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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 25950 SCOTT-REA, DEBRA A OAK FOREST HOSPITAL OF 03/17/04 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 2 08WC 08253 WILLIAMS, GREGORY IL DEPT OF TRANSPORTATION @ 10/11/07 EMPLOYEE LEGAL SERVICES LT ASSISTANT ATTORNEY GENERAL 3 08WC 10413 PACK, NOMOYA ST OF IL-DEPT OFHEALTH SE @ 01/23/07 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 08WC010414 -C 4 08WC 29463 THOMAS, DEBORAH CHICAGO PUBLIC SCHOOLS 04/08/08 SHELDON I MINKOW & ASSOCIA LAW DEPARTMENT 5 08WC 38359 MORALES, JESUS CITY OF CHICAGO 06/12/08 STEVEN J SEIDMAN LAW OFFIC 08WC038358 -C 6 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 7 09WC 08659 KING, SHAULONDA FORD MOTOR COMPANY 09/02/08 SHELDON I MINKOW & ASSOCIA WIEDNER & MCAULIFFE LTD 8 09WC 16093 VELASCO, JAIME DUTCH FARMS 01/16/09 BOUDREAU NISIVACO LLC GRANT & FANNING 09WC023908 -C 9 09WC 49614 MEYER, DANIEL MCDANIEL FIRE SYSTEMS, IN 04/16/09 HEALY LAW FIRM HOLECEK & ASSOCIATES 10 09WC 51007 NEGRETE, COSME SAM SCIANNA LANDSCAPING I W 08/24/09 JAMES ELLIS GUMBINER & ASS 11 09WC 52086 ASTORGA, ELIAS OLYMPIC CINDERY INC 02/16/07 CULLEN HASKINS NICHOLSON 12 10WC 09478 ENUENWOSU, NDIDI ILL DEPT OF CHILDREN & FA 03/03/10 CHRISTINE F DAVID ASSISTANT ATTORNEY GENERAL 13 10WC 10731 CARPERTER, LARRY D FAB EXPRESS, INC. 01/09/10 MARKHAM M JEEP & ASSOCIATE STONE & JOHNSON CHARTERED 14 10WC 27583 RILEY, PATRICK J ILLINOIS DEPARTMENT OF @ 06/22/10 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 15 10WC 31652 HIGGINS, KENNY CHICAGO RUSH ARENA FOOTBA 04/16/10 WOLFE LAW PC ADELSON TESTAN BRUNDO 16 10WC 33065 SOSA, ELBIN IN & OUT MOVING AND STORA W 06/25/10 GOLDSTEIN BENDER & ROMANOF FRITZSHALL & ASSOCIATES 17 10WC 41010 DAVIS, MARLIETA CHICAGO PUBLIC SCHOOLS 09/30/10 ABELS & ANNES, PC LAW DEPARTMENT

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 10WC 42332 WACHOWSKI, LESZEK AXLETECH 08/12/09 MINKOW DOMIN RUSIN MACIOROWSKI & FRIEDMAN 19 10WC 42761 BAKER, ROXY M SOUTHWEST AIRLINES 08/15/10 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 20 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 21 10WC 45905 OJEDIRAN, TEMITOPE ANDREW MUSTEIN 11/25/10 SKOLNICK & ROSENTHAL 22 10WC 46707 19B TURNER, REGINA DEPARTMENT OF TRANSPORTAT 09/20/10 JAMES M RIDGE LAW OFFICE CITY OF CHICAGO 16WC003042 -C 23 10WC 49165 TAPIA, GRACIELA F CARL BUDDIG & CO 10/19/10 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 10WC049166 -C 13WC024388 -C 14WC003073 -C 24 11WC 02866 NOYOLA, YOLANDA U I C 11/11/10 ENCINAS & ORNELAS HEYL ROYSTER VOELKER & ALLEN 25 11WC 08347 WEATHERSPOON, HEATH METROPOLITAN WATER 02/18/11 SMOLER LAW OFFICE, PC NOBLE & ASSOCIATES PC 12WC041818 -C 14WC009511 -C 26 11WC 09998 FLORES, MARIA A&R JANITORIAL 01/26/11 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 27 11WC 12216 LENART, RICHARD CITY OF CHICAGO 07/28/10 O'CONNOR & NAKOS 13WC042165 -C 28 11WC 14679 VELEZ, ANA C HYATT REGENCY O'HARE 05/06/09 LUIS A ACEVES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 11WC014680 -C 11WC045202 -C 29 11WC 22777 KLATT, KEVIN CUTTING EDGE ELECTRIC 12/15/09 RIFFNER BARBER ROWDEN & SC 30 11WC 25051 LANDERO MIGUEL A GABBY'S BAGELS, IN 05/30/11 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 31 11WC 32599 BELLAMY, KEVIN CARRY TRANSIT 08/15/11 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 11WC 34882 RUFFOLO, FRANK CITY OF CHICAGO 08/09/11 CAPRON & AVGERINOS PC SCOPELITIS GARVIN LIGHT 33 11WC 47227 MUNOZ, DORIS CITY OF CHICAGO 11/23/11 DWORKIN AND MACIARIELLO CITY OF CHICAGO 13WC011003 -C 34 11WC 48100 DE JESUS, JOSE ROMAN DECORATING PRODUCTS 10/31/11 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 35 12WC 20203 ORTIZ, JULIO C THE HOME DEPOT U.S.A INC 03/19/12 KOSIN LAW OFFICE LTD MC ANDREWS & NORGLE LLC 36 12WC 21613 19B MARTINEZ, JAIRO JEWEL-OSCO FOOD STORES 04/18/12 ELFENBAUM EVERS & AMARILIO MC ANDREWS & NORGLE LLC 37 12WC 24909 SAMMON, LAWRENCE CITY OF CHICAGO 05/08/12 CAPRON & AVGERINOS PC CITY OF CHICAGO 38 12WC 27276 TORRES, IRMA CITY OF CHICAGO FLEET MGN 07/17/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 39 12WC 29410 NYTHER, ELWOOD SPECIALIZED ASSISTANT SER 07/17/12 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 15WC001661 -C 40 12WC 30732 KELLY, NICHOLAS A H.B.S. MANAGEMENT CORP 01/23/10 IRA M KLEINMUNTZ & ASSOC 41 12WC 31650 VELEZ, RALPH CTA 04/20/12 WILLIAM MARTAY CHICAGO TRANSIT AUTHORITY 42 12WC 31965 19B FISERS, JOHN WILLIAM HUBER CABINET WOR 07/23/12 HANNIGAN & BOTHA, LTD RUSIN MACIOROWSKI & FRIEDMAN 43 12WC 32395 VEGA, ANTONIO FOOD FOR LESS 01/07/12 CARL S SALVATO GANAN & SHAPIRO 44 12WC 32725 JORDEN, JEANETTE FANUC F.A. AMERICA 09/13/11 TAMVAKIS, GEORGE L STONE & JOHNSON CHARTERED 45 12WC 32813 MORTON, MARGARITA CHICAGO PUBLIC SCHOOLS 06/12/12 CHRISTIAN & MANNO LAW DEPARTMENT 46 12WC 33132 MARIN, LUIS FOOD 4 LESS 02/09/11 THE ROMAKER LAW FIRM GANAN & SHAPIRO, PC 13WC027784 -C 47 12WC 34359 WILKINS, CHARLES CTA 08/24/12 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 48 12WC 37003 TURNER, JOSEPH FEL SERVICES INC 10/10/12 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 12WC 38209 SANTIAGO, AURORA ELITE STAFFING INC/ 09/28/12 LAW OFFICE HUGO ORTIZ MARC CAIRO 50 13WC 00589 URENA, JOSE WE CLEAN, INC 12/07/12 HEALY LAW FIRM THOMAS & PORTELA 51 13WC 01931 HARVEY, VIRJEANNIE, ESTAT GLENKIRK 04/01/11 PARENTE & NOREM PC 13WC001932 -C 52 13WC 03566 19B NOMANSON, CYNTHIA YRC, INC 12/01/12 DRUMM, JOHN L HENNESSY & ROACH PC 53 13WC 06521 RODRIGUEZ, BENJAMIN GENERAL MACHINERY & MANUF 12/03/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 54 13WC 13247 TRIPODI, JOSHUA PIZZA MAN PIZZERIA W 01/16/11 MARKS & ASSOCIATES 55 13WC 18384 AVILA, BERNARDINE ST OF IL DEPT OF @ 05/24/13 JOHN E LUSAK JILL OTTE 56 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 57 13WC 19452 HYNES, JAMES ORLAND FIRE PROTECTION DI 08/02/12 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 58 13WC 20233 RILEY, LORI M M.D. COOK COUNTY HEALTH AND 04/23/13 JOHN J CASTANEDA STATES ATTORNEY OF COOK COUN 59 13WC 20877 MCCARTHY, PAUL CITY OF CHICAGO 05/12/13 CUDA LAW OFFICES CITY OF CHICAGO 14WC000057 -C 60 13WC 21130 VACCARO, ANIELLO BELL & BOSSETT 02/01/12 LUIS A ACEVES & ASSOC KEEFE CAMPBELL & ASSOC LLC 13WC038939 -C 61 13WC 23208 SMID, KAREN GOTTLIEB HOSPITAL 11/10/12 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 62 13WC 26050 RUSSO, FRANK SIEVERT ELECTRIC SERVICE 07/16/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 63 13WC 27228 NAVARRO, PABLO CITY OF CHICAGO 06/24/13 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 64 13WC 30584 HUDSON, JAMES E U.S. "1" INDUSTRIES INC 01/06/12 RICHARD E ALEKSY

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 13WC 30618 BLANCO, CELENE LABOR TEMPS 07/12/13 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 66 13WC 30692 MORENO, RICARDO PETE'S FRESH MARKET 08/24/13 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 67 13WC 31219 LAUREANO, JANINE CERES FOOD GROUP, INC 08/20/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 68 13WC 31756 ALONZO, IRENE MARIA UNITED AIRLINES INC. 10/13/12 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 69 13WC 32283 LUTZ, JOHN RIVER NORTH SALES AND SER 08/22/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 70 13WC 32695 GARCIA, CHRISTINE ALDI 05/07/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 71 13WC 33809 MAGGIORE, DONALD S & L TOWING W 08/25/13 SHEA LAW GROUP SPIEGEL & CAHILL, PC 72 13WC 37145 WOODS, MICHAEL JR MEYER STEEL DRUM INC 10/09/13 GOLDBERG WEISMAN & CAIRO L 73 13WC 41718 FRAZIER-HILL, HELEN CHICAGO TRANSIT AUTHORITY 10/25/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 74 14WC 06156 GOMEZ, JUAN CITY OF NORTHLAKE 08/07/13 WITTER LAW OFFICE RUSIN & MACIOROWSKI LTD 75 14WC 06766 NELSON, KEVIN A AGL RESOURCES 01/24/14 LAW OFFICE PHILIP BLOMBERG MACIOROWSKI SACKMANN & ULRIC 76 14WC 07516 MONTES, JUAN PANEK PRECISION 01/06/14 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 77 14WC 08097 19B JENNINGS, DAVID CITY OF CHICAGO 08/14/13 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 14WC015210 -C 14WC034008 -C 78 14WC 08657 HARPER, ANDRE H D SUPPLY 03/03/14 LAW OFFICE EDWARD LICHTENS KNELL & O'CONNOR 79 14WC 08794 RODRIQUE, GUSTAVO FLEXIBLE STAFFING 02/28/14 JONATHAN SCHLACK GRANT & FANNING 80 14WC 08922 ROSSITTO, RAGELIO CREAM WINE COMPANY 02/05/14 EFTEKHARI LAW OFFICES TUCKER ROBIN & MERKER LLC 81 14WC 08947 PEDREYRA, DANIEL S ILLINOIS STATE POLICE @ 03/12/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 82 14WC 09758 OLKEN, CHRISTINE APPLE INC 11/19/13 HART & DAVID LLP LEAHY WRIGHT & ASSOC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 14WC 10035 NOUH, ADEL DAVITA HEALTH CARE PARTNE 03/15/14 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 84 14WC 10799 HERNANDEZ, MARTHA MOST VALUABLE PERSONNEL I 02/26/13 ILLINOIS INJURY LAWYERS KOREY RICHARDSON LLC 85 14WC 12322 GREENLAW, KEVIN CHICAGO TRANIST AUTHORITY 10/11/13 MARC J SHUMAN & ASSOCIATES 86 14WC 16449 GIBSON, NAJAH C.R. ENGLAND 04/12/14 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 87 14WC 18080 GARCIA, VILMA ASPIRE OF ILLINOIS 11/21/12 CHRISTINE F DAVID BRADY CONNOLLY & MASUDA PC 88 14WC 18211 GUDRATOLLAYEN, ABDYRAHMAN FLASH CAB COMPANY 12/04/13 HUNER LAW OFFICES LLC 89 14WC 18595 ROCHE, ENRIQUE AMERICAN EAGLE/AMERICAN 02/20/14 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 90 14WC 19306 AVILA, ISABEL G ST JAMES HOSPITAL 02/28/14 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 16WC028903 -C 91 14WC 19755 WYNN, CHARLES D CTA-CHICAGO TRANSIT AUTHO 06/07/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 92 14WC 20187 MORENO, BENJAMIN CITY OF CHICAGO 05/27/14 COVEN LAW GROUP CITY OF CHICAGO 93 14WC 21475 SCARLETT, DAHLIA FOUR POINTS BY SHERATON 05/04/14 BAUM RUFFOLO & MARZAL LTD CHILTON YAMBERT PORTER LLP 14WC021476 -C 94 14WC 24572 BUCKNER, MATTHEW STATE OF ILLINOIS @ 06/04/14 LANNON LANNON & BARR LTD JILL OTTE 95 14WC 24883 GONZALEZ, SANTIAGO COURTWAY RESTAURANT 01/22/14 EPSTEIN, JACK R LAW OFFICE 96 14WC 27501 19B BRACY, CASSANDRA CTA 08/09/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 97 14WC 28971 HARRIS, FRANCIS CITY OF CHICAGO 01/04/14 DWORKIN AND MACIARIELLO CITY OF CHICAGO 98 14WC 29677 PEREZ, JESUS ATLAS EMPLOYMENT SRVCS. I 08/06/14 EPSTEIN, JACK R LAW OFFICE ROBERT L. SMITH 99 14WC 30365 EVANS, SAMUEL CHICAGO TRANSIT AUTHORITY 08/09/12 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 100 14WC 31378 DELGADO, ZACARIAS MARIO'S CONCRETE, INC W 09/08/14 CULLEN HASKINS NICHOLSON

