illinois workers' compensation commission ......71 17wc 15638 incandela, cassidy lifetime...

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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 SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 01841 DOMBROWSKI, EDWARD WHITE HEN PANTRY 07/08/04 ANESI OZMON RODIN NOVAK KO LAW OFFICES OF EDWARD J. KOZ 05WC001842 -C 2 07WC 37812 19B PLEIN, JUSTIN FISHERS INTERIORS LTD 04/06/07 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 3 09WC 00828 FOLLMAN, LAURA TRAVEL CENTERS OF AMERICA 08/17/06 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 4 10WC 26454 GONZALEZ, MICAELA OSCAR MEYER CLAUSEN PICKL 03/01/10 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 5 10WC 28824 SCHROEDER, ADRIAN COUNTRY GAS-DIVISION OF I 12/29/09 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 10WC028825 -C 16WC033854 -C COMMUNITY ACTION AGENCY 6 11WC 03191 HENRIQUES, KARLA MCDONALDS CORP 04/12/10 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 7 11WC 25398 BELLANTE, CHRISTIAN LDI INDUSTRIES 06/08/11 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 8 11WC 36249 19B SCIMECA, VICTOR R VILLAGE OF HEBRON 02/03/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 11WC036287 -C 9 12WC 01592 JORDAN, ZACHARY ROBERTS EXTERIOR SERVICES 11/23/11 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 10 13WC 15577 DIAZ KRISTA KELLY SERVICES 03/20/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 11 13WC 31024 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 03/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 12 13WC 31025 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 08/15/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 13 13WC 31779 JAWORSKI, JEFFREY ILLINOI STATE TOLL HIGHWA 08/18/13 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 14 13WC 36857 KARL, MARGARET APTARGROUP INC 08/29/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 15 14WC 04259 COLE, KEVIN CRYSTAL LAKE SCHOOL DIST 07/30/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC004260 -C

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Page 1: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 01841 DOMBROWSKI, EDWARD WHITE HEN PANTRY 07/08/04 ANESI OZMON RODIN NOVAK KO LAW OFFICES OF EDWARD J. KOZ 05WC001842 -C 2 07WC 37812 19B PLEIN, JUSTIN FISHERS INTERIORS LTD 04/06/07 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 3 09WC 00828 FOLLMAN, LAURA TRAVEL CENTERS OF AMERICA 08/17/06 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 4 10WC 26454 GONZALEZ, MICAELA OSCAR MEYER CLAUSEN PICKL 03/01/10 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 5 10WC 28824 SCHROEDER, ADRIAN COUNTRY GAS-DIVISION OF I 12/29/09 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 10WC028825 -C 16WC033854 -C COMMUNITY ACTION AGENCY 6 11WC 03191 HENRIQUES, KARLA MCDONALDS CORP 04/12/10 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 7 11WC 25398 BELLANTE, CHRISTIAN LDI INDUSTRIES 06/08/11 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 8 11WC 36249 19B SCIMECA, VICTOR R VILLAGE OF HEBRON 02/03/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 11WC036287 -C 9 12WC 01592 JORDAN, ZACHARY ROBERTS EXTERIOR SERVICES 11/23/11 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 10 13WC 15577 DIAZ KRISTA KELLY SERVICES 03/20/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 11 13WC 31024 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 03/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 12 13WC 31025 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 08/15/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 13 13WC 31779 JAWORSKI, JEFFREY ILLINOI STATE TOLL HIGHWA 08/18/13 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 14 13WC 36857 KARL, MARGARET APTARGROUP INC 08/29/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 15 14WC 04259 COLE, KEVIN CRYSTAL LAKE SCHOOL DIST 07/30/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC004260 -C

