ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 63060 MURRAY, PATRICIA WIDOW AN MOTOROLA # 11/15/99 ELFENBAUM EVERS & AMARILIO BRADY CONNOLLY & MASUDA PC 2 01WC 04146 FELL, BERNARD T STATE OF IL/DEPT OF TRANS @ 12/13/00 DECKER LINN & CAMPE ASSISTANT ATTORNEY GENERAL 03WC016153 -C ST OF IL IL DEPT OF TRANSP 04WC033448 -C 3 01WC 26682 MARSZALEK, JAMES J AS BELL ENTERTAINMENT 01/19/99 MARSZALEK AND MARSZALEK SPIEGEL & CAHILL, PC 02WC054561 -C 4 02WC 12535 CRAWFORD, CYNTHIA WINCHESTER HOUSE 10/11/01 LAW OFFICES OF MICHAEL J H WOLFE & JACOBSON, LTD 02WC026043 -C 5 02WC 20690 RUTECKI, JOHN EDWARD SCOTSMAN ICE SYSTEMS 03/18/98 STEVEN J SEIDMAN LAW OFFIC COZZI & GOGGIN-WARD 6 02WC 33832 19B ROMEO, JEFF MJ ELECTRIC AND/OR 05/02/02 COLLISON & O'CONNOR LTD GAROFALO SCHREIBER STORM 08WC043619 -C BECKER ELECTRIC 7 06WC 30316 WALTERS, PAMEILIA ST OF IL, ANN M KILEY CEN @ 07/15/04 MARKHAM M JEEP & ASSOCIATE ASSISTANT ATTORNEY GENERAL 08WC007220 -C 10WC033613 -C ANN KILEY CENTER 11WC031432 -C STATE OF ILLINOIS 12WC036680 -C 8 07WC 14933 MARTINEZ ATKIN, SUE STATE OF ILLINOIS ANN KIL 03/12/07 CAMERON CLARK ASSISTANT ATTORNEY GENERAL 9 07WC 21090 19B BAHENA, MARIA T WILLIAMS ELECTRONIC GAME 03/02/07 DWORKIN AND MACIARIELLO NOBLE & ASSOCIATES PC 10 07WC 40157 ANDREWS, DAVID PEPPER PATH HOMES W 04/23/07 POLANSKY & CICHON CHTD 11 07WC 46850 19B LEWANDOWSKI, AMBER ALDI FOODS 07/15/07 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 12 08WC 27768 SALYER-ROBERTS, TAMMY AUTO ZONE 04/14/08 STEVEN J SEIDMAN LAW OFFIC GILDEA & COGHLAN 11WC037755 -C 13 08WC 32702 HUCKER, KURT GPW BUILDERS 01/18/08 RICHARD D HANNIGAN, LTD BRADY CONNOLLY & MASUDA PC 14 08WC 35482 RODRIGUEZ, CELESTINO L & M CORRUGATED 05/12/08 GOLDSTEIN FISHMAN BENDER E RODDY LAW LTD 15 08WC 51751 PADILLA, JOHN MIDWEST DECK-N-DOCK INC 09/02/08 ANKIN LAW OFFICE STANCZAK LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 08WC 53741 CHARLIER, MONICA A ST OF IL DEPT OF W 10/09/08 TAMVAKIS, GEORGE L ASSISTANT ATTORNEY GENERAL 17 08WC 56379 FREIBERG, MICHAEL G LAKE COUNTY HEALTH DEPART 05/11/07 MARKHAM M JEEP & ASSOCIATE SMITH AMUNDSEN LLC 18 09WC 02346 KESSLER, DOUG WEBMD INC 02/07/07 MURPHY & MURPHY NYHAN BAMBRICK KINZIE & LOWR 19 09WC 05102 GUZMAN, ALICIA WILLIAMS ELECTRONIC 10/10/08 O'CONNOR & NAKOS NOBLE & ASSOCIATES PC 09WC005103 -C 09WC024600 -C WMS GAMING INC 12WC032181 -C 20 09WC 13346 JULIAN, SOFIA COMPELETE TEMPORARY LABOR 07/18/08 MARK A MORGENSTERN KOREY LAW LLC 21 09WC 24465 19B DONNER, TERESA VISTA MEDICAL CENTER EAST 11/10/08 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 22 09WC 27706 STARK, SHELLY DELL ASAP SOFTWARE 05/15/08 MARKS INJURY LAW HENNESSY & ROACH PC 23 09WC 31988 RUYAK, CHERYL LAKE VILLAGE SCHOOL DST # 02/13/09 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 15WC021355 -C 24 10WC 20662 19B JARERO, JORGE SMURFIT STONE 03/29/10 RICHARD D HANNIGAN, LTD GAROFALO SCHREIBER STORM 25 10WC 49197 JULIAN, SOPHIA MOST VALUABLE PERSONNEL 07/18/08 MARK A MORGENSTERN 26 11WC 00239 DALESSANDRO, MICHAEL F TH RYAN CARTAGE 10/05/10 BOUDREAU NISIVACO LLC HINSHAW & CULBERTSON 27 11WC 01134 DIAZ, JUAN MANUEL CHARLESTON BUILDING SERV W 11/08/10 KATZ FRIEDMAN EAGLE ET AL 28 11WC 04174 WOOD, RICHARD M MICHAEL PEMBROOK; INDIVID 08/09/10 LINN, CAMPE & RIZZO LTD 29 11WC 05392 CONTA, ASHLEY BATH & BODY WORKS 12/29/10 COHN & COHN BRYCE DOWNEY & LENKOV LLC 30 11WC 09284 RIOS, DAVID KILDEER COUNTRYSIDE 05/21/10 LEE A CAMPBELL LAW OFFICE WIEDNER & MCAULIFFE LTD 31 11WC 10729 VALENTIN, ISMAEL CHANON ARTURO FUENTUES W 08/11/09 CULLEN HASKINS NICHOLSON 32 11WC 19583 SHULTIS, KAREN YMCA EARLY HEAD START 04/19/11 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 11WC 29140 BREWTON, CLARA BAXTER HEALTHCARE 04/23/11 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 34 11WC 30055 POSADAS, PAULA LB ANDERSEN 07/21/11 MARKHAM M JEEP & ASSOCIATE WIEDNER & MCAULIFFE LTD 35 11WC 31525 HAPP, LAWRENCE J WAUKEGAN SCHOOL DISTRICT 09/07/10 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 36 11WC 31703 KEENAN, RENEE LONG GROVE FIRE 11/23/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 37 11WC 32054 LENOX, SHAWN P INTEGRYS ENERGY GROUP 04/04/11 PERONA, PETERLIN, ANDREONI GAROFALO SCHREIBER STORM 38 11WC 47377 CUNA, JOSE G PERFORMANCE FOOD GROUPº 09/13/11 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 39 11WC 49088 WATTS, SHEVELLE STATE OF ILLINOIS @ 12/10/11 HORWITZ HORWITZ & ASSOC 12WC015723 -C ANN M KILEY CENTER 40 12WC 08199 REICHEL, AMY N STATE OF ILLINOIS @ 02/14/12 DWORKIN AND MACIARIELLO MATTHEW LICAVOLI 41 12WC 09038 DOYLE, JANICE NORTHWESTERN LAKE FOREST 05/29/09 GALLIANI DOELL & COZZI LTD NYHAN BAMBRICK KINZIE & LOWR 12WC009039 -C 42 12WC 12128 ORTIZ, ISIS PAYLESS SHOE SOURCE 08/16/11 SHELDON I MINKOW & ASSOCIA HINSHAW & CULBERTSON 43 12WC 12809 SHEPARD, REGINA D ABBOTT LABORATORIES, INC 02/29/12 NICHOLIS J STEIN HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 12WC 20727 MALDONADO, SALVADOR L A LANDSCAPE INC 11/01/09 CULLEN HASKINS NICHOLSON 45 12WC 21222 FLAMMINI, DONNA R VISTA MEDICAL CENTER EAST 08/27/10 MARK B PEAVEY, PC WIEDNER & MCAULIFFE LTD 12WC021223 -C 13WC018985 -C 13WC029756 -C 14WC004510 -C 14WC028449 -C 15WC014515 -C 46 12WC 30896 PEROTT, MARC MENARDS INC 08/20/12 PETER D CORTI LAW GROUP CHILTON YAMBERT PORTER LLP 13WC041850 -C 15WC015990 -C 47 12WC 34064 CIANGI, SALLY STATE OF ILLINOIS @ 02/16/10 KATZ FRIEDMAN EAGLE ET AL JORDAN FRANK 12WC034065 -C 48 12WC 35024 RAMIREZ, RENE ARCHITERRA INC DBA 08/13/12 JONATHAN SCHLACK LEAHY EISENBERG & FRAENKEL 49 12WC 35125 CRUMP, WILLIAM ABBOTT LABORATORIES 03/13/12 DAVID W MARTAY HENNESSY & ROACH PC 12WC035126 -C 50 12WC 36720 SNYDER, ROSA PARKER HANNIFIN CORPORATI 08/07/12 MAY & BUEGE RUSIN & MACIOROWSKI LTD 17WC031139 -C 51 12WC 39144 MARSZALEK, JAMES, EXECUTO BELL ENTERTAINMENT # 08/04/02 MARSZALEK AND MARSZALEK 52 12WC 40418 NAGEL, RAY INTERSTATE BRANDS 10/04/12 GOLDBERG WEISMAN & CAIRO L SCOPELITIS GARVIN LIGHT 12WC040419 -C 53 12WC 41543 ARTAC, JEFF NORTH SHORE GAS CO 10/04/12 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 54 12WC 43944 GALLUP, JAMISON AT&T 09/27/12 MARKHAM M JEEP & ASSOCIATE INMAN & FITZGIBBONS 55 12WC 44023 GUERRERO, LESLY CARDINAL HEALTH 08/15/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 56 13WC 03031 TOUSI, SAEID O'HARE MIDWAY 01/04/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 57 13WC 04243 LENOX, SHAWN INTEGRYS ENERGY GROUP 08/07/12 PERONA, PETERLIN, ANDREONI GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 13WC 05519 VILLARREAL, ALI D NORTHERN ILLINOIS MACK 05/31/12 LINN, CAMPE & RIZZO LTD HEYL ROYSTER VOELKER & ALLEN 59 13WC 05634 PARISI, MARY K THE MERIT CLUB 09/19/11 LINN, CAMPE & RIZZO LTD CASSANO & ASSOCIATES 60 13WC 05970 KOCH, JAMES P VILLAGE OF VERNON HILLS 08/29/12 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 13WC005972 -C 14WC005707 -C 14WC005714 -C 15WC007039 -C 15WC007234 -C 15WC038477 -C 61 13WC 07788 SPENCER, ARLETHA R LAKE BLUFF HOME CARE SOLU 07/12/12 ALAN A BLUM, PC SPIEGEL & CAHILL, PC 62 13WC 08489 SAAVEDRA, PETRA BG STAFFING 02/07/13 THE ROMAKER LAW FIRM QUINTAIROS PRIETO WOOD & BOY 16WC007954 -C VISUAL PAK CORPORATION 17WC000147 -C AEROTEK 63 13WC 08735 HOPF, MICHAEL FEDEX EXPRESS 07/06/12 EPSTEIN, JACK R LAW OFFICE HANSON LAW OFFICE 13WC008741 -C 64 13WC 08967 KINNEY, DARRYL STACK ON PRODUCTS INC 11/02/12 VASILATOS & COTTER LLC LAW OFFICE OF PAUL O WATKISS 13WC038853 -C 13WC038854 -C 14WC013310 -C 15WC008592 -C 15WC018524 -C 16WC000649 -C 16WC000651 -C 65 13WC 11024 RIVERA, MIQUEL CDW 08/15/12 DUDLEY & LAKE LLC HENNESSY & ROACH PC 66 13WC 11947 KORNSTEIN, RICHARD PEP BOYS 11/30/12 MARKHAM M JEEP & ASSOCIATE CHILTON YAMBERT PORTER LLP 67 13WC 12028 HELGESEN, KYLE CITY OF ZION POLICE DEPT 09/11/12 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 14WC011363 -C 68 13WC 12249 AVILA, MINERVA ACE LASER TEK INC 03/29/13 JOHN S. ELIASIK HANSON LAW OFFICE 69 13WC 13353 LAZAR, LLENE CHASE BANK 01/03/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 70 13WC 13365 MONTIEL, MIRNA QPS EMPLOYMENT GROUP 08/01/12 MARSZALEK AND MARSZALEK WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 13WC 13842 IRBY, SHARMAN ADA MCKINLEY 07/05/12 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 72 13WC 14072 PIOTROWSKI, RICHARD COSTCO WHOLESALE 03/04/12 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 73 13WC 15370 SOMOZA, HELEN M COMMUNITY ACTION 05/17/12 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 74 13WC 15891 MENDOZA, RAUL LAKE COUNTY FOREST 11/29/12 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 75 13WC 16184 AYALA, JOSE COLEMAN CABLE INC 12/06/10 POSTERLI, OSCAR GRANT & FANNING 76 13WC 17595 PICARD, SHANICE T DENTAL DREAMS 04/30/12 PAUL A COGHLAN & ASSOC LAW OFFICES OF EDWARD J. KOZ 77 13WC 18958 CARLOS, JESUS VIC'S & SON LANDSCAPING, W 04/23/13 CULLEN HASKINS NICHOLSON 78 13WC 20475 PHELPS, MYRON ANN KILEY 05/28/13 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 14WC027387 -C 79 13WC 25544 OSORIO, ENRIQUE LUDLOW MANUFACTURING 03/07/13 JONATHAN SCHLACK HEYL ROYSTER VOELKER & ALLEN 13WC040110 -C 80 13WC 26537 DOTSON, JEWELL BATH AND BODY WORKS 01/02/13 COHN & COHN GALLIANI DOELL & COZZI LTD 81 13WC 27373 RANGEL, LORENA MVP STAFFING INC 07/09/13 CULLEN HASKINS NICHOLSON KOREY COTTER HEATHER RICHARD 82 13WC 28082 LAGOS, RAUL UNISTAFF, INC 05/03/13 LAW OFFICE HUGO ORTIZ WIEDNER & MCAULIFFE LTD 83 13WC 29472 JOZEFOWICZ, EDWARD ABBOTT 02/07/13 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 84 13WC 29547 GIGNAC, MICHAEL E W S WELDING SUPPLY 05/15/13 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 85 13WC 29620 GARCIA, MARIA E MAID BRIGADE W 03/07/13 CULLEN HASKINS NICHOLSON 86 13WC 32022 WILLKOMM, SARAH BAXTER HEALTHCARE CORPORA 02/15/12 DOUGLAS RALLO PC MACIOROWSKI SACKMANN & ULRIC 87 13WC 32815 REIDY, PATRICK J CON WAY FREIGHT INC 10/19/11 KELLY & KING RUSIN & MACIOROWSKI LTD 88 13WC 35168 RUIZ, JOEL VALUE CITY FURNITURE 09/13/13 JONATHAN SCHLACK HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 13WC 35862 AMEZQUITA-MARTINEZ, MARIA FLEXIBLE STAFFING 05/27/13 JEROME FOREMAN & ASSOCIATE GRANT & FANNING 90 13WC 39188 SILVA-MORALES, GABRIEL LEIDERS PRAIRIE VIEW GARD 05/15/13 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 91 13WC 39510 SUAREZ, ANGELA MARIA (WID PRECISION PARTNERS 09/04/13 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 15WC002919 -C 92 13WC 42402 GUTIERAREZ, ROCIO GOODWILL TALENT BRIDGEP 11/08/13 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 93 14WC 00222 GREEN, LETORIA M ST OF IL DHS 10/08/13 GALLAGHER, DONALD V ASSISTANT ATTORNEY GENERAL 94 14WC 01982 MONTEMAYOR, SYLVIA A VONCO PRODUCTS, LLC 03/12/12 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 95 14WC 02316 GARCIA, JOSE A NELS J. JOHNSON TREE 06/28/12 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 96 14WC 02509 19B WALLACE, CAROLYN FEDEX GROUND 12/23/13 SEIDMAN MARGULIS & FAIRMAN KOPKA, PINKUS DOLIN, PC 97 14WC 02696 ABDAGIC, NEVZETA KENALL MANUFACTURING 10/05/12 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 98 14WC 03671 SWANSON, MICHAEL J CITY OF HIGHLAND PARK 09/03/13 DOUGLAS RALLO PC POWER & CRONIN LTD 99 14WC 03882 ZAMICHE, FAHIM J.M.E. MARKETING INC 10/25/13 MEYERS & FLOWERS COZZI & GOGGIN-WARD 100 14WC 05153 MONTIEL, MARIO OKABE CO, INC 12/19/13 KENNETH B GORE, LTD RUSIN & MACIOROWSKI LTD 101 14WC 06337 JUAREZ, REYNA C MEDLINE INDUSTRIES INC 02/07/12 JAUREGUI & ASSOCIATES GAROFALO SCHREIBER STORM 14WC006338 -C 102 14WC 06564 MAIER, ANNE-MARIE MILLBURN DISTRICT 24 12/10/10 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 14WC014359 -C 16WC008319 -C 103 14WC 07070 BRCIK, MICHAEL G VASO JOVIC DBA ALEXANDRA 09/29/13 CRONIN & PETERS LAW OFFICES DEBORAH SCHAEFER 16WC031313 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 14WC 07568 PARDA, GRAZYNA WOLLYS CLEANING SERVICES 01/24/14 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 105 14WC 07633 HENRIKSEN, HENRY FEDERAL EXPRESS 11/23/12 LINN, CAMPE & RIZZO LTD HANSON LAW OFFICE 15WC038921 -C FED EX 106 14WC 08147 HAHLE, JAMES P ROUNDY'S INC 12/27/11 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 107 14WC 09015 ESTEBAN, CARLOS LAWN MAN SERVICE 04/26/13 CULLEN HASKINS NICHOLSON 108 14WC 09550 CLEMENS, VINCENT WAUCONDA FIRE 09/27/11 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 109 14WC 10423 SANCHEZ, ALEXIS PRESTAGE PROPERTY 04/29/13 BERG & BERG GANAN & SHAPIRO 110 14WC 12236 PEREZ-WHEELER, BELINDA LAKE COUNTY HEALTH DEPT 11/01/13 