ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 06270 KAO, JAMES INSIGHT 01/26/06 MARVIN A BRUSTIN LTD GAROFALO SCHREIBER STORM 2 06WC 25950 SCOTT-REA, DEBRA A OAK FOREST HOSPITAL OF 03/17/04 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 3 08WC 08253 WILLIAMS, GREGORY IL DEPT OF TRANSPORTATION @ 10/11/07 EMPLOYEE LEGAL SERVICES LT ASSISTANT ATTORNEY GENERAL 4 08WC 10413 PACK, NOMOYA ST OF IL-DEPT OFHEALTH SE @ 01/23/07 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 08WC010414 -C 5 08WC 29463 THOMAS, DEBORAH CHICAGO PUBLIC SCHOOLS 04/08/08 SHELDON I MINKOW & ASSOCIA LAW DEPARTMENT 6 08WC 35934 HENDERSON, CLAUDE CITY OF CHICAGO 07/21/08 ELFENBAUM EVERS & AMARILIO CITY OF CHICAGO 7 08WC 38359 MORALES, JESUS CITY OF CHICAGO 06/12/08 STEVEN J SEIDMAN LAW OFFIC 8 08WC 44476 KELLY, ROSEMARY ST OF IL - DEPT OF HUMAN @ 08/26/08 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 09WC032821 -C 11WC002482 -C STATE OF ILLINOIS 9 09WC 08659 KING, SHAULONDA FORD MOTOR COMPANY 09/02/08 SHELDON I MINKOW & ASSOCIA WIEDNER & MCAULIFFE LTD 10 09WC 16093 VELASCO, JAIME DUTCH FARMS 01/16/09 BOUDREAU NISIVACO LLC GRANT & FANNING 09WC023908 -C 11 09WC 49614 MEYER, DANIEL MCDANIEL FIRE SYSTEMS, IN 04/16/09 HEALY LAW FIRM HOLECEK & ASSOCIATES 12 09WC 51007 NEGRETE, COSME SAM SCIANNA LANDSCAPING I W 08/24/09 JAMES ELLIS GUMBINER & ASS 13 09WC 52086 ASTORGA, ELIAS OLYMPIC CINDERY INC 02/16/07 CULLEN HASKINS NICHOLSON 14 10WC 09478 ENUENWOSU, NDIDI ILL DEPT OF CHILDREN & FA 03/03/10 CHRISTINE F DAVID ASSISTANT ATTORNEY GENERAL 15 10WC 10731 CARPERTER, LARRY D FAB EXPRESS, INC. 01/09/10 MARKHAM M JEEP & ASSOCIATE STONE & JOHNSON CHARTERED 16 10WC 27583 RILEY, PATRICK J ILLINOIS DEPARTMENT OF @ 06/22/10 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 17 10WC 31652 HIGGINS, KENNY CHICAGO RUSH ARENA FOOTBA 04/16/10 WOLFE LAW PC ADELSON TESTAN & BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 10WC 33065 SOSA, ELBIN IN & OUT MOVING AND STORA W 06/25/10 GOLDSTEIN BENDER & ROMANOF FRITZSHALL & ASSOCIATES 19 10WC 41010 DAVIS, MARLIETA CHICAGO PUBLIC SCHOOLS 09/30/10 ABELS & ANNES, PC LAW DEPARTMENT 20 10WC 42332 WACHOWSKI, LESZEK AXLETECH 08/12/09 MINKOW DOMIN RUSIN MACIOROWSKI & FRIEDMAN 21 10WC 42761 BAKER, ROXY M SOUTHWEST AIRLINES 08/15/10 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 22 10WC 45244 ORLANDO, RONALD J ILLINOIS DEPARTMENT OF @ 10/02/08 SOSTRIN AND SOSTRIN PC ASSISTANT ATTORNEY GENERAL 10WC045245 -C 14WC039203 -C STATE OF IL/IL DEPT OF 14WC039205 -C ST OF IL/IL DEPT OF 23 10WC 45905 OJEDIRAN, TEMITOPE ANDREW MUSTEIN 11/25/10 SKOLNICK & ROSENTHAL 24 10WC 46707 19B TURNER, REGINA DEPARTMENT OF TRANSPORTAT 09/20/10 JAMES M RIDGE LAW OFFICE CITY OF CHICAGO 16WC003042 -C 25 10WC 49165 TAPIA, GRACIELA F CARL BUDDIG & CO 10/19/10 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 10WC049166 -C 13WC024388 -C 14WC003073 -C 26 11WC 02866 NOYOLA, YOLANDA U I C 11/11/10 ENCINAS & ORNELAS HEYL ROYSTER VOELKER & ALLEN 27 11WC 08347 WEATHERSPOON, HEATH METROPOLITAN WATER 02/18/11 SMOLER LAW OFFICE, PC NOBLE & ASSOCIATES PC 12WC041818 -C 14WC009511 -C 28 11WC 09998 FLORES, MARIA A&R JANITORIAL 01/26/11 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 29 11WC 12216 LENART, RICHARD CITY OF CHICAGO 07/28/10 O'CONNOR & NAKOS 13WC042165 -C 30 11WC 14679 VELEZ, ANA C HYATT REGENCY O'HARE 05/06/09 LUIS A ACEVES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 11WC014680 -C 11WC045202 -C 31 11WC 22777 KLATT, KEVIN CUTTING EDGE ELECTRIC 12/15/09 RIFFNER BARBER ROWDEN & SC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 11WC 25051 LANDERO MIGUEL A GABBY'S BAGELS, IN 05/30/11 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 33 11WC 30010 MCNEAL, ALVIN CTA 04/29/11 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 34 11WC 32599 BELLAMY, KEVIN CARRY TRANSIT 08/15/11 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 35 11WC 34882 RUFFOLO, FRANK CITY OF CHICAGO 08/09/11 CAPRON & AVGERINOS PC SCOPELITIS GARVIN LIGHT 36 11WC 47227 MUNOZ, DORIS CITY OF CHICAGO 11/23/11 DWORKIN AND MACIARIELLO CITY OF CHICAGO 13WC011003 -C 37 11WC 48100 DE JESUS, JOSE ROMAN DECORATING PRODUCTS 10/31/11 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 38 12WC 10801 JOHNSTON, MARIA CHICAGO PUBLIC SCHOOLS 11/07/11 STEVEN J TENZER, LTD 12WC010802 -C 12WC010803 -C 39 12WC 20203 ORTIZ, JULIO C THE HOME DEPOT U.S.A INC 03/19/12 KOSIN LAW OFFICE LTD MC ANDREWS & NORGLE LLC 40 12WC 21613 19B MARTINEZ, JAIRO JEWEL-OSCO FOOD STORES 04/18/12 ELFENBAUM EVERS & AMARILIO MC ANDREWS & NORGLE LLC 41 12WC 24909 SAMMON, LAWRENCE CITY OF CHICAGO 05/08/12 CAPRON & AVGERINOS PC CITY OF CHICAGO 42 12WC 27276 TORRES, IRMA CITY OF CHICAGO FLEET MGN 07/17/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 43 12WC 29410 NYTHER, ELWOOD SPECIALIZED ASSISTANT SER 07/17/12 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 44 12WC 30648 BADESCU, GABRIEL US TOBACCO 04/25/12 STROM, NEAL B CACCHILLO LAW GROUP LLC 45 12WC 30732 KELLY, NICHOLAS A H.B.S. MANAGEMENT CORP 01/23/10 IRA M KLEINMUNTZ & ASSOC 46 12WC 31650 VELEZ, RALPH CTA 04/20/12 WILLIAM MARTAY CHICAGO TRANSIT AUTHORITY 47 12WC 31965 19B FISERS, JOHN WILLIAM HUBER CABINET WOR 07/23/12 HANNIGAN & BOTHA, LTD RUSIN MACIOROWSKI & FRIEDMAN 48 12WC 32395 VEGA, ANTONIO FOOD FOR LESS 01/07/12 CARL S SALVATO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 12WC 32532 MEEHAN, MICHAEL SIEMENS INFRASTRUCTURE 05/30/12 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 50 12WC 32725 JORDEN, JEANETTE FANUC F.A. AMERICA 09/13/11 TAMVAKIS, GEORGE L STONE & JOHNSON CHARTERED 51 12WC 32813 MORTON, MARGARITA CHICAGO PUBLIC SCHOOLS 06/12/12 CHRISTIAN & MANNO LAW DEPARTMENT 52 12WC 33132 MARIN, LUIS FOOD 4 LESS 02/09/11 THE ROMAKER LAW FIRM GANAN & SHAPIRO, PC 13WC027784 -C 53 12WC 33838 THOMAS, JASON MORRISON MANAGEMENT SPECI 08/01/12 VITELL & SPITZ LTD BRADY CONNOLLY & MASUDA PC 54 12WC 34359 WILKINS, CHARLES CTA 08/24/12 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 55 12WC 38209 SANTIAGO, AURORA ELITE STAFFING INC/ 09/28/12 LAW OFFICE HUGO ORTIZ MARC CAIRO 56 13WC 00589 URENA, JOSE WE CLEAN, INC 12/07/12 HEALY LAW FIRM THOMAS & PORTELA 57 13WC 01931 HARVEY, VIRJEANNIE, ESTAT GLENKIRK 04/01/11 PARENTE & NOREM PC 13WC001932 -C 58 13WC 03566 19B NOMANSON, CYNTHIA YRC, INC 12/01/12 DRUMM, JOHN L HENNESSY & ROACH PC 59 13WC 06521 RODRIGUEZ, BENJAMIN GENERAL MACHINERY & MANUF 12/03/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 60 13WC 13247 TRIPODI, JOSHUA PIZZA MAN PIZZERIA W 01/16/11 MARKS & ASSOCIATES 61 13WC 13393 RAMIREZ, PABLO ASC INSULATION & 02/14/13 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 62 13WC 18068 BAJOREK, ROBERTA RIVERSIDE FOUNDATION 05/14/13 COVEN LAW GROUP LITCHFIELD CAVO 63 13WC 18384 AVILA, BERNARDINE ST OF IL DEPT OF @ 05/24/13 JOHN E LUSAK JILL OTTE 64 13WC 18591 STAMOS, JOHN JMC STEEL GROOUP/ 05/24/13 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM 14WC006420 -C 14WC036578 -C 16WC013188 -C 65 13WC 19452 HYNES, JAMES ORLAND FIRE PROTECTION DI 08/02/12 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 13WC 20233 RILEY, LORI M M.D. COOK COUNTY HEALTH AND 04/23/13 JOHN J CASTANEDA STATES ATTORNEY OF COOK COUN 67 13WC 20877 MCCARTHY, PAUL CITY OF CHICAGO 05/12/13 CUDA LAW OFFICES CITY OF CHICAGO 14WC000057 -C 68 13WC 21130 VACCARO, ANIELLO BELL & BOSSETT 02/01/12 LUIS A ACEVES & ASSOC KEEFE CAMPBELL & ASSOC LLC 13WC038939 -C 69 13WC 22228 GARCIA, ANGELICA EINSTEIN BROS BAGELS 11/26/12 BAUM RUFFOLO & MARZAL LTD MARTIN, PATRICK W 70 13WC 23208 SMID, KAREN GOTTLIEB HOSPITAL 11/10/12 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 71 13WC 23862 MCKINNEY, JEROME CR ENGLAND 01/02/12 CANDIANO LAW OFFICE GOLDBERG SEGALLA LLC 72 13WC 26050 RUSSO, FRANK SIEVERT ELECTRIC SERVICE 07/16/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 73 13WC 27228 NAVARRO, PABLO CITY OF CHICAGO 06/24/13 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 74 13WC 30584 HUDSON, JAMES E U.S. "1" INDUSTRIES INC 01/06/12 RICHARD E ALEKSY 75 13WC 30618 BLANCO, CELENE LABOR TEMPS 07/12/13 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 76 13WC 30692 MORENO, RICARDO PETE'S FRESH MARKET 08/24/13 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 77 13WC 31219 LAUREANO, JANINE CERES FOOD GROUP, INC 08/20/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 78 13WC 31756 ALONZO, IRENE MARIA UNITED AIRLINES INC. 10/13/12 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 79 13WC 32283 LUTZ, JOHN RIVER NORTH SALES AND SER 08/22/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 80 13WC 32452 CASTRO, LUZ LUTHERAN GENERAL HOSPITAL 04/16/12 SAUNDERS CONDON & KENNY 81 13WC 32695 GARCIA, CHRISTINE ALDI 05/07/13 ALAN A BLUM, PC MACIOROWSKI SACKMANN & ULRIC 82 13WC 33809 MAGGIORE, DONALD S & L TOWING 08/25/13 SHEA LAW GROUP SPIEGEL & CAHILL, PC 83 13WC 37145 WOODS, MICHAEL JR MEYER STEEL DRUM INC 10/09/13 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 13WC 38767 HANNA, JOSEPH ALPHA BAKING CO 09/03/13 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC 85 13WC 39539 ZARATE, CESAR FOOD 4 LESS 11/12/13 THE ROMAKER LAW FIRM STONE & JOHNSON CHARTERED 86 13WC 41718 FRAZIER-HILL, HELEN CHICAGO TRANSIT AUTHORITY 10/25/13 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 87 14WC 04858 SINGLETON, SHARRON SWISS USA & CO INC 01/03/14 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 88 14WC 04892 WEST, KIM CALUMET PUBLIC 11/27/12 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 89 14WC 05428 GODINEZ, DELFINO HIGHLAND BAKING CO INC 01/01/14 CZAPLA LAW RIPES NELSON BAGGOT KALOBRAT 90 14WC 06156 GOMEZ, JUAN CITY OF NORTHLAKE 08/07/13 WITTER LAW OFFICE RUSIN & MACIOROWSKI LTD 91 14WC 06766 NELSON, KEVIN A AGL RESOURCES 01/24/14 LAW OFFICE PHILIP BLOMBERG MACIOROWSKI SACKMANN & ULRIC 92 14WC 07516 MONTES, JUAN PANEK PRECISION 01/06/14 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 93 14WC 08097 19B JENNINGS, DAVID CITY OF CHICAGO 08/14/13 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 14WC015210 -C 14WC034008 -C 94 14WC 08572 CAMACHO, JORGE H WHEELER TRAILERS, INC 09/21/13 SALK, STEVEN B & ASSOC LTD RIPES NELSON BAGGOT KALOBRAT 95 14WC 08657 HARPER, ANDRE H D SUPPLY 03/03/14 LAW OFFICE EDWARD LICHTENS KNELL & O'CONNOR 96 14WC 08794 RODRIQUE, GUSTAVO FLEXIBLE STAFFING 02/28/14 JONATHAN SCHLACK GRANT & FANNING 97 14WC 08922 ROSSITTO, RAGELIO CREAM