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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 10WC 46662 O'DONNELL, ERIN FOX RIVER GROVE 10/15/08 RICHARD O. GREENFIELD RUSIN MACIOROWSKI & FRIEDMAN 11WC007593 -C 15 11WC 16494 19B KIRBY, WILLIAM CITY OF CHICAGO DEPT 05/11/10 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 12WC038560 -C 12WC038561 -C 14WC029406 -C 16 11WC 16870 BARNEY, SANDRA CTA 04/06/11 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 17 11WC 17255 THIGPEN, BRENDA STATE OF ILLINOIS @ 05/28/09 BAUM RUFFOLO & MARZAL LTD NICHOLE S. MCNAIR 11WC017256 -C 12WC020224 -C ST OF IL DEPT OF CORRECTIO 18 11WC 21853 JOHNSON, CHRISTINE ILLINOIS DEPT OF HUMAN SE @ 03/17/10 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 19 11WC 22880 19B MCHUGH, RUTH CITY OF CHICAGO 06/01/11 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 20 11WC 24990 MONTES, HERIBERTO RUSH UNIVERSITY MEDICAL C 02/22/11 GAINES & GAINES KEEFE CAMPBELL & ASSOC LLC 13WC019893 -C 15WC020821 -C 15WC020822 -C 15WC020823 -C 15WC020824 -C 21 11WC 27639 19B BANE, JAMES CITY OF CHICAGO DEPT OF 07/11/11 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 22 11WC 31401 MARRERO, MARIA OMNI HOTELS 04/07/11 LAW OFFICE EDWARD LICHTENS GALLIANI DOELL & COZZI LTD 23 11WC 32949 HEPP, JEFFREY E HULCHER SERVICES INC 02/11/11 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 24 11WC 38110 JONES, SHEREE LEXINGTON HEALTH CARE OF 09/06/11 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 25 11WC 38604 TOLOO-SHAMS, JAMILEH NORTHSHORE UNIVERSITY 06/15/11 EFTEKHARI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 15WC032205 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 26 11WC 44064 19B OBODOAKOR, JULIET JACKSON PARK HOSPITAL 07/21/11 KATZ FRIEDMAN EAGLE ET AL ODELSON & STERK 27 12WC 00820 JOHNSON-ANDERSON, RHONDA COOK COUNTY 12/31/11 HUGHES SOCOL PIERS RESNICK 12WC000822 -C 28 12WC 14535 RUSSO, JOSEPH IL BELL TELEPHONE CO (AT& 02/25/12 ANGELINI & ORI LLC HENNESSY & ROACH PC 13WC006489 -C ILLINOIS BELL TELEPHONE CO 29 12WC 25849 SANTIAGO, MIGUEL A CITY OF CHICAGO 06/25/06 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 30 12WC 26151 CEDILLO, FRANCISCO ESTES EXPRESS LINES INC 07/17/12 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 31 12WC 26931 SANTOS, NOEL EMPIRE HARD CHROME INC 06/06/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 12WC028208 -C 32 12WC 27355 HOGE, DANIEL M WALSH CONSTRUCTION 02/29/12 CRONIN & PETERS HINSHAW & CULBERTSON 33 12WC 31161 SHERRY, MICHAEL VILLAGE OF NILES 11/23/10 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 12WC031162 -C 15WC013477 -C 34 12WC 32841 BROWN, VICTORIA STATE OF ILLINOIS DEP OF @ 08/22/12 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 35 12WC 33002 HEARD, GEORGE CHICAGO TRANSIT AUTHORITY 09/19/12 LEONARD S BECKER CHICAGO TRANSIT AUTHORITY 36 12WC 35000 GLASER, NICK C ILLINOIS DEPT OF 09/26/12 JOHN S. ELIASIK ASSISTANT ATTORNEY GENERAL 37 12WC 37698 REYES, LUCIA FEDEX GROUND 09/20/12 EPSTEIN, JACK R LAW OFFICE KOPKA, PINKUS DOLIN, PC 38 12WC 38145 SMITH, KEVIN VESUVIUS 06/13/12 MARC J SHUMAN & ASSOCIATES RUSIN MACIOROWSKI & FRIEDMAN 12WC038146 -C 39 12WC 38669 BARHAM, HIRMS GLENBROOK SOUTH HIGH SCHO 08/10/12 EFTEKHARI LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 12WC 38907 RODRIGUEZ, ANDRE FORD MOTORS 09/13/12 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 13WC005217 -C 13WC008834 -C 41 12WC 40937 HINTON, ANGJELL V STATE OF IL/DHS @ 11/19/12 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 42 12WC 41099 THOMAS, CATHERINE JANE ARGO COMMUNITY 12/17/10 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 12WC041100 -C 15WC014941 -C 15WC014942 -C 43 13WC 09062 MARTINEZ, SIMON ILLINOIS DEPT OF TRANS @ 12/31/12 PETER D CORTI LAW GROUP MATTHEW LICAVOLI 44 13WC 13331 BANSLEY, ROBERT COOK COUNTY SHERIFF'S DEP 02/04/13 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 45 13WC 13363 BECK, THELMA ROSELAND COMMUNITY HOSPIT 11/30/12 MARSZALEK AND MARSZALEK SCOPELITIS GARVIN LIGHT 46 13WC 13617 MAYER, CRISTIE A COUNTY OF COOK 11/08/11 BUIKEMA HISKES DILLNER ET INMAN & FITZGIBBONS 47 13WC 13731 BREESE, LEONARD V ORLAND FIRE PROTECTION DI 03/20/13 THOMAS W DUDA INMAN & FITZGIBBONS 48 13WC 13815 GARCIA, DAVID GRECO AND SONS 03/12/13 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 13WC014347 -C CRECO & SONS 15WC033056 -C 49 13WC 14529 OSUNWOKE, BEDE BLUE DIAMOND TAXI 03/31/11 SEIDMAN MARGULIS & FAIRMAN 50 13WC 14713 HUFFINE, JENNIFER STEIN MART 03/04/13 MARSZALEK AND MARSZALEK KOPKA, PINKUS DOLIN, PC 13WC014714 -C 51 13WC 20970 SMITH, DONNELL II IN ONE CONTRACTORS INC 05/30/13 TAXMAN POLLOCK HINSHAW & CULBERTSON 52 13WC 22294 SAMUEL-HOGKINS, TINA CHICAGO TRANSIT AUTHORITY 06/12/13 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 53 13WC 22636 COZZI, ANTHONY CITY OF CHICAGO 03/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 54 13WC 22663 KOTWICA, GREGORY CHICAGO MESSENGER SERVICE 07/09/13 BURNETT & CARON, LTD PRETZEL & STOUFFER 14WC031488 -C 14WC031489 -C 55 13WC 23794 SPEECHLEY, JOHN REXNORD CORPORATION 05/06/13 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 56 13WC 25559 REICHEL, MATTHEW BERGOFF CATERING & 08/07/10 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 57 13WC 25762 SARICH, MICHELLE CHICAGO PUBLIC SCHOOLS 06/08/12 LEWIS & DAVIDSON, LTD CHGO BOARD OF EDUCATION 13WC025763 -C 58 13WC 26627 SMITH, SYLVIA CHICAGO TRANSIT AUTHORITY 08/09/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 59 13WC 33774 REED, CYNTHIA M EVANSTON TOWNSHIP HIGH SC 10/05/13 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 60 13WC 33973 DEVERS-RUCKER, DAVITTA COOK COUNTY DEPT OF 09/24/13 COHN LAMBERT RYAN & SCHNEI STATES ATTORNEY OF COOK COUN 61 13WC 34145 ALTIERI, GEORGE N CARL BIDDIG & CO 07/31/13 PETER D CORTI LAW GROUP KNELL & O'CONNOR 62 13WC 34383 PANIAGUA, VICTOR CHICAGO TRANSIT AUTHORITY 02/18/13 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 63 13WC 34458 STRAWDER, CHARLES COMCAST 02/19/13 TAMVAKIS, GEORGE L ASHER, RAYMOND L LTD 64 13WC 34735 FOFANA, LINDA NORTHSHORE UNIVERSITY 05/06/13 CULLEN HASKINS NICHOLSON 65 13WC 35193 ODIBO, GRACE CITY OF CHICAGO 04/27/13 RICHARD J ZABORSKY CITY OF CHICAGO 66 14WC 01917 HARRIS, PERRY EARL M JORGENSEN 12/16/13 CUDA LAW OFFICES POULOS & DIBENEDETTO LAW 67 14WC 02916 GOODMAN, CLAUDINE UNITED AIRLINES INC. 12/06/12 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 15WC035988 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 14WC 02929 TROCHE, CONITZIN ALDI 12/04/13 WEISS ORTIZ PC BRADY CONNOLLY & MASUDA PC 69 14WC 03108 RUSSELL, STANLEY NORTHWESTERN MEMORIAL HOS 01/05/14 SEIDMAN MARGULIS & FAIRMAN LORENZ & BERGIN PC 15WC033545 -C 70 14WC 03617 TRUJILLO-SUAREZ, NEREO MIDWEST CANVAS CORP 12/10/13 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 71 14WC 03800 ACOSTA, CARMEN RUSH UNIVERSITY MEDICAL C 11/03/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 72 14WC 04174 ANDERSON, PAULA COOK COUNTY SHERIFF DEPT 01/16/14 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 73 14WC 04997 ORTIZ, JOAQUINA WORKFORCE LLC 09/04/13 CHRISTINE F DAVID KOREY RICHARDSON LLC 74 14WC 05937 LLOYD, FREDRIKA ELIZABETH LUDEMAN CENTER @ 01/07/14 MICHAEL HELLMAN JILL OTTE 75 14WC 07302 FLORES, MARIA G CHICAGO PUBLIC SCHOOLS 01/31/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 76 14WC 08143 SCHMIDT, GREGORY VILLAGE OF NILES 01/13/14 TURCYCHUTE LLC NYHAN BAMBRICK KINZIE & LOWR 77 14WC 08617 NEIL, BRUCE W CITY OF CHICAGO 09/03/13 LARRY S MAYSTER LTD CITY OF CHICAGO 78 14WC 12974 KING, ANDRE CAST & CREW ENTERTAINMENT 10/14/13 DINIZULU LAW GROUP LTD GRANT & FANNING 79 14WC 13212 EATON-JACKOWSKI, BRYTTANE PROCTOR & GAMBLE 05/15/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 80 14WC 21727 GORDON, MITCHELL NAPLETONS RIVER OAKS HOND 06/04/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 15WC038404 -C RIVER OAKS HONDA 81 14WC 22403 GIBSON, TIFFANY CHICAGO TRANSIT AUTHORITY 10/02/13 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY 82 14WC 22512 DELGADO, ALECMAR CHICAGO TRANSIT AUTHORITY 06/26/14 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 83 14WC 22518 MENDOZA, ELOY IMPACT STAFFING 05/07/14 SHELDON I MINKOW & ASSOCIA THOMAS & PORTELA 84 14WC 23255 BRIGHAM, DEBORAH CITY OF CHICAGO 09/12/11 CULLEN HASKINS NICHOLSON 85 14WC 23562 WILSON, MICHAEL ACC INC. 05/14/14 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 14WC 23667 SANDSTROM, CARL D J.B. HUNT TRANSPORT, INC 05/12/14 LAW OFFICE EDWARD RUEDA RUSIN MACIOROWSKI & FRIEDMAN 87 14WC 23687 LUCKIES, DANITA CTA 07/04/14 LEONARD LAW GROUP LLC 88 14WC 24220 VALLES, JUAN L LOWE'S HOME IMPROVEMENT 01/28/13 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 89 14WC 24269 MATA, CARLOS SIMON BROTHERS BAKERY INC 08/16/13 LAW OFFICE OF KEVIN O'BRIE LAW OFFICES JOSEPH MARCINIAK 90 14WC 24346 SHAW, DARLENE CHICAGO PUBLIC SCHOOLS 01/22/14 VRDOLYAK LAW GROUP LLC 91 14WC 25606 WILSON, NOAH IL DEPT OF TRANSPORATION 01/05/14 COVEN LAW GROUP COLIN KICKLIGHTER 92 14WC 25843 HERNANDEZ, MAGDALENA SWEDISH COVENANT HOSPITAL 05/01/14 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 93 14WC 25885 CAJALEON, FELITA METHODIST HOSPITAL 05/03/14 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 94 14WC 26487 SMITH, WILLIAM MENARDS INC 04/04/14 PETER D CORTI LAW GROUP CHILTON YAMBERT PORTER LLP 14WC026488 -C 95 14WC 27030 WASHINGTON, NICOLE T CTA 01/20/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 96 14WC 32157 SIMS, ANITA STEWART BUSINESS CENTER 04/16/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 97 14WC 35174 MARTIN, SHIRLEY CITY OF CHICAGO 09/04/14 BUDIN LAW OFFICES LAW DEPARTMENT 98 14WC 35333 VERDI, SUSAN AMERICAN AIRLINES 04/02/14 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 99 14WC 35837 MORENO, MARIO CHICAGO INTERMODAL TRANSP 01/31/14 KATZ FRIEDMAN EAGLE ET AL KARCHMAR & STONE 100 14WC 36314 IHASZ, SEAN PRIMERA IRON WORKS CORP 10/01/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 101 14WC 36783 PRUITT, M CRYSTAL CHICAGO TRANSIT AUTHORITY 07/27/14 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 102 15WC 02288 MORA, HIPOLITO B&R INSURANCE PARTNERS 05/27/13 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 103 15WC 04816 MEICHANG, CHEN, WIDOW OF ZHIU YI MEI INDIVIDUALLY # 10/31/14 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 15WC 07750 WHITE, ANTHONY J CITY OF CHICAGO - 02/23/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 105 15WC 08709 MASNICA, ROMAN CROSS TOWN CARPENTRY, INC @ 12/31/14 CULLEN HASKINS NICHOLSON 106 15WC 10158 19B MC KINNEY, DION CAPSTONE LOGISTICS 03/09/15 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 107 15WC 10209 REGAN, PATRICIA C LOYOLA UNIVERSITY MEDICAL 02/25/14 VITELL & SPITZ LTD 108 15WC 10525 O'CONNOR, JERRY AT&T 11/01/13 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 109 15WC 11207 GORRELL, VANCE GRIFFITH TRUCKING 01/21/14 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 110 15WC 11424 WATERS, GAIL C. BIGANE PAVING COMPANY 08/04/14 BRILL & FISHEL LAW OFFICES OF EDWARD J. KOZ 111 15WC 11803 CHISM, NICOLE CTA 03/22/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 112 15WC 11889 JAGE, ROGER WESTERN SPRINGS POLICE DE 03/27/15 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 113 15WC 12172 MOORE, CHARLENE CTA 03/31/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 114 15WC 12296 FRANK, LARISSA ILLINOIS COURT REPORTING @ 10/01/14 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 115 15WC 12318 GONZALEZ, ANA FERRARA PAN CANDY 08/05/14 VASILATOS & COTTER LLC HOLECEK & ASSOCIATES 116 15WC 12592 PETRO, BRADLEY S CITY OF CHICAGO 03/12/15 O'CONNOR & NAKOS CITY OF CHICAGO 117 15WC 12997 PENCE, MARY ARPAC, LLC 06/07/13 THOMAS R LICHTEN HOLECEK & ASSOCIATES 118 15WC 13272 GARCIA, OSCAR