illinois workers' compensation commission page 1 …79 15wc 35910 hernandez, maria reyna...

52
ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 98WC 42823 MC KINNEY, EMMA J CHICAGO TRANSIT AUTHORITY 02/07/98 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 98WC042824 -C 99WC035034 -C 00WC017428 -C 00WC044706 -C 03WC017434 -C 09WC011406 -C CTA 2 01WC 38262 MURRAY, KATHY A SWEDISH COVENANT HOSPITAL 06/07/00 CAMERON CLARK RUSIN & MACIOROWSKI LTD 01WC038263 -C 04WC049642 -C 3 03WC 14772 BARRY, THOMAS STATES ATTY OF COOK COUNT 11/29/01 HEALY LAW FIRM STATES ATTORNEY OF COOK CO 4 08WC 27591 COOPER, WINDORA E CHICAGO BOARD OF EDUCATIO 06/21/07 THOMAS R LICHTEN KLAUKE LAW GROUP LLC 5 09WC 12430 19B GERKE, STEVEN N AREA ERECTORS INC 09/13/08 RUBIN LAW GROUP HENNESSY & ROACH PC 6 09WC 23496 PYTER, LINDA WIDOW OF PENSKE TRUCK LEASING 07/17/08 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 09WC024298 -C 11WC004191 -C 7 10WC 01199 BUCHANAN, ALEATHEA L JOHN M. SMYTH 03/30/09 ANKIN LAW OFFICE LAW DEPARTMENT 8 10WC 32629 JALOVECKAS, ROBERT PARKWAY ELEVATORS 07/23/10 BOGUSZ & BOGUSZ LTD STONE & JOHNSON CHARTERED 9 11WC 29362 HOLMON, LASHAWN CTA 07/30/11 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 13WC032476 -C 14WC032940 -C CHICAGO TRANSIT AUTHORITY 10 11WC 43713 ZELLER, VERNON SEARS HOLDING CORP 05/23/11 LUSAK AND COBB GAROFALO SCHREIBER STORM GRA

Upload: others

Post on 20-Nov-2020

5 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 98WC 42823 MC KINNEY, EMMA J CHICAGO TRANSIT AUTHORITY 02/07/98 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 98WC042824 -C 99WC035034 -C 00WC017428 -C 00WC044706 -C 03WC017434 -C 09WC011406 -C CTA 2 01WC 38262 MURRAY, KATHY A SWEDISH COVENANT HOSPITAL 06/07/00 CAMERON CLARK RUSIN & MACIOROWSKI LTD 01WC038263 -C 04WC049642 -C 3 03WC 14772 BARRY, THOMAS STATES ATTY OF COOK COUNT 11/29/01 HEALY LAW FIRM STATES ATTORNEY OF COOK CO 4 08WC 27591 COOPER, WINDORA E CHICAGO BOARD OF EDUCATIO 06/21/07 THOMAS R LICHTEN KLAUKE LAW GROUP LLC 5 09WC 12430 19B GERKE, STEVEN N AREA ERECTORS INC 09/13/08 RUBIN LAW GROUP HENNESSY & ROACH PC 6 09WC 23496 PYTER, LINDA WIDOW OF PENSKE TRUCK LEASING 07/17/08 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 09WC024298 -C 11WC004191 -C 7 10WC 01199 BUCHANAN, ALEATHEA L JOHN M. SMYTH 03/30/09 ANKIN LAW OFFICE LAW DEPARTMENT 8 10WC 32629 JALOVECKAS, ROBERT PARKWAY ELEVATORS 07/23/10 BOGUSZ & BOGUSZ LTD STONE & JOHNSON CHARTERED 9 11WC 29362 HOLMON, LASHAWN CTA 07/30/11 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 13WC032476 -C 14WC032940 -C CHICAGO TRANSIT AUTHORITY 10 11WC 43713 ZELLER, VERNON SEARS HOLDING CORP 05/23/11 LUSAK AND COBB GAROFALO SCHREIBER STORM GRA

Page 2: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 11 11WC 44330 HAMPTON, AUDREY CHICAGO PUBLIC SCHOOLS 09/13/11 DEAN J CARAS & ASSOCIATES LEAHY EISENBERG & FRAENKEL 12 11WC 47393 SOLANO, YOLANDA GATE COURMET 12/11/11 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 11WC047394 -C 11WC047395 -C 13 12WC 02357 RALPH, JASON CURRIERS HUDO SERVICE LLC 01/06/12 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 14 12WC 03586 19B LOCKHART, MARGARET ILL DEPT OF TRANSPORTATIO @ 01/13/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 15 12WC 16494 DACA, JANUSZ SPIE TOOL CO 05/01/11 MINKOW DOMIN LAW OFFICES JOSEPH MARCINIAK 16 12WC 21264 19B ROGERS, LENORA ELIZABETH LUDEMAN CENTER @ 11/20/11 ANKIN LAW OFFICE STEPHANIE KEVIL 17 12WC 22215 WOODS, RICARDO METROPOLITAN WATER RECLAM 01/27/12 ROBERT A. WILSON NYHAN BAMBRICK KINZIE & LOWR 15WC019694 -C 18 12WC 27455 TRES, ALAN J WEST RIDGE NEWS AGENCY IN 05/15/03 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 19 12WC 30666 GRANDE, MANUEL P DE STA CO MANUFACTURING 05/29/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 14WC012679 -C DE-STA-CO MANUFACTRING 20 12WC 34254 SPITZER, MELANIE CLUB 162 N/K/A 04/01/11 GORDON & CENTRACCHIO LLC 21 12WC 37400 19B OTT, DON ALLIANCE FIRE PROTECTION 11/01/11 HEALY LAW FIRM HENNESSY & ROACH PC 22 13WC 07346 HARRIS, NATESHA ABM JANITORIAL 08/30/12 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 23 13WC 15855 SHEPARD, PATRICIA JEWEL FOODS 04/13/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 24 13WC 16757 ARANDA, ANTONIO HILTON WORLDWIDE INC C/O 02/15/13 DWORKIN AND MACIARIELLO NOBLE & ASSOC

Page 3: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 25 13WC 16825 FRYE, LAMONT CHICAGO PUBLIC SCHOOL ROJ 05/13/13 LAW OFFICE OF SCOTT B SHAP LAW DEPARTMENT 26 13WC 21421 MURDOCK, KATHY ADDUS HEALTHCARE 12/13/12 DAVID W MARTAY HENNESSY & ROACH PC 14WC036019 -C 27 13WC 23909 HANNAH, TANASHA PRINCIPAL MANUFACTURING 05/01/11 MEYERS & FLOWERS JOSEPH MARCINIAK 13WC023910 -C 15WC005006 -C 28 13WC 24791 ULRICH, JOHN E JR PALOS COMMUNITY HOSPITAL 08/26/10 HORWITZ HORWITZ & ASSOC LORENZ & BERGIN PC 29 13WC 27609 GOMEZ, GILBERTO VIRTO AND SON TRUCKING 10/15/12 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC 30 13WC 27932 RICHARD, MARY CTA 07/30/13 BALKE & WILLIAMS CHICAGO TRANSIT AUTHORITY 31 14WC 02414 HORDE, CECILIA CHICAGO BOARD OF EDUCATIO 03/17/00 LUSAK AND COBB CHGO BOARD OF EDUCATION 32 14WC 04405 MARTINEZ, JUAN CARLOS EL VENENO DE NAYARIT 05/06/13 VRDOLYAK LAW GROUP LLC 33 14WC 08492 EARTHELY DAVIS, DENISE CTA 02/28/14 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 34 14WC 13895 GAS, ROSELYN UNIVERSITY OF CHICAGO MED 02/26/14 DANIEL SZCZECIN & ASSOC KNELL O'CONNOR DANIELWICZ 35 14WC 16439 ARNOLD, ROBERT AMMERAAL BELTECH 08/17/13 SEIDMAN MARGULIS & FAIRMAN 36 14WC 16697 RAMOS, JUAN PABLO SORTO D & Z CONSTRUCTION LLC 01/19/14 SALVATO & O'TOOLE 37 14WC 17418 MORENO, HUGO COLONIAL BRICK CO INC 03/12/14 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 38 14WC 20860 JAMISON, ANTHONY CHICAGO PUBLIC SCHOOLS 09/22/11 CAMERON CLARK LAW DEPARTMENT 39 14WC 25499 RUIZ, ALEJANDRO AMERICAN BUILDING 12/26/13 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 40 14WC 30139 BOYD, NANCY ELIZABETH LUDEMAN CENTER @ 07/31/14 WITTENBERG DOUGHERTY MAGLI C. FLETCHER 41 14WC 35257 PREVENDAR, DAN UNITED AIRLINES INC. 10/03/14 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD

Page 4: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 14WC 36472 METZNER, MARK AMERICAN COMMUNITY MANAGE 08/05/14 BOUDREAU NISIVACO LLC ACCIDENT FUND HOLDINGS 43 14WC 36880 SMILEY, JOE D JR CHICAGO PUBLIC SCHOOLS 05/06/14 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 44 14WC 37435 AVILEZ, SEFERINO VPC PIZZA MANAGEMENT 08/26/13 MARTIN L GLINK LAW OFFICE INMAN & FITZGIBBONS 45 14WC 37575 19B BRYANT, SUSAN ANN & ROBERT H LURIECHILD 07/28/12 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 46 14WC 37616 OLADIPO, OLALEKAN TRIBECA TWO CAB CORP 3335 09/04/14 COHN LAMBERT RYAN & SCHNEI DEBORAH SCHAEFER 47 14WC 38834 PRICE, TIMOTHY L D DHL WORLDWIDE EXPRESS 10/09/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 48 15WC 01658 SALDIVAR, ROGELIO PACKERS SANITATION SERVIC 12/14/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 49 15WC 01863 PARCHETA, PATTY STARBUCKS COFFEE COMPANY 06/03/14 LAW OFFICES DANIEL E MURPH BRADY CONNOLLY & MASUDA PC 15WC007804 -C 50 15WC 03896 DAVIS, JAMICA N COOK CTY FACILITIES MGMT 11/14/13 GOLDSTEIN BENDER & ROMANOF STATES ATTORNEY OF COOK COUN 51 15WC 04609 GIL, CARLOS CHICAGO TRANSIT AUTHORITY 01/12/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 52 15WC 04627 SAYANI, MOHAMMED N GLOBE TAXI 02/24/14 SEIDMAN MARGULIS & FAIRMAN 53 15WC 04907 LATRONICA, RENEE G CHICAGO PUBLIC SCHOOLS 06/10/14 GOLDBERG WEISMAN & CAIRO L 54 15WC 04948 LEWIS, JEZAIL CHICAGO PUBLIC SCHOOLS 01/14/15 BAUM RUFFOLO & MARZAL LTD CHGO BOARD OF EDUCATION 55 15WC 05046 BOENS, KEVIN COOK COUNTY 02/13/15 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 16WC018692 -C 17WC010522 -C 56 15WC 08879 MUENCH, RYAN UIC MEDICAL CTR PATHOLOGY 05/17/13 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 57 15WC 10740 19B DUNNING, TUESDAY VILLAGE DISCOUNT OUTLET 09/27/14 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 58 15WC 12804 DYMEK, JAMES M UNIVERSAL PROTECTION SERV 02/01/15 NEWMAN, BOYER & STATHAM KEEFE CAMPBELL & ASSOC LLC

Page 5: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 15WC 12838 ARCE, LUIS CTA 01/15/15 WHITING LAW GROUP CHICAGO TRANSIT AUTHORITY 60 15WC 14293 KNIGHT, JANELLE NORTHWESTERN MEMORIAL HOS 12/01/14 EAMES LAW GROUP LTD GAROFALO SCHREIBER STORM GRA 61 15WC 21856 CHERN, KAREN S. UPRIGHT LAW 06/08/15 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 62 15WC 22003 19B DONALDSON, DANIEL S CENTRAL GROCERS DBA 01/06/15 PAUL W GRAUER & ASSOC ROSARIO CIBELLA 63 15WC 23561 GARCIA, NOE REZA NATIONAL PROCESSING CO 07/27/15 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 16WC039435 -C 64 15WC 23679 RAFIDI, YASMIN SYMPHONY OF CRESTWOOD NUR 07/01/15 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 65 15WC 24787 MEREGILLANO, VIRGINIA STATE OF IL-CHICAGO READ @ 06/17/15 HART & DAVID LLP ASSISTANT ATTORNEY GENERAL 66 15WC 25823 MC CARTHY, DAWN NAPLETON RIVER OAKS MOTOR 01/27/15 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 67 15WC 26377 SUAREZ, MIGUEL EDGAR A WEBER & CO 07/13/15 COHN & COHN HENNESSY & ROACH PC 68 15WC 33063 DRINSKI, JEFFREY TOTAL REHAB PROPERTY W 01/07/15 WOLFE LAW PC 69 15WC 33593 GALE, CORDRE FORD MOTOR COMPANY 07/17/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 70 15WC 34124 HARRIS, JULIE 2-IN-1 CONTRACTORS, INC 07/15/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 71 15WC 34230 SWEENEY, SUSAN SOUTHWEST AIRLINES 10/04/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 15WC034231 -C 72 15WC 34314 TORRE, ELEAZAR DE LA A & A DRYWALL & TAPING 02/09/15 RAYMOND M SIMARD, PC EVANS & DIXON 15WC034315 -C 73 15WC 34662 FULLER, KERI KRAFT HEINZ 11/14/13 RUBIN LAW GROUP GAROFALO SCHREIBER STORM GRA 15WC034663 -C 74 15WC 34904 CROCKETT, EVELYN CHICAGO PARK DISTRICT 05/01/13 POLANSKY & CICHON CHTD CHICAGO PARK DIST LAW DEPT 75 15WC 34985 HOFFMAN, BETH SPANCIL DEVELOPMENT D/B/A 02/08/15 ASHER, RAYMOND L LTD HENNESSY & ROACH PC

Page 6: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 15WC 35393 JONES, WENDELL E VCNA PRAIRIE MATERIAL SER 06/04/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 77 15WC 35663 COONS, LEE RONALD WEBER-STEPHEN 04/30/15 COLLISON LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 78 15WC 35775 TREIBER, STACI VILLAGE OF WHEELING 10/07/15 SCOTT BARBER KLEIN THORPE & JENKINS LTD 79 15WC 35910 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC. 12/02/13 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 80 15WC 36039 WATKINS, RAYMOND CASSENS TRANSPORT 09/15/15 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 81 15WC 36106 RODRIGUEZ, SAMUEL GERBER TECHNOLOGY 04/20/15 GOLDBERG WEISMAN & CAIRO L 82 15WC 36175 CROWEROFT, MICHAEL A W SMITH CARTAGE COMPANY 10/18/15 LEONARD LAW GROUP LLC 83 15WC 36366 CAGLE, GREGORY ROSEMONT EXPOSITION SERVI 10/12/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 84 15WC 36476 SHERWOOD, KEVIN ORTIZ BUILDERS, INC 09/23/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 15WC036477 -C 85 15WC 36685 PAYNE, VONDA CIRCUIR COURT OF 08/02/14 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 86 15WC 36860 FIELDS, LINDA L STATE OF IL DEPT OF @ 11/07/15 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 87 15WC 36943 MUHAMMED, ARIF BLUE CODE CHICAGO W 09/28/15 BAUM RUFFOLO & MARZAL LTD 88 15WC 37759 HERRERA, SILVESTRE P&K AUTO SALES INC (NKA- W 02/25/15 MENDOZA LAW PC ATSAVES, LOUIS G LTD 89 15WC 38153 SCHMITZ, THOMAS M BREMEN HIGH SCHOOL DIST 2 06/02/15 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 90 15WC 38177 WILSON, JOHN UPS 12/10/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 91 15WC 38800 PEREZ, OLIVIERO ACME INDUSTRIES INC 04/29/15 NEWLAND & NEWLAND HOLECEK & ASSOCIATES

