ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 48868 MOORE, CHARLES CITY OF CREST HILL 02/19/01 CAMERON CLARK SLAVIN & SLAVIN 02WC048869 -C 2 03WC 27555 19B SMITH, DANIEL JR MID AMERICAN HEATING 02/03/03 STRONG LAW OFFICE RODDY LAW LTD 3 03WC 47668 DAVID, DOREEN BP NORTH AMERICA 06/16/03 RUBIN LAW GROUP ROSARIO CIBELLA 4 03WC 54108 HINOJOSA, FRANCIS PROVENA ST. JOSEPH MED CT 05/23/02 GANASSIN, SCOTT J KEEFE CAMPBELL & ASSOC LLC 03WC054393 -C 5 04WC 55280 FARNING, MIKE WILL COUNTY SHERIFF'S DEP 12/04/03 O'CONNOR & NAKOS HINSHAW & CULBERTSON 6 05WC 21897 SHAVER, DEBBIE SAM'S CLUB 07/14/04 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 7 05WC 50171 GRABOWSKI, THOMAS AMERITEMP 07/06/04 HUGHES SOCOL PIERS RESNICK GANAN & SHAPIRO 8 06WC 08504 BISHOP, GAROLD UNIVERSITY OF SAINT FRANC 09/02/05 DONALD M. PHELAN LAW OFFICES JOSEPH MARCINIAK 08WC051282 -C 9 06WC 24449 19B ARTEAGA, MARTHA TIMERS OF SHOREWOOD 12/05/05 OSVALDO RODRIGUEZ PC RODDY LAW LTD 07WC032945 -C TIMBERS OF SHOREWOOD 10 06WC 38570 LESSNER, PAM WILL COUNTY SHERIFF 05/15/06 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 07WC032346 -C 11 06WC 55400 DOWLER, HERBERT W JR CAR CARE 08/06/06 BRIAN T MORROW, LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 12 07WC 39426 WOOD-LEZU, TONI L STATE OF ILLINOIS-DWIGHT @ 06/16/07 SEIGLER, DARRELL K LTD ASSISTANT ATTORNEY GENERAL 13 07WC 41483 FINNERY, SHERI L MIDWEST SUBURBAN 04/05/06 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM 14 07WC 53273 VAINAUSKAS, DIANE PROVENA HOME CARE 03/08/07 EARLY COLLISON TOUSEY ET A NYHAN BAMBRICK KINZIE & LOWR 07WC053274 -C 15 08WC 05596 KAIN, VIRGINIA PLAINFIELD SCHOOL DISTRIC 05/11/07 PRESBREY & ASSOC INC GAROFALO SCHREIBER STORM 11WC003431 -C 16 08WC 18500 NUNN, CORDELIA JOLIET POLICE DEPT 12/01/07 RATHBUN CSEVENYAK & KOZOL CITY OF JOLIET

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 08WC 19189 MARTINEZ, ELENA METRO STAFF, INC 02/08/08 GOLDSTEIN FISHMAN BENDER E HENNESSY & ROACH PC 18 08WC 21533 CLEARE, MERTLE P SAMUEL SHAPIRO DEVELOP CT @ 04/16/08 FREDERICK & HAGLE ILLINOIS ATTORNEY GENERAL 19 08WC 38068 JOHNSON, FREIDA NEXUS INC D/B/A INDIAN OA 03/20/08 LEWIS DAVIDSON & HETHERING BRADY CONNOLLY & MASUDA PC 20 08WC 49785 PAVLIK, DIANE M TARGET CORPORATION 09/23/08 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 21 09WC 06059 BOYD, DOYLE APS CONTRACTORS INC 12/31/08 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 22 09WC 07162 CHANDLER, DOREEN CATERPILLAR 09/08/08 HEALY LAW FIRM CATERPILLAR, INC. 23 09WC 13948 TAPIA, JASON THE DELONG COMPANY INC 10/02/08 ROMANUCCI & BLANDIN KNELL & O'CONNOR 24 09WC 14685 PEPPER, JOHNNY ILLINOIS AMERICAN WATER 02/18/08 DAVID W MARTAY CLAYBORNE SABO & WAGNER 25 09WC 19360 RICHARDSON, JAMES TODD KS ENERGY SERVICES INC 04/08/09 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 26 09WC 23024 19B FUTTERER, JOSEPH NEW LENOX SCHOOL DISTRICT 01/08/07 RATHBUN CSEVENYAK & KOZOL RUSIN MACIOROWSKI & FRIEDMAN 27 09WC 25003 WALENGA, CAROL HONOR VILLAGE OF MOKENA 09/15/08 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 09WC025004 -C 09WC025005 -C 09WC030832 -C 13WC023004 -C 15WC014692 -C VILLAGE OF MOKENA 28 09WC 31598 GILREATH, SEAN ILLINOIS VETERAN HOME 07/30/08 TONY L BRASEL ASSISTANT ATTORNEY GENERAL 29 09WC 32968 19B RODRIGUEZ, MARLENE ASG STAFFING, INC 07/21/09 BERG NORTHCUTT & BERG POWER & CRONIN LTD 30 09WC 37969 CRISWELL, ALFRED RCD TRUCKING INC 01/03/09 HORWITZ HORWITZ & ASSOC JAMES M KELLY 31 09WC 39306 HERNANDEZ, MARIA ELENA TREBOL DE CUATRO 08/08/09 GOLDSTEIN, AIOSSA & GOOD BRIAN T MORROW, LAW OFFICE 32 09WC 44788 HARTLEY, SANDY BERRYMAN TRANSFER 12/13/08 HORWITZ HORWITZ & ASSOC JAMES M KELLY 33 09WC 52054 AQUIRRE, MARY CITY OF JOLIET 06/29/09 MCNAMARA PHELAN MCSTEEN, L CITY OF JOLIET

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 10WC 04967 WHITE, MIKE CROWN BATTERY MANUFACTURI 01/06/10 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 35 10WC 06443 BONNER, ESTHER TRINITY SERVICES 01/06/10 BLOCK, KLUKAS & MANZELLA P STELLATO & SCHWARTZ 36 10WC 06458 19B WOODYARD, ROXANNE G RECYCLED PAPER GREETINGS 12/09/09 MATTHEW T. GUBBINS PC LAW OFFICES JOSEPH MARCINIAK 37 10WC 07294 VARGAS, MANUEL DSI 01/18/10 BLEAKNEY & TROIANI GAROFALO SCHREIBER STORM 38 10WC 09671 GEIGER, JODY PROVENA ST MARY'S HOSPITA 02/13/10 COPELAND FINN & FIERI LTD NYHAN BAMBRICK KINZIE & LOWR 39 10WC 10472 VANDERPLOEG, JAMES V RAG'S ELECTRIC INC 02/01/10 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 40 10WC 11436 STEWART, WILBERT YRC WORLDWIDE 02/12/10 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 41 10WC 12129 DAVIS, LOAR SOUTHERN WINE & SPIRITS 01/20/10 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 42 10WC 12766 CHURNOVIC, CAROLE ALLERGY & ASHTMA ASSOC OF 03/11/10 BLOCK, KLUKAS & MANZELLA P LORENZ & BERGIN PC 43 10WC 13366 EISON, LOVELLE COUNTY F WILL BUILDING 01/27/10 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 44 10WC 18411 SCHUBERT, DONALD OMNICOM RESTORATION INC 03/29/10 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 45 10WC 18985 LISTON, ROXANNE PROVENA ST JOSEPH MEDICAL 03/25/10 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 46 10WC 19115 VAQUERA, ALMA INNOTRAC CORPORATION 02/24/10 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 47 10WC 21433 MARTINEZ, JAIME SCARPELLI MATERIALS 07/01/09 GOLDSTEIN BENDER & ROMANOF 48 10WC 29567 WITKOWSKI, CHRISTINE PROVENA ST JOSEPH MEDICAL 06/14/10 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 49 10WC 31858 PERRONE, CARMEN D SILVER CROSS HOSPITAL 12/30/07 DANIEL J ADLER LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 50 10WC 33536 HAMMOND, DENNIS (ESTATE O GERDAU AMERISTEEL 02/03/10 WOODRUFF & JOHNSON GOLDBERG SEGALLA LLC 51 10WC 34256 RAYES, ISAAC E MURPHY COMPANY 08/06/10 CAMERON CLARK JOLEY NUSSBAUMER OLIVER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 10WC 35106 HILL, CINDY WALGREENS #4828 04/14/10 KINNALLY FLAHERTY KRENTZ & GILDEA & COGHLAN 53 10WC 35282 19B COGLIANESE, WILLIAM LOUIS AMS 07/20/09 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 11WC048918 -C ASPHALT MAINTENACE SYSTEMS 54 10WC 36150 ANDERSON, CHERYL RONIN RISK INTERNATIONAL @ W 01/30/09 LAW OFFICE OF BART MARKESE 55 10WC 37710 ALLRED, KELLY CHILI'S 05/17/10 MEYERS & FLOWERS RODDY LAW LTD 56 10WC 40878 BOHAC, KAREN MCDONALD'S 11/18/09 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 57 10WC 41013 GONZALEZ, LETICIA ISLAMORADA FISH CO 04/30/10 BRYCE DOWNEY & LENKOV LLC 14WC041719 -C BASS PRO OUTDOOR WORLD 15WC014400 -C 58 10WC 42265 SEEGMILLER, EVERETTE SCANLON TRUCKING 07/08/10 CAPRON & AVGERINOS PC THOMAS & ASSOCIATES 59 10WC 42470 MORALES, BARTOLO PIERCE PACKAGING CO 10/06/10 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 60 10WC 43197 OVER BISPHOP, ANNMARIE MEIJER STORES 05/04/10 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 61 10WC 45398 FRITZ, MARGARET FIRST STUDENT INC 03/01/08 KROCKEY CERNUGEL COWGILL E BRADY CONNOLLY & MASUDA PC 62 10WC 48302 MORRIS, SHERYL SECRETARY OF STATE OF ILL 02/24/10 SPIROS & WALL DANIEL SULLIVAN 12WC015975 -C 15WC002119 -C IL SECRETARY OF STATE, SOI 63 11WC 00608 TERRIQUEZ, VICTOR (DISABL KEHE FOOD DISTRIBUTORS IN 06/04/10 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 64 11WC 01758 DENNY, JON P J B HUNT TRANSPORT SERVIC 11/01/10 THOMAS R LICHTEN COZZI & GOGGIN-WARD 65 11WC 02328 HUTTON, ARTHUR CARQUEST DISTRIBUTION CEN 09/11/10 THOMAS R LICHTEN COZZI & GOGGIN-WARD 11WC002329 -C 66 11WC 03412 LOPEZ, JAMES CITY OF JOLIET 12/20/10 PARENTE & NOREM PC CITY OF JOLIET 14WC000836 -C 67 11WC 09010 BOSARD, OWEN BLACK HAWK PROPERTIES 08/03/10 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 11WC 10962 O'BRIEN, EUGENE M NORTON SONS ROOFING CO IN 12/07/09 STEVEN G. REVETHIS THOMAS & PORTELA 69 11WC 13303 PIERCE, JOAN M FEDERAL SIGNAL CORPORATIO 02/04/11 FABRIZIO, HANSON & PEYLA BRADY CONNOLLY & MASUDA PC 70 11WC 15695 MORGAN, LADAWN ARC OF IROQUOIS COUNTY 12/21/10 COPELAND FINN & FIERI LTD KEEFE CAMPBELL & ASSOC LLC 71 11WC 17159 SMITH, JIMMY ASPLUNDH TREE EXPERT CO 02/24/11 PRESBREY & ASSOC INC KNELL & O'CONNOR 72 11WC 17575 FARMER, SHERREE DENISE WILMINGTON SCHOOL DIST 20 12/07/10 HORWITZ HORWITZ & ASSOC ANCEL GLINK DIAMOND BUSH & E 73 11WC 17691 MCCARTY, LISA ROBERT BOSCH TOOL CORPORA 05/06/10 STYKA & STYKA RODDY LAW LTD 74 11WC 20670 MOULTON, SHANTA TACO BELL 11/01/09 BLOCK, KLUKAS & MANZELLA P 75 11WC 21495 19B WHITE, CARL EHC INDUSTRIES 08/18/10 HORWITZ HORWITZ & ASSOC THOMAS & ASSOCIATES 76 11WC 22007 ORNELAS, MARIA DSS RAPAK 03/04/10 RATHBUN CSERVENYAK & KOZOL HOLECEK & ASSOCIATES 16WC002245 -C 77 11WC 22099 GOUGH, ANASTASIA JEWEL FOOD STORES 01/07/11 FRANK A CELANI BRADY CONNOLLY & MASUDA PC 11WC022100 -C 11WC022201 -C 78 11WC 22108 ANDERSON, TORRANCE D U S EXPRESS 12/21/10 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 11WC022109 -C 79 11WC 23807 ALCANTAR, JUAN MANUEL WALSH LANDSCAPE CONSTRUCT 06/04/11 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 11WC045123 -C 80 11WC 24685 RADA, KIMBERLEY PARTY CITY 02/10/11 LAW OFFICE ANTHONY IVONE COZZI & GOGGIN-WARD 81 11WC 26784 CRUZ, ROSALINDA JOLIET SCHOOL DISTRICT 86 06/06/11 CORTINA MUELLER & FROBISH ROSARIO CIBELLA 14WC043697 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 11WC 26877 WOZNICZKA, TADEUSZ RV BUILDERS CORP 06/17/11 JAMES M RIDGE LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 83 11WC 27764 GILBERT, LINDA TRINITY SRVS 06/29/11 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 11WC036336 -C 84 11WC 29383 BALCERZAK, LIDIA GARY GALASSI STONE & STEE 09/04/08 MARSZALEK AND MARSZALEK MACIOROWSKI SACKMANN & ULRIC 85 11WC 30691 KNOX, JOYCE L STATE OF ILLINOIS @ 06/30/11 DANIEL SULLIVAN 86 11WC 32876 BAMBIC, DAVID F UCHICAGO ARGONNE, LLC 08/18/11 GERHARDT & HASKINS KEEFE CAMPBELL & ASSOC LLC 87 11WC 32981 LOPEZ, LAVINIA M SILVER CROSS HOSPITAL 03/05/11 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 11WC032982 -C 88 11WC 33373 HREBIC, ROBERT FRANKFORT SCHOOL DIST 157 05/25/11 DWORKIN AND MACIARIELLO RUSIN MACIOROWSKI & FRIEDMAN 89 11WC 34624 PATTON, REBECCA STATE OF ILLINOIS @ 08/12/11 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 90 11WC 35800 CHLEBEK, STEPHEN VILLAGE OF MOKENA 06/15/11 MEYERS & FLOWERS SLAVIN & SLAVIN 91 11WC 35955 MARTIN, MARIA E KEHE DISTRIBUTORS 07/20/11 BERG & BERG POULOS & DIBENEDETTO LAW 92 11WC 36461 ARANDA, JOEL REGNERUS MASONRY 08/19/11 HORWITZ HORWITZ & ASSOC 93 11WC 36766 REKTORSKI, HANNAH MINOOKA SCHOOL DISTRICT 2 09/08/11 JAMES M RIDGE LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 94 11WC 38838 BAHM, RANDALL J CONTINENTAL REFRIGERATED 02/08/07 LINN, CAMPE & RIZZO LTD MACIOROWSKI SACKMANN & ULRIC 95 11WC 39168 PARKINSON, RICHARD ALAN CENTRAL TRANSPORT 07/22/11 COLLISON & O'CONNOR, LTD HINSHAW & CULBERTSON 12WC004505 -C 96 11WC 40323 BROWN, VIRGINIA SMITH RIVERSIDE HOSPITAL 05/22/11 MARSZALEK AND MARSZALEK GILDEA & COGHLAN 11WC040324 -C 97 11WC 41586 QUIGLEY, PATRICK SHAPIRO DEVELOPMENT STR @ 07/24/11 MARSZALEK AND MARSZALEK NICHOLE S. MCNAIR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 11WC 42960 MILLAN, MANUEL ALTERNATIVE STAFFING 09/21/11 JOEL BELL MACIOROWSKI SACKMANN & ULRIC 99 11WC 43522 PRICE, DANNY T CITY OF CREST HILL 09/21/11 SANDMAN LEVY & PETRICH SLAVIN & SLAVIN 14WC013170 -C 15WC019278 -C 100 11WC 44196 REYES, OLGA LEVY HOME ENTERTEIMENT 05/03/10 ANKIN LAW OFFICE INMAN & FITZGIBBONS 101 11WC 44525 19B SMITH, TEQUILA SCHNEIDER LOGISTICS * 05/10/11 LUIS J MAGANA POWER & CRONIN LTD 102 11WC 45680 COLEMAN, MICHELLE KELLEY SERVICES 10/14/11 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 103 11WC 46367 BRADLEY, LACIE A, WIDOW O TOYAL AMERICA INC 11/04/11 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 12WC041934 -C 104 11WC 46438 ALVAREZ, LUCIO KEHE DISTRIBUTORS INC 11/16/11 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 12WC016575 -C 105 11WC 46566 PTACEK, ALECIA ILLINOIS CENTRAL BUS COMP 11/01/11 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 106 11WC 47718 BAUER, STEFANIE M ILLINOIS DEPARTMENT OF @ 05/04/11 CORBOY & DEMETRIO PC DANIEL SULLIVAN 11WC049124 -C 107 11WC 48976 COTTER, MADDIE TARGET 08/05/10 LAW OFFICE OF SCOTT B SHAP KEEFE CAMPBELL & ASSOC LLC 108 12WC 01391 CARTER, RODNEY DIRECT SAT USA 12/07/11 ANKIN LAW OFFICE RODDY LAW LTD 109 12WC 01636 19B KOERNER, HARRY L III BELEC ELECTRICAL INC 12/01/11 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 12WC002408 -C 110 12WC 02414 PEREZ, PEDRO SELECT REMEDY 12/12/11 ACEVES & PEREZ PC LEAHY EISENBERG & FRAENKEL 111 12WC 02474 ROOF, JAMES C ARL, INC 12/27/10 BLOCK, KLUKAS & MANZELLA P CHILTON YAMBERT PORTER LLP 15WC023080 -C T&T FARMS, INC 15WC023081 -C T & T FARMS, INC 112 12WC 02568 GARCIA-ORTIZ, ALEJANDRO ARTLOW SYSTEMS 11/16/11 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 113 12WC 02631 HAMMOND, ANTHONY CHICAGOLAND GRAFFITI 09/17/11 O'CONNOR & NAKOS STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 114 12WC 03017 JENKINS, BRYAN P GTM AUTOMOTIVE 08/02/10 CRONIN & PETERS HEYL ROYSTER VOELKER & ALLEN 115 12WC 03603 REKART, PHIL CENTRAL GROCERS INC 07/11/11 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 12WC022770 -C 15WC036785 -C 15WC036786 -C 15WC036787 -C 15WC036788 -C 116 12WC 04103 PEJSKAR, BRIAN BILL JACOBS CADILLAC 07/06/10 LEONARD LAW GROUP LLC RODDY LAW LTD 117 12WC 04257 CRAWFORD, TERRY SONY DISTRIBUTION CENTER 07/20/11 CAPRON & AVGERINOS PC CHILTON YAMBERT PORTER LLP 12WC007639 -C 118 12WC 04535 ORTIZ, MARINA CLEANING AUTHORITY 01/27/12 JAMES ELLIS GUMBINER & ASS LAW OFFICES JOSEPH MARCINIAK 119 12WC 04555 GROVE, DENNIS FRANKFORT TOWNSHIP, 01/21/10 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 12WC004556 -C 120 12WC 04631 WORLAND, DENISE PLAINFIELD SCHOOL DIST 11/04/10 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM 12WC004632 -C 121 12WC 05071 LOERA, JOSE TUCKER ROCKY DIST 12/08/11 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 122 12WC 05559 BOND, ROBERT ASSOCIATED MATERIAL HANDL 08/25/10 CAPRON & AVGERINOS PC WOLF LAW LTD 123 12WC 05818 LYLES, BARBARA ILLINOIS CENTRAL BUS CO 10/31/11 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 124 12WC 07405 DUNSTAN, LESLIE P P D ANTENNA 06/10/11 O'CONNOR & NAKOS GRANT & FANNING 125 12WC 07715 SAYERS, STEPHEN STEPAN COMPANY 01/20/11 PETER F FERRACUTI & ASSOCI KLAUKE LAW GROUP LLC 13WC027573 -C 126 12WC 11000 STEIN, MICHELLE A SILVER CROSS HOSPITAL 07/28/11 RAMBO, JOHN E LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 127 12WC 12321 19B O'BRIEN, ASHLEY KANKAKEE COUNTY, ILLINOIS 06/08/11 BARMAN KRAMER & BOHLEN RUSIN MACIOROWSKI & FRIEDMAN 128 12WC 14551 LOPEZ, AGUSTIN FLINT HILL RESOURCES 01/29/12 SANDMAN LEVY & PETRICH MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 12WC 14836 WHITAKER, GENEKA VILLAGE OF UNIVERSITY PAR 01/18/12 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 130 12WC 15024 STREU, BRANDON R & R SEPTIC & SEWER, INC 04/04/12 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 131 12WC 15385 IZZO, STEVE FEDERAL SIGNAL 03/26/12 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 132 12WC 16350 LINZY, SHARON HARRAH'S CASINO-JOLIET 07/17/11 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOCIATES PC 133 12WC 17840 GODINEZ, JUAN SALEM VILLAGE NURSING REH 01/13/12 BLOCK, KLUKAS & MANZELLA P GALLIANNI DOELL & COZZI LTD 13WC039429 -C 134 12WC 18223 SMITH, ROY A WILL COUNTY FOREST PRESER 03/23/12 MCNAMARA PHELAN MCSTEEN LL RUSIN MACIOROWSKI & FRIEDMAN 135 12WC 18309 CAMBRAY, MARIA ROGYS NEW GENERATION INC 05/15/12 SALK, STEVEN B & ASSOC LTD ROSARIO CIBELLA 136 12WC 18581 VEGA, EDITH ELITE STAFFING, INC 03/19/12 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 137 12WC 18789 WIORA, SHERRY TEGRANT CORP 05/17/12 STROM, NEAL B HENNESSY & ROACH PC 12WC023853 -C 138 12WC 19130 PHILLIPS, KATHLEEN GRUNDY COUNTY CO-OP 04/26/11 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 139 12WC 19463 GOTHARD, DAN COMPLETE CONSTRUCTION W 02/29/12 HORWITZ HORWITZ & ASSOC 140 12WC 19538 GACIA, SAUL RTC INC 05/08/12 GOLDSTEIN BENDER & ROMANOF RODDY LEAHY GUILL & ZIMA LTD 141 12WC 20679 ALVARADO, HECTOR PACTIV LLC BORROWING EMPL 05/29/12 SALK, STEVEN B & ASSOC LTD 142 12WC 23468 VIEYRA, ALFREDO CENTRAL GROCERS 08/12/11 TEWS, THEISEN & THEISEN ROSARIO CIBELLA 12WC023469 -C 16WC009434 -C 16WC009435 -C 16WC009436 -C 16WC009437 -C 143 12WC 23887 ISBERG, ROBERT DRILLED FOUNDATIONS INC 05/01/12 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 144 12WC 24007 VINCENT, GREGORY MND EXPRESS 05/02/12 STROM, NEAL B SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 12WC 24512 HOUSTON, CASSANDRA A STATE OF ILLINOIS @ 01/20/12 SOSTRIN AND SOSTRIN PC ASSISTANT ATTORNEY GENERAL 146 12WC 24991 SENFFNER, VICTOR G PLAINFIELD SCHOOL DISTRIC 09/13/10 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 12WC036731 -C 15WC042704 -C 147 12WC 28829 BETZEL, GAIL SPEEDWAY 05/14/12 SKLARE LAW GROUP ALLEN KOPET & ASSOCIATES 148 12WC 28852 DONATO, JOSEPH PEOPLE LINK 06/19/12 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 149 12WC 28914 HOSCHUTZ, TRACIE PROVENA ST JOSEPH MEDICAL 05/30/12 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 150 12WC 29056 GOUGH, ANASTASIA JEWEL FOOD STORES 06/26/12 FRANK A CELANI BRADY CONNOLLY & MASUDA PC 151 12WC 29411 SULLIVAN, TAMMY SILVER CROSS HOSPITAL 07/23/12 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 152 12WC 31419 RICHARDSON, DONNA JP MORGAN CHASE 11/26/11 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 153 12WC 32183 19B SMITH, MICHAEL NFI INDUSTRIES 08/31/12 RICHARD E ALEKSY MACIOROWSKI SACKMANN & ULRIC 154 12WC 32762 BETTENHAUSEN, LYLE SCOTT R BECKMAN TRUCKING 09/11/12 CULLEN HASKINS NICHOLSON KURT E VRAGEL JR 155 12WC 33627 BRADY, LISA M LAKEWOOD NURSING/LAKEWOOD 08/20/12 SOSTRIN AND SOSTRIN PC 156 12WC 35093 SHERIDAN, ALDONA D DAYMON WORLDWIDE INC 11/20/11 THOMAS R LICHTEN COZZI & GOGGIN-WARD 12WC035094 -C 12WC035095 -C 157 12WC 35629 GEORGE, JAMES UPS FREIGHT 08/13/12 PRESBREY & ASSOC LLC ASA LAW GROUP 15WC028499 -C 158 12WC 36025 CRAIG, KERONDA SHAPIRO MENTAL FACILITY @ 06/05/12 MICHAEL P MCCREADY & ASSOC ASSISTANT ATTORNEY GENERAL 13WC000186 -C 159 12WC 36084 LEON, EDGAR MOST VALUABLE PERSONNEL 06/08/12 LAW OFFICE OF SCOTT B SHAP 160 12WC 38566 HERNANDEZ, CHRISTOPHER DS WATERS OF AMERICA INC 07/06/12 ANESI OZMON RODIN NOVAK KO CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 12WC 39061 NAYLOR, JAMES W PARSEC INC 08/16/12 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 162 12WC 