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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 12484 HONG, KYUNG RAN THE KOREAN AMERICAN 02/08/11 DRAKE & COLLOPY PC BRADY CONNOLLY & MASUDA PC 16 11WC 16494 19B KIRBY, WILLIAM CITY OF CHICAGO DEPT 05/11/10 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 12WC038560 -C 12WC038561 -C 14WC029406 -C 17 11WC 16870 BARNEY, SANDRA CTA 04/06/11 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 18 11WC 17255 THIGPEN, BRENDA STATE OF ILLINOIS @ 05/28/09 BAUM RUFFOLO & MARZAL LTD NICHOLE S. MCNAIR 11WC017256 -C 12WC020224 -C ST OF IL DEPT OF CORRECTIO 19 11WC 21853 JOHNSON, CHRISTINE ILLINOIS DEPT OF HUMAN SE @ 03/17/10 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 20 11WC 22880 19B MCHUGH, RUTH CITY OF CHICAGO 06/01/11 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 21 11WC 24990 MONTES, HERIBERTO RUSH UNIVERSITY MEDICAL C 02/22/11 GAINES & GAINES KEEFE CAMPBELL & ASSOC LLC 13WC019893 -C 15WC020821 -C 15WC020822 -C 15WC020823 -C 15WC020824 -C 22 11WC 27639 19B BANE, JAMES CITY OF CHICAGO DEPT OF 07/11/11 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 23 11WC 32949 HEPP, JEFFREY E HULCHER SERVICES INC 02/11/11 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 24 11WC 38110 JONES, SHEREE LEXINGTON HEALTH CARE OF 09/06/11 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 25 11WC 38604 TOLOO-SHAMS, JAMILEH NORTHSHORE UNIVERSITY 06/15/11 EFTEKHARI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 15WC032205 -C 26 12WC 00820 JOHNSON-ANDERSON, RHONDA COOK COUNTY 12/31/11 HUGHES SOCOL PIERS RESNICK 12WC000822 -C 27 12WC 02512 SILVA, LESTER GRANITE DEZIGNS OF ILLINO @ W 07/28/11 STEVEN J SEIDMAN LAW OFFIC ARTHUR WELLMAN 12WC002513 -C 28 12WC 25849 SANTIAGO, MIGUEL A CITY OF CHICAGO 06/25/06 CULLEN HASKINS NICHOLSON CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 12WC 26151 CEDILLO, FRANCISCO ESTES EXPRESS LINES INC 07/17/12 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 30 12WC 26931 SANTOS, NOEL EMPIRE HARD CHROME INC 06/06/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 12WC028208 -C 31 12WC 27355 HOGE, DANIEL M WALSH CONSTRUCTION 02/29/12 CRONIN & PETERS HINSHAW & CULBERTSON 32 12WC 32841 BROWN, VICTORIA STATE OF ILLINOIS DEP OF @ 08/22/12 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 33 12WC 33002 HEARD, GEORGE CHICAGO TRANSIT AUTHORITY 09/19/12 LEONARD S BECKER CHICAGO TRANSIT AUTHORITY 34 12WC 35000 GLASER, NICK C ILLINOIS DEPT OF 09/26/12 JOHN S. ELIASIK ASSISTANT ATTORNEY GENERAL 35 12WC 37698 REYES, LUCIA FEDEX GROUND 09/20/12 EPSTEIN, JACK R LAW OFFICE KOPKA, PINKUS DOLIN, PC 36 12WC 38145 SMITH, KEVIN VESUVIUS 06/13/12 MARC J SHUMAN & ASSOCIATES RUSIN MACIOROWSKI & FRIEDMAN 12WC038146 -C 37 12WC 38669 BARHAM, HIRMS GLENBROOK SOUTH HIGH SCHO 08/10/12 EFTEKHARI LAW OFFICES WIEDNER & MCAULIFFE LTD 38 12WC 38907 RODRIGUEZ, ANDRE FORD MOTORS 09/13/12 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 13WC005217 -C 13WC008834 -C 39 12WC 40937 HINTON, ANGJELL V STATE OF IL/DHS @ 11/19/12 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 40 12WC 41099 THOMAS, CATHERINE JANE ARGO COMMUNITY 12/17/10 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 12WC041100 -C 15WC014941 -C 15WC014942 -C 41 13WC 09062 MARTINEZ, SIMON ILLINOIS DEPT OF TRANS @ 12/31/12 DEPAOLO & ZADEIKIS MATTHEW LICAVOLI 42 13WC 13331 BANSLEY, ROBERT COOK COUNTY SHERIFF'S DEP 02/04/13 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 43 13WC 13363 BECK, THELMA ROSELAND COMMUNITY HOSPIT 11/30/12 MARSZALEK AND MARSZALEK SCOPELITIS GARVIN LIGHT 44 13WC 13617 MAYER, CRISTIE A COUNTY OF COOK 11/08/11 BUIKEMA HISKES DILLNER ET INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 13WC 13731 BREESE, LEONARD V ORLAND FIRE PROTECTION DI 03/20/13 THOMAS W DUDA INMAN & FITZGIBBONS 46 13WC 14529 OSUNWOKE, BEDE BLUE DIAMOND TAXI 03/31/11 SEIDMAN MARGULIS & FAIRMAN 47 13WC 22294 SAMUEL-HOGKINS, TINA CHICAGO TRANSIT AUTHORITY 06/12/13 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 48 13WC 22636 COZZI, ANTHONY CITY OF CHICAGO 03/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 49 13WC 23794 SPEECHLEY, JOHN REXNORD CORPORATION 05/06/13 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 50 13WC 25559 REICHEL, MATTHEW BERGOFF CATERING & 08/07/10 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 16WC001165 -C BERGHOFF CATERING & RESTAU 51 13WC 25762 SARICH, MICHELLE CHICAGO PUBLIC SCHOOLS 06/08/12 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 13WC025763 -C 52 13WC 26627 SMITH, SYLVIA CHICAGO TRANSIT AUTHORITY 08/09/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 53 13WC 33973 DEVERS-RUCKER, DAVITTA COOK COUNTY DEPT OF 09/24/13 COHN LAMBERT RYAN & SCHNEI STATES ATTORNEY OF COOK COUN 54 13WC 34383 PANIAGUA, VICTOR CHICAGO TRANSIT AUTHORITY 02/18/13 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 55 13WC 34735 FOFANA, LINDA NORTHSHORE UNIVERSITY 05/06/13 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 56 13WC 35193 ODIBO, GRACE CITY OF CHICAGO 04/27/13 RICHARD J ZABORSKY CITY OF CHICAGO 57 14WC 02916 GOODMAN, CLAUDINE UNITED AIRLINES INC. 12/06/12 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 15WC035988 -C 58 14WC 03108 RUSSELL, STANLEY NORTHWESTERN MEMORIAL HOS 01/05/14 SEIDMAN MARGULIS & FAIRMAN LORENZ & BERGIN PC 15WC033545 -C 59 14WC 03617 TRUJILLO-SUAREZ, NEREO MIDWEST CANVAS CORP 12/10/13 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 60 14WC 03800 ACOSTA, CARMEN RUSH UNIVERSITY MEDICAL C 11/03/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 61 14WC 04174 ANDERSON, PAULA COOK COUNTY SHERIFF DEPT 01/16/14 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 14WC 04997 ORTIZ, JOAQUINA WORKFORCE LLC 09/04/13 CHRISTINE F DAVID KOREY RICHARDSON LLC 63 14WC 05937 LLOYD, FREDRIKA ELIZABETH LUDEMAN CENTER @ 01/07/14 MICHAEL HELLMAN JILL OTTE 64 14WC 07302 FLORES, MARIA G CHICAGO PUBLIC SCHOOLS 01/31/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 65 14WC 08143 SCHMIDT, GREGORY VILLAGE OF NILES 01/13/14 TURCYCHUTE LLC NYHAN BAMBRICK KINZIE & LOWR 66 14WC 13212 EATON-JACKOWSKI, BRYTTANE PROCTOR & GAMBLE 05/15/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 67 14WC 22512 DELGADO, ALECMAR CHICAGO TRANSIT AUTHORITY 06/26/14 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 68 14WC 22518 MENDOZA, ELOY IMPACT STAFFING 05/07/14 SHELDON I MINKOW & ASSOCIA THOMAS & PORTELA 69 14WC 23255 BRIGHAM, DEBORAH CITY OF CHICAGO 09/12/11 CULLEN HASKINS NICHOLSON 70 14WC 23667 SANDSTROM, CARL D J.B. HUNT TRANSPORT, INC 05/12/14 LAW OFFICE EDWARD RUEDA RUSIN MACIOROWSKI & FRIEDMAN 71 14WC 23687 LUCKIES, DANITA CTA 07/04/14 LEONARD LAW GROUP LLC 72 14WC 24220 VALLES, JUAN L LOWE'S HOME IMPROVEMENT 01/28/13 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 73 14WC 24269 MATA, CARLOS SIMON BROTHERS BAKERY INC 08/16/13 LAW OFFICE OF KEVIN O'BRIE LAW OFFICES JOSEPH MARCINIAK 74 14WC 24346 SHAW, DARLENE CHICAGO PUBLIC SCHOOLS 01/22/14 VRDOLYAK LAW GROUP LLC 75 14WC 25843 HERNANDEZ, MAGDALENA SWEDISH COVENANT HOSPITAL 05/01/14 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 76 14WC 25885 CAJALEON, FELITA METHODIST HOSPITAL 05/03/14 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 77 14WC 26487 SMITH, WILLIAM MENARDS INC 04/04/14 DEPAOLO & ZADEIKIS CHILTON YAMBERT PORTER LLP 14WC026488 -C 78 14WC 27030 WASHINGTON, NICOLE T CTA 01/20/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 79 14WC 32157 SIMS, ANITA STEWART BUSINESS CENTER 04/16/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 35333 VERDI, SUSAN AMERICAN AIRLINES 04/02/14 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 81 14WC 35837 MORENO, MARIO CHICAGO INTERMODAL TRANSP 01/31/14 KATZ FRIEDMAN EAGLE ET AL KARCHMAR & STONE 82 14WC 36314 IHASZ, SEAN PRIMERA IRON WORKS CORP 10/01/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 83 14WC 36783 PRUITT, M CRYSTAL CHICAGO TRANSIT AUTHORITY 07/27/14 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 84 15WC 02288 MORA, HIPOLITO B&R INSURANCE PARTNERS 05/27/13 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 85 15WC 04816 MEICHANG, CHEN, WIDOW OF ZHIU YI MEI INDIVIDUALLY #W 10/31/14 ROMANUCCI & BLANDIN 86 15WC 07750 WHITE, ANTHONY J CITY OF CHICAGO - 02/23/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 87 15WC 08709 MASNICA, ROMAN CROSS TOWN CARPENTRY, INC @ 12/31/14 CULLEN HASKINS NICHOLSON 88 15WC 10209 REGAN, PATRICIA C LOYOLA UNIVERSITY MEDICAL 02/25/14 VITELL & SPITZ LTD 89 15WC 10525 O'CONNOR, JERRY AT&T 11/01/13 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 90 15WC 11207 GORRELL, VANCE GRIFFITH TRUCKING 01/21/14 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 91 15WC 11424 WATERS, GAIL C. BIGANE PAVING COMPANY 08/04/14 BRILL & FISHEL LAW OFFICES OF EDWARD J. KOZ 92 15WC 11889 JAGE, ROGER WESTERN SPRINGS POLICE DE 03/27/15 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 93 15WC 12296 FRANK, LARISSA ILLINOIS COURT REPORTING @ 10/01/14 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 94 15WC 12997 PENCE, MARY ARPAC, LLC 06/07/13 THOMAS R LICHTEN HOLECEK & ASSOCIATES 95 15WC 13755 HOOTEN, ALICE SOLOMON SCHOOL 01/21/15 STROM & ASSOC CHGO BOARD OF EDUCATION 15WC013766 -C 15WC036875 -C CHICAGO PUBLIC SCHOOLS 15WC036876 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 15WC 13928 CRUMP, CAROLYN CITY OF CHICAGO 02/18/15 SHANNON LAW GROUP CITY OF CHICAGO 97 15WC 14210 HEIN, JENNIFER ADVOCATE CHILDREN'S HOSPI 08/03/14 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 15WC014211 -C 98 15WC 14613 ANDERSON, ALONZO CITY OF CHICAGO 01/22/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 99 15WC 14670 LENTZ, CHARLES ARLINGTON CEMETARY 01/14/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 100 15WC 19352 HEREDIA, JOHN CITY OF CHICAGO 05/27/15 RUBIN LAW GROUP CITY OF CHICAGO 101 15WC 21552 GUTIERREZ-ROGUE, YOLANDA STATE OF ILLINOIS @ 08/19/13 BRUSTIN & LUNDBLAD LTD COLIN KICKLIGHTER 102 15WC 22716 TONCHEVA, GERGANA COMPASS GROUP/TOUCHPOINT 03/11/15 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 103 15WC 23322 ESPOSITO, JOSEPH C CITY OF CHICAGO WATER DEP 06/03/15 SALVATO & O'TOOLE CITY OF CHICAGO 104 15WC 24871 GUZMAN, GERARDO FLEXIBLE STAFFING 06/10/15 PARENTE & NOREM PC ROSARIO CIBELLA 105 15WC 26050 OLIVO, JOSE HECTOR SOLARES SCRAP METAL 06/09/15 EPSTEIN, JACK R LAW OFFICE 15WC026051 -C 106 15WC 26181 GIBSON, JACQUELINE RAVENSWOOD CHILDCARE CENT 03/13/15 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 107 15WC 26252 MC LEAN, SCOTT CITY OF CHICAGO 07/17/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 108 15WC 29671 CLAVELLE-ROSS, BRENDA PALMER HOUSE HILTON HOTEL 09/02/15 ELFENBAUM EVERS & AMARILIO NOBLE & ASSOC 109 15WC 30414 LEWIS, DAVID J B HULNT TRANSPORTATION 02/06/15 CAPRON & AVGERINOS PC GRANT & FANNING 110 15WC 32396 ROMERO, IRENE BEE LINE 05/01/15 JAMES ELLIS GUMBINER & ASS EVANS & DIXON 15WC032397 -C 111 15WC 32699 SHEALLY, ELIZABETH PETE'S FRESH MARKET 09/15/15 HEFLER LAW KEEFE CAMPBELL & ASSOC LLC 112 15WC 33015 MARTINEZ, MARIA HEARTLAND FOOD LLC 01/08/14 JAMES ELLIS GUMBINER & ASS LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 113 15WC 33588 PALMAR-OSTRIA, FERNANDO MIDWEST REM 01/22/15 INJURY LAWYERS OF IL HENNESSY & ROACH PC 114 15WC 33745 MOORE, TOM CITY OF CHICAGO 08/27/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 115 15WC 33813 FURMAN, JAMES K. CROWN CORK & SEAL, COMPAN 09/14/15 WILLIAM S. WOJCIK LTD BRADY CONNOLLY & MASUDA PC 116 15WC 34468 DANEK, DAVID B WAY CORPORATION 06/10/15 RICHARD E ALEKSY HENNESSY & ROACH PC 18WC009645 -C 117 15WC 35236 ESPOSITO, ROBERT LABRIOLA BAKING COMPANY 07/07/15 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 118 15WC 35335 IBARRA, JULIO FORD MOTOR CO 08/30/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 119 15WC 36180 19B SULLIVAN, JENNIFER UNITED AIRLINES 05/09/15 