ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 45118 19B LANDA, MARIBEL SOLO CUP CO 09/23/99 LICHTEN, THOMAS R GAROFALO SCHREIBER STORM 00WC048763 -C 02WC036196 -C 05WC000620 -C 2 02WC 29522 HENDY, DAVID THATCHER ENGINERING 01/15/02 MARVIN A BRUSTIN LTD GAROFALO SCHREIBER STORM 3 02WC 32951 KORDZINSKI, DAVID ADVANTAGE DELIVERY 09/04/01 WOLFE, ELFENBAUM & EVERS, 205 02WC030876 -C D & H ALTERNATIVE 4 02WC 65980 DILLON, RODGER CITY OF CHICAGO 12/07/00 JOHN E LUSAK 04WC053974 -C 5 04WC 08716 WALTON, JANET CHICAGO BOARD OF EDUCATIO 04/26/01 ROSS TYRRELL LAW DEPARTMENT 6 05WC 02861 GOODS, SHARMAN SPEED SEJA #802 02/11/03 ANCEL GLINK DIAMOND BUSH & E 05WC002863 -C 05WC002865 -C 7 06WC 33053 IRALI, SILVIO CITY OF CHICAGO DEPT OF T 01/18/06 ROSS TYRRELL 8 06WC 52669 SIMON, DONN CHICAGO BOARD OF EDUCATIO 10/11/06 JACK R EPSTEIN LAW DEPARTMENT 09WC045189 -C 12WC031970 -C 15WC019102 -C 9 07WC 05276 SANCHEZ, ISRAEL FELIPE LA CONDESA W 04/15/06 EPSTEIN, JACK R LAW OFFICE 10 07WC 19483 RIVERA, ISRAEL AMERICAN AIRLINES 01/27/07 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 11 08WC 06427 PINGEL, DALE ARLINGTON HEIGHTS PARK DS 09/17/07 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 10WC015964 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 08WC 18264 HURST, DIANE ST OF IL ELIZABETH LUDEMA @ 11/14/05 WOODRUFF & JOHNSON LAW OFF ASSISTANT ATTORNEY GENERAL 08WC018265 -C 08WC018266 -C 08WC036443 -C ELIZABETH LUDEMANN CENTER 11WC031882 -C 13 08WC 24208 HAMPTON, RUBY CARSON PIRIE SCOTT 06/06/05 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 08WC024209 -C 09WC043191 -C 10WC049628 -C 10WC049629 -C 12WC009961 -C 14 08WC 38219 GARZA, ELVIA RUDOLPH LEARNING CENTER 08/31/07 SHELDON I MINKOW & ASSOCIA LAW DEPARTMENT 12WC038157 -C CHICAGO BOARD OF EDUCATION 15 08WC 43781 WRAGGS, CRYSTAL JEWEL BUS CO W 09/22/08 NICHOLIS J STEIN ASSISTANT ATTORNEY GENERAL 16 08WC 49505 NAWROT, GRZEGORZ ML DECORATING CORP 11/05/08 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 17 08WC 51076 MARTINEZ, GUADALUPE CHICAGO PUBLIC SCHOOLS 05/09/08 ELFENBAUM EVERS & AMARILIO LAW DEPARTMENT 08WC051077 -C 18 09WC 00438 LETT, JAMES D CITY OF CHICAGO 02/21/07 MEYERS & FLOWERS CITY OF CHICAGO 15WC037623 -C CHICAGO CITY CLERK 19 09WC 02207 SMITH, VELMA UNIVERSITY OF ILLINOIS 10/08/08 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 09WC006113 -C 20 09WC 02488 HERNANDEZ, JESUS MCHUGH CONSTRUCTION 12/27/07 LAW OFFICE OF SCOTT B SHAP SPIEGEL & CAHILL, PC 09WC002489 -C 10WC044133 -C MC HUGH CONSTRUCTION 10WC044134 -C 10WC044135 -C MC HUGH CONSTRUCTION 21 09WC 08427 ADI, MARK FREEDMAN SEATING CO 02/19/09 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 22 09WC 13378 RODRIQUEZ, ROCIO UNIVERSITY OF CHICAGO 08/03/08 STEVEN J SEIDMAN LAW OFFIC SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 23 09WC 16024 CROSBY, CHRIS USF HOLLAND INC 12/07/07 RICHARD D HANNIGAN, LTD HENNESSY & ROACH PC 24 09WC 19481 JOHNSON, JAMES VILLAGE OF ELK GROVE 11/01/07 ANESI OZMON RODIN NOVAK KO NOBLE & ASSOCIATES PC 09WC019482 -C 25 09WC 20094 PUENTE, CARRIE MEATS BY LINZ 10/08/08 DWORKIN AND MACIARIELLO MEACHUM & STARCK LAW OFFICES 10WC015627 -C 26 09WC 20145 IANNONI, AL CITY OF CHICAGO 04/22/09 CULLEN, HASKINS, NICHOLSON HENNESSY & ROACH PC 14WC013036 -C 27 09WC 20652 ROBINSON, ZANDRA M UNIVERSITY OF ILLINOIS @ 11/06/08 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 28 09WC 40684 KANE, KEVIN METROPOLITAN WATER 12/23/08 STROM, NEAL B NOBLE & ASSOCIATES PC 10WC011793 -C 12WC003627 -C 29 09WC 46625 GALARZA, ANNA L STATE OF ILLINOIS - DCFS @ 12/26/06 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 30 09WC 47411 BOWERS, JACK GROOT RECYCLING & WASTE 01/01/09 JAMES M RIDGE LAW OFFICE GRANT & FANNING 31 09WC 48992 19B-1 STUPAY, MICHAEL HESTER DECORATING CO INC 02/18/09 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 32 09WC 53101 BARTUCCI, JESSICA MENARD'S 08/26/09 MARSZALEK AND MARSZALEK CHILTON YAMBERT PORTER LLP 33 10WC 01806 19B TORIAN, VAHE INTERNATIONAL TEST & 10/14/08 CAMERON CLARK LAW OFFICES JOSEPH MARCINIAK 34 10WC 13205 MANNINO, VINCE FOUR SEASONS HEATING AND 10/13/09 COVEN LAW GROUP ROSARIO CIBELLA 35 10WC 14903 MICOVIC, NADEZDA MAVA ROMANOFF CORPORATION 04/30/07 ROMANUCCI & BLANDIN LAW OFFICES JOSEPH MARCINIAK 36 10WC 18632 FLORIDIA, JOHN NAVISTAR INC 01/25/07 GORDON & CENTRACCHIO LLC NYHAN BAMBRICK KINZIE & LOWR 37 10WC 26113 SANCHEZ, CARLOS VICTOR MARQUETTE CLEANERS & @ W 03/10/10 FRANK A SANTILLI & ASSOC 38 10WC 28690 MEDINA, BERNARDINO THE PLASTICS GROUP, INC 07/22/10 DWORKIN AND MACIARIELLO 39 10WC 28730 VILLANUEVA, EFRAIN ALVARE LVI ENVIRONMENTAL SERVICE 07/08/10 GOLDBERG WEISMAN & CAIRO L RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 10WC 30464 AVILA, ERIC ALBERTO TEMPUS CONSTRUCTION SERVI 12/01/08 FRANK A SANTILLI & ASSOC 41 10WC 30626 AHMED, KHADAR CHICAGO CARRIAGE CAB CO 07/24/10 VRDOLYAK LAW GROUP LLC STONE & JOHNSON CHARTERED 42 10WC 30670 WILEY, TRACY CHICAGO STATE UNIVERSITY 07/12/10 LEO ALT ASSISTANT ATTORNEY GENERAL 43 10WC 32593 PANIAGUA, LUCINA COOK COUNTY CLERK CIRCUIT 08/11/10 EPSTEIN, JACK R LAW OFFICE STATES ATTORNEY OF COOK COUN 44 10WC 32940 LOGAN, VANESSA CHICAGO STATE UNIVERSITY 09/23/08 WILLIAMS, ROBERT B LAW OFF ASSISTANT ATTORNEY GENERAL 45 10WC 39306 THOMAS, DORIS J CHICAGO PUBLIC SCHOOLS 10/15/09 LUIS A ACEVES & ASSOC LAW DEPARTMENT 46 10WC 41338 GUZMAN, JOHN M BLOCK AND SONS INC 09/13/10 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 47 10WC 43818 POLOMIK, DAVID KRAFT FOODS MANUFACTURING 07/18/10 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 48 10WC 44120 NAVARRO, LADISLAO A FINKL & SONS CO 12/22/09 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 49 10WC 46024 MC GEE, FREDERICK AT&T INC 08/30/10 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 50 10WC 47155 MERCADO, RODOLFO FOX VALLEY CONTRACTORS LL @ W 11/11/10 JONATHAN SCHLACK 51 11WC 06849 SANTOS, JAIME CHCIAGO TRANSIT AUTHORITY 05/02/08 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 11WC006850 -C CHICAGO TRANSIT AUTHORITY 14WC037352 -C 52 11WC 08403 WATSON, MARY ST OF ILL DEPT OF HUMAN S 02/24/10 BAUM RUFFOLO & MARZAL LTD SHUAIB A. AHMED 53 11WC 10077 LATTANZIO, KERRY A FINKL & SONS 11/05/10 STEVEN J SEIDMAN LAW OFFIC GAROFALO SCHREIBER STORM 54 11WC 13406 TOMASELLO, DOMINICK CITY OF CHICAGO 03/06/11 HEALY LAW FIRM CITY OF CHICAGO 55 11WC 13730 JUAREZ, MARIA CHICAGO HILTON CORP 04/16/08 SCHWEICKERT & GANASSIN NOBLE & ASSOCIATES PC 11WC013795 -C HILTON HOTELS CORP 16WC023137 -C 56 11WC 15057 LOPEZ, LUCIANO CHICAGO AUTO REPAIR & 04/04/11 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 11WC 15089 19B TORRES, CARLOS INTEGRATED INDUSTRIES 03/11/11 ACEVES & PEREZ PC MARTIN, PATRICK W 58 11WC 15741 LEDEZMA-CERVANTES, ARACEL ALTA VISTA GRAPHICS 07/11/08 MARVIN A BRUSTIN LTD NYHAN BAMBRICK KINZIE & LOWR 59 11WC 19452 KEY, JOSEPH BEST TRANSPORTATION 04/21/11 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 60 11WC 21426 MARTIN, EDGAR IL DEPT OF EMPLOYMENT SEC @ 03/17/11 MARVIN A BRUSTIN LTD ASSISTANT ATTORNEY GENERAL 12WC036359 -C ILLINOIS DEPARTMENT OF 14WC011262 -C 61 11WC 26641 BAUTISTA, MIGUEL FRANCO'S TACOS 04/22/11 JAMES ELLIS GUMBINER & ASS 62 11WC 26820 19B VILLA, MINERVA FINER FOODS INC 06/10/11 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 63 11WC 27276 ESCUDERO, OSCAR SANDRA'S FOOD INC 06/28/11 SALK, STEVEN B & ASSOC LTD 64 11WC 32066 ELLIS, MORRIS G JOHN CRANE INC 08/15/11 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 65 11WC 33165 SOTO, OSCAR L FLYING FOOD GROUP 07/21/11 RUBIN LAW GROUP HOLECEK & ASSOCIATES 66 11WC 33231 HOLLINS, ALVIN IDOT @ 06/06/11 BART DURHAM ASSISTANT ATTORNEY GENERAL 14WC007166 -C ST OF IL DEPT OF 67 11WC 35694 ARRINGTON, DAMINA CENTRAL BURSING & REHAB 02/16/11 DWORKIN AND MACIARIELLO JOHN LEE 68 11WC 37897 RODRIGUEZ,MARIA AS GUARDI NOVAK CONSTRUCTION 08/25/11 MEYERS & FLOWERS KLAUKE LAW GROUP LLC 69 11WC 38411 RIVERA, JOSE LUIS JR USED CAR FACTORY 07/06/11 CULLEN HASKINS NICHOLSON 70 11WC 40074 HOLMES, JIM W JERNBERG INDUSTRIES 08/23/11 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 11WC040075 -C 71 11WC 42793 SZEMAN, JOHN ARNIE BAUER INC 05/19/11 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 72 11WC 43149 EMMANUEL, MICHAEL CHICAGO POLO XIV INC 10/30/11 POMPER & GOODMAN 73 11WC 43539 PLEASANT, DESHUN CITY OF CHICAGO 02/11/11 KARCHMAR & STONE CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 74 11WC 43705 DE LEON, FELIX AT & T 12/13/10 KRISIK, DENNIS J LTD HENNESSY & ROACH PC 75 11WC 43837 KRANZ, GARY LCL BULK TRANSPORT 07/21/11 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 76 11WC 43879 WOOD, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 07/03/11 JAMES M RIDGE LAW OFFICE CHICAGO TRANSIT AUTHORITY 77 11WC 44015 RAMIREZ, MARIA LUZ ROBERTSON INNOVATIVE LIGH 05/18/11 EPSTEIN, JACK R LAW OFFICE 78 11WC 44264 MCLAIN, WILLIAM BRIAN & CINDY BUTLER 10/20/11 CHRISTIAN & MANNO COSTIGAN & WOLLRAB PC 79 11WC 44484 ALISAID, ALISAID CHICAGO CARRIAGE CAB W 07/20/11 POMPER & GOODMAN 80 11WC 44590 SALDIVAR, STEVE CITY OF CHICAGO 11/11/11 RUBIN LAW GROUP 81 11WC 46124 GANT, THELMA SMART STOP 11/08/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 82 11WC 46404 DUNBAR, FENENA R & D BUS COMPANY 06/08/11 83 11WC 47647 MEDINA, JOSE C ROLLEX CORP 11/15/11 JOSEPH A DEL CAMPO GRANT & FANNING 84 12WC 03741 MCKILLION, GINNA UNIVERSITY OF ILL AT CHIC 12/27/11 CHARLES LEVY & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 12WC034998 -C 14WC016272 -C 85 12WC 06028 PEREZ, JORGE NORWEGIAN AMERICAN HOSPIT 12/06/11 JAMES ELLIS GUMBINER & ASS 86 12WC 08634 SURON, ANNA NILES NURSING & REHAB CTR 03/13/09 NEMEROFF LAW OFFICES 87 12WC 08807 TURCIOS-SALGADO, SONIA M HOME PRODUCTS INTERNATION 01/05/12 SALK, STEVEN B & ASSOC LTD LITCHFIELD CAVO 88 12WC 10197 ORTIZ, GABRIEL ACME REFINING 03/17/11 RUSSO & RUSSO LTD RUSIN & MACIOROWSKI LTD 89 12WC 14548 SANCHEZ, HILDA MECHANICAL SERVANTS, INC 03/09/12 VASILATOS & COTTER LLC WIEDNER & MCAULIFFE LTD 90 12WC 17340 TAYLOR, TANEISHA JETRO CASH CARRY ENTERPRI 04/02/12 MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 12WC 17388 ANDRADE, HERIBERTO METRO STAFF 05/04/12 DONALD W FOHRMAN HENNESSY & ROACH PC 92 12WC 17787 MC QUILLER, WILLIE L ACTRACHM DIV POLARTECH 07/05/11 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 12WC017788 -C 93 12WC 18392 ALVAREZ, NANCY HOWARD JOHNSON 04/24/12 JONATHAN SCHLACK MEACHUM & STARCK 94 12WC 18434 VANTREASE-HENLEY, KELLI MERCY HOSPITAL 10/20/11 LAW OFFICES PETER LEKAS NYHAN BAMBRICK KINZIE & LOWR 95 12WC 18938 GALINDO, JUAN P JACKSON PARK HOSPITAL & 02/20/12 GOLDBERG WEISMAN & CAIRO L ODELSON & STERK 96 12WC 20245 THOMAS, WENDY NORTHEASTERN ILLINOIS @ 05/01/12 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 97 12WC 21335 PALIKIJ, MARY LYNN CAIRO CITY OF CHICAGO 02/06/11 LAW OFFICES OF KIRK MOYER CITY OF CHICAGO 98 12WC 27229 PALUMBO, CHARLES AMERICAN AIRLINES 06/23/12 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 14WC011046 -C 16WC013925 -C 99 12WC 28112 BOKINA, ALEX POWER PLANT/GENERAL MAN 07/20/12 CHRISTOPHER BUCHCAR, LTD CASSANO & ASSOCIATES 100 12WC 28848 VELASCO, GERARDO CARDINAL WINE & LIQUORS I 06/14/12 LEWIS & DAVIDSON, LTD MACIOROWSKI SACKMANN & ULRIC 12WC028849 -C 101 12WC 28873 BROWN, TIMOHTY MAY FOOD W 06/25/12 MARSZALEK AND MARSZALEK 102 12WC 29104 KAMINSKI, JOHN CHICAGO TRANSIT AUTHORITY 07/10/11 MCNAMARA PHELAN MCSTEEN LL