ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 47324 19B OWEN, STELLA ST OF IL DEPT OF HUMAN SE @ 07/10/01 HORWITZ HORWITZ & ASSOC STATE OF ILLINOIS 2 05WC 09919 MUNOZ, SOCORRO EDO JAPANESE RESTAURANT W 02/18/05 MCNAMARA PHELAN MCSTEEN, L 3 05WC 15765 GRANT, BRIAN PIPEVISION W 12/21/04 SCHWEICKERT & GANASSIN BLOCK, BLOCK & KLUKAS P.C. 4 05WC 19198 19B-1 VERKLAN, RICHARD AHRENS CONCRETE PAVING LL 02/04/05 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 5 05WC 27326 ZAYED, AZZAM BUTCHERS CHOICE AND DONAL W 05/13/05 BLOCK, BLOCK & KLUKAS P.C. 6 06WC 25517 MARTINEZ, ROSARIO ULTA 08/13/04 THOMAS R LICHTEN 06WC025518 -C 13WC020828 -C 13WC020829 -C 7 06WC 30285 ENRIQUES, JOANNA EMPRESS CASINO 06/09/06 SCHWEICKERT & GANASSIN KLAUKE LAW GROUP LLC 06WC041146 -C 8 06WC 32506 19B REED, LISA COLLISION REVISION 09/13/05 DAN COLLINS LAW FIRM RUSIN & MACIOROWSKI LTD 9 07WC 00644 WEAVER, SHARON JOLIET PETROLEUM #2087 W 12/02/06 COHN LAMBERT RYAN & SCHNEI 10 07WC 17868 CANCEL, DIANE LOWE'S 09/09/05 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 11 08WC 02057 HARRIS, ROGER L STAFFMARK 09/12/07 LAW OFFICE OF ROBERT E BUR RUSIN & MACIOROWSKI LTD 08WC021461 -C 12 08WC 02424 BARFIELD, BRENDA STATE OF ILLINOIS @ 01/13/07 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 13 08WC 11587 BRORSEN, BRUCE INEOS AMERICAS LLC 10/01/07 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 14 08WC 23102 SIBERT, JOSEPH STATESVILLE CORRECTIONAL @ 04/24/08 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 15 08WC 27063 PATRICK, CHERYL ST OF IL DEPT OFSTATE POL @ 12/05/06 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 16 08WC 27303 JOHNSON, JEANETTE ILLINOIS DEPARTMENT OF @ 12/06/07 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 08WC 43288 DAMON, BARRY STATEOF ILLINOIS @ 08/04/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 18 08WC 44663 SANCHEZ, MANUEL ATRIUM 11/01/05 FITZ & TALLON LTD THOMAS & ASSOCIATES 19 08WC 48821 DARSIPUDI, VIJAI ILLINOIS DEPARTMENT 09/06/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC026435 -C IL DEPT OF CORRECTIONS 10WC032100 -C 12WC029763 -C 20 09WC 03939 KASSENOFF, CATHY ATI PHYSICAL THERAPY 08/25/08 SOSTRIN AND SOSTRIN PC LAW OFFICES OF EDWARD J. KOZ 21 09WC 15598 LONG, ROBERT STATE OF ILLINOIS @ 04/30/06 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 22 09WC 24532 SCHMIDT, LINDA STATE OF IL DJJ IYC JOLET @ 05/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 23 09WC 30158 MITCHELL, SHIRLEY ADDUS HEALTHCARE 05/12/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 11WC044977 -C 24 09WC 39271 MCLELLAND, ERIC P IL DEPT OF CORRECTIONS- @ 08/09/09 MCNAMARA PHELAN MCSTEEN, L ASSISTANT ATTORNEY GENERAL 25 09WC 42449 CARR, XAVIER HOME CHOICE 07/27/09 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 26 10WC 00658 HOWARD, CAROL J FAMILY CHRISTIAN STORES 10/08/09 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 27 10WC 03328 SILVA, KATHERINE PARTY CITY 06/09/09 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 12WC035221 -C 28 10WC 06898 VERONESI, SHARON LEE MONREAL D/B/A AMERICA W 06/10/09 BLOCK, KLUKAS & MANZELLA P 29 10WC 08234 KERR, HAMPTON ILLINOIS DEPT OF CORRECTI @ 02/06/10 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 13WC024823 -C IL DEPT OF CORRECTIONS 30 10WC 11186 MCGAUGHY, SARAH SALEM VILLAGE NURSING HOM 02/07/10 BLOCK, KLUKAS & MANZELLA P THOMAS & PORTELA 31 10WC 11536 SCHWARZ, DALE STATE OF ILLINOIS 01/01/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 32 10WC 12596 WILDA, CARL STATE OF ILLINOIS DEPT @ 03/10/10 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 10WC 14150 REEVES, JODY SARAH MINI-MART W 01/07/10 HORWITZ HORWITZ & ASSOC 34 10WC 26624 JABLONSKI, GWEN LHK PARTNERS 02/19/10 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 10WC042401 -C 35 10WC 27067 NILES, LEE FAMILY DOLLAR 05/11/10 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 36 10WC 34651 COOPER, MEGAN STATE OF ILLINOIS @ 08/19/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 37 10WC 35765 YOUNG, JAMES J&M FORKLIFT 08/05/10 BURNES & LIBMAN HENNESSY & ROACH PC 38 10WC 36396 GARVEY, TERRANCE ST OF IL DJJ IYC JOLIET @ 03/30/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 39 10WC 36705 HIBLER, MICHAEL JOLIET FIRE DEPARTMENT 06/16/10 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 40 10WC 40448 WALKER, ROBERT GROUP O SUPPLY CHAIN/CATE 09/30/10 BLOCK, KLUKAS & MANZELLA P KNELL LAW LLC 41 10WC 42018 AGUILAR, EVERADO CASTRO'S LANDSCAPING W 09/29/10 KATZ FRIEDMAN EAGLE ET AL 42 10WC 43042 KAPP, WILLIAM WILL COUNTY SHERIFF'S DEP 07/29/00 SAUNDERS CONDON & KENNY HINSHAW & CULBERTSON 43 10WC 44020 GADBOIS, CINDY JEWEL-OSCO 04/08/10 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 44 10WC 44607 SZORC, KRZYSTOF ILLINOIS DEPARTMENT @ 08/12/10 R. MARK MARITOTE PC ASSISTANT ATTORNEY GENERAL 45 10WC 46973 NUNEZ, JESUS R & S DRYWALL CORP 11/09/10 HEALY LAW FIRM RUSIN & MACIOROWSKI LTD 46 11WC 06549 SPRINGER, ALISA STATE OF ILLINOIS @ 01/18/11 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 47 11WC 17171 TORRES, PHILIP WILL COUNTY HEALTH DPT 10/08/08 TONY L BRASEL HINSHAW & CULBERTSON 48 11WC 18457 RODRIGUEZ, JOSE VLG OF NEW LENOX 08/02/09 DWORKIN & MACIARIELLO SLAVIN & SLAVIN 11WC018458 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 11WC 22989 GRAY, DOUGLAS BMS ENTERPRISES 11/02/09 COHN LAMBERT RYAN & SCHNEI CASSANO & ASSOCIATES 50 11WC 26379 WATSON, RAY ORANGE CRUSH LLC 10/26/10 HORWITZ HORWITZ & ASSOC NICHOLAS M. BIGONESS 11WC026380 -C 51 11WC 29518 TAYLOR, DANIELLE STATE OF ILLINOIS @ 04/27/11 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 52 11WC 32470 MORENO, NICOLASA ELITE STAFFING 12/08/10 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 13WC001992 -C 16WC000915 -C 16WC011993 -C 17WC029525 -C 53 11WC 35365 LEON, NATALIE PNC BANK 02/01/11 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 54 11WC 42953 GOMEZ, JUAN UNITED LANDSCAPE SERVICE 07/06/11 RANDALL A WOLFF & ASSOC. L HENNESSY & ROACH PC 55 11WC 44860 JOHNSON, BILLY ST OF IL DEPT OF CORRECTI 11/05/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 56 11WC 46988 19B PITTMAN, TONY JOLIET SCHOOL DISTRICT #8 06/02/10 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 11WC046989 -C 11WC046990 -C 57 11WC 48491 VANDYKE, MARGARET WILL COUNTY COMMUNITY 08/16/11 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 58 12WC 02941 SALAZAR, SONJA SALEM VILLAGE 12/07/11 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 59 12WC 07344 MUDRON, PATRICIA PROVENA ST JOSEPH 08/10/11 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 60 12WC 08617 SHANKLE, JOHN RISELING MOTOR EXPRESS 01/26/12 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 13WC016835 -C 61 12WC 11493 THOMPSON, TONY DEDICATED LOGISTICS 03/10/12 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 62 12WC 12503 MOYERS, JEFFREY LIGHTNING MOTORS W 12/26/11 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 63 12WC 13702 LOPEZ, VALENTIN STATEVILLE CORRECTIONAL C @ 01/14/12 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 12WC 14835 SCHWARZ, DALE ST OF IL, DEPT OF CORRECT @ 05/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 65 12WC 21596 BRONKE, BRIAN RR DONNELLY 05/14/12 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 12WC021597 -C 13WC024555 -C 66 12WC 23223 VERTIZ, GUSTAVO GAYTAN SIGNS W 06/20/12 CULLEN HASKINS NICHOLSON 67 12WC 23443 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 05/17/11 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 13WC030720 -C 13WC030721 -C 14WC012145 -C 16WC027616 -C 68 12WC 23630 SHORE, CAROL SILVER CROSS HOSPITAL 10/17/11 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 69 12WC 27085 LOPEZ-RANGEL, ALEXCI SDLR ENTERTAINMENT INC D/ W 12/10/11 GALLIANI DOELL & COZZI LTD RATHBUN CSEVENYAK & KOZOL 70 12WC 27374 DINTERMAN, EVAN CEDAR ELECTRIC @ W 06/06/12 SAUNDERS CONDON & KENNY LEITER LAW OFFICES 71 12WC 28183 19B MUFICH, MARK ILLINOIS DEPARTMENT @ 11/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 72 12WC 28823 SCISSOM, CAROLYN UNITED CEREBRAL PALSY OF 09/19/11 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 73 12WC 31557 STOKES JR, SAMUEL L JOLIET HOUSING AUTHORITY 02/23/12 BRIAN T MORROW, LAW OFFICE THOMAS & ASSOCIATES 74 12WC 32772 GORDON, LAWRENCE ILLINOIS DEPARTMENT OF @ 04/28/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 13WC020953 -C ST OF IL DEPT OF CORRECTIO 75 12WC 34936 LARMON, DANIEL M METROPOLITAN TRUCKING 08/11/11 ROMANUCCI & BLANDIN STONE & JOHNSON CHARTERED 76 12WC 39146 WAHLMAN, JAMES DIRECTSAT USA LLC 12/12/11 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 77 12WC 40461 RODRIQUEZ, JOSE VILLAGE OF NEW LENOX 05/15/12 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 78 12WC 42872 REYNOLDS, SAMUEL S F.E. MORAN 04/08/08 CORTI ALEKSY & CASTANEDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 12WC 44174 LOFTIS, JOY L COUNTY OF WILL 09/12/12 FABRIZIO, HANSON PEYLA ET WIEDNER & MCAULIFFE LTD 80 12WC 44416 OLSON, DARRELL COAL CITY MUNICIPAL CORP 10/06/12 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 15WC003263 -C 81 12WC 44442 LEWIS, JAMES F RECALL SECURE D 11/26/12 MARKER & ASSOCIATES HOLECEK & ASSOCIATES 82 13WC 03113 SIZEMORE, LESLIE PANERA BREAD 09/24/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 83 13WC 04712 HOUSTON, BENJAMIN IL DEPT OF CORRECTIONS 10/02/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 14WC023839 -C IDOC STATESVILLE PRISON 84 13WC 06429 TINOCO, CARBAJAL ANGEL JU SIMOS INSOURCING SOLUTION 05/13/12 COSTA IVONE LLC LAW OFFICES FRANCESCA LARSEN 85 13WC 09165 ZEPEDA, JESUS DESTINY ENTERPRISE INTL/ W 03/13/13 JAMES ELLIS GUMBINER & ASS 86 13WC 10089 ZAMUDIO, NORA HARRAHS CASINO 07/13/12 BRISKMAN BRISKMAN GREENBER NOBLE & ASSOC 16WC005216 -C 87 13WC 12180 QUINONES, JOSE A.S.G. STAFFING INC 04/03/13 RATHBUN CSEVENYAK & KOZOL LAW OFFICE HUGO ORTIZ 88 13WC 15790 PARRA, MARIA UNISTAFF, INC 12/04/12 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 89 13WC 16350 DU CHARME, WILLIAM ST OF ILL DEPT OF CORRECT @ 02/13/13 RATHBUN, CSERUVENYAK & KRO ASSISTANT ATTORNEY GENERAL 90 13WC 16405 JORGENSEN, JAKE R ST OF IL STATEVILLE PRISO @ 03/30/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 91 13WC 18851 BARRERA, ELVIRA UNIQUE MAILING SERVICE IN 05/12/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES OF EDWARD J. KOZ 13WC018852 -C 92 13WC 18989 LUTZ, PAUL M ST OF IL DEPT OF CORRECTI @ 08/30/12 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 93 13WC 19788 HARTKORN, CRAIG AMEX NOOTER, LLC 05/11/13 SCHWEICKERT & GANASSIN KNELL LAW LLC 94 13WC 23420 PRAWDZIK, GREG HOMER TOWNSHIP FIRE 03/29/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 14WC029423 -C 95 13WC 23687 NALLEY, MICHAEL D COUNTY OF WILL 06/26/12 CIARDELLI CUMMINGS CAMPAGN KNELL & O'CONNOR 96 13WC 25891 ROBB, MARY PACE 04/26/13 LAW OFFICE DAVID W CLARK POWER & CRONIN LTD 97 13WC 27459 SUMNER, JEFFREY CASSENS TRANSPORT COMPANY 11/10/11 ANGELINI & ORI LLC KNAPP, OHL & GREEN 13WC031452 -C 15WC025707 -C 98 13WC 27953 HILL, JACOB IMPERIAL MARBLE 07/17/13 BLOCK, KLUKAS & MANZELLA P 99 13WC 30661 MC GEE, DAVID STATEVILLE CORRECTIONAL C 09/11/12 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 100 13WC 32284 SANCHEZ, BLANCA DIAGEO GLOBAL SUPPLY 04/01/12 HORWITZ HORWITZ & ASSOC 13WC034123 -C 101 13WC 32668 REID, CHARLES VITRAN EXPRESS CORPORATIO 02/27/13 KARCHMAR & STONE COZZI & GOGGIN-WARD 13WC032669 -C 102 13WC 35156 DRWAL, JOSEPH ADMIN STEWART SPREADING INC # 09/09/13 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 13WC037925 -C 103 13WC 35166 JONES, PATRICK ILLINOIS DEPARTMENT OF @ 05/26/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 104 13WC 36456 MANOS, JOHN P ATLANTIC PLANT SERVICES 06/04/13 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 105 13WC 37547 ZIEGLER, BETTE ILLINOIS TOLL 10/06/13 ANGELINI & ORI LLC GANAN & SHAPIRO 106 13WC 38443 WEATHERSBY, BRIAN ST OF IL C/O STATEVILLE @ 07/17/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 107 13WC 39100 ROXBERG, BRYAN BARTON CARROLS 11/01/13 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 13WC 40018 MILLER, WANZA AMERICAN INN LODGE & SUIT 11/02/13 MARSZALEK AND MARSZALEK PERRY GENTILE 109 13WC 40968 JORDAN, JOEY M STATEVILLE CORRECTION CEN @ 04/17/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC041517 -C 14WC027527 -C 16WC010389 -C 110 13WC 41469 PINA, JOSE WC TRANSPORT, INC. 10/15/13 111 13WC 42499 FERGUSON, THOMAS GENERAL MACHINE AND TOOL 07/02/12 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 112 14WC 00320 SMOJEK, RAY C RAM FIRE PROTECTION 11/26/13 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 113 14WC 00381 SCHREMSER, ANTHONY X DECE POWER DISTRIBUTING LLC 03/25/13 JOHN P GOGGIN GANAN & SHAPIRO 114 14WC 00498 DICOSOLA, THOMAS TRADESMAN INTERNATIONAL 12/09/13 SALVATO & O'TOOLE 115 14WC 01897 WALSH, MICHELLE SILVE CROSS HOSPITAL 11/06/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 116 14WC 02484 MAC FADGEN, PEGGY OSWEGO SCHOOL DIST 308 08/26/13 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 117 14WC 02590 WILLIAMS, RHONDA ST OF IL DOC PAROLE DEPT @ 12/11/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 118 14WC 02658 LEE, WHITNEY ILLINOIS DEPT OF CORRECTI 01/17/14 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 14WC027215 -C STATEVILLE CORRECTIONAL 119 14WC 04430 MC FARLAND, RANDALL L STATE OF ILLINOIS DOC @ 12/25/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 120 14WC 07012 VALDEZ, MARISSA JOHA 07/01/13 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 121 14WC 08270 ANGEL, GUDELIA WILTON BRANDS INC 01/20/14 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 122 14WC 09596 FAULKNER-PRIDE, CLORINDA SILVER CROSS HOSPITAL 02/04/14 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 123 14WC 10825 ANDERSON, DJ RACHETTI'S PIZZA 05/03/13 CORTINA & MUELLER 124 14WC 11837 SMITH, GALE L ILLINOIS STATE POLICE @ 10/25/12 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 14WC 12823 WEICHMANN, THOMAS B AT MECHANICAL LLC 02/14/14 ANGELINI & ORI LLC THOMAS & ASSOCIATES 126 14WC 13544 COOLEY, NICOLE SILVER CROSS HOSPITAL 09/18/13 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 127 14WC 13881 JENNINGS, DWAYNE ILLINOIS STATE POLICE 04/03/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 15WC004300 -C ST OF IL DEPT OF 128 14WC 14500 VANWERT, DONNA WILL COUNTY FOREST PRESER 03/04/13 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 16WC006318 -C 129 14WC 14739 STANFORD, LARRY H. CALUMET LIFT TRUCK SERVIC 11/27/13 FABRIZIO, HANSON & PEYLA WOLFE & JACOBSON, LTD 130 14WC 15352 NATOUR, MAITHAM D & N TRANSPORTATION 02/20/14 SEIDMAN MARGULIS & FAIRMAN 131 14WC 17967 MANNING, GERMAINE STATESVILLE CORRECTIONAL @ 05/19/14 SHELDON I MINKOW & ASSOCIA ASSISTANT ATTORNEY GENERAL 132 14WC 18312 MARTINEZ, ARNULFO PURPLE ONION INC 05/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 133 14WC 19989 GARCIA, DANIEL NIEVES BRODER BROTHERS 11/21/13 CHRISTINE F DAVID HOLECEK & ASSOCIATES 134 14WC 20078 ALVARADO, MARIA ELENA STAFFMARK AND SONY MUSIC 11/21/11 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 135 14WC 20825 