ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 14392 BANKS, LARRY CITY OF CHICAGO 10/02/00 ROSS TYRRELL LTD HENNESSY & ROACH PC 05WC047102 -C 05WC047103 -C 08WC032068 -C 2 02WC 42524 BERNATOWICZ, WAYNE CHICAGO TRANSIT AUTHORITY 05/21/02 JOHN E LUSAK CHICAGO TRANSIT AUTHORITY 02WC066372 -C 05WC005236 -C 3 06WC 22949 SULEIMAN, NABIEL CHICAGO TRANSIT AUTHORITY 06/08/05 BOWMAN & CORDAY CHICAGO TRANSIT AUTHORITY 4 07WC 04220 CLEMENTSON, JOHN CITY OF CHICAGO 04/17/06 CULLEN, HASKINS, NICHOLSON CITY OF CHICAGO 07WC021908 -C 5 07WC 22140 CORTES, MIOSOTIS SOLO CUP COMPANY 09/27/06 GRAZIAN & VOLPE PC GAROFALO SCHREIBER STORM 08WC007333 -C 08WC043277 -C 08WC043278 -C 6 07WC 31304 MC NEAL, GEORGIA M CITY OF CHICAGO 12/07/06 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 7 08WC 35684 PLATT, DANIEL CHICAGO TRANSIT AUTHORITY 06/23/08 BOUDREAU NISIVACO LLC CHICAGO TRANSIT AUTHORITY 8 08WC 51761 CARDONA, ROSA FRITO LAY 06/26/08 SCHWEICKERT & GANASSIN GILDEA & COGHLAN 11WC006343 -C 9 09WC 07093 GUZMAN, FIDEL VISAGE SCREEN PRINT 01/07/09 MARK A MORGENSTERN BRADY CONNOLLY & MASUDA PC 10 09WC 19965 MOYLAN, JAMES PICKENS-KANE ENTERPRISES 05/31/06 HEALY LAW FIRM 11 09WC 23205 BURKHEAD, ANTOINETTE CITY OF CHICAGO 05/28/09 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 13WC032645 -C 12 09WC 30084 CASSELL, JOHN NELSON WESTERBURG COMPANY 07/15/09 SANDMAN LEVY & PETRICH JAMES M KELLY 13 09WC 39181 GONZALEZ, MARTIN C DOLLAR BUSTER W 05/18/09 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 09WC 46198 SEAQUIST, MATTHEW SIGNODE INTERNATIONAL 08/18/09 DECARLO LAW GROUP HENNESSY & ROACH PC 15 10WC 06086 DROZD, JOHN CITY OF CHICAGO 01/25/10 MARSZALEK AND MARSZALEK CITY OF CHICAGO 13WC021554 -C 16 10WC 12174 KESSANTI, FARID BLUE RIBBON CAB 03/05/10 TRUGLIO, FRED A & ASSOC STONE & JOHNSON CHARTERED 17 10WC 13334 THOMAS, RICK CITY OF EVANSTON 03/23/10 BURNES & LIBMAN WIEDNER & MCAULIFFE LTD 12WC025655 -C 14WC001008 -C 14WC007050 -C 16WC008727 -C 18 10WC 16276 BERGE, ERIC VILLAGE OF OAK LAWN FIRE 09/01/09 LAW OFFICES OF ANN O'CONNE KEEFE CAMPBELL & ASSOC LLC 11WC019971 -C FRANKFORT FIRE PROTECTION 19 10WC 22534 PENA, ANTONIO ELITE STAFFING 05/25/10 MC HARGUE, JAMES P LAW OFF MARC CAIRO 10WC022535 -C 20 10WC 23301 BARBEE, ANDREA CITY OF CHICAGO 04/14/10 ANESI OZMON RODIN NOVAK KO 21 10WC 24874 MELE, MARGARET YRC WORLDWIDE INC 06/17/10 BOUDREAU & NISIVACO LLC HENNESSY & ROACH PC 22 10WC 39622 BOORMAN, PATRICIA L LOYOLA UNIVERSITY MED CTR 08/27/09 RICHARD O. GREENFIELD LORENZ & BERGIN PC 10WC039623 -C 23 10WC 40038 HU, KYONG CHA WOORI VILLAGE @ W 10/03/10 STEVEN J SEIDMAN LAW OFFIC 24 10WC 48551 BALDWIN, LESLIE HAYMARKET CENTER HOME 12/11/10 MARC J SHUMAN & ASSOCIATES BRADY CONNOLLY & MASUDA PC 25 10WC 48845 HAUBRICH, DEDRA DOUMAK INC 07/21/10 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 26 11WC 05465 HENDERSON, LINDA CITY OF CHICAGO 10/21/09 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 17WC011829 -C 27 11WC 10075 SALAZAR, CESAREO STATE OF ILLINOIS @ 05/01/09 STEVEN J SEIDMAN LAW OFFIC DANIEL SULLIVAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 11WC 12801 DACOSTA, TONY CTA 03/14/11 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 29 11WC 14124 BRITT, CLAUDELL CITY OF CHICAGO 02/07/11 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 12WC020653 -C 13WC007301 -C 14WC032252 -C CHICAGO STREETS & SAN DEPT 15WC022398 -C 30 11WC 14477 GARCIA, ISMAEL ASG STAFFING 04/04/11 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 31 11WC 15243 ERAKAT, RIMA AWNI FOOD 4 LESS 03/20/11 COHN LAMBERT RYAN & SCHNEI STONE & JOHNSON CHARTERED 32 11WC 16507 CAMPOS, SERJIO SEVEN D CONSTRUCTION 04/15/10 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 12WC000737 -C 33 11WC 17756 KEENE, WILLIAM CHICAGO PARK DISTRICT 03/03/11 HORWITZ HORWITZ & ASSOC CHICAGO PARK DIST LAW DEPT 34 11WC 19848 KULACH, PAWEL CHRIS CARPENTRY AND W 04/18/11 CHRISTOPHER BUCHCAR, LTD FUKSA KHORSHID LLC 35 11WC 24168 RUDINS, JOHN POWER PLAY DISTRIBUTORS, 04/20/10 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY 36 11WC 30641 BARNETT, MICHAEL CHICAGO TRANSIT AUTHORITY 07/30/11 MICHAEL J DUDEK CHICAGO TRANSIT AUTHORITY 37 11WC 32734 BAILEY, JANET M UNITED AIRLINES, INC. 10/31/10 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC011143 -C 38 11WC 32969 DONEGAN, TOM KELLY SERVICES 02/18/10 THOMAS R LICHTEN SPIEGEL & CAHILL, PC 39 11WC 34023 NEWSUM, DEBRA CITY OF CHICAGO DEPT OF F 08/21/11 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 40 11WC 42494 TOWNSEND, TAMEKA L CTA 10/31/11 MICHAEL P MCCREADY & ASSOC CHICAGO TRANSIT AUTHORITY 41 11WC 42512 CLERMOND, JOE ARENA FOOTBALL ONE LLC 04/22/11 PETER D CORTI LAW GROUP ADELSON TESTAN & BRUNDO 42 11WC 42644 GUEVARA, FREDY PRIMARY STAFFING INC 08/10/11 KATZ FRIEDMAN EAGLE ET AL 43 11WC 48875 VASQUEZ, ROGELIO ELITE STAFFING, INC 12/01/11 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 12WC 01384 FOSTER, SHARON CITY OF CHICAGO SANITATIO 01/04/12 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO 45 12WC 04992 SIDA, JOSE PRO TRAILER 11/09/11 CHRISTINE F DAVID GANAN & SHAPIRO 46 12WC 06037 VINSON, TEKESHIA CTA 01/23/12 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 12WC040163 -C 47 12WC 10767 EGIZIO, MICHELLE WAL MART STORES 02/16/12 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 12WC027235 -C 48 12WC 16761 KEANE, PETER CHICAGO TRANSIT AUTHORITY 12/01/11 HEALY LAW FIRM CHICAGO TRANSIT AUTHORITY 49 12WC 23212 BORAS, VLADO BARCELONA CONDO ASSOCIATI 04/20/12 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 14WC040927 -C 50 12WC 24638 WILLIAMS, KEITH CITY OF CHICAGO 06/18/12 SALVATO & O'TOOLE HENNESSY & ROACH PC 51 12WC 27207 COLEMAN, VALESKA PROVIDENT HOSPITAL 04/03/12 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 52 12WC 27844 SMITH, LAMONT CITY OF CHICAGO 06/25/12 HEALY LAW FIRM CITY OF CHICAGO 53 12WC 37619 STEPANEK, STEVE CITY OF CHICAGO SDOT 12/14/09 DWYER AND COOGAN CITY OF CHICAGO 13WC008831 -C 54 12WC 37862 MORALES, SILVIA CINTA'S CORP 10/09/12 SMOLER LAW OFFICE, PC KEEFE CAMPBELL & ASSOC LLC 55 12WC 42339 MAYOR, JAIR CITY OF CHICAGO 11/28/12 ACEVES & PEREZ PC CITY OF CHICAGO 56 12WC 43316 CARTER, URSULA IL STATE POLICE @ 10/01/12 STEVEN M SELAN JILL OTTE 13WC006097 -C ILLINOIS STATE POLICE 57 12WC 43615 BAILON, REYNA MARRIOTT HOTEL SRVCS INC 05/01/12 THE ROMAKER LAW FIRM POWER & CRONIN LTD 14WC034686 -C 58 12WC 44385 MONTESIONOS, OSMAN BACK TO BED INC 03/06/12 ACEVES & PEREZ PC ROBERT L. SMITH 59 12WC 44537 ZUNIGA-SANCHEZ, JULIO SCHNEIDER ELECTRIC USA IN 07/04/12 POMPER & GOODMAN SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 13WC 00588 CAMPOS, EDUARDO DISPATCH TAXI W 12/17/12 MARC J SHUMAN & ASSOCIATES 61 13WC 00730 WILLIAMS, SANDRA CHICAGO BOARD OF EDUCATIO 12/13/12 EPSTEIN, JACK R LAW OFFICE LAW DEPARTMENT 62 13WC 00832 BARRIGA, OLGA PETE'S FRESH MARKET 12/04/12 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 63 13WC 01764 DIAZ, HERMAN CHICAGO MEAT AUTHORITY IN 10/26/12 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 14WC007368 -C 14WC029231 -C 64 13WC 02569 HLOMAH, PAUL MENARD INC 07/09/09 MINKOW DOMIN CHILTON YAMBERT PORTER LLP 65 13WC 03509 CROWL, JOSEPH COMBINED ROOFING INC 09/06/12 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 66 13WC 11598 PERKINS, THEA ELEMENTARY SCHOOL DISTRIC 12/05/12 STEVEN J SEIDMAN LAW OFFIC ANCEL GLINK DIAMOND BUSH & E 67 13WC 11933 JOHNSON, LORETTA UNIVERSITY OF CHICAGO HOS 03/12/13 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 68 13WC 12279 LAROCCO, CHUCK GLOBAL CFS INC 03/20/13 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 13WC012280 -C 69 13WC 12517 MOTYASHOK, VOLODYMYR KAUNAS EXPRESS @ W 01/22/13 BELCHER LAW OFFICE DAVID M SPADA 70 13WC 12571 PAGAN, EDWARD THE KEMPNER CO., INC. 06/20/12 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 71 13WC 13729 SHULGA, MARY (WIDOW OF CITY OF EVANSTON 03/14/13 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 16WC024300 -C 72 13WC 13963 HERNANDEZ-DIONICIO, JESUS UNIVERSAL EXPORTS OF ILLI W 08/23/12 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 73 13WC 21803 MERGNER, CHRIS GOLBEIOWSKI TRANSPORT INC W 04/29/13 DWORKIN AND MACIARIELLO 74 13WC 22757 LEON, MARIA BURGER KING 07/03/13 ACEVES & PEREZ PC LAW OFFICES OF EDWARD J. KOZ 75 13WC 22814 DEACON, LAWRENCE PENINSULA CHICAGO 12/18/12 HEALY LAW FIRM HENNESSY & ROACH PC 76 13WC 23103 CARNEY, HURBIE DEPT OF HUMAN SERVICES @ 04/18/13 BOGUSZ & BOGUSZ LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 13WC 24653 MORENO, SARAI KENNEDY KING COLLEGE D/B/ 12/07/12 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 78 13WC 25164 GONZALEZ, JESUS M COREY STEEL COMPANY 07/15/13 ACEVES & PEREZ PC MEACHUM & STARCK 79 13WC 25312 PERRI, NASER THE MILLARD GROUP 06/28/13 WILLIAMS, ROBERT B LAW OFF RODDY LAW LTD 14WC033111 -C 80 13WC 28400 CAMPBELL, HELEN MADDEN MENTAL HEALTH CTR @ 10/15/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 13WC028453 -C 81 13WC 28645 ALICEA, CARTALINA ARYZIA 04/30/12 JOHN S. ELIASIK HENNESSY & ROACH PC 82 13WC 30691 RODRIGUEZ, MANUEL TRIANGLE FABRICATION & 07/25/13 FIORENTINO LAW OFFICES 83 13WC 30719 PENE, FELIX ELITE CAB CO 09/02/13 POMPER & GOODMAN 84 13WC 31697 KOETZLE, RALPH L VERALLIA SANT GOBAIN 06/12/13 VITELL & SPITZ LTD HENNESSY & ROACH PC 85 13WC 32097 RICKMAN, CHESLEY CITY OF CHICAGO 09/13/13 ANKIN LAW OFFICE CITY OF CHICAGO 86 13WC 33337 CALDERON, MARTIN MENARDS, INC 11/28/11 SALK, STEVEN B & ASSOC LTD CHILTON YAMBERT PORTER LLP 13WC033338 -C 13WC033339 -C 14WC021836 -C 15WC026769 -C 87 13WC 33705 FERREYRA, JOSE D COMPACT INDUSTRIES INC 09/27/13 ANKIN LAW OFFICE 88 13WC 34654 CAMPOS, JOSEFINA AR-BEE TRANSPORT, INC. 06/12/13 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 89 13WC 35037 TORRES, MARIA DURABLE PACKAGING 10/16/12 THE ROMAKER LAW FIRM RODDY LAW LTD 13WC039489 -C 90 13WC 35162 SANTANA, MIGUEL AIR CHECK, INC 10/07/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 13WC 36064 OWENS, ORLANDO CITY OF CHICAGO 10/22/13 DWORKIN AND MACIARIELLO CITY OF CHICAGO 92 13WC 36791 HARRIS, VICTORIA ST OF IL, E LUDEMAN @ 06/27/11 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 15WC035265 -C STATE OF IL 16WC019828 -C 93 13WC 37218 SULLIVAN, MICHAEL NORTH PALOS FIRE PROTECTI 10/06/13 THOMAS W DUDA POWER & CRONIN LTD 94 13WC 38715 KEETON, JIMMY E LOYOLA UNIVERSITY 04/22/13 BRILL & FISHEL LORENZ & BERGIN PC 95 13WC 39873 CANNIZZARO, TAMMY LOYOLA UNIVERSITY 06/11/12 RONALDSON & KUCHLER LORENZ & BERGIN PC 14WC020186 -C 96 13WC 40828 ZAYA, LODIA XYLEM INC 02/06/13 O'CONNOR & NAKOS POULOS & DIBENEDETTO LAW 97 13WC 41526 WYDRA, STEPHEN CHICAGO PARK DISTRICT 12/06/13 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 98 13WC 41777 DOKES, MARIA E UNIVERSITY OF ILLINOIS 10/14/13 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 99 13WC 41887 CRUZ, MANUEL BLOMMER CHOCOLATE CO 06/18/13 KENNETH B GORE, LTD GAROFALO SCHREIBER STORM 100 13WC 42550 CUNNINGHAM,SARAH MEDICAL EXPRESS SMBULANCE 11/01/13 LAW OFFICE EDWARD LICHTENS RIPES NELSON BAGGOT KALOBRAT 101 14WC 00164 AVALOS, ARACELI SUPERIOR MAILING SERV INC 10/03/13 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 14WC000165 -C 102 14WC 00324 RODRIGUEZ, GABRIEL THE LEVY COMPANY 11/27/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 103 14WC 00371 FORD, DARLENE FLICKERS 10/24/13 LITTLER RENNER HOWARD ET A 104 14WC 00417 HAENNICKE, GEORGE F CITY OF BERWYN 02/24/13 GOLDBERG WEISMAN & CAIRO L CUDA LAW OFFICES 14WC000418 -C 15WC003155 -C 105 14WC 