WINE COMPANY 02/05/14 EFTEKHARI LAW OFFICES TUCKER ROBIN & MERKER LLC 98 14WC 08947 PEDREYRA, DANIEL S ILLINOIS STATE POLICE @ 03/12/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 99 14WC 09758 OLKEN, CHRISTINE APPLE INC 11/19/13 HART & DAVID LLP LEAHY WRIGHT & ASSOC 100 14WC 10035 NOUH, ADEL DAVITA HEALTH CARE PARTNE 03/15/14 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 101 14WC 10799 HERNANDEZ, MARTHA MOST VALUABLE PERSONNEL I 02/26/13 ILLINOIS INJURY LAWYERS KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 14WC 12322 GREENLAW, KEVIN CHICAGO TRANIST AUTHORITY 10/11/13 MARC J SHUMAN & ASSOCIATES 103 14WC 13964 KOLAR, NELLA A ALEXIAN BROTHERS 01/25/14 CRONIN & PETERS HENNESSY & ROACH PC 104 14WC 16449 GIBSON, NAJAH C.R. ENGLAND 04/12/14 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 105 14WC 18080 GARCIA, VILMA ASPIRE OF ILLINOIS 11/21/12 CHRISTINE F DAVID BRADY CONNOLLY & MASUDA PC 106 14WC 18211 GUDRATOLLAYEN, ABDYRAHMAN FLASH CAB COMPANY 12/04/13 HUNER LAW OFFICES LLC 107 14WC 18298 PEREZ, MARICELA MC DONALD'S 04/01/14 PETER D CORTI LAW GROUP INMAN & FITZGIBBONS 108 14WC 18595 ROCHE, ENRIQUE AMERICAN EAGLE/AMERICAN 02/20/14 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 109 14WC 19306 AVILA, ISABEL G ST JAMES HOSPITAL 02/28/14 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 16WC028903 -C 110 14WC 19755 WYNN, CHARLES D CTA-CHICAGO TRANSIT AUTHO 06/07/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 111 14WC 19927 BILAL, ALI FLASH CAB 02/28/13 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 112 14WC 20187 MORENO, BENJAMIN CITY OF CHICAGO 05/27/14 COVEN LAW GROUP CITY OF CHICAGO 113 14WC 20278 GREEN, KEVIN INTERNATIONAL CASING GROU 02/11/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 15WC035346 -C 114 14WC 21475 SCARLETT, DAHLIA FOUR POINTS BY SHERATON 05/04/14 BAUM RUFFOLO & MARZAL LTD CHILTON YAMBERT PORTER LLP 14WC021476 -C 115 14WC 22832 GUZMAN, MARTHA TRIBUNE DIRECT 11/04/12 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 15WC000575 -C 116 14WC 24572 BUCKNER, MATTHEW STATE OF ILLINOIS @ 06/04/14 LANNON LANNON & BARR LTD JILL OTTE 117 14WC 24883 GONZALEZ, SANTIAGO COURTWAY RESTAURANT 01/22/14 EPSTEIN, JACK R LAW OFFICE 118 14WC 27501 19B BRACY, CASSANDRA CTA 08/09/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 14WC 27784 SANTOS, VICTOR UNITED AIRLINES INC. 05/01/14 SAUNDERS CONDON & KENNY 120 14WC 28971 HARRIS, FRANCIS CITY OF CHICAGO 01/04/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 121 14WC 29677 PEREZ, JESUS ATLAS EMPLOYMENT SRVCS. I 08/06/14 EPSTEIN, JACK R LAW OFFICE ROBERT L. SMITH 122 14WC 30365 EVANS, SAMUEL CHICAGO TRANSIT AUTHORITY 08/09/12 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 123 14WC 30528 LAGUNAS, JAVIER PINOS CONSTRUCTION & SERV 07/29/14 THE ROMAKER LAW FIRM 14WC034774 -C 124 14WC 31378 DELGADO, ZACARIAS MARIO'S CONCRETE CONSTRUC W 09/08/14 CULLEN HASKINS NICHOLSON 125 14WC 31503 VALDEZ, ALMA G RONS STAFFING 08/30/12 MC HARGUE, JAMES P LAW OFF 126 14WC 32350 SCHOBER, LINDA OSCO DRUG/AMERICAN DRUG S 03/25/14 BLEAKNEY & TROIANI 127 14WC 33778 PANCZAK, ANTHONY G CITY OF CHICAGO DEPT OF 07/09/14 O'CONNOR & NAKOS CITY OF CHICAGO 128 14WC 35212 HENRY, VIOLA CTA 09/16/14 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 129 14WC 36777 19B JOHNSON, ANTONIO US FOODS 10/16/14 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 130 14WC 36936 KRANIG, ANTHONY B S GRINDING, INC 09/08/14 MEYERS & FLOWERS NEWLAND & NEWLAND 131 14WC 37216 MALDONADO, JONATHAN MIDWEST CAN COMPANY 08/12/14 GRAVLIN, MICHAEL J LLC 132 14WC 39125 RAMIREZ, JESSE LABORATORY CORPORATION 11/11/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 133 14WC 39898 OSTERGREEN, KATHRYN METRO YELLOW CAB 07/03/14 DWORKIN AND MACIARIELLO 134 14WC 39964 GLADNEY, JERRY IDOT @ 09/02/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 135 14WC 40134 SUBA, JOWEN UNITED AIRLINES INC. 10/22/14 KATZ FRIEDMAN EAGLE ET AL 136 14WC 40370 KACZKOWSKI, MICHAEL CONCESSION SERVICES INC 05/30/14 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 14WC 40447 FULLER, EDWARD BARTON STAFFING SOLUTIONS 11/11/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 138 14WC 40464 ESPANA, WENCESLAO CHICAGO DRYER CO 09/09/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 15WC003037 -C 139 14WC 40779 KELLY, JOHN NORTHEASTERN ILLINOIS @ 01/20/14 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 140 14WC 41047 ARMENDARIZ, MINERVA TREATMENT PRODUCTS LTD 11/26/14 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 141 14WC 41402 OCEGUERA, ALICIA METROPOLITAN WATER RECLAM 01/09/12 FRANCIS J DISCIPIO LAW OFF 142 14WC 41803 BASHAM, ADRIAN CTA 12/09/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 143 15WC 01749 19B TERRELL, VERNICE PACE SUBURBAN BUS 01/05/15 SKLARE LAW GROUP SLAVIN & SLAVIN 144 15WC 04428 SPENCER, DEBORAH UNIVERSITY OF ILLINOIS 01/12/15 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 145 15WC 04504 WALKER, LONNIE CTA 02/15/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 146 15WC 04814 LEDEZMA, JUAN C AMERICAN DESIGNS INC 06/02/14 GOLDSTEIN AIOSSA & GOOD 147 15WC 04880 LEE, JOSEPH CHICAGO TRANSIT AUTHORITY 01/27/15 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 148 15WC 04924 OLIVA, LILIA GATE GOURMET 09/26/14 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 149 15WC 04979 RUEDA, RAMIRO BANNER PERSONNEL 01/23/15 ANGELINI & ORI LLC 150 15WC 05151 VEGA, JOSE ARAMARK 08/12/14 SALVATO & O'TOOLE 151 15WC 05177 ANDERSON, SANDRA CLOVER HILL BAKERY 01/21/15 ANKIN LAW OFFICE ROBERT L. SMITH 152 15WC 05343 BRINNER, JERMAINE COOK COUNTY SHERIFF'S DEP 12/22/14 SEIDMAN MARGULIS & FAIRMAN 153 15WC 05457 MURDOCK, EUGENE CHICAGO TRANSIT AUTHORITY 02/14/15 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 15WC 05970 SWIATEK, DAVID CITY OF CHICAGO 01/26/15 RUBENS AND KRESS CITY OF CHICAGO 155 15WC 06045 SIMMONS, CAROLYN CTA 02/20/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 17WC017170 -C 156 15WC 06417 BUTLER, MARIE IL DEPT OF TRANSPORTATION @ 06/05/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 157 15WC 06610 ZHANG, SHENGLI K&S FOODS INC 04/22/14 KELLY & KING LAW OFFICES JOSEPH MARCINIAK 158 15WC 06820 NUNEZ-OLIVEROS, ALMA SUSA NEW CLEANERS INC 02/28/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES OF EDWARD J. KOZ 159 15WC 06853 ARMENTANO, JOHN STAR HYDRAULICS INC 12/16/14 PORRO NIERMANN LAW GROUP WOLFE & JACOBSON, LTD 160 15WC 06876 PHELUMS, MIKE ILL DEPT OF HUMAN RESOURC @ 05/21/13 TRAPP & GELLER C. FLETCHER 161 15WC 06884 GUTIERREZ, JOHN JEWISH VOCATIONAL SERVICE 11/10/14 MARK G BERGAL LAW OFFICE 162 15WC 06971 GUZMAN, FRANCISCO ABM JANITORIAL MIDWEST 05/28/14 DEPAOLO ZADEIKIS GORE GOLDBERG SEGALLA LLC 163 15WC 07431 NAVARRETE BOZAK, ENEDINA ED MINIAT LLC/ ED MINIAT, 01/07/14 164 15WC 07804 PARCHETA, PATTY STARBUCKS COFFEE CO 02/06/15 LAW OFFICES DANIEL E MURPH 165 15WC 08040 POWELL, PHICHETTE CHICAGO TRANSIT AUTHORITY 01/11/15 BURNES, EDWARD M CHICAGO TRANSIT AUTHORITY 166 15WC 08059 SARGENT, MIKE IL DEPT OF HUMAN SERVICES 01/05/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENERAL 167 15WC 08241 GONZALEZ, EVELIA ZIP MAIL SERVICES, INC 02/10/15 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 168 15WC 08669 PORTER, DIANA NORTHWESTERN MEDICAL GROU 11/18/14 CUDA LAW OFFICES 169 15WC 08739 BAKER, VERNARD ADDUS HEALTHCARE 08/22/14 SKLARE LAW GROUP HENNESSY & ROACH PC 170 15WC 08817 HALPER, CHRISTOPHER VISION TRANSPORTATION 02/13/15 SMOLER LAW OFFICE, PC RODDY LAW LTD 171 15WC 08827 HOSKINSON, THOMAS J. VILLAGE OF MT. PROSPECT - 12/23/14 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 172 15WC 08915 WOODS, BABETTE SALVATION ARMY 03/05/14 KLEINMUNTZ LAW OFFICE 173 15WC 08982 PILCH, MATTHEW J NIELSEN 01/28/15 PARENTE & NOREM PC 174 15WC 16774 RODRIGUEZ, EVELIA LOBO DEL MAR/CERMAL 09/28/14 OSVALDO RODRIGUEZ PC 175 15WC 16796 HAUT, BRIAN TRANSERVICELOGISTICS INC 02/04/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 176 15WC 16875 VILLAVICENCIO, MARCELA GLEN OAKS NURSING REHAB 12/31/14 MARTIN L GLINK LAW OFFICE LAW OFFICES FRANCESCA LARSEN 177 15WC 16938 ESPELAND, LAURETTE B AMERICAN AIRLINES, INC (E 02/06/15 CULLEN HASKINS NICHOLSON 178 15WC 16985 BANASZEK, MATTHEW MAGGIANO'S LITTLE ITALY 09/05/14 RIDGE & DOWNES BRYCE DOWNEY & LENKOV LLC 179 15WC 17020 ARRIAGA, GUADALUPE FILTRAN LLC 04/28/15 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 180 15WC 17046 BERLEN, JOSEPH CITY OF CHICAGO 03/01/15 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 181 15WC 17481 TORRES, CELIA STAFF MANAGEMENT SOLUTION 04/17/15 HOWARD S. KAVENOW LLC RODDY LAW LTD 182 15WC 17514 REMICK, STEPHEN FEDEX FREIGHT, INC 10/11/11 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 15WC017584 -C 183 15WC 17534 OCAMPO, FELICIANO ALPS WEST RESTAURANT & 04/12/15 JOHN S. ELIASIK KOPKA, PINKUS DOLIN, PC 184 15WC 17549 TAYLOR, ELLA L MONDELEZ INTERNATIONAL 05/03/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 185 15WC 17878 OBAH, SARAH CTA 03/20/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 186 15WC 17988 BIFERO, ESPEDITO JOE RIZZA FORD INC 03/05/15 KATZ FRIEDMAN EAGLE ET AL ROSARIO CIBELLA 187 15WC 18030 JANIK, JACEK GATE GOURMET 03/24/15 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 188 15WC 18082 PORTILLO, DILICIA STAFF RITE 04/03/15 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC 189 15WC 18221 HERNANDEZ SEPTIMO, REY D. MIKE VESO 02/24/15 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 15WC 18389 WEBSTER, GILBERT CTA CORPORATE OFFICE 12/27/14 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 191 15WC 18520 RIDDLE, LINDA COOK DUPAGE TRANSPORATION 05/19/15 VASILATOS & COTTER LLC 192 15WC 18620 VAZQUEZ, VICTORIA CHICAGO TRANSIT AUTHORITY 08/23/14 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 193 15WC 18677 FLUCKES, RODNEY MICHAEL DUNKIN 04/30/15 STEWART C ORZOFF 194 15WC 18890 WEISS, DEAN FIRESTONE COMPLETE AUTO C 05/27/13 DWORKIN AND MACIARIELLO 195 15WC 18929 SZROMBA, RICHARD UGN 02/28/15 DANIEL PERIASWAMY 196 15WC 19104 MATTES, KRISTEN ANNE HAEMONETICS CORP 07/23/14 HENNESSY & ROACH PC 197 15WC 19328 JAMES, BETTY CHICAGO TRANSIT AUTHORITY 12/17/14 ARNOLD & KADJAN CHICAGO TRANSIT AUTHORITY 198 15WC 19499 RICCI, JUDITH PRAIRIE STATE COLLEGE 04/08/14 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 199 15WC 19907 BEY, LORENZO GREAT NORTHERN LUMBAR 05/28/15 