AGUIRRE, GONZALO ASG STAFFING INC 06/12/14 OSVALDO RODRIGUEZ PC FRANCIS J DISCIPIO LAW OFFIC 136 14WC 21367 19B CORTEZ, ROGELIO AJ OSTER 11/19/13 RATHBUN CSEVENYAK & KOZOL HEYL ROYSTER VOELKER & ALLEN 137 14WC 21714 SANTORO, THOMAS ENERGY SERVICES AIR 01/01/14 VRDOLYAK LAW GROUP LLC EVANS & DIXON 138 14WC 22738 ANDE, DARLEEN K STATE OF IL @ 03/11/14 GOLDBERG WEISMAN & CAIRO L 139 14WC 23553 DONALD, JEAN STATE OF ILLINOIS @ 03/05/14 KUMLIN & FROMM ASSISTANT ATTORNEY GENERAL 140 14WC 23598 MANDAT, RHONDA ISLAND CITY REHAB CENTER 12/20/13 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 15WC005423 -C APERION CARE WILMINGTON 141 14WC 24140 TOWNSEND, JAMES E JB HUNT TRANSPORT INC 12/14/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 14WC 24789 O'DONNELL, MARIA WALMART 03/24/14 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 143 14WC 24921 HUBBERT, DAVID QSC CONTRACTING LLC 06/27/14 LAW OFFICE OF SCOTT B SHAP 144 14WC 26132 THORSON, MICHELE OSWEGO CUSD 308 01/20/12 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM GRA 145 14WC 29042 LEWIS, UNIQEK SHELBY SCHOLARS DAYCARE 1 06/21/14 LAW OFFICE OF SCOTT B SHAP 14WC029043 -C 146 14WC 29157 QUINONEZ, CORINA MENARD'S 12/01/11 MCNAMARA PHELAN MCSTEEN LL EVANS & DIXON 147 14WC 30287 SERRANO, JUAN M EWING TRUCKING INC 07/21/14 CULLEN HASKINS NICHOLSON SALVATO & O'TOOLE 148 14WC 30741 GARCIA, RICARDO LOGOPLASTE 03/22/14 LAW OFFICES TIMOTHY LAMPIN LAW OFFICES JOSEPH MARCINIAK 149 14WC 31597 SINANOSKI, ISA TVI LOGISTICS AND W 07/28/14 BART DURHAM 150 14WC 31885 REYNA, LORETTA SOUTHWEST AIRLINES 08/15/13 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 151 14WC 32173 CERDA, SLAVADOR PEACOCK 06/11/14 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK 152 14WC 32208 MOORE, LORENZO REINHART 09/07/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 16WC000890 -C US FOODS 153 14WC 32330 BERRY, DONRASOUL ILLINOIS TOOL WORKS 06/17/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 154 14WC 32481 JONES, JENNIFER ULTA 07/28/14 THE FITZ LAW GROUP RUSIN & MACIOROWSKI LTD 155 14WC 33331 ROSALES, CHRISTIAN ELITE STAFFING 05/18/14 EPSTEIN, JACK R LAW OFFICE MARC CAIRO 156 14WC 34124 KING, JONATHAN ORKIN 07/14/14 MCCARTHY ROWDEN & BAKER BRADY CONNOLLY & MASUDA PC 157 14WC 35149 KULAK, JAN FIRST WEST EXPRESS 09/30/14 CHEPOV & SCOTT LLC 158 14WC 37682 ROBINSON, CHARLES JOLIET JOB CORPS 12/29/13 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 159 14WC 38074 PARISI, LINDA STATEVILLE PRISON 01/08/14 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 14WC 38917 PFISTER, WILLIAM C WESTWAY COACH 08/22/14 FABRIZIO, HANSON & PEYLA GALLIANI DOELL & COZZI LTD 161 14WC 38968 PESAVENTO, DAVID KOMATSU FORKLIFT USA 10/22/14 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC 162 14WC 39005 LOPEZ, MARIO E NRG 09/02/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 163 14WC 40649 SALERNO, ROBERT J JR FIVE STAR TENNIS CENTER 10/02/14 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 164 14WC 42119 NADELA, PEDRO PRESENCE PHYSICAL THERAPY 07/10/13 NYHAN BAMBRICK KINZIE & LOWR 165 14WC 43575 MARTIN, RHONDA VALLEY VIEW SCHOOL 10/31/14 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 166 14WC 43608 GOC, PETER PIONEER MECHANICAL 10/08/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 167 15WC 00065 MAHONEY, SUSAN MICHAELS 09/20/14 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 168 15WC 01172 GIBSON, ERIC ST OF IL C/O STATEVILLE @ 07/08/13 PETER C KOPOULOS ILLINOIS ATTORNEY GENERAL 169 15WC 01474 CUNDIFF, ROBERT PREMIERE ON BOARD 11/26/14 LEONARD LAW GROUP LLC 170 15WC 02051 GREEN, CHARLES JOLIET GRADE SCHOOL DIST 09/15/14 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 15WC002052 -C 16WC002270 -C 171 15WC 02234 DANZELL, NICOLE GRAND PRAIRIE TRANSIT 01/15/15 TAMVAKIS, GEORGE L 172 15WC 03103 GOINS, MARQUITA J. ELITE STAFFING INC. 01/23/15 ANDREW P DOMAN GOLDBERG SEGALLA LLC 16WC015898 -C 173 15WC 03276 RAGUSA, PHIL IL DEPT OF TRANSPORTATION 07/25/14 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 174 15WC 04442 COLLINS, TAWAII M ST. JAMES WELLNESS 02/01/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 175 15WC 04801 GASKIN, SANDRA VALLEY VIEW SCHOOL DIST 3 10/02/14 ANKIN LAW OFFICE KNELL & O'CONNOR 18WC002072 -C 176 15WC 05221 BRAMEL, MARK PREMIER EMPLOYEE SOLUTION 01/15/15 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 15WC 05529 DIAZ, LAURA INNOTRAC 09/03/14 LAW OFFICES MICHAEL HELLMA LAW OFFICES JOSEPH MARCINIAK 178 15WC 05756 PERSSON, NICHOLAUS E TERRY'S FORD OF PEOTONE 10/16/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 179 15WC 06262 DORNER, SANDRA MENARD, INC 09/23/14 VRDOLYAK LAW GROUP LLC EVANS & DIXON 15WC006263 -C 180 15WC 06825 ARNOLD, SAM F JR US COLD STORAGE 01/25/15 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 181 15WC 06946 QUINN, JOSEPH STATE OF ILLINOIS - IDOT @ 01/27/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 182 15WC 07561 FERGUSON, STACEY MASSAGE ENVY 06/22/14 MARC J SHUMAN & ASSOCIATES WOLFE & JACOBSON, LTD 183 15WC 07723 NOVELLI, DEBORAH L THERAPY CARE LTD 05/29/14 VRDOLYAK LAW GROUP LLC JOSEPH MARCINIAK 184 15WC 08072 MIKAITIS, WILLIAM M.D. ADVOCATE MEDICAL GROUP 02/09/15 JOHNSON, MICHAEL D & ASSOC NYHAN BAMBRICK KINZIE & LOWR 185 15WC 08231 SALGADO, MARTIN LABOR TEMPS 03/03/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 186 15WC 08361 BROWN, DARLENE IL DOC - STATEVILLE @ 01/22/13 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 187 15WC 10260 STOVALL, STEPHEN CITY OF JOLIET DEPT. 02/24/15 RIDGE & DOWNES ROSARIO CIBELLA 16WC012084 -C 188 15WC 10446 ABERNATHY, CAROLYN-WIDOW STATEVILLE CORRECTIONAL C 03/05/15 HORWITZ HORWITZ & ASSOC MALLORY ZIMET 17WC007304 -C 189 15WC 10506 HOUSE, CALLIE JB HUNT 02/09/15 DWORKIN AND MACIARIELLO GRANT & FANNING 190 15WC 11671 CLARK, PAMELA FIRST MIDWEST BANK 02/13/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 191 15WC 12103 KIRINCICH, JANINA GRUNDY COUNTY SPECIAL ED 01/08/10 RATHBUN CSEVENYAK & KOZOL 192 15WC 13009 MOFFETT, CASSANDRA VALLEYVIEW SCHOOL 12/02/14 JAMES J. GAY KNELL O'CONNOR DANIELWICZ 193 15WC 13097 REDD, GREGORY STATE OF ILLINOIS @ 03/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 15WC 13304 BARTLETT, AMY STATE OF ILLINOIS 03/07/14 GOLDBERG WEISMAN & CAIRO L ILLINOIS ATTORNEY GENERAL 195 15WC 13588 MORGAN, CHRISTOPHER S SOLVAY 04/05/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 18WC003134 -C 196 15WC 13634 OLBERA, DANIEL KEYWEST METAL 04/10/15 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 197 15WC 13813 ALLEN, DEBRA MORNING STAR MISSION 08/21/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 198 15WC 14055 19B PANEGA, JODY MR BULT'S, INC 03/05/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 199 15WC 15320 MICHON, MICHAEL O'HARE TOWING SERVICE 03/10/15 MEYERS & FLOWERS RIPES NELSON BAGGOT KALOBRAT 200 15WC 15509 CROSIER, THOMAS A & R CARE CARE D/B/A 03/19/15 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 201 15WC 15644 ALAMOS, RAMON KENT PRECISION FOODS GROU 04/24/15 LUIS A ACEVES & ASSOC MICHAEL BEST & FRIEDRICH LLC 202 15WC 15958 WADE-ENGLISH, SHERRI IL DEPT OF CORRECTIONS 04/09/15 WOODRUFF & JOHNSON JEANNINE SIMS 203 15WC 16087 RAMIREZ, MARIO THERMAL KINETICS CORP 06/16/14 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 204 15WC 16286 RAMIREZ, MARIO THERMAL KINETICS CORP 02/05/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 205 15WC 17145 CECI, JAMES MD MILLER TRUCKING 03/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 206 15WC 17573 MCCLELLAN, MARK ILLINOIS DOC PAROLE @ 12/09/14 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 207 15WC 18652 MITCHELL, SHIRLEY FIRSTGROUP AMERICA INC 05/19/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 208 15WC 18659 DUNMARS, SHAFIAH ST OF IL DOC STATEVILLE @ 05/11/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 209 15WC 19002 PRAWDZIK, GREGORY HOMER TWNSHP FIRE DISTRIC 11/07/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 210 15WC 20001 DOHERTY, WILLIAM IDOT 02/26/15 EVAN A HUGHES LAW OFFICE ILLINOIS ATTORNEY GENERAL 211 15WC 20796 GARCIA, ALICIA ELITE STAFFING 10/24/14 JOHN J CASTANEDA MARC CAIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 15WC 22123 KEANE, MICHAEL HOME DEPOT 01/19/14 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC 213 15WC 22437 JIMENEZ, RICARDO ELITE STAFFING INC 06/08/15 CHEPOV & SCOTT LLC GOLDBERG SEGALLA LLC 214 15WC 22452 HANEY, REBECCA HELP AT HOME INC. 06/25/14 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 215 15WC 23501 SANCHEZ, JOSE MENDOZA LAKEWOOD CARPENTRY SERVIC 06/25/15 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 216 15WC 24869 CORRALES, JAVIER BARTEL BLDG MAINTENANCE W 06/10/15 CHEPOV & SCOTT LLC MCNAMARA PHELAN MCSTEEN LLC 217 15WC 25756 HOWEN, ROBERT NORTHERN ILLINOIS STEEL S 02/17/15 SCHWEICKERT & GANASSIN POULOS & DIBENEDETTO LAW 218 15WC 26086 VAUGHN, MICHAEL MIDWAY INDUSTRIAL 07/02/15 LITCHFIELD CAVO 219 15WC 26264 FAVIA, FRANK JEWEL OSCO 03/08/15 WOODRUFF & JOHNSON 220 15WC 26352 GOMEZ, BENJAMIN WEST LIBERTY FOODS 06/12/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 221 15WC 26511 LEE, ANTOINE STAFF FORCE 07/28/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 222 15WC 26871 MELQUIADES, GIOVANNI D&D MANUFACTURING, INC. 11/19/14 DEPAOLO ZADEIKIS GORE 223 15WC 27497 TINDLE, RICHARD ECOLAB 07/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 224 15WC 27907 RIVERA, JUAN DAVIS STAFFING 08/11/15 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC 225 15WC 28440 BEY, PATRICIA JOLIET PUBLIC SCHOOLS 06/10/15 ANKIN LAW OFFICE ROSARIO CIBELLA 226 15WC 28962 RUSS, MARY RML SPECIALTY HOSPITAL 02/16/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 15WC028963 -C 227 15WC 29084 HERNANDEZ, JOSEFINA DISTRICT 202 08/04/15 BART DURHAM INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 15WC 29488 STACY, BRENDA AUTOBAHN COUNTRY CLUB 07/02/09 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 229 15WC 29587 RINEHART, JOHN ITW DELTAR FUEL SYSTEMS 08/31/15 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 15WC029588 -C 230 15WC 31164 RIVERA, GREGORY BOLINGBROOK COLD STORAGE 07/17/15 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 231 15WC 31654 NYSTROM , JODI L LINCOLN WAY SPECIAL EDUCA 09/11/15 FIGLIOLI, DAVID INMAN & FITZGIBBONS 232 15WC 31723 TRIPLETT, SHANEICE STAFFING NETWORK 09/19/15 SHELDON I MINKOW & ASSOCIA SLAVIN & SLAVIN 233 15WC 32503 MANRIQUE, AYDE BERGSTROM 08/16/15 COSTA IVONE LLC WOLFE & JACOBSON, LTD 234 15WC 32696 SAYAGO, MARGARITA ELITE STAFFING 09/14/15 DWORKIN AND MACIARIELLO 235 15WC 32735 GARCIA, RUBEN RASNER ENTERPRISES, INC 05/07/15 RUEDA, IVAN A 236 15WC 33434 JURASITS, JASON 101 LODERS CROKLAAN INC 05/13/15 DEPAOLO & ZADEIKIS ROSARIO CIBELLA 237 15WC 34017 KOCHINSKY, VERONICA M LINCOLN-WAY SCHOOL 03/13/14 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 15WC034018 -C 238 15WC 34517 DROWER, DOLORES PLAINFIELD SCHOOL 01/23/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 239 15WC 34792 DENT, MICHAEL A XPO LOGISTICS 06/24/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 240 15WC 34893 PAYNE, JANET PRESENCE HEALTH CARE SYST 03/04/14 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 241 15WC 35216 THIESSE, ANDREW STATE OF ILLINOIS @ 08/06/14 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 242 15WC 35591 FLYNN, MARK STATE OF IL, DEPT OF @ 07/24/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTY GENERAL 243 15WC 35605 URQUIZA, ALMA ADVENTIST BOLINGBROOK 02/11/15 JONATHAN SCHLACK STONE & JOHNSON CHARTERED 15WC035606 -C 244 15WC 36043 NESE, RICHARD PERFORMANCE FOOD GROUP, I 10/20/15 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 15WC 36485 GULYBAN, CYNTHIA L KOHL'S DEPARTMENT STORE # 12/03/14 O'CONNOR & NAKOS HENNESSY & ROACH PC 246 15WC 36773 KESKE, BONNIE PLAINFIELD SCHOOL DIST 20 01/16/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 247 15WC 36990 MORROW, REGINALD BANNER PERSONNEL SERVICE 11/01/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 248 15WC 37955 OLAGUEZ, MIGUEL A CENTRAL GROCERS INC 12/24/13 KELLY & KING ROSARIO CIBELLA 249 15WC 38313 QUINTANA, JAIME ELITE STAFFING 11/11/15 BART DURHAM GAROFALO SCHREIBER STORM GRA 250 15WC 39106 GUTIERREZ, ANTONIO QUANTUM CROSSINGS 10/29/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 251 15WC 39478 PUTRICH, MICHAEL WILL COUNTY SHERIFF DEPT 10/29/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 252 15WC 39637 MURRAY, KEITH JOLIET PARK DISTRIC 11/20/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 253 15WC 41586 WARSAW, RICHARD W SOLVAY USA 12/11/15 KATZ FRIEDMAN EAGLE ET AL 254 15WC 42593 EGGLESTON, CIERA D&U UNITED CORP 10/26/15 PORRO NIERMANN LAW GROUP KURT E. VRAGEL JR PC 15WC042595 -C SDVD/SKIRDOVIDA CORP 255 16WC 00330 LARSON, DONALD CATERPILLAR INC 11/17/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 256 16WC 00790 LACKEY, KRISTOPHER OSWEGO FIRE DISTRICT 3 06/13/15 GOLDBERG WEISMAN & CAIRO L 257 16WC 00921 VILLAGOMEZ, LILIA HICKORY FARMS DIST CTRAND 09/25/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 258 16WC 03183 VAZQUEZ, MARIA Y MACNEIL AUTO PRODUCTS LTD 12/07/15 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 17WC002024 -C WEATHER TECH 259 16WC 03523 WEIS, JALAYNE PLAINFIELD SCHOOL DIST 20 03/10/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 260 16WC 03775 MARINO, DON JOLIET PUBLIC SCHOOL 01/04/16 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 261 16WC 03843 19B STEFANICH, DEANNA RYDER INTEGRATED LOGISTIC 01/21/16 HEALY SCANLON LAW FIRM HEYL ROYSTER VOELKER & ALLEN 262 16WC 04320 KOTALIK, DARLINE JEWEL-OSCO 12/23/15 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 16WC 04809 PARKER, RICKIE ASPLUNDH TREE EXPERT CO 01/20/16 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 264 16WC 04971 REEDER, WILLIAM LABOR READY 01/29/16 MARC J SHUMAN & ASSOCIATES BRADY CONNOLLY & MASUDA PC 265 16WC 05008 AMEGASHIE, THEORDORE K LODERS CROKLAAN USA LLC 02/05/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 266 16WC 05009 AMEGASHIE, THEODORE K LODERS CROKLAAN USA LLC 04/10/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 267 16WC 05657 GALL, BRADLEY EDON CONSTRUCTION 11/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 268 16WC 06059 GIVENS, ESELINA "DOLLY" ILLINOIS DEPT OF CORRECTI @ 01/19/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 269 16WC 07020 HORN, JAMES I H SERVICES INC 02/12/16 LAW OFFICES TIMOTHY HENDER WIEDNER & MCAULIFFE LTD 16WC007021 -C 270 16WC 07040 CARVER, JAMES DISCOUNT TIRE 02/03/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 19WC002295 -C 271 16WC 07453 DELGADO, JOSE GAYTAN SIGNS 03/06/13 LAW OFFICE HUGO ORTIZ 272 16WC 08327 MASCOTE, NICAULY AXCESS STAFFING 10/29/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 273 16WC 08447 CUELLAR, JOSE ELITE LOGISTIC SERVICES 11/02/15 SALGADO, DAVID L 274 16WC 08732 SCOLES, JASON RIGGS DISTIER 01/22/16 ROBIN LAW OFFICE 275 16WC 08771 NUNEZ, CHERYL JOLIET HIGH SCHOOL 01/19/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 276 16WC 08778 STRICKLIN, ALYSSA NETCYCLER INC. 01/17/16 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 