ILLINOIS WORKERS' COMPENSATION COMMISSION · PDF file05/11/07 markham m jeep & associate...

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 63060 MURRAY, PATRICIA WIDOW AN MOTOROLA # 11/15/99 WHITNEY WOLFE ELFENBAUM EV BRADY CONNOLLY & MASUDA PC 2 01WC 04146 FELL, BERNARD T STATE OF IL/DEPT OF TRANS @ 12/13/00 DECKER LINN & CAMPE ASSISTANT ATTORNEY GENERAL 03WC016153 -C ST OF IL IL DEPT OF TRANSP 04WC033448 -C 3 01WC 26682 COLLINS, CARY EXEC OF BELL ENTERTAINMENT 01/19/99 MARSZALEK AND MARSZALEK SPIEGEL & CAHILL, PC 02WC054561 -C 4 02WC 12535 CRAWFORD, CYNTHIA WINCHESTER HOUSE 10/11/01 LAW OFFICES OF MICHAEL J H WOLFE & JACOBSON, LTD 02WC026043 -C 5 02WC 20690 RUTECKI, JOHN EDWARD SCOTSMAN ICE SYSTEMS 03/18/98 STEVEN J SEIDMAN LAW OFFIC COZZI & GOGGIN-WARD 6 02WC 33832 19B ROMEO, JEFF MJ ELECTRIC AND/OR 05/02/02 COLLISON & O'CONNOR LTD GAROFALO SCHREIBER STORM 08WC043619 -C BECKER ELECTRIC 7 05WC 15816 VLECK, ROBERT F ST OF IL DEPARTMENT OF CE @ 03/22/05 COHN & COHN ASSISTANT ATTORNEY GENERAL 8 06WC 30316 WALTERS, PAMEILIA ST OF IL, ANN M KILEY CEN @ 07/15/04 MARKHAM M JEEP & ASSOCIATE ASSISTANT ATTORNEY GENERAL 08WC007220 -C 10WC033613 -C ANN KILEY CENTER 11WC031432 -C STATE OF ILLINOIS 12WC036680 -C 9 07WC 09652 WRIGHT, LLOYD R MEIERS OUTDOOR WORLD 09/08/04 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 07WC018851 -C 10 07WC 14933 MARTINEZ ATKIN, SUE STATE OF ILLINOIS ANN KIL 03/12/07 CAMERON CLARK ASSISTANT ATTORNEY GENERAL 11 07WC 21090 19B BAHENA, MARIA T WILLIAMS ELECTRONIC GAME 03/02/07 DWORKIN AND MACIARIELLO NOBLE & ASSOCIATES PC 12 07WC 31389 MORGAN, BRIAN D EXEL LOGISTICS 07/13/06 FRANK C HERNANDEZ HENNESSY & ROACH PC 13 07WC 40157 ANDREWS, DAVID PEPPER PATH HOMES W 04/23/07 POLANSKY & CICHON CHTD

Transcript of ILLINOIS WORKERS' COMPENSATION COMMISSION · PDF file05/11/07 markham m jeep & associate...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 63060 MURRAY, PATRICIA WIDOW AN MOTOROLA # 11/15/99 WHITNEY WOLFE ELFENBAUM EV BRADY CONNOLLY & MASUDA PC 2 01WC 04146 FELL, BERNARD T STATE OF IL/DEPT OF TRANS @ 12/13/00 DECKER LINN & CAMPE ASSISTANT ATTORNEY GENERAL 03WC016153 -C ST OF IL IL DEPT OF TRANSP 04WC033448 -C 3 01WC 26682 COLLINS, CARY EXEC OF BELL ENTERTAINMENT 01/19/99 MARSZALEK AND MARSZALEK SPIEGEL & CAHILL, PC 02WC054561 -C 4 02WC 12535 CRAWFORD, CYNTHIA WINCHESTER HOUSE 10/11/01 LAW OFFICES OF MICHAEL J H WOLFE & JACOBSON, LTD 02WC026043 -C 5 02WC 20690 RUTECKI, JOHN EDWARD SCOTSMAN ICE SYSTEMS 03/18/98 STEVEN J SEIDMAN LAW OFFIC COZZI & GOGGIN-WARD 6 02WC 33832 19B ROMEO, JEFF MJ ELECTRIC AND/OR 05/02/02 COLLISON & O'CONNOR LTD GAROFALO SCHREIBER STORM 08WC043619 -C BECKER ELECTRIC 7 05WC 15816 VLECK, ROBERT F ST OF IL DEPARTMENT OF CE @ 03/22/05 COHN & COHN ASSISTANT ATTORNEY GENERAL 8 06WC 30316 WALTERS, PAMEILIA ST OF IL, ANN M KILEY CEN @ 07/15/04 MARKHAM M JEEP & ASSOCIATE ASSISTANT ATTORNEY GENERAL 08WC007220 -C 10WC033613 -C ANN KILEY CENTER 11WC031432 -C STATE OF ILLINOIS 12WC036680 -C 9 07WC 09652 WRIGHT, LLOYD R MEIERS OUTDOOR WORLD 09/08/04 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 07WC018851 -C 10 07WC 14933 MARTINEZ ATKIN, SUE STATE OF ILLINOIS ANN KIL 03/12/07 CAMERON CLARK ASSISTANT ATTORNEY GENERAL 11 07WC 21090 19B BAHENA, MARIA T WILLIAMS ELECTRONIC GAME 03/02/07 DWORKIN AND