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 14WC 32244 THOMAS, DEBORAH JEWEL FOOD STORE 05/23/14 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 102 14WC 32350 SCHOBER, LINDA OSCO DRUG/AMERICAN DRUG S 03/25/14 BLEAKNEY & TROIANI 103 14WC 33778 PANCZAK, ANTHONY G CITY OF CHICAGO DEPT OF 07/09/14 O'CONNOR & NAKOS CITY OF CHICAGO 104 14WC 35212 HENRY, VIOLA CTA 09/16/14 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 105 14WC 36777 19B JOHNSON, ANTONIO US FOODS 10/16/14 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 106 14WC 36936 KRANIG, ANTHONY B S GRINDING, INC 09/08/14 MEYERS & FLOWERS NEWLAND & NEWLAND 107 14WC 39125 RAMIREZ, JESSE LABORATORY CORPORATION 11/11/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 108 14WC 39964 GLADNEY, JERRY IDOT @ 09/02/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 109 14WC 40134 SUBA, JOWEN UNITED AIRLINES INC. 10/22/14 KATZ FRIEDMAN EAGLE ET AL 110 14WC 40370 KACZKOWSKI, MICHAEL CONCESSION SERVICES INC 05/30/14 LEONARD LAW GROUP LLC 111 14WC 40447 FULLER, EDWARD BARTON STAFFING SOLUTIONS 11/11/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 112 14WC 40464 ESPANA, WENCESLAO CHICAGO DRYER CO 09/09/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 15WC003037 -C 113 14WC 40779 KELLY, JOHN NORTHEASTERN ILLINOIS @ 01/20/14 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 114 14WC 41047 ARMENDARIZ, MINERVA TREATMENT PRODUCTS LTD 11/26/14 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 115 14WC 41803 BASHAM, ADRIAN CTA 12/09/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 116 15WC 01749 19B TERRELL, VERNICE PACE SUBURBAN BUS 01/05/15 SKLARE LAW GROUP SLAVIN & SLAVIN

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 15WC 01994 DIAZ, EVELYN CHICAGO PUBLIC SCHOOLS 10/07/14 BOGUSZ & BOGUSZ LTD 118 15WC 04428 SPENCER, DEBORAH UNIVERSITY OF ILLINOIS 01/12/15 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 119 15WC 04924 OLIVA, LILIA GATE GOURMET 09/26/14 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 120 15WC 04979 RUEDA, RAMIRO BANNER PERSONNEL 01/23/15 ANGELINI & ORI LLC 121 15WC 05151 VEGA, JOSE ARAMARK 08/12/14 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 122 15WC 05177 ANDERSON, SANDRA CLOVER HILL BAKERY 01/21/15 ANKIN LAW OFFICE ROBERT L. SMITH 123 15WC 05343 BRINNER, JERMAINE COOK COUNTY SHERIFF'S DEP 12/22/14 SEIDMAN MARGULIS & FAIRMAN 124 15WC 05970 SWIATEK, DAVID CITY OF CHICAGO 01/26/15 RUBENS AND KRESS CITY OF CHICAGO 125 15WC 06045 SIMMONS, CAROLYN CTA 02/20/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 17WC017170 -C 126 15WC 06417 BUTLER, MARIE IL DEPT OF TRANSPORTATION @ 06/05/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 127 15WC 06610 ZHANG, SHENGLI K&S FOODS INC 04/22/14 KELLY & KING LAW OFFICES JOSEPH MARCINIAK 128 15WC 06820 NUNEZ-OLIVEROS, ALMA SUSA NEW CLEANERS INC 02/28/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES OF EDWARD J. KOZ 129 15WC 06853 ARMENTANO, JOHN STAR HYDRAULICS INC 12/16/14 PORRO NIERMANN LAW GROUP WOLFE & JACOBSON, LTD 130 15WC 06876 PHELUMS, MIKE ILL DEPT OF HUMAN RESOURC @ 05/21/13 TRAPP & GELLER C. FLETCHER 131 15WC 06971 GUZMAN, FRANCISCO ABM JANITORIAL MIDWEST 05/28/14 DEPAOLO ZADEIKIS GORE GOLDBERG SEGALLA LLC 132 15WC 07804 PARCHETA, PATTY STARBUCKS COFFEE CO 02/06/15 LAW OFFICES DANIEL E MURPH 133 15WC 08059 SARGENT, MIKE IL DEPT OF HUMAN SERVICES 01/05/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENERAL 134 15WC 08241 GONZALEZ, EVELIA ZIP MAIL SERVICES, INC 02/10/15 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 15WC 08669 PORTER, DIANA NORTHWESTERN MEDICAL GROU 11/18/14 CUDA LAW OFFICES HENNESSY & ROACH PC 136 15WC 08739 BAKER, VERNARD ADDUS HEALTHCARE 08/22/14 SKLARE LAW GROUP HENNESSY & ROACH PC 137 15WC 08817 HALPER, CHRISTOPHER VISION TRANSPORTATION 02/13/15 SMOLER LAW OFFICE, PC RODDY LAW LTD 138 15WC 08827 HOSKINSON, THOMAS J. VILLAGE OF MT. PROSPECT - 12/23/14 GOLDBERG WEISMAN & CAIRO L 139 15WC 08915 WOODS, BABETTE SALVATION ARMY 03/05/14 KLEINMUNTZ LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 140 15WC 16774 RODRIGUEZ, EVELIA LOBO DEL MAR/CERMAL 09/28/14 OSVALDO RODRIGUEZ PC 141 15WC 16796 HAUT, BRIAN TRANSERVICELOGISTICS INC 02/04/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 142 15WC 16875 VILLAVICENCIO, MARCELA GLEN OAKS NURSING REHAB 12/31/14 MARTIN L GLINK LAW OFFICE LAW OFFICES FRANCESCA LARSEN 143 15WC 16938 ESPELAND, LAURETTE B AMERICAN AIRLINES, INC (E 02/06/15 CULLEN HASKINS NICHOLSON 144 15WC 16985 BANASZEK, MATTHEW MAGGIANO'S LITTLE ITALY 09/05/14 RIDGE & DOWNES BRYCE DOWNEY & LENKOV LLC 145 15WC 17020 ARRIAGA, GUADALUPE FILTRAN LLC 04/28/15 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 146 15WC 17481 TORRES, CELIA STAFF MANAGEMENT SOLUTION 04/17/15 HOWARD S. KAVENOW LLC RODDY LAW LTD 147 15WC 17534 OCAMPO, FELICIANO ALPS WEST RESTAURANT & 04/12/15 JOHN S. ELIASIK KOPKA, PINKUS DOLIN, PC 148 15WC 17549 TAYLOR, ELLA L MONDELEZ INTERNATIONAL 05/03/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 149 15WC 17878 OBAH, SARAH CTA 03/20/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 150 15WC 17988 BIFERO, ESPEDITO JOE RIZZA FORD INC 03/05/15 KATZ FRIEDMAN EAGLE ET AL ROSARIO CIBELLA 151 15WC 18030 JANIK, JACEK GATE GOURMET 03/24/15 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 152 15WC 18082 PORTILLO, DILICIA STAFF RITE 04/03/15 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 15WC 18221 HERNANDEZ SEPTIMO, REY D. MIKE VESO 02/24/15 SALVATO & O'TOOLE 154 15WC 18389 WEBSTER, GILBERT CTA CORPORATE OFFICE 12/27/14 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 155 15WC 18520 RIDDLE, LINDA COOK DUPAGE TRANSPORATION 05/19/15 VASILATOS & COTTER LLC 156 15WC 18620 VAZQUEZ, VICTORIA CHICAGO TRANSIT AUTHORITY 08/23/14 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 157 15WC 18677 FLUCKES, RODNEY MICHAEL DUNKIN 04/30/15 STEWART C ORZOFF 158 15WC 18890 WEISS, DEAN FIRESTONE COMPLETE AUTO C 05/27/13 DWORKIN AND MACIARIELLO 159 15WC 19104 MATTES, KRISTEN ANNE HAEMONETICS CORP 07/23/14 HENNESSY & ROACH PC 160 15WC 19328 JAMES, BETTY CHICAGO TRANSIT AUTHORITY 12/17/14 ARNOLD & KADJAN CHICAGO TRANSIT AUTHORITY 161 15WC 19499 RICCI, JUDITH PRAIRIE STATE COLLEGE 04/08/14 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 162 15WC 19907 BEY, LORENZO GREAT NORTHERN LUMBAR 05/28/15 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM 163 15WC 19969 KAHSAY, FITIWI 24 SEVEN TAXI CO. 05/12/15 164 15WC 19991 HERNANDEZ, JUAN A. AMERICAN SIGNATURE 01/15/15 CHRISTINE F DAVID BRYCE DOWNEY & LENKOV LLC 165 15WC 23709 LUDSTON, TIMOTHY WIRTZ BEVERAGE ILLINOIS L 08/11/12 PETER C KOPOULOS NYHAN BAMBRICK KINZIE & LOWR 166 15WC 26730 SALMERON, JUAN CARLOS ELITE STAFFING 07/23/15 GRAVLIN, MICHAEL J LLC 167 15WC 27167 ABUHAMAMEH, NABIL BISHARA CHICAGO BLASTING & DEBURR 07/16/15 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES JOSEPH MARCINIAK 168 15WC 27322 ARREOLA, REGINALDO INTERNATIONAL CASINGS GRO 08/28/12 LAW OFFICES PETER LEKAS 15WC027323 -C 169 15WC 27335 KOENIG, KIMBERLEE PDI INC 06/26/15 GAINES & GAINES HENNESSY & ROACH PC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 15WC 27842 SHEALEY, JOHN T IL DEPT OF TRANSPORTATION @ 08/21/15 COHN & COHN C. FLETCHER 171 15WC 27912 BYRDAK, ANDREW ISI INSTALLATION INC 10/01/12 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 16WC030630 -C CONTRACT INSTALLATION 172 15WC 28142 MONROY, LUIS M XYLEM, INC. 05/28/15 CAMERON CLARK POULOS & DIBENEDETTO LAW 173 15WC 28166 ALCAZAR, HECTOR PANGEA VENTURES LLC 08/12/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 174 15WC 28262 HERNANDEZ, XAVIER ALLIED METAL CO. 07/15/15 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 175 15WC 28403 DIOSDADO, ERNESTO IVAN OUTBACK STEAK HOUSE 08/09/15 JOHN S. ELIASIK 176 15WC 28406 GRAJALES, VANESSA STAFF RIGHT 07/28/15 JOHN S. ELIASIK MC ANDREWS & NORGLE LLC 177 15WC 28469 ZIRZOW, REBECCA FORD MOTOR COMPANY 06/10/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 15WC028470 -C 178 15WC 28873 FLORES, JOSE TOWER AUTOMOTIVE CHICAGO 07/24/15 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 15WC038872 -C 179 15WC 28902 THOMAS, CHRISTOPHER CITY OF CHICAGO 08/24/15 WHITESIDE & GOLDBERG LTD 180 15WC 29156 RIBOT, ERWIN AT MECHANICAL 09/04/15 ARGIONIS & ASSOCIATES LLC ACCIDENT FUND HOLDINGS 181 15WC 29186 FERRER, RAY ATKORE INTERNATIONAL 03/24/15 BRISKMAN BRISKMAN GREENBER KNELL & O'CONNOR 16WC013267 -C 182 15WC 29589 HERNANDEZ, MIGUEL AUTOZONE 06/25/15 WHITESIDE & GOLDBERG LTD 183 15WC 30217 SHEPITKO, ANDRII AUTO TRANS GROUP, INC 09/04/15 184 15WC 31631 MOORE, ORLANDO GALAXY ENVIRONMENTAL 09/03/15 DAVID W MARTAY HENNESSY & ROACH PC 185 15WC 34944 WARREN, MICHAEL GURSHEIMER GLASS INC 09/11/15 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 15WC 35149 WILLIAMS, ELANA DAKKOTA INTEGRATED SYSTEM 09/10/15 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 187 15WC 36178 PONCE DE LEON, MIGUEL A CHICAGO TRANSIT AUTHORITY 07/28/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 16WC008478 -C 188 15WC 37381 SMITH, KEVIN UPS FREIGHT 10/26/15 SOSTRIN AND SOSTRIN PC ASA LAW GROUP 189 15WC 38860 MENDELSON, ASHLEA GLENCREST HEALTHCARE & RE 09/14/15 STROM, NEAL B 190 15WC 39019 CASTRO, JOSE NEOVIA LOGISTICS SERVICES 11/11/15 ANGELINI & ORI LLC GRANT & FANNING 191 15WC 39114 JAMISON, SCHENIA T IL DEPT OF HS 10/12/15 VITELL & SPITZ LTD C. FLETCHER 192 15WC 39135 ANGELILLI, ANTHONY CHICAGO BOARD OF EDUCATIO 12/01/15 GORDON & CENTRACCHIO LLC 193 15WC 39154 MURILLO, MARIA SOLAR SPRING & WIRE FORMS 11/08/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 194 15WC 39342 WILLIAMS, ORALEAN MCCLELL CITY OF CHICAGO 10/15/15 FAJARDO LAW GROUP CITY OF CHICAGO 195 15WC 41015 WILLIAMS, JOSEPH CTA 12/09/15 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 196 15WC 41150 NAVARRO, CHRISTINA COOK CTY DEPT OF CORRECTI 12/05/15 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 197 15WC 41325 GAMARRA, HUGO CAPCHA EXCEL HOME EXTERIORS INC 07/14/15 GIACOBBE, THOMAS M 198 15WC 41561 TAYLOR, TAKIMA ARAMARK UNIFORM SERVICES 11/09/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 199 15WC 41771 PRZYBYLSKA, MARIA LUTHERAN HOME 09/11/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 200 15WC 41789 GRAVES, FITZGERALD SOUTHWEST AIRLINES 08/13/15 COHN LAMBERT RYAN & SCHNEI 201 15WC 41840 EDMONSON, VICTOR FORD MOTOR CO 05/07/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 16WC009228 -C 202 15WC 41867 SMITH, VICTORIA LLOYD AGENCIES 11/22/15 FRIEDMAN & SOLMOR LTD 203 15WC 41902 HOUSMAH, MICHELLE CTA 11/17/15 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 15WC 42029 VELAZQUEZ, EDUARDO MAINES PAPER & FOOD SVC I 01/28/13 ROBIN LAW OFFICE MEACHUM & STARCK 205 15WC 42162 BUCKLER, CHRISTOPHER HAYES MECHANICAL 10/26/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 206 15WC 42277 WEBB, YVONNE BERKELEY NURSING & 04/24/15 ANKIN LAW OFFICE 207 15WC 42535 HILL,VALERIE CTA 12/07/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 208 16WC 03531 PRESTEL, SANDRA L. JEWEL/OSCO AND SEDGWICK 10/06/15 CRONIN & PETERS BRADY CONNOLLY & MASUDA PC 209 16WC 03557 19B ASHFORD, NAKIA CHICAGO TRANSIT AUTHORITY 01/06/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 16WC003207 -C 210 16WC 05812 19B GAWENDA, PAUL IDOT @ 09/03/14 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 211 16WC 05842 CONFER-WALKER, RAEVAUGHN UGG AUSTRALIA OUTLET 11/01/15 DWORKIN AND MACIARIELLO 212 16WC 05953 DIAZ-RIVERA, EDWIN UNITED STATES INFRASTRUCT 09/24/15 LAW OFFICE OF JAMES URTIS 213 16WC 06057 FELTZ, GREGORY ALPHA SCHOOL BUS CO 01/06/16 HORWITZ HORWITZ & ASSOC GALLIANI DOELL & COZZI LTD 214 16WC 06128 JOHNSON, VANESSA LOYOLA UNIVERSITY MEDICAL 12/15/15 SHELDON I MINKOW & ASSOCIA 215 16WC 06840 GALVAN, DAVID RUSH UNIVERSITY MEDICAL C 02/20/16 KARNO, MARK L & ASSOC KEEFE CAMPBELL & ASSOC LLC 16WC034581 -C 216 16WC 06938 MORGAN, HELEN UNITED AIRLINES INC. 12/11/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 217 16WC 07227 EKANEM, GEORGE CHICAGO CARRIAGE CAB CO. 02/05/16 VRDOLYAK LAW GROUP LLC 218 16WC 07278 TOLEDO, SOFIA ARAMARK 01/07/16 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 16WC 07295 RZEZNIKOWSKI, MICHAL JOE RIZZA ENTERPRISES INC 09/21/15 BOWMAN & CORDAY GANAN & SHAPIRO 220 16WC 07332 CRUZ, DAISY COSTCO WHOLESALE 01/23/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 17WC028453 -C 221 16WC 07649 HALL, DARREN CITY OF CHICAGO DEPT OF 01/18/16 ANKIN LAW OFFICE 222 16WC 07710 MORGAN, NICOLE CRUSH ENTERPRISES 02/17/16 SHELDON I MINKOW & ASSOCIA LAW OFFICES JOSEPH MARCINIAK 223 16WC 07971 RYSZKA, DOROTA GENLYTE THOMAS GROUP, LLC 07/25/13 ANKIN LAW OFFICE 16WC007972 -C 224 16WC 08029 WILLIAMS, SANDRA FIRST SERVICE RESIDENTIAL 09/03/15 HUGHES SOCOL PIERS RESNICK 225 16WC 08331 BREDICEAN, CORNELIA SCRUBZZ 03/07/16 BRISKMAN BRISKMAN GREENBER 226 16WC 08449 HUNTER, RENETTE COOK DUPAGE TRANSPORTATIO 03/10/16 SKLARE LAW GROUP HENNESSY & ROACH PC 227 16WC 08668 HARTFIELD, SERINA JACKSON PARK HOSPITAL 03/06/16 ODELSON & STERK 228 16WC 08809 BRELAND, LORENZO ARENA FOOTBALL ONE LLC 04/11/14 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 229 16WC 08871 BALLARD, WILLIAM MICHAEL ZOETIS PRODUCTS 10/27/15 BRILL & FISHEL MEACHUM & STARCK 230 16WC 08933 KING, ROSIE UNITED PARCEL SERVICE INC 02/15/16 ANKIN LAW OFFICE ASA LAW GROUP 231 16WC 09059 DAVIS, DAVINA CHICAGO PUBLIC SCHOOLS 10/07/14 ASHER, RAYMOND L LTD LAW DEPARTMENT 16WC009060 -C 232 16WC 09293 DANIELEK, DOUG MARQUARDT OF BARRINGTON 12/07/15 LULAY LAW OFFICES BRADY CONNOLLY & MASUDA PC 17WC035105 -C 233 16WC 09353 KUCHARZ, JAMES CHICAGO TRIBUNE CO. 11/13/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 16WC 09393 IRBY, GREGORY A-1 ROOFING COMPANY 03/12/16 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 235 16WC 09483 COOPER, JARRETT GIBSON ELECTRIC COMPANY, 11/23/15 GORDON & CENTRACCHIO LLC HENNESSY & ROACH PC 16WC009484 -C 236 16WC 09656 LARKINS, MARY ARAMARK, INC. 03/08/16 KARCHMAR & STONE 237 16WC 09700 RICHMOND, MIA STATE OF ILLINOIS @ 03/10/16 LEE, MARK N LAW OFFICE C. FLETCHER 238 16WC 09846 WOJCIECHOWSKI, ADAM CITY OF HARVEY 02/21/16 HORWITZ HORWITZ & ASSOC SMITH AMUNDSEN LLC 17WC007175 -C 239 16WC 09872 PELOT, ERIC VILLAGE OF NORTHBROOK 01/11/15 SANDMAN LEVY & PETRICH POWER & CRONIN LTD 16WC009873 -C 16WC009874 -C 240 16WC 09952 BOCHNIA, TADEUSZ USP TRANS INC 01/21/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 241 16WC 10082 LAHART, CATHERINE ROUNDY'S SUPERMARKETS 12/18/15 RUBIN LAW GROUP POWER & CRONIN LTD 242 16WC 10912 SANTOYO, MARICELA AS WIDO OMEGA DEMOLITION CORPORAT # 04/05/16 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 243 16WC 14935 KUZNECOVA, DIANA CLEARBROOK 03/25/16 MINKOW DOMIN ACCIDENT FUND HOLDINGS 244 16WC 16837 MCALLISTER, HOWARD R YELLOW CAB COMPANY 04/20/16 VRDOLYAK LAW GROUP LLC 245 16WC 17039 BARRY, JOHN CITY OF CHICAGO 05/23/16 HETHERINGTON KARPEL BOBBER CITY OF CHICAGO 246 16WC 17088 LEWIS, DIANA NORTHEASTERN IL. UNIVERSI 03/03/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 247 16WC 17262 GALARZA, RAQUEL M HELP AT HOME 03/31/16 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC 248 16WC 17456 JONES, LEVON CTA 05/28/16 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 249 16WC 17535 BROWN, CAROLYN PACE 04/28/16 SCHACTER, JEROME & ASSOC L 250 16WC 17571 HERRON, MICHAEL CITY OF CHICAGO DEPARTMEN 04/18/16 CHARLES LEVY & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 16WC 17597 FEINDT, LORRAINE CARLUCCI RESTAURANT 05/14/16 PETER D CORTI LAW GROUP 252 16WC 17707 WYNN, LAKISHA SUPERIOR AMBULANCE SERVIC 05/22/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 253 16WC 18058 FLORES, ALBINA L. ABLE ELECTROPOLISHING CO 03/03/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 254 16WC 18112 DIXON, DELLA CHICAGO PUBLIC SCHOOLS 05/19/16 LEE, MARK N LAW OFFICE LAW DEPARTMENT 255 16WC 18145 REDZIC, JUGOSLAV ELITE CABLE COMMUNICATION 06/11/13 GLEN J DUNN & ASSOC 256 16WC 18167 BUKOWSKI, WALTER EDE CORPORATION, INC 02/13/15 JAMES M GERAGHTY GANAN & SHAPIRO 257 16WC 18295 BOYDSTON, STEVEN A CHICAGO TRANSIT AUTHORITY 05/20/16 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 258 16WC 18423 HOWARD, DWAIN AUDIO VISUAL SERVICES 05/20/16 DAVID W MARTAY 259 16WC 18462 DEANY, JOHN PRECISION PLUMBING & HEAT 03/03/16 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 260 16WC 18570 ANDERSON, CHRISTY R LITTLE COMPANY OF MARY HO 09/01/15 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 261 16WC 18603 GOSHEN, THOMAS COOK COUNTY DEPT OF CORRE 06/06/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 262 16WC 18803 AGUILAR, EFRAIN CITY OF CHICAGO 03/14/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 263 16WC 18880 HARTY, ROBERT ABLE ENGINEERING SRVCS 06/01/16 HEALY SCANLON LAW FIRM BRYCE DOWNEY & LENKOV LLC 264 16WC 18945 PADILLA, STEVE GEORGE AND SONS HVAC 05/04/16 ELFENBAUM EVERS & AMARILIO ANCEL GLINK DIAMOND BUSH & E 265 16WC 19162 SERRANO, CHRIS WALMART 05/02/16 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY 266 16WC 19193 BAFIN, GRZEFORZ PIT STOP TRUCK TRAILER SE 06/10/16 DWORKIN AND MACIARIELLO LAW OFFICE OF PAUL O WATKISS 267 16WC 19214 QUINTERO, NICHOLAS NEED IT NOW 06/15/16 CORNFIELD & FELDMAN KEEFE CAMPBELL & ASSOC LLC 268 16WC 19317 BONILLA, JOSE R. KROPP FORGE 04/01/16 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 16WC 19370 WYNN, DOYLE CHICAGO COMMERCIAL & 06/06/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 270 16WC 19426 SLEZAK, JAMES P TNT SUPER STEEL, INC 01/20/16 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 271 16WC 19532 JUREWICZ, RICHARD SORTIMAT 08/13/15 R. MARK MARITOTE PC LAW OFFICES JOSEPH MARCINIAK 272 16WC 19681 SANCHEZ, RICARDO ROBINETTE DEMOLITION INC 08/14/15 LAW OFFICE OF KEVIN O'BRIE KEEFE CAMPBELL & ASSOC LLC 273 16WC 19718 TORRES, RIGOBERTO ZAVALA SIFUENTES LAWN MAINTENANC 06/11/16 GOLDSTEIN BENDER & ROMANOF 274 16WC 19780 ANTON, FRANK CITY OF CHICAGO 05/25/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 17WC000935 -C 275 16WC 19890 STEMPNIEWICZ, ROBERT PALATINE CCSD #15 04/23/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 16WC019899 -C 276 16WC 20074 HARRIS, TYRONE CHICAGO TRANSITY AUTHORIT 06/11/16 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 277 16WC 20174 BALOG, HENRY UNIVERSITY OF ILLINOIS 06/06/16 PETER D CORTI LAW GROUP HEYL ROYSTER VOELKER & ALLEN 278 16WC 20296 SOLIS, MAURICIO CALMARK INC 06/20/16 ARTHUR D. WELLMAN 279 16WC 20361 RISTAU, MICHAEL CARL F EWING INC 08/11/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 280 16WC 22594 SLOBODIAN, CHAD MENARDS 01/02/16 RIDGE & DOWNES CHILTON YAMBERT PORTER LLP 281 16WC 26192 ROGERS, DARON ROUNDY'S MARIANO'S 08/07/16 FOHRMAN, DONALD W & ASSOCS BRYCE DOWNEY & LENKOV LLC 282 16WC 26391 FLORES, MIGUEL WILLIAM QUINN & SONS 07/29/16 VRDOLYAK LAW GROUP LLC 283 16WC 26770 CHAVEZ, CENOVIO EBBEN MASONRY INC 07/19/16 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 284 16WC 26928 CARRASQUILLO, CARMEN GCA SERVICE GROUP 07/22/16 KARCHMAR & STONE POWER & CRONIN LTD 285 16WC 26971 HICKS, DWAINE FOREST PRESERVE DISTRICT 07/26/16 PETER C KOPOULOS FOREST PRESERVE DIST COOK CO 286 16WC 27007 SMITH, BRENDA L. SKADDEN,ARPS, SLATE, MEAG 08/30/15 ANESI OZMON RODIN NOVAK KO