277 16WC 08867 BLAKNEY, RALPH J B HUNT TRANSPORT INC 11/16/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 278 16WC 08957 NEWELL, DEBBRA FARRAGUT ELEMENTRY SCHOOL 09/10/15 STROM, NEAL B HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 16WC 09167 HICKS, CHARLES JOLIET SCHOOL 03/01/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 280 16WC 09774 LOPEZ, MINERVA AMERISOURCE BERGIN 10/20/15 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 16WC011985 -C 16WC036226 -C 281 16WC 10132 STRAGAND, LORRINE EXECUTO ADVANTAGE SOLUTIONS 03/09/16 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 282 16WC 10578 MC CABE, MARK W CITY OF JOLIET 03/10/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 283 16WC 10617 MCCOLLUM, MATTHEW SYBARIS CLUB 06/10/15 KARCHMAR & STONE HOLECEK & ASSOCIATES 284 16WC 10909 MURPHY, ROBERT MARIANOS' 03/25/15 GOLDBERG WEISMAN & CAIRO L 285 16WC 10928 JACKSON, TERESA JEWEL-OSCO 11/30/15 SAUNDERS CONDON & KENNY 286 16WC 11199 BANKS, SAMITRA SILVER CROSS HOSPITAL 03/09/16 STEWART C ORZOFF MACIOROWSKI SACKMANN & ULRIC 287 16WC 12219 WIRTH, NORRINE XPO LOGISTICS, INC 08/25/15 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 16WC035504 -C 288 16WC 12655 DODSON, ROBERT A JR BECTON DICKINSON & COMPAN 09/11/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM GRA 289 16WC 13986 GUTIERREZ, MICHAEL GUARDIAN ANGEL COMMUNITY 12/04/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 290 16WC 14043 SUYKO, BRIAN J SCHWAN'S CONSUMER BRANDS 03/29/16 MENDOZA LAW PC GAROFALO SCHREIBER STORM GRA 291 16WC 15641 FRANCO, ARELI RUBI IL SEC OF STATE DRIVER SE @ 04/09/16 PARENTE & NOREM PC MALLORY ZIMET 292 16WC 15903 GABOR, WILLIAM ECE NEXXIA CORPORATION 03/21/16 STROM, NEAL B 293 16WC 16285 GIARDINA, EVAN J JB HUNT TRANSPORT INC 02/02/16 KAVANAGH GRUMLEY & GORBOLD GRANT & FANNING 294 16WC 16333 RODRIGUEZ, ORLANDO CLEAN HARBOR'S ENVIRONMEN 04/28/16 MC HARGUE & JONES EVANS & DIXON 295 16WC 16760 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 01/26/16 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 16WC 16795 TROYNER-SANDERS, RHONDA JOLIET STAFFING/TRADER JO 04/11/16 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 297 16WC 16906 ARELLANO, ART CITY OF JOLIET 03/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 298 16WC 17183 WERRY, JOHN FAIRBANKS SCALES, INC. 01/14/15 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 299 16WC 17273 SCHLUETER, KATHY WEATHERTECH 10/14/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 16WC017452 -C 300 16WC 18115 RILEY, JERRY FAMILY LOGISTIC INC 04/28/16 FINE, MARK S LAW OFFICES 301 16WC 18887 SCHUSTER, MICHAEL TURNER INDUSTRIES GRP, LL 12/10/13 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 302 16WC 19108 CHANEY, BILL USF HOLLAND 06/09/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 303 16WC 19442 MATLOCK, CARLOS D CITY OF JOLIET POLICE DEP 03/01/16 PARENTE & NOREM PC KNELL & O'CONNOR 304 16WC 20609 MC CASLAND, MICHAEL SEARS HOLDING COMPANY 06/07/16 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 305 16WC 20674 SOSA, DOMINIQUE COVIDIAN AND METRONIC 06/15/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 306 16WC 20808 SANDERS, KATHLEEN PROGRESSIVE PETROLEUM 02/15/16 307 16WC 21751 NUCI, ALFONSO CLARENCE DAVIDS & COMPANY 06/15/15 RUBIN MACHADO ROSENBLUM RUSIN & MACIOROWSKI LTD 308 16WC 21884 DICKS, KAYLUM J.B. HUNT TRANSPORT 02/23/15 DEAN J CARAS & ASSOCIATES GRANT & FANNING 309 16WC 21942 19B TESTERMAN, LITTLE JOHN ALLTECH DECORATING 07/08/16 RUBENS AND KRESS GANAN & SHAPIRO 310 16WC 22073 JOHNSON, STEPHEN SCHWAB PAPER PRODUCTS CO 07/06/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 311 16WC 22210 FRASSIONE, DAWN DAVITA 03/16/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 312 16WC 22498 MULARSKI, JAMES G & W ELECTRIC 06/29/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 313 16WC 22500 TYRELL, KATHY JOLIET TOWNSHIP HIGH SCHO 02/16/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 16WC 22561 CASTELLI, MASHALE MACY'S 04/29/16 RATHBUN CSEVENYAK & KOZOL ROBERT L. SMITH 315 16WC 22813 GRIFFIN, SHANTINA ONE HOPE UNITED 04/25/16 MARC J SHUMAN & ASSOCIATES 316 16WC 23265 AMMONS, THEODORE DIY GROUP, INC 07/20/16 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 317 16WC 23305 GONZALEZ, MARTHA TRIUNE LOGISTICS LLC 07/21/16 ANKIN LAW OFFICE LITCHFIELD CAVO 318 16WC 24617 DOYLE, WILLIAM DYWIDAG SYSTEMS INTL USA 07/15/16 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 319 16WC 24717 DALY, MICHAEL HUDSON BOILER 06/21/16 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 320 16WC 24729 PIROFALO, VICTOR SALISBURY BY HONEYWELL 05/09/16 SHANNON LAW GROUP MC ANDREWS & NORGLE LLC 321 16WC 24750 LEHNERT, THERESA MINOOKA COMMUNITY HIGH SC 09/17/15 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 322 16WC 24974 SIMMS, TERRENCE METRO STAFFING, INCORPORA 08/08/16 WEISS & WEISS LAW OFFICES FRANCIS J DISCIPIO LAW OFFIC 323 16WC 25056 GUIDO, TIMOTHY PROFESSIONAL MEDICAL WARE 07/20/16 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 324 16WC 25261 ARMOR, JULIE SILVER CROSS HOSPITAL 06/28/13 LEE, MARK N LAW OFFICE 325 16WC 25274 HARSY, DON AARON ILLINOIS STATE POLICE @ 05/20/16 HARRIS & JONES MALLORY ZIMET 326 16WC 25311 PERRITANO, ANTHONY SMITH CROSSING SENIOR LIV 06/29/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 16WC026595 -C 327 16WC 25534 MORATAYA, WILLIAM STATEVILLE CORRECTIONAL @ 07/09/16 VRDOLYAK LAW GROUP LLC MALLORY ZIMET 328 16WC 25566 SCHOENBECK, CANDACE HOMER SCHOOL DISTRICT 33C 06/03/15 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 329 16WC 26128 SALAJ, DARIUSZ J NATIONAL DPC LLC 08/09/16 LEWUN & KAIS LTD ARNETT LAW GROUP 330 16WC 26443 GARCIA, AGUSTINA UNISTAFF 06/28/16 PORRO NIERMANN LAW GROUP LITCHFIELD CAVO 331 16WC 26526 WILLIAMS, CANTIERRA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 332 16WC 26649 CORTINA, ELVIA BOB'S DISCOUNT FURNITURE 07/26/16 SALK, STEVEN B & ASSOC LTD 333 16WC 27179 BORGES, ISMAEL ILLINOIS DEPARTMENT OF @ 07/08/16 BRUCE RAFALSON LTD ASSISTANT ATTORNEY GENERAL 334 16WC 27293 IRONS, TRACIE ELITE STAFFING 06/16/16 DWORKIN AND MACIARIELLO 335 16WC 27336 MOTA, GABRIELLA STATE OF IL DOC STATEVILL @ 07/20/16 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 17WC023448 -C 336 16WC 27486 HURD, JOHN D PACRAIL 06/12/16 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 337 16WC 27503 MORALES, ANA EXCEL BUILDING SERVICES, 05/25/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 338 16WC 27565 PUPPILO, NANCY ALDI-OSWEGO 12/01/14 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 339 16WC 27566 PUPPILO, NANCY ALDI-OSWEGO 04/10/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 340 16WC 27682 MCWILLIAMS, SUSAN PALLADIUM ENERGY GROUP/ 07/23/15 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 341 16WC 27798 BADALI, JEAN KOHL'S 06/30/16 RUBIN LAW GROUP HENNESSY & ROACH PC 342 16WC 27922 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SRVC 09/22/14 CHEPOV & SCOTT LLC INMAN & FITZGIBBONS 16WC039410 -C 343 16WC 28047 REYES, ESMERALDA, ESTATE ORTNER CONSTRUCTION INC # 08/07/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 344 16WC 28170 ARMSTRONG, DEBRA OSWEGO SCHOOL DISTRICT 01/21/15 BURNETT & CARON, LTD ROSARIO CIBELLA 345 16WC 28358 HEINZ, AMANDA DUNKIN' DONUTS 09/14/16 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 346 16WC 28453 SMART, MARQUE M CENTRAL GROCERS, INC 03/25/15 ANKIN LAW OFFICE ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 16WC 29331 AGBEMAPLE, CYRIL ECOLAB 09/21/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 348 16WC 30131 HORVAT, COURTNEY SILVER CROSS HOSPITAL 09/15/15 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 16WC030132 -C 349 16WC 30143 CARDENAS, ROBERT SURESTAFF 09/13/16 MC HARGUE & JONES SURE-STAFF 350 16WC 30179 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 09/21/16 DAVID SZCZECIN & ASSOC 351 16WC 31014 PETEK, GUILLERMINA HELP AT HOME 01/06/16 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 18WC037934 -C 352 16WC 31338 19B MANCARI, LINDA J SPECIAL TOUCH CLEANING CO 09/19/16 PARENTE & NOREM PC ACCIDENT FUND HOLDINGS 353 16WC 32076 HERNANDEZ, THELMA FIS 09/20/16 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 354 16WC 32113 HULME, ROBIN MEIJER 06/01/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 355 16WC 32345 CRABTREE, ERIC CUSTOM CULINARY 09/30/16 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 16WC032346 -C 356 16WC 32803 ROJAS, RAFAEL RADIAC ABRASIVES, INC 01/15/16 CHEPOV & SCOTT LLC 357 16WC 33138 KITTLING, LASANDRA HELP AT HOME 05/04/16 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC 17WC009446 -C 358 16WC 33346 WILKINS, CLINTON COUNTY OF WILL 10/05/16 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 359 16WC 33376 AVEZZANO, LORI GOLD STANDARD ENTERPRISES 02/18/16 CIARDELLI CUMMINGS CAMPAGN COZZI & GOGGIN-WARD 360 16WC 33454 CHANCELOR, MICHAEL C LABOR TEMPS 10/13/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 361 16WC 33697 SMITH, MICHAEL J (BROTHER AGL RESOURCES/NICOR GAS C 10/11/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 362 16WC 34108 SNEDEKER, ROBERT ENERFAB, INC 11/10/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES OF EDWARD J. KOZ 363 16WC 34268 PIPER, JOHN OSHKOSH SPECIALTY VECHILE 11/11/13 BRISKMAN BRISKMAN GREENBER GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 16WC 34298 COLFFELT, PETER A RED TOP SERVICES, INC 07/11/16 PARENTE & NOREM PC GANAN & SHAPIRO 365 16WC 34557 RUIZ, CASANDRA WEATHERTECH/MACNEIL AUTOM 08/25/16 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 366 16WC 35292 OBSCURA, MARIA PLAINFIELD SCHOOL DIST 20 10/14/16 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 367 16WC 35336 HORTON, EDNA ALLEGIANCE STAFFING 10/04/16 CULLEN HASKINS NICHOLSON 368 16WC 35415 WHITSON, AARON FAJITAS MEXICAN RESTAURAN W 06/02/16 WOLFE LAW PC SAM CUBA LAW OFFICE 369 16WC 35544 MCCLEAN, KEVIN BCU ELECTRIC 10/27/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 370 16WC 35701 HOLZAEPFEL, ERIC H TYCO INTEGRATED SECURITY 11/10/16 SPIROS LAW PC MACIOROWSKI SACKMANN & ULRIC 371 16WC 35782 MUNIZ-RAMOS, ALEXANDRO NFI INDUSTRIES 11/18/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 372 16WC 35949 GRACIDA, MAURICIO DUTCH AMERICAN FOODS 06/30/16 MC HARGUE & JONES HENNESSY & ROACH PC 18WC030841 -C 373 16WC 35998 TRAVIS, JEANIE WILTON INDUSTRIES 11/07/16 DAVID W MARTAY WOLFE & JACOBSON, LTD 374 16WC 36704 VENZOR, LAZARO ARGUELLO CORPORATION 08/08/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 375 16WC 36750 COMPTON, DUANE SHIPPERS WAREHOUSE 11/19/16 SOSTRIN AND SOSTRIN PC 376 16WC 36944 GLUSAK, MICHAEL SAFELITE AUTOGLASS 10/21/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 377 16WC 37707 JOHNSON, ESPERANZA THE ARC OF IROQUOIS COUNT 10/19/16 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 378 16WC 37793 OGDEN, ROBERT WERNER ENTERPRISE 08/26/16 PETER F FERRACUTI & ASSOCI SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 379 16WC 38385 HARMS, ALAN CASSENS TRANSPORT COMPANY 11/14/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 380 16WC 38670 TATE, VICTORIA PARAMOUNT STAFFING 12/05/16 DISPARTI LAW GROUP PA SCOPELITIS GARVIN LIGHT 16WC039084 -C 381 16WC 39088 MCFEDRIES, ROBERT A LOCKPORT TOWNSHIP HIGH SC 12/07/16 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 382 16WC 39437 FIGUEROA, SUJEY PREMIER EMPLOYEE SOLUTION 10/24/16 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 383 17WC 00309 GUERRERO, BARBARA WILL COUNTY CLERK OFFICE 12/23/16 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 384 17WC 00754 CARRASQUILLO, ISMAEL KUUSAKOSKI 01/04/17 MC HARGUE & JONES HOLECEK & ASSOCIATES 385 17WC 00850 KELLY, CHRIS AREA ERECTORS 01/06/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 386 17WC 00885 BRACKETT, SCOTT JOLIET STAFFING 10/23/16 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 17WC000895 -C 387 17WC 01143 HOFBAUER, VALERIE ILL DEPT OF CORRRECTIONS @ 12/06/16 COPELAND FINN & FIERI LTD MALLORY ZIMET 388 17WC 01189 LATHAN, PAUL HOME DEPOT 12/24/16 ASHER, RAYMOND L LTD ADELSON TESTAN BRUNDO 389 17WC 01366 THE ESTATEPF CLARENCE WOR QC COMMUNICATIONS 11/16/16 DWORKIN AND MACIARIELLO 390 17WC 01725 LEMIEUX, RICHARD PROFESSIONAL TRANSPORTATI 12/12/16 ROMANUCCI & BLANDIN QUINTAIROS PRIETO WOOD & BOY 391 17WC 01746 RILEY, JEREMY LIBERTY COLD STORAGE 01/05/17 MARC J SHUMAN & ASSOCIATES 392 17WC 01849 DIAZ, CECILIA HICKORY FARM 08/31/16 LEONARDO MORALES HOLECEK & ASSOCIATES 393 17WC 01902 BYAS-LURGIO, JESSICA ADAMS AND ASSOC JOLIET JO 01/04/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 394 17WC 01986 MCCORMACK, EDWARD HOMER TOWNSHIP FORE PROTE 04/26/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 18WC019475 -C HOME TOWNSHIP 395 17WC 02200 LAMBERT, DANIELLE J.B. HUNT TRANSPORT SVCES 07/09/16 ANESI OZMON RODIN NOVAK KO KRAKER FANNING & OLSEN 17WC004222 -C JB HUNT TRANSPORT SVCS, IN 396 17WC 02386 CONDON, ADAM S JAY MORRIS TRUCKING 12/02/16 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 397 17WC 02603 VEGA, MARIA DEL ROSARIO READERLINK DISTRIBUTION 12/12/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 398 17WC 02761 JOHNSON, ERIC CITY OF JOLIET 01/10/17 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 399 17WC 02793 HILL, AARON CITY OF JOLIET 05/16/16 HETHERINGTON KARPEL BOBBER ROSARIO CIBELLA 400 17WC 02897 SMITH, BRANDT CATERPILLAR 02/01/14 SHANNON LAW GROUP GANAN & SHAPIRO 401 17WC 03225 THOMAS, JERROD TRI-STATE SCALE SYSTEMS 12/30/14 VRDOLYAK LAW GROUP LLC ROSARIO CIBELLA 402 17WC 03337 SALZER, JOHN A CHICAGO AEROSOL, LLC 09/13/16 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 403 17WC 03381 MANNING, GERMAINE STATESVILLE CORRECTIONAL 12/19/16 SHELDON I MINKOW & ASSOCIA MALLORY ZIMET 404 17WC 04130 MANNING, MICHELE JOLIET TOWNSHIP HS DIST 2 11/07/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 405 17WC 04373 CUEVAS, ANGELICA ELITE STAFFING 01/13/17 COSTA IVONE LLC 406 17WC 04614 THOMPSON, MARK FEDEX GROUND 12/17/15 MARKER & ASSOCIATES KOPKA, PINKUS DOLIN, PC 407 17WC 04647 HERNANDEZ, JOSE ANGEL PEACOCK ENGINEERING CO/ 01/30/17 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 408 17WC 04685 GUZIK, MARY BETH SILVER CROSS HOSPITAL 06/01/12 ROSS TYRRELL MACIOROWSKI SACKMANN & ULRIC 409 17WC 04733 PULIDO, JOSE MORFIN CONSTRUCTION 06/20/16 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 410 17WC 04786 KRESS, ALANNA STAFFING NETWORK 10/21/16 DAVID W MARTAY 411 17WC 05243 GLOWINKE, SCOTT VILLAGE OF UNIVERSITY PAR 11/18/16 O'CONNOR & NAKOS ODELSON & STERK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 412 17WC 05638 MALTROTTO, ROGER GALLAGHER ASPHALT CO 06/28/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 413 17WC 05899 YOUNG, DAVID AT&T 11/30/16 GOLDBERG WEISMAN & CAIRO L 414 17WC 05941 RAINE, THADDEUS XPO LOGISTICS 02/12/17 CORNFIELD & FELDMAN RUSIN & MACIOROWSKI LTD 17WC022703 -C 415 17WC 06520 CERWIN, STEVEN TRAVEL PILOT CENTER 08/24/16 LEITER LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 416 17WC 06557 BACOT, ANDRIA ILLINOIS DEPT O CORRECTIO @ 02/27/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 417 17WC 06811 