MACIARIELLO NOBLE & ASSOCIATES PC 12 07WC 31389 MORGAN, BRIAN D EXEL LOGISTICS 07/13/06 FRANK C HERNANDEZ HENNESSY & ROACH PC 13 07WC 40157 ANDREWS, DAVID PEPPER PATH HOMES W 04/23/07 POLANSKY & CICHON CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 07WC 46850 19B LEWANDOWSKI, AMBER ALDI FOODS 07/15/07 BAUM RUFFOLO & MARZAL LTD MACIOROWSKI SACKMANN & ULRIC 15 08WC 27768 SALYER-ROBERTS, TAMMY AUTO ZONE 04/14/08 STEVEN J SEIDMAN LAW OFFIC GILDEA & COGHLAN 11WC037755 -C 16 08WC 32702 HUCKER, KURT GPW BUILDERS 01/18/08 RICHARD D HANNIGAN, LTD BRADY CONNOLLY & MASUDA PC 17 08WC 35482 RODRIGUEZ, CELESTINO L & M CORRUGATED 05/12/08 GOLDSTEIN FISHMAN BENDER E RODDY LAW LTD 18 08WC 51751 PADILLA, JOHN MIDWEST DECK-N-DOCK INC W 09/02/08 ANKIN LAW OFFICE STANCZAK LAW OFFICES 19 08WC 53741 CHARLIER, MONICA A ST OF IL DEPT OF W 10/09/08 TAMVAKIS, GEORGE L ASSISTANT ATTORNEY GENERAL 20 08WC 56379 FREIBERG, MICHAEL G LAKE COUNTY HEALTH DEPART 05/11/07 MARKHAM M JEEP & ASSOCIATE SMITH AMUNDSEN LLC 21 09WC 02346 KESSLER, DOUG WEBMD INC 02/07/07 MURPHY & MURPHY NYHAN BAMBRICK KINZIE & LOWR 22 09WC 05102 GUZMAN, ALICIA WILLIAMS ELECTRONIC 10/10/08 O'CONNOR & NAKOS NOBLE & ASSOCIATES PC 09WC005103 -C 09WC024600 -C WMS GAMING INC 12WC032181 -C 23 09WC 10888 TILLMAN, CHARLES CHICAGO BEARS FOOTBALL CL 12/17/06 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 24 09WC 13346 JULIAN, SOFIA COMPELETE TEMPORARY LABOR 07/18/08 MARK A MORGENSTERN KOREY LAW LLC 25 09WC 24465 19B DONNER, TERESA VISTA MEDICAL CENTER EAST 11/10/08 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 26 09WC 31988 RUYAK, CHERYL LAKE VILLAGE SCHOOL DST # 02/13/09 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 15WC021355 -C 27 10WC 20662 19B JARERO, JORGE SMURFIT STONE 03/29/10 RICHARD D HANNIGAN, LTD GAROFALO SCHREIBER STORM 28 10WC 20856 ECHEVERRIA, VIRGINIA THE PARK AT VERNON HILLS 05/07/10 FRANK A SANTILLI & ASSOC THOMAS & ASSOCIATES 10WC039177 -C 29 10WC 49197 JULIAN, SOPHIA MOST VALUABLE PERSONNEL 07/18/08 MARK A MORGENSTERN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 11WC 00239 DALESSANDRO, MICHAEL F TH RYAN CARTAGE 10/05/10 BOUDREAU NISIVACO LLC HINSHAW & CULBERTSON 31 11WC 01134 DIAZ, JUAN MANUEL CHARLESTON BUILDING SERV W 11/08/10 KATZ FRIEDMAN EAGLE ET AL 32 11WC 04174 WOOD, RICHARD M MICHAEL PEMBROOK; INDIVID 08/09/10 LINN, CAMPE & RIZZO LTD 33 11WC 05392 CONTA, ASHLEY BATH & BODY WORKS 12/29/10 COHN & COHN BRYCE DOWNEY & LENKOV LLC 34 11WC 09284 RIOS, DAVID KILDEER COUNTRYSIDE 05/21/10 LEE A CAMPBELL LAW OFFICE WIEDNER & MCAULIFFE LTD 35 11WC 19583 SHULTIS, KAREN YMCA EARLY HEAD START 04/19/11 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 36 11WC 29140 BREWTON, CLARA BAXTER HEALTHCARE 04/23/11 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 37 11WC 30055 POSADAS, PAULA LB ANDERSEN 07/21/11 MARKHAM M JEEP & ASSOCIATE WIEDNER & MCAULIFFE LTD 38 11WC 31525 HAPP, LAWRENCE J WAUKEGAN SCHOOL DISTRICT 09/07/10 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 39 11WC 31703 KEENAN, RENEE LONG GROVE FIRE 11/23/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 40 11WC 32054 LENOX, SHAWN P INTEGRYS ENERGY GROUP 04/04/11 PERONA, PETERLIN, ANDREONI GAROFALO SCHREIBER STORM 41 11WC 37496 PEAVEY, EDWARD LAKE COUNTY SHERIFF'S OFF 01/05/11 MARKHAM M JEEP & ASSOCIATE SMITH AMUNDSEN LLC 11WC037497 -C 42 11WC 47377 CUNA, JOSE G PERFORMANCE FOOD GROUPº 09/13/11 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 43 11WC 49088 WATTS, SHEVELLE STATE OF ILLINOIS @ 12/10/11 HORWITZ HORWITZ & ASSOC 12WC015723 -C ANN M KILEY CENTER 44 12WC 07522 HAYDEN, KEITH ILLINOIS TOLLWAY AUTHORIT 02/15/12 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 45 12WC 09038 DOYLE, JANICE NORTHWESTERN LAKE FOREST 05/29/09 ROBERT J COZZI NYHAN BAMBRICK KINZIE & LOWR 12WC009039 -C 46 12WC 10217 CRUZ, LORENA PREFERRED MEALS SYSTEMS I 01/03/12 PATRICIA HARDIMAN LAW OFFI POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 12WC 10861 MISEK, JOHN JR ILLINOIS TOLLWAY AUTHORIT 03/07/12 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 48 12WC 12128 ORTIZ, ISIS PAYLESS SHOE SOURCE 08/16/11 SHELDON I MINKOW & ASSOCIA 49 12WC 20727 MALDONADO, SALVADOR L A LANDSCAPE INC 11/01/09 CULLEN HASKINS NICHOLSON 50 12WC 21222 FLAMMINI, DONNA R VISTA MEDICAL CENTER EAST 08/27/10 MARK B PEAVEY, PC WIEDNER & MCAULIFFE LTD 12WC021223 -C 13WC018985 -C 13WC029756 -C 14WC004510 -C 14WC028449 -C 15WC014515 -C 51 12WC 26649 NAVARRETE, MARGARITA VISUAL PACK 07/05/12 JONATHAN SCHLACK KOREY COTTER HEATHER RICHARD 52 12WC 30379 BLANCO, CARLOS FACILITEC CONTROL 03/01/12 AIOSSA LAW FIRM CHILTON YAMBERT PORTER LLP 53 12WC 30896 PEROTT, MARC MENARDS INC 08/20/12 PETER D CORTI LAW GROUP CHILTON YAMBERT PORTER LLP 13WC041850 -C 15WC015990 -C 54 12WC 33012 BAARTZ, BRIAN J S & L HOSPITALITY LLC 06/25/12 MAY & BUEGE COZZI & GOGGIN-WARD 55 12WC 34064 CIANGI, SALLY STATE OF ILLINOIS @ 02/16/10 KATZ FRIEDMAN EAGLE ET AL JORDAN FRANK 12WC034065 -C 56 12WC 35024 RAMIREZ, RENE ARCHITERRA INC DBA 08/13/12 JONATHAN SCHLACK LEAHY EISENBERG & FRAENKEL 57 12WC 35125 CRUMP, WILLIAM ABBOTT LABORATORIES 03/13/12 DAVID W MARTAY HENNESSY & ROACH PC 12WC035126 -C 58 12WC 36720 ROSA, SYNDER I PARKER HAMMIFIN CORPORATI 08/07/12 MAY & BUEGE RUSIN & MACIOROWSKI LTD 59 12WC 38431 19B NAST, NICKI EYE SPECIALISTS OF CHICAG 10/11/12 SMOLER LAW OFFICE, PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 12WC 39144 COLLINS, CARY EXEC OF BELL ENTERTAINMENT # 08/04/02 MARSZALEK AND MARSZALEK 61 12WC 40418 NAGEL, RAY INTERSTATE BRANDS 10/04/12 GOLDBERG WEISMAN & CAIRO L SCOPELITIS GARVIN LIGHT 12WC040419 -C 62 12WC 41543 ARTAC, JEFF NORTH SHORE GAS CO 10/04/12 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 63 12WC 43944 GALLUP, JAMISON AT&T 09/27/12 MARKHAM M JEEP & ASSOCIATE INMAN & FITZGIBBONS 64 13WC 01790 RITTHALER, PETER NOLAND SALES CORP 08/24/12 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL & ASSOC LLC 65 13WC 03031 TOUSI, SAEID O'HARE MIDWAY 01/04/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 66 13WC 03150 PRUDHOMME, DANYELL R HAIRCUTTERY 06/24/12 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 67 13WC 04243 LENOX, SHAWN INTEGRYS ENERGY GROUP 08/07/12 PERONA, PETERLIN, ANDREONI GAROFALO SCHREIBER STORM 68 13WC 05519 VILLARREAL, ALI D NORTHERN ILLINOIS MACK 05/31/12 LINN, CAMPE & RIZZO LTD HEYL ROYSTER VOELKER & ALLEN 69 13WC 05634 PARISI, MARY K THE MERIT CLUB 09/19/11 LINN, CAMPE & RIZZO LTD CASSANO & ASSOCIATES 70 13WC 05970 KOCH, JAMES P VILLAGE OF VERNON HILLS 08/29/12 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 13WC005972 -C 14WC005707 -C 14WC005714 -C 15WC007039 -C 15WC007234 -C 15WC038477 -C 71 13WC 06903 19B BARNA, BRIAN BUFFALO GROVE 05/30/12 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 72 13WC 07788 SPENCER, ARLETHA R LAKE BLUFF HOME CARE SOLU 07/12/12 ALAN A BLUM, PC SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 13WC 08735 HOPF, MICHAEL FEDEX EXPRESS 07/06/12 EPSTEIN, JACK R LAW OFFICE HANSON LAW OFFICE 13WC008741 -C 74 13WC 08967 KINNEY, DARRYL STACK ON PRODUCTS INC 11/02/12 VASILATOS & COTTER LLC LAW OFFICE OF PAUL O WATKISS 13WC038853 -C 13WC038854 -C 14WC013310 -C 15WC008592 -C 15WC018524 -C 16WC000649 -C 16WC000651 -C 75 13WC 10065 GROTH, DIANE THE THURBER COMPANY 04/20/12 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 76 13WC 11024 RIVERA, MIQUEL CDW 08/15/12 DUDLEY & LAKE LLC HENNESSY & ROACH PC 77 13WC 11403 MOORE, TARNISHA MOTOROLA MOBILITY 04/25/12 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 78 13WC 11947 KORNSTEIN, RICHARD PEP BOYS 11/30/12 MARKHAM M JEEP & ASSOCIATE CHILTON YAMBERT PORTER LLP 79 13WC 12028 HELGESEN, KYLE CITY OF ZION POLICE DEPT 09/11/12 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 14WC011363 -C 80 13WC 12249 AVILA, MINERVA ACE LASER TEK INC 03/29/13 JOHN S. ELIASIK HANSON LAW OFFICE 81 13WC 13353 LAZAR, LLENE CHASE BANK 01/03/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 82 13WC 13365 MONTIEL, MIRNA QPS EMPLOYMENT GROUP 08/01/12 MARSZALEK AND MARSZALEK WOLFE & JACOBSON, LTD 83 13WC 13842 IRBY, SHARMAN ADA MCKINLEY 07/05/12 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 84 13WC 14072 PIOTROWSKI, RICHARD COSTCO WHOLESALE 03/04/12 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 85 13WC 15370 SOMOZA, HELEN M COMMUNITY ACTION 05/17/12 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 86 13WC 15891 MENDOZA, RAUL LAKE COUNTY FOREST 11/29/12 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 87 13WC 16184 AYALA, JOSE COLEMAN CABLE INC 12/06/10 POSTERLI, OSCAR GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 13WC 17595 PICARD, SHANICE T DENTAL DREAMS 04/30/12 PAUL A COGHLAN & ASSOC LAW OFFICES OF EDWARD J. KOZ 89 13WC 20475 PHELPS, MYRON ANN KILEY 05/28/13 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 14WC027387 -C 90 13WC 22076 CAMPBELL, ZIYETTA M ST OF ILL DEPT OF HUMAN S @ 05/19/13 GALLAGHER, DONALD V MATTHEW LICAVOLI 91 13WC 25544 OSORIO, ENRIQUE LUDLOW MANUFACTURING 03/07/13 JONATHAN SCHLACK HEYL ROYSTER VOELKER & ALLEN 13WC040110 -C 92 13WC 26537 DOTSON, JEWELL BATH AND BODY WORKS 01/02/13 COHN & COHN GALLIANNI DOELL & COZZI LTD 93 13WC 26745 VASQUEZ, MOISES ALAN M LANDSCAPING 03/05/13 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 94 13WC 26920 BAIR, COURTNEY L JEWEL INC 07/19/13 LINN CAMPE & RIZZO LTD 95 13WC 27373 RANGEL, LORENA MVP STAFFING INC 07/09/13 CULLEN HASKINS NICHOLSON KOREY COTTER HEATHER RICHARD 96 13WC 28082 LAGOS, RAUL UNISTAFF, INC 05/03/13 LAW OFFICE HUGO ORTIZ WIEDNER & MCAULIFFE LTD 97 13WC 29472 JOZEFOWICZ, EDWARD ABBOTT 02/07/13 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 98 13WC 29547 GIGNAC, MICHAEL E W S WELDING SUPPLY 05/15/13 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 99 13WC 31920 MARTINEZ, VERONICA SILVERADO 07/26/13 MICHAEL CONRAD THOMAS & PORTELA 100 13WC 32022 WILLKOMM, SARAH BAXTER HEALTHCARE CORPORA 