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 18WC037240 -C 120 15WC 38404 GORDON, MITCHELL RIVER OAKS HONDA 06/04/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 121 15WC 41646 TABLATE, DOMINGO LOEWS HOTELS 05/28/15 CAPRON & AVGERINOS PC MEACHUM & STARCK 122 16WC 00026 WASHINGTON, PENNEY WILLIAMS CHRISTIAN DAYCAR 10/26/15 CULLEN HASKINS NICHOLSON 123 16WC 01216 CAMPBELL, JOHN CTA 01/10/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 124 16WC 01823 BUCK, WILLIAM W GOEBEL FORMING INC, LLC 12/04/15 BRENNAN, THOMAS E LTD ACCIDENT FUND HOLDINGS 125 16WC 02062 MORRISON, DONALD CTA 10/08/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 126 16WC 02347 CORREA, TERESA THE RESURRECTION PROJECT 01/14/15 RUBIN MACHADO ROSENBLUM ANCEL GLINK DIAMOND BUSH & E 127 16WC 02652 HULUM, VANILLA FIRST STUDENT INC 01/14/16 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 128 16WC 02986 CAZADERO, EDILIA ABHIRUCHI SNACKS 01/04/16 GOLDSTEIN BENDER & ROMANOF NEWLAND & NEWLAND 129 16WC 03205 MARCINIAK, GEORGE COOK COUNTY SHERIFF DEPT 07/05/15 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 130 16WC 03383 SANDOVAL, SALOMON FRANC GONZALEZ 12/28/15 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 131 16WC 03808 SCHAEFER, KELLI ADVOCATE CHRIST HOSPITAL 01/09/16 BARRY A KETTER NYHAN BAMBRICK KINZIE & LOWR 132 16WC 03856 DONIS, FRANK E COOK COUNTY SHERIFF'S DEP 01/30/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 133 16WC 04786 GOLUSZKA, RAYMOND J PARAMEDIC SERVICES OF 08/30/15 JOHN J CASTANEDA HENNESSY & ROACH PC 16WC004787 -C 134 16WC 09149 ROBERTS, MICHAEL ILLINOIS TOLLWAY AUTHORIT 04/17/14 CUDA LAW OFFICES GANAN & SHAPIRO 135 16WC 10581 WATKINS, JOHN REPUBLIC SERVICES 02/01/15 PORRO NIERMANN LAW GROUP GILDEA & COGHLAN 136 16WC 11171 FAILANO, ADELAIDA COMFORT KEEPERS 02/02/16 MEYERS & FLOWERS GANAN & SHAPIRO 137 16WC 11269 HILL, JAMES T BEVEL GRANITE @ W 03/30/16 ANESI OZMON RODIN NOVAK KO 138 16WC 12597 PERALTA, JONATHAN AFFINITY GLOBAL 04/09/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 139 16WC 12635 ZARATE, MANUEL ALTERNATIVE STAFFING 03/08/16 KARNO, MARK L & ASSOC MACIOROWSKI SACKMANN & ULRIC 140 16WC 12738 FRIEL, GEORGE PARK FOREST-CHICAGO HEIGH 02/11/16 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 16WC012739 -C 141 16WC 13259 ROY, BARBARA CHICAGO BOARD OF EDUCATIO 03/23/16 HORWITZ HORWITZ & ASSOC CHGO BOARD OF EDUCATION 16WC027615 -C 18WC022551 -C 142 16WC 13366 MURPHY-WILLIAMS CTA 03/18/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 143 16WC 13505 CLARK, MICHAEL HALLSTAR COMPANY 03/02/16 LEO ALT RUSIN & MACIOROWSKI LTD 144 16WC 13615 PACHECO, MICHAEL YRC FREIGHT 01/22/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 19WC000183 -C 19WC000184 -C 145 16WC 13638 BRANTL, KATHRYN W.R. GRACE 12/11/15 JASINSKI, GEORGE J SPIEGEL & CAHILL, PC 146 16WC 13858 ANAYA, RICARDO ELITE CABLE COMMUNICATION 03/21/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 16WC 14199 MC CARTHY, LAURIE UNITED AIRLINES INC. 03/22/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 148 16WC 20633 BABAJ, AVNI ABLE ENGINEERING 03/11/16 SALVATO & O'TOOLE MICHAEL JASPER 149 16WC 20868 KONDILIS, JAMES COOK COUNTY SHERIFF'S DEP 02/26/14 STROM, NEAL B STATES ATTORNEY OF COOK COUN 150 16WC 21051 MILLER, DEBRA BELLWOOD S.D. #88 05/16/16 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 151 16WC 21114 HARRIS, TIMOTHY L FORD MOTOR STAMPING PLANT 05/30/14 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 152 16WC 21925 MARTINEZ, PAOLA AMERICAN GASKET & RUBBER 08/27/15 JONATHAN SCHLACK HOLECEK & ASSOCIATES 16WC035674 -C 17WC004557 -C PEAPOD, LLC 17WC004558 -C 153 16WC 22076 SALINAS, CARMEN TCF BANK 04/05/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 154 16WC 22694 SHERIDAN, KEVIN M CHICAGO PARK DISTRICT 07/30/13 ANESI OZMON RODIN NOVAK KO CHICAGO PARK DIST LAW DEPT 16WC022695 -C 16WC022696 -C 16WC022697 -C 155 16WC 22788 MAJERCZAK, DOMINIK JB HUNT TRANSPORT 06/16/16 CUSHING LAW OFFICES KRAKER FANNING & OLSEN 17WC024388 -C 156 16WC 22815 RANDLE, REBECCA JACKSON PARK HOSPITAL 05/05/16 MARC J SHUMAN & ASSOCIATES ODELSON & STERK 157 16WC 23507 HOMLES, ANDREA FIRST STUDENT TRANSPORTAT 07/12/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 158 16WC 23512 TWEEDY, RALPH METRO LIFT TRUCK 07/14/16 BERG & BERG 159 16WC 23568 GONZALEZ, NANCY PANERA BREAD 07/13/16 SAUNDERS CONDON & KENNY GILDEA & COGHLAN 160 16WC 23922 BLACKWELL, TIFFANY CHICAGO TRANSIT AUTHORITY 06/21/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 161 16WC 24160 WILLIAMS, ANNETTE FORD MOTOR COMPANY 08/07/16 BERG & BERG RUSIN & MACIOROWSKI LTD 162 16WC 24284 CARMONA, ERNESTO TEMPS NOW 06/14/16 FERRIS THOMPSON & ZWEIG GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 16WC 30571 PETERSON, DEREK T&JJ'S SUPREME STEAKS AND 06/13/16 164 16WC 31117 GERON, EMMANUEL PREMIER FURNITURE OUTLET 08/29/14 MEYERS & FLOWERS HOLECEK & ASSOCIATES 165 16WC 31158 CALDERON, EDGAR COMMUNITY FIRST MED CTR 09/11/16 BRAD J. BALKE, PC 166 16WC 31643 SINGH, INDERJIT HARRY CAB CO 09/23/16 FISHER & LAMONICA 167 16WC 31821 WALLER, UNICE IL DEPT OF REHAB SERVICES @ 04/12/16 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 168 16WC 31893 ADETOLA, JIDE YELLOW CAB CHICAGO 05/25/15 COSTA IVONE LLC 169 16WC 32012 MOSS-CALLION, PATRICIA MCDONALDS 10/05/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 170 16WC 32140 WILLIAMS, JOE STAFFMARK 09/14/16 DISPARTI LAW GROUP PA KEEFE CAMPBELL & ASSOC LLC 171 16WC 32256 HARRIS JR., CURTIS VILLAGE OF COUNTRY CLUB H 10/08/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 172 16WC 32302 FLEMING, TONETTE VPC PIZZA HOLDINGS, LLC/ 07/26/16 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 173 16WC 32622 HERNANDEZ, PABLO CHILLI'S - OHARE INTL AIR 12/14/15 MARSZALEK AND MARSZALEK GAIDO & FINTZEN 174 16WC 32683 BALLINGER, JOHN HOME DEPOT USA, INC 09/13/16 LAW OFFICE OF KEVIN O'BRIE ADELSON TESTAN BRUNDO 175 16WC 32704 MONSON, DARYL CITY OF CHICAGO DEPT OF W 05/31/16 CRONIN & PETERS CITY OF CHICAGO 176 16WC 32783 BELLO, CESAR HALLS RENTAL SERVICE 09/26/16 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 177 16WC 32963 PRICE, CARLTON CTA 10/17/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 178 16WC 33063 BERRIOS, MARYBEL CHICAGO TRANSIT AUTHORITY 10/18/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 179 16WC 33212 ROJAS, JOSE DEPT OF STREETS & SANITAT 06/02/16 OSVALDO RODRIGUEZ PC 180 16WC 33325 ZAVALA, BRIAN J MAPLEHURST BAKERIES 09/09/16 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 16WC 33477 BUTTS, ANDRE YRC WORLDWIDE 08/26/16 GOLDSTEIN BENDER & ROMANOF 182 16WC 33552 DEAN, YOLANDA MONDELEZ INTERNATIONAL 04/09/16 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 183 16WC 33705 HORTA, GABRIEL MIDWEST WRECKING 07/19/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 184 16WC 33978 GASCA, NORMA CITY OF CHICAGO/ DEPT OF 04/04/16 ANKIN LAW OFFICE CITY OF CHICAGO 185 16WC 35086 GALLICHIO, JANET (WIDOW) COOK COUNTY SHERIFF'S OFF # 09/27/16 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 186 16WC 36043 LYONS, ROBERT MARTIN PETERSON COMPANY I 11/01/16 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC 187 16WC 38137 TINCU, MAXIM (ESTATE) DREAMEX TRANS INC, # 05/27/16 188 16WC 38276 VILLASANA, MIGUELE FIRST RESPONSE EMS 01/25/16 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 189 17WC 00468 PILLAI, RAKHY MARCO ROMA PIZZERIA 11/25/16 HOLECEK & ASSOCIATES 190 17WC 00771 TORRES, ARMANDO ENVOY/AMERICAN EAGLE 12/20/16 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 191 17WC 00830 OBASI, LONGINUS DISPATCH TAXI CAB 12/02/16 LAW OFFICE OF SCOTT B SHAP 192 17WC 00985 LEON, ERNESTO LKQ CORPORATION 02/09/16 LAW OFFICES LEONARDO MORAL INMAN & FITZGIBBONS 193 17WC 01129 BAKER, LAWRENCE CTA 12/17/16 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 194 17WC 01180 KELLY, BRUCE NORTH SHORE TRANSIT 12/19/16 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD 195 17WC 01262 HANPTON, DEBRA A MONDELEZ INTERNATIONAL 12/28/16 BARRY STEWART SILVER WIEDNER & MCAULIFFE LTD 196 17WC 01272 BAINES, JAMES THE CITY OF CHICAGO 03/17/16 RITTENBERG & BUFFEN CITY OF CHICAGO 197 17WC 01471 GASIK, ROSE M STATE OF IL/DEPT OF HUMAN @ 12/20/16 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 198 17WC 01636 SMITH, ANTHONY CITY OF CHICAGO 01/12/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 17WC 01641 HARVEY, WARREN E COOK COUNTY 09/01/16 DEPAOLO ZADEIKIS GORE STATES ATTORNEY OF COOK COUN 200 17WC 01749 RADOSTA, VITO SUPER LOW FOODS AKA GAMBI 11/18/15 FIORENTINO LAW OFFICES 201 17WC 01851 MARKS, LARRY J TRINITY SVCS, INC 08/18/16 FIGLIOLI, DAVID GALLIANI DOELL & COZZI LTD 202 17WC 02255 BENSON, JERRY CTA 12/05/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 203 17WC 02319 CINA, ANTHONY TRINITY LANDSCAPE OF NORT 02/05/65 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 204 17WC 02448 BAUMAN, CYNTHIA COOK COUNTY 10/19/15 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 205 17WC 02469 SCOTT, CHARLES L THE CATHOLIC BISHOP OF CH 06/22/15 ANKIN LAW OFFICE 206 17WC 02489 GRESHAM, KEVIN LAPHAM-HICKEY STEEL 07/07/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 207 17WC 02885 MORRIS, BOB D CONSTRUCTION INC 07/29/16 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 208 17WC 02942 RUIZ-MARTINEZ, ISIDRO PETE'S FRESH MARKET 12/21/16 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 209 17WC 03042 ELMI, ABDULKADIR KARABOOM CAB CO INC 01/12/17 FISHER & LAMONICA 210 17WC 03185 FLYNN, TERESE SPIRIT AIRLINES 04/04/14 HEALY SCANLON LAW FIRM KELLEY KRONENBERG 211 17WC 03211 PERIC, MILAN CITY OF CHICAGO-DEPT OF 01/09/17 SALVATO & O'TOOLE 212 17WC 03244 GRUSZCZYNSKA, IZABELA HAPPY MAIDS, INC. 01/13/17 URSULA BABICZ & ASSOC 213 17WC 03380 FLORES, ANGEL A TEAM AUTOMOTIVE SERVICES, 11/03/16 COSTA IVONE LLC 214 17WC 03693 MEJIA, LUIS A CHICAGO BEVERAGE SYSTEMS 12/21/16 GOLDSTEIN BENDER & ROMANOF MC CABE & HOGAN 18WC022146 -C 215 17WC 03980 KYSER, LARRY BERRY PLASTICS 01/29/17 JAMES J BURKE LAW OFFICE 216 17WC 04117 KRIETER, SHERYL AMERICAN AIRLINES 01/18/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 17WC 06949 KING, KAWON UNITED PARCEL SERVICE 12/12/16 DWORKIN AND MACIARIELLO ASA LAW GROUP 218 17WC 10389 MURRAY, WILLIE K JR. MANHEIM REMARKETING, INC. 11/10/16 GANAN & SHAPIRO 18WC015223 -C 219 17WC 10696 DELIC, SEVAL THE WESTIN CHICAGO RIVER 02/08/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 220 17WC 10730 O'BRIEN, MICHAEL COOK COUNTY 03/30/17 RATHBUN CSEVENYAK & KOZOL INMAN & FITZGIBBONS 17WC010745 -C 221 17WC 10775 FRYMIRE, MATTHEW J CARMAX AUTO SUPERSTORES, 12/08/16 GRAUER & KRIEGEL LLC ASA LAW GROUP 17WC010776 -C 222 17WC 10905 BAKER, JACK SCR TRASPORTATION 01/12/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 223 17WC 11119 SASS, CHRISTOPHER SERENITY LED, INC 12/23/16 LAWRENCE M MACK NYHAN BAMBRICK KINZIE & LOWR 224 17WC 11219 CARLSON, KEITH C CFC INTERNATIONAL 01/31/17 GERALD W KOREY NYHAN BAMBRICK KINZIE & LOWR 225 17WC 11435 SALAS, JUAN C FLEXIBLE STAFFING SVCS, I 11/28/16 GOLDSTEIN BENDER & ROMANOF ROSARIO CIBELLA 226 17WC 11505 LAWS, DENISE SYMPHONY OF CRESTWOOD 01/07/17 EDWIN REYES LEGAL GROUP NYHAN BAMBRICK KINZIE & LOWR 227 17WC 11632 SMITH, QUENTIN KTY TRANSPORT 04/11/17 228 17WC 11646 DRESHER, LINDA UNITED AIRLINES 08/29/16 CULLEN HASKINS NICHOLSON 229 17WC 11647 BACESCU, RAZVAN LINCOLNSHIRE SERVICE CORP 02/23/17 GARDI & HAUGHT 230 17WC 11830 HARGONS, CYNTHIA A COOK COUNTY FACILITY MANA 02/06/17 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 231 17WC 11912 FLORES, DIANE GRAND PRAIRIE TRANSIT 11/01/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 232 17WC 11931 MARTINEZ, EDUARDO STATE OF ILLINOIS, ILLINO @ 03/31/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 233 17WC 11968 KEELER, WILLIE THE SALVATION ARMY 03/20/17 CHARLES LEVY & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 17WC 12028 JONES, JACQUELINE