SODEXO, INC. 02/19/15 PARENTE & NOREM PC 119 15WC 13755 HOOTEN, ALICE SOLOMON SCHOOL 01/21/15 WILLIAM B MEYERS, LTD CHGO BOARD OF EDUCATION 15WC013766 -C 15WC036875 -C CHICAGO PUBLIC SCHOOLS 15WC036876 -C 120 15WC 13928 CRUMP, CAROLYN CITY OF CHICAGO 02/18/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 15WC 14024 DUAH, LESLIE GOLD COAST TAXI ASSN LLC 04/08/15 DWORKIN AND MACIARIELLO 122 15WC 14210 HEIN, JENNIFER ADVOCATE CHILDREN'S HOSPI 08/03/14 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 15WC014211 -C 123 15WC 14348 19B LIBERTY, TERRELL CHICAGO TRIBUNE 03/12/15 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 124 15WC 14613 ANDERSON, ALONZO CITY OF CHICAGO 01/22/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 125 15WC 14670 LENTZ, CHARLES ARLINGTON CEMETARY 01/14/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 126 15WC 14894 SOLIS, RUBEN MIETUS RESTORATION INC 04/18/15 ENCINAS & ORNELAS RUSIN & MACIOROWSKI LTD 15WC015580 -C 127 15WC 19352 HEREDIA, JOHN CITY OF CHICAGO 05/27/15 RUBIN LAW GROUP CITY OF CHICAGO 128 15WC 21552 GUTIERREZ-ROGUE, YOLANDA STATE OF ILLINOIS @ 08/19/13 BRUSTIN & LUNDBLAD LTD COLIN KICKLIGHTER 129 15WC 21625 KAGLER, ANGIE LYDIA HEALTH CARE 07/18/12 LEADERS LAW CENTER LLC 130 15WC 21696 RAMIREZ, JUANA WIREMASTERS, INC. D/B/A 07/06/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 131 15WC 21877 TORRES, CISCO COSTCO WHOLESALE 01/04/15 CANDIANO LAW OFFICE GANAN & SHAPIRO 132 15WC 22716 TONCHEVA, GERGANA COMPASS GROUP/TOUCHPOINT 03/11/15 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 133 15WC 22785 TOLEDO, LUIS MY THAI RESTAURANT 09/25/13 CHRISTOPHER FREEMAN 134 15WC 23322 ESPOSITO, JOSEPH C CITY OF CHICAGO WATER DEP 06/03/15 SALVATO & O'TOOLE CITY OF CHICAGO 135 15WC 24871 GUZMAN, GERARDO FLEXIBLE STAFFING 06/10/15 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 15WC 24902 BIELESCH, ALEXANDER R MARYVILLE ACADEMY 06/23/15 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 15WC024903 -C 137 15WC 26050 OLIVO, JOSE HECTOR SOLARES SCRAP METAL 06/09/15 EPSTEIN, JACK R LAW OFFICE 15WC026051 -C 138 15WC 26181 GIBSON, JACQUELINE RAVENSWOOD CHILDCARE CENT 03/13/15 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 139 15WC 26252 MC LEAN, SCOTT CITY OF CHICAGO 07/17/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 140 15WC 29671 CLAVELLE-ROSS, BRENDA PALMER HOUSE HILTON HOTEL 09/02/15 ELFENBAUM EVERS & AMARILIO NOBLE & ASSOCIATES PC 141 15WC 31559 MILES, TODD CTA 10/01/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 142 15WC 32396 ROMERO, IRENE BEE LINE 05/01/15 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 15WC032397 -C 143 15WC 32699 SHEALLY, ELIZABETH PETE'S FRESH MARKET 09/15/15 HEFLER LAW KEEFE CAMPBELL & ASSOC LLC 144 15WC 32731 AMADOR, SANDRA BERENICE PRONTO STAFFING SERVICES, 02/09/15 DEPAOLO & ZADEIKIS GRANT & FANNING 145 15WC 33015 MARTINEZ, MARIA HEARTLAND FOOD LLC 01/08/14 JAMES ELLIS GUMBINER & ASS LAW OFFICES OF EDWARD J. KOZ 146 15WC 33588 PALMAR-OSTRIA, FERNANDO MIDWEST REM 01/22/15 INJURY LAWYERS OF IL HENNESSY & ROACH PC 147 15WC 33745 MOORE, TOM CITY OF CHICAGO 08/27/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 148 15WC 33813 FURMAN, JAMES K. CROWN CORK & SEAL, COMPAN 09/14/15 WILLIAM S. WOJCIK LTD BRADY CONNOLLY & MASUDA PC 149 15WC 34468 DANEK, DAVID B WAY CORPORATION 06/10/15 RICHARD E ALEKSY HENNESSY & ROACH PC 18WC009645 -C 150 15WC 34739 HEWIYOU, MARINA ARLINGTON HEIGHTS SCHOOL 05/21/15 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 15WC036531 -C 151 15WC 34896 ADWAY, TYLER N SAM'S CLUB 08/26/15 SMOLER LAW OFFICE, PC QUINTAIROS PRIETO WOOD & BOY 152 15WC 35236 ESPOSITO, ROBERT LABRIOLA BAKING COMPANY 07/07/15 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 15WC 35335 IBARRA, JULIO FORD MOTOR CO 08/30/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 154 15WC 35675 PIENKOWSKI, KELLY PETERSO ILLINOIS TOLLWAY 10/14/15 BARRY A KETTER GANAN & SHAPIRO 155 15WC 36180 19B SULLIVAN, JENNIFER UNITED AIRLINES 05/09/15 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 18WC037240 -C 156 15WC 36621 WASIK, ROBIN AS ADMIN. OF DR PEPPER/SNAPPLE GROUP # 11/14/14 GALLIANI DOELL & COZZI LTD 157 15WC 41646 TABLATE, DOMINGO LOEWS HOTELS 05/28/15 CAPRON & AVGERINOS PC MEACHUM & STARCK 158 15WC 41966 PADILLA, ALICIA LBP MANUFACTURING 10/02/15 RUBIN MACHADO ROSENBLUM 159 16WC 00026 WASHINGTON, PENNEY WILLIAMS CHRISTIAN DAYCAR 10/26/15 CULLEN HASKINS NICHOLSON 160 16WC 00552 SAUNDERS, KIMBERLY LOYOLA UNIVERSITY 08/16/15 LORENZ & BERGIN PC 161 16WC 00808 NELSON, MARK FEDEX 07/20/15 LANCASTER, DEBORAH 162 16WC 01216 CAMPBELL, JOHN CTA 01/10/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 163 16WC 01512 ROBLES, ZORAIDA REGAL GOURMET SNACKS 09/14/15 KATZ FRIEDMAN EAGLE ET AL 164 16WC 01679 HILL, DEWANDA JOHN H STROGER HOSPITAL 10/17/15 ROGER D RUDICH LTD STATES ATTORNEY OF COOK COUN 16WC028930 -C 165 16WC 01823 BUCK, WILLIAM W GOEBEL FORMING INC, LLC 12/04/15 BRENNAN, THOMAS E LTD ACCIDENT FUND HOLDINGS 166 16WC 02062 MORRISON, DONALD CTA 10/08/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 167 16WC 02347 CORREA, TERESA THE RESURRECTION PROJECT 01/14/15 RUBIN MACHADO ROSENBLUM ANCEL GLINK DIAMOND BUSH & E 168 16WC 02465 AGHAJAN, ROBERT GONNELLA FROZEN PRODUCTS 10/27/15 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 169 16WC 02629 GARIBAY-GIL, SERGIO SCATCHELL BEEF & PIZZA 05/16/14 GANAN & SHAPIRO 170 16WC 02652 HULUM, VANILLA FIRST STUDENT INC 01/14/16 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 16WC 02874 ANDRADE, MARTIN ELITE STAFFING INC CORP O 01/14/16 KATZ FRIEDMAN EAGLE ET AL 172 16WC 02916 STREETS, ANTHONY SCR MEDICAL TRANSPORT 01/21/16 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 173 16WC 02986 CAZADERO, EDILIA ABHIRUCHI SNACKS 01/04/16 GOLDSTEIN BENDER & ROMANOF NEWLAND & NEWLAND 174 16WC 03205 MARCINIAK, GEORGE COOK COUNTY SHERIFF DEPT 07/05/15 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 175 16WC 03353 KACHATRIAN, MANO CITY OF CHICAGO 01/06/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 18WC009119 -C 176 16WC 03383 SANDOVAL, SALOMON FRANC GONZALEZ 12/28/15 SALVATO & O'TOOLE 177 16WC 03808 SCHAEFER, KELLI ADVOCATE CHRIST HOSPITAL 01/09/16 BARRY A KETTER NYHAN BAMBRICK KINZIE & LOWR 178 16WC 03856 DONIS, FRANK E COOK COUNTY SHERIFF'S DEP 01/30/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 179 16WC 10581 WATKINS, JOHN REPUBLIC SERVICES 02/01/15 PORRO NIERMANN LAW GROUP GILDEA & COGHLAN 180 16WC 11171 FAILANO, ADELAIDA COMFORT KEEPERS 02/02/16 MEYERS & FLOWERS 181 16WC 11269 HILL, JAMES T BEVEL GRANITE @ W 03/30/16 ANESI OZMON RODIN NOVAK KO HINSHAW & CULBERTSON 182 16WC 11280 GORDON, GWENDOLYN UNIVERSITY OF ILLINOIS CH 01/26/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 183 16WC 11484 LACEY, MICHELLE CITY OF CHICAGO DEPARTMEN 03/09/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 184 16WC 11671 MENDEZ, ANDY REXAM BEVERAGE CAN COMPAN 11/06/15 RIDGE & DOWNES SPIEGEL & CAHILL, PC 185 16WC 11858 BARTLETT, MARGO CHICAGO PUBLIC SCHOOLS 03/11/16 GOLDBERG WEISMAN & CAIRO L 186 16WC 12275 SOLARES, JUAN LARIAT LOGISTICS/CRUZ REY 03/11/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 187 16WC 12326 MAROVICH, CHARLES ARAMARK SERVICES 01/19/16 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 188 16WC 12572 VEGA, ENRIQUE UNITED PARCEL SERVICE 01/11/16 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 16WC036151 -C 189 16WC 12597 PERALTA, JONATHAN AFFINITY GLOBAL 04/09/16 ACEVES & PEREZ PC 190 16WC 12635 ZARATE, MANUEL ALTERNATIVE STAFFING 03/08/16 KARNO, MARK L & ASSOC MACIOROWSKI SACKMANN & ULRIC 191 16WC 12643 PEREZ, JULIO ELITE STAFFING 04/06/16 HART & DAVID LLP 192 16WC 12738 FRIEL, GEORGE PARK FOREST-CHICAGO HEIGH 02/11/16 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 193 16WC 12855 ZUBIA, DANIEL LABOR QUALITY SERVICE 04/14/16 194 16WC 13067 JANUARY, HELEN HELP AT HOME INC 04/05/16 GOLDBERG WEISMAN & CAIRO L 195 16WC 13172 GANJI, ANDREW UPTOWN MOTORS, INC. 11/28/15 KALOGERAKOS & ASSOC NOBLE & ASSOCIATES PC 196 16WC 13259 ROY, BARBARA CHICAGO BOARD OF EDUCATIO 03/23/16 HORWITZ HORWITZ & ASSOC CHGO BOARD OF EDUCATION 197 16WC 13366 MURPHY-WILLIAMS CTA 03/18/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 198 16WC 13505 CLARK, MICHAEL HALLSTAR COMPANY 03/02/16 LEO ALT RUSIN & MACIOROWSKI LTD 199 16WC 13615 PACHECO, MICHAEL YRC FREIGHT 01/22/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 19WC000183 -C 19WC000184 -C 200 16WC 13630 HAWKONSEN, CHRISTIAN S. COOK COUNTY SHERIFF'S DEP 02/23/16 RICHARD E ALEKSY INMAN & FITZGIBBONS 201 16WC 13638 BRANTL, KATHRYN W.R. GRACE 12/11/15 JASINSKI, GEORGE J 202 16WC 13858 ANAYA, RICARDO ELITE CABLE COMMUNICATION 03/21/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 203 16WC 14153 CORNELL-MORGAN, KRISTY CHICAGO TRANSIT AUTHORITY 04/08/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 16WC 14199 MC CARTHY, LAURIE UNITED AIRLINES INC. 03/22/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 205 16WC 20633 BABAJ, AVNI ABLE ENGINEERING 03/11/16 SALVATO & O'TOOLE MICHAEL JASPER 206 16WC 20868 KONDILIS, JAMES COOK COUNTY SHERIFF'S DEP 02/26/14 STROM, NEAL B STATES ATTORNEY OF COOK COUN 207 16WC 20981 HOWARD, SONIA ADVOCATE SOUTH 01/22/16 VITELL & SPITZ LTD GAROFALO SCHREIBER STORM GRA 208 16WC 21051 MILLER, DEBRA BELLWOOD S.D. #88 05/16/16 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 209 16WC 21114 HARRIS, TIMOTHY L FORD MOTOR STAMPING PLANT 05/30/14 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 210 16WC 21489 VAZQUEZ, VICTORIA CHICAGO TRANSIT AUTHORITY 06/10/16 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 211 16WC 21496 DOUGLAS, MONIQUE UNITED AIRLINES, INC A 04/03/16 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 212 16WC 21869 AYALA, MIGUEL VILLAGE OF OLYMPIA FIELDS 01/05/16 REISING LAW FIRM LLC BRYCE DOWNEY & LENKOV LLC 213 16WC 21925 MARTINEZ, PAOLA AMERICAN GASKET & RUBBER 08/27/15 JONATHAN SCHLACK HOLECEK & ASSOCIATES 16WC035674 -C 17WC004557 -C PEAPOD, LLC 17WC004558 -C 214 16WC 22076 SALINAS, CARMEN TCF BANK 04/05/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 215 16WC 22286 PADILLA, JOSE BASIC ENTERPRISE INC. 07/05/16 GRAZIAN & VOLPE PC KNELL LAW LLC 216 16WC 22600 KAEHLER, ANGELA WHEELING POLICE DEPARTMEN 07/13/16 ANGELINI & ORI LLC KLEIN THORPE & JENKINS LTD 217 16WC 22694 SHERIDAN, KEVIN M CHICAGO PARK DISTRICT 07/30/13 ANESI OZMON RODIN NOVAK KO CHICAGO PARK DIST LAW DEPT 16WC022695 -C 16WC022696 -C 16WC022697 -C 218 16WC 22788 MAJERCZAK, DOMINIK JB HUNT TRANSPORT 06/16/16 CUSHING LAW OFFICES 17WC024388 -C 219 16WC 22815 RANDLE, REBECCA JACKSON PARK HOSPITAL 05/05/16 MARC J SHUMAN & ASSOCIATES ODELSON & STERK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 220 16WC 23115 WILEY, GINGER ENOVA INTERNATIONA INC 05/02/16 DEPAOLO ZADEIKIS GORE 221 16WC 23507 HOMLES, ANDREA FIRST STUDENT TRANSPORTAT 07/12/16 GOLDBERG WEISMAN & CAIRO L 222 16WC 23512 TWEEDY, RALPH METRO LIFT TRUCK 07/14/16 BERG & BERG 223 16WC 23568 GONZALEZ, NANCY PANERA BREAD 07/13/16 SAUNDERS CONDON & KENNY GILDEA & COGHLAN 224 16WC 23620 BROWN, JIMMY HOME DEPOT 07/13/16 COHN LAMBERT RYAN & SCHNEI ADELSON TESTAN BRUNDO 225 16WC 23922 BLACKWELL, TIFFANY CHICAGO TRANSIT AUTHORITY 06/21/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 226 16WC 24160 WILLIAMS, ANNETTE FORD MOTOR COMPANY 08/07/16 BERG & BERG RUSIN & MACIOROWSKI LTD 227 16WC 24284 CARMONA, ERNESTO TEMPS NOW 06/14/16 FERRIS THOMPSON & ZWEIG GRANT & FANNING 228 16WC 30571 PETERSON, DEREK T&JJ'S SUPREME STEAKS AND 06/13/16 229 16WC 31117 GERON, EMMANUEL PREMIER FURNITURE OUTLET 08/29/14 MEYERS & FLOWERS HOLECEK & ASSOCIATES 230 16WC 31158 CALDERON, EDGAR COMMUNITY FIRST MED CTR 09/11/16 BRAD J. BALKE, PC 231 16WC 31527 RIVERA, RONALD ILLINOIS TOLL @ 