CHICAGO TRANSIT AUTHORITY 103 12WC 29281 HILLERY, JACQUELINE HELP AT HOME 06/26/12 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 14WC041566 -C 104 12WC 29822 VELASQUEZ, IDUWIGES AMERICAN BLUE RIBBON HOLD 04/27/12 SALK, STEVEN B & ASSOC LTD 105 12WC 30064 PAPAFIO, GERMINATU UNIVERSITY OF CHICAGO 02/03/11 ROGER D RUDICH LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 12WC 30107 ROMAN, ANITA ABM JANITORIAL SERVICES 08/17/12 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 107 12WC 30442 NEAL, VALERIE CITY OF CHICAGO 07/30/12 ANKIN LAW OFFICE CITY OF CHICAGO 14WC040463 -C 108 12WC 30683 JOYCE, GREGORY A MAKTRANS LOGISTICS 08/08/12 KENNETH B GORE 109 12WC 30755 OSBOURNE, RICK WINDWARD 08/27/12 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 110 12WC 30797 HERRERA, MANUEL CARDWELL WESTINGHOUSE 05/30/12 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 111 12WC 30805 MATAMOROS, SALVADOR LABOR NETWORK 08/15/12 ACEVES & PEREZ PC ROBERT L. SMITH 15WC035697 -C 112 12WC 30901 NEGRON, ISABEL COUNTY OF COOK 06/23/10 JOEL BELL STATES ATTORNEY OF COOK COUN 113 12WC 31078 RAMIREZ, LEONOR ROCK BOTTOM 04/21/12 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 114 12WC 31448 MEHANOVIC, DZEVAD LAKESIDE ABM 08/10/12 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 13WC016683 -C ABM LAKESIDE BUILDING MAIN 13WC033893 -C ABM JANITORIAL 115 12WC 32019 ULMEN, JEAN CHICAGO PUBLIC SCHOOLS 02/15/12 ANKIN LAW OFFICE LAW DEPARTMENT 116 12WC 36225 DOTSON, NANCY CITY OF CHICAGO 01/01/12 STEPHEN G PINTO LTD CITY OF CHICAGO 117 12WC 40535 IVERY, KENNETH W DEARBORN WHOLESALE GROCER 11/18/12 RIDGE & DOWNES RODDY LAW LTD 118 12WC 40582 HELMINEN, RIITTA-LIISA UNITED AIRLINES INC. 11/27/10 MARC J SHUMAN & ASSOCIATES 119 12WC 40724 VERA, NICOLAS ABSOLUTELY CLEAR SEWER W 11/08/12 JOHN S. ELIASIK SHELDON HODES 120 12WC 40759 GOINS, LA BARBA CHICAGO BOARD OF EDUCATIO 05/29/12 POLTROCK & POLTROCK LAW DEPARTMENT 121 12WC 40961 HALVORSEN, BARBARA C TOUCH POINT ENVIRONMENTAL 10/27/12 BRADY CONNOLLY & MASUDA PC 122 12WC 41097 BRYANT, BRENDA B CHICAGO BD OF EDUCATION 10/17/12 CULLEN HASKINS NICHOLSON LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 123 12WC 41567 KUCHARSKI, JERZY POLMAX TRANSPORTATION 10/15/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 124 12WC 41733 NEWMAN, JOSEPH FORD MOTOR COMPANY 11/17/12 KP LAW LLC WIEDNER & MCAULIFFE LTD 12WC041734 -C 12WC043942 -C 13WC032937 -C 125 12WC 41872 HERMAN, MARILYN PEOPLES CAB CO INC 10/13/11 MARK G BERGAL LAW OFFICE 126 12WC 41908 BOOTH, LATONYA CTA 11/25/12 SAUNDERS CONDON & KENNY 127 12WC 42009 REYNA, ADRIANA TAVISTOCK RESTAURANTS 12/02/11 GAINES & GAINES THOMAS & PORTELA 12WC042010 -C TRAVISTOCK RESTAURANTS 128 12WC 42169 KELLY, CARVEL CITY OF CHICAGO BLDG DEPT 08/16/12 SANDMAN LEVY & PETRICH CITY OF CHICAGO 129 12WC 42325 GRAY, KENNETH WATER ONE INC 09/01/12 JAMES M RIDGE LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 130 12WC 43140 REED, JUANITA CTA 12/07/12 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 131 12WC 43293 TAYLOR, DIANE CITY OF CHICAGO 11/26/12 MAY & BUEGE CITY OF CHICAGO 14WC029314 -C 15WC029123 -C 132 13WC 04833 BAYERS, LISA SOUTHWEST AIRLINES 09/11/12 KARCHMAR & STONE HENNESSY & ROACH PC 13WC009733 -C 133 13WC 04959 GRYGIERCZYK, WIESLAW OAK PARK ARMS, LLC 12/16/09 MINKOW DOMIN NYHAN BAMBRICK KINZIE & LOWR 13WC004960 -C 134 13WC 05507 ROCCASALVA, JASON M WESTSIDE MECHANICAL INC 06/18/12 RUBIN LAW GROUP HOLECEK & ASSOCIATES 13WC005508 -C 135 13WC 06217 SALGADO, SILVIA SIMON BROTHERS 03/23/12 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 14WC018300 -C SILVIA SALGADO 136 13WC 06261 HALKO, DELIA CITY OF CHICAGO 03/16/12 DE SALVO, SCOTT D LAW OFFI CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 13WC 06492 ZAMARRON, DANIEL KITCHEN TRANSFORMATION IN W 02/06/13 JOHN F GREGORIO & ASSOC DAVID M SPADA 138 13WC 06546 SCOTT, KIMBERLY FORD MOTOR CO 02/11/13 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 13WC032104 -C 139 13WC 06783 LEVI, JONATHAN CHATFIELD ELECTRIC 11/01/12 JOHN S. ELIASIK QUINTAIROS PRIETO WOOD & BOY 140 13WC 06793 ZABIELSKI, STANISLAW JKC TRUCKING INC 02/02/13 LEO ALT NYHAN BAMBRICK KINZIE & LOWR 141 13WC 07052 GARCIA, ANGEL GATTO INDUSTRIAL 08/20/12 LAW OFFICES LEONARDO MORAL MEACHUM & STARCK 142 13WC 07265 QUEZADA, JAIME AMERIMEX MUFFLER & W 01/22/13 JAMES ELLIS GUMBINER & ASS 143 13WC 07540 CHATMAN, KERRY CHICAGO TRANSIT AUTHORITY 03/02/13 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 144 13WC 07633 MARKS, ROWENA UNIVERSITY OF CHICAGO 01/30/13 DWORKIN AND MACIARIELLO SCOPELITIS GARVIN LIGHT 13WC037104 -C 145 13WC 07638 GRUMBIR, GERALD R JR CHICAGO PUBLIC SCHOOL 12/12/12 LAW OFFICE PHILIP BLOMBERG LAW DEPARTMENT 146 13WC 07794 KANG, RICHARD Q NEXT GENERATION TECHNOLOG 01/31/13 LAW OFFICE OF SCOTT B SHAP 147 13WC 07914 WOPINSKI, JEANOUCHE ST CHRYSOSTOMS DAY SCHOOL 02/14/13 DWORKIN AND MACIARIELLO MEACHUM & STARCK 148 13WC 08208 YOUSYF, LULU HEALTH CARE LAUNDRY SYSTE 02/18/13 POMPER & GOODMAN GANAN & SHAPIRO 149 13WC 12364 NEGRETE, HEYN SIMS RECYCLING SOLUTIONS 07/24/12 KATZ FRIEDMAN EAGLE ET AL LAW OFFICES OF EDWARD J. KOZ 14WC026948 -C 150 13WC 15572 FOSTER, DAWN CTA 05/07/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 151 13WC 15621 FELIX, LUIS COMCAST 10/11/11 RUBIN LAW GROUP SPIEGEL & CAHILL, PC 152 13WC 15878 CHAIREZ, LUIS HIGH EFFICIENCY PROFESSIO 01/18/10 EPSTEIN, JACK R LAW OFFICE ORENSTEIN & ASSOCIATES 153 13WC 16036 BERDUSIS, ASPASIA KRAFT FOODS N/K/A MONDELE 11/01/11 CHRISTY & CHRISTY WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 13WC 16087 JULIAN, GWENDOLYN S CHICAGO PUBLIC SCHOOLS 05/07/13 BRILL & FISHEL LAW DEPARTMENT 155 13WC 16498 WELLS, TAMESHA ELITE STAFFING INC 04/26/13 ANKIN LAW OFFICE MARC CAIRO 156 13WC 16602 GREENMAN, JOEL CARSON PIRIE SCOTT 01/25/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 157 13WC 16933 GUZMAN, SALVADOR MONDELEZ INTL SERVICE D/B 02/16/13 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 158 13WC 16991 GIAMARUSTI, MICHAEL CITY OF CHICAGO 10/14/12 DAVID W MARTAY CITY OF CHICAGO 159 13WC 17399 KYLES, JENORA NORTHWESTERN MEMORIAL HOS 05/05/13 KATZ FRIEDMAN EAGLE ET AL BRAUN LORENZ & BERGIN PC 160 13WC 17410 SOLARTE, YOLANDA CHICAGO STATE UNIVERSITY @ 03/01/13 MAURICE E DUSKY PC ASSISTANT ATTORNEY GENERAL 161 13WC 17524 FRAPANPINA, JOSEPH M, III GARDA CASH LOGISTICS 02/22/13 LANZILLOTTI GRIBBEN & MARC KEEFE CAMPBELL & ASSOC LLC 16WC004572 -C 162 13WC 17577 GARCIA, ROSA CLOVERHILL BAKERY 04/13/13 LUIS A ACEVES & ASSOC ROBERT L. SMITH 163 13WC 17733 GRAHAM, VASA BRIDGFORD QUALITY FOODS 05/08/13 ASHER, RAYMOND L LTD GRANT & FANNING 164 13WC 17918 REDMOND, KEITH SR CTA 05/09/13 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 165 13WC 18390 ENRIQUEZ-RAMIRES, ADRIAN PAPA'S CACHE SABROSO 05/09/13 FIGLIOLI, DAVID CIARDELLI CUMMINGS CAMPAGNA 15WC031329 -C 166 13WC 18442 ADENEKAN, DAVID 303 TAXI LLC 03/28/13 JOEL BELL NYHAN BAMBRICK KINZIE & LOWR 167 13WC 18601 JASSO-GARCIA, JAVIER PURE ENERGY ALTERNATIVES 06/14/10 SALVATO & O'TOOLE RUSIN MACIOROWSKI & FRIEDMAN 168 13WC 18990 RAMIREZ, AARON CITY OF CHICAGO 05/30/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 169 13WC 19234 JONES, HENRIKA CHICAGO TRANSIT AUTHORITY 04/15/12 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 170 13WC 19360 ALVI, TAHIR H FLASH CAB CHICAGO 06/05/13 WARREN W MARK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 13WC 22173 CHAVEZ, DAVID CVS PHARMACY 12/27/12 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 172 13WC 25772 HANSEN, JAMES R BANNER PLUMBING 11/09/12 THOMAS R LICHTEN RIPES NELSON BAGGOT KALOBRAT 13WC025773 -C 173 13WC 26726 WRIGHT, CYNTHIA UNITED AIRLINES INC. 06/27/13 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 174 13WC 26949 GREEN-JERNIGEN, MELANIE ST OF IL DEPT OF JUVENILE @ 04/08/13 MEYERS & FLOWERS LLC ASSISTANT ATTORNEY GENERAL 175 13WC 27111 GRAY-JOHNSON, PATRICE CHICAGO TRANSIT AUTHORITY 07/12/13 TED WORD CHICAGO TRANSIT AUTHORITY 176 13WC 27464 MURPHY, CHRISTINE LUMC 07/01/11 CHASE & WERNER LTD 177 13WC 27474 MORENO, GENOVEVA RENAISSANCE HOTEL 06/22/13 STYKA & STYKA NYHAN BAMBRICK KINZIE & LOWR 16WC020845 -C 178 13WC 27831 FAUST, WALLACE JERNBERG INDUSTRIES 10/25/12 CHRISTINE F DAVID 13WC027833 -C 179 13WC 28117 DEINEMA, LORI FORD MOTOR CO 08/06/13 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 13WC028125 -C 180 13WC 28412 ZIMONT, LARRY L UNIVERSITY OF CHICAGO 03/04/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 181 13WC 28432 DACUSOL, DONELYN R WOODRIDGE NURSING PAVILIO 08/27/13 WARREN W MARK HENNESSY & ROACH PC 182 13WC 28511 DAVIS, PAMELA YVETTE OAK LAWN RESPIRATORY AND 05/17/13 COLLISON & O'CONNOR LTD 183 13WC 28783 ESTRADA, SALVADOR ATKORE INTERNATIONAL INC 08/22/13 GORDON & CENTRACCHIO LLC KNELL & O'CONNOR 184 13WC 28829 JUAREZ, JIMMY EL MILAGRO 06/03/13 GOLDSTEIN AIOSSA & GOOD KEEFE CAMPBELL & ASSOC LLC 15WC027366 -C 185 13WC 29601 VIRGILIO, PASQUALE EAGLE EXPRESS LINES 01/07/13 MAURICE E DUSKY PC 186 13WC 29931 LEGANIA, DEBRA U.S. STATE DEPT 07/01/13 187 13WC 29955 DIAZ, MANNY AUTO PARTS SERVICE INC/DB @ 08/14/13 GOLDSTEIN BENDER & ROMANOF WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 13WC 29964 LEITNER, BENJAMIN UNITED AIRLINES INC. 03/02/13 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 189 13WC 29978 BARNER, BERTHA JOHN J MADDEN 07/06/13 HORWITZ HORWITZ & ASSOC TERESA R MAHER 190 13WC 33957 SILVA, JOSE N MAURITZON INC 09/23/13 GOLDSTEIN BENDER & ROMANOF 191 13WC 36888 FRANCO, CHRISTOPHER MEYER STEEL DRUM INC 10/23/13 VITELL & SPITZ LTD 192 13WC 38122 STEFANCIC, MICHAEL DHL EXPRESS ALSIP 01/15/13 JOHN E LUSAK HENNESSY & ROACH PC 193 13WC 38206 PLOETZ, DAWN M ARCHIDIOCESE OF CHICAGO 10/08/13 NEWMAN, BOYER & STATHAM WIEDNER & MCAULIFFE LTD 194 13WC 38338 DUELLMAN, KEVIN ADVANCE STEEL ERECTION IN 05/08/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 195 13WC 38663 VERMILLION, VIVI FRANCISCAN ST JAMES HEALT 06/17/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 196 13WC 38723 KOPINSKI, CECYLIA UNITED AIRLINES INC. 10/17/13 COVEN LAW GROUP 197 13WC 38989 PEREZ, JOSE GONZALO CHICAGO PUBLIC SCHOOLS 01/30/13 ELFENBAUM EVERS & AMARILIO LAW DEPARTMENT 198 13WC 39082 PATTERSON, NENA CHICAGO DEPARTMENT OF PUB 04/16/13 WHITESIDE & GOLDBERG LTD ODELSON & STERK 199 13WC 39468 RAMIREZ, MARCO HIGHLAND BAKING 10/03/13 RUBIN MACHADO ROSENBLUM RIPES NELSON BAGGOT KALOBRAT 200 13WC 39552 KOLK, TRACI DISTRICT U46 09/25/13 RICHARD O. GREENFIELD 201 13WC 39640 NAVAS, TIMOTHY DR PEPPER/SNAPPLE GROUP 09/27/13 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 202 13WC 39728 NETZEL, KATHY WILLIAM SONOMA 03/05/11 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 203 13WC 39896 MANNEY, DELORES STATE OF ILLINOIS @ 12/14/11 MINKOW DOMIN ASSISTANT ATTORNEY GENERAL 204 13WC 40288 VINCENT, PATRICK LARRY'S CARTAGE CO. INC 11/13/13 RIDGE & DOWNES GANAN & SHAPIRO 205 13WC 40411 TRINIDAD, JESUS A CENTRAL AUTO REPAIR, INC. 10/28/13 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 13WC 41427 BARTOSZEK, ROBERT WINDY CITY METAL 12/02/13 NILSON STOOKAL GLEASON CAP HOLECEK & ASSOCIATES 207 14WC 01602 JUNIOUS, DARNELL CITY OF CHICAGO 08/25/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 208 14WC 04338 WRIGHT, KIMBERLY PARAMOUNT STAFFING 12/17/13 PATRICIA HARDIMAN LAW OFFI KNELL & O'CONNOR 209 14WC 04551 ANDERSEN, WALTER CITY OF CHICAGO 04/16/13 CUDA LAW OFFICES CITY