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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 09WC 02999 MILLS, SHARON ARAMARK 01/15/09 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 14 09WC 04287 MEDINA, LUIS FREEDMAN SEATING CO 03/27/08 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 09WC026831 -C 15 09WC 08426 MELENDEZ, JESSE CITY OF CHICAGO 10/14/08 RONALDSON & KUCHLER CITY OF CHICAGO 13WC029416 -C 16 09WC 30991 HAMMONS, THOMAS SAIA MOTOR FREIGHT 08/20/08 KENNETH B GORE, LTD CHILTON YAMBERT PORTER LLP 17 09WC 32342 FLORES, DIANA M SWEDISH COVENANT HOSPITAL 05/31/09 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 09WC038989 -C 18 09WC 46103 CHANEY, AARON AT & T 06/22/09 CULLEN, HASKINS, NICHOLSON HENNESSY & ROACH PC 10WC017120 -C AT&T 12WC022137 -C 19 09WC 48164 IPPOLITO, DEBRA COSTCO WHOLESALE 01/01/09 EMPLOYEE LEGAL SERVICES LT GANAN & SHAPIRO 10WC001859 -C 20 09WC 49738 SANCHEZ, EDUARDO LATINO MEAT & PRODUCE W 11/23/09 EPSTEIN, JACK R LAW OFFICE 21 10WC 05662 TURNER, FREDERICK CTA 12/30/09 SPENCER LAW OFFICES CHICAGO TRANSIT AUTHORITY 22 10WC 07499 PHILPOT, KENNETH CHICAGO BOARD OF EDUCATIO 09/24/09 ELFENBAUM EVERS & AMARILIO LEAHY EISENBERG & FRAENKEL 23 10WC 08868 WILSON, LINDA SOLO CUP CO 11/28/09 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 11WC042679 -C 24 10WC 10943 HERNANDEZ, NORA M ILLINOIS DEPT OF TANSPORT @ 10/07/09 BRILL & FISHEL ASSISTANT ATTORNEY GENERAL 25 10WC 11332 HERNANDEZ, JESUS PEXCO & PRIME STAFFING IN 02/26/10 EPSTEIN, JACK R LAW OFFICE 26 10WC 18988 CARR, RALPH CENTRAL STEEL & WIRE 04/23/10 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 11WC 29654 KIDD, LORRETTA ILLINOIS ENVIRONMENTAL @ 07/26/11 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 42 11WC 36572 TIERNEY, DEBRA A CITY OF CHICAGO 05/11/11 HEALY LAW FIRM CITY OF CHICAGO 14WC008084 -C 43 11WC 43125 HANEBERG, JOHN JOHN HANEBERG MASONRY & 07/01/09 MARSZALEK AND MARSZALEK RUSIN & MACIOROWSKI LTD 44 11WC 47027 MACK, NORA PRO SOURCE DBA GLENCOE 05/06/10 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 45 11WC 47765 19B LIGUE, DONALD J JERNBERG INDUSTRIES INC/ 08/13/11 RUBIN LAW GROUP HOLECEK & ASSOCIATES 13WC041767 -C 13WC042163 -C 14WC029807 -C 15WC010354 -C 46 12WC 07792 ROQUE, RONALD A BLOOMINGDALE'S HOME SERVI 12/08/10 DWORKIN AND MACIARIELLO ROBERT L. SMITH 47 12WC 07853 SLEDGE, PAULA PUBLIC BLDG COMMISSION 07/28/11 BOWMAN & CORDAY LAW OFFICES JOSEPH MARCINIAK 48 12WC 14890 PERRY, RAYMONA CITY OF CHICAGO 11/04/11 COVEN LAW GROUP CITY OF CHICAGO 18WC026443 -C 49 12WC 17659 HILLBERG, KAREN CHICAGO BOARD OF EDUCATIO 01/25/12 DAVID W MARTAY LAW DEPARTMENT 50 12WC 19016 SLOWIK, LISA KIDDIE ACADEMY OF STREAMW 04/11/12 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 51 12WC 25900 19B MALDONADO, NITZIE DOLLAR TREE STORES INC 09/21/10 GOLDBERG WEISMAN & CAIRO L ROBERT J COZZI 210 11WC028533 -C 52 12WC 28396 MUNOZ, JORGE HOULIHAN'S RESTAURANT 12/11/11 PORRO NIERMANN LAW GROUP GALLIANNI DOELL & COZZI LTD 53 12WC 28592 GONZALES, RUBEN SUPERMERCADO EL GUERO 07/06/12 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 54 12WC 28895 ALEXANDER, TYRONE UNITED AIRLINES INC. 07/26/12 STEVEN J SEIDMAN LAW OFFIC WIEDNER & MCAULIFFE LTD 17WC001016 -C 55 12WC 41944 PLOSHAY, PAMELA MIDTOWN ATHLETIC CLUB 10/29/12 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 56 13WC 01189 JONES, CALVIN CHICAGO TRANSIT AUTHORITY 05/21/12 MARVIN A BRUSTIN LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 13WC 02881 WOODS, BEATRICE ILLINOIS DEPT OF HUMAN SE @ 10/09/12 BRILL & FISHEL MATTHEW LICAVOLI 58 13WC 04958 WHITE, SUSAN FRESENIUS MEDICAL CARE 06/29/12 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 59 13WC 05227 BAHENA, RAMIRO HONDO RANCH INC. 02/09/12 JONATHAN SCHLACK 60 13WC 06154 MONTILLA, JULIO CITY OF CHICAGO 12/20/12 KARCHMAR & STONE CITY OF CHICAGO 61 13WC 06524 RAMIREZ, MARIA ELITE STAFFING INC 02/19/13 CULLEN HASKINS NICHOLSON GOLDBERG SEGALLA LLC 13WC008548 -C 62 13WC 06740 MUSCARI, MARY JANE ILLINOIS STATE BOARD 02/14/13 CORTI ALEKSY & CASTANEDA ASSISTANT ATTORNEY GENERAL 63 13WC 07227 FERRERA, SANDRA WALGREENS 02/01/12 ANKIN LAW OFFICE GILDEA & COGHLAN 13WC007228 -C 14WC015470 -C 64 13WC 07608 SANCHEZ, CARLOS P BDK QUALITY SERVICES 07/10/12 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 65 13WC 07622 DILLARD, HINTON CTA 12/11/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 66 13WC 09786 GARCIA, MIQUEL PEPE'S MEXICAN RESTAURANT 07/31/12 SVENSON LAW OFFICES RUSIN & MACIOROWSKI LTD 67 13WC 13811 RANGEL, MARIA DEBBIE'S CUSTOMIZED STAFF 10/06/12 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 68 13WC 15462 STINSON, PATRICK THE UNIVERSITY OF CHICAGO 03/14/13 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 69 13WC 15622 MORA, APRIL L SMG & MC CORMICK PL 02/21/13 RUBIN LAW GROUP KRAKER FANNING & OLSEN 70 13WC 17619 BURGE, RONNIE VILLAGE OF DOLTON 05/08/13 STROM & ASSOC RUSIN & MACIOROWSKI LTD 15WC017430 -C 71 13WC 17819 RODRIGUEZ, MILAGROS IL DEPT OF 03/29/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 13WC017820 -C 72 13WC 18907 HALL, ESSIE STATE OF ILLINOIS @ 01/31/13 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 73 13WC 22816 MAYERAK, JEREMIAH EXPERIMENTAL SYSTEM 04/11/13 RUBIN LAW GROUP KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 74 13WC 23563 CRAWFORD, CHERYLE L BROWN CHICAGO TRANSIT AUTHORITY 02/01/13 STEVEN J SEIDMAN LAW OFFIC CHICAGO TRANSIT AUTHORITY 75 13WC 27885 VERA, ELIZABETH CHICAGO BOARD OF EDUCATIO 05/07/13 ROMANEK & ROMANEK LAW DEPARTMENT 15WC001634 -C 76 13WC 27908 HARDAWAY, SHAUN FORD MOTOR CO ASSEMBLY PL 05/15/13 JASINSKI, GEORGE J WIEDNER & MCAULIFFE LTD 13WC027909 -C 16WC015183 -C 77 13WC 28147 GONZALEZ, JUAN J GUERRERO TRUCKING AND 07/13/13 KARNO, MARK L & ASSOC 78 13WC 28378 KRAUSE, THOMAS TOYS R' US 07/27/13 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 79 13WC 28614 CARBAJAL, SANDRA CITY OF CHICAGO/OEMC 12/01/10 DEUTSCHMAN, JEFFREY S CITY OF CHICAGO 80 13WC 29045 HERNANDEZ, SHIRLEY A LOYOLA UNIVERSITY 07/27/13 RIDGE & DOWNES LORENZ & BERGIN PC 81 13WC 29147 FRANCISCO, ROCIO SUPERIOR STAFFING 08/15/13 CULLEN HASKINS NICHOLSON 82 13WC 33559 19B TOLEDO, SOFIA ARAMARK 09/27/13 COHN LAMBERT RYAN & SCHNEI INMAN & FITZGIBBONS 16WC007278 -C 83 13WC 38778 SIMPSON, LARRY T ABF SYSTEMS 09/15/13 SPIROS LAW, PC KEEFE CAMPBELL & ASSOC LLC 84 13WC 39860 BRANCH, RICK WAGGONERS TRUCKING 10/23/12 SAUNDERS CONDON & KENNY ALLEN & NEWMAN 85 13WC 39876 WHITLOCK, LYNN WILLIAM LEA 02/09/09 RUBIN LAW GROUP 86 13WC 40074 STINSON, SHANNON PARK LAWN 10/28/13 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 87 14WC 00279 ROZELLE, PHILLIP CITY OF CHICAGO 12/21/13 MINKOW DOMIN CITY OF CHICAGO 88 14WC 02118 PACHECO, AMANDA FEDERAL-MOGUL CORP 12/10/13 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 89 14WC 03865 KERN, ALEXIA UNITED AIRLINES INC. 07/17/08 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 90 14WC 04287 PATTERSON, SAMUEL CITY OF HARVEY 10/30/13 ROBIN LAW OFFICE SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 14WC 04396 CORRIGAN, VICTORIA L ALLIANCE REHAB 07/08/13 CRONIN & PETERS WOLF LAW LTD 92 14WC 04535 JAROCKA, ANETA HOME DELIGHT 11/18/13 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 93 14WC 05181 HUMMEL, CLARANCE D COOK COUNTY SHERIFF DEPT 01/16/14 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN 94 14WC 05560 ARCOS, ONOFRE CENVEO INCORPORATED 01/23/14 STEVEN A CRIFASE, LTD NOBLE & ASSOCIATES PC 95 14WC 06147 PEARS, ROBERT A THERMO FISHER SCIENTIFIC 02/22/11 CZAPLA LAW KEEFE CAMPBELL & ASSOC LLC 96 14WC 06210 FLOSMAN, BLANCHE CHICAGO BOARD OF EDUCATIO 05/16/13 POLTROCK & POLTROCK 97 14WC 06354 GARCIA, VICTORIA ARAMARK 02/02/14 EPSTEIN, JACK R LAW OFFICE STONE & JOHNSON CHARTERED 98 14WC 06994 KILBURG, JOYCE ST OF IL, ILLINOIS FILM O @ 10/06/09 BLEAKNEY & TROIANI COLIN KICKLIGHTER 99 14WC 07059 SODERLUND, RICHARD NEAL'S TRANSPORTATION @ 12/16/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 100 14WC 07233 MONTALVO, ANTONIO FLEXIBLE STAFFING 04/12/13 HORWITZ HORWITZ & ASSOC GRANT & FANNING 101 14WC 07518 ZAMORA, SAUL VALENZANO BAKING CO 02/03/14 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 14WC013001 -C IL MULINO DI VALENZANO BAK 102 14WC 13239 KHAN, PERVEZ S014751OUSINE SERVICE INC 02/17/14 ILLINOIS INJURY LAWYERS LAW OFFICES DEBORAH SCHAEFER 103 14WC 16884 JORDAN, TROY T SR STATE OF IL DEPT OF @ 05/09/14 SALVATO & O'TOOLE COLIN KICKLIGHTER 104 14WC 16932 LAURA, SONIA CHICAGO PUBLIC SCHOOLS 05/09/14 COSTA IVONE LLC CHGO BOARD OF EDUCATION 105 14WC 17073 SEGURA, MANUEL JUAN ARRO CORPORATION 11/18/13 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 106 14WC 17088 REYES, JOSE TAQUERIA LOS GALLOS #3 10/23/11 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 107 14WC 17856 MARTINEZ, AMY (MOTHER & B PTC ALLIANCE # 05/19/14 LAW OFFICES CORTI & ALEKSY HOLECEK & ASSOCIATES 108 14WC 18441 WILKINS, KRISTOPHER ILL DEPT TRANSPORTATION @ 04/25/14 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 109 14WC 21988 GERALD, FRANK CTA 10/15/13 MEYERS & FLOWERS CHICAGO TRANSIT AUTHORITY 110 14WC 27247 LOVELY, ALVIN VOITH INDUSTRIAL SERVICES 05/05/14 THOMAS R LICHTEN WOLFE & JACOBSON, LTD 111 14WC 27283 GRAFT, LINDA CNA INSURANCE COMPANY 09/30/13 MARK SCHAFFNER BRADY CONNOLLY & MASUDA PC 112 14WC 27307 RUSSO, JOE CITY OF CHICAGO/FINANCE 07/01/14 PATRICIA HARDIMAN LAW OFFI 113 14WC 27996 ZEPEDA, CESAR JR TOWN OF CICERO 08/02/14 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 114 14WC 28016 SALDANA, MELISSA ST OF IL - IDOT 01/21/14 DAN COLLINS LAW FIRM JILL OTTE 115 14WC 28514 ROVY, ROBERT METROPOLITAN WATER RECLAM 03/11/14 JOHN E LUSAK 116 14WC 28584 KEANE, STEPHEN IL DEPT OF TRANSPORTATION 07/14/14 LAW OFFICE OF SCOTT B SHAP COLIN KICKLIGHTER 117 14WC 29116 GONZALEZ, WALTER GREEN MONKEY 08/21/14 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 118 14WC 29365 CUMMINS, PETER ADDISON CONSTRUCTION & @ W 08/18/14 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM 119 14WC 29998 BENITEZ, MOISES UNITED SCRAP METAL 04/15/14 EPSTEIN, JACK R LAW OFFICE WOLF LAW LTD 120 14WC 30218 HALL, TRAVIS WHOLE FOODS MARKET 01/25/14 RONALDSON & KUCHLER GILDEA & COGHLAN 121 14WC 31674 MC CLINTON, ANTONIO ALTERNATIVE STAFFING INC 09/16/14 DEPAOLO & ZADEIKIS MACIOROWSKI SACKMANN & ULRIC 122 14WC 33231 DARDANES, JOHN W CTA 09/15/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 123 14WC 36911 19B REYNOSO, PEDRO CITY OF CHICAGO 10/08/14 RUBIN LAW GROUP CITY OF CHICAGO 124 14WC 37197 BONILLA, CYBRINA CITY OF CHICAGO POLICE DE 09/02/14 LAW OFFICE OF KEVIN O'BRIE CITY OF CHICAGO 125 14WC 38041 GUAMAN, FREDY AMULET CONSTRUCTION COMPA 10/27/14 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 126 14WC 38160 SMITH, BERTHA JP MORGAN CHASE 10/02/12 BARRY STEWART SILVER INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 14WC 38367 LERNER, ELIZABETH CITY OF CHGO/INDEPENDENT 10/24/14 HORWITZ HORWITZ & ASSOC CITY OF CHICAGO 128 14WC 38667 RODRIGUEZ, MARTIN