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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 09WC 21951 ZOROVICH, GREG (ADMIN OF AMERICAN STEEL WORK INC # 05/06/09 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 16 09WC 23496 PYTER, LINDA WIDOW OF PENSKE TRUCK LEASING 07/17/08 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 09WC024298 -C 11WC004191 -C 17 09WC 29656 DEZORT, ROGER KING CUT CONCRETE CUTTERS 06/26/09 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 18 09WC 34769 HEARD, ROBERT, ESTATE ADM MPC 05/06/09 MARC J SHUMAN & ASSOCIATES HINSHAW & CULBERTSON 10WC036743 -C WOODARD COVERING 19 09WC 43782 GARCIA, NEREIDA HOLIDAY INN CHICAGO MART 09/05/09 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 20 10WC 02646 ACEVEDO, RAFAEL FED EX GROUND 01/13/10 MINKOW DOMIN KOPKA, PINKUS DOLIN, PC 21 10WC 10576 FRENCH, ROBERT M ALTER DESIGN BUILDERS LLC 04/13/07 GHANTOUS LAW OFFICES, LTD RODDY LAW LTD 22 10WC 15617 BRAMBILA, MARIA INTEGRATED INDUSTRIES COR 11/18/09 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 23 10WC 22660 PENNINGTON, CHERIE EDWIN G FOREMAN HIGH SCHO 05/06/10 WOLFE LAW PC LEAHY EISENBERG & FRAENKEL 24 10WC 24794 MARTINEZ, JESUS PROGRESSIVE LOGISTICS 06/08/10 SALK, STEVEN B & ASSOC LTD THOMAS & ASSOCIATES 25 10WC 25842 SHELTON, RALANCE USI EXPRESS W 05/04/10 CHARLES LEVY & ASSOC LTD STEVEN O. HAMILL 26 10WC 31052 PASKE, KERRI LETTUCE ENTERTAIN YOU D/B 05/30/10 KELLEY, KELLEY & KELLEY NOBLE & ASSOCIATES PC 27 10WC 37791 19B KRCHMERY, KEN CONTINENTAL AIRPORT EXPRE 08/16/10 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 28 10WC 38521 PELIVANOVIC, LIILJANA OUR LADY OF RESURRECTION 08/20/10 ARNOLD & KADJAN KEEFE CAMPBELL & ASSOC LLC 10WC038522 -C 10WC044279 -C 12WC010959 -C 13WC023804 -C 29 10WC 38703 CATALANO, VINCENZO ST. ADALBERT CEMETERY 08/30/10 LAW OFFICE TIMOTHY LAMPINE MC ANDREWS & NORGLE LLC 30 10WC 39277 NAIMOLI, ANTHONY J ST OF IL DEPT OF TRANSP @ 09/16/10 THE FITZ LAW GROUP MATTHEW LICAVOLI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 11WC 09178 19B-1 MCCAREY, PATRICK STATE OF ILLINOIS CENTRAL @ 12/12/10 HEALY LAW FIRM ASSISTANT ATTORNEY GENERAL 32 11WC 14521 BENITEZ, CARMEN MENARDS 02/14/11 CRONIN & PETERS RODDY LAW LTD 33 11WC 17399 HURTADO-VELAZQUEZ, AUDIEL ROSEMONT LANDSCAPING 04/13/11 RUBENS AND KRESS HUGHES SOCOL PIERS RESNICK & 34 11WC 27170 SHIELDS, RONIKA CTA 07/05/11 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 35 11WC 32167 REGALADO, JUAN CAROL BUDDIG & CO 07/20/11 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 36 11WC 40272 GOODRICH, SCOT COOK DUPAGE TRANSPORTATIO 09/27/11 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 37 11WC 40834 KEBURIS, MICHAEL 2020 EXHIBITS INC W 09/19/11 BAUM RUFFOLO & MARZAL LTD 38 11WC 41349 YEEND, DAVID SOI DEPT OF HUMAN SRVS @ 10/20/11 CUDA LAW OFFICES MATTHEW LICAVOLI 13WC026015 -C ST OF IL DEPT OF HUMAN SER 13WC027905 -C STATE OF ILLINOIS/DEPT OF 39 11WC 41606 PEREZ, ANA M PROVIDIAN STAFFING CORP W 09/13/11 SALK, STEVEN B & ASSOC LTD SEGAL MCCAMBRIDGE SINGER MAH 11WC041607 -C 13WC031759 -C 40 11WC 41946 OLVERA, REYNA HINES/DBA APPETIZER INC/ 04/01/10 ACEVES & PEREZ PC GRANT & FANNING 41 11WC 47286 CONNER, LASHONDA D AVON PRODUCTS INC 06/22/11 TIMOTHY LAMPINEN HOLECEK & ASSOCIATES 42 12WC 00143 JORDON, CLINET W UNIVERSITY OF CHICAGO 10/24/10 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 12WC025195 -C 43 12WC 06793 ALEJANDRE, RAFAEL ALPHA OMEGA PLASTICS COMP 01/20/12 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 44 12WC 09630 LYNN, MARK ST OF ILL DEPT OF 01/03/12 GOLDBERG WEISMAN & CAIRO L ASST ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 12WC 09744 19B MECHERLE, BRIAN WIDE OPEN WEST LLC 03/07/12 JOHN F GREGORIO & ASSOC HOLECEK & ASSOCIATES 12WC027277 -C 46 12WC 13576 GUERRERO, MARIA PRESBYTERIAN HOMES 03/21/12 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 12WC044104 -C MORRINGS OF ARLINGTON HTS 47 12WC 15411 19B KUSH, FRANK CHICAGO HEIGHTS FIRE DEPT 04/17/12 COVEN LAW GROUP DEL GALDO LAW GROUP LLP 48 12WC 24047 MORENO, LEOPOLDO ACCELLENT 09/28/11 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 49 12WC 24359 WHITEHEAD, MICHAEL UNIVERSITY OF CHICAGO 12/06/10 JAMES A. THOMAS NYHAN BAMBRICK KINZIE & LOWR 50 12WC 25981 LOW, LAUREN M AMERICAN EAGLE 02/24/12 THOMAS R LICHTEN GAROFALO SCHREIBER STORM 51 12WC 29809 ZARATE, CONCEPCION RUPARI FOOD SERVICE 06/06/12 RUBIN MACHADO ROSENBLUM BORGELT POWELL 13WC004966 -C 52 13WC 04372 ORTIZ, ANTHONY MERCURIO CARPET & TILE 05/12/12 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 53 13WC 06714 HAMILTON, MICHAEL A NATION PIZZA PRODUCTS 09/17/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 54 13WC 10456 TRIPOLI, PATRICK ALLAN J COLEMAN & COMPANY 02/22/13 KARCHMAR & STONE CAPUANI, FRANK S 55 13WC 10968 BATIO, PAUL NORSHORE CAB CO A/K/A 12/23/12 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 56 13WC 11242 CREAL, JAYNE PACE SUBURBAN BUSS 03/04/13 MARSZALEK AND MARSZALEK SLAVIN & SLAVIN 57 13WC 12204 PAPPOUS, PANAGIOTIS RICHARDS & WYER CONSTRUCT 05/22/12 LOUIS G ATSAVES, LTD THOMAS & PORTELA 58 13WC 12535 SOKOLOWSKI, PHILIP IL DEPT OF TRANSPORTATION @ 01/29/13 ANGELINI & ORI LLC MATTHEW LICAVOLI 59 13WC 19051 MURPHY, MICHELE C CHICAGO TRANSIT AUTHORITY 02/01/13 FOHRMAN, DONALD W & ASSOCS 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 BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 13WC 20448 RIVERA, RICARDO KOCH FOODS 02/04/13 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 13WC024162 -C JCG INDUSTRIES INC 61 13WC 21421 MURDOCK, KATHY ADDUS HEALTHCARE 12/13/12 DAVID W MARTAY HENNESSY & ROACH PC 14WC036019 -C 62 13WC 22097 SMITH, REGINALD CTA 06/25/13 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 63 13WC 22198 SUAREZ, HECTOR JERNBERG INDUSTRIES 04/07/13 CUDA LAW OFFICES HOLECEK & ASSOCIATES 64 13WC 22765 SPADAVECCHIA, MICHAEL FEDERAL EXPRESS 11/21/11 LANCASTER, DEBORAH 65 13WC 28083 KING, TIMOTHY CTA 07/22/13 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 66 13WC 32923 VAN BEVEREN, BARB J & L COMMERCIAL 02/06/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 67 13WC 34213 LUTHMAN, DAVID J THR BROKERAGE IL DBA 09/12/13 PATRICOSKI, MARK G GRANT & FANNING 68 13WC 34984 FIQUEROA, JEOVANNY ALTERNATIVE STAFFING, INC 09/13/13 SALK, STEVEN B & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 69 13WC 35416 GARCIA, CHARLES J NAVY PIER INC 09/11/13 SOSTRIN AND SOSTRIN PC KNELL & O'CONNOR 18WC005656 -C 70 13WC 41154 BUTLER, ELIZABETH CORNER BAKERY 10/12/13 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 71 13WC 41198 MARTINEZ, JUAN LABOR POWER 11/21/13 JOHN S. ELIASIK GOLDBERG SEGALLA LLC 72 13WC 42161 JAMES, ANNIE JEWEL FOOD STORES 10/31/12 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 73 14WC 00310 EHIMWENMAN, PATIENCE FRESENIUS MEDICAL CARE 12/13/13 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 74 14WC 00347 LOPEZ DIAZ, IOVANNY OMAR TONY'S FINER FOODS 11/12/13 SALK, STEVEN B & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 75 14WC 00891 ASQUE, SHUROD FORD MOTOR CO 02/27/13 LEO ALT WIEDNER & MCAULIFFE LTD 76 14WC 01618 GARCIA, FRANCES OLIVE GARDEN 11/05/13 MICHAEL P MCCREADY & ASSOC 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 BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 14WC 02538 THOMAS, MARY ST OF IL DEPT OF @ 01/14/14 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 78 14WC 03972 ZIZUMBO, GLORIA ALOFT CHICAGO O'HARE HOTE 06/01/13 COSTA IVONE LLC GRANT & FANNING 15WC039151 -C 17WC015243 -C 79 14WC 05861 HERNANDEZ, FRANCISCO LIFEWAY FOODS INC 02/19/14 HART & DAVID LLP 80 14WC 12222 AKSOY, ESIN ADVOCATE CHRIST HOSPITAL 10/09/13 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 81 14WC 12304 CARPENTER, WILLIE MEYER STEEL & DRUM 03/13/14 SALVATO & O'TOOLE 82 14WC 12920 MEROW JARA, MARLENE HEARTLAND AUTOMOTIVE D/B/ 10/25/13 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC 83 14WC 13223 075 OCAMPO, MARINA HYATT REGENCY HOTEL 09/11/13 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 075 14WC013222 -C 84 14WC 15431 PARRA, JOHN CHICAGO TRANSIT AUTHORITY 04/09/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 85 14WC 15689 KUDLIK, MAREK JERNBERG INDUSTRIES INC C 12/02/13 COVEN LAW GROUP HOLECEK & ASSOCIATES 86 14WC 16266 19B TAYLOR, JACQUELINE CTA 05/05/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 87 14WC 17046 DZIEDZIC, BARBARA CARL BUDDIG & CO 02/12/13 BELCHER LAW OFFICE KNELL & O'CONNOR 18WC001234 -C 88 14WC 17315 RIOS, PEDRO A MC NICHOLS CO 08/02/13 GALLIANI DOELL & COZZI LTD LAW OFFICES FRANCESCA LARSEN 89 14WC 19440 OLVERA, MARVIN ST OF IL DEPT OF 01/10/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 90 14WC 20368 MARTINEZ, ROGELIO J.V. DIAMOND CLEANING SER W 05/26/14 JAMES ELLIS GUMBINER & ASS 91 14WC 20373 REID, MICHAEL A VILLAGE OF NILES 05/02/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 14WC025337 -C 15WC039043 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 92 14WC 21506 NEFF, MONICA SPEEDWAY 12/31/13 FRIEND LEVINSON & BERGAL KEEFE CAMPBELL BIERY & ASSOC 93 14WC 21598 VARALLO, RONALD M TRANSPORTECH LLC 03/21/14 RICHARD E ALEKSY HOLECEK & ASSOCIATES 15WC023861 -C 94 14WC 21620 HINZ, MARK TRINITY ROOFING 04/15/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 95 14WC 21708 DUFF, KEYA JCFS 01/20/14 CAPRON & AVGERINOS PC LAW OFFICES JOSEPH MARCINIAK 96 14WC 21992 O'CONNOR, JOHN ILLINOIS SECRETARY OF STA @ 03/14/14 WOODRUFF & JOHNSON JILL OTTE 97 14WC 22645 GIGGLEMAN, AMY L SCHOOL DISTRICT #148 03/11/13 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 98 14WC 22745 SMITH, JOHN M ED MINIAT INC 05/12/14 CRONIN & PETERS POWER & CRONIN LTD 99 14WC 23236 GARTLEY, FALLON ST COLLETTA'S OF ILLINOIS 03/13/14 BAUM RUFFOLO & MARZAL LTD 100 14WC 23654 SULLIVAN, KEITH PACE SUBURBAN BUS SERVICE 06/27/14 ANGELINI & ORI LLC SLAVIN & SLAVIN 16WC007927 -C 101 14WC 23939 RUIZ, GILBERTO LABRIOLA BAKING CO 03/20/14 MC HARGUE & JONES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 14WC 24452 THEOFILOPOULOS, OURANIA AMERICAN EAGLE AIRLINES 03/13/13 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 103 14WC 27109 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 01/19/11 BEVERLY QUEEN-THOMAS 16WC008925 -C 16WC015872 -C 16WC037489 -C BOARD OF EDUCATION 16WC037493 -C 17WC008099 -C BOARD OF EDUCATION CITY 17WC038110 -C 104 14WC 28678 TRAMBLE, RASHIDA CHICAGO TRANSIT AUTHORITY 08/04/14 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 105 14WC 32514 RODRIGUEZ, PATRICIA COMPASS GROUP 05/15/14 MILLON & PESKIN LTD GANAN & SHAPIRO 106 14WC 32523 BLACKBURN, SUSAN UNIVERSITY OF 08/15/14 LAW OFFICE OF SCOTT B SHAP POWER & CRONIN LTD 107 14WC 32979 DELAROSA, LOUIS AUTOMOTION INC 01/01/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 108 14WC 32989 GODINEZ, PETRA RON'S STAFFING SERVICE IN 06/17/14 OSVALDO RODRIGUEZ PC HENNESSY & ROACH PC 109 14WC 33838 RODRIGUEZ, VIRGINIA C.E. NIEHOFF & CO 09/18/14 SALK, STEVEN B & ASSOC LTD WOLFE & JACOBSON, LTD 110 14WC 