OF CHICAGO 210 14WC 04693 RAMIREZ, MARGARITO MEYER STEEL DRUM 11/05/13 JOHN F GREGORIO & ASSOC 211 14WC 04830 MAC, LESLAWA BED BATH & BEYOND 02/07/14 FIGLIOLI, DAVID 212 14WC 04941 STOVER, PRESTON METROPOLITAN WATER RECLAM 01/14/14 LAW OFFICE OF SCOTT B SHAP HEYL ROYSTER VOELKER & ALLEN 213 14WC 04964 COATES, SHARLATTE NET HANDS HOME CARE INC 01/08/14 COLLISON LAW OFFICES STONE & JOHNSON CHARTERED 214 14WC 04987 RODRIGUEZ DE LOPEZ, YOLAN RAS SERVICES INC A/K/A W 09/20/12 KRISIK, DENNIS J LTD SPIEGEL & CAHILL, PC 215 14WC 05008 PIZARRO, CONFESOR M&J INTERMODAL/EAGLE 01/15/14 LAW OFFICE TIMOTHY DEFFET SCOPELITIS GARVIN LIGHT 216 14WC 05105 SAHABAZ, DAMIR HASO WC TRANPORT INC W 12/13/13 TAMVAKIS, GEORGE L SALVATO & O'TOOLE 217 14WC 05257 KING, DANIEL CELADON 02/13/14 JOHN S. ELIASIK 218 14WC 05277 PULVERMACHER, WILLIAM SECO TOOLS 08/21/13 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 219 14WC 05353 SCHWIER, NATALIE BUD'S AMBULANCE 02/24/11 HEALY LAW FIRM THOMAS & PORTELA 220 14WC 05409 HAITHAM, SAMEH GRANITE INNOVATIONS 01/24/14 RUBIN MACHADO ROSENBLUM QUINTAIROS PRIETO WOOD & BOY 221 14WC 05443 HAWN, THOMAS SUPERIOR TRUSS & PANEL IN 02/04/14 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 222 14WC 05471 HARRISON, JOHN B OGGLESBY ELEMENTARY SCHOO 01/31/14 KENNETH B GORE, LTD LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 14WC 05626 BECK, BRIAN MAHONEY ENVIRONMENTAL 09/12/13 TARADASH LAW OFFICE LITCHFIELD CAVO 224 14WC 05654 TAYLOR, KENDALL DRAPER & KRAMER 10/08/13 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 14WC008527 -C 14WC008528 -C 14WC008529 -C 14WC008530 -C 225 14WC 05692 GARCIA, EDGAR EMPLOYCO USA INC 02/14/14 LAW OFFICE OF OSVALDO RODR RUSIN MACIOROWSKI & FRIEDMAN 226 14WC 05782 PETERS, ELIA V CLERK OF COOK COUNTY 02/03/14 STEPHEN G PINTO LTD STATES ATTORNEY OF COOK COUN 227 14WC 05844 SIERRA, MANUEL ABM JANITOR SERVICES 02/08/14 HEALY LAW FIRM WIEDNER & MCAULIFFE LTD 228 14WC 05857 EDMARK, ERIKA HU-FRIEDY MANUFACTURING 01/01/14 HOLECEK & ASSOCIATES 229 14WC 06035 SVOBODA, ROGER CITY OF CHICAGO 02/05/14 PARENTE & NOREM PC 230 14WC 06186 DAVIS, CHARLOTTE RML HOSPITAL 04/01/12 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 14WC006187 -C 14WC006188 -C 14WC006189 -C 231 14WC 06292 CASTINNEYRA, MARTHA RADISON BLUE AQUA HOTEL 02/02/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 232 14WC 06544 HERNANDEZ, ANGELA MIRANDA BANK OF AMERICA 07/26/13 LIPKIN & HIGGINS LAW OFFIC WOLFE & JACOBSON, LTD 233 14WC 06589 MEISER, KATHLEEN AMERICAN AIRLINES 01/03/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 234 14WC 06709 PIZANO, GUADALUPE PITA PAN OLD WORKD BAKERY 08/09/13 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 235 14WC 06935 ARROYO, JOSE L AMERICAN EAGLE AIRLINES 08/18/13 DAVID W MARTAY 236 14WC 07023 WARNER, PHYLLIS CTA 12/10/13 MARSZALEK AND MARSZALEK CHICAGO TRANSIT AUTHORITY 14WC012865 -C CTA-KEDZIE GARAGE 237 14WC 07237 URRUTIA, LOURDES ELITE STAFFING 08/28/13 HORWITZ HORWITZ & ASSOC CASSIDAY SCHADE LLP 238 14WC 07537 CESAR, FELICITAS ALTERNATIVE STAFFING, INC 02/03/14 KENNETH B GORE, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 239 14WC 07713 CONNOLLY, FREDERICK A VILLAGE OF SCHAUMBURG 02/07/14 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 240 14WC 07756 HOSIC, HANNAH"AN" CAMELOT TDS 01/13/14 RIFFNER BARBER ROWDEN & SC 241 14WC 07971 DODD-WESTON, KIMBERLY CHICAGO PUBLIC SCHOOL 01/22/14 BRISKMAN BRISKMAN GREENBER LAW DEPARTMENT 242 14WC 14827 GIUSEPPE, DILIBERTO UNIQUE PLUMBING 10/03/13 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 243 14WC 16103 GALLARDO, GUADALUPE TAQUERIA LOS COMALES 3 04/18/14 HART & DAVID LLP RUSIN MACIOROWSKI & FRIEDMAN 14WC018428 -C LOS COMALES #3 244 14WC 16119 MICHELIS, MAUREN OFELIA'S PROFESSIONAL 01/17/14 CULLEN HASKINS NICHOLSON 245 14WC 16233 POTTER, SHIRLEY ILLINOIS CENTRAL SCHOOL B 02/08/13 ERIC M GLASSON & ASSOCIATE MACIOROWSKI SACKMANN & ULRIC 246 14WC 16301 SANDERS, MICHAEL KFC 05/03/14 ANKIN LAW OFFICE 247 14WC 16409 BATTIE, JEANETTE CITY OF COUNTRY CLUB HILL 05/05/14 SKLARE LAW GROUP KEEFE CAMPBELL & ASSOC LLC 248 14WC 16534 JIMENEZ, BERNARDINO MARCELLS PAPER & METAL IN 04/03/14 NICHOLIS J STEIN HOLECEK & ASSOCIATES 249 14WC 16872 ARMALIUS, CHAD A SERVICE SANITATIO, INC. 05/04/14 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 250 14WC 16930 IRIZARRY, AGRACIADO UNITED PARCEL SERVICE 04/24/14 KINNALLY FLAHERTY KRENTZ & NYHAN BAMBRICK KINZIE & LOWR 251 14WC 16958 WARSAME, ABDIFARAH YELLOW TAXI 04/01/14 LAW OFFICE RYAN ROSENTHAL 252 14WC 17039 GIGGERS, MAYBLEINE UNIVERSITY OF CHICAGO 04/02/14 POLANSKY & CICHON CHTD WIEDNER & MCAULIFFE LTD 253 14WC 17091 DELGADO, LINDA CITY OF CHICAGO DEPT OF 12/04/10 CUDA LAW OFFICES CITY OF CHICAGO 254 14WC 17633 ZABRAUSKAS, JULIUS RUSH UNIVERSITY MEDICAL C 03/27/14 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 255 14WC 17656 LOPEZ, MARCOS HORNE TRIPPS TROPHY SUITE 10/09/13 NILSON STOOKAL GLEASON CAP THOMAS & ASSOCIATES 256 14WC 17822 WATSON, CHARLES ILLINOIS YOUTH CENTER @ 04/13/14 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 14WC 17980 CASEY, MARY A CHICAGO BOARD OF EDUCATIO 02/14/08 GORDON & CENTRACCHIO LLC 258 14WC 18086 REYES, JOSE TAQUERIA LOS GALLOS #4 11/03/12 CULLEN HASKINS NICHOLSON 259 14WC 18369 BOYD, L TOMMY CITY OF CHICAGO DEPT OF 03/27/14 RUBIN LAW GROUP HENNESSY & ROACH PC 260 14WC 18400 SANCHEZ, HILDA DYNOMAX INC 08/01/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 261 14WC 18623 BLACKBURN, DENISE CHE TRINITY INC (LUMC) 02/19/14 LEONARD LAW GROUP LLC BRAUN LORENZ & BERGIN PC 262 14WC 18702 FLOURNOY, DEJEANETTE M COOK COUNTY SHERIFF 04/27/14 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 263 14WC 18740 JONES, GLORIA CHICAGO TRANSIT AUTHORITY 05/29/14 LAW OFFICES OF 264 14WC 24351 WILLIAMS, DEANNA ADDUS HEALTH CARE 05/18/12 SEIDMAN MARGULIS & FAIRMAN MEACHUM & STARCK 265 14WC 24623 DELUCA, FRANK PACE SUBURBAN BUS 11/22/13 JOHN J CASTANEDA SLAVIN & SLAVIN 16WC007203 -C 16WC010102 -C 266 14WC 25803 CRUZ, GILDARDO BOSTON MARKET 04/06/14 CRONIN & PETERS SPIEGEL & CAHILL, PC 267 14WC 26887 BRITTON, JAMES TURNER CONSTRUCTION 08/20/11 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 268 14WC 27025 ROMOZZI, ANNAMARIE GRAND RIVER ONE INC 06/25/14 FITZ & TALLON LAW OFFICES JOSEPH MARCINIAK 269 14WC 27095 MORALES, SOFIA GRAPHIC PACKAGING 07/21/14 GOLDSTEIN BENDER & ROMANOF DOHERTY & PROGAR LLC 15WC018295 -C 270 14WC 27116 HERNANDEZ, MARTINA PRIMARY STAFFING INC 11/10/11 DEPAOLO ZADEIKIS GORE 271 14WC 27172 AGUILERA, MAYRA GOLD STANDARD BAKING 04/23/14 CARL H EBERT & ASSOC GRANT & FANNING 272 14WC 27285 SIRCHER, THOMAS CHILDREN'S HOME & AID 05/08/14 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 273 14WC 27308 BATES, JEVON COOK COUNTY SHERIFF'S DEP 06/30/14 OLMSTEAD, GREGORY J LAW OF STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 274 14WC 27318 MONTEROS, LOURDES BAYS ENGLISH MUFFIN CORP 07/07/14 LAW OFFICES JOHN C IACONA HOLECEK & ASSOCIATES 275 14WC 27528 SPENCER, ANDRE CHICAGO TRANSIT AUTHORITY 08/07/14 STEVEN J MALMAN & ASSOCIAT CHICAGO TRANSIT AUTHORITY 276 14WC 27633 OZIMINSKI, MICHAEL U S SMOKELESS TOBACCO CO 06/05/14 HORWITZ HORWITZ & ASSOC 277 14WC 27813 OUIMET, EDWIN NORTHWESTERN MEMORIAL HOS 06/11/14 VRDOLYAK LAW GROUP LLC 278 14WC 27868 MANSON, DERRICK FORD MOTOR COMPANY 08/15/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 279 14WC 27978 MENDZA, JOSEPH CITY OF CHICAGO 08/03/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 280 14WC 27997 OWEN, STEVEN VILLAGE OF MAYWOOD 01/05/14 ANGELINI & ORI LLC INMAN & FITZGIBBONS 281 14WC 28028 POTTS, ALTON SELECT REMEDY 08/12/14 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 282 14WC 28215 THOMAS, CHARLES SEMFORD CONTRACTORS 07/17/13 VRDOLYAK LAW GROUP LLC 283 14WC 28560 CALIENDO, MARCIA BAIRD & WARNER CO 12/20/13 KARCHMAR & STONE LAW OFFICES OF EDWARD J. KOZ 284 14WC 28610 JONES, SHARON ADDUS 06/12/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 285 14WC 28627 BOONE, VIVIAN DAVIS CHICAGO TRANSIT AUTHORITY 07/25/14 WARREN W MARK CHICAGO TRANSIT AUTHORITY 286 14WC 28716 MARTIN, NICOLE UNIVERSITY OF IL CHICAGO 08/05/14 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR 14WC031390 -C 287 14WC 28786 HARPER, COREY PARAMOUNT STAFFING 08/07/14 ANKIN LAW OFFICE 288 14WC 28815 VANICK, ART CITY OF CHICAGO 08/27/13 COVEN LAW GROUP CITY OF CHICAGO 289 14WC 28827 VARNADO, CLIFTON DJURIC TRUCKING, INC. 07/22/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 290 14WC 28871 MARTINEZ, ADONIAS M PRESTIGE MAINTKENANCE USA 10/10/13 LEAHY, JAMES P MEACHUM & STARCK 291 14WC 28906 CARATACHEA, JESUS INDUSTRIAL STEEL CONSTRUC 06/04/14 THEODORE L STACY WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 292 14WC 28992 WNUK, NANCY CFER UNION 09/05/12 LAW OFFICES OF MARK SCHAFF RITTENBERG & BUFFEN 293 14WC 29009 QUINTERO, SERGIO AKERS PACKAGING SERVICE I 08/05/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 294 14WC 29117 LONGORIA, LONN E MODERN DROP FORGE 04/01/13 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 14WC029118 -C 295 14WC 29330 CLAYTON, MONTICELLO H MISSION OF OUR LADY MERCY 08/08/14 KARNO, MARK L & ASSOC MC ANDREWS & NORGLE LLC 296 14WC 29343 LANDA, JOSE GOLDEN COUNTRY 05/30/12 FOHRMAN, DONALD W & ASSOCS 297 14WC 29366 WILLIAMS, LADON CITY OF CHICAGO 10/07/13 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 298 14WC 29421 YUNG, MAY Y CITY OF CHICAGO 02/17/14 RICHARD E ALEKSY CITY OF CHICAGO 299 14WC 29445 RICHARD, WILLIE CTA 08/14/14 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 300 14WC 29509 CHAVEZ, MICHAEL METRA ELECTRIC LINE 07/27/14 GOLDBERG WEISMAN & CAIRO L NORTHEAST IL REGIONAL 301 14WC 29555 BELTOH, JOHN JR HOLSTEN MANAGEMENT 08/08/14 ANKIN LAW OFFICE GANAN & SHAPIRO 302 14WC 29810 HERNANDEZ, RICARDO AEP INDUSTRIES 07/02/14 FINE, MARK S LAW OFFICES 303 14WC 29932 ALAGIC, NERMIN MGR FREIGHT SYSTEM, INC 06/20/13 BELCHER LAW OFFICE 304 14WC 31426 COLBERT, ALLISON BURLINGTON COAT FACTORY 06/15/13 RUBIN MACHADO ROSENBLUM BRADY CONNOLLY & MASUDA PC 305 14WC 32654 NATHAN, JASMINE PALOS COMMUNITY HOSPITAL 09/17/14 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 306 14WC 33951 EVANS, MILTON SOUTH COOK COUNTY 09/08/14 WITTENBERG DOUGHERTY MAGLI INMAN & FITZGIBBONS 307 14WC 36337 GUZMAN, BENJAMIN SHINE ON GROUP INC 10/01/14 DEPAOLO ZADEIKIS GORE BRYCE DOWNEY & LENKOV LLC 308 14WC 37274 BAUTISTA, JAMES CHICAGO TRANSIT AUTHORITY 09/29/14 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 309 14WC 37648 CARDONE, JOHN AUTOMOTIVE ENGINE SPECIAL 07/07/14 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 14WC 37830 AKODU, TASCHA WILLIAMS COOK COUNTY 07/14/14 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 311 14WC 37895 VILLANOVA, FRANK COOK COUNTY ASSESSOR 04/11/14 STROM, NEAL B STATES ATTORNEY OF COOK COUN 312 14WC 38010 TORO, JOHNNY MATERIAL SCIENCE CORPORAT 02/11/14 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 313 14WC 38049 MC GILL, DEE DEE WORLD WIDE FITTINGS 03/18/14 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 314 14WC 38065 SILVAR, JOSE MVP EMPLOYMENT AGENCY 10/03/14 DEPAOLO ZADEIKIS GORE GRANT & FANNING 315 14WC 38085 MILLER, MELINDA LA RABIDA 03/14/12 JOEL BELL ANCEL GLINK DIAMOND BUSH & E 316 14WC 38109 BARLOG, JOSEPH HOG HAVEN CAFETERIA 10/24/14 BARRY E BLUMENFELD POWER & CRONIN LTD 317 14WC 38167 MELLS, SEAN C COOK DUPAGE TRANSPORTATIO 10/29/14 