C COMMISSIONER LOCKPORT TOWN 129 13WC 24165 CORTES, ARACELI PACTIV PRAIRIE PACKING 11/27/12 SPIEGEL & CAHILL, PC 130 13WC 24450 JONES, GARY CRETE SCHOOL DIST 201 07/15/12 SPENCER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 131 13WC 26268 19B CEPHUS, ALONZO GARDEN OF PRAYER YOUTH CE 09/24/12 YURGINE, JOSEPH THOMAS & ASSOCIATES 132 13WC 27063 BRANDOLINO, MARIANNE STATE OF ILLINOIS @ 07/15/13 SCHWEICKERT & GANASSIN COLIN KICKLIGHTER 133 13WC 27350 FREMPONG, GEORGE AM REGIONAL TAXI/303 TAXI 03/11/13 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 134 13WC 29541 HOMMEMA, THERESA UNITED CEREBRAL PALSY 09/22/10 GALLIANI DOELL & COZZI LTD BRADY CONNOLLY & MASUDA PC 13WC029542 -C 13WC029543 -C 135 13WC 29841 TRUITT, KENDRIC ST OF IL DEPT OF CORRECTI 09/08/13 MINKOW DOMIN COLIN KICKLIGHTER 136 13WC 30282 WINTERFELD, DENISE STATE OF ILLINOIS @ 06/27/13 PETER C KOPOULOS JEANNINE SIMS 137 13WC 31023 IMERI, HASIME TONY'S FINER FOODS 08/31/13 BRIAN J MC MANUS & ASSOC, LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 13WC 31643 OROZCO, IDELFONSO BERGSTROM INC 09/05/13 LAW OFFICES LEONARDO MORAL WOLFE & JACOBSON, LTD 139 13WC 31666 POPPO, ROBERT NATIONAL DCP 08/29/13 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 140 13WC 32877 VITAL, GUADALUPE JOLIET PUBLIC SCHOOL DIST 02/08/13 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 16WC033498 -C 141 13WC 33039 NELSON, WILLIAM CHICAGO HEIGHTS 05/15/12 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 13WC033049 -C 142 13WC 33086 WARCHOLEK, NANCY K BURLINGTON COAT FACTORY 07/16/13 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 143 13WC 33209 MAGAFAS, MICHAEL STREAMLINE CONSTRUCTION 01/27/12 WOLFE LAW PC BRADY CONNOLLY & MASUDA PC 144 13WC 33797 EVANS, CHAMP VILLAGE OF BOLINGBROOK 03/05/13 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 145 13WC 35165 DIETER, NAOMI MC DONALDS 09/18/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 146 13WC 35573 SCULLY, MICHAEL EVERGREEN REAL ESTATE SER 09/19/13 DANIEL J ADLER LAW OFFICE RUSIN & MACIOROWSKI LTD 147 13WC 36990 SALERNO, CHRISTOPHER VILLAGE OF BOLINGBROOK 02/12/13 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 148 13WC 37626 ARROYO, LUIS NEVIN'S BREWING COMPANY 04/04/13 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 149 13WC 38846 TAPIA, BRANDY SHOREWOOD FAMILY DENTAL 09/23/13 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 150 13WC 39172 SCAVNICAR, AGICA PANCON CORPORATION 07/31/12 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 151 13WC 39997 PEREZ, ALVARO MICHAELS 10/03/13 TIMOTHY LAMPINEN EDWARD A PUISIS, LTD 152 13WC 41263 KRUCZEK, ANNA QUANTUM FOODS 08/22/13 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 153 13WC 42154 MROZEK, TERESA ADVENTIST HOSPITAL/HINSDA 11/22/10 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 154 13WC 42485 ALSTON, ALICIA ST OF IL DEPT OF IDFPR 06/17/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 155 14WC 00635 PEREZ, BLANCA STAFFMARK 12/03/13 ALEKSY BELCHER KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 156 14WC 01353 DZIEDZIC, SUZANNE VALLEY VIEW SCHOOL 10/30/13 LAW OFFICES MICHAEL HELLMA KNELL O'CONNOR DANIELWICZ 157 14WC 02001 TORRES, ELADIO MOST VALUABLE PERSONNEL 11/08/13 HORWITZ HORWITZ & ASSOC GRANT & FANNING 158 14WC 02177 WEARY, DWAYNE STATE OF ILL DOC STATEVIL 03/25/11 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 159 14WC 02377 JOHNSON, LAURA A SECURITAS SECURITY SERVIC 09/06/13 FABRIZIO, HANSON & PEYLA INMAN & FITZGIBBONS 160 14WC 04391 CUMMINGS, KATHY STATE OF IL 01/13/14 GOLDBERG WEISMAN & CAIRO L 161 14WC 04398 OEMBLE, MICHAEL GAVILON GRAIN, LLC 02/03/14 MARC J SHUMAN & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 162 14WC 04765 FINSTROM, NORINE ALDI INC 08/03/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 163 14WC 05602 KRIVICKAS, DAVID COUNTY OF WILL 09/16/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 14WC005603 -C 14WC038377 -C 164 14WC 05675 GASCA, MARISOL ELITE STAFFING-BOLINGBROO 12/17/13 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 15WC010023 -C 165 14WC 05839 FRISBY, BETHANY BOLINGBROOK FIRE DEPARTME 12/28/13 THE ROMAKER LAW FIRM POWER & CRONIN LTD 15WC014625 -C 166 14WC 06346 VILLASENOR, MISAEL DEDICATED TCS LLC 03/18/13 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 167 14WC 07247 BOATRIGHT, WILLIAM SEARS 10/09/13 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 168 14WC 08142 EADY, JAMES W ABF FREIGHT SYSTEMS INC 12/15/13 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 169 14WC 08860 ARIAS, MARIA STAFFMARK, INC. 01/10/14 LAW OFFICE OF OSVALDO RODR KEEFE CAMPBELL & ASSOC LLC 170 14WC 09954 RICKEY, JOHNATHAN A MICHAEL ARTS & CRAFTS 01/06/14 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 14WC 12353 LLOYD, DEON STATE OF ILLINOIS @ 01/23/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 172 14WC 12691 BROOKS, HATTIE HQC INC 03/22/14 PORRO NIERMANN LAW GROUP ROSARIO CIBELLA 15WC008905 -C HQC 173 14WC 15293 LUNA, MARTA P BROOKDALE SENIOR LIVING 01/27/14 WOODRUFF & JOHNSON ROSARIO CIBELLA 14WC032362 -C HARBOR CHASE 15WC004654 -C 174 14WC 15979 ALBERTS, JOSHUA IL DEPT OF CORRECTION @ 03/03/14 MILLON & PESKIN LTD ASSISTANT ATTORNEY GENERAL 175 14WC 16320 HAWKINS, SONJA ILLINOIS CENTRAL BUS COMP 04/04/14 JAMES J. GAY MACIOROWSKI SACKMANN & ULRIC 176 14WC 17079 SIKORA, LUKE C NEW LENOX POLICE DEPARTME 05/02/14 TOSCAS, JOHN Z LAW OFFICE 177 14WC 17642 NASH, STEVEN ST OF IL DEPT OF 03/20/14 NEWLAND & NEWLAND COLIN KICKLIGHTER 178 14WC 17886 MCCORMACK, WENDY SILVER CROSS HOSPITAL 09/26/12 WOLFE LAW PC MACIOROWSKI SACKMANN & ULRIC 179 14WC 18687 ESTRADA, JUANITA ALDI 01/14/14 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 180 14WC 19277 LIMBERG, MICHAEL ATS TRANSPORT INC. W 05/13/14 SCHWEICKERT & GANASSIN 181 14WC 20118 STEPANEK, ROBERT IDOT @ 03/07/14 DWORKIN AND MACIARIELLO JEANNINE SIMS 182 14WC 20203 JONES, JOHN P ATLAS VAN LINES & RON TWI 05/21/14 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 183 14WC 20345 ROMERO, NELSON RUANE CONSTRUCTION, INC. 01/31/14 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 14WC020346 -C 184 14WC 20599 BANUELOS, DANIEL DIGIOLA BROTHERS CONTRUCT 05/30/14 THE ROMAKER LAW FIRM CAPUANI, FRANK S 185 14WC 21757 HERNANDEZ, JUAN CARLOS KNEAD DOUGH BAKERY CO, IN 03/23/14 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC 15WC003315 -C 186 14WC 22063 LOZENSKI, RON PARSEC 03/21/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 187 14WC 22106 VITKAUSKAS, JOANNE ESSINGTON PLACE RETIREMEN 10/17/13 GOLDSTEIN BENDER & ROMANOF COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 14WC 22325 PARTILLA, LAVON ST ROSE SCHOOL 12/12/13 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 189 14WC 22855 MROZEK, KIMBERLY TRADER JOE'S 03/29/14 GOLDBERG WEISMAN & CAIRO L 190 14WC 23068 WESTBROOKS, ANTHONY JOLIET STAFFING, LLC 06/17/14 BLOCK, KLUKAS & MANZELLA P WOLF LAW LTD 191 14WC 23192 MORATAYA, WILLIAM ST OF IL DEPT OF 05/15/14 LUIS A ACEVES & ASSOC COLIN KICKLIGHTER 14WC023193 -C 192 14WC 24705 TORRES, ARTEMIO RADIAC ABRASIVES INC C/O 04/27/14 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 193 14WC 24915 ZIMMERMAN, DENNIS OZBURN & HESSEY LOGISTICS 06/20/14 BAUM RUFFOLO & MARZAL LTD SPIEGEL & CAHILL, PC 194 14WC 25113 JOZWIAK, MICHAEL F.T.C. SERVICES, INC. 06/09/14 CRONIN & PETERS GANAN & SHAPIRO 195 14WC 25246 JACQUES, ALBERTINA APL LOGISTICS 01/05/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 196 14WC 25808 BULL, VALERIE D CONSTRUCTION # 06/10/14 FIGLIOLI, DAVID COZZI & GOGGIN-WARD 197 14WC 26130 VILLAMIZAR, LUIS PARAMOUNT STAFFING 07/21/14 GOLDSTEIN BENDER & ROMANOF POULOS & DIBENEDETTO LAW 198 14WC 26269 ELY, DAVID SCHNEIDER NATIONAL 05/19/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 199 14WC 26833 LEE, EILEEN GRAND PRAIRIE TRANSIT 05/19/14 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 200 14WC 26991 GUTIERREZ, SALVADOR ELITE STAFFING 05/12/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 15WC021010 -C 201 14WC 27243 RODRIGUEZ, EFREN DHR INC 06/18/14 DEPAOLO ZADEIKIS GORE CHILTON YAMBERT PORTER LLP 202 14WC 27502 WARD, WILLIE JOLIET PUBLIC SCHOOL 04/14/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 203 14WC 27812 YOUNG, JARRELL JACOBSON WAREHOUSE COMPAN 07/03/14 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 14WC 27831 CROMER, TYLER ALL AMERICAN TREE SERVICE W 07/03/14 WOODRUFF & JOHNSON 205 14WC 27892 GRIMES, RICK L WASTE MANAGEMENT 06/12/14 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM 14WC027899 -C 206 14WC 27944 MCALLISTER, WILLIAM ST OF IL DOC PAROLS @ 06/17/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 17WC010411 -C STATE OF ILLINOIS DOC PARO 207 14WC 29103 GONZALEZ, PABLO INSPIRE STAFFING 10/03/11 LUKE C. ANTONSEN 208 14WC 29207 MARQUEZ, RIGOBERTO EFCO 07/07/14 JOHN E LUSAK GAROFALO SCHREIBER STORM 209 14WC 30626 CLOONAN, BRENDAN M. JEWEL FOOD STORES 11/01/13 GALLAGHER, DONALD V RODDY LAW LTD 210 14WC 30670 PEREZ, ALVARO MICHAEL'S DISTRIBUTION CT 08/22/14 TIMOTHY LAMPINEN 211 14WC 31431 SINGLETON, RICHARD ADVANCE AUTO PARTS 02/18/14 JOHN E LUSAK 212 14WC 32075 GAUREGUI, JOSE SAN JOSE TRUCKING INC 08/04/14 JOHN E LUSAK SCOPELITIS GARVIN LIGHT 213 14WC 32308 SHELTON, ANTWONNE AZZ GALVANIZING INC 08/21/14 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 214 14WC 33177 KENNEDY, JERRY RANDY METRO STAFF INC 07/17/14 THOMAS R LICHTEN ASSISTANT ATTORNEY GENERAL 14WC033178 -C 215 14WC 33181 BUEL, PAUL ALLEY GRILL & TAP HOUSE W 02/28/14 CAMERON CLARK 216 14WC 33718 WATSON, JULIE ENVOY AIR INC 05/11/14 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 217 14WC 35730 LITTLE, RANDY D ADT HOME SECURITY 09/20/14 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 16WC036913 -C ADT 218 14WC 36994 JONES, LORETTA P SILVER CROSS HOSPITAL 10/30/11 MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 14WC 37086 DE LA CRUZ, ROSA ACCURATE PERSONNEL LLC 07/26/14 THE ROMAKER LAW FIRM MC ANDREWS & NORGLE LLC 220 14WC 37403 ALARCON, SARA ELITE STAFFING - BOLINGBR 09/18/14 MC HARGUE & JONES 15WC001575 -C 221 14WC 37842 CABAN-O'KENNARD, MICHELLE ST OF IL DEPT OF 08/27/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 222 14WC 38224 OSTROWSKI, DENNIS CHICAGO BRIDGE & IRON COM 04/04/14 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 223 14WC 38281 BRAUCHLER, WAYNE BOLINGBROOK FIRE DEPARTME 08/11/14 THOMAS W DUDA POWER & CRONIN LTD 224 14WC 38428 HAMILTON, JAMES E THE HOME DEPOT 11/16/11 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 15WC016785 -C 225 14WC 38449 HERZOG, KAY ST OF IL DOC STATEVILLE @ 09/19/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 226 14WC 38494 ROBINSON, SANDRA PRESENCE ST JOSEPH 08/06/14 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 14WC038495 -C 15WC005005 -C 15WC033483 -C 227 14WC 38614 WHITE, CHERYL CORNERSTONE SERVICES INC 09/04/14 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 228 14WC 40301 MORALES, MARTHA PLAINFIELD SCHOOL DIST 20 04/17/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 229 14WC 40328 SAENZ, VICKY IL DEPT OF HUMAN SERVICES @ 07/10/14 GOLDBERG WEISMAN & CAIRO L JEANNINE SIMS 230 14WC 40872 RENDON, CECILIO APEK INC 10/23/14 CARL H EBERT & ASSOC HOLECEK & ASSOCIATES 231 14WC 41040 DURAN, PAULINO ACCURATE PERSONNEL LLC 09/07/14 ANESI OZMON RODIN NOVAK KO MC ANDREWS & NORGLE LLC 232 14WC 41522 GORDON, JOSH FIVE STAR ELITE 10/10/14 WOODRUFF & JOHNSON 233 14WC 41886 STONE, GENE MR TRANSMISSIONS/MILEX 09/14/14 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 234 14WC 42887 LEAL, MARIA PLAINFIELD SCHOOL DIST 20 07/02/14 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 235 14WC 43000 AMARO, LILIANA MCDONALD'S 08/31/14 SALK, STEVEN B & ASSOC LTD QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 14WC 43448 RIOS, JOEL PRIME CUT LAWN CARE 11/07/14 LULAY LAW OFFICES RODDY LAW LTD 237 15WC 00040 AVILA, EDA EDNA NU WAY STAFFING 12/24/14 RUEDA, IVAN A 238 15WC 00263 STADLER, GREGORY R ILLINOIS DEPT OF CORRECTI 12/16/14 DEPAOLO ZADEIKIS GORE JEANNINE SIMS 15WC000264 -C 15WC000265 -C 239 15WC 00562 MARTIN, DANNY MAACO 12/30/14 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 240 15WC 00787 SERRANO, LUIS ANTONIO UNI STAFF INC 12/26/14 ROBIN LAW OFFICE LITCHFIELD CAVO 241 15WC 01495 JENKINS, RICKY NATIONAL DCP LLC 11/07/14 HORWITZ HORWITZ & ASSOC 242 15WC 02610 19B WILSON, CORY CLAUSEN STRUCTURES INC 10/21/14 DUDLEY & LAKE LLC QUINTAIROS PRIETO WOOD & BOY 243 15WC 02628 CRASE, CAROL SILVER CROSS HOSPITAL 11/30/12 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 244 15WC 03439 CARRILLO, FELIPE WORK NOW STAFFING 12/02/14 CULLEN HASKINS NICHOLSON 245 15WC 03610 INCH, GORDON PLAINFIELD MOTOR SERVICE 07/11/13 BLOCK, KLUKAS & MANZELLA P JAMES M KELLY 15WC003611 -C 246 15WC 03681 VALDEZ, JOSEFINA SUBWAY 01/08/15 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 15WC003682 -C 247 15WC 03826 NORRIS, FERRIN CLEAN HARBORS 04/01/13 CUTLER & SILVERGLADE RODDY LAW LTD 248 15WC 04469 CORTES, MARTIN TRIPLE CROWN SERVICES 08/19/14 CHASE & WERNER LTD MCANANY VANCLEVE & PHILLIPS 249 15WC 04741 RILEY, MELISSA SOI/DEPT CHILDREN & FAMIL @ 01/23/15 LAW OFFICE OF BART MARKESE JEANNINE SIMS 250 15WC 04879 CARROTHERS, DARRELL L. STATE OF ILLINOIS DEPT. O @ 09/25/14 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 251 15WC 05568 WADE, YVETTE ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC JEANNINE SIMS 252 15WC 05570 VEAL, HERMAN ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 253 15WC 06322 DIRKINS, CHANDEL CASA MARGARITA 12/18/14 254 15WC 06530 FOX, BERNAL RCI 02/06/15 DWORKIN AND MACIARIELLO 255 15WC 07147 REAVES, NICOLE ALDI 03/25/14 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 16WC017517 -C 17WC030230 -C 256 15WC 07730 MITCHELL, FLOWAYA M SUNNY HILL NURSING HOME 02/06/15 LAW OFFICES MICHAEL HELLMA HINSHAW & CULBERTSON 257 15WC 07747 HOLMAN, JENNEICE JACOBSON WAREHOUSE CO, IN 02/13/15 ANKIN LAW OFFICE CACCHILLO LAW GROUP LLC 258 15WC 07881 GAGE, ARTLEAN ILLINOIS DOC PAROLE 02/25/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 15WC027723 -C ST OF IL DEPT OF 259 15WC 08242 RIZZOTTI, SUSAN COSTCO WHOLESALE 02/09/15 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 260 15WC 08301 19B ADAMSKI, THOMAS HOME DEPOT 01/15/15 LAW OFFICE EDWARD GRAHAM ADELSON TESTAN BRUNDO 261 15WC 08636 MC DONALD, CHARLES D JR UNIFIED CLEAN ROOM 03/05/13 MCNAMARA PHELAN MCSTEEN LL 262 15WC 09299 WHITNEY, WILLIAM ALAN HORTICULTURAL ENTERP 08/08/14 R. MARK MARITOTE PC CAPUANI, FRANK S 263 15WC 09508 GARCIA, JESUS CENTRAL GROCERS INC 06/16/13 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 264 15WC 09645 MCDONALD, JAMES JOLIET HIGH SCHOOL DIST 2 01/20/15 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 16WC019723 -C 17WC014263 -C 265 15WC 10134 PASCUAL, MARIA PSA CARDS 08/05/14 MC HARGUE & JONES GANAN & SHAPIRO 266 15WC 10201 NUNEZ, ELIZAI ELITE STAFFING 03/11/15 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 15WC 10286 BUSTAMENTE, GERARDO JR CENTRAL GROCERS INC 12/15/14 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 16WC005603 -C 268 15WC 10444 KEIGHER, MATT JOLIET FIRE DEPT 09/29/14 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 15WC010732 -C 15WC010733 -C 269 15WC 10472 WILLIAMS, MICHAEL D. YAZMIN TRANSPORTATION, IN 02/26/15 FIGLIOLI, DAVID ALLEN & NEWMAN 270 15WC 10644 HERNANDEZ, MARTIN ARYZTA LLC 09/02/14 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 271 15WC 10761 STOKES, KEVIN D ILL DEPT OF CORRECTIONS 10/01/14 COHN LAMBERT RYAN & SCHNEI JEANNINE SIMS 272 15WC 11397 MINION, MARK ANDY'S FROZEN CUSTARD 02/25/15 DAN COLLINS LAW FIRM HOLECEK & ASSOCIATES 273 15WC 11466 KOUIMELIS, HARRY A MONROE TRANSPORTATION 01/20/14 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 274 15WC 11739 FASANO, DANIEL L PARSEC INDUSTIES, INC. 02/13/15 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 275 15WC 11824 PENNING, JULIE BEAVER CREEK ENTERPRISES 10/24/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 276 15WC 11851 REESE, JERALD D IL DEPT OF CORRECTIONS @ 03/17/15 PATRICOSKI, MARK G JEANNINE SIMS 277 15WC 12087 CARNEY, JOSEPH VILLAGE OF BOLINGBROOK 09/22/14 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 278 15WC 12199 CABRERA, MARINA SONY-DADC 11/26/12 MCNAMARA PHELAN MCSTEEN LL BORGELT POWELL 279 15WC 13005 WILLIAMS, TAWANDA ONE HOP UNITED 12/23/14 DWORKIN AND MACIARIELLO 280 15WC 13363 TYLER, LORETTA MACY'S RETAIL HOLDINGS IN 03/12/15 ANKIN LAW OFFICE ROBERT L. SMITH 281 15WC 13393 MORENO, JULIAN JORGE'S LANDSCAPING 03/29/15 PARENTE & NOREM PC 282 15WC 13556 HEDGE, ELEANOR SILVER CROSS HOSPITAL 11/02/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 15WC014059 -C 283 15WC 13647 TAYLOR, DARRYL MENARDS 02/19/15 BRIAN T MORROW, LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 15WC 13980 MALDONADO, ROCIO MACNEIL AUTOMOTIVE PRODUC 03/25/15 JOHN S. ELIASIK HOLECEK & ASSOCIATES 285 15WC 14037 SMITH, AMANDA M PILOT TRAVEL CENTERS 03/04/14 FABRIZIO, HANSON & PEYLA 286 15WC 14446 TOLIVER, NED RESOURCE EMPLOYMENT 04/13/15 SEIDMAN MARGULIS & FAIRMAN 287 15WC 14610 BARNEY, BROOKE MEIJER 02/19/15 BLOCK, KLUKAS & MANZELLA P KOPKA, PINKUS DOLIN, PC 15WC015263 -C 288 15WC 14764 JONES, KENNEDY JB HUNT 04/04/15 DWORKIN AND MACIARIELLO GRANT & FANNING 289 15WC 15146 MITCHELL, KEITH U.S. HOSE CORPORATION 04/23/15 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 290 15WC 15785 BERGE, ROBERT E STATEVILLE CORRECTIONAL C 06/01/13 RICHARD E ALEKSY COLIN KICKLIGHTER 291 15WC 16189 WAGNON, REBECCA L JOLIET PUBLIC SCHOOLS DIS 05/06/15 PARENTE & NOREM PC ROSARIO CIBELLA 292 15WC 16947 VALENCIANA-GONZALEA, ACEN METRO STAFF INC 07/03/14 BLOCK, KLUKAS & MANZELLA P FRANCIS J DISCIPIO LAW OFFIC 293 15WC 17555 DRAPEAU, DEANNA PLAINFIELD SCHOOL DIST 20 01/12/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 294 15WC 17634 BOURG, THOMAS J CATERPILALR INC 03/18/15 SLAVIN & SLAVIN CATERPILLAR, INC. 295 15WC 17748 SMITH, LORETTA REMPREX 03/11/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 296 15WC 18079 HALL, SCOTT JR. ILLINOIS DEPT OF CORRECTI @ 09/02/14 MC HARGUE & JONES COLIN KICKLIGHTER 15WC018080 -C 297 15WC 19408 MORALSES, ROBIN OSEWGO SCHOOL 09/13/14 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 298 15WC 19744 APRIL, MICHELLE UPS 12/15/14 SEIDMAN MARGULIS & FAIRMAN 299 15WC 20426 HARVEY, TARJI HOME DEPOT DISTRIBUTION C 11/25/14 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 300 15WC 20459 PAIGE, ERIC A AEROTEC ELECTRIC 05/30/15 MEYERS & FLOWERS RODDY LAW LTD 301 15WC 20691 DOESLAERE, AMANDA ILLINOIS IYC @ 05/13/14 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 15WC019820 -C STATE OF ILLINOIS IYC 15WC022067 -C 16WC020395 -C STATE OF ILLINOIS 302 15WC 21081 WINNS, KIMBERLYN TRINITY SERVICES 02/04/15 BRIAN T MORROW, LAW OFFICE BRADY CONNOLLY & MASUDA PC 16WC004350 -C 303 15WC 21095 MONSIVAIS, MARIA VALLEY VIEW SCHOOL DISTRI 05/29/14 RIDGE & DOWNES KNELL & O'CONNOR 16WC017740 -C 16WC020540 -C 304 15WC 21110 AUSTIN, RICHARD STAFFING NETWORK 06/13/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 305 15WC 21288 POTOCKI, RICH ACUREN GROUP 04/15/15 RUBIN LAW GROUP HENNESSY & ROACH PC 306 15WC 21743 GOERS, SABRINA VALLEY VIEW SCHOOL DIST 3 12/10/14 SHEA LAW GROUP KNELL & O'CONNOR 17WC010048 -C 307 15WC 22330 WARD, SHONTA HARBOR CHASE 04/30/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 308 15WC 23499 VINCI, KATHERINE CHIPOTLE MEXICAN GRILL 03/31/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 309 15WC 23686 MUNOZ, ROBERT