00968 BOWEN, JOSEPH JB HUNT 12/04/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 14WC012657 -C 106 14WC 01130 MENDOZA, MARIA E TOWER AUTOMOTIVE 04/16/13 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 107 14WC 01265 HOLLIDAY, ROY UNITED AIRLINES INC. 09/22/13 SUTTER & ORI LLC WIEDNER & MCAULIFFE LTD 108 14WC 01297 PATYKOWSKI, PETER SAW ENTERPRISES INC 12/04/13 SMOLER LAW OFFICE, PC LAW OFFICES JOSEPH MARCINIAK 109 14WC 01445 CHAVEZ, MARIA G LABOR NETWORK 10/04/13 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 110 14WC 01944 WOODS, LAKESHA K FACTORY MOTOR PARTS 11/11/13 LAW OFFICES MICHAEL HELLMA LEAHY EISENBERG & FRAENKEL 111 14WC 02054 HARGROVE WARD, TIKITA EVERST COLLEGE 12/31/13 DWORKIN AND MACIARIELLO GRANT & FANNING 112 14WC 03538 CLEVELAND, RONALD GROSSINGER TOYOTA NORTH 11/19/13 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 14WC009920 -C 113 14WC 04170 MONTGOMERY, JEROME CHICAGO TRANSIT AUTHORITY 01/30/14 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 114 14WC 09923 MORGAN-CORNELL, KRISTY CHICAGO TRANSIT AUTHORITY 03/24/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 115 14WC 10750 BENAISSA, ROCHDI FLASH CAB 02/24/14 DWORKIN AND MACIARIELLO LAW OFFICES OF DEBORAH SCHAE 116 14WC 10899 GARMAN, DION CHICAGO TRANSIT AUTHORITY 03/10/14 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 117 14WC 10939 ROSALES, MARIBEL UNISTAFF 03/19/14 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 118 14WC 11264 BILLINGSLEA, PAMELA CPS/BOARD OF EDUCATION 02/07/13 SEIDMAN MARGULIS & FAIRMAN 119 14WC 11448 BECHARAS, BESSIE VASILIKI UNITED AIRLINES INC. 09/15/12 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 120 14WC 11496 SNIPES, CONTESSA MARYVILLE ACADEMY 01/02/14 RIFFNER BARBER ROWDEN & SC SMITH AMUNDSEN LLC 121 14WC 11506 TABB, YOHANNA CTA 04/03/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 14WC 11554 CAPARELLI-RUFF, ELIZABETH SPECIAL EDUCATION SERVICE 03/12/14 ERIC H CHECK, LAW OFFICES HOLECEK & ASSOCIATES 123 14WC 11819 FISHER, ANDREA FORD 03/23/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 14WC011820 -C 15WC032172 -C 124 14WC 12054 SULLIVAN, JAMES MONDELEZ INTERNATIONAL IN 11/11/13 LEO ALT WIEDNER & MCAULIFFE LTD 125 14WC 12220 WATTS, JAJA FORD MOTOR COMPANY 03/18/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 126 14WC 12240 THEOBALD, DEBORAH STARBUCKS CORPORATION 10/23/12 NEWLAND & NEWLAND 127 14WC 12495 GIANNOPOULOS, SAM G ALPHA BAKING CO 10/02/13 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 128 14WC 13007 LOCOCO, ANTHONY CITY OF CHICAGO 01/09/14 PARAG P. BHOSALE 129 14WC 13441 KRASINSKI, MITCHELL C STATE OF ILLINOIS/IDOT @ 03/04/14 GOLDBERG WEISMAN & CAIRO L 130 14WC 14182 LOPEZ, LUCY CHICAGO PUBLIC SCHOOLS 03/17/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 131 14WC 14231 SLEDGE, GEORGE D III CITY OF CHICAGO DEPT OF 01/09/14 VRDOLYAK LAW GROUP LLC 132 14WC 14428 GILSON, KATHLEEN CHICAGO PUBLIC SCHOOLS 03/06/13 BRILL & FISHEL LAW DEPARTMENT 133 14WC 15045 STUDWAY, WILLIE CITY OF CHICAGO 07/26/11 BRUSTIN & LUNDBLAD LTD CITY OF CHICAGO 134 14WC 20184 REYES, MANUEL ELECTRONIC PLATING CO 05/16/14 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 135 14WC 20961 TAMBURELLO, GREGORY MICHELE BAKING COMPANY 01/10/14 FINE, MARK S LAW OFFICES GILDEA & COGHLAN 136 14WC 22295 GARCIA, MARISOL STARBUCKS 06/06/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 137 14WC 22381 ASH, DEBRA WSI INC 03/19/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 138 14WC 22856 PIERCE, ZACHARY DHR INC STAFFING SOLUTION W 03/04/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 139 14WC 22904 GARZA, RAYMUNDO CHICAGO TRANSIT AURTHORIT 04/29/14 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 14WC 23189 JONES, GEORGE CTA 07/02/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 141 14WC 23386 AYALA, MARTHA ARAMARK 01/23/14 RUSSO & RUSSO LTD WIEDNER & MCAULIFFE LTD 142 14WC 24096 HANKISON, WILLIAM PEPSI CO 07/09/14 BRISKMAN BRISKMAN GREENBER ROBERT L. SMITH 143 14WC 24272 DOMINQUEZ, ALEXANDRA MOBILE RAIL SOLUTIONS INC 04/05/14 DEPAOLO ZADEIKIS GORE 144 14WC 24772 BROWN, ALPHONZO UNIVERSITY OF CHICAGO (7) 04/23/14 SHELDON I MINKOW & ASSOCIA POWER & CRONIN LTD 145 14WC 25469 SOPRYCH, ROBERT J CITY OF CHICAGO 03/12/14 SALVATO & O'TOOLE 146 14WC 26516 WALKER-JAMES, JANICE ST OF IL DEPT OF 04/15/14 GRAZIAN & VOLPE PC ASSISTANT ATTORNEY GENERAL 147 14WC 32509 FIELDS, REBEKAH ALDI 03/28/14 COPLAN & CRANE, LTD MACIOROWSKI SACKMANN & ULRIC 148 14WC 32573 CANTAVE, GAIL IL DEPT OF CHILDREN & FAM 09/15/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 149 14WC 33776 GONZALEZ, IRMA WIRELESS VISION HOLDINGS 08/20/14 O'CONNOR & NAKOS LAW OFFICES OF EDWARD J. KOZ 150 14WC 33998 JIMENEZ, VIOLETA SCHULZE & BURCH 09/27/14 LAW OFFICES OF MARK SCHAFF WIEDNER & MCAULIFFE LTD 151 14WC 34424 FLORES, ROMAN TOP VALUE AUTO REPAIR 09/10/14 THE BRYANT LAW GROUP LLC 152 14WC 34681 QUIROZ, CATALINA DUNKIN DONUTS/SEVA CO LLC 08/02/14 LAW OFFICE OF SCOTT B SHAP 153 14WC 34842 MIERITZ, MARK LAKESHORE RECYCLING SYSTE 09/23/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 154 14WC 34983 CLAUDIO, DOMINGO VIENNA BEEF 09/23/14 LAW OFFICES OF JOSEPH F. V 155 14WC 35403 APPLEWHITE, LATRICE ELITE STAFFING 05/01/13 DWORKIN AND MACIARIELLO 156 14WC 35488 SOTO, MARTIN NEWARK GROUP, INC. 10/09/13 COHN LAMBERT RYAN & SCHNEI MEACHUM & STARCK 157 14WC 35857 EWEN, RONALD D NUVEEN INVESTMENTS, LLC 07/15/14 ANGELINI & ORI LLC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 158 14WC 36345 MARTINEZ, JULIO HOGAN & SON MOVERS LTD 03/05/14 VRDOLYAK LAW GROUP LLC ANKIN LAW OFFICE 159 14WC 37273 BAUTISTA, JAMES CHICAGO TRANSIT AUTHORITY 12/11/12 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 14WC037274 -C 160 14WC 37721 RAMIREZ, JOSE HEARTLAND ILLINOIS FOOD C 11/03/14 BRIAN J MC MANUS & ASSOC, LAW OFFICES OF EDWARD J. KOZ 161 14WC 40437 HARRIS, LESLIE CITY OF CHICAGO 08/29/14 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO 162 14WC 43087 HICKSON, TRACEY CTA 12/04/14 FOHRMAN, DONALD W & ASSOCS 163 14WC 43186 YOUNGER, MARCIE WAL-MART STORES, INC. 11/29/14 THOMAS J STIBERTH LAW OFFI QUINTAIROS PRIETO WOOD & BOY 164 14WC 43276 GARCIA, JULIAN CARILLO ROOFING W 11/29/14 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 165 14WC 43423 CARTER, MICHAEL CITY OF CHICAGO 10/17/14 MARC J SHUMAN & ASSOCIATES CITY OF CHICAGO 166 15WC 00153 DAVIS, JOHN CITY OF CHICAGO DEPT OF 12/16/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 167 15WC 00453 SAMEGAWALA, NASIR YELLOW TAXI 11/15/14 LAW OFFICE RYAN ROSENTHAL 168 15WC 00605 JONES, SHARON CTA 11/14/14 THE FITZ LAW GROUP CHICAGO TRANSIT AUTHORITY 169 15WC 00832 HASKINS, PATRIECE FEDERAL EXPRESS 11/04/14 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 170 15WC 00854 LOVE, RACHEL CHICAGO PUBLIC SCHOOLS 03/26/14 PARENTE & NOREM PC 171 15WC 01403 SHATALOVICH, VALENTIN AS LIMOUSINE SERVICE 12/03/14 CHEPOV & SCOTT LLC 172 15WC 01805 RUIZ, LUIS HOSTESS BRAND LLC 07/24/14 KARCHMAR & STONE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 15WC 01844 WATSON, SHARNETT ANDREA RICH LEE VANS 03/12/14 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 174 15WC 02350 WOODSON, JOSELYN AUNT MARTHA'S YOUTH SVC C 07/03/14 STEVEN H MEVORAH & ASSOCIA BRADY CONNOLLY & MASUDA PC 15WC002351 -C 175 15WC 02879 ARREGUIN, MARIA OSI INDUSTRIES 05/28/14 GOLDSTEIN BENDER & ROMANOF MEACHUM & STARCK 176 15WC 02907 DELA CRUZ, MARCIAL VALLARTA LANDSCAPING 12/04/14 177 15WC 03160 JANAC, MARY ST JAMES HOSPITAL 01/21/15 COVEN LAW GROUP 178 15WC 03355 DOBBS, SAMUEL COOK COUNTY 01/10/15 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 179 15WC 04134 RIVERA, JUAN CHICAGO HEIGHTS STEEL 01/03/15 DWORKIN AND MACIARIELLO 180 15WC 08109 MENDIA, BRUNO REFLECTION WINDOW CO. 11/24/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 181 15WC 08272 ROGERS, JOSELYN ARDEN COURTS 01/21/15 LEONARD LAW GROUP LLC 182 15WC 09246 MORRIS, CYNTHIA COOK COUNTY STATE'S ATTOR 02/03/15 KURASCH & KLEIN, LTD STATES ATTORNEY OF COOK COUN 183 15WC 10227 DOMINGUEZ, MARCELINA THE GARLANDS OF BARRINGTO 01/08/15 TARADASH LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 16WC003743 -C 184 15WC 10417 OREA, YAJAIRA STARBUCKS 07/04/13 GOLDSTEIN BENDER & ROMANOF 185 15WC 10447 JAROSCAK, DONALD CHGO DEPT OF FLEET MGMT 02/02/15 VASILATOS & COTTER LLC CITY OF CHICAGO 186 15WC 10535 JACOB, MARY UIC HOSPITALS 07/13/14 KINNALLY FLAHERTY KRENTZ & HEYL ROYSTER VOELKER & ALLEN 187 15WC 10793 BROWNN, NICOLE CTA 02/26/15 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 15WC 11064 DILLARD, MARCELLA CITY OF CHICAGO 03/12/14 ROSENFELD HAFRON SHAPIRO F CITY OF CHICAGO 189 15WC 11122 ORTIZ, MAYRA CLARK ADAMS ASSOCIATES 07/14/13 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 15WC013408 -C 190 15WC 11165 OWENS, KEENAN LAMONT CHICAGO DEPT OF REVENUE 11/11/14 WILLIAM MARTAY CITY OF CHICAGO 191 15WC 11270 JOHNSON, SUZETTE UNITED AIRLINES, INC. 02/08/14 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 192 15WC 11288 MC ELROY, SHERONNE SOUTHWEST AIRLINES 02/26/15 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 193 15WC 11354 ANGLIN, MICHELLE STAN KOCH & SONS TRUCKING 08/07/14 KATZ FRIEDMAN EAGLE ET AL JOSEPH MARCINIAK 194 15WC 11358 HARRIS, MICHELE C CTA 02/20/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 195 15WC 11655 MASSEY, WILLETTA MORGAN SERVICES, INC. 01/02/15 COHN LAMBERT RYAN & SCHNEI HOLECEK & ASSOCIATES 196 15WC 11680 WILLIAMS, VANESSA CHICAGO BOARD OF EDUCATIO 01/20/15 HEALY SCANLON LAW FIRM 197 15WC 11749 BLAKELY, JACQUELINE FRESENUIS 01/20/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 198 15WC 11780 URBANIO, ORONZO BATTAGLIA DISTRIBUTING CO 08/12/14 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 15WC016230 -C 199 15WC 11843 CRONIN, TIMOTHY W DELTA AIRLINES 04/13/14 WITTENBERG DOUGHERTY MAGLI 200 15WC 12099 PEREZ, RAUL SOUTH WATER MARKET PRODUC @ W 02/04/15 ARGIONIS & ASSOCIATES LLC DEER & STONE PC 201 15WC 12229 PILLOT, RAMON STATE OF IL CHICAGO REED @ 11/04/13 MICHAEL P MCCREADY & ASSOC ASSISTANT ATTORNEY GENERAL 16WC014142 -C 202 15WC 12436 MACIAS, BEATRIZ HOTEL STAFFING SOLUTIONS 03/30/15 MICHAEL P MCCREADY & ASSOC KOREY RICHARDSON LLC 203 15WC 12488 BLAKE, CLAUDETTE ST OF IL REHAB SERVICES 03/09/15 DWORKIN AND MACIARIELLO JEANNINE SIMS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 15WC 12990 JENNINGS, JACQUES COCA COLA ENTERPRISES INC 04/02/15 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 205 15WC 13027 BOGACZ, ROMAN BRAD FOOTE GEAR WORKS INC 03/25/15 MINKOW DOMIN MEACHUM & STARCK 15WC020924 -C 206 15WC 13145 TAYLOR, BARBARA TOWER 03/19/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 207 15WC 13442 MARTINEZ, YEIMY MACNEAL HOSPITAL 10/09/14 JOHN S. ELIASIK HENNESSY & ROACH PC 208 15WC 13498 MITCHELL, BENNIE ELITE LABOR SERVICES LTD 09/04/14 SPENCER LAW OFFICES GOLDBERG SEGALLA LLC 209 15WC 13911 OROZCO, FRANCISCO SUPERMERCADO VILLAREAL IN 12/03/13 LAW OFFICE OF JAMES URTIS ANCEL GLINK DIAMOND BUSH & E 210 15WC 13916 KALLIS, ANNA V ST IAKOVOS RETREAT CENTER 03/06/15 RUBIN LAW GROUP KOPKA, PINKUS DOLIN, PC 211 15WC 14231 CHAVEZ, MARIA ARAMARK 06/01/14 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 17WC019392 -C 212 15WC 14265 JONES, ROY CHICAGO TRANSIT AUTHORITY 10/30/14 SANDMAN LEVY & PETRICH 213 15WC 15008 SERRANO, MARTIN RON'S STAFFING SERVICES 04/16/15 COSTA IVONE LLC GAROFALO SCHREIBER STORM 214 15WC 16545 REYES, JESUS CHICAGO BAKING CO 04/23/15 OLMSTEAD, GREGORY J LAW OF POWER & CRONIN LTD 215 15WC 20044 WILLIAMS, MONIQUE SUN RISE BUS COMPANY 06/08/15 VRDOLYAK LAW GROUP LLC 216 15WC 20198 MCCAIN, GILBERT E FLEISHMANNS VINEGAR COMPA 05/16/15 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 217 15WC 20580 SANCHEZ, ALEJANDRO SERVICE DRYWALL & DECORAT 05/22/15 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 218 15WC 20879 GALBRAITH, DANIEL CHICAGO DEPT OF FLEET2FM 06/18/15 SALVATO & O'TOOLE 219 15WC 21051 YATES, MARY RUNDY'S SUPERMARKET/ 02/28/15 O'CONNOR LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 220 15WC 21162 FEKADO, HADISH ENCORE HOSPITALITY SERVIC 04/30/15 DOUGLAS C DORN PC ADELSON TESTAN & BRUNDO 221 15WC 21196 EVANS, EDITH FORD MOTOR CO 03/31/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 15WC021197 -C 222 15WC 21331 CARCILLO, DAN CHICAGO BLACKHAWKS HOCKEY 03/25/15 GORDON LAW OFFICES LTD 223 15WC 21435 BUIVIS, TRACY WHEELS INC 09/24/12 SIMS, ZACHARY K PC GRANT & FANNING 224 15WC 21441 PLESS, CHARLES II FORD MOTOR CO 07/19/14 CAMERON CLARK WIEDNER & MCAULIFFE LTD 15WC021442 -C 225 15WC 21513 BANUELOS, JOSE A ELITE CONTRACTING CO 06/26/15 HERRERA LAW CENTER ANCEL GLINK DIAMOND BUSH & E 226 15WC 21531 MUNRO, ANDREW T CITY OF HARVEY 08/10/12 THOMAS W DUDA 227 15WC 21740 JAVIER, GENE CHICAGO READ MENTAL HEALT @ 06/09/15 STEVEN H MEVORAH & ASSOCIA ASSISTANT ATTORNEY GENERAL 228 15WC 22019 TORPE, SUZANNE PEPSICO 12/31/13 ELMAN & EHARDT LTD ROBERT L. SMITH 229 15WC 22279 SARABIA, RICARDO BELLWOOD POLICE DEPARTMEN 05/21/15 ANESI OZMON RODIN NOVAK KO ROCK FUSCO & CONNELLY 230 15WC 22653 SANCHEZ, LUIS FERNANDO DSTM INC 06/29/13 BARRY STEWART SILVER HENNESSY & ROACH PC 231 15WC 22749 LEWIS, STEVEN CITY OF CHICAGO DEPT OF S 05/05/15 THE FITZ LAW GROUP CITY OF CHICAGO 232 15WC 22836 GRISSETT, ALICE COOK DUPAGE TRANSPORTATIO 03/12/14 DAVID W MARTAY HENNESSY & ROACH PC 233 15WC 22984 DIDENKO, MICHAEL PARK DISTRICT OF OAK PARK 05/31/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 234 15WC 23566 DE LEON, SORIDA PROVIDENCE LIFE SERVICES 06/24/15 SCHREINER MALLOY & ETZLER BRYCE DOWNEY & LENKOV LLC 235 15WC 24548 SOLIS, JOSE LUIS TURN-KEY FORGING & DESIGN 06/12/15 STEPHEN G PINTO LTD RODDY LAW LTD 15WC033184 -C 236 15WC 24583 PEREZ, JESUS RYAN MEAT COMPANY 07/01/15 MILLON & PESKIN LTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 237 15WC 24685 ALVARADO, RICARDO STAFFING NETWORK 07/09/15 JOHN S. ELIASIK SLAVIN & SLAVIN 238 15WC 24985 USHER, ALESIA ELIZABETH LUDEMAN CENTER @ 12/29/14 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 239 15WC 25070 STIGGER, TONIA FORD MOTOR COMPANY 06/15/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 240 15WC 25122 CRONENWETT, ROBERT FORD MOTOR CO 06/11/14 15WC025123 -C 241 15WC 25365 JASPER, KATIE FORD MOTOR CO 03/10/14 DANIEL PERIASWAMY WIEDNER & MCAULIFFE LTD 242 15WC 25544 O'CAMPO, MAGDALENA KERRY SWEET 05/27/13 BELCHER LAW OFFICE STONE & JOHNSON CHARTERED 243 15WC 25782 BOLIVAR, ARMANDO BARRINGTON DEVELOPMENT GR 07/03/14 EPSTEIN, JACK R LAW OFFICE HANSON LAW OFFICE 244 15WC 25951 WYATT, DEBBIE HELP AT HOME INC 04/06/15 GOLDSTEIN AIOSSA & GOOD MEACHUM & STARCK 245 15WC 26018 ANTHONY, KENNETH ED MINIAT 07/10/15 DAN COLLINS LAW FIRM POWER & CRONIN LTD 246 15WC 26878 JAMES, MARSHALL D SYMPHONY OF CRESTWOOD 08/06/15 VRDOLYAK LAW GROUP LLC MCCABE KIRSHNER PC 15WC026880 -C 247 15WC 29748 GARCIA-DEALBA USA JAN INC/IHOP 5309 07/26/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 248 15WC 29750 CHIMERA, MARYROSE LITTLE COMPANY OF 03/16/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 249 15WC 30097 KUERSTEN, ALEXANDRA COOK COUNTY JUVENILE 06/29/15 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 250 15WC 30540 WILSON, PETE VIKING ROOFING & 09/15/15 ANKIN LAW OFFICE KNELL & O'CONNOR 251 15WC 31266 OCHOA, FERNANDO CAPITAL CAR WASH COMPANY 12/02/14 LUIS A ACEVES & ASSOC 252 15WC 31628 MALAVE, JOSE F STATE OF IL DIST CHICAGO @ 09/01/15 PARENTE & NOREM PC MATTHEW J KELLER 253 15WC 31862 ASUAMA, YAW YEBOAH CARRIAGE TAXI CO. & 03/02/15 POMPER & GOODMAN 254 15WC 31901 SMITH, PIERRE BROADVIEW POLICE DEPT 07/13/15 MARC J SHUMAN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 255 15WC 32528 SCOTT, LATICIA A STATE OF ILLINOIS @ 10/21/14 LEO M. BLEIMAN & ASSOC ASSISTANT ATTORNEY GENERAL 256 15WC 32753 COLLINS, ALBERT IDOT @ 07/31/15 JASINSKI, GEORGE J ASSISTANT ATTORNEY GENERAL 257 15WC 32865 RANDLE, NATASHA HERTZ RENT A CAR 09/10/15 STEVEN J MALMAN & ASSOCIAT 258 15WC 33087 MOGUEL, EMANUEL J CHICAGO PARK DISTRICT 09/23/15 TOPPER & WEISS LTD CHICAGO PARK DIST LAW DEPT 259 15WC 33230 RODARTE, DELFINO LORETTO HOSPITAL 01/12/15 JOHN J CASTANEDA GAROFALO SCHREIBER STORM 15WC039041 -C ST ANTHONY HOSPITAL 260 15WC 33540 EDWARDS, BRETT LEND LEASE AMERICAS, INC 09/09/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 261 15WC 33877 HERRERA, DELIA CAPITAL ONE 10/05/15 O'CONNOR LAW GROUP LLC GRANT & FANNING 262 15WC 34802 ZIEMBA, MICHAEL POWER CONSTRUCTION CO LLC 09/04/15 DWORKIN AND MACIARIELLO 263 15WC 34972 SHABO, SAMIR PAMCO LABEL 03/24/15 WEISS & WEISS LAW OFFICES HOLECEK & ASSOCIATES 264 15WC 38582 ARNOLD, DANIEL M TERRAZZO MARBLE & GRANITE 10/24/15 GORDON & CENTRACCHIO LLC LAW OFFICES JOSEPH MARCINIAK 265 15WC 38642 BATRES, OSCAR MILLER BROTHERS LANDSCAPI 07/16/15 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 266 15WC 38970 KANUPKE, JOE WILLAGE OF MT PROSPECT 01/05/10 RODDY LAW LTD 267 15WC 39234 MAHMOUD, AHMAD KWIK MART 08/18/15 JAMES J BURKE LAW OFFICE 268 15WC 39344 QUINTERO, GUADALUPE SALLY'S BEAUTY SUPPLY 09/13/15 BELCHER LAW OFFICE HARRIS DOWELL FISHER & HARRI 269 15WC 39425 GOORSKY, JOE GOORSKY ELECTRIC 10/28/13 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 15WC 39607 MORALES, ALEX CITY OF CHICAGO 11/12/15 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 271 15WC 39619 093 GUTIERREZ, MARIA ANTONIET TUTHILL CORP., 11/02/15 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM 093 15WC031688 -C 272 15WC 39787 MC KAY, BIANCA K CTA CHICAGO TRANSIT AUTHO 09/21/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 273 15WC 39971 ISAKZHANOV, RUSLAN CITY SVC TAXI 06/14/15 LAW OFFICES YEVGENIY VAYSM 274 15WC 41034 BOBO, RINO SOUTHERN REFRIGERATED 10/06/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 16WC027769 -C 275 15WC 41108 MAAYTEH, MICHAEL ANGELO STONE MASONS OF USA 11/11/15 RUBIN LAW GROUP RODDY LAW LTD 276 15WC 41331 MILLER, JERRIE THE SALVATION ARMY 03/08/15 FRANKS, GERKIN & MCKENNA P RODDY LAW LTD 277 15WC 41486 ARAMBULA, DAVID GEORGE'S CONCRETEINC 10/13/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN 278 15WC 41581 GARCIA, RAFAEL MARKING SPECIALISTS CORP. 11/13/15 MC HARGUE, JAMES P LAW OFF THOMAS & PORTELA 279 15WC 42527 ROSALES, ALBERTINA TEC AIR INC. 11/20/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 15WC042528 -C 280 15WC 42674 AGUILAR, ANGEL HOT TUNA INC D/B/A 11/15/15 RUEDA, IVAN A 281 16WC 00023 ARISTA, JUAN RUBEN LOPEZ & LETICIA LOP 11/24/15 CULLEN HASKINS NICHOLSON 282 16WC 00906 GALVEZ, MARIA L CTA 02/18/13 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 283 16WC 00992 WILLIAMS, JANNIE M ST OF IL DEPT OF OFFICE O 12/08/15 ATSAVES, LOUIS G LTD 284 16WC 01035 HENDERSON, DENNIS CITY OF CHICAGO 12/29/15 ANKIN LAW OFFICE CITY OF CHICAGO 285 16WC 01966 MARTINEZ, MARIA CARMEN INTERSTATE CLEANING CORP 12/28/15 RUSSO & RUSSO LTD 286 16WC 02035 MARTINEZ,EDWIN UNIVERSAL PARKING OF IL, 11/20/15 CHEPOV & SCOTT LLC THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 16WC 02203 KENDALL, CHRIS CHICAGO TRANSIT AUTHORITY 05/05/15 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 288 16WC 02378 DOBRANSKYI, ANDRIL KLI EXPRESS 01/15/16 289 16WC 02401 AGUIRRE, VICTOR RUBENS SPRAY INSULATION I 12/15/15 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 290 16WC 02531 UPSHAW, STEPHAINE CHICAGO PUBLIC SCHOOLS 05/15/15 ERIC M GLASSON & ASSOCIATE 291 16WC 02583 CARTER, RUKIYA R ELIZABETH LUDEMAN @ 01/22/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 292 16WC 02638 LAHA, ROBERT ILLINOIS SECRETARY OF STA @ 11/23/15 DAPRATO, DENNIS COLIN KICKLIGHTER 293 16WC 02658 POWERS, JOSEPH DPS SEWER CONSTRUCTION 12/07/15 GRAZIAN & VOLPE PC WOLF LAW LTD 294 16WC 02753 BARKER, EDDIE SCHOOL DISTRICT 89 12/29/15 WOODRUFF & JOHNSON INMAN & FITZGIBBONS 295 16WC 02902 CASTERTON, KATHLEEN E AMITA HEALTH ALEXIAN BROT 01/12/16 CRONIN & PETERS POWER & CRONIN LTD 16WC002903 -C 296 16WC 02999 CASTILLO-MARROGUIN CLEARBROOK COMMONS 12/08/15 ANGELA NARDI-QUIGLEY 297 16WC 03310 RODRIGUEZ, JOSE RICARDO LEON CONSTRUCTION CO 12/15/15 ANKIN LAW OFFICE CHILTON YAMBERT PORTER LLP 298 16WC 03318 TOWNSEND, MARISA CHICAGO PUBLIC SCHOOLS 12/17/15 GRAZIAN & VOLPE PC 299 16WC 03358 LOPEZ, MARCO ANTONIO VIEY LAKESIDE LITHOGRAPHY LLC 01/22/13 MC HARGUE, JAMES P LAW OFF 300 16WC 03438 SWEIS, HASAN A1 AMERICAN LIMOSINE SERV 12/29/15 301 16WC 03614 BROWN, KAREN C COOK COUNTYHEALTH&HOSPITA 12/03/15 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 302 16WC 03634 HERMOSA, MARIANO TERRACE HOLDING COMPANY 07/28/15 JAMES ELLIS GUMBINER & ASS 303 16WC 03704 AMADO, JOSEPH JAMES MCHUGH CONSTRUCTION 01/16/15 KOSIN LAW OFFICE LTD KEEFE CAMPBELL & ASSOC LLC 304 16WC 03860 ADAM, ZUBEDA Y PRESENCE HEALTH 05/24/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 305 16WC 03880 HARDEN, RAYMOND PEOPLES GAS LIGHT & COKE 01/21/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 306 16WC 03984 KIMBROUGH, ERIK CARL BUDDING MEATS 01/19/16 GORDON & CENTRACCHIO LLC KNELL & O'CONNOR 307 16WC 03997 MUNOZ, EDGARDO PACTIV 10/02/15 LAW OFFICE EDWARD RUEDA SPIEGEL & CAHILL, PC 308 16WC 04058 ROG, ANDRZEJ CONTOUR SAWS INC 08/03/15 BERNSTEIN, PHILIP L HOLECEK & ASSOCIATES 309 16WC 04077 ROBLES, KATHERINE UNIVERSITY OF ILLINOSI-CH 02/01/15 CURTIS S BURKE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 16WC004078 -C 310 16WC 04163 JONES, LISA CHGO PUBLIC SCHOOLS 12/17/15 LAW OFFICES PETER LEKAS 16WC004164 -C 311 16WC 04747 BRYAN, SHEILA MV TRANSPORTATION 12/04/15 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 16WC013334 -C 312 16WC 04833 PICKENS, MARCIA ELISBATH LUDEMAN CENTER @ 10/13/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 313 16WC 04861 BENELHACHEMI, ADAM LKQ 12/22/15 MINKOW DOMIN BRYCE DOWNEY & LENKOV LLC 314 16WC 04954 CALDERON, DONNAMARIE BOARD OF EDUCATION CITY 04/02/15 KARCHMAR & STONE LAW DEPARTMENT 315 16WC 04977 FITCH, MARIE COOK DUPAGE TRANSPORTATIO 01/24/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 316 16WC 04998 LARA, IRENE LUXURY MOTORS 08/17/15 VRDOLYAK LAW GROUP LLC 317 16WC 05139 WATTS, TONY ELITE STAFFING 10/14/15 LAW OFFICE OF JAMES H MILL 318 16WC 05463 HAYES, ERIAH CHICAGO WOLVES 09/30/15 FLOYD LAW FIRM HOLECEK & ASSOCIATES 319 16WC 05560 MCRORY, KIMBERLY GRAND LUX CAFE LLC 03/11/15 SCHWEICKERT & GANASSIN 320 16WC 05827 MONZON, LUIS KRAFT FOODS INC 02/04/15 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 321 16WC 06230 COLBERT, CHRISTOPHER CEVA LOGISTICS 02/22/16 MARC J SHUMAN & ASSOCIATES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 322 16WC 06380 GARCIA, ALFREDO CITY OF CHICAGO 02/23/15 THE ROMAKER LAW FIRM CITY OF CHICAGO 323 16WC 08294 VIDAL, MELESIO RICHARDSON SEATING CORP 07/16/15 JONATHAN SCHLACK THOMAS & PORTELA 324 16WC 11838 LOTOWSKI, KRZYSZTOF (CHRI P.L. RESTORATION, INC. 03/18/16 GRAUER & KRIEGEL LLC LAW OFFICES JOSEPH MARCINIAK 325 16WC 11901 DAVIS, FALA UNIVERSITY OF CHICAGO 03/16/16 BUDIN LAW OFFICES 326 16WC 11924 FUNK, RONALD J L A FITNESS 09/03/15 CULLEN HASKINS NICHOLSON GRANT & FANNING 16WC017365 -C L.A. FITNESS 