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 318 14WC 38334 GARDNER, NANETTE CITY OF CHICAGO 10/23/14 DAVID W MARTAY CITY OF CHICAGO 319 14WC 38371 VEGA, RICHARD METROPOLITAN WATERRECLAIM 01/17/14 HORWITZ HORWITZ & ASSOC 15WC002864 -C 320 14WC 38415 ZAJICEK, THOMAS B JR STATE OF ILLINOIS @ 10/26/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 321 14WC 38438 PHILLIP, TORIA CITY OF CHICAGO 07/05/14 MC HARGUE, JAMES P LAW OFF CITY OF CHICAGO 322 14WC 38565 BEARD, TANGELA CHICAGO PUBLIC SCHOOLS 10/29/14 MICHAEL A. HIGGINS 323 14WC 38619 HERNANDEZ, JOSE M MCDONALD'S 01/28/14 LARRY FLEISCHER & ASSOCIAT GANAN & SHAPIRO 324 14WC 38668 LOZA, JOSE BERNARD FOOD INDUSTRIES 08/21/14 SHEA LAW GROUP RUSIN & MACIOROWSKI LTD 325 14WC 38857 AGUDO, GLORIA T REGAL HEALTH FOOD 05/07/14 AIOSSA LAW FIRM ACCIDENT FUND HOLDINGS, INC 326 14WC 38862 ALVAREZ, RUBEN CLASSIC SHEET METAL INC 04/04/12 FRIEDMAN & SOLMOR LTD HOLECEK & ASSOCIATES 327 14WC 38964 DANZY, IVAN CHICAGO PUBLIC SCHOOL/ 10/30/14 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 14WC 39100 ELKIN, KAREN CIM GROUP 02/06/14 LAW OFFICE OF SCOTT B SHAP 329 14WC 39209 MERCADO, ANGEL A FANTASY DIAMOND 08/06/14 STORTO FINN & ROSINSKI LAW OFFICES OF EDWARD J. KOZ 330 14WC 39253 SIMMONS, DARNELL CITY OF CHICAGO 09/10/84 KARCHMAR & STONE CITY OF CHICAGO 331 14WC 39259 AZUCENA-PALACIOS, HILDA Z BAKERY LLC 09/02/14 DEPAOLO ZADEIKIS GORE MEACHUM & STARCK 332 14WC 39372 SMITH, VANESSA STATE OF ILLINOIS HFS @ 10/07/14 ASSISTANT ATTORNEY GENERAL 333 14WC 39398 WATANABE, AMELIA R YUMMY YOGURT MUDIL LLC 11/18/13 MARKER & ASSOCIATES CASSANO & ASSOCIATES 334 14WC 39625 NAUGHTON, JOHN ATLAS TUBE 11/11/14 GOLDBERG WEISMAN & CAIRO L 335 14WC 39639 PERINI, RANDY METROPOLITAN WATER RECLAM 11/08/12 RICHARD E ALEKSY 336 14WC 39664 NAJERA, JIMMY SEARS HOLDINGS CORPORATIO 09/15/14 CHRISTINE F DAVID GAROFALO SCHREIBER STORM 337 14WC 39800 TULLIS, JAMES SPAAN TECH INC 07/14/14 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 338 14WC 39919 ALYEA, TERRILL SAL BARBA 10/01/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 339 14WC 40598 DIAZ, ELLIS O JEWEL - OSCO 01/06/14 MARSZALEK AND MARSZALEK 340 14WC 40625 REANEY, JAMES UNITED AIRLINES INC. 07/23/14 JAMES P. TUTAJ 341 14WC 40672 DIAZ, MARGARITA MARRIOTT HOTELS 08/14/11 DAVID W MARTAY GANAN & SHAPIRO 14WC040673 -C 342 14WC 40703 KRACHT, PHIL MEINEKE 10/20/14 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 343 14WC 40724 WALKER, ROOSEVELT JR INTEGRUS REALTY GROUP 10/01/14 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 15WC000491 -C 344 14WC 40878 RIDDLE, BRIAN AL J SCHNEIDER CO C/O CA 05/08/12 FRANK A CELANI 345 14WC 41107 CONSTANZO, DEBORAH JEWEL-OSCO 10/13/14 COVEN LAW GROUP QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 14WC 41446 THREATS, JOHN WILLIAM JR VILLAGE OF GLENCOE 11/26/14 CHARLES MANNING POWER & CRONIN LTD 347 14WC 42871 REA, JULIO SIERRA MADRE RENOVATION, 12/23/13 O'CONNOR & NAKOS 348 15WC 01053 KONTAXIS, HAROLD TYCO SIMPLEX GRINNELL 02/01/14 ANKIN LAW OFFICE POWER & CRONIN LTD 349 15WC 01117 RAMIREZ, JUAN MANUEL FLUB A DUB CHUB'S HOT DOG 09/18/13 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 350 15WC 03713 BURTON, TAMARA LOYOLA MEDICAL CENTER 04/25/14 MINKOW DOMIN BRAUN LORENZ & BERGIN PC 351 15WC 03812 CISNEROS, BALTAZAR TOMAHAWK TRUCKING 10/28/14 STEVEN A CRIFASE, LTD 352 15WC 04208 DIAZ-GUZMAN, ALONSO AMITY PACKING CO 04/11/14 VITELL & SPITZ LTD 353 15WC 04354 LONBERGER, VICKIE COMMONWEALTH EDISON W 02/22/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 354 15WC 04621 ESPINOZA, JESUS MOHAMMAD TARIQ ANWAR 10/21/14 355 15WC 04630 BILAS, HELENA MILLARD GROUP 06/22/13 SEIDMAN MARGULIS & FAIRMAN 356 15WC 04669 RODRIGUEZ, LUIS CHICAGO PUBLIC SCHOOLS 10/16/14 KROL BONGIORNO & GIVEN LTD 357 15WC 04739 MAHONEY, WILLIAM PEOPLES GAS LIGHT AND 07/19/12 BLEAKNEY & TROIANI GAROFALO SCHREIBER STORM 358 15WC 04877 LOERA, JAIME NICOR GAS 01/30/15 COHN & COHN MACIOROWSKI SACKMANN & ULRIC 359 15WC 04899 MARSHALL, BRANDY COOK COUNTY IL 04/02/14 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 360 15WC 04939 ALVAREZ, SANDRA PANDA EXPRESS 12/19/13 PARENTE & NOREM PC 361 15WC 04995 PARRY, JANET NORTH SUBURBAN 12/24/12 HEALY SCANLON LAW FIRM 362 15WC 05016 KRAMER, ROGELIA ELI'S CHEESECAKE FACTORY 09/03/14 EVAN A HUGHES LAW OFFICE 363 15WC 05055 CAMACHO, DAVID NORTH SHORE UNDERGROUND I 10/17/14 SIGMOND, STEVEN MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 15WC 05145 BOATENG, AKUAMOAH CHICAGO ELITE CAB 12/19/14 WHITESIDE & GOLDBERG LTD 365 15WC 05196 JENKINS, JOHNNY N COMCAST 01/04/15 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 366 15WC 05411 ORLOS, THOMAS HOME DEPOT 01/12/15 WOODRUFF & JOHNSON ADELSON TESTAN & BRUNDO 367 15WC 05436 WILSON, DELLMUS CITY OF CHICAGO 09/09/14 LAW OFFICES OF CITY OF CHICAGO 368 15WC 05454 HIDALGO, VICTORINO II IN ONE CONTRACTORS INC 12/03/14 WHITING LAW GROUP LITCHFIELD CAVO 369 15WC 05514 ALSHWAYIT, HATEM UBER TECHNOLOGIES INC 08/01/14 BRUSTIN & LUNDBLAD LTD WIEDNER & MCAULIFFE LTD 370 15WC 05606 DUGUE, NICOLAS MOST VALUABLE PERSONNEL 11/03/14 AIOSSA LAW FIRM KOREY RICHARDSON LLC 371 15WC 05778 SMITH, RHONDA MACY'S 12/23/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 372 15WC 05810 SIMMS, ARTHUR JR THERMASTER MECHANICAL INC 12/16/14 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 373 15WC 05854 CHAVEZ, RAMON SALGADO STAFF WORKS LLC SCRUB INC 12/03/14 KATZ FRIEDMAN EAGLE ET AL 374 15WC 05883 GALLOWAY, TYCINA WARREN BARR GOLD COAST 01/23/15 JAMIE M TRAPP, PC BRADY CONNOLLY & MASUDA PC 375 15WC 06016 HASSAN, MIR YELLOW CAB AFFILIATION IN 09/15/13 LAW OFFICE OF JAMES URTIS 376 15WC 06040 QUEZADA, ANTHONY SULLIVAN'S STEAKHOUSE 11/15/14 HART & DAVID LLP 377 15WC 06057 GARDNER, ANASTASIA WALGREENS (9) 02/16/15 SHELDON I MINKOW & ASSOCIA GILDEA & COGHLAN 378 15WC 06109 REYES, DAVID SR BCI COMPONENTS AND 09/09/14 BAUM RUFFOLO & MARZAL LTD 379 15WC 06172 JACKSON, NAKIA DEPARTMENT OF STREETS 02/06/15 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 15WC 06231 CHAUDHRY, SAEED NORTHSTAR AEROSPACE 12/15/13 LAW OFFICE WILLIAM STEARNS 381 15WC 06296 WYNN, LAKISHA SUPERIOR AMBULANCE CO 02/03/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 15WC025901 -C 382 15WC 06318 WILLIAMS, TRACY CHICAGO TRANSIT AUTHORITY 02/07/15 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 383 15WC 06370 HARDEN, THOMAS LAKESHORE BEVERAGE 01/21/15 GOLDBERG WEISMAN & CAIRO L ASHER, RAYMOND L LTD 384 15WC 06421 GOMEZ, ENRIQUE ATRIUM LANDSCAPE 06/06/12 WILLIAMS, ROBERT B LAW OFF 385 15WC 06562 MARTINEZ, FRANCELIA ALTERNATIVE STAFFING INC 03/19/14 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 386 15WC 06616 KEANE, TRENT BENNETT BUILDERS 01/02/15 HORWITZ HORWITZ & ASSOC 387 15WC 06715 CLEVELAND, RALPH CTA 02/14/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 388 15WC 06717 CROSBY, DARYL FORD MOTOR CO. 02/20/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 389 15WC 06764 SMITH, MARJORIE SEASONS HOSPICE, INC 08/01/13 COLLISON & O'CONNOR 390 15WC 06863 HALL, MARREO ILLINOIS BELL TELEPHONE C 02/28/15 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 391 15WC 06881 GONZALEZ, MARIA ADVOCATE HEALTH CARE 02/14/14 SEGALL, JEFFREY B NYHAN BAMBRICK KINZIE & LOWR 392 15WC 06908 FRAIRE, MARIA MENASHA PACKAGING COMPANY 02/10/15 COHN & COHN CASSIDAY SCHADE LLP 393 15WC 07083 RYDER, JULIET UNITED AIRLINES INC. 10/16/14 JOHN F GREGORIO & ASSOC 394 15WC 08673 19B ROBLES, ANDREW CITY OF CHICAGO 01/24/15 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 395 15WC 09943 HOWARD, IRIS NAVISTAR 04/08/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 396 15WC 10005 19B AITKEN, RITA COVENANT 10/13/14 RUBENS AND KRESS ASHER, RAYMOND L LTD 397 15WC 10594 ALEXANDER, WILLIAM TOWER AUTOMOTIVE 01/12/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 15WC 11584 19B JANKIST, KENNETH YRC WORLDWIDE 01/05/15 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 399 15WC 12064 HOWARD, ERICA CHICAGO TRANSIT AUTHORITY 03/26/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 400 15WC 14467 PONCE, MARCO A LIFEWAY FOODS INC 04/15/15 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 401 15WC 14579 WILLIAMS, GLENDA DOLTON SCHOOL DISTRICT #1 09/17/14 LEONARD LAW GROUP LLC 402 15WC 14715 ANAYA, JOSE SECURITAS 04/18/15 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 403 15WC 14819 CANALE, LORETTA MARIANO'S/ROUNDY'S 11/20/13 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 404 15WC 14902 HARRIS, CHANTEL LENART ELEMENTARY SCHOOL/ 04/15/15 SANDMAN LEVY & PETRICH 405 15WC 14930 MUZZALL, REGINALD UNITED AIRLINES INC. 01/18/14 BUDIN LAW OFFICES 406 15WC 15112 MUFFOLETTO, ANTHONY S SEGERDAHL NKA SG360 06/26/14 FRANKS & RECKENBERG 407 15WC 15287 CRUZ-TORRES, QUINTIN ALERIS RECYCLING INC 03/28/15 408 15WC 15311 TOWNSEND, CELESTE ATKORE INTERNATIONAL 11/05/13 DANIEL PERIASWAMY KNELL & O'CONNOR 15WC015312 -C 409 15WC 15361 KRUEGER, ERIC FEDEX FREIGHT 01/06/15 BRILL & FISHEL SCOPELITIS GARVIN LIGHT 410 15WC 15421 ALLEN, TYRONE CHICAGO TRANSIT AUTHORITY 09/22/14 THOMAS W DUDA CHICAGO TRANSIT AUTHORITY 411 15WC 15554 BARRERA, JUANA BURGER KING 06/10/13 DEPAOLO ZADEIKIS GORE 412 15WC 15569 GONZALEZ, JOSE G GLEN ELLYN STORAGE CORP 02/25/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 15WC015570 -C 413 15WC 15598 DOMINGUEZ, JAVIER MARIANI ENTERPRISES 04/06/15 ANKIN LAW OFFICE GRANT & FANNING 414 15WC 15617 HOLLOWAY, AJA S JEWEL-OSCO 04/22/15 VITELL & SPITZ LTD RODDY LAW LTD 415 15WC 15771 KARTHEISER, DAVID CTA 01/16/15 PORRO NIERMANN & PETERSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 15WC 15858 MOJICA, ANTHONY TEMPEL STEEL COMPANY 02/04/15 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 417 15WC 16073 EVTIMOV, STANISLAV PARK RIDGE TAXI 03/29/15 DWORKIN AND MACIARIELLO LOSS & PAVONE 418 15WC 16081 JONES, LATARA CHICAGO TRANSIT AUTHORITY 05/14/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 419 15WC 16137 CISNEROS, PEDRO COLUMBIA GLASS INC 02/06/15 LAW OFFICES LEONARDO MORAL 420 15WC 16171 HEATH, KEISHA OLIVE GARDEN 04/12/15 LAW OFFICES TIMOTHY HENDER MEACHUM & STARCK 15WC016172 -C 421 15WC 16200 ALFARO, ABEL A. MOST VALUABLE PERSONNEL 04/23/15 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 422 15WC 16204 WALTHOUR, MARY CHICAGO BOARD OF EDUCATIO 03/23/15 DEER & STONE PC 423 15WC 16223 GUTIERREZ, JAVIER GREYHOUND 04/22/15 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 424 15WC 16241 CARPENTER, DENISE THE SALVATION ARMYSTORE # 11/22/14 DWORKIN AND MACIARIELLO RODDY LAW LTD 425 15WC 16377 HUSBYE, CLIFFORD GREEN OAKS CONTRACTING IN 09/04/13 MARTIN L GLINK LAW OFFICE GAROFALO SCHREIBER STORM 426 15WC 16549 GARCIA, GERARDO VESUVIUS 10/22/14 COSTA IVONE LLC 427 15WC 16608 PEAKE, ROBYN CTA 01/29/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 428 15WC 16650 WINKLEBLACK, JOHN BARR & MILES INC 03/11/13 PETER C KOPOULOS JAMES M KELLY 429 15WC 16743 MUHAMMAD, BASIMAH WHOLEFOODS MARKET GROUP I 09/03/14 ANKIN LAW OFFICE GILDEA & COGHLAN 430 15WC 16760 GARRARD, LARA-TERESA UNITED AIRLINES 04/27/15 CULLEN HASKINS NICHOLSON 431 15WC 16879 WASHINGTON, WILLIAM YELLOW CAB COMPANY 04/10/15 SANDMAN LEVY & PETRICH 432 15WC 16899 WOODS, ONTAVIOUS SCHNEIDER NATIONAL CARRIE 04/08/15 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC 433 15WC 16918 MEZA, LEOPOLDO METALS USA 09/25/13 GOLDBERG WEISMAN & CAIRO L POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 