CHARLES LEVY & ASSOC LTD SMITH AMUNDSEN LLC 111 14WC 14398 CLEMENS, VINCENT WAUCONDA FIRE PROTECTION 08/05/13 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 112 14WC 16461 BOONE, JONATHAN THE PLUMBER DOCTOR W 04/27/14 WOODRUFF & JOHNSON 113 14WC 17908 SCOTT, ERIC DEPARTMENT OF HUMAN SERVI @ 12/28/13 THE MACK LAW GROUP PC ASSISTANT ATTORNEY GENERAL 114 14WC 18114 CUARENTA, ALFONSO INTERNATIONAL PRECISION C 05/19/14 STROM, NEAL B LAW OFFICES JOSEPH MARCINIAK 115 14WC 18407 RATAJCZYK, MICHAEL LAKELAND AUTOBODY INC 12/26/12 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 116 14WC 19542 GALLEGO, PEDRO VOLKSWAGEN CREDIT INC 01/11/13 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM 117 14WC 19923 HOFF, JOHN JOSEPH SAFE TRAVEL 02/02/13 COHN & COHN HENNESSY & ROACH PC 118 14WC 20132 SHIN, IK VOICE TRANS INC 05/10/14 LEO ALT 119 14WC 20673 DOMINGUEZ, DIXIANA LIZETH ELITE STAFFING INC 05/30/14 PARENTE & NOREM PC MARC CAIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 120 14WC 21051 TENTLER, DAVID KNAUZ MOTOR SALES INC 02/24/14 MARKHAM M JEEP & ASSOCIATE GANAN & SHAPIRO 121 14WC 21258 LOCKWOOD, CHARLES NFI INDUSTRIES 05/12/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 14WC035277 -C 122 14WC 21429 CARRENO, MARIA BEL RESOURCES, INC. 11/14/13 FERRIS THOMPSON & ZWEIG 123 14WC 23094 GLATZ, MARY ANN JEWEL FOOD STORES INC 09/25/12 GRAHAN J. JEEP QUINTAIROS PRIETO WOOD & BOY 14WC023095 -C 124 14WC 23428 WONNELL, NORMAN LEE THOMAS HAMILTON ROOFING 12/02/13 LAW OFFICES TIMOTHY LAMPIN 125 14WC 23564 NASH, KURT SR CITY OF NORTH CHICAGO 12/28/11 COLLISON LAW OFFICES INMAN & FITZGIBBONS 126 14WC 23979 DELGADO, ELIZABETH STAFFING NETWORK LLC 02/15/14 STROM, NEAL B SLAVIN & SLAVIN 127 14WC 24336 SJODIN, DONNA JONES LANG LASALLE 03/14/14 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 128 14WC 24442 ALVAREZ, ISMAEL SEB SERVICES OF NEWYORK, 06/30/14 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 129 14WC 24891 19B SCHMIDT, MICHELENE SENIOR SILVERADO LIVING 01/30/15 STEVEN J TENZER, LTD RUSIN & MACIOROWSKI LTD 15WC005245 -C 130 14WC 25037 ESCOBAR, JOSE DORMA AUTOMATIC 07/17/14 AIOSSA LAW FIRM 131 14WC 25296 JAKUBIAK, ROMAN COST OF WISCONSIN INC 05/05/14 CUSHING LAW OFFICES HOLECEK & ASSOCIATES 132 14WC 25332 CARDOSO, JAVIER AROMA INDIAN 07/02/14 CULLEN HASKINS NICHOLSON 133 14WC 25901 MUN, JOHN WM MEYERS & SON 05/19/14 TOPPER & WEISS LTD 134 14WC 26083 PARHAM, VICTORIA ILLINOIS CENTRAL SCHOOL B 05/12/14 SHELDON I MINKOW & ASSOCIA MACIOROWSKI SACKMANN & ULRIC 14WC026085 -C 135 14WC 26565 MELCHOR, AUGUSTIN PATRICK SCALZO INDIVIDU & 05/29/14 LINN, CAMPE & RIZZO LTD 136 14WC 27131 VASQUEZ, JAIME MANEVAL CONSTRUCTION COMP 08/04/14 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 14WC 27565 AYALA, ANDRES JB BRICKWORKS INC 11/04/13 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 138 14WC 30610 NUNEZ, NORMA A-S MEDICAL SOLUTIONS 12/12/12 THE ROMAKER LAW FIRM LAW OFFICES OF EDWARD J. KOZ 139 14WC 31164 GALVEZ, JOSE MOST VALUABLE PERSONNEL 07/01/14 FERRIS THOMPSON & ZWEIG KOREY RICHARDSON LLC 140 14WC 31450 GROVER, ROBERT W LAKE SHORE BEVERAGE, INC 06/24/14 LINN, CAMPE & RIZZO LTD ASHER, RAYMOND L LTD 141 14WC 31925 CONTRERAS, LUIS PETCO 01/08/14 DOUGLAS RALLO PC HOLECEK & ASSOCIATES 142 14WC 32782 BENES, FRANK STATE OF ILLINOIS @ 05/05/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 143 14WC 33349 GRAF, L KELLY HBS MANAGEMENT CORP 08/09/13 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 144 14WC 33350 VERLEY, MICHELLE KINDERCARE LEARNING CENTE 11/11/13 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 145 14WC 34257 ESCUTIA, MARIA GRAND AVENUE DONUTS INC 09/15/14 JONATHAN SCHLACK BRYCE DOWNEY & LENKOV LLC 14WC034258 -C 146 14WC 35145 HERWERTH, DEBBIE L SEARS INC 03/27/14 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 16WC033851 -C 147 14WC 36112 POMOZY, ATTILA USA OVERSEAS WIRELESS CAB 06/12/14 NEWLAND & NEWLAND GANAN & SHAPIRO 148 14WC 37160 KREJCI, CELIA SUNRISE SENIOR LIVING 04/22/13 ANTHONY J MAY NOBLE & ASSOCIATES PC 149 14WC 37839 GENTZEN, JULIE A ROUND LAKE SCHOOL 09/05/14 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 150 14WC 37982 TAPIA, MARIA LORENA ECHO INC 08/09/12 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 151 14WC 40326 VASQUEZ, JOSEFINA ABBVIE 07/16/14 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 152 14WC 41250 YOUSIF, ANDY ARAMARK 10/23/14 KALOGERAKOS & ASSOC 153 14WC 42542 MARTINEZ, JUAN SON CROP DBA ROSATIS PIZZ 01/09/14 FERRIS THOMPSON & ZWEIG 154 14WC 42797 RYBARCZYK, GREGORY JR THE COCA COLA COMPANY INC 11/13/14 GRAHAM J. JEEP BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 155 14WC 42838 MANGES, JOSEPH E VILLAGE OF GRAYSLAKE 07/11/13 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 156 14WC 43279 ESPINOZA, ESTEBAN LEWIS PRODUCE MARKET 11/25/14 POSTERLI, OSCAR KOPKA, PINKUS DOLIN, PC 157 14WC 43641 VUONG, MILAGRO STAFFING DIMENSIONS 04/09/12 FERRIS THOMPSON & ZWEIG LAW OFFICES FRANCESCA LARSEN 14WC043642 -C 14WC043643 -C 158 15WC 00786 ZUNIGA, ADOLFO A DIVINCI PAINTERS INC 12/23/14 GOLDSTEIN AIOSSA & GOOD 159 15WC 00878 RODRIGUEZ, KRISTINE VAL'S FRESH MARKET 11/20/14 WILLIAMS, ROBERT B LAW OFF GAROFALO SCHREIBER STORM 160 15WC 01335 JACKSON, WILLIAM L ARAMARK 12/19/14 ANKIN LAW OFFICE 161 15WC 02640 FLORES, ADRIAN HORIZONS HOLDINGS LLC 07/07/14 DOUGLAS RALLO PC COZZI & GOGGIN-WARD 162 15WC 03353 AQUINO, FELIX WALKER BROTHERS, THE ORIG 01/01/15 FERRIS THOMPSON & ZWEIG 163 15WC 03354 MENDEZ, LORENA RJB PROPERTIES 11/10/14 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 164 15WC 04066 DEMAIN, DANIEL J MBA TRANSPORT LTD 10/30/14 HANNIGAN & BOTHA, LTD ALLEN KOPET & ASSOCIATES 165 15WC 04500 COLEMAN, TANISHA HELP-AT-HOME, INC 11/30/14 LEO ALT COZZI & GOGGIN-WARD 166 15WC 05575 GUZMAN, YOLANDA NEMERA 01/16/15 JONATHAN SCHLACK HENNESSY & ROACH PC 167 15WC 06336 MARTINEZ, ITZEL XCEL STAFFING SOLUTIONS 10/03/14 LINN, CAMPE & RIZZO LTD KOREY RICHARDSON LLC 168 15WC 06355 DE JESUS, HERNANDEZ VELAZ LABOR SOLUTIONS, INC. 08/25/14 LINN, CAMPE & RIZZO LTD NEWLAND & NEWLAND 169 15WC 06465 BLAIR, REGINA K. SIX FLAGS GREAT AMERICA 08/07/13 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 170 15WC 06774 QUEZADA, MARTIN ZION SOLUTIONS LLC 02/04/15 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 171 15WC 07478 LANG, JOHN WASTE MANAGEMENT 01/05/15 GOLDBERG WEISMAN & CAIRO L 172 15WC 08334 CAMARGO, CASIMIRO LENO'S CERAMIC & TILE MAR W 02/19/15 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 15WC 08529 BETTS, DON GURNEE DODGE 02/14/15 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 174 15WC 08545 DALTON, SHAUN R ELITE STAFFING 02/21/15 LEE A CAMPBELL LAW OFFICE GAROFALO SCHREIBER STORM 175 15WC 09342 ALLEN, JENNIFER DEB SHOPS, INC. 03/10/13 MARKHAM M JEEP & ASSOCIATE 176 15WC 09536 KAMPENDAHL, KURT E AT & T INC 02/22/15 GOLDBERG WEISMAN & CAIRO L 177 15WC 10676 CORRALES, MARIA GREAT LAKES RESOURCES 03/12/15 FERRIS THOMPSON & ZWEIG HOLECEK & ASSOCIATES 178 15WC 11388 YU, JONATHAN PEAPOD, INC 12/16/14 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 179 15WC 11485 ARROYO, PERLA SMALLEY STEEL RING CO 03/23/15 LUIS A ACEVES & ASSOC 180 15WC 11551 LANZEROTTI, KRISTEN ANTIOCH SCHOOL DISTRICT 3 11/10/14 MARKS & ASSOCIATES ANCEL GLINK DIAMOND BUSH & E 181 15WC 12023 MC CORKHILL, SHAWN E PRAXAIR 10/21/14 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 182 15WC 12089 GARCIA, EMPERATRIZ ECHO INC 04/16/13 FERRIS THOMPSON & ZWEIG 183 15WC 12435 VELASCO, JAVIER SELECT REMEDY 08/22/14 JOHN S. ELIASIK LEAHY EISENBERG & FRAENKEL 184 15WC 12540 SCHWAB, MICHAEL HAYES MACHANICAL 03/09/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 185 15WC 13259 ACOSTA, SANDRA LONG GROVE CONFECTIONERY 03/09/15 GANAN & SHAPIRO 15WC031333 -C 186 15WC 13401 PEREZ, BERTHA ABBVIE 10/20/13 WIEDNER & MCAULIFFE LTD 187 15WC 14119 SCALES, SAM IDOT 03/30/15 ILLINOIS ATTORNEY GENERAL 188 15WC 14319 JIMENEZ-ALVAREZ, MARIA D MVP 03/05/14 ANTHONY J MAY KOREY RICHARDSON LLC 189 15WC 14491 VELAZQUEZ, JOSE DE JESUS LABOR SOLUTIONS, LLC 03/02/15 LINN, CAMPE & RIZZO LTD 190 15WC 14861 CLEMENS, VINCENT WAUCONDA FIRE 02/27/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 191 15WC 15453 SALEK, KRZYSTOF VAL'S CONSTRUCTION INC 12/16/14 GROSZEK LAW FIRM RUSIN & MACIOROWSKI LTD 192 15WC 17023 OLEJNICZAK, JOHN WALKERS SERVICE 01/25/15 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 193 15WC 17132 GARCIA, MANUEL OLEA KEMPER VALVE & FITTING CO 03/19/15 TRUGLIO, FRED A & ASSOC HENNESSY & ROACH PC 194 15WC 18096 KATRALIS, IRENE CITY OF WAUKEGAN 02/03/15 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 195 15WC 18120 DELCUADRO, FERNANDO STATE OF IL DEPT OF 03/19/15 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 196 15WC 18200 MILLER, STACY E/ WFF FACILITY SERVICES 05/14/13 ANTHONY J MAY 197 15WC 18965 BOOTHE-ANDERSON, MARIE L. ENERGY SOLUTIONS, INC. 02/19/13 LINN, CAMPE & RIZZO LTD 198 15WC 19391 REINHARD, TIMOTHY ENERGY SOLUTIONS 01/26/15 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 199 15WC 19869 JEFFREY, BURKE LAKE COUNTY ILLINOIS 12/08/12 BAUM RUFFOLO & MARZAL LTD 200 15WC 19975 JONES, GREDEL KILEY DEVELOPMENTAL CENTE 03/27/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 201 15WC 20362 WINKLER, GIANENA WALGREENS 01/20/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 202 15WC 20957 ANDERSON, MARTHA BEL RESOURCE INC. 05/19/15 BAUM RUFFOLO & MARZAL LTD 203 15WC 21341 OTAHAL, JILL WAUKEGAN PUBLIC SCHOOL DI 07/16/13 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 204 15WC 21817 GONZALEZ, EVERARDO NORTHSTAR GROUP SERVICES 05/18/15 LINN, CAMPE & RIZZO LTD THOMAS & PORTELA 205 15WC 22239 BRANDON, CHRISTEL E. ULTA SALON, COSMETICS 02/02/13 LEE A CAMPBELL LAW OFFICE RUSIN & MACIOROWSKI LTD 206 15WC 22439 LOPEZ, SUSANA KALLE USA INC. 05/08/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 207 15WC 22983 NEWBERRY, ANTHONY ROYER ASPHALT PAVING 06/11/15 CRONAUER, CHARLES E GOLDBERG SEGALLA LLC 208 15WC 23024 DEAND, MARIA LIBERTYVILLE MANOR 05/25/15 JEROME FOREMAN & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 15WC 23783 FRELAS, MARZENA STAFFING DIMENSION OF 03/13/15 MICHALSKI & GUBERNAT LAW OFFICES FRANCESCA LARSEN 210 15WC 23992 MCDUFFIE, SHAWN ABBOTT LABORATORIES 02/02/15 NEWLAND & NEWLAND HENNESSY & ROACH PC 211 15WC 24077 RIVERA, LINDA GARCIA WILLIAMS ELECTRONIC GAMES 11/05/14 COLLISON & O'CONNOR RUSIN & MACIOROWSKI LTD 212 15WC 24189 JUAREZ, ROSARIO ANDREWS STAFFING INC 07/31/15 FERRIS THOMPSON & ZWEIG SLAVIN & SLAVIN 213 15WC 24275 COLE, JERRY J.B. HUNT 07/27/15 POLLANS, LANNIE A LTD 214 15WC 24338 MIRELES, JUAN I&L CONSULTING 04/02/15 RUEDA, IVAN A LITCHFIELD CAVO 215 15WC 25774 WATSCHKE, DIANNA CONSOLIDATED PATHOLOGY 07/07/15 MARKHAM M JEEP & ASSOCIATE 216 15WC 26162 LOZANO, MIRIAM RUPRECHT COMPANY 03/09/15 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 217 15WC 26172 REISCH, JOANN ABBVIE 06/07/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 15WC026173 -C 218 15WC 26946 GEZZER, ROBERT J COBBLESTONE OVENS INC 12/22/14 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 219 15WC 26949 SIMS, ROY L ARAMARK INC 02/19/15 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED 220 15WC 27400 SCHURMAN-PARKER, EVELYN T DYNAPAR 10/01/14 SOSTRIN AND SOSTRIN PC 221 15WC 28224 SMITH, RAYMOND SOUTHWIRE 08/15/15 AIOSSA LAW FIRM GANAN & SHAPIRO 222 15WC 28510 GIELCZYNSKI, JOANNA NORTHWESTERN LAKE 06/03/15 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 223 15WC 28786 STARZEC, DARIUSZ TED'S TUCKPOINTING 08/14/15 CULLEN HASKINS NICHOLSON 224 15WC 28870 ESCOBAR, CRUZANN ACCURATE PERSONNEL SERVIC 07/18/15 JOHN S. ELIASIK 225 15WC 29048 GREEN, ROBERT BRIAN PARK DISTRIC OF 03/08/13 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 226 15WC 29305 GARIBAY, JUAN PABLO G T LANDSCAPING LLC 05/19/15 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 15WC 29502 WHITE, RODNEY ALERIS INTERNATIONAL 08/01/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 228 15WC 29707 SANCHEZ, MARLEN COUNTY OF LAKE 06/26/15 DOUGLAS RALLO PC WOLFE & JACOBSON, LTD 15WC029708 -C 229 15WC 29874 CASTILLO, ROSIBEL MEDLINE INDUSTRIES, INC 06/15/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 15WC029875 -C 230 15WC 30257 AREVALO, RONY HN PRECISION 08/20/15 POLANSKY & CICHON CHTD HOLECEK & ASSOCIATES 231 15WC 30432 DUCHITANGA, JUAN BRADLEY MARSHALL ROOFING 07/24/15 232 15WC 30965 AYALA, FERNANDO QUALITY LABOR SERVICES 08/02/15 COSTA IVONE LLC KOREY RICHARDSON LLC 233 