39915 19B JOHNSON, BRENDA PLAINFIELD MOOSE LODGE NO 09/25/12 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 163 12WC 41856 GRYSZOWKA, AGNES (WIDOW) EDWARDS HOSPITAL # 11/21/11 BAUM RUFFOLO & MARZAL LTD WILLIAMS MCCARTHY LLP 12WC041857 -C 164 12WC 42523 SCHWAB, CRAIG TWIN DOR, INC 11/08/12 CORTINA & MUELLER RUSIN & MACIOROWSKI LTD 165 12WC 42860 PATINO, MARIA NARCISO APL LOGISTICS 10/06/12 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 166 12WC 43359 TARRANT, JOSEPH RUAN TRANSPORTATION 10/26/12 ELFENBAUM EVERS & AMARILIO JAMES M KELLY 12WC043360 -C 167 12WC 43890 THOMAS, BRANDON ALS LAWN SERVICE 03/29/12 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 12WC043891 -C 168 12WC 44308 TORREZ, KIM MENARDS 08/17/10 STEVEN A CRIFASE, LTD CHILTON YAMBERT PORTER LLP 169 13WC 00066 MAHONEY, FRANCIS WELSCH RED E MIX INC 11/27/12 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 170 13WC 00502 CORBIN, MICHAEL A FREIGHT FIRST CORPORATION 10/01/12 MEYERS & FLOWERS HENNESSY & ROACH PC 171 13WC 00513 LOPEZ-DIAZ, JOSE G & G LANDSCAPING 09/24/12 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 172 13WC 01290 KLOEPFER, DIANE LEE VILLAGE OF BOLINGBROOK 11/15/12 PERRY M LAKS LAW OFFICE POWER & CRONIN LTD 173 13WC 01767 EDWARDS, JERRY F EAST WEST HAULERS INC W 12/17/12 GOLDBERG WEISMAN & CAIRO L ILLINOIS ATTORNEY GENERAL 174 13WC 03134 GOWLER, CHRIS LYON WORKSPACE 03/19/12 STRONG LAW OFFICE HANSON LAW OFFICE 175 13WC 04777 LINK, NANCY TJ LAMBRECHT CONSTRUCTION 06/06/12 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 176 13WC 04803 DOWNEN, SYNTHIA PROVENA VILLA FRANCISCAN 12/04/12 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 177 13WC 04955 WILLIAMS, ELIZABETH VILLAGE OF UNIVERSITY PAR 03/27/12 RUBIN LAW GROUP INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 178 13WC 05938 KOBEL, CHRISTIAN H III DR GREEN SERVICES 06/11/12 BRIAN T MORROW, LAW OFFICE 179 13WC 05992 FLORES, ANGELINA ULTRA SELECT REMEDY 12/16/12 180 13WC 07191 MCCOTTER, SALLY SODEXO INC 02/12/13 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 181 13WC 08158 MILLSAP, SHARON SILVER CROSS HOSPITAL 02/24/12 PETER F FERRACUTI LAW OFFI MACIOROWSKI SACKMANN & ULRIC 182 13WC 08606 19B TYLER, WILLIAM J DSC LOGISTICS 02/08/13 FOHRMAN, DONALD W & ASSOCS MC ANDREWS & NORGLE LLC 183 13WC 08862 LENARD, JOHN A WILL COUNTY 02/27/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 184 13WC 10434 GULDAN, JILL T MINOOKA INTERMEDIATE SCHO 03/08/13 O'CONNOR & NAKOS RUSIN MACIOROWSKI & FRIEDMAN 185 13WC 11485 MAGALLANEZ, RAMON WEST SUBURBAN CONCRETE 03/22/13 GOLDSTEIN, AISOSSA & GOOD GANAN & SHAPIRO 186 13WC 11790 YEATES, TIMOTHY REINHART FOOD SERVICES 04/02/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 15WC026341 -C 187 13WC 12500 TUCKER, KIMBERLY L MC DONALD'S RESTAURANTS 07/07/12 FABRIZIO, HANSON & PEYLA NYHAN BAMBRICK KINZIE & LOWR 188 13WC 14249 ROBERTS, RANDY ILLINOIS/AT&T 08/16/12 BARRETT & SRAMEK HENNESSY & ROACH PC 189 13WC 14252 LINDSEY, BRYANT S BURNHAM MANAGEMENT CORP 04/23/13 KROCKEY CERNUGEL COWGILL E HOLECEK & ASSOCIATES 190 13WC 15380 BREWSTER, MICHAEL UNITED STATES COLD STORAG 04/14/13 BRIAN T MORROW, LAW OFFICE BRADY CONNOLLY & MASUDA PC 191 13WC 15676 VRBA, RICHARD REPUBLIC WASTE SERVICES 11/25/11 DUDLEY & LAKE LLC GILDEA & COGHLAN 192 13WC 15942 CLEVER, JONATHAN COMED 01/09/13 RUBIN LAW GROUP CHILTON YAMBERT PORTER LLP 193 13WC 16009 LARA, FIDEL BERGSTROM CLIMATE CONTROL 01/04/13 STEPHEN G PINTO LTD WOLFE & JACOBSON, LTD 194 13WC 17290 FAVELA, JOSE CENTRAL GROCERS 02/03/13 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 195 13WC 18482 SAINTUS, ELVIE VALLEY VIEW SCHOOL DIST 3 02/07/12 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 196 13WC 18949 INSESKI, SHEILA SEBO'S NURSING & REHAB 05/24/13 DWORKIN AND MACIARIELLO 197 13WC 19354 GRAZULIS, DENISE JEWE FOODS 05/17/13 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 198 13WC 19634 ROGERS, NIKITA ECOLAB 02/09/13 WHITESIDE & GOLDBERG LTD KEEFE CAMPBELL & ASSOC LLC 199 13WC 19663 SINKULAR, RAYMOND CHELLINO CRANE 05/14/13 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 200 13WC 19776 FORD, CHRISTY CITY OF JOLIET A MUICIPAL 02/19/13 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 13WC019786 -C 13WC021360 -C 201 13WC 20165 FRANIAK, BRONISLAW QUANTUM FOODS 09/08/10 MINKOW DOMIN COZZI & GOGGIN-WARD 202 13WC 20451 WARREN, CAROLYN ILLINOIS TOOL WORKS 12/21/12 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 203 13WC 20844 CHAVEZ, SANDRA SEARS LOGISTICS SERVICES 08/31/12 KENNETH B GORE LTD GAROFALO SCHREIBER STORM 13WC020845 -C 13WC020846 -C 204 13WC 22087 ESPINO, YOLANDA TRIUNE LOGISTICS 05/30/13 KENNETH B GORE, LTD KOREY COTTER HEATHER RICHARD 205 13WC 22163 CANNON, STACEY PAUL & MIKE'S TRANSMISSIO 04/06/13 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 206 13WC 23318 URBACK, JOSEPH TCG PACKAGING SERVICE 09/18/12 GRANT & FANNING 207 13WC 23643 MOTLAGH, KARIM CERMAK AUTO AUCTION 10/11/12 EFTEKHARI LAW OFFICES BRADY CONNOLLY & MASUDA PC 208 13WC 23951 HERRADA, CELSO CARPET CHOPPER ENTERPRISE 03/22/13 SHEA LAW GROUP HOLECEK & ASSOCIATES 209 13WC 24024 BARBIER, MARCI ATI PHYSICAL THERAPY 12/20/12 PORRO NIERMANN & PETERSEN GRANT & FANNING 210 13WC 24834 BARKER, WILLIAM FIRST CHOICE LOGISTICS 12/08/12 SANDMAN LEVY & PETRICH RIPES NELSON BAGGOT KALOBRAT 211 13WC 25079 WHITESIDE, JULIE FOREST SOUTH ANIMAL HOSPI 01/25/13 RAYMOND M SIMARD, PC RIPES NELSON BAGGOT KALOBRAT 212 13WC 25107 JOHNSON, CAROLYN CORNERSTONE SERVICES 02/26/13 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 13WC 25873 NASH, MARY SHAPIRO CENTER 12/25/11 SPIROS LAW PC COLIN KICKLIGHTER 214 13WC 27114 MCCORKLE, CAROL A SALON CENTRIC INC 01/28/12 DAVENPORT & WHITE HENNESSY & ROACH PC 13WC029515 -C 215 13WC 27599 HARFF, MARK T.J. LAMBRECHT 07/17/13 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 216 13WC 28504 SMITH, NATHAN J KANN ENTERPRISES, INC 02/16/13 MEYERS & FLOWERS LLC WOLFE & JACOBSON, LTD 217 13WC 29532 FISCAL, ARACELI RED ROOF INN 07/28/13 LAW OFFICES MICHAEL HELLMA COZZI & GOGGIN-WARD 218 13WC 29752 AYALA, MARIA C ILLINOIS TOOL WORKS 01/01/01 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 219 13WC 30242 BARRETO, KIM SOUTH CHICAGO PARENTS & 09/05/13 SKLARE LAW GROUP BRADY CONNOLLY & MASUDA PC 220 13WC 30732 LEWIS, LOLITA SCHNEIDER NATIONAL JOBS 02/23/13 MARC J SHUMAN & ASSOCIATES POWER & CRONIN LTD 221 13WC 30791 HERNANDEZ, CARLOS CHICAGOLAND TRUCKING CO 08/20/13 BALTAZAR MENDOZA RUSIN & MACIOROWSKI LTD 222 13WC 32174 MEZA, RAMON CENTRAL GROCERS INC 05/28/13 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 223 13WC 32280 AESHLIMAN, TODD CAR CARE COLLISION CENTER 02/02/11 HORWITZ HORWITZ & ASSOC CAPUANI & SCHNEIDER 13WC032281 -C 224 13WC 33227 LEWANDOWSKI, PATRICK CHICAGO HEIGHTS PARK DIST * 04/04/13 BLOCK, KLUKAS & MANZELLA P RUSIN MACIOROWSKI & FRIEDMAN 225 13WC 33306 TANNER, TRINITY PARAMOUNT STAFFING 08/27/13 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 226 13WC 33958 GUTIERREZ, JUAN CENTRELLA GROCERS 06/09/13 GOLDSTEIN BENDER & ROMANOF ROSARIO CIBELLA 227 13WC 34558 DURBON, TINA SUPER PANTRY 10/07/13 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 15WC009772 -C CORNERSTONE SERVICES 228 13WC 35121 KUSTWIN, MICHAEL STRETCH AND SON 09/09/13 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 229 13WC 35426 WILLIAMS, JUSTIN PQ CORPORATION 10/09/13 STEVEN H MEVORAH & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 13WC 35546 CASTANEDA, JULIANNE MANOR CARE 08/21/13 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 231 13WC 35653 CATLETT, WILLIAM RMS OF CHICAGO LLC 03/25/13 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 232 13WC 35937 VOLKER, JOHN MEIJER 03/06/13 DIXON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 233 13WC 36446 SAMA, RAMI REDDY STEPAN COMPANY 09/13/12 COZZI & GOGGIN-WARD 234 13WC 36712 BERRY, TIMOTHY J ELITE STAFFING INC 10/09/13 DANIEL J ADLER LAW OFFICE GOLDBERG SEGALLA LLC 235 13WC 37339 HERNANDEZ, OSVALDO FILM QUEST GROUP 07/02/13 MARKER & ASSOCIATES HENNESSY & ROACH PC 13WC037340 -C 236 13WC 37427 HUNT, DAWN COUNTY LINE PET HOSPITAL 09/01/13 O'CONNOR & NAKOS GILDEA & COGHLAN 237 13WC 37447 LOPEZ, EFREN MILLER METALS SERVICE COR 08/07/13 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 238 13WC 37842 MC CANN, DWYANE WILL COUNTY LAND 09/25/13 TOPPER & WEISS LTD 239 13WC 38115 HERNANDEZ, RENALDO CORNERSTONE SERVICES, INC 09/22/13 MCNAMARA PHELAN MCSTEEN LL RUSIN & MACIOROWSKI LTD 240 13WC 38252 BLUM, DONNA LAZBOY MWDC 11/06/13 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 241 13WC 38538 LEONARD, LINDA LINCOLN WAY HS DISTRICT 2 10/19/13 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 242 13WC 39155 OLSEN, DIANE M MEIJER INC 12/15/12 MARKER & ASSOCIATES KNELL & O'CONNOR 243 13WC 39342 HOLCOMB JR, WAYNE BARTON CARROLS 11/01/13 MCNAMARA PHELAN MCSTEEN LL 244 13WC 39991 RIVERA, EDWARD JOSE LOPEZ 11/22/13 GOLDBERG WEISMAN & CAIRO L 245 13WC 40314 CARRILLO, LAURA MENARDS 08/28/13 WOODRUFF & JOHNSON RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 13WC 40428 CARRION, SAMUEL CATALYST HANDLING RESOURC 05/06/13 ANKIN LAW OFFICE GRANT & FANNING 247 13WC 40605 SMITH, TAMARA RIVER VALLEY JUVENILE 09/27/12 MICHAEL P MCCREADY & ASSOC HINSHAW & CULBERTSON 15WC030458 -C 248 13WC 41084 LANE, KENNETH, JR STAFFING NETWORK 11/14/13 FRIEDMAN & SOLMOR LTD SLAVIN & SLAVIN 249 13WC 41189 PANTALEON, JUAN JB HUNT TRANSPORT 01/25/13 THOMAS J STIBERTH LAW OFFI COZZI & GOGGIN-WARD 14WC018824 -C 14WC018825 -C 250 13WC 41745 WILLIAMS, PADRAIC COMMSCOPE INC 07/17/13 PETER F FERRACUTI & ASSOCI POULOS & DIBENEDETTO LAW 251 13WC 42079 RIVERA, ROBERT ASG STAFFING 12/03/13 DWORKIN AND MACIARIELLO FRANCIS J DISCIPIO LAW OFFIC 252 14WC 00031 GEORGE, EUGENE FEDEX FREIGHT 06/22/13 COPELAND FINN & FIERI LTD SCOPELITIS GARVIN LIGHT 253 14WC 00077 HOWSE, CEDRIC EMPLOYMENT PLUS 12/14/13 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 254 14WC 00298 LUKACEK, MARK ONE MAIN FINANCIAL 11/15/13 RATHBUN CSERVENYAK & KOZOL RUSIN MACIOROWSKI & FRIEDMAN 255 14WC 00307 ENOCH, PHILLIP WOODMARK 08/09/13 SEIDMAN MARGULIS & FAIRMAN THOMAS & ASSOCIATES 256 14WC 00400 BORIS, MARY E OSCO DRUG 11/19/13 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 257 14WC 00846 UNDERHILL, CECIL F WILL COUNTY SHERIFF'S DEP 06/02/13 O'CONNOR & NAKOS HINSHAW & CULBERTSON 258 14WC 01691 HICKENBOTTOM, GREGORY E DIRECT SAT USA LLC 04/10/13 KENNETH B GORE, LTD 259 14WC 02055 MORRIS, TREMAINE FIVE STAR EMPLOYMENT 05/20/13 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 260 14WC 02136 HORNIK, BRONISLAW SHOWALTER ROOFING 12/17/13 BLOCK, KLUKAS & MANZELLA P 14WC002189 -C SHOWWALTER ROOFING 261 14WC 02190 PHILLIPS, DEBORAH I.C.G. REHAB 08/29/12 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 262 14WC 02243 CHANDLER, LEROY LARAWAY SCHOOL DIST 70C 07/01/13 MEYERS & FLOWERS ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 14WC 02345 WEBER, MICHAEL ROCK TENN 12/12/13 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 264 14WC 02397 GUZMAN, LUIS HOMER TREE SERVICE INC 10/03/12 LUKE C. ANTONSEN 265 14WC 02438 LONERGAN, JUDITH SANCTUARY HOSPICE 01/17/14 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 266 14WC 03127 CARROLL, JOHN TURNER INDUSTRIES GROUP 01/19/14 O'CONNOR & NAKOS SPIEGAL & CAHILL PC 267 14WC 03207 HERNANDEZ, ANGEL WEN ENTERPRISE 09/17/12 PORRO NIERMANN & PETERSEN 268 14WC 03517 VISINAIZ, KELLY VALLEY VIEW COMM. UNIT SC 05/18/12 ROSS TYRRELL POWER & CRONIN LTD 269 14WC 03568 PITTMAN, CARLA BIG R 07/26/13 FREDERICK & HAGLE EDWARD JANUSZKIEWICZ 270 14WC 03977 RAMIREZ, JOSE GARCIA DEPLOY HR INC 01/15/14 HORWITZ HORWITZ & ASSOC 271 14WC 04214 PEREZ, ROCIO MICHAELS DISTRIBUTION CEN 01/13/14 WITTER LAW OFFICE BRYCE DOWNEY & LENKOV LLC 272 14WC 04222 THOMAS, PIERRE CUSTOM STAFFING INC 11/13/13 DWORKIN AND MACIARIELLO 273 14WC 04279 ANTONIO, GUADALUPE UNIVERSAL LAMINATING INC 01/13/14 KENNETH B GORE, LTD LEAHY EISENBERG & FRAENKEL 274 14WC 04871 NEVIOUS, PHILLIP A N WEBBER INC 12/20/13 RIDGE & DOWNES ROSARIO CIBELLA 275 14WC 04913 HICKS, DOUG CREST HILL POLICE DEPARTM 11/06/13 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 276 14WC 05227 MYERS, RICHARD L INTERMODAL SERVICES OF AM 01/21/14 GAROFALO SCHREIBER STORM 277 14WC 05502 MANTRI, VIRAJA TOWN & COUNTRY REHAB LLC 12/13/13 MARKER & ASSOCIATES 278 14WC 05566 LIETZ, DAVID AT&T 03/10/12 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 279 14WC 05697 GARCIA, MARIA PREMIER STAFFING/IFCO 08/03/13 BLOCK, KLUKAS & MANZELLA P GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 14WC 06058 GARCIA, DAVID NORTHWEST FENCE 11/05/13 CISNEROS & ASSOCIATES 281 14WC 06270 COFFEL, DONALD, JR RR BRINK LOCKING SYSTEMS, 09/14/12 HORWITZ HORWITZ & ASSOC 14WC006271 -C 282 14WC 07734 CASTILLO, OSCAR IMPACT LOGISTICS 12/18/13 ILLINOIS INJURY LAWYERS 283 14WC 07882 OSORIO, MARI SCHOOL DIST 30, TROY CCSD 10/17/13 SOSTRIN AND SOSTRIN PC RUSIN MACIOROWSKI & FRIEDMAN 284 14WC 08114 HERMANN, ROY SMART TEK AUTOMATED 01/12/12 HAMMOND SHINNERS TURCOTTE 285 14WC 08414 FILOMENO, MARIJON SILVER CROSS HOSPITAL 11/12/12 RATHBUN CSEVENYAK & KOZOL 286 14WC 08469 RAMOS, EMMANUEL HANKOOK TIRES 01/28/14 287 14WC 08525 MAC DONALD, REBECCA PROVENA ST JOSEPH 12/01/13 CAPRON & AVGERINOS PC KEEFE CAMPBELL & ASSOC LLC 288 14WC 08533 FLORES, ANGEL MRC POLYMERS INC 02/13/14 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 14WC017604 -C 289 14WC 08686 WATKINS, TIMOTHY GREAT KITCHENS INC 09/06/13 KATZ FRIEDMAN EAGLE ET AL 290 14WC 08754 CANTU, JOSEPHINE BEST PRACTICES STAFFING 01/21/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 291 14WC 08758 BERLONGIERI, KELLY KATIE SMITH ENTERPRISES I 09/24/13 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 292 14WC 09161 FRILEY, ALEXIS GRAINGER 02/14/14 DEAN J CARAS & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 293 14WC 09567 SCHNURA, JAMES CITY OF JOLIET POLICE DEP 12/08/13 BLOCK, KLUKAS & MANZELLA P CITY OF JOLIET 294 14WC 09589 MUNOZ, DAWN COUNTRY MAIDS & MAINTENAN 01/14/14 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 295 14WC 09682 BEENE, GARY COMCAST 10/12/12 CHASE & WERNER LTD 296 14WC 09763 DANIELS, PEGGY J EXECUTOR CORNERSTONE SERVICES INC 10/08/13 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 297 14WC 09815 HERNANDEZ, LEONEL KB CORES 03/24/10 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 14WC 09949 MITCHELL, CARL JOLIET PETROLEUM LLC 09/23/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 299 14WC 10197 NAVALGUND, DEEPA MEIJER INC 03/26/12 MARKER & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 300 14WC 10580 WILLIAMS, ANNA ADAMS AND ASSOCIATES/JOLI 10/25/13 BLOCK, KLUKAS & MANZELLA P 16WC011914 -C 301 14WC 10630 ARENA, DENISE PARAMONT EO INC & CREST L 01/23/14 BAUM RUFFOLO & MARZAL LTD NOBLE & ASSOCIATES PC 302 14WC 10636 VANI, STEPHANIE ALDI INC 02/09/14 RIDGE & DOWNES 303 14WC 10770 RIVERA, LETISIA MJM HELATH AGENCY INC 01/24/14 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 304 14WC 10808 VIDETICH, PHYLLIS PRESENCE ST JOSEPH HOSPIT 12/14/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 305 14WC 10908 SALGADO, JOSUE RTC - RTC INDUSTRIES 03/07/14 KEEFE CAMPBELL & ASSOC LLC 306 14WC 11131 BUENDIA, CARLOTA MCDONALD'S OF ROMEOVILLE 03/03/14 KENNETH B GORE, LTD NYHAN BAMBRICK KINZIE & LOWR 307 14WC 11161 CELACU, VASILE DUBNO EXPRESS 12/30/13 STROM, NEAL B 308 14WC 11309 GOMEZ, ARTURO S TRAID ASSOCIATES 04/04/14 STEPHEN G PINTO LTD WOLF LAW LTD 309 14WC 11369 BLACKMORE, DAVID CITY OF JOLIET POLICE DEP 04/04/11 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 310 14WC 11386 REYES, GERARDO ROAD LINK 03/11/14 BRIAN CONNERANWEIG 311 14WC 11793 STRICKLAND, KIRK D VILLAGE OF NEW LENOX 08/15/13 ROSS TYRRELL SLAVIN & SLAVIN 14WC011258 -C 312 14WC 12145 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 01/13/14 HORWITZ HORWITZ & ASSOC 313 14WC 12313 DODEN, ROY PLAINFIELD FIRE 03/02/14 THE ROMAKER LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 314 14WC 12405 STROHM, PAUL DYNAMEX 01/11/14 VRDOLYAK LAW GROUP LLC MCANANY VANCLEVE & PHILLIPS 315 14WC 12483 MORENO, ALLEN DORY'S LANDSCAPING & HOME 03/26/14 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 14WC 12628 HOBBS, SONYA PREMIER PHYSICIANS 11/15/12 WOODRUFF & JOHNSON 317 14WC 12837 SHARP, BRIDGETTE MINOOKA SCHOOL DISTRICT # 01/20/14 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 318 14WC 13096 HARRIS, STANLEY NATIONAL TRADE SPECIALIST 03/30/14 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 319 14WC 13332 TEIBER, JAMES CITY OF JOLIET 07/03/12 WHITESIDE & GOLDBERG LTD CITY OF JOLIET 15WC023476 -C 320 14WC 13344 LANDRY, MICHAEL IL DEPT OF TRANSPORTATION @ 01/26/14 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 321 14WC 13541 ARMSTRONG, BRUCE TAMMEN TREEBURY FARM 05/05/13 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 322 14WC 14421 NUNEZ, ALICIA IL CENTRAL SCHOOL BUS 04/09/14 BAUM RUFFOLO & MARZAL LTD MACIOROWSKI SACKMANN & ULRIC 323 14WC 14911 DRYER, NATALIE M VINCA SOLUTIONS LLC 06/05/13 DAVID W MARTAY COZZI & GOGGIN-WARD 324 14WC 15013 CALCATERRA, MICHAEL MID-AMERICA ELEVATOR 03/25/14 LEE VASILATOS HENNESSY & ROACH PC 325 14WC 15229 MORALES, JOSE LABOR TEMPS INC 04/21/14 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 326 14WC 15510 GALLARZO, JUANA KEHE 10/09/11 SOSTRIN AND SOSTRIN PC NOBLE & ASSOCIATES PC 14WC015511 -C 327 14WC 15786 WALTERS, MINNIE AEROTEK 04/10/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 328 14WC 16068 19B TERRAZAS, ALEJANDRINA INNOTRAC 04/23/14 CAPRON & AVGERINOS PC LAW OFFICES JOSEPH MARCINIAK 329 14WC 16136 KENEALY, ANDREA XEROX 01/26/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 330 14WC 16226 BUTLER, STEPHANIE L INDIAN OAKS ACADEMY 11/14/13 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 14WC031351 -C 331 14WC 16319 HAWKINS, SONJA ILLINOIS CENTRAL BUS COMP 10/22/13 JAMES J. GAY MACIOROWSKI SACKMANN & ULRIC 332 14WC 16574 BANKS, CAROLYN (WIDOW) ADREW STAFFING # 04/22/14 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 333 14WC 16804 JINKS, SANDRA CIRCLE K STORES 11/06/13 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 334 14WC 16981 LINDHOLM, MARY K MOMENCE COMMUNITY UNIT SC 02/06/14 MATTHEW T. GUBBINS PC NYHAN BAMBRICK KINZIE & LOWR 335 14WC 17024 GONZALEZ, LUIS R ELITE STAFFING, INC. 07/04/13 ANESI OZMON RODIN NOVAK KO MARC CAIRO 336 14WC 17077 SANTILLAN, JESUS ATLAS STAFFING INC 04/30/14 JAUREGUI & ASSOCIATES POULOS & DIBENEDETTO LAW 337 14WC 17101 GRIFFIN, OSCAR