HARTISON, DAVID B METRO STAFFING INCORPORAT 08/08/16 418 17WC 06921 GARCIA, PABLO MONROY AMERICAN BUILT SYSTEMS, I 12/16/16 LEO M. BLEIMAN & ASSOC 419 17WC 06963 KING, LANUNDRA WILL COUNTY HEALTH DEPART 09/01/16 HINSHAW & CULBERTSON 420 17WC 07301 NOLAN, WENDEE VALLET VIEW SCHOOL DIST 3 01/24/17 KURASCH & KLEIN, LTD KNELL & O'CONNOR 421 17WC 07324 LOEZZA, BIBIANO SEARS LOGISTICS 02/13/17 MARKER & ASSOCIATES BRADY CONNOLLY & MASUDA PC 422 17WC 07412 O'HARA, PATRICK CITY OF JOLIET FIRE DEPT 02/09/17 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 423 17WC 07472 SHELBY, ERIC HOME DEPOT RDC 5851 05/17/16 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 424 17WC 07517 MCDERMOTT, TROY NRJM INC 11/19/16 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 425 17WC 07581 EID, ABDALAZIZ LAKHA INVESTMENT, LLC 12/24/16 NOBLE & ASSOCIATES PC EVANS & DIXON 426 17WC 08040 ROMERO GONZALES, MARIO ELITE STAFFING 12/06/16 PORRO NIERMANN LAW GROUP 427 17WC 08189 SMALLEY, DONALD SIMOS LOGISTICS 01/12/17 MARKER & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 428 17WC 08346 NEAL, LISA AMAZON FULLFILLMENT CTR 03/01/17 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 429 17WC 08355 ALBA-CORTEZ, RAUL AHC MECHANICAL, INC 02/03/17 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 17WC 08403 RODRIGUEZ, GUADALUPE LOBOZ AND ASSOCIATES INC 12/01/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 431 17WC 08504 GONZALES, JOSE REYES ELITE STAFFING INC 03/02/17 CULLEN HASKINS NICHOLSON 432 17WC 08626 MARTEY, JOSEPHINE PRESENCE ST JOSEPH MED CT 08/01/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 17WC008627 -C 433 17WC 09262 MCADAMS, KELLY VINCA SOLUTIONS/HOME DEPO 09/20/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 434 17WC 09420 MORALES, PERLA ELITE STAFFING 02/24/17 CULLEN HASKINS NICHOLSON 435 17WC 09538 CARROLL, LENORE ALLERGY & ASTHMA ASSOCIAT 03/04/17 RIDGE & DOWNES GILDEA & COGHLAN 436 17WC 09565 STUKEL, JEREMY FRANKFORT FIRE DEPT 08/27/16 BLOCK, KLUKAS & MANZELLA P 437 17WC 09777 DIGAN, EDWARD CICERO PLASTIC PRODUCTS I 03/14/17 MC HARGUE & JONES HENNESSY & ROACH PC 438 17WC 10037 BORCHERT, MARK LEISURE HOURS HOBBIES 05/09/15 EFTEKHARI LAW OFFICES HOLECEK & ASSOCIATES 439 17WC 10202 CATZIN, LUIS AMERISOURCE BERGEN 12/14/16 AIOSSA LAW FIRM SPIEGEL & CAHILL, PC 440 17WC 10327 FIELDS, BRENDA WALMART 09/18/16 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY 441 17WC 10859 HIR, DANIEL VISION INTEGRATED GRAPHIC 10/13/16 SLAVIN & SLAVIN 442 17WC 10961 DE ANGELIS, LORRAINE ILLINOIS CENTRAL SCHOOL B 02/27/17 RATHBUN CSEVENYAK & KOZOL GILDEA & COGHLAN 443 17WC 11255 BAKKER, JUSTIN MOKENA FIRE PROTECTION 03/24/17 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 444 17WC 11277 RACKER, LESTER GRAND PRAIRIE TRANSIT- 04/04/17 ANKIN LAW OFFICE 445 17WC 11325 HERATH, RONALD ECOLAB 03/25/17 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 446 17WC 11387 HERATH, RONALD ECOLAB 06/06/16 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 447 17WC 11420 MULARSKI, JAMES G & W ELECTRIC 03/20/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 448 17WC 11504 SOSA, ELVIA ELITE STAFFING 02/02/17 449 17WC 11525 HAJKOWICZ, ERIK M VILLAGE OF UNIVERSITY PAR W 09/04/16 THOMAS W DUDA MONTANA & WELCH 450 17WC 11538 WILLIAMS-LASH, CRYSTAL AMAZON 02/19/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 451 17WC 11561 JOHNSON, ALICIA PRIME COMMUNICATIONS 1, I 09/23/16 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 452 17WC 11784 PATTERMANN, KEVIN TRIM TECH, INC 05/05/16 ROBERT L. SMITH LAW OFFICES JOSEPH MARCINIAK 453 17WC 11870 CAMPOS, FRANCISCO D CITY OF JOLIET 04/23/14 KROCKEY CERNUGEL COWGILL E 454 17WC 12021 JOHNSON, GEORGIA WORK NOW STAFFING 04/18/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 455 17WC 12157 GONZALEZ, MARCOS A MINUTE MEN STAFFING 01/17/17 HERRERA LAW CENTER POWER & CRONIN LTD 456 17WC 12714 LOPEZ, ALFREDO TUFFY AUTO SERVICE CENTER 09/22/16 MENDOZA LAW PC RUSIN & MACIOROWSKI LTD 457 17WC 12737 HEYWARD, SHEILA EDWARDS HOSPITAL & HEALTH 04/24/17 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 458 17WC 12973 TRIANA, SECILIO RAILWAY & INDUSTRIAL SERV 01/16/17 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 459 17WC 13299 CRUZ-LEZAMA, BENJAMIN PRESTIGE MAINTENANCE USA 08/05/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 460 17WC 13407 STARANOWICZ, REBECCA PRESENCE ST JOSEPH 04/19/17 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 461 17WC 13426 SANCHEZ, THELMA ELITE STAFFING, INC 04/21/17 LEONARD LAW GROUP LLC 462 17WC 13489 WAGNER,LUKE RIVER HEIGHTS 09/26/16 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 463 17WC 13761 BAUER, LINDA WALMART STORE #3400 12/09/16 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 464 17WC 14287 MEDINA, ANGEL SENOR TEQUILA W 01/13/17 CHEPOV & SCOTT LLC 17WC014288 -C 465 17WC 14344 GULLI, DANIEL I MANHATTAN FIRE PROTECTION 02/24/16 THOMAS W DUDA POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 466 17WC 14369 GAFFIELD, RICHARD JR CYBER BROADCASTING 04/12/17 SPIROS LAW PC GILDEA & COGHLAN 467 17WC 14716 OLSON, NATHAN D CONSTRUCTION INC 02/08/17 STANCZAK LAW OFFICES COZZI & GOGGIN-WARD 468 17WC 15043 SHERER, REVANN ECOLAB 08/09/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 469 17WC 15131 ELLIS, GREGORY SHARK SHREDDING & DOCUMEN 10/03/14 CRONIN & PETERS GANAN & SHAPIRO 470 17WC 15296 GREEN, ANDRE MEDTRONIC 12/17/16 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 471 17WC 15335 ROGERS, JASON VILLAGE OF PLAINFIELD 04/05/17 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 472 17WC 15534 SMITH, SAVANNAH TROY COMM CONSOL SD 30-C 10/27/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 473 17WC 15554 EDWARDS, ERIC ARBON STEEL & SERVICES CO 05/11/17 BRISKMAN BRISKMAN GREENBER GILDEA & COGHLAN 474 17WC 15568 SMITH, MELISSA AMAZON 01/13/17 MARTIN L GLINK LAW OFFICE WIEDNER & MCAULIFFE LTD 475 17WC 15615 BLACKBURN, KENDRICK FRESH THYME DISTRIBUTION 05/03/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 476 17WC 16052 MCCABE, MARK W CITY OF JOLIET 07/07/14 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 477 17WC 16186 GONZALEZ, ZUJEY ALPHABRODER 05/23/17 LAW OFFICE OF SCOTT B SHAP HOLECEK & ASSOCIATES 478 17WC 16232 MALINEK, CINDY GRAND PRAIRIE TRANSIT LOC 04/03/17 BRUGGEMAN HURST & ASSOC GALLIANI DOELL & COZZI LTD 479 17WC 16685 CRUZ, JOSE AIM NATIONAL LEASE 05/26/17 POLANSKY & CICHON CHTD INMAN & FITZGIBBONS 480 17WC 17045 GONZALEZ, MARIA E PEACOCK ENGINEERING 01/29/15 MCNAMARA PHELAN MCSTEEN LL HOLECEK & ASSOCIATES 481 17WC 17095 COOPER, ANTHONY S&S ACTIVEWEAR 04/04/17 482 17WC 17195 BROWN,B ILLY WASTE MANAGEMENT 02/24/17 RIDGE & DOWNES HENNESSY & ROACH PC 483 17WC 17202 HEDGE, BRET HOMER TOWNSHIP 03/23/17 THE ROMAKER LAW FIRM POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 17WC 17341 LAVIGNE, KENNETH WEST ROCK 04/07/17 SKLARE LAW GROUP SPIEGEL & CAHILL, PC 485 17WC 17428 MORGAN, LEIF NATIONAL DCP 04/06/17 LEONARD LAW GROUP LLC ARNETT LAW GROUP 486 17WC 17574 FILUS, TIM WILL COUNTY SHERIFF'S OFF 05/27/17 DAVID SZCZECIN & ASSOC 487 17WC 17594 PHILLIP, VINCENT STATE OF ILLINOIS @ 04/11/16 ROSENFELD HAFRON SHAPIRO F ASSISTANT ATTORNEY GENERAL 488 17WC 17649 VENTRELLA, CRISTINA V AMAZON 04/22/17 DANIEL PERIASWAMY 489 17WC 17711 JUAREZ, NICHOLAS STATEVILLE CORRECTIONAL C @ 08/02/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 490 17WC 17776 NELSON, MAURICE HOME DEPOT 06/05/17 FRANK A CELANI MC ANDREWS & NORGLE LLC 491 17WC 17831 GLYNN, BILL TYCO INTEGRATED SECURITY 09/30/15 EFTEKHARI LAW OFFICES 492 17WC 17880 RASMUSSEN, JAMES P WILL COUNTY CORORNER'S OF 10/01/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 493 17WC 17904 PALUCH, MARK REALISTIC LOGISTICS INC 04/30/15 RICHARD O. GREENFIELD RIPES NELSON BAGGOT KALOBRAT 494 17WC 18071 OWENS, SUSAN SILVER CROSS HOSPITAL 05/17/17 WOLFE LAW PC MACIOROWSKI SACKMANN & ULRIC 495 17WC 18091 QUINN, JOSEPH STATE OF ILLLINOIS @ 05/09/17 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 496 17WC 18151 CADENA, FERNANDO NC TRANSITION STAFFING CO 05/30/17 BART DURHAM GAROFALO SCHREIBER STORM GRA 497 17WC 18170 MARTINEZ, BERTHA CARRANZA RAYMOND MANAGEMENT COMPAN 01/05/17 STEWART C ORZOFF 498 17WC 18372 PANZICA, DOMINICK LINCOLN WAY HIGH SCHOOL 05/09/17 STEVEN J MALMAN & ASSOCIAT 499 17WC 18522 JONES, ROBERT E SR MILLENIUM METALS 11/28/16 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 500 17WC 18738 TASCONE, CARL LINCOLN WAY CENTRAL 05/26/16 RUSIN & MACIOROWSKI LTD 501 17WC 18815 SOSA, GIOVANNI AMAZING FULFILLMENT CENTE 04/05/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 17WC018816 -C AMAZON FULFILLMENT CENTER 502 17WC 18974 RUZENCEVS, ANDRIS BIG BEAR CARPENTRY 06/08/17 CRONIN & PETERS COZZI & GOGGIN-WARD 503 17WC 19022 FOWLER, TRAVIS J HOMEOWNERS BARGAIN OUTLET 06/01/17 KROCKEY CERNUGEL COWGILL E QUINTAIROS PRIETO WOOD & BOY 504 17WC 19057 HINTON, DWIGHT PRAIRIE CREEK LOGISTICS 10/26/16 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 505 17WC 19425 19B EBERLE, JULIE M WALMART STORES, INC 04/18/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 506 17WC 19446 POKORNIK, DAVID LOWES HOME CENTERS, INC 05/04/17 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 507 17WC 19537 NELSON, JACK JOSCO CONSTRUCTION SERVIC 03/27/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 508 17WC 19573 JACKSON-BERG, KATHY TRITON MANUFACTURING 04/07/17 DEPAOLO ZADEIKIS GORE BRADY, CONNOLLY & MASUDA, PC 509 17WC 19647 POE, GABRIELLE INDIVIDUAL ADVOCACY GROUP 06/27/17 ANGELINI & ORI LLC 510 17WC 19694 BIEL, ROBERT METROPOLITAN WATER 06/17/17 LAW OFFICE OF SCOTT B SHAP NOBLE & ASSOC 511 17WC 20660 MILONE, PETER JR ILLINOIS DEPARTMENT OF 01/03/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 512 17WC 20711 REYES, REYNA CHILI'S GRILL & BAR 06/26/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 513 17WC 20972 CECI, DOUGLAS CONVEYER SPECIALTIES, INC 04/13/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 17WC020973 -C 514 17WC 21176 ROMERO, MARIA ELITE STAFFING INC 07/14/17 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 17WC 21231 KIDD, ASHLEY MENARDS 09/07/16 RATHBUN CSEVENYAK & KOZOL EVANS & DIXON 516 17WC 21295 ELDER, DENNIS NRG ENERGY SERVICES 01/03/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 17WC023867 -C 517 17WC 21450 WARREN, DARRELL YRC FREIGHT 07/07/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 518 17WC 21513 NESS, RANDY ACTION PLUMBING COMPANY, 07/11/17 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 519 17WC 21607 LUNA, JOSE ALFREDO BERMUD MIM INSTALLATIONS, INC. 06/28/17 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 520 17WC 21662 OCHOA, MARTHA KEHE DISTRIBUTORS, INC 04/02/17 WHITESIDE & GOLDBERG LTD POULOS & DIBENEDETTO LAW 521 17WC 21809 JOHNSON, ANN JEWEL FOOD 06/06/14 MATTHEW T. GUBBINS PC EVANS & DIXON 522 17WC 21841 BELL, DAVID WEATHERTECH 07/14/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 523 17WC 21896 DOYLE, KEVIN P PRESENCE HEALTH 02/06/16 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 524 17WC 22166 IRELAND, LATOYIA NEXUS 07/23/17 DAVID W MARTAY 525 17WC 22715 PETERS, GEORGE LANGER TRANSPORT 06/19/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 526 17WC 23006 JOHNSON, KIMBERLY J STATE OF ILLINOIS DEPT OF @ 03/13/17 DWYER AND COOGAN ASSISTANT ATTORNEY GENERAL 527 17WC 23073 BEY, PATRICIA A JOLIET PUBLIC SCHOOLS 07/21/17 ANKIN LAW OFFICE ROSARIO CIBELLA 528 17WC 23083 APARICIO, JOSE SEATING CONCEPTS INC 12/06/16 COSTA IVONE LLC 529 17WC 23101 LEVITT, LARRY VILLAGE OF STEGER 06/28/17 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 18WC021354 -C 530 17WC 23130 PIEDRA, JOSE LUIS M&S DELIVERY SERVICE, INC 07/05/17 KAT0Z FRIEDMAN EAGLE ET AL 531 17WC 23284 HERNANDEZ, ALFONSO MEDTRONIC JOLIET 03/23/17 LEONARD LAW GROUP LLC 532 17WC 23364 MEYER, JASON T. BUMP & GRIND AUTO BODY, I 02/15/17 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 17WC 23440 LEAL, EMANUAL METRO STAFF, INC 06/02/17 MILLON & PESKIN LTD 534 17WC 23683 MCKENZIE, KAREN AMAZON 06/20/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 535 17WC 23726 MARTIN, DARRELL STATE OF IL DEPT OF CORRE 08/01/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 536 17WC 23865 CARROLL, TANESHA STATE OF IL 08/01/17 HORWITZ HORWITZ & ASSOC 537 17WC 23928 PUSATERI, JOSEPH OZINGA 03/27/17 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM GRA 538 17WC 24414 SEMANISION, TROY DIAGEO 06/08/17 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 539 17WC 24439 LOPEZ, GABRIEL MICHELIN NORTH AMERICA, I 08/16/17 540 17WC 24581 COFFLEY, BRANDON S JHOC, INC D/B/A 08/07/17 ANKIN LAW OFFICE MARTIN, PATRICK W 541 17WC 24608 LUNA, HERBERTO XPEDIENT MANAGEMENT GROUP 07/19/17 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 542 17WC 24621 GUINN, ROBERT DAYTON FREIGHT LINES INC 08/02/17 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 543 17WC 24755 BOSSE, PATRICK LEWIS TREE SERVICE 07/11/17 PETER C KOPOULOS 544 17WC 24789 REED, JUSTIN AMAZON 06/15/17 DAVID W MARTAY 545 17WC 24816 MARTINEZ, GENARO FEDEX SUPPLY CHAIN INC 07/11/17 CHRISTIAN & MANNO SPIEGEL & CAHILL, PC 546 17WC 25051 HAMILTON, QUINCY MULTI PLASTICS, INC 01/23/17 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 547 17WC 25217 TRAVIS, LYSANDER CENTER FOR DISABILITY SER 03/21/17 COSTA IVONE LLC 548 17WC 25232 AALFORD, ADONIS WEATHERTECH 08/16/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 549 17WC 25416 JOHNSON, TAMIKA M AMAZON 12/10/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 550 17WC 25708 ALONSO, NEYVA GREAT AMERICAN BAGEL, INC 04/26/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 17WC 25829 19B BRASHER, MARK APL LOGSTICS 08/26/17 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 552 17WC 26344 STEFFEN, NICHOLE SUONGFARR INC 08/24/17 HORWITZ HORWITZ & ASSOC BORGELT POWELL 553 17WC 26498 CRAMER, JEFFREY BLUELINX 03/31/16 VASILATOS & COTTER LLC 554 17WC 26533 PACH, KATHLYNE (BY AND TH BALTIC LINES II, INC #W 08/14/17 LUSAK AND COBB 17WC027450 -C SEPULVEDA, JEANETTE FOR M 555 17WC 26777 RANGEL GUZMAN, MARIA VIRG FLEXIBLE STAFFING/KENT FO 05/25/17 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 556 17WC 26880 RATHBUN, WILLIAM JB HUNT CO TOYS R US DIST 03/22/16 RUBENS AND KRESS 557 17WC 27033 MORALES, GILMA BAY STATE MILLING 07/14/16 MANUAL CARDENAS & ASSOC 558 17WC 27115 LAS, DOROTA ALDI, INC 09/22/15 TIMOTHY E. TAKASH BRADY CONNOLLY & MASUDA PC 559 17WC 27247 CARTER, TERESA R SPEEDWAY, LLC 10/11/14 MICHAEL HELLMAN NYHAN BAMBRICK KINZIE & LOWR 560 17WC 27418 DARDEN, ROBERT STATEVILLE CORRECTIONAL C 07/19/17 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 561 17WC 27574 FLYNN, SEAN AUCTION ACCESS 09/22/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 562 17WC 27598 BOOKER, SAMIKI T PEOPLE READY 08/16/17 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 563 17WC 27780 FOUST, SHANNON PT FERRO CONSTRUCTION 09/13/17 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 564 17WC 27792 DELESIO, ROSARIO GARY GALASSI STONE & STEE 09/01/17 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 17WC027793 -C 565 17WC 27845 BERGER, ELKE PANDUIT 11/16/16 