ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 25950 SCOTT-REA, DEBRA A OAK FOREST HOSPITAL OF 03/17/04 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 2 07WC 19969 ROBINSON, DOROTHY D CITY OF CHICAGO 02/06/07 DEPAOLO ZADEIKIS GORE 08WC007440 -C 3 08WC 08253 WILLIAMS, GREGORY IL DEPT OF TRANSPORTATION @ 10/11/07 EMPLOYEE LEGAL SERVICES LT ASSISTANT ATTORNEY GENERAL 4 08WC 10413 PACK, NOMOYA ST OF IL-DEPT OFHEALTH SE @ 01/23/07 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 08WC010414 -C 5 08WC 29463 THOMAS, DEBORAH CHICAGO PUBLIC SCHOOLS 04/08/08 SHELDON I MINKOW & ASSOCIA LAW DEPARTMENT 6 08WC 35934 HENDERSON, CLAUDE CITY OF CHICAGO 07/21/08 ELFENBAUM EVERS & AMARILIO CITY OF CHICAGO 7 08WC 44476 KELLY, ROSEMARY ST OF IL - DEPT OF HUMAN @ 08/26/08 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 09WC032821 -C 11WC002482 -C STATE OF ILLINOIS 8 09WC 08659 KING, SHAULONDA FORD MOTOR COMPANY 09/02/08 SHELDON I MINKOW & ASSOCIA WIEDNER & MCAULIFFE LTD 9 09WC 16093 VELASCO, JAIME DUTCH FARMS 01/16/09 BOUDREAU NISIVACO LLC GRANT & FANNING 10 09WC 39957 19B GIVENS, CYNTHIA ENGLEWOOD CLINIC OF 08/11/09 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN 11 09WC 49614 MEYER, DANIEL MCDANIEL FIRE SYSTEMS, IN 04/16/09 HEALY LAW FIRM HOLECEK & ASSOCIATES 12 09WC 51007 NEGRETE, COSME SAM SCIANNA LANDSCAPING I W 08/24/09 JAMES ELLIS GUMBINER & ASS 13 09WC 52086 ASTORGA, ELIAS OLYMPIC CINDERY INC 02/16/07 CULLEN HASKINS NICHOLSON 14 09WC 52268 ALVAREZ, VIRGINIA BANK OF AMERICA 09/22/09 JONATHAN SCHLACK WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 10WC 09478 ENUENWOSU, NDIDI ILL DEPT OF CHILDREN & FA 03/03/10 CHRISTINE F DAVID ASSISTANT ATTORNEY GENERAL 16 10WC 10449 CARLOS, WILLIAM THE LEVY COMPANY 02/19/10 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 10WC010746 -C 17 10WC 10731 CARPERTER, LARRY D FAB EXPRESS, INC. 01/09/10 MARKHAM M JEEP & ASSOCIATE STONE & JOHNSON CHARTERED 18 10WC 17682 VASQUEZ, FRANK CITY OF CHICAGO 04/08/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 12WC005301 -C 19 10WC 26461 WORMLEY, LYNN COOK COUNTY JUVENILE 06/13/10 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN 14WC004671 -C 20 10WC 27583 RILEY, PATRICK J ILLINOIS DEPARTMENT OF @ 06/22/10 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 21 10WC 31652 HIGGINS, KENNY CHICAGO RUSH ARENA FOOTBA 04/16/10 WOLFE LAW PC ADELSON TESTAN & BRUNDO 22 10WC 33065 SOSA, ELBIN IN & OUT MOVING AND STORA W 06/25/10 GOLDSTEIN BENDER & ROMANOF FRITZSHALL & ASSOCIATES 23 10WC 35806 CORSEY, ENTROPHI A CARMAX 01/21/10 DEPAOLO ZADEIKIS GORE MARTIN, PATRICK W 11WC035783 -C 24 10WC 41010 DAVIS, MARLIETA CHICAGO PUBLIC SCHOOLS 09/30/10 ABELS & ANNES, PC LAW DEPARTMENT 25 10WC 42332 WACHOWSKI, LESZEK AXLETECH 08/12/09 MINKOW DOMIN RUSIN MACIOROWSKI & FRIEDMAN 26 10WC 42761 BAKER, ROXY M SOUTHWEST AIRLINES 08/15/10 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 27 10WC 45244 ORLANDO, RONALD J ILLINOIS DEPARTMENT OF @ 10/02/08 SOSTRIN AND SOSTRIN PC ASSISTANT ATTORNEY GENERAL 10WC045245 -C 14WC039203 -C STATE OF IL/IL DEPT OF 14WC039205 -C ST OF IL/IL DEPT OF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 10WC 45905 OJEDIRAN, TEMITOPE ANDREW MUSTEIN 11/25/10 SKOLNICK & ROSENTHAL 29 10WC 46707 19B TURNER, REGINA DEPARTMENT OF TRANSPORTAT 09/20/10 JAMES M RIDGE LAW OFFICE CITY OF CHICAGO 16WC003042 -C 30 10WC 47584 MOCTEZUMA, CESAR RON STAFFING SERVICES 10/13/10 EPSTEIN, JACK R LAW OFFICE KOREY LAW LLC 31 10WC 49165 TAPIA, GRACIELA F CARL BUDDIG & CO 10/19/10 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 10WC049166 -C 13WC024388 -C 14WC003073 -C 32 10WC 49571 JUAREZ, STEPHANIE JEWEL 06/24/10 BRISKMAN BRISKMAN GREENBER RODDY LAW LTD 12WC030085 -C 33 11WC 02866 NOYOLA, YOLANDA U I C 11/11/10 ENCINAS & ORNELAS HEYL ROYSTER VOELKER & ALLEN 34 11WC 08347 WEATHERSPOON, HEATH METROPOLITAN WATER 02/18/11 SMOLER LAW OFFICE, PC NOBLE & ASSOCIATES PC 12WC041818 -C 14WC009511 -C 35 11WC 09998 FLORES, MARIA A&R JANITORIAL 01/26/11 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 36 11WC 12216 LENART, RICHARD CITY OF CHICAGO 07/28/10 O'CONNOR & NAKOS 13WC042165 -C 37 11WC 14679 VELEZ, ANA C HYATT REGENCY O'HARE 05/06/09 LUIS A ACEVES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 11WC014680 -C 11WC045202 -C 38 11WC 22777 KLATT, KEVIN CUTTING EDGE ELECTRIC 12/15/09 RIFFNER BARBER ROWDEN & SC 39 11WC 25051 LANDERO MIGUEL A GABBY'S BAGELS, IN 05/30/11 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 40 11WC 27650 CHANG, BARBARO COOK COUNTY SHERIFF DEPT 04/22/11 JOHN E LUSAK STATES ATTORNEY OF COOK COUN 41 11WC 30010 MCNEAL, ALVIN CTA 04/29/11 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 42 11WC 32599 BELLAMY, KEVIN CARRY TRANSIT 08/15/11 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 11WC 34882 RUFFOLO, FRANK CITY OF CHICAGO 08/09/11 CAPRON & AVGERINOS PC SCOPELITIS GARVIN LIGHT 44 11WC 44482 ROCCO, ANGELA BORG WARNER 08/19/11 ANGELINI & ORI LLC KEEFE CAMPBELL & ASSOC LLC 45 11WC 47227 MUNOZ, DORIS CITY OF CHICAGO 11/23/11 DWORKIN AND MACIARIELLO CITY OF CHICAGO 13WC011003 -C 46 11WC 48100 DE JESUS, JOSE ROMAN DECORATING PRODUCTS 10/31/11 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 47 11WC 48360 KIM, SORA PREMIER SALON 11/22/11 ELFENBAUM EVERS & AMARILIO LAW OFFICES JOSEPH MARCINIAK 11WC048361 -C 48 12WC 07801 KENNY, TRACEY BELMONT CRAGIN EARLY 11/30/11 WOLFE LAW PC LAW DEPARTMENT 49 12WC 09441 SPENCER, DEBORAH UNIVERSITY OF ILLINOIS 03/08/12 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 50 12WC 10801 JOHNSTON, MARIA CHICAGO PUBLIC SCHOOLS 11/07/11 STEVEN J TENZER, LTD 12WC010802 -C 12WC010803 -C 51 12WC 14522 MONDRAGON, CARLOS POPPIE'S DOUGH OF ILLINOI 04/16/12 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 52 12WC 20203 ORTIZ, JULIO C THE HOME DEPOT U.S.A INC 03/19/12 KOSIN LAW OFFICE LTD MC ANDREWS & NORGLE LLC 53 12WC 24909 SAMMON, LAWRENCE CITY OF CHICAGO 05/08/12 CAPRON & AVGERINOS PC CITY OF CHICAGO 54 12WC 27276 TORRES, IRMA CITY OF CHICAGO FLEET MGN 07/17/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 55 12WC 29410 NYTHER, ELWOOD SPECIALIZED ASSISTANT SER 07/17/12 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 56 12WC 30648 BADESCU, GABRIEL US TOBACCO 04/25/12 STROM, NEAL B CACCHILLO LAW GROUP LLC 57 12WC 30732 KELLY, NICHOLAS A H.B.S. MANAGEMENT CORP 01/23/10 IRA M KLEINMUNTZ & ASSOC 58 12WC 31163 JIMENEZ, JOSE JOE & ROSS INC 08/23/12 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 59 12WC 31650 VELEZ, RALPH CTA 04/20/12 WILLIAM MARTAY CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 12WC 32395 VEGA, ANTONIO FOOD FOR LESS 01/07/12 CARL S SALVATO 61 12WC 32532 MEEHAN, MICHAEL SIEMENS INFRASTRUCTURE 05/30/12 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 62 12WC 32676 WILLIAMS, RODNEY CITY OF CHICAGO 01/18/12 STEPHEN G PINTO LTD CITY OF CHICAGO 13WC035748 -C 63 12WC 32725 JORDEN, JEANETTE FANUC F.A. AMERICA 09/13/11 TAMVAKIS, GEORGE L STONE & JOHNSON CHARTERED 64 12WC 32813 MORTON, MARGARITA CHICAGO PUBLIC SCHOOLS 06/12/12 CHRISTIAN & MANNO LAW DEPARTMENT 65 12WC 33132 MARIN, LUIS FOOD 4 LESS 02/09/11 THE ROMAKER LAW FIRM GANAN & SHAPIRO, PC 13WC027784 -C 66 12WC 38209 SANTIAGO, AURORA ELITE STAFFING INC/ 09/28/12 LAW OFFICE HUGO ORTIZ MARC CAIRO 67 13WC 00589 URENA, JOSE WE CLEAN, INC 12/07/12 HEALY LAW FIRM THOMAS & PORTELA 68 13WC 01931 HARVEY, VIRJEANNIE, ESTAT GLENKIRK 04/01/11 PARENTE & NOREM PC 13WC001932 -C 69 13WC 02045 MALLIN, MELODY CHICAGO HEIGHTS SCHOOL 05/29/09 GEORGE M SACHS PC 70 13WC 03566 19B NOMANSON, CYNTHIA YRC, INC 12/01/12 DRUMM, JOHN L HENNESSY & ROACH PC 71 13WC 06521 RODRIGUEZ, BENJAMIN GENERAL MACHINERY & MANUF 12/03/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 72 13WC 07423 GALVEZ, ESPERANZA A W ZENGELER CLEANERS INC 09/30/12 SALK, STEVEN B & ASSOC LTD SPIEGEL & CAHILL, PC 13WC007424 -C 73 13WC 08060 MALLIN, MELODY FITNESS INTERNATIONAL, LL 03/08/12 GEORGE M. SACHS PC MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 74 13WC 08767 CLASSEN, EDDIE CITY OF CHICAGO 02/26/13 CUDA LAW OFFICES CITY OF CHICAGO 75 13WC 08810 GALIONE, GIOA CCHINO JACK PROGRESSIVE LOGISTICS SER 10/02/12 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 13WC008811 -C 76 13WC 13393 RAMIREZ, PABLO ASC INSULATION & 02/14/13 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 77 13WC 18068 BAJOREK, ROBERTA RIVERSIDE FOUNDATION 05/14/13 COVEN LAW GROUP MC ANDREWS & NORGLE LLC 78 13WC 18384 AVILA, BERNARDINE ST OF IL DEPT OF @ 05/24/13 JOHN E LUSAK JILL OTTE 79 13WC 18591 STAMOS, JOHN JMC STEEL GROOUP/ 05/24/13 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM 14WC006420 -C 14WC036578 -C 16WC013188 -C 80 13WC 19430 METKE, KATHLEEN SOUTHWEST AIRLINES 04/04/13 JOHN E LUSAK HENNESSY & ROACH PC 13WC033871 -C 81 13WC 19452 HYNES, JAMES ORLAND FIRE PROTECTION DI 08/02/12 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 82 13WC 20051 NORAM BAKER (WIDOW) CHICAGO PARK DISTRICT 05/26/13 HEALY SCANLON LAW FIRM SCOPELITIS GARVIN LIGHT 83 13WC 20233 RILEY, LORI M M.D. COOK COUNTY HEALTH AND 04/23/13 JOHN J CASTANEDA STATES ATTORNEY OF COOK COUN 84 13WC 20877 MCCARTHY, PAUL CITY OF CHICAGO 05/12/13 CUDA LAW OFFICES CITY OF CHICAGO 14WC000057 -C 85 13WC 21130 VACCARO, ANIELLO BELL & BOSSETT 02/01/12 LUIS A ACEVES & ASSOC KEEFE CAMPBELL & ASSOC LLC 13WC038939 -C 86 13WC 22228 GARCIA, ANGELICA EINSTEIN BROS BAGELS 11/26/12 BAUM RUFFOLO & MARZAL LTD MARTIN, PATRICK W 87 13WC 23208 SMID, KAREN GOTTLIEB HOSPITAL 11/10/12 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 88 13WC 23862 MCKINNEY, JEROME CR ENGLAND 01/02/12 CANDIANO LAW OFFICE HENNESSY & ROACH PC 89 13WC 26050 RUSSO, FRANK SIEVERT ELECTRIC SERVICE 07/16/13 HORWITZ HORWITZ & ASSOC 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 CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 13WC 27228 NAVARRO, PABLO CITY OF CHICAGO 06/24/13 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 91 13WC 30116 DEAN, TERRY IL DEPT OF TRANSPORTATION @ 07/26/13 PETER D CORTI LAW GROUP ASSISTANT ATTORNEY GENERAL 14WC020277 -C ILL DEPT OF TRANSPORTATION 92 13WC 30394 JOSEPH, ANIL NORTHSHORE UNIVERSITY 05/10/13 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 