Page 2: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 14WC 07556 O'DONNELL, PATRICK RAGING BUFFALO SNOWBOARD 03/02/14 HEALY LAW FIRM HENNESSY & ROACH PC 17 14WC 10746 WERNER, WANDA WALMART 01/05/14 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 18WC000754 -C 18 14WC 13364 BROWN, MOSES COMMONWEALTH EDISON 03/31/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 19 14WC 19408 PAULSEN, BRAD GENERAL EXTERIOR CONSTRUC 03/20/14 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 20 14WC 27777 19B FLORES, MARISELA CHICK-FIL-A 02/26/14 BOTTO GILBERT RUSIN & MACIOROWSKI LTD 21 14WC 31365 MAKI, JEANNE HAMPSHIRE FIRE PROTECTION 03/20/12 CAMERON CLARK RUSIN & MACIOROWSKI LTD 14WC031366 -C 14WC031367 -C 17WC025909 -C 22 14WC 31570 DOMINGUEZ, GILBERTO THE TEXAN BAR-B-QUE INC 09/03/14 STROM, NEAL B RUSIN & MACIOROWSKI LTD 23 14WC 37422 PAGE, JAMES FEDERAL EXPRESS 07/22/14 LEO ALT HANSON LAW OFFICE 24 14WC 40480 RAMOS, ANDRES SNAP-ON-TOOLS 09/05/14 WOLFE LAW PC GILDEA & COGHLAN 25 14WC 40907 KOTSY, AMANDA STATE OF ILLINOIS @ 07/26/13 COVEN LAW GROUP ASSISTANT ATTORNEY GENERAL 26 14WC 41106 SANCHEZ-PEREZ, SANTIAGO IRFAN NASIR AND USMAN CHE 06/14/14 EPSTEIN, JACK R LAW OFFICE ARIANO HARDY NYULI JOHHSON 27 15WC 00245 ROBELET, VICTOR P CRYSTAL LAKE PD 08/19/14 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 28 15WC 06489 LARSON, STACY SUPERIOR COATING 09/02/14 BLACK & JONES HOLTKAMP LIESE ET AL 29 15WC 08509 FRANZONE, DEBRA CENTEGRA HEALTH SYSTEMS 12/02/14 DIAMOND & LESUEUR PC RUSIN & MACIOROWSKI LTD 30 15WC 09066 ROJAS, LEODEGARIO AC HOME CONSTRUCTION 10/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 31 15WC 11001 CARTWRIGHT, STACI IAC 10/15/14 BLACK & JONES GANAN & SHAPIRO 32 15WC 12622 FROST, JACK JR GREAT LAKES FIRE & W 03/18/15 SOSTRIN AND SOSTRIN PC CAMPION CURRAN LAMB

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 15WC 16424 SCHMEICHEL, THOMAS SPITSON MASONRY INC 03/04/15 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 34 15WC 20236 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 04/14/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 15WC028908 -C 35 15WC 22112 LACHER, KRISTINE J NIPPERSINK SCHOOL DISTRIC 04/08/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 36 15WC 24535 FISCHER, SUZETTE ANN INC 09/10/13 BRAD J. BALKE, PC HOLECEK & ASSOCIATES 37 15WC 29832 BOYCE, MICHAEL J WEBER GRILL 04/06/15 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 38 15WC 34820 LANE, BRIAN DYLAN'S PUB 02/10/15 DWORKIN AND MACIARIELLO 39 15WC 42183 KINDSCHY, KEITH HANOR CO. 10/12/14 FRANKS, GERKIN & MCKENNA P HENNESSY & ROACH PC 40 16WC 04251 KRUZEL, CANDANCE ALDI MCHENRY 06/07/15 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 41 16WC 05801 CARRENO, MARIA D COVIDIEN 01/15/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 42 16WC 06159 BOUCHAREUNE, SOUVAHN DIRECT DIMENSION INC 10/21/15 TARADASH LAW OFFICE GANAN & SHAPIRO 43 16WC 06372 COSTAN, SUSAN A COMMUNITY HIGH SCHOOL DIS 02/03/16 LOCASCIO, MARK A LTD GOLDBERG SEGALLA LLC 44 16WC 09559 MANCHESTER, THOMAS S CITY OF HARVARD 08/11/14 MADSEN SUGDEN & GOTTEMOLLE RUSIN & MACIOROWSKI LTD 45 16WC 11879 FINNEGAN, DANIEL P SIEMENS INDUSTRY, INC 02/02/16 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 