15WC 31600 DAVIS, MARY EMCO CHEMICAL DISTRIBUTOR 09/24/15 ANKIN LAW OFFICE 234 15WC 31823 MACALALAD, ISAGANI STAPLES, INC. 07/09/15 STEVEN M SELAN HENNESSY & ROACH PC 235 15WC 32035 FINE, VICKI NORTHSHORE SCHOOL DIST 11 03/02/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 236 15WC 32341 MALDONADO, JOHN THE HOME DEPOT USA INC 03/11/15 GOLDBERG WEISMAN & CAIRO L ADELSON TESTAN BRUNDO 237 15WC 33094 GUTIERREZ, GERARDO PERSONNEL STAFFING GROUP 08/14/15 DWORKIN AND MACIARIELLO 238 15WC 33277 PATTEN, MICHAEL J DEERFIELD/BANNOCKBURN 05/04/13 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 239 15WC 33475 ACEVEDO, LUIS FRESENIUS MEDICAL CARE 08/20/15 FRANK A CELANI HENNESSY & ROACH PC 240 15WC 33632 HANSEN, TONI A JEWEL, INC./ 05/19/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 241 15WC 33710 OWEN, TIFFANY SELECT STAFFING 06/23/15 MARKHAM M JEEP & ASSOCIATE LEAHY EISENBERG & FRAENKEL 242 15WC 33868 BELLINO, DOMINICK J CITY OF LAKE FOREST 05/24/15 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 243 15WC 34659 BROWN, BONNIE J OAK GROVE SCHOOL DISTRICT 07/27/14 COLLISON LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 244 15WC 34741 ESTRADA, MARIO LABOR SOLUTION, LLC 07/24/15 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 15WC 35150 RUDNIK, DIANA DURHAM SCHOOL SERVICES 10/20/15 SEIDMAN MARGULIS & FAIRMAN 246 15WC 35386 VAZQUEZ, ORLANDO L CHALET LANDSCAPING 10/01/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 247 15WC 35695 RAMOS DE GAONO, MIGDALIA CHICAGO MARRIOTT 10/10/15 ACEVES & PEREZ PC FRANCESCA LARSEN 248 15WC 35774 CARTER, BEN FOX LAKE FIRE FROT DIST 10/23/14 SCOTT BARBER RUSIN & MACIOROWSKI LTD 249 15WC 35889 HAKE, SANDRA PREGIS CORPORATION 01/05/15 MILLON & PESKIN LTD COZZI & GOGGIN-WARD 250 15WC 36038 BAIN, TIMOTHY CLASSIC WINDOWS INC 10/06/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 251 15WC 36979 DUBIENSKI, SEBASTIAN TOP LINE CONSTRUCTION COR 11/04/15 LAW OFFICE TIMOTHY DEFFET HEYL ROYSTER VOELKER & ALLEN 252 15WC 37150 BABNIK, SCOTT LAKE COUNTY 06/30/15 FOOTE MIELKE CHAVEZ & O'NE WOLFE & JACOBSON, LTD 253 15WC 37277 HARRIS-WRIGHT, MARVA MVP 09/04/13 LEONARD LAW GROUP LLC KOREY RICHARDSON LLC 254 15WC 37429 BLAZE, SHEILA ABBVIE INC 08/27/14 OSVALDO RODRIGUEZ PC 255 15WC 37532 CARMONA, ERNESTO GUSTAVO GUARDA LANDSCAPING W 09/14/15 FERRIS THOMPSON & ZWEIG 256 15WC 37628 TAMAYO, IRMA MEDLINE INDUSTRIES 06/20/15 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 257 15WC 37772 CASTRO, EVER QUALITY LABOR SERVICES 09/24/15 COSTA IVONE LLC KOREY RICHARDSON LLC 258 15WC 38787 PORCAYO, NICOMEDES MOST VALUABLE PERSONNEL 04/27/15 POSTERLI, OSCAR KOREY RICHARDSON LLC 259 15WC 38917 FOHLMEISTER, MICHELLE K NATIONAL HOME HEALTH 04/14/14 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 260 15WC 38920 FOHLMEISTER, MICHELLE K GLEN HEALTH & HOME MGMT 08/26/15 LINN, CAMPE & RIZZO LTD LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 261 15WC 38932 WOOD, TERRY B FREEMONT PUBLIC LIBRARY 12/11/13 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 262 15WC 39519 ARIAS, SERGIO MEDLINE INSDUSTRIES 03/20/15 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 17WC022676 -C 263 15WC 39698 THREAT, ERIC J ALLENDALE ASSOC 06/15/15 LINN, CAMPE & RIZZO LTD 264 15WC 39716 VALESCO, RAFAEL GLENBROOK GROUP INC 10/17/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 265 15WC 39763 GANDHI, VALMIK SHREE SINATH ENTERPRISE I 10/29/15 LEONARD LAW GROUP LLC 266 15WC 41274 MCCLENDON, DORIS ALICE'S DISCOVERY CENTER/ 01/29/15 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 267 15WC 41489 LUCIO, SANDRA LAKE CTY CLERK OF CIRCUIT 06/24/15 STELZMAN, RUTH CULLEN HASKINS NICHOLSON 15WC041490 -C 268 15WC 41544 LENHARDT, EILEEN AMERICAN FAMILY INSURANCE 01/07/13 BOGUSZ & BOGUSZ LTD 269 15WC 41598 MORRIS, CHARLES R YASKAWA AMERICA 10/23/15 KARNO, MARK L & ASSOC HENNESSY & ROACH PC 270 16WC 00086 HOHNSON, DYLAN J DISCOUNT TIRE 11/20/15 ANTHONY ESPOSITO 271 16WC 00122 LOBO, ALEJANDRO DUBLE TREE - MUNDELEIN 11/04/15 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 16WC000166 -C DOUBLE TREE MUNDELEIN 272 16WC 00559 CABRAL, CARLOS EXPRESS PERSONNEL PROS IN 08/10/15 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 273 16WC 00904 PALENCIA, SOFIA ADVANCED CLEANING SYSTEMS 12/14/15 COSTA IVONE LLC WOLFE & JACOBSON, LTD 274 16WC 01255 PITTS, ROBERT A ABBVIE 11/16/15 DOUGLAS RALLO PC HENNESSY & ROACH PC 275 16WC 01543 PEREZ, JOSE MCDONALD'S 04/01/15 CULLEN HASKINS NICHOLSON 276 16WC 02280 REDDEN, KATIE SCARAMOUCHE ENTERPRISES L 01/16/16 LAW OFFICES DANIEL E MURPH NYHAN BAMBRICK KINZIE & LOWR 277 16WC 02723 VASQUEZ-GARCIA, MARIA EUS SURESTAFF, INC 01/14/16 SALK, STEVEN B & ASSOC LTD LOUIS MUNDY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 16WC 02934 NEE, MARTY ERIC WINOGRAD 01/25/16 279 16WC 02958 HAMANN, TIMOTHY VILLAGE OF GURNEE 01/07/15 DUDLEY & LAKE LLC ANCEL GLINK DIAMOND BUSH & E 280 16WC 03251 VAZQUEZ, ISIDRO PEREA LEWIS PRODUCE MARKET #2 12/30/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 281 16WC 03283 SMITH, ANDRE LAKESIDE TRANSPORTATION 11/10/15 VASILATOS & COTTER LLC GALLIANI DOELL & COZZI LTD 17WC003208 -C 282 16WC 03290 DEMARR, EVAN SKIDMASTER 01/28/16 283 16WC 03366 DIAZ, IMELDA ADDUS HOME CARE 01/16/16 KARCHMAR & STONE HENNESSY & ROACH PC 284 16WC 03463 CARINGELLO, TERESA LAKE BLUFF PARK DIST 07/11/15 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 285 16WC 03682 LEBBINI, MAURINE AON 07/30/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 286 16WC 03953 WADOLOWSKA, REGINA BERNADETTE CLEANING SERVI W 01/26/16 KATZ FRIEDMAN EAGLE ET AL 287 16WC 04015 DIAZ, DIGNA E ANDREW STAFFING 11/25/15 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 288 16WC 04168 HOPPE, LYNDA SEDGBROOK RETIREMENT COMM 11/25/15 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 289 16WC 04513 KELLER, KURT BANE NELSON INC 10/11/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 290 16WC 04790 AQUIRIANO, DILMA ANDREWS STAFFING INC 11/22/15 LAW OFFICE OF SCOTT B SHAP SLAVIN & SLAVIN 291 16WC 04966 HENRY, IRIS ZION ELEMENTARY SCHOOL 10/27/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 16WC005941 -C 292 16WC 04999 MEZA, YANET ECHO INC 01/15/16 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 293 16WC 05064 BERENI, ROLAND ABBOTT LABORATORIES 12/10/12 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 294 16WC 05175 RAMIREZ, WILBUR I PHOENIX LOCAL MOVERS 07/13/15 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 295 16WC 05208 ALVARDO, JOSE AVERUS FIRE PROTECTION 01/30/16 MARKS INJURY LAW RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 16WC 05607 MEDINA, ALEJANDRA BURGER KING 01/14/16 HART & DAVID LLP 297 16WC 05824 GWINN, LA ANGEL SILVERADO HIGHLAND PARK 01/26/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 298 16WC 05940 STRONG, ARTHUR B CITY OF NORTH CHICAGO 10/25/15 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 299 16WC 06003 BABCOCK, FRANK CLARENCE DAVIDS & CO. 08/12/14 STEVEN M SELAN LITCHFIELD CAVO 16WC006004 -C 300 16WC 06405 RAMOS, DIEGO EGG HARBOR CAFE 04/12/15 LARRY FLEISCHER & ASSOCIAT GANAN & SHAPIRO 301 16WC 07261 GUZMAN, YOLANDA NEMERA 10/16/15 JONATHAN SCHLACK HENNESSY & ROACH PC 302 16WC 07262 GUZMAN, YOLANDA NEMERA 07/01/14 JONATHAN SCHLACK HENNESSY & ROACH PC 303 16WC 08261 GLINIEWICZ, MICHAEL VILLAGE OF ANTIOCH 07/04/15 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 304 16WC 08403 BEARD, MOLLI IL BONE & JOINT INSTITUTE 09/04/15 BRILL & FISHEL LAW OFFICES OF EDWARD J. KOZ 305 16WC 08451 SCHREINER, ROBERT NEWPORT TWNSHP FIRE DIST 03/22/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 306 16WC 08480 VICE, MARK II LAKE COUNTY SHERIFF'S 01/13/16 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 307 16WC 08746 ROQUE, MARIO JR ADVOCATE CONDELL MEDICAL 05/28/13 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 16WC009355 -C 16WC009356 -C 308 16WC 08917 RUTHER, GEOFFREY VLGE OF DEERFIELD POLICE 11/19/15 CORBOY & DEMETRIO PC ANCEL GLINK DIAMOND BUSH & E 309 16WC 09416 SNUFFER, DAN DOERING LANDSCAPE COMPANY 02/02/16 HANNIGAN & BOTHA, LTD RODDY LAW LTD 17WC001417 -C 310 16WC 09617 MCDERMOTT, JAMES M LTD COMMODITIES INC 11/09/15 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 311 16WC 09863 BOMBACINO, PATRICIA WAL-MART 03/19/16 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 312 16WC 09905 WILSON, DUANE A-MOBILE, INC. 10/29/14 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 313 16WC 10036 WOODS, TAMARA ENOVA FINANCIAL 11/03/15 DWORKIN AND MACIARIELLO 314 16WC 10047 LOPEZ, ALFREDO THE XCEL GROUP 03/09/16 HART & DAVID LLP GILDEA & COGHLAN 315 16WC 10133 PERNICE, DEBORAH J PRO SOURCE WHOLESALE FLOO 01/30/15 LANZILLOTTI GRIBBEN & MARC COZZI & GOGGIN-WARD 316 16WC 10174 EVANS, JASON M BW CONSTRUCTION & HOME 08/11/15 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 317 16WC 10569 MARKS, JAMES AB SPECIALTY SILICONES 01/28/16 JEROME FOREMAN & ASSOCIATE HENNESSY & ROACH PC 318 16WC 10819 SONETZ, LOUIS GREAT LAKES ELECTRICAL 01/26/15 ALEKSY BELCHER LAW OFFICES JOSEPH MARCINIAK 16WC010820 -C 17WC031995 -C 17WC034520 -C ALDRIDGE ELECTRIC, INC 319 16WC 10925 RIVAS, JORGE AUTO PARTS CITY 02/25/16 DISPARTI LAW GROUP PA WOLFE & JACOBSON, LTD 320 16WC 10946 HOSKINS, WILLIAM CULLIGAN INTERNATIONAL CO 10/20/15 DUDLEY & LAKE LLC LAW OFFICES JOSEPH MARCINIAK 321 16WC 11222 DANIEL, CAITLYN SUPERCUTS 02/19/16 DUDLEY & LAKE LLC GILDEA & COGHLAN 322 16WC 11231 RUELLI, DONNA NORTHERN SUBURBAN SPECIAL 09/17/15 POSTERLI, OSCAR NYHAN BAMBRICK KINZIE & LOWR 323 16WC 11450 LEWANDOWSKI, THOMAS TURANO BAKERY 07/05/15 WILLIAMS, ROBERT B LAW OFF KEEFE CAMPBELL & ASSOC LLC 324 16WC 11798 SALGADO, JOSE A HYDRAFORCE INC 02/20/15 MARSZALEK AND MARSZALEK HOLECEK & ASSOCIATES 325 16WC 12023 RACANELLI-DEADWILER, KIMB GOODWILL INDUSTRIES INC 03/09/16 LINN, CAMPE & RIZZO LTD 326 16WC 12248 RATLIFF, JEREMIAH CHICAGO BEARS FOOTBALL 09/14/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC012249 -C 16WC012250 -C 16WC012251 -C 327 16WC 12272 PALOMINO, HILDA LABOR SOLUTION 03/13/15 CHEPOV & SCOTT LLC 328 16WC 12451 PLETZ, SONIA FEDEX GROUND 06/20/13 TARADASH LAW OFFICE KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 16WC 12675 NIETO, LIDIA ECHO, INC 04/13/16 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 330 16WC 12715 GARCIA, JOSE P MUDDY BOOTS LANDSCAPING 07/24/14 LINN, CAMPE & RIZZO LTD 331 16WC 12756 TAYLOR, DENISE GRAHAM-C STORES COMPANY 02/22/16 RANDALL A. WOLFF & ASSOC CAPUANI, FRANK S 332 16WC 12762 CRAMER, RYAN GRAYSLAKE FIRE 10/06/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 16WC024497 -C 16WC024498 -C 16WC024499 -C 17WC025112 -C 333 16WC 13213 ELDER, ROBERT J JR QUESTLINER, INC. 06/19/15 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 334 16WC 13468 ANTUNEZ, ARMANDO ELAN LANDSCAPE DEVELOPMEN 05/27/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 335 16WC 13797 RIVERA, SUNY ELITE STAFFING 03/01/16 336 16WC 13931 DRAKE, BRETT T MACGYVER DEVELOPMENT, INC 11/21/14 ANKIN LAW OFFICE STANCZAK LAW OFFICES 337 16WC 14313 WARD, HEATHER NORTHERN SUBURBAN SPECIAL 12/10/15 MARKS INJURY LAW 338 16WC 14401 WRIGHT, JOHNATHON MASTER TRUCK & TRAILER, L 02/26/16 GRAHAM J. JEEP RUSIN & MACIOROWSKI LTD 339 16WC 14572 LIPARI, SUSAN STATE OF ILLINOIS @ 06/03/15 FRANCIS J DISCIPIO LAW OFF ILLINOIS ATTORNEY GENERAL 340 16WC 14607 HAYES, WILBERT MEGABUS 02/21/16 BIZZIERI LAW OFFICES POULOS & DIBENEDETTO LAW 341 16WC 15291 RIOS, MARIA G ARAMARK 11/16/15 FERRIS THOMPSON & ZWEIG 342 16WC 15541 KELLEY, LISA BED, BATH & BEYOND 01/22/16 VOGG, MARK J LAW OFFICE KOPKA, PINKUS DOLIN, PC 343 16WC 15726 PAGE, KEITH CAPITOL PLUMBING, INC 02/18/16 KOSIN LAW OFFICE LTD 344 16WC 15739 HOOTSELL, JEARLEAN ACCURATE 05/07/16 RUBENS AND KRESS RODDY LAW LTD 345 16WC 16001 DE LA PAZ, JOSE F FIBERTEX NONWOVENS, LLC 12/03/15 MC HARGUE & JONES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 16WC 16151 SOSA, DANIEL STELLAR PRODUCTIONS, INC. 05/08/16 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 347 16WC 16330 GARCIA, EDITH CRUZ ZION DONUTS INC. D/B/A DU 10/08/15 FERRIS THOMPSON & ZWEIG GANAN & SHAPIRO 348 16WC 16636 PANKIEWICZ, BRIAN J WAUKEGAN SCHOOL DISTRICT 03/09/16 ANTHONY J MAY BRADY CONNOLLY & MASUDA PC 349 16WC 16713 PRYOR, CECELIA ARAMARK 03/10/16 MC HARGUE & JONES 16WC016714 -C 350 16WC 16770 DONNENWIRTH, MICHAEL LAKE COUNTY CORONER 05/19/14 EVAN A HUGHES LAW OFFICE SMITH AMUNDSEN LLC 351 16WC 16998 FLAX, CINDY THE BON TON STORES, INC 04/26/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 