RYDER 06/18/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 310 15WC 24175 ZINN, SANDRA PRESENCE VILLA FRANCISCAN 07/24/15 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 311 15WC 24429 RODRIGUEZ, ANTONIO NRG ENERGY, INC. 10/04/14 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 312 15WC 24847 FLORES, TABITA JOLIET SCHOOL DISTRICT 86 05/18/15 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM 313 15WC 25035 TAYLOR, DARRYL MENARDS 05/07/15 BRIAN T MORROW, LAW OFFICE 314 15WC 25457 GASHI, ALI CRANE CO C/O C T CORPORAT 12/17/14 HETHERINGTON KARPEL BOBBER SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 315 15WC 25482 KUHEL, ALEX PACTIV 06/14/15 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 316 15WC 25915 FIFE, JOANNE VALLEY VIEW SCHOOL DIST 3 07/02/15 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 15WC025916 -C 317 15WC 25966 LORD, MARY A. STACI JO'S DAY CARE 06/23/15 MARC J SHUMAN & ASSOCIATES LAW OFFICES JOSEPH MARCINIAK 318 15WC 26254 FUENTES, MARIA I. WEST LIBERTY FOODS 06/10/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 16WC036343 -C 319 15WC 26338 LAMPIGNANO, VINCENZO A LAMP CONCRETE 11/26/14 KARCHMAR & STONE GILDEA, COGHLAN & REGAN LTD. 320 15WC 26760 SULIT, MARY JANE CAPITAL ONE 03/08/15 DWORKIN AND MACIARIELLO GRANT & FANNING 321 15WC 26808 PINTO, RUBICEL UNISTAFF INC. 07/22/15 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 322 15WC 26857 SANCHEZ, ANGEL STATE OF IL/IDOC @ 06/20/15 LAW OFFICES DANIEL E MURPH JEANNINE SIMS 323 15WC 26924 RUTTER, MARK MIDWEST GENERATION 04/01/14 BRIAN T MORROW, LAW OFFICE 324 15WC 27424 MALINOWSKI, MICHAEL CRATERS & FREIGHTERS SO C 06/11/15 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 325 15WC 27608 SCOTT, MARTY ILL DOC STATEVILLE @ 07/01/13 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 15WC027609 -C 326 15WC 28124 CRUZ-SERRANO, ULISES KEHE DISTRIBUTORS INC 08/12/15 LAW OFFICES MICHAEL HELLMA NOBLE & ASSOCIATES PC 327 15WC 28342 SMITH, ANGELA FULL STEAM STAFFING, LLC 08/23/15 ANKIN LAW OFFICE 328 15WC 28581 MARTINEZ, CARLOS ROSEN MATERIALS 06/16/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM 329 15WC 28743 MORAN, NORINE DENTALWORKS/DENTAL ONE 05/01/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 330 15WC 28904 PALMER, FRANCIS MPHI, INC. 07/24/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 331 15WC 29131 JOHNSON, WENDELL M AIM NATIONAL 08/19/15 ANKIN LAW OFFICE ALLEN & NEWMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 332 15WC 29610 ARENAS, ROSA AXCESS STAFFING SERVICES 08/07/15 EPSTEIN, JACK R LAW OFFICE 333 15WC 29943 LEWIS, CYNTHIA ELITE REHABILITATION 08/13/15 BLOCK, KLUKAS & MANZELLA P 15WC029944 -C 334 15WC 30475 DOROTIAK, JOHN HUMMINGBIRD ELECTRIC/ 07/23/15 KROL BONGIORNO & GIVEN LTD 335 15WC 30813 WILLARD, ZON BLACK HORSE CARRIERS, INC 09/14/15 ANKIN LAW OFFICE HINSHAW & CULBERTSON 336 15WC 30951 MOLINA, HECTOR ANDERSON & SHAH ROOFING I 07/14/15 KARCHMAR & STONE STONE & JOHNSON CHARTERED 337 15WC 31165 VEREECKE, NORMAN II PARAMOUNT STAFFING 08/28/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 338 15WC 31277 STAFORD, CHRISTOPHER ILINK RESOURCES & FUSION 08/04/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 339 15WC 31377 ARENAS, ROSA ACCESS STAFFING SERVICES 09/17/15 EPSTEIN, JACK R LAW OFFICE 340 15WC 31739 BAKER, STEVEN NORTHFIELD BLOCK CO 02/02/15 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 341 15WC 31864 RIVERA, MARIA ALPHA CLEANERS 08/15/15 BURNETT & CARON, LTD 342 15WC 32024 POWERS, MICHAEL CASSENS TRANSPORT COMPANY 09/09/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 343 15WC 32126 BURY, BETH EXEC OF ESTATE PPL-RAVENS TRUCKING, INC. 02/02/15 FREDERICK & HAGLE RODDY LAW LTD 344 15WC 32203 MACHAK, DANIELLE SILVER CROSS HOSPITAL 12/05/14 THE ROMAKER LAW FIRM MACIOROWSKI SACKMANN & ULRIC 345 15WC 32310 LOZANO-VARGAS, FABRIT ITZ PHILLIPS CHEVROLET 02/22/15 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 16WC005960 -C 346 15WC 32338 PURCHASE, STEVEN L CITY OF JOLIET 05/13/15 KROCKEY CERNUGEL COWGILL E CITY OF JOLIET 347 15WC 32872 GABEHART, ALAN GEEDING CONSTRUCTION 09/10/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 15WC 32878 LOVE, CALVIN THE HOME DEPOT 08/24/15 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 349 15WC 33447 MUELLER, ROLLIN CATERPILLAR INC 08/04/15 RIDGE & DOWNES CATERPILLAR, INC. 15WC033448 -C 350 15WC 34048 GERMAN, IRMA ROUTE 30 LAUNDROMAT 03/03/15 MICHAEL P MCCREADY & ASSOC LAW OFFICES JOSEPH MARCINIAK 351 15WC 34297 SWIERSZ, DAVID A COUNTY OF WILL/ BRUCE D C 10/30/12 HINSHAW & CULBERTSON 352 15WC 34682 LUCE, CHRISTINE STATE OF ILLINOIS DEPT 09/01/14 DWORKIN AND MACIARIELLO COLIN KICKLIGHTER 353 15WC 35372 SLATER, CHRISTOPHER SMS TECHNICAL SERVICES, L 09/16/15 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 354 15WC 35666 BROWN, DONALD COWORKS 11/02/15 KARNO, MARK L & ASSOC 355 15WC 35706 JOHNSON, TION UTI INTEGRATED LOGISTICS 10/16/15 SKLARE LAW GROUP 356 15WC 36010 SLASOR, JEAN M OSWEGO CUSD #308 03/23/15 JOHN J CASTANEDA ROSARIO CIBELLA 357 15WC 36036 WHITE, RYAN IL DEPT OF CORRECTIONS 10/08/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL 358 15WC 36257 CULPEPPER, RYAN I.T.W. 10/20/15 BAUM RUFFOLO & MARZAL LTD 359 15WC 36772 KOLDER, APRIL VALLEY VIEW 08/17/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 360 15WC 36820 JONES, GREGORY IL DEPT OF @ 10/27/15 ARGIONIS & ASSOCIATES LLC COLIN KICKLIGHTER 361 15WC 37294 GLEASON, DEBBIE SERVICE OF WILL GRUNDY AN 04/16/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 362 15WC 38289 JUDGE, SHAUN BRANDENBURG DRAINAGE 10/29/15 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 363 15WC 38414 EARLEY, DAVID HOLLOWAY-MEYERS INC 07/08/14 CUTLER & SILVERGLADE 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 ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 15WC 38866 HONDROS, JAMES IL DEPT OF CORRECTIONS 02/04/13 JOHN F GREGORIO & ASSOC COLIN KICKLIGHTER 365 15WC 38966 HAISH, DENNIS WASTE MANAGEMENT INC 11/11/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 16WC024593 -C 16WC024722 -C 366 15WC 39104 POWERS, TIFFANY HOME DEPOT RDC 5851 10/22/15 HORWITZ HORWITZ & ASSOC ADELSON TESTAN BRUNDO 367 15WC 39940 MORRIS, JENNIFER WILL CTY CIRCUIT CLERK OF 05/28/15 LAURA A CHILDS HINSHAW & CULBERTSON 368 15WC 41039 BUSTAMANTE, GERARDO CENTRAL GROCERS CO-OP, IN 10/18/15 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 369 15WC 41409 MARCHETTI, GINA STATE OF ILLINOIS @ 12/09/15 SEIDMAN MARGULIS & FAIRMAN COLIN KICKLIGHTER 370 15WC 41482 WIEDMAN, TONI CAESARS ENTERTAINMENT COR 03/21/15 RUSSO & RUSSO LTD NOBLE & ASSOCIATES PC 371 15WC 42414 RUIZ, JOHN A A&D PAINTING & DRYWALL 12/04/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 372 15WC 42626 KRYNSKI, ARTHUR WEATHERTRUCK 10/19/15 GIACOBBE, THOMAS M HOLECEK & ASSOCIATES 373 16WC 00048 BREGENZER, MICHAEL EA SWEEN 02/26/15 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 374 16WC 00332 SMITH, RITA LODERS CROKLAAN 03/06/15 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 375 16WC 00894 GONZALEZ, ROSA MOTEL 6 O.L.P. 11/21/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 376 16WC 01034 ARREOLA, CEASAR ALRO STEEL CORP 01/06/14 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 377 16WC 01843 WATKINS, ROGER RUAN TRANSPORTATION MANAG 11/19/15 ANKIN LAW OFFICE JAMES M KELLY 378 16WC 01903 CABRALES,ALICIA DIVERSIFIED MAINTENANCE S 05/27/15 BOWMAN & CORDAY HARRIS DOWELL FISHER & HARRI 379 16WC 03048 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 12/10/15 RATHBUN CSEVENYAK & KOZOL COLIN KICKLIGHTER 380 16WC 03299 GOMEZ, ROMUALDO HOUSING AUTHORITY 12/11/15 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 381 16WC 03360 HARPER, COURTNEY PEACOCK ENGIEERING 01/22/16 MC HARGUE & JONES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 16WC 03482 MCKENDRY, VALERIE MINOOKA CONSO1DSCHOOL DIS 02/18/13 BOGGS & FILLENWARTH RUSIN & MACIOROWSKI LTD 383 16WC 03647 TOBIAS, SHARON STATE OF IL./DHS @ 09/23/15 BLOCK, KLUKAS & MANZELLA P 384 16WC 03861 TRUJILLO, HENRY S TOPHAT LOGISTICAL SOLUTIO 01/18/16 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 385 16WC 04112 GRAY, CORNELIOUS FIRST STUDENT BUS SERVICE 11/23/15 GOLDBERG WEISMAN & CAIRO L 386 16WC 04173 HOOKER, TIMOTHY WORLD KIA JOLIET 10/12/15 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 387 16WC 04262 BAKER, ADAM STAFFMARK 01/27/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 388 16WC 04323 MORALES, CARMENCITA PRESENCE MERCY MEDICAL CE 09/02/15 MCNAMARA PHELAN MCSTEEN LL 389 16WC 04583 KLAPPER, MARY JEWEL FOODS 07/12/15 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 390 16WC 04607 BRONGIEL, DAVID E. INTERNATIONAL COMPONENTS 12/09/13 WILLIAMS, ROBERT B LAW OFF HOLECEK & ASSOCIATES 391 16WC 04614 DASTYCH, CAROLYN KURTZ AMBULANCE SERVICES, 12/05/14 LAWRENCE A SCORDINO BRADY CONNOLLY & MASUDA PC 392 16WC 04704 SCHNEIDER-ANDREW, LESLI PRESENCE ST JOSEPH'S MED 05/13/15 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 393 16WC 04939 FRLANICH, SUSAN FIRST STUDENT BUS SERVICE 12/09/15 GOLDBERG WEISMAN & CAIRO L 394 16WC 05079 MORGAN, MICHAEL KENDALL AUTO AND TRUCK RE W 10/12/15 PATRICOSKI, MARK G 395 16WC 05165 SOBCZAK,CHRISTOPHER JACOB NUTTER INSTALLATIONS 10/22/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 396 16WC 05383 HARDING, DOUGLAS J.B. HUNT 10/07/15 LAW OFFICES MICHAEL HELLMA GRANT & FANNING 397 16WC 05506 BRODANEX, ARNELL JR RESOURCE EMPLOYMENT 12/17/15 GOLDSTEIN BENDER & ROMANOF 398 16WC 05625 ZEIGER, JOSEPH SPORTS AUTHORITY 12/30/15 BART DURHAM RODDY LAW LTD 399 16WC 05633 SANCHEZ, MARIBEL ELITE STAFFING 02/11/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 16WC 05897 CRUZ, ROSALINDA JOLIET SCHOOL DISTRICT #8 12/04/15 CORTINA & MUELLER ROSARIO CIBELLA 401 16WC 06041 PRUITT, CEDRIC STATE OF IL DEPT OF CORRE @ 01/06/16 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENL 402 16WC 06125 PEREZ, PATRICIA ELITE STAFFING 01/26/16 LAW OFFICE OF SCOTT B SHAP 403 16WC 06295 BUTLER, JENNIFER CLEARWATER PAPER CORPORAT 11/02/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 404 16WC 06365 BANKSON, JAMES POMP'S TIRE 12/28/15 MEYERS FLOWERS KNELL & O'CONNOR 405 16WC 06726 TATE, CHARLIE SR FIRST STUDENT 10/26/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 406 16WC 06771 ALVARADO, ABIGAIL ELITE STAFFING BOLINGBROO 12/01/15 EPSTEIN, JACK R LAW OFFICE 407 16WC 07008 CALDERIN, EUGENIO ELITE STAFFING 01/18/16 GOLDSTEIN BENDER & ROMANOF GOLDBERG SEGALLA LLC 408 16WC 07033 JUAREZ, VERONICA BERGSTROM INC. 09/28/15 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 409 16WC 07065 LOPINA, MICHAEL LOCKPORT TWP FIRE DISTRIC 01/21/16 RATHBUN CSEVENYAK & KOZOL 410 16WC 07196 FORD, DAKINIA LARAWAY SCHOOL DISTRICT 7 01/29/15 RIDGE & DOWNES ANCEL GLINK DIAMOND BUSH 411 16WC 07213 XIA, MAODE SEAL LOGISTIC, INC 05/25/15 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK 412 16WC 07572 GAMBOA, THERESA FEDERAL SIGNAL CORPORATIO 12/01/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 413 16WC 07659 SCHNEIDER, FLORENCE LINCOLN WY SPECIAL ED DIS 10/28/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 414 16WC 07782 SMITH-WISE, TIFFANY L GREAT LAKES COCA COLA 02/22/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 18WC007476 -C COCA COLA BOTTLING CO 415 16WC 08135 REZA, ROGELIA S&S ACTIVEWEAR 07/13/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 16WC 08642 GONZALEZ, JOSE MAURICIO BROCK INDUSTRIAL SERVICES 03/07/16 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 417 16WC 08679 JONES, KEVIN OZINGA BROTHERS INCORPORA 07/28/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 16WC008680 -C 16WC031138 -C 418 16WC 08704 URIBE, FRANCISCO ALPIMEX INC 12/18/15 FREDRICK B BARDER, LTD 419 16WC 08855 AHMAD, JAMIL STATE OF ILL DOC STATEVIL @ 01/10/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 420 16WC 09135 STEINBRENNER, DEAN DEDICATED LEASING 05/03/15 ELFENBAUM EVERS & AMARILIO 421 16WC 09743 DAVIS, CRAIG SCHNEIDER 11/04/15 BOWMAN & CORDAY POWER & CRONIN LTD 422 16WC 10040 MORAN, JAMES VOLVO NORTH AMERICA 11/18/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 423 16WC 10046 HERRADA, HORTENCIA MCDONALD'S DBA ZOE & YUMM 10/12/15 HART & DAVID LLP 424 16WC 10059 TALLEY, STEVE LINEAGE LOGISTICS HOLDING 10/31/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 16WC010222 -C 425 16WC 10067 VITALE, ANNETTE SODEXO INC 03/05/16 GRAZIAN & VOLPE PC INMAN & FITZGIBBONS 426 16WC 10216 HILLER, MARK J NRG ENERGY JOLIET STATION 02/15/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 427 16WC 10281 SULLIVAN, SHARMEL ELITE STAFFING INC 03/15/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 428 16WC 10585 ROTT, KEVIN ADVENTIST HINSDALE HOSPIT 02/04/15 PORRO NIERMANN LAW GROUP RODDY LAW LTD 16WC010784 -C 429 16WC 10679 LABOY, JOSE MACY'S LOGISTICS & 07/15/15 NEWMAN, BOYER & STATHAM ROBERT L. SMITH 16WC010680 -C 430 16WC 10920 MAGEE, STEVEN MONARCH CONSTRUCTION 02/23/16 RIDGE & DOWNES KNELL & O'CONNOR 431 16WC 11008 FAIRLEY, DEBRA SILVER CROSS HOSPITAL 06/08/15 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 432 16WC 11985 LOPEZ, MINERVA AMERISOURCE BERGEN 04/06/16 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 433 16WC 12204 GLEIM, SCOTT CITY OF JOLIET 01/11/16 HETHERINGTON KARPEL BOBBER KNELL & O'CONNOR 434 16WC 12232 BURKHART, WILLIAM JEWEL/OSCO 11/15/15 MARC J SHUMAN & ASSOCIATES 435 16WC 12320 BAKER, MICHELLE VALLEY VIEW SCHOOL DIST 3 01/15/15 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 436 16WC 12514 JOHNSON, ADA STATE OF ILLINOIS DOC @ 04/06/16 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 437 16WC 12561 ARELLANO, SUSAN R ITW FASTENERS 01/05/16 BLAKE HORWITZ LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 438 16WC 12690 CARTER, DAWN ILLINOIS CENTRAL SCHOOL B 04/03/14 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 439 16WC 12873 MORGAN, MICHAEL J KENDALL AUTO AND TRUCK RE 12/02/15 PATRICOSKI, MARK G 440 16WC 13407 ROSE, BRENT D FLINT HILLS 12/27/15 BELT DEARTH & ASSOC MC ANDREWS & NORGLE LLC 441 16WC 13537 DIAZ, CLAUDIA STATE OF IL DOC 10/28/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 442 16WC 13700 GERMAN, BERTHA PRIMARY STAFFING, INC 01/15/16 GOLDSTEIN BENDER & ROMANOF QUINTAIROS PRIETO WOOD & BOY 443 16WC 14105 ASHLEY, ANTWOINE PARSEC 01/28/16 BRISKMAN BRISKMAN GREENBER MACIOROWSKI SACKMANN & ULRIC 444 16WC 14181 JURENKA, RENATA AMAZON 04/25/16 BART DURHAM WIEDNER & MCAULIFFE LTD 445 16WC 14212 MILLER, RUTH STATE OF IL / STATEVILLE @ 04/19/16 HUGHES SOCOL PIERS RESNICK COLIN KICKLIGHTER 446 16WC 14468 DOMBROWSKI, LORI AMAZON WAREHOUSE 03/15/16 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 447 16WC 14599 SAENZ, DAVID IL DEPT OF TRANSPORTATION @ 02/08/16 BOWMAN & CORDAY ASSISTANT ATTORNEY GENL 448 16WC 14704 SULLIVAN, TRICIA MOKENA SCHOOL DISTRICT 15 11/05/15 PETER A SINK POWER & CRONIN LTD 449 16WC 14903 SHANKIN, JAMES IDOC-STATEVILLE @ 04/30/16 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 450 16WC 14930 FEARS, LEBOIN O'REILLY AUTO ENTERPRISES 04/30/16 ANKIN LAW OFFICE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 451 16WC 15266 DOLNAK, GREGORY UNIVERSITY OF CHICAGO 03/16/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 452 16WC 15993 NELSON, HERMANSKI SIMOS INSOURCING SOLUTION 06/11/13 BLOCK, KLUKAS & MANZELLA P 453 16WC 16037 MADERA, GREGORY JMK INC 05/11/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 454 16WC 16305 ABUDAN, JAMAL STATE OF ILLINOIS/I.D.O.T @ 05/12/16 DEPAOLO & ZADEIKIS ASSISTANT ATTY GENERAL 455 16WC 16394 WAITEKUS, JAKOB MACY'S INC. 04/22/16 SCHWEICKERT & GANASSIN 456 16WC 16856 THOMAS, KATELYN AMAZON 11/17/15 KEDZIE LAW OFFICE PC WIEDNER & MCAULIFFE LTD 457 16WC 16966 FAREJ, ADAM DOLTON FIRE DEPARTMENT 04/29/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 458 16WC 17007 BRUEN, JAMES UPS 04/27/16 JASINSKI, GEORGE J 459 16WC 17051 PUTNAM, JENNIFER MEIJERS 05/07/16 LEITER LAW OFFICES KOPKA, PINKUS DOLIN, PC 460 16WC 17164 MARTIN, TIM AMAZON 05/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 461 16WC 17234 WALKER, MARK AMAZON.COM.LLC, DIST WARE 03/22/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 462 16WC 17599 MEDVED, MICHAEL M. D POLLACK GLASS & MIRROR 01/13/16 PARENTE & NOREM PC JOSEPH MARCINIAK 463 16WC 17730 DOWNEN, ALLEN ROMEOVILLE POLICE DEPARTM 05/24/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 464 16WC 18249 LOULOUSIS, CHRISTOPHER J SUPER WASH, INC. 02/11/16 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 465 16WC 18326 RUSH, EDWARD AMERICAN STAIR INC 05/27/16 MARK G BERGAL LAW OFFICE RODDY LAW LTD 466 16WC 18668 ANDREWS, RANDY DIAGEO GLOBAL SUPPLY 04/01/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 467 16WC 18829 MORENO, FELIPE COSTCO 06/11/16 FRIEDMAN & SOLMOR LTD GANAN & SHAPIRO 468 16WC 19148 HART, WILLARD STATEVILLE CORRECTIONAL C @ 05/12/16 GALLAGHER LAW PC COLIN KICKLIGHTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 469 16WC 19260 ERVIN, TERRY BUFFALO WILD WINGS 11/04/15 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 470 16WC 19360 SANDSTROM, DOUGLAS STATE OF ILLINOIS @ 05/12/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 471 16WC 19467 BROWNLEE, TANNETTA DIY GROUP, INC 06/14/16 472 16WC 19664 BELL, DEMETRIUS RJ TRANSPORT 06/20/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 473 16WC 19754 DAVIS, CHRISTY SUDSATIONAL LAUNDROMAT 09/30/15 HORWITZ HORWITZ & ASSOC 474 16WC 19821 VEGETABLE, MICHAEL RESOURCE & EMPLOYMENT SOL 05/23/16 GRAZIAN & VOLPE PC 475 16WC 19873 FLETCHER, SHIRLEY SONY DADC 06/08/16 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 476 16WC 19951 KORELC, ROBERT NRG ENERGY, INC 04/29/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 477 16WC 19967 PAYNE, SHANNON WILL COUNTY SHERIFF'S OFF 06/06/16 RIDGE & DOWNES HINSHAW & CULBERTSON 478 16WC 20049 SERRATO, MARVILA S&S ACTIVE WEAR 03/28/16 BLOCK, KLUKAS & MANZELLA P BRYCE DOWNEY & LENKOV LLC 479 16WC 20413 BURAS JR, PAUL T TEAM INDUSTRIAL SERVICES 05/14/16 HENNESSY & ROACH PC 480 16WC 20578 ODAM, ROSEANNE CASEY'S GENERAL STORE 02/27/16 MARC J SHUMAN & ASSOCIATES 481 16WC 20618 HICKS, WANDA KENDALL COUNTY SPECIAL 04/17/16 COSTA IVONE LLC INMAN & FITZGIBBONS 482 16WC 21363 MAHALIK, RICHARD JOHNSTONE SUPPLY INC 01/12/16 KAVANAGH GRUMLEY & GORBOLD LAW OFFICES JOSEPH MARCINIAK 483 16WC 21412 STONE, CHARLES A CENTERLINE TRUCKING @ 03/17/16 ANKIN LAW OFFICE GANAN & SHAPIRO 484 16WC 21645 VENZON, CORRADO CITY OF JOLIET 04/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 16WC 21853 HARRIS, APRIL LIBERTY SCHOOL BUS COMPAN 03/03/16 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 486 16WC 21962 BLAN, JOSEPH PRESENCE SAINT JOSEPH MED 04/01/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 18WC011181 -C 487 16WC 22042 WEDER, MICHAEL WILL COUNTY SHERIFF DEPT. 12/28/15 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 488 16WC 22081 GOULD, WILLIE SCHNEIDER LOGISTICS 04/07/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 489 16WC 22324 VEGA, RAFAEL IW&G INC 06/15/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 490 16WC 22388 MOSELEY, DEYMEATRIUS C. LINEAGE LOGISTICS 01/28/16 DWORKIN AND MACIARIELLO 491 16WC 22486 STONE, CYNTHIA SANCHEZ ELEMENTARY SCHOOL 08/11/15 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 492 16WC 22732 BOLANOS, VIVIANA UNISTAFF PRO, INC.