ZEIGLER CHEVROLET 02/17/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 235 17WC 12094 WHITE, ROSE MARIE CHICAGO TRANSIT AUTHORITY 03/16/17 RICHARD O. GREENFIELD CHICAGO TRANSIT AUTHORITY 18WC003335 -C 236 17WC 12339 OCHOA, JUAN MANUEL J.P. PHILLIPS, INC 07/25/16 JUAN M OCHOA GAROFALO SCHREIBER STORM GRA 237 17WC 12571 BUOL, MARSHA CENTRAL DUPAGE PHYSICIAN 06/20/16 FIORENTINO LAW OFFICES 238 17WC 12649 GERTKEN-LOMANTO,JODY TARGET CORPORATION 01/30/17 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 239 17WC 12968 MCCLAY, SIDNEY AT&T 04/14/17 WEISS & WEISS LAW OFFICES HENNESSY & ROACH PC 240 17WC 13050 JASANY, MOKDAM HELEN CAB COMPANY 01/27/17 DEPAOLO ZADEIKIS GORE 241 17WC 13093 NEGRON, CANDIDA POOL TRANS INC 03/22/17 DANIEL PERIASWAMY 242 17WC 13167 ORTIZ, LEISARDO OLYMPIC STORE FIXTURES IN 07/15/16 BERG & BERG RUSIN & MACIOROWSKI LTD 243 17WC 13252 SANALITRO, GUY GOTTLIEB HOSPITAL 03/07/17 BAUM RUFFOLO & MARZAL LTD 244 17WC 13303 NAVA, JAVIER ILLINOIS INSTITUTE OF 12/14/16 BUDIN LAW OFFICES 245 17WC 13394 JAKOVICH, JOE ARCORP STRUCTURES LLC 04/17/17 ANKIN LAW OFFICE 246 17WC 13420 BLAZIER, MELISSA(WIDOW OF PTO SERVICES #W 04/09/13 ANGELINI & ORI LLC 247 17WC 13472 HAUER, CHRIS ROTO MAZDA 03/23/15 248 17WC 13515 BENFORD, ANGELA ILLINOIS DEPT OF CORRECTI @ 05/03/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 249 17WC 13601 BALL, ROSALYN ADVOCATE HEALTH 03/06/17 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM GRA 250 17WC 13635 WHITLOCK, LATOYA ASSOCIATED BANK 03/07/17 SEIDMAN MARGULIS & FAIRMAN 251 17WC 13782 JACKSON, LAVAR NEWLY WEDS FOOD 04/26/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 17WC 15636 19B LYNCH, JEFFREY ELECTRIC CONDUIT CONSTRUC 03/16/17 SKLARE LAW GROUP ACCIDENT FUND HOLDINGS 253 17WC 20241 WILSON, LATRICIA CHICAGO TRANSIT AUTHORITY 03/15/17 PAUL MARZANO CHICAGO TRANSIT AUTHORITY 254 17WC 20379 JONES, LAKEYSIA FLEXAN CORPORATION 12/04/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 255 17WC 20431 MODHERA, SANJAY COOK COUNTY HOSPITAL 09/19/16 PORRO NIERMANN LAW GROUP STATES ATTORNEY OF COOK COUN 256 17WC 20458 BELLO, JUAN CARLOS STAFFING SERVICES CORP 07/06/17 AIOSSA LAW FIRM 257 17WC 20525 TAIMOUR, MAHAMMAD ZHANET CAB CORP 06/28/17 HUNER LAW OFFICES LLC 258 17WC 20706 AGUILAR, HUMBERTO JR TOOTSIE ROLL DWC 06/22/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 259 17WC 20877 RAMOS, ADRIANA FEDERAL RESERVE BANK OF C 02/24/17 STROM, NEAL B RUSIN & MACIOROWSKI LTD 260 17WC 20984 SHELTON, KIZZIE M CITY OF CHICAGO 11/20/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 261 17WC 21103 LATIKER, BRIANNA ANDY FRIAN SECURITY SERVI 06/19/17 BART DURHAM GANAN & SHAPIRO 262 17WC 21237 HOLT, VENUS (PRENTISS) JEWEL FOOD STORES, INC 04/07/17 DESTEFANO, ROBERT A & ASSO WIEDNER & MCAULIFFE LTD 263 17WC 21257 JONES, VICTOR FORD MOTOR CO 04/11/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 264 17WC 21323 STEVENSON, GREGORY CITY OF CHICAGO-WATER DEP 07/11/17 ANGELINI & ORI LLC CITY OF CHICAGO 265 17WC 21461 PARIS, JOANNA NORTHROP GRUMMAN SYSTEMS 02/20/17 GRAUER & KRIEGEL LLC RUSIN & MACIOROWSKI LTD 266 17WC 21845 O'CONNOR, WILLIAM SOUTHWEST AIRLINES 07/03/17 KARCHMAR & STONE 267 17WC 21874 HOLDMAN, FREDERICK BLACK HORSE CARRIERS 06/01/17 DWORKIN AND MACIARIELLO 268 17WC 21903 BLANCO, JESSICA VILLAGE OF ARLINGTON HEIG 08/09/16 SANDMAN LEVY & PETRICH MACIOROWSKI SACKMANN & ULRIC 269 17WC 22171 MORA, LUIS HASAK COLD STORAGE 07/21/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 17WC 22251 DELK, EDDIE CHICAGO TRANSIT AUTHORITY 07/06/17 LAW OFFICE OF SCOTT B SHAP 271 17WC 22456 HALPER III, EDWARD J PARKWAY ELEVATORS 04/10/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 272 17WC 22475 LEON, MARIA TERESA SMG SAVOR/MCCORMICK PLACE 06/05/17 RUBIN LAW GROUP 273 17WC 22530 IVY, JOHNATHAN ELITE STAFFING 06/25/17 DWORKIN AND MACIARIELLO 274 17WC 22552 NEUMANN-MELONE, JEANETTE CHICAGO PUBLIC SCHOOLS 03/08/17 JASON HAUCK CHGO BOARD OF EDUCATION 275 17WC 22591 SPILLER, MYRON WEISS MEMORIAL HOSPITAL 07/14/17 CUDA LAW OFFICES HENNESSY & ROACH PC 276 17WC 22649 ROBLES, HUMBERTO CITY OF CHICAGO 07/27/17 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 277 17WC 22735 WASHINGTON, TAL AM BUS CO INC 02/15/17 278 17WC 23041 LAYTON, BRIAN WEST WIND EXPRESS 06/22/17 LEONARD LAW GROUP LLC 279 17WC 23112 SANTIAGO, JAVIS LABOR NATION, LLC 07/16/17 LAW OFFICES PETER LEKAS RIPES NELSON BAGGOT KALOBRAT 280 17WC 23292 MORRIS, TRAVIS CENTRAL TRANSPORT, LLC 05/15/17 STEVEN J TENZER, LTD HINSHAW & CULBERTSON 281 17WC 23331 GETHERS, RHONDA COOK COUNTY 07/21/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 282 17WC 23997 NUZZOLO, PAUL ORACLE 05/28/17 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 283 17WC 25184 HERRERA, ARIEL MENARDS 06/01/17 ABELS & ANNES, PC CHILTON YAMBERT PORTER LLP 284 17WC 27431 COE, PATRICK R CTA CHCIAGO TRANSIT AUTHO 09/08/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 285 17WC 28631 WALKER, KURT XPO LOGISTICS FREIGHT INC 08/18/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 286 17WC 29303 BOREN, RYAN VILLAGE OF STEGER POLICE 07/18/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 287 17WC 29324 BALBINO, AGUSTIN WORLD'S FINEST CHOCOLATE 03/15/16 HERRERA LAW CENTER KRAKER FANNING & OLSEN 17WC029325 -C 288 17WC 29476 ORTEGA, CEASAR SOLUTIONS MANAGEMENT CORP 09/29/17 TAMVAKIS, GEORGE L 289 17WC 29498 MILAN, LILIANA EMBASSY SUITES BY HILTON 09/27/17 PATRICIA HARDIMAN LAW OFFI NOBLE & ASSOC 290 17WC 29563 JUAREZ, JOSE ILLINOIS STATE POLICE @ 06/20/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 291 17WC 29653 SILVA, JORGE MIGUEL CHICAGO HEIGHTS STEEL 01/24/17 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 17WC029654 -C 292 17WC 29759 FOUTS, ROXANNE M BLOCK & SONS, INC 02/27/17 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 293 17WC 29825 PETERSON, KIMBERLY ADVOCATE HEALTH CARE 11/08/16 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 18WC011032 -C 294 17WC 29941 HARRIS, LONZETTA CTA 10/05/17 LAW OFFICES TIMOTHY HENDER CHICAGO TRANSIT AUTHORITY 295 17WC 29966 DEAR, EURETHIA BRIDGESTREET GLOBAL 08/17/17 DEPAOLO & ZADEIKIS 296 17WC 29984 SNOW, ANDRE MADDAN MENTAL HEALTH CENT W 09/21/17 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 297 17WC 30059 BELLFLOWER, MYRIAM G UNITED AIRLINES 09/20/17 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 298 17WC 30184 HERRERA, VALERIE EAST BALT COMMISARY INC 04/15/17 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 299 17WC 30414 GONZALEZ, JORGE MIDWEST REM ENTERPRISES 09/15/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 300 17WC 30458 VELCICH, JADE DAVIS STAFFING INC 10/09/17 COSTA IVONE LLC 301 17WC 30497 ROMO, MARIA CURTISS-WRIGHT 03/07/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 302 17WC 30610 GLOWACZ, KAMIL LAS TRANSPORT, LLC C/O 10/11/17 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 17WC 30673 BRUCE, MARKEESA T RONS STAFFING SERVICEINC 08/21/17 DEPAOLO ZADEIKIS GORE KOREY RICHARDSON LLC 304 17WC 30857 KENNEDY, JUDITH COMMUNITY CONSOLIDATED SC 09/08/17 THOMAS W DUDA 305 17WC 31104 CLAYTON, TRACEY STATE OF IL-DEPT OF HUMAN 02/12/17 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 306 17WC 31178 LALLY, THOMAS CITY OF CHICAGO WATER 09/05/17 MANDELL, GREGG CITY OF CHICAGO 307 17WC 31390 AGUILERA, HECTOR OLIVER CONSTRUCTION SERVI 10/18/17 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 308 17WC 31662 STAMESON, ANDREW ILLINOIS TOLLWAY AUTHORIT 04/07/17 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 17WC031663 -C 309 17WC 31701 WINSTON, MARCUS OZINGA 01/06/17 EDWIN REYES LEGAL GROUP GAROFALO SCHREIBER STORM GRA 18WC009677 -C 18WC031747 -C 19WC004227 -C 19WC005818 -C 310 17WC 32111 SANCHEZ, MARIA MI COSTENITA, LLC 08/22/17 RUEDA, IVAN A HOLECEK & ASSOCIATES 311 17WC 32179 GAITER, HERSHEL KOCH FOODS, INC 10/20/17 ANGELINI & ORI LLC 312 17WC 32188 NANCE, JOHN E CHICAGO PUBLIC SCHOOLS 10/06/17 ANKIN LAW OFFICE LAW DEPARTMENT 313 17WC 32357 HANLEY, COLLEEN EVANSTON FIRE DEPT 11/21/15 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 314 17WC 32385 SCOTT, TRACEY TWO MEN AND A TRUCK 10/21/17 315 17WC 32522 KLAGES, ROBERT VEE PAK LLC 10/24/17 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 316 17WC 32595 WHYMS, ROBERT LAKE LINE DELIVERIES 11/03/14 STROM, NEAL B 317 17WC 32606 MORGAN, SCOT EAGLE EXPRESS LINES INC 09/19/17 JOHN J CASTANEDA HINSHAW & CULBERTSON 318 17WC 32782 DIXON, BRIAN CITY OF CHICAGO 10/03/17 DWORKIN AND MACIARIELLO 319 17WC 32798 GARCIA, ALEX FOOD EVALUATION 10/26/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 17WC 32889 INNISS, GEORGE CITY OF CHICAGO 10/06/17 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 321 17WC 33001 HARRIS, KURT J GATEWAY FOUNDATION 07/04/17 GALLAGHER, DONALD V RUSIN & MACIOROWSKI LTD 322 17WC 33721 BURTNER, STEPHEN CITY OF CHICAGO 09/11/17 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 323 18WC 00592 FLANAGAN, MIKE AIR DESIGN SYSTEMS INC 12/01/17 GOLDBERG WEISMAN & CAIRO L HANSON LAW OFFICE 324 18WC 00687 VIERA, LORENA EDDIE V'S 06/10/17 ENCINAS & ORNELAS 325 18WC 00778 WEBSTER, HENRY HERTZ CAR SALES 01/02/18 GORDON & CENTRACCHIO LLC BRYCE DOWNEY & LENKOV LLC 326 18WC 00804 KEENE, JEREMY P AREA ERECTORS INC 11/08/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 327 18WC 00845 ROBINSON, JACQUELINE MASSAGE ENVY 10/29/17 COSTA IVONE LLC JOSEPH MARCINIAK 328 18WC 00949 COLLINS, ANTON D COOK COUNTY DEPT OF CORRE 12/10/17 CHAPMAN & CUTLER STATES ATTORNEY OF COOK COUN 329 18WC 00973 BRAVO, GREGORIO CELESTE EXPRESS TRANSPORT 11/30/17 330 18WC 00998 MORALES, SERGIO ENGINEERED GLASS PRODUCTS 04/29/17 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 331 18WC 01015 RUBIO, ARACELI SHREE ARMITAGE INC. DBA 12/21/17 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 332 18WC 01037 HAMEED, MARYLIN J.C. PENNY CORPORATION IN 10/14/17 SPENCER LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 333 18WC 01087 MCCAFFREY, JOHN STATE OF IL/ @ 02/02/17 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 334 18WC 01186 GRACZYK JR, KEN CHICAGO TRANSIT AUTHORITY 03/06/17 TRUGLIO, FRED A & ASSOC CHICAGO TRANSIT AUTHORITY 335 18WC 01293 GREEN, DEBRA FORD MOTOR COMPANY 01/09/18 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 336 18WC 01462 KANIA, RICHARD SCHWAN INC 03/16/16 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 337 18WC 01502 ESTRADA, DIANA MICHAEL LEWIS COMPANY 12/29/17 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 18WC 01676 KELLER, KEISHA FOOD 4 LESS 02/03/17 EDWIN REYES LEGAL GROUP 339 18WC 01741 CZERNIAK, BRYAN KS ENERGY SERVICES, LLC 09/01/15 GOLDBERG WEISMAN & CAIRO L STONE & JOHNSON CHARTERED 340 18WC 01768 ELBERT, JULIAN UNITED AIRLINES 11/01/17 BRILL & FISHEL 341 18WC 01816 MORRISON, PARRISH UBER 01/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 342 18WC 01867 BRITTON, CARL ADAIR ENTERPRISES 03/28/17 MILLON & PESKIN LTD 343 18WC 01934 BAK, ALEKSANDRA BELMONT VILLAGE SENIOR LI 02/06/16 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 344 18WC 02032 MITRIUS, CAROLYN NATION PIZZA & FOODS 06/27/16 MILLON & PESKIN LTD MEACHUM & STARCK 345 18WC 02033 VOIGTS, WILLIAM WORLD FUEL SERVICES CORP 10/10/16 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 346 18WC 02098 LLOYD, SCOTT J BARNEY'S NEW YORK 11/20/17 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 347 18WC 02234 DAVIS, VERNONICA SMS ASSIST LLC 01/02/18 KUMLIN & FROMM 348 18WC 02248 CORTEZ, ANNETTE CHICAGO PUBLIC SCHOOLS 11/16/17 JOHN C SERKLAND CHGO BOARD OF EDUCATION 349 18WC 02300 KINSEY, SHARDAI SOUTHWEST AIRLINES 01/05/18 COVEN LAW GROUP 350 18WC 02441 HENRY, MIKITA Y CITY OF CHICAGO/DEPT OF 11/16/17 RITTENBERG & BUFFEN 351 18WC 02460 CASTRO, JESUS FAMILY DOLLAR 01/14/18 COSTA IVONE LLC LEAHY EISENBERG & FRAENKEL 352 18WC 02521 TIPIANI, JAVIER COOK COUNTY SHERIFF'S DEP 11/30/17 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 