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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 CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 11 12WC 25838 ELLIS, KATHERIS CITY OF CHICAGO 02/06/12 ANKIN LAW OFFICE CITY OF CHICAGO 15WC014471 -C 12 12WC 28218 GUTIERREZ, ADELA APL LOGISTICS 03/10/11 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 12WC028219 -C 13WC018070 -C 14WC021859 -C 14WC029308 -C 15WC009110 -C 16WC003065 -C 13 12WC 34565 WELLS, DIVETTA CITY OF CHICAGO 09/07/12 COVEN LAW GROUP CITY OF CHICAGO 15WC033880 -C 14 12WC 39652 CRUZ, ISRAEL AMERICAN AIRLINES 10/27/12 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 15 13WC 15167 ATIYEH, DAED HOME DEPOT 01/28/13 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 17WC032023 -C 16 13WC 17427 ISMAIL, GEORGE KUEHNE & NAGLE, INC 05/02/13 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 17 13WC 18960 LEBRON-CORTES, FELICITA ST OF IL DEPT OF HUMAN SE @ 03/13/12 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 18 13WC 25105 MENDOZA, IVAN STRIVE GROUP LLC 05/10/13 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 14WC039175 -C 16WC005167 -C 19 13WC 25568 HOLLIS, PATRICIA ANN WE CLEAN MAINTENANCE 04/30/11 STEVEN J SEIDMAN LAW OFFIC THOMAS & PORTELA 20 13WC 26448 TAFF, KIM COMMUNITY HEALTH SYSTEMS 02/05/13 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 21 13WC 27154 SIMPSON, LARRY T ABF FREIGHT SYSTEMS 04/13/12 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 13WC038778 -C ABF SYSTEMS 22 13WC 27983 ZELEZNIK, MATT MCCAULEY MECHANICAL 08/06/13 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 23 14WC 01828 ZAHUMENSKY, THOMAS WHITE WAY SIGN & MAINTENA 06/29/13 RUBIN LAW GROUP HOLECEK & ASSOCIATES 24 14WC 02562 CRISOSTOMO, EULOGIO CLYBOURN EXPRESS CAR WASH W 12/03/13 LAW OFFICE HUGO ORTIZ HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 25 14WC 03865 KERN, ALEXIA UNITED AIRLINES INC. # 07/17/08 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 26 14WC 06408 SANCHEZ, ROSARIO WE CLEAN MAINTENANCE 03/28/13 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 27 14WC 11173 AKINYEMI, GARCE PIPELAYO COOK COUNTY HEALTH & HOSP 03/05/14 THE ROMAKER LAW FIRM 15WC021236 -C 18WC003867 -C 18WC003868 -C 18WC003869 -C 28 14WC 11795 SOSA, CELSO CONTRACTORS ACCESS EQUIPM 12/03/13 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 29 14WC 13973 JANECEK, JEFFREY A NORTHERN PIPELINE CONSTRU 09/17/13 FABRIZIO, HANSON & PEYLA GRANT & FANNING 30 14WC 19781 LA VALLAIS, KIM CHICAGO BOARD OF EDUCATIO 05/15/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 31 14WC 23684 GARIBAY, ANTHONY TAYLOR ELECTRIC 06/18/14 LEONARD LAW GROUP LLC MEACHUM & STARCK 32 14WC 23790 BURGESS, TABATHA ENVOY 06/10/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 18WC011670 -C 33 14WC 24374 IVERSON, MICHAEL C J LEPRETRE CONSTRUCTION 06/24/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 34 14WC 27035 JOHNSON, JOSEPHINE TJ MAXX 01/15/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 