-LOANIN 06/02/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 493 16WC 22930 RUZICH, AMANDA DELTA SONIC CAR WASH 02/20/16 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 494 16WC 23262 SIMO, LINDA NEOVIA LOGISTICS SERVICES 07/07/16 DWORKIN AND MACIARIELLO 495 16WC 23402 CONSTANTINE, ANTHONY STATE OF ILLINOIS DOC @ 07/04/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 496 16WC 23492 MOOTY, JEROME PACTIV 03/24/16 DAVID W MARTAY 497 16WC 23703 LEBEDA, MICHAEL AMERISOURCE BERGEN 05/26/16 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 498 16WC 23773 WILLIAMS, TABATHA RJW TRANSPORT INC 06/23/16 GOLDSTEIN BENDER & ROMANOF HEYL ROYSTER VOELKER & ALLEN 499 16WC 23852 TREVINO, DELORES STATE OF ILLINOIS @ 12/23/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 500 16WC 24092 STONE-SANDERS, TAVANECKA NEXUS EMPLOYMENT 07/25/16 GOLDSTEIN BENDER & ROMANOF RIPES NELSON BAGGOT KALOBRAT 501 16WC 24190 MOUTRY, PEARL WE CARE HOME CARE INC 07/14/16 RAYMOND M SIMARD, PC RUSIN & MACIOROWSKI LTD 502 16WC 24211 MARTINEZ, MARIA ELITE STAFFING-BOLINGBROO 07/28/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 16WC 24292 MARRERO, MARIO ISLAMORADA FISH COMPANY 01/20/16 PETER A SINK BRYCE DOWNEY & LENKOV LLC 504 16WC 24487 BRAULIO, ROBERTO ELITE STAFFING INC. 07/26/16 CULLEN HASKINS NICHOLSON 505 16WC 24508 MARIN, ISMAEL CORTEZ MIDWEST STORE FIXTURES 07/20/16 COSTA IVONE LLC LITCHFIELD CAVO 506 16WC 24749 LEHNERT, THERESA MINOOKA COMMUNITY HIGH SC 03/14/14 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 507 16WC 24791 HUGON, CHRISTINE ALLIED BARTON 07/21/16 LAW OFFICES MARK LOFTUS GAROFALO SCHREIBER STORM 508 16WC 24833 ROGERS, TIMOTHY L WELSCH READY MIX 08/03/16 RIDGE & DOWNES GILDEA, COGHLAN & REGAN LTD. 509 16WC 25047 CUELLAR, FELIPE IMPERIAL ROOFING @ 08/04/16 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 510 16WC 25142 FOWLKES, CAROLYN L HELP AT HOME, LLC 05/18/16 ANKIN LAW OFFICE ROSARIO CIBELLA 511 16WC 25194 CURTIS, JEANETTE MEIJER 07/07/16 BRISKMAN BRISKMAN GREENBER 512 16WC 25306 ALDRIDGE, JAMES JOLIET STAFFING LLC 05/13/16 WOODRUFF & JOHNSON LITCHFIELD CAVO 513 16WC 25361 FLIGHT, MICAH VPC PIZZA HOLDINGS/ 08/01/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 514 16WC 25507 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 01/22/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 515 16WC 25508 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 07/26/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 516 16WC 25547 HERNANDEZ, DAVID J. PROLOGISTIX 08/15/16 LAW OFFICES MICHAEL HELLMA LEAHY EISENBERG & FRAENKEL 517 16WC 25624 NETTLEINGHAM, JAY FREEDOM EMS 07/20/16 PETER F FERRACUTI & ASSOCI 518 16WC 25648 NETTLEGHAM, JAY C. NETTLEGHAM, JAY C. 08/02/16 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 519 16WC 25712 BURNETTE, CLEDY METRO STAFFING INC 08/08/16 WEISS & WEISS LAW OFFICES 520 16WC 26073 FOLA, LYNDELL STATE OF IL DEPT OF CORRE @ 06/21/16 LANNON LANNON & BARR LTD ASSISTANT ATTY GENERAL 18WC008051 -C ST OF IL/DEPT OF CORRECTIO 521 16WC 26193 SIMMONS, TOKEISHA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS INMAN & FITZGIBBONS 522 16WC 26381 VALDEZ, SERGIO JR. SPEARS MANUFACTORING 08/18/16 LEITER LAW OFFICES 523 16WC 26728 PORTWOOD, MATTHEW A E QUIP MANUFACTURING 08/16/16 MCNAMARA PHELAN MCSTEEN LL ACCIDENT FUND HOLDINGS 524 16WC 26784 HOUSE, ERIKA RESOURCE EMPLOYMENT SOLUT 07/22/16 HORWITZ HORWITZ & ASSOC 525 16WC 26871 BARROWMAN, JAMES RUAN LEASING COMPANY 08/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 526 16WC 27393 BRAND, TIFFANY STATE OF IL DOC PAROLE DE @ 02/21/15 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 527 16WC 27619 SHERROD, DIANCE CATERPILLAR INC 08/19/16 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 528 16WC 27886 KALUZA, MATEUSZ DOLLAR TREE DISTRIBUTION, 07/28/16 ANKIN LAW OFFICE 529 16WC 28235 PAGE, UNDRA AMAZON 08/17/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 530 16WC 28366 BURKS, ANTON BURKS BROTHER DRYWALL, IN 01/26/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 531 16WC 28546 WHIPPIE, JAMES W SCOTT'S U-SAVE TIRE, INC 03/28/16 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 532 16WC 28633 ROJO, MIGUEL HOMER TREE SERVICE, INC 09/14/16 GORDON & CENTRACCHIO LLC ROBERT L. SMITH 533 16WC 28855 VICTOR, SILVIA ITW DELTAR FASTENERS 04/27/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 534 16WC 28912 HUERTA, EDUARDO ELITE STAFFING INC 07/27/16 LAW OFFICES MICHAEL HELLMA 535 16WC 28951 MAREK, KAPRINTA ALDI, INC 07/31/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 536 16WC 29279 ZENKE, TERESA WORLD KIA OF JOLIET 07/21/16 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 537 16WC 29308 GAY, EVERETT E CENTRAL GROCERS INC 05/23/16 ANKIN LAW OFFICE ROSARIO CIBELLA 538 16WC 29486 MIREE, MARKUS KANE IS ABLE, INC. 09/22/16 CAPRON & AVGERINOS PC WOLF LAW LTD 539 16WC 30142 MORGAN, JERRY ROADRUNNER INTERMODAL SVC 03/29/16 WARNER & ZIMMERLE BETTY NEUMAN & MCMAHON 540 16WC 30178 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 08/19/16 DAVID SZCZECIN & ASSOC 541 16WC 30265 JONES, ALONZO ELITE STAFFING, INC 08/31/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 542 16WC 30476 POPOVICH, NICK AMERICA DISPLAY, INC 11/10/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 543 16WC 30573 SWEENEY, PATRICK M STATE OF ILLINOIS DEPARTM @ 02/05/15 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 17WC017845 -C 544 16WC 30782 SISSON, LOVETTA STATE OF IL DOC/ @ 05/18/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 545 16WC 31220 NORWOOD, THOMAS C PARTY CITY 09/08/15 RITTENBERG & BUFFEN HOLECEK & ASSOCIATES 546 16WC 31602 CORONELLI, CHRISTINE TRINITY SERVICES LTD 03/26/16 ROSS TYRRELL 547 16WC 31850 SIMMONS, EBONIE 1ST TRANSIT 07/27/16 BRIAN T MORROW, LAW OFFICE WIEDNER & MCAULIFFE LTD 548 16WC 31945 SAGO, JANET HARRAH'S JOLIET CASINO HO 10/01/16 MCNAMARA PHELAN MCSTEEN LL NOBLE & ASSOCIATES PC 549 16WC 32046 REYES, GLORIA PARAMOUNT STAFFING 05/05/16 BLOCK, KLUKAS & MANZELLA P KOPKA, PINKUS DOLIN, PC 550 16WC 32112 HULME, ROBIN MEIJER 08/04/16 WOODRUFF & JOHNSON KNELL & O'CONNOR 551 16WC 32200 TAYLOR, DARRYL MENARDS 06/01/16 BRIAN T MORROW, LAW OFFICE 552 16WC 32536 BAKER, TIANA AMAZON 08/19/16 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 17WC003100 -C 553 16WC 32688 TERNOIR, KHALID NEXUS EMPLOYMENT SOLUTION 10/06/16 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 554 16WC 32840 ORTIZ, ALICIA RICH PRODUCTS 08/12/16 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 16WC 33074 WEAVER, STANLEY TURNER INDUSTRIES GROUP L 06/12/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 556 16WC 33125 VALENTINO, PAULA LABCORP 08/05/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 557 16WC 33232 DUFFIELD, NICOLETTE IDOC - STATEVILLE CORR CT @ 09/15/15 SCHWEICKERT & GANASSIN ASSISTANT ATTY GENERAL 17WC002754 -C ILLINOIS DEPARTMENT OF 558 16WC 33574 MCDADE, LUCIUS ASHLEY FURNITURE 10/01/16 DWORKIN AND MACIARIELLO WOLF LAW LTD 559 16WC 33584 DIAZ, ADALBERTO LA-Z-BOY 06/21/16 MC HARGUE & JONES HOLECEK & ASSOCIATES 560 16WC 33894 NEGRON, JOSE BRAUN'S EXPRESS 09/19/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 561 16WC 33943 SENISAIS, RICARDO ACCURATE PERSONNEL LLC 09/22/16 HUGHES SOCOL PIERS RESNICK MC ANDREWS & NORGLE LLC 562 16WC 33974 JOHNSON, DEMARCUS RON'S STAFFING/ITL 10/20/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 563 16WC 34013 TRAVIS, LASONYA PEACOCK ENGINEERING 10/12/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 564 16WC 34067 MIDDLETON, SONIA EDWARD HOSPITAL 08/15/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 565 16WC 34456 MIEHLE SR, CHARLES E ESSENDANTINC 08/10/15 GIACOBBE, THOMAS M HOLECEK & ASSOCIATES 566 16WC 34491 KUZMA, JOSEPH WILL COUNTY SHERIFF'S DEP 09/29/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 567 16WC 34598 FLOREY, JOHN MILLER PIPELINE MINNESOTA 10/12/16 SCHWEICKERT & GANASSIN GRANT & FANNING 568 16WC 34689 BENNINGTON, AMANDA TRINITY SERVICES INC 10/26/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 569 16WC 34721 REYNOSO, RUBEN A BOARDUP PLUS INC W 02/22/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 16WC034722 -C 570 16WC 34956 BENNETT, STEVEN WESCO MACHINE & TOOL CO I 09/23/16 LEITER LAW OFFICES ROSARIO CIBELLA 571 16WC 34982 SUBLETT, LATANYA JOLIET STAFFING 11/10/16 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 572 16WC 35127 LOREENC, KATHLEEN OUR LADY OF ANGELS 05/20/16 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 16WC 35240 HILTON, JASON SHOREWOOD LIQUIDATORS INC 10/13/16 RATHBUN CSEVENYAK & KOZOL 574 16WC 35404 CERVANTES, CARLOS BIOVIEW LANDSCAPING & 09/26/16 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 575 16WC 35442 MUNOZ, IRMABEL COILPLUS INC # 06/23/16 DANIEL O STAMM 576 16WC 35605 REID, JAKIA SCHNEIDER LOGISTICS 02/12/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 577 16WC 35817 SCHALK, AMBER SPEEDWAY 09/02/16 DANIEL PERIASWAMY KEEFE CAMPBELL & ASSOC LLC 578 16WC 35875 MURPHY, BRIAN FRESH THYME FARMERS MARKE 11/08/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 579 16WC 35937 KING, CYNTHIA FRANKFORT ITALIAN FOODS 09/13/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 580 16WC 35956 GARCIA, LYNDA CITY OF JOLIET 03/10/16 RIDGE & DOWNES KNELL & O'CONNOR 581 16WC 36226 LOPEZ, MINERVA AMERISOURCE BERGEN 08/17/16 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 582 16WC 36270 SAN JUAN, GUADALUPE ELITE STAFFING 10/13/16 583 16WC 36302 VOLFOVICH, YURIY LAKE COUNTY PUBLIC WORKS 11/01/16 DAVID FREYDIN SMITH AMUNDSEN LLC 584 16WC 36533 RENTERIA, ANTONIO ROTATION DYNAMICS CORP 05/20/16 KARCHMAR & STONE RODDY LAW LTD 585 16WC 36959 CASTRO, MARIA PEACOCK ENGINEERING CO 06/01/16 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM 586 16WC 37125 PINKSTON, DANIEL ELITE STAFFING 09/15/16 GESMER LAW OFFICES, PC 587 16WC 37255 SEIVWRIGHT, LEONARD USF HOLLAND 05/23/16 RUBIN LAW GROUP HENNESSY & ROACH PC 588 16WC 37383 CERVANTES, ANTONIO SEATING CONCEPTS 04/22/16 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 589 16WC 37474 KENEIPP, MARY CANLAN ICE SPORTS 02/06/16 SEIDMAN MARGULIS & FAIRMAN ADELSON TESTAN BRUNDO 590 16WC 37513 HOSEY, JAMES YRC FREIGHT 10/26/16 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 591 16WC 37555 SPANN, LOUGWIN TOTAL LOGISTICS DBA 12/08/16 SKLARE LAW GROUP 592 16WC 37649 VERA, GERALD BUTLER TRANSPORT INC 10/23/12 ALEKSY BELCHER MCANANY VANCLEVE & PHILLIPS 593 16WC 37837 HUGHES, DWAYNE INTERSTATE WAREHOUSING 08/24/16 RATHBUN CSEVENYAK & KOZOL GRANT & FANNING 594 16WC 37863 WOOD JR., ALBERT J KEYSTONE FREIGHT CORP 09/02/15 LANNON LANNON & BARR LTD BRADY CONNOLLY & MASUDA PC 595 16WC 38262 WILLIAMS, ISIAH SCHNEIDER NATIONAL 12/09/16 CAPRON & AVGERINOS PC POWER & CRONIN LTD 596 16WC 38328 TURNER, JOY K WALMART SUPERCENTER 12/29/13 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 597 16WC 38736 ANDERSON, CALVIN FOREST PRESERVE DISTRICT 09/12/16 ANESI OZMON RODIN NOVAK KO 598 16WC 38782 GATZ, TIMOTHY HONDA SUPERSTORE OF JOLIE 08/24/16 RUBENS AND KRESS WOLF LAW LTD 599 16WC 38851 MENNEGA, ROSS CHEIF CONSTRUCTION 12/13/16 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 600 16WC 38875 HORODNIK, WILLIAM NORRED & ASSOCIATES 10/28/16 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC 601 16WC 39011 LEE, WINDY A AMAZON 10/17/16 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 602 16WC 39262 LOPEZ, EMMA SODEXO 06/16/14 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 603 16WC 39322 BETSINGER, TODD JB HUNT TRANSPORT, INC/ 10/21/16 STRONG LAW OFFICE GRANT & FANNING 604 16WC 39365 GOURLEY, CRYSTAL FEDERAL SIGNAL CORP 01/07/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 605 16WC 39395 VILLANUEVA, ROBERTO WEATHER TECH 12/09/16 DWORKIN AND MACIARIELLO 606 17WC 00099 RAFAEL, ROSA NFI INDUSTRIES 10/20/16 RATHBUN CSEVENYAK & KOZOL QUINN JOHNSTON HENDERSON ETA 607 17WC 00127 BROMBEREK, WAYNE HOME DEPOT INC 01/08/14 BLOCK, KLUKAS & MANZELLA P MC ANDREWS & NORGLE LLC 608 17WC 00207 JUREKA, VLADISLAV DIAGEO 12/17/16 BART DURHAM COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 609 17WC 00228 GUZMAN, SALVADOR BRAKUR CUSTOM CABINETS 10/08/14 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 610 17WC 00463 LENARD, LIEWELLY CLEAR CAR CONNECTION 12/19/16 POMPER & GOODMAN HINSHAW & CULBERTSON 611 17WC 00618 ELLIS, YOLANDA INDIVIDUAL ADVOCACY GROUP 02/25/14 ERIC M GLASSON & ASSOCIATE GALLIANI DOELL & COZZI LTD 612 17WC 00642 HABERKORN, THOMAS COUNTY OF WILL 09/27/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 613 17WC 00726 JURICH, KEITH CORNERSTONE SERVICES 11/04/16 LEITER LAW OFFICES BRADY CONNOLLY & MASUDA PC 614 17WC 00785 HARDESTY, DONALD COMED 11/09/16 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 615 17WC 00856 GRABON, DANIEL W AT&T CORP, C/O CORP SYSTE 12/19/16 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 616 17WC 00953 OCAMPO, JOSE A INTERNATIONAL BUILDING SE 11/22/16 DAVID W MARTAY HOLECEK & ASSOCIATES 617 17WC 01025 19B ZACARIAS, ENEDINA 1ST CLASS STAFFING 11/07/16 CULLEN HASKINS NICHOLSON GRANT & FANNING 618 17WC 01170 REYES, JOSE ARTURO SULLIVAN ROOFING INC 01/04/17 ANKIN LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 619 17WC 01199 FONTANEZ, DEBORAH WALMART SUPERCENTER 04/14/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 620 17WC 01211 SORIA, EULALIO AZZ GALVANIZING 01/05/17 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 621 17WC 01398 COFFEY, ANTHONY M SR. WORK NOW,LLC 01/02/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 622 17WC 01523 LOPEZ, ENRIQUE SALCE INC 12/19/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 623 17WC 01616 TOUTGES, KYLE ARNOLD'S TREE SERVICE INC 09/16/14 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 624 17WC 01682 LACOSTE, CHRISTOPHER NFI NATIONAL FREIGHT 12/12/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 625 17WC 01984 SCHNAYER, LEROY AT&T INC 12/19/16 GOLDBERG WEISMAN & CAIRO L 626 17WC 02024 VAZQUEZ, MARIA WEATHER TECH 01/11/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 16WC003183 -C MACNEIL AUTO PRODUCTS LTD 627 17WC 02083 ZIMA, TINA PLAINFIELD SD #202 10/25/16 LAW OFFICES OF JOSEPH F. V KEEFE CAMPBELL & ASSOC LLC 628 17WC 02172 GUERRERO, GUADALUPE GCA SERVICES GROUP, INC. 04/27/16 BLOCK, KLUKAS & MANZELLA P ASA LAW GROUP 629 17WC 02318 HUDEK, LYNN COMFORT KEEPERS 12/10/15 HORWITZ HORWITZ & ASSOC ADELSON TESTAN BRUNDO 630 17WC 02349 MCCLEAN, KEVIN APOLLO K ELECTRIC 01/19/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 631 17WC 02492 SALVADOR, MARTHA MAGENTA SALVADOR 01/12/17 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 632 17WC 02560 LANNEN, LARRY STATE OF IL-STATEVILLE 04/26/15 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 633 17WC 02599 FEATHERLY, TRACY VILLAGE OF PLAINFIELD 10/10/14 LEITER LAW OFFICES SLAVIN & SLAVIN 634 17WC 02607 LEADINGHOUSE, TYLER CARROLL CONSTRUCTION SUPP 10/19/16 LAW OFFICES MICHAEL HELLMA HOLECEK & ASSOCIATES 635 17WC 02706 CAMACHO, AGUSTIN CENTRAL GROCERS 05/15/16 ASHER, RAYMOND L LTD ROSARIO CIBELLA 17WC006726 -C 636 17WC 02716 DOMINQUE, CAROL CLEAR WATER PAPER CORP 11/09/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 637 17WC 02758 HARDING, JENNIFER DUPAGE MEDICAL GROUP/ MER 07/08/15 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 638 17WC 02909 ADENT, MICHAEL SYNNEX CORPORATION 12/20/16 ANKIN LAW OFFICE 639 17WC 03036 KINCHEN, RANDALL YRC FREIGHT CHICAGO HEIGH 01/13/16 FRANK A CELANI 640 17WC 03301 JAMISON, PATRICE OHL-OZBURN HESSEY LOGISTI 05/03/16 LOSS & PAVONE SPIEGEL & CAHILL, PC 641 17WC 03379 ROSOLOWSKI, MAUREEN BEECHER MANOR 11/06/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 642 17WC 03537 SIMENTAL, RAYMOND CASSENS TRANSPORT 01/12/17 MORICI FIGLIOLI & ASSOC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 643 17WC 03600 MARTINEZ, MARCO POLO SANCO ENTERPRISES 05/14/16 JASINSKI, GEORGE J NYHAN BAMBRICK KINZIE & LOWR 644 17WC 03692 PEREZ, FELIPE AMERISOURCE BERGEN 04/07/16 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 645 17WC 03830 THOMPSON, DAVID GRAINGER DISTRIBUTION CEN 09/15/16 HORWITZ HORWITZ & ASSOC 646 17WC 03883 MACIAS, JOSE MAGIC MEADOWS FARM 11/17/16 HART & DAVID LLP 647 17WC 04023 LOPEZ, LINDA BROWNS CHICKEN 04/30/16 ANGELINI & ORI LLC 648 17WC 04033 JUSTINIANO, JAVIER PARAMOUNT STAFFING 12/23/16 EDWIN REYES LEGAL GROUP KNELL O'CONNOR DANIELWICZ 649 17WC 04190 WILLIAMS, MARIO ELITE STAFFING/PAE 01/04/17 BLOCK, KLUKAS & MANZELLA P 650 17WC 04307 DIFIORE. MARY N JEWEL OSCO 01/03/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 651 17WC 04371 CUEVAS, ANGELICA ELITE STAFFING 08/02/16 COSTA IVONE LLC 652 17WC 04424 ARREOLA, CESAR H ALRO STEEL CORP 10/23/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 653 17WC 04460 VILCEK, MATHEW CITY OF JOLIET FIRE DEPT 12/08/16 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 17WC004464 -C 654 17WC 04538 GRAHAM, JOSEPH CHRISTOPHE FLEXMANAGE 01/11/17 MCNAMARA PHELAN MCSTEEN LL 655 17WC 04625 RIGGS, JERRY C SPONGE CUSHION INC. 01/06/17 MCNAMARA PHELAN MCSTEEN LL RUSIN & MACIOROWSKI LTD 656 17WC 04684 GUZIK, MARY BETH SILVER CROSS HOSPITAL 04/12/09 ROSS TYRRELL MACIOROWSKI SACKMANN & ULRIC 657 17WC 04703 DRYNA, SCOTT CASSENS TRANSPORT COMPANY 12/13/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 658 17WC 04709 GRIFFIN-STEPHENS, ELIZABE VALLEY VIEW PUBLIC SCHOOL 01/13/17 DIXON LAW FIRM POWER & CRONIN LTD 659 17WC 04865 MAEBANE, DAVID W AMAZON 01/25/17 LEAHY, JAMES P WIEDNER & MCAULIFFE LTD 660 17WC 04937 DIAZ, ESTEBAN SARATOGA FOOD SPECIALISTS 07/08/16 STEPHEN G PINTO LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 661 17WC 05054 GOUTREMOUT, JENNIFER WATERFORD ESTATES/TRIAD S 10/13/16 BLOCK, KLUKAS & MANZELLA P 662 17WC 05084 MUELLER, SHELBY GREATER JOLIET AREA YMCA 02/11/14 MCNAMARA PHELAN MCSTEEN LL RUSIN & MACIOROWSKI LTD 663 17WC 05103 STIFF, EDDIE III URGENT COURIER 02/07/17 FRIEDMAN & SOLMOR LTD 664 17WC 05231 ROMERO, LAURA FERRARA CANDY CO 06/23/16 COSTA IVONE LLC HOLECEK & ASSOCIAT0ES 665 17WC 05372 CHAVEZ NAPOLES, YADIRA C ALLSOURCE 10/26/16 EFTEKHARI LAW OFFICES 666 17WC 05422 VIEYRA, SELENA SCHNEIDER LOGISTICS 12/17/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 667 17WC 05442 EVANS, STEVEN DAYTON FREIGHT LINES 01/20/17 GALLAGHER LAW PC RUSIN & MACIOROWSKI LTD 668 17WC 05474 CORE, LENNARD AMERICAN DREAM 10/11/16 STEVEN A CRIFASE, LTD COZZI & GOGGIN-WARD 669 17WC 05820 HORTON, YKESHA AMAZON 01/23/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 670 17WC 05856 HARRIS, VERONICA MEDTRONIC 03/09/15 LEONARD LAW GROUP LLC POWER & CRONIN LTD 671 17WC 05867 ZARTLER, DOUGLAS OGDEN HILL CEMENT 12/07/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 672 17WC 05937 ANGELUS, STEVEN J JOLIET TOWNSHIP HS DIST 2 03/04/16 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 673 17WC 06037 VEGA, LUIS NORTHERN IL STEEL SUPPLY 06/01/15 LAW OFFICES MICHAEL HELLMA 674 17WC 06318 SWORAN, JOANN MISTWOOD GOLF CLUB 12/02/15 FINE, MARK S LAW OFFICES RODDY LAW LTD 675 17WC 06364 NUNEZ, ESTEBAN LOCKPORT METAL RECYCLING 01/23/17 HART & DAVID LLP 676 17WC 06410 SMITH, JODY DOW CHEMICAL 05/15/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 677 17WC 06449 WILKERSON, SAMUEL STATE OF IL DOC PAROLE AN @ 02/11/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 678 17WC 06552 OROZCO, RAMON SEAL TIGHT ROOFING & EXTE 01/27/17 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 679 17WC 06577 KOLODINSKI, DAVID ROCK RUN PLACE 01/14/17 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 680 17WC 06631 MADDOX, BRYANT UNITECH GLOBAL 11/29/16 DWORKIN AND MACIARIELLO GRANT & FANNING 681 17WC 06690 KAUFMANN, CRAIG SOLUTIONS MECHANICAL 02/13/17 