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 16WC 27141 PASINDO, JOSE DREXEL TERRACE PROPERTY M 08/30/16 COSTA IVONE LLC ANCEL GLINK DIAMOND BUSH & E 288 16WC 27516 FIGUEROA, MARILYN SECURE AMERICA 07/28/16 COZZI & GOGGIN-WARD 289 16WC 27559 CHAGALA, ROBERTO ESCRIBAN TRIUNE LOGISTICS 06/25/16 SALVATO & O'TOOLE LITCHFIELD CAVO 290 16WC 27570 GARDNER, STEVE ALPHA BAKERY 10/01/15 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 291 16WC 27867 COLONNA, MICHAEL STATE OF IL.-IDOT @ 02/23/15 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENL 292 16WC 27885 SHAREEF, HAMEEN CHICAGO TRANSIT AUTHORITY 08/29/16 CULLEN HASKINS NICHOLSON 293 16WC 27915 HAWKINS, EDNA FRESENIUS MEDICAL CARE 03/23/16 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 294 16WC 27944 GUTIERREZ, KAREN CENTER HOME FOR 08/20/15 SEIDMAN MARGULIS & FAIRMAN 295 16WC 27969 SZENIAWSKI, THERESE A MARIANO'S STORE #8517 08/28/16 O'CONNOR & NAKOS POWER & CRONIN LTD 296 16WC 28116 LANE, BILLY KENTUCKY FRIED CHICKEN 08/09/16 ELFENBAUM EVERS & AMARILIO BETTY NEUMAN & MCMAHON 297 16WC 28315 KULINSKI, GERRY CITY OF CHICAGO DEPT OF 10/06/15 STEPHAN L. HOFFMAN 298 16WC 28404 RADCLIFF, DARREN INTEGRA HEALTHCARE EQUIPT 08/05/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 299 16WC 28472 BURKS, STEPHEN AT&T 09/08/16 GAINES & GAINES 300 16WC 28520 WRONA, JOZEFA CHAGALL, INC D/B/A W 12/09/13 HORWITZ HORWITZ & ASSOC 301 16WC 28644 HUBBARD, ASHLEY ALEXIAN BROTHERS REHAB HO 04/09/16 ASHER, RAYMOND L LTD POWER & CRONIN LTD 302 16WC 28726 MEDINA, ELIZABETH CHICAGO PUBLIC SCHOOLS 04/23/15 MEYERS & FLOWERS 303 16WC 28826 MARTINI, STEVEN J STATE OF IL/IDOT-ELK GROV @ 08/28/16 THE FITZ LAW GROUP COLIN KICKLIGHTER 304 16WC 28863 THOMAS, BENNIE DPI DEDICATED LOGISTICS 08/19/16 STROM, NEAL B