15WC 16948 GARCIA, LAURA REDFIN CORP 04/27/15 PORRO NIERMANN & PETERSEN MEACHUM & STARCK 435 15WC 17003 OCAMPO, FLEICIANO IRVINGTON, INC. 04/12/15 JOHN S. ELIASIK 436 15WC 17028 HENRY, LAWANDA FORD MOTOR COMPANY 10/11/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 437 15WC 17050 DIXON, TAMIRRA CTA 09/08/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 438 15WC 17233 MACIAS, MAURICIO CLOONE, INC. 05/05/15 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 439 15WC 17338 GRUBBS, LAWANA W CHICAGO LAKESHORE HOTEL 05/02/15 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD 440 15WC 17352 RICE, MARTIN CHICAGO TRANSIT AUTHORITY 12/04/13 DAVID SZCZECIN & ASSOC CHICAGO TRANSIT AUTHORITY 441 15WC 17408 PAWINSKI, JOHN PROPERTY RECYCLING 05/20/15 FOHRMAN, DONALD W & ASSOCS THOMAS & PORTELA 442 15WC 17489 MOORE, DIANNA CITY OF CHICAGO 03/04/15 CORNFIELD & FELDMAN CITY OF CHICAGO 443 15WC 17566 CULLUM, MATTHEW ROLLING IN THE DOUGH 11/12/14 MILLON & PESKIN LTD HENNESSY & ROACH PC 444 15WC 17608 BUSSE, MARTIN J NATIONAL HEAT & POWER 04/20/15 LAW OFFICE ILONKA ULRICH ACCIDENT FUND HOLDINGS, INC 445 15WC 17743 CROHAN, JESSICA PET CO 10/10/14 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 446 15WC 17767 JANETZKE, LYNETTE NORTHWESTERN MEMORIAL HOS 04/12/14 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 447 15WC 17801 MALONE, JOSEPH DAVIS STAFFING INC 05/01/15 GOLDFEIN LAW OFFICE PC 448 15WC 17847 DELGADO, ERIC PENTAIR 02/07/15 WARREN W MARK HENNESSY & ROACH PC 449 15WC 17882 BRIDGES, ERICA CHICAGO TRANSIT AUTHORITY 05/28/15 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 450 15WC 18019 RAMIREZ, ANTHONY WALGREENS #12426 05/18/15 ANKIN LAW OFFICE GILDEA & COGHLAN 451 15WC 18059 LEE, SANG DEUK CITY SPORTS 04/29/15 LULAY LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 15WC 18071 O'REGGIO, BIVIRIN COOK COUNTY OAK FOREST 02/02/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 453 15WC 18107 MARSH, EDWARD HOME DEPOT 10/16/13 SCHREINER MALLOY & ETZLER ADELSON TESTAN & BRUNDO 454 15WC 18138 CEASER, NATECE L SCR MEDICAL TRANSPORTATIO 03/02/15 BRISKMAN BRISKMAN GREENBER 455 15WC 18259 PIRTLE, BEVERLY ANN EMBASSY SUITES 11/01/14 ANKIN LAW OFFICE 15WC018260 -C 456 15WC 18345 GUERRERO, ALEJANDRO WHEATLAND TUBE CO 04/06/15 GRAVLIN, MICHAEL J LLC GAROFALO SCHREIBER STORM 457 15WC 18363 HARRIS, RONELL KFC 04/25/15 GOLDSTEIN AIOSSA & GOOD 458 15WC 18415 WELLS, MICHAEL A. HUDSON BOILER & TANK COMP 09/26/14 BAUM RUFFOLO & MARZAL LTD THOMAS & ASSOCIATES 15WC018417 -C 15WC018418 -C 15WC018419 -C 459 15WC 18545 DRUMGOOLE, LUCILLE CHICAGO PUBLIC SCHOOLS 03/06/15 ANKIN LAW OFFICE 460 15WC 18565 SEASE, RICKY FORD MOTOR CO 06/04/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 461 15WC 18581 DOWDELL, VERONICA ELITE STAFFING INC 05/05/15 RUBIN MACHADO ROSENBLUM 462 15WC 18641 BIGGS, JETTIE WESTSIDE FOOD & LIQUOR 12/13/14 LANGENDORF, ROBERT A 463 15WC 18687 MAY, EDWARD SOUTHERN WINE & SPIRITS 06/19/14 RIFFNER BARBER ROWDEN & SC MACIOROWSKI SACKMANN & ULRIC 464 15WC 19007 HUGHES-BOOTH, VICKIE FRANCISCAN ST MARGARET HE 10/12/14 JAMIE M TRAPP, PC NYHAN BAMBRICK KINZIE & LOWR 465 15WC 19041 SILVA, YOLANDA SUNSTAR AMERICAS INC 02/14/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 466 15WC 19083 ABARCA, FELICITAS PARAMOUNT STAFFING 01/29/15 ACEVES & PEREZ PC SCOPELITIS GARVIN LIGHT 467 15WC 19825 RZASINSKI, JAROSLAW DART CASTING, INC. 01/26/15 BELCHER LAW OFFICE WOLFE & JACOBSON, LTD 468 15WC 23644 THOMAS, JENNIFER ARCHDIOCESE OF CHICAGO 06/04/15 O'MARA GLEASON O'CALLAGHAN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 469 15WC 23659 KOECKRITZ, JANE MARIANO'S FRESH MARKET 07/18/15 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 470 15WC 23867 JOHNSON, LARRY CLEAR STAFF 07/30/15 ANESI OZMON RODIN NOVAK KO 471 15WC 23899 BUNCH, JUDY M. UNILEVER/ BEST FOODS CHIC 07/06/15 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 472 15WC 23912 THOMPSON, JAMES CHICAGO TRANSIT AUTHORITY 06/27/14 STEPHAN L. HOFFMAN CHICAGO TRANSIT AUTHORITY 473 15WC 23939 CUNDARI, ALBERT CITY OF CHICAGO 07/30/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 474 15WC 23964 WILLIAMS, BRANDON C VILLAGE OF DOLTON 07/14/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 475 15WC 23984 ROBELLY, ROSA SURE STAFF 02/16/15 DWORKIN AND MACIARIELLO CACCHILLO LAW GROUP LLC 476 15WC 24089 DIAZ, DANIEL SR BEHR PROCESS CORP 07/02/14 MC DERMOTT & MC DERMOTT, L 477 15WC 24137 CEDILLO, PABLO CONTINENTAL AIRPORT EXPRE 01/22/14 WHITESIDE & GOLDBERG LTD 478 15WC 24221 HOSKINS, LATASHA INTERIM HEALTHCARE STAFFI 08/03/15 MICHAEL P MCCREADY & ASSOC 479 15WC 24266 SOLIS, MILTON GUARDIAN HEATING & COOLIN 02/14/13 LANCASTER, DEBORAH 480 15WC 24281 COZART, FARON CHICAGO TRIBUNE COMPANY 06/19/15 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 481 15WC 24320 MARTINEZ, RAQUEL ELITE STAFFING FKA 08/01/15 STROM, NEAL B 482 15WC 24334 AYALA, ISAAC Y UTI INTEGRATED LOGISTICS 05/23/15 RUEDA, IVAN A 483 15WC 24375 THOMPSON, PETER WRIGLEY ENTERPRISES LLC 05/31/15 ELMAN LAW GROUP LLC GANAN & SHAPIRO 484 15WC 25245 MILLER, JANET SCR TRANSPORT 07/13/15 MICHAEL P MCCREADY & ASSOC NYHAN BAMBRICK KINZIE & LOWR 485 15WC 26443 RODRIGUEZ, ALEJANDRO S. CONTACT STAMPEDE MEAT, IN 05/01/15 RITTENBERG & BUFFEN GRANT & FANNING 486 15WC 26474 SCHULER, JACLYN CRESTLINE HOTELS & RESORT 06/07/13 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 487 15WC 26615 REYES, EMILIO APOGEE TRUCKING LLC 05/12/15 CULLEN HASKINS NICHOLSON RODDY LAW LTD 488 15WC 26644 WALKER, ROBERT MENACHA CORPORATION 06/19/15 RONALDSON & KUCHLER HEYL ROYSTER VOELKER & ALLEN 15WC037184 -C MENASHA CORPORATION 15WC037185 -C 489 15WC 26696 FLEENOR, RONALD J UNITED AIRLINES INC. 12/08/14 KATZ FRIEDMAN EAGLE ET AL 490 15WC 26877 BLUE, EUGENE CITY OF CHICAGO 06/24/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 491 15WC 26894 MALDONADO, DAVID LIBERTY STAFFING 01/29/15 JOHN S. ELIASIK 492 15WC 27010 NICASIO, VICTOR YES EQUIPMENT & SERVICES, 02/11/15 DUDLEY & LAKE LLC GANAN & SHAPIRO 493 15WC 27032 SHARON, ROSE CPS 06/29/15 THE MACK LAW GROUP PC 494 15WC 27081 GARCIA, DAVID CONTINENTAL MIDLAND LLC 12/04/14 ANKIN LAW OFFICE GRANT & FANNING 495 15WC 27118 COLE, IVAN CTA (3) 05/31/15 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 496 15WC 27125 DAVIDS, ODALIS J STERLING MORTON WESTON 03/12/15 LAW OFFICE MICHAEL M WOJIT RUSIN & MACIOROWSKI LTD 497 15WC 27152 FRISBEE, JEFFREY M. BREX ARLINGTON INC. 09/16/14 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 498 15WC 27179 IACOVETTI, CHRIS NCR 03/10/15 CAPRON & AVGERINOS PC SPIEGEL & CAHILL, PC 499 15WC 27325 FIGUEROA, MITCHELL CHICAGO DEPT OF WATER 04/06/15 ARGIONIS & ASSOCIATES LLC 500 15WC 27519 HERNANDEZ, ERIC NE MOTOR FREIGHTWAYS 01/03/15 LAW OFFICE OF ROBERT J. IR WIEDNER & MCAULIFFE LTD 501 15WC 27531 GARCIA, ROSA COMPASS GROUP/LEVY RESTAU 05/08/15 LAW OFFICES CHRISTOPHER ED 502 15WC 27575 GAWLE, GRAZYNA CHIQUITA BRANDS INTERNATI 01/02/15 CUSHING LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 503 15WC 27622 JOHNSON, ROLAN D UPS 09/19/11 FITZ & TALLON 504 15WC 27819 MOLINA, GUSTAVO E.J. BASLER CO 04/28/15 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 505 15WC 27953 FAIRFAX, DENNITA FAMILY DOLLAR 06/09/15 TRAPP & GELLER 506 15WC 28014 HUNT, SANFORD CITY OF CHICAGO POLICE DE 07/14/15 JOEL BELL CITY OF CHICAGO 507 15WC 28057 JOHNSON, LAWRENCE O TRINUC LLC 08/16/15 ANKIN LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 508 15WC 28090 JACKSON, ANTHONY MONDELEZ INTERNATIONAL 08/14/14 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 509 15WC 28112 GORSKI, GRETCHEN LANSING SPROT SHOP INC 01/10/13 KARCHMAR & STONE BRYCE DOWNEY & LENKOV LLC 510 15WC 28207 HERNANDEZ, JOSE RON'S STAFFING SERVICES I 08/06/15 KAUFFMAN, NEIL & ASSOC KOREY RICHARDSON LLC 511 15WC 28408 HERNANDEZ, VICTOR GQ HOME IMPROVEMENTS 06/27/15 JOHN S. ELIASIK 512 15WC 28573 CRAWFORD, MELVIN UPS 08/11/15 WILLIAM MARTAY NYHAN BAMBRICK KINZIE & LOWR 15WC029289 -C 513 15WC 28688 TAPIA, FERNANDO FERRARA CANDY COMPANY 08/17/15 STROM, NEAL B HOLECEK & ASSOCIATES 514 15WC 35592 NOSSEM, ROBERT CARSON'S CLEARANCE CENTER 06/14/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 515 15WC 35972 SMITH, LEANNA SCR MEDICAL TRANSPORTATIO 09/19/15 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 516 15WC 35985 ANDERSON, MARCINE CHICAGO TRANSIT AUTHORITY 10/25/15 517 15WC 36026 GUZA, SHERRY ALDI 10/10/15 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 518 15WC 36035 BRADFORD, JIMMY EAGLE EXPRESS LINES, INC 10/20/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 519 15WC 36072 RUZEVICH, MICHAEL MARTIN TRANSPORTATION SER 08/18/15 LEONARD LAW GROUP LLC 520 15WC 36085 HOWARD, LYNN ADVOCATE CHILDREN'S HOSPI 08/20/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 521 15WC 36126 COOK, ELAINE F NOKA AKOR 08/28/15 STYKA & STYKA GANAN & SHAPIRO 522 15WC 36161 CHAPPLE, YVETTE PEDIATRIC SERVICES OF 01/27/15 LEO ALT INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 523 15WC 36174 CARDIEL, MARK TUTHILL 10/12/15 DAVID W MARTAY 524 15WC 36190 PUGH, MARVIN ALLIANCE GROUND AIR 10/08/15 DWORKIN AND MACIARIELLO 525 15WC 36312 GALAN, MARIA CATHOLIC CHARITIES 10/14/15 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 526 15WC 36372 KULHAWIK, KRZYSZTOF UNITY MANUFACTURING 10/17/15 DECARLO LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 527 15WC 36437 BOTTLEY, CHRISTOPHER WAREHOUSE SPECIALIST INC 11/03/15 KUMLIN & FROMM HOLECEK & ASSOCIATES 528 15WC 36468 CRUZ, YANELI BRETT ANTHONY FOODS 10/21/15 MARTIN V KUGIA HOLECEK & ASSOCIATES 529 15WC 36489 HAWN, ALEXANDER HESIK-PRYBYLO LAW OFFICES 10/02/15 ANESI OZMON RODIN NOVAK KO 530 15WC 36514 SQUIRES, MICHAEL LOTT ENTERPRISES, INC 10/17/14 COLLISON & O'CONNOR 531 15WC 36610 DELONEY, TOMICA FORD MOTOR COMPANY 01/16/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 16WC004181 -C 532 15WC 36666 ADAMS, MAURICE CITY OF CHICAGO 02/02/13 HEALY SCANLON LAW FIRM 533 15WC 36684 BRONAKOWSKI, NANCY ALL TRUST 10/01/15 FINE, MARK S LAW OFFICES 534 15WC 36699 HERRERA, ARTURO C DART CONTAINER 03/18/15 JAUREGUI & ASSOCIATES GAROFALO SCHREIBER STORM 535 15WC 36718 BARNES, KEVIN F VILLAGE OF GLENVIEW 07/01/15 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 536 15WC 36778 SYLVESTER, BARBARA JEWEL-OSCO 01/07/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 537 15WC 36830 RAYNER, DAWN ANIMAL CARE CENTER 05/15/15 COLLISON & O'CONNOR 538 15WC 36848 SIDNEY, MARCELL FORD MOTOR COMPANY 10/30/15 DAVID W MARTAY 539 15WC 36893 ALVARADO, FRANCISCO FIVE STAR DECORATING, INC 09/12/15 GOLDSTEIN BENDER & ROMANOF 540 15WC 36942 HAUBRICH, REBECCA K NORTHWESTERN UNIVERSITY 07/25/14 RUBIN LAW GROUP GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 541 15WC 36970 WARD, APRIL CITY OF CHICAGO 05/20/15 SANDMAN LEVY & PETRICH 542 15WC 37025 OLIVER, JOHN M A LIFT ABOVE INC. 11/04/15 LAW OFFICE DAVID W CLARK RODDY LAW LTD 543 15WC 37164 BOONE, FRANK A NIAGRA LASALLE CORP 10/08/15 ANKIN LAW OFFICE THOMAS & PORTELA 544 15WC 37276 DAVIS, DONTA PEOPLES GAS 09/28/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 545 15WC 37300 HERRERA, JESUS NORDSTROM, INC 09/24/15 LOUIS A PLZAK & ASSOCIATES ROBERT L. SMITH 16WC009458 -C 546 15WC 37334 WIERZBOWSKA, ALICJA ANDY'S DELI & MIKOLAJCZYK 01/16/15 LEWIS & DAVIDSON, LTD 547 15WC 37356 PHILLIPS, HUMPHREY CBRE 11/02/15 KROL BONGIORNO & GIVEN LTD 548 15WC 37395 LUMPKIN-INGRAM, JACQUELIN