ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 21799 LOVING, SHELTON L UNITED AIRLINES 11/04/05 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 06WC021800 -C 06WC021815 -C 07WC002653 -C 2 07WC 05617 WIMMS, CATHY CITY OF CHICAGO-DEPT OF S 08/15/05 COHN LAMBERT RYAN & SCHNEI 3 07WC 30203 RIOS, CHRISTOPHER CITY OF CHICAGO 06/15/07 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 09WC025058 -C 4 08WC 04944 19B ROBINSON, CHARLES A MERIDIAN EXPRESS 01/18/08 BURNETT & CARON, LTD JAMES M KELLY 5 08WC 07785 VANTREASE, PAMELA CTA 03/18/07 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 6 08WC 26837 FULLMAN, FELICIA CTA 05/15/08 KATZ FRIEDMAN EAGLE ET AL CHICAGO TRANSIT AUTHORITY 7 09WC 28406 HOLLOMAN, NICOLE CTA 06/12/09 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 09WC028412 -C 12WC016649 -C 8 10WC 07676 JOHNSON, SHARON CHICAGO PUBLIC SCHOOL 02/01/10 SHELDON I MINKOW & ASSOCIA LAW DEPARTMENT 9 10WC 29745 BURNS, KATHLEEN NORTHWESTERN MEMORIAL HOS 03/24/06 STEVEN J SEIDMAN LAW OFFIC POWER & CRONIN LTD 10 10WC 39727 JORDAN, KENNETH NAVISTAR INC 08/21/09 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 11 11WC 00231 19B SULLIVAN, SHERRI FRANKLIN JEWEL FOOD STORES 09/29/08 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 13WC007376 -C 12 11WC 01240 19B VOLLAND, CHARLOTTE HOLIDAY INN/HARRISON LIMI 10/30/10 CZAPLA LAW MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 11WC 13013 DEWITT, EDGAR W HUEN ELECTRIC INC 08/21/09 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 14 11WC 18292 BAERLIN, CLIFFORD NAVISTAR 02/01/10 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 11WC018293 -C 14WC009335 -C 14WC009336 -C 14WC009337 -C 15 11WC 18695 NAVA, LUCILA, WIDOW TO S&C ELECTRIC COMPANY 08/05/10 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 11WC018875 -C 16 11WC 22162 KEEFFE, MICHAEL LOYOLA MEDICAL CENTER 04/19/11 BRAD J. BALKE, PC LORENZ & BERGIN PC 14WC027524 -C 17 11WC 22773 MARTIN, CLAUDIA COOK COUNTY ADULT 05/12/11 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 11WC036750 -C 17WC005356 -C 18 11WC 33334 MC GUIRE, PATRICK J JOYCE BROTHER'S INC. 02/04/11 HANNIGAN & BOTHA, LTD THOMAS & ASSOCIATES 11WC033335 -C 19 11WC 36352 ADAMS, MAURICE CITY OF CHICAGO 03/28/11 SHANNON LAW GROUP HENNESSY & ROACH PC 15WC036666 -C 15WC036667 -C 20 11WC 36546 BAERLIN, CLIFFORD NAVISTAR 09/26/08 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 21 11WC 37505 MAYES, MARJORIE GLENSHIRE NURSING 09/26/11 BERG & BERG GALLIANI DOELL & COZZI LTD 12WC019756 -C 22 11WC 40834 KEBURIS, MICHAEL 2020 EXHIBITS INC W 09/19/11 BAUM RUFFOLO & MARZAL LTD 23 11WC 45173 ALVAREZ, SARA (WIFE) JAN'S ROOFING, INC # 11/18/11 LEONARDO MORALES, ATT A LA HOLECEK & ASSOCIATES 24 12WC 07424 19B RAMIREZ, BONIFACIO AXION BUILDERS CO 02/01/12 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 25 12WC 13007 BUTLER, FREDDIE CTA 04/09/12 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 13WC018030 -C CHICAGO TRANSIT AUTHORITY 14WC040971 -C 26 12WC 43293 19B TAYLOR, DIANE CITY OF CHICAGO 11/26/12 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 15WC029123 -C PACHECO, DIANE F/K/A 27 13WC 06296 FABER, JULIE AMERICAN CANCER SOCIETY 04/04/11 GALLIANNI DOELL & COZZI LT HENNESSY & ROACH PC 28 13WC 10968 BATIO, PAUL NORSHORE CAB CO A/K/A 12/23/12 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 29 13WC 11842 MENDOZA, ANTHONY ARAMARK 02/06/13 COVEN LAW GROUP STONE & JOHNSON CHARTERED 15WC014280 -C 19WC002873 -C 30 13WC 19899 LOZA, ERNESTO CITY OF CHICAGO 04/09/13 EPSTEIN, JACK R LAW OFFICE CITY OF CHICAGO 31 13WC 21414 ORTIZ, JACQUELINE CHICAGO PUBLIC SCHOOLS 09/10/12 NEUSON LAW, PC LAW DEPARTMENT 32 13WC 21710 CORREA, DIANE THE AMERICAN BOTTLING CO 10/03/12 ROSS TYRRELL ORENSTEIN & ASSOCIATES 33 13WC 27544 SUMMERS, NORA STATE OF IL DEPT OF HUMAN 06/28/13 LUSAK AND COBB ASSISTANT ATTORNEY GENERAL 34 13WC 27745 CORTEZ, DAVID OLYMIPIC FREIGHTWAYS INC 07/18/13 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 35 13WC 31006 HAMILTON, JOHN A UPS FREIGHT 09/06/13 SOSTRIN AND SOSTRIN PC ASA LAW GROUP 13WC031007 -C 36 13WC 31606 SEROPIAN, DANIEL CITY OF CHICAGO 08/30/12 TURCYCHUTE LLC CORPORATION COUNSEL 13WC042039 -C 37 13WC 33000 ALLEN, ISAAC JR CITY OF CHICAGO 09/11/13 LEONARD LAW GROUP LLC CITY OF CHICAGO 38 13WC 33992 MA SUN, PALAUNI ARENA FOOTBALL ONE LLC 07/08/12 GORDON LAW OFFICES LTD ADELSON TESTAN BRUNDO 13WC033993 -C 15WC030015 -C 39 13WC 40600 ANDERSON, MARSHA A BURBANK SCHOOL DISTRICT 10/09/13 DEPAOLO & ZADEIKIS ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 14WC 00353 NUNEZ, ALEJANDRA SELECT REMEDY 03/30/12 LEONARD LAW GROUP LLC 41 14WC 00531 LAJAUNE MOORE, GLENN GILB AMLI MANAGEMENT CO 03/30/12 SHELDON I MINKOW & ASSOCIA RIPES NELSON BAGGOT KALOBRAT 15WC000219 -C 42 14WC 02701 ZEMROWSKI, ANGELA UNITED AIRLINES INC. 12/15/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 15WC029654 -C 17WC026682 -C 43 14WC 07237 19B URRUTIA, LOURDES ELITE STAFFING 08/28/13 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 44 14WC 10248 CRIM, LATACHIA A IL DEPT OF CORRECTIONS @ 08/30/13 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 45 14WC 16029 19B PADILLA, ROBERTO CITY OF CHICAGO, DEPT OF 03/28/14 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 46 14WC 20226 ESQUINCA, ELODIA KOCH FOODS 03/17/14 LAW OFFICES PETER LEKAS INMAN & FITZGIBBONS 14WC029458 -C 47 14WC 20611 JAGLA, STANISLAW LIMOUSINE LINES, INC. 05/19/14 LAW OFFICES OF DEBORAH SCHAE 48 14WC 21298 DE LOS SANTOS, ANDREW CITY OF CHICAGO 04/11/14 SALVATO & O'TOOLE 49 14WC 21670 GONZALEZ, AGUSTIN CITY FOODS INC 06/05/14 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 50 14WC 22034 MACIEL, JOSE G CARAUSTER CUSTOM 02/05/14 DESTEFANO, ROBERT A & ASSO KNELL & O'CONNOR 51 14WC 22136 TURNER, DARYL CTA 04/10/14 TRUGLIO, FRED A & ASSOC CHICAGO TRANSIT AUTHORITY 52 14WC 29986 MCGUIRE, MARTIN J CHICAGO TRANSIT AUTHORITY 09/16/13 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 53 14WC 30310 WILLIAMS, LESA PREMIER HOME HEALTH CARE 02/17/14 GAINES & GAINES HOLECEK & ASSOCIATES 14WC034136 -C 54 14WC 30775 19B JONES, MONTEL FORD MOTOR CO. 06/06/11 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC020242 -C 15WC020243 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 55 14WC 31584 HEMINGWAY, JERRY PETER MELIS 09/07/14 KP LAW LLC SCOTT BARBER 56 14WC 32845 HERNANDEZ, NORA ALPHA BAKING CO 09/02/14 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 14WC032846 -C 14WC038273 -C 57 14WC 33302 SCHERP, MICHAEL ERICSSON INC 11/07/12 CIARDELLI CUMMINGS CAMPAGN SPIEGEL & CAHILL, PC 58 14WC 33971 KUSTRA, MARK CLOROX PRODUCTS MFG 09/15/14 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 59 14WC 34591 19B DELGADO, JAIME CTA 05/29/14 SHANNON LAW GROUP CHICAGO TRANSIT AUTHORITY 60 14WC 36335 19B PARRA, EDUARDO ARAMARK UNIFORM & CAREER 10/08/14 KARCHMAR & STONE STONE & JOHNSON CHARTERED 17WC026371 -C 18WC000494 -C 61 14WC 38204 GODINEZ, FRANCISCO I&I HOME BUILDERS W 10/16/14 GOLDSTEIN BENDER & ROMANOF 62 14WC 41595 AGUILERA, RUBEN DART CONTAINER CORP 09/04/14 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM GRA 63 14WC 41845 MIXON, CHARLIE AMERICAN SUGAR COMPANY 10/30/14 ROMANEK & ROMANEK BRADY CONNOLLY & MASUDA PC 64 15WC 05043 GRADY, KENDRIC FORD 08/02/13 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 15WC037365 -C 65 15WC 05252 THOMAS, TERRI CASCADE ORTHOPEDIC SUPPLY 02/05/15 GRAZIAN & VOLPE PC WOLF & LAUDICINA LTD 66 15WC 05454 HIDALGO, VICTORINO II IN ONE CONTRACTORS INC 12/03/14 SCHWEICKERT & GANASSIN LITCHFIELD CAVO 67 15WC 06356 HUNTER, CHARLES J II FORD MOTOR COMPANY 09/03/13 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 68 15WC 07721 RUFFIN, CARMEN STATE OF ILLINOIS 02/16/15 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 69 15WC 07949 VALADEZ, ELIZABETH MI COSTENITA SERVICES INC 08/20/14 JOHN S. ELIASIK HOLECEK & ASSOCIATES 70 15WC 09000 CETERA, DIANE IDOT 01/14/15 SAUNDERS CONDON & KENNY COLIN KICKLIGHTER 71 15WC 09059 TIRADO, LUIS A SWISS PORT CARGO SERVICES 11/18/13 VRDOLYAK LAW GROUP LLC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 15WC 09384 BARNES, DERRICK D EATALY 12/04/14 SEIDMAN MARGULIS & FAIRMAN 73 15WC 09829 CAMPBELL, JOHN CHICAGO TRANSIT AUTHORITY 03/17/15 FOHRMAN, DONALD W & ASSOCS 74 15WC 10267 HUERTA, TERESA LABOR NETWORK 03/01/15 JOHN S. ELIASIK 75 15WC 17408 19B PAWINSKI, JOHN PROPERTY RECYCLING 05/20/15 FOHRMAN, DONALD W & ASSOCS THOMAS & PORTELA 76 15WC 21122 BURKHEAD, ANTOINETTE CITY OF CHICAGO 07/05/12 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 77 15WC 22006 FERNANDEZ, MARIBEL SUPERIOR PERSONNEL INC 06/23/15 LAW OFFICE HUGO ORTIZ 78 15WC 22283 SARABIA, ALMA EXECUTIVE MAILING SERVICE 06/01/15 MC HARGUE & JONES ANCEL GLINK DIAMOND BUSH & E 79 15WC 28834 SHERMACK, PETER ROY STROM BUILDING CORP. 07/15/15 HORWITZ HORWITZ & ASSOC KLAUKE LAW GROUP LLC 80 15WC 29207 PATTERSON, LILA M CHURCHVIEW SUPPORTIVE LIV 02/09/15 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 15WC036154 -C 81 15WC 29562 ROBERISON, EBONY FISERV 09/07/13 STEPHEN G PINTO LTD 82 15WC 29593 LOZA, CARINA SKYBOX 09/01/13 SEIDMAN MARGULIS & FAIRMAN 83 15WC 30415 TREJO, MARIA ISLAND HOSPITALITY 09/09/15 COSTA IVONE LLC HOLECEK & ASSOCIATES 17WC012069 -C 84 15WC 30755 WILLIAMS, ONREE TERMINAL GETAWAY SPA 08/30/15 MC HARGUE & JONES LAW OFFICES OF EDWARD J. KOZ 85 15WC 30988 GONZALEZ, MARIA LABOR NETWORK 09/22/15 STROM, NEAL B ROBERT L. SMITH 16WC020869 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 15WC 32231 HARPER, MECHELLE CITY OF CHICAGO, OEMC 06/26/12 CANDIANO LAW OFFICE CITY OF CHICAGO 87 15WC 37477 LARA, OBDULIA ENJOY LIFE NATURAL BRANDS 11/27/13 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 11WC027358 -C 11WC027359 -C 13WC000430 -C 15WC005481 -C 15WC005483 -C 15WC005484 -C 15WC037478 -C 17WC033394 -C 17WC033395 -C 18WC021704 -C 88 15WC 39202 RAYMOND, NICHOLAS J UNIVERSITY OF ILLINOIS @ 11/12/15 SALVATO & O'TOOLE POWER & CRONIN LTD 89 15WC 41344 DEBARTOLO, ENRICO CITY OF CHICAGO 10/30/15 HOLLAND, MARTIN CITY OF CHICAGO 90 15WC 41875 GUTIERREZ, REYNALDO JR MONDELEZ INTERNATIONAL 12/01/14 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 17WC010838 -C 91 15WC 42371 KELLY, BERNARD JR XEROX CORP 05/12/15 VITELL & SPITZ LTD BRADY CONNOLLY & MASUDA PC 92 15WC 42686 JENKINS, ROSEMARIE CHICAGO TRANSIT AUTHORITY 11/08/15 COHN & COHN CHICAGO TRANSIT AUTHORITY 93 16WC 00304 APAEZ, LUCINO POPEYE'S/MTB FOODS INC 11/14/15 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 94 16WC 00327 BALTAZAR, NEFTALI IL DEPT OF TRANSPORTATION @ 12/11/15 ERIC H CHECK, LAW OFFICES ASSISTANT ATTORNEY GENERAL 95 16WC 01893 19B EVANS DAVID COOK COUNTY COMPTROLLER @ 12/16/15 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 96 16WC 07185 ASHFORD, DEBORAH CITY OF CHICAGO 02/10/16 RITTENBERG & BUFFEN CITY OF CHICAGO 97 16WC 07594 SPADARO, THOMAS R SENTINEL TECHNOLOGIES 02/15/16 MARTIN V KUGIA HENNESSY & ROACH PC 98 16WC 07973 GRUMAN, ZACHARY ROMEOVILLE POLICE DEPARTM 01/08/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 99 16WC 08424 BAERLIN, CLIFFORD NAVISTAR 02/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 100 16WC 08833 JEFFERSON, ANTONIO FEDERAL EXPRESS CORPORATI 01/04/16 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 16WC 09259 HILL, FRED MC DONAGH DEMOLITION 05/21/14 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 102 16WC 09312 HERRERA, VALERIE EAST BALT COMMISSARY INC 09/01/15 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 103 16WC 09398 MARTINEZ-RAMIREZ, ROSELIA ELITE STAFFING, INC. 03/08/16 SALK, STEVEN B & ASSOC LTD 104 16WC 09510 DELGADO, LAURA NAVISTAR 10/15/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 17WC031258 -C 105 16WC 09527 HOLMES, TCHERNAVIA CHICAGO BOARD OF EDUCATIO 12/08/15 HORWITZ HORWITZ & ASSOC CHGO BOARD OF EDUCATION 106 16WC 09661 BAERLIN, CLIFFORD NAVISTAR 07/14/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 107 16WC 09744 OKUNOWSKI, MARY SHOP AND SAVE MARKET 04/11/13 BOWMAN & CORDAY HENNESSY & ROACH PC 108 16WC 10025 MALEC, JAMES METROPOLITAN WATER RECLAM 12/15/14 DWORKIN AND MACIARIELLO NOBLE & ASSOC 109 16WC 10089 WEATHERSPOON, DEMETRIUS T ST OF IL DEPT OF HS JOHN 02/22/16 VITELL & SPITZ LTD MALLORY ZIMET 110 16WC 10507 PIKUL, JESSICA ORSAN PYRAMID ADVISORS 05/31/15 111 16WC 10613 HARRIS, GEORGIA MONDELEZ 10/17/14 DANIEL PERIASWAMY 112 16WC 10660 MURPHY, TERRELL LAFOURNETTE BAKERY 03/25/16 THOMAS R LICHTEN QUINTAIROS PRIETO WOOD & BOY 16WC010661 -C 113 16WC 17977 MAJCHSZAK, ROBERT PAN-O-GOLD 12/26/15 COVEN LAW GROUP POWER & CRONIN LTD 17WC018363 -C 114 16WC 18171 SMITH, DORIS D CHICAGO PUBLIC SCHOOLS 01/25/16 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 115 16WC 18733 CASEY, GREG EWL TRUCKING INC. 05/27/16 HORWITZ HORWITZ & ASSOC WOLF LAW LTD 116 16WC 18848 NEGRETE, LUZMARIA DTI 05/05/16 MICHAEL HELLMAN LAW OFFICES OF EDWARD J. KOZ 117 16WC 18941 REAL, EDWARD COCA COLA COMPANY 04/25/16 SKLARE LAW GROUP BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 16WC 19152 REYES, RAYMOND C. FORD MOTOR COMPANY C/O CT 05/28/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 119 16WC 19654 VALDES, ALEJANDRA ARAMARK 05/12/16 SALVATO & O'TOOLE INMAN & FITZGIBBONS 120 16WC 19689 QUINONEZ, MARIA CPS 05/13/16 COVEN LAW GROUP CHGO BOARD OF EDUCATION 121 16WC 19896 SANCHEZ, ARTURO HYDE PARK APARTMENTS LLC 06/12/16 THE ROMAKER LAW FIRM LAW OFFICE OF PAUL O WATKISS 19WC004868 -C 122 16WC 20406 FOY, DEBRA TRANSTIONAL CARE OF ARLGT 03/17/16 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 123 16WC 22909 WALLACE, KEISHA TRT TRANSPORTATION, INC. 09/23/13 KEISHA WALLACE POULOS & DIBENEDETTO LAW 124 16WC 27044 ROMERO, JOSE ANTONIO BRENNAN MASONRY COMPANY 07/13/16 CHRISTIAN & MANNO 125 16WC 27064 HOLST, GERALD J. JR. CHICAGO TRANSIT AUTHORITY 06/11/16 RIDGE & DOWNES CHICAGO TRANSIT AUTHORITY 126 16WC 27069 JURCENKO, JAY AT&T 07/28/16 CHRISTINE F DAVID HENNESSY & ROACH PC 127 16WC 27620 PETTRY, DAMIEN ELITE STAFFING 04/12/16 HORWITZ HORWITZ & ASSOC 128 16WC 27949 WILSON, RAYMOND CITY OF CHICAGO 08/08/16 HEALY SCANLON LAW FIRM 129 16WC 28086 DISMUKE, SHEFFEL CTA 08/25/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 130 16WC 28164 URIZAR, ANGELO IL DEPT OF TRANSPORTATION @ 08/20/16 RUBIN LAW GROUP ASSISTANT ATTORNEY GENERAL 131 16WC 28504 SEGARRA, TRAVIS (DECEASED NATION PIZZA AND FOOD # 09/03/16 RUBENS AND KRESS MEACHUM & STARCK 132 16WC 28897 SANDOVAL, DARIO BARRY ROOFING, INC 08/17/16 GOLDSTEIN BENDER & ROMANOF RIPES NELSON BAGGOT KALOBRAT 133 16WC 29026 DEADERICK, SNEED AT&T 06/26/15 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 16WC 29335 CEJA, MARTIN V FORMOSA INC 09/12/16 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 135 16WC 29900 AGUIRRE, NANCY UNITED AIRLINES INC. 01/13/16 SALVATO O'TOOLE FROYLAN WIEDNER & MCAULIFFE LTD 16WC035216 -C 136 16WC 30196 GHAI, VIJAY MENASHA CORPORATION 01/27/16 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 137 16WC 30355 MORENO, JORGE GC AMERICA 08/17/16 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 138 16WC 33601 HALTERS, DONNA CITY OF CHICAGO 08/11/16 CUDA LAW OFFICES HENNESSY & ROACH PC 17WC020439 -C 139 16WC 34782 19B CORTEZ, RUBEN CNC LAWN CARE INC 04/18/16 CHEPOV & SCOTT LLC WOLF LAW LTD 140 16WC 34862 ORTEGA, MARICELA FORD MOTOR COMPANY 04/04/16 MC HARGUE & JONES POWER & CRONIN LTD 141 16WC 37541 KASHYAP, ANOOP WEBER-STEPHEN PRODUCTS LL 09/22/16 TEWS THEISEN & THEISEN LAW OFFICES JOSEPH MARCINIAK 17WC027248 -C 142 16WC 38414 PALAFOX, SERGIO BRANDENBURG INDUSTRIAL SR 01/26/16 COSTA IVONE LLC 143 16WC 38449 INNISS, GEORGE CITY OF CHICAGO 07/25/16 JAMES ELLIS GUMBINER & ASS 144 16WC 38464 HORSLEY, JUSTIN G COOK COUNTY SHERIFFS DEPT 07/01/16 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 145 16WC 38805 VELAZQUEZ, ADRIAN OLYMPIA MOVING & STORAGE 12/08/16 FISHER & LAMONICA 146 16WC 38975 ZUNIGA, CARMEN DLH 08/23/16 OSVALDO RODRIGUEZ PC WOLFE & JACOBSON, LTD 147 16WC 39075 FERN, RICHARD METAL MATIC INC 12/07/16 STROM, NEAL B HOLECEK & ASSOCIATES 148 17WC 00015 CARVER, MICHAEL INTEGRATED AIRLINE SERVIC 12/28/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 149 17WC 00263 SANCHEZ, RICARDO CITY OF HARVEY 11/27/16 COVEN LAW GROUP ANCEL GLINK PC 19WC033753 -C 150 17WC 00339 OLSON, LINDA SCHULTZE & BURCH BISCUIT 10/26/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 17WC 06853 MORFOOT, JOHN CHRISTOPHER GLASS & ALUMI 02/13/17 WILLIAM S. WOJCIK LTD LAW OFFICES JOSEPH MARCINIAK 152 17WC 07223 WINFREY, RICHARD NEW ALBERTSON'S INC DBA 01/15/17 GORDON & CENTRACCHIO LLC EVANS & DIXON 153 17WC 07240 MEREDITH, FREDERICK DAKKOTA INTEGRATED 12/22/16 ANKIN LAW OFFICE 154 17WC 07273 GONZALEZ, JOE GDI OMNI INC 05/03/16 ARGIONIS & ASSOCIATES LLC 155 17WC 07300 TULIC, SAMIR HARVARD PROTECTION SERVIC 11/29/16 156 17WC 07348 JONES, ANGELIQUE CTA 02/18/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 157 17WC 07532 MAZON, MARIA KELLOGG'S 11/15/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 158 17WC 07568 LANIER, ERNESTINE CPS 02/09/17 COVEN LAW GROUP CHGO BOARD OF EDUCATION 159 17WC 07994 ABREGO, JUDITH EXECUTIVE MAILING SERVICE 10/10/16 EPSTEIN, JACK R LAW OFFICE 160 17WC 08067 CIRILO, MANUEL LOFTON HOLDING SEVEN 03/01/17 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 17WC036367 -C 161 17WC 08600 AYALA, ADA NOWEGIAN AMERICAN HOSPITA 04/08/16 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 162 17WC 08833 GONZALEZ-AUQUI, CARLOS C NU-WAY INDUSTRIES INC. 02/21/17 ANKIN LAW OFFICE GILDEA & COGHLAN 163 17WC 08997 JUAREZ, FELIPE PETE'S CAB COMPANY 02/22/17 164 17WC 09080 DAVIS, PHALANDRIA CITY OF CHICAGO STREETS O 02/24/17 KARCHMAR & STONE CITY OF CHICAGO 165 17WC 09145 GRABIAS, BODGAN M GROSKI CONSTRUCTION DBA G 03/03/17 166 17WC 09203 AGUILAR, JOSE COOK COUNTY SHERIFF'S OFF 02/09/17 CUDA LAW OFFICES INMAN & FITZGIBBONS 167 17WC 09300 HILL, EDDIE L SR. CHICAGO TRANSIT AUTHORITY 06/04/14 ROBERT A. WILSON CHICAGO TRANSIT AUTHORITY 168 17WC 09543 STCYR, SMITH UBER TECHNOLIGIES INC 02/05/17 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 17WC 09769 ARREOLA, REGINALDO UNISTAFF INC. 03/16/17 LAW OFFICES PETER LEKAS LITCHFIELD CAVO 170 17WC 09817 MOLINA, ORESTILA PANEK PRECISION 03/21/17 EDWIN REYES LEGAL GROUP 171 17WC 09885 BILBRO, TAWANNA CITY OF CHICAGO STREETS & 02/27/17 DWORKIN AND MACIARIELLO 172 17WC 10043 CAMPOS, HORTENCIA ARCHER WIRE INTERNATIONAL 03/28/17 JONATHAN SCHLACK CASSANO & ASSOCIATES 18WC033609 -C 173 17WC 10337 BOKSA, ALINA ADDOLORATA VILLAGE 08/29/16 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 174 17WC 16947 KAMHOLZ, NANCI ILLINOIS DEPT OF @ 03/17/17 BAUM RUFFOLO & MARZAL LTD STATE OF ILLINOIS 17WC022334 -C IL DEPT OF JUVENILE JUSTIC 17WC022335 -C 175 17WC 17388 GUZMAN, FRANCISCO CITY OF CHICAGO 06/07/17 VASILATOS & COTTER LLC CITY OF CHICAGO 176 17WC 17415 DUMAS, RODNEY LOYOLA UNIVERSITY MEDICAL 06/02/17 ANGELINI & ORI LLC 177 17WC 17429 MORRIS, PAMELA IL DEPARTMENT OF CORRECTI 04/13/17 LEONARD LAW GROUP LLC ALYSSA SILVESTRI 178 17WC 17695 STIDHAM, RONALD MATERIAL SCIENCE CORPORAT 04/28/17 HORWITZ HORWITZ & ASSOC GRANT & FANNING 179 17WC 17868 FALCON, MARIA CHICAGO PARK DISTRICT 03/15/17 COVEN LAW GROUP CHICAGO PARK DIST LAW DEPT 180 17WC 18059 TOLLIVER, JOLENE ILLINOIS DEPT OF HUMAN RI @ 03/03/17 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 181 17WC 18156 LOWRY, DOROTHY JACKSON PARK HOSPITAL 05/30/17 MARC J SHUMAN & ASSOCIATES ODELSON & STERK 182 17WC 18337 NAUGHTON, THOMAS J VILLAGE OF PARK FOREST 03/19/16 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 17WC018338 -C 183 17WC 18371 ESPINO, JOSE BERGEN CONSTRUCTION 05/25/17 BRILL & FISHEL WOLF & LAUDICINA LTD 184 17WC 18420 WARE, MELLINEE CVS PHARMACY 06/25/17 COSTA IVONE LLC 185 17WC 18466 ADKINS, VERNON JUDLAU OHL GROUP 05/15/17 CULLEN HASKINS NICHOLSON THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 17WC 18987 CASSANO, DEENA EVERGREEN KIA 04/10/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 187 17WC 19158 BRITO, LAURA ELITE STAFFING INC 04/06/17 JAMES M GERAGHTY 188 17WC 19183 WILSON, WILLIE J CTA 06/20/17 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 189 17WC 19208 FLISK, THEODORE CITY OF CHICAGO 03/26/17 COYNE REINKE LAW CITY OF CHICAGO 190 17WC 19251 LOPEZ, MARIA COSMOPOLITAN TEXTILE RENT 06/08/17 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 191 17WC 19367 ANDERSON, RONALD REAL TRUCKING 06/02/17 DAVID W MARTAY SCOPELITIS GARVIN LIGHT 192 17WC 19456 HAYES, RAY CITY OF CHICAGO/ 08/26/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 193 17WC 19505 MENDEZ, ROCIO CITY OF CHICAGO-DEPTOF FI 06/16/17 SALVATO & O'TOOLE 194 17WC 26395 THOMPSON, ROSEMARY CARSONS FURNITURE GALLERY 08/24/17 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 195 17WC 26523 VALERUGO, CATHLEEN A THYSSEN KRUPP STEEL, NA 08/11/17 NILSON STOOKAL GLEASON CAP WOLFE & JACOBSON, LTD 196 17WC 26669 WILLIS, SANDRA CITY OF CHICAGO 06/12/17 O'CONNOR & NAKOS 197 17WC 26707 VERSETTO, REGINA HOME DEPOT 07/05/16 SPIROS LAW PC 198 17WC 26784 ANDERSON, MARC PEPSI-COLA/PEPSI CO 12/16/16 SOSTRIN AND SOSTRIN PC ROBERT L. SMITH 199 17WC 26909 NELSON, CHRISTINA UPS @ 05/31/17 MUELHAUSEN & STEFANI NYHAN BAMBRICK KINZIE & LOWR 200 17WC 26986 LIUBINSKAS, GILE GLOBETROTTERS INTL 08/18/17 GALLAGHER LAW PC WIEDNER & MCAULIFFE LTD 201 17WC 27109 MARTIN, DIANE SAM'S CLUB 08/25/17 CAPRON & AVGERINOS PC GANAN & SHAPIRO 202 17WC 27148 JONES, GERALDINE DAMEN HEALTHCARE GROUP, L 09/02/17 ANKIN LAW OFFICE 203 17WC 27252 MORGAN, EDWIN AT&T 04/12/17 TURCYCHUTE LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 17WC 27346 JONAS, ROMAN LAKESHORE CONSTRUCTION GR 06/27/17 CHEPOV & SCOTT LLC 205 17WC 27644 MOORE, LORIANNA ST JOSEPH'S HOSPITAL 09/06/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 206 17WC 27666 HOWARD, DERRICK CITY OF CHICAGO 06/09/17 DANIEL PERIASWAMY CITY OF CHICAGO 207 17WC 27741 CRAWFORD, IVAN CHICAGO TRANSIT AUTHORITY 09/09/17 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 208 17WC 27925 BURNS, TRACIE CITY CHICAGO-DEPT OF 09/18/17 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 209 17WC 28115 SPRADLIN, SCOTT LUMINEX 05/15/17 DWORKIN AND MACIARIELLO 210 17WC 28366 BURCIAGA, GUADALUPE AZTECA FOODS INC 06/19/17 RICHARD O. GREENFIELD HOLECEK & ASSOCIATES 211 17WC 28446 HUDZIK, ARTUR BADLY INC 09/11/17 212 17WC 28484 FIORE, ANTHONY CTA 09/12/17 FRANCIS J DISCIPIO LAW OFF CHICAGO TRANSIT AUTHORITY 213 17WC 28634 MAGANA, LUIS WHEATLAND TUBE 06/12/17 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM GRA 19WC010123 -C 214 17WC 28654 MURRAY, ROSHANTA Q SOUTHWEST AIRLINES CO 07/28/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 215 17WC 28941 VOGT, BRIAN KIEWIT INFRASTRUCTURE 09/18/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 216 17WC 29086 DOMINGUEZ, OMAR JOSE L GARCIA LAWN 05/17/17 SEIDMAN MARGULIS & FAIRMAN 217 17WC 29099 GUERRERO, LUIS CITY OF CHICAGO 06/20/16 MARSZALEK AND MARSZALEK CITY OF CHICAGO 218 17WC 32216 ULEWICZ, TOMASZ BERKSHIRE REFRIGERATED WA 07/25/15 LAW OFFICE OF LAURA A CHIL BRYCE DOWNEY & LENKOV LLC 219 17WC 34144 DELGADO, REYNALDO HD SUPPLY FACILITIES MAIN 02/02/15 LEONARD LAW GROUP LLC LITCHFIELD CAVO 17WC034145 -C 17WC034146 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 220 17WC 36204 MANNING, GEORGE CITY OF CHICAGO 10/02/17 BOGUSZ & BOGUSZ LTD HENNESSY & ROACH PC 221 17WC 36209 MILLON, TRACY L CARL BUDDIG & CO 08/11/17 CORNFIELD & FELDMAN KNELL & O'CONNOR 19WC008013 -C 19WC008016 -C 222 17WC 36380 WRIGHT, RALPH STATE OF ILLINOIS @ 01/20/16 RUBIN LAW GROUP ASSISTANT ATTORNEY GENERAL 223 17WC 36539 MARTINEZ, MARIA TODAY'S TEMPTATIONS DBA 12/07/17 LAW OFFICES LEONARDO MORAL 224 17WC 36588 AL SULTANI, SABEEHA ARAMARK FACILITY SVS 08/25/17 LAW OFFICE JASON SAGER 225 17WC 36660 WILLIAMS, SHEENA UNIVERSITY OF CHICAGO MED 01/01/17 ANKIN LAW OFFICE POWER & CRONIN LTD 226 17WC 36737 SCOTT, MARY COSTCO 10/16/17 LAW OFFICES TIMOTHY HENDER GANAN & SHAPIRO 17WC037210 -C 227 17WC 36772 JENNINGS, STEVEN COOK COUNTY 01/25/17 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 228 17WC 36974 MARSHALL, SYLVESTER CHICAGO TRANSIT AUTHORITY 06/22/17 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 229 17WC 37026 ROBINSON-STOVAL, TINA HARVEY CITY POLICE DEPART 12/10/17 WILLIAM B MEYERS, LTD ANCEL GLINK PC 230 17WC 37149 SNYDER, DARIN CITY OF CHICAGO 11/28/17 HEALY SCANLON LAW FIRM 231 17WC 37158 GEORGE, DEMETRIUS APRIL COBRA ENTERPRISES 11/17/17 HOLECEK & ASSOCIATES 232 17WC 37397 PINA, JULIO RON'S STAFFING 12/04/17 SALVATO O'TOOLE FROYLAN 233 17WC 37426 MCCRAW, GERARD EXHIBIT SOURCE, INC 11/01/17 COSTA IVONE LLC JOSEPH MARCINIAK 234 17WC 37451 HILL, KRISTY UNIVERSITY OF CHICAGO HOS 12/21/16 THEODORE L STACY HENNESSY & ROACH PC 235 17WC 37635 INDYK, ADAM HILTON WORLDWIDE INC 12/07/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 236 17WC 37710 FLEMING, REGINALD M IRON MOUNTAIN 09/21/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 237 17WC 37806 HOLQUIN, GLORIA DURABLE PACKAGING INTL 03/27/17 SEIDMAN MARGULIS & FAIRMAN WOLF LAW LTD 238 17WC 37853 WHALEY, CHARISE ADVANCED AUTO PARTS 12/14/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 239 17WC 37871 OYERVIDES-CAMACHO, MARIA JEWEL FOODS 06/11/17 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 240 17WC 38019 GONZALEZ, JORGE EAST BALT BAKERIES 07/17/17 ROSS TYRRELL NYHAN BAMBRICK KINZIE & LOWR 241 17WC 38065 MCCOY, RITA M FKA RITA M COOK COUNTY 08/21/17 FRANK A CELANI STATES ATTORNEY OF COOK COUN 242 18WC 00103 KELTNER, RYAN HANSON MATERIAL SERVICE 12/10/17 FRANCIS J DISCIPIO LAW OFF 243 18WC 00126 GAYTAN, BASILIO LABOR TEMPS 12/20/17 COSTA IVONE LLC ROBERT L. SMITH 244 18WC 00214 SONG, KEEMYUNG CITY SPORTS 12/19/17 LAW OFFICES MICHAEL HELLMA JOSEPH MARCINIAK 245 18WC 00466 JOHNSON, JULIETT D COVENANT ENABLING RESIDEN 12/06/17 MALLOY ETZLER & LAWHEAD PC ASHER, RAYMOND L LTD 246 18WC 02123 19B BODNAR, CHARLES B IL DEPT OF TRANPORTATION 12/05/17 FIGLIOLI, DAVID ALYSSA SILVESTRI 247 18WC 02578 19B SMART, SHEILA CITY OF CHICAGO 12/06/17 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 248 18WC 07019 FRADE, RAFAEL WIL-PUMP CONCRETE 06/12/17 NYHAN BAMBRICK KINZIE & LOWR 249 18WC 07113 SELLERS, CARLA COOK COUNTY DEPT OF CORRE 02/26/18 MC HARGUE & JONES STATES ATTORNEY OF COOK COUN 250 18WC 07156 LANGE, JACOB SYSCO 12/27/17 BURNETT & CARON, LTD 251 18WC 07183 REA, MARCOS ANDRADE HORIZON REALTY GROUP 05/25/17 COLLISON LAW OFFICES ROSARIO CIBELLA 252 18WC 07262 YATES, WILLIAM ILLINOIS TOLLWAY 02/18/18 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 253 18WC 07410 MENA, LEESA ANAI S&D PRODUCTS 10/03/16 HERRERA LAW CENTER 254 18WC 07703 TRIPP JR, EDWARD PREMIUM TRANSPORTATION GR 01/24/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 18WC009118 -C 255 18WC 07748 WASHINGTON, WILLIE MAE ALLTOWN BUS SVC, INC 02/15/18 ANESI OZMON RODIN NOVAK KO HANSON LAW OFFICE 256 18WC 07896 NEVAREZ, JESUS MEDLAB LABORATORY 12/28/17 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 257 18WC 08046 KAMINSKI, JOHN I V TIRE SERVICE, LLC 02/17/18 HART & DAVID LLP PATRICK BROOKS 258 18WC 08218 LENAERTS, STEVE ILLINOIS TOLLWAY 06/22/17 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 259 18WC 08235 HERNANDEZ, MARIA V LYONS TOWNSHIP 03/12/18 THE ROMAKER LAW FIRM ANCEL GLINK DIAMOND BUSH & E 260 18WC 08256 STATEN, DEMETRIUS SUMMIT STAFFING 12/04/17 PORRO NIERMANN LAW GROUP 261 18WC 08420 MARION, BETTY NORTHWESTERN MEMORIAL HOS 02/05/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 262 18WC 08496 HIZEL, DOUGLAS TRITON PLUMBING LLC 09/20/17 VOGG, MARK J LAW OFFICE STONE & JOHNSON CHARTERED 263 18WC 08655 CRONIN, JOHN S TRINITY ROOFING SERVICE I 06/26/17 CAPRON & AVGERINOS PC BRADY CONNOLLY & MASUDA PC 264 18WC 08719 KESSE, INEZ CHICAGO TRANSIT AUTHORITY 02/02/18 LARRY FLEISCHER & ASSOCIAT CHICAGO TRANSIT AUTHORITY 18WC008720 -C 19WC006343 -C 265 18WC 09003 MURPHY, RYAN W VILLAGE OF NORTHBROOK 12/22/17 THOMAS W DUDA POWER & CRONIN LTD 266 18WC 09151 AVAKIAN, ALEXANDER PANROSA ENTERPRISES, INC 02/23/18 HUGHES SOCOL PIERS RESNICK JOSEPH MARCINIAK 267 18WC 09160 CLINTON, MACK SOUTHWEST AIRLINES 02/13/18 KARCHMAR & STONE HENNESSY & ROACH PC 268 18WC 09333 MORENO, ANDRES AZTECA GRILL 12/03/17 BUDIN LAW OFFICES JOSEPH MARCINIAK 269 18WC 09457 MENDOZA, GAMALIEL TRUE WORLD FOODS 01/19/18 KATZ FRIEDMAN EAGLE ET AL LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 18WC 09471 BOVKIN, DEMETREUS CITY OF CHICAGO 03/06/18 GOLDBERG WEISMAN & CAIRO L 271 18WC 09569 DURR, TAKARA FEDEX GROUND PACKAGE SYST 03/21/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 272 18WC 09639 WALLS, WARREN ELECTRO-MOTIVE DIESEL 10/23/17 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 273 18WC 09836 BRAZLEY, CORTEZ L COMMONWEALTH EDISON/ 02/18/18 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 274 18WC 09875 RINGER, JAMES INSITUFORM TECH USA LLC 06/22/17 VOGG, MARK J LAW OFFICE HENNESSY & ROACH PC 275 18WC 09902 GARCIA, MARIA ELITE STAFFING INC 11/02/17 COSTA IVONE LLC 276 18WC 09920 SULO, LUAN SUDLER & COMPANY/SUDLER 11/23/17 ANKIN LAW OFFICE 277 18WC 10053 NUNEZ, AURELIO H ALTERNATIVE STAFFING, INC 01/23/18 SALK, STEVEN B & ASSOC LTD SLAVIN & SLAVIN 278 18WC 10148 JORDAN, MICHAEL A IL DEPT OF TRANSPORTATION @ 03/19/18 FIGLIOLI, DAVID ASSISTANT AT0TORNEY GENERAL 279 18WC 17187 MILLER, ADAM CITY OF CHICAGODEPT OF TR 01/09/17 CUDA LAW OFFICES CITY OF CHICAGO 280 18WC 17245 DURAN, BERTHA TRANSCENDIA, INC 04/30/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 281 18WC 17356 AGUIRRE, MARCO GLOBAL CFS INC 05/05/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 282 18WC 17403 GRAY, DIONTAE PEPSI 05/24/18 LEONARD LAW GROUP LLC GAIDO & FINTZEN 283 18WC 17560 GUTIERREZ, ESTEBAN LAWRENCE FOODS 01/10/18 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 284 18WC 17644 PITCHFORD, ERMA JEAN VITAS HEALTHCARE 03/24/18 DWORKIN AND MACIARIELLO 285 18WC 17770 PANIAGUA, MACRIA DEPARTMENT OF ST & SANITA 02/21/18 VRDOLYAK LAW GROUP LLC 286 18WC 17884 BOLDEN, FLOYD GATEWAY BUSINESS SYSTEMS 06/04/18 MC HARGUE & JONES 287 18WC 17929 THOMPSON, PAMELA PIONEER CONCEPTS INC 06/05/18 DEPAOLO & ZADEIKIS GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 288 18WC 18001 BELTRAN, LUCERO EL MILAGRO, INC 04/25/18 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 289 18WC 18100 BALL, PAULA CHICAGO TRANSIT AUTHORITY 06/12/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 290 18WC 18158 SCHMIT, JOHN CITY OF CHICAGO 05/02/18 SALVATO O'TOOLE FROYLAN CITY OF CHICAGO 291 18WC 18216 LE GRAND, FRANK W REPUBLIC SERVICES, INC 10/02/17 BERNAT & BERNAT PC 292 18WC 18286 TILLMAN, SHARON STERIS 04/23/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 293 18WC 18358 VARGAS, RAFAEL THE ROYLA GROUP ANNEX, LL 02/21/18 HUGHES SOCOL PIERS RESNICK 294 18WC 18543 HART, NIKIMA CHICAGO TRANSIT AUTHORITY 06/15/18 ALEKSY BELCHER 295 18WC 18586 FRANCISCO, FRANCISCO C ST ENTRERPRISES INC 06/01/18 TIMOTHY HENDERSON 296 18WC 18606 BARAN, RUBEN FEDEX 06/18/18 WARREN W MARK KOPKA, PINKUS DOLIN, PC 18WC032880 -C 297 18WC 18628 TAYLOR, GLEN TRIANGLE PACKAGE 04/24/17 RIDGE & DOWNES 298 18WC 18692 BRIGHT, GLORIATTE COOK COUNTY CLERK'S OFFIC 08/20/17 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 299 18WC 18730 CANTY, SHEWANNA CHICAGO TRANSIT AUTHORITY 06/21/18 ARGIONIS & ASSOCIATES LLC CHICAGO TRANSIT AUTHORITY 300 18WC 18758 CONTRERAS, ADOLFO THORNE ASSOCIATES, INC 10/20/16 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 301 18WC 18783 POSTLEY, MICHAEL UNITED CONTINENTAL HOLDIN 04/16/18 STROM & ASSOC WIEDNER & MCAULIFFE LTD 19WC001837 -C 302 18WC 18829 HUNT, JERRY CHICAGO TRIBUNE 06/22/18 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 303 18WC 18851 VALCIN, NORVELYNE THE GROVE 04/14/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 304 18WC 18953 BANKS, RICKEY E ROTO-ROOTER SVCS CO 05/01/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 305 18WC 19134 TATE, CARMEN COOK COUNTY SHERIFF 07/27/17 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 306 18WC 19240 GHOULEH, NADIA S PROVIDENCE OPERATIONS LLC 06/16/18 ANKIN LAW OFFICE FRANCESCA LARSEN 307 18WC 19525 FISHER, MARTHA SUPERIOR AMBULANCE 06/18/18 STROM & ASSOC POWER & CRONIN LTD 308 18WC 19539 HERNANDEZ, LUIS REPUBLIC SERVICES @ 07/05/17 CHRISTINE F DAVID 309 18WC 19604 IZZI, JOSEPH SCHMIDT STEEL, INC 06/26/18 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 310 18WC 19625 DAVIDSON, GABRIELLE UNIVERSITY OF CHICAGO HOS 06/08/18 SANDMAN LEVY & PETRICH KNELL O'CONNOR DANIELWICZ 311 18WC 19691 PINA, CATALINO SR DIRECT SAT USA, LLC 05/24/18 DWYER & COOGAN MEACHUM & STARCK 312 18WC 19713 SALGADO, SANTOS COLFAX CORPORATION 06/07/18 LUSAK AND COBB BRYCE DOWNEY & LENKOV LLC 313 18WC 19807 REGAINS, ANGELA ARAMARK 06/15/18 DAVID W MARTAY INMAN & FITZGIBBONS 314 18WC 19835 HURST, TREVOR CENTRAL TRANSPORT 05/29/18 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 315 18WC 19866 RODRIGUEZ, LUIS HOLLAND LP 09/02/15 ROSS TYRRELL SCHOUEST BAMDAS SOSHEA 18WC020905 -C 316 18WC 19968 LEINER, KYLE CHICAGO TRANSIET AUTHORIT 06/06/18 HORWITZ HORWITZ & ASSOC HORWITZ HORWITZ & ASSOC 317 18WC 24770 FLEWELLEN, ETTA FORD MOTOR COMPANY 08/10/18 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 318 18WC 25903 19B LOEHR, ROBERT G FOREST PRESERVE OF COOK C 07/13/18 HANNIGAN & BOTHA, LTD GILDEA, COGHLAN & REGAN LTD. 319 18WC 26589 HANANIA, JASON ACCURATE PLUMBING DOCTOR 03/15/15 JOSEPH J LOSS PC QUINTAIROS PRIETO WOOD & BOY 320 18WC 26669 VEGA, EFRAIN MAESTRO INTERNATIONAL 08/15/18 JAMES ELLIS GUMBINER & ASS 321 18WC 26777 TAYLOR-JACKSON, ADDIE BREMEN SCHOOL DISTRICT 22 04/06/18 ARGIONIS & ASSOCIATES LLC INMAN & FITZGIBBONS 322 18WC 26804 ARTIESHENKO, NATALIIA CHICAGO PARK DISTRICT 07/25/18 O'CONNOR & NAKOS CHICAGO PARK DIST LAW DEPT 323 18WC 26857 MARCHESE, NICHOLAS CITY OF CHICAGO 07/31/18 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 324 18WC 26870 ROBINSON, CYNTHIA ABRAXAS GEO GROUP CORPORA 07/07/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 325 18WC 26954 PRAMUK, DESIREE DESIREE'S COIFFURES 08/11/18 WOLFE LAW PC 326 18WC 27002 SANTIAGO, JANETH SOTO BURLINGTON COAT FACTORY 04/27/18 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 19WC033877 -C 327 18WC 27037 MIKIC, GORAN CHICAGO PUBLIC SCHOOLS 09/04/18 WHITESIDE & GOLDBERG LTD CHGO BOARD OF EDUCATION 328 18WC 27099 NATHANIEL, KITTIE FEDERAL EXPRESS CORP 08/15/18 RITTENBERG BUFFEN BRADY CONNOLLY & MASUDA PC 18WC027100 -C 329 18WC 27158 IBARRA, FRANCISCA OLYMPIA FEILDS COUNTRY CL 03/21/17 BUIKEMA HISKES DILLNER ET KEEFE CAMPBELL BIERY & ASSOC 330 18WC 27244 CHAGOYA, GUSTAVO LA HISPAMEX FOOD 06/14/16 CHEPOV & SCOTT LLC PAUL O WATKISS 331 18WC 27260 HICKEY, CHRISTINE CBM PREMIER 07/11/18 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 332 18WC 27335 PEARSON, BEVERLY CHICAGO TRANSIT AUTHORITY 07/31/18 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 333 18WC 27395 DUERR, MICHAEL PARK LAWN SCHOOL 11/21/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 334 18WC 27525 MCCAULEY, LAURA KELLOGG'S COMPANY 08/28/18 THOMAS LAW KEEFE CAMPBELL BIERY & ASSOC 335 18WC 27540 FELICIANO, ANTHONY SHOP ON WHEELS W 08/01/18 CRONIN & PETERS 336 18WC 27581 MARTIN, THOMAS A TESTA PRODUCE, INC 05/14/18 GALLAGHER, DONALD V CAPUANI, FRANK S 337 18WC 27596 HAYES, DION FAMILY DOLLAR 08/27/18 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 338 18WC 27621 MARCINEK, AGATA DAVID'S BRIDAL 01/23/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 339 18WC 27729 BULLARD, MICHELLE UNITED CONTINENTAL HOLDIN 12/03/16 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 18WC027730 -C 340 18WC 27747 LANKFORD, TINA FAMILY DOLLAR 08/08/18 VRDOLYAK LAW GROUP LLC EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 18WC 27765 RIVERA, VERONICA CD ONE PRICE CLEANERS 09/30/17 GRAUER & KRIEGEL LLC BRADY CONNOLLY & MASUDA PC 342 18WC 27789 SHILLINGFORD, HAROLD STUDIO MOVIE GRILL HLDING 09/18/18 STEVEN B SALK & ASSOC LTD EDWARD J. KOZEL 343 18WC 28107 WASILEWSKI, ANDZELIKA HARTGROVE BEHAVORAL HEALT 11/16/17 FRANCIS J DISCIPIO LAW OFF MC ANDREWS & NORGLE LLC 18WC036609 -C ACADIA HEALTHCARE (TIMERLI 344 18WC 28154 CASTELLANOS, MANUAL SURGE STAFFING/NEW SBL, I 09/07/18 SCOTT B SHAPIRO HENNESSY & ROACH PC 345 18WC 28196 HOFER, FREDERICK WHITE CASTLE SYSTEM, INC 05/12/18 CORBOY & DEMETRIO PC SPIEGEL & CAHILL, PC 346 18WC 28237 STEELE, BRIANA GREYHOUND BUS LINES 09/02/18 DONALD FOHRMAN & ASSOC WIEDNER & MCAULIFFE LTD 347 18WC 28262 HERNANDEZ, GLENN WHOLE FOODS 07/22/18 GOLDSTEIN BENDER & ROMANOF 348 18WC 28280 CARR, KORINNE CHICAGO PUBLIC SCHOOLS 06/19/18 JACKOWIAK LAW OFFICES CHGO BOARD OF EDUCATION 349 18WC 28302 ARMSTEAD, PARIS HERTZ 09/13/17 KARCHMAR & STONE INMAN & FITZGIBBONS 350 18WC 28337 MCCULLOUGH, CORY M PGT TRUCKING 08/13/18 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 351 18WC 28356 BIRRAGES, CHARLES CHICAGO TRANSIT AUTHORITY 08/27/18 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 352 18WC 28377 BERRY, JULIUS D&D CLEANING SERVICES 07/03/18 CHARLES LEVY & ASSOC LTD 353 18WC 28399 MONTANEZ, AIDA E SALVATION ARMY 09/14/18 DWORKIN AND MACIARIELLO EVANS & DIXON 354 18WC 28458 BLACKWELL, BARBARA LARC 09/07/18 SKLARE LAW GROUP GAIDO & FINTZEN 355 18WC 28533 NAVA, UBALDO D&D FREIGHT, INC 10/19/17 MC HARGUE & JONES SCOPELITIS GARVIN LIGHT 356 18WC 28650 GARCIA-TOLEDO, DUBESNEY CHICAGO LYFT HUB 08/30/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 357 18WC 28681 CHAVEZ, ADRIANA ELITE STAFFING 09/20/17 JONATHAN SCHLACK 358 18WC 28865 JONES, IMARI JEWEL FOODS 02/22/18 SEIDMAN MARGULIS & FAIRMAN 18WC037804 -C 19WC028801 -C 359 18WC 28896 BARRERA, JOSE MARTIN PRODUCE, INC. 09/06/18 SHEA LAW GROUP ANCEL GLINK DIAMOND BUSH & E 360 18WC 28980 FRAWLEY, WILLIAM JB HUNT TRANSPORT, INC 08/15/18 ANESI OZMON RODIN NOVAK KO EVANS & DIXON 361 18WC 29023 EVANS, MARTHA TARGET 09/06/18 FRIEND LEVINSON & BERGAL KEEFE CAMPBELL BIERY & ASSOC 362 18WC 29048 LEDEZMA, DANIEL REBOUND GROUP INC 07/24/18 ANKIN LAW OFFICE 363 18WC 29232 SCHAPIRO, ANGELA COMPLETE CREWING 09/24/18 RUBENS KRESS MULHOLLAND RIPES NELSON BAGGOT KALOBRAT 364 18WC 29266 BEACH, DANIEL UPS FREIGHT 09/19/18 KROL BONGIORNO & GIVEN LTD ASA LAW GROUP 365 18WC 29267 PAYNE, JIMMY CITY OF CHICAGO 08/23/18 KROL BONGIORNO & GIVEN LTD 366 18WC 29280 ARREGUIN, CLAUDIA T UNITED AIRLINES 03/18/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 367 18WC 29330 ARREDONDO, ALICIA BUTERA FINER FOODS 07/05/18 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 368 18WC 29413 JENKINS, MELINDA A CHICAGO TRANSIT AUTHORITY 08/29/18 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 369 18WC 29528 WIELGA, ARTHUR EAGLE EXPRESS LINES 09/20/18 NILSON STOOKAL GLEASON CAP INMAN & FITZGIBBONS 370 18WC 29690 WILLIAMS, SHERELL MCDONALD'S 09/15/18 DWORKIN AND MACIARIELLO ANCEL GLINK PC 371 18WC 29747 HUDSON, KENNETH COOK COUNTY SHERIFF'S OFF 08/03/18 MORICI FIGLIOLI & ASSOC STATES ATTORNEY OF COOK COUN 372 18WC 29773 AULT, NEAL THE GOODYEAR TIRE 01/13/17 TARADASH LAW OFFICE MEACHUM BOYLE TRAUFMAN 373 18WC 29826 KURCZAK, JEFFREY REPUBLIC SERVICES 07/10/18 GRAUER & KRIEGEL LLC 374 18WC 29860 DRONSKI, MELISSA DUNKIN DONUTS 10/01/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 18WC 29958 SHAPIRO, JEFFREY MARINO CHYSLER JEEP DODGE 09/13/18 ANESI OZMON RODIN NOVAK KO HANSON LAW OFFICE 376 18WC 31126 19B GARCIA, MAURICIO AKERS PACKAGING SERVICE, 06/19/18 STROM & ASSOC HOLECEK & ASSOCIATES 377 18WC 34515 MICELI, ANTHONY MMM PROPERTY HOSTING, LLC 10/30/18 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 378 18WC 35959 SANCHEZ JR, JUAN COSTCO WHOLESALE CORP 10/10/18 SOSTRIN AND SOSTRIN PC GANAN & SHAPIRO 379 18WC 35981 GONZALES, LAUREN AMERICAN AIRLINES, INC 08/29/18 ANKIN LAW OFFICE 380 18WC 36048 HARRINGTON, RONALD LOYOLA MEDICAL CENTER 11/17/18 MC HARGUE & JONES 381 18WC 36143 ARMENTA, JOSE I.D.O.T. 12/05/18 KREITER, BYCK & ASSOC LLP ALYSSA SILVESTRI 382 18WC 36166 SANCHEZ, JUAN C D'AGOSTINOS PIZZA 08/02/18 SALVATO O'TOOLE FROYLAN KEEFE CAMPBELL BIERY & ASSOC 383 18WC 36212 CAMACHO, JOSE GDI SERVICES, INC. 08/28/18 HERRERA LAW CENTER MEACHUM & STARCK 384 18WC 36313 MENDEZ, INOCENCIO SYSCO CHICAGO, INC 12/04/18 ANKIN LAW OFFICE GAIDO & FINTZEN 385 18WC 36341 SORIANO, EDWARD SECOND CITY ELECTRICAL 12/05/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 386 18WC 36527 BETTACHE, SOFIANE HOSTESS BRANDS, LLC 09/24/18 SCOTT BARBER 387 18WC 36550 ESCOBEDO, JOSE N CUMMINS ALLISON CORP 11/22/17 MC HARGUE & JONES 388 18WC 36589 BODEDE-ADEBAYO, BENEDICTA THE GROVE OF SKOKIE 10/12/18 RANDALL A. WOLFF & ASSOC BRADY CONNOLLY & MASUDA PC 389 18WC 36630 TALABI, OLAYIMIKA A UBER 12/10/18 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 390 18WC 36719 PACHECO-JERGER, CAROLYN COSTCO WHOLESALE CORP 06/25/18 ANKIN LAW OFFICE GANAN & SHAPIRO 391 18WC 36738 VENSON, ELMER ELECTRO-MOTIVE DIESEL 11/14/18 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 392 18WC 36849 MARENO, WALTER ADVANCED AUTO PARTS 11/29/18 JOSEPH F. VITU

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 18WC 36993 CIFALDI, CLAUDIO UNITED CONTINENTAL HOLDIN 12/01/18 BRIAN J MC MANUS & ASSOC, 394 18WC 37129 LERCHER, GEORGE LAKESHORE BEVERAGE/ 02/12/18 RICHARD E ALEKSY 395 18WC 37230 HUXHOLD, CHERLYN P UNITED AIRLINES 03/30/18 BUTLER & KEMPER 396 18WC 37525 PATRICK, CHRISTINA SOUTHEAST PERSONNEL LEASI 12/16/18 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 397 18WC 37556 LAU, MARK A BARRINGTON TRANSPORTATION 11/27/18 ANESI OZMON RODIN NOVAK KO 398 18WC 37782 RODRIGUEZ, IGNACIO ELG METALS, INC 12/03/18 GOLDSTEIN AIOSSA & GOOD 399 18WC 37852 DERALA, AJDUAN, VALET PARKING AUTHORITY 10/21/17 NEWMAN, BOYER & STATHAM BRADY CONNOLLY & MASUDA PC 400 18WC 38175 FLONDOR, ADAM ELECTRIC CONDUIT CONSTRUC 12/04/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 401 18WC 38201 GRAHAM, KEWAUN J FUDDRUCKER'S 12/08/18 GALLAGHER, DONALD V MEACHUM & STARCK 402 18WC 38375 MUHAMMAD, KARRIEM CITY OF CHICAGO DEPT OF W 12/19/18 ARGIONIS & ASSOCIATES LLC 403 18WC 38410 ANZA, JACLYN MEDVET 05/10/17 GWC INJURY LAWYERS LLC EDWARD J. KOZEL 404 18WC 38450 KELLIHER, JENNIFER RATIO ARCHITECTS 12/07/18 MC HARGUE & JONES HOLECEK & ASSOCIATES 405 19WC 00035 MAGIS, FRED THE CHEESECAKE FACTORY 06/10/18 HORWITZ HORWITZ & ASSOC ASA LAW GROUP 406 19WC 00111 MUNOZ VALLES, JUAN SCHENKER, INC 08/28/18 HERRERA LAW CENTER EDWARD J. KOZEL 407 19WC 00182 SEYFARTH, ROSANNA THOMAS PINK 01/14/17 HORWITZ HORWITZ & ASSOC POULOS & DIBENEDETTO LAW 408 19WC 00347 OSORIO, VICTOR LOMBARD ARCHITECTURAL PRE 01/19/18 TAXMAN POLLOCK JOSEPH MARCINIAK 409 19WC 00370 DAVIS, VINCENT SALT CREEK RURAL PARK DIS 11/27/18 STROM & ASSOC 410 19WC 00423 BOOKER, DWAYNE STATE OF ILLINOIS-EPA @ 11/30/18 DAMISCH & DAMISCH LTD ALYSSA SILVESTRI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 19WC 00479 VOJACK, KRISTINE GOLF MIDDLE SCHOOL 02/05/16 PETER C KOPOULOS ANCEL GLINK PC 412 19WC 06933 QUINLAN, THOMAS DELTA AIRLINES, INC. 11/16/17 BRIAN J MC MANUS & ASSOC, GAIDO & FINTZEN 413 19WC 07109 BOURAS, CONSTANTINOS F CTA 02/01/19 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 414 19WC 07131 MITCHELL, STEVE HILTON CHICAGO 10/12/18 KROL BONGIORNO & GIVEN LTD 415 19WC 07161 GUNTHER, SANDRA FRITO-LAY INC 01/17/19 STEVEN J MALMAN & ASSOCIAT GILDEA, COGHLAN & REGAN LTD. 416 19WC 07184 ARIAS-CANALES, MIRIAN Y VILLAGE DISCOUNT OUTLET 08/15/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 417 19WC 07210 MOARN, CHARLES GERBER COLLISION & GLASS 10/25/17 JASINSKI, GEORGE J HOLECEK & ASSOCIATES 418 19WC 07280 GARCIA-ACEVEDO, JOSE MANU AUTO RENEW GROUP LLC 01/10/19 LULAY LAW OFFICES 419 19WC 07326 GARCIA, ANDRES UPPER DECK STAFFING 12/05/18 JOSEPH F. VITU WIEDNER & MCAULIFFE LTD 420 19WC 07393 JAVIER-PELAEZ, ROSENDA HANDI-FOIL CORPORATION 02/12/19 HECTOR ESPITIA HOLECEK & ASSOCIATES 421 19WC 07421 ESPINOZA, EDWARD ANNING-JOHNSON COMPANY 11/02/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 422 19WC 07446 HOLMES, JACQUELINE LBP MANUFACTURING, LLC 10/01/18 SCOTT B SHAPIRO 423 19WC 07509 SAUSEDO, JORGE A RAINBOW INTNL RESTORATION 10/12/18 ROSS TYRRELL 424 19WC 07573 JONES, WILSON CHICAGO HOUSING AUTHORITY 01/07/19 WOODRUFF JOHNSON 425 19WC 07788 SANDOVAL, MARI CRUZ HOSPITALITY STAFFING SOLU 01/31/19 COSTA IVONE LLC HENNESSY & ROACH PC 426 19WC 07805 MIRANDA-RUIZ, GUADALUPE CITY OF CHICAGO-OEMC 03/20/17 CUDA LAW OFFICES 427 19WC 07881 NOVOTNY, PATRICIA UNITED CONTINENTAL HOLDIN 10/23/18 KATZ FRIEDMAN EAGLE ET AL 428 19WC 07896 OLIVER, DELANO SQUARE TRADE, INC. 01/07/19 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 19WC 07953 BLALOCK, MICHELLE CHICAGO TRANSIT AUTHORITY 03/01/19 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 430 19WC 08005 DONALDSON-HILLER, AGATHA MACY'S 12/12/18 PAVONE LAW GROUP PC BRYCE DOWNEY & LENKOV LLC 431 19WC 08070 CASTILLO, ALEX COOK COUNTY DEP OF CORREC 02/09/19 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 432 19WC 08187 LEAH, MARES JEWEL FOOD STORES INC 02/19/19 DWYER & COOGAN 433 19WC 08212 SANTOS, ALEXANDRA P MACED MENARDS 12/31/14 ANESI OZMON RODIN NOVAK KO CHILTON YAMBERT PORTER LLP 434 19WC 08235 WOLFF, LISA ENTERTAINMENT PARTNERS 03/04/19 ELFENBAUM EVERS ZIELINSKA RUSIN & MACIOROWSKI LTD 435 19WC 08316 RODRIGUEZ, JENNIFER M FEDEX GROUND PKG SYS, INC 02/04/19 MORICI FIGLIOLI & ASSOC KOPKA, PINKUS DOLIN, PC 19WC022918 -C 436 19WC 08335 EVANS, KYLE SOUTHWEST AIRLINES CO 12/16/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 437 19WC 08396 REYES-VILLAGOMEZ, GABRIEL GREENWISE ORGANIC LAWN CA 04/20/18 MEYERS & FLOWERS EVANS & DIXON 438 19WC 08452 MONEGAN, MAKITA HEARTLAND BLOOD CENTERS 09/19/16 ERIC M GLASSON & ASSOCIATE 439 19WC 08604 WOLSKI, MICHAEL C UNIVERSITY OF ILLINOIS @ 11/05/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 440 19WC 08753 COKER-PIERCE, PATRICIA SECURITAS 12/01/16 JOHN S. ELIASIK STONE & JOHNSON CHARTERED 441 19WC 08765 FARIAS, LUPE ALLSTAR FASTENERS 10/09/18 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 442 19WC 08783 DAVILA, MELITON HARRIS ICE CO, INC 08/07/18 ACEVES & PEREZ PC 443 19WC 08842 DAVIS, FLORA ILLINOIS CENTRAL SCHOOL B 11/15/18 MARK N LEE 444 19WC 08878 CHARLES, MICHAEL SMG/MCCORMICK PLACE 01/22/19 VRDOLYAK LAW GROUP LLC 445 19WC 08925 OZIER, KERMIT CHICAGO PUBLIC SCHOOL 01/02/19 GOLDSTEIN BENDER & ROMANOF 446 19WC 09017 HAPANIONEK, TREVOR COOK COUNTY SHERIFF'S DEP 03/02/19 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 19WC 09149 BAKER, LAWRENCE CHICAGO TRANSIT AUTHORITY 03/23/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 448 19WC 09167 RIVERA-ORTEGA, LEO DSTM/AMAZON 02/07/19 449 19WC 09214 VILLANUEVA, CRYSTAL MONTERREY SECURITY 12/14/18 NEMEROFF LAW OFFICES POWER & CRONIN LTD 450 19WC 09253 RIVERA, IGNACIO ODM TOOL & MANUFACTURNG C 03/20/19 ENCINAS & ORNELAS 451 19WC 09292 CUMMINGS, CARMEN WORLD SHIPPERS OF CHICAGO 03/13/19 DEPAOLO & ZADEIKIS ROSARIO CIBELLA 452 19WC 09342 PACHECO, AMANDA FEDERAL MOGUL CORP 03/08/19 ACEVES & PEREZ PC KEEFE CAMPBELL BIERY & ASSOC 453 19WC 09389 GOODMAN, STEPHEN COOK COUNTY SHERIFF DEPT 01/08/19 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 454 19WC 09407 GARCIA, MANUEL ED MINIAT 02/27/19 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 455 19WC 09443 WILHELM, ROBERT A JR HUGHES ENTERPRSIES, INC 02/04/19 LOUIS A PLZAK & ASSOCIATES 456 19WC 09483 LARSON, TAMERA BERGET AMERICAN AIRLINES 06/13/18 STRONG LAW OFFICE 457 19WC 09559 LAURINO, JIM CHICAGO FIRE DEPARTMENT 11/27/18 HORWITZ HORWITZ & ASSOC 458 19WC 09581 GARCIA, ARMANDO ARAUJO FERNANDO CONSTRUCTION 11/05/18 JONATHAN SCHLACK 459 19WC 09608 AGOSTINELLI, MICHAEL TIP TOP BUILDERS 01/29/19 RANDALL A. WOLFF & ASSOC 460 19WC 09681 RAMIREZ, LITZI GOLDEN CORRAL 02/17/19 BAUM RUFFOLO & MARZAL LTD 461 19WC 09701 FLOWERS, SHARON CHICAGO THEATRE GROUP, IN 02/21/19 TAXMAN POLLOCK 462 19WC 09738 AKHTAR, SYED UBER 12/14/18 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 463 19WC 09759 WARD, TERRANCE CTA 03/24/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 464 19WC 09841 HERNANDEZ, JESUS TRIUNE LOGISTICS/METROPOL 01/09/19 WHITT LAW LLC LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 465 19WC 09859 ELLIS, GWENDOLYN SILENT COOPERATIVE 02/22/19 GERALD CONNOR 466 19WC 09983 VILLA, ODILON ANTHONY MARANO CO. INC. 01/21/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 467 19WC 10069 VEGA, JOSE CORPORATE CLEANING SERVIC 12/11/18 COVEN LAW GROUP 468 19WC 10097 OBULOR, EMMANUEL AMITA HEALTH 04/11/18 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 469 19WC 10146 PEPPERS, TOMMY KEYSTONE AUTOMOTIVE 12/18/18 PETER LIMPERIS INMAN & FITZGIBBONS 470 19WC 10167 COLLIER, JEFF FOREST PRESERVE DISTRICT 01/03/19 STEVEN J MALMAN & ASSOCIAT FOREST PRESERVE DIST COOK CO 471 19WC 10185 TEAGUE, SHEILA WALGREENS 03/05/19 VRDOLYAK LAW GROUP LLC GILDEA, COGHLAN & REGAN LTD. 472 19WC 10201 JORDAN, SATARA FAMILY DOLLAR 03/04/19 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 473 19WC 10323 RINDAL, KARLA CSTN 02/25/19 SEIDMAN MARGULIS & FAIRMAN 474 19WC 16587 SADDLER, LORRIE STATE OF ILLINOIS DOC PAR @ 04/17/19 BLOCK, KLUKAS & MANZELLA P STATE OF ILLINOIS 475 19WC 16802 RAMIREZ ORELLANA, CARLOS NOGUEZ ROOFING 05/16/18 TRAPP & GELLER 476 19WC 16898 GARCIA, JORGE A Z FORCE TRANSPORTATION 05/17/19 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 477 19WC 16958 JOHNS, QUINSELLA M AMERICAN AIRLINES 04/11/19 ANESI OZMON RODIN NOVAK KO 478 19WC 17003 HOLMES, MARLON AVIS BUDGET 05/25/19 MARTIN L GLINK LAW OFFICE BRADY CONNOLLY & MASUDA PC 479 19WC 17034 PEREZ, ANGEL ENRIQUE DARIO'S PALLETS 05/13/19 TIMOTHY HENDERSON INMAN & FITZGIBBONS 480 19WC 17059 SANCHEZ, MARIA LSL INDUSTRIES INC 03/02/19 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 19WC 17189 TERRY, LARRY FEDERAL EXPRESS 02/21/19 COVEN LAW GROUP 482 19WC 17225 QUINTANA, RODOLFO US FOODS 04/19/19 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 19WC032488 -C 483 19WC 17304 JARAMILLO, ROSARIO BREMEN HIGH SCHOOL DIST 2 04/04/19 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 484 19WC 17382 ARZUAGA, ANNA MARGARET CHICAGO PUBLIC SCHOOLS 05/13/19 JOHN J CASTANEDA CHGO BOARD OF EDUCATION 485 19WC 17465 COLSON, LOISE C AMERICAN AIRLINES, INC 06/05/19 ANKIN LAW OFFICE 486 19WC 17485 ARNOLD, WILLIAM B JNS, INC. 06/07/19 ELFENBAUM EVERS ZIELINSKA HENNESSY & ROACH PC 487 19WC 17533 WALLACE, VALERIE M WALGREEN'S 02/07/18 GALLAGHER, DONALD V GILDEA, COGHLAN & REGAN LTD. 488 19WC 17552 CORTEZ, TERESA AXION CORPORATION 05/20/19 JONATHAN SCHLACK JOSEPH MARCINIAK 489 19WC 17580 PARAMORE, RACEDIATE COACH USA 05/27/19 BURNES & LIBMAN POULOS & DIBENEDETTO LAW 490 19WC 17596 ALVAREZ, ALEJANDRO PILOT FLYING J 05/24/19 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 491 19WC 17614 MCCORMICK, SETH D EMPIRE CASTING, LLC 05/22/19 GOLDSTEIN BENDER & ROMANOF ROSARIO CIBELLA 492 19WC 17645 HUGHES, DARIUS FORD MOTOR COMPANY 06/10/19 DONALD FOHRMAN & ASSOC WIEDNER & MCAULIFFE LTD 493 19WC 17775 KING, ANTONIO CHICAGO PUBLIC SCHOOLS 06/07/19 ANSELMO DURAN CHGO BOARD OF EDUCATION 494 19WC 17793 MAESTRO, LUCINA ST MARY'S HOSPITAL 11/12/18 GERALD CONNOR BRADY CONNOLLY & MASUDA PC 19WC017794 -C 495 19WC 17813 RIVERA GARCIA, LUZ SODEXO 04/08/19 ROBERT WARSASKI INMAN & FITZGIBBONS 496 19WC 17864 WATTS, NICHOLE CTA 03/28/19 ASHER, RAYMOND L LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 19WC 17886 CRUZ, MIGUEL DART CONTAINER CORPORATIO 03/06/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 498 19WC 17923 TSERKOVNYUK, TATYANA PRESENCE ST MARY NAZARETH 05/23/19 SANDMAN LEVY & PETRICH BRADY CONNOLLY & MASUDA PC 19WC033274 -C STS MARY & ELIZABETH MEDIC 499 19WC 17943 ARREGUIN CORONA, ROSALBA THE GREEN MAID, INC 04/23/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 500 19WC 18014 CASTILLO, MARIA DE LOURDE ELITE STAFFING 04/26/19 LEONARDO MORALES 501 19WC 18122 BEGA, CARL MANCARI'S DEALERSHIP 10/09/18 LEONARD LAW GROUP LLC 502 19WC 18184 SANTELLANO, MIKE UCHICAGO MEDICINE 01/31/19 JOSETTE BELVEDERE POWER & CRONIN LTD 503 19WC 18213 ABODON-ANASTACIO, ANGELIN COLVEG-COLUMBUS VEGETABLE 04/15/19 ANGELA NARDI-QUIGLEY KOREY RICHARDSON LLC 504 19WC 18253 BYNUM, JULIAN ED MINIAT RECEIVING DEPAR 05/13/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 505 19WC 18274 SIMONE, SHERYL CANTEEN 04/14/19 GWC INJURY LAWYERS LLC 506 19WC 18327 HARRIS, JACQUELINE COOK COUNTY SHERIFF 05/29/19 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 507 19WC 18344 DAVIS, HELEN LOYOLA MEDICAL CENTER 03/22/19 LEONARD LAW GROUP LLC 508 19WC 18380 RAY, PAUL COOK-DUPAGE TRANSPORTATIO 06/14/19 ANKIN LAW OFFICE 509 19WC 18424 PADILLA, MANUEL MACIAS MO'S AUTO REPAIR 05/24/19 ANGELINI & ORI LLC 510 19WC 18442 MILLS, AMANDA FORD MOTOR COMPANY 04/17/18 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 511 19WC 18507 VAZQUEZ, RAUL AMERICAN EAGLE AIRLINES 04/30/19 DEPAOLO & ZADEIKIS 512 19WC 18593 LEWIS, TAMIKA PRAIRIE OASIS 06/21/19 DWORKIN AND MACIARIELLO GAIDO & FINTZEN 513 19WC 18642 CEDILLO, JULIO E K & K IRONWORKS 07/24/18 O'CONNOR & NAKOS 514 19WC 18670 BARQAD, HUSSAIN RABBIT, INC W 10/10/18 WOLFE LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 19WC 18688 SHUMAKER, GRESHANDRA JOHN H STROGER, JR HOSPIT 05/08/19 RUBENS KRESS MULHOLLAND STATES ATTORNEY OF COOK COUN 516 19WC 18713 RIVERA LA TORRE, MARITZA INNOVATED STAFFING, LLC 06/19/19 COSTA IVONE LLC HENNESSY & ROACH PC 517 19WC 18736 PARTIDA, JOSE Q & G TRADING CORPORATION W 06/08/19 CHEPOV & SCOTT LLC TAMVAKIS, GEORGE L 518 19WC 18878 GARABITO, NINA M SWISSOTEL CHICAGO 10/16/18 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 519 19WC 19008 SZEWCZYK, ARTUR C-THRU WINDOWS CO. 06/20/19 ANKIN LAW OFFICE 520 19WC 19036 BRODNAN, LAURA PALATINE SCHOOL DISTRICT 12/11/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 521 19WC 19126 SEGER, JENNIFER PRESENCE ST MARY & 06/07/18 ASHER, RAYMOND L LTD BRADY CONNOLLY & MASUDA PC 522 19WC 19147 RIOS, ABEL JR. RAINCOAT ROOFING 04/09/19 ROSS TYRRELL 523 19WC 19161 CRAIG, YOLANDA JUVENILE TEMPORARY 01/08/19 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 524 19WC 19181 PROPATI, RICHARD JEWEL FOOD STORES, INC 08/21/16 RAYMOND P GARZA LAW OFFICE WIEDNER & MCAULIFFE LTD 525 19WC 19216 GOMEZ, JUAN VIMAK CONSTRUCTION & 05/21/19 ARGIONIS & ASSOCIATES LLC EVANS & DIXON 526 19WC 19239 ARONSTEIN, MARC FETTES LOVE & SIEBEN PLUM 10/02/18 LAW OFFICE OF LAURA A CHIL BRYCE DOWNEY & LENKOV LLC 527 19WC 19269 MARTINEZ, PHYLLIS M WEC ENERGY GROUP/PEOPLES 01/23/17 TIMOTHY HENDERSON MC CABE & HOGAN 528 19WC 19317 HAMPTON, JOSHUA CWS TRUCKING, CO 06/19/19 DAVID W MARTAY MEACHUM & STARCK 529 19WC 19349 WOLEOLA, FAIDAT L FEDEX GROUND PACKAGE SYST 06/27/19 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 530 19WC 19364 NEVIDOMSKY, BRENDEN L AMERICAN MULTI-CINEMA, IN 06/29/19 STEWART C ORZOFF 531 19WC 19389 EMERY, LASHIA GATE GOURMET 06/30/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 532 19WC 19449 CLEARLY, EILEEN C FOLLETT CORP 06/03/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 19WC 19467 ARCHIBALD, BRIAN R BIMBO BAKERIES USA 06/12/19 KATZ FRIEDMAN EAGLE ET AL 534 19WC 20988 ROSAS, IRMA R.K KENZIE CORP 05/21/18 NO ATTORNEY QUINTAIROS PRIETO WOOD & BOY 535 19WC 22694 19B RODRIGUEZ, JUAN NORTHFIELD TWNSHP HS DIST 03/19/19 LIPKIN & APTER WIEDNER & MCAULIFFE LTD 536 19WC 23780 PRICE, NEAL CAD CONTRACT GLAZING INC 03/25/19 GWC INJURY LAWYERS LLC 537 19WC 26057 RODRIGUEZ, RAMON NEXT DOOR 07/06/18 BALKE & WILLIAMS GILDEA, COGHLAN & REGAN LTD. 538 19WC 26092 DOZIE, ANGELA WEST SUBURBAN MEDICAL CEN 05/05/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 539 19WC 26119 ALEXANDER, KARON BLOOM TOWNSHIP HIGH SCHOO 05/16/19 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 540 19WC 26151 ALVAREZ, CARLOS INTERPARK INC. 02/01/18 KARCHMAR & STONE 541 19WC 26248 LEON, HUMBERTO FIRST SERVICE RESIDENTIAL 07/26/19 SCHWEICKERT GANASSIN 542 19WC 26278 CROWN, SHERWIN L ALLSTATE INSURANCE COURT 05/05/17 ROBERT WARSASKI HENNESSY & ROACH PC 543 19WC 26296 GARDNER, DEREK GRAY TREE SERVICES 06/07/19 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 544 19WC 26316 WALLACE, DEANDRE UNIVERSITY HEALTH SYSTEMS 06/24/19 THOMAS LAW MC ANDREWS & NORGLE LLC 545 19WC 26335 BECERRIL, EDUARDO FOOD FOR THOUGHT CHICAGO 02/28/18 JOHN S. ELIASIK 546 19WC 26348 MERESHCHUK, TETYANA COMPASS GROUP 06/11/19 CHEPOV & SCOTT LLC GANAN & SHAPIRO 547 19WC 26370 LOPEZ, PAOLA MENDOZA NAF NAF GRILL 08/22/19 HERRERA LAW CENTER 548 19WC 26393 STACKLEY, CRAIG IMPERIAL REALTY COMPANY 06/02/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 549 19WC 26406 JONES, LAKECHA RUSH UNIVERSITY MEDICAL C 08/30/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 550 19WC 26471 DORENCZ, MELISSA LIVE NATION WORLDWIDE INC 06/07/19 O'CONNOR LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 19WC 26501 HUERAMO, RODOLFO SOUDAN METALS, INC 08/07/19 EPSTEIN, JACK R LAW OFFICE 552 19WC 26525 REANOS, ELIZABETH METRO STAFFING 05/29/19 DWORKIN AND MACIARIELLO 553 19WC 26547 PALKA, CHARLENE HADADY CORPORATION 11/08/17 THE ROMAKER LAW FIRM 554 19WC 26568 HAYS, LENNIE JEWEL 04/27/19 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 555 19WC 26583 PEREZ BUTRON, LUIS COOK COUNTY 09/06/19 LEONARD S. BECKER STATES ATTORNEY OF COOK COUN 556 19WC 26638 HAMILTON, DOMONIQUE FIRST STUDENT CHARTER 08/22/19 DWORKIN AND MACIARIELLO 557 19WC 26662 TORRES, LUCIANO THE HOME DEPOT 09/11/19 DAVID W MARTAY ADELSON TESTAN BRUNDO 558 19WC 26678 DIAZ-FLORES, SILVIA ATLAS EMPLOYMENT SERVICES 09/10/19 STEVEN B SALK & ASSOC LTD GAIDO & FINTZEN 559 19WC 26702 VILLAREAL, NOEL TRANSFER STATION & DIVERS 09/06/19 GERALD CONNOR 560 19WC 26744 CAMPBELL, KIERA DEPARTMENT OF HUMAN SERVI 09/03/19 DWORKIN AND MACIARIELLO ASSISTANT ATTY GENL 561 19WC 26758 HALL, HAZEL EUROPEAN SERVICE AT HOME, 09/05/19 KARCHMAR & STONE GANAN & SHAPIRO 562 19WC 26780 VELAZQUEZ, NARDY CHICAGO SCAFFOLDING, INC 06/27/19 EDWIN REYES LAW FIRM BRADY CONNOLLY & MASUDA PC 563 19WC 26841 FLORES RIVERA, BERTHA A SURE STAFF 05/24/18 CARONE LAW OFFICES LOUIS MUNDY 564 19WC 26892 DELMAR, ALAN THE WALKING COMPANY 05/30/19 GWC INJURY LAWYERS LLC KRAKER FANNING & OLSEN 565 19WC 26962 HERRERA, EDGAR DC EXPORT 09/10/19 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 566 19WC 26987 HERNANDEZ, EMILIA GOLDEN CORRAL 08/27/19 SOSTRIN AND SOSTRIN PC 567 19WC 27028 MIRANDA, JOSEFA MARIANO FRESH MARKET/KROG 06/11/19 JOSHUA KARMEL BRYCE DOWNEY & LENKOV LLC 568 19WC 27046 DEL ROSARIO LOPEZ, MARIA STAMPEDE MEAT, INC 12/02/17 LUSAK AND COBB ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 19WC 27101 TOPPING, NEAL CITY OF CHICAGO 2FM 08/07/19 BOWMAN & CORDAY GANAN & SHAPIRO 570 19WC 27234 BURRESS, TANISHA UNIVERSITY OF ILLINOIS AT 08/29/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 571 19WC 27268 CHIRINOS, MARIA ELENA LAND O'FROST 07/10/18 MC HARGUE & JONES SCHOUEST BAMDAS SOSHEA 19WC027269 -C 572 19WC 27291 FERRAN, NORMA GALAXY HOLIDNGS, INC DBA 08/18/19 KREITER, BYCK & ASSOC LLP GANAN & SHAPIRO 573 19WC 27318 TAMAYO, JOSE KEHOE DESIGNS, INC 04/15/19 LULAY LAW OFFICES 574 19WC 27386 CALLAHAN, JOSEPH CAREY ELECTRICAL CONTRACT 08/06/19 DWORKIN AND MACIARIELLO 575 19WC 27403 SAMS, ROCHELLE CHICAGO TRANSIT AUTHORITY 09/06/19 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 576 19WC 27425 CARR, GUILLERMINA THE ABINGTON OF GLENVIEW 08/28/19 COVEN LAW GROUP 577 19WC 27477 HERNANDEZ, ELENA LSG SKY CHEFS 08/20/19 KROL BONGIORNO & GIVEN LTD ORENSTEIN & ASSOCIATES 578 19WC 27535 LYNG, SCOTT VILLAGE OF OAK PARK 03/17/17 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 19WC027536 -C 579 19WC 27581 GREEN, CHARLES REGGIOS FROZEN PIZZA 10/13/18 ANDREA R. MAYSTER NOBLE & ASSOC 580 19WC 27607 SCALIA, STEVE RITEWAY BRAKE DIES 05/30/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 581 19WC 27633 ROJAS, JOSE ROBERTO LOOK NU LLC 03/08/19 JOHN C SERKLAND 582 19WC 27664 IBARRA, JUANA DMS PACKAGING SERVICES 06/05/19 JOHN J CASTANEDA GILDEA, COGHLAN & REGAN LTD. 583 19WC 27706 JOHNSON, STEVEN ISLAM DLEIVERY INC 03/15/19 LAW OFFICES OF ADRIAN CHER 584 19WC 27721 FREEMAN, KEVIN ENVISON UNLIMITED 08/30/19 ANKIN LAW OFFICE 585 19WC 27778 GRANT, FREDDIE PEPSI CO 09/17/19 DWORKIN AND MACIARIELLO GAIDO & FINTZEN 586 19WC 27795 COLE, JIMMY DLE REM STAFFING 08/19/19 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 19WC 27815 PONCE, ELIAS AT&T 10/20/16 KARCHMAR & STONE 588 19WC 27843 EULLOQUI, ROBERTO SERFILCO 08/20/19 HANNIGAN & BOTHA, LTD NOBLE & ASSOC 589 19WC 27860 MUNDELIUS, DAVID JS FORT GROUP, INC. DBA 09/17/19 KATZ FRIEDMAN EAGLE ET AL 590 19WC 27880 SANCHEZ, EFRAIN ALPHA BAKING COMPANY 07/24/19 SALVATO O'TOOLE FROYLAN 591 19WC 27929 WILLIAMS, CHRISTOPHER BP STAFFING 09/06/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 592 19WC 27959 STROMYER, CHARLES ARDAGH GROUP 09/23/19 DWORKIN AND MACIARIELLO 593 19WC 27994 SANTANA, VICTOR H THE MALNATI ORGANIZATION 08/02/19 GOLDSTEIN BENDER & ROMANOF MEACHUM BOYLE TRAUFMAN 594 19WC 28044 WILLIAMS, THIZEL TRAVELERS INSURANCE 09/23/19 CULLEN HASKINS NICHOLSON 595 19WC 28136 WHITE, FANNIE LAKEVIEW NURSING AND REHA 09/22/19 KUMLIN & FROMM 596 19WC 28173 WEAVER, MARCUS COMCAST CABLE COMMUNICATI 08/25/19 STROM & ASSOC POWER & CRONIN LTD 597 19WC 28214 PINEDA, ISIDRO JEWEL/OSCO 06/01/19 LEONARD LAW GROUP LLC 598 19WC 28236 CARRASQUILLO, ERIC CITY OF CHICAGO 06/19/19 CUDA LAW OFFICES CITY OF CHICAGO 599 19WC 28405 SCHARRINGHAUSEN, TONYA TJX D/B/A HOME GOODS 09/18/19 LAW OFFICES OF ADRIAN CHER BRADY CONNOLLY & MASUDA PC 600 19WC 28463 FIGUEROA, GERARDO PETE'S MARKET 09/07/19 JAUREGUI & ASSOCIATES 601 19WC 28479 STETTNER, DEBRA AMERICAN AIRLINES 06/25/19 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 602 19WC 28545 CLAIR, MICHAEL ELTIE STAFFING 09/18/19 TIMOTHY HENDERSON 603 19WC 28569 BENSEMA, STEVEN W II WINDY CITY DISTRIBUTING, 09/03/19 SANDMAN LEVY & PETRICH 604 19WC 28621 HELASZEK, ANITA AMERICAN AIRLINES 09/10/19 LUSAK AND COBB ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 19WC 28643 STEVENSON, ALICE THOMAS DOLLAR TREE 02/04/19 ROSS TYRRELL 606 19WC 28743 WEIDEL, TIMOTHY W CITY OF CHICAGO 09/08/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 607 19WC 28794 HILL, DONALD CHICAGO PUBLIC SCHOOLS 08/21/19 O'CONNOR & NAKOS 608 19WC 28816 CARR, JOSEPH R BARTLETT FIRE PROTECTION 03/31/17 THOMAS W DUDA 609 19WC 28847 JOHNSON, JAZMINE FRANCISCAN ALLIANCE/ 09/05/19 LANNON LANNON & BARR LTD ROSARIO CIBELLA 610 19WC 28927 AVILES, JOSE I.K. HOFFMAN USA INC 08/12/19 EAMES LAW GROUP LTD KNELL O'CONNOR DANIELWICZ 611 19WC 28950 POWERS, BRIAN REX ELECTRIC & TECHNOLOGI 10/05/17 RUBENS KRESS MULHOLLAND KRAKER FANNING & OLSEN 612 19WC 28966 WILSON, WILLIAM T JR. CITY OF CHICAGO DEPT OF W 09/16/19 NILSON STOOKAL GLEASON CAP 613 19WC 28985 DIXON, LINDA CTA 10/02/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 614 19WC 29048 WILSON, JOHNNIE DHL EXPRESS 10/04/19 GWC INJURY LAWYERS LLC 615 19WC 29071 VAZQUEZ, MARCO A AMERICAN DESIGNS 08/22/19 ESR LAW GROUP 616 19WC 35371 009 GONZALEZ, CARMEN TORRES EUROPEAN AMERICAN ASSOCIA 11/11/19 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 009 19WC035370 -C 617 19WC 35425 LAPORTA, FRANK YELLOW ROADWAY EXPRESS D/ 09/16/19 STYKA & STYKA HENNESSY & ROACH PC 618 19WC 35494 BRIDGES, RAE'NETTA SAVE A LOT 09/14/19 TAMVAKIS, GEORGE L MCANANY VANCLEVE & PHILLIPS 619 19WC 35570 ALEXANDER, TALARA AMERICAN AIRLINES CHICAGO 03/27/19 STRONG LAW OFFICE 620 19WC 35655 BENSON, PATRICIA UNITED AIRLINES (UAL) 10/01/19 ROMANUCCI & BLANDIN 621 19WC 35675 WILLIAMS, CRYSTAL VICTORIA SECRET 11/23/19 SEIDMAN MARGULIS & FAIRMAN GOLDBERG SEGALLA LLC 622 19WC 35734 BLOCKER, SHRILEY STATE OF ILLINOIS- @ 09/01/19 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 19WC 35752 SMITH, ANGELA VILLAGE OF MAYWOOD 05/26/17 MARC J SHUMAN & ASSOCIATES INMAN & FITZGIBBONS 624 19WC 35798 WILLIAMS, CRISTAL CHICAGO PUBLIC SCHOOLS 04/10/19 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 625 19WC 35818 HERRERA, ALFONSO ZEIGLER LINCOLNWOOD, LLC 12/03/18 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 626 19WC 35846 JUBINAL, LEVY UNITED AIRLINES 08/07/19 COVEN LAW GROUP 627 19WC 35872 LUCAS, MAYNOR ALL 1 STAFFING, LLC 11/13/19 CHEPOV & SCOTT LLC 628 19WC 35895 TOEFIELD, MARIA GOLD COAST SURGICENTER 07/26/19 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 629 19WC 35970 QUINTERO, MICHAEL COOK COUNTY 10/01/19 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 630 19WC 36006 SMALLS, DARLENE UNITED AIRLINES HOLDINGS, 05/30/19 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 20WC001597 -C 631 19WC 36055 YUHASZ, TIMOTHY ABLE ENGINERRING 08/22/19 FRIEND LEVINSON & BERGAL 632 19WC 36077 COLOMB, MICHAEL CBRE, INC 11/21/19 GWC INJURY LAWYERS LLC BRADY CONNOLLY & MASUDA PC 633 19WC 36094 BUCHANAN, IMOGENE VICTORY CENTER OF GALEWOO 04/02/19 JACKOWIAK LAW OFFICES 634 19WC 36146 CROSS, LANCE MYCO USA, LLC 11/18/19 DWORKIN AND MACIARIELLO ANCEL GLINK PC 635 19WC 36170 DINEEN, JAMES PACE SUBURBAN BUS SERVICE 11/29/19 RIDGE & DOWNES 636 19WC 36200 HODGES, MELVINA L LIBERMAN CENTER FOR HEALT 10/09/19 GALLAGHER, DONALD V 637 19WC 36259 DINO, ERGYS RENT COM INC 09/03/19 STEVEN H MEVORAH & ASSOCIA 638 19WC 36299 SALAS, VERONIKA PROGRESSIVE CASUALTY INS 12/06/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 639 19WC 36338 MANISCALCO, SUSAN NORTHWESTERN 11/14/18 STROM & ASSOC 640 19WC 36409 HERRERA, MARIA ACE ANODIZING & IMPREGNAT 04/17/19 LEONARD LAW GROUP LLC EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 19WC 36461 HENDERSON, KIMBERLY CTA 12/15/19 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 642 19WC 36523 MADRIGAL, ALEJANDRO METAL MATIC, INC 11/13/18 O'CONNOR & NAKOS 643 19WC 36552 MANCINI, ALBERT PROFESSIONAL PARTS GROUP 06/08/17 NEMEROFF LAW OFFICES HOLECEK & ASSOCIATES 644 19WC 36588 BIALAS, SCOTT SOUTH BARRINGTON 06/26/19 BALKE & WILLIAMS RUSIN & MACIOROWSKI LTD 645 19WC 36623 GINES, BEVERLY YMCA 11/21/19 COVEN LAW GROUP FRANCESCA LARSEN 646 19WC 36657 MCCALL, CARLTON ADVOCATE CHRIST HOSPITAL 06/25/19 STEVEN M SELAN 647 19WC 36679 SICKLER, DOREEN BURLINGTON 08/09/19 STEVEN J MALMAN & ASSOCIAT CHILTON YAMBERT PORTER LLP 648 19WC 36699 DROUGHNS-BATTLES, TASHA PRUDENTIAL DEFENSE SOLUTI 12/10/19 GOLDSTEIN AIOSSA & GOOD ANCEL GLINK PC 649 19WC 36724 CARVELL, RICHARD BRIDGE INN 06/19/19 ELFENBAUM EVERS ZIELINSKA 650 19WC 36751 GARRIDO, IVAN TARASCO DELIVERY SERVICE 09/03/19 KARCHMAR & STONE HENNESSY & ROACH PC 651 19WC 36782 SALAS, MARYANN JEWELFOOD STORES 07/30/19 DESTEFANO, ROBERT A & ASSO BRADY CONNOLLY & MASUDA PC 652 19WC 36817 WRIGHT, JOHN UNITED STATES ALLIANCE 02/05/18 CAPRON & AVGERINOS PC GAIDO & FINTZEN 653 19WC 36843 SAENZ, SANDRA ALDI 07/26/19 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 654 19WC 36871 CARTER, ZACHARY UBER EATS 12/18/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 655 19WC 36890 BOBAN, PAUL J CTY OF CHGO DEPT OF WATER 08/16/19 SALVATO O'TOOLE FROYLAN 656 19WC 36953 MARTINEZ, ROBERTO UNIVERSAL SCRAP METAL 04/22/19 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 657 19WC 37057 MUTHART, ANDREW S&S MIDWEST FABRICATIONG 10/21/19 BLOCK, KLUKAS & MANZELLA P 658 19WC 37165 RODRIGUEZ, RUTH ENVOY AIR 08/16/19 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 19WC 37222 HAYWOOD, ROBERT SAVOR AT MCCORMICK PLACE 12/11/19 ELFENBAUM EVERS ZIELINSKA 660 19WC 37250 NIKOLIC, DOMINIKA ULTA BEAUTY 11/20/19 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 661 19WC 37266 SWIERCZ, RONALD UPS 08/22/19 ROBERT WARSASKI ASA LAW GROUP 662 19WC 37281 DE LA O, MARK TREMARK LOGISTICS, LLC 12/14/19 TURCYCHUTE LLC HENNESSY & ROACH PC 663 19WC 37311 YOUNAN, ZIA CITY OF CHICAGO- DEPARTME 11/14/19 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 664 19WC 37357 LOPEZ, MYRNA ORGANIC LIFE, LLC 12/09/19 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 665 19WC 37427 RUSH, BARBARA THE UNIVERISTY OF CHICAGO 10/01/18 ANKIN LAW OFFICE 666 19WC 37449 TATE, ROBIN CHICAGO TRANSIT AUTHORITY 11/13/19 LIPKIN & APTER CHICAGO TRANSIT AUTHORITY 667 19WC 37469 MCFARLAND, MINNIE WALMART, INC. 04/29/19 ARGIONIS & ASSOCIATES LLC QUINTAIROS PRIETO WOOD & BOY 668 19WC 37524 SAVERINO, MARIANGELA ALDI INC 12/14/19 CUDA LAW OFFICES 669 19WC 37575 CONLEY, NINA B DECISION ONE DENTAL 10/01/19 SLAVIN & SLAVIN JOSEPH MARCINIAK 670 19WC 37594 HERRING, MICHAEL R&M TRUCKING 01/02/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 671 20WC 00019 COX, MAURICE MARQUEE EVENT RENTALS 08/31/19 JAMES ELLIS GUMBINER & ASS LAWRENCE COZZI - LAW OFFICE 672 20WC 00027 PORTER, DAWN SKECHER'S USA INC 09/14/19 GERALD CONNOR WOLFE & JACOBSON, LTD 673 20WC 00059 ROBERTSON, SHERITA FOREST EDGE HEALTHCARE & 12/18/19 DWORKIN AND MACIARIELLO 674 20WC 00083 RIO, NICHOLAS SPRAGUE DISTRIBUTION 12/12/19 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 20WC000205 -C SPRAUGE DISTRIBUTION 675 20WC 00146 MILES, DERRICK CENTER TO CENTER ELECTRIC 12/22/19 DWORKIN AND MACIARIELLO MEACHUM BOYLE TRAUFMAN 676 20WC 00187 WOODS, KEITH SHERWIN-WILLIAMS DISTRIBU 10/09/19 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 20WC 00276 JUDGE, HEATHER AMERICAN AIRLINES 10/28/19 KATZ FRIEDMAN EISENSTEIN 678 20WC 00319 SANTA-CAMACHO, MONICA CHICAGO TRANSIT AUTHORITY 10/02/19 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 679 20WC 00353 RODRIGUEZ, CARMELO JEWEL OSCO 12/12/19 ENCINAS & ORNELAS 680 20WC 00387 HAYDEN, JOSEPH A ALDI, INC 12/15/19 ANKIN LAW OFFICE 681 20WC 00413 SENESE, JULIANNE L ST LEONARD PARISH SCHOOL 09/01/16 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 682 20WC 00434 ALMANZA, ALFREDO ALPHA BAKING COMPANY 05/22/18 MACIOROWSKI SACKMANN & ULRIC 683 20WC 00456 NAVA, STEPHANIE LEXINGTON HEALTH CARE CTR 11/09/19 RITTENBERG BUFFEN 684 20WC 06682 HILLER, RICHARD PHOENIX RISING HOME STAGI 09/05/19 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 685 20WC 06727 TAYLOR, LARRY CHICAGO PUBLIC SCHOOLS 01/08/20 RUBENS KRESS MULHOLLAND 686 20WC 06756 CRONIN, LORRAINE AMERICAN AIRLINES 08/05/19 KATZ FRIEDMAN EISENSTEIN 687 20WC 06778 GONZALEZ, IRMA EL MILAGRO 11/29/19 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 688 20WC 06815 GHANAYEM, JOHN GATE GOURMET 02/21/20 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 689 20WC 06847 GARCIA, OSCAR CASE PAPER COMPANY INC 02/25/20 ANSELMO DURAN 690 20WC 06880 ANDERSON, ANTWAN RUSH UNIVERSITY MEDICAL C 02/18/20 BRILL & FISHEL 691 20WC 06931 COLLINS, AMANDA FORD MOTOR COMPANY 12/16/19 DONALD FOHRMAN & ASSOC RUSIN & MACIOROWSKI LTD 692 20WC 06945 ROMAN, EDUARDO ELEGANT MATTRESS W 12/13/19 CHEPOV & SCOTT LLC PETER LIMPERIS 693 20WC 06963 AVILA, LAURA CBOE 02/27/20 LEO ALT CHGO BOARD OF EDUCATION 694 20WC 06995 DARRE, ANDREW T NATURESCAPE 02/20/20 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 20WC 07022 GASTON, SATANYA COOK COUNTY JUVENILE DENT 02/02/20 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 696 20WC 07039 HARRIS, DAVID AEROTEK 03/02/20 VASILATOS & COTTER LLC 697 20WC 07058 