353 18WC 02557 DRAKE, BEVERLY D FIRST TRANSIT, INC 01/18/18 FRIEDMAN & SOLMOR LTD 354 18WC 02622 CZARNECKI, CATHERINE AMERICAN AIRLINES 12/15/17 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 355 18WC 02712 FONSECA, NOEMI HCR MANOR CARE 11/16/17 GRAZIAN & VOLPE PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 18WC 02796 JURGENSON, RORY ELITE MEDICAL TRANSPORT 12/27/17 VASILATOS & COTTER LLC MEACHUM & STARCK 357 18WC 02947 GARNER, ZYLA SHERWIN-WILLIAMS 06/06/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 358 18WC 02987 GONZALEZ, ANTONIO FLOOD BROTHERS 01/19/18 KARLIN FLEISHER & FALKENBE HENNESSY & ROACH PC 359 18WC 03142 PIEKOS, ZDZISLAW JR MENARD, INC 01/22/18 ALEKSY BELCHER CHILTON YAMBERT PORTER LLP 360 18WC 03225 READ, CALVIN SCR MEDICAL TRANSPORTATIO 01/23/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 361 18WC 03302 ELMS, LINDA MID AMERICA TILE 05/01/17 LAW OFFICES MARK LOFTUS GANAN & SHAPIRO 362 18WC 03387 SNIEGOWSKI, JAMES CVS PHARMACY 01/29/17 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 363 18WC 03416 ALONZO, GREGORY CITY OF CHICAGO 11/05/17 DEPAOLO & ZADEIKIS CITY OF CHICAGO 364 18WC 03449 LYONS, CRYSTAL FORMAN MILLS 11/28/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 18WC003450 -C 365 18WC 03480 HALL, TERRENCE UBER 01/25/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 366 18WC 03544 CAMPO, NICOLE ADMN EST/LE UNITED CONTINENTAL HOLDIN # 01/25/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 367 18WC 03605 MARTINEZ-ROSAS, MARIA ARYZTA LLC 01/19/18 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 368 18WC 03724 RUSSELL, CHANA UNIVERSITY OF CHICAGO 01/24/18 MC HARGUE & JONES HENNESSY & ROACH PC 369 18WC 05148 JONES, LOTTIE M ROSS DRESS FOR LESS 01/25/18 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 370 18WC 06538 MITCHELL, WILLIE CHICAGO TRANSIT AUTHORITY 11/08/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 18WC 07911 MCKINNEY, MICHAEL CITY OF CHICAGO 02/01/18 CANDIANO LAW OFFICE CITY OF CHICAGO 372 18WC 07927 BOYCHUK, DANIELLE LITTLE CO OF MARY HOSPITA 04/03/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 18WC026621 -C LITLE COMPANY OF MARY HOSP 373 18WC 09112 FARMS, JOHNNIE ARENA FOOTBALL ONE, LLC 03/22/17 GORDON & CENTRACCHIO LLC 374 18WC 10334 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS (C 04/22/15 BEVERLY QUEEN-THOMAS 375 18WC 10373 BROWN, CORDALE F CHICAGO TRANSIT AUTHORITY 03/07/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 376 18WC 10420 GOMEZ, JOSEPH ADJUSTABLE FORMS 03/05/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 377 18WC 10442 CALO, KRISTIN UNITED AIRLINES 12/15/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 378 18WC 10488 SCHELLER, JEANNE NORTHWESTERN UNIVERSITY 03/01/17 DWORKIN AND MACIARIELLO 379 18WC 10580 MYLES, IMIA ILLINOIS DEPARTMENT 01/21/18 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 380 18WC 10703 028 CAMPOS, LORENZO THUNDER TOOLS, INC 11/20/17 HART & DAVID LLP WOLFE & JACOBSON, LTD 028 17WC016011 -C 381 18WC 10724 KREUGER, MICHAEL NORTH PALOS FIRE 03/24/16 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 382 18WC 10895 GLANZ, DOUGLAS D VILLAGE OF ARLINGTON HTS 03/06/18 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 383 18WC 10960 CABAN, JULIAN GEORGIA NUT COMPANY 03/15/18 COSTA IVONE LLC CAPUANI, FRANK S 384 18WC 10977 ORTIZ, ALMA DHALIWAL LABORATORIES NRT 03/28/18 HERRERA LAW CENTER 385 18WC 11015 FREY, SHAWN COOK COUNTY SHERIFF'S POL 04/01/18 BOTTO GILBERT STATES ATTORNEY OF COOK COUN 386 18WC 11051 WALLACE, STEVEN UPS 11/24/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 387 18WC 11120 SHEHADEH ALI, SHEHADEH VYSHIA GLOBAL TRANSPORT, 03/23/18 STANCZAK LAW OFFICES 388 18WC 11186 GOMEZ, ROMAN RANA MEAL SOLUTIONS 09/30/17 ROBERTO ACEVEDO RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 18WC 11402 HOGAN, ZENA U-HAUL INTERNATIONAL INC 03/10/18 JOHN C SERKLAND RUSIN & MACIOROWSKI LTD 390 18WC 11419 093 TYLER, LOIS CITY OF CHICAGO 09/17/16 DANIEL PERIASWAMY 093 17WC004351 -C 391 18WC 11434 OJOFEITIMI, KAREN STATE OF ILLINOIS- @ 10/26/17 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 392 18WC 11589 REYNOLDS, MARIKA LITTLE COMPANY OF MARY HO 02/06/18 COSTA IVONE LLC 393 18WC 11645 VILLEGAS, IRMA PAYLESS SHOE SOURCE 02/23/18 ANSELMO DURAN HINSHAW & CULBERTSON 394 18WC 11683 BROWN-WALKER, NICOLE CTA 04/12/17 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 395 18WC 11702 MARTINEZ, JOSE LUIS ALEX DELI 04/17/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 396 18WC 11728 TOVAR, LUIS M KEY TOWER LLC 03/28/18 LEONARD LAW GROUP LLC KRAKER FANNING & OLSEN 397 18WC 11758 HAMILTON, PAMELA ILLINOIS SCHOOL BUS, INC. 04/11/18 DANIEL PERIASWAMY GALLIANI DOELL & COZZI LTD 398 18WC 11789 CONNOR, PERRY AUTO WAREHOUSING COMPANY 02/12/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 18WC034337 -C AWC WAREHOUSE 399 18WC 11807 HILL, ROBERT V RYDER LOGISTICS 02/06/18 RANDOLPH GREUNE LAW OFFICE 400 18WC 11841 ROGERS, STEVEN ARCHDIOCESE OF CHICAGO 01/29/17 MILLON & PESKIN LTD MC ANDREWS & NORGLE LLC 18WC025535 -C 401 18WC 11879 BURCHARD, ROBERT POWER CONSTRUCTION COMPAN 09/15/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 402 18WC 11915 HOLLINGSWORTH, HENRY V ARAMARK, INC 03/25/18 INMAN & FITZGIBBONS 403 18WC 11930 ALFONZO, ELIZABETH (AKA) ATLAS EMPLOYMENT SVCS, IN 04/11/18 JONAT0HAN SCHLACK ROBERT L. SMITH 404 18WC 11959 ERVIN, JERRY CITY OF CHICAGO 04/16/18 FOHRMAN, DONALD W & ASSOCS 405 18WC 12011 MC COLLOUGH, SAMUEL AEROTEK STAFFING AGENCY 04/03/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 18WC 12261 SHERDEN, TAMIEKA COMPASS GROUP USA INC 06/01/17 COSTA IVONE LLC GANAN & SHAPIRO 407 18WC 12294 KELLY, DARA JACKSON PARK HOSPITAL MED 02/13/18 SCOTT B SHAPIRO ODELSON & STERK 408 18WC 12308 WILLIAMS, DENISE CTA 03/05/18 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 409 18WC 12363 DAVID, ADAM FOREST PRESERVE DISTRICT 04/17/18 COLLISON LAW OFFICES FOREST PRESERVE DIST COOK CO 410 18WC 12524 GARCIA, MERCEDES BRIDGFORD FOODS 12/15/17 GOLDSTEIN BENDER & ROMANOF 411 18WC 12551 FUTARSKI, STOIL ZVONKO TIJANIC/FEDEX 03/16/18 DEPAOLO & ZADEIKIS 412 18WC 12595 GUNDERSEN, JILL AMERICAN AIRLINES, INC 03/25/18 CULLEN HASKINS NICHOLSON 413 18WC 12632 ISSAKA, MARIAM COOK COUNTY HEALTH & HOSP 11/02/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 414 18WC 12671 RHOADES, TODD CHICAGO THEATRE GROUP INC 09/11/16 LANNON LANNON & BARR LTD 415 18WC 12696 STARKS, LARRY METROPOLITAN WATER 04/04/18 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 416 18WC 12722 LOPEZ, JOSE C CC TRIM, LLC 02/07/18 KAT0Z FRIEDMAN EAGLE ET AL 417 18WC 12832 GONZALEZ, SERGIO V.V.V. DIAMOND SVS, INC 03/26/18 JOSEPH J LOSS PC 418 18WC 12856 POWELL, CHARMAINE ISM SECURITY 09/27/16 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 419 18WC 13009 SHARMA, SATINDER MARR CHICAGO PIZZA DBA 02/13/18 STROM, NEAL B HENNESSY & ROACH PC 420 18WC 13024 THOMPSON, DAVID CITY OF CHICAGO 03/01/18 ALEKSY BELCHER 421 18WC 13041 WEBSTER, KELVIN THE NATIONAL CASH REGISTE 04/01/18 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 422 18WC 13060 SMITH, CHARLES RICHARD JR AC MEDTRAN INC 04/14/18 TIMOTHY HENDERSON RUSIN & MACIOROWSKI LTD 423 18WC 13139 NELLS, DAN CAREY ELECTRIC CONTRACTIN 12/07/17 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 18WC 13160 BRACEY, REDDI SOUTH SHORE HOSPITAL 02/14/18 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 425 18WC 13183 GIL, TANIA MIDWAY STAFFING 04/10/18 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 426 18WC 13239 PEREZ, IRMA HOSPITALITY STAFFING SOLU 04/28/18 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 427 18WC 13300 GIBBONS, LAUREN UPS 03/26/18 SPIROS LAW PC ASA LAW GROUP 19WC019095 -C 428 18WC 13411 BIGGINS, MILTON BIGGINS RIDEL INC BRG SPORTS LLC 04/13/18 RONALDSON & KUCHLER KRAKER FANNING & OLSEN 429 18WC 13426 STEPHAN, RICHARD VOLKSWAGON OR ORLAND PARK 07/30/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 430 18WC 13437 SCARELLI, PACHINA BROOKDALE LAKE VIEW 04/30/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 18WC013438 -C 431 18WC 13487 MALONGA, ANICET GATE GOURMET INC 03/12/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 432 18WC 13496 JOHNSON, MARCELLA LBP MFG LLC 09/26/17 ANKIN LAW OFFICE 433 18WC 13552 FENNESSY, FRANCES FIRST STUDENT, INC. 02/08/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 434 18WC 13779 GRIFFIN, YEVONNE KENTUCKY FRIED CHICKEN 09/23/17 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 435 18WC 13830 ARITZMENDY, BENJAMIN UNITED REMANUFACTURING 03/07/18 CULLEN HASKINS NICHOLSON 436 18WC 13872 RODRIGUEZ, LUCIO OLD DOMINION FREIGHT LINE 02/04/18 DWORKIN AND MACIARIELLO 437 18WC 15916 AINA, DERRIANA (NEXT OF K FLEX TRANSPORT INC # 05/16/18 438 18WC 16000 COLONE, JOHNNY RENAISSANCE MGT CO LLC 02/09/18 SCHAFFNER RABINOWITZ FEINA HENNESSY & ROACH PC 439 18WC 17628 LEAL, ROLANDO NATION PIZZA PRODUCTS LP 12/21/17 HERRERA LAW CENTER MEACHUM & STARCK 440 18WC 18549 HURLEY, KEVIN CBRE TECHNICAL SERVICES, 03/17/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 441 18WC 18943 GORDON, TRACEY CTA 05/31/18 COSTA IVONE LLC COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 18WC 19247 MURGA, DANIEL WOW BAO/LETTUCE ENTERTAIN 04/27/18 RYAN ROSENTHAL 443 18WC 20194 ROYAL, ANDREA COACH USA 06/18/18 JOHN C SERKLAND POULOS & DIBENEDETTO LAW 444 18WC 20207 BARJEBO, MUNEH HYATT PLACE-CHARLOTTE/CIT 04/28/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 18WC020208 -C 445 18WC 20232 QUIGLEY, ERIC I FEDERAL EXPRESS 04/03/18 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 18WC021883 -C 446 18WC 20274 KISLIAK, OLGA ONE HOME HEALTH 06/27/18 ROSENBERG EISENBERG ASSOC 447 18WC 20385 OTTO, CHARLES F IDOT @ 06/16/18 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 448 18WC 20439 NEELEY, SAMANTHA ANN ANIMAL WELFARE LEAGUE 05/14/18 BRADY CONNOLLY & MASUDA PC 449 18WC 20458 SANCHEZ, ARMANDO BUONA BEEF 06/15/18 JAMES ELLIS GUMBINER & ASS 450 18WC 20478 RUSSELL, ERIC RGIS, LLC 01/24/18 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 451 18WC 20514 SINHA, ANSHUMAN SYNCHRONY FINANCIAL W 08/09/17 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 452 18WC 20538 JUSTICE, EDREICK ARCELOR MITTAL 11/06/17 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 453 18WC 20564 HACKEL, JOSEPH A AMERICLEAN 06/21/18 COSTA IVONE LLC 454 18WC 20650 ABDULLAH, AMIRA PACKERS SANITATION SRVS I 06/22/18 TIMOTHY HENDERSON 455 18WC 20714 POIRIER, DAVID R SMG SAVOR 06/10/17 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 18WC020715 -C 18WC032969 -C 456 18WC 20780 AVILA, JESUS VILLAGE OF BURNHAM 05/18/18 RAYMOND P GARZA LAW OFFICE RUSIN & MACIOROWSKI LTD 457 18WC 20874 MEDRANO, VICTOR LIBERTY STAFFING INC. 07/14/16 THEODORE L STACY 458 18WC 20901 ALVAREZ, CANDELARIA OPEN KITCHENS 06/04/18 BERG & BERG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 18WC 20922 ANDERSON, JAMIE GET FRESH PRODUCE, INC 04/14/17 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 460 18WC 20997 ALBRECHT, LARRY UNITED AIRLINES INC 06/27/18 BOWMAN & CORDAY 461 18WC 21015 TANZE, ASHABI JEWEL OSCO 03/31/18 DAVID W MARTAY 462 18WC 21149 BOURRET, ALYSON CHICAGO PARK DISTRICT 07/12/17 SANDMAN LEVY & PETRICH CHICAGO PARK DIST LAW DEPT 463 18WC 21270 SMITH, TYHELIA NANDO'S PERI-PERI 05/31/18 COSTA IVONE LLC 464 18WC 21287 NOGUEDA, SALOMON VANTEC HITACHI TRANSPORT 02/07/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 465 18WC 21339 HERNANDEZ, THERESA NATIONAL ASIAN PACIFIC CT 06/27/18 MC HARGUE & JONES MEACHUM & STARCK 466 18WC 21357 BARA, GARY BARA ELECTRIC INC 06/27/17 NEWLAND & NEWLAND BRADY CONNOLLY & MASUDA PC 467 18WC 21436 GARD, BRENDA ABF FREIGHT SYSTEMS, INC 07/05/18 PARENTE & NOREM PC KEEFE CAMPBELL BIERY & ASSOC 468 18WC 21539 ABUNDIZ, IRENE MANORCARE HEALTH SERVICES 02/06/18 COMPTON LAW GROUP 469 18WC 21564 SHELBY, KENNETH BYRNE & JONES 