ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 08WC 06322 CLARK, LAWANDA ELGIN MENTAL HEALTH CENTE @ 01/11/08 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENERAL 2 08WC 47131 TUSCHINSKI, WENDY G ALLIED BARTON SECURITY IN 04/19/08 PAUL W GRAUER & ASSOC GAROFALO SCHREIBER STORM GRA 09WC005990 -C 3 09WC 09298 JIMENEZ, VERONICA N/K/A METRO STAFF INC 10/07/08 RICHARD D HANNIGAN, LTD HENNESSY & ROACH PC 4 09WC 27864 FEILEN, CHRISTINA STATE OF ILLINOIS @ 05/27/09 MEYERS & FLOWERS GANAN & SHAPIRO 10WC006132 -C ILLINOIS STATE TOLLWAY AUT 12WC034144 -C 5 11WC 16376 CERON, LEONOR ILLINOIS SCHOOL DIST U-46 09/01/09 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 11WC016377 -C 6 11WC 47092 SPELLER, BARBARA ELGIN MENTAL HEALTH CENTE @ 07/28/11 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 7 12WC 04922 BERNACKI, MARY WALGREENS 12/30/10 MILLON & PESKIN LTD GILDEA & COGHLAN 8 12WC 04923 BERNACKI, MARY WALGREENS 12/23/10 MILLON & PESKIN LTD GILDEA & COGHLAN 9 12WC 19455 19B SCHNEIDER, GREGORY A CITY OF ELGIN 03/17/12 FIGLIOLI, DAVID FRED J BEER LAW OFFICES 10 12WC 33221 SOSA, CARMEN IMPACT STAFFING, LLC 05/11/12 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 11 12WC 36262 YUCAITIS, WILLIAM CITY OF ELGIN 12/17/11 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES 12 12WC 41468 OLVERA, VICTORIA PHILLIPS LIGHTING 03/15/12 MARTIN V KUGIA 13 13WC 04736 CASTANON, ISRAEL METRO STAFF INC 09/20/12 RIDGE & DOWNES HENNESSY & ROACH PC 14 13WC 12880 MONTES, MARIA E PARTYLITE MANUFACTURING 08/06/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 13WC014454 -C 15 13WC 15467 JAKUBOWSKI, JOANN WENDY'S (J.K. FOODS INC) 08/26/11 BLEAKNEY & TROIANI HENNESSY & ROACH PC 16 13WC 22900 ALVARADO, JACKIE CITY OF ELGIN 04/17/13 MURPHY & MURPHY FRED J BEER LAW OFFICES 17 13WC 34302 JAKUBOWSKI, JOANN WENDYS 08/18/13 BLEAKNEY & TROIANI HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 13WC 35164 WILSON, HOWARD PRECISION PIPELINE, INC 06/14/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 19 13WC 36627 RIOS, ALEJANDRO PANERA BREAD 08/02/13 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 20 13WC 40933 TOMLIN, TYRRELL MARKING SPECIALISTS CORP 10/15/13 ALAN A BLUM, PC 21 13WC 40986 MONTES, TEOFILO CAR X 11/30/13 COLLISON LAW OFFICES ROBERT L. SMITH 22 13WC 42428 19B CHACON, ALMA LABOR NETWORK 12/16/13 LAW OFFICE EDWARD RUEDA ROBERT L. SMITH 23 14WC 03858 AVILA, RAUL MIDDLEBY CORPORATION 12/30/13 MARTIN V KUGIA WIEDNER & MCAULIFFE LTD 14WC011844 -C 15WC028173 -C 15WC031955 -C 15WC038100 -C 24 14WC 04935 CAPETANAKIS, THOMAS VNA HEALTH CARE 03/22/12 STEINBERG BURTKER & GROSSM NYHAN BAMBRICK KINZIE & LOWR 25 14WC 06340 SMITH, WAYNE L CITY OF ELGIN 07/31/13 THOMAS W DUDA FRED J BEER LAW OFFICES 14WC009928 -C 26 14WC 07029 QUINES, SYLVIA ELGIN MENTAL HEALTH CENTE @ 02/15/14 R. MARK MARITOTE PC C. FLETCHER 27 14WC 08964 GONZALEZ, MARIA MCDONALDS 12/05/13 MARTIN V KUGIA BRADY CONNOLLY & MASUDA PC 15WC010627 -C 15WC010628 -C 28 14WC 12096 REYNOLDS, KATHLEEN BUTERA MARKET 05/11/13 MILLON & PESKIN LTD RODDY LAW LTD 29 14WC 14010 DELLIS, JENNIFER SCHOOL DIST U-46 ETC 04/15/14 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 30 14WC 27229 WOLFE, GUY M CANNON ROOFING COMPANY 07/31/14 MARC J SHUMAN & ASSOCIATES INMAN & FITZGIBBONS 31 14WC 28693 VARGAS, DORA TRIM RITE, INC 05/19/14 LUIS A ACEVES & ASSOC BRYCE DOWNEY & LENKOV LLC 32 14WC 30993 COX, JONATHAN CITY OF ELGIN 05/29/14 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 14WC 33340 NELSON, BENJAMIN USAGAIN LLC 06/26/14 FOOTE MIELKE CHAVEZ & O'NE RIPES NELSON BAGGOT KALOBRAT 34 14WC 33657 DREWS, M ROBERT VILLAGE OF CRPENTERSVILLE 06/01/10 MARTIN V KUGIA RUSIN & MACIOROWSKI LTD 14WC033658 -C 18WC027836 -C 35 14WC 41926 LOPEZ-RIVAS, GLADYS SCHOOL DISTRICT U-46 08/27/14 LAW OFFICES DANIEL E MURPH NYHAN BAMBRICK KINZIE & LOWR 36 14WC 42737 HOWELL, CHRISTOPHER VILLAGE OF ROSELLE 12/02/14 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 37 14WC 42812 DAS, RUDOLPH K & S ENGINEERS INC 12/01/14 FIGLIOLI, DAVID LAW OFFICES JOSEPH MARCINIAK 38 15WC 00473 DENTON, JAMES ADVANCED ROOFING & WOODWO 12/09/14 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 39 15WC 02512 KRAMER, JAMES PROPERTY