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM 200 15WC 19969 KAHSAY, FITIWI 24 SEVEN TAXI CO. 05/12/15 201 15WC 19991 HERNANDEZ, JUAN A. AMERICAN SIGNATURE 01/15/15 CHRISTINE F DAVID BRYCE DOWNEY & LENKOV LLC 202 15WC 23709 LUDSTON, TIMOTHY WIRTZ BEVERAGE ILLINOIS L 08/11/12 PETER C KOPOULOS NYHAN BAMBRICK KINZIE & LOWR 203 15WC 26730 SALMERON, JUAN CARLOS ELITE STAFFING 07/23/15 GRAVLIN, MICHAEL J LLC 204 15WC 27146 POZZIE, THOMAS EXTERIOR CLEANING SERVICE 08/05/15 LAW OFFICES OF MARK SCHAFF KEEFE CAMPBELL & ASSOC LLC 205 15WC 27167 ABUHAMAMEH, NABIL BISHARA CHICAGO BLASTING & DEBURR 07/16/15 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 206 15WC 27322 ARREOLA, REGINALDO INTERNATIONAL CASINGS GRO 08/28/12 LAW OFFICES PETER LEKAS 15WC027323 -C 207 15WC 27335 KOENIG, KIMBERLEE PDI INC 06/26/15 GAINES & GAINES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 208 15WC 27842 SHEALEY, JOHN T IL DEPT OF TRANSPORTATION @ 08/21/15 COHN & COHN C. FLETCHER 209 15WC 27912 BYRDAK, ANDREW ISI INSTALLATION INC 10/01/12 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 16WC030630 -C CONTRACT INSTALLATION 210 15WC 28105 DIAZ, SANTIAGO SURE STAFF/GOVA 07/15/15 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 211 15WC 28142 MONROY, LUIS M XYLEM, INC. 05/28/15 CAMERON CLARK POULOS & DIBENEDETTO LAW 212 15WC 28166 ALCAZAR, HECTOR PANGEA VENTURES LLC 08/12/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 213 15WC 28262 HERNANDEZ, XAVIER ALLIED METAL CO. 07/15/15 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 214 15WC 28403 DIOSDADO, ERNESTO IVAN OUTBACK STEAK HOUSE 08/09/15 JOHN S. ELIASIK 215 15WC 28406 GRAJALES, VANESSA STAFF RIGHT 07/28/15 JOHN S. ELIASIK MC ANDREWS & NORGLE LLC 216 15WC 28469 ZIRZOW, REBECCA FORD MOTOR COMPANY 06/10/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 15WC028470 -C 217 15WC 28873 FLORES, JOSE TOWER AUTOMOTIVE CHICAGO 07/24/15 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 15WC038872 -C 218 15WC 28902 THOMAS, CHRISTOPHER CITY OF CHICAGO 08/24/15 WHITESIDE & GOLDBERG LTD 219 15WC 29103 SKINNER, JANIS STAFF MANAGEMENT 09/04/15 GORDON & CENTRACCHIO LLC RODDY LAW LTD 220 15WC 29156 RIBOT, ERWIN AT MECHANICAL 09/04/15 ARGIONIS & ASSOCIATES LLC ACCIDENT FUND HOLDINGS 221 15WC 29186 FERRER, RAY ATKORE INTERNATIONAL 03/24/15 BRISKMAN BRISKMAN GREENBER KNELL & O'CONNOR 16WC013267 -C 222 15WC 29589 HERNANDEZ, MIGUEL AUTOZONE 06/25/15 WHITESIDE & GOLDBERG LTD 223 15WC 30217 SHEPITKO, ANDRII AUTO TRANS GROUP, INC 09/04/15 224 15WC 31631 MOORE, ORLANDO GALAXY ENVIRONMENTAL 09/03/15 DAVID W MARTAY HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 15WC 34944 WARREN, MICHAEL GURSHEIMER GLASS INC 09/11/15 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 226 15WC 35149 WILLIAMS, ELANA DAKKOTA INTEGRATED SYSTEM 09/10/15 SEIDMAN MARGULIS & FAIRMAN 227 15WC 36178 PONCE DE LEON, MIGUEL A CHICAGO TRANSIT AUTHORITY 07/28/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 16WC008478 -C 228 15WC 37381 SMITH, KEVIN UPS FREIGHT 10/26/15 SOSTRIN AND SOSTRIN PC ASA LAW GROUP 229 15WC 38860 MENDELSON, ASHLEA GLENCREST HEALTHCARE & RE 09/14/15 STROM, NEAL B 230 15WC 39019 CASTRO, JOSE NEOVIA LOGISTICS SERVICES 11/11/15 ANGELINI & ORI LLC GRANT & FANNING 231 15WC 39114 JAMISON, SCHENIA T IL DEPT OF HS 10/12/15 VITELL & SPITZ LTD C. FLETCHER 232 15WC 39135 ANGELILLI, ANTHONY CHICAGO BOARD OF EDUCATIO 12/01/15 GORDON & CENTRACCHIO LLC 233 15WC 39154 MURILLO, MARIA SOLAR SPRING & WIRE FORMS 11/08/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 234 15WC 39342 WILLIAMS, ORALEAN MCCLELL CITY OF CHICAGO 10/15/15 FAJARDO LAW GROUP CITY OF CHICAGO 235 15WC 41015 WILLIAMS, JOSEPH CTA 12/09/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 236 15WC 41033 THOMAS, DIMITRIUS BLOCK ELECTONIC CO. 02/18/15 DWORKIN AND MACIARIELLO THOMAS & PORTELA 237 15WC 41150 NAVARRO, CHRISTINA COOK CTY DEPT OF CORRECTI 12/05/15 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 238 15WC 41325 GAMARRA, HUGO CAPCHA EXCEL HOME EXTERIORS INC 07/14/15 GIACOBBE, THOMAS M 239 15WC 41561 TAYLOR, TAKIMA ARAMARK UNIFORM SERVICES 11/09/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 240 15WC 41771 PRZYBYLSKA, MARIA LUTHERAN HOME 09/11/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 15WC 41789 GRAVES, FITZGERALD SOUTHWEST AIRLINES 08/13/15 COHN LAMBERT RYAN & SCHNEI 242 15WC 41840 EDMONSON, VICTOR FORD MOTOR CO 05/07/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 16WC009228 -C 243 15WC 41867 SMITH, VICTORIA LLOYD AGENCIES 11/22/15 FRIEDMAN & SOLMOR LTD 244 15WC 41902 HOUSMAH, MICHELLE CTA 11/17/15 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 245 15WC 41986 BANKS, JASON CTA 12/17/15 SKLARE LAW GROUP CHICAGO TRANSIT AUTHORITY 246 15WC 42029 VELAZQUEZ, EDUARDO MAINES PAPER & FOOD SVC I 01/28/13 ROBIN LAW OFFICE GOLDBERG SEGALLA LLC 247 15WC 42162 BUCKLER, CHRISTOPHER HAYES MECHANICAL 10/26/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 248 15WC 42277 WEBB, YVONNE BERKELEY NURSING & 04/24/15 ANKIN LAW OFFICE 249 15WC 42535 HILL,VALERIE CTA 12/07/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 250 16WC 03531 PRESTEL, SANDRA L. JEWEL/OSCO AND SEDGWICK 10/06/15 CRONIN & PETERS BRADY CONNOLLY & MASUDA PC 251 16WC 03557 19B ASHFORD, NAKIA CHICAGO TRANSIT AUTHORITY 01/06/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 16WC003207 -C 252 16WC 04781 BAGGETT, ANTHONY CITY OF CHICAGO 12/03/15 ARGIONIS & ASSOCIATES LLC 253 16WC 05606 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP HOLECEK & ASSOCIATES 254 16WC 05812 19B GAWENDA, PAUL IDOT @ 09/03/14 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 255 16WC 05842 CONFER-WALKER, RAEVAUGHN UGG AUSTRALIA OUTLET 11/01/15 DWORKIN AND MACIARIELLO 256 16WC 05953 DIAZ-RIVERA, EDWIN UNITED STATES INFRASTRUCT 09/24/15 LAW OFFICE OF JAMES URTIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 16WC 06057 FELTZ, GREGORY ALPHA SCHOOL BUS CO 01/06/16 HORWITZ HORWITZ & ASSOC GALLIANI DOELL & COZZI LTD 258 16WC 06068 QUIROZ, BERTHA COMPASS GROUP 09/20/13 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 17WC008096 -C 259 16WC 06128 JOHNSON, VANESSA LOYOLA UNIVERSITY MEDICAL 12/15/15 SHELDON I MINKOW & ASSOCIA 260 16WC 06226 VICTOR, MARISELA ANIXTER 09/25/15 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 261 16WC 06840 GALVAN, DAVID RUSH UNIVERSITY MEDICAL C 02/20/16 KARNO, MARK L & ASSOC KEEFE CAMPBELL & ASSOC LLC 16WC034581 -C 262 16WC 06938 MORGAN, HELEN UNITED AIRLINES INC. 12/11/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 263 16WC 07227 EKANEM, GEORGE CHICAGO CARRIAGE CAB CO. 02/05/16 VRDOLYAK LAW GROUP LLC 264 16WC 07278 TOLEDO, SOFIA ARAMARK 01/07/16 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS 265 16WC 07295 RZEZNIKOWSKI, MICHAL JOE RIZZA ENTERPRISES INC 09/21/15 BOWMAN & CORDAY GANAN & SHAPIRO 266 16WC 07332 CRUZ, DAISY COSTCO WHOLESALE 01/23/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 17WC028453 -C 267 16WC 07649 HALL, DARREN CITY OF CHICAGO DEPT OF 01/18/16 ANKIN LAW OFFICE 268 16WC 07710 MORGAN, NICOLE CRUSH ENTERPRISES 02/17/16 SHELDON I MINKOW & ASSOCIA LAW OFFICES JOSEPH MARCINIAK 269 16WC 07971 RYSZKA, DOROTA GENLYTE THOMAS GROUP, LLC 07/25/13 ANKIN LAW OFFICE 16WC007972 -C 270 16WC 08029 WILLIAMS, SANDRA FIRST SERVICE RESIDENTIAL 09/03/15 HUGHES SOCOL PIERS RESNICK 271 16WC 08331 BREDICEAN, CORNELIA SCRUBZZ 03/07/16 BRISKMAN BRISKMAN GREENBER 272 16WC 08372 SMITH, TIMOTHY J. UNITED PARCEL SERVICE 02/15/16 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 273 16WC 08449 HUNTER, RENETTE COOK DUPAGE TRANSPORTATIO 03/10/16 SKLARE LAW GROUP HENNESSY & ROACH PC 274 16WC 08482 SANCHEZ, MIGUEL GARCIA FERRARA PAN CANDY INC. 05/16/14 CUDA LAW OFFICES HOLECEK & ASSOCIATES 16WC008483 -C 16WC008484 -C 275 16WC 08668 HARTFIELD, SERINA JACKSON PARK HOSPITAL 03/06/16 WOODRUFF & JOHNSON ODELSON & STERK 276 16WC 08809 BRELAND, LORENZO ARENA FOOTBALL ONE LLC 04/11/14 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 277 16WC 08871 BALLARD, WILLIAM MICHAEL ZOETIS PRODUCTS 10/27/15 BRILL & FISHEL MEACHUM & STARCK 278 16WC 08933 KING, ROSIE UNITED PARCEL SERVICE INC 02/15/16 ANKIN LAW OFFICE ASA LAW GROUP 279 16WC 09059 DAVIS, DAVINA CHICAGO PUBLIC SCHOOLS 10/07/14 ASHER, RAYMOND L LTD LAW DEPARTMENT 16WC009060 -C 280 16WC 09293 DANIELEK, DOUG MARQUARDT OF BARRINGTON 12/07/15 LULAY LAW OFFICES BRADY CONNOLLY & MASUDA PC 281 16WC 09353 KUCHARZ, JAMES CHICAGO TRIBUNE CO. 11/13/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 282 16WC 09393 IRBY, GREGORY A-1 ROOFING COMPANY 03/12/16 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 283 16WC 09483 COOPER, JARRETT GIBSON ELECTRIC COMPANY, 11/23/15 GORDON & CENTRACCHIO LLC HENNESSY & ROACH PC 16WC009484 -C 284 16WC 09656 LARKINS, MARY ARAMARK, INC. 03/08/16 KARCHMAR & STONE 285 16WC 09700 RICHMOND, MIA STATE OF ILLINOIS @ 03/10/16 LEE, MARK N LAW OFFICE C. FLETCHER 286 16WC 09846 WOJCIECHOWSKI, ADAM CITY OF HARVEY 02/21/16 HORWITZ HORWITZ & ASSOC SMITH AMUNDSEN LLC 17WC007175 -C 287 16WC 09872 PELOT, ERIC VILLAGE OF NORTHBROOK 01/11/15 SANDMAN LEVY & PETRICH POWER & CRONIN LTD 16WC009873 -C 16WC009874 -C 288 16WC 09952 BOCHNIA, TADEUSZ USP TRANS INC 01/21/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 289 16WC 10082 LAHART, CATHERINE ROUNDY'S SUPERMARKETS 12/18/15 RUBIN LAW GROUP POWER & CRONIN LTD 290 16WC 10912 SANTOYO, MARICELA AS WIDO OMEGA DEMOLITION CORPORAT # 04/05/16 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 291 16WC 11524 REYNA, LORRAINE UNIVERSITY OF CHICAGO 03/29/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 292 16WC 14935 KUZNECOVA, DIANA CLEARBROOK 03/25/16 MINKOW DOMIN ACCIDENT FUND HOLDINGS 293 16WC 16387 MCCARTHY, JOHN SIMPLEX GRINNELL, L.P. 10/29/15 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 294 16WC 16837 MCALLISTER, HOWARD R YELLOW CAB COMPANY 04/20/16 VRDOLYAK LAW GROUP LLC 295 16WC 17039 BARRY, JOHN CITY OF CHICAGO 05/23/16 HETHERINGTON KARPEL BOBBER CITY OF CHICAGO 296 16WC 17088 LEWIS, DIANA NORTHEASTERN IL. UNIVERSI 03/03/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 297 16WC 17262 GALARZA, RAQUEL M HELP AT HOME 03/31/16 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC 298 16WC 17456 JONES, LEVON CTA 05/28/16 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 299 16WC 17535 BROWN, CAROLYN PACE 04/28/16 SCHACTER, JEROME & ASSOC L 300 16WC 17571 HERRON, MICHAEL CITY OF CHICAGO DEPARTMEN 