DIRECT TV 03/13/14 JOEL BELL GRANT & FANNING 338 14WC 17850 LUSBY, CANARY CITY OF JOLIET 05/13/14 THE ROMAKER LAW FIRM CITY OF JOLIET 339 14WC 18073 PLESSINGER, KYLE TRANSPORTATION & REPAIR S 03/16/14 CAMERON CLARK RODDY LAW LTD 340 14WC 18076 19B KENEALY, BETH EXCEL PETROLEUM 01/26/14 BRUSTIN & LUNDBLAD LTD RODDY LAW LTD 14WC017914 -C 341 14WC 18113 LOPEZ, ELIN LABOR TEMPS 04/22/14 STROM, NEAL B INMAN & FITZGIBBONS 342 14WC 18442 BERRY, SHENSKY S SOUTHERN WINE & 03/20/13 MACIOROWSKI SACKMANN & ULRIC 343 14WC 18613 GRZENIA, SHIRLEY DUPAGE TOWNSHIP 09/07/13 JAMES W GREEN, JR RUSIN MACIOROWSKI & FRIEDMAN 344 14WC 18845 ROBINSON, BILLIE CATERPILLAR INC 04/04/14 BRIAN T MORROW, LAW OFFICE CATERPILLAR, INC. 345 14WC 18928 MUSIL, JAMES VILLAGE OF BOLINGBROOK 10/29/12 MEYERS & FLOWERS POWER & CRONIN LTD 346 14WC 19116 MC ANDREWS, MATTHEW MIDWEST FUEL INJECTION 05/04/14 LEO ALT WOLFE & JACOBSON, LTD 347 14WC 19259 MEDINA, MARTHA FTC SERVICES INC 04/17/14 JOHN S. ELIASIK 348 14WC 19401 SANCHEZ, PATRICIA M SUPERIOR HEALTH LINENS 05/09/14 LAW OFFICES MICHAEL HELLMA HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 14WC 19419 OBERFRANC, MARK NAVISTAR 04/05/14 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 350 14WC 19584 KUNA, AMY PLAINFIELD SCHOOL DIST 20 03/10/14 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 14WC025438 -C 351 14WC 19702 WILLIAMS, JEFFREY KEVIN NUGENT CONSTRUCTION 06/10/14 DECARLO LAW GROUP WIEDNER & MCAULIFFE LTD 352 14WC 19937 SCHIEFELBEIN, ROBERT DYWIDAG SYSTEMS INTERNATI 02/13/14 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 353 14WC 20071 STROMBERG, VICTORIA SILVER CROSS HOSPITAL 02/07/14 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 354 14WC 20284 ALEXANDER, DEDRIC COMCAST 02/28/13 SANDMAN LEVY & PETRICH SPIEGEL & CAHILL, PC 14WC020285 -C 355 14WC 20356 PARKER, NICOLE M SILLIKER, INC. 11/22/13 ANESI OZMON RODIN NOVAK KO 356 14WC 20456 KUPIEC,DANUTA WIFE OF DEC JKC TRUCKING INC # 06/08/14 GREGORIO & MARCO GRANT & FANNING 357 14WC 20867 SCULLY, PATRICIA ISLAND CITY REHAB CENTER 03/27/14 WILLIAMS & SWEE LAW OFFICES FRANCESCA LARSEN 358 14WC 20940 ALEXANDER, RENEE FEDERAL SIGNAL CORP 04/25/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 359 14WC 21714 SANTORO, THOMAS ENERGY SERVICES AIR 01/01/14 VRDOLYAK LAW GROUP LLC RODDY LAW LTD 360 14WC 22400 CAMPBELL, JOHN BERGSTROM INC 06/05/14 BRISKMAN BRISKMAN GREENBER WOLFE & JACOBSON, LTD 361 14WC 22404 BROWN, ANDRENA FOX DEVELOPMENTAL CENTER 04/22/14 SPIROS LAW PC ILLINOIS ATTORNEY GENERAL 362 14WC 22422 HARD, ROY PROVENA ST JOSEPH'S 03/25/14 GOLDBERG WEISMAN & CAIRO L 363 14WC 22449 19B YANEZ, LOURDES TRIUNE LOGISTICS 03/31/14 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 364 14WC 22647 TAYLOR, DAVID SUPERIOR CARTAGE INC 06/30/14 COVEN LAW GROUP MARTIN, PATRICK W 365 14WC 22771 HILL, WILLIAM HOME DEPOT 06/11/14 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 366 14WC 22854 BENNETT, CLEON JOBS CORPS 06/20/14 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 14WC 22917 CISNEROS, ALEJANDRO RICK'S LANDSCAPING & LAWN 05/09/14 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 368 14WC 23157 RESCE, PAUL JOLIET CENTRAL HIGH SCHOO 06/16/14 RIDGE & DOWNES INMAN & FITZGIBBONS 369 14WC 23296 BUSTOS, VENESSA JOLIET STAFFING AGENCY 05/14/14 BRISKMAN BRISKMAN GREENBER WOLF LAW LTD 370 14WC 23454 ENGELSMAN, JEANNINE C FIDELTY INFORMATION SERVI 04/30/14 ANESI OZMON RODIN NOVAK KO GOLDBERG SEGALLA LLC 371 14WC 23511 KNIGHT, DELVIN J B HUNT TRANSPORT 06/11/14 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 372 14WC 23526 ADBULLAH, SAMUEL K DHR INC STAFFING SOLUTION 06/27/14 WARREN W MARK 373 14WC 23835 BARRETT, SIDNEY WILLOW FALLS 02/18/14 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 374 14WC 24328 SMITH, SCOTT PANDUIT CORP 03/25/13 RATHBUN CSEVENYAK & KOZOL 375 14WC 24398 PLANTE, CHRISTOPHER SR PACTIV CORPORATION 07/04/14 SPIROS LAW PC 376 14WC 24929 GAMEZ, ROSA ASHLEY FURNITURE 03/09/14 SHEA LAW GROUP 377 14WC 26275 VOSS, JASON FRESENIUS MEDICAL CARE 06/08/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 378 14WC 26343 ANAYA, CATALINA ELITE STAFFING 01/14/14 MCNAMARA PHELAN MCSTEEN LL MARC CAIRO 14WC037831 -C 379 14WC 26400 WUCKA, PAUL NAVISTAR 06/04/12 NILSON STOOKAL GLEASON CAP NYHAN BAMBRICK KINZIE & LOWR 15WC001839 -C 380 14WC 27216 WATSON, THOMAS FOREST PRESERVE DISTRICT 04/01/13 ANESI OZMON RODIN NOVAK KO 16WC038737 -C 381 14WC 27356 ESPINOSA, VERONICA SCHNEIDER LOGISTICS TRANS 06/28/14 BUDIN LAW OFFICES POWER & CRONIN LTD 14WC027357 -C 382 14WC 27474 GACKI, ADAM M PROVENA FSSH 08/11/14 BOWMAN & CORDAY KEEFE CAMPBELL & ASSOC LLC 14WC027475 -C 383 14WC 27494 ESPARZA, ROSANA SUPERMAID CLEANING SERVIC 03/04/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 14WC 27640 GRUBBS, TAWANNA JOLIET JUNIOR COLLEGE 06/20/13 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 385 14WC 28026 LEWIS, JAMES (SPOUSE) SILVER CROSS HOSPITAL # 08/23/11 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 386 14WC 28065 YANEZ, BELEN MCDONALDS 12/29/13 EPSTEIN, JACK R LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 387 14WC 28132 HALE, DAVID B NEW TECH CONSTRUCTION COR 04/25/14 388 14WC 28360 FOX, LEE ANN M JOLIET AREA COMMUNITY HOS 04/01/14 BRIAN KEELEY LTD ROBERT L. SMITH 389 14WC 28591 BARRY, PATRICK ARYZTA LLC 07/09/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 390 14WC 29022 HAWKINS, JAMIE VILLAGE OF BEECHER 02/22/14 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 391 14WC 29101 AYALA, FERNANDO FRANCO ASHLEY FURNITURE 04/19/14 THOMAS J STIBERTH LAW OFFI WOLFE & JACOBSON, LTD 392 14WC 29112 FONTANA, MARGARET RENEWAL REHAB 07/21/14 BLOCK, KLUKAS & MANZELLA P ACCIDENT FUND HOLDINGS 393 14WC 29138 DURIA, LASHONDA SALEM VILLAGE 06/07/14 MARKER & ASSOCIATES GALLIANI DOELL & COZZI LTD 394 14WC 29206 GONZALEZ, JOSE F 1ST CHOICE TEMPORARY SERV 07/28/14 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 395 14WC 29252 ENGELMAN, DARCY THE INN AT WILLOW FALLS 06/12/13 LOUIS A PLZAK & ASSOCIATES DAMON YOUNG 15WC000542 -C 15WC000543 -C 396 14WC 29291 SIMENSON, JAMIE ROSEWOOD CARE CENTER 03/23/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 397 14WC 29561 MCKINNEY, ERIN JEWEL FOOD STORES 04/11/14 EVAN A HUGHES LAW OFFICE 398 14WC 29680 WYCHOSKI, DANIEL VILLAGE OF CRETE 09/01/13 RAYMOND M SIMARD, PC 399 14WC 29681 WYCHOSKI, DANIEL VILLAGE OF CRETE 10/16/13 RAYMOND M SIMARD, PC 400 14WC 29759 MEDRANO, FLORIDALMA SMITHFIELD FOODS INC 07/29/14 PARENTE & NOREM PC INMAN & FITZGIBBONS 401 14WC 30049 CASTANEDA, IGNACIO JR CENTRELLA GROCERS 05/26/14 ANKIN LAW OFFICE ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 14WC 30371 MYLES, LENARD C MEINEKE CAR CARE 08/02/14 MARKER & ASSOCIATES 403 14WC 30516 VAVRINEK, GARY AMERICAN SURGICAL 06/30/14 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 404 14WC 30669 PEREZ, ALVARO MICHAELS DISTRIBUTION CTR 09/05/14 LAW OFFICES TIMOTHY LAMPIN 405 14WC 30759 DOYLE, ANDY JR VILLAGE OF PLAINFIELD 02/04/14 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 406 14WC 30805 VALDEZ, SECUNDINO INMAIR 06/26/14 LAW OFFICE EDWARD RUEDA GRANT & FANNING 407 14WC 30828 CARBONEL, CEZAR PRESENCE ST JOSEPH MED. C 01/08/14 THE MACK LAW GROUP PC NYHAN BAMBRICK KINZIE & LOWR 14WC038947 -C 408 14WC 30833 SIGLER, SHANNON A MEADOWBROOK MANOR CARE 08/20/14 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 409 14WC 31036 ENGLAND, KATHERINE L FRESENIUS MEDICAL CARE 07/30/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 410 14WC 31391 REED, HARVEY R & H MUFFLER CO 05/25/14 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 411 14WC 31476 MARIN, IZTACOYOTL ANTONIO GOOD NEWS TRANSPORTATION 06/18/14 LAW OFFICE EDWARD RUEDA 412 14WC 31477 MARIN, IZTACOYOTL ANTONIO THE PORT TRUCKING CO 06/18/14 LAW OFFICE EDWARD RUEDA RATHBUN CSEVENYAK & KOZOL 413 14WC 31879 RIPPINGER, DAVID COMCAST 02/03/14 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 414 14WC 32175 MENDOZA, MARIA STAFFING NETWORK 04/04/14 NYHAN BAMBRICK KINZIE & LOWR 415 14WC 32232 MURPHY, LAVELL A POOLE'S PULL APART & TO W 08/13/14 DWORKIN AND MACIARIELLO VRDOLYAK LAW GROUP LLC 416 14WC 32303 BARENCA, ORLANDO ELITE STAFFING 08/05/14 LULAY LAW OFFICES 417 14WC 32316 KOKALJ, RONALD PACE HERITAGE 08/15/14 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 418 14WC 32489 DURRLY, SPARKLE B JOLIET STAFFING 07/04/14 FABRIZIO, HANSON & PEYLA 419 14WC 32653 BOLTON, FRED FALMA 09/04/14 VRDOLYAK LAW GROUP LLC KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 420 14WC 32741 MARTIRE, JOSEPH DIAMOND STAFFING/CRS 05/11/14 BRYCE DOWNEY & LENKOV LLC 421 14WC 32799 BURIAN, JODI MINOOKA COMM SCHOOL DIST 01/21/14 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 422 14WC 33031 GONSALEZ, MARIA BRISSA LA FLOR OF ILLINOIS INC 08/22/14 AIOSSA LAW FIRM LITCHFIELD CAVO 423 14WC 33293 SHEEHAN, RYAN M IKEA US WEST INC 08/19/14 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 424 14WC 33640 JOBE, MACK JR LOWES 08/22/12 BRISKMAN BRISKMAN GREENBER KEEFE CAMPBELL & ASSOC LLC 425 14WC 33699 LUNA, CHRISTOPHER SCHNEIDER NATIONAL 05/06/14 BIZZIERI LAW OFFICES POWER & CRONIN LTD 14WC033700 -C 426 14WC 33760 CAREY, CARNELL PREMIER JOB SERVICES 09/23/14 VRDOLYAK LAW GROUP LLC 427 14WC 34277 VACCARO, ANTHONY D CONSTRUCTION 11/17/11 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 428 14WC 34421 RODRIGUEZ-PEREZ, JUAN PACTIV CORP 08/22/14 ELIZABETH BOWER KENT 429 14WC 34589 FRANCO-AYALA, FERNANDO ASHLEY FURNITURE 09/06/14 THOMAS J STIBERTH LAW OFFI 430 14WC 34697 CARPENTER, LOU ANN PRESENCE OUR LADY OF VICT 09/23/14 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC 431 14WC 34741 FAVELA, JOSE CENTRAL GROCERS INC. 09/18/14 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 432 14WC 35274 VAN GEERTRY, CAROL JEWEL OSCO 06/01/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 433 14WC 35460 KRAFT, DAVID C ABCO ELECTRICAL CONSTRUCT 07/12/12 FABRIZIO, HANSON & PEYLA 434 14WC 35466 SEGERBERG, RAY MEADE ELECTRIC CO INC 09/30/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 435 14WC 35654 MEDINA, MARTHA FTC SERVICES INC 09/12/14 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 436 14WC 35893 MOSQUEDA, ZEIDA PREMIER EMPLOYEE SOLUTION 10/02/14 STROM, NEAL B GRANT & FANNING 437 14WC 35992 LOPEZ, DANIEL A COTG 09/29/14 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 14WC 36045 SILVA. ELSA G6 HOSPITALITY/MOTEL 6 JO 08/23/13 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 439 14WC 36128 WRIGHT, DOROTHY CIRCLE K 08/18/14 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 440 14WC 36327 WICKS, STEPHANIE MIDWEST X-RAY INC 10/04/14 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 441 14WC 36576 SUAREZ, NORMA G ADDUS HOME CARE 09/02/14 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 442 14WC 36607 BAILEY, CECILIA PRESENCE VILLA 07/23/14 KROCKEY CERNUGEL COWGILL E 443 14WC 36776 GORDON, JOSH CRAZY BULL GRILL & SALOON 10/10/14 WOODRUFF & JOHNSON 444 14WC 36879 MINCHUK, MARTIN TEMPERATURE EQUIPMENT COR 07/21/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 445 14WC 37085 HUITZIL, BLAS TWIN OAKS LANDSCAPING 09/20/14 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 446 14WC 37678 JUFEIRT, MATTHEW BEDFORD MOTOR SRVCS. INC. 10/13/14 POLANSKY & CICHON CHTD BAUM RUFFOLO & MARZAL LTD 447 14WC 37683 NEAL, ETHAN FIRST STAFF 10/20/14 GOLDBERG WEISMAN & CAIRO L 448 14WC 37752 KIMMEL, DAN ASM TRANSPORT SERVICES IN W 10/21/14 LAW OFFICES OF JOSEPH F. V 449 14WC 37870 BONNIVIER, EDWARD A & E SEPTIC 06/06/12 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 450 14WC 37900 SEYBOLD, JOHN BROOKS III GENERAL FIRE SPRINKLERS 03/06/14 JOHNSON, MICHAEL D & ASSOC 451 14WC 38015 CHAMNESS, RANDY NUCOR STEEL 03/25/13 FREDERICK & HAGLE CACCHILLO LAW GROUP LLC 14WC038016 -C 14WC038017 -C 452 14WC 38140 LOREDO, RICARDO CCA MIDWEST INC 06/19/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 453 14WC 38229 BAKER, KAREN TRANSPORTATION EMPLOYMENT 02/17/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 454 14WC 38584 KEYSER, ELAINE PRESENCE PHYSICAL THERAPY 08/03/14 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 455 14WC 38812 BROWN-BENNETT, ZAKIYYAH GENERAL MOTORS 08/06/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 14WC 38946 HENDRICKSON, DARRELL R LYON LLC 12/03/13 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 457 14WC 39046 EDWARDS, JEANETTA G INDIAN OAKS ACADEMY 11/02/14 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 458 14WC 39142 ROSS, ARTIS ELITE STAFFING 10/17/14 WOODRUFF & JOHNSON GOLDBERG SEGALLA LLC 459 14WC 39256 MECINO, JANET BIRRIERIA Y TAQUERIA ARAN 06/13/14 DEPAOLO ZADEIKIS GORE 460 14WC 39289 AGUILAR, KEVIN TRIUNE LOGISTICS 11/11/14 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 461 14WC 39385 HARRIS, JASON CITY OF JOLIET FIRE DEPT 10/28/14 RATHBUN CSEVENYAK & KOZOL CITY OF JOLIET 462 14WC 39567 HUNT, EULA WEXFORD HEALTH SOURCES IN 10/08/14 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 14WC039568 -C WESTFORD HEALTH SOURCES IN 463 14WC 39941 BROWN, ANTHONY T AIM NATIONALEASE 08/18/14 DEPAOLO ZADEIKIS GORE 464 14WC 40083 VISINAIZ, KELLY VALLEY VIEW COMMUNITY UNI 05/15/14 ROSS TYRRELL POWER & CRONIN LTD 465 14WC 40161 GATN, THERESA FAMILY DOLLAR 1224 09/24/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 466 14WC 40373 TRUITT, GAIL ARENA AUTO AUCTION 10/24/14 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 467 14WC 40697 GRUTZIUS, TOM CITY OF JOLIET 07/29/14 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 468 14WC 40839 SCHICKOWSKI, BRIAN EJDHLS INC 10/20/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 469 14WC 40856 DAVIS, ALBERTA HELP AT HOME INC 08/22/14 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 470 14WC 40893 PANZICA, JEANNE THE PLAINFIELD COMMUNITY 08/29/14 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 471 14WC 40959 BANKS, ALAN SUPERWASH 09/18/14 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 472 14WC 40978 GARCIA, HEBER LOCKPORT STEEL 04/24/14 SOSTRIN AND SOSTRIN PC 473 14WC 41319 RODGERS, MELALON T METRO STAFFING 11/05/12 WARREN W MARK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 14WC 42247 ALBRIGHT, JAMES VILLAGE OF BOLINGBROOK 11/07/14 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 475 14WC 42416 GIBSON, JOHN H SR ILLINOIS CENTRAL SCHOOL 02/10/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 476 14WC 42520 QUARLES, JOSEPH ECOLAB INC 07/21/14 CAPRON & AVGERINOS PC KEEFE CAMPBELL & ASSOC LLC 477 14WC 42817 PORADOWSKI, LESZEK AUTO DOC JOLIET INC 10/21/14 BELCHER LAW OFFICE RUSIN & MACIOROWSKI LTD 478 14WC 42850 HOLMAN, MAURICE DIAGEO GLOBAL SUPPLY 12/06/14 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 479 14WC 42999 OLLIE, KEVIN PINNACLE WORKFORCE LOGIST 12/12/14 STROM, NEAL B RODDY LAW LTD 480 14WC 43070 SHELTON, HENRY EXXON MOBIL 06/07/11 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 481 14WC 43174 NEUMANN, MICHAEL HONEYWELL INTERNATIONAL 03/27/14 RIDGE & DOWNES RODDY LAW LTD 482 14WC 43611 BLACKWELL, PATRICIA WILL COUNTY SHERIFF'S DEP 11/10/14 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 483 14WC 43677 SCHEHR, JASON SHAMROCK STAFFING & WALMA 02/16/12 BLOCK, KLUKAS & MANZELLA P 484 15WC 00196 HOMEIER, CATHLEEN SILVER CROSS HOSPITAL 11/07/14 MACIOROWSKI SACKMANN & ULRIC 485 15WC 00500 SIMMONS, DERRICK KEY LOGISTICS 02/13/13 MEYERS & FLOWERS CHILTON YAMBERT PORTER LLP 486 15WC 00599 HOOK, WILLIAM ROCK TENN 08/20/14 CORTINA & MUELLER GAROFALO SCHREIBER STORM 487 15WC 00672 CASTRO, MARIO AEROTEK 09/16/14 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 488 15WC 00789 SANGABRIEL, DIANA ELITE STAFFING 10/24/14 BAUM RUFFOLO & MARZAL LTD 489 15WC 00893 LEE, FREDDIE E JR WEATHER TECH 10/27/14 WOODRUFF & JOHNSON 490 15WC 00965 GUTIERREZ, MARIA L UNIVERSAL LAMINATING 11/25/14 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 15WC015358 -C 491 15WC 00982 CHESTNUTT, DONNIE FIRST MIDWEST BANK 03/13/14 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 15WC 01126 JANKOWSKI, GREGORY VERNON & MAX INC 12/08/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 493 15WC 01474 CUNDIFF, ROBERT PREMIERE ON BOARD 11/26/14 LEONARD LAW GROUP LLC 494 15WC 01486 BISHOP, WALTER T CEVA LOGISTICS 06/16/14 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 495 15WC 01653 ANDERSON, SHAWN FLEXIBLE STAFFING SERVICE 11/17/14 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS & DOLIN, PC 496 15WC 01754 RUELAS, ISMAEL SUPERMERCADO JOLIET 12/24/14 KROCKEY CERNUGEL COWGILL E 497 15WC 02100 SISK, DEBBIE ISLAND CITY REHABILITATIO 08/16/14 STEPHAN L. HOFFMAN 498 15WC 02197 KRUKOWSKI, JOZEF PRESENCE ST JOSEPH 04/30/14 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 499 15WC 02300 PIERSON, LARRY CPI, LLC 01/28/14 PORRO NIERMANN & PETERSEN NYHAN BAMBRICK KINZIE & LOWR 500 15WC 02513 GLEAVES, STEVE DUPAGE OVERHEAD GARAGE DO 03/07/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 501 15WC 02744 DURHAM, ALYSHA SCHNEIDER NATIONAL 08/20/14 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 15WC038947 -C 502 15WC 02850 SMYTH, KATHERINE CORNERSTONE SERVICES 11/14/14 PARENTE & NOREM PC 503 15WC 02976 LAUDERBACK, ED SHAPIRO DEVELOPMENTAL CEN 03/26/14 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 504 15WC 03001 SCHEIDT, WILLIAM MIDWEST GENERATION 12/09/12 HORWITZ HORWITZ & ASSOC 15WC003002 -C 505 15WC 03529 HERNANDEZ, SAUL TELEFONIKA 04/23/14 HART & DAVID LLP LAW OFFICES OF EDWARD J. KOZ 506 15WC 03603 ZERTH, KRISTA WEXFORD HEALTH SOURCES 12/04/14 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 507 15WC 04070 BARFIELD, LEA STAFFMARK 01/14/15 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL & ASSOC LLC 508 15WC 04099 IRVIN, MARION LUDWIG EXPLOSIVES 11/03/14 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 509 15WC 04106 TERRELL, CONLEY LODERS CROKLAAN 11/15/14 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 15WC 04281 HOPPER, ANNA THE WIRELESS STORE 08/08/14 SPIROS LAW PC COZZI & GOGGIN-WARD 511 15WC 04432 CABRERA, ARACELI SUPERIOR HEALTH LINENS 07/09/14 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 512 15WC 04505 WILSON, JEFFREY YAZMIN TRANSPORT 01/29/14 LANNON LANNON & BARR LTD 15WC004506 -C 513 15WC 04964 MACHART, BONNIE SILVER CROSS HOSPITAL 02/25/14 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 514 15WC 05241 RESENDES, LUCILA BURGER KING 01/27/15 WITTER LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 515 15WC 05468 KRUML, JENNIFER STATEVILLE PRISON 01/14/15 KREITER, BYCK & ASSOC LLP COLIN KICKLIGHTER 516 15WC 06105 FEENEY, MARY JEWEL FOOD SERVICES LLC 07/20/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 517 15WC 06254 GOMEZ, MARIA T SELECT REMEDY 02/05/15 ENCINAS & ORNELAS LEAHY EISENBERG & FRAENKEL 518 15WC 06571 LAYNE, DARTANYAN SELECT REMEDY 11/09/14 LEITER LAW OFFICES LEAHY EISENBERG & FRAENKEL 519 15WC 06655 CASCO, JUAN FLEXIBLE STAFFING 02/16/15 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 520 15WC 06683 ALLANDE, ADAM SILVA INTERNATIONAL 08/31/11 521 15WC 06858 SMITH, AUDREY CORNERSTONE SERVICES 04/30/14 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 15WC006862 -C 522 15WC 06954 KLEPCZAREK, VERONICA HAIR CUTTERY 01/27/15 JAY S. SHETH LLC HENNESSY & ROACH PC 523 15WC 07082 SMITH, DANIEL CITY OF JOLIET 07/12/14 KAVANAGH GRUMLEY & GORBOLD 524 15WC 07142 LABIAK, LORETTA PRESENCE ST JOSEPH MEDICA 10/07/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 525 15WC 07150 MC CLELLAN, ANDREA LUTHERAN SOCIAL SERVICES 10/13/14 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 526 15WC 07173 TRINKA, STEVE ROMEOVILLE WALMART SUPERC 11/03/14 BRIAN KEELEY LTD WIEDNER & MCAULIFFE LTD 527 15WC 07363 PROKUSKI, ADRIANA CITY OF JOIET PD 01/05/15 WHITESIDE & GOLDBERG LTD CITY OF JOLIET