35 14WC 27097 DOUGLAS, ADORN CITY OF CHICAGO 08/08/14 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 36 14WC 27450 SISTO, MICHAEL CITY OF CHICAGO 07/01/14 PARAG P. BHOSALE CITY OF CHICAGO 37 14WC 36190 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC 07/28/14 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 38 14WC 37172 TASSONE, DOMINICK A UNIVERSITY OF ILLINOIS @ 10/02/14 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 15WC000602 -C 39 14WC 37426 HOPKINS, SYLVIA HIGH TECH-PALOS HEIGHTS 01/25/12 BOWMAN & CORDAY GAROFALO SCHREIBER STORM GRA 14WC037427 -C 14WC037428 -C 40 14WC 37772 RUSH, HEATHER PALOS COMMUNITY HOSPITAL 10/10/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 15WC 00516 OLVERA, MARVIN ST OF IL 11/24/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 42 15WC 01693 OLMOS, JOSE LUIS ABM 12/09/14 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 15WC001694 -C 43 15WC 02241 TANTIVITHIWATE, JENNIFER CHICAGO PUBLIC SCHOOLS 01/15/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 18WC008691 -C 44 15WC 02931 USMAN, TOMI CHICAGO ELITE CAB CORP 11/27/14 COHN LAMBERT RYAN & SCHNEI 45 15WC 14208 SOTELO, ALLEN CHICAGO MEAT AUTHORITY 04/10/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 46 15WC 16394 CONNER, DAVID M CITY OF CHICAGO 06/30/14 KARCHMAR & STONE CITY OF CHICAGO 47 15WC 17740 TIERI, DONALD CORAM ALTERNATE SITE SRVC 11/04/14 RICHARD E ALEKSY NYHAN BAMBRICK KINZIE & LOWR 48 15WC 24403 KONCHAR, CASEY RIVER DOCKS, INC. 07/22/15 BAUM RUFFOLO & MARZAL LTD WOLF LAW LTD 49 15WC 24839 HEREDIA, JOHN CHGO DEPT OF TRANSPORTATI 05/10/13 RUBIN LAW GROUP CITY OF CHICAGO 50 15WC 26045 HUBBARD, ARTHUR CHGO BOARD OF ED 07/21/15 CAPRON & AVGERINOS PC CHGO BOARD OF EDUCATION 51 15WC 26384 SULLIVAN-WOOD, TIMOTHY M. CITY OF CHICAGO HEIGHTS 07/18/15 THOMAS W DUDA PETERSON JOHNSON & MURRAY 15WC026385 -C 15WC026386 -C 20WC003594 -C 52 15WC 26713 RODRIGUEZ, MARIA M LEMURIA LLC 07/13/15 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 53 15WC 33234 HERNANDEZ, FRANCISCO CITY OF CHICAGO DEPT OF 09/18/15 RUBIN LAW GROUP CITY OF CHICAGO 54 15WC 33340 SCHMIDT, KATELYNN BURBANK SCHOOL DISTRICT # 06/01/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 55 15WC 33969 ALMANZA, ABEL JR KELVIN CO LLC 09/30/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 56 15WC 34193 YEPEZ, JUAN M REINKE 10/20/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 57 15WC 34567 ROJAS, GUADALUPE SERVPRO 05/05/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 15WC 34757 RAMIREZ, MARIA DE LA LUZ HOME PRODUCTS 09/09/15 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 59 15WC 35035 RAPCIAK, DAMIAN GRANITE SOLUTIONS INC 09/14/15 ROSS TYRRELL INMAN & FITZGIBBONS 60 15WC 35470 MUNGUIA, CARLOS AKA COLFAX CORP 06/15/15 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 61 15WC 35903 PAREDES, ALEXANDER FH LEINWEBER, INC. 12/18/14 DAVID W MARTAY THOMAS & PORTELA 62 15WC 36661 HURT, LINDA CDS COURIER 10/23/15 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 