CITY OF CHICAGO-DEPT OF W 07/30/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 549 15WC 37596 RICE, WILLIAM ILLINOIS TOLLWAY AUTHORIT 01/09/15 JOHN F GREGORIO & ASSOC NYHAN BAMBRICK KINZIE & LOWR 550 15WC 37618 FIGUEROA, MIRNA KOCH FOODS 10/12/15 KROL BONGIORNO & GIVEN LTD MACIOROWSKI SACKMANN & ULRIC 551 15WC 37641 MARTINEZ, JESUS MANUEL METRO STAFF INC 11/05/15 BOTTO GILBERT 552 15WC 37803 SPENCER, CHRIS CHICAGO BEARS FOOTBALL CL 12/25/11 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 553 15WC 37824 BAXTER, SUSAN GLENBROOK HIGH SCHOOL 09/26/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 554 15WC 37918 GUZMAN, ANTONIO SCOTT BYRON & CO. 06/16/14 FOOTE MIELKE CHAVEZ & O'NE NYHAN BAMBRICK KINZIE & LOWR 555 15WC 37936 LUTTERY, TEISHA CHICAGO TRANSIT AUTHORITY 11/18/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 556 15WC 37982 TYLER, ETRINA ADVOCATE CHRIST HOSPITAL 06/24/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 557 15WC 38052 VIGA, ROMAN VECI BNY MELLON 12/12/14 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 558 15WC 38277 ROMERO, RAMON DIVERSE FACILITY SOLUTION 11/01/14 BART DURHAM KLAUKE LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 559 15WC 38378 SAMPSON, KENNETH CTA 05/18/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 560 15WC 38435 PASCUAL, DORIELYN AT&T 08/03/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 561 15WC 38469 DUNN, SANDRA FAMILY PARTNERS INC 06/13/15 JOHN E LUSAK 562 15WC 38560 HERNANDEZ, EMILIO G&S CONSTRUCTION 10/21/15 HERRERA LAW CENTER BRADY CONNOLLY & MASUDA PC 563 15WC 38640 ZAMBRANO, TINA UNIVERSITY OF CHICAGO 10/28/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 564 15WC 38710 WILHITE, LYNN NORTHWESTERN MEM HOSPITAL 10/16/15 CORBOY & DEMETRIO PC 565 15WC 38736 FALLEN, DEREK EATALY CHICAGO LLC 10/20/15 ANKIN LAW OFFICE 566 15WC 38821 SILVA, SIDNEY RJB PROPERTIES INC 12/24/14 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 567 15WC 38840 YOUNG, DAYMEON STEVENS TRANSPORT 03/09/15 COHN & COHN GAROFALO SCHREIBER STORM 568 15WC 38903 POLK, ROBERT CTA 03/29/15 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 569 15WC 39006 SOSA, ERIK AUTO MART NATIONWIDE 11/03/15 SKLARE LAW GROUP 570 15WC 39037 ARANDA, SERGIO IMPACT STAFFING/PRECISION 09/28/15 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 571 15WC 39081 GARCIA, PORFIRIO A SAFE HAVEN LANDSCAPING 05/29/15 CAMERON CLARK 572 15WC 39122 ROYAL, STEPHEN TMT CHICAGOLANDLLC DBA TW 07/26/15 BRILL & FISHEL HENNESSY & ROACH PC 573 15WC 39140 MANGUM, LAKIETH FORD MOTOR COMPANY 08/02/14 BECKER & SILVERMAN WIEDNER & MCAULIFFE LTD 574 15WC 39197 WOS, TERESA M KRYSTUNA'S DELI INC 11/09/15 SYREGELAS, NICHOLAS C RUSIN & MACIOROWSKI LTD 575 15WC 39219 NELSON, MARCEL GREAT LAKES COCA-COLA 09/18/15 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 576 15WC 39334 CADET, GUADALUPE M EVANSTON TOWNSHIP HIGHSCH 07/02/15 SMOLER LAW OFFICE, PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 577 15WC 39367 RIOS, ANGEL GREAT LAKES COCA-COLA 10/15/15 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 578 15WC 39520 SHERWOOD, JAMES W MONDELEZ INTERNATIONAL IN 09/24/15 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 579 15WC 39905 JANY, SYLVIE UNITED AIRLINES INC. 08/27/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 580 15WC 41016 VITAL, MARIA WHOLE FOODS MARKET 11/18/15 ANKIN LAW OFFICE 581 15WC 41255 ZABRIN, RICKI K TRISH MCEVOY 11/21/15 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 582 15WC 41470 PEREZ, EDGAR HALL'S RENTAL 11/04/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 583 16WC 00505 LORENZI, CHRISTOPHER NATIONAL POWER RODDING 10/07/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 584 16WC 02139 SAJWANI, SHAMSHA MB FINANCIAL BANK 01/19/16 ACEVES & PEREZ PC 585 16WC 03536 DUTTON, KEITH NILES FIRE DEPARTMENT 01/01/16 JOHNSON, MICHAEL D & ASSOC 586 16WC 03773 OLEJARZ, ANNIE S&K MANAGEMENT 09/29/15 WHITESIDE & GOLDBERG LTD 587 16WC 03809 BOKENYA, RAYMOND BLUE RIBBON TAXI 12/16/15 HUNER LAW OFFICES LLC 588 16WC 03875 JADIN, DENNIS CONTINENTAL PAINTING & 11/20/15 SOSTRIN AND SOSTRIN PC 589 16WC 03876 MONTES, RAUL JEWEL OSCO 12/28/15 ENCINAS & ORNELAS 590 16WC 03937 SPURGEON, SAMANTHA SHIMURIMAINC DBA DUNKIN D 10/08/15 LAW OFFICE OF ANDREW HAMIL BRADY CONNOLLY & MASUDA PC 591 16WC 03978 PABON, MARIA WILSON TORRES W 01/25/16 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 592 16WC 04017 DOMINGUEZ, FABIOLA F FARMINGTON FOODS 12/16/15 CULLEN HASKINS NICHOLSON CAPUANI & SCHNEIDER 593 16WC 04047 KHAN, MOHOMMED JAAT CAB 01/03/16 LEITER LAW OFFICES 594 16WC 04126 BIZIAK, PAWEL V BROTHERS MACHINE CO 09/01/15 BELCHER LAW OFFICE LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 595 16WC 04157 ARZATE, MARIA METRO STAFF INC 05/06/14 HENNESSY & ROACH PC 596 16WC 04197 VILLALOBOS, GILBERTO GPA CONTRACTING SERVICES @ 12/18/15 EFTEKHARI LAW OFFICES GANAN & SHAPIRO 597 16WC 04264 HOWARD, SHIRLEY CTA 02/08/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 598 16WC 04297 HERNANDEZ, ROQUE E CHICAGO TRANSIT AUTHORITY 01/15/16 GRAZIAN & VOLPE PC 599 16WC 04349 CERVANTES, RAUL JB&A REMOLDELING LLC 12/21/15 JONATHAN SCHLACK 600 16WC 04404 GUZMAN, JOSE G MENASHA PPACKAGING CO 01/17/15 ACEVES & PEREZ PC 601 16WC 04522 ORTEGA, CLIOFAS CHICAGO ANODIZING CO 12/30/15 DEPAOLO ZADEIKIS GORE RODDY LAW LTD 602 16WC 04529 BANUELOS, BRENDI JEWEL OSCO #3491 12/21/15 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD 603 16WC 04553 ROGERS, TIFFANY JEWEL OSCO 10/18/15 DWORKIN AND MACIARIELLO 604 16WC 04670 DUNMARS, KOURTNEY CHICAGO TRANSIT AUTHORITY 02/04/16 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 605 16WC 04719 PAPPAS, ROBERT ROY STROM EXCAVATING 01/04/16 VASILATOS & COTTER LLC KLAUKE LAW GROUP LLC 606 16WC 04743 MACKOWIAK, TAMMY CONCORD NURSING REHAB CTR 12/27/15 SOSTRIN AND SOSTRIN PC LAW OFFICES FRANCESCA LARSEN 607 16WC 04772 WIMSATT, DARREN FORD MOTOR COMPANY 01/07/06 FOHRMAN, DONALD W & ASSOCS 608 16WC 04928 SANSONE, MICHAEL FUMARE MEATS & DELI 01/30/16 JOHN E LUSAK WIEDNER & MCAULIFFE LTD 609 16WC 04948 JOSON, ZENAIDA UNIVERSITY OF IL AT CHICA 01/11/16 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 610 16WC 04951 KOGUT, PAWEL HENRY CONSTRUCTION SERVIC 11/19/15 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 611 16WC 04972 CUDIA, LUZ RAQUELITA 1ST ASSIST HOME HEALTHCAR 12/30/15 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 612 16WC 04994 RODRIGUEZ, JULIO CARMEL CRISP LLC DBA GARR 12/12/15 ROSS TYRRELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 613 16WC 05031 JACKSON, BILWEST L J.B. HUNT TRANSPORT, INC. 01/29/16 ANKIN LAW OFFICE GRANT & FANNING 614 16WC 05074 PASQUAL, ANDRES FB LABORERS&CONSTRUCTION 01/27/16 OSVALDO RODRIGUEZ PC MEACHUM & STARCK 615 16WC 05111 RANDLE, MARIE MAC ONE MIDWAY LLC 01/16/16 ROBIN LAW OFFICE 616 16WC 05135 PARKINSON, ANJEL COOK COUNTY JUVENILE DEPT 03/24/14 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 617 16WC 05229 KISIELIUS, RICHARD LA GROU MTOR SERVICE 01/26/16 BOUDREAU NISIVACO LLC QUINTAIROS PRIETO WOOD & BOY 618 16WC 05242 YULDASHEV, AZAMAT MCCAB XX CORP. 01/16/16 HUNER LAW OFFICES LLC 619 16WC 05310 PASSARELLA, VICKIE L AMERICAN AA GROUP PO BOX 09/24/14 GOLDBERG WEISMAN & CAIRO L 620 16WC 05415 MARTINEZ, ESQUIBEL HOLLY HUNT ENTERPRISE 08/26/15 COSTA IVONE LLC HOLECEK & ASSOCIATES 621 16WC 05475 ABIOYE, YAKUBU YELLOW CAB 02/17/16 CHASE & WERNER LTD 622 16WC 05537 RUETSCHE, KEVIN UNITED AIRLINES INC. 02/05/16 LEWIS & DAVIDSON, LTD 623 16WC 05538 MORTERA, JACOB CHICAGO TRANSIT AUTHORITY 01/01/16 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 624 16WC 05596 URIBE, HUBALDO GOLDEN STATE FOODS CORP 11/25/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 625 16WC 05616 LOVE, CLEOTTIS FORD MOTOR COMPANY 02/10/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 626 16WC 06229 COOK, JAMES AWAY STAFFING SERVICES 01/19/16 MARC J SHUMAN & ASSOCIATES ROBERT L. SMITH 627 16WC 06268 GARCIA, ESTELA ILLINOIS TOLLWAY PLAZA 39 02/13/16 OSVALDO RODRIGUEZ PC 628 16WC 06309 SUSCAVAGE, RONALD NEWLY WEDS FOODS INC 01/29/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 629 16WC 06344 JOHNSON, CHRISTAL FALCON EXPRESS 12/20/13 NEWMAN, BOYER & STATHAM RUSIN & MACIOROWSKI LTD 630 16WC 06367 PHILLIPS, ANDREW WHITNEY FOODS 12/30/15 MEYERS & FLOWERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 631 16WC 06389 19B COFFOU, BRIAN BLACK BOX CORP 01/06/16 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 632 16WC 06390 CHOMENKO, ANTHONY ECOLAB INC 08/04/14 BOWMAN & CORDAY KEEFE CAMPBELL & ASSOC LLC 633 16WC 06430 TORRES, NICHOLAS GE TRANSPORTATION 09/15/15 COHN LAMBERT RYAN & SCHNEI 634 16WC 06465 VAZQUEZ, CAROLINA O'KEEFE MANAGEMENT COMPAN 01/02/16 BUDIN LAW OFFICES 635 16WC 06487 SAEZ, EDWIN SMITH-COPPER INTERNATIONA 10/19/15 ANKIN LAW OFFICE 636 16WC 06508 HEISEY, DAVID MCLANE COMPANY LLC 02/18/16 MANDELL, GREGG 637 16WC 06700 OJEDA, MIGUEL THE STEEL SUPPLY COMPANY 01/06/16 JONATHAN SCHLACK 638 16WC 06741 FITZPATRICK, D'ANDREA SCR TRANSPORTATION 02/29/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 639 16WC 06818 PERCY, GARY AMERICAN AIRLINES 01/14/16 LAW OFFICE OF SCOTT B SHAP 640 16WC 06845 SPENCER, VASHAWN GLENWOOD ACADEMY 06/19/15 LAW OFFICES KRISTEN M KOZL MC ANDREWS & NORGLE LLC 641 16WC 06915 PALCZYNSKI, DANIEL DARPET DOOR AND TRIM CO 01/19/16 NEWLAND & NEWLAND 642 16WC 06956 GLASS, MARK E. IT'S A WONDERFUL LIGHT, L 01/14/16 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 643 16WC 06962 STEWART, CHERYL CITY OF CHICAGO 02/26/16 GORDON & CENTRACCHIO LLC 644 16WC 06988 DAVIS, ANYA UNITED AIRLINES, INC. 11/01/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 645 16WC 07019 FARMER, MALCOLM L UNITED PARCEL SERVICE INC 03/01/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 646 16WC 07037 PITTMAN, DOMINIQUE LEADPOINT 02/04/16 JAMES A PAYONK JR GRANT & FANNING 647 16WC 12820 ROBERTS, CAROLYN FEDEX * 03/16/16 BURNES & LIBMAN 648 16WC 13651 JOHNSON, MICHAEL CATHOLIC CHARITIES 09/02/15 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 649 16WC 13980 BUDZYNSKI, LUKASZ K MASTER SEAL ENTERPRISE, I 04/25/16 MICHALSKI & GUBERNAT HOLECEK & ASSOCIATES 650 16WC 14109 AMATO, FRANK ILLINOIS DEPARTMENT @ 08/04/15 FIGLIOLI, DAVID STEPHANIE KEVIL 651 16WC 14198 COLEMAN, DAN DAKKOTA INTEGRATED SYSTEM 03/15/16 KATZ FRIEDMAN EAGLE ET AL 652 16WC 14250 BAKER, REGINALD EA SWEEN COMPANY 03/02/16 ANKIN LAW OFFICE 653 16WC 14281 SMITH, DOMINIQUE FAMILIES BUILDING DREAMS 05/02/16 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 654 16WC 14340 SPENCER, PAMELA ROMANIAN AMERICAN COMMUTY 04/27/16 DWORKIN AND MACIARIELLO 655 16WC 14375 STAPLES, MICHAEL CTA 04/18/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 656 16WC 14380 SANCHEZ, OSIEL MIDWEST CANVAS CORP. 11/13/14 CRONIN & CO. LTD KNELL & O'CONNOR 657 16WC 14421 HARRIS, ROSHA D. IL. DEPT. OF HUMAN SERVIC @ 01/07/16 DEPAOLO ZADEIKIS GORE STEPHANIE KEVIL 16WC014422 -C 658 16WC 14492 PALMER, ROY F REPUBLIC SERVICES 01/18/16 DWYER AND COOGAN GILDEA & COGHLAN 659 16WC 14514 FISS, JOHN KONNZ CORP 11/28/15 WOLFE LAW PC NYHAN BAMBRICK KINZIE & LOWR 660 16WC 14540 CASTILLO, MELISSA MERCY HOSPITAL 11/09/15 MICHAEL P MCCREADY & ASSOC 661 16WC 14569 LAMBRECHTS, ERIC NILES POLICE DEPARTMENT 12/31/15 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 662 16WC 14610 SPRAGGON, BENJAMIN JENSEN EXCAVATING 08/06/15 