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 15WC 07411 TERRY, VICKI THE KROGER CO 02/26/14 BRIAN KEELEY LTD STONE & JOHNSON CHARTERED 529 15WC 07491 HILL, MICHAEL CENTRELLA FOODS 10/06/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 530 15WC 07626 SMITH, STEPHANIE THE MAIDS OF NEW LENOX 02/04/15 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 531 15WC 07646 GARCIA, JESUS CENTRAL GROCERS, INC. 02/09/15 CHEPOV & SCOTT LLC ROSARIO CIBELLA 532 15WC 07711 HODOLITZ, PAUL AIM INTEGRATED LOGISTICS 02/26/15 RUBENS AND KRESS 533 15WC 07743 CASTANEDA, IGNACIO CENTRAL GROCERS 03/01/15 ANKIN LAW OFFICE ROSARIO CIBELLA 534 15WC 07834 MABRY, JESSE KEENAN TRANSIT 11/19/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 535 15WC 07952 FRANCO, ROMAN JOHN MORREL & CO 08/05/14 JOHN S. ELIASIK INMAN & FITZGIBBONS 15WC007953 -C 536 15WC 08293 BERMEJO, ESTHER ELITE STAFFING 11/19/14 STRELLIS & FIELD CTD 537 15WC 08352 AMARAL, ALI HAIN CELESTIAL GROUP 04/23/14 BLOCK, KLUKAS & MANZELLA P GRANT & FANNING 538 15WC 08410 KOLPAK, PATRICK USF HOLLAND 02/11/14 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 539 15WC 08657 RYCRAW, DONALD M JACOBSON WAREHOUSE CO INC 02/26/15 ANKIN LAW OFFICE CACCHILLO LAW GROUP LLC 540 15WC 08662 GORDON, GERRI VALLEY VIEW SCHOOL 02/25/15 ANKIN LAW OFFICE KNELL & O'CONNOR 541 15WC 08872 MC GOWAN, KAREN STEPPING STONES 01/16/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 542 15WC 08914 WALKER, RITA F WALGREENS 02/15/15 COLLISON & O'CONNOR GILDEA & COGHLAN 543 15WC 08968 SYLER, ROBERT INTEGRITY TRADE SERVICES 01/09/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 544 15WC 09154 SCHUSTER, RAY A INTREN INC 03/02/15 GORDON & CENTRACCHIO LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 545 15WC 09200 LYNN, WILLIAM ROSATI'S PIZZA 02/20/15 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 546 15WC 09368 CARDENAS, GUADALUPE TACO BELL 08/09/14 JONATHAN SCHLACK KEEFE CAMPBELL & ASSOC LLC 16WC017486 -C WINDY LANDINGS INC D/B/A 547 15WC 09528 MICHALIK, MITCHELL S CRETE-MONEE SCHOOL DISTRI 03/12/15 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 548 15WC 09592 HEALY, JAMES US FOODS 12/15/14 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 549 15WC 09734 BULIAN, MARK CENTRAL LIFT 11/17/14 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 550 15WC 09736 MC ELROY, JENNIFER THE HOME DEPOT 02/26/15 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 551 15WC 09844 SMITH, BLAIR L CENTRAL GROCERS INC 09/09/14 ANKIN LAW OFFICE ROSARIO CIBELLA 552 15WC 09907 CABRERA, MARINA SONY DADC 11/03/14 MCNAMARA PHELAN MCSTEEN LL CHILTON YAMBERT PORTER LLP 553 15WC 09937 RICARDEZ, JAVIER GRASSHOPPER LAWN AND LAND 11/22/14 GOLDBERG WEISMAN & CAIRO L 554 15WC 10263 MANCERA, BRAULIO U.S. XPRESS, INC. 12/10/14 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 555 15WC 10274 SCHRAER, BRADLEY A PALLET COMPANIES INC 11/21/14 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 556 15WC 10454 ALCALA, RUBEN MONDI USA 10/09/14 COLLISON LAW OFFICES COZZI & GOGGIN-WARD 557 15WC 10595 HANNIGAN, ROBERT P. MEP CONSTRUCTION 03/06/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 558 15WC 10747 RODRIGUEZ, MARIO NAVISTAR INC 02/25/15 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 559 15WC 10870 KING, TIM COMCAST 03/25/15 MCNAMARA PHELAN MCSTEEN LL POWER & CRONIN LTD 560 15WC 11115 DIGANGI, ROSARIO MIDWEST FUEL INJECTION 03/15/15 DWORKIN AND MACIARIELLO 561 15WC 11237 CHAIDEZ, FLORENTINO CENTRAL GROCERS INC 03/27/15 OSVALDO RODRIGUEZ PC 562 15WC 11274 HRAY, RICHARD K-LINE TRANSPORTATION, IN 02/05/15 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 563 15WC 11452 PELKE, LINDA TRINITY SERVICES 03/11/15 WOODRUFF & JOHNSON 564 15WC 11511 SUNN, RONALD PEPSICO 11/03/14 STEPHEN G PINTO LTD GILDEA & COGHLAN 565 15WC 11784 KAWA, CHRISTOPHER BLU PETROLEUM INC 03/03/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 566 15WC 11914 FOXWORTHY, BRANDIE OSWEGO SCHOOL DIST 308 01/26/15 MARKER & ASSOCIATES ROSARIO CIBELLA 567 15WC 12126 THOMPSON, JEFFERY TRI-STAR CABINETRY & TOP 10/07/13 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 568 15WC 12156 WALTERS, MINNIE FIRST CLASS STAFFING 03/19/15 DWORKIN AND MACIARIELLO GRANT & FANNING 569 15WC 12198 BEAVERS, RICHARD TOYAL AMERICA INC 12/30/14 STRONG LAW OFFICE THOMAS & ASSOCIATES 570 15WC 12272 MARTIN, BETTY JEWEL FOOD 10/15/14 MATTHEW T. GUBBINS PC RODDY LAW LTD 571 15WC 12440 GARCIA, MARIA E TURANO BAKING CO 08/13/12 HART & DAVID LLP NOBLE & ASSOCIATES PC 572 15WC 12606 WAGNER, BRANDON M PARSEC, INC. 02/03/15 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 573 15WC 12692 GUZMAN, FLORENCIO WILCO AREA CAREER CENTER 01/05/15 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 574 15WC 12859 AYRES, DON H UPS 02/02/15 LAW OFFICES MICHAEL HELLMA ASA LAW GROUP 575 15WC 12888 KINCHERLOW, VICTOR STAFFING NETWORK SOLUTION 03/19/15 LAW OFFICES OF KIRK MOYER SLAVIN & SLAVIN 576 15WC 12910 LITTLE, LAWRENCE CENTRAL LIFT MAINTENCE GR 11/27/14 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 577 15WC 13012 JONES, ZANE ASHLEY CUSTOM HOMES 12/13/14 578 15WC 13392 TEJEDA, EDITH ELITE STAFFING 03/09/15 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM 579 15WC 13536 OZBOLT, ALLEN DR PEPPER SNAPPLE GROUP 04/23/14 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 580 15WC 13716 MOODY, BLOWERY SUNNY HILL NURSING HOME 12/24/14 MARC J SHUMAN & ASSOCIATES HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 581 15WC 13952 MAC FADGEN, ROBERT MEIJER 03/14/15 PORRO NIERMANN & PETERSEN ALLEN KOPET & ASSOCIATES 582 15WC 14010 ALVAREZ, JORGE ANTONIO LA RUBY BAKERY W 04/16/15 COLLISON LAW OFFICES 583 15WC 14025 PUTNAM, JAMES CITY OF LOCKPORT 05/31/13 JACOBSON & SCHIEFELBEIN 584 15WC 14057 WARD, JENNI TROY SCHOOL DISTRICT #30C 04/07/15 HORWITZ HORWITZ & ASSOC 585 15WC 14069 BELYEW, DAVID W. INTERGRATED INDUSTRIES 04/07/15 WILLIAMS, ROBERT B LAW OFF 586 15WC 14236 MARTINEZ, LOURDES GARCIA ELITE STAFFING 04/13/15 THE ROMAKER LAW FIRM GOLDBERG SEGALLA LLC 587 15WC 14402 ALBERTY, PATRICIA ADAMS & ASSOC JOLIET JOB 03/17/15 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 588 15WC 14460 GODINEZ, JOSE CENTRAL GROCERS INC 02/22/15 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 589 15WC 14713 MACIAS, ASCENCION PEACOCK ENGINEERING CO., 04/13/15 KARCHMAR & STONE HOLECEK & ASSOCIATES 590 15WC 15194 TAYLOR, DIANE L THER-A-CARE REHABILITATIO 06/01/12 ANESI OZMON RODIN NOVAK KO RODDY LAW LTD 591 15WC 15489 PASKE, THOMAS BRENNAN EQUIPMENT 12/12/14 DEPAOLO ZADEIKIS GORE 592 15WC 15586 DANIEL, MARIA COOK ILLINOIS CORP 04/13/15 ANKIN LAW OFFICE 593 15WC 15844 KAMALU, HERBERT ILLINOIS DEPT OF CORRECTI @ 04/28/15 RATHBUN CSEVENYAK & KOZOL MALLORY ZIMET 594 15WC 15882 SNITKO, ANNA HARBOR CHASE OF PLAINFIEL 04/12/15 LASSEN, BRIAN D LAW OFFICE LAW OFFICES FRANCESCA LARSEN 595 15WC 15955 IPEMA, MIKE CIMARRON CONSTRUCTION 04/07/15 HORWITZ HORWITZ & ASSOC QUINN JOHNSTON HENDERSON ETA 596 15WC 16046 OAKES, JACQUELINE HAMRA MANAGEMENT COMPANY, 03/05/15 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 15WC 16212 CLAY, CURTIS SOLVAY 03/16/15 DANIEL PERIASWAMY BRADY CONNOLLY & MASUDA PC 598 15WC 16258 GRIGGS, JAMES SEVILLE STAFFING LLC 05/12/15 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 15WC016259 -C 599 15WC 16460 JACOBSEN, STEVEN D FBI BUILDINGS 05/12/15 PETER F FERRACUTI & ASSOCI GRANT & FANNING 600 15WC 16521 BAFFIELD, SHERIAN Y. SILVER CROSS HOSPITAL 06/13/14 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 601 15WC 16654 MASTEJ, FRANK WEG ELECTRIC 01/07/15 JOHN E LUSAK LAW OFFICES FRANCESCA LARSEN 602 15WC 16785 HAMILTON, JAMES THE HOME DEPOT 02/10/14 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 603 15WC 16946 KONIECZNY, PHILLIP DETAIL PLUS W 05/08/15 LEITER LAW OFFICES 604 15WC 17146 RICHARDS, SHERRY TROY SCHOOL DISTRICT #30C 04/16/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 605 15WC 17405 FRANCO, LUZ METRO STAFF, INC. 02/03/15 COSTA IVONE LLC HENNESSY & ROACH PC 606 15WC 17497 RODRIGUEZ, ANTONIA ACCURATE PERSONNEL SERVIC 05/01/15 FOOTE MIELKE CHAVEZ & O'NE GRANT & FANNING 607 15WC 17575 BOYD, CAPRICE JEWEL FOODS DIV SUPERVALU 09/07/14 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 608 15WC 17619 GALDERIO, TONJA DRALLE WATSEKA 03/12/15 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 15WC017620 -C 609 15WC 17742 BOGUSZEWSKI-BULL, JENNIFE UNITED STATES COLD STORAG 02/20/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 610 15WC 17819 MOODY, CHRISTINA PRESENCE ST JOSEPH MED CT 02/11/14 LAW OFFICE OF BART MARKESE KEEFE CAMPBELL & ASSOC LLC 611 15WC 18080 HALL, SCOTT JR. ILLINOIS DEPT OF CORRECTI @ 09/25/14 MC HARGUE, JAMES P LAW OFF MALLORY ZIMET 612 15WC 18137 RENTERIA, SANDRA GENERAL CONVERTING INC 01/30/14 ACEVES & PEREZ PC GANAN & SHAPIRO 613 15WC 18253 SILDER, KEVIN SOI/DEPT OF CORRECTIONS @ 05/02/15 CULLEN HASKINS NICHOLSON COLIN KICKLIGHTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 614 15WC 18324 MORGENROTH, CHERYL MINOOKA ANIMAL HOSPITAL 05/21/14 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 615 15WC 18339 MEZA, REYES HONEYWELL INTERNATIONAL I 01/30/15 HEALY SCANLON LAW FIRM RODDY LAW LTD 15WC018340 -C 616 15WC 18519 ROMA, GERALD F VALLEY VIEW SCHOOL 12/03/14 TOSCAS, JOHN Z LAW OFFICE KNELL & O'CONNOR 617 15WC 18532 ORASCO, STEPHEN NEW ALBERTSONS, INC. 01/04/15 ANKIN LAW OFFICE 618 15WC 18892 ABEL, TAMARA BAKER & TAYLOR 01/15/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 619 15WC 19035 LEE, FREDDIE A JR WEATHER TECH 04/02/15 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 620 15WC 19303 TAYLOR, DARRYL MENARDS 04/08/15 BRIAN T MORROW, LAW OFFICE 621 15WC 19355 MCCLELLAN, WILBERT S. HOUSING AUTHORITY OF JOLI 12/08/14 RIDGE & DOWNES THOMAS & ASSOCIATES 622 15WC 19417 ORTIZ, ANDREA IFCO 02/10/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 15WC019418 -C 623 15WC 19506 CLOSE, HEATH A JR CARTAGE INC 06/03/15 DREW J FERRACUTI 624 15WC 19517 MEISER, SANDRA SPEEDWAY LLC 10/02/14 LAW OFFICE OF THOMAS P NAU NYHAN BAMBRICK KINZIE & LOWR 625 15WC 19534 GARCIA, SABINO PORFIRIO HOME DELIVERY 05/26/15 AIOSSA LAW FIRM HENNESSY & ROACH PC 626 15WC 19583 GREEN, DAVIDA MEADOWBROOK MANOR 11/22/14 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 627 15WC 19866 SANCHEZ, JOSE VEGA EXCEL INC 05/29/15 CORBOY & DEMETRIO PC HENNESSY & ROACH PC 628 15WC 20136 FLORES, PEDRO POLAR SERVICE CENTER 06/05/13 HETHERINGTON KARPEL BOBBER HOLECEK & ASSOCIATES 629 15WC 20168 HOLMAN, JON IL BELL TELEPHONE COMPANY 06/12/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 630 15WC 20313 GARCIA, HECTOR RYDER 06/09/15 JAMES ELLIS GUMBINER & ASS HEYL ROYSTER VOELKER & ALLEN 631 15WC 20356 HUDSON, LATRICE PRESENCE ST JOSEPH MEDICA 11/28/14 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 632 15WC 20532 PEREZ, MARIA I ANFINSEN PLASTIC MOLDING 03/03/15 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 633 15WC 20730 KISSICK, STEVE CROP PRODUCTION SERVICES 10/12/14 TUGGLE SCHIRO & LICHTENBER SPIEGEL & CAHILL, PC 634 15WC 20813 COCO, BRIAN S IDOC 12/05/14 DAVID W MARTAY MALLORY ZIMET 635 15WC 21150 GONZALEZ, CRYSTAL ROUNDY'S,D/B/A MARIANO'S 01/16/15 KIPNIS & KAHN POWER & CRONIN LTD 636 15WC 21230 YZAGUIRRE, JOSEPH ADVENT PAINTING LLC 03/23/14 637 15WC 21405 BAKUTIS, ROBERT WEST LIBERTY FOODS 02/04/15 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 638 15WC 21466 HOPKINS, JAMES SAM'S CLUB 01/30/15 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 639 15WC 21567 FLORES, VERONICA DS SMITH RAPAK LLC 11/22/14 ELIZABETH BOWER KENT HOLECEK & ASSOCIATES 15WC021568 -C 15WC021569 -C 640 15WC 21581 TAYLOR, TAMIKA INNOTRAC CORPORATION 07/03/14 ANKIN LAW OFFICE 641 15WC 21635 WUNDERLICH, DANIEL JOLIET FIRE DEPT 03/23/15 RATHBUN CSEVENYAK & KOZOL CITY OF JOLIET 642 15WC 21680 FORT, PATRICIA PRESENCE ST JOSEPH MEDICA 04/22/15 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 643 15WC 21761 ZADROZNY, DOREEN MARIANO'S FRESH MARKET 05/18/15 O'CONNOR & NAKOS POWER & CRONIN LTD 644 15WC 21940 MARASOVIC, SHERI M HOME DEPOT 03/17/15 ANESI OZMON RODIN NOVAK KO ADELSON TESTAN & BRUNDO 645 15WC 22085 JACKSON, DEBRA KELLOGG'S 05/08/15 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 646 15WC 22161 TORTORIELLO, ROBERT ADVANCE AUTO PARTS 11/21/14 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 647 15WC 22229 LOYD, DOUG REDWOOD REAL ESTATE SERVI 06/18/15 MCNAMARA PHELAN MCSTEEN LL 648 15WC 22546 LARA, MARIA A. O'REILLY AUTO PARTS 05/19/15 MCNAMARA PHELAN MCSTEEN LL HENNESSY & ROACH PC 649 15WC 22620 MCFADDEN, SADE FRANKFORT TERRACE 06/22/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 650 15WC 22658 BUELL, LARRY TRANSYSTEMS INC 01/08/15 BRUGGEMAN HURST & ASSOC GRANT & FANNING 651 15WC 22694 REISCHE, TODD ASI CONSTRUCTOS, INC. 07/07/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 652 15WC 22804 MARTINEZ, EMANUEL HORIZON CARPENTRY 05/15/15 PORRO NIERMANN & PETERSEN 653 15WC 23041 QUEZADA, CARLOS REALTY CONSULTING SERVICE 10/14/14 SKLARE LAW GROUP HENNESSY & ROACH PC 15WC023042 -C 654 15WC 23176 CRADLE, CLIFTON WAL-MART DIST CENTER 12/31/14 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 655 15WC 23491 HERTZMANN, ASHLY BUFFALO WILD WINGS 06/03/15 FITZ & TALLON LTD QUINN JOHNSTON HENDERSON ETA 656 15WC 23596 CHATMAN, ROBERT WALMART 07/09/15 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 657 15WC 23623 HARPER, RODNEY IL DOC NRC STATEVILLE @ 07/10/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 658 15WC 23671 JACKSON, PATRICIA GREAT CLIPS 04/07/15 MARC J SHUMAN & ASSOCIATES GILDEA & COGHLAN 659 15WC 23758 PAYNE, PASHA ILLINOIS DEPT OF @ 06/11/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 660 15WC 23948 THIGPEN, LANITA SEPTRAN INC 02/04/15 BLOCK, KLUKAS & MANZELLA P 661 15WC 24087 STALLWORTH, TANYA HOME DEPOT 02/20/14 GORDON & CENTRACCHIO LLC ADELSON TESTAN & BRUNDO 662 15WC 24150 PERRY, KEVEN SHAPIRO DEVELOPMENT 04/02/15 STEVEN A CRIFASE, LTD ASSISTANT ATTORNEY GENERAL 663 15WC 24213 FREEMAN, PERRY MONEE FIRE DEPT 01/02/15 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 664 15WC 24301 ALLEN, JEFFREY W. SOLVAY 05/25/15 PARENTE & NOREM PC 665 15WC 24322 ESPARZA, JUAN CARLOS KAYLA MASONRY INC 07/31/15 THE ROMAKER LAW FIRM 666 15WC 24377 KURZYNSKA, MIROSLAWA PACTIV 03/28/15 MICHALSKI & GUBERNAT SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 667 15WC 24509 LOPEZ, MARCELA METRO STAFF INC 01/22/15 CULLEN HASKINS NICHOLSON 668 15WC 24522 ALVAREZ, JOSE KEHE DISTRIBUTORS INC 02/19/13 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 15WC024523 -C 15WC024524 -C 15WC033343 -C 669 15WC 24526 BURTON, CATHY R GRAND PRAIRIE TRANSIT INC 06/23/14 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 670 15WC 24827 GILES, GARY LANKFORD CONSTRCUTION 07/01/15 JOHN E LUSAK WIEDNER & MCAULIFFE LTD 671 15WC 24927 LOVE, BYRON ILLINOIS GAMING BORAD @ 06/05/15 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 672 15WC 25034 TAYLOR, DARRYL MENARDS 12/19/14 BRIAN T MORROW, LAW OFFICE 673 15WC 25223 MOROCHO, PATRICIO EUGENIO UNITED CENTRAL ORCHIDS 04/16/15 KATZ FRIEDMAN EAGLE ET AL 674 15WC 25314 FRANKLIN, VENSON LABORTEMPS 06/25/15 JAMES J BURKE LAW OFFICE ROBERT L. SMITH 675 15WC 25533 PATE, JOSEPH STATE OF IL DOC PAROLE @ 06/16/15 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 676 15WC 25604 PARKER, PENNY CTF ILLINOIS 07/10/15 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 15WC031596 -C 677 15WC 25630 LATIMORE, RICO JR. MIDWAY MOVING 07/02/15 PARENTE & NOREM PC 678 15WC 25707 SUMNER, JEFFREY CASSENS TRANSPORT COMPANY 07/01/15 ANGELINI & ORI LLC KNAPP, OHL & GREEN 679 15WC 25758 BURNS, VERDELL ST COLETTA'S OF ILLINOIS 04/24/15 LAW OFFICES PETER LEKAS ACCIDENT FUND HOLDINGS 680 15WC 25906 DELGADO, CYNTHIA DOLLAR GENERAL 05/14/14 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 681 15WC 26062 PEASE, CHRISTIAN ACARS GROUP, INC D/B/A 07/07/15 BART DURHAM RUSIN & MACIOROWSKI LTD 682 15WC 26086 VAUGHN, MICHAEL MIDWAY INDUSTRIAL 07/02/15 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 683 15WC 26120 CONNOLLY, JOYCE GENERAL MOTORS 05/23/13 LAW OFFICES OF NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 684 15WC 26164 SANDOVAL, RAMIRO ECOSCAPE LANDSCAPE SRVCS 05/12/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 685 15WC 26347 MALONE, JOSEPH MCCOY SERVICES 03/16/15 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 686 15WC 26552 EVANS, JEFFREY JOLIET STAFFING 03/31/15 BRISKMAN BRISKMAN GREENBER RIPES NELSON BAGGOT KALOBRAT 687 15WC 26607 ZAYED, TALAAT CUSHING TRANSPORTATION 05/01/15 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 688 15WC 26815 RUTTER, MARK NRG ENERGY INC. 04/01/14 BRIAN T MORROW, LAW OFFICE WIEDNER & MCAULIFFE LTD 689 15WC 26919 MONSON, RONALD ECOLAB 11/15/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 690 15WC 27069 WATSON, MARIA E JEWEL-OSCO 08/05/15 LASSEN, BRIAN D LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 691 15WC 27392 CHAIDEZ, FLORENTINO CENTRAL GROCERS, INC. 08/01/15 OSVALDO RODRIGUEZ PC 692 15WC 27504 MASSEY, JAMES DOLLAR TREE 08/04/15 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 693 15WC 27807 ELLIS, STEVEN E. LINCOLNWAY H.S. DIST. 210 07/01/15 