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 16WC 28894 WHITE, QUILSHUN L RANDSTAD 04/13/16 LAW OFFICES CHRISTOPHER ED 306 16WC 28906 CASTANEDA, BERTHA CHICAGO PUBLIC SCHOOLS 08/30/16 LAW OFFICE HUGO ORTIZ 307 16WC 28916 BUCHANAN, FREDERIC G CITY OF CHICAGO DEPT STS 03/26/16 BOWMAN & CORDAY CITY OF CHICAGO 308 16WC 28984 SEJDINI, SANIJE SCHAUMBURG SCHOOL DIST #5 04/15/16 TOPPER & WEISS LTD ACCIDENT FUND HOLDINGS 309 16WC 29117 LEWIS, CHARLENE AVERY CHICAGO TRANSIT AUTHORITY 09/19/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 310 16WC 29184 DUNN, ERICA CHICAGO TRANSIT AUTHORITY 06/30/16 GOLDSTEIN AIOSSA & GOOD CHICAGO TRANSIT AUTHORITY 311 16WC 29219 ARNOLD, LEANNA COOK DUPAGE TRANSPORTATIO 02/23/16 312 16WC 29329 AVERY, GEORGE HR SLATER 04/06/16 DWORKIN AND MACIARIELLO LEWIS BRISBOIS BISGAARD 313 16WC 29425 ARMAN, FAISAL UBER 08/27/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 314 16WC 29563 SOUTHARD, BOBBY K.A PRIDJAN COMP. 10/07/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 315 16WC 29657 MEDINA, ROBERT PEOPLES GAS 09/07/16 CUDA LAW OFFICES GAROFALO SCHREIBER STORM 316 16WC 29714 VARELA, MARGARET URBAN PARTNERSHIP BANK 09/19/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES OF EDWARD J. KOZ 317 16WC 29757 STUBENVOLL, ALBERT F COOK CONTY RISK MGMT-WORK 06/10/16 JOHN J PLACEK STATES ATTORNEY OF COOK COUN 318 16WC 29834 BROWN, KEVIN CONTINENTAL AIR TRANSPORT 09/24/16 MARC J SHUMAN & ASSOCIATES 319 16WC 29866 KAPOOR, DINESH UNITED AIRLINES O'HARE 08/24/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 320 16WC 29894 COLEMAN, DEVIN CHICAGO MAGNESIUM CASTING 09/09/16 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 321 16WC 29947 ZAJA, ROBERT A CHICAGO RIDGE FIRE DEPART 09/24/16 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 322 16WC 29952 BONDS, ROBERT JR MATTTESON ELEMENTARY SCHO 09/14/15 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 16WC 29972 TAYLOR, PAMELA D NORTHSHORE UNIVERSITY 07/20/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 324 16WC 29985 LATIMER, JADA UPS 09/09/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 17WC024821 -C 325 16WC 30069 SHUMAKER, KAREN ARAMARK FACILITY SERVICES 03/24/16 DEPAOLO ZADEIKIS GORE 326 16WC 30085 DINGELS, JONNIE M COMPASS GROUP 03/10/16 FRIEDMAN & SOLMOR LTD GOLDBERG SEGALLA LLC 327 16WC 30219 ROSS, HERMAN CITY OF CHICAGO 09/15/16 KATZ FRIEDMAN EAGLE ET AL 328 16WC 30269 VILLANUEVA, AURELIO CAESARSTONE USA, INC 07/10/14 ANKIN LAW OFFICE 329 16WC 30283 KEYS, LIONEL W ALSCO, INC 02/12/16 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 330 16WC 36994 BODUCH, WALTER TUTHILL PUMP CORP 10/04/16 RIDGE & DOWNES GAROFALO SCHREIBER STORM 331 16WC 37012 SINGLETARY, KEVIN COOK COUNTY SHERIFFS DEPT 07/18/16 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 332 16WC 37126 FARAONE, JOSEPH DAVE OSBORNE CONTRUCTION 10/31/16 ROBERT H HANAFORD HOLECEK & ASSOCIATES 333 16WC 37347 PERALTA, AMANDA PRESENCE HEALTH 08/06/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 334 16WC 37415 CADENA, JOSE EZ TRUCKING 11/14/16 WOODRUFF & JOHNSON 335 16WC 37463 KELLY, LISA HOME BOUND HEALTHCARE 07/15/16 JOHN E LUSAK RIPES NELSON BAGGOT KALOBRAT 336 16WC 37484 RAMOS, ROBERT J CITY OF CHICAGO FACILITIE 11/21/16 CIARDELLI CUMMINGS CAMPAGN CITY OF CHICAGO 337 16WC 37595 MALDONADO, NOHE JAIMES MEHRAB ZABIHA MEAT 11/28/16 MC HARGUE & JONES 338 16WC 37671 MOODY, LENOLIA DE CARLOS STEVENSON TRUCKING CO 10/24/16 ANKIN LAW OFFICE ROSARIO CIBELLA 339 16WC 37689 KEKOS, LABROS CITY OF CHICAGO DEPARTMEN 12/07/16 CUDA LAW OFFICES CITY OF CHICAGO 340 16WC 37814 PERKINS, ANTIONE M CHICAGO TRANSIT AUTHORITY 12/06/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 341 16WC 37884 KHAN, HAMID RESIDENTIAL SPECIALISTS 01/20/16 FOHRMAN, DONALD W & ASSOCS 342 16WC 38009 REABER, DORTHY ANN BERKELEY SCHOOL DISTRICT 10/05/16 LAW OFFICE OF ROBERT J. IR 343 16WC 38023 CLARK, ENIA WORLD'S FINEST CHOCOLATE 12/12/16 BERG & BERG 344 16WC 38048 ALEXANDER, TRACY LUDEMAN DEVELOPMENTALCENT @ 07/10/16 COPELAND FINN & FIERI LTD C. FLETCHER 345 16WC 38055 GIELOW, GEORGE III LINDAHL BROTHERS INC 11/14/16 SALGADO, DAVID L MEACHUM & STARCK 346 16WC 38066 MAXIE, RASHONDA CHICAGO TRANSIT AUTHORITY 12/06/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 347 16WC 38084 CARRILLO, GERMAN SOTO METRO STAFF INC 10/15/16 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 348 16WC 38142 MADRIGAL, DIANA ALDI 09/10/16 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 349 16WC 38337 PITTMAN, AMOS CTA 08/29/16 LEONARD LAW GROUP LLC 350 16WC 38457 NIEMIEC, MARC A WINPAK PORTION PACKAGING 07/23/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 351 16WC 38530 CARMONA, RAMON METRO STAFF 07/20/16 JONATHAN SCHLACK FRANCIS J DISCIPIO LAW OFFIC 352 16WC 38551 SULLIVAN, THOMAS MANCINI'S RESTAURANT 10/21/16 DWYER AND COOGAN 353 16WC 38614 HIDALGO, EDITH CHICAGO BOARD OF EDUCATIO 01/15/16 WILLIAM MARTAY 16WC038615 -C 354 16WC 38672 JONES, ANTWAN ELITE STAFFING 11/01/16 GOLDSTEIN BENDER & ROMANOF 355 16WC 38693 SIERACKI, RON BC INTERNATIONAL GROUP, I 05/28/15 GREGORIO & MARCO 356 16WC 38972 HAYDEN, GENEEN WALMART 11/08/16 COSTA IVONE LLC GANAN & SHAPIRO 357 16WC 39047 GERGES, OUDIT L FOOD FOR LESS- KROGER 10/27/16 SALVATO & O'TOOLE 358 16WC 39072 MILLER, MELODY FEDERAL EXPRESS 12/02/16 COVEN LAW GROUP

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 359 16WC 39131 RODRIGUEZ, IRINEO TOTAL STAFFING SOLUTIONS 08/09/16 ASHER, RAYMOND L LTD SLAVIN & SLAVIN 360 16WC 39192 MATOS, AMBER SHELL GAS STATION 12/22/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 361 16WC 39248 JULIAN, MINDY AMERICAN AIRLINES 11/04/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 362 16WC 39362 KASPEREK, MARK CITY OF CALUMET CITY 11/14/16 COVEN LAW GROUP 363 16WC 39397 ROBINSON, DARNISE JEWEL OSCO 11/03/16 DWORKIN AND MACIARIELLO 364 16WC 39418 TABIRTA, SEGIU GT EXPRESS INC 12/14/16 PATRICOSKI, MARK G EMERSON & ELDER 365 16WC 39425 COTTRELL, WILLIAM J VILLAGE OF NILES - FIRE D 09/27/16 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 366 17WC 00033 HOSKINS, GARY POWER STOP 12/06/16 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 367 17WC 00124 LUELLEN-LEWIS, WONDA COOK DUPAGE TRANSPORATION 12/18/16 SIGMOND, STEVEN HENNESSY & ROACH PC 368 17WC 04585 FATH, BRANDON FORD MOTOR COMPANY 10/19/16 WOLFE LAW PC POWER & CRONIN LTD 369 17WC 06639 LESURE, DOLORES HABILTATIVE SYSTEMS, INC 06/24/14 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 370 17WC 06719 GUILLERMO, JAVIER WOODFIELD NISSAN 01/25/17 POMPER & GOODMAN ROSARIO CIBELLA 371 17WC 06739 HEIMISDOTTIR, ELLEN UNITED AIRLINES, INC 02/04/16 BRIAN J MC MANUS & ASSOC, BRYCE DOWNEY & LENKOV LLC 372 17WC 06805 LOZANO, RODRIGO SOUTHWEST AIRLINES 11/25/16 FRANCIS J DISCIPIO LAW OFF 373 17WC 06834 DOIG, NANCY PALOS DENTAL CENTER 12/17/15 CULLEN HASKINS NICHOLSON 374 17WC 06862 TERRY, DE ARLO M GRIFFITH FOODS 02/20/17 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 17WC020049 -C 375 17WC 06898 HARDEN, ROBERT MAJOR LEAGUE SOCCER 10/06/15 WOLFE LAW PC MC ANDREWS & NORGLE LLC 376 17WC 06922 TERRELL, KATARA YRC WORLDWIDE 03/01/17 STROM, NEAL B HENNESSY & ROACH PC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 377 17WC 06958 SENKO, MYRON AMERICAN AIRLINES 02/19/17 RICHARD O. GREENFIELD 378 17WC 07124 OBRUNOH, CLAUDERICK PRAXAIR DISTRIBUTION, INC 04/29/15 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 379 17WC 07198 BELL, BRANDON CTA 03/02/17 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 380 17WC 07212 REYES, REINA WEAR FLEX SLINGS 01/26/17 JONATHAN SCHLACK HENNESSY & ROACH PC 381 17WC 07237 HAYMER, PIERRIE CENTRAL TRANSORT LLC 06/07/16 ANKIN LAW OFFICE HINSHAW & CULBERTSON 382 17WC 07345 LAZALDE, CRISTEN ALEXIAN BROTHERS MEDICAL 04/09/16 SCOTT BARBER HENNESSY & ROACH PC 383 17WC 07366 NOCKS, DARREN D VILLAGE OF HANOVER PARK 06/09/16 THOMAS W DUDA POWER & CRONIN LTD 17WC007367 -C 384 17WC 07547 PATTON, SANDRA A THE HABITAT COMPANY LLC 03/01/17 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 385 17WC 07564 HUGHES, PATRICIA UBER 03/12/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 386 17WC 07595 RODRIGUEZ, RAYMUNDO THERMAL CARE INC 04/01/14 MARTIN V KUGIA 387 17WC 07600 LANDA, SONIA VVV STAFFING SOLUTIONS, I 03/14/14 DAVID HERNANDEZ 388 17WC 07669 URBINA, DOREEN JEWEL/ALBERTSON'S 04/12/16 BAUM RUFFOLO & MARZAL LTD 389 17WC 07751 PALMER, JAMES FED EX 01/25/17 CUDA LAW OFFICES HANSON LAW OFFICE 390 17WC 07799 THOMPSON, MICHAEL S UNITED PARCEL SERVICE 02/02/17 LEONARD LAW GROUP LLC ASA LAW GROUP 391 17WC 07829 GAYTON, GEORGE SERVICE SANITATION 10/08/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 392 17WC 07934 VIRGILIO, VENUS JEWEL FOOD STORES 02/21/17 ELFENBAUM EVERS & AMARILIO QUINTAIROS PRIETO WOOD & BOY 393 17WC 07990 CRUZ, NATACHA A SCOOBEEZ 03/01/17 O'CONNOR & NAKOS HENNESSY & ROACH PC 394 17WC 08051 GUTSTADT, KEN RICOH USA 02/15/17 BRUSTIN & LUNDBLAD LTD CHILTON YAMBERT PORTER LLP

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 395 17WC 08054 BROWN, DONALD C CHICAGO TRANSIT AUTHORITY 11/21/16 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY 396 17WC 08080 ALMARAZ, LYDIA FEDEX GROUND 02/21/17 DWORKIN AND MACIARIELLO 397 17WC 08208 WHITEHEAD, BRIAN CAESAR'S ENTERPRISE SVCS 07/18/16 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 398 17WC 08227 MANTUCCA, ARTHUR MORTON HIGH SCHOOL DIST 2 11/16/16 CUDA LAW OFFICES 399 17WC 08292 ARRIAGA, MARIA G HAMPTON INN-HILTON 02/01/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 400 17WC 08408 NONAH, PAULIS CLARK DEVON HARDWARD CO 02/18/17 KALOGERAKOS & ASSOC 401 17WC 08452 VEGA, JUAN HOME PRODUCTS 02/17/17 ARGIONIS & ASSOCIATES LLC 402 17WC 08548 JAIMES, LORENZO WALGREENS 01/20/17 EPSTEIN, JACK R LAW OFFICE 403 17WC 08591 RICHARDSON, KIMBERLY ILLINOIS CENTRAL SCHOOL B 01/07/17 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 404 17WC 08660 KIRKWOOD, LATONIA ELITE STAFFING 03/10/17 DWORKIN AND MACIARIELLO 405 17WC 08714 O'CONNOR, TANYA EASTER SEAL 11/19/15 AMBROSE BUTZEN LAW GROUP 406 17WC 08783 SALGADO, EMMANUEL STAFF RIGHT 03/03/17 JONATHAN SCHLACK MC ANDREWS & NORGLE LLC 407 17WC 08814 HERNANDEZ, REGINA ILLINOIS TOOL WORKERS INC 03/09/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 408 17WC 08850 SIMONE, JEFFREY J IL SECRETARY OF STATE @ 10/31/15 CIFELLI SCREMENTI & DORE C. FLETCHER 409 17WC 08879 WATKINS, GARDNER CITY OF CHICAGO 07/26/16 TAXMAN POLLOCK CITY OF CHICAGO 410 17WC 08916 CHRISTOU, STEFANIA M ALEXIAN BROTHERS MEDICAL 07/29/16 FIGLIOLI, DAVID POWER & CRONIN LTD 17WC033678 -C 411 17WC 08957 BANUELOS, ROSA M WEBER-STEPHEN PRODUCTS LL 02/27/15 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 412 17WC 08990 BALTSEREN, TSOGTBAYAR IGAL CAB CO 02/22/17 LAW OFFICE RYAN ROSENTHAL