NORTHWEST STEEL CORP 10/03/14 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 17WC014006 -C 129 14WC 38775 PLAZA, JOSE M OAK PARK SCHOOL DISTRICT 05/20/14 VASILATOS & COTTER LLC ANCEL GLINK DIAMOND BUSH & E 130 14WC 39183 CHAUHAN, HITENDRASINH C FRESENIUS KABI USA, LLC 09/16/14 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 17WC002939 -C 131 14WC 39252 TOSCANO, MARIA CVS PHARMACY 01/01/14 BRISKMAN BRISKMAN GREENBER 132 14WC 39646 PANIAGUA, JESUS J CHICAGO TRANSIT AUTHORITY 11/06/14 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 133 14WC 39916 SPARKS, CHARLES CPS 10/09/13 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 134 14WC 40250 LIMARDO, MARTHA ST OF IL DEPT OF READ 10/11/14 LAW OFFICE OF SCOTT B SHAP COLIN KICKLIGHTER 135 14WC 40723 ARATO, JOHN GAMBINO LANDSCAPING INC @ W 07/11/14 DWORKIN AND MACIARIELLO 136 14WC 41105 ZARATE, VICTOR MANUEL TOTAL STAFFING SOLUTIONS 11/15/14 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 137 14WC 41724 COSMANO, CHRIS IBBOTSON HEATING CO 11/07/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 138 15WC 03890 MACK, SHARON COOK COUNTY SHERIFF 12/12/14 GORDON LAW OFFICES LTD STATES ATTORNEY OF COOK COUN 15WC007753 -C 139 15WC 04262 FERNANDEZ, CLARA HELP AT HOME INC 07/01/14 JONATHAN SCHLACK MEACHUM & STARCK 140 15WC 04353 REYES, FREDI ZIYAD BROTHERS IMPORTING 01/29/15 BELCHER LAW OFFICE ACCIDENT FUND HOLDINGS 141 15WC 04412 BLACKMON, SYLVIA FORD MOTOR COMPANY 10/31/14 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 142 15WC 04555 HACKER, ERIC G CITY OF CHICAGO 09/09/14 RICHARD O. GREENFIELD 143 15WC 04843 MARTINEZ, GUMERCINDO AMERICAN LABELMARK CO 01/02/15 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 144 15WC 04854 KANE, DAN FED EX FREIGHT 01/23/15 BARRY STEWART SILVER QUINTAIROS PRIETO WOOD & BOY 145 15WC 05220 MARTINEZ, NOE CHRIS'S TRANSPORT SERVICE 11/12/14 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 146 15WC 05487 BOYKIN, MARK IL DEPT OF JUVENILE JUSTI @ 09/14/14 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENERAL 15WC035818 -C 147 15WC 05643 MORENO, RAFAELA LABOR TEMPS II INC 01/05/15 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 148 15WC 05806 CLARK, VICKIE UNITED AIRLINES INC. 12/08/14 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 149 15WC 05853 NAVARRO, DELIA PURE'S FOOD SPECIALTIES I 11/24/14 RUBIN MACHADO ROSENBLUM LAW OFFICES JOSEPH MARCINIAK 150 15WC 05881 MOORE, LAURENE SALVATION ARMY 02/09/15 SALVATO & O'TOOLE RODDY LAW LTD 151 15WC 14444 INGOLD, JAMES LABOR SOLUTIONS LLC 04/09/15 SEIDMAN MARGULIS & FAIRMAN NEWLAND & NEWLAND 152 15WC 14501 ESPARZA, HORACIO CHICAGO MUSHROOM & PRODUC 04/09/15 SALVATO & O'TOOLE JOSEPH MARCINIAK 153 15WC 15483 RHYNE, CHRISTOPHER YRC INC DBA YRC FREIGHTS 12/15/14 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 154 15WC 15490 BENJAMIN, CARMENLETHA GAREDA LLC 04/21/15 VRDOLYAK LAW GROUP LLC GALLIANI DOELL & COZZI LTD 155 15WC 15585 KLEES, NICOLE GIBSONS RESTAURANT GROUP 09/25/14 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 156 15WC 15616 NOLAN, TIMOTHY J ENVOY AIR, INC 11/17/14 BAUM RUFFOLO & MARZAL LTD ROSARIO CIBELLA 157 15WC 15803 VAUGH, SHAWN FORD MOTOR COMPANY 11/17/14 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 158 15WC 16222 CALDWELL, KIM WAL MART 07/26/14 FOHRMAN, DONALD W & ASSOCS 159 15WC 16461 TERAN, SYLVIA M PROMOTION ACTIVATORS INC 02/27/15 LAW OFFICES TIMOTHY LAMPIN 160 15WC 16540 BARAJAS, JESUS COOK COUNTY 10/15/14 RICHARD O. GREENFIELD INMAN & FITZGIBBONS 161 15WC 16873 MELESIO, SALVADOR EVER FLORA SSS 05/14/15 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 15WC 17027 JOHNSON, VINCENT RUSH UNIVERSITY 03/29/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 163 15WC 17407 SITKO, ILEANA JOHN H STROGER HOSPITAL 04/04/15 LUIS A ACEVES & ASSOC STATES ATTORNEY OF COOK COUN 164 15WC 17846 RODRIGUEZ, VICTOR AVANT GARDEN SCAPES 10/21/14 JOHN S. ELIASIK NOBLE & ASSOCIATES PC 15WC024665 -C 165 15WC 18070 BOUATI, ZOUHAIR KINZIE HOTEL D/B/A 01/02/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 166 15WC 19005 GONZALEZ, RICHARD COOK COUNTY SHERIFF DEPT 05/24/15 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 167 15WC 23787 RUFUS, MICHAEL CLEAR CHANNEL 04/14/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 168 15WC 23952 JONES, JULIANNE PRESENCE HOLY FAMILY MED 02/22/15 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 169 15WC 23979 VALENZUELA, OLGA CLEAR STAFF INC 06/26/15 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 170 15WC 24178 JONES, CANDICE CTA 08/08/15 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 171 15WC 24318 DWYER, TOM CITY OF CHGO - FLEET SERV 07/05/13 STROM, NEAL B CITY OF CHICAGO 172 15WC 24432 MC CRANEY, THOMAS REO MOVERS & VAN LINES, I 07/28/15 ROBIN LAW OFFICE 173 15WC 26016 MACK, TIFFANY FORD MOTOR CO 06/16/15 LAW OFFICE EDWARD LICHTENS WIEDNER & MCAULIFFE LTD 18WC015795 -C 174 15WC 26235 FRAMPTON, GLORIA DEPARTMENT OF HUMAN RESOU @ 01/27/15 KARCHMAR & STONE ASSISTANT ATTORNEY GENERAL 175 15WC 26497 SIWEK, LUCY PRESENCE RESSURECTION 07/04/15 RICHARD O. GREENFIELD KEEFE CAMPBELL & ASSOC LLC 176 15WC 26643 CARUSO, JEROME IL DEPT OF TRANSPORTATION @ 12/09/14 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 15WC 27313 MANTIA, MATTHEW WELSCH READY MIX 08/10/15 DAVID W MARTAY 178 15WC 27389 GLOVER, EDDIE DHL EXPRESS (USA), INC. 08/11/15 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC001608 -C 179 15WC 27402 POTURALSKI, MICHAEL LEE & ASSOCS ASSET MGMT L 03/25/15 GRAUER & KRIEGEL LLC RODDY LAW LTD 180 15WC 27669 NUNEZ, SOCORRO ELITE STAFFING INC 07/14/15 ACEVES & PEREZ PC 181 15WC 27916 FRANCESCHI, MARIA E CHICAGO PUBLIC SCHOOLS 03/11/15 BUDIN LAW OFFICES CHGO BOARD OF EDUCATION 182 15WC 28111 ANDERSON, DERRICK CITY OF CHICAGO 04/27/15 KARCHMAR & STONE CITY OF CHICAGO 183 15WC 28361 CLOUSTON, PETER J. TOMPKINS PRINTING EQUIPME 04/22/14 PARAG P. BHOSALE GANAN & SHAPIRO 15WC028362 -C 15WC028363 -C 184 15WC 28392 DAFETTA, MOSES DISPATCH AFFILIATION, INC 06/29/15 COHN LAMBERT RYAN & SCHNEI DEBORAH SCHAEFER 185 15WC 28571 ZAMORA, EVER CALUMET CARTON CO. 06/15/15 HEALY SCANLON LAW FIRM GANAN & SHAPIRO 186 15WC 32971 JOHNSON, LAMONT COOK COUNTY JUVENILE 08/13/15 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 187 15WC 33641 DEL PINO, MARIA DIVERSE FACILTY SOLUTIONS 08/27/15 ROBIN LAW OFFICE GANAN & SHAPIRO 188 15WC 34384 GOSS-SMLITH, NICOLE COOK COUNTY PUBLIC GUARDI 04/20/15 RAPAPORT, STEVEN I STATES ATTORNEY OF COOK COUN 189 15WC 35377 GARCIA, ALEJANDRO INTERNATIONAL PAPER COMPA 03/13/15 O'CONNOR & NAKOS GOLDBERG SEGALLA LLC 190 15WC 35590 ONTIVEROS, MARIA M JAMES HOTEL 11/01/12 191 15WC 36034 TERREL, ROBERT LAFRAMBOISE GROUP 10/13/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 192 15WC 36071 RYAN, TIMOTHY J DR PEPPER SNAPPLE GROUP 04/21/15 LEONARD LAW GROUP LLC SMITH AMUNDSEN LLC 16WC023819 -C 193 15WC 36119 PRESTON, JERMAINE CITY OF CHICAGO 10/23/15 KARCHMAR & STONE SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 15WC 36213 SMITH, RAHSAAN A MEYER STEEL DRUM INC 10/13/15 VASILATOS & COTTER LLC 195 15WC 36340 BROWLEY, LARRY DABECCA NATURAL FOODS 08/12/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 196 15WC 36425 SANDOVAL, NOE RG CONSTRUCTION SVCS INC 02/04/15 BRIAN T MORROW, LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 197 15WC 36486 OLVERA, JHOVANY VINTHAUS PAINTING AND W 08/28/15 O'CONNOR & NAKOS COLIN KICKLIGHTER 198 15WC 36528 HIATT, JAMES COOK COUNTY SHERIFF'S OFF 11/10/15 SANDMAN LEVY & PETRICH 199 15WC 36551 OLVERA, MARGARITO INTERNATIONAL PAPER 02/16/15 NILSON STOOKAL GLEASON CAP GOLDBERG SEGALLA LLC 200 15WC 36777 CARROLL, BENJAMIN HIRSH MANAGEMENT CO., INC 11/02/15 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 201 15WC 37022 JOYCE, CHERI IL DHS/ELIZABETH LUDEMAN @ 09/25/15 JAMES DORE STATE OF ILLINOIS 202 15WC 37079 WILL, SARINA SKY WEST 02/05/15 QUINTAIROS PRIETO WOOD & BOY 203 15WC 37162 GUERRERO, MARIA LACOSTA, INC. 05/15/15 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 17WC021539 -C LA COSTA INC 204 15WC 37355 GLORIA, JORGE DUBOIS PAVING 09/30/15 JONATHAN SCHLACK GANAN & SHAPIRO 17WC003183 -C 205 15WC 37512 FOSTON, HAROLD FORD MOTOR COMPANY 02/26/15 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 16WC015725 -C 206 15WC 37595 KROLAK, KEVIN KLOECKNER METALS CORPORAT 08/21/14 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 207 15WC 37616 SHAW-STALEY, DEBORAH JO WHOLE FOODS MARKET INC 07/20/15 CULLEN HASKINS NICHOLSON 208 15WC 37781 WALASZEK, KRZYSZTOF TOOTSIE ROLL, INC. 09/09/15 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 16WC019805 -C 209 15WC 37820 GROSS, VYN TREASYE CHICAGO BOARD OF EDUCATIO 10/20/15 GALLAGHER LAW PC 210 15WC 38035 MADISON, DARIUS FAMILY DOLLAR 11/19/14 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 15WC 38051 JARZABEK, JOHN W JARZABEK CONSTRUCTION INC 04/25/05 VITELL & SPITZ LTD 212 15WC 38151 LEWIS, DEBRA MARIANO'S RAVENSWOOD 11/15/15 MARC J SHUMAN & ASSOCIATES 213 15WC 38707 ROMAN, MARIA WEBER PRODUCTS CO 06/22/15 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 214 15WC 38902 DORSEY, ONITA CTA 11/14/15 CHICAGO TRANSIT AUTHORITY 215 15WC 39159 TURNER, RONALD FORD MOTOR COMPANY 06/29/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 216 15WC 39345 IRVIN, EDWARD CITY OF CHICAGO 05/13/15 BELCHER LAW OFFICE CITY OF CHICAGO 217 15WC 39426 JOHNSON, BRYAN CHICAGO DEPT OF FINANCE 12/02/15 GOLDBERG WEISMAN & CAIRO L 218 15WC 39563 WELLS, TRAY WELLCARE INC 01/03/13 JOSEPH L PLANERAL 219 16WC 03882 MARTINEZ, DANIEL CTA 01/11/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 220 16WC 03996 VELLA, MIKE KUJO INC 01/21/16 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 221 16WC 04016 HERNANDEZ, VIRGILIO LAKIN GENERAL CORPORATION 01/08/16 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 222 16WC 04042 ROBLES, ANN SUNRISE OF BARRINGTON 12/26/15 TARADASH LAW OFFICE NOBLE & ASSOCIATES PC 223 16WC 04156 FRANCIS, NICOLI J COUNTY OF COOK DEPT OF TR 01/11/16 RUBIN LAW GROUP STATES ATTORNEY OF COOK COUN 224 16WC 04348 CERVANTES, RAUL JB&A REMODELING LLC 01/04/16 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 225 16WC 04521 TRINIDAD, REYNALDO ELITE STAFFING 04/24/15 DEPAOLO ZADEIKIS GORE 226 16WC 04526 SANCHEZ, SHIRLEY CITY OF CHICAGO DEPARTMEN 12/03/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 227 16WC 04684 KARAS, DENISE ADVOCATE CHRIST MEDICAL C 09/19/15 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 18WC004439 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 16WC 04702 BROWN, GEORGE MACY'S 12/13/15 SEIDMAN MARGULIS & FAIRMAN ROBERT L. SMITH 229 16WC 04786 GOLUSZKA, RAYMOND J PARAMEDIC SERVICES OF 08/30/15 JOHN J CASTANEDA HENNESSY & ROACH PC 16WC004787 -C 230 16WC 04851 HUYNH, TU C.E. NIEHOFF & CO. 10/01/15 LAW OFFICE OF JAMES URTIS 231 16WC 05050 SOSA, NAOMI CITY OF CHICAGO 02/01/16 COVEN LAW GROUP HENNESSY & ROACH PC 232 16WC 05228 AVINA, ANTONIO LA GROU DISTRIBUTION SYST 06/08/15 