FOTOPOULOS, JOHN S RUSIN & MACIOROWSKI LTD 694 15WC 27949 LOPEZ, ROBERT R NRG ENERGY, INC. 07/30/15 LAW OFFICE OF THOMAS P NAU WIEDNER & MCAULIFFE LTD 695 15WC 27975 ROSS, KENNETH ST OF IL DEPT OF DOC @ 07/15/15 BLOCK, KLUKAS & MANZELLA P STATE OF ILLINOIS 696 15WC 28024 RAMIREZ, GUSTAVO ELITE STAFFING, INC. 07/23/15 HOWARD S. KAVENOW LLC 697 15WC 28092 PANNEK, NICKOLAS J. PRESTIGE NURSERY/ABBOTT T 11/25/14 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 698 15WC 28220 ELROD, LISA BROOKDALE SENIOR LIVING 07/10/15 HORWITZ HORWITZ & ASSOC 699 15WC 28529 CLAYPOOL, RAY ALLIANCE GLAZING 04/21/15 CORTINA & MUELLER 700 15WC 28619 KMETTY, JASON PACTIVE CORP 09/05/14 HANNA VANDER PLOEG LLC SPIEGEL & CAHILL, PC 701 15WC 28903 BURKMAN, ALLISON CITGO 03/17/15 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 702 15WC 28925 DECKINGA, JENISE ADVOCATE HEALTH CARE 07/25/15 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 703 15WC 29039 ADAMS, CHRISTINA RR DONNELLEY 04/10/15 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 704 15WC 29113 BARRETT, SIDNEY WILLOW FALLS 07/20/15 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 705 15WC 29282 BOYER, ALYSSA APERION HALTHCARE 05/31/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES FRANCESCA LARSEN 706 15WC 29332 MALDONADO, BRISELDA CHART WELL STAFFING 08/21/15 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 707 15WC 29466 BLABAUM, JEFFREY L. ANCHOR CONSTRUCTION OF IL 08/15/15 ANKIN LAW OFFICE 15WC029467 -C 708 15WC 29489 EGGERT, DOUGLAS NEW LENOX COMMUNITY PARK 10/24/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 709 15WC 29519 ALARCON, GREGORIO AXCESS STAFFING SERVICES 08/12/15 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 710 15WC 29588 RINEHART, JOHN ITW DELTAR FUEL SYSTEMS 08/05/15 WHITESIDE & GOLDBERG LTD 711 15WC 29609 DELBREY, JAQUELINE ECOWIZE NORTH AMERICA 09/03/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 712 15WC 29720 LEE, STEPHEN AT&T U-VERSE 07/28/15 GOLDBERG WEISMAN & CAIRO L 713 15WC 29841 VANDERBERG, TIMOTHY J B HUNT TRANSPORT SERVIC 06/07/15 ROGER D RUDICH LTD GRANT & FANNING 714 15WC 29895 APARICIO, NAIVI TRIUNE LOGISTICS LLC 08/26/15 COSTA IVONE LLC LITCHFIELD CAVO 715 15WC 30134 ADE, MICHAEL CUSTOM ROOFING CONTRACTIN 05/27/15 LEAHY, JAMES P KNELL & O'CONNOR 716 15WC 30227 CABRERA, MARINA SONY-DADC 06/13/15 MCNAMARA PHELAN MCSTEEN LL CHILTON YAMBERT PORTER LLP 717 15WC 30468 ALVARADO, JOSE T & D METAL PRODUCTS 08/18/15 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 718 15WC 30515 CORONA, VICTOR EM LUBE & TRUCK REPAIR LL 07/18/15 JONATHAN SCHLACK THOMAS & PORTELA 719 15WC 30695 WIELOSINSKI, KATHLEEN THORNTON FRACTIONALTOWNSH 04/07/15 FRANK A CELANI BRADY CONNOLLY & MASUDA PC 15WC033476 -C 720 15WC 30718 MULLEN, BERTHA WALMART 10/15/14 PORRO NIERMANN & PETERSEN WIEDNER & MCAULIFFE LTD 721 15WC 30795 RUSH, JIMMIE 1ST CLASS STAFFING 09/11/15 CORTINA & MUELLER GRANT & FANNING 722 15WC 30814 MARTIN, TASHUN T SHAPIRO DEVELOPMENTAL CEN @ 10/25/14 ANKIN LAW OFFICE MALLORY ZIMET 723 15WC 30929 WALKER, CRYSTAL SUBWAY 09/03/15 BRIAN T MORROW, LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 724 15WC 31044 HOTCHKIN, STEVEN E CB & I STONE WEBSTER 10/14/13 KARNO, MARK L & ASSOC RIPES NELSON BAGGOT KALOBRAT 725 15WC 31112 LOERA, ANTONIO ST OF IL DEPT OF CORRECTI 09/19/15 SKLARE LAW GROUP COLIN KICKLIGHTER 726 15WC 31164 RIVERA, GREGORY BOLINGBROOK COLD STORAGE 07/17/15 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 727 15WC 31229 HARRISON, ANDRE AMERISOURCE BERGEN 09/17/15 FRIEDMAN & SOLMOR LTD SPIEGEL & CAHILL, PC 16WC033449 -C 728 15WC 31599 CUNNINGHAM, WILLIAM P NRG ENERGY 09/09/15 DIXON LAW FIRM WIEDNER & MCAULIFFE LTD 729 15WC 31730 CUELLAR, GABRIEL EXCEL, INC. 07/29/15 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 730 15WC 31778 WIELGUS, BRANDON CENTRAL GROCERS 10/21/13 GOLDBERG WEISMAN & CAIRO L 731 15WC 31816 WHITE, GENEVA HR METRICS, INC. 07/30/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 732 15WC 31892 MITCHELL, MARCUS CITY OF JOLIET 10/15/13 DANIEL J ADLER LAW OFFICE CITY OF JOLIET 733 15WC 32105 MARTINEZ, JAIME JOLIET STAFFING LLC 08/24/15 BRADY CONNOLLY & MASUDA PC 734 15WC 32343 REBUS, JOHN VILLAGE OF MANTENO 06/25/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 735 15WC 32453 MAIER, JEFFREY WILL COUNTY 09/20/15 PARENTE & NOREM PC HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 736 15WC 32485 BRADY, ADINA XEROX CORPORATION 08/27/15 SANDMAN LEVY & PETRICH BRADY CONNOLLY & MASUDA PC 737 15WC 32634 MATHEWS, ANTHONY EXCELL 09/22/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 738 15WC 32682 PALKA, EDWARD WILLE BROTHERS CO 08/26/15 LEONARD LAW GROUP LLC MC ANDREWS & NORGLE LLC 739 15WC 32876 PORRAS, GERARDO TIMBERS OF SHOREWOOD 06/12/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 740 15WC 32892 BROWN, JAMES STEPAN COMPANY PLANT 08/25/15 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 741 15WC 32937 VARGAS, ANTONIO JR BRAND ENERGY SOLUTIONS 05/26/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 742 15WC 32980 MOORE, DESHON ACCURATE PERSONNEL LLC 10/01/15 MARC J SHUMAN & ASSOCIATES MC ANDREWS & NORGLE LLC 743 15WC 33205 REINHART, CLIFFORD M MILLS ENTERPRISES, INC. 07/30/15 HORWITZ HORWITZ & ASSOC MORROW WILLNAUER 744 15WC 33444 THOMPSON, DANA COWORX STAFFING SERVICES 07/16/15 GOLDBERG WEISMAN & CAIRO L 745 15WC 33530 KLATT, MICHAEL STRAIGHT LINE CONTRACTORS 12/11/14 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 746 15WC 33683 CORONA, SEVERIANO WORK NOW STAFFING 09/29/15 GONZALEZ LAW GROUP HOLECEK & ASSOCIATES 747 15WC 33944 SLATER, CHRISTOPHER SMS MILLCRAFT 08/05/14 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 748 15WC 34018 KOCHINSKY, VERONICA M LINCOLN-WAY SCHOOL 10/06/15 LAW OFFICE OF THOMAS P NAU 749 15WC 34293 MIRANDA, MARIA NEW AGE STAFFING W 12/01/14 JAMES ELLIS GUMBINER & ASS 750 15WC 34378 HERNANDEZ, ROMALDA METRO STAFFING 08/11/15 DWORKIN AND MACIARIELLO FRANCIS J DISCIPIO LAW OFFIC 751 15WC 34400 GONZALEZ, HILDA FEDERAL SIGNAL 06/02/15 VASILATOS & COTTER LLC BRADY CONNOLLY & MASUDA PC 752 15WC 34426 JOHNSON, BONNIE PRESENCE ST JOSEPH'S MED 08/30/15 LEITER LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 753 15WC 34438 PECK, KATHLEEN JEWEL-OSCO 03/23/15 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 754 15WC 34526 BRICENO, RUBEN NATIONAL DCP 06/07/14 WOODRUFF & JOHNSON 755 15WC 34677 HOLMAN, MAURICE DIAGEO GLOBAL SUPPLY 12/06/14 RATHBUN CSEVENYAK & KOZOL 756 15WC 34755 RODRIQUEZ, REYNALDO ELITE STAFFING, INC. 09/28/15 THE ROMAKER LAW FIRM 757 15WC 34764 BRUNKER, DIANE CORNERSTONE SERVICES 06/17/14 RATHBUN CSEVENYAK & KOZOL 758 15WC 34829 GONZALEZ, TRACEY CORNERSTONE SERVICES, INC 10/17/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 759 15WC 34901 CRANDALL, SEAN MEIJER 04/17/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 760 15WC 34940 VICICH, DIANE TRINITY SERVICES 08/23/15 MARK G BERGAL LAW OFFICE RUSIN & MACIOROWSKI LTD 761 15WC 35009 BEISER, ROBERT H SEARS HOLDINGS 08/12/15 MARC STOOKAL 762 15WC 35041 FULLER, CHERISSE ST OF IL DEPT OF 02/17/15 DRAKE & COLLOPY PC COLIN KICKLIGHTER 763 15WC 35125 DASBACH, DAVID APOLLO COLORS 10/14/15 RATHBUN CSEVENYAK & KOZOL BRADY, CONNOLLY & MASUDA, PC 764 15WC 35222 MCGHEE, TAMMY WIRTH CONSTRUCTION W 10/08/15 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 765 15WC 35336 LOVE, DAVID DOLLAR TREE WAREHOUSE 09/03/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 766 15WC 35388 WINDY, LAURIE PRESENCE ST JOESPH MEDICA 07/20/15 CULLEN HASKINS NICHOLSON 767 15WC 35606 URQUIDZA, ALMA ADVENTIST BOLINGBROOK HOS 02/27/15 JONATHAN SCHLACK STONE & JOHNSON CHARTERED 768 15WC 35641 GIBBS, JOHN WARNER ENTERPRISES 02/20/15 LEITER LAW OFFICES 769 15WC 35857 JENNINGS, DEBRA PRESENCE ST JOSEPH 10/03/15 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 15WC035858 -C 770 15WC 35918 GARCIA, JESUS CENTRELLA GROCERS INC 10/07/15 CHEPOV & SCOTT LLC ROSARIO CIBELLA 771 15WC 36006 CONFORTI, KAREN IKEA 10/13/15 DAVID W MARTAY COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 772 15WC 36564 KOVAC, ROBERT JELINEK & SONS INC 04/17/15 BURNETT & CARON, LTD 773 15WC 36597 BROWN, THOMAS FRATCO, INC. 08/21/15 MATTHEW T. GUBBINS PC HOLECEK & ASSOCIATES 774 15WC 36740 GARIBOLDI, MARK GANDER MOUNTIN 08/13/15 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 775 15WC 36769 JOSEPH, DIANA CLEARSTAFF INC. 10/15/15 HORWITZ HORWITZ & ASSOC 776 15WC 36771 FOX, ADAM RUSSELLS SEAMLESS GUTTERS 10/20/15 HORWITZ HORWITZ & ASSOC EVANS & DIXON, LLC 777 15WC 36816 WEAVER, SHARON HIMALAYA MGMT CO INC D/B/ 09/20/15 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 778 15WC 37293 SWIATKOWSKI, STEVE COMMONWEALTH EDISON COMPA 10/22/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 779 15WC 37295 MARTINEZ, ROSALINDA IL DEPT OF VETERANS' AFFA 09/30/15 HORWITZ HORWITZ & ASSOC COLIN KICKLIGHTER 780 15WC 37297 FRAHM, ERIC KEY WEST METAL INDUSTRIES 09/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 781 15WC 37513 IVY, YOKIE WEXFORD HEALTH SOURCES 11/10/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 782 15WC 37580 ALBRECHT, KATHLEEN EDUCARE LEARNING CENTER 11/11/15 GOLDBERG WEISMAN & CAIRO L 783 15WC 37645 MCNEAR, ROBERT STAFFMARK 10/11/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 784 15WC 37662 LOEHMAN, PAULETTE LUTHERAN SOCIAL SVCS OF I 09/01/15 SALVATO & O'TOOLE 785 15WC 37848 TRIANI, ANTHONY DOT FOODS INC 08/27/14 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 786 15WC 37909 SAAVEDRA, VICTOR H KE HE DISTRIBUTORS, INC. 10/06/14 O'CONNOR & NAKOS 787 15WC 37957 FRISMANTAS, AIDAS ROYALWAY INC W 11/02/15 SCHACTER, JEROME & ASSOC L STEPHANIE KEVIL 788 15WC 38110 LEWIS, ALISHA ALDI, INC. 09/16/15 WILLIAMS & SWEE BRADY CONNOLLY & MASUDA PC 789 15WC 38403 SAHAGUN, MARIA DE JESUS OHL/OZBURN HESSET HOLDING 09/01/15 DEPAOLO ZADEIKIS GORE ALBERT R. PINO LAW OFFICE

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 808 15WC 41263 WHITE, JAMES STAFFING NETWORK 12/10/15 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 809 15WC 41338 CAMPOS, JUAN PABLO PM FARMS LLC 11/14/15 BAUM RUFFOLO & MARZAL LTD 810 15WC 41363 HORN, DENNIS CRANE COMPOSITES, INC. 05/18/15 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 811 15WC 41447 VAN WETERING, KATIE OSWEGO SCHOOL DISTRICT 09/08/15 WOODRUFF & JOHNSON 812 15WC 41984 SALINAS, ARTURO S PLAINFIELD SCHOOL DIST 20 08/13/15 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 813 15WC 42000 CRESCENTI, STEPHEN J MONEE POLICE DEPT 08/07/15 CRONIN & PETERS SLAVIN & SLAVIN 814 15WC 42133 ANDERSON, SHAWN FLEXIBLE STAFFING SERVICE 04/21/14 HORWITZ HORWITZ & ASSOC ALLEN & NEWMAN 815 15WC 42178 SAJENKO, THEODORE S. BASS PRO SHOPS/TRACKER MA 07/16/15 LEO M. BLEIMAN & ASSOC BRYCE DOWNEY & LENKOV LLC 816 15WC 42514 19B FIGUEROA, LUIS TERRAIN, INC 07/11/15 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 817 15WC 42545 MATHIEU, JERRY OLD DOMINION FREIGHT LINE 12/10/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 818 15WC 42589 RUIZ, VICTOR DAYTON FREIGHT LINES INC. 11/05/15 PORRO NIERMANN & PETERSEN RUSIN & MACIOROWSKI LTD 819 15WC 42598 HENKE, VICKI SILVER CROSS HOSPITAL 07/23/15 CORTINA & MUELLER 820 15WC 42638 HEARNS, VERONICA RED ROOF INN 12/04/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 821 15WC 42671 GALVEZ, OSCAR E ALWAYS UNDERGROUNDING 10/09/15 THE ROMAKER LAW FIRM QUINN JOHNSTON HENDERSON ETA 822 16WC 00237 VALAZQUEZ, ANGELICA CHIPOTLE MEXICAN GRILL 09/04/15 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 823 16WC 00317 CREEK, MARY K WILL COUNTY SCHOOL 10/21/15 RIDGE & DOWNES ANCEL GLINK DIAMOND BUSH & E 824 16WC 00331 HAGLER, MARK NICOR GAS 08/14/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 825 16WC 00351 OROZCO, ROCIO CHIPOTLE MEXICAN GRILL 04/22/15 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 826 16WC 00396 MCCORD, JOHN DELLWOOD TIRE & 11/12/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 827 16WC 00480 PARTIN, LINDA SILVER CORSS HOSPITAL 03/09/15 CRONIN & PETERS 828 16WC 00548 BUSH, KEVIN ELITE STAFFING 03/26/15 LANNON LANNON & BARR LTD 829 16WC 00567 BISPING, DONALD ILLINOIS DOT JOLIET YARD @ 11/21/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 830 16WC 00606 MORSE, STEVE CENTRELLA GROCERS 07/24/15 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 831 16WC 00709 JOHNSON, ERIC ALLEN USA HOIST 12/17/15 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 832 16WC 00927 POOLE, JAY TJX COMPANIES INC 09/24/15 DAVID B RABEL 833 16WC 00970 RAMIREZ, RICARDO SEATING CONCEPTS INC. 08/13/14 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 834 16WC 00984 FILIPOWICZ, JOHN S. SHERWIN WILLIAMS 10/22/15 RICHARD E ALEKSY GAROFALO SCHREIBER STORM 835 16WC 01024 SORTINO, JOSEPH AT&T 11/24/13 VRDOLYAK LAW GROUP LLC 836 16WC 01060 TOLAYO, MARIBEL BRODER BROS COMPANY 11/06/15 THE FITZ LAW GROUP 837 16WC 01154 EDDERS, JOHN MARIANO'S FRESH MARKET 03/15/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 16WC001155 -C 838 16WC 01338 GARCIA, JESUS CENTRELLA GROCERS 12/17/15 CHEPOV & SCOTT LLC ROSARIO CIBELLA 839 16WC 01371 EDMONDS, ERIC STAFFING NETWORK 12/10/15 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 840 16WC 01509 PIERSON, KRISTINE JOLIET JUNIOR COLLEGE 11/06/15 ANGELINI & ORI LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 875 16WC 05256 JEN, ROBERT GUARDIAN RADON MITIGATION 08/13/15 BLOCK, KLUKAS & MANZELLA P 876 16WC 05325 WINKELS, BECKIE PLAINFIELD SCHDISTRICT #2 09/15/15 CORTINA & MUELLER KEEFE CAMPBELL & ASSOC LLC 877 16WC 05357 FREDERICK, DOUGLAS CITY OF JOLIET-FIRE DEPT 12/15/14 CORTINA & MUELLER ROSARIO CIBELLA 878 16WC 05376 BOWMAN, ANGELA RML SPECIALTY HOSPITAL 12/30/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 879 16WC 05424 MENDOZA, MANILO F. EL GUERO DE CREST HILL 02/01/16 CHEPOV & SCOTT LLC 880 16WC 05534 LOPRESTI, SAMUEL DOUBLE A ELECTRIC 02/06/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 881 16WC 05539 ROSS, WELLINGTON PROLOGISTIX 02/12/16 MARC J SHUMAN & ASSOCIATES 882 16WC 05663 JEANS, JAMES J JR CATERPILLAR INC 04/01/15 LAW OFFICE OF THOMAS P NAU CATERPILLAR, INC. 883 16WC 05814 AMAN, BENJAMIN RANDSTAD NORTH AMERICA 12/30/15 DAVID W MARTAY SLAVIN & SLAVIN 884 16WC 05853 GARCIA, ABEL ESMARK STEEL 01/26/16 ELFENBAUM EVERS & AMARILIO COZZI & GOGGIN-WARD 885 16WC 06032 ZARATE, LAURA PEOPLE 4 U INC 02/12/16 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 886 16WC 06264 SAAVEDRA, JORGE CENTRAL GROCERS INC 01/28/16 HECTOR ESPITIA 887 16WC 06308 NOEL, NORMAN HIGHWAY TRANSPORT CHEMICA 12/08/15 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 888 16WC 06411 ANDERS, LORNA STATEVILLE CORRECTIONAL C @ 02/04/16 STROM, NEAL B COLIN KICKLIGHTER 889 16WC 06432 CREMER, KURT DIAGEO 04/29/15 PARENTE & NOREM PC COZZI & GOGGIN-WARD 890 16WC 06599 HIMAN, JERRY NFI INDUSTRIES 01/24/16 SCHWEICKERT & GANASSIN QUINN JOHNSTON HENDERSON ETA 891 16WC 06798 JACOB, EDWARD STATE OF IL DOC STATEVILL @ 11/30/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 892 16WC 06881 PARDO, JOHN NRG ENERGY INC 10/27/15 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 893 16WC 06955 MILAM, THOMAS CARGO TRANSPORTERS 12/28/15 RUBENS AND KRESS HINSHAW & CULBERTSON 894 16WC 07006 GAMINO, HERMINIA ULTA SALON COSMETICS 08/25/15 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 895 16WC 07032 SMITH, STEVEN SODEXO 10/29/15 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 896 16WC 07048 PARKS, KENNETH JOLIET JOB CORP. 05/08/15 LAW OFFICE TIMOTHY DEFFET WIEDNER & MCAULIFFE LTD 897 16WC 07176 LOPEZ, ERNESTO WWELS BDA STAFFING NETWOR 02/15/16 GOLDSTEIN BENDER & ROMANOF SLAVIN & SLAVIN 898 16WC 07243 CARRENO, SAUL HENIFF TRANSPORTATION LLC 12/22/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 899 16WC 07292 LOPEZ, MARIA D SILLIKER SOLUTION CENTER 08/04/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM 900 16WC 07313 AGUILAR, GUADALUPE OUR LADY OF ANGELS RETIRE 12/23/15 RATHBUN CSEVENYAK & KOZOL SMITH AMUNDSEN LLC 901 16WC 07374 RODRIGUEZ, EDWARD JOLIET PUBLIC LIBRARY 02/19/16 BLOCK, KLUKAS & MANZELLA P 902 16WC 07474 RENIGUNTALA, SHOBHA TRINITY SERVICES 02/12/16 MICHAEL P MCCREADY & ASSOC 903 16WC 07613 VAQUERA, ALMA INNOTRAC CORPORATION 09/16/15 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 904 16WC 07653 CANTU, MARY JOHNSON & JOHNSON 01/11/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 905 16WC 07685 MC CASKILL, TANITIA JOLIET STAFFING 02/16/16 DWORKIN AND MACIARIELLO 906 16WC 07734 CASTRO, JORGE GROM CARPENTRY INC 01/12/16 LAW OFFICES TIMOTHY HENDER 907 16WC 07865 MAY, JASON J B HUNT 12/28/15 PORRO NIERMANN & PETERSEN GRANT & FANNING 908 16WC 07894 CAMARGO, GUADALUPE READERLINK DISTRIBUTION C 03/17/15 TURNER & SACKETT LLC INMAN & FITZGIBBONS 909 16WC 07907 LANTZ, WILLIAM PRICE GREGORY SERVICES IN 08/05/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 910 16WC 07939 ROONEY, MEGHAN ROSEWOOD CARE CENTER 12/02/15 GORDON & CENTRACCHIO LLC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 911 16WC 07984 HUBBARTT, MERIDA PRESENCE ST JOSEPH MEDICA 09/14/15 WOODRUFF & JOHNSON 912 16WC 08055 RAMIREZ, JESUS GIL MINUTE MEN STAFFING 02/04/16 FOOTE MIELKE CHAVEZ & O'NE 913 16WC 08137 RAMAGLIA, MICHAEL F VILLAGE OF ROMEOVILLE 05/08/14 FIGLIOLI, DAVID SLAVIN & SLAVIN 914 16WC 08184 BASS, ROBERT PLAINFIELD SCHOOL DISTRIC 06/23/15 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 915 16WC 08307 BROOKS, LOREN USF HOLLAND 03/24/14 DE SALVO, SCOTT D LAW OFFI 916 16WC 08397 CALLAHAN, DENNIS K & B TRANSPORTATION 11/26/14 TURNER & SACKETT LLC 917 16WC 08471 TETTER, KYLE DOLLAR TREE WAREHOUSE 02/18/16 CULLEN HASKINS NICHOLSON 918 16WC 08671 DYLLA, MARIA RICH PRODUCTS 03/10/16 WOODRUFF & JOHNSON GILDEA & COGHLAN 919 16WC 08703 AVILA, DALE SATO INTERNATIONAL 12/29/15 FREDRICK B BARDER, LTD CHILTON YAMBERT PORTER LLP 920 16WC 08767 CRASE, CAROL SILVER CROSS HOSPITAL 11/11/15 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 16WC008769 -C 921 16WC 08770 HARIS, VICKI SILVER CROSS HOSPITAL 01/31/16 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 922 16WC 08772 JONES, VALERIE STATE OF IL @ 02/11/16 PETER C KOPOULOS COLIN KICKLIGHTER 923 16WC 08876 JEFFERSON, KYLE E BOLINGBROOK PARK DISTRICT 03/24/15 VITELL & SPITZ LTD HENNESSY & ROACH PC 924 16WC 09079 EDWARDS, LOISE NRG ENERGY SERVICES LLC 03/09/16 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 925 16WC 09245 MARCHAN, PATRICIA PEACOCK ENGINEERING CO 02/03/16 CHEPOV & SCOTT LLC 926 16WC 09329 BOYD, KEITH USF