MARTIN V KUGIA 682 17WC 06745 VIVIAN, DAVID USF HOLLAND 11/04/16 PARENTE & NOREM PC HENNESSY & ROACH PC 683 17WC 06785 JANOWAIK, KARA K AMF BOWLING CENTERS INC 05/05/15 ANKIN LAW OFFICE 684 17WC 06916 SCOTT, CELENA BEECHER MANOR NURSING & 10/01/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 685 17WC 06962 JOHNSON, JOHN WEST LIBERTY FOODS 01/16/17 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 686 17WC 07090 HICKS, DIANE SCHOOL DISTRICT 92 01/26/17 RAMBO, JOHN E LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 687 17WC 07100 RAMSEY, SANDRA WALGREENS 11/26/15 RATHBUN CSEVENYAK & KOZOL GILDEA & COGHLAN 688 17WC 07177 IVLOW, TRISHA DISTRICT 30 TROY SCHOOLS 01/10/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 689 17WC 07286 MARTIN, FRANKLIN ALLIED UNIVERSAL CORPORAT 01/04/17 MATTHEW T. GUBBINS PC GAROFALO SCHREIBER STORM 690 17WC 07317 DOTTS, JAMES CONTRACT GLAZIERS, INC 01/05/17 RUBIN LAW GROUP DANIEL P COSTELLO & ASSOC 691 17WC 07331 FLORES JR., VLADIMIR AMERISOURCE BERGIN 01/22/17 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 17WC010744 -C 17WC010980 -C 692 17WC 07576 RAMIREZ, GABRIELA TOYS "R" US, INC 11/22/16 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 693 17WC 07861 JIMENEZ, RUBEN CHUCKS CONSTRUCTION INC 03/28/16 MENDOZA LAW PC 694 17WC 07943 MCCLELLAND, JAMES NEW ENGLAND MOTOR FREIGHT 01/16/17 FINE, MARK S LAW OFFICES WIEDNER & MCAULIFFE LTD 695 17WC 08011 LOGAN, KRISTIN PRESENCE ST JOSEPH HOSPIT 05/27/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 696 17WC 08200 KNOTTS, JESSE AREA ERECTORS, INC 11/25/16 RUBIN LAW GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 697 17WC 08353 GARCIA, STEPHANIE ELITE STAFFING 11/15/16 LAW OFFICE OF JAMES URTIS 698 17WC 08456 SOEHRMAN, AMANDA BEST PRACTICES STAFFING 03/03/17 ASHER, RAYMOND L LTD RUSIN & MACIOROWSKI LTD 699 17WC 08614 SHELBY, VINCENT SILVER CROSS HOSPITAL 03/14/17 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 700 17WC 08664 SHAH, FOZIA RADIAL HOLDINGS 04/20/16 DEPAOLO ZADEIKIS GORE SCHOUEST BAMDAS SOSHEA 701 17WC 08868 HICKS, EDWARD CORNERSTONE SERVICES 08/12/15 BLEAKNEY & TROIANI 702 17WC 08976 ROBERTS, ALLEN STATE OF ILLINOIS DOC @ 12/28/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 703 17WC 09005 SCARBOROUGH, ANTOINETTE WILL COUNTY HEALTH DEPART 01/30/17 LEITER LAW OFFICES HINSHAW & CULBERTSON 704 17WC 09059 MOXLEY, SEAN ELEPHANT PLUMBING 11/07/16 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 705 17WC 09165 BASS, CARL THE RESERVES NETWORK 03/22/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 706 17WC 09243 BOTTOMS, GARRETT HITS 11/09/16 ANESI OZMON RODIN NOVAK KO 707 17WC 09365 GRAY, REGINALD FRESH THYME FARMER'S MARK 01/20/17 BRISKMAN BRISKMAN GREENBER COZZI & GOGGIN-WARD 708 17WC 09403 MELCHOR, ARGUILEO SADDLE CREEK 03/07/17 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 709 17WC 09432 MATTHEWS, RODNEY DOLLAR TREE DISTRIBUTION 03/16/17 DWORKIN AND MACIARIELLO 710 17WC 09511 EVANS, DEBBIE SAM'S CLUB 04/28/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 17WC009512 -C 711 17WC 09530 SHIRENBEKOV, SHAMILBEK TRANSLINES, INC 01/18/17 SWANEY, JEFFREY R 712 17WC 09590 JOHNSON, EMILY SILVER CROSS HOSPITAL 10/05/16 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 713 17WC 09609 MILONE, PETER JR. STATE OF IL DEPT OF TRANS @ 01/03/17 ANKIN LAW OFFICE COLIN KICKLIGHTER 714 17WC 09892 LAM, MARLISS INDIAN PRAIRIE SCHOOL DIS 11/29/16 BELLAS & WACHOWSKI BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 715 17WC 09918 PEAL, MARK VSNA-PRAIRIE MATERIALS, I 02/17/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 716 17WC 09968 DIAZ, RAYMUNDO HERNANDEZ KEC CONSTRUCTION LLC 09/26/16 LEWIS & DAVIDSON, LTD GILDEA, COGHLAN & REGAN LTD. 717 17WC 10036 PENA, DESIDERIO NRG ENERGY 01/07/16 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 718 17WC 10259 CROKENOWER, STEVEN JEWEL FOOD STORES 04/14/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 719 17WC 10629 ORTIZ, JOSE A COMPASS GROUP USA, INC 08/06/15 FICHERA & MILLER GANAN & SHAPIRO 720 17WC 10686 PRISTAS, ANTHONY GRAINGER 01/27/17 WHITESIDE & GOLDBERG LTD ASA LAW GROUP 721 17WC 10764 WILLIS, ROBERT LAYNE CHRISTENSEN CO. 02/17/17 BOWMAN & CORDAY GRANT & FANNING 722 17WC 10858 HIR, DANIEL VISION INTEGRATED GRAPHIC 10/10/16 SLAVIN & SLAVIN GANAN & SHAPIRO 723 17WC 11065 KARAMBELAS, NICHOLAS ST OF IL- DEPARTMENT OF @ 02/20/17 JEFFREY FRIEDMAN ASSISTANT ATTORNEY GENERAL 724 17WC 11103 REYES, VERONICA MONDI 10/31/16 SCOTT BARBER 725 17WC 11214 TOLLER, MATTHEW WEST ROCK 01/16/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 726 17WC 11249 HOPKINS, BRIAN LAGROU DISTIBUTION SYSTEM 12/01/16 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY 727 17WC 11356 PEREZ, ANA SURE STAFF 04/03/17 LOUIS MUNDY 728 17WC 11386 ROUSONELOS, BROOKE FIREHOUSE SUBS 10/24/16 BLOCK, KLUKAS & MANZELLA P RODDY LAW LTD 729 17WC 11398 SPRAGUE, BRAD STATE POLICE DISTRICT 5 @ 06/04/15 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENL 730 17WC 11497 MUEHE, MICHAEL C LEGACY SUPPLY CHAIN SERVI 05/25/16 RUBIN LAW GROUP GRANT & FANNING 731 17WC 11519 PARRA, PATRICIA TOTAL STAFFING SOLUTIONS 03/24/17 SALVATO O'TOOLE FROYLAN KNELL & O'CONNOR 732 17WC 11524 LOCKHART, JASMINE CORNERSTONE SERVICES 04/05/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 733 17WC 11549 AUTMAN, ZABORA AMAZON DISTRIBUTION CENTE 04/11/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 734 17WC 11814 PERZ, CHERYL DIANA M BURDA M.D.S.C DBA 02/21/17 KARCHMAR & STONE GILDEA & COGHLAN 735 17WC 11865 WILLIAMSON, ROBERT A VET COMMUNICATIONS INC 03/05/17 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 736 17WC 11945 TALLEY, MICHELE CHICAGO AUTISM ACADEMY 07/15/14 COVEN LAW GROUP JOSEPH MARCINIAK 737 17WC 12017 CEPEDA, CARLOS SOUTHERN GLAZER'S WINE 01/13/17 OSVALDO RODRIGUEZ PC MACIOROWSKI SACKMANN & ULRIC 738 17WC 12216 HERNANDEZ, JOE JOLIET POLICE DEPARTMENT 03/04/17 ANESI OZMON RODIN NOVAK KO ANCEL GLINK DIAMOND BUSH & E 18WC004171 -C 739 17WC 12271 WALLACE, DIANE M. ARAMARK 09/23/16 KANOSKI BRESNEY INMAN & FITZGIBBONS 740 17WC 12296 PERHON, SEBASTIAN TIMBERLINE GENERAL CONTRA 03/28/17 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 741 17WC 12363 FILER, JACQUELINE M PLAINFIELD COMMUNITY 10/21/16 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 742 17WC 12392 MARTIN, JAMES WILL COUNTY POLICE DEPART 04/04/17 ASHER, RAYMOND L LTD HINSHAW & CULBERTSON 743 17WC 12615 ROBINSON, ROBERT M PARADISE POOLS INC 04/17/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 744 17WC 12658 JAWOROWSKI, THOMAS JR ELITE STAFFING 04/26/17 DWORKIN AND MACIARIELLO 745 17WC 12701 MUELLERSCHOEN, JULIE HOMER COMM CONSOLIDATED S 03/30/17 RIDGE & DOWNES INMAN & FITZGIBBONS 17WC012702 -C 17WC026891 -C 746 17WC 12883 NEUFELD, ANDREW ROMEOVILLE POLICE DEPT 04/19/17 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 747 17WC 13038 SAVAGE-OLSON, COREY COUNTY CARE ANIMAL HOSPIT 09/30/14 KAVANAGH GRUMLEY & GORBOLD JOSEPH MARCINIAK 748 17WC 13286 ESPINOZA, JUAN AXCESS STAFFING SERVICES 04/12/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 749 17WC 13349 CARO, GILBERT STATEVILLE IDOC @ 04/19/17 STEVEN A CRIFASE, LTD ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 750 17WC 13403 VASQUEZ, JESUS AMERICAN STAIR CORP 03/06/17 BUDIN LAW OFFICES 751 17WC 13430 ARANA, JOSELIN AUTUMN LEAVES NURSING HOM 11/24/16 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 752 17WC 13585 JAIME-VALENCIA, LORENA BARTON STAFFING 04/07/17 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 753 17WC 13627 ESPARZA, MATTHEW HOLLYWOOD CASINO 11/04/09 ANGELINI & ORI LLC ORENSTEIN & ASSOCIATES 754 17WC 13778 SCHEIWEKE, VICTORIA SPEEDWAY 03/14/17 WHITESIDE & GOLDBERG LTD 755 17WC 13901 KATRO, JEREMY DOLLAR TREE 03/24/17 FOHRMAN, DONALD W & ASSOCS BRYCE DOWNEY & LENKOV LLC 756 17WC 14012 MORRIS, DEMETRIUS L WEATHER TECH DIRECT LLC 02/23/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 757 17WC 14157 DAVIS JR., DONALD R. SOUTHERN GLAZIER'S 06/14/16 GARDI & HAUGHT MACIOROWSKI SACKMANN & ULRIC 758 17WC 14355 TROPP, JEFFREY CITY OF JOLIET 03/16/17 LANNON LANNON & BARR LTD KNELL & O'CONNOR 759 17WC 14475 WINTERS, JANICE JOLIET TOWNSHIP TRANSPORT 09/01/15 CHARLES LEVY & ASSOC LTD INMAN & FITZGIBBONS 760 17WC 14512 CIARLETTE, RANDY FEDEX GROUND 09/20/16 BOWMAN & CORDAY 761 17WC 14544 HAYWOOD, DANTES THOMAS NISSAN 02/22/17 O'CONNOR & NAKOS HEYL ROYSTER VOELKER & ALLEN 762 17WC 14571 MOSQUEDA, IRMA Y LSC COMMUNICATON 04/25/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 763 17WC 14823 EDEH, IFEOMA PLAINFIELD SCHOOL DISTRIC 03/07/17 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 764 17WC 14883 HERREDA, MARIA ARYZTA 03/14/17 JOHN E LUSAK HENNESSY & ROACH PC 765 17WC 14965 SHOAF, GINA JOLIET COLD STORAGE 08/16/16 BLOCK, KLUKAS & MANZELLA P BRYCE DOWNEY & LENKOV LLC 766 17WC 15026 HERNANDEZ, NOEMI WEATHERTECH 05/03/17 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 767 17WC 15103 RIVERA-MORALES, RICARDO ECOWIZE NORTH AMERICA LLC 05/09/17 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 768 17WC 15177 COLLINS, KRISTINA TRINITY SERVICES 05/09/17 BLOCK, KLUKAS & MANZELLA P GALLIANI DOELL & COZZI LTD 769 17WC 15192 JINDELA, JAMES ELITE STAFFING 08/22/16 LAW OFFICE OF JAMES H MILL 770 17WC 15207 BOTNARI, VLAD GIGI LINE, INC W 06/05/16 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 771 17WC 15271 HERREDA, MARIA ARYZTA 12/26/15 JOHN E LUSAK HENNESSY & ROACH PC 772 17WC 15295 JOHNSON, KENNETH SR WIRELESS STORES MIDWEST 05/03/17 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 773 17WC 15476 HENZLER, DAVID G VILLAGE OF BOLINGBROOK 01/29/17 FABRIZIO, HANSON & PEYLA POWER & CRONIN LTD 774 17WC 15593 WILLIAMS, ROBIN XPO LOGISTICS 02/02/17 JAMES ELLIS GUMBINER & ASS GAROFALO SCHREIBER STORM 775 17WC 15643 BROOKS, JARED WILL COUNTY SHERIFF'S OFF 04/25/17 COVEN LAW GROUP HINSHAW & CULBERTSON 17WC015644 -C 776 17WC 15675 HILEMAN, BRANDON WILL COUNTY SHERIFF 12/07/16 EAMES LAW GROUP LTD HINSHAW & CULBERTSON 777 17WC 15834 DAVIS, WALTER CALHOUN TRUCK LINES 05/08/17 MCNAMARA PHELAN MCSTEEN LL 778 17WC 15925 SCHMIDT, DONNA AMAZON 04/10/17 BURNETT & CARON, LTD 779 17WC 15953 HUDSON, BRIAN STAFF MARK 12/09/16 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL BIERY & ASSOC 780 17WC 15996 FLORES, JOSE MICHAELS LOGISTICS, INC 03/09/17 STANCZAK LAW OFFICES WIEDNER & MCAULIFFE LTD 781 17WC 16103 MUNOZ, LISBET TRIUNE LOGISTICS 03/02/17 SALVATO & O'TOOLE LITCHFIELD CAVO 782 17WC 16121 LEE, BOOKER AMAZON CROSSDOCK FACILITY 02/09/17 HETHERINGTON KARPEL BOBBER 783 17WC 16298 ORTIZ, ALBERTO SURESTAFF LOANING COMPANY 05/23/17 SALK, STEVEN B & ASSOC LTD LOUIS MUNDY 784 17WC 16325 CARDENAS, BAYRON E&M ALVAREZ MOVING CO 05/24/17 MC HARGUE & JONES 785 17WC 16402 CEBALLOS-ZAVALA, FERNANDO STUMP'S TREE 04/27/17 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 786 17WC 16419 HERNANDEZ, SONIA PLAINFIELD COMMUNITY 11/10/16 HERRERA LAW CENTER KEEFE CAMPBELL & ASSOC LLC 787 17WC 16526 ENNIS, JOHNNY R HOME DEPOT 05/08/17 DEER & STONE PC 788 17WC 16560 FOX, DWIGHT M PENSKE LOGISTICS 03/06/17 CAMERON CLARK 789 17WC 16579 DRAYTON, APRIL ELITE LABOR SERVICES DBA 04/24/17 ANKIN LAW OFFICE 790 17WC 16703 SLATON, JEANNE AMAZON FULFILLMENT 05/08/17 CULLEN HASKINS NICHOLSON 791 17WC 16867 THORP, ANN USF HOLLAND 08/23/16 PARENTE & NOREM PC HENNESSY & ROACH PC 792 17WC 16904 PANFIL, MARSHA L STINCHCOMB ASSOCIATES, IN 03/28/17 RUBIN LAW GROUP 793 17WC 17034 KELLY, DOUGLAS NFI INDUSTRIES 01/04/17 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 794 17WC 17069 STAHL, ANALIESE ALDEN ESTATES OF SHOREWOO 05/13/17 795 17WC 17112 AMENTA, CHARLES HILENBRAND INC 04/08/16 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 796 17WC 17161 GARCIA, CIPRIANO FLEXI VAN 05/08/17 SALVATO & O'TOOLE HENNESSY & ROACH PC 797 17WC 17201 HEDGE, BRET HOMER TOWNSHIP 03/20/17 THE ROMAKER LAW FIRM POWER & CRONIN LTD 798 17WC 17204 VILLALPANDO, ADRIAN SUMMIT STAFFING INC 05/10/17 THE ROMAKER LAW FIRM LITCHFIELD CAVO 799 17WC 17247 WOODS, JOHN JR FLEXIBLE STAFFING 05/25/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 800 17WC 17279 WOODS, MELODY A ADAMS ASSOCIATES 10/11/16 FABRIZIO, HANSON & PEYLA 801 17WC 17397 GORDON, OLARA AMITA HEALTH ADVENTIST ME 05/18/17 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 802 17WC 17451 CANO, OLGA WEATHER TECH 03/08/16 LAW OFFICES MICHAEL HELLMA 803 17WC 17497 PAYNE, SAM PLANT SERVICES ST 10/04/16 LEITER LAW OFFICES GANAN & SHAPIRO 17WC017498 -C 804 17WC 17513 PASTERNAK, WALTER ULTRA FOODS 03/09/17 HORWITZ HORWITZ & ASSOC 805 17WC 17572 SHAW, TERRANCE DSC LOGISTICS 06/14/16 MCNAMARA PHELAN MCSTEEN LL MC ANDREWS & NORGLE LLC 806 17WC 17591 MUNIZZI, CARMEN A, SR ILLINOIS SECRETARY OF STA @ 06/07/16 FIGLIOLI, DAVID ASSISTANT ATTORNEY GENERAL 17WC017592 -C 807 17WC 17736 HESPEN, STEVEN SGS PETROLEUM SERVICE COR 02/24/17 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 808 17WC 17858 GREENBERG, ROBERT JONES LAND LASALLE 04/26/17 GOLDBERG WEISMAN & CAIRO L SMITH AMUNDSEN LLC 809 17WC 18112 ALARCON, DAMIANA COWORX STAFFING SVS 05/05/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 810 17WC 18158 NGU, TEMO W. ECOLAB, INC 04/20/16 KROCKEY CERNUGEL COWGILL E KEEFE CAMPBELL & ASSOC LLC 811 17WC 18162 RAMIREZ, MARIA ELITE STAFFING 05/04/17 SALVATO & O'TOOLE 812 17WC 18166 SOLIS, CATHY ANN AMF BOWLING CENTERS INC D 01/24/16 FRANK A CELANI 813 17WC 18198 KASHIRSKY, KRISTINA STATE OF ILL DOC STATEVIL @ 07/13/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 814 17WC 18259 GARCIA, CARLOS USF HOLLAND 06/14/17 PARENTE & NOREM PC HENNESSY & ROACH PC 815 17WC 18279 GREENE, KEVIN RYDER 06/12/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 816 17WC 18336 RAMIREZ, JORGE INTEGRITY LOGISTICS SERVI 07/20/16 CULLEN HASKINS NICHOLSON 817 17WC 18461 GAELIDZE, SHOTA GE HEALTHCARE 05/30/17 TAXMAN POLLOCK MACIOROWSKI SACKMANN & ULRIC 818 17WC 18559 CONTRERAS, ADRIANA READERLINK DISTRIBUTION 06/14/17 ANKIN LAW OFFICE INMAN & FITZGIBBONS 819 17WC 18601 GOULD, WILLIE SCHNEIDER LOGISTICS 06/21/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 17WC 18660 SHELBY, ERIC HOME DEPOT RDC 5851 06/08/17 HORWITZ HORWITZ & ASSOC 821 17WC 18781 MENDOZA, JANIE CITY OF JOLIET 05/02/17 PARENTE & NOREM PC KAVANAGH GRUMLEY & GORBOLD 822 17WC 18797 ANTWI, ESTHER PACTIV 05/01/17 BART DURHAM WIEDNER & MCAULIFFE LTD 823 17WC 18920 FELLER, JENNIFER VALLEY VIEW SCHOOL DIST # 08/29/16 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 824 17WC 19051 ABAD-FIERRO, LILIANA WILTON BRANDS, LLC 12/08/16 CULLEN HASKINS NICHOLSON 825 17WC 19064 STRECKERT, SARA O'HARE TOWING SERVICE INC 07/03/14 GOLDBERG WEISMAN & CAIRO L 826 17WC 19161 MARTINEZ, RENE PREMIER EMPLOYERS SERVICE 05/22/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 827 17WC 19514 KELLY, TIFFANY CORNERSTONE SERVICES 04/12/17 FOHRMAN, DONALD W & ASSOCS 828 17WC 19646 NOWAK, MARIUSZ WES LIBERTY FOODS 05/16/17 ANGELINI & ORI LLC 829 17WC 19841 TERRAZAS, FLAVIO KENCO LOGISTICS SEVICES L 06/26/17 CHEPOV & SCOTT LLC 830 17WC 19868 JOHNSON, JERROD LUCKY HAULERS INC. 06/28/17 831 17WC 20192 OLESZKIEWICZ, LOUIS VILLAGE OF BOLINGBROOK 06/08/17 THE ROMAKER LAW FIRM POWER & CRONIN LTD 832 17WC 20287 THOMPSON, ANDRE ILLINOIS TOOL WORKS, INC 03/20/17 LAW OFFICES ROBERT WARSASK 833 17WC 20330 PAZDA, SCOTT AMAZON.COM LLC 06/28/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 834 17WC 20389 ALAMILLO, RAQUEL UNIVERSAL LAMINATING LTD 06/15/17 LEONARD LAW GROUP LLC ROSARIO CIBELLA 835 17WC 20478 LEWIS, SUZETTE SAM'S CLUB 05/20/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 836 17WC 20624 BAKER, SANDRA HARDEE'S RESTAURANTS 06/26/17 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 837 17WC 20710 REYES, REYNA CHILI'S GRILL & BAR 09/03/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 17WC 20756 SUSTE, ROBERTA ULTRA FOODS 09/21/16 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 839 17WC 20959 GARNER, CHELYNA SCHNEIDER LOGISTICS 04/30/16 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 840 17WC 21083 KURTYAK, NICHOLAS LOCKPORT TOWNSHIP FIRE 07/16/17 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 17WC021084 -C 841 17WC 21292 GABEHART, GRIAN MICHELS CORPORATION 06/12/17 HORWITZ HORWITZ & ASSOC 842 17WC 21373 NURCZYK, MICHAEL CITY OF JOLIET 07/19/17 ROSENFELD HAFRON SHAPIRO F KNELL & O'CONNOR 843 17WC 21430 KENT, SARAH HAMPSHIRE FARMS LLC 05/11/17 LEONARD LAW GROUP LLC 844 17WC 21507 STOKES, JOHN W DIY GROUP 05/24/17 MAINARD LAW OFFICE GANAN & SHAPIRO 845 17WC 21535 MILLER, THOMAS COMMUNITY HONDA 06/17/17 FRANK A CELANI DENNIS J NOBEL & ASSOC 846 17WC 21641 FELIX, MAGDALENA FEDEX SUPPLY CHAIN INC 05/23/17 PORRO NIERMANN LAW GROUP 847 17WC 21726 MOORE, CLAYSHIA AMAZON 12/24/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 848 17WC 21761 ORTIZ-AVILA, SOLEDAD Y NEWSTREAM ENTERPRISES, LL 11/10/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 17WC021762 -C 849 17WC 21856 STENNETT, JAMES R. BOLINGBROOK FIRE DEPT 04/01/17 BARRY A KETTER POWER & CRONIN LTD 850 17WC 21860 GUZMAN, DANIEL ARS ALEUT SVCS LLC 05/30/17 PARENTE & NOREM PC GRANT & FANNING 851 17WC 21879 BOCOT, BRIANNA MAT HOLDINGS 07/11/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 852 17WC 21989 SANJUAN, MIRIAM SUPERIOR HEALTH LINENS 05/25/16 KATZ FRIEDMAN EAGLE ET AL 853 17WC 22202 LOWERY, VALERIE AMAZON 05/10/17 TIMOTHY HENDERSON WIEDNER & MCAULIFFE LTD 854 17WC 22273 TERRAZAS, SILVIA MACNEIL AUTOMOTIVE PRODUC 01/31/17 PETER D CORTI LAW GROUP 855 17WC 22313 GORDON, ELLA M COUNTY OF WILL 07/23/16 FABRIZIO, HANSON & PEYLA HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 856 17WC 22400 NEWELL, BRANDON STATE OF ILLINOIS - 06/07/17 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 857 17WC 22457 HUSA, CHISTOPHER LOWE'S COMPANIES INC 06/09/17 RUBIN LAW GROUP 858 17WC 22488 GARCIA, RAYMUNDO ELITE STAFFING 04/26/17 LAW OFFICE OF JAMES URTIS 859 17WC 22493 CAMARGO, JUAN J PLAINFIELD LANDSCAPING 07/27/17 LAW OFFICES MICHAEL HELLMA 860 17WC 22531 PELLETIER, MICHAEL JOMARI TRANSPORT INC 07/08/17 DWORKIN AND MACIARIELLO 861 17WC 22569 LUCAS, FRANCOIS STATE OF IL DOC STATEVILL @ 06/15/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 862 17WC 22647 MAYEN, RUBEN SUPER RIO GRANDE FRESH MA 06/05/17 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 863 17WC 22749 PUTIS, PAT LODERS CROKLANN 02/01/16 MARKER & ASSOCIATES ROSARIO CIBELLA 864 17WC 22827 GROUNDS, WILLIAM STATE OF IL DOC STATEVILL 05/14/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 865 17WC 22862 GARCIA, JULIO UNIVERSITY PARK PD 05/15/17 KROL BONGIORNO & GIVEN LTD 866 17WC 22997 KNIGHT, LINDA STARBUCKS COFFEE COMPANY 07/20/17 EDWIN REYES LEGAL GROUP 867 17WC 23088 HERNDON, DANA ELITE STAFFING/FERRARA CA 01/15/17 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 868 17WC 23118 MILLER, BERTHA AMERICAN SCHOOL BUS COMPA 07/10/17 MARC J SHUMAN & ASSOCIATES GALLIANI DOELL & COZZI LTD 869 17WC 23330 WEAVER, JOHNNY L SONY DADC US INC 07/08/17 STRONG LAW OFFICE INMAN & FITZGIBBONS 17WC025781 -C 870 17WC 23402 JOHNSON, JERROD LUCKY HAULERS, INC 06/28/17 GRAUER & KRIEGEL LLC HENNESSY & ROACH PC 871 17WC 23515 WESTMORELAND, JOSEPH TRUGREEN LAWN CARE 08/01/17 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 872 17WC 23528 MAZARIEGOS, NOELINDA SURGE STAFFING 08/10/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 873 17WC 23628 JAMES, WILLIAM C&C BUILDING SOLUTIONS 07/27/17 STEWART C ORZOFF 874 17WC 23747 REDMOND, ROCHELLE HOME DEPOT 05/03/17 KATZ FRIEDMAN