SHIELD INC 06/26/14 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 40 15WC 02587 ALVARADO, GABRIEL ELMUND & NELSON CO 12/16/14 GAINES & GAINES WIEDNER & MCAULIFFE LTD 16WC010255 -C 41 15WC 03679 ROJO, DALILA JUST IN TIME STAFFING LLC 01/08/15 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 42 15WC 04199 GRANANDO, MARY (WIDOW OF OMEGA DEMOLITION CORP # 10/27/14 DUDLEY & LAKE LLC CHILTON YAMBERT PORTER LLP 43 15WC 04703 ADAM, JEFFREY CITY OF ELGIN 09/22/14 MURPHY & MURPHY FRED J BEER LAW OFFICES 44 15WC 10254 HERNANDEZ, JUANA ABM JANITORIAL 02/03/15 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 45 15WC 12094 19B SOUTH, KITTIE ALDI FOODS 02/02/15 LEAHY, JAMES P NYHAN BAMBRICK KINZIE & LOWR 46 15WC 14527 THOMAS, GLEN VILLAGE OF ROSELLE 02/17/15 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 47 15WC 18974 KING, TIFFANY ACCURATE PERSONNEL LLC 06/02/15 48 15WC 19638 RAMOS PERALTA, MARIA G CAPUTO'S NEW FARM PRODUCE 02/24/15 LAW OFFICE ROBERTO ACEVEDO ROSARIO CIBELLA 49 15WC 19779 19B HERRERA, MIGUEL ESTES EXPRESS LINES 03/03/15 LAW OFFICE ROBERTO ACEVEDO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 15WC 20673 DIAZ, JOSE LUIS RIEKE OFFICE INTERIORS 02/21/15 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 51 15WC 22057 REYES, RUTILO DENTSPLY RINN 10/15/14 THOMAS J STIBERTH LAW OFFI 52 15WC 24064 FLORES, RENE MARKING SPECIALISTS 05/14/15 LAW OFFICES DANIEL E MURPH RUSIN & MACIOROWSKI LTD 53 15WC 26248 BORJA, PURIFICACION REVCOR INC. 07/02/15 OSVALDO RODRIGUEZ PC NYHAN BAMBRICK KINZIE & LOWR 54 15WC 29784 THOMPSON, DONALD TODD KRAEMER NORTH AMERICA 01/13/15 MEYERS & FLOWERS CHILTON YAMBERT PORTER LLP 55 15WC 31371 LACKMAN, JAMES W JR IDOT 09/08/14 THOMAS J STIBERTH LAW OFFI ASSISTANT ATTORNEY GENERAL 56 15WC 33031 AVALOS, RICARDO CARRERA CONCRETE CONSTRUC 10/01/15 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 57 15WC 33207 DONALD, EMMA GEKA MANUFACTER 07/30/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 58 15WC 34270 GARCIA-LOPEZ, EDUARDO ALANIZ GROUP INC 09/04/15 RUEDA, IVAN A 59 15WC 35277 MELGER, MARGARITA HEAD MFG INC 07/29/15 JONATHAN SCHLACK 60 15WC 35498 MAGEE, SEAN NORMAN MECHANICAL 02/05/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM GRA 61 15WC 35679 LOPEZ, THEODORE US VENTURE 05/18/15 SEIDMAN MARGULIS & FAIRMAN GILDEA & COGHLAN 62 15WC 36005 SEPEDA, VINCENT HOME DEPOT 03/25/15 DAVID W MARTAY ADELSON TESTAN BRUNDO 16WC007638 -C 63 15WC 36747 THOMAS, GREGORY JR PSAV 03/01/13 DWORKIN AND MACIARIELLO 64 15WC 39794 BUSHI, JOHN VITAS HEALTHCARE 06/25/15 ELFENBAUM EVERS & AMARILIO KELLEY KRONENBERG 65 16WC 01172 AVILA, JOSEFINA JOHN B. SANFILIPPO PLANT 12/22/15 WHITESIDE & GOLDBERG LTD 66 16WC 05118 AVENT, MICHAEL D HORIZON DIE CO 09/17/15 FIGLIOLI, DAVID RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 16WC 05987 WITEK, JOSEPH ROTO-ROOTER SERVICES COMP 07/17/14 DAVID J. BAWCUM 68 16WC 06352 GAVINA, MARIA A JOHN B SANFILIPPO & SON I 01/25/16 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 16WC006353 -C 69 16WC 08251 HERNANDEZ, MARCO METRO STAFF INC 10/21/15 ROMANEK & ROMANEK FRANCIS J DISCIPIO LAW OFFIC 70 16WC 08582 CHIODO, BRETT ROLLING IN THE DOUGH INC 01/11/15 MICHAEL R. GRAF 71 16WC 08737 PHANHTHLANALAY, CHANTHO HARTING INC 02/23/15 CRONIN & PETERS THOMAS & PORTELA 72 16WC 10144 ORTEGA, GUILLERMO JOHN B. SANFILIPPO & SONS 06/22/15 MARTIN V KUGIA LAWRENCE COZZI - LAW OFFICE 73 16WC 10940 SCHAIBLEY, ANTONY ANDERSON MORAN 09/17/15 ANTHONY C RACCUGLIA & ASSO GAROFALO SCHREIBER STORM GRA 74 16WC 12263 BAR, BOZENA TRIPAR INTL, INC 11/21/14 MICHALSKI & GUBERNAT LAW OFFICES JOSEPH MARCINIAK 75 16WC 13187 LOCASCIO, SALVINA BUTERA FINER FOODS 01/01/15 LAW OFFICE OF SCOTT B SHAP CHILTON YAMBERT PORTER LLP 76 16WC 18729 RENDL, JOE C/O VILLAGE OF ROSELLE 05/04/16 GORDON LAW OFFICES LTD RUSIN & MACIOROWSKI LTD 77 16WC 18997 GUERRERO, MARIA ELGIN INDUSTRIES INC 03/02/15 LAW OFFICE ROBERTO ACEVEDO 78 16WC 20096 VILLARREAL, GUADALUPE ELGIN SCHOOL DISTRICT U-4 04/25/16 THOMAS J STIBERTH LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 79 16WC 22713 SARAVIA, MIGUEL GONZALEZ METRO STAFF 06/15/15 80 16WC 23927 19B CASTRO, VERONICA SOURCE ONE STAFFING 05/27/16 EFTEKHARI LAW OFFICES