33928 VALDEZ, PATRICIA PERSONNEL STAFFING GROUP 09/15/14 MC HARGUE & JONES KOREY RICHARDSON LLC 111 14WC 34076 PETERSON, ANTHONY CHICAGO TRANSIT AUTHORITY 09/22/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 16WC001040 -C 112 14WC 35085 SALIHOVSKI, SADET ADVOCATE CHRIST MEDICAL C 12/04/13 FOTOPOULOS, JOHN S NYHAN BAMBRICK KINZIE & LOWR 113 14WC 36034 ORTIZ, MINERVA DART CONTAINER OF MICHIGA 09/17/14 WEISS & WEISS LAW OFFICES GAROFALO SCHREIBER STORM 114 14WC 42510 DICKERSON, BRENETTA JOHN STROGER HOSPITAL OF 10/07/14 CHRISTINE F DAVID STATES ATTORNEY OF COOK COUN 115 14WC 42664 LOPEZ, LETICIA UNIVERSITY OF ILLINOIS 11/25/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 116 14WC 43078 DUNNE, JENNIFER JEWEL-OSCO AKA 07/09/13 BARRY E BLUMENFELD WIEDNER & MCAULIFFE LTD 117 15WC 00296 MC GOVERN, JAMES HBS MANAGEMENT CORP D/B/A 05/12/12 KARCHMAR & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 15WC 00412 RODRIGUEZ, IRINA MILLARD GROUP 12/22/14 MINKOW DOMIN RODDY LAW LTD 119 15WC 01301 TORREZ, RUBEN NAYLOR PIPE CO 10/21/14 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 15WC019747 -C 120 15WC 01619 LAWRENCE, ROBERT P PER MAR SECURITY & RESEAR 11/12/13 MEACHUM & STARCK 121 15WC 01738 ABARCA, LAURA MOST VALUABLE PERSONNEL I 06/17/14 CHEPOV & SCOTT LLC KOREY RICHARDSON LLC 122 15WC 06047 KHAN, YASIR MENARDS 04/07/14 CUDA LAW OFFICES CHILTON YAMBERT PORTER LLP 123 15WC 08879 MUENCH, RYAN UIC MEDICAL CTR PATHOLOGY 05/17/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 124 15WC 09379 RUEB, MEGAN YMCA OF METROPOLITAN 07/15/14 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 125 15WC 09513 WALUSZKO, ALOJZY TRANSPOL ONE INC @ W 01/15/15 CHEPOV & SCOTT LLC 126 15WC 10403 HALLMAN, CHERIE L STATE OF ILLINOIS - IMRP @ 02/26/15 WARREN W MARK ASSISTANT ATTORNEY GENERAL 127 15WC 10560 MITCHELL, GREG MEADE ELECTRIC COMPANY 03/18/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 16WC008881 -C 128 15WC 10771 LAROSA, JONATHAN CHICAGOLAND COMMISSARY LL 06/08/14 CULLEN HASKINS NICHOLSON 129 15WC 11157 GONZALEZ, TITO H. TIERRA ENVIRONMENTAL & 02/19/15 JONATHAN SCHLACK RODDY LAW LTD 16WC021487 -C 130 15WC 11463 MARCUS, THEODORE TITAN SECURITY SERVICES I 02/05/15 ANKIN LAW OFFICE 131 15WC 11847 SMITH, JAMES CHGO DEPT OF STREETS & SA 03/04/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 132 15WC 12090 SOSA, CRISTOBAL S TM DOYLE TEAMING INC, SUB 01/16/15 FERRIS THOMPSON & ZWEIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 15WC 12197 WILSON, ANTHONY J. SPEE-DEE COURIER, INC. 11/17/14 GREG TUITE & ASSOC LAW OFFICES OF EDWARD J. KOZ 134 15WC 15733 SHEAMON, NINOS COCA-COLA BOTTLING CO 02/20/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 15WC038706 -C 135 15WC 20605 BURGESS, CRAIG M VILLAGE OF OAK PARK 05/07/15 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 16WC016402 -C 136 15WC 21004 LYNCH, THOMAS AMERICAN AIRLINES INC 04/28/15 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 137 15WC 21032 ROEBUCK, NELLISA FORD MOTOR COMPANY 10/25/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 15WC030713 -C 138 15WC 21188 SALAYMEH, HUSSAM YELLOW CAB DBA TRUMP TAXI 06/17/15 JONATHAN SCHLACK 139 15WC 21299 CAMILIERE, JACK NICOR GAS 06/16/11 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 15WC021300 -C 15WC021301 -C 140 15WC 22172 DIAZ, ISRRAEL JCG INDUSTRIES, INC. 01/08/15 COSTA IVONE LLC INMAN & FITZGIBBONS 15WC025372 -C KOCH FOODS INC/ 141 15WC 22188 TAYLOR, ANTHONY STERIS CORPORATION 04/28/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 16WC016992 -C INTEGRATED MEDICAL SYSTEMS 142 15WC 22284 GOMEZ, RODOLFO MARISCOS EL VENENO #1 04/02/13 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 15WC022287 -C 143 15WC 22486 WILLIAMS, DOROTHY MARYVILLE ACADEMY 10/21/14 BOUDREAU NISIVACO LLC SMITH AMUNDSEN LLC 144 15WC 24577 KOLESSAR, PAUL ILLINOIS STATE POLICE @ 10/21/14 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 145 15WC 25004 URBAN, MICHELLE EISENHOWER COOPERATIVE 06/15/15 RATHBUN CSEVENYAK & KOZOL 146 15WC 29756 FIERRO, MICHELLE HOFFMAN ESTATES PARK DIST 06/28/15 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 147 15WC 29789 CASEY, JON VILLAGE OF SCHAUMBURG 08/20/15 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 148 15WC 29827 PEREZ, CARLOS PACTIV 08/28/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 149 15WC 30511 MOORE, MIKESIA RENEE HILTON WORLDWIDE INC 06/20/15 KARCHMAR & STONE 150 15WC 30535 KEENEY, KENNETH SHEEHY MAIL CONTRACTORS 11/17/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 151 15WC 30756 MOODY, DENNIS FORD MOTOR CO 08/23/15 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 152 15WC 30925 BROWN, LYNDA ALTA COLLEGES INC 08/19/15 THE ROMAKER LAW FIRM JOSEPH MARCINIAK 153 15WC 31212 SALGADO, SUSANA NATIONS PIZZA 06/03/15 LAW OFFICE OF SCOTT B SHAP MEACHUM & STARCK 154 15WC 31279 VELEZ, FELIX VICTOR TABLESCAPES 07/16/15 ROBERT H HANAFORD 155 15WC 31705 COLON, DALIA HISPANIC HOUSING 01/30/15 STROM, NEAL B LAW OFFICES JOSEPH MARCINIAK 156 15WC 32158 BRUMFIELD, ERNEST FELDCO FACTORY DIRECT LLC 06/07/14 STEPHEN G PINTO LTD GANAN & SHAPIRO 157 15WC 32357 RICHARDSON, REJEANA G HELP AT HOME, INC 09/24/15 KARNO, MARK L & ASSOC INMAN & FITZGIBBONS 158 15WC 32470 NAVA, ROSALVA COFI 08/29/15 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 159 15WC 32818 ARMSTRONG, LYNN M SAM'S CLUB 05/26/15 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 18WC005381 -C 160 15WC 32918 GOMEZ, JOSE JR PACTIV CORPORATION 09/18/15 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 161 15WC 33088 MEDINA, ALEJANDRO WHITE LODGING SERVICES CO 09/18/15 TOPPER & WEISS LTD WILSON ELSER 162 15WC 33345 MENDOZA, CHRISTOPHER SIR GROUT DBA 10/08/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 163 15WC 36674 HUSSAIN, AMREEN LINO'S RESTAURANT, 10/03/15 DEPAOLO ZADEIKIS GORE WOLF LAW LTD 164 15WC 39610 RUIZ-GUZMAN, LEONEL CENTRAL STEEL & WIRE COMP 09/16/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM 165 15WC 41281 NELSON, PATRICK COOK COUNTY JUVENILE PROB @ 11/24/15 MANDELL, GREGG STATES ATTORNEY OF COOK COUN 166 15WC 41292 TATE, JAVON DOLLAR TREE 12/01/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 16WC 00295 BRAYTON, JOHN NORTH SHORE UNIV HEALTH S 10/06/14 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 168 16WC 00497 HALL, SCOTT A COOK COUNTY SHERIFF 12/05/15 BUDIN LAW OFFICES STATES ATTORNEY OF COOK COUN 169 16WC 00657 GALVIN, MICHAEL AT&T DBA ILLINOIS BELL 08/13/15 FIGLIOLI, DAVID INMAN & FITZGIBBONS 170 16WC 00691 CIARAN, HURL FOUNTAIN TECHNOLOGIES LTD 01/06/16 HEALY SCANLON LAW FIRM JOSEPH MARCINIAK 171 16WC 00718 MCFALL, ALTON IW&G INC. 07/01/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 172 16WC 00801 KURDZIEL, TADEUSZ TEDS MSONRY CORP 11/25/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 17WC013788 -C 173 16WC 00873 MAYFIELD, DURRENDA ADVOCATE ILLINOIS MASONIC 12/16/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 174 16WC 00893 BRYSON, JESSICA A. CHICAGO TRANSIT AUTHORITY 12/01/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 175 16WC 00917 AYALA, MARTIN GE ZENITH CONTROLS AND 04/02/14 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 176 16WC 01032 GALLAGHER, MARGURET VISTING PHYSICIANS ASSOCI 12/10/15 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 177 16WC 01049 BENNETT, FLORA PEREDA MERIDIAN HEALTH PLAN 12/14/15 MARKS & ASSOCIATES 178 16WC 01346 CHAVEZ, FEBE SENIOR FLEXONICS 11/22/14 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 17WC004364 -C 179 16WC 01517 LIDDELL, TONYA C. CTA 01/10/16 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 180 16WC 01518 MULLARKEY, VINCE CITY OF CHICAGO DEPT OF 10/16/15 VLANTIS LAW LLC CITY OF CHICAGO 181 16WC 01851 DAWSON, STANLEY BURLINGTON COAT FACTORY O 04/04/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 182 16WC 02032 QUEALY,CAROL ST. JAMES HOSPITAL 08/10/15 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 183 16WC 02416 GASKEW, ALICE CHICAGO COMMONS 02/21/14 LAW OFFICES OF KIRK MOYER BRADY CONNOLLY & MASUDA PC 184 16WC 02519 KEEKY, MELVIN PARK PACKING 01/21/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 185 16WC 02737 LAWRENCE, VICTORIA CHIPOTLE MEXICAN GRILL 04/20/15 DWORKIN AND MACIARIELLO 186 16WC 02748 PLAMBECK, KENNETH HIGHWAY DEPT OF COOK COUN 03/18/13 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 187 16WC 02900 RIGDEN, JOHN NBC UNIVERSAL 01/31/14 CRONIN & PETERS SPIEGEL & CAHILL, PC 16WC002901 -C 16WC028838 -C 188 16WC 03021 HILL, SCOTT R CRAWFORD GRAIN INTL INC 10/11/15 BAUM RUFFOLO & MARZAL LTD CAPUANI, FRANK S 16WC003079 -C 189 16WC 03116 MCCOY, JOEY D MIDCO INTERNATIONAL 10/21/15 GALLIANI DOELL & COZZI LTD BRYCE DOWNEY & LENKOV LLC 190 16WC 03306 GORDON, FRANCIS WEST CARE FOUNDATION 12/08/15 SHELDON I MINKOW & ASSOCIA 191 16WC 03340 MENDALA, MARGARET WOLFS BAKERY 01/28/16 SKLARE LAW GROUP JOSEPH MARCINIAK 192 16WC 03598 DELAROSA, ESMERALDA MIDWAY BLDG SERVICES 01/24/16 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 193 16WC 04802 ADAN, MACARIA N COOK COUNTY DEPT OF 07/20/15 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 16WC018052 -C 194 16WC 04848 BENAVIDES, RODRIGO M WILD SYMPHONY, LLC 10/15/15 PETER K LEE & ASSOCIATES 195 16WC 10558 JUNG, LORETTA QUEST FOOD MANAGEMENT SER 09/22/14 VASILATOS & COTTER LLC COZZI & GOGGIN-WARD 196 16WC 10805 ORR, LISA ENVOY AIR INC/AMERICAN EA 04/02/16 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM 197 16WC 10894 JIMENEZ, LILIANA DART CONTAINER 02/23/16 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 198 16WC 11240 WINSLOW, ANGELA DART CONTAINER CORPORATIO 07/12/15 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM 199 16WC 11251 TATUM, WILLIAM CHICAGO TRANSIT AUTHORITY 03/18/16 RIDGE & DOWNES CHICAGO TRANSIT AUTHORITY 200 16WC 11292 KAPAROV, KYIALBEK FLASH CAB COMPANY 02/19/16 VRDOLYAK LAW GROUP LLC 201 16WC 11315 LOTT, CURTIS MARINA CARTAGE INC 02/24/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 202 16WC 11530 RYAN, RENEE CHICAGO PUBLIC SCHOOLS 03/24/16 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 203 16WC 12080 GARCIA, JUNA ALPHA BAKING CO. INC. 11/06/15 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC 204 16WC 12154 JORDAN, LUCILE SOLE SURV STATE OF IL/ CHICAGO-REED @ 04/10/16 ANKIN LAW OFFICE STEPHANIE KEVIL 205 16WC 12180 PLUNKETT, JASON D DHL SOLUTIONS 07/20/15 LAW OFFICES TIMOTHY LAMPIN GAROFALO SCHREIBER STORM 206 16WC 12253 GARCIA-PASTRANA, CIRA MCDONALD'S 03/05/16 HART & DAVID LLP 207 16WC 12283 ROBERTS, MARILYN CLUB DEMONSTRATION SVCES 04/03/16 FIGLIOLI, DAVID ALLEN & NEWMAN 208 16WC 12328 RIAN, RICHARD FEDERAL EXPRESS 04/22/13 BOUDREAU NISIVACO LLC HANSON LAW OFFICE 209 16WC 12379 THEOFANOPOULOS COOK COUNTY SHERIFF 04/12/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 210 16WC 12403 BROWN, LYLA FORD MOTOR CO 05/22/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 211 16WC 12609 HODZIC, ABDULAH CHICAGO PUBLIC SCHOOLS 03/30/16 ANKIN LAW OFFICE 212 16WC 12740 BALEGH, HAMDY LMB FOODMART, INC. W 