EAGLE ET AL MC ANDREWS & NORGLE LLC 17WC025298 -C 875 17WC 23893 PINDEL, RICHARD MEIJER 06/08/17 SEIDMAN MARGULIS & FAIRMAN KNELL & O'CONNOR 876 17WC 23982 JETER, PATRICIA AMAZON.COM/AMAZON FULFILL 05/13/17 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 877 17WC 24198 CASSINERI, DEBORAH CASEY'S 10/06/16 MCNAMARA PHELAN MCSTEEN LL 878 17WC 24362 GUTIERREZ, JUAN CENTRELLA GROCERS 04/06/17 GOLDSTEIN BENDER & ROMANOF 879 17WC 24427 DEVINE, SANDRA ILLINOIS AUTO ELCTRIC CO 12/09/16 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 880 17WC 24466 COFFMAN, JAMES HANSON MATERIAL SERVICES 06/07/17 MC HARGUE & JONES 881 17WC 24528 DUNIVER, DARRIUS COWORX STAFFING SERVICES 07/30/17 DISPARTI LAW GROUP PA BRADY CONNOLLY & MASUDA PC 882 17WC 24599 HINES, PAMELA LUTHERAN SOCIAL SERVICES 04/17/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 883 17WC 24710 ADJEI, AKWASI GREAT LAKES WHOLESALE GRO 06/30/17 BART DURHAM JOSEPH MARCINIAK 884 17WC 24776 POWELL, JAMES ILLINOIS STATE POLICE @ 08/09/17 TAXMAN POLLOCK DANIELLE CURTISS 885 17WC 24788 REED, JUSTIN AMAZON 06/15/17 DAVID W MARTAY 886 17WC 24809 GUTIERREZ, OFELIA SMITHFIELD FOODS, INC/ 06/08/17 OSVALDO RODRIGUEZ PC 887 17WC 25075 LYSE, MARGARET AMAZON 04/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 888 17WC 25090 MIRABELLI, STEVEN CNW SERVICES 06/13/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 889 17WC 25240 RICHBERG, DESEAN INPAX 07/25/17 DWORKIN AND MACIARIELLO WOLF LAW LTD 890 17WC 25278 SANJUANESO, SALVADOR TRANSFORCE 04/27/17 O'CONNOR & NAKOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 891 17WC 25332 RAMIREZ, JESUS ANGUIANO SCHNEIDER LOGISTICS 07/15/17 THE FITZ LAW GROUP POWER & CRONIN LTD 892 17WC 25504 ANDRIST, MEGAN GRAINGER 08/02/17 BLOCK, KLUKAS & MANZELLA P ASA LAW GROUP 893 17WC 25526 BULIAN, GINA HELP AT HOME, INC 01/13/17 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 894 17WC 25625 PRYOR, KEVIN LSC COMMUNICATIONS 07/19/17 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 895 17WC 25653 MILES, SHAYLA SILVER CROSS HOSPITAL 08/18/17 RIDGE & DOWNES MACIOROWSKI SACKMANN & ULRIC 896 17WC 25691 ANDERSON, GREGORY SCHNEIDER LOGISTICS INC 08/26/17 ANKIN LAW OFFICE 897 17WC 25925 EDMONSON, JOHNNIE MSG DBA BRIGHT SKY 07/27/17 COSTA IVONE LLC 17WC034179 -C MSG SERVICES GROUP, INC 898 17WC 26007 SNEED, MILTON SNS ACTIVEWEAR 08/23/17 WOODRUFF & JOHNSON LAW OFFICES OF EDWARD J. KOZ 899 17WC 26243 MARSHALL, BRYANT SCHNEIDER LOGISTICS 06/06/17 LEONARD LAW GROUP LLC 900 17WC 26354 GROCHOWSKI, EDWARD COMCAST NBC UNIVERSAL 06/08/17 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 901 17WC 26518 GARAY, MICHAEL GEODIS LOGISTICS 06/13/17 AMATO SHEEN & MAJER LAWRENCE COZZI - LAW OFFICES 902 17WC 26572 GALLEGOS, SOTERO REMIN LABORATORIES INC. 02/16/17 MC HARGUE & JONES JOSEPH MARCINIAK 903 17WC 26680 JAMESON, TONJA WEDFORD HEALTH SERVICES I 09/30/14 STROW LAW LLC RUSIN & MACIOROWSKI LTD 904 17WC 26754 TERRIQUEZ, JUAN BRODER BROTHERS COMPANY 03/10/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 905 17WC 26792 GIACOMI, XIOMARA SOUTHWEST AIRLINES 06/30/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 906 17WC 26825 WILLIAMS, WANDA SALISBURY BY HONEYWELL 03/15/17 HEALY SCANLON LAW FIRM RODDY LAW LTD 907 17WC 26877 SALGADO, ERIC USF HOLLAND/YRC WORLD WID 06/08/16 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 908 17WC 26946 COLE, TRACY L FLEXIBLE STAFFING SOURCES 08/31/17 VITELL & SPITZ LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 17WC 27028 BURNS, STEPHANIE STATE OF ILLINOIS DHS @ 08/03/17 BLOCK, KLUKAS & MANZELLA P 910 17WC 27146 GRAVES, TRACEY L ELITE STAFFING INC 09/05/17 ANKIN LAW OFFICE 911 17WC 27155 BROWN, ADDIE AMAZON 05/18/17 DAVID W MARTAY 912 17WC 27182 HERNANDEZ, JUAN BEARY LANDSCAPING 05/02/17 DWORKIN AND MACIARIELLO 913 17WC 27262 MIDDLETON, MICHAEL APOLIS TRANSPORT INC 11/21/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 914 17WC 27356 KMETTY, JUDITH KENCO 05/25/17 LAW OFFICE OF SCOTT B SHAP INMAN & FITZGIBBONS 915 17WC 27417 DARDEN, ROBERT STATEVILLE CORRECTIONAL C 12/08/14 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 916 17WC 27485 GRIMALDO, EVA MARTINEZ AMAZON FULFILLMENT CENTER 04/11/17 COSTA IVONE LLC 917 17WC 27784 LEWIS, YVETTE ALLEGIANCE STAFFING 08/30/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 918 17WC 27794 LEDEZMA, RUSSELL R VILLAGE OF UNIVERSITY PAR 06/07/17 RIPES NELSON BAGGOT KALOBR 919 17WC 27913 OLVERA, ROSARIO FEDERAL SIGNAL 06/28/17 DWORKIN AND MACIARIELLO 920 17WC 27982 GUIMOND, JEFF SCURTO CEMENT CONSTRUCTIO 05/30/17 RATHBUN CSEVENYAK & KOZOL CAPUANI, FRANK S 921 17WC 28016 KEHOE, VICTORIA WASHINGTON JUNIOR HIGH 08/30/17 RIDGE & DOWNES HENNESSY & ROACH PC 922 17WC 28072 DUPREE, FRANK DIAGEO NORTH AMERICA, INC 09/12/17 RUBIN LAW GROUP 923 17WC 28156 PECORA, MICHAEL CITY OF JOLIET 09/23/14 MARKER & ASSOCIATES KNELL & O'CONNOR 924 17WC 28215 VARGO, ROBERT LOCKPORT 09/16/17 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 925 17WC 28237 PENA, SUSAN M TRIUNE LOGISTICS, LLC 09/12/17 ANKIN LAW OFFICE LITCHFIELD CAVO 926 17WC 28292 BIBIAN, MARIA ST FRANCIS UNIVERSITY 08/25/17 CHEPOV & SCOTT LLC SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 17WC 28523 WHARTON, TABITHA WEST LIBERTY FOODS 09/21/17 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 928 17WC 28637 SIEPKA, NORINE ENLIVANT COMPANY 03/11/17 O'CONNOR LAW GROUP LLC WIEDNER & MCAULIFFE LTD 929 17WC 28841 SHAW, KERRIE STATE OF ILLINOIS @ 09/18/17 WHITESIDE & GOLDBERG LTD DANIELLE CURTISS 930 17WC 28886 PIERCE, SHANNON M RUBEN RESTAURANTS INC DBA 01/10/15 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 931 17WC 28912 GREEN, MARY MICHAEL'S DISTRIBUTION CE 08/03/15 CUDA LAW OFFICES WOLFE & JACOBSON, LTD 932 17WC 28915 GREEN, MARY MICHAEL'S DISTRIBUTION CE 03/14/17 CUDA LAW OFFICES WOLFE & JACOBSON, LTD 933 17WC 28967 NABAZAS, ED WORK ZONE SAFETY 01/05/17 ASHER, RAYMOND L LTD 934 17WC 28998 DIAZ, JOSE A.S.G. STAFFING INC. 07/17/17 LAW OFFICES OF ANSELMO DUR FRANCIS J DISCIPIO LAW OFFIC 935 17WC 29179 WILLIAMS-ANDERSON, DESIRE FEDEX GROUND PACKAGE SYST 04/19/16 COHN LAMBERT RYAN & SCHNEI KOPKA, PINKUS DOLIN, PC 936 17WC 29343 RAYHORN, HANNAH PARSEC INC 09/10/17 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 18WC004822 -C 937 17WC 29470 BATTLE, JASMINE SCHNEIDER NATIONAL INC 09/13/17 ANKIN LAW OFFICE POWER & CRONIN LTD 938 17WC 29529 CLAYTON, ANTHONY J SUPERIOR HEALTH LINEN 07/01/17 GALLAGHER, DONALD V COZZI & GOGGIN-WARD 939 17WC 29612 SALINAS, OLIVIA ELITE STAFFING INC 10/04/16 LAW OFFICES MICHAEL HELLMA 940 17WC 29622 VIEYRA, LORENZO MVP WORKFORCE, LLC - LOAN 08/29/17 SALK, STEVEN B & ASSOC LTD 941 17WC 29685 WASHINGTON, BART COMM UNIT SCHOOL DIST #30 12/25/11 KINNALLY FLAHERTY KRENTZ & ROSARIO CIBELLA 942 17WC 29710 CORDOVA-TREJO, RANULFO PERKINS MANUFACTURING COM 09/11/17 AIOSSA LAW FIRM HENNESSY & ROACH PC 943 17WC 29783 NUTTER, WILLIAM CITY OF AURORA 08/29/17 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 944 17WC 29809 SPENCER, KEVIN WILL COUNTY SHERIFF'S OFF 07/01/17 DAVID SZCZECIN & ASSOC HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 945 17WC 29841 RUNYON, TERRY INLAND ELECTRIC 02/27/17 WOODRUFF & JOHNSON 946 17WC 30044 HODGES, MATTHEW ALAN VALLEY VIEW SD 365U 04/25/17 SMITH ALLEN MENDENHALL ET 947 17WC 30153 CARROLL, FRANZINA AMERICAN SCHOOL BUS CO 06/28/17 STONE & JOHNSON CHARTERED 948 17WC 30192 JONES, MARIA L LINCOLN-WAY COMMUNITY 09/11/17 CRONIN & PETERS RUSIN & MACIOROWSKI LTD 949 17WC 30222 NICHOLSON, ROBERT COWORX STAFFING LLC 09/08/17 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 950 17WC 30274 HURTADO, OSCAR BUNZL DISTRIBUTION 08/23/17 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 951 17WC 30388 NANNEY, RUSSELL HR METRICS INC 08/26/17 SILVERMAN, CLIFFORD A BRADY CONNOLLY & MASUDA PC 952 17WC 30419 BULOW, SCOTT BRINKS LOCKING SYSTEMS 04/11/17 PARENTE & NOREM PC 953 17WC 30455 GONZALEZ, MARIA AARON THOMAS COMPANY INC 09/25/17 BERG & BERG 954 17WC 30491 KYSER, JENNIFER STATE OF ILLINOIS DEPT OF @ 08/26/17 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 955 17WC 30611 MALAK, ANDREW RICH PRODUCTS CORPORATION 06/18/16 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 956 17WC 30701 MARTINEZ, JOHN GOLDEN PYRAMID ENTERPRISE 09/20/17 COSTA IVONE LLC GANAN & SHAPIRO 957 17WC 30753 LOPEZ, FRANCISCO MEDTRONIC 07/25/17 LEONARD LAW GROUP LLC POWER & CRONIN LTD 958 17WC 30808 SCHMIDT, RAY TYSON MOTOR CORPORATION 01/12/17 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 959 17WC 30820 KANE, SANDRA PLAINFIELD COMM CONSOLIDA 10/14/16 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 960 17WC 30879 GAMBOA, NOE NATURAL GEMS COMPANY 10/04/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 961 17WC 30939 GLATCZAK, CARYN PILOT FLYING J 10/03/17 ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 962 17WC 30957 GERMAN, IRMA ROUTE 30 LAUNDROMAT 09/28/17 MICHAEL P MCCREADY & ASSOC 963 17WC 31132 HOARTY, JIM IL DEPT OF CORRECTIONS 09/08/17 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 17WC031133 -C 964 17WC 31263 PATTERSON, LASHON JB HUNT TRANSPORT 04/01/17 LAW OFFICE OF JASON C. BEL MCANANY VANCLEVE & PHILLIPS 965 17WC 31324 SLOUP, JAMES ROMEOVILLE POLICE DEPARTM 06/02/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 966 17WC 31342 CADE, KIRK AMAZON 09/20/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 967 17WC 31377 ROBLEDO, ROMELIA S&S ACTIVEWEAR, LLC 09/25/17 ROMANEK & ROMANEK LAW OFFICES OF EDWARD J. KOZ 968 17WC 31400 BENTLEY, MARCUS BRENNAN EQUIPMENT & MFG, 09/22/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 969 17WC 31433 HARGIS, KEVIN CITY OF JOLIET 09/24/17 HETHERINGTON KARPEL BOBBER KNELL & O'CONNOR 970 17WC 31463 CLARK, RUFUS ILLINOIS DEPT OF CORRECTI @ 02/23/17 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 971 17WC 31589 SMERLING, VICTORIA MACY'S DISTRIBUTION CENTE 03/27/17 SCHWEICKERT & GANASSIN ROBERT L. SMITH 972 17WC 31637 WEBB, DIMITRIA AMAZON FULFILLMENT SVS, I 10/01/17 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 973 17WC 31702 GORDON, KAREN SALEM VILLAGE NURSING, RE 10/10/17 LAW OFFICES MICHAEL HELLMA 974 17WC 31722 DAWSON, KENNETH D A.S.G. STAFFING INC 09/06/17 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 975 17WC 31945 MARTINEZ, ROSALINDA RON'S STAFFING SERVICES 08/04/17 COSTA IVONE LLC 976 17WC 31962 COTE, CHERYL STAFFMARK 09/03/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 977 17WC 32038 TURPIN, ELIZABETH PREMIER TRANSPORTATION IN 10/09/17 CULLEN HASKINS NICHOLSON MARTIN, PATRICK W 978 17WC 32245 LAYCHAK, LOTTIE AMAZON 10/10/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 979 17WC 32440 ANDERSON, JOHN CORNERSTONE SERVICES 05/15/17 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 980 17WC 32574 RUIZ-ALPIZAR, ROMELIA MVP WORKFORCE, LLC 10/02/17 SALK, STEVEN B & ASSOC LTD KOREY RICHARDSON LLC 981 17WC 32670 MC DILDA, JOSEPH RAMSEY CORPORATION 09/19/17 MCNAMARA PHELAN MCSTEEN LL GANAN & SHAPIRO 982 17WC 32691 MEDINA III, FRED L AURELIO'S PIZZA 09/27/17 MCNAMARA PHELAN MCSTEEN LL GANAN & SHAPIRO 983 17WC 32728 JACKSON, ERIC PRIORITY STAFFING 09/28/17 ANGELINI & ORI LLC 984 17WC 32812 BAUTISTA-MERLOS, ELIZABET ADVENTIST HEALTH SYSTEM 01/19/17 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 985 17WC 32880 MELVIN, DOMINICK D GREIF 02/24/17 MCNAMARA PHELAN MCSTEEN LL 986 17WC 32991 LAVE, ASHLEY ANIMAL CARE CLINIC 08/29/16 RATHBUN CSEVENYAK & KOZOL 987 17WC 33034 NELSON, LINDA CRETE-MONEE SCHOOL DIST # 04/14/17 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 988 17WC 33109 SYLVESTER, CYNTHIA D AMAZON 07/25/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 989 17WC 33128 WEBER, JOHN MEANY ELECTRIC 09/05/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 990 17WC 33151 PAZDRO, CURT USF HOLLAND TRUCKING 10/18/17 BLOCK, KLUKAS & MANZELLA P 991 17WC 33212 SOLARIO, SANTIAGO DRALLE CHEVROLETTE & BUIC 08/31/17 KREITER, BYCK & ASSOC LLP ROSARIO CIBELLA 992 17WC 33240 19B NOAH, TERRY CRETE CARRIER CORP 04/24/17 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 993 17WC 33365 MONDRAGON, MARIO THE BROCK GROUP 09/21/17 BAUM RUFFOLO & MARZAL LTD SCHOUEST BAMDAS SOSHEA 994 17WC 33385 KUZNICKI, JUNE FITZGERALD HEALTH EDUCATI 04/25/15 CAPRON & AVGERINOS PC 995 17WC 33519 NEAL, BRIAN CASSENS TRANSPORT CO 05/20/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 996 17WC 33561 ROBERSON, JIMMY II LEOPARDO CONSTRUCTION 08/15/17 JOHN C SERKLAND 997 17WC 33584 PENA, NICOLE CINTAS FIRE PROTECTION BL 10/06/17 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 998 17WC 33622 COLLINS, JAMES WESCO DISTRIBUTION, INC 11/23/16 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 999 17WC 33638 PRUIM, KRISTA SOUTHERN WILL CNTY COOPER 05/05/17 BLOCK, KLUKAS & MANZELLA P 1000 17WC 33668 ARENDS, JOHN PRAIRIE FARMS DAIRY 10/07/17 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 1001 17WC 33720 MANNING, MELISSA JOLIET TOWNSHIP SCHOOL DI 11/01/17 GALLAGHER LAW PC INMAN & FITZGIBBONS 1002 17WC 33737 DIAZ, YESSICA G ILINK RESOURCES 10/16/17 HERRERA LAW CENTER 1003 17WC 33953 VERA-CASTILLO, OSCAR WORK NOW LLC 10/31/17 CHEPOV & SCOTT LLC 1004 17WC 34273 JAMES, MATTHEW PEACOCK ENGINEERING CO, L 11/07/17 ANKIN LAW OFFICE 1005 17WC 34311 WILLIAMS, KAMIKA SCHNEIDER LOGISTICS 08/14/17 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 1006 17WC 34330 RUIZ, GRACIELA COWORX STAFFING SVCS 11/10/17 BERG & BERG BRADY CONNOLLY & MASUDA PC 1007 17WC 34401 DEL RIO, ADAN MAGANA US HOSE CORP 06/15/17 RATHBUN CSEVENYAK & KOZOL JOSEPH MARCINIAK 1008 17WC 34425 PRUNEDA, JOSE HIGH PERFORMANCE LUBRICNT 07/31/17 SAUNDERS CONDON & KENNY QUINTAIROS PRIETO WOOD & BOY 1009 17WC 34460 CANO, OLGA WEATHERTECH 10/24/17 LAW OFFICES MICHAEL HELLMA 1010 17WC 34594 WADE, SHABILHAH DELTA T GROUP 11/09/17 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1011 17WC 34623 SALAZAR, LUIS ARCTIC GLACIER PREMIUM IC 07/03/17 CHEPOV & SCOTT LLC LAWRENCE COZZI - LAW OFFICES 1012 17WC 34660 SMITH, JACQUELINE WILL COUNTY SHERIFF'S OFF 08/30/17 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 1013 17WC 34839 HULL, SHEILA E GREENCORE, USA 11/03/15 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 1014 17WC 34871 GAETA, LOMBARDO DONNELLY TRANSPORTATION, 09/11/17 RATHBUN CSEVENYAK & KOZOL SCOPELITIS GARVIN LIGHT 1015 17WC 35057 CRAVENS, CELINA C WAL MART ASSOCIATES INC 11/12/17 SANDMAN LEVY & PETRICH GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1016 17WC 35133 CERDA, CARLOS MR LEROY STEFFES 09/10/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1017 17WC 35216 GROVE, JASON S JR FUTURE ENVIRONMENTAL INC @ 08/14/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1018 17WC 35264 CARBERRY, ROBIN HOMER COMMUNITY CONSOLIDA 12/09/16 RIDGE & DOWNES INMAN & FITZGIBBONS 1019 17WC 35326 LEE, ANGELIA PRESENCE ST JOSEPH HOSPIT 06/18/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 1020 17WC 35382 GRUCA, RONALD FLINT HILLS RESOURCES 12/08/14 PORRO NIERMANN LAW GROUP MC ANDREWS & NORGLE LLC 1021 17WC 35498 ROFF, ALISA WEST SIDE TRANSPORT 10/17/17 STEVEN J MALMAN & ASSOCIAT 1022 17WC 35524 MARIN, JAVIER KOLE CONSTRUCTION 01/30/17 GALLAGHER LAW PC 1023 17WC 35600 TEJEDA, ELVIS NEEDHAM BUILDERS, INC 10/09/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 1024 17WC 35659 KALOTIHOS, ELEFTHERIOS CLOSET WORKS LLC 11/30/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 1025 17WC 35732 MC INTYRE, JESSICA SILVER CROSS HOSPITAL 06/27/17 CIFELLI SCREMENTI & DORE MACIOROWSKI SACKMANN & ULRIC 1026 17WC 35826 JOHNSON, MICHAEL B CRANE COMPOSITES 11/08/17 PETER D CORTI LAW GROUP SPIEGEL & CAHILL, PC 1027 17WC 35857 RAYGOZA, MARIA D&H DISTRIBUTING 09/22/17 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 1028 17WC 35914 ELLIOTT, TODD ALDI 09/24/17 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 1029 17WC 35980 PURCELL, JAMES TESTING SERVICE CORPORATI 08/23/17 HORWITZ HORWITZ & ASSOC 1030 17WC 36074 BENNETT, ERIC TOYS "R" US 08/30/17 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 1031 17WC 36124 POKORNIK, ROBERT THE HOME DEPOT, INC 09/17/17 BLOCK, KLUKAS & MANZELLA P 1032 17WC 36154 GARCIA, ELEAZAR KANE IS ABLE INC 06/29/17 ROSS TYRRELL 1033 17WC 36250 STURGIS, TASHA AMERICAN SCHOOL BUS COMPA 05/25/17 BIZZIERI LAW OFFICES GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1034 17WC 36377 KONIECZKI, GERALD B.L. DUKE COMPANY 06/27/16 HARRIETT LAKERNICK RUSIN & MACIOROWSKI LTD 1035 17WC 36399 OHMS, SHAUN ACCURATE PERSONNEL SERVIC 11/17/17 KIPNIS & KAHN 1036 17WC 36663 CLARK, MYEISHA INTEGRITY STAFFING SOLUTI 11/26/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 1037 17WC 36743 SCHMIDT, BRIAN AMAZON.COM, INC 10/01/17 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 1038 17WC 36758 GONZALEZ, MARTHA EXTREME CLEANERS INC 04/18/17 ROBERT H HANAFORD 1039 17WC 36804 MATHEY, SUSAN JEAN AMAZON 11/17/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 1040 17WC 36822 MAJERCZYK, JUSTIN IRON HORSE CRANES INC 11/15/17 SALVATO & O'TOOLE GANAN & SHAPIRO 1041 17WC 36854 WARREN, LATOYIA R SALEM VILLAGE NURSING & 12/01/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 1042 17WC 36873 LEACH, MICHAEL AMAZON 12/11/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 17WC021471 -C 1043 17WC 36942 DIXON, REBECCA SEPTRAN, INC 10/05/17 MARKER & ASSOCIATES BRADY CONNOLLY & MASUDA PC 1044 17WC 37084 PINEDA, JESUS TOMMY POLLINA LANDSCAPE C 12/08/17 AIOSSA LAW FIRM 1045 17WC 37150 WETZIG, KIMBERLY WALMART 12/01/17 STROM, NEAL B GANAN & SHAPIRO 1046 17WC 37156 WALKER, MARIE AMAZON 10/08/17 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 1047 17WC 37188 SPENCER, FAHREN WILL COUNTY SHERIFF'S OFF 11/07/17 DAVID SZCZECIN & ASSOC HINSHAW & CULBERTSON 1048 17WC 37273 ACOSTA, BLANCA RUTH VOLT MANAGEMENT CORP 11/04/17 RATHBUN CSEVENYAK & KOZOL ORENSTEIN & ASSOCIATES 1049 17WC 37325 BARAKAT, JAMILA LUTHERAN SOCIAL SERVICES 11/04/17 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 1050 17WC 37400 REARDON, NICHOLAS PERFORMANCE AUTO CENTER 11/27/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 1051 17WC 37456 SEAY, LIDIA WILL COUNTY HEALTH DEPART 07/25/17 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1052 17WC 37565 GUZMAN, SALVADOR CORESTTI STRUCTURAL STEEL 09/30/17 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 1053 17WC 37614 DAVENPORT, THOMAS XPO LOGISTICS FREIGHT 11/10/17 MCNAMARA PHELAN MCSTEEN LL RUSIN & MACIOROWSKI LTD 1054 17WC 37631 PACE, NICOLE PROLOGISTIX 12/08/17 DWORKIN AND MACIARIELLO 1055 17WC 37799 SMITH, PHILIP F LOCKPORT TOWNSHIP FIRE 12/15/17 HETHERINGTON KARPEL BOBBER 1056 17WC 37843 TAYLOR, CATHERINE AMAZON 10/24/17 JAMES ELLIS GUMBINER & ASS 1057 17WC 37859 ROMERO LUNA, JUAN LUIS AMAZON 12/16/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 1058 17WC 37873 MORALES, JORGE ESMARK STEEL 09/01/17 ASHER, RAYMOND L LTD POWER & CRONIN LTD 1059 17WC 37941 BLANKENSHIP, DAVID SYSTEMS MECHANICAL INC 10/26/17 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 1060 17WC 38000 ECHEVERRIA BECERRA, GUSTA DELICIA MEXICAN GRILL 10/29/17 PORRO NIERMANN LAW GROUP 1061 17WC 38029 SHYU, SUSAN SUSHI TRAIN 01/02/17 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 1062 17WC 38072 ZARATE, RICARDO ILLINOIS STATE POLICE @ 02/01/15 SPIROS LAW PC DANIELLE CURTISS 1063 18WC 00012 MCBRIDE, KATRINA INTEGRITY STAFFING SOLUTI 12/20/17 FOHRMAN, DONALD W & ASSOCS 1064 18WC 00110 JOHNSON, MADISON WEST LIBERTY FOODS 11/13/17 DWORKIN AND MACIARIELLO 1065 18WC 00141 LOESCHEN, RABECCA LAKEWOOD NURSING & REHAB 