12/30/14 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 16WC031528 -C 16WC033458 -C IL TOLL HIGHWAY AUTHORITY 232 16WC 31643 SINGH, INDERJIT HARRY CAB CO 09/23/16 FISHER & LAMONICA 233 16WC 31821 WALLER, UNICE IL DEPT OF REHAB SERVICES @ 04/12/16 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 234 16WC 31893 ADETOLA, JIDE YELLOW CAB CHICAGO 05/25/15 COSTA IVONE LLC 235 16WC 32012 MOSS-CALLION, PATRICIA MCDONALDS 10/05/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 236 16WC 32140 WILLIAMS, JOE STAFFMARK 09/14/16 DISPARTI LAW GROUP PA KEEFE CAMPBELL & ASSOC LLC 237 16WC 32155 MADRIGAL, RAFAEL DPI DEDICATED LOGISTICS I 09/13/16 LEWIS & DAVIDSON, LTD GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 238 16WC 32256 HARRIS JR., CURTIS VILLAGE OF COUNTRY CLUB H 10/08/16 VRDOLYAK LAW GROUP LLC 239 16WC 32302 FLEMING, TONETTE VPC PIZZA HOLDINGS, LLC/ 07/26/16 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 240 16WC 32622 HERNANDEZ, PABLO CHILLI'S - OHARE INTL AIR 12/14/15 MARSZALEK AND MARSZALEK GAIDO & FINTZEN 241 16WC 32683 BALLINGER, JOHN HOME DEPOT USA, INC 09/13/16 LAW OFFICE OF KEVIN O'BRIE ADELSON TESTAN BRUNDO 242 16WC 32704 MONSON, DARYL CITY OF CHICAGO DEPT OF W 05/31/16 CRONIN & PETERS CITY OF CHICAGO 243 16WC 32783 BELLO, CESAR HALLS RENTAL SERVICE 09/26/16 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 244 16WC 32963 PRICE, CARLTON CTA 10/17/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 245 16WC 32988 SANCHEZ, ANTONIO GOLD STANDARD BAKERY 06/04/16 HERRERA LAW CENTER 246 16WC 33063 BERRIOS, MARYBEL CHICAGO TRANSIT AUTHORITY 10/18/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 247 16WC 33212 ROJAS, JOSE DEPT OF STREETS & SANITAT 06/02/16 OSVALDO RODRIGUEZ PC 248 16WC 33289 KRAWCZYK, KRZYSZTOF TURBO EXPRESS 11/06/13 CHRISTOPHER BUCHCAR, LTD MCANANY VANCLEVE & PHILLIPS 249 16WC 33325 ZAVALA, BRIAN J MAPLEHURST BAKERIES 09/09/16 GOLDSTEIN BENDER & ROMANOF 250 16WC 33477 BUTTS, ANDRE YRC WORLDWIDE 08/26/16 GOLDSTEIN BENDER & ROMANOF 251 16WC 33519 MURPHY, TRIDONNA L 7 ELEVEN 10/27/16 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 252 16WC 33552 DEAN, YOLANDA MONDELEZ INTERNATIONAL 04/09/16 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 253 16WC 33705 HORTA, GABRIEL MIDWEST WRECKING 07/19/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 254 16WC 33892 GIRARD, JOSEPH RIGGS DISTLER & CO 05/19/16 RATHBUN CSEVENYAK & KOZOL 16WC033893 -C 255 16WC 33978 GASCA, NORMA CITY OF CHICAGO/ DEPT OF 04/04/16 ANKIN LAW OFFICE CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 256 16WC 35086 GALLICHIO, JANET (WIDOW) COOK COUNTY SHERIFF'S OFF # 09/27/16 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 257 16WC 36043 LYONS, ROBERT MARTIN PETERSON COMPANY I 11/01/16 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC 258 16WC 38137 TINCU, MAXIM (ESTATE) DREAMEX TRANS INC, # 05/27/16 259 16WC 38219 DAMPIER, NECOTA CHICAGO TRANSIT AUTHORITY 11/14/16 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 17WC005833 -C 260 16WC 38276 VILLASANA, MIGUELE FIRST RESPONSE EMS 01/25/16 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 261 17WC 00468 PILLAI, RAKHY MARCO ROMA PIZZERIA 11/25/16 HOLECEK & ASSOCIATES 262 17WC 00771 TORRES, ARMANDO ENVOY/AMERICAN EAGLE 12/20/16 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 263 17WC 00775 COCHRAN,LATASHA P ADVOCATE CHRIST MEDICAL C 10/05/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 264 17WC 00830 OBASI, LONGINUS DISPATCH TAXI CAB 12/02/16 LAW OFFICE OF SCOTT B SHAP 265 17WC 00985 LEON, ERNESTO LKQ CORPORATION 02/09/16 LAW OFFICES LEONARDO MORAL BRYCE DOWNEY & LENKOV LLC 266 17WC 01129 BAKER, LAWRENCE CTA 12/17/16 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 267 17WC 01180 KELLY, BRUCE NORTH SHORE TRANSIT 12/19/16 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD 268 17WC 01245 IBARRA CARVAJAL, ALICIA SODEXO 08/03/16 HERRERA LAW CENTER INMAN & FITZGIBBONS 17WC001246 -C 269 17WC 01262 HANPTON, DEBRA A MONDELEZ INTERNATIONAL 12/28/16 BARRY STEWART SILVER WIEDNER & MCAULIFFE LTD 270 17WC 01272 BAINES, JAMES THE CITY OF CHICAGO 03/17/16 RITTENBERG & BUFFEN CITY OF CHICAGO 271 17WC 01358 MARTINEZ, JOSE B OLYMPIA FOODS- BORROWING 11/18/16 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 272 17WC 01471 GASIK, ROSE M STATE OF IL/DEPT OF HUMAN @ 12/20/16 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 273 17WC 01525 VASQUEZ, MICHAEL COMPASS MINERALS AMERICA 03/28/16 HOWARD S. KAVENOW LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 274 17WC 01636 SMITH, ANTHONY CITY OF CHICAGO 01/12/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 275 17WC 01641 HARVEY, WARREN E COOK COUNTY 09/01/16 DEPAOLO ZADEIKIS GORE STATES ATTORNEY OF COOK COUN 276 17WC 01749 RADOSTA, VITO SUPER LOW FOODS AKA GAMBI 11/18/15 FIORENTINO LAW OFFICES 277 17WC 01851 MARKS, LARRY J TRINITY SVCS, INC 08/18/16 FIGLIOLI, DAVID GALLIANI DOELL & COZZI LTD 278 17WC 02255 BENSON, JERRY CTA 12/05/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 279 17WC 02319 CINA, ANTHONY TRINITY LANDSCAPE OF NORT 02/05/65 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 280 17WC 02335 GREEN, MILTON FORCE ONE ENTERPRISES, LL 09/06/16 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 281 17WC 02448 BAUMAN, CYNTHIA COOK COUNTY 10/19/15 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 282 17WC 02469 SCOTT, CHARLES L THE CATHOLIC BISHOP OF CH 06/22/15 ANKIN LAW OFFICE 283 17WC 02489 GRESHAM, KEVIN LAPHAM-HICKEY STEEL 07/07/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 284 17WC 02885 MORRIS, BOB D CONSTRUCTION INC 07/29/16 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 285 17WC 02942 RUIZ-MARTINEZ, ISIDRO PETE'S FRESH MARKET 12/21/16 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 286 17WC 03010 TYLER, TERENCE CHICAGO TRANSIT AUTHORITY 01/16/17 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 287 17WC 03042 ELMI, ABDULKADIR KARABOOM CAB CO INC 01/12/17 FISHER & LAMONICA 288 17WC 03185 FLYNN, TERESE SPIRIT AIRLINES 04/04/14 HEALY SCANLON LAW FIRM KELLEY KRONENBERG 289 17WC 03211 PERIC, MILAN CITY OF CHICAGO-DEPT OF 01/09/17 SALVATO & O'TOOLE 290 17WC 03244 GRUSZCZYNSKA, IZABELA HAPPY MAIDS, INC. 01/13/17 URSULA BABICZ & ASSOC 291 17WC 03320 BUCHNER, CHRISTINE ADVOCATE GOOD SHEPHERD HO 04/15/16 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 292 17WC 03361 SANCHEZ, JOSE VALENCIAS TEXAS DE BRAZIL CORPORATI 12/22/16 PATRICIA HARDIMAN LAW OFFI 293 17WC 03380 FLORES, ANGEL A TEAM AUTOMOTIVE SERVICES, 11/03/16 COSTA IVONE LLC 294 17WC 03462 BOCK, MATTHEW DHL EXPRESS 01/19/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 295 17WC 03598 VICTORIA JR., GUILLERMO ELECTRIC MOTOR CORP 04/08/16 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 296 17WC 03693 MEJIA, LUIS A CHICAGO BEVERAGE SYSTEMS 12/21/16 GOLDSTEIN BENDER & ROMANOF MC CABE & HOGAN 18WC022146 -C 297 17WC 03932 WAYTECK, WILLIAM DOYLE SIGNS 07/05/16 LEONARD LAW GROUP LLC 298 17WC 03980 KYSER, LARRY BERRY PLASTICS 01/29/17 JAMES J BURKE LAW OFFICE 299 17WC 04117 KRIETER, SHERYL AMERICAN AIRLINES 01/18/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 300 17WC 06949 KING, KAWON UNITED PARCEL SERVICE 12/12/16 DWORKIN AND MACIARIELLO ASA LAW GROUP 301 17WC 10389 MURRAY, WILLIE K JR. MANHEIM REMARKETING, INC. 11/10/16 GANAN & SHAPIRO 302 17WC 10696 DELIC, SEVAL THE WESTIN CHICAGO RIVER 02/08/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 303 17WC 10730 O'BRIEN, MICHAEL COOK COUNTY 03/30/17 RATHBUN CSEVENYAK & KOZOL INMAN & FITZGIBBONS 17WC010745 -C 304 17WC 10775 FRYMIRE, MATTHEW J CARMAX AUTO SUPERSTORES, 12/08/16 GRAUER & KRIEGEL LLC ASA LAW GROUP 17WC010776 -C 305 17WC 10905 BAKER, JACK SCR TRASPORTATION 01/12/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 306 17WC 11119 SASS, CHRISTOPHER SERENITY LED, INC 12/23/16 LAWRENCE M MACK NYHAN BAMBRICK KINZIE & LOWR 307 17WC 11219 CARLSON, KEITH C CFC INTERNATIONAL 01/31/17 GERALD W KOREY NYHAN BAMBRICK KINZIE & LOWR 308 17WC 11274 MC GOWAN, ANGELA THE UNIVERSITY OF CHICAGO 03/24/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 327 17WC 12868 GARNER, CHARLENE KMART STORE #9339 06/03/14 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 328 17WC 12968 MCCLAY, SIDNEY AT&T 04/14/17 WEISS & WEISS LAW OFFICES 329 17WC 13031 MUNOZ, DORIS CITY OF CHICAGO 08/16/16 SANDMAN LEVY & PETRICH 330 17WC 13050 JASANY, MOKDAM HELEN CAB COMPANY 01/27/17 DEPAOLO ZADEIKIS GORE 331 17WC 13093 NEGRON, CANDIDA POOL TRANS INC 03/22/17 DANIEL PERIASWAMY 332 17WC 13167 ORTIZ, LEISARDO OLYMPIC STORE FIXTURES IN 07/15/16 BERG & BERG RUSIN & MACIOROWSKI LTD 333 17WC 13252 SANALITRO, GUY GOTTLIEB HOSPITAL 03/07/17 BAUM RUFFOLO & MARZAL LTD 334 17WC 13303 NAVA, JAVIER ILLINOIS INSTITUTE OF 12/14/16 BUDIN LAW OFFICES 335 17WC 13394 JAKOVICH, JOE ARCORP STRUCTURES LLC 04/17/17 ANKIN LAW OFFICE 336 17WC 13420 BLAZIER, MELISSA(WIDOW OF PTO SERVICES #W 04/09/13 ANGELINI & ORI LLC 337 17WC 13472 HAUER, CHRIS ROTO MAZDA 03/23/15 338 17WC 13515 BENFORD, ANGELA ILLINOIS DEPT OF CORRECTI @ 05/03/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 339 17WC 13536 SHEAHAN, PATRICK COOK COUNTY SHERIFF 12/22/15 WOODRUFF & JOHNSON STATES ATTORNEY OF COOK COUN 340 17WC 13601 BALL, ROSALYN ADVOCATE HEALTH 03/06/17 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM GRA 341 17WC 13635 WHITLOCK, LATOYA ASSOCIATED BANK 03/07/17 SEIDMAN MARGULIS & FAIRMAN 342 17WC 13782 JACKSON, LAVAR NEWLY WEDS FOOD 04/26/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA 343 17WC 15636 19B LYNCH, JEFFREY ELECTRIC CONDUIT CONSTRUC 03/16/17 SKLARE LAW GROUP ACCIDENT FUND HOLDINGS 344 17WC 20241 WILSON, LATRICIA CHICAGO TRANSIT AUTHORITY 03/15/17 PAUL MARZANO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 345 17WC 20269 MC INTOSH, KRYSTAL AMC AMERICAN MULTI CINEMA 05/28/17 PAUL A COGHLAN & ASSOC HINSHAW & CULBERTSON 346 17WC 20379 JONES, LAKEYSIA FLEXAN CORPORATION 12/04/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 347 17WC 20431 MODHERA, SANJAY COOK COUNTY HOSPITAL 09/19/16 PORRO NIERMANN LAW GROUP STATES ATTORNEY OF COOK COUN 348 17WC 20458 BELLO, JUAN CARLOS STAFFING SERVICES CORP 07/06/17 AIOSSA LAW FIRM 349 17WC 20525 TAIMOUR, MAHAMMAD ZHANET CAB CORP 06/28/17 HUNER LAW OFFICES LLC 350 17WC 20579 EVANS, MARGARET CLASSIC CARE HEALTH SERVI 06/13/17 BRISKMAN BRISKMAN GREENBER 351 17WC 20706 AGUILAR, HUMBERTO JR TOOTSIE ROLL DWC 06/22/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 352 17WC 20877 RAMOS, ADRIANA FEDERAL RESERVE BANK OF C 02/24/17 STROM, NEAL B RUSIN & MACIOROWSKI LTD 353 17WC 20984 SHELTON, KIZZIE M CITY OF CHICAGO 11/20/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 354 17WC 21103 LATIKER, BRIANNA ANDY FRIAN SECURITY SERVI 06/19/17 BART DURHAM GANAN & SHAPIRO 355 17WC 21237 HOLT, VENUS (PRENTISS) JEWEL FOOD STORES, INC 04/07/17 DESTEFANO, ROBERT A & ASSO WIEDNER & MCAULIFFE LTD 356 17WC 21257 JONES, VICTOR FORD MOTOR CO 04/11/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 357 17WC 21323 STEVENSON, GREGORY CITY OF CHICAGO-WATER DEP 07/11/17 ANGELINI & ORI LLC CITY OF CHICAGO 358 17WC 21461 PARIS, JOANNA NORTHROP GRUMMAN SYSTEMS 02/20/17 GRAUER & KRIEGEL LLC RUSIN & MACIOROWSKI LTD 359 17WC 21523 PALERMO, RENEE DAINA ALDI FOODS, INC 11/22/16 TAXMAN POLLOCK NYHAN BAMBRICK KINZIE & LOWR 360 17WC 21745 MERCHANT, TESHA RANSTAD STAFFING 07/18/17 DWORKIN AND MACIARIELLO 361 17WC 21845 O'CONNOR, WILLIAM SOUTHWEST AIRLINES 07/03/17 KARCHMAR & STONE 362 17WC 21874 HOLDMAN, FREDERICK BLACK HORSE CARRIERS 06/01/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 363 17WC 21903 BLANCO, JESSICA VILLAGE OF ARLINGTON HEIG 08/09/16 SANDMAN LEVY & PETRICH MACIOROWSKI SACKMANN & ULRIC 364 17WC 22171 MORA, LUIS HASAK COLD STORAGE 07/21/17 COSTA IVONE LLC 365 17WC 22251 