63 15WC 36735 DALEY, GREG HALL ENTERPRISES, INC. 02/08/13 CZAPLA LAW GANAN & SHAPIRO 64 15WC 37073 JAMEEL, HAMID M VASKEN CAB INC 09/06/15 MARSZALEK AND MARSZALEK 65 15WC 37778 MARCHIORI, GINA CITY OF CHICAGO 11/03/15 SHANNON LAW GROUP CITY OF CHICAGO 66 15WC 38747 FRANKLIN, ALBERTA M CHICAGO OEMC 11/12/15 ANKIN LAW OFFICE CITY OF CHICAGO 67 15WC 39003 BEWLEY, MARK HARBOR GROUP MANAGEMENT 02/27/13 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 68 16WC 02195 FAULKNER-STARKS, KIMBERLY CHICAGO TRANSIT AUTHORITY 01/11/16 DEPAOLO ZADEIKIS GORE 69 16WC 02621 MANOUSHAG, DANIEL SUNRISE AT PARK RIDGE 03/04/13 ALEKSY BELCHER NOBLE & ASSOC 17WC022413 -C 70 16WC 03535 LUNER, CAROL ANNE BROOKDALE SENIOR LIVING @ 12/10/15 JOHNSON, MICHAEL D & ASSOC ROSARIO CIBELLA 71 16WC 04294 SMITH, ROCKY ENTERPRISE LEASING CO 12/23/15 TAYLOR MILLER SPROWL ET AL KNELL & O'CONNOR 72 16WC 04338 ZARAGOZA, JUAN AMITY PACKING COMPANY INC 03/25/15 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 73 16WC 04473 BALOUGH, APRIL PEPPER CONSTRUCTION CO 04/06/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 74 16WC 04518 HIDALGO, ANTONIO KELLOGS 08/09/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 75 16WC 05048 ROMERO, UBALDO WESTROCK SERVICES, INC. 07/01/15 CZAPLA LAW GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 16WC 05067 MILLER, ERIK P VILLAGE OF MORTON GROVE 01/27/16 THOMAS W DUDA ANCEL GLINK DIAMOND BUSH & E 77 16WC 05107 MORTEGA, IRENE CHGO BOARD OF ED 01/26/15 HORWITZ HORWITZ & ASSOC 78 16WC 05273 ROJAS, JOSE F CITY OF CHICAGO 08/04/15 FABRIZIO, HANSON & PEYLA CITY OF CHICAGO 79 16WC 06200 CUEVAS, TRINIDAD FLORIDA FRUIT JUICES 02/18/16 CRONIN & PETERS 80 16WC 06501 ASH, RALPHAEL FORD MOTOR COMPANY 02/18/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 81 16WC 06693 VARNADO, VANESSA CHICAGO TRANSIT AUTHORITY 02/27/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 82 16WC 07332 CRUZ, DAISY COSTCO WHOLESALE 01/23/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 17WC028453 -C 83 16WC 10401 BROADNEY, LISA UNIVERSITY OF ILLINOIS 02/12/15 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 84 16WC 13720 WILBON, SANDRA ILLINOIS SECRETARY OF STA 08/04/15 ASHER, RAYMOND L LTD C. FLETCHER 85 16WC 15223 OLMOS, LEONCIO OSWALDO CASTRO W 04/28/16 WOODRUFF & JOHNSON MEACHUM BOYLE TRAUFMAN 86 16WC 15242 ESTRADA, MIRNA EL ASADOR W 05/07/16 SALVATO & O'TOOLE 87 16WC 15743 WILLIAMS, SELINA CITY OF CHGO./DEPT OF FIN 05/04/16 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 88 16WC 15809 WALKER, ROSALYNN IL DEPT OF CHILDREN & FAM @ 01/15/16 STEVEN J TENZER, LTD ASSISTANT ATTORNEY GENL 89 16WC 15926 ANASTASOF, FRANK CITY OF CHICAGO 11/09/15 SOSTRIN AND SOSTRIN PC 90 16WC 16249 HUDSON, GLORIA CITY OF CHICAGO 03/01/16 DWORKIN AND MACIARIELLO 91 16WC 16443 RUIZ, CESAR CATER BIZ 04/25/16 HERRERA LAW CENTER 92 16WC 16576 SMITH, SHIRLEY CITY OF CHICAGO 05/04/16 SEIDMAN MARGULIS & FAIRMAN 93 16WC 22594 SLOBODIAN, CHAD MENARDS 01/02/16 RIDGE & DOWNES EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 94 16WC 24595 PARKER-ROBINSON, GWENDOLY PRIMESOURCE HEALTHCARE SY 07/05/16 HORWITZ HORWITZ & ASSOC 95 16WC 25573 DRISH, RYAN SILBRICO CORP 05/03/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 19WC000917 -C 96 16WC 25819 OCAMPO, ESTEBAN CHICAGO TRANSIT AUTHORITY 07/30/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 97 16WC 29167 LISIKIEWICZ, EDWARD PACE SUBURBAN BUS SERVICE 10/03/14 RAYMOND P GARZA LAW OFFICE POWER & CRONIN LTD 16WC029168 -C 98 16WC 34040 GREEN, BARBARA CERMAK HEALTH SERVICES 04/07/15 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 99 16WC 34044 BOTICA, MARTIN CITY OF CHICAGO 10/11/16 SALVATO & O'TOOLE 100 16WC 34143 RODRIGUEZ, MARGARITA CARL BUDDIG & CO 10/21/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 16WC036342 -C 101 16WC 34200 PANIK, THOMAS WILLIAMS STEEL ERECTORS 10/27/16 ELFENBAUM EVERS ZIELINSKA GILDEA, COGHLAN & REGAN LTD. 102 16WC 34309 BUENZOW, KEITH E VILLAGE OF SKOKIE FIRE DE 09/28/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 103 16WC 34345 BLOCH, FERN COOK COUNTY CLERK OF COUR 10/31/16 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 104 16WC 34370 JORDAN-BAHENA, JACOB RENE CAMPOS LANDSCAPING I 09/27/16 LAW OFFICES LEONARDO MORAL 105 16WC 34425 CONDE, WALTER LOU MALNATI'S 03/11/16 HERRERA LAW CENTER GRANT & FANNING 106 16WC 34490 MCCREEDY, LAWRENCE COOK COUNTY 05/17/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 107 16WC 34543 JUNGO, PATRICIA CHICAGO MEAT AUTHORITY 10/29/16 RUEDA, IVAN A 108 16WC 34739 HUDSON, ANTONIO CHICAGO PUBLIC SCHOOLS 10/24/16 RUBENS AND KRESS CHGO BOARD OF EDUCATION 16WC034740 -C 109 16WC 34887 CLAIBORNE, THEODORE C UNIVERSITY OF IL AT CHICA 05/21/15 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 110 16WC 35331 MARTINEZ, ANILU EYM DINER LP AKA PIZZA HU 10/01/16 CUDA LAW OFFICES INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 16WC 35508 EVITT, DEREK TOWN OF CICERO POLICE DEP 10/11/16 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 112 16WC 35536 DAVIS, CLINIQUE UNIVERSITY OF CHICAGO MED 10/06/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 113 16WC 35767 SWIETLICKI, ZBIGNIEW SKRUT CONSTRUCTION INC 11/11/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM GRA 114 16WC 36359 ROSALES, CRESENSIO VIKING MATERIALS 08/05/16 TOPPER & WEISS LTD POULOS & DIBENEDETTO LAW 115 17WC 03065 WARZECHA, ARTUR JCB INTERNATIONAL INC 01/26/17 CHRISTOPHER BUCHCAR, LTD KNELL & O'CONNOR 116 17WC 03359 RIPKA, JOHN P VILLIAGE OF WINNETKA 10/05/16 THOMAS W DUDA POWER & CRONIN LTD 117 17WC 03407 MCNEAL, LISA JACKSONN CHICAGO REED MENTAL HEALT 01/04/17 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENL 18WC012636 -C 118 17WC 03595 BRANDON, CHERYL KELLOGG 01/12/17 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 119 17WC 03858 BENDER, NICOLE CHICAGO TRANSIT AUTHORITY 11/30/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 120 17WC 03894 ARRIAGE, MARTHA BLUE PLATE 10/28/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 