327 16WC 12118 MARTIN, DIANA PACE SUBURBAN BUS 02/19/16 LEE, MARK N LAW OFFICE PACE - LEGAL DEPT 16WC012123 -C 328 16WC 12184 ALCANTAR, ANTONIO PEPSI 02/18/16 LEONARD LAW GROUP LLC 329 16WC 12221 CLEMONS, RASHON E&R TOWING 12/17/15 SEIDMAN MARGULIS & FAIRMAN 330 16WC 12331 DEMICHELE, TIMOTHY R BEYOND EXHIBIT LOGISTICS 03/09/16 COYNE REINKE LAW WOLFE & JACOBSON, LTD 331 16WC 12443 PINNER, LINDA J HOME DEPOT 10/23/15 KARNO, MARK L & ASSOC ADELSON TESTAN & BRUNDO 332 16WC 12539 MAGLIO, RODOLFO NORTHEASTERN ILL UNIVERSI @ 03/17/16 KAUFFMAN, NEIL & ASSOC ASSISTANT ATTORNEY GENERAL 333 16WC 12602 GUTIERREZ-FALLS, LORRRAIN CHICAGO PUBLIC SCHOOLS 04/13/16 ANKIN LAW OFFICE 334 16WC 12615 DOMINQUEZ-RUIZ, ALEXANDRI ELITE STAFFING, INC. 03/23/16 ANKIN LAW OFFICE 335 16WC 12682 ERVING, MONIQUE S CAPITAL ONE SERVICES II L 04/09/16 336 16WC 12784 GONZALEZ, CARLOS THE CLEVELAND MARBLE 12/10/15 CULLEN HASKINS NICHOLSON GRANT & FANNING 337 16WC 12814 SIDDIQUI, FAZAL YELLOW CAB AFFILIATION IN 04/24/13 MARK WHITESIDE ESQ 338 16WC 12887 ANDRES, DANTON UNITED AIRLINES 02/19/16 FRIEND LEVINSON & BERGAL WIEDNER & MCAULIFFE LTD 339 16WC 12948 GREGORY, PATRICK AT & T 02/16/16 JOHN E LUSAK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 340 16WC 12985 LEMUS, CARLOS SYSCO FOODS 03/02/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 341 16WC 13120 ORTIZ, ISAURO Z BAKING COMPANY 04/16/16 OSVALDO RODRIGUEZ PC GANAN & SHAPIRO 342 16WC 13189 DEERING, DAVID LAZAR'S FURNITURE 04/05/16 LAW OFFICE OF SCOTT B SHAP RODDY LAW LTD 343 16WC 13207 SINGLETON, SHELIA ADDUS HEALTHCARE 03/01/16 O'CONNOR & NAKOS HENNESSY & ROACH PC 344 16WC 13264 RODRIGUEZ, ALBERTO PICKENS KANE MOVING CO 04/12/16 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 345 16WC 13343 HATTER, DARNELL UNIVERSITY OF ILLINOIS 06/04/15 CHRISTIAN & MANNO HEYL ROYSTER VOELKER & ALLEN 346 16WC 13421 TAYLOR-WILLIAMS, BEVERLY CITY OF CHICAGO POLICE DE 01/22/16 CORNFIELD & FELDMAN CITY OF CHICAGO 17WC006306 -C 17WC019816 -C 347 16WC 13456 RIVERA, MILDRED DEPARTMENT OF HUMAN SERVI @ 03/08/16 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 348 16WC 13478 KRULL, BRIAN VILLAGE OF BARRINGTON 02/13/16 FOHRMAN, DONALD W & ASSOCS ANCEL GLINK DIAMOND BUSH & E 349 16WC 13533 MIKULSKI, THOMAS M MIDWEST OUTDOORS, LTD 05/22/14 BART DURHAM 350 16WC 13580 WHITE, FRANCINE METRO STAFFING 03/04/16 GOLDSTEIN BENDER & ROMANOF FRANCIS J DISCIPIO LAW OFFIC 351 16WC 13623 FREEMAN, FREEDIE LEE KOCH FOODS 04/19/16 DISPARTI LAW GROUP PA MACIOROWSKI SACKMANN & ULRIC 352 16WC 13643 DAVIS, BRENDA MACY'S DEPT. STORE 11/12/15 SLAVIN & SLAVIN 353 16WC 13655 BRUNNER, JOHN NUMBERS AUTOMATION 04/04/14 DWORKIN AND MACIARIELLO 354 16WC 13890 PHAM, PETER S & C ELECTRIC CO 04/25/16 KREITER, BYCK & ASSOC LLP MACIOROWSKI SACKMANN & ULRIC 355 16WC 13920 JONAS, GLENN D CITY OF CHICAGO DEPART OF 06/24/15 ANESI OZMON RODIN NOVAK KO 356 16WC 13984 FUENTES, GUSTAVO RM LUCAS CO 04/14/16 COSTA IVONE LLC GANAN & SHAPIRO 357 16WC 14358 DEBELLIS, ROBERT EMJ METALS 03/17/16 GOLDSTEIN BENDER & ROMANOF POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 358 16WC 14431 HENDERSON, MARY BRENTWOOD SUB-ACUTE HEALT 01/19/16 TARADASH LAW OFFICE GOLDBERG SEGALLA LLC 359 16WC 14457 HARDMAN, LAQUILLA CITY OF CHICAGO 05/01/16 BARRY STEWART SILVER 360 16WC 14460 ESPINOZA, ADALBERTO C XYLEM INC 04/22/16 CAMERON CLARK KEEFE CAMPBELL & ASSOC LLC 361 16WC 14495 RIZZO, PHIL C L DOUCETTE 02/08/15 TAMVAKIS, GEORGE L ANCEL GLINK DIAMOND BUSH & E 362 16WC 14526 TYUS, CARLEAN IL DEPT OF HUMAN SERVICES 04/10/15 DEPAOLO ZADEIKIS GORE COLIN KICKLIGHTER 16WC014527 -C 363 16WC 14643 SCHOPER, STEPHEN CITY OF CHICAGO 04/11/16 WHITESIDE & GOLDBERG LTD CITY OF CHICAGO 364 16WC 14740 JONES, DONALD CTA 04/04/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 365 16WC 14828 MIR, IFRAN ALI BKA CANARY CORP 03/27/16 HUNER LAW OFFICES LLC 366 16WC 14875 MEKUS, LEE ROEHL TRANSPORT 02/03/16 SCHREINER MALLOY & ETZLER CACCHILLO LAW GROUP LLC 367 16WC 14895 DUARTE, JUVENAL M. MARS STEEL CORPORATION 04/05/16 JOHN J CASTANEDA HOLECEK & ASSOCIATES 368 16WC 15071 JACKSON, MARRI ELLEN AMERICAN AIRLINES 11/18/15 FIGLIOLI, DAVID ROSARIO CIBELLA 369 16WC 15206 BOLANOS, ROSALBA VARGAS GROUP 03/17/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 370 16WC 15283 ALVARADO, ALEJANDRO SEAFOOD EXPRESS INC 12/01/15 ROMANUCCI & BLANDIN GANAN & SHAPIRO 17WC004316 -C 371 16WC 15332 MURRAY, MARTIN HARBOR GROUP MANAGEMENT 06/06/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 372 16WC 18172 19B DAVIS, GLORIA CITY OF CHICAGO DEPT OF 03/09/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 373 16WC 20572 CRUMP, CAROLYN CITY OF CHICAGO 04/27/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 374 16WC 22189 GONZALEZ, RAUL PRONTO STAFFING SERVICES 12/15/15 MENDOZA LAW PC SLAVIN & SLAVIN 375 16WC 22268 MARIN-REYES, KARINA GENERATION BRANDS 06/15/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 376 16WC 22390 ZARLENGA, MICHAEL CITY OF CHICAGO DEPT OF 07/07/16 CUDA LAW OFFICES CITY OF CHICAGO 377 16WC 22433 DANIELS, FLORET RUSH UNIVERSITY MED CENTE 06/24/16 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 378 16WC 22577 MC DEVITT, THOMAS ILLINOIS TOLLWAY 02/13/15 JOHN E LUSAK GANAN & SHAPIRO 379 16WC 22604 HORN, KIMBERLY STARBUCKS 05/25/16 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 16WC022605 -C 380 16WC 22681 ABDALLAH, SAMAR XPRESS RECOVERY AND TOWIN 07/30/13 ERIC M GLASSON & ASSOCIATE 381 16WC 22702 GONZALEZ, HUGO A&D LOGISTICS, INC. 03/17/16 ROSS TYRRELL GANAN & SHAPIRO 382 16WC 22733 RICHARDSON, WILLIAM AEP INDUSTRIES INC 07/16/16 COSTA IVONE LLC HOLECEK & ASSOCIATES 383 16WC 22845 ZAMUDIO, CLEMENCIO BUILDERS CABINET SUPPLY 10/19/15 OSVALDO RODRIGUEZ PC GILDEA & COGHLAN 384 16WC 22920 THOMAS, JAMES D. CITY OF CHICAGO 05/09/16 DISPARTI LAW GROUP PA 385 16WC 23102 BELLINI, JOHN COOK COUNTY DEPT OF CORRE 07/16/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 386 16WC 23183 GRAY, JOSEPH A VILLAGE OF PARK FOREST 02/15/16 BARRETT & SRAMEK 387 16WC 23225 GUZMAN, JOSE R ASPLUNDN TREE EXPERT CO 08/26/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 388 16WC 23490 MATHEUS, CHRISTOPHER AT&T 06/04/16 CHRISTINE F DAVID 389 16WC 23537 ALGIRE, BRIAN BEDFORD MOTOR SERVICES IN 07/01/16 RATHBUN CSEVENYAK & KOZOL WOLFE & JACOBSON, LTD 390 16WC 23626 IBARRA, MARTIN JACKACKI BAG & BARREL INC 07/28/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 391 16WC 23659 RAMIREZ, ALVARO NADEAU'S ICE SCULPTURES, 09/05/15 ANKIN LAW OFFICE 392 16WC 23709 FOUTS, ROBERT COCA-COLA BOTTLING COMPAN 05/20/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 393 16WC 23718 CALDWELL III, WILLIE CITY OF CHICAGO 10/28/15 KREITER, BYCK & ASSOC LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 394 16WC 23817 BALSECA, ANTONIETA DLH HOLDINGS 05/23/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 395 16WC 23885 RAGAN, AMANDA TRADER JOES 12/01/13 RIDGE & DOWNES GAROFALO SCHREIBER STORM 396 16WC 23926 ROSSI, FRANK NATIONAL DCP, LLC 09/18/15 GOLDBERG WEISMAN & CAIRO L ARNETT LAW GROUP 397 16WC 23946 DIAZ, MAYRA METRO STAFF 09/10/15 MC HARGUE, JAMES P LAW OFF 398 16WC 24002 RICHARD, WILLIE IL CENTRAL SCHOOL BUS CO 07/28/16 LANGENDORF, ROBERT A MACIOROWSKI SACKMANN & ULRIC 399 16WC 24090 CARR, MARVIN J. UNITED AIRLINES, INC. 04/17/16 FIGLIOLI, DAVID 400 16WC 24130 BEACH, ROBERT A EWING-DOHERTY MECHANICAL, 06/27/16 ANKIN LAW OFFICE KNELL & O'CONNOR 401 16WC 24172 MARTINEZ, JORGE TOUCH POINT SERVICES, LLC 05/08/16 RUEDA, IVAN A 402 16WC 24182 DELGADO, EDGAR STANDARD EQUIPMENT COMPAN 04/28/16 ANESI OZMON RODIN NOVAK KO 403 16WC 24220 PARKER, BRIGGITTE FED EX GROUND 09/26/15 RAYMOND M SIMARD, PC 404 16WC 24272 MARSAW, GERALDINE CITY OF CHICAGO 08/06/16 SKLARE LAW GROUP CITY OF CHICAGO 405 16WC 24331 TRENKLER, URSULA BORG WARNER INC 06/29/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 406 16WC 24452 SCHAVER, DONALD W. JR. ROCK RIVER CARTAGE, INC. 03/07/13 JAMES G AHLBERG RUSIN & MACIOROWSKI LTD 407 16WC 24474 DEL TORO, CLAUDIA HD SUPPLY FACILITIES 08/09/16 MC HARGUE, JAMES P LAW OFF CHILTON YAMBERT PORTER LLP 408 16WC 24514 FIGUEROA, REYNALDO WESTMORELAND COUNTRY CLUB 07/21/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 409 16WC 24658 ALVARADO, JOSE LUIS DICICCO ACQUISITIONS LLC 06/24/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 410 16WC 24668 VARGAS, CARLOS LBP MANUFACTURING 08/02/16 LAW OFFICE OF JAMES H MILL 411 16WC 24731 ROSS, ROSALYN NILES TOWNSHIP H.S. DIST 02/20/15 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 412 16WC 24766 LINTON, KEYVA ROSEWOOD CARE CENTER 07/25/16 DWORKIN AND MACIARIELLO 413 16WC 24842 MURILLO, ELENA SWEDISH COVENANT HOSPITAL 05/12/16 ELFENBAUM EVERS & AMARILIO MACIOROWSKI SACKMANN & ULRIC 414 16WC 24902 DORTCH, BRIANNA LEXINGTON HEALTH CARE CEN 05/25/16 SANDMAN LEVY & PETRICH LAW OFFICES FRANCESCA LARSEN 415 16WC 25028 ARIAS, VICENTE A. ELITE STAFFING 07/21/16 HODES GREENSTEIN & LITWIN 416 16WC 25055 PAYNE, ALFREDA ALDEN TOWN REHAB & 02/05/16 GOLDBERG WEISMAN & CAIRO L 417 16WC 25083 SEARS, MICHAEL CITY OF CHICAGO 02/24/16 HEALY SCANLON LAW FIRM CITY OF CHICAGO 418 16WC 25122 DE BLECOURT, PATRICIA 7-ELEVEN 04/20/16 ALEKSY BELCHER MC ANDREWS & NORGLE LLC 419 16WC 25222 GONZALEZ, ISAIAS MSM SOLUTIONS 02/18/16 RUEDA, IVAN A 420 16WC 25241 BEATON, MARY ENTERPRISE LEASING CO OF 06/27/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 421 16WC 25260 CARBONELL, JUAN EDLONG CORP 05/31/16 LAW OFFICES OF JOSEPH F. V KEEFE CAMPBELL & ASSOC LLC 422 16WC 25307 WELLS, WAYNE PPG INDUSTRIES, INC. 05/12/16 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 423 16WC 25338 RAMOS, AGUSTIN ROBINETTE DEMOLITIAN INC. 02/08/16 ROSS TYRRELL KEEFE CAMPBELL & ASSOC LLC 424 16WC 25393 GUIDO, JAVIER JUST IN TIME STAFFING LLC 08/09/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 425 16WC 25443 PRESTON, MAUVELINE CHICAGO PUBLIC SCHOOL 03/04/15 VRDOLYAK LAW GROUP LLC 426 16WC 25468 MONROE, DARIN STATE OF ILLINOIS/DEPT @ 07/08/16 LANNON LANNON & BARR LTD MATTHEW J KELLER 427 16WC 25560 ALEJANDRES, JOSE SOUTHWEST AIRLINES 08/20/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 17WC006969 -C 428 16WC 25627 RUIZ, KENIA FORD MOTOR COMPANY 10/23/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 16WC025628 -C 429 16WC 25859 IBARRA, ERNESTO SUPER MERCADO TORRES 07/17/16 CARONE LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 16WC 25889 SAULS, EDNA IT TAKES A VILLAGE EARLY 09/08/15 STROM, NEAL B LAW OFFICES JOSEPH MARCINIAK 431 16WC 26041 BROWN, FERN ABC BANK 06/25/16 BRISKMAN BRISKMAN GREENBER LAW OFFICES OF EDWARD J. KOZ 432 16WC 26087 ABINI, KOBLA FAIRMONT HOTELS & RESORTS 07/05/16 FISHER & LAMONICA HENNESSY & ROACH PC 433 16WC 28063 HOLMAN, JEREMY A/K/A NORTHERN DECOR 08/25/16 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 434 16WC 30110 BLUNT, KEITH FLEXIBLE STAFFING SVCS IN 09/26/16 BERG & BERG 435 16WC 30746 MORENO, RAFAEL SUPER MERCADO LA CHIQUITA 08/07/16 HART & DAVID LLP 436 16WC 30761 FALCON, LEON THE HOME DEPOT 07/28/16 KARNO, MARK L & ASSOC 437 16WC 31357 HOPKINS-TALLY CITY OF CHICAGO - STREETS 08/02/16 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 438 16WC 31895 VAN HOOSIER, KENNETH SEARS HOLDINGS CO 08/29/16 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 439 16WC 32414 SHEDD, SEAN M AT&T 09/22/16 LAW OFFICE PHILIP BLOMBERG HENNESSY & ROACH PC 440 16WC 32431 MARTINEZ, ELVIA KIK CUSTOM PRODUCTS 09/15/16 RICHARD E ALEKSY POWER & CRONIN LTD 441 16WC 32486 NEWSON, SEDRIC GOLDEN