Page 7: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 92 15WC 38841 ANZALDUA, ANASTASCIO BIG TOP AUTO PARTS INC 10/23/15 COHN & COHN 93 15WC 41287 TALLERICO, JAMIE ILLINOIS STATE TOLL HIGHW @ 04/18/13 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 17WC001051 -C 17WC005323 -C IL STATE TOLL HWY AUTHORIT 94 16WC 00914 19B GRAJALES-ARCE, MARIA PLEASANT HOUSE BAKERY LLC 12/15/15 NICHOLIS J STEIN LAW OFFICES JOSEPH MARCINIAK 95 16WC 03520 SCHWARZ, BARBARA SPEED COOP 10/24/14 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 96 16WC 04218 MOORE, LUSETTE PACE BUS 11/29/15 VASILATOS & COTTER LLC POWER & CRONIN LTD 97 16WC 04380 BROWN, GABRIEL A NELSON INSULATION CO 12/22/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 98 16WC 05117 MORENO, DEBRA J FORD MOTOR CO 02/04/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 99 16WC 14515 YOUNG, WILLIE CHICAGOBEARS FOOTBALL 12/21/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC034808 -C 16WC034809 -C 18WC015357 -C 18WC028874 -C 18WC028875 -C 18WC028876 -C 18WC028877 -C 18WC028878 -C 18WC028879 -C 18WC028880 -C 18WC030692 -C 100 16WC 15377 LLOYD, BONNIE CHICAGO TRANSIT AUTHORITY 02/19/16 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 101 16WC 16809 BELAUZARAN, MARTHA EXECUTIVE MAILING 08/14/15 SALVATO & O'TOOLE 102 16WC 17375 STOVALL, GRACE RICK'S SERVICES INCORP. 04/23/16 LIPKIN & APTER HOLECEK & ASSOCIATES

Page 8: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 16WC 24690 NORWOOD, APRIL CARL BUDDIG & CO 05/30/16 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR 104 16WC 24946 SANCHEZ, NILDA MENARD INC 04/19/15 RICHARD O. GREENFIELD CHILTON YAMBERT PORTER LLP 16WC024947 -C 105 16WC 25016 ZARAGOZA, JESUS M. ROY STROM, INC. 05/10/16 CHRISTIAN & MANNO KLAUKE LAW GROUP LLC 17WC026417 -C 106 16WC 25026 PODOLSKI, JOHN CITY OF PARK RIDGE 05/18/16 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 16WC025027 -C 107 16WC 25358 PANAGOULIS, JOANN LOYOLA GOTTLIEB 03/30/16 PARAD LAW OFFICES PC LORENZ & BERGIN PC 108 16WC 25412 FONTANINI, RITA PRESENCE ST FRANCIS HOSPI 09/01/15 CHARLES A FANUCCHI BRADY CONNOLLY & MASUDA PC 16WC025413 -C ADVOCATE CONDELL MEDICAL C 109 16WC 25525 AWAD, HATEM DISPATCH TAXI MGMT LLC 04/30/16 SEIDMAN MARGULIS & FAIRMAN 110 16WC 25599 HARDEN, DOMINIQUE FORD MOTOR COMPANY 08/06/16 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 111 16WC 26250 HERNANDEZ, CARY TIGER AUTOMOTIVE 06/16/16 CRONIN & PETERS 112 16WC 26393 TORRES, NANCY D L H SOLUTIONS 04/27/16 SHANNON LAW GROUP WOLFE & JACOBSON, LTD 113 16WC 31498 GANNON, BARBIE COOK COUNTY DEPT OF CORR 10/06/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 114 16WC 31823 WILLIAMS, HELENE ELITE STAFFING 10/07/16 POMPER & GOODMAN 16WC038434 -C 115 16WC 33946 ESCUTIA, PEDRO MARTINEZ B LANDSCAPING 05/13/16 CULLEN HASKINS NICHOLSON 116 16WC 34162 REYNISH, SAM CHICAGO SURGICAL CLINIC 02/02/15 MARTIN L GLINK LAW OFFICE JOSEPH MARCINIAK 117 16WC 34178 LEWIS, MICHAEL MA STEEL ERECTORS 10/20/16 DWORKIN AND MACIARIELLO 118 16WC 34351 MILLER, ANDREW ARENA FOOTBALL ONE LLC 04/01/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 119 16WC 34429 CHRISTIAN, RONAK DISPATCH TAXI AFFILIATION 11/10/13 MARK WHITESIDE ESQ

Page 9: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 120 16WC 34974 DOORNBOS, RICHARD WASTE MANAGEMENT 09/25/16 GOLDBERG WEISMAN & CAIRO L THOMAS J STIBERTH LAW OFFICE 121 16WC 35006 EWALD, JOHN COOK COUNTY DEPT OF CORRE 06/28/16 STEWART C ORZOFF STATES ATTORNEY OF COOK COUN 16WC035007 -C 122 16WC 35024 MOLINA, DOLORES FIRST STUDENT SCHOOL BUS 10/20/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 19WC019288 -C 123 16WC 35089 RAMIREZ, FELIX ELITE STAFFING 10/11/16 JOHN S. ELIASIK 124 16WC 35138 HIDALGO, ENRIQUE UNIFIED CML, LLC 11/04/16 MAURICE E DUSKY PC HOLECEK & ASSOCIATES 125 16WC 36253 SIRCHER, KYLE CITY OF CHICAGO - DEPT OF 03/08/16 ARNOLD & KADJAN CITY OF CHICAGO 126 16WC 36516 GONZALEZ, ANGELES AXLE TECH INTERNATIONAL 10/19/16 STROM, NEAL B WOLFE & JACOBSON, LTD 127 16WC 36720 DAVIS, WILLIE CITY OF CHICAGO DEPT OF W 10/28/16 VRDOLYAK LAW GROUP LLC 128 16WC 36728 BELTRAN, JOSE AHM BUILDERS 11/17/16 JAMES ELLIS GUMBINER & ASS 129 16WC 36795 ALLEN, PATRICIA CTA-CHICAGO TRANSIT AUTHO 11/08/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 130 16WC 36868 HENESTROSA, RAUL GALINDO DELTA LOGISTICS, INC 06/27/16 THE ROMAKER LAW FIRM LITCHFIELD CAVO 131 17WC 03665 LA VOIE, DEIDRE GP LOGISTICS 06/24/13 STEVEN L. VENIT HENNESSY & ROACH PC 132 17WC 03898 MENDEZ, KRISTY RESOURCE MFG 12/09/16 HART & DAVID LLP 133 17WC 03982 RIVERA, CHRISTIAN ROSE PACKIGN CO 01/18/17 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 134 17WC 04141 ROBINSON, ISAAC ABSOPURE WATER CO, INC 01/21/16 HANNIGAN & BOTHA, LTD SMITH AMUNDSEN LLC 135 17WC 04342 WARMLEY, TONY CHICAGO POLICE DEPARTMENT 11/02/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 136 17WC 04361 BARKER, DENISE B CHICAGO BOARD EDUCATION 01/27/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 137 17WC 04598 BERG, CHARLES SKYWEST AIRLINES 01/13/17 BERG & BERG GANAN & SHAPIRO

Page 10: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 17WC 04696 JEFFERSON, MAURICE WHOLE FOODS 02/08/17 LAW OFFICES OF JOSEPH F. V 139 17WC 04756 ROTH, ERIC SOUTHWEST AIRLINES 03/24/16 GREGORIO & MARCO HENNESSY & ROACH PC 140 17WC 05156 WARDELL, BILLY PROGRESS RAIL A CATERPILL 01/24/17 MILLON & PESKIN LTD GOLDBERG SEGALLA LLC 141 17WC 05172 MARTINEZ, MAGDIEL ROSAL'S CUCINA, INC W 01/28/17 STEVEN J TENZER, LTD 142 17WC 05214 THOMAS, PEARL M CHICAGO PULBIC SCHOOLS 11/28/16 ANKIN LAW OFFICE LAW DEPARTMENT 143 17WC 05325 CHANG, BRENDA NALCO CHEMICAL CO 04/05/16 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL & ASSOC LLC 144 17WC 05620 ILUMINADA, ROMAN COOK COUNTY C/O 08/20/14 RAYMOND P GARZA LAW OFFICE STATES ATTORNEY OF COOK COUN 145 17WC 05794 ROZSIVAL,M MICHAL CHICAGO BLACKHAWKS HOCKEY 05/07/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 146 17WC 05956 SEYPTOLOOL, MEHDI NECT 17 - LLC 01/29/17 NYHAN BAMBRICK KINZIE & LOWR 147 17WC 06179 KIMBROUGH, REGINA LYFT 02/20/17 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 148 17WC 06287 EVANS, ROBERT RELATED MIDWEST MGMT 01/20/17 DISPARTI LAW GROUP PA 149 17WC 06320 GLYAZER, ALECKSNDR COUNCIL FOR JEWISH ELDERL 02/03/17 JOSEPH MARCINIAK 19WC031644 -C 19WC037148 -C 150 17WC 06358 PENNYMON, LATAVIA NORTHWESTERN MEDICAL CENT 09/22/16 SHELDON I MINKOW & ASSOCIA 151 17WC 06441 LANE, BETSY FEDEX EXPRESS 07/21/16 PARENTE & NOREM PC HANSON LAW OFFICE 152 17WC 06467 MABIN, MARCIA GRAND PRAIRIE SERVICES 02/03/17 CULLEN HASKINS NICHOLSON

Page 11: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 17WC 11428 CARAWAY, MEGAN AMERICAN AIRLINES 12/12/16 SAUNDERS CONDON & KENNY 154 17WC 13604 MARTINEZ, MARTHA UIC HOSPITAL 04/29/15 CURTIS S BURKE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC013605 -C 17WC013606 -C 155 17WC 13707 JUAREZ, FRANCISCO C. DYNAMIC MANUFACTURING INC 02/01/17 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 156 17WC 13899 JAZO, GAYLE PRIMUS ORTHOPEDICS, S.C. 06/30/16 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 157 17WC 14007 PINA, MARIA WORK FORCE, LLC 08/22/14 ROSS TYRRELL KOREY RICHARDSON LLC 158 17WC 14034 ODEYELE, SAMUEL SAMODE 49, INC 04/07/17 LAW OFFICE RYAN ROSENTHAL 159 17WC 14223 SPENCER, SADE HAYMARKET CENTER 04/26/17 160 17WC 14462 NUCCIO, LORETTA WALGREENS 02/26/17 RIDGE & DOWNES GILDEA, COGHLAN & REGAN LTD. 161 17WC 14484 19B REYES, MARIA MARTINEZ MACNEAL HOSPITAL 03/27/17 LANNON LANNON & BARR LTD HENNESSY & ROACH PC 162 17WC 14669 AGUILAR, SILVIA CHICAGO MIDWAY INT'L AIRP 04/27/17 ESR LAW GROUP THOMAS & PORTELA 163 17WC 14929 URBANI, BARBARA ROSELAND COMMUNITY HOSP 04/28/17 ANGELINI & ORI LLC SCOPELITIS GARVIN LIGHT 164 17WC 14991 DEPKON, JAMES CITY OF PARK RIDGE 03/14/17 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 165 17WC 15062 ROBLES, JOSE STERLING SLEEP PRODUCTS 02/14/17 MILLON & PESKIN LTD HENNESSY & ROACH PC 166 17WC 15320 YOUNUS, FAWZI AMERICAN AIRLINES 05/19/17 HUGHES SOCOL PIERS RESNICK GAROFALO SCHREIBER STORM GRA 167 17WC 15558 ALSHWAYYAT, WALID AMERICAN TAXI DISPATCH IN 05/18/16 BRUSTIN & LUNDBLAD LTD BAUM RUFFOLO & MARZAL LTD 168 17WC 15743 CAREY, MARK AT&T 01/17/17 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 169 17WC 15804 RAMIREZ, VINCENTE R.K. HOLDINGS DBA RUSTIC 09/13/16 ANKIN LAW OFFICE GANAN & SHAPIRO 170 17WC 15956 GUERRERO, ALICIA F MCDONALD'S 11/22/16 CULLEN HASKINS NICHOLSON

Page 12: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 17WC 15972 HUTCHINSON, DERRICK WILMETTE SD # 39 04/24/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 172 17WC 16073 WRIGHT, DEBBIE JERNBERG INDUSTRIES, INC 12/16/16 CHRISTINE F DAVID MEACHUM & STARCK 173 17WC 16277 KIDD, DWANE OLD VETERAN CONSTRUCTION 03/20/17 ERIC M GLASSON & ASSOCIATE 174 17WC 16666 CROWE, RON DART CONTAINER 06/18/16 JOHN C SERKLAND GAROFALO SCHREIBER STORM GRA 17WC016667 -C 17WC016668 -C 175 17WC 16683 ESTRADA, DANIEL CSR ROOFING CONTRACTORS 05/31/17 ASHER, RAYMOND L LTD STONE & JOHNSON CHARTERED 176 17WC 18984 MILLER, DAMIAN MARKETBUZZ PROMOTIONS 06/15/17 177 17WC 19055 GORZ, BRIAN HUDSON BOILER 01/03/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 178 17WC 23085 PHILLIPS, KAMARII SWISSPORT USA, INC 08/01/17 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 179 17WC 23144 GILLMAN, MARGARET M CITY OF CHICAGO POLICE DE 04/12/17 BRILL & FISHEL CITY OF CHICAGO 180 17WC 23242 MALCOLM, ROBERT ILLCO, INC. 08/01/17 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOC 181 17WC 23268 CABRERA, SILVANO TOTAL FACILITY MAINTENANC 04/15/15 LAW OFFICE HUGO ORTIZ 182 17WC 23296 HERNANDEZ, GUADALUPE ED MINIAT, LLC 07/11/17 BERNAT & BERNAT PC POWER & CRONIN LTD 18WC030248 -C MINIAT HOLDINGS LLC 18WC030249 -C 183 17WC 23436 LITTLE, PATRICIA STEINER SECURITY SERVICES 05/13/17 MARC J SHUMAN & ASSOCIATES 184 17WC 23527 WILLIAMS, CRYSTAL VALLI PRODUCE 08/12/15 DWORKIN AND MACIARIELLO 185 17WC 23767 LAGRANDBERY, SIRQUINN CARDINAL LOGISTICS 08/10/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 186 17WC 23889 STARLING, CYNTHIA JACKSON PARK HOSPITAL 03/17/17 MAURICE E DUSKY PC ODELSON & STERK

Page 13: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 187 17WC 23923 AYALA, FELICITAS ARYZTA 03/30/17 LAW OFFICES LEONARDO MORAL HENNESSY & ROACH PC 188 17WC 23972 HALEY, TITANNA CENTRAL STEEL AND WIRE CO 07/14/17 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM GRA 18WC012892 -C 189 17WC 24129 MANOS-VICKERS, MATTHEW MARR CHICAGO PIZZA, INC 10/25/14 LAW OFFICES OF HELEN BLOCH HENNESSY & ROACH PC 190 17WC 24152 ROMERO, GLORIA ST ANTHONY HOSPITAL 03/29/17 ACEVES & PEREZ PC 191 17WC 24470 NUNEZ, GRISELDA TRIUNE LOGISTICS 08/04/17 HERRERA LAW CENTER LITCHFIELD CAVO 192 17WC 24573 SHINES, DORIS L CRESTLINE HOTELS & RESORT 03/21/17 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 19WC015077 -C 193 17WC 24749 HERNANDEZ, BENJAMIN FORD MOTOR COMPANY 10/27/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 17WC024750 -C 17WC024801 -C 17WC024802 -C 194 17WC 24777 AMOATIN, FELIX SCOOBEEZ INC 07/28/17 TAXMAN POLLOCK 195 17WC 24812 DIAL, CHRISTOPHER PORRECA FREIGHT 07/05/17 RANDALL A. WOLFF & ASSOC 196 17WC 25342 GARCIA, MARIA CARL BUDDIG & CO. 06/10/17 HERRERA LAW CENTER KNELL O'CONNOR DANIELWICZ 197 17WC 25366 NEHRING, AMANDA SPEE DEE DELIVERY SERVICE 08/17/17 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC 17WC027507 -C 19WC018409 -C 19WC027243 -C 198 17WC 25424 BOVAN, DEBORAH GERALEX/RD REAL ESTATE 07/03/17 SALVATO & O'TOOLE 199 17WC 25705 WELLS, SHERRIE FOOD 4 LESS 07/03/17 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 200 17WC 25805 GARCIA, ISAAC GROOT INDUSTRIES 10/08/15 LANCASTER, DEBORAH 201 17WC 25832 SIMPSON, ROCHELLE CHICAGO PUBLIC SCHOOLS 06/13/16 HODES GREENSTEIN & LITWIN 202 17WC 30618 TUCKER, TERENCE VILLAGE OF ROBBINS 10/10/17 SKLARE LAW GROUP POWER & CRONIN LTD