RODRIGUEZ, CARMEN HELP AT HOME, LLC 12/24/18 EPSTEIN, JACK R LAW OFFICE 698 20WC 07082 BERRIOS, EUGENIO JR MCLANE FOOD SERVICES INC 02/25/20 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL BIERY & ASSOC 699 20WC 07134 MURRO, MARIO ELMWOOD FAMILY RESTAURANT 08/21/19 MC HARGUE & JONES 700 20WC 07164 DAVIS, AARON SOUTHWEST AIRLINES 02/26/19 CAPRON & AVGERINOS PC 701 20WC 07202 WAGENER, ATOUR BELLAS CASINO 02/13/20 WILLIAM H MARTAY 702 20WC 07221 PEREZ, ALICE MARIANO'S FINER FOOD 03/03/20 BRISKMAN BRISKMAN GREENBER 703 20WC 07240 ARROYO, ROSA CHICAGO BOARD OF EDUCATIO 02/11/20 BERG & BERG CHGO BOARD OF EDUCATION 704 20WC 07257 COOPER, JEREMY UPS 01/06/20 MANDELL, GREGG NYHAN BAMBRICK KINZIE & LOWR 705 20WC 07280 GUERRERO, DAVID SINNOTT TREE SERVICES INC 02/05/20 DWORKIN AND MACIARIELLO EVANS & DIXON 706 20WC 07319 JACKSON, ZINA UPS 02/28/20 LEONARD LAW GROUP LLC ASA LAW GROUP 707 20WC 07337 GLADNEY, CRYSTAL DARDEN RESTAURANTS 02/29/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 708 20WC 07362 ROBINSON, SAMUEL CITY OF CHICAGO 11/14/16 CITY OF CHICAGO 709 20WC 07389 TOMLINSON, RAQUEL FLEXAN, LLC 02/27/20 STEVEN J MALMAN & ASSOCIAT RUSIN & MACIOROWSKI LTD 710 20WC 07402 BUSKEY, DONALD PACIFIC RAIL SERVICES 09/24/19 ROMANEK & ROMANEK 711 20WC 07432 VALDOVINOS, DANIEL E SYSCO CHICAGO INC 11/14/17 ANKIN LAW OFFICE 712 20WC 07453 GARCIA, ISABEL TAPIA FOR DAVIS IMPERIAL CLEANERS 08/20/19 ENCINAS & ORNELAS JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 20WC 07505 MARTINEZ, ROBERT GEORGIA NUT CO 06/06/19 INJURY LAWYERS OF IL 714 20WC 07525 HAMILTON, RICHARD L HOME DEPOT 03/01/20 VITELL & SPITZ LTD MC ANDREWS & NORGLE LLC 715 20WC 07546 PEREZ, JENNY FRANCHELIE SCRUB INC 02/15/20 WHITESIDE & GOLDBERG LTD 716 20WC 07576 MORENO, HENRY RIVER EAST CENTER 02/27/20 CULLEN HASKINS NICHOLSON 717 20WC 07615 HERRERA, DANIEL SOUTHWEST AIRLINES 03/04/20 MAURICE E DUSKY PC 718 20WC 07643 GUTIERREZ, GUILIANO M BIG TENT EVENTS, INC 02/15/20 GOLDSTEIN BENDER & ROMANOF COZZI & ZAPF LAW OFFICE 719 20WC 07691 AMATO, MICHAEL J UNITED PARCEL SVC 03/13/20 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 720 20WC 07728 HANEY, TANDRA LYFT 03/12/20 DWORKIN AND MACIARIELLO ANCEL GLINK PC 721 20WC 07756 MCCABE, JAMES SPIRIT AIRLINES 02/05/20 MC HARGUE & JONES 722 20WC 07771 FREEMAN, KATHLEEN UNITED CONTINENTAL HOLDIN 04/23/19 KATZ FRIEDMAN EISENSTEIN 723 20WC 07780 HAMILTON, NARADA RD EXPEDITED 02/11/20 GERALD CONNOR BLITCH WESTLEY BARREET, S.C. 724 20WC 07801 ROMERO, SERGIO ATKORE INTERNATIONAL GROU 03/03/20 MC HARGUE & JONES HENNESSY & ROACH PC 725 20WC 07823 SULLIVAN, MICHAEL BRITISH INTERNATIONAL SCH 02/14/20 CRONIN PETERS & COOK COZZI & ZAPF LAW OFFICE 726 20WC 07854 BARRIGA, EDUARDO PHOENIX INDUSTRIAL 03/09/20 HERRERA LAW CENTER COZZI & ZAPF LAW OFFICE 727 20WC 07899 INSLEY, BRIDGET COOK COUNTY 01/06/20 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 728 20WC 07926 ALEXANDER, JONIA SOUTHEAST PERSONNEL LEASI 01/07/20 SEIDMAN MARGULIS & FAIRMAN LEAHY EISENBERG & FRAENKEL 729 20WC 08005 PRACE MIKE MICHAEL LOU MALNATI'S 11/06/18 SALVATO O'TOOLE FROYLAN 730 20WC 08056 BARCHAM, ROBERT WOODWARD MPC 01/27/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 20WC 08080 VASSALLO, ANTONINO CITY OF CHICAGO 02/28/20 ARGIONIS & ASSOCIATES LLC 732 20WC 08091 NOWOSLAWSKA, DANUTA LUTHERAN HOME 09/22/18 ELFENBAUM EVERS ZIELINSKA 733 20WC 08154 CAMPUZANO, MONICA OLYMPIA CO-HYATT PLACE 03/13/20 MC HARGUE & JONES KOPKA, PINKUS DOLIN, PC 734 20WC 08284 HARRELL, RAHSHEDAH HOLSTEN MANAGEMENT CORPOR 01/10/20 COHN LAMBERT RYAN & SCHNEI ANCEL GLINK PC 735 20WC 08311 IBRAHIM, MATTHEW CENTERS LLC DBA THE HEALT 02/17/20 HUGHES SOCOL PIERS RESNICK 736 20WC 08330 BROGAN, TIMOTHY NOUVEAU ILLINOIS INC 02/25/20 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 737 20WC 08419 ANDERSON, CARL C AMITA HEALTH ALEXIAN BROT 10/14/19 KATZ FRIEDMAN EISENSTEIN POWER & CRONIN LTD 738 20WC 08459 KRUPA, ALINA THE MILLARD GROUP 09/12/18 TIMOTHY E. TAKASH GAROFALO SCHREIBER STORM GRA 739 20WC 08480 YOUNG, LAKEISHA CHICAGO PUBLIC SCHOOLS 03/12/20 DWORKIN AND MACIARIELLO 740 20WC 08507 LAKIN, HOWARD E CITY OF EVANSTON FIRE DEP 10/11/19 WHITESIDE & GOLDBERG LTD 741 20WC 08528 FELSKE, JERRY GURTZ ELECTRIC CO 08/29/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 742 20WC 08552 ESPINOSA, ORLANDO MIDWEST CANVAS CORPORATIO 02/28/20 COSTA IVONE LLC 743 20WC 08570 LATHAM, ERIC CITY OF CHICAGO 11/13/18 ACEVES & PEREZ PC 744 20WC 08637 ROSALES, ABUNDIO FLEXIBLE STAFFING 01/27/20 ENCINAS & ORNELAS BRADY CONNOLLY & MASUDA PC 745 20WC 08669 HALL, TREVER JIFFY LUBE 11/11/19 DWORKIN AND MACIARIELLO 746 20WC 08677 FREENEY, LISA AMERICAN AIRLINES, INC 02/14/20 STEVEN B SALK & ASSOC LTD 747 20WC 08701 RUEDA, JULIO PANERA, LLC 02/14/20 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 748 20WC 08730 WARD, DARIN BIMBO BAKERIES 03/03/20 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 20WC 08775 ORTIZ, ALONZO ACCURATE PERFORATING CO 09/13/18 ROSS TYRRELL LITCHFIELD CAVO 750 20WC 08801 DAVIS, TAMIRA CTA 03/27/20 COSTA IVONE LLC 751 20WC 08839 MANNY JR, ROBERT POWER BRAKE DIES, INC 02/20/20 DWYER & COOGAN 752 20WC 08859 EDWARDS, MELVIN CHICAGO TRANSIT AUTHORITY 04/03/20 ANKIN LAW OFFICE 753 20WC 09773 LINDER, SHAWN VILLAGE OF ROMEOVILLE 03/11/14 NO ATTORNEY SLAVIN & SLAVIN 754 20WC 12657 GRIFFIN, AVERY SCHNEIDER NATIONAL INC. 05/23/20 ANKIN LAW OFFICE 755 20WC 12682 GIKONYO, JANE MUTHONI ANN KAPLAN 05/22/20 MC HARGUE & JONES KARCHMAR & STONE 756 20WC 12765 FORD, MURRAY SUMMIT COLD STORAGE CORP 12/17/19 STEVEN J MALMAN & ASSOCIAT KOPKA, PINKUS DOLIN, PC 757 20WC 12794 KAHIN, IBRAHIM JEEG CAB CORPORATION 02/27/20 CULLEN HASKINS NICHOLSON 758 20WC 12822 010 AMOUZOUGAN, GUY-MAURICE ILLINOIS YOUTH CENTER CHI @ 05/07/20 RIDGE & DOWNES STATE OF ILLINOIS 010 20WC003843 -C 759 20WC 12841 HANKINS, SHANNIE COOK CNTY JUVENILETEMP DE 01/29/20 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 760 20WC 12861 COOPER, JERRY STAFFMARK 05/05/20 SHELDON I MINKOW & ASSOCIA KOPKA, PINKUS DOLIN, PC 761 20WC 12881 SEPULVEDA, ANDRES UNITED AIRLINES, INC. 03/27/20 GREGORIO & MARCO WIEDNER & MCAULIFFE LTD 762 20WC 12905 HENDERSON, STEPHEN PRECISION BROADBAND 04/28/20 RUSIN & MACIOROWSKI LTD 763 20WC 12929 PUENTE, MANUEL KIEWIT CORPORATION 10/05/19 QUINTAIROS PRIETO WOOD & BOY 764 20WC 12963 WASHINGTON, ELIJAH HEARTLAND ALLIANCE 05/18/20 JAY S. SHETH LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 20WC 12988 DE GOLYER, TODD UNIVERSAL POOL COMPANY 03/07/20 SMOLER LAW OFFICE, PC BRADY CONNOLLY & MASUDA PC 766 20WC 12995 SEGURA, LUIS M OLD DOMINION FREIGHT LINE 03/09/19 KREITER, BYCK & ASSOC LLP EVANS & DIXON 20WC012996 -C 767 20WC 13023 FELICIANO, NATIVIDAD MARIANO FRESH MARKET/KROG 05/02/20 JOSHUA KARMEL 768 20WC 13171 BLACK, JOHN ALDRIDGE ELECTRIC 12/28/19 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 769 20WC 13213 JELF, ROCHELLE UNITED AIRLINES INC. 12/07/19 BRIAN J MC MANUS & ASSOC, 770 20WC 13237 TEJADA, VICTOR LTE TRUCKING, INC 04/23/20 MC HARGUE & JONES BRUCE RAFALSON LTD 771 20WC 13275 FRAZIER, VANESSA SOUTH SHORE HOSPITAL 06/03/20 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 772 20WC 13294 BUCHMEIER, LOREN CITY OF BERWYN 06/04/20 THOMAS A MORRISSEY CUDA LAW OFFICES 773 20WC 13325 HOOVER, TRICIA BUFFALO WILD WINGS 11/09/19 MICHAEL HELLMAN LEAHY EISENBERG & FRAENKEL 774 20WC 13384 STROJNY, DAVID R VILLAGE OF ARLINGTON HTS- 06/01/20 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 775 20WC 13444 MARTINEZ, MARIA E TOOTSIE ROLL INDUSTRIES 03/10/20 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 776 20WC 13470 ADAMS, DAVID G AWI LEASING, LLC 05/03/16 JOSEPH MARCINIAK 777 20WC 13670 THOMPSON, ALAMOS UPS 05/19/20 MOGENSEN LAW LLC ASA LAW GROUP 778 20WC 13701 SALEH, AIAD SUCCESS LOGISTICS 05/03/20 ACEVES & PEREZ PC 779 20WC 13727 JOHNSON, TROY DIVERSE FACILITY SOLUTION 03/27/20 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 780 20WC 13757 WALKER, TIFFANY RUSH UNIVERSITY 01/10/20 DWORKIN AND MACIARIELLO 781 20WC 13788 AVALOS, ELIZABETH CREATION TECHNOLOGIES INT 05/28/20 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 782 20WC 13809 PERRY PARKS, TRACY OFFICE OF CHIEF JUDGE COO 11/05/19 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 20WC 13832 MENDEZ, PABLO GRILL HOUSE 06/13/20 MC HARGUE & JONES JOSEPH MARCINIAK 784 20WC 13874 DOAN, KARA SELAH FREEDOM, INC 04/14/18 FLAHERTY LAW GAIDO & FINTZEN 785 20WC 13953 DONALDSON, DONNETTA CTA 06/15/20 EDWIN REYES LAW FIRM CHICAGO TRANSIT AUTHORITY 786 20WC 13976 RUGER, ANDREW J VERTIV GROUP CORPORATION 10/22/19 DREW J FERRACUTI 787 20WC 14003 HAMPSON, LANDER IDOT 06/06/20 STROM & ASSOC ASSISTANT ATTY GENL 788 20WC 14014 STANEK, LAWRENCE J TRANSERVICE LOGISTICS INC 09/05/18 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 789 20WC 14033 DAVIS, MIGUEL GENEVA EXPEDITED 03/10/20 KATZ FRIEDMAN EISENSTEIN MCANANY VANCLEVE & PHILLIPS 790 20WC 14054 EVITTS, DENNIS JR. MARTIN BROWER 03/02/20 WOODRUFF JOHNSON 791 20WC 14073 LOJESKI, MITCHELL SGM PRECISION/LD REDMER 12/10/19 KATZ FRIEDMAN EISENSTEIN BORGELT POWELL 792 20WC 14090 BURKE, CASSANDRA ONE TRICK PONY BREWING, I 06/16/19 RUSIN & MACIOROWSKI LTD 793 20WC 14119 POOLER, CHARLES ACUITY BRANDS, INC 04/29/20 LEAHY, JAMES P 794 20WC 14138 WILLIAMS, MICHAEL UPS 06/10/20 DISPARTI LAW GROUP PA ASA LAW GROUP 795 20WC 14215 POWELL, MARKISHA NORRIDGE GARDENS 06/03/20 COVEN LAW GROUP WOLF & LAUDICINA LTD 796 20WC 14275 CONTRACTOR, YOGESH CVS CAREMARK 01/09/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 797 20WC 14306 PIMENTAL, FIDEL RAYNER & RINN-SCOTT INC 10/02/19 AIOSSA LAW FIRM JOSEPH MARCINIAK 798 20WC 14372 ASKARI, EHAB BRONCO LOGISTICS 06/17/20 DAVID W MARTAY 799 20WC 14394 LEE, STEVEN FAMILY DOLLAR, INC. 06/08/20 ANKIN LAW OFFICE 800 20WC 14491 ECHEVARRIA, EDWIN XSPORT FITNESS 01/13/20 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 20WC 14526 MCFARLAND, MINNIE WALMART, INC 03/28/20 ARGIONIS & ASSOCIATES LLC QUINTAIROS PRIETO WOOD & BOY 802 20WC 14550 TAONE, RICHARD CROWN DECORATING SERVICE, 08/20/19 MC HARGUE & JONES 803 20WC 14580 JACKSON, VICKY THE TILE SHOP 03/15/18 COSTA IVONE LLC 804 20WC 14605 BERRY, JOSEPH HERTZ RENTAL CAR 05/29/20 FRANCIS J DISCIPIO LAW OFF 805 20WC 14627 WIN, ZAW KEURIG/DR. PEPPER 03/08/18 SCOTT B SHAPIRO 806 20WC 14655 VARGAS, LYNETTE DHS 02/28/20 DWORKIN AND MACIARIELLO ASSISTANT ATTY GENL 807 20WC 14738 ATAMAS, NICHOLAS CITY OF CHICAGO 05/07/20 SALVATO O'TOOLE FROYLAN 808 20WC 14766 STRAKER, GARY BLOMMER CHOCOLATE COMPANY 06/23/20 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 809 20WC 14797 FRYE, MARY KAY AMITA HEALTH 10/22/19 THE MACK LAW GROUP PC NYHAN BAMBRICK KINZIE & LOWR 810 20WC 14813 HERNANDEZ, ALFONSO OLYPIC STEEL 03/04/20 LEONARD LAW GROUP LLC 811 20WC 14831 PIECHOWICZ, EDWARD CE NIEHOFF CO 05/28/20 HUGHES SOCOL PIERS RESNICK 812 20WC 14860 BIBBS, ANTHAWON PORTILLO'S 04/03/20 LUSAK AND COBB HOLECEK & ASSOCIATES 813 20WC 14889 AMANDURON, DINA AMERICAN AIRLINES 09/30/18 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 20WC019779 -C 814 20WC 14913 PACURA, ELIZABETH LIZ COOK COUNTY CIRCUIT CORT 07/30/14 KATZ FRIEDMAN EISENSTEIN INMAN & FITZGIBBONS 815 20WC 14928 RIVERS, QUANTAS HYATT REGENCY MCCORMICK P 12/08/19 DISPARTI LAW GROUP PA HENNESSY & ROACH PC 816 20WC 14941 TERRY, CARMELITA CITY OF BERWYN 08/06/19 CONWAY LAW OFFICE CUDA LAW OFFICES 817 20WC 14988 BLUE, TANYA CITY OF CHICAGO, DEPARTME 01/27/20 COHN LAMBERT RYAN & SCHNEI 818 20WC 15011 ROBINSON, ANDRE RUSH UNIVERSITY HOSPITAL 06/25/20 GWC INJURY LAWYERS LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 20WC 15035 WADDELL, DEREK D FEDEX OFFICE 06/03/20 GALLAGHER, DONALD V 820 20WC 15207 WHEATON, STEVE CALUMET CITY POLICE DEPT 06/09/19 KROL BONGIORNO & GIVEN LTD RANDOLPH GREUNE LAW OFFICE 821 20WC 15224 GREWE, DOUGLAS W AMERICAN WILBERT VAULT CO 01/22/20 KROL BONGIORNO & GIVEN LTD 822 20WC 15241 CURRY, RHONDA CTA 06/29/20 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 823 20WC 15269 SMALL, SHERLEE HOMEWATCH CAREGIVERS 07/01/20 MC HARGUE & JONES 824 20WC 15306 ORONA, GERARDO LIFE FITNESS 06/23/20 MC HARGUE & JONES 825 20WC 15327 AYROSO, EVELYN WATERFORD NURSING & 04/15/20 ROBIN LAW OFFICE 826 20WC 15351 RIOS DE LA CRUZ, JUAN A LITTLE CEASAR'S PIZZERIA 02/28/20 CIARDELLI CUMMINGS CAMPAGN HENNESSY & ROACH PC 827 20WC 15372 CINATI, RACHELLE THE GROOMING LODGE 12/27/19 SHEA LAW GROUP 828 20WC 15417 WILSON, AMARE YRC FREIGHT 06/25/20 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 829 20WC 15465 PALMER, KEN VALESQUEZ GAMING LLC 07/08/18 O'CONNOR & NAKOS 830 20WC 15485 ROBERSON, DONALD LEE SCI SHARE RESOURCES LLC 10/31/19 JAMES H MILLER JR 831 20WC 15502 MARIN, JOSE UPS 06/17/20 LEONARD LAW GROUP LLC 832 20WC 15517 ZELAYA, MANUEL E CITY OF CHICAGO 06/10/20 ANKIN LAW OFFICE 833 20WC 15537 BURGOS, JOHN ENVOY AIR 04/19/20 RIDGE & DOWNES GAROFALO SCHREIBER STORM GRA 834 20WC 15560 TILLMAN, JOSHUA L UNISTAFF 07/01/20 VITELL & SPITZ LTD 835 20WC 20969 GARCIA, MARTHA SPECIALTY FINISHING GROUP * 06/28/19 KROL BONGIORNO & GIVEN LTD 836 20WC 20990 SIWOKU, BABATUNDE CITY OF CHICAGO * 10/31/19 DAVID W MARTAY HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 20WC 21013 O'LEARY, CHRISTOPHER CITY OF CHICAGO * 06/02/20 WHITESIDE & GOLDBERG LTD 838 20WC 21052 DAVY, ANTHEL UIC TRANSPORTATION * 08/18/20 ANKIN LAW OFFICE POWER & CRONIN LTD 839 20WC 21062 RODRIGUEZ, RANDY KINGDOM CHEVROLET * 08/10/20 LEONARDO MORALES 840 20WC 21077 GRIFFIN, GRADY SUNRUN SOLAR * 07/30/20 STEVEN J MALMAN & ASSOCIAT 841 20WC 21096 KORNEGAY, GELISA ADVOCATE AURORA HEALTH, I * 06/26/20 JAMES H MILLER JR NYHAN BAMBRICK KINZIE & LOWR 842 20WC 21129 WILLIAMS, JOSIE MEDEX AMBULANCE * 06/23/19 ACEVES & PEREZ PC 843 20WC 21149 JANOTA, MARGO SHAMROCK ELECTRIC TECHNOL * 09/08/17 CULLEN HASKINS NICHOLSON 844 20WC 21166 ZUNIGA, MIGUEL PRODIGY REALTY GROUP * 07/15/20 RUEDA, IVAN A 845 20WC 21189 WILDS, MARY MEDTRONIC * 06/26/18 STEVEN J TENZER, LTD POWER & CRONIN LTD 846 20WC 21232 VAZQUEZ, OSCAR BLACKWATER BUILDERS * 06/26/19 CULLEN HASKINS NICHOLSON 847 20WC 21262 BRADFORD, EDITH PEOPLE AGAINST DIRTY MFG * 12/16/19 DONALD FOHRMAN & ASSOC 848 20WC 21291 MELENDEZ, JOEL AKA CARLOS CHATLET * 05/16/20 MC HARGUE & JONES 849 20WC 21341 DIAZ, MARIA TOTAL FACILITY MANAGEMENT * 07/27/20 DWORKIN AND MACIARIELLO 850 20WC 21389 OQUELI-LEMUS, ANTONIO DANNY'S MARKET * 08/22/20 EDWIN REYES LAW FIRM 851 20WC 21424 PRUITT, DENITA TRIAD SENIOR LIVING INC * 08/22/20 SEIDMAN MARGULIS & FAIRMAN 852 20WC 21440 MUSOLF, BRAD THE SEGERDAHL CORPORATION * 08/17/20 GWC INJURY LAWYERS LLC 853 20WC 21473 ALSTON, BOBBIE UPS * 08/26/20 COVEN LAW GROUP 854 20WC 21495 GREEN, MARVELIA FEDEX GROUND * 08/21/20 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 MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 20WC 21509 TURNER, FRED BRIGHTSTAR AMBULANCE INC * 07/28/20 VASILATOS & COTTER LLC 856 20WC 21552 DELGADILLO, KARLA ADDUS HEALTHCARE, INC/ * 06/01/20 ANKIN LAW OFFICE 857 20WC 21574 VILLALOBOS, MARIBEL LABOR SOLUTIONS * 09/01/20 DWORKIN AND MACIARIELLO 858 20WC 21592 LEVENDA, CAROLINE J HNTB HOLDINGS, LTD * 11/18/19 MEACHUM BOYLE TRAUFMAN 859 20WC 21616 DAMERON, GORDON UNIVERSITY OF CHICAGO PD * 07/21/20 SEIDMAN MARGULIS & FAIRMAN 860 20WC 21755 SMITH, TAMIKA FORD MOTOR COMPANY * 08/05/19 JOHN C SERKLAND 861 20WC 21772 SCHALLMOSER, THOMAS MARQUARDT OF BARRINGTON * 08/25/20 KROL BONGIORNO & GIVEN LTD 862 20WC 21800 CALDERON, JAVIER WALSH CONSTRUCTION CO * 08/24/20 ACEVES & PEREZ PC 863 20WC 21838 BULTHUIS, ALLISON LEXINGTON HEALTH CARE CEN * 04/22/20 FRANK A CELANI 864 20WC 21856 GUERRERO, DAWN COOK COUNTY SHERIFF'S OFF * 04/09/20 SPENCER LAW OFFICES 865 20WC 21875 JENKINS, KING JR. OFFICE OF CHF JUST OF COO * 06/18/20 RITTENBERG BUFFEN 866 20WC 21904 BRACHARZ, MICHAEL GLASS AMERICA * 03/14/19 COVEN LAW GROUP 867 20WC 21928 SALAZAR, MANUEL ATKORE INTL * 07/07/20 THEODORE L STACY HENNESSY & ROACH PC 868 20WC 22004 BALOGUN, ADENIKE YISA SEARCH, INC * 09/12/20 HERRERA LAW CENTER 869 20WC 22022 PEREZ, EDUARDO CKVAMB, LLC (ELITE AMBULA * 06/13/20 MEACHUM BOYLE TRAUFMAN 870 20WC 22043 MEDINA, HERIBERTO FEDERAL EXPRESS * 09/03/20 BALKE & WILLIAMS 871 20WC 22063 RADOJEVICH, DAN CITY OF CHICAGO * 04/06/20 SALVATO O'TOOLE FROYLAN 872 20WC 22096 LEDEZMA, ABEL PILOT FREIGHT SERVICES * 08/13/20 MICHAEL HELLMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 873 20WC 22114 BROWN, ETHEL COOK CNTY HOSPITAL &HLTH * 07/07/20 BRISKMAN BRISKMAN GREENBER 874 20WC 22143 ADENLE, HAKEEM UPS * 08/13/20 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 875 20WC 22160 SCOTT, LINDA PACE TRANSPORTATION * 07/16/20 JONATHAN SCHLACK 876 20WC 22198 WILLIAMS, KEANTE QCD-GOLDEN STATE FOODS * 08/10/20 DEPAOLO & ZADEIKIS 877 20WC 22218 BAREL, CHRISTINE UNITED CONTINENTAL HLDGS, * 08/31/18 KATZ FRIEDMAN EISENSTEIN 878 20WC 22254 CONLEY, TERRENCE COOK COUNTY JUVENILE DET * 12/20/19 RITTENBERG BUFFEN 879 20WC 22275 THORNTON, BOOKER IDOT @ * 08/16/20 VLANTIS LAW LLC 880 20WC 22296 VASSALLO, ANTONINO CITY OF CHICAGO- DEPT OF * 09/18/20 ARGIONIS & ASSOCIATES LLC 881 20WC 22323 DICKENS, ROBERT BRIDGESTONE AMERICAS, INC * 11/20/19 STORTO FINN & ROSINSKI 882 20WC 22342 BEALS, HENRY AT&T * 09/11/20 DWORKIN AND MACIARIELLO 883 20WC 22359 HARRIS, JERRY UPS * 08/14/20 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 884 20WC 22392 ORTIZ, AZUCENA GREEK AMERICAN * 05/09/20 SOSTRIN AND SOSTRIN PC 885 20WC 22410 DUKIC, JANET CHRISTOPHER GLASS&ALUMINU * 05/20/20 MORICI LONGO & ASSOC 886 20WC 22469 VARLSEN, RYAN LOYOLA SERVICE * 09/03/20 KROL BONGIORNO & GIVEN LTD 887 20WC 22496 OPSALECY, MATTHEW TOWN OF CICERO * 08/17/20 DAVID SZCZECIN & ASSOC 888 20WC 22523 AGUSTIN, MYNOR ACCURATE PERSONNEL SERVIC * 05/08/20 COSTA IVONE LLC 889 20WC 22543 HALL, HENRIETTA ANIXTER * 10/14/19 SEIDMAN MARGULIS & FAIRMAN 890 20WC 22568 RANGEL, MARIO HOME DEPOT * 01/01/20 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 891 20WC 22582 BEDOFRD-SMITH, SEQEANA BORGWARNER INC * 07/22/20 LEONARD LAW GROUP LLC 892 20WC 22613 MONTANEZ, AIDA THE SALVATION ARMY * 07/06/20 SLAVIN & SLAVIN EVANS & DIXON 20WC022614 -C 893 20WC 22625 STORY, CAMILLE PRESBYTERIAN HOMES * 07/14/20 ROMANEK & ROMANEK 894 20WC 22647 HUGHES, TIERRA COOK COUNTY FOREST PRESER * 09/29/17 ERIC M GLASSON & ASSOCIATE 895 20WC 22666 VALDEZ, MARIA WALMART * 03/23/20 ENCINAS & ORNELAS GANAN & SHAPIRO 896 20WC 22712 BRAVO, JUAN MANUEL QUALITY ASSURANCE HUMAN * 03/07/20 RIPES NELSON BAGGOT KALOBRAT 897 20WC 22732 VILLALON, EDWARD UIC * 08/20/20 KROL BONGIORNO & GIVEN LTD 898 20WC 22748 KNOX, BRANDON LITTLE CITY FOUNDATION * 09/02/20 EAMES LAW GROUP LTD 899 20WC 22774 MORRIS, WILBERT TROY DESIGN AND MANUFRACT * 09/19/20 DWORKIN AND MACIARIELLO 900 20WC 22799 PILARCZYK, MICHAEL E LAPHAM-HICKEY STEEL CORPO * 09/01/20 KOSIN LAW OFFICE LTD 901 20WC 22840 JONES, GERALD CLERK OF CIRCUIT COURT * 03/01/20 SEIDMAN MARGULIS & FAIRMAN 902 20WC 22849 KADIC, SADAD CENTRAL TRANSPORT * 07/16/20 ALEKSY BELCHER 903 20WC 22870 COMEAUX, TINA MERCY HOSPITAL & MED CTR * 07/16/20 ANKIN LAW OFFICE 904 20WC 22888 WALSH, FRANCES HEALTH ADVOCATES * 09/04/20 KATZ FRIEDMAN EISENSTEIN 905 20WC 22918 TORRES, LILLIAN UNITED CONTINENTAL * 11/05/19 KATZ FRIEDMAN EISENSTEIN 906 20WC 22960 LAINO-BROWN, GINA SCHOOL DISTRICT #89 * 01/29/20 ROMANUCCI & BLANDIN 907 20WC 23141 MIJIC, JADRANKA ADVOCATE CHRIST MEDICAL C * 11/04/19 KARCHMAR & STONE 908 20WC 23153 JAQUES, VALENTE APERION CARE * 12/10/19 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 20WC 23171 BANKS, RANDALL JEWEL FOODS * 09/22/20 SEIDMAN MARGULIS & FAIRMAN 910 20WC 23175 BAUTISTA, VALENTIN GARCIA UNITED PARCEL SERVICE 06/09/20 KARCHMAR & STONE 911 20WC 23211 STEVENS, BEVERLY SERENDIPITY CHILD CARE, I * 08/14/20 DAVID W MARTAY 912 20WC 23232 ALBERT, KATHERINE BLACKSTONE HOTEL * 07/07/18 O'CONNOR & NAKOS 913 20WC 23256 SCRUGGS, STEPHANIE CHICAGO TRANSIT AUTHORITY * 09/27/20 DISPARTI LAW GROUP PA 914 20WC 23271 KALPEDIS, NICHOLAS STATE OF ILLINOIS @ * 08/26/20 MICHAEL HELLMAN 915 20WC 23289 COLLIER, DANIEL R METROPOLITAN PIER & * 04/23/20 WEISS & WEISS LAW OFFICES 916 20WC 23318 GREER, ANTIONE COOK COUNTY SHERIFF DEPT * 09/23/20 GORDON & CENTRACCHIO LLC 917 20WC 23355 PALICKA, JOE BAY INSULATION OF COUNTRY * 07/09/20 THOMAS A MORRISSEY 918 20WC 23363 SMITH, LOTTIE HEALTH RESOURCE SOLUTIONS * 08/26/20 SMOLER LAW OFFICE, PC 919 20WC 23382 ANDERSON, CARL C AMITA HEALTH ALEXIAN BROT * 08/27/20 KATZ FRIEDMAN EISENSTEIN POWER & CRONIN LTD 920 20WC 23398 CZARNIK, WIESLAW MIDWEST MASONRY * 10/31/19 KROL BONGIORNO & GIVEN LTD 921 20WC 23448 HERNANDEZ, MINERVA MARRIOTT INTL, INC DBA CH * 07/21/19 SALK FLORES & BRODERICK 922 20WC 23473 JAMES, TYREESE DAVITA DIALYSIS * 09/29/20 DONALD FOHRMAN & ASSOC 923 20WC 23498 HERNANDEZ, SONIA SPECIAL EDUCATION SERVICE * 03/22/19 ANESI OZMON RODIN NOVAK KO 924 20WC 23564 HENRIKSSON, MICKI ALARM DETECTION SYSTEMS * 07/02/19 RUSIN & MACIOROWSKI LTD 925 20WC 23595 TERASSOW, MIKE UNITED CONTINENTAL * 03/20/20 KATZ FRIEDMAN EISENSTEIN 926 20WC 23605 BUSTOS, CRYSTAL FORD MOTOR COMPANY * 06/28/19 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 20WC 23624 BLACKMON, TYNETTA LORETTO HOSPITAL * 07/24/19 O'CONNOR & NAKOS 928 20WC 23652 KRYSTYNIAK, JAMES FOREST PRESERVES OF COOK * 03/06/20 RUBIN LAW GROUP 929 20WC 23819 KOLLER, GARRY CABELA'S * 03/23/20 RATHBUN CSEVENYAK & KOZOL 930 20WC 23910 SMITH, BEVERLY COOK COUNTY CHILD SUPPORT * 07/24/20 VANDERGINST LAW PC 931 20WC 23934 THAMES, PAUL ABF FREIGHT * 10/02/20 EFTEKHARI LAW OFFICES LLC 932 20WC 23950 MARTINEZ, DOLORES UPS * 12/11/19 NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 57556 CRESPO, RICARDO CHICAGO PUBLIC SCHOOLS 03/13/03 ASHER, RAYMOND L LTD CITY OF CHICAGO 04WC057557 -C 05WC003618 -C 2 07WC 05304 SANDERS, MARLA M CHICAGO TRANSIT AUTHORITY 11/12/06 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 08WC043927 -C 09WC050652 -C 10WC017539 -C 12WC009225 -C 3 07WC 20405 PALLUCK, RICHARD JUDGE & DOLPH, LTD. 07/30/05 JAMES M RIDGE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 07WC020406 -C 4 07WC 23948 THOMAS, KELLEY ADT/TYCO FIRES & SECURITY 04/20/07 STROM, NEAL B RUSIN & MACIOROWSKI LTD 08WC008399 -C ADT 12WC013431 -C 5 07WC 53937 GUERRERO, MARGARITA BRETFORD MANUFACTURING IN 11/01/07 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 6 07WC 54809 HUNTER-SCALES, PATRICIA CHICAGO BOARD OF EDUCATIO 09/03/06 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 7 08WC 07663 OLVERA, ROSEMARY PINNACLE HEALTHCARE OF BE 10/10/07 EPSTEIN, JACK R LAW OFFICE WEINBERG LAW GROUP LTD 8 08WC 56734 LACKAGE, RONALD CHICAGO TRANSIT AUTHORITY 03/10/08 CHEPOV & SCOTT LLC CHICAGO TRANSIT AUTHORITY 9 09WC 13450 PATEL, MANIBEN FASHION EXPRESS INC 12/15/08 OSVALDO RODRIGUEZ PC HOLECEK & ASSOCIATES 10 10WC 17089 MOTA, LINDA CITY OF CHICAGO POLIC DEP 01/14/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 11 10WC 20485 MAMMIWU, ROSALITA PROVIDENT HOSPITAL 05/01/09 SALVATO & O TOOLE INMAN & FITZGIBBONS 12 10WC 46922 SCHMIDT, ROBERT J ROSEMONT EXPOSITION SERVI 11/17/10 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 13 11WC 02389 TARNOWSKI, PIOTR KABINI TRUCKING INC. W 08/27/10 BELCHER LAW OFFICE RANDALL A. WOLFF & ASSOC 14 11WC 12436 RAMIREZ, ROSA PENTAIR FILTRATION SYSTEM 02/07/11 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 12WC003493 -C 15 11WC 14080 RODRIGUEZ, ANTONIO MDT PERSONNEL LLC 03/15/11 SALK, STEVEN B & ASSOC LTD STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 16513 JAMES, LOUIS CHICAGO TRANSIT AUTHORITY 02/09/11 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY 17 11WC 18061 CLAY, ELLA CHICAGO TRANSIT AUTHORITY 02/11/11 STEPHEN G PINTO LTD CHICAGO TRANSIT AUTHORITY 18 11WC 25877 19B BENSON, KAREN MCDONALD'S INCORPORATED 04/14/11 KARCHMAR & STONE GANAN & SHAPIRO 19 11WC 25990 CHAO, MARIA UNIVERSITY OF CHICAGO 04/12/11 LAW OFFICE ILONKA ULRICH NYHAN BAMBRICK KINZIE & LOWR 20 11WC 32080 JONES, JOHN T JR A2B TRANSPORT 07/04/11 STEVEN J SEIDMAN LAW OFFIC 21 11WC 32871 AMIR, MOHAMMAD 2 EAST OAK CONDO ASSOCIAT 05/16/11 FRANK A CELANI ACCIDENT FUND HOLDINGS 22 11WC 40340 MIXON, MARK CITY OF CHICAGO DEPT 09/28/11 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 23 12WC 11495 FOSTER, JAMES PLS 06/24/11 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 24 12WC 21133 RIVERA, MARIA C CITY OF CHICAGO 03/19/12 NICHOLAS D LAPONTE & ASSOC CITY OF CHICAGO 20WC004104 -C 25 12WC 33567 HARDY, SHIRLEY CTA 09/19/12 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 13WC008935 -C 14WC011176 -C CHICAGO TRANSIT AUTHORITY 15WC023903 -C 26 12WC 34498 RICKLES, ELAINE NICK CAVE ART W 03/31/12 CULLEN HASKINS NICHOLSON SUTTER & ORI LLC 27 12WC 34622 GUTIERREZ, AMALIA CINTAS 05/22/12 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 15WC039000 -C 28 12WC 34632 RODRIGUEZ, LORENA RON'S STAFFING SERVICES I 09/25/12 THE ROMAKER LAW FIRM KOREY COTTER HEATHER RICHARD 29 12WC 35271 DEAL, LEAVY CHICAGO TRANSIT AUTHORITY 09/21/12 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY 30 13WC 01301 CREAL, RICHARD PACE 11/07/11 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 31 13WC 04195 JOHNSON, QUINCY PERFECTION BAKING A/K/A 09/24/12 SALVATO & O'TOOLE GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 13WC 09116 COKER, SYNETHIA CHICAGO PUBLIC SCHOOLS 02/15/13 STEVEN J SEIDMAN LAW OFFIC 33 13WC 09159 FEITHEN, ROSS HERTZ EQUIPMENT RENTAL 11/03/12 HANNIGAN & BOTHA, LTD NOBLE & ASSOC 18WC027195 -C HERC EQUIPMENT RENTAL 34 13WC 09288 VELAZCO-ROSETE, REYES RAVENSWOOD DISPOSAL 03/13/13 SALK, STEVEN B & ASSOC LTD 35 13WC 09401 KEATING, THOMAS F CHICAGO PUBLIC SCHOOLS 12/19/12 BUDIN LAW OFFICES LAW DEPARTMENT 36 13WC 09820 TURNER-WASHINGTON, SHEILA JACKSON PARK HOSPITAL 02/18/13 ANKIN LAW OFFICE ODELSON & STERK 37 13WC 09925 RIVAS, LUZ INDIVIDUAL & R BENNY'S PRIME CHOP HOUSE # 04/12/10 STEINBERG BURTKER & GROSSM LAW OFFICES JOSEPH MARCINIAK 38 13WC 16050 MISCHENKO, MARLA LUTHERAN LIFE COMMUNITIES 02/08/13 MEYERS & FLOWERS HENNESSY & ROACH PC 39 13WC 25116 OMOSEBI, OLATUNDE DISPATCH TAXI CO 01/28/12 SEIDMAN MARGULIS & FAIRMAN 40 13WC 27851 CAVAZOF, SILVIA FOREVER 21 08/20/13 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 41 13WC 30384 KURTZ, ROBERT PARK DISTRICT OF OAK PARK 01/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 14WC021736 -C 17WC013972 -C 42 13WC 32849 RUSSELL, KATHLEEN CHICAGO TRANSIT AUTHORITY 09/12/13 PATRICIA HARDIMAN LAW OFFI CHICAGO TRANSIT AUTHORITY 43 13WC 38505 MOORE, LASHUNDA THORNTON FRACTIONAL 10/22/13 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 44 13WC 40281 RUSZEL, CATHY CHICAGO PUBLIC SCHOOLS/O. 12/13/10 RICHARD E ALEKSY LAW DEPARTMENT 45 13WC 40916 HAYNES, DANTAYNE D.L.H. SOLUTIONS 08/19/13 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 17WC006495 -C DLH SOLUTIONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 13WC 41570 NEUBECK, JOSEPH RANDEL ELECTRIC, INC 07/25/13 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 47 14WC 00393 HUJAR, MICHAEL VILLAGE OF PALATINE 08/04/11 RIDGE & DOWNES POWER & CRONIN LTD 15WC011260 -C 19WC009704 -C 48 14WC 08409 RODRIGUEZ, ARMANDO BENCHMARK CONSTRUCTION CO 01/23/14 ROBIN LAW OFFICE LITCHFIELD CAVO 49 14WC 09898 MCKINNEY, WILLIAM CITY OF CHICAGO/CDOT 01/06/14 COSTA IVONE LLC 50 14WC 11144 SORICE, CARMELLA CITY OF CHICAGO 12/19/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 14WC022701 -C 51 14WC 17579 GREEN, DAVID P CTA-CHICAGO TRANSIT AUTHO 05/19/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 52 14WC 19244 AMUZIE, EDWIN BLUE DIAMOND TAXI 03/13/14 CHRISTINE F DAVID 53 14WC 19350 HEZINGER, SHERRY ST OF IL CHICAGO READ @ 05/15/14 TAXMAN POLLOCK ASSISTANT ATTORNEY GENERAL 54 14WC 19866 DIAZ, NOHELIA SUPERIOR HEALTH LINENS 05/29/14 HART & DAVID LLP HOLECEK & ASSOCIATES 55 14WC 21636 RINGO, PATTY WELLPOINT INC 05/05/14 BERG & BERG GRANT & FANNING 15WC036693 -C 56 14WC 21967 MORTLOCK, RICHARD A VILLAGE OF SKOKIE 06/16/14 ANESI OZMON RODIN NOVAK KO VILLAGE OF SKOKIE 15WC009987 -C 57 14WC 30324 JONES, THEODIS CHICAGO STREETS & SAN DEP 08/12/14 GOLDBERG WEISMAN & CAIRO L 58 14WC 31132 HENLEY, KATHY NATL MENTOR HOLDINGS INC 07/30/14 BOUDREAU NISIVACO LLC CHILTON YAMBERT PORTER LLP 59 14WC 31717 ISLAS, JAIME STEFANOVIC TRANSPORT, INC 03/12/14 EPSTEIN, JACK R LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 60 14WC 33334 THORNE, RENATA JEWEL FOODS 09/10/14 SKLARE LAW GROUP EVANS & DIXON 61 14WC 33476 LONDON, L DARRYL SHERIFF OF COOK COUNTY 02/13/14 COHN & COHN STATES ATTORNEY OF COOK COUN 62 14WC 33596 RAZO, JUAN CLASSIC PARTY RENTALS 08/12/13 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 63 14WC 41314 KLEIBER, ERIC L SIEVERT ELECTRIC 12/03/14 SOSTRIN AND SOSTRIN PC 64 14WC 42514 BROWN, CLIFTON CTA 12/06/14 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 65 14WC 42878 BOLIVAR-MERCADAL, RAFAEL STEVEN DOLINS 11/21/14 DEPAOLO ZADEIKIS GORE 14WC043465 -C RESTRUCTION GENERAL 66 15WC 07480 CARRILLO, PORFIRIO HOLLANDER SLEEP PRODUCTS 10/22/14 CHRISTINE F DAVID WOLFE & JACOBSON, LTD 67 15WC 07797 CRAMER, CHRISTINE SCHOOL DISTRICT 54 10/28/14 RITTENBERG & BUFFEN ACCIDENT FUND HOLDINGS 15WC027997 -C 16WC027361 -C 19WC025075 -C 68 15WC 08274 CROWCROFT, MICHAEL A W SMITH CARTAGE CO 04/28/14 LEONARD LAW GROUP LLC HINSHAW & CULBERTSON 69 15WC 09740 EDLER, FELICIA IL DEPT OF HUMAN SERVICES 04/23/13 HORWITZ HORWITZ & ASSOC JEANNINE SIMS 15WC010445 -C ILL DEPT OF HUMAN SERVICES 70 15WC 18622 GARY, ARTHUR J. PEOPLE'S ENERGY 06/27/13 GALLAGHER, DONALD V GAROFALO SCHREIBER STORM GRA 15WC018623 -C 15WC021952 -C 16WC028536 -C 71 15WC 19885 MCCLEOD, JOEL ARENA FOOTBALL ONE LLC 04/13/15 GORDON LAW OFFICES LTD SMITH AMUNDSEN LLC 72 15WC 28662 NARDI, DEAN CITY OF CHICAGO 06/24/14 GORDON & CENTRACCHIO LLC 73 15WC 28668 GEROULIS, MARY CHICAGO PUBLIC SCHOOLS 06/10/15 BLEAKNEY & TROIANI CHGO BOARD OF EDUCATION 74 15WC 29101 KANELLOPOULOS, ANNE NIEMAN MARCUS GROUP 05/29/15 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 75 15WC 29153 JOHNSON, DERRICK 100 BELLEVUE PLACE 06/17/15 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 17WC015280 -C 17WC015281 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 15WC 29780 SARDIN, SABRINA SOUTHWEST AIRLINES 11/24/14 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 15WC029781 -C 16WC011202 -C 77 15WC 35424 GORDAN, ATHENA ADVOCATE HEALTH CARE 01/01/13 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 15WC035425 -C 17WC005721 -C 18WC012174 -C 78 15WC 41412 ROMAN, XAVIER FLETCHER JONES MERCEDES B 11/27/15 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 79 15WC 41481 TINKER, CHERYL KRAFT HEINZ CO 12/03/15 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 18WC002779 -C 80 15WC 41538 QUIROZ, JOSE CHGO DEPT OF TRANSPORTATI 11/14/15 LEO ALT CITY OF CHICAGO 81 15WC 41935 OWENS, ANTHONY L DR PEPPER SNAPPLE GROUP I 11/11/15 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 82 16WC 00271 PRESTON, NIJA SKY WEST AIRLINES 09/22/15 STANCZAK LAW OFFICES GANAN & SHAPIRO 83 16WC 00490 SMITH, ASA CITY OF CHICAGO 01/07/16 DAVID W MARTAY CITY OF CHICAGO 84 16WC 00578 VENEGAS, TARCISIO FRESH EXPRESS INC 09/19/15 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 85 16WC 07626 WHITE-DEGRAFFENREID, DORE MONDELEZ INTERNATIONAL & 05/10/14 ARGIONIS & ASSOCIAT0ES LLC WIEDNER & MCAULIFFE LTD 16WC007627 -C 16WC007628 -C 16WC007629 -C 16WC007630 -C 16WC007631 -C 86 16WC 08028 KRZYWDA, JAMES U-HAUL 02/17/16 MARTIN L GLINK LAW OFFICE RUSIN & MACIOROWSKI LTD 87 16WC 08267 SZEWKA, LEONARD E, HUSBAN CITADEL ESTATES-HAZEL CRE 03/01/16 KATZ FRIEDMAN EAGLE ET AL GALLIANI DOELL & COZZI LTD 88 16WC 08448 KONICKI, PETER ELITE STAFFING 02/29/16 SKLARE LAW GROUP 89 16WC 08514 GIL-GARIBAY, SERGIO SCATCHELL BEEF & PIZZA 02/25/16 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 90 16WC 08621 MARSZALEK, DAVID UNIVERSITY OF ILLINOIS AT @ 11/11/15 MALLOY ETZLER & LAWHEAD PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 16WC 08897 KOZMIK-STEKALA, ANETA ILLINOIS STATE POLICE 03/13/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 92 16WC 09514 WASHINGTON, MICHAEL WASTE MANAGEMENT 02/01/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 93 16WC 09758 MONTES, FRANCISCO PULLMAN SUGAR 10/28/15 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 94 16WC 09871 CARILLO, GUSTAVO ALPHA BAKING COMPANY INC 10/10/15 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 95 16WC 10000 ROWAN, PHILLIP WILRAE, INC 12/31/15 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 16WC010001 -C 96 16WC 10123 CIOLINO, RICHARD T JOHN CRANE 03/15/16 DAVID W MARTAY GAROFALO SCHREIBER STORM GRA 97 16WC 10545 HERRERA, EVERGITO MAYWOOD FIRE DEPARTMENT 02/02/16 DEPAOLO & ZADEIKIS INMAN & FITZGIBBONS 98 16WC 17956 BARTON, JAMES PULLMAN SUGAR 05/31/16 PARENTE & NOREM PC CAPUANI, FRANK S 99 16WC 17972 SESSA, JAMES E JR HIGHLAND PARK CVS LLC 12/29/15 DEPAOLO & ZADEIKIS NYHAN BAMBRICK KINZIE & LOWR 18WC015924 -C CVS #4978 100 16WC 18232 COOK, CHRISTINA EASTER SEALS METROPOLITAN @ 11/03/15 ROMANEK & ROMANEK NOBLE & ASSOC 101 16WC 18294 FREEMAN, WILLIAM TENET HEALTHCARE CORP 04/29/16 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 102 16WC 18919 EICHORST, MARY DOLLAR TREE STORES INC 12/20/15 BUIKEMA HISKES DILLNER ET WIEDNER & MCAULIFFE LTD 103 16WC 18968 DETRES, EMILIO A CHICAGO TRANSIT AUTHORITY 03/08/16 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 104 16WC 19051 NEELY, DIONNE N IL CENTRAL SCHOOL BUS COM 05/20/16 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 105 16WC 19127 OWENS, MICHELE P. BROOKWOOD SCHOOL 05/24/16 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 106 16WC 19425 FLORES, MARIA FIRST STUDENT 06/15/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 16WC032809 -C 17WC027807 -C 107 16WC 19600 CAMACHO, ANGELIC COOK COUNTY JUVENILE 05/09/16 ANESI OZMON RODIN NOVAK KO STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 16WC 19714 SCHICHT, ALAN VERSA PROPERTY MGMT, LLC 02/24/16 JASINSKI, GEORGE J COZZI & GOGGIN-WARD 109 16WC 19741 PACHECO, ROSARIO UNITED AIRLINES INC. 05/25/16 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 110 16WC 19975 DURAN, ELSA CITY OF CHICAGO 03/20/15 KARCHMAR & STONE CITY OF CHICAGO 111 16WC 20035 SIMONE, JEFFREY J STATE OF ILLINOIS @ 04/27/16 ASSISTANT ATTORNEY GENERAL 17WC008850 -C IL SECRETARY OF STATE 112 16WC 20148 DIETZ, JUDITH SHUTTLE AMERICA CORP 06/20/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 113 16WC 20473 WILLIAMS, ELIZABETH CITY OF CHICAGO STREETS & 05/24/16 STEPHEN G PINTO LTD 114 16WC 21165 ALASKA, MICHAEL FREEMAN AUDIO VISUAL 05/28/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 115 16WC 21374 LUPO, ANTHONY CITY OF CHICAGO 06/29/16 DEPAOLO & ZADEIKIS 116 16WC 23882 HILL, JAMES CITY OF CHICAGO 02/26/16 DISPARTI LAW GROUP PA VITELL & SPITZ LTD 117 16WC 25406 CIGANOVIC, VERA WALDORF ASTORIA, A SUBSID 09/13/14 GALLIANI DOELL & COZZI LTD NOBLE & ASSOC 16WC025407 -C 118 16WC 26639 CUNNINGHAM, SHEILA HOLY CROSS HOSPITAL 02/21/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 119 16WC 28334 LA'TEEF, KHALIL A CITY OF CHICAGO 04/11/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 120 16WC 28725 MEDINA, ELIZABETH CHICAGO PUBLIC SCHOOLS 03/07/16 MEYERS & FLOWERS CHGO BOARD OF EDUCATION 121 16WC 28889 GARCIA-HERNANDEZ, LUIS AN RAZKO ENTERPRISE, INC W 08/17/16 EPSTEIN, JACK R LAW OFFICE 122 16WC 29045 SOTO, MARTHA OUT`BACK STEAKHOUSE 04/17/16 SALVATO & O'TOOLE 123 16WC 29312 HUGGINS, LISA CHICAGO TRANSIT AUTHORITY 07/19/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 124 16WC 29414 TATE, WINFRED CTA-CHICAGO TRANSIT AUTHO 09/10/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 125 16WC 29756 HALL, DOSCHELLE COOK COUNTY ADULT PROBATI 09/03/16 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 16WC 30047 CARRAO, SANDY CHICAGO BOARD & EDUCATION 09/20/16 BRILL & FISHEL LAW DEPARTMENT 127 16WC 30081 KRASZEWSKI, BEATA, WIFE ELECTRICAL INNOVATIONS CO 05/05/16 O'CONNOR & NAKOS EVANS & DIXON 128 16WC 30306 HUGHES, WILLIAM F VILLAGE OF FOREST VIEW 01/22/16 O'CONNOR & NAKOS INMAN & FITZGIBBONS 129 16WC 30486 DURDEN, ANDREW METRO WATER RECLAMATION D 09/02/16 SEIDMAN MARGULIS & FAIRMAN NOBLE & ASSOC 130 16WC 31423 GRIFFIN, ROBERT CHICAGO TRANSIT AUTHORITY 09/12/16 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 131 16WC 34201 SAK, IREMA NYPRO, A JABIL CO 06/05/16 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 132 16WC 37902 GUARDADO, DANIEL CITY OF CHICAGO 11/06/16 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 133 16WC 37968 LESNIAK, MAGDALENA COOK COUNTY 12/12/16 BURNES & LIBMAN 134 16WC 38022 MCCLINTON, DONNETTA CTA 11/07/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 135 16WC 38065 ANDERSON, VICKI SAFE FOUNDATION INC 11/06/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 136 16WC 38236 DENT, NICHOLE JOHN STROGER HOSPITAL 11/16/16 TAXMAN POLLOCK STATES ATTORNEY OF COOK COUN 137 16WC 38409 PEREZ-MELENDEZ, SAMUEL PEP BOYS 11/15/16 VRDOLYAK LAW GROUP LLC CHILTON YAMBERT PORTER LLP 17WC027742 -C 138 16WC 38580 MILLER, STEVEN J CITY OF CHICAGO 03/09/16 SIGMOND, STEVEN CITY OF CHICAGO 16WC038581 -C LITTLE TOMMY'S PLUMBING SH 139 16WC 38951 LAWRENCE, FREDERICK GREYHOUND BUS LINES, INC 08/19/16 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 140 16WC 38971 RODRIGUEZ, JUAN M LABOR SOLUTIONS, LLC 05/18/16 COSTA IVONE LLC 141 16WC 39020 SNEED, ANDRE COOK COUNTY DEPARTMENT OF 12/15/16 WILLIAM B MEYERS, LTD STATES ATTORNEY OF COOK COUN 142 16WC 39046 VALADEZ, ELIZABETH ALLIED UNIVERSAL SECURITY 12/13/16 SALVATO & O'TOOLE 143 16WC 39358 BLAINO, JUANITA COOK COUNTY SHERIFF'S DEP 11/04/16 SANDMAN LEVY & PETRICH STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 144 16WC 39474 MASSARELLO, CYNTHIA J MEDVET CHICAGO 12/05/16 THOMAS R LICHTEN LAW OFFICES OF EDWARD J. KOZ 145 17WC 00031 HOLAKOVSKY, JAMES M II IN ONE CONTRACTORS, IN 07/25/14 RUBIN LAW GROUP HENNESSY & ROACH PC 146 17WC 00115 LACH, SZCZEPAN CABINETS & STAIRS, INC 10/03/16 MICHALSKI & GUBERNAT 147 17WC 00335 DANIEL, LYNETTA AUTO WAREHOUSING COMPANY 12/27/16 LANNON LANNON & BARR LTD MEACHUM & STARCK 148 17WC 00364 19B LAMPING, JAMES J CITY OF CHICAGO DEPT OF 12/06/16 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 149 17WC 02087 MORALES, FRANCISCO K BROTHERS FENCE INC 12/28/16 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 150 17WC 06890 WILLIAMS, BARBARA CHICAGO TRANSIT AUTHORITY 03/06/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 151 17WC 07201 CARDENAS, ANTONIA GEORGIA NUT CO 02/09/17 KATZ FRIEDMAN EAGLE ET AL CAPUANI, FRANK S 152 17WC 07306 EGGEMEYER, REGGIE RIVERS CASINO 02/23/17 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 19WC011030 -C 153 17WC 07307 OROZCO, AMPARO DAKKOTA INTEGRATED SYSTEM 08/10/16 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 17WC007308 -C 154 17WC 07546 GOOLSBY, ANNETTE L UNIVERSAL PROTECTION SVC, 10/27/15 155 17WC 07665 SECOR, VINCENT CONCRETE STRUCTURES OF TH 01/12/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 156 17WC 07723 TURNER, ROBERTA UNITED AIRLINES 01/22/17 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 157 17WC 07743 CAHILL, ADA CHICAGO TRANSIT AUTHORITY 03/06/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 158 17WC 08010 BAILEY, DALINA CITY OF CHICAGO 02/22/17 HORWITZ HORWITZ & ASSOC ODELSON & STERK 159 17WC 08061 CLEVELAND, LASHONDA FORD MOTOR COMPANY 12/07/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 17WC008949 -C 19WC012303 -C 160 17WC 08146 ELAM, MICHAEL SOUTHERN WINE & SPIRITS 09/01/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 17WC 08450 VORBERG, DANIEL MIDWEST LAMININATING 04/08/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 162 17WC 08519 VILLANUEVA, CARMELO ROSOURCE EMPLOYMENT SOLUT 03/02/17 MC HARGUE & JONES 163 17WC 08641 RAMIREZ, VINCENT J CITY OF CHICAGO 02/09/17 CULLEN HASKINS NICHOLSON 164 17WC 08703 GARCIA, ANTONIO BRETFORD MANUFACTURING 02/15/17 CARONE LAW OFFICES GAROFALO SCHREIBER STORM GRA 165 17WC 09119 TORRES, SAUL EKLIND TOOLS CO 06/30/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 17WC010861 -C 166 17WC 09389 WILLIAMS, ONREE TERMINAL GATEWAY SPA 10/28/15 MC HARGUE & JONES LAW OFFICES OF EDWARD J. KOZ 167 17WC 09533 BALL, KURKINDALL ALLECUP TRANSPORTATION 01/19/17 MARC J SHUMAN & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 168 17WC 09700 COLLINS, TRACY CHICAGO PUBLIC SCHOOLS 02/15/17 WILLIAM B MEYERS, LTD LAW DEPARTMENT 169 17WC 09730 GONZALEZ-COLEMAN, PALOMA JUVENILE TEMP DETENTION C 03/03/17 STATES ATTORNEY OF COOK COUN 170 17WC 09762 BERMUDEZ, MARIA DEPAUL UNIVERSITY 10/28/16 DAVID W MARTAY HOLECEK & ASSOCIATES 171 17WC 09783 BARRAZA, MANUEL UNITED INSULATED 10/18/16 LAW OFFICES DANIEL E MURPH LAW OFFICES OF EDWARD J. KOZ 172 17WC 10127 NEAL, ERIC L CITY OF CHICAGO 04/03/17 MC HARGUE & JONES 173 17WC 10406 MATIGNAS, JOSEPHINE ENVOY AIRLINES 01/24/17 GAINES & GAINES ROSARIO CIBELLA 174 17WC 14164 VILLASENOR, EDELMIRA ATLAS EMPLOYMENT SVCS, IN 11/20/16 EPSTEIN, JACK R LAW OFFICE ROBERT L. SMITH 175 17WC 17371 POSNER, KATHY COOK COUNTY TREASURER'S O 03/10/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 176 17WC 17651 OJEIWA, MULATU I ONE-ONE-ONE TAXI 05/30/17 STEWART C ORZOFF 177 17WC 17775 KULAKOWSKI, EDWARD SUGAR STEEL CORPORATION 04/11/17 O'CONNOR & NAKOS POULOS & DIBENEDETTO LAW 178 17WC 17792 AYALA, MIGUEL VICTORIA RESTAURANT 06/04/17 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 17WC 18288 DOUGLAS, ERIC WHEATLAND TUBE 12/10/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 180 17WC 18403 LAGIGLIO, PHILLIP CITY OF CHICAGO 10/18/16 RUBIN LAW GROUP CITY OF CHICAGO 181 17WC 18499 HARRIS, MELVIN J CTA 04/27/17 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 182 17WC 18576 GUZMAN, SALVADOR G SOUTHWEST AIRLINES 04/22/17 ACEVES & PEREZ PC 183 17WC 18670 ANTUNEZ, BEATRIZ IL DEPT OF HUMAN SERVICES 08/05/16 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 184 17WC 19105 ALFICH, FRED CITY OF CHICAGO - WATER 12/27/16 KROL BONGIORNO & GIVEN LTD 185 17WC 19379 LITTLETON, DANIEL FREEMAN DECORATING 06/06/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 186 17WC 19613 TUCKER, DENNIS D ITS TECNOLOGIES & LOGISTI 06/01/17 ANKIN LAW OFFICE 187 17WC 19668 HERNANDEZ, HUMBERTO DELTA CARPENTRY, INC 01/17/17 LULAY LAW OFFICES 188 17WC 19797 MCELRETH-BEY, ORPHEUS CITY OF CHICAGO 03/16/17 COSTA IVONE LLC 189 17WC 19914 CARDOZA, ISIDORO J'S RECORDS & TAPES INC 03/29/17 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 190 17WC 19930 CORONEL, PATRICIA MCDONALDS 06/21/17 SALVATO & O'TOOLE 191 17WC 19972 THOMAS, FRANCES SCR MEDICAL TRANSPORTATIO 03/05/15 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 192 17WC 19987 ESPINOSA, VICTOR CORONA TRANSPORT LTD. 06/15/17 MC HARGUE & JONES WOLF & LAUDICINA LTD 193 17WC 20114 SANCHEZ, J JOSE LUIS MARINA CARTAGE, INC 04/11/17 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 194 17WC 20265 WINN, CAROL METRO STAFFING 07/03/17 DAVID W MARTAY SLAVIN & SLAVIN 195 17WC 26989 KRUL, PETER LABOR SERVICES CO 07/05/17 THOMAS LAW HEYL ROYSTER VOELKER & ALLEN 196 17WC 27150 LOPEZ, SABRINA MARINA JIMMY JOHN'S 09/09/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 17WC 27171 JOHNSON, MARLON FORD MOTOR COMPANY 08/18/17 JAMES ELLIS GUMBINER & ASS RUSIN & MACIOROWSKI LTD 198 17WC 27292 LINDBOHM, PETTERI ST LOUIS BLUES 09/25/16 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 17WC027293 -C 17WC027294 -C 17WC027295 -C 18WC015216 -C 18WC015217 -C 199 17WC 27311 WINFORD, KEITH CITY OF CHICAGO 06/28/17 SANDMAN LEVY & PETRICH 17WC027583 -C 18WC026502 -C 18WC026503 -C 200 17WC 27316 IRIZARRY, GIMARIE WALGREENS 07/05/16 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 201 17WC 27390 MEDINA, ROSA SHERATON CHICAGO O'HARE H 09/08/17 DOUGLAS RALLO PC 202 17WC 27497 STEWART, ALICIA COOK CTY PUBLIC DEFENDER 09/06/17 EDWIN REYES LEGAL GROUP STATES ATTORNEY OF COOK COUN 203 17WC 27647 SOTELO, LEODEGARIO S&C ELECTRIC COMPANY 08/05/17 RICHARD O. GREENFIELD RUSIN & MACIOROWSKI LTD 204 17WC 27668 BAUMGART, EDMUND WINDWARD ROOFING CONSTRUC 09/07/17 ARGIONIS & ASSOCIATES LLC 205 17WC 27765 TOLIVER, CRYSTAL UNITED AIRLINES 12/17/12 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 17WC027766 -C 206 17WC 28058 SERRATO, MIGUEL GEORGIA NUT CO 07/31/17 POLANSKY & CICHON CHTD CAPUANI, FRANK S 207 17WC 28226 SOTO ROSARIO, VICTOR NORWEIGAN-AMERICAN HOSPIT 06/27/16 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 208 17WC 28434 MARTINEZ, OSCAR M CHICAGO CUT CONCRETE CUTT 11/03/16 HANNIGAN & BOTHA, LTD ANCEL GLINK DIAMOND BUSH & E 209 17WC 28540 SERNA, CLAUDIA RAYMUNDO FOOD GROUP 09/01/17 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON 210 17WC 28571 URIBE, PATRICIO SYSCO CHICAGO, INC 04/11/17 RUEDA, IVAN A 211 17WC 28756 NEVAREZ, ROSA BARRERA CHICAGO PUBLIC SCHOOLS 06/19/17 SOSTRIN AND SOSTRIN PC CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 17WC 29065 MEADEN, JOYCE FAIRMONT HOTEL 10/01/17 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 213 17WC 29191 SONG, JOSEPH CHICAGO TRANSIT AUTHORITY 07/13/17 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY 18WC012104 -C CTA 214 17WC 29287 JAWORORWSKI, JEANNINE STARBUCKS 08/31/17 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 215 17WC 29327 STATLER, KATHLEEN UNIVERSITY OF CHICAGO 12/15/16 SOSTRIN AND SOSTRIN PC 216 17WC 29370 MASON, AMINA BANK OF AMERICA 06/19/17 CHARLES LEVY & ASSOC LTD 217 17WC 29421 POOLE, NAKEVA CHICAGO TRANSIT AUTHORITY 10/08/17 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 218 17WC 29479 JOSEPH, RACHEL JOHN H STROGER JR. HOSPIT 08/25/16 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 219 17WC 29724 MONROY, LILIANA MULTI-PACK SOLUTIONS 08/01/17 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 220 17WC 29835 PILECKI, ANDREW CITY OF CHICAGO DEPT OF 02/17/17 CUDA LAW OFFICES HENNESSY & ROACH PC 17WC029836 -C 17WC029837 -C 18WC024894 -C 19WC015343 -C 221 17WC 36225 BLACKMON-PARRISH, DEBRA EMPIRE CASTING LLC 07/26/17 MARK SCHAFFNER ROSARIO CIBELLA 222 17WC 36247 MORRIS, ERIC GREAT NORTHERN LUMBAR 12/06/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 223 17WC 36289 COYNE, JOHN CITY OF CHICAGO 08/18/17 HORWITZ HORWITZ & ASSOC 224 17WC 36477 VASQUEZ, SERGIO CITY OF CHICAGO 11/07/17 HEALY SCANLON LAW FIRM CITY OF CHICAGO 225 17WC 36618 BAILEY, SHIRLEY F FORD MOTOR COMPANY 09/27/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 226 17WC 36626 CLEMONS, YOLANDA CHICAGOTRANSIT AUTHORITY 09/20/17 VASILATOS & COTTER LLC 17WC036627 -C 227 17WC 36694 RESTIVO, MICHAEL CITY OF CHICAGO 09/13/17 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 17WC 36734 HERNANDEZ, ERIK HOLY CROSS HOSPITAL 11/10/17 LAW OFFICES OF ANSELMO DUR 229 17WC 36766 PORCHE, STACY COOK COUNTY DEPT OF CORRE 03/16/16 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 230 17WC 36805 CHAVEZ, JOSE CITY OF CHICAGO 10/13/17 VRDOLYAK LAW GROUP LLC 231 17WC 37235 PLAUTZ, JOEL LINCOLNWAY MANAGEMENT, IN 09/22/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 232 17WC 37289 CASTRO, JOSE NEOVIA LOGISTICS SVCS, LL 10/04/17 ANGELINI & ORI LLC 233 17WC 37418 METCALF, IRMA CHICAGO TRANSIT AUTHORITY 09/11/17 TAXMAN POLLOCK CHICAGO TRANSIT AUTHORITY 234 17WC 37508 BARAJAS, IRMA COOK COUNTY JAIL 12/09/17 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 235 17WC 37563 VAFAKOS, KATRINA CHICAGO PUBLIC SCHOOLS 10/30/17 RUSSO & RUSSO LTD CHGO BOARD OF EDUCATION 236 17WC 37696 SOLIS, MARIO METROSTAFF INC 12/11/17 SEIDMAN MARGULIS & FAIRMAN SLAVIN & SLAVIN 237 17WC 37792 TRENTZ, VINCE RG CONSTRUCTION SERVICES 06/05/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 238 17WC 37891 ANDREWS, ZILPHIA UNIVERSITY OF CHICAGO MED 12/20/16 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 239 18WC 00020 LINZY, TYWANNA CVS PHARMACY 12/05/17 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 240 18WC 00044 CADE, LINDA STATE OF ILLINOIS, 11/29/17 LUSAK AND COBB ALYSSA SILVESTRI 241 18WC 00338 SUTTON, STEVE SUPERIOR NUT AND CANDY CO 10/31/17 MARC J SHUMAN & ASSOCIATES CAPUANI, FRANK S 242 18WC 00508 GRIPPANDO, CAMILLE UPS 05/22/17 NYHAN BAMBRICK KINZIE & LOWR 18WC022115 -C 243 18WC 00592 FLANAGAN, MIKE AIR DESIGN SYSTEMS INC 12/01/17 GOLDBERG WEISMAN & CAIRO L HANSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 18WC 02453 GRAHAM, LYDIA STATE OF IL- ELIZABETH LU @ 02/01/15 DAVID W MARTAY STATE OF ILLINOIS 245 18WC 04450 PARADA, MARIA ISABEL WEBER STEPHEN PRODUCTS 02/16/16 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 18WC004451 -C 18WC004452 -C 18WC015490 -C 18WC015491 -C 246 18WC 07549 WALKER, QIANA SMITH CHICAGO PUBLIC SCHOOLS 11/15/17 CULLEN HASKINS NICHOLSON CHGO BOARD OF EDUCATION 247 18WC 07570 LINDSEY, RICHARD CHICAGO PUBLIC SCHOOLS 01/11/18 COSTA IVONE LLC CHGO BOARD OF EDUCATION 248 18WC 07770 GYGUS, ADAM ALL TRUCK TRANSPORTATION 01/20/17 LEO ALT CHILTON YAMBERT PORTER LLP 249 18WC 07810 MURPHY, JENNIFER COMMUNITY FIRST MEDICAL C 01/31/18 RATHBUN CSEVENYAK & KOZOL 250 18WC 07894 COTTER, VINCENT P CITY OF CHICAGO 02/18/18 RUBIN LAW GROUP HENNESSY & ROACH PC 251 18WC 07895 19B ZIMBAUER, JASON VILLAGE OF TINLEY PARK 08/08/16 RUBIN LAW GROUP POWER & CRONIN LTD 252 18WC 07964 SETTLES, LETITIA CHICAGO TRANSIT AUTHORITY 01/30/18 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 253 18WC 08013 CASTILLO, JULIO IL STATE POLICE 03/11/18 COLLISON LAW OFFICES ALYSSA SILVESTRI 254 18WC 08292 YANEZ, TERESA ABM INDUSTRIES INC 01/30/18 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 255 18WC 08308 WHITE, FELICIA CHICAGO PUBLIC SCHOOL 02/20/18 ELFENBAUM EVERS ZIELINSKA CHGO BOARD OF EDUCATION 256 18WC 08328 ARREOLA, CARLOS DESIGNED EQUIPMENT CORPOR 12/11/15 CAMERON CLARK 257 18WC 08680 HEARD, DESARAY CTA 03/13/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 258 18WC 08968 MEDINA, ROBERT J ROXUL USA INC 03/09/18 ANKIN LAW OFFICE INMAN & FITZGIBBONS 18WC035178 -C CHICAGO METALLIC CORPORATI 259 18WC 09000 JAWORSKI, ADRIAN RIZZA CADILLAC 07/07/17 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 260 18WC 09018 FINNEY, LAWRENCE AT&T SERVICES INC 09/29/17 MC HARGUE & JONES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 261 18WC 09157 BELLINI, JOSEPH INTERIOR CONCEPTS, INC 01/19/18 VRDOLYAK LAW GROUP LLC EVANS & DIXON 262 18WC 09172 MEDINA, MIGUEL EAST BALT BAKERIES 02/26/18 ROSS TYRRELL NYHAN BAMBRICK KINZIE & LOWR 263 18WC 09187 HUBBARD, ESTELLA CITY OF CHICAGO STREETS & 12/13/17 VITELL & SPITZ LTD CITY OF CHICAGO 264 18WC 09204 SOTO, EVELYN L COUNTRYSIDE DONUTS INC 02/01/18 ANKIN LAW OFFICE 265 18WC 09216 SANCHEZ, LORENZO JOLIET PALLETS SERVICES L W 12/19/17 CHEPOV & SCOTT LLC VILLALOBOS, RAUL 266 18WC 09227 BAILEY, CHRISTINE L KENNY CONSTRUCTION CO 10/30/17 BUDIN LAW OFFICES GAROFALO SCHREIBER STORM GRA 267 18WC 09269 APRILE, ANTHONY DICKS SPORTING GOODS 12/13/16 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC 268 18WC 09567 DOUGLAS, ROSEMARY B BURLINGTON COAT FACTORY 03/20/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 269 18WC 09661 DANIELS, WALTER CITY OF CHICAGO, DEPARTME 02/07/18 DEPAOLO & ZADEIKIS CITY OF CHICAGO 270 18WC 09831 BELL, CHESTER BERWYN POLICE DEPARTMENT 02/27/18 RIDGE & DOWNES CUDA LAW OFFICES 271 18WC 10115 PREUSSER, RAYMOND O'REILLY AUTO PARTS 03/24/16 DAVID W MARTAY HENNESSY & ROACH PC 272 18WC 10146 MORALES, VIRJILIO CITY OF CHICAGO 03/19/18 FIGLIOLI, DAVID CITY OF CHICAGO 273 18WC 10171 GOTTLIEB, KRISTIN KESHNET DAY SCHOOL 11/20/17 MARC J SHUMAN & ASSOCIATES 274 18WC 10206 MOORE, CARMELITA CONCERTO RENAL SERVICES 03/24/18 ANKIN LAW OFFICE EDWARD J. KOZEL 275 18WC 10267 VANDERWARREN, CYNTHIA ADVOCATE 02/01/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 18WC011159 -C 276 18WC 10310 GRAVES, RICK JRG TRANSPORT LLC 01/09/18 KEDZIE LAW OFFICE PC ACCIDENT FUND HOLDINGS 277 18WC 10371 PANORA, JUAN CARLOS GIBSONS BAR & STEAKHOUSE 10/10/17 VITELL & SPITZ LTD KRAKER FANNING & OLSEN 278 18WC 10419 STRODE, RICHARD AVERITT EXPRESS 02/22/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 18WC 12991 LOPEZ, MARTIN EDSAL MANUFACTURING 11/21/17 JAMES M GERAGHTY SLAVIN & SLAVIN 280 18WC 17453 RODRIGUEZ, CELIA HU-FRIEDY MFG CO LLC 03/06/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 281 18WC 17498 SPELLMAN, ALLSION R SCHNEIDER INC 05/16/18 KROCKEY CERNUGEL COWGILL E ASA LAW GROUP 282 18WC 17531 MOY, TIFFANY ADVOCATE MED GROUP/ 04/21/18 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 283 18WC 17593 CAMPBELL, JAY PEOPLE 4U INC 06/09/18 ANKIN LAW OFFICE GAIDO & FINTZEN 284 18WC 17717 CHICKERILLO III, JOHN T BLUE ISLAND POLICE DEPT 05/30/18 KARCHMAR & STONE 285 18WC 17853 WATSON, CONSTANT ROISETER,LLC 05/21/18 TAXMAN POLLOCK CAPUANI, FRANK S 286 18WC 17879 STOKES, IVORY CHICAGO TRANSIT AUTHORITY 04/20/18 DEER & STONE PC STONE & MAYA PC 287 18WC 17901 DUBURG, MICAH DUBURG IRON WORKS, INC 11/17/16 RUBIN LAW GROUP INMAN & FITZGIBBONS 19WC011176 -C 288 18WC 17999 FARR, HESTER WASHINGTON COOK COUNTY 05/21/18 STATES ATTORNEY OF COOK COUN 289 18WC 18015 JONES, TASHARA CITY OF CHICAGO 06/08/18 SEROWKA LAW 290 18WC 18096 ALONZO, JOAQUIN CITY OF CHICAGO DEPT OF 03/06/18 DWORKIN AND MACIARIELLO 291 18WC 18157 BUTKOWSKI, KELLY ADVOCATE SOUTH SUBURBAN H 12/27/17 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM GRA 292 18WC 18265 BOJKOVIC, BORIS BOJAN DOKOVIC 05/11/18 VASILATOS & COTTER LLC 293 18WC 18668 THOMAS, SHWANA COOK COUNTY 06/06/18 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 294 18WC 18779 MARTINEZ, ISRAEL SIGNATURE OIL CHANGE 04/16/18 295 18WC 18990 WILLIAMS, ROBERT E CHICAGO TRANSIT AUTHORITY 06/20/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 296 18WC 19100 BALOGH, TIBERIU WATERTON RESIDENTIAL/ 02/28/18 SALVATO O'TOOLE FROYLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 297 18WC 19222 LLOYD, FREDRIKA ELIZABETH LUDEMAN CTER 01/18/18 MICHAEL HELLMAN ALYSSA SILVESTRI 298 18WC 19356 BROWN, SARAH AMERICAN AIRLINES, INC 04/02/18 DEPAOLO & ZADEIKIS ROSARIO CIBELLA 299 18WC 19689 WILLIAMS, MAJOR K JR CTA 11/14/17 DANIEL PERIASWAMY CHICAGO TRANSIT AUTHORITY 300 18WC 19805 CONNERS, PERIS BOYS TRANSPORTATION, INC 05/10/18 DAVID W MARTAY 301 18WC 19938 CLARK, DENISE UNIVERSITY OF CHICAGO MED 06/10/18 MINKOW DOMIN POWER & CRONIN LTD 18WC028915 -C 302 18WC 20174 CAMEROS, DAVID TRUCK TIRE EXPRESS INC 06/11/18 STEVEN B SALK & ASSOC LTD LEWUN & KAIS LTD 303 18WC 20383 HILL, THOMAS D SMART CARE EQUIPMENT SOLU 06/01/18 ALEKSY BELCHER QUINTAIROS PRIETO WOOD & BOY 304 18WC 21379 19B WILLIAMS, DARRYL CITY OF CHICAGO 01/10/18 TRUGLIO, FRED A & ASSOC CITY OF CHICAGO 305 18WC 23519 19B AMMONS, GREGORY CITY OF CHICAGO- DEPARTME 06/12/18 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 306 18WC 24740 SUMRELL, LADARIUS CINTAS CORP 08/07/18 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 307 18WC 26952 ZAIDI, SYED T CHICAGO CARRIAGE CAB CO 08/05/18 VITELL & SPITZ LTD 308 18WC 27120 HINTON, MARY FRONTIER AIRLINES 02/16/17 KATZ FRIEDMAN EAGLE ET AL 19WC006942 -C 19WC010565 -C 309 18WC 27157 WEBB, GALINDA GOJET AIRLINES LLC 01/21/18 URBAN & BURT LTD 310 18WC 27241 MADRIGAL, RAMIRO BATORY FOODS 03/15/18 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 311 18WC 27258 RAMIREZ, CECILIA UNITED DISPLAY CRAFT, LLC 08/22/18 STROM & ASSOC KEEFE CAMPBELL BIERY & ASSOC 312 18WC 27354 DOMENICO, CHERYL ADVOCATE HEALTHCARE 08/23/16 NYHAN BAMBRICK KINZIE & LOWR 313 18WC 27370 HERRERA, RAFAEL AMITY PACKING CO INC. 01/24/18 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 18WC 27524 MUSIL, ROGER CHICAGO TRANSIT AUTHORITY 01/16/17 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 315 18WC 27595 CLARK, MARK W RICHLEE VANS, INC. 02/22/18 CULLEN HASKINS NICHOLSON 316 18WC 27639 PERALTA, MANUEL D MAVERICK AUTO PARTS 08/27/18 COSTA IVONE LLC CASSANO & ASSOCIATES 317 18WC 27660 GARCIA, ARTURO LANDMARK OF DES PLAINES 01/15/18 318 18WC 27727 CABRERA, GENARO BUTLER CORING INC 08/24/18 ASHER, RAYMOND L LTD GANAN & SHAPIRO 319 18WC 27746 JIMENEZ, MIGUEL R CARROZZA PLUMBING CO IN 09/05/18 HEALY SCANLON LAW FIRM 320 18WC 27764 AVELAR, CESAR AB CREATIVE CONSTRUCTION 09/07/18 PETER LEKAS 321 18WC 27785 LOVELL, JOHN P DARDEN RESTAURANT GROUP 09/10/18 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 322 18WC 27833 PEREZ, JESENIA COSTCO (1085) 06/08/18 ESR LAW GROUP GANAN & SHAPIRO 323 18WC 28106 GONDER, JON UPS 07/18/18 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 324 18WC 28126 JENNINGS, WILLIAM I VILLAGE OF DOLTON 06/27/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 18WC030005 -C 325 18WC 28261 PERALTA, ROMULO M UNITED SERVICE COMPANIES 05/01/18 RUSIN & MACIOROWSKI LTD 326 18WC 28278 ROGERS, RICHARD O'REILLY AUTO PARTS 09/01/18 POLANSKY & CICHON CHTD BRYCE DOWNEY & LENKOV LLC 327 18WC 28375 CARDOZA, JOSE ACCORD CARTON 01/16/18 KINNALLY FLAHERTY KRENTZ NYHAN BAMBRICK KINZIE & LOWR 328 18WC 28678 REYES, GERARDO GRAPHIC PACKAGING 06/18/18 JONATHAN SCHLACK DOHERTY & PROGAR LLC 329 18WC 28712 SMITH, CAPRICE FEDEX EXPRESS 09/20/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 330 18WC 28836 DELRICCO, DEVIN VILLAGE OF HOFFMAN ESTATE 09/21/18 SLAVIN & SLAVIN RUSIN & MACIOROWSKI LTD 331 18WC 28894 DIAZ, ORTENCIA LIBERTY STAFFING, INC./ 11/28/17 STEVEN B SALK & ASSOC LTD RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 332 18WC 29079 TRUITT, SYLVESTER BERRY GLOBAL 09/19/18 DWORKIN AND MACIARIELLO 333 18WC 29107 AUSTIN, HERBERT ALGUIRE'S FIREWOOD 04/07/18 334 18WC 29151 DIAZ, MARIA C MICRO METAL FINISHING, LL 09/12/18 RUEDA, IVAN A KEEFE CAMPBELL BIERY & ASSOC 335 18WC 29231 REUGGAR, ROBERT AEROTEK 09/13/18 DWORKIN AND MACIARIELLO DWORKIN AND MACIARIELLO 336 18WC 29437 MYSLINSKI, JASON THE CONGRESS PLAZA HOTEL 07/15/18 PARENTE & NOREM PC ROSARIO CIBELLA 337 18WC 29597 CAMPBELL, BRENDA RUSH UNIVERSITY MEDICAL C 09/09/18 GREGORIO & MARCO 338 18WC 29623 DIAZ, AMAURY CORCHO AFC TRANSPORT 09/07/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 339 18WC 29686 MITCHELL, CAROL WALMART SUPERCENTER 09/30/18 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 340 18WC 29771 DANGLES, CHRISTOPHER COOK COUNTY SHERIFF 08/29/18 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 341 18WC 29809 LOVE, TAMIKO TOTAL AIRPORT 05/10/18 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 342 18WC 29883 LADD, CYNTHIA UNITED AIRLINES INC. 10/10/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 18WC029884 -C 343 18WC 29957 JAVIER, LEONEL EL MILAGRO CORP 07/07/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 344 18WC 29969 GUTIERREZ, MARCELINO CITY OF CHICAGO 09/06/18 WILLIAM H MARTAY 345 18WC 30110 SLOMINSKI, JENNIFER ADVOCATE LUTHERAN GENERAL 02/13/18 DAVID W MARTAY GAROFALO SCHREIBER STORM GRA 346 18WC 30134 SULLIVAN, MARGIE COOKCNTY SHERIFF'S POLICE 08/30/18 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 347 18WC 30233 HOPKINS, CHIQUITA M CTA-CHICAGO TRANSIT AUTHO 10/01/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 348 18WC 30245 PHILLIPS, KATHLEEN CROSSMARK, INC 08/08/17 DEPAOLO & ZADEIKIS QUINTAIROS PRIETO WOOD & BOY 349 18WC 30252 BIGOTT, GREGORY F COOK COUNTY SHERIFF'S OFF 04/03/18 STEVEN J MALMAN & ASSOCIAT STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 350 18WC 30324 RICE, AARON FORD MOTOR CO. 01/07/17 ANKIN LAW OFFICE 351 18WC 30369 ZIMNY, MICHAEL E&R TOWING/UNITED ROAD TO 08/20/18 DWORKIN AND MACIARIELLO 352 18WC 30399 TOMPKINS, ANDREW JUNK MASTER, INC. 09/07/18 THE ROMAKER LAW FIRM THOMAS & ASSOCIATES 353 18WC 36047 HARRINGTON, RONALD PEOPLE READY 06/19/18 MC HARGUE & JONES 354 18WC 36102 CURTIN, JAMES CITY OF CHGO-DEPT OF FINA 12/06/18 DWORKIN AND MACIARIELLO CITY OF CHICAGO 355 18WC 36266 MYRICKES, DORIAN OMEGA GLOBAL SECURITY SER 11/11/18 356 18WC 36340 NEAL, VALERIE CITY OF CHICAGO 03/07/18 DWORKIN AND MACIARIELLO 357 18WC 36359 TORRES, JOSE NORBERT PLATING CO 10/01/18 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 358 18WC 36388 AMPADU, SAMUEL NRTHSHORE UNIVERSTY HLTH 09/26/17 ROBERT WARSASKI 359 18WC 36500 VINSON, FARRELL EDSAL MANUFACTURING CO, I 11/15/18 DWORKIN AND MACIARIELLO 360 18WC 36526 KENOST, SEAN VILLAGE OF HOFFMAN ESTATE 11/09/18 SCOTT BARBER EVANS & DIXON 361 18WC 36629 BADY, FELICIA CPS 09/28/18 JAMES ELLIS GUMBINER & ASS CHGO BOARD OF EDUCATION 362 18WC 36737 SKRZYPEK, DANIEL SAM'S CLUB 01/22/08 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 363 18WC 36768 SIEMS, PEGGY ASSOCIATION OF LEGAL 03/02/18 R. MARK MARITOTE PC GRIFFIN, LORETTA M LAW OFFIC 364 18WC 36806 CLARK, PATRICK CITY OF CHICAGO, DEPT OF 11/13/18 CUDA LAW OFFICES 365 18WC 36909 LOUIS, TERESA LYFT 11/20/18 DWORKIN AND MACIARIELLO ANCEL GLINK PC 19WC001194 -C 366 18WC 37102 METOYER, SANDRA LOYOLA UNIVERSITY HEALTH 10/25/18 DWORKIN AND MACIARIELLO LORENZ & BERGIN PC 367 18WC 37128 NAAMANE, RAJA CTL GROUP/PCA 12/04/18 INJURY LAWYERS OF IL HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 368 18WC 37196 POSTMA, JEFFREY WEST SIDE TRACTOR SALE 12/05/17 MALLOY ETZLER & LAWHEAD PC KRAKER FANNING & OLSEN 369 18WC 37224 MILLER, JENNIFER SOUTHWEST AIRLINES 11/14/18 ELFENBAUM EVERS ZIELINSKA HENNESSY & ROACH PC 370 18WC 37246 RUIZ, CELIA LINDO MICHOACAN INC W 11/10/18 LEO ALT KARCHMAR & STONE 371 18WC 37520 GALAN, DIANE COOK COUNTY SHERIFF'S DEP 12/05/18 SMOLER LAW OFFICE, PC STATES ATTORNEY OF COOK COUN 372 18WC 37801 GINN, EDDIE CHICAGO TRANSIT AUTHORITY 11/29/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 373 18WC 37870 VELASCO, FELIPE RESOURCE MANAGEMENT CO 12/12/18 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 374 18WC 37909 WOLSKI, ROBERT 3DZ, LLC, D/B/A 04/24/18 REHN LAW LLC MEACHUM & STARCK 375 18WC 37927 THOMPSON, CHERYL NORTHSHORE UNIVERSITY HEA 03/19/18 WHITESIDE & GOLDBERG LTD KEEFE CAMPBELL BIERY & ASSOC 376 18WC 38172 ARAHI, JACKSON REX 4 INC. 04/18/18 FAJARDO LAW GROUP 377 18WC 38218 MYLES, ANTIONETTA L CTA- CHICAGO TRANSIT AUTH 11/10/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 378 18WC 38268 SERRANO, ISRAEL CASTANEDA SALINAS CONSTRUCTION, INC 12/06/18 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 379 18WC 38374 GERHART, MICHAEL A COOK COUNTY HIGHWAY DEPT 12/04/18 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 380 19WC 00034 BERTRAND, MARIE PRESENCE SISTER BONAVENTU 03/08/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 19WC001278 -C 381 19WC 00235 FOX, JOHN HUMAN TECHNOLOGIES, INC 01/02/19 COVEN LAW GROUP 382 19WC 00454 RIGGIO, DAN NORTH MAINE FIRE 12/01/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 383 19WC 00507 SCALISE, GAIL DART CONTAINER 09/13/18 HUGHES SOCOL PIERS RESNICK GAROFALO SCHREIBER STORM GRA 384 19WC 04857 CASTANEDA, LUIS ASCHER BROTHERS COMPANY, 12/08/18 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL BIERY & ASSOC 385 19WC 07155 TREECE, TAMATHA UNITED PARCEL SERVICE INC 01/22/19 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 19WC 07209 BRUEN, WINIFRED ADVOCATE CHRIST HOSPITAL 09/27/18 JASINSKI, GEORGE J GAROFALO SCHREIBER STORM GRA 387 19WC 07245 VENEGAS, PILAR FEDERAL MOGUL MOTOR SPORT 12/08/18 STEVEN B SALK & ASSOC LTD KEEFE CAMPBELL BIERY & ASSOC 19WC007246 -C 388 19WC 07269 LYGAN, BENITA ASCENSION HEALTH 10/08/18 MACIEJ J ORDON BRADY CONNOLLY & MASUDA PC 389 19WC 07385 HANDSPIKE, BRANTLEY ABM INDUSTRIES GROUPS, LL 11/28/18 SEIDMAN MARGULIS & FAIRMAN GOLDBERG SEGALLA LLC 390 19WC 07443 GORDER, DEAN ARAMARK CORPORATION 02/09/19 KROL BONGIORNO & GIVEN LTD STONE & JOHNSON CHARTERED 391 19WC 07552 GUYTON, YOLANDA MISERICORDIA HOME 08/08/18 HORWITZ HORWITZ & ASSOC 392 19WC 07803 GONZALEZ, ASHLEY UPS 02/19/19 LEONARD LAW GROUP LLC ASA LAW GROUP 19WC008613 -C 19WC025201 -C 393 19WC 07824 HARRIS, OLLIE R THE LANGHAM HOTEL 09/20/18 TIMOTHY HENDERSON GAROFALO SCHREIBER STORM GRA 19WC007825 -C 394 19WC 07858 GARCIA, JOHNNY HOSPITALITY PARKING SRVS 10/07/16 DWORKIN AND MACIARIELLO 395 19WC 07928 LOPEZ, EMANUEL US FOODS 03/01/19 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 396 19WC 07955 MARA, DE LA LUZ LARA THE GODFREY HOTEL CHICAGO 03/03/19 ELFENBAUM EVERS ZIELINSKA NOBLE & ASSOC 397 19WC 07973 PEREZ, ERNESTO N JR. GORDON FOOD SERVICE STORE 11/18/18 ANKIN LAW OFFICE GANAN & SHAPIRO 398 19WC 08097 BIDDLE, JOHN AMERICAN AIRLINES 01/17/19 MICHAEL HELLMAN 399 19WC 08234 PONIATOWSKA, DOROTA ABM ONSITE SERVICES, INC 10/26/18 ELFENBAUM EVERS ZIELINSKA ASA LAW GROUP 400 19WC 08252 RAMIREZ, RODOLFO LA CIENEGA SUPER FOODS 12/09/18 MC HARGUE & JONES 401 19WC 08269 KUBINSKI, JOHN III MERCY HOUSING 01/30/19 COVEN LAW GROUP 402 19WC 08288 OCHIABUTOR, UBA L CHICAGO TRANSIT AUTHORITY 11/16/18 DENNIS HESSER CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 19WC 08311 ROJAS, FELICIANO KVF COMPANY INC 02/27/19 MICHAEL HELLMAN JOSEPH MARCINIAK 404 19WC 08369 HOWELL, CARLOS LUTHER REVEL SPACE GROUP 01/15/19 JONATHAN SCHLACK GANAN & SHAPIRO 19WC008370 -C 405 19WC 08393 DIAZ, GUSTAVO PAPA CHARLIES, INC 10/05/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 406 19WC 08499 HEITZ, JAMES CAST 7 CREW ENTERTAINMENT 07/19/18 KEVIN P. JUSTEN PC 407 19WC 08548 GUERRERO, MICHELLE FONTANINI HORMEL 01/22/19 TIMOTHY E. TAKASH LEAHY EISENBERG & FRAENKEL 408 19WC 08602 SIKANICH, PHILLIP CITY OF CHICAGO 03/19/19 GERALD CONNOR 409 19WC 08675 JACKSON, JAMES STATE OF ILLINOIS-IDOT @ 12/10/18 MARK N LEE ALYSSA SILVESTRI 410 19WC 08716 WATKINS, TANYA CDT- NATIONAL EXPRESS 01/25/19 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 411 19WC 08752 ESTRADA, ARMANDO MARTIN PRODUCE, INC. 09/01/18 JOHN S. ELIASIK 412 19WC 08764 DASSINGER, BIANCA J PLEASANTDALE SCHOOL DIST 03/08/19 DAVID W MARTAY 413 19WC 08839 ROSALES, JOSE HYATT HOTELS CORP DBA 11/20/18 WEISS ORTIZ PC 414 19WC 08877 CLEMENT, LISA LOYOLA UNIVERSITY MEDICAL 06/23/18 SCHWEICKERT & GANASSIN 415 19WC 08924 OZIER, KERMIT CHICAGO PUBLIC SCHOOL 12/28/18 GOLDSTEIN BENDER & ROMANOF 416 19WC 09041 MOORE, ROBIN CTA 02/22/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 417 19WC 09166 ESPEJO, JUANA SENIOR OPERATIONS 01/09/19 SOSTRIN AND SOSTRIN PC 418 19WC 09480 SAMUDIO, MARIA KOCH FOODS INC 10/01/18 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 419 19WC 09533 SKELNIK, TERESA SUN PROCESS 01/03/19 MARKER & CRANNELL 420 19WC 09580 FLORES, JUAN JIMENEZ ENTERPRISES INC. 03/16/19 JONATHAN SCHLACK ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 19WC 09607 AGOSTINELLI, MICHAEL TIP TOP BUILDERS 04/13/18 RANDALL A. WOLFF & ASSOC RIPES NELSON BAGGOT KALOBRAT 422 19WC 09824 SANCHEZ, FELIX STANDARD PARKING 03/19/19 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM GRA 423 19WC 09896 FRIEND, GWENETTE LAKEVIEW BUS COMPANY 01/22/19 STEVEN A CRIFASE, LTD 424 19WC 09982 MUNOZ, BRAULIO FINE LINE AUTO DETAILING 03/08/19 COSTA IVONE LLC GILDEA, COGHLAN & REGAN LTD. 425 19WC 10048 BLANEY, JOHN K CITY OF CHICAGO 02/28/19 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 426 19WC 10068 ROCHA, VERONICA CTA 03/31/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 427 19WC 10184 GONZALEZ, JOSE ADAMO 03/06/19 VRDOLYAK LAW GROUP LLC 428 19WC 10200 COLEMAN, THERESA A COOK COUNTY JTDC 02/08/19 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 429 19WC 10281 NIEVES, JAVIER CITY OF CHCGO - DEPT OF F 11/10/17 WILLIAM H MARTAY CITY OF CHICAGO 19WC016428 -C 430 19WC 10304 CROSS, JAMISHA ADVOCATE HEALTH CARE 02/09/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 19WC010305 -C 431 19WC 10322 RINDAL, KARLA CSTN 11/15/18 SEIDMAN MARGULIS & FAIRMAN 432 19WC 10349 RODRIGUEZ, ANGEL M NATIONAL INSTRUMENTS 04/02/19 STEVEN B SALK & ASSOC LTD WOLFE & JACOBSON, LTD 433 19WC 10370 GARCIA, OSCAR STATE STREET HAND CAR WAS 03/25/19 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 434 19WC 13898 RODRIGUEZ, GREGORY UNIVERSITY OF ILLINOIS 02/08/19 ELFENBAUM EVERS ZIELINSKA HEYL ROYSTER VOELKER & ALLEN 435 19WC 16630 NOLAN, BRIAN AMERICAN AIRLINES 12/06/18 ELFENBAUM EVERS ZIELINSKA GAROFALO SCHREIBER STORM GRA 436 19WC 16748 DONELLI, JAMES K ALLPOINTS, INC 06/18/18 FRANKS & RECHENBERG 437 19WC 16825 WALKER, SIANDRA SOUTHWEST AIRLINES 12/09/18 JOHN C SERKLAND HENNESSY & ROACH PC 438 19WC 16847 GOMEZ, OSCAR D LAKE MEADOWS 05/14/19 SALVATO O'TOOLE FROYLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 439 19WC 16896 QUINONES, ROSANNIE CHICAGO PUBLIC SCHOOLS 05/13/19 COSTA IVONE LLC CHGO BOARD OF EDUCATION 440 19WC 16921 STROCK, KURT GORDON LOUNGE INC D/B/A 02/18/18 WILLIAM S RYAN 441 19WC 16940 PATTON, GEORGE PROFESSIONAL TRANSPORATIO 05/24/19 ROGER D RUDICH LTD 442 19WC 17002 PEREZ, OLIVIA STEINER INDUSTRIES 11/18/16 GALLIANI DOELL & COZZI LTD LITCHFIELD CAVO 443 19WC 17058 SANDERS, ALMA BARNEY'S PIZZA CHICAGO 05/19/19 ANKIN LAW OFFICE 444 19WC 17376 SINKEVICIUS, TERRA CHICAGO PUBLIC SCHOOLS 04/25/19 ROBERT A. WILSON CHGO BOARD OF EDUCATION 445 19WC 17461 GUERRERO, DEL SOUTHWEST AIRLINES 11/28/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 446 19WC 17532 WADE, SAAHBREE L FEDEX 04/18/19 GALLAGHER, DONALD V 447 19WC 17551 WHITTENHALL, MITCHELL A ETO CHICAGO, LLC 05/31/19 BUDIN LAW OFFICES 448 19WC 17574 ROBINSON, JAMES SPOTLESS MAINTENANCE 06/10/19 DWORKIN AND MACIARIELLO 449 19WC 17595 STEIN, CHARLES UNITED AIRLINES INC. 12/19/17 SAUNDERS CONDON & KENNY 450 19WC 17644 LOUIS-JEAN, MONTEL FORD MOTOR COMPANY 06/11/19 DONALD FOHRMAN & ASSOC 451 19WC 17667 DELVALLE, RAMONITA CHICAGO BOARD OF EDUCATIO 06/13/19 SHEA LAW GROUP 452 19WC 17773 MOHAMMED, SALIM DOUBLETREE CHICAGO MAG MI 03/23/19 DAVID W MARTAY 453 19WC 17792 RAGAN, ELZBIETA COMMUNITY HIGH SCHOOL 04/02/19 COVEN LAW GROUP ODELSON & STERK 454 19WC 17812 ARAGON, HUMBERTO WHOLE FOODS MARKET INC 05/06/17 ROBERT WARSASKI 455 19WC 17862 GONZALEZ, ANA C XILIN IN-HOME CARE 06/10/19 BAUM RUFFOLO & MARZAL LTD 456 19WC 17881 DANIELS, SANDRA COOK COUNTY FOREST PRESER 02/05/19 TRAPP & GELLER FOREST PRESERVE DIST COOK CO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 457 19WC 17922 LANDRY, LUCILLE CITY OF CHICAGO, CITY HAL 04/21/19 SANDMAN LEVY & PETRICH 458 19WC 17942 DIAZ, MARIA DURABLE PACKAGING 06/01/19 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 459 19WC 18036 WOLOWINSKI, CHARLES W COLLIERS INTERNATIONAL 05/24/19 RIDGE & DOWNES GOLDBERG SEGALLA LLC 460 19WC 18065 WERTS, VICTORIA CHICAGO PUBLIC SCHOOLS 06/11/19 SCOTT B SHAPIRO CHGO BOARD OF EDUCATION 461 19WC 18212 MARTINEZ, JAVIER FLYING FOOD GROUP 06/05/19 ANGELA NARDI-QUIGLEY GOLDBERG SEGALLA LLC 462 19WC 18251 EDWARDS, ALEXANDRIA MENZIES AVIATION 06/13/19 DWORKIN AND MACIARIELLO 463 19WC 18273 BARABBA, COSIMO INSTYLE INCORPORATED 07/05/18 RICHARD E ALEKSY QUINN JOHNSTON HENDERSON ETA 464 19WC 18310 PAULGARIN, SANDRA HAMPTON SUITE 06/23/19 SEIDMAN MARGULIS & FAIRMAN HOLTKAMP LIESE 465 19WC 18342 FEUSSOM, FRANCOIS FF COM CAB CO 04/12/19 LEONARD LAW GROUP LLC 466 19WC 18379 GRIER, BEVERLY LUTHERAN SOCIAL SRVS OF I 06/08/18 STEIN & CHERNY LTD GAROFALO SCHREIBER STORM GRA 467 19WC 18407 KELLEHER, SAHRON K ASTELLAS PHARMA US 12/04/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 468 19WC 18423 CALDERON, JOSE NEWLY WEDS FOODS- CHICAGO 04/02/19 LUSAK AND COBB WOLFE & JACOBSON, LTD 469 19WC 18441 GARCIA, JOSE CARLOS JOHLER DEMOLITION, INC 03/07/19 VRDOLYAK LAW GROUP LLC ORENSTEIN & ASSOCIATES 470 19WC 18454 GUTIERREZ, ALEXIS SHIRE PHARMACEUTICALS 02/03/19 COVEN LAW GROUP HOLECEK & ASSOCIATES 471 19WC 18560 FARROW, JERRY JEWEL-OSCO FOOD 06/10/19 DWORKIN AND MACIARIELLO EVANS & DIXON 472 19WC 18849 CARLSON, ARTHUR E JR. F.H. PASCHEN, S.N. NIELSO 05/22/18 BRILL & FISHEL STONE & JOHNSON CHARTERED 473 19WC 18877 HERNANDEZ, TINA COOK COUNTY STATE'S 02/05/18 COHN LAMBERT RYAN & SCHNEI STATES ATTORNEY OF COOK COUN 474 19WC 18986 WALSH, MARCIA CEANNATE CORPORATION 12/13/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 475 19WC 19007 SCARPELLI, ANTHONY M CITY OF CHICAGO DEPT OF T 06/04/19 ANKIN LAW OFFICE 476 19WC 19035 SAMRAH, MINWER CITY OF CHICAGO 06/24/19 SEIDMAN MARGULIS & FAIRMAN 477 19WC 19055 PARR, LA TONIA CHICAGO TREATMENT AND W 12/28/17 CUDA LAW OFFICES ARNETT LAW GROUP 478 19WC 19146 THOMAS, LATANYA DAVITA, INC. DBA MT GREEN 11/13/17 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 479 19WC 19215 SANFRATELLO, MATTEO CTY OF CHGO-DEPT OF WATER 06/06/19 ARGIONIS & ASSOCIATES LLC 480 19WC 19237 DOSS, FELISHIA MID CITY PLAZA OWNER, LC/ 06/24/19 ANKIN LAW OFFICE 481 19WC 19268 SZCZYGLEWSKI, CHRIS THOREK MEMORIAL HOSPITAL 03/21/19 SOSTRIN AND SOSTRIN PC MEACHUM & STARCK 482 19WC 19290 CUEVAS, MARIA AZTEKA GENERAL CONTRACTOR 06/24/19 ACEVES & PEREZ PC 483 19WC 19316 MC GRONE, ROSS CTA 06/15/19 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 484 19WC 19330 MENDEZ, ISMAEL HEIGHTS FRESH MARKET 01/20/18 RAYMOND M SIMARD, PC 19WC019331 -C 19WC019332 -C 485 19WC 19348 KIMBROUGH, QUENTIN M SUDLER AND COMPANY 02/20/19 ANKIN LAW OFFICE 486 19WC 19363 HOLMES, CURT R COOK COUNTY-DEPT OF CORRE 06/07/19 ANESI OZMON RODIN NOVAK KO STATES ATTORNEY OF COOK COUN 487 19WC 19388 WALKER, RICHARD VARGAS GROUP 06/21/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 488 19WC 19410 RODRIGUEZ, FRANCINE M AMERICAN MOLDING TECHNOLO 02/19/19 GALLAGHER, DONALD V LAWRENCE COZZI - LAW OFFICE 489 19WC 19448 MACIAS, JOAQUIN CITY OF CHICAGO 03/07/18 ANKIN LAW OFFICE CITY OF CHICAGO 490 19WC 19508 JANOWSKI, ROMAN ADVANCED CABINET CORP 06/25/18 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 491 19WC 21916 RHODES II, CARLOS G AT&T 07/11/19 GWC INJURY LAWYERS LLC 492 19WC 22684 THOMAS, NICHOLAS SPRINT 07/31/19 MC HARGUE & JONES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 493 19WC 26088 MUHAMMAD, DAMIEN C & K TRUCKING 09/30/18 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 494 19WC 26118 WILKES, ERICA DHL EXPRESS 08/14/19 ACEVES & PEREZ PC HENNESSY & ROACH PC 495 19WC 26150 DRUMMER, DEMARIO SAM'S CLUB 10/04/18 GANAN & SHAPIRO 496 19WC 26230 JASSER, NISREEN MOM DAD & ME W 01/05/19 PORRO NIERMANN LAW GROUP 497 19WC 26277 DE LA ROSA, ALEXIS HALLS RENTAL 08/06/19 ROBERT WARSASKI 498 19WC 26315 GEORGE, SAJINA HOLY FAMILY MEDICAL CENTE 07/27/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 499 19WC 26334 CARDENAS, ANA FAIRPLAY FINER FOODS 08/23/19 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 500 19WC 26347 DUARTE, EDER PRECISION REMANUFACTURING 08/29/19 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 501 19WC 26369 NAVA RAMIREZ, FRANCISCO M LA GALERA PRODUCE 08/03/19 HERRERA LAW CENTER CASSANO & ASSOCIATES 502 19WC 26405 SCHMIDT, TRACY A HOMEWOOD PEDIATRICS ASSOC 06/07/19 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 503 19WC 26427 HUICOCHEA, JOSE THE AUTO WAREHOUSE 06/01/19 DWORKIN AND MACIARIELLO 504 19WC 26470 CORREA, GERARDO CHICAGO HEIGHTS GLASS 08/22/18 CHARLES A FANUCCHI BRYCE DOWNEY & LENKOV LLC 505 19WC 26500 RUIZ, MARTHA MEGA CLEAN SOLUTIONS AND 07/29/19 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 506 19WC 26524 BUCHANAN, YVETTE CITY OF CHICAGO 11/09/18 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 507 19WC 26544 MANUEL, KRYSTAL ADVOCATE TRINITY HOSPITAL 08/23/19 GWC INJURY LAWYERS LLC NYHAN BAMBRICK KINZIE & LOWR 508 19WC 26566 ROWE, JOHN A CHICAGO TRANSIT AUTHORITY 09/04/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 509 19WC 26602 RODRIGUEZ, URIEL ASPLUNDH TREE EXPERT 06/11/19 KATHERINE A. CARDENAS KNELL O'CONNOR DANIELWICZ 510 19WC 26632 WUCHEVICH, ALLISON O'REILLY AUTO PARTS 08/20/19 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 511 19WC 26661 DANIELS, DONTA CATALYST MARIA 02/20/19 DAVID W MARTAY NOBLE & ASSOC 512 19WC 26677 MILCZANOWSKI, JACEK KIC BROKERAGE, INC 09/06/19 MINKOW DOMIN MEACHUM BOYLE TRAUFMAN 513 19WC 26757 GIL, HECTOR ALPHA BAKING CO. 06/10/19 KREITER, BYCK & ASSOC LLP 514 19WC 26779 MUTEESASIRA, SAM BROOKDALE SENIOR LIVING 08/15/18 LITCHFIELD CAVO 515 19WC 26887 HARRIS, MABLE PEACE VILLAGE 06/07/19 JAMES H MILLER JR 516 19WC 26942 TROPP, JACLYN NORTHSHORE UNIVERSITY 12/02/16 GARDI & HAUGHT KEEFE CAMPBELL BIERY & ASSOC 517 19WC 27043 GANT, SHERRITA DIVVY 08/12/19 NO ATTORNEY 518 19WC 27094 MURILLO, JORGE QUALITY CONTROL SYSTEMS 06/01/19 ANKIN LAW OFFICE FRIEDRICH LAW LLC 519 19WC 27138 HURTADO, GUADALUPE MOBIL/BUCHANAN ENERGY 08/19/19 RANDALL A. WOLFF & ASSOC 520 19WC 27230 PEREX, JUAN ADRIAN M&F SERVICES LLC 08/16/19 DWORKIN AND MACIARIELLO NOBLE & ASSOC 521 19WC 27266 SPILA, TINISH ELITE STAFFING 08/11/19 MC HARGUE & JONES 522 19WC 27290 NEWBY, EVA LSG SKY CHEF 05/26/19 DEPAOLO & ZADEIKIS ORENSTEIN & ASSOCIATES 523 19WC 27402 MORENO-MORALES, JESUS PETE'S FRESH MARKET 09/08/19 RUEDA, IVAN A 524 19WC 27424 TELLEFSEN, JOHN AT&T 08/07/19 COVEN LAW GROUP HENNESSY & ROACH PC 525 19WC 27455 MARSHALL, TERRILL L.K.Q. AUTOMOTIVE 09/04/19 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 526 19WC 27474 WOODWARD, JIM ATLAS TUBE 07/27/19 KROL BONGIORNO & GIVEN LTD GAROFALO SCHREIBER STORM GRA 527 19WC 27560 DEREWICZ, MICHAEL COMPASS GROUP/MORRISON 08/04/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 528 19WC 27580 YOUNG, JEREMY CAROLE ROBERTSON CENTER F 09/01/18 NO ATTORNEY ACCIDENT FUND HOLDINGS