07/02/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 470 18WC 21599 SERRANO, JUANA THE GARLANDS OF BARRINGTO 03/30/18 HERRERA LAW CENTER FRANCESCA LARSEN 471 18WC 21652 DAVIS, GEORGE M ITS CONGLOBAL 07/12/18 VITELL & SPITZ LTD 472 18WC 21677 LEWIS, DONALD SECRETARY OF STATE @ 07/11/18 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL 473 18WC 21698 BRYANT, JUANICA HELP AT HOME, LLC 06/07/18 CHRISTINE F DAVID 474 18WC 21789 MCCLURE, VE-ESTER CTA 11/22/17 DONALD FOHRMAN & ASSOC 475 18WC 21866 OLIVER, TERRENCE L REPUBLIC SVCS 06/18/18 BUDIN LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 476 18WC 21947 AUSTWICK, LAURA AMERICAN AIRLINES 06/20/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 18WC 21954 VELAZQUEZ, RODOLFO MARSCO GLASS PRODUTS LLC 05/07/18 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 478 18WC 21972 YORK, ROBERT CHICAGO TRANSIT AUTHORITY 07/21/18 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 479 18WC 22029 BOOE, STEPHEN THYSSEN KRUPP ELEVATOR CO 11/22/17 MARK N LEE 480 18WC 22073 GONZALEZ, MARIA UNIVERSITY OF ILLINOIS - 05/16/18 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 481 18WC 22096 SODERLUND, JAMES D S MECHANICAL INC 01/17/18 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 482 18WC 22135 CALDWELL, CANDUS TARGET 05/01/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 483 18WC 22155 VAZQUEZ, JUAN INDUSTRA SHARP, INC. 05/01/18 BOUDREAU NISIVACO LLC LAWRENCE COZZI - LAW OFFICE 484 18WC 22180 JANKOWSKI, RICHARD NEWS AMERICA MARKETING - 03/07/18 HORWITZ HORWITZ & ASSOC 485 18WC 22196 DUBOIS, MIKEL UNITED CONTINENTAL HOLDIN 11/29/17 KATZ FRIEDMAN EAGLE ET AL 486 18WC 22283 MARTINEZ, J GUADALUPE NOT JUST GRASS, INC 07/09/18 STANCZAK LAW OFFICES MEACHUM & STARCK 487 18WC 22306 OSEGUERRA, ALEJANDRO AQS SERVICES, INC 06/22/18 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 488 18WC 22344 SEGURA, CELIA MVP WORKFORCE LLC 06/18/18 HERRERA LAW CENTER KOREY RICHARDSON LLC 489 18WC 22365 KING, PATRICK CITY OF CHICAGO 07/09/18 RICHARD O. GREENFIELD 490 18WC 22407 GALLEGOS, ALEXIS TUFF SHED 10/24/17 STEVEN J MALMAN & ASSOCIAT 491 18WC 22446 NELSON, JESSICA MANDEL, LIPTON, 08/08/17 THOMAS M. PARIS 492 18WC 22475 HENRY, SONIA RJB PROPERTIES, INC 07/24/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 493 18WC 22479 REDDING, BESSIE CITY OF CHICAGO 06/27/18 KROL BONGIORNO & GIVEN LTD 494 18WC 22497 DURAN, GALDINA ELI'S CHEESECAKE CO 04/18/18 MC HARGUE & JONES MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 18WC 22505 HOLMES, WENDELL FORD MOTOR COMPANY 01/09/18 DONALD FOHRMAN & ASSOC WIEDNER & MCAULIFFE LTD 496 18WC 22520 ABOYTES, JULIAN MARINE SERVICES CORPORATI 12/02/16 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 497 18WC 22567 PRUITT, DYON TAUBENSEE STEEL & WIRE CO 04/03/18 TAXMAN POLLOCK EDWARD J. KOZEL 498 18WC 22608 BORIS, RAZIEH ARHAUS FURNITURE 06/16/18 STROM & ASSOC KRAKER FANNING & OLSEN 499 18WC 22638 BROWN, JEREMIAH T THE RITZ CARLTON - CHICAG 03/05/18 GALLAGHER, DONALD V HENNESSY & ROACH PC 500 18WC 22654 SMALL, DAVID XEROX CORPORATION 02/06/18 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 501 18WC 22763 KRZYZANOWSKI, TIM GENERAL ELECTRIC HEALTH C 06/06/18 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 502 18WC 22830 KNIGHT-COLLINS, VALERIE A IL DEPT OF HUMAN SERVICES @ 06/11/18 503 18WC 22891 DIAZ-RAMIREZ, JESUS ABM FACILITY SVCS 07/06/18 DAVID W MARTAY 504 18WC 22952 YEPEZ, DAVID G SODEXO INC 01/18/18 PETER LEKAS WIEDNER & MCAULIFFE LTD 505 18WC 22974 BARRERA, JESSE TSA PROCESSING 07/06/18 CULLEN HASKINS NICHOLSON 506 18WC 23011 DIAZ, MARIA HOTEL STAFFING SOLUTION 04/07/18 ESR LAW GROUP 507 18WC 23032 COOK, CECILIA AMERICAN AIRLINES 06/08/18 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 508 18WC 23116 SHUTT, JANE D UNITED CONTINENTAL HLDING 06/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 509 18WC 23170 MANUEL, STEPHANIE BRIA OF FOREST EDGE HEALT 07/04/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 510 18WC 23187 ANDERSON, JEROME ISAAC THE HOME DEPOT 07/24/18 SCHWEICKERT & GANASSIN ADELSON TESTAN BRUNDO 511 18WC 23281 LOPEZ, ABAD JEN'S GUESTHOUSE 04/13/18 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 18WC 23306 ARIAS, JOSE G VEGETABLE JUICES, INC 06/04/18 THE ROMAKER LAW FIRM 513 18WC 23406 HAVILAND, ALMA ARDAGH GLASS, INC 08/06/15 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 18WC023407 -C 18WC023408 -C 514 18WC 23437 DONALDSON, SHEILA SOLO CUP OPERATING CORP. 02/05/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 515 18WC 23458 REED, ADRIAN ABM INDUSTRY GROUP LLC 06/29/18 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 516 18WC 23522 JAMES, ALISA M CITY OF CHICAGO 07/26/18 ANKIN LAW OFFICE CITY OF CHICAGO 517 18WC 23630 VARGAS, LILIA MIDDAY MEALS, INC 06/29/18 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 518 18WC 23654 BERDINE, FRANKLIN L PATTEN CATERPILLAR INDUST 06/20/18 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 519 18WC 23840 REYES, MANUEL GEORGIS CATERING, INC 07/06/18 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 520 18WC 23858 ALEMAN, ADRIAN PEDRO SSP AMERICA 08/20/17 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 18WC023859 -C 521 18WC 25801 REGO, BRIAN N CHICAGO HEIGHTS STEEL 07/21/18 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 522 18WC 26121 HERNANDEZ, BALBINA A&R JANITORIAL SERVICE IN 06/06/18 HERRERA LAW CENTER EVANS & DIXON 523 18WC 26261 KNACK, PAUL STATE OF IL DEPT OF @ 04/28/18 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 524 18WC 26856 MARCHESE, NICHOLAS CITY OF CHICAGO 01/16/18 LEONARD LAW GROUP LLC 525 18WC 27490 STEPPIE, KAYLA BUONA BEEF 09/04/18 GAINES & GAINES WIEDNER & MCAULIFFE LTD 526 18WC 27507 TUREK, PETER DLR GROUP 12/07/16 BOWMAN & CORDAY HOLECEK & ASSOCIATES 527 18WC 30076 SZESZYCKI, ANDREW CITY OF HICKORY HILLS 10/06/15 JAMES A PAYONK JR RUSIN & MACIOROWSKI LTD 528 18WC 30329 WILLIAMS, MICHAEL SET ENTERPRISES INC 10/01/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 529 18WC 30374 DIMITROV, BOJIDAR R STAFF MANAGEMENT SOLUTION 01/25/18 GALLAGHER, DONALD V 530 18WC 30405 LOMELI, ROSA MICHAEL FOODS/NATIONAL 01/31/18 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 531 18WC 30427 CELEDONIO, EDELMIRA M SINAI HEALTH SYSTEM 08/22/17 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 532 18WC 30466 CORONA, FRANK COOK COUNTY DIVISION 08/R 09/25/18 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 533 18WC 30487 MARVE, ROSALIE UNITED CONTINENTAL 05/17/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 534 18WC 30496 WHITE SHANNA MRV CONSTRUCTION 08/26/18 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 535 18WC 30550 GARCIA, LUIS HICKEY ELECTRICAL CONTRAC 08/20/18 HERRERA LAW CENTER GANAN & SHAPIRO 18WC030551 -C 536 18WC 30602 SULLIVAN, ANNE UNITED CONTINENTAL HOLDIN 05/25/18 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 537 18WC 30735 BELL, CASSANDRA COOK COUNTY JUVENILE DETE 08/31/18 MARSZALEK AND MARSZALEK STATES ATTORNEY OF COOK COUN 538 18WC 30785 GAMBLE, RANDY A UNITED FAST FOOD BEVERAGE 07/11/18 STEVEN J MALMAN & ASSOCIAT HOLECEK & ASSOCIATES 539 18WC 30809 WALKER MONTEZ TENET CONCEPTS 09/24/18 ANGELINI & ORI LLC 540 18WC 30813 CHIQUITO, MARIA LUISA RANA MEAL SOLUTIONS 04/10/18 MEYERS & FLOWERS 541 18WC 30833 LEWIS, IRENIA WILLIAMS CHRISTIAN DAYCAR 04/30/18 ANKIN LAW OFFICE JOSEPH MARCINIAK 542 18WC 30868 GREEN, CARMELITA DAY'S ADULT DAY CARE 02/28/17 DWORKIN AND MACIARIELLO 543 18WC 30912 HARRIS, LASHONDA A RUSH UNIVERSITY MEDICAL C 09/19/18 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL BIERY & ASSOC 544 18WC 30929 CONTRERAS, MARIA B UNIVERSITY OF IL AT CHICA 04/01/16 JOHN J CASTANEDA HEYL ROYSTER VOELKER & ALLEN 545 18WC 30987 SIMONSON, PAUL THE VILLAGE OF GLENVIEW 01/04/18 PAPPAS & BELL NYHAN BAMBRICK KINZIE & LOWR 546 18WC 31063 ALEXANDER, ROLANDA COOK COUNTY 09/25/18 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 547 18WC 31094 SAUCEDO, RUMALDO DOUGLAS PRESS, INC 08/23/18 BAUM RUFFOLO & MARZAL LTD EVANS & DIXON 548 18WC 31128 BROWN, KEVIN ARCELOR MITTAL INDIANA HA 02/12/18 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 549 18WC 31153 CHEN, TAI HUA UNITED AIRLINES INC. 05/28/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 550 18WC 31174 FRANCO, ANDREW TWENTIETH CENTRY FOX FILM 10/09/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 551 18WC 31453 ROJAS, FERNANDO SERRANO LANDSCAPING, INC 10/08/18 TOPPER & WEISS LTD 552 18WC 31629 COULTER, PARRIS NATIONAL PASTEURIZED EGG 10/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 553 18WC 31868 BURNSIDE, GINA UNITED CONTINENTAL HOLDIN 05/28/18 KATZ FRIEDMAN EAGLE ET AL 554 18WC 31903 VARGAS, CELIA CREATIVE WERKS LLC (BORRO 05/12/18 STEVEN B SALK & ASSOC LTD HOLECEK & ASSOCIATES 555 18WC 31972 MEDEL, BRISA ELITE STAFFING 09/29/18 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 556 18WC 31994 OLSEN, SUSAN UNITED AIRLINES INC. 09/09/18 RIDGE & DOWNES 557 18WC 32012 FLOOD, SEAN METROPOLITAN PIER & 09/11/18 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 558 18WC 32027 RIVKIN, CHRISTINE CITY OF CHICAGO DEPT OF 09/27/18 ANKIN LAW OFFICE 559 18WC 32058 CLARK, LESHA UNITED AIRLINES 12/21/17 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 560 18WC 32060 BOOKER, WILNEKA GREAT LAKES CARING 09/01/18 DAVID W MARTAY KEEFE CAMPBELL BIERY & ASSOC 561 18WC 32076 ESCOBEDO, MONICA COOK COUNTY SHERIFF DEPT 08/19/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 562 18WC 32092 VAZQUEZ, BEATRIZ CONCORDIA PLACE 09/11/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 563 18WC 32128 THOMSON-TAYLOR, PATRICIA SEGUIN SERVICES 10/10/18 STEVEN J MALMAN & ASSOCIAT 564 18WC 32206 REVUELTA, JORGE L GARCIA RESTAURANT HOLDINGS LLC D 10/15/18 POMPER & GOODMAN SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 565 18WC 32286 WOJCIK, WILLIAM PACKAGING CORPORATION 07/27/18 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 566 18WC 32309 DONDA, TOMASZ MOTION PR - THE MOTION AG 07/17/18 ROMANUCCI & BLANDIN HOLECEK & ASSOCIATES 567 18WC 32427 PEREZ, CHRISTINE UNITED AIRLINES 08/26/18 RUBENS KRESS MULHOLLAND 568 18WC 32484 JOHNSON, WILLIE MONDELEZ INTERNATIONAL 07/30/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 569 18WC 32508 GURROLA, TAMI FEDEX 09/20/18 GREGORIO & MARCO KOPKA, PINKUS DOLIN, PC 570 18WC 32539 LEWEY, JOANNA HAPPY MAIDS 09/10/18 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 571 18WC 32594 ZAREMEBA, MAREK COAST CONNECTION, INC 04/09/17 CHRISTOPHER BUCHCAR, LTD MCANANY VANCLEVE & PHILLIPS 572 18WC 32638 STIMAC, PAUL CITY OF CHICAGO DEPT OF 2 09/26/18 STEWART C ORZOFF CITY OF CHICAGO 573 18WC 32772 RILEY, LONZO II VILLAGE OF DOLTON 10/04/16 CORNFIELD & FELDMAN RUSIN & MACIOROWSKI LTD 574 18WC 32798 HEALY, WILLIAM J NORTH PALOS SCHOOK DIST 1 08/15/17 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 575 18WC 32820 JACOBSON, ANDREW EAGLE EXPRESS LINES 01/13/18 DEPAOLO & ZADEIKIS HINSHAW & CULBERTSON 576 18WC 32837 PEARSON, PHILLIP N CITY OF CHICAGO 10/07/18 ANKIN LAW OFFICE CITY OF CHICAGO 577 18WC 33017 ARROYO, ERIC FIRESTONE 06/20/18 CARONE LAW OFFICES 578 18WC 33094 GUBRICKY, REGINA ECHO JOINT AGREEMENT 10/15/18 SAUNDERS CONDON & KENNY 579 18WC 33119 DIAZ, RUBEN GRAPHIC PCKGNG INTERNATIO 05/21/18 THE ROMAKER LAW FIRM DOHERTY & PROGAR LLC 580 18WC 33137 GUZMAN, TOMAS THE HABITAT COMPANY 09/07/18 SALVATO O'TOOLE FROYLAN JOSEPH MARCINIAK 581 18WC 33265 ANDERSON, ANDREW PRIME ELECTRIC 10/18/18 LUSAK AND COBB HOLECEK & ASSOCIATES 582 18WC 33316 MCCREEDY, STEVEN COOK COUNTY SHERIFF DEP O 06/14/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 583 18WC 33332 POLK, CONSTANCE JEWEL OSCO 05/25/18 MC HARGUE & JONES 584 18WC 33354 DEFRANCESCO, GIUSEPPE ENVOY AIR 10/16/18 SIGMOND, STEVEN GAROFALO SCHREIBER STORM GRA 585 18WC 33380 GOLDEN, TEMEKA CTA 09/28/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 586 18WC 33429 