46 16WC 13046 LAMBERT, HEIDI ELGILOY SPECIALTY METALS 09/13/15 ELFENBAUM EVERS ZIELINSKA POWER & CRONIN LTD 47 16WC 14221 AVILES, MARIO HT LUMBER & CRATES 05/04/15 COSTA IVONE LLC 48 16WC 17008 MORALES, GLORIA NOVATION INDUSTRIES 09/02/15 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 49 16WC 19169 CHARO, ROBERT WEBER STEPHENS 03/24/16 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 16WC 21848 BRITO, JACQUELINE THREE OAKS ASSISTED LIVIN 05/03/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 51 16WC 22195 AMICK, PAULA MCHENRY COMMUNITY CONS 12/18/15 HANNIGAN & BOTHA, LTD 16WC022196 -C 52 16WC 24564 TORRES, JOSE ZARATE SERV-ALL 06/06/16 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 53 16WC 27882 AVILLA, JOSE LUIS ERICK AVILLA & LUIS AVILA 01/20/16 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 54 16WC 28639 RAMIREZ, BERTHA INDUCTION HEAT TREATING 03/15/16 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 18WC013888 -C 55 16WC 28686 QUICK, PATRICK ELGILOY SPECIALTY METALS 04/07/16 BLACK & JONES POWER & CRONIN LTD 16WC028687 -C 56 16WC 30025 LORUSSO, NICK ELECTRONIC FOR IMAGING 10/27/15 COLLISON LAW OFFICES GOLDBERG SEGALLA LLC 57 16WC 33003 PENA, MARY C TRUE VALUE 09/21/16 FRANKS, GERKIN & MCKENNA P ASA LAW GROUP 58 16WC 34494 HUDSON, JESSICA CRYSTAL LAKE SCHOOL DIST 10/20/16 GOLDBERG WEISMAN & CAIRO L 59 16WC 35060 HARRIS, WENDY D FRESENIOUS KIDNEY CARE 10/25/16 FIGLIOLI, DAVID 60 16WC 38205 DOMINQUEZ, BALVINA WEBER-STEPHEN PRODUCTS LL 05/06/16 WHITESIDE & GOLDBERG LTD JOSEPH MARCINIAK 16WC038206 -C 61 16WC 38361 COLLINS, CHRISTOPHER NILCO INC 06/29/16 FRANKS, GERKIN & MCKENNA P GILDEA, COGHLAN & REGAN LTD. 62 17WC 00921 NEUKIRCH, ARMINDA ILLINOIS DEP OF REHABILIT @ 06/27/16 HANNIGAN & BOTHA, LTD HELEN LOZANO 63 17WC 05633 MILLER, WILLIAM IL DEPT OF TRANSPORTATION 09/07/16 GOLDBERG WEISMAN & CAIRO L HELEN LOZANO 64 17WC 05751 MARTINEZ, REYNALDA KRAFT HEINZ CO 12/14/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 17WC005752 -C 65 17WC 06677 ELGANZOURI, MERVAT ARAMARK FOOD SERVICES 09/26/16 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 66 17WC 08093 KRUSE, HERBERT WOODSTOCK HIGH SCHOOL 01/23/15 MC HARGUE & JONES POWER & CRONIN LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 17WC 08419 STRATMAN, PAIGE KOUNTRY PET RESORT 12/12/16 68 17WC 10523 ROTH, KATHLEEN CARY POLICE DEPT 01/17/17 HEALY SCANLON LAW FIRM 69 17WC 10630 SANCHEZ, JULIA ALPHA SWISS INDUSTRIES 01/26/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 70 17WC 11417 RAMOS, MARIA MEDTRONIC 06/15/16 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY R MEIJER 02/13/17 RUBIN LAW GROUP KNELL & O'CONNOR 19WC007596 -C 73 17WC 16146 ROMITO, DARRIN PROFESSIONAL INSPECTION 09/15/16 E JAMES RAYMOND JOSEPH MARCINIAK 18WC021311 -C 74 17WC 16707 MORALES, GLORIA NAVATION INDUSTRIES 05/05/17 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 75 17WC 16987 DUCY, SADRAQUE HYDRAULIC SERVICES INC 07/06/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 76 17WC 18176 WALQUIST, KATHIE BUFFALO WILD WINGS 01/24/17 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 77 17WC 19965 HERNANDEZ, MARIO MIDWEST DRYWALL & ACOUSTI 04/13/17 HART & DAVID LLP POWER & CRONIN LTD 78 17WC 20055 RODRIGUEZ, YESENIA COMMUNITY SCHOOL DIST 155 02/02/17 BOTTO GILBERT NYHAN BAMBRICK KINZIE & LOWR 79 17WC 20369 AGUIRRE, IRMA APTAR CARY 10/19/16 JOHN S. ELIASIK HENNESSY & ROACH PC 80 17WC 21701 KAUFMANN, MICHAEL R MKD ELECTRIC CO 05/22/17 GIACOBBE, THOMAS M 81 17WC 22975 RICHARDSON-WEIBERG, PATTI HUNTLEY SCHOOL DISTRICT # 01/10/17 MADSEN SUGDEN & GOTTEMOLLE