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 547 19WC 28567 BEDNARZ, WIESLAWA PALOS HEALTH HOSPITAL 09/04/18 NILSON STOOKAL GLEASON CAP 548 19WC 28642 GORDON JR, ROBERT ATKORE INTERNATIONAL 06/19/19 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 549 19WC 28679 SEHO, SANELA ADVOCATE LUTHERAN GENERAL 11/29/18 DEPAOLO & ZADEIKIS NYHAN BAMBRICK KINZIE & LOWR 19WC028680 -C 550 19WC 28742 JONES, TIERA STAR DETECTIVE & 05/10/19 ANKIN LAW OFFICE ANCEL GLINK PC 551 19WC 28793 MIRZYNSKI, ARTHUR COMMUNITY INVESTMENT CORP 09/05/19 O'CONNOR & NAKOS 552 19WC 28815 LUJANO-CASTNEDA, DELFINO ART WIRE WORKS 01/25/19 THOMAS W DUDA HOLECEK & ASSOCIATES 553 19WC 28837 NOBLE, SENECA SCR TRANSPORTATION 09/12/19 CHEPOV & SCOTT LLC LEAHY EISENBERG & FRAENKEL 554 19WC 29026 HOLLEY, ROBERT ALLIED UNIVERSAL 01/05/19 ROSS TYRRELL GAROFALO SCHREIBER STORM GRA 19WC029027 -C 555 19WC 29046 BURDETT, EMMA LOWES HOME IMPROVEMENT 05/23/18 TAMVAKIS, GEORGE L KEEFE CAMPBELL BIERY & ASSOC 556 19WC 29070 NAUERTZ, SUZANNE MAY'S LOUNGE 05/19/19 DWORKIN AND MACIARIELLO NOBLE & ASSOC 557 19WC 29134 HALL, LANETTA CHICAGO TRANSIT AUTHORITY 09/18/19 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 558 19WC 29218 BROWNER, TERRACE THE LARAMAR GROUP LLC 11/20/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 559 19WC 33907 HERRERA, ELEAZAR ARDAGH GROUP 08/04/19 RIDGE & DOWNES 560 19WC 35513 MONTICELLO, JIMMY GROUP FOX 07/10/19 SHERO, THOMAS F 561 19WC 35546 RAMIREZ, ERIC T ZIYAD BROTHERS IMPORTING/ 11/28/18 JAUREGUI & ASSOCIATES GANAN & SHAPIRO 562 19WC 35628 CHATMAN, RONALD CTA 11/28/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 563 19WC 35652 SANTIAGO, LEILANI KLGR, LLC DBA 1-800-GOT-J 08/31/19 MORICI FIGLIOLI & ASSOC 564 19WC 35674 LEWIS, LISA CHICAGO TRANSIT AUTHORITY 07/19/19 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 565 19WC 35733 CHAVEZ, JULIO HALL'S RENTAL SERVICE, IC 08/28/19 STEVEN B SALK & ASSOC LTD 566 19WC 35750 HUBBARD, ESTELLA CITY OF CHICAGO DEPT OF 10/16/19 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA 567 19WC 35796 LAZO, MARIA COMPASS 11/08/19 EDWIN REYES LAW FIRM GANAN & SHAPIRO 568 19WC 35817 GOODLETM ALONZO CHICAGO DEPT OF AVIATION 06/06/19 COHN LAMBERT RYAN & SCHNEI 569 19WC 35844 LOMAX, MICHAEL STAFFINDERS, INC. 10/06/19 GERALD CONNOR 570 19WC 35871 MEIDDLETON, MICHAEL ACID PRODUCTS 06/08/18 ANGELINI & ORI LLC 571 19WC 35894 LISHAMER, JASON R SYSCO 11/27/19 ACEVES & PEREZ PC QUINTAIROS PRIETO WOOD & BOY 572 19WC 35969 SHAW, LISA R LYDIA HEALTHCARE I, LLC 12/05/19 MATTHIAS D. GILL 573 19WC 36004 LARES, PAULINA SILVER LINE BUILDING PROD 11/01/19 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 574 19WC 36028 STOKES, JASON CAJUN BOIL & BAR 11/02/19 BRISKMAN BRISKMAN GREENBER JOSEPH MARCINIAK 19WC036029 -C 575 19WC 36054 MOSES, MARY CTA 12/07/19 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 576 19WC 36093 ROBINSON, DEJUANNA COZZINI BROTHERS 11/13/19 JACKOWIAK LAW OFFICES SCOPELITIS GARVIN LIGHT 577 19WC 36118 BARRETT, RONAN ARCTIC CONSTRUCTION 11/23/19 COVEN LAW GROUP GILDEA, COGHLAN & REGAN LTD. 578 19WC 36142 ROBLES, RAYMOND RAMON STERLING SITE ACCESS SOLU 09/06/19 EPSTEIN, JACK R LAW OFFICE KLAUKE LAW GROUP LLC 579 19WC 36162 MARCHESE, DION PEPPER CONSTRUCTION CO. 08/18/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 580 19WC 36175 PAXTON, LANIA AVIS BUDGET GROUP, INC 11/12/19 JOHN C SERKLAND BRADY CONNOLLY & MASUDA PC 581 19WC 36219 FRIAS, GEORGE OBERG MEDICAL-XL DIVISION 10/02/19 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 582 19WC 36248 CRAWFORD, GENEVA UNITED AIRLINES INC. 12/06/19 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 601 19WC 37262 HENDERSON, LEON CITY OF CHICAGO 12/12/19 ANKIN LAW OFFICE 602 19WC 37308 BERMUDEZ, AURELIANO CHICAGOLAND REFRESHMENTS 11/12/19 JAMES H MILLER JR 603 19WC 37355 QUINN, PATRICIA FEDEX 11/29/19 JAMES ELLIS GUMBINER & ASS 604 19WC 37413 OLOWU, SUSAN A CHALET LIVING & REHAB CEN 11/25/19 C DEAN MATSAS 605 19WC 37444 HUERTA, LUIS DANIEL POPEYES 11/17/19 MC HARGUE & JONES 606 19WC 37466 WHITMORE, JAMES BENFORD PROTECTION GROUP, 11/03/19 JAMES H MILLER JR LAWRENCE COZZI - LAW OFFICE 607 19WC 37506 RODRIGUEZ, ISRAEL AMERICAN LIFE BAKING 12/04/19 ARGIONIS & ASSOCIATES LLC JOSEPH MARCINIAK 608 19WC 37551 BARRIOS, ROBERTO LINCOLN PROVISION, INC 12/18/19 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 609 20WC 00056 VELAZQUEZ, CESAR FLEXIBLE STAFFING 12/04/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 610 20WC 00081 KOCEK, PAUL OAK FOREST POLICE DEPT 09/03/19 SEIDMAN MARGULIS & FAIRMAN 611 20WC 00088 WILLIAMS, EBONI CTA 12/16/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 612 20WC 00142 JOHNSON, SHATONI FEDEX 12/07/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 613 20WC 00204 MUNOZ, SERGIO ECONOMY PALLETS, INC 12/13/18 DEPAOLO & ZADEIKIS 614 20WC 00224 THOMAS, JACOB JR GDS LOGISTICS, INC 08/13/19 COVEN LAW GROUP LITCHFIELD CAVO 615 20WC 00244 GARCIA, LUIS CI FOODSAN LLC 11/08/19 JOHN C SERKLAND 616 20WC 00269 KLINE, LIONELL AMERICAN AIRLINES 02/24/18 ARGIONIS & ASSOCIATES LLC ROSARIO CIBELLA 617 20WC 00315 POWERS, WALTER UNITED AIRLINES 11/18/19 COVEN LAW GROUP 618 20WC 00384 COLON, FERNANDO JJ MADDEN 12/20/19 EDWIN REYES LAW FIRM ALYSSA SILVESTRI

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 20WC 13272 RATHER, DENITA SOUTH SUBURBAN HOSPITAL 04/10/20 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM GRA 709 20WC 13292 BUCHMEIER, LOREN CITY OF BERWYN 08/01/19 THOMAS A MORRISSEY CUDA LAW OFFICES 710 20WC 13320 ROBLEDO, GONZALO BEST PRACTICES STAFFING/ 09/28/19 ROSENBERG EISENBERG ASSOC RUSIN & MACIOROWSKI LTD 711 20WC 13404 BENFORD, PHILIP STATE OF ILLINOIS/IDOT @ 03/09/20 LANNON LANNON & BARR LTD ALYSSA SILVESTRI 712 20WC 13442 MATTIA, BETTY GFS 03/04/20 PARENTE & NOREM PC GANAN & SHAPIRO 713 20WC 13465 FREWEN, MELANIE LHC INVESTMENT, LLC, D/B/ 06/14/18 CAPUANI, FRANK S 714 20WC 13521 WEINER, JASON JEWEL DISTRIBUTION CENTER 04/22/20 GWC INJURY LAWYERS LLC 715 20WC 13618 MESSNER, ALAN NEXUS COMMUNICATIONS 03/16/20 JOHN C SERKLAND GRIFFIN, LORETTA M LAW OFFIC 716 20WC 13638 WILLIAMS, BELINDA L CITY OF CHICAGO 09/25/17 O'CONNOR & NAKOS 717 20WC 13663 SEABOLT, THOMAS CHICAGO TRANSIT AUTHORITY 06/12/20 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 718 20WC 13699 VILLACORTA, JORGE A SUPERIOR LABOR SOLUTIONS 06/08/20 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 719 20WC 13722 FAGAN, DENISE JOHN H STROGER JR HOSPITA 04/22/20 BRISKMAN BRISKMAN GREENBER STATES ATTORNEY OF COOK COUN 720 20WC 13755 FLETCHER, MIRANDA CHICAGO TRANSIT AUTHORITY 12/09/19 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 721 20WC 13807 MISSAK, ALEX BIG JOE'S SEALCOATING 09/21/18 KREITER, BYCK & ASSOC LLP 722 20WC 13830 NIEVA, MARIA O'HARE VENTURE 11/05/18 MC HARGUE & JONES 723 20WC 13972 SIMPSON, LARISSA UPS 06/07/20 COVEN LAW GROUP ASA LAW GROUP 724 20WC 14000 DONLEY, JERRY KINGDOM CHEVY 05/04/20 STEVEN J MALMAN & ASSOCIAT 725 20WC 14009 EDWARDS, MARK STANDARD PARKING 03/20/20 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 762 20WC 15368 BOLAND, DEIRDRE CLOSERLOOK, INC 09/04/19 SHEA LAW GROUP 763 20WC 15391 EASTER, DARREN VILLAGE OF HOMEWOOD 06/11/20 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 764 20WC 15413 SHIELDS, JIMMY JEWEL DISTRIBUTION CENTER 06/12/20 ACEVES & PEREZ PC 765 20WC 15434 EVERMAN, MARY FILTRATION GROUP CORP 03/11/20 MEACHUM BOYLE TRAUFMAN 766 20WC 15441 OLVERA, REYNA INFUSION MANAGEMNT GRP IN 03/15/20 COSTA IVONE LLC COZZI & ZAPF LAW OFFICE 767 20WC 15459 SPATARI, MIHAL LIONS TRANS GROUP 04/13/19 SHELDON I MINKOW & ASSOCIA EVANS & DIXON 768 20WC 15480 MOSS, LATASHA (SURVIVING THE UNIVERSITY OF CHICAGO # 04/19/20 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 769 20WC 15499 BANKS, BRANDON CHICAGO TRANSIT AUTHORITY 07/04/20 DISPARTI LAW GROUP PA CHICAGO TRANSIT AUTHORITY 770 20WC 15515 HARRIS, SHATONA L VICTORY CENTRE OF RIVER O 05/14/20 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 771 20WC 15531 KEATON, BERNARD COOK COUNTY HWY DEPT 04/29/19 PARENTE & NOREM PC STATES ATTORNEY OF COOK COUN 772 20WC 15557 ROGERS, ROY N QUALITY MECHANICAL INC. 05/24/20 DANIEL PERIASWAMY 773 20WC 15581 MONTGOMERY, SARAH FRESENIUS MEDICAL CARE 05/26/18 KEVIN O'BRIEN HENNESSY & ROACH PC 774 20WC 15604 DIAZ, RODOLFO CHICAGO TRIBUNE 05/31/20 GWC INJURY LAWYERS LLC 775 20WC 15624 CASTELAN, ELVIRA TARGET 11/29/19 SOSTRIN AND SOSTRIN PC 776 20WC 15675 QUITANA, ALEJANDRO B L DOWNEY CO LLC 05/15/20 DWORKIN AND MACIARIELLO 777 20WC 15693 FAGAN, DANIEL J ORLAND FIRE PROTECTION DI 06/29/20 CULLEN HASKINS NICHOLSON 778 20WC 15719 EYER, GHISLAINE UNITED CONTINENTIAL HOLDI 07/06/20 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 779 20WC 15998 HERNANDEZ, LETICIA, GUARD CONTINENTAL HOUSE # 06/18/20 MC HARGUE & JONES AKRAM ZANAYED & ASSOC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 834 20WC 22446 BALLARD, KEVIN FORD MOTOR COMPANY * 05/29/20 ANKIN LAW OFFICE 835 20WC 22466 BROWN, LINDA AMERICAN AIRLINES * 01/28/20 KATZ FRIEDMAN EISENSTEIN 836 20WC 22493 MCCARTER, RONNELL AT&T * 02/25/20 VASILATOS & COTTER LLC 837 20WC 22520 TABOADA, DULCE THE MAGIC RAINBOW * 07/16/20 COSTA IVONE LLC 838 20WC 22541 HALL, HENRIETTA ANIXTER * 04/05/20 SEIDMAN MARGULIS & FAIRMAN 839 20WC 22566 MONTEJANO, GRISELDA RAYMONG MANAGEMENT CO * 05/21/19 ACCIDENT FUND HOLDINGS 840 20WC 22580 VALENTINE, LISA WHITE CASTLE SYSTEMS INC * 07/28/20 LEONARD LAW GROUP LLC 841 20WC 22598 GONZALEZ, RUBEN BULKMATIC TRANSPORT CO * 10/21/19 LEONARD LAW GROUP LLC 842 20WC 22610 ALLEVA, MARK A CHICAGO TRANSIT AUTHORITY * 05/11/20 SEIDMAN MARGULIS & FAIRMAN 843 20WC 22645 TATUM, KENDRICK UPS * 06/03/20 MANDELL, GREGG 844 20WC 22664 ALVAREZ, ILDEGAR INTEGRATED INDUSTRIES * 08/05/20 ENCINAS & ORNELAS KEEFE CAMPBELL BIERY & ASSOC 845 20WC 22710 MORALES, JOSE UNITED AIRLINES * 08/27/20 COVEN LAW GROUP 846 20WC 22730 BENDER, SEAN M ELGIN SWEEPERS * 07/23/20 O'CONNOR & NAKOS 847 20WC 22771 STEWART, DENEKO COCA-COLA VENDING * 06/18/20 DWORKIN AND MACIARIELLO 848 20WC 22796 GOT, JONATAN CE CONSTRUCTION, LLC. * 09/12/20 SALK FLORES & BRODERICK 849 20WC 22836 CORNEJO, JUSTIN USA RAIL * 09/19/20 KREITER, BYCK & ASSOC LLP KEEFE CAMPBELL BIERY & ASSOC 850 20WC 22845 O'BANNER, JAMES RICJ TOWNSHIP HIGH * 10/21/19 VRDOLYAK LAW GROUP LLC 851 20WC 22867 CAREY, PHILIP MIDWAY MOVING & STORAGE, * 09/03/20 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 852 20WC 22885 ALLEN, ROBERT CITY OF CHICAGO * 07/15/20 HEALY SCANLON LAW FIRM 853 20WC 22946 GUYER, ANNA AEROTEK, INC * 09/16/20 ACEVES & PEREZ PC 854 20WC 23098 MARSH, EMILY AMERICAN AIRLINES * 09/20/20 KATZ FRIEDMAN EISENSTEIN 855 20WC 23138 WHITE, TRAVIS FORWARD AIR * 09/21/20 DWORKIN AND MACIARIELLO 856 20WC 23151 DECKINGA, CHRISTOPHER UPS * 08/19/20 SEIDMAN MARGULIS & FAIRMAN 857 20WC 23169 MARSHALL, CRYSTA UNIVERSITY OF CHICAGO * 09/03/20 HORWITZ HORWITZ & ASSOC 858 20WC 23187 RANGEL, MARIO HOME DEPOT * 01/01/19 SHELDON I MINKOW & ASSOCIA 859 20WC 23209 SKWERES, ERIC THE COUNTERTOP FACTORY * 07/17/19 MANDELL, GREGG 860 20WC 23226 LANDEROS, JORGE ANTHONY MARANO CO. INC. * 10/05/19 GOLDSTEIN AIOSSA & GOOD 861 20WC 23254 ZAPATA, BETSY JEWEL-OSCO * 09/11/20 EPSTEIN, JACK R LAW OFFICE 862 20WC 23269 JONES, JENNIFER R COOK COUNTY * 02/23/18 DISPARTI LAW GROUP PA 863 20WC 23285 SERRANO, MICHAEL URLO DELIVERY SERVICE * 08/05/20 ENCINAS & ORNELAS 864 20WC 23313 GOROSPE-PHAOVISAID, KATHL HOLY CROSS HOSPITAL * 03/28/20 ROBIN LAW OFFICE 865 20WC 23345 BURMEISTER, ALAN WELLS AUTOMOTIVE * 07/30/19 THOMAS A MORRISSEY 866 20WC 23359 MCBLACKWELL, KIANNA DND ELECTRIC * 04/09/19 MARC STOOKAL 867 20WC 23379 O'SHEA, DANIEL UPS * 09/29/20 ARGIONIS & ASSOCIATES LLC 868 20WC 23396 ENCISO, SARA ATLAS EMPLOYMENT * 11/02/17 ANSELMO DURAN 869 20WC 23443 SLEDGE, MEARL CHICAGO TRANSIT AUTHORITY * 09/30/20 ELFENBAUM EVERS ZIELINSKA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M LLERENA, ELAINE 009 ARBITRATION CALL FOR CHICAGO 99009 ON 11/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 870 20WC 23470 ROBINSON, CHENELLE UPS * 09/03/20 ROBERT WARSASKI 871 20WC 23494 JUCA, LEONOR METRO KLEENERS, LLC * 10/29/19 SALK FLORES & BRODERICK 872 20WC 23560 HOLLIS, JASMINE FORD MOTOR COMPANY C/O * 09/04/20 BRIAN J MC MANUS & ASSOC, 873 20WC 23591 DURHAM, DELORES WALMART * 09/15/20 NILSON STOOKAL GLEASON CAP 874 20WC 23602 MARQUEZ, ADRIAN MUNOZ A & T PAINTING, INC. * 08/08/20 ROMANUCCI & BLANDIN 875 20WC 23620 SIBISKI, THOMAS REPUBLIC SERVICES, INC. * 12/23/19 KROL BONGIORNO & GIVEN LTD 876 20WC 23649 LOVE, RICKY STATE OF ILLINOIS/IDOT @ * 09/21/20 LANNON LANNON & BARR LTD 877 20WC 23795 HOSKINS SR, LLOYD D EMPLOYCO II INC LCF TOTAL * 07/12/20 BRUCE RAFALSON LTD 878 20WC 23905 BERRY, JEFFREY COOK COUNTY - JUV TEMP DE * 06/26/19 NO ATTORNEY 879 20WC 23929 MENTGEN, GARY FRITO LAY INC * 10/03/18 GILDEA, COGHLAN & REGAN LTD. 880 20WC 23947 BONAREK, BRIAN COOK COUNTY SHERIFF'S OFF * 12/18/19 RIDGE & DOWNES 881 20WC 23963 ALVARADO, ISIDRO MALVAES * 09/11/20 VRDOLYAK LAW GROUP LLC 882 20WC 32176 ZAVALA, MAURICIO PRIMA POWER NORTH AMERICA * 04/25/19 ACEVES & PEREZ PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 42417 BUNKOWSKI, EDWARD F CITY OF CHICAGO 07/12/05 CULLEN, HASKINS, NICHOLSON CITY OF CHICAGO 08WC009158 -C 08WC009159 -C 2 06WC 48672 VELEZ, JESUS CITY OF CHICAGO - STRS & 06/02/06 JAMES ELLIS GUMBINER & ASS CITY OF CHICAGO 08WC054093 -C 08WC054100 -C 3 08WC 38875 LEE, JAE S KEELER CAB CO 08/23/08 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 4 09WC 28981 FELTZ, JOSEPH CTA 04/12/09 CRONIN & PETERS CHICAGO TRANSIT AUTHORITY 5 09WC 35460 DUNCAN, FLORIA CTA 08/07/09 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 10WC011792 -C 11WC009950 -C 15WC005190 -C CHICAGO TRANSIT AUTHORITY 6 09WC 41722 RIDGLEY, RODNEY FALLS MECHANICAL INSULATI 09/09/09 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 12WC002225 -C 7 09WC 46440 COLLIER, RELANDA VICTORY TROPHY 10/19/09 COPELAND FINN & FIERI LTD 10WC024351 -C PLANTER INC 8 10WC 03994 KING, JANISE ILLINOIS DEPT OF HUMAN SE @ 02/05/07 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 9 10WC 42891 19B CARR, AVIS JOHN STROGER COOK COUNTY 09/13/09 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 10WC044288 -C 10 11WC 03106 PUKALA, JOH N PENSKE 11/12/09 BURNES & LIBMAN BRADY CONNOLLY & MASUDA PC 11 11WC 05055 MAZON, ELEUTERIA CINTAS CORPORATION 12/28/10 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 12 11WC 11807 MCQUAID, KRISTINE PALOS COMMUNITY HOSPITAL 01/02/11 DWORKIN AND MACIARIELLO LORENZ & BERGIN PC 13 11WC 17897 HALL, VALERIE R CTA 04/29/11 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 12WC001192 -C 14 11WC 19508 STRYSZAK-RADTKE, DAWN CENTRAL STEEL & WIRE COMP 03/31/11 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 15 11WC 20326 CRAWFORD, ERIN NORTHSTAR FIRE PROTECTION 03/14/11 BOUDREAU & NISIVACO LLC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 25661 BARO, SUSAN PALOS COMMUNITY HOSPITAL 08/01/10 FRIEND LEVINSON & BERGAL LORENZ & BERGIN PC 17 11WC 34275 KING, MICHAEL DES PLAINES FIRE DEPT 06/13/11 STEVEN J SEIDMAN LAW OFFIC ANCEL GLINK DIAMOND BUSH & E 18 12WC 16627 OLIVO, PETER SUMITOMO ELECTRIC CARBIDE 01/25/12 KATZ FRIEDMAN EAGLE ET AL BORGELT POWELL 19 12WC 19341 CAMPBELL, SHARRIE CITY OF CHICAGO 04/04/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 20 12WC 22148 SANTIAGO, MICHELLE HUGO BOSS-WOODFIELD MALL 01/31/12 COSTA IVONE LLC 21 12WC 31453 DUMAIS, LEANNE CHICAGO BOARD OF EDUCATIO 05/25/12 JAMES W GREEN, JR LAW DEPARTMENT 14WC040992 -C 22 12WC 34508 CAREY, DORIS CHICAGO TRANSIT AUTHORITY 08/06/12 CHICAGO TRANSIT AUTHORITY 23 12WC 37271 DERDZINSKI, CHERYL CITY OF CHICAGO 02/06/12 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 16WC009532 -C 16WC009533 -C 24 12WC 42933 BERMUDEZ, HENRY S CHICAGO TRANSIT AUTHORITY 12/03/12 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 25 12WC 43862 CASAS, MARIA THE PROCACCIANTI GROUP LL 03/01/12 MINKOW DOMIN 26 12WC 44545 STEWART, KUSHINDA CITY OF CHICAGO 11/26/12 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 27 13WC 06521 RODRIGUEZ, BENJAMIN GENERAL MACHINERY & MANUF 12/03/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 13WC024469 -C 28 13WC 06899 SOLIS, SAMUEL CITY OF CHICAGO 08/27/12 COVEN LAW GROUP CITY OF CHICAGO 13WC026632 -C 29 13WC 11102 SCHELL, CONRAD MONDELEZ INTERNATIONAL 10/25/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 30 13WC 11107 CALDERON, PEDRO THE ZONE HONDA KAWASAKI 06/23/12 BAUM RUFFOLO & MARZAL LTD ROBERT L. SMITH 13WC015937 -C 13WC019843 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 13WC 19849 REDDICK, WILLIAM JWK ENTERPRISES W 06/05/13 STEVEN J SEIDMAN LAW OFFIC JAMES L. HARDEMON 32 13WC 27815 HUFFINE, BRADLEY FORD MOTOR COMPANY 08/16/13 ALEKSY BELCHER POWER & CRONIN LTD 16WC032132 -C 18WC004232 -C 19WC003936 -C 33 13WC 31051 HILL, YVONNE SELECT RESTAURANTS, INC. 07/25/12 OSVALDO RODRIGUEZ PC MEACHUM BOYLE TRAUFMAN 14WC007382 -C 34 13WC 31471 WELCH, MICHAEL K WIGDAHL ELECTRIC CO 08/27/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 35 13WC 32838 BRANDON, RITA C CRESCENZO DENTAL ASSOCIAT W 09/04/13 STROM, NEAL B 36 13WC 39743 MEDINA, ELIZABETH JIBAROS INC 06/20/11 ANKIN LAW OFFICE 37 13WC 40765 DROZD, JOHN T CITY OF CHICAGO 10/29/13 PARENTE & NOREM PC CITY OF CHICAGO 38 13WC 41701 WALTON, VIRGINIA CITY OF CHICAGO DEPT OF S 12/12/13 CUDA LAW OFFICES CITY OF CHICAGO 15WC031963 -C 39 13WC 42454 CUNNINGHAM, THOMAS A BARTON MALOW CO 12/19/13 DEPAOLO & ZADEIKIS GRANT & FANNING 40 14WC 04971 PULLIAM, DARRELL O WIRTZ REALTY CORPORATION 03/02/12 MICHAEL A. PEDICONE LTD NYHAN BAMBRICK KINZIE & LOWR 41 14WC 05562 KNOWLES, JUANITA BROWN HAYMARKET CENTER D/B/A 02/13/14 MINKOW DOMIN BRADY CONNOLLY & MASUDA PC 42 14WC 07434 MORIHARA, MARCIA L UNITED AIRLINES INC. 05/09/13 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 43 14WC 07563 THOMAS, GLENDA CITY OF CHICAGO WATER DEP 01/16/14 CORNFIELD & FELDMAN CITY OF CHICAGO 44 14WC 07607 MATHEW, SARAH V JOHN H STROGER HOSPITAL 07/22/13 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 14WC 18610 FITZGERALD, THOMAS CITY OF CHICAGO 05/12/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 46 14WC 19056 CASILLAS, JOSE PEGASUS CUSTOM 03/22/14 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK 14WC019057 -C 47 14WC 19457 GLENNA, DENNI CANADA 06/07/11 SEIDMAN MARGULIS & FAIRMAN 48 14WC 19490 COLLINS, BRIAN J VILLAGE OF NILES 01/05/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 14WC019491 -C 17WC008917 -C 18WC018223 -C 49 14WC 21259 ESPINOZA, MARGARITA BOARD OF EDUCATION OF THE 05/07/14 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 50 14WC 22371 RODRIGUEZ, MANUEL CITY OF CHICAGO 07/05/11 RUSSO & RUSSO LTD CITY OF CHICAGO 51 14WC 23307 CONTY, DONISE M AMERICAN AIRLINES INC 05/04/13 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM GRA 14WC023308 -C 52 14WC 24310 PALEVINO, MYRA FRESENIUS MEDICAL CARE 05/08/14 GIAMANCO & OOINK LAW OFFIC HENNESSY & ROACH PC 53 14WC 27023 GRZYWACZ, WAYNE CITY OF CHICAGO 05/15/14 DEPAOLO & ZADEIKIS CITY OF CHICAGO 54 14WC 27245 HOLLIMAN, CRYSTAL FORD MOTOR CO 07/28/14 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 14WC027246 -C 55 14WC 28516 WOODS, GAYLE WALGREENS 07/30/14 COYNE REINKE LAW GILDEA & COGHLAN 56 14WC 28893 KOWALCZYK, STANISLAW GPL INDUSTRIES 08/07/14 LUSAK AND COBB BRADY CONNOLLY & MASUDA PC 57 14WC 30297 GRAGNANI, MARRI CITY OF BERWYN 06/29/12 LUSAK AND COBB FRANCIS J DISCIPIO LAW OFFIC 58 14WC 30636 FINISTER, RAMONDA LUDEMAN CENTER 08/27/14 LUSAK AND COBB JILL OTTE 17WC005561 -C DEPARTMENT OF HUMAN SERVIC 59 14WC 30747 PERVEILER, J MICHAEL OTIS ELEVATOR 07/10/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 60 14WC 30750 BROOME, EDWIN CITY OF CHICAGO DOT @ 08/26/14 RITTENBERG & BUFFEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 14WC 30754 REYES, BARBARA WOODBRIDGE NURSING PAVILI 08/04/14 LUSAK AND COBB HENNESSY & ROACH PC 62 14WC 31510 LAWSON, DARRELL CHICAGO STREETS & SAN DEP 09/10/14 LEO ALT CITY OF CHICAGO 63 14WC 37848 MOORE, MARTIN L BENCHMARK CONSTRUCTION 10/11/14 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 64 14WC 38145 AGUIRRE, MARISELA FELXIBLE STAFFING 08/29/14 CHRISTIAN & MANNO KOPKA, PINKUS DOLIN, PC 65 14WC 39580 BROWN, TAWANA CHECKERS RESTAURANT 11/06/14 ANKIN LAW OFFICE 66 14WC 42206 REYES, DOMINIQUE CITY OF CHICAGO 09/08/14 COVEN LAW GROUP CITY OF CHICAGO 67 14WC 42661 LAMBRIGGER, JAMES AT & T CORP 10/31/13 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 68 15WC 00574 VEGA, MARILYN CHICAGO BOARD OF EDUCATIO 09/18/13 GOLDSTEIN BENDER & ROMANOF CHGO BOARD OF EDUCATION 69 15WC 01457 DE LA PUENTE, BRIAN C/O CHICAGO BEARS FOOTBALL CL 11/23/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 15WC001458 -C 70 15WC 02003 BLACKBURN, DANIEL A & A AMERICAN ENTERPRISE 01/05/15 VRDOLYAK LAW GROUP LLC CUTLER & HULL 71 15WC 04541 SUN, YIN YAN CHI TUNG RESTAURANT CORP 06/10/14 DEPAOLO & ZADEIKIS LAW OFFICES JOSEPH MARCINIAK 72 15WC 05446 WILLIAMS, JERELEAN SCHOOL DISTRICT 10/06/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 73 15WC 08558 NAN, ADAM GOLD STANDARD ENTERPRISES 06/26/14 GRAZIAN & VOLPE PC MEACHUM & STARCK 74 15WC 08825 AUSTIN, EDWARD GOODER-HENRICHSON CO 07/01/03 GOLDBERG WEISMAN & CAIRO L 75 15WC 10124 VENEGAS, DAVID SOUTHWEST AIRLINES 08/08/14 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 15WC 16011 MC NEAL, DAVID LABOR TEMPS 05/11/15 BIZZIERI LAW OFFICES ROBERT L. SMITH 77 15WC 18073 STENSON, DAVID A. CITY OF CHICAGO 05/23/15 CUDA LAW OFFICES CITY OF CHICAGO 17WC005281 -C 18WC002467 -C 78 15WC 18548 DOIRON, JAMES TRADE JOE'S 02/09/15 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 15WC018549 -C 79 15WC 18815 CONTRERAS, SOCORRO BIGANE PAVING CO 05/13/15 DEPAOLO & ZADEIKIS LAW OFFICES OF EDWARD J. KOZ 80 15WC 19394 ALBRIGHT, THOMAS W COOK COUNTY SHERIFFS 04/29/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 81 15WC 26238 DUNCAN, JARROTT CHICAGO ELITE CAB CORP 07/27/15 THE MACK LAW GROUP PC 82 15WC 26881 MAYORGA, LETICIA FAMILY THRIFT STORE 05/13/14 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 15WC026882 -C 83 15WC 27957 QUALLS, DEBRA FEDERAL EXPRESS 05/18/15 SEIDMAN MARGULIS & FAIRMAN 84 15WC 29273 19B RUTANA, DONNA L CONWAY FREIGHT INC 08/20/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 19WC009705 -C 85 15WC 29889 SMITH, DORIS CTA 09/01/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 86 15WC 29891 BENITEZ, JENNY CLEARSTAFF INC 08/17/15 CHEPOV & SCOTT LLC ACCIDENT FUND HOLDINGS 87 15WC 30558 PENA, JESUS MERCHANDISE MART 09/15/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 88 15WC 31156 TORAN, COURTNEY LE PAN QUOTIEDIEN 03/15/15 MICHAEL A. HIGGINS 89 15WC 31157 DISALVO, PETER AT&T A/K/A ILLINOIS BELL 04/09/15 FRIEDMAN & SOLMOR LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 15WC 37308 SIKANICH, STEVEN CITY OF CHICAGO 11/16/15 DEPAOLO & ZADEIKIS CITY OF CHICAGO 91 15WC 37833 HERRERA, ABIGAIL (WIFE) TAUBENSE STEEL & WIRE CO. 07/08/15 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 17WC011960 -C 92 15WC 39951 WILLIAMS, LINDA SEARS 03/15/14 JOHN C SERKLAND GAROFALO SCHREIBER STORM GRA 93 15WC 41427 GONCIARCZYK, STANISLAW J&E CONSTRUCTION INC 10/20/15 BELLAS & WACHOWSKI WIEDNER & MCAULIFFE LTD 15WC041428 -C 94 15WC 41591 HOLLY, WILLIAM P CTA 10/20/15 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 95 15WC 42024 RAMIREZ, DAVID CHGO STREETS & SAN DEPT 12/01/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 96 16WC 00047 WAGNER, STEVEN DUNNET BAY CONSTRUCTION 10/01/15 MACK, LAWRENCE M LAW OFFIC GAROFALO SCHREIBER STORM GRA 97 16WC 00083 WILLIAMS, LATANYA CTA 12/24/15 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 98 16WC 00711 JEFFERSON, RAYMOND CITY OF CHICAGO 04/30/15 FOHRMAN, DONALD W & ASSOCS 17WC019085 -C 99 16WC 02224 ARELLANO, JAIME CANNON MANAGEMENT GROUP L 07/10/14 EPSTEIN, JACK R LAW OFFICE 100 16WC 03032 CAPSAY, SUSAN G PROTECT-A-BED 09/27/15 HOLECEK & ASSOCIATES 101 16WC 05812 19B GAWENDA, PAUL IDOT @ 09/03/14 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 102 16WC 05892 RODRIGUEZ, MATTHEW FEDERAL EXPRESS 10/26/15 LAW OFFICE ILONKA ULRICH 103 16WC 06867 RODRIGUEZ, ANICETO CONTRACTORS ACCESS EQUIPM 09/03/15 CORBOY & DEMETRIO PC ACCIDENT FUND HOLDINGS 104 16WC 07490 RUIZ, JOSE ALVARADO GENERAL 01/26/16 BERG & BERG 105 16WC 07513 ENGLISH, TANGELA SCHWAB REHABILITATION HOS 12/04/15 GAINES & GAINES NYHAN BAMBRICK KINZIE & LOWR 106 16WC 07890 ZABOROWSKI, ADAM LOWELL INTERNATIONAL FOOD 07/31/15 MINKOW DOMIN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 16WC 08108 CAIN, YOLANDA CURIE HIGH SCHOOL 12/10/15 LEE, MARK N LAW OFFICE LAW DEPARTMENT 108 16WC 08266 BURNETT, DARLENE AMERICAN AIRLINES 12/04/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 109 16WC 08512 CUEVAS-SOTO, ROLANDO CHICAGO BOARD-UP SERVICES 02/29/16 NICHOLIS J STEIN EPSTEIN, JACK R LAW OFFICES 110 16WC 08939 ROBINSON, DA JUAN CHICAGO STATE UNIVERSITY @ 03/01/16 ANKIN LAW OFFICE C. FLETCHER 111 16WC 09100 BLOK, SUSANNE SMJ CORP A/K/A FMHR, LLC 09/18/15 CAPRON & AVGERINOS PC 112 16WC 09950 DVORETSKIY, URIY KINSALE CONTRACTING GROUP 03/16/16 CHEPOV & SCOTT LLC KLAUKE LAW GROUP LLC 16WC009951 -C 113 16WC 10257 O'DONNELL, STEPHEN RR DONNELLEY 01/19/16 STEPHEN G PINTO LTD BRADY CONNOLLY & MASUDA PC 114 16WC 10587 DIMAGGIO, LINDA JOANN STORES LLC 05/22/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 115 16WC 10621 REYES, BARBARA WOODBRIDGE NURSING HOME 08/04/14 LUSAK AND COBB HENNESSY & ROACH PC 116 16WC 12433 19B ESPINOZA, LUIS JEWEL FOOD STORES 02/20/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 16WC012434 -C 117 16WC 18165 MITCHELL, MICHELLE CTA 05/20/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 118 16WC 18231 KING, JOHN TRX, INC. W 03/30/16 TOPPER & WEISS LTD 119 16WC 18401 MCGOWAN, CELESTINE CHICAGO PUBLIC SCHOOLS 05/25/16 MINKOW DOMIN CHGO BOARD OF EDUCATION 120 16WC 19272 THORNE, DONALD STERN PINBALL INC 09/03/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 16WC019274 -C 121 16WC 19740 ARNA, DAVIS 71ST STREET BEST LAUNDRY W 06/18/16 SKLARE LAW GROUP RICHARD F MORTON 122 16WC 19762 OLLIE, MARY CARL BUDDIG 09/16/15 CANDIANO LAW OFFICE KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 123 16WC 19825 LEVY, YAFAH CHICAGO BOARD OF EDUCATIO 05/11/16 BRILL & FISHEL CHGO BOARD OF EDUCATION 124 16WC 19913 HERNANDEZ, REGINA ILLINOIS TOOL WORKS, INC 05/16/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 17WC008814 -C 125 16WC 19974 BENDER, JOHNNY TRANSPORTATION SECURITY A 03/05/16 SEIDMAN MARGULIS & FAIRMAN 126 16WC 19994 SANDOVAL, JOSHIO GRAND SPORTS ARENA, LLC W 02/21/16 HERRERA LAW CENTER 127 16WC 20329 ARROYO, ESTELA ARAMARK 06/04/16 ENCINAS & ORNELAS INMAN & FITZGIBBONS 128 16WC 20599 JENKINSON, CHRISTOPHER COOK COUNTY FACILITIES MG 08/18/15 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 129 16WC 20913 NOVA, MIGUEL IMPERIAL REALTY CO, INC. 05/27/16 LANNON LANNON & BARR LTD GRANT & FANNING 18WC009642 -C 130 16WC 21234 WITEK, TADEUSZ DUDEK & BOCK 01/08/16 BUDIN LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 131 16WC 21446 HERNANDEZ, RICARDO CORNELL FORGE COMPANY 06/24/16 EPSTEIN, JACK R LAW OFFICE 132 16WC 26530 CAHUE, MARIA DEL CARMEN GOLD STANDARD BAKING 11/25/15 ENCINAS & ORNELAS 133 16WC 27002 GOLDEN, DANIEL S. COOK COUNTY SHERIFF 08/23/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 134 16WC 27401 LEON, RICARDO ZERA CONSTRUCTION 08/08/16 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 135 16WC 27434 VERZONI, JOSEPH CITY OF CHICAGO 12/28/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 136 16WC 27715 19B BRYANT, MARVIN C CITY OF CHICAGO 08/15/16 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 137 16WC 28642 VILLARINY, EDWIN LAKESHORE PLAZA 09/02/16 ASHER, RAYMOND L LTD JOSEPH MARCINIAK 16WC028643 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 16WC 29043 SOTO, MARTHA OUTBACK STEAKHOUSE 08/08/16 SALVATO & O'TOOLE 139 16WC 29083 ESTATE OF TINCU, MAXIM DREMEX TRANS INC VICTOR T # 05/27/16 18WC010882 -C TINCU, MAXIM (ESTATE OF) DREAMEX TRANS INC, 140 16WC 29115 WILLIAMS, SELINA CITY OF CHICAGO/DEP OF FI 04/23/15 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 141 16WC 29169 MATEO, LUIS CHICAGO TRANSIT AUTHORITY 06/14/16 RAYMOND P GARZA LAW OFFICE CHICAGO TRANSIT AUTHORITY 142 16WC 29271 ROLLE, ANTREL CHICAGO BEARS FOOTBALL CL 10/04/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC029272 -C 143 16WC 29413 WAGNER, JOHN S UNIVERSITY OF ILLINOIS 08/07/16 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 19WC011609 -C 19WC011610 -C 144 16WC 29653 FRENKOVA, ANA HMS HOST 12/12/15 ELFENBAUM EVERS & AMARILIO GAIDO & FINTZEN 19WC020643 -C 145 16WC 29672 SMITH, PAMELA H CTA 08/28/15 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 146 16WC 29850 KING, EDWARDO COSMETIC COLLISION CENTER 08/24/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 147 16WC 29864 MARTIN, BENJAMIN BCBM, LLC 02/04/16 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 148 16WC 30046 AHLGRIM, GINA VILLAGE OF NILES 10/27/15 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 149 16WC 30066 WATERS, STACI GOTTLIEB MEMORIAL HOSPITA 06/15/10 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 150 16WC 30572 PETERSON, DEREK T&JJ'S SUPREME STEAKS AND 07/01/16 BERNSTEIN, PHILIP L 151 16WC 30840 SMITH, SEQUOIA CTA 06/21/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 152 16WC 30984 GARCIA, LUZ MARIA ARROYO ELITE STAFFING, INC 09/15/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 16WC 31232 GILMORE, BERNARD STAFFING NETWORK LLC 10/07/16 HUGHES SOCOL PIERS RESNICK SLAVIN & SLAVIN 154 16WC 35714 PISANI, ROSA GE TRANSPORTATION SYSTEMS 06/15/15 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 155 16WC 37116 BUSH, MITCHELL CITY OF CHICAGO 10/24/16 DANIEL PERIASWAMY CITY OF CHICAGO 156 16WC 38064 WALKER, MAURICE THE UNIVERSITY OF CHICAGO 11/10/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 17WC015809 -C UNIVERSITY OF CHICAGO MED 157 16WC 38367 CURA, LUIS INSIGHT 09/16/16 STEVEN H MEVORAH & ASSOCIA GAROFALO SCHREIBER STORM GRA 158 16WC 38450 INNISS, GEORGE CITY OF CHICAGO 10/13/16 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 159 16WC 38523 MYSLEWIEC, EDWARD DART CORP 07/23/15 LUSAK AND COBB HENNESSY & ROACH PC 160 16WC 38769 HOOVER, KIRA CTA 12/08/16 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 161 16WC 39019 MOSES, ANTHONY STATE OF IL/UIC HOSPITAL @ 12/06/16 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 162 16WC 39357 HENDERSON, CEOLA LORETTO HOSPITAL 12/20/16 GRAVLIN, MICHAEL J LLC 163 17WC 00062 LAVECCHIA, JACQUELINE JEWEL FOOD STORES, INC 06/06/16 JOHN TREPEL & ASSOC 164 17WC 00193 BOCK, BRITTANY NATIONAL WOMENS SOCCER LE 04/12/14 HART & DAVID LLP 165 17WC 00253 ZUNIGA, EDWIN E ACCURATE PERSONNEL 11/17/16 DAVID W MARTAY 166 17WC 00360 SAULSBERRY, CHARLES HOME DEPOT 02/05/15 BRISKMAN BRISKMAN GREENBER MC ANDREWS & NORGLE LLC 167 17WC 00504 O'CONNOR, DEIRDRE SWEDISH COVENANT HOSPITAL 11/03/16 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 168 17WC 00595 RAMIREZ, CHRIS CITY OF CHICAGO 09/13/16 ROBIN LAW OFFICE CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 17WC 01125 PAGAN, WILLIAM CHICAGO TRANSIT AUTHORITY 12/19/16 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 170 17WC 04646 MONARREZ, GERARDO ED MINIAT INC. 01/17/17 POWER & CRONIN LTD 17WC024676 -C 18WC017001 -C 171 17WC 07162 MONTES, ALBERT L DIAMOND WASTE 12/19/16 GOLDBERG WEISMAN & CAIRO L RIPES NELSON BAGGOT KALOBRAT 172 17WC 07747 SCHILDGEN, JOHN LOYOLA UNIVERSITY MEDICAL 12/01/16 CULLEN HASKINS NICHOLSON LORENZ & BERGIN PC 173 17WC 07914 STEWART, FLOYD CAPITAL MANAGEMENT GROUP 03/09/17 FRIEDMAN & SOLMOR LTD QUINTAIROS PRIETO WOOD & BOY 174 17WC 08009 SCHWEBKE, JUNE CHICAGO TRANSIT AUTHORITY 12/30/16 HORWITZ HORWITZ & ASSOC 175 17WC 08059 GOSA, ANGIE FORD MOTOR COMPANY 02/28/17 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 176 17WC 08078 WALKER, MARCUS DR&LA INC 02/25/17 177 17WC 08209 19B JOHNSON, MICHELLE CITY OF CHICAGO 02/09/17 SHANNON LAW GROUP CITY OF CHICAGO 178 17WC 08285 PEREZ, MARCIAL ELITE STAFFING 03/03/17 AIOSSA LAW FIRM 179 17WC 08364 JOHNSON, RENWICK CHICAGO TRANSIT AUTHORITY 03/03/17 ANKIN LAW OFFICE 180 17WC 08760 IANNACCO, JEFFERY FEDEX 11/08/16 LANCASTER, DEBORAH 181 17WC 08812 BAHENA, REYNEL COLOR COMMUNICATIONS INC 03/06/17 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 182 17WC 08845 BOMBATA, ADETUTU N&C IMPACT CARE SOLUTIONS @ 03/07/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 183 17WC 08929 REED, EDDIE M STATE OF ILLINOIS - IDOT 01/31/17 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 184 17WC 08988 MEO, ABDUL ELITE CAB CO 12/26/16 LAW OFFICE RYAN ROSENTHAL 185 17WC 09244 TOVAR, JESUS CITY OF CHICAGO 03/06/17 ANESI OZMON RODIN NOVAK KO 19WC015731 -C 186 17WC 09286 RASO, MIKE CITY OF CHICAGO 06/05/15 ROBERT H HANAFORD CITY OF CHICAGO 187 17WC 09305 YOUNG, BRITTNEY SOUTHWEST AIRLINES 01/28/17 BOWMAN & CORDAY 188 17WC 09454 HOSFIELD, JAMES A VILLAGE OF MORTON GROVE 02/06/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 189 17WC 09484 PEREZ, MIGDALIA SHERATON CITY FRONT CENTE 12/12/16 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 18WC022207 -C 190 17WC 09602 MARTINEZ, SERGIO E TABARE TRIUNE LOGISTICS LLC 03/21/17 ANKIN LAW OFFICE LITCHFIELD CAVO 191 17WC 09698 MUNOZ, EDWIN CITY OF CHICAGO 01/11/17 SCHWEICKERT & GANASSIN 192 17WC 09810 DALICANDRO, MICHAEL J CITY OF CHICAGO 09/01/15 CRONIN & PETERS 193 17WC 09876 GLADNEY, CORDERO MACGUFFINS BAR & LOUNGE 03/24/17 DWORKIN AND MACIARIELLO 194 17WC 09903 DZIADANA, ZIGGY EXCELLENT MASONRY CORP 01/27/17 CHRISTOPHER BUCHCAR, LTD HOLECEK & ASSOCIATES 195 17WC 10183 FOLKER, ANTOINETTE INGALLS HOSPITAL 11/15/16 MALLOY ETZLER & LAWHEAD PC NYHAN BAMBRICK KINZIE & LOWR 196 17WC 10506 FITZMAURICE, ROBERT BURBANK POLICE DEPT 06/10/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 197 17WC 13424 CABRALES, OMAR 24/7 CHICAGO LOCKSMITHS 01/31/17 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 198 17WC 16735 SANCHEZ, JUAN M UPS 12/10/16 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 19WC004478 -C UPS-HODGKINS 199 17WC 16737 TRETTO, ORACIO SCRAP METAL SERVICES LLC 05/18/17 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 200 17WC 17106 MURANSKY, JOHN COUNTRY CLUB HLS SCHL DIS 01/05/15 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 201 17WC 17120 RUIZ, SALOMON FIRST CLASS MOVING & STOR 11/20/16 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 202 17WC 17151 WOODS, MATTHEW MNK TRUCK CENTERS 02/01/17 SEIDMAN MARGULIS & FAIRMAN 203 17WC 17166 PATRICIA BERNAL AKA KARAVITES RESTAURANT 6676 03/21/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 204 17WC 17251 BINDAS, ELENA FREEMAN DECORATING 05/28/17 RUBENS AND KRESS MC ANDREWS & NORGLE LLC 205 17WC 18186 FOLKER, ANTOINETTE INGALLS HOSPITAL 11/15/16 SCHREINER MALLOY & ETZLER 206 17WC 18402 KHAN, NADIA G EQMD INC 05/21/17 STROM, NEAL B JOSEPH MARCINIAK 207 17WC 18498 WIELGOSZ-MARCHI, MARY A RICH LEE VANS INC 03/31/17 GOLDSTEIN BENDER & ROMANOF GALLIANI DOELL & COZZI LTD 208 17WC 18598 ADAMOWICZ, ROBERT MAJESTIC ARCHITECTURAL 10/12/16 VASILATOS & COTTER LLC JOSEPH MARCINIAK 209 17WC 18668 SERRANO, MELIDA WOMEN'S ATHLETIC CLUB OF 05/20/17 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 210 17WC 19087 FRIAS, CHRISTIAN 3520N LAKESHORE DR CONDO 06/20/17 BRISKMAN BRISKMAN GREENBER JOSEPH MARCINIAK 211 17WC 19104 ROHLOFF, CHRISTOPHER COOK COUNTY BUILDING 06/07/17 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 212 17WC 19218 HARDIN, JOHN NORCON, INCORPORATED 06/15/17 213 17WC 19349 BURKE, JAMES MCNEAL HOSPITAL 05/08/17 HORWITZ HORWITZ & ASSOC 17WC019350 -C MACNEAL HOSPITAL 214 17WC 19409 KRISCH, KAREN TVI, INC 05/18/17 BUIKEMA HISKES DILLNER ET WIEDNER & MCAULIFFE LTD 17WC019410 -C 215 17WC 19426 WILLIAMS, JAMILA ACCESS COMMUNITY HEALTH 06/20/16 CRONIN & PETERS JOSEPH MARCINIAK 216 17WC 19667 SHAH, SHAHZADA KALIM KAHN 06/12/17 HUNER LAW OFFICES LLC 217 17WC 20004 RAINEY, DOMINI UPS 02/22/17 JASINSKI, GEORGE J ASA LAW GROUP 218 17WC 20312 TORRES, JOSE L DYNAMIC MANUFACTURING INC 07/26/16 SHEA LAW GROUP JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 17WC 20458 BELLO, JUAN CARLOS STAFFING SERVICES CORP 07/06/17 AIOSSA LAW FIRM SLAVIN & SLAVIN 220 17WC 24679 CURIEL, MORENO OSCAR JP GRANITE & CONSTRUCTION @ W 08/07/17 221 17WC 25284 BLAND, THEODIS CTA 08/18/17 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 222 17WC 25684 SHILNEY, JAMES CITY OF CHICAGO 11/22/16 JOSEPH J SPINGOLA, LTD 223 17WC 27056 MARTINEZ, JASON T M&K TRUCK SALES, INC 10/20/16 224 17WC 27164 BOYD, VICTORIA CTA 09/13/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 18WC032541 -C CHICAGO TRANSIT AUTHORITY 225 17WC 27287 KARAS, ELIZABETH (EXECUTO CITY OF CHICAGO 05/31/17 TAMVAKIS, GEORGE L CITY OF CHICAGO 226 17WC 27304 FOSTER, LAYUNA NORTH CENTER FOR HANDICAP 05/10/17 JONATHAN SCHLACK JOSEPH MARCINIAK 227 17WC 27340 SHEPPARD, BILLY ARCELOR MITTAL STEEL 06/05/17 ELFENBAUM EVERS ZIELINSKA SPIEGEL & CAHILL, PC 228 17WC 27511 JONAS, ROMAN LAKESHORE CONSTRUCTION GR 06/27/17 CHEPOV & SCOTT LLC ANCEL GLINK PC 229 17WC 27608 VEGA, REUBEN KOPPERS, INC. 08/01/16 LEO ALT RUSIN & MACIOROWSKI LTD 230 17WC 27711 SCHOENHOFEN, DAVID VILLAGE OF CALUMET PARK 03/02/17 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 231 17WC 27798 VASSALLO, JOSEPH GOTTLIEB MEMORIAL HOSPITA 07/20/16 SHELDON I MINKOW & ASSOCIA 232 17WC 28069 SPIVEY, MARY J TRIUNE 08/10/17 SKLARE LAW GROUP LITCHFIELD CAVO 233 17WC 28216 LEAGOGO, FRANCISCO XYLEM INC 08/29/17 BAUM RUFFOLO & MARZAL LTD POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 17WC 28458 SMITH, LASHAWN PERSONNEL STAFFING GROUP, 07/31/17 COSTA IVONE LLC INMAN & FITZGIBBONS 235 17WC 28480 ELLIS, ANTONIA MONDELEZ INTERNATIONAL 05/25/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 18WC008884 -C 18WC008885 -C 236 17WC 28678 HOSLEY, LAPORTIA UNIVERSITY OF CHICAGO 09/04/17 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 237 17WC 28721 HERNANDEZ, DIMAS COOK COUNTY SHERIFF'S DEP 08/07/17 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 238 17WC 28918 MORGAN, TAWNY ORGANIC LIFE 08/30/17 LEO ALT EVANS & DIXON 239 17WC 29095 VELEZ, JUDITH ALTIRO LATIN FUSION 08/30/17 DAVID W MARTAY HENNESSY & ROACH PC 240 17WC 29320 HERNANDEZ, JUAN CHICAGO DRYER COMPANY 09/07/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 241 17WC 29337 HEARN, QUINNIYA RESERVED ENTERPRISE 08/12/17 242 17WC 29377 MC GRAW, SHEMEKA S CTA-CHICAGO TRANSIT AUTHO 09/17/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 243 17WC 29455 GONZALEZ, NEMECIO NEXUS EMPLOYMENT SOLUTION 10/02/17 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 244 17WC 29770 RIOS SR, ABEL RAINCOAT ROOFING SYSTEMS, 08/14/17 O'CONNOR & NAKOS KARBAL, COHEN, ECONOMOU, SIL 245 17WC 34713 MENDEZ, HORACIO LAKESHORE RECYCLING SYSTE 08/09/17 THOMAS J STIBERTH LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 246 17WC 36569 PHETEAU, MARGARETH ADVOCATE LUTHERAN 09/22/17 FRIEND LEVINSON & BERGAL GAROFALO SCHREIBER STORM GRA 17WC036570 -C 18WC016712 -C 247 17WC 36969 MONROE, DASHUNDA CHICAGO SKYWAY 12/04/17 KUMLIN & FROMM 248 17WC 36984 FICK, DAVID JONES LANG LASALLE AMERIC 04/05/17 HEALY SCANLON LAW FIRM SMITH AMUNDSEN LLC 249 17WC 37016 BRADLEY, STEVEN ELIZABETH LUDEMAN CENTER 11/24/17 DWORKIN AND MACIARIELLO KRISTIN LEASIA 250 17WC 37143 LOBLEY-TRIMBLE, JANIE MEDICAL GEAR, LLC DBA 12/28/16 HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 17WC 37167 REYNOLDS, KHALIAH ALONTI CATERING KITCHEN 09/18/17 COSTA IVONE LLC 252 17WC 37382 AVILA, MARITZA RON'S STAFFING SERVICES, 11/08/17 GRAZIAN & VOLPE PC 253 17WC 37559 CASTILLO, ALICIA CARNICERIA JIMENEZ 06/18/17 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 254 17WC 37575 BLANCARD, KELVIN SR COOK COUNTY SHERIFF'S POL 12/13/17 DAMISCH & DAMISCH LTD INMAN & FITZGIBBONS 255 17WC 37678 MCCRANEY, RONALD GCP APPLIED TECHNOLOGIES 11/22/15 DAVID W MARTAY SPIEGEL & CAHILL, PC 17WC037679 -C 256 17WC 37722 HARLAN, MATTHEW ARYZTA LLC 11/11/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 257 18WC 00065 HUGHES, ERIC FEDEX FREIGHT 03/04/16 WILLIAM B MEYERS, LTD QUINTAIROS PRIETO WOOD & BOY 258 18WC 00251 RUDOLPH, JESSIE PACE 12/19/17 FOHRMAN, DONALD W & ASSOCS 259 18WC 00332 DURAN BETANCOURT, GISSELL AMERICAN AIRLINES INC 12/18/16 DEPAOLO & ZADEIKIS 260 18WC 00504 DUKES, DORIS HEALTHCARE SVCS GROUP, IN 11/01/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 261 18WC 00527 ASKEW, KEARTHUR CITY OF CHICAGO DEPT OF 12/29/17 CUDA LAW OFFICES 262 18WC 00646 MARTIN, LAMONT BEGGARS PIZZA AKA PIZZA D 11/12/17 DWORKIN AND MACIARIELLO 263 18WC 00863 BURGESS, BRITTANNI CHICAGO TRANSIT AUTHORITY 12/05/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 264 18WC 00992 BOYKIN, ANNBERRA MERCY HOSPITAL MEDICAL CE 12/02/17 VRDOLYAK LAW GROUP LLC LORENZ & BERGIN PC 265 18WC 01031 RICHARD, HELEN RIVERS CASINO 03/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 266 18WC 04422 KELLEY, LEE M SAM CONSULTANTS INC 11/28/17 GOLDBERG WEISMAN & CAIRO L 267 18WC 06805 CROFT, PATRICE CITY OF CHICAGO-SANITATIO 12/11/17 268 18WC 07427 CRUZ, CARMELO ACCURATE PERFORATING 02/14/18 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 18WC 07479 GEEVE, DONNA LUTERHAN HOME, 02/02/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 270 18WC 07565 HOLLIDAY, WANDA CDT 02/28/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 271 18WC 07585 VALENTINE, NATALIE CHICAGO TRANSIT AUTHORITY 02/03/18 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 272 18WC 07712 COLEMAN, TONY OFFICE OF THE CHIEF JUDGE 02/08/18 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 273 18WC 07837 MALDONADO, CATHY UCP SEGUIN OF GREATHER CH 12/19/17 DEPAOLO & ZADEIKIS GALLIANI DOELL & COZZI LTD 274 18WC 07854 FRAZIER, TOVAL CITY OF CHICAGO - CDOT 02/13/18 SALVATO & O'TOOLE 275 18WC 07922 MENDEZ, IMDELDA NORWOOD LIFE SOCIETY 02/03/18 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 276 18WC 08008 MARBLE, GERALDINE NORTHWESTERN MEMORIAL HOS 11/04/17 GORDON & CENTRACCHIO LLC 277 18WC 08095 KIMBROUGH, PAUL COOK COUNTY SHERIFF 03/12/18 ROSENFELD HAFRON SHAPIRO F STATES ATTORNEY OF COOK COUN 278 18WC 08133 KIMBROUGH, RHODA ELIZABETH LUDEMAN CENTER @ 02/10/16 ASSISTANT ATTY GENERAL 279 18WC 08611 CLIFFORD, MICHAEL F HEARTLAND BLOOD CTR 02/13/18 ANESI OZMON RODIN NOVAK KO MEACHUM & STARCK 280 18WC 08645 HILL, DEONTATE BULKMATIC TRANSPORT 02/12/18 VASILATOS & COTTER LLC 281 18WC 08777 MEDELLIN, GASTON ALPHA BAKING CO 11/29/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 282 18WC 08808 LATRONICO, GLENN IL STATE POLICE 03/19/18 COLLISON LAW OFFICES KRISTIN LEASIA 283 18WC 08964 RODRIGUEZ, ARLIN CRUZ MCDONALDS 03/03/18 ANKIN LAW OFFICE 18WC026517 -C 284 18WC 09121 FOX, NICHOLE PREMIER TRANSPORTATION 11/19/17 RUBENS AND KRESS MARTIN, PATRICK W 285 18WC 09264 JOYCE, NOREEN CITY OF CHICAGO 03/08/18 BURNETT & CARON, LTD HENNESSY & ROACH PC 286 18WC 09379 GIBSON, STEVEN SPRINTER PLUMBING 03/14/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 18WC 09451 GUTIERREZ, ALVARO OZINGA 01/23/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 288 18WC 09626 SERRANO, RUDELL VALUE PAWN 10/31/17 WARREN W MARK MENDOZA LAW PC 289 18WC 09722 ZHANG, RUI YIN GREAT BEIJING CHINESE 02/08/18 MARK SCHAFFNER BRADY CONNOLLY & MASUDA PC 290 18WC 09789 LEWIS, CATRINA CARL BUDDIG & CO 03/16/18 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 291 18WC 10138 WEATHERLY, DORIS PRESENCE 02/19/17 HETHERINGTON KARPEL BOBBER BRADY CONNOLLY & MASUDA PC 292 18WC 10201 TORRES, DAVID S BIGANE PAVING CO 03/24/17 GALLAGHER, DONALD V EDWARD J. KOZEL 293 18WC 10224 FLETCHER, JONATHAN E & R TOWNING 03/22/18 JAMES ELLIS GUMBINER & ASS SPIEGEL & CAHILL, PC 294 18WC 10307 YOUNG, LERENDA SIDNODE 10/25/17 LUSAK AND COBB HENNESSY & ROACH PC 295 18WC 10432 RODRIGUEZ, ANTONIO RAHCO RUBBER 02/20/18 CHASE & WERNER LTD KEEFE CAMPBELL BIERY & ASSOC 18WC010433 -C 18WC010434 -C 296 18WC 10476 WINTERS, CAITLIN DOLLAR GENERAL 11/15/17 MARSZALEK AND MARSZALEK LEAHY EISENBERG & FRAENKEL 297 18WC 10546 RAMIREZ, JUAN ELSTON MATERIALS LLC 11/26/16 CHEPOV & SCOTT LLC CASSANO & ASSOCIATES 298 18WC 10570 RICHARDSON, SAM GREYHOUND 03/28/18 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 299 18WC 12026 ESTATE OF WILLIAM YOUNG TOTAL FACILITY MAINTENANC 03/06/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 300 18WC 16151 FRIZELL, TONY II IN ONE CONTRACTORS, IN 05/23/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 301 18WC 17486 VALLE JR, OSCAR RAINBOW INTERNATIONAL OF 05/25/18 CELSO FUENTES JR 302 18WC 17553 MARKS, ESTEVAN FORD MOTOR CO 06/06/18 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 303 18WC 17590 RIVERA, FRANCISCO JR SRU COMMUNICATIONS 03/26/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 304 18WC 17632 BRUNNER, AUDREY HOFFMAN ESTATES POLICE DE 04/13/18 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 18WC 17688 TUCKER, JACQUELINE HOSTESS BRANDS, LLC 05/17/18 CELSO FUENTES JR INMAN & FITZGIBBONS 306 18WC 17828 WRIGHT, MARJORIE GCA SERVICES GROUP 05/15/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 307 18WC 17861 PEREYA, BALTAZAR HYATT REGENCY CHICAGO 04/04/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 308 18WC 17919 CASTRO, FAUSTINO ELBOW GREASE JANITORIAL 05/24/18 STEVEN B SALK & ASSOC LTD 309 18WC 18011 CARREON, MARIA N OCHOA UNITED TEMPS, INC 03/23/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 310 18WC 18153 CASARONA, LORI EXECUTIVE JET MGMT 02/03/18 HUGHES SOCOL PIERS RESNICK 311 18WC 18245 MANNING, THOMAS FRESENIUS KABI 05/24/18 CUDA LAW OFFICES HOLECEK & ASSOCIATES 312 18WC 18277 GIKAS, KATHY MACY'S 03/18/18 SCOTT B SHAPIRO GAIDO & FINTZEN 313 18WC 18439 FRIAS, GRISELDA CROTHALL LAUNDRY SERVICES 02/22/18 ACEVES & PEREZ PC GANAN & SHAPIRO 18WC018440 -C 314 18WC 18535 TOMASELLO, ANTONINO BOCKWINKEL'S AT PARK MILL 10/20/16 ROSS TYRRELL EVANS & DIXON 315 18WC 18557 WOODS, MATTHEW M&K TRUCK CTR 06/11/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 316 18WC 18598 BHIMANI, RAMZAN HAMIDREZA NIKAMALFARD AND 06/20/18 STEVEN J TENZER, LTD 317 18WC 18620 PAULK, KAMEELAH BLUE CROSS/BLUE SHIELD IL 06/23/15 WHITESIDE & GOLDBERG LTD 318 18WC 18665 HAZELWOOD, LATOYA COOK COUNTY 06/16/17 THOMAS LAW STATES ATTORNEY OF COOK COUN 319 18WC 18684 HOLLY, TAMARA CHILDREN'S CREATIVE CENTE 03/01/18 VITELL & SPITZ LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 18WC 18793 SLATER, LANE COMMERCIAL PAINTING 09/01/17 BRADY CONNOLLY & MASUDA PC 321 18WC 18806 PEREZ, JOSE DE HOYOS CONCRETE 06/04/18 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 19WC031116 -C 19WC031117 -C 322 18WC 19125 AUGUST, MARK A CHICAGO BOARD OF EDUCATIO 05/17/18 VITELL & SPITZ LTD 323 18WC 19235 JACKSON, WONDA E CHICAGO TRANSIT AUTHORITY 06/12/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 324 18WC 19248 AHMED, SHAAN MOHAMMAD A AHMED 02/02/18 RYAN ROSENTHAL 325 18WC 19420 ARGOS, MERCEDES FEDERAL-MOGUL, LLC 05/23/18 JAMES M GERAGHTY KEEFE CAMPBELL BIERY & ASSOC 20WC004246 -C 326 18WC 19471 MAKOWSKI, TIM RICHO USA, INC 03/02/18 STEVEN H MEVORAH & ASSOCIA CHILTON YAMBERT PORTER LLP 327 18WC 19515 BROWN, LUVONIA CHICAGO PUBLIC SCHOOLS 06/13/18 PARENTE & NOREM PC CHGO BOARD OF EDUCATION 328 18WC 19536 MARRERO, JOSE UNITED AIRLINES, INC 01/18/18 GREGORIO & MARCO 18WC023318 -C 329 18WC 19613 PATTISON, SANDRA EGE TRANS USA, INC 01/30/18 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 330 18WC 19743 ZAGAJEWSKI, DANIEL JR. VILLAGE OF BARTLETT 11/02/17 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 331 18WC 19827 BARRERA, JASMIN GENNX/MWC HOLDINGS, LLC 10/10/17 JOSEPH MARCINIAK 18WC025503 -C MIDWEST CAN & CONTAINER 332 18WC 19855 SCOTT, DONESHA JAMILA RICH PRODUCTS CORP 04/07/17 DEPAOLO & ZADEIKIS 333 18WC 20053 TELLEZ, JORGE HIGHLAND BAKING CO. 05/14/18 COSTA IVONE LLC FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 18WC 20088 PEREZ, GREGORY CTA 06/20/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 335 18WC 20128 JACKSON, ANGELA FIRST AMERICAN/FIRST TRAN 10/10/17 SALVATO O'TOOLE FROYLAN WIEDNER & MCAULIFFE LTD 18WC035180 -C 336 18WC 20166 JONES, JOHN L TONY YEH PROPERTY MANAGEM 05/08/18 GALLAGHER, DONALD V 337 18WC 20200 VAZQUEZ, EDUARDO UPS 01/09/18 MOGENSEN LAW LLC ASA LAW GROUP 338 18WC 20226 ZAVALA, RAMON ALL MASONRY CONSTRUCTION 06/13/18 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 339 18WC 25618 SHEPHERD, KIMBERLY FORD MOTOR COMPANY 07/19/18 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 340 18WC 27020 NELSON, DOMINIQUE CHICAGO PUBLIC SCHOOLS 04/25/18 MC HARGUE & JONES CHGO BOARD OF EDUCATION 341 18WC 27285 STRICKLAND, REGINALD NYCO PRODUCTS 03/01/18 CULLEN HASKINS NICHOLSON 342 18WC 27343 RIVERS, DAVID MONARCH CONSTRUCTION CO 08/06/18 R. MARK MARITOTE PC KNELL O'CONNOR DANIELWICZ 343 18WC 27377 CARRERA, LORENA LEXINGTON HEALTH CARE CEN 08/17/16 EPSTEIN, JACK R LAW OFFICE FRANCESCA LARSEN 18WC027378 -C 344 18WC 27387 VALDEZ, MARIA ELITE STAFFING 08/23/18 HERRERA LAW CENTER 345 18WC 27433 BARNES, DORETHA CHICAGO PUBLIC SCHOOLS 08/01/18 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 346 18WC 27472 BRISCOE, KENNETH CITY OF CHICAGO 07/27/18 ROSENFELD HAFRON SHAPIRO F CITY OF CHICAGO 347 18WC 27483 LOPEZ, ABEL ADVANCED WHEEL CORPORATIO 07/01/16 CULLEN HASKINS NICHOLSON 348 18WC 27546 THOMPSON, ALFORT METRO STAFF INC 08/10/18 GOLDSTEIN BENDER & ROMANOF SLAVIN & SLAVIN 349 18WC 27627 AUGUSTYN, BODGA ADVOCATE LUTHERAN GENERAL 07/10/18 LEO ALT GAROFALO SCHREIBER STORM GRA 350 18WC 27644 OCASIO, CAROLYN STARBUCKS 08/31/18 COSTA IVONE LLC 351 18WC 27666 TILLMAN, ANDREW CORNER BAKERY 08/16/18 WITTENBERG DOUGHERTY MAGLI HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 18WC 27751 OH, JENNY DB SCHENKER 02/12/18 SANDMAN LEVY & PETRICH 353 18WC 27769 HOLMES, KAREN FOREST PRESERVE DISTRICT 01/24/17 SCOTT BARBER FOREST PRESERVE DIST COOK CO 354 18WC 27852 PRUITT, DESMOND A WAL-MART ASSOCIATES, INC 09/06/18 ANKIN LAW OFFICE GANAN & SHAPIRO 355 18WC 27859 GADDIS, VERLINE COMMUNITY HIGH SCHOOL SIT 10/11/16 GOLDBERG WEISMAN & CAIRO L ODELSON & STERK 356 18WC 27892 REEDER, LINDA DART CONTAINER 02/20/17 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 18WC027893 -C 18WC027894 -C 357 18WC 28157 GILBERT, DURRIYA CHICAGO TRANSIT AUTHORITY 06/27/18 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 358 18WC 28245 CEBALLOS, MARIO DEVON PRECISION MACHINE 06/19/18 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 359 18WC 28265 WILKS, DAJUAN JEWEL FOODS 08/27/18 SEIDMAN MARGULIS & FAIRMAN EVANS & DIXON 18WC028266 -C 19WC010588 -C 20WC001827 -C 360 18WC 28284 SANCHEZ, CATALINA METOCO TREATING & DEVELOP 06/03/18 STEVEN B SALK & ASSOC LTD HOLECEK & ASSOCIATES 361 18WC 28307 MAOLONE, DARRIN NAPA - GENUINE PARTS CO 08/28/18 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL BIERY & ASSOC 362 18WC 28363 EBERS, EARL JR. MWRDGC 06/17/18 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 363 18WC 28381 COOKS, DOLORES BOARD OF EDUCATION U-46 07/02/18 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 364 18WC 28494 FUENTES, RAMON CITY OF CHICAGO-OEMC DEPT 09/14/18 KARCHMAR & STONE 365 18WC 28508 DRAIN, JOSALYN CITY OF CHICAGO 01/25/17 SHANNON LAW GROUP 366 18WC 28547 SCOTT, CHERYL EMPIRE CASTING, LLC 03/25/18 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 367 18WC 28635 HOCKIN, VIRGINIA DAO JAPANESE STEAKHOUSE 08/27/18 MARC J SHUMAN & ASSOCIATES JOSEPH MARCINIAK 368 18WC 28659 IVY, STEVEN CITY OF CHICAGO 09/13/18 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 18WC 28752 MORQUECHO, SIMON SOURCE ONE STAFFING 09/04/18 EPSTEIN, JACK R LAW OFFICE KNELL O'CONNOR DANIELWICZ 370 18WC 28868 HARMON, KATHERINE SIRIUS COMPUTER SOLUTION 05/15/18 SEIDMAN MARGULIS & FAIRMAN 371 18WC 28900 SANCHEZ, VERONICA TARGET 09/04/18 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 372 18WC 29051 RODRIGUEZ, ISRAEL CHICAGO PARK DISTRICT/ 09/03/18 HERRERA LAW CENTER CHICAGO PARK DIST LAW DEPT 373 18WC 29201 ARROYO, JUAN COLUMBIA METAL SPINNING 01/10/18 PHILLIP FARINA 374 18WC 29248 FALCON, JOSHUA PRESECNE HEALTH 09/07/18 NYHAN BAMBRICK KINZIE & LOWR 375 18WC 29368 KOCLANIS, LYNN DHL/STANDARD 07/11/18 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 376 18WC 29419 SHAHEEN, ADAM CHICAGO BEARS FOOTBALL CL 12/10/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC029422 -C 19WC003048 -C 377 18WC 29474 FERNANDEZ, GLORIA FLEXAN, LLC 07/27/18 STEVEN B SALK & ASSOC LTD HOLECEK & ASSOCIATES 378 18WC 29578 VOUTAS, MARIKA VILLAGE OF NILES C/O IPMG 12/01/17 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 379 18WC 29602 AKHNANA, DAVID CHICAGO TRANSIT AUTHORITY 02/28/18 SANDMAN LEVY & PETRICH CHICAGO TRANSIT AUTHORITY 380 18WC 29630 WASHINGTON, TEARRA R SCOOBEEZ, INC. W 09/17/18 CHEPOV & SCOTT LLC 381 18WC 29658 LARA, FABIAN SUNBELT RENTALS 09/26/18 LEONARD LAW GROUP LLC HARRIS DOWELL FISHER & HARRI 382 18WC 29789 RIGONI, JEFFREY SOUTHWEST AIRLINES 06/20/18 DAVID M. STEPHANICH 383 18WC 29813 LIVELY, MICHAEL INGALLS HOSPITAL 06/29/18 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 384 18WC 29832 OJEDA, JULIO SANCHEZ SENECA NURSING HOME INC 07/31/18 ANKIN LAW OFFICE 385 18WC 29865 LEE, SHEILA VILLAGE OF MATTESON 09/26/18 DWORKIN AND MACIARIELLO 386 18WC 29961 REYES, MARTIN AMB ROOFING & SHEET METAL 09/24/18 JONATHAN SCHLACK LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 18WC 29974 RODRIGUEZ, MARIA FOUNDERS INSURANCE COMPAN 10/16/17 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 388 18WC 29994 MORAN, ROSALINDA CARDENAS DOMESTIC LINEN SUPPLY CO. 09/20/18 HERRERA LAW CENTER HOLECEK & ASSOCIATES 389 18WC 30152 MORROW, JERREL FURIOUS SPOON WICKER PARK 07/21/18 MC HARGUE & JONES EVANS & DIXON 390 18WC 30214 BROCK, KATHLEEN COOK COUNTY JUVENILE 09/16/18 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 391 18WC 30285 LOPEZ-ESTRADA, MONICA GREENWOOD, INC 07/25/18 NYHAN BAMBRICK KINZIE & LOWR 18WC032496 -C 392 18WC 30308 BROWNER, ALEXIS CITY OF CHICAGO 10/01/18 FRIEDMAN & SOLMOR LTD 393 18WC 30354 GRIGALIUNAS, PAUL CENTRAL STEEL & WIRE COMP 02/07/18 MARC J SHUMAN & ASSOCIATES GAROFALO SCHREIBER STORM GRA 394 18WC 30428 HARRIS, ARETHA LOYOLA UNIV HEALTH SYSTEM 09/22/17 CORBOY & DEMETRIO PC 395 18WC 30643 LEE, ROBERT ASPEN GUARD LLC 07/23/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 396 18WC 33851 CAPUTO, DOMINIC (ADMIN ES CHICAGO CUT CONCRETE CUTT # 09/14/18 NO ATTORNEY QUINN JOHNSTON HENDERSON ETA 397 18WC 34239 CLARK, LASHON SYMPHONY OF SOUTH SHORE 09/28/18 MUELHAUSEN & STEFANI MCCABE KIRSHNER PC 398 18WC 35499 SALGADO, EFREN GROSSINGER KIA 11/27/18 BAUM RUFFOLO & MARZAL LTD GAIDO & FINTZEN 399 18WC 36189 SANTOS, JOSE A CAPSTONE LOGISTICS 08/05/18 COSTA IVONE LLC 400 18WC 36216 GREENUP, WILLIAM J BATTAGLIA DISTRIBUTING CO 11/04/18 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 401 18WC 36242 GELLE, MOHAMED CHICAGO SEVEN CAB, INC 11/10/18 FISHER & LAMONICA 402 18WC 36319 SLATER, FRED CHICAGO HIGHLANDS 08/02/18 ALEKSY BELCHER BRADY CONNOLLY & MASUDA PC 403 18WC 36392 CASTILLO, ELIZABETH CLEAN HEART INC 03/21/18 ROBERT WARSASKI BRADY CONNOLLY & MASUDA PC 404 18WC 36530 RICHIE, AHMAD VILLAGE OF COUNTRY CLUB H 11/15/18 FOOTE MIELKE CHAVEZ O'NEIL BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 405 18WC 36638 HARPER, VICTORIA SIGNATURE ROOM 95TH FL 11/20/18 ELFENBAUM EVERS ZIELINSKA QUINTAIROS PRIETO WOOD & BOY 406 18WC 36673 JONES, DANIEL FOSTER Z FORCE TRANSPORTATION IN 06/11/18 ALVAREZ LAW OFFICES 407 18WC 36723 LAWRENCE, PIPER COOK COUNTY SHERIFF'S OFF 11/27/18 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 408 18WC 36741 AGUILAR, TINA MARIE RCN BUSINESS SERVICES 11/27/18 COHN & COHN EDWARD J. KOZEL 409 18WC 36779 CONLEY, CHERIE SECURITAS 11/27/18 RITTENBERG BUFFEN 410 18WC 36872 ANNORENO, JACKLYN SSP AMERICA 12/08/18 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 411 18WC 36915 HORTON, MELVINA COUNTRYSIDE VETERINARY CE 11/14/18 SMOLER LAW OFFICE, PC GILDEA, COGHLAN & REGAN LTD. 412 18WC 36947 CRAWFORD, BARRON UNITED AIRLINES 12/07/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 413 18WC 37107 FOSTER, TORIA AMAZON DELIVERY STATION-D 12/06/18 DWORKIN AND MACIARIELLO 414 18WC 37133 GREEN, ERIC CITY OF CHICAGO 11/28/18 KUMLIN & FROMM CITY OF CHICAGO 415 18WC 37265 HUKILL, VICTOR US INFRASTRUCTURE COMPANY 05/08/17 PHILIP BLOMBERG KRAKER FANNING & OLSEN 416 18WC 37319 ROBINSON, VANCUREN ELITE STAFFING 10/09/18 EFTEKHARI LAW OFFICES MARC CAIRO 417 18WC 37342 COLEY, LOVAR CHICAGO TRANSIT AUTHORITY 12/08/18 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 418 18WC 37388 PATEL, NIKETA BROOKDALE SENIOR LIVING 08/14/18 THERMAN LAW OFFICES ROSARIO CIBELLA 419 18WC 37602 JACKSON-WILLIAMS, ALBERSE HELP AT HOME 11/27/18 CHARLES LEVY & ASSOC LTD 420 18WC 37624 ALLEN, DYANE HALLCON 10/20/18 DONALD FOHRMAN & ASSOC KNELL O'CONNOR DANIELWICZ 421 18WC 37699 KAPLAN, BRITTANY NORTHSHORE SPECIAL 06/14/16 KREITER, BYCK & ASSOC LLP NYHAN BAMBRICK KINZIE & LOWR 422 18WC 37786 MIHAYLOV, YAVOR FRONTIER AIRLINES, INC & 04/06/18 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 18WC 37859 QUIROZ, JESUS ALPHA BAKING CO 12/16/18 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 424 18WC 38152 SPILLERS, THOMAS BEAM TEAM 11/15/18 JOHN S. ELIASIK FRANCESCA LARSEN 425 18WC 38225 TERRELL, CLAUDIA THE LOOK 10/25/18 SCHACTER, JEROME & ASSOC L 426 18WC 38339 BOZEMAN-WYNTER, DEBRA UNITED AIRLINES INC. 02/18/18 MANDELL, GREGG 427 19WC 00002 GHNAIMAT, MAHMOUD MOUSA SIBLEY SHARKS, INC 12/02/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 428 19WC 00021 MARCHIORELLO, LEO P ASHBURN POWER & LIGHT 08/30/18 MD JOHNSON PC JOSEPH MARCINIAK 429 19WC 00118 WATSON, KATRINA CHICAGO TRANSIT AUTHORITY 12/18/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 430 19WC 00211 MARTINEZ, MARIA ADMINISTR J PEREZ TREE SERVICE CORP # 07/21/18 MICHAEL C. GOODE 431 19WC 00242 LOCKETTE, WARREN WHOLE FOODS MARKET 09/17/18 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 432 19WC 00288 DE JESUS, ELENA PERSONNEL STAFFING GROUP 09/17/18 ANKIN LAW OFFICE KOREY RICHARDSON LLC 433 19WC 00374 NGUYEN, ANH ST MARY OF NAZARETH HOSPI 12/09/18 COSTA IVONE LLC 434 19WC 00408 SERRANO, SILVIA LATINCITY 12/27/18 MC HARGUE & JONES 435 19WC 00426 SENIOR, MICHELLE NILES TOWNSHIP DIST FOR 12/14/18 JOSEPH F. VITU WIEDNER & MCAULIFFE LTD 436 19WC 00495 BARTCZAK, DIANE UNITED PARCEL SERVICE 11/26/18 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 437 19WC 00518 CINTRON, ILIANA AMITA HEALTH 08/21/18 GARDI & HAUGHT POWER & CRONIN LTD 438 19WC 00604 HOROWITZ, NANCY TRAVEL OUTFITTERS INC 04/05/18 SCHWEICKERT & GANASSIN JOSEPH MARCINIAK 439 19WC 00636 ALLEN, SHAKIAH C CHICAGO PARK DIST ON FETR 12/14/18 MC HARGUE & JONES CHICAGO PARK DIST LAW DEPT 440 19WC 00655 NIETO, JUAN MANUEL COMBINED ROOFING SERVICES 12/29/18 TIMOTHY HENDERSON EDWARD J. KOZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 19WC 00688 FORNARELLI, JOHN GA PAVING 12/17/18 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 442 19WC 00711 BAHAMUNDI, WALTER HOLIDAY INN EXPRESS W 10/06/17 BRISKMAN BRISKMAN GREENBER 443 19WC 00751 DORN, DEMAR ELITE STAFFING - BERWYN 11/16/18 GOLDSTEIN BENDER & ROMANOF 444 19WC 00767 ANANABA, FELIX FIVE KIDS HACKING CORP 11/22/18 TIMOTHY HENDERSON 445 19WC 00793 PROCE, VITO CAPUTOS NEW FARM PRODUCE 11/19/18 WILLIAM H MARTAY 446 19WC 00817 QUIROZ, ANDRES PARAMOUNT STAFFING 04/30/18 COVEN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 447 19WC 00854 SMITH, HARRY V LSD SKY CHEFS 12/23/18 DWORKIN AND MACIARIELLO 448 19WC 00908 TORRES, LUIS VARGAS GROUP INC. 01/02/19 SALVATO O'TOOLE FROYLAN 449 19WC 00923 BOLDEN, RONNIE KOSH FOODS, INC. 12/19/18 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 450 19WC 05157 ADAMS, SHEILA CITY OF CHICAGO, CITY FIN 04/18/18 WILLIAM H MARTAY 216 16WC028867 -C 216 17WC034127 -C 451 19WC 06180 WILMOTH, JENNIFER VILLAGE OF BEDFORD PARK 01/31/19 FRANCIS J DISCIPIO LAW OFF 452 19WC 07114 WILLIAMS, DENISE WARNING CHARTER SERVICE, 02/25/19 ANKIN LAW OFFICE 453 19WC 07171 SHREFFLER, SCOTT COMMERCIAL COOLING & HEAT 12/31/18 HORWITZ HORWITZ & ASSOC EVANS & DIXON 454 19WC 07229 GRACIC, MIRSADA ILLINOIS MASONIC MEDICAL 01/03/19 TAMVAKIS, GEORGE L GAROFALO SCHREIBER STORM GRA 455 19WC 07251 ORTIZ, ALEJANDRO BORJAS CONSTRUCTION, INC 01/23/19 EPSTEIN, JACK R LAW OFFICE ARTHUR D. WELLMAN 456 19WC 07308 ESPARZA, JOSE ENVOY AIRLINES 02/20/19 TIMOTHY HENDERSON 457 19WC 07399 MORRISON, BRETT BALTON CORPORATION 02/22/19 HEALY SCANLON LAW FIRM JOSEPH MARCINIAK 458 19WC 07408 WILLIAMS, DEREK HAYWARD BAKER, INC 06/12/17 ACEVES & PEREZ PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 19WC 07525 CAMACHO, OLGA FEDEX 01/03/19 DWORKIN AND MACIARIELLO 460 19WC 07550 JACKSON, ROXANNE RHODES SCHOOL DISTRICT 84 08/22/18 HORWITZ HORWITZ & ASSOC 461 19WC 07601 ABOUGALAMBO, EMADELDEEN ISLAMIC FOOD-NUTRITION CO 11/27/18 FRIEND LEVINSON & BERGAL HOLECEK & ASSOCIATES 462 19WC 07666 LARA, JOSE US WATERPROOFING & 09/06/18 THE ROMAKER LAW FIRM LITCHFIELD CAVO 463 19WC 07751 RODRIGUEZ, ARMANDO DUNKIN DONUTS 12/24/18 JOHN S. ELIASIK HOLECEK & ASSOCIATES 464 19WC 07753 ARBAGEY, EDWIN CITY OF CHICAGO 02/20/19 SHANNON LAW GROUP 465 19WC 07771 GROVER, WHITNEY LSG SKY CHEFS 06/17/18 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 19WC007772 -C 466 19WC 07867 IVEY, NEEDHAM CHICAGO TRANSIT AUTHORITY 02/15/19 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 467 19WC 07960 WANDA, MICHAEL J JEWEL-OSCO 11/24/18 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 468 19WC 07969 KEYS, RAYSHON CHICAGO PUBLIC SCHOOLS 02/27/19 ROBERT WARSASKI CHGO BOARD OF EDUCATION 469 19WC 07977 BERMUDEZ, RAFAEL CONDO SERVICE CORPORATION 02/04/19 CHEPOV & SCOTT LLC GILDEA, COGHLAN & REGAN LTD. 470 19WC 08079 ZAMAYOA, CYNTHIA COOK COUNTY SHERIFF DEPT 03/08/19 STROM & ASSOC STATES ATTORNEY OF COOK COUN 471 19WC 08118 TOMS, SHAWN GRECO AND SONS 09/08/15 MARTIN V KUGIA 472 19WC 08266 PROELL, SHARI BLOOMINGDALE STORE 09/25/18 SHELDON I MINKOW & ASSOCIA GAIDO & FINTZEN 473 19WC 08276 POWERS, JAMES E INTEGREATED DEICING SERVI 02/09/19 SOSTRIN AND SOSTRIN PC 474 19WC 08295 MELTON, SELENA MARIANO'S 08/02/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 475 19WC 08339 SAEZ, ELLIOT VANEE FOODS 03/15/19 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 476 19WC 08382 SHALA, FLURIE ADVOCATE CHRIST MEDICAL C 04/27/18 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 19WC 08406 BENITEZ, ROMAN VILCHIS DEBBIE'S CUSTOMIZED STAFF 02/22/19 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 478 19WC 08505 GARCIA, NARCISO JETZ SERVICE 12/29/17 WEISS ORTIZ PC HOLECEK & ASSOCIATES 479 19WC 08607 STACKO, JOSEPH SEARS 03/08/19 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 480 19WC 08626 FRANCO, ERICK C PEOPLES ENERGY 12/28/18 TAMVAKIS, GEORGE L GAROFALO SCHREIBER STORM GRA 19WC019968 -C 481 19WC 08702 RAMIREZ, SARA ARANDA THE ABINGTON OF GLENVIEW 02/05/19 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 482 19WC 08852 DE LUNA, RUBEN RUNGE'S AUTO AND TIRE 08/20/18 COSTA IVONE LLC CASSANO & ASSOCIATES 483 19WC 08881 SHINES, ROZALYNDE WALMART 01/23/19 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 484 19WC 08929 CALDERON, SAUL LAKESHORE BEVERAGE 04/09/18 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 485 19WC 09022 POWELL, NICHOLAS JIFFY LUBE 01/27/19 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 486 19WC 09046 HOLDEN, LESLIE ESTES EXPRESS LINES 03/18/19 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 487 19WC 09077 EKNO, DENISE UNITED CONTINENTAL HOLDIN 07/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 488 19WC 09153 BURGOS, RODOLFO CHICAGO HEIGHTS PARK DIST 10/26/18 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 19WC009860 -C 489 19WC 09172 ARDZIEJEWSKI, WIOLETTA FRESH EXPRESS 12/19/16 LEONARD S. BECKER NYHAN BAMBRICK KINZIE & LOWR 490 19WC 09395 PEREZ, VANESSA ENVOY(AMERICAN AIRLINES G 03/09/19 SEIDMAN MARGULIS & FAIRMAN 491 19WC 09410 MYLES, ROCKIE CHICAGO BEHAVIORAL HOSPIT 03/20/19 ANGELINI & ORI LLC 492 19WC 09562 MCAFEE, SHUNTAE ANDY FRAIN SERVICES 03/08/19 STEVEN J MALMAN & ASSOCIAT INMAN & FITZGIBBONS 493 19WC 09587 SCHNOOR, JEFF ALLSTATE ARENA 12/01/18 MEYERS & FLOWERS 494 19WC 09639 PARAMO, LAURA OASIS OUTSOURCING INC 01/28/19 LEONARDO MORALES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 19WC 09660 ANDRADE, ANA LABOR TEMPS & FCL GRAPHIC 03/24/19 COLLISON LAW OFFICES FRANCIS J DISCIPIO LAW OFFIC 496 19WC 09685 KEELEY, JESSE WALMART SUPERCENTER 02/06/19 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 497 19WC 09706 MARQUEZ, ADAN REX CARTON CO., INC. 12/13/18 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 498 19WC 09758 LAWSON, SHARON F CHICAGO BOARD OF EDUCATIO 04/12/18 LEO ALT CHGO BOARD OF EDUCATION 499 19WC 09809 SANTANA, BENITO L'ELEGANTE CUISINE 11/28/18 BAUM RUFFOLO & MARZAL LTD 500 19WC 09968 GARCIA, CELIDA SUPERIOR COMPANIES 03/18/19 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 501 19WC 10018 BERGERT, DAVID CTA 03/05/19 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 502 19WC 10105 TAYLOR, THELMA ALPHA SCHOOL BUS COMPANY 03/19/19 COSTA IVONE LLC GALLIANI DOELL & COZZI LTD 503 19WC 10189 SHINES, ROZALYNDE WALMART 01/23/19 VRDOLYAK LAW GROUP LLC 504 19WC 10240 OTERO, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 02/20/19 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 505 19WC 10288 RICHMOND, TINA CTA 03/13/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 506 19WC 10409 HERNANDEZ, GEORGE IL DEPT OF TRANSPORTATION 03/28/19 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENERAL 507 19WC 10429 SYKES, ROBBIE THE GROVE OF LAGRANGEPARK 04/02/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 508 19WC 10447 ALVAREZ, ALBERTA M. BLOCK & SONS INC. 03/22/19 JONATHAN SCHLACK JOSEPH MARCINIAK 509 19WC 10501 WNEK, MARIOLA ADVOCATE ILLINOIS MASONIC 03/25/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 510 19WC 10563 NELSON, JACQUELINE S AMERICAN AIRLINES 06/30/16 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 19WC010564 -C 511 19WC 10593 VARGAS, ELEODORO CARMAX 01/12/19 KARLIN FLEISHER & FALKENBE 512 19WC 15950 MUNIZ, CARLOS CITY OF CHICAGO, DEPARTME 04/01/19 WILLIAM H MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 19WC 16731 SHORTER, SHANNON STATE OF ILLINOIS DHS @ 03/23/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 514 19WC 16760 BOLTON, ROBERT SILVICOM INC 07/31/18 FEDOR KOZLOV & ASSOC KRAKER FANNING & OLSEN 515 19WC 16831 GUERRA, JONATHAN FINKLE STEEL 04/01/19 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM GRA 516 19WC 16868 ENRIQUEZ, MAXIMIANO INX INTERNATIONAL INK CO. 05/02/17 R. MARK MARITOTE PC 517 19WC 16877 SMITH, DOMINIQUE NATIONAL EXPRESS/CDT 05/29/19 SCOTT B SHAPIRO BRADY CONNOLLY & MASUDA PC 518 19WC 16947 ADDISON, MONSHAI C COOK COUNTY DEP OF CORREC 05/28/19 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 519 19WC 16963 PIERRITZ, CHERYLEE CITY OF CHICAGO 04/29/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO 520 19WC 16988 RIVERA, CARINA VICTORY CENTRE OF GALEWOO 11/18/18 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 521 19WC 17091 CUEVAS, MARIA CITY OF CHICAGO 05/24/19 WOODRUFF JOHNSON CITY OF CHICAGO 522 19WC 17173 GUZMAN, FRANCISCA W DIAMOND GROUP CORP 03/06/19 ENCINAS & ORNELAS 523 19WC 17194 GALLARDO, AUGUSTO ILLINOIS DEPT OF TRANSPOR @ 03/07/19 MORICI FIGLIOLI & ASSOC ASSISTANT ATTY GENL 524 19WC 17233 COTTS, EDWIN SUPERIOR TOWING 04/22/19 BURNETT & CARON, LTD WOLF & LAUDICINA LTD 525 19WC 17491 SANTOS, JOSE FLORES GONZO TRANSPORTATION 05/23/19 JONATHAN SCHLACK EVANS & DIXON, LLC 526 19WC 17585 PHIPPS, SARAH AMAZON 03/18/19 GRAVLIN, MICHAEL J LLC 527 19WC 17618 DORE, THOMAS RELADYNE 04/30/19 SALVATO O'TOOLE FROYLAN CAPUANI, FRANK S 528 19WC 17652 MEZA, JESUS DELTA SONIC CAR WASH 03/26/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 529 19WC 17701 BAIG, MIRZA HAKEEM GOURMET GORILLA 01/31/19 INJURY LAWYERS OF IL 530 19WC 17732 TORNABENI, LINDA LEXINGTON HEALTH CARE CEN 05/28/19 HORWITZ HORWITZ & ASSOC FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 19WC 17755 JONES, JENNIFER SOUTHWEST AIRLINES, INC. 01/27/17 KARCHMAR & STONE 532 19WC 17779 HOPKINS, LAWRENCE MC DONALD'S 05/17/19 LEONARD LAW GROUP LLC 533 19WC 17796 MATTHEWS, DARLENE CTA 06/16/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 534 19WC 17820 AGUILERA, ALMA N ASI SERVICES 09/18/18 RUEDA, IVAN A BRADY CONNOLLY & MASUDA PC 535 19WC 17842 WILSON, AHMAR KFC 06/13/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 536 19WC 17868 MESSING, JONATHAN CAPGEMINI 06/09/19 KATZ FRIEDMAN EAGLE ET AL 537 19WC 17890 VIENI, MICK PACE- SOUTHWEST DIVISION 05/17/19 BRILL & FISHEL 538 19WC 17926 HERRERA, DAVID SUPERIOR MAUFACTURING 05/15/19 CULLEN HASKINS NICHOLSON 539 19WC 17947 SHERIDAN, DONNA SOUTHWEST AIRLINES CO 05/28/16 EVAN A HUGHES LAW OFFICE 540 19WC 18017 ZYGADIO, GAIL MAP AUTOMOTIVE WAREHOUSE, 05/23/19 RITTENBERG BUFFEN 541 19WC 18126 MALDONADO, ELIDIA NAVARRO ASSOCIATED LABOR 04/29/19 STEVEN B SALK & ASSOC LTD SLAVIN & SLAVIN 542 19WC 18168 CHAMBERS, GREG EXPRESS JET AIRLINES, INC 05/02/19 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 543 19WC 18194 JOHNSON, WENDELL CTA 03/11/19 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 544 19WC 18236 SOCHACKI, KATHERINE NEW ALBERTSON'S/ 02/07/19 MILLON & PESKIN LTD 545 19WC 18256 TYSON, DONDRE GRIFFITH FOODSW 06/05/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 546 19WC 18277 JONES, SHEKINAH SWISSPORT NORTH AM 06/01/19 TAXMAN POLLOCK KNELL O'CONNOR DANIELWICZ 547 19WC 18315 ALBITER, PATRICIA HOSTESS BRANDS 05/10/19 SANDMAN LEVY & PETRICH INMAN & FITZGIBBONS 548 19WC 18347 HUDSON, KENNETH COUNTY OF COOK-DEPT OF 06/11/19 MORICI FIGLIOLI & ASSOC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 19WC 18384 WALKER, MAURICE WHOLE FOODS MARKET GROUP, 05/07/19 ANKIN LAW OFFICE 550 19WC 18429 HORTON, ARNOLD ARCTIC GLACIER U.S.A., IN 06/18/19 EAMES LAW GROUP LTD MEACHUM & STARCK 551 19WC 18459 GORDON, SHARON GOULD & RATNER, LLP 12/13/16 DONALD FOHRMAN & ASSOC JOSEPH MARCINIAK 552 19WC 18570 HILKER, NICHOLAS ILLINOIS AUTO ELECTRIC 06/19/19 STEVEN J TENZER, LTD HOLECEK & ASSOCIATES 553 19WC 18603 LEARY, KEVIN CITY OF CHICAGO 05/09/18 TIMOTHY E. TAKASH CITY OF CHICAGO 554 19WC 18657 OMOWABI, AYOFE US TAXI 05/13/19 RYAN ROSENTHAL 555 19WC 18676 HUERTA, MARTIN KNAUER INDUSTRIES, LTD 05/07/19 DAVID W MARTAY 556 19WC 18716 DUCKWORTH, TATIANA CTA 05/20/19 HERRERA LAW CENTER CHICAGO TRANSIT AUTHORITY 557 19WC 18815 COOPER, BRIAN FREEMAN EXPOSITIONS, INC. 03/08/19 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 20WC000045 -C 20WC000046 -C 558 19WC 18835 KARKO, JOYCE WALGREEN'S 11/23/18 STEVEN J MALMAN & ASSOCIAT GILDEA, COGHLAN & REGAN LTD. 559 19WC 18858 DOTSON, JOHN LEGENDARY BAKING 06/21/19 GERALD CONNOR HENNESSY & ROACH PC 560 19WC 18881 ROMAN ROMAN, EVELIA SURESTAFF, INC 05/30/19 STEVEN B SALK & ASSOC LTD LOUIS MUNDY 561 19WC 18991 HERNANDEZ, IRMA LABOR SOLUTIONS STAFF RIG 06/14/19 COSTA IVONE LLC MC ANDREWS & NORGLE LLC 562 19WC 19114 FRANKLIN, MALINDA AUNT MARTHA'S YOUTH SRVCE 06/23/19 JAY S. SHETH LLC 563 19WC 19131 HERRERA, JUAN RESOURCE EMPLOYMENT SOLUT 06/12/19 ENCINAS & ORNELAS POULOS & DIBENEDETTO LAW 564 19WC 19152 KRON, REBECCA UNITED AIRLINES 06/18/19 SHANNON LAW GROUP 565 19WC 19154 COIA, JOSEPH R VILLAGE OF NORTH RIVERSID 06/12/19 RUBIN LAW GROUP 566 19WC 19165 VALLADARES, MARIO DAYTON SUPERIOR 04/10/19 COSTA IVONE LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 19WC 19188 GARZA, NEREIDA LEGENDARY BAKING 03/18/19 THEODORE L STACY BRYCE DOWNEY & LENKOV LLC 568 19WC 19250 ARRABALES, MAURA SPECIALTY PRINT COMMUNICA 06/20/19 COSTA IVONE LLC EDWARD J. KOZEL 569 19WC 19273 LEONARD, BRADLEY WORLD KIA JOLIET 06/30/19 DWORKIN AND MACIARIELLO 570 19WC 19297 ZEMAN, MARK ILLINOIS DEP OF TRANSPORT @ 04/30/18 DEPAOLO & ZADEIKIS ASSISTANT ATTY GENERAL 571 19WC 19352 ARABSHIAN, MICHAEL J UNITED AIRLINES HOLDINGS 08/03/18 ANKIN LAW OFFICE 572 19WC 19368 PORTILLO, GERARDO PEPPER CONSTRUCTION 06/14/19 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 573 19WC 19394 JAMES, TINISHA HUP INTERNATIONAL 04/04/19 DWORKIN AND MACIARIELLO 574 19WC 19486 EDMONSON, PATRICIA WALMART SUPERCENTER 08/15/17 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 575 19WC 19514 PERKINS, RHODA DOLLAR TREE 05/01/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 576 19WC 19564 VAZQUEZ, NANCY ESPINOSA PANEK PRECISION 07/04/18 SEIDMAN MARGULIS & FAIRMAN 577 19WC 19587 VERA, JOSE UNITED FACILITIES 08/15/18 COVEN LAW GROUP MEACHUM & STARCK 578 19WC 19680 PEREZ, ALEJANDRO INSTALLED BUILDING PRODCT 03/27/19 LULAY LAW OFFICES GOLDBERG SEGALLA LLC 579 19WC 19758 HERRERA, MIRIAM WIDOW OF CRUNCH, INC. # 04/26/19 KARCHMAR & STONE MEACHUM BOYLE TRAUFMAN 580 19WC 26261 KHRYSHCEVSKA, OLEKSANDRA BELMONT GROCERIES. LLC 08/17/19 RYWAK, WALTER Z 581 19WC 26281 O'COMMOR, BRANDON VINES ON CLARK 08/22/19 ROBERT WARSASKI GANAN & SHAPIRO 582 19WC 26300 JACKSON, ANGELA M CHICAGO TRANSIT AUTHORITY 08/08/19 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 583 19WC 26320 VOLANTI, CHARLES CITY OF CHICAGO DEPT OF 08/19/19 SEROWKA LAW 584 19WC 26352 WEIL, CONRAD D&T ELECTRIC 07/30/19 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 19WC 26374 ZAMORA, JOSE RKJ PALLETS, INC, D/B/A 03/08/19 HERRERA LAW CENTER 586 19WC 26396 MCCUE, NATHAN DCT CONSTRUCTION, INC. 08/13/18 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 587 19WC 26411 ANGELAKOS, NICHOLAS CAST & CREW 08/23/19 GWC INJURY LAWYERS LLC 588 19WC 26450 REYES, FRANCISCO EMBASSY SUITES HOTEL 06/09/19 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 589 19WC 26459 CORONA, GUADALUPE PSSI 08/23/19 CULLEN HASKINS NICHOLSON 590 19WC 26477 HOUSE, SHAUN SECURATEX 08/23/19 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 591 19WC 26504 DUESENBERG, WILLIAM JEWEL FOOD STORES 03/30/19 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 592 19WC 26530 GRIGALIUNAS, PAUL CENTRAL STEEL & WIRE COMP 11/10/17 MARC J SHUMAN & ASSOCIATES 593 19WC 26550 RAWLS, DONALD SR. UNITED PARCEL SERVICE 07/26/19 SEIDMAN MARGULIS & FAIRMAN 594 19WC 26612 BRAUN, MARIANNE SAM'S CLUB 11/01/18 BLUMENSHINE LAW GROUP QUINTAIROS PRIETO WOOD & BOY 595 19WC 26641 PASQUIER, MARIA A LBP MANUFACTURING, LLC 08/10/19 OSVALDO RODRIGUEZ PC 596 19WC 26665 ROUSSEAU, KEY CTA 08/27/19 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 597 19WC 26687 UDCHITZ, GARY UNITED PARCEL SERVICE 02/11/19 GERALD W KOREY NYHAN BAMBRICK KINZIE & LOWR 598 19WC 26733 KIWAN, FRANK MENZIES AVIATION ORD 07/03/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 599 19WC 26747 HAND, DAVID COOK COUNTY SHERIFF 08/27/18 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 600 19WC 26763 JOHNSON, ANDREA AMITA HEALTH 09/04/19 HETHERINGTON KARPEL & BOBB BRADY CONNOLLY & MASUDA PC 601 19WC 26783 ROPPOLO, JUSTIN CITY OF PALOS HILLS 07/05/19 CULLEN HASKINS NICHOLSON EVANS & DIXON 602 19WC 26868 HELTON, CODY YRC FREIGHT 05/29/19 PETER C KOPOULOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 19WC 26923 VARGAS, OCTAVIO FAVELA VCNA PRAIRIE LLC/DBA PRAI 09/12/19 LEONARD LAW GROUP LLC PRETZEL & STOUFFER, CHRTD 604 19WC 27015 MORA, JOSE JUAN MILAGRO 09/09/19 CELSO FUENTES JR WOLF & LAUDICINA LTD 605 19WC 27031 MEDRANO JR, AMBROSIO CITY OF CHICAGO 09/12/19 ANKIN LAW OFFICE 606 19WC 27052 GONZALEZ, EFREN CHARTWELL STAFFING 08/14/19 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 607 19WC 27081 CYRIAC, TOM IL DEPT OF JUVENILE JUSTI 11/19/18 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTY GENERAL 608 19WC 27166 HAMILL, JAMES CONTINENTAL ELECTRICAL 08/14/19 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 609 19WC 27235 SANCHEZ, FIDENCIO PRO-TROOP LLC 07/29/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 610 19WC 27271 GONZALEZ, ROSALVA CHEF'S WAREHOUSE 07/22/19 MC HARGUE & JONES HENNESSY & ROACH PC 611 19WC 27357 EDWARDS, KENNY JEWEL FOOD STORES 08/26/19 CULLEN HASKINS NICHOLSON 612 19WC 27391 RIEBOCK, ALBERT KOCH FOODS, INC 12/27/18 MORICI FIGLIOLI & ASSOC BRYCE DOWNEY & LENKOV LLC 613 19WC 27408 ZEQAJ, EMIKLAJD EMI LIMOUSINEM INC 06/26/19 ACEVES & PEREZ PC DEBORAH SCHAEFER 614 19WC 27432 HAWKINS, CARL LEVY RESTAURANTS 09/18/19 MC HARGUE & JONES GANAN & SHAPIRO 615 19WC 27463 LACOPPOLA, JOSEPH CADENCE, INC 09/11/19 THERMAN LAW OFFICES 616 19WC 27481 ESTELLE, SANDRE RED LOBSTER 08/03/19 COYNE REINKE LAW BRYCE DOWNEY & LENKOV LLC 617 19WC 27511 O'NEIL, WALTER VILLAGE OF OAK LAWN 07/17/19 GWC INJURY LAWYERS LLC KEEFE CAMPBELL BIERY & ASSOC 618 19WC 27570 RODRIGUEZ, ESEQUIEL ANSAL REM INC 09/17/19 HERRERA LAW CENTER 619 19WC 27590 VASQUEZ, CONRADO U.S. TRAILER PARTS &SUPPL 09/06/19 RONALDSON & KUCHLER LAWRENCE COZZI - LAW OFFICE 620 19WC 27611 GATTORNA, JOHN MENARDS 09/03/19 INJURY LAWYERS OF IL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 19WC 28321 COLUNGA, ALDO C & I SERVICES LLC 08/05/19 CORNFIELD & FELDMAN ANCEL GLINK PC 640 19WC 28373 KINDRED, DENNIS SUPERIOR NUT COMPANY 07/29/19 GALLAGHER, DONALD V ROSARIO CIBELLA 641 19WC 28392 DEL PILAR, JACOBO CRESCENT CLEANING COMPANY 09/24/19 HERRERA LAW CENTER WOLFE & JACOBSON, LTD 642 19WC 28409 PUTNAM, SAMUEL DPI DEDICATED LOGISTICS 04/20/19 STEPHAN L. HOFFMAN 643 19WC 28507 DEVOE, ROBINA UNITED CONTINENAL HOLDING 10/23/18 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 644 19WC 28549 THOMSON, LAURI HCR MANORCARE HEALTH SERV 06/22/19 DAVID W MARTAY BRYCE DOWNEY & LENKOV LLC 645 19WC 28630 HERNANDEZ, HUMBERTO SWITCHBOARD APPARATUS, IN 08/07/19 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 646 19WC 28747 CLASBERRY, DARRIUS CITY OF CHICAGO 08/07/19 CITY OF CHICAGO 647 19WC 28798 COLLINS, BARRY CTA 05/01/19 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 648 19WC 28820 SMITH, MICHAEL CENTRAL TRANSPORT 08/21/19 BRISKMAN BRISKMAN GREENBER HINSHAW & CULBERTSON 649 19WC 28876 PENNOYER, ELSIE ADVOCATE CHRIST MEDICAL C 07/01/19 TURCYCHUTE LLC GAROFALO SCHREIBER STORM GRA 20WC014096 -C 650 19WC 28932 KUCHARZAK, RUSSELL IL SECRATARY OF STATE @ 09/26/19 SKLARE LAW GROUP ASSISTANT ATTY GENL 651 19WC 28953 SHARIF, MOHAMMED US XPRESS, INC. 08/29/19 JOSEPH YOUNES HENNESSY & ROACH PC 652 19WC 28972 BUCK, AMANDA M CHICAGO TRANSIT AUTHORITY 09/29/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 653 19WC 29055 KING-ROBINSON, CASSANDRA INTERIM HEALTH CARE 08/07/19 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 654 19WC 29102 RUIZ, SUSANA DOMINGUEZ RAINBOW CLEANING SERVICES 09/14/19 COSTA IVONE LLC INMAN & FITZGIBBONS 655 19WC 29167 SIDHU, INDERPREET UPS 09/19/19 BART DURHAM ASA LAW GROUP 656 19WC 29231 BRENNAN, RAYMOND POWER PLUMBING 08/02/19 WHITESIDE & GOLDBERG LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 19WC 36709 LOVE, RONALD FORD MOTOR CO 09/27/19 EDWIN REYES LAW FIRM 694 19WC 36728 WILSON, JENNIFER CENTRAL ILLINOIS CARE SER 12/02/19 COVEN LAW GROUP ACCIDENT FUND HOLDINGS 695 19WC 36755 MONTESINOS, EMIGDIO TRU CUT LANDSCAPING 11/08/19 FISHER & LAMONICA 696 19WC 36821 HUDECEK, REGAN ENTERTAINMENT PARTNERS 10/26/18 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 697 19WC 36830 RUSH, STEPHON WEST SUBURBAN MEDICAL CEN 12/08/19 MEACHUM BOYLE TRAUFMAN 698 19WC 36852 KELLY, DAVID CTA 11/19/19 DEPAOLO & ZADEIKIS CHICAGO TRANSIT AUTHORITY 699 19WC 36901 SARACENI, JERRY OZINGA 05/27/19 STYKA & STYKA GAROFALO SCHREIBER STORM GRA 700 19WC 37168 HUFNAGL, MICHAEL SAUK VILLAGE 03/06/19 COVEN LAW GROUP 701 19WC 37187 MATA, ANNA TNT TAQUERIA, LLC 11/15/19 MC HARGUE & JONES LEAHY EISENBERG & FRAENKEL 702 19WC 37210 VIGO, SANDRA J AMERICAN AIRLINES 12/12/19 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 703 19WC 37269 DAVIS, JASON PEOPLE'S GAS 07/08/19 STEVEN J MALMAN & ASSOCIAT GAROFALO SCHREIBER STORM GRA 704 19WC 37284 RAZ, BRIAN CITY OF CHICAGO - 2F, FLE 12/11/19 MORICI FIGLIOLI & ASSOC 705 19WC 37341 BENSON, RAYMOND FLEXIBLE STAFFING SERVICE 12/13/19 CHEPOV & SCOTT LLC QUINTAIROS PRIETO WOOD & BOY 706 19WC 37455 DEVAUGHN, PETER AMERICAN AIRLINES 10/25/19 DEPAOLO & ZADEIKIS ROSARIO CIBELLA 707 19WC 37473 DOUGLAS, JAMES E JR. AMERICAN BOTTLING/DR. PEP 11/21/19 GWC INJURY LAWYERS LLC GAROFALO SCHREIBER STORM GRA 19WC037474 -C 19WC037475 -C 708 19WC 37482 KAPOLNEK, TIMOTHY WESTERN PRINTING MACHINER 01/24/18 SALVATO O'TOOLE FROYLAN CAPUANI, FRANK S 709 19WC 37528 SHAW-BRIM, IRWIN CITY OF CHICAGO 12/09/19 STROM & ASSOC 710 19WC 37581 BURDEN, EVELYN CURE HOME CARE 11/27/19 COSTA IVONE LLC ANCEL GLINK PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 20WC 00042 STEFFENS, KENNETH R VILLAGE OF MORTON GROVE 12/03/18 ANESI OZMON RODIN NOVAK KO 712 20WC 00064 RICO, MARIA FOCAL POINT, LLC 08/31/18 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 713 20WC 00107 DELGADO, EUSEBIO J HILTON ROSEMONT HOTEL/ 11/10/19 ROSS TYRRELL 714 20WC 00153 DORIGAN, GARY METROPOLITAN WATER RECLAM 06/22/19 RAYMOND P GARZA LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 715 20WC 00210 BUSH, SHERRIE M CHICAGO TRANSIT AUTHORITY 12/05/19 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 716 20WC 00233 BROWN, KENNETH FEDEX 12/13/19 SHELDON I MINKOW & ASSOCIA KOPKA, PINKUS DOLIN, PC 717 20WC 00322 MC GRONE, TANISHA FIRST HOSPITALITY GROUP 11/28/19 JAMES ELLIS GUMBINER & ASS MEACHUM BOYLE TRAUFMAN 718 20WC 00371 ROESKE, CAROL A ADVOCATE HEALTHCARE 07/13/19 FITZPATRICK & FITZPATRICK GAROFALO SCHREIBER STORM GRA 719 20WC 00391 FLOWERS, CHRISTINE FED EX GROUND PACKAGE 10/28/19 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 720 20WC 00416 DENNEWITZ, RYAN TRAC INTERMODAL, LLC 01/13/19 BERNAT & BERNAT PC HENNESSY & ROACH PC 721 20WC 00439 HOLMES, MAURICE ALDI 12/09/19 FRIEDMAN & SOLMOR LTD 722 20WC 00463 PETESR, LINDA HAPPY FOODS, INC 01/01/20 GRAUER & KRIEGEL LLC 723 20WC 00483 COWAN, JAMAL PERI FORMWORK SYSTEMS, IN 01/03/20 LEONARD LAW GROUP LLC LAWRENCE COZZI - LAW OFFICE 724 20WC 00504 BAES, CARLOS FORBIDDEN ROOT 09/26/19 HERRERA LAW CENTER EVANS & DIXON 725 20WC 00592 COLE-CHAMBERS, TEAWANNA SPECIALTY PHYSICIANS OF I 09/24/18 GWC INJURY LAWYERS LLC WOLFE & JACOBSON, LTD 726 20WC 00619 WALKER, ANITA CIRCUIT COURT OF COOK COU 08/01/17 STEVEN J MALMAN & ASSOCIAT STATES ATTORNEY OF COOK COUN 727 20WC 00640 LOPEZ, ROMUALDO MORALES METRO STAFF, INC. 11/18/19 ANSELMO DURAN 728 20WC 00686 COLON, YOLANDA TARGET 01/04/20 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 20WC 00707 VITTORIO, SHERRI FOR EYES OPTICAL CO INC 11/17/17 GWC INJURY LAWYERS LLC KOPKA, PINKUS DOLIN, PC 730 20WC 00733 MCCORMACK, LYNN NORWEGIAN AMERICAN HOSPIT 12/23/19 CORBOY & DEMETRIO PC 731 20WC 00761 WILLIAMS, DONNELL CHICAGO TRANSITAUTHORITY 01/01/20 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 732 20WC 01715 WARREN, MILES FORD MOTOR COMPANY 01/02/20 DONALD FOHRMAN & ASSOC NYHAN BAMBRICK KINZIE & LOWR 733 20WC 06683 JOHNSON, JOEL PEOPLES GAS 08/05/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 734 20WC 06948 GARCIA, JOAQUIN G&S CONSTRUCTION, INC 08/01/19 CHEPOV & SCOTT LLC 735 20WC 06974 TODD, TIERRA NEW STAR 02/28/20 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 736 20WC 06999 SCHUBERT, MICHAEL J VILLAGE OF ARLINGTON HTS 12/29/17 POWER & CRONIN LTD 737 20WC 07025 ROTHAM, TODD YRC WORLDWIDE 02/05/20 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 738 20WC 07042 SUTFIN, ROXANN PACCAR FINANCIAL CORP 04/30/18 MICHAEL HELLMAN BRADY CONNOLLY & MASUDA PC 739 20WC 07063 POLINO, NICHOLAS MINGHIN CUISINE 02/21/20 SCOTT B SHAPIRO 740 20WC 07104 IBARRA, JOSE CASTWELL PRODUCTS LLC 12/06/19 AIOSSA LAW FIRM 741 20WC 07141 HUGHES, CHARLES D-B CARTAGE, INC 12/30/19 THE ROMAKER LAW FIRM JAMES M KELLY 742 20WC 07177 AGUILAR ALVAREZ, JUAN KEEP IT CLEAN, INC 02/19/20 COSTA IVONE LLC JOSEPH MARCINIAK 743 20WC 07205 CHOUDHARY, MOHMMAD FAHAD CHICAGO TRANSIT AUTHORITY 03/06/20 ELFENBAUM EVERS ZIELINSKA CHICAGO TRANSIT AUTHORITY 744 20WC 07225 RIOS, ADAN INTERIOR INVESTMENTS, LLC 09/12/19 LAWRENCE COZZI - LAW OFFICE 745 20WC 07243 CONNER, GENISE CICERO SCHOOL DISTRICT #9 02/06/20 NICHOLAS H. MIHAEL DEL GALDO LAW GROUP LLP 746 20WC 07265 ROMOZZI, MICHAEL BLUFF CITY MATERIALS INC 02/17/20 JOHN J CASTANEDA STONE & JOHNSON CHARTERED

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 20WC 14992 SANCHEZ, ROSA HILTON GARDEN INN 04/27/19 TAMVAKIS, GEORGE L 856 20WC 15015 GONZALEZ, YOLANDA CENTRAL STEEL & WIRE CO 06/04/20 GWC INJURY LAWYERS LLC 857 20WC 15037 PORTER, JAHBRIL SOUL SHACK 03/09/19 NILSON STOOKAL GLEASON CAP 858 20WC 15166 JEAN-BAPTISTE, DEMITRI FRESNO TRANSPORT, INC 02/20/20 AIOSSA LAW FIRM 859 20WC 15209 BOHN, AMANDA COSTCO 08/10/19 KROL BONGIORNO & GIVEN LTD WOLFE & JACOBSON, LTD 860 20WC 15227 NIELSEN, CRAIG 3RD GEN PLUMBING INC D/B/ 01/23/20 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 861 20WC 15243 PATTERSON, ANGELA VILLAGE OF MAYWOOD 06/18/20 SKLARE LAW GROUP INMAN & FITZGIBBONS 862 20WC 15273 LANDA, DONNA FLEX-N-GATE 06/10/20 KATZ FRIEDMAN EISENSTEIN 863 20WC 15311 ERVING, JERMAINE MAYFIELD CARE CENTER 05/05/20 TIMOTHY HENDERSON 864 20WC 15329 FELIPE, JUAN SEBERT LANDSCAPING INC 06/15/20 STEVEN B SALK & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 865 20WC 15375 SCOTT, ANGELA SWEDISH COVENANT HOSPITAL 07/15/16 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 866 20WC 15397 HOLIAN, DAVID D&W MANUFACTURING CO, INC 10/15/19 MICHAEL V. CONNOLLY 867 20WC 15422 HEIDT, KEVIN F.E. MORAN 05/03/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 868 20WC 15448 KING, GERMAINE ELISABETH LUDEMAN CENTER 06/20/20 ACEVES & PEREZ PC ASSISTANT ATTY GENL 869 20WC 15467 WOODS, MARIO UPS 07/12/19 RUBENS KRESS MULHOLLAND ASA LAW GROUP 870 20WC 15488 KENNEDY, MELINDA (BENEFIC ARAMARK INC: CHICAGO BOAR # 03/27/20 KARCHMAR & STONE CHGO BOARD OF EDUCATION 871 20WC 15505 JOHNSON, RACHEL VERSITI ILLINOIS, INC. 10/09/19 ANKIN LAW OFFICE MEACHUM BOYLE TRAUFMAN 872 20WC 15519 DE SAZO, MARIA PRESENCE BETHLEHEM WOODS 05/13/20 MORICI FIGLIOLI & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 873 20WC 15543 HARRIS, LAMOYNE DIAMOND WASTE AND RECYCLI 06/29/20 DWORKIN AND MACIARIELLO 874 20WC 15566 HARRINGTON, ANTWANE PAPER TIGER 06/22/20 KREITER, BYCK & ASSOC LLP 875 20WC 15587 HURTADO, JAIME COOK COUNTY SHERIFF'S 06/20/20 SCOTT B SHAPIRO STATES ATTORNEY OF COOK COUN 876 20WC 15613 COLBERT, WILLIAM UPS 06/12/20 COVEN LAW GROUP ASA LAW GROUP 877 20WC 15628 O'HEARCAIN, DUBHALTAGH UNIVERSITY CENTER 02/18/20 HENNESSY & ROACH PC 878 20WC 15652 THORPE, ANTHONY REM INC. 06/18/20 LAW OFFICES OF ADRIAN CHER HENNESSY & ROACH PC 879 20WC 15682 REGULUS, JOE EASTLAKE PROPERTY MANAGEM 07/02/20 DWORKIN AND MACIARIELLO 880 20WC 15699 YOUNG, JAMES UNIVERSAL POOL COMPANY 06/02/20 RAYMOND M SIMARD, PC 881 20WC 15724 HONDRAS, FERLANDO CHICAGO TRANSIT AUTHORITY 06/28/20 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 882 20WC 20594 SERRITELLA, JOSEPH CITY OF CHICAGO * 07/22/20 MORICI LONGO & ASSOC 883 20WC 21169 ALEGRIA, MANUEL DURACARE SEATING COMPANY, * 08/05/20 RUEDA, IVAN A 884 20WC 21191 DEVEAUX, MARILYN CUSTOM HOME CARE * 08/21/20 SCOTT B SHAPIRO 885 20WC 21200 SZYMONIK, DAVID JAMES MCHUGH CONSTRUCTION 06/27/20 GWC INJURY LAWYERS LLC 886 20WC 21235 DENT, TUNELL KEURIG DR PEPPER, INC * 12/13/19 RUBIN LAW GROUP 887 20WC 21264 JOHNSON, FELICIA A FORD MOTOR COMPANY * 03/19/20 DONALD FOHRMAN & ASSOC 888 20WC 21295 CONRAD, JOSEPH JR. VILLAGE OF WILMETTE * 08/24/18 INJURY LAWYERS OF IL 889 20WC 21318 ELLINGTON-SMITH, CYNTHIA CARL BUDDIG * 08/28/20 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 890 20WC 21348 GUINAN, KELLY RIVEREDGE HOSPITAL * 06/21/20 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 891 20WC 21391 VENCES, ROBERTO NU-WAY INDUSTRIES * 12/05/19 ENCINAS & ORNELAS BRYCE DOWNEY & LENKOV LLC 892 20WC 21411 MEDINA, KAVIR CLEAR LOGISTICS LLC * 03/06/20 ANKIN LAW OFFICE 893 20WC 21426 CLICQUOT, PHILLIP SEB SECURITY * 09/03/20 SEIDMAN MARGULIS & FAIRMAN 894 20WC 21442 KREIS, ROGER JR. LAKESHORE RECYCLING SYSTE * 08/24/20 GWC INJURY LAWYERS LLC 895 20WC 21475 OCAMPO, BLANCA GOLD STANDARD BAKING * 09/05/20 COSTA IVONE LLC 896 20WC 21511 HARRIS, REINEE RUSH UNIVERSITY MEDICAL C * 08/27/20 VASILATOS & COTTER LLC 897 20WC 21535 RUBIO, JORGE GOLDEN STATE FOODS * 07/22/20 KATZ FRIEDMAN EISENSTEIN 898 20WC 21560 RUTLEDGE, RANDY DART * 08/01/20 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 899 20WC 21596 KING, SYLVESTER E CHICAGO BAKING COMPANY * 08/18/20 GALLAGHER, DONALD V 900 20WC 21618 WALKER, WILLIAM MERCURY CONSTRUCTION & * 08/24/20 SEIDMAN MARGULIS & FAIRMAN 901 20WC 21711 CIFUENTES, VALERIE CHILDREN'S HOME AND AID * 01/06/20 TARADASH LAW OFFICE 902 20WC 21720 DIAZ, ENRIQUE INTERLAKE MECALUX, INC * 08/06/20 KARCHMAR & STONE 903 20WC 21739 MORALES, ANA NORTHWEST COMMUNITY HOSPI * 09/09/20 LAW OFFICES OF GERALD F CO NYHAN BAMBRICK KINZIE & LOWR 904 20WC 21757 WILLIAMS, TERRENCE MIGHT MOVE TRANSPORTATION * 06/16/20 PARENTE & NOREM PC 905 20WC 21774 MOORE, SHAN AUTOZONE * 09/14/19 STONE & MAYA PC 906 20WC 21802 JENNINGS, PHILIP J KORS TRUCKING * 06/18/20 CULLEN HASKINS NICHOLSON 907 20WC 21823 IVY, CAROL GUARDIAN SECURITY SERVICE * 04/02/20 CAPRON & AVGERINOS PC 908 20WC 21840 KHATAB, ALI AMERICAN AIRLINES * 09/12/20 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 20WC 21858 RIOS, MARIA DE LA LUZ TIN CLEARSTAFF, INC. * 04/30/20 SPENCER LAW OFFICES 910 20WC 21879 MARTINEZ, JOSE FED EX FREIGHT INC. * 08/31/20 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 911 20WC 21909 OLIVAR, JORGE LUIS ACE CONSTRUCTION * 08/31/20 JAMES URTIS 912 20WC 22006 CROSS, EDMUND LAKEVIEW EAST * 08/22/20 HERRERA LAW CENTER 913 20WC 22026 BELLI, JOSE LUIS JARA ATLAS EMPLOYMENT SRVCS, I * 08/31/20 EPSTEIN, JACK R LAW OFFICE 914 20WC 22047 PATINO, EDGAR CHICAGO AMERICAN * 08/01/20 LEONARDO MORALES KEEFE CAMPBELL BIERY & ASSOC 915 20WC 22066 MARTINEZ, RENE PRIDE USA, INC * 11/25/19 HORWITZ HORWITZ & ASSOC 916 20WC 22097 CURTIS, SHELBEN RAILSERVE * 02/11/20 SPIEGEL & DEMARS 917 20WC 22116 PIERCE, DESHAUN CHICAGO TRANSIT AUTHORITY * 09/06/20 DISPARTI LAW GROUP PA 918 20WC 22145 MACIEL, JOANN UPS FREIGHT- SOUTH HOLLAN * 08/12/19 SAUNDERS CONDON & KENNY 919 20WC 22164 ZUNIGA, MANUEL SCHMECHTIG LANDSCAPE * 08/01/19 JONATHAN SCHLACK 920 20WC 22183 OLAEZ, JOSEFA UNIQUE * 11/15/19 EPSTEIN, JACK R LAW OFFICE 921 20WC 22200 PACHECO, CHRISTINA UHS-STREAMWOOD MENTAL * 05/11/20 SEIDMAN MARGULIS & FAIRMAN 922 20WC 22220 RAMOS, ESTHER MACNEAL HOSPITAL * 05/18/20 OSVALDO RODRIGUEZ PC 923 20WC 22284 RAMOS, MAYRA PRO-TROOP, LLC * 08/10/20 ENCINAS & ORNELAS 924 20WC 22298 STUCKEY, ROOSEVELT A & A MAINTENANCE * 06/25/20 STEVEN J TENZER, LTD 925 20WC 22325 BROWN, DEANNE ALTERNATIVE STAFFING * 09/15/20 ANGELINI & ORI LLC 926 20WC 22346 VEGA, SANTOS CRASH CHAMPIONS * 06/23/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 20WC 22365 NAVA, RAUL VAN DOORN ROOFING, INC * 05/26/20 WHITESIDE & GOLDBERG LTD 928 20WC 22394 ELEUTERIO, FRANCISCO ARMA SHEPHERD PROPERTY MGMT, L * 08/25/20 EPSTEIN, JACK R LAW OFFICE 929 20WC 22412 HERRERA VALENCIA, JOSE MA LABOR SOLUTIONS * 08/25/20 MOGENSEN LAW LLC 930 20WC 22477 ROCHA MADRID, MARIA M QUALITY ASSURANCE HUMAN * 07/16/20 HERRERA LAW CENTER 931 20WC 22500 MARTIN, BRITTANY UNIV OF CHICAGO MEDICAL C * 09/07/20 STROM & ASSOC 932 20WC 22528 GARCIA, BLANCA PETE'S FRESH MARKET * 07/29/20 MC HARGUE & JONES 933 20WC 22545 BELL, LIMORRIS JEWEL OSCO * 12/17/18 SEIDMAN MARGULIS & FAIRMAN 934 20WC 22586 TAYLOR, LOUIS UPS * 09/10/20 LEONARD LAW GROUP LLC 935 20WC 22615 GIACOBBE, THOMAS SALVATION ARMY * 12/14/19 POLANSKY & CICHON CHTD EVANS & DIXON 936 20WC 22630 ARTHURS, CONNIE DOMINO'S PIZZA * 05/23/20 BRISKMAN BRISKMAN GREENBER 937 20WC 22654 SANCHEZ, DAMIEN HORIZON STEEL * 02/26/19 DROST GILBERT ANDREW 938 20WC 22669 FLORES, TELESFORA LABOR SOLUTIONS * 11/15/19 MC HARGUE & JONES 939 20WC 22674 LEWIS, DEVON CUSTOM CRITICAL CARRIER C * 07/11/20 STROW LAW LLC 940 20WC 22715 BOYNES, SARAH LYDIA HEALTHCARE, LLC. * 09/12/20 STEVEN J TENZER, LTD 941 20WC 22738 WILLIAMS, DARRIAN AMERICAN AIRLINES, INC. * 08/24/20 CULLEN HASKINS NICHOLSON 942 20WC 22753 SOTERO, MIGUEL ENGIS CORPORATION * 03/02/19 ROSS TYRRELL 943 20WC 22777 WILLIAMSON, PAMELA COOK COUNTY SHERIFF'S DEP * 09/15/20 EAMES LAW GROUP LTD 944 20WC 22801 NEWELL, DEDRICK FORD MOTOR CO. * 09/04/20 HETHERINGTON KARPEL & BOBB

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 945 20WC 22842 CACERES, ANTOLINA JC PENNY * 09/07/20 ENCINAS & ORNELAS 946 20WC 22852 RIBAUDO, GIUSEPPE GRANT PARK PACKING * 08/24/20 CUDA LAW OFFICES 947 20WC 22873 ANDRADE, YVONNE CITY OF CHICAGO * 09/18/20 ANKIN LAW OFFICE 948 20WC 22891 ORTIZ, EZEQUIEL FRENCH CORP * 10/18/18 RUSIN & MACIOROWSKI LTD 949 20WC 22893 JUAREZ, CARLOS SURESTAFF * 10/04/18 LOUIS MUNDY 950 20WC 22921 TYSON, JAMES G UNITED CONTINENTAL * 05/12/19 KATZ FRIEDMAN EISENSTEIN 951 20WC 22985 PATER, KELLY M JEWEL-OSCO * 05/02/20 MICHAEL D WALSH PC 952 20WC 23107 DICKERSON, DARYL AMERICAN AIRLINES * 09/08/20 FRANCIS J DISCIPIO LAW OFF 953 20WC 23155 GARRETT, LAWRENCE VILLAGE OF HOMEWOOD POLIC * 08/26/20 KROL BONGIORNO & GIVEN LTD 954 20WC 23173 HARDY, DEBORAH UNITED AIRLINES HOLDINGS * 11/07/17 BRIAN J MC MANUS & ASSOC, 955 20WC 23194 MULCAHY, COLIN UPS FREIGHT * 06/15/20 LEONARD LAW GROUP LLC 956 20WC 23214 WHITE, SANDRA COOK COUNTY VITAL RECORDS * 07/20/20 THE MACK LAW GROUP PC 957 20WC 23234 MEXICANO, JUAN RM LUCAS * 07/14/20 O'CONNOR & NAKOS 958 20WC 23258 WHTIE, PARIS MISERCORDIA * 09/24/20 DONALD FOHRMAN & ASSOC 959 20WC 23274 EISEN, DEBRA ALEXIAN BROTHERS MEDICAL * 07/09/20 DAVID W CLARK 960 20WC 23291 EARL, JASON D COOK COUNTY SHERIFF * 12/20/18 WEISS & WEISS LAW OFFICES 961 20WC 23321 PEREZ, JEREMY EXPRESS DELIVERY TRANS IN * 02/13/20 TAXMAN POLLOCK 962 20WC 23369 RODRIGUEZ, EFRAIN LCV STAFFING, LLC * 09/01/20 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 963 20WC 23384 RODRIGUEZ, MARCELA PILSEN WELLNESS CTR * 11/21/19 KATZ FRIEDMAN EISENSTEIN 964 20WC 23410 MARROQUIN, EVA TECHNICAL MACHINERY SLUTN * 08/01/20 THE ROMAKER LAW FIRM 965 20WC 23429 HENDRIX, PATRICK DSC LOGISTICS * 09/25/20 LAW OFFICES OF GERALD F CO 966 20WC 23450 PEREZ, FRANCISCO RESERVE MARINE TERMINALS * 08/24/20 DEPAOLO & ZADEIKIS 967 20WC 23476 RIVERO, STEPHEN ORLAND FIRE PROTECTION DI * 05/11/20 CULLEN HASKINS NICHOLSON 968 20WC 23500 ZUBIETA, ALMA TARGET, INC * 10/02/19 ANESI OZMON RODIN NOVAK KO 969 20WC 23572 JOHNSON, PAIRION ASG STAFFING * 10/01/20 DWORKIN AND MACIARIELLO 970 20WC 23600 MENDOZA, MARCUS STATE OF ILLINOIS @ * 09/28/20 RUBENS KRESS MULHOLLAND 971 20WC 23607 GONZALEZ, DANIEL CITY OF EVANSTON * 11/19/19 ROMANUCCI & BLANDIN 972 20WC 23626 COLON, PHILIP Q ESPARRA NATION PIZZA PRODUCTS, LL * 09/23/20 ANKIN LAW OFFICE 973 20WC 23655 DAREY, JOHN UNITED AIRLINES * 11/12/19 STYKA & STYKA 974 20WC 23903 GOMEZ, FERNANDO STATE OF ILLINOIS @ * 02/13/19 VRDOLYAK LAW GROUP LLC 975 20WC 23913 GERMAN, VICTOR UNITED AIRLINES INC * 08/15/20 SEIDMAN MARGULIS & FAIRMAN 976 20WC 23936 DEGREGORIO, DENNIS AT&T * 11/08/17 HEALY SCANLON LAW FIRM 977 20WC 23953 SHUKSTOR, JANET UNITED PARCEL SVC * 03/05/19 ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M NAPLETON, GERALD 016 ARBITRATION CALL FOR CHICAGO 99016 ON 11/12/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 978 20WC 23970 BORIL, MILAN FRANCISCAN HEALTH URGENT * 06/04/20 NEWMAN, BOYER & STATHAM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 46457 ABBOTT, TERESA UNITED AIRLINES 07/06/03 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 04WC045819 -C 08WC054087 -C 11WC038009 -C 14WC000947 -C 17WC004072 -C 18WC020864 -C 2 07WC 45172 BLASH, REKIETHA JOHN J MADDEN MENTAL HEAL 08/22/07 CHRISTINE F DAVID ASSISTANT ATTORNEY GENERAL 12WC042828 -C MADDEN MENTAL HEALTH CENTE 12WC042829 -C 12WC042830 -C MADDEN MENTAL HEALTH CENTE 3 07WC 50635 AMBOLO, MICHAEL CITY OF CHICAGO DEPT 02/06/07 STROM, NEAL B CITY OF CHICAGO 10WC034731 -C 4 08WC 30407 ALBA, HECTOR G AMERICAN AIRLINES 02/02/07 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 13WC032912 -C 5 08WC 35868 HARLAND, DONALD DEPT OF HUMAN SRVS 07/24/08 SHELDON I MINKOW & ASSOCIA ASSISTANT ATTORNEY GENERAL 6 09WC 39981 AGUILERA, SERGIO CHICAGO PUBLIC SCHOOLS 12/20/07 OSVALDO RODRIGUEZ PC LAW DEPARTMENT 10WC019769 -C 7 09WC 40746 THOMAS, CHARLES EDWARD ILLINOIS DEPT OF FINANCIA 07/16/09 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 8 10WC 19236 ROOT, RICHARD W ILLINOIS DEPARTMENT OF @ 11/18/08 JOHN J CASTANEDA ASSISTANT ATTORNEY GENERAL 9 11WC 19072 ARREOLA, HECTOR ELECTROMOTIVE DIESEL 01/09/10 ROBERT E LUNZ GOLDBERG SEGALLA LLC 16WC011760 -C PROGRESS RAIL-ELECTROMOTIV 10 11WC 19726 MICHALAK, STEVEN THE SEGERDAHL CORPORATION 04/26/10 DWORKIN AND MACIARIELLO GRANT & FANNING 11 11WC 30409 BARGO, DENISE M CITY OF CHICAGO 07/21/11 SALVATO & O'TOOLE CITY OF CHICAGO 12 11WC 36254 PASSARELLO, THOMAS CITY OF CHICAGO 09/15/11 SOSTRIN AND SOSTRIN PC CITY OF CHICAGO 14WC005590 -C 15WC028608 -C 13 12WC 02528 O'BRIEN, THOMAS P STATE OF IL, DEPT OF HS @ 10/08/11 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 12WC 15733 19B GOTFRYD, ZBIGNIEW LINCOLN PARK AUTO AUTO RE 05/19/11 MINKOW DOMIN GANAN & SHAPIRO 15 12WC 24245 PHILLIPS, SONIA D STATE OF ILLINOIS @ 01/06/12 CULLEN HASKINS NICHOLSON 16 12WC 24496 WHITE, CANDACE ST OF IL DEPT OF 05/03/10 LEONARD LAW GROUP LLC 17 12WC 28213 HAYES, CHARLES DYNAMIC MANUFACTURING 07/31/12 STEVEN J SEIDMAN LAW OFFIC 18 12WC 35272 JOHNSON, VEOLA CHICAGO TRANSIT AUTHORITY 09/23/12 EDWIN REYES LAW FIRM CHICAGO TRANSIT AUTHORITY 14WC037860 -C 15WC034658 -C 19WC018511 -C CTA 19 12WC 37150 SULLIVAN, JIM CITY OF CHICAGO 09/25/12 HORWITZ HORWITZ & ASSOC CITY OF CHICAGO 20 12WC 42108 O'LEARY, CAROL A CITY OF CHICAGO 12/29/11 RICHARD O. GREENFIELD 21 12WC 43825 BILANIUC, MONA ABM JANITORIAL 02/29/12 HANNIGAN & BOTHA, LTD GOLDBERG SEGALLA LLC 22 12WC 44427 CARRILLO, FELIPE TRANSPORTE MEDRANO INC 10/31/12 JOHN S. ELIASIK 23 12WC 44453 TAIWO, MOSES ESJOTA BUSINESS VENTURE I 04/11/10 SEIDMAN MARGULIS & FAIRMAN 24 13WC 09062 MARTINEZ, SIMON ILLINOIS DEPT OF TRANS @ 12/31/12 DEPAOLO & ZADEIKIS MATTHEW LICAVOLI 25 13WC 13991 19B SCIESINSKI, RICHARD POLMAX TRANSPORTATION, IN 06/01/12 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 26 13WC 21019 ALONSO, ELVIRA LABOR NETWORK ELGIN 09/10/12 ACEVES & PEREZ PC ROBERT L. SMITH 13WC021020 -C CLOVERHILL BAKERIES 27 13WC 26929 TRONGALE, WENDY ALA CARTE ENTERTAINMENT, 05/05/13 LAW OFFICE OF KEVIN O'BRIE HENNESSY & ROACH PC 28 13WC 32788 SOMERVILLE, SCOTT AT & T 06/07/13 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 18WC032332 -C AT&T 29 13WC 33180 DROIRA, MARCELO CTA 09/04/13 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 30 13WC 33561 ARAUJO, JOHN CITY OF CHICAGO 07/11/13 LEONARD LAW GROUP LLC 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 HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 13WC 37392 ROSS, FAITH A COOK COUNTY DEPT OF 07/10/13 ATSAVES, LOUIS G LTD INMAN & FITZGIBBONS 32 13WC 40622 FLORES, MARIA E LAVANDERIA RIO GRANDE 10/04/13 SANDMAN LEVY & PETRICH 33 14WC 05594 IORIO, TRACY A SHELL STATION TINLEY PARK 01/28/14 MINKOW DOMIN ROSS TYRRELL 34 14WC 05646 PROFFIT, CHRISTIAN ROGERS PARK ONE DAY SURGE 01/15/14 SALVATO & O'TOOLE PATRICIA HARDIMAN LAW OFFICE 35 14WC 10709 YANCOUR, JUAN CHICAGO TRANSIT AUTHORITY 03/18/14 GORDON & CENTRACCHIO LLC 15WC014817 -C 15WC038001 -C 36 14WC 16284 ELKINS, LAWANDA WADE CITY OF CHICAGO 09/11/13 EPSTEIN, JACK R LAW OFFICE CITY OF CHICAGO 37 14WC 18341 LAMA, BARRY ILLINOIS DEPARTMENT OF TR @ 05/19/14 FIGLIOLI, DAVID ASSISTANT ATTORNEY GENERAL 38 14WC 20374 AHMED, MOHAMMAD CITY OF CHICAGO 08/30/13 LEONARD LAW GROUP LLC CITY OF CHICAGO 39 14WC 22228 SCHMIT, JOHN CITY OF CHICAGO 05/13/14 O'CONNOR LAW GROUP LLC CITY OF CHICAGO 40 14WC 22505 MONTES, MINERVA CHICAGO TRANSIT AUTHORITY 06/25/14 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 41 14WC 29411 WALLACE, KINOLA COLUMBUS PARK NURSING & 06/22/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 42 14WC 29867 INIGUEZ-VILLALOBOS, MARIA HMS HOST 08/14/14 ELFENBAUM EVERS & AMARILIO ROBERT L. SMITH 15WC036012 -C 43 14WC 30048 LJUBIJANAC, HASE CHICAGO VEIN INSTITUTE 07/21/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 44 14WC 30227 BURKHEAD, ANTOINETTE CITY OF CHICAGO 08/26/14 SEIDMAN MARGULIS & FAIRMAN 45 14WC 30470 WILLIAMS, ANDRE D FORD MOTOR COMPANY 09/05/14 BERG & BERG WIEDNER & MCAULIFFE LTD 46 14WC 30692 WATSON, STEVEN UPS GROUND FREIGHT INC 08/29/14 SALK, STEVEN B & ASSOC LTD ASA LAW GROUP 16WC007801 -C 47 14WC 30714 SARTIN, FRANK CENTRAL GROCERS 05/29/14 CHRISTIAN & MANNO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 14WC 32935 EZZAIRI, ABDELOUAHED SUN FINANCIAL SERVICES IN 09/16/14 PARAG P. BHOSALE LAW OFFICES OF DEBORAH SCHAE 49 14WC 38897 CHAHID, LAHOUCINE SMART CAB INC #V 10/08/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES DEBORAH SCHAEFER 50 14WC 39911 JONES, KRYSTINA GRAND PRAIRIE TRANSIT 10/27/14 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 51 14WC 41930 GUTIERREZ, DABOGERTO S & B FINISHING CO INC 05/08/14 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 52 14WC 41940 CARDONA, JULIA HANCO ENTERPRISES INC 09/06/14 LUIS A ACEVES & ASSOC 53 14WC 43546 MUHAMMADIYEV, FARMON NEW ENGLAND EXPRESS W 10/22/14 FRIEND LEVINSON & BERGAL LAW OFFICES ANDRIUS SPOKAS 54 15WC 04571 YUEN, STEVEN CHICAGO TRANIST AUTHORITY 02/02/15 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 55 15WC 06259 BALDERAS, CRISELDA CHICAGO TRANSIT AUTHORITY 01/28/15 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 56 15WC 09054 JACKSON, MARDA CHICAGO PUBLIC SCHOOL 03/11/15 COVEN LAW GROUP CHGO BOARD OF EDUCATION 57 15WC 10380 VAZQUEZ, ANGEL CPS 12/02/14 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 58 15WC 16827 BARRUFFI, BRUNO STATE OF IL - HWY DIVISIO @ 05/15/15 DEPAOLO & ZADEIKIS ASSISTANT ATTORNEY GENERAL 59 15WC 18504 PEREZ, JAIME MOST VALUABLE PERSONNEL 06/26/14 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 60 15WC 19085 NASSER, FOZI CAS TRANSPORT 05/28/15 LUIS A ACEVES & ASSOC 61 15WC 19248 HALL, AZELDRIA M. UNITED AIRLINES 02/13/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 62 15WC 20312 CABILDO, MICHAEL MESSENGER 911 SERVICE INC W 06/03/15 JAMES ELLIS GUMBINER & ASS CHEPOV & SCOTT LLC 63 15WC 22208 DAVIS, DEAN MICHELS CORPORATION 05/28/15 GOLDBERG WEISMAN & CAIRO L SCHOUEST BAMDAS SOSHEA 64 15WC 22370 SENERCHIA, PATRICIA (WIDO CITY OF CHICAGO 06/03/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 15WC 23670 WADE, FRANKLIN CIT OF CHICAGO 06/18/15 KEDZIE LAW OFFICE PC CITY OF CHICAGO 66 15WC 29012 SIMPKINS, ELLIOT ALLIED TUBES 04/30/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 15WC029013 -C 15WC029014 -C 16WC035685 -C 18WC035767 -C 67 15WC 31119 NELSON, EMANUEL CHICAGO TRANSIT AUTHORITY 08/07/15 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 68 15WC 37557 VEGA, MARGARITA HILTON WORLDWIDE INC 11/19/15 FRIEDMAN, MICHAEL T & ASSO NOBLE & ASSOC 69 15WC 39389 TOPPS, AMBER L CITY OF CHICAGO 11/30/15 SCOPELITIS GARVIN LIGHT 70 15WC 40999 RODRIGUEZ, PATRICIA CIRCUIT COURT OF COOK COU 12/09/15 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 71 15WC 41047 CAMPOS, FERNANDO RG MODELO CONSTRUCTION W 10/14/13 STROM, NEAL B 72 15WC 41478 NELSON, ALVIN M IL DEPT OF HS JOHN J MADD @ 10/07/15 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 15WC041767 -C ST OF IL DEPT OF HS 73 15WC 42339 SABELLA, VINCENT STATE OF IL. C/O IDOT @ 01/08/14 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 74 16WC 00017 DANTONE, MARK CHICAGO TRANSIT AUTHORITY 06/04/15 CUDA LAW OFFICES CHICAGO TRANSIT AUTHORITY 75 16WC 00019 FLORES, ALEXANDRO ATLAS EMPLOYMENT 12/08/15 SCHWEICKERT & GANASSIN ROBERT L. SMITH 76 16WC 00385 QUINONES, HUGO UNITED AIRLINES 09/25/15 CUDA LAW OFFICES WIEDNER & MCAULIFFE LTD 18WC019553 -C 18WC019554 -C 77 16WC 00404 BRITT, SHERLENE JACKSON PARK HOSPITAL 11/23/15 CULLEN HASKINS NICHOLSON 78 16WC 00629 DODD, KIMBERLY CHICAGO TRANSIT AUTHORITY 12/29/15 BAUM RUFFOLO & MARZAL LTD CHICAGO TRANSIT AUTHORITY 79 16WC 00798 BROWN, DASHUN ESTES EXPRESS LINES 10/24/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 80 16WC 06121 SOTO, JIMMY BUFFALO WILD WINGS 02/15/16 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 16WC 07932 RODRIGUEZ, MARIA EXECUTIVE MAILING SERVICE 11/09/15 MEYER & BLUMENSHINE LAW OF ANCEL GLINK DIAMOND BUSH & E 82 16WC 08015 MONTENEGRO, ESPERANZA MCDONALDS CORPORATION 02/04/16 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 83 16WC 08850 WEGLARZ, SLAWOMIR QUALITY MAINTENACE CO, IN 04/02/15 SCOTT B SHAPIRO MEACHUM BOYLE TRAUFMAN 84 16WC 09388 SAID, FIRYAL HELP AT HOME, INC. 11/25/15 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 85 16WC 09465 POPLAWSKI, GREGORY N II LINDAHL BROS INC 10/07/15 LAW OFFICE PHILIP BLOMBERG MEACHUM & STARCK 16WC037746 -C CASE FOUNDATION CO. 18WC016068 -C STU BLATNNER, INC. 86 16WC 09717 RAMIREZ, FERNANDO ROBERT EBI, INC. 08/13/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 87 16WC 10183 MOHR, KENNETH P FERGUSON ENTERPRISES 07/28/15 NILSON STOOKAL GLEASON CAP KNELL & O'CONNOR 88 16WC 10644 ESPARZA, RUBELIO PCI CHICAGO INTERIOR 03/24/16 HUGHES SOCOL PIERS RESNICK HENNESSY & ROACH PC 89 16WC 10842 YAKUB, FAIZAL PROSPECT AIRPORT SERVICES 10/27/14 CAMERON CLARK 90 16WC 11878 19B GOLDIE, ELAINE THE DANA HOTEL & SPA 03/31/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 91 16WC 15744 RIVERA, EVETTE CITY OF CHICAGO 05/04/16 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 92 16WC 18457 SANDOVAL, SANDRA SEARS HOMETOWN AND OUTLET 12/01/15 ANKIN LAW OFFICE 93 16WC 18560 SMITH, KELLY INDIANA HILL COUNTRY CLUB 09/13/15 BAUM RUFFOLO & MARZAL LTD RIPES NELSON BAGGOT KALOBRAT 94 16WC 19176 WILLIAMS, DENNIS CHICAGO TRANSIT AUTHORITY 06/13/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 95 16WC 19421 HACHA, JESUS DEPAUL BUILDERS 08/11/15 HART & DAVID LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 16WC 19759 ESPARZA, PASCUAL MARTINEZ DRY PEPPERS W 06/15/16 HEALY SCANLON LAW FIRM GORDON & CENTRACCHIO LLC 97 16WC 20260 PRESSEY, PAULETTE CITY OF CHICAGO 08/30/15 DWORKIN AND MACIARIELLO CITY OF CHICAGO 16WC020261 -C 18WC001370 -C 18WC001371 -C 98 16WC 20381 GALVAN, BARBARA ILLINOIS STATE TOLL HIGHW @ 04/25/16 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 99 16WC 20784 GARCIA, WENDY ARAMARK 05/13/16 MC HARGUE & JONES STONE & JOHNSON CHARTERED 100 16WC 20832 BRENT, LAWANDA CTA 06/29/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 101 16WC 21456 WILLIAMS, LAVELL STAFFING NOW 11/08/15 HUGHES SOCOL PIERS RESNICK GILDEA & COGHLAN 102 16WC 21569 ANDERSON, MARK CHICAGO TRANSIT AUTHORITY 09/15/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 16WC021570 -C 17WC008753 -C 103 16WC 21655 LESUE, AARON ARENA FOOTBALL ONE LLC 04/26/14 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 104 16WC 21701 URIOSTEGUI-FERNANDEZ, NIQ ABM 06/17/16 SALVATO & O'TOOLE LITCHFIELD CAVO 105 16WC 25276 GOMEZ, JOSE LUIS, ON BEHA FEWER BOILER, INC 04/07/15 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 16WC025277 -C 106 16WC 28427 TORRES, RAFAEL BANER PERSONNEL SERVICES 09/10/16 FOHRMAN, DONALD W & ASSOCS INMAN & FITZGIBBONS 107 16WC 28782 ALVARADO, ALMA (GUARD OF ALSIP MINIMILL LLC # 03/28/16 ELFENBAUM EVERS ZIELINSKA MEACHUM & STARCK 108 16WC 28819 BONDI, JOSEPH D IL DEPT OF TRANSPORTATION @ 08/31/16 MICHAEL HELLMAN MATTHEW J KELLER 109 16WC 28954 DANILUK, AGNIESZKA ALDEN DES PLAINES 05/03/16 CULLEN HASKINS NICHOLSON LAW OFFICES FRANCESCA LARSEN 110 16WC 29041 SANDERS, TIMOTHY JOHN WILLAGE OF MIDLOTHIAN DEP 01/11/16 ROSS TYRRELL 111 16WC 29148 DAVIS, PIERRE EXECUTIVE MAILING SRVCS, 09/08/16 HUGHES SOCOL PIERS RESNICK ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 16WC 29215 OKAFOR, RAPHAEL SANTORINI CAB CORP. 08/29/16 CORNFIELD & FELDMAN DEBORAH SCHAEFER 113 16WC 29346 PEREZ, ORLANDO CENTRAL TRANSPORT 08/13/16 LAW OFFICES LEONARDO MORAL HINSHAW & CULBERTSON 114 16WC 29507 GOMEZ-MANZANAREZ, ERICA ARTISTS FRAME SERVICE INC 06/10/16 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 16WC029508 -C 115 16WC 29651 FLORES, VICENTE WENDY M DIEWALD DBA 06/22/16 SALK, STEVEN B & ASSOC LTD 116 16WC 29698 SANCHEZ, LEONARDO HECTOR LANDSCAPING 08/13/16 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 17WC023329 -C 117 16WC 30080 SZILVA, STEVEN USA HOIST 09/24/16 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 118 16WC 30403 SANTOYO JR., VINCENTE, CH OMEGA DEMOLITION CORP # 04/05/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 119 16WC 30981 MACK, DEBORAH J HEALTHCARE SERVICES GROUP 02/01/16 ANKIN LAW OFFICE 120 16WC 31157 CALDERON, EDGAR COMMUNITY FIRST MED CTR 04/08/16 BRAD J. BALKE, PC GRANT & FANNING 121 16WC 36839 WILLIAMS, ADRIANN CITY OF CHICAGO 11/03/14 WOODRUFF & JOHNSON 16WC036840 -C 122 16WC 37668 CAMARA, TIFFANY M CHICAGO PUBLIC SCHOOLS 09/08/16 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 123 16WC 38272 FUENTES, FEDERICO LAND O FROST 08/23/16 MC HARGUE & JONES SCHOUEST BAMDAS SOSHEA 17WC011976 -C 124 16WC 38364 MORLEY, BRIDGET PFIZER 09/16/16 MICHAEL A. HIGGINS 125 16WC 38452 GUARDIOLA, CESAR CITY OF CHGO DEPT OF STRE 01/05/16 ANKIN LAW OFFICE CITY OF CHICAGO 126 16WC 39041 KING, WANDZELLA CHICAGO TRANSIT AUTHORITY 12/03/16 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 19WC023785 -C 127 16WC 39159 WILLIAMS, VERNETTA FIRST STUDENT, INC 11/09/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 128 16WC 39298 GUTIERREZ, GERRARDO GG PAINTERS & REMODELING 07/25/16 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 16WC 39300 MONTES, CRESCENCIANO ELITE STAFFING, INC 08/17/16 COSTA IVONE LLC 130 17WC 00251 THOMAS, MAURICE CITY OF CHICAGO DEPT OF 12/13/16 VRDOLYAK LAW GROUP LLC 131 17WC 00306 EMERSON, JAMES TOWER AUTOMOTIVE 08/03/13 KEEFE CAMPBELL & ASSOC LLC 132 17WC 00503 ALEXANDER-SMITH, MILDRED NORWIGIAN AMERICAN HOSPIT 11/06/16 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM GRA 17WC028857 -C NORWEGIAN AMERICAN HOSPITA 18WC004985 -C 19WC030981 -C NORWEGIAN AMERICAN HOSPITA 133 17WC 00572 CLARICH-KNIPP, THERESA THE GROVE OF LAGRANGE PAR 07/27/16 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 134 17WC 00619 MC KINNEY, EMMA CTA 11/24/16 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 135 17WC 00792 LUNA-HERNANDEZ, JESUS O VGS DIESEL, INC 01/03/17 COSTA IVONE LLC 136 17WC 00822 SCHULTZ, ELMER SODEXO INCAND AFFLIATED C 07/06/16 LEO ALT INMAN & FITZGIBBONS 137 17WC 00956 JEFFERSON, MINNIE CHICAGO TRANSIT AUTHORITY 12/07/16 GERALD CONNOR CHICAGO TRANSIT AUTHORITY 18WC034983 -C 138 17WC 01232 WHITE, ANTHONY DR&LA INC 12/22/16 139 17WC 07989 ZAMORA, REBECCA CITY OF CHICAGO 01/31/17 O'CONNOR & NAKOS CITY OF CHICAGO 140 17WC 08327 MERGENTHALER, WILLIAM COOK COUNTY SHERIFF 03/05/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 141 17WC 08445 RENDON, GLORIA SCHOOL DISTRICT 102 LA GR 04/02/15 JOSEPH J LOSS PC 142 17WC 08608 REYES, MARCELO FREEDMAN SEATING COMPANY 02/16/17 LIPKIN & HIGGINS LAW OFFIC GANAN & SHAPIRO 143 17WC 08933 CROCKETT, COLLEEN MCCORMACK BARON SALAZAR 11/18/16 ROBIN LAW OFFICE 144 17WC 09240 WARE, KEVIN HYATT 03/16/17 THOMAS LAW NYHAN BAMBRICK KINZIE & LOWR 145 17WC 09304 YOUNG, BRITTNEY SOUTHWEST AIRLINES 06/09/16 BOWMAN & CORDAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 17WC 09640 MATIAS, DANIEL JR VITAL PROTEIN 12/01/16 SALVATO O'TOOLE FROYLAN JOSEPH MARCINIAK 147 17WC 09831 SHARIFF, RUHI JOHN H STROGER JR HOSPITA 10/21/16 CAPRON & AVGERINOS PC 148 17WC 09854 REYES, ROCIA INFINITY HERBS 02/27/17 GALLIANI DOELL & COZZI LTD LAW OFFICES JOSEPH MARCINIAK 149 17WC 10143 ZIEGENHORN, DIANE BARRINGTON REHAB 09/13/16 FOHRMAN, DONALD W & ASSOCS NYHAN BAMBRICK KINZIE & LOWR 150 17WC 10268 RAMIREZ, AARON GAMBOA AALLIED DIE CASTING 03/02/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 151 17WC 10402 TORRES, REGINO COOK COUNTY DEPARTMENT OF 03/19/17 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 152 17WC 16198 THOMPSON, EUGENE BRETT ANTHONY FOODS 11/18/16 SPINAK & BABCOCK HOLECEK & ASSOCIATES 153 17WC 17035 ISRAEL, NEHEMIAH HUB GROUP TRUCKING 12/14/16 MARC J SHUMAN & ASSOCIATES KNELL O'CONNOR DANIELWICZ 154 17WC 17808 MYERS, HAYLEY MIDAMERICA CLUB 06/06/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 155 17WC 17877 TOLBERT, VANESSA CITY OF CHICAGO OFFICE ER 02/25/17 DEPAOLO & ZADEIKIS CITY OF CHICAGO 18WC036140 -C 156 17WC 18073 WASHINGTON, CLEVELAND THE HOME DEPOT 05/24/17 COSTA IVONE LLC ADELSON TESTAN BRUNDO 157 17WC 18267 CALDERON, JOSE CRST DEDICATED SERVICES 12/15/16 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 158 17WC 18284 MARTIN, LANCE UBER 06/10/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 159 17WC 18489 SLIWA, KENNETH LG ELECTRONICS 04/12/17 RATHBUN CSEVENYAK & KOZOL KOPKA, PINKUS DOLIN, PC 160 17WC 18574 SMITH, CYNTHIA D UNIVERSITY OF ILLINOIS 01/11/17 LAW OFFICE OF JAMES H MILL HEYL ROYSTER VOELKER & ALLEN 161 17WC 18596 LEWIS, STEPHEN CITY OF CHICAGO 05/19/17 MINKOW DOMIN 162 17WC 18728 VAUGHN, DOROTHY CTA 06/20/17 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 163 17WC 18788 EZELL, RODNEY CITY OF CHICAGO- DEPT OF 05/25/17 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 17WC 19065 MANKOWSKI, CHRISTOPHER HARVEY FIRE DEPARTMENT 06/26/17 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK PC 165 17WC 19196 SALGADO, SAUL LUTHERAN GENERAL HOSPITAL 10/24/16 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 166 17WC 19424 ALLEN, STACEI FIRST TRANSIT 06/08/17 167 17WC 19527 MORGAN, SAMANTHA A ROLLING MEADOWS POLICE DE 05/02/16 SOSTRIN AND SOSTRIN PC BRYCE DOWNEY & LENKOV LLC 168 17WC 19566 HASSAN, JAMAL A & L CAB CO 05/12/17 FISHER & LAMONICA 169 17WC 19911 JIMENEZ, MARIA CITY OF CHICAGO 06/21/17 ACEVES & PEREZ PC CITY OF CHICAGO 170 17WC 20003 OCHOA, JEFFERY ON LOCATION INC 11/15/16 JASINSKI, GEORGE J 171 17WC 20090 DRAZBA, THOMAS CITY OF CALUMENT CITY 06/21/17 ANGELA NARDI-QUIGLEY RANDOLPH GREUNE LAW OFFICE 172 17WC 20311 LAZZARINI, ELVIS SEARS ROEBUCK & CO 09/26/15 HERRERA LAW CENTER GAROFALO SCHREIBER STORM GRA 173 17WC 20447 SWAIN, ERIC STATE OF ILLINOIS - JOHN 06/11/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 174 17WC 23897 19B ABUBAKER, MAHMMUD WALDORF ASTORIA CHICAGO H 05/20/17 ELFENBAUM EVERS ZIELINSKA NOBLE & ASSOC 175 17WC 25305 WHITE, DENNIS CITY OF CHICAGO 06/21/17 HEALY SCANLON LAW FIRM 176 17WC 27136 TAYLOR, TERRALYN JOHN H STRONGER JR HOSPI 08/11/17 LEONARD LAW GROUP LLC 177 17WC 27163 BRITO, JUANA KOCK POULTRY CO. 08/30/17 ENCINAS & ORNELAS BRYCE DOWNEY & LENKOV LLC 18WC003493 -C KOCH FOODS 18WC003494 -C 178 17WC 27183 BRANTLEY, CORTIKA ENVOY INC 07/21/17 DWORKIN AND MACIARIELLO 179 17WC 27242 MARTIN, PHILLIP CITY OF CHICAGO 11/02/16 ROMANEK & ROMANEK CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 17WC 27433 RICHARDSON, PRINCE CTA 08/27/17 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 181 17WC 27458 TORRES, MARIA J STAMPEDE MEAT, INC 05/16/17 SHELDON I MINKOW & ASSOCIA GANAN & SHAPIRO 17WC030734 -C 19WC007472 -C 182 17WC 27605 MILLER, PAUL DITY OF CHICAGO 10/15/15 STROM, NEAL B 183 17WC 27607 HENTGEN, DIANE CBOE 01/20/17 LEO ALT CHGO BOARD OF EDUCATION 184 17WC 27758 ALLEN, DWAYNE MCGRATH LEXUS OF CHICAGO 08/30/17 185 17WC 28133 JOHNSON, IESHA SHERWIN WILLIAMS 08/28/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 186 17WC 28214 SANCHEZ, ISMAEL COOK COUNTY SHERIFF'S DEP 09/10/17 RICHARD E ALEKSY 187 17WC 28457 LEWIS, LEQUAWNA ENVOY 08/21/17 IALONGO & MEYER GAROFALO SCHREIBER STORM GRA 188 17WC 28472 GARNER, EULA HALLCON 08/10/17 SHELDON I MINKOW & ASSOCIA KNELL & O'CONNOR 189 17WC 28485 GONZALEZ, DENISE IWCC @ 03/01/17 FRANCIS J DISCIPIO LAW OFF ASSISTANT ATTORNEY GENERAL 190 17WC 28589 GUZMAN-BARRON, TRACY CITY OF CHICAGO, DSS 05/24/17 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 17WC028603 -C 191 17WC 28677 CONTRERAS, ERASMO VENSURE HR INC 07/24/17 VRDOLYAK LAW GROUP LLC ROBERT L. SMITH 192 17WC 28718 BOLCH, ELAINE MACY'S RETAIL HOLDINGS IN 11/13/16 FIGLIOLI, DAVID ROBERT L. SMITH 193 17WC 28936 SARAVIA, LUZ M CHILDRENS HOME & AID 07/18/17 BUDIN LAW OFFICES ACCIDENT FUND HOLDINGS 194 17WC 29079 GALLEGOS, CATALINO NATIONAL CONTAINER GROUP, 09/19/17 GOLDSTEIN AIOSSA & GOOD 195 17WC 29183 CAMPBELL, EDWARD ZOETIS PRODUCTS, LLC 06/26/17 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 196 17WC 29298 HUGHES, AARON TOW MEN AND A TRUCK 12/01/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 17WC 29451 HARDEN, MICHAEL PLOTE CONSTRUCTION 04/26/17 PARENTE & NOREM PC GAROFALO SCHREIBER STORM GRA 198 17WC 29488 WILLIAMS, JADA FOOD FOR LESS 09/26/17 LEONARD LAW GROUP LLC 199 17WC 29594 JACKSON, ESTELLA ALLIED UNIVERSAL SECURITY 05/27/17 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 200 17WC 29754 DORSEY, ROHONDA CTA 10/09/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 201 17WC 29769 NIKSON, ROBYN UCP SEGUIN OF GREATER CHI 07/19/17 O'CONNOR & NAKOS 202 17WC 33441 MEDINA, OMAR CTA 10/19/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 203 17WC 36669 CITARI, JOHN ANTHONY'S HEATING & COOLN 02/14/17 LEONARD LAW GROUP LLC 204 17WC 36708 MERIDA, LETICIA ELTIE STAFFING 11/07/17 HERRERA LAW CENTER 205 17WC 36791 RETA, MAURILIO JONES AND CLEARY ROOFING 12/05/17 PORRO NIERMANN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 206 17WC 36948 ASHFAQ, MUHAMMAD 19 RD HINA INCC 07/20/17 HUNER LAW OFFICES LLC 207 17WC 37015 HENSEL, DAVID MILAMOR, LTD 11/08/17 FRANCIS J DISCIPIO LAW OFF 208 17WC 37035 HUMPHREY, PHYLLIS ELITE STAFFING 11/21/17 GALLAGHER, DONALD V 209 17WC 37098 WHITFIELD, MEGAN ALDI, INC 09/17/17 GORDON & CENTRACCHIO LLC 18WC007259 -C 18WC014966 -C 210 17WC 37113 BUONSANTE, CHRISTIE L ADVOCATE HEALTH CARE 08/23/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 211 17WC 37221 YOST, JOHN FED EX 09/12/17 DOUGLAS RALLO PC QUINTAIROS PRIETO WOOD & BOY 18WC025957 -C 212 17WC 37434 LOPEZ, CANDELARIO ILLINOIS ENGINEERING PROD 06/01/17 ACEVES & PEREZ PC JOSEPH MARCINIAK 213 17WC 37574 VILLEGAS, MAURICIO H&H CONSTRUCTION 11/15/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 214 17WC 37827 SIDDIQUI, JAVID TURANO BAKING 10/03/17 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 215 17WC 37885 LOPEZ, VICENTE CHEFF WAREHOUSE 01/24/17 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 18WC014273 -C 216 17WC 37913 RIVERA, MELVIN NEWLY WED FOOS INC 09/05/17 KARCHMAR & STONE WOLFE & JACOBSON, LTD 217 18WC 00055 EROMOSELE, DANIEL TARIFA CORP 08/03/17 CHASE & WERNER LTD NYHAN BAMBRICK KINZIE & LOWR 218 18WC 00120 DELGADO, MARIO J CLARETIAN MISSIONARIES- 07/14/16 COSTA IVONE LLC 219 18WC 00155 GENTUSO, MARIA UNITED AIRLINES 11/18/17 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 220 18WC 00181 ARELLANO, FERNANDO G SCHOOL HEALTH CORPORATION 06/16/17 GRAUER & KRIEGEL LLC RUSIN & MACIOROWSKI LTD 221 18WC 00306 SPRANG, MARILYN SOLID GROUND ENTERPRISES, 07/02/17 BIZZIERI LAW OFFICES BRADY CONNOLLY & MASUDA PC 222 18WC 00481 NEAL-ROBINSON, VENUS CHICAGO TRANSIT AUTHORITY 12/13/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 223 18WC 00497 JOHNSON, ANDRE D CTA 12/29/17 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 224 18WC 00501 KIRKPATRICK, WILLIAM T SCHAUMBURG COMM CONSOLIDA 03/14/17 CZAPLA LAW ACCIDENT FUND HOLDINGS 225 18WC 00526 MENDOZA, MIGUEL BARCOCINA RESTAURANT 11/26/17 HOLECEK & ASSOCIATES 226 18WC 00793 NEWSOME, GREGORY COOK COUNTY SHERIFF'S 12/01/17 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 227 18WC 00815 WEATHERS, JACKQUELINE CTA 01/05/16 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 228 18WC 00817 LOCKHART, VALENCIA CTA 01/04/18 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 229 18WC 00839 KOWALSKI, CHRISTOPHER PROGRESSIVE TRUCK DRIVING 12/19/17 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 18WC 01030 JOHNSON, IVORY TAKING CARE OF OUR SENIOR 11/30/17 DWORKIN AND MACIARIELLO 231 18WC 02274 19B RODRIGUEZ, SLAVICA FORD MOTOR CO 10/05/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 18WC002275 -C 232 18WC 07544 GARDUNO, REFUGIO AMITY PACKING CO INC 01/09/18 ANKIN LAW OFFICE 233 18WC 07564 GALES, RICKY NAYLER PIPE 02/10/17 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 234 18WC 07582 SMITH, MICHAEL EXTENDED STAY AMERICA 05/06/17 JAMES ELLIS GUMBINER & ASS WOLFE & JACOBSON, LTD 235 18WC 07836 SIMINSKI, MARK FORD MOTOR COMPANY 01/30/18 RIPES NELSON BAGGOT KALOBR WIEDNER & MCAULIFFE LTD 236 18WC 07921 CHIKELES, MICHAEL PREMIUM CONCRETE 02/12/18 VASILATOS & COTTER LLC 237 18WC 08034 TOLES, CHERYL M FLOSSMOOR SD 161 01/09/18 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 238 18WC 08092 ARGENBRIGHT, RYAN AZ METRO DISTRIBUTORS, LL 01/16/18 PORRO NIERMANN LAW GROUP FRANCESCA LARSEN 239 18WC 08110 VILLANUEVA, ROBIN L PLAYER'S PUB & GRILL, LLC 11/20/17 240 18WC 08150 MOLLOY, THOMAS CITY OF CHICAGO 12/14/17 CAPRON & AVGERINOS PC CITY OF CHICAGO 241 18WC 08166 NEIRA, MARIA C COOK DUPAGE TRANSPORATION 11/08/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 242 18WC 08207 GRIFFITH, JONATHAN AEROTEK INC 01/24/18 GRAVLIN, MICHAEL J LLC 243 18WC 08287 KUMMER, MADELINE CHICAGO PARK DIST HAMLIN 01/20/18 LEONARD LAW GROUP LLC CHICAGO PARK DIST LAW DEPT 244 18WC 08319 KOLEV, KALOYAN Z IV & KA CORP. 03/02/18 SALK, STEVEN B & ASSOC LTD 245 18WC 08340 HALL, PAMELA NORTHWESTERN MEDICINE 01/05/18 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 18WC 08434 DEVINE, DAVE CITY OF CHICAGO 03/12/18 HEALY SCANLON LAW FIRM 247 18WC 08454 HERRERA, EUSEBIO ACCURATE PERFORATING CO 02/14/17 BERG & BERG LITCHFIELD CAVO 18WC027488 -C 248 18WC 08550 GREINER, MICHAEL ILLINOIS PUMP COMPANY, IN 02/19/18 DWORKIN AND MACIARIELLO CAPUANI, FRANK S 249 18WC 08565 GARCIA, JOSE NEFAB PACKAGING 10/09/17 VRDOLYAK LAW GROUP LLC 250 18WC 08676 RODRIGUEZ, JOSE CTA 03/15/18 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 251 18WC 08770 BAUTISTA, JUANA MARRIOTT INTERNATIONAL, I 01/25/18 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 252 18WC 09040 PARENTI, JOHN ABF FREIGHT 10/05/15 RONALDSON & KUCHLER KEEFE CAMPBELL BIERY & ASSOC 253 18WC 09168 FLETCHER, SHANELL L FRESHII 09/28/17 GALLAGHER, DONALD V 254 18WC 09378 MARVEL, NYATU UBER 03/15/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 19WC023971 -C 19WC024244 -C 255 18WC 09465 THOMAS, NICHOLAS CHICAGO TRANSIT AUTHORITY 01/23/18 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 256 18WC 09504 COLLINS, GLENN CHICAGO PARK DISTRICT 03/23/18 TAXMAN POLLOCK CHICAGO PARK DIST LAW DEPT 18WC009881 -C RJ CORMAN 257 18WC 09578 VILLASENOR, MARISOL QUALITY SNACK FOODS 03/22/18 LITCHFIELD CAVO 258 18WC 09678 KORBUS, GARY TABOR EXPRESS 12/01/16 STANCZAK LAW OFFICES MCANANY VANCLEVE & PHILLIPS 259 18WC 09697 VARN, JASON M ENDURANCE WARRANTY SVCS, 08/02/17 GOLDSTEIN BENDER & ROMANOF EDWARD J. KOZEL 260 18WC 09827 LYNCH, CHRISTOPHER AT&T 03/21/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 261 18WC 10089 GUILLARTE, GABRIEL RON'S STAFFING SERVICES, 03/08/18 STANCZAK LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 262 18WC 10136 RAPPOLD, JAMES CITY OF CHICAGO 01/17/18 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 18WC 10157 IRIMIA, CONSTANTIN STAR NORTH MANAGEMENT LLC 04/01/18 ROBIN LAW OFFICE 264 18WC 10286 GUNN, MARSHALL YRC FREIGHT 03/08/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 265 18WC 10306 BARRERA, MARIO GROSSINGER CHEVROLET 02/26/18 LEONARD LAW GROUP LLC ROBERT L. SMITH 266 18WC 10454 POLLARD, RODNEY UNITED PARCEL SERVICE 07/31/17 ROGER D RUDICH LTD 267 18WC 10473 SANTIAGO, KASTER MCKESSON 12/13/17 HECTOR ESPITIA FEIRICH MAGER GREEN & RYAN 268 18WC 10517 CASARES, STEPHEN EMERALD CONCRETE INC 03/07/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 269 18WC 10545 ZENKOVICH, ARTEM R15 ALANIA CORP W 04/01/18 CHEPOV & SCOTT LLC 270 18WC 16680 SANKO, PATRICK ALDRIDGE ELCTIRC INC 01/02/17 JOHN J CASTANEDA HOLECEK & ASSOCIATES 193 17WC004978 -C 271 18WC 17991 MADDOX, TROY M CTA 06/04/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 272 18WC 18010 BROWN, JANET CPS 05/21/18 COSTA IVONE LLC CHGO BOARD OF EDUCATION 273 18WC 18169 JOSEPH, CATHYANN THRESHOLDS DEAF SOUTH PRO 06/12/18 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 274 18WC 18275 TORRES, FAUSTINO HABITAT FOR HUMANITY CHIC 05/29/18 BERG & BERG 275 18WC 18310 BEDOYA, JULIA AIMBRIDGE HOSPITALITY 06/01/18 MC HARGUE & JONES HENNESSY & ROACH PC 276 18WC 18415 GOLDMAN, EDDIE CHICAGO BEARS FOOTBALL CL 08/29/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC018419 -C 18WC018420 -C 18WC018421 -C 18WC018422 -C 18WC018423 -C 277 18WC 18435 BAKER, LATOYA ABM 05/03/18 JACKOWIAK LAW OFFICES 278 18WC 18534 FORILLO, ANDREW ACTION PLUMBING 01/16/18 DEPAOLO & ZADEIKIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 18WC 18661 KRSTIC, RADISA 235 W VAN BUREN CONDO ASS 12/26/17 KARCHMAR & STONE HENNESSY & ROACH PC 280 18WC 18703 MOORE, JERROLD A CTA-CHICAGO TRANSIT AUTHO 06/20/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 281 18WC 18723 ROBERTS, MICHAEL ILLINOIS TOLLWAY AUTHORIT 02/07/18 CUDA LAW OFFICES GANAN & SHAPIRO 282 18WC 18746 KRETOWSKI, DARIUSZ ART-INTERIOR CONSTRUCTION 05/31/18 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 283 18WC 18791 GOFF, GREGORY TOTAL AIRPORT SERVICES 06/22/18 CAPRON & AVGERINOS PC 284 18WC 18821 PENATE, LILIANA UNCLE JULIO'S RESAURANT 02/05/18 MC HARGUE & JONES HOLECEK & ASSOCIATES 285 18WC 18945 RAYFORD, SHEENA CBM PREMIER MANAGEMENT LL 06/09/18 COSTA IVONE LLC ANCEL GLINK DIAMOND BUSH & E 286 18WC 19146 VILLAREAL, JOSE FREEMAN DECORATING 12/06/16 LUSAK AND COBB 287 18WC 19214 HERROD, TYRONE WIN BOLTHOUSE FARMS INC 05/29/18 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 288 18WC 19435 SEMPLE, EDMUND JOHN ARTHUR DAVENPORT 06/04/18 RUBIN LAW GROUP 289 18WC 19514 NARANJO, MATTHEW P S&J CONSTRUCTION CO, INC 06/05/18 RUBIN LAW GROUP JOSEPH MARCINIAK 290 18WC 19854 CAMARILLO, JAVIER VICTORY PIZZA CHICAGO LLC 11/30/17 RUEDA, IVAN A 291 18WC 19949 WILLIAMS, LARRY CTA 05/04/18 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 292 18WC 19981 TYLER, CHRISTINE CHICAGO PUBLIC SCHOOLS 05/22/18 WITTENBERG DOUGHERTY MAGLI CHGO BOARD OF EDUCATION 293 18WC 20052 ESTRADA, DELFINO THE MILLARD GROUP 06/26/18 COSTA IVONE LLC EVANS & DIXON 294 18WC 20225 BIEL, ANTHONY J JOSEPH J HENDERSON & SONS 06/25/18 JOSEPH J LOSS PC INMAN & FITZGIBBONS 295 18WC 20249 LANGE, BRIAN HOMESPUN CONSTRUCTION 06/18/18 296 18WC 20472 HERNANDEZ, JORGE E GRAND LUX CAFE 06/10/18 LEO ALT ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 297 18WC 20587 ANDERSON, TAHESHER FAMILY DOLLAR 07/08/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 298 18WC 20644 MARSHALL, ANTHONY AV CHICAGO 08/15/17 MARSZALEK AND MARSZALEK MEACHUM & STARCK 299 18WC 20708 KADRIC, SALIM ALLTEMP HEATING & AIR 02/21/18 BUDIN LAW OFFICES LITCHFIELD CAVO 300 18WC 27292 PAYNE, KENYA LACHELLE HOME DEPOT 09/04/18 JOSEPH F. VITU ADELSON TESTAN BRUNDO 301 18WC 27350 HADDAD, KHALDOUN LURIE CHILDREN'S HOSPITAL 12/09/17 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL BIERY & ASSOC 302 18WC 27506 TUREK, PETER DLR GROUP 11/05/15 BOWMAN & CORDAY HOLECEK & ASSOCIATES 303 18WC 27556 CETERA, ROSA ATLAS EMPLOYMENT SERVICES 08/30/18 ACEVES & PEREZ PC GAIDO & FINTZEN 304 18WC 27574 REDDINGTON-HOFFMAN, DARIA NAVIGATORS MANAGEMENT COM 12/21/16 KARCHMAR & STONE GRANT & FANNING 305 18WC 27656 CEDENO, HANS MTZ TRUCKING SERVICES INC 05/31/18 SIGMOND, STEVEN TIMOTHY HENDERSON 306 18WC 27677 SMITH, LESLIE ELITE STAFFING/PACTIV 09/08/18 DWORKIN AND MACIARIELLO 307 18WC 27702 CORNWELL, TOMMIE JR VANEK BROTHERS TRUCKING, 09/11/18 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 308 18WC 27721 SHEKHA, SHAHID COOK COUNTY SHERIFF'S DEP 07/16/18 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 309 18WC 27760 RICHARDSON, KEVIN ORLANDO EL GRAN BURRITO 09/01/18 CHEPOV & SCOTT LLC JOSEPH MARCINIAK 310 18WC 28143 HILL, LAKEISHA R.A.R.E CORPORATION 07/17/18 BLUMENSHINE LAW GROUP PAUL A COGHLAN & ASSOC 311 18WC 28213 VERDUZCO, LORENA KELLOGG'S 03/12/18 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 312 18WC 28293 DAVIS, ERIC KEL LOGISTICS, INC 05/28/18 RUBENS KRESS MULHOLLAND MCANANY VANCLEVE & PHILLIPS 313 18WC 28318 DIAZ-ROSALES, NORMA ALDI, INC 04/27/18 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 314 18WC 28435 TADLA, BOGDAN ENGINEER MACHINERY 08/07/18 COSTA IVONE LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 333 18WC 30100 OGIEGO, JEROME THATCHER FOUNDATIONS, INC 10/20/15 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 334 18WC 30106 RICHMOND, FREDERICK INNOPHOS INC 08/07/18 COSTA IVONE LLC 335 18WC 30128 HALL-REDMOND, DEIRDRE ELITE CARE MANAGEMENT 09/18/18 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 336 18WC 30230 TAYLOR, ALETHEA JOHN STROGER HOSPITAL 09/17/18 SKLARE LAW GROUP STATES ATTORNEY OF COOK COUN 337 18WC 30561 RODRIGUEZ, GUILLERMO WEBER STEPHEN PRODUCTS 08/29/18 SCOTT B SHAPIRO JOSEPH MARCINIAK 338 18WC 30724 TRELA, HALINA SCRUB ONE 08/20/18 BRISKMAN BRISKMAN GREENBER 339 18WC 30753 KLOMES, WILLIAM CITY OF CALUMET CITY 10/03/18 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 340 18WC 30775 VANTREASE, PAMELA HELP AT HOME 03/13/18 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 341 18WC 36518 WESSEL, MIKE VILLAGE OF WILMETTE 07/21/18 SCOTT BARBER 342 18WC 36602 LADLEY, PAULA ACL LABORATORIES 10/23/18 CORBOY & DEMETRIO PC GAROFALO SCHREIBER STORM GRA 343 18WC 36626 SHANNON, CARRIE KENSINGTON SCHOOL 10/15/18 JAMES ELLIS GUMBINER & ASS JOSEPH MARCINIAK 18WC036627 -C 344 18WC 36713 BURNS, SCOTT WALMART 10/24/18 MARTIN L GLINK LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 345 18WC 36739 BROWN, BENNIE UNITED CONTINENTAL HLDGS, 09/06/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 346 18WC 36755 LAND, FELISHA CHICAGO TRANSIT AUTHORITY 12/11/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 347 18WC 36984 CARTER, WILLIE ABF 06/05/18 JASINSKI, GEORGE J 348 18WC 37172 MICELE, KEN CITY OF CHICAGO 10/29/18 WITTENBERG DOUGHERTY MAGLI CITY OF CHICAGO 349 18WC 37186 MARTINES, CLEMENTE MILLS PALLET 10/24/18 JONATHAN SCHLACK 350 18WC 37351 THOMAS, LISA UNITED AIRLINES INC. 12/08/18 RUBENS KRESS MULHOLLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 18WC 37422 MARZEC, NICK COOKCNTY SHERIFF'S POLICE 06/02/18 MOGENSEN LAW LLC STATES ATTORNEY OF COOK COUN 352 18WC 37506 ARTEAGA, ANTHONY THE MOORINGS OF ARLINGTON 10/11/18 MILLON & PESKIN LTD FRANCESCA LARSEN 353 18WC 37746 PEARCE, CHRISTOPHER METRO STAFFING 12/11/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 354 18WC 37797 LEWIS, RUSSELL AVERITT EXPRESS, INC 11/26/18 COSTA IVONE LLC 355 18WC 37865 TIEBOUT, HEATHER E CTA 12/09/18 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 356 18WC 37924 LABOY, ENRIQUE CITY OF CHICAGO 10/02/18 TAXMAN POLLOCK CITY OF CHICAGO 357 18WC 38264 MILLAN, ELVIA ATLAS EMPLOYMENT 08/20/18 RUEDA, IVAN A GAIDO & FINTZEN 358 18WC 38309 MCCLENDON, VANESSA HEALTH CARE SERVICES GROU 08/27/18 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 359 18WC 38330 RHYNS, LOUIS MCDONALD'S 12/17/18 ANKIN LAW OFFICE 360 18WC 38403 MASON, CRISTINA VILLA AT WINDSOR PARK 12/16/18 LEONARD LAW GROUP LLC HOLTKAMP LIESE 361 19WC 00050 JONES, JASON SUZO-HAPP 12/13/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 362 19WC 00201 CAIN, ROCHELLA NORDSTROM'S 12/14/18 SKLARE LAW GROUP GAIDO & FINTZEN 363 19WC 00251 MEDINA, ELVIRA GARCIA CHIPOTLE 11/06/18 HERRERA LAW CENTER HENNESSY & ROACH PC 364 19WC 00298 BLANCHARD, AMANDA CITY OF CHICAGO - DFSS 09/01/18 LAW OFFICES OF GERALD F CO ODELSON & STERK 365 19WC 00342 CASTROVILLARI, PERRY GDTC, INC 08/11/18 BUDIN LAW OFFICES DEPAOLO & ZADEIKIS 366 19WC 00419 GARCIA, JUAN BIO STAR FILMS 12/19/18 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 367 19WC 00448 NUNEZ, SOCORRO CITY OF CHGO DEPT OF AVIA 11/27/18 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 368 19WC 00473 ROSALES, BRENDA EPATER, LLC D/B/A ERDEN 10/15/18 THE ROMAKER LAW FIRM JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 19WC 00528 SANTIAGO, NORBERTO DIMITRA, INC, D/B/A 11/09/18 LEONARD LAW GROUP LLC 370 19WC 00548 CASTILLO, RODOLFO FRITZ CARTAGE & ASPHALT, 05/03/17 SYREGELAS, NICHOLAS C BRADY CONNOLLY & MASUDA PC 371 19WC 00643 BARELAS, BALVINA MI TIERRA 12/08/18 BAUM RUFFOLO & MARZAL LTD LAWRENCE COZZI - LAW OFFICE 372 19WC 00708 PALUMBO, EDWARD UPS 08/09/18 ASA LAW GROUP 373 19WC 00720 MCCULLUM, TASHNIA IDEAL BOX CO 11/08/16 FITZPATRICK & FITZPATRICK 374 19WC 00757 WILSON, JONATHAN SYSCO FOOD SERVICES OF CH 09/07/17 GOLDBERG WEISMAN & CAIRO L 375 19WC 00782 ACOSTA, FRANCISCO TACO BURRITO KING 12/27/18 JONATHAN SCHLACK LAWRENCE COZZI - LAW OFFICE 376 19WC 00807 WHITNEY, DEMETRIS SURGE STAFFING 12/21/18 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 377 19WC 00824 ATTELIER, DAVID 10 Q CHICKEN 12/02/18 KEVIN O'BRIEN JOSEPH MARCINIAK 378 19WC 00844 PANSZCZYK, STANISLAW F GENERAL ELECTRIC 01/20/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 379 19WC 00862 NETSINGHA, MILAN CITY OF CHICAGO 06/21/18 RIDGE & DOWNES 380 19WC 01358 MUEHLEMAN, MICHAEL MICHAEL KAUTZ CARPETS & 09/15/17 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 19WC001359 -C 381 19WC 04524 BRUNSLIK, GEORGE BEDFORD PARK FIRE DEPT 03/06/18 RIDGE & DOWNES 382 19WC 05613 HUIZAR, ERIC ANCHOR MECHANICAL, INC 11/06/18 STEVEN B SALK & ASSOC LTD HOLECEK & ASSOCIATES 383 19WC 08229 WILEY, JOHN COOK COUNTY JUVENILE 03/10/19 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 384 19WC 08265 VELEZ, MARITZA JEWEL OSCO 02/12/19 JAMES ELLIS GUMBINER & ASS 385 19WC 08304 NTAMERE, ANGELINA ALDEN LAKELAND 08/26/18 ANGELA NARDI-QUIGLEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 19WC 08331 MADISON, JAMES FRESENIUS KABI USA, LLC 03/04/19 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 387 19WC 08348 TREVATHAN, DANNY CHICAGO BEARS FOOTBALL CL 08/18/16 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 19WC008349 -C 19WC008350 -C 19WC008351 -C 19WC008352 -C 19WC008353 -C 19WC008354 -C 388 19WC 08509 ROTH, CYNTHIA UNITED SERVICE COMPANIES 11/01/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 389 19WC 08617 MUNOZ, MARIA T PROPERTY INSIGHT 10/05/18 FRIEDMAN & SOLMOR LTD GOLDBERG SEGALLA LLC 390 19WC 08711 LUNA, JOSEFINA DIVERSE FACILITY SOLUTION 11/28/18 COVEN LAW GROUP GANAN & SHAPIRO 391 19WC 08777 CONWELL, ELIZABETH DHS @ 02/02/18 MC HARGUE & JONES ASSISTANT ATTY GENERAL 392 19WC 09038 MCGINNIS, GREGORY CHICAGO TRANSIT AUTHORITY 02/25/19 LANNON LANNON & BARR LTD CHICAGO TRANSIT AUTHORITY 393 19WC 09056 LUCKETT, LETHER AIRPORT SUPERSAVER/MEGABU 02/18/19 MC HARGUE & JONES POULOS & DIBENEDETTO LAW 394 19WC 09121 DOGAN, HUDA CAPITAL FITNESS INC (XSPO 02/28/16 NO ATTORNEY 395 19WC 09138 LA GRASSA, JOHN CONTINENTAL PAPER GRADING 09/24/18 ANKIN LAW OFFICE 396 19WC 09162 JURCZAK, GRZEGORZ MBB ENTERPRISES OF CHICAG 12/12/18 MINKOW DOMIN GAROFALO SCHREIBER STORM GRA 397 19WC 09185 O'NEIL, BYRON DART SOLO COMPANY 03/14/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 398 19WC 09203 GARCIA, RUBEN SOS SECURITY HOLDINGS LLC 01/31/19 SALVATO O'TOOLE FROYLAN JOSEPH MARCINIAK 399 19WC 09403 BIGGINS, MILTON RIDDELL, INC/BRG SPORTS, 07/17/18 RONALDSON & KUCHLER 400 19WC 09436 KUMAR, NARESH MENZIES AVIATION 05/27/18 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 401 19WC 09476 JACKSON, SHELON CASA CENTRAL 02/18/19 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 19WC 09530 LAMANTIA, JOSEPH CITY OF CHICAGO 01/29/19 SALVATO O'TOOLE FROYLAN 403 19WC 09555 JONES, PEGGY WAL-MART ASSOCIATES 01/02/19 BAUM RUFFOLO & MARZAL LTD QUINTAIROS PRIETO WOOD & BOY 404 19WC 09576 KRAHN, DAVID R METROPOLITAN PIER AND 02/16/19 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 405 19WC 09603 ALI, AHMED OLAN CAB CO, INC 03/01/19 FISHER & LAMONICA 406 19WC 09675 KIELY III, JOHN J CHICAGO PARK DISTRICT 