MEDINA, MARIA GARFIELD ELEMENTARY SCHOO 08/31/18 GAINES & GAINES INMAN & FITZGIBBONS 587 18WC 33466 FORESTA, MARY FORD MOTOR CO 09/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 588 18WC 33493 GARCIA, HUGO FRANK A EDMUND & CO, INC 10/05/18 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 589 18WC 33518 JORDAN, KENNY SONOMA UNDERGROUND 08/28/18 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 590 18WC 33532 STURGES, DONALD E LILY TRANSPORTATION CORP 10/19/18 VITELL & SPITZ LTD HEYL ROYSTER VOELKER ALLEN 591 18WC 33553 PABELLO, MAURO HENEGHAN WRECKINGEXCAVATN 10/26/18 DEPAOLO & ZADEIKIS 592 18WC 33605 PICO, ANGEL KROPP FORGE 10/29/18 JAMES ELLIS GUMBINER & ASS 593 18WC 33720 MARTIN, RICHARD E NORTHBROOK FIRE DEPARTMEN 11/12/15 BARRY A KETTER RUSIN & MACIOROWSKI LTD 594 18WC 35918 RATTUNDE, MICHAEL NESTLE 07/23/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 595 18WC 36835 ARANDA, ALFREDO TICOS AUTO REPAIR, INC 03/01/18 BUDIN LAW OFFICES INMAN & FITZGIBBONS 596 19WC 00858 RATTIN, MARIA NORTHWEST SUBURBAN 03/22/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 597 19WC 00978 CROSS, JAMES PRESENCE RESURRECTION HOS 11/21/18 CUSHING LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 598 19WC 01279 MCCARY, NELLY (BENEFICIAR TOM C. EXPRESS # 11/07/18 LEONARD LAW GROUP LLC 599 19WC 01382 ALFARO, JOSE MASA UNO 11/28/18 SHEA LAW GROUP 600 19WC 01764 FAVARATO, THEODORA UNITED CONTINENTL HOLDING 03/28/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 601 19WC 01895 LEON, LUIS BEYOND EVENTS CATERING 12/29/18 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 602 19WC 01919 DYSON, CYNTHIA SOS SECURITY OF ILLINOIS, 01/19/19 THE ROMAKER LAW FIRM JOSEPH MARCINIAK 603 19WC 01947 MOORE, PHENNIES A CHICAGO PUBLIC SCHOOLS 06/07/18 DEPAOLO & ZADEIKIS CHGO BOARD OF EDUCATION 604 19WC 01983 ROSS, TIFFANY SCHNEIDER NATIONAL, INC 01/16/19 JAMES J BURKE LAW OFFICE ASA LAW GROUP 605 19WC 02038 MACHUCA, LETICIA CONTAINER SPECIALTIES INC 11/26/18 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 606 19WC 02150 MARTINEZ, ROSALIO HOOSIER CRANE SERVICE CO 11/23/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 607 19WC 02298 MORALES, ANTHONY MIDWEST PROPERTY DEVELOPM 01/21/19 ANSELMO DURAN MEACHUM & STARCK 608 19WC 02361 WILLIAMS, RICHARD SP PLUS 12/27/18 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 609 19WC 02387 AJAYI, TEMITAYO O AMERICAN AIRLINES, INC. 01/12/19 DEPAOLO & ZADEIKIS GAROFALO SCHREIBER STORM GRA 610 19WC 02417 VILLALPANO, GABRIEL ALLIANCE CONCRETE SAWING 05/10/18 KROL BONGIORNO & GIVEN LTD EDWARD J. KOZEL 611 19WC 02434 CALDWELL, MARYGRACE FARO CARGO HANDLING SOLUT 12/19/18 LEONARD LAW GROUP LLC 612 19WC 02453 GIANNOLA, DANIEL AFFINITY GROUP FOOD MARKE 10/16/18 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL BIERY & ASSOC 613 19WC 02457 NICKELS, MARY COOK COUNTY SHERIFFS 11/06/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 614 19WC 02487 MYSZKA, JOZEF VEHICLE LIFTS & 12/26/18 FISHER & LAMONICA 615 19WC 02527 BENAVENTE, DAVID S & J CONSTRUCTION CO, IN 09/05/18 RUBIN LAW GROUP JOSEPH MARCINIAK 616 19WC 02553 BUTNARIU, PETRU PAGODA ELECTRIC & CONSTRU 11/30/18 BERG & BERG EDWARD J. KOZEL 617 19WC 02579 SPEDALE, SARA MULTI-PAK CHICAGO, LLC 11/10/17 MATTHEW M. SAFFAR 618 19WC 02669 SOSA, MARIA COSTCO WHOLESALE 09/19/18 ROBERT WARSASKI GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 619 19WC 02709 MORENO, OSCAR DE ANDA TRIUNE LOGISTICS 01/23/19 BAUM RUFFOLO & MARZAL LTD LITCHFIELD CAVO 620 19WC 02726 HERNANDEZ, CHAVELO NORTHSIDE TOYOTA 01/08/19 CAPRON & AVGERINOS PC 621 19WC 02747 DUARTE, LUIS TOWN OF CICERO POLICE DEP 09/13/18 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 622 19WC 02827 CISZEWSKI, DAVID J ZONE MECHANICAL 03/09/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 623 19WC 02902 FLORES, MARCOS ABILITY PLASTICS & 07/28/18 DEPAOLO & ZADEIKIS MEACHUM & STARCK 624 19WC 02926 BRENNAN, THOMAS UNIVERSITY OF CHICAGO 11/17/18 DAVID W MARTAY 625 19WC 02945 SYKES, KIMBERLY TAYLOR CHICAGO TRANSIT AUTHORITY 01/28/19 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 626 19WC 02997 GONZALEZ, MARCOS AEROTEK 12/12/18 JAMES ELLIS GUMBINER & ASS SPIEGEL & CAHILL, PC 627 19WC 03017 ALBRECHT, ANDREW VILLAGE OF BERKELEY 01/25/19 FOOTE MIELKE CHAVEZ O'NEIL 628 19WC 03037 ATKINSON, SHERICE CUDDLE CARE CHILD CARE CE 12/14/18 VRDOLYAK LAW GROUP LLC JOSEPH MARCINIAK 629 19WC 03054 MATHEY, SUSAN SHERWIN WILLIAMS 01/19/19 DEPAOLO & ZADEIKIS 630 19WC 03057 HERNANDEZ SORIANO, MARISE HOST INTERNATIONAL, INC 11/09/18 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR 631 19WC 03108 JOHNSON, BRANDON ATLAS EMPLOYMENT SERVICES 11/03/18 ROGER D RUDICH LTD 632 19WC 03229 LYNCE, JEANINE UNITED CONTINENTL HOLDING 04/16/18 KATZ FRIEDMAN EAGLE ET AL 633 19WC 03295 DREWS, SARAH UNIVERSITY OF ILLINOIS SY 12/24/18 ROBERT J. IRSUTO HEYL ROYSTER VOELKER & ALLEN 634 19WC 03330 MOORE, JEFFREY SIPI METALS 01/30/19 635 19WC 03374 MARTINEZ, ARACELI ZACATACOS II INC 11/26/18 OSVALDO RODRIGUEZ PC 636 19WC 03467 TOMEZ, RUBEN E VALET PARKING AUTHORITY 12/15/18 MANUAL CARDENAS & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 637 19WC 03523 BODY, KIRBIE FERRARA CONFECTIONS, LLC 01/24/19 GOLDSTEIN AIOSSA & GOOD 638 19WC 03586 CASTRO, CLAUDIA WORLD CLEANING SERVICES 09/14/18 HUGO ORTIZ WOLFE & JACOBSON, LTD 639 19WC 03653 KOCIOLEK, JOHN EQUIPSOLUTIONS LLC 10/30/17 GOLDBERG WEISMAN & CAIRO L EDWARD J. KOZEL 640 19WC 03674 COUNCIL, NNEKA STATE OF ILLINOIS @ 08/21/18 STEVEN J MALMAN & ASSOCIAT ASSISTANT ATTORNEY GENERAL 641 19WC 03692 FRANOS, ANDRZEJ BELMONT SAUSAGE CO. 09/06/18 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 642 19WC 03711 DANIEL, KENNETH NORTHWESTERN MEMORIAL HOS 01/07/19 WHITESIDE & GOLDBERG LTD 643 19WC 03762 WILSON, JEANNEEN STATE OF ILLINOIS @ 01/08/19 STEVEN B SALK & ASSOC LTD ASSISTANT ATTORNEY GENERAL 644 19WC 03776 PETERSEN, SCOTT OAK LAWN POLICE DEPARTMEN 01/08/19 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 645 19WC 03839 ODISHO, SEZAR SEARS 02/01/19 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 646 19WC 03842 MAJOR, MELISSA UNITED CONTINENTL HOLDING 12/15/18 KATZ FRIEDMAN EAGLE ET AL 647 19WC 03864 BOWMAN, RHONDA CHICAGO TRANSIT AUTHORITY 01/21/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 648 19WC 03894 HERNANDEZ, NELLY GUADARRA ABBOTT RUBBER CO, INC 03/14/17 HERRERA LAW CENTER NOBLE & ASSOC 649 19WC 03913 JEFFERSON, ATERA CTA 01/25/19 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 650 19WC 03935 GODINEZ, CRISTOBAL STAFF RIGHT LLC 10/19/18 DEPAOLO & ZADEIKIS MC ANDREWS & NORGLE LLC 651 19WC 03960 SHKIRDAN, TETIANA FLETCHER JONES MNGMNT GRO 01/28/19 WHITESIDE & GOLDBERG LTD 652 19WC 04015 ALVAREZ, JOSE M MONDELEZ INTERNATIONAL 09/01/18 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 653 19WC 04125 DI FRONZO, VITO A LAMP CONCRETE CONTRACTO 11/17/18 SCHRAMM LAW GROUP KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 654 19WC 04177 PILARSKI, RONALD SUPERVALU, INC. 02/15/17 VLANTIS LAW LLC LEAHY EISENBERG & FRAENKEL 655 19WC 04191 MANDZIARA, THOMAS J AMERICAN AIRLINES, INC 10/08/18 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 19WC008108 -C 19WC022943 -C 656 19WC 04207 MC CONICO, MICHAEL BATTAGLIA FOODS 05/22/18 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 657 19WC 04249 OMBALINO, TERESITA P PETERSON PARK HEALTH CARE 09/28/17 STEVEN B SALK & ASSOC LTD BRADY CONNOLLY & MASUDA PC 658 19WC 04279 MALDONADO, YURIDIANA HOGSALT 12/22/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 659 19WC 04298 GORIAL, ELISHWA OXFORD HOTELS & RESORTS L 02/03/19 NEMEROFF LAW OFFICES NOBLE & ASSOC 660 19WC 04321 BANKS, AMBER EATALY 05/01/18 DWORKIN AND MACIARIELLO MEACHUM BOYLE TRAUFMAN 661 19WC 04356 SMITH, NURUDEEN AUTOZONE 01/17/19 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 662 19WC 04372 HILLIARD, LORINDA UNITED CONTINENTL HOLDING 12/12/18 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 663 19WC 04394 BONNETTS, WILLIAM THE CITY OF CHICAGO 01/07/19 BRIAN J MC MANUS & ASSOC, 664 19WC 04413 ROMANENKO, TERESA SCRUB, INC 12/19/18 SEIDMAN MARGULIS & FAIRMAN PETERSON JOHNSON & MURRAY 665 19WC 04448 MARTINEZ, FLAVIO GREEN EARTH FACILITY SERV 05/21/18 ENCINAS & ORNELAS HENNESSY & ROACH PC 666 19WC 04473 JIMENEZ, ARMANDO ELITE STAFFING INC 11/29/18 ROBERT WARSASKI 667 19WC 04497 WILLIAMS, JEREMY PECO PALLET INC 02/07/19 ANGELINI & ORI LLC KOPKA, PINKUS DOLIN, PC 668 19WC 04520 COLEMAN, JENNIFER CITY OF CHICAGO 01/16/19 ARGIONIS & ASSOCIATES LLC 669 19WC 04550 TAYLOR, KEITH WATER RECLAIMATION DISTRI 02/11/19 SEIDMAN MARGULIS & FAIRMAN NOBLE & ASSOC 670 19WC 11449 GARRETT, KIMBERLY DOMINICAN UNIVERSITY 12/05/18 VASILATOS & COTTER LLC 671 19WC 11473 CRUSE, ALBERT CPS/SIMEON HIGH SCHOOL 11/27/18 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 672 19WC 11489 ANDRADE, JOSE TOP LINE DRYWALL INC 03/07/19 EPSTEIN, JACK R LAW OFFICE PATRICK BROOKS 673 19WC 11513 CASSEUS, RACHEL EUROPEAN SERVICE AT HOME 06/15/18 MANDELL, GREGG 674 19WC 11568 PAYAN GUTIERREZ, JOSE I HIGHLAND BAKING CO 11/25/18 ANKIN LAW OFFICE 675 19WC 11588 LOPEZ, PATRICIA VALDIVIA AKERS PACKAGING SERVICES 01/31/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 676 19WC 11621 CACCIATORE, EUGENE MELROSE PARK POLICE DEPT 03/10/19 TAMVAKIS, GEORGE L DEL GALDO LAW GROUP LLP 677 19WC 11631 MEARS, WILLIAM KURTZ AMBULANCE 07/03/18 DWORKIN AND MACIARIELLO KELLEY KRONENBERG 19WC011632 -C 678 19WC 11656 ASHFORD, NIKITA SHUGGA SHACK 03/15/19 SEIDMAN MARGULIS & FAIRMAN 679 19WC 11681 SANCHEZ, ELVIS HARRISON'S POULTRY FARM I 07/21/18 DAVID SZCZECIN & ASSOC 680 19WC 11702 HUGHES, BILLIE ENTERTARINMENT PARTNERS 08/22/18 ROBERT WARSASKI RUSIN & MACIOROWSKI LTD 681 19WC 11724 TEAGUE, WILLIE KOCH MEAT CO, INC 04/10/19 ANKIN LAW OFFICE 682 19WC 11753 MC DANIEL, MICHAEL PAPER STREET REALTY 12/19/18 MARTIN L GLINK LAW OFFICE 683 19WC 11843 PEREZ, NICK BERGLUND CONSTRUCTION 10/19/18 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 684 19WC 11924 URIOSTEGUI, FRANCELIA EL MESON, INC. 06/15/17 BRIAN J MC MANUS & ASSOC, 685 19WC 11991 GUILLEN, CARLOS FORD MOTOR COMPANY 03/02/17 DONALD FOHRMAN & ASSOC 686 19WC 12020 DIAZ, ELICIA DLH SOLUTIONS INC 10/09/18 LEONARD LAW GROUP LLC 687 19WC 12119 MADSEN, JEANNEA NORRIDGE GARDENS LLC 04/11/19 ANKIN LAW OFFICE 688 19WC 12144 FLORES, ELEANA MAPLE & ASH LLC 12/27/18 CHEPOV & SCOTT LLC 689 19WC 12196 DRISCOLL, JOHN INTERNATIONAL DECORATORS 05/08/18 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 690 19WC 12226 RHYNE, PATRICK BLUE SKY ARCHITECURAL MET 02/27/19 O'CONNOR & NAKOS 691 19WC 12259 TYUS, WARREN WALMART 12/11/18 CAPRON & AVGERINOS PC GANAN & SHAPIRO 692 19WC 12274 WOLNIAK, CHARLES J PENN SERVICES, LLC 02/16/18 RUBIN LAW GROUP EVANS & DIXON, LLC 693 19WC 12322 GJERASI, STAVRO ROYAL MANAGEMENT CORP 02/01/19 CIARDELLI CUMMINGS CAMPAGN 694 19WC 12363 WALKER, KENNETH FED EX 04/16/19 MANDELL, GREGG 695 19WC 12408 JACKSON, MARTEZ SCR MEDICAL TRANSPORT 03/14/19 SKLARE LAW GROUP LEAHY EISENBERG & FRAENKEL 696 19WC 12433 KING-BELL, SABRYNA-JOI CHICAGO TRANSIT AUTHORITY 04/13/19 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 697 19WC 12443 VAN LANCKER, ELLEN SHERATON CHICAGO O'HARE 04/07/19 SCOTT B SHAPIRO 698 19WC 12466 KALISZ, PETER XYLEM INC 07/02/18 CUSHING LAW OFFICES POULOS & DIBENEDETTO LAW 699 19WC 12484 CALDERON, ESTEBAN PJ TRANS INC 04/22/19 HUGHES SOCOL PIERS RESNICK MCANANY VANCLEVE & PHILLIPS 700 19WC 12504 MEAD, AMY 7-ELEVEN STORES 03/24/19 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 701 19WC 12536 SZCZYGLEWSKI, CHRIS THOREK MEMORIAL HOSPITAL 03/21/19 SOSTRIN AND SOSTRIN PC MEACHUM & STARCK 702 19WC 12561 SANCHEZ, ISABEL BARRERA AEROTEK 03/12/19 RUSSO & RUSSO LTD HENNESSY & ROACH PC 703 19WC 12580 HERNANDEZ, JOSE CF INSTALLATIONS, INC 11/30/18 EPSTEIN, JACK R LAW OFFICE 704 19WC 12602 KERBER, JEFFREY P JR. ILLINOIS BELL TELEPHONE 03/28/19 THE ROMAKER LAW