02/15/12 DOUGLAS RALLO PC MACIOROWSKI SACKMANN & ULRIC 101 13WC 32815 REIDY, PATRICK J CON WAY FREIGHT INC 10/19/11 KELLY & KING 102 13WC 34731 KUHNLE, PAUL HYDRAFORCE INC 08/15/11 NEWLAND & NEWLAND 103 13WC 35006 SZALAJ, GREGORY SUNSET FOODS 09/22/13 WILLIAMS, ROBERT B LAW OFF KEEFE CAMPBELL & ASSOC LLC 16WC005509 -C 104 13WC 35168 RUIZ, JOEL VALUE CITY FURNITURE 09/13/13 JONATHAN SCHLACK HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 13WC 35862 AMEZQUITA-MARTINEZ, MARIA FLEXIBLE STAFFING 05/27/13 JEROME FOREMAN & ASSOCIATE GRANT & FANNING 106 13WC 36546 FRATICELLY, JOSE MATTHEWS PROFESSIONAL 08/29/13 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 107 13WC 37383 ORTIZ, JOSE WEST MACHINE PRODUCTS INC 10/22/13 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 108 13WC 39188 SILVA-MORALES, GABRIEL LEIDERS PRAIRIE VIEW GARD 05/15/13 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 109 13WC 39281 IBARRA, BERNARDINO RED COAT FARM 10/31/13 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 110 13WC 39284 IBARRA, BERNARDINO RED COAT FARM 05/08/13 LINN, CAMPE & RIZZO LTD 111 13WC 39369 LEVI, NAOMI DEERFIELD ANIMAL HOSPITAL 11/06/13 ROSENBERG & ROSENBERG PC RUSIN & MACIOROWSKI LTD 112 13WC 39510 SUAREZ, ANGELA MARIA (WID PRECISION PARTNERS 09/04/13 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 15WC002919 -C 113 13WC 39519 PIERRE, RENETRICE ST OF IL DEPT OF KILEY 08/22/13 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 114 13WC 40735 FLOHR, HOPE (AS NEXT FRIE ACE HARDWARE # 10/16/13 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 115 13WC 42402 GUTIERAREZ, ROCIO GOODWILL TALENT BRIDGEP 11/08/13 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 116 14WC 00222 GREEN, LETORIA M ST OF IL DHS 10/08/13 GALLAGHER, DONALD V ASSISTANT ATTORNEY GENERAL 117 14WC 01982 MONTEMAYOR, SYLVIA A VONCO PRODUCTS, LLC 03/12/12 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 118 14WC 02316 GARCIA, JOSE A NELS J. JOHNSON TREE 06/28/12 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 119 14WC 02509 19B WALLACE, CAROLYN FEDEX GROUND 12/23/13 SEIDMAN MARGULIS & FAIRMAN SCOPELITIS GARVIN LIGHT 120 14WC 02696 ABDAGIC, NEVZETA KENALL MANUFACTURING 10/05/12 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 121 14WC 02912 MORENO, AUGUSTINO LIGHTSCAPE INC 05/01/13 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 122 14WC 03671 SWANSON, MICHAEL J CITY OF HIGHLAND PARK 09/03/13 DOUGLAS RALLO PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 123 14WC 03882 ZAMICHE, FAHIM J.M.E. MARKETING INC 10/25/13 MEYERS & FLOWERS COZZI & GOGGIN-WARD 124 14WC 05153 MONTIEL, MARIO OKABE CO, INC 12/19/13 KENNETH B GORE, LTD RUSIN & MACIOROWSKI LTD 125 14WC 06337 JUAREZ, REYNA C MEDLINE INDUSTRIES INC 02/07/12 JAUREGUI & ASSOCIATES GAROFALO SCHREIBER STORM 126 14WC 06564 MAIER, ANNE-MARIE MILLBURN DISTRICT 24 12/10/10 WOLFE LAW PC WIEDNER & MCAULIFFE LTD 14WC014359 -C 16WC008319 -C 127 14WC 06755 RUIZ, JOSE COYOTE CONSTRUCTION, LLC 12/06/13 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 128 14WC 07070 BRCIK, MICHAEL G VASO JOVIC DBA ALEXANDRA 09/29/13 CRONIN & PETERS LAW OFFICES DEBORAH SCHAEFER 16WC031313 -C 129 14WC 07568 PARDA, GRAZYNA WOLLYS CLEANING SERVICES 01/24/14 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 