NYHAN BAMBRICK KINZIE & LOWR 82 17WC 23827 FICHTER, ANGELO ACCURATE PERSONNEL SERVIC 06/12/17 83 17WC 24708 ANGELES, LOURDES TRU-CUT, INC 02/06/17 FRANKS & RECKENBERG JOSEPH MARCINIAK 84 17WC 25348 PEREZ, ROSALINDA CRYSTAL LAKE SCHOOL DIST 07/05/17 SOSTRIN AND SOSTRIN PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 17WC 26103 WEBB, MICHAEL CONSERV FS INC 09/19/14 WIEDNER & MCAULIFFE LTD 86 17WC 26393 NOTEALEO, SAYSAMONE DIRECT DIMENSION, INC 03/31/17 ANKIN LAW OFFICE GANAN & SHAPIRO 87 17WC 30190 MORRIS, KIMBERLY A COMMUNITY HIGH SCHOOL DIS 09/18/17 CRONIN & PETERS 88 17WC 30807 KEITH, LINDA CENTEGRA HEALTH SYSTEM 03/04/17 CORBOY & DEMETRIO PC RUSIN & MACIOROWSKI LTD 19WC018189 -C 89 17WC 31154 SCACCIA, TONYA GOODWILL INDUSTRIES NORTH 06/07/17 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 90 17WC 31541 MOLENDA, LAWRENCE A WALMART 07/31/17 DAVID SZCZECIN & ASSOC QUINTAIROS PRIETO WOOD & BOY 91 17WC 32483 VOCKA, HEATHER STATE OF ILLINOIS/ COURT 04/17/17 GUMMERSON & RAUSCH LLC ASSISTANT ATTORNEY GENERAL 92 17WC 33206 ALDAMA, ALEXIS 721 COUNTRY CLUB ROAD 10/12/17 BOTTO GILBERT GANAN & SHAPIRO 93 17WC 33251 MCNINCH, PATRICK V USF HOLLAND, INC 08/01/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 94 17WC 33397 OLSON, SANDRA LIFETIME FITNESS 02/28/15 SHANNON LAW GROUP RUSIN & MACIOROWSKI LTD 95 17WC 34721 CONRAD, NICHOLAS J SHERMAN MECHANICAL INC 07/26/17 WIEDNER & MCAULIFFE LTD 96 17WC 34873 JACOS, KURT KWIK SERV PLUMBING &HVAC 10/04/17 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 97 17WC 35976 POTOCZKY, JOHN R WOODSTOCK FIRE RESCUE 09/28/17 THOMAS W DUDA 98 18WC 00036 ROTHUNDE, PATRICIA ADVOCATE HOME HEALTH 01/07/15 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 18WC000037 -C 18WC000038 -C 99 18WC 00322 WIGGINS, RICHARD A FRITZ L LARSEN, INDIV AND 11/16/15 LINN, CAMPE & RIZZO LTD 100 18WC 00561 CARBAJAL, MARIA MEDELA, INC 04/27/16 WAGGONER LAW FIRM PC RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 18WC 00624 SAMANO, ELIDA CLAUSSEN PICKLE COMPANY 12/04/17 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 102 18WC 01205 RAFFAELE, SU CHONG UNICARRIERS AMERICA CORP 07/19/17 LULAY LAW OFFICES EVANS & DIXON 20WC002016 -C 20WC002017 -C 103 18WC 01638 ROBERSON, TAMARA M DOLLAR GENERAL 08/16/17 HANNIGAN & BOTHA, LTD LEAHY EISENBERG & FRAENKEL 104 18WC 03995 BERNAL, MANUEL OMNI PRODUCTS INC 06/08/17 PORRO NIERMANN LAW GROUP 105 18WC 05014 CRESPO, JASON RELIABLE STAFFING 01/25/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 106 18WC 05640 RUNGE, MARCUS TRUE VALUE COMPANY 06/09/15 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 107 18WC 06324 HERNANDEZ, KATIA INDUCTION HEAT TREATING 01/27/17 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 108 18WC 07452 ELMS, JOAN KOHL'S 09/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 109 18WC 07752 SOBIERALSKI, DARIUSZ COTTER CONSTRUCTION CO IN 12/12/17 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 110 18WC 08478 NELSON, GENE DUNDEE TOWNSHIP PARK DIST 10/03/17 CUDA LAW OFFICES HENNESSY & ROACH PC 18WC008479 -C 18WC008480 -C 18WC008481 -C 111 18WC 08703 KALUPSKI, NATALIE ANIMAL HOSPITL OF SPRING 05/31/17 MC HARGUE & JONES 112 18WC 09144 HANSEN, DENISE ALEXANDER LEIGH CENTER 11/29/16 KATZ FRIEDMAN EAGLE ET AL 113 18WC 09593 SCHALK, MICHAEL CMS @ 01/07/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 114 18WC 10567 WIRTH, DEAN JEWEL FOOD STORES, INC 01/23/18 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 18WC010568 -C 115 18WC 10727 ARELLANO, HERIVERTO J ROMERO ARELLANOS LANDSC 08/14/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 116 18WC 11371 BEU, CHRISTINE CASEY'S GENERAL STORE 12/15/17 ARIANO HARDY NYULI JOHHSON