12/07/14 TAMVAKIS, GEORGE L CRONIN & PETERS 213 16WC 12795 SORIANO, TERESA ALSCO 02/01/16 EPSTEIN, JACK R LAW OFFICE ADELSON TESTAN BRUNDO 214 16WC 13155 SNEAD, DAVID IDOT @ 12/01/09 CIFELLI SCREMENTI & DORE 215 16WC 13453 MIMS, MICHAEL STATE OF IL, IL WORKERS @ 02/26/16 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 216 16WC 13475 MOORE, CAROL CHICAGO TRANSIT AUTHORITY 04/20/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 217 16WC 13595 SANCHEZ, AUGUSTINE ASPLUNDH TREE EXPERT CO. 04/11/16 GOLDBERG WEISMAN & CAIRO L KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 16WC 13617 JOSE, MARTINEZ FLEXIBLE STAFFING 06/12/13 ROSS J HELFAND 219 16WC 13641 ZAMUDIO, EFRAIN TOOTSIE ROLL INDUSTRIES 11/09/15 MICHAEL P MCCREADY & ASSOC NYHAN BAMBRICK KINZIE & LOWR 16WC015364 -C 220 16WC 13815 LAMPKIN, MARIAN CHICAGO TRANSIT AUTHORITY 04/20/16 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 221 16WC 13883 WILLIAMS, CRYSTAL NAMASTE LABORATORIES 11/10/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 222 16WC 15674 EDWARDS, DANIEL E NFI 02/29/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 223 16WC 19282 19B KALTER, DAVID M HAZCHEM ENVIRONMENTAL COR 01/08/16 DAVID W MARTAY HENNESSY & ROACH PC 224 16WC 20887 BLAKE, JUSTIN CONCRETE STRUCTURES OF 04/11/16 LAWRENCE M MACK LITCHFIELD CAVO 225 16WC 20985 SAMP, PAUL CONTINENTAL AIR TRANSPORT 06/24/16 GOLDBERG WEISMAN & CAIRO L GALLIANI DOELL & COZZI LTD 226 16WC 21184 BERTRAND, MARIE BALLARD NURSING HOME 06/29/16 ROSENBERG EISENBERG ASSOC LAW OFFICES FRANCESCA LARSEN 16WC021185 -C 227 16WC 21251 BRITT, JANICE DOLLAR GENERAL 05/31/16 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 228 16WC 21379 WENTLAND, CHARLES F ASCHER BROTHERS 06/20/12 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 16WC021380 -C 229 16WC 21408 BURNETT, ALEXUS FORD MOTOR COMPANY 05/11/16 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 230 16WC 21575 OSMOLSKI, JENNIFER THE CHICAGO CLUB 06/08/15 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 231 16WC 21665 DOUGHTY, SCOTT WIRTZ BEVERAGE IL LLC 09/22/15 GORDON LAW OFFICES LTD NYHAN BAMBRICK KINZIE & LOWR 232 16WC 22084 RUSSELL, ANTWON VILLAGE OF BURHAM 07/01/16 GREGORY T MITCHELL RUSIN & MACIOROWSKI LTD 233 16WC 22202 OUSLEY, CHARLES CTA 07/08/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 234 16WC 22656 MALDONADO, VICTOR SUPREME LOBSTER & SEAFOOD 05/23/16 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 16WC 22678 GNUTEK, CATHERINE COOK COUNTY CIRCUIT COURT 06/10/16 KARCHMAR & STONE STATES ATTORNEY OF COOK COUN 236 16WC 22852 CHANG, NATHAN LONG HORN STEAK HOUSE 01/14/16 CUDA LAW OFFICES WIEDNER & MCAULIFFE LTD 237 16WC 22995 SWANN, BRIAN MIDWEST FOODS 05/27/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 238 16WC 23078 HEARD, JAMES ATKORE INTERNATIONAL 04/14/16 FINE, MARK S LAW OFFICES 239 16WC 23173 GOMEZ, FELIPE APEX AKA PLG PUGSLEY & 04/16/16 HART & DAVID LLP 240 16WC 23483 ALFARO-ZAVALA, GRISELDA MAINTENANCE PLUS 12/21/13 LAW OFFICE EDWARD RUEDA 241 16WC 23523 WILSON, LOIS A CHICAGO PUBLIC SCHOOLS 05/06/16 CHEPOV & SCOTT LLC LAW DEPARTMENT 242 16WC 23571 FIGUEROA, JOSELYN N FINANCIAL MANAGEMENT SYST 07/22/16 LAW OFFICE OF SCOTT B SHAP 243 16WC 23695 KLEIN, ANGELA FEDEX TRADE NETWORK 06/02/16 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 244 16WC 23959 JACKSON, TIARRA N CHICAGO TRANSIT AUTHORITY 07/22/16 ANKIN LAW OFFICE 245 16WC 27331 NASH, GREGORY CTA 07/22/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 246 16WC 30968 WOLFE, DAMIEN SCHNEIDER TRANSPORTATION 09/19/16 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 247 16WC 31010 GINSBURG, NANCY A HANSON FASO SALES & MARKE 09/11/16 SLAVIN & SLAVIN LAW OFFICES JOSEPH MARCINIAK 248 16WC 31024 MEYERS, WILLIAM B WILLIAM B MEYERS & ASSOC, 10/09/13 WILLIAM B MEYERS, LTD 249 16WC 31028 TAYLOR, VICTORIA CTA 10/03/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 250 16WC 31147 ROBINSON, LAMONT A LABOR READY 09/08/16 SOSTRIN AND SOSTRIN PC 251 16WC 31198 GARCIA, FELIPE AMERICAN AIRLINES 04/02/16 VRDOLYAK LAW GROUP LLC 252 16WC 31231 BELL, LAMONT NEXUS EMPLOYMENT SOLUTION 10/10/16 HUGHES SOCOL PIERS RESNICK RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 253 16WC 31343 AGUAYO, MARTHA G&K SERVICES 03/24/16 LAW OFFICE OF JAMES URTIS POWER & CRONIN LTD 254 16WC 31389 IBANEZ, ROSA MOLON MOTOR AND COIL CORP 06/06/16 THOMAS LAW LAW OFFICES OF EDWARD J. KOZ 255 16WC 31431 GOROSPE, RICARDO Z ARYZTA 06/29/16 OTUBUSIN & ASSOC PC 256 16WC 31501 OCTARIVERA, LEONIDES ALBANY STEEL BRASS CORP 09/23/16 MARC J SHUMAN & ASSOCIATES WOLFE & JACOBSON, LTD 257 16WC 31645 HOSSAIN, RAKIB SHILLA TRANSPORTATION 09/10/16 FISHER & LAMONICA 258 16WC 31823 WILLIAMS, HELENE ELITE STAFFING 10/07/16 POMPER & GOODMAN 16WC038434 -C 259 16WC 31986 SANDERS, KELLI LYNN NORTHWEST SCHOOL DISTRICT 08/31/16 MARC PEKAY WIEDNER & MCAULIFFE LTD 260 16WC 32015 BROWN, DAVID QUALITY SAW AND SEAL 09/27/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 261 16WC 32145 DAVIS, LONYEA S CHICAGO TRANSIT AUTHORITY 10/02/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 262 16WC 32198 JAIME, ERIC OLD ISLAND CONSTRUCTION I 08/04/16 LEAHY, JAMES P LAW OFFICES JOSEPH MARCINIAK 263 16WC 32216 RAMIREZ, MARGARITA METRO STAFF, INC 09/29/15 GOLDSTEIN BENDER & ROMANOF FRANCIS J DISCIPIO LAW OFFIC 16WC032217 -C 264 16WC 32268 LOVE, FELICIA WALGREEN CO 07/02/16 COVEN LAW GROUP GILDEA & COGHLAN 265 16WC 32643 HEARON, CAMILLA ARAMARK 10/03/16 COSTA IVONE LLC INMAN & FITZGIBBONS 266 16WC 32686 ENGLERTH, ERIN M SWIC 12/14/15 267 16WC 32717 ROBINSON, CHIQUITA DA LOBSTA 09/29/16 LEONARD LAW GROUP LLC 268 16WC 32851 BONET, ANGEL MAINES PAPER & FOOD SERVI 10/26/13 MICHAEL SHIN 269 16WC 32990 HOLLOWAY, CHARLES KERRY INGREDIENTS & FLAVO 09/27/16 CHRISTIAN & MANNO STONE & JOHNSON CHARTERED 270 16WC 33151 SANCHEZ, LAUREANO ELITE STAFFING 05/19/16 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 271 16WC 33176 MEYER, MICHAEL VILLAGE OF NORTHBROOK 06/22/16 RIDGE & DOWNES 272 16WC 33452 HERNANDEZ, ADALBERTO RAMIREZ & SONS, INC 09/19/16 HART & DAVID LLP 273 16WC 33617 KLICH, EWELINA NEW ALBERTSON'S INC D/B/A 08/05/16 LEWIS & DAVIDSON, LTD BRADY CONNOLLY & MASUDA PC 274 16WC 33664 ISAD ISSE, ADAM FLASH CAB CO 10/13/16 LAW OFFICES YEVGENIY VAYSM 275 16WC 33707 LINDHOLM, PAUL CHICAGO TRANSIT AUTHORITY 06/10/15 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 16WC037393 -C 276 16WC 33719 ARANDA NEGRETE, JOSE J ROBLE FAMILY INC DBA 10/20/16 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM 277 16WC 34114 TRUCHAN, JAN PREMIER DELIVERY, INC 02/10/16 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 278 17WC 00238 MILLER, DONNA M NORTH BERWYN SD #98 11/30/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 279 17WC 00320 BROWLEY, CURTIS REYES GREAT LAKES COCA CO 01/10/11 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 280 17WC 00332 MITCHELL, SHELLEY HEARTLAND BLOOD CENTER 12/21/16 GRAZIAN & VOLPE PC MEACHUM & STARCK 281 17WC 00444 NEAL, GODWIN J SOUTHWEST AIRLINES CO 12/18/16 ANKIN LAW OFFICE 282 17WC 00558 MCINTOSH, ROLAND G DOORDASH INC 11/03/16 283 17WC 00601 PACHECO, RICHARD CITY OF CHICAGOWATER DEPT 10/20/16 WILLIAM MARTAY CITY OF CHICAGO 17WC026312 -C 284 17WC 00641 BRACEY, VERONICA ANN & ROBERT H LURIE 08/01/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 285 17WC 00679 CRAVEN, E'LAINA FAITH A EPSTEIN & SONS 03/03/16 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 286 17WC 00734 FLORES, CELIA GDI SERVICES, INC 10/08/16 CHEPOV & SCOTT LLC MEACHUM & STARCK 287 17WC 00761 FALEWICZ, ANDRZEJ LAPHAM HICKEY STEEL 07/20/16 MACIEJ J ORDON 288 17WC 00857 KABELIS, JOE JUDLAU 09/15/16 KURASCH & KLEIN, LTD THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 289 17WC 00927 TIJERINA, JESUS SHRED-IT USA LLC 09/28/16 ANKIN LAW OFFICE KNELL & O'CONNOR 290 17WC 00946 AGUIRRE, JUAN P REPUBLIC SERVICES INC 12/08/16 BUDIN LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 291 17WC 00987 LEON, ERNESTO LKQ CORPORATION 06/23/14 LAW OFFICES LEONARDO MORAL BRYCE DOWNEY & LENKOV LLC 292 17WC 01030 VAFAKHAH, JAMAL AEROTEK 12/14/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 293 17WC 01086 CEDENO, JOSE CHICAGO TRANSIT AUTHORITY 01/05/17 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 294 17WC 01110 PYKE, DANIEL NAPLETON'S LINCOLN 12/28/16 LEONARD LAW GROUP LLC RODDY LAW LTD 17WC001352 -C 18WC003460 -C 18WC007236 -C 295 17WC 01131 PUERTA, ERNESTO RON STAFFING 01/27/16 EFTEKHARI LAW OFFICES GAROFALO SCHREIBER STORM 296 17WC 01185 SULLIVAN, CLAUDE E JEWEL FOODS 05/27/16 ANESI OZMON RODIN NOVAK KO 297 17WC 01303 GALLEGOS, RAUL C.M.L. 03/17/16 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 298 17WC 01427 OLSON, EDWARD HOME DEPOT 01/29/15 BAUM RUFFOLO & MARZAL LTD ADELSON TESTAN BRUNDO 299 17WC 01494 PEREZ-MARTINEZ, ANTONIO BUSY BURGER EMPIRE 05/30/16 STEVEN J MALMAN & ASSOCIAT RUSIN & MACIOROWSKI LTD 300 17WC 01505 LUCKETT, ARLICIA ED MINIAT LLC INC 10/25/16 VASILATOS & COTTER LLC POWER & CRONIN LTD 301 17WC 01527 JORDAN, LUTHER ADVOCATE HOME CARE PRODUC 09/21/16 VRDOLYAK LAW GROUP LLC 302 17WC 01627 THIELEN, STEVEN AT&T 12/11/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 303 17WC 01727 VARGAS, RODOLFO JR. CHICAGO TRANSIT AUTHORITY 10/24/16 SALVATO & O'TOOLE SALVATO & O'TOOLE 304 17WC 01793 PACHECO, LYDIA FEDERAL EXPRESS 10/01/14 BRAD J. BALKE, PC BRADY CONNOLLY & MASUDA PC 305 17WC 01863 PEREZ, FERNANDO NICOR GAS 09/14/16 WILLIAM MARTAY MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 306 17WC 01885 METCALF, KRISTY C FIRST GROUP AMERICA INC 12/16/16 ANKIN LAW OFFICE 307 17WC 01955 KEILMAN, KEVIN HAYES BEER DISTRIBUTING C 04/13/16 LEONARD LAW GROUP LLC RODDY LAW LTD 308 17WC 02022 SINCLAIR, MARGAREG ARAMARK 10/24/16 309 17WC 02051 HALL, ORETIAS CTA 12/15/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 310 17WC 02140 SCHULTZ, JOHN L AT&T 08/25/15 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 311 17WC 02202 TURNER, CANDICE M BWAY CORPORATION 10/14/15 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 312 17WC 02235 ZIBELL, WAYNE COOK COUNTY GOVERNMENT 01/04/17 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 313 17WC 02321 CRITES, SHARAE LUDEMAN DEVELOPMENTAL CEN @ 01/11/17 MC HARGUE & JONES ASSISTANT ATTORNEY GENERAL 314 17WC 02431 AMBROSE, TREMELL, WIDOW O TSL TRUCKING, INC #W 10/28/16 THOMAS J STIBERTH LAW OFFI JAY S. SHETH LLC 315 17WC 02451 HARGROVE, MERONICA SOUTHWEST AIRLINES 01/17/17 KARCHMAR & STONE 316 17WC 02472 TAYLOR, KIM COMMUNITY CARE CENTER INC 01/12/17 BOWMAN & CORDAY BRADY CONNOLLY & MASUDA PC 317 17WC 02593 MOL, GRZEGORZ ZIBBY'S STEEL WORKS CO 11/30/16 TAMVAKIS, GEORGE L 318 17WC 02813 MEDINA, ANA JUST IN TIME STAFFING LLC 09/28/16 CHEPOV & SCOTT LLC 319 17WC 02841 HALL, NATASHA CTA 12/16/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 320 17WC 02867 CARTER, YVETTE STATE OF ILLINOIS @ 11/25/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 321 17WC 02923 DUHR, JAMES E ABRA AUTO BODY & GLASS, L 01/12/17 ANKIN LAW OFFICE MEACHUM & STARCK 322 17WC 02990 SCAIFE, CYNTHIA CCDOC, CERMAK HOSPITAL 01/05/17 THE MACK LAW GROUP PC 323 17WC 03012 POLIT, LAURA SAVOR AT MCCORMICK PLACE 01/14/17 BURNES, EDWARD M