93 13WC 30584 HUDSON, JAMES E U.S. "1" INDUSTRIES INC 01/06/12 RICHARD E ALEKSY 94 13WC 30618 BLANCO, CELENE LABOR TEMPS 07/12/13 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 95 13WC 30692 MORENO, RICARDO PETE'S FRESH MARKET 08/24/13 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 96 13WC 31219 LAUREANO, JANINE CERES FOOD GROUP, INC 08/20/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 97 13WC 31756 ALONZO, IRENE MARIA UNITED AIRLINES INC. 10/13/12 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 98 13WC 31812 FEEHAN, TOM TRIBUNE CORP 06/12/13 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 13WC031813 -C 14WC017565 -C 99 13WC 32283 LUTZ, JOHN RIVER NORTH SALES AND SER 08/22/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 100 13WC 32452 CASTRO, LUZ LUTHERAN GENERAL HOSPITAL 04/16/12 SAUNDERS CONDON & KENNY 101 13WC 32695 GARCIA, CHRISTINE ALDI 05/07/13 ALAN A BLUM, PC MACIOROWSKI SACKMANN & ULRIC 102 13WC 32784 GONSALEZ, MARIA WE CLEAN MAINTENANCE & SU 07/22/11 GOLDBERG WEISMAN & CAIRO L THOMAS & PORTELA 103 13WC 35461 FRANKLIN, THERESA AZTECA FOODS 11/14/11 GALLIANNI DOELL & COZZI LT 104 13WC 35977 DEMETER, JAMES N PERILLO BMW, INC. 06/19/13 SYREGELAS, NICHOLAS C HENNESSY & ROACH PC 105 13WC 37145 WOODS, MICHAEL JR MEYER STEEL DRUM INC 10/09/13 GOLDBERG WEISMAN & CAIRO L 106 13WC 38767 HANNA, JOSEPH ALPHA BAKING CO 09/03/13 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 13WC 39539 ZARATE, CESAR FOOD 4 LESS 11/12/13 MICHAEL P MCCREADY & ASSOC STONE & JOHNSON CHARTERED 108 13WC 39757 CAIN, MAURICE E AT&T 01/22/13 VITELL & SPITZ LTD HENNESSY & ROACH PC 109 13WC 40117 MOLINA, JUAN AN APPLE A DAY INC 10/22/13 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 110 13WC 40692 WILLIAMS, HAROLD 1100 LAKE SHORE DRIVE 07/03/13 SPENCER LAW OFFICES HOLECEK & ASSOCIATES 111 13WC 41718 FRAZIER-HILL, HELEN CHICAGO TRANSIT AUTHORITY 10/25/13 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 112 14WC 04502 TATOM, SANDRA ALPHA BUS COMPANY 01/14/14 LAW OFFICE OF SCOTT B SHAP STONE & JOHNSON CHARTERED 113 14WC 04858 SINGLETON, SHARRON SWISS USA & CO INC 01/03/14 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 114 14WC 04892 WEST, KIM CALUMET PUBLIC 11/27/12 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 115 14WC 05118 KLUGA, KIMBERLY HIGHLAND PARK HOSPITAL 11/01/11 ANKIN LAW OFFICE 116 14WC 05428 GODINEZ, DELFINO HIGHLAND BAKING CO INC 01/01/14 CZAPLA LAW RIPES NELSON BAGGOT KALOBRAT 117 14WC 06156 GOMEZ, JUAN CITY OF NORTHLAKE 08/07/13 WITTER LAW OFFICE RUSIN & MACIOROWSKI LTD 118 14WC 06766 NELSON, KEVIN A AGL RESOURCES 01/24/14 LAW OFFICE PHILIP BLOMBERG MACIOROWSKI SACKMANN & ULRIC 119 14WC 06923 SANCHEZ, DAVID CITY OF CHICAGO 01/15/14 COVEN LAW GROUP CITY OF CHICAGO 120 14WC 07160 KEATING, CYNTHIA RESTAURANT.COM 01/30/14 ROSENBERG & ROSENBERG PC HENNESSY & ROACH PC 121 14WC 07516 MONTES, JUAN PANEK PRECISION 01/06/14 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 122 14WC 08097 19B JENNINGS, DAVID CITY OF CHICAGO 08/14/13 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 14WC015210 -C 14WC034008 -C 123 14WC 08572 CAMACHO, JORGE H WHEELER TRAILERS, INC 09/21/13 SALK, STEVEN B & ASSOC LTD RIPES NELSON BAGGOT KALOBRAT 124 14WC 08657 HARPER, ANDRE H D SUPPLY 03/03/14 LAW OFFICE EDWARD LICHTENS POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 14WC 08794 RODRIQUE, GUSTAVO FLEXIBLE STAFFING 02/28/14 JONATHAN SCHLACK GRANT & FANNING 126 14WC 08922 ROSSITTO, RAGELIO CREAM WINE COMPANY 02/05/14 VRDOLYAK LAW GROUP LLC TUCKER ROBIN & MERKER LLC 127 14WC 08947 PEDREYRA, DANIEL S ILLINOIS STATE POLICE @ 03/12/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 128 14WC 10035 NOUH, ADEL DAVITA HEALTH CARE PARTNE 03/15/14 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 129 14WC 12322 GREENLAW, KEVIN CHICAGO TRANIST AUTHORITY 10/11/13 MARC J SHUMAN & ASSOCIATES 130 14WC 13964 KOLAR, NELLA A ALEXIAN BROTHERS 01/25/14 CRONIN & PETERS HENNESSY & ROACH PC 131 14WC 16449 GIBSON, NAJAH C.R. ENGLAND 04/12/14 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 132 14WC 17321 BURKS, RAYMOND IIT 04/03/14 GOLDSTEIN BENDER & ROMANOF WILLIAM P. JONES 133 14WC 17664 MOHAMED, ABDULKADIR YELLOW CAB 04/23/14 JAMES ELLIS GUMBINER & ASS 134 14WC 18080 GARCIA, VILMA ASPIRE OF ILLINOIS 11/21/12 CHRISTINE F DAVID BRADY CONNOLLY & MASUDA PC 135 14WC 18298 PEREZ, MARICELA MC DONALD'S 04/01/14 PETER D CORTI LAW GROUP INMAN & FITZGIBBONS 136 14WC 18595 ROCHE, ENRIQUE AMERICAN EAGLE/AMERICAN 02/20/14 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 137 14WC 18909 JOHNSON, MACARL N YELLOW CAB CO 05/25/14 DEPAOLO ZADEIKIS GORE 138 14WC 19031 SANDACZ, JESSICA M FOR EYES OPTICAL/ 02/14/14 MARSZALEK AND MARSZALEK LAW OFFICE DOUGLAS BOODT 139 14WC 19306 AVILA, ISABEL G ST JAMES HOSPITAL 02/28/14 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 140 14WC 19755 WYNN, CHARLES D CTA-CHICAGO TRANSIT AUTHO 06/07/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 141 14WC 19927 BILAL, ALI FLASH CAB 02/28/13 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 14WC 20187 MORENO, BENJAMIN CITY OF CHICAGO 05/27/14 COVEN LAW GROUP CITY OF CHICAGO 143 14WC 20278 GREEN, KEVIN INTERNATIONAL CASING GROU 02/11/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 15WC035346 -C 144 14WC 20289 HUERTA, ROBERTO MIDWESTERN ELECTRIC 05/02/14 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 145 14WC 21475 SCARLETT, DAHLIA FOUR POINTS BY SHERATON 05/04/14 BAUM RUFFOLO & MARZAL LTD CHILTON YAMBERT PORTER LLP 14WC021476 -C 146 14WC 21531 HOLLAND, ERIKA NORTHWESTERN MEMORIAL HOS 04/25/14 MICHAEL NICHOLSON 147 14WC 22832 GUZMAN, MARTHA TRIBUNE DIRECT 11/04/12 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 15WC000575 -C 148 14WC 24572 BUCKNER, MATTHEW STATE OF ILLINOIS @ 06/04/14 LANNON LANNON & BARR LTD JILL OTTE 149 14WC 24771 CANNON, JAMES FRANK GIBSON TOTAL REMODE 07/18/11 MC CAIN LAW OFFICES PC 150 14WC 26048 19B GARCIA, LUIS RHP STAFFING COMPANY 05/14/14 LAW OFFICES OF MARK SCHAFF THOMAS & PORTELA 151 14WC 27784 SANTOS, VICTOR UNITED AIRLINES INC. 05/01/14 SAUNDERS CONDON & KENNY 152 14WC 28570 HUERTA, JESSICA ELI'S CHEESECAKE COMPANY 01/22/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 14WC041945 -C ELY'S CHEESECAKE FACTORY 153 14WC 28805 GARRISON, CHERYL MARCY'S NEWBERRY 03/18/13 POMPER & GOODMAN QUINTAIROS PRIETO WOOD & BOY 154 14WC 28971 HARRIS, FRANCIS CITY OF CHICAGO 01/04/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 155 14WC 29076 COBB, TARMESHA PALMER HOUSE HILTON 07/23/14 MANDELL, GREGG 156 14WC 29110 CLARK, THERESA MACY'S/WATER TOWER 08/17/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 157 14WC 29616 WYNN, ANTHONY MEYER STEEL DRUM 06/26/14 158 14WC 29675 GUZMAN, CRISTOBAL ABTHONY ROOFING 08/12/14 EPSTEIN, JACK R LAW OFFICE SCHOUEST BAMDAS SOSHEA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 14WC 29677 PEREZ, JESUS ATLAS EMPLOYMENT SRVCS. I 08/06/14 EPSTEIN, JACK R LAW OFFICE ROBERT L. SMITH 160 14WC 30034 EVANS, KENNETH G JR Z FORCE TRANSPORTION INC 04/19/12 THEODORE L STACY 161 14WC 30338 PEREZ, MARIA DE LA LUZ METRO STAFF 08/07/14 JAUREGUI & ASSOCIATES FRANCIS J DISCIPIO LAW OFFIC 162 14WC 30365 EVANS, SAMUEL CHICAGO TRANSIT AUTHORITY 08/09/12 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 163 14WC 30482 RAMOS, MIGUEL M. SANCHEZ CONCRETE 07/24/14 HANNIGAN & BOTHA, LTD RODDY LAW LTD 164 14WC 30528 LAGUNAS, JAVIER PINOS CONSTRUCTION & SERV 07/29/14 THE ROMAKER LAW FIRM 14WC034774 -C 165 14WC 30593 HERNANDEZ, FELIPE JASON'S DELI 03/06/14 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 166 14WC 30711 BERRY, MELISSA CTA 09/04/14 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 167 14WC 30891 LASCHIAZZA, FRANK VILLAGE OF BROADVIEW 09/01/14 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 168 14WC 31378 DELGADO, ZACARIAS MARIO'S CONCRETE CONSTRUC W 09/08/14 CULLEN HASKINS NICHOLSON 169 14WC 31428 CRAIG, MATTHEW C SCHINDLER ELEVATOR CORP 06/16/14 RICHARD O. GREENFIELD RODDY LAW LTD 170 14WC 31503 VALDEZ, ALMA G RONS STAFFING 08/30/12 MC HARGUE, JAMES P LAW OFF 171 14WC 31670 TRIPP, BRANDON E ELECTRO MOTIVE DIESEL 07/30/13 WILLIAMS, ROBERT B LAW OFF GOLDBERG SEGALLA LLC 172 14WC 33517 LAINO, NATALIE CHICAGO PUBLIC SCHOOLS 06/02/14 ROMANUCCI & BLANDIN LEAHY EISENBERG & FRAENKEL 173 14WC 33778 PANCZAK, ANTHONY G CITY OF CHICAGO DEPT OF 07/09/14 O'CONNOR & NAKOS CITY OF CHICAGO 174 14WC 35077 ALVAREZ, EDUARDO SOLVAY 07/29/14 SANDMAN LEVY & PETRICH BRADY CONNOLLY & MASUDA PC 175 14WC 36777 19B JOHNSON, ANTONIO US FOODS 10/16/14 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 176 14WC 37216 MALDONADO, JONATHAN MIDWEST CAN COMPANY 08/12/14 GRAVLIN, MICHAEL J LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 14WC 37222 WILLIAMSON, LAKENYA CTA 10/23/14 178 14WC 38079 MIRANDA, ANABEL TOTAL STAFFING SOLUTIONS 08/26/14 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 179 14WC 38670 JACOBS, ROBERT LAWRENCE HALL YOUTH SERVI 08/25/14 ANKIN LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 180 14WC 38718 PEREZ, JUAN PARAMOUNT MAINTENANCE 08/30/14 181 14WC 39125 RAMIREZ, JESSE LABORATORY CORPORATION 11/11/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 182 14WC 39249 HERNANDEZ, LUIS NAVISTAR 05/05/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 183 14WC 39877 CHRUSCIEL, ANTONI PRESTIGE NATIONWIDE CO, 11/13/14 BELCHER LAW OFFICE HOLECEK & ASSOCIATES 184 14WC 39898 OSTERGREEN, KATHRYN METRO YELLOW CAB 07/03/14 DWORKIN AND MACIARIELLO 185 14WC 39964 GLADNEY, JERRY IDOT @ 09/02/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 186 14WC 40079 KOHL, ROBERT RIDE-N-GRIND INC 01/10/12 CORNFIELD & FELDMAN NYHAN BAMBRICK KINZIE & LOWR 14WC040080 -C 16WC010251 -C 187 14WC 40134 SUBA, JOWEN UNITED AIRLINES INC. 10/22/14 KATZ FRIEDMAN EAGLE ET AL 188 14WC 40370 KACZKOWSKI, MICHAEL CONCESSION SERVICES INC 05/30/14 LEONARD LAW GROUP LLC 189 14WC 40447 FULLER, EDWARD BARTON STAFFING SOLUTIONS 11/11/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 190 14WC 40464 ESPANA, WENCESLAO CHICAGO DRYER CO 09/09/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 15WC003037 -C 191 14WC 40695 WIESEMAN, COREY DLR