121 17WC 03913 RIVERA, SOPHIA NORTHEASTERN IL UNIVERSIT 12/20/16 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENL 122 17WC 03930 SANCHEZ, CAROLINA SMG MCCORMICK PLACE F&B 10/23/16 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 18WC030538 -C 123 17WC 03975 KIRKLEY, JAMES FORD MOTOR COMPANY 07/10/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 124 17WC 04335 CHANDLER, IRIS ALPHA MONTESSORI SCHOOL 01/13/17 125 17WC 04591 NEAL, ERIC L CITY OF CHICAGO 12/22/16 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 17WC 04610 SIMS, SHEILA CHICAGO BOARD OF ED 01/20/17 LEO ALT CHGO BOARD OF EDUCATION 127 17WC 05245 HALL, NICHOLE A FORD MOTOR CO 12/09/16 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 17WC005246 -C 18WC007380 -C 128 17WC 05344 19B TROTTER, FELICIA COCA COLA 02/16/17 CHRISTIAN & MANNO BRADY CONNOLLY & MASUDA PC 129 17WC 05388 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON 130 17WC 05482 GONZALEZ, PHILLIP FEDEX 02/11/17 GOLDSTEIN BENDER & ROMANOF 18WC014377 -C FEDERAL EXPRESS 18WC016459 -C CHILI'S RESTAURANT 131 17WC 05687 PIZARRO, LYDIA HOMEGOODS INC 11/10/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 132 17WC 05952 HITCHCOCK, AMANDA FORD MOTOR COMPANY 01/09/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 133 17WC 06541 HATTEN-ALEXANDER, ANGELA THE CIRCUIT COURT OF COOK 02/15/17 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 134 17WC 08096 QUIROZ, BERTHA COMPASS GROUP 03/13/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 135 17WC 10338 GALBRAITH, DANIEL CITY OF CHICAGO 03/24/17 SALVATO & O'TOOLE 136 17WC 13424 CABRALES, OMAR 24/7 CHICAGO LOCKSMITHS 01/31/17 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 137 17WC 13633 DIAZ, RAUL VARGAS GROUP 09/14/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 138 17WC 13779 TODE, ROSE RGIS INVENTORY 01/14/14 WHITESIDE & GOLDBERG LTD ARNETT LAW GROUP 139 17WC 13900 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 11/18/16 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 140 17WC 14048 HAMER, MARK BME ELECTRIC, INC 03/17/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 141 17WC 14176 VILLA, LUCAS J PANGEA VENTURES LLC 04/26/17 HENNESSY & ROACH PC 142 17WC 14379 LARA JR, GUILLERMO EL MINIAT LLC 04/25/17 MINKOW DOMIN POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 17WC 14903 CURRY, ADAM WALSH CONSTRUCTION CO OF 07/13/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 144 17WC 14941 JAUREZ, MAYBELINE SWEDISH COVENANT HOSPITAL 12/22/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 145 17WC 15037 MADRIZ-OCAMPO, JOSE PANGEA VENTURES, LLC 06/29/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 146 17WC 15139 WILSON, KORTILLOUS AVERUS 05/16/17 DOUGLAS RALLO PC RUSIN & MACIOROWSKI LTD 147 17WC 15197 PIPHUS, GERALDINE FEDEX GROUND PACKAGE SYST 04/22/17 CORBOY & DEMETRIO PC KOPKA, PINKUS DOLIN, PC 148 17WC 15236 GOGGINS, SANDRA CHICAGO TRANSIT AUTHORITY 04/29/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 