GRAIN CO 06/23/16 LIPKIN & HIGGINS LAW OFFIC INMAN & FITZGIBBONS 16WC032487 -C 442 16WC 32542 OCON, CARLOS VEEPAK, INC 08/25/16 STROM, NEAL B 443 16WC 32573 OLIVARES-URNINA, APOLINAR AMJ ENTERPRISE DEVELOPMEN 10/12/16 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM 444 16WC 32626 STACHNIK, SAVANNAH N ATLAS EMPLOYMENT SVCS INC 08/23/16 ANKIN LAW OFFICE ROBERT L. SMITH 445 16WC 32654 GEDDI, ABDULKADIR ELSTON ELEVEN, LLC 10/09/16 FISHER & LAMONICA 446 16WC 32879 BARICKELLO, JOHN WESTMONT INTERIOR SUPPLY 10/21/16 DWORKIN AND MACIARIELLO THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 16WC 32930 BRISKER, KEVIN FIRST CALL CAB COMPANY LL 09/08/16 CHARLES LEVY & ASSOC LTD 448 16WC 33007 PANOZZO, JAMES UNIVERSAL PROTECTION SVCS 01/16/16 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 16WC033277 -C DSI SECURITY SERVICES 449 16WC 33054 WILLIAMSON, RANDALL USF HOLLAND 07/18/16 ROBERT H HANAFORD 450 16WC 33157 NUNEZ, FELICIA CASAREZ CHICAGO BOARD OF EDUCATIO 09/15/15 ROMANEK & ROMANEK 451 16WC 33216 VLADIVIA, YOLANDA FRESENSIUS MEDICAL CARE 12/06/13 CANDIANO LAW OFFICE HENNESSY & ROACH PC 452 16WC 33255 THORNE-LOWE, LARISA METRO SOUTH MEDICAL CENTE 01/01/16 RONALDSON & KUCHLER 453 16WC 33282 SIERRA, ARIZBETH DESLAURIERS, I NC 09/07/16 JOHN J CASTANEDA KEEFE CAMPBELL & ASSOC LLC 454 16WC 33330 HALL, WILLIE THE CRAZY CRAB CHICAGO 10/09/16 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 455 16WC 33386 LYNCH, JENNIFER CHICAGO PUBLIC SCHOOLS 02/03/16 COHN LAMBERT RYAN & SCHNEI 456 16WC 33431 HILL, JOYCE CTA 10/28/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 457 16WC 33548 DE BLAISE, JEAN LOUISE KO LANGER TRANSPORT 10/06/16 HENNESSEY LAW FIRM 458 16WC 33556 ATTOCHI, GERALD MARINA LEASING & 09/29/15 FIORENTINO LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 459 16WC 33768 LOERA, ESTHER VICTORY 10/28/16 MC HARGUE, JAMES P LAW OFF 460 16WC 33810 DYKES, LYNETTE VARGAS GROUP, INC 08/11/16 DAVID W MARTAY 461 16WC 33912 WILLIAMS, DEON V DAYTON FREIGHT LINES 08/31/16 PERRY M LAKS LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 16WC 33983 MACIAS, DANIEL COOK COUNTY SHERIFF'S DEP 10/25/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 463 16WC 34150 DORAN, CHIQUITA COMFORT INN & SUITES 07/18/16 KISS & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 16WC034701 -C 464 16WC 34283 PEREZ, JORGE ANIBAL HI SO, INC D/B/A SUBLIME 07/09/16 HART & DAVID LLP 465 16WC 34335 LOPEZ, JUSTIN DELI MANAGEMENT, INC 06/14/16 JOHN E LUSAK 466 16WC 34356 JACKSON, CAROLYN COOK COUNTY SHERIFF 10/16/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 467 16WC 34402 HUDSON, PAMELA CHICAGO TRANSIT AUTHORITY 10/24/16 MANDELL, GREGG CHICAGO TRANSIT AUTHORITY 468 16WC 34550 PETERSON, SHAMONIA CITY OF CHICAGO/STREETS A 09/22/16 SEIDMAN MARGULIS & FAIRMAN 469 16WC 34579 LAPOSTA, PAUL KREZ GROUP 04/01/16 TRAPP & GELLER RUSIN & MACIOROWSKI LTD 470 16WC 34616 MCAFOOSE, REBECCA AMERICAN AIRLINES 11/28/15 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 471 16WC 34654 DOWELL, LORRAINE M ATKORE INTERNATIONAL INC 08/09/16 ANKIN LAW OFFICE 472 16WC 34711 STALLWORTH, ELIZABETH BRIA HEALTH SVCS 09/30/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 473 16WC 34748 HUTCHINSON, CRAIG RHI 05/07/14 CAPRON & AVGERINOS PC JOSEPH MARCINIAK 474 16WC 34767 O'CONNOR, TIMOTHY COOK COUNTY SCHOOL DIST 1 04/20/16 GERALD W KOREY 475 16WC 34785 LOPEZ, JUAN RAIL EXCHANGE FABRICATORS 09/07/16 CUSHING LAW OFFICES RODDY LAW LTD 476 16WC 34805 MENDOZA, RUBEN ACTION K-9 09/20/16 SHELDON I MINKOW & ASSOCIA RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 16WC 34847 SOWARD, BARBARA FILTRAN LLC 10/27/16 LEONARD LAW GROUP LLC ROSARIO CIBELLA 478 16WC 34976 005 ABDIN, SAMMY M CARMAX THE AUTO SUPER STO 07/06/16 GOLDBERG WEISMAN & CAIRO L 005 16WC030146 -C 005 17WC023864 -C 479 16WC 35056 WIETTING, GORDON THREE PHASE LINE CONSTRUC 09/12/16 TAXMAN POLLOCK BRYCE DOWNEY & LENKOV LLC 480 16WC 35092 SPRINGER, SHEILA CHICAGO TRANSIT AUTHORITY 11/09/16 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 481 16WC 36165 SHEKHA, SOHAIL CITY OF CHICAGO 11/15/16 ANKIN LAW OFFICE CITY OF CHICAGO 482 16WC 38151 SAWYER, MELVIN UIC PARKING ENFORCEMENT @ 11/23/16 KARNO, MARK L & ASSOC POWER & CRONIN LTD 483 17WC 00434 FERNANDEZ MARIN, WITMAN G BARBARA SIUDAK DBA 01/01/17 EPSTEIN, JACK R LAW OFFICE 484 17WC 00869 DRUNIN SR., DALE ALSIP PARK DISTRICT 06/15/16 ANGELINI & ORI LLC 485 17WC 01352 PYKE, DANIEL N NAPLETON RIVER OAKS LINCO 12/28/16 LEONARD LAW GROUP LLC RODDY LAW LTD 486 17WC 02029 QUINONES, SANTOS ACA CONSTRUCTION & MASONR 12/27/16 BRISKMAN BRISKMAN GREENBER COZZI & GOGGIN-WARD 487 17WC 02054 BOATWRIGHT, COLOSTINE 4 STAR CASTING AND EFS 11/03/14 BAUM RUFFOLO & MARZAL LTD 488 17WC 02208 WILLIAMS, ISIAH(HUSB OF D CHICAGO BOARD OF EDUCATIO 12/28/15 LAW OFFICE OF JAMES H MILL LAW DEPARTMENT 489 17WC 02242 SANCHEZ, JOSE DECO ARTS BUILDING 12/27/16 COSTA IVONE LLC 490 17WC 02412 FINNEY, ANTHONY C CHICAGO PUBLIC SCHOOLS 05/03/16 DAVID W MARTAY 491 17WC 02434 RUBIO, ALMA EXECUTIVE MAILING SERVICE 01/03/17 FOOTE MIELKE CHAVEZ & O'NE ANCEL GLINK DIAMOND BUSH & E 492 17WC 02454 BRANDONISIO, PAT CITY OF CHICAGO 12/28/16 SALVATO & O'TOOLE 493 17WC 02595 MANGALAM, KYLE QUEST DRAPE 12/04/16 ERIC H CHECK, LAW OFFICES COZZI & GOGGIN-WARD 494 17WC 02656 STRICKLAND, DORTHEA KIDS CARE TRANSPORTATION 01/18/17 KURASCH & KLEIN, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 17WC 02675 VAZQUEZ, JOSE PERFORMANCE CONTRACTING I 12/30/16 SALVATO & O'TOOLE 496 17WC 02737 HERRON, LATONYA AMERICAN AIRLINES INC 04/10/15 SALK, STEVEN B & ASSOC LTD 497 17WC 02777 HERNANDEZ, JETZEMANI DANIEL NOLL & SONS @ W 12/07/16 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 498 17WC 02791 MEYER, KEVIN ILLINOIS BELL TELEPHONE C 11/21/16 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 499 17WC 02803 SIZE, JAMES A JEWEL FOOD STORES 12/30/15 CULLEN HASKINS NICHOLSON RODDY LAW LTD 500 17WC 02875 PENNOYER, ELSIE ADVOCATE CHRIST MEDICAL C 12/05/16 TURCYCHUTE LLC GAROFALO SCHREIBER STORM 501 17WC 02893 SIMPSON, JEFFREY RIVERSIDE POLICE DEPT 11/23/16 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 502 17WC 02969 GUZELDERELI, EMINE WHITE LODGING SERVICES IN 06/14/15 GALLIANI DOELL & COZZI LTD WILSON ELSER 503 17WC 03019 DUARTE, SYLVIA UNITED AIRLINES 09/08/16 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 504 17WC 03218 STOCH, ZDZISLAW STAALSEN CONSTRUCTION CO 03/22/16 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 505 17WC 03232 LEVEILLE, ALICE PENNOYER SCHOOL 01/19/17 DAVID W MARTAY ANCEL GLINK DIAMOND BUSH & E 506 17WC 03237 GRAY, BRIAN FLEETPRIDE 12/22/16 MICHAEL P MCCREADY & ASSOC WIEDNER & MCAULIFFE LTD 507 17WC 03300 QUICK, MICHAEL HINES MANAGEMENT 01/10/17 BURNES & LIBMAN 508 17WC 03325 BRAZIL, DWAYNE AMERICAN AIRLINES, INC 02/20/16 PETER D CORTI LAW GROUP 509 17WC 03391 GARCIA, JAIME WHOLE FOODS MARKET 05/16/15 LAW OFFICES BRIAN LASSEN BRYCE DOWNEY & LENKOV LLC 510 17WC 03521 CASON, MICHAEL ANDERSON ELEVATOR 01/06/17 LEE, MARK N LAW OFFICE 511 17WC 03550 JOHNSON, LEVELL VETERANS DISTRIBUTION OF 01/17/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 17WC 03580 PERKINS, SOPHIA ENVOY AIRLINES 01/06/17 ASHER, RAYMOND L LTD 513 17WC 03603 KARIM, YVONNE UNITED AIRLINES, INC 02/27/16 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 17WC015284 -C 514 17WC 03627 BARRERA, ANGELICA OPEN KITCHENS, INC 12/12/16 HART & DAVID LLP CAPUANI & SCHNEIDER 515 17WC 03674 ESPINOZA, ALEXIS CTA-CHICAGO TRANSIT AUTHO 10/25/16 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 516 17WC 03724 HAYMON, SHANTA KINDERCARE EDUCATION 11/18/16 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 17WC003725 -C 517 17WC 03737 RIDLEY, DONNA ZANZIBAR CAFE LLC 01/28/17 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 518 17WC 03791 MACEDO, PEDRO COLOR COMMUNICATIONS INC 01/12/17 HERRERA LAW CENTER KLAUKE LAW GROUP LLC 519 17WC 03902 YACOVACCI, ANTHONY VILLAGE OF BROOKFIELD 08/25/16 COSTA IVONE LLC 520 17WC 03919 BOWENS, NAPOLEON HALLCON TRANSP COMPANY & 02/02/17 FRIEDMAN & SOLMOR LTD 521 17WC 04024 MORTON, YOLANDA CHICAGO PUBLIC SCHOOLS 01/11/16 JAMES W GREEN, JR LAW DEPARTMENT 522 17WC 04214 DANIEL, ILIZABETH CHICAGO PUBLIC SCHOOLS 12/01/16 BASILE LAW FIRM 523 17WC 04255 JIMENEZ, JOSE WILD STONE CONSTRUCTION C 10/14/15 CULLEN HASKINS NICHOLSON 524 17WC 04346 NOIA, VANESSA MARRIOTT INTERNATIONAL IN 07/27/16 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 525 17WC 04372 DEL VALLE, GREGORIO CLINGAN STEEL, INC 08/25/16 COSTA IVONE LLC SPIEGEL & CAHILL, PC 526 17WC 04397 NAIR, DEEPAK S NDK LIMO, INC. 01/23/17 GREGORIO & MARCO GANAN & SHAPIRO 527 17WC 04513 NAPOLILLO, VICTORIA WALGREENS 08/28/16 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 17WC 04545 RESTO, JORGE ASPEN FOODS INC 01/11/17 PETER D CORTI LAW GROUP POWER & CRONIN LTD 529 17WC 04568 WILLIAMS, DARNELL L FORD MOTOR CO 05/02/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 17WC004569 -C 530 17WC 04574 REAGAN, RICHARD NEXT REALTY 02/25/16 COLLISON LAW OFFICES GRANT & FANNING 531 17WC 04628 JOUNG, MATTHEW COMCAST 01/07/17 CANDIANO LAW OFFICE POWER & CRONIN LTD 532 17WC 04736 NAPOLES, LAURA C RAVINIA COMMUNITIES LLC 09/15/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 533 17WC 04802 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO 05/03/14 534 17WC 04841 ALBAKRI, ABDULRUB NORDSTROM 07/20/14 LULAY LAW OFFICES WIEDNER & MCAULIFFE LTD 17WC004843 -C 535 17WC 04987 NICOLE LYNN TAYLOR CROTHALL 11/15/16 GAINES & GAINES 536 17WC 05174 GALVEZ, FRANK KINSALE CONTRACTING GROUP 09/25/13 GOLDBERG WEISMAN & CAIRO L ORENSTEIN & ASSOCIATES 537 17WC 05962 MOTELY, SUSAN M CENTRAL STATES PENSION FU 02/08/17 ANKIN LAW OFFICE 538 17WC 06881 BROCK, NOELANI LANI UNITED AIRLINES INC 12/18/16 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 17WC006882 -C 17WC023366 -C 539 17WC 07974 NOVOA, FRANCISCO VANEE FOODS 03/21/16 RUEDA, IVAN A 540 17WC 07976 ESPARZA, MIGUEL NEWLYWEDS FOODS, INC 08/22/16 RUEDA, IVAN A 541 17WC 08785 CORSI, MARK TROY DESIGN & 08/02/16 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 17WC008786 -C 542 17WC 09957 COWSER, STEVEN AIRGAS INCGALLAGHER 02/08/17 POLANSKY & CICHON CHTD 543 17WC 10104 PILLER, AMIKA CHICAGO BOARD OF EDUCATIO 03/07/17 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 544 17WC 10124 CALLOWAY, DESENA KINDER CARE 09/06/16 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 545 17WC 10436 CHANANA, RAJEEV BARAKA ENTERPRISES INC 03/30/17 FISHER & LAMONICA 546 17WC 10917 ESCOBAR, JORGE C GREAT LAKES PACKING CO. 04/05/17 ENCINAS & ORNELAS LAW OFFICES JOSEPH MARCINIAK 547 17WC 11873 RODRIGUEZ, JOSE S CHICAGO ANODIZING CO. 04/17/17 ENCINAS & ORNELAS RODDY LAW LTD 548 17WC 11897 GOGINS, TERESA CTA 04/17/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 549 17WC 11963 ZIMMERMAN, STEVE STONE INSTALLATION & 04/13/17 GREGORIO & MARCO 550 17WC 12074 O'CONORM VINCE PROGRAM PRODUCTIONS, INC 06/05/16 KARCHMAR & STONE HENNESSY & ROACH PC 551 17WC 12162 CLARK, PHILLIP PREMIER TRANSPORATION 03/29/17 LEONARD S. BECKER MARTIN, PATRICK W 552 17WC 12196 PLACE, KATHLEEN DELTA AIRLINES 10/26/15 SCHREINER MALLOY & ETZLER 553 17WC 12303 OLSZOWA-PRZYBYLSKA, JADWI OPEN ARMS NORTHBROOK, LLC 01/20/17 NILSON STOOKAL GLEASON CAP 554 17WC 12346 NOBILE, BRANDON THE HILL GROUP 03/13/17 WHITESIDE & GOLDBERG LTD BRADY CONNOLLY & MASUDA PC 555 17WC 12373 MOORE, KAWANIS PRIMARY STAFFING, INC 04/23/17 GRAZIAN & VOLPE PC QUINTAIROS PRIETO WOOD & BOY 556 17WC 12394 