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 324 17WC 03044 GARZA, JAIME COOK COUNTY SHERIFF 01/25/16 HODES GREENSTEIN & LITWIN STATES ATTORNEY OF COOK COUN 325 17WC 03187 PRATER, TABITHA CHICAGO TRANSITY AUTHORIT 12/17/16 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 326 17WC 03247 FLOWERS, LAQWAN CHICAGO PUBLIC SCHOOLS 10/06/16 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 327 17WC 03365 HARRIS, ZSAKIEYA FORD MOTOR COMPANY 10/02/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 17WC003366 -C 17WC003367 -C 328 17WC 03422 LLOYD, PRISCILLA COOK COUNTY 12/04/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 329 17WC 07179 PERTEET, SULONA N SOUTH SHORE HOSPITAL 02/26/17 VITELL & SPITZ LTD 330 17WC 07232 ODGEN, TINA TSL TRUCKING INC #W 10/28/16 JOHN J CASTANEDA JAY S. SHETH LLC 331 17WC 07250 OCHOA, CANDI PANGEA REAL ESTATE 02/10/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 332 17WC 07269 YANEZ, ROSAURA UNISTAFF 02/02/17 HERRERA LAW CENTER LITCHFIELD CAVO 333 17WC 07391 MOORE, SHALONA JETHROE FORD MOTOR COMPANY 08/09/16 RATHBUN CSEVENYAK & KOZOL 334 17WC 07912 HAGGLUND, DANIEL C IL DEPT OF TRANSPORTATION @ 03/29/16 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 335 17WC 08161 MCGEE, PATRICK PALTINE POLICE DEPARTMENT 05/07/14 RONALDSON & KUCHLER POWER & CRONIN LTD 336 17WC 09997 VENTURA, ADRIANA STAFF RIGHT, LLC 03/07/17 COVEN LAW GROUP MC ANDREWS & NORGLE LLC 337 17WC 10016 PIZARRO, LYDIA M HOME GOODS INC 02/06/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 338 17WC 10044 NIELSEN, TIMOTHY CZARNOWSKI DISPLAY 02/05/17 RUSSO & RUSSO LTD NYHAN BAMBRICK KINZIE & LOWR 339 17WC 10118 AGUIRRE, CAROL ANN NORTHWESTERN MEMORIAL HOS 02/11/17 CAPRON & AVGERINOS PC 340 17WC 10375 KAREEM, JAMILLAH PROLOGUE INC 06/23/16 MEYERS & FLOWERS 341 17WC 10777 ATABBE, MOHAMMED AL PETE'S MARKET 10/01/16 FINE, MARK S LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 17WC 10927 DELAVEGA, RICHARD R COOK COUNTY SHERIFF'S POL 03/06/17 ARGIONIS & ASSOCIATES LLC INMAN & FITZGIBBONS 343 17WC 11011 MORENGO, OFELIA SPECIALTY PRINT COMMUNICA 09/10/16 GOLDSTEIN BENDER & ROMANOF EDWARD J. KOZEL 344 17WC 11097 KULINSKI, GERALD CHICAGO DEPT OF TRANSPORT 12/02/16 SALVATO & O'TOOLE 345 17WC 11261 FREESE, LEE FOX RIVER FOODS, INC 11/16/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 346 17WC 11276 HAYNES, VERNISHA D CHICAGO TRANSIT AUTHORITY 04/04/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 347 17WC 11291 WILLIAMS, ROBERT PACE SUBURBAN BUS 06/01/16 ANKIN LAW OFFICE 348 17WC 11301 DEAN, TERRA SCR TRANSPORTATION 02/02/15 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 349 17WC 11369 ROJAS, FLAVIO D&W FINE PACK LLC 02/16/17 OSVALDO RODRIGUEZ PC 350 17WC 11458 JUSTICE, EDREICK B ARCELOR MITTAL STEEL 03/13/17 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 351 17WC 11550 CHAVEZ, MARCELINO NICKELSON INDUSTRIAL SVCE 12/06/16 NILSON STOOKAL GLEASON CAP INMAN & FITZGIBBONS 352 17WC 11600 PAULY, TIMOTHY OLDCASTLE 02/08/17 PAUL MARZANO MEACHUM & STARCK 353 17WC 11718 GRANT, EDWARD RR DONNELLY 04/27/16 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 354 17WC 11799 ANTHONY, ERIC CAST & CREW PRODUCTIONS 03/07/17 BERG & BERG GRANT & FANNING 355 17WC 11803 LIZARRAGA, JESUS ADECCO STAFFING 08/22/16 MC HARGUE & JONES HENNESSY & ROACH PC 356 17WC 11915 DESZCZ, PAULINA SPORTS CLIPS 04/14/17 DWORKIN AND MACIARIELLO 357 17WC 11936 KONDILIS, JAMES COOK COUNTY SHERIFF'S OFF 01/11/17 LEO ALT STATES ATTORNEY OF COOK COUN 358 17WC 11973 CERVANTES, DELFINO FREEDMAN SEATING CO 11/19/16 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 359 17WC 12030 ESKRIDGE, WALTER PEOPLE'S GAS 03/23/17 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 17WC 12050 PIERSON, TIFFANY UNITED AIRLINES, INC 03/01/17 GREGORIO & MARCO BRYCE DOWNEY & LENKOV LLC 361 17WC 12183 RESENDEZ, INOCENSIA SOCIETY OF DIVINE WORLD 01/13/17 SEIDMAN MARGULIS & FAIRMAN 362 17WC 12260 BACHAS, ANASTASIA K CHICAGO PUBLIC SCHOOLS 01/19/17 RUBIN LAW GROUP 363 17WC 12622 CUTHBERTSON, JACOB INDUSTRIAL MATERIAL SUPPL 03/13/17 GREGORIO & MARCO HOLECEK & ASSOCIATES 364 17WC 12653 RODGERS, HOLLIS WALGREENS 04/25/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 365 17WC 12675 HARRIS, KEVIN UPS 11/28/16 CHASE & WERNER LTD NYHAN BAMBRICK KINZIE & LOWR 17WC012677 -C 18WC026053 -C UNITED PARCEL SERVICE 366 17WC 12762 BLANCAS, LATICIA QUEST FOOD MANAGEMENT SER 01/20/17 RUEDA, IVAN A 367 17WC 12870 HAWKINS, LAMAR JEWEL FOODS 04/27/17 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 368 17WC 12971 CLINE, ONNIE JR GATE GOURMET, INC 10/28/16 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 369 17WC 13033 WHEELER, STEVEN SOUTHWEST AIRLINES 12/01/16 KUMLIN & FROMM 370 17WC 13145 WALKER, KEYAH COOK COUNTY 01/12/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 371 17WC 13170 SALAS, ELEAZAR SCOPE INDUSTRIES/RECONSER 02/09/16 HOWARD S. KAVENOW LLC JOSEPH MARCINIAK 372 17WC 13232 DENT, DEBBIE AMERICAN AIRLINES 04/17/17 SAUNDERS CONDON & KENNY 373 17WC 13289 WALLACE, STACY FORD MOTOR COMPANY 03/27/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 17WC030995 -C 374 17WC 13342 OROYE, GBENGA DISPATCH TAXI 05/01/17 WEISS & WEISS LAW OFFICES 375 17WC 13371 REYNOLDS, DERRICK CHICAGO BOARD OF EDUCATIO 04/20/14 VRDOLYAK LAW GROUP LLC CHGO BOARD OF EDUCATION 376 17WC 13474 DUBLINO, CARMINE POWER CONSTRUCTION 05/25/16 TRAPP & GELLER WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 17WC 19718 VEAL, CHARLES ANIXTER 06/07/17 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 378 17WC 19782 CORREA REYES, MIGUEL ANGE CHICAGO AMERICAN 02/04/17 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 379 17WC 19896 MCNEAL, BROOKIE SCR MEDICAL TRANSPORTATIO 06/19/17 NYHAN BAMBRICK KINZIE & LOWR 380 17WC 19921 DILCE, CYLENCIA COMMUNITY SUPPORT SVCS 06/28/17 ANGELINI & ORI LLC 381 17WC 19977 HURD, KIMBERLY J CHICAGO TRANSIT AUTHORITY 06/23/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 382 17WC 19996 SONG, JONGCHAN CITY SPORTS 11/19/16 NEWLAND & NEWLAND JOSEPH MARCINIAK 383 17WC 20037 JONES, JANICE UNIVERSITY OF CHICAGO 06/23/17 GOLDBERG WEISMAN & CAIRO L 384 17WC 20123 SIMS, RITHA CITY OF CHICAGO- STREETS 06/21/16 NILSON STOOKAL GLEASON CAP 385 17WC 20253 STOVE, DON EASTERSEALS 06/21/17 JONATHAN SCHLACK JOSEPH MARCINIAK 386 17WC 20271 JADRON, ALEXANDRIA FEDEX 06/05/17 COVEN LAW GROUP KOPKA, PINKUS DOLIN, PC 387 17WC 20299 INSKO, DUSTIN MIDLAND GENERAL CONTRACTO 06/14/17 COVEN LAW GROUP LAW OFFICES OF EDWARD J. KOZ 388 17WC 20323 ANGONE, ANGELO S COOK COUNTY SHERIFF'S OFF 09/20/16 LAWRENCE A SCORDINO STATES ATTORNEY OF COOK COUN 389 17WC 20364 VILLALOBOS, SAMUEL ED MINIAT, LLC 04/10/17 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 390 17WC 20467 SANCHEZ, CECILIO J MEN'S WAREHOUSE 05/22/17 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 391 17WC 20527 THOMAS, EDWARD FORD MOTOR COMPANY 05/14/17 FOHRMAN, DONALD W & ASSOCS 392 17WC 20602 COOPER, JALEESA FORD MOTOR CO 10/17/14 DANIEL PERIASWAMY 393 17WC 20766 BACOYANIS, THEODORE E CHICAGO HOUSING AUTHORITY 08/07/14 WILLIAMS, ROBERT B LAW OFF QUINTAIROS PRIETO WOOD & BOY 394 17WC 20881 VALENCIANO, SANJUANA OMKAR, LLC D/B/A 06/03/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 17WC 20903 VARGAS, GUILLERMINA JUNO LIGHTING GROUP 06/22/17 STANCZAK LAW OFFICES SLAVIN & SLAVIN 396 17WC 20962 BERMUDEZ-LOPEZ, RAUL SCHOOL DISTRICT 59 06/14/17 ATSAVES, LOUIS G LTD 397 17WC 20989 DIAZ, ADDI SPECIALTY PRINT COMMUNICA 03/15/17 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ 398 17WC 21026 INIGUEZ, ANDREA I MATHER LIFEWAYS, LLC 05/17/17 OSVALDO RODRIGUEZ PC 399 17WC 21054 HOWARD, RENEE RAINEY UNITED AIRLINES 06/22/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 400 17WC 21072 BOSSMAN, DANIEL BELLA & IZA INC 06/09/17 LAW OFFICE RYAN ROSENTHAL 401 17WC 21172 STOKES, JOHN CHICAGO HEIGHTS POLICE DE 04/26/17 BOWMAN & CORDAY PETERSON JOHNSON & MURRAY 402 17WC 21194 BOYNE, HEYAN PECO PALLET 07/11/17 DWORKIN AND MACIARIELLO 403 17WC 21239 SNEED, ANDRE COOK COUNTY DEPT OF HIGHW 06/30/17 WILLIAM B MEYERS, LTD STATES ATTORNEY OF COOK COUN 404 17WC 21291 PACIORA, RENATA PRESENCE RESURRECTION MED 06/26/17 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 405 17WC 21382 MIRABELLA, CHRYSTINAM INGALLS MEMORIAL HOSPITAL 06/22/17 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 406 17WC 21452 CLARK, CASSANDRA CTA 07/20/17 FOHRMAN, DONALD W & ASSOCS 407 17WC 21463 KILLEEN, SEAN COOK COUNTY 04/16/17 BOWMAN & CORDAY STATES ATTORNEY OF COOK COUN 408 17WC 21546 INAYATULLAH, SYED AMERICAN TAXI DISPATCH IN 06/12/17 JAMES ELLIS GUMBINER & ASS BAUM RUFFOLO & MARZAL LTD 409 17WC 21640 CATRON, ROBERT CHICAGO FLAMEPROOF 02/16/17 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 410 17WC 21694 TORRES, JUAN RYDER TRUCK 10/31/16 MARSZALEK AND MARSZALEK 411 17WC 21810 WILLIS, JACQUELINE GOULD + RATTNER, LLP 06/14/17 ROSENFELD HAFRON SHAPIRO F 412 17WC 21847 STERLING, ROBYN BRIA HEALTH SVCS OF CHICA 11/27/16 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 17WC 21909 URZUA, MATILDE CTA 07/22/17 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 414 17WC 21934 TAGLIA, DANIEL ROCK RIVER VALLEY FLOORIN 05/26/17 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 415 17WC 21977 IVANOV, VICTOR M. SKYWAY CONCESSIONS 01/13/17 TAMVAKIS, GEORGE L 416 17WC 22020 JOVEL, WILLIAM MUNCH SUPPLY CO 10/10/16 R. MARK MARITOTE PC 417 17WC 22047 SKIPPER, THOMAS EMCOR SERVICES TEAM MECHA 01/09/17 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 418 17WC 22070 HENDERSON, JAMES STNDARD FORWARDING 06/07/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 419 17WC 22088 BUTLER, DONISSA C NORTHWESTERN MEMORIAL HOS 07/18/17 VITELL & SPITZ LTD 420 17WC 22196 SAPP, LYNETTE STERIS 06/22/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 421 17WC 22254 ROBINSON, MAURICE L MEIJER 07/13/16 MCGOVERN, JOSEPH M LAW OFF KNELL & O'CONNOR 422 17WC 22278 ROMERO, CRISTIAN SANGAM 07/28/17 SALVATO & O'TOOLE JOSEPH MARCINIAK 423 17WC 22401 GARCIA, HUGO ALFONSO ALL IN INSULATION LLC D/B 07/25/17 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 424 17WC 22459 AGUILAR, HUMBERTO SHAMROCK ELECTRIC 08/05/16 RUBIN LAW GROUP 425 17WC 22509 JACOBSEN, KARL COOK COUNTY SHERIFF DEPAR 05/25/16 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 426 17WC 22560 IRIZARRY, BETSY HEALTH LAB NORWESTERN 09/29/16 WOODRUFF & JOHNSON 427 17WC 22593 PIZZO, SILVIA MARY CHICAGO MARRIOTT HOTEL NW 07/31/17 CUDA LAW OFFICES HENNESSY & ROACH PC 428 17WC 22740 HYNES, MICHAEL ABS ELECTRIC 03/06/17 BARRETT & SRAMEK BRYCE DOWNEY & LENKOV LLC 429 17WC 22774 RUVALCABA, ARNULFO STARMONT MANUFACTURING, I 09/19/15 MENDOZA LAW PC JOSEPH MARCINIAK 430 17WC 22924 CARO, DAVID OLYMPIC OIL 05/23/16 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 