149 17WC 15258 WILLIAMS, CALVIN CITY OF CHICAGO 05/10/17 DWORKIN AND MACIARIELLO 150 17WC 15314 DANYAL, GORGES D&D FINER FOODS 05/03/17 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 151 17WC 15357 TERCS, CSABA RUSH UNIVERSITY MEDICAL C 05/14/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 152 17WC 15401 LOUIS, TERESA BURLINGTON COAT FACTORY 05/08/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 153 17WC 15591 STOUTMIRE, LESTER FRESH EXPRESS 03/12/16 JAMES ELLIS GUMBINER & ASS 154 17WC 15651 MEHRINGER, BRIAN NORTHERN PRODUCTS CO 09/19/16 ROBIN LAW OFFICE HOLECEK & ASSOCIATES 17WC015652 -C 155 17WC 15693 MORALES, ALEXANDRA CHICAGO BARTON LLC 12/08/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 18WC033823 -C 156 17WC 15734 MALDONADO, LENNY PRESENCE HEALTH 05/14/17 COVEN LAW GROUP 157 17WC 15951 SHARP, TERRENCE CTA 05/12/17 FOHRMAN, DONALD W & ASSOCS 158 17WC 15966 CHAVEZ, MA ROSARIO CHICAGO POWDERED METAL PR 01/07/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 159 17WC 15990 GALINDO, EDWIN JANOZ BUILDING SERVICES, W 04/26/17 CULLEN HASKINS NICHOLSON VILLALOBOS, RAUL 160 17WC 16310 LOPEZ, JESSICA FLORES SURE STAFF 01/27/17 EDWIN REYES LEGAL GROUP LOUIS MUNDY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 17WC 22504 MITIC, SVETLANA, PARENT O PARIS FREIGHT INC #W 05/24/17 SYREGELAS, NICHOLAS C SPIEGEL & CAHILL, PC 162 17WC 22897 VALDEZ, TERESA WATERTON HOSPITALITY D/B/ 12/11/16 FREDRICK B BARDER, LTD HOLECEK & ASSOCIATES 163 17WC 23018 ROCK, CINDY BLU PETROLEUM 11/17/16 JAMES J. GAY GANAN & SHAPIRO 164 17WC 23038 ALTIER, SCOTT PILOT FREIGHT SVCS 04/07/17 LEONARD LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 165 17WC 23139 BUCKNER, DELOREAN CTA 07/24/17 GARDI & HAUGHT CHICAGO TRANSIT AUTHORITY 166 17WC 23328 CAHUE, MARIA STAMPEDE MEAT INC 05/10/17 KARCHMAR & STONE GANAN & SHAPIRO 167 17WC 23411 FRIGO, MICHAEL WERTHEIMER BOX AND PAPER 07/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 168 17WC 23675 LINTON, STANLEY WESTMONT ENGINEERING CO 09/25/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 17WC027205 -C 169 17WC 23690 MARTINEZ, CESAR CTA 08/04/17 CHICAGO TRANSIT AUTHORITY 170 17WC 23725 PUCKETT, DOMINICK PEOPLES GAS 03/29/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 171 17WC 23861 SIMPSON, COLIN PURPLE PIG 07/15/17 DEPAOLO & ZADEIKIS QUINTAIROS PRIETO WOOD & BOY 172 17WC 24402 EVANS, MICHELLE UNITED AIRLINES INC 02/09/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 19WC008738 -C 173 17WC 24464 GALIGHER, MICHELLE L ADVOCATE CHRIST MEDICAL C 05/01/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 174 17WC 24500 JOHNSON, BRIAN CITY OF CHICAGO 07/27/17 GOLDSTEIN AIOSSA & GOOD CITY OF CHICAGO 175 17WC 24566 DUSEK, ERIC UNISYS CORPORATION 08/04/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 17WC 24585 WEBB, DENARDO DELTA SONIC 08/11/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 177 17WC 24628 CALI, JOSEPH E JR VILLAGE OF WHEELING 09/02/15 THOMAS W DUDA KLEIN THORPE & JENKINS LTD 