PETER F FERRACUTI & ASSOCI 663 16WC 14736 GREENWELL, JACQUELYN HAPPY FOODS 04/20/16 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 664 16WC 14767 COTTON, JOSEPH FORD MOTOR COMPANY 03/03/16 FOHRMAN, DONALD W & ASSOCS 665 16WC 14820 SMITH, JEFFERY ABM JANITORIAL 01/01/16 COLLISON & O'CONNOR 666 16WC 14843 SMITH, MARK LAZ PARKING CHICAGO, LLC. 04/05/16 DOUGLAS C DORN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 667 16WC 14906 PEREZ, EDWIN CARLOS CONSTRUCTION CO. 08/02/14 JAMES ELLIS GUMBINER & ASS 668 16WC 15067 LAWAL, LINDA CHICAGO TRANSIT AUTHORITY 11/05/15 JOEL BELL 16WC015068 -C 669 16WC 15087 VOGEL, MICHAEL CSL BEHRING CO 08/28/14 SMOLER LAW OFFICE, PC 670 16WC 15176 ROGERS, LEROY JOHN TODD 04/08/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 16WC015526 -C 671 16WC 15201 GUNN, SANDRA ZURICH NORTH AMERICA 05/22/13 CULLEN HASKINS NICHOLSON 672 16WC 15227 SMITH, JAMES CHICAGO TRANSIT AUTHORITY 04/14/16 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 673 16WC 15248 GARCIA, ARMANDO NWC BODY WORKS 03/30/16 TURNER & SACKETT LLC 674 16WC 15306 SLAYTON, STANLEY TOWNE PARK, LLC AND BROAD 04/01/16 RITTENBERG & BUFFEN 675 16WC 15360 HENSON, ERIC DSTM, INC. 04/21/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 676 16WC 15376 PURDY, PAMELA ADVOCATE SOUTH 03/01/16 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 677 16WC 15412 RIOS, EDSON ADRAIN'S FOOD MARKET 04/10/16 HART & DAVID LLP 678 16WC 15456 GONZALEZ, MARIA PRESENCE ST MARY'S AND 03/27/16 ASHER, RAYMOND L LTD 679 16WC 15505 ROJAS, JENNIFER D'AGOSTINO'S PIZZA & PUB 12/12/14 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 680 16WC 15528 PEREA, LETICIA RUSH PRES ST LUKES HOSPIT 06/28/15 STEVEN A CRIFASE, LTD KEEFE CAMPBELL & ASSOC LLC 681 16WC 15589 ESTER, LATASHA ALDEN WENTWORTH NURSING H 05/12/16 STEPHEN G PINTO LTD 682 16WC 15648 SHUFLIT, JEFFREY BREAK THROUGH BEVERAGE 04/06/16 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 683 16WC 15670 DUDEK, WLADYSLAW BERKSHIRE REFRIGERATED 10/19/15 BELLAS & WACHOWSKI HOLECEK & ASSOCIATES 684 16WC 15708 HERRERA, ESTELA APERION CARE INTERNATIONA 03/07/16 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 685 16WC 15738 MILES, LARHONE 7UP 03/29/16 RUBENS AND KRESS 686 16WC 15778 ALTAMIRANO, ALVARO NEXUS EMPLOYMENT SOLUTION 05/05/16 ELFENBAUM EVERS & AMARILIO 687 16WC 15799 POPLAWSKI, MARYANN JEWEL-OSCO 05/07/16 BRILL & FISHEL BRADY CONNOLLY & MASUDA PC 688 16WC 15813 CHAVEZ, ANA LABOR NETWORK ARYZA 03/20/16 CHEPOV & SCOTT LLC ROBERT L. SMITH 689 16WC 15850 MENESES, JOSE A EFFICIENT CONSTRUCTION IN 09/12/15 WARREN W MARK 690 16WC 15883 DENNE, RICHARD DIVE BAR 05/12/16 BRISKMAN BRISKMAN GREENBER 691 16WC 15983 WYNN, TOI ALDI 09/01/15 BAUM RUFFOLO & MARZAL LTD 692 16WC 16007 MONTERO, JOSE LUIS DICICCO CONCRETE PRODUCTS 04/13/15 CORBOY & DEMETRIO PC 693 16WC 16033 JORDAN, JASMINE ST OF IL/REED MENTAL HEAL @ 05/01/16 MICHAEL P MCCREADY & ASSOC STEPHANIE KEVIL 694 16WC 16127 LATHAM, MICHAEL OAK PARK & RIVER FOREST 05/12/16 LEE, MARK N LAW OFFICE 695 16WC 16147 ALVAREZ, HECTOR BUEDEL FINE MEATS 03/16/16 GOLDSTEIN BENDER & ROMANOF HUGHES SOCOL PIERS RESNICK & 696 16WC 16203 TRIMBLE, GARY CHICAGO PUBLIC SCHOOLS 03/04/16 HUGHES SOCOL PIERS RESNICK 697 16WC 16220 MARTINEZ, ANTONIO STAFF RIGHT 05/16/16 ACEVES & PEREZ PC 698 16WC 16231 JONES, ANTOINE D COOK CNTY DEPT OF CORRECT 05/18/16 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 699 16WC 16255 BENNETT, TAMARA QBE DBA S SUBURBAN REHAB 03/23/16 SILVERMAN, CLIFFORD A 700 16WC 16308 GARCIA-RAMIREZ, JOSE ANTO DALEWOOD HOMES, LTD. 05/02/16 FOOTE MIELKE CHAVEZ & O'NE 701 16WC 16348 ARIZPE, MARIA LABOR NETWORK INC. 04/20/16 THE ROMAKER LAW FIRM ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 702 16WC 16380 HERNANDEZ, MANUEL TEMPERATURE 05/05/16 VRDOLYAK LAW GROUP LLC 703 16WC 16418 DIAZ, CHRISTINA ARYZTA LLC 03/25/16 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC016419 -C 16WC022841 -C 704 16WC 16454 SWEYER, NANCY J BON-TON STORES, D/B/A 11/29/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 705 16WC 16471 THANG, DIAMOND BLACKSTONE HOTEL 04/22/16 SOSTRIN AND SOSTRIN PC 706 16WC 16585 MARTINEZ, LUIS FLEXIBLE STAFFING 10/14/15 WILLIAM MARTAY 707 16WC 16677 CHARLES, NICHOLAS COMMUNITY CONSOLIDATED 09/22/15 ROBERT H HANAFORD 708 16WC 16752 BLACHER, KENNETH M FOOD FOR LESS 03/27/16 PERRY M LAKS LAW OFFICE 709 16WC 16873 JOHNSON, TESSIE HOLLAND HOME 04/26/16 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 710 16WC 16881 THOMAS, TERRELL MV TRANSPORTATION 05/21/16 MANDELL, GREGG BRADY CONNOLLY & MASUDA PC 711 16WC 16901 MARTINEZ, ANTONIO SISTAR CONSTRUCTION 01/12/16 AIOSSA LAW FIRM QUINTAIROS PRIETO WOOD & BOY 712 16WC 16972 DICHARIA, JOHN BREAKTHRU BEVERAGE ILLINO 01/14/16 ELFENBAUM EVERS & AMARILIO 713 16WC 17004 EKRAM, MUHAMMED N LUQMAN CORP 03/29/16 LAW OFFICE RYAN ROSENTHAL 714 16WC 17059 GIVENS, NICOLE ARAMARK FACILITY SERVICES 05/19/16 SPENCER LAW OFFICES 715 16WC 17091 ROBINSON, KEITH L. VARGAS GROUP 07/10/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA 716 16WC 17113 GARCIA, MARISOL SYNERGY COVERAGE SOLUTION 03/10/16 DEPAOLO ZADEIKIS GORE SLAVIN & SLAVIN 717 16WC 17147 CIABURRI, NICHOLAS L CITY OF DES PLAINES 04/11/16 THOMAS W DUDA 718 16WC 17188 BROWN, LEO IL TOLLWAY AUTHORITY @ 05/13/16 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 719 16WC 17213 PHELPS, EUGENE BUNN-O-MATIC CORP 06/18/15 DUDLEY & LAKE LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 720 16WC 17267 BERSANI, GREGORY L II UNITED AIRLINES INC. 03/16/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 721 16WC 17290 RANGEL, ZENAIDA SUBMARINE PORT 04/15/16 SPENCER LAW OFFICES GAROFALO SCHREIBER STORM 722 16WC 17306 WOODSON, RONALD VILLAGE OF RIVERDALE 05/23/16 THE MACK LAW GROUP PC PETERSON JOHNSON & MURRAY 723 16WC 17353 MARIANI, MICHAEL F. H. PASCHEN 06/21/14 STUART H GALESBURG BRADY CONNOLLY & MASUDA PC 724 16WC 17369 VALDEZ, ADELAIDA AMERICAN MOLDING 12/18/15 NILSON STOOKAL GLEASON CAP 725 16WC 17418 RODRIGUEZ, JAVIER ANDREWS STAFFING 05/25/16 KATZ FRIEDMAN EAGLE ET AL 726 16WC 17491 RIVERA, EDDIE SWEDISH COVENANT HOSPITAL 08/06/12 CHRISTINE F DAVID MACIOROWSKI SACKMANN & ULRIC 727 16WC 17546 FOSTER, PATRICIA A CITY OF CHICAGO DEPT OF 04/01/16 ANKIN LAW OFFICE 728 16WC 17575 BUTLER, DATRIN MARIANO'S FRESH MARKET 04/09/16 CHARLES LEVY & ASSOC LTD 729 16WC 17608 MCLELLAND, ROBERT JOE RIZZA FORD 11/28/15 CAPRON & AVGERINOS PC 730 16WC 21679 WIENS, CATHERINE ALEGIS CARE 03/18/15 SAUNDERS CONDON & KENNY 731 16WC 24296 JALOVEC, DONALD R. LYONS TOWNSHIP HIGHWAY DE 01/16/16 TOSCAS, JOHN Z LAW OFFICE 732 16WC 24313 NICHOLSON, DAVELLE MAS TEC ADVANCED TECHNOLO 03/01/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 733 16WC 24327 RANDALL, RHAN CHICAGO PUBLIC SCHOOLS 07/18/16 ANKIN LAW OFFICE 734 16WC 24373 BRAUN, TERRENCE C3 PRODUCTIONS C/O GALLAG 07/31/16 RUBENS AND KRESS 735 16WC 24445 MARIOTTI, MICHAEL J. NORTHROP GRUMMAN CORPORAT 11/30/15 LAW OFFICE PHILIP BLOMBERG 736 16WC 24510 JONES, TORRENCE CPS/RYDER SCHOOL 08/09/16 MICHAEL P MCCREADY & ASSOC 737 16WC 24561 CLARK, DAMIEN BONEFISH GRILL 08/06/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 738 16WC 24619 HOPE, CHERYL THE RESIDENCES AT RIVER 03/18/16 FRIEDMAN, MICHAEL T & ASSO 739 16WC 24663 HARRIS, JASON FRITO LAY 08/01/15 STEVEN J. MORTON & ASSOC GILDEA & COGHLAN 740 16WC 24686 JIMENEZ, SYLVESTER MILTON INDUSTRIES 07/11/16 DEPAOLO ZADEIKIS GORE 741 16WC 24712 HARRISON, CHRISTOPHER UNIFIED CML LLC 06/21/16 GRAZIAN & VOLPE PC 742 16WC 24763 LELONKIEWICZ, HALINA ANDY'S DELI & MIKOLAJCZYK 05/12/16 ANKIN LAW OFFICE 743 16WC 24773 VELAZQUEZ, ADRIANA GREENLEE TREXTRON, INC. 03/02/15 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 744 16WC 24838 QUAIYUM, MOHAMMED ONE-ONE-ONE TAXI LLC 07/27/16 FISHER & LAMONICA 745 16WC 24872 ROBERTS, MAURICE SOUTH HOLLAND POLICE DEPT 07/23/15 KREITER, BYCK & ASSOC LLP INMAN & FITZGIBBONS 746 16WC 24897 SOPYS, CHAMILLE MEDIX WORKFORCE 08/04/16 DWORKIN AND MACIARIELLO 747 16WC 24945 GOLIK, ANTONI ARLINGTON METALS CORP 07/26/16 RICHARD O. GREENFIELD HOLECEK & ASSOCIATES 748 16WC 25019 BAEZ, CARLOS THE KROGER CO. 06/29/16 HERRERA LAW CENTER 749 16WC 25021 CERRITOS, JUAN STRICTLY TRAILER REPAIR I 05/05/16 HERRERA LAW CENTER 750 16WC 25077 MITCHELL, JOSHUA CITY OF CHICAGO 04/14/16 ANGELINI & ORI LLC CITY OF CHICAGO 751 16WC 25146 ALMS, DAVID STATE OF IL - DOT @ 10/20/15 KROL BONGIORNO & GIVEN LTD ASSISTANT ATTORNEY GENERAL 752 16WC 25161 BURGE, DESTAINEA PACE BUS 05/12/16 VASILATOS & COTTER LLC 753 16WC 25217 RODRIGUEZ, JUAN JOSE SANCHI LANDSCAPE CONCEPTS 06/18/16 JONATHAN SCHLACK 754 16WC 25238 JONES, HENRY JR METROPOLITAN WATER 05/27/16 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 755 16WC 25251 CHAVEZ, PATRICIA SUPERCUTS CORPORATE SHOP 05/06/16 SOSTRIN AND SOSTRIN PC ADELSON TESTAN & BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 756 16WC 25282 COBB, CHESTER G.JR. AAA RENTAL SYSTEMS 08/01/16 FITZ & TALLON 757 16WC 25330 CASTRO, RAUL NORDSTROM STORE 05/12/16 MC HARGUE, JAMES P LAW OFF ROBERT L. SMITH 758 16WC 25342 MUTHART, TERESA MV TRANSPORTATION 06/09/16 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 759 16WC 25389 MURPH, DANIELLE CTA 07/12/16 FOHRMAN, DONALD W & ASSOCS 760 16WC 25410 ESTANISLAO, ELEANOR HMS HOST 07/25/16 ELFENBAUM EVERS & AMARILIO 761 16WC 25436 LANG, RUSSELL GYPSUM EXPRESS 01/27/16 STEVEN J MALMAN & ASSOCIAT 762 16WC 25464 SUTTON, CLINTON PERMA SEAL 07/20/16 BERG & BERG 763 16WC 25484 BOSWELL, MARK CBRE, INC. 03/02/15 HEALY SCANLON LAW FIRM GRANT & FANNING 764 16WC 25524 GODINEZ, DORA RADISSON HOTEL 03/13/16 SEIDMAN MARGULIS & FAIRMAN 765 16WC 25532 BELL, DOREEN CHICOS FAS, INC 07/05/16 MC HARGUE, JAMES P LAW OFF QUINTAIROS PRIETO WOOD & BOY 766 16WC 25537 KIRK, CHANDRA J. REMEDIAL ENVIRONMENTAL 08/03/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 767 16WC 25557 GRIFFIN, RYAN NATIONAL HEAT & POWER COR 05/03/16 TEWS THEISEN & THEISEN ACCIDENT FUND HOLDINGS 768 16WC 25598 WILLIAMS, CYNTHIA UPS 06/13/16 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 769 16WC 25645 ABDI, DEEQ M. SWIFT TRANSPORTATION 10/15/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 770 16WC 25724 REED, CORTISIA AMERICAN ELECTRIC 06/23/16 GIACOBBE, THOMAS M 771 16WC 25729 RIVERA, ESTEVAN D.T. CHICAGOLAND EXPRESS 01/09/15 BOGUSZ & BOGUSZ LTD 772 16WC 25783 PHAN, THEIN ACLARA 08/04/16 LIPKIN & HIGGINS LAW OFFIC 773 16WC 25803 SILVA, JORGE R & M TRUCKING 08/02/16 JOHN C SERKLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 774 16WC 25823 SMITH, FATINA S ROSS DRESS FOR LESS, INC 07/25/16 SALK, STEVEN B & ASSOC LTD NOBLE & ASSOCIATES PC 775 16WC 25895 ZAWISZA, KEVIN HOME DEPOT 02/17/16 LEONARD LAW GROUP LLC 776 16WC 25932 THOMPSON, SHELLIE J. CREW GROUP, INC. 05/23/15 ANGELINI & ORI LLC GILDEA & COGHLAN 777 16WC 26002 WHITE, CHARLES LAKEVIEW BUS CO 01/11/16 GAROFALO SCHREIBER STORM RIPES NELSON BAGGOT KALOBRAT 778 16WC 26061 GAITER, YVETTE UPS 06/22/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 779 16WC 26084 OTERO, RICARDO F.H. PASCHEN, INC 10/06/15 OSVALDO RODRIGUEZ PC 780 16WC 26115 GUZMAN, CARLOS SIPI METALS CORPORATION 08/11/16 CHEPOV & SCOTT LLC MC ANDREWS & NORGLE LLC 781 16WC 26130 MAMPE, EDWIN J VILLAGE OF ARLINGTON HEIG 08/02/14 CORNFIELD & FELDMAN MACIOROWSKI SACKMANN & ULRIC 782 16WC 26158 GIRDLER, RICHARD L ACH FOOD COMPANIES, INC 08/01/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 