352 16WC 17026 LINDOM, STEVE VILLAGE OF ANTIOCH 07/26/13 ROSS TYRRELL RUSIN & MACIOROWSKI LTD 16WC017027 -C 353 16WC 17501 VIDAL, CARMEN FRESH THYME FARMERS MARKE 04/22/16 LOCASCIO, MARK A LTD COZZI & GOGGIN-WARD 354 16WC 17524 DAVIS, GEORGIA C ACCURATE PERSONNEL 03/12/16 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 355 16WC 18513 ALVAREZ, JUAN THE XCEL GROUP 01/13/16 DOUGLAS RALLO PC KOREY RICHARDSON LLC 356 16WC 18550 SANFORD, BARBARA NORTHERN ILLINOIS UNIVERS @ 07/12/15 FRANKS, GERKIN & MCKENNA P ILLINOIS ATTORNEY GENERAL 357 16WC 18713 GOMEZ, JULIA IDLEWOOD ELECTIC SUPPLY, 03/26/15 DOUGLAS RALLO PC GANAN & SHAPIRO 358 16WC 18761 LUCAS, MICHAEL R. ABBOTT LABORATORIES 12/07/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 359 16WC 18844 ARMENDARIZ, ARMANDO ROUNDY'S ILLINOIS LLC 04/24/16 BERG & BERG BRYCE DOWNEY & LENKOV LLC 360 16WC 19060 SCHUETTENBERG, CAROLYN A EMMONS GRADE SCHOOL DIST 05/28/14 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 361 16WC 19063 ADAMS, REBECCA JEWEL, INC 03/20/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 362 16WC 19069 RUIZ, JOSE NU ARRA, INC 09/10/15 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 363 16WC 19239 HANZELIN, KENNETH FEDEX GROUND EXPRESS 04/26/16 BURNETT & CARON, LTD KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 16WC 19301 AMBROCIO, YNEZ C. SALAS MVP STAFFING 10/21/15 ANTHONY ESPOSITO 365 16WC 19484 TREVINO, EDWARD DMS INC. 12/17/15 FRANCIS J DISCIPIO LAW OFF 366 16WC 19521 HORN, KEITH E ASPLUNDH 02/04/16 LINN, CAMPE & RIZZO LTD KNELL & O'CONNOR 367 16WC 19524 GARCIA, LUCILA CATERINA FOODS LLC 04/21/16 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 368 16WC 19952 FALCO, ALPHONSE S VILLAGE OF ROUND LAKE PAR 08/11/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 369 16WC 20154 BUTTLIERE, CARLA JEWEL OSCO 05/10/16 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 370 16WC 20522 RAVEN, JEFFREY A SUPER MIX 10/26/15 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 16WC024565 -C 16WC036931 -C 371 16WC 20645 GONZALEZ-SANCHEZ, SILVIA MOST VALUABLE PERSONNEL 10/28/15 AIOSSA LAW FIRM KOREY RICHARDSON LLC 372 16WC 20996 GARCIA, CONSUELO ARAMARK @ 04/26/16 POSTERLI, OSCAR STANCZAK LAW OFFICES 373 16WC 21018 ADAMS, JACQUELINE AQUENT STAFFING 06/28/16 STEWART C ORZOFF LAW OFFICES OF EDWARD J. KOZ 374 16WC 21191 UPTON, JOHN J LAKE COUNTY SHERIFF'S DEP 10/10/15 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 375 16WC 21276 RAMIREZ, JOSE MENARDS 05/18/16 TAMVAKIS, GEORGE L CHILTON YAMBERT PORTER LLP 376 16WC 21336 ALVAREZ, SANTIAGO BG STAFFING 05/20/16 COSTA IVONE LLC SLAVIN & SLAVIN 377 16WC 21777 LINVILLE, SUSAN M JEWEL FOOD STORE 10/16/15 GOLDBERG WEISMAN & CAIRO L 378 16WC 22080 MYERS, PORSHA BAXTER HEALTH CARE 07/12/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 379 16WC 22110 PAULUS, MICHAEL VILLAGE OF LAKE ZURICH 04/23/16 VOGG, MARK J LAW OFFICE 380 16WC 22133 VARNO, ELIZABETH LINCOLNSHIRE SCHOOL DIST. 06/16/16 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 381 16WC 22299 TABAKA, MARIA CM PACKAGING, INC.C/O NAT 07/30/13 LEWIS & DAVIDSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 16WC 22715 DAVIS, GWEN SENIOR HELPERS 07/03/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 383 16WC 22962 BIZIOR, JAROSLAW CRYSTAL MANAGEMENT & 06/18/16 ALEKSY BELCHER WIEDNER & MCAULIFFE LTD 384 16WC 23176 HAQQUI, SALEEM FRESENIUS MED CARE OF 04/20/16 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 385 16WC 23191 POWELL, SUSAN DOLLAR GENERAL CORP 05/23/14 ROBERT EDENS LEAHY EISENBERG & FRAENKEL 16WC033356 -C 16WC035384 -C 386 16WC 23295 RODRIGUEZ, JOSEFINA GURNEE PARK DISTRICT 08/08/15 COSTA IVONE LLC 387 16WC 23602 RHOTON, LEE ANN ACCRETIVE SOLUTIONS CORP. 04/15/16 BRILL & FISHEL LAW OFFICES JOSEPH MARCINIAK 388 16WC 23978 GATICA, ROSALINDA EXMOOR COUNTRY CLUB 02/12/16 FERRIS THOMPSON & ZWEIG 389 16WC 24035 KNUTH, TIMOTHY BUTLER CORING 01/22/16 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 390 16WC 24178 GOMEZ, MARIA CHASE PROFESSIONALS 05/26/16 LAW OFFICE OF SCOTT B SHAP 391 16WC 24181 SABASTIANO, VICTOR ROUGHNECK CONCRETE DRILLI 06/30/16 O'CONNOR LAW GROUP LLC 392 16WC 24235 CARTER, LINCOLN ADOR CP. INC. 07/20/16 BRAD J. BALKE, PC RUSIN & MACIOROWSKI LTD 393 16WC 24320 MONREAL, SERGIO EBBEN MASONRY 07/27/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 16WC035276 -C 394 16WC 24486 MENDOZA, LONGINO ILT VIGNOCCHI 05/31/16 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 395 16WC 24569 BROWN, MICHAEL E GORDON FOOD SERVICE 05/06/16 MAY & BUEGE HENNESSY & ROACH PC 396 16WC 24608 GRACA, DANIEL PEAK SUPPLY INC. 07/28/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 397 16WC 24931 SELEGA, KAROL (KARL) PAULY MOTORS, INC 05/10/16 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 398 16WC 25004 LEMONS, LANA LAKE COUNTY SHERIFF'S DEP 12/02/15 DUDLEY & LAKE LLC WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 399 16WC 25173 WORLEY, DAEVON ADVANCED DISPOSAL 05/23/16 ROBERT EDENS INMAN & FITZGIBBONS 400 16WC 25667 POPE, JAMES E. JEWEL FOOD STORES, INC. 07/03/16 LINN, CAMPE & RIZZO LTD 16WC025669 -C 401 16WC 25745 MALDONADO, FAUSTO MBA BUILDING SERVICES 07/20/16 SKLARE LAW GROUP 402 16WC 25933 PEREZ, MARIO LUCAS LANDSCAPING 06/16/16 ANGELINI & ORI LLC 403 16WC 26159 SANCHEZ, ELIA UNISTAFF PRO 06/28/16 MC HARGUE & JONES 404 16WC 26521 KUEHN, STEVEN SIEMANS 07/06/16 LANNON LANNON & BARR LTD HOLECEK & ASSOCIAT0ES 405 16WC 26684 GARCIA, OSCAR STAFFING DIMENSIONS 07/06/15 TARADASH LAW OFFICE LAW OFFICES FRANCESCA LARSEN 406 16WC 26812 SMITH, ANGELA FOSS PARK DISTRICT 08/05/16 JOSEPH G HAFFNER LAW OFFIC RUSIN & MACIOROWSKI LTD 407 16WC 26834 HERNANDEZ-ROMERO, MARCO AIJJ ENTERPRISES INC DBA 08/12/16 GRAHAM J. JEEP HENNESSY & ROACH PC 408 16WC 27176 PALMER, RAYMOND GDI SERVICES 06/27/16 VRDOLYAK LAW GROUP LLC COZZI & GOGGIN-WARD 409 16WC 27528 KOLB, LEE ALLAN LABRAK, INDIVIDUALL 09/01/16 LAW OFFICE OF SCOTT B SHAP 410 16WC 27608 MEENTS, HALEY LAKE COUNTY 01/20/16 DAVID J. BAWCUM WOLFE & JACOBSON, LTD 411 16WC 27640 ALEXANDER, TWALIA ARAMARK 08/26/16 AIOSSA LAW FIRM 412 16WC 27773 BURDEEN, LINDA KINDERCARE 07/25/16 STEPHEN G PINTO LTD HENNESSY & ROACH PC 413 16WC 28383 UMANZOR ROJAS, SANDRY M RUPRECHT COMPANY 07/26/16 FERRIS THOMPSON & ZWEIG COZZI & GOGGIN-WARD 414 16WC 28435 WALKER, ANTOINETTE THE TERRACE 09/07/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 415 16WC 28548 ISAMAR GUIFARRO, VANESS PERSONNEL STAFFING GROUP 08/30/16 CULLEN HASKINS NICHOLSON 416 16WC 29044 GUIFARRO, VANESSA XCEL PERSONNEL 08/30/16 SALVATO & O'TOOLE GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 417 16WC 29079 BALENTINE, COREY CDW 03/03/16 DUDLEY & LAKE LLC HENNESSY & ROACH PC 418 16WC 29194 KLINE, M. SCOTT COPENHAVER CONSTRUCTION I 08/17/16 CAPRON & AVGERINOS PC LAW OFFICES OF EDWARD J. KOZ 419 16WC 29340 BROWN, DEBRA BASS PRO SHOP 06/17/16 STANCZAK LAW OFFICES BRYCE DOWNEY & LENKOV LLC 420 16WC 29898 FLEMING, JOANN STATE OF ILLINOIS @ 04/06/16 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 421 16WC 30062 WILHELM, MICHAEL P THE CHICAGO PROFESSIONAL 10/05/13 SALVATO & O'TOOLE HENNESSY & ROACH PC 422 16WC 30285 MCGHEE, PATRICIA ILLINOIS TOOL WORKS, INC. 09/20/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 423 16WC 30370 ZAVALA, JAVIER ADVOCATE CONDELL MED CTR 03/19/16 STANCZAK LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 424 16WC 30452 ARROYO, SEVERO SCOTT BYRON & CO, INC 07/28/16 LINN, CAMPE & RIZZO LTD RIPES NELSON BAGGOT KALOBRAT 425 16WC 30456 ROLLENE, KEITH LAKE VILLA FIRE PROT DIST 01/17/16 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 426 16WC 30555 POSADAS, ALFONSO L B ANDERSEN LIGHT FARMS 01/06/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 17WC013331 -C LB ANDERSEN - LIGHT FARMS 427 16WC 31057 LIRA, CLAUDIA ZELLER PLASTIK, INC 12/19/15 GRAHAM J. JEEP 428 16WC 31296 MENDOZA, MARIA IPCC 07/08/14 POSTERLI, OSCAR 429 16WC 32047 POST, CELENE ARAMARK EDUCATION, INC 05/19/16 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED 430 16WC 32186 PENA, GLORIA ACCURATE PERSONNEL LLC 08/09/16 FIORETTI & DESJARDINS LTD MC ANDREWS & NORGLE LLC 16WC032187 -C 16WC032188 -C 431 16WC 32443 RODRIGUEZ, DIMAS ROCCO FIORE & SONS INC # 08/01/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 16WC 32572 HERNANDEZ, LUCIA TEMPS NOW 09/30/16 AIOSSA LAW FIRM HENNESSY & ROACH PC 433 16WC 32804 ESCOBAR, ROCIO SEDGEBROOK 08/23/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 17WC010136 -C 434 16WC 32903 BAKER, CAROL LAKE COUNTY HEALTH DEPT 09/12/15 JOHN M BORCIA LAW OFFICE WOLFE & JACOBSON, LTD 435 16WC 33070 BUCK, LYNN AMERICAN AIRLINES 10/03/16 RUBENS AND KRESS GAROFALO SCHREIBER STORM 436 16WC 33336 MEDLEY, BRENDA ELITE STAFFING 10/05/16 BRILL & FISHEL 437 16WC 33637 YONIN, KRISTO G HEALTH SOURCE OF NORTHSHO 10/24/16 BARGANSKA LAW 438 16WC 33672 BLANCAS, LUCIA KERRY AMERICAS 03/10/16 AIOSSA LAW FIRM STONE & JOHNSON CHARTERED 439 16WC 33839 WILSON, RICKY COLEMAN CABLE CO/SOUTHWIR 02/15/16 COHN & COHN GANAN & SHAPIRO 440 16WC 34241 RIVERA, NORMA PTO SERVICES, INC A/K/A 07/25/16 VOGG, MARK J LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 441 16WC 34524 DONATI, ANTHONY R JEWEL FOOD STORES 03/31/16 RICHARD O. GREENFIELD RODDY LAW LTD 17WC019017 -C 442 16WC 34568 JOHNSON, SHANEQUIA SIX FLAGS GREAT AMERICA 10/31/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 443 16WC 34876 MURRILLO, NORMA KENALL 06/10/16 FERRIS THOMPSON & ZWEIG HOLECEK & ASSOCIATES 16WC034877 -C 444 16WC 35034 ECKEL, CARL AMERIT FLEET SOLUTIONS IN 02/14/16 ANKIN LAW OFFICE LAW OFFICES FRANCESCA LARSEN 445 16WC 35160 HORAK, BOGDAN SHERMAN MECHANICAL, INC 08/19/16 NEWLAND & NEWLAND ACCIDENT FUND HOLDINGS 446 16WC 35334 MILLER, JUANITA GOODWILL STORES 10/27/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 447 16WC 35371 MUNOZ, FRANCISCA HUGHES ENTERP INC DBA BLU 07/05/16 LINN, CAMPE & RIZZO LTD 448 16WC 35374 VEGA, MARIA LABOR SOLUTIONS 02/24/16 LINN, CAMPE & RIZZO LTD NEWLAND & NEWLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 16WC 35377 GUTIERREZ-REMIREZ, FLOREN ANDREWS STAFFING 09/02/16 LINN, CAMPE & RIZZO LTD SLAVIN & SLAVIN 450 16WC 35397 POLANCO, MARISOL CUBESMART 10/03/16 MILLON & PESKIN LTD 451 16WC 35481 MARTIN, RYAN DOMINOS PIZZA 10/08/16 ARGIONIS & ASSOCIATES LLC RUSIN & MACIOROWSKI LTD 452 16WC 35652 VEGA, MARIA LABOR SOLUTIONS 04/15/16 LINN, CAMPE & RIZZO LTD 453 16WC 36045 GOLDMAN, SHERI THE GAP INC, C/O CT CORP 11/12/16 GRAUER & KRIEGEL LLC 454 16WC 36156 NANI, KATHRYN GOLD STANDARD ENTERPRISES 09/29/16 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 455 16WC 36268 CHUNG HONG KIM, RICHARD LAKE CITY CLEANERS 08/05/16 WOLFE LAW PC LAW OFFICES JOSEPH MARCINIAK 456 16WC 36699 JOHNSON, DAVID COMMONWEALTH EDISON 02/29/16 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 457 16WC 36762 NERHEIM, JAY STEFFEN WAUKEGAN TIRE & SUPPLY 10/19/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 16WC036763 -C 458 16WC 36790 VEGA, BALOMERO WALMART 01/02/16 MAURICE E DUSKY PC GANAN & SHAPIRO 459 16WC 36948 RIOS, MARCOS ROCCO FIORE & SONS, INC 09/01/16 CULLEN HASKINS NICHOLSON 460 16WC 37205 GONZALEZ, ANTONIO THERMASEAL/LAKESIDE INSUL 07/25/16 HANNIGAN & BOTHA, LTD RODDY LAW LTD 461 16WC 37381 PEREZ-MARTINEZ, HIPOLITO SHUR-WAY MOVING & CARTAGE 11/18/15 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 462 16WC 37726 STONE, LORRAINE M PEAPOD LLC 09/15/16 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 463 16WC 38058 KWIECIEN, SANDRA CF INDUSTRIES HOLDINGS IN 07/25/16 CORBOY & DEMETRIO PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 464 16WC 38199 ZAVALA, RAUL FISH LAKE BEACH INC 06/24/15 EFTEKHARI LAW OFFICES RIPES NELSON BAGGOT KALOBRAT 465 16WC 38302 PORTH, BRUCE ZION SOLUTIONS LLC 04/08/15 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 16WC039247 -C TYJAX IRON WORKS INC 466 16WC 38327 HILBRANT, STACE HIGHLAND PARK POLICE DEPA 11/03/16 SANDMAN LEVY & PETRICH POWER & CRONIN LTD 467 16WC 38401 GUZMAN, ROSALINDA ACCURATE PERSONNEL & 09/09/16 LARRY FLEISCHER & ASSOCIAT MC ANDREWS & NORGLE LLC 468 16WC 38620 SOLIS, MARTHA MCDONALD'S 03/01/15 CULLEN HASKINS NICHOLSON 469 16WC 38656 DEJESUS, WILFREDO HOMEOWNERS BARGAIN OUTLET 08/23/16 VOGG, MARK J LAW OFFICE 470 16WC 38748 HERNANDEZ, LORENZO ROLLING LANDSCAPES INC 07/02/16 LAW OFFICES MICHAEL HELLMA 471 16WC 38955 CONTRERAS, JOSE DAVEY TREE EXPERT COMPANY 10/20/16 DAVID W MARTAY 472 16WC 39135 LAKOSKE, STEVEN NORTH CHICAGO 01/12/16 