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 233 16WC 05297 HENDERSON, CRYSTAL IDOT @ 12/24/15 THE FITZ LAW GROUP ASSISTANT ATTORNEY GENERAL 234 16WC 05309 RESA, JERRY CITY OF CHICAGO STREETS 01/11/16 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 235 16WC 05348 ISLAS, ERNEST CHICAGO TRANSIT AUTHORITY 12/29/15 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 236 16WC 05435 GONZALEZ, ANTONIO BENEDICTINE SISTERS OF CH 06/26/15 NEUSON LAW, PC 237 16WC 06267 GARCIA, ESTELA ILLINOIS TOLLWAY PLAZA 39 01/21/16 OSVALDO RODRIGUEZ PC GANAN & SHAPIRO 16WC006268 -C 238 16WC 06343 CENTANO, TRACY CITY OF CHICAGO 01/26/15 FRANCIS J DISCIPIO LAW OFF 239 16WC 06507 RICHARDSON, MORRIS SECURITAS 01/09/16 DWORKIN AND MACIARIELLO 240 16WC 06539 JOHNSON, NOLITA CTA 01/19/15 LULAY LAW OFFICES CHICAGO TRANSIT AUTHORITY 241 16WC 06635 LALANI, KARIM N K CAB CO INC. 02/14/16 FISHER & LAMONICA 242 16WC 06954 VAUGHAN, JOHN GATEWAY CONCRETE FORMING 12/10/15 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK 243 16WC 06961 RUSSELL, BROGWLEY CITY OF CHICAGO DEPT 11/24/15 DEPAOLO & ZADEIKIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 244 16WC 07183 RYCZEWK, MARTYNA MANORCARE HEALTH SERVICES 02/04/16 CHRISTOPHER BUCHCAR, LTD BRYCE DOWNEY & LENKOV LLC 245 16WC 07652 CALVACHE, JESUS PARAMOUNT STAFFING 08/22/15 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 17WC016528 -C 246 16WC 11748 ESTRADA, ENRIQUE CHICAGO TRANSIT AUTHORITY 04/04/16 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 247 16WC 13995 PETERSON, AMANDA ZIRKLE ELIZABETH LUDEMAN CENTER 08/05/15 JOHN E LUSAK ASSISTANT ATTORNEY GENERAL 248 16WC 14247 MURRAY, MATTHEW PRIORITY STAFFING, LTD 03/24/16 HENNESSY & ROACH PC 249 16WC 14267 NEWSOME, SHAWNEE SCHOOL DIST 89 12/09/15 MARK SCHAFFNER INMAN & FITZGIBBONS 250 16WC 14568 HENRY, LYDIA I CHICAGO PUBLIC SCHOOLS 03/07/16 NILSON STOOKAL GLEASON CAP 251 16WC 14691 CARLISLE, YOLANDA M. COOK COUNTY SHERIFF DEPT. 07/30/15 MINKOW DOMIN INMAN & FITZGIBBONS 252 16WC 14766 DAVIS, SHARAE KRISPY'S CHICKEN W 04/30/16 FOHRMAN, DONALD W & ASSOCS 253 16WC 14839 TORRES, RUBEN TREES OF GREEN 03/22/16 LAW OFFICE OF SCOTT B SHAP 254 16WC 14905 KHOURY, ALBERT CITY OF CHICAGO DOT 04/26/16 SANDMAN LEVY & PETRICH CITY OF CHICAGO 255 16WC 15061 MANNING, KEVIN CHICAGO BOARD OF EDUCATIO 03/26/15 GRAZIAN & VOLPE PC 256 16WC 15225 MIMS, KESHONNA SERTOMA CENTRE 03/30/16 STROM, NEAL B 257 16WC 15375 VILLEZCAS, JOSE SEAL TIGHT EXTERIORS 12/18/15 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ 258 16WC 15455 WYSONG, JOSHUA L PLASTICS COLOR CORP OF IL 05/04/16 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 259 16WC 15634 MATLACHOWSKI, JOHN VILLAGE OF BARRINGTON 04/10/16 NILSON STOOKAL GLEASON CAP ANCEL GLINK DIAMOND BUSH & E 260 16WC 15646 UTRIA, LUIS VANCE FOODS 02/01/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 261 16WC 15680 FOTOPOULOS, JAMES OZINGA READY MIX CONCRETE 08/19/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 262 16WC 15687 WILKINS, INEATHER SMITH VILLAGE 04/17/14 MICHAEL P MCCREADY & ASSOC 263 16WC 15706 ALMANZA-BORJA, FERMIN STAFF RIGHT INC. 04/26/16 SANDMAN LEVY & PETRICH MC ANDREWS & NORGLE LLC 264 16WC 15745 SANCHEZ, OSIEL MIDWEST CANVAS CORP. 11/13/14 GAROFALO SCHREIBER STORM 265 16WC 15796 DELGADO, MODESTO 2000 PLUS GROUPS, INC. 04/22/16 STROM, NEAL B 266 16WC 15981 GALLIVAN, ROBERT E COOK COUNTY 02/09/16 BUDIN LAW OFFICES STATES ATTORNEY OF COOK COUN 267 16WC 16003 UNZUETA, RAFAEL RAPID PALLETS 12/01/15 MC HARGUE & JONES THOMAS & PORTELA 268 16WC 16032 O'NEAL, ANTOINETTE CHICAGO PUBLIC SCHOOLS 05/18/16 269 16WC 16126 CLAY, DEMETRIUS JEWISH CHILDREN 04/21/16 LEE, MARK N LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 270 16WC 16202 TRIMBLE, FRANK CHICAGO PUBLIC SCHOOLS 05/12/16 HUGHES SOCOL PIERS RESNICK 271 16WC 16219 FLORES, MINERVA LIBERTY BUILDING MAINTENA 02/04/16 JONATHAN SCHLACK KEEFE CAMPBELL & ASSOC LLC 272 16WC 16347 ARROYO, IMELDA LABOR NETWORK 02/27/16 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 17WC015138 -C 273 16WC 16379 MEEKS, KIMBERLY J COOK COUNTY 05/18/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 274 16WC 16645 LONDON, SONYE CITY OF HARVEY 05/17/16 BURNES & LIBMAN SMITH AMUNDSEN LLC 275 16WC 16797 CARTER, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 05/10/16 LAW OFFICE OF KEVIN O'BRIE CHICAGO TRANSIT AUTHORITY 276 16WC 16971 HERNANDEZ, JOSEFA NATION PIZZA & FOOD 04/24/15 COSTA IVONE LLC MEACHUM & STARCK 277 16WC 17057 DEAN, GARY A. AIM LEASING COMPANY 05/11/16 ROMANUCCI & BLANDIN ALLEN & NEWMAN 278 16WC 17417 BERRIEL, NORMA UNITED AIRLINES INC. 07/25/15 KATZ FRIEDMAN EAGLE ET AL 279 16WC 17453 ABBOTT, MARK SIEVERT ELECTRIC SERVICE 11/24/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 16WC 17574 SMITH, ANDREW RIDE RIGHT LLC 04/29/16 CHARLES LEVY & ASSOC LTD RUSIN & MACIOROWSKI LTD 281 16WC 20598 CANTRELL, JAMES DHL EXPRESS INC 04/27/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 282 16WC 22549 SAUCEDA, JOSE G.A.G INDUSTRIES & FILTER 07/29/13 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 283 16WC 24360 MCDANIELS, ELIZABETH ILLINOIS CENTRAL SCHOOL B 04/28/16 KUMLIN & FROMM MACIOROWSKI SACKMANN & ULRIC 284 16WC 24711 HUDDLESTON, LLOYD ACCURATE PERSONNEL LLC 07/29/16 GRAZIAN & VOLPE PC 285 16WC 24837 FRICANO, MICHAEL COOK COUNTY 07/29/16 BERG & BERG STATES ATTORNEY OF COOK COUN 286 16WC 25076 MITCHELL, JOSHUA CITY OF CHICAGO 04/17/16 ANGELINI & ORI LLC CITY OF CHICAGO 16WC025077 -C 16WC025078 -C 287 16WC 25216 GAWLINSKI, JEFFREY REGAL STEEL 08/11/16 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 288 16WC 25321 AVILA, MARIA CHICAGO PUBLIC SCHOOLS 04/25/16 KUMLIN & FROMM 289 16WC 25435 WELLINGTON, LAWRENCE FIRST CHOICE MEDICAR 07/01/16 290 16WC 25555 GRECO, JOSEPH DRAKE HOTEL 06/06/16 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOCIATES PC 291 16WC 25575 BRIGHT, THERESA UPS 07/26/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 292 16WC 25710 RIVERA, MIGUEL CHICAGO TRANSIT AUTHORITY 08/10/16 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 293 16WC 25802 WILLIAMS, TERRY SALEM BAPTIST CHURCH W 01/22/16 HORWITZ HORWITZ & ASSOC 294 16WC 25869 DRUMMOND, PATRICIA CTA 07/14/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 295 16WC 26060 RAINEY, ALLAN J CITY OF CHICAGO 08/22/16 COVEN LAW GROUP 296 16WC 26082 VELAZQUEZ-OJEDA, MADELINE CHICAGO CLASSIC COACH LLC 08/12/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 297 16WC 26168 VARGAS, RUBEN GET FRESH PRODUCE 08/23/16 COSTA IVONE LLC CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 16WC 26276 SHELTON, GINA P COOK COUNTY, ILLINOIS 10/24/15 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 299 16WC 26390 HUCK, DANIEL VILLAGE OF WILMETTE 08/04/16 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 300 16WC 26452 WILSON, AARON LIFELINE AMBULANCE 08/03/16 DISPARTI LAW GROUP PA 301 16WC 26664 ZAMORA, JOSE METAL-MATIES INC. 04/18/16 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 302 16WC 27114 RYAN, CATHERINE CITY OF CHICAGO 05/20/16 WOODRUFF & JOHNSON 303 16WC 27308 LOPEZ, ROBERTO CARLOS GAL RAINBOW COLORS INC 08/11/16 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 304 16WC 27468 HUERTAS, JAMES E NEUMAN FAMILY SERVICES 08/22/14 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 305 16WC 27521 YOUSIF, SAMIR K AALLIED DIE CASTING COMPA 11/23/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 306 16WC 27618 RIKER, JAMES JJB STEEL INC 03/04/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 307 16WC 27637 GREEN, ERIC CITY OF CHICAGO 07/22/16 URSULA BABICZ & ASSOC 308 16WC 31332 SALAZAR, HUGO FEDEX 06/29/16 BIZZIERI LAW OFFICES 309 16WC 32451 JORDAN, TROY SR IDOT @ 08/27/16 SALVATO & O'TOOLE ASSISTANT ATTORNEY GENERAL 310 16WC 34113 ANDERSON, RONALD H ELECTRO-MOTIVE DIESEL, IN 08/12/16 CULLEN HASKINS NICHOLSON 311 16WC 34145 LOME, RAFAEL SMITH COOPER INTERNATIONA 01/04/16 JOSEPH G HAFFNER LAW OFFIC LAW OFFICES JOSEPH MARCINIAK 312 16WC 34276 ISRAEL, GINA PINE DENTAL CARE, PC 07/18/16 GOLDBERG WEISMAN & CAIRO L 313 16WC 34300 GRAY, KENNETH WATER ONE, INC 02/08/16 RIDGE & DOWNES LAW OFFICES OF EDWARD J. KOZ 314 16WC 34331 GALINDO, HECTOR PACKERS SANITATION 09/11/16 JOHN E LUSAK GANAN & SHAPIRO 315 16WC 34509 FUENTES, JUANA M LUTHERAN HOME CUMMUNITY 07/22/16 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 16WC 34781 ALUMBAUGH, JERRY L METALWORKING LUBRICANTS 02/06/15 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 317 16WC 34889 KHAN, OBAIDULLAH RHS CAB INC 10/25/16 LAW OFFICE RYAN ROSENTHAL 318 16WC 34925 RAMOS, VICTOR KVF COMPANY 11/03/16 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK 319 16WC 35003 WILLIAMS, MARY UPS 08/02/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 320 16WC 35013 GARCIA-HERNANDEZ, EDUARDO KOCH FOODS INC 09/29/16 BOWMAN & CORDAY MACIOROWSKI SACKMANN & ULRIC 321 16WC 35022 RUSSELL, ZERRIE PROVISO WEST HIGH SCHOOL 10/12/16 FRANCIS J DISCIPIO LAW OFF ANCEL GLINK DIAMOND BUSH & E 322 16WC 35136 TAMAYO, MARTHA BEVOLUTION GROUP 10/28/16 LAW OFFICE HUGO ORTIZ 323 16WC 35156 RUBIO, ERNEST CITY OF CHICAGO DEPARTMEN 10/28/16 VRDOLYAK LAW GROUP LLC 324 16WC 35223 HARRIS, ANTOINE J CITY OF CHICAGO DEPT OF 10/17/16 ANKIN LAW OFFICE CITY OF CHICAGO 325 16WC 35247 GREENSTEIN, JULIE HINA ENTERPRISES INC D/B/ 10/15/16 LAW OFFICES OF PHILLIP FAR KEEFE CAMPBELL & ASSOC LLC 326 16WC 35314 BURT, LATRICIA ELIZAETH LUDEMAN MENTAL H @ 02/15/16 HORWITZ HORWITZ & ASSOC COLIN KICKLIGHTER 327 16WC 35539 NUNO, ISIDRO COCA COLA 09/06/16 COVEN LAW GROUP 328 16WC 35772 GOMERO, MERCEDES CLEAR STAFF INC 06/17/16 LAW OFFICES OF MARK SCHAFF ACCIDENT FUND HOLDINGS 329 16WC 35954 GARZA, JOSEPH DEVON CARTAGE 10/19/16 O'CONNOR & NAKOS 330 16WC 36088 VARGAS, ROBERTO FLEXIBLE STAFFING SERVICE 10/19/16 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 331 16WC 36119 PRUCHNICKI, WESLEY 3 PHASE LINE CONSTRUCTION 11/09/16 TURCYCHUTE LLC BRYCE DOWNEY & LENKOV LLC 332 16WC 36135 MORGAN, JOHNNIE CITY OF HARVEY 11/18/16 KREITER, BYCK & ASSOC LLP SMITH AMUNDSEN LLC 333 16WC 36241 JACOBS, DYSHIKA L CHICAGO TRANSIT AUTHORITY 11/18/16 FIGLIOLI, DAVID CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 16WC 36342 RODRIGUEZ, MARGARITA CARL BUDDING & CO 10/17/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 335 16WC 36345 WALUSZKO, ALOJZY LESTER MASONRY GROUP INC 10/26/16 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 336 16WC 36390 PEDROZA, JESUS COREY STEEL 06/23/15 PARENTE & NOREM PC MEACHUM & STARCK 337 16WC 36549 MOHAMMED, MEHMOOD FLASH CAB CO 09/16/16 FINE, MARK S LAW OFFICES 338 16WC 36860 TREJO, JOSE CHICAGO AMERICAN MANUFACT 11/06/15 RUEDA, IVAN A LAWRENCE COZZI - LAW OFFICES 339 16WC 36996 SHIMANOVASKY, ROGER FEDEX EXPRESS 12/01/15 DEER & STONE PC 340 16WC 37063 MCNAIRY, AYONNA ARAMARK 09/10/16 INMAN & FITZGIBBONS 341 16WC 37440 PERVAZ, ASLAM TAXI EXPERTS 10/11/16 LAW OFFICE RYAN ROSENTHAL 342 16WC 37508 JACKSON, LISA A FRESENIUS KABI 12/01/16 SHELDON I MINKOW & ASSOCIA HOLECEK & ASSOCIATES 