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 18WC 12043 JUSTES, NICOLE SHERMAN PERSONAL CARE INC 03/18/18 DOUGLAS RALLO PC 118 18WC 12944 SILLIN, ANGELA KOHLS 04/11/17 KEVIN P. JUSTEN PC HENNESSY & ROACH PC 119 18WC 13234 FELIX, JOSE CRYSTAL LAKE CHRYSLER 01/16/17 SANDMAN LEVY & PETRICH NOBLE & ASSOC 120 18WC 13457 HERNANDEZ, PEDRO CARDINAL HEALTH 09/17/17 ROSS TYRRELL HENNESSY & ROACH PC 121 18WC 13714 PERALTA, EDGAR EDEN PROJECT, INC & GAMAL 07/02/16 EPSTEIN, JACK R LAW OFFICE 122 18WC 14163 LAGRO, CHRISTOPHER LTL BUILDING MAINTENANCE 04/05/18 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 123 18WC 14922 BRADY, CRYSTAL THOMSON LINEAR 07/17/17 BLACK & JONES GILDEA & COGHLAN 124 18WC 15082 OLSON, KEVIN D CHARTER MANUFCTRING CO DB 04/03/17 TUITE LAW RUSIN & MACIOROWSKI LTD 125 18WC 15381 BRYAN, ALEXANDER STEAK N SHAKE 04/14/18 KLAUKE LAW GROUP LLC 126 18WC 15920 DUNSETH, LAWRENCE W STRUCTURAL DYNAMICS, INC 04/25/18 TUITE LAW RUSIN & MACIOROWSKI LTD 127 18WC 16588 COTTONE, LAWRENCE MENARDS 05/03/18 MARTIN V KUGIA 128 18WC 17322 TAYLOR, MARILYN GREENLEE TEXTRON 12/16/16 BLACK & JONES GAROFALO SCHREIBER STORM GRA 18WC017323 -C 18WC017324 -C 129 18WC 18518 LENTZ, LAURA DOLLAR GENERAL 12/24/17 BLACK & JONES LEAHY EISENBERG & FRAENKEL 18WC018519 -C 130 18WC 18954 LOPEZ AGUILERA, MARIA KRAFT HEINZ FOODS CO 12/15/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 131 18WC 20322 TERAN, ANDRES ELITE STAFFING 06/09/18 JOHN S. ELIASIK 132 18WC 20844 FINKELMAN, MARK TRITON PLUMBING LLC 07/02/18 GRAUER & KRIEGEL LLC STONE & JOHNSON CHARTERED 133 18WC 21272 MORA, ROSA EMPLOYER SOLUTIONS STAFFI 06/27/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 18WC 21862 MULASMAJIC, HAJRUDIN UNICARRIERS AMERICAS CORP 04/18/18 REESE & REESE EVANS & DIXON 135 18WC 22656 LASKOWSKI, NICOLE MCHENRY COUNTY 12/07/17 STRELLIS & FIELD CTD NYHAN BAMBRICK KINZIE & LOWR 136 18WC 22748 KRAJCI, JESSE WALMART 05/09/18 KEVIN P. JUSTEN PC QUINTAIROS PRIETO WOOD & BOY 137 18WC 22923 CASTANEDA, DANIEL JAN-AIR, INC 12/19/17 BOTTO GILBERT ANCEL GLINK DIAMOND BUSH & E 138 18WC 22987 MAXWELL, CARRIE CENTEGRA HEALTH SYSTEM 05/01/18 OWENS & LAUGHLIN LLC RUSIN & MACIOROWSKI LTD 139 18WC 23658 SPRINGER, ANTHONY EXCEED FLOOR AND HOME 07/16/18 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 140 18WC 23946 BARAN TKACS, MARY C TRAVELCENTERS OF AMERICA, 06/27/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 141 18WC 25363 SALAS, FELIX A&M INTERMODAL W 11/25/16 CHEPOV & SCOTT LLC SCOPELITIS GARVIN LIGHT 142 18WC 25938 CRUZ, MARIA FIRST SERVICE RESIDENTIAL 08/31/15 COSTA IVONE LLC KELLEY KRONENBERG 143 18WC 26022 SOPHER, FAITH L AUTONAMIC CORPORATION 07/25/18 GILDEA, COGHLAN & REGAN LTD. 144 18WC 26406 STULL, ROBERT FIRST TRANSIT 08/13/18 BALKE & WILLIAMS WIEDNER & MCAULIFFE LTD 145 18WC 26518 VASQUEZ, ADAN WERNER MANUFACTURING SERV 04/04/18 FRANKS, GERKIN & MCKENNA P 146 18WC 27200 REYNOLDS, JAMIE HUNTSMAN 10/12/16 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 19WC017152 -C 147 18WC 27777 RIVERA, ORLANDO ACCURATE PERSONNEL, LLC 03/17/18 CULLEN HASKINS NICHOLSON JOHN T GONNELLA 148 18WC 28193 VASU, VASILE P SUNSET LOGISTICS, LLC 05/07/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 149 18WC 28481 MERSHON, RODNEY CONSERV FS 06/18/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 150 18WC 29056 PEREZ, CARLOS J VEGA NAY CONSTRUCTION 08/27/18 FRANKS, GERKIN & MCKENNA P 151 18WC 29283 ALVARES, VERONICA LEICA BIOSYSTEMS 05/10/18 CUDA LAW OFFICES GILDEA, COGHLAN & REGAN LTD.