04/18/16 CHARLES LEVY & ASSOC LTD 301 16WC 17597 FEINDT, LORRAINE CARLUCCI RESTAURANT 05/14/16 PETER D CORTI LAW GROUP 302 16WC 17707 WYNN, LAKISHA SUPERIOR AMBULANCE SERVIC 05/22/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 303 16WC 17766 BERG, MARY A NORTHBROOK TOYOTA 08/01/15 SOSTRIN AND SOSTRIN PC 304 16WC 17934 ZARCO, ROGELIO MIDWEST INDUSTRIAL METALS 03/17/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 305 16WC 17994 GRIFFIN, KHISHA ARAMARK 05/15/16 STONE & JOHNSON CHARTERED 306 16WC 18058 FLORES, ALBINA L. ABLE ELECTROPOLISHING CO 03/03/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 307 16WC 18112 DIXON, DELLA CHICAGO PUBLIC SCHOOLS 05/19/16 LEE, MARK N LAW OFFICE LAW DEPARTMENT 308 16WC 18145 REDZIC, JUGOSLAV ELITE CABLE COMMUNICATION 06/11/13 GLEN J DUNN & ASSOC 309 16WC 18167 BUKOWSKI, WALTER EDE CORPORATION, INC 02/13/15 JAMES M GERAGHTY GANAN & SHAPIRO 310 16WC 18295 BOYDSTON, STEVEN A CHICAGO TRANSIT AUTHORITY 05/20/16 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 311 16WC 18321 NELSON, BARBARA GATE GOURMET 05/01/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 312 16WC 18423 HOWARD, DWAIN AUDIO VISUAL SERVICES 05/20/16 DAVID W MARTAY 313 16WC 18462 DEANY, JOHN PRECISION PLUMBING & HEAT 03/03/16 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 314 16WC 18570 ANDERSON, CHRISTY R LITTLE COMPANY OF MARY HO 09/01/15 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 315 16WC 18603 GOSHEN, THOMAS COOK COUNTY DEPT OF CORRE 06/06/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 316 16WC 18803 AGUILAR, EFRAIN CITY OF CHICAGO 03/14/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 317 16WC 18880 HARTY, ROBERT ABLE ENGINEERING SRVCS 06/01/16 HEALY SCANLON LAW FIRM BRYCE DOWNEY & LENKOV LLC 318 16WC 18945 PADILLA, STEVE GEORGE AND SONS HVAC 05/04/16 ELFENBAUM EVERS & AMARILIO ANCEL GLINK DIAMOND BUSH & E 319 16WC 19162 SERRANO, CHRIS WALMART 05/02/16 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY 320 16WC 19193 BAFIN, GRZEFORZ PIT STOP TRUCK TRAILER SE 06/10/16 DWORKIN AND MACIARIELLO LAW OFFICE OF PAUL O WATKISS 321 16WC 19214 QUINTERO, NICHOLAS NEED IT NOW 06/15/16 CORNFIELD & FELDMAN KEEFE CAMPBELL & ASSOC LLC 322 16WC 19317 BONILLA, JOSE R. KROPP FORGE 04/01/16 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 323 16WC 19370 WYNN, DOYLE CHICAGO COMMERCIAL & 06/06/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 324 16WC 19422 MOSER, NICOLETTA BREATHRU BEVERAGE ILLINOI 05/05/16 FIGLIOLI, DAVID

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 16WC 19426 SLEZAK, JAMES P TNT SUPER STEEL, INC 01/20/16 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 326 16WC 19532 JUREWICZ, RICHARD SORTIMAT 08/13/15 R. MARK MARITOTE PC LAW OFFICES JOSEPH MARCINIAK 327 16WC 19681 SANCHEZ, RICARDO ROBINETTE DEMOLITION INC 08/14/15 LAW OFFICE OF KEVIN O'BRIE KEEFE CAMPBELL & ASSOC LLC 328 16WC 19718 TORRES, RIGOBERTO ZAVALA SIFUENTES LAWN MAINTENANC 06/11/16 GOLDSTEIN BENDER & ROMANOF 329 16WC 19780 ANTON, FRANK CITY OF CHICAGO 05/25/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 17WC000935 -C 330 16WC 19890 STEMPNIEWICZ, ROBERT PALATINE CCSD #15 04/23/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 16WC019899 -C 331 16WC 20074 HARRIS, TYRONE CHICAGO TRANSITY AUTHORIT 06/11/16 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 332 16WC 20174 BALOG, HENRY UNIVERSITY OF ILLINOIS 06/06/16 PETER D CORTI LAW GROUP HEYL ROYSTER VOELKER & ALLEN 333 16WC 20296 SOLIS, MAURICIO CALMARK INC 06/20/16 ARTHUR D. WELLMAN 334 16WC 20361 RISTAU, MICHAEL CARL F EWING INC 08/11/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 335 16WC 20494 EMERSON, NATHAN REMEDIAL ENVIRONMENTAL MA 05/19/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 16WC020495 -C 336 16WC 22594 SLOBODIAN, CHAD MENARDS 01/02/16 RIDGE & DOWNES CHILTON YAMBERT PORTER LLP 337 16WC 26192 ROGERS, DARON ROUNDY'S MARIANO'S 08/07/16 FOHRMAN, DONALD W & ASSOCS BRYCE DOWNEY & LENKOV LLC 338 16WC 26391 FLORES, MIGUEL WILLIAM QUINN & SONS 07/29/16 VRDOLYAK LAW GROUP LLC 339 16WC 26770 CHAVEZ, CENOVIO EBBEN MASONRY INC 07/19/16 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 340 16WC 26928 CARRASQUILLO, CARMEN GCA SERVICE GROUP 07/22/16 KARCHMAR & STONE POWER & CRONIN LTD 341 16WC 26971 HICKS, DWAINE FOREST PRESERVE DISTRICT 07/26/16 PETER C KOPOULOS FOREST PRESERVE DIST COOK CO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 16WC 26982 ROSSI, GREG IN PRINT GRAPHICS 06/24/16 MCNAMARA PHELAN MCSTEEN LL QUINTAIROS PRIETO WOOD & BOY 343 16WC 27007 SMITH, BRENDA L. SKADDEN,ARPS, SLATE, MEAG 08/30/15 ANESI OZMON RODIN NOVAK KO 344 16WC 27107 FLORENCIO, FABIAN ABM JANITORIAL MIDWEST 06/14/16 ARGIONIS & ASSOCIATES LLC LITCHFIELD CAVO 345 16WC 27141 PASINDO, JOSE DREXEL TERRACE PROPERTY M 08/30/16 COSTA IVONE LLC ANCEL GLINK DIAMOND BUSH & E 346 16WC 27516 FIGUEROA, MARILYN SECURE AMERICA 07/28/16 COZZI & GOGGIN-WARD 347 16WC 27559 CHAGALA, ROBERTO ESCRIBAN TRIUNE LOGISTICS 06/25/16 SALVATO & O'TOOLE LITCHFIELD CAVO 348 16WC 27570 GARDNER, STEVE ALPHA BAKERY 10/01/15 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 349 16WC 27867 COLONNA, MICHAEL STATE OF IL.-IDOT @ 02/23/15 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENL 350 16WC 27885 SHAREEF, HAMEEN CHICAGO TRANSIT AUTHORITY 08/29/16 CULLEN HASKINS NICHOLSON 351 16WC 27915 HAWKINS, EDNA FRESENIUS MEDICAL CARE 03/23/16 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 352 16WC 27944 GUTIERREZ, KAREN CENTER HOME FOR 08/20/15 SEIDMAN MARGULIS & FAIRMAN 353 16WC 27969 SZENIAWSKI, THERESE A MARIANO'S STORE #8517 08/28/16 O'CONNOR & NAKOS POWER & CRONIN LTD 354 16WC 28116 LANE, BILLY KENTUCKY FRIED CHICKEN 08/09/16 ELFENBAUM EVERS & AMARILIO BETTY NEUMAN & MCMAHON 355 16WC 28315 KULINSKI, GERRY CITY OF CHICAGO DEPT OF 10/06/15 STEPHAN L. HOFFMAN 356 16WC 28404 RADCLIFF, DARREN INTEGRA HEALTHCARE EQUIPT 08/05/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 357 16WC 28472 BURKS, STEPHEN AT&T 09/08/16 GAINES & GAINES 358 16WC 28520 WRONA, JOZEFA CHAGALL, INC D/B/A W 12/09/13 HORWITZ HORWITZ & ASSOC 359 16WC 28644 HUBBARD, ASHLEY ALEXIAN BROTHERS REHAB HO 04/09/16 ASHER, RAYMOND L LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 16WC 28709 RAMOS, NAYELI LARA CHARTWELLS SCHOOL DINING 09/12/16 THE ROMAKER LAW FIRM GANAN & SHAPIRO 361 16WC 28726 MEDINA, ELIZABETH CHICAGO PUBLIC SCHOOLS 04/23/15 MEYERS & FLOWERS 362 16WC 28826 MARTINI, STEVEN J STATE OF IL/IDOT-ELK GROV @ 08/28/16 THE FITZ LAW GROUP COLIN KICKLIGHTER 363 16WC 28863 THOMAS, BENNIE DPI DEDICATED LOGISTICS 08/19/16 STROM, NEAL B 364 16WC 28894 WHITE, QUILSHUN L RANDSTAD 04/13/16 LAW OFFICES CHRISTOPHER ED 365 16WC 28906 CASTANEDA, BERTHA CHICAGO PUBLIC SCHOOLS 08/30/16 LAW OFFICE HUGO ORTIZ 366 16WC 28916 BUCHANAN, FREDERIC G CITY OF CHICAGO DEPT STS 03/26/16 BOWMAN & CORDAY CITY OF CHICAGO 367 16WC 28984 SEJDINI, SANIJE SCHAUMBURG SCHOOL DIST #5 04/15/16 TOPPER & WEISS LTD ACCIDENT FUND HOLDINGS 368 16WC 29117 LEWIS, CHARLENE AVERY CHICAGO TRANSIT AUTHORITY 09/19/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 369 16WC 29184 DUNN, ERICA CHICAGO TRANSIT AUTHORITY 06/30/16 GOLDSTEIN AIOSSA & GOOD CHICAGO TRANSIT AUTHORITY 370 16WC 29219 ARNOLD, LEANNA COOK DUPAGE TRANSPORTATIO 02/23/16 371 16WC 29329 AVERY, GEORGE HR SLATER 04/06/16 DWORKIN AND MACIARIELLO LEWIS BRISBOIS BISGAARD 372 16WC 29425 ARMAN, FAISAL UBER 08/27/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 373 16WC 29563 SOUTHARD, BOBBY K.A PRIDJAN COMP. 10/07/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 374 16WC 29657 MEDINA, ROBERT PEOPLES GAS 09/07/16 STEWART C ORZOFF 375 16WC 29714 VARELA, MARGARET URBAN PARTNERSHIP BANK 09/19/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES OF EDWARD J. KOZ 376 16WC 29757 STUBENVOLL, ALBERT F COOK CONTY RISK MGMT-WORK 06/10/16 JOHN J PLACEK STATES ATTORNEY OF COOK COUN 377 16WC 29834 BROWN, KEVIN CONTINENTAL AIR TRANSPORT 09/24/16 MARC J SHUMAN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 16WC 29866 KAPOOR, DINESH UNITED AIRLINES O'HARE 08/24/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 379 16WC 29894 COLEMAN, DEVIN CHICAGO MAGNESIUM CASTING 09/09/16 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 380 16WC 29947 ZAJA, ROBERT A CHICAGO RIDGE FIRE DEPART 09/24/16 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 381 16WC 29952 BONDS, ROBERT JR MATTTESON ELEMENTARY SCHO 09/14/15 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 382 16WC 29972 TAYLOR, PAMELA D NORTHSHORE UNIVERSITY 07/20/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 383 16WC 29985 LATIMER, JADA UPS 09/09/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 384 16WC 30069 SHUMAKER, KAREN ARAMARK FACILITY SERVICES 03/24/16 DEPAOLO ZADEIKIS GORE 385 16WC 30085 DINGELS, JONNIE M COMPASS GROUP 03/10/16 FRIEDMAN & SOLMOR LTD GOLDBERG SEGALLA LLC 386 16WC 30219 ROSS, HERMAN CITY OF CHICAGO 09/15/16 KATZ FRIEDMAN EAGLE ET AL 387 16WC 30269 VILLANUEVA, AURELIO CAESARSTONE USA, INC 07/10/14 ANKIN LAW OFFICE 388 16WC 30283 KEYS, LIONEL W ALSCO, INC 02/12/16 ANKIN LAW OFFICE ADELSON TESTAN & BRUNDO 389 16WC 36994 BODUCH, WALTER TUTHILL PUMP CORP 10/04/16 RIDGE & DOWNES GAROFALO SCHREIBER STORM 390 16WC 37012 SINGLETARY, KEVIN COOK COUNTY SHERIFFS DEPT 07/18/16 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 391 16WC 37126 FARAONE, JOSEPH DAVE OSBORNE CONTRUCTION 10/31/16 ROBERT H HANAFORD HOLECEK & ASSOCIATES 392 16WC 37347 PERALTA, AMANDA PRESENCE HEALTH 08/06/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 393 16WC 37415 CADENA, JOSE EZ TRUCKING 11/14/16 WOODRUFF & JOHNSON 394 16WC 37463 KELLY, LISA HOME BOUND HEALTHCARE 07/15/16 JOHN E LUSAK RIPES NELSON BAGGOT KALOBRAT 395 16WC 37484 RAMOS, ROBERT J CITY OF CHICAGO FACILITIE 11/21/16 CIARDELLI CUMMINGS CAMPAGN CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 16WC 37528 BALTERREZ, SYLVIA ROW, INC 03/09/16 LUCAS & APOSTOLOPOULOS JOSEPH MARCINIAK 397 16WC 37595 MALDONADO, NOHE JAIMES MEHRAB ZABIHA MEAT 11/28/16 MC HARGUE & JONES 398 16WC 37671 MOODY, LENOLIA DE CARLOS STEVENSON TRUCKING CO 10/24/16 ANKIN LAW OFFICE ROSARIO CIBELLA 399 16WC 37689 KEKOS, LABROS CITY OF CHICAGO DEPARTMEN 12/07/16 CUDA LAW OFFICES CITY OF CHICAGO 400 16WC 37814 PERKINS, ANTIONE M CHICAGO TRANSIT AUTHORITY 12/06/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 401 16WC 37867 GONZALEZ, MARISOL NORTH