ROBERT L. SMITH 81 16WC 25267 HALAN, STEVEN J. MENARD, INC. 03/01/15 WAGGONER LAW FIRM PC 82 16WC 26048 RUSTAY, JONATHAN CITY OF ELGIN POLICE DEPT 05/13/15 MEYERS & FLOWERS FRED J BEER LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 16WC 28283 CREIGHTON, JIM VILLAGE OF SOUTH ELGIN 06/17/16 LAW OFFICES DANIEL E MURPH 84 16WC 28917 GONZALEZ, MIGUEL NERI BOX PARTNERS LLC 08/15/16 COSTA IVONE LLC BORGELT POWELL 17WC003904 -C 17WC015971 -C 85 16WC 31820 RODRIGUEZ, JUAN PROVEN PARTNERS 08/13/16 JOHN J CASTANEDA CAPUANI, FRANK S 86 16WC 32148 RAMIREZ, JOSE G A/K/A METRO STAFF 06/30/16 JONATHAN SCHLACK FRANCIS J DISCIPIO LAW OFFIC 87 16WC 32333 PEREZ, DAVID NAT-CAT RESTORATION 10/30/15 THOMAS J STIBERTH LAW OFFI BRADY CONNOLLY & MASUDA PC 88 16WC 33055 MARIN, JUAN LARSON JUHL 07/14/15 ROBERT H HANAFORD COZZI & GOGGIN-WARD 89 16WC 35517 EATINGER, MARGE CITY OF ELGIN 05/24/16 MEYERS & FLOWERS FRED J BEER LAW OFFICES 90 16WC 35562 HAYES, PATRICK A ELGIN COMMUNITY COLLEGE 11/10/16 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 91 16WC 35856 LEDESMA-GONZALEZ, ANTONIO ELGIN COMMUNITY COLLEGE 06/01/15 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 16WC035857 -C 92 16WC 38803 RICE, CURTIS MARKING SPECIALIST 09/20/16 CULLEN HASKINS NICHOLSON 93 16WC 39408 MUNOZ, MANUEL SOURCE ONE STAFFING INC 12/03/16 CHEPOV & SCOTT LLC ROBERT L. SMITH 94 17WC 05002 HOFFMAN, JURATE STONEY STEAK HOUSE & GRIL 12/28/16 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 95 17WC 05519 NICHOL, DANIEL S RICHMAR ELECTRONICS CORP 11/11/15 DAVID W MARTAY JOSEPH MARCINIAK 96 17WC 05602 KAISER, PAULA CAREGIVERS, LLC 01/21/17 GRAHAM J. JEEP BRADY CONNOLLY & MASUDA PC 97 17WC 06167 SUENTH, TOM MIDWEST COMPANIES 02/07/17 SMITH, DAVID R RODDY LAW LTD 98 17WC 06531 KLIMA, PATRICIA WALMART 04/29/15 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 17WC007887 -C 99 17WC 08469 MARQUEZ, BERNARDO NGS PRINTING 11/28/16 THOMAS J STIBERTH LAW OFFI JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 17WC 09083 ATONAL, GABINO METRO STAFF INC 02/26/17 LEONARD LAW GROUP LLC FRANCIS J DISCIPIO LAW OFFIC 101 17WC 10013 JENSEN, LYNDA M WALGREEN CO 06/12/15 ANKIN LAW OFFICE GILDEA & COGHLAN 102 17WC 10246 JACOBO, PETRA METRO STAFF, INC 01/16/17 JOHN J CASTANEDA FRANCIS J DISCIPIO LAW OFFIC 103 17WC 12402 COLEMAN, MARK A EXACTA LAND SURVEYING 03/01/16 RUBIN LAW GROUP HOLECEK & ASSOCIATES 104 17WC 12544 LONGINES, NICOLAS ADVANCES ENGINEERING CORP 03/30/17 COSTA IVONE LLC 105 17WC 14129 BARRAZA, SUSANA PEOPLELINK STAFFING SOLUT 04/28/17 JONATHAN SCHLACK WOLF LAW LTD 106 17WC 15498 HERNANDEZ, DOMINGA STATE OF ILLINOIS 05/18/16 LAW OFFICE ROBERTO ACEVEDO ASSISTANT ATTORNEY GENERAL 107 17WC 15578 19B BOTTINO, MICHELLE PLANMECA 04/27/14 RAYMOND M SIMARD, PC RUSIN & MACIOROWSKI LTD 108 17WC 15731 LAWRENCE, STEVE CITY OF ELGIN 05/22/17 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES 109 17WC 16111 ESH, STEPHEN ANGELO CAPUTO'S FRESH MAR 04/30/16 RAYMOND M SIMARD, PC GANAN & SHAPIRO 110 17WC 17124 DELAPAZ, RICARDO PETRO CHOICE 03/23/17 KINNALLY FLAHERTY KRENTZ & RODDY LAW LTD 111 17WC 17410 BARKEY, MICHAEL K BUTERA MARKET 03/26/17 CRONAUER, CHARLES E CHILTON YAMBERT PORTER LLP 17WC017593 -C 112 17WC 17466 SAVAGE, JEROME MORRIS ENGINEERING, INC 06/01/17 NEWLAND & NEWLAND LAW OFFICES OF EDWARD J. KOZ 113 17WC 18401 COLEMAN, RODNEY DYNACAST INC 05/20/17 LIPKIN & HIGGINS LAW OFFIC LAW OFFICES JOSEPH MARCINIAK 114 17WC 18501 LEGORETTA, LISA ADVOCATE SHERMAN HOSPITAL 02/20/17 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 115 17WC 18578 ALONSO, GAUDALUPE BUCHER HYDRAULICS INC 02/17/17 COSTA IVONE LLC 116 17WC 18878 ROMAN, EMANUEL BEN'S GLOBAL RECYCLING 03/13/17 HANNIGAN & BOTHA, LTD SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 17WC 19351 SEALS, COLLETTA WALMART 03/31/17 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 118 17WC 19696 WHEELER, EUGENE JR ESTES EXPERSS LINES 04/11/17 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 17WC022253 -C 18WC004786 -C 119 17WC 21711 GEMBERLING, GEORGE COMPONENT PLASTICS, INC 04/17/17 SAUNDERS CONDON & KENNY ANCEL GLINK DIAMOND BUSH & E 120 17WC 21993 KOUBA, MELISSA MENARDS 07/04/17 THE ROMAKER LAW FIRM GANAN & SHAPIRO 121 