HOLLAND 07/17/15 HOLLORAN & SCHWARTZ 927 16WC 09516 FEI, JOSEPH PLAINFIELD SCHOOL 11/29/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 928 16WC 09742 JABLONSKI, SHAWN CICERO DEVELOPMENT CORP. 02/15/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 929 16WC 09824 MORRISON, JANET TROY CCSD #30C 10/30/15 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 930 16WC 09904 HOLWELL, ROBYN MOKENA ANIMAL CLINIC 05/19/15 BOWMAN & CORDAY LAW OFFICES JOSEPH MARCINIAK 931 16WC 10031 RICHARDSON, KEN CENTRAL GROCERS 03/13/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 932 16WC 10138 GUTIERREZ, MARIA TARGET 02/09/16 LAW OFFICE OF SCOTT B SHAP 933 16WC 10227 NAVAR, GLORIA ARYZTA GREAT KITCHENS, IN 04/28/15 KARCHMAR & STONE HENNESSY & ROACH PC 934 16WC 10414 SCHMIDT, RYAN MENARDS 04/23/14 KROL BONGIORNO & GIVEN LTD RODDY LAW LTD 935 16WC 10512 MEZA, RAMON CENTRAL GROCERS, INC. 03/15/16 OSVALDO RODRIGUEZ PC 936 16WC 10584 INTRAVAIA, VINCE UNITED STATES COLD STORAG 01/25/16 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 937 16WC 10734 MARTINEZ, IRMA WALMART 04/30/15 FABRIZIO, HANSON & PEYLA QUINTAIROS PRIETO WOOD & BOY 938 16WC 10773 STALLING, MARILYN FED EX 11/19/15 HORWITZ HORWITZ & ASSOC 939 16WC 10814 ANDERSON, BRENDA PREMIER EMPLOYEE SOLUTION 12/01/15 CULLEN HASKINS NICHOLSON 940 16WC 10889 BONOKOLLIE, GEORGE ILLINOIS STATE TOLL @ 01/04/16 SCHIFF GORMAN LLC GANAN & SHAPIRO 941 16WC 10915 ZAVALA, EZEQUIEL ASPLUNDH TREE 02/19/16 HERRERA LAW CENTER KNELL & O'CONNOR 942 16WC 11061 VALERIO-GOMEZ, KAREN JANE UNISTAFF INC 02/22/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 943 16WC 11098 CALLOWAY, SANDRA IL DEPT OF CORRECTIONS @ 02/22/16 BARRY A KETTER COLIN KICKLIGHTER 944 16WC 11146 YORK, AMBER CORNERSTONE SERVICES, INC 10/14/15 FABRIZIO, HANSON & PEYLA 945 16WC 11228 SHELBY, JEROME ELITE STAFFING 01/06/16 GOLDSTEIN BENDER & ROMANOF 946 16WC 11312 TANNER, ANTONIO THE REBEL COMPANIES 12/28/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 947 16WC 11587 CARTER, RAY B VCNA PRAIRIE, INC. 09/18/15 CIFELLI SCREMENTI & DORE GAROFALO SCHREIBER STORM 948 16WC 11802 GUTIERREZ, MARIA TARGET 03/30/16 LAW OFFICE OF SCOTT B SHAP 949 16WC 11919 CIMINO, JODI ROSEWOOD CARE CENTER 02/03/16 KROL BONGIORNO & GIVEN LTD ACCIDENT FUND HOLDINGS 950 16WC 12098 PESSETTO, FRANK D AMAZON DISTRUBUTION CENTE 01/28/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 951 16WC 12157 ALVARADO, OSCAR G ILLINOIS TOOL WORKS INC 02/23/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 952 16WC 12198 BAKER, MICHELLE VALLEY VIEW SCHOOL 12/11/14 HORWITZ HORWITZ & ASSOC 953 16WC 12231 BURKHART, WILLIAM JEWEL/OSCO 07/01/15 MARC J SHUMAN & ASSOCIATES 954 16WC 12701 SIMUNJAK, LATONYA AMERISOURCEBERGEN 04/04/16 SKLARE LAW GROUP SPIEGEL & CAHILL, PC 955 16WC 12766 PEREZ, LUIS CENTRELLA GROCERS 04/18/16 LIPKIN & HIGGINS LAW OFFIC ROSARIO CIBELLA 956 16WC 12792 MCKENZIE, MORGAN MC TANK TRANSPORTATION IN 12/18/15 NILSON STOOKAL GLEASON CAP SCOPELITIS GARVIN LIGHT 957 16WC 12917 GROBERSKI, DONNA ST JOSEPH HOSPITAL 01/02/16 DAVID SZCZECIN & ASSOC 958 16WC 13078 JACKSON, MARTEZ BLUE BEACON OF MONEE 01/21/16 SKLARE LAW GROUP 959 16WC 13124 WIATER, ANN M. CRETE MONEE SCHOOL DISTRI 01/26/16 STROM, NEAL B 960 16WC 13467 QUIROZ, GRACIA VILUTIS & CO 02/26/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 961 16WC 13564 REISCHAUER, AUDREY GOVERNORS STATE UNIVERSIT 03/22/16 MOSS & MOSS PC COLIN KICKLIGHTER 962 16WC 13569 LACKEY, HARLEY L. JR. VILLAGE OF STEGERPOLICE D 08/02/15 MATTHEW T. GUBBINS PC INMAN & FITZGIBBONS 963 16WC 13805 MARTINEZ-MEDRANO, MARIA ABACUS CORPORATION 04/18/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 964 16WC 14262 MATA, MARIA TERESA NFI INDUSTRIES 03/11/16 MEYERS & FLOWERS QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 965 16WC 14329 O'SULLIVAN, MOLLY BARNES AND NOBLE 05/28/13 BLOCK, KLUKAS & MANZELLA P 966 16WC 14556 ZAMORA, JACKQUELYN SUNNY HILL NURSING HOME 04/01/15 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 967 16WC 14590 MUSARACA, VICTORIA JEWEL-OSCO 01/05/16 MARKER & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 968 16WC 14609 LLOYD, AREONNA TUCKER ROCKY CORPORATION 02/16/16 BIZZIERI LAW OFFICES 969 16WC 14678 GASAWAY, TOMMY AL TABRONS QUALITY PLUMBI 03/14/16 SPIROS LAW PC 970 16WC 14834 SELLERS, JEFFREY CONTINENTAL PROPERTIES 02/01/14 LAW OFFICES OF WILTON PERS LAW OFFICES OF EDWARD J. KOZ 971 16WC 14844 MELKA, MARGARET A. MK ORTHOPEDICS 04/04/16 RICHARD E ALEKSY HENNESSY & ROACH PC 972 16WC 14868 BARTLETT, JOSEPH PACE HERITAGE 07/28/15 BLOCK, KLUKAS & MANZELLA P 973 16WC 14922 THOMAS, TAMEKA WILL COUNTY SUNNYHILL 03/01/16 TOPPER & WEISS LTD 974 16WC 15085 CALCESE, DAVID KEHE FOOD DISTRIBUTORS IN 04/07/16 PETER D CORTI LAW GROUP POULOS & DIBENEDETTO LAW 975 16WC 15194 HOPKINS, AARON M ILLINOIS TOOL WROKS INC 04/28/16 ANKIN LAW OFFICE 976 16WC 15265 LOWDEN, NATHAN CITY OF JOLIET 03/06/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 977 16WC 15304 POE, GABRIELLE TRINITY SERVICES 02/01/15 STEVEN H MEVORAH & ASSOCIA 978 16WC 15499 HINKLE, KENNETH M WASTE MANAGEMENT 06/10/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 16WC015498 -C 16WC015500 -C 16WC017751 -C 979 16WC 15512 SILLER, OSCAR STAFFING NETWORK 04/18/16 LANNON LANNON & BARR LTD SLAVIN & SLAVIN 980 16WC 15567 VANOOTEGHEM, MARIAN FOREST PRESERVE DISTRICT 04/13/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 981 16WC 15916 SAWIN, DANIEL JOLIET JUNIOR COLLEGE 04/25/16 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 982 16WC 16014 HUMBERT, MARK P IL DEPT OF TRANSPORTATION @ 02/13/15 MICHAEL J DUDEK COLIN KICKLIGHTER 983 16WC 16091 LEGNER, DUSTIN VILLAGE OF ROMEOVILLE 02/12/16 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 984 16WC 16153 HERRERA, JOSE LOGISTICS RESOURCES INC 04/02/15 MATT MURPHY CONSULTING 985 16WC 16157 FLENTGE, WENDY RADIAL CORP. 04/19/16 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY 986 16WC 16178 O'SULLIVAN, MAUREEN M ACOSTA 04/24/14 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 987 16WC 16186 HANNON, MARY PRESENCE ST JOSEPH MEDICA 06/07/13 BLOCK, KLUKAS & MANZELLA P 988 16WC 16272 NEELY, BARBARA USSTMC/ALTRIA 08/10/15 STANCZAK LAW OFFICES 989 16WC 16328 SOCHA, CASSANDRA CITY OF JOLIET 09/06/15 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 990 16WC 16334 LARA, SILVIA BARTON STAFFING SOLUTIONS 05/10/16 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 991 16WC 16351 PODRASKY, NANCY DISTRICT 308 OSWEGO 03/01/16 JOHN E LUSAK ROSARIO CIBELLA 992 16WC 16761 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 05/24/16 EPSTEIN, JACK R LAW OFFICE 993 16WC 16798 BLAIR, BRIAN DEDICATED LOGISTICS INC 05/30/14 STEPHEN G PINTO LTD LEAHY EISENBERG & FRAENKEL 994 16WC 16816 JACKSON, JEFFREY GTM AUTOMOTIVE 05/06/16 WHITESIDE & GOLDBERG LTD 995 16WC 16862 MARRA, NICK MIDWEST FUEL INJECTION 03/28/16 FOHRMAN, DONALD W & ASSOCS 996 16WC 16906 ARELLANO, ART CITY OF JOLIET 03/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 997 16WC 17033 NELSON, LISA RESCARE HOMECARE-YORKVILL 04/06/16 LAW OFFICES MICHAEL HELLMA SPIEGEL & CAHILL, PC 998 16WC 17041 CANCIALOSI, TERESA VILLAGE OF MONEE 11/21/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 999 16WC 17158 TROTTER, NADINE INDIVIDUAL ADVOCACY GROUP 03/16/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1000 16WC 17222 LEBRON, MARIA WALGREENS 04/27/15 PORRO NIERMANN & PETERSEN GILDEA & COGHLAN 1001 16WC 17277 BATIS, JAMIE JOLIET PUBLIC SCHOOL DIST 04/19/16 HORWITZ HORWITZ & ASSOC 1002 16WC 17355 CRAVENS, EARL ELITE STAFFING 05/16/16 COSTA IVONE LLC MARC CAIRO 1003 16WC 17415 VELAZQUEZ, MARIA KRANIDION INC D/B/A 11/25/15 1004 16WC 17452 SCHLUETER, KATHY WEATHERTECH 04/27/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 1005 16WC 17539 JUNGLES, JOMARIE ALVERNO CLINICAL LABORATO 01/23/15 RATHBUN CSEVENYAK & KOZOL ACCIDENT FUND HOLDINGS 1006 16WC 17632 COLZANI, KRISTI RGIS,LLC 02/25/16 WOODRUFF & JOHNSON 1007 16WC 17926 MARSHALL, CHRISTI PACE 05/17/16 DOUGLAS C DORN PC PACE - LEGAL DEPT 1008 16WC 18064 SZOSTAK, JASON GATEWAY HOMES, LLC 08/24/14 ANKIN LAW OFFICE 1009 16WC 18238 CUPLS, SHARON AMAZON WAREHOUSE 04/09/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 1010 16WC 18253 JOHNSON, SCOTT GROOT INDUSTRIES, INC 04/15/16 LANZILLOTTI GRIBBEN & MARC 1011 16WC 18266 VOLK, SCOTT LKQ CORP D/B/A 05/26/16 FRIEDMAN, MICHAEL T & ASSO 1012 16WC 18297 OSTROWSKI, JOSEPH WASTE MANAGEMENT, INC 05/23/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1013 16WC 18323 THOMPSON, PATRICE HILTON GARDEN INN 05/19/16 DWORKIN AND MACIARIELLO 1014 16WC 18449 HUMMER, WAYNE NEXEO SOLUTIONS, LLC. 05/06/16 COYNE REINKE LAW SPIEGEL & CAHILL, PC 1015 16WC 18479 NOLDEN, LAVELL G-TECH 01/10/14 DANIEL PERIASWAMY 1016 16WC 18520 CHAVEZ, GUADALUPE ASSOCIATED LOGISTICS INC 06/02/16 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 1017 16WC 18601 QUIRK, BRANDON ELGIN SWEEPING SRVCS, INC 10/30/15 CORBOY & DEMETRIO PC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1018 16WC 18667 ANDREWS, RANDY DIAGEO GLOBAL SUPPLY 04/26/16 KAVANAGH GRUMLEY & GORBOLD COZZI & GOGGIN-WARD 1019 16WC 18737 MEYERCHICK, KENNETH ARAMARK UNIFORM SERVICES 01/16/15 RUBIN LAW GROUP STONE & JOHNSON CHARTERED 1020 16WC 19201 SMTIH, KEVIN STATE OF ILLINOIS @ 06/01/15 RUSSO & RUSSO LTD STEPHANIE KEVIL 1021 16WC 19266 HERNANDEZ, ANGEL KENT PRECISION FOODS GRP, 06/14/16 HETHERINGTON KARPEL BOBBER 1022 16WC 19455 CINTORA, EDUARDO SOLVAY USA, INC 05/14/16 THE ROMAKER LAW FIRM 1023 16WC 19594 BARTH, JOHN STATE OF ILLINOISRTMENT O @ 04/27/16 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 1024 16WC 19617 ZARBECK, STEFANIE INDIVIDUAL ADVOCACY GROUP 03/09/16 KARNO, MARK L & ASSOC GANAN & SHAPIRO 1025 16WC 19653 RAMIREZ, NORMA FEDEX 07/10/15 SALVATO & O'TOOLE 1026 16WC 19720 SLIVA, JACQUELINE ALDI 02/27/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1027 16WC 19737 GOOSINOW, CARL VERIHA TRUCKING, INC 05/04/16 LIPKIN & HIGGINS LAW OFFIC 1028 16WC 19760 KNELLER, FRED L JOYCE FARMS RECYCLING 06/13/16 RUBIN LAW GROUP HENNESSY & ROACH PC 1029 16WC 19839 PROKOP, JASON B WILL COUNTY SHERIFF 12/14/15 PARENTE & NOREM PC HINSHAW & CULBERTSON 1030 16WC 19965 SELLERS, VICKIE V LAKEWOOD NURSING & REHAB 06/01/16 KAVANAGH GRUMLEY & GORBOLD 1031 16WC 20015 BLACKMORE, DAVID CITY OF JOLIET 03/03/14 MCNAMARA PHELAN MCSTEEN LL 1032 16WC 20041 BLACKMORE, DAVID CITY OF JOLIET 10/17/14 MCNAMARA PHELAN MCSTEEN LL 1033 16WC 20053 YATES, QUINTIN B PROLOGISTIX STAFFING 06/08/16 DAVID W MARTAY 1034 16WC 20141 GASS, JEFFREY GENERAL MOTORS 05/16/16 RATHBUN CSEVENYAK & KOZOL 1035 16WC 20295 HAMERSKI, FRANK AMERICAN CLEANING & RESTO 06/17/16 THERMAN LAW OFFICES RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1036 16WC 20387 DAVIS, ARHONDA THE PARC @ JOLIET NURSING 05/22/16 ROGER D RUDICH LTD 1037 16WC 20412 CASPER, LAWRENCE LINEAGE LOGISTICS HOLDING 09/25/14 BRIAN T MORROW, LAW OFFICE 1038 16WC 20597 KINDRED, CYNTHIA SURG STAFFING 05/02/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 1039 16WC 20616 MORENO, MANUEL SAFEWAY GROUP 05/31/16 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 1040 16WC 20658 MONTGOMERY, TAMIKA AMAZON WAREHOUSE 04/10/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1041 16WC 20833 SMITH, MARSHA A CRETE-MONEE SCHOOL DIST 2 02/11/16 ANKIN LAW OFFICE 1042 16WC 20952 BILL, ROBERT PRESENCE ST JOSEPH MEDICA 12/03/15 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 1043 16WC 20964 RALPH, RUSSOTTO CORROSION FLUID PRODUCTS/ 01/08/15 HORWITZ LAW GROUP 1044 16WC 21033 SIMUNJAK, LATONYA AMERISOURCE BERGEN 07/05/16 SKLARE LAW GROUP 1045 16WC 21059 TABORN, JOHNNY SCSI SUPPLY CHAIN 06/21/16 STEVEN J MALMAN & ASSOCIAT 1046 16WC 21259 COUTCHER, DAVID WILL COUNTY SHERIFF'S OFF 06/05/16 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 1047 16WC 21333 SOLIS, JUAN SEATING CONCEPTS INC 04/04/16 1048 16WC 21469 BERTUCCI, HANNAH JEWEL-OSCO 02/02/15 RATHBUN CSEVENYAK & KOZOL 1049 16WC 21556 WOODS, MIKE ECOLAB, INC 04/07/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 1050 16WC 21639 RANDAZZO, MATTHEW DIAGEO NORTH AMERICA 07/03/16 BART DURHAM COZZI & GOGGIN-WARD 1051 16WC 21676 JEFFERSON, ANTONIO S&S ACTIVEWEAR 06/29/16 LAW OFFICE JEFFREY FRIEDMA BRYCE DOWNEY & LENKOV LLC 1052 16WC 21751 NUCI, ALFONSO CLARENCE DAVIDS & COMPANY 06/15/15 RUBIN MACHADO ROSENBLUM RUSIN & MACIOROWSKI LTD 1053 16WC 21798 HOGAN, JAMES CITY OF JOLIET 05/27/16 LULAY LAW OFFICES ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1054 16WC 21898 OLIVER, JOSEPH WILL COUNTY SHERIFF'S OFF 05/11/16 DAVID SZCZECIN & ASSOC 1055 16WC 21917 SPENCER, THOMAS ILLINOIS DEPT OF CORRECTI 05/23/16 HORWITZ HORWITZ & ASSOC STEPHANIE KEVIL 1056 16WC 22012 SLADCIK, STACIE PLAINFIELD SCHOOL DISTRIC 12/02/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 1057 16WC 22079 JOHNSON, KANOSHA DIY GROUP 07/07/16 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 1058 16WC 22136 WERRY, JOHN FAIRBANKS SCALES, INC. 10/14/13 LAW OFFICE OF CHRIS DOSCOT 1059 16WC 22298 SIEGEL, KYLE F. WILL COUNTY FOREST PRESER 04/07/16 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 1060 16WC 22319 WARREN, VEATRICE WILL COUNTY SUNNYHILL 04/14/16 WHITESIDE & GOLDBERG LTD HINSHAW & CULBERTSON 1061 16WC 22349 GRAY, LORI CR COATINGS & LOGISTICS 07/13/16 LAW OFFICES MICHAEL HELLMA 1062 16WC 22405 THURMAN, AMOS ABF 06/13/16 JASINSKI, GEORGE J 1063 16WC 22460 GIOVENGO, MARY SUNNY HILL NURSING HOME O 10/03/15 RATHBUN CSEVENYAK & KOZOL HINSHAW & CULBERTSON 1064 16WC 22504 SCHERP, MICHAEL E. ERICSSON, INC. 06/14/16 CIARDELLI CUMMINGS CAMPAGN 1065 16WC 22716 CORTEZ, JUAN ADHESIVE SYSTEMS INC. 07/02/15 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 1066 16WC 22784 GUERRERO, JULIO NRG ENERGY INC 04/21/16 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 1067 16WC 22798 FITZGERALD, RYAN WASTE MANAGEMENT 06/15/16 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 1068 16WC 22806 STAEHLING, GENEVA DIAGEO 04/21/15 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 1069 16WC 22862 LULLO, TONY REGENCY TILE 04/11/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1070 16WC 22928 STANLEY, ALONZO D DIY GROUP INC 06/07/16 DEPAOLO ZADEIKIS GORE MCANANY VANCLEVE & PHILLIPS 1071 16WC 22929 VASQUEZ, ARTHUR VILLAGE OF ROMEOVILLE 12/04/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1090 16WC 24369 JOBIN, RICHARD LION LOGISTICS 12/14/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 1091 16WC 24428 ORTIZ, LUIS T. KEHE DISTRIBUTORS, LLC 11/17/14 SCHWEICKERT & GANASSIN NOBLE & ASSOCIATES PC 1092 16WC 24520 JACKSON, ANTONIO AGS 07/29/16 DWORKIN AND MACIARIELLO 1093 16WC 24598 KLOEP, KYLE AMAZON DISTRIBUTION CENTE 06/10/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1094 16WC 24620 WAESCO, SEAN BRIESER CONSTRUCTION 07/11/16 BLOCK, KLUKAS & MANZELLA P 1095 16WC 24648 GUZZO, JOE INTERNATIONAL EXCAVATING 06/28/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1096 16WC 24720 RESEDEAN, JOHN CHELLINO CRANE 01/21/16 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 1097 16WC 24729 PIROFALO, VICTOR SALISBURY BY HONEYWELL 05/09/16 HEALY SCANLON LAW FIRM MC ANDREWS & NORGLE LLC 1098 16WC 24755 CORNFIELD, DAVID STONE WATER CONCRETE LLC 07/25/16 DAVID W MARTAY 1099 16WC 24776 MEZA, ELIZABETH NAVISTAR 02/01/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1100 16WC 24831 SVAGDIS, GLEN ALRO STEEL CORPORATION 09/01/15 GALLAGHER LAW PC 1101 16WC 24865 TROTTER, WILLIE FLEXIBLE STAFFING 08/08/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 1102 16WC 24894 KURECKI, RONALD B & D SUTH CREEK ENTERPRI 10/01/15 DWORKIN AND MACIARIELLO 1103 16WC 25093 MAHONEY, RICHARD BROOKHAVEN MARKETPLACE 05/19/16 DAVID W MARTAY 1104 16WC 25228 CRUZ, ROSA FIRST CLASS STAFFING 07/27/16 DWORKIN AND MACIARIELLO RODDY LAW LTD 1105 16WC 25305 CROUCH, REBECCA CARLE FOUNDATION HOSPITAL 03/07/16 HORWITZ HORWITZ & ASSOC 1106 16WC 25312 SHARP, CANDACE D CONSTRUCTION INC. 05/03/16 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 1107 16WC 25360 MICHALEK, THOMAS VILLAGE OF BOLINGBROOK 03/17/16 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1108 16WC 25392 BUSTAMANTE, JENY SUPERIOR HEALTH LINENS 06/25/16 SALK, STEVEN B & ASSOC LTD 1109 16WC 25448 LINDSEY, TAMBRA SCHNEIDER 04/19/16 KROCKEY CERNUGEL COWGILL E POWER & CRONIN LTD 1110 16WC 25463 ORTIZ, GABRIEL MDW2 07/08/16 BERG & BERG WIEDNER & MCAULIFFE LTD 1111 16WC 25506 DAMON, BARRY IL DEPT OF CORRECTIONS @ 09/28/15 HORWITZ HORWITZ & ASSOC STEPHANIE KEVIL 1112 16WC 25622 GERENCIR, RICK L. LAFARGEHOLCIM 08/05/16 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 1113 16WC 25632 MARQUEZ, JOSE VELASQUEZ MUFFLERS & BRAK 07/25/16 COSTA IVONE LLC 1114 16WC 25644 BLEDSOE, BRANDI N. CASEY'S GENERAL STORE 08/04/16 DAVID W MARTAY 1115 16WC 25674 SCHALK, LORA E STREET BAR & GRILLE INC 03/03/16 SPYRATOS DAVIS LLC MCNAMARA PHELAN MCSTEEN LLC 1116 16WC 25711 TRIPLETT, JUAN METRO STAFFING, INC 08/08/16 WEISS & WEISS LAW OFFICES FRANCIS J DISCIPIO LAW OFFIC 1117 16WC 25808 CRAMER, MARK WEATHERTECH 06/23/16 RONALDSON & KUCHLER 1118 16WC 25809 CRAMER, MARK WEATHERTECH 07/19/16 RONALDSON & KUCHLER 1119 16WC 25866 JANOS, SUSAN VALLEY VIEW SCHOOL DISTRI 10/12/15 RIDGE & DOWNES 1120 16WC 25884 ARTER, WILLIAM CENTRAL GROCERS 07/22/16 KROL BONGIORNO & GIVEN LTD ROSARIO CIBELLA 1121 16WC 25984 POE, WANDA STATE OF IL DEPT OF HUMAN 08/08/16 BLOCK, KLUKAS & MANZELLA P STEPHANIE KEVIL 1122 16WC 25989 MICHALEK, PAUL ANGELO CAPUTOS FRESH MARK * 08/02/16 BLOCK, KLUKAS & MANZELLA P 1123 16WC 25995 DOLAN, JOHN R LOWES HOME IMPROVEMENT 05/27/16 GOLDBERG WEISMAN & CAIRO L 1124 16WC 26037 ZARAGOZA, ARACELI NAVISTAR, INC C/O CT CORP 06/10/16 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 1125 16WC 26107 ROMSTEDT, DANIEL VALLEY VIEW SCHOOL DIST 10/28/14 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1126 16WC 26163 CARDENAS, GUADALUPE SUNDANCE, INC 05/16/16 JONATHAN SCHLACK 1127 16WC 26278 CHILDRESS, GLENDA LUTHERAN CHILD & FAMILY S 07/29/16 STEVEN J MALMAN & ASSOCIAT 1128 16WC 26310 SHAMET, JIM JBM GOLF 09/02/15 ANCEL GLINK DIAMOND BUSH & ROSARIO CIBELLA 1129 16WC 26373 DRUML, CYNTHIA MINOOKA SCHOOL DISTRICT 2 05/05/16 RIDGE & DOWNES 1130 16WC 26415 SUMMITT, DONNA DOLLAR TREE 08/03/16 VASILATOS & COTTER LLC 1131 16WC 26463 TOLAYO, MARIBEL BRODER BROTHERS COMPANY 08/02/16 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 1132 16WC 26532 MARTINI, LYNN MENARDS 02/08/15 STELZMAN, RUTH CHILTON YAMBERT PORTER LLP 1133 16WC 26594 SEVENBERG, BEVERLY