130 14WC 07633 HENRIKSEN, HENRY FEDERAL EXPRESS 11/23/12 LINN, CAMPE & RIZZO LTD HANSON LAW OFFICE 15WC038921 -C FED EX 131 14WC 07906 PODRAZA, RADOSLAW LARSEN MANUFACTURING 02/17/14 THERMAN LAW OFFICES HOLECEK & ASSOCIATES 132 14WC 08147 HAHLE, JAMES P ROUNDY'S INC 12/27/11 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 133 14WC 09550 CLEMENS, VINCENT WAUCONDA FIRE 09/27/11 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 134 14WC 10423 SANCHEZ, ALEXIS PRESTAGE PROPERTY 04/29/13 ROSS J HELFAND GANAN & SHAPIRO 135 14WC 12461 LOPEZ, SANTIAGO CITY OF WAUKEGAN 12/08/13 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 14WC012462 -C 136 14WC 14398 CLEMENS, VINCENT WAUCONDA FIRE PROTECTION 08/05/13 MARKHAM M JEEP & ASSOCIATE RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 14WC 14473 RODRIQUEZ, ISIDRO ECHO, INC 04/15/14 FERRIS THOMPSON & ZWEIG BRADY CONNOLLY & MASUDA PC 15WC012088 -C ECHO INC 138 14WC 15795 EVANS, ASHLEY ANN KILEY DEVELOPMENTAL C 03/05/14 LAW OFFICE ANTHONY ESPOSIT ASSISTANT ATTORNEY GENERAL 15WC038897 -C 16WC025678 -C 139 14WC 15832 CONN, DEBRA B JEWEL FOODS 12/18/13 LINN, CAMPE & RIZZO LTD 140 14WC 16461 BOONE, JONATHAN THE PLUMBER DOCTOR W 04/27/14 WOODRUFF & JOHNSON 141 14WC 16787 CALLAHAN, SAMUEL IMPERIAL GUARD & DETECTIV 09/22/13 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 142 14WC 17334 DOMINQUEZ, MARTIN KEY LIME COVE 03/24/14 HORWITZ HORWITZ & ASSOC 143 14WC 17908 SCOTT, ERIC DEPARTMENT OF HUMAN SERVI @ 12/28/13 THE MACK LAW GROUP PC ASSISTANT ATTORNEY GENERAL 144 14WC 18114 CUARENTA, ALFONSO INTERNATIONAL PRECISION C 05/19/14 STROM, NEAL B LAW OFFICES JOSEPH MARCINIAK 145 14WC 18407 RATAJCZYK, MICHAEL LAKELAND AUTOBODY INC 12/26/12 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 146 14WC 19542 GALLEGO, PEDRO VOLKSWAGEN CREDIT INC 01/11/13 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM 147 14WC 19923 HOFF, JOHN JOSEPH SAFE TRAVEL 02/02/13 COHN & COHN HENNESSY & ROACH PC 148 14WC 19990 GRIMSIC, KENNETH COUNTY OF LAKE HEALTH DEP 08/30/13 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 149 14WC 20132 SHIN, IK VOICE TRANS INC 05/10/14 LEO ALT 150 14WC 20490 HERNANDEZ, ROSALIA WILLIAMS ELECTRONIC GAMES 05/30/14 ILLINOIS INJURY LAWYERS RUSIN & MACIOROWSKI LTD 14WC030899 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 14WC 21051 TENTLER, DAVID KNAUZ MOTOR SALES INC 02/24/14 MARKHAM M JEEP & ASSOCIATE GANAN & SHAPIRO 152 14WC 21258 LOCKWOOD, CHARLES NFI INDUSTRIES 05/12/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 14WC035277 -C 153 14WC 21429 CARRENO, MARIA BEL RESOURCES, INC. 11/14/13 FERRIS THOMPSON & ZWEIG 154 14WC 22237 CAZARES, JULIA ECHO INCORPORATED 03/28/14 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 155 14WC 23094 GLATZ, MARY ANN JEWEL FOOD STORES INC 09/25/12 GRAHAN J. JEEP QUINTAIROS PRIETO WOOD & BOY 14WC023095 -C 156 14WC 23173 TEASLEY, THOMAS J ZION SOLUTIONS 06/11/14 RUBIN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 157 14WC 23428 WONNELL, NORMAN LEE THOMAS HAMILTON ROOFING 12/02/13 LAW OFFICES TIMOTHY LAMPIN 158 14WC 23564 NASH, KURT SR CITY OF NORTH CHICAGO 12/28/11 COLLISON LAW OFFICES INMAN & FITZGIBBONS 159 14WC 23979 DELGADO, ELIZABETH STAFFING NETWORK LLC 02/15/14 STROM, NEAL B SLAVIN & SLAVIN 160 14WC 24080 LARSON, RANDY PACE 