18WC001323 -C 178 17WC 24685 BURNS, MELVIN STATE OF IL DEPT OF @ 08/02/17 MARKHAM M JEEP & ASSOCIATE DANIELLE CURTISS 179 17WC 24771 HOLMES, MELISSA CHICAGO BOARD OF EDUCATIO 04/03/17 LEO ALT CHGO BOARD OF EDUCATION 180 17WC 24932 LITZEY, MARY CENTRAL STEEL AND WIRE CO 03/21/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 17WC024933 -C 181 17WC 25260 WANG, HONG MEI HARPER COLLEGE 08/15/16 ROMANEK & ROMANEK WIEDNER & MCAULIFFE LTD 182 17WC 25293 MORRIS, VIVIAN NAVISTAR 04/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 183 17WC 25315 WATSON, MICHAEL STEVEN'S SECURITY AND TRI 08/03/17 VASILATOS & COTTER LLC 184 17WC 25387 PHILLIPS, JOSEPH MISWAY DODGE 08/11/17 GRAZIAN & VOLPE PC 185 17WC 25420 COULTER, LARRY GENERAL IRON 06/29/17 CAPRON & AVGERINOS PC 186 17WC 25656 LARA, ANABEL CLUB QUARTERS 08/03/17 JOHN S. ELIASIK 187 17WC 25671 PITTMAN, ANDRE CHICAGO TANSIT AUTHORITY 08/22/17 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 188 17WC 25700 SEVERINO, SOPHIA UNITED AIRLINES 07/10/17 CULLEN HASKINS NICHOLSON 189 17WC 25717 ARENAS-ALVA, MARTINA MIDWEST CANVAS 05/02/17 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 190 17WC 31716 SCOTT, TRACEY TWO MEN AND A TRUCK 10/21/17 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 191 17WC 32413 NAVA, JUANITA QUALITY LABOR SERVICES 10/19/17 LAW OFFICES LEONARDO MORAL INMAN & FITZGIBBONS 192 17WC 32623 FONTANA, JUNE INSIGHT GLOBAL LLC 07/01/16 JAMES A. KAMIDE LAW OFFICES JOSEPH MARCINIAK 193 17WC 32719 MILLAN, HENRY CITY OF CHICAGO HEALTH DE 10/24/17 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 17WC 32721 KNIGHT, CECIL AT&T 09/27/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 195 17WC 32779 BATES, TRACY VERSITI, INC 07/25/17 BRISKMAN BRISKMAN GREENBER MEACHUM & STARCK 196 17WC 32794 JAMES, WILLIE MARIE JACKSON PARK HOSPITAL 09/11/17 DWORKIN AND MACIARIELLO ODELSON & STERK 197 17WC 33064 FRIEL, GEORGE PARK FOREST CHICAGO HTS 09/26/17 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC 198 17WC 33221 MOONEY, KATHERINE MICROSOFT TECHNOLOGY CENT 08/22/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 199 17WC 33325 MURDEN JR, RALSTON CHICAGO TRANSIT AUTHORITY 09/24/17 ANKIN LAW OFFICE 200 17WC 33370 MONTES, ALBERTA CROTHALL LAUNDRY SVCS 11/02/17 COVEN LAW GROUP GOLDBERG SEGALLA LLC 201 17WC 33416 MONAHAN, JAMES ARAMARK 04/01/15 THOMAS A MORRISSEY STONE & JOHNSON CHARTERED 17WC033417 -C 17WC033418 -C 202 17WC 33480 BROWN, SHELLY STATE OF IL DHS 02/03/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 203 17WC 33557 SANTILLAN, JOSE SMART INTERIORS, LLC 10/13/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 204 17WC 33608 SILVERSTEIN, RICHARD MACHINED PRODUCT CO. 10/19/17 NEWLAND & NEWLAND 205 17WC 34013 VILLEGAS, ELVA THE HARTFORD 08/29/17 DEPAOLO ZADEIKIS GORE 206 17WC 34163 HENTGEN, DIANE CBOE 03/28/17 LEO ALT 207 17WC 34281 SCRUGGS, KENNETH COLDWELL BANKER 11/09/17 EDWARD J. KOZEL 208 17WC 34370 DOMIAN, STEVEN P CITY OF CHICAGO- WATER MA 10/17/17 NILSON STOOKAL GLEASON CAP 209 