DELK, EDDIE CHICAGO TRANSIT AUTHORITY 07/06/17 LAW OFFICE OF SCOTT B SHAP 366 17WC 22456 HALPER III, EDWARD J PARKWAY ELEVATORS 04/10/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 367 17WC 22475 LEON, MARIA TERESA SMG SAVOR/MCCORMICK PLACE 06/05/17 RUBIN LAW GROUP 368 17WC 22530 IVY, JOHNATHAN ELITE STAFFING 06/25/17 DWORKIN AND MACIARIELLO 369 17WC 22552 NEUMANN-MELONE, JEANETTE CHICAGO PUBLIC SCHOOLS 03/08/17 JASON HAUCK CHGO BOARD OF EDUCATION 370 17WC 22591 SPILLER, MYRON WEISS MEMORIAL HOSPITAL 07/14/17 CUDA LAW OFFICES HENNESSY & ROACH PC 371 17WC 22649 ROBLES, HUMBERTO CITY OF CHICAGO 07/27/17 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 372 17WC 22735 WASHINGTON, TAL AM BUS CO INC 02/15/17 373 17WC 22902 RATCLIFF, SHENNICE N REYNOLDS CONSUMER PRODUCT 05/16/17 ANKIN LAW OFFICE 374 17WC 23041 LAYTON, BRIAN WEST WIND EXPRESS 06/22/17 LEONARD LAW GROUP LLC 375 17WC 23112 SANTIAGO, JAVIS LABOR NATION, LLC 07/16/17 LAW OFFICES PETER LEKAS RIPES NELSON BAGGOT KALOBRAT 376 17WC 23292 MORRIS, TRAVIS CENTRAL TRANSPORT, LLC 05/15/17 STEVEN J TENZER, LTD HINSHAW & CULBERTSON 377 17WC 23312 RODRIGUEZ, JOSE THE FA BARTLETT TREE 01/17/17 HOLECEK & ASSOCIATES 378 17WC 23331 GETHERS, RHONDA COOK COUNTY 07/21/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 379 17WC 23997 NUZZOLO, PAUL ORACLE 05/28/17 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 380 17WC 26345 DVORAK, JAMES GENERATIONS HOME DECORATI 07/27/17 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 381 17WC 27431 COE, PATRICK R CTA CHCIAGO TRANSIT AUTHO 09/08/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 382 17WC 28083 WORTHINGTON, JULIA CTA 09/18/17 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 383 17WC 28631 WALKER, KURT XPO LOGISTICS FREIGHT INC 08/18/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 384 17WC 29303 BOREN, RYAN VILLAGE OF STEGER POLICE 07/18/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 385 17WC 29324 BALBINO, AGUSTIN WORLD'S FINEST CHOCOLATE 03/15/16 HERRERA LAW CENTER KRAKER FANNING & OLSEN 17WC029325 -C 386 17WC 29476 ORTEGA, CEASAR SOLUTIONS MANAGEMENT CORP 09/29/17 TAMVAKIS, GEORGE L 387 17WC 29498 MILAN, LILIANA EMBASSY SUITES BY HILTON 09/27/17 PATRICIA HARDIMAN LAW OFFI NOBLE & ASSOCIATES PC 388 17WC 29563 JUAREZ, JOSE ILLINOIS STATE POLICE @ 06/20/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 389 17WC 29653 SILVA, JORGE MIGUEL CHICAGO HEIGHTS STEEL 01/24/17 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 17WC029654 -C 390 17WC 29759 FOUTS, ROXANNE M BLOCK & SONS, INC 02/27/17 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 391 17WC 29825 PETERSON, KIMBERLY ADVOCATE HEALTH CARE 11/08/16 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 18WC011032 -C 392 17WC 29941 HARRIS, LONZETTA CTA 10/05/17 LAW OFFICES TIMOTHY HENDER CHICAGO TRANSIT AUTHORITY 393 17WC 29966 DEAR, EURETHIA BRIDGESTREET GLOBAL 08/17/17 PETER D CORTI LAW GROUP 394 17WC 29984 SNOW, ANDRE MADDAN MENTAL HEALTH CENT W 09/21/17 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 395 17WC 30059 BELLFLOWER, MYRIAM G UNITED AIRLINES 09/20/17 CULLEN HASKINS NICHOLSON 396 17WC 30080 BROUGHTON, RONALD CITY OF CHICAGO 09/14/17 FOHRMAN, DONALD W & ASSOCS 397 17WC 30099 CABRERA, NELLY TOTAL STAFFING SOLUTIONS 10/09/17 LAW OFFICE OF SCOTT B SHAP KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 17WC 30184 HERRERA, VALERIE EAST BALT COMMISARY INC 04/15/17 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 399 17WC 30264 MOUHAMED, BALKISSOU MAMA TYSON FRESH MEATS, INC 08/16/16 LEADERS LAW CENTER LLC WIEDNER & MCAULIFFE LTD 400 17WC 30284 ORTEGA, OSCAR J HEALTH PARK HOSPITALITY 10/05/17 FRIEDMAN & SOLMOR LTD 401 17WC 30414 GONZALEZ, JORGE MIDWEST REM ENTERPRISES 09/15/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 402 17WC 30458 VELCICH, JADE DAVIS STAFFING INC 10/09/17 COSTA IVONE LLC 403 17WC 30497 ROMO, MARIA CURTISS-WRIGHT 03/07/17 PORRO NIERMANN LAW GROUP 404 17WC 30610 GLOWACZ, KAMIL LAS TRANSPORT, LLC C/O 10/11/17 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 405 17WC 30673 BRUCE, MARKEESA T RONS STAFFING SERVICEINC 08/21/17 DEPAOLO ZADEIKIS GORE KOREY RICHARDSON LLC 406 17WC 30857 KENNEDY, JUDITH COMMUNITY CONSOLIDATED SC 09/08/17 THOMAS W DUDA 407 17WC 31104 CLAYTON, TRACEY STATE OF IL-DEPT OF HUMAN 02/12/17 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 408 17WC 31178 LALLY, THOMAS CITY OF CHICAGO WATER 09/05/17 MANDELL, GREGG CITY OF CHICAGO 409 17WC 31390 AGUILERA, HECTOR OLIVER CONSTRUCTION SERVI 10/18/17 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 410 17WC 31662 STAMESON, ANDREW ILLINOIS TOLLWAY AUTHORIT 04/07/17 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 17WC031663 -C 411 17WC 31701 WINSTON, MARCUS OZINGA 01/06/17 EDWIN REYES LEGAL GROUP GAROFALO SCHREIBER STORM GRA 412 17WC 31756 HOLDER, MARCUS THE CUBBY BEAR 10/01/17 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 17WC034849 -C 413 17WC 32111 SANCHEZ, MARIA MI COSTENITA, LLC 08/22/17 RUEDA, IVAN A HOLECEK & ASSOCIATES 414 17WC 32179 GAITER, HERSHEL KOCH FOODS, INC 10/20/17 ANGELINI & ORI LLC 415 17WC 32188 NANCE, JOHN E CHICAGO PUBLIC SCHOOLS 10/06/17 ANKIN LAW OFFICE LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 17WC 32357 HANLEY, COLLEEN EVANSTON FIRE DEPT 11/21/15 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 417 17WC 32385 SCOTT, TRACEY TWO MEN AND A TRUCK 10/21/17 418 17WC 32522 KLAGES, ROBERT VEE PAK LLC 10/24/17 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 419 17WC 32595 WHYMS, ROBERT LAKE LINE DELIVERIES 11/03/14 STROM, NEAL B 420 17WC 32606 MORGAN, SCOT EAGLE EXPRESS LINES INC 09/19/17 JOHN J CASTANEDA HINSHAW & CULBERTSON 421 17WC 32782 DIXON, BRIAN CITY OF CHICAGO 10/03/17 DWORKIN AND MACIARIELLO 422 17WC 32798 GARCIA, ALEX FOOD EVALUATION 10/26/17 423 17WC 32889 INNISS, GEORGE CITY OF CHICAGO 10/06/17 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 424 17WC 32924 SPARKS, SANDRE DPI SPECIALTY FOODS 10/20/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 425 17WC 33001 HARRIS, KURT J GATEWAY FOUNDATION 07/04/17 GALLAGHER, DONALD V RUSIN & MACIOROWSKI LTD 426 17WC 33721 BURTNER, STEPHEN CITY OF CHICAGO 09/11/17 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 427 18WC 00592 FLANAGAN, MIKE AIR DESIGN SYSTEMS INC 12/01/17 GOLDBERG WEISMAN & CAIRO L 428 18WC 00667 PHILLIPS, RANDAL RELIABLE TRANSPORTATION 12/20/17 SCOPELITIS GARVIN LIGHT 429 18WC 00687 VIERA, LORENA EDDIE V'S 06/10/17 ENCINAS & ORNELAS 430 18WC 00778 WEBSTER, HENRY HERTZ CAR SALES 01/02/18 GORDON & CENTRACCHIO LLC BRYCE DOWNEY & LENKOV LLC 431 18WC 00804 KEENE, JEREMY P AREA ERECTORS INC 11/08/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 432 18WC 00845 ROBINSON, JACQUELINE MASSAGE ENVY 10/29/17 COSTA IVONE LLC JOSEPH MARCINIAK 433 18WC 00949 COLLINS, ANTON D COOK COUNTY DEPT OF CORRE 12/10/17 CHAPMAN & CUTLER STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 18WC 00973 BRAVO, GREGORIO CELESTE EXPRESS TRANSPORT 11/30/17 435 18WC 00998 MORALES, SERGIO ENGINEERED GLASS PRODUCTS 04/29/17 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 436 18WC 01015 RUBIO, ARACELI SHREE ARMITAGE INC. DBA 12/21/17 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 437 18WC 01037 HAMEED, MARYLIN J.C. PENNY CORPORATION IN 10/14/17 SPENCER LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 438 18WC 01087 MCCAFFREY, JOHN STATE OF IL/ @ 02/02/17 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 439 18WC 01160 BROWN, KATON PROLOGISTIX 12/29/17 LEO ALT NYHAN BAMBRICK KINZIE & LOWR 440 18WC 01186 GRACZYK JR, KEN CHICAGO TRANSIT AUTHORITY 03/06/17 TRUGLIO, FRED A & ASSOC CHICAGO TRANSIT AUTHORITY 441 18WC 01293 GREEN, DEBRA FORD MOTOR COMPANY 01/09/18 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 442 18WC 01462 KANIA, RICHARD SCHWAN INC 03/16/16 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 443 18WC 01502 ESTRADA, DIANA MICHAEL LEWIS COMPANY 12/29/17 EPSTEIN, JACK R LAW OFFICE 444 18WC 01609 RAMIREZ, VICTOR CHICAGO GREYHOUND LINE 12/13/17 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 445 18WC 01676 KELLER, KEISHA FOOD 4 LESS 02/03/17 EDWIN REYES LEGAL GROUP 446 18WC 01741 CZERNIAK, BRYAN KS ENERGY SERVICES, LLC 09/01/15 GOLDBERG WEISMAN & CAIRO L STONE & JOHNSON CHARTERED 447 18WC 01768 ELBERT, JULIAN UNITED AIRLINES 11/01/17 BRILL & FISHEL 448 18WC 01816 MORRISON, PARRISH UBER 01/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 449 18WC 01867 BRITTON, CARL ADAIR ENTERPRISES 03/28/17 MILLON & PESKIN LTD 450 18WC 01934 BAK, ALEKSANDRA BELMONT VILLAGE SENIOR LI 02/06/16 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 451 18WC 02032 MITRIUS, CAROLYN NATION PIZZA & FOODS 06/27/16 MILLON & PESKIN LTD MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 18WC 02033 VOIGTS, WILLIAM WORLD FUEL SERVICES CORP 10/10/16 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 453 18WC 02098 LLOYD, SCOTT J BARNEY'S NEW YORK 11/20/17 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 454 18WC 02122 HERNANDEZ, JAVIER MORFIN CLEANING SERVICES 10/12/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 455 18WC 02234 DAVIS, VERNONICA SMS ASSIST LLC 01/02/18 KUMLIN & FROMM 456 18WC 02248 CORTEZ, ANNETTE CHICAGO PUBLIC SCHOOLS 11/16/17 JOHN C SERKLAND CHGO BOARD OF EDUCATION 457 18WC 02300 KINSEY, SHARDAI SOUTHWEST AIRLINES 01/05/18 COVEN LAW GROUP 458 18WC 02441 HENRY, MIKITA Y CITY OF CHICAGO/DEPT OF 11/16/17 RITTENBERG & BUFFEN 459 18WC 02460 CASTRO, JESUS FAMILY DOLLAR 01/14/18 COSTA IVONE LLC 460 18WC 02521 TIPIANI, JAVIER COOK COUNTY SHERIFF'S DEP 11/30/17 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 461 18WC 02557 DRAKE, BEVERLY D FIRST TRANSIT, INC 01/18/18 FRIEDMAN & SOLMOR LTD 462 18WC 02622 CZARNECKI, CATHERINE AMERICAN AIRLINES 12/15/17 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 463 18WC 02712 FONSECA, NOEMI HCR MANOR CARE 11/16/17 GRAZIAN & VOLPE PC 464 18WC 02732 DURAND, ROSARIO ADDUS HOMECARE 12/29/16 JONATHAN SCHLACK HENNESSY & ROACH PC 465 18WC 02796 JURGENSON, RORY ELITE MEDICAL TRANSPORT 12/27/17 VASILATOS & COTTER LLC MEACHUM & STARCK 466 18WC 02928 TORRES, JUAN RAUL CB RICHARD ELLIS INC 01/04/18 LAW OFFICES MICHAEL HELLMA BRADY CONNOLLY & MASUDA PC 467 18WC 02947 GARNER, ZYLA SHERWIN-WILLIAMS 06/06/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 468 18WC 02987 GONZALEZ, ANTONIO FLOOD BROTHERS 01/19/18 KARLIN FLEISHER & FALKENBE HENNESSY & ROACH PC 469 18WC 03030 RODRIGUEZ, CHRISTIAN GATE GOURMET, INC 12/26/17 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 470 18WC 03058 OROZCO, SAMUEL PEPE'S INC. 01/09/18 MC HARGUE & JONES GILDEA, COGHLAN & REGAN LTD. 471 18WC 03086 HERNANDEZ, MARIELA ERIE FAMILY HEALTH CENTER 10/21/15 BIZZIERI LAW OFFICES 472 18WC 03142 PIEKOS, ZDZISLAW JR MENARD, INC 01/22/18 ALEKSY BELCHER 473 18WC 03225 READ, CALVIN SCR MEDICAL TRANSPORTATIO 01/23/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 474 18WC 03270 SALGADO, ALBALINDA BWAY CORPORTATION 10/08/17 COSTA IVONE LLC HOLECEK & ASSOCIATES 475 18WC 03302 ELMS, LINDA MID AMERICA TILE 05/01/17 LAW OFFICES MARK LOFTUS GANAN & SHAPIRO 476 18WC 03387 SNIEGOWSKI, JAMES CVS PHARMACY 01/29/17 MILLON & PESKIN LTD HINSHAW & CULBERTSON 477 18WC 03416 ALONZO, GREGORY CITY OF CHICAGO 11/05/17 PETER D CORTI LAW GROUP CITY OF CHICAGO 478 18WC 03449 LYONS, CRYSTAL FORMAN MILLS 11/28/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 479 18WC 03480 HALL, TERRENCE UBER 01/25/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 480 18WC 03544 PROCHAC, JEAN PAUL UNITED CONTINENTAL HOLDIN 01/25/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 481 18WC 03605 MARTINEZ-ROSAS, MARIA ARYZTA LLC 01/19/18 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 482 18WC 03681 GWOZDZ, PIOTR SYSCO FOODS SRVCS CHICAGO 