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 413 17WC 09054 ALVAREZ, FELIPE VILLAGE OF FOREST PARK 04/11/14 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 414 17WC 09120 MORALES, NOLBERTA FILTRAN, LLC 03/07/17 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 415 17WC 09141 FERRERI, JOSEPH ST ALBERT THE GREAT 01/24/17 CULLEN HASKINS NICHOLSON 416 17WC 09164 DAVIS, JENEAN CROSSMARK 03/21/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 417 17WC 09216 WYNER, ERIC L SR MAD DASH, INC 11/02/16 RICHARD E ALEKSY HOLECEK & ASSOCIATES 418 17WC 09255 ORTIZ, ARGELIA ALTERNATIVE STAFFING 08/19/16 SALVATO & O'TOOLE SLAVIN & SLAVIN 419 17WC 09288 BRAVO, AIDA PEPE'S 03/06/17 COSTA IVONE LLC GILDEA & COGHLAN 420 17WC 09313 WARE, BRENT FORD MOTOR COMPANY 01/17/17 LAW OFFICE OF SCOTT B SHAP 421 17WC 09425 TORRES, SALVADOR ASSEMBLERS INC 01/12/17 CHEPOV & SCOTT LLC CAPUANI, FRANK S 422 17WC 09453 WOJCIECHOWSKI, GREGORY A BARTLETT FIRE PROTECTION 12/18/15 THOMAS W DUDA POWER & CRONIN LTD 423 17WC 09539 DELGADILLO, ENRIQUE CHICAGO HIGHLANDS CLUB 01/14/17 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 424 17WC 09645 BURNETTE, VICTORIA MARRIOTT RESIDENCE INN 01/16/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 18WC006644 -C 425 17WC 12431 FRIES, CHRISTOPHER FLORENCE HART 05/01/14 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 426 17WC 13290 CARTER, WARREN FORD MOTOR COMPANY 04/08/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 427 17WC 16495 HILL, CLARENCE HALLCON RENZENBERGER INC 05/03/17 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 428 17WC 16563 SIQUEIROS, CORDERO THOMAS AVERUS, INC 05/16/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 429 17WC 16582 ROMBERG, JACOB N TRI STATE METAL COMPANY 04/20/17 RATHBUN CSEVENYAK & KOZOL RIPES NELSON BAGGOT KALOBRAT 430 17WC 16677 GERVASIO, LARRY HINCKLEY SPRINGS 02/12/16 MARKER & ASSOCIATES CHILTON YAMBERT PORTER LLP

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 431 17WC 16771 RIVERA, JULIO PRECISION POUCHES 05/17/17 CHEPOV & SCOTT LLC JOSEPH MARCINIAK 432 17WC 16819 BAVONE, MIKE JEWEL OSCO 04/07/17 MARKER & ASSOCIATES 433 17WC 16872 GARCIA, ALEXANDER EKLIND TOOL COMPANY 09/28/15 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 434 17WC 16892 OWENS, DAVID WHOLE FOODS MARKET 11/16/16 HORWITZ HORWITZ & ASSOC 435 17WC 16919 CHRONOS, JOHN UNITED AIRLINES 03/12/16 STELZMAN, RUTH WIEDNER & MCAULIFFE LTD 17WC016920 -C 436 17WC 16990 SONOWO, OLADADO UBER TECHNOLOGIES DBA UBE 06/01/17 POMPER & GOODMAN WIEDNER & MCAULIFFE LTD 437 17WC 17076 MC LAURIN, CORNELL CTA 05/16/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 438 17WC 17106 MURANSKY, JOHN COUNTRY CLUB HLS SCHL DIS 01/05/15 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 439 17WC 17115 NEAL, JONATHAN DA'S DELI & DINING 05/21/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 440 17WC 17136 SMITH, SHARON D UNIVERSITY OF CHICAGO 04/30/17 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 441 17WC 17221 LUJAN, NAZARIA MCDONALDS 01/23/17 LEONARD LAW GROUP LLC 442 17WC 17241 MCCAULEY, SHIRLEY CTA 06/02/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 443 17WC 17308 BELL, KENYATTA A STEP UP CAREER ACADEMY 05/30/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 444 17WC 17323 BALVOA, ROQUE ZLG CONSTRUCTION INC 05/17/17 TAXMAN POLLOCK 445 17WC 17405 SPILLANE, BRIAN ILLINOIS STATE POLICE @ 07/18/15 RIDGE & DOWNES DANIELLE CURTISS 446 17WC 17517 GEBREAB, FIREWEINI WESTLAKE COMMUNITY HOSPIT 01/04/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 447 17WC 17588 AUGUST, JAMES COOK COUNTY JUVENILE 03/05/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 448 17WC 17629 NUNN, JAMES SET ENTERPRISES INC 05/23/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 17WC 17652 STIMAC, PAUL CITY OF CHICAGO 2FM 05/03/17 STEWART C ORZOFF HENNESSY & ROACH PC 450 17WC 17690 ABRAMS, DONYEA CHICAGO SIGNATURE SERVICE 06/02/17 WARREN W MARK 451 17WC 17710 MENDZA, JOSEPH CITY OF CHICAGO 06/09/17 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 452 17WC 17819 HUGHES, CAROTEZ FORD MOTOR COMPANY 06/11/17 DWORKIN AND MACIARIELLO 453 17WC 17853 CREAL, SANDRA DOLTON K, INC 10/29/16 THOMAS LAW 17WC017854 -C 454 17WC 17920 TAYLOR, ROSE ALLTOWN BUS CO 02/15/17 JAMES ELLIS GUMBINER & ASS 455 17WC 17961 DELGADO, ENGRACIA EL MILAGRO 02/27/17 LEO ALT WIEDNER & MCAULIFFE LTD 17WC018329 -C 456 17WC 18140 HUGHES, GWENDOLYN CITY OF CHICAGO - DEPT OF 06/15/16 NEWLAND & NEWLAND 457 17WC 18152 MCMILLAN, RANDY RELIABLE EXPRESS TRANSPOR 07/26/16 HUGHES SOCOL PIERS RESNICK MCANANY VANCLEVE & PHILLIPS 458 17WC 18189 SANCHEZ, ANA KAREN ALDEN ESTATES OF BARRINGT 04/18/17 EFTEKHARI LAW OFFICES 459 17WC 18290 JONES, JOYCE MONTGOMERY PLACE 05/03/17 DWORKIN AND MACIARIELLO 460 17WC 18367 TAMMO, GEWARGIS HOME DEPOT 02/16/17 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 461 17WC 18389 CRUSE, GARY UPS 01/17/17 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 462 17WC 18405 COLLINS, WILLIAM METROPOLITAN WATER RECLAM 09/21/15 O'CONNOR & NAKOS 463 17WC 18434 BENNETT, LARREESE ANIXTER INC 05/25/17 DWORKIN AND MACIARIELLO 464 17WC 18463 CHAPARRO, HECTOR CHICAGO MARRIOTT NORTHWES 05/17/17 CUDA LAW OFFICES HENNESSY & ROACH PC 465 17WC 18504 BAIN, ASHLEY ILLINOIS STATE POLICE 09/06/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 466 17WC 18542 COOMANS, DONNA UNITED AIRLINES 01/09/17 HEALY SCANLON LAW FIRM

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 17WC 18558 LAMPHIER, DANIEL F SR BULLEY & ANDREWS LLC 09/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 468 17WC 18577 CARDENAS, SANDRA DOVE'S LUNCHEONETTE 01/06/17 COSTA IVONE LLC 469 17WC 18635 BRABOY, EBONY MACY'S, INC 12/15/16 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 470 17WC 18689 PIGOUNAKIS, NIKOLAS ABRA AUTO BODY & GLASS 04/26/17 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 471 17WC 18740 ERICKSON JR., JOHN M. IHC CONSTRUCTION CO, LLC 12/16/15 RUBIN LAW GROUP JOSEPH MARCINIAK 472 17WC 18822 HERNANDEZ, MARK DART CONTAINER 12/21/16 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM 473 17WC 18881 FIGUEROA, TERESITA AMMERAAL BELTECH 02/10/17 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 474 17WC 18932 MOORE, STEPHANIE G CHICAGO BOARD OF EDUCATIO 05/17/17 KARP & ELLIS LAW DEPARTMENT 475 17WC 18993 LOSASSO, PARTRICK CLEARWATER POOLS 06/14/17 MARTIN L GLINK LAW OFFICE COZZI & GOGGIN-WARD 476 17WC 19068 ESPINOSA, JUAN OLD ISLAND CONSTRUCTION 06/01/17 BUDIN LAW OFFICES 477 17WC 19089 DYNAK, JAN CITY FOODS INC 09/12/14 TOPPER & WEISS LTD 478 17WC 19178 TORRES, GRISELDA ELITE STAFFING INC 06/14/17 THE ROMAKER LAW FIRM 479 17WC 19202 COOMAN, TRAVON ILLINOIS STATE POLICE @ 02/10/16 TAXMAN POLLOCK 480 17WC 19220 BRYSON, JESSICA A CHICAGO TRANSIT AUTHORITY 04/23/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 481 17WC 19246 HOLMES, LISA AURORA PACKING 03/23/17 ANGELINI & ORI LLC 482 17WC 25184 HERRERA, ARIEL MENARDS 06/01/17 ABELS & ANNES, PC 483 17WC 25288 PINEDA, ALLAN TOWN OF CICERO 07/24/17 JOHN E LUSAK DEL GALDO LAW GROUP LLP 484 17WC 25824 O'HARE, KIMBERLY ATI PHYSICAL THERAPY 09/20/16 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 17WC 25844 LEE, SHENIA GATE GOURMET 05/14/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 486 17WC 25867 WILLIAMS, CLIFTINA CROSSFIRE GROUP, LLC 08/14/17 LAW OFFICES OF HERBERT ABR THOMAS & PORTELA 487 17WC 25900 PICHARDO, MARIA ACCURATE PERSONNEL LLC 04/03/17 ANKIN LAW OFFICE 488 17WC 25904 ROVER, CHUBBY CITY OF CHICAGO 08/29/17 ANKIN LAW OFFICE CITY OF CHICAGO 489 17WC 25950 GUDEWICZ, MARIA ARCHER ADVISORS, LLC DBA 06/23/17 BELLAS & WACHOWSKI 490 17WC 26022 BUCIO, ROBERTO LATINO MEAT & PRODUCE INC 08/18/17 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 491 17WC 26049 CHILDRESS, CHRISTOPHER E VILLAGE OF ROSEMONT 03/06/17 MC HARGUE & JONES LITCHFIELD CAVO 492 17WC 26088 AVILA, EFRAIN PIZZERIA UNO 08/20/17 ELFENBAUM EVERS & AMARILIO GILDEA & COGHLAN 493 17WC 26138 ROSS, ROD MARON ELECTRIC COMPANY 06/22/17 THOMAS J STIBERTH LAW OFFI KLAUKE LAW GROUP LLC 494 17WC 26159 WAICKUS, JOSEPH M UPS 11/16/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 495 17WC 26224 NOA, MILVIA THE GROVEOF LA GRANGE PAR 08/29/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 496 17WC 26252 ALDRIDGE, AGNES ALDEN PRICETON REHAB & HE 01/18/17 HERRERA LAW CENTER 497 17WC 26268 GARCIA, ARTURO DOERING LANDSCAPING 07/19/17 CULLEN HASKINS NICHOLSON 498 17WC 26287 VASQUEZ, ROBERTO SKOLNIK INDUSTRIES INC 08/30/17 COVEN LAW GROUP 499 17WC 26317 GUERRERO, GABRIEL CONTRACTOR ACCESS 08/15/17 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 500 17WC 26337 ALBANO, MARC CHICAGO FIRE DEPT 07/21/17 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 501 17WC 26389 PEPRAH, SAMUEL IDT CORPORATION 08/29/17 VASILATOS & COTTER LLC LAW OFFICES JOSEPH MARCINIAK 502 17WC 26454 BATES, ANTHONY FROZEN ASSETS COLD STORAG 08/10/17 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 17WC 26542 TORRES, CARLOS ARAMARK SERVICES 08/15/16 O'CONNOR & NAKOS 504 17WC 26559 BURGESS, BRITTANNI CHICAGO TRANSIT AUTHORITY 09/01/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 505 17WC 26578 PERRY, TAWANDA WALMART NEIGHBORHOOD MARK 02/07/17 MC HARGUE & JONES GANAN & SHAPIRO 506 17WC 26619 HERNANDEZ, VINCENT IL DEPT OF TRANSPORTATION 09/04/17 DWORKIN AND MACIARIELLO 507 17WC 26666 LOCKHART, LORRAINE CHICAGO PUBLIC SCHOOLS 05/08/17 BRIAN J MC MANUS & ASSOC, LAW DEPARTMENT 508 17WC 26741 O'DONNELL, DANIEL RUSH TRUCK CENTER 08/30/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 509 17WC 26812 FOCHS, DANIEL CLEVELAND MARBLE MOSAIC C 08/21/17 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 510 17WC 26944 HASIER, MICHAEL S INTERTEK - PSI 04/28/17 VITELL & SPITZ LTD 511 17WC 26962 BOYD, VICTORIA A CHICAGO TRANSIT AUTHORITY 09/13/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 512 17WC 26978 HADEED, ARAFAT KISWANI TRUCKING, INC 01/09/17 KATHERINE A. CARDENAS 513 17WC 27106 SANTOW, ELIZABETH UNITED AIRLINES 09/28/16 KATZ FRIEDMAN EAGLE ET AL 514 17WC 27144 CASTILLA, ANIBAL CHICAGO PUBLIC SCHOOLS 08/04/17 ANKIN LAW OFFICE LAW DEPARTMENT 515 17WC 27165 GARRETT, AKITA CTA 09/05/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 516 17WC 27248 KASHYAP, ANOOP WEBER-STEPHENS PRODUCTS L 12/23/14 TEWS THEISEN & THEISEN 517 17WC 27268 JEROSKI, RICHARD INSURANCE AUTO AUCTIONS I 04/19/16 DWYER AND COOGAN HENNESSY & ROACH PC 518 17WC 27286 SECUNDINO, EDGAR ADVOCATE CHRIST MEDICAL C 05/25/17 SMOLER LAW OFFICE, PC GAROFALO SCHREIBER STORM 519 17WC 27341 MARTINEZ, LORENZO THE W.J. MCGUIRE COMPANY 10/24/15 BUDIN LAW OFFICES ACCIDENT FUND HOLDINGS 520 17WC 27363 WALD, ROBERT CHICAGO HEIGHTS POLICE DE 07/02/17 COVEN LAW GROUP DEL GALDO LAW GROUP LLP