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 18WC 29424 SALETTA, MICHAEL AMERICAN CALIBRATION 09/19/18 ROMANEK & ROMANEK RUSIN & MACIOROWSKI LTD 153 18WC 29537 MOORE, THOMAS MC HENRY COUNTY GLASS 01/19/16 DUDLEY & LAKE LLC JOSEPH MARCINIAK 154 18WC 29613 LADWIG, PATRICIA SURESTAFF 07/01/18 BLACK & JONES LOUIS MUNDY 155 18WC 29795 ROGERS, WILLIAMS A TOUCH OF CLASS LIMOUSIN 09/10/18 DEPAOLO & ZADEIKIS 156 18WC 29956 SAHLIN, SAVANNAH R PETSMART, INC 12/27/16 NO ATTORNEY WIEDNER & MCAULIFFE LTD 157 18WC 30202 ZARECKY, IDATYNA TOMS KING 06/12/18 DAVID W MARTAY 158 18WC 30509 GARCIA-REYES RICARDO E-BRO INC 09/28/18 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 159 18WC 31049 REIN, CHARLES BLAKELY ENTERPRISES, INC 10/10/16 VOGG, MARK J LAW OFFICE BRADY CONNOLLY & MASUDA PC 160 18WC 31358 REYES, RICARDO GARCIA E-BRO, INC 09/28/18 BLUMENSHINE LAW GROUP GAROFALO SCHREIBER STORM GRA 161 18WC 31522 GOW, CORTLAND RUSH TRUCK CENTER 06/05/18 GESMER & REYNOLDS PC HENNESSY & ROACH PC 162 18WC 31933 BLAU, JAMES JOHN CRANE, INC 08/12/18 TARADASH LAW OFFICE GAROFALO SCHREIBER STORM GRA 163 18WC 32287 FIGURSKI, RONALD R HUNTSMAN POLYURETHANES 10/02/18 CRONIN PETERS & COOK RUSIN & MACIOROWSKI LTD 164 18WC 32443 DIMAS-LOPEZ, LUIS WOOLF DISTRIBUTING CO, IN 10/03/18 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 165 18WC 32586 KIRCHNER, SANDRA MCHENRY COUNTY VALLEY 09/26/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 166 18WC 32748 BERNDT, JENNIFER EAGLE TRAINING SERVICES 08/10/18 TARADASH LAW OFFICE GAROFALO SCHREIBER STORM GRA 167 18WC 34474 HERNANDEZ, NICHOLAS ROMEO CONSTRUCTION LLC 10/27/18 MANUAL CARDENAS & ASSOC 168 18WC 34590 QUINTANA, JOSE HUERTA BROTHERS INC 09/15/18 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 169 18WC 34939 GONZALEZ, VALENTINA MORAL CALCO PALLET COMPANY 05/14/18 SALVATO O'TOOLE FROYLAN

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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 SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 18WC 35359 CABRERA, KELIN D. C. COBB'S 09/06/18 BOTTO GILBERT 171 18WC 35445 MORALES, ANAY ARAMARK CAMPUS LLC 11/09/18 STEVEN B SALK & ASSOC LTD STONE & JOHNSON CHARTERED 172 18WC 35595 WAGNER, MARY P HEARTHSTONE COMMUNITIES 09/21/18 FRANKS & RECKENBERG GALLIANI DOELL & COZZI LTD 173 18WC 35835 ELOISA, DIOCELINA CARDINAL HEALTH 05/22/18 COSTA IVONE LLC HENNESSY & ROACH PC 174 18WC 35968 GARCIA-ROMERO, ANDRES MERRIHILL FARM INC 06/12/18 BOTTO GILBERT FRANKS, GERKIN & MCKENNA PC 175 18WC 36364 KENIK, DAVID M HUNTLEY FIRE PROTECTION D 09/05/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 176 18WC 36929 KASPER, THOMAS JEWEL 09/19/18 ALLEN, WILLIAM LAW OFFICES 177 18WC 37632 MOST, COREY MEGA PROS 11/29/18 FRANKS & RECKENBERG NYHAN BAMBRICK KINZIE & LOWR 178 18WC 37727 PASCOAL, DENISE DCFS @ 10/23/18 DUDLEY & LAKE LLC ASSISTANT ATTORNEY GENERAL 179 18WC 37858 NEPRAS, JOSEPH A AMS STORE & SHRED LLC 07/03/17 CASSANO & ASSOCIATES 180 18WC 37994 VIOLA, CHRISTINE ITW MEDICAL 08/27/18 MARTIN V KUGIA HENNESSY & ROACH PC 18WC037995 -C 181 18WC 38181 VILLANUEVA, LUIS WEBER-STEPHEN PRODUCTS LL 11/13/18 STANCZAK LAW OFFICES JOSEPH MARCINIAK 182 19WC 00085 JONAS, LINDA KOHL'S DEPARTMENT STORE 12/12/18 MICHAEL HELLMAN HENNESSY & ROACH PC 183 19WC 00255 BAVUSO, VINCENT FOX POINT 12/01/17 KEVIN P. JUSTEN PC ACCIDENT FUND HOLDINGS 184 19WC 00327 MALDONADO, ANDREA ADVANCED FLEXIBLE COMPOSI 07/31/18 BOTTO GILBERT JOSEPH MARCINIAK 185 19WC 00672 STACKNIK, RON V. SENG TEAMING COMPANY 12/28/18 STROM & ASSOC INMAN & FITZGIBBONS