17WC 29190 HUNT, SANFORD CITY OF CHICAGO POLICE DE 05/08/17 COHN LAMBERT RYAN & SCHNEI 432 17WC 29227 HOWARD, TORRIS UPS 09/11/17 TAXMAN POLLOCK NYHAN BAMBRICK KINZIE & LOWR 17WC029228 -C 433 17WC 29259 SANTANA, FRANCISCO LAKESHORE RECYCLING SYSTE 09/28/17 BRUSTIN & LUNDBLAD LTD NYHAN BAMBRICK KINZIE & LOWR 434 17WC 29285 PORTER, PHILLIPE TRILLIUM DRIVER SOLUTIONS 08/08/17 DAVID W MARTAY 435 17WC 29308 TATUM, QUINTIN CTA 09/24/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 436 17WC 29326 LEBICA, MAREK IDEAL BAKERY ENTERPRISES, 09/16/17 INJURY LAWYERS OF IL 437 17WC 29349 LEE, JOHN O'REILLY AUTO PARTS 09/27/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 438 17WC 29419 BARRON, ADRIENNE FORD MOTOR COMPANY 09/07/17 MC HARGUE & JONES POWER & CRONIN LTD 439 17WC 29438 GONZALEZ, PASTOR COACH USA MBT, LLC 05/06/17 KARCHMAR & STONE POULOS & DIBENEDETTO LAW 440 17WC 29478 JOSEPH, RACHEL JOHN H STROGER JR HOSPITA 11/26/15 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 441 17WC 29503 ISOM, JACQUELINE JEWEL 03/18/17 VASILATOS & COTTER LLC 442 17WC 29523 GARCIA, MIGUEL PRESCISION DIALOG 02/03/17 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 443 17WC 29543 CANTU, ESTEBAN OLD DOMINION FREIGHT LINE 11/10/16 FITZPATRICK & FITZPATRICK RODDY LAW LTD 444 17WC 29655 BRIDER, LINDA SCR MEDICAL TRANSPORTATIO 09/26/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 445 17WC 29761 KUCIA, CARRIE A SOUTHWEST AIRLINES 04/19/16 RONALDSON & KUCHLER HENNESSY & ROACH PC 446 17WC 29781 RADOMSKI, JAMES METROPOLITN WATER RECLAMA 12/21/16 THE ROMAKER LAW FIRM 447 17WC 29826 CARRENO, JORGE MARTINEZ COATING INTERNATIONAL INC 09/22/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 448 17WC 29840 JOSEPHS, ALEGRA NORTHWESTERN MEMORIAL 09/29/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 17WC 29859 GRYTSUNIAK, TETIANA ADDUS HOMECARE, INC. 08/14/17 PARAD LAW OFFICES PC HENNESSY & ROACH PC 450 17WC 29945 NAPOLEON, SALVATORE MARIANO'S 04/28/17 HORWITZ HORWITZ & ASSOC 451 17WC 29968 GOOSBY, JOSEPH ARENA FOOTBALL ONE LLC 08/26/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 452 17WC 29989 VALLADARES, MARLIN FEDERAL EXPRESS 09/06/17 CAPRON & AVGERINOS PC 453 17WC 30152 RAZNIAK, PIOTR COOK COUNTY SHERIFF 05/09/17 TAMVAKIS, GEORGE L STATES ATTORNEY OF COOK COUN 454 17WC 30225 VALDOVINOS, ANA BLOCK 24HR CHILDCARE CENT 04/06/17 HEALY SCANLON LAW FIRM 455 17WC 30267 ZAMUDIO, VERONICA XCEL STAFFING SOLUTIONS L 09/26/17 CHEPOV & SCOTT LLC POWER & CRONIN LTD 456 17WC 30293 PAGAN, FABIAN JEWEL OSCO 10/05/17 LAW OFFICE OF SCOTT B SHAP 457 17WC 30425 SMITH, CINNAMON NORTHWESTERN MEMORIAL HOS 09/19/17 HALIL HAMPTON 458 17WC 30438 RADTKE, BARBARA BANK OF AMERICA HOME LOAN 08/31/17 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 459 17WC 30551 FORD, DEBRA SCHOOL DISTRICT #159 05/22/17 WOODRUFF & JOHNSON ANCEL GLINK DIAMOND BUSH & E 460 17WC 30656 WEILAND, THOEDORE NEW HORIZON STEEL 09/27/17 O'CONNOR & NAKOS MEACHUM & STARCK 461 17WC 30676 CARTER, GRETA D PLS FINANCIAL SERVICES IN 04/26/17 ANKIN LAW OFFICE 462 17WC 30809 WINKLEMAN, JOSEPH A VILLAGE OF SKOKIE FIRE DE 09/18/17 FIGLIOLI, DAVID VILLAGE OF SKOKIE 463 17WC 30994 SANDOVAL, DANIEL JR JCPENNEY 06/10/17 BRISKMAN BRISKMAN GREENBER QUINTAIROS PRIETO WOOD & BOY 464 17WC 31106 STOKES, STELLA VILLAGE OF SOUTH HOLLAND 09/23/10 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 465 17WC 31128 ANDERSON, SHAWRON THE CHICAGO FIRE HOUR 08/21/17 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 466 17WC 31158 JONES, FRANK CITY OF CHICAGO DEPT 09/28/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 17WC 31173 SUTHARD, DAVID HOME DEPOT 05/02/17 JONATHAN SCHLACK ADELSON TESTAN & BRUNDO 468 17WC 31181 JOHNSON, REGINALD PROVISO EAST HIGH SCHOOL 09/13/17 CULLEN HASKINS NICHOLSON 469 17WC 31202 BARDEN, CODY LEV DIAGNOSTICS/MY TLCARE 11/12/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 470 17WC 31334 BOSWELL, CANDICE USIC 04/22/17 471 17WC 31369 JACKSON, TERRENCE CITY OF CHICAGO-WATER DEP 04/17/17 CANDIANO LAW OFFICE 472 17WC 31471 JACOBO, RAUL ANGELO CONSTRUCTION (DRYW 04/20/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 473 17WC 31561 KORGIS, ALBER DELTA HOTEL 10/12/17 INJURY LAWYERS OF IL WIEDNER & MCAULIFFE LTD 474 17WC 31615 CAMACHO, MARIANE BARRANCO INPAX SHIPPING SOLUTIONS, 10/18/17 SALK, STEVEN B & ASSOC LTD WOLF LAW LTD 475 17WC 31668 SMITH, ANGEL SCR TRANSPORTATION 10/03/17 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 476 17WC 31685 PHILLIPS, CHARLES ROD AND EJ TRUCKING, LLC 06/15/17 ANESI OZMON RODIN NOVAK KO 477 17WC 31720 BOURAS, CONSTANTINOS CHICAGO TRANSIT AUTHORITY 10/04/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 478 17WC 31782 DE LA FUENTE, WILLIAM COOK COUNTY SHERIFF'S DEP 06/09/17 BIZZIERI LAW OFFICES STATES ATTORNEY OF COOK COUN 479 17WC 31813 OKOWI, STEPHEN NECT 45, LLC 08/26/17 HUNER LAW OFFICES LLC 480 17WC 31871 PATTEN, JIMMY ARYZTA C/O CT CORPORATION 10/07/17 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 481 17WC 31904 GUERRA, ROBERT COOK COUNTY 07/04/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 482 17WC 31937 WARD, RANDALL S TCGRX PHARMACY WORKFLOW 10/16/17 MC HARGUE & JONES 483 17WC 31964 NEWBAUER, KEITH BIG FISH ENTERTAINMENT 03/21/17 LEO ALT RUSIN & MACIOROWSKI LTD 484 17WC 32027 OPLAWSKI, GEORGE COOK COUNTY SHERIFF'S DEP 10/12/17 KARCHMAR & STONE STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 17WC 32047 DANIELS, RAPFEW CHICAGO PUBLIC SCHOOLS/ 10/23/17 SOSTRIN AND SOSTRIN PC CHGO BOARD OF EDUCATION 486 17WC 32139 TORRES, VIRGINIA RJB PROPERTIES 09/28/17 BOTTO GILBERT 487 17WC 32193 DELITZ, BILLEY M CITY OF CHICAGO, A MUNICI 10/17/17 SALK, STEVEN B & ASSOC LTD 488 17WC 32218 DUGGAN, JULIA ELIM CHRISTIAN SERVICES 09/20/17 STANCZAK LAW OFFICES 489 17WC 32317 KROL, KRZYSZTOF WALLY'S PRECISION MACHINI 10/07/17 ALEKSY BELCHER ANCEL GLINK DIAMOND BUSH & E 490 17WC 32337 MIJANGOS, ANA MARIA HILTON GARDEN INN 07/13/17 KREITER, BYCK & ASSOC LLP LAWRENCE COZZI - LAW OFFICES 491 17WC 32361 CRUZ, ROBERTO CLEAR STAFF, INC 10/10/17 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 492 17WC 32366 SOTO, MARIO CTA 10/25/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 493 17WC 32387 PUMA, WILSON ALL ROOFING INC W 10/17/17 CHEPOV & SCOTT LLC 494 17WC 32579 HENDRIX-STEVENS, GARRETT CHICAGO TRANSIT AUTHORITY 10/31/17 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 495 17WC 32599 MARCUS, LYNN ALLIED UNIVERSAL 10/12/17 RUBIN MACHADO ROSENBLUM GAROFALO SCHREIBER STORM 496 17WC 32644 PEREZ, ANDRES TOWN OF CICERO 02/26/16 DAVID SZCZECIN & ASSOC 497 18WC 00313 MALLON, ELIZABETH A AMERICAN AIRLINES 11/11/17 SAUNDERS CONDON & KENNY 498 18WC 00467 MCDERMOTT, BENITA REPUBLIC AIRLINES INC 09/26/17 ANKIN LAW OFFICE EVANS & DIXON, LLC 499 18WC 00517 MILLER, KELLY FORD MOTOR COMPANY 04/24/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 500 18WC 00520 ESPINOSA, ANTHONY LOUIS GLUNZ BEER INC 12/27/17 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 501 18WC 00653 CHATMAN, TOMIKA CHICAGO TRANSIT AUTHORITY 01/31/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 502 18WC 00670 DIXON, GERMAIN MEADOWBROOK MANOR 12/13/17 CHRISTIAN & MANNO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 18WC 00759 WEIHER, JAMES A A&M PARTS, INC 02/03/15 KOSIN LAW OFFICE LTD GANAN & SHAPIRO 504 18WC 00782 LINDSEY, ANGELA COOK COUNTY 12/04/17 RUBIN MACHADO ROSENBLUM STATES ATTORNEY OF COOK COUN 505 18WC 00806 CARDENAS, RAFAEL JC RESTORATION INC 11/30/17 RUEDA, IVAN A RODDY LAW LTD 506 18WC 00847 JASUNAS, MICHELLE ZACATACOS 11/24/17 DWORKIN AND MACIARIELLO 507 18WC 00977 MONROY, LUCILLE AMERICAN AIRLINES 12/04/17 ALBERT R. PINO LAW OFFICE GAROFALO SCHREIBER STORM 508 18WC 01002 DELGADO-CAMACHO, MARTIN J&L FOOD SERVICES, INC 07/17/17 BUDIN LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 509 18WC 01019 HUFF, BONNIE OAK LAWN POLICE DEPARTMEN 10/16/17 ARGIONIS & ASSOCIATES LLC KEEFE CAMPBELL & ASSOC LLC 510 18WC 01042 ALVARADO, DENNIS RMB HEATING & COOLING INC 12/15/17 AIOSSA LAW FIRM LITCHFIELD CAVO 511 18WC 01094 CARTER, RAYLYN FORD MOTOR CO 07/25/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 512 18WC 01121 BETTIS, JENIFER UNITED CONTINENTAL HOLDIN 05/31/16 BRIAN J MC MANUS & ASSOC, 513 18WC 01140 GREEN-JERNIGEN, MELANIE STATE OF IL DEPTOF JUVENI @ 04/22/15 MEYERS & FLOWERS ASSISTANT ATTY GENERAL 514 18WC 01165 CARRENO, ALFREDO S & C ELECTRIC COMPANY 08/30/16 KAUFFMAN, NEIL & ASSOC MACIOROWSKI SACKMANN & ULRIC 515 18WC 01189 BROWN, MARCIA AMERICAN LIBERTY SCHOOL B 10/10/17 HUTCHISON ANDERS & HICKEY GALLIANI DOELL & COZZI LTD 516 18WC 01233 SIBAL, GLYNDA ADVOCATE LUTHERAN GENERAL 02/01/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM 517 18WC 01251 HOPKINS, WILLIAM CVS PHARMACY 12/02/17 GOLDSTEIN BENDER & ROMANOF 518 18WC 01269 RENDER, TENA SAVA 04/08/16 CAPRON & AVGERINOS PC 519 18WC 01295 CANCIALOSI, MARK CLAUSEN STRUCTURES, INC 07/21/17 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 520 18WC 01316 CERVANTES, MARIA HOME CHEF DBA RELISH LABS 09/28/17 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 18WC 01334 KOLOSCI, MARYLOU UNIVERSITY OF CHICAGO MED 09/01/14 MC HARGUE & JONES HENNESSY & ROACH PC 522 18WC 01487 ARRIAZA, FERMIN MILLWOOD, INC. 12/13/17 BART DURHAM KEEFE CAMPBELL BIERY & ASSOC 523 18WC 01504 ROACH, MICHAEL CONSOLIDATED HS DIST #20 08/23/17 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 524 18WC 01567 LINARES, JUAN ABLE SERICES 10/12/17 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 525 18WC 01606 TOLBERT, STACY UNIVERSITY OF CHICAGO 01/28/16 SEIDMAN MARGULIS & FAIRMAN 526 18WC 01612 ESQUIVEL, GALDINO PRIME BAR 12/05/17 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 527 18WC 01654 AMBROSIA, JOANNE AUTO ZONE PARTS INC 01/05/18 ANKIN LAW OFFICE 528 18WC 01659 SMITH, OSCAR ADVOCATE HEALTH & HOSP CO 06/25/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 529 18WC 01678 BUONAURO, SAM NASH BROTHERS 09/28/17 COVEN LAW GROUP 530 18WC 01703 RIVERA, JONATHON TENET CONCEPTS LLC 01/04/18 WHITESIDE & GOLDBERG LTD 531 18WC 01775 MALISIC, TATJANA PETE'S FRESH MARKET 10/19/17 MINKOW DOMIN KEEFE CAMPBELL BIERY & ASSOC 532 18WC 01822 MYERS, JANICE A IGALLS MEMORIAL HOSPITAL 12/29/17 NILSON STOOKAL GLEASON CAP 533 18WC 01938 STANFIELD, VONTESHA HAYMARKET CENTER 11/01/17 GOLDSTEIN BENDER & ROMANOF 534 18WC 01960 KASNY, ROCHELLE J BRIGHT HORIZONS FAMILY 11/27/17 LEWIS & DAVIDSON, LTD HOLECEK & ASSOCIAT0ES 535 18WC 02004 COTTON, DARNELL NORTHSHORE HOSPITAL 10/02/17 DWORKIN AND MACIARIELLO 536 18WC 02061 SMAGA, NICHOLAS OZINGA BROS, INC 06/09/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 537 18WC 02151 STRAUBE, BRANDON DHL 01/18/18 COVEN LAW GROUP 538 18WC 02213 HARDAWAY, REGINALD WEST LAKE HOSPITAL 12/24/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 18WC 02237 FARIAS, ERIC R RHINO CONSTRUCTION 11/16/17 FIGLIOLI, DAVID 540 18WC 02284 GRZYBOWSKI, ANDREW R INGREDION INC 01/12/18 THEODORE L STACY GAROFALO SCHREIBER STORM 541 18WC 