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 18WC020814 -C 566 17WC 27888 MOTON, JOHNNY BARTON STAFFING 07/21/17 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN 567 17WC 27974 ORTIZ, MARITZA OUR LADY OF ANGELS 08/20/17 POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 17WC 28082 TROUTMAN, FREDRICK C AIR QUALITY INC 01/13/16 SANDMAN LEVY & PETRICH 569 17WC 28207 HIGHLAND, JOSEPH BLACK HORSE CARRIERS 03/17/17 GOLDBERG WEISMAN & CAIRO L 570 17WC 28225 MENCHACA, ROQUE STATE OF IL DEPT OF CORRE @ 10/17/16 LARRY FLEISCHER & ASSOCIAT 571 17WC 28238 PETTIGREW, JERMANE C PRIORITY STAFFING, LTD 08/28/17 ANKIN LAW OFFICE THOMAS & PORTELA 572 17WC 28267 TSIAMAS, ANTHONY WINDY CITY WIRE 09/12/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 573 17WC 28296 HOLMES, ANTHONY SNIDER BLAKE 08/11/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 574 17WC 28612 SNAPP, LAURA JT CARE 07/20/17 WILLIAM B MEYERS, LTD PAUL O WATKISS 575 17WC 28656 FINGER, TANYA SILVER CROSS HOSPITAL 12/22/16 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC 576 17WC 28689 KORZENIEWSKI, TY ENBRIDGE ENERGY 08/26/11 PONNE LAW GROUP 577 17WC 28774 CALIENDO, PAUL DEVEN TRANSPORT 09/01/17 ROMANEK & ROMANEK JAMES M KELLY 578 17WC 28974 BARLOW, KELLY J SILVER CROSS HOSPITAL 06/19/17 COLLINS BARGIONE MACIOROWSKI SACKMANN & ULRIC 579 17WC 29148 MOORE, AMBER ECOLAB, INC 04/05/17 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 580 17WC 29248 BELTRAN, ARMANDO TRI PAR DRYWALL INC 07/06/17 MARC J SHUMAN & ASSOCIATES EVANS & DIXON 581 17WC 29292 JOHNSON, MARCUS STAFFMARK INVESTMENT INC 09/28/17 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 582 17WC 29416 SMITH, SABLE LITTLE KICKERS 10/03/17 MC HARGUE & JONES 583 17WC 29613 SALINAS, OLIVIA ELITE STAFFING INC 09/11/17 LAW OFFICES MICHAEL HELLMA 584 17WC 29623 VIEYRA, LORENZO MVP WORKFORCE LLC LOANING 10/03/17 SALK, STEVEN B & ASSOC LTD KOREY RICHARDSON LLC 585 17WC 29792 GARCIA-HERNANDEZ, MARICEL SOUTHLAND SOLUTIONS/ 08/30/17 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 17WC 30156 BOND, SANITA PRESENCE ST JOSEPH 09/16/17 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 587 17WC 30282 CLARK, DEBORAH MENARDS 08/06/17 DAVID W MARTAY 588 17WC 30379 NEWTON, JEFFREY A D&M WESTERDALE TRUCKING I 08/07/17 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 589 17WC 30462 RIEVES, ADAM G UNITED GLOBAL SERVICES, I 10/01/17 WEISS & WEISS LAW OFFICES GRANT & FANNING 590 17WC 30500 LOPEZ, MINERVA AMERISOURCE BERGEN 10/05/17 PORRO NIERMANN LAW GROUP 591 17WC 30612 CALLAGHAN, SANDRA PRESENCE ST JOSEPH HOSPIT 03/04/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 592 17WC 30771 DEUEL-MEISER, ADRIENNE VALLEY VIEW SCHOOL DISTRI 08/02/17 BURNETT & CARON, LTD 593 17WC 30811 ALEXANDER, MARGUERITTA AMAZON.COM INC 01/20/17 LAW OFFICE PHILIP BLOMBERG 594 17WC 30984 ADAMS, KIMBERLY UNIVERSAL PROTECTION SERV 10/13/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 595 17WC 31329 RANDLE, MELVIN JB HUNT 2950 09/13/17 JAMES ELLIS GUMBINER & ASS GRANT & FANNING 596 17WC 31368 BREWER, BROOKE H WILL COUNTY SHERIFF'S OFF # 10/14/17 COVEN LAW GROUP HINSHAW & CULBERTSON 597 17WC 31412 SIRMONS, ANTHONY FEDEX 09/12/17 LANCASTER, DEBORAH 598 17WC 31465 FISCHER, MASON ECOLAB 10/04/17 DWORKIN AND MACIARIELLO 599 17WC 31703 CRAIG, DEBORAH SOUTHERN COMPANY GAS 09/06/17 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 600 17WC 31739 WILLIAMS, LARRY, ESTATE O METRO STAFFING 10/09/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 601 17WC 31776 CRAWFORD, MARY ANN TROY SCHOOL DISTRICT 30-C 09/07/16 RUSIN & MACIOROWSKI LTD 602 17WC 31857 GROSSI, SUSAN MICHAELS 01/16/17 HORWITZ HORWITZ & ASSOC 603 17WC 31970 WEINSTOCK, KARL HR METRICS, INC 10/19/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 17WC 32056 VILLEGAS, STEVEN SNIDER-BLAKE PERSONNEL 08/30/17 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICES 605 17WC 32256 WILLIAMS, DENISE DHL 10/12/17 LEITER LAW OFFICES 606 17WC 32371 TAYLOR, LISA SOUTHERN WILL COUNTY 09/25/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 607 17WC 32494 SEXTON, EUGENE UNITED STATES COLD STORAG 06/20/17 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 608 17WC 32580 SALLESE, AMIE JOLIET PUBLIC SCHOOLS DIS 09/07/17 RIDGE & DOWNES 609 17WC 32678 WEIS, DWAYNE CITY OF JOLIET 08/20/16 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 610 17WC 33116 GUTIERREZ, CATHLEEN CLIFT AMAZON 08/24/17 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 611 17WC 33154 RITTER, KENNETH PEMCO SERVICE CO 01/04/16 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 612 17WC 33423 LOVE, RASHAUN AMAZON 07/23/17 WIEDNER & MCAULIFFE LTD 613 17WC 33525 GIZA, DIANE M ARAMARK 04/03/17 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 614 17WC 33577 STANFORD, MARK MICHAELS CARTAGE 10/30/17 ANGELINI & ORI LLC GANAN & SHAPIRO 615 17WC 33625 BELL, ANTHONY JOLIET STAFFING 11/05/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 616 17WC 33708 ERWIN, SHAQUILLE R RJW TRANSPORT 09/26/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 617 17WC 33727 TILLMAN, KELVIN AMAZON 10/22/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 17WC035351 -C 618 17WC 33865 JURINEK, JACOB WEATHER TECH 09/25/17 RUBIN LAW GROUP HOLECEK & ASSOCIATES 619 17WC 34326 PENALOZA REYES, HECTOR M EXCEL BUILDING SERVICES, 10/25/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 620 17WC 34402 AGUILERA, SANDRO AUDREY TRANSPORT INC 12/28/15 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 621 17WC 34478 MOORE, MARTIN K ELITE STAFFING INC 10/16/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 17WC 34550 SODARO, ROSA HARRAH'S CASINO-JOLIET 07/27/17 BAUM RUFFOLO & MARZAL LTD NOBLE & ASSOC 623 17WC 34743 HICKEY, PATRICK MVP PLUMBING CORP 07/11/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 624 17WC 34853 ARNOLD, DANIEL STAFFMARK 07/25/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 625 17WC 35078 HARRIS, DANGANETTA STATE OF IL DOC STATEVILL @ 10/11/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 626 17WC 35135 MCALLISTER, PAULA JOLIET TOWNSHIP HIGH SCHO 03/29/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 627 17WC 35136 BOENZI, PATRICK DELLWOOD TIRE & AUTO REPA 01/05/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 628 17WC 35235 KIRKLIN, JANICE SCHNEIDER LOGISTICS 11/20/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 629 17WC 35347 HENNIN, JEFFREY REPUBLIC SVCS, INC 01/21/16 RIDGE & DOWNES GILDEA, COGHLAN & REGAN LTD. 630 17WC 35391 FRANKLIN, ERWIN AMAZON 11/17/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 631 17WC 35451 HOLMES, DENNIS ULTA DISTRIBUTION 08/23/17 BLOCK, KLUKAS & MANZELLA P ARNETT LAW GROUP 632 17WC 35512 HENNIN, JEFFREY REPUBLIC SERVICES, INC 10/23/17 RIDGE & DOWNES 633 17WC 35669 EZELL, KIMMAR JOLIET JUNIOR COLLEGE @ 11/13/17 BRISKMAN BRISKMAN GREENBER SCOPELITIS GARVIN LIGHT 634 17WC 35767 LAYCOAX, KERRY CRETE MONEE COMMUNITY 09/25/17 WOODRUFF & JOHNSON 635 17WC 35919 BUSSE, WILLIAM R III CITY OF JOLIET 02/23/17 FABRIZIO, HANSON & PEYLA KNELL O'CONNOR DANIELWICZ 636 17WC 36067 PEAIRS, JANICE AMAZON 11/29/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 637 17WC 36085 NIEZGODA, ROBERTA STARBUCKS 07/31/17 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 638 17WC 36178 BEY, BELINDA AMAZON 07/25/17 STROM, NEAL B 639 17WC 36320 EDWARDS, ANNETTE VALLEY VIEW SD 08/18/17 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 17WC 36341 SMITH, JAZELLE TOYS R US 10/24/17 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 641 17WC 36624 HANSEN, BRIDGET TRINITY SERVICES 05/02/17 SEIDMAN MARGULIS & FAIRMAN 642 17WC 36842 GALL, NICHOLAS KENS BEVERAGE 01/19/17 CUDA LAW OFFICES GRANT & FANNING 17WC036843 -C 17WC036844 -C 643 17WC 36845 GALL, CHRISTOPHER WINDY CITY WIRE 10/15/17 CUDA LAW OFFICES HOLECEK & ASSOCIATES 644 17WC 36886 RUFFINO, JAMES CITY OF JOLIET FIRE DEPAR 09/04/17 SAM CUBA LAW OFFICE KNELL & O'CONNOR 645 17WC 37072 EBERT, LAURA AMAZON 10/08/17 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 646 17WC 37326 HERNANDEZ, EDGAR PARSEC, INC. 10/21/17 RIDGE & DOWNES MACIOROWSKI SACKMANN & ULRIC 647 17WC 37457 CHANDLER, ANTOINE AT&T 06/15/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 648 17WC 37657 DOLAN, SUSAN ERDMAN COMPANY 08/14/17 PETER F FERRACUTI & ASSOCI JOSEPH MARCINIAK 649 17WC 37699 PRZYBYLSKI, RON AMAZON DISTRIBUTION CENTE 09/11/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 650 17WC 37844 MONRROY, GUADALUPE PENA FIRST LODGING MANAGEMENT 08/08/17 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 651 17WC 37918 PENN, MARIETTA CHICAGO AUTISM AUTHORITY 12/06/17 HEALY SCANLON LAW FIRM ANCEL GLINK DIAMOND BUSH & E 652 17WC 37950 LADEWIG, MAX SCURTO CEMENT CONSTRUCTIO 10/20/17 MARKS INJURY LAW CAPUANI, FRANK S 653 17WC 38046 VELA, ANTONIO WILTON BRANDS/CUPCAKE HOL 11/07/17 FREDRICK B BARDER, LTD WOLFE & JACOBSON, LTD 654 18WC 00051 VERCELOTE, MATT AC & R SPECIALISTS 03/15/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 655 18WC 00074 JAY, JOSEPH BOLINGBROOK FIRE DEPT 11/30/17 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 656 18WC 00095 BANAS, VINCENT ELMHURST CEMETERY, D/B/A 12/01/17 MEYERS & FLOWERS HOLECEK & ASSOCIATES 657 18WC 00190 RICHARDS, LUCKY A AMAZON.COM INC 03/11/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 18WC 00594 WILLIAMS, KENNETH HILL BROTHERS TRANSPORTAT 11/29/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 659 18WC 00632 MARTINEZ, JUAN RAMIREZ TRIUNE LOGISTICS LLC 09/23/17 ANKIN LAW OFFICE LITCHFIELD CAVO 660 18WC 00879 CINGLE, MARTIN JOLIET STAFFING 12/24/17 RATHBUN CSEVENYAK & KOZOL 661 18WC 00901 TAYLOR, ANTHONY STATE OF ILLINOIS/ @ 10/04/16 DEER & STONE PC ASSISTANT ATTORNEY GENERAL 662 18WC 00956 VENDETTI, ERIC PARMESANS RESTAURANT 11/03/15 BERG & BERG 663 18WC 01453 MICHACA, JAIME DHL 12/07/16 MENDOZA LAW PC 664 18WC 01498 HAYNES, EDWARD BEST PRACTICE STAFFING, I 10/05/17 CHARLES LEVY & ASSOC LTD 665 18WC 01557 ANTHONY, TERRENCE METRO STAFF, INC 11/29/17 KISS & ASSOCIATES FRANCIS J DISCIPIO LAW OFFIC 666 18WC 01701 CENTANO, LISA CITY OF JOLIET 12/25/17 WHITESIDE & GOLDBERG LTD KNELL & O'CONNOR 667 18WC 01751 ARDISON, DEBORA VALLEY VIEW PUBLIC 02/04/16 RIDGE & DOWNES 668 18WC 01769 ROHDENBURG, KURT FEDERAL SIGNAL CORPORATIO 01/08/18 BRILL & FISHEL 669 18WC 01781 FOREMAN, ROBERT ABF FREIGHT SYSTEMS, INC 01/08/18 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 670 18WC 01805 PORTER, JAMES STATESVILLE CORRECTIONAL @ 12/19/17 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 671 18WC 01903 BARRON, JERRY W APOLLO COLORS, INC 11/22/17 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICES 672 18WC 02186 FIGUEROA, CLEDONIO APOLLO COLORS 10/09/17 KARCHMAR & STONE LAWRENCE COZZI - LAW OFFICES 673 18WC 02272 RILEY, NANCY BIG LOTS STORES 11/03/16 PARENTE & NOREM PC LITCHFIELD CAVO 674 18WC 02388 GILL, AMY MY EYE DOCTOR 12/30/17 WOODRUFF & JOHNSON GRANT & FANNING 675 18WC 02506 GAWLIK, MICHAEL HR METRICS 07/17/17 MICHAEL A. HIGGINS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 18WC 02535 SCHWAN, KAREN RESCARE HOMECARE 12/15/17 MARC J SHUMAN & ASSOCIATES SPIEGEL & CAHILL, PC 677 18WC 02539 DIEHL, ALEJANDRA ELITE STAFFING AGENCY 01/09/18 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 678 18WC 02709 POE, GABRIELLE TRINITY SERVICES 11/01/17 LAURA A CHILDS GALLIANI DOELL & COZZI LTD 679 18WC 02769 KOHUT, DAVID AMAZON @ 10/28/17 MC HARGUE & JONES 680 18WC 02831 FLORES, ERIC WEATHERTECH/MACNEILL 05/01/15 BRIAN T MORROW, LAW OFFICE 681 18WC 02837 ALLISON, JAMES CITY OF JOLIET 09/13/17 MCNAMARA PHELAN MCSTEEN LL ANCEL GLINK DIAMOND BUSH & E 682 18WC 03194 MAYO, MARIA ARYZTA 10/07/17 LUSAK AND COBB HENNESSY & ROACH PC 683 18WC 03765 ALPIZAR, ANA JOLIET STAFFING 11/14/17 CURTIS S BURKE LAW OFFICE HENNESSY & ROACH PC 19WC005195 -C 684 18WC 04329 BETTS, TIFFANY PACE SUBURBAN BUS 01/24/18 RIDGE & DOWNES 685 18WC 04406 GOMEZ, FELIPE TURANO BAKING COMPANY 08/23/17 MARKER & CRANNELL 686 18WC 04661 DETTLOFF, CHRISTOPHER WSI MICHELIN TIRE 11/23/15 SCOTT B SHAPIRO 687 18WC 04805 LOPEZ, DAGOBERTO UNITEK 01/27/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 688 18WC 04843 SHELTON, BRUCE GENERAL MOTORS CORPORATIO 09/21/17 PORRO NIERMANN LAW GROUP 689 18WC 04858 MANZO, JULIA ADVANCE AUTO PARTS 01/17/17 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 690 18WC 05130 ONGENAE, PHILLIP MEDTRONIC 01/06/17 SCHIFF GORMAN LLC POWER & CRONIN LTD 691 18WC 05170 ROGERS, JASON VILLAGE OF PLAINFIELD POL 01/29/18 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 692 18WC 05214 TAYLOR, DARRYL MENARDS 03/13/17 BRIAN T MORROW, LAW OFFICE 693 18WC 05444 STONE SANDERS, TAYANECKA WORLD CLASS DISTRIBUTION 02/13/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 694 18WC 05457 WALLACE, DONALD F VOGELMANN & COMPANY 08/01/17 QUINTAIROS PRIETO WOOD & BOY 695 18WC 05510 TERRY, JEREMY STATEVILLE CORRECTIONAL C 12/09/17 ARGIONIS & ASSOCIATES LLC ASSISTANT ATTORNEY GENERAL 696 18WC 05654 FEARS, ANTHONY VICTORY CENTRE OF JOLIET 12/11/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 697 18WC 05875 SERNA VARGAS, JUAN EMERALD BLOOM LANDSCAPING 10/04/17 STROM, NEAL B LAWRENCE COZZI - LAW OFFICES 698 18WC 05911 BECKER, CHRISTOPER PARTNERS TRANSPORTATION 01/28/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 699 18WC 05991 DEROSA, BARB FIRST ADVANTAGE 01/09/18 GORDON & CENTRACCHIO LLC EDWARD J. KOZEL 700 18WC 06009 GATES, RODNEY SCHNEIDER NATIONAL 02/04/18 SPIROS LAW PC POWER & CRONIN LTD 701 18WC 06095 MUNDO, JEANETTE GREEN CORE USA 02/02/18 TAXMAN POLLOCK HOLECEK & ASSOCIATES 702 18WC 06110 BELL-REED, LAKISHIA AMAZON FULFILLMENT CENTER 12/12/17 SPRAGUE & SPRAGUE BRADY CONNOLLY & MASUDA PC 703 18WC 06194 SHADLEY, MICHAEL AMAZON FULFILLMENT CENTER 10/23/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 704 18WC 06297 HORGAN, SUSAN VILLAGE OF BOLINGBROOK, 06/06/15 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 705 18WC 06386 JANDURA, RYAN CHANNAHON FIRE PROTECTION 04/03/17 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 706 18WC 06412 FERNANDEZ, MA DELREFUGIO METRO STAFF INC 05/23/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 707 18WC 06437 JANDURA, RYAN CHANNAHON FIRE PROTECTION 10/14/17 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 708 18WC 06500 VILLAREAL, LOUIS RICH PRODUCTS CORPORATION 11/03/17 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 709 18WC 06690 SANTIAGO, HILDA TOTAL STAFFING SOLUTIONS 12/15/17 MC HARGUE & JONES KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 710 18WC 07063 COUNDIFF, MATTHEW B UNITED STATES COLD STORAG 07/05/17 BRILL & FISHEL BRADY CONNOLLY & MASUDA PC 711 18WC 07123 CANALES, KIMBERLY SODEXO, INC. 03/15/17 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 18WC007124 -C 712 18WC 07167 HESTER, SABRINA WAL-MART 02/03/18 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 713 18WC 07212 MCCOY, YURI PROLOGISTIC 01/12/18 PARENTE & NOREM PC 714 18WC 07246 MCNEILL, GREGORY A WILL COUNTY SHERIFF DEPT 02/22/18 ANKIN LAW OFFICE HINSHAW & CULBERTSON 715 18WC 07350 MILLER III, ROBERT DHL 02/16/18 DWORKIN AND MACIARIELLO 716 18WC 07382 MASON, ASHLEE PRESENCE MCAULEY