343 16WC 38695 STEPHENS, EDWARD J LITTLE CMPNY OF MARY HOSP 08/21/16 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 344 16WC 38729 WHITE, CASMERE CAPSTONE LOGISTICS 10/21/16 345 16WC 38844 GUZMAN, CHRISTOPHER (MINO SEQUIN OF GREATER CHICAGO # 11/12/15 COLLISON LAW OFFICES GALLIANI DOELL & COZZI LTD 346 17WC 02406 NELSON-DANLEY, CRYSTAL Y COOK DUPAGE TRANSPORT CO, 11/28/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 347 17WC 03456 FRIDAY, PAMELA ADUS HEALTH CARE 08/12/16 LEONARD LAW GROUP LLC 348 17WC 04269 ALLEN, LEON PF CHICAGO HOLDING LLC 12/08/16 RICHARD O. GREENFIELD RUSIN & MACIOROWSKI LTD 349 17WC 04292 CARBAJAL, ROY CHICAGO STREETS & SANITAT 12/19/16 WHITING LAW GROUP HENNESSY & ROACH PC 350 17WC 04482 COOK, MICHAEL RUDD CONTAINER 02/03/17 MICHAEL P MCCREADY & ASSOC 351 17WC 04506 MARTIN, RANDY BOYS & SUNS 01/13/17 KATZ FRIEDMAN EAGLE ET AL SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 17WC 04528 BUTZ, ROBERT DEBBIE'S CUSTOM STAFF INC 01/11/17 FRIEDMAN, MICHAEL T & ASSO 353 17WC 04593 HARRIS, FALLON CITY OF CHICAGO 02/07/17 MC HARGUE & JONES 354 17WC 04612 ESCOBEDO, JULIO LUPFER LANDSCAPING 11/22/16 COVEN LAW GROUP 355 17WC 04981 JAMES, LORRAINE CHICAGO TRANSIT AUTHORITY 01/29/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 356 17WC 05028 DENNIS, MARK R SOUTHWEST AIRLINES CO. 01/24/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 18WC001431 -C 357 17WC 05110 ALLEN, TRACI M CTA 02/15/17 SIGMOND, STEVEN CHICAGO TRANSIT AUTHORITY 358 17WC 05232 MORA, JOSEFINA CHICAGO MARRIOTT O'HARE 09/05/16 COSTA IVONE LLC GILDEA & COGHLAN 359 17WC 05252 HOWARD, JACOB CITY OF ARLINGTON HEIGHTS 12/31/16 FRANCIS J DISCIPIO LAW OFF MACIOROWSKI SACKMANN & ULRIC 360 17WC 05272 CLAY, JACKIE UPS 08/22/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 361 17WC 05297 ROMAN, ILUMINADA COOK COUNTY C/O 03/11/15 RAYMOND P GARZA LAW OFFICE STATES ATTORNEY OF COOK COUN 362 17WC 05366 LEE, RAYMOND HMS HOST 06/28/16 RUBIN LAW GROUP ROBERT L. SMITH 363 17WC 05392 IBANEZ, MICHELLE I HILTON WORLDWIDE INC 11/03/16 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 364 17WC 05449 CARROLL, MAUREEN P CITY OF CHICAGO 01/03/17 BARRY A KETTER 365 17WC 05536 KENNEDY, HERMAN WEATHER'S LTD DBA 02/08/17 366 17WC 05558 STAMPS, MARSHA CHICAGO PUBLIC SCHOOLS 02/08/16 DWORKIN AND MACIARIELLO LAW DEPARTMENT 367 17WC 05610 ADAMS-DEJARDIN, ROBIN AMERICAN AIRLINES 11/03/16 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 368 17WC 05762 COLON, JULIO FERRARA CANDY 02/17/17 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 369 17WC 05792 SIMMONS, MILTON FORD MOTOR COMPANY 07/01/16 COHN LAMBERT RYAN & SCHNEI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 17WC 05813 WARE, MICHELLE C LUTHERAN SOCIAL SERVICES 02/07/17 ANKIN LAW OFFICE 371 17WC 05855 BAGGETT, TECORA CHICAGO PUBLIC SCHOOLS 02/17/17 LEONARD LAW GROUP LLC 372 17WC 05951 FOURNIER, DILLON CHICAGO BLACKHAWKS 11/15/15 FLOYD LAW FIRM 373 17WC 06102 PURBALLARI, FLORIJE PROSPECT AIRPORT SERVICES 10/20/16 ROMANEK & ROMANEK 374 17WC 06115 MANASRAH, ZAHRAN YELLOW CAB AFFILIATION, I 09/04/16 HETHERINGTON KARPEL BOBBER 375 17WC 06430 LOZANO-ASCENCIO, JAVIER NEW WORLD VAN LINES 12/23/16 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 17WC007020 -C 376 17WC 06493 CORRALES, ADAN PARLOR PIZZA BAR 09/29/16 AIOSSA LAW FIRM WOLF LAW LTD 377 17WC 06816 ROBINSON, MICHELLE ST OF ILLINOIS/COURT REPO 10/27/16 EDWIN REYES LEGAL GROUP COLIN KICKLIGHTER 378 17WC 06836 PAVON, MARIA GOLD STANDARD BAKING 01/19/17 CULLEN HASKINS NICHOLSON 379 17WC 06878 CASILLAS, ROSA MSG SERVICE GROUP INC 12/14/16 HART & DAVID LLP BRYCE DOWNEY & LENKOV LLC 380 17WC 06924 DOBSON, ANNA FEDERAL EXPRESS 01/23/17 COVEN LAW GROUP ASHER, RAYMOND L LTD 381 17WC 06964 MIHAILOVICH, STEVEN METROPOLITAN STEEL 08/23/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 382 17WC 13688 KIMBROUGH, DENNIS SOUTHWEST AIRLINES 04/04/17 DAVID W MARTAY 383 17WC 13980 BURNOM, PARIS FORD MOTOR CO 05/03/17 KREITER, BYCK & ASSOC LLP 384 17WC 14004 BEDOY, MAGDALENA THE DRAKE HOTEL 04/28/17 ELFENBAUM EVERS & AMARILIO NOBLE & ASSOCIATES PC 385 17WC 14050 FELTES, JOHN THE NINE PRODUCTIONS, LLC 04/20/17 RUBIN LAW GROUP ROSARIO CIBELLA 386 17WC 14071 PRATT, FRANCES CHICAGO PUBLIC SCHOOLS 01/20/17 LEE, MARK N LAW OFFICE 387 17WC 14151 KEENE, YVETTE FORD MOTOR CO 03/15/17 KUMLIN & FROMM WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 17WC 14185 BINYAMIN, BOTRIS CE NIEHOFF & CO 03/29/17 KALOGERAKOS & ASSOC 389 17WC 14207 FITZPATRICK, PATRICK M COOK COUNTY SHERIFF'S DEP 09/14/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 390 17WC 14316 LYTLE, THOMAS JB HUNT TRANSPORT INC 01/10/17 KOSIN LAW OFFICE LTD GRANT & FANNING 391 17WC 14384 RABEL, WILLIAM M UPS - FRANKLIN PARK 05/19/15 DAVID B RABEL 392 17WC 14495 NIEMANN, GREGORY FORWARD AIR LOGISTICS 04/24/17 NEWLAND & NEWLAND HINSHAW & CULBERTSON 393 17WC 14537 WILLIAMS, JEROME LORI'S GIFTS 05/05/17 ROGER D RUDICH LTD GILDEA & COGHLAN 394 17WC 14565 LADD, OTIS ALPHA BAKING CO, INC 02/27/17 TOPPER & WEISS LTD MACIOROWSKI SACKMANN & ULRIC 395 17WC 14623 DESZEZ, PAULINA HK ENTERPRISE CORPORATION 04/14/17 GOLDBERG WEISMAN & CAIRO L 396 17WC 14717 MORENO, KARINA MIMOSA INTERIOR LANDSCAPI 04/14/17 GONZALEZ LAW GROUP JOSEPH MARCINIAK 397 17WC 14838 COBLEIGH, ROSE FOOD SERVICE DATABASE COM 04/26/17 398 17WC 14905 MEHRINGER, BRIAN NORTHERN PRODUCTS 02/13/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 399 17WC 14926 VAUGHN, MAYA TITAN SECURITY SERVICES 05/14/17 ANGELINI & ORI LLC 400 17WC 14987 GATES, LARRY IRON MOUNTAIN RECORDS MGM 01/30/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 401 17WC 15054 HERNANDEZ, ALFONSO ASSEMBLERS 08/05/15 HART & DAVID LLP 402 17WC 15199 TORRES, VIRGINIA GOLD STANDARD BAKING 03/08/17 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 403 17WC 15239 PEREZ, TIMOTHY COOK CNTY DEPT OF CORRECT 01/07/15 MC HARGUE & JONES STATES ATTORNEY OF COOK COUN 404 17WC 15316 GUADIAN, EDUARDO PRIME SCAFFOLD, INC 11/30/16 KARCHMAR & STONE HENNESSY & ROACH PC 405 17WC 15342 VALDEZ, GONZALO ELITE STAFFING 05/11/17 ENCINAS & ORNELAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 17WC 15405 ORMSBY, LORRAINE UNITED AIRLINES 12/01/16 NILSON STOOKAL GLEASON CAP 407 17WC 15489 NGUYEN, ANH ST MARY PRESENCE 05/14/17 VRDOLYAK LAW GROUP LLC 408 17WC 15569 PACHECO, TONY CHIPOTLE MEXICAN GRILL 05/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 409 17WC 15625 VASILJEVIC, RAJKO DYNAMEX 09/06/16 TAMVAKIS, GEORGE L SCOPELITIS GARVIN LIGHT 410 17WC 15740 BOBLEWSKI, NICHOLAS A CITY OF CHICAGO DEPT OF 05/01/17 RUBIN LAW GROUP CITY OF CHICAGO 411 17WC 15759 ROBLEDO, ALAN AIRGAS 01/23/17 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 17WC015760 -C 412 17WC 15801 ABURAS, ABDEL CAPTIAN HOOKS OF COTTAGE 11/21/16 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 413 17WC 15875 CLARK, TANESE ILLINOIS MASONIC MED CTR 04/25/17 NYHAN BAMBRICK KINZIE & LOWR 414 17WC 15893 BARBER, AUDREI MOSAIC OF MAYFIELD 04/27/17 TAXMAN POLLOCK 415 17WC 15969 HARDOY, JAQUELINE CRUZ SYDELL FREEHAND CHICAGO L 04/21/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 416 17WC 15992 CHESS, MIRIAM MARIANO'S GLENVIEW EAST 11/24/15 EPSTEIN, JACK R LAW OFFICE 417 17WC 16032 WELSH, KENNETH J CHICAGO PARK DISTRICT 03/07/17 RICHARD O. GREENFIELD CHICAGO PARK DIST LAW DEPT 418 17WC 16156 DELEON, ANTONIO D'ARTAGNAN INC 04/26/17 WILLIAM S. WOJCIK LTD 419 17WC 16204 MARTIN, DANIEL BINNEY'S BEVERAGE DEPOT 09/15/14 GAINES & GAINES MEACHUM & STARCK 420 17WC 16274 BEDI, AMARJEET NABISCO 05/08/17 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 421 17WC 16565 MYLES, BIANCA N MORTON GROVE LIVING & REH 05/23/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 422 17WC 16584 GORDON, SHARON K CHICAGO TRANSIT AUTHORITY 05/24/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 423 17WC 16634 SEALS, JORDAN ALLIANCE GRAND INTERNATIO 05/26/17 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 17WC 16708 CORONA, JAVIER THE CUSTOM COMPANY 09/18/15 COSTA IVONE LLC 425 17WC 16727 OCHOA, ARMANDO COSCO INDUSTRIES 03/15/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 426 17WC 16783 PIMENTEL, ANGEL A LAVA & SON CO 04/03/17 TAMVAKIS, GEORGE L GRANT & FANNING 427 17WC 16875 PERALES, ROGELIO RITZ CARLTON HOTEL 05/22/17 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 428 17WC 17079 MOORE, ALVIN II IN ONE CONTRACTORS 05/05/17 TOPPER & WEISS LTD MEACHUM & STARCK 429 17WC 17176 FREEMAN, BEVERLY JEWEL OSCO 04/25/17 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 430 17WC 18179 AMBROSE, LAURYN J (MINOR) TSL TRUCKING INC @# 10/28/16 HASSAKIS & HASSAKIS PC JAY S. SHETH LLC 431 17WC 19401 BUTLER, RONALD D CTA 06/09/17 MARC PEKAY CHICAGO TRANSIT AUTHORITY 432 17WC 23466 DORTCH, ALICE SENIOR LIFESTYLE CORP 07/23/17 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 433 17WC 23520 ALAGNA, PETER WILL COOK COUNTY 06/28/17 COVEN LAW GROUP HINSHAW & CULBERTSON 434 17WC 23544 AMBROCIO, GABRIEL FRESH MARKET, LLC 05/20/16 RAYMOND P GARZA LAW OFFICE 435 17WC 23574 PETROCELLI, STEVE HILL MECHANICAL CORP 06/28/17 HEALY SCANLON LAW FIRM BRADY CONNOLLY & MASUDA PC 436 17WC 23588 VOLTZ, SAM FORD MOTOR COMPANY 07/26/17 VASILATOS & COTTER LLC 437 17WC 23743 JOYCE, MARILYN FOOD 4 LESS 07/12/17 SAUNDERS CONDON & KENNY 438 17WC 23780 DUKES, TENESHA BENIHANA CHICAGO 08/11/17 439 17WC 23882 DOCKUM, JOHN C LOYOLA UNIVERSITY MEDICAL 04/25/17 ANESI OZMON RODIN NOVAK KO LORENZ & BERGIN PC 17WC023883 -C 440 17WC 24053 PETERSON, MARILEE A UNITED AIRLINES INC. 05/04/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 441 17WC 24241 MOORE, CHANTEL RUSH UNIVERSITY MEDICAL C 06/22/17 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 17WC 24322 CARTER, WILLIAM DELIVERY & DISTRIBUTIONS 07/18/17 BAUM RUFFOLO & MARZAL LTD 443 17WC 24400 VELASQUEZ, OCTAVIO CUSTOM DESIGNS BY GEORGIO 07/29/17 CHEPOV & SCOTT LLC 444 17WC 24423 LEE, SHARICE CITY OF CHICAGO 06/06/17 FRIEDMAN & SOLMOR LTD 445 17WC 24451 DURAN-GOMEZ, JOSE FRANCIS JASHI, INC @ 08/10/17 CHEPOV & SCOTT LLC LAW OFFICE OF ROBERT J. IRSU 446 17WC 24516 HERNANDEZ, ANGEL C/O MAURITZON INC 02/15/16 GORDON LAW OFFICES LTD 17WC024517 -C 447 17WC 24536 LILLIAN, NARCISSUS UNITED AIRLINES 07/26/17 KATZ FRIEDMAN EAGLE ET AL 448 17WC 24587 CARTER, KILYLA K VARGAS GROUP, INC 08/10/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 449 17WC 24633 MATTHEWS, RACHEL, WIDOW O VILLAGE OF DOLTON 06/10/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 17WC025160 -C DUDLEY, STARLES (ON BEHAL DOLTON FIRE DEPT 450 17WC 24671 TRIPLETT, BRIAN DYNAMIC MANUFACTURING 06/15/17 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 451 17WC 24729 MANN, DAVID AMERICAN AIRLINES 08/05/17 RUBENS AND KRESS GAROFALO SCHREIBER STORM 452 17WC 24739 ARGENTINE, ANTHONY EARL M JORGENSEN 10/17/16 ELFENBAUM EVERS & AMARILIO POULOS & DIBENEDETTO LAW 453 17WC 24774 LABOY, ENRIQUE CITY OF CHICAGO DEPARTMEN 07/27/17 TAXMAN POLLOCK 454 17WC 24810 SARACENO, ANTHONY VILLAGE OF MAYWOOD 