01/26/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 483 18WC 03724 RUSSELL, CHANA UNIVERSITY OF CHICAGO 01/24/18 MC HARGUE & JONES HENNESSY & ROACH PC 484 18WC 05148 JONES, LOTTIE M ROSS DRESS FOR LESS 01/25/18 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 485 18WC 06538 MITCHELL, WILLIE CHICAGO TRANSIT AUTHORITY 11/08/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 486 18WC 07911 MCKINNEY, MICHAEL CITY OF CHICAGO 02/01/18 CANDIANO LAW OFFICE CITY OF CHICAGO 487 18WC 07927 BOYCHUK, DANIELLE LITTLE CO OF MARY HOSPITA 04/03/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 18WC026621 -C LITLE COMPANY OF MARY HOSP 488 18WC 09112 FARMS, JOHNNIE ARENA FOOTBALL ONE, LLC 03/22/17 GORDON & CENTRACCHIO LLC 489 18WC 10334 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS (C 04/22/15 BEVERLY QUEEN-THOMAS 490 18WC 10373 BROWN, CORDALE F CHICAGO TRANSIT AUTHORITY 03/07/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 491 18WC 10420 GOMEZ, JOSEPH ADJUSTABLE FORMS 03/05/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 492 18WC 10442 CALO, KRISTIN UNITED AIRLINES 12/15/16 KATZ FRIEDMAN EAGLE ET AL 493 18WC 10488 SCHELLER, JEANNE NORTHWESTERN UNIVERSITY 03/01/17 LEWIS & DAVIDSON, LTD 494 18WC 10580 MYLES, IMIA ILLINOIS DEPARTMENT 01/21/18 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 495 18WC 10613 DZAFIC, SEMSA WYNDHAM HOTEL 09/26/17 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 496 18WC 10703 CAMPOS, LORENZO THUNDER TOOLS, INC 11/20/17 HART & DAVID LLP 497 18WC 10724 KREUGER, MICHAEL NORTH PALOS FIRE 03/24/16 RIDGE & DOWNES 498 18WC 10895 GLANZ, DOUGLAS D VILLAGE OF ARLINGTON HTS 03/06/18 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 499 18WC 10960 CABAN, JULIAN GEORGIA NUT COMPANY 03/15/18 COSTA IVONE LLC CAPUANI, FRANK S 500 18WC 10977 ORTIZ, ALMA DHALIWAL LABORATORIES NRT 03/28/18 HERRERA LAW CENTER 501 18WC 10992 PEREZ, ALEJANDRO OZINGA 02/07/18 WEISS ORTIZ PC GAROFALO SCHREIBER STORM GRA 502 18WC 11015 FREY, SHAWN COOK COUNTY SHERIFF'S POL 04/01/18 BOTTO GILBERT STATES ATTORNEY OF COOK COUN 503 18WC 11051 WALLACE, STEVEN UPS 11/24/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 504 18WC 11120 SHEHADEH ALI, SHEHADEH NEW DAWN LOGISTIC INC 03/23/18 STANCZAK LAW OFFICES 505 18WC 11186 GOMEZ, ROMAN RANA MEAL SOLUTIONS 09/30/17 ROBERTO ACEVEDO RIPES NELSON BAGGOT KALOBRAT 506 18WC 11279 OLIVARES, CARLOS THE CLEANING PEOPLE 04/03/18 DOUGLAS RALLO PC 507 18WC 11315 RODRIGUEZ, IRVIN N EXPRESS/TRIMACO 03/09/18 GORDON & CENTRACCHIO LLC MC ANDREWS & NORGLE LLC 18WC025799 -C 508 18WC 11402 HOGAN, ZENA U-HAUL INTERNATIONAL INC 03/10/18 JOHN C SERKLAND RUSIN & MACIOROWSKI LTD 509 18WC 11419 TYLER, LOIS CITY OF CHICAGO 09/17/16 DANIEL PERIASWAMY 510 18WC 11434 OJOFEITIMI, KAREN STATE OF ILLINOIS- @ 10/26/17 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 511 18WC 11589 REYNOLDS, MARIKA LITTLE COMPANY OF MARY HO 02/06/18 COSTA IVONE LLC 512 18WC 11608 AZTLAN, RICHARD CITY COLLEGES OF CHICAGO 04/11/18 HERRERA LAW CENTER 513 18WC 11626 BROWN, VINCENT CHEESECAKE FACTORY 02/15/18 DWORKIN AND MACIARIELLO ASA LAW GROUP 514 18WC 11645 VILLEGAS, IRMA PAYLESS SHOE SOURCE 02/23/18 ANSELMO DURAN HINSHAW & CULBERTSON 515 18WC 11664 VASQUEZ, EUGENIA TARGET 10/12/16 ROBERTO ACEVEDO NYHAN BAMBRICK KINZIE & LOWR 516 18WC 11683 BROWN-WALKER, NICOLE CTA 04/12/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 517 18WC 11702 MARTINEZ, JOSE LUIS ALEX DELI 04/17/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 518 18WC 11728 TOVAR, LUIS M KEY TOWER LLC 03/28/18 LEONARD LAW GROUP LLC KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 519 18WC 11758 HAMILTON, PAMELA ILLINOIS SCHOOL BUS, INC. 04/11/18 DANIEL PERIASWAMY GALLIANI DOELL & COZZI LTD 520 18WC 11789 CONNOR, PERRY AUTO WAREHOUSING COMPANY 02/12/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 18WC034337 -C AWC WAREHOUSE 521 18WC 11807 HILL, ROBERT V RYDER LOGISTICS 02/06/18 RANDOLPH GREUNE LAW OFFICE 522 18WC 11841 ROGERS, STEVEN ARCHDIOCESE OF CHICAGO 01/29/17 MILLON & PESKIN LTD 523 18WC 11879 BURCHARD, ROBERT POWER CONSTRUCTION COMPAN 09/15/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 524 18WC 11915 HOLLINGSWORTH, HENRY V ARAMARK, INC 03/25/18 KARCHMAR & STONE 525 18WC 11930 ALFONZO, ELIZABETH (AKA) ATLAS EMPLOYMENT SVCS, IN 04/11/18 JONAT0HAN SCHLACK ROBERT L. SMITH 526 18WC 11959 ERVIN, JERRY CITY OF CHICAGO 04/16/18 FOHRMAN, DONALD W & ASSOCS 527 18WC 12011 MC COLLOUGH, SAMUEL AEROTEK STAFFING AGENCY 04/03/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 528 18WC 12105 CACHO, MARIA MENTAL ACADEMY CHICAGO SO 02/27/18 VRDOLYAK LAW GROUP LLC 529 18WC 12161 CONTRERAS, CARLOTA PACTIV, LLC 04/10/18 BERG & BERG SPIEGEL & CAHILL, PC 530 18WC 12261 SHERDEN, TAMIEKA COMPASS GROUP USA INC 06/01/17 COSTA IVONE LLC GANAN & SHAPIRO 531 18WC 12294 KELLY, DARA JACKSON PARK HOSPITAL MED 02/13/18 SCOTT B SHAPIRO ODELSON & STERK 532 18WC 12308 WILLIAMS, DENISE CTA 03/05/18 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 533 18WC 12363 DAVID, ADAM FOREST PRESERVE DISTRICT 04/17/18 COLLISON LAW OFFICES FOREST PRESERVE DIST COOK CO 534 18WC 12447 HARRIS-COURTLAND, CUTASHA CITY OF CHICAGO BOARD OF 02/15/18 DWORKIN AND MACIARIELLO 535 18WC 12466 BOSSANY, CHARLES ROSIN EYECARE 02/07/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK 536 18WC 12524 GARCIA, MERCEDES BRIDGFORD FOODS 12/15/17 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 537 18WC 12551 FUTARSKI, STOIL ZVONKO TIJANIC/FEDEX 03/16/18 PETER D CORTI LAW GROUP 538 18WC 12595 GUNDERSEN, JILL AMERICAN AIRLINES, INC 03/25/18 CULLEN HASKINS NICHOLSON 539 18WC 12632 ISSAKA, MARIAM COOK COUNTY HEALTH & HOSP 11/02/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 540 18WC 12671 RHOADES, TODD CHICAGO THEATRE GROUP INC 09/11/16 LANNON LANNON & BARR LTD 541 18WC 12696 STARKS, LARRY METROPOLITAN WATER 04/04/18 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 542 18WC 12722 LOPEZ, JOSE C CC TRIM, LLC 02/07/18 KAT0Z FRIEDMAN EAGLE ET AL 543 18WC 12747 PAGAN, ANGELO CARL SANBURG VILLAGE COND 02/08/18 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 544 18WC 12808 PATRON, GLORIA J ST MARY OFPROVIDENCE/DAUG 01/10/18 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 545 18WC 12832 GONZALEZ, SERGIO V.V.V. DIAMOND SVS, INC 03/26/18 LOSS & PAVONE 546 18WC 12856 POWELL, CHARMAINE ISM SECURITY 09/27/16 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 547 18WC 12991 LOPEZ, MARTIN EDSAL MANUFACTURING 11/21/17 JAMES M GERAGHTY 548 18WC 13009 SHARMA, SATINDER MARR CHICAGO PIZZA DBA 02/13/18 STROM, NEAL B HENNESSY & ROACH PC 549 18WC 13024 THOMPSON, DAVID CITY OF CHICAGO 03/01/18 ALEKSY BELCHER 550 18WC 13041 WEBSTER, KELVIN THE NATIONAL CASH REGISTE 04/01/18 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 551 18WC 13060 SMITH, CHARLES RICHARD JR AC MEDTRAN INC 04/14/18 TIMOTHY HENDERSON RUSIN & MACIOROWSKI LTD 552 18WC 13105 DIPAULO, LORIELEE COORDINATED CLAIM SERVICE 01/16/18 DWORKIN AND MACIARIELLO 553 18WC 13139 NELLS, DAN CAREY ELECTRIC CONTRACTIN 12/07/17 HORWITZ HORWITZ & ASSOC 554 18WC 13160 BRACEY, REDDI SOUTH SHORE HOSPITAL 02/14/18 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 18WC 13183 GIL, TANIA MIDWAY STAFFING 04/10/18 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 556 18WC 13239 PEREZ, IRMA HILTON CHICAGO 04/28/18 EPSTEIN, JACK R LAW OFFICE 557 18WC 13300 GIBBONS, LAUREN UPS 03/26/18 SPIROS LAW PC ASA LAW GROUP 558 18WC 13358 DELAROSA, RAFAEL CHICAGO TRANSIT AUTHORITY 04/29/18 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 559 18WC 13385 ZAVALA, MARIO BANNER WHOLESALE GROCERS 04/24/18 CELSO FUENTES JR GANAN & SHAPIRO 560 18WC 13411 BIGGINS, MILTON BIGGINS RIDEL INC BRG SPORTS LLC 04/13/18 RONALDSON & KUCHLER KRAKER FANNING & OLSEN 561 18WC 13437 SCARELLI, PACHINA BROOKDALE LAKE VIEW 04/30/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 18WC013438 -C 562 18WC 13487 MALONGA, ANICET GATE GOURMET INC 03/12/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 563 18WC 13496 JOHNSON, MARCELLA LBP MFG LLC 09/26/17 ANKIN LAW OFFICE 564 18WC 13501 PHELPS, VICTORIA UNIVERSITY OF ILLINOIS HO @ 04/11/18 GALLAGHER LAW PC HEYL ROYSTER VOELKER & ALLEN 565 18WC 13552 FENNESSY, FRANCES FIRST STUDENT, INC. 02/08/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 566 18WC 13588 CIRILO, PRIMITIVO J PH-PRESENCE RESURRECTION 03/20/18 RUEDA, IVAN A 567 18WC 13760 BROWN, NORBERT ASTRIX SOFTWARE TECHNOLOG 03/13/18 STROM, NEAL B JOSEPH MARCINIAK 568 18WC 13779 GRIFFIN, YEVONNE KENTUCKY FRIED CHICKEN 09/23/17 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 569 18WC 13830 ARITZMENDY, BENJAMIN UNITED REMANUFACTURING 03/07/18 CULLEN HASKINS NICHOLSON 570 18WC 13872 RODRIGUEZ, LUCIO OLD DOMINION FREIGHT LINE 02/04/18 DWORKIN AND MACIARIELLO 571 18WC 15916 AINA, DERRIANA (NEXT OF K FLEX TRANSPORT INC # 05/16/18 572 18WC 16000 COLONE, JOHNNY RENAISSANCE MGT CO LLC 02/09/18 SCHAFFNER RABINOWITZ FEINA HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 18WC 17444 JOHNSON, THERESA ADVOCATE CHRIST MEDICAL C 05/02/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 574 18WC 17628 LEAL, ROLANDO NATION PIZZA PRODUCTS LP 12/21/17 HERRERA LAW CENTER MEACHUM & STARCK 575 18WC 18549 HURLEY, KEVIN CBRE TECHNICAL SERVICES, 03/17/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 576 18WC 18943 GORDON, TRACEY CTA 05/31/18 COSTA IVONE LLC COSTA IVONE LLC 577 18WC 19247 MURGA, DANIEL WOW BAO/LETTUCE ENTERTAIN 04/27/18 RYAN ROSENTHAL 578 18WC 20175 ANAYA, BERNARDO CSM FASTENER PRODUCTS 06/08/17 HERRERA LAW CENTER 579 18WC 20194 ROYAL, ANDREA COACH USA 06/18/18 JOHN C SERKLAND POULOS & DIBENEDETTO LAW 580 18WC 20207 BARJEBO, MUNEH HYATT PLACE-CHARLOTTE/CIT 04/28/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 18WC020208 -C 581 18WC 20232 QUIGLEY, ERIC I FEDERAL EXPRESS 04/03/18 ACEVES & PEREZ PC 582 18WC 20274 KISLIAK, OLGA ONE HOME HEALTH 06/27/18 ROSENBERG EISENBERG ASSOC 583 18WC 20385 OTTO, CHARLES F IDOT @ 06/16/18 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 584 18WC 20439 NEELEY, SAMANTHA ANN ANIMAL WELFARE LEAGUE 05/14/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 585 18WC 20458 SANCHEZ, ARMANDO BUONA BEEF 06/15/18 JAMES ELLIS GUMBINER & ASS 586 18WC 20478 RUSSELL, ERIC RGIS, LLC 01/24/18 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 587 18WC 20514 SINHA, ANSHUMAN SYNCHRONY FINANCIAL W 08/09/17 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 588 18WC 20538 JUSTICE, EDREICK ARCELOR MITTAL 11/06/17 VRDOLYAK LAW GROUP LLC 589 18WC 20564 HACKEL, JOSEPH A AMERICLEAN 06/21/18 COSTA IVONE LLC 590 18WC 20605 PATTERSON, GREGORY FILTRAN, LLC 06/26/18 STONE & MAYA PC ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 591 18WC 20650 ABDULLAH, AMIRA PACKERS SANITATION SRVS I 06/22/18 TIMOTHY HENDERSON 592 18WC 20670 LOZADA, WILFREDO MICRON METAL FINISHING 07/03/18 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL BIERY & ASSOC 593 18WC 20714 POIRIER, DAVID R SMG SAVOR 06/10/17 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 18WC020715 -C 18WC032969 -C 594 18WC 20780 AVILA, JESUS VILLAGE OF BURNHAM 05/18/18 RAYMOND P GARZA LAW OFFICE RUSIN & MACIOROWSKI LTD 595 18WC 20808 ALICEA, CRISTIAN ECOBRITE LINEN 06/01/18 GOLDSTEIN BENDER & ROMANOF LAWRENCE COZZI - LAW OFFICE 596 18WC 20874 MEDRANO, VICTOR LIBERTY STAFFING INC. 07/14/16 THEODORE L STACY 597 18WC 20901 ALVAREZ, CANDELARIA OPEN KITCHENS 06/04/18 BERG & BERG 598 18WC 20922 ANDERSON, JAMIE GET FRESH PRODUCE, INC 04/14/17 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 599 18WC 20955 NELSON, NEAL HENIFF TRANSP SYSTEMS, LL * 04/16/18 ALEKSY BELCHER GANAN & SHAPIRO 600 18WC 20997 ALBRECHT, LARRY UNITED AIRLINES INC 06/27/18 BOWMAN & CORDAY 601 18WC 21015 TANZE, ASHABI JEWEL OSCO 03/31/18 DAVID W MARTAY 602 