02302 BRUNNER, MARK PERMAR SECURITY 09/08/17 COVEN LAW GROUP HOLECEK & ASSOCIATES 542 18WC 02378 RANGLIN, RICHARD ARENA FOOTBALL ONE LLC 08/15/15 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 543 18WC 02428 JONES, LORNA LABOR NETOWRK 12/11/17 GALLAGHER, DONALD V 544 18WC 02444 MATTHEWS, MELVIN NORTH AMERICAN SCHOOL BUS 01/17/18 ANKIN LAW OFFICE 545 18WC 02462 OLIVER, BARBARA CPS-HAINES ELEMENTARY 01/10/18 STROM, NEAL B CHGO BOARD OF EDUCATION 546 18WC 02481 SMITH, KESHEA TARGET 01/15/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 547 18WC 02502 SINANOVIC, INDIRA THE WESTIN O'HARE 11/13/17 EFTEKHARI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 548 18WC 02507 ELMORE, RASHONDA CTA 01/01/18 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 549 18WC 02548 HARPER, MARQUITA SOUTHEAST PERSONNEL LEASI 01/18/18 SKLARE LAW GROUP QUINTAIROS PRIETO WOOD & BOY 550 18WC 02563 BROWN, BRIAN UPS 12/20/17 LEONARD LAW GROUP LLC 551 18WC 02667 MIEDEMA, DANIEL GROOT INDUSTRIES 06/08/17 MILLON & PESKIN LTD 552 18WC 02715 CASTELLANO, RONALD O'REILLY AUTO PARTS 01/19/18 COVEN LAW GROUP HENNESSY & ROACH PC 553 18WC 02734 GOMEZ, LILLIANA SALVATION ARMY 01/24/18 SKLARE LAW GROUP RODDY LAW LTD 554 18WC 02773 CHATMAN, CANTRAIL DEBBIE'S CUSTOMIZED STAFF 12/21/17 GALLAGHER, DONALD V GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 18WC 02798 TIMMER, PAMELA NORTH PALOS ELEMENTARY SC 10/23/17 BUIKEMA HISKES DILLNER ET BRADY CONNOLLY & MASUDA PC 556 18WC 02898 AMUKAMARA, PRINCE CHICAGO BEARS FOOTBALL CL 08/27/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC002899 -C 557 18WC 02930 RUFFIN, NAOMI LIVE NATION WORLDWIDE INC 08/12/17 COSTA IVONE LLC 558 18WC 02949 JONES, LASHUNA ADVOCATE CHRIST MEDICAL C 11/30/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 559 18WC 02969 THUN, ALISA JEWEL OSCO 10/31/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 560 18WC 02993 PRICE, BRYAN K RON'S STAFFING SERVICES 09/27/17 RONALDSON & KUCHLER KOREY RICHARDSON LLC 561 18WC 03060 BUGG, MICHAEL MARIANO'S 01/21/18 SOSTRIN AND SOSTRIN PC 562 18WC 03097 KHADAR, MOHAMMED A O'HARE CAB CO.(AFFILIATIO 01/16/18 POMPER & GOODMAN 563 18WC 03186 JACKSON, KIM R SHIRLEY RYAN ABILITY LAB 12/12/17 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 564 18WC 03229 HARRISON, JOANN CHICAGO PUBLIC SCHOOLS 09/18/17 COHN LAMBERT RYAN & SCHNEI CHGO BOARD OF EDUCATION 565 18WC 03318 ROBINSON, KAYLA FIELDHOUSE JONES HOTEL 01/14/18 DWORKIN AND MACIARIELLO 566 18WC 03353 DIAZ, HUMBERTO ITS TECH & LOGISTICS 12/01/17 CONWAY LAW OFFICE 567 18WC 03400 DOMINGUEZ JUAN, ADELA LUPITA'S HISPANIC & AMERI 10/28/17 POLANSKY & CICHON CHTD 568 18WC 03418 STAPLES, ROY CHICAGO TRANSIT AUTHORITY 01/03/18 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 569 18WC 08009 RAMOS, LUZ MARIA FRESH EXPRESS 02/26/18 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 570 18WC 08816 BARRY, LARRY INTERNATIONAL PAPER 03/09/18 DEPAOLO & ZADEIKIS GOLDBERG SEGALLA LLC 571 18WC 08818 TAVERA, MARIO SUDZ ENTERPRISES, INC 03/21/17 JONATHAN SCHLACK HOLECEK & ASSOCIATES 572 18WC 09055 JOHN, ALWIN UNIVERSITY OF ILLINOIS CH 02/28/18 LEO ALT NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 18WC 09911 LINDER, BELLANGER CTA 03/29/18 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 574 18WC 10033 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 04/22/15 BEVERLY QUEEN-THOMAS 575 18WC 10056 BECORVA, GABRIELA HOME DEPOT 02/14/18 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 576 18WC 10120 KILPATRICK, KARLA ILLINOIS ACTION FOR CHILD 03/07/18 DAVID W MARTAY 577 18WC 10149 CARCOLES, JORGE JR K-COM TRANSPORT SERVICES 02/23/18 578 18WC 10178 HUDSON, CALVINA DELIVERY & DISTRIBUTION 12/08/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 579 18WC 10194 CARRASQUILLO, MARISOL FILTRAN, LLC 12/27/17 GALLAGHER, DONALD V BRADY CONNOLLY & MASUDA PC 580 18WC 10209 AVDIC, ASIM DPI DEDICATED LOGISTICS 12/03/17 COSTA IVONE LLC 581 18WC 10272 AUGUSTYNIAK, THOMAS COOK COUNTY FOREST PRESER 11/29/17 DAVID SZCZECIN & ASSOC FOREST PRESERVE DIST COOK CO 582 18WC 10295 WOJTOWICZ, TOMASZ UPS 02/02/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 583 18WC 10337 JUAREZ, GILBERTO REYES FLEET MANAGEMENT 03/17/18 LEONARD LAW GROUP LLC 584 18WC 10378 STEWART, ROBERT COOK COUNTY/JUVENILE TEMP 10/25/17 EDWARD L OSOWSKI STATES ATTORNEY OF COOK COUN 585 18WC 10422 SOUTHERN, NYLA SECURITAS SECURITY 03/27/18 DWORKIN AND MACIARIELLO 586 18WC 10469 CLARK, MICHAEL UNITED PARCEL SERVICE 10/30/17 ERIC H CHECK, LAW OFFICES ASA LAW GROUP 587 18WC 10492 MIKLOVIK, ROXANNA SOUTHWEST AIRLINES 05/09/17 CAPRON & AVGERINOS PC 588 18WC 10527 HIGGINS, WILEEN UBER 03/28/18 DWORKIN AND MACIARIELLO 589 18WC 10557 OCAMPO, MARTIN MULLENS FOOD PRODUCTS 03/15/18 STEVEN A CRIFASE, LTD GAROFALO SCHREIBER STORM 590 18WC 10582 DAMANI, KAMAT STUDIO MOVIE GRILL 03/13/18 MC HARGUE & JONES GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 591 18WC 10601 BELZESKI, ROBERT J BLOOM DISTRICT 206 10/05/17 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 592 18WC 10615 DAVIS, KATHELEEN ALDI, INC 10/16/17 CAPRON & AVGERINOS PC 593 18WC 10631 JONAS, JUDY LETTICE ENTERTAIN YOU 12/15/17 CULLEN HASKINS NICHOLSON NOBLE & ASSOCIAT0ES PC 594 18WC 10705 RODRIGUEZ, JASMINE TOTAL AIRPORT SERVICES 01/05/18 STYKA & STYKA 595 18WC 10741 GODOY, SANTOS CUSTOM MARBLE AND GRANITE 03/19/18 PETER D CORTI LAW GROUP 596 18WC 10760 PEARSON, LARRY V BEST BUY 03/14/18 FRIEDMAN & SOLMOR LTD 597 18WC 10780 SANCHEZ, ROSARIO HELP AT HOME INC 09/01/17 SOSTRIN AND SOSTRIN PC 598 18WC 10811 RAMIREZ, MARIA ALTERNATIVE STAFFING 01/09/17 HERRERA LAW CENTER SLAVIN & SLAVIN 599 18WC 10845 GARCIA, MARICELA LABOR TEMPS INC 01/24/18 ENCINAS & ORNELAS 600 18WC 10902 MCALLISTER, DOUGLAS IL SEPT OF TRANSPORTATION @ 07/12/17 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENERAL 601 18WC 10933 OJEDA, ELIZABETH MACY'S 10/25/17 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 602 18WC 10963 TRUJILLO, ROBERTO RCE GENERAL CONTRACTORS I 10/25/17 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 603 18WC 10995 CHACON, ISMAEL ADVACARE SYSTEMS, INC 02/21/18 CONWAY LAW OFFICE 604 18WC 11037 ABASTA, JAVIER AL WARREN OIL COMPANY INC 10/08/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 605 18WC 11055 MORRISSETTE, JOHN DB SCHENKER 01/18/18 LEONARD LAW GROUP LLC EDWARD J. KOZEL 606 18WC 11141 ESTRADA, REYES TAUBENSEE STEEL 01/11/18 COPLAN & CRANE, LTD EDWARD J. KOZEL 607 18WC 11156 HOLMES, LEWIS E NICOR GAS 04/06/18 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 608 18WC 11218 TURNER, DEANDRE FREEDMAN SEATING COMPANY 04/05/18 FRIEDMAN & SOLMOR LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 609 18WC 11281 ANTONIO, SAYURI MINEY THE CLEANING PEOPLE 04/03/18 DOUGLAS RALLO PC 610 18WC 11319 GARCIA ROJAS, RITA HYATT PLACE OHARE, LLC 01/20/18 STUART H GALESBURG 611 18WC 11352 VASILOPOULOS, ERIN M COOK COUNTY STATES ATTY O 01/25/18 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 612 18WC 11422 ZDEB, MATEUSZ LOWELL INTERNATIONAL FOOD 03/08/18 COSTA IVONE LLC 613 18WC 11480 DIAZ, MARIA ROSIN EYECARE 04/11/18 ENCINAS & ORNELAS MEACHUM & STARCK 614 18WC 11506 FORD, MICHAEL LKQ A-RELIABLE 03/07/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 615 18WC 11540 LASKO, PRZEMYSLAW L ALL MASONRY CONSTRUCTION 03/19/18 CORNFIELD & FELDMAN ACCIDENT FUND HOLDINGS 616 18WC 11560 RADA, KEITH B WASTE MGMT 11/23/15 ANESI OZMON RODIN NOVAK KO 617 18WC 11575 SUSTACHE, LISANDRA HOME DEPOT USA INC 04/02/18 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 618 18WC 11592 IBRAHIM, FATIMA M HYATT REGENCY CHICAGO 04/01/18 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 619 18WC 11611 COLEMAN, MICHAEL TOP TIER SAFETY INC. 03/28/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 620 18WC 11630 MC WRIGHT, JOHN METRO STAFFING 04/10/18 DWORKIN AND MACIARIELLO 621 18WC 11667 TARVER, ALVINA EAST LAKE MANAGEMENT & 02/01/18 COLLISON LAW OFFICES 622 18WC 11685 KLIMASZEWSKI, JAN AMCRAFT MFG, INC 01/31/18 LEWIS & DAVIDSON, LTD ARNETT LAW GROUP 623 18WC 11704 GRACIA, ENRIQUE ASSEMBLERS INC 02/23/18 COSTA IVONE LLC 624 18WC 11765 ALVAREZ, CARMEN PANDA EXPRESS 03/30/18 SHELDON I MINKOW & ASSOCIA RUSIN & MACIOROWSKI LTD 625 18WC 11863 ALVAREZ, JESUS GARCIA TRENDLER INC 03/14/18 HOWARD S. KAVENOW LLC RUSIN & MACIOROWSKI LTD 626 18WC 11917 OWOSENI, OYINKANSOLA LEEDA OF ILLINOIS 08/03/17 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 BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 627 18WC 11961 DIAZ, ANTONIO CHICAGO TRANSIT AUTHORITY 03/19/18 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 628 18WC 12013 011 BENTON, WILLIAM GCA SERVICES GROUP 03/08/18 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 011 18WC012012 -C 629 18WC 12037 HAIDARI, DAVOUD BEST TAXI RIDE, INC 03/25/18 HUNER LAW OFFICES LLC 630 18WC 12092 HOLMES, LINDA WESTCHESTER HEALTH & 04/14/18 GOLDSTEIN AIOSSA & GOOD ROBERT L. SMITH 631 18WC 12114 ALLEN, FANNIE FEDERAL EXPRESS 04/19/18 FOHRMAN, DONALD W & ASSOCS 632 18WC 12134 TEGLY, DANIEL CITY SERVICE TAXI 04/10/18 DWORKIN AND MACIARIELLO 633 18WC 12169 KLADIS, THEODORA NORTHWEST COMMUNITY HOSPI 01/08/18 HASSAKIS & HASSAKIS NYHAN BAMBRICK KINZIE & LOWR 18WC012191 -C 634 18WC 12211 SANCHEZ, JUAN FABTEC MANUFACTURING 02/14/18 STROM, NEAL B GILDEA & COGHLAN 635 18WC 12230 BLANCO, BRYAN EURO USA 01/29/18 JACKOWIAK LAW OFFICES 636 18WC 12242 CABANAS-CABRERA, ELIA LABOR NETWORK 04/30/15 JONAT0HAN SCHLACK 637 18WC 12266 MEDINA, ISRAEL MARKET CREATIONS-RIVER PO 04/17/18 COSTA IVONE LLC WOLFE & JACOBSON, LTD 638 18WC 12281 FLORES, GUADALUPE J TREND TECHNOLOGIES LLC 08/19/16 ARGIONIS & ASSOCIAT0ES LLC HENNESSY & ROACH PC 639 18WC 12296 ROBINSON, JOSEPH CITY OF BERWYN POLICE DEP 04/03/18 RIDGE & DOWNES CUDA LAW OFFICES 640 18WC 12332 IKE, RONALD D UNIVERSITY OF ILLINOIS AT 04/16/18 ANKIN LAW OFFICE POWER & CRONIN LTD 641 18WC 12369 WILLIAMS, BRYANT AM RETAIL GROUP, INC D/B/ 03/29/18 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 642 18WC 12388 SMITH JR., ELMORE CHICAGO PUBLIC SCHOOLS 10/12/17 VRDOLYAK LAW GROUP LLC 643 18WC 12426 OCAMPO, JONATHAN ALANIS AJ SERVICES INC 02/23/18 HERRERA LAW CENTER 644 18WC 12449 HUGHES, OTIS HOME DEPOT 03/23/18 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 645 18WC 12469 BROWN, ARION MERCHANDISING SERVICE CO 04/13/18 DWORKIN AND MACIARIELLO 646 18WC 12505 CAMACHO, YAMILETS DIVERSE FACILITY SOLUTION 04/09/18 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 647 18WC 12527 CASTRO, DANIEL LAMPIGNANO & SON CONSTRUC 03/27/18 COLLISON LAW OFFICES 648 18WC 12598 HERNANDEZ, JOSE CHICAGO PUBLIC SCHOOLS 04/05/18 CULLEN HASKINS NICHOLSON 649 18WC 12676 ROYSTER, DIANE THE CHICAGO TRANSIT AUTHO 09/18/17 WARREN W MARK CHICAGO TRANSIT AUTHORITY 650 18WC 12698 HALL, LARRY COOK DUPAGE TRANSPORTATIO 03/13/18 MAURICE E DUSKY PC 651 18WC 12749 DEBRA, FAZEKAS THE MENTA GROUP 04/24/17 VRDOLYAK LAW GROUP LLC 652 18WC 12812 RODRIGUEZ, MARIA BAGCRAFT 03/14/18 WILLIAM S. WOJCIK LTD 653 18WC 12834 PATINO, DANIELA