05/31/18 O'CONNOR LAW GROUP LLC CHICAGO PARK DIST LAW DEPT 407 19WC 09692 JURGENS, VICKI UNITED CONTINENTL HOLDING 07/23/18 KATZ FRIEDMAN EAGLE ET AL 408 19WC 09799 COLEMAN, JOHNNIE M ADDUS HEALTHCARE 02/11/19 HORWITZ HORWITZ & ASSOC 409 19WC 09819 GUERRERO, ALICIA F HELP AT HOME INC. 03/14/19 CULLEN HASKINS NICHOLSON 410 19WC 09877 WILLIAMS, WILLIE B CITY OF CHICAGO 03/26/19 ANKIN LAW OFFICE 411 19WC 09979 GOMEZ, JUAN CARLOS LCV STAFFING 10/02/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 412 19WC 10063 KOLBUS, EUGENE USF HOLLAND, LLC 03/26/19 GRAUER & KRIEGEL LLC HENNESSY & ROACH PC 413 19WC 10083 TORRES, ANGEL A HBK ENGINEERING 06/20/17 TIMOTHY DEFFET GILDEA, COGHLAN & REGAN LTD. 414 19WC 10181 KREINIKER, MAGDELEN AMERICAN AIRLINES, INC. 10/31/18 DEPAOLO & ZADEIKIS ROSARIO CIBELLA 415 19WC 10272 GRAVES, ARLISHA MULLINS FOOD PRODUCTS 02/28/19 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 416 19WC 10319 CIESKO, RICHARD CBRE, INC. 08/06/18 CORBOY & DEMETRIO PC 417 19WC 10365 BETHEA, WEBELENE RUSH UNIVERSITY MEDICAL C 05/10/16 CARAS LAW GROUP 418 19WC 10417 SPENCER, PRINCELLA FIVE STAR LLC 07/27/17 MORICI FIGLIOLI & ASSOC BRADY CONNOLLY & MASUDA PC 419 19WC 10491 FLORES, KAREN SYMPHONY OF LINCOLN 03/24/19 DWORKIN AND MACIARIELLO MCCABE KIRSHNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 420 19WC 10509 HERNANDEZ, JUAN R K'S DEPT STORE 01/19/19 LEONARD LAW GROUP LLC 421 19WC 10553 HERNANDEZ, GLENN WHOLE FOODS 03/03/19 GOLDSTEIN BENDER & ROMANOF 422 19WC 10669 CORTEZ, BERNADETTE ARAMARK SERVICES INC 03/24/19 ANKIN LAW OFFICE 423 19WC 10684 MURPHY, KIAIRA SOUTHWEST AIRLINES 11/29/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 424 19WC 10755 CUNNINGHAM, TRACY HERTZ RENT A CAR 05/18/17 MINKOW DOMIN INMAN & FITZGIBBONS 425 19WC 16892 ZORBAS, TOM QCC CORP 02/25/19 LEO ALT 426 19WC 16954 SOTO, JESUS PEPSI CO. 12/27/18 KREITER, BYCK & ASSOC LLP GAIDO & FINTZEN 427 19WC 17103 BAHENA, CARLOS BRIGHTVIEW LANDSCAPING 06/06/19 JOHN S. ELIASIK 428 19WC 17203 YOUNG, MARCUS CHICAGO BOARD OF EDUCATIO 06/01/17 LEO ALT CHGO BOARD OF EDUCATION 429 19WC 17288 PAK, PIOTR WAVELAND MATERIALS 11/30/18 KINNALLY FLAHERTY KRENTZ 430 19WC 17333 GALVIN, MAUREEN LOYOLA UNIVERSITY MEDICAL 04/02/19 KARCHMAR & STONE 431 19WC 17343 JENKINS-BLANEY, IVORY CITY OF CHICAGO 02/19/19 WILLIAM H MARTAY 432 19WC 17346 DENNIS, JOHN ENTERPRISE LEASING 11/27/18 CULLEN HASKINS NICHOLSON KNELL O'CONNOR DANIELWICZ 433 19WC 17457 MATTHEWS, COSANDRA HELPING HAND CENTER 05/15/19 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 434 19WC 17545 GRADY, PATRICIA ARAMARK 04/20/19 SCOTT B SHAPIRO 435 19WC 17568 VALENZUELA, FERNANDO THE PALM RESTAURANT 05/21/19 ROSS TYRRELL 436 19WC 17628 VANNELLI, TOMMY ST LOUIS BLUES 09/20/16 GORDON LAW OFFICES LTD SMITH AMUNDSEN LLC 437 19WC 17636 SAUCEDO, MARIA C TUKAIZ, LLC 03/11/19 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 19WC 19212 HENDERSON, BECKY HUMAN RESOURCES DEVELOPME 06/07/19 CIARDELLI CUMMINGS CAMPAGN 473 19WC 19263 PEREZ, CARMEN PEOPLE READY 12/10/18 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 19WC019264 -C 474 19WC 19308 COURSEY, CAROL SCR MEDICAL TRANSPORTATIO 06/12/19 WOODRUFF JOHNSON LEAHY EISENBERG & FRAENKEL 475 19WC 19327 LAMB, BOBBIE FILTRATION GROUP, LLC 05/13/19 JAMES ELLIS GUMBINER & ASS ROSARIO CIBELLA 476 19WC 19360 MARTE, REYNA GOLD STANDARD BAKING 04/22/19 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 477 19WC 19385 DAVIS, TOMMY ADVOCATE LUTHERAN GENERAL 04/17/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 478 19WC 19407 LEE, NICOLE Y THE LAWRENCE HOUSE- FLATS 02/11/19 GALLAGHER, DONALD V HENNESSY & ROACH PC 479 19WC 19474 MABERRY, DIANA PACE BUS SOUTH DIVISION 02/28/19 COHN LAMBERT RYAN & SCHNEI HEYL ROYSTER VOELKER ALLEN 480 19WC 19528 LEMOND, ANTHONY IL DEPT OF TRANSPORTATION 06/24/19 GWC INJURY LAWYERS LLC ASSISTANT ATTORNEY GENERAL 481 19WC 19614 GOZDAL, GLORIA M CITY OF HOMETOWN 02/19/19 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 482 19WC 19691 WILLIAMS, MICHAEL CATHOLIC CHARITIES 07/01/19 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 483 19WC 19845 PETTY, BAQUE SWISSPORT 06/27/19 LEONARD LAW GROUP LLC KNELL O'CONNOR DANIELWICZ 484 19WC 19974 GOMEZ, DAVID UNITED AIRLINES 04/20/19 STEVEN M SELAN 485 19WC 19990 JOHNSON, CRASHENA L CHI PIZZA PIE 06/24/19 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 486 19WC 20045 HARGROVE, MICHELLE J.B. HUNT TRANSPORTATION, 07/10/19 THE ROMAKER LAW FIRM MICHAEL JASPER 487 19WC 26344 BAILEY, SHERMAN FORD MOTOR COMPANY 08/08/19 DONALD FOHRMAN & ASSOC RUSIN & MACIOROWSKI LTD 488 19WC 26402 MORENO, LORENZO ENVIRONMENTAL FUTURES, IN 08/26/19 ANKIN LAW OFFICE 489 19WC 26467 GUTIERREZ, MIGUEL CHILDREN'S INTRNATONAL AC 08/17/19 SHEA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 19WC 26496 VANEGAS, BRANDON KOVALA CORP 02/24/19 EPSTEIN, JACK R LAW OFFICE 491 19WC 26514 GALE, HOLLY C FEDEX 07/29/19 THOMAS W DUDA KOPKA, PINKUS DOLIN, PC 492 19WC 26539 BONNER, DELORIS S CHICAGO PUBLIC SCHOOLS JA 05/17/19 COHN LAMBERT RYAN & SCHNEI 493 19WC 26579 ZIEMINSKI, MARK CALUMET CITY POLICE DEPT 03/07/19 KROL BONGIORNO & GIVEN LTD RANDOLPH GREUNE LAW OFFICE 494 19WC 26623 WALLACE, JANICE NATIONAL EXPRESS LLC 02/01/19 ANKIN LAW OFFICE 495 19WC 26715 SMITH, BERTRAM WASTE MANAGEMENT 11/17/18 GWC INJURY LAWYERS LLC 496 19WC 26740 MILLER, LARRY ABC TRANSPORTATION 03/18/19 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 497 19WC 26754 SIMMONS, MICHAEL UNITED AIRLINES 05/24/19 SHANNON LAW GROUP 498 19WC 26774 CANNON, JOHN SHEARD-LOMAN TRANSPORT 08/25/19 SANDMAN LEVY & PETRICH 499 19WC 26814 MARTIN, YOLANDA ACCORD HOSPICE INC 07/24/19 JAMES URTIS 500 19WC 26905 MARTIN, BRITTANY FORD MOTOR COMPANY 06/23/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 501 19WC 26933 CALLAHAN, BRYCE CHICAGO BEARS FOOTBALL CL 12/09/18 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 502 19WC 26977 WILLIAMS, HARRY SENIOR FLEXONICS INC 09/15/17 LEAHY, JAMES P 503 19WC 27024 PROFIT, ERNEST WEISS MEMORIAL HOSPITAL 08/29/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 504 19WC 27039 FREEMAN, RYAN M R.G. CONSTRUCTION SRVS, I 05/29/19 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 505 19WC 27091 CRESPO, ANTONIO LINR ROGERS ELECTRICAL 11/01/17 ERIC M GLASSON & ASSOCIATE HOLECEK & ASSOCIATES 506 19WC 27225 WILLIAMS, COZIE FLEX-N-GATE 07/23/19 EDWIN REYES LAW FIRM THOMAS MAMER LLP 507 19WC 27261 ROSARIO, CARMEN I CTA 09/16/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 19WC 27282 MARTIN, NOEL THE OWL 04/20/19 COLLISON LAW OFFICES INMAN & FITZGIBBONS 509 19WC 27313 GUTIERREZ, JOSE LUIS E&C CONSTRUCTION, INC 08/30/19 ANSELMO DURAN INMAN & FITZGIBBONS 510 19WC 27398 ROBERTSON-WATSON, TAJA S WALGREEN CORP 09/07/19 ANKIN LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 511 19WC 27447 CORNELL, RALPH JR. RELIABLE RECOVERY SERVICE 04/19/19 KELLY & KING 512 19WC 27470 STASZEL, HENRYK SCHECK & SIRESS 03/08/19 CHEPOV & SCOTT LLC 513 19WC 27531 WAITE, EMANUEL LSG SKY CHEFS 08/03/19 MANDELL, GREGG 514 19WC 27557 MUHAMMAD, NAIM PEOPLES GAS 04/30/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 515 19WC 27577 GARZA, GABRIELLA COOK COUNTY 08/30/19 EDWIN REYES LAW FIRM STATES ATTORNEY OF COOK COUN 516 19WC 27598 BOGUILLE, MONICA LSG SKY CHEFS USA INC 09/16/19 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 517 19WC 27701 HERNTON, GERALD SNELLING STAFFING 09/16/19 LAW OFFICES OF ADRIAN CHER GOLDBERG SEGALLA LLC 518 19WC 27740 ROSARIO, ANA HMS HOST CORP. 06/27/19 BURNES & LIBMAN 19WC032161 -C 519 19WC 27789 MOSS, JUSTIN MOSS, INC 08/20/19 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 520 19WC 27811 BRADFORD, KAELEN BRADFORD SYSTEMS CORP 09/19/19 COVEN LAW GROUP 521 19WC 27899 FLORES, LUKE CHICAGO DEPARTMENT OF 09/17/19 NILSON STOOKAL GLEASON CAP 522 19WC 27918 RAMIREZ MIRANDA, NICOLAS VAUGHAN'S PUB & GRILL 09/12/18 HERRERA LAW CENTER 523 19WC 27943 MORALES-PEREA, FELIPE RIBBON WEBBING CORP 09/09/19 RUEDA, IVAN A 524 19WC 28006 FLORES, FERNANDO STUART DEAN COMPANY INC. 08/27/19 MC HARGUE & JONES GOLDBERG SEGALLA LLC 525 19WC 28089 PACK, NOMOYA STATE OF IL-DEPT OF HLTH @ 04/10/19 CRONIN PETERS & COOK ASSISTANT ATTY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 562 19WC 36214 DEZIL, FLORIE SAM'S CLUB 11/26/19 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 563 19WC 36294 KOVAC, VRATISLAV BOST CORP 12/10/19 CUSHING LAW OFFICES 564 19WC 36328 MEZA, ANGELES IL DEPT OF HUMAN SRVS 09/23/19 BAUM RUFFOLO & MARZAL LTD 565 19WC 36364 JURINCIE, LISA HOLIDAY INN 07/07/19 SLAVIN & SLAVIN 566 19WC 36401 JOVANIC, LJLILJANA C&W SERVICES 12/11/19 COVEN LAW GROUP 567 19WC 36426 ALONZO, SIMEON FLEXICORPS, INC 10/25/19 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 568 19WC 36490 KAZIGABA, JEAN BOSCO SWIFT TRANSPORTATION 11/06/19 GORDON & CENTRACCHIO LLC EVANS & DIXON 569 19WC 36519 MATHIS, TASHONA ELEVATE CARE CHICAGO NORT 10/13/19 ANKIN LAW OFFICE 570 19WC 36538 DAVIS, BRENT UNITED CONTINENTAL HOLDIN 01/13/18 KATZ FRIEDMAN EISENSTEIN 571 19WC 36577 BUSTAMANTE, MARCIAL STAR MONT MANUFACTORY 08/26/18 VASILATOS & COTTER LLC 572 19WC 36607 LARA, HUGO ACCURATE FELT & GASKET MF 10/03/19 CORNFIELD & FELDMAN JOSEPH MARCINIAK 573 19WC 36635 GANDARA, MARIA DEL CARMEN GRAYHILL INC 10/07/19 BART DURHAM JOSEPH MARCINIAK 574 19WC 36674 ROSA, DAVID A ST LEONARD'S MINISTRIES 11/14/19 JAUREGUI & ASSOCIATES 575 19WC 36693 ZAKEE-GREEN, CRYSTAL UNITED CONTINENTL HOLDING 06/26/18 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 576 19WC 36716 RHODES, BARRINGTON ALPHA BAKING CO, INC 12/19/19 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 577 19WC 36764 MURPHY, JUDY CPS/ELLA FLAGG YOUNG 12/10/19 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 578 19WC 36809 EVANS, KATHLEEN SKYWEST AIRLINES, INC. 11/26/19 ANKIN LAW OFFICE GANAN & SHAPIRO 579 19WC 36836 LEINER, DANIEL H VILLAGE OF OAK PARK 09/23/19 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 580 19WC 36864 JANOWICZ, ANDREW KOCSIS BROTHERS 05/10/19 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 581 19WC 36885 JENSEN, MICHELLE SCHUSTER COMPANY 10/07/19 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 582 19WC 36938 WAWRZYNIAK-KVETON, JACQUE MOUNT SINAI HOSPITAL 10/02/19 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 583 19WC 36970 GOFF, ISAISH COMCAST 11/08/19 STROW LAW LLC POWER & CRONIN LTD 584 19WC 37178 HERRERA, JUAN M GARDA CL TECHNICAL SERVIC 12/07/19 VASILATOS & COTTER LLC KEEFE CAMPBELL BIERY & ASSOC 585 19WC 37195 DOCTOR, KERRY NSSEO 12/16/19 SEIDMAN MARGULIS & FAIRMAN 586 19WC 37217 NICKERSON, VERNA L ACTIVE DAY OF HOMEWOOD 12/03/19 GALLAGHER, DONALD V 587 19WC 37276 PEALS, SHERYL DENNY'S 12/13/19 STEVEN J MALMAN & ASSOCIAT 588 19WC 37306 WRIGHT, CALVIN WEST LIBERTY FOODS LLC 12/12/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 589 19WC 37315 PEREZ, JUVENAL MIGUEL SILVA, INC 11/26/19 CULLEN HASKINS NICHOLSON FRITZHALL & PAWLOWSKI 590 19WC 37351 LARA, OBDULIA J&J SNACK FOODS SALE CORP 10/25/19 NEWLAND & NEWLAND 591 19WC 37398 SANTOYO, EDSON THILLENS, INC 10/31/19 MILLON & PESKIN LTD 592 19WC 37463 DAVIS, ELIJAH UNITED SCRAP METAL, INC. 11/12/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 593 19WC 37494 BRENZA, ROY VILLAGE OF EVERGREEN PARK 10/30/18 KROL BONGIORNO & GIVEN LTD INMAN & FITZGIBBONS 594 19WC 37549 BARAJAS, LUIS INNOVATED STAFFING 11/08/19 MC HARGUE & JONES 595 20WC 00011 GAMBURG, NATALIA NORTH SHORE UNIVERSITY HE 09/05/19 CULLEN HASKINS NICHOLSON 596 20WC 00077 FAVELA, ANTONIO P CDOT - CHICAGO DEPT OF 12/19/19 COVEN LAW GROUP 597 20WC 00177 TAYLOR, DEJA RANDSTAD-CORPORATE OFFICE 11/02/19 KATZ FRIEDMAN EISENSTEIN SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 598 20WC 00200 GOLD, FREDRICK E CHUCK E CHEESE 07/05/19 HENNESSY & ROACH PC 599 20WC 00241 STRAIN, JOANETTE LUDEMAN DEVELOPMENTAL CEN @ 08/23/17 COPELAND FINN & FIERI LTD ASSISTANT ATTY GENERAL 600 20WC 00267 VILCHEZ, SUNNY V CTI INDUSTRIES 02/08/19 JAUREGUI & ASSOCIATES 601 20WC 00343 BULLIPS, ARMUND ARAMARK 09/25/19 FRANKLIN, VALARIE P & ASSO 602 20WC 00404 VALCARCEL, MIRIAM CHICAGO PUBLIC SCHOOLS 11/19/19 GERALD CONNOR CHGO BOARD OF EDUCATION 603 20WC 00423 MOORE, DEVON ILLINOIS DEPT OF CORRECTI @ 12/18/19 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 604 20WC 00452 ZARATE, FRANCISCO VICTOR CREW, INC. 01/07/17 PETER BUSTAMANTE HENNESSY & ROACH PC 605 20WC 00472 MOORE-WRIGHT, KAREN COMMERCIAL HEATING AND 10/31/19 LEONARD LAW GROUP LLC 606 20WC 00495 EXCLUSA, HECTOR CITY OF CHICAGO 12/31/19 COVEN LAW GROUP ODELSON & STERK 607 20WC 00519 FINLEY, FARASHA MERCY HOSPITAL 12/26/18 WOLFE LAW PC 608 20WC 00564 BLAYLOCK, BRANDON FLEETPRIDE, INC 03/26/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 609 20WC 00580 JONES, JOSEPH E J.B. HUNT TRANSPORT, INC 12/08/19 ANKIN LAW OFFICE 610 20WC 00629 ROJAS, MARIA MICHAEL LEWIS COMPANY 12/16/19 STROM & ASSOC HENNESSY & ROACH PC 611 20WC 00651 CELESTIN, DENNIS PROSHRED 07/01/19 VASILATOS & COTTER LLC 612 20WC 00673 CURINGTON-EL, CLARENCE FOREST PRESERVE OF COOK C 11/29/19 HANNIGAN & BOTHA, LTD FOREST PRESERVE DIST COOK CO 613 20WC 00695 RALLO, MICHAEL FEDEX 11/20/19 LANCASTER, DEBORAH 614 20WC 00718 MOORE, ANTHONY GOLD STANDARD BAKING 12/17/19 LAW OFFICES OF ADRIAN CHER HENNESSY & ROACH PC 615 20WC 00751 HAMMER, LAWRENCE NBC UNIVERSAL 11/27/17 TAMVAKIS, GEORGE L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 616 20WC 00776 LAZARO, OCTAVIO UNITED PARCEL SERVICE 01/19/18 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 617 20WC 00810 FADIPIE, JANET FREEDOM HOME CARE 12/08/19 JEFFREY FRIEDMAN 618 20WC 00860 GOLIK, KRISTEN THE CONTAINER STORE 11/30/17 MILLON & PESKIN LTD STONE & JOHNSON CHARTERED 619 20WC 00888 BROWN, LEBRYANT NORTHWESTERN HOSPITAL 10/10/19 HORWITZ HORWITZ & ASSOC 620 20WC 00909 ALEXANDER, DENISE SHERWIN WILLIAMS 10/09/19 JASINSKI, GEORGE J 621 20WC 00957 SANDEN, WENDY COSTCO 10/17/18 BOWMAN & CORDAY WOLFE & JACOBSON, LTD 622 20WC 00996 WILLIAMS, KIMBERLY KERRY AMERICAS 01/07/20 JAMES J. GAY 623 20WC 01037 STRAWDER, DERRICK CITY OF CHICAGO 01/08/20 GOLDSTEIN AIOSSA & GOOD 624 20WC 01078 MANNERY, GREGORY FRESH EXPRESS 12/24/19 DEPAOLO & ZADEIKIS NYHAN BAMBRICK KINZIE & LOWR 625 20WC 07315 GARCIA, HILARIO P&S CARPENTRY 02/11/20 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 626 20WC 07329 DORSEY, TERILL C CHICAGO TRANSIT AUTHORITY 03/09/20 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 627 20WC 07351 STROUD, JASON TOWN OF CICERO 02/24/20 EAMES LAW GROUP LTD DEL GALDO LAW GROUP LLP 628 20WC 07384 OROZCO LUNA, ROSAURA VANEE FOOD SCOMPANY 12/19/19 COSTA IVONE LLC SLAVIN & SLAVIN 629 20WC 07420 MUIR, CHELLE UNITED AIRLINES 03/05/20 DONALD FOHRMAN & ASSOC 630 20WC 07494 PATTERSON, ANGELA VILLAGE OF MAYWOOD 11/27/19 SKLARE LAW GROUP INMAN & FITZGIBBONS 631 20WC 07517 JONES, DEVAN CHICAGO CITY SPORTS, INC 03/01/20 ANKIN LAW OFFICE 632 20WC 07539 NAVARRO GARCIA, SAUL O'BRIEN LANDSCAPE, INC 09/25/19 RITTENBERG BUFFEN 633 20WC 07568 PULGOR, CLAIRE EVERGREEN REAL ESTATE 03/11/20 GERALD CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 634 20WC 07572 DELEON, ROSA ED MINIAT LLC INC 10/09/19 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 635 20WC 07606 KOVACS, GEZA GOLD MEDAL CLEANERS 06/17/19 MARKS INJURY LAW 636 20WC 07685 STEELE, ROXANNE UNIVERSITY OF CHICAGO 02/20/20 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 637 20WC 07722 SALGADO, ELVIA ACCURATE PERSONNEL LLC. 03/06/20 ENCINAS & ORNELAS JOHN T GONNELLA 638 20WC 07750 BHATT, NIRALI CLARITY CLINIC, LLC 02/12/20 WHITESIDE & GOLDBERG LTD 639 20WC 07767 MORENO, ULYSSES A CHICAGO REG COUNCIL OF CA 05/19/18 ANKIN LAW OFFICE 640 20WC 07812 FLORES, JAVIER EDSAL MANUFACTURING CO, I 09/16/19 STROM & ASSOC SLAVIN & SLAVIN 641 20WC 07830 LEMONS, ADELL AT&T 02/17/20 BLEAKNEY & TROIANI 642 20WC 07889 SIMMONS, WENDY CVS PHARMACY, INC 02/06/20 KARCHMAR & STONE 643 20WC 07917 TEMPEL, LINDA UNITED AIRLINES 01/26/20 COVEN LAW GROUP 644 20WC 07970 RODRIGUEZ, FATIMA ATLAS EMPLOYMENT SERVICE, 03/20/20 THE ROMAKER LAW FIRM GAIDO & FINTZEN 645 20WC 08043 LOPEZ, IRENE M FLEXAN CORPORATION 03/18/20 OSVALDO RODRIGUEZ PC 646 20WC 08075 PHILPOT, JEANETTE CHICAGO PUBLIC SCHOOLS 03/10/20 ANGELINI & ORI LLC CHGO BOARD OF EDUCATION 647 20WC 08087 DETLAFF, CHADWICK J CONCRETE STRUCTURES OF TH 06/20/19 KEEFE CAMPBELL BIERY & ASSOC 648 20WC 08140 SCALETTA, THOMAS JEWEL OSCO 03/23/20 GWC INJURY LAWYERS LLC 649 20WC 08303 DAVIS, THERESA M COOK COUNTY HEALTH 05/02/19 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 650 20WC 08369 PINIERO, CARLOS-JOSE KEYSTONE LIBERTY BAR PROD 08/09/16 GALLAGHER, DONALD V 651 20WC 08449 TARRANT JR, WILLIAM J USA HOIST/MID AMERICAN 01/09/20 RUBIN LAW GROUP WOLF & LAUDICINA LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 652 20WC 08474 ARREOLA, JUAN RAYMUNDO'S FOOD GROUP 03/17/20 DWORKIN AND MACIARIELLO 653 20WC 08499 NORIEGA, JUANITA SILVERLINE WINDOWS 03/04/20 SEIDMAN MARGULIS & FAIRMAN MEACHUM BOYLE TRAUFMAN 654 20WC 08517 SMITH, LAQUETA PARSON LYDIA HEALTH CARE 02/26/20 SMOLER LAW OFFICE, PC 655 20WC 08543 MALAVE, OSCAR RUBEN GONZA SURGE STAFFING AND RANA M 03/21/20 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 656 20WC 08565 ROMAN JR, ROGELIO CERA CONSTRUCTION 11/22/19 ROMANEK & ROMANEK MEACHUM BOYLE TRAUFMAN 657 20WC 08586 ZYGALDO, GAIL MAP AUTOMOTIVE WAREHOUSE 03/17/20 RITTENBERG BUFFEN NYHAN BAMBRICK KINZIE & LOWR 658 20WC 08696 WRIGHT, AUNDRA GIM ELECTRIC CO, INC 09/23/19 HORWITZ HORWITZ & ASSOC 659 20WC 08722 KOTT, EDWARD EWING DOHERTY MECHANICAL 04/12/19 PORRO NIERMANN LAW GROUP KNELL O'CONNOR DANIELWICZ 660 20WC 08765 DENGLER, PETER R SAS RETAIL SV LLC 03/05/20 KROL BONGIORNO & GIVEN LTD KELLEY KRONENBERG, P.A 661 20WC 08792 RANDLE, GEORGIA CURE HOME CARE SVCS, INC 03/18/20 DWORKIN AND MACIARIELLO ANCEL GLINK PC 662 20WC 08816 SHURHAY, JOHN UNITED AIRLINES, INC 07/31/19 RIDGE & DOWNES 663 20WC 08823 SMITH, SHARHONDA CTA 03/04/20 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 664 20WC 08854 BICKHAM, CHARLOTTE JEWEL FOOD STORES 01/27/19 EVANS & DIXON 665 20WC 08889 RODRIGUEZ, NICOLAS STAIRS & RAILS, INC 02/24/20 SANDMAN LEVY & PETRICH 666 20WC 08910 FLORES, JOSEPH UNITED CONTINENTAL HOLDIN 03/12/20 BRIAN J MC MANUS & ASSOC, 667 20WC 08927 CERDA, IGNACIO NEWLY WEDS FOODS 02/11/20 CHEPOV & SCOTT LLC WOLFE & JACOBSON, LTD 20WC010165 -C 668 20WC 08964 NICKEL, MIRANDA L VILLAGE OF ORLAND PARK 02/01/20 PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 669 20WC 09039 PASTORE, JOHN MCM MANAGEMENT CORP. 03/11/20 O'CONNOR & NAKOS LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HARRIS, CHRISTOPHER 093 ARBITRATION CALL FOR CHICAGO 99093 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 670 20WC 09055 SMITH, LINDA PRESENCE HEALTH 11/15/18 LAW OFFICE OF LAURA A CHIL 671 20WC 13014 CARTER, MITZI MARIANO'S 05/22/20 KATZ FRIEDMAN EISENSTEIN BRYCE DOWNEY & LENKOV LLC 672 20WC 13085 VAUGHAN, DAVID HEATMASTERS 11/11/19 DAVID M SPADA ACCIDENT FUND HOLDINGS 673 20WC 13166 MANTIS, NICOLE HOME DEPOT 05/21/20 THE ROMAKER LAW FIRM ADELSON TESTAN BRUNDO 674 20WC 13207 SAMARA, ESPERANZA WESTLAKE HOSPITAL 07/31/19 SALVATO O'TOOLE FROYLAN MEACHUM BOYLE TRAUFMAN 675 20WC 13228 YOUNG, NAKIA GSG-PROBE CONSULTANTS, IN 04/28/20 ACEVES & PEREZ PC ORENSTEIN & ASSOCIATES 20WC013273 -C 676 20WC 13252 GIVENS, MARGARET JEWEL OSCO 05/30/20 ANGELINI & ORI LLC 677 20WC 13267 CASTRO, FELICITAS ALDI INC 01/16/20 DAVID SZCZECIN & ASSOC 678 20WC 13315 REED, TIMOTHY COOK COUNTY SHERIFF 06/02/20 RAYMOND M SIMARD, PC STATES ATTORNEY OF COOK COUN 679 20WC 13380 DULEK, ELLIOTT R ADP TOTAL SOURCE/ 03/05/19 WIEDNER & MCAULIFFE LTD 680 20WC 13400 HENDRICKSON, PHILLIP FOX THEATRE MAINTENANCE, 03/13/19 CAPRON & AVGERINOS PC 681 20WC 13440 RANGEL, YESSIKA ANTHONY MARANO CO, INC 12/27/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 682 20WC 13461 FERGUSON, LINDA S JEWEL FOOD STORES, INC 04/21/20 TOSCAS, JOHN Z LAW OFFICE 683 20WC 13514 QUINTANA, EVELYN COOK COUNTY 04/09/20 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 684 20WC 13602 HAWLEY, BEVERLY IL DEPT OF TRANSPORTATION 05/23/18 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 685 20WC 13636 HUICOCHEA, JUAN CI FOODSAN LLC 04/15/20 GOLDSTEIN BENDER & ROMANOF 686 20WC 13661 JORDAN, MARILYN CHICAGO TRANSIT AUTHORITY 03/28/20 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 687 20WC 13696 TREVINO, JUAN VIENNA BEEF FACTORY STORE 05/20/20 EFTEKHARI LAW OFFICES LLC MEACHUM BOYLE TRAUFMAN

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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 CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 14WC 09849 SHAW, ALEX REPUBLIC SERVICES 12/03/13 HOWERTON, DORRIS & STONE LITCHFIELD CAVO 19 14WC 14726 BROWN, JOY BB VIDEO OF ILLINOIS INC 08/15/13 CARAWAY FISHER JOHNSON SCHNEIDER & FERRELL 20 14WC 15853 19B SWALLERS, SHA-REE ILLINOIS DEPARTMENT OF @ 12/28/13 DEVIN M JONES ILLINOIS ATTORNEY GENERAL 21 14WC 16831 LITTRELL, JOSH THE AMERICAN COAL COMPANY 02/20/14 SAM C MITCHELL & ASSOCIATE MCBREARTY, BRIAN K 22 14WC 29298 NALLEY, DONOVAN AMERICAN COAL 05/02/12 PRINCE LAW FIRM LITCHFIELD CAVO 23 14WC 32313 MAUNEY, REBECCA PEABODY COAL CO # 05/31/12 CULLEY & WISSORE 24 14WC 33384 GRAHAM, DAVID L STATE OF ILLINOIS @ 08/17/14 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 15WC004701 -C SOI 15WC005431 -C 25 14WC 34365 LAY, CATHY TRI-C ELEMENTARY 12/17/08 LAW OFFICE OF JAMES PARROT BRYCE DOWNEY & LENKOV LLC 26 14WC 35142 DAVIS, DEBORAH IL DEPT OF CORRECTIONS @ 07/03/14 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 27 14WC 38745 SEALS, AMY SO IL HEALTHCARE ENTERPIS 02/20/13 LAWLER & LAWLER FEIRICH MAGER GREEN & RYAN 28 14WC 38839 BURKEL, NEIL GENERAL DYNAMICS O T S 05/21/13 MUELHAUSEN & STEFANI KEEFE & DEPAULI 29 14WC 41901 MEACHAM, MICHAEL R STATE OF ILLINOIS @ 08/01/13 WOMICK LAW FIRM CHTD ILLINOIS ATTORNEY GENERAL 30 15WC 03561 GOLIO, LOIS OLD BEN COAL CO # 08/31/13 CULLEY & WISSORE KEEFE & DEPAULI 31 15WC 04513 VINSON, VINCE HERITAGE COAL COMPANY, LL 05/15/14 CULLEY & WISSORE 32 15WC 04729 LANCE, RONALD COAL AGE INC 02/28/14 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 33 15WC 11626 PORTER, RUBY ARCH COAL INC # 01/12/15 CULLEY & WISSORE 34 15WC 15541 SMITH, MICHAEL D SIU CARBONDALE @ 12/18/13 CULLEY & WISSORE ILLINOIS ATTORNEY GENERAL 35 15WC 22876 PARKER, STEVEN HARRISBURG MEDICAL CENTER 05/28/15 SCHREMPF, BLAINE, KELLY & FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 36 15WC 22897 PASQUINO, RICHARD KNIGHT HAWK COAL COMPANY, 01/07/14 LAWLER & LAWLER LITCHFIELD CAVO 37 15WC 27594 PATE, CHARLES BIG RIDGE 07/22/15 CULLEY FEIST KUPPART & JOR EVANS & DIXON, LLC 38 15WC 35405 O'LEARY, DENNIS BIG RIDGE INC 11/27/12 CULLEY & WISSORE EVANS & DIXON, LLC 39 15WC 36540 SMITH, CHESTER HASTIE MINING & TRUCKING 08/01/15 THOMAS & PORTELA 40 15WC 37714 PATE, CHARLES BIG RIDGE 07/22/15 CULLEY FEIST KUPPART & JOR EVANS & DIXON, LLC 41 15WC 38686 19B CURTIS, BARBARA ABBOTT EMS 11/12/15 LEVENHAGEN LAW FIRM PC ARNETT LAW GROUP 42 16WC 01234 MATYI, STEPHEN THE AMERICAN COAL CO 08/28/15 CULLEY & WISSORE CRAIG & CRAIG 43 16WC 02237 WOODS, DYLAN M. SOUTHEAST PERSONNEL 03/09/15 HANAGAN & MCGOVERN PC QUINTAIROS PRIETO WOOD & BOY 16WC002341 -C 44 16WC 05698 RAKERS, THOMAS MENARD CORRECTIONAL CENTE @ 01/28/16 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 45 16WC 06522 RUNYON, BRETT A IL DEPT OF TRANSPORTATION @ 02/27/13 ILLINOIS ATTORNEY GENERAL 46 16WC 07684 BOLTE, BRIAN SOUTHERN ILLINOIS UNIVERS @ 02/02/16 DWORKIN AND MACIARIELLO ILLINOIS ATTORNEY GENERAL 47 16WC 10334 19B ALMS, ORVILLE H JR SOUTHERN ILLINOIS UNIVERS @ 01/05/16 FISHER KERKHOVER & COFFEY ILLINOIS ATTORNEY GENERAL 48 16WC 10964 GLASCO, JASON BRUCE SOUTHERN ILLINOIS 11/25/15 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 49 16WC 16093 HENSLEY, JO ANN WIDOW OF AMERICAN COAL 01/27/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 50 16WC 19672 GRAHAM, DAVID L STATE OF IL-CHOAT @ 10/14/13 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 51 16WC 20100 GIBSON, MARSHA C GILSTER MARY LEE 05/31/16 TIM DENNY LLC FEIRICH MAGER GREEN & RYAN 52 16WC 20842 JONES, DEWAYNE CITY OF MARION 04/28/16 SAM C MITCHELL & ASSOCIATE RUSIN & MACIOROWSKI LTD 53 16WC 21460 JOHNSON, CAROLYN FRANKLIN HOSPITAL 06/14/16 JELLIFFE FERRELL DOERGE PH FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 16WC 24193 MANNING, BILL WOODRUFF SUPPLY CO, INC 05/27/16 CULLEY & WISSORE 55 16WC 26916 BOZARTH, ROSALYN GENERAL DYNAMICS 02/19/16 MUELHAUSEN & STEFANI KEEFE & DEPAULI 56 16WC 27081 WALKER, GABE IL YOUTH CENTER, HARRISBU @ 05/16/16 RON D COFFEL & ASSOC ILLINOIS ATTORNEY GENERAL 57 16WC 28095 PATTERSON, NICHOLAS NAPA AUTO PARTS-VOGLER MO 12/16/13 HUGHES LAW FIRM HEYL ROYSTER VOELKER & ALLEN 58 16WC 28392 KING, WALTER SOUTHERN ILLINOIS UNIVERS @ 05/08/14 MUELHAUSEN & STEFANI ILLINOIS ATTORNEY GENERAL 007 14WC036099 -C 59 16WC 28765 COLVIN, JEREMY A ST OF IL DEPT OF MENARD @ 10/31/13 DEVIN M JONES ILLINOIS ATTORNEY GENERAL 60 16WC 29873 HEAD, JAMES AISIN LIGHT METALS LLC 06/21/16 MUELHAUSEN & STEFANI KEEFE & DEPAULI 17WC025368 -C 17WC025369 -C 61 16WC 30525 WOODSIDES, MARK TKM MATERIALS 08/17/16 RON D COFFEL & ASSOC HENNESSY & ROACH, PC 62 16WC 30907 HEAD, VIRGINIA CHRISTOPHER UNIT SCHOOL 07/14/16 WOMICK LAW FIRM CHTD HENNESSY & ROACH, PC 63 16WC 33660 PARKER, JUDY MAP TRAINING CTR 10/06/16 WOMICK LAW FIRM CHTD BRANDON SCHMIDT & PALMER 64 16WC 35454 BIEBER, MICHAEL A CHESTER MENTAL HEALTH CEN @ 01/21/15 EDWARD J FISHER ILLINOIS ATTORNEY GENERAL 65 16WC 36228 MANNING, RONNIE IDOT @ 10/20/16 TIM DENNY LLC ILLINOIS ATTORNEY GENERAL 66 16WC 36410 19B MATLOCK, STEPHANIE CHOATE MENTAL HEALTH CTR @ 10/24/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 67 16WC 37315 DAVIS, TERI PENN ALUMINUM 10/29/16 KATZ FRIEDMAN EAGLE ET AL KEEFE & DEPAULI 68 16WC 38398 RIPLEY, ALLAN MENARD CC @ 11/15/16 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 69 16WC 38847 LOGSDON, MYRA ILLINOIS CENTRAL SCHOOL B 01/16/14 HOWERTON, DORRIS & STONE MCANANY VANCLEVE & PHILLIPS 70 17WC 00055 BARNES, KIMBERLY ST OF IL DEPT OF @ 09/11/15 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 17WC 00060 BARNES, KIMBERLY STATE OF IL/CHESTER MENTA @ 09/17/15 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 72 17WC 00974 ADAMS, JESSE JR AISIN MFG ILLINOIS LLC 12/12/16 HASSAKIS & HASSAKIS KEEFE & DEPAULI 73 17WC 01687 COULTER, WENDY GILSTER MARY-LEE 12/23/16 KIRKPARTICK LAW OFFICES FEIRICH MAGER GREEN & RYAN 74 17WC 01842 LEDSINGER, ARCHIBALD HONEYWELL INTL, INC 10/06/16 PRINCE LAW FIRM FEIRICH MAGER GREEN & RYAN 75 17WC 02170 GURLEY, HARROLD SUI CARBONDALE @ 05/31/16 CULLEY & WISSORE ILLINOIS ATTORNEY GENERAL 76 17WC 02677 RUNYON, BRETT A IL DEPT OF TRANPORTATION @ 02/13/14 ILLINOIS ATTORNEY GENERAL 77 17WC 04210 TURNER, TAMMY ILLINOIS STATE POLICE @ 06/27/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 78 17WC 04721 BELL, WILLIAM SIU CARBONDALE @ 12/18/13 CULLEY & WISSORE ILLINOIS ATTORNEY GENERAL 79 17WC 04903 SALAZAR, CONNIE CHOATE @ 02/01/17 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 80 17WC 06048 SULLIVAN, HOWARD ADDCAR 11/02/16 RICH RICH COOKSEY & CHAPPE 81 17WC 06264 HOLLOMAN, ELINOR ADDUS HEALTHCARE 11/14/16 HANAGAN & MCGOVERN PC WIEDNER & MCAULIFFE LTD 82 17WC 07277 RAMIREZ ESCOBAR, WALTER SAO ASIAN BISTRO 01/23/17 83 17WC 07330 CROSS, KIMBERLY SIH HERRIN HOSPITAL 01/30/17 RON D COFFEL & ASSOC FEIRICH MAGER GREEN & RYAN 84 17WC 07867 ROLFE, CHARLES L ILLINOIS DEPT OF CORRECTI @ 02/22/17 BEARD LAW FIRM ILLINOIS ATTORNEY GENERAL 85 17WC 08192 PATEL, KANTU MEERA HOSPITALITY, INC 05/18/14 BUTLER & KEMPER QUINN JOHNSTON HENDERSON ETA 86 17WC 08440 MCCAIN JR, DAVID THE AMERICAN COAL COMPANY 11/05/16 KEEFE & DEPAULI 87 17WC 10243 WILSON, JIMMY AMERICAN COAL 05/04/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 17WC 10468 GRISHAM, MELVIN BIG D ELECTRIC 07/25/16 TAMMI N. JACKSON HENNESSY & ROACH PC 89 17WC 10976 CROSS, JASON IDOT @ 08/25/16 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 18WC017670 -C 90 17WC 11100 JACKSON, JERRAY ROYALTY TECH W 02/20/17 JOSEPH L SAMUELSON PC 91 17WC 12278 BYNUM, RANDY CUSTOM STAFFING INDUSTRIA 09/30/15 CULLEY & WISSORE CRAIG & CRAIG 92 17WC 12313 BARNETT, MICHAEL BENSON I THE AMERICAN COAL COMPANY 03/18/17 ADAM B LAWLER LAW FIRM 93 17WC 12987 JOHNSON, CAROLYN FRANKLIN HOSPITAL DIST 61 05/31/16 JELLIFFE FERRELL DOERGE PH 94 17WC 13107 CAVINS, TERESA CHOATE MENTAL HEALTH @ 08/21/14 TIM DENNY LLC ILLINOIS ATTORNEY GENERAL 95 17WC 13838 ZARAGOZA, ABEL GILSTER MARY LEE 04/18/17 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 96 17WC 14117 JOLLY, LAREN FRITO-LAY 11/03/16 HANAGAN & MCGOVERN PC INMAN & FITZGIBBONS 17WC014118 -C 97 17WC 15035 DAVIS, JESSIE GILSTER-MARY LEE 05/15/15 FEIRICH MAGER GREEN & RYAN 98 17WC 15460 BANKS, CHARLENE HARRISBURG MEDICAL CENTER 10/27/15 HANAGAN & MCGOVERN PC FEIRICH MAGER GREEN & RYAN 99 17WC 15973 HUGHES, JUDY CAIRO SCHOOL DISTRICT I 02/21/17 MUELHAUSEN & STEFANI HENNESSY & ROACH, PC 100 17WC 16185 VAUGHN, QUANITA MENTOR MGMT 11/18/16 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 101 17WC 16251 KIRBY, VALARIE SOUTHERN ILLINOIS HEALTHC 03/22/17 RON D COFFEL & ASSOC 102 17WC 16829 MC ENDREE, DONNA M ILLINOIS CENTRAL SCHOOL B 05/12/17 HUGHES LAW FIRM RUSIN & MACIOROWSKI LTD 103 17WC 17555 ERKMANN, LYNN HARRISBURG MEDICAL CENTER 12/28/16 HEIDI A. HOFFEE FEIRICH MAGER GREEN & RYAN 104 17WC 18107 CLOWER, TERRI STEAK N'SHAKE INC 05/25/17 LAWLER & LAWLER HEPLER BROOM LLC 105 17WC 18806 FEILER, LINDA MASSAC MEMORIAL HOSPITAL 06/02/17 HOWERTON, DORRIS & STONE GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 17WC 18923 SADLER, ROBERT AMERICAN COAL 05/01/17 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 107 17WC 19499 CAIN, TIMOTHY IDOT @ 03/07/16 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 108 17WC 19681 PORTER, WILLIAM THE AMERICAN COAL COMPANY 04/22/17 CULLEY & WISSORE CRAIG & CRAIG 109 17WC 19751 SALLEY, LACHISHA M ST OF ILLINOIS-CHOATE @ 05/12/17 TIM DENNY LLC ILLINOIS ATTORNEY GENERAL 110 17WC 20400 OKER, STEPHANIE EL RANCHITO RESTAURANT, I @ 06/04/17 LAWLER & LAWLER TAMMI N. JACKSON 111 17WC 20751 DOOLEY, SHERIDAN BIG RIDGE, INC 03/11/17 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 112 17WC 20830 PRESLEY-SMITH, DIANE CENTERSTONE 04/30/17 BEMENT STUBBLEFIELD HOLTKAMP LIESE ET AL 18WC024454 -C 113 17WC 21718 WATSON, DOBBIE COM-PAC INTERNATIONAL 08/04/16 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD 114 17WC 22426 PANKEY, AMY COUNTY OF SALINE ILLINOIS 04/13/17 JELLIFFE FERRELL DOERGE PH INMAN & FITZGIBBONS 115 17WC 23156 ELLIS, KELLIE MENARD C.C. @ 06/16/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 116 17WC 23938 BUCHANAN, MICHAEL D MINOVA 04/18/17 WOMICK LAW FIRM CHTD 117 17WC 24324 HODSON, ELIZABETH WABASH AREA DEVELOPMENT, 09/10/16 SMITHPETERS LAW FIRM 118 17WC 25767 ANGLIN, BARBARA CHOATE MENTAL HEALTH @ 07/30/16 WOMICK LAW FIRM CHTD 119 17WC 26515 CAVINS, TERESA CHOATE MENTAL HOSPITAL @ 10/03/14 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 120 17WC 26821 MCLAIN, JAMES THE AMERICAN COAL COMPANY 11/02/15 CULLEY & WISSORE CRAIG & CRAIG 121 17WC 27586 JOHNSON, BOBBY JR PICKNEYVILLE CC @ 11/09/16 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 122 17WC 28038 DOANE, JOHNATHAN GILSTER MARY-LEE 08/17/17 FEIRICH MAGER GREEN & RYAN 123 17WC 28268 PERADOTTO, MICHELE M SIH/MEMORIAL HOSPITAL OF 06/22/17 GLASS & KOREIN FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 17WC 28344 RICHTER, LINDA D CHOATE/STATE OF ILLINOIS @ 04/03/15 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 125 17WC 28347 RICHTER, LINDA D CHOATE MENTAL HEALTH, ILL @ 07/24/17 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 126 17WC 29695 SMITH, TIM AMERICAN COAL 08/28/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 127 17WC 29923 RUBLE, MICHAEL FOUR SEASONS ACE HARDWARE 09/09/17 LAW OFFICES OF ELLEN E MOR 128 17WC 30012 RAINS, MICHELLE GILSTER MARY LEE 03/20/17 FEIRICH MAGER GREEN & RYAN 129 17WC 30141 WILSON, KENNETH IDOT @ 05/26/15 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 130 17WC 30410 ALLEN, LAURA B DILLARDS STORE SVCS, INC 01/01/16 FISHER KERKHOVER & COFFEY MCANANY VANCLEVE & PHILLIPS 131 17WC 30540 BROWN, DANNY DAVID STANLEY CONSULTANTS 08/21/17 BEARD LAW FIRM MCANANY VANCLEVE & PHILLIPS 132 17WC 31265 SMITH, DALE SOUTHERN IL REDI-MIX 03/16/17 WOMICK LAW FIRM CHTD STEPHEN H LARSON LAW OFFICE 133 17WC 32467 POTTS, HAZEL PEABODY IL SERVICES 04/20/17 CULLEY & WISSORE 134 17WC 33653 ALMS, ROBERT ILLINOIS DEPT OF CORRECTI @ 02/09/17 LYNN D BARNETT ASSISTANT ATTORNEY GENERAL 135 17WC 33944 CAMPBELL, BRADLEY SOUTHERN ILLINOIS HEALTHC 11/28/16 KEEFE & DEPAULI FEIRICH MAGER GREEN & RYAN 136 17WC 34189 LUTHY, ROBIN PERRY COUNTY HOUSING AUTH 03/11/16 RON D COFFEL & ASSOC KEEFE & DEPAULI 137 17WC 34503 KILGORE, ROBERT E III GILSTER-MARY LEE CORP 09/29/17 BRIAN STOKES FEIRICH MAGER GREEN & RYAN 138 17WC 34667 WATKINS, DALE CITY OF BENTON 12/17/14 DALE WATKINS 139 17WC 35296 GARNER, DARRELL AMERICAN COAL 08/24/17 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 140 17WC 35928 LAWRENCE, DAVID MACH MINE, LLC 09/28/17 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 141 17WC 36392 GOODMAN, GILBERT AEP GENERATING COMPANY 07/18/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 17WC 36992 JEFFERS, MICHELLE CHOATE MENTAL HEALTH @ 05/01/17 SHORT AND DAUGHERTY ASSISTANT ATTORNEY GENERAL 143 17WC 37752 BASENBERG, WILLIAM CONTINENTAL TIRE, 03/15/17 KEEFE & DEPAULI 144 18WC 00874 WAHLMAN, DENNIS R GILSTER MARY LEE CORP 12/05/17 BROWN & BROWN FEIRICH MAGER GREEN & RYAN 145 18WC 00909 GRAY-CRUZ, SYHEMIA STATE OF IL - SIUC HEADST @ 08/29/17 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 146 18WC 01171 STYLES, ANGELA GOLDEN CORRAL 01/04/18 DWORKIN AND MACIARIELLO 147 18WC 01800 GRAVES, EDWARD GILSTER MARY-LEE 12/13/17 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 148 18WC 01839 ADDISON, RASHAAD IL YOUTH CENTER HARRISBUR @ 12/30/17 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 149 18WC 02048 MELTON, MICHAEL EAGLE RIVER COAL 08/14/15 CULLEY FEIST KUPPART & JOR 150 18WC 03264 CORNMAN, JOSHUA COAL FIELD CONSTRUCTION, 01/02/18 DWORKIN AND MACIARIELLO 151 18WC 03812 ESSICK, KYLE CITY OF HERRIN 02/01/17 PRINCE LAW FIRM SCHREMPF KELLY & NAPP 152 18WC 03947 HALE, CHRYSTAL CHOATE MENTAL HEALTH @ 07/13/17 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 153 18WC 04695 AKIN, TIMOTHY P MYSONS TREE SERVICE 11/10/17 HASSAKIS & HASSAKIS PC 154 18WC 05084 BROOM, ROBERT S JR RISNIGER BROTHERS TRANSFE 01/22/18 ALEKSY BELCHER BROWN & JAMES, PC 155 18WC 06370 19B BRYANT, MANDI AISIN MANUFACTURING 01/15/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 156 18WC 06802 LEVESQUE, PAUL WARD KIA 01/15/18 CARAWAY FISHER 157 18WC 09081 ERKMANN, MARY L HARRISBURG MEDICAL CENTER 06/11/16 HEIDI A. HOFFEE FEIRICH MAGER GREEN & RYAN 158 18WC 09395 ERKMANN, MARY L HARRISBURG MEDICAL CENTER 01/15/17 HEIDI A. HOFFEE FEIRICH MAGER GREEN & RYAN 159 18WC 09595 WILLIAMS, GERALD SEST BUS SERVICE 09/12/16 GENE A TURK, JR LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 18WC 10081 RHEINECKER, MELISA WAL-MART #252 SUPERCENTER 09/15/17 DEVIN M JONES GANAN & SHAPIRO 161 18WC 10129 KLEINSCHMIDT, DAVID ELLIS TREE SERVICE # 10/06/17 CHATHAM & BARICEVIC 162 18WC 10354 STEPHENSON, WILLIAM MACH MINE LLC 01/02/18 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 163 18WC 10496 THOMAS, ROMMEL IDOT @ 03/13/18 TIM DENNY LLC ASSISTANT AT0TORNEY GENERAL 164 18WC 10689 PHILLIPS, KELLY MURPHYSBORO DISTRICT 186 02/01/18 MUELHAUSEN & STEFANI KNELL O'CONNOR DANIELWICZ 165 18WC 11171 KEOUGHAN, ALLISSA IL YOUTH CENTER, HARRISBU @ 03/20/18 RICH RICH COOKSEY & CHAPPE ASSISTANT AT0TORNEY GENERAL 166 18WC 11337 PEARCE, WILLIAM MACH MINING LLC 09/18/17 CULLEY & WISSORE CRAIG & CRAIG 167 18WC 11398 WADE, ANNIE GENERAL DYNAMICS 11/10/16 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 168 18WC 11517 MANIER, JAMES US FODDS, INC 06/04/60 LAWLER & LAWLER BRADY CONNOLLY & MASUDA PC 169 18WC 11549 WALKER, LESLIE BECK BUS TRANSPORTATION C 04/16/18 DAVID W MARTAY MCBREARTY, BRIAN K 170 18WC 12591 ODOM, KATHY CHESTER MENTAL HEALTH CEN @ 07/31/17 EDWARD J FISHER ASSISTANT ATTORNEY GENERAL 171 18WC 12620 TROKEY, PATRICK MENARD C.C. @ 02/19/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 172 18WC 13168 SWEET, CAROLL W IDOT @ 04/28/15 PRINCE LAW FIRM ASSISTANT ATTORNEY GENERAL 173 18WC 13235 CANADA, CHRISTI STATE OF IL/CHOATE MENTAL @ 03/28/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 174 18WC 14330 HUBBS, TIM STATE OF IL-CHOATE MENTAL @ 04/11/18 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 175 18WC 14625 KLINGLER, KELSEA IDOC-PINCKNEYVILLE C.C. @ 02/19/18 KELSEA KLINGLER ASSISTANT ATTORNEY GENERAL 176 18WC 14878 HOPKINS, JACKLYN H MCDONALD'S 02/11/18 NELSON & NELSON 177 18WC 16658 CRABTREE, CHRISTOPHER PINCKNEYVILLE C.C. @ 04/10/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 178 18WC 16728 19B BOUCHER, CRYSTAL HELP AT HOME 05/09/18 ARMBRUSTER DRIPPS HENNESSY & ROACH, PC 179 18WC 18045 WYATT, ANITA(WIDOW) HONEYWELL INTERNATIONAL # 09/18/17 CULLEY FEIST KUPPART & JOR 180 18WC 18563 SMITH, DALE SIR REDI MIX 09/23/14 WOMICK LAW FIRM CHTD STEPHEN H LARSON LAW OFFICE 181 18WC 18891 BROTHERTON, VERN COALFIELD CONSTRUCTION 04/06/18 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 182 18WC 19054 BEAN, MICHAEL PENN ALUMINUM 05/17/18 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 183 18WC 20318 EWING, SCOTT MENTOR MANAGEMENT, INC. 06/23/16 RICH RICH COOKSEY & CHAPPE CHILTON YAMBERT PORTER LLP 18WC020319 -C 18WC029302 -C 18WC029303 -C 18WC037249 -C 184 18WC 21058 WELBORN, GEORGE RILEY MENARD CORRECTIONAL CENTE @ 03/27/18 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 185 18WC 21226 MILLER, JENNIFER SHAWNEE CORRECTIONS FACIL @ 04/01/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 186 18WC 21483 HOLLAND, HELEN HILLVIEW HEALTHCARE 05/30/18 JOHNSTON LAW OFFICE 187 18WC 21604 HESS, RICHARD D SOUTHERN IL UNVRSTY CARBO @ 06/07/18 DEVIN M JONES ASSISTANT ATTORNEY GENERAL 188 18WC 21638 ROGERS, DANA CHESTER MENTAL HEALTH CEN @ 06/12/18 FISHER KERKHOVER & COFFEY ASSISTANT ATTORNEY GENERAL 189 18WC 22058 NEWBOLDS, DARRYL DURHAM SCHOOL BUS 04/19/18 HOWERTON, DORRIS & STONE BRADY CONNOLLY & MASUDA PC 190 18WC 22861 ALBRIGHT, MICHAEL RODNEY JOHNSON DBA 12/11/17 WARREN E DANZ, PC FEIRICH MAGER GREEN & RYAN 191 18WC 22870 WITTENBORN, JASON CHESTER MENTAL HEALTH @ 06/24/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 192 18WC 23671 TERRY, JANET MURPHYSBORO CUSD #186 04/22/18 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 193 18WC 23831 HINE, LINDA MELLER-JAMES VETERINARY 02/02/17 WOMICK LAW FIRM CHTD MCDONALD & BOGDAN 194 18WC 24436 DUDZINSKI, GEORGE ST OF IL/MENARD C.C. @ 06/26/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 195 18WC 24484 BAIN, JACKIE SKC ENTERPRISES 03/19/18 BROWN & CROUPPEN 196 18WC 25431 BAUGHMAN, TAMMY CHESTER MENTAL HEALTH CEN @ 08/09/18 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 197 18WC 25524 MALONE, TYE MACH MINING, LLC 06/19/18 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 198 18WC 26298 LINDLE, GEORGE BLUE WORLD POOLS 05/05/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 199 18WC 27081 COUNTS, SHELBY ILLINOIS YOUTH CENTER @ 08/24/18 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 200 18WC 28682 MOOREHEAD, RICHARD GOLDEN EAGLE DISTRIBUTING 06/19/18 CARAWAY FISHER 201 18WC 28685 CORRY, JAMES "JIM" METROPOLIS POLICE 08/11/18 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 202 18WC 29149 VAN, KELLY SOUTHERN ILLINOIS DERMATO 09/25/17 JELLIFFE DOERGE PHELPS STEPHEN H LARSON LAW OFFICE 203 18WC 29699 MOOREHEAD, RICHARD GOLDEN EAGLE DISTRIBUTING 03/01/18 CARAWAY FISHER ROUSE & CARY 204 18WC 30029 CARTER, KACEY MARSHALL BROWNING HOSPITA 02/14/18 HOWERTON, DORRIS & STONE GAROFALO SCHREIBER STORM GRA 205 18WC 30053 SCHULTZ, LELLIA ST OF IL/VIENNA C.C. @ 07/29/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 206 18WC 30578 OLIVER, JEFFREY HONEYWELL 05/30/17 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 18WC030579 -C 207 18WC 30582 MURPHY, MELISSA WALMART 09/28/18 WOMICK LAW FIRM CHTD GANAN & SHAPIRO 208 18WC 30620 19B MUZZY, FALYNNE MENARD CC @ 09/19/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 209 18WC 30628 RODRIGUEZ, JORGE LEVEL IT EXCAVATING, INC 03/13/17 NELSON & NELSON GANAN & SHAPIRO 210 18WC 30635 COCHRAN, JACK SPEC CON 06/18/18 TIM DENNY LLC GANAN & SHAPIRO 211 18WC 30894 JOHNSON, SHERRY SOUTHGATE NURSING HOME 09/14/18 ROGER D RUDICH LTD GALLIANI DOELL & COZZI LTD 212 18WC 30994 DANIELS, DONALD CHESTER MENTAL HEALTH @ 07/04/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 18WC 31378 EWELL, SARAH CHOATE MENTAL HEALTH @ 04/30/18 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 214 18WC 31480 CROWE, RACHELLE WALMART SUPERCENTER 10/11/18 DWORKIN AND MACIARIELLO EARLY & MIRANDA PC 215 18WC 31818 JOHNSON, DAVID CITY OF HERRIN 06/17/18 PRINCE LAW FIRM 216 18WC 31926 ANDERSON, ANTHONY CHESTER MENTAL HEALTH CEN @ 09/24/18 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 217 18WC 32225 GLASCO, TINA ANN GREG'S TRUCK SERVICE INC 09/18/18 MICHAEL MILES 218 18WC 32237 PURDON, NICHOLE HELP AT HOME 07/12/18 KANOSKI BRESNEY ROSARIO CIBELLA 219 18WC 32400 HENRY, SCOTTY ST OF IL/IL DEPT OF TRANS @ 10/03/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 220 18WC 32685 KEENER, JASON AISIN MANUFACTURING LLC 09/21/18 BEARD LAW FIRM KEEFE & DEPAULI 221 18WC 33034 CHICK, LARHONDA AISIN LIGHT METALS 09/20/18 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 222 18WC 33450 ARENDELL, K LEE GENERAL CABLE 10/31/18 DEVIN M JONES QUINN JOHNSTON HENDERSON ETA 223 18WC 34061 HORN, GLENDA HALLMARK MARKETING COMPAN 11/03/16 SAM C MITCHELL & ASSOCIATE INMAN & FITZGIBBONS 224 18WC 34283 RICHMOND, JAMES MILO KINDRED HEALTHCARE 11/05/18 DEVIN M JONES ARNETT LAW GROUP 225 18WC 34733 DIERCKS, MAYLEE GLISTER MARY LEE 08/17/16 BROWN & BROWN 226 18WC 34813 OBERTINI, CHARLES MARSHALL BROWNING HOSPITA 07/31/18 JOSEPH L SAMUELSON PC GAROFALO SCHREIBER STORM GRA 227 18WC 36265 MC DONALD, DEANNA CHESTER MEANTL HEALTH @ 08/26/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 19WC014325 -C 228 18WC 36691 NEAL, KELLY STEAK 'N SHAKE 02/26/18 HIPSKIND & MCANINCH HEPLER BROOM LLC 229 18WC 36881 MILES, WILLIAM THE AMERICAN COAL COMPANY 10/04/17 CULLEY & WISSORE CRAIG & CRAIG 230 18WC 37140 19B FREY, MARY FB MC AFOOS & COMPANY 10/04/18 BRAD L BADGLEY PC HOLTKAMP LIESE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 18WC 37292 HOLLEY, RICHARD IDOT @ 11/09/16 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 232 18WC 37300 DANIEL, BEVERLY CITY OF MARION 11/09/18 KEEFE & DEPAULI 233 18WC 37430 STOOPS, LESLIE JR. GEORGE HUFFMAN & SONS TRU 11/10/18 WOMICK LAW FIRM CHTD HARRIS DOWELL FISHER & HARRI 234 18WC 37509 LITTON, ROBYN SOUTHERN ILLINOIS DERMATO 06/12/18 RON D COFFEL & ASSOC STEPHEN H LARSON LAW OFFICE 235 18WC 37647 SMITH, STACY CRACKER BARREL 06/30/18 WOMICK LAW FIRM CHTD INMAN & FITZGIBBONS 236 18WC 37695 BURNS, JERIC R STATE OF IL/MENARD @ 05/11/17 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 237 18WC 37730 FORT, DONALD CITY OF WEST FRANKFORT PO 06/11/18 RICH RICH COOKSEY & CHAPPE MCANANY VANCLEVE & PHILLIPS 18WC037731 -C 238 18WC 38015 RANDOLPH, RALPH CHESTER MENTAL HEALTH @ 07/21/16 REED & BRUHN, PC 239 18WC 38354 MALONE, TYE MACH MINING LLC 11/07/17 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 240 19WC 00488 COCKE, JOSHUA CROWNLINE BOATS 08/08/18 CARAWAY FISHER HENNESSY & ROACH, PC 241 19WC 01729 BLAYLOCK, ERIC STATE OF ILLINOIS - DOC @ 08/24/18 HANAGAN & MCGOVERN PC JORDAN FRANK 242 19WC 02052 NIPPE,MONICA ST OF IL/IDOC/MURPHYSBORO @ 01/04/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 243 19WC 02121 MALONE, TYE MACH MINING LLC 12/11/18 RICH RICH COOKSEY & CHAPPE CRAIG & CRAIG 244 19WC 02329 BROWN-MARTIN, WILETA ILLINOIS DEPT OF PUBLIC H @ 02/01/16 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 245 19WC 03162 19B ROACH, MICHAEL CITY OF ANNA 12/14/18 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 246 19WC 03542 ANDREWS, DAVID ST OF IL/MENARD C.C. @ 12/08/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 247 19WC 04085 SHAW, LUZ ADDUS HEALTHCARE 07/23/18 JAMES RUPPERT HENNESSY & ROACH, PC 248 19WC 04122 ROHACH, ERIC THE AMERICAN COAL CO 03/27/17 CULLEY & WISSORE CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 19WC 05438 AMISON, JUSTIN CHESTER MENTAL HEALTH CEN @ 01/25/17 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 250 19WC 05448 LITTLE, WILLIAM ACCURATE FABRICTORS, INC 06/01/16 LAWLER & LAWLER 251 19WC 05529 FURLOW, JOHNATHAN COAL FIELD CONSTRUCTION C 09/26/17 LITCHFIELD CAVO 252 19WC 06086 ELLIOTT, LARRY A S.O.I. SOUTHERN ILLINOIS @ 01/28/19 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 253 19WC 06123 WILLIAMS, TRACY A CHESTER MENTAL HEALTH CEN @ 12/06/18 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 254 19WC 06614 CHITTY, CASSANDRA I.D.O.C @ 01/19/19 DAVID HUNT ASSISTANT ATTORNEY GENERAL 255 19WC 06837 IVY, YOLANDA STATE OF IL/SHAWNEE C.C. @ 01/31/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 256 19WC 07398 GIDLEY, CHRISTOPHER J CHESTER MENTAL HEALTH CEN @ 03/08/16 EDWARD J FISHER ASSISTANT ATTORNEY GENERAL 257 19WC 07988 MORSE, ELVIS C ST OF ILLINOIS-CHOATE MEN @ 01/23/18 HASSAKIS & HASSAKIS PC ASSISTANT ATTORNEY GENERAL 258 19WC 08123 FERNANDEZ, EDUARDO LIS-LOGISTICS 10/11/18 TIM DENNY LLC 259 19WC 08634 JACKSON, JOHNNY CITY OF CARBONDALE 02/13/19 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 260 19WC 08834 WILLIAMS, GARRETT STATE OF IL/VIENNA C.C. @ 02/04/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 261 19WC 09396 BROWNING, GILBERT PEABODY ENERGY 12/12/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 262 19WC 09506 DOVER, DONNA K STATE OF IL, DEPT OF HUMA @ 04/21/17 HASSAKIS & HASSAKIS ASSISTANT ATTORNEY GENERAL 263 19WC 09787 BOZARTH, JOSEPH THE AMERICAN COAL COMPANY 05/23/57 CULLEY & WISSORE CRAIG & CRAIG 264 19WC 10537 MATLOCK, LESLIE ALEXANDER COUNTY 08/28/17 JOHNSON SCHNEIDER & FERREL KEEFE & DEPAULI 265 19WC 10690 CARRINGTON, RUTH CHOATE MENTAL HEALTH @ 02/20/19 ASSISTANT ATTORNEY GENERAL 266 19WC 10795 BARNES, KIMBERLY CHESTER MENTAL HEALTH @ 02/15/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 19WC 11353 ANDERSON, KEVIN STATE OF IL/ MENARD C.C. @ 03/30/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 268 19WC 11839 ZUBER, GREGORY KOERNER DISTRIBUTOR, INC 04/01/19 FREDERICK & HAGLE KEEFE & DEPAULI 269 19WC 12177 JACOBS, RITA RIVER TO RIVER 01/08/19 SHORT AND DAUGHERTY HARRIS DOWELL FISHER & HARRI 270 19WC 12377 SANDERS, ALRRY DALE WILLIAMSON COUNTY HWY IL 03/26/19 RICH RICH COOKSEY & CHAPPE INMAN & FITZGIBBONS 271 19WC 13170 DONJON, KYLE STATE OF IL @ 04/02/19 GORI JULIAN & ASSOC ASSISTANT ATTORNEY GENERAL 272 19WC 13468 ARRINGTON, LORETTA BURGER KING 01/12/19 BROWN & BROWN LUCY T. UNGER 273 19WC 14329 CREASON, LUCAS A CHESTER MENTAL HEALTH CEN @ 05/09/19 GLASS & KOREIN ASSISTANT ATTORNEY GENERAL 274 19WC 14358 COX, PAUL R HARRISBURG MEDICAL CENTER 03/05/19 JAMES RUPPERT FEIRICH MAGER GREEN & RYAN 275 19WC 14384 MAYVILLE, ANTHONY C STATE OF IL, @ 12/30/18 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 276 19WC 14650 HUGHES, DALE HINES OIL COMPANY, INC. 12/12/18 WOMICK LAW FIRM CHTD 277 19WC 15660 SCHAEFER, LINDA S SIH HERRIN HOSPITAL 6084 12/28/18 MOLLY WEHKING FEIRICH MAGER GREEN & RYAN 278 19WC 15983 PETERSON, DAVID NORRIS TRUCKING COMPANY 07/07/17 HANAGAN & MCGOVERN PC JAMES M KELLY 279 19WC 17115 WADE, REGINA A DOGWOOD DENTAL CARE 05/10/17 HASSAKIS & HASSAKIS PC STEPHEN H LARSON LAW OFFICE 280 19WC 17249 HALL, JOSEPH IL DEPARTMENT OF CORRECTI @ 05/10/19 LAWLER & LAWLER ASSISTANT ATTORNEY GENERAL 281 19WC 17285 MARTIN, DAVID MENARD CORRECTIONAL CENTE @ 03/28/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 282 19WC 17515 GREER, JACQUELINE D CENTER FOR COMPREHENSIVE 01/17/19 LAWLER & LAWLER CHILTON YAMBERT PORTER LLP 283 19WC 17847 REAMS, WENDY DOLLAR TREE 09/05/17 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 284 19WC 18546 STEVENS, CHARLOTTE STATE OF ILLINOIS-ANNA @ 06/04/19 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 19WC 18617 STEVENS, CHARLOTTE ANNA VETERANS HOME @ 06/04/19 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 286 19WC 18742 HERRING, KATHERINE POPE COUNTY CUSD 1 04/26/19 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 287 19WC 19805 LEVAULT, GARY D CASCONI EXTERIORS W 05/13/19 MOLLY WEHKING 288 19WC 20140 GOETZ, JOSEPH STATE OF IL/MENARD C.C. @ 06/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 289 19WC 20170 UTTERBACK, REED STATE OF IL/MENARD C.C. @ 06/12/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 290 19WC 20391 VELDMAN, DAVID FRANKLIN COUNTY SHERIFF'S 01/17/19 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 291 19WC 21122 WHITEHEAD, TRACY CHOATE MENTAL HEALTH @ 04/20/19 WALTON TELKEN LLC ASSISTANT ATTORNEY GENERAL 292 19WC 21276 REYNOLDS, DAWN PAPA MURPHYS 04/23/19 WOMICK LAW FIRM CHTD RUSIN & MACIOROWSKI LTD 293 19WC 21673 BEHM, MARK GENERAL CABLE 06/28/19 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC 294 19WC 21844 BATTAGLIA, MICHAEL UPS 06/30/19 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 295 19WC 21883 TACKETT, HEATHER HELP AT HOME LLC 01/23/19 MICHAEL MILES ROSARIO CIBELLA 296 19WC 22328 WOODS, WANDA THE AMERICAN COAL COMPANY 05/01/18 CULLEY & WISSORE CRAIG & CRAIG 297 19WC 22430 COBB, BRIAN S EATON CORPORATION 12/12/18 DEVIN M JONES LEAHY EISENBERG & FRAENKEL 298 19WC 22499 GOESSLING, ROSE MARIE GILSTER MARY LEE 04/22/19 BONIFIELD & ROSENSTENGEL P FEIRICH MAGER GREEN & RYAN 299 19WC 22643 DAILEY, JEREMY ELLIS MINOVA 05/24/19 HOWERTON, DORRIS & STONE 300 19WC 22833 REHBEIN, PAM HOWERTON DORRIS STONE LAM 07/19/18 MICHAEL MILES 301 19WC 23030 CAMDEN, JAMES FARE FOODS,INC 01/09/19 MICHAEL MILES STEPHEN H LARSON LAW OFFICE 302 19WC 23191 HARRIS, KENNETH A SIUC @ 07/10/19 DEVIN M JONES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 19WC 23629 FLY, NIKKI DOLLAR GENERAL 07/13/18 HOWERTON, DORRIS & STONE LEAHY EISENBERG & FRAENKEL 304 19WC 23905 HARRIS, SABRINA MCDONALD'S 07/21/19 HUGHES LAW FIRM 305 19WC 23908 RIVERO-WINFIELD, ONA C CHOATE MEDICAL HEALTH CEN @ 07/18/19 MCGARRY & MALKOVICH ASSISTANT ATTORNEY GENERAL 306 19WC 23951 MAZUR, TREVOR ILLINOIS STATE POLICE @ 05/16/19 WOMICK LAW FIRM CHTD ASSISTANT ATTORNEY GENERAL 307 19WC 24126 COX, HELEN M GEORGE HUFFMAN & SONS TRU 07/31/19 NELSON & NELSON 308 19WC 24243 COURTNEY, JOSHUA MILLER CONTRACTING SERVIC 08/15/19 DWORKIN AND MACIARIELLO 309 19WC 24434 CLAYTON, WILLIAM VIENNA C.C. @ 07/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 310 19WC 24461 MITCHELL, DAVID LEE ENERGY TRANSPORT 05/28/19 HOWERTON, DORRIS & STONE JAMES M KELLY 311 19WC 24870 MENDEZ, OSCAR RENE SERGIO'S MEXICAN RESTAURA 12/27/17 LIPKIN & APTER 312 19WC 25540 DAVES, JERRY PEPSI MIDAMERICA CO 02/26/18 LITTLE SCHELHAMMER ETAL 313 19WC 25888 HARRISON, KEVIN GENERAL CABLE 07/16/19 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC 314 19WC 25895 JACKSON, AMBER B STATE OF ILLINOIS - CHOAT @ 02/02/19 JAMES RUPPERT ASSISTANT ATTORNEY GENERAL 315 19WC 26089 PEDIGO, KEVIN CLOVER ROOFING CONSTRUCTI 08/19/19 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 316 19WC 26236 GREER, MARK CHESTER MENTAL HEALTH CEN @ 07/26/19 FISHER KERHOVER COFFEY 317 19WC 26863 ARNOLD, DAVIES SOUTHERN IL MOTOR EXPRESS 08/19/19 BRIAN K. ZIRKELBACH MCANANY VANCLEVE & PHILLIPS 318 19WC 27170 CAMDEN, STEPHEN GENERAL DYNAMICS 03/20/19 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 319 19WC 27193 EASTMAN, GREGORY LOWE'S 04/26/18 HOWERTON, DORRIS & STONE KEEFE CAMPBELL BIERY & ASSOC 320 19WC 27214 MEYER, JOHN CITY OF CAIRO 09/01/17 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 19WC 27351 FLY, JAMES L. JR. WILDCAT HILLS MINE 08/08/19 PRINCE LAW FIRM KEEFE & DEPAULI 322 19WC 28048 PLUMLEE, SHAWN CHESTER MENTAL HEALTH CEN @ 09/08/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 323 19WC 28187 MOREFIELD, RITA JACKSON COUNTY HWY DEPT 08/05/19 TUGGLE SCHIRO & LICHTENBER BLEYER & BLEYER 324 19WC 28449 DUSCH, TIMOTHY J CARBONDALE PARK DISTRICT 08/06/18 TIM DENNY LLC KEEFE & DEPAULI 325 19WC 28887 SHELTON, CHRISTOPHER OWEN AUTOMOTIVE DETAILING W 09/05/19 HANAGAN & MCGOVERN PC JELLIFFE DOERGE PHELPS 326 19WC 29109 BRYANT, ERIC CHESTER MENTAL HEALTH @ 09/15/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 327 19WC 29161 FERANDO, DAVID DEPARTMENT OF AGRICULTURE @ 08/13/19 PRINCE LAW FIRM ASSISTANT ATTORNEY GENERAL 328 19WC 29722 VANOVER, DUSTIN CHESTER MENTAL HEALTH CEN @ 06/26/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 329 19WC 29826 VAN EYCKE, BRIAN CITY OF SESSER 01/15/19 JEROME LINDSAY SALMI LL KEEFE & DEPAULI 330 19WC 30030 WOODWORTH JR, RONNIE KRD 10/07/19 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 331 19WC 30095 DAMM, BRENDA CHESTER MENTAL HEALTH CEN @ 09/19/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 332 19WC 30115 RUCH, RICK W ONTARIO SPECIALIZED CONTR 03/06/19 MICHAEL MILES HENNESSY & ROACH, PC 333 19WC 30153 KID, JASON M CENTERSTONE 08/20/19 HUGHES LAW FIRM 334 19WC 30367 LITTLE, KEITH PRAIRIE STATE GENERATING 01/17/19 LAWLER & LAWLER EVANS & DIXON, LLC 335 19WC 31064 THOMPSON, SHERONICA C ARAMARK UNIFORM SERVICES 01/16/19 MOLLY WEHKING HENNESSY & ROACH, PC 336 19WC 31185 JOLLY, GARY W M NOBBE & COMPANY 08/14/19 MICHAEL MILES 337 19WC 31196 JOLLY, GARY W.M. NOBBE AND COMPANY 08/13/19 MICHAEL MILES 338 19WC 31203 SIMMONS, WILLIAM ST OF IL/ CHESTER MENTAL @ 09/30/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 19WC 31270 BISHOP, JEFFERY VOGLER MOTOR COMPANY, INC 08/13/19 LAWLER & LAWLER 340 19WC 31642 DAUGHERTY, KEVIN GENERAL DYNAMICS ORDNANCE 10/09/19 LAWLER & LAWLER KEEFE & DEPAULI 341 19WC 31797 PRUSACZYK-CLAYTON, MELISS MARION C.U.S.D. #2 08/28/19 MOLLY WEHKING 342 19WC 31916 BECKER, JASON STATE OF IL/MENARD C.C. @ 10/03/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 343 19WC 32298 HOLDER, KEITH GLISTER MARY LEE CORP 09/16/19 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 344 19WC 33179 PHOENIX, BRIANNE ST OF IL/SECRETARY OF STA @ 06/21/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 345 19WC 33438 GRAUL, BRADLEY HERRIN HOSPITAL 06/18/19 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 346 19WC 33680 KENDRICK, BILL KNIGHT HAWK COAL 10/01/19 KIRKPARTICK LAW OFFICES LITCHFIELD CAVO 347 19WC 33985 ASHMORE, WILLIAM SHAWNEE C.C. @ 05/23/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 348 19WC 34236 HUNTER, G ALAN CMS - STATE OF ILLINOIS @ 05/30/19 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 349 19WC 34258 MAYHALL, JANET ADDUS HOME HEALTH CARE 02/13/19 WOMICK LAW FIRM CHTD HENNESSY & ROACH, PC 350 19WC 34284 HERR, TIMOTHY PR ENTERPRISES, INC 05/22/19 KULLMAN KLEIN & DIONEDA 351 19WC 34413 PIERSON, ROGER DOOR DASH 11/15/19 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 352 19WC 34566 ESCOBEDO, MIGUEL DOMINGO CROWNLINE BOATS 07/10/19 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH, PC 353 19WC 34738 HUDGENS, MICHAEL AMERICAN COAL 08/18/17 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 354 19WC 34852 DETHROW, KERRI CHESTER MENTAL HEALTH @ 08/13/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 355 19WC 34957 EBERHARDT, KACI PRYSMIAN GROUP A/K/A 08/06/19 RON D COFFEL & ASSOC KEEFE CAMPBELL BIERY & ASSOC 356 19WC 35190 BUNDREN, MARK ST OF IL- DOC SHAWNEE @ 05/31/18 HANAGAN & MCGOVERN PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 357 19WC 35919 SHADOWENS, WILLIAM LEON HOUSING AUTHORITY OF THE 11/15/18 TAPELLA & EBERSPACHER LLC RUSIN & MACIOROWSKI LTD 358 19WC 35990 RAY, BECKY WILLIAMSON COUNTY 11/16/18 INMAN & FITZGIBBONS 359 19WC 36255 VALDEZ, ALVIN INTERTAPE POLYMER GROUP 06/22/17 HOWERTON, DORRIS & STONE 360 19WC 36456 GIBBS, WHITNEY ILLINOIS VETERANS HOME OF @ 07/21/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 361 19WC 36949 PEEBELS, WILLIAM WHITE STALLION ENERGY, LL 09/22/19 LAWLER & LAWLER 362 19WC 36962 ANDERSON, TIMOTHY MENARDS 10/12/19 KIRKPARTICK LAW OFFICES QUINN JOHNSTON HENDERSON ETA 363 19WC 37066 SCHRAM, GEORGE PEABODY COAL WILDCAT HILL 12/12/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 364 19WC 37131 MATHIS, JOSEPH JR. ORICA MINOVA USA 11/08/19 MCGARRY & MALKOVICH 365 19WC 37155 WILLIAMS, BILLY PEABODY COAL WILDCAT HILL 10/14/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 366 19WC 37406 GLASSER, DYLAN M WILDCAT HILLS UNDERGROUND 11/19/19 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 367 19WC 37516 JETTER, MICHAEL PEABODY COAL WILDCAT HILL 12/13/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 368 19WC 37562 LOHMAN, LESTER ST OF IL/ MENARD C.C. @ 12/13/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 369 20WC 00329 GUSTOFSEN, CHRISTOPHER BUDMARK OIL CO 11/13/19 SAM C MITCHELL & ASSOCIATE CRAIG & CRAIG 370 20WC 00549 TOBOLT, MICHAEL C BEELMAN TRUCKING 10/23/19 MICHAEL MILES HARRIS DOWELL FISHER & HARRI 371 20WC 01075 WHEELER, JAMES ILLINOIS STATE LOTTERY @ 08/23/17 HANAGAN & MCGOVERN PC 372 20WC 01178 CLERK, DANNY DIMENSION CONST.CO/NOBLE 10/30/19 WOMICK LAW FIRM CHTD 373 20WC 01593 HAMPLEMAN, JUDITH A TRI-COUNTY SPECIAL EDUCAT 04/24/17 DEVIN M JONES 374 20WC 01668 SIMON, FLOYD NEWCOMB CONSTUCTION 08/27/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 20WC 01996 TREXLER, SUSAN SOUTHERN ILLINOIS HEALTHC 10/29/19 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 376 20WC 02057 LOGWOOD, SIDNEY MAN-TRA-CON 10/24/19 WOMICK LAW FIRM CHTD LITCHFIELD CAVO 377 20WC 02123 STEPHENSON, CRIT PEABODY COAL WILDCAT HILL 12/13/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 378 20WC 02208 PARKS, CODY TIMBERLINE FISHERIES 04/05/18 WOMICK LAW FIRM CHTD 379 20WC 02543 OPP, SAMUEL V PROENERGY 08/04/18 DEVIN M JONES 380 20WC 02982 BERNAL, JAVIER PAT SCATES & SONS 09/30/19 BOTTO GILBERT BRADY, CONNOLLY & MASUDA, PC 381 20WC 03383 HANSIL, RAYMOND CHOATE MENTAL HEALTH @ 12/27/19 LAW OFFICE OF JEROME SALMI ASSISTANT ATTORNEY GENERAL 382 20WC 03528 RICH, JULIE A ST OF ILLINOIS-CHOATE MEN @ 10/14/19 JAMES RUPPERT ASSISTANT ATTORNEY GENERAL 383 20WC 03534 PALMER, GRAYSON CITY OF MARION 02/12/19 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 384 20WC 04129 SMIECINSKI, MARY KAY LOGAN'S ROADHOUSE 11/21/19 THE BEARD LAW FIRM BRADY, CONNOLLY & MASUDA, PC 385 20WC 04322 EMMONS, RODERICK STATE OF IL - IDOT @ 01/02/20 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 386 20WC 04592 WHITEHEAD, STEVEN MAC-WELD INC 10/01/19 HARRIS & JONES 387 20WC 04943 BURNETT, JENNIFER STATE OF IL/ SHAWNEE C.C. @ 12/17/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 388 20WC 04983 BURRIES, JAMICKA HEALTHCARE SERVICES GORUP 01/21/20 DAMON YOUNG 389 20WC 05367 SAUERHAGE, JEANNE MENARD C.C. @ 12/11/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 20WC006338 -C ST OF IL/ MENARD C.C. 390 20WC 05784 DANIELS, DONALD ST OF IL/CHESTER MENTAL @ 01/12/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 391 20WC 05917 NICHOLSON, KEVIN REPUBLIC SERVICES 01/07/20 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 392 20WC 05950 GROVE, RICHARD L CITY OF SESSER 11/14/19 MICHAEL MILES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 20WC 06200 KIRKPATRICK, CASSIE BENTON GRADE SCHOOL 08/08/19 WOMICK LAW FIRM CHTD 394 20WC 06334 CADY, GREGORY ST OF IL/ CHESTER MENTAL @ 01/16/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 395 20WC 06666 RIDER, GARY ANNA FIRE DEPARTMENT 12/27/19 SHORT AND DAUGHERTY 396 20WC 06882 GUYTON, CHARLES E KFC 02/21/20 SAUTER, SULLIVAN & EVANS 397 20WC 07103 MCGEE, NOBLE B FRANKFORT COMMUNITY UNIT 11/01/17 HASSAKIS & HASSAKIS PC HENNESSY & ROACH, PC 398 20WC 07472 GILBERT, GARRY BEELMAN TRUCK COMPANY 02/14/20 THE BEARD LAW FIRM HARRIS DOWELL FISHER & HARRI 399 20WC 07671 BURNHAM, BOBBY GLOBAL GROUP 06/25/19 LAW OFFICE OF JEROME SALMI 400 20WC 07840 GHOLSON, MICHAEL E PRIORITY SPORTS 01/22/20 HASSAKIS & HASSAKIS PC 401 20WC 07971 ROCHFORD, TIMOTHY J IL YOUTH CENTER, HARRISBU @ 02/21/20 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 402 20WC 07996 MILLER, JENNIFER SHAWNEE C.C. @ 02/19/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 403 20WC 08024 HUNTER, LINDSAY CHESTER MENTAL HEALTH CTR @ 12/02/19 FISHER KERHOVER COFFEY 404 20WC 08048 FRAMPTON, CHRISTINA CHOATE MENTAL HEALTH @ 10/13/19 SHORT AND DAUGHERTY ASSISTANT ATTORNEY GENERAL 405 20WC 08230 JAY, JUSTIN FRANKLIN COUNTY HOUSING A 01/26/19 KIRKPARTICK LAW OFFICES GOLDBERG & SEGALLA LLP 406 20WC 08262 JACKSON, DWAYNE L MCBRIDE MACK INC 12/31/19 BRADY, CONNOLLY & MASUDA, 407 20WC 08349 WALTER, TERESA CASEY'S 02/25/20 WOMICK LAW FIRM CHTD 408 20WC 08355 BASDEN, GWENDOLYN KROGER 12/05/19 MICHAEL MILES 409 20WC 08365 MYERS, MARIAN DYNO NOBEL 08/01/19 RICH RICH COOKSEY & CHAPPE 410 20WC 08448 DIGGINS, CAYLE CITY OF PINCKNEYVILLE 01/30/20 HARRIS & JONES INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 20WC 08734 BROWNING, GILBERT PEABODY COAL WILDCAT HILL 12/13/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 412 20WC 08752 MCREYNOLDS, TRAVIS SHAWNEE CORRECTIONAL CTR @ 03/11/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 413 20WC 08953 GRANT, MICHAEL WILLIAMSON CNTY HIGHWAY D 03/06/20 RON D COFFEL & ASSOC 414 20WC 09243 WRIGHT, ANGELA HARRISBURG CUSD #3 02/13/20 HOWERTON, DORRIS & STONE BRADY, CONNOLLY & MASUDA, PC 415 20WC 09269 FORD, JUSTIN SO IL SECURITY CONSULTANT 01/15/20 RICH RICH COOKSEY & CHAPPE BRYCE DOWNEY & LENKOV LLC 416 20WC 09392 BOWLBY, MARK AMERICAN COAL 06/17/17 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 417 20WC 09714 MORGAN, BRIAN GREENLAND ENTERPRISES INC 12/17/19 DWORKIN AND MACIARIELLO 418 20WC 10074 STANTON, JAMES WRIGHT PROPERTY MANAGEMEN 11/27/19 WOMICK LAW FIRM CHTD BRADY, CONNOLLY & MASUDA, PC 419 20WC 10825 MARTIN, JAMES A RICKY WARD 01/16/20 JAMES RUPPERT 420 20WC 10915 BLISSETT, DONALD MERIDIAN CUSD #101 10/03/19 LAW OFFICE OF JEROME SALMI 421 20WC 10978 HOLDER, KEITH GILSTER MARY LEE CORP 09/16/19 RICH RICH COOKSEY & CHAPPE 422 20WC 11182 MOORE, JACK KNIGHT HAWK COAL, LLC 01/03/20 CULLEY & WISSORE CRAIG & CRAIG 423 20WC 11239 WOODS, LORRAINE E JONESBORO REHABILITATION 02/28/20 EDWARD EYTALIS STEPHEN P. KELLY 424 20WC 11642 KEMPFER, JAMES GILSTER MARY-LEE 10/22/19 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 425 20WC 11692 MONROE, CLARENCE GILSTER MARY LEE 05/08/17 SHORT AND DAUGHERTY 426 20WC 11734 VALENTINE, JASON EATON CORPORATION 04/01/20 GLASS & KOREIN LEAHY EISENBERG & FRAENKEL 427 20WC 13076 DREW, KYLE CITY OF HARRISBURG 09/02/19 SHORT AND DAUGHERTY RUSIN & MACIOROWSKI LTD 428 20WC 13140 HOWELL, ROBERT STATE OF ILLINOIS @ 03/19/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 20WC 13337 GIBSON, JAMES CAIRO SCHOOL DISTRICT 1 02/23/18 MUELHAUSEN & STEFANI HENNESSY & ROACH, PC 430 20WC 13340 GIBSON, JAMES CAIRO SCHOOL DISTRICT 1 04/07/18 MUELHAUSEN & STEFANI HENNESSY & ROACH, PC 431 20WC 13508 TOLIVER, JOHN PRYSMIAN GENERAL CABLE 04/24/19 HARRIS & JONES KEEFE CAMPBELL BIERY & ASSOC 432 20WC 13583 PHILLIPS, COREY CONSOLIDATED GRAIN & BARG 03/02/20 RICH RICH COOKSEY & CHAPPE 433 20WC 13875 RAMBERT, DAWN CASEY'S GENERAL STORES, I 12/30/19 LAWLER & LAWLER 434 20WC 13909 LUTES, JUDI GENERAL DYNAMICS 05/04/20 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 435 20WC 14345 DEAN, KELIA B ST OF IL- CHOATE MENTAL H @ 03/20/20 CHATHAM & BARICEVIC 436 20WC 14444 WALKER, GARY GANDER RV & OUTDOORS 05/12/20 KEEFE & GRIFFITHS PC QUINTAIROS PRIETO WOOD & BOY 437 20WC 14693 KINER, KEITH ST OF IL/CHESTER MENTAL H @ 01/20/20 RICH RICH COOKSEY & CHAPPE 438 20WC 15065 DODDS, MARSHALL B EATON CORPORATION 05/01/20 HASSAKIS & HASSAKIS PC LEAHY EISENBERG & FRAENKEL 439 20WC 15132 YUNKER, JASON CITY OF WEST FRANKFORT 01/14/20 RON D COFFEL & ASSOC 440 20WC 16084 FANN, ROBERT EAST SIDE LUMBER YARD SUP * 02/11/20 TIM DENNY LLC RIPES NELSON BAGGOT KALOBRAT 441 20WC 16210 PRINCE, DONNIE COAL FIELD CONSTRUCTION * 11/28/18 LITCHFIELD CAVO 442 20WC 17177 DEMUTH JR, PAUL JOSEPH THORNTON AUTO CRUSHING, L * 02/19/17 LAW OFFICE OF JEROME SALMI 443 20WC 17420 REYNOLDS, JACOB ST OF IL/IL DEPT OF TRANS @ * 06/09/20 RICH RICH COOKSEY & CHAPPE 444 20WC 17606 LEEPER, CHARLES AMEREN * 03/27/20 RICH RICH COOKSEY & CHAPPE LEMP & MURPHY 445 20WC 17639 ETHRIDGE, ROBERT STATE OF IL/ SHAWNEE C.C. @ * 06/19/20 RICH RICH COOKSEY & CHAPPE 446 20WC 17802 BARRON, VICKY J MAC'S CONVENIENCE STORES, * 05/28/20 THE BEARD LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 20WC 17826 FIERS, CHRISTOPHER L CAESAR'S ENTERTAINMENT D/ * 02/21/20 JAMES RUPPERT NOBLE & ASSOC 448 20WC 17834 RICH, CIRGIL ALLEN ROYAL BROWN BOTTLING CORP * 03/04/19 JELLIFFE DOERGE PHELPS 449 20WC 17857 HUMPHRIES, JAMES GILBERT PILOT TRAVEL CENTERS * 06/28/20 HOWERTON, DORRIS & STONE 450 20WC 18877 FUNES, EDWIN BRANDON WILLIAMS CONSTRUC * 06/30/20 SAM C MITCHELL & ASSOCIATE 451 20WC 18913 THEIS JR, HOWARD UNION COUNTY HWY DEPT * 03/03/20 LAWLER & LAWLER 452 20WC 19235 SCHNOEKER, DEREK CHESTER MENTAL HEALTH CEN * 10/11/19 RIDGE & DOWNES 453 20WC 19597 OLDHAM, TIM CITY OF OLD SHAWNEETOWN * 04/30/20 HECTOR MORALES KEEFE & DEPAULI 454 20WC 19666 WINTERS, DARREN HARDIN COUNTY HWY DEPT * 08/01/20 KEEFE & DEPAULI 455 20WC 19881 COOLEY, RUSS PINCKNEYVILLE CC @ * 04/12/20 RICH RICH COOKSEY & CHAPPE 456 20WC 19941 REYNOLDS, JACOB IDOT @ * 07/28/20 RICH RICH COOKSEY & CHAPPE 457 20WC 19986 ROBERTS, LISA PINCKNEYVILLE COMMUNITY H * 07/15/19 WOMICK LAW FIRM CHTD 458 20WC 20055 PEERMAN, TIM ST MOTOR EXPRESS * 03/19/20 TIM DENNY LLC KOPKA, PINKUS DOLIN, PC 459 20WC 20076 CUE, PATRICK FRONTIER * 07/29/20 BONIFIELD & ROSENSTENGEL P BRADY, CONNOLLY & MASUDA, PC 460 20WC 20119 JAUSEL, SCOT CHESTER MENTAL HEALTH @ * 12/03/19 RICH RICH COOKSEY & CHAPPE 461 20WC 21655 LEMAY, FRED R JR. CORTECH LLC * 06/29/19 JAMES RUPPERT 462 20WC 21945 BAYER, JOHN WHITE STALLION ENERGY, LL * 11/04/19 LITCHFIELD CAVO 463 20WC 22821 HEAPE, DENNIS W KNIGHT HAWK COAL, LLC * 06/01/20 DEVIN M JONES 464 20WC 22966 TREXLER, SUSAN SOUTHERN IL HEALTHCARE * 11/30/19 RICH RICH COOKSEY & CHAPPE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CANTRELL, LINDA JEAN 025 ARBITRATION CALL FOR HERRIN 13002 ON 11/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 465 20WC 22983 BICKET, TRISHA STATE OF ILLINOIS/ @ * 10/19/19 RICH RICH COOKSEY & CHAPPE 466 20WC 22997 SANDERS, LOXIE U III AUTOZONE * 06/17/20 RON D COFFEL & ASSOC 467 20WC 23011 HALL, REGINA A HARRISBURG MEDICAL CENTER * 11/03/18 FEIRICH MAGER GREEN & RYAN 468 20WC 23510 PORTEE, GABRIEL M PEABODY ENERGY * 08/22/17 HASSAKIS & HASSAKIS PC 469 20WC 23770 SANDERS, DEANNA UPS * 07/08/20 SAM C MITCHELL & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 20690 RUTECKI, JOHN EDWARD SCOTSMAN ICE SYSTEMS 03/18/98 STEVEN J SEIDMAN LAW OFFIC COZZI & GOGGIN-WARD 2 06WC 27848 KIMURA, HEATHER L ABBOTT LABORATORIES, 09/08/05 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 06WC027849 -C 06WC052113 -C 3 06WC 51831 JASSO JR, MAURO TOWNSHIP HIGH SCHOOL DIST 08/01/05 NEWLAND & NEWLAND & NEWLAN SCOPELITIS GARVIN LIGHT 06WC051871 -C 07WC027823 -C 13WC001894 -C 13WC001895 -C 4 07WC 19527 STALLINGS, DALIA WIDW/NXT H&H HOMES TESTING 06/25/06 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 18WC034335 -C H & H HOMES TESTING 5 07WC 27873 JONES, SOLOMON W BEST BUY 05/14/07 THOMAS R LICHTEN INMAN & FITZGIBBONS 09WC030568 -C 13WC042071 -C 6 07WC 55813 MEDINA, FERNANDO RENT A CENTER, INC 04/03/07 LINN & CAMPE LTD GILDEA, COGHLAN & REGAN LTD. 07WC056025 -C 07WC056480 -C 7 08WC 05039 GOLLAY, JACQUELINE ST OF IL DEPARTMENT OF @ 01/11/08 CULLEN, HASKINS, NICHOLSON ASSISTANT ATTORNEY GENERAL 8 08WC 15587 KORMANY, KRISTINA, FOR ES A TECH STUCCO EIFS CO W 03/19/07 JAMES M RIDGE LAW OFFICE 9 09WC 06127 JONES, KIMBERLY STATE OF ILLINOIS @ 11/24/06 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC038535 -C 10 09WC 23830 19B FERNANDEZ CARRENO, JOSE FETCO 10/10/06 HANNIGAN & BOTHA, LTD LORENZ & BERGIN PC 11 09WC 28235 KANE, JOAN ALDI 06/15/09 LEE A CAMPBELL LAW OFFICE BRADY CONNOLLY & MASUDA PC 15WC001145 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 10WC 35557 ORTIZ, OCTAVIO CITY OF HIGHLAND PARK 05/01/08 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 10WC035558 -C 11WC028676 -C 11WC034477 -C 13 10WC 38048 VELAZQUEZ, JOSE MATILDE N C & M RECYCLING INC 07/16/10 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 10WC038049 -C 14 11WC 04165 ILLANA, MARILU WMS GAMING 11/12/10 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 15 12WC 22143 ORTIZ, CATALINA PARKER HANNIFIN CORP 04/24/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 13WC029622 -C 16 12WC 27487 ORTIZ, MANUEL ARCHITERRA @ W 03/30/12 SOSTRIN AND SOSTRIN PC MATTHEW LICAVOLI 17 13WC 06065 ROLDAN, ALBERTO UNISTAFF INC 01/18/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 18 13WC 11058 MACHUCA, MARTHA HAAPENEN BROTHERS 02/27/13 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 19 13WC 15153 SLOVAK, TIMOTHY ILLINOIS MASONRY 01/19/12 NEWLAND & NEWLAND STONE & JOHNSON CHARTERED 20 13WC 19602 THOMAS, KATHLEEN MARIO TRICOCI HAIR SALONS 12/13/12 BOWMAN & CORDAY COZZI & GOGGIN-WARD 14WC015601 -C 21 13WC 31972 BRAN, CARLOS CARLOS BRAN REMODELING 10/09/12 LINN, CAMPE & RIZZO LTD 22 13WC 40740 ERGISH, HEATHER LINCOLNSHIRE MARRIOTT RES 12/04/11 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 23 14WC 00252 KROPP, CLARENCE E KILDEER POLICE DEPT 12/07/13 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 24 14WC 03883 CARON, CRAIG ST OF IL DEPT TRANSPORTAT 01/25/14 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 25 14WC 04889 YOUNG, TONJUA LAKESIDE TRANSPORTATION 11/07/13 SEIDMAN MARGULIS & FAIRMAN GALLIANI DOELL & COZZI LTD 26 14WC 07338 PADGETT, DENNIS ABBVIE 02/11/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 27 14WC 10000 FLETCHER WILSON, WANIKEE ANN KILEY DEVELOPMENTAL C 02/18/14 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 14WC 10514 WILLEMS, TIMOTHY J JELLY BELLY CANDY COMPANY 02/13/12 NEWLAND & NEWLAND LAW OFFICE OF LAWRENCE COZZI 29 14WC 24167 BLOOM, MICHAEL J GREATER ROUND LAKE FIRE 08/26/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 30 14WC 24348 SCHULTZ, DANIELLE M GROVE AT THE LAKE INC 06/06/14 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 31 14WC 28363 PODLESH, ADAM CHICAGO BEARS FOOTBALL CL 04/10/13 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 15WC007751 -C 32 14WC 34145 HUERTA, MARIA L WEALSHIRE 09/18/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 33 14WC 34398 BRENNER, DIANA JEWEL FOOD STORES 07/27/14 PETER C KOPOULOS BRADY CONNOLLY & MASUDA PC 17WC015232 -C 34 14WC 38552 19B MAYER, GREGORY SLEEPYS LLC 01/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 35 