ASHER, RAYMOND L LTD GILDEA & COGHLAN 473 17WC 00110 CHACON, DAVID NOSCO 08/15/16 ROSENBERG EISENBERG ASSOC GAROFALO SCHREIBER STORM 474 17WC 00216 NYGARD, KARL J HOLOGIC, INC 11/16/16 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 17WC031801 -C 475 17WC 00493 KUKREJA, SHAMA SPECTRUM RETIREMENT COMMU 11/30/16 SEIDMAN MARGULIS & FAIRMAN THOMAS & PORTELA 476 17WC 00919 MCNEIL, KELLIE CARDINAL HEALTH 06/04/13 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 477 17WC 00923 RAIFORD, ADRIAN D WOODY'S 3 IN 1, INC. 06/02/16 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 478 17WC 01038 GUERRERO, STEPHANIE COUNTY OF LAKE 12/06/16 DAVID J. BAWCUM SMITH AMUNDSEN LLC 479 17WC 01052 KRAWCZYK, PETER LAKE COUNTY DIVISION OF 06/15/16 RIDGE & DOWNES SMITH AMUNDSEN LLC 480 17WC 01453 BOGOJEVIC, GORAN NAPLETON CADILLAC 12/01/16 CAPRON & AVGERINOS PC RODDY LAW LTD 481 17WC 01488 WAGNER, CASSANDRA KHAYAT GROUP DBA 12/28/16 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 482 17WC 01568 JOHNSON, LORETTA N PEARSON, INC 02/17/16 LINN, CAMPE & RIZZO LTD RODDY LAW LTD 483 17WC 01771 URIBE, FERNANDA PARAMOUNT BUILDING SOLUTI 09/07/16 LARRY FLEISCHER & ASSOCIAT 484 17WC 01967 NELSON, MICHAEL D COUNTY OF LAKE 11/07/16 MENDOZA LAW PC SMITH AMUNDSEN LLC 485 17WC 02237 PAGONIS, MARIA FRESENIUS KIDNEY CARE 10/18/16 NEWLAND & NEWLAND HENNESSY & ROACH PC 486 17WC 02439 19B SANCHEZ, JACINTA FINCA FOODS, INC D/B/A 12/25/16 ZANCK COEN WRIGHT & SALADI WIEDNER & MCAULIFFE LTD 487 17WC 02907 AMOS, RICKY R MANPOWER US INC 12/06/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 488 17WC 02916 WALSH, NOLAN A MOD SUPER FAST PIZZA LLC 11/06/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 489 17WC 03258 TAYLOR, ROSANNE SAIA 06/16/16 MARKS INJURY LAW POULOS & DIBENEDETTO LAW 490 17WC 03309 BELLINO, DOMINICK J CITY OF LAKE FOREST 09/15/16 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 491 17WC 03420 LEWINSKI, MARIUSZ ILLINOIS DEPARTMENT @ 12/27/16 ALEKSY BELCHER ILLINOIS ATTORNEY GENERAL 492 17WC 03515 SANCHEZ, ROBERTO WOODY'S TREE SERVICE INC 01/07/17 AIOSSA LAW FIRM HENNESSY & ROACH PC 493 17WC 03589 NEWMAN, KURT VILLAGE OF GRAYSLAKE POLI 10/23/16 RUBIN MACHADO ROSENBLUM POWER & CRONIN LTD 494 17WC 03661 PLAZA, JESUS TAPIA COMCAST 10/09/16 LARRY FLEISCHER & ASSOCIAT POWER & CRONIN LTD 495 17WC 03667 PARTIPILO, DANIELA GRAYSLAKE COMMUNITY 09/29/16 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 496 17WC 03832 STOYKOV, STEFAN HUNT MILITARY COMMUNITIES 05/22/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 497 17WC 03901 GOMEZ, ARMANDO RICK'S AUTO CARE & COLLIS 03/11/16 COSTA IVONE LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 17WC 03938 FLEISCHMAN, RALPH MENCONI TERRAZZO, LLC 10/07/16 THERMAN LAW OFFICES GAROFALO SCHREIBER STORM 499 17WC 04036 ROYAL, EDDIE CHIAGO BEARS FOOTBALL 08/25/15 WOLFE LAW PC MC ANDREWS & NORGLE LLC 17WC004037 -C CHICAGO BEARS FOOTBALL 17WC004038 -C 17WC004039 -C CHICAGO BEARS FOOTBALL 17WC004040 -C 17WC004041 -C CHICAGO BEARS FOOTBALL 17WC004042 -C 500 17WC 04082 CORTES, MANUEL RAMON & RAMON LANDSCAPING 11/07/16 FERRIS THOMPSON & ZWEIG 501 17WC 04542 CRUZ, YANIEL GARDEN FRESH GENERAL INC 06/13/16 HOLECEK & ASSOCIATES 502 17WC 04620 SMITH, CHLOE J FRANCHISE MANAGEMENT INVE 01/16/17 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 503 17WC 04702 MARTINEZ, SERGIO PERSONNEL STAFFING GROUP 04/30/16 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 504 17WC 04717 RACANELLI-DEADWILER, KIMB GOODWILL INDUSTRIES, INC 09/18/16 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 505 17WC 04797 GARCIA, JOSE L KARL KNAUZ MOTORS INC. 01/31/17 CHEPOV & SCOTT LLC WOLF LAW LTD 506 17WC 04870 FRYE, KEVIN STAPLES 05/27/16 BOGUSZ & BOGUSZ LTD HENNESSY & ROACH PC 507 17WC 04985 GOMEZ, DOMINGA MOST VALUABLE PERSONNEL 12/06/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 508 17WC 05218 BOYSEN, DENISE L WAL-MART STORES INC 12/08/16 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 509 17WC 05477 VOLLMER, ROBERT MERIT INSTALLATIONS, INC 11/08/16 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 510 17WC 05684 WATTS, ORLANDO FCWS INC/FIRST CLASS WORK 02/03/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 511 17WC 06118 CERVANTES, MARIA G QPS EMPLOYMENT GROUP 12/17/16 KATZ FRIEDMAN EAGLE ET AL WOLFE & JACOBSON, LTD 512 17WC 06162 BANUELOS, ELIZABETH NB MANAGEMENT LTD 01/20/17 CHEPOV & SCOTT LLC GANAN & SHAPIRO 513 17WC 06551 LEONG, CONNIE CONFORT KEEPERS 02/21/17 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 17WC 06585 JAFFE, SHELLEY R. COSTCO WHOLESALE CORP 12/29/16 BRILL & FISHEL GANAN & SHAPIRO 515 17WC 06724 CLAYMAN, DIANE BENTLEY'S PET STUFF 01/13/17 ASHER, RAYMOND L LTD GILDEA & COGHLAN 516 17WC 06794 CHACON, DAVID NOSCO 02/24/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 517 17WC 07114 MADL, ROBERT THE FRESH MARKET, INC 11/05/16 DUDLEY & LAKE LLC HENNESSY & ROACH PC 518 17WC 07242 BROWNING, MICHAEL LAKE COUNTY PRESS INC 07/01/15 DWORKIN AND MACIARIELLO 519 17WC 07483 MALDONADO, FAUSTO MBA BUILDING SUPPLIES 07/20/16 LINN, CAMPE & RIZZO LTD 520 17WC 07662 RAMIREZ, MARIA TRANSITIONAL CARE OF LAKE 04/13/16 SPENCER LAW OFFICES 521 17WC 07695 BERNSTEIN, DANIEL W KLOSS DISTRIBUTING CO 06/29/16 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 17WC007696 -C 522 17WC 07698 RAUSCH, DANIEL R MARIANO'S 09/08/16 HANNIGAN & BOTHA, LTD 523 17WC 07822 JAIMES, ARTURO NORTHSHORE MANAGEMENT ASS 12/19/16 FIGLIOLI, DAVID COZZI & GOGGIN-WARD 524 17WC 07862 DIAZ, MARIA GUADALUPE THE DELI SOURCE INC 02/21/17 CUSHING LAW OFFICES 525 17WC 08023 HERNANDEZ, LEONARDO ABBOTT LABORATORIES 12/17/16 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 526 17WC 08175 VAN DIEN, JOHN COUNTY OF LAKE 11/25/16 MARKHAM M JEEP & ASSOCIATE SMITH AMUNDSEN LLC 527 17WC 08202 MISICKA, LAWRENCE PETER BAKER & SON CO 09/28/16 CAPRON & AVGERINOS PC KLAUKE LAW GROUP LLC 528 17WC 08230 BROWN HILTON, LISA EMCO CHEMICAL DISTRIBUTOR 02/02/17 BRISKMAN BRISKMAN GREENBER 529 17WC 08486 BLOCK, LISA ONE HOPE UNITED 10/31/16 O'CONNOR & NAKOS WOLF LAW LTD 530 17WC 08670 ALAYLI, ROWAIDA FREEDOM HOME CARE 02/20/17 DWORKIN AND MACIARIELLO 531 17WC 08872 GARCIA, BELEN TERMAX CORPORATION 06/27/16 STANCZAK LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 17WC 09102 BUBLITZ, DAVID LINCARE 01/17/17 JOHN E LUSAK 533 17WC 09140 LAND, DOYLE ALLIED UNIVERSAL SECURITY 09/17/16 SCHAFFNER RABINOWITZ FEINA 534 17WC 09179 SANCHEZ, MICHEL ELIZABETH TRUJILLO D/B/A 02/22/17 LEE A CAMPBELL LAW OFFICE COZZI & GOGGIN-WARD 535 17WC 09268 HERNANDEZ, NORA ELITE STAFFING 04/13/16 DOUGLAS RALLO PC 536 17WC 09386 VOLODKA, NIKOLAS FOREST BUILDERS, INC 05/20/08 SEIDMAN MARGULIS & FAIRMAN THOMAS & PORTELA 537 17WC 09402 LOPEZ, WILFREDO ENSEMBLE OF CARE, INC 01/15/16 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM 538 17WC 09419 BATZEL, MICHAEL AIR-RITE HEATING AND COOL 03/03/17 GALLAGHER, DONALD V CACCHILLO LAW GROUP LLC 539 17WC 09452 SPICKA, JAMES M LINCOLNSHIRE RIVERWOODS F 11/05/15 THOMAS W DUDA 540 17WC 09578 WAGENAAR, MIKE RINGWOOD 12/06/15 VRDOLYAK LAW GROUP LLC 541 17WC 09803 TWOMEY, JOSEPH AT&T INC 12/08/15 GOLDBERG WEISMAN & CAIRO L 542 17WC 10024 MARTIN, BRIAN ILLINOIS STATE TOLL @ 03/12/17 ANKIN LAW OFFICE GANAN & SHAPIRO 543 17WC 10428 SMITH, BRIAN PAPA JOHN'S 03/20/17 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 544 17WC 10591 CAMPOS, SANTOS WAUCONDA COMMUNITY UNIT 10/08/16 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR 545 17WC 10664 VALENZUELA, DARIO TEMPS NOW 03/20/17 SALVATO & O'TOOLE 546 17WC 10920 BULATEK, ROY AFFILIATED FIRE SYSTEMS 02/17/17 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 547 17WC 11295 CAMACHO, CELIA RUPRECHT COMPANY 06/16/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 548 17WC 11360 DANIELS, JEAN ABBOT LABS 02/27/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 549 17WC 11462 BOSQUE, LOURDES BELMONT VILLAGE SENIOR LI 04/07/17 BARRY STEWART SILVER GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 17WC 11643 CABRERA, ANA THE XCEL GROUP 08/16/16 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 551 17WC 11813 IORII, SHERRI JACOBS COMPANY 11/01/16 BARRY A KETTER 552 17WC 12111 BUCKLEY, RONALD PARAMOUNT STAFFING 02/28/17 COSTA IVONE LLC 553 17WC 12137 SHELDON, EVERETT W THE HOME DEPOT 12/03/16 ROBERT EDENS ADELSON TESTAN BRUNDO 554 17WC 12225 LORII, SHERRI JACOBS COMPANY 11/01/16 BARRY A KETTER 555 17WC 12263 NATONEK, THEODORE HOSPIRA, INC. 05/17/15 MARKHAM M JEEP & ASSOCIATE SPIEGEL & CAHILL, PC 556 17WC 12404 SILBER, CARL X POLYURETHANE ENGINEERING 05/27/15 ROSS TYRRELL HOLECEK & ASSOCIATES 557 17WC 12471 WYSE, PATRICIA WALMART INC STORE 1404 01/30/17 QUINTAIROS PRIETO WOOD & BOY 558 17WC 12893 CAMACHO BONILLA, DELIN E MVP STAFFING/MOST VALUABL 11/11/16 SOSTRIN AND SOSTRIN PC KOREY RICHARDSON LLC 559 17WC 13173 BUBEL, DAWN UHAUL 12/12/16 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 560 17WC 13228 ANTOS, ANDRZEJ CFM/VR-TESCO LLC 11/03/14 KURASCH & KLEIN, LTD QUINTAIROS PRIETO WOOD & BOY 561 17WC 13291 MARTINEZ, MARIA ALEJANDRA NEMERA 02/06/17 CULLEN HASKINS NICHOLSON 562 17WC 13404 VAN KAST, MARK GRAYSLAKE COMMUNITY PARK 01/30/17 COLLISON LAW OFFICES HENNESSY & ROACH PC 563 17WC 13572 REDMON, TONIYKA CENTRAL FLORIDA RESTURANT 01/23/17 PAUL A COGHLAN & ASSOC COZZI & GOGGIN-WARD 564 17WC 13662 FAUST, TERRI PEDIATRIC THERAPY SERVICE 09/12/16 BOTTO GILBERT LAW OFFICES JOSEPH MARCINIAK 565 17WC 13689 WILSON, VICKI WOODLAND SCHOOL DISTRICT 02/23/17 DAVID W MARTAY 566 17WC 13806 CABRALES, ISRAEL J ADVACNED DISPOSAL SERVICE 04/24/17 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 17WC 13862 PARSONS, DORETTA BAXTER 03/27/17 DUDLEY & LAKE LLC HENNESSY & ROACH PC 568 17WC 14063 MOSS, MORGAN SUNRISE SENIOR LIVING 12/28/15 BARRY STEWART SILVER NOBLE & ASSOCIATES PC 17WC014064 -C 569 17WC 14342 KRUCKENBERG, WILLIAM A ELA TOWNSHIP 08/07/14 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 570 17WC 14644 DIGIACINTO, ANDREA VILLAGE OF LIBERTYVILLE 02/22/17 DUDLEY & LAKE LLC RUSIN & MACIOROWSKI LTD 571 17WC 14685 MUNOZ DEL HOYO, DAVID LITTLE LADY FOODS 11/23/16 BAUM RUFFOLO & MARZAL LTD SPIEGEL & CAHILL, PC 572 17WC 14705 PERILLO, JUSTIN CHICAGO BEARS FOOTBALL CL 12/07/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 573 17WC 14789 MULDOWNEY, BERTHA ADVOCATE CONDELL MEDICAL 03/16/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 574 17WC 14850 GARCIA, CONSUELO ARAMARK 03/14/17 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 575 17WC 15066 CRUZ, JOSE MARKET SQUARE RESTAURANT 09/15/16 PAUL F SERKLAND JOSEPH MARCINIAK 576 17WC 15333 CAZARES, ADRIANA ECHO INCORPORATED 10/16/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 577 17WC 15521 MUNOZ, JOSE A JAFFA SALADS 04/28/17 JONATHAN SCHLACK COZZI & GOGGIN-WARD 578 17WC 15577 CALMEYN, THOMAS DAYTON FREIGHT LINES 06/22/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 579 17WC 15706 SALGADO, JOSE A HYDRAFORCE, INC 10/14/16 MARSZALEK AND MARSZALEK 580 17WC 15789 ALDRIDGE, JAMES UNISTAFF, INC 12/30/16 WOODRUFF & JOHNSON LITCHFIELD CAVO 581 17WC 16066 THREATT, ERIC J ALLENDALE ASSOCIATION 03/15/17 LINN, CAMPE & RIZZO LTD 582 17WC 16130 MCLANAHAN, CYNTHIA MCDONALDS 05/17/17 DWORKIN AND MACIARIELLO 583 17WC 16470 FRANZ, LAURA CRAWFORD & COMPANY 05/04/17 BERNARD WYSOCKI & ASSOCIAT 584 17WC 16728 HERRERA, ANA PATRICIA XCEL GROUP 05/25/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 17WC 17017 GONGOLA, MARLEANA J SPECIAL EDUCATION DISTRIC 01/20/17 PETER D CORTI LAW GROUP GOLDBERG SEGALLA LLC 586 17WC 17236 GOMEZ, CESAR RICK'S AUTO CARE 12/16/16 COSTA IVONE LLC 587 17WC 17365 VIDAD, EILEEN BELMONT VILLAGE BUFFALO G 01/09/17 ROGER D RUDICH LTD GAROFALO SCHREIBER STORM 588 17WC 17401 BERRY, LUEVADA ELITE LABOR SERVICE 05/25/17 STEVEN J MALMAN & ASSOCIAT 589 17WC 17532 LIMON, CAROLINA TEMPSNOW EMPLOYMENT & 05/24/17 HERRERA LAW CENTER HENNESSY & ROACH PC 590 17WC 17662 FAHLSING, ROBERT C COMMERCIAL PLASTICS COMPA 05/03/17 LINN, CAMPE & RIZZO LTD LAW OFFICES OF EDWARD J. KOZ 591 17WC 17750 BUNNAG, MARGO J ADVOCATE GOOD SHEPHERD HO 10/18/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 592 17WC 17811 MYERS, JELISSA SIX FLAGS 10/10/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 593 17WC 17891 SAVIGNANI, DANIEL R GALASSINI & ORI MASONRY I 05/16/17 LINN, CAMPE & RIZZO LTD 594 17WC 18144 CARRANZA, RAMIRO NUWAVE, LLC 03/15/17 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 595 17WC 18294 STARE, DAWN ZION DISTRICT 6 SCHOOLS 