04/30/14 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 15WC010160 -C 161 14WC 24292 REED, MICHAEL D CITY OF WAUKEGAN 06/04/14 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 14WC024347 -C 162 14WC 24336 SJODIN, DONNA JONES LANG LASALLE 03/14/14 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 163 14WC 24442 ALVAREZ, ISMAEL SEB SERVICES OF NEWYORK, 06/30/14 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 164 14WC 24891 19B SCHMIDT, MICHELENE SENIOR SILVERADO LIVING 01/30/15 STEVEN J TENZER, LTD RUSIN & MACIOROWSKI LTD 15WC005245 -C 165 14WC 25037 ESCOBAR, JOSE DORMA AUTOMATIC 07/17/14 AIOSSA LAW FIRM 166 14WC 25166 HAGEN, JOHN MENARD INC 06/28/14 THOMAS J POPOVICH CHILTON YAMBERT PORTER LLP 167 14WC 25296 JAKUBIAK, ROMAN COST OF WISCONSIN INC 05/05/14 CUSHING LAW OFFICES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 14WC 25332 CARDOSO, JAVIER AROMA INDIAN 07/02/14 CULLEN HASKINS NICHOLSON 169 14WC 25901 MUN, JOHN WM MEYERS & SON 05/19/14 TOPPER & WEISS LTD 170 14WC 26083 PARHAM, VICTORIA ILLINOIS CENTRAL SCHOOL B 05/12/14 SHELDON I MINKOW & ASSOCIA MACIOROWSKI SACKMANN & ULRIC 14WC026085 -C 171 14WC 26565 MELCHOR, AUGUSTIN PATRICK SCALZO INDIVIDU & 05/29/14 LINN, CAMPE & RIZZO LTD 172 14WC 27131 VASQUEZ, JAIME MANEVAL CONSTRUCTION COMP 08/04/14 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 173 14WC 27565 AYALA, ANDRES JB BRICKWORKS INC 11/04/13 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 174 14WC 28067 MISEK, JOHN ILLINOIS TOLLWAY 06/04/14 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 14WC028068 -C 14WC035134 -C 17WC017625 -C 175 14WC 30610 NUNEZ, NORMA A-S MEDICAL SOLUTIONS 12/12/12 THE ROMAKER LAW FIRM LAW OFFICES OF EDWARD J. KOZ 176 14WC 31164 GALVEZ, JOSE MOST VALUABLE PERSONNEL 07/01/14 FERRIS THOMPSON & ZWEIG KOREY RICHARDSON LLC 177 14WC 31450 GROVER, ROBERT W LAKE SHORE BEVERAGE, INC 06/24/14 LINN, CAMPE & RIZZO LTD ASHER, RAYMOND L LTD 178 14WC 31925 CONTRERAS, LUIS PETCO 01/08/14 DOUGLAS RALLO PC HOLECEK & ASSOCIATES 179 14WC 32766 PAVON, ANA TAKEDA PHARMACEUTICAL CO 11/13/13 SMOLER LAW OFFICE, PC HENNESSY & ROACH PC 14WC033690 -C 180 14WC 32782 BENES, FRANK STATE OF ILLINOIS @ 05/05/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 181 14WC 33349 GRAF, L KELLY HBS MANAGEMENT CORP 08/09/13 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 14WC 34257 ESCUTIA, MARIA GRAND AVENUE DONUTS INC 09/15/14 JONATHAN SCHLACK BRYCE DOWNEY & LENKOV LLC 14WC034258 -C 183 14WC 35820 SIEGAL, JEFFREY TOWNSHIP DISTRICT HIGH 11/17/11 KREITER, BYCK & ASSOC LLP WIEDNER & MCAULIFFE LTD 14WC035821 -C 184 14WC 35887 OCAMPO, JUAN SCOTT BYRON & COMPANY INC 07/10/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 185 14WC 36112 POMOZY, ATTILA USA OVERSEAS WIRELESS CAB 06/12/14 NEWLAND & NEWLAND GANAN & SHAPIRO 186 14WC 36459 HILLIGOSS, ANDREY MEDICAL EXPRESS AMBULANCE 09/04/14 187 14WC 37036 TALAVERA, LUIS RAMON ULINE INC 04/14/14 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 188 14WC 37160 KREJCI, CELIA SUNRISE SENIOR LIVING 04/22/13 ANTHONY J MAY NOBLE & ASSOCIATES PC 189 14WC 37269 ZAMORA, ARTEMIO LANDSCAPE CONCEPTS MNGMT 09/09/14 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL & ASSOC LLC 190 14WC 37839 GENTZEN, JULIE A ROUND LAKE SCHOOL 09/05/14 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 