Page 14: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 203 17WC 32800 WALKER, CHRIS NIAGRA LASALLE 06/24/17 DWORKIN AND MACIARIELLO 204 17WC 32926 BEASLEY, CHARLES PULLMAN SUGAR 11/10/16 CHADWICK & LAKERDAS 205 17WC 33193 GAVRYLKO, IVAN PROSPECT AIRPORT SVS, INC 07/07/14 FEDOR KOZLOV & ASSOC 206 17WC 33329 MORENO-ARELLANO, DAVID HASSAN AZARPIRA W 05/04/15 ANKIN LAW OFFICE LADUZINSKY & ASSOC 207 17WC 33517 MEJIA, JOSE ADVANCED DISPOSAL 03/01/16 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 312 17WC033518 -C 208 17WC 33658 SUDDUTH, MALVIN T RIKKI'S CLEANING SERVICES 09/01/17 MCGOVERN, JOSEPH M LAW OFFIC 209 17WC 33886 AMUKWO, LYCENT UNISTAFF 10/17/17 JOHN S. ELIASIK 210 17WC 34169 LEE, DESMOND UBER 11/10/17 DWORKIN AND MACIARIELLO 211 17WC 34268 CARABALLO, MICHAEL L ELITE RENOVATIONS SYSTEMS W 08/16/17 GALLAGHER, DONALD V 212 17WC 34286 ARMSTRONG, ANTONIO LABOR READY 04/22/16 RUSIN & MACIOROWSKI LTD 213 17WC 34379 PHILLIPS, ANTHONY PACE 10/13/17 LAW OFFICE OF SCOTT B SHAP 214 17WC 34582 SLUE, MONTGOMERY CHICAGO TRANSIT AUTHORITY 03/14/17 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 215 17WC 34607 ALEXANDER, SHERITA PACE 11/10/17 SALVATO & O'TOOLE 216 17WC 34629 JONES, JOE KOCH TRUCKING, INC 11/18/17 COSTA IVONE LLC 217 17WC 34891 FERGUSON, ROBERT LOWE'S 07/03/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 218 17WC 34933 THRELKELD, JOHN KRDENTH TRUCKING INC 10/16/17 ANKIN LAW OFFICE 219 17WC 35007 FIESTA, KARL UNITED PARCEL SVC 10/31/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 220 17WC 35147 GARCIA, ALEX RT WHOLESALE LLC D/B/A 10/26/17 FIGLIOLI, DAVID GANAN & SHAPIRO

Page 15: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 221 17WC 35198 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 04/19/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 222 17WC 35257 VILLA, BETTYE LURIE CHILDRENS HOSPITAL 06/04/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 17WC035258 -C 223 17WC 35308 PARTEE, JACQUELINE CITYOF CHICAGO 04/19/17 LAW OFFICE JOSHUA KARMEL CITY OF CHICAGO 224 17WC 35363 HOSKINS, STACY NORTH SHORE UNIVERSITY 09/25/17 GOLDSTEIN AIOSSA & GOOD KEEFE CAMPBELL BIERY & ASSOC 225 17WC 35381 BROWN-BURGE, AYESHA T COOK COUNTY DEPT OF CORRE 11/13/17 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 226 17WC 35542 HAWKINS, MARK TRAC SVC, LLC 10/19/17 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 227 18WC 03451 FANE, TAMMIE NIELSEN BAINBRIDGE 12/02/15 LEONARD LAW GROUP LLC 228 18WC 03483 AVILA, LUMEY PORKCHOP RESTAURANT 01/11/18 229 18WC 03570 FENNERSON-PORCHE, MARGO ILLINOIS TOLLWAY AUTHORIT 12/10/17 ASSISTANT ATTORNEY GENERAL 230 18WC 03759 HARRISON, TOIYA CTA 01/29/18 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 231 18WC 04040 WARDELL, NOLA LUDEMAN CENTER @ 01/25/18 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 232 18WC 04084 MERAZ, RACHEL JOHNNY K PATIO 01/24/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 18WC010043 -C 18WC021385 -C 233 18WC 04134 LEVERSTON, ELIZETTIE THE PALMER HOUSE HILTON E 11/16/17 WARREN W MARK NOBLE & ASSOC 234 18WC 04150 RODRIGUEZ, MARINA SPECIALIZED STAFFING SOLU 01/29/18 SCOTT B SHAPIRO SLAVIN & SLAVIN 235 18WC 04177 PASTRANA-RAFFLES, BRIAM CLIMATE SOLUTIONS, INC 02/05/18 RITTENBERG & BUFFEN 236 18WC 04238 PACK, NOMOYOA IL DEPT OF HEALTH SERVICE @ 12/30/17 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 237 18WC 04278 MOLINA, ABRAHAM NATIONAL AUTOMOTIVE PARTS 09/26/17

Page 16: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 238 18WC 04296 HUGGINS, CORNELIA TOWER AUTOMOTIVE 01/05/18 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 239 18WC 04412 FELICIANO, LUIS CTA-CHICAGO TRANSIT AUTHO 08/07/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 240 18WC 04613 GARCIA, ROBERTO TITAN PERSONNEL INC W 12/12/17 JOHN S. ELIASIK 241 18WC 04644 BLACK, TOMMY FORD MOTOR COMPANY 09/25/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 242 18WC 04844 MOHAMED, SHEMSUDIN THE CHEESECAKE FACTORY 01/14/18 ABELS & ANNES, PC 243 18WC 04955 SCHELLER, KENNETH CARMAX 09/26/17 ANKIN LAW OFFICE ASA LAW GROUP 244 18WC 04971 ALVAREZ, CELSO GOLD STANDARD BAKING 05/04/16 COSTA IVONE LLC EVANS & DIXON 245 18WC 04986 HARDAWAY, GEORGETTE CTA 02/16/18 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 246 18WC 05019 DARGUZIS, NINA PARTY CITY 12/12/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 247 18WC 05064 RILEY, CHRISTOPHER COOK COUNTY SHERIF'S DEPT 11/30/17 TIMOTHY HENDERSON STATES ATTORNEY OF COOK COUN 248 18WC 05121 STEVENSON, LARICO ARENA FOOTBALL ONE LLC 04/22/17 GORDON LAW OFFICES LTD 249 18WC 05146 BUCHANAN, ANTHONY L CITY OF CHICAGO DEPT OF W 01/09/18 GALLAGHER, DONALD V CITY OF CHICAGO 250 18WC 05164 DEUTSCH-SMITH, DEBRA BLACKHAWK TRANSPORT 05/24/17 LEONARD LAW GROUP LLC HINSHAW & CULBERTSON 251 18WC 05168 BESTWINA, TRACY UPS 03/14/17 LEONARD LAW GROUP LLC ASA LAW GROUP 19WC023677 -C 252 18WC 05232 DELGADO, SERGIO GEORGIA NUT COMPANY 09/19/17 EPSTEIN, JACK R LAW OFFICE CAPUANI, FRANK S 18WC027379 -C 253 18WC 05450 AVILA, MARITZA RON'S STAFFING SERVICES I 01/30/18 GRAZIAN & VOLPE PC 254 18WC 05512 SANDOVAL, ABRAHAM MIDWAY AIRPORT SHUTTLE SE 08/14/17 RUBIN MACHADO ROSENBLUM STONE & JOHNSON CHARTERED 255 18WC 05594 PALICKI, JASON PUROFIRST OF CHICAGOLAND 01/09/18 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR

Page 17: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 256 18WC 05636 DESCHAMP, JONATHAN DR PEPPER SNAPPLE GROUP I 08/17/17 WHITING LAW GROUP GAROFALO SCHREIBER STORM GRA 257 18WC 05717 ARROYO, MARIA COMMUNITY FIRST MEDICAL C 08/07/15 THE ROMAKER LAW FIRM KRAKER FANNING & OLSEN 258 18WC 05755 WARE, TANISHA UNIVERSITY OF CHICAGO COM 01/15/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 259 18WC 05811 RODRIGUEZ, ROSAURA CHICAGO PUBLIC SCHOOLS 02/13/18 TIMOTHY E. TAKASH CHGO BOARD OF EDUCATION 260 18WC 06113 LOVE, MARSHENNA LUDEMAN DEVELOPMENTAL CTE 02/07/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 261 18WC 06158 SODJA, NOEL SAGGITARIUS 1 INC 02/04/18 SPENCER LAW OFFICES DEBORAH SCHAEFER 262 18WC 06173 HERNANDEZ, RAQUEL DHL GLOBAL MAINTENANCE 09/14/17 GOLDSTEIN BENDER & ROMANOF 263 18WC 06468 NAVARRETE, MANUEL GOLDEN COUNTRY ORIENTAL 01/29/18 GOLDSTEIN BENDER & ROMANOF JOSEPH MARCINIAK 264 18WC 06533 HERNANDEZ, MARTHA GENERATIONS BRANDS 11/27/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 18WC006964 -C 265 18WC 06548 CONRY, KEITH MWRDGC 07/08/15 CULLEN HASKINS NICHOLSON 266 18WC 11538 JEGLUM, DAVID PROSPECT HEIGHTS FIRE 03/26/18 SAUNDERS CONDON & KENNY POWER & CRONIN LTD 267 18WC 12333 IKE, RONALD D UNIVERSITY OF ILLINOIS AT 02/11/18 ANKIN LAW OFFICE POWER & CRONIN LTD 268 18WC 13381 CONTRERAS, HUGO US TANK ALLIANCE INC 05/31/17 GRAUER & KRIEGEL LLC WIEDNER & MCAULIFFE LTD 18WC013382 -C 269 18WC 13537 HEICHMAN, WILLIAM SHERWIN-WILLAIMS PAINT ST 02/14/18 GAROFALO SCHREIBER STORM GRA 270 18WC 14105 MARSHALEK, RAYMOND POWER WELLNESS MANAGEMENT 07/13/16 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 19WC016175 -C 271 18WC 14205 LOPEZ, LUIS E FEDEX GROUND PACKAGE SYST 11/26/17 KOSIN LAW OFFICE LTD KOPKA, PINKUS DOLIN, PC 272 18WC 14220 BURRELL, DAVID WINPAK PORTION PACKAGING 03/16/18 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES

Page 18: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 273 18WC 14285 HERMAN, JOANNE TGI FRIDAYS/YADAY ENTERPR 09/15/17 CORTINA & MUELLER MEACHUM & STARCK 274 18WC 14556 VANDYS, KESTUTIS ARKA LOGISTICS, INC 02/19/16 JASON SAGER 275 18WC 14584 MORGAN, TRACEY COOK COUNTY SHERRIF'S DEP 05/06/18 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 276 18WC 14678 REEVES, DERRICK XPO LOGISTICS 02/13/17 RUBENS AND KRESS 277 18WC 14711 GISCOMBE, MARCUS UCAN-UHLICH CHILDRENS 01/22/18 MC HARGUE & JONES INMAN & FITZGIBBONS 18WC014712 -C 19WC009055 -C 19WC032352 -C UCAN 278 18WC 14749 KONCEVIC, MICHAEL MURPHY & MILLER 04/05/13 COVEN LAW GROUP HOLECEK & ASSOCIATES 279 18WC 15116 ROONEY, WILLIAM CITY OF CHICAGO DEPT OF 11/19/14 CUDA LAW OFFICES CITY OF CHICAGO 280 18WC 15288 LATASIEWWICZ, SUSAN V PEPSICO D/B/A FRITO LAY I 04/02/18 KOSIN LAW OFFICE LTD GILDEA & COGHLAN 281 18WC 15309 GRADOS, CESAR A CARL BUDDING & CO 05/03/18 ANKIN LAW OFFICE KNELL O'CONNOR DANIELWICZ 282 18WC 15500 EVANS, REGINALD M ILLINOIS DEPARTMENT OF 02/23/18 ANKIN LAW OFFICE ASSISTANT ATTY GENERAL 283 18WC 15812 SPRAWLS, LILLIE CHICAGO PUBLIC SCHOOLS 12/07/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 284 18WC 15891 WESTBROOK, MARVIN L RPT TRANSPORTATION, INC 04/15/16 JAMES M KELLY 285 18WC 15993 ROBINSON, KAREN CTA 03/13/18 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 286 18WC 16047 ROVERTS, LESTER H SR SUNRISE SOUTHWEST LLC 04/24/18 ANKIN LAW OFFICE FRANCESCA LARSEN 287 18WC 16196 KNIGHT, ASHLEY UPS 11/01/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 288 18WC 16360 CUNTUM, VIJAYA CR ENGLAND 05/24/18 SEIDMAN MARGULIS & FAIRMAN SPIEGEL & CAHILL, PC 289 18WC 16387 AVILA, JUANA L TAYLOR FARMS 04/26/18 SALK, STEVEN B & ASSOC LTD EVANS & DIXON

Page 19: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 18WC 16550 ALVARADO, ANA THREE BROTHERS LAUNDRY 05/20/18 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 291 18WC 16711 DUNN, DOMINIQUE PACE SUBURBAN BUS 02/25/18 BLUMENSHINE LAW GROUP PAUL A COGHLAN & ASSOC 19WC002778 -C 292 18WC 16780 MASON, GEORGE CTA 08/28/17 ASHER, RAYMOND L LTD CHICAGO TRANSIT AUTHORITY 293 18WC 19786 BUXTON, JOHN TIBOR MACHINE PRODUCTS 05/29/18 ANESI OZMON RODIN NOVAK KO ACCIDENT FUND HOLDINGS 294 18WC 23524 SANCHEZ, OMAR DUNKIN DONUTS 07/25/18 LEONARD LAW GROUP LLC 295 18WC 23614 MARTINEZ, EMILIO R FARMINGTON FOODS, INC 05/07/18 DENNIS HESSER 296 18WC 23792 HARDY, SYEITHA MANOR CARE PALOS EAST 07/08/18 WOODRUFF JOHNSON 297 18WC 23952 KINGSBURY, BETH, LEGAL CHICAGO PARK DISTRICT 08/02/18 ACEVES & PEREZ PC CHICAGO PARK DIST LAW DEPT 298 18WC 24023 D'ANGELO, CYNTHIA NEW ALBERTSON'S INC D/B/A 02/15/18 NICHOLIS J STEIN WIEDNER & MCAULIFFE LTD 18WC024024 -C 299 18WC 24047 NETTLES, AARON CTA 04/26/18 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 300 18WC 24073 JONES, PHILLIP CITY OF CHICAGO ST & SAN 05/13/18 DONALD FOHRMAN & ASSOC CITY OF CHICAGO 301 18WC 24091 PADILLA, MARTHA CASA CENTRAL SOCIAL SERVI 07/25/18 CHEPOV & SCOTT LLC 302 18WC 24282 AGUILAR, HUMBERTO PRIDE CLEANERS 01/26/16 JONATHAN SCHLACK 303 18WC 24352 ZARAGOZA, YVONNE PLYMOUTH PLACE 07/01/18 PORRO NIERMANN LAW GROUP WOLF LAW LTD 304 18WC 24582 GREENWOOD, PORSHIA NORTH SHORE UNIVERSITY HE 05/30/18 WOODRUFF JOHNSON KEEFE CAMPBELL BIERY & ASSOC 305 18WC 24617 BROWN, ROSALYN CTA 06/26/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 306 18WC 24628 COLLINS, ALBERT ILLINOIS DEPT OF TRANSPOR @ 08/01/16 JASINSKI, GEORGE J ASSISTANT ATTY GENERAL