JEWEL STORE 05/08/15 HORWITZ HORWITZ & ASSOC 1134 16WC 26629 VANDOLAH, BRIAN CHEP RECYCLED PALLET SOLU 07/27/16 VITELL & SPITZ LTD HOLECEK & ASSOCIATES 1135 16WC 26721 MCCRAY, ANTHONY I PEACOCK ENGINEERING CO, L 03/10/16 ANKIN LAW OFFICE 1136 16WC 26789 KLEMENKO, ANDREW III MENARDS, INC. 05/13/15 ROSS TYRRELL 1137 16WC 26831 KLEE, FRANK SHOREWOOD LIQUIDATORS, IN 03/25/16 BLOCK, KLUKAS & MANZELLA P 1138 16WC 26861 VALDES, FRANCISCO WILL COUNTY SHERIFF'S OFF 08/23/16 DAVID SZCZECIN & ASSOC HINSHAW & CULBERTSON 1139 16WC 26870 PACOCHA, THOMAS PACTIV 12/03/14 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 1140 16WC 26874 PATERIMOS, THOMAS WILL COUNTY SHERIFF'S DEP 07/27/16 SAUNDERS CONDON & KENNY HINSHAW & CULBERTSON 1141 16WC 26952 HOFFMAN, KEVIN G. COIL PLUS 06/23/14 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 1142 16WC 26970 PAYNE, MICHAEL STATE OF ILLINOIS C/O 07/06/16 PETER C KOPOULOS STEPHANIE KEVIL 1143 16WC 27267 DELPIN, ROBERT DSS RAPAK, INC 08/10/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1144 16WC 27280 YATES, QUINTIN PROLOGISTIX 06/08/16 POLANSKY & CICHON CHTD 1145 16WC 27617 AGNEW, VANIKA COURIER DISTRIBUTION SYST 08/22/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1146 16WC 27730 CALDERON, JOSE KANE WAREHOUSING INC. DBA 08/24/16 HERRERA LAW CENTER WOLF LAW LTD 1147 16WC 27813 CHAVEZ, TERESA HEADWAY WORKFORCE SOLUTIO 08/05/16 NILSON STOOKAL GLEASON CAP 1148 16WC 27923 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SRVC 04/17/15 CHEPOV & SCOTT LLC 1149 16WC 27947 CAMACHO, MARIA ACCURATE PERSONNEL LLC 08/26/16 BRIAN J MC MANUS & ASSOC, 1150 16WC 27967 BROWN, WILLIAM BEST PRACTICE STAFFING 08/29/16 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 16WC027968 -C 1151 16WC 27990 CADENA, OSCAR ELITE STAFFING- JOLIET 09/09/16 COSTA IVONE LLC 1152 16WC 28069 KENNEDY, ASHLEY SOUTH CHICGO PARENTS & FR 08/15/16 DAVID W MARTAY 1153 16WC 28124 HOLLOMAN, TYREECA ALLIED BARTON SECURITY SE 07/22/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1154 16WC 28234 CALDERON, JOSE KANE IS ABLE INC. 08/24/16 BRISKMAN BRISKMAN GREENBER WOLF LAW LTD 1155 16WC 28412 MADDOX, KATHLEEN DR. JOSEPH CAMPOBASSO PC 01/21/11 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 1156 16WC 28448 FANKAM, GERLINE SUNNG HILL NURSING HOME 06/30/16 LAW OFFICES OF 1157 16WC 28476 THOMPSON, JUDY SUNNYHILL NURSING HOME WC 05/06/15 RONALD A BOBBITT HINSHAW & CULBERTSON 1158 16WC 28487 DONYGAN, MICHAEL PREMIUM PORT WINES, INC 02/25/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 1159 16WC 28544 DREGER, MICHAEL MOKENA FIRE DEPARTMENT 08/10/16 KROL BONGIORNO & GIVEN LTD 1160 16WC 28550 HOLLYWOOD, LAWRENCE F JR PACTIV 01/09/16 CULLEN HASKINS NICHOLSON 1161 16WC 28775 MARCHIANDO, MATT MANPOWER STAFFING 09/06/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1162 16WC 28854 LIKAR, LINDA JOLIET SCHOOL DISTRICT 86 05/17/16 HORWITZ HORWITZ & ASSOC 1163 16WC 28907 ORANTES, LILIBETH INNOTRAC CORP 08/22/16 LAW OFFICES OF ANSELMO DUR 1164 16WC 28944 ABUOBEID, HALA ILLINOIS MENTOR, INC 05/30/14 HETHERINGTON KARPEL BOBBER CHILTON YAMBERT PORTER LLP 1165 16WC 28947 MACIAS, RAUL VULCAN MATERIALS 08/15/15 JAUREGUI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 1166 16WC 28964 AHMAD, SYED WALGREENS 10/02/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 1167 16WC 29020 LYNN, ANNETT SHOREWOOD LIQUIDATORS INC 09/12/16 SCHWEICKERT & GANASSIN 1168 16WC 29036 LARSEN, MELODY BERKOT'S SUPER FOODS 01/20/16 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 1169 16WC 29099 TARNOWSKI, ART CASSENS TRANSPORT COMPANY 09/10/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1170 16WC 29122 PALACIOS, MARIA WEATHERTECH 10/01/14 EPSTEIN, JACK R LAW OFFICE 1171 16WC 29278 STIGALL, BRENDA WAL-MART 10/01/15 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY 1172 16WC 29324 VARGAS-BARAJAS MARIA GUAD RONS STAFFING SERVICE 04/14/16 COSTA IVONE LLC GAROFALO SCHREIBER STORM 16WC029325 -C 1173 16WC 29484 SOTELO, MARIA FLEXIBLE STAFFING (LOANIN 07/11/16 O'CONNOR & NAKOS 1174 16WC 29494 SCHAHCZINSKI, DEBRA SPORTS CLIPS DBA PINNACLE 08/12/15 WILLIAM MARTAY RUSIN & MACIOROWSKI LTD 1175 16WC 29598 MATTIX, LORI LOCKPORT TOWNSHIP 09/06/16 RATHBUN CSEVENYAK & KOZOL 1176 16WC 29648 MCGOWAN, KAREN STEPPING STONES 09/26/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1177 16WC 29771 AVILA, VENUSTIANO CRANE NUCLEAR INC 07/14/16 RATHBUN CSEVENYAK & KOZOL 1178 16WC 29819 MCGUIRE, KRISTIN TROY DISTRICT #30C 05/20/16 SEIDMAN MARGULIS & FAIRMAN 1179 16WC 29859 SWANBERY, JULIE JEWEL 09/03/16 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1180 16WC 30052 NELSON, TIMOTHY PRICE GREGORY 08/25/16 GOLDBERG WEISMAN & CAIRO L 1181 16WC 30086 PHIPPS, MICHAEL IL DEPT OF CORRECTIONS 09/26/16 MICHAEL P MCCREADY & ASSOC STEPHANIE KEVIL 1182 16WC 30132 HORVAT, COURTNEY SILVER CROSS HOSPITAL 07/21/16 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 1183 16WC 30210 CAMACHO, RAMIRO CENTRAL GROCERS, INCC/O K 04/04/16 HETHERINGTON KARPEL BOBBER ROSARIO CIBELLA 1184 16WC 30244 FUENTES, MIGUEL FERRARA 09/07/16 JONATHAN SCHLACK 1185 16WC 30335 MARRERO, ROBERT TIMBERLINE GENERAL CONTRA 09/22/16 BLOCK, KLUKAS & MANZELLA P 1186 16WC 30402 MATHENA, DAMIEN ALESIO & SONS CO 08/09/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 1187 16WC 30475 SACHIN, CECIL 609 JOLIET CITGO 09/01/16 THE FITZ LAW GROUP BERG & BERG 1188 16WC 30595 GLASS, BRITTNEY XEROX CORPORATION 09/04/16 KARNO, MARK L & ASSOC 1189 16WC 30669 CAMACHO, ALIETH JOLIET TOWNSHIP H.S. DIST 05/06/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 1190 16WC 30708 WRIGHT, MELVIN STATE OF ILLINOIS, DEPART @ 09/26/16 MICHAEL P MCCREADY & ASSOC STEPHANIE KEVIL 1191 16WC 30788 CASTILLO, ARACELY SUPERIOR HEALTH LINENS 04/23/16 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 1192 16WC 31038 VINTON, LINDA ARENA AUTO AUCTION 08/17/16 LEITER LAW OFFICES GANAN & SHAPIRO 1193 16WC 31106 MARTIN, LASHUNNA CORNERSTONE SVCS 08/20/14 MEYERS & FLOWERS 1194 16WC 31123 VICTOR, HERMELINDA AARON THOMAS CO, INC 11/24/15 WOODRUFF & JOHNSON LAW OFFICES JOSEPH MARCINIAK 1195 16WC 31189 LANNEN, LARRY ST OF IL DEPT OF STATEVIL 11/06/15 GOLDBERG WEISMAN & CAIRO L STEPHANIE KEVIL 1196 16WC 31219 SPECHT, JAMES PEOPLELINK STAFFING 02/21/16 RUBENS AND KRESS WOLF LAW LTD 1197 16WC 31324 SHUMAKER, PAUL TRANSPORT ONE INC. 10/11/16 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1198 16WC 31331 KOHUT, DAN FRANKFORT SCHOOL DIST 157 06/09/16 MICHAEL A. HIGGINS 1199 16WC 31676 PINEDA, LUIS CLASSIC TRANSPORTATION 09/19/16 MC HARGUE, JAMES P LAW OFF MCANANY VANCLEVE & PHILLIPS 1200 16WC 31709 WALTRIP, KENNETH RANDSTAD MFT & 09/23/16 PORRO NIERMANN & PETERSEN 1201 16WC 31737 WALTERS, JOHN TRACKER MARINE 09/14/16 BLOCK, KLUKAS & MANZELLA P 1202 16WC 31790 ELY, AMY COUNTY OF WILL, JUVENILE 03/11/16 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 1203 16WC 31846 RODRIGUEZ PRADA, ALCIDES PROLOGISTIX 09/28/16 HERRERA LAW CENTER 1204 16WC 31913 GRANICZNY, JANET JEWEL 04/01/14 DANIEL PERIASWAMY 1205 16WC 31927 KALETA, ROBERT NOW FOODS, INC 09/07/16 PORRO NIERMANN & PETERSEN 1206 16WC 31951 SVOBODA, MARY HELEN PRODUCT DEVELOPMENT 05/26/15 COLLISON & O'CONNOR 1207 16WC 32077 VALADEZ, ARACELI FIS 09/12/16 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 1208 16WC 32097 OCHOA, DANIEL CENTRAL GROCERS 04/22/16 ASHER, RAYMOND L LTD ROSARIO CIBELLA 1209 16WC 32110 GARCIA, JESUS PRO-HOME SERVICES INC. 09/09/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 1210 16WC 32184 SANCHEZ, ROGELIA PROLOGISTIX 10/03/16 CHEPOV & SCOTT LLC 1211 16WC 32285 LOPEZ, MARIA E BRODER BROS CO 09/08/16 RUEDA, IVAN A 1212 16WC 32346 CRABTREE, ERIC W CUSTOM CULINARY, INC 10/05/16 MARKER & ASSOCIATES 1213 16WC 32534 BURNETT, RONICA XEROX 06/27/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 1214 16WC 32734 PEREZ, FELIPE UNIQUE PRODUCTS 03/24/16 LEO ALT RUSIN & MACIOROWSKI LTD 1215 16WC 32814 NOWINSKI, JOSEPH CENTRELLA-CENTRAL GROCERS 04/13/15 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1216 16WC 32918 MARTINEZ, JAIME RAILWAY & INDUSTRIAL SERV 01/26/15 BLOCK, KLUKAS & MANZELLA P 1217 16WC 33109 GRZADZIEL, KEITH VILLAGE OF BRIDGEVIEW 09/02/16 PETER D CORTI LAW GROUP 1218 16WC 33181 COLON, JUAN C METRO STAFFING, INC 10/17/16 WILLIAM MARTAY 1219 16WC 33204 JORDAN, JEROME HR METRICS, INC 10/26/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 1220 16WC 33283 MEDINA, VICTOR AARON THOMAS COMPANY, INC 08/20/16 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 1221 16WC 33308 PRZYBYLO, ROBERT TRANSPORT PARTS UNLIMITED 10/06/16 BRUCE RAFALSON LTD 1222 16WC 33326 TULEY, ALAN D GDI CARDINAL 07/08/16 GOLDSTEIN BENDER & ROMANOF 1223 16WC 33363 BIELECKI, JACOB AT & T 05/31/16 FINE, MARK S LAW OFFICES 1224 16WC 33398 HERNANDEZ, ROSELIA MAGID GLOVE & SAFETY 05/02/16 GOLDSTEIN BENDER & ROMANOF 1225 16WC 33456 STEELE, KENYA AMAZON 10/11/16 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 1226 16WC 33525 NOVAK, MARTIN M BOLINGBROOK POLICE DEPT 07/07/16 DWYER AND COOGAN POWER & CRONIN LTD 1227 16WC 33563 HALL, TIMOTHY L DAN ASHOORI & SAM SOLEIMA 09/15/16 ANKIN LAW OFFICE 1228 16WC 33578 CARRION, MARIO SCHILLING BROTHERS LUMBAR 07/13/16 JAMES ELLIS GUMBINER & ASS ROSARIO CIBELLA 1229 16WC 33620 MASSEY, CHRISTOPHER AMAZON WAREHOUSE 08/05/16 LEITER LAW OFFICES 1230 16WC 33761 QUIROZ, JESUS LOGO PLASTE 06/23/16 VASILATOS & COTTER LLC LAW OFFICES JOSEPH MARCINIAK 1231 16WC 33890 GOSS, CYNTHIA DOLLAR TREE DISTRIB CTR 09/25/16 URBAN & BURT LTD 1232 16WC 33918 CRISTOFORI, JOHN ILLINOIS STATE TOLL HWY A @ 08/13/16 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1233 16WC 33955 ALVARADO, ABIGAIL ELITE STAFFING BOLINGBROO 11/02/16 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1234 16WC 33985 CHANDLER, DOREEN CATERPILLAR, INC 07/21/16 HEALY SCANLON LAW FIRM CATERPILLAR, INC. 1235 16WC 34034 COTTINGHAM, BRAD UNIVAR 07/27/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 1236 16WC 34066 MAGANA, LUIS RENDEL'S INC 02/02/15 MCNAMARA PHELAN MCSTEEN LL 1237 16WC 34101 LAWSON, EUGENE VILLAGE OF UNIVERSITY PAR 09/28/16 DEPAOLO ZADEIKIS GORE BRADY CONNOLLY & MASUDA PC 1238 16WC 34117 IAFFALDANO, FRANK SERTA SIMMONS BEDDING 05/06/16 CULLEN HASKINS NICHOLSON 1239 16WC 34191 HERRERA, ALEXIA THORNTONS, INC 10/08/16 DWORKIN AND MACIARIELLO GRANT & FANNING 1240 16WC 34240 STOUT, JASON UPS 10/27/16 BLOCK, KLUKAS & MANZELLA P ASA LAW GROUP 1241 16WC 34278 TERDICH, ROBERT J AGL RESOURCES 10/11/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 1242 16WC 34342 BARON, JASON LOCKPORT TOWNSHIP FIRE 10/13/16 HETHERINGTON KARPEL BOBBER 1243 16WC 34378 MCPARTLAN, KELLY JEWEL OSCO 10/18/16 WOODRUFF & JOHNSON 1244 16WC 34393 CORTES-FLORES, VICENTE METRO STAFF, INC 09/12/16 COSTA IVONE LLC 1245 16WC 34455 HRUSSOSKY, SHARRY ALDI 08/06/16 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 1246 16WC 34508 SANTIAGO, EDNALIZ AMAZON FULLFILLMENT CENTE 10/18/16 MARSZALEK AND MARSZALEK 1247 16WC 34569 WILLIAMS, LEROY RANDSTAD NORTH AMERICA 10/20/16 DAVID W MARTAY 1248 16WC 34643 BUHRMAN, TODD SPECTRUM TECHNICAL SERVIC 11/04/16 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 1249 16WC 34667 PELKE, LINDA TRINITY SERVICES 02/14/16 WOODRUFF & JOHNSON 1250 16WC 34712 IVERSON, JAMES LAYNE CHRISTENSEN 07/01/16 MEYERS & FLOWERS 1251 16WC 34798 DE LA TORRE, MANUEL UPLAND CONCRETE 09/12/16 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1252 16WC 34879 FARMER, TYLER FLINT HILLS RESOURCES 08/25/16 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 1253 16WC 34979 RITCHIE, JOHN ILLINOIS STATE POLICE @ 11/21/15 RIDGE & DOWNES STEPHANIE KEVIL 1254 16WC 35016 ARMENTA-ZAVALA, ALEJANDRO VITA BELLA RESTAURANT 07/14/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 1255 16WC 35033 ECKEL, CARL AMERIT FLEET SOLUTIIONS I 07/12/16 MATTHIAS D. GILL LAW OFFICES FRANCESCA LARSEN 1256 16WC 35062 COLE, CHARLENE CATERPILLAR INC 08/19/16 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 1257 16WC 35141 ROPPOLO, JUSTIN CITY OF PALO HILLS 09/14/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 1258 16WC 35257 LAMARCHE, JEFF CROSSMARK 08/02/16 DWORKIN AND MACIARIELLO MORROW WILLNAUER 1259 16WC 35367 OLSEN, JOSHUA V&L PLUMBING & HEATING IN @ 02/16/16 SCHREINER MALLOY & ETZLER 1260 16WC 35402 RENGIFO, CLAUDIA A S G STAFFING, INC 11/11/16 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 1261 16WC 35422 SEGURA, MONICA E KEHE FOODS 07/25/16 BART DURHAM POULOS & DIBENEDETTO LAW 1262 16WC 35504 WIRTH, NORRINE XPO LOGISTICS, INC 07/10/16 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 1263 16WC 35548 CARRIDINE, STACY LAUREN INTEGRITY STAFFING 10/08/16 VASILATOS & COTTER LLC SLAVIN & SLAVIN 1264 16WC 35622 HARPER, WILLIE DOLLAR TREE 10/11/16 MICHAEL P MCCREADY & ASSOC 1265 16WC 35692 MARTINEZ, JOHN NICOR GAS 09/07/16 RAYMOND M SIMARD, PC 1266 16WC 35715 NAVARRETE, LUIS ODLE INC 11/29/13 HORWITZ HORWITZ & ASSOC 1267 16WC 35778 TURNITSEED, GERALD XPO LOGISTICS INC 11/08/16 DWORKIN AND MACIARIELLO 1268 16WC 35812 SANCHEZ, LUIS MICHAELS DISTRIB CENTER 11/16/16 AIOSSA LAW FIRM 1269 16WC 35825 EDWARDS, MARY PROLOGISTIX 10/20/16 LARRY FLEISCHER & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1270 16WC 35874 COOPER, CHERYL UNITED CEREBRAL PALSY 10/02/16 PARENTE & NOREM PC 1271 16WC 35955 COOK, DENISA RJW TRANSPORT 10/20/16 PETER F FERRACUTI & ASSOCI HEYL ROYSTER VOELKER & ALLEN 1272 16WC 36027 SERNA, GILBERTO RAILWORKS CORP A FOREIGN 10/03/16 BRIAN J MC MANUS & ASSOC, HEYL ROYSTER VOELKER & ALLEN 1273 16WC 36046 GARCIA, ROGELIO CEDAR RUSTIC FENCE CONPAN 03/25/16 STEIN & CHERNEY LTD 1274 16WC 36060 CAMPBELL, MARQUISHA CRETE MONEE SCHOOL DISTRI 11/04/16 DWORKIN AND MACIARIELLO 1275 16WC 36100 BUCZKIEWICZ, KEN WW GRAINGER INC 11/05/15 ANTHONY C RACCUGLIA & ASSO 1276 16WC 36104 CLAY, DENICE TROY COMMUNITY CONSOLIDAT 09/12/16 SEIDMAN MARGULIS & FAIRMAN 1277 16WC 36183 SHAW, JOLENE VENSURE EMPLOYER SERVICES 09/15/16 COSTA IVONE LLC 1278 16WC 36263 IRWIN, BENJAMIN PATSON, INC 03/24/15 SPENCER LAW OFFICES GANAN & SHAPIRO 1279 16WC 36299 GREENWOOD, MARISSA LINCOLN-WAY AREA SPECIAL 11/04/16 MCNAMARA PHELAN MCSTEEN LL 1280 16WC 36325 MOTISI, GREGORY JEWEL OSCO 09/03/15 LAW OFFICE OF JAMES URTIS BRADY CONNOLLY & MASUDA PC 1281 16WC 36482 DZINCIOLOSKI, JOSHUA BEST PRACTICES STAFFING 11/04/16 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 1282 16WC 36503 KARIM, MAZEN WALMART STORE NO. 5038 06/17/16 GRAZIAN & VOLPE PC 1283 16WC 36523 PRUITT, DENITA CLARENDALE OF MOKENA 05/10/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 1284 16WC 36529 CASTRO, ASTERIO IDEAL FACILITIES 11/08/16 BRISKMAN BRISKMAN GREENBER 1285 16WC 36568 MARTINEZ, MARIA ELITE STAFFING 05/26/16 THOMAS LAW 1286 16WC 36629 STANO, PETER SCENIC LANDSCAPING 09/12/16 CARONE LAW OFFICES 1287 16WC 36677 RIOS, JOSE C ASSOCIATED LOGISTICS INC 11/18/16 STROM, NEAL B COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1288 16WC 36781 ESTABROOK, JON WASTE MANAGEMENT 11/08/16 GOLDBERG WEISMAN & CAIRO L 1289 16WC 36814 ALLEN, ORLANDO ST OF IL DEPT OF CORRECTI 11/11/16 KROL BONGIORNO & GIVEN LTD STEPHANIE KEVIL 1290 16WC 36917 MACHULIS, TAMMY QUEST FOOD MGMT SVCS 11/01/16 RATHBUN CSEVENYAK & KOZOL RIPES NELSON BAGGOT KALOBRAT 1291 16WC 36957 RUSSUM, SHEILA WILL COUNTY BAR ASSOC 07/27/16 MCNAMARA PHELAN MCSTEEN LL 1292 16WC 37094 JOHNSON, VALORIE L CORNERSTONE SERVICES, INC 11/07/16 KANOSKI BRESNEY 1293 16WC 37111 FIRESTONE, JOE IKEA 01/21/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 1294 16WC 37175 TASCH, NICHOLAS CITY OF JOLIET 10/28/16 HETHERINGTON KARPEL BOBBER KNELL & O'CONNOR 1295 16WC 37181 MORALES, LEOPOLDO VOLFLEX 09/15/16 HOWARD S. KAVENOW LLC CAPUANI & SCHNEIDER 1296 16WC 37322 NANCE, JULIE SUMMIT HILL SCHOOL DIST 1 02/05/16 RIDGE & DOWNES 1297 16WC 37344 GARCIA, OLGA IMPACT LOGISTICS 11/01/16 CHEPOV & SCOTT LLC WOLFE & JACOBSON, LTD 1298 16WC 37398 WINDY, GERY STEPAN CHEMICAL COMPANY 01/03/15 GOLDBERG WEISMAN & CAIRO L KLAUKE LAW GROUP LLC 1299 16WC 37436 SKORPUA, LEILA MATTRESS FIRM HOLDING COR 10/18/16 RUSSO & RUSSO LTD 1300 16WC 37597 DEMPSEY, LARRY CLEARWATER PAPER 07/13/15 MC HARGUE, JAMES P LAW OFF 1301 16WC 37635 MCCARTHY, THOMAS KIDS FIT FOUNDATION DBA 01/21/15 DEAN J CARAS & ASSOCIATES 1302 16WC 37666 MOORE, WILLIAM SPECIALIZED STAFFING SOLU 12/07/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 1303 16WC 37715 PETRO, ALAN CITY OF JOLIET 10/23/16 RATHBUN CSEVENYAK & KOZOL KAVANAGH GRUMLEY & GORBOLD 1304 16WC 37749 HARRIS-GREEN, LORI CO WORX STAFFING 12/06/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1305 16WC 37777 BELCHER, DANIEL WILL COUNTY DIVISION OF 09/15/15 RATHBUN CSEVENYAK & KOZOL HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1306 16WC 37819 WILLIAMS, FONDA READERLINK 11/01/16 SAUNDERS CONDON & KENNY 1307 16WC 37938 BROWN, TERRY NEOVIA LOGISTICS LLC 10/12/16 KIPNIS & KAHN 1308 16WC 38028 DUNLAP, RONICA ADVANCE AUTO PARTS 10/28/16 DWORKIN AND MACIARIELLO 1309 16WC 38110 MORALES, JORGE ELITE STAFFING 09/21/16 SALVATO & O'TOOLE 1310 16WC 38127 FARINA, ROBERT UPS CARTAGE SERVICES * 11/22/16 BART DURHAM ASA LAW GROUP 1311 16WC 38197 CHASSE, TAMMY INTEGRITY STAFFING 11/27/16 KARCHMAR & STONE 1312 16WC 38227 EVANS, CHRISTOPHER FIRST STAFF SVCS, INC 12/05/16 CORTINA & MUELLER 1313 16WC 38268 HRUZA, DAVID REGAL CONVERTING, INC. 06/22/16 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 1314 16WC 38292 CHAIDEZ, IMELDA AUTOZONE 11/27/16 DWORKIN AND MACIARIELLO 1315 16WC 38386 BAEZ, CHARLES CASSENS TRANSPORT COMPANY 05/02/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1316 16WC 38473 TRIBBLE, JAMES E GENERAL EXPRESS (LENDING 09/01/16 BERG & BERG 1317 16WC 38528 TYLER, ANDREA AUREUS MEDICAL GROUP 02/22/16 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 1318 16WC 38571 TOMASELLO, JAMES W BIG LOTS STORES INC 11/25/16 ANKIN LAW OFFICE LITCHFIELD CAVO 1319 16WC 38632 CONNELLY, KEVIN PINNACLE SERVICES 09/13/16 MARKER & ASSOCIATES 1320 16WC 38677 LYSY, RAFAEL AT&T 12/16/16 KARCHMAR & STONE 1321 16WC 38711 HOLMES, KEARRA AMAZON 11/21/16 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 1322 16WC 38779 VILLATORO, GILSAR ABACUS 12/03/16 LAW OFFICE EDWARD RUEDA MCANANY VANCLEVE & PHILLIPS 1323 16WC 38816 SMITH, JAVIER DSC LOGISTICS INC 12/19/16 DWORKIN AND MACIARIELLO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1342 17WC 00079 LATHAN, PAUL HOME DEPOT * 02/14/16 ASHER, RAYMOND L LTD ADELSON TESTAN & BRUNDO 1343 17WC 00192 FIORDIROSA, ANTHONY DAVE JONES PLUMBING * 12/12/16 