FIRM 705 19WC 12628 COCROFT, TANIKA WELL NOW URGENT CARE 04/10/19 DAVID W MARTAY MEACHUM BOYLE TRAUFMAN 706 19WC 12650 KNEDLIK, THOMAS R ALL/TECH DECORATING 04/11/19 ELFENBAUM EVERS & AMARILIO KRAKER FANNING & OLSEN 707 19WC 12667 CARBAJAL, SANTIAGO EVANS FOOD GROUP LTD 04/23/18 WITTER LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 19WC 12707 FLY, YVETTE DOLLAR TREE STORES, INC. 04/13/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 709 19WC 12728 BURGERSS, KATHRYN LOWES 05/07/18 ROGER D RUDICH LTD KEEFE CAMPBELL BIERY & ASSOC 710 19WC 12747 WILLIAMS, LINDA HEALTHPARK HOSPITALITY 03/21/19 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 19WC012748 -C 711 19WC 12786 BRITTMAN, JULIUS CITY OF CHICAGO 04/14/19 STONE & MAYA PC CITY OF CHICAGO 712 19WC 12819 ZUNIGA, HECTOR UNITED AIRLINES 07/09/18 THE ROMAKER LAW FIRM 713 19WC 12870 SMITH, BEVERLY ADDUS HOME CARE 11/06/18 CHARLES LEVY & ASSOC LTD HENNESSY & ROACH PC 714 19WC 12890 SULLIVAN, ANDREA TARGET 04/14/19 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 715 19WC 12916 WALTERS, BARBARA M&M RENOVATION 05/19/18 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 716 19WC 12940 TURNER, ANGELO LABOR SOLUTIONS, LLC 04/23/19 STEVEN J MALMAN & ASSOCIAT 717 19WC 12960 OSBORNE, ANDRE TOTAL STAFFING/OSI 06/13/18 KNELL O'CONNOR DANIELWICZ 718 19WC 12974 THAMCHAROENTIP, PHENCHAN UNITED AIRLINES 03/26/19 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 719 19WC 12998 VELEZ, NEFTALY CENVEO INC 04/03/19 ENCINAS & ORNELAS NOBLE & ASSOC 720 19WC 13016 UMANZOR, ANDRES MILBURN LLC C/O JOE R. MI 04/17/19 HETHERINGTON KARPEL & BOBB GAROFALO SCHREIBER STORM GRA 721 19WC 13051 RAGSDALE, RODNEY UNITED AIRLINES, INC. 02/25/18 KARCHMAR & STONE 722 19WC 13166 HARPER, CURTIS MARRIOT 05/03/19 GERALD CONNOR INMAN & FITZGIBBONS 723 19WC 13227 FEHIL, TIMOTHY CONGLOBAL INDUSTRIES, LLC 04/27/19 GWC INJURY LAWYERS LLC BRYCE DOWNEY & LENKOV LLC 724 19WC 13266 HERNANDEZ, ROGELIO GONNELLA FROZEN PRODUCTS 08/21/17 RUSIN & MACIOROWSKI LTD 725 19WC 13289 SANCHEZ, DOMINGO DIAMOND REMODELING LLC 04/23/19 LEONARDO MORALES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 726 19WC 13316 ELLERSON, MONICA CHICAGO PUBLIC SCHOOLS 03/27/19 GORDON & CENTRACCHIO LLC CHGO BOARD OF EDUCATION 727 19WC 13335 FLOWERS, ROCKY SUMMORE 12/20/18 RUBENS KRESS MULHOLLAND KEEFE CAMPBELL BIERY & ASSOC 728 19WC 13357 GOHL, RUSSELL T ILLINOIS BELL TELEPHONE C 03/15/18 DAVID W CLARK 729 19WC 13385 ROSAS, HECTOR LCV STAFFING, LLC 04/09/19 RATHBUN CSEVENYAK & KOZOL LITCHFIELD CAVO 19WC016008 -C 730 19WC 13430 NOESEN, GARY K AMERICAN AIRLINES 01/22/19 BARRY A KETTER 731 19WC 13492 MADISON, TERESA L UNITED AIRLINES INC. 03/12/19 KURASCH & KLEIN, LTD 732 19WC 13526 LEE, EARNEST III SYSCO CHICAGO, INC. 05/07/19 GOLDSTEIN AIOSSA & GOOD QUINTAIROS PRIETO WOOD & BOY 733 19WC 13541 GERENA, MARIBEL JEWEL/OSCO 02/20/19 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 734 19WC 13570 SHELBY, MAURICE D REAL ALLOY RECYCLING, INC 01/04/19 ANKIN LAW OFFICE 735 19WC 13585 SANCHEZ, ENRIQUE VENT PRODUCTS COMPANY 04/24/19 COSTA IVONE LLC 736 19WC 13636 QUINONES, CARLOS SNELLING STAFFING LLC 05/07/19 GWC INJURY LAWYERS LLC GOLDBERG SEGALLA LLC 737 19WC 13703 JUBIN, ZACHERI S GOODBERLET HOME SERVICES 04/12/19 PETER F FERRACUTI & ASSOCI 738 19WC 13727 GODINEZ, MICHELLE LADSE 12/04/18 BAUM RUFFOLO & MARZAL LTD 739 19WC 13750 012 GEFFRARD, JEAN AND KEL LOGISTICS INC. 02/14/19 RUBENS KRESS MULHOLLAND MCANANY VANCLEVE & PHILLIPS 012 19WC013749 -C 740 19WC 13771 HODGES, LATICIA DUNKIN DONUTS 05/08/19 GRAVLIN, MICHAEL J LLC RUSIN & MACIOROWSKI LTD 741 19WC 13773 COOKS, INDIA CITY OF CHICAGO 04/23/19 GORDON & CENTRACCHIO LLC 742 19WC 13795 ZEPEDA, MIREYA WINSTON BRANDS 03/15/19 STANCZAK LAW OFFICES 743 19WC 13824 MALDONADO, GEORGE FED EX GROUND 03/30/19 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 744 19WC 13844 JACKSON, JOANN COOK COUNTY HOSPITAL 05/01/19 LUSAK AND COBB STATES ATTORNEY OF COOK COUN 745 19WC 13886 MONTGOMERY, LATESHA DOLLAR TREE, INC D/B/A 03/19/19 SIMS, ZACHARY K PC NYHAN BAMBRICK KINZIE & LOWR 746 19WC 13905 CABADA, NIDIA SOUTHWEST AIRLINES CO 07/26/18 SOSTRIN AND SOSTRIN PC 747 19WC 13938 CONTRERAS, GONZALO COOK CNTY SCHOOL BUS INC 05/03/19 AIOSSA LAW FIRM 748 19WC 13995 PASTRANA, ELISA LOYOLA UNIVERSITY MEDICAL 04/17/19 RONALDSON & KUCHLER 749 19WC 14034 NUNEZ, IRIANA WEBER-STEPHEN PRODUCTS, L 05/08/19 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 750 19WC 14057 ROMAN, RENE METRO AIR SERVICES 03/27/19 LEONARD LAW GROUP LLC 751 19WC 14120 KING, DAVID SYSCO CHICAGO INC 04/03/17 GWC INJURY LAWYERS LLC 752 19WC 14147 VIGIL, DIEGO E HEARTLAND ALLIANCE FOR HU 11/14/17 INMAN & FITZGIBBONS 753 19WC 14182 FORTNER, PRENTICE CHICAGO TRANSIT AUTHORITY 05/12/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 754 19WC 14239 RIOS, MARY D SEALED AIR CORPORATION 08/04/18 DAVID W MARTAY 755 19WC 14257 PARKS, CHARLESTON AMERICAN AIRLINES 05/07/19 MICHAEL HELLMAN GAROFALO SCHREIBER STORM GRA 756 19WC 14277 WASHINGTON, JUJUAN U-HAUL CO. OF ILLINOIS 03/15/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 757 19WC 14303 KU, IRENE UNITED CONTINENTAL HOLDIN 04/22/19 KATZ FRIEDMAN EAGLE ET AL 758 19WC 14397 ANCHACHES, GEORGE US AUTO FORCE 03/11/19 CULLEN HASKINS NICHOLSON 759 19WC 14451 KAMZIC, PAUL CONTEMPORARY CONCRETE CRE 03/30/18 JASINSKI, GEORGE J RUSIN & MACIOROWSKI LTD 760 19WC 14467 RODRIGUEZ, LYNN MENZIE'S AVIATION 05/13/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 761 19WC 14492 ANAYA, CELIA ADVOCATE LUTHERAN GENERAL 04/07/19 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 762 19WC 18231 ACEVEDO, SALVADOR CERAMI CONSTRUCTION CO, L * 07/05/18 WIEDNER & MCAULIFFE LTD 763 19WC 19116 DIAZ, SOCORRO ADVOCATE CHRIST MEDICAL C 04/01/19 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 764 19WC 19359 GRAHAM, MICHAEL EVANSTON SD #65 04/17/19 SEIDMAN MARGULIS & FAIRMAN 765 19WC 20869 ESPARZA, ROSA KOCH FOODS 05/18/19 COSTA IVONE LLC 766 19WC 20894 COGLIANESE, GUY MTH INDUSTRIES 03/08/18 ALLEN, WILLIAM LAW OFFICES WIEDNER & MCAULIFFE LTD 767 19WC 20925 MARTINEZ, VICENTE A&A MAINTENANCE 07/09/19 GOLDSTEIN BENDER & ROMANOF MEACHUM BOYLE TRAUFMAN 768 19WC 20946 MCCOY, MARGO UNITED AIRLINES, INC. 05/23/19 GREGORIO & MARCO 769 19WC 21004 ABARCA, BIANCA TARGET 07/15/19 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 770 19WC 21026 HUICOCHEA, INES DOUBLE TREE BY HILTON 06/15/19 LEONARDO MORALES 771 19WC 21049 NELSON, DANIEL RANDSTAD NORTH AMERICA, I 07/15/19 ANKIN LAW OFFICE 772 19WC 21075 HOUSER, YVETTE COOK COUNTY SHERIFF'S DEP 02/06/19 JONATHAN SCHLACK STATES ATTORNEY OF COOK COUN 773 19WC 21101 HERNANDEZ, REGINA ILLINOIS TOOL WORKERS, IN 05/13/19 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 774 19WC 21129 GONZALEZ, OCTAVIO HENRY DELIVERS 12/27/18 BENNETT LAW OFFICES 775 19WC 21209 ANDERSON, ROBERT FLEX-N-GATE CHICAGO, LLC 07/12/19 ANKIN LAW OFFICE 776 19WC 21226 VANTREASE, GLENN AMERICAN AIRLINES 01/30/19 RUBENS KRESS MULHOLLAND 777 19WC 21251 KARAS, ROBERT RELIABLE TUCKPOINTING CO. 10/09/18 STROM & ASSOC ACCIDENT FUND HOLDINGS 778 19WC 21308 WHITE, CLARENCE SVI THEMED CONSTRUCTION 06/17/19 SANDMAN LEVY & PETRICH 779 19WC 21341 MENDEZ, ALBERTO CROSS PERSONNEL 05/12/19 NEWLAND & NEWLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 780 19WC 21364 SANDOVAL, CESAR CONGRESS PLAZA HOTEL 07/15/19 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 781 19WC 21383 POLLION, DOMINIQUE LEVY RESTAURANTS/LEVY IL 07/21/19 ANKIN LAW OFFICE 782 19WC 21407 PELAYO, JESUS RAINCOAT ROOFING SYSTEMS 06/15/19 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 783 19WC 21427 FAYNE, ASHANTI R ALL MASONRY CONSTRUCTION 03/06/19 GOLDSTEIN BENDER & ROMANOF HEYL ROYSTER VOELKER ALLEN 784 19WC 21450 ARRINGTON, RAYMOND ECODIRECT CLEANERS 03/25/19 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 785 19WC 21458 YOUNG, AVIANCE LANDMARK OF RICHTON PARK 04/16/19 DAVID W MARTAY 786 19WC 21479 RIVERA, CARINA VICTORY CENTRE OF GALEWOO 07/04/19 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 787 19WC 21563 GONZALEZ, DANIEL LUCKMAN RECYCLING 02/25/19 DEPAOLO & ZADEIKIS 788 19WC 21585 PESAVENTO, DAVID KOMATSU FORKLIFT USA INC. 05/22/19 KREITER, BYCK & ASSOC LLP 789 19WC 21599 BOBLEWSKI, NICHOLAS A CITY OF CHICAGO DEPT OF 05/20/19 RUBIN LAW GROUP 790 19WC 21633 GARCIA, MAGDA DEBBIES CUSTOMIZED STAFFI 06/28/19 HERRERA LAW CENTER 791 19WC 21693 PARKER, ROSE IL DEPT OF HUMAN SERVICES @ 07/23/19 CELSO FUENTES JR ASSISTANT ATTORNEY GENERAL 792 19WC 21722 SILLER, DEANTE UNITED PARCEL SERVICE 06/04/19 ROGER D RUDICH LTD 793 19WC 21753 PAUL, BLANCA WALMART 06/20/19 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 794 19WC 21799 BLISS, KATHLEEN JJ LYNN HOLDING, INC. 04/29/19 PHILIP BLOMBERG 795 19WC 21820 PEREZ, GONZALO UPS 07/14/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 796 19WC 21888 STROH, ROBERT CHICAGO TRANSIT AUTHORITY 04/16/19 LANNON LANNON & BARR LTD CHICAGO TRANSIT AUTHORITY 19WC021889 -C 797 19WC 21916 RHODES II, CARLOS G AT&T 07/11/19 GWC INJURY LAWYERS LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 816 19WC 22440 JEFFERS, MARK CHICAGO HEIGHTS GLASS, IN 11/14/18 O'CONNOR & NAKOS BRYCE DOWNEY & LENKOV LLC 817 19WC 22456 ERVING-AGBIDION, SENNOBIA CHICAGO TRANSIT AUTHORITY 04/19/19 COSTA IVONE LLC 818 19WC 22579 FALFAN, JOVANI MALAGA INC 07/05/19 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 819 19WC 22608 ALEXANDER, WILLIAM SCR MEDICAL TRANSPORTATIO 07/17/19 RUBENS KRESS MULHOLLAND LEAHY EISENBERG & FRAENKEL 820 19WC 22632 BORGHI, DENNIS CITY OF CHICAGO DEPT OF 06/26/19 RUBIN LAW GROUP CITY OF CHICAGO 821 19WC 22666 CARRILLO, BEATRIZ MERCADO CERMAK PRODUCE 07/10/19 HERRERA LAW CENTER 822 19WC 22696 BURTON, RUTH CHICAGO TRANSIT AUTHORITY 07/30/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 823 19WC 22724 HENKENDREIS, DIETER CLUNE CONSTRUCTION 06/06/19 KROL BONGIORNO & GIVEN LTD 824 19WC 22788 LACEY, JAMAL CHICAGO TRANSIT AUTHORITY 11/22/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 825 19WC 22805 GONZALEZ, MARIA CITY OF CHICAGO, DEPARTME 07/09/19 BRISKMAN BRISKMAN GREENBER ODELSON & STERK 826 19WC 22821 DIAZ, CARLOS EIESLAND WOODWORK COMPANY 07/15/19 827 19WC 22877 ROBINSON, JOHN CONTRACT INSTALLATIONS 07/19/19 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 828 19WC 22900 ROMAN, ALEJANDRO FONTANINI ITALIAN MEATS 07/31/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 829 19WC 22949 JOHNSON, ANN MARIE GLEN GROVE EQUESTRIAN CEN 03/12/19 SANDMAN LEVY & PETRICH HINSHAW & CULBERTSON 830 19WC 23001 NEGRON, ROBERTO ABRASIVE TECHNOLOGY INC 06/10/19 GRAUER & KRIEGEL LLC 831 19WC 23059 HUBBARD, MARK CITY OF CHICAGO 09/06/16 ANKIN LAW OFFICE CITY OF CHICAGO 832 19WC 23080 JONES, JOE MERX GLOBAL 08/02/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 833 19WC 23097 FELTHOUSE, STEVEN BULKMATIC 05/31/19 LUSAK AND COBB