GROUP INC W 05/15/14 O'CONNOR & NAKOS 192 14WC 40779 KELLY, JOHN NORTHEASTERN ILLINOIS @ 01/20/14 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 193 14WC 40870 PETERSON, RALPH DJURIC TRUCKING INC 06/06/14 LAW OFFICES ALAN BARINHOLT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 14WC 41047 ARMENDARIZ, MINERVA TREATMENT PRODUCTS LTD 11/26/14 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 195 14WC 41402 OCEGUERA, ALICIA METROPOLITAN WATER RECLAM 01/09/12 FRANCIS J DISCIPIO LAW OFF 196 14WC 41623 SAUCEDA, GAUDALUPE FOOD FOR THOUGHT 08/20/14 197 14WC 41803 BASHAM, ADRIAN CTA 12/09/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 198 15WC 01491 GARCIA, JEREMY TRELLEBORG SEALING SOLUTI 12/16/14 NEWLAND & NEWLAND LITCHFIELD CAVO 199 15WC 01749 19B TERRELL, VERNICE PACE SUBURBAN BUS 01/05/15 SKLARE LAW GROUP SLAVIN & SLAVIN 200 15WC 04504 WALKER, LONNIE CTA 02/15/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 201 15WC 04814 LEDEZMA, JUAN C AMERICAN DESIGNS INC 06/02/14 GOLDSTEIN AIOSSA & GOOD 202 15WC 04880 LEE, JOSEPH CHICAGO TRANSIT AUTHORITY 01/27/15 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 203 15WC 04924 OLIVA, LILIA GATE GOURMET 09/26/14 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 204 15WC 04979 RUEDA, RAMIRO BANNER PERSONNEL 01/23/15 ANGELINI & ORI LLC 205 15WC 05151 VEGA, JOSE ARAMARK 08/12/14 SALVATO & O'TOOLE 206 15WC 05177 ANDERSON, SANDRA CLOVER HILL BAKERY 01/21/15 ANKIN LAW OFFICE ROBERT L. SMITH 207 15WC 05192 ZUGAY, DAVID E PORTABLE COMM. SYSTEMS, I 03/27/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 208 15WC 05343 BRINNER, JERMAINE COOK COUNTY SHERIFF'S DEP 12/22/14 SEIDMAN MARGULIS & FAIRMAN 209 15WC 05457 MURDOCK, EUGENE CHICAGO TRANSIT AUTHORITY 02/14/15 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 210 15WC 05510 ZUREK, HENRY CITY OF CHICAGO 01/05/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 211 15WC 05970 SWIATEK, DAVID CITY OF CHICAGO 01/26/15 RUBENS AND KRESS CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 15WC 06045 SIMMONS, CAROLYN CTA 02/20/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 213 15WC 06226 EDGEWORTH, CARRIE CHICAGO TRANSIT AUTHORITY 02/03/15 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 214 15WC 06417 BUTLER, MARIE IL DEPT OF TRANSPORTATION @ 06/05/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 215 15WC 06610 ZHANG, SHENGLI K&S FOODS INC 04/22/14 KELLY & KING LAW OFFICES JOSEPH MARCINIAK 216 15WC 06648 LONG, STEPHANIE COMFORT INN & SUITES 02/21/15 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 217 15WC 06820 NUNEZ-OLIVEROS, ALMA SUSA NEW CLEANERS INC 02/28/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES OF EDWARD J. KOZ 218 15WC 06853 ARMENTANO, JOHN STAR HYDRAULICS INC 12/16/14 PORRO NIERMANN LAW GROUP WOLFE & JACOBSON, LTD 219 15WC 06876 PHELUMS, MIKE ILL DEPT OF HUMAN RESOURC @ 05/21/13 TRAPP & GELLER C. FLETCHER 220 15WC 06884 GUTIERREZ, JOHN JEWISH VOCATIONAL SERVICE 11/10/14 MARK G BERGAL LAW OFFICE 221 15WC 06963 O'DONNELL, PATRICK J. VILLAGE OF OAK LAWN 02/01/15 MURPHY, PETER M KEEFE CAMPBELL & ASSOC LLC 222 15WC 06971 GUZMAN, FRANCISCO ABM JANITORIAL MIDWEST 05/28/14 DEPAOLO ZADEIKIS GORE GOLDBERG SEGALLA LLC 223 15WC 07431 NAVARRETE BOZAK, ENEDINA ED MINIAT LLC/ ED MINIAT, 01/07/14 224 15WC 07804 PARCHETA, PATTY STARBUCKS COFFEE CO 02/06/15 MURPHY & MURPHY 225 15WC 08040 POWELL, PHICHETTE CHICAGO TRANSIT AUTHORITY 01/11/15 BURNES, EDWARD M CHICAGO TRANSIT AUTHORITY 226 15WC 08059 SARGENT, MIKE IL DEPT OF HUMAN SERVICES 01/05/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENERAL 227 15WC 08241 GONZALEZ, EVELIA ZIP MAIL SERVICES, INC 02/10/15 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 228 15WC 08669 PORTER, DIANA NORTHWESTERN MEDICAL GROU 11/18/14 CUDA LAW OFFICES 229 15WC 08739 BAKER, VERNARD ADDUS HEALTHCARE 08/22/14 SKLARE LAW GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 15WC 08817 HALPER, CHRISTOPHER VISION TRANSPORTATION 02/13/15 SMOLER LAW OFFICE, PC RODDY LAW LTD 231 15WC 08827 HOSKINSON, THOMAS J. VILLAGE OF MT. PROSPECT - 12/23/14 GOLDBERG WEISMAN & CAIRO L 232 15WC 08915 WOODS, BABETTE SALVATION ARMY 03/05/14 KLEINMUNTZ LAW OFFICE 233 15WC 08982 PILCH, MATTHEW J NIELSEN 01/28/15 PARENTE & NOREM PC 234 15WC 15863 EVANS, GLENN ILLINOIS STATE @ 03/25/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 235 15WC 16603 RACHMACIEJ, LOUIS III CHICAGO PUBLIC SCHOOLS 04/24/15 O'CONNOR & NAKOS 236 15WC 16774 RODRIGUEZ, EVELIA LOBO DEL MAR/CERMAL 09/28/14 OSVALDO RODRIGUEZ PC 237 15WC 16796 HAUT, BRIAN TRANSERVICELOGISTICS INC 02/04/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 238 15WC 16875 VILLAVICENCIO, MARCELA GLEN OAKS NURSING REHAB 12/31/14 MARTIN L GLINK LAW OFFICE LAW OFFICES FRANCESCA LARSEN 239 15WC 16938 ESPELAND, LAURETTE B AMERICAN AIRLINES, INC (E 02/06/15 CULLEN HASKINS NICHOLSON 240 15WC 16985 BANASZEK, MATTHEW MAGGIANO'S LITTLE ITALY 09/05/14 RIDGE & DOWNES BRYCE DOWNEY & LENKOV LLC 241 15WC 17020 ARRIAGA, GUADALUPE FILTRAN LLC 04/28/15 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 242 15WC 17046 BERLEN, JOSEPH CITY OF CHICAGO 03/01/15 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 243 15WC 17186 PORTER, JEROME H.J. RUSSELL & CO 05/07/15 RATHBUN CSEVENYAK & KOZOL GRANT & FANNING 244 15WC 17481 TORRES, CELIA STAFF MANAGEMENT SOLUTION 04/17/15 HOWARD S. KAVENOW LLC RODDY LAW LTD 245 15WC 17514 REMICK, STEPHEN FEDEX FREIGHT, INC 10/11/11 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 15WC017584 -C 246 15WC 17534 OCAMPO, FELICIANO ALPS WEST RESTAURANT & 04/12/15 JOHN S. ELIASIK KOPKA, PINKUS DOLIN, PC 247 15WC 17549 TAYLOR, ELLA L MONDELEZ INTERNATIONAL 05/03/15 KATZ FRIEDMAN EAGLE ET AL 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 CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 15WC 17878 OBAH, SARAH CTA 03/20/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 249 15WC 17988 BIFERO, ESPEDITO JOE RIZZA FORD INC 03/05/15 KATZ FRIEDMAN EAGLE ET AL ROSARIO CIBELLA 250 15WC 18030 JANIK, JACEK GATE GOURMET 03/24/15 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 251 15WC 18082 PORTILLO, DILICIA STAFF RITE 04/03/15 EPSTEIN, JACK R LAW OFFICE KLAUKE LAW GROUP LLC 252 15WC 18165 RODRIGUEZ, JORGE J FORD CITY CONDO ASSOC 12/17/14 O'CONNOR & NAKOS LITCHFIELD CAVO 253 15WC 18221 HERNANDEZ SEPTIMO, REY D. MIKE VESO 02/24/15 SALVATO & O'TOOLE 254 15WC 18389 WEBSTER, GILBERT CTA CORPORATE OFFICE 12/27/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 255 15WC 18520 RIDDLE, LINDA COOK DUPAGE TRANSPORATION 05/19/15 VASILATOS & COTTER LLC 256 15WC 18620 VAZQUEZ, VICTORIA CHICAGO TRANSIT AUTHORITY 08/23/14 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 257 15WC 18677 FLUCKES, RODNEY MICHAEL DUNKIN 04/30/15 STEWART C ORZOFF 258 15WC 18890 WEISS, DEAN FIRESTONE COMPLETE AUTO C 05/27/13 DWORKIN AND MACIARIELLO 259 15WC 18929 SZROMBA, RICHARD UGN 02/28/15 DANIEL PERIASWAMY 260 15WC 19022 SCHEXNAYDER, CAMILLE FORD MOTOR COMPANY 12/10/14 LAW OFFICES KRISTEN M KOZL WIEDNER & MCAULIFFE LTD 15WC019023 -C 261 15WC 19104 MATTES, KRISTEN ANNE HAEMONETICS CORP 07/23/14 HENNESSY & ROACH PC 262 15WC 19328 JAMES, BETTY CHICAGO TRANSIT AUTHORITY 12/17/14 ARNOLD & KADJAN CHICAGO TRANSIT AUTHORITY 263 15WC 19499 RICCI, JUDITH PRAIRIE STATE COLLEGE 04/08/14 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 264 15WC 19907 BEY, LORENZO GREAT NORTHERN LUMBAR 05/28/15 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM 265 15WC 19969 KAHSAY, FITIWI 24 SEVEN TAXI CO. 05/12/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 266 15WC 19991 HERNANDEZ, JUAN A. AMERICAN SIGNATURE 01/15/15 CHRISTINE F DAVID BRYCE DOWNEY & LENKOV LLC 267 15WC 23709 LUDSTON, TIMOTHY WIRTZ BEVERAGE ILLINOIS L 08/11/12 PETER C KOPOULOS NYHAN BAMBRICK KINZIE & LOWR 268 15WC 26730 SALMERON, JUAN CARLOS ELITE STAFFING 07/23/15 GRAVLIN, MICHAEL J LLC 269 15WC 26731 SERPA, JUANA RAULAND-BORG CORPORATION 03/27/15 GRAVLIN, MICHAEL J LLC HOLECEK & ASSOCIATES 270 15WC 27146 POZZIE, THOMAS EXTERIOR CLEANING SERVICE 08/05/15 LAW OFFICES OF MARK SCHAFF KEEFE CAMPBELL & ASSOC LLC 271 15WC 27167 ABUHAMAMEH, NABIL BISHARA CHICAGO BLASTING & DEBURR 07/16/15 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 272 15WC 27322 ARREOLA, REGINALDO INTERNATIONAL CASINGS GRO 08/28/12 LAW OFFICES PETER LEKAS 15WC027323 -C 273 15WC 27335 KOENIG, KIMBERLEE PDI INC 06/26/15 GAINES & GAINES HENNESSY & ROACH PC 274 15WC 27376 MAHER, PATRICK NORTH PALOS SCHOOL DIST 1 09/16/14 KOSIN LAW OFFICE LTD BRADY CONNOLLY & MASUDA PC 275 15WC 27842 SHEALEY, JOHN T IL DEPT OF TRANSPORTATION @ 08/21/15 ANKIN LAW OFFICE C. FLETCHER 276 15WC 27882 RAMIREZ, JOSE 351 KINGSBURY CORNER, LLC 08/14/15 LEWIS & DAVIDSON, LTD ANCEL GLINK DIAMOND BUSH & E 277 15WC 27912 BYRDAK, ANDREW ISI INSTALLATION INC 10/01/12 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 16WC030630 -C CONTRACT INSTALLATION 278 15WC 27978 RANDAZZO, BRUCE CITY OF CHICAGO 08/26/15 WILLIAM MARTAY CITY OF CHICAGO 279 15WC 28007 LAVARDA, JOHN MARUICHI LEAVITT PIPE & 07/13/15 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 280 15WC 28105 DIAZ, SANTIAGO SURE STAFF/GOVA 07/15/15 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 281 15WC 28123 RICCI, ANTHONY BLUE WATER BUILDERS 06/30/15 MEYERS & FLOWERS HOLECEK & ASSOCIATES 282 15WC 28142 MONROY, LUIS M XYLEM, INC. 05/28/15 CAMERON CLARK POULOS & DIBENEDETTO LAW 283 15WC 28166 ALCAZAR, HECTOR PANGEA VENTURES LLC 08/12/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 15WC 28262 HERNANDEZ, XAVIER ALLIED METAL CO. 07/15/15 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 285 15WC 28403 DIOSDADO, ERNESTO IVAN OUTBACK STEAK HOUSE 08/09/15 JOHN S. ELIASIK 286 15WC 28406 GRAJALES, VANESSA STAFF RIGHT 07/28/15 JOHN S. ELIASIK MC ANDREWS & NORGLE LLC 287 15WC 28469 ZIRZOW, REBECCA FORD MOTOR COMPANY 06/10/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 15WC028470 -C 288 15WC 28873 FLORES, JOSE TOWER AUTOMOTIVE CHICAGO 07/24/15 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 15WC038872 -C 289 15WC 28902 THOMAS, CHRISTOPHER CITY OF CHICAGO 08/24/15 WHITESIDE & GOLDBERG LTD 290 15WC 29103 SKINNER, JANIS STAFF MANAGEMENT 