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 19WC 01197 RAMIREZ, MARIA BERRY GLOBAL CONSUMER PAC 07/17/18 BOTTO GILBERT HENNESSY & ROACH PC 187 19WC 01715 JOINER, DALE W RYDER INTEGRATED LOGISTIC 01/30/17 FRANKS, GERKIN & MCKENNA P 19WC003555 -C 188 19WC 02672 TORRES, RAMONA PEDIGREE OVENS, INC 11/21/17 CLARK & MCARDLE 189 19WC 03163 THOMPSON, ANTHONY KNAACK, LLC 08/10/17 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 190 19WC 03462 GOROSTIETA, FABIOLA ROEHR WALMART 08/06/16 SOSTRIN AND SOSTRIN PC 191 19WC 03658 STOCKER, ERIC BRANDON KD3 DECORATIVE ARTS LTD 01/20/18 WIEDNER & MCAULIFFE LTD 192 19WC 03927 SCHWEITZER, MICHAEL DART EXPRESS 08/01/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 193 19WC 04222 GRON, HEIDI FAMILY ROOTS DENTISTRY 02/05/19 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 194 19WC 05615 MATWIJ, JERRY NEW ALBERTSON'S, INC 02/15/19 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 195 19WC 06271 GUTIERREZ, HERARDO PORK KING PACKING 12/01/18 BOTTO GILBERT 196 19WC 06366 EIRING, KATHLEEN VILLAGE OF CARY, POLICE 11/06/18 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 197 19WC 06456 CLEVELAND, DONALD BMWC CONSTRUCTORS INC 01/16/19 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 198 19WC 06913 RETTIG, DAWN HALLMARK MARKETING COMPAN 02/13/19 PRIME LAW GROUP INMAN & FITZGIBBONS 199 19WC 07270 MEDINA-ORTEGA, PEDRO BRIGHTVIEW 11/14/18 THOMAS J STIBERTH LAW OFFI HENNESSY & ROACH PC 200 19WC 07555 PARKER, DONTE GET FRESH PRODUCE, INC 02/18/19 GOLDBERG WEISMAN & CAIRO L 201 19WC 07653 CASSAN, JENNIFER MC HENRY SCHOOL DISTRICT 02/20/19 HANNIGAN & BOTHA, LTD 202 19WC 08637 SMUDDE, JERALD DURANTE & RICH REAL ESTAT 03/02/19 MARKHAM M JEEP & ASSOCIATE FRANKS, GERKIN & MCKENNA PC 203 19WC 08772 SAGAT, WILLIAM INSPERITY SERVICES LP/DBA 02/26/19 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 19WC 09264 NUNEZ, MARIA G BERRY GLOBAL 02/22/19 VITELL & SPITZ LTD 205 19WC 09536 TAYLOR, JERROD MINUTEMAN INTERNATIONAL I 10/15/18 CRONIN PETERS & COOK 206 19WC 09638 HANCOCK, KATHERINE ALDI INC 01/19/19 ROBERT J. IRSUTO BRADY CONNOLLY & MASUDA PC 207 19WC 10241 SEITZ, MICHAEL JR. ASPLUNDH 02/14/19 REESE & REESE KNELL O'CONNOR DANIELWICZ 208 19WC 10444 ROBERTS, JUDY CNC LOGISTICS 01/22/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 209 19WC 10792 SPOERRY, GARY VILLAGE OF LAKEMOOR PD 07/18/18 GUMMERSON & RAUSCH LLC POWER & CRONIN LTD 210 19WC 10986 PAYNE, SERENA CHICAGO MOTOR COACH 04/05/19 POLANSKY & CICHON CHTD 211 19WC 11219 PETTITI, JESSICA I LOVE KICKBOXING 03/20/19 ROSS TYRRELL 212 19WC 11274 HAYES, STEVEN GLASS AMERICA 11/29/18 GORDON LAW OFFICES LTD 213 19WC 11595 HERNANDEZ, OFELIA MODERN ABRASIVE CORP 02/20/19 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 214 19WC 11685 KUKOVEC, MORGAN, A MINOR T-RICKS, LTD D/B/A 11/30/18 FOOTE MIELKE CHAVEZ O'NEIL 215 19WC 11788 SCHNEIDERMAN, KEITH M HANSON MATERIAL SERVICE 03/12/18 COMPTON LAW GROUP EVANS & DIXON 216 19WC 12181 NEUHAUS, LISA PIONEER CENTER 06/19/17 TARADASH LAW OFFICE 217 19WC 12311 BARRADAS, FELIPE M SUPPER CLUB LLC 02/19/19 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 218 19WC 12349 ORANGER, DIANE CENTEGRA HOSPITAL 06/23/18 FRANKS, GERKIN & MCKENNA P RUSIN & MACIOROWSKI LTD 219 19WC 12669 RENTIN, BRADLEY NEW CONCEPTS DEVELOPMENT 01/29/19 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 220 19WC 12806 JIMINEZ, LEONCIO TRUE VALUE 10/26/18 BOTTO GILBERT ASA LAW GROUP 221 19WC 12883 HEUER, AMY OLIVE GARDEN 11/16/17 ROMANEK & ROMANEK