11/14/16 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 1066 18WC 00202 HAMMANN, VALARIE FALCON TRANSPORT CO 02/01/16 O'CONNOR & NAKOS QUINN JOHNSTON HENDERSON ETA 1067 18WC 00324 NOONAN, ROBERT E AMAZON FULFILLMENT CENTER 11/05/17 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 1068 18WC 00334 BURNS, LYNELL MEIJER, INC 11/23/17 LAW OFFICE DAVID W CLARK KOPKA, PINKUS DOLIN, PC 1069 18WC 00390 ROBERTSON, ANDREA ALGO WORLDWIDE LOGISTICS 12/20/17 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1070 18WC 00485 SEIDEL, ANTHONY M COMMONWEALTH EDISON 12/21/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 1071 18WC 00589 PLUTZ, ROBERT VILLAGE OF PLAINFIELD 01/09/15 MARKER & ASSOCIATES SLAVIN & SLAVIN 1072 18WC 00606 KAVOURINOS, FRANCINE JOLIET PUBLIC SD 86 09/29/17 BRILL & FISHEL ROSARIO CIBELLA 1073 18WC 00628 SALAZAR, JUAN ON TIME STAFFING 12/12/17 DAVID W MARTAY CHILTON YAMBERT PORTER LLP 1074 18WC 00641 LARSON, ALLEN NAPA AUTO PARTS 01/02/18 DWORKIN AND MACIARIELLO 1075 18WC 00783 WILLIAMS, DANIEL R PEACOCK ENGINEERING 12/26/17 RUBIN MACHADO ROSENBLUM 1076 18WC 00801 HAWKINS, ANTHONY GRAINGER 11/01/17 POLANSKY & CICHON CHTD 1077 18WC 00836 DIAZ, RONMEL GIANT CONSTRUCTION, INC W 11/17/17 DAVID J. BAWCUM GORDON & CENTRACCHIO LLC 1078 18WC 00864 CLARK, CHRISTOPHER DISCOUNT TIRE 08/24/17 LAW OFFICE OF SCOTT B SHAP 1079 18WC 00968 GLENDE, SARAH OSWEGO SD 308 05/11/17 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 1080 18WC 01092 KANYUH, DIANE ZENITH AMERICAN SOLUTIONS 01/13/15 ARNOLD & KADJAN 1081 18WC 01162 MCCRAY, JOHN PEACOCK ENGINEERING 04/29/16 DWORKIN AND MACIARIELLO 1082 18WC 01236 ALLEN, BRENDA AMAZON 07/25/17 DE FRIES LAW OFFICES PC 1083 18WC 01257 MURPHY, BRIAN FRESH THYME FARMERS MARKE 01/08/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 1084 18WC 01379 FLORES, ALICIA GCA SERVICES GROUP 11/27/17 LAW OFFICES LEONARDO MORAL LITCHFIELD CAVO 1085 18WC 01421 GROENENDAL, STEVE ADT SECURITY SERVICES LLC 10/19/17 GOLDBERG WEISMAN & CAIRO L 1086 18WC 01477 GARDNER, JOHN METRONICS 12/30/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1087 18WC 01540 SULEJMANI, IDRIS MEN'S WEARHOUSE 11/09/16 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1088 18WC 01576 CONTRERAS, JESUS TTX COMPANY, C/O 08/02/17 HETHERINGTON KARPEL BOBBER RODDY LAW LTD 1089 18WC 01581 KLYMKOWYCH, SOPHIA BOLINGBROOK FIRE DEPT 10/31/17 RIDGE & DOWNES 1090 18WC 01631 CASILLAS, MARTHA BUCK SVCS, INC 09/06/17 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 1091 18WC 01691 CLARK, MYEISHA INTEGRITY STAFFING SOLUTI @ 11/26/17 CHASE & WERNER LTD SLAVIN & SLAVIN 1092 18WC 01722 LOGGINS, DECEMBER HARBOR LIGHT HOSPICE/ 01/04/18 BLOCK, KLUKAS & MANZELLA P 1093 18WC 01764 AGUILAR, ARTURO PETCO 04/13/17 RATHBUN CSEVENYAK & KOZOL 1094 18WC 01779 NUGARA, MICHAEL ABF FREIGHT SYSTEMS, INC 01/16/18 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 1095 18WC 01791 SMITH, BENITA COUNTY OF WILL/SUNNY HILL 06/09/17 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 1096 18WC 01812 MITCHELL, KELLY D AMAZON.COM INC 11/25/17 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 1097 18WC 01989 SANTIAGO, ANALECIA AMAZON 11/15/17 EDWIN REYES LEGAL GROUP 1098 18WC 02125 DIAMOND, JAMES A HOME DEPOT (JOLIET) 01/10/18 ELFENBAUM EVERS & AMARILIO ADELSON TESTAN BRUNDO 1099 18WC 02180 SMITH, DANIEL SCHNEIDER LOGISTICS 12/23/17 SPIROS LAW PC POWER & CRONIN LTD 1100 18WC 02221 NIMAKOH, JOHN ARYZTA LL D/B/A ARYZTA BA 12/28/17 EKECHUKWU LAW GRP 1101 18WC 02263 HEILMAN, BRANDON FAMILY WATERPROOFING SOLU 07/12/17 RIDGE & DOWNES JOSEPH MARCINIAK 1102 18WC 02311 WATERS, DENISE FLORSTAR SALES INC 11/09/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1103 18WC 02373 WILLIAMS, RAYMOND INTEGRITY STAFFIGN SOLUTI 11/19/17 LAW OFFICES MICHAEL HELLMA SLAVIN & SLAVIN 1104 18WC 02522 WOOTERS, DANIEL MICHELS PIPELINE 10/03/17 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1105 18WC 02663 ORTEGA, JAIRO RHO CHEMICAL CO INC 12/27/17 LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1106 18WC 02752 STEINHOUSE, DANIEL M ALLIED MEASUREMENT SYSTEM 01/02/18 ANESI OZMON RODIN NOVAK KO CAPUANI, FRANK S 1107 18WC 02780 BRYANT, MELVIN TAYLOR TRUCK LINE INC 01/24/18 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 1108 18WC 02828 FLORES, MATHILDE WEATHERTECH/MACNEILL 10/01/15 BRIAN T MORROW, LAW OFFICE 1109 18WC 02835 WALKER, DAVID SOUTHERN WILL COUNTY 08/19/15 MCNAMARA PHELAN MCSTEEN LL 1110 18WC 02863 GEISS, SARA MARIANO'S 11/21/16 HORWITZ HORWITZ & ASSOC 1111 18WC 02957 BARAJAS, VICENTE VENEGAS KEHE DISTRIBUTORS 01/11/18 HERRERA LAW CENTER POULOS & DIBENEDETTO LAW 18WC006748 -C 18WC009034 -C 18WC010956 -C 1112 18WC 03047 FLORES, OTONIEL STAFFMARK 04/03/17 JONATHAN SCHLACK 1113 18WC 03104 DUNCAN, NEIDRA R AMAZON.COM 01/03/18 URBAN & BURT LTD 1114 18WC 03139 HARRIS, JEFFERY JR JOLIET COLD STORAGE 01/23/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1115 18WC 03286 SUAREZ-MALDONADO, VICTOR SUBZERO SNOW AND ICE CONT 01/02/18 MARKER & CRANNELL HOLECEK & ASSOCIATES 1116 18WC 03288 MULHOLLAND, ELLA HAVE A HEART HOMEMAKER 01/19/18 CULLEN HASKINS NICHOLSON 1117 18WC 03471 HERNANDEZ, RAFAEL TJ BAUMGARTNER 12/14/17 THOMAS J STIBERTH LAW OFFI 1118 18WC 03630 CALANDRIA, JOSHUA CREATIVE MIRROR DESIGN 01/24/18 SCHRAMM LAW GROUP 1119 18WC 03692 JOHNSON, DAVID E VALLEYVIEW SCHOOL DISTRIC 01/17/18 ANKIN LAW OFFICE 1120 18WC 03720 WIESNER, PAIGE WINSHAPE CAMPS 07/19/17 MC HARGUE & JONES 1121 18WC 03740 HOLMES, DEBRA A VALID USA 11/27/17 SANDMAN LEVY & PETRICH 1122 18WC 03797 SUTTON, MONICA PLZ AEROSCIENCE CORP/ 11/16/17 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1123 18WC 03866 ARELANO, ELIZABETH VILLAGE OF MOKENA POLICE 12/22/16 MCNAMARA PHELAN MCSTEEN LL SLAVIN & SLAVIN 1124 18WC 03907 ESPARZA, OLGA AMAZON FULFILLMENT CTR MD 11/25/17 ELFENBAUM EVERS & AMARILIO 1125 18WC 03917 CLINTON, JOSEPH WAYNE SR. GREENCORE USA 02/21/17 KEVIN O'BRIEN HOLECEK & ASSOCIATES 1126 18WC 03971 DEL RIO, CESAR M & M EXPRESS SERVICES 01/24/18 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1127 18WC 03991 TIRADO, DANIEL SCHNEIDER NATIONAL 11/12/17 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 1128 18WC 03999 GUERRERO, NICHOLAS PRAIRIE CREEK GRAIN COMPA 11/25/17 RATHBUN CSEVENYAK & KOZOL CAPUANI, FRANK S 1129 18WC 04054 DEVOS, JOHN GOVERNORS STATE UNIVERSIT @ 01/09/18 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 1130 18WC 04086 OLVERA, ROSARIO FEDERAL SIGNAL 06/29/17 DWORKIN AND MACIARIELLO 1131 18WC 04252 SESSA, MICHAEL RIVERTON CABINET COMPANY 01/23/18 KARCHMAR & STONE CHILTON YAMBERT PORTER LLP 1132 18WC 04308 RODRIGUEZ, DARLINE ALDI 10/10/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 1133 18WC 04357 MURRAY, FORBES DAYTON FREIGHT 01/18/18 EDWIN REYES LEGAL GROUP 1134 18WC 04405 GALLO, PATRICK KUUSAKOSKI US, LLC 12/28/17 MARKER & CRANNELL 1135 18WC 04457 JAMISON, YOLANDA E LEMONT ATS CO INC 01/07/17 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 1136 18WC 04546 PEREZ, RAUL XPEDIENT MANAGEMENT GROUP 01/18/18 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 1137 18WC 04564 DUDA, ARTHUR BOLINGBROOK PARK DISTRICT 11/28/17 SAUNDERS CONDON & KENNY HENNESSY & ROACH PC 1138 18WC 04593 PERZ, CHERYL DUPAGE MEDICAL GROUP 02/01/18 KARCHMAR & STONE LAWRENCE COZZI - LAW OFFICES 1139 18WC 04741 TORRES, ARTEMIO RADIAC ABRASIVES INC C/O 01/12/18 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 1140 18WC 04832 FELLS, JIMMY ALPHABRODER 11/10/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1141 18WC 04850 WASHINGTON, AUDREY SEASONS HOSPICE & 01/04/18 TURNER & SACKETT LLC 1142 18WC 04881 MATHEWS, TOYA AMAZON 06/26/17 TIMOTHY HENDERSON 1143 18WC 04902 BATTERMAN, LESTER JR MOBILE MINI SOLUTIONS 07/05/17 HORWITZ HORWITZ & ASSOC ADELSON TESTAN BRUNDO 1144 18WC 04998 BRASKI, BRENT JOLIET JUNIOR COLLEGE 02/05/18 KROL BONGIORNO & GIVEN LTD 1145 18WC 05070 KOERBER, JESSICA WALMART STORES, INC 01/17/18 BERNAT & BERNAT PC GANAN & SHAPIRO 1146 18WC 05145 BERRY, ROBERT D INTEGRITY STAFFING SOLUTI 12/17/17 GALLAGHER, DONALD V SLAVIN & SLAVIN 1147 18WC 05190 MOORE, SHEILA AMAZON 11/15/17 DWORKIN AND MACIARIELLO 1148 18WC 05339 VANHOEGARDEN, MICHAEL LIF, INC. 03/22/16 BURNETT & CARON, LTD 1149 18WC 05430 SANCHEZ, EMILIA METROPOLITAN ASSOCIATES, 02/13/18 RUEDA, IVAN A LITCHFIELD CAVO 1150 18WC 05449 SWEENEY, SUSAN ECOLAB INC 12/21/17 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 1151 18WC 05508 HELD, RUSSEL BEST PRACTICES STAFFING 02/15/18 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 1152 18WC 05529 FLORES, ALICIA GCA SERVICES GROUP 04/25/17 LEONARDO MORALES LITCHFIELD CAVO 1153 18WC 05902 CEJA JR, CORNELIO COWBOY TRANSPORT, INC 02/11/18 BRIAN T MORROW, LAW OFFICE SCOPELITIS GARVIN LIGHT 1154 18WC 05966 KIRINCICH, JANINA SOUTHERN WILL COUNTY CO-O 12/08/17 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 1155 18WC 06039 TROYNER-SANDERS, RHONDA JOLIET STAFFING/TRADER JO 01/25/18 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 1156 18WC 06109 BELL-REED, LAKISHIA AMAZON FULFILLMENT CENTER 10/18/17 VASILATOS & COTTER LLC 1157 18WC 06144 KAZMIERSKI, THERESA AMAZON 12/06/17 WOODRUFF & JOHNSON KEEFE CAMPBELL BIERY & ASSOC 1158 18WC 06186 PIEDRA, MANUEL A&T REMODELING SOLUTIONS, 11/03/17 GOLDSTEIN BENDER & ROMANOF WESSELS & PAUTSCH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1159 18WC 06237 LAMONT, CARRIE WATSEKA REHAB AND HEALTHC 09/02/16 SPIROS LAW PC KNELL LAW LLC 1160 18WC 06277 SILVA, JAIME IRON MOUNTAIN 12/27/17 BLOCK, KLUKAS & MANZELLA P 1161 18WC 06330 WALLACE, DONALD F. VOGELMANN & COMPANY IN 01/31/18 RUBENS AND KRESS 1162 18WC 06364 JONES, TROYNESHA STATE OF ILLINOIS DOC, @ 02/15/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1163 18WC 06379 SAINEZ, RANFERE IOI LODGERS CROKLAAN 12/29/16 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 1164 18WC 06399 BRACCIO, JOSEPH SEPTRAN INC 01/30/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1165 18WC 06434 LOGALBO, DAVID J NAPA AUTO PARTS 01/17/18 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 1166 18WC 06490 MC CLELLAND, KATHY PETCO 07/26/17 ASHER, RAYMOND L LTD 1167 18WC 06515 LOWERY, VALERIE AMAZON 01/31/18 TIMOTHY HENDERSON WIEDNER & MCAULIFFE LTD 1168 18WC 06574 GIANKOULA, LEONARNT APARTMENT MANAGMT CONSULT 01/15/18 PHILIP BLOMBERG 1169 18WC 06609 GARCIA, AGUSTIN TAPIA CLASSIC PARTY RENTALS 09/06/16 AIOSSA LAW FIRM 1170 18WC 06670 VILLAGOMEZ, GUADALUPE PINE RIDGE LAWN & LANDSCA 09/27/17 RATHBUN CSEVENYAK & KOZOL 1171 18WC 06705 KUKOSH, RONALD BLUE LINX, INC 10/23/17 CAPRON & AVGERINOS PC BRADY CONNOLLY & MASUDA PC 1172 18WC 06719 ZAMBRANO, JOSE K GEODIS LOGISTICS LLC 02/21/18 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 1173 18WC 06769 BRIDGEFORTH, JOSH STATE OF ILLINOIS, DOC @ 02/15/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1174 18WC 06859 VASQUEZ, JACK CASSENS TRANSPORT COMPANY 03/01/18 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1175 18WC 06928 MERTL, RONALD INTERSTATE WAREHOUSING 02/05/18 PARENTE & NOREM PC GRANT & FANNING 1176 18WC 06959 BEY, PATRICIA A JOLIET PUBLIC SCHOOL DIST 03/01/18 ANKIN LAW OFFICE ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1177 18WC 07039 MEDINA, ANGEL EL BURRITO HABANERO 12/28/17 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 1178 18WC 07052 MEDEMA, SHANNON THE MENTA GROUP D/B/A 02/16/18 SALVATO & O'TOOLE LAWRENCE COZZI - LAW OFFICES 1179 18WC 07083 SKAGGS, KAREN DUTCH AMERICAN FOODS, INC 10/19/17 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 1180 18WC 07132 CAMPBELL, CHANDTRA INDIVIDUAL ADVOCACY GROUP 02/14/18 DWORKIN AND MACIARIELLO 1181 18WC 07158 DIAZ, CRUZ B RON'S STAFFING SERVICES 11/27/17 RATHBUN CSEVENYAK & KOZOL 1182 18WC 07234 VANWITZENBURG, LINDA S AMAZON 12/20/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 1183 18WC 07254 BODNAR, JOSEPH JOHN HR METRICS/VENSURE HR INC 01/27/18 SEIDMAN MARGULIS & FAIRMAN 1184 18WC 07286 KELCH, PAUL FRANKFORT FIRE DEPARTMENT 11/21/17 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 1185 18WC 07333 MOEN, CORRIE FIRST STUDENT, INC 11/20/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 1186 18WC 07381 COOPER, CYANNE MARCO'S PIZZA 10/04/17 GREGORIO & MARCO KNELL LAW LLC 1187 18WC 07407 HARRIS, ANDRE J ARCTIC GLACIER USA INC 03/01/18 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICES 1188 18WC 07423 JONES, KATISHA GENERAL MOTORS CORPORATIO 01/11/18 STEVEN M SELAN NYHAN BAMBRICK KINZIE & LOWR 1189 18WC 07454 MURPHY, SABRINA GREENCORE 02/20/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1190 18WC 07546 BOYD, CHARLES GREENCORE USA INC 01/23/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 1191 18WC 07567 PERRY, CARRISA DSC LOGISTICS 05/10/16 COSTA IVONE LLC MC ANDREWS & NORGLE LLC 1192 18WC 07626 REHBOCK, MELISA L THE PARC 12/16/17 BLOCK, KLUKAS & MANZELLA P HOLTKAMP LIESE ET AL 1193 18WC 07694 OAKES, JOHN JB HUNT 02/23/18 DWORKIN AND MACIARIELLO 1194 18WC 07767 MITOK, KIMBERLY ANN STATE OF IL 06/20/17 CULLEN HASKINS NICHOLSON ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1195 18WC 07781 SHOKOT, VALENTYN BRITE LIFT INC. 03/02/18 CHEPOV & SCOTT LLC 1196 18WC 07856 DONAHOE, DANIEL JB HUNT TRANSPORT, INC 01/19/18 FIGLIOLI, DAVID GRANT & FANNING 1197 18WC 07918 WOJCIAK, LAWRENCE BREATHRU BEVERAGE 02/23/18 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 1198 18WC 07953 DEVRIES, KATRINA UNITED STATES COLD STORAG 01/19/18 DWORKIN AND MACIARIELLO 1199 18WC 08086 BINDER, RAUL PACIFIC RAIL SERVICES 12/20/17 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1200 18WC 08113 LUCKETT, PATRICK E AMAZON.COM.DEDC.UC 05/14/17 ANKIN LAW OFFICE 1201 18WC 08197 LEWIS, JOHN PAUL C SOUTHERN GLAZER'S WINE & 01/10/18 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC 1202 18WC 08303 HERRERA, FRANCISCO AZZ GALVANIZING SERVICES 02/16/18 COSTA IVONE LLC 1203 18WC 08341 PUGH, WILLIAM WEATHERTECH 02/15/18 DWORKIN AND MACIARIELLO 1204 18WC 08422 TESSMAN, SHAWN GGJ EXPRESS 12/26/17 SCHREINER MALLOY & ETZLER 1205 18WC 08506 PLUTZ, ROBERT VILLAGE OF PLAINFIELD 03/18/16 MARKER & CRANNELL 1206 18WC 08525 SIBENALLER, KATHERINE HARBORCHASE ASSISTED LIVI 12/25/17 KINNALLY FLAHERTY KRENTZ & FRANCESCA LARSEN 1207 18WC 08548 COOKBEY, SHMOCA ADECCO STAFFING 03/03/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1208 18WC 08578 MEDINA, PRIMITIVO EM LUBE TRUCK REPAIR 04/30/17 RATHBUN CSEVENYAK & KOZOL 1209 18WC 08603 KUC, RADOSLAW SQUARE EXTERIORS,INC 03/15/18 ALEKSY BELCHER GAROFALO SCHREIBER STORM 1210 18WC 08666 FISHER, ANDRE F AMAZON.COMDEDC LLC 02/02/17 ANKIN LAW OFFICE 1211 18WC 08701 CARRENO, EDUARDO CR COATINGS AND LOGISTICS 02/24/18 ENCINAS & ORNELAS 1212 18WC 08742 GARBRIEL, ROBERT TOWNSHIP OF FRANKFORT 01/29/18

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1213 18WC 08822 SANCHEZ, GRACIELA IMPACT LOGISTICS, INC 03/06/18 AIOSSA LAW FIRM 1214 18WC 08849 LEE, BARBARA INTERIM HEALTH CARE SER 01/16/18 ASHER, RAYMOND L LTD BRADY CONNOLLY & MASUDA PC 1215 18WC 08877 SANCHEZ, GRACIELA IMPACT LOGISTICS, INC 11/01/17 AIOSSA LAW FIRM 1216 18WC 08995 PATE, DOROTHY ILLINOIS TOOLS WORKS INC 05/04/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 1217 18WC 09031 DYKE, SAMANTHA TARGET 02/13/18 HORWITZ HORWITZ & ASSOC 1218 18WC 09038 MISSAK, BRIAN HUB GROUP INCC/O ILLINOIS 09/05/17 HETHERINGTON KARPEL BOBBER KNELL O'CONNOR DANIELWICZ 1219 18WC 09067 EDWARDS, ZANA THE PARC 03/13/18 BLOCK, KLUKAS & MANZELLA P HOLTKAMP LIESE ET AL 1220 18WC 09143 JENIG, ERICH NAPA 11/30/17 TRAPP & GELLER 1221 18WC 09177 EMAKHU, VICTOR ELITE STAFFING 09/06/17 DAVID W MARTAY 1222 18WC 09232 BUDZINSKI, MICHAEL RE DUCHENE ROOFING AND SI 11/14/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1223 18WC 09289 SOVERINO, JOSEPH TWINN EXCAVATING & TRUCKI 09/22/17 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 1224 18WC 09298 VLAHOPOULOS, GEORGE CREST HILL LANES & PUB, 01/27/18 TAXMAN POLLOCK BRADY CONNOLLY & MASUDA PC 1225 18WC 09362 FLORES, VLADIMIR AMERISOURCE BERGIN 02/22/16 PORRO NIERMANN LAW GROUP 1226 18WC 09377 WRIGHT, YVETTE GRAINGER DISTRIBUTION CEN 01/16/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 1227 18WC 09394 HERNANDEZ, MARIA RON'S STAFFING 02/27/17 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1228 18WC 09418 GOMEZ, DELIA PEREZ ABM INDUSTRIES, INC 11/20/17 BART DURHAM GOLDBERG SEGALLA LLC 1229 18WC 09535 LOPEZ, RENE AZZ GALVANIZING 03/07/18 RATHBUN CSEVENYAK & KOZOL GRANT & FANNING 1230 18WC 09613 WILLIAMS, ERIC AMAZON 03/20/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1231 18WC 09648 WILLIAMS, PATRICIA JOLIET TREATMENT CENTER 02/15/18 COHN LAMBERT RYAN & SCHNEI DANIELLE CURTISS 1232 18WC 09721 WELCHER, TAWANNA AMAZON 08/14/17 ANSELMO DURAN 1233 18WC 09744 SERVIN, RAMIRO ABLE MASONRY 01/11/18 KROL BONGIORNO & GIVEN LTD 1234 18WC 09760 DENOOD, JON UPS FREIGHT 01/02/18 MEYERS & FLOWERS ASA LAW GROUP 1235 18WC 09835 BRYANT, GERALD LEGACY 3 DFX 02/23/18 BAUM RUFFOLO & MARZAL LTD 1236 18WC 09922 ROBINSON, MIA G AMAZON.COM.DEDC, LLC 12/20/17 ANKIN LAW OFFICE 1237 18WC 09972 JACKSON-ROWE, STEPHANIE WEXFORD HEALTHSOURCES, IN 11/04/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 1238 18WC 10008 HILLIARD, ROZETTE SCHNEIDER LOGISTICS 03/10/18 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 1239 18WC 10022 MCCLOUD, VERLA STATE OF ILLINOIS @ 11/14/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1240 18WC 10039 PROCHASKA, CHUCK QUANTUM CROSSINGS LLC 03/13/18 GERALD DOLL 1241 18WC 10105 NIES, ROBERT XPO LOGISTICS 02/17/18 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 1242 18WC 10144 AYALA, ROSALIO RITEWAY ELECTRIC 03/22/18 WOODRUFF & JOHNSON 1243 18WC 10190 FANELLI, JOHN LINCOLN WAY CENTRAL 03/21/18 SEIDMAN MARGULIS & FAIRMAN 1244 18WC 10221 SMITH, DIONTA REVERE ELECTRIC SUPPLY 03/19/18 DWORKIN AND MACIARIELLO 1245 18WC 10265 O'SULLIVAN, MARY JO WEXFORD HEALTH SOURCES, I 07/06/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1246 18WC 10282 CLARK, WILLIAM ELITE STAFFING 03/21/18 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 1247 18WC 10349 BELLA, SCOTT BRATCHER ENTERPRISES 02/08/18 SEIDMAN MARGULIS & FAIRMAN 1248 18WC 10377 JONES, MELITA AMAZON 11/29/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1249 18WC 10418 WIDEMAN, NATHANIEL INTEGRITY TRADE SERVICES 03/06/18 DWORKIN AND MACIARIELLO 1250 18WC 10437 GUZMAN, JOSE GRAINGER 12/08/17 LIPKIN & HIGGINS LAW OFFIC ASA LAW GROUP 1251 18WC 10521 SIRIANO, RONALD LINDBLAD CONSTRUCTION COM 07/20/17 MICHAEL HELLMAN INMAN & FITZGIBBONS 1252 18WC 10556 TZINZUN, RODOLFO ENERSYS INC 05/04/16 EPSTEIN, JACK R LAW OFFICE 1253 18WC 10586 HAYES, LAKISHA GRAINGER 01/24/18 MC HARGUE & JONES 1254 18WC 10684 MEISER, GARY VALLEY VIEW SCHOOL DISTRI 01/19/18 BURNETT & CARON, LTD 1255 18WC 10720 MICHALIK, KENDRA HOMER COMMUNITY CONSOLIDA 01/24/18 RIDGE & DOWNES INMAN & FITZGIBBONS 1256 18WC 10770 GONZALEZ, CARLOS BOB'S DISCOUNT FURNITURE 03/19/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 1257 18WC 10814 MOTA, JUAN RAMOS NATION ONE LANDSCAPING 05/30/17 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICES 1258 18WC 10887 BURALLI, ROBERT U.S. REFRIDGERATION 01/31/17 E JAMES RAYMOND 1259 18WC 10917 JOHNSON, NAVONNE D ELITE STAFFING 04/03/18 ANESI OZMON RODIN NOVAK KO 1260 18WC 10934 WHEELER, MARTIN MOBILITY WORKS 12/14/17 CAPRON & AVGERINOS PC 1261 18WC 10996 BARROWMAN, TIM CITY OF JOLIET 03/29/17 WHITESIDE & GOLDBERG LTD KNELL & O'CONNOR 1262 18WC 11021 ESPOSITO, DANIELLE USF HOLLAND 02/13/18 PARENTE & NOREM PC HENNESSY & ROACH PC 1263 18WC 11129 GIVENS, AJA AMAZON