BROOK HILTON 09/08/16 COSTA IVONE LLC MEACHUM & STARCK 402 16WC 37884 KHAN, HAMID RESIDENTIAL SPECIALISTS 01/20/16 FOHRMAN, DONALD W & ASSOCS 403 16WC 38009 REABER, DORTHY ANN BERKELEY SCHOOL DISTRICT 10/05/16 LAW OFFICE OF ROBERT J. IR 404 16WC 38023 CLARK, ENIA WORLD'S FINEST CHOCOLATE 12/12/16 BERG & BERG 405 16WC 38048 ALEXANDER, TRACY LUDEMAN DEVELOPMENTALCENT @ 07/10/16 COPELAND FINN & FIERI LTD C. FLETCHER 406 16WC 38055 GIELOW, GEORGE III LINDAHL BROTHERS INC 11/14/16 SALGADO, DAVID L MEACHUM & STARCK 407 16WC 38066 MAXIE, RASHONDA CHICAGO TRANSIT AUTHORITY 12/06/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 408 16WC 38084 CARRILLO, GERMAN SOTO METRO STAFF INC 10/15/16 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 409 16WC 38142 MADRIGAL, DIANA ALDI 09/10/16 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 410 16WC 38337 PITTMAN, AMOS CTA 08/29/16 LEONARD LAW GROUP LLC 411 16WC 38457 NIEMIEC, MARC A WINPAK PORTION PACKAGING 07/23/16 ANKIN LAW OFFICE 412 16WC 38530 CARMONA, RAMON METRO STAFF 07/20/16 JONATHAN SCHLACK FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 16WC 38551 SULLIVAN, THOMAS MANCINI'S RESTAURANT 10/21/16 DWYER AND COOGAN 414 16WC 38614 HIDALGO, EDITH CHICAGO BOARD OF EDUCATIO 01/15/16 WILLIAM MARTAY 16WC038615 -C 415 16WC 38618 BILIONIS, HARRY CITY OF CHICAGO 08/01/15 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 416 16WC 38672 JONES, ANTWAN ELITE STAFFING 11/01/16 GOLDSTEIN BENDER & ROMANOF 417 16WC 38693 SIERACKI, RON BC INTERNATIONAL GROUP, I 05/28/15 GREGORIO & MARCO 418 16WC 38905 JAIMES, MARCIA GOLD EAGLE CO 10/17/16 STEPHEN G PINTO LTD NYHAN BAMBRICK KINZIE & LOWR 419 16WC 38952 ACEVES, JUANA ELITE STAFFING 12/14/16 JAMES ELLIS GUMBINER & ASS 420 16WC 38972 HAYDEN, GENEEN WALMART 11/08/16 COSTA IVONE LLC GANAN & SHAPIRO 421 16WC 39047 GERGES, OUDIT L FOOD FOR LESS- KROGER 10/27/16 SALVATO & O'TOOLE 422 16WC 39072 MILLER, MELODY FEDERAL EXPRESS 12/02/16 COVEN LAW GROUP 423 16WC 39131 RODRIGUEZ, IRINEO TOTAL STAFFING SOLUTIONS 08/09/16 ASHER, RAYMOND L LTD SLAVIN & SLAVIN 424 16WC 39192 MATOS, AMBER SHELL GAS STATION 12/22/16 DWORKIN AND MACIARIELLO 425 16WC 39248 JULIAN, MINDY AMERICAN AIRLINES 11/04/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 426 16WC 39362 KASPEREK, MARK CITY OF CALUMET CITY 11/14/16 COVEN LAW GROUP 427 16WC 39397 ROBINSON, DARNISE JEWEL OSCO 11/03/16 DWORKIN AND MACIARIELLO 428 16WC 39418 TABIRTA, SEGIU GT EXPRESS INC 12/14/16 PATRICOSKI, MARK G EMERSON & ELDER 429 16WC 39425 COTTRELL, WILLIAM J VILLAGE OF NILES - FIRE D 09/27/16 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 430 16WC 39479 AGUIRRE-BECK, IVETTE SWEET GREEN INC 12/01/16 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 17WC 00033 HOSKINS, GARY POWER STOP 12/06/16 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 432 17WC 00124 LUELLEN-LEWIS, WONDA COOK DUPAGE TRANSPORATION 12/18/16 SIGMOND, STEVEN HENNESSY & ROACH PC 433 17WC 04585 FATH, BRANDON FORD MOTOR COMPANY 10/19/16 WOLFE LAW PC POWER & CRONIN LTD 434 17WC 06639 LESURE, DOLORES HABILTATIVE SYSTEMS, INC 06/24/14 MC HARGUE, JAMES P LAW OFF 435 17WC 06719 GUILLERMO, JAVIER WOODFIELD NISSAN 01/25/17 POMPER & GOODMAN ROSARIO CIBELLA 436 17WC 06739 HEIMISDOTTIR, ELLEN UNITED AIRLINES, INC 02/04/16 BRIAN J MC MANUS & ASSOC, BRYCE DOWNEY & LENKOV LLC 437 17WC 06805 LOZANO, RODRIGO SOUTHWEST AIRLINES 11/25/16 FRANCIS J DISCIPIO LAW OFF 438 17WC 06834 DOIG, NANCY PALOS DENTAL CENTER 12/17/15 CULLEN HASKINS NICHOLSON 439 17WC 06862 TERRY, DE ARLO M GRIFFITH FOODS 02/20/17 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 17WC020049 -C 440 17WC 06898 HARDEN, ROBERT MAJOR LEAGUE SOCCER 10/06/15 WOLFE LAW PC MC ANDREWS & NORGLE LLC 441 17WC 06922 TERRELL, KATARA YRC WORLDWIDE 03/01/17 STROM, NEAL B 442 17WC 06958 SENKO, MYRON AMERICAN AIRLINES 02/19/17 RICHARD O. GREENFIELD 443 17WC 06986 BLOCKER, PAMELA MICHAEL FOODS INC D/B/A N 12/08/16 HETHERINGTON KARPEL BOBBER MEACHUM & STARCK 444 17WC 07050 RICHARDS, MATTHEW CHRIS KNIGHT CREATIONS 02/03/17 DWORKIN AND MACIARIELLO 445 17WC 07124 OBRUNOH, CLAUDERICK PRAXAIR DISTRIBUTION, INC 04/29/15 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 446 17WC 07198 BELL, BRANDON CTA 03/02/17 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 447 17WC 07212 REYES, REINA WEAR FLEX SLINGS 01/26/17 JONATHAN SCHLACK HENNESSY & ROACH PC 448 17WC 07237 HAYMER, PIERRIE CENTRAL TRANSORT LLC 06/07/16 ANKIN LAW OFFICE HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 17WC 07270 IPINA, LUISA THREE CROWN PARKL 01/30/17 HERRERA LAW CENTER 450 17WC 07345 LAZALDE, CRISTEN ALEXIAN BROTHERS MEDICAL 04/09/16 SCOTT BARBER HENNESSY & ROACH PC 451 17WC 07366 NOCKS, DARREN D VILLAGE OF HANOVER PARK 06/09/16 THOMAS W DUDA POWER & CRONIN LTD 17WC007367 -C 452 17WC 07547 PATTON, SANDRA A THE HABITAT COMPANY LLC 03/01/17 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 453 17WC 07564 HUGHES, PATRICIA UBER 03/12/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 454 17WC 07595 RODRIGUEZ, RAYMUNDO THERMAL CARE INC 04/01/14 MARTIN V KUGIA 455 17WC 07600 LANDA, SONIA VVV STAFFING SOLUTIONS, I 03/14/14 DAVID HERNANDEZ 456 17WC 07669 URBINA, DOREEN JEWEL/ALBERTSON'S 04/12/16 BAUM RUFFOLO & MARZAL LTD 457 17WC 07724 NEUBAUER, MICHAEL ORLAND FIRE PROTECTION DI 11/26/16 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 458 17WC 07751 PALMER, JAMES FED EX 01/25/17 CUDA LAW OFFICES HANSON LAW OFFICE 459 17WC 07799 THOMPSON, MICHAEL S UNITED PARCEL SERVICE 02/02/17 LEONARD LAW GROUP LLC ASA LAW GROUP 460 17WC 07829 GAYTON, GEORGE SERVICE SANITATION 10/08/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 461 17WC 07916 JONES, DEREK SHAY DOUBLE TREE BY HILTON 03/03/17 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 462 17WC 07934 VIRGILIO, VENUS JEWEL FOOD STORES 02/21/17 ELFENBAUM EVERS & AMARILIO QUINTAIROS PRIETO WOOD & BOY 463 17WC 07990 CRUZ, NATACHA A SCOOBEEZ 03/01/17 O'CONNOR & NAKOS HENNESSY & ROACH PC 464 17WC 08017 SMITH, PHYLLIS COOK COUNTY 11/30/16 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 465 17WC 08051 GUTSTADT, KEN RICOH USA 02/15/17 BRUSTIN & LUNDBLAD LTD CHILTON YAMBERT PORTER LLP 466 17WC 08054 BROWN, DONALD C CHICAGO TRANSIT AUTHORITY 11/21/16 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 17WC 08080 ALMARAZ, LYDIA FEDEX GROUND 02/21/17 DWORKIN AND MACIARIELLO 468 17WC 08208 WHITEHEAD, BRIAN CAESAR'S ENTERPRISE SVCS 07/18/16 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 469 17WC 08227 MANTUCCA, ARTHUR MORTON HIGH SCHOOL DIST 2 11/16/16 CUDA LAW OFFICES 470 17WC 08292 ARRIAGA, MARIA G HAMPTON INN-HILTON 02/01/17 COSTA IVONE LLC 471 17WC 08331 NELSON, HARVEY ST MARY'S NURSING HOME 03/13/17 472 17WC 08408 NONAH, PAULIS CLARK DEVON HARDWARD CO 02/18/17 KALOGERAKOS & ASSOC 473 17WC 08452 VEGA, JUAN HOME PRODUCTS 02/17/17 ARGIONIS & ASSOCIATES LLC 474 17WC 08548 JAIMES, LORENZO WALGREENS 01/20/17 EPSTEIN, JACK R LAW OFFICE 475 17WC 08591 RICHARDSON, KIMBERLY ILLINOIS CENTRAL SCHOOL B 01/07/17 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 476 17WC 08612 MASON, RAYMOND J&M TILE, INC 02/16/17 GREGORIO & MARCO RODDY LAW LTD 477 17WC 08660 KIRKWOOD, LATONIA ELITE STAFFING 03/10/17 DWORKIN AND MACIARIELLO 478 17WC 08714 O'CONNOR, TANYA EASTER SEAL 11/19/15 AMBROSE BUTZEN LAW GROUP 479 17WC 08783 SALGADO, EMMANUEL STAFF RIGHT 03/03/17 JONATHAN SCHLACK 480 17WC 08814 HERNANDEZ, REGINA ILLINOIS TOOL WORKERS INC 03/09/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 481 17WC 08850 SIMONE, JEFFREY J IL SECRETARY OF STATE @ 10/31/15 CIFELLI SCREMENTI & DORE C. FLETCHER 482 17WC 08879 WATKINS, GARDNER CITY OF CHICAGO 07/26/16 TAXMAN POLLOCK CITY OF CHICAGO 483 17WC 08916 CHRISTOU, STEFANIA M ALEXIAN BROTHERS MEDICAL 07/29/16 FIGLIOLI, DAVID POWER & CRONIN LTD 17WC033678 -C 484 17WC 08957 BANUELOS, ROSA M WEBER-STEPHEN PRODUCTS LL 02/27/15 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 17WC 08990 BALTSEREN, TSOGTBAYAR IGAL CAB CO 02/22/17 LAW OFFICE RYAN ROSENTHAL 486 17WC 09054 ALVAREZ, FELIPE VILLAGE OF FOREST PARK 04/11/14 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 487 17WC 09120 MORALES, NOLBERTA FILTRAN, LLC 03/07/17 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 488 17WC 09141 FERRERI, JOSEPH ST ALBERT THE GREAT 01/24/17 CULLEN HASKINS NICHOLSON 489 17WC 09164 DAVIS, JENEAN CROSSMARK 03/21/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 490 17WC 09184 RODELA, GLORIA TRIVEDI HOSPITALITY LLC 08/22/16 HENNESSY & ROACH PC 491 17WC 09216 WYNER, ERIC L SR MAD DASH, INC 11/02/16 RICHARD E ALEKSY HOLECEK & ASSOCIATES 492 17WC 09255 ORTIZ, ARGELIA ALTERNATIVE STAFFING 08/19/16 SALVATO & O'TOOLE SLAVIN & SLAVIN 493 17WC 09288 BRAVO, AIDA PEPE'S 03/06/17 COSTA IVONE LLC GILDEA & COGHLAN 494 17WC 09313 WARE, BRENT FORD MOTOR COMPANY 01/17/17 LAW OFFICE OF SCOTT B SHAP 495 17WC 09425 TORRES, SALVADOR ASSEMBLERS INC 01/12/17 CHEPOV & SCOTT LLC 496 17WC 09453 WOJCIECHOWSKI, GREGORY A BARTLETT FIRE PROTECTION 12/18/15 THOMAS W DUDA POWER & CRONIN LTD 497 17WC 09539 DELGADILLO, ENRIQUE CHICAGO HIGHLANDS CLUB 01/14/17 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 498 17WC 09645 BURNETTE, VICTORIA MARRIOTT RESIDENCE INN 01/16/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 499 17WC 12431 FRIES, CHRISTOPHER FLORENCE HART * 05/01/14 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 500 17WC 13290 CARTER, WARREN FORD MOTOR COMPANY 04/08/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 501 17WC 16495 HILL, CLARENCE HALLCON RENZENBERGER INC 05/03/17 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 502 17WC 16563 SIQUEIROS, CORDERO THOMAS AVERUS, INC 05/16/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 17WC 16582 ROMBERG, JACOB N TRI STATE METAL COMPANY 04/20/17 RATHBUN CSEVENYAK & KOZOL RIPES NELSON BAGGOT KALOBRAT 504 17WC 16677 GERVASIO, LARRY HINCKLEY SPRINGS 02/12/16 MARKER & ASSOCIATES CHILTON YAMBERT PORTER LLP 505 17WC 16705 KLINGER, SEAN PATRICK COOK COUNTY SHERIFF'S DEP 05/06/17 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 506 17WC 16744 ALVARADO, EVANGELINA UNIFIRST CORPORATION 11/09/16 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 507 17WC 16771 RIVERA, JULIO PRECISION POUCHES 05/17/17 CHEPOV & SCOTT LLC JOSEPH MARCINIAK 508 17WC 16819 BAVONE, MIKE JEWEL OSCO 04/07/17 MARKER & ASSOCIATES 509 17WC 16872 GARCIA, ALEXANDER EKLIND TOOL COMPANY 09/28/15 