MANOR 11/25/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 717 18WC 07439 TAYLOR, ANGELA AMAZON 02/08/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 718 18WC 07557 RUSSELL-HETH, PATRICIA WAL-MART 11/04/17 MICHAEL HELLMAN QUINTAIROS PRIETO WOOD & BOY 719 18WC 07619 SHAWMEKER, JAMI AMAZON 03/17/17 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 720 18WC 07672 SPAGNOLA, ANTHONY RENT-A-CENTER 03/05/18 MARKER & CRANNELL HENNESSY & ROACH PC 721 18WC 07702 BRANDON, MATTHEW UNITED STATES COLD STORAG 01/18/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 722 18WC 07954 DEVRIES, KATRINA UNITED STATES COLD STORAG 01/12/18 DWORKIN AND MACIARIELLO 723 18WC 08044 ELLISON, BRANDI AMAZON.COM, INC. 11/03/17 STEARNEY, RONALD A LAW OFF 724 18WC 08091 ROSALES, TEODORO JOHNS MANVILLE 01/19/18 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 725 18WC 08214 AMBRIZ, ELVA BOLINGBROOK PARK DISTRICT 01/30/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 726 18WC 08278 RANKINS, ARETINA BIMBA MANUFACTURING COMP 12/12/17 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 18WC008279 -C 727 18WC 08320 LOPEZ-CORTEZ, FIDELA SUMMIT STAFFING 02/26/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 728 18WC 08507 MILLER, DAVID CITY OF JOLIET 01/12/18 MCNAMARA PHELAN MCSTEEN LL KNELL & O'CONNOR 729 18WC 08526 ASHLINE, ANNETTE APERION CARE 08/17/17 BARMAN BOHLEN & SCOTT 730 18WC 08586 ENGLISH, KIRK COMPASS GROUP USA INC 08/11/17 GOLDBERG WEISMAN & CAIRO L 731 18WC 08604 GONZALEZ, MARIA MAT HOLDINGS, INC 08/10/17 EFTEKHARI LAW OFFICES HOLECEK & ASSOCIATES 732 18WC 08650 FLORES, AYME MARTINEZ TRIUNE LOGISTICS 02/09/18 COSTA IVONE LLC LITCHFIELD CAVO 733 18WC 08667 FISHER, ANDRE F STAFFMARK 01/06/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 734 18WC 08893 PEREZ, JUAN HOMER MANAGEMENT, LLC 09/28/17 CAPRON & AVGERINOS PC GAIDO & FINTZEN 735 18WC 09023 GIBBONS, MOJANEE AMAZON WAREHOUSE 01/22/18 BRISKMAN BRISKMAN GREENBER 736 18WC 09033 FAVIA, ANN SILVER CROSS HOSPITAL 10/12/17 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 737 18WC 09046 MCKENZIE, TERENCE FEDEX 01/17/18 DWORKIN AND MACIARIELLO 738 18WC 09239 JOHNSON, WILLIAM CRETE MONEE 03/06/18 DWORKIN AND MACIARIELLO 739 18WC 09290 CARLSON, JEFFREY BOUCHARD MASONRY 08/01/16 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 740 18WC 09380 TOMALIEH, LOUAAI WILL COUNTY SHERIFF'S OFF 03/24/18 COVEN LAW GROUP HINSHAW & CULBERTSON 741 18WC 09411 FOWLKES, LONDELL MORAN TRANSPORTATION CORP 03/15/18 GRAUER & KRIEGEL LLC FRIEDRICH LAW LLC 19WC026659 -C 742 18WC 09474 AMBROSE, BRANDI AMAZON 02/11/18 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 743 18WC 09577 TURNER, LAVERNE DISTRIBUTION PERSONNEL, I 06/26/16 GRAVLIN, MICHAEL J LLC HENNESSY & ROACH PC 744 18WC 09615 GIVENS, DERRELL DOTS FOODS 01/23/18 SANDMAN LEVY & PETRICH HEYL ROYSTER VOELKER & ALLEN 745 18WC 09674 EDNANSKY, MARIE CURIE MOTORS 01/03/18 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 746 18WC 09736 BENNETT, JOVAN AT&T 11/18/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 747 18WC 09824 O'SULLIVAN, MARY JO WEXFORD HEALTH SOURCES, I 09/15/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 18WC010265 -C 748 18WC 09865 ERTMAN, PHILIP PRAIRIE CREEK GRAIN 01/11/18 ANGELINI & ORI LLC CAPUANI, FRANK S 749 18WC 10009 HILLIARD, ROZETTE SCHNEIDER LOGISTICS 03/18/18 BRISKMAN BRISKMAN GREENBER ASA LAW GROUP 750 18WC 10051 HARVEY, RENARDO JB HUNT 01/24/18 CHRISTIAN & MANNO 751 18WC 10173 GREENLY, ROBERT MARIANO'S 01/22/18 MARC J SHUMAN & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 752 18WC 10202 WIMMER, DAVID A JB HUNT TRANSPROTATION 03/10/18 PORRO NIERMANN LAW GROUP MICHAEL JASPER 753 18WC 10273 HORN, CAPRICE JOLIET PUBLIC SCHOOLS 03/06/18 RIDGE & DOWNES ROSARIO CIBELLA 754 18WC 10290 NUTILE, JOYCS ADVANTAGE SOLUTIONS 01/27/18 STROM, NEAL B KELLEY KRONENBERG 755 18WC 10384 BOSHARDY, ALLEN J JR. SAM'S 24 HOUR TOWING INC. 03/15/18 WEISS & WEISS LAW OFFICES 756 18WC 10542 MARQUEZ-MORENOS, MARTIN M JOSCO CONSTRUCITON INC 03/14/18 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 757 18WC 10749 BRNCA, GREGORY ALBERTSONS/JEWEL 02/23/18 NILSON STOOKAL GLEASON CAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 758 18WC 10757 BRAMMER, JENNIFER STATEVILLE PRISON @ 04/04/18 KREITER, BYCK & ASSOC LLP ASSISTANT ATTORNEY GENERAL 759 18WC 11001 VASQUEZ, ANTHONY WELSCH READY MIX, INC 07/11/17 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 760 18WC 11036 PONTARELLI, THOMAS ILLINOIS DEPT OF CORRECTI 10/26/17 O'CONNOR & NAKOS ASSISTANT ATTY GENL 761 18WC 11098 ORTEGA, MIRNA TOYS R US 03/23/18 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 762 18WC 11133 VAN NESS, TIMOTHY GROOT INDUSTRIES 09/11/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 763 18WC 11246 HARRIS, REGINALD PREMIER TRANSPORTATION 10/13/16 RATHBUN CSEVENYAK & KOZOL MARTIN, PAT0RICK W 764 18WC 11444 APONTE, CHRIS K BROTHERS FENCE 11/24/17 BRISKMAN BRISKMAN GREENBER 765 18WC 11492 CONYERS, DIONNE WEST LIBERTY FOODS 09/19/17 DWORKIN AND MACIARIELLO 766 18WC 11591 SENFFNER, TRACY SILVER CROSS HOSPTIAL 11/02/17 SCOTT B SHAPIRO 767 18WC 11778 JONES, DOUGLAS BEST BUY WAREHOUSE 04/03/18 DWORKIN AND MACIARIELLO 768 18WC 11999 AUSTIN, JOE W HARMON MOTOR SERVICES & 04/13/18 CELSO FUENTES JR 769 18WC 12024 WARREN, MEGAN ELITE STAFFING, INC 04/16/18 DWORKIN AND MACIARIELLO 770 18WC 12108 GAVIN, VICTORIA S&S ACTIVEWEAR 03/02/18 VRDOLYAK LAW GROUP LLC EDWARD J. KOZEL 771 18WC 12131 KAPLAN, CHARISSA L SILVER CROSS HOSPITAL 02/20/18 THOMAS W DUDA MACIOROWSKI SACKMANN & ULRIC 18WC012132 -C 772 18WC 12430 MIRKOWICZ, ABIGNIEW MENDARDS 03/29/18 VASILAT0OS & COTTER LLC CHILTON YAMBERT PORTER LLP 773 18WC 12525 BOWERS, MARVELLE ALLEGIANCE STAFFING INC 03/01/18 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 774 18WC 12625 BAKER, IDA FRIENDS OVER50 SENIOR CAR 06/20/17 BLOCK, KLUKAS & MANZELLA P 775 18WC 12800 ARTIS, ERIC METRO STAFFING 04/24/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 776 18WC 12817 BUCK, RYAN WERNER ENTERPRISES INC 01/01/18 MICHAEL C. GOODE SMITH AMUNDSEN LLC 777 18WC 12872 MILLAR, BRIAN HERITAGE FS, INC 07/05/17 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 778 18WC 13085 MUNOZ, RUTH AMAZON 05/11/17 BART DURHAM WIEDNER & MCAULIFFE LTD 18WC013296 -C 779 18WC 13110 SHAVERS, CHANELL INDIVIDUAL ADVOCACY GROUP 04/13/18 DWORKIN AND MACIARIELLO 780 18WC 13187 CHAPARRO, NORMA (IRIS) PLAINFIELD SD 202 08/17/17 KARCHMAR & STONE INMAN & FITZGIBBONS 781 18WC 13368 HURD, PAULA R STAFFMARK 04/12/18 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 782 18WC 13402 RENNER, BRANDY WALMART SUPERCENTER 06/16/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 783 18WC 13442 JACOBSON, ANDREW EAGLE EXPRESS LINES 01/13/18 DEPAOLO & ZADEIKIS HINSHAW & CULBERTSON 784 18WC 13460 ACEVEDO, EMILIO THE SCOULER CO 02/13/18 SEIDMAN MARGULIS & FAIRMAN CAPUANI, FRANK S 785 18WC 13559 ANGEL, AGNES FRESENIUS MEDICAL CARE 02/28/18 LEITER LAW OFFICES HENNESSY & ROACH PC 786 18WC 13618 WIEGAND, COLTON SPECIALIZED LIFTRUCK SERV 06/01/17 HORWITZ HORWITZ & ASSOC 18WC013619 -C 18WC015748 -C 787 18WC 13623 MIRABILE, JONATHAN BIMBO BAKERY 03/26/18 GOLDBERG WEISMAN & CAIRO L 788 18WC 13666 FERGUSON, CHERYL WILL COUNTY CIRCUIT COURT 03/28/18 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 789 18WC 13783 LEROY, BRANDON COAL CITY FIRE PROTECTION 04/22/18 BLOCK, KLUKAS & MANZELLA P 790 18WC 13845 MENEGON, SUE PRESENCE HEALTH 01/24/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 791 18WC 13877 TAYLOR, KRISTY INTEGRITY 02/08/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 792 18WC 13895 DIAZ, KRISTAL PRECISION PIPELINE INC 04/09/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 793 18WC 13992 HOPKINS, CHERYL FLEXIBLE STAFFING 08/23/17 DAVID W MARTAY 794 18WC 14128 VANEGAS, FERNANDO(NEXT OF MIRMEG CARTAGE INC 05/04/18 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 795 18WC 14259 DUDLEY, DEONDRE TRINITY SERVICES 03/31/18 MC HARGUE & JONES GALLIANI DOELL & COZZI LTD 796 18WC 14264 GUGLIELMO, CAROLINA JAMKIL ENTERPRISES INC 07/17/17 MICHAEL HELLMAN 797 18WC 14269 VILLAGOMEZ, GUADALUPE PINE RIDGE LAWN & LANDSCA 09/29/17 CULLEN HASKINS NICHOLSON 798 18WC 14419 BALSITIS, DENNIS VILLAGE OF ROMEOVILLE 09/13/17 GREGORIO & MARCO SLAVIN & SLAVIN 799 18WC 14448 GALLINA, DONALD WINGS R US INC 03/11/18 SANDMAN LEVY & PETRICH 800 18WC 14502 HERNANDEZ, ALBERT BOLINGBROOK PARK DISTRICT 04/26/18 CELSO FUENTES JR 801 18WC 14606 COKLEY, BILLY GREENCORE USA 05/07/18 SCOTT B SHAPIRO 802 18WC 14646 WILLIAMS, MEGHEN BROOKS, TARULIS & TIBBLE, 04/16/18 PORRO NIERMANN LAW GROUP 803 18WC 14791 BELL-WHITLEY, JOVETTE AMAZON 09/25/17 DWORKIN AND MACIARIELLO 804 18WC 14859 RAMIREZ, BEATRIZ ANGUIANO SUPERIOR HEALTH LINEN 03/20/18 DEPAOLO & ZADEIKIS LAWRENCE COZZI - LAW OFFICE 805 18WC 14917 RUIZ, GUADALUPE JOLIET STAFFING 04/17/18 JONATHAN SCHLACK HENNESSY & ROACH PC 806 18WC 14991 ZAMORA, CARLOS PRATER INDUSTRIES 01/24/18 HORWITZ HORWITZ & ASSOC 807 18WC 15281 CAIN, JONATHAN TIMBERLINE GENERAL CONTRA 04/23/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 808 18WC 15324 GIAMPA, SALLY KING AMAZON 11/02/17 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 809 18WC 15368 ORTIZ, YESENIA VALLEY VIEW SCHOOL DIST 3 03/22/18 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 810 18WC 15745 CAPPS, JAN AMERICAN PRESIDENT LIENS, 11/17/17 KOSIN LAW OFFICE LTD KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 811 18WC 15805 PUGA, EDUARDO ROADRUNNER TRANSPORTATION 02/02/18 CULLEN HASKINS NICHOLSON MCANANY VANCLEVE & PHILLIPS 812 18WC 16002 WEIDEMANN, THOMAS AURELIO'S PIZZA OF LOCKPO 05/09/18 HORWITZ HORWITZ & ASSOC 813 18WC 16089 WINEINGER, BRADLEY STATE OF ILL DOC STATEVIL @ 04/29/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 814 18WC 16174 AMBROSIO, FELIPE WAREHOUSE SVCS, INC 09/28/16 SAUNDERS CONDON & KENNY 815 18WC 16256 ATEN, LESTER JOLIET JUNIOR COLLEGE 02/07/18 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 816 18WC 16346 CUSACK, BRANDON M VILLAGE OF BOLINGBROOK 02/22/18 MORICI FIGLIOLI & ASSOC 817 18WC 16404 GARDNER, TYRON AMAZON 04/10/18 DWORKIN AND MACIARIELLO 818 18WC 16451 BELLINO, JOSEPH A BUTLER CORING 07/10/17 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 819 18WC 16494 TRIMMER, GARY ABETTER POUR LLC 05/08/18 ROBERT WARSASKI JOSEPH MARCINIAK 820 18WC 16544 KELLER, CHERIE A AMAZON.COM.DEDC LLC 02/28/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 821 18WC 16576 KENTON, ROGER AQUA AMERICA INC 10/30/17 BARMAN BOHLEN & SCOTT SUGAR FELSENTHAL GRAIS HELSI 822 18WC 16651 BARAJAS, GILBERT CYBERDYNE MASONRY CORP 05/29/18 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 18WC016652 -C 823 18WC 16919 RICHARDS-HUNT, CYNTHIA AMAZON 04/26/18 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 824 18WC 16955 GLANVILLE, NICHOLAS HOME DEPOT 05/22/18 WOODRUFF & JOHNSON ADELSON TESTAN BRUNDO 825 18WC 17119 JABUREK, DEREK J STATE OF IL (STATEVILLE) 05/26/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 826 18WC 17215 WASHINGTON, DEANDRE MONDI PACKAGING 05/31/18 KREITER, BYCK & ASSOC LLP GAROFALO SCHREIBER STORM GRA 827 18WC 17350 REYES, ROBERTO ARGONNE NATIONAL LABORATO 09/21/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 828 18WC 17391 SAENZ, IRMA SALEM VILLAGE NURSING & R 02/27/18 JONATHAN SCHLACK POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 829 18WC 17458 ALEXANDER, REGINALD THE RESERVES NETWORK 05/02/18 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 830 18WC 17484 SCHWANTES, MARK RJ PRICE AND ASSOCIATES 08/04/16 E JAMES RAYMOND HEYL ROYSTER VOELKER & ALLEN 831 18WC 17545 BEADLESTON, MAUREEN PLAINFIELD CONSOLIDATED S 03/02/17 BLOCK, KLUKAS & MANZELLA P 832 18WC 17723 HALL, STEPHEN DR PEPPER SNAPPLE GROUP 12/28/17 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM GRA 833 18WC 17725 BISHOP, MARK RUAN TRANSPORT CORP 03/16/17 BLOCK, KLUKAS & MANZELLA P JAMES M KELLY 834 18WC 17790 TRIPLETT, NALENA ELITE STAFFING INC 05/15/18 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM GRA 835 18WC 17827 THOMPSON, VIVIAN AMAZON 06/04/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 836 18WC 17844 CORREA, JAIME UPLAND CONCRETE INC 10/02/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 837 18WC 17953 CROWDER, MICHAEL DSC LOGISTICS 04/18/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 838 18WC 18080 BARNES, LAURA M SILVER CROSS HOSPITAL 01/25/16 DAVID W MARTAY MACIOROWSKI SACKMANN & ULRIC 839 18WC 18105 DEVINE, BRIAN CCI SYSTEM 07/31/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 840 18WC 18284 SEALS, MARVIN F WEST LIBERTY FOODS 06/07/18 MARKER & CRANNELL HEYL ROYSTER VOELKER & ALLEN 841 18WC 18944 MOORE, CHARLOTTE AMAZON 05/21/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 842 18WC 19049 ALGOZINE, EDWARD III R&R SEWER WATER EXAVATION 06/14/18 TRAPP & GELLER BRADY CONNOLLY & MASUDA PC 843 18WC 19099 KAMRY, AMINA EL WEATHER TECH 12/12/17 SALVATO O'TOOLE FROYLAN BRADY CONNOLLY & MASUDA PC 844 18WC 19210 FREVERT, RICHARD AMAZON 04/14/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 845 18WC 19292 MARTIN, IRENE ESHUN ALPHABRODER 05/09/18 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 846 18WC 19351 MARTINEZ, MARIO J.T. THORPE & SON, INC 06/13/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 847 18WC 19397 TAYLOR, KRISTY INTEGRITY STAFFING AMAZON 02/09/18 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 848 18WC 19508 JACKSON JR, RAYMOND JOLIET TREATMENT CENTER @ 02/15/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 849 18WC 19528 DIAZ, ROBERTA CRATE SERVICES INC 05/04/18 KATZ FRIEDMAN EAGLE ET AL WOLF & LAUDICINA LTD 850 18WC 19540 ANDRADE, SALVADOR WEST LIBERTYVILLE FOOD 04/02/18 JONATHAN SCHLACK HEYL ROYSTER VOELKER & ALLEN 851 18WC 19669 KULKA, BRIAN BLUE FROST HEATING & COOL 12/14/17 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 852 18WC 19710 OCAMPO, MINERVA MACY'S 02/20/18 EPSTEIN, JACK R LAW OFFICE GAIDO & FINTZEN 853 18WC 20173 NELSON, SONJA ARYZTA LLC 06/18/18 STEVEN B SALK & ASSOC LTD HENNESSY & ROACH PC 854 18WC 20212 HOOKER, DEIRDRE AMAZON.COM.DEDC, LLC 12/15/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 855 18WC 20233 PUGH, DOROTHY ELITE STAFFING 06/06/18 856 18WC 20321 RODRIGUEZ, DESTANY PROLOGISTIX 06/21/18 JOHN S. ELIASIK SPIEGEL & CAHILL, PC 857 18WC 20441 PALACIOS, ROBERT SUBURBAN MACHINE & TOOL 11/13/17 BERG & BERG JOSEPH MARCINIAK 858 18WC 20507 ROBERTS, JOSHUA W ELITE STAFFING 07/02/18 MORICI FIGLIOLI & ASSOC HEYL ROYSTER VOELKER & ALLEN 859 18WC 20541 MILLER, LISA A GH MEISER & CO 04/23/18 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 860 18WC 20624 MASTERSON, KEVIN ELITE STAFFING, INC 05/17/18 RUBIN LAW GROUP 861 18WC 20684 POLK, ISAIAH JOLIET STAFFING LLC- 06/19/18 LEONARD LAW GROUP LLC 862 18WC 20733 WHITE, ANDRE LINEAGE LOGISTICS 05/11/18 GERALD CONNOR WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 863 18WC 20795 ROBLES, ANTHONY IN HOUSE DELIVERY SYSTEMS 07/06/18 864 18WC 20855 SMITH, LORNA AMAZONFULLFILLMENT CTR MD 06/03/18 WIEDNER & MCAULIFFE LTD 18WC030453 -C 19WC000024 -C 865 18WC 20913 BURKLOW, LISA AMAZON DISTRIBUTION CENTE 