07/06/17 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 455 17WC 24835 GORDON, JIMMY ARENA FOOTBALL ONE LLC 08/07/16 GORDON LAW OFFICES LTD 456 17WC 24869 REYAD, HOSNY NCR CORPORATION 02/20/17 THOMAS M. PARIS SPIEGEL & CAHILL, PC 457 17WC 24899 GUARDADO, ANA M CHEESE MERCHANTS OF AMERI 07/28/17 POWELL & PISMAN RIPES NELSON BAGGOT KALOBRAT 17WC026257 -C 458 17WC 24934 CHILESKI, HARRY IV JOHN STROGER JR HOSPITAL 07/09/17 LAW OFFICES MICHAEL HELLMA STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 17WC 24954 AVILES, JULIAN CONVITO CAFE & MARKET 08/01/17 HERRERA LAW CENTER 460 17WC 25019 MITCHEL, GUY ILLINOIS BRICK/SOUTHFIELD 04/28/17 EDWIN REYES LEGAL GROUP 461 17WC 25119 O'NEILL, BRIAN UIC HEALTH SERVICE 03/28/17 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 17WC025120 -C 17WC025121 -C 462 17WC 25147 MADRIGAL, RAUL CHICAGO MEAT AUTHORITY 08/12/17 JONATHAN SCHLACK ROBERT L. SMITH 463 17WC 25235 KAMARA, MUSA UBER 08/20/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 464 17WC 25262 TOMAS, JOSE LUIS SAWING & SHEARING SERVICE 08/18/17 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 465 17WC 25301 POWELL, SEDRICK SOUTHWEST AIRLINES 07/20/17 KARCHMAR & STONE 466 17WC 25340 CRUZ, MARCELINO DEPENDABLE STAFFING GROUP 06/29/17 HERRERA LAW CENTER LITCHFIELD CAVO 467 17WC 25419 HINDS, CESAR TRICITY FOOD/ 08/25/17 COSTA IVONE LLC 468 17WC 25422 ROWAN, KEITH ECOLAB 05/10/17 CAPRON & AVGERINOS PC KEEFE CAMPBELL & ASSOC LLC 469 17WC 25454 LOUDEN, JERRY EAST BALT COMMISARY INC 07/12/17 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 470 17WC 25476 THOMAS, DARRYL COOK COUNTY SHERIFF 08/22/17 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 471 17WC 25553 FORD, BERNADINE CHICAGO CHILDRENS CENTER 07/01/17 PAUL MARZANO MC ANDREWS & NORGLE LLC 472 17WC 25658 HIGHTOWER, DARNICE FIRST AMERICA DBA FIRST 04/17/17 POMPER & GOODMAN 473 17WC 25703 GRANDBERRY, PATRICK WENDY'S 08/15/17 CULLEN HASKINS NICHOLSON 474 17WC 25827 TORRES, ANTONIO MENDOZA STAFFING NETWORK 06/23/17 EPSTEIN, JACK R LAW OFFICE 475 17WC 25902 MCFARLAND-WRIGHT, YVETTE ABCOR HOME HEALTH INC 08/28/17 ANKIN LAW OFFICE ROBERT L. SMITH 476 17WC 26002 BEYER, KELLY VILLAGE OF HODGKINS 04/15/17 ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 17WC 26026 ROTTO, DOMINIC CHICAGO TRANSIT AUTHORITY 04/02/17 SEIDMAN MARGULIS & FAIRMAN 478 17WC 26052 HARRIS, MICHAEL J PROGRESS RAIL SERVICES 07/26/17 NILSON STOOKAL GLEASON CAP GOLDBERG SEGALLA LLC 479 17WC 26140 REBACZ, MATTHEW TRANSERVICE LOGISTIC 08/01/17 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 480 17WC 26175 SCOTT, CONSTANCE MAESTRO CONSULTING SERVIC 08/07/17 BAUM RUFFOLO & MARZAL LTD MCCABE KIRSHNER PC 481 17WC 26230 VILLANUEVA, DAVID TAD CHRISTENSEN W 08/30/17 DWORKIN AND MACIARIELLO 482 17WC 26254 GUZMAN, RICARDO BLUE WATER THERMAL 08/09/17 HERRERA LAW CENTER MEACHUM & STARCK 483 17WC 26339 MORREALE, JOHN R IL STATE TOLL HWY AUTHORI @ 03/31/16 FIGLIOLI, DAVID GANAN & SHAPIRO 484 17WC 26394 PRETO, JOHN COOK COUNTY SHERIFF'S DEP 09/01/17 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 485 17WC 26470 MONCRIEFFE, CLARENCE THE EXPEDITING COMPANY 09/04/14 486 17WC 30717 SANCHEZ, TERESA TOOTSIE ROLL INDUSTRIES 10/05/17 LAW OFFICES OF ANSELMO DUR NYHAN BAMBRICK KINZIE & LOWR 18WC002576 -C 487 17WC 33095 SALGADO, BERNIE DOMINO'S PIZZA 11/05/17 COSTA IVONE LLC 488 17WC 33117 RAMEY, PHILLIP COOK CNTY DEPT OF CORRECT @ 10/23/17 LAW OFFICES LEONARDO MORAL STATES ATTORNEY OF COOK COUN 489 17WC 33224 NAVARRO-RODRIGUEZ, LAURA HYATT CORPORATION C/O UNI 09/21/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 490 17WC 33249 MUHNE, RICHARD W ARIAS CHICAGO WORLD GROUP 08/05/17 ANESI OZMON RODIN NOVAK KO 491 17WC 33373 LEAL, JULIANNA DUNKIN DONUTS 11/07/17 ACEVES & PEREZ PC COZZI & GOGGIN-WARD 492 17WC 33396 BRUMMET, BRANDON FORD MOTOR COMPANY 09/22/17 TEWS THEISEN & THEISEN WIEDNER & MCAULIFFE LTD 493 17WC 33451 COOPER, LAZARICK DRIVEN FENCE AND SUPPLIES 10/23/17 DWORKIN AND MACIARIELLO 494 17WC 33534 ROBINSON, GERALDINE CHILDRENS HOME AND AID SO 09/01/16 BAUM RUFFOLO & MARZAL 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 CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 17WC 33536 BAIKIE, ROBERT CITY COLLEGES OF CHICAGO 11/04/17 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 496 17WC 33559 STARK, LELAND J CHICAGO TRANSIT AUTHORITY 05/10/17 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 497 17WC 33594 URRUTIA, JORGE OSI LOGISTICS 02/20/15 MARC J SHUMAN & ASSOCIATES 498 17WC 33610 PARDO, LAWRENCE CITY OF CHICAGO 03/21/17 JOSEPH J SPINGOLA, LTD 499 17WC 33635 MCCORMICK, JOHN P ACTION AIR, INC 10/30/17 GARDI & HAUGHT 500 17WC 33696 BROWN, LEBRYANT RUSH UNIVERSITY MEDICAL C 10/03/17 WHITESIDE & GOLDBERG LTD 501 17WC 33724 FRANKLIN, LATORIA UMCA OF METROPOLITAN CHIC 09/01/17 DWORKIN AND MACIARIELLO 502 17WC 33780 POKORNY, NICHOLAS DISCOUNT TIRES 10/31/17 LAW OFFICE OF PETER CULOTT KEEFE CAMPBELL BIERY & ASSOC 503 17WC 33878 HARDY, CARLTON CITY OF CHICAGO, A MUNI. 11/14/17 RITTENBERG & BUFFEN 504 17WC 33892 ROMERO, SERGIO AZTECA FOODS INC 08/25/17 DAN COLLINS LAW FIRM 505 17WC 33930 MOORE, TAMEKA INPAX SOLUTIONS 05/20/17 MC HARGUE & JONES WOLF LAW LTD 506 17WC 33991 HARTWIG, THOMAS J SAM VAN GALDER, INC 06/13/17 TUITE LAW POULOS & DIBENEDETTO LAW 507 17WC 34025 WINTERS, BRUCE EAGLE EXPRESS LINES, INC. 10/20/17 JAMES J. GAY NYHAN BAMBRICK KINZIE & LOWR 508 17WC 34094 BELAY SISAY, WASIHUN CITY SERVICE TAXI AFFILIA 10/02/17 PETER D CORTI LAW GROUP 509 17WC 34133 GRAHAM, ERNEST SMG/MCCORMICK PL 10/29/17 ANKIN LAW OFFICE 510 17WC 34196 COLEMAN, TANISH L FEDEX EXPRESS 04/23/16 BUDIN LAW OFFICES 511 17WC 34222 SCHROCK, MATTHEW VILLAGE OF OAK PARK POLIC 11/02/17 THOMAS A MORRISSEY 512 17WC 34240 ROSALES, JORGE ALL TRUCK TRANSPORTATION 11/06/17 COHN LAMBERT RYAN & SCHNEI CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 17WC 34283 TERRY, DOUGLAS STRUBE, CELERY & VEGETABL 11/15/17 LEONARD LAW GROUP LLC CAPUANI, FRANK S 514 17WC 34315 ROJAS, PAULO CITY OF CHICAGO 11/15/17 ANKIN LAW OFFICE CITY OF CHICAGO 515 17WC 34467 GRACEY, LAURIE ADVOCATE CHRIST MEDICAL C 06/09/17 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 516 17WC 34526 GAGNER, ANDREW VILLAGE OF BROOKFIELD 11/10/17 TURCYCHUTE LLC RUSIN & MACIOROWSKI LTD 517 17WC 34580 PEREZ, SAMUEL ASSI PLAZA 10/21/17 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 518 17WC 34605 BUCHMEIER, LOREN CITY OF BERWYN 02/17/17 CHRISTINE F DAVID CUDA LAW OFFICES 519 17WC 34627 PARDO, LAWRENCE CITY OF CHICAGO 06/26/17 JOSEPH J SPINGOLA, LTD 520 17WC 34651 GORDON, LUTITIA COMMUNITY CARE 10/17/17 CHARLES LEVY & ASSOC LTD LIVINGSTONE MUELLER ET AL 521 17WC 34695 MENDEZ, ANA HOME PRODUCTS INTERNATION 07/01/17 DAVENPORT & WHITE MEACHUM & STARCK 522 17WC 34779 CASTRO, ROBERT TOSHIBA AMERICA MEDICAL S 05/31/17 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC 523 17WC 34815 FULTZ, DARRYL UNITED AIRLINES 10/16/17 BARRY STEWART SILVER WIEDNER & MCAULIFFE LTD 524 17WC 34837 BROWN, JASMINE PRINCESS J, INC 11/15/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 525 17WC 34865 WILLIAMSON, CASAUNDRA REALTY & MORTGAGE CO 11/06/17 ASHER, RAYMOND L LTD 526 17WC 34907 ROBINSON, RYAN SECRETARY OF STATE @ 05/30/17 CHRISTINE F DAVID ASSISTANT ATTORNEY GENERAL 527 17WC 34952 GARCIA CORONA, ADAN BRGRBELLY 10/17/17 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 528 17WC 34976 SCHWIETZ, SUSAN K LOWE'S 05/15/17 KEEFE CAMPBELL BIERY & ASSOC 529 17WC 35002 DRAPER, CARLOS MERCEDES BENZ OF CHICAGO 11/03/17 HART & DAVID LLP GANAN & SHAPIRO 530 17WC 35027 MORRIS, PAUL UNITED PARCEL SVC 11/07/17 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 17WC 35041 PUGH, PRUDENCE JACKSON PARK HOSPITAL 11/02/17 ROSENFELD HAFRON SHAPIRO F ODELSON & STERK 532 17WC 35067 THAYER, KATHY CVS PHARMACY 09/19/15 ELFENBAUM EVERS & AMARILIO 533 17WC 35087 JOHNSON, JUANITA MCCORMACK BARON MANAGEMEN 04/18/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 534 17WC 35132 BATES, JOSEPH NORTH PALOS FIRE PROTECTI 11/07/17 RIDGE & DOWNES 535 17WC 35175 JAVIER, RAFAELA PERSONNEL STAFFING GROUP 11/14/17 GOLDSTEIN AIOSSA & GOOD KOREY RICHARDSON LLC 536 17WC 35194 APOSTOLOPOULOS, NIKOS CITY OF CHICAGO 07/07/17 ROSS TYRRELL 537 17WC 35212 AHMETI, KLEMEND UNIVERSITY OF IL OF CHICA 10/15/17 SANDMAN LEVY & PETRICH HEYL ROYSTER VOELKER & ALLEN 538 17WC 35234 DAVIS, HERBERT WRECK & ROLL AUTOBODY INC 10/03/17 DWORKIN AND MACIARIELLO SIDNEY EZRA 539 17WC 35321 PITTS, DERWOOD CTA 11/27/17 LAW OFFICES TIMOTHY HENDER CHICAGO TRANSIT AUTHORITY 540 17WC 35379 GARCIA, SERGIO PINTO CONSTRUCTION 07/14/17 CULLEN HASKINS NICHOLSON GILDEA, COGHLAN & REGAN LTD. 541 17WC 35397 COSEY, MELVIN CHICAGO FIRE DEPARTMENT 04/29/17 CITY OF CHICAGO 542 17WC 35492 JIMENEZ, ANTONIO ACCURATE PERFORATING 11/09/17 ACEVES & PEREZ PC LITCHFIELD CAVO 543 17WC 35562 ANDERSON, ROBERT J III CITY OF CHICAGO DEPARTMEN 12/04/17 ANKIN LAW OFFICE 17WC037000 -C 544 17WC 35609 HOROWSKI, PAUL STONE RIVER ELECTRIC 11/27/17 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 545 17WC 35650 WRIGHT, JOSHUA ATLAS STAFFING INC 11/21/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 546 17WC 35670 COOKS, DOLORES BOARD OF EDUCATION U-46 10/23/17 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 547 17WC 35695 AGUAYO, LUIS STOCKER HINGE MANUFACTURI 09/01/17 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 548 17WC 35885 BOULTON, CASSANDRA WALMART SUPERCENTER 11/22/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 17WC 35991 RYAN, THOMAS MPEA 12/01/17 WHITESIDE & GOLDBERG LTD 550 18WC 03742 WALLS, KAREN I RJB PROPERTIES INC 10/13/17 JOHN J CASTANEDA HENNESSY & ROACH PC 551 18WC 03789 HAYES, THOMAS COOK COUNTY FACILITIES MG 03/23/17 BRENNAN, THOMAS E LTD STATES ATTORNEY OF COOK COUN 552 18WC 03825 GARCIA, JOSE G PERSONNEL STAFFING INC/ 10/31/17 GRAZIAN & VOLPE PC KOREY RICHARDSON LLC 553 18WC 03882 MERILLAT-KELLY, MICHELLE TJ MAXX 11/28/17 CANDIANO LAW OFFICE BRADY CONNOLLY & MASUDA PC 554 18WC 03889 POPE, LAVERNE AETNA BETTER HEALTH INC 05/19/17 HELEN BLOCH EVANS & DIXON, LLC 555 18WC 03904 JIMENEZ, ERASMO AMOCO/PE AUTO SERVICE 12/28/17 ARGIONIS & ASSOCIATES LLC HOLECEK & ASSOCIATES 556 18WC 03959 MARTINEZ, MARIA ELENA LANDAUER, INC 03/18/17 LANNON LANNON & BARR LTD INMAN & FITZGIBBONS 557 18WC 04007 GARCIA, SERGIO LAS PALMAS RESTAURANT 08/13/17 JOHN C SERKLAND ROSARIO CIBELLA 558 18WC 04028 CALATAYUD III, ROBERT FORD MOTOR COMPANY 10/16/15 O'CONNOR & NAKOS POWER & CRONIN LTD 559 18WC 04036 BROWN, LACHELL SV CARE DBA SOUTHVIEW MAN 01/28/18 ANKIN LAW OFFICE 560 18WC 04068 VAUGHN, DOROTHY CTA 01/16/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 561 18WC 04087 GODBOLD, KAYDELL UPS 11/24/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 562 18WC 04132 GOMEZ, ANTONIO BWAY CORPORATION 06/21/17 COYNE REINKE LAW 563 18WC 04175 SANCHEZ, BLANCA WOMEN'S HEALTH CLUB OF CH 11/30/17 PETER D CORTI LAW GROUP INMAN & FITZGIBBONS 564 18WC 04258 GRIZELY, MATTHEW JR CITY OF EVANSTON 