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 510 17WC 16892 OWENS, DAVID WHOLE FOODS MARKET 11/16/16 HORWITZ HORWITZ & ASSOC 511 17WC 16919 CHRONOS, JOHN UNITED AIRLINES 03/12/16 STELZMAN, RUTH WIEDNER & MCAULIFFE LTD 17WC016920 -C 512 17WC 16955 NOCLEG, RAFAL GREENWOOD SERVICE CENTER 01/16/17 O'CONNOR & NAKOS 513 17WC 16990 SONOWO, OLADADO UBER TECHNOLOGIES DBA UBE 06/01/17 POMPER & GOODMAN WIEDNER & MCAULIFFE LTD 514 17WC 17076 MC LAURIN, CORNELL CTA 05/16/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 515 17WC 17106 MURANSKY, JOHN COUNTRY CLUB HLS SCHL DIS 01/05/15 ARENDS & CALLAHAN LITCHFIELD CAVO 516 17WC 17115 NEAL, JONATHAN DA'S DELI & DINING 05/21/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 517 17WC 17136 SMITH, SHARON D UNIVERSITY OF CHICAGO 04/30/17 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 518 17WC 17209 AQUINO, WILLIAM CITY OF CHICAGO 05/29/14 VITELL & SPITZ LTD SCOPELITIS GARVIN LIGHT 519 17WC 17221 LUJAN, NAZARIA MCDONALDS 01/23/17 LEONARD LAW GROUP LLC 520 17WC 17241 MCCAULEY, SHIRLEY CTA 06/02/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 17WC 17308 BELL, KENYATTA A STEP UP CAREER ACADEMY 05/30/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 522 17WC 17323 BALVOA, ROQUE ZLG CONSTRUCTION INC 05/17/17 TAXMAN POLLOCK 523 17WC 17373 KRUEGER, BERNIE PROFESSIONAL BUSINESS 04/25/17 RUBIN MACHADO ROSENBLUM 524 17WC 17405 SPILLANE, BRIAN ILLINOIS STATE POLICE @ 07/18/15 RIDGE & DOWNES 525 17WC 17417 CABRERA, RICARDO LAS TABLES 05/16/17 HERRERA LAW CENTER 526 17WC 17517 GEBREAB, FIREWEINI WESTLAKE COMMUNITY HOSPIT 01/04/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 527 17WC 17588 AUGUST, JAMES COOK COUNTY JUVENILE 03/05/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 528 17WC 17629 NUNN, JAMES SET ENTERPRISES INC 05/23/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 529 17WC 17652 STIMAC, PAUL CITY OF CHICAGO 2FM 05/03/17 STEWART C ORZOFF HENNESSY & ROACH PC 530 17WC 17690 ABRAMS, DONYEA CHICAGO SIGNATURE SERVICE 06/02/17 WARREN W MARK 531 17WC 17710 MENDZA, JOSEPH CITY OF CHICAGO 06/09/17 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 532 17WC 17819 HUGHES, CAROTEZ FORD MOTOR COMPANY 06/11/17 DWORKIN AND MACIARIELLO 533 17WC 17853 CREAL, SANDRA DOLTON K, INC 10/29/16 THOMAS LAW HOLECEK & ASSOCIATES 534 17WC 17920 TAYLOR, ROSE ALLTOWN BUS CO 02/15/17 JAMES ELLIS GUMBINER & ASS 535 17WC 17961 DELGADO, ENGRACIA EL MILAGRO 02/27/17 LEO ALT WIEDNER & MCAULIFFE LTD 17WC018329 -C 536 17WC 18140 HUGHES, GWENDOLYN CITY OF CHICAGO - DEPT OF 06/15/16 NEWLAND & NEWLAND 537 17WC 18152 MCMILLAN, RANDY RELIABLE EXPRESS TRANSPOR 07/26/16 HUGHES SOCOL PIERS RESNICK MCANANY VANCLEVE & PHILLIPS 538 17WC 18189 SANCHEZ, ANA KAREN ALDEN ESTATES OF BARRINGT 04/18/17 EFTEKHARI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 17WC 18290 JONES, JOYCE MONTGOMERY PLACE 05/03/17 DWORKIN AND MACIARIELLO 540 17WC 18367 TAMMO, GEWARGIS HOME DEPOT 02/16/17 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 541 17WC 18389 CRUSE, GARY UPS 01/17/17 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 542 17WC 18405 COLLINS, WILLIAM METROPOLITAN WATER RECLAM 09/21/15 O'CONNOR & NAKOS 543 17WC 18416 LANDRUM, PATRICIA MISERICORDIA 05/31/17 COSTA IVONE LLC 544 17WC 18434 BENNETT, LARREESE ANIXTER INC 05/25/17 DWORKIN AND MACIARIELLO 545 17WC 18463 CHAPARRO, HECTOR CHICAGO MARRIOTT NORTHWES 05/17/17 CUDA LAW OFFICES HENNESSY & ROACH PC 546 17WC 18504 BAIN, ASHLEY ILLINOIS STATE POLICE 09/06/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 547 17WC 18542 COOMANS, DONNA UNITED AIRLINES 01/09/17 HEALY SCANLON LAW FIRM 548 17WC 18558 LAMPHIER, DANIEL F SR BULLEY & ANDREWS LLC 09/11/15 HORWITZ HORWITZ & ASSOC 549 17WC 18577 CARDENAS, SANDRA DOVE'S LUNCHEONETTE 01/06/17 COSTA IVONE LLC 550 17WC 18635 BRABOY, EBONY MACY'S, INC 12/15/16 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 551 17WC 18689 PIGOUNAKIS, NIKOLAS ABRA AUTO BODY & GLASS 04/26/17 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 552 17WC 18740 ERICKSON JR., JOHN M. IHC CONSTRUCTION CO, LLC 12/16/15 RUBIN LAW GROUP JOSEPH MARCINIAK 553 17WC 18748 BROWNER, CHRISTINE AUTO WAREHOUSING INC 06/07/17 FRIEDMAN & SOLMOR LTD MEACHUM & STARCK 554 17WC 18822 HERNANDEZ, MARK DART CONTAINER 12/21/16 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 555 17WC 18881 FIGUEROA, TERESITA AMMERAAL BELTECH 02/10/17 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 556 17WC 18932 MOORE, STEPHANIE G CHICAGO BOARD OF EDUCATIO 05/17/17 KARP & ELLIS LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 557 17WC 18993 LOSASSO, PARTRICK CLEARWATER POOLS 06/14/17 MARTIN L GLINK LAW OFFICE COZZI & GOGGIN-WARD 558 17WC 19068 ESPINOSA, JUAN OLD ISLAND CONSTRUCTION 06/01/17 BUDIN LAW OFFICES 559 17WC 19089 DYNAK, JAN CITY FOODS INC 09/12/14 TOPPER & WEISS LTD 560 17WC 19122 CARRADA, JORGE RODE WELDING SERVICES 04/22/17 KATZ FRIEDMAN EAGLE ET AL 561 17WC 19178 TORRES, GRISELDA ELITE STAFFING INC 06/14/17 THE ROMAKER LAW FIRM 562 17WC 19202 COOMAN, TRAVON ILLINOIS STATE POLICE @ 02/10/16 TAXMAN POLLOCK 563 17WC 19220 BRYSON, JESSICA A CHICAGO TRANSIT AUTHORITY 04/23/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 564 17WC 19246 HOLMES, LISA AURORA PACKING 03/23/17 ANGELINI & ORI LLC 565 17WC 25184 HERRERA, ARIEL MENARDS 06/01/17 ABELS & ANNES, PC 566 17WC 25288 PINEDA, ALLAN TOWN OF CICERO 07/24/17 JOHN E LUSAK DEL GALDO LAW GROUP LLP 567 17WC 25824 O'HARE, KIMBERLY ATI PHYSICAL THERAPY 09/20/16 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 568 17WC 25844 LEE, SHENIA GATE GOURMET 05/14/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 569 17WC 25867 WILLIAMS, CLIFTINA CROSSFIRE GROUP, LLC 08/14/17 LAW OFFICES OF HERBERT ABR 570 17WC 25900 PICHARDO, MARIA ACCURATE PERSONNEL LLC 04/03/17 ANKIN LAW OFFICE 571 17WC 25904 ROVER, CHUBBY CITY OF CHICAGO 08/29/17 ANKIN LAW OFFICE 572 17WC 25950 GUDEWICZ, MARIA ARCHER ADVISORS, LLC DBA 06/23/17 BELLAS & WACHOWSKI 573 17WC 26022 BUCIO, ROBERTO LATINO MEAT & PRODUCE INC 08/18/17 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 574 17WC 26049 CHILDRESS, CHRISTOPHER E VILLAGE OF ROSEMONT 03/06/17 MC HARGUE, JAMES P LAW OFF LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 575 17WC 26088 AVILA, EFRAIN PIZZERIA UNO 08/20/17 ELFENBAUM EVERS & AMARILIO GILDEA & COGHLAN 576 17WC 26138 ROSS, ROD MARON ELECTRIC COMPANY 06/22/17 THOMAS J STIBERTH LAW OFFI KLAUKE LAW GROUP LLC 577 17WC 26159 WAICKUS, JOSEPH M UPS 11/16/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 578 17WC 26224 NOA, MILVIA THE GROVEOF LA GRANGE PAR 08/29/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 579 17WC 26252 ALDRIDGE, AGNES ALDEN PRICETON REHAB & HE 01/18/17 HERRERA LAW CENTER 580 17WC 26268 GARCIA, ARTURO DOERING LANDSCAPING 07/19/17 CULLEN HASKINS NICHOLSON 581 17WC 26287 VASQUEZ, ROBERTO SKOLNIK INDUSTRIES INC 08/30/17 COVEN LAW GROUP 582 17WC 26317 GUERRERO, GABRIEL CONTRACTOR ACCESS 08/15/17 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 583 17WC 26337 ALBANO, MARC CHICAGO FIRE DEPT 07/21/17 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 584 17WC 26371 PARRA, EDUARDO ARAMARK UNIFORM SERVICES 07/28/17 KARCHMAR & STONE STONE & JOHNSON CHARTERED 585 17WC 26389 PEPRAH, SAMUEL IDT CORPORATION 08/29/17 LAW OFFICES JOSEPH MARCINIAK 586 17WC 26454 BATES, ANTHONY FROZEN ASSETS COLD STORAG 08/10/17 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 587 17WC 26507 VERDICK, GALE AMERICAN AIRLINES 06/20/17 ELFENBAUM EVERS & AMARILIO 588 17WC 26542 TORRES, CARLOS ARAMARK SERVICES 08/15/16 O'CONNOR & NAKOS 589 17WC 26559 BURGESS, BRITTANNI CHICAGO TRANSIT AUTHORITY 09/01/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 590 17WC 26578 PERRY, TAWANDA WALMART NEIGHBORHOOD MARK 02/07/17 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 591 17WC 26596 WALLACE, ROBERT BLOCK & COMPANY 08/21/17 DWORKIN AND MACIARIELLO 592 17WC 26619 HERNANDEZ, VINCENT IL DEPT OF TRANSPORTATION 09/04/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 593 17WC 26666 LOCKHART, LORRAINE CHICAGO PUBLIC SCHOOLS 05/08/17 BRIAN J MC MANUS & ASSOC, LAW DEPARTMENT 594 17WC 26741 O'DONNELL, DANIEL RUSH TRUCK CENTER 08/30/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 595 17WC 26812 FOCHS, DANIEL CLEVELAND MARBLE MOSAIC C 08/21/17 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 596 17WC 26854 CHMIELEWSKI, ADAM US VENTURE, INC 08/02/17 SALVATO & O'TOOLE RODDY LAW LTD 597 17WC 26944 HASIER, MICHAEL S INTERTEK - PSI 04/28/17 VITELL & SPITZ LTD 598 17WC 26962 BOYD, VICTORIA A CHICAGO TRANSIT AUTHORITY 09/13/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 599 17WC 26978 HADEED, ARAFAT KISWANI TRUCKING, INC 01/09/17 KATHERINE A. CARDENAS 600 17WC 27063 LEE, MARTESA CHICAGO TRANSIT AUTHORITY 09/08/17 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 601 17WC 27106 SANTOW, ELIZABETH UNITED AIRLINES 09/28/16 KATZ FRIEDMAN EAGLE ET AL 602 17WC 27144 CASTILLA, ANIBAL CHICAGO PUBLIC SCHOOLS 08/04/17 ANKIN LAW OFFICE LAW DEPARTMENT 603 17WC 27165 GARRETT, AKITA CTA 09/05/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 604 17WC 27189 HARRIS, TAMMIE FEDEX 09/06/17 BARRY STEWART SILVER 605 17WC 27248 KASHYAP, ANOOP WEBER-STEPHENS PRODUCTS L 12/23/14 TEWS THEISEN & THEISEN 606 17WC 27268 JEROSKI, RICHARD INSURANCE AUTO AUCTIONS I 04/19/16 DWYER AND COOGAN HENNESSY & ROACH PC 607 17WC 27286 SECUNDINO, EDGAR ADVOCATE CHRIST MEDICAL C 05/25/17 SMOLER LAW OFFICE, PC GAROFALO SCHREIBER STORM 608 17WC 27310 JIWANI, ANWAR CHICAGO CITY TAXI CAB 09/02/17 SANDMAN LEVY & PETRICH 609 17WC 27341 MARTINEZ, LORENZO THE W.J. MCGUIRE COMPANY 10/24/15 BUDIN LAW OFFICES ACCIDENT FUND HOLDINGS 610 17WC 27363 WALD, ROBERT CHICAGO HEIGHTS POLICE DE 07/02/17 COVEN LAW GROUP DEL GALDO LAW GROUP LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 611 17WC 27411 ROGERS, DAVID FORT DEARBORN COMPANY 05/11/17 GOLDBERG WEISMAN & CAIRO L JOSEPH MARCINIAK 612 17WC 27462 TRUJILLO, GERARDO LIFEWAY FOODS, INC 01/05/17 RUEDA, IVAN A RIPES NELSON BAGGOT KALOBRAT 613 17WC 27490 TRENDEL, MARY J JEWEL FOOD STORES INC. 02/21/17 GRAUER & KRIEGEL LLC 614 17WC 27513 SINGLETARY, WILBERT FLEXIBLE TEMP SERVICE 08/28/17 ROSENBERG EISENBERG ASSOC 615 17WC 27583 WINFORD, KEITH CITY OF CHICAGO 06/30/17 SANDMAN LEVY & PETRICH 616 17WC 27612 AGUILAR, MARIA FROST CORP. 07/26/17 MC HARGUE, JAMES P LAW OFF 617 17WC 27640 PUENTES, STEVENSON RICKHO