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 17WC 27411 ROGERS, DAVID FORT DEARBORN COMPANY 05/11/17 GOLDBERG WEISMAN & CAIRO L JOSEPH MARCINIAK 522 17WC 27462 TRUJILLO, GERARDO LIFEWAY FOODS, INC 01/05/17 RUEDA, IVAN A RIPES NELSON BAGGOT KALOBRAT 523 17WC 27490 TRENDEL, MARY J JEWEL FOOD STORES INC. 02/21/17 GRAUER & KRIEGEL LLC 524 17WC 27583 WINFORD, KEITH CITY OF CHICAGO 06/30/17 SANDMAN LEVY & PETRICH 525 17WC 27612 AGUILAR, MARIA FROST CORP. 07/26/17 MC HARGUE & JONES 526 17WC 27658 GIBBS, KIRKLAND DELTA AIRLINES 05/22/17 LEONARD LAW GROUP LLC 527 17WC 27713 ANDRUK, EUGENE W UNIVERSAL SECURITY CORP 09/11/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 528 17WC 27737 CLARK, JUANITA TOUCHPOINT SVCS 08/28/17 STEPHEN G PINTO LTD 529 17WC 27755 MARTINEZ, MARY STATE FARM FIRE & CASUALT 08/27/17 DWORKIN AND MACIARIELLO 530 17WC 27760 ANDRE LOVE CITY OF CHICAGO, DEPT OF 08/07/17 BUDIN LAW OFFICES 531 17WC 27820 METOXEN, JOSEPH STATE OF ILLINOIS DEPT OF @ 08/29/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 532 17WC 27875 CUMMINGS, TIMOTHY UNIVERSITY OF CHICAGO 09/16/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 533 17WC 27898 TURCIOS, MARVIN CITYWIDE DISPOSAL 09/14/15 PETER D CORTI LAW GROUP 534 17WC 27920 MARTINEZ, MARCOS DINDERYONICS 07/17/17 LAW OFFICES ROBERT WARSASK LAW OFFICES JOSEPH MARCINIAK 535 17WC 28052 SAMUELS, LAWRENCE KAY MANUFACTURING 08/12/17 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS 536 17WC 28108 ESPARZA, CARLOS SYSCO CHICAGO INC 08/27/17 COSTA IVONE LLC 537 17WC 28135 WELLS, ALEXUS WALMART 08/26/17 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 538 17WC 28164 PAULEY, ROBERT OTIS ELEVATOR 03/06/17 TAXMAN POLLOCK MACIOROWSKI SACKMANN & ULRIC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 17WC 28217 LEAGOGO, FRANCISCO XYLEM INC 09/12/17 BAUM RUFFOLO & MARZAL LTD POULOS & DIBENEDETTO LAW 540 17WC 28245 SCHLOSSER, GRISELDA DISTRICT 218 08/28/17 EPSTEIN, JACK R LAW OFFICE ODELSON & STERK 541 17WC 28266 GUERRERO, MARIA L ARROW HOME PRODUCTS 09/20/16 LEONARD LAW GROUP LLC 542 17WC 28339 MC JOY, DEMARIUS VISITING PHYSICIANS ASSOC 08/18/17 ANKIN LAW OFFICE GRANT & FANNING 543 17WC 28387 MARTINEZ, FRANCISCO FJK ENTERPRISES 08/01/16 HOLECEK & ASSOCIATES 544 17WC 28411 NALLS, WILLIAM UNITED PARCEL SVC 02/15/17 RUBENS AND KRESS ASA LAW GROUP 545 17WC 28459 GARNICA, LUZ ELVIRA LABOR NATION LLC 09/04/17 SALK, STEVEN B & ASSOC LTD 546 17WC 28481 KALOUDIS, CHRIS COOK COUNTY SHERIFF'S OFF 08/28/17 CORNFIELD & FELDMAN STATES ATTORNEY OF COOK COUN 547 17WC 28516 HARDIMAN, LOLITA CHICAGO BOARD OF EDUCATIO 07/26/17 HUGHES SOCOL PIERS RESNICK LAW DEPARTMENT 548 17WC 28531 HERNANDEZ, JUAN EVANS FOODS 09/09/17 BURNES & LIBMAN 549 17WC 28552 CUELLAR, RYAN CITY OF CHICAGO DEPARTMEN 09/17/17 NILSON STOOKAL GLEASON CAP 550 17WC 28591 PEREZ, CECILIO HOMER TREE CARE 06/12/17 THERMAN LAW OFFICES 551 17WC 28614 VAZQUEZ, ANGEL CTA 07/28/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 552 17WC 28649 CERVANTES, JUAN J A&A MIDWEST REBUILDERS 09/19/17 ANKIN LAW OFFICE 553 17WC 28726 ZIEGELMAN, CHERYL UNITED AIRLINES 11/04/14 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 554 17WC 28799 TOLEMY, KENDRA FIST PHYSICIANS INC 07/07/17 FOOTE MIELKE CHAVEZ & O'NE 555 17WC 28858 SHIMOON, MIRIAM JEWEL OSCO 10/18/15 SEIDMAN MARGULIS & FAIRMAN 556 17WC 28878 SCHULTZ, ALISSA AURELIO'S PIZZA 09/22/17 FRIEDMAN & SOLMOR LTD

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 557 17WC 28896 WILLIAMS, DONTA LOCKE TRANSPORTATION 09/28/17 DWORKIN AND MACIARIELLO 558 17WC 28920 REYNOLDS, DARIUS ARENA FOOTBALL ONE, LLC 08/26/16 GORDON LAW OFFICES LTD 559 17WC 28957 HULL, STEPHEN P VILLAGE OF WHEELING 09/24/17 FIGLIOLI, DAVID KLEIN THORPE & JENKINS LTD 560 17WC 28980 RAMIREZ, JOSE G AMS MECHANICAL SYSTEMS 09/14/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 17WC035840 -C 561 17WC 33618 AZZARO, RICHARD CHICAGO TRANSIT AUTHORITY 12/02/16 BELLAS & WACHOWSKI CHICAGO TRANSIT AUTHORITY 562 17WC 35173 ROSALES, GABRIEL MANGO CONSTRUCTION 11/20/17 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 563 17WC 35560 EVANS, WILLIAM CITY OF HIGHLAND PARK 11/30/17 COVEN LAW GROUP 564 17WC 35578 INGRAM, RANDALL MEDIEVAL TIMES 11/01/17 DWORKIN AND MACIARIELLO GRANT & FANNING 565 17WC 35607 APOLO, ELITA M TONY'S FINER FOODS 11/16/17 LAW OFFICES TIMOTHY HENDER WOLF LAW LTD 566 17WC 35667 TURNER, KAREN FORD MOTOR COMPANY 09/19/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 567 17WC 35693 TRUCHALSKI, ARKADIUSZ AUTOHAUS AUTOBODY 11/01/16 LEO ALT WIEDNER & MCAULIFFE LTD 17WC035694 -C 568 17WC 35713 JONES, ROBERTA FIRST TRANSIT 11/08/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 569 17WC 35772 CARABELLO, FELIPE CITY OF CHICAGO 09/29/17 VLANTIS LAW LLC 570 17WC 35858 RAMIREZ, MIGUEL NATIONAL CONTAINER SERVIC 11/05/17 JAMES ELLIS GUMBINER & ASS RIPES NELSON BAGGOT KALOBRAT 571 17WC 35882 RIVERS, MERCEDES WALGREENS 05/01/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 572 17WC 35923 DIAZ, VANESSA HARVEY POLICE DEPARTMENT 11/05/17 ELFENBAUM EVERS & AMARILIO 573 17WC 36019 GAMIZ, JOSE COVEMEX 11/20/17 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 574 17WC 36045 BROWN, MARK UPS 09/25/17 LEONARD LAW GROUP LLC ASA LAW GROUP

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 575 17WC 36068 TORRES-TORRES, JOSE OGDEN INTERNATIONAL SCHOO 12/01/17 DWORKIN AND MACIARIELLO 576 17WC 36168 MAYA, MARTA MULTI-PACK SOLUTIONS 02/05/17 ROSS J HELFAND NYHAN BAMBRICK KINZIE & LOWR 577 17WC 36240 BURROWS, VERETTA E REPUBLIC AIRLINES 02/13/17 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 578 17WC 36288 ZARAGOZA, ARTEMIO THE LOMBARD COMPANY 04/27/17 HORWITZ HORWITZ & ASSOC 579 17WC 36306 SIMPKINS, LEWIS DELTA GLOBAL SERVICES 06/04/17 MARC J SHUMAN & ASSOCIATES 580 17WC 36329 BOSHKOVSKI, HRISTO LA FITNESS 10/17/17 ARGIONIS & ASSOCIATES LLC GRANT & FANNING 581 17WC 36356 PORRAS, NICHOLAS YRC WORLDWIDE 12/02/17 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 582 17WC 36431 WANG-TSUEI, SHIRLEY UNITED AIRLINES INC. 11/03/17 KATZ FRIEDMAN EAGLE ET AL 583 17WC 36465 BERG, DANIEL AMBAR, INC 12/06/17 EDWIN REYES LEGAL GROUP GAROFALO SCHREIBER STORM 584 17WC 36515 CIFUENTES, OSCAR POWER PLANT SERVICES 07/15/15 ENCINAS & ORNELAS LAW OFFICES JOSEPH MARCINIAK 585 17WC 36536 HOLLOWAY, DARRYL III EDSAL MANUFACTURING CO IN 11/27/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 586 17WC 36572 MIR, PAMON P VILLAGE OF SCHAUMBURG 09/20/17 ARIANO HARDY NYULI JOHHSON MACIOROWSKI SACKMANN & ULRIC 587 17WC 36598 KUPIEC, JOZEF SPECIALTY WOOD WORKING 10/09/17 KATZ FRIEDMAN EAGLE ET AL 588 17WC 36615 VANCE, JERRY COOK DUPAGE TRANSPORTATIO 11/05/17 MARC J SHUMAN & ASSOCIATES 589 17WC 36617 TAYLOR, TRALANDA CHICAGO PUBLIC SCHOOLS 09/26/17 MARC J SHUMAN & ASSOCIATES LAW DEPARTMENT 590 17WC 36655 PRZYBYLINSKI, HILARY SYSCO FOOD SERVICE 09/29/17 CULLEN HASKINS NICHOLSON 591 17WC 36672 KASPAR, JONATHON COVENANT VILLAGE OF NORTH 08/16/17 KROL BONGIORNO & GIVEN LTD ASHER, RAYMOND L LTD 592 17WC 36693 AVILA, ROBERTO EVANS FOOD PRODUCTS CO 11/21/17 GRAUER & KRIEGEL LLC HOLECEK & ASSOCIATES

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 593 17WC 36711 WILLIAMS, MICHELLE RIGHT AT HOME 10/28/17 MANDELL, GREGG 594 17WC 36733 JEFFERSON, VIRGINIA ARAMARK 11/27/17 LAW OFFICES OF ANSELMO DUR 595 17WC 36765 SMITH, KIMBERLY RUSH UNIVERSITY MEDICAL C 11/20/17 GOLDBERG WEISMAN & CAIRO L 596 17WC 36796 ROSALES, MONICA LAND O'FROST 11/13/17 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 597 17WC 36830 JAMES, RICHARD JEWEL FOOD STORE INC 01/02/16 BART DURHAM RODDY LAW LTD 598 17WC 36863 GALARZA, MARIA DEL ROSARI GIBSON'S RESTAURANT HOLDI 05/04/17 ENCINAS & ORNELAS RODDY LAW LTD 599 17WC 36885 MUNIZ, DAVID STEAK 48 11/14/17 MC HARGUE & JONES KEEFE CAMPBELL & ASSOC LLC 600 17WC 36971 STEMMONS, TIMOTHY TRU TEAM 11/20/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 601 17WC 36996 ROBLES, JOSE GOLD STANDARD BAKING 11/08/17 PETER D CORTI LAW GROUP INMAN & FITZGIBBONS 602 17WC 37019 TIBERI, MICHAEL ADVANCE TRAINING SOLUTION 05/02/17 DWORKIN AND MACIARIELLO MEACHUM & STARCK 603 17WC 37039 CIBROWSKI, RICHARD KASAB MULTISERVICE INC. 12/14/16 LAW OFFICE DAVID W CLARK BRYCE DOWNEY & LENKOV LLC 604 17WC 37101 ROJAS, JATNIEL GOLDEN STATE FOODS 12/04/17 HUGHES SOCOL PIERS RESNICK HOLECEK & ASSOCIATES 605 17WC 37120 VANHOOK, JOSEPH CHICAGO TRANSIT AUTHORITY 12/12/17 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 606 17WC 37145 STALLINGS, KATE LINDOP ELEMENTARY SD #92 11/06/17 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 607 17WC 37170 CZAPLA, MARK PEOPLES GAS 08/28/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 608 17WC 37234 CHRZAN, JACEK DONSON MACHINE 12/04/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 609 17WC 37286 HARRIGAN, PATRICIA J UNITED AIRLINES 12/05/17 HEALY SCANLON LAW FIRM 610 17WC 37305 FERNANDEZ, JUAN COVERT CONTRACTING CO, IN 12/04/17 LAW OFFICE OF JAMES URTIS

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 611 17WC 37307 WARNER, DERRICK CTA 12/13/17 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 612 17WC 37387 WRIGHT, BRAY IMPACT IRON LLC 09/18/17 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 613 17WC 37416 HALL, MARK TAYLOR ELECTRIC COMPANY 11/09/17 TAXMAN POLLOCK 614 17WC 37448 GONZALEZ, JOSE M&K EMPLOYEE SOLUTIONS LL 07/19/17 SANDMAN LEVY & PETRICH 615 17WC 37470 RUBENSTEIN, SAMUEL OZINGA CONCRETE 11/10/17 COVEN LAW GROUP GAROFALO SCHREIBER STORM 616 17WC 37507 GLOVER, KEVIN CHICAGO BEVERAGE SYSTEMS, 09/27/17 GOLDBERG WEISMAN & CAIRO L MC CABE & HOGAN 617 17WC 37533 PLOCHARSKI, GLENN UNITED PARCEL SERVICE 09/29/17 HEALY SCANLON LAW FIRM 618 17WC 37577 HUNT, SHANITA WALGREENS 12/08/17 DWORKIN AND MACIARIELLO 619 17WC 37627 PEDRAZA, ELIEZER HOSPITALITY STAFFING SOLU 05/21/17 AIOSSA LAW FIRM 620 17WC 37650 CASTLEBERRY, MARCUS AARONS FURNITURE 08/04/17 EDWIN REYES LEGAL GROUP HENNESSY & ROACH PC 621 17WC 37680 ARCHIE, ANDREA J CITY OF CHICAGO DEPT OF W 12/05/17 DAVID W MARTAY 622 17WC 37724 SHAW, BILLY R SPECIALIZED STAFFING SOLU 11/27/17 ANKIN LAW OFFICE SLAVIN & SLAVIN 623 17WC 37765 WRIGHT, EDDIE CTA 12/20/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 624 17WC 37791 BENNETT, MARCO VIRGIN HOTELS CHICAGO 08/01/17 HORWITZ HORWITZ & ASSOC 625 17WC 37833 PETREY, TOM GIBSON ELECTRIC 08/29/17 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 626 17WC 37851 CORONADO, ABEL JEWEL OSCO 11/03/17 HERRERA LAW CENTER 627 17WC 37916 NOWAKOWSKI, ROBERT JLO METAL PRODUCTS INC 01/05/17 LEWUN & KAIS LTD RIPES NELSON BAGGOT KALOBRAT 17WC037917 -C 628 17WC 38009 CASTILLO, JUAN LEOPOLDO EDIBLE CUTS, LLC 09/27/17 GOLDSTEIN AIOSSA & GOOD