15WC 04482 MANGINI, ROBERTA PHILLY G'S, LTD 12/31/14 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 18WC030530 -C ATLAS STAFFING 36 15WC 05712 BURNS, CHARLOTTE DAVITA LAKE VILLA DIALYSI 02/09/15 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 37 15WC 08416 MACHUCA, MARTHA HAAPENEN BROTHERS 02/17/15 MC HARGUE & JONES ROSARIO CIBELLA 38 15WC 16622 HERNANDEZ, JUAN MVP STAFFING, INC 05/04/15 CULLEN HASKINS NICHOLSON KOREY RICHARDSON LLC 39 15WC 17343 TORRES, MARIA GARDEN FRESH MARKET & STA W 05/11/15 MARKS INJURY LAW KOPKA, PINKUS DOLIN, PC 40 15WC 18966 VINAS, MARIA T. COUNTY OF LAKE 03/18/15 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 41 15WC 24664 AMBROCIO, ANA MARIA MVP 04/18/15 JOHN S. ELIASIK KOREY RICHARDSON LLC 42 15WC 25149 MICHALOWSKI, TIMOTHY A FED EX 11/24/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 43 15WC 26662 OCHOA, MARIA G. COLEMAN CABLE - SOUTHWIRE 04/20/15 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 44 15WC 26663 SIMMONS, RENITA L. COMMUNITY H. S. DISTRICT 01/28/15 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 15WC 26667 ODISHOO, ANN M. LEARN CHARTER SCHOOL NETW 02/11/15 LINN, CAMPE & RIZZO LTD LAW OFFICES JOSEPH MARCINIAK 46 15WC 26883 RAMIREZ, WILBER PHOENIX LOCAL MOVERS W 07/13/15 JOHN S. ELIASIK 47 15WC 26946 GEZZER, ROBERT J COBBLESTONE OVENS INC 12/22/14 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 48 15WC 29211 BODNAR, ANDRII TOWER COMMUNICATIONS EXPE 08/16/15 NEWLAND & NEWLAND KRAKER FANNING & OLSEN 49 15WC 29775 RAMIREZ, ROSA V MEDLINE INDUSTRIES 07/23/07 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 15WC029776 -C 50 15WC 32225 VAZQUEZ, RUBEN WEISS DEVELOPMENT CORP. 01/06/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 51 15WC 32789 WHITE, KEVIN CHICAGO BEARS FOOTBALL CL 06/15/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC021210 -C 18WC021211 -C 18WC021212 -C 52 15WC 34414 HIDALGO, MAYELI XCEL STAFFING 09/17/15 MC HARGUE & JONES KOREY RICHARDSON LLC 53 15WC 35395 MILLER, THOMAS GOLAN'S MOVING STORAGE 09/16/15 LEONARD LAW GROUP LLC ROBERT L. SMITH 15WC035396 -C 54 15WC 36826 ROBINSON, BRYANT ENVIROMENTAL HAZARD CONTR 08/19/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 55 15WC 37139 GALLARDO, ELENA HOLIDAY INN EXPRESS 08/14/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 56 15WC 39716 VALESCO, RAFAEL GLENBROOK GROUP INC 10/17/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 57 15WC 42005 GIRON, DORA D&W FINE PACK 12/05/15 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 16WC012205 -C 58 15WC 42267 LENCZUK, KATHIE MARIANO'S 06/05/15 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 59 16WC 03212 BUTLER, WANDA FREEDOM HOME HEALTH CARE 11/16/15 JONATHAN SCHLACK GALLIANI DOELL & COZZI LTD 60 16WC 03526 MEDINA, ROBERT ALERIS, INTERNATIONAL 11/25/15 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 16WC 04237 JOLLY, CORETTA LAKESIDE TRANSPORTATION 01/04/16 WOODRUFF & JOHNSON GALLIANI DOELL & COZZI LTD 62 16WC 05826 REED, SUSAN AON CORP 02/26/13 ADELSON TESTAN BRUNDO 63 16WC 07574 GOMEZ, KIMBERLY THE MAIDS OF LAKE COUNTY 05/24/13 COHN & COHN BRADY CONNOLLY & MASUDA PC 64 16WC 07646 NUNEZ REYES, EDGAR PERSONNEL STAFFING GROUP, 02/25/16 KOREY RICHARDSON LLC 65 16WC 08846 FLORES, ENRIQUE ROBERTO LABOR SOLUTIONS, INC. 07/06/15 PETER LEKAS MC ANDREWS & NORGLE LLC 66 16WC 09006 MILLER, RICKY AMERIGAS PROPANE, INC. 12/24/15 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 67 16WC 10133 PERNICE, DEBORAH J PRO SOURCE WHOLESALE FLOO 01/30/15 GORDON & CENTRACCHIO LLC COZZI & GOGGIN-WARD 68 16WC 10672 PITA, JUANA L ESIS 03/08/16 DEPAOLO ZADEIKIS GORE BRYCE DOWNEY & LENKOV LLC 69 16WC 11229 MORALES, DELIA ANDREWS STAFFING 03/15/16 GOLDSTEIN BENDER & ROMANOF SLAVIN & SLAVIN 70 16WC 11328 CHAPMAN, MARY NORTHSHORE UNIV HEALTHCAR 10/28/15 SCOTT BARBER KEEFE CAMPBELL & ASSOC LLC 71 16WC 13978 HAHLE, JAMES P ROUNDY'S INC 04/16/16 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 20WC010796 -C 20WC010797 -C 72 16WC 19104 RIVERA, NORMA HORIZON WINDOW FASHIONS 03/13/16 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 73 16WC 21130 RUNDE, MARILYN COLLEGE OF LAKE COUNTY 02/07/13 HANNIGAN & BOTHA, LTD SCHOUEST BAMDAS SOSHEA 74 16WC 21941 WEIS, MARIANNE MARIANO'S 05/27/16 SMOLER LAW OFFICE, PC BRYCE DOWNEY & LENKOV LLC 18WC023041 -C AMAZON 75 16WC 22432 LOCKE, GILBERT L WALMART 05/09/15 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 76 16WC 23955 NAVARRETE, YOLANDA ELITE STAFFING 07/21/16 MC HARGUE & JONES MARC CAIRO 77 16WC 24240 MALDONADO, HORTENSIA ECHO INCORPORATED @ 02/11/16 LAW OFFICE OF SCOTT B SHAP WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 78 16WC 24948 FLOWERS, JONTELLE S COMMUNITY ACTION PARTNERS 08/03/16 TOPPER & WEISS LTD 79 16WC 25188 SCHWAB, CAROL WAUKEGAN PUBLIC SCHOOL 08/18/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 80 16WC 25639 CYCHOSZ, MICHELLE BELLWOOD INDUSTRIAL, INC 10/09/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 81 16WC 26938 LYNN, MICHAEL HOME DEPOT 07/02/16 TAMVAKIS, GEORGE L ADELSON TESTAN BRUNDO 82 16WC 28075 MALDONADO, NELSON NORTHFIELD BLOCK COMPANY 05/10/16 HART & DAVID LLP COZZI & GOGGIN-WARD 83 16WC 28127 CARRILLO, IRENE ELITE LABOR SERVICES, LTD 06/30/16 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 84 16WC 28335 BAEZ, IRMAL LAKE COUNTY HEATH DEPT 06/20/16 COSTA IVONE LLC SMITH AMUNDSEN LLC 85 16WC 28443 ESCOBAR-MEDINA, JOSE SIGMA SERVICES CORP 06/20/16 SOSTRIN AND SOSTRIN PC ACCIDENT FUND HOLDINGS 18WC010779 -C 86 16WC 28523 AMBROCIO, ANA MARIA MVP 08/03/16 JOHN S. ELIASIK 87 16WC 30599 ALMAZAN, LUCIA ELITE STAFFING INC 07/13/16 MARKS INJURY LAW 88 16WC 31351 ORTIZ-GOMEZ, MARIE S MCDONALD'S 05/02/15 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 89 16WC 31677 VINIKOOR, CHERYL NORTHSHORE UNIVERSITY 07/26/16 ROBIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 90 16WC 32711 HALL, DARLENE, ADMIN FOR JONES LANG LASALLE 10/10/16 NEWLAND & NEWLAND 91 16WC 33636 YONIN, KRISTO G HEALTH SOURCE OF NORTHSHO 01/18/15 BARGANSKA LAW EVANS & DIXON 92 16WC 34168 LOPEZ-AGUILERA, ROGELIO WAUKEGAN STEEL, LLC 09/14/16 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 93 16WC 34504 COLLINS, MARIAN STATE OF ILLINOIS - ANN K @ 06/29/16 KARCHMAR & STONE ILLINOIS ATTORNEY GENERAL 94 16WC 34806 DOTEN, PATRICIA A RAVINIA FESTIVAL ASSOCIAT 08/07/14 SHELDON I MINKOW & ASSOCIA CAPUANI, FRANK S 95 16WC 35369 CASTRO, JOSE WEST ROCK 12/08/15 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 16WC 35787 MOLIDOR, SANDRA J VILLAGE OF ROUND LAKE BEA 06/16/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 97 16WC 35788 MOLIDOR, SANDRA J VILLAGE OF ROUND LAKE BEA 06/17/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 98 16WC 36413 HERNANDEZ, FELIPA ANDREWS STAFFING 11/13/16 JONATHAN SCHLACK SLAVIN & SLAVIN 99 16WC 36595 ELLIOTT, HEATHER HEARTLAND BANK AND TRUST 02/04/16 DEPAOLO & ZADEIKIS COZZI & GOGGIN-WARD 100 16WC 37320 MELENDEZ, CARMEN STATE OF IL & ANN KILEY C @ 10/21/16 BAUM RUFFOLO & MARZAL LTD ILLINOIS ATTORNEY GENERAL 101 16WC 37727 CURLES, DEAN SIX FLAGS GREAT AMERICA 10/22/15 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 102 16WC 38678 VAZQUEZ, RUBEN WEISS DEVELOPMENT CORP 01/15/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 103 16WC 38795 SMITH, CATHY JEWEL OSCO 10/15/15 LEO M. BLEIMAN & ASSOC WIEDNER & MCAULIFFE LTD 18WC009271 -C 104 16WC 39076 LISS, VALERIE A VILLAGE OF ROUND LAKE 09/02/16 STROM, NEAL B RUSIN & MACIOROWSKI LTD 105 16WC 39379 WOOD, DAWN QUORUM HEALTHCARE 11/03/16 TAMVAKIS, GEORGE L POWER & CRONIN LTD 106 17WC 00005 FLORES, ANA XCEL PERSONNEL 11/20/16 COSTA IVONE LLC GILDEA & COGHLAN 107 17WC 00384 ALONSO, ORALLA ANDREWS STAFFING 12/19/16 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 108 17WC 02161 REIMHOLZ, CANDICE ATHLETICO OF GRAYSLAKE, L 11/10/16 MARKHAM M JEEP & ASSOCIATE LAW OFFICES OF EDWARD J. KOZ 109 17WC 02291 ASLETT, WILLIAM BURGER EXCAVATION 10/24/16 SCOTT B SHAPIRO WOLFE & JACOBSON, LTD 110 17WC 03864 CAPPELLO, ARON KOBAC 09/20/16 TAMVAKIS, GEORGE L BORGELT POWELL 111 17WC 03974 VEGA, LEOBARDO VAN ZELST, INC 05/12/14 GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 17WC 04077 CHAVEZ, ANTIOCO EMBERS 11/04/16 KATZ FRIEDMAN EAGLE ET AL 113 17WC 04530 JONES, JUDITH RENTOKIL NORTH AMERICA 06/20/16 JAMES P. TUTAJ INMAN & FITZGIBBONS 17WC017981 -C 114 17WC 05701 VIEYRA, JORGE WAUKEGAN STEEL 12/20/16 ENCINAS & ORNELAS POWER & CRONIN LTD 115 17WC 06313 HERRERA, ANA Y SURESTAFFING INC LOANING 02/06/17 SALK, STEVEN B & ASSOC LTD SURE-STAFF 116 17WC 06380 OGDEN, JOANNE NORTHWESTERN LAKE FOREST 05/12/15 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 117 17WC 07101 MCMAHON, JAMES MEDLINE INDUSTRIES 10/25/16 ROBBINS & ROBBINS LTD GAROFALO SCHREIBER STORM GRA 118 17WC 07676 VLADIVIAS, NORMA XCEL STAFFING SOLUTIONS 01/18/17 FERRIS THOMPSON & ZWEIG POWER & CRONIN LTD 119 17WC 08182 SIMMONS, RENITA L COMMUNITY HS DIST 117 01/04/17 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 120 17WC 08802 REYES, BERNARDINO HN PERCISION & TRAVELERS 04/08/14 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 121 17WC 09072 SOSA, NICO TRANE AIR CONDITIONING 03/07/17 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 17WC009073 -C 122 17WC 09290 GRAHOVAC, CLAUDIA X ELITE LABOR SERVICES FABT 03/13/17 COSTA IVONE LLC 123 17WC 09747 LAVRISA, CAROLE PETCO 02/12/17 HANNIGAN & BOTHA, LTD ROSARIO CIBELLA 124 17WC 10188 DWORIANYN, TIMOTHY M AWESOME DYNAMIC TECH SOLU 02/03/17 ROBERT EDENS LAW OFFICES OF EDWARD J. KOZ 125 17WC 10613 BARTH, GEORGE ABLE ENGINEERING 10/01/15 LEO ALT MICHAEL JASPER 126 17WC 11149 KANIA, TERESA M UNITED AIRLINES 09/19/16 LINN, CAMPE & RIZZO LTD 127 17WC 12071 GUERRERO, ROBERT CONCRETE STRUCTURES OF TH 10/25/16 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 128 17WC 12272 KASHUL, PETER TARGET CORPORATION 05/26/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 129 17WC 12476 COHEN, HEATHER AON HEWITT 09/12/16 JASON HAUCK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 17WC 12670 LOPEZ-ORTIZ, MIGUEL 5 STAR CONCRETE CONTRACTI 07/25/16 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 131 17WC 13904 AYALA, JOSE REFUGIO WOODLAWNS LANDSCAPING CO 04/22/17 JAMES ELLIS GUMBINER & ASS JONATHAN SCHLACK 132 17WC 13915 RICHMOND, SIMONE REAL URBAN BBQ 05/04/17 DWORKIN AND MACIARIELLO GRIFFIN, LORETTA M LAW OFFIC 17WC014168 -C 133 17WC 14169 RICHMOND, LISA MARIANO'S 10/16/16 POLANSKY & CICHON CHTD BRYCE DOWNEY & LENKOV LLC 134 17WC 14360 DELEON, ANAHI LIBERTYVILLE CHEVROLET, I 01/15/15 JASON HAUCK 135 17WC 14625 PYSZKA, HENRYK ITALIAN MARBLE & GRANITE 03/28/17 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON 136 17WC 14678 BEINLICH, MICHAEL W. GB SPRINKLER SYSTEMS, INC 11/09/16 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 137 17WC 15847 DAVID, LAUREN NORTH SHORE 08/03/16 SEIDMAN MARGULIS & FAIRMAN GOLDBERG SEGALLA LLC 17WC015848 -C 138 17WC 16957 LI, GUANGDA HONG KONG CHINESE RESTAUR 06/10/15 JOHN S. ELIASIK 139 17WC 17363 WENTZEL, KEVIN PENNY'S REPAIR SVC 04/20/16 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 140 17WC 17624 HUNTER, ROBERT 901 MLK MED MENTUM 06/13/14 141 17WC 17678 EICHELBERGER, CYNTHIA KELSO BURNETT COMPANY 09/18/15 MARKHAM M JEEP & ASSOCIATE CACCHILLO LAW GROUP LLC 142 17WC 17734 JOHNSON, CHARLES ELITE STAFFING I NC 05/25/17 MARKHAM M JEEP & ASSOCIATE GOLDBERG SEGALLA LLC 143 17WC 18324 CAMACHO, JAZMIN MCDONALD'S 02/07/17 CULLEN HASKINS NICHOLSON 144 17WC 18325 CAMACHO, JAZMIN MCDONALD'S 05/23/17 CULLEN HASKINS NICHOLSON 145 17WC 18589 OCAMPO, MARIA GUCKENHEIMER 03/17/17 LAW OFFICES MICHAEL HELLMA 146 17WC 18648 CRUZ, EDITH DUNKIN DONUTS 10/08/15 RUEDA, IVAN A 147 17WC 20342 KEYFAUVER, JAMES IRVING ELLEFSEN & SONS 06/07/17 POLANSKY & CICHON CHTD JASON HAUCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 148 17WC 20643 CARAWAY, SHERRY COUNCIL FOR JEWISH ELDERL 04/25/17 CHARLES A FANUCCHI LAW OFFICES JOSEPH MARCINIAK 149 17WC 20918 CORONEL, FAVIOLA LA UNION 05/09/17 LARRY FLEISCHER & ASSOCIAT 150 17WC 20947 ALBARRAN, JORGE SMART TEMP,INC 10/20/15 ANTHONY J MAY 151 17WC 21350 MONESTEL, LUIS LACUNA'S TREE SERVICE, IN @ W 07/15/17 KATZ FRIEDMAN EAGLE ET AL DWORKIN AND MACIARIELLO 152 17WC 21628 19B BALTHAZOR, JAMES QUALITY SAW & SEAL 09/09/16 KROL BONGIORNO & GIVEN LTD QUINTAIROS PRIETO WOOD & BOY 153 17WC 22433 MONTONERA, KATHLYNN JOY ETC PRESCHOOL 07/07/17 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 154 17WC 22793 QUIJADA, RODOLFO MEADE ELECTRIC 07/24/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 155 17WC 23231 HERBST, CHARLES W GREENSLATE 07/07/17 SOSTRIN AND SOSTRIN PC LAW OFFICES OF EDWARD J. KOZ 156 17WC 24565 CRUZ DE OCHOA, ANA OHIO MEDICAL, LLC 02/09/17 MARKS INJURY LAW HOLECEK & ASSOCIATES 157 17WC 24591 VAZQUEZ, ANTONIO SURESTAFF, INC 06/22/17 COSTA IVONE LLC LOUIS MUNDY 158 17WC 25058 LANGHORST, DIANE CHICAGO SCENIC STUDIOS 05/07/17 CULLEN HASKINS NICHOLSON 159 17WC 25362 ARENIBAR, MIRANDA STATE OF ILLINOIS/DCFS @ 03/22/17 BARRY STEWART SILVER ASSISTANT ATTORNEY GENERAL 160 17WC 25742 PEREZ, VIRGINIA, GUARDIAN S&J TOWING AND RECOVERY, 03/26/17 MARKS INJURY LAW 161 17WC 26129 OHLSON, RICHARD MCHENRY LIMOUSINE SERVICE 04/20/17 TARADASH LAW OFFICE ROBERT L. SMITH 162 17WC 26347 HALCOM, DAVID WBR ROOFING 08/09/17 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 163 17WC 26499 MICHELINI, CYNTHIA NORTHSHORE EVANSTON HEALT 07/29/17 ROMANUCCI & BLANDIN KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 17WC 27297 NORMAN, MARY PACE 12/22/16 GRAVLIN, MICHAEL J LLC POWER & CRONIN LTD 165 17WC 27609 FIGUEROA-MALAVE, REINALDO MUELLER LANDSCAPE CO 08/21/17 AIOSSA LAW FIRM JOSEPH MARCINIAK 17WC027610 -C 19WC021259 -C 19WC021260 -C 166 17WC 28333 MUSLIMOVIC, SEFKET CENTRISYS CORPORATION 08/21/17 167 17WC 28422 REBOLLEDO, RICARDO SUPER FRESH MARKET & 08/10/17 DEPAOLO ZADEIKIS GORE 168 17WC 29511 SERZYNSKI, PAUL S LAKE COUNTY: DIVISION OF 05/15/15 HANNIGAN & BOTHA, LTD 169 17WC 29596 OCHOA, MANUEL MARTIN JOHN CO 08/01/17 JONATHAN SCHLACK QUINTAIROS PRIETO WOOD & BOY 17WC029597 -C 170 17WC 29798 LABONNE, JAMES J ZION POLICE DEPT 05/08/15 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 171 17WC 30369 WILLIAMS, CAROL LAKESIDE TRANSPORTATION 03/07/17 COSTA IVONE LLC 172 17WC 30453 BEUCHER, DANIEL VILLAGE OF LINDENHURST 02/02/15 HANNIGAN & BOTHA, LTD 173 17WC 30779 LEVANDOSKI, CYNTHIA HOME OWNERS BARGAIN OUTLE 05/22/17 VOGG, MARK J LAW OFFICE EVANS & DIXON 174 17WC 31091 VUONG, MILAGRO TRANSITIONAL CARE OF 12/07/16 FERRIS THOMPSON & ZWEIG 175 17WC 31094 FUENTES, CORAL ACCURATE PERSONNEL 10/16/17 FERRIS THOMPSON & ZWEIG JOHN T GONNELLA 176 17WC 31842 EICHELBERGER, CYNTHIA TITAN ELECTRIC, LLC 08/18/16 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 177 17WC 32393 GALLARD (SANCHEZ), EUNICE CHASE PROFESSIONALS 10/09/17 HERRERA LAW CENTER ADELSON TESTAN BRUNDO 178 17WC 33031 PADILLA, JORGE C WESTROCK 09/06/17 POSTERLI, OSCAR SPIEGEL & CAHILL, PC 179 17WC 33110 ZELAYA, MARCOS R.R. ADJUSTING & LOSS MAN W 10/21/17 TIMOTHY CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 17WC 33122 LUNA, JOSE CESAR M.R.V. LANDSCAPING INC 09/30/17 LARRY FLEISCHER & ASSOCIAT COHN & COHN 181 17WC 33310 ESCOBEDO, SAMUEL ROUND LAKE SCHOOL DISTRIC 10/18/17 CELSO FUENTES JR GOLDBERG SEGALLA LLC 17WC035577 -C 182 17WC 33549 MONROE, GINA ARBY'S-LUNAN CORPORATION 02/24/17 SAUNDERS CONDON & KENNY 183 17WC 34095 JONES, VIRGINIA A CHILD'S PLACE 11/06/15 POLANSKY & CICHON CHTD JOSEPH MARCINIAK 184 17WC 34174 MARTINEZ, ARMANDO EDDIE MERLOT'S RESTAURANT 07/23/17 MC HARGUE & JONES GILDEA, COGHLAN & REGAN LTD. 185 17WC 34419 GONZALES-GOMEZ, ADAN FISHER CONTAINER LLC/ADP 11/03/17 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 186 17WC 34973 ZABOLOTNEY, DIANA FIRST MIDWEST BANK 09/01/17 EDWARD J. KOZEL 187 17WC 35104 DELATORRE, STEVE PIONEER GREENSCAPE INC. 04/17/17 TARADASH LAW OFFICE GILDEA, COGHLAN & REGAN LTD. 188 17WC 35569 BUDAIR, SAM PROSPHERE LTD 11/13/17 COSTA IVONE LLC JOSEPH MARCINIAK 189 17WC 35883 CLAUSSEN, DEAN IN THE EST PIZZA HUT 11/22/17 DWORKIN AND MACIARIELLO 190 17WC 36127 RICE, MARLA M ALLIED UNIVERSAL 04/24/17 COHN & COHN GAROFALO SCHREIBER STORM GRA 191 17WC 36486 DUMYAHN, SHELIA ARAMARK 09/09/17 BARRY A KETTER INMAN & FITZGIBBONS 192 17WC 36924 BABIKAN, ELIZABETH UNIQUE FITNESS CONCEPTS, 09/18/17 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 193 17WC 37322 CASTILLO, VICTOR ANDREWS STAFFING 12/04/17 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 194 17WC 37854 DIONIDO, WANDA ADVOCATE CONDELL MEDICAL 09/25/17 STEWART C ORZOFF NYHAN BAMBRICK KINZIE & LOWR 195 17WC 37940 WARD, SHARON DOVENMUEHLE MORTGAGE INC 10/12/17 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 196 18WC 00732 TAYLOR, ANNETTE GOODWILL INDUSTRIES OF SE 12/22/17 AIOSSA LAW FIRM 197 18WC 00770 HERNANDEZ JR, JOSEPH SAB MOVING LLC 08/16/17 FIGLIOLI, DAVID CHRISTOPHER KREID & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 18WC 00795 LARREA, DAMIAN FEDEX 02/13/17 SHANNON LAW GROUP QUINTAIROS PRIETO WOOD & BOY 199 18WC 00971 HERRERA, EVELIN MEDLINE 03/01/16 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 18WC000972 -C 200 18WC 01007 PASTERNAK, ZYGMUNT RTS EXPRESS, INC # 08/24/17 MICHALSKI & GUBERNAT LAWRENCE COZZI - LAW OFFICES 201 18WC 01219 PAYTON, BRANDON THE ALTERNATIVE SOURCE ME 09/26/17 PAUL F PETERS 202 18WC 01362 CAMPBELL, PATRICE LAKE COUNTY BEHAVIORAL 01/08/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 18WC002280 -C 203 18WC 01998 BARTOLI, DAVID VILLAGE OF LAKE ZURICH 10/30/17 204 18WC 02141 SIGALA, JOSE RG CONSTRUCTION 10/24/17 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 205 18WC 02334 JACOBSEN, MARANDA L ADVOCATE HEALTH CARE 03/28/17 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 206 18WC 02559 HARRIS, BRAD ILLINOIS TOLLWAY 01/10/18 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 207 18WC 02699 FEES, CRAIG K ROBERT KINNUCAN TREE EXPE 11/01/17 TARADASH LAW OFFICE 208 18WC 03216 BORAWSKI, MACIEJ M DENNISON CONSTRUCTION C 01/22/18 209 18WC 03338 GUTIERREZ, EFRAIN MIDWEST FENCE 08/31/16 EAMES LAW GROUP LTD JOSEPH MARCINIAK 210 18WC 03621 STEFO, MICHAEL RMA MECHANICAL, INC. 12/26/17 AIOSSA LAW FIRM 211 18WC 03644 COLE, LATRISHA ILLINOIS DEPT OF HUMAN SV 02/02/16 AIOSSA LAW FIRM KRISTIN LEASIA 212 18WC 03819 COVENTRY, KAITLYN M TORRID, LLC 01/06/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 213 18WC 04032 MISPAGEL, RALPH GREAT LAKE PLUMBING & 06/21/17 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM GRA 214 18WC 04163 SOLANO SALGADO, OTILIO BCI ACRYLIC 11/30/17 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 215 18WC 04398 SAWIN, PATRICIA ANN WARREN-NEWPORT PUBLIC 02/28/13 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 216 18WC 04449 JONES, DIONCA LAKE COUNTY SHERIFF'S OFF 01/05/18 HANNIGAN & BOTHA, LTD SMITH AMUNDSEN LLC 217 18WC 04598 MARGALIT, NORMAN DESIGN CRAFT INC 02/01/18 COLLISON LAW OFFICES JOSEPH MARCINIAK 218 18WC 06134 SERNA, MANUEL JR. UNISTAFF INC. (LENDING) 12/27/17 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 219 18WC 06301 ARCUS, JODY COMMUNITY CONSOLIDATED 01/17/18 GRAHAM J. JEEP 220 18WC 06302 ARCUS, JODY COMMUNITY CONSOLIDATED 01/30/18 GRAHAM J. JEEP 221 18WC 06619 ALLISON, EDWIN P SURE STAFF 07/14/17 LINN, CAMPE & RIZZO LTD LOUIS MUNDY 222 18WC 06958 BABNIK, MONICA WAUKEGAN PUBLIC SCHOOLS D 01/17/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 223 18WC 07583 ZENAWICK, PAMELA MENARD'S 09/20/17 MC HARGUE & JONES EVANS & DIXON 224 18WC 07676 MOORE, CRAWFORD J LABOR SOLUTIONS 01/25/18 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 18WC025726 -C 225 18WC 08527 SUAREZ, MARTHA THE VISUAL PAK COMPANIES 12/07/17 MC HARGUE & JONES HOLECEK & ASSOCIATES 226 18WC 08837 MILLER, DAVID EXPRESS EMPLY PROFESSIONA 10/23/17 FERRIS THOMPSON & ZWEIG MC ANDREWS & NORGLE LLC 227 18WC 08941 CRAWFORD, MICHAEL DOUBLE P CORP D/B/A 01/15/18 MARKHAM M JEEP & ASSOCIATE GRIFFIN, LORETTA M LAW OFFIC 228 18WC 09096 MOTINO, EVA ALLSTAFF 03/14/18 AIOSSA LAW FIRM SLAVIN & SLAVIN 229 18WC 09317 CHRISTMAS, ANTHONY M ABBOTT LABORATORIES 12/18/17 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 230 18WC 09337 GANDHI, DHIREN V MORGAN BRONZE PRODUCTS, I 10/18/14 GARDI & HAUGHT 231 18WC 09472 PINEDO, MODESTO ERA TOOL AND MANUFACURING 03/12/18 GOLDBERG WEISMAN & CAIRO L 232 18WC 09701 LEONARD, JAUBOAH LABOR SOLUTIONS 11/03/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 233 18WC 09740 CASSIDY, MICHAEL WARREN TOWNSHIP HIGHWAY D 10/16/17 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 18WC 10137 OLKER, JESSICA HOME DEPOT 02/16/18 GOLDBERG WEISMAN & CAIRO L ADELSON TESTAN BRUNDO 235 18WC 10958 BURTON, KASEY VISITING ANGELS INC. 11/06/12 COSTA IVONE LLC WOLFE & JACOBSON, LTD 236 18WC 11298 CERVANTES, GRACIELA WILLIAM FRICK & CO 02/01/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 18WC011332 -C 237 18WC 11325 ARIZMENDI, CONSUELO GURNEE SCHOOL DISTRICT 56 04/12/17 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 18WC011347 -C 238 18WC 11346 SANCHEZ, BULMARO CONTRACTORS INC 06/07/17 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 239 18WC 11462 MIKELS, JEFF XPO LOGISTICS 03/22/18 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 240 18WC 11699 BUSTAMANTE, SYLVIA RON'S STAFFING SERVICE 04/11/18 SANDMAN LEVY & PETRICH 241 18WC 11749 CALLAHAN, ANTHONY M MAKI & ASSOCIATES 07/03/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 242 18WC 12423 GARCIA-GARCIA, URIEL WAUCONDA CAR WASH 02/05/18 SALK, STEVEN B & ASSOC LTD 243 18WC 12609 RODRIGUEZ, NICOLE L ZION ELEMENTARY SCHOOL DI 10/06/17 LINN, CAMPE & RIZZO LTD 244 18WC 12985 KALAHIKI, PAUL LAKEWOOD CARPENTRY SVS, I 05/10/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 245 18WC 13363 LANIER, SYLVIA BURLINGTON INC 07/15/17 STEINBERG, POLACEK & GOODM CHILTON YAMBERT PORTER LLP 246 18WC 13757 NOVAK, LEE ADVANCED DISPOSAL 01/18/18 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 247 18WC 13818 ALONSO, AGRIPINA PPC FLEXIBLE PACKAGING LL 04/06/18 GRAUER & KRIEGEL LLC JOSEPH MARCINIAK 248 18WC 13867 SHULL, JACK SHULL PLUMBING 01/23/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 249 18WC 13999 BARNES, PASTY R AON RISH SERVICES CO INC 05/02/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 250 18WC 14206 SALGADO, MARTIN GREG TREYSMAN INC 09/27/17 ROSS TYRRELL SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 18WC 14352 MOUSOURAKIS, GEORGIA SMEDBO, INC 09/19/16 ROBERT EDENS 252 18WC 14416 TOCHILHUITL, JOSE ASUNCIO CLARIDGE OPERATIONS LLC 04/11/18 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 18WC029564 -C 253 18WC 15292 SOTO, FAUSTO LORIG CONSTRUCTION COMPAN 03/17/18 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 19WC031454 -C 254 18WC 15493 VELASCO, STEPHANIE BANFIELD PET HOSPITAL 12/16/17 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 255 18WC 15544 RUFINO, FRANCISCO ROSBOROUGH PARTNERS INC 05/01/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 18WC015545 -C 256 18WC 15568 MORENO, GILBERTO NELS JOHNSON TREE EXPERTS 08/15/17 SOSTRIN AND SOSTRIN PC WOLF LAW LTD 257 18WC 15833 HURTADO, JESUS METAL MANAGEMENT 04/19/18 MARSZALEK AND MARSZALEK LAWRENCE COZZI - LAW OFFICE 258 18WC 16121 SOTO, MARIA CARMEN, WIDOW ROCCO FIORE & SONS, INC # 06/04/15 VOGG, MARK J LAW OFFICE 259 18WC 16215 GOLDA, EWA HONEYWELL ANALYTICS 03/08/17 KARP & ELLIS EVANS & DIXON 260 18WC 16739 STANEK, MICHAEL VILLAGE OF LIBERTYVILLE 03/01/18 DUDLEY & LAKE LLC 261 18WC 17062 MIKELS, JEFF XPO LOGISTICS 04/07/16 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 262 18WC 17367 PETERS, ROBERT D VILLAGE OF LIBERTYVILLE 01/12/17 HANNIGAN & BOTHA, LTD ANCEL GLINK DIAMOND BUSH & E 263 18WC 17678 WITT, SHARI LEXINGTON HEALTHCARE 04/25/18 TARADASH LAW OFFICE 264 18WC 17803 YOUNG, TERENCE IL DEPT OF HUMAN SERVICES 04/26/18 JEROME FOREMAN & ASSOCIATE KRISTIN LEASIA 265 18WC 18391 GALLEGOS, ALMA BAXALTA, INC 10/15/16 POSTERLI, OSCAR BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 18WC 18531 VOVILLIA, REBECCA JEWEL OSCO 05/15/18 TAMVAKIS, GEORGE L WIEDNER & MCAULIFFE LTD 267 18WC 19087 MANN, DAVID W JELLY BELLY CANDY INC 12/01/15 LINN, CAMPE & RIZZO LTD LAWRENCE COZZI - LAW OFFICE 18WC019094 -C 18WC019095 -C 18WC019195 -C 268 18WC 19318 LONG, JEFFREY PIEPER ELECTRIC, INC 04/09/18 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 18WC019319 -C 269 18WC 19898 ABSIL, AILEEN LAKE COUNTY HEALTH DEPART 09/12/17 LUSAK AND COBB WOLFE & JACOBSON, LTD 270 18WC 20219 HERNANDEZ, GEORGE DK CONTRACTORS 06/29/18 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 271 18WC 20361 GONZALEZ, ELIGIO COMMERCIAL PLASTICS CO 11/27/17 GERALD CONNOR EDWARD J. KOZEL 272 18WC 20428 DIXON, CHERYL LAKE COUNTY SPECIAL EDUCA 03/02/18 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 273 18WC 20596 INFANTE, GUILLERMINA POTBELLY SANDWICH SHOP 08/21/17 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 274 18WC 20978 TURNER, ABIGAIL ABBVIE 01/03/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 275 18WC 21043 CRUZ, ANGELICA FRANCISCAN COMMUNITITES I 05/04/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 276 18WC 21254 SLOTTAG, MICHAEL ACE HARDWARE 06/14/18 HANNIGAN & BOTHA, LTD KLAUKE LAW GROUP LLC 277 18WC 21393 SEARCY, ELDARADA SUNRISE SENIOR LIVING 06/07/18 ASHER, RAYMOND L LTD NOBLE & ASSOC 278 18WC 21502 PRINTIS, MARK REVCON CONSTRUCTION CORP 06/21/18 JAMES ELLIS GUMBINER & ASS 279 18WC 21525 ESPARZA, ANTONIO JOSE GONZALEZ LANDSCAPING 08/01/17 JOHN S. ELIASIK STEIN & CHERNY LTD 280 18WC 21759 MURRAY, PATRICK J ABM INDUSTRIES INC 06/30/18 CULLEN HASKINS NICHOLSON ASA LAW GROUP 281 18WC 21941 CLARK, SACRETTA PACE 07/10/18 BRISKMAN BRISKMAN GREENBER 282 18WC 22043 KADLUBOSKI, BRIAN MATTHEWS PROFESSIONAL 02/13/18 MARKHAM M JEEP & ASSOCIATE 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 GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 18WC 22281 PLUMLEY, ZOILA R ADVOCATE CONDELL MEDICAL 05/24/18 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 284 18WC 22387 ORTEGA, FROILAN HOMER TREE SERVICE 05/08/18 DUDLEY & LAKE LLC GAIDO & FINTZEN 285 18WC 22490 HERRERA, RAMON MRS. V'S RESTAURANT 05/23/18 COSTA IVONE LLC GANAN & SHAPIRO 286 18WC 22612 KURAS, MICHAEL D SR CIT TRUCKS LLC 06/13/18 SLAVIN & SLAVIN 287 18WC 22812 SESMAS, FRANCISCO COMPLETE BUILDING MAINTEN 06/27/18 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 288 18WC 22931 CORCORAN, SEAN DR PEPPER/SNAPPLE GROUP 04/23/18 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 289 18WC 23087 MURILLO, LUIS WAUKEGAN STEEL SALES INC 09/26/17 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 290 18WC 23506 TEJEDA GARCIA, ARELI ALLSTAFF 06/21/18 ENCINAS & ORNELAS SLAVIN & SLAVIN 291 18WC 23738 PRUITT, VICTOR LABOR SOLUTIONS 04/24/18 MC HARGUE & JONES MC ANDREWS & NORGLE LLC 292 18WC 23953 NADING, KATELIN COMPX SECURITY PRODUCTS 07/19/18 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 293 18WC 24316 PEDROZA, MARIA DEL CARMEN PEAPOD 04/20/18 CHEPOV & SCOTT LLC LITCHFIELD CAVO 294 18WC 25051 CULLOTTA, CARMELA HYATT (AIMBRIDGE HOSPITAL 09/03/16 ANKIN LAW OFFICE 295 18WC 25235 JONES, SYLVIA JOHNSON COLLEGE OF LAKE COUNTY 10/15/17 BRISKMAN BRISKMAN GREENBER SCHOUEST BAMDAS SOSHEA 296 18WC 25293 DAVIS, JUDITH ANN JEWEL FOOD STORES, INC 04/29/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 297 18WC 25326 BERLINER, KIM HOME DEPOT USA, INC 01/15/18 DEUTSCHMAN, JEFFREY S ADELSON TESTAN BRUNDO 298 18WC 25360 LECHNER, THOMAS J VAN VLISSINGEN AND CO 06/25/16 THOMAS W DUDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 299 18WC 25572 STOYKOV, STEFAN HUNT MILITARY COMMUNITIES 11/22/17 HORWITZ HORWITZ & ASSOC 300 18WC 25610 JOHNSON, TRACEY ZION ELEMENTARY SCHOOL DI 01/19/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 18WC025611 -C 301 18WC 25665 SANCHEZ, JUAN C RUPRECHT CO 02/15/17 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 302 18WC 25810 KEEFE, MICHELE PEOPLE LINK STAFFING 06/14/18 DWORKIN AND MACIARIELLO WOLF & LAUDICINA LTD 303 18WC 25828 OLSON, MERLIN CONCRETE SOLUTIONS & 06/18/18 DUDLEY & LAKE LLC LAWRENCE COZZI - LAW OFFICE 304 18WC 26259 HERNANDEZ, SANTOS SURE STAFF 07/26/18 MARTIN V KUGIA LOUIS MUNDY 18WC033688 -C 305 18WC 26573 MENDOZA, CARLOS POLY CLIP SYSTEM CORPORAT 02/27/18 KATZ FRIEDMAN EAGLE ET AL EDWARD J. KOZEL 306 18WC 26998 ACOSTA, VALENTIN J&E NURSERY LTD 05/04/18 COSTA IVONE LLC JOSEPH MARCINIAK 307 18WC 27094 VAZQUEZ, MANUEL O SIEMENS INDUSTRY, INC 10/20/17 MARKHAM M JEEP & ASSOCIATE HOLECEK & ASSOCIATES 308 18WC 27266 BUSTOS, AGUEDA BG STAFFING 04/13/18 SLAVIN & SLAVIN 309 18WC 28434 DOMINGUEZ, ADILENE PHARMA LOGISTICS 05/11/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 310 18WC 28489 HALL, DEIONDRE' CHICAGO BEARS FOORBALL CL 08/31/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC028488 -C 311 18WC 28733 SIMS, ROY L ARAMARK, INC. 08/30/18 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED 312 18WC 28844 SCHUTTE, NICOLE SUPERIOR AIR-GROUND AMBUL 01/17/18 MARKS INJURY LAW POWER & CRONIN LTD 313 18WC 28919 JONES, BARBARA WAL-MART 08/04/18 MARTIN L GLINK LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 314 18WC 29038 WEINSTOCK, RICHARD KASAB MULTI SERVICE 09/05/18 COLLISON LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 315 18WC 29191 LULICH, THERESA FIRST TRANSIT 08/21/18 TAXMAN POLLOCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 18WC 29514 GAGLIARDO, KENNETH J HAYES MECHANICAL INC 11/03/17 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM GRA 317 18WC 29522 VILLAGOMEZ, MARTA LTD COMMODITIES LTD 05/12/15 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 318 18WC 29793 MOSLEY, JEFFREY DORMAKABA 02/21/18 CAPRON & AVGERINOS PC LAWRENCE COZZI - LAW OFFICE 319 18WC 30054 SEARCY, JENNIFER GRAHAM ENTERPRISE INC 08/04/18 VOGG, MARK J LAW OFFICE 320 18WC 30127 GOMEZ, MARCELA FISHER CONTAINER LLC 01/18/17 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 321 18WC 30160 LISSADE, LOUIS ALLIED UNIVERSAL SECURITY 09/19/18 GAROFALO SCHREIBER STORM GRA 322 18WC 30277 MEREDITH, CAMERON CHICAGO BEARS FOOTBALL CL 06/03/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC030278 -C 323 18WC 30680 DUNCAN ROCHELLE M. MANORCARE 07/12/18 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 324 18WC 30698 HUERTA, RAQUEL WALMART 08/14/18 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 325 18WC 30779 ALEMAN, VICTORIA GRAND STAFFING AGENCY, LL 07/30/18 GOLDSTEIN BENDER & ROMANOF QUINN JOHNSTON HENDERSON ETA 326 18WC 30901 AVALOS CARRASCO, MARIA MA THE SALVATION ARMY 08/31/18 THE ROMAKER LAW FIRM EVANS & DIXON 327 18WC 31011 GARCIA, RUBEN PRECAST, LLC 09/10/18 CUDA LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 19WC019056 -C 328 18WC 31578 BARAJAS, IGNACIO ROCCO FIRE & SONS, INC 10/04/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 329 18WC 31808 FLORES, SANTIAGO PRO BROTHERS MASONRY SERV 10/15/18 GOLDBERG WEISMAN & CAIRO L 330 18WC 32515 MEJIA, MICHAEL GENESIS TECH 08/24/18 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 331 18WC 33153 COOK, ETHEL AMAZON 07/07/18 BRISKMAN BRISKMAN GREENBER 332 18WC 33194 VILLAREAL, ROSENDO LANDSCAPE CONCEPT MANAGEM 07/10/18 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 333 18WC 33484 SALYER, TAMMY COURIER EXPRESS ONE INC 10/29/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 18WC 33578 BAZIANOS, CHRISTINE M MICHAELS STORES, INC 07/26/18 ATSAVES, LOUIS G LTD 335 18WC 33800 RIVAS, JOSE ICP 12/06/17 CULLEN HASKINS NICHOLSON 336 18WC 33913 KURTZ, NICHOLAS ALDI, INC 09/04/18 STANCZAK LAW OFFICES BRADY CONNOLLY & MASUDA PC 337 18WC 33935 BANEGAS, LESLIE GUADALUPE LTD COMMODITIES LLC 04/12/16 THE ROMAKER LAW FIRM 18WC037201 -C AMERIMARK FKAL.T.D. 338 18WC 34002 ESCOGIDO, CECILIA MAID BRIGADE 02/01/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 18WC034003 -C 339 18WC 34011 CAPEN, KAREN E AMAZON.COM SERVICES INC 10/23/18 CAMERON CLARK WIEDNER & MCAULIFFE LTD 340 18WC 34090 GUTIERREZ, FRANCISCO MARIANI LANDSCAPE 07/30/18 JONATHAN SCHLACK KRAKER FANNING & OLSEN 341 18WC 34252 TREPTOW, JACK CAMPING WORLD 09/14/18 MC HARGUE & JONES 342 18WC 34554 RUIZ, REFUGIO J BRICK PAVING &LANDSCAPI 07/05/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 343 18WC 34594 WELLS, KEENAN STAR CREATIONS INC 10/31/18 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 344 18WC 34647 MARTINEZ, FELIX MARIANI LANDSCAPE 08/10/18 KATZ FRIEDMAN EAGLE ET AL KRAKER FANNING & OLSEN 18WC034646 -C 345 18WC 34669 SULLIVAN, RYAN C LINCOLNSHIRE-RIVERWOODS F 08/02/18 THOMAS W DUDA 346 18WC 34717 RIVERA, LUIS KALLE USA, INC 11/01/18 ANGELINI & ORI LLC 347 18WC 35045 AMAYA, FERNANDO IHC CONSTRUCTION COMPANIE 11/09/18 GARDI & HAUGHT JOSEPH MARCINIAK 348 18WC 35124 ORTEGA, MARIA JEWEL OSCO 09/12/18 TARADASH LAW OFFICE BRADY CONNOLLY & MASUDA PC 18WC038458 -C NEW ALBERTSON'S, INC/ 349 18WC 35236 WILSON, LUKE THE FOUNTAIN GROUP 06/13/18 DWORKIN AND MACIARIELLO 350 18WC 35752 WRIGHT, DWAYNE FISH LAKE BEACH CAMPING R 09/01/18 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 18WC 35855 WAGNER, MICHAEL BANNER PLUMBING SUPPLY 10/26/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 352 18WC 35990 BYRNE, WILLIAM P PAQUESI HOME AND GARDENS 11/16/18 HANNIGAN & BOTHA, LTD LAWRENCE COZZI - LAW OFFICE 353 18WC 36017 OLIVER, JAMES R MATT'S COOKIE CO, INC 07/09/18 LINN, CAMPE & RIZZO LTD 354 18WC 36192 GARCIA, ROSALINA MCDONALD'S 11/19/18 CURNYN, JOHN 355 18WC 36314 SALAMONE, ANGELO KELSO-BURNETT CO 10/30/18 GOLDBERG WEISMAN & CAIRO L CACCHILLO LAW GROUP LLC 356 18WC 36425 KRZAN, ANDRZEJ POWER SOURCE ELECTRIC INC 12/07/18 CUSHING LAW OFFICES LAWRENCE COZZI - LAW OFFICE 357 18WC 36636 O'HAGAN, BOBBI JO UNITED STATES POSTAL SERV 08/30/17 DAVID J. BAWCUM 358 18WC 36757 WHITESCARVER, DAVID VILLAGE OF LIBERTYVILLE 01/08/18 ROBERT EDENS RUSIN & MACIOROWSKI LTD 18WC036758 -C 359 18WC 36769 CERVANTES, ANTONIO THE FISHER BURTON COMPANY 08/23/18 AIOSSA LAW FIRM 360 18WC 37020 LLOYD, VINCENT J HERTZ DBA DONLEN FLEET MA 06/26/17 BUDIN LAW OFFICES BRYCE DOWNEY & LENKOV LLC 361 18WC 37023 STEVENS, MICHAEL J VILLAGE OF ROUND LAKE 09/25/18 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 362 18WC 37079 AGUIRRE, BLANCA ELITE STAFFING INC 10/17/18 COSTA IVONE LLC 363 18WC 37267 ARCHILA, YARISSA MEDLINE INDUSTRIES INC 10/11/18 AIOSSA LAW FIRM GAROFALO SCHREIBER STORM GRA 364 18WC 37476 KUMM, ALICE D NEW ALBERTSON'S INC D/B/A 01/19/18 LINN, CAMPE & RIZZO LTD 365 18WC 37496 JACKSON, MALIK C MALIK C JACKSON 10/17/18 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 366 18WC 37526 MILLER, TINA STONEBRIDGE OF GURNEE 07/22/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 367 18WC 37562 MILLER, DAVID GURNEE PARK DISTRICT 11/26/18 SEIDMAN MARGULIS & FAIRMAN 368 18WC 37599 GAHAGAN, JAMES J WAUKEGAN PUBLIC SCHOOL DI 11/16/18 ANTHONY J MAY BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 18WC 37769 SANCHEZ, AZUCENA FOOD FOR THOUGHT CHICAGO 07/25/17 GOLDBERG WEISMAN & CAIRO L LEWIS BRISBOIS BISGAARD 370 18WC 37875 HALVERSON, DAVID W VLGE OF BUFFALO GROVE POL 09/17/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 371 18WC 37953 19B PAULIN, SONIA SURESTAFF 05/16/18 LINN, CAMPE & RIZZO LTD LOUIS MUNDY 372 18WC 38322 MCDONAGH, JOHN KINZIE BUILDERS 10/13/18 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 373 18WC 38428 MAUL, DENISE SAFEWAY TRANSPORTATION 11/27/18 JONATHAN SCHLACK GAIDO & FINTZEN 374 19WC 00104 BROWN, SHEILA D MACY'S 12/20/18 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 375 19WC 00153 CAMPBELL, PATRICE L. LAKE COUNTY SUBSTANCE ABU 10/28/13 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 19WC000154 -C 19WC000155 -C 19WC000156 -C 19WC000157 -C 19WC037101 -C 19WC037102 -C 19WC037103 -C 19WC037104 -C 19WC037105 -C 376 19WC 00166 DAVILA, GLORYBI BOSTON MARKET 04/16/18 JOHN M BORCIA LAW OFFICE 377 19WC 00236 CRUZ, GILDARDO NAF NAF HOLDINGS, LLC 12/21/17 BERG & BERG HOLECEK & ASSOCIATES 378 19WC 00376 MATA, JUAN ELITE STAFFING 10/01/18 COSTA IVONE LLC 379 19WC 00596 LEWAKOWSKI, KENNETH J MOTOR WERKS OF BARRINGTON 11/18/17 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 380 19WC 00607 GRAHAM, HEATH A VILLAGE OF GURNEE 07/17/18 LINN, CAMPE & RIZZO LTD 381 19WC 00625 SADDLER, GLENN AMAZON 09/14/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 382 19WC 00803 PAVLOVIC, CHRISTOPHER FACILITY & CONSTRUCTION 10/18/18 KROL BONGIORNO & GIVEN LTD KOPKA, PINKUS DOLIN, PC 383 19WC 01042 BROWN, DAVID GKJ MANAGEMENT CORPORATIO 12/11/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 19WC 01066 BLOUGH, JOSHUA PIEPER ELECTRIC INC. DBA 06/04/18 BLEAKNEY & TROIANI KRAKER FANNING & OLSEN 385 19WC 01204 CORDTS, WENDY J MOHAWK ELECTRIC CONSTRUCT 12/19/18 GOLDBERG WEISMAN & CAIRO L 386 19WC 01571 TILIANO, MARIBEL MIDWAY STAFFING 12/28/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 387 19WC 01822 CSORBA, MITCHELL FEDEX GROUND PACKAGE 09/20/18 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 388 19WC 01888 HOUSER, RODNEY SAFCO DENTAL SUPPY CO 01/03/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 389 19WC 01946 GRABOWSKI, MARTIN JBE GROUP INC 10/03/18 DEPAOLO & ZADEIKIS QUINN JOHNSTON HENDERSON ETA 390 19WC 01980 RICHEL, KEITH STATE OF ILLINOIS/IDOT @ 06/19/18 KINNALLY FLAHERTY KRENTZ KRISTIN LEASIA 391 19WC 02118 WEISS, DAVID ELECTRICAL OPTIONS, LLC 09/27/18 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 392 19WC 02322 NOTARNICOLA, GIOVANNI TGI FRIDAY'S INC 11/21/18 MARKHAM M JEEP & ASSOCIATE LAWRENCE COZZI - LAW OFFICE 393 19WC 02894 SMITH, BARBARA A PACE 09/04/18 GALLAGHER, DONALD V POWER & CRONIN LTD 394 19WC 02970 SALDANA, ARTURO JR. WAUKEGAN STEEL, LLC 05/08/18 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 395 19WC 02984 GIRON, RICARDO HORIZONS WINDOW FASHIONS 07/13/18 DUDLEY & LAKE LLC KRAKER FANNING & OLSEN 396 19WC 03105 LANCASTER, CARINE MILLBURN DISTRICT 24 09/05/18 TARADASH LAW OFFICE 397 19WC 03260 PLACENCIA, GABRIELA BEYER DENTAL 11/10/18 JONATHAN SCHLACK EDWARD J. KOZEL 398 19WC 03344 RIOS, YAN CARLOS LEWIS PRODUCE MARKET #2, 01/16/19 POSTERLI, OSCAR KOPKA, PINKUS DOLIN, PC 399 19WC 03439 NUNN, JEREMY STONE WITH STYLE 11/27/18 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 400 19WC 03646 WOODFORLK, ELECTRA CRAWFORD AND COMPANY 01/25/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 401 19WC 03760 CHAPNICK, ALAN S FEDEX EXPRSS 12/14/17 WEISS & WEISS LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 19WC 03852 CHRISTENSEN, DAVID JR. CREATIVE MANAGEMENT TECHN 02/01/18 WOLFE & JACOBSON, LTD 403 19WC 03928 MCKNIGHT, SUSAN LAKE COUNTY HEALTH DEPART 08/31/15 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 404 19WC 04008 TAYLOR, MELINDA SOI - ANN KILEY DC @ 08/15/18 CORNFIELD & FELDMAN KRISTIN LEASIA 405 19WC 04072 GOLDEN, NANETTE KENAN ADVANTAGE GROUP INC 09/24/18 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 406 19WC 04102 WELLS, DAVID ELECTRICAL OPTIONS, LLC 05/31/16 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 407 19WC 04422 VALKENAAR, MARK CROWN BUILDING MAINTENANC 01/15/19 NEWLAND & NEWLAND BRYCE DOWNEY & LENKOV LLC 408 19WC 04476 WINTERS, RAYMOND GOODWILL TALENT BRIDGE 01/18/19 ROBERT WARSASKI HOLECEK & ASSOCIATES 409 19WC 04499 SAINT LOUIS, MILOUS HMS HOST INTERNATIONAL 18 08/31/18 LANNON LANNON & BARR LTD GAIDO & FINTZEN 410 19WC 04662 ORDONEZ, GORGE STRAMPEL SMALL ENGINE REP 10/17/18 COSTA IVONE LLC 411 19WC 04864 GARCIA, DANIEL RBD CONSTRUCTION INC. @ W 10/16/18 MC HARGUE & JONES 412 19WC 05058 LEITH, DENNIS J DEERFIELD MOVING & STORAG 01/17/19 LINN, CAMPE & RIZZO LTD FRIEDRICH LAW LLC 413 19WC 05073 JANKE, JOE SR. GEREMARIE CORP 11/19/18 OWENS & LAUGHLIN LLC INMAN & FITZGIBBONS 414 19WC 05120 AVALOS, FIDEL ALOHA CONSTRUCTION 09/21/18 LINN, CAMPE & RIZZO LTD WOLF & LAUDICINA LTD 415 19WC 05133 MACK, CHARLES STRICKLEN G. TREYSMAN, INC. 08/28/18 COLLISON LAW OFFICES SCOPELITIS GARVIN LIGHT 416 19WC 05633 MONTES, GIOMARA MEDLINE INDUSTRIES, ICN 01/15/19 MARKHAM M JEEP & ASSOCIATE GAROFALO SCHREIBER STORM GRA 417 19WC 05700 WOODSON, ABBY THE LAMBS FARM, INC 01/28/17 TARADASH LAW OFFICE LAWRENCE COZZI - LAW OFFICE 418 19WC 05737 PARKS, ELIJAH EXPRESS SERVICES, INC. 02/20/19 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 419 19WC 05766 FAJARDO, FELIPE MARIANI COMMERCIAL LANDSC 08/16/18 DUDLEY & LAKE LLC KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 420 19WC 06020 WASMER, BERNARD A WAUCONDA SD #118 02/04/19 HANNIGAN & BOTHA, LTD 421 19WC 06206 WHITE, SHANICE SILVERSTAR DELIVERY 02/17/19 BRISKMAN BRISKMAN GREENBER 422 19WC 06214 SANCHEZ, GLORIA ELITE STAFFING/ 11/09/17 TAMVAKIS, GEORGE L 423 19WC 06281 FRANKLIN, KATRINA PANERA BREAD FOUNDATION, 11/27/17 ANKIN LAW OFFICE 424 19WC 06541 GOLDEN, CHRISTINE NORTHSHORE UNIVERSITY 01/16/19 MARKS INJURY LAW 425 19WC 06917 DIAZ, ESTANISLAO ARCOS DURABLE PACKING INTERNATI 02/26/19 BAUM RUFFOLO & MARZAL LTD WOLF & LAUDICINA LTD 426 19WC 07001 DE ZAVALA, LAURA SBM SITE SERVICES, LLC 01/08/19 POWER & CRONIN LTD 427 19WC 07140 GONZALEZ MARTINEZ, MARIA PEAPOD LLC 02/06/19 STEVEN B SALK & ASSOC LTD LITCHFIELD CAVO 19WC013581 -C 428 19WC 07206 BULZAK, JOSEPH WINDY CITY ROOTER 01/05/19 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 429 19WC 07650 SERZYNSKI, PAUL S LAKE COUNTY DIVISION 01/29/19 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 430 19WC 08115 SCHEID, BARBARA NORTHSHORE CENTER FOR ORA 03/13/19 HANNIGAN & BOTHA, LTD ACCIDENT FUND HOLDINGS 431 19WC 08182 MCKINNEY, CHARLES FIELDS MASERATI 02/09/19 GOLDBERG WEISMAN & CAIRO L GAIDO & FINTZEN 432 19WC 08403 ANDERSON, DEVERAN ABM JANITORIAL SERVICES 02/26/19 MEYERS & FLOWERS GOLDBERG SEGALLA LLC 433 19WC 08433 KELLY, MICHAEL SHRED-IT 01/29/19 THERMAN LAW OFFICES 434 19WC 08438 ROHLOFF, CHRISTOPHER C CITY OF WAUKEGAN 10/08/18 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 435 19WC 08511 LOFTON, JUSTIN ALERIS LINCOLNSHIRE 03/05/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 436 19WC 08568 MCGEE, MICHELLE 901 TRANSPORT LLC 10/27/17 STRONG LAW OFFICE 437 19WC 08621 HERTA, ARELIA LAKE BEHAVIORAL HOSPITAL 03/10/19 VITELL & SPITZ LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 19WC 08688 RODRIGUEZ, KAREN DOLLAR GENERAL 09/01/18 PETER C KOPOULOS LEAHY EISENBERG & FRAENKEL 439 19WC 08869 MCCLINTON, RHAKIA SUPERIOR AMBULANCE 03/13/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 440 19WC 09026 ALVARADO, SONIA SCHWEITZER ENGINEERING 08/30/17 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 441 19WC 09092 JUAREZ, REYNA CONCEPCION MEDLINE 01/11/19 MARKS INJURY LAW GAROFALO SCHREIBER STORM GRA 442 19WC 09139 FISCHER, JAIME STEINMART, INC 11/28/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 443 19WC 09289 ALVARADO, SONIA SCHWEITZER ENGINEERING 09/18/18 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 444 19WC 09674 NAPOLITANO, ROCCO ILLINOIS SECRATARY OF STA 03/06/19 ANESI OZMON RODIN NOVAK KO KRISTIN LEASIA 445 19WC 09778 CAMPOBASSO, STEPHEN LAKE COUNTY SHERIFF'S DEP 02/02/17 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 446 19WC 09972 JANCZEWSKA, JANINA NEMERA BUFFALO GROVE, LLC 12/07/18 JAMES MACCHITELLI JOSEPH MARCINIAK 447 19WC 10060 DICKEY, GAIL BELMONT VILLAGE LP 02/07/19 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM GRA 448 19WC 10277 DEROSE, MARIA HEINEN'S OF BANNOCKBURN 02/18/19 HANNIGAN & BOTHA, LTD GILDEA, COGHLAN & REGAN LTD. 449 19WC 10485 KEY, EURYDICE WALMART 04/11/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 450 19WC 10694 ANDERSON, TINA HOLLISTER, INC 03/01/18 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 451 19WC 10854 NISHIBAYASHI, TROY THE TJX COMPANIES, INC. 04/10/16 BRYAN SCOTT WALLOCK 452 19WC 10911 HARDIN, LA JUAN WARREN BARR OF LINCOLNSHI 03/25/19 AIOSSA LAW FIRM BRADY CONNOLLY & MASUDA PC 453 19WC 11004 HOWELL, ALICE WAUKEGAN PUBLIC SCHOOL DI 02/26/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 454 19WC 11133 GOOD, KIMBERLEY GINANCE, INC 01/08/19 THE ROMAKER LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 455 19WC 11248 LONGO, SHARON L JEWEL FOOD STORES, INC 09/02/18 MORICI FIGLIOLI & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 19WC 11359 HERNANDEZ, JOSE J APEX LANDSCAPING, INC 06/14/18 MANUAL CARDENAS & ASSOC RIPES NELSON BAGGOT KALOBRAT 457 19WC 11478 LINARIS, JAMES NORTH SHORE SIGN 01/28/19 LIPKIN & HIGGINS LAW OFFIC EVANS & DIXON 458 19WC 11556 LOPEZ, GABRIEL ANDREW STAFFING 02/12/17 JONATHAN SCHLACK SLAVIN & SLAVIN 459 19WC 11630 SALGADO, THERESA SLOVAK-AMERICAN 03/20/19 LAWRENCE COZZI - LAW OFFICE 460 19WC 11668 VIEYRA, SANTIAGO G.E. RIDDIFORD COMPANY DB 06/08/18 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 461 19WC 11736 GIEBLEWICZ, BARBARA WALMART 01/06/19 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 462 19WC 11823 LOGAN, CRAIG A ALLEGIS GROUP D/B/A 09/05/18 LINN, CAMPE & RIZZO LTD SPIEGEL & CAHILL, PC 463 19WC 11848 VELA, PATRICIA CONDUIT HR SERVICES 04/12/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 464 19WC 11965 TINO, LUCILA MVP STAFFING, INC 08/01/18 CULLEN HASKINS NICHOLSON 465 19WC 12138 ROMAN, HEATHER ELEVELE 04/04/19 466 19WC 12432 HEMPHILL, PRINSES LAZY DOG RESTAURANT 03/07/19 KARCHMAR & STONE LAWRENCE COZZI - LAW OFFICE 467 19WC 12472 MACIAS, ROSALINDA BEAR DOWN LOGISTICS 10/24/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 468 19WC 12740 CARLOS, JESUS FER- ACOSTA'S LANDSCAPING 10/01/16 CULLEN HASKINS NICHOLSON COZZI & ZAPF LAW OFFICE 469 19WC 12756 KOTROTSIOS, NIKOLAS ALPHA BAKING CO 04/05/19 NEWLAND & NEWLAND 470 19WC 12863 BERNARDY, MARCUS LAKE COUNTY SHERIFF'S OFF 04/25/19 ROMANUCCI & BLANDIN WOLFE & JACOBSON, LTD 471 19WC 13302 DEFRANCO, BOBBY FIRST SUPPLY 01/15/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 472 19WC 13381 GERHART, MICHAEL A COOK COUNTY HIGHWAY DEPT 04/15/19 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 473 19WC 13487 HOLIDAY, ALBERT 1800 FLOWERS 04/08/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 19WC 13521 FARFAN, ERICK ZION ELEMENTARY SCHOOL DI 03/19/19 CAPRON & AVGERINOS PC 475 19WC 13545 BAIZABAL, NORMA LAKE PARK CENTER 01/03/19 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 19WC013546 -C 476 19WC 13558 REYES, JOSE US RESIDENTIAL GROUP, LLC 12/22/18 NEWLAND & NEWLAND 477 19WC 13812 LUBETKIN, JANET DEERFIELD PARK DISTRICT 04/16/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 478 19WC 13861 CAPLICK, EVA NEW ALBERTSON'S INC DBA 02/01/19 COLLISON LAW OFFICES 479 19WC 13998 ESTRADA, MARIO INSTAFF 02/26/19 BAUM RUFFOLO & MARZAL LTD SLAVIN & SLAVIN 480 19WC 14212 PAGUADA, YESENIA GRAND STAFFING AGENCY, LL 05/09/19 JONATHAN SCHLACK 481 19WC 14285 VERNEZZE, RANDY AB SPECIALITY SILICONES, 05/03/19 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 482 19WC 14288 SCOTT, ERIC DEPT HUMAN SERVICES AKA K 12/07/17 THE MACK LAW GROUP PC KRISTIN LEASIA 483 19WC 14321 ABSOLON, ROGER L AMERICAN DOOR & DOCK, INC 02/15/19 LINN, CAMPE & RIZZO LTD FRIEDRICH LAW LLC 484 19WC 14348 WARD, MATTHEW LIBERTY COACH 03/11/19 BURNETT & CARON, LTD GAIDO & FINTZEN 485 19WC 14366 CEPEDA, JUAN MANUEL NORTHERN INSULATION 05/01/18 POSTERLI, OSCAR QUINN JOHNSTON HENDERSON ETA 486 19WC 14425 THOMAS, VICKY H NORTH AMERICAN CORPORATIO 04/09/19 LINN, CAMPE & RIZZO LTD RIPES NELSON BAGGOT KALOBRAT 487 19WC 14529 ACOSTA-RIVERA, CAROLINA C THE XCEL GROUP/ 03/14/19 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 488 19WC 14566 CIOCCHETTI, ANTHONY JEWEL FOOD STORE 11/21/17 LINN, CAMPE & RIZZO LTD 489 19WC 14578 RIDER, CARRIE COLLEGE OF LAKE COUNTY 04/25/19 MARKHAM M JEEP & ASSOCIATE SCHOUEST BAMDAS SOSHEA 490 19WC 14654 JANG, YOUNG R HYDRAFORCE, INC 11/30/18 WEISS & WEISS LAW OFFICES 491 19WC 14710 GRANT, ROSSA M SOI-ANN KILEY DEVELOPMENT @ 04/17/19 CORNFIELD & FELDMAN KRISTIN LEASIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 19WC 14851 JUSZCZYK, CHRISTOPHER L WALMART 10/31/18 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 493 19WC 14854 CABALLERO, FRANCISCO ROCCO FIORE & SONS LANDSC 06/11/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 494 19WC 14930 PRETTENHOFER, DONNA THORNTONS 12/24/17 TARADASH LAW OFFICE KRAKER FANNING & OLSEN 495 19WC 14958 CARMONA, ERNESTO FLEXIBLE STAFFING 05/24/18 FERRIS THOMPSON & ZWEIG BRADY CONNOLLY & MASUDA PC 496 19WC 14959 POSADA, OSCAR RANDSTAD 01/29/19 FERRIS THOMPSON & ZWEIG SLAVIN & SLAVIN 497 19WC 15106 VEZENSKY, STEVE ILLINOIS TOLLWAY @ 04/26/19 HANNIGAN & BOTHA, LTD ASSISTANT ATTORNEY GENERAL 498 19WC 15324 BAKER, TERRY PARAMOUNT STAFFING 09/08/17 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 499 19WC 15635 JABLONSKI, DANIEL T VILLAGE OF WINTHROP HARBO 06/19/18 LINN, CAMPE & RIZZO LTD 500 19WC 15785 SANTOYO, JESUS GOLDEN OAKS FARMS 11/07/18 HANNIGAN & BOTHA, LTD SPIEGEL & CAHILL, PC 501 19WC 15791 CRAIG, SHAWNTE L COMPX, INC 10/18/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 502 19WC 15795 ROMO, GUADALUPE PEPSI COMPANY 04/01/19 LINN, CAMPE & RIZZO LTD 503 19WC 15866 GARCIA, MARIA KELLY SERVICES, INC 09/17/18 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 504 19WC 15933 PERO, DONALD W JEWEL FOOD STORES, INC. 04/20/18 RUBIN LAW GROUP EVANS & DIXON 505 19WC 15973 ARRIAGA, OFELIA HALF DAY BREWING 04/07/19 CULLEN HASKINS NICHOLSON GILDEA, COGHLAN & REGAN LTD. 506 19WC 16116 DELGADO, VICENTE ROMAN ELITE STAFFING 04/24/19 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 507 19WC 16411 FLORES, ADRIAN HORIZONS WINDOW FASHIONS 12/04/18 STROM & ASSOC EVANS & DIXON 508 19WC 16440 MARCINIAK, ANDREW SCHULTES PRECISION 11/05/18 SCOTT B SHAPIRO KEEFE CAMPBELL BIERY & ASSOC 509 19WC 16492 BENITEZ, CARLOS ALLSTAFF 04/01/19 FERRIS THOMPSON & ZWEIG SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 19WC 16541 COHEN, STEVEN ANTHONY BUICK GMC 05/25/18 CHEPOV & SCOTT LLC ROSARIO CIBELLA 511 19WC 16561 GREENLEE, ANN DODGE OF ANTIOCH, INC 04/06/19 TARADASH LAW OFFICE 512 19WC 16645 DOMAR, JOHN SEARS HOLDING CORP 02/14/19 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 513 19WC 16808 STRINGER, RICO HIGHWOOD POLICE DEPARTMEN 05/09/19 ELFENBAUM EVERS ZIELINSKA RUSIN & MACIOROWSKI LTD 19WC023397 -C 514 19WC 16811 RUIZ, GONZALO PEAPOD, LLC 08/17/18 ACEVES & PEREZ PC LITCHFIELD CAVO 515 19WC 16886 JOHNSON, ASHLEY STATE OF ILLINOIS- KILEY @ 06/07/19 ANKIN LAW OFFICE KRISTIN LEASIA 516 19WC 16944 SEARCY, ELDARADA SUNRISE SENIOR LIVING 06/04/19 ASHER, RAYMOND L LTD NOBLE & ASSOC 517 19WC 16978 MOY, JERRY EPSON AMERICA, INC 05/16/19 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 518 19WC 17120 GILBERT, LINDA A ADVOCATE GOOD SHEPHERD 05/15/19 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 519 19WC 17155 GUZMAN-BRINDIZ, TEODORO RELIABLE/FLEXIBLE STAFFIN 02/18/19 HANNIGAN & BOTHA, LTD ROSARIO CIBELLA 520 19WC 17196 CONEY, LATRICE LAKE COUNTY 04/27/19 DAVID J. BAWCUM 521 19WC 17297 LANDAN, HOLLY LEVY RESTAURANTS 05/31/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 522 19WC 17411 STEWART, JAMES II KEVIN WALSH EXCAVATING 05/10/18 MARKS INJURY LAW GAROFALO SCHREIBER STORM GRA 523 19WC 17455 GONZALES, GENO WEST MARINE 07/21/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 524 19WC 17534 SKIDMORE, DANIEL UPS 06/07/19 LEONARD LAW GROUP LLC ASA LAW GROUP 525 19WC 17650 CUNA, PEDRO HYDRAFORCE, INC 03/12/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 526 19WC 17678 MONTERO, EMIGDIA BRYAN CONSOLO D.B.A MCDON 12/09/17 POSTERLI, OSCAR 527 19WC 17695 HERNANDEZ, JOSE L COUNTY OF LAKE 05/06/19 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 19WC 17771 COLE, WILLIAM DOVENMUEHLE MORTGAGE COMP 02/11/19 DAVID W MARTAY 529 19WC 17929 CASTRO, EVER SCEL STAFFING SOLUTIONS, 12/12/18 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 530 19WC 17969 LACNY, JEROME J ROQUETTE AMERICA INC 05/29/19 DOUGLAS RALLO PC LAWRENCE COZZI - LAW OFFICE 531 19WC 18055 COHEN, JEFFREY FEDEX FREIGHT, INC. 04/16/18 KREITER, BYCK & ASSOC LLP QUINTAIROS PRIETO WOOD & BOY 532 19WC 18112 DOSS, KATHLEEN POWER DISTRIBUTING, LLC 06/18/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 533 19WC 18193 LEIBSON, LAURA LIV HOME, INC. 06/05/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 534 19WC 18476 ROLLENE, KEITH LAKE VILLA FIRE 06/14/19 MARKHAM M JEEP & ASSOCIATE 535 19WC 18537 ZAVALA, SALVADOR ARK LOGISTICS 04/10/19 AIOSSA LAW FIRM 536 19WC 18707 GARCIA, JUAN C JEFF CADY, JEFF CADY D/B/ 08/01/17 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 537 19WC 18808 AMBROSE, TRACEY ARDEN SHORE CHILD & FAMIL 09/26/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 538 19WC 18916 REZA, SIDORO FETCO INC 06/11/19 MARKHAM M JEEP & ASSOCIATE EDWARD J. KOZEL 539 19WC 18967 POPOCA, ELIZABETH ECHO, INC 05/01/19 MARKS INJURY LAW SLAVIN & SLAVIN 540 19WC 18984 LOPEZ, MARCO A BEST BUY CARPET AND GRANI 05/15/19 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 541 19WC 19018 HILL, VICTOR A ABVIE, INC. 03/21/19 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 542 19WC 19081 LYNN, RONALD KILDEER COUNTRYSIDE 04/15/19 MARKHAM M JEEP & ASSOCIATE NYHAN BAMBRICK KINZIE & LOWR 543 19WC 19248 MENDEZ-ZARINANA, JOSE LAKE COOM TRENCHING 05/31/19 MC HARGUE & JONES 544 19WC 19418 YOST, LAURA A VILLAGE OF WINTHROP HARBO 02/18/19 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 545 19WC 19579 LOPEZ, SARAHI ELITE STAFFING 06/10/19 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 546 19WC 19620 AGUILAR, CESAR GFX INTERNATIONAL 12/05/18 STAVINS & ASSOCIATES KRAKER FANNING & OLSEN 547 19WC 19955 OWENS, DAN STAFFING NETWORK 06/14/19 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 548 19WC 20053 KUEHN, JIM JONES LANG LASALLE INC. 07/01/19 STROM & ASSOC 549 19WC 20174 LUNA, CARLOS MAURO SEWER CONSTRUCTION 06/20/19 PORRO NIERMANN LAW GROUP STONE & JOHNSON CHARTERED 550 19WC 20560 AMBRIZ, LETICIA DUNKIN DONUTS 02/18/19 SOSTRIN AND SOSTRIN PC LAWRENCE COZZI - LAW OFFICE 551 19WC 20648 WIGINTON-CORRADINI, ERIK STEAK 'N SHAKE 05/15/19 KEEFE CAMPBELL BIERY & ASSOC 552 19WC 20820 SMITH, RAYMOND ELITE STAFFING 07/09/19 SKLARE LAW GROUP 553 19WC 20826 POPOCA, JOSE A.M. WOODLAND OUTDOOR DES 07/03/19 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 554 19WC 20928 BIEHN, BYRON AB SPECIALTY SILICONES, L 05/03/19 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 555 19WC 21093 KRIZANOVIC, JULIE A DONATO RESTAURANT GROUP 05/24/19 GOLDSTEIN BENDER & ROMANOF 556 19WC 21271 WILLY, DAUREEN GREENS BY WHITE, INC. 10/22/18 FRANKS, GERKIN & MCKENNA P HEYL ROYSTER VOELKER & ALLEN 557 19WC 21574 LORR, EDWARD EAGLE EXPRESS LINES, INC. 05/27/19 GWC INJURY LAWYERS LLC INMAN & FITZGIBBONS 558 19WC 21691 HANKINS, JEFF OLSEN TRANSPORTATION MIDW 03/11/19 DUDLEY & LAKE LLC JAMES M KELLY 559 19WC 21885 MASSEY, CLIFTON AMERICAN FAB & MAINTENANC 02/28/19 WARNER & ZIMMERLE BRADY CONNOLLY & MASUDA PC 560 19WC 22137 SILVA, CAROLINA FOUR POINTS BY SHERATON 05/24/19 EPSTEIN, JACK R LAW OFFICE GRIFFIN, LORETTA M LAW OFFIC 561 19WC 22557 GONZALEZ, ROSEMARIE SENIOR LIFESTYLE HOLDING 04/18/19 MARKHAM M JEEP & ASSOCIATE 562 19WC 22595 GRIDER, JOHN CIRCUIT WORKS CORPORATION 07/03/19 DWORKIN AND MACIARIELLO 563 19WC 22823 RICHMOND, LISA MARIANO'S FRESH MARKET 10/02/16 EFTEKHARI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 564 19WC 22853 KILGALLON, TIMOTHY M BUTERA FINER FOODS 12/08/18 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 565 19WC 22908 ALQUICIRA, TIMO GFX INTERNATIONAL 07/22/19 COSTA IVONE LLC KRAKER FANNING & OLSEN 566 19WC 22980 REYNA, DANIEL RUPRECHT 06/28/19 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 567 19WC 23283 SCHULTZ, MARY BRICKFORD SENIOR LIVING 07/11/19 HANNIGAN & BOTHA, LTD LAWRENCE COZZI - LAW OFFICE 568 19WC 23284 JONES, MARCUS B AMAZON MDWS 04/16/19 HANNIGAN & BOTHA, LTD 569 19WC 23459 MACKEY, PHAELANN MOD PIZZA 07/01/19 DAVID W MARTAY LAWRENCE COZZI - LAW OFFICE 570 19WC 23539 WIEREMA, JEFF CITY OF LAKE FOREST 03/30/16 HANNIGAN & BOTHA, LTD 571 19WC 23573 LARA, MARIA HELP AT HOME, LLC 07/01/19 MARKHAM M JEEP & ASSOCIATE ROSARIO CIBELLA 572 19WC 23775 VILLEGAS, JAVIER ILLINOIS STATE POLICE-DIS @ 07/23/19 MORICI FIGLIOLI & ASSOC ASSISTANT ATTORNEY GENERAL 573 19WC 23865 RICHARDSON, RICHARD MARRICK TRANSPORT SYSTEMS 08/12/19 KOSIN LAW OFFICE LTD KOPKA, PINKUS DOLIN, PC 574 19WC 24136 MERRILL, PATRICIA GLEN HOME & HEALTH MANAGE 10/29/18 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 575 19WC 24138 AGUILAR, CELERINO GOMEZ A APPLIANCE XPERTS, INC. 12/18/18 LINN, CAMPE & RIZZO LTD 576 19WC 24292 ZALEWSKI, LESTER CITY BEVERAGE ILLINOIS, L 03/06/19 HANNIGAN & BOTHA, LTD ACCIDENT FUND HOLDINGS 577 19WC 24325 ROBLES, ALICIA WARREN BARR LINCOLNSHIRE 08/10/19 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 578 19WC 24380 WAE-TAYLOR, DEPRESCE RED & BLACK FLASH CAB 08/16/19 DWORKIN AND MACIARIELLO 579 19WC 24585 CRUZ, JUAN APEX LANDSCAPING INC 02/21/19 DEPAOLO & ZADEIKIS LAWRENCE COZZI - LAW OFFICE 580 19WC 24671 GARCIA, ELIZABETH FIFTH THIRD BANK 05/23/19 EDWIN REYES LAW FIRM HOLECEK & ASSOCIATES 581 19WC 24836 GRAHAM, MARILYN UBER TECHNOLOGIES 08/01/19 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 582 19WC 24884 BLACKBURN, PETER WALMART 05/31/19 MARKHAM M JEEP & ASSOCIATE QUINTAIROS PRIETO WOOD & BOY 583 19WC 25025 RECARTE, ALEXIS (PARENT O TACO BELL 07/16/19 MC HARGUE & JONES 584 19WC 25089 MEYERS, HOWARD PFANSTIEHL, INC 07/29/19 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 585 19WC 25223 VELEZ, ANASTACIOUS INDUSTRIAL WIRE & CABLE 07/28/19 ANGELINI & ORI LLC ROSARIO CIBELLA 586 19WC 25316 SPRINGER, RICHARD SUMMIT STAFFING 03/21/19 DWORKIN AND MACIARIELLO 587 19WC 25333 VILLAREAL, ARTHUR CONNOR ELECTRIC 07/18/19 GAROFALO SCHREIBER STORM G RUSIN & MACIOROWSKI LTD 588 19WC 25373 GABRIEL, TAYLOR CHICAGO BEARS FOOTBALL CL 10/31/18 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 589 19WC 25414 PIPES, NITYSHAUWA PREFERRED MEALS 08/01/19 GALLAGHER LAW PC 590 19WC 25550 MAGDON, AREK FETCO 06/08/17 TARADASH LAW OFFICE 591 19WC 25744 CANALES, DINA ACCURATE PERSONNEL 08/19/19 COSTA IVONE LLC JOHN T GONNELLA 592 19WC 25851 WALLS, ANDREA STATE OF ILLINOIS, DEPT O @ 07/15/17 AIOSSA LAW FIRM STATE OF ILLINOIS 593 19WC 26019 LOPEZ GUIFARRO, JOSE COMPX 05/02/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 594 19WC 26182 CORTEZ, VERONICA PARKER HANNIFIN 08/22/18 POSTERLI, OSCAR RUSIN & MACIOROWSKI LTD 595 19WC 26238 FLORES, OMAR WOODLAND FOODS LTD 10/28/16 LINN, CAMPE & RIZZO LTD 596 19WC 26241 HILL, MICHAEL E ANN M. KILEY CENTER @ 06/20/19 LINN, CAMPE & RIZZO LTD KRISTIN LEASIA 597 19WC 26245 FLORES, OMAR WOODLAND FOODS LTD 06/21/19 LINN, CAMPE & RIZZO LTD 598 19WC 26505 PIAT, LEAH ABRH BAKERS SQUARE 02/22/19 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 19WC026506 -C 599 19WC 26655 SOTO, DANIA RAMOS COMPX TIMBERLINE 08/23/19 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 600 19WC 26972 HETZNER, KENNETH JEWEL 04/24/19 NILSON STOOKAL GLEASON CAP BRADY CONNOLLY & MASUDA PC 601 19WC 27062 KOSBAR, DARWIN HOEKSTRA TRANSPORTATION L 08/14/19 DWORKIN AND MACIARIELLO JAMES M KELLY 602 19WC 27112 BAILEY, THOMAS K CITY OF ZION 12/07/18 THOMAS W DUDA 603 19WC 27331 COPEN, SCOTT D SIGNATURE DEVELOPMENT 11/13/18 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 604 19WC 27334 WATKINS, BRADLEY M SUPERIOR AMBULANCE 06/24/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 605 19WC 27361 ARIZMENDI, SALOMON SKIDMASTERS 10/06/16 CULLEN HASKINS NICHOLSON 606 19WC 27375 LEWIS, DEBRA CLAIMS BUREUA USA INC 09/26/16 ROSS TYRRELL 607 19WC 27437 LOPEZ, ESMERALDA BURGER KING 08/18/19 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 608 19WC 27502 WAKEFIELD, VERA OLSEN 08/06/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 609 19WC 27599 SHEDRICK, DIONKA M RANDSTAD 08/20/19 TAMVAKIS, GEORGE L SLAVIN & SLAVIN 610 19WC 27614 BROOKS, MARY J WALGREENS 12/21/18 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 611 19WC 27728 ALVAREZ, EDMUNDO CITY OF LAKE FOREST 01/15/19 ANKIN LAW OFFICE 612 19WC 27803 GAYDEN, JANIS THE GROVE AT THE LAKE 08/10/19 RAYMOND M SIMARD, PC BRADY CONNOLLY & MASUDA PC 613 19WC 27900 MENDEZ-ZARINANA, JOSE LAKE COOK TRENCHING 09/13/19 MC HARGUE & JONES 614 19WC 28031 GOMEZ, MARTHA SHIRE PHARMACEUTICALS 04/04/19 COVEN LAW GROUP HOLECEK & ASSOCIATES 615 19WC 28182 BENTLEY, VANESSA GOODWILL GREAT LAKES 09/20/19 EAMES LAW GROUP LTD 616 19WC 28416 ROGEL-LOPEZ, ELENA LAKE FOREST PLACE 10/07/18 MARKHAM M JEEP & ASSOCIATE 617 19WC 28763 AREVALO, REYES D ARBOR MASTERS 09/24/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 618 19WC 28805 HERNANDEZ, SILVIA ROUND LAKE SILVER OAK DON 09/17/19 JONATHAN SCHLACK 619 19WC 28857 HOFF, CHARLES GM SIGNS, INC 09/10/19 BRYCE DOWNEY & LENKOV LLC 620 19WC 28899 SERRANO, LETICIA ALLSTAFF 07/18/19 LARRY FLEISCHER & ASSOCIAT SLAVIN & SLAVIN 621 19WC 29081 NUNEZ, MARICRUZ MOUNT ST JOSEPH 09/11/19 GRAVLIN, MICHAEL J LLC 622 19WC 29100 LOPEZ, JARIN JR. MIDWAY STAFFING 06/09/19 COSTA IVONE LLC 623 19WC 29206 GUSTAFSON, SALLY CITY OF ZION 02/12/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 19WC029207 -C 624 19WC 29245 ORNELAS, GERARDO ALERIS 09/11/19 RIDGE & DOWNES 625 19WC 29317 CALLESE, ROGER E VILLAGE OF ROUND LAKE BEA 07/26/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 626 19WC 29324 BOATMAN, JIMMIE GREEN KITCHEN CONCEPTS, I 04/25/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 627 19WC 29440 BARRY, LORA FEDEX GROUND 09/27/19 MINKOW DOMIN 628 19WC 29497 KANKA, THOMAS SIX FLAGS 08/08/18 JOHN M BORCIA LAW OFFICE BRADY CONNOLLY & MASUDA PC 629 19WC 29586 ALVAREZ, EULALIA HURTADO SCHOOLKIDZ 08/05/19 HEALY SCANLON LAW FIRM JOSEPH MARCINIAK 630 19WC 29654 VALLADARES, LAZARO SYNERGY FLAVORS, INC 10/02/19 COSTA IVONE LLC 631 19WC 30011 DABABNEH, NAJI AMAZON 09/30/19 SEIDMAN MARGULIS & FAIRMAN 632 19WC 30062 VILLARREAL, ELIAS VILLAGE OF ISLAND LAKE 07/02/19 LEONARD LAW GROUP LLC ANCEL GLINK PC 633 19WC 30121 CHOCOLATE, JENNIFER AMAZON.COM INC 03/10/19 PAUL MARZANO 634 19WC 30161 WOOD, SCOTT A VILLAGE OF BUFFALO GROVE 08/27/19 THOMAS W DUDA 635 19WC 30379 ANDERSON, JULIE AMERICAN DRUG STORES LLC 10/28/18 VOGG, MARK J LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 636 19WC 30430 AGUILAR, OSWALDO MATTHEWS PROFESSIONAL 09/20/19 DAVID W MARTAY LAWRENCE COZZI - LAW OFFICE 637 19WC 30471 CONNEELY, VERONICA HIGHLAND PARK HOSPITAL 10/09/19 POLANSKY & CICHON CHTD 638 19WC 30654 ROTHMALLER, CLARENCE EMCO CHEMICAL 09/27/19 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 639 19WC 31048 MARES, JULIO JR. JEWEL-OSCO 11/21/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 640 19WC 31061 GLOEDE, TRACI S VILLAGE OF LINCOLNSHIRE 09/07/19 LINN, CAMPE & RIZZO LTD 641 19WC 31148 DIAZ, RODRIGO KANAFLEX 06/18/19 BOTTO GILBERT 642 19WC 31205 MOGAN, DENNIS ILLINOIS COMMERCE COMMISS 04/02/19 PORRO NIERMANN LAW GROUP 643 19WC 31241 AMAYA, OLVIN MIGUEL'S CONSTRUCTION INC 10/08/19 ENCINAS & ORNELAS LAWRENCE COZZI - LAW OFFICE 644 19WC 31288 HOGAN, DIEDRE ADVOCATE CONDELL MEDICAL 06/04/18 PRIME LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 645 19WC 31335 SMIGEL, LESLIE A HIGHLAND PARK HOUSING 10/17/18 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 19WC031336 -C 646 19WC 31342 DOTE, MAUREEN HOME DEPOT 02/17/19 LANCASTER, DEBORAH 647 19WC 31388 CORTES, MARIA THE POPCORN FACTORY/ 09/26/19 LINN, CAMPE & RIZZO LTD LAWRENCE COZZI - LAW OFFICE 648 19WC 31477 REBOLLEDO, RICARDO VAL'S FRESH MARKET 10/20/19 BAUM RUFFOLO & MARZAL LTD 649 19WC 31561 MCJOY, DEMARIUS L MEDSPEED 10/15/19 LAW OFFICES OF GERALD F CO SCHOUEST BAMDAS SOSHEA 20WC000557 -C MED SPEED LLC 650 19WC 31668 LARA, LILIANA B&B MAINTENANCE, INC 09/13/19 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICE 651 19WC 31826 TRUJILLO, RAFAEL FK FOUNDRIES, INC 09/11/19 LINN, CAMPE & RIZZO LTD 652 19WC 32035 MENDOZA, JHONATTAN HUNTER EXTERIOR 10/18/19 CHEPOV & SCOTT LLC 653 19WC 32272 WELLS, CHARLES ISAZA, INC 10/31/19 VASILATOS & COTTER LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 690 19WC 35293 RAMIREZ, JACQUELINE MUNDELEIN MONTESSORI SCHO 07/16/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 691 19WC 35327 HUPP, DEAN SKIPPER MARINE DEVELOPMEN 03/15/19 GANAN & SHAPIRO 692 19WC 35466 RUEDA, ANTHONY CENTRAL STATE TRUCKING 10/31/19 JONATHAN SCHLACK SCOPELITIS GARVIN LIGHT 693 19WC 35561 MODDES, MARK FISCHER PAPER PRODUCTS IN 03/31/17 LINN, CAMPE & RIZZO LTD 694 19WC 35828 ORTIZ, NIDIA PRESTIGE, USA 10/03/19 SEIDMAN MARGULIS & FAIRMAN LAWRENCE COZZI - LAW OFFICE 695 19WC 36379 COLMAN, FREDERICK E WAUKEGAN TOWNSHIP 08/01/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 696 19WC 36478 PEREZ, PEDRO LABOR SOLUTIONS 12/09/19 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC 697 19WC 36601 CLEMMINGS, TREVOR JR CHICAGO BEARS FOOTBALL 08/24/19 WOLFE LAW PC MC ANDREWS & NORGLE LLC 698 19WC 36654 GALVAN, MARIA ELIAR COMPANY, D/B/A PREF 12/19/18 FERRIS THOMPSON & ZWEIG 699 19WC 36689 RODRIGUEZ, MARVELIA HOOGWEGT US, INC. 09/27/18 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD 700 19WC 36793 IRIZARRY, JANITZA GRAND STAFFING AGENCY, LL 12/04/19 MARKHAM M JEEP & ASSOCIATE 701 19WC 36882 GILBERT, SAMUEL C WAUKEGAN SCHOOL DIST 60 09/09/19 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 702 19WC 36933 WILLIAMS, ALEXANDRA GREAT LAKES RESOURCES INC 11/25/19 DOUGLAS RALLO PC 703 19WC 37024 PEREZ, DAILY THE SHERIDAN AT GREEN OAK 11/07/19 AIOSSA LAW FIRM 704 19WC 37107 BAXTER, LAURA A JOANN FABRICS 08/17/18 MARKS INJURY LAW 705 19WC 37136 KAREEM, MEEKAAEEL ADVANCE DISPOSAL 12/05/19 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 706 19WC 37247 KRUEGER, RICHARD HILL'S ROOFING & WINDOWS 11/02/19 DWORKIN AND MACIARIELLO 707 19WC 37279 LOUIS, EARL GOODWILL WORKFORCE 11/14/19 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 19WC 37319 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 10/03/18 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 709 19WC 37322 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 11/01/18 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 710 19WC 37325 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 11/19/18 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 711 19WC 37328 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 01/24/19 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 712 19WC 37331 RELLE, TAYLOR WAUKEGAN SCHOOL DISTRICT 04/03/19 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 713 19WC 37352 VAN SICKLE, HELENE KROGER CO 09/08/19 NEWLAND & NEWLAND 714 19WC 37389 PANIAGUA, AGUSTINA VISUAL-PAK CO, INC 04/24/19 MARKHAM M JEEP & ASSOCIATE 715 19WC 37483 MIRANDA, MARGARITA BLUE JAYS HOME CARE, LLC W 12/17/19 BAUM RUFFOLO & MARZAL LTD 716 19WC 37503 AMBRIZ, LETICIA DUNKIN DONUTS 12/26/19 SOSTRIN AND SOSTRIN PC LAWRENCE COZZI - LAW OFFICE 717 19WC 37508 SEPULVEDA LOPEZ, ANDRES SHINGLES ETC, INC 11/24/19 JONATHAN SCHLACK INMAN & FITZGIBBONS 718 19WC 37565 MILLS, MEGHAN HUNT COMPANIES 08/19/19 LINN, CAMPE & RIZZO LTD 719 19WC 37592 KORBAS, JEFFREY ALDI 05/13/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 720 20WC 00192 TORRES, RUBEN AMCOR FLEXIBLES HEALTHCAR 08/21/19 STEVEN J MALMAN & ASSOCIAT 721 20WC 00289 FRY, LACIE COSTCO WHOLESALE 07/19/18 GANAN & SHAPIRO 722 20WC 00307 IVANTIC, MATTHEW LAKE COUNTY HOUSING AUTHO 12/19/19 SANDMAN LEVY & PETRICH GILDEA, COGHLAN & REGAN LTD. 723 20WC 00386 CAVAZOS, MANUEL MEDLINE INDUSTRIES, INC 11/21/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 724 20WC 00436 COLEMAN, NIKITA VYAIRE MEDICAL 12/10/19 MC HARGUE & JONES JOSEPH MARCINIAK 725 20WC 00494 POWELL, DELROY CITY OF HIGHLAND PARK 12/03/19 SANDMAN LEVY & PETRICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 726 20WC 00588 MOOTE, GRACE SUPERIOR AMBULANCE 10/19/18 JOSEPH J LOSS PC POWER & CRONIN LTD 727 20WC 00613 HANDY, DONNA GOODWILL INDUSTRIES 12/28/19 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 728 20WC 00670 HAUSER, ALEC UL, LLC 10/11/18 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 20WC000671 -C 729 20WC 00701 TAYAG, JOLY FLEXTRONICS 11/05/19 DAVID W MARTAY HOLECEK & ASSOCIATES 730 20WC 00735 FALLUCCA, CASSANDRA VISTA MEDICAL CENTER 12/03/19 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 731 20WC 00789 JONES, MICHAEL JB HUNT TRANSPORT 12/11/19 BRIAN M LAUGHLIN PC 732 20WC 00883 JAWOREK, RYAN GNC 12/08/19 ZANCK COEN WRIGHT & SALADI 733 20WC 00936 JENKINS, LATASHIA N SUNRISE SENIOR LIVING 10/01/19 COVEN LAW GROUP NOBLE & ASSOC 734 20WC 00964 GARCIA, NICOLAS MARTIN JOHN COMPANY 10/30/19 DWORKIN AND MACIARIELLO 735 20WC 00985 MEYER, JOYANNA H KOHL'S DEPARTMENT STORES 11/22/19 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 736 20WC 01080 CASTRO, MARTHA ALLSTAFF 09/25/19 DAVID J. BAWCUM SLAVIN & SLAVIN 737 20WC 01094 HERNANDEZ, JUAN CEDAR ROOFING COMPANY 10/29/18 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 738 20WC 01135 MCNUTT, KAREN MONDELEZ/NABISCO 12/06/19 DWORKIN AND MACIARIELLO 739 20WC 01213 CORREA, JAIME COURIER EXPRESS 12/17/19 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 740 20WC 01276 SHOCKLEY, LATASHA LIPARI FOODS 10/15/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 741 20WC 01376 RIVERA, PEDRO ISLA DEL MAR #2 07/22/19 JOHN S. ELIASIK 742 20WC 01407 HAYNES, GERRICK INSIGHT GLOBAL, LLC 01/15/19 JOSEPH MARCINIAK 743 20WC 01536 DAVIS, LILIA HAWTHORN SCHOOL DISTRICT 01/31/17 POLACHEK & POLACHEK NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 744 20WC 01588 CUSTO, NADILE CIBC BANK USA 12/20/19 GWC INJURY LAWYERS LLC 745 20WC 01678 RAYMOND, JASON PATIENT'S CHOICE, LLC 01/26/17 REESE & REESE EDWARD J. KOZEL 746 20WC 01789 COBB, ALIYEMI FEDEX 03/28/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 747 20WC 01841 COZART, KIMBERLY MOD SUPER FAST PIZZA 10/24/19 DAVID W MARTAY COZZI & ZAPF LAW OFFICE 748 20WC 02071 MATEOS, ALEJANDRA JAFFA SALADS INC 12/27/19 MARKS INJURY LAW LAWRENCE COZZI - LAW OFFICE 749 20WC 02216 HERMOSILLO, LUIS SANDMAN'S PAVING AND 05/02/19 TARADASH LAW OFFICE 750 20WC 02528 MARTINEZ, GERONIMO MARIANI LANDSCAPING 04/16/18 JONATHAN SCHLACK KRAKER FANNING & OLSEN 751 20WC 02626 WARDA, JOHN J WOODLAND SCHOOL DIST #50 04/09/18 TAMVAKIS, GEORGE L 752 20WC 02735 ORTENBERG, OLEG FED EX 09/25/19 LEO ALT 753 20WC 02773 TERRILL, MICHAEL JEFFRIES HEATING 07/08/18 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 754 20WC 02803 JONES, DIANA HARBOR GROUP MANAGEMENT 10/26/19 MC HARGUE & JONES 755 20WC 02847 DILLON, JAMES MATTHEWS PROFESSIONAL 01/24/20 DWORKIN AND MACIARIELLO 756 20WC 02901 LINDSEY, KACEY PETSMART 12/30/19 ROBERT E LUNZ WIEDNER & MCAULIFFE LTD 757 20WC 02935 PARHAM, ANTONIO WAUKEGAN S.D. #60 05/11/19 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 758 20WC 03043 WEATHERLY, KAREN ZION BENTON TWP TRANS DEP 10/16/19 MARKS INJURY LAW POWER & CRONIN LTD 759 20WC 03094 GRANADOS DERODRIGUEZ, JOS MATTHEWS PROFESSIONAL EMP 11/01/19 TAMVAKIS, GEORGE L COZZI & ZAPF LAW OFFICE 760 20WC 03097 COLE, MICHAEL VALOR UNDERGROUND CONSTRU 02/03/20 RITTENBERG BUFFEN BRADY, CONNOLLY & MASUDA, PC 761 