JANITORIAL DBA 08/28/17 BRILL & FISHEL LAW OFFICES JOSEPH MARCINIAK 618 17WC 27658 GIBBS, KIRKLAND DELTA AIRLINES 05/22/17 LEONARD LAW GROUP LLC 619 17WC 27713 ANDRUK, EUGENE W UNIVERSAL SECURITY CORP 09/11/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 620 17WC 27737 CLARK, JUANITA TOUCHPOINT SVCS 08/28/17 STEPHEN G PINTO LTD 621 17WC 27755 MARTINEZ, MARY STATE FARM FIRE & CASUALT 08/27/17 DEPAOLO ZADEIKIS GORE 622 17WC 27760 ANDRE LOVE CITY OF CHICAGO, DEPT OF 08/07/17 BUDIN LAW OFFICES 623 17WC 27820 METOXEN, JOSEPH STATE OF ILLINOIS DEPT OF @ 08/29/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 624 17WC 27875 CUMMINGS, TIMOTHY UNIVERSITY OF CHICAGO 09/16/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 625 17WC 27898 TURCIOS, MARVIN CITYWIDE DISPOSAL 09/14/15 PETER D CORTI LAW GROUP 626 17WC 27920 MARTINEZ, MARCOS DINDERYONICS 07/17/17 LAW OFFICES ROBERT WARSASK LAW OFFICES JOSEPH MARCINIAK 627 17WC 27950 PUMA, JESSICA PROSPECT AIRPORT SERVICES 09/01/17 GOLDSTEIN BENDER & ROMANOF 628 17WC 28052 SAMUELS, LAWRENCE KAY MANUFACTURING 08/12/17 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 629 17WC 28088 EKLUND, CURT STERICYCLE 08/24/17 KROL BONGIORNO & GIVEN LTD KNELL & O'CONNOR 630 17WC 28108 ESPARZA, CARLOS SYSCO CHICAGO INC 08/27/17 COSTA IVONE LLC 631 17WC 28135 WELLS, ALEXUS WALMART 08/26/17 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 632 17WC 28164 PAULEY, ROBERT OTIS ELEVATOR 03/06/17 LEE, MARK N LAW OFFICE 633 17WC 28217 LEAGOGO, FRANCISCO XYLEM INC 09/12/17 BAUM RUFFOLO & MARZAL LTD POULOS & DIBENEDETTO LAW 634 17WC 28245 SCHLOSSER, GRISELDA DISTRICT 218 08/28/17 EPSTEIN, JACK R LAW OFFICE ODELSON & STERK 635 17WC 28266 GUERRERO, MARIA L ARROW HOME PRODUCTS 09/20/16 LEONARD LAW GROUP LLC 636 17WC 28339 MC JOY, DEMARIUS VISITING PHYSICIANS ASSOC 08/18/17 ANKIN LAW OFFICE 637 17WC 28387 MARTINEZ, FRANCISCO FJK ENTERPRISES 08/01/16 HOLECEK & ASSOCIATES 638 17WC 28411 NALLS, WILLIAM UNITED PARCEL SVC 02/15/17 RUBENS AND KRESS ASA LAW GROUP 639 17WC 28442 HERNANDEZ, ERICK CHICAGO BEVERAGE SYSTEMS, 09/12/17 ANKIN LAW OFFICE MC CABE & HOGAN 640 17WC 28459 GARNICA, LUZ ELVIRA LABOR NATION LLC 09/04/17 SALK, STEVEN B & ASSOC LTD 641 17WC 28481 KALOUDIS, CHRIS COOK COUNTY SHERIFF'S OFF 08/28/17 CORNFIELD & FELDMAN STATES ATTORNEY OF COOK COUN 642 17WC 28516 HARDIMAN, LOLITA CHICAGO BOARD OF EDUCATIO 07/26/17 HUGHES SOCOL PIERS RESNICK LAW DEPARTMENT 643 17WC 28531 HERNANDEZ, JUAN EVANS FOODS 09/09/17 BURNES & LIBMAN 644 17WC 28552 CUELLAR, RYAN CITY OF CHICAGO DEPARTMEN 09/17/17 NILSON STOOKAL GLEASON CAP 645 17WC 28591 PEREZ, CECILIO HOMER TREE CARE 06/12/17 THERMAN LAW OFFICES 646 17WC 28614 VAZQUEZ, ANGEL CTA 07/28/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 647 17WC 28649 CERVANTES, JUAN J A&A MIDWEST REBUILDERS 09/19/17 ANKIN LAW OFFICE 648 17WC 28679 THOMPSON, STEPHEN O'REILLY'S AUTO PARTS 09/27/17 KREITER, BYCK & ASSOC LLP 649 17WC 28726 ZIEGELMAN, CHERYL UNITED AIRLINES 11/04/14 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 650 17WC 28799 TOLEMY, KENDRA FIST PHYSICIANS INC 07/07/17 FOOTE MIELKE CHAVEZ & O'NE 651 17WC 28858 SHIMOON, MIRIAM JEWEL OSCO 10/18/15 SEIDMAN MARGULIS & FAIRMAN 652 17WC 28878 SCHULTZ, ALISSA AURELIO'S PIZZA 09/22/17 FRIEDMAN & SOLMOR LTD 653 17WC 28896 WILLIAMS, DONTA LOCKE TRANSPORTATION 09/28/17 DWORKIN AND MACIARIELLO 654 17WC 28920 REYNOLDS, DARIUS ARENA FOOTBALL ONE, LLC 08/26/16 GORDON LAW OFFICES LTD 655 17WC 28957 HULL, STEPHEN P VILLAGE OF WHEELING 09/24/17 FIGLIOLI, DAVID KLEIN THORPE & JENKINS LTD 656 17WC 28980 RAMIREZ, JOSE G AMS MECHANICAL SYSTEMS 09/14/17 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM 17WC035840 -C 657 17WC 33618 AZZARO, RICHARD CHICAGO TRANSIT AUTHORITY 12/02/16 BELLAS & WACHOWSKI CHICAGO TRANSIT AUTHORITY 658 17WC 35173 ROSALES, GABRIEL MANGO CONSTRUCTION 11/20/17 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 659 17WC 35560 EVANS, WILLIAM CITY OF HIGHLAND PARK 11/30/17 COVEN LAW GROUP 660 17WC 35578 INGRAM, RANDALL MEDIEVAL TIMES 11/01/17 DWORKIN AND MACIARIELLO 661 17WC 35607 APOLO, ELITA M TONY'S FINER FOODS 11/16/17 LAW OFFICES TIMOTHY HENDER 662 17WC 35635 TOWEY, BRENDAN UNITED PARCEL SVC 12/06/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 663 17WC 35648 GUERRERO, LETICIA CITY OF CHICAGO, DEPT OF 07/13/17 CUDA LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 664 17WC 35667 TURNER, KAREN FORD MOTOR COMPANY 09/19/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 665 17WC 35693 TRUCHALSKI, ARKADIUSZ AUTOHAUS AUTOBODY 11/01/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 17WC035694 -C 666 17WC 35713 JONES, ROBERTA FIRST TRANSIT 11/08/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 667 17WC 35772 CARABELLO, FELIPE CITY OF CHICAGO 09/29/17 VLANTIS LAW LLC 668 17WC 35858 RAMIREZ, MIGUEL NATIONAL CONTAINER SERVIC 11/05/17 JAMES ELLIS GUMBINER & ASS RIPES NELSON BAGGOT KALOBRAT 669 17WC 35882 RIVERS, MERCEDES WALGREENS 05/01/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 670 17WC 35923 DIAZ, VANESSA HARVEY POLICE DEPARTMENT 11/05/17 ELFENBAUM EVERS & AMARILIO 671 17WC 35986 SMOLAK, MACIEJ ABC DANCE ACADEMY INC C/O 06/25/15 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 672 17WC 36019 GAMIZ, JOSE COVEMEX 11/20/17 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 673 17WC 36045 BROWN, MARK UPS 09/25/17 LEONARD LAW GROUP LLC ASA LAW GROUP 674 17WC 36068 TORRES-TORRES, JOSE OGDEN INTERNATIONAL SCHOO 12/01/17 DWORKIN AND MACIARIELLO 675 17WC 36168 MAYA, MARTA MULTI-PACK SOLUTIONS 02/05/17 ROSS J HELFAND NYHAN BAMBRICK KINZIE & LOWR 676 17WC 36197 ANGELINI, AARON JAMES MCHUGH CONSTRUCTION 05/24/17 SCHREINER MALLOY & ETZLER KEEFE CAMPBELL & ASSOC LLC 677 17WC 36240 BURROWS, VERETTA E REPUBLIC AIRLINES 02/13/17 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 678 17WC 36288 ZARAGOZA, ARTEMIO THE LOMBARD COMPANY 04/27/17 HORWITZ HORWITZ & ASSOC 679 17WC 36306 SIMPKINS, LEWIS DELTA GLOBAL SERVICES 06/04/17 MARC J SHUMAN & ASSOCIATES 680 17WC 36329 BOSHKOVSKI, HRISTO LA FITNESS 10/17/17 ARGIONIS & ASSOCIATES LLC 681 17WC 36356 PORRAS, NICHOLAS YRC WORLDWIDE 12/02/17 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 682 17WC 36431 WANG-TSUEI, SHIRLEY UNITED AIRLINES INC. 11/03/17 KATZ FRIEDMAN EAGLE ET AL 683 17WC 36465 BERG, DANIEL AMBAR, INC 12/06/17 EDWIN REYES LEGAL GROUP GAROFALO SCHREIBER STORM 684 17WC 36515 CIFUENTES, OSCAR POWER PLANT SERVICES 07/15/15 ENCINAS & ORNELAS LAW OFFICES JOSEPH MARCINIAK 685 17WC 36536 HOLLOWAY, DARRYL III EDSAL MANUFACTURING CO IN 11/27/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 686 17WC 36572 MIR, PAMON P VILLAGE OF SCHAUMBURG 09/20/17 ARIANO HARDY NYULI JOHHSON MACIOROWSKI SACKMANN & ULRIC 687 17WC 36598 KUPIEC, JOZEF SPECIALTY WOOD WORKING 10/09/17 KATZ FRIEDMAN EAGLE ET AL 688 17WC 36615 VANCE, JERRY COOK DUPAGE TRANSPORTATIO 11/05/17 MARC J SHUMAN & ASSOCIATES 689 17WC 36617 TAYLOR, TRALANDA CHICAGO PUBLIC SCHOOLS 09/26/17 MARC J SHUMAN & ASSOCIATES LAW DEPARTMENT 690 17WC 36655 PRZYBYLINSKI, HILARY SYSCO FOOD SERVICE 09/29/17 CULLEN HASKINS NICHOLSON 691 17WC 36672 KASPAR, JONATHON COVENANT VILLAGE OF NORTH 08/16/17 KROL BONGIORNO & GIVEN LTD 692 17WC 36693 AVILA, ROBERTO EVANS FOOD PRODUCTS CO 11/21/17 GRAUER & KRIEGEL LLC HOLECEK & ASSOCIATES 693 17WC 36711 WILLIAMS, MICHELLE RIGHT AT HOME 10/28/17 MANDELL, GREGG 694 17WC 36733 JEFFERSON, VIRGINIA ARAMARK 11/27/17 LAW OFFICES OF ANSELMO DUR 695 17WC 36765 SMITH, KIMBERLY RUSH UNIVERSITY MEDICAL C 11/20/17 GOLDBERG WEISMAN & CAIRO L 696 17WC 36796 ROSALES, MONICA LAND O'FROST 11/13/17 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 697 17WC 36830 JAMES, RICHARD JEWEL FOOD STORE INC 01/02/16 BART DURHAM 698 17WC 36863 GALARZA, MARIA DEL ROSARI GIBSON'S RESTAURANT HOLDI 05/04/17 ENCINAS & ORNELAS 699 17WC 36885 MUNIZ, DAVID STEAK 48 11/14/17 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 700 17WC 36971 STEMMONS, TIMOTHY TRU TEAM 11/20/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 701 17WC 36996 ROBLES, JOSE GOLD STANDARD BAKING 11/08/17 PETER D CORTI LAW GROUP 702 17WC 37019 TIBERI, MICHAEL ADVANCE TRAINING SOLUTION 05/02/17 DWORKIN AND MACIARIELLO MEACHUM & STARCK 703 17WC 37039 CIBROWSKI, RICHARD KASAB MULTISERVICE INC. 12/14/16 LAW OFFICE DAVID W CLARK BRYCE DOWNEY & LENKOV LLC 704 17WC 37101 ROJAS, JATNIEL GOLDEN STATE FOODS 12/04/17 HUGHES SOCOL PIERS RESNICK HOLECEK & ASSOCIATES 705 17WC 37120 VANHOOK, JOSEPH CHICAGO TRANSIT AUTHORITY 12/12/17 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 706 17WC 37145 STALLINGS, KATE LINDOP ELEMENTARY SD #92 11/06/17 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 707 17WC 37170 CZAPLA, MARK PEOPLES GAS 08/28/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 708 17WC 37234 CHRZAN, JACEK DONSON MACHINE 12/04/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 709 17WC 37286 HARRIGAN, PATRICIA J UNITED AIRLINES 12/05/17 HEALY SCANLON LAW FIRM 710 17WC 37305 FERNANDEZ, JUAN COVERT CONTRACTING CO, IN 12/04/17 LAW OFFICE OF JAMES URTIS 711 17WC 37307 WARNER, DERRICK CTA 12/13/17 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 712 17WC 37387 WRIGHT, BRAY IMPACT IRON LLC 09/18/17 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 713 17WC 37416 HALL, MARK TAYLOR ELECTRIC COMPANY 11/09/17 TAXMAN POLLOCK 714 17WC 37448 GONZALEZ, JOSE M&K EMPLOYEE SOLUTIONS LL 07/19/17 SANDMAN LEVY & PETRICH 715 17WC 37470 RUBENSTEIN, SAMUEL OZINGA CONCRETE 11/10/17 COVEN LAW GROUP GAROFALO SCHREIBER STORM 716 17WC 37507 GLOVER, KEVIN CHICAGO BEVERAGE SYSTEMS, 09/27/17 GOLDBERG WEISMAN & CAIRO L MC CABE & HOGAN 717 17WC 37533 PLOCHARSKI, GLENN UNITED PARCEL SERVICE 09/29/17 HEALY SCANLON LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 718 17WC 37577 HUNT, SHANITA WALGREENS 12/08/17 DWORKIN AND MACIARIELLO 719 17WC 37627 PEDRAZA, ELIEZER HOSPITALITY STAFFING SOLU 05/21/17 AIOSSA LAW FIRM 720 17WC 37650 CASTLEBERRY, MARCUS AARONS FURNITURE 08/04/17 EDWIN REYES LEGAL GROUP 721 17WC 37680 ARCHIE, ANDREA J CITY OF CHICAGO DEPT OF W 12/05/17 DAVID W MARTAY 722 17WC 37724 SHAW, BILLY R SPECIALIZED STAFFING SOLU 11/27/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 723 17WC 37765 WRIGHT, EDDIE CTA 12/20/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 724 17WC 37791 BENNETT, MARCO VIRGIN HOTELS CHICAGO 08/01/17 HORWITZ HORWITZ & ASSOC 725 17WC 37833 PETREY, TOM GIBSON ELECTRIC 