18WC 21104 SAXON, ELIZABETH UNITED CONTINENTAL HOLDIN 01/05/16 KATZ FRIEDMAN EAGLE ET AL 603 18WC 21149 BOURRET, ALYSON CHICAGO PARK DISTRICT 07/12/17 SANDMAN LEVY & PETRICH CHICAGO PARK DIST LAW DEPT 604 18WC 21179 BROZ, ERICK VILLAGE OF BARTLETT 12/28/17 FRED J BEER LAW OFFICES 605 18WC 21270 SMITH, TYHELIA NANDO'S PERI-PERI 05/31/18 COSTA IVONE LLC 606 18WC 21287 NOGUEDA, SALOMON VANTEC HITACHI TRANSPORT 02/07/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 607 18WC 21339 HERNANDEZ, THERESA NATIONAL ASIAN PACIFIC CT 06/27/18 MC HARGUE & JONES MEACHUM & STARCK 608 18WC 21357 BARA, GARY BARA ELECTRIC INC 06/27/17 NEWLAND & NEWLAND BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 609 18WC 21380 TYREE, ALYCE ADECCO 08/02/17 TRUGLIO, FRED A & ASSOC HENNESSY & ROACH PC 610 18WC 21436 GARD, BRENDA ABF FREIGHT SYSTEMS, INC 07/05/18 PARENTE & NOREM PC KEEFE CAMPBELL BIERY & ASSOC 611 18WC 21471 BIRCH, JOHN AMALGAMATED SVCS, INC 05/30/18 GREGORIO & MARCO 612 18WC 21539 ABUNDIZ, IRENE MANORCARE HEALTH SERVICES 02/06/18 COMPTON LAW GROUP 613 18WC 21564 SHELBY, KENNETH BYRNE & JONES 07/02/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 614 18WC 21599 SERRANO, JUANA THE GARLANDS OF BARRINGTO 03/30/18 HERRERA LAW CENTER FRANCESCA LARSEN 615 18WC 21652 DAVIS, GEORGE M ITS CONGLOBAL 07/12/18 VITELL & SPITZ LTD 616 18WC 21677 LEWIS, DONALD SECRETARY OF STATE @ 07/11/18 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL 617 18WC 21698 BRYANT, JUANICA HELP AT HOME, LLC 06/07/18 CHRISTINE F DAVID 618 18WC 21767 HAYES, OMA LBP MANUFACTURING LLC 07/03/18 COSTA IVONE LLC 619 18WC 21789 MCCLURE, VE-ESTER CTA 11/22/17 DONALD FOHRMAN & ASSOC 620 18WC 21866 OLIVER, TERRENCE L REPUBLIC SVCS 06/18/18 BUDIN LAW OFFICES 621 18WC 21947 AUSTWICK, LAURA AMERICAN AIRLINES 06/20/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 622 18WC 21954 VELAZQUEZ, RODOLFO MARSCO GLASS PRODUTS LLC 05/07/18 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 623 18WC 21972 YORK, ROBERT CHICAGO TRANSIT AUTHORITY 07/21/18 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 624 18WC 21996 FIKS, KRZYSZTOF KITCHEN AND BATH DIRECT 08/17/16 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 625 18WC 22029 BOOE, STEPHEN THYSSEN KRUPP ELEVATOR CO 11/22/17 MARK N LEE 626 18WC 22073 GONZALEZ, MARIA UNIVERSITY OF ILLINOIS - 05/16/18 WHITESIDE & GOLDBERG LTD 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 CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 627 18WC 22096 SODERLUND, JAMES D S MECHANICAL INC 01/17/18 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 628 18WC 22135 CALDWELL, CANDUS TARGET 05/01/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 629 18WC 22155 VAZQUEZ, JUAN INDUSTRA SHARP, INC. 05/01/18 BOUDREAU NISIVACO LLC LAWRENCE COZZI - LAW OFFICE 630 18WC 22180 JANKOWSKI, RICHARD NEWS AMERICA MARKETING - 03/07/18 HORWITZ HORWITZ & ASSOC 631 18WC 22196 DUBOIS, MIKEL UNITED CONTINENTAL HOLDIN 11/29/17 KATZ FRIEDMAN EAGLE ET AL 632 18WC 22240 BOONSTRA, JASON TRINITY ROOFING & SHEET 11/08/17 LEITER LAW OFFICES 633 18WC 22283 MARTINEZ, J GUADALUPE NOT JUST GRASS, INC 07/09/18 STANCZAK LAW OFFICES MEACHUM & STARCK 634 18WC 22306 OSEGUERRA, ALEJANDRO AQS SERVICES, INC 06/22/18 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 635 18WC 22344 SEGURA, CELIA MVP WORKFORCE LLC 06/18/18 HERRERA LAW CENTER KOREY RICHARDSON LLC 636 18WC 22365 KING, PATRICK CITY OF CHICAGO 07/09/18 RICHARD O. GREENFIELD 637 18WC 22407 GALLEGOS, ALEXIS TUFF SHED 10/24/17 STEVEN J MALMAN & ASSOCIAT 638 18WC 22446 NELSON, JESSICA MANDEL, LIPTON, 08/08/17 THOMAS M. PARIS 639 18WC 22475 HENRY, SONIA RJB PROPERTIES, INC 07/24/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 640 18WC 22479 REDDING, BESSIE CITY OF CHICAGO 06/27/18 KROL BONGIORNO & GIVEN LTD 641 18WC 22497 DURAN, GALDINA ELI'S CHEESECAKE CO 04/18/18 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICE 642 18WC 22505 HOLMES, WENDELL FORD MOTOR COMPANY 01/09/18 DONALD FOHRMAN & ASSOC WIEDNER & MCAULIFFE LTD 643 18WC 22520 ABOYTES, JULIAN MARINE SERVICES CORPORATI 12/02/16 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 644 18WC 22567 PRUITT, DYON TAUBENSEE STEEL & WIRE CO 04/03/18 TAXMAN POLLOCK EDWARD J. KOZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 645 18WC 22608 BORIS, RAZIEH ARHAUS FURNITURE 06/16/18 STROM & ASSOC KRAKER FANNING & OLSEN 646 18WC 22638 BROWN, JEREMIAH T THE RITZ CARLTON - CHICAG 03/05/18 GALLAGHER, DONALD V HENNESSY & ROACH PC 647 18WC 22650 KOZIEL, KAZIMIERZ CORNELL FORGE CO, INC 04/16/18 ANKIN LAW OFFICE 648 18WC 22654 SMALL, DAVID XEROX CORPORATION 02/06/18 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 649 18WC 22716 JACKSON, QUINTEN VILLAGE OF BRIDGEVIEW 06/14/18 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 650 18WC 22763 KRZYZANOWSKI, TIM GENERAL ELECTRIC HEALTH C 06/06/18 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 651 18WC 22795 LOPEZ, GUSTAVO A-KORN ROLLER, INC 07/13/18 SEIDMAN MARGULIS & FAIRMAN 652 18WC 22830 KNIGHT-COLLINS, VALERIE A IL DEPT OF HUMAN SERVICES @ 06/11/18 653 18WC 22891 DIAZ-RAMIREZ, JESUS ABM FACILITY SVCS 07/06/18 DAVID W MARTAY 654 18WC 22901 CLARKE, AARON BAR PROCESSING 07/26/18 DWORKIN AND MACIARIELLO 655 18WC 22939 VILLANUEVA, LIBERTAD PERE DD CLEANIGN SERVICES 06/11/18 JONATHAN SCHLACK QUINTAIROS PRIETO WOOD & BOY 18WC022940 -C FLEXIBLE STAFFING SERVICES 656 18WC 22952 YEPEZ, DAVID G SODEXO INC 01/18/18 PETER LEKAS 657 18WC 22974 BARRERA, JESSE TSA PROCESSING 07/06/18 CULLEN HASKINS NICHOLSON 658 18WC 22991 WHITE, AUSTIN JIFFY LUBE 07/05/18 ANKIN LAW OFFICE 659 18WC 23011 DIAZ, MARIA HOTEL STAFFING SOLUTION 04/07/18 ESR LAW GROUP 660 18WC 23032 COOK, CECILIA AMERICAN AIRLINES 06/08/18 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 661 18WC 23076 FRICANO, CHRISTINA BLUE MERCURY 07/30/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 662 18WC 23116 SHUTT, JANE D UNITED CONTINENTAL HLDING 06/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 663 18WC 23170 MANUEL, STEPHANIE BRIA OF FOREST EDGE HEALT 07/04/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 664 18WC 23187 ANDERSON, JEROME ISAAC THE HOME DEPOT 07/24/18 SCHWEICKERT & GANASSIN ADELSON TESTAN BRUNDO 665 18WC 23281 LOPEZ, ABAD JEN'S GUESTHOUSE 04/13/18 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 666 18WC 23306 ARIAS, JOSE G VEGETABLE JUICES, INC 06/04/18 THE ROMAKER LAW FIRM 667 18WC 23361 GLISPIE, MELVETA FERRARA CANDY COMPANY 05/10/18 COHN & COHN HOLECEK & ASSOCIATES 668 18WC 23406 HAVILAND, ALMA ARDAGH GLASS, INC 08/06/15 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 18WC023407 -C 18WC023408 -C 669 18WC 23437 DONALDSON, SHEILA SOLO CUP OPERATING CORP. 02/05/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 670 18WC 23458 REED, ADRIAN ABM INDUSTRY GROUP LLC 06/29/18 KATZ FRIEDMAN EAGLE ET AL 671 18WC 23522 JAMES, ALISA M CITY OF CHICAGO 07/26/18 ANKIN LAW OFFICE CITY OF CHICAGO 672 18WC 23568 BOYCE, RUTH TOTAL MAINTENANCE 07/27/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 673 18WC 23610 ERVEN, DAVID NICHOLAS DESIGN COLLABORA 01/05/18 WOLFE LAW PC 18WC023611 -C 674 18WC 23630 VARGAS, LILIA MIDDAY MEALS, INC 06/29/18 GOLDSTEIN BENDER & ROMANOF 675 18WC 23654 BERDINE, FRANKLIN L PATTEN CATERPILLAR INDUST 06/20/18 O'CONNOR & NAKOS 676 18WC 23784 ERVIN, TIFFANY L METRO STAFFING & COMPANY 08/01/18 TIMOTHY HENDERSON FRANCIS J DISCIPIO LAW OFFIC 677 18WC 23808 NELSON, DWIGHT AMERICAN AIRLINES 07/14/18 ASHER, RAYMOND L LTD ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 678 18WC 23840 REYES, MANUEL GEORGIS CATERING, INC 07/06/18 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 679 18WC 23858 ALEMAN, ADRIAN PEDRO SSP AMERICA 08/20/17 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 18WC023859 -C 680 18WC 25801 REGO, BRIAN N CHICAGO HEIGHTS STEEL 07/21/18 STEWART C ORZOFF 681 18WC 26121 HERNANDEZ, BALBINA A&R JANITORIAL SERVICE IN 06/06/18 HERRERA LAW CENTER RODDY LAW LTD 682 18WC 26150 RIVERA, MAGDA DUNKIN DONUTS 08/17/18 GERALD CONNOR MEACHUM & STARCK 683 18WC 26261 KNACK, PAUL STATE OF IL DEPT OF @ 04/28/18 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 684 18WC 26856 MARCHESE, NICHOLAS CITY OF CHICAGO 01/16/18 LEONARD LAW GROUP LLC 685 18WC 30076 SZESZYCKI, ANDREW CITY OF HICKORY HILLS 10/06/15 JAMES A PAYONK JR RUSIN & MACIOROWSKI LTD 686 18WC 30329 WILLIAMS, MICHAEL SET ENTERPRISES INC 10/01/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 687 18WC 30350 CHATMAN, DENISE REGIS INC D/B/A SUPERCUTS 09/17/18 THERMAN LAW OFFICES ADELSON TESTAN BRUNDO 688 18WC 30374 DIMITROV, BOJIDAR R STAFF MANAGEMENT SOLUTION 01/25/18 GALLAGHER, DONALD V 689 18WC 30405 LOMELI, ROSA MICHAEL FOODS/NATIONAL 01/31/18 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 690 18WC 30427 CELEDONIO, EDELMIRA M SINAI HEALTH SYSTEM 08/22/17 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 691 18WC 30446 MORENO, ANEL COSTCO WHOLESALE CORP. 09/30/18 ANKIN LAW OFFICE GANAN & SHAPIRO 692 18WC 30466 CORONA, FRANK COOK COUNTY DIVISION 08/R 09/25/18 RUBIN MACHADO ROSENBLUM STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 18WC 30496 WHITE SHANNA MRV CONSTRUCTION 08/26/18 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 694 18WC 30550 GARCIA, LUIS HICKEY ELECTRICAL CONTRAC 08/20/18 HERRERA LAW CENTER GANAN & SHAPIRO 18WC030551 -C 695 18WC 30602 SULLIVAN, ANNE UNITED CONTINENTAL HOLDIN 05/25/18 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 696 18WC 30665 MENDEZ, ROMARIO DISP PACK 08/29/18 KATZ FRIEDMAN EAGLE ET AL CAPUANI, FRANK S 697 18WC 30735 BELL, CASSANDRA COOK COUNTY JUVENILE DETE 08/31/18 MARSZALEK AND MARSZALEK STATES ATTORNEY OF COOK COUN 698 18WC 30760 MANGAFIC, SNJEZANA NORTHWESTERN MEMORIAL HOS 10/12/16 TAMVAKIS, GEORGE L 699 18WC 30785 GAMBLE, RANDY A UNITED FAST FOOD BEVERAGE 07/11/18 STEVEN J MALMAN & ASSOCIAT HOLECEK & ASSOCIATES 700 18WC 30809 WALKER MONTEZ TENET CONCEPTS 09/24/18 ANGELINI & ORI LLC 701 18WC 30813 CHIQUITO, MARIA LUISA RANA MEAL SOLUTIONS 04/10/18 MEYERS & FLOWERS 702 18WC 30833 LEWIS, IRENIA WILLIAMS CHRISTIAN DAYCAR 04/30/18 ANKIN LAW OFFICE JOSEPH MARCINIAK 703 18WC 30868 GREEN, CARMELITA DAY'S ADULT DAY CARE 02/28/17 DWORKIN AND MACIARIELLO 704 18WC 30912 HARRIS, LASHONDA A RUSH UNIVERSITY MEDICAL C 09/19/18 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL BIERY & ASSOC 705 18WC 30929 CONTRERAS, MARIA B UNIVERSITY OF IL AT CHICA 04/01/16 JOHN J CASTANEDA 706 18WC 30949 PHILLIPS, IRMA ASPIRE CHICAGO 10/10/18 KUMLIN & FROMM 707 18WC 30987 SIMONSON, PAUL THE VILLAGE OF GLENVIEW 01/04/18 PAPPAS & BELL NYHAN BAMBRICK KINZIE & LOWR 708 18WC 31063 ALEXANDER, ROLANDA COOK COUNTY 09/25/18 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN 709 18WC 31094 SAUCEDO, RUMALDO DOUGLAS PRESS, INC 08/23/18 BAUM RUFFOLO & MARZAL LTD RODDY LAW LTD 710 18WC 31128 BROWN, KEVIN ARCELOR MITTAL INDIANA HA 02/12/18 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 18WC 31153 CHEN, TAI HUA UNITED AIRLINES INC. 05/28/18 CULLEN HASKINS NICHOLSON 712 18WC 31174 FRANCO, ANDREW TWENTIETH CENTRY FOX FILM 10/09/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 713 18WC 31397 ROMAN, ANDRE COOK COUNTY SHERIFF DEPT 06/10/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 714 18WC 31453 ROJAS, FERNANDO SERRANO LANDSCAPING, INC 10/08/18 TOPPER & WEISS LTD 715 18WC 31629 COULTER, PARRIS NATIONAL PASTEURIZED EGG 10/11/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 716 18WC 31687 WESTMORELAND, MELISSA CHICAGO TRANSIT AUTHORITY 10/15/18 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 717 18WC 31747 WINSTON, MARCUS OZINGA 10/17/18 EDWIN REYES LAW FIRM GAROFALO SCHREIBER STORM GRA 718 18WC 31792 HAMLETTE, MYRON C CHIQUITA BRANDS INTERNATI 07/15/18 DEPAOLO & ZADEIKIS NYHAN BAMBRICK KINZIE & LOWR 719 18WC 31868 