01/14/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 866 18WC 20994 WILLIS, DARREN INDIVIDUAL ADVOCACY GROUP 12/13/17 BOWMAN & CORDAY GALLIANI DOELL & COZZI LTD 867 18WC 21019 HAYNES, ANGENIQUE AMAZON.COM DEDC LLC 07/10/18 STEVEN B SALK & ASSOC LTD WIEDNER & MCAULIFFE LTD 868 18WC 21080 VESELY, MICHAEL TUFFY OF ROMEOVILLE 04/03/18 JEROME LINDSAY SALMI LL BRADY, CONNOLLY & MASUDA, PC 869 18WC 21139 DERBY, DANIEL H GARY GALASSI STONE & STEE 06/02/18 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 870 18WC 21275 COPELAND, MARSHONE GREENCORE 05/01/18 CHASE & WERNER LTD HOLECEK & ASSOCIATES 871 18WC 21356 JORDAN, FRED ACMS GROUP 06/14/18 NEWLAND & NEWLAND 872 18WC 21400 PADOVANI, YAHAIRA TACO BELL 06/01/18 CULLEN HASKINS NICHOLSON 873 18WC 21450 GARCIA SR, JOAQUIN UNIVAR 01/26/16 STEVEN A CRIFASE, LTD HENNESSY & ROACH PC 18WC021451 -C 18WC021452 -C 874 18WC 21547 MARTINEZ, ANDY CO WORX STAFFING SRVS 07/13/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 875 18WC 21851 GREER, ROXANNE ALL TEAM STAFFING 12/02/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 876 18WC 21938 ZATAR, JEHAD ARBY'S TINLEY PARK 07/06/18 FRANK A CELANI 877 18WC 21977 LENARD, LLEWELLYN B AIRINTERMODAL INC 01/07/18 VITELL & SPITZ LTD 878 18WC 22001 DIXON, MARTIN ILLINOIS STATE GAMING BOA @ 01/10/18 STEVEN M SELAN ASSISTANT ATTORNEY GENERAL 879 18WC 22083 HUFFSTUTLER, ZACHARY SIMOS INSOURCING SOLUTION 06/25/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 880 18WC 22099 BENNETT, DEBRA COUNTY OF WILL 07/03/18 HORWITZ HORWITZ & ASSOC 881 18WC 22168 WESTBROOK, PERRY GREENCORE USA 06/29/18 LIPKIN & HIGGINS LAW OFFIC 882 18WC 22183 BLAKNEY, CORNELIUS PACTIV 06/04/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 883 18WC 22260 DOTTS, SUZANNE LINCOLNWAY DISTRICT 210 02/26/18 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 884 18WC 22339 ROBINSON, CHRISTINE AMAZON 12/03/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 885 18WC 22443 SOWARDS, TRISTAN GLOBAL EXPERIENCE 05/18/18 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 886 18WC 22460 SANDERS, CLIFFORD US GREEN CORP 07/12/18 VITELL & SPITZ LTD 887 18WC 22491 VAZQUEZ GONZALES, JOSE D KEHE DISTRUBUTORS, LLC 05/22/18 LEITER LAW OFFICES NOBLE & ASSOC 888 18WC 22590 AGUILAR, GUILLERMINA WAL-MART 10/23/17 SALVATO O'TOOLE FROYLAN QUINTAIROS PRIETO WOOD & BOY 889 18WC 22685 NEVAREZ, IRMA KEHE DISTRIBUTION 03/09/18 OSVALDO RODRIGUEZ PC POULOS & DIBENEDETTO LAW 890 18WC 22821 GREER, ADAM AMAZON.COM, LLC 11/17/17 RITTENBERG BUFFEN 891 18WC 22889 WASNEY, GUY EMR EXPRESS, INC 06/27/18 DAVID W MARTAY KRAKER FANNING & OLSEN 892 18WC 22962 LACOVETTI, CHRISTOPHER CALIBER PACKAGING & EQUIP 07/27/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 893 18WC 23017 PATRICK, KEVIN STATESVILLE CORRECTIONAL @ 07/20/18 WOODRUFF JOHNSON ASSISTANT ATTY GENL 894 18WC 23177 WATKINS, LESLIE JC TRANS CO. 07/08/18 JAMES ELLIS GUMBINER & ASS 895 18WC 23204 OHARA, ROBERT WASTE MANAGEMENT 07/13/18 HORWITZ HORWITZ & ASSOC 896 18WC 23311 CHRISTENSEN, MATTHEW CITY OF JOLIET 11/22/17 HETHERINGTON KARPEL BOBBER KNELL O'CONNOR DANIELWICZ 897 18WC 23334 HICKS, TIONNA ITW DELTAR 04/02/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 898 18WC 23369 VOGELSANGER, WILLIAM LODERS CROKLAAN 04/27/18 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 899 18WC 23440 CHAMBERS, LEANDRA SONOCO PROTECTVE SOLUTION 06/13/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 900 18WC 23470 MENDOZA, SAMSON G WASTE MANAGEMENT 05/26/18 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 901 18WC 23549 TAYLOR, JEROME SCHNIEDER LOGISTICS 05/04/18 HERRERA LAW CENTER ASA LAW GROUP 902 18WC 23636 ARMSTRONG, ELIZABETH L JOLIET PUBLIC SCHOOLS 10/06/16 RIDGE & DOWNES ROSARIO CIBELLA 903 18WC 23755 CERVANTES, FRANCISCO ABC ROOFING & SIDING 05/31/18 ALEKSY BELCHER LAWRENCE COZZI - LAW OFFICE 904 18WC 23821 TERRY, SHANTA DOLLAR TREE DISTRIBUTION 07/06/18 DEPAOLO & ZADEIKIS LEAHY EISENBERG & FRAENKEL 905 18WC 23892 SMITH, MARTIN Z-FORCE TRANSPORT 02/21/18 LEONARD LAW GROUP LLC GANAN & SHAPIRO 906 18WC 23899 GEORGE, JACKIE O'REILLY AUTOMOTIVE STORE 07/24/18 HERRERA LAW CENTER HENNESSY & ROACH PC 907 18WC 24028 ANZELMO, DONALD ALLEGIANCE STAFFING 05/14/18 ROSS TYRRELL POWER & CRONIN LTD 908 18WC 24155 RODRIGUEZ, ROSA MCDONALD'S 07/09/18 ASHER, RAYMOND L LTD 909 18WC 24243 ROSARIO, ROMEO N PRESENCE HEALTH 06/27/18 COYNE REINKE LAW BRADY CONNOLLY & MASUDA PC 910 18WC 24335 ABARCA, CHRISTIAN ACCURATE PERSONNEL 08/01/17 BART DURHAM JOHN T GONNELLA 911 18WC 24524 TAYLOR, TENISHA JOHNSTONE SUPPLY 06/05/18 RATHBUN CSEVENYAK & KOZOL 912 18WC 24558 BELLAMIA, FRANK TH RYAN CARTAGE CO 07/09/18 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 913 18WC 24697 LINDER, KIMBERLY MENARDS 07/07/18 STROM & ASSOC 914 18WC 24824 HACKWELL, RODNEY AUEN TRUCKING 08/28/16 CAPRON & AVGERINOS PC HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 915 18WC 24833 AVILA, OCTAVIO KUUSAKOSKI RECYCLING 05/11/18 ANGELINI & ORI LLC 916 18WC 24856 BROWN, TERRAIN P CLOVERLEAF COLD STORAGE C 07/09/18 ANKIN LAW OFFICE KNELL LAW LLC 18WC024857 -C 917 18WC 24876 DAVILA, REBECCA AUTUMN LEAVES OF OSWEGO 07/31/18 ARGIONIS & ASSOCIATES LLC WOLF LAW LTD 918 18WC 24899 JACKSON, COURTNEY ACCURATE PERSONNEL SERVIC 08/07/18 DWORKIN AND MACIARIELLO JOHN T GONNELLA 919 18WC 24931 YEAGER, MICHELLE ROUTE 66 FOOD N FUEL 07/31/18 RATHBUN CSEVENYAK & KOZOL 920 18WC 24947 MC KNIGHT, MICHAEL AMAZON DISTRIBUTION CENTE 04/19/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 921 18WC 24996 JACKSON, BRIAN MARSDEN CO 03/09/18 MC HARGUE & JONES LEAHY EISENBERG & FRAENKEL 922 18WC 25010 MCDANIEL, TINA ADAMS & ASSOC 07/10/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 923 18WC 25137 QUINN, JOSEPH STATE OF ILLINOIS @ 08/01/18 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENL 924 18WC 25206 STRUM, DOROTHY AMAZON 05/05/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 925 18WC 25230 NIEHOFF, KATHLEEN WALMART 07/14/18 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 926 18WC 25297 WILSON, JETAUN AMAZON CORPORATION 05/21/18 ABRAMS LAW GROUP LTD 927 18WC 25333 REYES, JIA C BICHITO ENTERPRISES, INC 08/18/18 STROM & ASSOC GAROFALO SCHREIBER STORM GRA 928 18WC 25366 GILLESPIE, KANDICE MEDSPEED 08/17/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 929 18WC 25405 MCGUIRE, MATTHEW JOLIET JUNIOR COLLEGE 09/03/15 BLOCK, KLUKAS & MANZELLA P 930 18WC 25497 GUIRAND, EDELYNE AMAZON 05/11/18 WIEDNER & MCAULIFFE LTD 931 18WC 25540 NORTON, QUENTIN BOB'S DISCOUNT FURNITURE 03/06/18 LEITER LAW OFFICES HENNESSY & ROACH PC 932 18WC 25577 BONNES, MELISSA TISCHLER'S MARKET 06/18/18 BAUM RUFFOLO & MARZAL LTD GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 933 18WC 25605 BRASKI, BRENT JOLIET JUNIOR COLLEGE 08/07/18 KROL BONGIORNO & GIVEN LTD 934 18WC 25657 SCOTT, CHARLES SOUTH HOLLAND METAL FINIS 08/20/18 DWORKIN AND MACIARIELLO 935 18WC 25695 PUHRMANN, DAWN HOMEWOOD SCHOOL DIST 153 04/16/18 BLOCK, KLUKAS & MANZELLA P 936 18WC 25717 SHERWIN, STEPHEN MC MAHON TRANSPORT GROUP, 11/07/16 KRISIK, DENNIS J LTD 937 18WC 25758 CHAVEZ, NICOLAS AMSYSCO, INC 04/27/18 JONATHAN SCHLACK EDWARD J. KOZEL 938 18WC 25889 SPANGLER, PAMELA MEIJER, INC 07/18/18 KARCHMAR & STONE 939 18WC 25914 COLE, FELICIA WEST LIBERTY FOODS 08/17/18 DAVID W MARTAY 940 18WC 25970 REYES, AUGUSTIN HOME LANDSCAPE MATERIALS, 07/05/18 RICHARD O. GREENFIELD WOLFE & JACOBSON, LTD 941 18WC 25984 LARA, VERONICA DSC LOGISTICS, INC. 04/06/18 FRANCIS J DISCIPIO LAW OFF MC ANDREWS & NORGLE LLC 942 18WC 26049 LOWERY, VALERIE AMAZON 07/31/18 TIMOTHY HENDERSON WIEDNER & MCAULIFFE LTD 943 18WC 26218 MOELLER, ART FOREST PRESERVE DISTRICT 08/21/18 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 944 18WC 26338 ORTEGA, TERESA S & S ACTIVEWEAR LLC 03/09/18 JAUREGUI & ASSOCIATES EDWARD J. KOZEL 945 18WC 26426 LEONARD, MICHAEL NFI INTERACTIVE LOGISTICS 08/24/18 ANKIN LAW OFFICE QUINN JOHNSTON HENDERSON ETA 946 18WC 26496 BROWN, ELLA AMAZON 08/03/18 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 947 18WC 26591 HOWARD, ROY JOLIET STAFFING, LLC 07/30/18 HORWITZ HORWITZ & ASSOC 948 18WC 26653 OCAMPO, MARIA ROSARIO PERSONALIZTIONMALL.COM LL 05/02/18 STEVEN B SALK & ASSOC LTD KOPKA, PINKUS DOLIN, PC 949 18WC 26701 SELLERS, GREGORY RJW TRANSPORTATION 09/05/18 DWORKIN AND MACIARIELLO 950 18WC 26770 AGUIRRE, JAZMIN A/K/A RONS STAFFING SERVICES 08/02/18 GOLDSTEIN BENDER & ROMANOF KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 951 18WC 26848 MULKA, CHRIS UPS # 08/28/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 952 18WC 26878 VANHOOK, ALLESAUNDRA AMAZON 06/25/18 STROM & ASSOC KEEFE CAMPBELL BIERY & ASSOC 953 18WC 26953 MILLER, WALTER W WEST LIBERTY FOODS 08/25/18 VITELL & SPITZ LTD HEYL ROYSTER VOELKER & ALLEN 954 18WC 27001 BARRERA, ERIC ARYZTA 08/25/18 COSTA IVONE LLC HENNESSY & ROACH PC 955 18WC 27147 MARTIN, DEWANDA IL ACTION FOR CHILDERN 09/06/18 VASILATOS & COTTER LLC 956 18WC 27233 ERVIN, CHARLES WEST LIBERTY FOODS, LLC 09/10/18 STEVEN B SALK & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN 957 18WC 27312 LOPEZ, HERMINDA ILLINOIS INDUSTRIAL TOOL, 08/16/18 LUSAK AND COBB 958 18WC 27339 MISHKA, RICHARD M WILLIE BROTHERS CO 08/16/18 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 959 18WC 27365 GREER, MILTON JR. POPEYES 08/17/18 DAVID W MARTAY ROSARIO CIBELLA 960 18WC 27406 STEWART, ANTIONE TH RYAN CARTAGE CO 09/10/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 961 18WC 27571 NELSON, DUSTIN THORNE ELECTRIC CO, INC 08/14/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 962 18WC 27604 CZERWINSKI, MELANIE PORTILLO'S HOT DOGS 06/14/18 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 963 18WC 27720 ZIMMERMAN, KURT J YRC FREIGHT 08/19/18 RIDGE & DOWNES HENNESSY & ROACH PC 964 18WC 27775 BISHOP, MARY CARSON PIRIE SCOTT 08/17/18 CULLEN HASKINS NICHOLSON LAWRENCE COZZI - LAW OFFICE 965 18WC 27883 SORIA, ESMERALDA HOME DEPOT 02/17/18 CAPRON & AVGERINOS PC ADELSON TESTAN BRUNDO 966 18WC 28180 CAZARES-MAGANA, MARGARITA XTREME CLEANERS INC 08/23/18 KATZ FRIEDMAN EAGLE ET AL JOSEPH MARCINIAK 967 18WC 28243 WAFFORD, TINA CHILDREN & FAMILY SERVICE 03/15/17 HERRERA LAW CENTER ASSISTANT ATTY GENL 968 18WC 28331 GLON, TRACI ASG STAFFING 10/30/17 WOODRUFF JOHNSON FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 969 18WC 28405 THIGPEN, RICHARD AEROTEK 08/30/18 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 970 18WC 28535 SPENCER, CHRISTOPHER M VILLAGE OF MANHATTAN 08/21/18 DAVID W MARTAY POWER & CRONIN LTD 971 18WC 28544 LOZANO, RANDY ERRIS MASONRY 01/18/18 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 972 18WC 28587 GILES, RANDY WILMAC ENTERPRISES LLC 02/02/17 DAVID M DUREE 973 18WC 28615 HERNANDEZ, GERARDO CONNEMARA CONVERTING 01/16/18 BART DURHAM HOLECEK & ASSOCIATES 974 18WC 28665 FRICANO, CHRISTOPHER SR FRASER CONSTRUCTION 07/30/18 MARK N LEE WIEDNER & MCAULIFFE LTD 975 18WC 28715 HAMILTON, CHAZ PREMIER STAFF SERVICE 09/19/18 MC HARGUE & JONES ASA LAW GROUP 18WC033587 -C SCHNEIDER NATIONAL, INC 976 18WC 28861 ROBERTS, BROCK D CONSTRUCTION 07/17/18 RUBENS KRESS MULHOLLAND JOSEPH MARCINIAK 977 18WC 29067 GROSS, ZIPPORAH GRAINGER WAREHOUSE 06/11/18 COVEN LAW GROUP ASA LAW GROUP 978 18WC 29090 WYNGOWSKI, STANLEY AMAZON FULFILLMENT CENTER 06/21/18 DWORKIN AND MACIARIELLO 979 18WC 29227 KENNEDY, MICHAEL IDOT - (MOVABLE BRIDGES D 09/25/18 STROM & ASSOC ASSISTANT ATTORNEY GENERAL 980 18WC 29352 SIMPSON, DEREK STATEVILLE ILLINOIS DEPT @ 07/18/18 MARKER & CRANNELL ASSISTANT ATTY GENL 981 18WC 29448 KURTZ, THOMAS TRI-STAR CABINET & TOP CO 09/25/15 RATHBUN CSEVENYAK & KOZOL 982 18WC 29488 MORALES, REBECA MAGID GLOVE & SAFETY 07/10/18 ANSELMO DURAN WIEDNER & MCAULIFFE LTD 983 18WC 29608 CASILLAS, WENDY MCDONALDS 09/22/18 ANKIN LAW OFFICE 984 18WC 29800 HARGIS, KEVIN CITY OF JOLIET 04/25/16 HETHERINGTON KARPEL BOBBER KNELL O'CONNOR DANIELWICZ 985 18WC 29828 CICERO, THOMAS HD TRUCK EQUIPMENT 09/07/18 KROL BONGIORNO & GIVEN LTD 986 18WC 29856 KRUPINSKI, ROBERT AT&T 08/24/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 987 18WC 30004 STEGENGA, MICHAEL C VILLAGE OF UNIVERSITY PAR 03/14/18 THOMAS W DUDA 988 18WC 30094 SCOTT, JOSEPH FUNCHES TRUCKING 09/21/18 CHARLES LEVY & ASSOC LTD LORENZ & BERGIN PC 989 18WC 30136 LOERA, JOSE CLEAR STAFF INC 10/02/18 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS 990 18WC 30187 JOHNSON, APRIL METRO STAFF 09/27/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 991 18WC 30209 LANG, GABRIELLE AMAZON 06/08/18 DANIEL PERIASWAMY 992 18WC 30270 KRUPINSKI, ROBERT AT&T 08/24/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 993 18WC 30366 WILSON, FRANCISCA SCHNEIDER LOGISTICS 05/25/18 MORICI FIGLIOLI & ASSOC ASA LAW GROUP 994 18WC 30382 WILLIAMS, VIVIAN L AMAZON 05/07/18 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 995 18WC 30445 GADSON, D'AVONTA ARBY'S RESTAURANT LLC 09/01/18 ANKIN LAW OFFICE GRANT & FANNING 996 18WC 30524 MOFFETT, CASSANDRA VALLEY VIEW CMNTY UNIT SC 07/10/18 JAMES J. GAY KNELL O'CONNOR DANIELWICZ 997 18WC 30542 WIEKERT, SHANE MEADE ELECTRIC CO 08/20/18 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 998 18WC 30594 LILLEY, VALERIE STATE OF ILLINOIS DOC, 09/11/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 999 18WC 30737 LEWIS-PHILLIPS, SPARKLE AUTUMN LEAVES 03/19/18 FRANKLIN, VALARIE P & ASSO WOLF & LAUDICINA LTD 1000 18WC 30844 KRUEGER, THOMAS DARVIN FURNITURE & APPLIA 04/03/18 MC HARGUE & JONES BORGELT POWELL 1001 18WC 30903 PATINO MEDINA, JUAN F WESTERN DUPAGE LANDSCAPIN 07/24/18 THE ROMAKER LAW FIRM 1002 18WC 31013 RASHEED, ZAHRA FURGAAN ACADEMY 12/20/17 GANAN & SHAPIRO 1003 18WC 31030 MCCARTHY, TIMOTHY NCP CORP 06/28/18 WOODRUFF JOHNSON SPIEGEL & CAHILL, PC 1004 18WC 31258 SULLIVAN, SAMANTHA WILMINGTON POLICE DEPARTM 08/04/16 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1005 18WC 31449 RODRIGUEZ, BLANCA LA FLOR OF ILLINOIS 07/10/18 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 1006 18WC 31458 PANNARALLA, JACQUELINE MENARD'S 06/03/18 BLOCK, KLUKAS & MANZELLA P 1007 18WC 31499 BENNETT, JUNETTE STATE OF IL 08/09/18 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 1008 18WC 31542 CAMARDO, PASQUALE OPTIMUM STAFFING, INC 03/15/18 TUITE LAW RUSIN & MACIOROWSKI LTD 1009 18WC 31579 SERRANO, ERIK SERRANO LANDSCAPING, INC 10/16/18 ROMANUCCI & BLANDIN INMAN & FITZGIBBONS 1010 18WC 31655 WILLIAMS, TAMMY HR METRICS, INC/TRADER JO 07/03/18 BLOCK, KLUKAS & MANZELLA P 1011 18WC 31663 PANNARALLA, GEOFF STATE OF ILLINOIS 05/29/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 1012 18WC 31697 TERRAZAS, ANTOLIN ML MATTHEWS DISTRIBUTIONS 05/04/18 PAUL MARZANO BRYCE DOWNEY & LENKOV LLC 1013 18WC 31852 MOTON, JOHNNY SCHNEIDER LOGISTICS, INC 03/02/18 SCHWEICKERT & GANASSIN ASA LAW GROUP 1014 18WC 31902 MCCLENDON, CAMERON 48FORTY SOLUTIONS 10/10/18 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 1015 18WC 31992 GERLACH, BRIAN AT&T 10/09/18 GOLDBERG WEISMAN & CAIRO L 1016 18WC 32038 PARRA-LOPEZ, ROBERTO KOVA, LLC 09/27/18 KARCHMAR & STONE KNELL O'CONNOR DANIELWICZ 1017 18WC 32253 BALES, NELLANN CHICAGO AEROSOL 07/07/18 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 