Page 20: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 307 18WC 24742 MARTIN, CORY ARAMARK SERVICES INC 08/07/18 GOLDSTEIN BENDER & ROMANOF 308 18WC 24756 LOSTER, ELBA FIRST STUDENT 07/11/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 18WC024757 -C 309 18WC 24774 ARANGO, JORGE COMPLETE HOOD SERVICES 08/06/18 HERRERA LAW CENTER MEACHUM & STARCK 310 18WC 24803 SIMACK, KATHRYN L LOYOLA UNIVERSITY 06/27/16 RICHARD E ALEKSY LORENZ & BERGIN PC 18WC024804 -C 18WC024805 -C 311 18WC 24927 PACK, NOMOYA IL DEPT OF HEALTH SERVICE @ 05/26/18 CRONIN & PETERS ASSISTANT ATTORNEY GENERAL 312 18WC 25081 WILKES, JERI LAKHANI HOSPITALITY 02/14/18 SHAY & ASSOCIATES INMAN & FITZGIBBONS 313 18WC 25130 PEREZ, FERNANDO VIP LOGISTICS 04/04/17 STEVEN A CRIFASE, LTD 314 18WC 25344 WILSON, LAMAR BATISTE MASONRY W 07/09/18 VRDOLYAK LAW GROUP LLC 315 18WC 25367 ARELLANO, EDUARDO BUDDY BEAR CAR WASH 06/20/18 DWORKIN AND MACIARIELLO ANCEL GLINK PC 19WC011247 -C 316 18WC 25445 LOPEZ, ULISES PEREZ RELIABLE CONTRACTING 06/01/18 COYNE REINKE LAW STONE & JOHNSON CHARTERED 317 18WC 25846 SIMS, HERMAN CHICAGO STATE UNIVERSITY 07/24/18 ANGELINI & ORI LLC ASSISTANT ATTY GENERAL 318 18WC 25894 SHEEHAN, THOMAS ILLINOIS STATE POLICE @ 04/25/18 COLLISON LAW OFFICES STATE OF ILLINOIS 319 18WC 25908 PEREZ, WALTER D AT&T 08/24/17 GALLAGHER, DONALD V EVANS & DIXON 320 18WC 25925 OBAGHEMI, SOJI CHICAGO ELITE CAB 08/14/18 SHELDON I MINKOW & ASSOCIA 321 18WC 26063 GONZALEZ, JOSE UNITED AIRLINES INC. 08/19/18 MARK SCHAFFNER WIEDNER & MCAULIFFE LTD 322 18WC 26097 MOLETTE, CYNTHIA ALDEN ESTATES OF NORTHMOO 08/21/18 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 323 18WC 26140 HENDERSHOT, BROOKE AMITA/ST 07/21/18 DOUGLAS RALLO PC POWER & CRONIN LTD

Page 21: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 324 18WC 26216 BAKER, YOLANDA (MOTHER OF NAVY PIER INC 07/20/18 CHRISTINE F DAVID HENNESSY & ROACH PC 325 18WC 30449 PEREZ-HUERTA, JOSE G MINUTE MEN STAFFING SERVI 08/14/18 SALVATO O'TOOLE FROYLAN POWER & CRONIN LTD 326 18WC 31920 NORRIS, TRAVONE TWO MEN AND A TRUCK 08/10/18 CHARLES LEVY & ASSOC LTD HENNESSY & ROACH PC 327 18WC 33331 SINGLETON, MARY TOWER AUTOMOTIVE HOLDINGS 10/05/18 ROSS TYRRELL KEEFE CAMPBELL BIERY & ASSOC 328 18WC 33427 JACKSON, DONALD AWC WAREHOUSE 11/01/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 329 18WC 33492 MCKINZIE, LATRELL CHICAGO TRANSIT AUTHORITY 11/03/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 330 18WC 33575 CAPIZ, ELVIA MC DONALD'S 02/11/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 331 18WC 33657 AGUILAR, ABEL ARRO CORPORATION AND 10/11/18 EPSTEIN, JACK R LAW OFFICE 332 18WC 33701 TODD, MYKAL PDS TECHNICAL SERVICES IN 08/28/18 BUDIN LAW OFFICES KRAKER FANNING & OLSEN 333 18WC 33786 REED, ANTHONY ELITE RENOVATION SYSTEM W 10/05/18 ANGELINI & ORI LLC 334 18WC 33847 RODRIGUEZ, ELIZABETH FRANCISCAN HEALTH 04/12/18 COSTA IVONE LLC 335 18WC 33897 BRAN, HECTOR DOMESTIC LINEN SUPPLY CO 07/02/18 TAXMAN POLLOCK HOLECEK & ASSOCIATES 336 18WC 33927 PALKA, CHARLENE QUEST ENTERPRISES, LLC 11/13/17 GOLDBERG WEISMAN & CAIRO L 337 18WC 33956 BARNETT, ERIN M LEVY PREMIUM FOODSERVICE 10/17/18 RUBIN LAW GROUP GANAN & SHAPIRO 18WC033957 -C 338 18WC 34053 ANDREWS, LETHA APOLLO PROPERTY MANAGEMEN 08/31/17 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 339 18WC 34102 SMITH, STEVEN ABT HOME SERVICES, INC. 09/25/18 GRAUER & KRIEGEL LLC WIEDNER & MCAULIFFE LTD

Page 22: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 340 18WC 34173 FOUNTAIN, TERRI VILLA AT EVERGREEN PARK 09/08/18 SCOTT B SHAPIRO HOLTKAMP LIESE 341 18WC 34275 JORDAN, RAY SECRETARY OF STATE 06/13/18 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL 19WC026340 -C 342 18WC 34344 MORENO, RONALDOA OLD WORLD MARKET 09/18/18 GALLAGHER, DONALD V QUINTAIROS PRIETO WOOD & BOY 343 18WC 34389 FINCH, DARIUS FORD MOTOR COMPANY 11/07/18 GORDON & CENTRACCHIO LLC WIEDNER & MCAULIFFE LTD 344 18WC 34444 SOTO, MARCO ANTONIO BLUEBERRY HILL CAFE 09/14/18 COSTA IVONE LLC 345 18WC 34467 FOUNTAIN, TERRI VILLA AT EVERGREEN PARK 09/08/18 SCOTT B SHAPIRO 346 18WC 34485 ALLEN, CHANTINIA CTA 11/12/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 347 18WC 34510 COWART, CAROLYN CHICAGO PUBLIC SCHOOLS 11/06/18 WARREN W MARK CHGO BOARD OF EDUCATION 348 18WC 34600 SALAZAR MORALES, DOMINGO RAPID PALLETS COMPANY 07/30/18 EPSTEIN, JACK R LAW OFFICE 349 18WC 34613 LAVIN, YVONNE CENTRAL HS RICH TOWNSHIP 02/23/18 SEIDMAN MARGULIS & FAIRMAN 350 18WC 34696 LOZANO, MARIA LILIANA HOTEL STAFFING SOLUTION 10/21/18 OSVALDO RODRIGUEZ PC KOREY RICHARDSON LLC 351 18WC 34825 PIERCE, SHEILA FEDERAL MOGUL CORP 09/27/18 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL BIERY & ASSOC 352 18WC 34917 RUBALCAVA, FELICITAS BRIDGEPORT LAUNDROMAT 06/13/18 SHELDON I MINKOW & ASSOCIA 353 18WC 34977 SCHIBILLA, DAVID LEGGETT & PLATT FASION BE 07/02/18 HORWITZ HORWITZ & ASSOC 354 18WC 35059 LAWSON, RICKY SWISSPORT 11/17/18 ANGELINI & ORI LLC KNELL O'CONNOR DANIELWICZ 18WC035417 -C 355 18WC 35084 LEMAIRE, JAMES THE SEGERDAHL CORP DBA SG 09/13/18 ARIANO HARDY NYULI JOHHSON WOLF & LAUDICINA LTD 356 18WC 35118 MOGHALU, CHRISTIAN RAINSTORM II 10/11/18 COHN LAMBERT RYAN & SCHNEI 357 18WC 35141 ROWELL, YARNELL COSTCO 11/09/18 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO

Page 23: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 358 18WC 35258 BOYD, MELVIN AMERICAN METAL CHEMICAL C 10/08/18 ANKIN LAW OFFICE 359 18WC 35289 MARTINEZ, ANAYELI METRO STAFFING 09/20/18 TRENT LAW FIRM PC 360 18WC 35311 SOTELO, MARIA H DONNA LYON, LLC W 11/22/18 STEVEN B SALK & ASSOC LTD ARMSTRONG LAW 361 18WC 35329 RAMIREZ, MARILU MULTI-TEMPS SERVICES INC 03/01/17 GAIDO & FINTZEN 362 18WC 35433 STOKES, JOHNNY CTA 10/17/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 363 18WC 35519 SOTELO, MOISES ALLEN BROTHERS 1893, LLC 10/20/18 COSTA IVONE LLC HENNESSY & ROACH PC 364 18WC 35551 FUNK, RONALD J L.A. FITNESS 11/09/18 CULLEN HASKINS NICHOLSON ADELSON TESTAN BRUNDO 365 18WC 35581 FLORES, MARISOL ELITE STAFFING, INC./BEST 10/24/18 EPSTEIN, JACK R LAW OFFICE 366 18WC 35734 KING-BELL, SABRYNA-JOI CHICAGO TRANSIT AUTHORITY 11/21/18 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 367 19WC 02433 MARTIN, RENEE JCG INDUSTRIES, INC/ 11/27/18 JAMES H MILLER JR 368 19WC 02452 BALDERAMA, DAVID MA REBAR SERVICES, INC 08/19/16 JOHN J CASTANEDA WIEDNER & MCAULIFFE LTD 369 19WC 02456 SOTO, JESUS RIVER EDGE HOSPITAL 08/27/18 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 20WC006426 -C 20WC006427 -C 370 19WC 03044 ARAQUE, CARLOS CHICAGO TRANSIT AUTHORITY 01/26/19 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 371 19WC 03056 NUNEZ, JACQUELINE LINCOLN PARK SKILLED 01/22/19 RUEDA, IVAN A BRADY CONNOLLY & MASUDA PC 372 19WC 03107 BOYD, LAURA ALLIED UNIVERSAL SECURITY 01/26/19 ROGER D RUDICH LTD GAROFALO SCHREIBER STORM GRA 373 19WC 03292 MALEC, MICHAEL AT&T 09/17/18 ABELS & ANNES, PC 374 19WC 03373 BUROW, SAVANNAH INTERCONTINENTAL HOTELS G 12/19/18 MCNAMARA PHELAN MCSTEEN LL WIEDNER & MCAULIFFE LTD 375 19WC 03522 ABRAMS, CAROLYN F COMMUNITY CONSOLIDATED 10/08/18 ANESI OZMON RODIN NOVAK KO ACCIDENT FUND HOLDINGS

Page 24: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 376 19WC 03630 CHERRY, KEVIN B CTA 01/09/19 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 377 19WC 03651 ELHELW, MOHAMED HUB GROUP TRUCKING INC 12/19/18 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 378 19WC 03691 ROE, DAVID M.J. ELECTRIC CO. 11/01/18 TAXMAN POLLOCK RUSIN & MACIOROWSKI LTD 379 19WC 03775 PETERSEN, SCOTT OAK LAWN POLICE DEPARTMEN 07/10/18 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 380 19WC 03811 MARTINEZ, MARIA SCHULZE & BURCH BISCUIT C 09/25/17 MARK SCHAFFNER 381 19WC 03812 MARQUEZ, JOSE LUIS PRONTO STAFFING 12/11/18 GAINES & GAINES POWER & CRONIN LTD 382 19WC 03863 ISRAEL, MARIAM WOODWARD, INC. 01/22/19 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 383 19WC 03912 GOSCINSKI, MONIKA WALGREEN'S 01/05/19 MEYERS & FLOWERS 384 19WC 03987 HILL, TONY ST OF IL SECRETARY OF STA @ 10/30/18 DANIEL PERIASWAMY ASSISTANT ATTORNEY GENERAL 385 19WC 04117 HOLIDAY, JUDITH DART CONTAINER CORP 02/02/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 386 19WC 04158 MCCRAW, FREDDIE AUTO WAREHOUSING COMPANY 02/05/19 KUMLIN & FROMM KEEFE CAMPBELL BIERY & ASSOC 387 19WC 04262 HOPKINS, JESSICA C SONY ELECTRONICS 09/12/18 VITELL & SPITZ LTD GOLDBERG SEGALLA LLC 388 19WC 04278 JONES-ROBERTSON, ALISA C BEST LOVING CARE AT HOME 01/19/19 389 19WC 04297 PRIEST-NEAL, SAMETA UNITED MAINTENANCE COMPAN 09/16/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 390 19WC 04354 MARTINEZ, SAUL GREATER CHGO FOOD DEPOSIT 11/29/18 GRAZIAN & VOLPE PC BRYCE DOWNEY & LENKOV LLC 391 19WC 04371 AVALOS, ALEJANDRO OLD DOMINION FREIGHT LINE 09/06/18 BAUM RUFFOLO & MARZAL LTD EVANS & DIXON 392 19WC 04411 ALDACO, MELINDA FRAMARX/WAX STAR 08/28/18 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 393 19WC 04496 GALEAS, MIGUEL ANGEL AUTO SUPER TIRES W 10/25/18 ANGELINI & ORI LLC

Page 25: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 394 19WC 04575 TORRES ANGUIANO, ABRAHAM ESMARK STEEL GROUP LLC 01/16/19 ANKIN LAW OFFICE 395 19WC 04596 KHALIL, WAJIH CONRAD HOTEL 11/20/17 RUBENS KRESS MULHOLLAND NOBLE & ASSOC 396 19WC 04613 OLVERA-LEALDE, JOSE NORBE FIRST RESIDENTIAL CONSTRU 12/18/18 RUEDA, IVAN A 397 19WC 04676 MARTINEZ, CRYSTAL RUSH UNIVERSITY MEDICAL C 01/29/19 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 398 19WC 04706 KOSIEK, PETER CANON BUSINESS SOLUTIONS 09/19/00 CUDA LAW OFFICES HENNESSY & ROACH PC 399 19WC 04749 STEWART, EARL NCBA-SR. COMMUNITY SERVIC 01/16/19 ARGIONIS & ASSOCIATES LLC JOSEPH MARCINIAK 400 19WC 04781 MORENO, FRANCISCO ISS FACILITY SERVICES 06/19/17 FRIEND LEVINSON & BERGAL QUINTAIROS PRIETO WOOD & BOY 401 19WC 04837 SALDIVAR, NELSON PRONTO STAFFING SERVICES 11/19/18 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 402 19WC 04855 HUNT, RONALD CITY OF CHICAGO DEPARTMEN 05/02/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 403 19WC 04928 GARNER, KARYN WALMART 10/30/18 COVEN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 404 19WC 04952 BUTLER, MYANA CHICAGO TRANSIT AUTHORITY 02/11/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 405 19WC 04987 DONEGAN, SHELLIE CHICAGO TRANSIT AUTHORITY 01/29/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 19WC018425 -C 406 19WC 05024 BURGOS, JULIO C THE KROGER CO, D/B/A MARI 01/03/19 SALK FLORES & BRODERICK BRYCE DOWNEY & LENKOV LLC 407 19WC 05041 WILLIAMS, AARON M G&D INTEGRATED TRANSPORAT 10/31/18 MARK SCHRAMM MEACHUM & STARCK 408 19WC 05188 CARLIN, JASON UNITED PARCEL SERVICE 01/29/19 COVEN LAW GROUP ASA LAW GROUP 409 19WC 05211 OCASIO, EDWARD ALCO SALES & SERVICE CO 10/26/18 ROBERT WARSASKI WIEDNER & MCAULIFFE LTD 410 19WC 05272 KHAN, YOUSUF HATEF CAB CO 01/13/19 HUNER LAW OFFICES LLC 411 19WC 05358 CONNELLY, KIMBERLY KIMCO REALTY CORPORATION 01/29/19 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS

Page 26: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 412 19WC 05414 BYRD, ANGELA LYDIA HOME ASSOCIATION 01/19/19 BRISKMAN BRISKMAN GREENBER 413 19WC 05466 ARTERBERRY, YOLANDA T HILTON GARDEN INN 02/08/19 WARREN W MARK 414 19WC 05486 MARCIANO, BERTHA ELITE STAFFING INC 12/05/18 COSTA IVONE LLC 415 19WC 05732 THORPE, CARL CTA 02/19/19 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 416 19WC 05801 ELSMO, ALAN IRONWOOD PHARMACEUTICALS 01/21/19 MOGENSEN LAW LLC HOLECEK & ASSOCIATES 19WC005802 -C 19WC005803 -C 417 19WC 05815 NORMAN, JOHN OAKBROOK MECHANICAL SERVI 02/07/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 418 19WC 05861 COLEMAN, INEZ RENTOKIL 02/21/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 419 19WC 05918 GONZALEZ, EDGAR HARVEST FOODS GROUP 01/18/19 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 420 19WC 05928 JANSSEN, ERICA FRIENDSHIP VILLAGE 12/28/18 SCOTT BARBER FRANCESCA LARSEN 421 19WC 06141 FANNING, JONATHAN ABF FREIGHT 01/13/19 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 422 19WC 06158 SOKARDA, GEORGE PETE PEPPER CONSTRUCTION 12/04/18 O'CONNOR & NAKOS KEEFE CAMPBELL BIERY & ASSOC 423 19WC 06216 ANNES, SCOTT SUPERVISED A SOLUTIONS MANAGEMENT CORP 09/29/17 TAMVAKIS, GEORGE L 424 19WC 06243 TOLSON, ANDRE FREEMAN ELECTRIC 09/05/18 JOSEPH J LOSS PC MC ANDREWS & NORGLE LLC 425 19WC 06314 LOPEZ, ELIZABETH UNIFIED CML, LLC. 02/15/19 COSTA IVONE LLC 426 19WC 06346 WILHELM, ROBERT AMERICAN AIRLINES 01/20/19 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 19WC020540 -C 19WC025740 -C 427 19WC 06478 DORSA, ERIC TRUE FOOD KITCHEN 01/27/19 SEIDMAN MARGULIS & FAIRMAN 428 19WC 10046 CARAGHER, PATRICK UNITED PARCEL SERVICE 03/05/19 LEONARD LAW GROUP LLC ASA LAW GROUP