17WC 22634 CALLAHAN, DAVID CCUSD 301 05/19/16 COLLISON LAW OFFICES 122 17WC 22929 MONTANO, OSCAR ELGIN RECYCLING & SCRAP 11/03/15 HART & DAVID LLP LITCHFIELD CAVO 123 17WC 23674 RANDAZZO, DIANE GRAND VICTORIA CASINO 06/08/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 124 17WC 24630 KAPFHAMMER, STEVEN VILLAGE OF ROSELLE 04/09/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 125 17WC 24631 KAPFHAMMER, STEVEN VILLAGE OF ROSELLE 05/17/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 126 17WC 25933 GUTIERREZ-CASTRO, SELENE JOHN B SANFILIPPO INC 01/25/17 EPSTEIN, JACK R LAW OFFICE 127 17WC 26455 CASTRO, EVELYN AM STAFFING GROUP 08/10/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 128 17WC 26694 GOSPODAREK, TERRANCE GERALI CUSTOM DESIGN 09/02/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 129 17WC 28202 PRADO, FELIX ANDREWS STAFFING 09/13/17 BOTTO GILBERT 130 17WC 28724 ANDERSON, KENT KANE COUNTY DIVISION OF 02/22/17 MEYERS & FLOWERS COLLISON LAW OFFICES 131 17WC 29352 THOMAS, PAMELA SCHOOL DISTRICT U-46 09/25/17 WOODRUFF & JOHNSON 132 17WC 29616 NAVA, LUIS I JESTER'S FAST FOOD INC 03/23/17 LEAHY, JAMES P RUSIN & MACIOROWSKI LTD 133 17WC 30047 RAMIREZ, HORACIO ELGIN RECYCLING, INC 07/03/17 STEFFEN KELLY & STEFFEN HANSON LAW OFFICE 134 17WC 30667 MIKLESON, CYRIL CITY OF ELGIN 10/22/14 SCOTT BARBER FRED J BEER LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 17WC 31934 MCCARTHY, MIKE CITY ELGIN & ELGIN POLICE 09/11/17 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES 136 17WC 33018 GARRELTS, DANIEL VILLAGE OF WAYNE POLICE D 09/24/17 FIGLIOLI, DAVID POWER & CRONIN LTD 137 17WC 33707 SCILUFFO, DOMINICK J STREIT'S AUTO & ROCKFORD 09/28/17 DEPAOLO ZADEIKIS GORE RIPES NELSON BAGGOT KALOBRAT 138 17WC 34263 GUERRERO, MARIA ELGIN INDUSTRIES INC 08/07/17 LAW OFFICE ROBERTO ACEVEDO 139 17WC 34673 PARADA-ZELAYA, JUAN J AARON'S FURNITURE 10/06/17 LITCHFIELD CAVO 140 17WC 35076 CUTRO, BARBARA C ATHLETA 09/22/17 TAMVAKIS, GEORGE L 141 17WC 35611 MOORE, DYMOND WALMART SUPERCENTER 10/29/17 STEVEN J. MORTON & ASSOC 142 17WC 35830 HERNANDEZ, JUANA ABM JANITORIAL 02/03/15 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 143 17WC 36039 COBB, RANDALL S METRO STAFF 08/15/17 LEONARD LAW GROUP LLC FRANCIS J DISCIPIO LAW OFFIC 144 17WC 36258 ALCALA, JOSE SURESTAFF INC 05/26/17 GESMER & REYNOLDS PC 145 17WC 36349 CALDERON, EDUARDO SECOND NATURE CHANCE HAUL 11/08/17 TAMVAKIS, GEORGE L COZZI & GOGGIN-WARD 146 17WC 37180 OVERBY, LAURA SCHOOL DISTRICT U-46 12/13/17 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 17WC037493 -C 147 17WC 37231 SWAN, MATTHEW PRINT PACK INC 08/23/17 DOUGLAS RALLO PC 148 17WC 37924 MONTGOMERY, JEREMY J SOUTH ELGIN FIRE DISTRICT 11/26/17 CORNFIELD & FELDMAN POWER & CRONIN LTD 149 18WC 00326 CASTELAN, BEATRIZ A ADVOCATE HEALTHCARE 09/03/17 FEDOR KOZLOV & ASSOC NYHAN BAMBRICK KINZIE & LOWR 18WC000327 -C 150 18WC 01514 LAVENDER, MICHAEL BRIAN IHC CONSTRUCTION COMPANIE 07/11/17 CRONAUER, CHARLES E JOSEPH MARCINIAK 151 18WC 02094 PEREZ, MARIA METRO STAFFING INC 10/27/17 THE ROMAKER LAW FIRM 152 18WC 02147 GUADARRAMA, INES SOURCE ONE STAFFING 11/07/17 HERRERA LAW CENTER GAIDO & FINTZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 18WC 02261 MOTTA, ESTHER SD U-46 10/25/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 154 18WC 02418 FLORES, LUIS PETCO ANIMAL SUPPLIES, IN 12/21/17 JOHN S. ELIASIK 155 18WC 03021 SULLIVAN, MARK ABF FREIGHT 01/05/18 CZAPLA LAW KEEFE CAMPBELL & ASSOC LLC 156 18WC 03244 MUCLLARI, ZIME TRIM-RITE FOOD CORP 12/27/17 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 157 18WC 03530 WILLIAMS, JASON JM WILLIAMS CONSTRUCTION 09/02/16 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 158 18WC 04607 HERNANDEZ, YULIANA METROSTAFF 01/15/18 JOHN S. ELIASIK FRANCIS J DISCIPIO LAW OFFIC 159 18WC 05065 LOPEZ-HERNANDEZ, ALEJANDR SURESTAFF, INC 12/06/17 JAMES M GERAGHTY LOUIS MUNDY 160 18WC 05522 SARAVIA, SERGIO ELGIN SCHOOL DIST U-46 01/26/18 NILSON STOOKAL GLEASON CAP 161 18WC 06001 MORGAN, MICHAEL AT&T 12/15/15 BURNETT & CARON, LTD HENNESSY & ROACH PC 162 18WC 06075 ROMERO, HERACLIO RHT INC, 02/13/18 THE ROMAKER LAW FIRM ROSARIO CIBELLA 163 18WC 06391 MAYLONE, BRIAN MAYSTAR