WAREHOUSE 12/13/17 LEITER LAW OFFICES HENNESSY & ROACH PC 1264 18WC 11179 WALKER, GLYN SUPERIOR BULK LOGISTICS 01/08/18 SCHREINER MALLOY & ETZLER SCOPELITIS GARVIN LIGHT 1265 18WC 11189 CLOYD, DARNELL ILLINOIS BELL TELEPHONE C 02/08/18 HETHERINGTON KARPEL BOBBER INMAN & FITZGIBBONS 1266 18WC 11350 ABEL, MATT WILLIAM BROTHERS CONSTRUC 10/06/17 LEFANTE LAW OFFICES KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1267 18WC 11416 BISHOP, DIANE JEWEL FOODS 07/12/17 BOWMAN & CORDAY 1268 18WC 11454 WINSTON, JANIYAH AMAZON 01/17/18 DAVID W MARTAY 1269 18WC 11472 GASKINS, BRAWLIE TOTAL FIRE & SAFETY 11/07/13 BURNETT & CARON, LTD RUSIN & MACIOROWSKI LTD 18WC011473 -C 1270 18WC 11500 SOKOLOWSKI, WALTER NEMF 03/30/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 1271 18WC 11582 FOSTER, ANGELA WEXFORD HEALTH SOURCES IN 02/05/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 1272 18WC 11662 GARCIA, LEONEL CRATE & BARREL 03/18/18 KAT0Z FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 1273 18WC 11734 LLOYD, BERNNON JOLIET STAFFING 12/28/17 LEONARD LAW GROUP LLC 1274 18WC 11774 MANRIQUE, DAVID PRIDE STAFF 12/14/17 DWORKIN AND MACIARIELLO 1275 18WC 11792 JOHNSON, JERON GRAINGER @ 04/03/18 DWORKIN AND MACIARIELLO ASA LAW GROUP 1276 18WC 11980 MCCLELLAND, KATHY PETCO 06/21/17 ASHER, RAYMOND L LTD 1277 18WC 12018 SMITH, ANGEL WHITE CASTLE 04/04/18 DWORKIN AND MACIARIELLO 1278 18WC 12071 FLEISCHAUER, MICHAEL WASTE MANAGEMENT, INC 02/02/18 HORWITZ HORWITZ & ASSOC 1279 18WC 12126 MORENO, JUAN RON'S STAFFING SERVIES 04/11/18 STEWART C ORZOFF KOREY RICHARDSON LLC 1280 18WC 12180 LENZ, MICHAEL STATE OF ILLINOIS @ 02/11/18 PAUL E SELIN ASSISTANT ATTORNEY GENERAL 1281 18WC 12247 MROZ, ALETHEA AMAZON.COM DEDC LLC 01/27/18 ANKIN LAW OFFICE 1282 18WC 12394 SINIO, ARNEL W.W. GRAINGER, INC 03/23/18 LEITER LAW OFFICES 1283 18WC 12429 SIMS-KING, DEMETRIA EASTER SEALS 02/22/18 STEVEN J TENZER, LTD 1284 18WC 12452 REYNOSO, CATALINA A AMAZON.COM LLC 09/09/17 NAT0HANIEL D. LAWRENCE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1285 18WC 12496 STROENING, RICHARD ACCURATE PERSONNEL LLC 03/26/18 PERONA, PETERLIN, ANDREONI JOHN T GONNELLA 1286 18WC 12577 EGENER, CLAYTON SCHNEIDER NATIONAL CARRIE 02/03/17 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC 1287 18WC 12658 PACE, CAMILLE L JB HUNT TRANSPORTATION 03/14/18 GALLAGHER, DONALD V GRANT & FANNING 1288 18WC 12711 ODOM, WALTER ELITE STAFFING 04/13/18 MC HARGUE & JONES 1289 18WC 12781 WILLIAMS, TRAVIS PACTIV 03/24/18 CULLEN HASKINS NICHOLSON 1290 18WC 12821 DIFOGGIO, DOMINIC PIZZA KING INC 02/17/18 MICHAEL C. GOODE 1291 18WC 12843 ORTEGA, PAULINO ILLINOIS & MICHIGAN OIL, 03/14/18 KAT0Z FRIEDMAN EAGLE ET AL 1292 18WC 12884 WALKER, CHRISTY AMAZON 02/02/18 LANNON LANNON & BARR LTD WIEDNER & MCAULIFFE LTD 1293 18WC 12987 MCKEE, LORI CRETE MONEE SCHOOL DIST # 01/11/18 GOLDBERG WEISMAN & CAIRO L 1294 18WC 13094 THOMPSON, JANINE JOLIET JOB CORP. 03/12/18 STANCZAK LAW OFFICES 1295 18WC 13184 RODRIGUEZ HERNANDEZ, JOSE HITS, INC 03/22/18 GREGORIO & MARCO 1296 18WC 13231 BARRAZA, GLAUDIA IMPACT LOGISTICS 03/21/18 CHEPOV & SCOTT LLC WOLFE & JACOBSON, LTD 1297 18WC 13258 WHITE, MARK DOT TRANSPORTATION 02/12/17 JOHN E LUSAK HEYL ROYSTER VOELKER & ALLEN 1298 18WC 13293 BENDITO, MIGUEL LEGACY INTERIOR & EXTERIO 09/11/17 BART DURHAM 1299 18WC 13299 REED, MEGAN ELITE STAFFING 04/16/18 GERALD CONNOR 1300 18WC 13360 GOODWIN, DENISE AMAZON.COM, INC 02/01/18 KEVIN O'BRIEN 1301 18WC 13382 CONTRERAS, HUGO US TANK ALLIACE INC 09/19/17 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM 1302 18WC 13419 TOMLINSON, SCOTT STATE OF IL DEPT OF CORRE @ 04/08/18 ANKIN LAW OFFICE DANIELLE CURTISS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1303 18WC 13432 JACKSON, MICHAEL DOT FOODS INC 04/20/18 DWORKIN AND MACIARIELLO 1304 18WC 13453 HILL, SHANNON SCHNEIDER LOGISTICS 04/25/18 TIMOTHY HENDERSON POWER & CRONIN LTD 1305 18WC 13499 HARMON, VIRGINIA AMAZON.COM DEDC LLC 03/01/18 ANKIN LAW OFFICE 1306 18WC 13536 GARCIA, MARIA AMAZON FULFUILLMENT CTR M 04/15/18 LEE VASILATOS 1307 18WC 13610 HARRIS, YOLANDA DHL SUPPLY CHAIN/DHL LOGI 03/29/18 DREW J FERRACUTI SPIEGEL & CAHILL, PC 1308 18WC 13636 RAMOS, ELMBER VIDAL KEHE FOOD DISTRIBUTORS, I 03/21/18 STROM, NEAL B POULOS & DIBENEDETTO LAW 1309 18WC 13657 HUBBERT, BERNADETTE AMAZON.COM DEDC LLC 03/13/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 1310 18WC 13683 SWANSON, AMY AMAZON 12/17/17 THOMAS J STIBERTH LAW OFFI 1311 18WC 13748 HAYWARD, DAVID AMAZON 02/19/18 ASHER, RAYMOND L LTD 1312 18WC 13810 ROSAS, ARELI G P-MALL, BED, BATH & BEYON 05/30/17 BLOCK, KLUKAS & MANZELLA P 1313 18WC 13843 GARVEY, TERRENCE JR WILL COUNTY FOREST PRESER 01/29/18 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 1314 18WC 13874 ROSALES, IMELDA TRIUNE LOGISTICS 04/11/18 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 1315 18WC 13904 GALLAGHER, JOHN P JOLIET FIRE DEPARTMENT 07/03/17 RIDGE & DOWNES 1316 18WC 13989 VALENTI, JOSEPH M XPO LOGISTICS 02/12/18 DAVID W MARTAY 1317 18WC 14046 RIGGS, AMY INTEGRITY STAFFING/AMAZON 12/20/17 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 1318 18WC 14121 VALLADARES, MICHAEL WINDY CITY LLC DBA 04/09/18 JOHN E LUSAK 1319 18WC 14154 RODRIGUEZ, ALBERT NICOR GAS 01/21/18 WOODRUFF & JOHNSON 1320 18WC 14191 BELL, ANDREW ACCURATE PERSONNEL 05/05/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1321 18WC 14262 TAYLOR, KENYATTA AMAZON 12/27/17 STEIN & CHERNY LTD WIEDNER & MCAULIFFE LTD 1322 18WC 14268 GUGLIELMO, CAROLINA JMAKIL ENTERPRISES INC 12/17/17 MICHAEL HELLMAN 1323 18WC 14318 ROBINSON, LARRY ELITE STAFFING 03/05/18 DWORKIN AND MACIARIELLO 1324 18WC 14392 WRIGHT, GARY SMITHS DETECTION 09/08/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 1325 18WC 14440 KLOTZ, DANIEL GOVERNORS STATE UNIVERSIT 01/12/17 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 1326 18WC 14478 FRANKLIN, FELICE AMAZON.COM SERVICES, INC. 09/27/17 FLAHERTY LAW 1327 18WC 14522 JONES, PATRICK PRAIRIE CREEL LOGISTICS 10/11/17 HORWITZ HORWITZ & ASSOC 1328 18WC 14595 HEREDIA, MIRNA WORLD CLASS DISTRIBUTION 03/12/18 LEONARDO MORALES 1329 18WC 14624 PENA-RIOS, ALEC (SON OF IZZY'S LLC # 03/09/18 CORTINA & MUELLER HENNESSY & ROACH PC 1330 18WC 14655 RAMOS, ISABEL JOLIET TOWNSHIP HIGH SCHO 04/13/18 GRAZIAN & VOLPE PC 1331 18WC 14708 LUKANCIC, JOHN CITY OF JOLIET FIRE DEPT 03/05/18 WHITESIDE & GOLDBERG LTD KNELL O'CONNOR DANIELWICZ 1332 18WC 14765 GARCIA, MARIA AMAZON FULFILLMENT CENTER 04/15/18 VASILATOS & COTTER LLC 1333 18WC 14822 ARMOUR, CRAIG RYDER SYSTEM LOGISTICS 04/30/18 LEITER LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 1334 18WC 14896 ARZATE, FRANCIS PRESENCE HEALTH ST JOSEPH 02/01/18 BLOCK, KLUKAS & MANZELLA P 1335 18WC 14932 PRESNELL, TRACI ALDI 11/25/17 SCOTT BARBER 1336 18WC 14993 DOLEZAL, JAMES JB HUNT TRANSPORTATION 03/27/18 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 1337 18WC 15023 THOMPSON, TERRELL MENASHA PACKAGING 04/23/18 LEITER LAW OFFICES 1338 18WC 15037 LUPA, NICHOLE TRINITY SVCS, INC 05/08/18 PETER D CORTI LAW GROUP GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1339 18WC 15053 CORTES, TERESA LCV STAFFING 05/04/18 JAMES ELLIS GUMBINER & ASS 1340 18WC 15161 ROWENS, ALISHA AMAZON 11/24/17 ROSENFELD HAFRON SHAPIRO F 1341 18WC 15254 RIEMER, JAN ARBURY HILLS 04/18/16 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 1342 18WC 15300 SCHIRO, PETER THE TOOL AND GAGE HOUSE 09/01/16 RIDGE & DOWNES 1343 18WC 15360 GERACI, CANDY KEYSTONE FREIGHT 03/15/18 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 1344 18WC 15379 LEMUS, JOAQUIN SUMMIT STAFFING 03/31/18 CHEPOV & SCOTT LLC 1345 18WC 15453 RICHARDSON, RENA AMAZON FULFILLMENT CTR 05/11/18 DWORKIN AND MACIARIELLO 1346 18WC 15561 STRINE, GAIL MAGID GLOVE & SAFETY 12/12/17 MILLON & PESKIN LTD 1347 18WC 15601 PELOSO, ANTHONY M VILLAGE OF BOLINGBROOK 04/13/18 THOMAS W DUDA 1348 18WC 15666 THOMPSON, JARED D AMAZON.COM.DEDC LLC 01/05/18 ANKIN LAW OFFICE 1349 18WC 15675 HENDRICKS, GERALD D DSC LOGISTICS 01/18/18 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 1350 18WC 15697 FLORES, ROGER TURANO BAKING CO 03/20/17 DWORKIN AND MACIARIELLO 1351 18WC 15750 PATTERSON, LYNNEZ SCHNEIDER LOGISTICS, INC 05/20/18 HETHERINGTON KARPEL BOBBER POWER & CRONIN LTD 1352 18WC 15800 SANCHEZ, JOSE HECTOR KEHE DISTRIBUTORS 02/19/18 FRIEDMAN & SOLMOR LTD 1353 18WC 15825 CANFARELLI, ANDREW ANDERSON PUMP SERVICE 02/22/18 SOSTRIN AND SOSTRIN PC EDWARD J. KOZEL 1354 18WC 15871 POPOCA, DANIEL GREENCORE 05/16/18 TIMOTHY HENDERSON HOLECEK & ASSOCIATES 1355 18WC 15895 BAKER, MICHELLE CENTER FOR DISABILITY SER 05/09/18 HORWITZ HORWITZ & ASSOC 1356 18WC 15966 VALDES, FRANCISCO WILL COUNTY SHERIFF'S OFF 03/05/18 DAVID SZCZECIN & ASSOC HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1357 18WC 15997 RUSSELL, ANDRE C CRATE SERVICES 03/30/18 VANO LAW GROUP 1358 18WC 16043 VEGA, FRANCESCO SAIA LTL FREIGHT 05/21/18 SANDMAN LEVY & PETRICH POULOS & DIBENEDETTO LAW 1359 18WC 16134 ROMERO, RAUL FIS 05/17/18 DWORKIN AND MACIARIELLO 1360 18WC 16249 HERNANDEZ CISNEROS, JESUS CHEDDARS CASUAL CAFE 07/08/17 ROBERT H HANAFORD 1361 18WC 16295 WILSON, DIRRIOUS PROLOGISTIX 04/09/18 SCHREINER MALLOY & ETZLER 1362 18WC 16400 HARDEN, DELORES AMAZON 05/24/18 DWORKIN AND MACIARIELLO 1363 18WC 16422 MINNIEFIELD, JACQUELINE GREENCORE USA-CPG PARTNER 03/22/18 CHASE & WERNER LTD HOLECEK & ASSOCIATES 1364 18WC 16483 MARTINEZ-REYES, OMAR FIESTA MARKET 04/05/18 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 1365 18WC 16647 CALVILLO, CHRISTIAN AMAZON 12/23/17 VRDOLYAK LAW GROUP LLC 1366 18WC 16754 MARGARITO, ANTONIO AXCESS STAFFING 04/23/18 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 1367 18WC 16806 BARTOLI, JOSEPH CHANNAHON GENERAL RENTAL 02/24/18 SEIDMAN MARGULIS & FAIRMAN 1368 18WC 16851 THOMSEN, ERIC VILLAGE OF BOLINGBROOK FI 01/15/18 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 1369 18WC 16902 LOPEZ, MARIA JOLIET WEST HIGH SCHOOL 12/06/16 LEITER LAW OFFICES 1370 18WC 16946 DIN, ABRAR ASHLEY FURNITURE 02/17/18 GOLDSTEIN BENDER & ROMANOF 1371 18WC 17020 HERNANDEZ, KARINA MULTI-TEMPS STAFFING INC. 05/01/18 HERRERA LAW CENTER GAIDO & FINTZEN 1372 18WC 17060 MIDDLETON, SONIA EDWARD HOSPITAL 02/04/18 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL BIERY & ASSOC 1373 18WC 17149 ORTEGA, DAVID DOLLAR TREE DISTRIBUTION 05/18/18 AIOSSA LAW FIRM 1374 18WC 17326 MORALES, GUADALUPE ULTIMATE RENTAL SERVICES, 08/10/17 PETER DELONGIS ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1375 18WC 17385 GUTIERREZ, JOSE HONDA OF JOLIET 05/12/18 DE SALVO, SCOTT D LAW OFFI 1376 18WC 17432 MARTINEZ, HECTOR AUTO BAHN INDOOR RACE TRA 02/19/18 KROL BONGIORNO & GIVEN LTD CAPUANI, FRANK S 1377 18WC 17440 BANKS, DIMIA BERNARD WELDING 05/02/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1378 18WC 17474 MYERS, STACY DOLLAR GENERAL 03/05/18 MARKER & CRANNELL LEAHY EISENBERG & FRAENKEL 1379 18WC 17541 MARTELLI, TOM FEDEX FREIGHT 04/13/18 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 1380 18WC 17643 THOMPSON, ERNESTINE AMAZON 04/27/18 DWORKIN AND MACIARIELLO 1381 18WC 17668 EVANS, CHAD CITY OF JOLIET * 05/11/18 LULAY LAW OFFICES KNELL O'CONNOR DANIELWICZ 1382 18WC 17694 DE SANDO, MICHAEL MEIJER 09/20/17 COSTA IVONE LLC KOPKA, PINKUS DOLIN, PC 1383 18WC 17749 ROSSETTI, VINCENT WALMART 01/09/18 KREITER, BYCK & ASSOC LLP QUINTAIROS PRIETO WOOD & BOY 1384 18WC 17795 REED, KASEY PRESENCE HEALTH ST 05/26/18 RUSSO & RUSSO LTD NYHAN BAMBRICK KINZIE & LOWR 1385 18WC 17818 HALSTEAD, MICHAEL SPECTRA STAFFING INC./ 06/05/18 SCHWEICKERT & GANASSIN GILDEA, COGHLAN & REGAN LTD. 1386 18WC 17843 BALDIVIA, DOMINGO JR. CITY OF JOLIET 05/07/18 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1387 18WC 17905 FREGEAU, BARBARA SCHNEIDER ENTERPRISES RES 09/07/17 FREDERICK & HAGLE POWER & CRONIN LTD 1388 18WC 17951 MILLER, MITCHELL HR METRICS INC. 05/25/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1389 18WC 18013 STAGG, EARL AMAZON 05/05/18 COSTA IVONE LLC 1390 18WC 18093 EDWARDS, DELILAH AMAZON 05/31/18 DWORKIN AND MACIARIELLO 1391 18WC 18098 PETERSON, CHANISE STANLEY STEAMER 06/06/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 1392 18WC 18186 MITCHELL, JERMAINE GREENCORE USA-CPG PARTNER 06/06/18 CHASE & WERNER LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1393 18WC 18193 HAWKINS, KEVIN MEADOWS AT THE RIVER RUN 02/20/18 DWORKIN AND MACIARIELLO 1394 18WC 18210 PATTERSON, DEMOND DOT FOODS 05/26/18 LUSAK AND COBB 1395 18WC 18356 DIAZ, JOSE USF HOLLAND 05/31/18 GERALD CONNOR 1396 18WC 18381 FITZSIMMONS, JUDITH SPEEDWAY, LLC 06/05/18 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC 1397 18WC 18488 CURRY, ELAINE CIRCLE K 06/10/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 1398 18WC 18590 FERGUSON, ARIANNA AMAZON 05/14/18 CULLEN HASKINS NICHOLSON 1399 18WC 18619 EARLEY, DENNIS BOWLERO CORPORATION 04/26/18 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 1400 18WC 18652 RAYFORD, NADINE LCV STAFFING 06/09/18 JAMES ELLIS GUMBINER & ASS GAROFALO SCHREIBER STORM 1401 18WC 18687 FINNIE, LOUIS JR. CRETE-MONEE SCHOOL DIST 2 03/06/18 DAVID W MARTAY 1402 18WC 18717 SMITH, RANDY CLEQRSTAFF, INC 06/12/18 DWORKIN AND MACIARIELLO 1403 18WC 18797 ELMONT, JACEK ILLINOIS DEPARTMENT 04/19/18 HEALY SCANLON LAW FIRM 1404 18WC 18873 ROBERSON, ROBERT BALTIC FREIGHT CORP 08/18/17 FRANCIS J DISCIPIO LAW OFF 1405 18WC 18965 PERKINS, JODI L AMAZON 05/05/18 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL BIERY & ASSOC 1406 18WC 18996 BRAVO, HECTOR JB'S RANCH 09/19/17 CULLEN HASKINS NICHOLSON 1407 18WC 19014 STAGG, EARL AMAZON WAREHOUSE 03/07/18 BRISKMAN BRISKMAN GREENBER 1408 18WC 19077 WHITE, ERICA STATE OF ILLINOIS/ STATEV @ 06/12/18 DREW J FERRACUTI DANIELLE CURTISS 1409 18WC 19126 DIAZ, AMANDA WAL-MART 05/22/18 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 1410 18WC 19180 MARTINEZ, ALFONSO NORTHWEST FENCE 03/14/18 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1411 18WC 19199 ZUNIGA, JUAN TOYS R US 04/16/18 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 1412 18WC 19221 KWASNIEWSKI, ROBIN WILTON INDUSTRIES 02/01/18 MICHAEL HELLMAN WOLFE & JACOBSON, LTD 1413 18WC 19302 BURNETT, SUZETTE AMAZON 07/12/17 DWORKIN AND MACIARIELLO 1414 18WC 19334 THOMAS, CHARLES SCHNEIDER 04/19/18 MC HARGUE & JONES POWER & CRONIN LTD 1415 18WC 19383 COLE, FELICIA WEST LIBERTY FOODS 04/16/18 DAVID W MARTAY 1416 18WC 19393 MILLER, STEPHEN VILLAGE OF BOLINGBROOK PU 06/20/18 BLOCK, KLUKAS & MANZELLA P 1417 18WC 19396 CHISENALL, YVETTE SCHEIDER NATIONAL 11/09/17 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 1418 18WC 19399 PEREZ, RUBEN CONCRETE SPECIALISTS 01/05/18 BLOCK, KLUKAS & MANZELLA P 1419 18WC 19428 KUKOWSKI, KEVIN VILLAGE OF MANHATTAN 06/12/18 ANKIN LAW OFFICE POWER & CRONIN LTD 1420 18WC 19470 BECK, NICHOLAS RON WESTPHAL CHEVROLET 05/10/18 KINNALLY FLAHERTY KRENTZ GANAN & SHAPIRO 1421 18WC 19488 CAMACHO, NANCY HICKORY FARM 01/10/18 RATHBUN CSEVENYAK & KOZOL JOSEPH MARCINIAK 1422 18WC 19531 ALBRIGHT, CANDICE PERFECT BROW ART, INC 03/28/18 PETER D CORTI LAW GROUP 1423 18WC 19570 SIGEL, JOEL STEAK N SHAKE, INC 06/13/18 TRENT LAW FIRM PC KEEFE CAMPBELL BIERY & ASSOC 1424 18WC 19646 CANNON, JOSHUA KENCO LOGISTICS SERVICES 05/15/18 WOLFE LAW PC INMAN & FITZGIBBONS 1425 18WC 19708 CARDENAS, FE KEHE DISTRIBUTORS, INC. 01/16/17 EPSTEIN, JACK R LAW OFFICE 1426 18WC 19817 TOLIVER, MIA AMAZON 03/26/18 GERALD CONNOR WIEDNER & MCAULIFFE LTD 1427 18WC 19839 PAMONICUH, JESSICA CIRCLE K 12/29/17 SCOTT B SHAPIRO NYHAN BAMBRICK KINZIE & LOWR 1428 18WC 19928 HERRERA, OSCAR RJW RETAIL SERVICES 06/25/18 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1429 18WC 19957 CARR, JASON ROVANCO PIPING SYSTEMS 02/07/18 MCNAMARA PHELAN MCSTEEN LL 1430 18WC 19987 SHELBY, VINCENT SILVER CROSS HOSPITAL 05/04/18 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 1431 18WC 20021 BOWENS, ALISHA AMAZON 11/24/17 DWORKIN AND MACIARIELLO 1432 18WC 20041 LOYA, ELEAZAR T&D METAL PRODUCTS 06/10/18 SPIROS LAW PC 1433 18WC 20136 SOCHA, CASSANDRA CITY OF JOLIET 03/11/18 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1434 18WC 20167 ROBINSON, LATOYIA D. BEECHER MANOR 06/21/18 GALLAGHER, DONALD V 1435 18WC 20191 STEPHAN, GABRIEL SOUTHERN GLAZER'S ' 11/28/17 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 1436 18WC 20206 TRAVIS, DARNESHA BUTTERFIELD HEALTH CARE I 06/26/18 ANKIN LAW OFFICE 1437 18WC 20230 JIMENEZ, JOSE LUIS ROTO-ROOTER SERVICES CO 06/26/18 HETHERINGTON KARPEL BOBBER 1438 18WC 20279 JOHNSON, JAN PRESCO PALOS COMMUNITY HOSP 06/07/18 HART & DAVID LLP POWER & CRONIN LTD 1439 18WC 20359 LUMOR, STEPHEN BUNGE LODERS CROKLAAN 07/05/17 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 1440 18WC 20444 JOHNSON, EDDIE AMAZON 11/26/17 LEONARD LAW GROUP LLC 1441 18WC 20551 JOHNSON, DAPHNE AMAZON 01/03/18 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 1442 18WC 20567 COLQUITT, YANCY DIAGEO, INC. 10/07/17 LEITER LAW OFFICES LAWRENCE COZZI - LAW OFFICE 1443 18WC 20577 PRACK, KATYLYNN AMAZON FULFILLMENT CENTER 05/02/18 DWORKIN AND MACIARIELLO 1444 18WC 20614 WILLIS, YAKIRA AMAZON COM DEDC, LLC 10/01/17 NO ATTORNEY WIEDNER & MCAULIFFE LTD 1445 18WC 20726 SMITH, DEFREESE SONY DADC/SONY CORPORATIO 09/15/17 BRISKMAN BRISKMAN GREENBER BORGELT POWELL 1446 18WC 20757 RIECHERS, CHRISTINE AMAZON FULFILMENT CENTER 09/22/17 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1447 18WC 20814 BERGER, ELKE PANDUIT 01/18/18 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 1448 18WC 21014 WILLIAMS, CHARMELL P GREENCORE USA 02/20/18 GALLAGHER, DONALD V 1449 18WC 21131 PEFFER, JOHN ACCURATE PERSONNEL 07/04/18 ANGELINI & ORI LLC 1450 18WC 21206 ODOM, CHARLES CRST INTERNATIONAL INC 10/01/15 DAVID M SPADA THOMAS & PORTELA 1451 18WC 21221 MITCHELL, JEROME PEOPLE 2.0 06/28/18 SIGMOND, STEVEN RUSIN & MACIOROWSKI LTD 1452 18WC 21266 LANGSTON, STANLEY CENTERLINE 03/10/18 WOODRUFF JOHNSON 1453 18WC 21337 MEHMOOD, KHALID SPEEDWAY, LLC 04/21/18 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 1454 18WC 21418 ROMAN, KENNY SMITHFIELD FOODS 05/17/18 FRIEND LEVINSON & BERGAL INMAN & FITZGIBBONS 1455 18WC 21452 GARCIA SR, JOAQUIN UNIVAR 05/19/14 STEVEN A CRIFASE, LTD HENNESSY & ROACH PC 1456 18WC 21510 WALLACE, JAMIE ITW 07/10/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1457 18WC 21546 MILTON, TONYA AMAZON 10/15/17 DWORKIN AND MACIARIELLO 1458 18WC 21557 LEWIS, EVANS KELLOGG'S 11/17/17 THE ROMAKER LAW FIRM 1459 18WC 21608 OTTE, JEFFERY FRANKFORT FIRE PROTECTION 12/01/17 BLOCK, KLUKAS & MANZELLA P 1460 18WC 21753 DEGRADO, GUY VILLAGE OF BOLINGBROOK 12/13/17 KINNALLY FLAHERTY KRENTZ POWER & CRONIN LTD 1461 18WC 21900 TOFARI, JOSHUA FUMIGATION SERVICE & SUPP 03/25/15 SPIROS LAW PC 1462 18WC 22072 HARRIS, KQUHALIL AMAZON 07/13/18 DAVID W MARTAY 1463 18WC 22098 BENCKENDORF, JACQUELINE HOBO 11/14/17 HORWITZ HORWITZ & ASSOC 1464 18WC 22128 GARETT, KATHLEEN COTTAGES OF NEW LENOX SEN 03/30/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1465 18WC 22157 MCEWEN, PORSHEA DSC LOGISTICS INC 07/03/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 1466 18WC 22161 MOND, ALBERTA FEDEX GROUND PACKAGE SYST 06/18/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 1467 18WC 22179 MEJIA, ALPHONSA WALMART STORES 04/16/18 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 1468 18WC 22253 HAAS, LAWRENCE HOMER TREE CARE 12/28/16 THOMAS W DUDA GAIDO & FINTZEN 1469 18WC 22351 REED, JACK GRANITE & MARBLE DEPOT 04/02/18 CULLEN HASKINS NICHOLSON 1470 18WC 22371 RICE, DAVID CDN