MASTRANGELO, DOUG ACCURATE OFFICE SUPPLY 01/13/17 ASHER, RAYMOND L LTD 557 17WC 12413 CASTILLO, MARIA ASPEN FOODS 03/03/17 BERG & BERG POWER & CRONIN LTD 558 17WC 12534 WEKONY, BRIAN SYSCO CHICAGO, INC 04/06/16 GOLDBERG WEISMAN & CAIRO L 559 17WC 12588 CERVANTES, JANET SGA YOUTH AND FAMILY 10/13/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 560 17WC 12607 VLACHOS, ATHANASIOS P SODEXOMAGIC 03/17/17 DAVID W MARTAY INMAN & FITZGIBBONS 561 17WC 12624 RAMIREZ MUNOZ, JUAN A DEL FRISCO'S RESTAURANT 03/14/17 SEIDMAN MARGULIS & FAIRMAN 562 17WC 12676 WINDHAM, KEITH PACE 03/21/17 CHASE & WERNER LTD 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 STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 563 17WC 12716 STYRCULA, PETER SKOKIE MOTORS SHERMAN DOD 01/17/17 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 564 17WC 12764 GARCIA, JOSE GRAND PRAIRIE TRANSIT, IN 02/04/14 RUEDA, IVAN A 565 17WC 12872 RANGEL JR., RAFAEL MEDSTAR LABORATORIES 04/18/17 BUDIN LAW OFFICES 566 17WC 12918 O'KEEFFE, THOMAS CITY OF CHICAGO 07/15/15 HEALY SCANLON LAW FIRM 567 17WC 12929 BISHT, PRADEEP TAJ CAB CO 03/24/17 LAW OFFICE RYAN ROSENTHAL 568 17WC 12953 DICKERSON, MONICA NOODLES & COMPANY 04/18/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 569 17WC 13061 WEATHERSBY, CAROL ADVOCATE CHRIST MEDICAL C 01/19/17 RIDGE & DOWNES GAROFALO SCHREIBER STORM 570 17WC 13079 ROBINSON, JERRY CITY OF CHICAGO DEPT OF 04/21/17 ANKIN LAW OFFICE 571 17WC 13098 DRAVILAS, ALEXIOS LITTLE COMPANY OF MARY HO 03/13/17 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 572 17WC 13149 AYACHE, MICHAEL NBC UNIVERSAL 04/21/17 THE FITZ LAW GROUP SPIEGEL & CAHILL, PC 573 17WC 13174 WEBB JOHNNIE WEBB MV TRANSPROTATION INC 04/24/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 574 17WC 13239 JOHNSON, TEQUILA FIRST STUDENT MANAGEMENT 03/29/17 GOLDSTEIN AIOSSA & GOOD WIEDNER & MCAULIFFE LTD 575 17WC 13262 SHAMLEY, LONDA CTA SKOKIE SHOPS 04/03/17 LAW OFFICES TIMOTHY HENDER 576 17WC 13292 GLYNN, ANTHONY UTILITY TRANSPORT SERVICE 04/17/17 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 577 17WC 13307 SYLER, ROBERT LKQ A RELIABLE 08/02/16 DAVID W MARTAY 578 17WC 13344 ABBASI, MUHAMMED A BLUE RIBBON TAXI/ 04/24/17 LAW OFFICE OF SCOTT B SHAP 579 17WC 13385 COONEY, TIMOTHY G JR. PET SUPPLIES PLUS, LLC 04/15/17 ANKIN LAW OFFICE 580 17WC 13410 BRUTON, ALPHA ROUNDY'S SUPERMARKETS INC 02/23/17 THE MACK LAW GROUP PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 581 17WC 13435 POLLARD, JAKE CITY OF NORTHLAKE 03/06/17 MEYERS & FLOWERS 582 17WC 13523 WILLIAMS, JACQUELINE INTERSTATE DISTRIBUTION 09/19/16 DWORKIN AND MACIARIELLO 583 17WC 13541 PRINDLE, JOSEPH STEFANOVIC TRUCKING 03/17/17 BART DURHAM 584 17WC 13563 VARGAS, IRINED THE HABITAT COMPANY, LLC 02/26/17 RUEDA, IVAN A 585 17WC 13642 CUARDO, VICTOR L SOUTHWEST AIRLINES CO 05/05/16 ANKIN LAW OFFICE 586 17WC 13656 GUYTON, RICHARD TOTAL STAFFING SOLUTIONS 04/30/17 LAW OFFICES TIMOTHY HENDER KNELL & O'CONNOR 587 17WC 13694 GONZALEZ, MANUEL ACURA INC 06/02/15 LAW OFFICES DEBORAH SCHAEF 588 17WC 13765 SMITH, CHARLES AB CAR RENTAL SERVICES, I 04/23/17 LAW OFFICE HOWARD ABRAMS BRADY, CONNOLLY & MASUDA, PC 589 17WC 13835 EDWARDS, RAHSAAN BP STAFFING RESOURCES 05/03/17 RUSIN & MACIOROWSKI LTD 590 17WC 13887 SOLAK, JOSEPH CITY OF CHICAGO 04/10/17 JOSEPH J SPINGOLA, LTD 591 17WC 13956 AUSTIN, RONALD FEDEX 03/22/17 FRANK A CELANI QUINTAIROS PRIETO WOOD & BOY 592 17WC 13990 HARDIN, DAWAN CHICAGO TRANSIT AUTHORITY 08/02/16 RUBENS AND KRESS CHICAGO TRANSIT AUTHORITY 593 17WC 14009 CARDONE, JUDITH COOK COUNTY CLERK OF 10/07/16 ROSS TYRRELL STATES ATTORNEY OF COOK COUN 594 17WC 14017 COVINGTON, ELLEN R TRAGET CORPORATION 04/20/17 ANKIN LAW OFFICE 595 17WC 14036 KWAKU, KOSSI JAKE TRANSPORT CO 04/18/17 LAW OFFICE RYAN ROSENTHAL 596 17WC 14107 KNIGHTS, CHRIS ROBERTS PARK FIRE PROTECT 01/17/17 SAUNDERS CONDON & KENNY 597 17WC 14156 SHAH, MUKESHCHANDRA M. JABIL CIRCUIT NKA NYPRO 08/04/16 GARDI & HAUGHT HOLECEK & ASSOCIATES 598 17WC 14193 KALKER, DAVID LOYOLA UNIVERSITY MEDICAL 09/01/14 THOMAS A MORRISSEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 599 17WC 14227 JENSON, PAUL HAWK FORD 05/06/17 DWORKIN AND MACIARIELLO 600 17WC 14271 STROZ, LINDA M ADVOCATE CHRIST MEDICAL C 10/19/16 TOSCAS, JOHN Z LAW OFFICE GAROFALO SCHREIBER STORM 601 17WC 14303 LIBOY, MAGALY JEWEL FOOD STORES INC 04/28/17 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 602 17WC 14322 GOLF, CARMAN CITY OF CHICAGO 11/20/16 CAPRON & AVGERINOS PC 603 17WC 14328 STAMM, ALBERT ENGINEERING EXCELLANCE 06/14/16 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 604 17WC 14350 MACIASZEK, ANTHONY A AMERICAN AIRLINES 05/08/17 DOUGLAS RALLO PC 605 17WC 14391 GANAY, AHMED BRILON ONE CAB CORP 04/29/17 FISHER & LAMONICA 606 17WC 14426 MERLINI, THOMAS A YRC WORLDWIDE 12/31/16 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 607 17WC 14469 RODRIGUEZ, MARTIN NORTHWEST STEEL CORPORATI 04/07/17 EFTEKHARI LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 608 17WC 14522 CABANAS, ERIK US FOODS 03/16/17 LOUIS A PLZAK & ASSOCIATES 609 17WC 14543 AGUILAR, SEALTIEL UNITED AIRLINES INC 04/23/17 GREGORIO & MARCO 610 17WC 14597 CATANIA, JENNIFER DOLLAR TREE-CHICAGO 04/20/17 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 611 17WC 14603 BRADFIELD, YAKENA CTA 05/14/17 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 612 17WC 14629 NAIMOLI, ANTHONY J STATE OF ILLINOIS/IDOT 09/16/10 THE FITZ LAW GROUP ASSISTANT ATTORNEY GENERAL 613 17WC 14682 REILLY, LEONARD ARCHDIOCESE OF CHICAGO 12/01/16 HETHERINGTON KARPEL BOBBER MC ANDREWS & NORGLE LLC 614 17WC 14914 MASON, KEVIN PATRICK FOREST PRESERVE OF COOK C 10/06/16 PETER D CORTI LAW GROUP FOREST PRESERVE DIST COOK CO 615 17WC 14934 BOOTH, TERRY MIDWAY STAFFING INC 01/22/17 ANKIN LAW OFFICE 616 17WC 14963 CRUTCHFIELD, AARON ANIXTER, INC. 03/30/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 617 17WC 14995 GARAY, GARY CITY OF CHICAGO, DEPT OF 01/15/17 O'CONNOR & NAKOS 618 17WC 15098 ROSSI, KAREN J UNITED AIRLINES INC. 06/15/15 CULLEN HASKINS NICHOLSON 619 17WC 15127 WILLIAMS, KIEL UNIVERSITY OF CHICAGO HOS 03/21/17 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 620 17WC 15152 JONES, LINDA L ALSIP HOTEL INVESTORS,LLC 03/05/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 621 17WC 15159 COLLAZO, JOHN FORD MOTOR COMPANY 05/07/17 FOHRMAN, DONALD W & ASSOCS 622 17WC 18583 GATSON, KIS CLEARLAM PACKAGING 06/13/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 623 17WC 19533 POWELL, DEBRA CITY OF CHICAGO 03/20/17 LEO ALT 624 17WC 19604 GARRITY, EMILY HEINEKEN USA INC # 05/16/17 CORBOY & DEMETRIO PC 625 17WC 20372 THOMAS, KEVIN YMCA OF THE USA 05/08/17 JAMES ELLIS GUMBINER & ASS 626 17WC 21300 PREADOM, BYRON SOUTHWEST AIRLINES 02/05/15 RONALDSON & KUCHLER HENNESSY & ROACH PC 627 17WC 21347 POOTHAKARY, CHANDY MPG CHICAGO 02/17/16 STEVEN A CRIFASE, LTD MEACHUM & STARCK 628 17WC 21366 ALBELO, MARIA NIKE FACTORY STORE 04/26/17 KATZ FRIEDMAN EAGLE ET AL 629 17WC 21406 RODRIGUEZ, JOSE TOTAL STAFFING SOLUTIONS 06/29/17 FINE, MARK S LAW OFFICES KNELL & O'CONNOR 630 17WC 21447 NUNEZ, TANIA HEALTHCARE ALTERNATIVE SY 06/29/17 LAW OFFICES TIMOTHY HENDER HEYL ROYSTER VOELKER & ALLEN 631 17WC 21497 MOSER, DEREK NC JUNK REMOVAL D/B/A 07/19/17 HUGHES SOCOL PIERS RESNICK 632 17WC 21530 NOAH, JOHN KWCC 03/31/17 JOHNSON & JOHNSON BRADY CONNOLLY & MASUDA PC 633 17WC 21611 MOORE, DARRELL R FORD MOTOR COMPANY 12/13/14 URBAN & BURT LTD WIEDNER & MCAULIFFE LTD 634 17WC 21653 SWANSON, AMY LITTLE COMPANY OF MARY HO 05/04/17 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 635 17WC 21712 MACIAS, IRMA ESPINOZA JAFFA BAGEL-CHICAGO, INC 03/01/15 SALVATO & O'TOOLE 636 17WC 21728 ZARKY, ROGER CITY OF CHICAGO DEPT FLEE 07/12/17 VRDOLYAK LAW GROUP LLC 637 17WC 21786 KROL, KRZYSZTOF PRO HOME 1, INTL 06/15/17 NEMEROFF LAW OFFICES WIEDNER & MCAULIFFE LTD 638 17WC 21831 RHEIN, DAVID YRC 05/30/17 JASINSKI, GEORGE J 639 17WC 21861 RANGEL, JORGE SERVICE DRYWALL & DECORAT 03/24/17 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 640 17WC 21882 GROSS, ANITRA SOUTHWEST AIRLINES 12/07/16 DWORKIN AND MACIARIELLO 641 17WC 21939 BATES, LEONARDO ARENA FOOTBALL ONE LLC 06/12/15 GORDON LAW OFFICES LTD 642 17WC 21947 FURUNDZIC, RADE GEORGIA NUT CO INC 10/23/15 ANKIN LAW OFFICE 643 17WC 21982 FLORES, TERESA DHALIWAL LABS ILLINOIS LL 06/30/17 ROSS J HELFAND HOLECEK & ASSOCIATES 644 17WC 22007 DEAN, TERRY ILLINOIS DEPARTMENT @ 10/10/16 VASILATOS & COTTER LLC ASSISTANT ATTORNEY GENERAL 645 17WC 22025 BERGMAN, LAYAH HILLEL TORAH NORTH SHORE 02/11/14 ROSS TYRRELL GILDEA & COGHLAN 646 17WC 22054 HENSEN, NICHOLE WATERFORD ESTATE 07/05/17 DWORKIN AND MACIARIELLO 647 17WC 22073 SANCHEZ, JULIO CALIFORNIA PIZZA KITCHEN 04/26/17 LAW OFFICES LEONARDO MORAL 648 17WC 22118 GIRALDO-GONZALEZ, MILBIA CHALET LIVING AND REHAB C 07/24/17 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 649 17WC 22160 ADKINS, VERNON JUDLAU OHL GROUP 07/24/17 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 650 17WC 22180 CARRANZA, DANIEL BSE TRUCKING, INC 05/04/17 MC HARGUE, JAMES P LAW OFF INMAN & FITZGIBBONS 651 17WC 22204 MARTIN, ALICE EDUCARE 06/15/17 DWORKIN AND MACIARIELLO 652 17WC 22257 HUBBARD, RHONDA THE UNIVERSITY OF CHICAGO 06/06/17 BRIAN J MC MANUS & ASSOC, MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 653 17WC 22285 JACKSON, ANNIE HELP AT HOME 06/08/17 ANGELINI & ORI LLC 654 17WC 22306 WELLS, JOHN MICHAEL LEWIS CO 04/18/17 DAVID SZCZECIN & ASSOC 655 17WC 22354 KLOMES, WILLIAM CITY OF CALUMET CITY 07/30/17 COVEN LAW GROUP RANDOLPH GREUNE LAW OFFICE 656 17WC 22405 CALDERON, ENRIQUE FABRICATING & WELDING 03/01/16 RUEDA, IVAN A MEACHUM & STARCK 657 17WC 22439 ADENIRAN, ADEBAYO M&A HAND CAR WASH 07/08/17 ANGELINI & ORI LLC 658 17WC 22462 WIGGINS, EZEKIEL LABOR NETOWRK, LLC (LOANI 04/23/17 O'CONNOR & NAKOS 659 17WC 22464 BATES, LEONARDO ARENA FOOTBALL ONE LLC 06/12/15 GORDON LAW OFFICES LTD 660 17WC 22482 GONZALEZ, GUADALUPE AMERICA'S FOOD TECHNOLOGI 06/30/17 MC HARGUE, JAMES P LAW OFF 661 17WC 22490 BURNETT-MOSS, KATRINA METRO SOUTH MEDICAL CENTE 04/26/17 FRIEDMAN & SOLMOR LTD WIEDNER & MCAULIFFE LTD 662 17WC 22538 FLORES, RUBEN T STONE STYSTEMS WR WEIS CO 06/26/17 LEO ALT 663 17WC 22571 DELGADO, JOSE HALLS RENTAL 01/09/17 LAW OFFICES ROBERT WARSASK 664 17WC 22599 SAUCIUC, VASILE PARENTI & RAFFELI, LTD 01/15/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 665 17WC 22656 MARTIN, RANDOLPH CHICAGO TRANSIT AUTHORITY 07/20/17 ANKIN LAW OFFICE 666 17WC 22689 TRUEBLOOD, SABRENIA LEXINGTON HEALTH CARE 02/02/17 MARC J SHUMAN & ASSOCIATES 667 17WC 22721 AMIN, AKASH DUNKIN DONUTS 01/31/16 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 668 17WC 22778 FALCO, KEVIN CH ROBINSON 07/02/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 669 17WC 22855 O'NEAL, LAVETTE THRESHOLDS 06/30/17 STRELLIS & FIELD CTD LITCHFIELD CAVO 670 17WC 22888 WEBB, ANDRE AMERICAN AIRLINES 07/17/17 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 671 17WC 22931 DICOSOLA, DOMINIC JR AMS MECHANICAL SYSTEMS 06/21/17 ADLER & ADLER GAROFALO SCHREIBER STORM 672 17WC 23007 GOTT, DAVID LEVY 11/13/16 VLANTIS LAW LLC 673 17WC 23070 DELGADO, MARIA T VALSPAR CORPORATION 11/07/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 674 17WC 23157 BOGUSZEWSKI, SLAWOMIK LOMBARDO CONSTRUCTION, IN 07/18/17 CHRISTOPHER BUCHCAR, LTD HOLECEK & ASSOCIATES 675 17WC 23197 WALKER, MARC A LEWIS BAKERIES 08/11/14 STEVEN O HAMILL LTD 676 17WC 23221 