09/04/15 GORDON & CENTRACCHIO LLC RODDY LAW LTD 291 15WC 29156 RIBOT, ERWIN AT MECHANICAL 09/04/15 ARGIONIS & ASSOCIATES LLC ACCIDENT FUND HOLDINGS 292 15WC 29186 FERRER, RAY ATKORE INTERNATIONAL 03/24/15 BRISKMAN BRISKMAN GREENBER KNELL & O'CONNOR 16WC013267 -C 293 15WC 29204 KRAUSE, MIKE CITY OF CHICAGO 12/18/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 294 15WC 29431 FAGIANO, ANTHONY OPTIMUM FOOD GROUP 01/24/11 BOUDREAU NISIVACO LLC BRADY CONNOLLY & MASUDA PC 295 15WC 29503 PASQUA, JEFFREY COOK COUNTY SHERIFF'S 05/31/15 RICHARD E ALEKSY STATES ATTORNEY OF COOK COUN 296 15WC 29589 HERNANDEZ, MIGUEL AUTOZONE 06/25/15 WHITESIDE & GOLDBERG LTD 297 15WC 29689 GORSKI, CHERYL METROPOLITIAN WATER 04/29/15 BRENNAN, THOMAS E LTD 298 15WC 30217 SHEPITKO, ANDRII AUTO TRANS GROUP, INC 09/04/15 299 15WC 31631 MOORE, ORLANDO GALAXY ENVIRONMENTAL 09/03/15 DAVID W MARTAY HENNESSY & ROACH PC 300 15WC 34944 WARREN, MICHAEL GURSHEIMER GLASS INC 09/11/15 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 15WC 35149 WILLIAMS, ELANA DAKKOTA INTEGRATED SYSTEM 09/10/15 SEIDMAN MARGULIS & FAIRMAN 302 15WC 36178 PONCE DE LEON, MIGUEL A CHICAGO TRANSIT AUTHORITY 07/28/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 16WC008478 -C 303 15WC 37381 SMITH, KEVIN UPS FREIGHT 10/26/15 SOSTRIN AND SOSTRIN PC ASA LAW GROUP 304 15WC 38860 MENDELSON, ASHLEA GLENCREST HEALTHCARE & RE 09/14/15 STROM, NEAL B 305 15WC 38890 PATE, CHRISTOPHER M VILLAGE OF RIVER FOREST 07/12/15 FOOTE MIELKE CHAVEZ & O'NE POWER & CRONIN LTD 306 15WC 39019 CASTRO, JOSE NEOVIA LOGISTICS SERVICES 11/11/15 ANGELINI & ORI LLC GRANT & FANNING 307 15WC 39114 JAMISON, SCHENIA T IL DEPT OF HS 10/12/15 VITELL & SPITZ LTD C. FLETCHER 308 15WC 39135 ANGELILLI, ANTHONY CHICAGO BOARD OF EDUCATIO 12/01/15 GORDON & CENTRACCHIO LLC 309 15WC 39154 MURILLO, MARIA SOLAR SPRING & WIRE FORMS 11/08/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 310 15WC 39342 WILLIAMS, ORALEAN MCCLELL CITY OF CHICAGO 10/15/15 FAJARDO LAW GROUP CITY OF CHICAGO 311 15WC 41015 WILLIAMS, JOSEPH CTA 12/09/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 312 15WC 41033 THOMAS, DIMITRIUS BLOCK ELECTONIC CO. 02/18/15 DWORKIN AND MACIARIELLO THOMAS & PORTELA 313 15WC 41150 NAVARRO, CHRISTINA COOK CTY DEPT OF CORRECTI 12/05/15 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 314 15WC 41325 GAMARRA, HUGO CAPCHA EXCEL HOME EXTERIORS INC 07/14/15 GIACOBBE, THOMAS M 315 15WC 41469 GIBSON, ANDRE 540 LSD CONDO ASSN 10/23/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 316 15WC 41539 GARZA, RAYMUNDO DENORMANDIE TOWEL & LINEN W 05/08/15 STEVEN M SELAN 317 15WC 41561 TAYLOR, TAKIMA ARAMARK UNIFORM SERVICES 11/09/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 318 15WC 41771 PRZYBYLSKA, MARIA LUTHERAN HOME 09/11/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 15WC 41789 GRAVES, FITZGERALD SOUTHWEST AIRLINES 08/13/15 COHN LAMBERT RYAN & SCHNEI 320 15WC 41840 EDMONSON, VICTOR FORD MOTOR CO 05/07/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 321 15WC 41867 SMITH, VICTORIA LLOYD AGENCIES 11/22/15 FRIEDMAN & SOLMOR LTD 322 15WC 41902 HOUSMAH, MICHELLE CTA 11/17/15 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 323 15WC 41936 PRESSLEY, RAYMOND EXECUTIVE MAILING SERVICE 12/10/15 ANKIN LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 324 15WC 41986 BANKS, JASON CTA 12/17/15 SKLARE LAW GROUP CHICAGO TRANSIT AUTHORITY 325 15WC 42029 VELAZQUEZ, EDUARDO MAINES PAPER & FOOD SVC I 01/28/13 ROBIN LAW OFFICE 326 15WC 42061 ELLERY, DANIEL AMITA HEALTH ALEXIAN 08/25/15 LOUIS A PLZAK & ASSOCIATES 327 15WC 42162 BUCKLER, CHRISTOPHER HAYES MECHANICAL 10/26/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 328 15WC 42277 WEBB, YVONNE BERKELEY NURSING & 04/24/15 ANKIN LAW OFFICE 329 15WC 42310 RUSAK, RAYMOND UNITED AIRLINES 08/02/13 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 330 15WC 42535 HILL,VALERIE CTA 12/07/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 331 16WC 03531 PRESTEL, SANDRA L. JEWEL/OSCO AND SEDGWICK 10/06/15 CRONIN & PETERS BRADY CONNOLLY & MASUDA PC 332 16WC 03557 19B ASHFORD, NAKIA CHICAGO TRANSIT AUTHORITY 01/06/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 16WC003207 -C 333 16WC 04781 BAGGETT, ANTHONY CITY OF CHICAGO 12/03/15 ARGIONIS & ASSOCIATES LLC 334 16WC 05606 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 335 16WC 05812 GAWENDA, PAUL IDOT 09/03/14 VASILATOS & COTTER LLC C. FLETCHER 336 16WC 05842 CONFER-WALKER, RAEVAUGHN UGG AUSTRALIA OUTLET 11/01/15 DWORKIN AND MACIARIELLO 337 16WC 05953 DIAZ-RIVERA, EDWIN UNITED STATES INFRASTRUCT 09/24/15 LAW OFFICE OF JAMES URTIS 338 16WC 06057 FELTZ, GREGORY ALPHA SCHOOL BUS CO 01/06/16 HORWITZ HORWITZ & ASSOC GALLIANI DOELL & COZZI LTD 339 16WC 06128 JOHNSON, VANESSA LOYOLA UNIVERSITY MEDICAL 12/15/15 SHELDON I MINKOW & ASSOCIA 340 16WC 06226 VICTOR, MARISELA ANIXTER 09/25/15 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 341 16WC 06840 GALVAN, DAVID RUSH UNIVERSITY MEDICAL C 02/20/16 KARNO, MARK L & ASSOC KEEFE CAMPBELL & ASSOC LLC 16WC034581 -C 342 16WC 06938 MORGAN, HELEN UNITED AIRLINES INC. 12/11/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 343 16WC 07177 NAHARI, JIMENEZ (MOTHER & CONCESSION SERVICES, INC 02/17/16 ACEVES & PEREZ PC 344 16WC 07227 EKANEM, GEORGE CHICAGO CARRIAGE CAB CO. 02/05/16 VRDOLYAK LAW GROUP LLC 345 16WC 07278 TOLEDO, SOFIA ARAMARK 01/07/16 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS 346 16WC 07295 RZEZNIKOWSKI, MICHAL JOE RIZZA ENTERPRISES INC 09/21/15 BOWMAN & CORDAY GANAN & SHAPIRO 347 16WC 07332 CRUZ, DAISY COSTCO WHOLESALE 01/23/16 ENCINAS & ORNELAS GANAN & SHAPIRO 348 16WC 07598 REINA, JOSE ELECTRIC MOTOR CORPORATIO 01/22/16 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 349 16WC 07649 HALL, DARREN CITY OF CHICAGO DEPT OF 01/18/16 ANKIN LAW OFFICE 350 16WC 07692 BARRIOS, JULIETA COUNTY PACKAGING, INC 04/24/15 LAW OFFICE HUGO ORTIZ BRADY CONNOLLY & MASUDA PC 351 16WC 07710 MORGAN, NICOLE CRUSH ENTERPRISES 02/17/16 SHELDON I MINKOW & ASSOCIA LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 16WC 07953 ROBINSON, MICHAEL MEDLEY'S MOVERS & SHELF S 03/03/16 VRDOLYAK LAW GROUP LLC 353 16WC 07971 RYSZKA, DOROTA GENLYTE THOMAS GROUP, LLC 07/25/13 ANKIN LAW OFFICE 16WC007972 -C 354 16WC 07998 ROBINSON, TIFFANY L MAYWOOD HOUSING AUTHORITY 09/17/15 WEISS & WEISS LAW OFFICES GAROFALO SCHREIBER STORM 355 16WC 08029 WILLIAMS, SANDRA FIRST SERVICE RESIDENTIAL 09/03/15 HUGHES SOCOL PIERS RESNICK 356 16WC 08331 BREDICEAN, CORNELIA SCRUBZZ 03/07/16 BRISKMAN BRISKMAN GREENBER 357 16WC 08372 SMITH, TIMOTHY J. UNITED PARCEL SERVICE 02/15/16 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 358 16WC 08449 HUNTER, RENETTE COOK DUPAGE TRANSPORTATIO 03/10/16 SKLARE LAW GROUP 359 16WC 08482 SANCHEZ, MIGUEL GARCIA FERRARA PAN CANDY INC. 05/16/14 CUDA LAW OFFICES HOLECEK & ASSOCIATES 16WC008483 -C 16WC008484 -C 360 16WC 08668 HARTFIELD, SERINA JACKSON PARK HOSPITAL 03/06/16 WOODRUFF & JOHNSON ODELSON & STERK 361 16WC 08809 BRELAND, LORENZO ARENA FOOTBALL ONE LLC 04/11/14 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 362 16WC 08871 BALLARD, WILLIAM MICHAEL ZOETIS PRODUCTS 10/27/15 BRILL & FISHEL MEACHUM & STARCK 363 16WC 08933 KING, ROSIE UNITED PARCEL SERVICE INC 02/15/16 ANKIN LAW OFFICE ASA LAW GROUP 364 16WC 09059 DAVIS, DAVINA CHICAGO PUBLIC SCHOOLS 10/07/14 ASHER, RAYMOND L LTD LAW DEPARTMENT 16WC009060 -C 365 16WC 09122 GLADNEY, WADDELL CITY OF CHICAGO 12/18/15 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 366 16WC 09293 DANIELEK, DOUG MARQUARDT OF BARRINGTON 12/07/15 LULAY LAW OFFICES BRADY CONNOLLY & MASUDA PC 367 16WC 09353 KUCHARZ, JAMES CHICAGO TRIBUNE CO. 11/13/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 368 16WC 09393 IRBY, GREGORY A-1 ROOFING COMPANY 03/12/16 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 369 16WC 09483 COOPER, JARRETT GIBSON ELECTRIC COMPANY, 11/23/15 GORDON & CENTRACCHIO LLC HENNESSY & ROACH PC 16WC009484 -C 370 16WC 09544 PACE, RICHARD UNITED AIRLINES INC. 06/24/12 GREGORIO & MARCO BRYCE DOWNEY & LENKOV LLC 371 16WC 09656 LARKINS, MARY ARAMARK, INC. 03/08/16 KARCHMAR & STONE 372 16WC 09700 RICHMOND, MIA STATE OF ILLINOIS @ 03/10/16 LEE, MARK N LAW OFFICE C. FLETCHER 373 16WC 09846 WOJCIECHOWSKI, ADAM CITY OF HARVEY 02/21/16 HORWITZ HORWITZ & ASSOC 374 16WC 09872 PELOT, ERIC VILLAGE OF NORTHBROOK 01/11/15 SANDMAN LEVY & PETRICH POWER & CRONIN LTD 16WC009873 -C 16WC009874 -C 375 16WC 09895 MOY, TERRENCE SOUTHWEST AIRLINES 02/25/16 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 376 16WC 09952 BOCHNIA, TADEUSZ USP TRANS INC 01/21/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 377 16WC 10082 LAHART, CATHERINE ROUNDY'S SUPERMARKETS 12/18/15 RUBIN LAW GROUP POWER & CRONIN LTD 378 16WC 10912 SANTOYO, MARICELA AS WIDO OMEGA DEMOLITION CORPORAT # 04/05/16 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 379 16WC 11524 REYNA, LORRAINE UNIVERSITY OF CHICAGO 03/29/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 380 16WC 16387 MCCARTHY, JOHN SIMPLEX GRINNELL, L.P. 10/29/15 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 381 16WC 16837 MCALLISTER, HOWARD R YELLOW CAB COMPANY 04/20/16 VRDOLYAK LAW GROUP LLC 382 16WC 17038 DEJESUS, ESMERALDA SANTAN DOLLAR TREE STORES INC C/ 05/01/16 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 383 16WC 17039 BARRY, JOHN CITY OF CHICAGO 05/23/16 HETHERINGTON KARPEL BOBBER CITY OF CHICAGO 384 16WC 17088 LEWIS, DIANA NORTHEASTERN IL. UNIVERSI 03/03/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 385 16WC 17169 BIZARRO, NORMA ESPERANZA COMMUNITY SERVI 03/01/16 DWORKIN AND MACIARIELLO 386 16WC 17262 GALARZA, RAQUEL M HELP AT HOME 03/31/16 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC 387 16WC 17331 KANE, DANIEL YRC FREIGHT 04/30/16 CORBOY & DEMETRIO PC HENNESSY & ROACH PC 388 16WC 17365 FUNK, RONALD J L.A. FITNESS 04/06/16 CULLEN HASKINS NICHOLSON 389 16WC 17456 JONES, LEVON CTA 05/28/16 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 390 16WC 17535 BROWN, CAROLYN PACE 04/28/16 SCHACTER, JEROME & ASSOC L 391 16WC 17571 HERRON, MICHAEL CITY OF CHICAGO DEPARTMEN 04/18/16 CHARLES LEVY & ASSOC