ENTERPRISES, LLC 05/22/17 164 18WC 06466 SIMPSON, WILLIE KAWNEER ARCONIC 06/28/17 R. MARK MARITOTE PC HEYL ROYSTER VOELKER & ALLEN 165 18WC 06724 DIAZ, MARTHA LEO'S CAR WASH 01/25/18 COSTA IVONE LLC 166 18WC 06894 MUELLER, CONNIE JEWEL 04/08/17 167 18WC 07007 TUMAN, STEVEN PETE'S "A" TOWING 02/05/18 ROBERT H HANAFORD 168 18WC 07477 HERNANDEZ-SANCHEZ, HECTOR PARKWAY FORMING, INC 01/18/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 169 18WC 07934 VAZQUEZ, MIGUEL MENDOZA ACCURATE PERSONNEL LLC 02/21/18 COSTA IVONE LLC JOHN T GONNELLA 170 18WC 08477 PETITTI, THOMAS FRIENDLY FORD INC 01/09/18 GRAUER & KRIEGEL LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 18WC 08804 GOLZ, CAROLYN SNYDER MARK DRUGS 12/19/13 JOHN C SERKLAND HENNESSY & ROACH PC 172 18WC 09793 SMITH, ALEXANDER HI-LINE UTILITY SUPPLY 01/24/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 173 18WC 10118 WEEMS, DANIELLE WICKSTROM AUTO GROUP 03/02/18 DAVID W MARTAY 174 18WC 10448 VILLAGOMEZ, JUAN AMTEC PRECISION PRODUCTS 03/07/18 POLANSKY & CICHON CHTD 175 18WC 10528 MYLES, MELVIN AUTOZONE 03/27/18 DEPAOLO & ZADEIKIS GILDEA, COGHLAN & REGAN LTD. 176 18WC 10829 GONZALEZ, MAURICIO ACME WINDOW CLEANING SERV 08/08/16 GOLDSTEIN BENDER & ROMANOF LAWRENCE COZZI - LAW OFFICE 177 18WC 11344 SMITH, SHELIA PACE 04/05/18 THE ROMAKER LAW FIRM POWER & CRONIN LTD 178 18WC 11437 FILLIPAN, FRANCO GENUINE PARTS COMPANY 03/22/18 JAMES J. GAY 179 18WC 12001 ANDERSON, DAVID GRAND VICTORIA CASINO 03/01/12 GESMER & REYNOLDS PC 180 18WC 12010 JUENGER, JOYCE BOARD OF EDUCATION 04/10/17 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 181 18WC 12860 ANTUNEZ, ANGELA HYDROX LABORATORIES INC 06/07/17 THE ROMAKER LAW FIRM QUINTAIROS PRIETO WOOD & BOY 182 18WC 13192 WILLIAMS, MALCOLM RED ROBIN 04/14/18 ANGELINI & ORI LLC SPIEGEL & CAHILL, PC 183 18WC 13279 HABERKAMP, TONY TRACTOR SUPPLY CO. 09/26/17 KEVIN P. JUSTEN PC HENNESSY & ROACH PC 184 18WC 13816 DELGADO, RAUL LUKE'S CONSTRUCTION 05/02/18 KROL BONGIORNO & GIVEN LTD HEYL ROYSTER VOELKER & ALLEN 185 18WC 14035 SOTO, MARIA JOHN B. SANFILIPPO & SON 04/19/18 DEPAOLO & ZADEIKIS SLAVIN & SLAVIN 186 18WC 14235 KARAU, RALPH COMMONWEALTH EDISON 04/03/18 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 187 18WC 14934 ALITOVSKI, MUKADES ADVOCATE SHERMAN HOSPITAL 01/26/17 SCOTT BARBER GAROFALO SCHREIBER STORM GRA 188 18WC 15000 LANDA, CRISTINA LINDSTROM METRIC, LLC 03/30/18 BOTTO GILBERT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 189 18WC 15046 GOVEA JR, CAYETANO METROSTAFF INC 05/08/18 JEFFREY LAW OFFICE LLC FRANCIS J DISCIPIO LAW OFFIC 190 18WC 15203 MENDEZ, CELSA ACME INDUSTRIAL 02/22/18 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 191 18WC 15382 SCHAFER, JOHN JOHN B SANFILIPPO & SON, 01/22/15 COVEN LAW GROUP SLAVIN & SLAVIN 192 18WC 15632 PATRICK, SABRINA NTN BEARING CORP 03/30/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 18WC015633 -C 193 18WC 15927 AVALOS, MIGUEL COATING METHODS 11/13/17 TARADASH LAW OFFICE GANAN & SHAPIRO 194 18WC 15948 GIBBONS, MARTHA ROSELLE MOTORS, INC. 05/05/18 DEPAOLO & ZADEIKIS CASSANO & ASSOCIATES 195 18WC 16032 PEREZ, WILLIAM GERBER COLLISION & GLASS 03/08/18 GRAUER & KRIEGEL LLC HOLECEK & ASSOCIATES 196 18WC 16546 BUDZISZ, RYSZARD M&R PRINTING EQUIPMENT, I 11/17/17 CHEPOV & SCOTT LLC 197 18WC 17137 BRANDON, JIMMY CITY OF ELGIN 01/03/18 DANIEL E MURPHY FRED J BEER LAW OFFICES 198 18WC 17278 GUERRERO-GARCIA, JUAN CAR V&A LANDSCAPING 03/26/18 HOWARD ABRAMS 199 18WC 17409 TOLEDO, FRANCISCA IBARRA METRO STAFF, INC 01/10/18 JOHN S. ELIASIK FRANCIS J DISCIPIO LAW OFFIC 200 18WC 18841 KRAEPLIN, CODY ROOF MAINTENANCE MANAGEME 06/09/18 LEONARD LAW GROUP LLC LITCHFIELD CAVO 201 18WC 19371 VITIA, FAIK FRITO LAY 06/08/18 JEFFREY FRIEDMAN 202 18WC 19943 NANIONG, PATROCINIO AT YOUR SERVICE HOMECARE 03/21/18 NEWLAND & NEWLAND HENNESSY & ROACH PC 203 18WC 20427 VILLANUEVA, MARITZA CREATIVE RESOURCE PERSONN 04/23/18 VRDOLYAK LAW GROUP LLC GAIDO & FINTZEN 204 18WC 20470 LOPEZ, MARTIN HORIZON CARPENTRY INC 05/24/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 205 18WC 21579 MENDEZ, MARIA L MCDONALD'S OF CARPENTERSV 05/15/18 KATZ FRIEDMAN EAGLE ET AL 206 18WC 21620 MUELLER, QUENTIN ACC MANAGEMENT COMPANY 