Page 27: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 19WC 13288 CERRATO, HECTOR UG2 04/15/19 LEONARDO MORALES 430 19WC 13334 HARRIS, FRANK UNIVERSAL SCRAP METALS, I 01/28/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 431 19WC 13384 POTEETE, STEVEN JB HUNT TRANSPORT 06/08/18 PORRO NIERMANN LAW GROUP MICHAEL JASPER 432 19WC 13525 HOOD, DEONNA CHICAGO PUBLIC SCHOOLS 04/29/19 GOLDSTEIN AIOSSA & GOOD CHGO BOARD OF EDUCATION 433 19WC 13540 POSTER, HERMAN AEROTEK STAFFING 04/18/19 WARREN W MARK 434 19WC 13569 WILSON, DEIDRA L LOT #1, INC 04/29/19 ANKIN LAW OFFICE 435 19WC 13584 SANCHEZ, REYNA BERWYN NORTH DISTRICT 98 04/23/19 COSTA IVONE LLC 436 19WC 13612 ADAMS, MARIO DR PEPPER SNAPPLE GROUP 10/30/18 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA 437 19WC 13635 RIVERA, LUZ UIC HOSPITAL 04/05/19 GWC INJURY LAWYERS LLC HEYL ROYSTER VOELKER & ALLEN 438 19WC 13702 MCGUIRE, ANTHONY CITY OF CHICAGO 01/24/19 BURNES & LIBMAN CITY OF CHICAGO 439 19WC 13724 LINDSEY, ELASHIA FACTORY MOTOR PARTS 12/04/18 GWC INJURY LAWYERS LLC RUSIN & MACIOROWSKI LTD 440 19WC 13822 GREEN, BRITTANY RESICAP 05/01/19 MARKER & CRANNELL HOLECEK & ASSOCIATES 441 19WC 13842 ABDELBAQI, MUATH WFF FACILITY SERVICES 10/16/18 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM GRA 442 19WC 13884 STOKES, JERWANDA CTA 05/12/19 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 443 19WC 13935 SODE, JOHN SHEET METAL WERKS 03/27/19 KEVIN P. JUSTEN PC GRIFFIN, LORETTA M LAW OFFIC 444 19WC 13991 REED, KEONA CHICAGO TRANSIT AUTHORITY 04/29/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 445 19WC 14016 RAMOS, CARLOS CHICAGO MATTRESS CO. 02/07/19 SLAVIN & SLAVIN 446 19WC 14033 NUNEZ, IRIANA WEBER-STEPHEN PRODUCTS, L 05/02/19 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK

Page 28: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 19WC 14145 NORWOOD, ROBERT ABM INDUSTRIES, INC 05/11/19 ANKIN LAW OFFICE LITCHFIELD CAVO 448 19WC 14274 LECZYCKI, ADAM PERFECT EDGE CONSTRUCTION 12/03/18 URSULA BABICZ & ASSOC WIEDNER & MCAULIFFE LTD 449 19WC 14302 RIOS-PONCE, LUISA MCDONALDS 03/25/19 KATZ FRIEDMAN EAGLE ET AL 450 19WC 14394 PIECZKO, ANDY CITY OF CHICAGO, DEPT OF 05/14/19 CUDA LAW OFFICES CITY OF CHICAGO 451 19WC 14447 FLORES, MARTIN CUSTOM MOLD SRVS, INC 03/14/19 CARAS LAW GROUP GANAN & SHAPIRO 452 19WC 14466 TAYLOR, REGINALD HAROLD'S CHICKEN 05/03/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 453 19WC 14490 GARCIA, JOSE BLOCK AND COMPANY 04/30/19 ANSELMO DURAN HENNESSY & ROACH PC 454 19WC 14510 QUINN, DESIREE WENDY'S 05/10/19 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 455 19WC 14526 GOMEZ, WILLIAN, A/K/A FREEDMAN SEATING COMPANY 03/19/19 STEVEN B SALK & ASSOC LTD 456 19WC 14543 JOHN, SABU FED EX 05/06/19 STEVEN A CRIFASE, LTD 457 19WC 14564 VARELA, ROSA WILLIAM RAINEY HARPER COL 11/30/18 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 458 19WC 14659 JOHNSON, LENA CODDLED CARE DAY CARE CEN 05/16/19 DAVID W MARTAY 459 19WC 14721 FITOWSKI, MICHAL KLM EXPRESS W 05/10/19 SCOTT B SHAPIRO 460 19WC 14752 JOHNSON, TESHAWN FEDEX GROUND 02/23/19 JAMES ELLIS GUMBINER & ASS 461 19WC 14796 SYKES, RICHARD HOME DEPOT 05/07/19 VITELL & SPITZ LTD ADELSON TESTAN BRUNDO 462 19WC 14947 HILL, SAM DOLTON PARK DISTRICT 01/29/19 KARCHMAR & STONE MEACHUM & STARCK 463 19WC 15005 ANDERSON, KL UNITED AIRLINES INC. 01/27/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 464 19WC 15026 RAMIREZ, JUAN DR. PEPPER SNAPPLE GROUP 04/23/19 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA

Page 29: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 465 19WC 15227 LANIER, TAURAUN JR PSSI 04/25/19 SANDMAN LEVY & PETRICH 466 19WC 15261 GUTIERREZ, GREGORIO LA MARCHE MANUFACTURING 03/15/19 ACEVES & PEREZ PC BRYCE DOWNEY & LENKOV LLC 467 19WC 15350 MEJIA, PATRICIA WINPAK PORTION PACKAGING 02/22/19 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 468 19WC 15385 BRICENO, SAMUEL HEIM GROUP 09/07/18 BLOCK, KLUKAS & MANZELLA P EDWARD J. KOZEL 469 19WC 15433 ZARATE, JUAN M COMCAST CORP 03/17/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 470 19WC 15452 BUFORD, DARNISHA L PREMIER HOMEHEALTHCARE 05/08/19 GOLDSTEIN BENDER & ROMANOF 471 19WC 15499 GUTIERREZ, GONZALO ROYAL BUFFET 03/10/19 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 472 19WC 15519 MAJEED, SHAHID JAWAID SIDDIQI 03/30/19 RYAN ROSENTHAL 473 19WC 15580 BROWN, EARTHA CHICAGO TRANIST AUTHORITY 05/19/19 KATZ FRIEDMAN EAGLE ET AL CHICAGO TRANSIT AUTHORITY 474 19WC 15602 FORSLING, GUSTAV CHICAGO BLACKHAWKS HOCKEY 10/24/16 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 475 19WC 15619 FLETCHER, DARLENE LOVING WALMART 05/11/19 CUDA LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 476 19WC 15638 NEWELL, SHAWN CHICAGO BOARD OF EDUCATIO 02/27/19 ROSS TYRRELL CHGO BOARD OF EDUCATION 477 19WC 15695 HORNER, CHANTEL CTA 05/22/19 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 478 19WC 15743 LAMBERT, ANTHONY JACKSON PARK HOSPITAL FOU 04/30/19 STROM & ASSOC ODELSON & STERK 479 19WC 15775 HAWKINS, SONYA UPS 06/04/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 19WC015776 -C

Page 30: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 19WC 15824 LEON, JAVIER MORELIA SUPERMARKET #2 05/21/19 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICE 481 19WC 15934 ELHOUMAIDI, AHMED BELMORT VILLAGE 02/17/18 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 19WC015935 -C 482 19WC 15974 OSORIO, ALFONSO JCG INDUSTRY 04/16/19 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 483 19WC 16029 HERBERT, TSHARA THE MINTE 05/07/19 DWORKIN AND MACIARIELLO 484 19WC 16071 HEREDIA, BENJAMIN DAYTON SUPERIOR 09/01/18 RIDGE & DOWNES 485 19WC 16153 TAYLOR, TUSSANEE CTA 05/22/19 COSTA IVONE LLC 486 19WC 16197 JONES, QUINDARA CHICAGO TRANSIT AUTHORITY 04/26/19 STEVEN J MALMAN & ASSOCIAT CHICAGO TRANSIT AUTHORITY 487 19WC 16240 LOPEZ, EMMANUEL TR CLARK MANAGEMENT LLC 11/19/18 SALVATO O'TOOLE FROYLAN 488 19WC 23057 GIBBS, APRIL J UNITED PARCEL SERVICE, IN 07/11/19 ANKIN LAW OFFICE ASA LAW GROUP 489 19WC 23152 RITCHIE-WILCOX, NATALYA UNITED AIRLINES INC. 04/22/18 SHEA LAW GROUP 490 19WC 23183 SCOTT, ERIC HOME DEPOT 09/17/18 MC HARGUE & JONES ADELSON TESTAN BRUNDO 491 19WC 23196 PORTE, PAKISHA IVY LEAGUE KIDS-MONTESSOR 08/01/19 ANGELINI & ORI LLC 492 19WC 23208 BELL, MARIA CHICAGO TRANSIT AUTHORITY 08/04/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 493 19WC 23236 PEREZ, SERGIO JR. BARRINGTON 220 SCHOOL DIS 05/15/19 LEAHY, JAMES P NYHAN BAMBRICK KINZIE & LOWR 494 19WC 23261 ROJAS, YANET METRO STAFF, INC 05/30/19 STROM & ASSOC 495 19WC 23278 GLANVILLE, MAURICE JR. JEWEL FOOD STORES, INC. 06/18/19 KARCHMAR & STONE EVANS & DIXON 496 19WC 23299 TORES, JIMMY ADAMS & SON GARDEN 07/08/19 MC HARGUE & JONES GALLAGHER, DONALD V 497 19WC 23354 FLEMING, RAY CHICAGO TRANSIT AUTHORITY 07/22/19 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY

Page 31: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 19WC 23387 DELGADO, VERONICA HU-FRIEDY 09/05/18 MC HARGUE & JONES JOSEPH MARCINIAK 499 19WC 23423 FERRELL, KANIA LEXINGTON HEALTHCARE NETW 07/16/19 GREGORIO & MARCO 500 19WC 23444 BUSH, MICHAEL REPUBLIC SERVICES 09/27/18 GWC INJURY LAWYERS LLC 501 19WC 23468 ROBLES, ORENCIO RIVAS TRANSPORTATION 07/09/18 DEPAOLO & ZADEIKIS 502 19WC 23533 CAZARES, RAUL WHELAN SECURITY 07/23/18 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 503 19WC 23552 GOMEZ RODRIGUEZ, ROSALBA MJ CELCO INC 07/02/18 KARNO, MARK L & ASSOC HOLECEK & ASSOCIATES 504 19WC 23627 HUNTER, WILLIAM SELECT REHAB 05/31/19 WILLIAMS CAPONI & ASSOC 505 19WC 23647 JANIK, ZOFIA MJ CELCO, INC 09/01/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 506 19WC 23667 CARTER, PAMELA ENVISION UNLIMITED 08/07/19 COVEN LAW GROUP ACCIDENT FUND HOLDINGS 507 19WC 23682 CARMONA, RAMON HYR-UP SOLUTIONS 07/11/19 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ 508 19WC 23714 SGARBOSSA, DANIEL LINO & POLI PLUMBING 04/01/19 KINNALLY FLAHERTY KRENTZ GILDEA, COGHLAN & REGAN LTD. 509 19WC 23801 JARDINIANO, AURELIO BROOKDALE SENIOR LIVING 05/19/19 COVEN LAW GROUP 510 19WC 23855 MANEEWAN, SIRIVANH SPEEDWAY 07/27/19 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 511 19WC 23868 PEREZ GARCIA, FERNANDO HOB CHICAGO, INC 07/22/19 ANKIN LAW OFFICE 512 19WC 23993 DAVIDSON, BRANDON ROCKFORD ICE HOGS 01/21/19 GORDON LAW OFFICES LTD 513 19WC 24019 MARTINEZ, DALIA RAYMUNDO'S FOOD GROUP 07/16/19 COSTA IVONE LLC SLAVIN & SLAVIN 514 19WC 24033 PAIVA, JOSE LUIS M & M BOX PARTITIONS CO 07/29/19 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 515 19WC 24078 TOADER, SOFIA CPS 08/01/19 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION

Page 32: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 516 19WC 24109 ROBINSON, ORLANDO CTA 07/28/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 517 19WC 24154 STILES, DIANA UNITED AIRLINES 06/17/19 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 518 19WC 24185 MORROW, TYMIE ECOLAB 08/16/19 GERALD CONNOR KEEFE CAMPBELL BIERY & ASSOC 519 19WC 24205 HANSEN, CHRIS PEOPLES GAS 07/17/19 LEONARD LAW GROUP LLC MC CABE & HOGAN 520 19WC 24237 SIERRA, JAIME THE HOME DEPOT 05/21/19 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 521 19WC 24267 BRANCH, ROSALIND CHICAGO PUBLIC SCHOOLS 05/02/19 GOLDSTEIN AIOSSA & GOOD CHGO BOARD OF EDUCATION 522 19WC 24304 FLOWERS, DONETTA FEDEX EXPRESS 04/03/19 DOBRA, CHARLES W LTD 523 19WC 24324 WILLIAMS, DONALD CHICAGO PUBLIC SCHOOL 02/19/19 HERRERA LAW CENTER CHGO BOARD OF EDUCATION 524 19WC 24361 SMAGACZ, LAWRENCE J CONVERGEONE HOLDINGS CORP 07/31/18 CHARLES C HARTH MC ANDREWS & NORGLE LLC 525 19WC 24388 HALL, CHRISTOPHER FAMILY DOLLAR 08/10/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 526 19WC 24418 HERRERA, RACHEL WALGREENS 08/13/19 GREGORIO & MARCO 527 19WC 24488 WULSCH, SHARON CAR MAX 02/06/19 LEONARD LAW GROUP LLC 528 19WC 24521 PASQUEL, RICHARD COOK COUNTY SHERIFF'S DEP 07/16/19 HERRERA LAW CENTER STATES ATTORNEY OF COOK COUN 529 19WC 24601 SIOUROUNIS, MARIA ULTA BEAUTY 06/22/19 SYREGELAS, NICHOLAS C 530 19WC 24618 MC LEOD, ELAINE GLENSHIRE NURSING & REHAB 08/21/19 MC HARGUE & JONES 531 19WC 24635 HANNAH, CARNESHA VENTURA FOODS 08/03/19 SAUNDERS CONDON & KENNY HOLECEK & ASSOCIATES 532 19WC 24779 BENNETT, DANETTE UNITED CONTINENTL HOLIDNG 10/15/16 KATZ FRIEDMAN EAGLE ET AL 533 19WC 24921 SHOCKEY, FRED UPS 05/15/19 ROBERT WARSASKI ASA LAW GROUP