05/11/17 DWORKIN AND MACIARIELLO 596 17WC 18388 MELZER, KELLY SEDOL 05/03/17 BOWMAN & CORDAY 597 17WC 18483 PRONDZINSKI, CRAIG FIDELITONE, INC. 04/17/17 TARADASH LAW OFFICE 598 17WC 18581 PUMPHREY, BRYAN KLEINSCHMIDT, INC 05/25/17 COSTA IVONE LLC 599 17WC 18642 SIMUNDIC, EDWARD J, JR CYGNET CONTROLS, INC 08/29/16 KOSIN LAW OFFICE LTD 600 17WC 18836 SUTTER, MICHELLE DURHAM SCHOOL SERVICES/ 05/12/17 POSTERLI, OSCAR BRADY CONNOLLY & MASUDA PC 601 17WC 18900 GONZALEZ, MARIA G LTD COMMODOTIES, LLC 04/04/16 TAMVAKIS, GEORGE L 602 17WC 18999 VARELA, PRISCILLA HMS HOST 04/24/17 FREDRICK B BARDER, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 17WC 19037 PEETE, JOHN M CITY OF WAUKEGAN 07/14/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 604 17WC 19124 TREVINO, CESAR VICTORY CENTER OF VERNON 06/17/17 FIGLIOLI, DAVID BRYCE DOWNEY & LENKOV LLC 605 17WC 19353 NOVOTNY, EDWARD AEROTEK 05/18/17 KATZ FRIEDMAN EAGLE ET AL FEATHERSTUN GAUMER POSTLEWAI 606 17WC 19553 KITCHEL, ANNE BAXTER HEALTHCARE CORPORA 05/24/07 MC HARGUE & JONES HENNESSY & ROACH PC 607 17WC 19606 GRILLO, SOPHIA MACY'S 03/16/17 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 608 17WC 19873 GOETZ, WALTER BAUERS CATERING 03/25/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 609 17WC 19890 JAMES, HENRY LEE SOUTHWIRE 06/26/17 LAW OFFICES TIMOTHY HENDER GANAN & SHAPIRO 610 17WC 20065 GORSKI, LAURA HOME DEPOT 07/05/17 LAW OFFICE OF ROBERT J. IR MC ANDREWS & NORGLE LLC 611 17WC 20226 MARCEL, MICHAEL P. MILLER'S AREA HEATING 05/11/17 ANESI OZMON RODIN NOVAK KO 612 17WC 20283 DELGADO, ALEJANDRO SERENO'S INSULATION 10/02/15 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 17WC020284 -C 613 17WC 20512 HARRIS, CHARLES SIX FLAGS GREAT AMERICA, 06/08/17 GORDON & CENTRACCHIO LLC BRADY CONNOLLY & MASUDA PC 614 17WC 20516 GONZALEZ, MARISOL ANDREWS STAFFING 07/10/17 HERRERA LAW CENTER SLAVIN & SLAVIN 615 17WC 20557 GOMEZ, VICENTE UNIVERSITY OF SAINT MARY 06/22/17 JONATHAN SCHLACK 616 17WC 20570 WILLIAMS, LINDA PENSKE 06/22/17 DUDLEY & LAKE LLC HENNESSY & ROACH PC 617 17WC 20786 REYNOLDS, KENNETH AMERICAN AUTO EXPO 08/30/16 618 17WC 20843 CUEVAS, MARIA L HORIZONS WINDOW FASHIONS 06/21/17 BERNARD WYSOCKI & ASSOCIAT RODDY LAW LTD 619 17WC 20907 EUCOLONO, MATTHEW PACE 06/09/17 ANTHONY J MAY 620 17WC 21181 KEETON, ANGELA GLENKIRK 09/09/15 DUDLEY & LAKE LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 17WC 25919 SALATA, DALE T PEPSICO, INC 05/16/17 LEWIS & DAVIDSON, LTD ROBERT L. SMITH 658 17WC 25940 RUIZ, EDUARDO DIRECT METALS CO LLC 08/03/17 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 659 17WC 25979 PFLEGER, TIMOTHY S COUNTY OF LAKE 08/15/15 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 660 17WC 25985 PFLEGER, TIMOTHY S COUNTY OF LAKE 07/28/17 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 661 17WC 26269 SANCHEZ, LAZARO ECHO INCORPORATED 07/06/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 662 17WC 26424 SERZYNSKI, PAUL S LAKE COUNTY DIVISION OF 11/24/16 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 663 17WC 26568 RAMIREZ, MARIA APAK, INC 02/13/17 CULLEN HASKINS NICHOLSON 664 17WC 26646 CALDERON, MARIA COSTCO 08/27/17 BAUM RUFFOLO & MARZAL LTD GANAN & SHAPIRO 665 17WC 26678 ALAMO, VINCENT WINDY CITY DELI PROVISION 08/10/17 ANGELINI & ORI LLC 666 17WC 26908 ALEJANDRO, ERNEST WAUCONDA COMMUNITY UNIT S 08/24/16 KEVIN P. JUSTEN PC 667 17WC 27127 ORGANISTA, ANTONIO NOISE BARRIERS, LLC 07/13/17 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 668 17WC 27208 BLACKOWICZ, JEFF HOME DEPOT USA, INC 07/11/17 JASON HAUCK ADELSON TESTAN BRUNDO 669 17WC 27387 CRUZ, DION DE LA ANN M KILEY CENTER 07/25/17 POSTERLI, OSCAR KRISTIN LEASIA 670 17WC 27460 ARANDA, AURORA TARGET 08/21/17 NYHAN BAMBRICK KINZIE & LOWR 671 17WC 27469 ARANDA, AURORA TARGET 08/21/17 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 672 17WC 27580 RODRIGUEZ, FERNANDO QUALITY CATRING 03/06/17 ANGELINI & ORI LLC 673 17WC 27619 CRUZ, MAYRA SURE STAFF 08/23/17 HERRERA LAW CENTER LOUIS MUNDY 674 17WC 27778 RUSCH, JULIA ADVOCATE CONDELL MED CENT 03/18/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 17WC 27804 VILLARREAL, ELIA ANN KILEY CENTER 07/25/17 DUDLEY & LAKE LLC KRISTIN LEASIA 676 17WC 28017 GOMEZ, YADIRA SEDGEBROOK 02/07/17 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 677 17WC 28090 SALGADO, JAVIER LABOR SOLUTIONS 08/03/17 MARKS INJURY LAW 678 17WC 28150 HUBBARD, BRUCE LAZER SPOT INC 09/07/17 LAW OFFICE JEFFREY FRIEDMA WOLFE & JACOBSON, LTD 679 17WC 28318 MCALEVY, BONNIE WOODLAND CCSD #50 12/22/16 DEER & STONE PC WIEDNER & MCAULIFFE LTD 680 17WC 28421 REBOLLEDO, RICARDO SUPER FRESH MARKET & 03/30/17 DEPAOLO ZADEIKIS GORE 681 17WC 28486 EFRALEW-WEBER, HELENE ILLINOIS BONE AND JOINT 09/08/16 BARRY STEWART SILVER LAW OFFICES OF EDWARD J. KOZ 682 17WC 28563 ROBINSON, MICHELLE GIDTWITZ PLACE 08/06/17 SEIDMAN MARGULIS & FAIRMAN 683 17WC 28615 POTERACKI, SARAH GREAT AMERICA LLC 06/30/14 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 684 17WC 28708 HARTSTEIN, JUDY SCHOOL DISTRICT 96 08/29/17 NEWLAND & NEWLAND 685 17WC 28757 BARRETT, MICHAEL ROBERT I CDI CORPORATION 08/24/17 DOUGLAS RALLO PC 686 17WC 28794 PARISI, MARY KAY LAURETTA'S ITALIAN BAKESH 02/12/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 687 17WC 28797 STECHER, JEFFREY R SUPERIOR AMBULANCE 09/04/16 LINN, CAMPE & RIZZO LTD 688 17WC 28859 COIRIER, RICHARD WAUCONDA SD 118 05/25/17 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 689 17WC 28899 GERAGHTY, PEGGY THE FRESH MARKET 09/28/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 690 17WC 28930 GOLD, DEIDRA WOLTERS KLUWER UNITED STA 02/02/17 STEPHAN L. HOFFMAN HOLECEK & ASSOCIATES 691 17WC 29045 RUCK, SHAWN VAN VLISSINGEN & CO 10/24/14 GRAZIAN & VOLPE PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 692 17WC 29445 TRIMBORN, GABRIELLA VETERINARY SPECIALTY CTR, 04/10/15 ANESI OZMON RODIN NOVAK KO 693 17WC 29590 SKUTA, DAN CHICAGO BEARS FOOTBALL CL 05/09/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC008760 -C 694 17WC 29609 NHEM, SAREK LAKE COUNTY COURTHOUSE 11/11/16 PAUL A COGHLAN & ASSOC SMITH AMUNDSEN LLC 695 17WC 29669 LADEAN, ROBERT LAKE FOREST HOSPITAL 09/02/17 EFTEKHARI LAW OFFICES 696 17WC 29753 DESTRY, LYNN MARIANOS 06/02/17 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 697 17WC 29899 GONZALEZ, JUAN A BRIGHT VIEW 07/19/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 698 17WC 29903 MORALES, BRENDA LABOR SOLUTIONS 09/18/17 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 699 17WC 29918 CARRILLO, GUSTAVO SCHMECHTIG LANDSCAPES 09/08/17 POSTERLI, OSCAR HEYL ROYSTER VOELKER & ALLEN 700 17WC 29943 BALLINGTON, JOSHUA HARRIS DAVIS REBAR 09/27/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 701 17WC 30004 HOLBACH, ROBERT SIX FLAGS GREAT AMERICA 07/27/16 LINN, CAMPE & RIZZO LTD 702 17WC 30066 VALLE, AARON COCA-COLA 07/31/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 703 17WC 30076 ROBERSON, LUZMINDA SHARON BAUSMAN 08/25/17 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 704 17WC 30234 URBANCIS, MICHAEL D PFASTIEHL LABORATORIES, I 03/16/17 LINN, CAMPE & RIZZO LTD 705 17WC 30286 GARCIA, PATRICIA THORNTON'S 03/16/17 DAVID J. BAWCUM GRANT & FANNING 706 17WC 30289 KOWALCZYK, RONALD TERMAX CORPORATION 07/17/16 DAVID J. BAWCUM HENNESSY & ROACH PC 707 17WC 30290 KOWALCZYK, RONALD TERMAX CORPORATION 05/18/16 DAVID J. BAWCUM HOLECEK & ASSOCIATES 708 17WC 30421 HARRISON, TAMMARA VILLAGE OF VICTORY LAKES 02/15/17 ROBERT EDENS ARNETT LAW GROUP 709 17WC 30452 VENSKI, AMY THE HOME DEPOT 10/02/17 HANNIGAN & BOTHA, LTD ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 710 17WC 30464 VERA, FATIMA AFX INC 08/22/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 711 17WC 30488 SONDERS, KELLY S DEEFIELD PARK DISTRICT 05/07/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 712 17WC 30566 SCOTT, JAMES AMS EARTH MOVERS, INC 10/06/17 MARKS INJURY LAW INMAN & FITZGIBBONS 713 17WC 30631 DUPREE, JAMES D VILLAGE OF GURNEE 05/02/17 LINN, CAMPE & RIZZO LTD 714 17WC 30743 BROWDER, DANIELLE CULVER'S 10/06/17 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 715 17WC 30800 ROE, GORDON J ILLINOIS STATE TOLL 07/11/17 BAUM RUFFOLO & MARZAL LTD GANAN & SHAPIRO 716 17WC 30848 BECERRA, ANDRE R STONE DEVELOPMENT GROUP, 09/19/17 LUCAS & APOSTOLOPOULOS 717 17WC 30917 KHALATOVA, KARINA CITICARE TRANSPORTATION/ 12/09/16 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 718 17WC 31020 KOTLIAR, ALEXANDER VCI CALL CENTER/VOLKSWAGE 09/22/17 LAW OFFICES YEVGENIY VAYSM GAROFALO SCHREIBER STORM 719 17WC 31093 HERNANDEZ, NARDALIA TEMPS NOW EMPLOYMENT & 07/14/17 FERRIS THOMPSON & ZWEIG 720 17WC 31151 GARCIA, JESSIE ACCURATE PERSONNEL LLC 10/09/17 ANKIN LAW OFFICE JOHN T GONNELLA 721 17WC 31237 RICHMOND, LISA MARIANO'S FRESH MARKET 08/02/17 EFTEKHARI LAW OFFICES 722 17WC 31295 TREJO, MANUEL SCHWAN ELECTRIC 06/28/17 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 723 17WC 31314 GRANDA ALARCON, ANDRES EMCO CHEMICAL DISTRIBUTOR 06/30/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 724 17WC 31420 VILLEGAS, ARMANDO MEDLINE INDUSTRIES INC 09/20/17 ARGIONIS & ASSOCIAT0ES LLC GAROFALO SCHREIBER STORM 725 17WC 31461 HERNANDEZ, MARTIN HORIGAN TREE CARE, LLC 08/25/17 SOSTRIN AND SOSTRIN PC KNELL & O'CONNOR 726 17WC 31485 CASTREJON, REYNOL EXMOOR COUNTRY CLUB 10/09/17 STEWART C ORZOFF NOBLE & ASSOCIATES PC 727 17WC 31567 DIEBEL, ANN BLUEMERCURY, INC 09/08/17 TARADASH LAW OFFICE ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 728 17WC 31648 MARTINEZ, BENITO R PAUL'S LANDSCAPING 07/24/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 729 17WC 31671 BRESNAHAN, KATHLEEN PEAPOD 09/25/17 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 730 17WC 31746 HEARON, DOMINIQUE PAVILLION OF WAUKEGAN 09/23/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 731 17WC 31784 LEFT, JOHN B CEVA LOGISTICS 09/26/17 DOUGLAS RALLO PC 732 17WC 31790 BARIGAZZI, MASSIMO CITY OF HIGHLAND PARK 10/13/17 DOUGLAS RALLO PC POWER & CRONIN LTD 733 17WC 31942 GUTIERREZ, ABEL JR. NORTH SHORE GAS CO/INTEGR 07/07/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 734 17WC 32155 RAMIREZ, JUAN AAA BETTER ROOF INC 08/17/17 FRIEDMAN, MICHAEL T & ASSO KNELL & O'CONNOR 735 17WC 32326 CROWLEY, GREG ABBVIE 12/19/16 ASHER, RAYMOND L LTD CHICAGO TRANSIT AUTHORITY 736 17WC 32393 SANCHEZ, EUNICE CHASE PROFESSIONALS 10/09/17 HERRERA LAW CENTER ADELSON TESTAN BRUNDO 737 17WC 32454 TRUJILLO, EMILIO MOORE LANDSCAPES, LLC 09/13/17 DUDLEY & LAKE LLC EDWARD J. KOZEL 738 17WC 32625 NEUMANN, DIANA JEWEL FOOD STORES, INC. 06/07/17 JASON HAUCK QUINTAIROS PRIETO WOOD & BOY 739 17WC 32807 ESQUIVEL, JOSE DC TRICORE INC 10/19/17 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 740 17WC 32913 OJEDA, YAZMIN QUALITY LABOR SERVICES LE 10/16/17 HANNIGAN & BOTHA, LTD KOREY RICHARDSON LLC 741 17WC 32966 JACOB, JUVENAL TESLA SUPERCHARGER 10/17/17 CHEPOV & SCOTT LLC GRANT & FANNING 742 17WC 33030 JAHN, ANDREW P NEW ALBERTSON'S DBA JEWEL 10/07/17 LINN, CAMPE & RIZZO LTD 743 17WC 33083 COLINO, ANGELINA JEWEL OSCO 06/13/17 LAW OFFICE OF SCOTT B SHAP 744 17WC 33114 LARSEN, BRADLEY IHC CONSTRUCTION 04/14/17 FRANCIS J DISCIPIO LAW OFF JOSEPH MARCINIAK 745 17WC 33161 GASTON, HENRY CANCER TREATMENT CENTERS 06/20/17 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 746 17WC 33269 GAUDARRAMA, ROSA GREAK LAKES RESOURCES, IN 09/12/17 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 747 17WC 33543 JOHNSON, SANDRA A ZION BENTON TOWNSHIP HS 07/25/17 COHN & COHN NYHAN BAMBRICK KINZIE & LOWR 748 17WC 33677 MARTINEZ-SALAMANCA, DELMY LABOR SOLUTIONS, LLC 09/21/17 JONATHAN SCHLACK 749 17WC 33793 ROGERS, RITA SUPERIOR GROUP CONTRACTIN 08/24/17 KEVIN P. JUSTEN PC HENNESSY & ROACH PC 750 17WC 33846 HOWARD, RUSSELL PAPPAS COMPANY 10/10/17 KUMLIN & FROMM 751 17WC 33906 ROGERS, TERRANCE E ELITE STAFFING INC 09/06/17 ANKIN LAW OFFICE 752 17WC 34055 TIMMONS, KISHEYA RANSTAD MANUFACTURING LOG 05/08/17 AIOSSA LAW FIRM 753 17WC 34101 MORENO, OSCAR LUNA MIGUEL LANDSCAPING 10/27/16 LARRY FLEISCHER & ASSOCIAT 754 17WC 34202 WILLIAMSON, ROYCE TRADER JOE'S CO 06/19/17 RITTENBERG & BUFFEN 755 17WC 34218 BIEMOLT, ANN PET ADVENTURES LLC 11/04/17 GORDON & CENTRACCHIO LLC 756 17WC 34350 HOLLEN, MAXWELL LEGENDARY MASONRY 10/18/17 JEROME FOREMAN & ASSOCIATE 757 17WC 34375 BARRERA, PHIL FEDEX FREIGHT 07/08/16 DUDLEY & LAKE LLC QUINTAIROS PRIETO WOOD & BOY 758 17WC 34431 ARIAS, FERNANDO US ACRYLICS 09/12/17 GORDON LAW OFFICES LTD GANAN & SHAPIRO 759 17WC 34494 SVEDMAN, AMANDA LAKESIDE CENTER 11/02/17 BRILL & FISHEL 760 17WC 34682 ROLDAN, JOSE M STAFFING NETWORK 07/15/17 LINN, CAMPE & RIZZO LTD 761 17WC 34755 PIETURA, TERESA LAKE PARK CTR 10/22/17 NILSON STOOKAL GLEASON CAP BRADY CONNOLLY & MASUDA PC 762 17WC 34780 MARX, CARY A ART VAN FURNITURE 09/28/17 WILLIAM MARTAY HOLECEK & ASSOCIATES 763 17WC 34829 BAKER-BERGLUND, ANNIE COMFORCARE 09/25/16 BERNARD WYSOCKI & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 764 17WC 34897 CHAMBERS, BRIAN GHC MECHANICAL INC 07/18/17 GREGORIO & MARCO 765 17WC 35073 FLORES, YOLANDA XCEL STAFFING SOLUTIONS L 10/31/17 SALK, STEVEN B & ASSOC LTD GILDEA & COGHLAN 766 17WC 35276 ANZALONE, JOHN VCNA PRAIRIE MATERIAL 10/24/17 DOUGLAS RALLO PC GAROFALO SCHREIBER STORM 767 17WC 35473 SCHABB, TIMOTHY AT&T 09/23/17 THOMAS J STIBERTH LAW OFFI 768 17WC 35528 DELANEY, MARSHALL WORKFORCE CICERO 10/13/17 STROM, NEAL B KOREY RICHARDSON LLC 769 17WC 35613 HELING, JERRY SANCKEN TRUCKING INTL 09/14/16 HORWITZ HORWITZ & ASSOC 770 17WC 35677 MARTINEZ, RIGOBERTO DE YOUNG TRUCKING & EXCAV 11/09/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 771 17WC 35733 HANZELIN, KENNETH FEDEX GROUND EXPRESS 11/08/17 BURNETT & CARON, LTD KOPKA, PINKUS DOLIN, PC 772 17WC 35816 SELMAN, PHIL BUFFALO GROVE PARK DISTRI 10/18/17 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 773 17WC 35863 GOLDMAN, RACHEL SHAG BAK PET RETREAT & SP 06/21/17 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 774 17WC 36092 ESPINOSA, SANTOS ALERIS 04/20/17 WEISS ORTIZ PC 775 17WC 36128 GUTIERREZ, EDUARDO SUPERIOR SHEET METAL & HE 09/21/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 776 17WC 36358 TORRES, JOSE ANTONIO TOST PRAIRIE EQUINE VETERINARY 10/13/17 DAVID J. BAWCUM 777 17WC 36436 RUBIO, JUAN A DREAMSCAPES HARDSCAPES & 10/13/17 FERRIS THOMPSON & ZWEIG BRADY CONNOLLY & MASUDA PC 778 17WC 36509 HOLLEMAN, NORA BAXTER HEALTH CARE 05/26/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 779 17WC 36609 MULLINS, JAUNZEL TACO BELL/ YUM BRANDS INC 10/22/17 DEER & STONE PC 780 17WC 36911 VIERA-GUTIERREZ, MARIA WORLD CLEANING SERVICES 11/13/17 AIOSSA LAW FIRM 781 17WC 36936 CARBAJA, RODNEY CITY OF HIGHLAND PARK 10/19/17 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 782 17WC 36961 PAPANDREOU, GEORGE WAUKEGAN SCHOOL DISTRICT 11/10/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 783 17WC 37006 SIPE, ALICIA SILVERADO SENIOR LIVING 10/30/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 784 17WC 37069 LEONARD, JAMES P CITY OF WAUKEGAN 10/27/17 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 785 17WC 37154 PEREZ, ABEL MIDWEST ROOFING SUPPLY 11/10/17 HANNIGAN & BOTHA, LTD 786 17WC 37202 PRAWICA, ELZBIETA ADVOCATE CONDELL MEDICAL 11/22/17 BELLAS & WACHOWSKI 787 17WC 37246 FLORES, BRICELDA GOOD FOODS GROUP 07/01/17 KATZ FRIEDMAN EAGLE ET AL 788 17WC 37378 MACEDO, ESTEBAN QUALITY LABOR SERVICES 12/06/17 ANKIN LAW OFFICE KOREY RICHARDSON LLC 789 17WC 37417 PRESBERRY, KINNIE AMAZON 12/07/17 TAXMAN POLLOCK 790 17WC 37542 MCNEIL, WILLIAM COMCAST 12/11/17 HANNIGAN & BOTHA, LTD 791 17WC 37609 CRUZ, GUADALUPE ERJ DINING, LLC DBA CHILI 01/16/17 DOUGLAS RALLO PC 792 17WC 37642 EBERHEARDT, MICHAEL VF OUTLET INC 10/12/17 ANKIN LAW OFFICE 793 17WC 37648 RODRIGUEZ, JOSE ANGEL PROCTOR GAMBLE 11/17/14 MC HARGUE & JONES 794 17WC 37747 PROVENCHER, ALBERT SPECIAL EDUCATION DISTRIC 10/18/17 TARADASH LAW OFFICE 795 17WC 37893 BEHAN, ROBERT WAUKEGAN ROOFING 11/01/17 HORWITZ HORWITZ & ASSOC 796 17WC 37899 TAPIA, YESENIA ALDEN LONG GROVE 10/06/16 TRUGLIO, FRED A & ASSOC 797 17WC 37939 ROBINSON, EDWARD IL TOLLWAY 12/18/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 798 17WC 37962 BERGMAN, ROBERT 3M COMPANY DBA MEGUIAR'S 10/18/16 DOUGLAS RALLO PC 799 17WC 37973 FLORES, PEDRO J ADVANCED DISPOSAL SERVICE 11/20/17 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 800 17WC 37976 SURANO, KELLY M COUNTY OF LAKE 12/29/15 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 801 17WC 37985 MONTGOMERY-WISE, KEIAIRA AMAZON 12/08/17 MARKS INJURY LAW HENNESSY & ROACH PC 802 17WC 38015 MCLEMORE, CLYDE NAVAL STATION GREAT LAKES 12/18/17 AIOSSA LAW FIRM LAWRENCE COZZI - LAW OFFICES 803 17WC 38073 ESCOBAR, JESUS DAN PLAUTZ CLEANING SERVI 02/28/17 JONATHAN SCHLACK WOLFE & JACOBSON, LTD 804 18WC 00119 PROSINSKI, CHRIS CHICAGO BEARS FOOTBALL 12/16/17 WOLFE LAW PC 805 18WC 00216 JUAREZ, MARIA SURE STAFF INC 07/17/17 LAW OFFICES OF ANSELMO DUR LOUIS MUNDY 806 18WC 00264 GRIFFIN, KARLIS PEOPLE READY 12/07/17 DWORKIN AND MACIARIELLO 807 18WC 00437 PISARCIK, LAWRENCE BIMBO BAKERIES USA 12/11/17 RICHARD O. GREENFIELD 808 18WC 00591 GORSUCH, DUSTIN BEST BUY 12/12/16 GOLDBERG WEISMAN & CAIRO L 809 18WC 00674 SAGERT, STEVE BGR CONSTRUCTION 12/08/17 ROSENBERG EISENBERG ASSOC WIEDNER & MCAULIFFE LTD 810 18WC 00753 EWERT, LEONARD C NORTH SHORE WATER 07/17/17 HANNIGAN & BOTHA, LTD INMAN & FITZGIBBONS 811 18WC 00826 BEAN, CHRISTOPHER ZF SERVICES 04/07/17 LEONARD LAW GROUP LLC 812 18WC 00875 THORN, DOUGLAS AT&T (DBA ILLINOIS BELL C 11/09/17 TURNER & SACKETT LLC 813 18WC 00994 DAVIS, JORDAN R WAUKEGAN PUBLIC SCHOOL 60 11/21/17 GALLAGHER, DONALD V BRADY CONNOLLY & MASUDA PC 814 18WC 01062 BEECHER, STEVEN WOODLAND SCHOOL DISTRICT 12/12/17 AIOSSA LAW FIRM 815 18WC 01102 GUTOSKY, JOHN GLENTRONICS INC 12/27/17 GOLDBERG WEISMAN & CAIRO L 816 18WC 01206 CATALANO, NICHOLAS ZF SERVICES LLC 10/09/17 BOGUSZ & BOGUSZ LTD HOLECEK & ASSOCIATES 817 18WC 01279 REYES, EDGAR CAMO JUGGERNAUT LLC 10/26/17 ALBERT R. PINO LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 818 18WC 01361 NORTH, KERRY MARIO TRICOCI HAIR SALON 10/01/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 819 18WC 01459 MARTINEZ-ZARAGOZA, JUAN CITY DRYWALL 01/06/18 RUEDA, IVAN A 820 18WC 01614 VARGAS, CARLOS FIVE STAR DECORATING, INC 10/03/17 KARCHMAR & STONE ACCIDENT FUND HOLDINGS 821 18WC 01640 CREAMER, KELLY AMAZON CNC LOGISTICS INC 12/12/17 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 18WC001641 -C 18WC001642 -C 822 18WC 01672 HARPER, EILEEN EINSTEIN NOAH RESTAURANT 06/11/17 STEWART C ORZOFF EDWARD J. KOZEL 823 18WC 01770 MONROY, JOSE L SQUEAKY KLEEN PROF CLEANI 09/26/16 BRILL & FISHEL 824 18WC 01921 EWING, ROBERT MECHANICAL INC 10/27/17 HORWITZ HORWITZ & ASSOC 825 18WC 02043 BLACKER, AMY HEINEN'S GROCERY STORE 12/09/17 DUDLEY & LAKE LLC GILDEA & COGHLAN 826 18WC 02089 TOLEDO, ELIDETH MCDONALD'S 05/17/17 POSTERLI, OSCAR 827 18WC 02303 GRZYBEK, PAUL M CITY OF HIGHLAND PARK 11/03/17 THOMAS W DUDA POWER & CRONIN LTD 828 18WC 02325 CARRENO, MARIA ESMERALDA MCESSY INVESTMENT CO DBA 05/10/16 FERRIS THOMPSON & ZWEIG 829 18WC 02362 OROURKE, AMI CEANATE CORP 01/28/15 INMAN & FITZGIBBONS 830 18WC 02435 HOWELL, DERELL LABOR SOLUTIONS LLC 10/09/17 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 831 18WC 02472 HARRIS, GERALD SELECT CMFORT CORP-SLEEPN 05/16/17 THERMAN LAW OFFICES GAROFALO SCHREIBER STORM 832 18WC 02475 ROBERSON, VARLINE AMAZON 12/28/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 833 18WC 02648 ROSS, GERALD GERBER COLLISION & GLASS 07/28/15 LAW OFFICE RICHARD BINGHAM HOLECEK & ASSOCIATES 834 18WC 02692 RAMIREZ, ISRAEL ALLSTAFF 12/21/17 LINN, CAMPE & RIZZO LTD 835 18WC 02726 DELGADO, EDDY ESTES EXPRESS LINES 01/18/18 GOLDBERG WEISMAN & CAIRO L 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 DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 836 18WC 02778 HOARD, SIDNEY INTEGRITYH STAFFING SOLUT 01/12/18 FRIEDMAN & SOLMOR LTD SLAVIN & SLAVIN 837 18WC 02854 GRINZAFI, LAURIE MENARDS 10/04/17 LOSS & PAVONE CHILTON YAMBERT PORTER LLP 838 18WC 02998 HALVERSON, DAVID BUFFALO GROVE 01/05/18 THE FITZ LAW GROUP 839 18WC 03056 GELEERD, LINDA SPECIAL RECREATION ASSOCI 01/22/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 840 18WC 03075 GARCIA, BERENICE COMMERCIAL CLEANING SYSTE 08/16/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 841 18WC 03276 GUZMAN, MAGDALENA AEROTEK 10/16/17 RUEDA, IVAN A 842 18WC 03334 GATES, MARK R LONG GROVE 01/12/18 WAGGONER LAW FIRM PC 843 18WC 03479 JACKSON, MARCUS 2 MEN AND A TRUCK 07/21/17 DWORKIN AND MACIARIELLO 844 18WC 03560 ROSILES, JOSE ALLSTAFF, INC 01/16/18 COLLISON LAW OFFICES 845 18WC 03607 CARON, CRAIG MV PUBLIC TRANSPORTATION 06/15/17 GRAHAM J. JEEP BRADY CONNOLLY & MASUDA PC 846 18WC 03643 BROWN, CLEVELAND GOODWILL INDUSTRIES OF 01/26/18 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 847 18WC 03721 FODER, JAMES WALMART 01/27/18 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 848 18WC 04108 KNEELAND, SADIKA M ALLENDALE ASSOCIATION 04/17/17 LINN, CAMPE & RIZZO LTD 849 18WC 04125 WIGGINS, MARTIN CHRISTOPHER B 09/05/17 WHITESIDE & GOLDBERG LTD 850 18WC 04246 MEDINA, JUAN C MACLEAN FOGG COMPONENT 12/05/17 DEPAOLO & ZADEIKIS INMAN & FITZGIBBONS 851 18WC 04392 SCHULTZ, RICHARD SEVEN MILE BRIDGE LLC 09/28/17 VOGG, MARK J LAW OFFICE LAWRENCE COZZI - LAW OFFICES 852 18WC 04400 BRISENO, JOSUE DEER PATH INN 05/15/17 LARRY FLEISCHER & ASSOCIAT 853 18WC 04418 ULBRICH, CORY BUILDTEKCONSTRUCTION 01/11/18 BOTTO GILBERT LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 854 18WC 04448 BURRELL, ELEANOR GLENLAKE TERRACE 02/02/18 HANNIGAN & BOTHA, LTD 855 18WC 04565 COLBY, DONALD S KOSTCO FOOD PRODUCTS 02/14/17 BRADY CONNOLLY & MASUDA PC 856 18WC 04624 PARKER, CHRISTOPHER UPS 01/30/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 18WC004625 -C 857 18WC 04670 KONJIC, OSMAN WASTE MANAGEMENT 05/31/17 SCOTT BARBER HENNESSY & ROACH PC 858 18WC 04757 SERANO, JOSE KONA GRILL 08/10/17 JONATHAN SCHLACK 859 18WC 04806 KNOWLES, JAMESINA CAMPING WORLD 08/18/17 KARNO, MARK L & ASSOC QUINTAIROS PRIETO WOOD & BOY 860 18WC 04874 GALARZA, EVA CARDINAL HEALTH 09/20/17 JASON HAUCK HENNESSY & ROACH PC 861 18WC 04895 ANDERSON, TIMOTHY S WOODLAND ELEMENTARY SCHOO 09/01/15 VITELL & SPITZ LTD 862 18WC 05026 MAZUR, JOHN GROOT INDUSTRIES 12/07/17 DWORKIN AND MACIARIELLO 863 18WC 05112 SALGADO, MARTIN LEWIS FRESH MARKET 12/13/17 POSTERLI, OSCAR GANAN & SHAPIRO 864 18WC 05140 OSEGUERA, MARGARITA THE POPCORN FACTORY 09/19/17 JONATHAN SCHLACK LAWRENCE COZZI - LAW OFFICES 865 18WC 05514 GERVACIO, CARLOS N&J ASSOCIATES 03/31/17 MC HARGUE & JONES 866 18WC 05542 REID, TIFFANY SIX FLAGS GREAT AMERICA 10/16/16 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 18WC005543 -C 867 18WC 05622 PAYNE, STEVEN NEW ALBERTSON'S INC 01/25/18 ROBERT WARSASKI 868 18WC 05663 GASCA LEDEZMA, JUANA HYDRAFORCE INC 01/10/18 JONATHAN SCHLACK HOLECEK & ASSOCIATES 869 18WC 05757 KRAMER, BRIAN IRONWOOD INDUSTRIES 09/28/17 DWORKIN AND MACIARIELLO 870 18WC 05795 PALESTINA, RAFAEL GURNEE PARK DISTRICT * 04/11/16 DUDLEY & LAKE LLC HENNESSY & ROACH PC 871 18WC 05947 FERET, KRYSTYNA BERNADETTE SERVICE, INC. 07/29/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 872 18WC 05994 BURTON, ANDRE IVAYLO LYUBENOV INDIVIDUA 11/03/17 SCHWEICKERT & GANASSIN 873 18WC 06012 COLEMAN, NAKIA WARREN BARR LINCOLNSHIRE 01/26/18 AIOSSA LAW FIRM BRADY CONNOLLY & MASUDA PC 874 18WC 06227 ISMAIL, JINAN ARBORIA OF LONG GROVE 01/02/18 RANDALL A. WOLFF & ASSOC 875 18WC 06279 RODRIGUEZ, ELYT BEACH PARK SCHOOL DIST 3 12/14/16 FERRIS THOMPSON & ZWEIG 876 18WC 06280 CANALES, DINA TEMPS NOW * 12/20/17 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 877 18WC 06319 ARNOLD, BRIAN M HOMEWATCH CAREGIVERS 01/25/18 GALLAGHER, DONALD V 878 18WC 06452 JORGENSON, JAMIE XPO LOGISTICS 01/17/18 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 879 18WC 06612 SAPYTA, JOHN H COUNTY OF LAKE 10/03/17 LINN, CAMPE & RIZZO LTD 880 18WC 06615 LUEBKE, JEFFREY VILLAGE OF BARTLETT 07/12/17 LINN, CAMPE & RIZZO LTD 881 18WC 06618 JAHN, ANDREW P NEW ALBERTSONS, INC 09/30/17 LINN, CAMPE & RIZZO LTD 882 18WC 06814 MATSUI, ALVIN K VILLAGE OF BARTLETT 07/12/17 LINN, CAMPE & RIZZO LTD 883 18WC 06861 LOVELACE, BRENDA ZELLER PLASTIK, INC 12/14/17 GOLDBERG WEISMAN & CAIRO L 884 18WC 06890 BAARTZ, BRIAN HOWE SECURITY, INC 11/17/17 JASON HAUCK JOSEPH MARCINIAK 885 18WC 06954 SLAWINSKI, MACIEJ ROADHANDLER EXPRESS 01/12/18 KROL BONGIORNO & GIVEN LTD LAWRENCE COZZI - LAW OFFICES 886 18WC 07029 QUINN, THOMAS LAMBS FARM, INC 11/16/17 SCOTT B SHAPIRO LAWRENCE COZZI - LAW OFFICES 887 18WC 07106 HERNANDEZ, RAQUEL ASG STAFFING INC 08/23/17 CULLEN HASKINS NICHOLSON 888 18WC 07263 AMBROSIUS, MICHELE CANCER TREATMENT CENTERS 11/06/17 HANNIGAN & BOTHA, LTD 889 18WC 07443 SKILLOM, MARKIE IPCC 03/07/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 890 18WC 07536 MULVIHILL, GEANNA NEW YORK & CO OUTLET 10/17/14 TARADASH