05/22/18 LANNON LANNON & BARR LTD KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 207 18WC 22039 SANTIAGO, JESABEL SERRANO ADVOCATE SHERMAN HOSPITAL 11/29/17 DANIEL E MURPHY GAROFALO SCHREIBER STORM GRA 208 18WC 22993 DIAZ, ALFREDO SCHLEIFRING MEDICAL SYSTE 06/28/18 ANKIN LAW OFFICE RODDY LAW LTD 209 18WC 23066 ULLAH, SABGHAT BARTON STAFFING 12/29/16 MARTIN V KUGIA 210 18WC 23264 SUGGS, SAMMY ST OF IL-ELGIN MENTAL HEA @ 10/25/17 MARK N LEE ASSISTANT ATTORNEY GENERAL 211 18WC 23680 LEE, ASHLEY FIRST LIGHT HOME CARE 01/21/18 LUSAK AND COBB 212 18WC 23986 HEIDRICH, TRISHA L VISITING ANGELS 07/02/18 FRANKS & RECKENBERG INMAN & FITZGIBBONS 213 18WC 25183 ROBLES DE LA TORRE, MOISE FIVE STAR CONCRETE 07/25/18 CUSHING LAW OFFICES 214 18WC 25353 CABAN, CATHY ILLINOIS SCHOOL DISTRICT 02/15/17 COSTA IVONE LLC 215 18WC 26038 THORN, GEORGE RENT A CENTER 06/15/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 216 18WC 26258 RIVERA, CESAR HUBBELL, INC 07/27/18 STEVEN H MEVORAH & ASSOCIA ATWILL & MONTGOMERY 217 18WC 26339 AYALA, ASELA M GUADIQUE COBRA METAL WORKS 07/03/18 JONATHAN SCHLACK 218 18WC 26635 KATHALYNAS, TERRENCE CITY OF ELGIN 08/06/18 THE ROMAKER LAW FIRM FRED J BEER LAW OFFICES 219 18WC 26688 THOMAS, PAMELA SCHOOL DISTRICT U-46 01/31/18 WOODRUFF JOHNSON 220 18WC 27205 SOTELO, DOMINGA METRO STAFF, INC 09/01/18 SALVATO O'TOOLE FROYLAN FRANCIS J DISCIPIO LAW OFFIC 221 18WC 27332 MESSINEO, JOSEPH CITY OF ELGIN FIRE DEPART 08/12/18 THOMAS J STIBERTH LAW OFFI FRED J BEER LAW OFFICES 222 18WC 27697 FORD, ANTHONY ELGIN MENTAL HEALTH CENTE 09/01/18 GESMER & REYNOLDS PC ASSISTANT ATTORNEY GENERAL 223 18WC 27771 ESPARZA, ADIELA SCHOOL DISTRICT 300 11/30/17 SCOTT BARBER NYHAN BAMBRICK KINZIE & LOWR 224 18WC 27881 HERNANDEZ, LINDA MANPOWER 08/29/18 TAXMAN POLLOCK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 18WC 28289 BACI, MERITA HOLIDAY INN EXPRESS 09/18/17 STEVEN H MEVORAH & ASSOCIA 226 18WC 28325 OLVERA, AURORA JOHN B. SANFILIPPO & SON, 08/28/18 SMOLER LAW OFFICE, PC 227 18WC 28448 TEWELL, MICHAEL SLOAN DELIVERY, INC 12/01/17 KINNALLY FLAHERTY KRENTZ KEEFE CAMPBELL BIERY & ASSOC 228 18WC 28614 TODOROVIC, ALEKSANDRA MIL D&M PLASTICS 03/07/18 TURNER & SACKETT LLC 229 18WC 28771 GARCIA, ADOLFO SUNSET POOL & SPA 07/09/18 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 230 18WC 28885 DAVIS, MATTHEW SCHOOL DISTRICT U-46 01/24/18 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 231 18WC 29340 WYATT-SAMUELS, SHANESE ELGIN MENTAL HEALTH CENTE @ 05/17/18 MARK N LEE 232 18WC 29827 GRABER, DAVID SELEE CORPORATION 03/27/18 GRAUER & KRIEGEL LLC JOSEPH MARCINIAK 19WC015495 -C 233 18WC 30154 ACEVEDO, REINALDO J ADVANCED AUTO PARTS 04/29/18 PETER A. PAPOUTSIS WIEDNER & MCAULIFFE LTD 234 18WC 30327 CARDOZO, ANGEL ABC PLUMBING HEATING 10/01/18 THOMAS J STIBERTH LAW OFFI ACCIDENT FUND HOLDINGS 18WC032269 -C 235 18WC 30681 RIVERA JOSE CONCRETE SPECIALTIES 03/26/18 GOLDSTEIN BENDER & ROMANOF 236 18WC 31039 MASLANA, MIKE CITY OF ELGIN 06/12/18 MARK N LEE FRED J BEER LAW OFFICES 237 18WC 31163 DICKSON, CHRISTOPHER AMERICAN NTN BEARING 10/02/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 238 18WC 31485 SMILEY, MATTHEW WILLIAM F MEYER 10/15/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 239 18WC 31711 TSERENNADMID, MUNKHBAYER ACE HOME CONSTRUCTION 11/29/17 SEIDMAN MARGULIS & FAIRMAN WOLF LAW LTD 240 18WC 31846 LEWIS, ANDRE L ELGIN SD U46 10/09/18 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 18WC 32521 DOBBINS, TIMOTHY CAT I GLASS 10/01/18 COHN LAMBERT RYAN & SCHNEI GILDEA, COGHLAN & REGAN LTD. 242 18WC 32823 WILSON, WOODROW LANCER DIRECT 09/08/18 GERALD CONNOR WIEDNER & MCAULIFFE LTD 18WC032902 -C 243 18WC 33356 MONARREZ, FRANCISCO AMIGO TRANSMISSION PLUS 10/20/18 COSTA IVONE LLC 244 18WC 33710 MARTINEZ, CAROLINA COMPONENT PLASTICS, INC 08/18/17 MAURICE E DUSKY PC 245 18WC 34105 LOPEZ, JOSE LUIS SEASONAL CONCEPTS INC. 09/19/18 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 246 18WC 34942 HANSEN, DAVID CAR KEYS EXPRESS 06/27/18 RUBENS KRESS MULHOLLAND HENNESSY & ROACH PC 247 18WC 35065 PRZYBYLSKI, RALPH US FOODS 11/12/18 LEONARD LAW GROUP LLC 248 18WC 35615 LOBATO, GUADALUPE A.M. STAFFING GROUP INC 06/20/18 MARTIN V KUGIA