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 834 19WC 23131 BARTUCH, ANTHONY TRINITY HIGH SCHOOL 08/01/18 MD JOHNSON PC 835 19WC 23153 DARDON, LETICIA NORCOMM 07/21/19 DAVID SZCZECIN & ASSOC MEACHUM BOYLE TRAUFMAN 836 19WC 23184 SCOTT, ERIC HOME DEPOT 03/26/19 MC HARGUE & JONES ADELSON TESTAN BRUNDO 837 19WC 23199 ROGERS, WILLIAM DOT TRANSPORTATION 04/08/19 COVEN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 838 19WC 23221 ALBERT, JANE UOP LLC 05/01/19 CZAPLA LAW EVANS & DIXON, LLC 839 19WC 23279 BARAONA, MILCAH THE VILLAGE OF NILES 02/01/17 CHASE & WERNER LTD NYHAN BAMBRICK KINZIE & LOWR 19WC023280 -C 840 19WC 23300 GARCIA, DAVID GCP APPLIED TECHNOLGOY 07/09/19 MC HARGUE & JONES SPIEGEL & CAHILL, PC 841 19WC 23330 MOOTRY, MICHELLE MAXIM HEALTHCARE 07/01/19 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 842 19WC 23356 LOPEZ, LAURA LYONS SCHOOL DISTRICT 103 04/17/19 RUBIN LAW GROUP INMAN & FITZGIBBONS 843 19WC 23388 DIAZ, DONIA SEARS HOLDING CORP 08/08/19 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 844 19WC 23406 BILLINGS, THOMAS JR ABRA AUTO BODY AND GLASS 04/04/19 RICHARD J ZABORSKY 845 19WC 23469 SMOLIK, MICHAEL CITY OF CHICAGO 05/31/19 STEVEN A CRIFASE, LTD CITY OF CHICAGO 846 19WC 23487 KOWALEWSKI, MICHAEL GREENWOOD CARE,INC 08/06/19 RUBIN LAW GROUP 847 19WC 23518 MENDIOLA, ANGUS LAKESIDE METALS, INC 11/26/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 848 19WC 23537 BERGMAN, SUE JOHN H STROGER HOSPITAL 07/28/19 THOMAS A MORRISSEY STATES ATTORNEY OF COOK COUN 849 19WC 23553 OLIVARES, HILARIO SLOAN VALVE 09/15/18 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 850 19WC 23607 LEVIN, HILDA WALGREENS 02/25/19 MILLON & PESKIN LTD GILDEA, COGHLAN & REGAN LTD. 851 19WC 23634 TOMA, YOUSEF N XYLEM, INC. 11/19/18 C DEAN MATSAS KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 852 19WC 23648 TOWNS, ELIJAH E LAKE SHORE BEVERAGE 07/02/19 CULLEN HASKINS NICHOLSON 853 19WC 23668 MARTIN, VERONICA CHICAGO-JEWISH COMMUNITY 06/17/19 COVEN LAW GROUP JOSEPH MARCINIAK 854 19WC 23684 WILLIAMS, GERTIE CAROLE ROBERTSON CENTER 08/09/19 MC HARGUE & JONES 855 19WC 23719 GRIGGS, ARIE LAZ PARKING 08/01/19 WARREN W MARK MEACHUM BOYLE TRAUFMAN 856 19WC 23780 PRICE, NEAL CAD CONTRACT GLAZING INC 03/25/19 GWC INJURY LAWYERS LLC 857 19WC 23802 VAZQUEZ, RAQUEL KELLOGGS/KEEBLES CO 07/24/19 STEIN & CHERNY LTD KEEFE CAMPBELL BIERY & ASSOC 858 19WC 23869 BEHM, DAVID GONNELLA BAKING COMPANY 07/24/19 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 859 19WC 23919 D'ATTOMO, JOHN D AT&T 10/23/18 DOUGLAS RALLO PC 860 19WC 23972 WILSON, PAMELA NORTHSIDE HOUSING SUPPORT 07/11/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 861 19WC 23994 DAVIDSON, BRANDON ROCKFORD ICE HOGS 03/15/19 GORDON LAW OFFICES LTD 862 19WC 24011 ROSEMON, ULAINE FRESENIUS KIDNEY 03/08/18 DAVID W MARTAY HENNESSY & ROACH PC 863 19WC 24034 PAIVA, JOSE LUIS M & M BOX PARTITIONS CO 08/05/19 EPSTEIN, JACK R LAW OFFICE 864 19WC 24079 BRADLEY, STEVEN ELISABETH LUDEMAN CENTER 07/16/19 DWORKIN AND MACIARIELLO 865 19WC 24111 DZIEDZIC, TOMASZ MULTY VISION EXTERIORS, I 07/03/19 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 866 19WC 24155 ROLLINSON, JEFF PROGRAM PRODUCTIONS, INC. 07/05/19 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 867 19WC 24186 HARPER, ROSE UNITED AIRLINES 06/22/19 CULLEN HASKINS NICHOLSON 868 19WC 24206 HERNANDEZ, JULIE DLH SOLUTIONS 07/16/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 869 19WC 24238 DIXON, BARBARA INTEGRITY TRADE SERVICES 07/31/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 870 19WC 24268 SAMPSON, KATARA D CHICAGO TRANSIT AUTHORITY 04/07/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 871 19WC 24290 MALONEY, CHRIS NRJM INC 01/12/19 DEPAOLO & ZADEIKIS CHILTON YAMBERT PORTER LLP 872 19WC 24306 WALLER, JOHNNIE FORD MOTOR CO 08/12/19 VASILATOS & COTTER LLC 873 19WC 24326 HERNANDEZ CRUZ, CRISTOBAL PRO-TROOP, LLC 07/10/19 HERRERA LAW CENTER 874 19WC 24392 BAUER, RANDY ZIPPRICH CONTRACTORS 07/25/19 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 875 19WC 24468 VILLA, ISIDRO J&A SHEET METAL 08/15/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 876 19WC 24489 BEDNARZ, CHARLES CITY OF EVANSTON 03/31/19 DONALD FOHRMAN & ASSOC 877 19WC 24522 VILCHEZ, MILAGROS E PRIDE STAFF 01/07/19 HERRERA LAW CENTER 878 19WC 24548 RAHIM, MASUMA THE GODDARD SCHOOL OF SKO 07/25/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 879 19WC 24576 PARKER, PHILLIP DPI DEDICATED LOGISTICS 06/08/19 STROM & ASSOC 880 19WC 25331 ALICEA, MELITZA RHM STAFFIGN SOLUTIONS 08/13/19 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ 881 19WC 30496 LOPEZ, MARIO HARVARD MAINTENANCE * 09/09/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 882 19WC 30513 ROMERO-JUAREZ, ULISES HYATT REGENCY * 08/30/19 ELFENBAUM EVERS AMARILIO Z 883 19WC 30532 STRIPLIN, JASON ELLIOTT CONSTRUCTION CORP * 06/08/18 LITCHFIELD CAVO 884 19WC 30560 ROCHE-TOBIN, HANNAH PIT BOSS RIB HOUSE * 12/07/17 DWYER & COOGAN 885 19WC 30603 LIPSEY, CORREY HIRE QUEST, LLC * 09/18/19 ANESI OZMON RODIN NOVAK KO 886 19WC 30624 RAPP, LAWRENCE WATCO TRANSLOADING, INC * 06/25/19 CULLEN HASKINS NICHOLSON 887 19WC 30665 TUSEK, JOSEPH BETHANY HOMES & METHODIST * 09/23/19 RATHBUN CSEVENYAK & KOZOL SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 888 19WC 30695 PHILLIPS, DANIEL STATE OF ILLINOIS * 10/17/19 ANKIN LAW OFFICE 889 19WC 30724 BARNES, DEMOND CHICAGO O'HARE INTL AIRPO * 09/23/19 VRDOLYAK LAW GROUP LLC 890 19WC 30754 ZEBRAUSKAS, MARIA CITY OF CHICAGO DEPT OF * 09/23/19 O'CONNOR & NAKOS 891 19WC 30766 BASANO, ROBERT KAPPA PRODUCTS * 04/08/19 ACEVES & PEREZ PC HENNESSY & ROACH PC 892 19WC 30782 THURMOND, MICHAEL THULE * 08/08/19 ANGELINI & ORI LLC 893 19WC 30803 WALKER, RICHARD L ALPHA BAKING * 10/18/19 COVEN LAW GROUP 894 19WC 30832 VOLCK, RICHARD V DIVERSEY TRUCK CENTER * 05/21/19 FRANKS & RECHENBERG 895 19WC 30859 SKOWRONSKI, RONNIE W MID CITY PLUMBING * 01/04/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 896 19WC 30882 BREWER, SEANTE LATRICE CHICAGO TRANSIT AUTHORITY * 04/25/17 COVEN LAW GROUP 897 19WC 30910 JOHNSON, TERRELL PSSI * 08/23/19 CUTLER & HULL 898 19WC 30936 PRENDERGAST, MICHAEL COOK COUNTY GOVERNMENT LE * 05/25/17 ROSS TYRRELL 899 19WC 30952 MCCLINTOCK, SCOTT VILLAGE OF FOREST PARK * 02/23/18 INMAN & FITZGIBBONS 900 19WC 30971 NIELSEN, CHARLES E AT&T * 03/07/19 BRILL & FISHEL 901 19WC 30985 ESPARZA, MARIA LARA HIGHLAND BAKING * 06/04/19 FRANCIS J DISCIPIO LAW OFF 902 19WC 31000 LAWRENCE, ANGELA CITY OF CHICAGO * 07/11/19 CULLEN HASKINS NICHOLSON 903 19WC 31018 NAVARRO, ISIDRO MARINE TECHNOLOGY SOLUTIO * 08/30/19 SALVATO O'TOOLE FROYLAN 904 19WC 31053 BULLOCKS, ANDRE PACIFIC MANAGEMENT INC * 10/10/18 RAYMOND M SIMARD, PC 905 19WC 31086 WRIGHT, ASHLEE MENZIES AVIATION ORD * 10/16/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 906 19WC 31157 BOLDON, JOHNNY SCALETTA MOLONEY ARMORING * 09/24/19 SANDMAN LEVY & PETRICH 907 19WC 31172 ISAAC, NABEEL 7 ELEVEN * 09/12/19 INJURY LAWYERS OF IL 908 19WC 31224 VILLEGAS, REBECA ACE ANODIZNG & IMPREGNATN * 10/02/19 ARNOLD & KADJAN 909 19WC 31253 SANCHEZ, RAYMUNDO WINDY CITY METALS, INC * 03/15/19 THE ROMAKER LAW FIRM 910 19WC 31297 KAISER, CARMEN AMERICAN AIRLINES * 09/16/19 SAUNDERS CONDON & KENNY 911 19WC 31333 ESQUIVEL GONZALEZ, ANDRES FELIPE CRUZ D/B/A CRUZ * 08/27/19 STEVEN B SALK & ASSOC LTD 912 19WC 31351 FOX, CAROL LITTLE COMPANY OF * 07/01/19 FITZPATRICK & FITZPATRICK 913 19WC 31414 MARTINEZ QUILES, JORGE JAX STAFFING SERVICES * 07/17/19 LUSAK AND COBB 914 19WC 31434 CAVAZOS, SYLVIA UNITED AIRLINES * 09/25/19 GERALD CONNOR 915 19WC 31454 SOTO, FAUSTO LORIG CONSTRUCTION COMPAN * 10/15/19 GWC INJURY LAWYERS LLC GAROFALO SCHREIBER STORM GRA 916 19WC 31497 LESNIAK, RAFAL HELIOS DESIGN BUILD, LLC * 10/30/18 NYHAN BAMBRICK KINZIE & LOWR 917 19WC 31521 LUNKINS, ELAINE CITY OF CHICAGO * 10/28/19 LEONARD LAW GROUP LLC 918 19WC 31538 MARTIN, VALARIE PARK VIEW REHAB CENTER, L * 07/11/18 RAYMOND M SIMARD, PC GAIDO & FINTZEN 919 19WC 31560 FERGUSON, JASON RON'S STAFFING * 04/22/19 EDWIN REYES LAW FIRM KOREY RICHARDSON LLC 920 19WC 31589 CERDAS, PRISCILLA NEW ALBERTSON'S INC C/O * 05/03/19 BRIAN J MC MANUS & ASSOC, 921 19WC 31626 MORA, JUAN BWAY CORPORATION * 04/23/19 HENNESSY & ROACH PC 922 19WC 31653 FULMER, CANDYCE P ROVIDENCE LIFE SERVICES * 11/03/16 VRDOLYAK LAW GROUP LLC 923 19WC 31684 RODRIGUEZ, ROBERTO COOK COUNTY BOARD UP * 10/02/19 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 924 19WC 31744 HUBBARD, SAMMANTHA MARKET SOURCE * 07/29/19 SPIROS LAW PC 925 19WC 31771 MARTINEZ, DANIEL LA RABIDA CHILDREN'S HOSP * 09/24/19 BAUM RUFFOLO & MARZAL LTD 926 19WC 31801 VALENZUELA, SANTIAGO CITY OF CHICAGO * 05/03/19 ARGIONIS & ASSOCIATES LLC 927 19WC 31884 ROYSTER, DENNIS STATE OF ILLINOIS/IDOT @ * 10/13/19 LANNON LANNON & BARR LTD 928 19WC 31927 LOPEZ, MARILYN AVIS BUDGET CAR RENTAL, L * 07/13/19 ANKIN LAW OFFICE 929 19WC 31959 CARLISLE, JAMES FORD MOTOR CO * 08/08/19 GWC INJURY LAWYERS LLC WIEDNER & MCAULIFFE LTD 930 19WC 31985 CONTRERAS, NORMA XCEL GROUP * 10/07/19 JONATHAN SCHLACK HENNESSY & ROACH PC 931 19WC 31997 HILL, ANTHONY AUTO ZONE * 10/16/19 DAVID W MARTAY 932 19WC 32032 HURTADO, VICTOR MAIN EVENT HOFFMAN ESTATE * 08/08/19 AIOSSA LAW FIRM 933 19WC 32058 PAGAN, CARMEN ALL TOWN BUS SERVICE INC * 02/01/18 DEPAOLO & ZADEIKIS 934 19WC 32076 SANCHEZ, MARIA ADVOCATE CHRIST MEDICAL C * 08/19/19 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 935 19WC 32100 GONZALEZ, MIGUEL CHICAGO WHITE SOX BASEBAL * 04/17/18 GORDON LAW OFFICES LTD 936 19WC 32121 ORTIZ, REYNALDO UPS * 10/03/19 LEONARD LAW GROUP LLC 937 19WC 32142 MOZDZIERZ, MAREK K GREENRIDGE FARM INC * 10/19/19 RAYMOND M SIMARD, PC 938 19WC 32156 THEODORE, SHELYNDA YRC * 10/24/19 FRIEDMAN & SOLMOR LTD 939 19WC 32177 HOWE, RHONDA UNITED AIRLINES INC. * 01/29/19 HEALY SCANLON LAW FIRM 940 19WC 32195 CLARK, ROMONIA HOME DEPOT * 06/06/19 MICHAEL A. HIGGINS 941 19WC 32218 GOLAS, DAMIAN ACCORO CARTON * 10/10/18 MICHAEL A. HIGGINS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 942 19WC 32249 OSINSKI, STEPHANIE HOLIDAY INN MART PLAZA * 08/10/19 DAVID W MARTAY 943 19WC 32269 SZTERLUS, MARIUSZ QUALITY CONTROL CORP, LLC * 06/07/19 THERMAN LAW OFFICES 944 19WC 32292 CARTWRIGHT, GYPSY NORTHWESTERN MEDICINE * 10/31/19 KUMLIN & FROMM 945 19WC 32309 METOVIC, SABAHETE CHIARAVALLE MONTESSORI * 01/17/19 VITELL & SPITZ LTD 946 19WC 32332 ROBERT, CIRILO METRO STAFFING * 04/26/19 LUSAK AND COBB 947 19WC 32354 VILLALOBOS, LEONARDO ORLANDO GRECO & SON IMPOR * 11/01/19 MC HARGUE & JONES 948 19WC 32375 MOSINSKI, JOHN SWISSPORT USA INC * 10/31/19 DWORKIN AND MACIARIELLO 949 19WC 32406 SKELTON, CASEY MADISON SQUARE GARDEN * 08/15/18 BRISKMAN BRISKMAN GREENBER 950 19WC 32424 HAWKINS, LYNETTE M THE CAMELOT SCHOOLS LLC * 10/22/19 GRAUER & KRIEGEL LLC 951 19WC 32452 ANDERSON, JAZMINE CHIK-FIL-A * 06/13/19 BAUM RUFFOLO & MARZAL LTD 952 19WC 32493 GUZMAN, XAVIER UPS * 11/05/19 LEONARD LAW GROUP LLC 953 19WC 32511 BERMUDEZ, MELINDA VICTORIA SECRET'S STORES, * 11/02/19 STEVEN B SALK & ASSOC LTD 954 19WC 32531 CHILDRESS, JAMES EXTREME REACH * 07/23/19 MC HARGUE & JONES 955 19WC 32548 PLEASANT, SHERISE CITY OF CHICAGO, * 10/16/19 ANKIN LAW OFFICE 956 19WC 32566 VELASCO, BLANCA MAYWOOD SCHOOL DISTRICT 8 * 10/17/19 STEVEN J TENZER, LTD 957 19WC 32599 GIBBONS, JERROLD ABF FREIGHT SYSTEMS * 10/10/19 KROL BONGIORNO & GIVEN LTD 958 19WC 32616 PALIGA, BRIAN ORLAND FIRE PROTECTION DI * 10/02/19 CULLEN HASKINS NICHOLSON 959 19WC 32637 GROSSMANN, ROBERT CROSSTOWN ELECTRIC * 07/03/19 STROM & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 960 19WC 32663 CASTELLANOS, GILBERTO AREA ERECTORS, INC * 04/02/18 LITCHFIELD CAVO 961 19WC 32682 HORTON, EARNEST PROVISO EAST HIGH SCHOOL * 04/23/19 MICHAEL A. HIGGINS 962 19WC 32701 WOODARD, WARREN ARAMARK * 02/26/19 MICHAEL A. HIGGINS 963 19WC 32724 PARCHMAN, NEKIA PARK FOREST-CHICAGO HEIGH * 11/05/19 RIDGE & DOWNES 964 19WC 32744 PEREZ, RICARDO INLAND DIE CASTING * 06/25/19 GOLDSTEIN BENDER & ROMANOF 965 19WC 32783 SCHMITZ, MICHAEL UNITED PARCEL SERVICE * 08/14/19 WITTENBERG DOUGHERTY MAGLI 966 19WC 32803 CAZARES, JOSE UPS * 10/15/19 LEONARD LAW GROUP LLC 967 19WC 32826 VIRZI, SALVATORE BERWYN POLICE DEPARTMENT * 01/16/19 MICHAEL A. HIGGINS 968 19WC 32851 QUIROZ, GERARDO JOHN J CAHILL, INC C/O * 07/19/19 MATT MURPHY CONSULTING 969 19WC 32873 RUCH, MARIGO AMERICAN AIRLINES * 07/14/18 SAUNDERS CONDON & KENNY 970 19WC 32896 BRUNI, LAURA A ANN & ROBERT H LURIE CHIL * 01/01/19 RUBIN LAW GROUP 971 19WC 32928 ADAMS, JUBRIL YELLOW CAB * 11/07/19 STEWART C ORZOFF 972 19WC 32947 HAMPTON, DERRICK TTX COMPANY * 10/20/19 TURCYCHUTE LLC 973 19WC 33023 GILMER, LIONEL CHICAGO TRANSIT AUTHORITY * 11/03/19 STROM & ASSOC 974 19WC 33044 FIELDS, ANGELA PUBLIC STORAGE * 11/07/19 DWORKIN AND MACIARIELLO 975 19WC 33073 POLK, DANIEL W CHICAGO TRANSIT AUTHORITY * 09/16/18 ANESI OZMON RODIN NOVAK KO