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 19WC 13197 TURNER, MELISSA NEW ALBERTSON'S D/B/A 06/17/18 TARADASH LAW OFFICE 223 19WC 13680 NEVAREZ, MARIA PIONEER CENTER FOR HUMAN 01/29/19 MC HARGUE & JONES 224 19WC 13777 MORALES, ANA NORTHWESTERN MEDICINE 02/12/19 GERALD CONNOR 225 19WC 13890 SCHROEDER, BECKY M DEAN FOODS 03/11/19 GALLAGHER, DONALD V ORENSTEIN & ASSOCIATES 226 19WC 14032 PERINA, SUZANNE MEIJER 04/15/19 HANNIGAN & BOTHA, LTD KOPKA, PINKUS DOLIN, PC 227 19WC 14440 GRAY, DOUGLAS MANUWEST INC 03/22/19 TARADASH LAW OFFICE 228 19WC 14850 ALEXANDER, ARTHUR L RYAN, INC. CENTRAL 07/17/18 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 229 19WC 14939 COOK, RANDALL FASTENAL COMPANY 03/21/18 FRANKS, GERKIN & MCKENNA P 230 19WC 15207 GORDON, PHILLIP AKI LOGISTIC INC. DBA 09/05/17 LUSAK AND COBB 231 19WC 15230 PAGAZA, TERESA MVP WORKFORCE LLC 11/20/18 CULLEN HASKINS NICHOLSON 232 19WC 15431 MARTINEZ, ANDY SUNRUN INC 02/01/19 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 233 19WC 15538 REHER, JUSTIN JAMES & JEREMIAH WIKMAN D 11/17/18 FRANKS, GERKIN & MCKENNA P 234 19WC 15806 BLACKBURN, ANTHONY FEDEX EXPRESS 02/08/19 MARTIN V KUGIA 235 19WC 16430 TIETZ (TRACY), LISA CITY OF CRYSTAL LAKE 07/01/16 CULLEN HASKINS NICHOLSON 236 19WC 16725 LARSEN, PAMELA CAPRON MANUFACTURING CO 04/22/19 CULLEN HASKINS NICHOLSON 237 19WC 16850 PRUDEN-STAPLETON, GRAYSON PARTY CITY CORP. 11/11/16 SALVATO O'TOOLE FROYLAN HOLECEK & ASSOCIATES 238 19WC 17024 HINES, DAVON HINES COMPONENTS 05/08/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 239 19WC 17156 ROSE, KEVIN PLASPROS, INC 06/11/19 DAVID W MARTAY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 19WC 17313 SORIANO, VERONICA AMS STORE AND SHRED LLC 06/06/19 BOTTO GILBERT 241 19WC 17337 GEHRKE, DANIEL TC INDUSTRIES, INC 04/02/19 HANNIGAN & BOTHA, LTD 242 19WC 17543 SALAS, JOSE VICTORINO CRYSTAL LAKE ELEMENTARY 01/29/19 CHEPOV & SCOTT LLC 243 19WC 17710 RIVERA, LORYN CAPRON MANUFACTURING CO 06/04/19 DWORKIN AND MACIARIELLO 244 19WC 17866 JAVIER, ALFREDO IVAN DRAKE SPECIALIZED SERVICE 04/22/19 KATZ FRIEDMAN EAGLE ET AL 245 19WC 18452 SIRTORI, JUAN CARLOS CARY POLICE DEPARTMENT 02/06/17 VASILATOS & COTTER LLC 246 19WC 18597 RUIZ-MAGANA, BALTASAR ABP REMODELING, INC 11/07/18 MENDOZA LAW PC ION LAW LLC 247 19WC 18730 KROLL, PHILLIP CATALENT PHARMA SOLUTIONS 09/14/16 MC HARGUE & JONES LITCHFIELD CAVO 248 19WC 18864 HEFFERNAN, BRIAN MERIT CONTRACTORS 02/22/19 MEYERS & FLOWERS HENNESSY & ROACH PC 249 19WC 18906 MARQUEZ, EMILIO ARNOLD MAGNETIC TECHNOLOG 08/15/18 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 250 19WC 19277 ARNOLD, BRIAN ILLINOIS DEPT OF HUMAN SE @ 06/25/19 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 251 19WC 19537 PALBICKE, ANTHONY THE HOME DEPOT 05/26/19 RONALDSON & KUCHLER ADELSON TESTAN BRUNDO 252 19WC 19648 LORENZ, KATELYN CITY OF MCHENRY 05/28/19 VOGG, MARK J LAW OFFICE 253 19WC 19868 ENSASTEGUI, RAYMUNDO PORK KING PACKING INC 06/28/19 EPSTEIN, JACK R LAW OFFICE 254 19WC 20476 RIVERA-DELGADO, LETICIA POLYONE CORP 03/29/19 MARKHAM M JEEP & ASSOCIATE KNELL O'CONNOR DANIELWICZ 255 19WC 20644 NANNA, KATIE DUNDEE TOWNSHIP PARK DIST 06/05/18 BRIAN M LAUGHLIN PC 256 19WC 20797 USCATEGUI, MARIA IL DEPT OF PUBLIC HEALTH 06/10/19 CRONIN PETERS & COOK ASSISTANT ATTORNEY GENERAL 257 19WC 20962 SANCHEZ, RIGOBERTO KENMODE TOOL & ENGINEERIN 11/27/17 COVEN LAW GROUP CAPUANI, FRANK S

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