LEAHY EISENBERG & FRAENKEL 249 18WC 35714 MORGAN SR, LARRY CENTRAL STATE TRUCKING 11/19/18 KREITER, BYCK & ASSOC LLP 250 18WC 35912 PONCE, MISAEL NTN BEARING 02/09/18 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 251 18WC 36129 MCCARTHY, MIKE CITY OF ELGIN 11/28/18 DANIEL E MURPHY FRED J BEER LAW OFFICES 252 18WC 36369 HANEY, SCOTT BLAIN'S FARM & FLEET 04/21/18 CULLEN HASKINS NICHOLSON LEAHY EISENBERG & FRAENKEL 253 18WC 36401 RIVERA, EMMANUEL SKDD PIZZA INC GIORDANOS 07/23/18 LEAHY, JAMES P 254 18WC 36563 MILLER, KEVIN MAC'S CONVENIENCE STORES 11/30/18 HETHERINGTON KARPEL BOBBER 255 18WC 36840 AGUILAR, CARLOS STATES DRYWALL & PAINTING 05/31/18 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 256 18WC 36877 URZUA, MARIA SCHLEIFRING MEDICAL SYSTM 11/14/17 NEWLAND & NEWLAND RODDY LAW LTD 257 18WC 37304 KRASOWSKI, JERZY BABBITTING SERVICE, INC 10/27/18 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 258 18WC 37536 WICKMAN, KENNETH MARSHALL ASSOCIATES, INC 01/10/18 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 259 18WC 37754 BROWN, CECILE PACE SUBURBAN BUS 11/15/18 DAVID W MARTAY 260 19WC 00077 ZATZ, STEPHEN AMERICAN NATIONAL SYSTEMS 08/31/18 VRDOLYAK LAW GROUP LLC 261 19WC 00158 OSTAPIUK, MARY PREFERRED MEALS 11/27/18 STORTO FINN & ROSINSKI 262 19WC 00292 HERNANDEZ, OMAR CAT-I GLASS 11/15/18 THOMAS J STIBERTH LAW OFFI GILDEA, COGHLAN & REGAN LTD. 263 19WC 00395 THOMAS, PAMELA SCHOOL DISTRICT U-46 12/18/18 WOODRUFF JOHNSON 264 19WC 00877 STEURER, ROGER CRAIG VILLAGE OF SOUTH ELGIN 09/13/18 MEYERS & FLOWERS 265 19WC 00900 GEREZ, THOMAS L FIRST STUDENT 12/18/18 SMOLER LAW OFFICE, PC 266 19WC 00962 DOSS, ARTHUR AEROTEK 11/04/18 OWENS & LAUGHLIN LLC 267 19WC 01287 ROMANOWSKI, FERDYNAND M&R PRINTING EQUIPMENT IN 11/22/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 268 19WC 02134 SMITH, VERONICA ELGIN MENTAL HEALTH CENTE 12/24/18 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 269 19WC 02454 VARGAS, MARIBEL SALDUA ELGIN HIGH SCHOOL 11/26/18 NICHOLAS ROBERT RECCHIA 270 19WC 02462 BYBEE, DENNIS 1913 RESTAURANT 01/22/19 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 271 19WC 02480 DOMINGUEZ, JOVANNY UNITED FOOD GROUP 10/29/18 GERALD BAUER JR 272 19WC 02568 MONTELEONE, FRANK MONTELEONE MINK RANCH 09/08/18 TURNER & SACKETT LLC GILDEA, COGHLAN & REGAN LTD. 273 19WC 03235 SOULIER, PIERRE J CITY OF ELGIN 08/26/17 THE ROMAKER LAW FIRM FRED J BEER LAW OFFICES 19WC003236 -C 19WC003237 -C 19WC014491 -C 274 19WC 03440 FIELDS, REBEKAH AMAZON 01/12/19 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 275 19WC 03564 MC KINNEY, ANTOINE D AMTEC PRECISION PRODUCTS, 01/31/19 ANKIN LAW OFFICE RODDY LAW LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 19WC 07782 ROBINSON, ANTOINETTE D ALDI, INC 02/24/19 ANKIN LAW OFFICE 295 19WC 07930 RUDIN, MERRY SCHOOL DISTRICT U-46 02/15/19 WOODRUFF JOHNSON NYHAN BAMBRICK KINZIE & LOWR 296 19WC 07989 CALLSEN, NICOLE M ADVOCATE SHERMAN HOSPITAL 10/13/17 JOHN J PLACEK GAROFALO SCHREIBER STORM GRA 297 19WC 08169 FORD, ANTHONY ELGIN MENTAL HEALTH CENTE 02/05/19 GESMER & REYNOLDS PC ASSISTANT ATTORNEY GENERAL 298 19WC 08240 GUTIERREZ MURGO, MARIELA RELIABLE STAFFING 02/25/19 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 299 19WC 08401 CARTER, CARLA CITY OF ELGIN 02/21/19 MEYERS & FLOWERS FRED J BEER LAW OFFICES 300 19WC 08706 ZIEMAN, MARIANNE SCHOOL DISTRICT U46 02/01/19 ROMANEK & ROMANEK NYHAN BAMBRICK KINZIE & LOWR 301 19WC 08795 HATTULA, DONNET MC GRATH HONDA OF ELGIN 01/21/19 ROBERT WARSASKI 302 19WC 08976 BLAESING, DUANE ON ELECTRIC, INC. 01/22/19 R. MARK MARITOTE PC RUSIN & MACIOROWSKI LTD 303 19WC 09036 MACIAS, MARTHA EXPRESS EMPLOYMENT 02/15/19 LEONARD LAW GROUP LLC MC ANDREWS & NORGLE LLC 304 19WC 09144 CAMPBELL, SUSAN SCHOOL DISTRICT U-46 03/11/19 WOODRUFF JOHNSON 305 19WC 09382 LOGOTHETIS, ELLIANA SPEEDWAY, LLC 11/06/18 GORDON LAW OFFICES LTD KEEFE CAMPBELL BIERY & ASSOC 19WC007376 -C 306 19WC 09442 RODRIGUEZ, NOE LINERS DIRECT, INC 05/12/18 LOUIS A PLZAK & ASSOCIATES 307 19WC 09597 CORREA, MARVIN ORLANDO CO SURE STAFF 03/13/19 WOODRUFF, HUBERT W II LOUIS MUNDY 308 19WC 10227 HERNANDEZ HURTADO, LAURA ATRIA-THE SOLANA DEER PAR 03/14/18 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 