LTD 392 16WC 17597 FEINDT, LORRAINE CARLUCCI RESTAURANT 05/14/16 PETER D CORTI LAW GROUP 393 16WC 17707 WYNN, LAKISHA SUPERIOR AMBULANCE SERVIC 05/22/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 394 16WC 17766 BERG, MARY A NORTHBROOK TOYOTA 08/01/15 SOSTRIN AND SOSTRIN PC 395 16WC 17904 YORK, THOMAS CITY OF CHICAGO-2FM (FLEE 03/23/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 396 16WC 17934 ZARCO, ROGELIO MIDWEST INDUSTRIAL METALS 03/17/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 397 16WC 17970 VALLE, CONCEPCION BOMARK CLEANING SERVICES 11/19/15 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 398 16WC 17994 GRIFFIN, KHISHA ARAMARK 05/15/16 MICHAEL P MCCREADY & ASSOC STONE & JOHNSON CHARTERED 399 16WC 18058 FLORES, ALBINA L. ABLE ELECTROPOLISHING CO 03/03/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 400 16WC 18112 DIXON, DELLA CHICAGO PUBLIC SCHOOLS 05/19/16 LEE, MARK N LAW OFFICE LAW DEPARTMENT 401 16WC 18145 REDZIC, JUGOSLAV ELITE CABLE COMMUNICATION 06/11/13 GLEN J DUNN & ASSOC 402 16WC 18167 BUKOWSKI, WALTER EDE CORPORATION, INC 02/13/15 JAMES M GERAGHTY GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 16WC 18264 SMITH, ARIAN XPO LOGISTICS 06/01/16 MICHAEL P MCCREADY & ASSOC GAROFALO SCHREIBER STORM 404 16WC 18295 BOYDSTON, STEVEN A CHICAGO TRANSIT AUTHORITY 05/20/16 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 405 16WC 18321 NELSON, BARBARA GATE GOURMET 05/01/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 406 16WC 18372 MULLEN, FRANCIS CTA 05/18/16 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 407 16WC 18384 PREIJERS, KEERSTIN UNITED AIRLINES, INC. 02/05/16 BRIAN J MC MANUS & ASSOC, 408 16WC 18423 HOWARD, DWAIN AUDIO VISUAL SERVICES 05/20/16 DAVID W MARTAY 409 16WC 18462 DEANY, JOHN PRECISION PLUMBING & HEAT 03/03/16 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 410 16WC 18500 HERNANDEZ, JOSEPHINE RUSH UNIVERSITY MEDICAL 05/20/16 MICHAEL NICHOLSON KEEFE CAMPBELL & ASSOC LLC 411 16WC 18570 ANDERSON, CHRISTY R LITTLE COMPANY OF MARY HO 09/01/15 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 412 16WC 18603 GOSHEN, THOMAS COOK COUNTY DEPT OF CORRE 06/06/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 413 16WC 18728 LUCIOUS, CARLA MV TRANSPORTATION 02/05/16 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 414 16WC 18803 AGUILAR, EFRAIN CITY OF CHICAGO 03/14/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 415 16WC 18824 WINFIELD, EARL ADMIRAL SECURITY SRVCS 06/10/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 416 16WC 18880 HARTY, ROBERT ABLE ENGINEERING SRVCS 06/01/16 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 417 16WC 18945 PADILLA, STEVE GEORGE AND SONS HVAC 05/04/16 ELFENBAUM EVERS & AMARILIO ANCEL GLINK DIAMOND BUSH & E 418 16WC 18992 VALLADARES, ISAIAS GOOSE LAKE CONSTRUCTION 06/08/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 16WC019151 -C 419 16WC 19011 DELIBERTO, LISA A PALOS COMMUNITY HOSPITAL 02/04/16 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 420 16WC 19162 SERRANO, CHRIS WALMART 05/02/16 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 16WC 19180 FLORES, BERNARDINO A. III 7-ELEVEN, INC 06/07/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 422 16WC 19193 BAFIN, GRZEFORZ PIT STOP TRUCK TRAILER SE 06/10/16 DWORKIN AND MACIARIELLO LAW OFFICE OF PAUL O WATKISS 423 16WC 19214 QUINTERO, NICHOLAS NEED IT NOW 06/15/16 LANGENDORF, ROBERT A 424 16WC 19317 BONILLA, JOSE R. KROPP FORGE 04/01/16 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 425 16WC 19370 WYNN, DOYLE CHICAGO COMMERCIAL & 06/06/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 426 16WC 19422 MOSER, NICOLETTA BREATHRU BEVERAGE ILLINOI 05/05/16 FIGLIOLI, DAVID 427 16WC 19426 SLEZAK, JAMES P TNT SUPER STEEL, INC 01/20/16 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 428 16WC 19532 JUREWICZ, RICHARD SORTIMAT 08/13/15 R. MARK MARITOTE PC LAW OFFICES JOSEPH MARCINIAK 429 16WC 19681 SANCHEZ, RICARDO ROBINETTE DEMOLITION INC 08/14/15 LAW OFFICE OF KEVIN O'BRIE KEEFE CAMPBELL & ASSOC LLC 430 16WC 19718 TORRES, RIGOBERTO ZAVALA SIFUENTES LAWN MAINTENANC 06/11/16 GOLDSTEIN BENDER & ROMANOF 431 16WC 19780 ANTON, FRANK CITY OF CHICAGO 05/25/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 17WC000935 -C 432 16WC 19890 STEMPNIEWICZ, ROBERT PALATINE CCSD #15 04/23/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 16WC019899 -C 433 16WC 19976 ROBINSON, JACQUELINE B WAL-MART STORE 3601 05/30/16 DWYER AND COOGAN QUINTAIROS PRIETO WOOD & BOY 16WC022314 -C WALMART STORE #3601 434 16WC 20037 LUCAS, CHAKITA HILTON GARDEN INN 12/23/15 LAW OFFICES ROBERT WARSASK LITCHFIELD CAVO 435 16WC 20074 HARRIS, TYRONE CHICAGO TRANSITY AUTHORIT 06/11/16 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 436 16WC 20174 BALOG, HENRY UNIVERSITY OF ILLINOIS 06/06/16 PETER D CORTI LAW GROUP HEYL ROYSTER VOELKER & ALLEN 437 16WC 20248 COHN, CRISTAL GIORDANO'S PIZZA 05/03/15 SANDMAN LEVY & PETRICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 16WC 20296 SOLIS, MAURICIO CALMARK INC 06/20/16 ARTHUR D. WELLMAN 439 16WC 20331 MORALES, ANTONIO ANNING JOHNSON CORPORATE 03/21/16 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM 440 16WC 20361 RISTAU, MICHAEL CARL F EWING INC 08/11/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 441 16WC 20494 EMERSON, NATHAN REMEDIAL ENVIRONMENTAL MA 05/19/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 16WC020495 -C 442 16WC 26192 ROGERS, DARON ROUNDY'S MARIANO'S 08/07/16 FOHRMAN, DONALD W & ASSOCS 443 16WC 26327 MUNOZ, LUIS WHEELER TRAILER INC. 08/20/16 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 444 16WC 26391 FLORES, MIGUEL WILLIAM QUINN & SONS 07/29/16 VRDOLYAK LAW GROUP LLC 445 16WC 26618 VILLALOBOS, CESAR TRADESMEN INTERNATIONAL 08/24/16 JONATHAN SCHLACK 446 16WC 26770 CHAVEZ, CENOVIO EBBEN MASONRY INC 07/19/16 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 447 16WC 26928 CARRASQUILLO, CARMEN GCA SERVICE GROUP 07/22/16 KARCHMAR & STONE POWER & CRONIN LTD 448 16WC 26971 HICKS, DWAINE FOREST PRESERVE DISTRICT 07/26/16 PETER C KOPOULOS FOREST PRESERVE DIST COOK CO 449 16WC 26982 ROSSI, GREG IN PRINT GRAPHICS 06/24/16 MCNAMARA PHELAN MCSTEEN LL QUINTAIROS PRIETO WOOD & BOY 450 16WC 27007 SMITH, BRENDA L. SKADDEN,ARPS, SLATE, MEAG 08/30/15 ANESI OZMON RODIN NOVAK KO 451 16WC 27107 FLORENCIO, FABIAN ABM JANITORIAL MIDWEST 06/14/16 ARGIONIS & ASSOCIATES LLC LITCHFIELD CAVO 452 16WC 27141 PASINDO, JOSE DREXEL TERRACE PROPERTY M 08/30/16 COSTA IVONE LLC ANCEL GLINK DIAMOND BUSH & E 453 16WC 27367 OLEA, ELODIA EMBASSY SUITES O'HARE ROS 05/28/16 CHEPOV & SCOTT LLC GRANT & FANNING 454 16WC 27408 NORRIS, WILLIE U.S. AIRWAYS 06/15/16 RIDGE & DOWNES 455 16WC 27438 PARENTEAU, VERONICA CHICAGO TRANSIT AUTHORITY 07/28/16 SANDMAN LEVY & PETRICH CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 16WC 27516 FIGUEROA, MARILYN SECURE AMERICA 07/28/16 COZZI & GOGGIN-WARD 457 16WC 27559 CHAGALA, ROBERTO ESCRIBAN TRIUNE LOGISTICS 06/25/16 SALVATO & O'TOOLE LITCHFIELD CAVO 458 16WC 27570 GARDNER, STEVE ALPHA BAKERY 10/01/15 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 459 16WC 27614 WORTHINGTON, MICHAEL MANNHEIM REMARKETING INC 10/08/14 ADLER & ADLER GANAN & SHAPIRO 460 16WC 27648 GARCIA, LAURA SUPER 8 MOTEL 07/07/16 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 461 16WC 27733 TAMAYO, JESUS CHICAGO DRYER CO. 03/11/16 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 462 16WC 27808 YATSKO, JOHN UPS 12/18/15 LEONARD LAW GROUP LLC ASA LAW GROUP 463 16WC 27867 COLONNA, MICHAEL STATE OF IL.-IDOT @ 02/23/15 CAPRON & AVGERINOS PC ASSISTANT ATTORNEY GENL 464 16WC 27885 SHAREEF, HAMEEN CHICAGO TRANSIT AUTHORITY 08/29/16 CULLEN HASKINS NICHOLSON 465 16WC 27915 HAWKINS, EDNA FRESENIUS MEDICAL CARE 03/23/16 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 466 16WC 27944 GUTIERREZ, KAREN CENTER HOME FOR 08/20/15 SEIDMAN MARGULIS & FAIRMAN 467 16WC 27969 SZENIAWSKI, THERESE A MARIANO'S STORE #8517 08/28/16 O'CONNOR & NAKOS POWER & CRONIN LTD 468 16WC 27993 SALDANA, RENE INTERNATIONAL FURNITURE D 09/01/15 COSTA IVONE LLC 469 16WC 28116 LANE, BILLY KENTUCKY FRIED CHICKEN 08/09/16 ELFENBAUM EVERS & AMARILIO BETTY NEUMAN & MCMAHON 470 16WC 28315 KULINSKI, GERRY CITY OF CHICAGO DEPT OF 10/06/15 STEPHAN L. HOFFMAN 471 16WC 28404 RADCLIFF, DARREN INTEGRA HEALTHCARE EQUIPT 08/05/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 472 16WC 28472 BURKS, STEPHEN AT&T 09/08/16 GAINES & GAINES 473 16WC 28520 WRONA, JOZEFA CHAGALL, INC D/B/A W 12/09/13 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 16WC 28556 LEYDEN, SARAH E NORDSTROM, INC 04/26/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 475 16WC 28644 HUBBARD, ASHLEY ALEXIAN BROTHERS REHAB HO 04/09/16 ASHER, RAYMOND L LTD POWER & CRONIN LTD 476 16WC 28709 RAMOS, NAYELI LARA CHARTWELLS SCHOOL DINING 09/12/16 THE ROMAKER LAW FIRM GANAN & SHAPIRO 477 16WC 28726 MEDINA, ELIZABETH CHICAGO PUBLIC SCHOOLS 04/23/15 MEYERS & FLOWERS 478 16WC 28826 MARTINI, STEVEN J STATE OF IL/IDOT-ELK GROV @ 08/28/16 THE FITZ LAW GROUP COLIN KICKLIGHTER 479 16WC 28863 THOMAS, BENNIE DPI DEDICATED LOGISTICS 08/19/16 STROM, NEAL B 480 16WC 28894 WHITE, QUILSHUN L RANDSTAD 04/13/16 LAW OFFICES CHRISTOPHER ED 481 16WC 28906 CASTANEDA, BERTHA CHICAGO PUBLIC SCHOOLS 08/30/16 LAW OFFICE HUGO ORTIZ 482 16WC 28916 BUCHANAN, FREDERIC G CITY OF CHICAGO DEPT STS 03/26/16 BOWMAN & CORDAY CITY OF CHICAGO 483 16WC 28959 GOMEZ, MARIO QUALITY LABOR SERVICES MV 05/18/16 COVEN LAW GROUP 484 16WC 28984 SEJDINI, SANIJE SCHAUMBURG SCHOOL DIST #5 04/15/16 TOPPER & WEISS LTD ACCIDENT FUND HOLDINGS 485 16WC 29017 MC DANIEL, ROBERT DRAPER & KRAMER INC 09/14/16 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 486 16WC 29117 LEWIS, CHARLENE AVERY CHICAGO TRANSIT AUTHORITY 09/19/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 487 16WC 29184 DUNN, ERICA CHICAGO TRANSIT AUTHORITY 06/30/16 GOLDSTEIN AIOSSA & GOOD CHICAGO TRANSIT AUTHORITY 488 16WC 29219 ARNOLD, LEANNA COOK DUPAGE TRANSPORTATIO 02/23/16 489 16WC 29293 ESQUIVEL, ERICA HEALTHCARE SERVICES GROUP 09/08/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 490 16WC 29329 