Page 33: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 534 19WC 24940 BORREGO, ALEXANDER TURANO BAKING COMPANY 06/13/19 SKLARE LAW GROUP ASA LAW GROUP 535 19WC 24964 PADILLA, HOMERO CITY OF CHICAGO-DEPT OF W 10/12/18 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 536 19WC 24987 LAPE, ERIC J COOK COUNTY SHERIFF'S OFF 04/18/19 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 537 19WC 25006 RODRIGUEZ, WILNELY TCSC 08/01/19 COSTA IVONE LLC 538 19WC 25028 AVINA, EDUARDO ESCARPITA CONSTRUCTION CO 08/13/19 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 539 19WC 25050 MORGAN, KAREN ADVOCATE CHRIST HOSP & ME 07/29/19 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM GRA 540 19WC 25105 HAZLEY, LATISHA NORTHWESTERN MEMORIAL HOS 06/12/19 COSTA IVONE LLC 541 19WC 25131 MYRICK, MASON M UPS 08/19/19 NANCY HIRSCH LLC NYHAN BAMBRICK KINZIE & LOWR 542 19WC 25158 TRULL, ERNEST TOWER AUTOMOTIVE 08/05/19 STEVEN J MALMAN & ASSOCIAT KEEFE CAMPBELL BIERY & ASSOC 543 19WC 25182 RODRIGUEZ, HERBERT JP PHILLIPS, INC. 04/27/18 JAUREGUI & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 544 19WC 25199 ZAMUDIO, FRANCISCO ZERA CONSTRUCTION CO 06/10/19 LEONARD LAW GROUP LLC 545 19WC 25217 NENDICK, TRENA TARGET BRANDS, INC 01/18/18 JOHN J CASTANEDA NYHAN BAMBRICK KINZIE & LOWR 546 19WC 25342 PAYTON, AMBER SURE STAFF 08/14/19 DWORKIN AND MACIARIELLO LOUIS MUNDY 547 19WC 25369 MCGRATH, MICHAEL ARDMORE RODERICK 01/07/19 RUBIN LAW GROUP GILDEA, COGHLAN & REGAN LTD. 548 19WC 25503 CUELLAR, RYAN CITY OF CHICAGO 08/28/19 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 549 19WC 25678 HERRERA, ELOISA CHICAGO MEAT AUTHORITY 01/17/18 HEALY SCANLON LAW FIRM BRYCE DOWNEY & LENKOV LLC 19WC025679 -C 19WC025680 -C 550 19WC 32141 FLOWERS, LINDA F CHRISTOPHER HOUSE 05/13/19 SCHACTER, JEROME & ASSOC L 551 19WC 32194 GREY, CARL BERWYN POLICE DEPT 10/02/18 MICHAEL A. HIGGINS

Page 34: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 552 19WC 32247 AGUADO, HUGO MEATS BY LINZ, INC 10/07/19 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 553 19WC 32268 MIXON, VIRGIL CTA 10/20/19 BARRY A KETTER CHICAGO TRANSIT AUTHORITY 554 19WC 32289 CRIVILARE, ANGELO LMAK INC 04/03/18 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 555 19WC 32308 HARRISON, DANIEL WARNER ENTERPRISES, INC 07/18/19 ROSS TYRRELL SMITH AMUNDSEN LLC 556 19WC 32331 OCHOA, RUBEN CITY OF CHICAGO 06/10/19 SEROWKA LAW 557 19WC 32372 MUFARREH, ABEAR LSG SKY CHEF 06/12/19 PARENTE & NOREM PC ORENSTEIN & ASSOCIATES 558 19WC 32402 GARDNER, MYRA BLOOM TOWNSHIP DISTRICT 2 11/01/19 DONALD FOHRMAN & ASSOC NYHAN BAMBRICK KINZIE & LOWR 559 19WC 32423 GRACE, LASANDRA FEDEX GROUND 09/23/19 JAMES ELLIS GUMBINER & ASS 560 19WC 32451 STEVENSON, ZELMA COOK COUNTY ADULT PROBATI 02/20/19 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 561 19WC 32489 PESCE, LUDMILA POTBELLY CORPORATION 10/18/19 CHEPOV & SCOTT LLC 562 19WC 32528 HARDMON, TIFFANY CHICAGO TRANSIT AUTHORITY 10/19/19 ANSELMO DURAN CHICAGO TRANSIT AUTHORITY 563 19WC 32547 POLKOWSKI, RADOSLAW VENT PRODUCTS CO, INC 04/22/19 ANKIN LAW OFFICE 564 19WC 32590 ROJAS, SERAFIN JB HUNT TRANSPORT SERVICE 10/29/19 JONATHAN SCHLACK MICHAEL JASPER 565 19WC 32615 CARRIER, VALERIE SOUTHWEST AIRLINES 08/15/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 566 19WC 32633 CRAIG, BENJAMIN A&D PROPERTY SERVICES INC 12/04/18 KENNETH FISHMAN 567 19WC 32660 COLE, YALETHA DEPT OF FINANCE 08/08/19 DWORKIN AND MACIARIELLO 568 19WC 32681 JAMES, JOY CHICAGO TRANSIT AUTHORITY 10/10/18 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY

Page 35: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 19WC 32700 CLARK, ROMONIA HOME DEPOT 06/06/19 MICHAEL A. HIGGINS ADELSON TESTAN BRUNDO 570 19WC 32723 PARCHMAN, NEKIA PARK FOREST-CHICAGO HEIGH 10/25/19 RIDGE & DOWNES ANCEL GLINK PC 19WC032724 -C 571 19WC 32742 STARK, DYLAN BINNY'S BEVERAGE DEPOT 08/17/19 WILLIAM S. WOJCIK LTD LAWRENCE COZZI - LAW OFFICE 572 19WC 32782 GHOLSTON, STEVEN ALL MASONRY 10/07/19 HETHERINGTON KARPEL & BOBB BRYCE DOWNEY & LENKOV LLC 573 19WC 32825 THOMAS, TARYN CHICAGO PUBLIC SCHOOLS 05/13/19 MICHAEL A. HIGGINS 574 19WC 32847 MORGAN, TERRY POLYONE CORP 10/28/19 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 575 19WC 32870 CASPER, LARRY RIZZA CADILLAC 01/02/18 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 576 19WC 32895 RAMIREZ-MARQUEZ, JACINTO CONNIE'S PIZZA, INC. 08/31/19 SALVATO O'TOOLE FROYLAN 577 19WC 32926 BONDS, GWENDOLYN UNIVERSITY OF CHICAGO 10/09/19 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 578 19WC 32946 OSHINIBI, AICHA A HILTON WORLDWIDE, INC, ET 08/24/19 MC HARGUE & JONES 579 19WC 33021 CARREON DE HERRERA, DELIA PROSPECT AIRPORT SERVICES 10/05/19 RUBENS KRESS MULHOLLAND RUSIN & MACIOROWSKI LTD 580 19WC 33072 KRENZEL, JOHN S MARIANO'S 06/10/19 ANESI OZMON RODIN NOVAK KO 581 19WC 33115 ESTRADA, ALEJANDRA UNISTAFF, INC 10/18/19 HERRERA LAW CENTER MEACHUM BOYLE TRAUFMAN 582 19WC 33165 PISARSKI, ROBERT UNITED AIRLINES INC 06/18/19 PETER C KOPOULOS WIEDNER & MCAULIFFE LTD 583 19WC 33211 PRUITT, MAURICE JEWEL/ALBERTSONS 10/13/19 GOLDSTEIN BENDER & ROMANOF QUINTAIROS PRIETO WOOD & BOY 584 19WC 33271 ABUHASHISH, THAER BLUE RAVEN SOLAR/ 11/05/19 BELLAS & WACHOWSKI RUSIN & MACIOROWSKI LTD 585 19WC 33297 BENTON, COURTNEY ALLIED BUILDING PRODUCTS 11/01/19 STEVEN A CRIFASE, LTD HOLECEK & ASSOCIATES 586 19WC 33324 TRIPP, TIMOTHY INTEGRATED ELECTRIC 10/31/19 DWORKIN AND MACIARIELLO EDWARD J. KOZEL

Page 36: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 19WC 33514 LORENZO, JAVIER RYDER INTERGRATED LOGISTC 08/08/19 HEALY SCANLON LAW FIRM 588 19WC 33614 STOUDEMIRE, LUTHER L UNITED PARCEL SERVICE 11/05/19 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 589 19WC 33633 MYERS, WALTER P APEX LOGISTICS 11/15/19 VASILATOS & COTTER LLC 590 19WC 33672 VALLEJO, JAVIER VALLEY DRYWALL SRVS, CORP 10/09/19 SALGADO, DAVID L BRADY CONNOLLY & MASUDA PC 591 19WC 33751 MASSIMO, DIANNE UNITED AIRLINES HOLDINGS 09/10/18 BRIAN J MC MANUS & ASSOC, 592 19WC 33806 VALLADARES, MARIO DAYTON SUPERIOR 10/24/19 COSTA IVONE LLC 593 19WC 33829 ALVAREZ, SANDRA PANDA EXPRESS 04/23/19 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 594 19WC 33848 WIKMAN, DANIEL REPUBLIC SERVICES 05/07/18 SCOTT B SHAPIRO GILDEA, COGHLAN & REGAN LTD. 595 19WC 33868 TRASS, CHRISTOPHER PEOPLES GAS 10/26/19 MANDELL, GREGG GAROFALO SCHREIBER STORM GRA 596 19WC 33914 MONTGOMERY, TANESSA ASCENSION LIVING 08/18/19 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 597 19WC 33947 OLECHOWSKI, LESZEK CHRIS CONSTRUCTION AND 02/19/19 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 598 19WC 33999 WITTMANN, CARLA UNITED AIRLINES INC. 07/10/19 COVEN LAW GROUP 599 19WC 34050 HENGELI, MEGAN RUSH OAK PARK HOSPITAL 07/20/19 STEVEN J MALMAN & ASSOCIAT 600 19WC 34109 LACEY, KEVIN EDLEN ELECTRICAL CONTRACT 09/25/19 MICHAEL HELLMAN MEACHUM BOYLE TRAUFMAN 601 19WC 34129 VOLZ, JAMES AUTOMATIC SPRING COILING 05/30/17 CHARLES C HARTH BORGELT POWELL 602 19WC 34155 PUREVICH, ALEX FORD MOTOR-CHICAGO ASSEMB 08/27/19 WOLFE LAW PC 603 19WC 34313 MULDROW, SHARON UPS 09/17/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 604 19WC 34336 HOWARD, SHANETTA CITY OF CHICAGO DEPT OF 11/01/19 MC HARGUE & JONES

Page 37: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 19WC 34363 KING, DIANA SOUTH SHORE HOSPITAL 09/23/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 606 19WC 34409 FRANK, JAMES T PIPPIN'S TAVERN 04/12/18 SMOLER LAW OFFICE, PC 607 19WC 34415 GACKI, JAMES M UNITED PARCEL SERVICE 11/01/19 CULLEN HASKINS NICHOLSON ASA LAW GROUP 608 19WC 34481 REYES, ANTHONY BENCHMARK CONSTRUCTION CO 07/10/19 RUSSO & RUSSO LTD MEACHUM BOYLE TRAUFMAN 609 19WC 34541 TYRELL, THOMAS FEDEX GROUND 03/24/18 LEONARD LAW GROUP LLC 610 19WC 34568 PEREZ, JUAN CASTWELL PRODUCTS, LLC 11/12/19 EPSTEIN, JACK R LAW OFFICE 611 19WC 34586 MATTHEWS, WANDA CHICAGO PUBLIC SCHOOLS 11/22/19 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 612 19WC 34607 ABBAS, GRACE ROSEWOOD CARE CENTER 06/17/19 GERALD CONNOR 613 19WC 34639 HARRISON, ANNMARIE FORD MOTOR COMPANY 11/04/19 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 614 19WC 34714 ZAYAS, ADRIAN WINEBOW 11/01/19 GREGORIO & MARCO 615 19WC 34747 FOSTER, RANDAL BOARD OF EDUCATION SCHOOL 10/21/19 LEAHY, JAMES P 616 19WC 34798 LEE, ANGELA WALGREENS 10/15/18 GWC INJURY LAWYERS LLC GILDEA, COGHLAN & REGAN LTD. 617 19WC 34815 BRANTLEY, JEROME UPS 11/25/19 STROM & ASSOC NYHAN BAMBRICK KINZIE & LOWR 618 19WC 34863 AGUAYO, ALFONSO FERRARA CANDY CO 11/11/19 COVEN LAW GROUP 619 19WC 34869 PARCHMAN, REGINALD BIMBO 12/21/18 STEVEN O HAMILL LTD KRALOVEC & MARQUARD 620 19WC 34918 LEWIS, ELIZABETH WALMART 09/08/19 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 621 19WC 34971 FOSTER, PERCIE JR. LABOR ONE INC. 11/08/19 SHELDON I MINKOW & ASSOCIA LAWRENCE COZZI - LAW OFFICE 622 19WC 34989 HARRINGTON, TERESA FEDEX 11/13/19 GWC INJURY LAWYERS LLC

Page 38: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 19WC 35009 SAUCEDO, JACQUELINE ROSS DRESS FOR LESS, INC. 11/15/19 ANKIN LAW OFFICE 624 19WC 35039 HABERMANN, STRYKER WESTWARD 360/ 04/23/19 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 625 19WC 35078 ALARCON, MARIA DHALIWAL LABS LLC 02/11/19 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 626 19WC 35101 OLEA, ROGELIO UP AND RUNNING 01/12/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 627 19WC 35116 TAYLOR, MARC DSC LOGISTICS INC 10/25/19 KISS & ASSOCIATES MC ANDREWS & NORGLE LLC 628 19WC 35167 GALLEGOS, PEDRO ZAMIAS SERVICES, INC 06/24/19 KATZ FRIEDMAN EISENSTEIN 629 20WC 03051 PATTERSON, NICOLE CTA 01/24/20 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 630 20WC 03084 PULIDO, JOSEPH JEWISH FEDERATION OF 01/18/18 SANDMAN LEVY & PETRICH JOSEPH MARCINIAK 631 20WC 03130 BULOW, JULIE AIM NATIONAL LEASE 08/13/19 STROM & ASSOC NYHAN BAMBRICK KINZIE & LOWR 632 20WC 03148 EDWARDS, EMMA JOHN H STOGER JR HOSPITAL 11/08/19 MILLON & PESKIN LTD STATES ATTORNEY OF COOK COUN 633 20WC 03159 JAMISON, COREY WINPAK PORTION PACKAGING, 12/31/19 MARC J SHUMAN & ASSOCIATES 634 20WC 03240 HENDERSON, KENYATTA ADVOCATE CHRIST MEDICAL C 01/18/20 RIDGE & DOWNES GAROFALO SCHREIBER STORM GRA 635 20WC 03271 KAMARA, MAWATTA GLEN BRIDGE NURSING & REH 07/31/19 GANAN & SHAPIRO 636 20WC 03309 HOOKS, ZENA CHASE BANK 03/01/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 637 20WC 03330 COLONGON, PHOEBE GREENWOOD HOSPITALITY GRO 12/23/19 RAYMOND M SIMARD, PC KOPKA, PINKUS DOLIN, PC 638 20WC 03400 RATEGAN, RICHARD THILLENS 08/09/19 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 639 20WC 03428 ARELLANO, SAUL AMERICAN AXLE & MANUFACTU 09/26/19 DEPAOLO & ZADEIKIS EVANS & DIXON 640 20WC 03451 WITT, DAVID PARKWAY BANCORP, INC. 10/07/19 SEIDMAN MARGULIS & FAIRMAN

Page 39: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 20WC 03470 MEZA, FELIX GRAPHIC PACKAGING 06/07/19 RICHARD BINGHAM 642 20WC 03474 COSTELLO, ROBERT LINCOLN CEMETERY 12/03/19 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 643 20WC 03514 SIDDIQ, AMIR CITY OF CHGO-STREETS&SANI 01/08/20 NILSON STOOKAL GLEASON CAP 644 20WC 03572 ALLEN, LANIESHA V SCR MEDICAL TRANSPORTATIO 01/16/20 ACEVES & PEREZ PC LEAHY EISENBERG & FRAENKEL 645 20WC 03616 SEKULICH, JOSEPH ADAMSON PLUMBING 02/07/19 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 646 20WC 03626 CASILLAS, RAUL N FRESH EXPRESS 02/05/20 CHEPOV & SCOTT LLC NYHAN BAMBRICK KINZIE & LOWR 647 20WC 03664 LOPEZ, JOSE LA VACA MARGARITA BAR 10/14/19 CULLEN HASKINS NICHOLSON 648 20WC 03712 RIOS, MIGUEL ANGEL ALLIED WASTE SRVS OF N AM 07/31/19 THE ROMAKER LAW FIRM 649 20WC 03740 MONTGOMERY, ALBERT ILLINOIS DEPARTMENT 01/17/20 GALLAGHER, DONALD V ILLINOIS ATTORNEY GENERAL 650 20WC 03758 ROGERS, STEVEN ARCHDIOCESE CATHOLIC 10/08/18 MILLON & PESKIN LTD MC ANDREWS & NORGLE LLC 651 20WC 03777 DOTSON, ROY UPS 12/30/19 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 652 20WC 03794 THOMPSON, JESSIE DPI LOGISTIC SPECIALTY FO 01/29/20 DEPAOLO & ZADEIKIS 653 20WC 03817 RIVERS, KAREN UNITED AIRLINES INC. 01/24/19 DWORKIN AND MACIARIELLO 654 20WC 03875 MIKLASZ, KYLE TWININGS OF LONDON 02/05/20 STEWART C ORZOFF 655 20WC 03918 BOCH, STEVEN CASSENS TRANSPORT CO 01/20/20 CULLEN HASKINS NICHOLSON KNAPP, OHL & GREEN 656 20WC 03946 SMITH, JOHNNETTA PALOS HEIGHTS REHABILITAT 01/18/20 MC HARGUE & JONES 657 20WC 03964 DOWLING, BRIAN C.R. ENGLAND 11/26/19 HERRERA LAW CENTER 658 20WC 03990 BALMACEDA, GIOVANNI SWISSPORT 01/23/20 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ

Page 40: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 20WC 04022 DAMASO, ANGEL LAKESIDE FOODS 03/02/18 GORDON & CENTRACCHIO LLC 660 20WC 04060 HUGHES, VONEIA M SCR TRANSPORTATION 04/22/19 FRIEDMAN & SOLMOR LTD LEAHY EISENBERG & FRAENKEL 661 20WC 04076 BONANNO, VINCENT HARVEY CITY POLICE DEPART 11/01/19 HEALY SCANLON LAW FIRM 662 20WC 04105 ROMAN, JOSEFINA CHICAGO BOARD OF EDUCATIO 10/02/19 LEO ALT CHGO BOARD OF EDUCATION 663 20WC 04125 MOORE, DEVAUNTE WALMART 02/07/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 664 20WC 04165 RODDY, TORREY T CHICAGO TRANSIT AUTHORITY 02/04/20 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 665 20WC 04213 MIDDLETON, HOLLY NORTHWESTERN MEDICINE 12/04/19 SEIDMAN MARGULIS & FAIRMAN 666 20WC 04242 ANGELILLI, DENISE GOTTLIEB MEMORIAL HOSPITA 02/08/20 MC HARGUE & JONES 667 20WC 04266 RUIZ, MARIA ALLEN BROTHERS 1893, LLC 10/28/19 COSTA IVONE LLC HENNESSY & ROACH PC 668 20WC 04285 HERBERT, ELMER J VERTICAL HOLDINGS 11/16/18 VITELL & SPITZ LTD 669 20WC 04305 SANDERS, DEBINIQUE FEDEX 02/11/20 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 670 20WC 04342 MUNOZ, ANTHONY MOORE LANDSCAPING 07/30/18 JOHN S. ELIASIK 671 20WC 04391 PENDLETON, ANNA THE TJX COMPANIES, INC. 01/26/18 CORNFIELD & FELDMAN BRADY CONNOLLY & MASUDA PC 672 20WC 04410 FRAWLEY, ELA MECHANICAL, INC. 09/18/17 HEALY SCANLON LAW FIRM MEACHUM BOYLE TRAUFMAN 673 20WC 04431 BURKE, MARTIN ILLINOIS SECRETARY OF STA 08/21/19 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 674 20WC 04464 FIELD, DAWN VEHO TECH, INC 02/11/20 LAW OFFICES OF ADRIAN CHER 675 20WC 04559 GRIFFITH, JACQUELINE CITY OF CHICAGO/DEPT OF 01/22/20 GOLDSTEIN BENDER & ROMANOF 676 20WC 04634 HAMES, BRIAN BLANKENSHIP MOVERS 02/12/20 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC

Page 41: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 20WC 04683 CAMPBELL II, JESSE COVENANT TRANSPORT, INC 12/22/19 EAMES LAW GROUP LTD GOLDBERG SEGALLA LLC 678 20WC 04731 WASHINGTON, NATHANIEL J SUPERIOR TOWING, INC. 02/13/20 ANKIN LAW OFFICE 679 20WC 04752 TACIKIEWICZ, JAKUB SYSCO CHICAGO, INC 01/29/20 GWC INJURY LAWYERS LLC QUINTAIROS PRIETO WOOD & BOY 680 20WC 04782 AMMONS, CYNTHIA DAY SPRING PROF JANITORIA 03/09/18 SEIDMAN MARGULIS & FAIRMAN 681 20WC 04805 BRANCATO, SAMUEL NAPA-GENUINE PARTS CO 10/03/18 HERRERA LAW CENTER 682 20WC 04846 MONTES, ALFONSO CTA 02/15/20 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 683 20WC 04888 028 WROBEL, MARK ABF FREIGHT 01/29/20 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 028 10WC036070 -C ARKANSAS BEST FREIGHT 028 17WC029481 -C 684 20WC 05016 ROSANIA, RAY CHICAGO FIRE DEPT 01/13/20 BOUDREAU NISIVACO LLC 685 20WC 05048 GRAY, DANA ILLINOIS DEPARTMENT @ 02/13/20 RUBIN LAW GROUP ILLINOIS ATTORNEY GENERAL 686 20WC 05094 BARRIGA, EDUARDO MINUTE MEN STAFFING SRVS 03/20/19 HERRERA LAW CENTER SCOPELITIS GARVIN LIGHT 687 20WC 05114 TAYLOR, JANICE DED EX 02/07/20 LAW OFFICES OF ADRIAN CHER 688 20WC 05134 WESTMORELAND, LINDA SYMPHONY OF CRESTWOOD 02/02/20 DWORKIN AND MACIARIELLO MCCABE KIRSHNER PC 689 20WC 05161 SILVA, FABIA PRESENCE CHICAGO HOSPITAL 01/30/20 ANKIN LAW OFFICE 690 20WC 05209 LEON, RITO CMPH CONSTRUCTION 01/20/20 BART DURHAM ANCEL GLINK PC 691 20WC 05259 JOANET, LOUISE NEPTUNE STAR, INC 01/18/20 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 692 20WC 05285 MARTINEZ LANDA, RUFINO LCV STAFFING, LLC 02/11/20 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 693 20WC 05303 KRAMER, CHRISTINA M CHICAGO PUBLIC SCHOOLS 02/19/20 STEWART C ORZOFF CHGO BOARD OF EDUCATION 694 20WC 05327 TORRES, JUAN UNITED AIRLINES INC 01/17/19 GREGORIO & MARCO

Page 42: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 20WC 05411 GARRETT, MARIBETH LIFE TIME ATHLETIC 11/23/18 KATZ FRIEDMAN EISENSTEIN 696 20WC 05451 GRUCZEK, MICHAEL OLD DOMINION FREIGHT LINE 12/10/19 ADLER & ADLER EVANS & DIXON 697 20WC 05458 SOL, CARLOS GONNELLA FROZEN PRODUCTS 01/08/18 RUSIN & MACIOROWSKI LTD 698 20WC 05477 LOCKHART, SANDRA CHICAGO BOARD OF EDUCATIO 01/27/20 LEO ALT CHGO BOARD OF EDUCATION 699 20WC 05495 OROZCO, SERGIO OSI INDUSTRIES LLC 01/30/18 ALBRECHT LAW OFFICES 700 20WC 05515 ENRIQUEZ, PEDRO QUALITY ASSURANCE 01/28/20 ANKIN LAW OFFICE 701 20WC 05554 DELGADO, MANUEL TONY'S FRESH MARKET 01/05/20 TRAPP & GELLER 702 20WC 05584 WALKER, WANDA DIGBY'S DETECTIVE AND SEC 12/13/19 KROL BONGIORNO & GIVEN LTD 703 20WC 05594 BAUER, RICHARD P HIGH SCHOOL DISTRICT 211 02/06/20 JOSEPH G HAFFNER LAW OFFIC WIEDNER & MCAULIFFE LTD 704 20WC 05629 URIOSTEGUI, ANGELA GATE GOURMET-241 10/01/19 OSVALDO RODRIGUEZ PC RUSIN & MACIOROWSKI LTD 705 20WC 05742 DOMINGUEZ-HERRERA, MARIO JFC INTERNATIONAL INC. 01/25/19 THEODORE L STACY 706 20WC 05839 WOODSON, ALMA UNITED AIRLINES HOLDINGS 01/23/20 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 707 20WC 05857 WHALEY, WILLIAM THOMAS ACIA AUTOMOTIVE INC 07/03/19 JOSEPH MARCINIAK 20WC012772 -C GROSSINGER HYUNDAI 708 20WC 05888 JOHNSON, LUCILLE UPS 02/17/20 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 709 20WC 06005 OLIVARES, FRANCISCO J.W. MARRIOTT 02/12/20 BERG & BERG WIEDNER & MCAULIFFE LTD 710 20WC 06066 JACKSON, STACEE COOK COUNTY DTR OFFICE RM 09/27/19 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN

Page 43: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 20WC 06085 HARVEY, TYRICE SEB SERVICE OF ILLINOIS, 11/15/19 ASHER, RAYMOND L LTD ROSARIO CIBELLA 712 20WC 06192 WASHBURN, MARK A MOHR OIL CO 12/19/19 LEONARD LAW GROUP LLC EVANS & DIXON 20WC010932 -C 713 20WC 06217 RODRIGUEZ, MERIA TOWN OF CICERO 02/18/20 CAPRON & AVGERINOS PC DEL GALDO LAW GROUP LLP 714 20WC 06246 PEREZ, ROLANDO FESTIVAL SERVICES CORPORA 10/15/19 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 715 20WC 06275 BOOKER, TERRI CHICAGO PUBLIC SCHOOLS 02/10/20 DWORKIN AND MACIARIELLO 716 20WC 06373 MOUSHE, MAILID ALKASS RETAIL STORE, INC. 12/30/19 NEMEROFF LAW OFFICES 717 20WC 06396 GABRIEL, TAYLOR CHICAGO BEARS FOOTBALL CL 09/23/19 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 718 20WC 06425 DORSEY, CHRISTINA FERRARA CANDY COMPANY HOL 01/31/20 DEPAOLO & ZADEIKIS 719 20WC 06443 YATES, WILLIE TOWER INTERNATIONAL 08/01/19 RUBENS KRESS MULHOLLAND KEEFE CAMPBELL BIERY & ASSOC 720 20WC 06466 GEORGE, MICHELLE MV TRANSPORTATION 02/26/20 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 721 20WC 06497 HERRING, ANTHONY CITY OF CHICAGO - 01/16/20 ARGIONIS & ASSOCIATES LLC 722 20WC 06533 AIELLO, GREG FREEMAN DECORATING 07/22/19 HEALY SCANLON LAW FIRM MC ANDREWS & NORGLE LLC 723 20WC 06564 ROWE, JOHN CHICAGO TRANSIT AUTHORITY 03/02/20 HUGHES SOCOL PIERS RESNICK CHICAGO TRANSIT AUTHORITY 724 20WC 06597 IZQUIERDO, PETER PEPSI BEVERAGES COMPANY 03/09/17 NO ATTORNEY 725 20WC 06622 DE ALBA, VICTOR DOC BS RESTAURANT 002 LLC 02/20/20 THE ROMAKER LAW FIRM 726 20WC 06647 MOORE, YVETTE CITYVIEW MULTICARE 01/09/20 SEIDMAN MARGULIS & FAIRMAN 727 20WC 10465 BEDOLLA, JAIME COOK COUNTY SHERIFF'S OFF 04/06/20 ALEKSY BELCHER STATES ATTORNEY OF COOK COUN 728 20WC 10490 HILL, TRINELL ALPHA BAKING CO, INC 04/27/20 DISPARTI LAW GROUP PA

Page 44: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 20WC 10519 JIMENEZ, MICHAEL PERMASTEELSA 04/02/20 SEIDMAN MARGULIS & FAIRMAN 730 20WC 10556 AVILES, ALFREDO LIFELINE CONCORD, LLC 10/08/19 KOSIN LAW OFFICE LTD LEAHY EISENBERG & FRAENKEL 20WC010557 -C 20WC010558 -C 20WC010559 -C 731 20WC 10569 ADCOCK, BRYAN WRIGLEYVILLE PROPERTY 04/09/19 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 732 20WC 10608 BOLANOS-RODRIGUEZ, JUANIT BRINKS ARMORED 04/19/20 STEVEN J MALMAN & ASSOCIAT 733 20WC 10655 VEGA, MANUEL ENRIQUEZ MARIANO'S 01/03/20 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 734 20WC 10676 JACKSON, CAROLYN COOK COUNTY 03/30/20 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 735 20WC 10698 REPEL, MIKE CITY OF CHICAGO 04/21/20 DEPAOLO & ZADEIKIS 736 20WC 10728 OETTINGER, MURR MR. CHICKEN, LLC D/B/A 10/31/18 ROSS TYRRELL LITCHFIELD CAVO 737 20WC 10751 ESPER, DWAYNE BREDA MOVING & STORAGE 03/27/20 LUSAK AND COBB INMAN & FITZGIBBONS 738 20WC 10819 SCHNABEL, AUSTIN MARIANO'S 10/29/19 WHITESIDE & GOLDBERG LTD 739 20WC 10820 SCHNABEL, AUSTIN MARIANO'S 02/07/20 WHITESIDE & GOLDBERG LTD 740 20WC 10843 VASQUEZ, BERNARDINA LOU MALNATI'S PIZZERIA 03/30/20 DWORKIN AND MACIARIELLO 741 20WC 10862 TORRES, DANIEL CENTECH PLASTICS INC 12/11/19 TAXMAN POLLOCK 742 20WC 10925 AMAYA, VALERIA IMPERFECT PRODUCE FOODS 04/27/20 RAYMOND P GARZA LAW OFFICE 743 20WC 10944 BETALAC, MARY JEAN MANOR CARE 03/29/20 BAUM RUFFOLO & MARZAL LTD 744 20WC 11000 BALL, ROXANA CTA 08/17/18 SAUNDERS CONDON & KENNY 745 20WC 11019 THOMAS, DARRAN AMITY PACKING CO INC 04/20/20 ANKIN LAW OFFICE HOLECEK & ASSOCIATES

Page 45: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 746 20WC 11065 MATOS, JOSE ROAD SAFE TRAFFIC SYSTEMS 11/18/19 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 747 20WC 11085 HLOTKE, KEITH WASTE MANAGEMENT 01/13/20 GWC INJURY LAWYERS LLC 748 20WC 11091 DYE, DONNA UPS 03/03/20 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 749 20WC 11149 ALMARAZ, JULIO J&A SHEET METAL 04/27/20 NO ATTORNEY 750 20WC 11166 LONGORIA, LONN E PACE 11/05/19 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 751 20WC 11210 SALAS, LORENZO RENDON CHICAGO AUTOHAUS 04/14/20 MC HARGUE & JONES 752 20WC 11294 VEGA, JOSE VABECCA NATURAL FOODS, IN 02/28/20 WARREN E DANZ, PC ACCIDENT FUND HOLDINGS 753 20WC 11328 OBISPO, JOSE FLEXICORPS 08/15/19 BUDIN LAW OFFICES 754 20WC 11367 AH SAM, JASON GEORGIA NUT COMPANY 01/04/20 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 755 20WC 11443 HERNANDEZ, MARTHA L ABLE ELECTRO-POLISHING CO 05/08/20 EPSTEIN, JACK R LAW OFFICE 756 20WC 11465 DYE, EUNICE ADA S MCKINLEY COMMUNITY 09/01/19 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 757 20WC 11500 ZIBELL, WAYNE COOK COUNTY GOVERNMENT 02/18/20 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 758 20WC 11515 JOHNSON, ARTHUR SCRUB, INC 04/21/20 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 759 20WC 11536 LIDEELL, ALA T COOK CNTY DEPT OF CORRECT 05/10/20 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 760 20WC 11551 MORALES, NANCY JEWEL/NEW ALBERTSON'S INC 01/29/20 WHITESIDE & GOLDBERG LTD 761 20WC 11579 FLORY, EDWARD COOK COUNTY SHERIFF'S DEP 03/28/20 RIDGE & DOWNES INMAN & FITZGIBBONS 762 20WC 11592 KARP, CHRISTOPHER MILLENNIUM METAL LLC 01/01/19 CULLEN HASKINS NICHOLSON 763 20WC 11605 KAI, EVELYN CHICAGO TRANSIT AUTHORITY 04/30/20 NILSON STOOKAL GLEASON CAP