01/04/18 THOMAS W DUDA 565 18WC 04275 DUKE, PAUL EDERATE LOGISTICS INC 02/03/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 566 18WC 04315 PADILLA, RAMON RON'S STAFFING, LOANING 01/29/18 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 18WC 04336 FIERRO, EVELINA VANEE FOODS 01/18/18 FRANCIS J DISCIPIO LAW OFF SLAVIN & SLAVIN 568 18WC 04456 BROWN, VIRGINIA IL DEPARTMETN OF HUMAN SE @ 02/05/18 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 569 18WC 04474 AGUILAR, JUVENTINO BROOKDALE SENIOR LIVING 11/07/17 KINNALLY FLAHERTY KRENTZ ROSARIO CIBELLA 570 18WC 04490 DELARME, TINA COMMUNITY CONSOLIDATED 11/16/17 DWORKIN AND MACIARIELLO 571 18WC 04511 NOWAK, ARTUR ARTN LIMO LTD 01/31/18 URSULA BABICZ & ASSOC DEBORAH SCHAEFER 572 18WC 04537 MC BRIDE, HATTYE DA VITA, INC 01/16/18 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 573 18WC 04611 LUNA, ROBERTO PRECISION DIALOGUE MARKET 01/23/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 574 18WC 04658 RODRIGUEZ, RAMON CHICAGO DRYER COMPANY 01/30/18 CHEPOV & SCOTT LLC NYHAN BAMBRICK KINZIE & LOWR 575 18WC 04708 SCHWINN, JEREMY BUILDERS CONCRETE SERVICE 08/10/17 GAROFALO SCHREIBER STORM RODDY LAW LTD 576 18WC 04754 SANTANA, SALVADOR O CITY OF CHICAGO FLEET MGM 01/24/18 O'CONNOR & NAKOS 577 18WC 04779 RODRIGUEZ, KEVIN ALSCO INC 02/08/18 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 578 18WC 04837 RESTIVO, VINCENT CTA 02/15/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 579 18WC 04897 RICH, STEVE MATTESON FIRE DEPARTMENT 10/10/17 HETHERINGTON KARPEL BOBBER 580 18WC 04928 ADAMS, LAVEDA COMPASS GROUP 02/06/18 ANKIN LAW OFFICE 581 18WC 04952 MAGSBY, PAUL 5 STAR LAUNDRY CHICAGO LL 02/04/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD 582 18WC 04969 FOX, BENJAMIN GOOD OIL OF IL 01/19/18 COSTA IVONE LLC RODDY LAW LTD 583 18WC 04984 VILLASENOR, RUDY ALPHA BAKING COMPANY 11/27/17 SEIDMAN MARGULIS & FAIRMAN MACIOROWSKI SACKMANN & ULRIC 584 18WC 05016 PHOSE, STEPHEN FLEXIBLE STAFFING 02/08/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 18WC 05040 MILLER, MARLENE COUNTY OF COOK 12/28/17 MACKEY & KRAMER PC STATES ATTORNEY OF COOK COUN 586 18WC 05062 HENRY, MIKITA CITY OF CHICAGO, DSS 09/28/17 RITTENBERG & BUFFEN 587 18WC 05086 TARSA, JOHN NAVISTAR 07/27/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 588 18WC 05179 RIVERA, BRANDON COREY STEEL COMPANY 02/14/18 COSTA IVONE LLC 589 18WC 05200 LUKASIK, MARCIN XPO LOGISTICS 12/08/17 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 590 18WC 05230 RIVAS, DAVID G FED EX EXPRESS 01/15/18 DAVID M SPADA 591 18WC 05292 CLARK III, CHARLES EBY BROWN TRANSPORTATION 11/14/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 592 18WC 05359 EVANGELINOS, KATERINA BERKELEY SCHOOL DISTRICT 12/12/17 CULLEN HASKINS NICHOLSON 593 18WC 05375 NICHOLS, TYRECE CENTRAL STEEL & WIRE 02/13/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 594 18WC 05446 HOFFMAN, DANIEL WASTE MANAGEMENT 01/11/18 RIDGE & DOWNES 595 18WC 05465 MELENDEZ, JOSEPH B REPUBLIC SVCS 11/13/17 GOLDBERG WEISMAN & CAIRO L 596 18WC 05487 STEWERT, ROGER MA REBAR SVCS 01/26/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 597 18WC 05549 RUDEK, MICHAEL AMERICAN AIRLINES 08/10/17 KEVIN O'BRIEN 598 18WC 05694 QUINTANA, CARLOS BLOCK AND CO 02/21/17 RUBIN LAW GROUP 18WC005695 -C 599 18WC 05713 DORRIS, VICTOR FORD MOTOR COMPANY 01/04/18 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 600 18WC 05750 RISTANOVIC, ANDJELKA BURLINGTON 02/08/18 NEWLAND & NEWLAND BRADY CONNOLLY & MASUDA PC 601 18WC 05808 KAKOLIRIS, EKATERINI DSW, INC 02/10/18 KALOGERAKOS & ASSOC 602 18WC 05831 SAMUELS, JULIEN CAREER EDUCATION CORP 02/11/18 KUMLIN & FROMM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 18WC 05919 BRENDA, BROWN CTA 01/22/18 FOHRMAN, DONALD W & ASSOCS 604 18WC 05935 ARTHUR, TONNETTA WALGREENS 02/13/18 JAMES ELLIS GUMBINER & ASS GILDEA, COGHLAN & REGAN LTD. 605 18WC 05989 WILLIAMS, CAROLE CHICAGO PUBLIC SCHOOLS 02/14/18 SHELDON I MINKOW & ASSOCIA CHGO BOARD OF EDUCATION 606 18WC 06130 MERAZ, MARCELO SAM'S FLOORING & SUPPLY C 02/21/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 607 18WC 06195 MINICK, ADAM D HEATMASTERS MECHANICAL 06/16/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 608 18WC 06268 RUF, LEROY DMG MORI 02/09/18 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 609 18WC 06323 WHITT, CHRISTOPHER USIC LOCATING SERVICES LL 10/30/17 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 610 18WC 06464 O'BRIEN, LAURA SOUTHWEST AIRLINES 06/04/15 WILKINS SCHNELLER LAW LLC HENNESSY & ROACH PC 611 18WC 06528 FRAUSTO, ELVIA MACY'S EAST 08/02/17 CULLEN HASKINS NICHOLSON GAIDO & FINTZEN 612 18WC 06546 HOUSER, OWEN HELM ELECRICAL SERVICES I 01/19/18 SALK, STEVEN B & ASSOC LTD 613 18WC 06657 DOEDEN, MICHAEL H WILSON 5 SERVICE COMPANY 02/16/18 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 614 18WC 06759 MACKLIN, WILLIAM R IL DEPT OF TRANSPORTATION @ 12/19/17 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 615 18WC 06811 MCNULTY, TOSHIA CHICAGO READ MENTAL HEALT @ 12/15/17 LAWRENCE M MACK ASSISTANT ATTORNEY GENERAL 616 18WC 06878 PERALES, ALEJANDRO D&W MFG 10/13/16 RUEDA, IVAN A GANAN & SHAPIRO 617 18WC 06915 THOMAS, DELORES ANNETTE STATE OF IL @ 07/17/17 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENERAL 618 18WC 07017 WRIGHT, ANTHONY CTA 01/29/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 619 18WC 07046 BARRIOS, MAYRON FRANCESCA MIDWEST HOLDING 11/04/17 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 620 18WC 07066 RATCLIFF-THOMAS, MILDRED CHICAGO TRANSIT AUTHORITY 02/20/18 ROGER D RUDICH LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 18WC 07079 CASTREJON, AGUSTIN UNISTAFF 04/18/17 LEONARD S. BECKER 622 18WC 07112 VELAZQUEZ, JOSE FOOD FOR THOUGHT CHICAGO 01/02/18 COSTA IVONE LLC 623 18WC 07205 ACOSTA, MAGDALENA BOSCH 12/18/17 KATZ FRIEDMAN EAGLE ET AL KRAKER FANNING & OLSEN 624 18WC 13596 WATERS, STEVEN FEDEX 05/04/18 GERALD CONNOR 625 18WC 13611 BARRERA, ALMA CHEESE MERCHANTS OF AMERI 02/19/18 HETHERINGTON KARPEL BOBBER HOLECEK & ASSOCIATES 626 18WC 13996 GRIFFIN, MICHELE CHICAGO PUBLIC SCHOOLS 01/24/18 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 627 18WC 14017 MONRENO, FORTINO HALLET & SONS EXPERT MOVE 03/23/18 LEONARD LAW GROUP LLC 628 18WC 14042 LOPEZ, FRANCISCO SEBERT LANDSCAPING 06/15/17 CARONE LAW OFFICES 629 18WC 14102 BRENT, VINCENT MACY'S INC 10/01/17 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 630 18WC 14127 EDWARDS, TINA MCNEAL HOME CARE & HOSPIC 04/05/17 DWORKIN AND MACIARIELLO 631 18WC 14145 SIEDLIK, NORBERT JS PROGRESSIVE, INC 04/09/18 NILSON STOOKAL GLEASON CAP MEACHUM & STARCK 632 18WC 14160 JENNINGS, ERIC PITT OHIO 10/12/17 KROL BONGIORNO & GIVEN LTD GANAN & SHAPIRO 18WC014162 -C 633 18WC 14180 KNEDIFATI, ALEX ALL CITY TAXI, LLC 04/24/18 WEISS & WEISS LAW OFFICES 634 18WC 14256 BLACK, KANEESHEA ABM 03/26/18 STEINBERG, POLACEK & GOODM 635 18WC 14281 MARTINEZ, MARIA CASA CENTRAL 06/28/17 LEONARD LAW GROUP LLC 636 18WC 14402 MACHUCA, JUAN CARLOS AIR DUCT PRO INC 05/03/18 JONATHAN SCHLACK 637 18WC 14494 FACI, UNIQUE JOHN CRANE GROUP LLC 01/18/18 JOHN C WUNSCH GAROFALO SCHREIBER STORM 638 18WC 14528 SNYDER, ROBIN FRANCISCAN HEALTH 07/23/16 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 18WC 14582 DANIELS, BRANDON PALATINE WELDING CO INC 05/03/18 ANKIN LAW OFFICE 640 18WC 14600 RODRIGUEZ, ARTURO JLDC CONSTRUCTION, INC. 10/25/17 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 641 18WC 14656 SWEATT, RONALD MATTESON SCHOOL DISTRICT 08/22/17 AMBROSE BUTZEN LAW GROUP 642 18WC 14730 BOTELLO ZACTACOS, INC 03/09/18 JONATHAN SCHLACK 643 18WC 14747 ALLEN, WILLIE ALPHA BAKING 05/12/18 COVEN LAW GROUP 644 18WC 14763 HALL, CHARLES JEWEL OSCO 02/03/17 LEO ALT 645 18WC 14787 BAYLOCK, ANTANIA CTA CHICAGO AVENUE GARAGE 05/07/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 646 18WC 14855 HAYES, TRITON TREASURE ISLAND 04/29/18 TRAPP & GELLER GANAN & SHAPIRO 647 18WC 14904 GONZALEZ, STEVEN PIZZA HUT 03/20/18 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 648 18WC 15007 GRAZZINI, PAUL J CHICAGO PUBLIC SCHOOLS 01/18/18 FOOTE MIELKE CHAVEZ O'NEIL CHGO BOARD OF EDUCATION 649 18WC 15041 SCHMITT, DAVID JEWEL/NEW ALBERTSON'S INC 04/08/16 WHITESIDE & GOLDBERG LTD 650 18WC 15063 MUNOZ, IMELDA ABLE ELCTROPHOLISHING CO 05/03/18 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 651 18WC 15133 PAULEY, KEYCIA SOUTH SUBURBAN REHABILITA 02/22/18 EDWIN REYES LEGAL GROUP BRADY CONNOLLY & MASUDA PC 18WC017362 -C 652 18WC 15154 DE LARA SERRANO, JUAN SUMMIT STAFFING 02/21/18 EPSTEIN, JACK R LAW OFFICE 653 18WC 15175 CARTER, JOYCE UCP SEGUIN OF GREAT CHICA 10/19/17 ANKIN LAW OFFICE 654 18WC 15197 ANSELMO, LAWRANCE S VILLAGE OF HANOVER PARK 04/26/18 THOMAS W DUDA 655 18WC 15220 CAMACHO, MANUEL ARAMARK 08/31/17 MARSZALEK AND MARSZALEK 656 18WC 15244 ASCENCIO, ANTONIO SOUTHERN EXPOSURE 06/25/17 HERRERA LAW CENTER JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 18WC 15285 CASTREJON, CRISTINA ALLSTAFF 05/10/18 CELSO FUENTES JR 658 18WC 15307 EDMON, PORT'A RON'S STAFFING SERVICES 04/27/18 ANKIN LAW OFFICE KOREY RICHARDSON LLC 659 18WC 15330 HUBBIRD, CATHLEEN T CITY OF CHICAGO 06/07/17 RUBIN LAW GROUP CITY OF CHICAGO 660 18WC 15367 DABNEY, ASHLEY ADECCO/ANIXTER INC 05/16/18 STEVEN J TENZER, LTD HENNESSY & ROACH PC 661 18WC 15385 JANUS, KAZIMIERZ ANDY'S DELI BUTCHER SHOP 04/23/18 CHEPOV & SCOTT LLC QUINTAIROS PRIETO WOOD & BOY 662 18WC 15430 MOY, DANIEL SOUTHWEST AIRLINES 03/23/18 MAURICE E DUSKY PC 663 18WC 15457 RIVERA, MARICRUZ CARLSON HOTELS, INC 05/01/18 RUEDA, IVAN A WIEDNER & MCAULIFFE LTD 664 18WC 15498 SANCHEZ, JOSE L LABOR SOLUTIONS, LLC 05/10/18 COSTA IVONE LLC MC ANDREWS & NORGLE LLC 665 18WC 15517 GOMEZ, MANUEL SCOTT BYRON & COMPANY 11/07/17 STANCZAK LAW OFFICES ACCIDENT FUND HOLDINGS 666 18WC 15541 CORONEL, ROBERTO TORRES SARATOGA SPECIALTIES INC 07/19/17 EPSTEIN, JACK R LAW OFFICE 667 18WC 15593 CARR, LINDA WALMART 04/01/17 TRAPP & GELLER QUINTAIROS PRIETO WOOD & BOY 668 18WC 15637 ROSSEL, ERIC CAR MAX 03/10/18 RUBENS AND KRESS ASA LAW GROUP 669 18WC 15678 TIU, ALAIN STREAMWOOD BEHAVIOR HEALT 07/12/17 LEAHY, JAMES P MC ANDREWS & NORGLE LLC 670 18WC 15715 TEAGUE, DUMAH AMC THEATRES BLOCK 37 05/19/18 CELSO FUENTES JR 671 18WC 15774 EWALS-DOYLE, CHRISTINE COOK COUNTY/COOK COUNTY 05/02/18 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 672 18WC 15809 FREEMAN, KEITH RILEY'S TRUCKING AND DEMO 04/12/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 673 18WC 15832 WILLIAMS, TRACEY CTA 05/16/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 674 18WC 15889 TEMPLE, LASHONDRA TOWER AUTOMOTIVE 05/10/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 18WC 15941 MCCORMICK, KENNETH CITY OF CHICAGO DEPARTMEN 05/20/18 ANKIN LAW OFFICE CITY OF CHICAGO 676 18WC 15970 NALLS, ORLANDO PEPSI CO 05/09/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 677 18WC 15991 CAMPBELL, CONCHEDA CTA 02/26/18 MICHAEL A. HIGGINS 678 18WC 