20WC 03124 GLASSBERG, SUSAN MCHENRY DONUTS, INC/DBA D 01/03/20 KATZ FRIEDMAN EISENSTEIN JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 762 20WC 03243 DIAZ (PENA), DAGOBERTO STAFFING NETWORK 11/09/19 LARRY FLEISCHER & ASSOCIAT 763 20WC 03276 HUERTA, ELIAS HUERTA STATION IMAGING, INC. 01/15/20 SPENCER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 764 20WC 03372 ARREOLA, JUAN INSTAFF 01/09/20 AIOSSA LAW FIRM 765 20WC 03443 RUTHERFORD, LESLIE LIBERTYVILLE TILE 06/12/18 HEALY SCANLON LAW FIRM GANAN & SHAPIRO 766 20WC 03477 PETERS, ANGELIQUE M BAXTER HEALTHCARE CORP 11/02/18 CHEPOV & SCOTT LLC 767 20WC 03513 CIENFUEGOS, JOSE MIRACAPO PIZZA 12/28/18 NILSON STOOKAL GLEASON CAP SPIEGEL & CAHILL, PC 768 20WC 03662 ESTRADA GARCIA,MA DEL CON AMADEUS & PARTNERS INC 01/17/20 CULLEN HASKINS NICHOLSON COZZI & ZAPF LAW OFFICE 769 20WC 03731 CAMERON, SHENACH DEERFIELD SD #109 01/27/20 SEIDMAN MARGULIS & FAIRMAN 770 20WC 03780 SALINAS ALVAREZ, CHRISTHI RED LOBSTER 12/12/19 HERRERA LAW CENTER BRYCE DOWNEY & LENKOV LLC 771 20WC 03873 BRYANT, KELLY TECZA LANDSCAPE GROUP 01/24/20 LIPKIN & APTER COZZI & ZAPF LAW OFFICE 772 20WC 03894 SPAARGAREN, JASON PIEPER POWER 01/06/20 GWC INJURY LAWYERS LLC KRAKER FANNING & OLSEN 773 20WC 03985 RILEY, ANITA WAUKEGAN COMMUNITY UNIT 04/10/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 774 20WC 03998 ANDERSON, TRACY STARBUCKS 02/06/20 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 775 20WC 04081 KANTNER, BARRY FEDEX FREIGHT 02/27/19 QUINTAIROS PRIETO WOOD & BOY 776 20WC 04102 AYALA, JUANA ECHO INCORPORATED 01/14/20 CHEPOV & SCOTT LLC WOLF & LAUDICINA LTD 777 20WC 04208 KREVCHUCK, LAREN LANDRUM PIER ONE IMPORTS 07/30/18 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 778 20WC 04356 TOUSANA, TONY AMAZON 10/25/19 ANKIN LAW OFFICE 779 20WC 04494 REED, ASHLIE VISTA MEDICAL CENTER EAST 03/19/17 RANDALL A. WOLFF & ASSOC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 798 20WC 06172 NORWOOD, SHERINA GREAT WOLF LODGE 01/30/20 799 20WC 06342 LARA, RAFAELA HANDI-FOIL (BORROWING) 02/07/20 SOSTRIN AND SOSTRIN PC 800 20WC 06470 CARDENAS, RAUL GEORGE CARDENAS LANDSCAPI 08/17/19 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 20WC006471 -C 801 20WC 06499 VELASCO, BIANCA PEAPOD 11/22/16 DUDLEY & LAKE LLC LITCHFIELD CAVO 802 20WC 06552 CASTILLO, LETICIA TAKEDA 06/01/19 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 803 20WC 06590 SWEENEY, MICHAEL LITTLE TOMMY'S PLUMBING S 10/04/18 HEALY SCANLON LAW FIRM JOSEPH MARCINIAK 804 20WC 06650 FUENTES, GUILLERMO J METALEX 12/05/19 ANESI OZMON RODIN NOVAK KO COZZI & ZAPF LAW OFFICE 805 20WC 06688 MARKHAM, MARILYN VISTA MEDICAL CENTER EAST 09/10/19 DUDLEY & LAKE LLC 806 20WC 06751 CRUZ, GERARDO CLARIDGE HEALTHCARE 02/06/20 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 807 20WC 06827 LINDSLEY, PAULA VCA CAIRO ANIMAL HOSPITAL 07/12/19 HANNIGAN & BOTHA, LTD SLAVIN & SLAVIN 808 20WC 06852 DHIAB, ALI BEN LOUCINE LIMO INC 01/23/20 RIDGE & DOWNES LITCHFIELD CAVO 809 20WC 06897 RAMOS, ALEJANDRO HERNANDE AL HANSEN, INC. 10/15/19 MANUAL CARDENAS & ASSOC PAUL O WATKISS 810 20WC 06988 TAYLOR, MICHAEL CBRE, INC 05/07/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 811 20WC 07006 VILLAGOMEZ, DANIEL FEDEX GROUND 01/07/20 GWC INJURY LAWYERS LLC KOPKA, PINKUS DOLIN, PC 812 20WC 07009 LEWALLEN, RONALD KLOSS DISTRIBUTING CO. 07/16/19 RIDGE & DOWNES 813 20WC 07075 PEREZ, GUILLERMO ALLSTAFF 02/26/20 ACEVES & PEREZ PC SLAVIN & SLAVIN 814 20WC 07117 AMOS, MICHELLE NORTHPOINTE RESOURCES INC 02/26/20 ROMANUCCI & BLANDIN 815 20WC 07179 JOHNSON, SHAWNDRA M CITY OF NORTH CHICAGO 04/01/18 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 816 20WC 07270 SKRANDZIUS, VICTOR J A FRATE INC 05/02/18 BOTTO GILBERT HINSHAW & CULBERTSON 817 20WC 07299 GENTILE, RICHARD F FIRST CLASS PLUMBING LLC 02/21/19 RUBIN LAW GROUP GILDEA, COGHLAN & REGAN LTD. 818 20WC 07476 CABREROS, ABELARDO PRESBYTERIAN HOMES 05/03/19 BURNETT & CARON, LTD 819 20WC 07598 WILLETT, BRUCE BEACH PARK FIRE DEPARTMEN 05/20/19 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 820 20WC 07620 ROMAS, RENE THE XCEL GROUP 01/14/20 AIOSSA LAW FIRM MC ANDREWS & NORGLE LLC 821 20WC 07648 ALICEA, JOSHUA DH PACE 10/14/19 CULLEN HASKINS NICHOLSON KRAKER FANNING & OLSEN 822 20WC 07855 SHEIKH, TAHMENA NAZ LINCOLNSHIRE MARRIOTT RES 03/15/20 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 823 20WC 07914 POMAZAL, ASHLEY LAKE COUNTY SHERIFF'S OFF 01/29/20 RIDGE & DOWNES 824 20WC 08196 WADKINS, DONNA G THORNTON'S 03/10/20 LINN, CAMPE & RIZZO LTD KRAKER FANNING & OLSEN 825 20WC 08260 KELLY, THOMAS J LIBERTY COACH INC 03/04/20 DOUGLAS RALLO PC MCANANY VANCLEVE & PHILLIPS 826 20WC 08352 SAUVE, CURTIS VISUAL PAK 03/09/18 DUDLEY & LAKE LLC 827 20WC 08425 OWSIANY, SCOTT LEICA BIOSYSTEMS 03/03/20 ROBERT WARSASKI WIEDNER & MCAULIFFE LTD 828 20WC 08466 STRAUSS, EDWARD SET AND SERVICE RESOURCES 03/24/20 DWORKIN AND MACIARIELLO 829 20WC 08521 ROJAS, GERARDO KEMPER VALVE & FITTINGS C 03/09/20 KATZ FRIEDMAN EISENSTEIN GOLDBERG SEGALLA LLC 830 20WC 08649 CRUZ, RICHARD PEAPOD 03/18/19 DAVID J. BAWCUM LITCHFIELD CAVO 831 20WC 08731 DIMAS, DORIS TRAVANSE LIVING/ 12/29/19 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 832 20WC 08981 EVANS, CHAD Q HINES BLDG SUPPLY-US LBM 12/30/19 MARKS INJURY LAW HOLECEK & ASSOCIATES 833 20WC 09098 BATES JR, SAMUEL J GOODWILL OF GREAT LAKES 01/20/20 KEVIN O'BRIEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 834 20WC 09171 DEJESUS, JONATHAN KILEY DEVELOPMENTAL CTR 01/06/20 DEPAOLO & ZADEIKIS 835 20WC 09204 CARRILLO, FRANKIE SUPERIOR HEALTH LINENS 01/29/20 DWORKIN AND MACIARIELLO COZZI & ZAPF LAW OFFICE 836 20WC 09362 PONCE ESPINO, NANCY RUBI NORTHSHORE GARDEN OF MEMO 05/03/18 EPSTEIN, JACK R LAW OFFICE COZZI & ZAPF LAW OFFICE 837 20WC 09647 REISTER, KARLHEINZ F CENTRAL MACHINES INC 06/11/18 JOSEPH MARCINIAK 838 20WC 09848 LIPPERT, MICHAEL J STATE OF ILLINOIS @ 02/04/20 LINN, CAMPE & RIZZO LTD 839 20WC 09852 YARBROUGH, ANIDRA N ANN M KILEY CTR 10/24/19 LINN, CAMPE & RIZZO LTD 840 20WC 10019 KOLAR, JENNIFER LAKE FOREST SCHOOL 11/27/18 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 841 20WC 10044 HOWLETT, PAUL IL DEPT OF TRANSPORTATION 02/14/20 DUDLEY & LAKE LLC 842 20WC 10197 HAYHURST, LYNN GRAHAM C-STORES DBA 03/09/20 MILLON & PESKIN LTD 843 20WC 10313 GREEN, DEANNA KILDEER COUNTRYSIDE SD 96 03/21/18 JAMES W GREEN, JR 844 20WC 10319 SCHULTZ, THOMAS FEDEX 02/17/20 LIPKIN & APTER HANSON LAW OFFICE 845 20WC 10352 CONWAY, KIMBERLY A SOI - ANN KILEY D.C. @ 05/05/19 CORNFIELD & FELDMAN 846 20WC 10437 CLAUSING, MICHELE LARSEN FLORIST, INC/JOHN 05/31/19 COZZI & ZAPF LAW OFFICE 847 20WC 10503 JIMENEZ, ALFREDO JIMENEZ EMERIC FACILITY SERVICES 04/21/20 EPSTEIN, JACK R LAW OFFICE 848 20WC 10546 SANCHEZ, LEOBARDO FBG SERVICE CORP 02/18/20 RUEDA, IVAN A HOLECEK & ASSOCIATES 849 20WC 10622 RAMOS, MARIA GUADALUPE S I JACOBSON MANUFACTURIN 08/15/19 CULLEN HASKINS NICHOLSON 850 20WC 10712 RAMIREZ, GREGORIO KEMPER VALVE & FITTINGS C 11/06/19 COSTA IVONE LLC 851 20WC 10730 ARCOS, MARIA J WHITEHALL NORTH LLC. WHIT 07/12/19 ROSS TYRRELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 852 20WC 10844 BATCHAMONG, MANUEL AMAZON 12/12/19 DWORKIN AND MACIARIELLO 853 20WC 10875 MARTINEZ, MARCO ROBERT J SCHWAB PLUMBING 09/06/19 WIEDNER & MCAULIFFE LTD 854 20WC 10936 SULLIVAN, KELLEY HOLLAND (YRC) 04/21/20 LEONARD LAW GROUP LLC 855 20WC 11082 GARITI, SALVATORE COPENHAVER CONSTRUCTION I 11/11/19 GWC INJURY LAWYERS LLC ACCIDENT FUND HOLDINGS 20WC012107 -C 856 20WC 11334 HAUBER, KIM J, WIDOW OF VILLAGE OF BUFFALO GROVE # 01/27/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 857 20WC 11350 ORI, THEODORE FOREST BLUFF SCHOOL 01/15/16 DAVID J. BAWCUM JOSEPH MARCINIAK 858 20WC 11452 TOCHIHUITL, JOSE A CLARIDGE OPERATIONS, LLC 04/17/20 THE ROMAKER LAW FIRM 859 20WC 11575 HENSLEY, DONALD COMCAST 05/12/20 RIDGE & DOWNES 860 20WC 11625 BORTO, VIOLET FLEX, LTD. 01/06/20 NEMEROFF LAW OFFICES HOLECEK & ASSOCIATES 861 20WC 11702 CAPPIELLO, ROBERT SUNRISE TREE SERVICE COMP 02/21/20 TARADASH LAW OFFICE 862 20WC 11905 WILLIAMS, ELRIDGE WEIMAN PRODUCTS LLC 05/13/20 ANKIN LAW OFFICE 863 20WC 11921 ZAVALA, ELIO ROSBOROUGH PARTNERS, INC. 11/07/19 BRADY CONNOLLY & MASUDA PC 864 20WC 11939 FIGUEROA, JOSE LAKE COUNTY PRESS 04/01/19 MC HARGUE & JONES 865 20WC 12029 AYLWARD, RYAN JOHN WOODLAND MIDDLE SCHOOL 05/11/20 HANNIGAN & BOTHA, LTD POWER & CRONIN LTD 866 20WC 12112 GAHAGAN, JAMES J WAUKEGAN PUBLIC SD 60 12/03/19 ANTHONY J MAY 867 20WC 12322 CARTER, CORAZON BELMONT VILLAGE SENIOR LI 04/28/20 PETER LEKAS GAROFALO SCHREIBER STORM GRA 868 20WC 12373 QUINTANA, YOLANDA (WIDOW ALLSTAFF # 03/20/20 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 869 20WC 12454 ACEVEDO RUIZ, GRACIELA ALLSTAFF-GURNEE 04/17/20 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 870 20WC 12476 WILLIAMS, LAWRENCE AMAZON 01/21/20 TAMVAKIS, GEORGE L 871 20WC 12597 CAPPI, MARGARET NATURESCAPE 12/26/19 DWORKIN AND MACIARIELLO 872 20WC 12662 ESCAMILLA, HECTOR XREL STAFFING SOLUTIONS L 03/15/20 ANKIN LAW OFFICE 873 20WC 12754 SANCHEZ, GUADALUPE (WIDOW RUPRECHT COMPANY # 04/23/20 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 874 20WC 12768 LOFTON, APRIL KILEY DEVELOPMENTAL CTR 05/19/20 STEVEN J MALMAN & ASSOCIAT 875 20WC 12786 SPALDING, SHAWN VILLAGE OF DEERFIELD 12/13/19 SHANCER, JEFFREY M 876 20WC 12920 GARIBAY, LUZ ELENA FLYNN RESTAURANT GROUP, L 01/05/20 COSTA IVONE LLC 877 20WC 12998 RAMIREZ, NINA ALDEN LONG GROVE REHAB & 04/01/20 JONATHAN SCHLACK 878 20WC 13031 SOTELO, RENE COLBERT PACKAGING CORP 04/24/20 HANNIGAN & BOTHA, LTD 879 20WC 13037 TABISZ, RICHARD D CITY OF WAUKEGAN 04/03/20 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 880 20WC 13063 HERNANDEZ, ALEJANDRO MITSHUBISHI ELECTRIC 11/11/19 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 881 20WC 13072 KOCH, BRENT A A. K. BUILDERS 01/22/20 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 882 20WC 13127 MENDOZA, VICTOR ACCURATE PERSONNEL LLC 04/29/20 POSTERLI, OSCAR 883 20WC 13176 MASON, YVONNE ZION SCHOOL DIST 6/ 08/25/17 SCOTT B SHAPIRO GOLDBERG SEGALLA LLC 884 20WC 13274 CORTEZ, MIGUEL PEER BEARING CO 09/16/19 ANKIN LAW OFFICE 885 20WC 13352 ALDAMA, SALOMON LEWIS PRODUCE 04/19/20 MARKS INJURY LAW 886 20WC 13477 ASUNCION, MARIA LUISA THE ALLENDALE ASSOCIATION 07/02/18 BERENZ LAW NETWORK WOLF & LAUDICINA LTD 887 20WC 13501 PEREZ, EDWARD L BUFFALO WILD WINGS 01/19/20 LINN, CAMPE & RIZZO LTD GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 888 20WC 13575 BEGGS, MATTHEW CUMMINS, INC 02/11/20 DUDLEY & LAKE LLC GOLDBERG SEGALLA LLC 889 20WC 13607 HERR, RONALD J WAUKEGAN PUBLIC SD 60 01/27/20 ANTHONY J MAY 890 20WC 13782 ERATH, DANIEL ABITUA SEWER WATER & 07/15/19 GANAN & SHAPIRO 891 20WC 13812 FRAYER-BRUNO (WIDOW) K EXPRESS INC # 06/12/20 STROM & ASSOC LITCHFIELD CAVO 892 20WC 13932 CASEY, JAMES LAKE COUNTY SHERIFF'S DEP 02/26/20 DUDLEY & LAKE LLC 893 20WC 14012 REYES, CIPRIANO ALLSTAFF-GURNEE 04/15/20 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 894 20WC 14103 DE ALEJANDRE, ELVIRA MART COMPX SECURITY PRODUCTS: 01/27/20 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 895 20WC 14153 DRAPER, GREGORY L WALMART, INC 03/05/20 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 896 20WC 14172 ISITORO, SCOTT VENDEM, INC 05/19/20 DOUGLAS RALLO PC JOSEPH MARCINIAK 897 20WC 14229 BAUER, ANDREW NEW LIFE EVANGELICAL 09/25/19 RICHARD O. GREENFIELD BRYCE DOWNEY & LENKOV LLC 898 20WC 14332 ROMAN, ARACELI MIDWAY STAFFING & FNA GRO 01/23/20 POSTERLI, OSCAR KNELL O'CONNOR DANIELWICZ 899 20WC 14368 DIAZ, MARYCEL HAMPTON INN & SUITES 03/09/20 DAVID W MARTAY 900 20WC 14401 PRICE, KEITH MCCANN WINDOW & DOOR 01/30/20 KINNALLY FLAHERTY KRENTZ 901 20WC 14568 HARRIS, TIJUANA R NORTHWESTERN LAKE FOREST 07/24/19 BRILL & FISHEL 20WC015140 -C 902 20WC 14688 OLAVERE, RUSTY ABBOTT LABORATORIES 09/25/18 MARKS INJURY LAW 903 20WC 14765 SMITH, JACKSON AMAZON FULFILLMENT CENTER 04/22/20 DWORKIN AND MACIARIELLO 904 20WC 14782 CALDWELL, MONITTA TRIDENT CARE 01/24/20 THE ROMAKER LAW FIRM 905 20WC 14830 IRAZOQUE, PERLA WHITEHALL 04/11/19 ROSENBERG EISENBERG ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 906 20WC 14886 GOMEZ, EPIFANIO EXMOOR COUNTRY CLUB 07/14/18 JOSEPH MARCINIAK 907 20WC 14887 SUCHOCKI, ROBERT STUCOALL 06/18/20 MC HARGUE & JONES COZZI & ZAPF LAW OFFICE 908 20WC 14907 WEIS, MARIANNE AMAZON 05/01/18 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 909 20WC 14990 RAMIREZ, ARACELI HYDRA FORCE 12/19/19 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 910 20WC 15012 HUTCHISON, CATHERINE SOUND, INC 11/27/19 GWC INJURY LAWYERS LLC 911 20WC 15139 SIERRA, DAVID D AKZO NOBEL AEROSPACE 04/23/20 BRILL & FISHEL 912 20WC 15225 MALDONADO, JONY ALEX M. PAINTING, INC 06/19/20 ANGELA NARDI-QUIGLEY COZZI & ZAPF LAW OFFICE 913 20WC 15255 HEINZL, JASON ILLINOIS STATE POLICE 04/21/20 RIDGE & DOWNES 914 20WC 15265 SCOTT, EDWARD PETE'S HVAC, INC 06/30/20 JOHN S. ELIASIK HOLECEK & ASSOCIATES 915 20WC 15440 ROMEO, MICHAEL T FEDEX GROUND 05/01/20 NILSON STOOKAL GLEASON CAP 916 20WC 15532 MERCADO, J CARMEN FIBERTEX NONWOVEN SOLUTIO 10/30/19 ELFENBAUM EVERS ZIELINSKA 917 20WC 15707 UHUKA, DORIS FIRST LIGHT HOME HEALTH 12/28/19 SANDMAN LEVY & PETRICH 918 20WC 15800 FERNANDEZ, LORENZO ESTRAD ATLAS EMPLOYMENT SERVICES 05/08/20 EPSTEIN, JACK R LAW OFFICE 919 20WC 15914 AMIDEI, RAY LINCOLNSHIRE RIVERWOODS 04/01/20 THOMAS W DUDA 920 20WC 16005 ORDAZ, BENITO ANASTASIAS RESTAURANT- 12/20/19 SOSTRIN AND SOSTRIN PC GILDEA, COGHLAN & REGAN LTD. 921 20WC 16049 PHOL, BILL JR SMALLEY STEEL RING CO 06/24/20 DWORKIN AND MACIARIELLO 922 20WC 16175 HARMON, TONEDALLE MCLANE FOOD SVCS 06/17/20 ANGELINI & ORI LLC 923 20WC 16278 COLEMAN, NAKIA THE SPRINGS OF VERNON HIL * 03/23/20 STANCZAK LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 924 20WC 16298 CALDERON, JOSE A/K/A RON PAYSON CASTERS INC. * 06/17/20 CULLEN HASKINS NICHOLSON 925 20WC 16420 HARAMIS, GEORGE VICTOR FORD * 06/11/20 PARENTE & NOREM PC ROSARIO CIBELLA 926 20WC 16451 ORIHUELA, MARIA E DOCTORS GENERAL LABORATOR * 05/15/20 LLOYD MILLER LAW GROUP 927 20WC 16494 LOPEZ-CHAVES, YAZMIN AMSINO HEALTHCARE * 06/22/20 COSTA IVONE LLC 928 20WC 16539 OTTOW, DAN ONE SOURCE STAFFING * 11/29/18 TAXMAN POLLOCK INMAN & FITZGIBBONS 929 20WC 16676 ADAME, CARMELO ELITE STAFFING/ * 04/20/20 RUEDA, IVAN A 930 20WC 16749 CLANCY, SHANNON SHERIDAN AT GREEN OAKS * 04/06/20 DAVID J. BAWCUM 931 20WC 16864 HERNANDEZ, CHRISTIAN SOTERA HEALTH HOLDINGS * 05/21/19 GAROFALO SCHREIBER STORM GRA 932 20WC 16975 STEVENS, JOSHUA CLARKE * 08/16/18 DAVID W MARTAY 933 20WC 17007 PHOMMACHANH, CHANTIAN D & W FINE PACK HOLDINGS * 07/01/19 HOLECEK & ASSOCIATES 934 20WC 17145 FAIRBANKS, DANIEL THE BIRCHWOOD CLUB * 05/15/20 DUDLEY & LAKE LLC JOSEPH MARCINIAK 935 20WC 17290 GUTIERREZ, ABEL JR. NORTH SHORE GAS CO/ INTEG * 04/27/20 ELFENBAUM EVERS ZIELINSKA GAROFALO SCHREIBER STORM GRA 936 20WC 17417 SHAMASH, MICHELLE P U.S. PHYSICAL THERAPY, IN * 09/24/18 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 937 20WC 17448 SAVAGE, JONATHAN VILLAGE OF GURNEE POLICE * 06/16/20 DUDLEY & LAKE LLC POWER & CRONIN LTD 938 20WC 17467 PERRY, MICHELLE L TRUE VALUE MANUFACTURING * 06/26/20 LINN, CAMPE & RIZZO LTD 939 20WC 17657 LANG, THYNOISE HIREGENICS * 06/16/20 AIOSSA LAW FIRM 940 20WC 17694 PALOMAR, MARIA COMPX * 01/21/19 GELCH & ASSOCIATES PA RUSIN & MACIOROWSKI LTD 941 20WC 17736 GUZMAN-SANTANO, ONORIO MAIANI LANDSCAPE * 05/19/20 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 942 20WC 17858 ZINT, ANTHONY H FREEMAN COMPANY, INC * 10/12/19 LINN, CAMPE & RIZZO LTD 943 20WC 17888 MAY, RYAN L WEIMAN PRODUCTS, LLC * 04/26/20 ROBERT EDENS 944 20WC 17920 WENZEL, MAUREEN R MARIANO'S * 05/11/20 LINN, CAMPE & RIZZO LTD 945 20WC 17998 BAKER, DEANA BELMONT VILLAGE SENIOR LI * 07/22/20 LAW OFFICES OF ADRIAN CHER GAROFALO SCHREIBER STORM GRA 946 20WC 18027 HARMON, COURTNEY TRI-CITY FOODS, INC. * 06/25/20 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 947 20WC 18091 MCCALL, SHAKENDRA T GATLING UNIVERSAL LLC * 06/22/20 MARKS INJURY LAW 948 20WC 18101 GARCIA, LEONARDO LANDSCAPE CONCEPTS MANAGE * 06/23/20 JONATHAN SCHLACK 949 20WC 18253 PARKS, KEVIN DAHM TRUCKING * 01/23/20 KARCHMAR & STONE 950 20WC 18276 HURTADO, AMANDA LAKE COUNTY * 06/23/18 WOLFE & JACOBSON, LTD 951 20WC 18353 ANDERSON, MARTHA QPS EMPLOYMENT GROUP 12/02/19 ANSELMO DURAN 952 20WC 18385 BOCARDO, JULIO COMCAST CORPORATION * 02/10/18 ZANCK COEN WRIGHT & SALADI 953 20WC 18489 DURAN, NELSON INSTAFF * 07/29/20 MC HARGUE & JONES SLAVIN & SLAVIN 954 20WC 18511 SANCHEZ, LUIS RIGOBERTO CARSTAR * 07/09/20 DWORKIN AND MACIARIELLO 955 20WC 18569 ESPINOSA, EVA THE XCEL GROUP * 06/23/20 ENCINAS & ORNELAS 956 20WC 18585 SANCHEZ, MARIA MRK INDUSTRIES * 07/29/20 JONATHAN SCHLACK 957 20WC 18770 GOMEZ, MIGUEL A MALONE SOLUTIONS * 06/29/20 CURNYN, JOHN 958 20WC 18962 MAGANA, GERARDO THE GARDEN CONSULTANTS, I * 07/09/20 JONATHAN SCHLACK 959 20WC 19059 SIMPSON, KENNETH KENAN ADVANTAGE GROUP INC 06/08/20 HANNIGAN & BOTHA, LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 960 20WC 19107 JIMENEZ, FERNANDO CHASE PROFESSIONAL STAFFI * 01/24/18 COSTA IVONE LLC 961 20WC 19108 REDMOND, SHEENA SUNSET FOODS 07/25/20 COSTA IVONE LLC 962 20WC 19145 EVANS, JIMMY ALLSTAFF * 04/14/20 SEIDMAN MARGULIS & FAIRMAN SLAVIN & SLAVIN 963 20WC 19225 HUNLEY, DYMOND ANDY FRAIN SERVICES * 07/22/20 DAVID W MARTAY 964 20WC 19329 PEREZ, BENITO CANTARERO PALLETS INC * 05/22/20 EPSTEIN, JACK R LAW OFFICE COZZI & ZAPF LAW OFFICE 965 20WC 19416 LAINEZ, ELSI MARISELA PROSTAR STAFFING, LLC LOA * 08/04/20 SALK FLORES & BRODERICK 966 20WC 19453 MALDONADO, DAVID M&E PAINTING & REMODELING * 07/10/20 LUSAK AND COBB 967 20WC 19461 IBANEZ, HUMBERTO MENDOZA PRESTIGE MAINTENANCE USA 06/16/20 COSTA IVONE LLC COZZI & ZAPF LAW OFFICE 968 20WC 19462 DIAZ-ROMERO, JOSE MBA BUILDING SUPPLIES * 07/21/20 COSTA IVONE LLC 969 20WC 19619 PERSINO, LOUIS ASPIRE BEHAVIORAL * 07/03/20 MEYERS & FLOWERS 970 20WC 19624 ZIENTEK, MARIA C PRIME LOGISTICS TEAM, LLC * 01/04/20 POSTERLI, OSCAR 971 20WC 19751 ORTIZ, RUDY DSI HOLDINGS CORPORATION * 02/06/19 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 972 20WC 19836 ROJAS, ADRIANA EAT'N PARK * 02/15/20 ANSELMO DURAN 973 20WC 20068 LINHOLM, JASON RYCO LANDSCAPING * 10/22/19 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 974 20WC 20158 LOPER, FRANKLIN JR. JEWEL-OSCO * 01/25/20 VASILATOS & COTTER LLC 975 20WC 20188 MENDOZA, APOLINAR TEMPS NOW * 03/30/20 COSTA IVONE LLC HENNESSY & ROACH PC 976 20WC 20234 MONTERO, MARY ANN HAWTHORNE SURGERY CENTER * 07/15/20 COVEN LAW GROUP 977 20WC 20371 MARROQUIN KLEE, CARMEN BRIGHTSTAR US * 08/11/20 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 978 20WC 20438 MOLINA, MEDARDO ARTURO MIRACAPO PIZZA COMPANY * 07/29/20 EPSTEIN, JACK R LAW OFFICE 979 20WC 20464 PAHL, TRACY SHUR-WAY MOVING & CARTAGE * 01/18/20 MARTIN V KUGIA 980 20WC 20515 MC FARLANE, JASON SHUR-WAY MOVING & CARTAGE * 08/10/20 DWORKIN AND MACIARIELLO 981 20WC 20573 GHULAMANI, KARIM DUNKIN' * 09/15/19 DWORKIN AND MACIARIELLO 982 20WC 20585 GARCIA, IVAN SANCHI LANDSCAPE CONCEPTS * 08/18/20 DWORKIN AND MACIARIELLO 983 20WC 20598 ORTIZ, NIDIA GURNEE SD 56 * 07/09/20 SEIDMAN MARGULIS & FAIRMAN 984 20WC 20636 ZYER, JAMES THE MULCH CENTER * 02/01/19 THERMAN LAW OFFICES 985 20WC 20650 SANCHEZ, JOSEFINA SURE STAFF, INC * 07/13/20 MC HARGUE & JONES 986 20WC 20657 HUGHES, DESTINY L S.O.I. ANN KILEY D.C. * 06/22/20 CORNFIELD & FELDMAN 987 20WC 20669 GIEBELHAUSEN, MICHAEL HOME DEPOT SUPPORT CENTER * 01/25/20 HANNIGAN & BOTHA, LTD 988 20WC 20841 GOINS, LUCINDA GRAHAM C-STORES COMPANY * 08/25/20 DWORKIN AND MACIARIELLO 989 20WC 20875 VALENCIA, HECTOR ;OU MALNATI'S PIZZERIA * 04/01/20 STROM & ASSOC 990 20WC 20907 ROJAS, JUAN LUIS US FOODS * 08/25/20 COVEN LAW GROUP 991 20WC 20952 ALEXANDER, TOLISE ALLENDALE ASSOCIATION * 05/15/20 LEONARD LAW GROUP LLC 992 20WC 21023 VEGA, HECTOR L EAGLE FOODS * 08/05/20 TAMVAKIS, GEORGE L 993 20WC 21058 JIMENEZ, MARIA HELP AT HOME * 08/26/20 LEONARDO MORALES 994 20WC 21089 BARTH, CHRISTOPHER CEDAR LAKE RETIREMENT HOM * 06/10/20 MARTIN L GLINK LAW OFFICE 995 20WC 21100 COSBY, TERRY JEWEL FOOD STORES * 03/31/20 BRIAN M LAUGHLIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 996 20WC 21136 DORMAN, THOMAS W JEWEL FOODS * 06/29/20 GALLAGHER, DONALD V 997 20WC 21203 DE CALUWE, PETER NICOR GAS * 12/10/18 GWC INJURY LAWYERS LLC 998 20WC 21394 RUEDA, ANTHONY VP EXPRESS * 09/08/20 JONATHAN SCHLACK 999 20WC 21443 PATTERSON, JOHN G JR. LAKE COUNTY DIVISON OF * 07/14/20 HANNIGAN & BOTHA, LTD 1000 20WC 21490 GONZALEZ, MARIA WEINBERG COMMUNITY FOR SE * 08/18/20 DWORKIN AND MACIARIELLO 1001 20WC 21597 LASCON, GILBERTO TARGET * 08/14/20 GALLAGHER, DONALD V KEEFE CAMPBELL BIERY & ASSOC 1002 20WC 21804 CABALLERO, ALFREDO VILLAGE OF BUFFALO GROVE * 07/12/20 THOMAS W DUDA 1003 20WC 21897 CAMPOS, DIANE SAM'S CLUB * 11/08/19 DAVID J. BAWCUM 1004 20WC 22162 RODRIGUEZ, MARIA ROSITA LA MICHOACANA IL, * 07/20/20 JONATHAN SCHLACK 1005 20WC 22280 JOHNSON, JACKIE FRESENIUS MEDICAL CENTER * 09/09/20 BARRY STEWART SILVER 1006 20WC 22457 GUZMAN ORTIZ, FRANCISCO THE FISHER BURTON COMPANY * 07/12/19 GANAN & SHAPIRO 1007 20WC 22591 CARRILLO, JORGE JOHN POPPERT PAINTING CO * 09/03/20 LEONARD LAW GROUP LLC 1008 20WC 22622 PINAS-CLARK, MELISSA MARINO'S * 05/31/20 COLLISON LAW OFFICES 1009 20WC 22626 BENSON, JAMES AB SPECIALTY SILICONES, L * 08/28/20 VASILATOS & COTTER LLC 1010 20WC 22765 BLANKENSHIP, DONNA WALGREENS * 03/03/20 HANNIGAN & BOTHA, LTD 1011 20WC 22768 REELAND, CHRISTINA BAXTER HEALTHCARE * 04/16/19 HANNIGAN & BOTHA, LTD 1012 20WC 22915 DE RIVERA, MARIA MEDLINE INDUSTRIES, INC * 04/28/20 LAW OFFICE OF LAURA A CHIL 1013 20WC 22935 HUGHES, SHANNON RUPRECHT CO * 09/17/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR WAUKEGAN 50002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1014 20WC 23088 ZARATE, DOMINGO MGA INNOVATION, INC * 08/01/18 CULLEN HASKINS NICHOLSON 1015 20WC 23146 OLSON, MATTHEW PERFORMANCE CONTRACTING I * 07/21/20 ACEVES & PEREZ PC 1016 20WC 23166 RAMIREZ, ERIC A.H. MANAGEMENT GROUP, IN * 04/16/20 MICHAEL G. MILLER 1017 20WC 23200 GONZALEZ, ADRIANA PORTILLO'S * 11/18/19 CULLEN HASKINS NICHOLSON 1018 20WC 23240 ESPINAL, FRANCISCO TRUCK DOCTOR OF ILLINOIS, * 08/13/20 SALK FLORES & BRODERICK 1019 20WC 23272 MOREYRA, FERNANDO STONE SYSTEMS OF CHICAGO * 07/17/20 THERMAN LAW OFFICES 1020 20WC 23338 IDUBOR, CHARLES CLEARBROOK * 07/23/20 FITZPATRICK & FITZPATRICK 1021 20WC 23403 COWAN, TAHNEA STATE OF ILLINOIS @ * 05/26/19 CORNFIELD & FELDMAN 1022 20WC 23466 DETOMASI, MARK SERVICE PLUS, INC * 08/23/19 GANAN & SHAPIRO 1023 20WC 23491 SYKES, HELENA F PEAPOD * 03/10/19 NEWLAND & NEWLAND 1024 20WC 23526 SANDERS, DEBRA GOODWILL IND OF SOUTHWEST * 12/12/18 LINN, CAMPE & RIZZO LTD 1025 20WC 23609 KHAN, MOHAMMED INTERRA, INC. * 08/06/19 ROMANUCCI & BLANDIN 1026 20WC 23646 BROVIAK, TODD M DARY CARPETS & FLOORS INC * 11/01/19 WIEDNER & MCAULIFFE LTD 1027 20WC 23699 YORK, MICHAEL D JEWEL OSCO * 01/29/20 LINN, CAMPE & RIZZO LTD 1028 20WC 23701 SANDERS, DEBRA GOOSWILL INDIANA OF SW * 07/22/20 LINN, CAMPE & RIZZO LTD 1029 20WC 23706 MARTINEZ, MARIA GRAND STAFFING AGENCY, LL * 09/13/18 POSTERLI, OSCAR

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 33472 LOEHMAN, RHONDA TRU GREEN 05/01/06 SALVATO & O'TOOLE MICHAEL JASPER 06WC042978 -C 2 07WC 50888 POTTER, TIMOTHY RELIANCE GEAR CORPORATION 06/14/07 RIFFNER BARBER ROWDEN & SC GAROFALO SCHREIBER STORM GRA 07WC050889 -C 3 08WC 03798 HALLIN, PETER R JIM'S TOWING 10/22/07 ROMANUCCI & BLANDIN THOMAS & PORTELA 4 08WC 04869 KEATHLEY, PATRICIA DOUMAK, INC 08/26/07 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 5 08WC 13928 MEDINA, RAFAEL MINUTE MAN 10/17/07 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 6 09WC 05689 KOCEV, ILIJA TRIVISTA PLASTICS 08/07/08 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 7 09WC 12014 DUAMROH, SOLOMON SPRAYING SYSTEMS CO 04/16/08 WOODRUFF & JOHNSON DONALD J. MORAN 8 09WC 15894 SVOBODA, ROBERT TRANS-LINK INC W 03/05/09 CULLEN, HASKINS, NICHOLSON CHRISTOPHER BUCHCAR LAW OFF 9 10WC 08549 SABLIK, ARTHUR CAC CORPORATION 10/01/09 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS 10 10WC 23473 ORZECHOWSKI, JAY WHEATON PARK DISTRICT 11/25/09 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 11 10WC 24194 GERK, MICHAEL MORSE ELECTRIC 05/18/10 NEWLAND NEWLAND & NEWLAND CACCHILLO LAW GROUP LLC 12 10WC 35515 JAKOBSONS, VICTOR LISLE WOODRIDGE FIRE DEPT 05/26/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 11WC045442 -C 13 11WC 01669 MOULTON, AMANDA VITAS HEALTHCARE 10/02/10 STRONG LAW OFFICE HENNESSY & ROACH PC 12WC039338 -C 14 11WC 15322 GLASGOW, TAMMY NICOR GAS 09/02/10 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 15 11WC 27086 MATA, MARIA T ELMHURST MEMORIAL HOSPITA 12/22/10 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 16 11WC 37638 19B WALKER, DEWAYNE ILLINOIS MEDI CAR INC 08/25/11 KARCHMAR & STONE POWER & CRONIN LTD 17 11WC 39618 CASAS, CANDELARIA RON'S STAFFING SERVICES 09/26/11 CULLEN HASKINS NICHOLSON KOREY LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 11WC 45039 VASQUEZ, SALVADOR APPLIANCE DISTRIBUTION 06/18/11 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 19 11WC 46787 SOTELO, EZEQUIEL PREFERRED MEAL SYSTEMS IN 11/17/11 MINKOW DOMIN POWER & CRONIN LTD 12WC012571 -C 12WC012572 -C 12WC012573 -C 20 12WC 03180 TORRES, EVANGELINA CRATE & BARREL 09/03/10 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 12WC003181 -C 21 12WC 10541 JEFFREY, THERESE GLENDALE HTS POLICE DEPT 01/19/12 BLOCK, KLUKAS & MANZELLA P STORINO RAMELLO & DURKIN 22 12WC 13737 MARTIN, ROBERT CENTRAL TURF AND 10/25/11 MINKOW DOMIN THOMAS & PORTELA 23 12WC 16045 MENA, ZEFERINA SPRAYING SYSTEMS 03/22/12 THE ROMAKER LAW FIRM DONALD J. MORAN 24 12WC 23227 ARITA, ALEX CORNERSTONE EXTERIORS 05/28/12 CULLEN HASKINS NICHOLSON ANKIN LAW OFFICE 25 12WC 26074 TENNEY, JEFFREY D HERTZ CORPORATION D/B/A 09/15/11 BUDIN LAW OFFICES NOBLE & ASSOC 26 12WC 37847 REYNA, JOSEPH NICOR GAS 09/16/10 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 16WC013294 -C 27 12WC 39254 DUNN, WILLIE NEIL RESSIN RACING STABLE W 05/23/12 28 12WC 42476 FERNANDEZ, MAYTE WORKFORCE, LLC 08/13/12 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 29 13WC 01331 IVETIC, JAMES SR BENSENVILLE FIRE PROTECTI 03/06/08 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 30 13WC 06199 DENOYELLES, CHRISTINA BURGESS SQUARE HEALTH CEN 05/31/12 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 31 13WC 11847 SHERROD, PAUL E LISLE-WOODRIDGE FIRE 12/21/12 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 13WC011848 -C 13WC011849 -C 32 13WC 14606 19B ARNDT, EARL J AMERICAN MESSAGING 02/06/12 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 33 13WC 19282 VELAZQUEZ, GABRIEL PEREZ LANDSCAPING 05/28/13 LUIS A ACEVES & ASSOC MICHELOTTI & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 13WC 21474 PETERSEN, ISABEL G4S TECHNOLOGY LLC 09/19/12 HART & DAVID LLP BRYCE DOWNEY & LENKOV LLC 35 13WC 24158 SHELTON, BONNIE SIMPLY HAIR 01/06/13 KARNO, MARK L & ASSOC KRAKER FANNING & OLSEN 36 13WC 25034 DOLE, CYNTHIA NAPERVILLE SCHOOL 04/19/12 LAW OFFICE STEVEN J SEIDMA RUSIN & MACIOROWSKI LTD 37 13WC 25529 UNRUH, CATHERINE CENTRAL DUPAGE HOSPITAL 09/04/12 TRUEMPER HOLLINGSWORTH ET GAROFALO SCHREIBER STORM GRA 18WC008959 -C CADENCE HEALTH/ 38 13WC 26438 RAMIREZ, JUAN M CONTINENTAL WEB PRESS 05/09/13 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 39 13WC 28267 19B GARCIA, APOLONIO EDDIE'S LANDSCAPING MAINT 07/26/13 WIEDNER & MCAULIFFE LTD 40 13WC 29958 PLETSCH, JAMES SOUTHERN WINE & SPIRITS O 12/27/12 CRONIN PETERS & COOK, PC MACIOROWSKI SACKMANN & ULRIC 273 13WC029959 -C 16WC008875 -C 41 13WC 30533 VIRZI, ANNA M LIFETIME FITNESS 08/28/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 42 14WC 02362 ARNETT, ADAM SCHRAMM CONSTRUCTION 07/08/13 LAW OFFICE OF SCOTT B SHAP 43 14WC 02375 FELTON, BRIAN W THE SCOTTISH PLUMBER 09/19/13 COMPTON LAW GROUP CASSANO & ASSOCIATES 44 14WC 03621 POHL, BILL PTO SERVICES 08/05/13 DWORKIN & MACIARIELLO 14WC023196 -C 45 14WC 04861 DE BIAS, ANTHONY JB HUNT TRANSPORT INC 12/06/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 46 14WC 05414 INSERRA, JOANNA GIANT STEPS 11/15/13 MARTIN L GLINK LAW OFFICE HOLECEK & ASSOCIATES 47 14WC 08295 GLASGOW, TAMMY NICOR GAS COMPANY 05/01/12 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 48 14WC 08975 AYALA, PEDRO AMERICA'S BEST INC 09/06/13 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 14WC025831 -C 15WC018232 -C 49 14WC 11227 LYDON, DARYL LARLIN HOME CARE SERVICES 03/07/14 CONWAY LAW OFFICE RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 14WC 14408 ARGUELLO, JOSE METROSTAFF INC 04/14/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 51 14WC 18280 TAPIA, JOSE UNITED LAWN & SEAL COATIN W 05/06/14 CULLEN HASKINS NICHOLSON 52 14WC 18710 MUNOZ, CRISTINO WILDFIRE 09/13/13 ANKIN LAW OFFICE NOBLE & ASSOC 53 14WC 18815 ORTEGA, SERGIO SEARS, ROEBUCK AND CO. 02/02/14 DIXON LAW FIRM GAROFALO SCHREIBER STORM GRA 54 14WC 21987 RUSEVIC, ALICE EDWARD HEALTH & FITNESS C 07/19/12 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 55 14WC 23253 WOODALL, BRIAN MB TRANSPORTATION 05/20/14 CULLEN HASKINS NICHOLSON 56 14WC 23922 GROSS, RACHAEL CERMAK FOODS 06/06/14 WHITESIDE & GOLDBERG LTD KOPKA, PINKUS DOLIN, PC 57 14WC 28826 SANCHEZ, JACOBO KRHR DISTRIBUTORS, INC. 05/15/14 LEWIS & DAVIDSON, LTD 58 14WC 30469 MONROY, MARIA MARRIOTT OAKBROOK 01/01/14 SALVATO & O'TOOLE POWER & CRONIN LTD 16WC031485 -C 16WC031486 -C 18WC035157 -C 59 14WC 36344 MARTIN, JAMES P NOLAND SALES CORP 06/02/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 60 14WC 37379 MARTINEZ, MARCO A ELITE STAFFING 07/01/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 15WC014937 -C 61 14WC 37780 SERRANO, DANIEL PROFESSIONAL TREE REMOVAL W 07/22/14 THOMAS J STIBERTH LAW OFFI ASSISTANT ATTORNEY GENERAL 62 14WC 38758 CALDERON, RAMIRO CCA MIDWEST 10/02/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 63 14WC 39350 GUZMAN, LUIS BUILDERS CONCRET SERVICE 10/17/14 KALOGERAKOS & ASSOC 64 14WC 41265 SMITH, TYNITHIA ELMHURST MEMORIAL HEALTHC 02/05/14 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 65 14WC 42310 AYALA, MANUELA ELITE STAFFING INC 11/01/14 SALK FLORES & BRODERICK GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 15WC 00676 VAZQUEZ, DIEGO ADDANTE'S CATERING & PIZZ 10/03/14 MUELHAUSEN & STEFANI PATRICOSKI, MARK G 67 15WC 01918 KNITTER, DEBORAH HCR MANORCARE 07/17/14 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 15WC001919 -C 68 15WC 02898 MARTINEZ, CLAUDIA FOREST ENVELOPE CO 11/05/14 RATHBUN CSEVENYAK & KOZOL 69 15WC 03457 BIEDA, JOHN US FOOD SERVICES 06/11/14 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 15WC003458 -C 16WC020059 -C 18WC033150 -C 70 15WC 03764 DELEON, KATRINA EMBASSY SUITES CHICAGO 11/17/14 RAPAPORT, STEVEN I NOBLE & ASSOC 71 15WC 04666 FULWILEY, EBONY MARIE UNITED PARCEL SERVICE AND 01/07/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 72 15WC 04890 GALVAN, ERASTO UNIVERSAL TAXI DISPATCH I W 01/09/15 MICHAEL HELLMAN 73 15WC 06375 RIZZI, ANGELO C PRO SERVICES INC 12/30/14 SEIDMAN MARGULIS & FAIRMAN 74 15WC 07028 NAVA, MARIA ELITE STAFFING 02/20/15 JONATHAN SCHLACK 75 15WC 08703 SALGADO, ROCIO E&C CUSTOM PLASTICS INC 01/15/15 FRIEND LEVINSON & BERGAL LAW OFFICES JOSEPH MARCINIAK 76 15WC 09706 SCHERRER, RAYMOND W JR EMPLOYMENT MANAGEMENT SER 10/07/14 VRDOLYAK LAW GROUP LLC 77 15WC 12566 RIEBEL, FRED TURNER INDUSTRIAL MAINTEN 12/23/14 ROMANUCCI & BLANDIN SPIEGEL & CAHILL, PC 78 15WC 13139 HUTTON, HAROLD BATESVILLE CASKET CO 03/15/15 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 79 15WC 14407 BERNDT, ROBERT KEENAN TRANSIT COMPANY 03/23/15 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 16WC006712 -C 16WC020206 -C PHOENIX LOGISTICS INC 16WC020211 -C 80 15WC 15425 FONSECA, MARIA SPRAYING SYSTEMS CO 08/15/13 TAMVAKIS, GEORGE L DONALD J. MORAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 15WC 15805 LODESTRO, VINCENT CAPUTO'S FRESH MARKET 11/13/14 STEVEN M SELAN GANAN & SHAPIRO 82 15WC 15875 HUITZ, AMALIA DEMAR 05/12/14 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 15WC015876 -C 83 15WC 16179 RICCARDO, MARGARET THE BONTON 03/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 84 15WC 16267 MCCORKELL, KYLE MANSFIELD OIL CO. 08/12/14 CAPRON & AVGERINOS PC CAPUANI, FRANK S 85 15WC 16379 LAKE, LYLE CITY OF WHEATON 03/13/15 THOMAS W DUDA BRADY CONNOLLY & MASUDA PC 86 15WC 17364 MYSLINSKI, DAVID PIR TANO CONSTRUCTION CO. 05/23/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 87 15WC 20744 SYDOR, JASON TOP HAT LOGISTICS 03/29/13 STEWART C ORZOFF SMITH AMUNDSEN LLC 88 15WC 21079 LOPEZ, DIANA PROTECTO SEAL 02/18/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 16WC014948 -C 89 15WC 22475 PROCICH, ALEXANDER J. THOMAS INTERIOR SYSTEMS 06/05/15 MARKER & ASSOCIATES CASSANO & ASSOCIATES 90 15WC 22745 LOCKERT, STEVEN PLOTE CONSTRUCTION 02/14/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM GRA 91 15WC 23248 BUENO, ROSALINDA M&R HVAC 08/06/12 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 92 15WC 23578 ZIELEZINSKI, STEPHEN IL STATE TOLL HWY AUTHORI 04/27/15 STROW LAW LLC GANAN & SHAPIRO 93 15WC 23683 GARNICA, JUAN THE JEL SERT COMPANY 07/08/15 SALVATO & O'TOOLE POWER & CRONIN LTD 94 15WC 24491 CLAYTON, L.C. KRAFT FOODS 07/12/15 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 16WC020657 -C MONDELEZ 95 15WC 27293 FLORES, DANIEL JEL SERT CO 07/18/14 SALVATO & O'TOOLE 96 15WC 28322 SMITH-MYLES, KATHERINE HCR MANOR CARE 04/02/15 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 97 15WC 31635 MEDRANO, MANUEL DREYER TRANSPORTATION W 10/01/14 SYREGELAS, NICHOLAS C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 15WC 33457 LA COUR, ANTHONY CARLISLE STAFFING LTD 06/05/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 99 15WC 33751 PICHARDO, BENJAMIN LISLE/NAPEVILLE HILTON 01/17/13 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 100 15WC 34038 VEGA, MARIA E KESTER, INC. 11/25/14 NYHAN BAMBRICK KINZIE & LOWR 101 15WC 35635 LEJA, LOTTIE ANTHELIO HEALTHCARE SOL 11/15/12 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 102 15WC 36182 ELLMAN, STEVEN IL STATE TOLL HWY AUTHORI @ 10/05/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 103 15WC 36675 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 104 15WC 36949 MILLER, THERESA BLACKHAWK RESTAURANT GROU 10/27/15 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD 15WC036951 -C 105 15WC 38817 JORDAN, MICHELLE ADVENTIST HOSP HINSDALE 09/29/15 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 106 15WC 39678 CISNEROS, JESUS QUESTMARK 03/06/14 PORRO NIERMANN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 107 15WC 39852 JONES, PAUL SR. IRON MOUNTAIN 07/15/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 108 15WC 41126 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 109 15WC 41261 MENDOZA, ROSMERY HANDI-FOIL 10/16/15 MC HARGUE, JAMES P LAW OFF 110 15WC 41973 WESTOVER, JONATHAN PUSH LOGISTICS INC W 10/17/15 RITTENBERG & BUFFEN 111 15WC 42627 CUCHETTO, CANDACE ELMHURST HOSPITAL 11/26/15 LAW OFFICE OF KEVIN O'BRIE JOSEPH J LOSS PC 112 16WC 01204 HARTTUNG, CHRISTOPH BUZZFIRE INC 12/18/15 VRDOLYAK LAW GROUP LLC GRIFFIN, LORETTA M LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 113 16WC 01334 SCALES, SAM ILLINOIS DEPARTMENT OF @ 01/05/16 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 114 16WC 03196 MILENKOV, NIKOLA SCOPE ENERGY RESOURCES, I 02/18/15 NILSON STOOKAL GLEASON CAP 16WC003197 -C 16WC003198 -C 115 16WC 03378 GLOWINSKI, JENNY MENARDS 01/20/16 MARC J SHUMAN & ASSOCIATES CHILTON YAMBERT PORTER LLP 116 16WC 03492 FARMANFARMAEE, MAMAK NORDSTROM 11/15/15 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 117 16WC 04769 STEIL, JAMES CD TRUCK & TRAILER CDM 05/07/15 CULLEN HASKINS NICHOLSON 118 16WC 06733 MARTINEZ, ROGELIO NORTHSTAR METAL PRODUCTS 10/29/15 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 119 16WC 07189 BRUMMEL, TODD PIVOTAL HOME SOLUTIONS 12/02/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 120 16WC 07546 TREXLER, STEVE R W DUNTEMAN CO 11/14/14 THE BRADLEY LAW FIRM STONE & JOHNSON CHARTERED 121 16WC 08097 DANILO ARIAS, ELDIN A/K/A MORELOS CONSTRUCTION 03/13/13 NEMEROFF LAW OFFICES 122 16WC 08600 DEBOK, DAVID STATE OF IL, @ 12/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 123 16WC 08822 DAVIS, ORA TOTAL NURSES NETWORK, LLC 03/07/16 ANKIN LAW OFFICE THOMAS & PORTELA 124 16WC 08978 HUICOCHEA, INES DOUBLETREE HILTON 02/28/16 LAW OFFICE HUGO ORTIZ HENNESSY & ROACH PC 125 16WC 09133 BARBER, PATRICK US FOODS 06/22/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 16WC022326 -C 126 16WC 10137 GILLON, JASMINE A-1 LIMOUSINE 10/17/15 LAW OFFICE OF SCOTT B SHAP 127 16WC 10922 RAMIREZ, LEOPOLDO JUST IN TIME STAFFING INC 02/23/16 DISPARTI LAW GROUP PA INMAN & FITZGIBBONS 128 16WC 12150 HAMMAD, BILAL A & Z TRANSPORT COMPANY 03/31/16 SANDMAN LEVY & PETRICH CIARDELLI CUMMINGS CAMPAGNA 129 16WC 12374 RODRIGUEZ, JAVIER KRONOS FOODS CORP 09/25/14 CHRISTINE F DAVID NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 16WC 13166 ROLDAN, EMILIO IRON MOUNTAIN 01/20/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 131 16WC 13605 GRZYBEK, JAMES GENERAL MILLS, INC. 02/26/16 KATZ FRIEDMAN EAGLE ET AL 132 16WC 14705 DARRIN, TRINA ODEUM, INC. 02/29/16 GOTTREICH & GRACE WIEDNER & MCAULIFFE LTD 133 16WC 14878 LOPEZ, GREGORIA JOYS CLEANING SERVICES 02/19/16 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 134 16WC 15216 19B LINEN, CURTIS MARTEN TRANSPORTATION 04/25/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 135 16WC 15611 SYLVE, MARY AIMBRIDGE HOSPITALITY 08/24/14 ODELSON & STERK KRAKER FANNING & OLSEN 136 16WC 15782 BELTRAN, JOSE ABM INDUSTRIAL 12/03/15 CURTIS S BURKE LAW OFFICE BRADY CONNOLLY & MASUDA PC 137 16WC 16244 YARBROUGH, NIDIEA SPEEDWAY 11/23/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 17WC029338 -C 138 16WC 16604 BUDURIS, MARK CASSENS TRANSPORT 05/16/16 LAW OFFICES ROBERT WARSASK KNAPP, OHL & GREEN 139 16WC 17442 FLORES, CLARA CRESTLINE HOTELS & RESORT 09/13/15 DEPAOLO & ZADEIKIS 140 16WC 17913 BORZYM, JOZEF MARIO'S TRUCKING SERVICES 04/14/16 CUSHING LAW OFFICES HENNESSY & ROACH PC 141 16WC 19027 SALAZAR, LISA BROOKDALE GLEN ELLYN 10/06/15 WOODRUFF & JOHNSON ROSARIO CIBELLA 142 16WC 19262 HARRIS, MICHAEL VAL-MATIC VALVE & MFG COR 12/23/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 143 16WC 19593 ROSA, JOSE HEWLETT PACKARD 05/12/16 GOLDBERG WEISMAN & CAIRO L 144 16WC 20036 VODA, ELLEN NAPERVILLE DISTRICT 203 08/06/09 KINNALLY FLAHERTY KRENTZ & RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 16WC 29884 SHILKA, RUSSELL UNITED RENTALS INC 08/05/16 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 163 16WC 30015 DEL RIO, VERONICA RR DONNELLEY AND SONS CO 08/23/16 WARREN W MARK BRADY CONNOLLY & MASUDA PC 164 16WC 30193 MARTIN, RONNIE ILLINOIS DEPT OF HUMAN SR 08/30/16 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 165 16WC 30251 OPALINSKI, DANA L CITY OF WHEATON POLICE 09/13/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 166 16WC 31070 CARUSO, PHILLIP RUAN LOGICS CORP 05/15/15 SCHREINER MALLOY & ETZLER JAMES M KELLY 167 16WC 31536 MURILLO, ALEXANDER G ESSENDANT 08/09/16 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 17WC025310 -C 18WC002774 -C 168 16WC 33269 MALONEY, RON TERRANCE ELECTRIC 01/07/14 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 169 16WC 34068 MARTINEZ, PEDRO DIAZ BLACK CREEK CANYON, INC 01/14/15 HODES GREENSTEIN & LITWIN GILDEA & COGHLAN 170 16WC 34346 ANDROS, NIVIA MARIANO'S 04/20/16 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 171 16WC 35606 GARRY, SUSAN 2 TOOTS TRAIN WHISTLE GRI 04/12/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 172 16WC 36723 JOHNSON, CAROL MACY'S 11/17/12 JASINSKI, GEORGE J BRYCE DOWNEY & LENKOV LLC 173 16WC 36772 DEL VESCOVO, DOMENIC ILLINOIS TOLLWAY 09/28/16 BARRY A KETTER GANAN & SHAPIRO 174 16WC 37305 DE LA TORRE, ROBERTO CHAMPION PACKAGING & DIST 08/21/15 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 175 16WC 37734 FAORO, MICHELLE SUPERIOR AMBULANCE 08/03/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 176 16WC 37745 19B BLACK, LOLETA STATE OF IL DEPT OF HUMAN @ 12/01/16 MC HARGUE & JONES ASSISTANT ATTORNEY GENERAL 177 16WC 37768 COLEMAN, LAURA, DGHTR/NXT MACY'S FURNITURE GALLERY 11/26/16 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 178 16WC 37845 SANDOVAL, ELENA OLIVE GARDEN 08/29/16 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 179 16WC 38204 EZQUIVEL, ADOLFO GENESIS CONSTRUCTION 12/06/16 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 17WC 00036 MORA, ELVIRA PLASTECH, INC 08/10/16 DEPAOLO ZADEIKIS GORE 181 17WC 00338 SANCHEZ, CARLOS GRAVURE INK 05/28/15 182 17WC 00368 SARABIA, VIRGINIA RELIABLE CLEANING W 08/20/16 FOOTE MIELKE CHAVEZ & O'NE 183 17WC 00637 VOGT, MICHAEL KH RANOVATIONS INC 12/09/16 GOLDBERG WEISMAN & CAIRO L 184 17WC 01083 KRYNSKI, GERHAND MADDEN COMMUNICATIONS 03/09/14 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 185 17WC 01336 HAYES, JUANITA ARGONNE NATIONAL LABORATO 11/30/16 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 186 17WC 01484 MUNOZ, JOSE ARAMARK 10/04/16 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 187 17WC 01660 SCRANTON, WILLIAM F STANDARD MARKET 08/31/16 GARDI & HAUGHT RUSIN & MACIOROWSKI LTD 188 17WC 01914 NELSON, JUDITH HR IMAGING 03/18/16 LAW OFFICE OF SCOTT B SHAP LAW OFFICES JOSEPH MARCINIAK 189 17WC 01984 SCHNAYER, LEROY AT&T INC 12/19/16 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 190 17WC 02577 PARRIS, RICK MONROE TRANSPORTATION 11/29/16 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 191 17WC 02843 ORTIZ, WILLIAM DUKANE PRECAST 11/11/16 BURNES & LIBMAN GAROFALO SCHREIBER STORM GRA 192 17WC 02887 WILTSE, RICHARD BATH PLANET OF CHICAGO IN 01/26/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 193 17WC 03704 FAORO, MICHELLE SUPERIOR AMBULANCE 08/11/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 194 17WC 03799 PIERCE, GREGORY RICOH USA INC 12/27/16 CHILTON YAMBERT PORTER LLP 195 17WC 04588 SIMS, RENEE ADVOCATE HEALTHCARE 12/11/16 TOPPER & WEISS LTD NYHAN BAMBRICK KINZIE & LOWR 196 17WC 05300 PEREZ, RICARDO OPTIMAS 06/12/16 MC HARGUE & JONES KRAKER FANNING & OLSEN 197 17WC 05357 WILLIAMS, BENNIE BROADWIND ENERGY, INC 10/26/15 SEIDMAN MARGULIS & FAIRMAN MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 17WC 05900 HUG, TOM DIAMOND CARPET SERVICES 11/03/16 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 199 17WC 06033 MOHN, CORY GORDON FOOD SERVICE 01/27/17 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO 200 17WC 06751 BAILEY, RHONDA FCA US LLC 11/16/16 CHILTON YAMBERT PORTER LLP 201 17WC 06813 FAIRCHILD, ASHLEY TOUCHPOINT COMPASS GROUP 11/15/16 BRISKMAN BRISKMAN GREENBER GOLDBERG SEGALLA LLC 202 17WC 06904 FALCONIO, JOHN NAPERVILLE SCHOOL DISTRIC 11/23/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 203 17WC 07149 VEGA, MARIA HYATT HOTEL 08/25/16 LUSAK AND COBB 204 17WC 07236 GAJEWSKIK, RICHARD S JR CONSOLIDATED ELECRICAL DI 05/24/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 205 17WC 07468 MCPOLIN, MEGHAN ACCESS FINANCIAL 12/06/16 SAUNDERS CONDON & KENNY 206 17WC 07767 SREY, LEA TABOR HILLS HEALTHCARE 12/17/15 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 17WC007768 -C 207 17WC 08046 LOWERY, LISA SPRINT 05/13/16 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 208 17WC 08592 KELLY, BRIAN NAPERVILLE SCHOOL DIST #2 10/01/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 209 17WC 09117 ALNATOUR, MAHMOUD DIRECT MARKETING GROUP, C W 02/24/17 GORDON & CENTRACCHIO LLC MICHAEL J MORRISROE 210 17WC 09657 ZAHROUNI-KHAMISSI, MOHSEN PLATED, INC 09/13/16 PORRO NIERMANN LAW GROUP GRANT & FANNING 17WC009658 -C 17WC010779 -C 17WC010780 -C 18WC028482 -C DINE IN FRESH, INC/PLATED 18WC029236 -C 211 17WC 09787 WILLIS, KERBY EDWARD DON AND COMPANY 04/04/14 KEVIN L WILLIS NYHAN BAMBRICK KINZIE & LOWR 212 17WC 10379 HEWAK, CAITLIN ELMHURST SCHOOL DISTRICT 01/20/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 213 17WC 10666 MYERS, JEFFREY M. AT&T 03/09/17 SALVATO & O'TOOLE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 214 17WC 10878 WILLIAMS, ASHLEY EDWARD HOSPITAL 12/05/16 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 215 17WC 11392 VAZQUEZ, VICTOR INNOCOR 08/21/15 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 216 17WC 11983 PEREZ, JAIME ARCHON CONSTRUCTION CO 08/22/16 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 217 17WC 12342 VAUGHAN, TIA DUPAGE COUNTY SHERIFF 01/29/17 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 18WC016819 -C 218 17WC 12451 RODAS, LESTER GABRIEL LIN ELITE STAFFING INC LOANIN 04/10/17 SALK, STEVEN B & ASSOC LTD 219 17WC 13074 GRON, MARLENE KEHE DISTRIBUTORS 11/30/16 WOODRUFF JOHNSON NOBLE & ASSOC 220 17WC 13383 CARTER, JOYCE A UCP SEGUIN OF GREATER CHI 03/25/17 ANKIN LAW OFFICE 221 17WC 13461 GARCIA, ORLANDO COLONIAL BAG CORPORATION 04/28/17 R. MARK MARITOTE PC GANAN & SHAPIRO 222 17WC 13576 AVILEZ, MARIO ALLIED WATERPROOFING 09/06/16 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 223 17WC 13878 FREEMAN, REGINA MG ROHAN, INC. DBA 01/01/17 MARC J SHUMAN & ASSOCIATES THOMAS & PORTELA 224 17WC 14252 GONZALEZ, MARTA G PERSONALIZATIONMALL.COM, 05/01/16 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 18WC025752 -C 225 17WC 14367 GREINER, CRAIG SIMS RECYCLING SOLUTIONS 06/11/15 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 226 17WC 14724 PATEL, DAHIBEN VALID USA 10/24/16 BURNETT & CARON, LTD GRANT & FANNING 227 17WC 14826 KMIEC, BRIAN ICON RESOURCES GROUP, INC 04/25/16 PORRO NIERMANN LAW GROUP 228 17WC 14864 HINES, KATHRYN RESIDENTIAL HOME HEALTH 04/04/17 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 229 17WC 14906 STRONG, DZINTRA BP PRODUCTS NORTH AMERICA 05/12/15 PARENTE & NOREM PC ROSARIO CIBELLA 230 17WC 15608 FLORES, MARISELA METRO STAFF, INC 08/22/16 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 231 17WC 15617 VELAZQUEZ, MARIA ROSALBA ELITE STAFFING 05/24/17 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 232 17WC 16537 SUTHERLAND, WILLIAM L. FRITO LAY 02/08/17 ERIC H CHECK, LAW OFFICES GILDEA & COGHLAN 233 17WC 16691 RAYNER, KENNETH CAMEO MOLD 01/22/16 ROBERT EDENS GANAN & SHAPIRO 18WC023836 -C 234 17WC 16770 DERECZENIK, MAREK THE MILLARD GROUP 05/26/17 CHEPOV & SCOTT LLC EVANS & DIXON 235 17WC 16876 NAVARRO, MARIA DOUBLE TREE OAK BROOK 05/05/17 CHRISTIAN & MANNO GRANT & FANNING 236 17WC 17114 SLOBODECKI, AMANDA M COMMUNITY HIGH SCHOOL DIS 01/12/17 ANKIN LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 237 17WC 17152 JIMENEZ, JAIME A.J. OSTER 06/14/16 COLLISON LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 238 17WC 17505 KALICKI, JACEK Z IL DEPT OF TRANSPORTATION 04/12/17 MICHAEL HELLMAN ASSISTANT ATTORNEY GENERAL 239 17WC 17641 NEMEC, BRETT EDDIE MERLOTS 02/20/17 240 17WC 18270 SANDOVAL, MARISOL OL-USA LLC 04/18/17 PORRO NIERMANN LAW GROUP CASSANO & ASSOCIATES 241 17WC 18413 RABULINSKI, DANIEL WILKINS BUICK 04/13/17 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM GRA 242 17WC 18494 KOTZEV, JIVKO GT TRANS INC 12/15/14 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 243 17WC 18720 AMBROSIO, JANE HOME GOOD/TJX 10/07/16 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 244 17WC 19000 MOORE, JETANTE ILLINOIS STATE TOLLWAY 12/29/16 TRUGLIO, FRED A & ASSOC NYHAN BAMBRICK KINZIE & LOWR 245 17WC 19345 PERFECT, BRIAN D IL STATE TOLL HWY AUTHORI 10/20/16 LANZILLOTTI GRIBBEN & MARC NYHAN BAMBRICK KINZIE & LOWR 17WC019346 -C 246 17WC 19871 GUERRA, OLGA PORTILLOS 04/14/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 17WC019872 -C 18WC011610 -C 247 17WC 20634 MARTINEZ, JENNIFER CGC MANAGEMENT LLC 12/06/16 ANKIN LAW OFFICE KRAKER FANNING & OLSEN 248 17WC 20689 JAVONILLO, MARCELO SPRAYING SYSTEMS CO. 06/15/17 KIPNIS & KAHN DONALD J. MORAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 17WC 20790 THOMPSON, MICHAEL MR. DAVID'S FLOORING 12/12/16 SPIROS LAW PC 250 17WC 20826 THOMPSON, MICHAEL MR DAVIDS FLOORING 03/27/17 SPIROS LAW PC 251 17WC 20933 RODRIGUEZ, RAYMUNDO FOUR LAKES CONDO 07/24/14 GILDEA & COGHLAN 252 17WC 21020 AH-YO, MERNALEE ADDUS HOME CARE- DOWNERS 12/06/16 WILLIAM H MARTAY WIEDNER & MCAULIFFE LTD 253 17WC 21309 FRUSOLONE, MARY CAROL STREAM PARK DISTRIC 05/20/17 LAW OFFICES DANIEL E MURPH HENNESSY & ROACH PC 254 17WC 21448 MOSER, RICHARD CHICAGO TRANSIT AURTHORIT 03/17/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 255 17WC 21911 VALLE, ANGEL DANCO CONVERTING 07/25/17 GOLDSTEIN BENDER & ROMANOF 256 17WC 22246 VALASEK, TIMOTHY J NEW ERA PAINTING 07/26/17 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 257 17WC 22936 SNYDER, JAMES TEAM INC. 07/14/17 JOHNSON, MICHAEL D & ASSOC HENNESSY & ROACH PC 258 17WC 23260 GARCIA, VICTORIA E FIRST HOSPITALITY GRP INC 06/08/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 259 17WC 23832 ELSMAN, BRIAN W UBER TECHNOLOGIES 07/29/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 260 17WC 24023 LOPEZ, HUMBERTO J&K CABINETRY, INC 03/05/16 RUSIN & MACIOROWSKI LTD 261 17WC 24563 STEWART, PAUL MARIANO'S 08/09/17 RATHBUN CSEVENYAK & KOZOL 262 17WC 24912 DECESARE, DOMENIC UNITED PARCEL SERVICE INC 07/17/17 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 263 17WC 25002 SCOTT, CHRYSTAL DRIVE TIME 04/01/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 264 17WC 25920 WILLARD, RYAN LAUREL BMW OF WESTMONT 06/24/17 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 265 17WC 25963 BABU, ALEYAMMA ELMHURST MEMORIAL HOSPITA 07/02/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 266 17WC 26003 BARTON, MICHAEL VILLAGE OF VILLA PARK 07/25/17 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 17WC 26076 MCDUFFEE, KELLY WILDSIDE JEEP CUSTOMS 07/24/17 MEYERS & FLOWERS COZZI & GOGGIN-WARD 268 17WC 26292 DATTOLO, OTTAVIO NOLTES AUTO REPAIR 07/27/17 DAVID W MARTAY JOSEPH MARCINIAK 269 17WC 26334 ESTRADA, LOURDES VILLAGE OF CAROL STREAM/C 06/23/17 LAW OFFICES DANIEL E MURPH 270 17WC 26601 BROWN, TEWAN NICOR GAS 08/12/17 SHELDON I MINKOW & ASSOCIA RUSIN & MACIOROWSKI LTD 271 17WC 27142 WILLIAMS, AUDREY PARKER HANNIFIN CORPORATI 08/24/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 272 17WC 27336 WITKUS, ANGELA C CITY OF WARRENVILLE 01/28/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 273 17WC 27364 REYNOLDS, DANIEL KALLEMEYN COLLISION CENTE 08/29/17 COPELAND FINN & FIERI LTD 274 17WC 27468 MUNOZ, JOSE CLIPPER INDUSTRIES 04/27/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 275 17WC 27895 MENDEZ, CARLOS PARKER HANNAFIN 08/23/17 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 276 17WC 28155 SANTIAGO, BRANDON M VILLAGE OF VILLA PARK 10/29/14 GOLDBERG WEISMAN & CAIRO L 277 17WC 28536 MONTEZ, MICHAEL NRJM INC, DBA DOMINO'S PI 09/08/17 MARC J SHUMAN & ASSOCIATES CHILTON YAMBERT PORTER LLP 278 17WC 28824 SANTOYO, PEDRO F&J RODRIGUEZ LANDSCAPING 09/09/17 CULLEN HASKINS NICHOLSON JAMES M GERAGHTY 279 17WC 28997 AVILES, NORMA ADVANCED URETHAN TECHNOLO 11/04/16 LAW OFFICES OF ANSELMO DUR GAROFALO SCHREIBER STORM GRA 280 17WC 29433 IVANOVSKA, KARAVILKA WALMART 04/29/17 WHITESIDE & GOLDBERG LTD GANAN & SHAPIRO 281 17WC 29526 NUNO, ABIGAIL EMERITUS 10/31/14 EPSTEIN, JACK R LAW OFFICE ROSARIO CIBELLA 17WC029527 -C BROOKDALE BURR RIDGE 18WC008483 -C 282 17WC 29550 ROGERS, BRAD CITY OF NAPERVILLE 07/12/17 GOLDBERG WEISMAN & CAIRO L CITY OF NAPERVILLE 283 17WC 30537 BOLAND, MERCEDITA XANITOS 08/11/17 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 284 17WC 30543 ACEVEDO, CECILIA GF MANAGEMENT, INC. 03/10/17 ARIANO HARDY NYULI JOHHSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 17WC 30613 MITCHELL JR, KEITH AEROTEK 11/03/16 HORWITZ HORWITZ & ASSOC 286 17WC 30627 JOERNDT, WILLIAM CECCHIN PLUMBING & HEATIN 11/25/14 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 287 17WC 30708 CHRISTENSEN, SCOTT RELIABLE BASEMENT SERVICE 09/15/17 288 17WC 31306 GUZMAN, RICARDO PACKAGING DESIGN CORP 09/14/17 GANAN & SHAPIRO 289 17WC 31404 HODUR, KENNETH W METROPOLITAN STEEL 12/01/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM GRA 290 17WC 31502 GARCIA, RAYMUNDO H2 OPS HOLDING INC 10/15/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 291 17WC 32041 TOVAR, JOSE MANUEL ALMARA DELL RHEA'S CHICKEN BASKE 10/20/17 SALK, STEVEN B & ASSOC LTD KOPKA, PINKUS DOLIN, PC 292 17WC 32109 MARTINEZ, JOSE DE JESUS D ERA VALDIVIA 06/14/17 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 293 17WC 32277 TOVAR, PEDRO GREEK ISLANDS RESTAURANT 08/10/17 SCHWEICKERT & GANASSIN JOSEPH MARCINIAK 294 17WC 32378 HILL, VERNON PORTILLOS 08/24/17 DWORKIN AND MACIARIELLO 295 17WC 32597 MARTINEZ, MATIAS F.R.Y INSTALLATIONS CORP 01/25/16 CUSHING LAW OFFICES 296 17WC 32614 DE'AQUINO, ISMAEL SPARKS COMPLETE CAR CARE 10/28/17 LEONARD LAW GROUP LLC NOBLE & ASSOC 297 17WC 32773 LAYER, WAYNE COOK COUNTY SHERIFF'S OFF 06/14/17 DRISCOLL LAW OFFICES PC STATES ATTORNEY OF COOK COUN 298 17WC 32938 ALVARADO, MARGARITA M, SU MICHAEL & MAREK CITOVSKY # 10/09/17 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM GRA 299 17WC 33097 ORTA, OSCAR OX BOX 08/08/17 COSTA IVONE LLC EVANS & DIXON 300 17WC 33378 SCHUPINKA, CHRISTOPHER SUZIE FUN FOODS LLC 07/02/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA 301 17WC 33626 HOCKSTEIN, GREGG E US FOODS 10/24/17 JOHNSON, MICHAEL D & ASSOC BRADY CONNOLLY & MASUDA PC 302 17WC 33855 GILL, KATHLEEN INDIAN PRAIRIE SD 204 05/08/17 RONALDSON & KUCHLER BRADY CONNOLLY & MASUDA PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 18WC 00233 GRIMALDO, GABRIEL UNISTAFF INC 12/05/17 ANKIN LAW OFFICE GANAN & SHAPIRO 322 18WC 00506 REUM, ROBERT VALLEY FASTENER GROUP 04/01/15 KEEFE CAMPBELL & ASSOC LLC 323 18WC 00609 TILLMAN, RICO D.T. CHICAGOLAND EXPRESS, 01/02/18 THE ROMAKER LAW FIRM HINSHAW & CULBERTSON 324 18WC 00969 BONNEVILLE, GEOFFREY COLLIERS INTL 09/19/17 HEALY SCANLON LAW FIRM GOLDBERG SEGALLA LLC 325 18WC 01016 VERA, ANGELICA C TEXAS ROADHOUSE MANAGEMEN 12/02/17 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 403 15WC025860 -C 326 18WC 01047 MOOI, SHARYN WALGREENS 09/02/16 MARKER & ASSOCIATES GILDEA & COGHLAN 327 18WC 01281 BARBER, LAWRENCE A SR IL TOLL HIGHWAY AUTHORITY 05/31/17 BARRY A KETTER GANAN & SHAPIRO 328 18WC 01369 JACKSON, MARILYN AMERICAN TAXI DISPATCH 01/03/18 KARCHMAR & STONE 329 18WC 01427 LAZCANO, SILVESTRE MORGAN OHARE INC 04/08/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 330 18WC 01447 BOONE, JESSICA SEASONS HOSPICE NAPERVILL 12/31/16 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 331 18WC 01481 SUBASIC, JASMINA CHICAGO AUTISM BEHAVIOR S 09/25/17 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 332 18WC 01866 TRUJILLO, KARLA ILLINOIS CENTRAL SCHOOL B 10/30/15 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 333 18WC 02117 SANDOVAL, SALVADOR MADISON INDUSTRIES 10/19/17 MARC J SHUMAN & ASSOCIATES THOMAS & ASSOCIATES 334 18WC 02198 LANGE, LAURA ALLIANCE DATA SYSTEMS 02/06/17 PAUL MARZANO JOSEPH MARCINIAK 335 18WC 02218 MADISON, COLIN ARENA FOOTBALL ONE, LLC 08/04/17 GORDON & CENTRACCHIO LLC 336 18WC 02493 PASILLAS, ISRAEL CITY OF NAPERVILLE 08/15/17 WOODRUFF JOHNSON CITY OF NAPERVILLE 337 18WC 02645 LEONARD, GARRETT PERSONALIZATIONMALL.COM 12/18/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 338 18WC 02782 BASHIR, ABDIRAZAK BENEFIT TRUCKING INC 07/30/16 ANKIN LAW OFFICE KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 18WC 02786 AVILA, JAVIER NCAB GROUP USA INC 08/15/15 OSVALDO RODRIGUEZ PC RUSIN & MACIOROWSKI LTD 340 18WC 02861 CIESLER, KAREN JEWEL-OSCO 04/13/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 341 18WC 03039 SARALLO, ANDREW VILLAGE OF OAKBROOK TERRA 01/02/17 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 342 18WC 03061 BRZEZON, ZDZISLAWA PARKER HANNIFIN CORPORATI 01/10/18 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 343 18WC 03177 LEON, LUIS M CERMAK FRESH MARKET 10/27/17 SALVATO & O'TOOLE GANAN & SHAPIRO 344 18WC 03222 RAMOS, FRANCISCO CHATEAU NURSING AND REHAB @ 01/01/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 345 18WC 03359 JAQUEZ, ALICIA A.J. ANTUNES & CO 09/05/17 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 346 18WC 04321 MICHAUD, DIANE ELM BROOK HEALTHCARE & RE 01/08/18 NILSON STOOKAL GLEASON CAP BRADY CONNOLLY & MASUDA PC 18WC004322 -C 347 18WC 04473 AMOS, EARLINE SPRAYING SYSTEMS CO 07/29/16 HORWITZ HORWITZ & ASSOC DONALD J. MORAN 20WC000084 -C 20WC000085 -C 20WC000086 -C 348 18WC 04782 JACKSON, RAYSHON ELHURST MEMORIAL HOSPITAL 02/06/18 MARK SCHAFFNER JOSEPH J LOSS PC 349 18WC 05250 MUENCH, BRIAN UNITED PARCEL SERVICE 07/11/17 ARNOLD & KADJAN 350 18WC 05679 REA, GABRIELA CRATE & BARRELL 11/22/17 SALVATO & O'TOOLE RUSIN & MACIOROWSKI LTD 351 18WC 06275 ESCOBAR, LEO OAK TRACE 01/20/18 MC HARGUE & JONES WOLFE & JACOBSON, LTD 352 18WC 06505 BRUFF, JO ANN EDWARD ELMHURST VENTURES 02/20/18 SKLARE LAW GROUP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 18WC 06631 POTTS, NANCY ALDI, INC 09/10/17 RIPES NELSON BAGGOT KALOBR BRADY CONNOLLY & MASUDA PC 354 18WC 06649 MIJATOVIC, LJUBICA TARGET 11/23/17 GORDON & CENTRACCHIO LLC NYHAN BAMBRICK KINZIE & LOWR 19WC019127 -C 355 18WC 06817 SHEPPARD, DESIREE M CENTRAL DUPAGE HOSPITAL 01/10/18 PHILIP BLOMBERG HENNESSY & ROACH PC 356 18WC 06978 PULEO, JOSEPH W EUCLID BEVERAGE, LTD. 01/09/18 TURNER & SACKETT LLC ROBERT L. SMITH 357 18WC 07054 PAGSISIHAN, ANDREI MENARD, INC 03/02/18 GOLDSTEIN AIOSSA & GOOD GANAN & SHAPIRO 358 18WC 07139 ANDERSON-MCDONALD, DELISA DUNKIN DONUTS 02/06/18 359 18WC 07161 LEAM, SAMNANG T-SYSTEMS INC 01/29/18 KROCKEY CERNUGEL COWGILL E HOLECEK & ASSOCIATES 360 18WC 07602 CONTRERAS, ANTONIO FIVE STAR CONCRETE/ 12/16/17 SCOTT B SHAPIRO CLAYBORNE SABO & WAGNER 361 18WC 07885 PEREZ, SISTO EDWARD HOSPITAL & HEALTH 12/22/17 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 362 18WC 07981 HARDESTY, LINDA MEIJER #0198 03/01/16 KEVIN O'BRIEN KOPKA, PINKUS DOLIN, PC 403 18WC022912 -C 363 18WC 08025 NEMEC, JERRY U SPECIALTY CONSTRUCTION 10/31/16 DEPAOLO & ZADEIKIS GAROFALO SCHREIBER STORM GRA 364 18WC 08605 BANKS, ARCHIE APC TRUCKING, INC 01/19/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 365 18WC 08833 GUTIERREZ, FRANK LKQ AUTO PARTS 12/28/17 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 366 18WC 08951 ZEISS, PETER TRANSPARENT CONTAINER CO, 03/01/16 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 367 18WC 09029 19B NAREL, JOYCE CVS PHARMACY 12/05/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 368 18WC 09133 SALAS JR, PEDRO FED EX 10/03/17 SLAVIN & SLAVIN 369 18WC 09147 SMITH, JAMES AIRGAS DRY ICE STORE 09/26/17 KATZ FRIEDMAN EAGLE ET AL MC ANDREWS & NORGLE LLC 370 18WC 09437 FAVELA, TERESA THE XCEL STAFFING SOLUTIO 12/05/17 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 18WC 09576 KWIDZINSKI, EVELYN VERICLAIM, INC. 06/06/17 GALLIANI DOELL & COZZI LTD DAVORE RADUNSKY MILLER 372 18WC 09816 SPERRY, BRANDON ESTATE OF AAA AMERICAN CLEANOUTS, I 06/08/17 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 373 18WC 09873 ROBINSON, STARLA MAXIM HOME HEALTH 08/17/17 JACKOWIAK LAW OFFICES RUSIN & MACIOROWSKI LTD 374 18WC 09923 THOMAS, TERESSA THE GEO GROUP INC. 12/28/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 375 18WC 10172 RIOS, CRISTINO PARTS TOWN 11/20/17 MARC J SHUMAN & ASSOCIATES FRANCESCA LARSEN 376 18WC 10234 BARRAZA, FRANCISCO LUNA PARAMOUNT STAFFING, INC. 09/14/16 THOMAS J STIBERTH LAW OFFI 377 18WC 10485 ORMOND, THOMAS A EUCLID BEVERAGE, LTD 02/20/18 COLLISON LAW OFFICES ROBERT L. SMITH 18WC010486 -C 378 18WC 10802 MITCHELL, CYNTHIA PORTILLO'S 01/20/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 379 18WC 11217 GONZALEZ, HERLINDA EXCELLENCE CLEANING INC 01/02/18 SANDMAN LEVY & PETRICH 380 18WC 11551 SHORT, TAMLA CHATEAU NURSING AND REHAB 10/13/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 381 18WC 11987 GUSMAN, ZACK EUCLID BEVERAGE 01/23/18 PORRO NIERMANN LAW GROUP ROBERT L. SMITH 382 18WC 11992 RICE, MICHAEL A PACK RAT MOVING & STORAGE 06/12/17 PORRO NIERMANN LAW GROUP 383 18WC 12129 ROMAN, TIMOTHY J WINFIELD FIRE PROTECTION 03/21/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 384 18WC 12204 AGUILAR, JOSE TECH USA 04/11/18 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 385 18WC 12406 MENDOZA, ISIDRO WIEGEL TOOL WORK INC 06/01/15 HANNA VANDER PLOEG LLC 386 18WC 12455 RANGEL, CARLOS NICASIO GRAND EXTERIORS 06/21/16 MINKOW DOMIN SMITH AMUNDSEN LLC 387 18WC 12548 HURSTIK, SUSAN EXELON 10/26/17 SLAVIN & SLAVIN HENNESSY & ROACH PC 388 18WC 12830 SIERRA, ADAM NTA PRECISION AXLE 01/02/18 TRAPP & GELLER PORRO NIERMANN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 18WC 13044 CID, VALERIA ELITE STAFFING 11/22/17 CULLEN HASKINS NICHOLSON 390 18WC 13062 TOLLIVER, DEWAYNE ASG STAFFING INC 04/11/18 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 391 18WC 13150 TORRES, JOELLE NICOR 01/24/18 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 392 18WC 13506 RAMIREZ, MARTHA PORTILLO'S HOT DOGS LLC 01/19/18 GALLIANI DOELL & COZZI LTD HOLECEK & ASSOCIATES 393 18WC 13550 DELEONE, DAVID METRO STAFF 09/28/16 FRANCIS J DISCIPIO LAW OFFIC 394 18WC 13813 MC CLAIN, WENDELL STEPHENSON COUNTY SHERIFF 04/10/18 R. MARK MARITOTE PC 395 18WC 13855 WETHERSPOON, JAMES MIKA LOGISTICS INC 03/08/18 SCOTT B SHAPIRO SCOPELITIS GARVIN LIGHT 396 18WC 14002 ALMAGUER, JOSE MARS INC 05/01/18 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM GRA 397 18WC 14025 JOHNSON, JACQUELINE UPS 01/17/18 COVEN LAW GROUP ASA LAW GROUP 398 18WC 14064 HORICE, FELICHA MEADOWBROOK MANOR 03/10/16 COPLAN & CRANE, LTD BRADY CONNOLLY & MASUDA PC 399 18WC 14149 RODRIGUEZ, JUAN CLYDE'S DONUTS 10/17/17 AIOSSA LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 400 18WC 14165 TINAJERO, DINO CITY OF NAPERVILLE 12/21/17 MEYERS & FLOWERS CITY OF NAPERVILLE 401 18WC 14267 CANTU, MARTHA NESTLE 03/21/18 MICHAEL HELLMAN KEEFE CAMPBELL BIERY & ASSOC 402 18WC 14278 MEDIA, TERRY VICTORIA'S SECRET 01/11/17 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC 403 18WC 14597 OQUENDO, RUTH WAL-MART 07/26/17 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 404 18WC 14751 RAMIREZ, ANA MELIDA TOTAL INTERACTIVE SOLUTIO 05/08/18 405 18WC 14962 SIEG, MARY PEPPERIDGE FARM 04/26/18 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 406 18WC 15204 PIZZITOLA, TINA SCHOOL DISTRICT U-46 04/30/18 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 18WC 15478 MONDRAGON, NADIA ASSOCIATED LABOR CORP 05/02/18 JOHN S. ELIASIK POWER & CRONIN LTD 408 18WC 15794 TREJO, ROSALINDA MOLDTRONICS INC 05/07/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 409 18WC 15965 O'CONNOR, DOUGLAS STATE OF ILLINOIS @ 11/03/17 STEVEN L. VENIT ASSISTANT ATTORNEY GENERAL 410 18WC 15978 DUFFY, JASON CITY OF NAPERVILLE 11/24/17 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 411 18WC 16147 RAMIREZ, MARIA G TOWNE PLANTE SUITES 12/13/17 WHITESIDE & GOLDBERG LTD 412 18WC 16250 GARCIA, JESUS THE PLASTICS GROUP INC 03/16/18 MARK SCHAFFNER JOSEPH MARCINIAK 413 18WC 16308 MARIN, ALEJANDRO VIKING SUPPLY NET 03/02/18 SKLARE LAW GROUP HENNESSY & ROACH PC 414 18WC 16408 QUINN, DEWITT ELITE STAFFING 05/25/18 DWORKIN AND MACIARIELLO 415 18WC 16501 ROBERTSON, DIANE GLEN OAKS HOSPITAL 01/31/16 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 416 18WC 16564 ARTEAGA, JOSE JUAN ACE ROOFING SERVICES INC 08/19/16 JOHN J CASTANEDA BRADY, CONNOLLY & MASUDA, PC 417 18WC 16617 OLAN, DELILAH SAM'S CLUB 04/26/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 418 18WC 16865 VOSHALL, ROBERT E USF HOLLAND 05/01/17 HART & DAVID LLP HENNESSY & ROACH PC 419 18WC 16977 LYCKBERG, MARK AT&T 05/01/18 NILSON STOOKAL GLEASON CAP INMAN & FITZGIBBONS 420 18WC 17085 SERRANO, ANA EMBASSY SUITES 11/12/17 STANCZAK LAW OFFICES KRAKER FANNING & OLSEN 421 18WC 17334 HOLLIS, PAULA FIRST STUDENT 12/19/17 RATHBUN CSEVENYAK & KOZOL 422 18WC 17599 JOHNSON, ANDRE ELITE STAFFING 05/30/18 423 18WC 17877 FOSTER, JEANETTE I MONDELEZ INTL 02/28/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 424 18WC 17981 WERSCHKUL, MICHAEL MICHAEL WERSCHKUL AND 05/08/18 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 18WC 17996 OJEDA, JUAN A NAPA AUTO PARTS 03/21/18 HECTOR ESPITIA KEEFE CAMPBELL BIERY & ASSOC 426 18WC 18012 BOYD, JAMON UNITED STATIONERS SUPPLY 06/06/18 COSTA IVONE LLC HOLECEK & ASSOCIATES 427 18WC 18081 BARNES, LAURA M ELMHURST MEMORIAL HOSPITA 12/19/17 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 428 18WC 18697 SCHRETTER, RICHARD SIMPLEX GRINNELL 02/13/18 THOMAS J STIBERTH LAW OFFI RUSIN & MACIOROWSKI LTD 429 18WC 18908 MARTINEZ-RUIZ, ABEL CJ INSULATION 06/07/18 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 430 18WC 19043 MARROQUIN, DAVID CHEMIFLEX 04/13/18 R. MARK MARITOTE PC JOSEPH MARCINIAK 431 18WC 19715 HARPER, CRYSTAL COSTCO 07/18/15 STELZMAN, RUTH GANAN & SHAPIRO 432 18WC 19865 GLAVAN, ARMANDO DIMENSIONAL STONE INC 10/27/17 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 433 18WC 20054 SMITH, ARTHUR FLAVORCHEM 06/21/18 COSTA IVONE LLC CAPUANI, FRANK S 434 18WC 20363 MAYON, CLINTISTINE T TMI HOSPITALITY 04/22/18 COSTA IVONE LLC HENNESSY & ROACH PC 435 18WC 20377 HERT, BOBBY IL DEPT OF TRANSPORTATION 06/25/18 MARKER & CRANNELL ASSISTANT ATTORNEY GENERAL 436 18WC 20473 ALVAREZ, JUAN C VERTIV 06/05/18 LEO ALT HEYL ROYSTER VOELKER & ALLEN 437 18WC 20529 ZEPEDA, MIGUEL MIDWEST GROUNDCOVERS LLC 06/28/18 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 438 18WC 20556 YASAK, CHRISTOPHER AMERICAN LITHO 07/01/17 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 439 18WC 20667 LOPEZ, MARIA PRIMARY STAFFING 06/01/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 440 18WC 20728 JOHNSON, PETRA TRANS AID SERVICES 06/22/18 BRISKMAN BRISKMAN GREENBER 441 18WC 20807 JORDAN, KIMBERLY INDIAN PRAIRIE SD 204 05/03/18 WOODRUFF JOHNSON BRADY CONNOLLY & MASUDA PC 442 18WC 20819 ESCUTIA, PEDRO CLARENCE DAVIDS & CO 02/14/18 MC HARGUE & JONES INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 18WC 21125 RAIMONDI, MICHAEL CRATE AND BARREL 03/16/18 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 444 18WC 21153 HAYES, GEORGE NAPERVILLE SCHOOL DIST 20 08/22/17 PATRICOSKI, MARK G RUSIN & MACIOROWSKI LTD 445 18WC 21406 RODRIGUEZ, MARIA DAVID'S BRIDAL 05/04/18 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 446 18WC 21473 PEREZ, HILDA HANDI-FOIL CORP 11/29/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 447 18WC 21592 GOEZ, ERIKA BRIDGEWAY SENIOR LIVING 04/17/18 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 448 18WC 21949 BURRAGE, JESSE HOTLINE FREIGHT 07/12/18 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 449 18WC 22142 PEARSON, DEAN M PHOENIX VETERANS PRINT 07/09/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 450 18WC 22198 SANTIAGO, MARIO AT&T 07/03/18 KATZ FRIEDMAN EAGLE ET AL 451 18WC 22394 CANNON, ROBERT EDWARD HOSPITAL 05/23/18 MARKER & CRANNELL POWER & CRONIN LTD 452 18WC 22412 FRENCH, JOSHUA BLACKHAWK CORRUGATED 04/20/17 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 453 18WC 22476 FREY, JOSEPH CARAVAN FACILITIES MNGMNT 06/21/18 THE ROMAKER LAW FIRM 454 18WC 22555 MCGUIRE, TIMOTHY K AT&T 06/15/18 GOLDBERG WEISMAN & CAIRO L 455 18WC 22620 SOBUS, JERZY GO TO LOGISTICS 05/14/18 CULLEN HASKINS NICHOLSON KRAKER FANNING & OLSEN 456 18WC 22664 CAPECE, GUISEPPE FOREST PRESERVE DIST 04/16/16 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV LLC 457 18WC 22733 BARRERA, JOSE SILVER CAR WASH 07/09/18 HERRERA LAW CENTER HOLECEK & ASSOCIATES 458 18WC 22942 MURRAY, JEAN E MARIANOS 06/03/18 COYNE REINKE LAW 459 18WC 23359 TORRES, HECTOR M DUNAWAY BROTHERS 11/21/17 STROM & ASSOC WIEDNER & MCAULIFFE LTD 460 18WC 23694 GARCIA JR, LINO NICOR GAST 05/08/18 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 18WC 23806 FIGUEROA-RAMIREZ, OFELIA HILTON CHICAGO/ 07/19/18 KATZ FRIEDMAN EAGLE ET AL 462 18WC 23848 RODRIGUEZ, GUSTAVO THE PATE COMPANY 06/05/18 RUEDA, IVAN A 463 18WC 24040 QUEZADA, OSCAR DIVERSIFIED LABELING 06/14/18 HUGHES SOCOL PIERS RESNICK 464 18WC 24612 ORTIZ, ANDRES COMCAST 12/11/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 465 18WC 24646 CRUZ, ROBERTO HONEY JAM CAFE 05/09/17 CRONIN & PETERS PAUL O WATKISS 466 18WC 24790 TAPIA, VIDAL CROWN METAL MANUFACTURING 01/24/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 467 18WC 24881 SAUCEDO, JUVENAL SURE STAFF 07/26/18 HERRERA LAW CENTER LOUIS MUNDY 468 18WC 24938 NIESMAN, WILLIAM VILLAGE OF NAPERVILLE 08/06/18 TAXMAN POLLOCK CITY OF NAPERVILLE 469 18WC 24986 GEHRING, GREGG NABISCO INC/KRAFT 07/24/18 STROM & ASSOC 470 18WC 25127 GUERRERO, ENRIQUE SEAL TIGHT EXTERIORS 07/31/18 HORWITZ HORWITZ & ASSOC EDWARD J. KOZEL 471 18WC 25490 CASTANEDA, RICHARD SQUEAKY CLEAN 06/01/18 TURNER & SACKETT LLC QUINTAIROS PRIETO WOOD & BOY 472 18WC 25551 GOMEZ, MANUEL SAINT-GOBAIN ABRASIVES IN 03/12/18 PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 473 18WC 25581 OLMOS, FERNANDO HINSDALE NURSERIES 09/07/17 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 474 18WC 25747 FAJARDO, SAUL SYSCO 05/07/18 JONATHAN SCHLACK GAIDO & FINTZEN 475 18WC 25852 19B OROZCO, JORGE DECO LABELS & TAGS 07/09/18 ARGIONIS & ASSOCIATES LLC ACCIDENT FUND HOLDINGS 476 18WC 25897 CASTIGLIA, JOANNA MEATHEADS BURGERS AND FRI 08/03/18 SCHRAMM LAW GROUP 477 18WC 26147 CAPASSO, FRANK AGILITY LOGISTICS CORP 04/17/18 LOUIS A PLZAK & ASSOCIATES 478 18WC 26267 BARNETT, JEREMY A MAPEI CORP 08/20/18 ANKIN LAW OFFICE HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 18WC 26674 TERRAZAS, LORENZO AEROTEK 07/17/18 BOWMAN & CORDAY 480 18WC 26775 KUNERT, SUSAN A MAXIM HEALTHCARE SERVICES 04/11/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 19WC017655 -C 481 18WC 26783 SKOWRINSKA, DOROTA PARKER HANNIFIN 07/10/18 MARKER & CRANNELL RUSIN & MACIOROWSKI LTD 482 18WC 26792 COSTNER, ELI SCREW MACHINE ENGINEERING 01/15/18 ANGELINI & ORI LLC 483 18WC 26910 POLANSKY, JESSE JOINT COMMISSION 05/12/16 CULLEN HASKINS NICHOLSON LAWRENCE COZZI - LAW OFFICE 484 18WC 27035 COLLINS, WINCE ALDI 08/23/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 485 18WC 27109 SENOYUIT, TAMMY AUTOZONE 06/06/18 MARKER & CRANNELL GILDEA, COGHLAN & REGAN LTD. 486 18WC 27135 COCKAYNE, JUSTIN INDUSTRIAL GAS ENGINEERIN 06/26/17 O'CONNOR & NAKOS GILDEA, COGHLAN & REGAN LTD. 487 18WC 27302 RICHARDS, SHERRY WILLIAM F MURPHY ELMENTRY 05/22/18 HORWITZ HORWITZ & ASSOC 488 18WC 27313 KOGUT, MARIAN Z-B CONSTRUCTION GROUP, I 07/26/18 CORBOY & DEMETRIO PC QUINTAIROS PRIETO WOOD & BOY 489 18WC 27383 RAMIREZ, CONSUELO VINAYAKA HOSPITALITY, INC 05/22/18 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICE 490 18WC 27788 MC KNIGHT, JARMAR US FOODS 07/23/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 19WC007115 -C 491 18WC 28175 SANAULLAH, SHEENA APTUDE INC 06/27/17 MARKER & CRANNELL 492 18WC 28241 JERNSTAD, MARK E ANDERSON WINDOWS & DOORS 01/16/17 CAMERON CLARK BRADY CONNOLLY & MASUDA PC 18WC028242 -C 493 18WC 28254 SWETT, JANICE GE HEALTHCARE 01/29/18 FRIEDMAN & SOLMOR LTD RUSIN & MACIOROWSKI LTD 494 18WC 28388 MOORE, STEPHANIE HAND AND STONE SPA 08/28/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 495 18WC 28633 ZEDNICK, MARK COURTNEY'S SAFETY LANE, I 09/17/18 MARKER & CRANNELL GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 18WC 31728 KORNFIELD, CRISTY IL DEPT OF PUBLIC HEALTH @ 08/06/18 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 515 18WC 31802 GARVIN, MICHAEL AT&T 08/10/18 MARKER & CRANNELL INMAN & FITZGIBBONS 516 18WC 31848 VARGAS, CARLOS FIVE STAR DECORATING, INC 10/03/17 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 517 18WC 31945 SHELTON, LAURIE VILLAGE OF ADDISON 03/16/17 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 518 18WC 32051 KIRMSE, MICHAEL CHICAGO BAKERY BUTTERNUT 09/24/18 WOODRUFF JOHNSON POWER & CRONIN LTD 519 18WC 32236 HANSON, ZOER BRIGHTSTAR CARE 10/12/18 BART DURHAM ACCIDENT FUND HOLDINGS 520 18WC 32482 PINTARO, JEROME PACE SYSTEMS, INC 08/20/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 521 18WC 32804 RUIZ, SERGIO BREAK THRU ENTERTAINMENT 02/06/18 KARCHMAR & STONE STONE & JOHNSON CHARTERED 522 18WC 32959 PAEZ, ILLIANA JEL-SERT 07/17/18 MC HARGUE & JONES 523 18WC 33038 LA ROCHE, TIMOTHY MEADE ELECTRIC 08/23/18 TAXMAN POLLOCK RUSIN & MACIOROWSKI LTD 524 18WC 33156 BRUNS, LINDA INDIAN PRAIRIE SCHOOL DIS 05/14/18 GALANTI LAW OFFICES BRADY CONNOLLY & MASUDA PC 525 18WC 33258 RISSMAN, PAMELA IL STATE TOLLWAY HWY AUTH 08/24/17 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 526 18WC 33397 RITTER, LOIS FRANCISCAN SISTERS OF CHI 09/19/17 NILSON STOOKAL GLEASON CAP ARNETT LAW GROUP 527 18WC 33412 TILLMAN, ALEX ESSENDANT 10/25/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 528 18WC 33476 19B VAZQUEZ, GREGORY VILLAGE OF LOMBARD 11/22/17 GORDON LAW OFFICES LTD KLEIN THORPE & JENKINS LTD 529 18WC 33567 BROOKS, MYSOLINE SUBCONTRACTING CONCEPTS, 11/09/17 DWORKIN AND MACIARIELLO SEGAL MCCAMBRIDGE SINGER MAH 530 18WC 33621 BIERUT, DALE COMCAST 02/26/16 DAVID W MARTAY 531 18WC 33652 HERNANDEZ, VIRGINIA HAMRA MANAGEMENT COMPANY, 01/25/18 EPSTEIN, JACK R LAW OFFICE FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 18WC 33854 DUBIEL, ZBIGNIEW JBX GROUP CO 08/09/18 JAMES H MILLER JR 533 18WC 33971 ALVARADO, ELVIRA OSI INDUSTRIES 11/01/17 JOHN J CASTANEDA ASA LAW GROUP 534 18WC 34032 JAGGERS, MICHAEL JOHNSON CONTROLS 06/15/18 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 535 18WC 34254 DOMBROWSKI, THOMAS OLIN CORPORATION 07/16/18 DANIEL E MURPHY SPIEGEL & CAHILL, PC 536 18WC 34327 GARCIA, ELIZABETH INHANCE TECHNOLOGIES, LLC 02/27/18 JOHN S. ELIASIK KEEFE CAMPBELL BIERY & ASSOC 18WC034328 -C 19WC005068 -C 537 18WC 34336 TAMAYO, NOE SCG MAINTENANCE INC. 10/10/18 STEWART C ORZOFF 538 18WC 34373 RIVERO-BERNAL, YAMILA IMAGE FIRST HEALTHCARE 10/02/17 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 539 18WC 34464 GOERING, JILLIAN WILLIAMS-SONOMA INC 04/05/18 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV LLC 540 18WC 34658 GARCIA, MATILDE OSI 07/05/18 GALLAGHER, DONALD V ASA LAW GROUP 541 18WC 34714 SIMS, TOYLA AEROTEK/ALLEGIS GROUP 10/15/18 JAY S. SHETH LLC WIEDNER & MCAULIFFE LTD 542 18WC 34765 SOSTAK, JUSTIN SHERWIN-WILLIAMS 10/26/18 MICHAEL HELLMAN 543 18WC 34836 CHIATTELLO, MILLER MC DONALD'S 11/20/18 DWORKIN AND MACIARIELLO 544 18WC 34932 SEWELL, AUDREY HOME DEPOT 05/01/18 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 545 18WC 35107 CHNIELEWSKI, JOHN JD NORMAN INDUSTRIAL 09/24/18 DWORKIN AND MACIARIELLO 546 18WC 35196 ZAJAC, SUSAN INDIAN PRAIRIE SCHOOL DIS 09/13/18 BRIAN T MORROW, LAW OFFICE BRADY CONNOLLY & MASUDA PC 547 18WC 35357 SOLDWISCH, SCOTT S ILLINOIS STATE TOLL HIGHW @ 08/21/18 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 548 18WC 35421 PARKER, ROBERT GREEN CORE 04/02/18 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 549 18WC 35521 SALINAS, JORGE MIDWAY MATTRESS NO. 1 11/19/18 POLANSKY & CICHON CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 18WC 35646 GONZALEZ, GABRIEL OWENS & MINOR DISTRIBUTIO 05/01/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 551 18WC 35822 JANTZER, MARK NATIONAL EXPRESS CORP 11/09/18 COSTA IVONE LLC GAIDO & FINTZEN 552 18WC 35847 MANZANARES, YURIDIA PAYCHEX 11/27/18 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 553 18WC 35961 CORTES, CRISTINA ED HOYS INTERNATIONAL 11/02/18 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 554 18WC 36130 PULLIAM-CROOM, MARY ILLINOIS CENTRAL SCHOOL B 10/31/18 DANIEL E MURPHY 555 18WC 36499 LAWLOR, KEVIN UBER 12/09/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 556 18WC 36521 STEVENSON, ALEX MC MASTER CARR 06/02/17 SCOTT BARBER GAROFALO SCHREIBER STORM GRA 18WC036522 -C MCMASTER CARR 18WC036523 -C 18WC036524 -C MCMASTER CARR 557 18WC 36553 SOTELO, CARMEN ELITE LABOR SRVS, LTD 08/06/18 THE ROMAKER LAW FIRM 558 18WC 36703 GUERRERO, ESTEFANY UBER EATS 12/10/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 559 18WC 37005 SANTIAGO, NELSON OEC GRAPHICS INC 08/27/18 STROM & ASSOC NYHAN BAMBRICK KINZIE & LOWR 560 18WC 37120 ROGERS, BRADLEY CITY OF NAPERVILLE 05/21/18 GOLDBERG WEISMAN & CAIRO L CITY OF NAPERVILLE 561 18WC 37219 NYKAZA, ROBERT FREDRIKSEN FIRE EQUIPMENT 01/25/18 MC HARGUE & JONES JOSEPH MARCINIAK 562 18WC 37235 SCHWEPPE, KIMBERLY HAGGERTY FORD 06/21/17 RONALDSON & KUCHLER NOBLE & ASSOC 563 18WC 37323 NEMEC, NORMAN P VILLAGE OF OAK BROOK 11/06/18 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 564 18WC 37570 PEREZ, MIGUEL ROSBOROUGH PARTNERS, INC 06/18/18 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 565 18WC 37716 LOPEZ, ENRIQUE ADDISON FRESH MARKET 06/19/18 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 566 18WC 37903 FORMAS, GLADYS M OAK TRACE HEALTH CENTER 11/08/18 GOLDSTEIN BENDER & ROMANOF WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 18WC 38096 RAMIREZ, MARITZA HOME INSTEAD SENIOR CARE 04/05/18 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 568 18WC 38195 RANCIC, MARIANNE AMERICAN AIRLINES 03/28/18 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM GRA 569 18WC 38302 LEIFHEIT, ELMER PEPSI CO 12/07/18 WOODRUFF JOHNSON GAIDO & FINTZEN 570 18WC 38408 HOUSTON, ROOSEVELT US FOODS 12/05/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 571 18WC 38425 VARGAS, JOSE PETEL, INC 01/24/18 STEVEN J MALMAN & ASSOCIAT EDWARD J. KOZEL 572 19WC 00314 HUBBERT, JOLEEN ZENITH INSURANCE COMPANY 02/22/17 JOSEPH J LOSS PC HENNESSY & ROACH PC 19WC000315 -C 573 19WC 00320 SEMRO JR, RICHARD J BOERMAN MOVING AND STORAG 08/02/18 VITELL & SPITZ LTD SCOPELITIS GARVIN LIGHT 574 19WC 00339 CLIFFORD, ATHENA L IL STATE TOLL HWY AUTHORI @ 10/18/18 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 575 19WC 00365 CORTEZ, SAMUEL JUST IN TIME STAFFING, LL 12/19/18 GREGORIO & MARCO QUINTAIROS PRIETO WOOD & BOY 576 19WC 00449 LEWIS, PATRICE DESTINATION MATERNITY 12/17/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 577 19WC 00502 LOPEZ, ARTURO ARIAS PETE'S FRESH MARKET 06/30/18 KARCHMAR & STONE KEEFE CAMPBELL BIERY & ASSOC 578 19WC 00993 BUCK, TERRAN D GLEN ELLYN STORAGE CORP 12/15/18 ANKIN LAW OFFICE 579 19WC 01283 GIEBELHAUSEN, RYAN F.E. MORAN 10/23/18 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 580 19WC 01400 GREGOIRE, PAMELA ADVANTAGE SALES & MARKETI 09/08/18 DWORKIN AND MACIARIELLO KELLEY KRONENBERG 581 19WC 01482 VAZQUEZ, MANUEL STANDARD MARKET 12/05/18 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 582 19WC 01553 ALVAREZ, AMELIA ST ISIDORE PARISH 09/26/17 MORICI FIGLIOLI & ASSOC STONE & JOHNSON CHARTERED 583 19WC 01555 RAMOS, MANUEL WALMART 01/02/19 ASHER, RAYMOND L LTD QUINTAIROS PRIETO WOOD & BOY 584 19WC 01635 YANEZ, ROSA ROYAL DIE & STAMPING CO, 10/15/18 STANCZAK LAW OFFICES EDWARD J. KOZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 19WC 01696 CORTEZ-RUIZ, RIGOBERTO QMI SECURITY SOLUTIONS 10/05/18 PHILIP BLOMBERG 586 19WC 01814 TORLO, VELIO VILLAGE OF OAK BROOK 01/23/18 FRANCIS J DISCIPIO LAW OFF 587 19WC 01857 SANTOYO, CARMEN JEWEL FOOD STORE INC 05/25/18 SCOTT B SHAPIRO 588 19WC 01997 APOSTOLOPOULOS, GEORGIA THE BON-TON STORES, INC 11/28/17 LUCAS & APOSTOLOPOULOS COZZI & ZAPF LAW OFFICE 589 19WC 02034 NOGUEDA, SALOMON ACCURATE PERSONNEL LLC 01/15/19 EPSTEIN, JACK R LAW OFFICE JOHN T GONNELLA 590 19WC 02129 WINTERS, KENNY APL LOGISTICS/BOBCAT 07/26/18 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 591 19WC 02232 NOWICKI, JACQUELINE CRATE & BARREL 12/18/18 RUSIN & MACIOROWSKI LTD 592 19WC 02285 MIHO, PIRO GCA SERVICES GROUP 09/12/17 THERMAN LAW OFFICES GOLDBERG SEGALLA LLC 593 19WC 02506 MEDINA, ARCELIA JEL SERT CO 12/14/18 KATZ FRIEDMAN EAGLE ET AL 594 19WC 02676 HILBORN, DEBRA J NTA PRECISION AXLE 10/03/17 TIMOTHY HENDERSON 595 19WC 02735 BIZIOS, DIMITRI CONSTRUCTION BROKERS, INC 09/11/18 SEIDMAN MARGULIS & FAIRMAN CLAYBORNE SABO & WAGNER 596 19WC 02925 PIPPIN, DONALD HOME RUN INN 11/06/18 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 597 19WC 02979 WINESBURG, DONNA M MOLECULAR IMAGING CHICAGO 11/12/18 TIMOTHY HENDERSON JOSEPH MARCINIAK 19WC014773 -C 19WC014774 -C 598 19WC 03234 NAVA, RAFAEL NATIONAL DATA LABEL CORP. 06/13/18 THE ROMAKER LAW FIRM GANAN & SHAPIRO 599 19WC 03368 THYGESEN, SANDRA GOOD SAMARITAN HOSPITAL 08/27/18 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 600 19WC 03463 RYLE, DENISE WHOLE FOODS 12/29/16 ALEKSY BELCHER 601 19WC 03466 LOPEZ, HERMINIA JAMAR PACKAGING 01/31/19 BAUM RUFFOLO & MARZAL LTD JOSEPH MARCINIAK 602 19WC 03572 ARREOLA, JUAN AIRGAS 11/15/18 LEONARD LAW GROUP LLC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 19WC 03601 JIMENEZ, RAMON GARCIA FINN CARPENTRY, INC 10/12/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 604 19WC 03622 EAGLE, JACOB FED EX 01/10/19 605 19WC 03664 CLARK, PAMELA GPM INVESTMENTS LLC 11/29/18 STEVEN J MALMAN & ASSOCIAT 606 19WC 03809 MOLINA, WILLIAM CHRIST PANOS FOOD CORP 11/27/18 LEO ALT JOSEPH MARCINIAK 607 19WC 03942 GARCIA, JOSEPH ILLINOIS STATE POLICE @ 01/31/19 RIDGE & DOWNES GANAN & SHAPIRO 608 19WC 03997 LOPEZ, ELSA CD ONE PRICE CLEANERS, A/ 01/22/19 JOHN J CASTANEDA JOSEPH MARCINIAK 609 19WC 04153 DENTON, TRACY CAROLSTREAM FIRE PROTECTN 03/26/17 THOMAS LAW POWER & CRONIN LTD 610 19WC 04189 TORRES, RAMIRO ANCHOR BRAKE SHOE 01/10/19 MEYERS & FLOWERS KRAKER FANNING & OLSEN 611 19WC 04324 SMITH, STEPHANIE RAYMES STEAK & FISH HOUSE 09/07/18 DWORKIN AND MACIARIELLO 612 19WC 04335 MERCADO, OSCAR M BRAHMA MASONRY CONST., IN 04/12/18 LINN, CAMPE & RIZZO LTD 613 19WC 04384 CALLAHAN, ARBE CITGO LEMONT REFINERY 11/06/18 KATZ FRIEDMAN EAGLE ET AL 614 19WC 04475 PIOTROWSKI, MARIAN JKC TRUCKING INC 12/18/18 ROBERT WARSASKI GOLDBERG SEGALLA LLC 19WC008796 -C 615 19WC 04567 IBARRA, FERNANDO KOALA STUDIOS 08/15/18 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 616 19WC 04591 PRAH, NANA B CRATE AND BARREL HOLDINGS 10/15/18 RAPAPORT, STEVEN I RUSIN & MACIOROWSKI LTD 617 19WC 04604 NORRIS, ROSE NAPERVILLE MANOR HRC LLC 02/06/19 CUSHING LAW OFFICES BRADY CONNOLLY & MASUDA PC 618 19WC 04725 DENIHAN, REBECCA O CHATEAU NURSING & 02/10/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 619 19WC 04881 LUNA, CARMEN ASPEN MANUFACTURING 01/31/19 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 620 19WC 04940 KLYANA, SAM VICTOR ENVELOPE COMPANY 07/26/18 THE ROMAKER LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 19WC 05177 FRIEDMAN, PETER M UCHICAGO ARGONNE, LLC 07/18/18 MORICI FIGLIOLI & ASSOC KEEFE CAMPBELL BIERY & ASSOC 622 19WC 05217 GUZMAN, RIGOBERTO APPIAN STONE WERKS 09/21/18 GIACOBBE, THOMAS M 623 19WC 05387 RUIZ, GUADALUPE NORDSTOM RACK 05/14/18 RUBIN LAW GROUP GAIDO & FINTZEN 20WC003441 -C 624 19WC 05392 CUEVAS, MARLEN CHICKS 'N SALSA 11/17/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 625 19WC 05498 JONES, MAY E NAPERVILLE HOTEL LLC (MOT 05/19/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 626 19WC 05617 ROSAL, ANA M PEPPERIDGE FARM 02/15/18 NEWLAND & NEWLAND CHILTON YAMBERT PORTER LLP 20WC006241 -C 627 19WC 05763 MONTERUBIO, MICHAEL U ILLINOIS DEPT OF TRANSPOR @ 06/14/18 CRONIN PETERS & COOK ASSISTANT ATTORNEY GENERAL 628 19WC 05833 HANRAHAN, KATHLEEN TECHNY ADVISORS, LLC 11/14/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 629 19WC 05890 GUERRERO, GUADALUPE QUEST FOOD MANAGEMENT SRV 02/05/19 KATZ FRIEDMAN EAGLE ET AL 630 19WC 05958 GURROLA, LASHON EDWARD-ELMHURST HEALTH 02/02/19 GALLAGHER LAW PC RUSIN & MACIOROWSKI LTD 631 19WC 06139 BOLTON, ROBERT CLARIANT MASTER BATCH INC 02/25/19 COSTA IVONE LLC KRAKER FANNING & OLSEN 632 19WC 06226 HARRIS, CHRISTINA L ACADEMY MORTGAGE 02/05/19 DAMISCH & DAMISCH LTD HOLECEK & ASSOCIATES 633 19WC 06358 RUIZ, TOMAS M MIDWEST INDUSTRIAL RUBBER 02/07/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 634 19WC 06574 RECENDEZ, JOSE PEACOCK FOODS DBA GREENCO 11/20/17 LULAY LAW OFFICES HOLECEK & ASSOCIATES 19WC006806 -C 635 19WC 06634 SAM, DARA ALDEN ESTATES OF NAPERVIL 01/22/19 HUGHES SOCOL PIERS RESNICK 636 19WC 06716 TOWNSEND, GREGORY FEDEX 01/22/19 ERIC H CHECK, LAW OFFICES 637 19WC 06788 SARANIECKI, WALTER SARANECKI BROTHERS CATERI 04/27/17 ERIC M GLASSON & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 638 19WC 06879 CHAUDHRY, NASEEM AUTONATION 01/05/17 MARKHAM M JEEP & ASSOCIATE NYHAN BAMBRICK KINZIE & LOWR 639 19WC 06987 SCOTT-HARVEY, IRVINA GIFT OF HOPE ORGAN 05/14/18 ANKIN LAW OFFICE 640 19WC 07103 DMYTRO, MICHAEL LEE RESTAURANT DEPOT 10/10/18 DRISCOLL LAW OFFICES PC LAWRENCE COZZI - LAW OFFICE 641 19WC 07110 BURKS, TAMICKA ACCURATE PERSONNEL, LLC 02/11/19 ANKIN LAW OFFICE JOHN T GONNELLA 642 19WC 07117 KOLAR, FRANK DOYLE SIGN 10/31/17 LEONARD LAW GROUP LLC FRIEDRICH LAW LLC 19WC007118 -C 19WC007119 -C 643 19WC 07130 KOZIOL, JUANITA AIT WORLDWIDE LOGISTICS, 02/23/19 GRAUER & KRIEGEL LLC HENNESSY & ROACH PC 644 19WC 07220 ROBLES, ROLANDO SPI STAFFING 12/28/18 WHITESIDE & GOLDBERG LTD SLAVIN & SLAVIN 645 19WC 07230 KOZIEL, DAVID NORTH CENTRAL COLLEGE 02/01/19 CRAIG L MANCHIK & ASSOC. 646 19WC 07406 THURMOND, PATRICIA CRATE & BARREL 02/28/19 GERALD CONNOR MACIOROWSKI SACKMANN & ULRIC 647 19WC 07717 RUSH, AMANDA LIFETOUCH 10/23/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 648 19WC 07756 VILLATORO, WALTER STAFFING NETWORK 12/29/18 MC HARGUE & JONES SLAVIN & SLAVIN 649 19WC 07790 BILLINGSLEA, RHONDA MERRY MAIDS 11/27/18 DAVID W MARTAY JOSEPH MARCINIAK 650 19WC 07904 KOUKOL, KEVIN ILLINOIS STATE TOLL HWY A 03/04/19 THE MACK LAW GROUP PC GANAN & SHAPIRO 651 19WC 07941 DIAZ, MARIA PRIMARY STAFFING 02/03/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 652 19WC 08067 MITCHELL, MEGAN FAYE STARDUST BOWL OF ADDISON 12/28/18 SEIDMAN MARGULIS & FAIRMAN 653 19WC 08299 TREDE, RAYMOND COTTAGE HILL OPERATING CO 02/12/19 ANGELINI & ORI LLC RIPES NELSON BAGGOT KALOBRAT 654 19WC 08449 POPIEL-ARNDT, HENRYKA XCELLENT CLEANING INC 06/14/17 PORRO NIERMANN LAW GROUP 655 19WC 08584 RAMIREZ, MIGUEL CERMAK PRODUCE NO 14 02/03/19 SALVATO O'TOOLE FROYLAN GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 672 19WC 09820 RAMIREZ, JUAN JAIME EDDY & SONS TOWING 03/13/19 ANSELMO DURAN 673 19WC 09969 BURCIAGA, BRENDA O'REILLY DISTRIBUTION CEN 02/05/19 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 19WC016799 -C 674 19WC 09991 AZOFF, STEVE VICOSTONE 03/12/19 WOODRUFF JOHNSON 675 19WC 10031 PHILLIPS, OSCAR ILLINOIS DEP OF TRANSPORT @ 02/12/19 ROGER D RUDICH LTD ASSISTANT ATTORNEY GENERAL 676 19WC 10178 CLAROS, HERBERT A SCANDINAVIAN DESIGNS, INC 12/15/18 RUBIN LAW GROUP JOSEPH MARCINIAK 677 19WC 10204 DAUPHIN, GINA NAPERVILLE SCHOOL DISTR 2 09/19/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 678 19WC 10258 MCCULLOCH, RYAN UPS 01/23/19 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 19WC020981 -C 679 19WC 10341 GONZALEZ, GUADALUPE METRO STAFF 03/11/19 CULLEN HASKINS NICHOLSON 680 19WC 10413 PEREZ GARCIA, ANDRES ANCHOR BRAKE SHOE COMPANY 10/17/18 STEPHANIE WEISSMAN 681 19WC 10697 GUTIERREZ, ALFREDO EXELON - COMED 04/16/18 PORRO NIERMANN LAW GROUP CHILTON YAMBERT PORTER LLP 682 19WC 10705 RYS, GARY GOODCENTS SOLUTIONS 11/15/18 GOLDBERG WEISMAN & CAIRO L KRAKER FANNING & OLSEN 683 19WC 10738 GUZMAN, MARIA SOCORRO ARAMARK CLEANROOM SERVICE 01/25/19 STROM & ASSOC STONE & JOHNSON CHARTERED 684 19WC 10867 KAMMER, JOHN VULCAN MATERIALS COMPANY 10/10/18 BOLLINGER CONNOLLY KRAUSE NYHAN BAMBRICK KINZIE & LOWR 685 19WC 11202 GOMEZ, JUAN GARCIA UNIVERSAL CONSTRUCTION 03/06/19 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 686 19WC 11226 DUFFIE, DEANDREY BDK QUALITY SERVICES INC 04/12/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 687 19WC 11239 VELEZ, ARMINDO UNIQUE PRODUCTS 02/19/18 ANGELINI & ORI LLC LEAHY EISENBERG & FRAENKEL 688 19WC 11297 SALGADO, RAMON US FOOD SERVICE 03/07/19 TAMVAKIS, GEORGE L 689 19WC 11325 SERRATO, RICHARD M LABOR TEMPS 10/09/18 LULAY LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 690 19WC 11390 AMBRAY, LERIZA EDWADS HOSPITAL 10/19/18 COYNE REINKE LAW POWER & CRONIN LTD 691 19WC 11419 BARNES, LORNE WOODS BROTHERS TRANSPORT, 06/20/16 MARC J SHUMAN & ASSOCIATES LAWRENCE COZZI - LAW OFFICE 692 19WC 11443 SHARP, JADA ULTIMATE NINJAS NAPERVILL 10/18/18 DAVID W MARTAY JOSEPH MARCINIAK 693 19WC 11504 MARTIN, CHRISTOPHER ORKIN PEST CONTROL 04/11/19 KUMLIN & FROMM BRADY CONNOLLY & MASUDA PC 694 19WC 11819 FLOWERS, DANIELLE RESCARE PREMIER 08/15/18 SPIROS LAW PC SPIEGEL & CAHILL, PC 695 19WC 11962 LOPEZ, MARIA Y SUPERIOR STAFFING 02/27/19 FRIEDMAN & SOLMOR LTD SLAVIN & SLAVIN 696 19WC 11992 REED, AARON MAPEI CORP 04/02/19 FRIEND LEVINSON & BERGAL HINSHAW & CULBERTSON 697 19WC 12011 TURNER, JAMES EMPLOY SOURCE TEMP SOLUTI 05/16/18 DWORKIN AND MACIARIELLO 698 19WC 12023 SCHWEPPE, KIMBERLY HAGGERTY FORD 01/22/19 RONALDSON & KUCHLER GANAN & SHAPIRO 699 19WC 12135 HEWLETT, LORAN US FOODS 04/07/19 BRISKMAN BRISKMAN GREENBER 700 19WC 12217 FISHER, DAVID A DICK'S SPORTING GOODS 03/13/19 DIXON LAW FIRM BRYCE DOWNEY & LENKOV LLC 701 19WC 12252 RODRIGUEZ, JUAN PAVE PLUS 11/21/18 THOMAS J STIBERTH LAW OFFI GANAN & SHAPIRO 19WC013432 -C 702 19WC 12396 AVILA, MARCO US FOODS 04/21/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 703 19WC 12548 BABCOCK, NICHOLAS W VILLAGE OF OAK BROOK 04/03/19 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 704 19WC 12678 HERRERA, MARIA MALONE STAFFING 03/14/19 MC HARGUE & JONES 705 19WC 12845 BUJNOWSKA, ANNA UPS 10/12/18 THE MACK LAW GROUP PC NYHAN BAMBRICK KINZIE & LOWR 706 19WC 13018 SWAGLER, SHAWN VILLAGE OF OAK BROOK 04/12/19 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 707 19WC 13077 PEREZ, MARIA TERESA RANGE EUROMARKET DESIGNS, INC 04/04/19 STEVEN B SALK & ASSOC LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 19WC 13219 DAVIS, FRANSHAWN ADVOCATE 02/25/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 709 19WC 13236 SABIA, CHRISTOPHER EARLE M. JORGENSEN 08/24/18 RIDGE & DOWNES HENNESSY & ROACH PC 710 19WC 13387 JARDING, ROBERT PORTILLO'S 02/20/19 RAYMOND M SIMARD, PC HOLECEK & ASSOCIATES 711 19WC 13555 SPINKS, RENEE SCHNEIDER NATIONAL 05/04/19 VASILATOS & COTTER LLC ASA LAW GROUP 712 19WC 13657 SORENSEN, THEODORE TED VILLAGE OF GLENDALE HEIGH 04/15/19 SEIDMAN MARGULIS & FAIRMAN GAIDO & FINTZEN 713 19WC 13666 LINGIER, MEAGAN XSPORT 01/29/19 PORRO NIERMANN LAW GROUP ACCIDENT FUND HOLDINGS 714 19WC 13747 ADOLPH, BARRY PRO DRIVERS STAFFING 02/27/19 ROGER D RUDICH LTD NYHAN BAMBRICK KINZIE & LOWR 715 19WC 13782 GONAZLEZ, HECTOR ANTHONY CONSTRUCTION 04/09/19 STANCZAK LAW OFFICES LITCHFIELD CAVO 716 19WC 13819 SMITH, STEVEN ADVOCATE GOOD SAMARITAN 05/09/19 STYKA & STYKA NYHAN BAMBRICK KINZIE & LOWR 717 19WC 13970 MCHALE, SANDY GLENBARD TOWNSHIP DIST 87 04/15/19 R. MARK MARITOTE PC ANCEL GLINK PC 718 19WC 13996 GOMEZ, JESUS THE PROTECTOSEAL CO 01/28/19 RUEDA, IVAN A JOSEPH MARCINIAK 719 19WC 14050 VARGAS, LUIS KRONOS 03/04/19 ROBERT WARSASKI KRAKER FANNING & OLSEN 720 19WC 14062 GOROSTIETA CASAS, DANIEL COMPLETE BUILDING 12/05/18 STEVEN B SALK & ASSOC LTD BRADY CONNOLLY & MASUDA PC 19WC014063 -C 721 19WC 14068 RODRIGUEZ, LUIS VILLAGE OF WOODRIDGE 12/29/18 EAMES LAW GROUP LTD RUSIN & MACIOROWSKI LTD 722 19WC 14126 ZWIER, RODNEY AIR-RITE HEATING 11/29/17 SAUNDERS CONDON & KENNY CACCHILLO LAW GROUP LLC 723 19WC 14144 VEGA JR, ALFONSO AEROTEK, INC 05/10/19 ANKIN LAW OFFICE 724 19WC 14282 RODRIGUEZ, ADAM PSI INTERNATIONAL SOLUTIO 03/26/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 725 19WC 14344 KONEZNEY, ROBERT VILLAGE OF DOWNERS GROVE 10/06/17 MCNABOLA & ASSOC VILLAGE OF DOWNERS GROVE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 726 19WC 14506 SANCHEZ, CARLOS PATRICK INDUSTRIES, INC. 02/06/19 O'CONNOR & NAKOS 727 19WC 14786 SKENANDOEW, PAUL AUTO NATION/LAUREL BMW 01/31/19 RONALDSON & KUCHLER NYHAN BAMBRICK KINZIE & LOWR 728 19WC 14834 LEMUS, TRINIDAD SYSCO GUEST SUPPLY, LLC. 11/12/18 GIACOBBE, THOMAS M 729 19WC 14895 NIEMIEC, JAMES, FOR ESTAT WAYFAIR 04/26/19 WOODRUFF JOHNSON 730 19WC 14990 BAKER, DENNIS L.L. BEAN 05/13/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 731 19WC 15051 VARGAS, JOSE PERMA-SEAL BASEMENT SYSTM 04/19/19 DEPAOLO & ZADEIKIS 732 19WC 15060 TEJEDA, MARTIN CLASSIC CAR WASH 05/03/19 EPSTEIN, JACK R LAW OFFICE 733 19WC 15068 SIPIORA, DANIEL JUAN B MORALES ROOFING 03/20/18 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 734 19WC 15071 EBBELE, FELIX N APTIVE ENVIRONMENTAL, LLC 05/15/19 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 735 19WC 15243 ARNDT, EDWARD PELCO TOOL 10/10/18 STORTO FINN & ROSINSKI 736 19WC 15339 DIMAYUGA, MANOLO A POWER SOLUTIONS INTERNATI 02/18/19 GALLAGHER, DONALD V HENNESSY & ROACH PC 737 19WC 15437 TYNAN, WILLIAM FLETCHER CHICAGO INC 05/12/19 DWORKIN AND MACIARIELLO 738 19WC 15492 ELLINGSWORTH, CHRISTINE RED LOBSTER 05/27/19 GERALD CONNOR BRYCE DOWNEY & LENKOV LLC 739 19WC 15546 DREW, TODD NORTHWESTERN FLAVORS LLC 05/09/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 740 19WC 15609 CORONA, ADAN MILLENIA PRODUCTS GROUP, 04/29/19 FRIEDMAN & SOLMOR LTD 741 19WC 15648 ARMBRUST, GLENN NAPERVILLE COMMUNITY 11/14/17 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 19WC015649 -C 742 19WC 15842 FISHER, CHRISTOPHER UNITY FENCING 04/13/19 DWORKIN AND MACIARIELLO EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 19WC 15912 VARZINO, VICKI CRATE & BARREL HOLDINGS I 02/23/19 HETHERINGTON KARPEL & BOBB RUSIN & MACIOROWSKI LTD 744 19WC 15965 LAVEILLE, CHRISTINE EDWARD HOSPITAL 11/16/18 ANKIN LAW OFFICE POWER & CRONIN LTD 19WC016772 -C 745 19WC 16120 GARCIA, ANGEL MAGGIANO'S LITTLE VILLAGE 04/07/19 BAUM RUFFOLO & MARZAL LTD 746 19WC 16149 VYHNANEK, ELVIRA COSTCO WHOLESALE CORPORAT 04/22/19 JOSEPH PIEROTTI BRADY CONNOLLY & MASUDA PC 747 19WC 16313 GUTTER, JARVIS STERICYCLE 12/03/18 PETER C KOPOULOS 748 19WC 16414 GARCIA, ALBERT SYSTEM ONE 02/21/19 ANESI OZMON RODIN NOVAK KO MC ANDREWS & NORGLE LLC 749 19WC 16632 PRYOR, ZACHARY TARGET CORPORATION 05/05/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 750 19WC 16676 FAJARDO, JOSEPH EXPOLANKA USA LLC 04/07/17 ARNOLD & KADJAN 19WC001398 -C 751 19WC 16980 WALKER, RUTHIE E AEROTEK, INC 06/03/19 HERRERA LAW CENTER 752 19WC 17007 CORTEZ, ISAIAS GLENDALE GAS & FOOD, INC 05/16/19 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 753 19WC 17041 CHIPMAN, JOHN C NA FAVIA BUILDERS INC 11/12/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 19WC017042 -C 754 19WC 17253 DURAN, NILA RANDSTAD 10/02/18 BURNETT & CARON, LTD SLAVIN & SLAVIN 755 19WC 17397 BELCASTRO, ANTHONY GOOD SAMARITAN D/B/A ADVO 02/25/19 GORDON & CENTRACCHIO LLC NYHAN BAMBRICK KINZIE & LOWR 756 19WC 17497 DEMMA, JOHN A WEBER GRILL RESTAURANTS, 10/09/18 MICHAEL C. GOODE WOLFE & JACOBSON, LTD 757 19WC 17576 DEAN, CARL NORTHWESTERN MEDICINE CEN 05/03/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 758 19WC 17661 IBARRA, AMEYALY JP MORGAN CHASE & CO 04/16/19 EAMES LAW GROUP LTD INMAN & FITZGIBBONS 759 19WC 17720 GONZALEZ, CHRISTINA ARAMARK UNIFORM & CAREER 09/27/16 PHILLIP FARINA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 760 19WC 17777 TSANTIS, STEVEN SILVERADO NAPERVILLE 05/04/19 RUSIN & MACIOROWSKI LTD 761 19WC 17815 SCHULZE, AUDREY ILLINOIS BELL TELEPHONE 08/02/18 ROBERT WARSASKI 762 19WC 17841 JAWORSKI, DEBORAH NATIVE FLORAL GROUP 06/26/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 763 19WC 17882 RAINEY, DANIEL JIMMY JOHN'S 05/03/19 TRAPP & GELLER 764 19WC 18058 MCLEESE, PHILLIP J ADDISON FIRE PROTECTION D 01/22/19 SEROWKA LAW RUSIN & MACIOROWSKI LTD 765 19WC 18392 VIRZI, ANNA LIFE TIME FITNESS INC 03/15/19 KATZ FRIEDMAN EAGLE ET AL 766 19WC 18416 JIMENEZ, MARIA E PERSONALIZATIONMAIL.COM 04/05/19 JONATHAN SCHLACK HENNESSY & ROACH PC 767 19WC 18516 RIOS, JORGE WESTERN DUPAGE LANDSCAPIN 05/22/19 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 768 19WC 18553 DE LA CRUZ, ARTURO SEALEXPRESS TRUCKING INC 05/20/19 PORRO NIERMANN LAW GROUP LAWRENCE COZZI - LAW OFFICE 769 19WC 18588 MILLER, NORMAN UNIQUE PRODUCTS 09/25/18 GRAUER & KRIEGEL LLC LEAHY EISENBERG & FRAENKEL 770 19WC 18646 MARTINEZ, BAILISA ELITE STAFFING, INC. 03/08/17 JOHN S. ELIASIK 771 19WC 18675 HOWELL, PAUL B HUB GROUP 02/12/19 TIMOTHY DEFFET ASA LAW GROUP 772 19WC 18753 LOJAS, JOHN GENE'S TIRE & AUTO REPAIR 09/27/18 RATHBUN CSEVENYAK & KOZOL INMAN & FITZGIBBONS 773 19WC 18834 ZATORSKI, JILLAN HAIR CLUB 05/04/19 STEVEN J MALMAN & ASSOCIAT 774 19WC 18860 BURTON, MICHAEL BLACKHAWK MOLDING 05/14/19 MEYERS & FLOWERS INMAN & FITZGIBBONS 775 19WC 18987 GUERRERO, FRANCISCO LOPEZ HURSTHOUSE, INC. 05/14/19 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 776 19WC 19252 GARCIA, FREDDY PINPOINT MAINTENANCE, INC 06/13/19 ROMANUCCI & BLANDIN 777 19WC 19373 MYERS, REGINA LAKHANI HOSPITALITY, INC 03/26/19 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 778 19WC 19498 MC DONALD, DENNISE COSTCO 10/04/18 CUDA LAW OFFICES WOLFE & JACOBSON, LTD 779 19WC 19526 SKLAVOS, ARISTIDIS KRONOS FOODS CORP 04/04/19 GWC INJURY LAWYERS LLC KRAKER FANNING & OLSEN 780 19WC 19588 PEREZ, DAVID FEDEX 06/29/19 COVEN LAW GROUP 781 19WC 19608 ROBINSON, DEBORAH FEDEX 06/28/19 BARRY STEWART SILVER 782 19WC 19765 MANDOCK, JAMES UNITED PARCEL SERVICE 07/07/15 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 19WC019766 -C 783 19WC 19896 MLYNIEL, MARK HONDA SUPERSTORE OF LISLE 04/30/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 784 19WC 19925 MASSARO, ANGELO M FREIGHT TECH CARTAGE, INC 02/18/19 ANKIN LAW OFFICE 785 19WC 19978 ROMERO SERRANO, MARIA LUI STAFFING NETWORK LLC 06/21/19 STEVEN B SALK & ASSOC LTD SLAVIN & SLAVIN 786 19WC 20049 MORALES, JOSE L VOTAVA LAWN CARE/GREGRY V 06/25/18 PATRICOSKI, MARK G 787 19WC 20440 WEBSTER, KATHERINE NAPERVILLE FIRE DEPARTMEN 04/02/19 RIDGE & DOWNES CITY OF NAPERVILLE 788 19WC 20544 ALVARADO, DIMAS ANTICO POSTO 06/22/19 KROL BONGIORNO & GIVEN LTD NOBLE & ASSOC 789 19WC 20607 CHARNAS, ROBERT NAPERVILLE COMMUNITY UNIT 07/22/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 790 19WC 20679 SEIBERT, JEROME LENZE AMERICAS CORPORATIO 06/10/19 GRAUER & KRIEGEL LLC KOPKA, PINKUS DOLIN, PC 791 19WC 20776 SLOAN, TIM CITY OF NAPERVILLE 01/14/19 MEYERS & FLOWERS CITY OF NAPERVILLE 792 19WC 20936 GRAY, DONNASHAY BURGESS SQUARE HEALTHCARE 06/27/19 ANKIN LAW OFFICE 793 19WC 20955 MORROW, ANGELINA HEARTHSIDE FOODS 08/09/18 BAUM RUFFOLO & MARZAL LTD 794 19WC 20969 PISANO, CHRISTINA GLEN ELLYN POLICE DEPARTM 11/08/18 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 795 19WC 20986 ZAGD, MUNKHJARGAL MARILYN DIFOGGIO W 05/22/17 ADRIAN MURATI WESSELS & PAUTSCH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 796 19WC 21036 BYRNE, ANNE SEPTRAN STUDENT SERVICES 06/24/19 DWORKIN AND MACIARIELLO 797 19WC 21055 LEBLANC, GORDON T PREMIUM CUSTOM PRODUCTS 05/08/18 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 20WC000412 -C 798 19WC 21070 HUERTA, EVERARDO COMPLETE BUILDING MAINTNC 05/18/19 CORBOY & DEMETRIO PC 799 19WC 21300 WIELGUS, LAURA FRANCISCAN SISTERS OF CHI 05/11/19 MCNAMARA PHELAN MCSTEEN LL 800 19WC 21440 NELSON, KODY HYDROCHEM PSC 06/18/19 JAY S. SHETH LLC SPIEGEL & CAHILL, PC 801 19WC 21597 VIVEROS, RICARDO JVM MANAGEMENT, INC. 12/18/18 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 802 19WC 21685 DZIEDZIC, ANNA SUBURBAN CLEANING SYSTEMS 12/18/18 MINKOW DOMIN 803 19WC 22049 KOPCZYNSKI, KAREN SUNRISE SENIOR LIVING 12/07/17 WOODRUFF JOHNSON HENNESSY & ROACH PC 804 19WC 22064 O'CONNOR, BRANDON IMPERIAL SURVEILLANCE INC 11/16/18 HORWITZ HORWITZ & ASSOC 805 19WC 22070 LACY, MARTIN SCA SURGICAL CARE AFFILIA 05/22/18 LUSAK AND COBB 806 19WC 22139 JIMENEZ, ANGELICA EDWARD HOSPITAL 01/17/19 CHEPOV & SCOTT LLC POWER & CRONIN LTD 807 19WC 22151 KONFRST, JEFFREY GONDA CONCRETE 07/17/19 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 808 19WC 22250 LYNCH, WILLIAM PEOPLE READY 07/08/19 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 809 19WC 22269 GONZALEZ, GABRIEL SUNSOURCE 07/03/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 810 19WC 22326 OVERMYER, TODD A CITY OF NAPERVILLE 05/27/19 THOMAS W DUDA CITY OF NAPERVILLE 811 19WC 22427 COOGLER, JODIE II CPC LOGISTICS, INC. 07/15/19 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 812 19WC 22564 RAMIREZ, GENARO FIRST PLACE PAINT/DECORAT 10/13/14 INMAN & FITZGIBBONS 813 19WC 22620 MORALES, GONZALO MULTI-TEMPS INC 04/15/19 GOLDSTEIN BENDER & ROMANOF GAIDO & FINTZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 814 19WC 22634 GAINEY, RAYNARD KEHE DISTRIBUTORS, LLC 06/19/19 STEVEN J. MORTON & ASSOC NOBLE & ASSOC 815 19WC 22723 LYDON, JOSHUA TRADER JOE'S 07/17/19 KROL BONGIORNO & GIVEN LTD 816 19WC 23098 MELENDEZ, MELISSA PICTURE SHOW 07/22/18 LUSAK AND COBB 817 19WC 23177 SEEGO, ANTHONY EAGLE CARPET 04/16/19 STELZMAN, RUTH BRADY CONNOLLY & MASUDA PC 818 19WC 23209 GAGLIANO, ROBERT VILLAGE OF LOMBARD 07/24/19 HEALY SCANLON LAW FIRM KLEIN THORPE & JENKINS LTD 819 19WC 23259 COTTIER, LAURA JEWEL OSCO 01/30/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 820 19WC 23303 NELLETT, WILLIAM H INTERSTATE POWERSYSTEMS, 04/19/19 ANKIN LAW OFFICE 821 19WC 23369 BURCIAGA, ABRAHAM ALLYING FORCE LOGISTICS 08/06/19 GERALD CONNOR ARNETT LAW GROUP 822 19WC 23412 MONTALVO, EDWIN JUST IN TIME STAFFING 05/14/19 LAW OFFICES OF ADRIAN CHER QUINTAIROS PRIETO WOOD & BOY 823 19WC 23474 RAUN, BLAKE LIFETIME FITNESS 10/17/16 RUBENS KRESS MULHOLLAND 824 19WC 23554 BOYLE, CANDICE ALLERGEN 06/05/19 SCOTT B SHAPIRO BRADY CONNOLLY & MASUDA PC 825 19WC 23601 MARTINEZ, IRMA ANTUNEZ JD NORMAN INDUSTRIES, INC 07/01/19 STANCZAK LAW OFFICES 826 19WC 23662 MILLER, CORYNNE JOURNEY CARE 07/26/19 WOODRUFF JOHNSON 827 19WC 23849 ADAMS, SCOTT KROGER 02/10/19 TURNER & SACKETT LLC 19WC023852 -C 828 19WC 23924 OZOBIA, HELEN SUNRISE OF BLOOMINGDALE 05/16/19 RUBENS KRESS MULHOLLAND NOBLE & ASSOC 829 19WC 24146 MAHONEY, SEAN HUGHES ENTERPRISES 11/13/18 STROM & ASSOC HOLECEK & ASSOCIATES 830 19WC 24192 DAGGETT, BRENT CITY OF NAPERVILLE 07/05/19 MEYERS & FLOWERS CITY OF NAPERVILLE 831 19WC 24257 RIVAS, GILMA ILLINOIS TOOL WORKS 06/05/19 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 832 19WC 24265 LOPEZ, DANIEL A/K/A SARKU JAPAN 07/19/19 JONATHAN SCHLACK 833 19WC 24309 VERGARA, FRAK V SR FRENENIUS KIDNEY CARE 07/01/19 GARDI & HAUGHT HENNESSY & ROACH PC 834 19WC 24338 MARTINEZ, SOCORRO INNOCAR, INC/ADVANCED 06/13/19 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM GRA 835 19WC 24371 INIGUEZ, SILVIA RBP OAK BROOK, LLC 05/16/19 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 836 19WC 24428 KENNEY, STEVEN D J.C. PENNEY CORPORATION 07/30/18 ROSS TYRRELL 837 19WC 24801 JOHNSON, DEXTER ILLINOIS TOLLWAY AUTHORIT 04/08/19 GORDON & CENTRACCHIO LLC 838 19WC 24938 RILEY, TEQUILLA CVS 07/18/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 839 19WC 24957 SANCHEZ, ROSA TAILORED BRANDS 04/01/19 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 840 19WC 25072 BELT-ROSELIEB, JOY DOWNERS GROVE SOUTH HIGH 08/21/19 KATZ FRIEDMAN EAGLE ET AL LAWRENCE COZZI - LAW OFFICE 841 19WC 25181 BILLICH, JOHN XPO LOGISTICS 05/06/19 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 842 19WC 25215 KENNINGTON, FLOYD G JR COURIER EXPRESS ONE, INC 08/06/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 843 19WC 25346 DAWSON, EDWARD ELITE STAFFING 08/14/19 LAW OFFICES OF ADRIAN CHER 844 19WC 25423 MOLINA ROJAS, RAFAEL MAS CARPENTRY CO 08/14/19 FRIEDMAN & SOLMOR LTD LAWRENCE COZZI - LAW OFFICE 845 19WC 25522 KRUGER, ALICIA WEISS, KUNZ & OLIVER, LLC 05/06/19 NO ATTORNEY RUSIN & MACIOROWSKI LTD 846 19WC 25645 MONTALVO, JESUS BANNER SERVICE 07/30/19 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 847 19WC 25823 SUKUTIENE, SANDRA ORBUS EXHIBIT & DISPLAY G 08/23/19 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 848 19WC 26039 MONGE-NAVARRO, LUZ LIFT ALL COMPANY 08/15/18 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 849 19WC 26144 KEATING, MICHAEL J LOGAN SQUARE ALUMINUM SUP 07/12/19 HEALY SCANLON LAW FIRM ANCEL GLINK PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 850 19WC 26213 SZOSTAK, DOROTA ARAMARK 01/16/19 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 851 19WC 26330 SIMPSON, JOSEPH MCMASTER-CARR 05/21/19 RITTENBERG BUFFEN NYHAN BAMBRICK KINZIE & LOWR 18WC021093 -C 852 19WC 26365 DUNNE, STEVE UNIVAR 08/13/19 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 853 19WC 26416 REYES, DAVID ADVANCED DISPOSAL 06/01/19 JOSEPH J LOSS PC INMAN & FITZGIBBONS 854 19WC 26475 PEREZ, JULIA FOOD EVOLUTION 06/19/19 CHEPOV & SCOTT LLC 855 19WC 26490 MENDIA, SAUL HYDRA-STOP 02/01/18 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 856 19WC 26538 NOVAK, GARY IMS GLOBAL GEAR & MACHINI 05/29/19 KOSIN LAW OFFICE LTD 857 19WC 26619 RODRIGUEZ, JOSE L INDUSTRIAL BUSINESS SRVS, 02/13/19 ANKIN LAW OFFICE 858 19WC 26722 PATEL, NARSININBHAI S&S INTERNATIONAL INC 02/16/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 859 19WC 26734 LISAK, JOZEF PERFECT CLEANING SERVICES 08/03/19 KATZ FRIEDMAN EAGLE ET AL MEACHUM BOYLE TRAUFMAN 860 19WC 27040 DAVIDSON, ERIC A CITY OF ELMHURST 07/12/19 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 861 19WC 27056 SIMMONS, EBONIE CAMELOT OF NAPERVILLE 05/14/19 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 862 19WC 27114 KRUGER, ALICIA WEISS, KUNZ & OLIVER, LLC 08/09/19 RUSIN & MACIOROWSKI LTD 863 19WC 27205 ESTRADA, DEANNA FLAVORCHEM CORP 08/19/19 PORRO NIERMANN LAW GROUP 864 19WC 27248 GONZALEZ-LOPEZ, ELIZABETH MIDWAY STAFFING 06/17/19 LULAY LAW OFFICES SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 865 19WC 27310 YATES, ROCHELLE STATE OF ILLINOIS @ 08/28/19 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 866 19WC 27390 AVILA, ALEJANDRO MSM SOLUTIONS, INC 08/15/19 SEROWKA LAW LAWRENCE COZZI - LAW OFFICE 20WC006767 -C 867 19WC 27446 DUENAS, EDITH ROGERS CORPORATION 08/01/18 KELLY & KING LAWRENCE COZZI - LAW OFFICE 868 19WC 27572 POTTS, JOSEPH R AREA ERECTORS INC 08/21/19 FRED J BEER LAW OFFICES LITCHFIELD CAVO 869 19WC 27700 OLADIPO, OMOTOYOSI LYFT 09/05/19 LAW OFFICES OF ADRIAN CHER ANCEL GLINK PC 870 19WC 27735 ORTEGA, DANA ATRIA SENIOR LIVING 08/20/19 MC HARGUE & JONES 871 19WC 27915 JACKSON, WILLIAM H ILLINOIS TOLLWAY AUTHORIT @ 07/23/19 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 872 19WC 27976 DELAURIE, LORI CCSD #93 08/17/19 SEIDMAN MARGULIS & FAIRMAN 873 19WC 28016 RODRIGUEZ, SHERRY TRINITY HEALTH CORPORATIO 04/09/19 JAMES URTIS HENNESSY & ROACH PC 874 19WC 28053 ROBINSON, CHARLENE COURIER EXPRESS ONE, INC 09/19/19 RUBENS KRESS MULHOLLAND WIEDNER & MCAULIFFE LTD 875 19WC 28124 PRIEST, BENJAMIN D CITY OF OAKBROOK TERRACE 08/05/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 876 19WC 28141 WOODS, MELVIN C RJW 09/03/19 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 877 19WC 28317 FARIAS, NORMA A DOUBLETREE BY HILTON 08/22/19 LEONARD LAW GROUP LLC ROSARIO CIBELLA 878 19WC 28586 CORONA, JOSE WILDFIRE 08/28/19 MANUAL CARDENAS & ASSOC NOBLE & ASSOC 879 19WC 28606 ABDALHADI, IYAD ADVANCE FOREIGN CAR REPAI 08/05/19 R. MARK MARITOTE PC CAPUANI, FRANK S 880 19WC 28728 NAVA, FRANCISCO JAVIER HYPER MICROSYSTEMS, INC 08/14/19 SHELDON I MINKOW & ASSOCIA 881 19WC 28767 SHIRLEY, AARON J VILLAGE OF CLARENDON HILL 03/15/19 ANESI OZMON RODIN NOVAK KO 882 19WC 28803 SCALFANO, DAVID ARIA PERSONNEL SERVICES, 09/13/19 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 883 19WC 29015 BAZOS, TOM JRK RESIDENTIAL GROUP 09/09/19 R. MARK MARITOTE PC 884 19WC 29044 GONZALEZ, SANTOS WALTERSCHEID POWERTRAIN G 07/11/19 TAMVAKIS, GEORGE L 885 19WC 29066 ARANDA, GUADALUPE CHAMPION CONTAINER CORPOR 09/18/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 886 19WC 29183 MURRAY, DENNIS KROGER 07/29/19 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 887 19WC 29222 BARON, BARBARA MORTON ARBORETUM 09/14/19 MARKER & CRANNELL JOSEPH MARCINIAK 888 19WC 29255 BENNETT, TRESHIA DUPAGE CARE CENTER 01/30/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 889 19WC 29351 RODRIGUEZ, LETICIA ARAMARK CO 06/23/19 CULLEN HASKINS NICHOLSON 890 19WC 29395 RODRIGUEZ, BREIANNA ALDI INC 05/09/19 GRAZIAN & VOLPE PC NYHAN BAMBRICK KINZIE & LOWR 891 19WC 29436 BECK, BRIAN MECHANICAL CONCEPTS OF IL 01/22/18 CULLEN HASKINS NICHOLSON EDWARD J. KOZEL 892 19WC 29531 BROADHEAD, ROBIN EDWARDS HOSPITAL 09/23/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 893 19WC 29580 OIDTMAN, GEOFFREY FOX BOWL 09/28/19 SLAVIN & SLAVIN 894 19WC 29632 MARSICO, MARRICO EVEREST EXCAVATING INC. 09/09/19 SHANCER, JEFFREY M ACCIDENT FUND HOLDINGS 895 19WC 29639 MILLAN, CONSUELO (SALGADO WHOLESOME PRODUCTS, LLC 08/09/19 CULLEN HASKINS NICHOLSON 896 19WC 29764 CASTELLANOS, FERNANDO ABM 08/21/19 SALVATO O'TOOLE FROYLAN ASA LAW GROUP 897 19WC 29790 KOSTELNY, WILLIAM NAPERVILLE FIRE DEPT 09/21/19 RIDGE & DOWNES CITY OF NAPERVILLE 898 19WC 29867 RODRIGUEZ ALMANZAR, ALEJA RAI CONCRETE INC 10/08/18 FRIEDRICH LAW LLC 899 19WC 29900 COVINGTON, CORNELL ROTECH HEALTHCARE 08/01/19 SIGMOND, STEVEN WIEDNER & MCAULIFFE LTD 900 19WC 29953 GOETZ, RICHARD W AMAZON.COM SRVS, INC 09/28/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 901 19WC 30001 CAMACHO, MIGUEL ABRASIVE FORMS, LLC 06/10/19 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 902 19WC 30043 BAYS, TERRELL C GREENCORE 12/07/17 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 903 19WC 30079 FUENTES, CRESCENCIO COLONIAL BAG CORPORATION 08/22/19 EPSTEIN, JACK R LAW OFFICE 904 19WC 30220 CARDENAS, JOSEPH HOWARD AUTO GROUP 12/21/13 GANAN & SHAPIRO 905 19WC 30359 ENGLISH, TOM FLEXCO 04/23/18 MCNAMARA PHELAN MCSTEEN LL 906 19WC 30417 ROMERO, SOFIA JELSERT 08/29/19 BART DURHAM 907 19WC 30515 VALDOVINOS, MARIANO RG CONSTRUCTION SERVICES, 07/06/19 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 908 19WC 30544 BERMUDEZ, ROBERTO A ABBOTT TREE CARE PROFESSI 05/31/18 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 909 19WC 30613 ROHNER, JESSICA, DEPENDEN VINAYAKA HOSPITALITY 01/16/19 FOOTE MIELKE CHAVEZ O'NEIL LAWRENCE COZZI - LAW OFFICE 910 19WC 30652 HARRIS, MICHELE CENTRAL DUPAGE HOSPITAL 09/04/19 BLOCK, KLUKAS & MANZELLA P 911 19WC 30786 URBINA, SIRA NOW HEALTH GROUP 06/29/19 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 912 19WC 30794 MC CARTHY, JUSTIN NAPERVILLE FIRE DEPARTMEN 10/02/19 RIDGE & DOWNES CITY OF NAPERVILLE 913 19WC 30829 LYNCH, JAMES YMCA OF METROPOLITAN CHIC 12/08/18 KOSIN LAW OFFICE LTD 914 19WC 30862 ARCE, FRANCISCO BALANCED ENVIRONMENTS 10/03/19 BAUM RUFFOLO & MARZAL LTD EDWARD J. KOZEL 915 19WC 30915 ZACATZI, ADOLFO CRATE & BARREL 07/09/19 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 916 19WC 31016 TOVAR, DANIEL ILLINOIS SANITATION SERVI 10/11/19 BARRY STEWART SILVER KOPKA, PINKUS DOLIN, PC 917 19WC 31251 ROGERS, ANGELA AMAZON DISTRIBUTION 08/01/19 EDWIN REYES LAW FIRM 918 19WC 31281 JEFFERSON, TRACEY FIRST STUDENT 03/11/19 KATZ FRIEDMAN EISENSTEIN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 919 19WC 31387 RAMIREZ, FREDY BA CONSTRUCTION 07/06/19 DUDLEY & LAKE LLC 920 19WC 31427 RODRIGUEZ, PEDRO LABOR NETWORK, INC 07/03/19 ANKIN LAW OFFICE 921 19WC 31478 LOPEZ, OSCAR BRAVO CASSENS TRANSPORT 04/22/19 GESMER & REYNOLDS PC KNAPP, OHL & GREEN 922 19WC 31542 TATE, SAMUEL MC KESSON 07/17/19 WOODRUFF JOHNSON EARLY & MIRANDA PC 923 19WC 31578 HARABURDA, ANNE TEK SYSTEMS 04/16/19 MARKER & CRANNELL 924 19WC 31610 HEJZA, DEAN SCOOBY'S RED HOTS, INC 10/02/19 WIEDNER & MCAULIFFE LTD KEEFE CAMPBELL BIERY & ASSOC 925 19WC 31638 GARCIA-OJEDA, SANTIAGO SPARTAN FENCE CO. 10/03/19 GORDON LAW OFFICES LTD 926 19WC 31674 PODRASKY, NANCY LIFESPACE COMMUNITIES 04/15/19 TURNER & SACKETT LLC 927 19WC 31720 MALKOWSKI, HENRY MCDONALDS 09/29/19 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 928 19WC 31753 SINGLETON, RASHUN AMITA HEALTH 11/02/16 NO ATTORNEY NYHAN BAMBRICK KINZIE & LOWR 929 19WC 31807 GONZALEZ, LUCIA JEL SERT CO 05/22/19 GOLDSTEIN BENDER & ROMANOF 20WC000583 -C 930 19WC 31862 BORGE, NICOLE WHOLE FOODS MARKET 06/19/19 HART & DAVID LLP 931 19WC 31930 CABRAL, RICHARD ROBERT TACKNOLOGIES LTD 05/17/19 SALVATO O'TOOLE FROYLAN 932 19WC 31964 GACEK, RONALD AT&T 09/18/19 FOOTE MIELKE CHAVEZ O'NEIL 933 19WC 32050 LAHEY, JOHN THE PATE COMPANY 10/09/18 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 934 19WC 32057 ATLAS, FRED RND EXHIBITS INTERNATIONA 10/02/19 DAVID SZCZECIN & ASSOC GILDEA, COGHLAN & REGAN LTD. 935 19WC 32120 SANDERS, LOLETA AMITA HEALTH HINSDALE 10/07/19 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 936 19WC 32204 NEWREN, JOSEPH AMS MECHANICAL 01/23/19 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 937 19WC 32241 NEAL, EVERETT DSC LOGISTICS 10/15/19 SOSTRIN AND SOSTRIN PC MC ANDREWS & NORGLE LLC 938 19WC 32260 NAVARRO, JOSE VILLAGE OF BENSENVILLE 09/22/19 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 939 19WC 32315 WEEDEN, ANTHONY HEARTHSIDE FOODS 10/28/19 KATZ FRIEDMAN EISENSTEIN 940 19WC 32380 STOEV, DELCHO PIT-KORZ ENTERPRISES, INC 09/17/19 COSTA IVONE LLC 941 19WC 32437 RAMOS, YURI JANETH BRIONE SPECIALIZED STAFFING SOLU 10/19/19 JONATHAN SCHLACK GOLDBERG SEGALLA LLC 942 19WC 32470 DUDEK, RYAN VILLAGE OF HINSDALE 10/11/19 HETHERINGTON KARPEL & BOBB RUSIN & MACIOROWSKI LTD 943 19WC 32492 HINCKLEY, LARRY MARIANO'S 07/16/19 LEONARD LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 944 19WC 32654 FOSTER, TIMOTHY ESSEDENT - CHICAGO OFFICE 10/09/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 945 19WC 32720 RAMOS, VICTOR ACE METAL REFINISHERS INC 09/20/18 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 946 19WC 32862 POLIZZI, MICHAEL NAPERVILLE FIRE DEPT 09/13/19 RIDGE & DOWNES CITY OF NAPERVILLE 947 19WC 32901 PACHECO, WALTER IYC-NAPERVILLE @ 10/17/19 CAPRON & AVGERINOS PC ASSISTANT ATTORNEY GENERAL 948 19WC 33012 LOPEZ, LOURDES ACL LAB 09/27/19 WILLIAM H MARTAY NYHAN BAMBRICK KINZIE & LOWR 949 19WC 33020 CERVANTES, ELSIE GRAND PRAIRIE TRANSIT 02/13/19 TOPPER & WEISS LTD 950 19WC 33057 PISARSKI, J. JOSETTE L. BRAND SERVICE COMPANY, 07/01/19 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 951 19WC 33092 CONSTANZO, DEBORAH ALL FLOWERS WITH EXPRESSI 10/14/19 TRENT LAW FIRM PC JOSEPH MARCINIAK 952 19WC 33166 RODRIGUEZ, JOSE F TOP ROOFING 12/10/18 PETER C KOPOULOS 953 19WC 33201 DE LA LUZ PEREZ, MARIA SUPERIOR STAFFING 11/17/16 JAUREGUI & ASSOCIATES SLAVIN & SLAVIN 954 19WC 33327 AMBROSCH, JARED PREEMO PAINTING & REPAIRS 07/25/19 JAY S. SHETH LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 955 19WC 33445 EDRISI, HANAN AEROTEK, INC 11/07/19 EFTEKHARI LAW OFFICES LLC 956 19WC 33513 MONTBRIAND, WILLIAM WATER E SMITHE FURNITURE 09/16/18 ERIC H CHECK, LAW OFFICES HENNESSY & ROACH PC 957 19WC 33611 ANDERSON, LATASHA L RML SPECIALTY HOSPITAL 09/14/19 GALLAGHER, DONALD V KEEFE CAMPBELL BIERY & ASSOC 958 19WC 33638 MARQUEZ, ANDREW EDGE PEST CONTROL @ 09/05/19 NEWLAND & NEWLAND 959 19WC 33655 TATE, SAMUEL MCKESSON 09/26/19 WOODRUFF JOHNSON EARLY & MIRANDA PC 960 19WC 33698 ZENDEJAS, AUDELIO FINAL TOUCH DECORATING 03/11/19 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICE 961 19WC 33740 NOVAK, NICK GENERAL MECHANICAL SERVIC 07/17/19 KARNO, MARK L & ASSOC HENNESSY & ROACH PC 962 19WC 33761 PAZ, GREGORIO CARAVAN FACILITIES MANAGE 11/04/19 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 963 19WC 33819 ACOSTA-HERNANDEZ, JUAN SPANDICO ROOFING LLC 10/04/19 ANGELINI & ORI LLC ACCIDENT FUND HOLDINGS 964 19WC 33853 VEGA, ALLEN NORTHWESTERN MEDICINE 07/28/19 STEWART C ORZOFF 965 19WC 33887 SISTOWICZ, THOMAS HAGGERTY FORD, INC. 05/31/18 GWC INJURY LAWYERS LLC NOBLE & ASSOC 966 19WC 33930 DAVIS, KENNETH COURIER EXPRESS ONE INC 06/01/19 MICHAEL G. MILLER 967 19WC 34053 BENTON, DENISE FEDEX GROUND 11/15/19 STEVEN J MALMAN & ASSOCIAT 968 19WC 34086 MARLOWE, GREG AMERICAN AIRLINES 12/30/18 CAPRON & AVGERINOS PC 969 19WC 34110 DELUNA, EDUARDO RELADYNE 10/11/19 MICHAEL HELLMAN CAPUANI, FRANK S 970 19WC 34136 GAONA, SANDRA ASG STAFFING 06/04/19 EPSTEIN, JACK R LAW OFFICE 971 19WC 34179 ESPANA, JUAN PRO-TROOP LLC-D/B/A INFIN 11/05/19 BURNETT & CARON, LTD 972 19WC 34219 SANCHEZ, ALFONSO MUNOZ CLEAR STAFF, INC 10/03/19 LULAY LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 973 19WC 34316 PATEL, NARESH APNA FOOD IMPORTS W 10/19/19 CULLEN HASKINS NICHOLSON 974 19WC 34320 PANDUROFLORES, JULIO DEERFIELD CONSTRUCTION GR 04/22/19 BALKE & WILLIAMS 975 19WC 34380 SARNA, MARJORIE (WIDOW OF ACOSTA SALES AND MARKETIN 02/14/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 976 19WC 34418 WILEY, DENNIS PEOPLE READY TEMPORARY AG 11/15/19 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 977 19WC 34479 OLIVAREZ, SUSANA DOUBLETREE BY HILTON 06/23/19 CORNFIELD & FELDMAN GANAN & SHAPIRO 978 19WC 34502 BENNETT, DAVID SOUTHWEST MECHANICAL INC 07/23/19 MC HARGUE & JONES JOSEPH MARCINIAK 979 19WC 34529 TRIPP, YEMONJA FORMCO 06/18/19 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 980 19WC 34563 DELGADO, DARIELA LIBERTY STAFFING, INC 10/15/19 EPSTEIN, JACK R LAW OFFICE 981 19WC 34569 VILLAREAL, ADELFO STRELECKI ENTERPRISES INC 07/15/19 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 982 19WC 34602 URBANCZYK, PHILIP ARROW GEAR COMPANY 08/05/19 DAVID W MARTAY 983 19WC 34638 GALLO, RAUL KEN'S BEVERAGE 03/20/19 COSTA IVONE LLC INMAN & FITZGIBBONS 984 19WC 34746 PERRICONE, NANCY A ITASCA SCHOOL DISTRICT 10 06/06/19 PHILIP BLOMBERG NYHAN BAMBRICK KINZIE & LOWR 985 19WC 34826 GALVEZ, JOSE CPR TRANSIT 11/25/19 TAXMAN POLLOCK LEAHY EISENBERG & FRAENKEL 986 19WC 34873 ASHFORD, RAHSAAN FLOOR & DECOR 05/07/19 ANGELINI & ORI LLC 987 19WC 34891 VAUGHANS, MARISSA MIDWEST DISTRIBUTION 11/11/19 JAMES ELLIS GUMBINER & ASS 988 19WC 34997 STRAUEL, CHRISTINE CADENCE HEALTH 05/13/14 KEEFE CAMPBELL BIERY & ASSOC 989 19WC 35192 MCGOWAN, DEADRE CENTAL DUPAGE HOSPITAL 07/01/18 BLOCK, KLUKAS & MANZELLA P 990 19WC 35261 BASSEY, ANTHONY ILLINOIS TOOL WORKS 05/12/18 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1009 19WC 36342 OROZCO, JOSE ZURN CHICAGO SERVICE CENT 12/04/19 STEVEN J MALMAN & ASSOCIAT 1010 19WC 36382 RUFF, TAYLOR NRJM, INC. DBA DOMINO'S P 11/01/19 THOMAS J STIBERTH LAW OFFI CHILTON YAMBERT PORTER LLP 1011 19WC 36420 SUNDSTROM, TASHA ADVOCATE GOOD SAMARITAN 04/19/19 WOODRUFF JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1012 19WC 36515 NICHOLSON, DUSTY IL MARINE TOWING, INC 05/01/18 ANKIN LAW OFFICE 1013 19WC 36540 TRUSS, JOVAN LE MERIDIEN CHICAGO 12/03/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 1014 19WC 36555 BERNASEK, JAMES RJW TRANSPORT 02/18/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 1015 19WC 36824 RAFAEL, MARIA FLORENCE GENUINE PARTS COMPANY 07/17/19 JONATHAN SCHLACK 1016 19WC 36860 SALABAI, ROMAN LUCKY WAY EXPRESS 08/23/19 LEO ALT 1017 19WC 36934 VAN NESS, ROBERTJR. AT&T 10/02/18 FRANKS, GERKIN & MCKENNA P 1018 19WC 37179 RIVERA, AMELIA PROSORT/MICOR DYNAMIC GRO 06/05/14 NO ATTORNEY 1019 19WC 37312 BALTIERREZ, LEOCADIO FORMCO METAL PRODUCTS, IN 10/25/19 OSVALDO RODRIGUEZ PC HOLECEK & ASSOCIATES 1020 19WC 37342 LOFTON, JERMAINE US FOODS 12/16/19 CULLEN HASKINS NICHOLSON 1021 19WC 37488 BARLOW, LAFAYETTE ALLIED GARAGE DOORS, INC 06/11/18 ACEVES & PEREZ PC 1022 19WC 37552 MIRELES, EDGAR EVERADO LABOR SOLUTIONS 12/18/19 MC HARGUE & JONES MC ANDREWS & NORGLE LLC 1023 20WC 00007 MATTAR, ELIAS ARGONNE NATIONAL LABORATO 12/11/19 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 1024 20WC 00095 MACKENZIE, JOHN ASPIRE VENTURES, LLC W 12/03/19 BRISKMAN BRISKMAN GREENBER 1025 20WC 00161 SHELTON, LAURIE A VILLAGE OF ADDISON POLICE 03/03/19 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 1026 20WC 00185 WEBB, NATHAN MONDELEZ INTERNATIONAL 07/19/19 STROM & ASSOC WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1081 20WC 03732 MERCADO, JACQUELINE ADVOCATE HEALTH CARE 01/10/20 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 1082 20WC 03772 SANCHEZ-RODRIGUEZ, ARGENT STAFFING NETWORK 01/06/20 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 1083 20WC 03835 SMITH, JASON NEXTERRA WINERY 09/16/19 GIAMANCO & OOINK LAW OFFIC 1084 20WC 03876 BALLINES, JULIO TREDROC TIRE SERVICE 08/02/19 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 1085 20WC 03922 CUTHBERTSON, SHANNON FIRST STUDENT 01/24/20 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 1086 20WC 03962 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO 01/03/20 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 1087 20WC 04015 MILLER, CAROLYNN ROUNDY'S ILLINOIS, LLC/ 01/30/20 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 1088 20WC 04023 MEJIA, JORGE DSI SPACE FRAMES 12/09/19 ARGIONIS & ASSOCIATES LLC 1089 20WC 04156 SORENSEN, CHRISTIAN V VICTOR CONSTRUCTION CO, I 04/01/19 DOUGLAS RALLO PC EDWARD J. KOZEL 1090 20WC 04193 APPLEWHITE, DOROTHY BROOKDALE SENIOR LIVING I 01/23/20 ANKIN LAW OFFICE 1091 20WC 04258 COWANS, SHAWN ELKAY MANUFACTURING 10/15/18 COVEN LAW GROUP GANAN & SHAPIRO 1092 20WC 04279 KENT, CAMERON WISCO WELDING INDUSTRIAL 09/20/19 LEONARD LAW GROUP LLC COZZI & ZAPF LAW OFFICE 1093 20WC 04407 KRAMER, JOHN HINSDALE TOWNSHIP DISTR # 11/14/19 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK PC 1094 20WC 04463 COOK, MICHAEL L&W SUPPLY CO 02/10/20 BRIAN J MC MANUS & ASSOC, 1095 20WC 04491 SISON, NOEL ALDEN VALLEY RIDGE 01/18/20 THERMAN LAW OFFICES 1096 20WC 04684 SEPE, MARK VILLAGE OF LOMBARD 02/02/20 EAMES LAW GROUP LTD 1097 20WC 04741 HULLETT, ANN JEWEL FOOD STORES 03/14/17 ROSS TYRRELL 1098 20WC 04819 PATRANA, HECTOR JB HUNT 02/03/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1099 20WC 04853 ESPARZA RODRIGUEZ, JOSE F ACE METAL REFINISHERS INC 09/20/18 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 1100 20WC 04875 SANTIAGO, ANA ILLINOIS TOLL HIGHWAY AUT 01/19/20 ANGELINI & ORI LLC MC ANDREWS & NORGLE LLC 1101 20WC 04881 BARRIENTOS, JUAN CARLOS PROLINE TRANSPORT, INC W 12/03/19 CHEPOV & SCOTT LLC 1102 20WC 04903 WARDA, SARGON GREYSTAR MANAGEMENT SRVCS 09/05/19 GRAUER & KRIEGEL LLC HENNESSY & ROACH PC 1103 20WC 04952 THOMAS, BEENA WALGREENS 02/01/18 STEVEN A CRIFASE, LTD 1104 20WC 04991 KAHN, RAZA OFFICE DEPOT, INC 09/17/19 DAVID W CLARK NYHAN BAMBRICK KINZIE & LOWR 1105 20WC 05109 MONTGOMERY, JASMINE STARBUCKS COFFEE CO 10/24/19 TURCYCHUTE LLC 1106 20WC 05181 CONTRERAS, DORIS NATIVE FLORAL COMPANY 03/22/19 AIOSSA LAW FIRM 1107 20WC 05268 RAMIREZ, ICELA AJA ANTUNEZ & COMPANY 01/29/20 WHITING LAW GROUP 1108 20WC 05277 NAVARRO, ABEL ALL METAL, ICN 08/05/19 MC HARGUE & JONES 1109 20WC 05288 STIEGLER, JOHN K CITY OF NAPERVILLE 11/26/19 THOMAS W DUDA CITY OF NAPERVILLE 1110 20WC 05317 SALINAS, ESTELA RRI D/B/A RED ROOF PLUS 01/18/20 EPSTEIN, JACK R LAW OFFICE 1111 20WC 05365 SALAZAR, GERARDO WINFIELD FIRE PROTECTION 12/01/19 PORRO NIERMANN LAW GROUP 1112 20WC 05485 GAYTAN HERNANDEZ, NICOLAS GH PRINTING 07/26/19 DRISCOLL LAW OFFICES PC 1113 20WC 05548 NOVAK, CHRISTOPHER PIZZA HUT 01/24/20 HORWITZ HORWITZ & ASSOC KRAKER FANNING & OLSEN 1114 20WC 05573 POWERS, JONATHAN MONDELEZ INTERNATIONAL 02/13/20 ROGER D RUDICH LTD 1115 20WC 05611 HOLMES, BONARD WALMART SUPERCENTER 01/02/20 LEONARD LAW GROUP LLC GANAN & SHAPIRO 1116 20WC 05780 WOOD, JEANETTE IAT/TRANSGAURD GROUP 05/24/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1135 20WC 07014 PEREZ, RAFAELA METRO STAFF INC. 04/19/19 GOLDSTEIN BENDER & ROMANOF 1136 20WC 07077 GARCIA, RICKY JR SAIA 12/20/19 NICHOLAS ROBERT RECCHIA CHILTON YAMBERT PORTER LLP 1137 20WC 07375 HERNANDEZ, ISSAC SUPERMERCADO LINDO MICHOA 03/07/20 ARGIONIS & ASSOCIATES LLC COZZI & ZAPF LAW OFFICE 1138 20WC 07421 WELLS, THOMAS AMERICAN LITHO 02/23/19 LOUIS A PLZAK & ASSOCIATES 1139 20WC 07536 HARBUT, JENNIFER JEWEL OSCO 09/05/19 HORWITZ HORWITZ & ASSOC 1140 20WC 07581 RODRIGUEZ, ALEJANDRO DMD STAFFING LLC 01/10/20 CORNFIELD & FELDMAN JOSEPH MARCINIAK 1141 20WC 07819 RENTERIA, JULIO ATRIUM 11/18/19 GWC INJURY LAWYERS LLC ACCIDENT FUND HOLDINGS 1142 20WC 07827 HOWARD, SABRINA COURIER DISTRIBUTION SYST 02/14/20 ANKIN LAW OFFICE 1143 20WC 07831 GLANZ, WALTER FERGUSON FIRE & FABRICATI 12/18/19 BLEAKNEY & TROIANI 1144 20WC 07919 GAFFORD, NIKITA THE GROVE OF ELMHURST 03/08/20 COVEN LAW GROUP 1145 20WC 08064 BAIRAMI, LIRIDONA PT INTERMEDIATE HOLDINGS 09/04/19 STROW LAW LLC FRANCESCA LARSEN 1146 20WC 08098 REZA, LORETTA J SPECTRUM RETIREMENT 01/21/20 KOSIN LAW OFFICE LTD 1147 20WC 08158 STILTNER, ROCKY INNOVATIVE TRANSPORT SOLU 11/04/19 EVAN A HUGHES LAW OFFICE 1148 20WC 08274 CANNELLA, ANTHONY ALLIED UNIVRSITY SECRITY 03/10/20 MEYERS & FLOWERS GAROFALO SCHREIBER STORM GRA 1149 20WC 08294 MITCHELL, MAUREEN APEX HOSPICE AND PALLIATI 02/10/20 COHN LAMBERT RYAN & SCHNEI ANCEL GLINK PC 1150 20WC 08328 EDWARDS, AMY HARDWELL LLC 01/05/20 HEALY SCANLON LAW FIRM 1151 20WC 08356 GEMELLI, RICHARD WAL MART 10/01/19 COMPTON LAW GROUP 1152 20WC 08357 LUNCEFORD, TAIT PRAIRIE FARMS DAIRY 10/27/18 CAPRON & AVGERINOS PC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1153 20WC 08435 SMITH, ELSIE EDWARD HOSPITAL 02/25/20 MEYERS & FLOWERS POWER & CRONIN LTD 1154 20WC 08484 BROWN, MARKEVA SEASONS HOSPICE 03/03/20 DWORKIN AND MACIARIELLO 1155 20WC 08506 BAILEY, ERIC FIRST KEY HOMES 11/03/17 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 1156 20WC 08581 MOY, CHRISTOPHER M DMD PROPERTY MGMT & 12/06/19 DEPAOLO & ZADEIKIS 1157 20WC 08606 SKELTON, MICHAEL TRUENORTH 12/16/19 SLAVIN & SLAVIN CAPUANI, FRANK S 1158 20WC 08630 BROWN, LINDA VETERINARY PRACTICE 02/03/18 ROSS TYRRELL EDWARD J. KOZEL 1159 20WC 08676 BROWN, GREGORY MULTITECH INDUSTRIES LLC 03/04/20 CULLEN HASKINS NICHOLSON 1160 20WC 08738 PYTEL, MARK CASSENS TRANSPORT 11/07/19 PORRO NIERMANN LAW GROUP KNAPP, OHL & GREEN 1161 20WC 08790 COFFIE, CARLEEN IMAGEFIRST HEALTHCARE 03/24/20 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 1162 20WC 08844 FELIX, LIZANDRO SOUTH WATER SIGNS, LLC 09/12/19 CHRISTIAN & MANNO 1163 20WC 08856 BAH, AISSATOU IMAGE FIRST 02/06/20 ROBERT J. IRSUTO 1164 20WC 08897 SANCHEZ, STEVEN FROZEN FOOD EXPRESS 03/25/20 SEIDMAN MARGULIS & FAIRMAN HINSHAW & CULBERTSON 1165 20WC 08925 HERRERA, RAUL CLEAR STAFF INC 02/12/20 CHEPOV & SCOTT LLC ACCIDENT FUND HOLDINGS 1166 20WC 09015 TIRADO, EDDIE DIRECT CHASSISLINK INC. 11/15/19 STEVEN J MALMAN & ASSOCIAT EDWARD J. KOZEL 1167 20WC 09028 PUMPHREY, DERRICK TACONY CORPORATION 03/12/20 STEVEN J MALMAN & ASSOCIAT 1168 20WC 09165 COAKLEY, KENYATA LOWE'S 07/10/18 STYKA & STYKA 1169 20WC 09214 GONZALEZ, MARTHA HYATT REGENCY LISLE 03/04/20 DWORKIN AND MACIARIELLO 1170 20WC 09347 KAMINSKI, SHARI TERRA VISTA OF OAKBROOK 03/24/20 EAMES LAW GROUP LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1171 20WC 09423 KLEINAITIS, AMBER RUFFLED FEATHERS GOLF CLU 12/28/19 HENNESSY & ROACH PC 1172 20WC 09446 ARZETA, ALEJANDRO AMTAB 02/06/19 SALVATO O'TOOLE FROYLAN 1173 20WC 09694 PEREZ, CARLOS ANCHOR BRAKE SHOE CO 03/03/20 COSTA IVONE LLC 1174 20WC 09736 PEREZ, CARLOS ANCHOR BRAKE SHOE CO 03/11/20 COSTA IVONE LLC 1175 20WC 09806 MCSPADDEN, DAVID GOODWILL INDUSTRIES OF 10/21/19 MILLON & PESKIN LTD 1176 20WC 09816 SHIPOVSKAYA, NATALIYA INDEPENDENCE -4 SENIOR 06/01/19 MILLON & PESKIN LTD INMAN & FITZGIBBONS 1177 20WC 09874 ADAMS, SUSAN VICTORIA'S SECRET 01/24/20 MEYERS & FLOWERS GOLDBERG SEGALLA LLC 1178 20WC 09907 VELAZQUEZ, JOSE LA HACIENDA DE LOS 12/05/19 HERRERA LAW CENTER 1179 20WC 09924 DAUGHTERS, MARY ARJO, INC 10/24/19 HORWITZ HORWITZ & ASSOC 1180 20WC 09953 DANNER, TRISTAN ECP INCORPORATED 01/28/20 WHITESIDE & GOLDBERG LTD 1181 20WC 10015 RUBIO, JESSE WILLOWS OF WHEATON, LLC 12/11/19 ANESI OZMON RODIN NOVAK KO 1182 20WC 10062 MIRACLE-POND, VERNITA REALPAGE 12/14/19 LAW OFFICES OF ADRIAN CHER 1183 20WC 10108 MELONE, STEVEN ALBERTSONS 02/24/20 GALLIANI DOELL & COZZI LTD 1184 20WC 10136 JASIORSKI, JOLANTA WINDSOR PARK MANOR 03/28/20 JOSEPH J LOSS PC ASHER, RAYMOND L LTD 1185 20WC 10161 BURCIAGA, DARIO A A&J CONCRETE 04/14/20 CHEPOV & SCOTT LLC 1186 20WC 10220 GONZALEZ, JAIME ESCO TECHNOLOGIES INC 12/07/15 RUSIN & MACIOROWSKI LTD 1187 20WC 10251 ANDRZEJEWSKI, TADEUSZ ACCENT REMODELERS & BUILD 07/20/18 BELLAS & WACHOWSKI 1188 20WC 10280 VAZQUEZ, MARIA HENRICKSEN 11/21/19 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1189 20WC 10293 SAUCEDO, JAVIER NAPERVILLE FIRE DEPT 03/28/20 RIDGE & DOWNES CITY OF NAPERVILLE 1190 20WC 10390 MASTNY, JASON AMERICAN MUNICIPAL PRIVAT 02/03/20 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 1191 20WC 10472 CHAVEZ, JORGE GROUND PROS, INC 04/27/20 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 1192 20WC 10489 MORGAN, SHIRLEY INNOVATIVE HOME CARE 04/08/20 DISPARTI LAW GROUP PA 1193 20WC 10545 VACA, LUIS COMPASS LAWN & LANDSCAPE 10/12/19 RUEDA, IVAN A RUSIN & MACIOROWSKI LTD 1194 20WC 10650 CLARK, ROSEMARY DUPAGE SENIOR CITIZENS CO 03/26/20 LOUIS A PLZAK & ASSOCIATES 1195 20WC 10701 LOPUSZYNSKI, MALGORZATA RML SPECIALITY HOSPITAL 04/11/20 STROM & ASSOC KEEFE CAMPBELL BIERY & ASSOC 1196 20WC 10727 CANALES, BLANCA S PLASTIPAK PACKAGING INC 12/18/19 ROSS TYRRELL HOLECEK & ASSOCIATES 1197 20WC 10814 YATES, MARK C COMCAST CORP 09/03/19 HENNESSY & ROACH PC 1198 20WC 10847 SCHICKEL, DIANA COLLIERS INTERNATIONAL 04/13/20 BIZZIERI LAW OFFICES 1199 20WC 10872 ANGUIANO, HECTOR GRAHAM PACKAGING CO 10/22/19 CULLEN HASKINS NICHOLSON 1200 20WC 10924 LOPEZ, JAIME MARIANJOY REHABILITATION 04/03/20 MICHAEL HELLMAN 1201 20WC 11011 THOMAS, DANIEL W MAPEI CORPORATION 05/05/20 ANKIN LAW OFFICE 1202 20WC 11088 GUNDERSON, MICHAEL T. MARTIN CONCRETE, LLC 04/14/20 STEVEN J MALMAN & ASSOCIAT 1203 20WC 11189 CANTELLAN, ADOLFO WINCUP 06/16/19 PORRO NIERMANN LAW GROUP JOSEPH MARCINIAK 1204 20WC 11306 BRIESCHKE, MATTHEW L VILLAGE OF GLENDALE HEIGH 02/28/20 PHILIP BLOMBERG 1205 20WC 11364 RAGO JR, RONALD P HIGH STANDARD SERVICES, L 06/05/19 ANKIN LAW OFFICE 1206 20WC 11489 SPINKS, RENEE SCHNEIDER NATIONAL 04/18/20 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1207 20WC 11527 AVALA, SARAHI UPS 12/04/17 HERRERA LAW CENTER 1208 20WC 11552 LIPPERT, CHARLES ANDERSON TRANSPORTATION 04/30/18 COLLISON LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 1209 20WC 11573 BADE, HERBERT WESTBROOK WEST CONDOMINIU 12/18/18 EAMES LAW GROUP LTD GANAN & SHAPIRO 1210 20WC 11608 CLARKE, GARY ILLINOIS TOLLWAY 05/17/20 LAW OFFICE OF LAURA A CHIL 1211 20WC 11646 GUZMAN, ANDY U.S. FOODS 03/10/20 MARTIN V KUGIA 1212 20WC 11676 THOMAS, DONALD WIDE OPEN WEST 03/16/20 BURNETT & CARON, LTD HOLECEK & ASSOCIATES 1213 20WC 11745 SIVELS, VASHON AMAZON FULFILLMENT CENTER 03/12/20 ANSELMO DURAN 1214 20WC 11812 SHIELDS, LESLIE EDWARD HOSPITAL 09/07/19 CORBOY & DEMETRIO PC POWER & CRONIN LTD 1215 20WC 11849 HERNANDEZ, MARIA O'REILLY AUTO PARTS 02/11/20 FOOTE MIELKE CHAVEZ O'NEIL 1216 20WC 11897 YOUNGBRANDT, STEFAN KINTETSU WORLD EXPRESS 05/07/19 THE MACK LAW GROUP PC 1217 20WC 11922 ANDERSON, ERIC J EXELON CORPORATION 02/21/19 STEVEN B SALK & ASSOC LTD 1218 20WC 11944 COLEMAN, NICOLE LEXINGTON HOME HEALTH 05/15/20 VASILATOS & COTTER LLC 1219 20WC 12001 BELTRAN, JUANA APERION CARE WEST CHICAGO 10/15/18 CHEPOV & SCOTT LLC 1220 20WC 12065 STANEK, CHRISTOPHER AT&T 02/07/19 CULLEN HASKINS NICHOLSON 1221 20WC 12163 MOLITOR, DUSTIN PROSTAR 04/13/20 DWORKIN AND MACIARIELLO 1222 20WC 12215 FARINA, ANNA NDC TECHNOLOGIES 01/15/20 ANGELINI & ORI LLC 1223 20WC 12354 HOSKINS, BRYANT PREMIER TRANSPORTATION 03/10/20 MINKOW DOMIN MARTIN, PATRICK W 1224 20WC 12390 LARA, RODOLFO BARRICADE LITES INC 04/22/20 KATZ FRIEDMAN EISENSTEIN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1243 20WC 13766 SOLANO, ABEL CERTIFIED STAFFING SPECIA 07/22/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 1244 20WC 13929 FABER, JAMIE MYLIFE HOME HEALTH CARE 03/13/20 ROMANUCCI & BLANDIN KEEFE CAMPBELL BIERY & ASSOC 1245 20WC 13970 PRATES, DOUGLAS JAM INSTALLATIONS INC 10/10/19 DESTEFANO, ROBERT A & ASSO 1246 20WC 14008 ADAMS, JEFF WOODRIDGE INTERVENTIONS 05/30/20 JOHN S. ELIASIK 1247 20WC 14053 HOUSTON, TANA HUB GROUP 01/27/20 WOODRUFF JOHNSON ASA LAW GROUP 1248 20WC 14092 PRATES, DOUGLAS JAM INSTALLATIONS INC. 06/01/20 NO ATTORNEY 1249 20WC 14228 BURNS, ALEXES M TY, INC 06/24/16 RICHARD O. GREENFIELD JOSEPH MARCINIAK 1250 20WC 14268 LESLIE, SHAWN FIRESTONE/BRIDGESTONE 06/06/20 WILLIAM S. WOJCIK LTD 1251 20WC 14326 VILLEGAS, RICHARD COVENANT LIVING AT WINDSO 03/25/20 R. MARK MARITOTE PC ASHER, RAYMOND L LTD 1252 20WC 14459 CARDENAS, MARCOS UPS 06/16/19 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 1253 20WC 14495 HERNANDEZ, ESTELLA FELLOWES MANUFACTURING CO 04/29/20 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 1254 20WC 14523 FUDYMA, ZYGMUNT THE RDI GROUP INC 06/22/20 JONATHAN SCHLACK 1255 20WC 14587 MCINTOSH, VALETA HEALTH CARE SERVICE CORPO 10/05/18 LIDOV & BLOCK HENNESSY & ROACH PC 1256 20WC 14612 DURZAN, PAUL ENSONO LP 07/11/19 SEIDMAN MARGULIS & FAIRMAN 1257 20WC 14716 WILD, JESSICA RESIDENTIAL HOME HEALTH 11/05/19 KINNALLY FLAHERTY KRENTZ 1258 20WC 14744 CARRASCO, ISIDRO N SEMBLEX CORP 05/18/20 ACEVES & PEREZ PC 1259 20WC 14786 ESTRADA, LOURDES VILLAGE OF CAROL STREAM 02/07/19 DANIEL E MURPHY 1260 20WC 14802 ZAVALA , RICARDO JEWEL OSCO 04/14/20 HERRERA LAW CENTER

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1279 20WC 16030 MERAZ, DANIEL ULTIMATE GRANITE & DESIGN 05/01/19 BAUM RUFFOLO & MARZAL LTD 1280 20WC 16051 COMPASIO, JAMIE VON MAUR 09/23/19 DWORKIN AND MACIARIELLO 1281 20WC 16160 RODRIGUEZ, CLAUDIO FRESH THYME 03/24/20 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 1282 20WC 16240 PATEL, HEMANI PARTS TOWN 01/31/20 TURNER & SACKETT LLC HOLECEK & ASSOCIATES 1283 20WC 16316 ARCIGA, ISMALDO RAMIREZ ANCHOR BRAKE SHOE CO. LLC 05/14/20 JOHN J CASTANEDA 1284 20WC 16333 GARRITY, KENT UPS 05/06/20 COHN LAMBERT RYAN & SCHNEI ASA LAW GROUP 1285 20WC 16352 FAVELA, EDUARDO MONROE TRANSPORTATION SER 05/18/20 HETHERINGTON KARPEL & BOBB 1286 20WC 16408 SOLIS, MARIA J THE PAMPERED CHEF, LTD 06/19/20 ANKIN LAW OFFICE WOLF & LAUDICINA LTD 1287 20WC 16441 TARSA, MARISA WEST CHICAGO 03/09/20 SEIDMAN MARGULIS & FAIRMAN 1288 20WC 16472 FERREIRA VALDES, MARIA D GOOD SAMARITAN HOSPITAL * 02/07/20 EPSTEIN, JACK R LAW OFFICE 1289 20WC 16501 QUINN, MELANIE TOTAL NURSES NETWORK * 06/22/20 DWORKIN AND MACIARIELLO 1290 20WC 16590 RANK, FOREST SCHOOL DISTRICT 45 DUPAGE * 08/05/19 RUSSO & RUSSO LTD 1291 20WC 16651 DELAO, MERY THE SPRINGS AT MONARCH LA * 05/04/20 ANKIN LAW OFFICE 1292 20WC 16765 ARMENTO, ANDREU PARTNERS AND PAWS * 07/01/20 RATHBUN CSEVENYAK & KOZOL GRIFFIN, LORETTA M LAW OFFIC 1293 20WC 16823 VENTERS, BRITTNI NAPERVILLE VETERINARY ASS 06/27/20 MEYERS & FLOWERS 1294 20WC 16885 HESS, WILHELM WILHELM HESS PLUMBING LLC * 09/05/17 RATHBUN CSEVENYAK & KOZOL 1295 20WC 16943 HILLER, KRISTINA EDWARD AMBULANCE SVCS * 06/14/19 MILLON & PESKIN LTD 1296 20WC 16985 OUTLAY III, JAMES A ILLINOIS YOUTH CTR * 06/17/20 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1297 20WC 17014 LONG, CHARLES JOSEPH MCMAHON DAIRY SERV * 06/17/20 ANGELINI & ORI LLC GANAN & SHAPIRO 1298 20WC 17053 MIRANDA, JUAN WILLOWBROOK FORD AND KIA * 06/24/20 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 1299 20WC 17117 MORENO MOJICA, JOSE GUADA NATIONAL WRECKING COMPANY * 06/24/20 EPSTEIN, JACK R LAW OFFICE MCANANY VANCLEVE & PHILLIPS 1300 20WC 17237 SERRANO, MANUELA MASSAGE LUXE * 07/02/20 DEPAOLO & ZADEIKIS MCANANY VANCLEVE & PHILLIPS 1301 20WC 17269 PUCH, CARLOS EDUARDO MS LINES & MORE * 05/26/20 MC HARGUE & JONES 1302 20WC 17280 ROCHE, CHRISTOPHER L MONDELEZ INTERNATIONAL * 12/13/19 SMOLER LAW OFFICE, PC 1303 20WC 17352 HESSLER, JULIE COOK'S DIRECT * 12/23/19 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 1304 20WC 17387 MURPHY, LISA TRADER JOES * 11/09/19 STEVEN J MALMAN & ASSOCIAT GAROFALO SCHREIBER STORM GRA 1305 20WC 17403 CHIPRES, JOSE NOW HEALTH GROUP * 09/03/19 BRISKMAN BRISKMAN GREENBER 1306 20WC 17506 WILLHOIT, JEFFREY VILLAGE OF VILLA PARK * 06/26/17 FOOTE MIELKE CHAVEZ O'NEIL 1307 20WC 17547 CIAFFARAFA, LAURA MENARDS * 02/07/20 WOODRUFF JOHNSON 1308 20WC 17562 PEARSON, HERBERT HMT, LLC. * 03/11/20 MARKHAM M JEEP & ASSOCIATE 1309 20WC 17585 BENNETT, WILLIAM KENDRICK IL STATE TOLL HWY AUTHORI @ * 05/08/19 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 1310 20WC 17669 NORWOOD, ANGELA GDI INTEGRATED FACILITY S * 07/16/20 MOGENSEN LAW LLC 1311 20WC 17733 DADY, ROSALINDA ARROW GEAR * 04/01/20 RIDGE & DOWNES 1312 20WC 17764 ALVAREZ, ABRAM VELA APL LOGISTICS * 06/13/20 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 1313 20WC 17874 DEROSETT, ALLEN CLASSIC AIR, INC * 07/10/20 MARKS INJURY LAW 1314 20WC 17897 GOMEZ, RUBEN FERRARA CANDY COMPANY * 10/02/19 MILLON & PESKIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1315 20WC 17968 ROMAN, RICHARD COWORX * 07/01/20 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1316 20WC 18020 GARCIA, YARLLI ALEJANDRA SPROVIERIS CUSTOM COUNTER * 02/17/20 GWC INJURY LAWYERS LLC BRYCE DOWNEY & LENKOV LLC 1317 20WC 18102 STASKA, DALE LEMONT FIRE PROTECTION DI * 03/10/20 DANIEL E MURPHY 1318 20WC 18118 DOLEZAL, DANIEL S ALL AMERICA PHILLIPS * 02/13/20 MORICI LONGO & ASSOC GRIFFIN, LORETTA M LAW OFFIC 1319 20WC 18176 ARZER, JACOB G VILLAGE OF OAK BROOK * 05/04/20 THOMAS W DUDA 1320 20WC 18215 YATES, TIFFANY UPS * 01/31/20 PARENTE & NOREM PC ASA LAW GROUP 1321 20WC 18250 FELIX, CRISTINA UNLIMITED STAFFING * 07/17/20 LEONARDO MORALES 1322 20WC 18283 ESPINAL, PAULA THE JEL SERT COMPANY * 01/01/01 LULAY LAW OFFICES 1323 20WC 18398 PREWITT, JOE WHEATON COLLEGE * 07/06/20 DWORKIN AND MACIARIELLO 1324 20WC 18424 ANDRADE GONZALEZ, CLAUDIA FROZEN FOODIES * 05/03/20 EPSTEIN, JACK R LAW OFFICE 1325 20WC 18443 KUZNIAR, MICHAEL J COYNE CONSTRUCTION INC * 11/20/19 GWC INJURY LAWYERS LLC FRIEDRICH LAW LLC 1326 20WC 18492 HEASLEY, CHARLES JEWEL FOOD STORE, INC * 02/06/20 ASHER, RAYMOND L LTD 1327 20WC 18544 AVILES, JOSE VIS-O-GRAPHIC * 06/11/20 SALK FLORES & BRODERICK 1328 20WC 18557 ORTEGA, JAVIER ATLAS TOYOTA MATERIAL HAN * 05/21/20 SALGADO, DAVID L 1329 20WC 18626 ESCOBEDO ROSAS, RICARDO SOURCE ONE STAFFING * 07/22/20 ENCINAS & ORNELAS KNELL O'CONNOR DANIELWICZ 1330 20WC 18655 MITCHELL, KIMBERLY MASSAGE ENVY * 10/01/19 MORICI LONGO & ASSOC 1331 20WC 18699 AYERS, VERNIQUA MEDSPEED LLC * 07/14/20 ANKIN LAW OFFICE SCHOUEST BAMDAS SOSHEA 1332 20WC 18717 CARCAMO, WALTER INDUSTRIAL BUSINESS SVCS * 07/24/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1333 20WC 18760 JONES JR, WILLIE L GREAT LAKES COCA COLA DIS * 05/06/20 ANKIN LAW OFFICE 1334 20WC 18769 SANCHEZ, MARIA BUCK SERVICES, INC * 02/11/19 CURNYN, JOHN 1335 20WC 18781 WRIGHT, NICOLE M ROUNDY'S ILLINOIS, LLC * 06/13/20 GAINSBERG LAW PC 1336 20WC 18800 CHAVEZ, JAIMIE KANE CONSTRUCTION * 07/27/20 STROM & ASSOC 1337 20WC 18829 PTACK, JEFF COMCAST * 07/24/20 WOODRUFF JOHNSON HENNESSY & ROACH PC 1338 20WC 18916 URIOSTEGUI, JESSICA ZEMAN MANUFACTURING * 11/06/19 ROMANUCCI & BLANDIN GRIFFIN, LORETTA M LAW OFFIC 1339 20WC 19000 HICKS, LEE KRONOS PRODUCTS, INC * 07/24/20 GOLDSTEIN BENDER & ROMANOF KRAKER FANNING & OLSEN 1340 20WC 19045 ENRIQUEZ, LAURA ROW INC * 12/01/19 STEVEN H MEVORAH & ASSOCIA GRIFFIN, LORETTA M LAW OFFIC 1341 20WC 19101 PANIAGUA, ALEJANDRO WOLF MOTORS OF NAPERVILLE * 07/02/20 KEVIN O'BRIEN 1342 20WC 19127 MYERS, LAURA ELMHURST MEMORIAL HEALTHC * 04/27/20 HETHERINGTON KARPEL & BOBB POWER & CRONIN LTD 1343 20WC 19173 ORTIZ, JERONIMO UNISTAFF * 02/14/20 FOOTE MIELKE CHAVEZ O'NEIL 1344 20WC 19245 BEJARANO, LAURA OSI INDUSTRIES * 07/13/20 RUBENS KRESS MULHOLLAND INMAN & FITZGIBBONS 1345 20WC 19331 KOLAN, RICHARD CONCORDIA INTERNATIONAL * 03/28/20 GORDON LAW OFFICES LTD WIEDNER & MCAULIFFE LTD 1346 20WC 19364 DAVIS, MARY KANKAKEE NURSERY CO * 04/19/19 BRYCE DOWNEY & LENKOV LLC 1347 20WC 19376 EVJEN, ALEXIS MASASGE LUXE * 09/14/19 LEITER LAW OFFICES 1348 20WC 19474 SANCHEZ, ALFREDO WASTE MANAGEMENT * 07/22/20 DAVID W CLARK 1349 20WC 19500 SHARMA, AKASH USIC LOCATING SERVICES, L * 07/25/20 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 1350 20WC 19510 LOPEZ, MARITZA ARAMARK * 11/28/18 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M TBA1 003 ARBITRATION CALL FOR WHEATON 51002 ON 11/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1351 20WC 19573 ALBARRAN, CLAUDIA J PEREZ & PEREZ INC * 05/13/20 KATZ FRIEDMAN EISENSTEIN GANAN & SHAPIRO 1352 20WC 19669 HANNERMAN, JEANNE EDWARD HOSPITAL * 06/01/20 MARKER & CRANNELL POWER & CRONIN LTD 1353 20WC 19685 REMPERT, DUANE D JR DOWNER'S GROVE SCHOOL * 09/17/19 STIBERTH, SCARLATI & 1354 20WC 19717 ASHE, DIANNE JEWEL FOOD STORES, INC * 05/29/17 ANKIN LAW OFFICE 1355 20WC 19783 HUNTER, RAPHAEL ALTERNATIVE STAFFING INC * 07/20/20 JOHN S. ELIASIK LITCHFIELD CAVO 1356 20WC 19826 DONNAHUE, ADAM THE TERMINIX INTERNATIONA * 07/31/20 DISPARTI LAW GROUP PA MICHAEL JASPER 1357 20WC 19858 HUNTER, REGINALD NORTHWESTERN MEDICINE * 12/26/19 FOOTE MIELKE CHAVEZ O'NEIL 1358 20WC 19877 SANTOYO, ALEJANDRO FISCAL METALS & SERVICES, INC * 03/22/20 EPSTEIN, JACK R LAW OFFICE 1359 20WC 19897 ORTIZ, NORA UPS * 03/27/20 CHEPOV & SCOTT LLC NYHAN BAMBRICK KINZIE & LOWR 1360 20WC 19970 PAGONIS, JOANNE LOYOLA MEDICINE * 01/17/19 KINNALLY FLAHERTY KRENTZ 1361 20WC 19994 PEREZ, BERNARDINA WORLDPAC, INC * 01/27/20 STANCZAK LAW OFFICES 1362 20WC 20082 HENNING, MICHAEL IL FIRE INSPECTIONS, INC * 08/04/20 TARADASH LAW OFFICE 1363 20WC 20149 CAMPOZANO, AGUSTINA JEL SERT * 08/01/20 ROBERT WARSASKI 1364 20WC 20180 GREGORIO, GREG IDOT @ * 08/05/20 SLAVIN & SLAVIN 1365 20WC 20219 ALAIMO, JOHN WINDY CITY SKYLIGHTS * 08/12/20 VASILATOS & COTTER LLC 1366 20WC 20245 ALCARAZ, MARTHA ARAMARK * 12/31/19 MC HARGUE & JONES 1367 20WC 20304 RAMOS, OSCAR SPECIALIZED STAFFING SOLU * 06/12/20 GOLDSTEIN BENDER & ROMANOF 1368 20WC 20320 FARMANFARMEE, MAMAK NORDSTROM * 11/23/19 FRANCIS J DISCIPIO LAW OFF

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