17WC 34505 JACOBO, SERGIO SCOTT BYRON & CO 04/23/12 STANCZAK LAW OFFICES 210 17WC 34741 HARRIS, NIKITA WIDE OPEN WEST 10/21/17 211 17WC 34868 GAYTAN, ISABEL PREFERRED MEAL SYSTEM INC 10/10/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 17WC 34974 PATTI, KATHRYN EARTHLINK 01/26/15 SCOTT BARBER HOLECEK & ASSOCIATES 213 17WC 35085 TOLIVER, ANTHONY SR. BREAKING GROUND INC 11/16/17 DWORKIN AND MACIARIELLO THOMAS & PORTELA 214 17WC 35250 RODRIGUEZ, ROSA L HELP AT HOME LLC 11/22/17 HERRERA LAW CENTER INMAN & FITZGIBBONS 215 18WC 03252 RAIMONDI, JACK V GEM CONSTRUCTION, INC. 11/17/17 GALLAGHER, DONALD V LAWRENCE COZZI - LAW OFFICES 216 18WC 03541 GARCIA, SILVESTRE PACTIV, C/O CT CORP SYSTE 09/12/17 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 217 18WC 03564 HARRIS, SPENSER LIVE NATION 01/09/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 218 18WC 03601 GOGA, CINDY M STARBUCKS 04/15/16 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 219 18WC 03661 WILLIAMS, ROBERT LUIGI'S PIZZA 01/11/18 JAMES H MILLER JR 220 18WC 03739 PAYNE, PALMER A CHICAGO TRANSIT AUTHORITY 08/03/17 BUDIN LAW OFFICES CHICAGO TRANSIT AUTHORITY 221 18WC 03823 BARROW, KEITH U.S. FOODS 01/12/18 BOGUSZ & BOGUSZ LTD BRADY CONNOLLY & MASUDA PC 222 18WC 03880 HILL, JERRI MARIANO'S FRESH MARKET/ 01/15/18 JOSHUA KARMEL BRYCE DOWNEY & LENKOV LLC 18WC020450 -C 18WC020451 -C 19WC015094 -C 223 18WC 03987 NEGRON, JULIAN PRET A MANGER USA 12/30/17 GOLDSTEIN AIOSSA & GOOD JOSEPH MARCINIAK 224 18WC 04022 PEEPLES, MARK LA FITNESS 12/28/17 RUBIN LAW GROUP KRAKER FANNING & OLSEN 225 18WC 04144 YOUNG,IMARI SRV ELECTRIC 10/20/16 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 18WC004145 -C 226 18WC 04173 VASQUEZ, BARBARA COOK COUNTY JUVENILE 06/21/17 BRILL & FISHEL STATES ATTORNEY OF COOK COUN 227 18WC 04186 KING, JOHN CITY OF CHICAGO 02/01/18 HEALY SCANLON LAW FIRM 228 18WC 04204 PICMAN JR, WILLIAM J VILLAGE OF JUSTICE 10/14/17 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 07/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 18WC 04287 HENDRIX, JOHNNY PACE SUBURBAN BUS SERVICE 08/10/17 ANKIN LAW OFFICE POWER & CRONIN LTD 230 18WC 04356 WILLIAMS, SYLVIA ARAMARK 01/10/18 VASILATOS & COTTER LLC 231 18WC 04470 SANCHEZ, SONIA ABM JANITORIAL SERVICES 09/15/17 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 232 18WC 04509 SOTO, GUADALUPE MIDWEST MOLDING 12/27/17 HERRERA LAW CENTER KEEFE CAMPBELL & ASSOC LLC 233 18WC 04532 ALVAREZ, ROSELIA PALOS HILLS HOSPITAL 11/08/17 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 234 18WC 04560 RAMIREZ, JESSE WILLIAM J CASSIDY TIRE 08/29/16 ASHER, RAYMOND L LTD CASSANO & ASSOCIATES 18WC004561 -C 18WC005567 -C 18WC012679 -C 235 18WC 04639 DARDAGAN, RAMO UNIVERSAL GRANITE & MARBL 10/12/17 JEFFREY FRIEDMAN WIEDNER & MCAULIFFE LTD 236 18WC 04677 MARSHALL, SHIRLEY VITAS HEALTHCARE 01/29/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 237 18WC 04706 RICO, ALEJANDRO BENCHMARK CONSTRUCTION CO 01/04/17 CULLEN HASKINS NICHOLSON MEACHUM & STARCK