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 629 17WC 38059 BENITEZ, SONIA METRO STAFF, INC 12/13/17 THOMAS LAW FRANCIS J DISCIPIO LAW OFFIC 630 17WC 38103 GRAY, CARLETTE SMG MCCORMICK PLACE 09/25/17 DWORKIN AND MACIARIELLO 631 18WC 00019 STEED, KATRINE RELIANCE 12/11/17 JOSEPH F. VITU THOMAS & PORTELA 632 18WC 00123 DE AVILA, JANNETE ENVIRO RESOURCES 12/11/17 COSTA IVONE LLC 633 18WC 00192 MARION, KESHA COOK COUNTY SHERIFF'S OFF 11/01/17 PARENTE & NOREM PC STATES ATTORNEY OF COOK COUN 634 18WC 00211 CAUJICALCO, SILVIA DURABLE PACKAGING INC 11/29/16 STEIN & CHERNY LTD WIEDNER & MCAULIFFE LTD 635 18WC 00230 MABON, DESMOND ARDAGH GLASS INC 12/15/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 636 18WC 00281 RATCLIFF, JASON K PROGRESS RAIL SERVICES 10/10/17 GARDI & HAUGHT GOLDBERG SEGALLA LLC 637 18WC 04959 DEROUIN, CECILIA UNITED PARCEL SERVICE 07/03/17 CULLEN HASKINS NICHOLSON ASA LAW GROUP 638 18WC 06543 JACKSON, EDNA LSG SKY CHEFS 02/19/18 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 639 18WC 06591 MARSHALL, DENISE STIFEL 02/08/18 DWORKIN AND MACIARIELLO 640 18WC 06655 ZARCO, MAGDALENA THE RESERVES NETWORK, INC 01/12/18 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 641 18WC 06696 NANCE, LISA MALLORY COOK COUNTY DEPT OF PUBLI 11/29/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 642 18WC 06717 LOVING, ANQELIQUE J METROSTAFF INC 08/30/17 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 643 18WC 06735 KOLTZ, BETTINA DAYMON WORLDWIDE INC 12/03/15 RIPES NELSON BAGGOT KALOBRAT 644 18WC 06756 ALTENBERN, KELLEY UNITED AIRLINES 02/11/18 LEONARD LAW GROUP LLC 645 18WC 06809 ESPINDOLA, AUDBERTO PACTIV 02/19/18 WHITESIDE & GOLDBERG LTD 646 18WC 06848 O'HARA, KENNETH DHL EXPRESS 02/02/18 SKLARE LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 647 18WC 06876 SANDOVAL, GONZALO SEPULVEDA BROTHERS 02/16/18 RUEDA, IVAN A 648 18WC 06912 HENRY, PAULETTE SAM'S CLUB 11/20/17 TAXMAN POLLOCK GANAN & SHAPIRO 649 18WC 06950 VALDEZ, BELINDA ARCELORMITTAL 11/04/17 ELFENBAUM EVERS & AMARILIO SPIEGEL & CAHILL, PC 650 18WC 07015 LEE, ANTHONY MARTEC INTERNATIONAL 02/13/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 651 18WC 07038 GUERRERO, MAYRA INDUSTRIAL STAFFING CORP 10/12/17 CHEPOV & SCOTT LLC 652 18WC 07064 CANDOS, RICK UIC 04/11/17 BRILL & FISHEL POWER & CRONIN LTD 653 18WC 07077 CASTREJON, AGUSTIN UNISTAFF 10/11/17 LEONARD S. BECKER 654 18WC 07110 COCONATE, FRANK ALL MASONRY CONSTRUCT CO 02/23/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 655 18WC 07150 ROMERO, RICARDO ROMERO STEEL COMPANY INC 04/15/15 FRANCIS J DISCIPIO LAW OFF 656 18WC 07177 FARMER, TRACY ARCTIC EXPRESS 01/08/18 PORRO NIERMANN LAW GROUP JOSEPH MARCINIAK 657 18WC 07201 DASILVA, DANIEL CPC LOGISTICS, INC 12/19/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 658 18WC 07258 RODRIGUEZ, MARIA STAMPEDE MEAT, INC. 12/05/17 BERG & BERG 659 18WC 07282 COLBY, JAHNA VERIZON WIRELESS 01/18/18 R. MARK MARITOTE PC 660 18WC 07340 DAHMS, SIGRUN UNITED AIRLINES INC. 02/24/18 KATZ FRIEDMAN EAGLE ET AL 661 18WC 07371 GATES, JERRY CDT 03/04/18 ANGELINI & ORI LLC 662 18WC 07402 HOUSTON, ROOSEVELT US FOODS INC 01/03/18 ANKIN LAW OFFICE 663 18WC 07429 SNEDDEN, WILLIAM A ALBANY DOOR CO. 11/16/17 EPSTEIN, JACK R LAW OFFICE 664 18WC 07450 SAVAGE, KARASTIN FRITO-LAY INC 01/31/18 DWORKIN AND MACIARIELLO GILDEA & COGHLAN

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 665 18WC 07548 BONILLA, ALBERTO ADVOCATE IL MASONIC MEDIC 02/15/18 CUDA LAW OFFICES GAROFALO SCHREIBER STORM 666 18WC 07569 WADE, VICTOR GENNBRIER RAIL SERVICE 10/19/17 COSTA IVONE LLC 667 18WC 07587 GARCIA, MARCO ERNST DEVELOPMENT 03/01/18 ELFENBAUM EVERS & AMARILIO 668 18WC 07625 JOHNSON, TOMMY H STATE OF ILLINOIS DJJ IYC @ 12/02/17 BLOCK, KLUKAS & MANZELLA P 669 18WC 07693 ZEGARRA, JUAN CARLOS RONC ATLAS EMPLOYMENT SVS AGEN 01/16/18 DWORKIN AND MACIARIELLO ROBERT L. SMITH 670 18WC 07716 BEJARANO, GUADALUPE PENTAIR MGMT CO 08/21/17 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 18WC007717 -C 671 18WC 07741 SOBY, MICHAEL P OLD DOMINION FREIGHT LINE 03/01/18 BRILL & FISHEL 672 18WC 07763 SMYTH, MARGARET SOUTHWEST AIRLINES 09/21/17 THOMAS A MORRISSEY HENNESSY & ROACH PC 673 18WC 07839 COLEMAN, CYNTHIA STANDARD PARKING CORPORAT 11/26/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 674 18WC 07859 GRAHAM, ALLEN FEDEX GROUND 01/09/18 COVEN LAW GROUP 675 18WC 07889 MALONE, JIMYA CHICAGO TRANSIT AUTHORITY 02/20/18 CAPRON & AVGERINOS PC CHICAGO TRANSIT AUTHORITY 676 18WC 07911 MCKINNEY, MICHAEL CITY OF CHICAGO 02/01/18 CANDIANO LAW OFFICE CITY OF CHICAGO 677 18WC 07926 BRULLOTHS, VALERIE SEJA SCHOOL DISTRICT 802 02/22/18 DAVID W MARTAY 678 18WC 07941 DONDIEGO, ALBERTO ASPHALT PAVING PROFESSION 06/27/17 CHRISTY & CHRISTY WIEDNER & MCAULIFFE LTD 679 18WC 07963 TOWNSEND, SHERMAN DRAPER & KRAMER/PRAIRIE 10/24/17 SEIDMAN MARGULIS & FAIRMAN 680 18WC 07987 MICHNO, PAWEL WOOD STRUCTURE CO C/O 12/14/17 HETHERINGTON KARPEL BOBBER 681 18WC 08012 RIOS PLAZA, JOSE A JB HUNT TRANSPORT SVCS, I 02/03/18 FOOTE MIELKE CHAVEZ & O'NE 682 18WC 08021 THOMAS, SHAMARR SCR MEDICAL TRANSPORTATIO 12/26/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 683 18WC 08042 OCAMPO, MARIA C UNITED MAINTENANCE CO INC 02/21/18 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 684 18WC 08097 ADAMS, ANTONE CTA 03/12/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 685 18WC 08119 ARNOLD, MICHAEL AT&T 02/07/18 GOLDBERG WEISMAN & CAIRO L 686 18WC 08137 GREGORY, JULIUS ARENA FOOTBALL ONE, LLC 04/01/16 GORDON & CENTRACCHIO LLC GORDON LAW OFFICES LTD 687 18WC 08156 IBARRA, EDUARDO DPI SPECIALTY FOOD 01/01/18 ANGELINI & ORI LLC 688 18WC 08171 FLORES, MARILYNN SILVERSTAR DEVILVERY LTD 03/01/18 GRAUER & KRIEGEL LLC LAWRENCE COZZI - LAW OFFICES 689 18WC 08189 CRUZ, YOLANDA ARDAGH METAL BEVERAGE USA 02/12/18 HERRERA LAW CENTER 690 18WC 08212 HERMANN, JILL ADVOCATE HEALTHCARE HI TE 01/24/18 GOLDBERG WEISMAN & CAIRO L 691 18WC 08231 FUNCHES, ARZELLA CHICAGO TRANSIT AUTHORITY 03/03/18 RUBENS AND KRESS CHICAGO TRANSIT AUTHORITY 692 18WC 08245 UTRERAS, EDGAR LAGUNITAS BREWING COMPANY 08/02/17 ACEVES & PEREZ PC 693 18WC 08290 JOHNSON, MARCUS PEPSI 09/07/17 LEONARD LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 694 18WC 08306 MITCHELL, JERRY OMNITRAX INC. 02/27/18 COSTA IVONE LLC 695 18WC 08326 JERNIGAN, VINSON REM INC. 03/09/18 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 696 18WC 08345 DIAZ, EDDIE HOWARD AUTO BODY 02/28/18 DWORKIN AND MACIARIELLO 697 18WC 08412 KHAN, MOHAMMAD N CITY OF CHICAGO 05/18/17 FIGLIOLI, DAVID 698 18WC 08440 FIRTH, RACHEL CITY OF CHICAGO - OEMC 02/04/18 CORBOY & DEMETRIO PC 699 18WC 08457 GARCIA, OSCAR CASE PAPER COMPANY INC 03/06/18 ANSELMO DURAN 700 18WC 08484 MEJIA, RUBEN INDUSTRIAL & WHOLESALE LU 02/06/18 EPSTEIN, JACK R LAW OFFICE

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 701 18WC 08554 ESTRADA, LEONELO HILTON 02/19/18 DWORKIN AND MACIARIELLO 702 18WC 08570 CANNON, VICTORIA DEE SWIGART INC 01/29/18 RIDGE & DOWNES 703 18WC 08616 OWENS, RAYMOND CHICAGO TRANSIT AUTHORITY 11/07/17 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 704 18WC 08642 RAMIREZ, ADRIANA CHEESE MERCHANTS OF AMERI 02/13/18 FOOTE MIELKE CHAVEZ & O'NE 705 18WC 08649 GARCIA, MARIA ELITE STAFFING, INC 03/07/16 COSTA IVONE LLC 706 18WC 08679 ZAMORA, CECILIA M BLOCK & SONS 07/27/17 FOHRMAN, DONALD W & ASSOCS 707 18WC 08690 HILL, TEISHA POTBELLY SANDWICH SHOP 02/22/15 LEONARD LAW GROUP LLC LAWRENCE COZZI - LAW OFFICES 708 18WC 08715 HONORABLE, WILLIE LSG SKY CHEFS 02/15/18 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 709 18WC 08750 HERNANDEZ, PEDRO COOK COUNTY SHERIFF 03/14/18 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 710 18WC 08793 SERAFYM, VOLODYMYR ORSOLINI WELDING & FABRIC 05/25/17 KATZ FRIEDMAN EAGLE ET AL 711 18WC 08811 AYALA, TASHIA L STATE OF IL - DCFS 02/02/18 VITELL & SPITZ LTD DANIELLE CURTISS 712 18WC 08846 HYLAND, DAVID KENNICOTT BROS CO 03/14/18 COVEN LAW GROUP 713 18WC 08899 KRALIK, ARNOLD SIEMENS HEALTHINEERS 09/30/16 ROMANUCCI & BLANDIN HOLECEK & ASSOCIATES 714 18WC 08944 CASTRO, ROSA TARGET STORES 08/24/17 STEVEN H MEVORAH & ASSOCIA 715 18WC 08967 SCALFANO, DAVID ROUNDY'S SUPERMARKETS, IN 03/11/18 ANKIN LAW OFFICE 716 18WC 08980 ERICKSON, GLEN POWER CONSTRUCTION CO, LL 02/16/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 717 18WC 08998 GRACZYK, AMANDA FOREST RIDGE ELEMENTARY 10/31/17 CAPRON & AVGERINOS PC 718 18WC 09017 SANCHEZ, FELIPE RANA MEAL SOLUTION 02/19/18 JOHN E LUSAK