AVERY, GEORGE HR SLATER 04/06/16 DWORKIN AND MACIARIELLO 491 16WC 29425 ARMAN, FAISAL UBER 08/27/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 16WC 29455 PADILLA, ARTURO UNITED AIRLINES 09/20/16 THE ROMAKER LAW FIRM BRYCE DOWNEY & LENKOV LLC 493 16WC 29563 SOUTHARD, BOBBY K.A PRIDJAN COMP. 10/07/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 494 16WC 29657 MEDINA, ROBERT PEOPLES GAS 09/07/16 STEWART C ORZOFF 495 16WC 29676 SKILLOM, SHAVONNE FAMILY DOLLAR STORE 09/05/16 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 496 16WC 29714 VARELA, MARGARET URBAN PARTNERSHIP BANK 09/19/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES OF EDWARD J. KOZ 497 16WC 29757 STUBENVOLL, ALBERT F COOK CONTY RISK MGMT-WORK 06/10/16 JOHN J PLACEK STATES ATTORNEY OF COOK COUN 498 16WC 29834 BROWN, KEVIN CONTINENTAL AIR TRANSPORT 09/24/16 MARC J SHUMAN & ASSOCIATES 499 16WC 29866 KAPOOR, DINESH UNITED AIRLINES O'HARE 08/24/16 CULLEN HASKINS NICHOLSON 500 16WC 29894 COLEMAN, DEVIN CHICAGO MAGNESIUM CASTING 09/09/16 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 501 16WC 29947 ZAJA, ROBERT A CHICAGO RIDGE FIRE DEPART 09/24/16 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 502 16WC 29952 BONDS, ROBERT JR MATTTESON ELEMENTARY SCHO 09/14/15 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 503 16WC 29972 TAYLOR, PAMELA D NORTHSHORE UNIVERSITY 07/20/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 504 16WC 29985 LATIMER, JADA UPS 09/09/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 505 16WC 30069 SHUMAKER, KAREN ARAMARK FACILITY SERVICES 03/24/16 DEPAOLO ZADEIKIS GORE 506 16WC 30085 DINGELS, JONNIE M COMPASS GROUP 03/10/16 FRIEDMAN & SOLMOR LTD 507 16WC 30105 FLORES, DIANA ELITE STAFFING 09/24/16 DWORKIN AND MACIARIELLO 508 16WC 30146 ABDIN, SAMMY M CARMAX AUTO SUPERSTORES, 07/01/16 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 509 16WC 30219 ROSS, HERMAN CITY OF CHICAGO 09/15/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 16WC 30269 VILLANUEVA, AURELIO CAESARSTONE USA, INC 07/10/14 ANKIN LAW OFFICE 511 16WC 30283 KEYS, LIONEL W ALSCO, INC 02/12/16 ANKIN LAW OFFICE ADELSON TESTAN & BRUNDO 512 16WC 36994 BODUCH, WALTER TUTHILL PUMP CORP 10/04/16 RIDGE & DOWNES GAROFALO SCHREIBER STORM 513 16WC 37012 SINGLETARY, KEVIN COOK COUNTY SHERIFFS DEPT 07/18/16 DWORKIN AND MACIARIELLO 514 16WC 37061 DAVIS, DIONTA PEPSICO 09/30/16 ROGER D RUDICH LTD 515 16WC 37126 FARAONE, JOSEPH DAVE OSBORNE CONTRUCTION 10/31/16 ROBERT H HANAFORD HOLECEK & ASSOCIATES 516 16WC 37160 MONTGOMERY, AKIRA FORD MOTOR WORKS 10/17/16 SNECKENBERG, WILLIAM J ASS POWER & CRONIN LTD 517 16WC 37290 HAMPTON, FRANK MC DONALD'S 10/27/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 518 16WC 37316 EVANS, ROBERT LOYOLA UNIVERSITY MEDICAL 04/05/16 KATZ FRIEDMAN EAGLE ET AL 519 16WC 37347 PERALTA, AMANDA PRESENCE HEALTH 08/06/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 520 16WC 37390 PERKINS, KENNETH CTA 11/14/16 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 521 16WC 37415 CADENA, JOSE EZ TRUCKING 11/14/16 WOODRUFF & JOHNSON 522 16WC 37463 KELLY, LISA HOME BOUND HEALTHCARE 07/15/16 JOHN E LUSAK RIPES NELSON BAGGOT KALOBRAT 523 16WC 37484 RAMOS, ROBERT J CITY OF CHICAGO FACILITIE 11/21/16 CIARDELLI CUMMINGS CAMPAGN CITY OF CHICAGO 524 16WC 37495 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION 10/13/15 525 16WC 37528 BALTERREZ, SYLVIA ROW, INC 03/09/16 LUCAS & APOSTOLOPOULOS 526 16WC 37537 HYNES, PATRICK CHICAGO TRANSIT AUTHORITY 10/07/16 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 527 16WC 37595 MALDONADO, NOHE JAIMES MEHRAB ZABIHA MEAT 11/28/16 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 16WC 37671 MOODY, LENOLIA DE CARLOS STEVENSON TRUCKING CO 10/24/16 ANKIN LAW OFFICE 529 16WC 37689 KEKOS, LABROS CITY OF CHICAGO DEPARTMEN 12/07/16 CUDA LAW OFFICES CITY OF CHICAGO 530 16WC 37814 PERKINS, ANTIONE M CHICAGO TRANSIT AUTHORITY 12/06/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 531 16WC 37867 GONZALEZ, MARISOL NORTH BROOK HILTON 09/08/16 COSTA IVONE LLC COZZI & GOGGIN-WARD 532 16WC 37884 KHAN, HAMID RESIDENTIAL SPECIALISTS 01/20/16 FOHRMAN, DONALD W & ASSOCS 533 16WC 37908 HOFF-DAVIS, DAGMAR UNITED AIRLINES INC 03/31/16 BRIAN J MC MANUS & ASSOC, 16WC038411 -C 534 16WC 37988 BUSTOS, FELIPE ALLSTAFF INC 11/20/16 ANKIN LAW OFFICE 535 16WC 38009 REABER, DORTHY ANN BERKELEY SCHOOL DISTRICT 10/05/16 LAW OFFICE OF ROBERT J. IR 536 16WC 38023 CLARK, ENIA WORLD'S FINEST CHOCOLATE 12/12/16 BERG & BERG 537 16WC 38048 ALEXANDER, TRACY LUDEMAN DEVELOPMENTALCENT @ 07/10/16 COPELAND FINN & FIERI LTD C. FLETCHER 538 16WC 38055 GIELOW, GEORGE III LINDAHL BROTHERS INC 11/14/16 SALGADO, DAVID L MEACHUM & STARCK 539 16WC 38066 MAXIE, RASHONDA CHICAGO TRANSIT AUTHORITY 12/06/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 540 16WC 38084 CARRILLO, GERMAN SOTO METRO STAFF INC 10/15/16 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 541 16WC 38142 MADRIGAL, DIANA ALDI 09/10/16 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 542 16WC 38278 LYCKBERG, MARK AT&T 08/04/16 MARC STOOKAL 543 16WC 38337 PITTMAN, AMOS CTA 08/29/16 LEONARD LAW GROUP LLC 544 16WC 38431 WHITE, SHAUN SCOOBEEZ 12/12/16 KUMLIN & FROMM 545 16WC 38457 NIEMIEC, MARC A WINPAK PORTION PACKAGING 07/23/16 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 CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 546 16WC 38530 CARMONA, RAMON METRO STAFF 07/20/16 JONATHAN SCHLACK FRANCIS J DISCIPIO LAW OFFIC 547 16WC 38551 SULLIVAN, THOMAS MANCINI'S RESTAURANT 10/21/16 DWYER AND COOGAN 548 16WC 38589 RIVERA, JOSE LUIS MBL RECYCLLING INC 11/08/16 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 549 16WC 38614 HIDALGO, EDITH CHICAGO BOARD OF EDUCATIO 01/15/16 WILLIAM MARTAY 16WC038615 -C 550 16WC 38618 BILIONIS, HARRY CITY OF CHICAGO 08/01/15 KROL BONGIORNO & GIVEN LTD 551 16WC 38672 JONES, ANTWAN ELITE STAFFING 11/01/16 GOLDSTEIN BENDER & ROMANOF 552 16WC 38693 SIERACKI, RON BC INTERNATIONAL GROUP, I 05/28/15 GREGORIO & MARCO 553 16WC 38707 CUEVAS, REBECA DAKKOTA INTEGRATED SYSTEM 07/23/16 ELFENBAUM EVERS & AMARILIO 554 16WC 38783 EASLEY, TINA COTG 08/31/16 RUBENS AND KRESS 555 16WC 38796 SMOLEK, ALAN J JEWEL FOOD STORE 12/17/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 556 16WC 38842 CHARMELO, NICHOLAS D PRESENCE HEALTH 10/01/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 557 16WC 38905 JAIMES, MARCIA GOLD EAGLE CO 10/17/16 STEPHEN G PINTO LTD NYHAN BAMBRICK KINZIE & LOWR 558 16WC 38952 ACEVES, JUANA ELITE STAFFING 12/14/16 JAMES ELLIS GUMBINER & ASS 559 16WC 38972 HAYDEN, GENEEN WALMART 11/08/16 COSTA IVONE LLC GANAN & SHAPIRO 560 16WC 39022 JACKSON, KIMBERLY PIER 1 IMPORTS 10/14/16 KURASCH & KLEIN, LTD BRYCE DOWNEY & LENKOV LLC 561 16WC 39047 GERGES, OUDIT L FOOD FOR LESS- KROGER 10/27/16 SALVATO & O'TOOLE 562 16WC 39072 MILLER, MELODY FEDERAL EXPRESS 12/02/16 COVEN LAW GROUP 563 16WC 39131 RODRIGUEZ, IRINEO TOTAL STAFFING SOLUTIONS 08/09/16 ASHER, RAYMOND L LTD SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 564 16WC 39192 MATOS, AMBER SHELL GAS STATION 12/22/16 DWORKIN AND MACIARIELLO 565 16WC 39248 JULIAN, MINDY AMERICAN AIRLINES 11/04/15 HORWITZ HORWITZ & ASSOC 566 16WC 39319 PAYTON, RUSSELL AAA COOPER TRANSPORTATION 12/06/16 JONATHAN SCHLACK MACIOROWSKI SACKMANN & ULRIC 567 16WC 39362 KASPEREK, MARK CITY OF CALUMET CITY 11/14/16 COVEN LAW GROUP 568 16WC 39397 ROBINSON, DARNISE JEWEL OSCO 11/03/16 DWORKIN AND MACIARIELLO 569 16WC 39418 TABIRTA, SEGIU GT EXPRESS INC 12/14/16 PATRICOSKI, MARK G EMERSON & ELDER 570 16WC 39425 COTTRELL, WILLIAM J VILLAGE OF NILES - FIRE D 09/27/16 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 571 16WC 39479 AGUIRRE-BECK, IVETTE SWEET GREEN INC 12/01/16 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 572 17WC 00033 HOSKINS, GARY POWER STOP 12/06/16 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 573 17WC 00124 LUELLEN-LEWIS, WONDA COOK DUPAGE TRANSPORATION 12/18/16 SIGMOND, STEVEN HENNESSY & ROACH PC 574 17WC 00149 KOVACH, DERON OLD DOMINION FREIGHT LINE 07/29/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 575 17WC 06114 MOORE, ANAISE MONTERREY SECURITY CONSUL 02/14/17 BRILL & FISHEL POWER & CRONIN LTD 576 17WC 06639 LESURE, DOLORES HABILTATIVE SYSTEMS, INC 06/24/14 MC HARGUE, JAMES P LAW OFF 577 17WC 06719 GUILLERMO, JAVIER WOODFIELD NISSAN 01/25/17 POMPER & GOODMAN ROSARIO CIBELLA 578 17WC 06739 HEIMISDOTTIR, ELLEN UNITED AIRLINES, INC 02/04/16 BRIAN J MC MANUS & ASSOC, BRYCE DOWNEY & LENKOV LLC 579 17WC 06805 LOZANO, RODRIGO SOUTHWEST AIRLINES 11/25/16 FRANCIS J DISCIPIO LAW OFF 580 17WC 06810 VAZQUEZ, FRANCISCA GRAYHILL INC 10/04/16 ROMANUCCI & BLANDIN LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 581 17WC 06834 DOIG, NANCY PALOS DENTAL CENTER 12/17/15 CULLEN HASKINS NICHOLSON 582 17WC 06862 TERRY, DE ARLO M GRIFFITH FOODS 02/20/17 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 17WC020049 -C 583 17WC 06898 HARDEN, ROBERT MAJOR LEAGUE SOCCER 10/06/15 WOLFE LAW PC MC ANDREWS & NORGLE LLC 584 17WC 06922 TERRELL, KATARA YRC WORLDWIDE 03/01/17 STROM, NEAL B 585 17WC 06958 SENKO, MYRON AMERICAN AIRLINES 02/19/17 RICHARD O. GREENFIELD 586 17WC 06986 BLOCKER, PAMELA MICHAEL FOODS INC D/B/A N 12/08/16 HETHERINGTON KARPEL BOBBER MEACHUM & STARCK 587 17WC 07012 SCHULTZ, NORA ONCE UPON A CHILD 03/02/16 CAPRON & AVGERINOS PC 588 17WC 07050 RICHARDS, MATTHEW CHRIS KNIGHT CREATIONS 02/03/17 DWORKIN AND MACIARIELLO 589 17WC 07124 OBRUNOH, CLAUDERICK PRAXAIR DISTRIBUTION, INC 04/29/15 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 590 17WC 07198 BELL, BRANDON CTA 03/02/17 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 591 17WC 07212 REYES, REINA WEAR FLEX SLINGS 01/26/17 JONATHAN SCHLACK HENNESSY & ROACH PC 592 17WC 07218 GODFREY, DENISE ARYZTA INC 01/25/17 DEPAOLO ZADEIKIS GORE 593 17WC 07237 HAYMER, PIERRIE CENTRAL TRANSORT LLC 06/07/16 ANKIN LAW OFFICE HINSHAW & CULBERTSON 594 17WC 07252 SMILEY, JAMES UPS 02/03/17 LEONARD LAW GROUP LLC ASA LAW GROUP 595 17WC 07270 IPINA, LUISA THREE CROWN PARKL 01/30/17 HERRERA LAW CENTER 596 17WC 07345 LAZALDE, CRISTEN ALEXIAN BROTHERS MEDICAL 04/09/16 SCOTT BARBER