COPPOLA, SARAH CHICAGO PULIC SCHOOLS 05/01/17 ABELS & ANNES, PC 677 17WC 23299 ZANDERS, CHRISTIAN ABRA AUTO BODY & GLASS 07/07/17 HORWITZ HORWITZ & ASSOC 678 17WC 23319 MENDOZA-GARZA, JAVIER LASER CONSTRUCTION 07/27/17 RUEDA, IVAN A 679 17WC 23356 MOLINA, CARLOS DO & CO CHICAGO CATERING, 02/24/16 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 680 17WC 23422 DRAKE, MICHAEL BODYCOTE 03/22/17 DWORKIN AND MACIARIELLO 681 17WC 23442 BJORGO, DENNIS G HUDSON BOILER & TANK 01/14/15 O'CONNOR & NAKOS 682 17WC 23471 ANDERSON, HOPE VARGAS GROUP, INC 08/02/17 SALVATO & O'TOOLE 683 17WC 23486 SILVA, JOSE RENT-A-CENTER 07/25/17 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL & ASSOC LLC 684 17WC 23532 SERENDA, STEPHEN M LOYOLA UNIVERSITY MEDICAL 11/07/16 STROM, NEAL B 685 17WC 23562 ATKINS, LASHARA RJB PROPERTIES, INC 08/08/17 LAW OFFICES KRISTEN M KOZL HENNESSY & ROACH PC 686 17WC 23597 FERNANDEZ, CARLOS CITY OF CHICAGO 08/09/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 687 17WC 23607 LEON, JUAN NEW PROCESS STEEL 07/10/17 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 688 17WC 23645 RANDALL, CATHLEEN INTERFAITH YOUTH CORE # 07/06/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 689 17WC 23665 TATE, SERRATTA JP MORGAN CHASE 08/08/17 DWORKIN AND MACIARIELLO 690 17WC 23682 RUIZ, BARTOLO EL MILAGRO 06/08/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 691 17WC 23697 VASQUEZ, ABECINIA ST ALEXIUS MEDICAL CENTER 05/23/16 LAW OFFICE OF SCOTT B SHAP 692 17WC 23719 LAGUNAS ROMAN, ANGEL FLECK'S LANDSCAPING 08/01/17 LANNON LANNON & BARR LTD 693 17WC 23735 HARRIS, DAVID JMJ TALENT SOLUTIONS 07/14/17 ASHER, RAYMOND L LTD COZZI & GOGGIN-WARD 694 17WC 23770 BARNETT, PHILLIP ARENA FOOTBALL ONE LLC 06/23/17 GORDON & CENTRACCHIO LLC 695 17WC 23812 KLIMEK, MICHAEL VILLAGE OF BRIDGEVIEW 08/08/17 LEONARD LAW GROUP LLC 696 17WC 23826 JOHNSON, MAGGIE WILSON AND SMITH INC 06/26/17 NEMEROFF LAW OFFICES 697 17WC 23845 BRUMFIELD, LEANDER ARYZTA BAKERY CHICAGO 08/04/17 STEPHEN G PINTO LTD HENNESSY & ROACH PC 698 17WC 23874 SALGADO, MARTA KASIA'S DELI, INC 05/26/17 HOLECEK & ASSOCIATES 699 17WC 23888 WARRACK, JOSHUA LEVY RESTAURANT 08/11/17 ANGELINI & ORI LLC GANAN & SHAPIRO 700 17WC 23892 MITCHELL, SYLVIA NORTHWESTERN HOSPITAL 03/02/17 DINIZULU LAW GROUP 701 17WC 23907 SALGADO, SAUL MULTI-TEMPS INC 07/14/17 CUDA LAW OFFICES ROBERT L. SMITH 702 17WC 23926 MICHICICH, BRIAN MENCONI TERRAZO 07/06/17 MICHAEL A. HIGGINS INMAN & FITZGIBBONS 17WC023927 -C 703 17WC 23981 MICHALSKI, THOMAS KINGDOM CHEVROLET 05/10/17 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 704 17WC 23987 MAXWELL, TONY ADVOCATE ILLINOIS MASONIC 05/11/17 COHN LAMBERT RYAN & SCHNEI GAROFALO SCHREIBER STORM 705 17WC 24034 CRUZ, NOEL CTA 08/10/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 706 17WC 24084 REYES, GRISELD ALDEN TOWN MANOR 06/26/17 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 707 17WC 24133 NAVARRO, JOSEPH RWWC LLC 08/07/17 GOLDBERG WEISMAN & CAIRO L 708 17WC 24237 HARRIS, MARQUIS TOOL AND STEEL SERVICES 08/04/17 ANGELINI & ORI LLC 709 17WC 24250 KEEHAN, JOHN COOK COUNTY IL DEPT OF CO 07/26/17 RICHARD O. GREENFIELD STATES ATTORNEY OF COOK COUN 710 17WC 24361 ZIELINSKI, KEITH AS WIDOW TERRA NOVA FILMS 10/21/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 711 17WC 24413 ABDERRHMAN, NIJEM LETTUCE ENTERTAIN YOU 06/24/17 VRDOLYAK LAW GROUP LLC 712 17WC 24438 MARMOLEJO, CONSTANTINA HYATT REGENCY CHICAGO 03/30/15 ELFENBAUM EVERS & AMARILIO 713 17WC 24457 SZCZYGIEL, ANDRZEJ REMODELERS SUPPLY CENTER 08/01/17 CHEPOV & SCOTT LLC 714 17WC 24505 KIRKPATRICK, REBECCA HOBBY LOBBY 08/03/16 LAW OFFICE OF SCOTT B SHAP QUINTAIROS PRIETO WOOD & BOY 715 17WC 24522 CORONA, IMELDA CITY OF CHICAGO DEPT OF 06/12/15 LANNON LANNON & BARR LTD 716 17WC 24544 GARCIA, JUAN COOK COUNTY 08/11/17 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 717 17WC 24577 MAYO-VALLE, SILVESTRE RON'S STAFFING SERVICES I 08/02/17 ANKIN LAW OFFICE 718 17WC 24596 AGUERO, ROBERTO DIESEL RADIATOR CO 08/07/17 RUEDA, IVAN A HOLECEK & ASSOCIATES 719 17WC 24676 MONARREZ, GERARDO ED MINIAT, INC 07/17/17 LAW OFFICES OF ANSELMO DUR POWER & CRONIN LTD 720 17WC 24715 MORRIS, KIMBERLEY DEAN EDSAL MFG CO 08/11/17 JOHN C WUNSCH 721 17WC 24758 COTTRELL, MARSHALL JB HUNT TRANSPORTATION 07/28/16 STEVEN A CRIFASE, LTD 722 17WC 24795 LARA, JOSE RYDER INTEGRATED LOGISTIC 07/14/17 SALGADO, DAVID L 723 17WC 24819 CROSBY, MILDRED UNIVERSITY OF CHICAGO HOS 08/07/17 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 724 17WC 24878 WARREN, MICHAEL HESTER DECORATING COMPANY 06/21/17 HEALY SCANLON LAW FIRM 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 STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 725 17WC 25789 SACEK, SCOTT FORD MOTOR-CHICAGO 04/03/17 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 726 17WC 26616 CURRAN, THOMAS CHICAGO BEHAVIORAL HOSPIT 09/02/17 DWORKIN AND MACIARIELLO THOMAS & PORTELA 727 17WC 26693 STEWART, WILLIAM COOK COUNTY HEALTH & 04/09/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 728 17WC 26942 ANDERSON-BELL, STEPHANIE PARK VILLA HEALTH CARE 06/15/17 VITELL & SPITZ LTD 729 17WC 29296 MURRY, MONICA A CHICAGO TRANSIT AUTHORITY 09/24/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 730 17WC 30377 OWENS, EUGENIE UNITED AIRLINES 03/25/17 KATZ FRIEDMAN EAGLE ET AL 731 17WC 30863 SALAZAR, JUAN SUPERIOR NUT & CANDY CO 09/15/17 OSVALDO RODRIGUEZ PC CAPUANI & SCHNEIDER 732 17WC 30898 CICHOCKI, ZACH ABC SUPPLY CO INC 09/12/17 TARADASH LAW OFFICE 733 17WC 30974 PEALS, KEVIN L HOST INTERNATIONAL, INC 08/17/17 DEPAOLO ZADEIKIS GORE 734 17WC 30980 BERRIOS, EMMANUEL SURE STAFF 10/18/17 EDWIN REYES LEGAL GROUP LOUIS MUNDY 735 17WC 31034 CASTILLO-ROSA, LYDIA PALATINE PUBLIC LIBRARY 08/30/17 RANDALL A. WOLFF & ASSOC LAW OFFICES JOSEPH MARCINIAK 736 17WC 31109 RAMIREZ, ERIC RALLY INTERMODEL LLC 08/18/17 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 737 17WC 31131 LLOYD, SHELLY WALMART 08/17/17 COHN LAMBERT RYAN & SCHNEI QUINTAIROS PRIETO WOOD & BOY 738 17WC 31161 MASON, DENISE C HOMEWOOD SUITES DBA 10/15/17 ANKIN LAW OFFICE MEACHUM & STARCK 739 17WC 31185 FIELDING, ROBERT INFRARED INSPECTIONS INC 06/02/16 DAVID W MARTAY 740 17WC 31226 GARCIA, BENJAMIN PRO-DRIVERS 08/16/17 HART & DAVID LLP 741 17WC 31316 EPISCOPO MENESES, FLOR EL NORTHSHORE SENIOR SVCS 01/28/17 MC HARGUE, JAMES P LAW OFF 742 17WC 31320 LLAMAS, BENJAMIN SIEGEL STEEL 10/05/17 VASILATOS & COTTER LLC CAPUANI & SCHNEIDER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 17WC 31337 ATIEH, RAMI D&N TRANSPORTATION, INC. 10/15/17 SANDMAN LEVY & PETRICH SCOPELITIS GARVIN LIGHT 744 17WC 31372 CASTRUITA AYALA, ROSA MAR INDUSTRIAL COUNCIL OF NEA 08/14/17 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 745 17WC 31402 BOND, JEFFREY M SUBURBAN ELEVATOR 03/16/17 RUBIN LAW GROUP 746 17WC 31454 CAPPS, BIRDELL GATE GOURMET 10/04/17 LEONARD LAW GROUP LLC 747 17WC 31491 BERRY, VENTURE COOK COUNTY, ILLINOIS 07/07/16 LAW OFFICE QUENTIN BANKS 748 17WC 31515 DAVIS, DEIDRE ADVOCATE CHRIST HOSPITAL 09/02/17 HORWITZ HORWITZ & ASSOC 749 17WC 31544 HORN, JEANINE L CHICAGO TRANSIT AUTHORITY 08/22/17 WARREN W MARK CHICAGO TRANSIT AUTHORITY 750 17WC 31564 CHORAK, MICHAEL J MECCON INDUSTRIES, INC 09/26/17 RUBIN LAW GROUP CACCHILLO LAW GROUP LLC 751 17WC 31602 REBELES, DORA PETE'S FRESH MARKET 09/01/17 CULLEN HASKINS NICHOLSON 752 17WC 31620 MEJIA, RODOLFO OLYMPIA FOODS 10/20/17 CHEPOV & SCOTT LLC 753 17WC 31639 RENTERIA, FERNANDO FULTON TROIKA, LLC 09/26/17 DUDLEY & LAKE LLC 754 17WC 31672 HERNANDEZ, SERGIO PAN AMERICAN CONSTRUCTION 10/03/17 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 17WC031673 -C 755 17WC 31690 FUGLESTAD, ARNOLD AMERICAN AIRLINES, INC 10/04/17 PETER D CORTI LAW GROUP 756 17WC 31708 ESTRADA, BARBARA FORD MOTOR COMPANY 02/15/17 FOHRMAN, DONALD W & ASSOCS 757 17WC 31724 COLVIN, CASSANDRA CHICAGO PUBLIC SCHOOLS 10/20/17 ANKIN LAW OFFICE LAW DEPARTMENT 758 17WC 31825 VELETYK, VOLODYMYR STAR NORTH MANAGEMENT LLC 10/12/17 LAW OFFICES YEVGENIY VAYSM 759 17WC 31875 WALKER, SHARON COMMUNITY CARE SYSTEMS IN 04/21/17 BERENZ LAW NETWORK 760 17WC 31880 ARCE, ARTURO ARLINGTON PLATING CO 10/02/17 THE ROMAKER LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 761 17WC 31899 TARCHINSKI, MICHAEL RR DONNELLEY 03/29/17 KATHERINE A. CARDENAS 762 17WC 31922 GUEVARA, OSCAR HUERTA CURTO-LIGONIER FOUNDRIES 09/25/17 SALK, STEVEN B & ASSOC LTD KNELL & O'CONNOR 763 17WC 31944 CHAVEZ AUZ, DIEGO E LALO'S MEXICAN RESTAURANT 09/09/17 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 764 17WC 31971 NABIEU, JOHNNY V WHOLE FOODS MARKET, INC 10/01/17 BRUCE RAFALSON LTD 765 17WC 31997 HUNT, ROY YRC INC 09/18/17 766 17WC 32031 TUJILLO, MA REYNALDA CESAR'S ON BROADWAY RESAU 08/21/17 NILSON STOOKAL GLEASON CAP 767 17WC 32051 GOMEZ, FABRIZIO SALGADO ELI'S CHEESCAKE COMPANY 05/05/17 HERRERA LAW CENTER 768 17WC 32119 ASHLEY, DANA RENT-A-CENTER 10/09/17 DWORKIN AND MACIARIELLO 769 17WC 32144 JENNINGS, TEDDY ARENA FOOTBALL ONE, LLC 04/29/17 GORDON & CENTRACCHIO LLC 770 17WC 32168 BUMBALO, YVETTE UNITED AIRLINES, INC 08/15/17 BRIAN J MC MANUS & ASSOC, 771 17WC 32197 PELAEZ, MOISES PROGRESSIVE COATING 10/26/17 JAMES ELLIS GUMBINER & ASS 772 17WC 32221 BABIARZ, MAREK TYSON FOODS 02/12/15 FRIEND LEVINSON & BERGAL GANAN & SHAPIRO 773 17WC 32303 PEREZ, ANTONIO ALOIS BOX, CO 01/04/17 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 774 17WC 32321 SMITH, TANJANIKA APPLEBEE'S 10/09/17 ROMANUCCI & BLANDIN 775 17WC 32340 WONDOLOWSKI, FORREST CITY OF CHICAGO (FLEET MG 10/16/17 SEIDMAN MARGULIS & FAIRMAN 776 17WC 32370 LEE, ARMA JEAN ROSELAND COMMUNITY HOSPIT 01/25/17 WILLIAM MARTAY SCOPELITIS GARVIN LIGHT 777 17WC 32391 CERVANTES, ADRIANA CABRAL PURE'S FOOD SPECIALTIES L 09/01/17 HERRERA LAW CENTER LAW OFFICES JOSEPH MARCINIAK 778 17WC 32426 MANGUAL, JOSE MADISON CONSTRUCTION 10/27/17 KROL BONGIORNO & GIVEN LTD LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 779 17WC 32532 ROBERTS, FELICIA FORD MOTOR COMPANY 07/24/17 FOHRMAN, DONALD W & ASSOCS 780 17WC 32558 BAKER, EUGENE GNPH #NINE, INC DBA 10/07/17 CULLEN HASKINS NICHOLSON STEVEN L. VENIT 781 17WC 32583 BLANTON, LATASHA ENVOY AIR INC FKA AMERICA 11/11/16 RIDGE & DOWNES 782 17WC 32650 MCMANUS, CARA BANFIELD PET HOSPITAL 08/09/15 RUBENS AND KRESS MC ANDREWS & NORGLE LLC 783 17WC 32710 HERNAIZ-VAZQUEZ, ISRAEL CULTURE STUDIO 10/14/17 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 784 17WC 32736 WARREN, JOHN COOK COUNTY SHERIFF'S DEP 05/08/17 ROMANEK & ROMANEK STATES ATTORNEY OF COOK COUN 785 17WC 32752 STEARN, CINDY UNITED AIRLINES, INC 10/09/17 GREGORIO & MARCO 786 17WC 32788 BATES, ANTHONY JEWEL 09/21/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 787 17WC 32804 SARAZEN, JEWEL UNITED AIRLINES INC. 04/29/17 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 788 17WC 32853 FROMME, CANDISE UNITED AIRLINES INC. 07/16/17 BRIAN J MC MANUS & ASSOC, 789 17WC 32869 PEREZ, CESAR GEORGIA NUT COMPANY 08/01/17 STYKA & STYKA 790 17WC 32898 BYLINA, RONALD S IDEAL BOX CO 08/11/17 RUBIN LAW GROUP 791 17WC 32908 KAUR, HARMIT PORTILLOS HOT DOGS LLC 09/04/17 LULAY LAW OFFICES HOLECEK & ASSOCIATES 792 17WC 32930 YONUSHATIS, EDWARD FORD MOTOR COMPANY 10/16/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 793 17WC 32951 WILSON, BERNADINE CHICAGO BOARD OF EDUCATIO 09/24/15 DAVID W MARTAY 794 17WC 32973 PRADO, MARIA MARSCO GP 06/23/17 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 795 17WC 32974 PRUENTE, DAWN COOK COUNTY 