PANERA 03/11/18 COLLISON LAW OFFICES 654 18WC 12862 FALCON, SELINA NATIONAL EXPRESS, LLC 04/05/18 KARCHMAR & STONE HENNESSY & ROACH PC 655 18WC 12893 PETERSON, CRAIG ARENA FOOTBALL ONE LLC 05/30/15 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 656 18WC 12922 KRUSE, DARLENE JEWEL OSCO 04/05/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 657 18WC 12968 BURNETT, ALMA PACE 04/19/18 TIMOTHY HENDERSON POWER & CRONIN LTD 658 18WC 13011 MALHORTA, RAJA UNITED CONTINENTAL HOLDIN 04/13/18 BRIAN J MC MANUS & ASSOC, 659 18WC 13026 IBARRA, NORMAN ILLINOIS DEPT OF @ 04/07/18 CAPRON & AVGERINOS PC ASSISTANT ATTORNEY GENERAL 660 18WC 13043 LARUCCI, JOSEPH N CITY OF CHICAGO/DEPT OF 02/20/18 ANKIN LAW OFFICE 661 18WC 13064 WASHINGTON, CEDRIC HERTZ RENT A CAR 04/13/18 BRISKMAN BRISKMAN GREENBER 662 18WC 13079 ROBLES, GUSTAVO MILLER CONCRETE CONSTRUCT 04/02/18 ARGIONIS & ASSOCIAT0ES LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 663 18WC 13109 HOWARD, CARLITA METROSOUTH MEDICAL CENTER 03/22/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 664 18WC 13143 ROCHFORD, MICHAEL SYSCO CHICAGO , INC 02/28/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 665 18WC 13165 JACKSON, DEXTER ARENA FOOTBALL ONE, LLC 08/26/17 GORDON & CENTRACCHIO LLC 666 18WC 13186 MAYER, JOHNATHAN M JAMES MCHUGH CONSTRUCTION 07/26/17 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 667 18WC 13206 GREER, DONNA L AMERICAN AIRLINES INC 03/14/18 CULLEN HASKINS NICHOLSON 668 18WC 13248 CAMACHO, MANUEL UNITED AIRLINES 08/31/16 MARSZALEK AND MARSZALEK 669 18WC 13308 ANDREWS, WILLIAM S AUTO WAREHOUSING COMPANY 03/28/18 TURCYCHUTE LLC 670 18WC 13387 LAMPKIN, MARIAN CTA 04/19/18 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 671 18WC 13414 ALONSO, CARLOS FAJARDO DOWNTON CLEANERS INC 03/03/18 COSTA IVONE LLC 672 18WC 13439 FREDETTE, THERESA TOOTSIE ROLL 04/30/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 673 18WC 13490 MALONEY, DENISE UNIVERSITY OF CHICAGO 04/24/18 ANKIN LAW OFFICE POWER & CRONIN LTD 674 18WC 13508 TORRES, JORGE DANIEL ADC FLOORS 04/20/18 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 675 18WC 13531 ROGERS, CYNTHIA MINUTEMAN STAFFING 04/18/18 GALLAGHER, DONALD V 676 18WC 13554 INGRAM, ROSEMARY JACKSON PARK HOSPITAL 04/02/18 LEONARD LAW GROUP LLC ODELSON & STERK 677 18WC 13590 FREGOSO, MARIA SURE STAFF 11/29/17 RUEDA, IVAN A LOUIS MUNDY 678 18WC 13612 CANO, ABELARDO CHEESE MERCHANTS OF AMERI 03/06/18 HETHERINGTON KARPEL BOBBER 679 18WC 13644 TAYLOR, ALETHEA JOHN STROGER HOSPITAL 03/14/18 SKLARE LAW GROUP STATES ATTORNEY OF COOK COUN 680 18WC 17994 VIADO, EDWARD ENVOY AIR 05/25/18 LANNON LANNON & BARR LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 681 18WC 18031 THOMAS, JOLAINE RELISH LABS LLC D/B/A 06/04/18 ANKIN LAW OFFICE INMAN & FITZGIBBONS 682 18WC 19941 ADLESICK, GREGORY REYNOLDS CONSUMER PRODUCT 02/27/18 NEWLAND & NEWLAND 683 18WC 20007 SILVEYRA, EFRAIN HENRY FRERK SONS INC 07/07/17 LEONARD LAW GROUP LLC 684 18WC 20075 LEE, SINARIA M OZINGA READY MIX CONCRETE 07/07/15 KELLY & KING GAROFALO SCHREIBER STORM 685 18WC 20105 PELMER, TIANDRA C SODEXO CORPORATE HEADQUAR 06/12/18 VITELL & SPITZ LTD 686 18WC 20177 GONZALEZ, JOSE ALBERTO GREAT LAKES LUMBER & PALL 06/19/18 HERRERA LAW CENTER SCOPELITIS GARVIN LIGHT 687 18WC 20213 WHITING, DANIEL CROSSLINK WIRELESS 07/30/17 TRAPP & GELLER 688 18WC 20237 JEFFERSON, NICOLE UNITED AIRLINES, INC 06/23/18 GREGORIO & MARCO NYHAN BAMBRICK KINZIE & LOWR 689 18WC 20254 CARTER, JOLIE FORD MOTOR COMPANY 06/17/18 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 690 18WC 20292 PARKER, SIRRONALD DHL 06/13/18 SCHREINER MALLOY & ETZLER HENNESSY & ROACH PC 691 18WC 20335 WEBSTER, KENNETH NBC UNIVERSAL 07/15/15 BRILL & FISHEL SPIEGEL & CAHILL, PC 692 18WC 20347 QUINN, LAURENCE GENERAL ELECTRIC HEALTH C 06/06/18 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 693 18WC 20394 MONTES, MIRIAM UNIVERSITY OF CHICAGO 06/20/18 MARK G BERGAL LAW OFFICE POWER & CRONIN LTD 694 18WC 20443 DICOSTANZO, SALVATORE SHAMROCK ELECTRIC 06/01/17 LEONARD LAW GROUP LLC 695 18WC 20463 MARTINEZ, ARACELI ELITE STAFFING 03/26/18 COSTA IVONE LLC 696 18WC 20481 BALKCOM, JOSEPH SYSCO 07/08/18 MC HARGUE & JONES 697 18WC 20534 MCKITTRICK, MARCEY AJ'S PAPA JOE'S INC 06/08/18 COLLISON LAW OFFICES 698 18WC 20542 RANGEL, MATILDE J INTER CONTINENTAL HOTELS 11/10/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 699 18WC 20573 BULLOCK, ASHLEY CATERPILLAR 06/04/18 DWORKIN AND MACIARIELLO CATERPILLAR 700 18WC 20609 CULKINS, ANDREW MC DONALD'S CORPORATION 06/12/18 GOLDBERG WEISMAN & CAIRO L 701 18WC 20652 JOHNSON, CRAIG TOWN & COUNTRY DISTRIBUTO 07/12/17 THE FITZ LAW GROUP 702 18WC 20679 EPSTEIN, SHARON MACY'S 03/17/16 WOLFE LAW PC GAIDO & FINTZEN 18WC020680 -C 703 18WC 20700 MEGGS, CORINNE CTA-CHICAGO TRANSIT AUTHO 05/12/18 THOMAS M SEYMOUR CHICAGO TRANSIT AUTHORITY 704 18WC 20716 SYED, ABDUL H FARZA INTERNATIONAL CORP 06/05/18 JONATHAN SCHLACK 705 18WC 20727 HEAD, VERIA ALPHA BAKING COMPANY 02/23/18 BRISKMAN BRISKMAN GREENBER 706 18WC 20750 MENDOZA, MARIA SURE STAFF 03/29/18 ENCINAS & ORNELAS LOUIS MUNDY 707 18WC 20813 SCHNEITER, RYAN VILLAGE OF HOMEWOOD 06/06/18 JASINSKI, GEORGE J 708 18WC 20854 CASCO, ARTHUR RELIABLE LAMPING 06/09/17 MARSZALEK AND MARSZALEK 709 18WC 20907 REBB, TIFFANY CHICAGO TRANSIET AUTHORIT 07/09/18 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 710 18WC 20924 SKERTICH, BRIAN ILLINOIS STATE POLICE 07/10/18 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR 711 18WC 20934 REID, MICHAEL VILLAGE OF NILES 09/08/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 712 18WC 20968 ALIASI, JOANN B COOK COUNTY ASSESSOR'S OF 07/03/18 ANESI OZMON RODIN NOVAK KO MORGAN GLAZAR & GUBBINS 713 18WC 20989 COLE, KENNETH INGALLS MEMORIAL HOSPITAL 05/16/18 KREITER, BYCK & ASSOC LLP 714 18WC 20999 CARTLEDGE, CLELLAN PTC ALLIANCE 09/27/17 DAVID W MARTAY 715 18WC 21017 BACHIR, BOUSSAADIA ATLAS EMPLOYMENT SERVICES 12/05/17 SANDMAN LEVY & PETRICH GAIDO & FINTZEN 716 18WC 21049 CHIQUELLO, FEDERICO TAUBEUSEE STEEL & WIRE 06/18/18 THERMAN LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 717 18WC 21106 ANDREWS, DARIUS FEDERAL EXPRESS 06/26/18 GORDON & CENTRACCHIO LLC 718 18WC 21193 FROHNAPFEL, DAN HILTON WORLDWIDE INC 06/14/18 WHITESIDE & GOLDBERG LTD 719 18WC 21220 ACEVES-PEREZ, JUAN M. HAYES PROPERTIES INC 07/06/18 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 720 18WC 21256 BURGOS, HECTOR FLEX-O-GLASS, INC 03/13/18 SHEA LAW GROUP 721 18WC 21274 RAMIREZ, MISAEL AMERICA'S AUTO AUCTION 07/03/18 RAYMOND P GARZA LAW OFFICE 722 18WC 21292 VALDES, JOSE J LA ZAVILA TRUCKING INC 05/19/18 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICE 723 18WC 21318 JOSEPH, MAXSON B CARRIAGE CAB COMPANY 07/05/18 TIMOTHY HENDERSON 724 18WC 21359 GERHART, MICHAEL A COOK COUNTY HIGHWAY DEPT 08/08/17 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 725 18WC 21385 MERAZ, RACHEL JOHNNY K'S PATIOS GYROS 01/24/18 WOODRUFF JOHNSON 726 18WC 21416 NAVARRO, DIEGO LUCKY WORLD, INC 07/19/17 CHEPOV & SCOTT LLC 727 18WC 21438 DELGADO, SALVADOR SCRUB, INC 03/23/18 BRIAN J MC MANUS & ASSOC, 728 18WC 21467 DUDEK, RICH FAMILY LANDSCAPING & TREE 06/19/18 ANGELINI & ORI LLC KEEFE CAMPBELL BIERY & ASSOC 729 18WC 21487 PEREZ, MARIO GABY IRON & METAL COMPANY 12/18/17 VRDOLYAK LAW GROUP LLC 730 18WC 21531 CERVANTES, MICHAEL SOUTHWEST AIRLINES 05/28/16 WHITESIDE & GOLDBERG LTD 731 18WC 21541 TURNER, GERALD WESTERN EXPRESS 04/04/18 DWORKIN AND MACIARIELLO 732 18WC 21568 DIRIR, ABDIRAHMAN A EMR EXPRESS, INC 05/16/18 HETHERINGTON KARPEL BOBBER 733 18WC 21603 HANNON, LESTER WELDBEND CORPORATION 10/27/17 LAWRENCE COZZI - LAW OFFICE 734 18WC 21659 POLK, DIANNA SURGE STAFFING 06/05/18 DAVID W MARTAY HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 735 18WC 21705 KANDALL, MARTIN A UNITED AIRLINES INC 07/11/18 ANKIN LAW OFFICE 736 18WC 21752 ALVARADO, MARCO DAYTON SUPERIOR 06/12/18 RIDGE & DOWNES 737 18WC 21770 PHILLIPS, YOLANDA PROFESSIONAL TRANSPORTATI 07/11/18 GOLDSTEIN BENDER & ROMANOF QUINTAIROS PRIETO WOOD & BOY 738 18WC 21791 MOORE, LAQWAN CHICAGO EXTRUDED METALS 07/14/18 JAMES ELLIS GUMBINER & ASS BORGELT POWELL 739 18WC 21813 RUIZ, DANIEL WALMART 02/27/18 CHRISTIAN & MANNO QUINTAIROS PRIETO WOOD & BOY 740 18WC 21932 TANIMOWO, RASHAWN WONOLO STAFFING 07/23/18 EDWIN REYES LAW FIRM 741 18WC 21956 THOMPKINS, NAOMI MCDONALD'S 06/30/18 ANKIN LAW OFFICE 742 18WC 21975 GINN, LATRESE FORD MOTOR COMPANY 06/25/18 DONALD FOHRMAN & ASSOC 743 18WC 22000 DALKE, VIVIAN UNITED AIRLINES 07/07/18 STEVEN M SELAN 744 18WC 22046 MARTINEZ, JESUS LAFARINE BAKERY #2, INC 04/24/18 HETHERINGTON KARPEL BOBBER 745 18WC 22075 MEDINA, ERIK UNITED AIRLINES 07/18/18 COVEN LAW GROUP 746 18WC 22100 RESS, PETE SNICKERS BAR & GRILL 02/01/18 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 747 18WC 22116 BECERRIL, ARMANDO EL MILAGRO INC 02/12/18 BERG & BERG WIEDNER & MCAULIFFE LTD 748 18WC 22138 AUSTIN, LYNNE WINE&DINE HOSPITALITY STA 07/13/18 DWORKIN AND MACIARIELLO 749 18WC 22163 GREEN, DELORES NORTHWESTERN MEMORIAL HOS 02/08/18 ANKIN LAW OFFICE 750 18WC 22182 JOHNSON, CHRISTOPHER COMMAND MECHANICAL GROUP 07/02/18 GREGORIO & MARCO 751 18WC 22206 ALVAREZ DIAZ, FRANCISCO PIONEER WHOLESALE MEAT 06/29/17 JONATHAN SCHLACK 752 18WC 22218 FAVELA, EVERARDO FOOD AND PAPER SUPPLY CO 02/21/18 PETER D CORTI LAW GROUP CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 753 18WC 22290 BOSTON, KIERRA ADVOCATE TRINITY HOSPITAL 05/30/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 754 18WC 22347 MAGANA, ROSENDO JACK TUCHTEN WHOLESALE PR 07/06/18 HERRERA LAW CENTER 755 18WC 22368 FAIR, LEWIS RECONSERVE 07/13/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 756 18WC 22453 CABALLERO, MIGUEL A RONS TEMPORARY HELP SERVI 07/19/18 STEVEN B SALK & ASSOC LTD KOREY RICHARDSON LLC 757 18WC 22499 SANCHEZ, PATRICIA CHICK FIL A 01/08/18 JONATHAN SCHLACK 758 18WC 22507 BAPPLE, RACHAEL ATKORE INTERNATIONAL 02/21/18 ELFENBAUM EVERS & AMARILIO 759 18WC 22523 DELANEY, LORRAINE HOME DEPOT 06/30/18 MORICI FIGLIOLI & ASSOC ADELSON TESTAN BRUNDO 760 18WC 22571 NELSON, CAROLE JEWEL FOOD STORES INC 12/23/17 CORBOY & DEMETRIO PC 761 18WC 22652 MASSEY, TRACEY L PARKLAND PREP ACADEMY INC 08/01/15 ANKIN LAW OFFICE 762 18WC 22697 BROWN, BARBARA TUTHILL PUMP GROUP 06/27/18 DWORKIN AND MACIARIELLO 763 18WC 22724 RUFUS, PATRICIA CHICAGO BOARD OF EDUCATIO 03/13/18 PETER LIMPERIS CHGO BOARD OF EDUCATION 764 18WC 22765 MARSHALL, TIMOTHY HAWTHORNE RACE COURSE INC 12/21/16 PATRICIA E BENDER WIEDNER & MCAULIFFE LTD 765 18WC 22808 BAILEY, RAYMOND D WELLS PLUMBING & 06/27/18 ANESI OZMON RODIN NOVAK KO 18WC022809 -C 766 18WC 22832 PULIDO, NARCISO R THORNE ASSOICATES 07/27/18 CELSO FUENTES JR EDWARD J. KOZEL 767 18WC 22904 GUZALDO, JUDY MACY'S 04/22/18 SPIROS LAW PC GAIDO & FINTZEN 768 18WC 22943 BURKE, PATRICK HILL FIRE PROTECTION 12/11/17 COYNE REINKE LAW BRADY CONNOLLY & MASUDA PC 769 18WC 22955 SZUBA, RENATA HIGHLAND BAKING CO 11/27/17 THERMAN LAW OFFICES 