Page 46: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 764 20WC 11630 ESCALANTE, MANUEL AGB INVESTIGATIVE SRVCS I 05/05/20 GWC INJURY LAWYERS LLC BRYCE DOWNEY & LENKOV LLC 765 20WC 11675 SANCHEZ, BENITO SWEET HOME KITCHEN & BATH 03/27/20 CURNYN, JOHN INMAN & FITZGIBBONS 766 20WC 11805 PHILLIPS, HARRY WORLDWIDE FLIGHT SRVS (WF 04/25/20 STROM & ASSOC 767 20WC 11824 SMITH, JAMAR CARL BUDDIG & CO 03/13/20 COSTA IVONE LLC KNELL O'CONNOR DANIELWICZ 768 20WC 11843 GIOIA, JOSEPH CITY OF CHICAGO, DEPT OF 05/12/20 WILLIAM H MARTAY 769 20WC 11866 SOUNDE, SCOTT H CENTURY GOLF PARTNERS MNG 12/03/18 JOSEPH MARCINIAK 770 20WC 11878 WILSON, LAWRENCE AMERICAN AIRLINES 06/30/19 RITTENBERG BUFFEN 771 20WC 11904 MARLOW, JOHN M2 PROPERTY GROUP LLC 04/28/20 ANKIN LAW OFFICE 772 20WC 11929 GARCIA, LAURA WALMART 07/27/19 ROSENBERG EISENBERG ASSOC WIEDNER & MCAULIFFE LTD 773 20WC 11949 BYRD, CORNELIUS MARIANO'S 05/13/20 COSTA IVONE LLC 774 20WC 11979 TURNER, SHERRI CARLTON AT THE LAKE 04/30/20 STEVEN J MALMAN & ASSOCIAT 775 20WC 12009 FLOUTSIS, ALEXANDER MR. DAVID'S FLOORING INTE 02/01/20 O'CONNOR & NAKOS KEEFE CAMPBELL BIERY & ASSOC 776 20WC 12040 NAJIEB, KAHYREE ST OF IL- ILLINOIS DEPART @ 04/27/20 ANKIN LAW OFFICE 777 20WC 12066 PETERS, MELODY DG RETAIL, LLC 04/28/20 SALK FLORES & BRODERICK LEAHY EISENBERG & FRAENKEL 778 20WC 12171 MASSA, YAHAIRA O'REILLY AUTO PARTS 02/25/20 ARGIONIS & ASSOCIATES LLC BRYCE DOWNEY & LENKOV LLC 779 20WC 12194 WILEY, MELANIE RAVENSWOOD CHILD CARE CTR 11/15/19 GANAN & SHAPIRO 780 20WC 12239 DIAZ, PATTY SHARKPOINT SILKSCREEN & 04/27/20 STEVEN B SALK & ASSOC LTD JOSEPH MARCINIAK 781 20WC 12260 MCWHORTER, ULYSSES CHICAGO BEHAVIOUR HOSPITA 05/21/20 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD

Page 47: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 782 20WC 12278 TORRES, JOHN LA GONDOLA ITALIAN RESTAU 05/07/20 KATZ FRIEDMAN EISENSTEIN 783 20WC 12300 WONG, TYLER CHICAGO WOLVES 04/23/19 GORDON LAW OFFICES LTD COZZI & ZAPF LAW OFFICE 784 20WC 12325 RUIZ, JOSE ALFREDO KEHOE DESIGN 01/01/18 COSTA IVONE LLC JOSEPH MARCINIAK 785 20WC 12346 JONES, SHARON R CHICAGO TRANSIT AUTHORITY 05/12/20 DEPAOLO & ZADEIKIS CHICAGO TRANSIT AUTHORITY 786 20WC 12374 ROBINSON, RUDOLPH JUST TIRES 05/28/20 GERALD CONNOR BRADY CONNOLLY & MASUDA PC 787 20WC 12397 JORDAN, ANGELA UNIVERSITY OF CHICAGO MED 08/21/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 788 20WC 13135 SCHOLZ, SUSAN (WIDOW) MILAN'S MACHINING & MFG C # 04/02/20 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 789 20WC 13276 SMITH, TERESA BELLHAVEN NURSING AND 04/03/20 ANKIN LAW OFFICE 790 20WC 18483 WILSON, MICHAEL UPS * 07/29/20 SCOTT B SHAPIRO 791 20WC 18515 PICMAN, JOSHUA D FLEET CARE * 07/19/20 FRIEDMAN & SOLMOR LTD 792 20WC 18534 BURKS, CELESTINE CTA * 08/02/20 COVEN LAW GROUP 793 20WC 18559 COVINGTON, KEVIN EDEN SOUTH SHORE * 03/16/20 MANDELL, GREGG HENNESSY & ROACH PC 794 20WC 18587 SOTO, DAVID ASCHER BROTHERS COMPANY I * 07/17/20 GWC INJURY LAWYERS LLC KEEFE CAMPBELL BIERY & ASSOC 795 20WC 18606 MCNAIR, CHARLES UPS FREIGHT * 07/24/20 LEONARD LAW GROUP LLC 796 20WC 18633 NELSON, TELMADGE COMCAST * 02/20/20 LAW OFFICES OF ADRIAN CHER POWER & CRONIN LTD 797 20WC 18678 RICE, CATHERINE ADVOCATE CHRIST MED CTR * 02/29/20 FISHER & LAMONICA 798 20WC 18692 HERNANDEZ, RICHARD AMERICAN AIRLINES GROUP, * 06/22/20 ANKIN LAW OFFICE 799 20WC 18715 WARREN, HOPE RICH PRODUCTS * 07/27/20 DWORKIN AND MACIARIELLO

Page 48: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 800 20WC 18744 PIEMONTESE, AVALON AMERICAN AIRLINES * 11/09/19 TURCYCHUTE LLC 801 20WC 18759 PAREDES, M CRISTINA UNITED AIRLINES INC. * 07/03/20 ANKIN LAW OFFICE 802 20WC 18793 WUJEK, ALAN J KEY WEST METAL INDUSTRIES * 06/10/20 RUBIN LAW GROUP 803 20WC 18818 HUDSON, DANIEL RACK-IT INSTALLATIONS, IN * 07/31/20 MC HARGUE & JONES 804 20WC 18858 TATE, MONEIKE PACE TRANSPORTATION BUS * 08/29/19 NO ATTORNEY 805 20WC 18960 AHRTLEY, CHANEL ILLINOIS SCHOOL BUS CO, I * 03/01/20 WITTER LAW OFFICE 806 20WC 18985 LUCERO, EDGAR FOCAL POINT, LLC * 04/20/20 COVEN LAW GROUP 807 20WC 19005 CLAIBORNE, LATASHA CHICAGO PUBLIC SCHOOLS * 12/02/19 NYHAN BAMBRICK KINZIE & LOWR 808 20WC 19022 GREGORY, JERMAINE ARYZTA LLC * 02/04/20 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 809 20WC 19050 NEGRON, ROBERTO ABRASIVE TECHNOLOGY INC * 08/04/20 GRAUER & KRIEGEL LLC 810 20WC 19067 HAYNES, SPELMON VILLAGE OF BROOKFIELD * 06/26/20 GWC INJURY LAWYERS LLC POWER & CRONIN LTD 811 20WC 19088 JOHNSON, TENISHA DO & CO CHICAGO CATERING * 12/04/19 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 812 20WC 19114 KIRKENDOLL, JAMIE EXPRESSJET AIRLINES, INC. * 09/24/19 QUINTAIROS PRIETO WOOD & BOY 813 20WC 19140 COX, TYISHA FEDEX SHIP CENTER * 07/23/20 DWORKIN AND MACIARIELLO 814 20WC 19165 EAST, ERICA A UPS FREIGHT- UNITED PARCE * 07/10/20 VITELL & SPITZ LTD 815 20WC 19224 GAYTAN, JAMIE J ARYZTA BAKERY * 07/16/20 DAVID W MARTAY 816 20WC 19246 MARTINEZ, RUTILO CHEM-PLATE INDUSTRIES * 02/14/20 FRIEND LEVINSON & BERGAL 817 20WC 19259 MCKNIGHT, TELICIA TOWER AUTOMOTIVE * 07/20/20 KATZ FRIEDMAN EISENSTEIN KEEFE CAMPBELL BIERY & ASSOC

Page 49: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 818 20WC 19279 RIVERA, WILLIAM HOLY CROSS HOSPITAL * 07/22/20 ANKIN LAW OFFICE 819 20WC 19307 JOHNSON, DOMINIQUE AUSTIN OASIS * 05/28/20 LEONARDO MORALES 820 20WC 19351 GARCIA, XAVIER METRO NORTH INDUSTRIAL TI * 06/10/20 SALGADO, DAVID L 821 20WC 19375 FORTE, ANDREA HEALTH FORCE * 07/20/20 LEITER LAW OFFICES GAIDO & FINTZEN 822 20WC 19392 BRINKLEY, RICHELLE ABBOTT LABORATORIES, INC * 12/31/19 ANKIN LAW OFFICE 823 20WC 19414 RODRIGUEZ, ISAIAS CHICAGO TRANSIT AUTHORITY * 07/14/20 SALK FLORES & BRODERICK 824 20WC 19456 PEREZ, ABEL SHRED SPOT * 01/07/20 COSTA IVONE LLC 825 20WC 19491 TORRES, BETHZUA WYNDHAM GRAND * 08/09/17 MANUAL CARDENAS & ASSOC 826 20WC 19513 JELLISSEN, JAMIE M ALDI * 06/04/20 GOLDSTEIN BENDER & ROMANOF 827 20WC 19536 GATHRIGHT, SHEENA RUSH UNIVERSITY MEDICAL C * 04/07/20 MARK G BERGAL LAW OFFICE 828 20WC 19557 LAZAREVSKI, DEJAN DAUNTLESS DELIVERY LLC * 07/31/20 DWYER & COOGAN 829 20WC 19608 ENRIQUEZ, SALVADOR SURESTAFF * 02/13/20 LOUIS MUNDY 830 20WC 19709 GUERRIOS, PABLO LIV TRANSPORTATION INC * 05/27/20 HORWITZ HORWITZ & ASSOC 831 20WC 19733 HAMZIK, KATHLEEN RML SPECIALTY HOSPITAL * 05/01/20 CUDA LAW OFFICES 832 20WC 19756 CLARK, CAROLYN CHICAGO TRANSIT AUTHORITY * 08/12/20 STROM & ASSOC 833 20WC 19778 SMITH, TIFFANY CHICAGO DEPT OF AVIATION * 08/11/20 COSTA IVONE LLC 834 20WC 19786 NOVILLO, CESAR UPS * 06/10/20 BART DURHAM 835 20WC 19811 FORNISS, LAWRENCE L JR. IL DEPT OF TRANSPORATION @ * 06/30/20 TOSCAS, JOHN Z LAW OFFICE

Page 50: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 836 20WC 19833 COLEMAN, MCKENZIE OFF OF CHIEF JUDGE OF COO * 07/13/20 RITTENBERG BUFFEN 837 20WC 19854 ROMERO, JOEL GRECO & SONS * 07/19/20 FOOTE MIELKE CHAVEZ O'NEIL 838 20WC 19888 GARCIA, RICARDO WHOLE FOODS MARKET * 10/01/19 PETER LEKAS 839 20WC 19912 MIRANDA, RAMON CALIFORNIA PIZZA KITCHEN * 01/23/20 WARREN W MARK 840 20WC 20086 MCCOSHEN, IAN CHICAGO BLACKHAWKS * 03/07/20 WOLFE LAW PC 841 20WC 20134 KNOX, JAKE FORD MOTOR * 09/19/19 TRAPP & GELLER 842 20WC 20154 MANCE, KINYA CHICAGO TRANSIT AUTHORITY * 08/16/20 KUMLIN & FROMM 843 20WC 20173 CRAWFORD, KAYLA RAPID ROUTE, INC. * 08/13/20 SEIDMAN MARGULIS & FAIRMAN 844 20WC 20195 DE LA CRUZ, URBANO EWING-DOHERTY MECHANICAL, * 04/27/20 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 845 20WC 20209 SADIKU, FLORIJE TRUMP INTERNATIONAL * 07/12/20 CULLEN HASKINS NICHOLSON 846 20WC 20232 CUENCA, OSCAR PRECISION PLATING CO * 05/25/20 O'CONNOR & NAKOS 847 20WC 20255 TAPIA, EFRAIN WELCH PACKAGING GROUP, IN * 06/30/20 THE ROMAKER LAW FIRM 848 20WC 20283 KELLY, MILEECE CITY OF CHICAGO * 06/17/20 SOSTRIN AND SOSTRIN PC 849 20WC 20302 SMITH, MATTHEW AMAZON * 08/14/20 EDWIN REYES LAW FIRM 850 20WC 20333 RUBIO, CARLOS MALARD GROVE CONDOMINIUM * 02/05/20 GANAN & SHAPIRO 851 20WC 20355 CASTELLON, MIGUEL CHICAGO TRANSIT AUTHORITY * 12/04/19 STROM & ASSOC 852 20WC 20390 BONILLA, JOSE A ALL TEMP HEATING & AIR * 06/10/20 MC HARGUE & JONES 853 20WC 20413 MIRABILE, GLENN CITY OF CHICAGO-CDOT * 08/06/20 WHITESIDE & GOLDBERG LTD

Page 51: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 854 20WC 20442 TOPEL, ANDREW CBRE * 11/12/19 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 855 20WC 20460 FERNANDEZ, FERNANDO P VEE PAK, LLC, D/B/A * 06/15/20 BRUCE RAFALSON LTD 856 20WC 20498 LOWERY, ANITA L RJB PROPERTIES * 03/02/20 ANKIN LAW OFFICE 857 20WC 20522 MQARINELLI, ROBERT UNITED AIRLINES * 04/20/18 DWORKIN AND MACIARIELLO 858 20WC 20564 PILGROM, ERICA ALLSTATE * 03/12/19 ANKIN LAW OFFICE 859 20WC 20619 MIRAMONTES, GUADALUPE ASPEN EXTERIOR * 05/08/19 POLANSKY & CICHON CHTD 860 20WC 20644 MATTHEWS, GILBERT ST PETER'S CHURCH * 11/01/19 BERG & BERG 861 20WC 20653 MORALES, MARIA HARVEST FOOD GROUP * 08/14/20 GOLDSTEIN BENDER & ROMANOF 862 20WC 20680 BARRAZA, FELIPE EDGEWOOD VALLEY COUNTRY C * 06/22/19 SALVATO O'TOOLE FROYLAN 863 20WC 20703 JOHNSON, DONALD TOWER AUTOMOTIVE * 08/17/20 KATZ FRIEDMAN EISENSTEIN 864 20WC 20716 WEBBER, DARRYL WERNER ENTERPRISE * 01/05/20 DWORKIN AND MACIARIELLO 865 20WC 20749 JACKSON-GORDON, SHIRLEY OTIS ELEVATOR * 08/18/20 FOOTE MIELKE CHAVEZ O'NEIL 866 20WC 20777 DEIZ, ALLISON GRIFFITH FOODS INC * 07/29/20 COSTA IVONE LLC 867 20WC 20788 KLEIN, KENNETH MC CARTHY FORD * 06/26/20 CULLEN HASKINS NICHOLSON 868 20WC 20812 SEARLES, THOAMS IN HOUSE DELIVERY SYSTEMS * 03/18/20 DONALD FOHRMAN & ASSOC 869 20WC 20847 TRANCHITA, WILLIAM VILLAGE OF ELK GROVE * 07/25/20 ATSAVES, LOUIS G LTD 870 20WC 20890 KESSEG, ANDREW AMERICAN AIRLINES * 08/23/19 ROSARIO CIBELLA 871 20WC 20913 DOUGLAS, CHRIS FEDEX FREIGHT * 08/17/20 TAXMAN POLLOCK

Page 52: ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 …79 15wc 35910 hernandez, maria reyna alternative staffing inc. 12/02/13 epstein, jack r law office rusin & maciorowski ltd 80 15wc

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M AMARILIO, JOSEPH D 013 ARBITRATION CALL FOR CHICAGO 99013 ON 10/06/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 872 20WC 20937 MENDOZA, RAMON CONTOUR LANDSCAPING, INC. * 06/01/20 ACEVES & PEREZ PC 873 20WC 20959 WILSON, JACKIE TERMINIX INTERNATIONAL, I * 08/10/20 ANKIN LAW OFFICE