16081 SHAMSEE, FAUZIA A SUNRISE SENIOR LIVING CEN 06/04/17 PHILIP BLOMBERG 679 18WC 16131 HARMON, MONIQUE INGALLS MEMORIAL HOSPITAL 05/12/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 680 18WC 16151 FRIZELL, TONY II IN ONE CONTRACTORS, IN 05/23/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 681 18WC 16180 POINTER, QUINTON ARENA FOOTBALL ONE, LLC 03/29/17 GORDON & CENTRACCHIO LLC 682 18WC 16191 SZCZEPANIEC, JOZEF FRANZWA, DECORATING 10/12/17 CHRISTOPHER BUCHCAR, LTD NYHAN BAMBRICK KINZIE & LOWR 683 18WC 16252 WALES, KATHERINE ADVOCATE CHRIST MEDICAL C 05/11/18 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 684 18WC 16294 SYED, HASAN ENVOY AIR INC, 02/15/18 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 685 18WC 16309 MARTY, JUANITA (GUARDIAN) CENTRAL TRANSPORT # 04/23/18 KREITER, BYCK & ASSOC LLP HINSHAW & CULBERTSON 686 18WC 16313 DEL TORO SR, RAYMOND IL CENTRAK SCHOOL BUS 04/02/18 VITELL & SPITZ LTD GILDEA, COGHLAN & REGAN LTD. 687 18WC 16342 BROWN, TRESHA VILLAGE DISCOUNT OUTLET 04/10/18 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 688 18WC 16358 TURNER, VIKKI RICH EAST HIGH SCHOOL 02/08/18 SEIDMAN MARGULIS & FAIRMAN 689 18WC 16385 LIPSCOMB, ERVING ALL STATE 03/29/18 COPLAN & CRANE, LTD 690 18WC 16411 BOHNKE, MARK S RWC CONSTRUCTION 01/18/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 691 18WC 16427 FLOWERS, SAMANTHA SEPTRAN, INC 05/10/18 MANDELL, GREGG 692 18WC 16458 PALMA, ZOILA MARGIE'S CANDIES 05/09/18 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 18WC 16484 LITTLE, RUDY COOK COUNTY SHERIFF DEPT 05/17/18 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 694 18WC 16509 FULTON, ARIC AAA RENTAL SYSTEMS 06/15/17 JOHN S. ELIASIK 695 18WC 16548 GONZALEZ, MARIA E MECH-TRONICS CORPORATION 04/23/18 MARK LOFTUS KEEFE CAMPBELL BIERY & ASSOC 696 18WC 16607 LANDEROS, ARTURO AT&T 11/09/17 GOLDBERG WEISMAN & CAIRO L 697 18WC 16628 VELAZQUEZ, ORLANDO ADVOCATE HEALTH CARE 08/29/17 ROBERT A. WILSON GAROFALO SCHREIBER STORM 698 18WC 16645 WRIGHT, BRIAN LEWIS TOWING 02/27/18 VRDOLYAK LAW GROUP LLC 699 18WC 16709 WHITE, ESTAVION CITY OF CHICAGO, DEPT SS/ 11/02/17 BOWMAN & CORDAY 700 18WC 16748 PADUA, RHODORA NORWEGIAN AMERICAN HOSPIT 02/19/18 MC HARGUE & JONES GAROFALO SCHREIBER STORM 701 18WC 16763 PUCKETT, WALTER FRESH START AUTO RECYCLIN 05/09/18 ANKIN LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 702 18WC 16777 VARGAS, AQUILEO STEEL SOLUTIONS FIRM INC 05/17/18 MORICI FIGLIOLI & ASSOC 703 18WC 16795 SHELBY, LEIMOMI FORD MOTOR CO 12/13/17 KUMLIN & FROMM 704 18WC 16821 DAVILA, ISMAEL INTERNATIONAL DECORATORS, 10/26/17 RITTENBERG BUFFEN GAROFALO SCHREIBER STORM 705 18WC 16829 ARZATE, MARIA A WHOLE FOODS MARKET INC 11/13/17 ANKIN LAW OFFICE HENNESSY & ROACH 706 18WC 16860 AYALA, TERESA MAMA FRANCESCA CHEESE AND 05/02/18 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 707 18WC 16907 HALL, DOUGLAS FOR EYES OPTICAL 05/23/18 COSTA IVONE LLC KOPKA, PINKUS DOLIN, PC 708 18WC 16924 MORALES, ANNELIESSE PARTI UNITED SERVICES COMPANIES 05/13/18 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 709 18WC 16943 PRATT, DAVID CITY OF CHICAGO 05/08/17 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 710 18WC 16974 LORD, SHONTELL GENESIS CONSTRUCTION & 05/03/18 CAPRON & AVGERINOS PC THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 18WC 17010 GARCIA-MONDRAGON, ORLANDO AZUL 18 05/26/18 FICHERA & MILLER 712 18WC 17042 CHAMBERS, JASMINE MCDONALDS 05/30/18 DWORKIN AND MACIARIELLO 713 18WC 17078 SHUKSTOR, FRANK CITY OF CHICAGO 05/31/18 COVEN LAW GROUP 714 18WC 17112 SANCHEZ, MARIA NYDIA A/K/ UNITED MAINTENANCE COMPAN 05/26/18 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 715 18WC 18214 CHACON, ARACELY, WIFE OF BRENNAN MASONRY COMPANY # 06/11/18 BUDIN LAW OFFICES 716 18WC 21583 GONZALEZ, CARLA FLEXAN LLC 05/15/18 ARGIONIS & ASSOCIATES LLC HOLECEK & ASSOCIATES 18WC021584 -C 717 18WC 21930 WONDER, GAYLE (WIDOW) LARC LANSING ASSOCIATION # 10/28/11 LEAHY EISENBERG & FRAENKEL 718 18WC 22570 MARIN, PABLO BRETFORD MANUFACTURING 06/04/18 BAUM RUFFOLO & MARZAL LTD 719 18WC 23906 GUZMAN, MARIA E UNITED PARCEL SERVICE, IN 05/29/18 STEVEN B SALK & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 720 18WC 23928 GARCIA MOLINA, FATIMA CMPS GRP/CROTHALL/HOSPITA 04/26/16 SOSTRIN AND SOSTRIN PC 721 18WC 23950 OROZCO, CHRISTOPHER CSR ROOFING CONTRACTORS, 07/23/18 ANKIN LAW OFFICE 722 18WC 24043 GILES, MYRNA L UNITED CONTINENTAL HLDGS, 10/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 723 18WC 24062 SHAVERS, DERRICK TRI MARK MARLINN 07/19/18 SEIDMAN MARGULIS & FAIRMAN 724 18WC 24070 MUNOZ, OSCAR SILVRICO CORPORATION INC 06/15/18 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 725 18WC 24089 ORTEGA, MARIA MIDWAY CAP CO 06/05/18 CHEPOV & SCOTT LLC 726 18WC 24104 CRUZ, BRISELDA LOWES CHICAGO O'HARE HOTE 02/22/18 COHN LAMBERT RYAN & SCHNEI MEACHUM & STARCK 727 18WC 24128 MC KEON, MICHAEL COOK COUNTY 07/17/18 BLOCK, KLUKAS & MANZELLA P STATES ATTORNEY OF COOK COUN 728 18WC 24151 GOMEZ, LUZ DEL CARMEN TRIBUNE DIRECT MARKETING 02/02/18 FICHERA & MILLER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 18WC 24168 SMITH, DWAYNE METROPOLITAN WATER RECLAM 03/06/18 SEIDMAN MARGULIS & FAIRMAN 730 18WC 24187 LONG, NINA UNITED AIRLINES 05/01/18 CULLEN HASKINS NICHOLSON 731 18WC 24227 ANDERSON, TYNEASE GREAT LAKE COCA COLA 08/02/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 732 18WC 24256 ZINER, EMILY RACK HOUSE KITCHEN & TAVE 06/02/18 CULLEN HASKINS NICHOLSON 733 18WC 24280 GONZALEZ, WILLIAM METAL INSTALLATIONS, INC 08/13/18 GOLDSTEIN AIOSSA & GOOD 734 18WC 24300 PEREZ, GABRIEL WINGS PROGRAM INC 07/27/18 LEONARD LAW GROUP LLC 735 18WC 24318 WHITLOW, RAVEN ECO BRITE LINENS, LLC 07/25/18 HERRERA LAW CENTER MEACHUM & STARCK 736 18WC 24473 BREVARD, MERCEDES PRESENCE ST. JOSEPH HOSPI 07/04/18 STEVEN J MALMAN & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 737 18WC 24539 MEISENHEIMER, MARY (GUARD BREAKTHRU BEVERAGE CORP 07/13/18 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 738 18WC 24596 ROSALES, EDGAR ADRIAN TIR NOMBACH COMPANY INC 07/06/18 BERG & BERG 739 18WC 24616 REDDITT, ALONZO DHL 04/16/18 COSTA IVONE LLC 740 18WC 24639 BLUSH, BRIANNA UNITED AIRLINES INC. 08/03/18 HORWITZ HORWITZ & ASSOC 741 18WC 24661 OROZCO, DAVID ANSI 07/31/18 TAXMAN POLLOCK RIPES NELSON BAGGOT KALOBRAT 742 18WC 24686 SMITH, NORRELLE COOK DUPAGE TRANSPORTATIO 08/07/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 743 18WC 24721 MONROY-SANCHEZ, LAZARO O'S DECORATING INC 07/30/18 MONDRY & MONDRY HEYL ROYSTER VOELKER ALLEN 744 18WC 24740 SUMRELL, LADARIUS CINTAS CORP 08/07/18 ANKIN LAW OFFICE POWER & CRONIN LTD 745 18WC 24754 MUSIAL, ASHLEY TRANSITIONAL CARE OF 06/28/18 LEONARD LAW GROUP LLC 746 18WC 24770 FLEWELLEN, ETTA FORD MOTOR COMPANY 08/10/18 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 18WC 24797 CUMMINGS, JEFFREY JKC TRUCKING 06/27/18 PATRICOSKI, MARK G 748 18WC 24820 DARJEAN, JAMES CHRIS DORRIE C/O 07/26/18 CARL H EBERT & ASSOC RUSIN & MACIOROWSKI LTD 749 18WC 24897 ROSALIO, JOHN CHIPOLTLE MEXICAN GRILL 08/05/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 750 18WC 24924 MADDEN, JOANN ESTEE LAUDER INC 12/13/17 BOGUSZ & BOGUSZ LTD 751 18WC 24981 NERIS, REYNALDO FLOORING RESOURCE CORPORA 12/11/17 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 752 18WC 25002 PADILLA, RAFAEL CHICAGO AMERICAN MFG 01/17/18 O'CONNOR & NAKOS 753 18WC 25026 YOUNG, GREGORY L CHICAGO TRANSIT AUTHORITY 07/23/18 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 754 18WC 25046 BRUETT, RICHARD AMERICAN AIRLINES 12/28/17 CURTIS S BURKE LAW OFFICE 755 18WC 25065 WALKER, JESSICA CHICAGO TRANSIT AUTHORITY 06/03/18 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 756 18WC 25128 JACKSON, FELECIA HARVARD MAINTENANCE, INC 06/08/17 DEPAOLO & ZADEIKIS 757 18WC 25153 RAMIREZ, JUANA CANCINO CONTINENTAL NURSING & 05/22/18 COHN LAMBERT RYAN & SCHNEI GANAN & SHAPIRO 758 18WC 25179 DIAZ, SERGIO M FORD MOTOR CO CHICAGO 08/21/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 759 18WC 25214 MATTHEWS, DAN UPS 08/14/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 760 18WC 25269 FELTHOUSE, STEVEN TLG LOGISTICS INC 08/18/18 LUSAK AND COBB NYHAN BAMBRICK KINZIE & LOWR 761 18WC 25311 ARMANO, CURT CITY OF CHICAGO 04/28/18 SALVATO O'TOOLE FROYLAN CITY OF CHICAGO 762 18WC 25342 VOLANTI, DANIEL DUBOIS CHEMICALS 10/24/17 VRDOLYAK LAW GROUP LLC 763 18WC 25361 SWIERCZYNSKI, ANDREW H CITY OF DES PLAINES 07/11/18 THOMAS W DUDA POWER & CRONIN LTD 764 18WC 25413 MORRIS, TYRONICA CHICAGO TRANSIT AUTHORITY 07/02/18 STEINBERG BURTKER & GROSSM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 18WC 25463 BELLIZZI, DEBORAH SCHOOL DIST U46 TRANSPORT 08/21/18 RIDGE & DOWNES 766 18WC 25509 WILLIAMS, KENNETH CITY OF CHICAGO 07/18/18 COVEN LAW GROUP 767 18WC 25558 PAPADOPOULOS, JULIE LORD & TAYLOR 08/18/18 ROMANUCCI & BLANDIN GOLDBERG SEGALLA LLC 768 18WC 25576 BROWN, ANTHONY JEWEL FOODS 07/31/18 SEIDMAN MARGULIS & FAIRMAN 769 18WC 25618 SHEPHERD, KIMBERLY FORD MOTOR COMPANY 07/19/18 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 770 18WC 25634 RUIZ, JOSE ALINAS LAURENS RESTORATION INC 05/21/18 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICE 771 18WC 25656 ARMSTRONG, CHANEL ED MINIAT 07/14/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 772 18WC 25680 BUFORD, JULISA LITTLE CITY FOUNDATION 02/14/18 DAMISCH & DAMISCH LTD 773 18WC 25722 ALSTON, VERNON JR THE SALVATION ARMY 04/08/17 JAMES A. THOMAS RODDY LAW LTD 774 18WC 25749 FOY, PAUL PACIFIC COAST FEATHER CO 09/14/16 STROM & ASSOC 775 18WC 25762 AUSTIN, LATONIO UNITED CML 07/25/18 BERG & BERG 776 18WC 25795 CUEVAS, YOLANDA CINTAS 07/12/18 WHITESIDE & GOLDBERG LTD POWER & CRONIN LTD 777 18WC 25819 JOHNSON, LATASHA ARAMARK 06/15/18 DWORKIN AND MACIARIELLO 778 18WC 25866 CALDERON, MICHAEL SUMMIT STAFFING 07/30/18 TAXMAN POLLOCK 779 18WC 25923 CALHOUN, CANDACE HILTON CHICAGO 04/19/18 SHELDON I MINKOW & ASSOCIA DENNIS J NOBLE & ASSOC 780 18WC 25948 TAMAYO, ADELAIDE ACCURATE PERSONNEL SERVIC 07/25/18 COSTA IVONE LLC JOHN T GONNELLA 781 18WC 25992 MATUSEK, ROBERT E&K OF CHICAGO 08/23/17 PORRO NIERMANN LAW GROUP 782 18WC 26071 TOPPIN, ELIZABETH ARAMARK HEALTHCARE SUPPOR 05/01/18 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 18WC 26093 AGUILAR, RITA MEGATEX 07/19/18 KREITER, BYCK & ASSOC LLP 784 18WC 26145 AUSTIN, SANDRA L HALLMARK MARKETING CO., L 07/19/18 HODES GREENSTEIN & LITWIN 785 18WC 26164 VEGA, MILAGROS ROUNDY'S SUPERMARKETS INC 07/07/18 ANKIN LAW OFFICE 786 18WC 26200 SLATER-TERRELL, CHERIDA AUNT MARTHA'S HLTH & WELL 05/29/18 CORNFIELD & FELDMAN 787 18WC 26217 CAZARES, VICTOR STERLING LUMBER 01/02/18 HENNESSY & ROACH PC 788 18WC 26262 SALEFSKI, CHAD COOK COUNTY SHERIFF'S DEP 08/19/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 789 18WC 26290 RAMSEY, KRISHAWNA CHICAGO TRANSIT AUTHORITY 08/18/18 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 790 18WC 26312 SWARRAY, MUSA CONGRESS PLAZA