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 1344 17WC 00222 JURICIC, JOHN LOADERS CROAKLAN * 12/05/16 BLOCK, KLUKAS & MANZELLA P 1345 17WC 00246 JACKSON, LASHON ELITE STAFFING * 12/19/16 JOHN S. ELIASIK 1346 17WC 00256 MORRIS, CLARISSA PACE BUS - HERITAGE * 12/30/16 VASILATOS & COTTER LLC 1347 17WC 00317 FOOTE, RENARD RANDSTAD * 10/03/16 MEYERS & FLOWERS 1348 17WC 00394 RIGSBY, MICHAEL P SOUTHERN WINE AND SPIRITS * 11/04/16 STELZMAN, RUTH MACIOROWSKI SACKMANN & ULRIC 1349 17WC 00431 DIAZ, LUIS E STRATEX DEVELOPMENT ENTER * 12/20/16 EPSTEIN, JACK R LAW OFFICE 1350 17WC 00474 SANTOR, RONALD YRC INC * 12/30/16 PARENTE & NOREM PC 1351 17WC 00509 SPINAZZOLA, MICHAEL TBC CORP * 09/24/16 HETHERINGTON KARPEL BOBBER 1352 17WC 00543 KUNKE, RACHELLE THE INN AT WILLOW FALLS * 01/19/16 GANAN & SHAPIRO 1353 17WC 00565 MAEZES, KATIE ASTRAZENECA PHARMACEUTICA * 07/18/16 DEER & STONE PC HENNESSY & ROACH PC 1354 17WC 00640 TAHJA, NATHAN MINNESOTA LIMITED * 10/10/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 1355 17WC 00681 DAVIS, JOY U S SECURITY ASSOCIATES * 12/16/16 STROM, NEAL B COZZI & GOGGIN-WARD 1356 17WC 00699 KSIAZEK, KRYSTYNA ROSEWOOD CARE CENTER * 09/16/16 BLOCK, KLUKAS & MANZELLA P 1357 17WC 00707 SOCHAN, GEORGE COUNTY OF WILL HIGHWAY DE * 06/21/16 BLOCK, KLUKAS & MANZELLA P 1358 17WC 00740 CHAVEZ, SIGFRIEDO RIVER DOCKS, INC * 05/09/16 JASINSKI, GEORGE J 1359 17WC 00762 BOSTEDT, TRISHA A ELITE STAFFING INC * 12/08/16 O'CONNOR & NAKOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1360 17WC 00789 PITTMAN, TONY RON'S STAFFING SERVICES * 12/16/16 COSTA IVONE LLC GAROFALO SCHREIBER STORM 1361 17WC 00806 VASQUEZ, YESSENIA CHARTER HR INC * 12/08/16 DWORKIN AND MACIARIELLO 1362 17WC 00819 SPADA, DENNIS SR PEOTONE COMMUNITY UNIT SC * 09/26/16 STEVEN A CRIFASE, LTD BRADY CONNOLLY & MASUDA PC 1363 17WC 00854 LONKERT, WILLIAM T KELLY SERVICES * 12/02/16 DREW J FERRACUTI BRADY CONNOLLY & MASUDA PC 1364 17WC 00874 SPARKS, ANDREW KWM GUTTERMAN, INC * 12/19/14 GRAVLIN, MICHAEL J LLC 1365 17WC 00895 BRACKETT, SCOTT JOLIET STAFFING * 11/19/16 PORRO NIERMANN & PETERSEN BRADY CONNOLLY & MASUDA PC 1366 17WC 00912 FIELDS-THOMAS, SHARON TRI-CITY FOODS DBA BURGER * 10/26/16 BLOCK, KLUKAS & MANZELLA P 1367 17WC 00951 ERICKSON, JOHN FEDEX GROUND * 09/29/16 CUDA LAW OFFICES 1368 17WC 01033 BARGAINEAR, JEFFREY AMAZON * 01/05/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1369 17WC 01089 MASON, MARVENNA AMAZON CROSS - DOCK FACIL * 12/08/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 1370 17WC 01167 DAWSON, YVETTE R COLLINS ST AUTO PARTS * 04/18/16 KAVANAGH GRUMLEY & GORBOLD 1371 17WC 01191 MELENDEZ, JUAN DPI SPECIALTY FOODS * 01/01/17 SALVATO & O'TOOLE 1372 17WC 01208 REYNOSO, MARTHA TARGET * 03/04/16 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 1373 17WC 01267 MCNAIR, MARY EUROPEAN SVCS AT HOME * 12/06/16 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 1374 17WC 01379 JONES, JOE VERIHA TRUCKING * 01/03/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 1375 17WC 01443 FRAHM, ERIC KEY WEST METAL INDUSTRIES * 09/23/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1376 17WC 01509 PORTIS, MARIE ST OF IL DEPT OF * 02/04/16 ROBERT BURROWS 1377 17WC 01614 HAUGE, BARBARA VALLEY VIEW SCHOOL DIST 3 * 04/02/15 DRAKE & COLLOPY PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1378 17WC 01673 TERRY, FRED UPS * 01/09/17 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 1379 17WC 01704 TROCKI, SHERI ALLIED UNIVERSAL * 01/13/17 DWORKIN AND MACIARIELLO 1380 17WC 01738 PONCE, LUIS M SOUTH PACIFIC DRYWALL * 02/16/16 FOOTE MIELKE CHAVEZ & O'NE GAROFALO SCHREIBER STORM 1381 17WC 01805 STEG, THOMAS EVOKE KITCHEN AND BATH * 08/23/16 MCNAMARA PHELAN MCSTEEN LL 1382 17WC 01882 KENNEDY, SABRINA VALLEY VIEW SCHOOL * 01/12/17 ANKIN LAW OFFICE KNELL & O'CONNOR 1383 17WC 01907 SHEWMAKE, PENNY ECOLAB * 10/27/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1384 17WC 01983 BENSON, ANNA TROY CROSSROADS ELEMENTAR * 01/12/17 GOLDBERG WEISMAN & CAIRO L 1385 17WC 01990 NEIGHBORS, LUCINDA MANHATTAN SCHOOL DIST 114 * 12/06/16 RIDGE & DOWNES RIPES NELSON BAGGOT KALOBRAT 1386 17WC 02014 GOMEZ, JORGE ELITE STAFFING INC. * 12/09/16 CULLEN HASKINS NICHOLSON 1387 17WC 02026 THAMES, CLINTON AMERICAN AUTO WORKS * 05/01/15 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 1388 17WC 02152 RAGUSA, TERRANCE THE IL DEPT OF CORRECTION @ * 05/08/16 COVEN LAW GROUP HELEN LOZANO 1389 17WC 02168 AKERS, KEVIN UPS * 01/03/17 BLOCK, KLUKAS & MANZELLA P 1390 17WC 02210 SORAGHAN, RYAN KING HEATING * 11/28/16 PARENTE & NOREM PC 1391 17WC 02246 LEE, JOHN AMERICAN AUTO WORKS * 10/29/16 DWORKIN AND MACIARIELLO 1392 17WC 02267 ESPOSITO, MARIA M ESK SERVICES, INC * 07/24/16 KROCKEY CERNUGEL COWGILL E COZZI & GOGGIN-WARD 1393 17WC 02294 RAMEY, RICHARD VILLAGE OF BOLINGBROOK FI * 09/29/16 BLOCK, KLUKAS & MANZELLA P 1394 17WC 02343 VILLARREAL, FRANCISCO ON TIME STAFFING * 01/09/17 DWORKIN AND MACIARIELLO 1395 17WC 02401 SANCHEZ, CUAUHTEMOC RODRI SEATING CONCEPTS,INC * 06/06/16 NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1396 17WC 02485 CEARO, RINIKIA WALMART SUPERCENTER * 11/25/16 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 1397 17WC 02528 SCHRONSKI, PEGGY MRC POLYMERS * 11/29/16 MCNAMARA PHELAN MCSTEEN LL 1398 17WC 02576 CASILLAS, JOSE PRESENCE ST JOSEPH MEDICA * 03/04/15 HORWITZ HORWITZ & ASSOC 1399 17WC 02606 MARSHALL-ALBRIGHT, FELICI THE PARC AT JOLIET * 10/25/16 LAW OFFICES MICHAEL HELLMA 1400 17WC 02623 RUVALCABA, ROLANDO KILLARY CARPENTRY INC * 07/30/15 HERRERA LAW CENTER 1401 17WC 02687 ALCALA, RAYMOND ECOLAB * 11/05/16 RATHBUN CSEVENYAK & KOZOL 1402 17WC 02715 THURMAN, AMOS ABF * 12/08/16 JASINSKI, GEORGE J 1403 17WC 02729 DEBOARD, JEFFREY CHICAGO AEROSOL * 07/15/15 DIXON LAW FIRM RODDY LAW LTD 1404 17WC 02750 GOOCH, JASON LABOR EXCHANGE * 09/01/16 DWORKIN AND MACIARIELLO 1405 17WC 02775 DELGADO, JULIO C ETERNALLY GREEN * 12/12/16 STANCZAK LAW OFFICES 1406 17WC 02786 LOPEZ, ANGELITA E ONE HOPE UNITED * 11/28/16 ANESI OZMON RODIN NOVAK KO 1407 17WC 02800 CUMMINGS, JILL, WIDOW OF LDS SUPERIOR SERVICES, LL # * 01/13/17 CAPRON & AVGERINOS PC 1408 17WC 02831 MOLFESE, JOSEPH PRAIRIE MATERIALS * 12/21/16 LEONARD LAW GROUP LLC 1409 17WC 02908 ADENT, MICHAEL SYNNEX CORPORATION * 08/23/16 ANKIN LAW OFFICE 1410 17WC 02933 JACKSON, NANCY LOWE'S * 03/13/16 DWORKIN AND MACIARIELLO 1411 17WC 02994 LOZADA, CINTHIA RICOH CORPORATION * 12/17/14 THE ROMAKER LAW FIRM 1412 17WC 03028 ELLER, NATHAN G&D INTEGRATED * 01/06/17 GOLDFINE & BOWLES 1413 17WC 03083 BLAU, MARIA AMERISOURCE BERGEN * 04/17/16 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1414 17WC 03158 WRIGHT, TONYA STATE OF ILLINOIS @ * 07/20/16 BLOCK, KLUKAS & MANZELLA P 1415 17WC 03239 TRAMUTOLO, MICHAEL COMPASS GROUP USA * 11/07/16 DWORKIN AND MACIARIELLO 1416 17WC 03295 TAYLOR, DON PYRAMID CUSTOM CABINETS * 03/29/16 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 1417 17WC 03400 HAMPTON, ALAN VILLAGE OF BOLINGBROOK * 05/13/14 BART DURHAM 1418 17WC 03479 MARCHIO, NICOLE WALLEY ENTERPRISES, LLC * 06/10/16 LUCAS & APOSTOLOPOULOS 1419 17WC 03596 KEYS, ANDRE ANDREW STAFFING * 11/09/16 MARC J SHUMAN & ASSOCIATES 1420 17WC 03612 CHAPARRO, LORENA MCDONALDS CORPORATION * 12/07/15 CUSHING LAW OFFICES 1421 17WC 03709 SHIELDS, SANDRA ROCK RUN * 01/18/17 WHITESIDE & GOLDBERG LTD 1422 17WC 03742 AMARAL, ROBERT FORE TRANSPORTATION INC * 12/30/15 KROL BONGIORNO & GIVEN LTD KNELL & O'CONNOR 1423 17WC 03813 JACKSON, JOSHUA LA Z BOY FURNITURE * 07/13/16 MICHAEL A. HIGGINS 1424 17WC 03879 GUNN, DAVID ACCURATE PERSONNEL LLC * 12/21/16 MARC J SHUMAN & ASSOCIATES 1425 17WC 04011 WOLSKI, DANIEL F UPS * 01/30/17 RUBIN LAW GROUP ASA LAW GROUP 1426 17WC 04055 SARAGOSSA, ADAM LUTHERAN SOCIAL SERVICES * 11/18/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1427 17WC 04091 ESPINOZA, ALEJANDRA GREENCORE * 06/01/16 BLOCK, KLUKAS & MANZELLA P 1428 17WC 04186 MACATANGAY, AUSTIN ELITE LABOR SERVICES LTD * 04/07/16 MOSS & MOSS PC 1429 17WC 04223 PERALTA, JAVIER HITS, INC * 12/17/16 SEIDMAN MARGULIS & FAIRMAN 1430 17WC 04239 ORASCO, FELIX WEEKES FOREST PRODUCT * 01/12/17 BLOCK, KLUKAS & MANZELLA P 1431 17WC 04285 SANDERS, CHRISTOPHER NORTHWEST FENCING * 06/10/16 BART DURHAM INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1432 17WC 04306 KRAUSE, DEBORAH VICTORIAN VILLAGE * 12/18/16 VASILATOS & COTTER LLC 1433 17WC 04357 WIZOREK, CHERYL JEWEL FOOD STORES * 10/08/16 CULLEN HASKINS NICHOLSON 1434 17WC 04370 CUEVAS, ANGELICA ELITE STAFFING * 12/10/15 COSTA IVONE LLC 1435 17WC 04375 RAMIREZ-CARDENAS, MIGUEL ASSOCIATED LOGISTICS, INC * 10/18/16 COSTA IVONE LLC 1436 17WC 04393 VAQUERO, ALFREDO ACCURATE PERSONNEL LLC * 01/20/17 SALK, STEVEN B & ASSOC LTD 1437 17WC 04459 SPENCER, JERRY CARPENTER LIQUID TRANSPOR * 09/02/15 JAMES M KELLY 1438 17WC 04615 ROMANO, CYNTHIA ILLINOIS BELL TELEPHONE C * 01/28/16 MARKER & ASSOCIATES 1439 17WC 04682 NAVARRO, YOLANDA SUMMIT STAFFING INC (LOAN * 01/30/17 KOSIN LAW OFFICE LTD 1440 17WC 04697 JOHNSON, EARL STEPAN CHEMICAL * 01/16/17 HORWITZ HORWITZ & ASSOC 1441 17WC 04720 VANNA, AMY 1ST RESPONSE EMS * 01/02/17 1442 17WC 04741 BALLARD, KENNETH DHL SUPPLY CHAIN/ DIV OF * 08/23/89 PETER D CORTI LAW GROUP 1443 17WC 04800 MEZA, ELIZABETH NAVISTAR * 02/03/17 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1444 17WC 04914 MAGANA, ESTHELA CUEVAS SUPERMERCADO EL GUERO * 08/25/16 1445 17WC 04974 SCHAHCZINSKI, DEBRA SPORTS CLIPS DBA PINNACLE * 06/30/16 WILLIAM MARTAY RUSIN & MACIOROWSKI LTD 1446 17WC 04992 STERLING, BRIAN AMAZON * 01/09/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1447 17WC 05026 WILSON, TIMOTHY L COMPLETE PERSONNEL LOGIST * 11/15/16 ANESI OZMON RODIN NOVAK KO 1448 17WC 05080 MACHAK, ROBERT JOLIET STAFFING LLC * 10/22/16 LEE, MARK N LAW OFFICE 1449 17WC 05086 MUELLER, SHELBY GREATER JOLIET AREA YMCA * 06/18/15 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1450 17WC 05135 BRANCH, ZACHARIAH BUCKLEY TRANSPORTATION IN * 01/12/17 SAUNDERS CONDON & KENNY 1451 17WC 05166 CHAIDEZ, ADOLFO CENTRAL GROCERS CO-OP INC * 01/03/17 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 1452 17WC 05223 DANIELS, QUENTEN PEACOCK ENGINEERING * 01/31/17 BRISKMAN BRISKMAN GREENBER 1453 17WC 05253 VIOLET, AL EQUIPMENT DEPOT * 12/09/16 FRANCIS J DISCIPIO LAW OFF 1454 17WC 05299 AGUGBA, JUDE SWIFT TRANSPORTATION INC * 02/01/17 KIPNIS & KAHN WIEDNER & MCAULIFFE LTD 1455 17WC 05347 SCUMACI, ANTHONY CITY OF CHICAGO - DOT * 08/02/14 PARENTE & NOREM PC 1456 17WC 05407 PEREZ, ROGELIO ESMARK STEEL MIDWEST GROU * 01/11/17 HART & DAVID LLP COZZI & GOGGIN-WARD 1457 17WC 05439 CARVER, BARRY CLARK FOAM PRODUCTS CORP * 01/25/17 VRDOLYAK LAW GROUP LLC 1458 17WC 05444 FUENTES-LOPES, RIGOBERTO HZ OPS HOLDINGS, INC * 11/25/15 EPSTEIN, JACK R LAW OFFICE 1459 17WC 05458 ABUALSAMEN, FIRSAN CROSSMARK SITE UTILITIES, * 01/03/17 LIDOV & BLOCK 1460 17WC 05481 COLLINS, FRANCISCO FRESH THYME * 02/10/17 GOLDSTEIN BENDER & ROMANOF COZZI & GOGGIN-WARD 1461 17WC 05583 WALLACE, STEVEN FEDEX GROUND * 01/17/17 BURNETT & CARON, LTD 1462 17WC 05639 GERENCHER, RONALD PACE SUBURBAN BUS * 08/24/16 HORWITZ HORWITZ & ASSOC 1463 17WC 05703 CALDERON, EDGAR ELEMENTAL LANDSCAPES * 05/06/16 STEPHEN G PINTO LTD 1464 17WC 05718 WERNER, GARY HILLCREST ENTERPRISES DBA * 06/01/16 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 1465 17WC 05744 SZYCHLINSKI, ANDY EUCLID BEVERAGE * 01/11/17 PORRO NIERMANN & PETERSEN ROBERT L. SMITH 1466 17WC 05774 KNIGHTS, MARSHALL AMAZON DELIVERY * 01/04/17 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 1467 17WC 05852 KNOX, MARK ELITE IRON WORKS INC * 10/14/16 LEONARD LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1468 17WC 05866 GUTIERREZ, SALVADOR MORAN MASONRY INC * 01/12/17 PORRO NIERMANN & PETERSEN 1469 17WC 05926 LEWIS, RUSSELL J LAZER SPOT INC * 02/18/17 THE ROMAKER LAW FIRM WOLF LAW LTD 1470 17WC 06001 DENNIS, CHARLES SCHNEIDER TRANSLOADING * 02/15/17 STEVEN J TENZER, LTD POWER & CRONIN LTD 1471 17WC 06033 MOHN, CORY GORDON FOOD SERVICE * 01/27/17 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO 1472 17WC 06034 HERNANDEZ VARGA, ELBIRA ABACUS CORPORATION * 11/23/16 LAW OFFICES MICHAEL HELLMA 1473 17WC 06054 MIDDLETON, JEFF G & D INTEGRATED * 01/10/17 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 1474 17WC 06129 MONTGOMERY, JAMIE SOI IL STATE POLICE @ * 09/09/15 CORNFIELD & FELDMAN STEPHANIE KEVIL 1475 17WC 06209 NOWINSKI, JOSEPH CENTRELLA-CENTRAL GROCERS * 11/27/16 ROMANUCCI & BLANDIN ROSARIO CIBELLA 1476 17WC 06260 NEWBY, THADDEUS UPS * 01/09/17 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1477 17WC 06327 CHERRY, BRANDON LOWE'S HOME IMPROVEMENT * 08/01/15 DWORKIN AND MACIARIELLO 1478 17WC 06401 THOMPSON, MICHAEL ROTO ROOTER * 01/01/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 1479 17WC 06455 CLARK, JOHN TYSON MOTOR CORP * 02/23/17 SEIDMAN MARGULIS & FAIRMAN NOBLE & ASSOCIATES PC 1480 17WC 06539 KELLY, BYRON OLD DOMINION FREIGHT LINE * 02/07/17 STEVEN H MEVORAH & ASSOCIA 1481 17WC 06575 DOHERTY, MATTHEW USF HOLLAND * 02/10/17 PARENTE & NOREM PC 1482 17WC 06621 SILVA, SUSAN JEWEL OSCO/NEW ALBERTSON' * 01/27/16 BLOCK, KLUKAS & MANZELLA P 1483 17WC 06689 KAUFMANN, CRAIG SOLUTIONS MECHANICAL * 11/28/16 MARTIN V KUGIA 1484 17WC 06726 CAMACHO, AUGUSTIN CENTRAL GROCERS * 01/16/17 ASHER, RAYMOND L LTD 1485 17WC 06744 DELGADO, JUAN STAFFMARK * 10/10/16 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1486 17WC 06770 WILDA SR., PAUL PILOT FLYING J * 01/04/17 WOODRUFF & JOHNSON 1487 17WC 06814 JONES, ADREANIA SPRING CREEK * 07/27/16 BRISKMAN BRISKMAN GREENBER 1488 17WC 06868 LUKAS, CATHLEEN RA-PACK * 02/10/17 HORWITZ HORWITZ & ASSOC 1489 17WC 06905 MOORE, TENESHIA RON POSTMA AUTO SALES INC * 02/23/17 ANKIN LAW OFFICE 1490 17WC 06936 WOLSKI, JOSEPH IL DEPT OF TRANSPORTATION * 11/16/16 VRDOLYAK LAW GROUP LLC 1491 17WC 07028 WILLS, JASON THE RESERVES NETWORK * 03/03/17 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 1492 17WC 07097 ROLLINS, CORNELL THD AT HOME SERVICES INC/ * 03/21/15 MARKER & ASSOCIATES 1493 17WC 07174 VELASQUEZ, JUSTIN NRG ENERGY SVCS, LLC * 07/24/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1494 17WC 07285 FINLEY, LAWANDA TRINITY SERVICES OF NEW L * 10/18/16 1495 17WC 07304 ABERNATHY, CAROLYN (WIDOW STATEVILLE CORRECTIONAL C # * 03/05/15 HORWITZ HORWITZ & ASSOC 1496 17WC 07312 CARROLL, SHAWN CITY OF JOLIET * 01/18/13 THE ROMAKER LAW FIRM ROSARIO CIBELLA 1497 17WC 07325 VANCE, MYRON DART CONTAINER CORP * 03/02/17 GRAVLIN, MICHAEL J LLC GAROFALO SCHREIBER STORM 1498 17WC 07454 MURILLO, OSCAR WEST LIBERTY FOODS * 01/23/17 GOLDSTEIN BENDER & ROMANOF 1499 17WC 07473 WILLIAMS, MCKENNETH AUSTIN TYLER CONSTRUCTION * 09/30/16 HORWITZ HORWITZ & ASSOC 1500 17WC 07537 NICHOLS, LAVALL CENTRAL GROCERS INC * 12/21/16 ANKIN LAW OFFICE 1501 17WC 07636 CHAGALA, EDITH HOSTESS BAKERY WAREHOUSE * 11/11/16 RATHBUN CSEVENYAK & KOZOL 1502 17WC 07675 GONZALEZ, MARCO 1ST CHOICE STAFFING * 05/17/11 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 1503 17WC 07730 ACKLEY, CAITLIN JEWEL OSCO * 04/01/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1504 17WC 07785 DONNELLY, MICHAEL PARSEC * 12/24/16 NILSON STOOKAL GLEASON CAP MACIOROWSKI SACKMANN & ULRIC 1505 17WC 07848 THOMPSON, RACHEL NEXUS EMPLOYMENT SOLUTION * 03/08/17 LEITER LAW OFFICES 1506 17WC 07879 CEVDA-ROBLES, ALFREDO FRESH THYME DISTRIBUTION * 12/12/16 RATHBUN CSEVENYAK & KOZOL 1507 17WC 07932 TAPIA, MARIA L PLAINFIELD SCHOOL DIST 20 * 12/09/16 LAW OFFICES MICHAEL HELLMA 1508 17WC 07941 PRINTY, BRIAN CLEAR CHANNEL OUTDOOR * 08/15/16 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 1509 17WC 08044 MATTHIAS, BRADLEY A HOLLYWOOD CASINO - JOLIET * 12/15/16 STEVEN J MALMAN & ASSOCIAT 1510 17WC 08081 SMELCER, RONALD CENTERSTONE * 08/22/16 DWORKIN AND MACIARIELLO 1511 17WC 08153 DOTSON, STEVEN AMAZON DISTRIBUTION CENTE * 09/27/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1512 17WC 08170 VILLAGRAN, JOSEPH JOLIET PUBLIC SCHOOLS-DIS * 02/16/17 LEITER LAW OFFICES 1513 17WC 08199 WICEVIC, KENNETH FIGURE 8, INC * 01/27/17 RUBIN LAW GROUP 1514 17WC 08217 HICHOS, RUDY BUFFALO TRAILER MANUFATUR * 02/08/17 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 1515 17WC 08336 AUTMAN, JOY VALLEY VIEW COMMUNITY UNI * 02/27/17 JAMES J. GAY 1516 17WC 08348 DUNNING, ROBERTIA JOLIET JUNIOR COLLEGE * 05/23/16 MARC J SHUMAN & ASSOCIATES 1517 17WC 08388 ARNOLD, THOMAS CALIBER PACKING * 01/11/17 DWORKIN AND MACIARIELLO 1518 17WC 08444 ZEGAR, RUBY PLAINFIELD SCHOOL DISTRIC * 09/22/16 THE FITZ LAW GROUP 1519 17WC 08484 ROSS, COREY WSI II * 01/24/17 O'CONNOR & NAKOS 1520 17WC 08515 CARRENO, LUZ AMAZON * 01/22/17 COSTA IVONE LLC 1521 17WC 08569 MURPHY, ROBERT BEAVER OIL CO, INC * 02/13/17 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M ORY, CHRISTINE 073 ARBITRATION CALL FOR NEW LENOX 31002 ON 05/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1522 17WC 08613 MURPHY, ROBERT BEAVER OIL CO, INC * 04/04/16 BLOCK, KLUKAS & MANZELLA P 1523 17WC 08627 MARTEY, JOSEPHINE PRESENCE ST JOSEPH MED CT * 11/12/16 DONAHUE, PAUL T LAW OFFICE 1524 17WC 08646 ALLEN, LANDON GEODIS USA INC * 03/05/17 ANKIN LAW OFFICE 1525 17WC 08674 ALIEVSKI, AVNI BW CONTAINER/FLEETWOOD, I * 04/05/16 STEVEN J TENZER, LTD 1526 17WC 08721 RODRIGUEZ, DANA MIDWEST AIR TECHNOLGOIES, * 01/03/17 MARKER & ASSOCIATES 1527 17WC 08730 VICKERS, LUCAS NEXUS EMPLOYMENT SOLUTION * 03/11/17 BLOCK, KLUKAS & MANZELLA P 1528 17WC 08826 JOHNSON, TAMEIKA ARBON STREET & SERVICES C * 02/09/17 DWORKIN AND MACIARIELLO 1529 17WC 08910 SNOWDEN, JOSHUA HOLLYWOOD CASINO JOLIET L * 10/02/16 PETER F FERRACUTI & ASSOCI 1530 17WC 08993 MEDINA, ARMANDO CENTRAL GROCERS INC * 01/30/17 OSVALDO RODRIGUEZ PC 1531 17WC 09055 NEWMAN, BRADLEY TRANSPORTATION REPAIRS & * 08/02/16 RODDY LAW LTD 1532 17WC 09092 EVERETT, LARRY A AMERICAN SCHOOL BUS CO * 02/14/17 1533 17WC 09136 MACHART, BONNIE SILVER CROSS HOSPITAL * 08/27/16 VRDOLYAK LAW GROUP LLC 1534 17WC 09163 RUSH, DONYELL LINEAGE LOGISTICS * 03/23/17 DWORKIN AND MACIARIELLO 1535 17WC 09239 SEPE, ROBERT VILLAGE OF MONEE POLICE D * 10/14/16 RIDGE & DOWNES 1536 17WC 09308 ANDRIST, GINA GRAINGER * 03/06/17 BLOCK, KLUKAS & MANZELLA P 1537 17WC 09368 WILSON, JESSICA VANDENBERG AMBULANCE * 03/15/17 BURNES & LIBMAN 1538 17WC 09398 O'CONNOR, MIKE R THE VILLAGE OF ROMEOVILLE * 01/06/17 SLAVIN & SLAVIN 1539 17WC 09429 HACK, TINA PORTABLE JOHN INC * 01/31/16 DWORKIN AND MACIARIELLO

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