309 19WC 10404 DRAKE, VICTORIA (WIDOW) PORTILLO'S (ELGIN) 03/05/19 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 310 19WC 10767 DE GUZMAN, ROBERTO AMERICAN NTN BEARING 03/05/19 THOMAS J STIBERTH LAW OFFI WIEDNER & MCAULIFFE LTD 311 19WC 10975 SMITH, DEBBY B CARILLON AT CAMBRIDGE LAK 10/30/18 BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 19WC 11121 MICU, JOSEPH TIREHUB 03/19/19 STEVEN J MALMAN & ASSOCIAT 313 19WC 11185 MENDEZ, JIM CITY OF ELGIN/EPD 03/06/19 DANIEL E MURPHY FRED J BEER LAW OFFICES 314 19WC 11440 DURAN, ANGELICA ELGIN MENTAL HEALTH CENTE 03/07/19 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 315 19WC 11700 JOHNSON, VERNON STANDARD FORWARDING, LLC 04/17/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 316 19WC 11783 MEDINA, DELMI M OTTO ENGINEERING INC 02/20/18 LULAY LAW OFFICES 317 19WC 11943 BALTAZAR, ELIJAH BRILLIANCE SUBURU 03/04/19 ERIC H CHECK, LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 318 19WC 12738 RODRIGUEZ, CYNTHIA JOHN B. SANFILIPPO & SONS 02/11/19 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 319 19WC 12966 PRADO, MIGUEL FOX VALLEY STAMPING COMPA 09/18/17 FOOTE MIELKE CHAVEZ O'NEIL 320 19WC 13110 MC CULLOUGH, JOHN ELGIN MENTAL HEALTH CENTE @ 05/13/17 MARK N LEE 321 19WC 13641 MAVES, CHAD LLOYD ADAMS ROOFING PROFESSIONA * 09/24/18 WOLF & LAUDICINA LTD 322 19WC 13698 HASIL-GILLESPIE, STACEY JUSTICE LOGISTICS * 10/08/18 BOUDREAU NISIVACO LLC HENNESSY & ROACH PC 323 19WC 13989 JOHNSON, MICHAEL ADVANTAGE CONTRACTOR SOLU * 03/11/14 BRIAN J MC MANUS & ASSOC, KEEFE CAMPBELL BIERY & ASSOC 19WC013987 -C 19WC013988 -C 324 19WC 14081 CHAIREZ, ERASMO KRIS DEE & ASSOCIATES * 05/02/19 RAYMOND M SIMARD, PC 325 19WC 14250 FOSTER, LUREE STEVEN SIRIN DDS, PC * 09/26/18 KOSIN LAW OFFICE LTD 326 19WC 14424 DEL ROSARIO, FELIPE PRESENCE ST JOSEPH HOSPIT * 04/23/19 TURNER & SACKETT LLC BRADY CONNOLLY & MASUDA PC 327 19WC 14603 MINOR, ALBERTO COMPASS STAFFING SOLUTION * 04/30/19 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 328 19WC 14679 CORTEZ, SILVINA CRUZ ATLAS STAFFING * 01/08/19 COSTA IVONE LLC 329 19WC 14927 MATHENY, NATHANIAL HIPP TEMPORARY SKILLS INC * 05/08/19 LARRY M AMONI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M SOTO, FRANK 014 ARBITRATION CALL FOR WHEATON II (ELGIN) 22003 ON 09/05/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 19WC 15162 TORREZ, LINDA AMERICAN NTN BEARING * 01/31/18 ROBERTO ACEVEDO WIEDNER & MCAULIFFE LTD 331 19WC 15271 FARRELL, HEATHER CITY OF ELGIN * 03/11/19 DANIEL E MURPHY FRED J BEER LAW OFFICES 332 19WC 15465 STYRCZULA, BRIAN THE CELLULAR CONNECTION, * 07/18/17 SEIDMAN MARGULIS & FAIRMAN 333 19WC 15835 VILLANUEVA, LOURDES JOHN B SANFILIPPO & SON I * 05/01/19 CHEPOV & SCOTT LLC LAWRENCE COZZI - LAW OFFICE 334 19WC 16077 ZIELINSKI-REAL, DIANE NATIONAL EXPRESS CORP * 12/12/18 JOSEPH J LOSS PC BRADY CONNOLLY & MASUDA PC 335 19WC 16316 HERNANDEZ, ARTURO AURORA ADVOCATE SHERMAN H * 05/22/17 THOMAS J STIBERTH LAW OFFI GAROFALO SCHREIBER STORM GRA 336 19WC 16503 KEATING, PATRICK JEWEL FOOD STORES, INC. * 04/19/19 RUBENS KRESS MULHOLLAND 337 19WC 16567 ALVARADO, SARA LOPEZ METRO STAFF, INC * 03/29/19 COSTA IVONE LLC 338 19WC 17054 GILES, RUFINO IMPACT PLASTICS * 05/10/19 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 339 19WC 17358 ARGUMEDO, SAUL METROSTAFF, INC * 06/06/19 ARGIONIS & ASSOCIATES LLC 340 19WC 17572 PADILLA, CLEMENTINA SKYLINE STAFFING * 05/16/19 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 341 19WC 17758 ARELLANO, ENRIQUE FIVE STAR CONCRETE CONTRA * 05/04/19 FOOTE MIELKE CHAVEZ O'NEIL 342 19WC 18147 PHILLIPS, JERON COURIER EXPRESS ONE INC * 05/18/19 DWORKIN AND MACIARIELLO 343 19WC 18290 MARTINEZ, ADRIAN CAT I MANUFACTURING INC * 03/15/18 BOTTO GILBERT GILDEA, COGHLAN & REGAN LTD. 344 19WC 18462 WHELAN, DIANE DUNDEE TOWNSHIP PARK DIST * 09/25/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 345 19WC 18720 FLORES, ANA HANSEN PLASTICS * 10/21/17 HERRERA LAW CENTER 346 19WC 18868 CARIELLO, GREGG VOLE INFORMATION SCIENCES * 08/02/18 ORENSTEIN & ASSOCIATES 347 19WC 19189 KHAN, KALIM ST JOSEPH'S HOSPITAL * 04/27/19 R. MARK MARITOTE PC

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