HENNESSY & ROACH PC 597 17WC 07366 NOCKE, DARREN D VILLAGE OF HANOVER PARK 06/09/16 THOMAS W DUDA POWER & CRONIN LTD 598 17WC 07415 CORTEZ, EDWARD PROGERSS RAIL LOCOMOTIVE 08/24/16 ROUSKEY & BALDACCI GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 599 17WC 07449 SKINKIS, MATTHEW AMERICAN SCHOOL BUS COMPA 02/09/17 RICHARD E ALEKSY GALLIANI DOELL & COZZI LTD 600 17WC 07512 CHOUDHARY, MOHDJAWAD UNIVERSITY OF CHICAGO 02/03/17 MEYER & BLUMENSHINE LAW OF NYHAN BAMBRICK KINZIE & LOWR 601 17WC 07547 PATTON, SANDRA A THE HABITAT COMPANY LLC 03/01/17 ANKIN LAW OFFICE 602 17WC 07564 HUGHES, PATRICIA UBER 03/12/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 603 17WC 07595 RODRIGUEZ, RAYMUNDO THERMAL CARE INC 04/01/14 MARTIN V KUGIA 604 17WC 07600 LANDA, SONIA VVV STAFFING SOLUTIONS, I 03/14/14 DAVID HERNANDEZ 605 17WC 07669 URBINA, DOREEN JEWEL/ALBERTSON'S 04/12/16 BAUM RUFFOLO & MARZAL LTD 606 17WC 07724 NEUBAUER, MICHAEL ORLAND FIRE PROTECTION DI 11/26/16 CULLEN HASKINS NICHOLSON 607 17WC 07751 PALMER, JAMES FED EX 01/25/17 CUDA LAW OFFICES HANSON LAW OFFICE 608 17WC 07799 THOMPSON, MICHAEL S UNITED PARCEL SERVICE 02/02/17 LEONARD LAW GROUP LLC ASA LAW GROUP 609 17WC 07829 GAYTON, GEORGE SERVICE SANITATION 10/08/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 610 17WC 07894 MARTINEZ JR., JOSE ROSEBUD FARMS INC 10/03/16 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 611 17WC 07916 JONES, DEREK SHAY DOUBLE TREE BY HILTON 03/03/17 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 612 17WC 07934 VIRGILIO, VENUS JEWEL FOOD STORES 02/21/17 ELFENBAUM EVERS & AMARILIO QUINTAIROS PRIETO WOOD & BOY 613 17WC 07990 CRUZ, NATACHA A SCOOBEEZ 03/01/17 O'CONNOR & NAKOS HENNESSY & ROACH PC 614 17WC 08017 SMITH, PHYLLIS COOK COUNTY 11/30/16 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 615 17WC 08051 GUTSTADT, KEN RICOH USA 02/15/17 BRUSTIN & LUNDBLAD LTD CHILTON YAMBERT PORTER LLP 616 17WC 08054 BROWN, DONALD C CHICAGO TRANSIT AUTHORITY 11/21/16 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 617 17WC 08080 ALMARAZ, LYDIA FEDEX GROUND 02/21/17 DWORKIN AND MACIARIELLO 618 17WC 08105 PHILLIPS, LONNIE ILLINOIS STATE TOLL 03/14/17 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 619 17WC 08147 PEARSON, KEITH HOUSE OF DOORS, INC 10/02/15 GOLDBERG WEISMAN & CAIRO L 620 17WC 08208 WHITEHEAD, BRIAN CAESAR'S ENTERPRISE SVCS 07/18/16 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 621 17WC 08227 MANTUCCA, ARTHUR MORTON HIGH SCHOOL DIST 2 11/16/16 CUDA LAW OFFICES 622 17WC 08292 ARRIAGA, MARIA G HAMPTON INN-HILTON 02/01/17 JOHN E LUSAK 623 17WC 08331 NELSON, HARVEY ST MARY'S NURSING HOME 03/13/17 SKLARE LAW GROUP 624 17WC 08366 RODRIGUEZ, JUAN HOME DEPOT 09/20/16 KROL BONGIORNO & GIVEN LTD ADELSON TESTAN & BRUNDO 625 17WC 08408 NONAH, PAULIS CLARK DEVON HARDWARD CO 02/18/17 KALOGERAKOS & ASSOC 626 17WC 08452 VEGA, JUAN HOME PRODUCTS 02/17/17 ARGIONIS & ASSOCIATES LLC 627 17WC 08488 CUYA, SHERYL MORRISON HEALTHCARE 12/27/16 STEVEN J MALMAN & ASSOCIAT 628 17WC 08548 JAIMES, LORENZO WALGREENS 01/20/17 EPSTEIN, JACK R LAW OFFICE 629 17WC 08591 RICHARDSON, KIMBERLY ILLINOIS CENTRAL SCHOOL B 01/07/17 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 630 17WC 08612 MASON, RAYMOND J&M TILE, INC 02/16/17 GREGORIO & MARCO RODDY LAW LTD 631 17WC 08642 MCKINLEY, JENNIFER WAL-MART STORES INC 01/19/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 632 17WC 08660 KIRKWOOD, LATONIA ELITE STAFFING 03/10/17 DWORKIN AND MACIARIELLO 633 17WC 08714 O'CONNOR, TANYA EASTER SEAL 11/19/15 GOLDFEIN LAW OFFICE PC 634 17WC 08763 PERRY, LOUIS A AMERICAN AIRLINES, INC 09/07/15 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 635 17WC 08783 SALGADO, EMMANUEL STAFF RIGHT 03/03/17 JONATHAN SCHLACK 636 17WC 08814 HERNANDEZ, REGINA ILLINOIS TOOL WORKERS INC 03/09/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 637 17WC 08850 SIMONE, JEFFREY J IL SECRETARY OF STATE @ 10/31/15 CIFELLI SCREMENTI & DORE C. FLETCHER 638 17WC 08879 WATKINS, GARDNER CITY OF CHICAGO 07/26/16 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 639 17WC 08916 CHRISTOU, STEFANIA M ALEXIAN BROTHERS MEDICAL 07/29/16 FIGLIOLI, DAVID POWER & CRONIN LTD 640 17WC 08939 FIGUEROA, JEANNETTE ACUITY BRANDS LIGHTING IN 09/07/16 ANKIN LAW OFFICE 641 17WC 08957 BANUELOS, ROSA M WEBER-STEPHEN PRODUCTS LL 02/27/15 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 642 17WC 08990 BALTSEREN, TSOGTBAYAR IGAL CAB CO 02/22/17 LAW OFFICE RYAN ROSENTHAL 643 17WC 09054 ALVAREZ, FELIPE VILLAGE OF FOREST PARK 04/11/14 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 644 17WC 09120 MORALES, NOLBERTA FILTRAN, LLC 03/07/17 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 645 17WC 09141 FERRERI, JOSEPH ST ALBERT THE GREAT 01/24/17 CULLEN HASKINS NICHOLSON 646 17WC 09164 DAVIS, JENEAN CROSSMARK 03/21/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 647 17WC 09184 RODELA, GLORIA TRIVEDI HOSPITALITY LLC 08/22/16 HENNESSY & ROACH PC 648 17WC 09216 WYNER, ERIC L SR MAD DASH, INC 11/02/16 RICHARD E ALEKSY HOLECEK & ASSOCIATES 649 17WC 09255 ORTIZ, ARGELIA ALTERNATIVE STAFFING 08/19/16 SALVATO & O'TOOLE SLAVIN & SLAVIN 650 17WC 09288 BRAVO, AIDA PEPE'S 03/06/17 COSTA IVONE LLC GILDEA & COGHLAN 651 17WC 09313 WARE, BRENT FORD MOTOR COMPANY 01/17/17 LAW OFFICE OF SCOTT B SHAP 652 17WC 09425 TORRES, SALVADOR ASSEMBLERS INC 01/12/17 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 653 17WC 09453 WOJCIECHOWSKI, GREGORY A BARTLETT FIRE PROTECTION 12/18/15 THOMAS W DUDA POWER & CRONIN LTD 654 17WC 09486 MARTINEZ, MARGARITA CITY OF CHICAGO/ 01/14/17 LANNON LANNON & BARR LTD 655 17WC 09539 DELGADILLO, ENRIQUE CHICAGO HIGHLANDS CLUB 01/14/17 ANESI OZMON RODIN NOVAK KO 656 17WC 09604 WOODS, DEWAYNE LABOR READY MIDWEST, INC 03/01/17 ANKIN LAW OFFICE 657 17WC 09645 BURNETTE, VICTORIA MARRIOTT RESIDENCE INN 01/16/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 658 17WC 09701 SHALL, ROBERT AMERICAN FAMILY HEATING 04/01/14 BOGUSZ & BOGUSZ LTD 659 17WC 15560 SILICEO, MELISSA UPS 06/13/16 SALVATO & O'TOOLE ASA LAW GROUP 660 17WC 16563 SIQUEIROS, CORDERO THOMAS AVERUS, INC 05/16/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 661 17WC 16582 ROMBERG, JACOB N TRI STATE METAL COMPANY 04/20/17 ANKIN LAW OFFICE 662 17WC 16596 HAYDEN, JEFFREY HOME DEPOT 05/25/17 STEPHEN G PINTO LTD 663 17WC 16614 MOSES, CANDICE ARDAGH GROUP 04/26/17 ROMANUCCI & BLANDIN 664 17WC 16658 MCMANUS, MICHAEL ADVANCED AUTO PARTS 11/07/15 TRAPP & GELLER GOLDBERG SEGALLA LLC 665 17WC 16677 GERVASIO, LARRY HINCKLEY SPRINGS 02/12/16 MARKER & ASSOCIATES CHILTON YAMBERT PORTER LLP 666 17WC 16705 KLINGER, SEAN PATRICK COOK COUNTY SHERIFF'S DEP 05/06/17 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 667 17WC 16744 ALVARADO, EVANGELINA UNIFIRST CORPORATION 11/09/16 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 668 17WC 16771 RIVERA, JULIO PRECISION POUCHES 05/17/17 CHEPOV & SCOTT LLC 669 17WC 16819 BAVONE, MIKE JEWEL OSCO 04/07/17 MARKER & ASSOCIATES 670 17WC 16872 GARCIA, ALEXANDER EKLIND TOOL COMPANY 09/28/15 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 671 17WC 16892 OWENS, DAVID WHOLE FOODS MARKET 11/16/16 HORWITZ HORWITZ & ASSOC 672 17WC 16919 CHRONOS, JOHN UNITED AIRLINES 03/12/16 STELZMAN, RUTH 673 17WC 16955 NOCLEG, RAFAL GREENWOOD SERVICE CENTER 01/16/17 O'CONNOR & NAKOS 674 17WC 16990 SONOWO, OLADADO UBER TECHNOLOGIES DBA UBE 06/01/17 POMPER & GOODMAN 675 17WC 17054 COLLINS, HELEN CHILDREN'S HOME & AID SOC 05/18/17 DWORKIN AND MACIARIELLO 676 17WC 17076 MC LAURIN, CORNELL CTA 05/16/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 677 17WC 17106 MURANSKY, JOHN COUNTRY CLUB HLS SCHL DIS 01/05/15 ARENDS & CALLAHAN MC ANDREWS & NORGLE LLC 678 17WC 17115 NEAL, JONATHAN DA'S DELI & DINING 05/21/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 679 17WC 17136 SMITH, SHARON D UNIVERSITY OF CHICAGO 04/30/17 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 680 17WC 17177 EVANS, JORDAN KINDRID CHICAGO CENTRAL H 05/27/17 JAMES ELLIS GUMBINER & ASS ARNETT LAW GROUP 681 17WC 17209 AQUINO, WILLIAM CITY OF CHICAGO 05/29/14 VITELL & SPITZ LTD SCOPELITIS GARVIN LIGHT 682 17WC 17221 LUJAN, NAZARIA MCDONALDS 01/23/17 LEONARD LAW GROUP LLC 683 17WC 17241 MCCAULEY, SHIRLEY CTA 06/02/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 684 17WC 17308 BELL, KENYATTA A STEP UP CAREER ACADEMY 05/30/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 685 17WC 17323 BALVOA, ROQUE ZLG CONSTRUCTION INC 05/17/17 TAXMAN POLLOCK 686 17WC 17373 KRUEGER, BERNIE PROFESSIONAL BUSINESS 04/25/17 RUBIN MACHADO ROSENBLUM 687 17WC 17405 SPILLANE, BRIAN ILLINOIS STATE POLICE @ 07/18/15 RIDGE & DOWNES 688 17WC 17417 CABRERA, RICARDO LAS TABLES 05/16/17 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 689 17WC 17517 GEBREAB, FIREWEINI WESTLAKE COMMUNITY HOSPIT 01/04/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 690 17WC 17588 AUGUST, JAMES COOK COUNTY JUVENILE 03/05/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 691 17WC 17629 NUNN, JAMES SET ENTERPRISES INC 05/23/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 692 17WC 17652 STIMAC, PAUL CITY OF CHICAGO 2FM 05/03/17 STEWART C ORZOFF 693 17WC 17690 ABRAMS, DONYEA CHICAGO SIGNATURE SERVICE 06/02/17 WARREN W MARK 694 17WC 17710 MENDZA, JOSEPH CITY OF CHICAGO 06/09/17 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 695 17WC 17731 KARIUKI, VERONICA THE IMPERIAL OF LINCOLN P 09/12/16 ROSS TYRRELL 696 17WC 17793 SCOTT, NORMAN ENTERPRISE RENT A CAR 02/22/17 NILSON STOOKAL GLEASON CAP KNELL & O'CONNOR 697 17WC 17819 HUGHES, CAROTEZ FORD MOTOR COMPANY 06/11/17 DWORKIN AND MACIARIELLO 698 17WC 17853 CREAL, SANDRA CIRCLE K 10/29/16 THOMAS LAW 699 17WC 17899 ELTMAN, CHARLES ALBERT INSTALLATIONS 01/12/17 POLANSKY & CICHON CHTD 700 17WC 17920 TAYLOR, ROSE ALLTOWN BUS CO 02/15/17 JAMES ELLIS GUMBINER & ASS 701 17WC 17931 LEWIS, SHARAIN SOUTHWEST AIRLINES 06/12/17 GRAVLIN, MICHAEL J LLC HENNESSY & ROACH PC 702 17WC 17961 DELGADO, ENGRACIA EL MILAGRO 02/27/17 LEO ALT WIEDNER & MCAULIFFE LTD 17WC018329 -C 703 17WC 18084 GILBERT, MELINA SURE STAFF 02/28/17 AIOSSA LAW FIRM LOUIS MUNDY 704 17WC 18140 HUGHES, GWENDOLYN CITY