1018 18WC 32300 BATCHELOR, CLIFF HAYES MECHANICAL 06/14/18 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 1019 18WC 32337 DEMARIA, FRANK P NATIONAL FREIGHT, INC 08/13/18 RUBIN LAW GROUP QUINN JOHNSTON HENDERSON ETA 1020 18WC 32457 GALVEZ, ANTONIO DIAGEO 06/02/18 BART DURHAM LAWRENCE COZZI - LAW OFFICE 1021 18WC 32483 LEON, VICTOR ST DENNIS CHURCH 01/24/18 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 1022 18WC 32609 CLERK, NORVEEA GRAND PRARIE TRANSIT CO 09/24/18 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1023 18WC 32695 EBERHART, ANTHONY CITY OF JOLIET 01/23/17 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 1024 18WC 32734 RODRIGUEZ, ALEXANDER LOVITT BLIND & DRAPERY 09/10/18 BLOCK, KLUKAS & MANZELLA P 1025 18WC 32833 HILL, CHERYL HOME DEPOT 09/23/18 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 1026 18WC 32930 BARNES, LOUIS TA OPERATING LLC 10/08/18 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 1027 18WC 32952 LANDEROS, ELIAS NORTH COAST HOLDING 06/23/17 SEIDMAN MARGULIS & FAIRMAN 1028 18WC 33000 VARSEK, JOYCE DELTA AIRLINES 07/03/17 FRANCIS J DISCIPIO LAW OFF GAIDO & FINTZEN 1029 18WC 33146 WALKER, MELVIN LAVELLE DHL SUPPLY CHAIN 10/04/18 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 1030 18WC 33281 ANANIA, ANTHONY THE HOME DEPOT USA, INC 07/22/17 ADELSON TESTAN BRUNDO 1031 18WC 33391 WYDRA, JENNIFER L FANNIE MAY FINE CHOCOLATE 12/11/17 VITELL & SPITZ LTD LAWRENCE COZZI - LAW OFFICE 1032 18WC 33428 SZABPSKI, CHRISTINE AMAZON 07/22/18 GAINES & GAINES KEEFE CAMPBELL BIERY & ASSOC 1033 18WC 33568 KEENE, RICHARD DYNAMIC UTILITY SOLUTIONS 07/19/18 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 1034 18WC 33592 BUGAREWICZ, TRENT J.B. HUNT 09/28/17 MEYERS & FLOWERS MICHAEL JASPER 1035 18WC 33625 RIDDLEY, LATANYA AMAZON 10/17/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 1036 18WC 33648 VELASQUEZ, JUANITA ELITE STAFFING 08/19/17 EPSTEIN, JACK R LAW OFFICE 1037 18WC 33663 WISNIEWSKI, PEGGY PRESENCE ST JOSEPH MEDICA 09/10/18 BLOCK, KLUKAS & MANZELLA P 1038 18WC 33865 ZURALES, LISA SILVER CROSS HOSPITAL 03/24/18 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 1039 18WC 33878 JOHNSON, TYLER CLEARSTAFF 10/27/18 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 1040 18WC 33939 CLEMONS, GIRARD AMAZON 09/12/18 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1041 18WC 34015 STIRRATT, WILLIAM RECRUIT HOLDINGS CO LTD D 02/05/18 SCHWEICKERT & GANASSIN KEEFE CAMPBELL BIERY & ASSOC 1042 18WC 34057 TONDA, DOLORES PRACHITO TRUCKING, INC 10/08/18 KATZ FRIEDMAN EAGLE ET AL 1043 18WC 34074 DREW, LISA AMAZON.COM.DEDC.LLC 08/22/18 ANKIN LAW OFFICE 1044 18WC 34119 FERREIRA, ANA V JIMENEZ GREENCORE USA INC 10/05/18 ANKIN LAW OFFICE 1045 18WC 34134 MOTLEY, YVONNE SUNNY HILL NURSING HOME O 09/12/18 STEVEN J TENZER, LTD HINSHAW & CULBERTSON 1046 18WC 34214 SKAGGS, RANDALL G MFR MANUFACTURING 09/20/18 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 1047 18WC 34232 GENTRY, VERONICA IH SERVICES INC. 10/31/18 COSTA IVONE LLC JOSEPH MARCINIAK 1048 18WC 34345 KERRIGAN, ELLEN JOLIET SCHOOL DIST 86 10/17/18 CURTIS S BURKE LAW OFFICE BRYCE DOWNEY & LENKOV LLC 1049 18WC 34443 GARCIA, JULIO CRATE SERVICES 10/29/18 COSTA IVONE LLC WOLF & LAUDICINA LTD 1050 18WC 34463 TOMAS, LORETTA REDEMPTION TRANSPORTATION 04/17/17 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 1051 18WC 34487 MC WRIGHT, CARLA DOT FOODS, INC 11/12/18 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 1052 18WC 34566 CALMES, GERMAINE STATE OF ILLINOIS DOC @ 11/14/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1053 18WC 34578 GILBERT, MARILYN ALDI 08/23/18 WOODRUFF JOHNSON 1054 18WC 34671 COMISE, SONIA ITW DELTAR IPAC/ILLINOIS 05/20/16 BUIKEMA HISKES DILLNER ET NYHAN BAMBRICK KINZIE & LOWR 1055 18WC 34823 RIOS, NICOLAS RELIABLE LANDSCAPING 09/25/18 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 1056 18WC 34895 RUIZ, ALBERTO O'REILLY AUTO PARTS 07/21/18 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 1057 18WC 34965 GREEN, CATRINA PROLOGISTIX 08/26/18 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 1058 18WC 34987 VOITIK, RICHARD JOLIET PARKDISTRICT 12/13/17 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1059 18WC 35006 ENRIGHT, PATRICK COMFORT FIRST HEATING AND 11/21/18 O'CONNOR & NAKOS 1060 18WC 35027 DHULSTER, CYNTHIA AMAZON 03/13/17 GALLAGHER, DONALD V 1061 18WC 35119 ALEXIS, AMARI FEDEX GROUND PACKAGE SYST 10/02/18 COHN LAMBERT RYAN & SCHNEI KOPKA, PINKUS DOLIN, PC 1062 18WC 35216 SCHENK, DEBBIE LOCKPORT POLICE DEPARTMEN 11/14/18 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 1063 18WC 35266 PEREZ, FELIPE AMERISOURCE BERGEN 04/23/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 1064 18WC 35376 KIRKSEY, DAWN, A/K/A AMAZON 11/09/18 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 1065 18WC 35471 SMITH, STEPHEN ILLINOIS TOOK WORKS INC 08/01/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1066 18WC 35526 HORN JR, JOHNIE ICORP D/B/A ENVIRONMENTAL 08/04/17 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 1067 18WC 35544 PRISTAS, ANTHONY SCOULAR 11/27/18 WHITESIDE & GOLDBERG LTD 1068 18WC 35601 FRITZ, SUZETTE A ACOSTA INC 09/05/18 PERONA PETERLIN ANDREONI HENNESSY & ROACH PC 19WC013101 -C 19WC019336 -C 1069 18WC 35623 BERSANO, AMY LITTLE LEARNERS CHILDRENS 06/07/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1070 18WC 35642 ALLEN, KEISHA GEODIS LOGISTIC 01/27/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 1071 18WC 35765 HOWARD, TAKYRA T TRIUNE LOGISTICS LLC 09/25/18 DEPAOLO & ZADEIKIS LITCHFIELD CAVO 1072 18WC 35846 GILCHRIST, STEVEN GREENCORE USA 07/02/18 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 1073 18WC 35891 RODRIGUEZ, JUAN ASPLUNDH TREE EXPERT LLC 06/13/18 VRDOLYAK LAW GROUP LLC KNELL O'CONNOR DANIELWICZ 1074 18WC 35920 MATIA, EDWARD ILLINOIS DEPT OF TRANSPOR 11/07/17 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 1075 18WC 35978 MARTIN, JEROME NATIONAL DCP, LLC 10/23/18 ACEVES & PEREZ PC ARNETT LAW GROUP 1076 18WC 36039 RUCKER, GABBY INTEGRITY TRADE SERVICES 08/28/18 GOLDBERG & DOHAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1077 18WC 36115 FARRELL, ROBERT AMY'S FRESH MARKET 03/01/18 PETER F FERRACUTI & ASSOCI 1078 18WC 36138 NIEDZWIEDZ, TRACY G BEST BUY STORES L.P. 10/11/18 KOSIN LAW OFFICE LTD 1079 18WC 36172 TAPELLA, STEPHANIE SEPTRAN, INC 11/27/18 SHANNON LAW GROUP GAIDO & FINTZEN 1080 18WC 36199 WILLIAMS, TANGLEA AMAZON 10/20/18 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 1081 18WC 36332 ORTIZ, ESTEFANIA VERIZON 09/27/18 KATZ FRIEDMAN EAGLE ET AL ASA LAW GROUP 1082 18WC 36350 SNOW, ANDREA JOLIET PUBLIC SCHOOL DIST 09/26/18 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 1083 18WC 36412 GONCHAR, STEPAN PRATER INDUSTRIES INC 01/26/18 LEWUN & KAIS LTD HOLECEK & ASSOCIATES 1084 18WC 36536 BOYLE, EILEEN E ECOLAB INC 12/03/16 MORICI FIGLIOLI & ASSOC 1085 18WC 36634 APARICIO, JOSE SEATING CONCEPTS, INC 09/25/18 COSTA IVONE LLC 1086 18WC 36729 MARQUEZ, JUAN J ACRES ENTERPRISES, INC 04/21/18 ANKIN LAW OFFICE LITCHFIELD CAVO 1087 18WC 36784 BUCKLES HOLMES, AKEETA ELITE AMBULANCE 11/07/18 SEIDMAN MARGULIS & FAIRMAN LAWRENCE COZZI - LAW OFFICE 1088 18WC 36825 PIUNTI, LISA M AMAZON 06/10/18 BAUM RUFFOLO & MARZAL LTD 1089 18WC 36921 BREHM, YOLANDA BOLINGBROOK PARK DISTRICT 10/08/18 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 1090 18WC 36944 PEREZ, CARLOS M BURRIS EQUIPMENT CO 08/09/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 1091 18WC 37010 HARDY, BEATRIZ SPECTRA 360 TEMP AGENCY 11/26/18 MEYERS & FLOWERS GILDEA, COGHLAN & REGAN LTD. 1092 18WC 37122 SCHLITTER, RICHARD JEWEL DISTRIBUTION CENTER 12/04/18 GOLDBERG WEISMAN & CAIRO L 1093 18WC 37207 BURRELL, BRUCE MCMAHON TRANSPORTATION GR 09/21/18 TAXMAN POLLOCK 1094 18WC 37308 MARKS, SARAI WEST LIBERTY FOODS 09/01/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1131 19WC 01098 JORDAN, TONY WILLIAMS BROTHERS CONSTRU 08/09/18 LEONARD LAW GROUP LLC KNELL LAW LLC 1132 19WC 01113 ESPINO, JOSEPHINE RICHLAND GSD 88A 09/26/18 BRILL & FISHEL 1133 19WC 01168 MITCHELL, RICHARD YRC WORLDWIDE 07/27/18 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 1134 19WC 01201 LEON, ELIA ARYZTA, LLC 10/24/18 ROBERT J. IRSUTO HENNESSY & ROACH PC 1135 19WC 01252 SMITH, MORRIEL D DOLLAR TREE DISTRIBUTION 10/26/18 PAUL A COGHLAN & ASSOC LEAHY EISENBERG & FRAENKEL 1136 19WC 01264 WILLIAMS, JEFF MACY'S LOGISTICS & OPERAT 11/13/18 JAMES ELLIS GUMBINER & ASS BRYCE DOWNEY & LENKOV LLC 1137 19WC 01365 MOLNAR, DANIEL IST AMERICAN US OPERATION 09/18/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 1138 19WC 01371 GRIJALVA, MARIO JR CHICAGO SUBURBAN EXPRESS 09/14/18 LEONARD LAW GROUP LLC 1139 19WC 01466 LOPEZ, GARAY, NORA MEADOWBROOK MANOR 11/28/18 STEIN & CHERNY LTD 1140 19WC 01518 COUGHLIN, LORI IKEA 01/01/19 VRDOLYAK LAW GROUP LLC LAWRENCE COZZI - LAW OFFICE 1141 19WC 01558 ALVAREZ, JOSE TRIUNE LOGISTICS 12/17/18 KATZ FRIEDMAN EAGLE ET AL LITCHFIELD CAVO 1142 19WC 01751 RICE, JACQUELINE MYLIFE HOME HEALTHCARE 01/04/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 1143 19WC 01803 SANDERS, DWAYNE ARCHITECTURAL METAL ERECT 06/14/17 CUDA LAW OFFICES 1144 19WC 01902 ORNELAS, ARTURO GREENSCAPE 01/02/19 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1145 19WC 01936 BAREFIELD, SHANITA FIRST TRANSIT 12/20/18 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 1146 19WC 01950 MERCADO, ABRAHAM ARBON STEEL & SERVICE COM 01/08/19 GORDON & CENTRACCHIO LLC 1147 19WC 01964 ALBERTSEN, DAVID SUPERIOR HEALTH LINENS 12/20/18 CULLEN HASKINS NICHOLSON LAWRENCE COZZI - LAW OFFICE 1148 19WC 01972 SANTIAGO, JOSE W SCHNEIDER NATIONAL 04/05/18 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1149 19WC 01978 CODDINGTON, CATHERINE BREMEN CHSD #228 04/30/18 BLOCK, KLUKAS & MANZELLA P SRAGA HAUSER LLC 1150 19WC 02103 MOLLOY, JUSTIN JEWEL FOOD STORES 1537 07/05/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1151 19WC 02151 HUBBARD, KRISTE AMAZON DISTRIBUTION CENTE 12/08/18 GOLDBERG WEISMAN & CAIRO L 1152 19WC 02204 STEVENS, RON HITS, INC. 04/12/18 RUSIN & MACIOROWSKI LTD 1153 19WC 02240 CHAVEZ, SHIRLEY GP TRANSCO 11/21/18 JAMES J. GAY KRAKER FANNING & OLSEN 1154 19WC 02291 COE, SUSANNE NAPERVILLE PROFESSIONALS, 01/14/19 BLOCK, KLUKAS & MANZELLA P LAWRENCE COZZI - LAW OFFICE 1155 19WC 02360 CARTER, SAMMY MIDWAY MOVING AND STORAGE 01/18/19 JOHN S. ELIASIK 1156 19WC 02383 GERBER, MARK MIDWEST MAINTENANCE 12/20/18 VRDOLYAK LAW GROUP LLC 1157 19WC 02410 PEREZ, FABIAN ELITE STAFFING 01/16/19 WOLFE LAW PC 1158 19WC 02430 MILTON, JEANETTE ALLEGIANCE STAFFING 12/14/18 LEONARD LAW GROUP LLC POWER & CRONIN LTD 1159 19WC 02476 FRENCH, COREY IFCO SYSTEMS 01/21/19 DWORKIN AND MACIARIELLO 1160 19WC 02653 OROZCO, ALFREDO BOLINGBROOK COLD STORAGE 11/16/18 LEO ALT WIEDNER & MCAULIFFE LTD 1161 19WC 02738 WOODARD, KIMBERLY DSC LOGISTICS 01/09/19 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC 1162 19WC 02800 MILELLA, DAWN HARRAH'S JOLIET CASINO 07/31/18 PETER LEKAS NOBLE & ASSOC 1163 19WC 02861 TURNER, DIONTE CASSENS TRANSPORT 01/25/19 PARENTE & NOREM PC KNAPP, OHL & GREEN 1164 19WC 02889 CARTER, KHYIA AMAZON.COM, INC 11/13/18 COVEN LAW GROUP 1165 19WC 03159 RALSTON, SUSANNE ILLINOIS TOOL WORKS/BERNA 05/02/18 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1166 19WC 03216 USBORNE, ROBERT PRO LOGISTIX 07/11/18 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1256 19WC 08661 DANIEL, SANDRA AMAZON 02/05/19 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 1257 19WC 08782 TRANCHITA, TOMI HOME DEPOT USA, ICN 02/26/19 FRANK A CELANI ADELSON TESTAN BRUNDO 1258 19WC 08846 MUNIZ, MARIA ARYZTA 11/14/18 COSTA IVONE LLC HENNESSY & ROACH PC 1259 19WC 08866 PEREZ, BRENDA TRIUNE LOGISTICS 03/15/19 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 1260 19WC 08890 WAKE, ADAM KOZOL BROTHERS INC 06/09/17 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM GRA 1261 19WC 08997 BROWN, GREGORY USF HOLLAND 03/06/19 PARENTE & NOREM PC HENNESSY & ROACH PC 1262 19WC 09051 LEDWA, MICHAEL GEODIS LOGISTIC 02/18/19 ROMANUCCI & BLANDIN LAWRENCE COZZI - LAW OFFICE 1263 19WC 09066 VALLEJO, JOSE JR. ILLINOIS STATE POLICE @ 03/17/19 THE MACK LAW GROUP PC ASSISTANT ATTY GENL 1264 19WC 09161 GALVEZ, JUAN LABOR TEMPS INC 01/07/19 RUSSO & RUSSO LTD GAIDO & FINTZEN 1265 19WC 09233 ORAM, LAURA FEDEX GROUND AKA FEDEX GR 12/07/18 HETHERINGTON KARPEL & BOBB KOPKA, PINKUS DOLIN, PC 1266 19WC 09282 SILVA, MARTHA BIG APPLE JOLIET 03/03/19 RATHBUN CSEVENYAK & KOZOL 1267 19WC 09357 MCBRIDE, TERRACE DHL EXPRESS 12/14/18 THE MACK LAW GROUP PC HENNESSY & ROACH PC 1268 19WC 09577 RAMOS, STEVEN KEHE DISTRIBUTORS 12/05/18 JOSEPH G HAFFNER LAW OFFIC POULOS & DIBENEDETTO LAW 1269 19WC 09657 FIELDS, EDITH BLACKHAWK RESTAURANT GROU 08/10/18 STEVEN J MALMAN & ASSOCIAT LAWRENCE COZZI - LAW OFFICE 1270 19WC 09730 SNOPEK, BRANDON SCOTT WERNER ENTERPRISES 01/23/19 LEONARD LAW GROUP LLC SMITH AMUNDSEN LLC 1271 19WC 09796 MULLINS, HARVEY G&W ELECTRIC COMPANY 02/27/19 JACKOWIAK LAW OFFICES INMAN & FITZGIBBONS 1272 19WC 09954 SMITH, BRAD LYONS, LLC 07/24/18 SPIROS LAW PC 1273 19WC 10036 WILK, EDWARD WALMART 12/08/18 WILLIAM H MARTAY QUINTAIROS PRIETO WOOD & BOY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M TBA2 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1292 19WC 11304 LLOYD, DEON STATE OF ILLINOIS @ 06/11/18 COSTA IVONE LLC ASSISTANT ATTORNEY GENERAL 1293 19WC 11539 OCHOVSKY, VINCENT V RYDER SYSTEMS, INC. 03/05/19 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 1294 19WC 11591 RANGEL, ARTURO TJ BAUMGARTNER CORP 01/11/19 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 1295 19WC 11649 WISCHNACK, ELMER JOHN IDOC ELGIN TREATMENT CENT @ 01/31/19 WOODRUFF JOHNSON ASSISTANT ATTY GENL 1296 19WC 11691 SWIEBOCKI, BRIAN S DOLLAR TREE DISTRIBUTION, 11/08/18 DWYER & COOGAN EVANS & DIXON, LLC 1297 19WC 11712 RANSON, RICHARD LOCOMOTIVE SERVICE, INC 03/08/19 ANKIN LAW OFFICE 1298 19WC 11760 OCHOA, ROBERTO APL LOGISTICS 03/13/19 TURCYCHUTE LLC KEEFE CAMPBELL BIERY & ASSOC 1299 19WC 11806 ROBLES, JESSICA STATESVILLE @ 12/05/18 LEITER LAW OFFICES ASSISTANT ATTY GENL 1300 19WC 11851 MICHEL, LESLIE ACCURATE PERSONNEL LLC 04/09/19 DWORKIN AND MACIARIELLO JOHN T GONNELLA 1301 19WC 11954 DORAN, DAVID PARSEC 04/19/19 PARENTE & NOREM PC MACIOROWSKI SACKMANN & ULRIC 1302 19WC 11982 DELANEY, CHRISTOPHER CITY OF JOLIET 03/25/19 FRANCIS J DISCIPIO LAW OFF ROSARIO CIBELLA 1303 19WC 12034 COLE, SHARNICE GREENCORE 03/18/19 ASHER, RAYMOND L LTD 1304 19WC 12201 MARKANICH, THOMAS K&M TIRE 03/04/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1305 19WC 12236 NGUYEN, KAITLYN HAMRA ENTERPRISES, D/B/A 03/02/19 MARKER & CRANNELL HOLECEK & ASSOCIATES 1306 19WC 12430 CALDERON, DANIEL MORALES SALDANA C. REMODELING, LL 03/14/19 1307 19WC 12474 YEATES, MARCUS ELITE STAFFING INC 04/23/19 DWORKIN AND MACIARIELLO 1308 19WC 12518 TORRES, JUAN MANUEL AARON THOMAS COMPANY 04/05/19 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 19WC012958 -C 1309 19WC 12534 WILKINS, CLINTON COUNTY OF WILL/ADULT DETE 04/02/19 BLOCK, KLUKAS & MANZELLA P

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