08/29/17 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 726 17WC 37851 CORONADO, ABEL JEWEL OSCO 11/03/17 HERRERA LAW CENTER 727 17WC 37888 ARROYO, ALEJANDRO TRONC, INC D/B/A 05/28/17 LAW OFFICES ROBERT WARSASK NYHAN BAMBRICK KINZIE & LOWR 728 17WC 37916 NOWAKOWSKI, ROBERT JLO METAL PRODUCTS INC 01/05/17 OSMAN, RONALD E RIPES NELSON BAGGOT KALOBRAT 729 17WC 37938 SCARBOROUGH, LA SHAUN PRO DRIVER LEASING SYSTEM 12/06/17 WILLIAM MARTAY 730 17WC 38009 CASTILLO, JUAN LEOPOLDO EDIBLE CUTS, LLC 09/27/17 GOLDSTEIN AIOSSA & GOOD 731 17WC 38059 BENITEZ, SONIA METRO STAFF, INC 12/13/17 THOMAS LAW 732 17WC 38103 GRAY, CARLETTE SMG MCCORMICK PLACE 09/25/17 DWORKIN AND MACIARIELLO 733 18WC 00019 STEED, KATRINE RELIANCE 12/11/17 JOSEPH F. VITU 734 18WC 00100 ALI, MUKHTAR MASKAB INC 10/22/17 LAW OFFICE RYAN ROSENTHAL 735 18WC 00123 DE AVILA, JANNETE ENVIRO RESOURCES 12/11/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 736 18WC 00160 SIMONETTI, JOSEPH S CTA-CHICAGO TRANSIT AUTHO 12/02/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 737 18WC 00192 MARION, KESHA COOK COUNTY SHERIFF'S OFF 11/01/17 PARENTE & NOREM PC STATES ATTORNEY OF COOK COUN 738 18WC 00211 CAUJICALCO, SILVIA DURABLE PACKAGING INC 11/29/16 STEIN & CHERNY LTD WIEDNER & MCAULIFFE LTD 739 18WC 00230 MABON, DESMOND ARDAGH GLASS INC 12/15/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 740 18WC 00281 RATCLIFF, JASON K PROGRESS RAIL SERVICES 10/10/17 GARDI & HAUGHT GOLDBERG SEGALLA LLC 741 18WC 04959 DEROUIN, CECILIA UNITED PARCEL SERVICE * 07/03/17 CULLEN HASKINS NICHOLSON ASA LAW GROUP 742 18WC 06543 JACKSON, EDNA LSG SKY CHEFS * 02/19/18 LEONARD LAW GROUP LLC 743 18WC 06591 MARSHALL, DENISE STIFEL * 02/08/18 DWORKIN AND MACIARIELLO 744 18WC 06655 ZARCO, MAGDALENA THE RESERVES NETWORK, INC * 01/12/18 DEPAOLO & ZADEIKIS 745 18WC 06696 NANCE, LISA MALLORY COOK COUNTY DEPT OF PUBLI * 11/29/17 ANKIN LAW OFFICE 746 18WC 06717 LOVING, ANQELIQUE J METROSTAFF INC * 08/30/17 ANKIN LAW OFFICE 747 18WC 06735 KOLTZ, BETTINA DAYMON WORLDWIDE INC * 12/03/15 RIPES NELSON BAGGOT KALOBRAT 748 18WC 06756 ALTENBERN, KELLEY UNITED AIRLINES * 02/11/18 LEONARD LAW GROUP LLC 749 18WC 06809 ESPINDOLA, AUDBERTO PACTIV * 02/19/18 WHITESIDE & GOLDBERG LTD 750 18WC 06848 O'HARA, KENNETH DHL EXPRESS * 02/02/18 SKLARE LAW GROUP 751 18WC 06876 SANDOVAL, GONZALO SEPULVEDA BROTHERS * 02/16/18 RUEDA, IVAN A 752 18WC 06912 HENRY, PAULETTE SAM'S CLUB * 11/20/17 TAXMAN POLLOCK GANAN & SHAPIRO 753 18WC 06950 VALDEZ, BELINDA ARCELORMITTAL * 11/04/17 ELFENBAUM EVERS & AMARILIO SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 754 18WC 06977 BABUS, STEPHEN LAKEWOOD CARPENTRY SERVIC * 08/18/16 TURNER & SACKETT LLC 755 18WC 07015 LEE, ANTHONY MARTEC INTERNATIONAL * 02/13/18 DWORKIN AND MACIARIELLO 756 18WC 07038 GUERRERO, MAYRA INDUSTRIAL STAFFING CORP * 10/12/17 CHEPOV & SCOTT LLC 757 18WC 07064 CANDOS, RICK UIC * 04/11/17 BRILL & FISHEL POWER & CRONIN LTD 758 18WC 07077 CASTREJON, AGUSTIN UNISTAFF * 10/11/17 LEONARD S. BECKER 759 18WC 07110 COCONATE, FRANK ALL MASONRY CONSTRUCT CO * 02/23/18 COSTA IVONE LLC 760 18WC 07127 GILESPIE, TERRANCE A. FINKL & SONS CO. * 02/24/18 SAM CUBA LAW OFFICE 761 18WC 07150 ROMERO, RICARDO ROMERO STEEL COMPANY INC * 04/15/15 FRANCIS J DISCIPIO LAW OFF 762 18WC 07177 FARMER, TRACY ARCTIC EXPRESS * 01/08/18 PORRO NIERMANN LAW GROUP 763 18WC 07201 DASILVA, DANIEL CPC LOGISTICS, INC * 01/19/18 GOLDBERG WEISMAN & CAIRO L 764 18WC 07236 PYKE, DANIEL NAPLETON RIVER OAKS LINCO * 09/13/16 LEONARD LAW GROUP LLC 765 18WC 07258 RODRIGUEZ, MARIA STAMPEDE MEAT, INC. * 12/05/17 BERG & BERG 766 18WC 07282 COLBY, JAHNA VERIZON WIRELESS * 01/18/18 R. MARK MARITOTE PC 767 18WC 07340 DAHMS, SIGRUN UNITED AIRLINES INC. * 02/24/18 KATZ FRIEDMAN EAGLE ET AL 768 18WC 07371 GATES, JERRY CDT * 03/04/18 ANGELINI & ORI LLC 769 18WC 07402 HOUSTON, ROOSEVELT US FOODS INC * 01/03/18 ANKIN LAW OFFICE 770 18WC 07429 SNEDDEN, WILLIAM A ALBANY DOOR CO. * 11/16/17 EPSTEIN, JACK R LAW OFFICE 771 18WC 07450 SAVAGE, KARASTIN FRITO-LAY INC * 01/31/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 772 18WC 07481 NEVAREZ, MARIA E BUILDING MAINTENANCE SRVC * 03/23/17 GOLDSTEIN BENDER & ROMANOF 773 18WC 07506 UNREIN, MITCH CHICAGO BEARS FOOTBALL CL * 12/03/17 GORDON LAW OFFICES LTD 774 18WC 07548 BONILLA, ALBERTO ADVOCATE IL MASONIC MEDIC * 02/15/18 CUDA LAW OFFICES 775 18WC 07569 WADE, VICTOR GENNBRIER RAIL SERVICE * 10/19/17 COSTA IVONE LLC 776 18WC 07587 GARCIA, MARCO ERNST DEVELOPMENT * 03/01/18 ELFENBAUM EVERS & AMARILIO 777 18WC 07625 JOHNSON, TOMMY H STATE OF ILLINOIS DJJ IYC @ * 12/02/17 BLOCK, KLUKAS & MANZELLA P 778 18WC 07693 ZEGARRA, JUAN CARLOS RONC ATLAS EMPLOYMENT SVS AGEN * 01/16/18 DWORKIN AND MACIARIELLO 779 18WC 07716 BEJARANO, GUADALUPE PENTAIR MGMT CO * 08/21/17 BAUM RUFFOLO & MARZAL LTD 780 18WC 07741 SOBY, MICHAEL P OLD DOMINION FREIGHT LINE * 03/01/18 BRILL & FISHEL 781 18WC 07763 SMYTH, MARGARET SOUTHWEST AIRLINES * 09/21/17 THOMAS A MORRISSEY HENNESSY & ROACH PC 782 18WC 07809 CRUZ, GERSON EXELON * 04/06/16 HENNESSY & ROACH PC 783 18WC 07839 COLEMAN, CYNTHIA STANDARD PARKING CORPORAT * 11/26/17 HORWITZ HORWITZ & ASSOC 784 18WC 07859 GRAHAM, ALLEN FEDEX GROUND * 01/09/18 COVEN LAW GROUP 785 18WC 07889 MALONE, JIMYA CHICAGO TRANSIT AUTHORITY * 02/20/18 CAPRON & AVGERINOS PC 786 18WC 07911 MCKINNEY, MICHAEL CITY OF CHICAGO * 02/01/18 CANDIANO LAW OFFICE 787 18WC 07926 BRULLOTHS, VALERIE SEJA SCHOOL DISTRICT 802 * 02/22/18 DAVID W MARTAY 788 18WC 07941 DONDIEGO, ALBERTO ASPHALT PAVING PROFESSION * 06/27/17 CHRISTY & CHRISTY 789 18WC 07963 TOWNSEND, SHERMAN DRAPER & KRAMER/PRAIRIE * 10/24/17 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 790 18WC 07987 MICHNO, PAWEL WOOD STRUCTURE CO C/O * 12/14/17 HETHERINGTON KARPEL BOBBER 791 18WC 08012 RIOS PLAZA, JOSE A JB HUNT TRANSPORT SVCS, I * 02/03/18 FOOTE MIELKE CHAVEZ & O'NE 792 18WC 08021 THOMAS, SHAMARR SCR MEDICAL TRANSPORTATIO * 12/26/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 793 18WC 08042 OCAMPO, MARIA C UNITED MAINTENANCE CO INC * 02/21/18 SALK, STEVEN B & ASSOC LTD 794 18WC 08097 ADAMS, ANTONE CTA * 03/12/18 TIMOTHY HENDERSON 795 18WC 08119 ARNOLD, MICHAEL AT&T * 02/07/18 GOLDBERG WEISMAN & CAIRO L 796 18WC 08137 GREGORY, JULIUS ARENA FOOTBALL ONE, LLC * 04/01/16 GORDON & CENTRACCHIO LLC GORDON LAW OFFICES LTD 797 18WC 08156 IBARRA, EDUARDO DPI SPECIALTY FOOD * 01/01/18 ANGELINI & ORI LLC 798 18WC 08171 FLORES, MARILYNN SILVERSTAR DEVILVERY LTD * 03/01/18 GRAUER & KRIEGEL LLC 799 18WC 08189 CRUZ, YOLANDA ARDAGH METAL BEVERAGE USA * 02/12/18 HERRERA LAW CENTER 800 18WC 08212 HERMANN, JILL ADVOCATE HEALTHCARE HI TE * 01/24/18 GOLDBERG WEISMAN & CAIRO L 801 18WC 08231 FUNCHES, ARZELLA CHICAGO TRANSIT AUTHORITY * 03/03/18 RUBENS AND KRESS 802 18WC 08245 UTRERAS, EDGAR LAGUNITAS BREWING COMPANY * 08/02/17 ACEVES & PEREZ PC 803 18WC 08290 JOHNSON, MARCUS PEPSI * 09/07/17 LEONARD LAW GROUP LLC 804 18WC 08306 MITCHELL, JERRY OMNITRAX INC. * 02/27/18 COSTA IVONE LLC 805 18WC 08326 JERNIGAN, VINSON REM INC. * 03/09/18 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 806 18WC 08345 DIAZ, EDDIE HOWARD AUTO BODY * 02/28/18 DWORKIN AND MACIARIELLO 807 18WC 08412 KHAN, MOHAMMAD N CITY OF CHICAGO * 05/18/17 FIGLIOLI, DAVID

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 808 18WC 08440 FIRTH, RACHEL CITY OF CHICAGO - OEMC * 02/04/18 CORBOY & DEMETRIO PC 809 18WC 08457 GARCIA, OSCAR CASE PAPER COMPANY INC * 03/06/18 ANSELMO DURAN 810 18WC 08484 MEJIA, RUBEN INDUSTRIAL & WHOLESALE LU * 02/06/18 EPSTEIN, JACK R LAW OFFICE 811 18WC 08554 ESTRADA, LEONELO HILTON * 02/19/18 DWORKIN AND MACIARIELLO 812 18WC 08570 CANNON, VICTORIA DEE SWIGART INC * 01/29/18 RIDGE & DOWNES 813 18WC 08616 OWENS, RAYMOND CHICAGO TRANSIT AUTHORITY * 11/07/17 PARENTE & NOREM PC 814 18WC 08642 RAMIREZ, ADRIANA CHEESE MERCHANTS OF AMERI * 02/13/18 FOOTE MIELKE CHAVEZ & O'NE 815 18WC 08649 GARCIA, MARIA ELITE STAFFING, INC * 06/03/16 COSTA IVONE LLC 816 18WC 08679 ZAMORA, CECILIA M BLOCK & SONS * 07/27/17 FOHRMAN, DONALD W & ASSOCS 817 18WC 08690 HILL, TEISHA POTBELLY SANDWICH SHOP * 02/22/15 LEONARD LAW GROUP LLC 818 18WC 08715 HONORABLE, WILLIE LSG SKY CHEFS * 02/15/18 DWORKIN AND MACIARIELLO 819 18WC 08750 HERNANDEZ, PEDRO COOK COUNTY SHERIFF * 03/14/18 WHITESIDE & GOLDBERG LTD 820 18WC 08793 SERAFYM, VOLODYMYR ORSOLINI WELDING & FABRIC * 05/25/17 KATZ FRIEDMAN EAGLE ET AL 821 18WC 08811 AYALA, TASHIA L STATE OF IL - DCFS * 02/02/18 VITELL & SPITZ LTD 822 18WC 08846 HYLAND, DAVID KENNICOTT BROS CO * 03/14/18 COVEN LAW GROUP 823 18WC 08899 KRALIK, ARNOLD SIEMENS HEALTHINEERS * 09/30/16 ROMANUCCI & BLANDIN 824 18WC 08944 CASTRO, ROSA TARGET STORES * 08/24/17 STEVEN H MEVORAH & ASSOCIA 825 18WC 08967 SCALFANO, DAVID ROUNDY'S SUPERMARKETS, IN * 03/11/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 826 18WC 08980 ERICKSON, GLEN POWER CONSTRUCTION CO, LL * 02/16/18 HORWITZ HORWITZ & ASSOC 827 18WC 08998 GRACZYK, AMANDA FOREST RIDGE ELEMENTARY * 10/31/17 CAPRON & AVGERINOS PC 828 18WC 09017 SANCHEZ, FELIPE RANA MEAL SOLUTION * 02/19/18 JOHN E LUSAK 829 18WC 09043 CHOI, HYUNG SUK THE PENINSULA HOTEL * 12/16/17 DWORKIN AND MACIARIELLO 830 18WC 09108 PEREZ, CRUZ GSF USA INC * 11/20/17 ANGELA NARDI-QUIGLEY 831 18WC 09123 PORTER, BRIAN SCHEIDER TRUCKING COMPANY * 02/26/18 ROGER D RUDICH LTD 832 18WC 09145 CARRANZA, CATALINA UNISTAFF * 03/07/18 KATZ FRIEDMAN EAGLE ET AL 833 18WC 09171 WILSON, SHARI E UNIVERSITY OF CHICAGO MED * 09/22/17 GALLAGHER, DONALD V 834 18WC 09203 SOTO, EVELYN L COUNTRYSIDE DONUTS INC * 03/16/18 ANKIN LAW OFFICE 835 18WC 09226 MC CULLOUGH, MARCUS SEALED AIR CORPORATION * 08/22/17 GRAVLIN, MICHAEL J LLC 836 18WC 09268 KNICKER, ROBERT UNILEVER * 03/09/18 STYKA & STYKA 837 18WC 09294 MORALES, DAVID UNITED CONTINENTAL HOLDIN * 03/10/18 BRIAN J MC MANUS & ASSOC, 838 18WC 09330 HAMILTON, MARY JEWEL FOODS * 02/03/18 MARSZALEK AND MARSZALEK 839 18WC 09358 RODRIGUEZ, GUILLERMO WEBER STEPHEN PRODUCTS * 02/08/17 SCOTT B SHAPIRO 840 18WC 09401 RICHIE, AHMAD R CITY OF COUNTRY CLUB HILL * 10/20/17 KAVANAGH GRUMLEY & GORBOLD 841 18WC 09453 LOVACHEFF, LOUIS A UPS * 03/15/18 LEONARD LAW GROUP LLC 842 18WC 09469 POWELL, RICHARD SANCHEM, INC * 10/25/17 QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 05/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 18WC 09510 INIGUEZ, MIGUEL SOUTHWEST AIRLINES, INC * 11/09/17 KARCHMAR & STONE