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 719 18WC 09043 CHOI, HYUNG SUK THE PENINSULA HOTEL 12/16/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 720 18WC 09108 PEREZ, CRUZ GSF USA INC 11/20/17 ANGELA NARDI-QUIGLEY 721 18WC 09123 PORTER, BRIAN SCHEIDER TRUCKING COMPANY 02/26/18 ROGER D RUDICH LTD HENNESSY & ROACH PC 722 18WC 09145 CARRANZA, CATALINA UNISTAFF 03/07/18 KATZ FRIEDMAN EAGLE ET AL LITCHFIELD CAVO 723 18WC 09171 WILSON, SHARI E UNIVERSITY OF CHICAGO MED 09/22/17 GALLAGHER, DONALD V 724 18WC 09203 SOTO, EVELYN L COUNTRYSIDE DONUTS INC 03/16/18 ANKIN LAW OFFICE 725 18WC 09226 MC CULLOUGH, MARCUS SEALED AIR CORPORATION 08/22/17 GRAVLIN, MICHAEL J LLC MEACHUM & STARCK 726 18WC 09268 KNICKER, ROBERT UNILEVER 03/09/18 STYKA & STYKA WIEDNER & MCAULIFFE LTD 727 18WC 09294 MORALES, DAVID UNITED CONTINENTAL HOLDIN 03/10/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 728 18WC 09330 HAMILTON, MARY JEWEL FOODS 02/03/18 MARSZALEK AND MARSZALEK 729 18WC 09358 RODRIGUEZ, GUILLERMO WEBER STEPHEN PRODUCTS 02/08/17 SCOTT B SHAPIRO 730 18WC 09401 RICHIE, AHMAD R CITY OF COUNTRY CLUB HILL 10/20/17 KAVANAGH GRUMLEY & GORBOLD 731 18WC 09453 LOVACHEFF, LOUIS A UPS 03/15/18 LEONARD LAW GROUP LLC 732 18WC 09510 INIGUEZ, MIGUEL SOUTHWEST AIRLINES, INC 11/09/17 KARCHMAR & STONE HENNESSY & ROACH PC 733 18WC 09538 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION CITY 05/04/15 BEVERLY QUEEN-THOMAS CHGO BOARD OF EDUCATION 734 18WC 09551 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 04/02/15 BEVERLY QUEEN-THOMAS CHGO BOARD OF EDUCATION 735 18WC 09566 SANCHEZ, LUIS JOSHUAS CONSTRUCTION INC 03/22/18 ANKIN LAW OFFICE 736 18WC 09607 JOHNSON, JOE KOCH FOODS 03/14/18 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV 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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 737 18WC 09635 GIBSON, TJUANA CITY OF CHICAGO 03/19/18 KUMLIN & FROMM 738 18WC 09660 FEASTER, BRYANT GREAT LAKES COCA COLA 12/01/17 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 739 18WC 09681 VARGAS, SALVADOR ANTHONY MARANO CO 03/01/18 HERRERA LAW CENTER HOLECEK & ASSOCIATES 740 18WC 09703 ALI, GIRARDEAU T VILLAGE GREEN MGMT CO 08/08/17 SCHAFFNER RABINOWITZ FEINA ACCIDENT FUND HOLDINGS 741 18WC 09724 MYLES, ROCKIE AT&T 03/20/18 MARK SCHAFFNER 742 18WC 09731 RAMIREZ, LARRY TOWER AUTOMOTIVE 12/16/17 VASILATOS & COTTER LLC 743 18WC 09791 VARNADO, ADRIAN UPS FREIGHT 03/22/18 DWORKIN AND MACIARIELLO 744 18WC 09830 GAMINO, SALVADOR L BERWYN POLICE DEPARTMENT 06/11/17 HETHERINGTON KARPEL BOBBER CUDA LAW OFFICES 745 18WC 09864 MONCIVAIS, RAMIRO REYES HOLDINGS 11/01/17 ANGELINI & ORI LLC 746 18WC 12515 DAVISON, CLIFFORD BENCHMARK CONSTRUCTION CO * 12/19/17 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 747 18WC 16674 HOLMES, JOSHUA HERCULES FREIGHT * 05/17/18 DAVID W MARTAY 748 18WC 16705 STEELE, COREY DOLLAR TREE * 05/28/18 STEWART C ORZOFF 749 18WC 16746 PERERZ, GUADALUPE FERRARA CANDY CO * 05/01/18 MC HARGUE & JONES 750 18WC 16761 LEDEZMA, ALEX COMPASS GROUP USA, INC * 06/01/18 ANKIN LAW OFFICE 751 18WC 16775 WARJAS, BART COOK COUNTY SHERIFF * 05/22/18 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 752 18WC 16793 MCEWEN, TYRESE ANDERSON WINDOWS & DOORS * 04/12/18 STROM & ASSOC HENNESSY & ROACH PC 753 18WC 16818 SANGSTER, JEROME CITYWIDE DISPOSAL * 05/01/18 KREITER, BYCK & ASSOC LLP 754 18WC 16825 PANKONIN, ROBERT W VILLAGE OF ORLAND PARK * 04/23/18 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 755 18WC 16841 MEDINA, ROBERT PEOPLE GAS * 09/24/15 CUDA LAW OFFICES 756 18WC 16857 MUNOZ, ISIDRO ACCURATE PERFORATING * 05/01/18 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 757 18WC 16904 JOHNSON, RENWICK CHICAGO TRANSIT AUTHORITY * 05/31/18 ROGER D RUDICH LTD CHICAGO TRANSIT AUTHORITY 758 18WC 16922 WILLIAMS, CASSIUS AUNT MARTHA'S HEALTH CENT * 05/28/18 COSTA IVONE LLC 759 18WC 16941 MOORE, MARCUS CITY OF CHICAGO * 01/29/18 ARGIONIS & ASSOCIATES LLC 760 18WC 16970 BOUIE-JOHNSON, TOMECA OPEN WORKS * 03/28/18 PETER D CORTI LAW GROUP 761 18WC 16988 PADILLA, JUAN BINNY'S BEVERAGE DEPOT * 10/05/17 MENDOZA LAW PC 762 18WC 17005 SIMS, LINDA L PACE * 11/20/17 CHRISTIAN & MANNO 763 18WC 17040 SHANNON, CHEENA CPS * 05/11/18 DWORKIN AND MACIARIELLO 764 18WC 17076 NAVA, SANDRA SWISSOTEL CHICAGO * 05/06/18 COVEN LAW GROUP 765 18WC 17110 PILLOW, NINA CHICAGO PUBLIC SCHOOLS * 01/08/18 GAINES & GAINES 766 18WC 17158 IBRAHAM, DAVID TRIVEDI HOSPITALITY LLC * 01/27/18 ACEVES & PEREZ PC KOPKA, PINKUS DOLIN, PC 767 18WC 17180 MAGNI, CONNIE SMITH VILLAGE * 02/08/18 SCOTT B SHAPIRO 768 18WC 17222 ROSALES, ANTHONY INLAND DIE CASTING CO * 05/07/18 OSVALDO RODRIGUEZ PC 769 18WC 17242 CARDENAS, APOLINAR ELITE STAFFING * 06/21/17 RUEDA, IVAN A 770 18WC 17265 ACTABOSKI, RUTH E TARGET CORPORATION * 12/08/17 ANKIN LAW OFFICE 771 18WC 17286 TRIVETTE, MARY LEVY BROTHERS * 04/27/18 CULLEN HASKINS NICHOLSON 772 18WC 17329 ROBINSON, JONICE PARAMOUNT OF OAK PARK * 03/30/18 MARK N LEE

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 773 18WC 17366 REDDITT, LATRINA C ACTS AVIATION SECURITY * 05/07/18 WARREN W MARK 774 18WC 17393 BUTLER, DAVID B SNARF'S CHICAGO AVENUE LL * 11/21/17 JOSEPH MARCINIAK 775 18WC 17423 DUGAR, CALDWELL TITANIC FURNITURE * 03/03/18 ANKIN LAW OFFICE 776 18WC 17451 SHADD, EUGENE CHICAGO PUBLIC SCHOOLS * 04/17/18 DWORKIN AND MACIARIELLO 777 18WC 17492 EVITTS SR, DENNIS GOLDEN STATE FOODS * 02/13/18 WOODRUFF & JOHNSON 778 18WC 17530 HERNANDEZ, ADRIAN MAGNUM TRANSPORT * 04/09/18 BRILL & FISHEL 779 18WC 17555 FRAZIER, LA'TESHA OCTAPHARMA PLASMA * 06/05/18 KREITER, BYCK & ASSOC LLP 780 18WC 17592 BALENTINE, BRYAN PACE AIR FREIGHT INC * 05/25/18 ANKIN LAW OFFICE 781 18WC 17619 GONZALEZ, LUIS MULTIPACK SOLUTION * 02/05/18 CHEPOV & SCOTT LLC 782 18WC 17639 STEVENSON, CHARLES LOYOLA UNIVERSITY/TRINITY * 05/29/18 THOMAS A MORRISSEY 783 18WC 17692 GARCIA, GUSTAVO A USA CLEANERS * 05/31/18 COSTA IVONE LLC 784 18WC 17715 SCHWARTZ, EDWARD PEPSI BEVERAGE CO * 02/21/18 SAUNDERS CONDON & KENNY 785 18WC 17753 JACKSON, ERICKA UNITED AIRLINES * 01/26/18 HEALY SCANLON LAW FIRM 786 18WC 17793 WILLIAMS, PAUL FORE TRANSPORTATION * 02/13/18 BRISKMAN BRISKMAN GREENBER 787 18WC 17830 HOLLYFIELD, EDGAR AUTOZONE * 01/19/18 DWORKIN AND MACIARIELLO 788 18WC 17852 GARCIA, ARIEL AUTO ZONE * 05/26/18 STEVEN J MALMAN & ASSOCIAT 789 18WC 17878 BAYLOR, YVETTE LITTLE COMPANY OF MARY * 01/10/18 KARCHMAR & STONE 790 18WC 17900 MCADAMS, LEE DIVERSE FACILITY SOLUTION * 03/02/18 BRYCE DOWNEY & LENKOV LLC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 791 18WC 17926 FLORES, ENRIQUE MULTI-TEMPS * 06/11/18 LEONARD LAW GROUP LLC 792 18WC 17943 WILLIAMS, FELICIA AMERCN HERITAGE PROTECTIV * 05/31/18 DWORKIN AND MACIARIELLO 793 18WC 17995 SHABAZZ, SHERWIN JEWEL * 05/21/18 LANNON LANNON & BARR LTD 794 18WC 18014 OLMOS, JOSE LUIS ABM * 02/05/18 SALVATO O'TOOLE FROYLAN 795 18WC 18032 DE LEON, RAFAEL J DIAZ THE TOOTSIE ROLL COMPANY * 05/19/18 ANKIN LAW OFFICE 796 18WC 18094 DUNSING, JOHN JEWEL OSCO * 07/27/15 DWORKIN AND MACIARIELLO 797 18WC 18117 LARSEN, GREGORY NORTHERN ILLINOIS TERRAZZ * 08/17/17 HORWITZ HORWITZ & ASSOC 798 18WC 18136 AKINYEMI, PIPELAYO GRACE COOK COUNTY HEALTH & * 04/18/18 THE ROMAKER LAW FIRM 799 18WC 18155 REYES, ERNEST UNITED AIRLINES, INC * 03/12/18 GREGORIO & MARCO 800 18WC 18192 RENTER, ELIZABETH LYFT * 06/08/18 DWORKIN AND MACIARIELLO 801 18WC 18211 JOHNSON, LAKEISHA E AON * 08/23/17 TRUGLIO, FRED A & ASSOC BRADY CONNOLLY & MASUDA PC 802 18WC 18229 JENNINGS, RHONDA UNIVERSITY OF CHICAGO * 05/21/18 GOLDBERG WEISMAN & CAIRO L 803 18WC 18247 MILLER, CHARLES GOLD STANDARD BAKING * 05/12/18 O'CONNOR & NAKOS 804 18WC 18264 HENDERSON, DAIDREA ST FRANCIS HOSPITAL OF * 04/11/18 STANCZAK LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 805 18WC 18279 MALDONADO, JILLIAN AMERICAN AIRLINES * 06/09/18 SCOTT B SHAPIRO 806 18WC 18352 BOTHA, DEREK PIZZO & ASSOCIATES, LTD * 02/17/17 TURNER & SACKETT LLC KOPKA, PINKUS DOLIN, PC 807 18WC 18418 THEDFORD, ANECIA ABBOTT MOLECULAR * 10/03/16 GORDON LAW OFFICES LTD 808 18WC 18441 KELLUM, LATOYA CTA * 05/11/18 ACEVES & PEREZ PC

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 08/03/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 809 18WC 18478 BECK, REGINALD THE ESTATE MADO HEALTHCARE UPTOWN # * 01/22/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 810 18WC 18537 TOMASELLO, ANTONINO FIFTY 50 MANAGEMENT GROUP * 10/20/16 ROSS TYRRELL 811 18WC 18560 CORTEZ-SANCHEZ, JUAN CARL CREEKSIDE TOTAL MAINTENAN * 02/21/18 GANAN & SHAPIRO 812 18WC 18583 REDD, GREGORY CITY OF CHICAGO ASPHALT D * 12/20/17 JOSEPH J SPINGOLA, LTD 813 18WC 18602 ADAMS, RONALD MIDWEST CANVAS CORP. * 04/09/14 SILVERMAN, CLIFFORD A 814 18WC 18625 VALDEZ, ENRIQUE 11112 HALSTED CORP * 11/10/16 GRAZIAN & VOLPE PC 815 18WC 18643 KYANDE, SAMUEL WALMART, INC * 01/28/18 QUINTAIROS PRIETO WOOD & BOY 816 18WC 18667 WOODS, ORLANDO CITY OF CHICAGO * 11/09/16 VLANTIS LAW LLC 817 18WC 18688 ABUTEEN, RANDA COOK CNTY DEPT OF CORRECT * 10/27/17 DAVID W MARTAY 818 18WC 18707 MENDEZ RAMOS,ARCADIA FRAN F&O CHICAGO LLC * 04/07/18 STEVEN B SALK & ASSOC LTD 819 18WC 18726 RUIZ, YARA MACY'S * 05/30/18 STEPHAN L. HOFFMAN 820 18WC 18753 HOLTZ, MARK JOHN MAIER CO, INC * 11/03/17 GOLDBERG WEISMAN & CAIRO L 821 18WC 18777 JEFFERSON, JOHN SCHULZE & BURCH BISCUIT * 04/11/17 WIEDNER & MCAULIFFE LTD 822 18WC 18802 SANCHEZ, MARK FIRST STUDENT * 05/30/18 ANGELINI & ORI LLC 823 18WC 18808 MORALES, FELICIANA RON'S STAFFING SERVICES * 02/08/18 JONATHAN SCHLACK 824 18WC 18825 SANDOVAL, SILVINO BL DOWNEY COMPANY LLC * 03/28/18 MC HARGUE & JONES 825 18WC 18844 RODRIGUEZ, HARRIETT STATE OF ILLINOIS @ * 04/05/17 LEONARD LAW GROUP LLC 826 18WC 18894 CARVAJAL, MOISES INDAK MANUFACTURING CORP * 10/19/17 EDWARD J. KOZEL

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