LOGISTICS 06/26/18 DWORKIN AND MACIARIELLO 1471 18WC 22429 RIOS, KARLA MACY'S CORPORATE SERVICES 07/12/18 ANKIN LAW OFFICE GAIDO & FINTZEN 1472 18WC 22435 BURROWS, TREVIA WW GRAINGER, INC 06/27/18 CORTINA & MUELLER ASA LAW GROUP 1473 18WC 22459 SANDERS, CLIFFORD US GREEN CORP 06/28/18 VITELL & SPITZ LTD 1474 18WC 22463 MARTIN, STEPHANIE GILLIAM SILVER CROSS HOSPITAL 02/02/18 WOODRUFF JOHNSON MACIOROWSKI SACKMANN & ULRIC 1475 18WC 22513 ELLIS, PAMELA AMAZON WAREHOUSE 10/01/17 BRISKMAN BRISKMAN GREENBER 1476 18WC 22559 HERNANDEZ, WILLIAM FED-EX GROUND PACKGE SYST 06/16/18 WHITESIDE & GOLDBERG LTD 1477 18WC 22585 SIPLL, MATTHEW FLATLEY'S PLUMBING EXPRES 06/28/18 O'CONNOR & NAKOS 1478 18WC 22630 POTTS, WILLIAM INDIVIDUAL ADVOCACY GROUP 05/28/18 DWORKIN AND MACIARIELLO 1479 18WC 22662 ROSS, JAY MEDTRONIC 02/01/18 ANGELINI & ORI LLC POWER & CRONIN LTD 1480 18WC 22750 PACELLI, KERI L VILLAGE OF UNIVERSITY PAR 02/27/18 THOMAS W DUDA 1481 18WC 22846 FLEMING, LINDA VISITING ANGELS HOME CARE 07/12/18 TOPPER & WEISS LTD ACCIDENT FUND HOLDINGS 1482 18WC 22905 PRIBICH, CHARLES BRENNAN EQUIPMENT 04/13/18 PORRO NIERMANN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1483 18WC 23016 PATRICK, KEVIN STATESVILLE CORRECTIONAL @ 05/28/17 WOODRUFF JOHNSON 1484 18WC 23038 HUERTA, RONANDO ABM INDUSTRIES, INC 07/24/18 JOHN S. ELIASIK 1485 18WC 23100 PRIBICH, CHARLES BEST PRACTICES STAFFING 04/13/18 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 1486 18WC 23169 LONGSHORE, MATTHEW G PLAINFIELD SCHOOL DISTRIC 07/05/18 ANKIN LAW OFFICE INMAN & FITZGIBBONS 1487 18WC 23202 EINERT, ALAN BRITES TRANSPORTATION 12/16/16 BAUM RUFFOLO & MARZAL LTD 1488 18WC 23233 PAWLOWSKI, MICHAEL NEXUS EMPLOYMENT SOLUTION 07/03/18 RATHBUN CSEVENYAK & KOZOL LEAHY EISENBERG & FRAENKEL 1489 18WC 23274 RINE, PAUL JB HUNT 06/06/18 MILLON & PESKIN LTD RODDY LAW LTD 1490 18WC 23307 LEWIS, EVANS PARAMOUNT STAFFING 07/23/18 THE ROMAKER LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 1491 18WC 23363 HUFF, JACK L GREENCORE USA 01/19/18 TRENT LAW FIRM PC HOLECEK & ASSOCIATES 1492 18WC 23434 KAZAZAKIS, GEORGE GT AUTO SERVICE CENTER, I 06/11/18 NEMEROFF LAW OFFICES 1493 18WC 23461 HIGGINS, CAROL STUMBLE INN 06/30/18 O'CONNOR & NAKOS 1494 18WC 23615 CHEEVER, SCOTT A AMAZON.COM, INC 12/22/17 DENNIS HESSER 1495 18WC 23649 WINKLE, ROCHELLE CIRCLE K 06/14/18 RATHBUN CSEVENYAK & KOZOL 1496 18WC 23753 CERVANTES, ELIAS ABC ROOFING & SIDING 05/31/18 POLLOCK, BRIAN A 1497 18WC 23860 DAVIS, VALERIE USF HOLLAND 08/01/18 PARENTE & NOREM PC 1498 18WC 23896 MOTLEY, JUDITH HOBBY LOBBY * 03/24/17 SHEA LAW GROUP QUINTAIROS PRIETO WOOD & BOY 1499 18WC 23918 JOHNSON, ANDRIA IKEA * 04/01/18 DWORKIN AND MACIARIELLO 1500 18WC 23989 IWINSKI-VYGNAL, PATRICK WALMART * 07/13/18 BARRY A KETTER QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1501 18WC 24014 MARTIN, KAREN ANN MINOOKA COMMUNITY CON. * 07/18/18 DEBT & INJURY LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 1502 18WC 24074 ARELLANO, JOSE DOLLAR TREE * 07/04/18 DONALD FOHRMAN & ASSOC 1503 18WC 24131 STAPLE, PHILLIP TRISTAN PLUMBING, LLC * 09/07/17 QUINN JOHNSTON HENDERSON ETA 1504 18WC 24154 DAVIS, DANA DARVIN FURNITURE * 04/20/18 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 1505 18WC 24179 GAMEZ, DEBORAH UNITED FACILITIES * 07/18/18 COPELAND FINN & FIERI LTD LAWRENCE COZZI - LAW OFFICE 1506 18WC 24211 USHER, HERMAN III ESMARK STEEL MIDWEST GROU * 04/02/18 WEISS & WEISS LAW OFFICES 1507 18WC 24400 AIDINOVICH, DAVID JOLIET JUNIOR COLLEGE * 09/04/15 BLOCK, KLUKAS & MANZELLA P 1508 18WC 24451 LIEBERSTEIN, IRENE CRANE COMPOSITES, INC. * 05/15/18 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 1509 18WC 24476 VALLADARES, CONCEPCION MTIL INC * 06/07/18 KATZ FRIEDMAN EAGLE ET AL 1510 18WC 24541 GYAU, MARGARET HARBORCHASE OF PLAINFIELD * 04/10/18 PARENTE & NOREM PC 1511 18WC 24603 GROCESLEY, MICHELLE BOLINGBROOK GOLF CLUB/ * 05/08/18 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 1512 18WC 24674 WARREN, CARLA WHITNEY AMAZON MDW2 * 07/27/18 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 1513 18WC 24707 SEXTON, MICHAEL WASTE MANAGEMENT * 08/06/18 PARENTE & NOREM PC 1514 18WC 24731 LOZA, JENNYFER Y KEHE DISTRIBUTORS INC * 02/06/18 ANKIN LAW OFFICE POULOS & DIBENEDETTO LAW 1515 18WC 24793 HARRIS-COLEMAN, EUGENIA HARRAH'S CASINO * 03/23/18 JACKOWIAK LAW OFFICES DENNIS J NOBLE & ASSOC 1516 18WC 24818 POTTS, ALTON SCHNEIDER * 08/13/18 SKLARE LAW GROUP POWER & CRONIN LTD 1517 18WC 24832 LAWRENCE, RAYMOND PARSEC * 08/15/18 PARENTE & NOREM PC MACIOROWSKI SACKMANN & ULRIC 1518 18WC 24866 SZPAJER, MARTY RACK-IT INSTALLATION * 09/19/16 WOLFE LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1519 18WC 24892 GRESHAM, VERNON NEXUS EMPLOYMENT SOLUTION * 07/21/18 ADAM ZAYED 1520 18WC 24937 LEE, CAROL SILVER CROSS HOSPITAL * 05/21/18 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 1521 18WC 24983 BROWN, GREGORY GOODYEAR * 07/30/18 KREITER, BYCK & ASSOC LLP BRADY CONNOLLY & MASUDA PC 1522 18WC 25006 HOWARD, TIERRE PEOPLE 4U INC * 07/14/18 DAVID W MARTAY GAIDO & FINTZEN 1523 18WC 25029 COOPER, DONELL RAIL MANAGEMENT SERVICES * 06/06/18 TURCYCHUTE LLC 1524 18WC 25105 BELL, EARL GRAINGER DISTRIBUTION CEN * 06/25/18 DWORKIN AND MACIARIELLO ASA LAW GROUP 1525 18WC 25223 CSEPREGI, THOMAS PINES RENTAL, INC * 06/05/17 JOSEPH MARCINIAK 1526 18WC 25254 PRANSKY, DENNIS PLAINFIELD PARK DIST. * 04/09/17 BLOCK, KLUKAS & MANZELLA P 1527 18WC 25328 COYNE, JOHN MENARD'S * 04/07/18 BRILL & FISHEL 1528 18WC 25355 MALDONADO, ANGEL JULIAN ELECTRIC * 08/13/17 JAMES ELLIS GUMBINER & ASS 1529 18WC 25403 MARTINEZ DE MANZO, FABIOL MAGENTA LLC * 05/31/18 RATHBUN CSEVENYAK & KOZOL 1530 18WC 25421 MARTINEZ DE MANZO, FABIOL BARTON STAFFING SOLUTIONS * 05/31/18 RATHBUN CSEVENYAK & KOZOL SLAVIN & SLAVIN 1531 18WC 25519 GUIRAND, EDELYNE AMAZON FULFILLMENT * 05/11/18 BUDIN LAW OFFICES 1532 18WC 25560 EHRRING, GEORGY DOLLAR TREE STORES, INC * 08/21/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 1533 18WC 25573 ABRAHAM, JAMES JOLIET TOWNSHIP * 06/29/18 HORWITZ HORWITZ & ASSOC 1534 18WC 25590 SALINAS, JANET HARBOR CHASE OF PLAINFIEL * 08/18/18 ROBIN LAW OFFICE FRANCESCA LARSEN 1535 18WC 25637 WEISBRODT, WILLARD CLEAN HARBORSCO * 04/27/18 BLOCK, KLUKAS & MANZELLA P 1536 18WC 25674 JACKSON, EDWARD ELITE STAFFING INC * 05/14/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1537 18WC 25697 ROBERTS, NARO GRAINGER * 07/26/18 BLOCK, KLUKAS & MANZELLA P 1538 18WC 25741 BOL, WAYNE USF HOLLAND * 08/16/18 PARENTE & NOREM PC 1539 18WC 25783 WHITE, CHEYENNE SWAP.COM * 07/12/18 BURNETT & CARON, LTD JOSEPH MARCINIAK 1540 18WC 25842 BAUGH, MARQUIS HOME DEPOT * 07/21/18 ANGELINI & ORI LLC 1541 18WC 25888 SPANGLER, PAMELA MEIJER, INC * 05/20/18 KARCHMAR & STONE KOPKA, PINKUS DOLIN, PC 1542 18WC 25919 THOMAS, ANTOINE RESOURCE MFG * 08/28/18 DAVID W MARTAY 1543 18WC 25977 MONDRAGON, BENITO RADIAC ABRASIVES * 08/15/18 FOOTE MIELKE CHAVEZ O'NEIL HENNESSY & ROACH PC 1544 18WC 26021 MARQUEZ, BEATRIS ULTA BEAUTY * 11/01/17 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 1545 18WC 26070 OROZCO, JOSE DSC LOGISTICS * 07/18/18 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 1546 18WC 26100 MURPHY, PATRICK JOLIET JUNIOR COLLEGE * 09/04/15 BLOCK, KLUKAS & MANZELLA P 1547 18WC 26114 SCHMIDT, DALE SILVER CROSS HOSPITAL * 05/24/18 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 1548 18WC 26251 HERR, MICHAEL G CRACKER BARREL OLD COUNTR * 08/03/18 ROUSKEY & BALDACCI 1549 18WC 26269 ELLIS, ANDRE A THE DOW CHEMICAL CO * 08/01/18 ANKIN LAW OFFICE 1550 18WC 26331 HOLLIS, CHRISTOPHER FLEXIBLE STAFFING * 08/27/18 POLANSKY & CICHON CHTD 1551 18WC 26366 DOSHER, DESIREE TEXAS ROADHOUSE * 08/18/18 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 1552 18WC 26411 NELSON, WILLIAM CHICAGO HEIGHTS SCHL DIST * 07/17/18 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 1553 18WC 26461 MORENO, JOSE LUIS ALPHA BUILDING MAINTENANC * 06/06/18 KATZ FRIEDMAN EAGLE ET AL 1554 18WC 26492 JASKULA, JOSEPH IROQUOIS COUNTY SHERIFF'S * 07/25/18 SPIROS LAW PC WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1555 18WC 26578 WATTS, DWAYNE DHL * 09/05/18 DWORKIN AND MACIARIELLO 1556 18WC 26593 HINTON, MARY B MICHAELS * 02/13/18 HORWITZ HORWITZ & ASSOC 1557 18WC 26646 BARKER, LINDA MINOOKA COMMUNITY HIGH SC * 09/17/15 CORTINA & MUELLER 1558 18WC 26652 WARREN, LATOYIA SALEM VILLAGE * 08/24/18 VASILATOS & COTTER LLC 1559 18WC 26677 AVALOS, JOSE RICARDO GUTI RIVER RD TOPS INC * 08/23/18 HERRERA LAW CENTER 1560 18WC 26698 HOLLINS, DERRICK AMAZON SORT CENTER * 08/13/18 DWORKIN AND MACIARIELLO 1561 18WC 26747 BROADWAY, BEVERLY JOLIET TOWNSHIP HIGH SCHO * 01/17/17 FINE, MARK S LAW OFFICES INMAN & FITZGIBBONS 1562 18WC 26773 PETERSON, JAMES AMAZON * 09/02/18 SKLARE LAW GROUP 1563 18WC 26799 DEACY, MARTIN FRANCISCAN SISTERS OF CHI * 10/12/17 RATHBUN CSEVENYAK & KOZOL 1564 18WC 26844 MCKINLEY, JENNIFER AMAZON.COM DEDC LLC * 09/05/18 ANKIN LAW OFFICE 1565 18WC 26871 ASKEW, ANTHONY R ELITE STAFFING, INC. * 07/26/18 COHN LAMBERT RYAN & SCHNEI 1566 18WC 26949 LOVATI, ROGER VILLAGE OF SHOREWOOD * 03/02/18 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 1567 18WC 26969 DILLARD, ANTHONY AZTEC FACILITY SERVICES I * 08/13/18 ANKIN LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 1568 18WC 26993 LEIVA, MARIA A ELITE STAFFING * 07/31/18 GALLAGHER, DONALD V 1569 18WC 27036 MCCLAIN, RONALD AMAZON * 02/01/18 DWORKIN AND MACIARIELLO 1570 18WC 27137 WRZALINSKI, BRIAN C PRECISION MILLWORK * 11/29/17 O'CONNOR & NAKOS 1571 18WC 27146 MURILLO-ESCARENO, ELENA AMAZON FULFILLMENT CENTER * 04/25/18 VASILATOS & COTTER LLC 1572 18WC 27182 STEVENSON, PENELOPE DOLLAR TREE DISTRIBUTION * 04/23/18 FRIEDMAN & SOLMOR LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1573 18WC 27220 STROJNY, KAREN AMAZON * 07/27/17 THE ROMAKER LAW FIRM 1574 18WC 27337 JENKINS, ROBERT C WW TRUCKING, INC * 09/05/18 COHN LAMBERT RYAN & SCHNEI 1575 18WC 27386 IRUME, SONIA MIDWEST AIR TECH * 04/27/18 HERRERA LAW CENTER 1576 18WC 27495 LEONARD, MARTIN DHL * 03/07/18 MARSZALEK AND MARSZALEK 1577 18WC 27544 AGYEMAN, NANA SAY TRUCKING * 08/31/18 MARKER & CRANNELL 1578 18WC 27600 EDWARDS, STEPHANIE STAFFING NETWORK HOLDING * 08/22/18 ANKIN LAW OFFICE SLAVIN & SLAVIN 1579 18WC 27610 PRICE, COURTNEY AMAZON * 04/01/18 WOODRUFF JOHNSON 1580 18WC 27685 CARNEY, JOSEPH VILLAGE OF BOLINGBROOK * 09/18/15 KINNALLY FLAHERTY KRENTZ 1581 18WC 27709 THOMAS, ROBERT THYSSENKRUPP MATERIALS NA * 07/30/18 MARK SCHAFFNER 1582 18WC 27749 WILLINGHAM, DEVON ILLINOIS TOOL WORKS * 08/28/18 VRDOLYAK LAW GROUP LLC 1583 18WC 27802 CHEE, JACKIE PETCO * 12/17/16 DONALD FOHRMAN & ASSOC 1584 18WC 27882 SORIA, ESMERALDA HOME DEPOT * 04/21/18 CAPRON & AVGERINOS PC 1585 18WC 28147 PEREZ, NOE STATE OF ILLINOIS/IDOT @ * 07/25/18 LANNON LANNON & BARR LTD 1586 18WC 28177 OGREN, ROY JX ENTERPRISES * 01/03/18 MARKER & CRANNELL 1587 18WC 28197 ANDRADE, SALVADOR WEST LIBERTY FOODS * 02/01/16 JONATHAN SCHLACK 1588 18WC 28210 BRASKI, BRENT JOLIET JUNIOR COLLEGE * 08/07/18 KROL BONGIORNO & GIVEN LTD 1589 18WC 28273 STROMQUIST, MELISSA AMAZON * 03/28/18 SCHREINER MALLOY & ETZLER 1590 18WC 28350 RAINE, THADDEUS PROLOGISTIX * 07/30/18 MARSZALEK AND MARSZALEK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1591 18WC 28379 CREAL, DAEJA AMAZON * 07/24/18 CHARLES LEVY & ASSOC LTD 1592 18WC 28395 THIGPEN, RICHARD AEROTEK * 09/11/18 DWORKIN AND MACIARIELLO 1593 18WC 28432 HERNANDEZ, PABLO STRATEX DEVELOPMENT * 06/09/18 COSTA IVONE LLC 1594 18WC 28462 BOWERS, ANTWAN PROLOGISTIX * 08/15/18 ROBERT WARSASKI 1595 18WC 28479 SIMPSON, WILLIAM WILL COUNTY PROBATION DEP * 08/10/18 BLOCK, KLUKAS & MANZELLA P 1596 18WC 28512 HAYWOOD, JASMINE AMAZON- MDW2 * 09/09/18 DAVID W MARTAY 1597 18WC 28542 BROOKS, SCOTT CITY OF JOLIET * 12/07/17 MCNAMARA PHELAN MCSTEEN LL 1598 18WC 28573 KURTZ, THOMAS TRI-STAR CABINET & TOP CO * 09/25/15 RATHBUN CSEVENYAK & KOZOL 1599 18WC 28613 MATA DE ROSALES, ANA A HOME2 SUITES BY HILTON * 09/18/17 RATHBUN CSEVENYAK & KOZOL 1600 18WC 28620 MC CORD, MATTHEW J MINNESOTA LIMITED, LLC * 07/25/18 1601 18WC 28643 PETERS, ZACHARY ILLINOIS STATE POLICE @ * 08/23/18 RIDGE & DOWNES 1602 18WC 28711 FOSTER, ANGELA WEXFORD HEALTH SOURCES, I * 09/13/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 1603 18WC 28740 BOCCIA, MARGARET WALT'S FOOD CENTER * 07/05/18 CIFELLI SCREMENTI & DORE 1604 18WC 28767 COLEMAN, NICHOLAS T DSC LOGISTICS CO * 07/31/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1605 18WC 28805 WRIGHT, MARTHA TRAVEL CENTER OF AMERICA * 05/04/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1606 18WC 28908 CALDERON, MARIO WILL COUNTY SHERIFF'S OFF * 08/29/18 COVEN LAW GROUP 1607 18WC 28946 SCHMITT, EDWARD HAYES MECHANICAL * 09/05/18 RATHBUN CSEVENYAK & KOZOL 1608 18WC 28991 MIZERKA, CHARLENE FIRST STUDENT TRANSPORTAT * 08/28/18 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1609 18WC 29028 LEE, JASON M MAGID * 05/15/18 ANESI OZMON RODIN NOVAK KO 1610 18WC 29081 WYNGOWSKI, NATALIE AMAZON FULFILLMENT CTR MD * 07/13/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1611 18WC 29092 POWERS, DANIEL MIDWEST BULK TRANSLOAD IN * 08/10/18 DWORKIN AND MACIARIELLO 1612 18WC 29178 RATHER, MARCUS L PEPSI BEVERAGES * 09/21/18 TIMOTHY HENDERSON GAIDO & FINTZEN 1613 18WC 29189 MOSES, JAMES HOME DEPOT, RDC * 08/22/18 SKLARE LAW GROUP 1614 18WC 29222 BRYANT, AESCHYLUS PRESENCE HOME HEALTHCARE * 07/20/18 PATRICOSKI, MARK G 1615 18WC 29256 NILSSON, ROBERT ENTERPRISE RENT-A-CAR * 02/14/18 WILLIAM H MARTAY KNELL O'CONNOR DANIELWICZ 1616 18WC 29264 BELTRAN, JOSE G&W ELECTRIC COMPANY * 09/18/17 JAUREGUI & ASSOCIATES INMAN & FITZGIBBONS 1617 18WC 29292 PEREZ, LUIS ANTONIO KNEAD BAKING COMPANY * 09/07/18 STEVEN B SALK & ASSOC LTD 1618 18WC 29316 DOESLAERE, AMANDA STATE OF IL/DJJ IYC ST CH @ * 02/19/18 BLOCK, KLUKAS & MANZELLA P 1619 18WC 29346 MARQUEZ, DALYS KOHL'S DEPARTMENT STORES * 10/20/17 BLOCK, KLUKAS & MANZELLA P CHILTON YAMBERT PORTER LLP 1620 18WC 29372 MEAD, CHERYL L DOMINO'S PIZZA * 08/08/18 VITELL & SPITZ LTD 1621 18WC 29415 LOVE, DARRELL BP STAFFING * 09/13/18 SMOLER LAW OFFICE, PC RUSIN & MACIOROWSKI LTD 1622 18WC 29444 RYAN, SHAWN M PROVISUR TECHNOLOGIES * 07/26/17 KROCKEY CERNUGEL COWGILL E 1623 18WC 29469 SMALL, KEVIN PACTIV * 09/01/18 JAMES ELLIS GUMBINER & ASS 1624 18WC 29567 BURNHAM, ROBERT H TIMBERVIEW RV * 05/17/18 O'CONNOR & NAKOS KEEFE CAMPBELL BIERY & ASSOC 1625 18WC 29606 HUTTON, ALVIN T VILLAGE OF UNIVERSITY PAR * 09/21/18 ANKIN LAW OFFICE 1626 18WC 29662 COLON, CIELO A KELLY SERVICES * 06/20/18 TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 95 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1627 18WC 29725 ZUNICH, ZACHERY XPO LOGISTICS * 07/30/18 LEITER LAW OFFICES 1628 18WC 29788 THOMPSON, LOREN JOLIET PARK DISTRICT * 07/06/18 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 1629 18WC 29823 MCKANNA, KYLE JEWEL OSCO * 04/17/18 DAVID W MARTAY 1630 18WC 29843 ANDERSON, ERIC J EXELON CORPORATION * 02/21/18 STEVEN B SALK & ASSOC LTD HENNESSY & ROACH PC 1631 18WC 29899 CURTIN, WALTER FRANKFORT FIRE PROTECTION * 09/19/17 RUSIN & MACIOROWSKI LTD 1632 18WC 29953 ATENCO, NOE US HOSE CORP * 06/11/18 MCNAMARA PHELAN MCSTEEN LL 1633 18WC 29976 BROWN, BYRON IKEA * 09/22/18 LEONARD LAW GROUP LLC 1634 18WC 30112 MALINOWSKI, CHRISTOPHER CAIT'S CART LLC * 05/25/18 DAVID W MARTAY 1635 18WC 30131 SUTHERLAND, LEROY JR. SYSCO FOODS CHICAGO * 09/26/18 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 1636 18WC 30179 SVIDERSCHI, NICOLAE ILWI TRUCK AND TRAILER RE * 05/30/17 DE SALVO, SCOTT D LAW OFFI 1637 18WC 30206 CARTER, MAOKEIVA SEVILLE STAFFING, LLC * 10/05/18 DWORKIN AND MACIARIELLO 1638 18WC 30218 DEANG, BRYAN AMITA HEALTH ADVENTIST HO * 09/26/18 LAW OFFICE OF LAURA A CHIL RODDY LAW LTD 1639 18WC 30317 MCKINLEY, KENNETH AMAZON.COM.DEDC LLC * 07/07/18 ANKIN LAW OFFICE 1640 18WC 30364 WOODS, TIMICKA AMAZON-MDW4 * 02/28/18 DWORKIN AND MACIARIELLO 1641 18WC 30378 JOHNSON, MORIJIAH AMAZON * 07/23/18 GALLAGHER, DONALD V 1642 18WC 30422 WEHLAUCH, LESA CASEY'S GENERAL STORE * 01/12/18 CAPRON & AVGERINOS PC 1643 18WC 30430 JONES, CARLOS J.B. HUNT TRANSPORT SERV, * 09/07/18 CRAIG L MANCHIK & ASSOC. 1644 18WC 30454 DUCKWORTH, CORDERO SEARS HOLDINGS CORPORATIO * 03/02/18 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 96 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1645 18WC 30541 WADE, SHABILHAH DELTA T GROUP * 11/08/17 BLOCK, KLUKAS & MANZELLA P 1646 18WC 30559 DELGADO, ANGEL AMAZON FULFILLMENT CENTER * 07/08/18 LEO ALT 1647 18WC 30612 MARSHALL, GARY PREMIER TRANSPORATION * 10/04/18 DWORKIN AND MACIARIELLO 1648 18WC 30736 EVANS, WILSHEKIAH FEDEX GROUND * 06/20/18 MARSZALEK AND MARSZALEK 1649 18WC 30787 JACKSON, VICTOR DSC LOGISTICS * 09/17/18 STEVEN J MALMAN & ASSOCIAT MC ANDREWS & NORGLE LLC 1650 18WC 30802 COLETTO SANDRA ULTA BEAUTY * 06/05/18 VASILATOS & COTTER LLC 1651 18WC 30841 GRACIDA, MAURICIO DUTCH AMERICAN FOODS * 05/25/18 MC HARGUE & JONES 1652 18WC 30911 AVILA, JUDITH ITW DELTA IPAC * 08/23/18 ANESI OZMON RODIN NOVAK KO 1653 18WC 30944 BRATCHER, KAYLA BUNZL DISTRIBUTION * 05/29/18 FRANCIS J DISCIPIO LAW OFF 1654 18WC 31080 BULLARD, JESSICA JOLIET PUBLIC SCHOOLS * 10/09/18 RIDGE & DOWNES 1655 18WC 31162 COOPER, JERRY STAFFMARK INVESTMENT LLC * 10/14/18 ANKIN LAW OFFICE 1656 18WC 31249 SILUNAS, DONNA BPS DIRECT, LLC, C/O * 08/29/18 FLAHERTY LAW 1657 18WC 31388 GALLEGOS, MARIA ABM INDUSTRIES INC * 05/01/18 COSTA IVONE LLC 1658 18WC 31442 BENITEZ, VICTOR RED LOBSTER * 06/17/18 RATHBUN CSEVENYAK & KOZOL 1659 18WC 31457 GUZMAN, ALFREDO D2K TRAFFIC EQUIPMENT * 07/10/18 BLOCK, KLUKAS & MANZELLA P 1660 18WC 31491 GILL, THOMAS J UPS * 10/05/18 GOLDBERG WEISMAN & CAIRO L 1661 18WC 31535 PRATT, SAUNDRA TACO BELL * 09/16/18 MARC J SHUMAN & ASSOCIATES 1662 18WC 31562 JANSMA, ERIC ALF INTERIORS INC * 05/11/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 97 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 12/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1663 18WC 31647 TURNER, MARION COLE JEWEL FOOD STORE * 05/25/18 KAVANAGH GRUMLEY & GORBOLD 1664 18WC 31661 LINDEN, WILLIAM R JOLIET STAFFING * 08/03/18 SCHACTER, JEROME & ASSOC L 1665 18WC 31695 BAINES, VELISER DAVIS CORNERSTONE SERVICES INC * 08/30/18 RATHBUN CSEVENYAK & KOZOL 1666 18WC 31714 CATHEY, RANDY FEDEX GROUND PKG SYSTEM I * 05/03/18 THE ROMAKER LAW FIRM 1667 18WC 31797 PEFFER, JOHN ACCURATE PERSONNEL * 07/04/18 BRISKMAN BRISKMAN GREENBER 1668 18WC 31811 FREEMAN, JULIA WEATHER TECH * 06/12/18 GRAZIAN & VOLPE PC 1669 18WC 31871 FREY, FRANCINE AMAZON * 03/25/18 SEIDMAN MARGULIS & FAIRMAN 1670 18WC 31988 HARDAWAY, ANTHONY COWORX * 10/27/15 NEMEROFF LAW OFFICES 1671 18WC 32031 EDWARDS, JEFFERY HR METRICS, INC * 09/27/18 TAXMAN POLLOCK 1672 18WC 32067 COOPER, RUON AMAZON * 01/02/18 ASHER, RAYMOND L LTD 1673 18WC 32232 GREGORY, JULIA EXPRESS EMPLYMNT PROFESSI * 08/17/18 DAMISCH & DAMISCH LTD 1674 18WC 32282 LEAKS, PATRICIA PLI CARD MARKETING SOLUTI * 06/02/18 DWORKIN AND MACIARIELLO 1675 18WC 32336 DEMARIA, FRANK P NFI INDUSTRIES * 08/18/15 RUBIN LAW GROUP 1676 18WC 32451 MORRISON, JOE GREENCORE, INC * 09/14/18 DWORKIN AND MACIARIELLO 1677 18WC 32463 WALKER, CHERYL INTEGRITY STAFFING/ * 01/17/18 BLOCK, KLUKAS & MANZELLA P 1678 18WC 32534 CONWAY, SALENA ADECCO USA INC * 10/26/18 ANKIN LAW OFFICE 1679 18WC 32607 VEGA, FRANK (GUARDIAN) TGI FRIDAYS * 10/18/18 HORWITZ HORWITZ & ASSOC 1680 18WC 32630 MUNOZ, MARICELA ELITE STAFFING * 11/30/17 JONATHAN SCHLACK

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