OF CHICAGO - DEPT OF 06/15/16 NEWLAND & NEWLAND 705 17WC 18152 MCMILLAN, RANDY RELIABLE EXPRESS TRANSPOR 07/26/16 HUGHES SOCOL PIERS RESNICK MCANANY VANCLEVE & PHILLIPS 706 17WC 18189 SANCHEZ, ANA KAREN ALDEN ESTATES OF BARRINGT 04/18/17 EFTEKHARI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 707 17WC 18236 PORTER, REGINALD H&M INTERNATIONAL 05/02/17 HETHERINGTON KARPEL BOBBER KNELL & O'CONNOR 708 17WC 18290 JONES, JOYCE MONTGOMERY PLACE 05/03/17 DWORKIN AND MACIARIELLO 709 17WC 18367 TAMMO, GEWARGIS HOME DEPOT 02/16/17 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 710 17WC 18389 CRUSE, GARY UPS 01/17/17 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 711 17WC 18405 COLLINS, WILLIAM METROPOLITAN WATER RECLAM 09/21/15 O'CONNOR & NAKOS 712 17WC 18416 LANDRUM, PATRICIA MISERICORDIA 05/31/17 COSTA IVONE LLC 713 17WC 18434 BENNETT, LARREESE ANIXTER INC 05/25/17 DWORKIN AND MACIARIELLO 714 17WC 18463 CHAPARRO, HECTOR CHICAGO MARRIOTT NORTHWES 05/17/17 CUDA LAW OFFICES 715 17WC 18504 BAIN, ASHLEY ILLINOIS STATE POLICE 09/06/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 716 17WC 18542 COOMANS, DONNA UNITED AIRLINES 01/09/17 HEALY SCANLON LAW FIRM 717 17WC 18558 LAMPHIER, DANIEL F SR BULLEY & ANDREWS LLC 09/11/15 THEODORE L STACY 718 17WC 18577 CARDENAS, SANDRA DOVE'S LUNCHEONETTE 01/06/17 COSTA IVONE LLC 719 17WC 18635 BRABOY, EBONY MACY'S, INC 12/15/16 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 720 17WC 18689 PIGOUNAKIS, NIKOLAS ABRA AUTO BODY & GLASS 04/26/17 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 721 17WC 18740 ERICKSON JR., JOHN M. IHC CONSTRUCTION CO, LLC 12/16/15 RUBIN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 722 17WC 18748 BROWNER, CHRISTINE AUTO WAREHOUSING INC 06/07/17 FRIEDMAN & SOLMOR LTD MEACHUM & STARCK 723 17WC 18822 HERNANDEZ, MARK DART CONTAINER 12/21/16 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 724 17WC 18881 FIGUEROA, TERESITA AMMERAAL BELTECH 02/10/17 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 725 17WC 18932 MOORE, STEPHANIE G CHICAGO BOARD OF EDUCATIO 05/17/17 KARP & ELLIS LAW DEPARTMENT 726 17WC 18948 WORDLAW, JEROME ARYZTA LLC 02/11/17 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 727 17WC 18993 LOSASSO, PARTRICK CLEARWATER POOLS 06/14/17 MARTIN L GLINK LAW OFFICE COZZI & GOGGIN-WARD 728 17WC 19068 ESPINOSA, JUAN OLD ISLAND CONSTRUCTION 06/01/17 BUDIN LAW OFFICES 729 17WC 19089 DYNAK, JAN CITY FOODS INC 09/12/14 TOPPER & WEISS LTD 730 17WC 19106 COLLINS, CHRISTINE KORELLIS ROFFING 06/05/17 SHELDON I MINKOW & ASSOCIA 731 17WC 19122 CARRADA, JORGE RODE WELDING SERVICES 04/22/17 KATZ FRIEDMAN EAGLE ET AL 732 17WC 19154 HOWARD, JANAE UPS 06/19/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 733 17WC 19178 TORRES, GRISELDA ELITE STAFFING INC 06/14/17 AIOSSA LAW FIRM 734 17WC 19202 COOMAN, TRAVON ILLINOIS STATE POLICE @ 02/10/16 TAXMAN POLLOCK 735 17WC 19220 BRYSON, JESSICA A CHICAGO TRANSIT AUTHORITY 04/23/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 736 17WC 19246 HOLMES, LISA AURORA PACKING 03/23/17 ANGELINI & ORI LLC 737 17WC 24500 JOHNSON, BRIAN CITY OF CHICAGO * 07/27/17 GOLDSTEIN AIOSSA & GOOD 738 17WC 25184 HERRERA, ARIEL MENARDS * 06/01/17 ABELS & ANNES, PC 739 17WC 25288 PINEDA, ALLAN TOWN OF CICERO * 07/24/17 JOHN E LUSAK 740 17WC 25824 O'HARE, KIMBERLY ATI PHYSICAL THERAPY * 09/20/16 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 741 17WC 25844 LEE, SHENIA GATE GOURMET * 05/14/17 DWORKIN AND MACIARIELLO 742 17WC 25867 WILLIAMS, CLIFTINA CROSSFIRE GROUP, LLC * 08/14/17 LAW OFFICES OF HERBERT ABR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 17WC 25900 PICHARDO, MARIA ACCURATE PERSONNEL LLC * 04/03/17 ANKIN LAW OFFICE 744 17WC 25904 ROVER, CHUBBY CITY OF CHICAGO * 08/29/17 ANKIN LAW OFFICE 745 17WC 25917 RICHARDS, PATRICK ALIX PARTNERS, LLP * 03/03/16 HENNESSY & ROACH PC 746 17WC 25950 GUDEWICZ, MARIA ARCHER ADVISORS, LLC DBA * 06/23/17 BELLAS & WACHOWSKI 747 17WC 25999 HAYES, GEORGE SOUTHWEST AIRLINES * 03/23/17 RONALDSON & KUCHLER HENNESSY & ROACH PC 748 17WC 26022 BUCIO, ROBERTO LATINO MEAT & PRODUCE INC * 08/18/17 749 17WC 26049 CHILDRESS, CHRISTOPHER E VILLAGE OF ROSEMONT * 03/06/17 MC HARGUE, JAMES P LAW OFF LITCHFIELD CAVO 750 17WC 26088 AVILA, EFRAIN PIZZERIA UNO * 08/20/17 ELFENBAUM EVERS & AMARILIO 751 17WC 26138 ROSS, ROD MARON ELECTRIC COMPANY * 06/22/17 THOMAS J STIBERTH LAW OFFI 752 17WC 26159 WAICKUS, JOSEPH M UPS * 11/16/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 753 17WC 26195 HARRIS, ERICA CHICAGO TRANSIT AUTHORITY * 08/29/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 754 17WC 26224 NOA, MILVIA THE GROVEOF LA GRANGE PAR * 08/29/17 COSTA IVONE LLC 755 17WC 26252 ALDRIDGE, AGNES ALDEN PRICETON REHAB & HE * 01/18/17 HERRERA LAW CENTER 756 17WC 26268 GARCIA, ARTURO DOERING LANDSCAPING * 07/19/17 CULLEN HASKINS NICHOLSON 757 17WC 26287 VASQUEZ, ROBERTO SKOLNIK INDUSTRIES INC * 08/30/17 COVEN LAW GROUP 758 17WC 26317 GUERRERO, GABRIEL CONTRACTOR ACCESS * 08/15/17 GOLDSTEIN BENDER & ROMANOF 759 17WC 26337 ALBANO, MARC CHICAGO FIRE DEPT * 07/21/17 WILLIAM S. WOJCIK LTD 760 17WC 26371 PARRA, EDUARDO ARAMARK UNIFORM SERVICES * 07/28/17 KARCHMAR & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 761 17WC 26389 PEPRAH, SAMUEL IDT CORPORATION * 08/29/17 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 762 17WC 26454 BATES, ANTHONY FROZEN ASSETS COLD STORAG * 08/10/17 CULLEN HASKINS NICHOLSON 763 17WC 26507 VERDICK, GALE AMERICAN AIRLINES * 06/20/17 ELFENBAUM EVERS & AMARILIO 764 17WC 26542 TORRES, CARLOS ARAMARK SERVICES * 08/15/16 O'CONNOR & NAKOS 765 17WC 26559 BURGESS, BRITTANNI CHICAGO TRANSIT AUTHORITY * 09/01/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 766 17WC 26578 PERRY, TAWANDA WALMART NEIGHBORHOOD MARK * 02/07/17 MC HARGUE, JAMES P LAW OFF 767 17WC 26596 WALLACE, ROBERT BLOCK & COMPANY * 08/21/17 DWORKIN AND MACIARIELLO 768 17WC 26619 HERNANDEZ, VINCENT IL DEPT OF TRANSPORTATION * 09/04/17 DWORKIN AND MACIARIELLO 769 17WC 26651 TATE, ASHANTE ALDI STORES-EVETGREEN PAR * 07/12/17 SAUNDERS CONDON & KENNY 770 17WC 26666 LOCKHART, LORRAINE CHICAGO PUBLIC SCHOOLS * 05/08/17 BRIAN J MC MANUS & ASSOC, 771 17WC 26697 KIRK, TROY DAILY HERALD * 03/04/16 DWORKIN AND MACIARIELLO 772 17WC 26741 O'DONNELL, DANIEL RUSH TRUCK CENTER * 08/30/17 ANKIN LAW OFFICE 773 17WC 26781 SIMPSON, WILLIAM UNITED PARCEL SERVICE * 08/22/17 KUMLIN & FROMM ASA LAW GROUP 774 17WC 26812 FOCHS, DANIEL CLEVELAND MARBLE MOSAIC C * 08/21/17 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 775 17WC 26854 CHMIELEWSKI, ADAM US VENTURE, INC * 08/02/17 SALVATO & O'TOOLE 776 17WC 26871 MOORE, GREGG D CITY OF CHICAGO STREETS * 08/31/17 WILLIAM MARTAY 777 17WC 26944 HASIER, MICHAEL S INTERTEK - PSI * 04/28/17 VITELL & SPITZ LTD 778 17WC 26962 BOYD, VICTORIA A CHICAGO TRANSIT AUTHORITY * 09/13/17 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 779 17WC 26978 HADEED, ARAFAT KISWANI TRUCKING, INC * 01/09/17 KATHERINE A. CARDENAS 780 17WC 27063 LEE, MARTESA CHICAGO TRANSIT AUTHORITY * 09/08/17 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 781 17WC 27106 SANTOW, ELIZABETH UNITED AIRLINES * 09/28/16 KATZ FRIEDMAN EAGLE ET AL 782 17WC 27144 CASTILLA, ANIBAL CHICAGO PUBLIC SCHOOLS * 08/04/17 ANKIN LAW OFFICE 783 17WC 27165 GARRETT, AKITA CTA * 09/05/17 FOHRMAN, DONALD W & ASSOCS 784 17WC 27189 HARRIS, TAMMIE FEDEX * 09/06/17 BARRY STEWART SILVER 785 17WC 27248 KASHYAP, ANOOP WEBER-STEPHENS PRODUCTS L * 12/23/14 TEWS THEISEN & THEISEN 786 17WC 27268 JEROSKI, RICHARD INSURANCE AUTO AUCTIONS I * 04/19/16 DWYER AND COOGAN 787 17WC 27286 SECUNDINO, EDGAR ADVOCATE CHRIST MEDICAL C * 05/25/17 SMOLER LAW OFFICE, PC 788 17WC 27310 JIWANI, ANWAR CHICAGO CITY TAXI CAB * 09/02/17 SANDMAN LEVY & PETRICH 789 17WC 27326 LOGAN, MONIQUE SCR TRANSPORTATION * 08/12/17 MC HARGUE, JAMES P LAW OFF 790 17WC 27341 MARTINEZ, LORENZO THE W.J. MCGUIRE COMPANY * 10/24/15 BUDIN LAW OFFICES 791 17WC 27363 WALD, ROBERT CHICAGO HEIGHTS POLICE DE * 07/02/17 COVEN LAW GROUP 792 17WC 27411 ROGERS, DAVID FORT DEARBORN COMPANY * 05/11/17 GOLDBERG WEISMAN & CAIRO L 793 17WC 27441 RICHARDSON, YOLANDA CATHOLIC CHARITIES * 04/19/17 STEVEN J MALMAN & ASSOCIAT 794 17WC 27462 TRUJILLO, GERARDO LIFEWAY FOODS, INC * 01/05/17 RUEDA, IVAN A 795 17WC 27490 TRENDEL, MARY J JEWEL FOOD STORES INC. * 02/21/17 GRAUER & KRIEGEL LLC 796 17WC 27513 SINGLETARY, WILBERT FLEXIBLE TEMP SERVICE * 08/28/17 ROSENBERG EISENBERG ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 11/03/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 797 17WC 27539 HUERTA, ALDABERTO MIKE DITKA'S * 08/18/14 CAPUANI & SCHNEIDER 798 17WC 27558 LAMMEL, DEREK SKF RELIABILITY SYSTEMS * 02/27/15 KROL BONGIORNO & GIVEN LTD 799 17WC 27583 WINFORD, KEITH CITY OF CHICAGO * 06/30/17 SANDMAN LEVY & PETRICH 800 17WC 27612 AGUILAR, MARIA FROST CORP. * 07/26/17 MC HARGUE, JAMES P LAW OFF 801 17WC 27640 PUENTES, STEVENSON RICKHO JANITORIAL DBA * 08/28/17 BRILL & FISHEL 802 17WC 27658 GIBBS, KIRKLAND DELTA AIRLINES * 05/22/17 LEONARD LAW GROUP LLC 803 17WC 27713 ANDRUK, EUGENE W UNIVERSAL SECURITY CORP * 09/11/17 HORWITZ HORWITZ & ASSOC 804 17WC 27737 CLARK, JUANITA TOUCHPOINT SVCS * 08/28/17 STEPHEN G PINTO LTD 805 17WC 27755 MARTINEZ, MARY STATE FARM FIRE & CASUALT * 08/27/17 DEPAOLO ZADEIKIS GORE 806 17WC 27760 ANDRE LOVE CITY OF CHICAGO, DEPT OF * 08/07/17 BUDIN LAW OFFICES 807 17WC 27776 MCKINNIS, PAULETTE BASE CHILD CARE * 07/24/17 DWORKIN AND MACIARIELLO 808 17WC 27820 METOXEN, JOSEPH STATE OF ILLINOIS DEPT OF @ * 08/29/17 LEE, MARK N LAW OFFICE 809 17WC 27875 CUMMINGS, TIMOTHY UNIVERSITY OF CHICAGO * 09/16/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 810 17WC 27898 TURCIOS, MARVIN CITYWIDE DISPOSAL * 09/14/15 PETER D CORTI LAW GROUP 811 17WC 27920 MARTINEZ, MARCOS DINDERYONICS * 07/17/17 LAW OFFICES ROBERT WARSASK 812 17WC 27950 PUMA, JESSICA PROSPECT AIRPORT SERVICES * 09/01/17 GOLDSTEIN BENDER & ROMANOF 813 17WC 28014 FRASCATI, DONNA COVERALL NA, INC * 02/20/17 ASHER, RAYMOND L LTD 814 17WC 28052 SAMUELS, LAWRENCE KAY MANUFACTURING * 08/12/17 JAMES ELLIS GUMBINER & ASS

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