10/19/17 CUDA LAW OFFICES 796 17WC 33011 ORTIZ, DULCE MARIA HMR DESIGNS 09/27/17 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 797 17WC 33044 ROBINSON, LINDA AMERICAN BOTTLING 03/20/17 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 798 17WC 33084 RODRIGUEZ, SERAFIN ACRES GROUP 10/30/17 LAW OFFICE OF SCOTT B SHAP 799 17WC 33101 STURDIVANT, KENDALE DOLLAR GENERAL 09/05/17 CHARLES LEVY & ASSOC LTD 800 17WC 33137 WILKERSON, CLINTON DAYTON FREIGHT 01/25/17 STANCZAK LAW OFFICES RUSIN & MACIOROWSKI LTD 801 17WC 33255 KING, SHARMONE EVANSTON/SKOKIE SCHOOL DI 10/02/17 VRDOLYAK LAW GROUP LLC 802 17WC 33282 VAUGHN, FRED A SYNERGY 08/04/17 BUDIN LAW OFFICES 803 17WC 33317 MARTINEZ-VASQUEZ, ROBERTO THE XCEL GROUP 11/03/17 CHEPOV & SCOTT LLC POWER & CRONIN LTD 804 17WC 33345 BROWN, SHANA PACE SUBURBAN BUS 09/25/17 KUMLIN & FROMM 805 17WC 33380 AJOKU, FITGERALD COOK COUNTY HEALTH & HOSP 10/16/17 DEPAOLO ZADEIKIS GORE 806 17WC 33404 WATKINS, GARDNER CITY OF CHICAGO STREET AN 05/12/16 TAXMAN POLLOCK 807 17WC 33422 ABUKHADEEJA, EBRAHEEM PACTIV-BRIDGEVIEW 09/05/17 DAVID W MARTAY 808 17WC 33439 TREADWAY, HERMAN SWISSPORT USA, INC 06/28/17 COSTA IVONE LLC 809 17WC 33455 MOORE, ROBERT CTA 10/31/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 810 17WC 33545 FRAMPTON, DEAN ROGAN GRANITE & MARBLE 04/30/17 SAUNDERS CONDON & KENNY 811 17WC 33579 SHAW, WILLIAM SOUTHWEST AIRLINES 07/29/17 ANGELINI & ORI LLC 812 17WC 33600 BROWN, STEPHANIE BEST CARE SERVICES 10/21/17 BRISKMAN BRISKMAN GREENBER 813 17WC 33614 CONTRERAS, MIGUEL WOODLAND MAINTENANCE GROU 07/14/17 SALK, STEVEN B & ASSOC LTD 814 17WC 33672 DRUMMOND, STEPHEN VILLAGE OF NORTHBROOK 11/10/17 SKLARE LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 815 17WC 33702 BIBBS, ROBERT AREANA FOOTBALL ONE LLC 05/09/15 GORDON LAW OFFICES LTD 816 17WC 33731 BICKETT, JESSICA CAST & CREW ENTERTAINMENT 07/15/17 ELFENBAUM EVERS & AMARILIO GRANT & FANNING 817 17WC 33825 KIE, SANDRA VETCO 07/09/17 GIAMANCO & OOINK LAW OFFIC 818 17WC 33864 BYARS, REGINA THE TJX COMPANIES, INC 09/19/17 CUSHING LAW OFFICES 819 17WC 33888 MURNANE, KYLE CUSTOM ELECTRICAL SERVICE 08/10/17 JOHN S. ELIASIK 820 17WC 33898 WALCZYK, ROMAN BURDZY TOOL & DIE COMPANY 10/28/16 SANDMAN LEVY & PETRICH 821 17WC 33921 JAUREGUI, HELIODORO MANNHEIM SCHOOL DISTRICT 06/01/17 HART & DAVID LLP 822 17WC 33948 ORTIZ, MODESTO R COOK DUPAGE TRANS. 08/29/17 MANUAL CARDENAS & ASSOC 823 17WC 34053 DOMINGUEZ SOTELO, CESAR COOPER'S HAWK WINERY & 10/27/17 AIOSSA LAW FIRM GRANT & FANNING 824 17WC 34077 ALEXANDER, PRENTISST REPUBLIC SVCS 11/09/17 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 825 17WC 34106 PARKS, DEBORAH M DABECCA NATURAL FOODS 10/17/17 ANKIN LAW OFFICE 826 17WC 34148 PIPIKIOS, JOANNE CVS HEALTH FKA CVS CAREMA * 05/11/15 BELLAS & WACHOWSKI HINSHAW & CULBERTSON 827 17WC 35215 FORD, GLENN THE UNIVERSITY OF CHICAGO * 11/15/17 ANKIN LAW OFFICE POWER & CRONIN LTD 828 17WC 35245 BARRON, ISABEL SUMMIT STAFFING * 08/31/17 ENCINAS & ORNELAS 829 17WC 37689 MINOR, WILLIE TRN NETWORK STAFFING * 10/19/17 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 830 17WC 37692 RICHART, JOSE FRASCO PROFILES * 12/18/17 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 831 18WC 01987 CLAYTON, DONNA STATE OF IL DEPT OF HUMAN @ * 01/10/18 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 832 18WC 01992 HANSON, ARON CINTAS 01/17/18 COVEN LAW GROUP 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 STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 833 18WC 02006 ROBINSON, ROBBIE UBER * 01/11/18 DWORKIN AND MACIARIELLO 834 18WC 02105 BOLIN, BRIAN MURPHY & MILLER INC * 01/04/18 PARENTE & NOREM PC 835 18WC 02130 RILES, ANTWAIN CHICAGO SCAFFOLDING INC * 02/28/17 MEYERS & FLOWERS 836 18WC 02153 BILLS, NASTASSIA CHICAGO OMC * 01/08/18 ANGELINI & ORI LLC 837 18WC 02219 PICARDI, JAMES AM SLEEP, INC * 12/11/17 GORDON & CENTRACCHIO LLC 838 18WC 02239 PICCIRILLO, MICHAEL OZINGA BROTHERS * 12/16/15 GAROFALO SCHREIBER STORM 839 18WC 02257 MCFARLAND, KRISTI CONSOLIDATED HS DISTRICT * 10/20/17 HETHERINGTON KARPEL BOBBER 840 18WC 02287 STOCKSTILL, DOUGLAS AT & T * 12/15/17 CULLEN HASKINS NICHOLSON 841 18WC 02309 MEADERDS, CATHERINE SCOOBEEZ * 06/16/17 VASILATOS & COTTER LLC 842 18WC 02364 FLOWERS, ROBERT FLEXIBLE STAFFING * 01/15/18 HORWITZ HORWITZ & ASSOC 843 18WC 02380 VALI, WALTER CONTAINER INT/ * 06/20/16 GORDON LAW OFFICES LTD 844 18WC 02409 ACHMIROWICZ, ANDREZEJ HOME DEPOT * 03/07/17 RUBENS AND KRESS 845 18WC 02430 HENDERSON, DEBRA A ENVISION ULIMITED * 01/17/18 VITELL & SPITZ LTD 846 18WC 02447 WOODWARD, JIM ATLAS TUBE * 11/14/17 KROL BONGIORNO & GIVEN LTD 847 18WC 02465 MORSCH, NEAL METALMASTER ROOFMASTER IN * 06/15/16 JOHN E LUSAK 848 18WC 02487 KHOURY, BISHARA J ADVOCATE CHRIST HOSPITAL * 01/09/18 SOSTRIN AND SOSTRIN PC 849 18WC 02504 MOCZYNSKI, LORETTA JEWEL FOOD STORE * 10/22/17 MICHAEL A. HIGGINS 850 18WC 02530 BARTZ, HALINA JIMMY'S CHARHOUSE * 12/22/17 FIGLIOLI, DAVID

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 851 18WC 02551 POZWORSKI, JOHN N FIRST CHOICE LOGISTICS * 09/28/17 O'CONNOR & NAKOS 852 18WC 02566 LJUBENKO, LUKA CHICAGO TRANSIT AUTHORITY * 01/16/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 853 18WC 02582 HENRY, PHILIP COMMUNITY HIGH SCHOOL DIS * 11/30/16 RATHBUN CSEVENYAK & KOZOL 854 18WC 02675 FLORES, JORGE VIENNA BEEF * 05/23/16 CELSO FUENTES JR 855 18WC 02719 MURPHY, COLLEEN UNITED CONTINENTAL * 10/01/17 BRIAN J MC MANUS & ASSOC, 856 18WC 02739 LAZIC, MARIJA GLENBRIDGE NURSING & REHA * 08/30/17 BRILL & FISHEL 857 18WC 02762 JOHNSON, VERNICE L TOWER AUTOMOTIVE 01/21/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 858 18WC 02764 GOLONKA, ARKADIUSZ MC CONSTRUCTION * 11/17/17 KATZ FRIEDMAN EAGLE ET AL 859 18WC 02800 PODGORSKI, JOSEPH LEE YRC WORLDWIDE * 11/15/17 KROL BONGIORNO & GIVEN LTD 860 18WC 02842 MEDINA, JANICE UNITED SERVICE COMPANIES * 01/11/18 SALVATO & O'TOOLE 861 18WC 02901 ORTEGA GARCIA, VICTOR PLUM MASONRY * 04/05/16 PETER D CORTI LAW GROUP 862 18WC 02915 ROSSI, JOSEPH LIBORIO BAKING SERVICES C * 01/07/18 GREGORIO & MARCO 863 18WC 02933 BLANCAS, MARTIN DAPPER EAST * 01/10/18 COSTA IVONE LLC 864 18WC 02951 SHED, FREDRICK BARNES DISTRIBUTION-BORRO * 01/10/18 LEONARD LAW GROUP LLC 865 18WC 02960 TATE, WILENA AFCO * 01/23/18 DWORKIN AND MACIARIELLO 866 18WC 02971 KOSIROG, DAVID M CDK ELECTRIC INC * 01/10/18 DOUGLAS RALLO PC 867 18WC 02997 MAGNAN, PATRICIA LITTLE COMPANY OF MARY * 02/03/16 WILLIAM S. WOJCIK LTD 868 18WC 03063 ADDUCI, NICHOLAS COOK COUNTY SHERIFF'S * 01/10/18 CUDA LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 869 18WC 03099 JIMENEZ, JAVIER ECOWIZE NORTH AMERICA * 12/24/17 LAW OFFICES LEONARDO MORAL 870 18WC 03149 ODELL JR, ELTON AIR SERV * 01/17/18 HORWITZ HORWITZ & ASSOC 871 18WC 03188 STAMPLEY, TERRANCE L COOK COUNTY SHERIFF'S DEP * 01/11/18 ANKIN LAW OFFICE 872 18WC 03206 VILLALOBOS, CONSUELO POWER STOP LLC * 07/06/17 KREITER, BYCK & ASSOC LLP 873 18WC 03231 GADDAM, AERUYA RUSH UNIVERSITY MEDICAL C * 09/07/16 COHN LAMBERT RYAN & SCHNEI 874 18WC 03327 CHRISTMAS, MICHAEL ACCURATE PERSONNEL * 01/28/18 EDWIN REYES LEGAL GROUP 875 18WC 03356 SMITH, NACURVIE BUSINESS SOLUTIONS TRANSP * 01/25/18 LAW OFFICE KENNETH FISHMAN BRYCE DOWNEY & LENKOV LLC 876 18WC 03364 ALSTON, DAKOTA MONTGOMERY PLACE 12/25/17 CRONIN & PETERS 877 18WC 03403 MINOGUE, PATRICK ADVOCATE CHRIST MED CTR * 09/18/15 COHN LAMBERT RYAN & SCHNEI 878 18WC 03420 KATS, LEONARD VILLAGE OF LANSING * 01/27/15 INMAN & FITZGIBBONS 879 18WC 03432 FELKAMP, SAMUEL N OWENS-CORNING * 01/12/18 SANDMAN LEVY & PETRICH 880 18WC 03485 DAVIS, ORLANDO RICHTON PARK PD * 01/07/18 DWORKIN AND MACIARIELLO 881 18WC 03549 LEYVA, GERARDO AARON AUTO GLASS * 01/19/18 HERRERA LAW CENTER 882 18WC 03554 HOFF, TIM DELTA AIRLINES, INC * 01/04/18 RIDGE & DOWNES ROBERT L. SMITH 883 18WC 03633 JARZABEK, MICHAL AMERICAN HERITAGE FIREPLA * 11/15/17 FISHER & LAMONICA 884 18WC 03667 HAYWOOD, JERLINE ALLIED UNIVERSAL SECURITY * 01/28/18 JAMES ELLIS GUMBINER & ASS 885 18WC 03690 ORMES, KIM TOWER AUTOMOTIVE * 01/28/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 886 18WC 03708 CASTILLO, CLARIBEL CRUZ WEST ROCK SERVICES * 12/20/17 KARCHMAR & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 887 18WC 03715 WILLIAMS, EMMITT CHICAGO TRANSIT AUTHORITY 01/17/18 RUBENS AND KRESS 888 18WC 03731 MASON, DAVID ZEGERS * 12/11/17 VRDOLYAK LAW GROUP LLC 889 18WC 03757 GAITAN, GLADIS LAUNDRY WORLD CO * 06/24/17 COSTA IVONE LLC 890 18WC 03786 SUMMERS, MICHAEL JS FORT GROUP INC * 07/07/16 HENNESSY & ROACH PC 891 18WC 03834 LEON, MARIA VERONICA WHITE LODGING * 02/01/18 GOLDBERG WEISMAN & CAIRO L 892 18WC 03871 WAROPAY, JOSEPH IGNITE GLASS, LLC * 01/19/17 THOMAS & PORTELA 893 18WC 03893 COUTAIN, KEITH S R + L CARRIER SHARED SERV * 07/17/17 CULLEN HASKINS NICHOLSON 894 18WC 03918 DUNCAN, MARTY GAME TRUCK GEORGIA LLC * 01/15/18 KEVIN O'BRIEN 895 18WC 03976 MARTINEZ, MARGARITA CITY OF CHICAGO/ * 01/02/18 RICHARD E ALEKSY 896 18WC 04011 GONZALEZ, VERONICA DUNKIN DONUTS/BASKIN ROBB * 07/04/16 BRISKMAN BRISKMAN GREENBER 897 18WC 04042 SANTANA, ELLYS UNITED AIRLINES * 01/14/18 CULLEN HASKINS NICHOLSON 898 18WC 04062 JOHNSON, MARNETTA CHICAOP PARK DISTRICT * 01/02/18 EDWIN REYES LEGAL GROUP CHICAGO PARK DIST LAW DEPT 899 18WC 04154 KOCIK, SEBASTIAN COOK COUNTY DEP OF CORREC * 12/12/17 PARAD LAW OFFICES PC 900 18WC 04179 JONES, CHICO FORD MOTOR CO * 10/01/17 SEIDMAN MARGULIS & FAIRMAN 901 18WC 04194 GABL, JAMES F USF HOLLAND * 12/21/17 LEONARD LAW GROUP LLC 902 18WC 04216 NICHOLS, LUTHER NORTHSTAR AEROSPACE INC * 01/10/18 DWORKIN AND MACIARIELLO 903 18WC 04240 ELEFRANGI, WALID D'ESCOTO INC * 10/20/17 DEPAOLO & ZADEIKIS 904 18WC 04265 OROZCO, MARTIN KARAY METALS * 01/19/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 905 18WC 04280 BRISENO, JUAN C A. KELLY'S GARAGE INC * 12/08/17 ANKIN LAW OFFICE 906 18WC 04299 HARDY, ANNREGINA SAFER FOUNDATION * 12/29/17 COSTA IVONE LLC 907 18WC 04323 CALLAHAN, DAWN UNITED AIRLINES * 01/13/18 NILSON STOOKAL GLEASON CAP 908 18WC 04346 LEFLORE, THERESA AMAZON * 12/22/17 DWORKIN AND MACIARIELLO 909 18WC 04366 HOUGH, MARY A AT&T * 08/23/17 FRIEND LEVINSON & BERGAL 910 18WC 04415 YEE-HIMMIGER, HELEN S UNITED AIRLINES (UAL) * 01/07/18 ROMANUCCI & BLANDIN 911 18WC 04442 JOHNSON, DERRICK MIDWEST CONSTRUCTIONS SER * 12/28/17 THE ROMAKER LAW FIRM 912 18WC 04461 BEENE, TAMARA R SCR MEDICAL TRANSPORTATIO * 02/04/18 COSTA IVONE LLC 913 18WC 04478 EDWARDS, TICINA FORD CITY DRS OFFICE * 02/02/18 JAMES ELLIS GUMBINER & ASS 914 18WC 04501 HOWARD, MICHAEL GLENWOOD HEALTHCARE & REH 01/01/18 VRDOLYAK LAW GROUP LLC 915 18WC 04515 HOUSE, ROBERT AT&T * 12/11/17 LEO ALT 916 18WC 04542 MALDONADO, MARIA G THE HOME DEPOT, USA, INC * 09/19/17 KOSIN LAW OFFICE LTD 917 18WC 04574 ESPINOZA, ARNALDO MECH-TRONICS, LLP * 02/07/18 SEIDMAN MARGULIS & FAIRMAN 918 18WC 04595 LEOS, ELEAZAR DESLAURIERS, INC * 12/14/17 JOHN C SERKLAND 919 18WC 04615 MARTINEZ, JOVANY GOLD STANDARD BAKING * 01/27/18 JOHN S. ELIASIK 920 18WC 04621 TOLSON, WILLIAM ABF FREIGHT * 02/02/18 LEONARD LAW GROUP LLC 921 18WC 04646 KIRSCHBAUM, CARL YRC WORLDWIDE * 01/01/18 KROL BONGIORNO & GIVEN LTD 922 18WC 04664 DANDRIDGE, FULLILOVE QUICK DELIVERY SERVICE * 01/23/18 SCOTT B SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 03/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 923 18WC 04686 GANZ, PAUL NOVOTNY ENGINEERING * 04/07/17 JASINSKI, GEORGE J 924 18WC 04713 RUBIO, MIGUEL UNITECH INDUSTRIES INC * 11/14/17 KATZ FRIEDMAN EAGLE ET AL