770 18WC 22976 HICKS, HOPE CARL BUDDIG 07/29/18 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 771 18WC 22994 FERNANDEZ, DIANA G PANERA BREAD CO DBA 04/20/16 ANKIN LAW OFFICE 772 18WC 23013 COTTON, ROBERT JMJ TALENT SOLUTIONS 07/27/18 SKLARE LAW GROUP 773 18WC 23034 BERNARTE, RONALDO GREENBRIER RAIL SERVICES 05/25/18 SAUNDERS CONDON & KENNY 774 18WC 23079 O'BRIEN, TAMIKA CITADEL ESTATES OF HAZEL 07/27/18 DWORKIN AND MACIARIELLO 775 18WC 23119 ROBLES, JOSHUA ACCURATE PERSONNEL LLC 07/24/18 ACEVES & PEREZ PC JOHN T GONNELLA 776 18WC 23120 ABDELFATTAH, NADER ABT ELECTRONICS INC 01/22/18 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 777 18WC 23158 LOPEZ, MARICELA MC DONALD'S CORPORATION 05/31/18 ROBERT WARSASKI 778 18WC 23172 LANGE, CINDEE UPS 04/20/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 779 18WC 23191 PEREZ, KATIE CITY OF BERWYN 06/18/18 CHRISTINE F DAVID CUDA LAW OFFICES 780 18WC 23284 GONZALEZ, SANDRA ENVOY AIR, INC 07/01/18 STEVEN B SALK & ASSOC LTD 781 18WC 23309 CASIQUE, MANUEL C THOMAS COMPANY, INC 11/24/17 THE ROMAKER LAW FIRM RODDY LAW LTD 782 18WC 23332 HASSAN, RAIS GATE GOURMET 07/06/18 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 783 18WC 23365 KNEELAND, BRUCE OLD DOMINION FREIGHT LINE 06/27/18 SCHWEICKERT & GANASSIN RODDY LAW LTD 784 18WC 23408 015 HAVILAND, ALMA ARDAGH GLASS CONTAINERS, 04/27/18 DEPAOLO & ZADEIKIS 015 18WC023406 -C 015 18WC023407 -C 785 18WC 23430 BUTLER, ARETTIA UNITED AIRLINES 06/26/18 ELFENBAUM EVERS & AMARILIO 786 18WC 23439 FRANKLIN, LATRICIA TOTAL FACILITY MAINTENANC 07/02/18 ANKIN LAW OFFICE ROSARIO CIBELLA 787 18WC 26090 KOIRALA, SANTOSH STAR NORTH MANAGEMENT LLC * 03/06/18 BRUSTIN & LUNDBLAD LTD 788 18WC 26668 STARKS, MAIESHA RUSH UNIVERSITY HOSPITAL 08/21/18 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 789 18WC 29971 LONGORIA, ALFREDO CHICAGO PUBLIC LIBRARY * 09/14/18 DAVID W MARTAY CITY OF CHICAGO 790 18WC 29977 JACKSON, JEROME UPS 07/25/18 LEONARD LAW GROUP LLC ASA LAW GROUP 791 18WC 29991 SERNA, MARTIN CONTINENTAL MOTORS * 09/10/18 HERRERA LAW CENTER 792 18WC 30044 DIMPFL, MIKE INTEGRITY METALS * 09/06/18 BURNETT & CARON, LTD HOLECEK & ASSOCIATES 793 18WC 30089 ORTEGA, GUILLERMO RIVER NORTH HAND CAR WASH * 07/20/18 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 794 18WC 30147 CABRERA, JUAN MEZA ATOTONILCO TORTILLERIA * 08/22/17 KENNETH B GORE LTD 795 18WC 30175 HESTER, JEFF DIMOS PIZZA * 07/08/18 WHITESIDE & GOLDBERG LTD CHILTON YAMBERT PORTER LLP 796 18WC 30210 GARCIA, ALFREDO CROTHALL LAUNDRY SERVICES * 08/10/18 NEIL KAUFMAN 797 18WC 30235 KANE, KENYON PACE AIR FREIGHT * 10/02/18 KUMLIN & FROMM HENNESSY & ROACH PC 798 18WC 30279 DAWKINS, EVERETT ARENA FOOTBALL ONE LLC * 04/05/17 GORDON LAW OFFICES LTD 799 18WC 30301 JUSTICE, EDREICK ARCELOR MITTAL * 11/01/17 VRDOLYAK LAW GROUP LLC 800 18WC 30326 HARRIS, DEVON COLUMBUS MANOR RESIDENTIA * 09/23/18 ANKIN LAW OFFICE GAIDO & FINTZEN 801 18WC 30348 GREGG, DERRICK MANPOWER * 12/12/17 GERALD CONNOR HENNESSY & ROACH PC 802 18WC 30372 COLLINS, SONJA A THRESHOLDS * 09/04/18 GALLAGHER, DONALD V 803 18WC 30384 MYERS, CLAUDE UPS 09/26/18 NANCY HIRSCH LLC 804 18WC 30425 PAIM, ROSANE SAMURIO AETNA * 05/31/18 STROM & ASSOC BRADY CONNOLLY & MASUDA PC 805 18WC 30444 MCKAY, MICHAEL LUTHERAN CHILD & FAMILY S * 09/24/18 ANKIN LAW OFFICE 806 18WC 30465 COLLINS, VICTOR B LUCKY 7 CHICAGO CAB COMPA * 09/30/18 WEISS & WEISS LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 18WC 30471 ROSEWSKI, JULIANNE UNIVERSITY OF CHICAGO 05/02/16 NYHAN BAMBRICK KINZIE & LOWR 808 18WC 30493 FAJARDO MARIA CORNERSTONE CLEANERS * 06/20/18 MORICI FIGLIOLI & ASSOC 809 18WC 30512 MARTIN, TONY GOLDEN STATE FOODS * 09/20/18 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 810 18WC 30531 MISNER, CHRISTOPHER WAYNE'S BODY & FRAME * 06/07/17 KROL BONGIORNO & GIVEN LTD 811 18WC 30549 SIMENTAL, JUAN D TLC INDUSTRIES INC * 09/21/18 HERRERA LAW CENTER 812 18WC 30601 WELTY, COLLEEN UNITED AIRLINES, INC * 05/25/18 MATT MURPHY CONSULTING 813 18WC 30638 ROBLES, ROBERT SYMPHONY OF CRESTWOOD * 10/10/17 BLOCK, KLUKAS & MANZELLA P 814 18WC 30688 JOHNSON AARON ESMARK STEEL GROUP LLC * 08/11/16 KEVIN O'BRIEN 815 18WC 30692 YOUNG, WILLIE CHICAGO BEARS FOOTBALL * 09/19/16 WOLFE LAW PC MC ANDREWS & NORGLE LLC 816 18WC 30709 MORET, DEBORAH CTA * 10/02/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 817 18WC 30733 SHAH, SYED USF HOLLAND * 08/22/18 HART & DAVID LLP HENNESSY & ROACH PC 818 18WC 30759 MADSEN, STEVEN TAYLOR EXCAVATING * 08/24/18 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 819 18WC 30784 SMITH, CIARA AMAZON * 06/04/18 STEVEN J MALMAN & ASSOCIAT 820 18WC 30805 RAUEN STEVEN UNITED AIRLINES * 07/25/18 ANGELINI & ORI LLC 821 18WC 30812 DORAU, WALTER HOOTER'S * 07/28/18 SANDMAN LEVY & PETRICH 822 18WC 30832 REDMOND, CAROLYN ALDEN MANAGEMENT SERVICES * 10/11/18 ANKIN LAW OFFICE 823 18WC 30850 WADE, DWAYNE UPS SUPPLY CHAIN SOLUTION * 07/12/18 ELFENBAUM EVERS & AMARILIO 824 18WC 30867 GREEN, JUANITA THE RESERVE NETWORK * 10/11/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 18WC 30878 SNEED, TANYA MARIANO'S 08/14/18 826 18WC 30910 SOLIS, MARIA CHICAGO POWERED METAL * 08/16/17 O'CONNOR & NAKOS 827 18WC 30928 JACKSON, KIM SHIRLEY RYAN ABILITY LAB * 09/19/18 BUDIN LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 828 18WC 30948 GOODLOW, SHATAYA CTA * 10/10/18 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 829 18WC 30986 ARCHER, MICHAEL UNITED ROAD SERVICES, INC * 09/20/18 MCDONALD WOODWARD & CARLSO 830 18WC 31062 HOLT, CHRISTINE FORD MOTOR COMPANY * 09/06/18 LANNON LANNON & BARR LTD 831 18WC 31093 CRUZ, JUAN FRANCISCO VALLI PRODUCE * 07/03/17 BAUM RUFFOLO & MARZAL LTD 832 18WC 31127 HOADLEY, JONATHAN CHARLES AREA ERECTORS * 10/09/18 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 833 18WC 31151 WISNIOS, GEORGE SYSCO FOOD SERVICE * 04/05/18 CULLEN HASKINS NICHOLSON 834 18WC 31173 BELL, PATRICIA NORTHWESTERN MEMORIAL HOS * 09/03/18 LEONARD LAW GROUP LLC 835 18WC 31194 LEONE, JOHN JC PENNEY * 07/27/18 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD 836 18WC 31287 YOUNG, LARRY D MIDWAY STAFFING * 10/12/18 BRILL & FISHEL 837 18WC 31324 SHAW, JAMEAL ST BERNARD HOSPITAL 326 W * 09/21/18 ROGER D RUDICH LTD 838 18WC 31396 OWENS, TIFFANY C.B.M. PREMIER MANAGEMENT * 10/02/16 SIGMOND, STEVEN 839 18WC 31447 FISCHER, ANDREA L ANIMAL CARE HOSPITAL OF * 04/11/16 GESMER & REYNOLDS PC 840 18WC 31488 DELGADO, MARTA ENRIQUE CARILLO * 09/12/18 ACEVES & PEREZ PC 841 18WC 31510 SACHS, RYAN SCHINDLER ELEVATOR CO * 10/13/18 CAPRON & AVGERINOS PC 842 18WC 31511 SORIA, EULALIA ABM * 06/25/18 TIMOTHY HENDERSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 18WC 31628 WARD, SEAN COOK COUNTY * 07/06/18 THOMAS LAW 844 18WC 31645 MIKA, MARTHA I ADVOCATE GOOD SAMARITAN H * 03/18/18 FRANKS & RECKENBERG NYHAN BAMBRICK KINZIE & LOWR 845 18WC 31686 GARCIA, LEIDY GLENCREST NURSING & REHAB * 03/11/18 WITTER LAW OFFICE 846 18WC 31732 PIOTROWSKI, PETER ATLAS CONCRETE CUTTING * 05/19/18 HEALY SCANLON LAW FIRM 847 18WC 31745 DIAZ, CHRISTINE ALL TOWN BUS COMPANY * 10/19/18 FRIEDMAN & SOLMOR LTD 848 18WC 31768 QUINLAN, JAMES C CITY OF ROLLING MEADOWS * 04/24/15 POWER & CRONIN LTD 849 18WC 31791 JOHNSON, CHERYL COOK COUNTY * 07/15/18 DEPAOLO & ZADEIKIS 850 18WC 31838 HASTINGS, BRIAN EMM ELECTRIC, INC D/B/A * 01/18/18 GANAN & SHAPIRO 851 18WC 31886 MALDONADO, IVAN STERLING LUMBER COMPANY * 10/04/18 VASILATOS & COTTER LLC 852 18WC 31901 STRONG, CAROLYN R THORNTON TOWNSHIP HIGH SC * 10/11/18 VITELL & SPITZ LTD 853 18WC 31968 CLAY, GERRI M COMPASS GROUP USA, INC * 10/07/18 CHEPOV & SCOTT LLC 854 18WC 31993 MAGGARD, ROY YRC FREIGHT * 08/27/18 RIDGE & DOWNES 855 18WC 32026 RENT, JAMES ADVANCED CONSTRUCTION * 10/12/18 ANKIN LAW OFFICE SCHOUEST BAMDAS SOSHEA 856 18WC 32057 GERKE JR, STEVEN N DUBURG IRON WORKS, INC * 07/18/18 RUBIN LAW GROUP 857 18WC 32075 WEEKS, SANDRA LORETTO HOSPITAL * 08/28/18 CUDA LAW OFFICES 858 18WC 32091 BIANCO, PAUL C UNIVERSAL TELEVISION, LLC * 09/26/18 KOSIN LAW OFFICE LTD 859 18WC 32113 WRIGHT, TERESA ST MALACHY SCHOOL CHICAGO * 05/01/18 DWORKIN AND MACIARIELLO 860 18WC 32126 SMITH, TAMIKA FORD MOTOR COMPANY * 09/07/18 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 861 18WC 32144 SANCHEZ, REYNALDA ELITE STAFFING * 09/14/18 LUSAK AND COBB 862 18WC 32162 BARRADAS, LUIS ELITE STAFFING * 07/10/18 JONATHAN SCHLACK 863 18WC 32165 HALPIN, DAVID LEVY COMPANY * 03/12/18 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 864 18WC 32183 MOELLER, JACQUELINE MOSCI JOFFREY BALLET * 12/06/13 LANNON LANNON & BARR LTD 865 18WC 32205 DZIEDZIC, CHRISTINE WOODLAWN MEMORIAL PARK * 05/19/18 PETER LEKAS 866 18WC 32284 JOENS, DIANE MV TRANSPORTATION, INC * 10/20/18 DWORKIN AND MACIARIELLO 867 18WC 32308 COOPER, RAYMOND ECO DIRECT * 10/16/18 ROSENFELD HAFRON SHAPIRO F 868 18WC 32331 HOLLIDAY, CASSANDRA L BELLWOOD SD 88 * 02/12/18 ANESI OZMON RODIN NOVAK KO 869 18WC 32349 FRANCO-NAVA, BALDOMERO KOSHGARIAN RUG & CARPET * 10/02/18 KARCHMAR & STONE GANAN & SHAPIRO 870 18WC 32352 DOUGLAS, STEVEN LAKE SHORE BEVERAGE * 09/28/18 HEALY SCANLON LAW FIRM 871 18WC 32371 IBARRA, SERGIO TROY DESIGN MANUFACTURING * 09/25/18 BRISKMAN BRISKMAN GREENBER 872 18WC 32426 HERNANDEZ, MARTHA ABLE ELECTROPOLISHIGN COM * 01/04/18 GOLDSTEIN BENDER & ROMANOF 873 18WC 32478 SEGOVIA, STEFANIE COMMUNITY COUSELING * 09/20/18 TAXMAN POLLOCK 874 18WC 32506 WINTERS, STACEY MARTIN UNITED CONTINENTAL HOLDIN * 05/30/18 BRIAN J MC MANUS & ASSOC, 875 18WC 32537 MACK, JOSEPH G ABF FREIGHT SYSTEM, INC * 03/08/17 KEEFE CAMPBELL BIERY & ASSOC 876 18WC 32552 JASSO GONZALES, SUSAN C TRINET * 09/06/18 SCOTT B SHAPIRO 877 18WC 32577 ABRAMS, CHRISTON INTERSECTION * 10/19/18 DWORKIN AND MACIARIELLO 878 18WC 32593 WILLIAMS, AMBER A CTA-CHICAGO TRANSIT AUTHO * 10/01/18 VITELL & SPITZ LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M BOCANEGRA, MARIA 012 ARBITRATION CALL FOR CHICAGO 99012 ON 12/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 879 18WC 32615 BURKE, THOMAS UNITED AIRLINES INC. * 11/17/17 HEALY SCANLON LAW FIRM 880 18WC 32637 WOLTERS, SILOMINA R ABBOTT-INTERFAST CORPORAT * 08/29/18 STEWART C ORZOFF 881 18WC 32657 SKINNER, GROVER KOPPERS INC. * 11/27/17 LEONARD LAW GROUP LLC 882 18WC 32753 SOSA-HARO, LUIS CONFORTI CONSTRUCTION * 12/06/16 DWORKIN AND MACIARIELLO 883 18WC 32768 PASEK, WALDEK SYSCO FOODS SERVICES-CHIC * 10/18/18 GOLDBERG WEISMAN & CAIRO L 884 18WC 32797 MITCHELL, MARY CITY OF CHICAGO * 08/24/18 ANESI OZMON RODIN NOVAK KO 885 18WC 32819 AVALOS, ROSARIO UNITED SERVICE COMPANIES * 10/06/18 DEPAOLO & ZADEIKIS 886 18WC 32836 FLORES, GILDARDO A PULMONARY EXCHANGE LTD * 10/19/18 ANKIN LAW OFFICE 887 18WC 32866 LULLO, PATRICK ARLINGTON AUTOMOTIVE SERV * 12/01/16 PORRO NIERMANN LAW GROUP 888 18WC 32920 STILLO, THOMAS J CITY OF BERWYN FIRE DEPAR * 08/21/18 LOUIS A PLZAK & ASSOCIATES 889 18WC 32938 WOODS, GORDON FEDEX FREIGHT, INC * 01/11/18 QUINTAIROS PRIETO WOOD & BOY 890 18WC 32969 POIRIER, DAVID SMG SAVOR * 10/15/18 RUBIN LAW GROUP