LAW OFFICE 891 18WC 07541 MIJALSKI, MATTHEW E PATERNO IMPORTS LTD 01/31/18 ANKIN LAW OFFICE 892 18WC 07675 LAWYER, RONNIE P STATE OF ILLINOIS 04/24/15 LINN, CAMPE & RIZZO LTD KRISTIN LEASIA 893 18WC 07914 ONOFRE, EVELYN AMERICAN MARKETING SVCS 02/14/17 STAVINS & ASSOCIATES LAWRENCE COZZI - LAW OFFICES 894 18WC 08274 JARRELL, PEGGY FULL MOON FAMILY RESTURAN 02/15/18 MC HARGUE & JONES 895 18WC 08432 ROCHA, JESUS TRINITY INTERNATIONAL 02/06/18 KATZ FRIEDMAN EAGLE ET AL 896 18WC 08475 BARRON, TINA RIVERSIDE FOUNDATION * 04/14/16 HANNIGAN & BOTHA, LTD 897 18WC 08576 PETERSON, YOLANDA ALIGHT SOLUTIONS * 03/13/17 JAY S. SHETH LLC BRADY CONNOLLY & MASUDA PC 898 18WC 08735 AMPOSTA, MARISSA BARK UNIVERSITY * 01/22/18 MARKS INJURY LAW 899 18WC 08809 MOORE, RICHARD C PCI ENERGY SVCS * 02/15/18 ANESI OZMON RODIN NOVAK KO CHILTON YAMBERT PORTER LLP 900 18WC 08836 LABUY, VANESSA FRESENIUS KABI * 02/07/18 FOHRMAN, DONALD W & ASSOCS 901 18WC 08933 BLACK, MICHAEL DURHAM SCHOOL SERVICES * 03/21/16 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 902 18WC 08999 DIXON, FLEQUESHIA US XPRESS * 03/02/18 STROM, NEAL B MCANANY VANCLEVE & PHILLIPS 903 18WC 09037 REYES, PATRICIA ALL STAFF * 02/23/18 FERRIS THOMPSON & ZWEIG 904 18WC 09190 LARA, MARIA E LITTLE LADY FOODS INC * 11/03/17 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 905 18WC 09271 SMITH, CATHY L JEWEL OSCO * 10/15/15 JOSHUA KARMEL WIEDNER & MCAULIFFE LTD 906 18WC 09320 AKINS, ROGER GRAPHIC PARTNERS, INC. * 02/22/18 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 907 18WC 09467 APPEL, BONNIE AMSLEEP D/B/A/ * 09/28/16 ZANCK COEN WRIGHT & SALADI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 908 18WC 09609 BLANKS, LATIYA ANN KILEY DEVELOPMENTAL C * 02/05/18 DWORKIN AND MACIARIELLO 909 18WC 09633 LEONARD, MARGO STATE OF ILLINOIS @ * 01/05/18 CORNFIELD & FELDMAN KRISTIN LEASIA 910 18WC 09690 ZAVALA, JESUS LANDSCAPE CONCEPTS * 03/14/17 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 911 18WC 09739 OCHOA, MARTHA ROUND LAKE SCHOOL DIST 11 * 01/07/17 HANNIGAN & BOTHA, LTD 912 18WC 09786 WOODS, EILEEN DOLLAR GENERAL * 03/12/18 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 913 18WC 09809 ERICKSON, CHRISTINE L ALDI * 08/05/17 LINN, CAMPE & RIZZO LTD 914 18WC 09825 LLOYD, MICHAEL C SYSCO CHICAGO, INC * 04/25/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 915 18WC 09899 ROSALES, ISIDRO A TOP TEC * 02/22/18 DAVID W MARTAY 916 18WC 10016 KENAR, FRANK VILLAGE OF DEERFIELD * 04/20/15 SHANCER, JEFFREY M ANCEL GLINK DIAMOND BUSH & E 917 18WC 10019 KENAR, FRANK VILLAGE OF DEERFIELD * 09/14/17 SHANCER, JEFFREY M ANCEL GLINK DIAMOND BUSH & E 918 18WC 10059 RICKABAUGH, VERNON JR. ADVANCE DISPOSAL * 04/21/15 JAMES P. TUTAJ 919 18WC 10215 MEDINA, RIGOBERTO GONZALE CPI DAYLIGHTING, INC. * 12/07/17 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 920 18WC 10269 BUFORD, JULIAN GDI SERVICES * 11/13/17 ARGIONIS & ASSOCIATES LLC 921 18WC 10370 TOLEDO, TEOFILO AVERUS * 03/14/18 STANCZAK LAW OFFICES 922 18WC 10413 BARRIENTOS, MOISES C & F PACKING COMPANY * 01/22/18 SHEA LAW GROUP 923 18WC 10535 SUMONJA, CLINT ROUND LAKE SCHOOL DIST 11 * 08/15/17 GORDON & CENTRACCHIO LLC 924 18WC 10640 CARION, ELOIS A CEANNATE CORP * 11/15/17 JAMES ELLIS GUMBINER & ASS 925 18WC 10731 GARCIA, GABRIELA ECHO, INC * 03/08/18 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 926 18WC 10775 HARRIS, TIFFANY JEWEL OSCO * 02/23/18 BRISKMAN BRISKMAN GREENBER 927 18WC 10794 PERKINS, LISA ROTI MODERN MEDITERRANEAN * 03/24/18 WOODRUFF & JOHNSON 928 18WC 10915 HARPER, TROY GRAYSLAKE SD 127 * 12/01/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 929 18WC 10946 BAILEY, THOMAS K CITY OF ZION * 12/20/17 THOMAS W DUDA 930 18WC 11019 BRAUNECKER, BEN CHICAGO BEARS FOOTBALL CL * 12/29/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 931 18WC 11061 MANUEL, MICHAELA PRESBYTERIAN HOMES * 09/16/17 BURNETT & CARON, LTD 932 18WC 11222 GARCIA, MIGUEL PARRA BUFFALO GROVE HS DISTRICT * 03/19/18 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 933 18WC 11297 RODRIGUEZ, RIGOBERTO JM IRRIGATION * 05/05/17 LINN, CAMPE & RIZZO LTD HEYL ROYSTER VOELKER & ALLEN 934 18WC 11323 MAJ, MISAKO C CITY OF LAKE FOREST PD * 02/26/18 LINN, CAMPE & RIZZO LTD 935 18WC 11327 RAMIREZ, JOEL ROOF OPTIONS, LLC * 07/12/17 LINN, CAMPE & RIZZO LTD 936 18WC 11333 BEAKE, AMY J VILLAGE OF GURNEE * 04/22/17 LINN, CAMPE & RIZZO LTD 937 18WC 11348 CEJA, TERESA COLEMAN CABLE/SOUTHWIRE * 06/30/17 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 938 18WC 11365 WRIGHT, ROBERT J WALMART * 10/04/17 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 939 18WC 11404 CHRISTENSEN, CASEY M DEERFIELD SCHOOL DISTRICT * 06/01/15 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 940 18WC 11417 ZIEGENBEIN, RICK UNITED PARCEL SERVICE * 01/23/18 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 941 18WC 11474 GEBHARDT, DEBRA SURGICAL CARE AFFILIATES, * 12/09/15 DUDLEY & LAKE LLC JOSEPH MARCINIAK 942 18WC 11545 BARRIOS, LOURDES PORTILLO'S HOT DOGS * 02/10/18 TAMVAKIS, GEORGE L 943 18WC 11623 BARRY, LORA FEDEX GROUND * 11/30/17 MINKOW DOMIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 944 18WC 11698 GOLLAZ, SALVADOR RON'S STAFFING SERVICES * 04/11/18 SANDMAN LEVY & PETRICH KOREY RICHARDSON LLC 945 18WC 11748 LAGRECA, SUSAN JEWEL, INC./NEW ALBERTSON * 02/02/18 LINN, CAMPE & RIZZO LTD 946 18WC 11753 RIVERA, ANSELMO WAUKEGAN STEEL * 03/19/18 MC HARGUE & JONES 947 18WC 11804 ADAMS, SCOTT J JEWEL INC * 03/07/18 LINN, CAMPE & RIZZO LTD 948 18WC 11962 ESCOBAR, LUZ LABOR SOLUTIONS LLC * 04/04/18 CHEPOV & SCOTT LLC 949 18WC 12030 DUNCAN, JORDAN NAVY EXCHANGE GREAT LAKES * 02/06/18 COHN & COHN 950 18WC 12125 CALVERT, KIKKI ABBVIE * 02/13/18 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 951 18WC 12196 WEST, DEAN PARAMOUTN STAFFING, INC * 01/18/18 JASON HAUCK 952 18WC 12288 LEGARRETA, ELIA HN PRECISION * 01/25/18 HERRERA LAW CENTER 953 18WC 12464 FRANKLIN, DELOC CHENY FURNITURE- NEW, RES * 04/14/18 DWORKIN AND MACIARIELLO 954 18WC 12578 JOHNSON, MICHELLE LABOR SOLUTIONS * 04/03/18 POLANSKY & CICHON CHTD 955 18WC 12593 SCHROTH, LINDA STATE OF IL OFFICE OF THE @ * 03/20/18 PORRO NIERMANN LAW GROUP 956 18WC 12675 SEDIK, STEPHANIE HIGHLAND PARK PUBLIC LIBR * 08/29/16 JOSEPH MARCINIAK 957 18WC 12840 PULEO, CHRISTINA CARMEL CATHOLIC HIGH SCHO * 01/24/18 JOSHUA KARMEL 958 18WC 12917 GROGAN, TERI L.B. ANDERSON & CO. INC. * 02/16/18 ANKIN LAW OFFICE 959 18WC 12978 YARBROUGH, TONJIA SOI - ANN KILEY @ * 02/26/18 CORNFIELD & FELDMAN KRISTIN LEASIA 960 18WC 13049 RODRIGUEZ, LIZETTE TACO BELL * 10/14/17 STEIN & CHERNY LTD HENNESSY & ROACH PC 961 18WC 13132 FLOYD, MICHAEL MENARDS 3254 * 12/29/17 THE FITZ LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 962 18WC 13194 QUINTANA, MARIANO TWIN ORCHARD COUNTRY CLUB * 12/23/16 RUEDA, IVAN A 963 18WC 13207 WILLIAMS, GERALD T TRAVEL CENTERS OF AMERICA * 09/04/17 CULLEN HASKINS NICHOLSON 964 18WC 13364 LANIER, SYLVIA BURLINGTON INC * 11/21/17 STEINBERG, POLACEK & GOODM 965 18WC 13427 ROBERTS, TYLER ELITE MOTORS * 11/16/17 CULLEN HASKINS NICHOLSON 966 18WC 13533 SHARP, MONICA J ADVANTAGE SALES & MARKETI * 10/18/17 KELLEY KRONENBERG 967 18WC 13679 OPPENLANDER, DAVID LIBERTY AUTO CITY * 12/26/17 DAVID M SPADA 968 18WC 13842 MONTERO, NATALIE JIMANO'S PIZZERIA * 03/31/18 NEWLAND & NEWLAND BRADY CONNOLLY & MASUDA PC 969 18WC 13883 FLORES, LUZ EXCEL PERSONAL AKA * 05/06/18 GERALD CONNOR SLAVIN & SLAVIN 970 18WC 13968 SERRANO, NURIA ECHO, INC * 11/21/17 JONATHAN SCHLACK 971 18WC 14041 BALAT, GUILLERMO LARSEN MARINE SERVICES * 03/15/18 DUDLEY & LAKE LLC HENNESSY & ROACH PC 972 18WC 14080 CRAIG, CHARIELYN ADP TOTALSOURCE I, INC * 02/01/18 EPSTEIN, JACK R LAW OFFICE WOLFE & JACOBSON, LTD 973 18WC 14347 WELLS, LARRY COUNTY OF LAKE, BUILDING * 04/13/16 MARKHAM M JEEP & ASSOCIATE 974 18WC 14394 IMHOFF, CLAYTON ARAMARK * 04/20/18 BAUM RUFFOLO & MARZAL LTD 975 18WC 14459 MATTHIAS, TIMOTHY J CIT TRUCKS, LLC * 04/02/18 HANNIGAN & BOTHA, LTD 976 18WC 14466 MENDS, ANITA TRAYCEE HOME CARE SERVICE * 04/08/16 ENCINAS & ORNELAS 977 18WC 14471 FISHER, THOMAS G DUNBAR ARMORED, INC. * 09/15/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 978 18WC 14489 VELA, GABRIELA SALVATION ARMY * 03/08/18 DOUGLAS RALLO PC RODDY LAW LTD 979 18WC 14567 TAMALUNAS, PATRICIA FOSTER'S TRANING CTR * 03/04/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 980 18WC 14616 RODRIGUEZ, OMAR ONWENTSIA CLUB * 01/13/17 LINN, CAMPE & RIZZO LTD DENNIS J NOBLE & ASSOC 981 18WC 14620 RAMOS, MARIA D COMPASS GROUP * 11/15/17 LINN, CAMPE & RIZZO LTD 982 18WC 14721 GUERRA, JOSE SERNA & SONS CONSTRUCTION * 04/16/18 CULLEN HASKINS NICHOLSON 983 18WC 14840 BRISENO, JOSUE DEER PATH INN * 04/07/18 LARRY FLEISCHER & ASSOCIAT 984 18WC 14919 RABON, GARY TECHNICA BUILDERS, INC * 12/31/15 KELLEHER & BUCKLEY 985 18WC 15017 LITJENS, ANDREW TOWNSHIP HIGHSCHOOL DIST * 12/13/16 DUDLEY & LAKE LLC 986 18WC 15055 ALMAZAN, MARIA G FLEX LTD * 04/06/18 CULLEN HASKINS NICHOLSON 987 18WC 15090 HERRING, EBONY ACCORD HOSPICE * 05/03/18 GRAHAM J. JEEP 988 18WC 15188 CERVANTES, JAVIER MBA BUILDING SUPPLY * 07/24/17 ANGELINI & ORI LLC 989 18WC 15263 SALGADO, ALEX ALLSTAFF * 03/17/18 JAMES URTIS 990 18WC 15333 ELFERING, JOHN W MENONI & MOCOGNI * 11/01/16 WOLFE & JACOBSON, LTD 991 18WC 15444 MORALEZ MAYA, JUAN VALENCIA LANDSCAPING * 04/28/18 DWORKIN AND MACIARIELLO 992 18WC 15482 CAREY, KA'DEEM CHICAGO BEARS FOOTBALL CL * 06/15/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 993 18WC 15503 ZUNIGA, JULIO AUTHENTICO MEXICAN RESTR * 03/10/18 CHEPOV & SCOTT LLC 994 18WC 15536 OLSEN, GARY LOWES * 06/19/17 SEIDMAN MARGULIS & FAIRMAN 995 18WC 15551 VAZQUEZ, EVELYN PORTILLO'S HOT DOGS * 03/22/18 JOHN M BORCIA LAW OFFICE 996 18WC 15596 SCHEFFER, JOSPEH IDOT @ * 11/02/17 ROBERT EDENS 997 18WC 15729 DEATHERAGE, ROBERT L AT&T * 12/11/17 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 998 18WC 15778 MARTINEZ, DELFINO R SANCHEZ & SONS, INC * 08/14/17 BRADY CONNOLLY & MASUDA PC 999 18WC 15816 RODRIGUEZ, SANDRA IRHYTHM TECHNOLOGIES * 08/07/17 WOODRUFF & JOHNSON 1000 18WC 15884 GOLUBIC, MATTHEW HILL MECHANICAK CORP * 06/29/15 BRADY CONNOLLY & MASUDA PC 1001 18WC 15951 CASAREZ, RICHARD ALLSTAFF MNGMENT REGISTRY * 01/04/18 CHEPOV & SCOTT LLC 1002 18WC 16030 RAMOSER, LAUREL S KINDERCARE EDUCATION, LLC * 05/11/17 HENNESSY & ROACH PC 1003 18WC 16101 WATSCHKE, DIANNA CONSOLIDATED PATHOLOGY * 04/25/18 MARKHAM M JEEP & ASSOCIATE 1004 18WC 16177 MARTINEZ, SANDRA ECHO, INC * 03/06/18 THOMAS LAW 1005 18WC 16318 KIMBROUGH, JANIS D STATE OF ILLINOIS @ * 04/14/18 CORNFIELD & FELDMAN 1006 18WC 16395 MORGAN, KASEY COUNTY OF LAKE * 05/24/18 DAVID DEL RE 1007 18WC 16459 GONZALEZ, PHILLIP CHILI'S RESTAURANT * 11/11/17 GOLDSTEIN BENDER & ROMANOF 1008 18WC 16500 GONZALEZ, BERNARDO TEMPEL HOLDINGS INC * 11/27/17 THE ROMAKER LAW FIRM 1009 18WC 16532 AYALA, MARCO METALEX * 04/03/18 DUDLEY & LAKE LLC 1010 18WC 16593 HARPER, JOHNNY AKZONOBEL * 05/19/18 DWORKIN AND MACIARIELLO 1011 18WC 16685 PETERSON, CAROLINE MCDONALD'S RESTAURANTS OF * 04/23/18 MARKS INJURY LAW 1012 18WC 16804 MUJICA, SALVADOR CARTER-HOFFMAN * 10/30/17 SEIDMAN MARGULIS & FAIRMAN 1013 18WC 16816 MCGURN, TIMOTHY CITY OF WAUKEGAN * 02/19/18 NYHAN BAMBRICK KINZIE & LOWR 1014 18WC 16863 VILCHIS, LEONEL TOBI ENGINEERING * 05/15/18 BARRY STEWART SILVER 1015 18WC 16992 GRAHAM, RANDALL A VILLAGE OF GURNEE * 04/16/18 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 07/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1016 18WC 17032 SAPP, KENNETH XSPORTFITNESS * 05/23/18 AIOSSA LAW FIRM 1017 18WC 17141 RIVERA, MIGUEL A LARSEN MARINE SVCS, INC * 10/30/17 ANTHONY J MAY 1018 18WC 17182 HIRD, PHILIP CITY OF WAUKEGAN * 03/12/18 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 1019 18WC 17279 SALAZAR, JUAN D ACCURATE PERSONNEL LLC * 12/22/17 JOHN T GONNELLA 1020 18WC 17389 ESCH, BRIAN JAY R'S STEEL AND WELDING * 02/28/17 RUBENS AND KRESS 1021 18WC 17431 BRYAN, PHILIP C NORTHWESTERN MEDICINE * 12/31/15 HANNIGAN & BOTHA, LTD 1022 18WC 17511 RODRIGUEZ, IRMA COMPASS GROUP NORTH AMERI * 05/01/18 POSTERLI, OSCAR 1023 18WC 17549 MARBAN, VICENTE 17 NORTH, LLC * 04/11/18 DOUGLAS RALLO PC 1024 18WC 17568 ANZALONE, JOHN OLD DOMINION FREIGHT, INC * 05/18/18 DOUGLAS RALLO PC 1025 18WC 17613 MANGAN, SUE SEARS * 09/29/17 ROSENBERG EISENBERG ASSOC 1026 18WC 17774 ISMAEL MORA GALLEGOS POWER FENCE * 12/14/17 HANNIGAN & BOTHA, LTD 1027 18WC 17876 FORKIN, THOMAS J AT&T * 03/19/18 ANESI OZMON RODIN NOVAK KO