HOTEL 07/21/18 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 791 18WC 26340 NICACIO, J HONORIO RAMIRE CHICAGO WINDOWS CONSTRUCT 06/01/18 JONATHAN SCHLACK 792 18WC 26381 GAINES, RITA ASHLEY FURNITURE 08/26/18 DWORKIN AND MACIARIELLO WOLF LAW LTD 793 18WC 26418 LOCKRIDGE, CLOVIA J ILLINOIS TOLLWAY @ 10/08/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 794 18WC 26434 DEVER, JAMES STATE OF ILLINOIS/ IDOT @ 06/27/18 THE FITZ LAW GROUP 795 18WC 26451 COLON, EDWIN SYSCO FOODS SERVICES-CHIC 06/26/18 GOLDBERG WEISMAN & CAIRO L 796 18WC 26501 HOBBS, ALISA Y JEWEL FOOD STORES 04/11/18 GALLAGHER, DONALD V 797 18WC 26515 PEGUES, BERTHA CITY OF CHICAGO DEPT OF F 08/09/18 ANKIN LAW OFFICE 798 18WC 26612 LAZARO GARCIA, JORGE LUIS INTEGRATED INDUSTRIES 05/29/18 SAUNDERS CONDON & KENNY KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 799 18WC 26630 YANCE, CRYSTAL COOK COUNTY RISK MANAGEME 04/24/18 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 800 18WC 33443 005 PORTILLO, SOCORRO CITY OF CHICAGO 10/30/18 HETHERINGTON KARPEL BOBBER 005 12WC022429 -C 005 12WC022430 -C 801 18WC 33619 SCHNEYR, ROBERT VERITIV * 10/24/18 DAVID W MARTAY 802 18WC 33641 EDWARDS, KATHERINE COOK COUNTY FOREST PRESER * 08/18/17 CUDA LAW OFFICES FOREST PRESERVE DIST COOK CO 803 18WC 33658 LEVANDOWSKI, LAWRENCE MORRISON CONSTRUCTION * 12/01/17 ORENSTEIN & ASSOCIATES 804 18WC 33703 ALCOCER, MIRIAM OSI INDUSTRIES * 10/26/18 DWORKIN AND MACIARIELLO 805 18WC 33727 RAMIREZ, AGUSTIN H-GRADE WELDING * 01/19/18 FREDRICK B BARDER, LTD 806 18WC 33764 WADDICK, DAWN CAPITAL ONE * 11/01/17 STEVEN J MALMAN & ASSOCIAT 807 18WC 33787 CASTRO, ALMANDO TENENBAUM TRUE VALUE HARD * 09/17/18 ANGELINI & ORI LLC 808 18WC 33806 REED, BYRON CTA * 02/12/16 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 809 18WC 33829 ARROYO, ARNULFO ALLIED METAL * 10/31/18 HERRERA LAW CENTER GANAN & SHAPIRO 810 18WC 33848 FABILA, DIEGO LEND LEASE * 06/22/18 LEONARD LAW GROUP LLC 811 18WC 33884 POTOSKI, CHAD WASTE MANAGEMENT * 04/30/18 DWORKIN AND MACIARIELLO 812 18WC 33901 LARA, OMAR CROWN STAFFING * 05/26/17 TAXMAN POLLOCK RODDY LAW LTD 813 18WC 33929 CARSON, KENNETH UPS * 08/28/18 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 814 18WC 33957 BARNETT, ERIN M COMPASS GORUP NORTH AMERI * 10/26/18 RUBIN LAW GROUP 815 18WC 33982 STARKS, BRUCE L METROPOLITAN PIER AND * 12/28/17 WEISS & WEISS LAW OFFICES 816 18WC 33996 RIVERA, ANTONIO TRI-STATE DISPOSAL * 11/06/17 LEONARD LAW GROUP LLC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 817 18WC 34025 HOWARD, DENZEL SHURE INC * 08/02/18 DWORKIN AND MACIARIELLO 818 18WC 34054 BLACK, LAWRENCE JONES LANG LASALLE INCORP * 08/11/17 BRIAN J MC MANUS & ASSOC, 819 18WC 34079 SILVA, FIORELA ADVANCE AUTO PARTS INC * 07/05/18 ANKIN LAW OFFICE 820 18WC 34103 NELSON, DERRICK FOREST PRESERVE OF COOK C * 05/29/18 HANNIGAN & BOTHA, LTD FOREST PRESERVE DIST COOK CO 821 18WC 34126 GAUDET, JOHN MEADE ELECTRIC * 05/07/18 BLEAKNEY & TROIANI RUSIN & MACIOROWSKI LTD 822 18WC 34151 WILLIAMS, TIMOTHY CPS * 10/31/18 TIMOTHY HENDERSON CHGO BOARD OF EDUCATION 823 18WC 34178 ZEGAR, PAUL GEARY ELECTRIC * 12/12/16 CAPUANI, FRANK S 824 18WC 34205 MCDANIEL, TERRANCE JEWEL FOODS * 07/09/18 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 825 18WC 34212 AGUILAR, ROBERT CITY OF CHICAGO * 11/07/17 WILLIAM H MARTAY 826 18WC 34233 HUFF, CINDY CTA * 10/23/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 827 18WC 34256 MARTINEZ, ALEJANDRO TARGET-GLENVIEW #1167 * 11/11/18 ESR LAW GROUP 828 18WC 34276 JUAREZ, ANGEL SEGERDAHL GROUP * 08/01/18 SEIDMAN MARGULIS & FAIRMAN 829 18WC 34298 JOHNSON, REGINA KINDRED HOSPITAL * 11/02/18 STEVEN J MALMAN & ASSOCIAT ARNETT LAW GROUP 830 18WC 34348 MARTINEZ, ERENDIRA DOLLAR TREE * 10/31/18 EDWIN REYES LAW FIRM BRYCE DOWNEY & LENKOV LLC 831 18WC 34364 SNYDER-PIETZ, SANDY EVANSTON/SKOKIE * 09/24/18 ADLER & ADLER 832 18WC 34393 BAILEY-MURRAY, KEVIN GOLD STANDARD BAKING, CO * 07/29/18 RUBENS KRESS MULHOLLAND 833 18WC 34402 FOYLE, KENNETH IROQUOIS PAVING * 10/16/18 SANDMAN LEVY & PETRICH 834 18WC 34421 TRUJILLO, MIRIAM SHORELINE SIGHTSEEING * 09/06/18 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 835 18WC 34446 MARTINEZ, JAVIER JOSEPH FOUND PRODUCTS * 11/07/18 COSTA IVONE LLC 836 18WC 34512 SHEA, JAMES P SOUTHWEST AIRLINES * 11/01/18 ROMANUCCI & BLANDIN 837 18WC 34550 NORIEGA, JOSE EDGAR CLINGAN STEEL, INC * 06/23/18 O'CONNOR & NAKOS ROSARIO CIBELLA 838 18WC 34565 HURD, CHARLES COMMUNITY CONSOLIDATED * 11/12/18 ELFENBAUM EVERS & AMARILIO 839 18WC 34588 MORENO, JOSE COMMERCIAL PALLET INC * 11/08/18 CHEPOV & SCOTT LLC 840 18WC 34617 BAKER, DEMETRIUS LIVING FRESH MARKET * 11/06/18 DWORKIN AND MACIARIELLO 841 18WC 34641 CHRISTMAS, KIERRA PACE SUBURBAN BUS * 11/12/18 GOLDSTEIN AIOSSA & GOOD 842 18WC 34672 MOORE, RASHAAN SUPERIOR AIR GROUND * 11/15/18 STEVEN B SALK & ASSOC LTD POWER & CRONIN LTD 843 18WC 34698 ALVAREZ, FERNANDO ALPHA BAKERY CO INC * 10/02/18 OSVALDO RODRIGUEZ PC MACIOROWSKI SACKMANN & ULRIC 844 18WC 34727 JONES, TRAVIS THE INGALLS MEMORIAL HOSP * 09/05/18 HETHERINGTON KARPEL BOBBER 845 18WC 34766 ESCOBEDO, PAULA SPECIALTY FINISHING GROUP * 09/05/18 COSTA IVONE LLC ROSARIO CIBELLA 846 18WC 34783 AJAJ, AMAL LSG SKY CHEF * 11/03/18 LEONARD LAW GROUP LLC 847 18WC 34828 SZUBA, MIECZYSLAW LUKASZ OR CONSTRUCTION CO * 08/31/18 KURASCH & KLEIN, LTD 848 18WC 34849 GONAZALEZ, MARY LOU UNITED CONTINENTAL HOLDIN * 10/03/18 KATZ FRIEDMAN EAGLE ET AL 849 18WC 34878 FUNES TOMAS, FRANCISCO AU COCHIARO & CICHIARO INC * 09/25/18 JONATHAN SCHLACK 850 18WC 34956 VANDERHOFF, ARTHUR NAPLETON'S ARLINGTON HEIG * 07/13/18 COSTA IVONE LLC 851 18WC 34978 MONTGOMERY, DONALD DOLLAR GENERAL * 10/25/18 ALEKSY BELCHER LEAHY EISENBERG & FRAENKEL 852 18WC 34997 REEVES, ROBERT HEIDELBERG AMERICAS, INC * 06/13/16 HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 853 18WC 35014 SALCEDO, SERGIO LSI STEEL PROCESSING, * 09/21/18 BRUSTIN & LUNDBLAD LTD 854 18WC 35033 GARRISON, CHARMICA CTA * 11/17/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 855 18WC 35061 ROGERS, SEAN CTA * 11/15/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 856 18WC 35090 CARLI, GIOVANNA ISMIE MUTUAL INSURANCE CO * 07/21/17 MICHAEL M WOJITAS 857 18WC 35121 DIXON, LORRAINE RESTAURANT PERSONNEL, INC * 06/19/17 COHN LAMBERT RYAN & SCHNEI 858 18WC 35162 GARAY, JOEL THE MID 11/18/18 KATZ FRIEDMAN EAGLE ET AL 859 18WC 35163 CURYLO, ARTUR MATAN'S PAINTING & DECORA * 10/26/18 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 860 18WC 35199 PEREZ, MARISOL WINSTON BRANDS * 11/26/18 VASILATOS & COTTER LLC 861 18WC 35233 CHAVEZ, DENNIS BRINK'S * 11/27/18 DWORKIN AND MACIARIELLO 862 18WC 35259 BARNES, NASTASSIA GENERATIONS HEALTHCARE * 11/22/18 ANKIN LAW OFFICE 863 18WC 35290 RAMIREZ, JACINTO COOPERS HAWK * 04/22/18 JOHN S. ELIASIK 864 18WC 35313 MALLOY, KEVIN CITY OF CHICAGO- * 11/06/18 ARGIONIS & ASSOCIATES LLC 865 18WC 35331 ARNOLD, ARCHIBALD LKQ KEYSTONE * 06/06/18 SHELDON I MINKOW & ASSOCIA BRYCE DOWNEY & LENKOV LLC 866 18WC 35400 LEE, NEENA SCHOOL DISTRICT 162 * 11/02/18 MAINARD LAW OFFICE 867 18WC 35419 YOUNG, VICTORIA AUTO WAREHOUSE * 11/20/18 ANGELINI & ORI LLC 868 18WC 35434 CHEN, DINGHUI UPS * 11/06/18 LEONARD LAW GROUP LLC 869 18WC 35450 BUFFONE, ALDO MARUICHI LEAVITT PIPE & * 10/02/18 ELFENBAUM EVERS & AMARILIO 870 18WC 35475 DIXON, RANDY ATLAS EMPLOYMENT SERVICES * 06/24/18 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 CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 871 18WC 35498 WIDMAIER, MICHAEL AT&T, INC * 03/17/18 GOLDBERG WEISMAN & CAIRO L 872 18WC 35520 MCKENZIE, WYSHEEN UNITED AIRLINES INC. * 10/10/18 SOSTRIN AND SOSTRIN PC 873 18WC 35541 WILSON, SAFORD ST DENTAL LAB * 11/26/18 MARC J SHUMAN & ASSOCIATES 874 18WC 35552 LIPSON, JEFFREY HMS INTERNATIONAL * 04/03/18 BALKE & WILLIAMS 875 18WC 35589 BARBER, DONALD UPS * 09/12/18 LEONARD LAW GROUP LLC 876 18WC 35712 BENFORD, MARY CHICAGO TRANSIT AUTHORITY * 11/30/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 877 18WC 35735 BACKSTROM, TERRI CHICAGO PUBLIC SCHOOLS * 10/15/18 DAVID W MARTAY 878 18WC 35755 GAKHAL, ARVINDERA CENTRAL TRANSPORT LLC * 08/01/18 GRAUER & KRIEGEL LLC HINSHAW & CULBERTSON 879 18WC 35774 MAYERS, ASNETH STANDARD PARKING * 09/13/18 DWORKIN AND MACIARIELLO 880 18WC 35792 BEDNARZ, MAGDALENA UNITED PARCEL SERVICE * 11/20/18 LANNON LANNON & BARR LTD 881 18WC 35812 REYES, MARINO J&J SNACK FOODS CORP/ * 10/25/18 RICHARD E ALEKSY 882 18WC 35838 YUNGA, VICTOR M&M NEW CONSTRUCTION * 12/05/18 ESR LAW GROUP 883 18WC 35873 WATKINS, WILLIE C VARGAS GROUP INC * 11/30/18 ANKIN LAW OFFICE 884 18WC 35894 SPAHIU, DIONIS PROSPECT AIRPORT SERVICES * 01/20/17 SMOLER LAW OFFICE, PC 885 18WC 35914 KOONCE, GWENDOLYN EVERGREEN LIVING AND REHA * 09/02/18 VRDOLYAK LAW GROUP LLC 886 18WC 35943 DEDEKIND, MICHAEL IPEG THERMAL CARE * 09/28/18 SANDMAN LEVY & PETRICH 887 18WC 35958 CLARK, DENISE CHICAGO PUBLIC SCHOOLS * 10/03/18 KEVIN O'BRIEN 888 18WC 35984 LOCKHART, KEITH CHICAGO PUBLIC SCHOOLS * 11/27/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 889 18WC 36010 JEFFERSON, NELSON CLUTTER, INC * 10/25/18 SCOTT B SHAPIRO 890 18WC 36070 GREEN, DAHU O FERRARA PAN CANDY COMPANY * 08/17/18 GALLAGHER, DONALD V 891 18WC 36118 DEROSSETT, ALLEN CLASSIC AIR INC * 10/11/18 HORWITZ HORWITZ & ASSOC 892 18WC 36145 GALVEZ, ABNER PERSONNEL STAFFING GROUP, * 11/29/18 STEVEN B SALK & ASSOC LTD 893 18WC 36170 CAMACHO, GERARDO GROOT INDUSTRIES * 02/11/16 WIEDNER & MCAULIFFE LTD 894 18WC 36186 ALEJO-VAZQUEZ, HEVER E & R POWDER COATING INC. * 06/28/18 COSTA IVONE LLC 895 18WC 36215 SARMIENTO, RODRIGO ARAGON ARMS HOTEL * 11/26/18 HERRERA LAW CENTER 896 18WC 36237 QUINN, JOE UNITED AIRLINES * 11/17/18 SAUNDERS CONDON & KENNY 897 18WC 36281 DREW, JASON EXELON * 05/07/17 HENNESSY & ROACH PC 898 18WC 36318 MOSLEY, DEANDRE S ELITE STAFFING * 12/05/18 VITELL & SPITZ LTD 899 18WC 36346 RAMIREZ, OMAR DEALER TIRES LLC * 11/29/18 DWORKIN AND MACIARIELLO 900 18WC 36363 HUBER, RICHARD J VILLAGE OF BRIDGEVIEW * 08/25/18 THOMAS W DUDA 901 18WC 36391 WOJDYLA, DARLENE KINDRED HOSPITAL CHGO CEN * 05/05/18 ROBERT WARSASKI 902 18WC 36457 SIMMONS, RONICE FEDEX * 10/29/18 DAMISCH & DAMISCH LTD 903 18WC 36507 BUSH, CEDRIC C FIVE STAR LAUNDRY * 11/29/18 TIMOTHY HENDERSON 904 18WC 36529 ANDRZEJEWSKI, SAM ESSANAY STUDIO & LIGHTING * 06/26/17 RODDY LAW LTD 905 18WC 36554 UNJOM, MYRA CCSD #15 * 01/08/18 SEIDMAN MARGULIS & FAIRMAN 906 18WC 36616 RICE, KATHERINE WHITE CASTLE * 05/12/18 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 01/18/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 907 18WC 36632 ROBERSON, MARIAN BELLWOOD SCHOOL DISTRICT * 11/30/18 THERMAN LAW OFFICES 908 18WC 36656 FOLARIN, OLAJIRE US TAXI CO * 09/13/18 RYAN ROSENTHAL 909 18WC 36721 BROWN, LINDA BELLHAVEN NURSING & * 12/05/18 ANKIN LAW OFFICE 910 18WC 36740 DE JESUS, JOSE UNITED CONTINENTAL HLDGS, * 07/22/18 KATZ FRIEDMAN EAGLE ET AL 911 18WC 36772 STEPHENSON, ARCHIE SOUTHWEST AIRLINES CO * 11/10/18 RUBENS KRESS MULHOLLAND