783 16WC 26169 ANDRADE, TERESA OSS SERVICES LLC 06/25/16 COSTA IVONE LLC 784 16WC 26197 BUSTAMANTE, CINTHYA THE EGG & I 06/22/16 BIZZIERI LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 785 16WC 26247 JARAMILLO, SOCORRO AS WID THE ACACIA ASSOCIATION # 05/05/16 PORRO NIERMANN & PETERSEN THOMAS & PORTELA 786 16WC 26277 MENDOZA, FERMIN A LUSTER PRODUCTS 07/27/16 STEVEN J MALMAN & ASSOCIAT HOLECEK & ASSOCIATES 787 16WC 26303 WIGITON, DEBRA SOUTHWEST AIRLINES CO 07/02/16 PATRICOSKI, MARK G HENNESSY & ROACH PC 788 16WC 26392 CUSACK, PATRICIA CITY OF CHICAGO 03/09/16 HEALY SCANLON LAW FIRM 789 16WC 26457 ROGERS, RAYMOND JR CITY OF CHICAGO 06/07/16 BERG & BERG CITY OF CHICAGO 790 16WC 26511 DAVIS, PHILLIP SWISSPORT USA, INC 08/11/16 ANKIN LAW OFFICE 791 16WC 26537 AROSENA, CARMEN Y THE ALLERTON HOTEL 06/30/16 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 792 16WC 26565 PATRON, PEDRO RE BURKE ROOFING CO 09/14/15 LAW OFFICE HUGO ORTIZ LAW OFFICES OF EDWARD J. KOZ 793 16WC 26609 LEVINE, KATHERINE COOK COUNTY 01/10/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 794 16WC 26726 WALL, CASEY VILLAGE OF ORLAND PARK 08/18/16 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 795 16WC 26799 RESENDEZ, HUMBERTO ACQUA CORPORATION 07/08/16 BUDIN LAW OFFICES 796 16WC 26867 GIANARES, ANDREW SOUTHWEST COOK COUNTY COO 07/21/16 HORWITZ HORWITZ & ASSOC 797 16WC 26915 RIVERA, ARMANDO CITY OF BERWYN (POLICE) 05/15/16 CHRISTINE F DAVID 798 16WC 27087 GUERRERO, MAURO BESTCO AIR INC 06/11/16 DISPARTI LAW GROUP PA WOLFE & JACOBSON, LTD 799 16WC 27148 ROBERSON, ROBIN CDT 08/22/16 COSTA IVONE LLC 800 16WC 27311 DUSZYNSKI, THOMAS DEPAUL UNIVERSITY 08/03/15 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 801 16WC 27357 GUTIERREZ, JANET UNIVERSITY OF IL HOSPITAL 07/17/16 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 802 16WC 27446 BRANCH, PATRICK ED MINIAT 07/06/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 803 16WC 27469 ROBINSON, TYLER KMART 08/12/16 COHN LAMBERT RYAN & SCHNEI 804 16WC 27522 SANDOVAL, ALFREDO CONGLOBAL INDUSTRIES, INC 03/22/16 SHEA LAW GROUP 805 16WC 27581 BARGAS, PAUL GRACE DAVISON 06/14/16 MICHAEL A. HIGGINS HENNESSY & ROACH PC 806 16WC 27699 SADLER, MARYELLEN AMERICAN AIRLINES 07/12/16 STRELLIS & FIELD CTD 807 16WC 33939 WILLIAMS, OCTAVIA FEDERAL EXPRESS * 10/27/16 WILLIAM MARTAY 808 16WC 33979 LACH, ERIC FEDEX * 10/11/16 O'CONNOR & NAKOS 809 16WC 34087 WILLIAMS, ANTHONY CHICAGO PUBLIC SCHOOLS * 10/27/16 SKLARE LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 810 16WC 34121 WATSON, EL'ZA EXPRESS EMPLOYMENT * 08/19/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 811 16WC 34146 LOME, ROSA A SURE-STAFF * 10/19/16 STEVEN J MALMAN & ASSOCIAT 812 16WC 34151 TOLBERT, QUINCY M OJKAV, INC * 11/02/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 813 16WC 34173 HODGES, MELVINA UBER * 11/02/16 DWORKIN AND MACIARIELLO 814 16WC 34205 HARRIS, SHEMETRIC CTA * 11/03/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 815 16WC 34247 LAPINARD, BERNARD MALIBU EAST CONDOMINIUMS * 11/22/15 STEPHEN G PINTO LTD 816 16WC 34279 MEEKS, BERNARD CITY OF CHICAGO * 10/19/15 GOLDBERG WEISMAN & CAIRO L 817 16WC 34312 JOHNSON, KRISTIN UNITED AIRLINES INC. * 03/13/16 BRIAN J MC MANUS & ASSOC, 818 16WC 34332 BOJKO, MARK BONDED FILTER CO * 08/18/16 JOHN E LUSAK LAW OFFICES JOSEPH MARCINIAK 819 16WC 34350 WIRTH, GERHARD UNITED AIRLINES INC. * 05/12/16 GORDON LAW OFFICES LTD 820 16WC 34373 RIVERA, EDWIN MANOR CARE HEALTH SERVICE * 08/06/16 LAW OFFICES ROBERT WARSASK 821 16WC 34399 MILKE, GREGORY C KIK CORPORATION D/B/A * 08/11/16 KROL BONGIORNO & GIVEN LTD 822 16WC 34428 SANTOS, MAURA SONESTA HOTEL * 10/19/16 HERRERA LAW CENTER 823 16WC 34497 NIEVES, ENRIQUE COOK COUNTY * 09/08/15 RIDGE & DOWNES 824 16WC 34518 BARAN, ANITA HARVARD MAINTENCE INC * 10/17/16 KALOGERAKOS & ASSOC 825 16WC 34546 AGUILAR, RAYMUNDO KEMCO TRUCKING INC * 11/30/15 NYHAN BAMBRICK KINZIE & LOWR 826 16WC 34573 DEL VALLE, RICHARD COOK COUNTY SHERIFF DEPAR * 10/21/16 KROL BONGIORNO & GIVEN LTD 827 16WC 34612 SALDIVAR, MARCO CITY WIDE DISPOSAL * 08/05/15 PAUL LUKA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 828 16WC 34649 MCGREW, KEITH SR. OM STAFFING INC. D/B/A EX * 09/15/16 ANKIN LAW OFFICE 829 16WC 34682 KENNEDY, EDDIE WOLVERINE WIRELESS * 11/14/16 DWORKIN AND MACIARIELLO 830 16WC 34705 MASTERSON, MICHELLE UNITED AIRLINES * 11/05/16 KATZ FRIEDMAN EAGLE ET AL 831 16WC 34742 BULTHUIS, RANDALL S ELECTRIC ONE * 10/27/16 WHITESIDE & GOLDBERG LTD 832 16WC 34764 BRECLAW, BRIAN UNITED PARCEL SERVICE * 06/22/16 GERALD W KOREY NYHAN BAMBRICK KINZIE & LOWR 833 16WC 34782 CORTEZ, RUBEN CNC LAWN CARE INC * 04/11/16 CHEPOV & SCOTT LLC WOLF LAW LTD 834 16WC 34800 AGBOHLAH, DANIEL AMERICAN AIRLINES/ENVOY * 10/25/15 LAW OFFICE OF SCOTT B SHAP 835 16WC 34843 PEREZ, ERIKA FRESH EXPRESS * 03/11/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 836 16WC 34863 GOEPPNER, DANIEL P RG CONSTRUCTION SERVICES * 07/20/16 RICHARD E ALEKSY MACIOROWSKI SACKMANN & ULRIC 837 16WC 34890 SANTIAGO, FLORANTE SEAFOOD CITY * 09/15/16 LAW OFFICE RYAN ROSENTHAL 838 16WC 34912 QUINONEZ, JUAN AMERICAN AIRLINES/AMR COR * 01/05/16 SEIDMAN MARGULIS & FAIRMAN 839 16WC 34926 PIZARRO, ADAN CHARTER STEEL TRADING CO. * 10/31/16 COSTA IVONE LLC 840 16WC 34972 VICKREY, TIMOTHY UNITED AIRLINES * 09/30/16 SAUNDERS CONDON & KENNY 841 16WC 34992 NORWOOD, LEON COOK COUNTY HIGHWAY DEPT * 09/06/16 VRDOLYAK LAW GROUP LLC 842 16WC 35004 MIRELES, SERGIO QUALITY EXCAVATION INC * 07/18/16 LAW OFFICES LEONARDO MORAL COZZI & GOGGIN-WARD 843 16WC 35023 GRANVILLE, JOHN O'LEARY'S CONTRACTORS * 02/25/16 WOLFE & JACOBSON, LTD 844 16WC 35088 SANCHEZ, DANIEL ROCK BOTTOM * 11/05/16 JOHN S. ELIASIK MEACHUM & STARCK 845 16WC 35094 GONZALEZ, FRANCISCO SUPERIOR STAFFING * 10/08/16 DECARLO LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 846 16WC 35137 TAMAYO, JUICE JUICE TYME * 12/23/13 LAW OFFICE HUGO ORTIZ 847 16WC 35157 MCDONAGH, KEVIN G VILLAGE OF ARLINGTON HEIG * 11/13/13 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 848 16WC 35198 RUIZ, CARLOS ACME TRANSPORTATION CO * 08/25/16 LIPKIN & HIGGINS LAW OFFIC 849 16WC 35226 SCHULTZ, ROBERT A COOK COUNTY SHERIFF'S DEP * 11/07/16 ANKIN LAW OFFICE 850 16WC 35248 DE FILIPPO, BARBARA PROVIDENCE HOME HEALTH * 03/24/16 LAW OFFICES OF PHILLIP FAR 851 16WC 35298 PELLICANO, ANTHONY JEWEL FOODS STORES * 07/06/16 RODDY LAW LTD 852 16WC 35315 GRAHAM, MAHLIKE FIVE STAR, LLC * 09/13/16 HORWITZ HORWITZ & ASSOC 853 16WC 35366 TATARA, KRYSTYNA CENTRAL STATE JOINT BOARD * 08/11/14 PARAD LAW OFFICES PC 854 16WC 35405 HERNANDEZ, ERI BED BATH & BEYOND * 10/24/16 LAW OFFICES LEONARDO MORAL 855 16WC 35523 THOMAS, ALAN J NELSEN STEEL & WIRE * 10/25/16 ANKIN LAW OFFICE 856 16WC 35541 MATIJASEVIC, MARY ST ALEXIUS MEDICAL * 08/12/16 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 857 16WC 35598 DIXON, GLORIA D VILLA AT WINDSOR PARK NUR * 11/09/16 THE ROMAKER LAW FIRM 858 16WC 35634 LUCCHESI, CHERYL TRADER JOES * 11/20/15 COVEN LAW GROUP 859 16WC 35666 HARRIS, CAROLYN COUNTRY CLUB HILLS POLICE * 11/14/16 SKLARE LAW GROUP KEEFE CAMPBELL & ASSOC LLC 860 16WC 35677 SIWAK, ANN M GUSTAVE A LARSON CO * 08/22/16 861 16WC 35710 PRICE, LORE CICERO DIST 99 BOARD OF E * 12/09/13 DAVID SZCZECIN & ASSOC 862 16WC 35731 CARROLL, MARGARET E COOK COUNTY SHERIFF'S OFF * 06/08/16 CRONIN & PETERS 863 16WC 35774 LATIMER, SHARON WALGREENS * 11/01/14 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 864 16WC 35807 WASEWICZ, JOZEF PRIME TIME WINDOW CLEANIN * 11/04/16 865 16WC 35870 WHITE, DESMOND UNITED AIRLINES, INC * 12/25/15 WIEDNER & MCAULIFFE LTD 866 16WC 35898 AMANCHA, HERNAN AT&T * 09/23/16 ELFENBAUM EVERS & AMARILIO 867 16WC 35960 MORELOS, RODOLFO AREA DISPOSAL INC D/B/A * 11/19/16 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 868 16WC 35976 MOLINI, JOE VILLAGE OF ROSEMONT * 08/23/14 869 16WC 35990 AGYEMAN, ELVIS HYATT REGENCY * 06/03/15 DAVID W MARTAY 870 16WC 36016 PINEDA, SUSAN COOK COUNTY JUVENILE * 10/31/16 LANNON LANNON & BARR LTD 871 16WC 36040 VALDEZ, JUAN COMCAST * 05/28/15 GREGORIO & MARCO 872 16WC 36070 MIRAMONTES, MARIA CONCORDIA UNIVERSITY * 05/05/16 WOODRUFF & JOHNSON 873 16WC 36089 CONTRERAS, JIMMY UPS FREIGHT * 10/13/16 STEPHAN L. HOFFMAN 874 16WC 36123 ESTRADA, AGUSTIN PARAMOUNT STAFFING * 02/16/16 STEPHEN G PINTO LTD 875 16WC 36146 BROWN JR., EMMITTE CHICAGO TRANSIT AUTHORITY * 11/18/16 PETER D CORTI LAW GROUP 876 16WC 36164 GARLAND, TIKORI TEMPS NOW EMPLOYMENT & * 11/14/16 ANKIN LAW OFFICE 877 16WC 36181 ZARATE, HUGO NORTH SHORE REHABS LLC * 09/21/16 COSTA IVONE LLC 878 16WC 36242 PINEIRO, AARON BXA CONSULTING, LLC * 09/23/16 LAW OFFICES MICHAEL G. MIL 879 16WC 36280 PITTMAN, BEVERLY SHERIDAN SHORES * 08/15/16 JOHN E LUSAK 880 16WC 36324 DE BUHR, KIMBERLYN AVISON YOUNG * 05/16/16 CORBOY & DEMETRIO PC CORBOY & DEMETRIO PC 881 16WC 36344 POPOCA, OCTAVLO EMPLOYER SOLUTION STAFFIN * 10/07/16 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 882 16WC 36346 SUEVEL, ERIC B CITY OF DES PLAINES * 11/02/16 THOMAS W DUDA 883 16WC 36366 KOLASKI, MICHAEL PETE'S PERFECTION PLUS * 10/21/16 MARTIN L GLINK LAW OFFICE 884 16WC 36392 ENDERS, STEVEN GOLDEN STATE ENTERPRISES * 03/16/16 HOLECEK & ASSOCIATES 885 16WC 36435 GOODLOE, EDWARD E PEOPLE GAS LIGHT & COKE * 10/13/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 886 16WC 36454 FARAG, RONALD COOK COUNTY SHERIFF * 11/07/16 THERMAN LAW OFFICES 887 16WC 36513 MARTENS, ELENA UNITED AIRLINES * 05/10/15 CORNFIELD & FELDMAN 888 16WC 36551 ROONGSAWANG, VARISA THAI TIMES RESTAURANT * 02/08/16 FINE, MARK S LAW OFFICES 889 16WC 36585 HARRIS, TIENEH HYATT REGENCY MCCORMICK P * 10/18/16 COHN LAMBERT RYAN & SCHNEI 890 16WC 36603 QUAM, DAREN PRECISION PIPELINE, LLC * 11/21/16 NILSON STOOKAL GLEASON CAP 891 16WC 36647 BOGAN, SIA CTA * 11/25/16 SKLARE LAW GROUP 892 16WC 36689 QUARLES, SHERESE MISERICORDIA HOME * 11/26/16 DWORKIN AND MACIARIELLO 893 16WC 36718 WITHERSPOON, KYRISSA COOK COUNTY JUVENILE DET * 11/05/16 RITTENBERG & BUFFEN 894 16WC 36727 MACIEL, JOANN UPS FREIGHT * 09/27/16 GALLAGHER, DONALD V 895 16WC 36742 THOMAS, CHARLES GREEN DOLPHIN INC/ * 10/23/16 KOFOED, RUSSEL M 896 16WC 36794 STEPHENS, EVADNEY RUSH UNIVERSITY MEDICAL C * 11/12/16 STEVEN J TENZER, LTD 897 16WC 36813 KING, MICHAEL CITY OF CHICAGO * 11/04/16 KROL BONGIORNO & GIVEN LTD 898 16WC 36832 NOWICKI, EVA WATER TOWER NURSING & HOM * 11/24/16 ANKIN LAW OFFICE 899 16WC 36867 MOLENKAMP, MICHAEL NLES, INC * 01/07/14 DOHERTY & PROGAR LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 900 16WC 36903 BROOKS, ROBERT PACIFIC RAIL SVCS * 11/16/16 LEONARD LAW GROUP LLC 901 16WC 36997 GARCIA JR., GUADALUPE GRECO & SONS INC * 11/30/16 THE ROMAKER LAW FIRM 902 16WC 37016 GERRING, MICHAEL CHRIST TEMPLE BAPTIST CHU * 11/10/13 DWORKIN AND MACIARIELLO 903 16WC 37065 CARTHANS, LYSANDRA VARA GROUP, INC * 08/09/16 KUMLIN & FROMM 904 16WC 37135 DRIVER, AARON S IL DEPTMENT OF HUMAN SERV * 02/16/16 CHEPOV & SCOTT LLC 905 16WC 37165 BOERMA, KEVIN INTERNATIONAL DECORATORS, * 01/16/15 CUTLER & SILVERGLADE 906 16WC 37212 BRITO, JOSE BIGANE PAVING CO * 05/16/16 LAW OFFICES OF EDWARD J. KOZ 907 16WC 37239 MARTINEZ, VERONICA CARAUSTAR CUSTOM PACKAGIN * 09/28/16 DEPAOLO ZADEIKIS GORE 908 16WC 37254 VELASQUEZ, CARLOS G UIC POLICE DEPT * 06/30/15 O'CONNOR & NAKOS 909 16WC 37295 FLORES, ROBERT J AT&T INC * 08/10/16 ELFENBAUM EVERS & AMARILIO