BURNSIDE, GINA UNITED CONTINENTAL HOLDIN 05/28/18 KATZ FRIEDMAN EAGLE ET AL 720 18WC 31903 VARGAS, CELIA CREATIVE WERKS LLC (BORRO 05/12/18 STEVEN B SALK & ASSOC LTD HOLECEK & ASSOCIATES 721 18WC 31972 MEDEL, BRISA ELITE STAFFING 09/29/18 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 722 18WC 31994 OLSEN, SUSAN UNITED AIRLINES INC. 09/09/18 RIDGE & DOWNES 723 18WC 32012 FLOOD, SEAN METROPOLITAN PIER & 09/11/18 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 724 18WC 32027 RIVKIN, CHRISTINE CITY OF CHICAGO DEPT OF 09/27/18 ANKIN LAW OFFICE 725 18WC 32058 CLARK, LESHA UNITED AIRLINES 12/21/17 HEALY SCANLON LAW FIRM 726 18WC 32060 BOOKER, WILNEKA GREAT LAKES CARING 09/01/18 DAVID W MARTAY KEEFE CAMPBELL BIERY & ASSOC 727 18WC 32076 ESCOBEDO, MONICA COOK COUNTY SHERIFF DEPT 08/19/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 728 18WC 32092 VAZQUEZ, BEATRIZ CONCORDIA PLACE 09/11/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 18WC 32114 WADE, DEIDRE UPS 08/08/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 730 18WC 32128 THOMSON-TAYLOR, PATRICIA SEGUIN SERVICES 10/10/18 STEVEN J MALMAN & ASSOCIAT 731 18WC 32145 TRAMMELL, SUSAN R UNITED CONTINENTAL HOLDIN 10/21/18 KATZ FRIEDMAN EAGLE ET AL 732 18WC 32206 REVUELTA, JORGE L GARCIA RESTAURANT HOLDINGS LLC D 10/15/18 POMPER & GOODMAN SAUNDERS CONDON & KENNY 733 18WC 32286 WOJCIK, WILLIAM PACKAGING CORPORATION 07/27/18 DEPAOLO & ZADEIKIS 734 18WC 32309 DONDA, TOMASZ MOTION PR - THE MOTION AG 07/17/18 ROMANUCCI & BLANDIN 735 18WC 32350 RENT, JAMES ADVANCED CONSTRUCTION 08/10/18 ANKIN LAW OFFICE SCHOUEST BAMDAS SOSHEA 736 18WC 32353 SLANSKY, LINDA D HCR MANOR CARE 09/03/18 WILLIAM H MARTAY BRYCE DOWNEY & LENKOV LLC 737 18WC 32427 PEREZ, CHRISTINE UNITED AIRLINES 08/26/18 RUBENS KRESS MULHOLLAND 738 18WC 32484 JOHNSON, WILLIE MONDELEZ INTERNATIONAL 07/30/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 739 18WC 32508 GURROLA, TAMI FEDEX 09/20/18 GREGORIO & MARCO KOPKA, PINKUS DOLIN, PC 740 18WC 32539 LEWEY, JOANNA HAPPY MAIDS 09/10/18 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 741 18WC 32553 ELLIOTT, ROBERT YRC WORLDWIDE 06/29/18 KROL BONGIORNO & GIVEN LTD 742 18WC 32594 ZAREMEBA, MAREK COAST CONNECTION, INC 04/09/17 CHRISTOPHER BUCHCAR, LTD MCANANY VANCLEVE & PHILLIPS 743 18WC 32638 STIMAC, PAUL CITY OF CHICAGO DEPT OF 2 09/26/18 STEWART C ORZOFF CITY OF CHICAGO 744 18WC 32772 RILEY, LONZO II VILLAGE OF DOLTON 10/04/16 CORNFIELD & FELDMAN RUSIN & MACIOROWSKI LTD 745 18WC 32798 HEALY, WILLIAM J NORTH PALOS SCHOOK DIST 1 08/15/17 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 746 18WC 32820 JACOBSON, ANDREW EAGLE EXPRESS LINES 01/13/18 DEPAOLO & ZADEIKIS HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 18WC 32837 PEARSON, PHILLIP N CITY OF CHICAGO 10/07/18 ANKIN LAW OFFICE CITY OF CHICAGO 748 18WC 32922 FUENTES, ALEJANDRO QUALITY ASSURANCE/ 10/26/18 ANKIN LAW OFFICE 749 18WC 32948 ARROYO, GUADALUPE POLYONE CORP 07/27/18 SALVATO O'TOOLE FROYLAN KNELL O'CONNOR DANIELWICZ 750 18WC 33017 ARROYO, ERIC FIRESTONE 06/20/18 CARONE LAW OFFICES 751 18WC 33070 THOMPSON, TIMOTHY MAP AUTOMOTIVE OF CHICAGO 09/11/18 CUSHING LAW OFFICES HOLECEK & ASSOCIATES 752 18WC 33094 GUBRICKY, REGINA ECHO JOINT AGREEMENT 10/15/18 SAUNDERS CONDON & KENNY 753 18WC 33119 DIAZ, RUBEN GRAPHIC PCKGNG INTERNATIO 05/21/18 THE ROMAKER LAW FIRM DOHERTY & PROGAR LLC 754 18WC 33137 GUZMAN, TOMAS THE HABITAT COMPANY 09/07/18 SALVATO O'TOOLE FROYLAN 755 18WC 33157 GRAY, JAMESE C.R. ENGLAND TRUCKING 10/24/18 CHEPOV & SCOTT LLC 756 18WC 33236 DUVAL, WALTER UNITED AIRLINES 09/29/18 STEVEN J TENZER, LTD 757 18WC 33265 ANDERSON, ANDREW PRIME ELECTRIC 10/18/18 LUSAK AND COBB HOLECEK & ASSOCIATES 758 18WC 33294 FAULKNER, TOMMY II WERNER ENTERPRISES INC DB 10/24/18 COVEN LAW GROUP SMITH AMUNDSEN LLC 759 18WC 33316 MCCREEDY, STEVEN COOK COUNTY SHERIFF DEP O 06/14/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 760 18WC 33332 POLK, CONSTANCE JEWEL OSCO 05/25/18 MC HARGUE & JONES 761 18WC 33354 DEFRANCESCO, GIUSEPPE ENVOY AIR 10/16/18 SIGMOND, STEVEN 762 18WC 33380 GOLDEN, TEMEKA CTA 09/28/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 763 18WC 33410 JEFFERSON, MONICA HEALTH CARE SERVICES 11/01/16 DWORKIN AND MACIARIELLO 764 18WC 33429 MEDINA, MARIA GARFIELD ELEMENTARY SCHOO 08/31/18 GAINES & GAINES INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 18WC 33466 FORESTA, MARY FORD MOTOR CO 09/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 766 18WC 33493 GARCIA, HUGO FRANK A EDMUND & CO, INC 10/05/18 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 767 18WC 33518 JORDAN, KENNY SONOMA UNDERGROUND 08/28/18 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 768 18WC 33532 STURGES, DONALD E LILY TRANSPORTATION CORP 10/19/18 VITELL & SPITZ LTD HEYL ROYSTER VOELKER ALLEN 769 18WC 33553 PABELLO, MAURO HENEGHAN WRECKINGEXCAVATN 10/26/18 DEPAOLO & ZADEIKIS 770 18WC 33576 EDMONDS, CORDELL GREYHOUND LINES, INC 10/07/18 CORBOY & DEMETRIO PC 771 18WC 33605 PICO, ANGEL KROPP FORGE 10/29/18 JAMES ELLIS GUMBINER & ASS 772 18WC 35440 WILLIAMS, CALVIN ABT ELECTRONICS 05/31/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 773 18WC 35918 RATTUNDE, MICHAEL NESTLE 07/23/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 774 18WC 36835 ARANDA, ALFREDO TICOS AUTO REPAIR, INC 03/01/18 BUDIN LAW OFFICES INMAN & FITZGIBBONS 775 18WC 37154 LUSIGNAN, JOSEPH MEN'S WEARHOUSE 08/19/17 ERIC H CHECK, LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 776 19WC 00978 CROSS, JAMES PRESENCE RESURRECTION HOS 11/21/18 CUSHING LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 777 19WC 01279 MCCARY, NELLY (BENEFICIAR TOM C. EXPRESS # 11/07/18 LEONARD LAW GROUP LLC 778 19WC 01382 ALFARO, JOSE MASA UNO 11/28/18 SHEA LAW GROUP 779 19WC 01764 FAVARATO, THEODORA UNITED CONTINENTL HOLDING 03/28/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 780 19WC 01820 PEARSON, HELENE CHICAGO PUBLIC SCHOOLS 11/27/18 FRANK A CELANI CHGO BOARD OF EDUCATION 781 19WC 01834 DONOHUE, MICHAEL SOUTHERN WINE & SPIRITS 09/23/16 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 782 19WC 01851 WEAVER, PERRY ONE SOURCE STAFFING & LAB 12/19/18 COHN LAMBERT RYAN & SCHNEI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 19WC 01895 LEON, LUIS BEYOND EVENTS CATERING 12/29/18 SMOLER LAW OFFICE, PC 784 19WC 01919 DYSON, CYNTHIA SOS SECURITY OF ILLINOIS, 01/19/19 THE ROMAKER LAW FIRM JOSEPH MARCINIAK 785 19WC 01947 MOORE, PHENNIES A CHICAGO PUBLIC SCHOOLS 06/07/18 DEPAOLO & ZADEIKIS CHGO BOARD OF EDUCATION 786 19WC 01983 ROSS, TIFFANY SCHNEIDER NATIONAL, INC 01/16/19 JAMES J BURKE LAW OFFICE 787 19WC 02038 MACHUCA, LETICIA CONTAINER SPECIALTIES INC 11/26/18 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 788 19WC 02150 MARTINEZ, ROSALIO HOOSIER CRANE SERVICE CO 11/23/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 789 19WC 02211 FOULKS, SIERRA CHRIST HOSPITAL & MEDICAL 12/23/18 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 790 19WC 02236 BARNES, AMILIA ALDI, INC 06/10/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 791 19WC 02258 OLSON, JOSEPH CITY OF BLUE ISLAND 09/11/18 THOMAS W DUDA ODELSON & STERK 792 19WC 02298 MORALES, ANTHONY MIDWEST PROPERTY DEVELOPM 01/21/19 ANSELMO DURAN MEACHUM & STARCK 793 19WC 02361 WILLIAMS, RICHARD SP PLUS 12/27/18 JOHN S. ELIASIK 794 19WC 02387 AJAYI, TEMITAYO O AMERICAN AIRLINES, INC. 01/12/19 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM GRA 795 19WC 02417 VILLALPANO, GABRIEL ALLIANCE CONCRETE SAWING 05/10/18 KROL BONGIORNO & GIVEN LTD EDWARD J. KOZEL 796 19WC 02434 CALDWELL, MARYGRACE FARO CARGO HANDLING SOLUT 12/19/18 LEONARD LAW GROUP LLC 797 19WC 02453 GIANNOLA, DANIEL AFFINITY GROUP FOOD MARKE 10/16/18 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL BIERY & ASSOC 798 19WC 02457 NICKELS, MARY COOK COUNTY SHERIFFS 11/06/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 799 19WC 02487 MYSZKA, JOZEF VEHICLE LIFTS & 12/26/18 FISHER & LAMONICA 800 19WC 02509 ROARK, JENNIFER SOUTH HOLLAND SCHOOL DIST 10/23/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 19WC 02527 BENAVENTE, DAVID S & J CONSTRUCTION CO, IN 09/05/18 RUBIN LAW GROUP JOSEPH MARCINIAK 802 19WC 02553 BUTNARIU, PETRU PAGODA ELECTRIC & CONSTRU 11/30/18 BERG & BERG 803 19WC 02579 SPEDALE, SARA MULTI-PAK CHICAGO, LLC 11/10/17 MATTHEW M. SAFFAR 804 19WC 02669 SOSA, MARIA COSTCO WHOLESALE 09/19/18 ROBERT WARSASKI 805 19WC 02709 MORENO, OSCAR DE ANDA TRIUNE LOGISTICS 01/23/19 BAUM RUFFOLO & MARZAL LTD LITCHFIELD CAVO 806 19WC 02726 HERNANDEZ, CHAVELO NORTHSIDE TOYOTA 01/08/19 CAPRON & AVGERINOS PC 807 19WC 02747 DUARTE, LUIS TOWN OF CICERO POLICE DEP 09/13/18 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 808 19WC 02760 JOHNSON, KATRINA LTI SERVICES, LLC 01/10/19 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 809 19WC 02778 DUNN, DOMINIQUE PACE SUBURBAN BUS 02/05/18 PAUL A COGHLAN & ASSOC 810 19WC 02806 ARROYO, ANGEL ENGINEERED IRON WORKS, IN 12/20/18 ENCINAS & ORNELAS HENNESSY & ROACH PC 811 19WC 02827 CISZEWSKI, DAVID J ZONE MECHANICAL 03/09/18 GOLDBERG WEISMAN & CAIRO L 812 19WC 02844 GALVAN, PABLO FORTE PACKAGING & SUPPLIE 09/21/16 LULAY LAW OFFICES 813 19WC 02902 FLORES, MARCOS ABILITY PLASTICS & 07/28/18 ANKIN LAW OFFICE MEACHUM & STARCK 814 19WC 02926 BRENNAN, THOMAS UNIVERSITY OF CHICAGO 11/17/18 DAVID W MARTAY 815 19WC 02945 SYKES, KIMBERLY TAYLOR CHICAGO TRANSIT AUTHORITY 01/28/19 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 816 19WC 02997 GONZALEZ, MARCOS AEROTEK 12/12/18 JAMES ELLIS GUMBINER & ASS 817 19WC 03017 ALBRECHT, ANDREW VILLAGE OF BERKELEY 01/25/19 FOOTE MIELKE CHAVEZ O'NEIL 818 19WC 03037 ATKINSON, SHERICE CUDDLE CARE CHILD CARE CE 12/14/18 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 19WC 03054 MATHEY, SUSAN SHERWIN WILLIAMS 01/19/19 DEPAOLO & ZADEIKIS 820 19WC 03057 HERNANDEZ SORIANO, MARISE HOST INTERNATIONAL, INC 11/09/18 RUEDA, IVAN A 821 19WC 03075 WRIGHT, DIAMOND SOUTHPOINT NURSING & 01/21/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 822 19WC 03108 JOHNSON, BRANDON ATLAS EMPLOYMENT SERVICES 11/03/18 ROGER D RUDICH LTD 823 19WC 03212 TRUBY, THEODORE FORD MOTOR CO 11/20/17 RUBENS KRESS MULHOLLAND WIEDNER & MCAULIFFE LTD 824 19WC 03229 LYNCE, JEANINE UNITED CONTINENTL HOLDING 04/16/18 KATZ FRIEDMAN EAGLE ET AL 825 19WC 03258 DUNN, MICHELLE MERCY CIRCLE 01/24/19 GERALD CONNOR 826 19WC 03295 DREWS, SARAH UNIVERSITY OF ILLINOIS SY 12/24/18 ROBERT J. IRSUTO HEYL ROYSTER VOELKER & ALLEN 827 19WC 03330 MOORE, JEFFREY SIPI METALS 01/30/19 828 19WC 03374 MARTINEZ, ARACELI ZACATACOS II INC 11/26/18 OSVALDO RODRIGUEZ PC 829 19WC 03467 TOMEZ, RUBEN E VALET PARKING AUTHORITY 12/15/18 MANUAL CARDENAS & ASSOC 830 19WC 03523 BODY, KIRBIE FERRARA CONFECTIONS, LLC 01/24/19 GOLDSTEIN AIOSSA & GOOD 831 19WC 03561 REYNOLDS, KEITH FALL BACK TRUCKING 01/14/19 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 832 19WC 03586 CASTRO, CLAUDIA WORLD CLEANING SERVICES 09/14/18 HUGO ORTIZ WOLFE & JACOBSON, LTD 833 19WC 03631 JILES, ANTOINE LEGENDARY BAKING 02/01/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 834 19WC 03653 KOCIOLEK, JOHN EQUIPSOLUTIONS LLC 10/30/17 GOLDBERG WEISMAN & CAIRO L 835 19WC 03674 COUNCIL, NNEKA STATE OF ILLINOIS @ 08/21/18 STEVEN J MALMAN & ASSOCIAT ASSISTANT ATTORNEY GENERAL 836 19WC 03692 FRANOS, ANDRZEJ BELMONT SAUSAGE CO. 09/06/18 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 19WC 03711 DANIEL, KENNETH NORTHWESTERN MEMORIAL HOS 01/07/19 WHITESIDE & GOLDBERG LTD 838 19WC 03762 WILSON, JEANNEEN STATE OF ILLINOIS @ 01/08/19 STEVEN B SALK & ASSOC LTD ASSISTANT ATTORNEY GENERAL 839 19WC 03776 PETERSEN, SCOTT OAK LAWN POLICE DEPARTMEN 01/08/19 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 840 19WC 03839 ODISHO, SEZAR SEARS 02/01/19 SEIDMAN MARGULIS & FAIRMAN 841 19WC 03842 MAJOR, MELISSA UNITED CONTINENTL HOLDING 12/15/18 KATZ FRIEDMAN EAGLE ET AL 842 19WC 03864 BOWMAN, RHONDA CHICAGO TRANSIT AUTHORITY 01/21/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 843 19WC 03894 HERNANDEZ, NELLY GUADARRA ABBOTT RUBBER CO, INC 03/14/17 HERRERA LAW CENTER DENNIS J NOBLE & ASSOC 844 19WC 03913 JEFFERSON, ATERA CTA 01/25/19 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 845 19WC 03935 GODINEZ, CRISTOBAL STAFF RIGHT LLC 10/19/18 DEPAOLO & ZADEIKIS 846 19WC 03960 SHKIRDAN, TETIANA FLETCHER JONES MNGMNT GRO 01/28/19 WHITESIDE & GOLDBERG LTD 847 19WC 03961 MORALES, ROLANDO DOUMAK, INC. 06/25/18 ARGIONIS & ASSOCIATES LLC 848 19WC 04015 ALVAREZ, JOSE M MONDELEZ INTERNATIONAL 09/01/18 CORNFIELD & FELDMAN 849 19WC 04039 GILL, ANTONIO RON'S STAFFING 01/24/19 DWORKIN AND MACIARIELLO KOREY RICHARDSON LLC 850 19WC 04125 DI FRONZO, VITO A LAMP CONCRETE CONTRACTO 11/17/18 SCHRAMM LAW GROUP KRAKER FANNING & OLSEN 851 19WC 04159 LENAGHAN, DIONNE UNITED CONTINENTAL HOLDIN 02/01/19 BRIAN J MC MANUS & ASSOC, 852 19WC 04177 PILARSKI, RONALD SUPERVALU, INC. 02/15/17 VLANTIS LAW LLC LEAHY EISENBERG & FRAENKEL 853 19WC 04191 MANDZIARA, THOMAS J AMERICAN AIRLINES, INC 10/08/18 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 854 19WC 04207 MC CONICO, MICHAEL BATTAGLIA FOODS 05/22/18 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 19WC 04227 WINSTON, MARCUS OZINGA 01/30/19 EDWIN REYES LAW FIRM GAROFALO SCHREIBER STORM GRA 856 19WC 04249 OMBALINO, TERESITA P PETERSON PARK HEALTH CARE 09/28/17 STEVEN B SALK & ASSOC LTD 857 19WC 04263 DAVIS, ROBERT COCA-COLA ENTERPRISES 11/30/18 CULLEN HASKINS NICHOLSON 858 19WC 04279 MALDONADO, YURIDIANA HOGSALT 12/22/18 CHEPOV & SCOTT LLC 859 19WC 04298 GORIAL, ELISHWA OXFORD HOTELS & RESORTS L 02/03/19 NEMEROFF LAW OFFICES DENNIS J NOBLE & ASSOC 860 19WC 04321 BANKS, AMBER EATALY 05/01/18 DWORKIN AND MACIARIELLO 861 19WC 04356 SMITH, NURUDEEN AUTOZONE 01/17/19 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 862 19WC 04372 HILLIARD, LORINDA UNITED CONTINENTL HOLDING 12/12/18 WHITESIDE & GOLDBERG LTD 863 19WC 04394 BONNETTS, WILLIAM THE CITY OF CHICAGO 01/07/19 BRIAN J MC MANUS & ASSOC, 864 19WC 04413 ROMANENKO, TERESA SCRUB, INC 12/19/18 SEIDMAN MARGULIS & FAIRMAN PETERSON JOHNSON & MURRAY 865 19WC 04448 MARTINEZ, FLAVIO GREEN EARTH FACILITY SERV 05/21/18 ENCINAS & ORNELAS 866 19WC 04473 JIMENEZ, ARMANDO ELITE STAFFING INC 11/29/18 ROBERT WARSASKI 867 19WC 04497 WILLIAMS, JEREMY PECO PALLET INC 02/07/19 ANGELINI & ORI LLC KOPKA, PINKUS DOLIN, PC 868 19WC 04520 COLEMAN, JENNIFER CITY OF CHICAGO 01/16/19 ARGIONIS & ASSOCIATES LLC 869 19WC 04550 TAYLOR, KEITH WATER RECLAIMATION DISTRI 02/11/19 SEIDMAN MARGULIS & FAIRMAN 870 19WC 11449 GARRETT, KIMBERLY DOMINICAN UNIVERSITY * 12/05/18 VASILATOS & COTTER LLC 871 19WC 11473 CRUSE, ALBERT CPS/SIMEON HIGH SCHOOL * 11/27/18 LEONARD LAW GROUP LLC 872 19WC 11489 ANDRADE, JOSE TOP LINE DRYWALL INC * 03/07/19 EPSTEIN, JACK R LAW OFFICE PATRICK BROOKS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 873 19WC 11513 CASSEUS, RACHEL EUROPEAN SERVICE AT HOME * 06/15/18 MANDELL, GREGG 874 19WC 11568 PAYAN GUTIERREZ, JOSE I HIGHLAND BAKING CO * 11/25/18 ANKIN LAW OFFICE 875 19WC 11588 LOPEZ, PATRICIA VALDIVIA AKERS PACKAGING SERVICES * 01/31/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 876 19WC 11621 CACCIATORE, EUGENE MELROSE PARK POLICE DEPT 03/10/19 TAMVAKIS, GEORGE L 877 19WC 11631 MEARS, WILLIAM KURTZ AMBULANCE * 07/03/18 DWORKIN AND MACIARIELLO KELLEY KRONENBERG 878 19WC 11656 ASHFORD, NIKITA SHUGGA SHACK * 03/15/19 SEIDMAN MARGULIS & FAIRMAN 879 19WC 11681 SANCHEZ, ELVIS HARRISON'S POULTRY FARM I * 07/21/18 DAVID SZCZECIN & ASSOC 880 19WC 11702 HUGHES, BILLIE ENTERTARINMENT PARTNERS * 08/22/18 ROBERT WARSASKI RUSIN & MACIOROWSKI LTD 881 19WC 11724 TEAGUE, WILLIE KOCH MEAT CO, INC * 04/10/19 ANKIN LAW OFFICE 882 19WC 11753 MC DANIEL, MICHAEL PAPER STREET REALTY * 12/19/18 MARTIN L GLINK LAW OFFICE 883 19WC 11843 PEREZ, NICK BERGLUND CONSTRUCTION * 10/19/18 TAMVAKIS, GEORGE L 884 19WC 11863 SARHAGE, PATRICK PALOS HEIGHTS FIRE * 12/28/18 RIDGE & DOWNES 885 19WC 11924 URIOSTEGUI, FRANCELIA EL MESON, INC. * 06/15/17 BRIAN J MC MANUS & ASSOC, 886 19WC 11976 JONES, DARREN CROWN SERVICES, INC * 03/13/19 ANKIN LAW OFFICE 887 19WC 11991 GUILLEN, CARLOS FORD MOTOR COMPANY * 03/02/17 DONALD FOHRMAN & ASSOC 888 19WC 12020 DIAZ, ELICIA DLH SOLUTIONS INC * 10/09/18 RIDGE & DOWNES 889 19WC 12070 SMITH, TYRONE INGALLS MEMORIAL HOSPITAL * 03/10/19 STEVEN J MALMAN & ASSOCIAT 890 19WC 12119 MADSEN, JEANNEA NORRIDGE GARDENS LLC * 04/11/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 891 19WC 12144 FLORES, ELEANA MAPLE & ASH LLC * 12/27/18 CHEPOV & SCOTT LLC 892 19WC 12196 DRISCOLL, JOHN INTERNATIONAL DECORATORS * 05/08/18 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM GRA 893 19WC 12226 RHYNE, PATRICK BLUE SKY ARCHITECURAL MET * 02/27/19 O'CONNOR & NAKOS 894 19WC 12259 TYUS, WARREN WALMART * 12/11/18 CAPRON & AVGERINOS PC 895 19WC 12274 WOLNIAK, CHARLES J PENN SERVICES, LLC * 02/16/18 RUBIN LAW GROUP EVANS & DIXON, LLC 896 19WC 12303 CLEVELAND, LASHONDA FORD MOTOR COMPANY * 09/09/18 DONALD FOHRMAN & ASSOC 897 19WC 12322 GJERASI, STAVRO ROYAL MANAGEMENT CORP * 02/01/19 CIARDELLI CUMMINGS CAMPAGN 898 19WC 12363 WALKER, KENNETH FED EX * 04/16/19 MANDELL, GREGG 899 19WC 12408 JACKSON, MARTEZ SCR MEDICAL TRANSPORT * 03/14/19 SKLARE LAW GROUP LEAHY EISENBERG & FRAENKEL 900 19WC 12433 KING-BELL, SABRYNA-JOI CHICAGO TRANSIT AUTHORITY * 04/13/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 901 19WC 12443 VAN LANCKER, ELLEN SHERATON CHICAGO O'HARE * 04/07/19 SCOTT B SHAPIRO 902 19WC 12466 KALISZ, PETER XYLEM INC * 07/02/18 CUSHING LAW OFFICES 903 19WC 12484 CALDERON, ESTEBAN PJ TRANS INC * 04/22/19 HUGHES SOCOL PIERS RESNICK 904 19WC 12504 MEAD, AMY 7-ELEVEN STORES * 03/24/19 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 905 19WC 12521 WRIGHT-DILLARD, LILLIAN LEVI RESTAURANTS * 05/05/16 PETER D CORTI LAW GROUP 906 19WC 12536 SZCZYGLEWSKI, CHRIS THOREK MEMORIAL HOSPITAL * 03/21/19 GERALD CONNOR 907 19WC 12561 SANCHEZ, ISABEL BARRERA AEROTEK * 03/12/19 RUSSO & RUSSO LTD 908 19WC 12580 HERNANDEZ, JOSE CF INSTALLATIONS, INC * 11/30/18 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 19WC 12602 KERBER, JEFFREY P JR. ILLINOIS BELL TELEPHONE * 03/28/19 THE ROMAKER LAW FIRM 910 19WC 12628 COCROFT, TANIKA WELL NOW URGENT CARE * 04/10/19 DAVID W MARTAY 911 19WC 12650 KNEDLIK, THOMAS R ALL/TECH DECORATING * 04/11/19 ELFENBAUM EVERS & AMARILIO 912 19WC 12667 CARBAJAL, SANTIAGO EVANS FOOD GROUP LTD * 04/23/18 WITTER LAW OFFICE 913 19WC 12689 CLARK, MARGARET A SEPTRAN, INC * 11/16/18 GAINES & GAINES 914 19WC 12707 FLY, YVETTE DOLLAR TREE STORES, INC. * 04/13/19 ANKIN LAW OFFICE 915 19WC 12728 BURGERSS, KATHRYN LOWES * 05/07/18 ROGER D RUDICH LTD 916 19WC 12747 WILLIAMS, LINDA HEALTHPARK HOSPITALITY * 03/21/19 EDWIN REYES LAW FIRM 917 19WC 12786 BRITTMAN, JULIUS CITY OF CHICAGO * 04/14/19 STONE & MAYA PC 918 19WC 12819 ZUNIGA, HECTOR UNITED AIRLINES * 07/09/18 THE ROMAKER LAW FIRM 919 19WC 12839 ROBINSON, HELEN ROXUL USA INC. * 02/21/18 INMAN & FITZGIBBONS 920 19WC 12870 SMITH, BEVERLY ADDUS HOME CARE * 11/06/18 CHARLES LEVY & ASSOC LTD 921 19WC 12890 SULLIVAN, ANDREA TARGET * 04/14/19 MC HARGUE & JONES 922 19WC 12916 WALTERS, BARBARA M&M RENOVATION * 05/19/18 HORWITZ HORWITZ & ASSOC 923 19WC 12940 TURNER, ANGELO LABOR TEMPS, INC * 04/23/19 STEVEN J MALMAN & ASSOCIAT 924 19WC 12960 OSBORNE, ANDRE TOTAL STAFFING/OSI * 06/13/18 SEIDMAN MARGULIS & FAIRMAN KNELL O'CONNOR DANIELWICZ 925 19WC 12974 THAMCHAROENTIP, PHENCHAN UNITED AIRLINES * 03/26/19 CULLEN HASKINS NICHOLSON 926 19WC 12998 VELEZ, NEFTALY CENVEO INC * 04/03/19 ENCINAS & ORNELAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 19WC 13016 UMANZOR, ANDRES MILBURN LLC C/O JOE R. MI * 04/17/19 HETHERINGTON KARPEL & BOBB 928 19WC 13051 RAGSDALE, RODNEY UNITED AIRLINES, INC. * 02/25/18 KARCHMAR & STONE 929 19WC 13071 CHERRY, LISA SOUTHWEST AIRLINES * 07/21/18 CULLEN HASKINS NICHOLSON 930 19WC 13166 HARPER, CURTIS MARRIOT * 05/03/19 GERALD CONNOR 931 19WC 13227 FEHIL, TIMOTHY CONGLOBAL INDUSTRIES, LLC * 04/27/19 GWC INJURY LAWYERS LLC 932 19WC 13245 HAYNES, VERNISHA D CTA * 04/08/18 TIMOTHY HENDERSON 933 19WC 13266 HERNANDEZ, ROGELIO GONNELLA FROZEN PRODUCTS * 08/21/17 RUSIN & MACIOROWSKI LTD 934 19WC 13289 SANCHEZ, DOMINGO DIAMOND REMODELING LLC * 04/23/19 LEONARDO MORALES 935 19WC 13316 ELLERSON, MONICA CHICAGO PUBLIC SCHOOLS * 03/29/19 GORDON & CENTRACCHIO LLC 936 19WC 13335 FLOWERS, ROCKY SUMMORE * 12/20/18 RUBENS KRESS MULHOLLAND 937 19WC 13357 GOHL, RUSSELL T ILLINOIS BELL TELEPHONE C * 03/15/18 DAVID W CLARK 938 19WC 13385 ROSAS, HECTOR LCV STAFFING, LLC * 04/09/19 RATHBUN CSEVENYAK & KOZOL LITCHFIELD CAVO 939 19WC 13430 NOESEN, GARY K AMERICAN AIRLINES * 01/22/19 BARRY A KETTER 940 19WC 13492 MADISON, TERESA L UNITED AIRLINES INC. * 03/12/19 KURASCH & KLEIN, LTD 941 19WC 13526 LEE, EARNEST III SYSCO CHICAGO, INC. * 05/07/19 GOLDSTEIN AIOSSA & GOOD 942 19WC 13541 GERENA, MARIBEL JEWEL/OSCO * 02/20/19 DEPAOLO & ZADEIKIS 943 19WC 13548 GARCIA, HECTOR BAEZ GRANT PARK PACKING, INC * 05/03/16 BRADY CONNOLLY & MASUDA PC 944 19WC 13570 SHELBY, MAURICE D REAL ALLOY RECYCLING, INC * 01/04/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 945 19WC 13585 SANCHEZ, ENRIQUE VENT PRODUCTS COMPANY * 04/24/19 COSTA IVONE LLC 946 19WC 13614 LISK, ANTHONY UPS CARTAGE * 04/25/19 SCOTT B SHAPIRO 947 19WC 13636 QUINONES, CARLOS SNELLING STAFFING LLC * 05/07/19 GWC INJURY LAWYERS LLC 948 19WC 13656 MARTINEZ, HENRIETTA JEWEL FOODS/NEW ALBERTSON * 04/24/19 POLANSKY & CICHON CHTD 949 19WC 13677 FETT, JERRY COOK COUNTY CORRECTIONAL * 03/24/19 RANDALL T MANOYAN 950 19WC 13703 JUBIN, ZACHERI S GOODBERLET HOME SERVICES * 04/12/19 PETER F FERRACUTI & ASSOCI 951 19WC 13727 GODINEZ, MICHELLE LADSE * 12/04/18 BAUM RUFFOLO & MARZAL LTD 952 19WC 13750 GEFFRARD, JEAN KEL LOGISTICS INC. * 02/14/19 RUBENS KRESS MULHOLLAND 953 19WC 13771 HODGES, LATICIA DUNKIN DONUTS * 05/08/19 GRAVLIN, MICHAEL J LLC 954 19WC 13773 COOKS, INDIA CITY OF CHICAGO * 04/23/19 GORDON & CENTRACCHIO LLC 955 19WC 13795 ZEPEDA, MIREYA WINSTON BRANDS * 03/15/19 STANCZAK LAW OFFICES 956 19WC 13824 MALDONADO, GEORGE FED EX GROUND * 03/30/19 HORWITZ HORWITZ & ASSOC 957 19WC 13844 JACKSON, JOANN COOK COUNTY HOSPITAL * 05/01/19 LUSAK AND COBB 958 19WC 13886 MONTGOMERY, LATESHA DOLLAR TREE, INC D/B/A * 03/19/19 SIMS, ZACHARY K PC 959 19WC 13905 CABADA, NIDIA SOUTHWEST AIRLINES CO * 07/26/18 SOSTRIN AND SOSTRIN PC 960 19WC 13938 CONTRERAS, GONZALO COOK CNTY SCHOOL BUS INC * 05/03/19 AIOSSA LAW FIRM 961 19WC 13995 PASTRANA, ELISA LOYOLA UNIVERSITY MEDICAL * 04/17/19 RONALDSON & KUCHLER 962 19WC 14018 SMITH, MARCUS THE LINN CONTRACTING COMP * 08/02/16 BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 06/19/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 963 19WC 14034 NUNEZ, IRIANA WEBER-STEPHEN PRODUCTS, L * 05/08/19 HANNIGAN & BOTHA, LTD 964 19WC 14057 ROMAN, RENE METRO AIR SERVICES * 03/27/19 LEONARD LAW GROUP LLC 965 19WC 14077 URRUTIA, MARTIN COUGLE COMMISSION COMPANY * 04/03/19 HERRERA LAW CENTER 966 19WC 14120 KING, DAVID SYSCO CHICAGO INC * 04/03/17 GWC INJURY LAWYERS LLC 967 19WC 14147 VIGIL, DIEGO E HEARTLAND ALLIANCE FOR HU * 11/14/17 INMAN & FITZGIBBONS 968 19WC 14182 FORTNER, PRENTICE CHICAGO TRANSIT AUTHORITY * 05/12/19 STROM & ASSOC 969 19WC 14239 RIOS, MARY D SEALED AIR CORPORATION * 08/04/18 DAVID W MARTAY 970 19WC 14257 PARKS, CHARLESTON AMERICAN AIRLINES * 05/07/19 MICHAEL HELLMAN 971 19WC 14277 WASHINGTON, JUJUAN U-HAUL MOVING & * 03/15/19 DWORKIN AND MACIARIELLO 972 19WC 14303 KU, IRENE UNITED CONTINENTAL HOLDIN * 04/22/19 KATZ FRIEDMAN EAGLE ET AL