191 14WC 37982 TAPIA, MARIA LORENA ECHO INC 08/09/12 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 192 14WC 39162 MOORE, WILBERT GOODWILL INDUSTRIES 10/24/14 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 193 14WC 40326 VASQUEZ, JOSEFINA ABBVIE 07/16/14 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 194 14WC 41250 YOUSIF, ANDY ARAMARK 10/23/14 KALOGERAKOS & ASSOC 195 14WC 41523 PETERSON, RALPH LAMBENT TECHNOLOGIES CORP 02/27/13 196 14WC 42542 MARTINEZ, JUAN SON CROP DBA ROSATIS PIZZ 01/09/14 FERRIS THOMPSON & ZWEIG 197 14WC 42797 RYBARCZYK, GREGORY JR THE COCA COLA COMPANY INC 11/13/14 GRAHAM J. JEEP BRADY CONNOLLY & MASUDA PC 198 14WC 42838 MANGES, JOSEPH E VILLAGE OF GRAYSLAKE 07/11/13 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 14WC 43279 ESPINOZA, ESTEBAN LEWIS PRODUCE MARKET 11/25/14 POSTERLI, OSCAR KOPKA, PINKUS DOLIN, PC 200 14WC 43641 VUONG, MILAGRO STAFFING DIMENSIONS 04/09/12 FERRIS THOMPSON & ZWEIG LAW OFFICES FRANCESCA LARSEN 14WC043642 -C 14WC043643 -C 201 15WC 00152 BUTCHER, CAROL ADLAI E STEVENSON H S 10/09/14 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 202 15WC 00786 ZUNIGA, ADOLFO A DIVINCI PAINTERS INC 12/23/14 GOLDSTEIN AIOSSA & GOOD 203 15WC 00878 RODRIGUEZ, KRISTINE VAL'S FRESH MARKET 11/20/14 WILLIAMS, ROBERT B LAW OFF GAROFALO SCHREIBER STORM 204 15WC 01335 JACKSON, WILLIAM L ARAMARK 12/19/14 ANKIN LAW OFFICE 205 15WC 02640 FLORES, ADRIAN HORIZONS HOLDINGS LLC 07/07/14 DOUGLAS RALLO PC COZZI & GOGGIN-WARD 206 15WC 03162 TALAVERA, LUIS R ULINE INC 07/10/13 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 207 15WC 03353 AQUINO, FELIX WALKER BROTHERS, THE ORIG 01/01/15 FERRIS THOMPSON & ZWEIG 208 15WC 03733 MONETTE, THOMAS MOST VALUABLE PERSONNEL 11/07/14 GRIMES, G DOUGLAS KOREY RICHARDSON LLC 209 15WC 04066 DEMAIN, DANIEL J MBA TRANSPORT LTD 10/30/14 HANNIGAN & BOTHA, LTD ALLEN KOPET & ASSOCIATES 210 15WC 04500 COLEMAN, TANISHA HELP-AT-HOME, INC 11/30/14 LEO ALT COZZI & GOGGIN-WARD 211 15WC 06336 MARTINEZ, ITZEL XCEL STAFFING SOLUTIONS 10/03/14 LINN, CAMPE & RIZZO LTD KOREY RICHARDSON LLC 212 15WC 06355 DE JESUS, HERNANDEZ VELAZ LABOR SOLUTIONS, INC. 08/25/14 LINN, CAMPE & RIZZO LTD NEWLAND & NEWLAND 213 15WC 06465 BLAIR, REGINA K. SIX FLAGS GREAT AMERICA 08/07/13 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 214 15WC 06774 QUEZADA, MARTIN ZION SOLUTIONS LLC 02/04/15 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 15WC 07478 LANG, JOHN WASTE MANAGEMENT 01/05/15 GOLDBERG WEISMAN & CAIRO L 216 15WC 08269 MANDUJANO, MARIA G PRESBYTERIAN HOMES 06/16/12 POSTERLI, OSCAR NYHAN BAMBRICK KINZIE & LOWR 15WC008270 -C 217 15WC 08334 CAMARGO, CASIMIRO LENO'S CERAMIC & TILE MAR W 02/19/15 MC HARGUE, JAMES P LAW OFF 218 15WC 08529 BETTS, DON GURNEE DODGE 02/14/15 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 219 15WC 08545 DALTON, SHAUN R ELITE STAFFING 02/21/15 LEE A CAMPBELL LAW OFFICE GAROFALO SCHREIBER STORM 220 15WC 09342 ALLEN, JENNIFER DEB SHOPS, INC. 03/10/13 MARKHAM M JEEP & ASSOCIATE 221 15WC 09536 KAMPENDAHL, KURT E AT & T INC 02/22/15 GOLDBERG WEISMAN & CAIRO L 222 15WC 10492 SAMSON, KELLEY SEDGEBROOK 01/16/14 WHITESIDE & GOLDBERG LTD WOLFE & JACOBSON, LTD 223 15WC 10676 CORRALES, MARIA GREAT LAKES RESOURCES 03/12/15 FERRIS THOMPSON & ZWEIG HOLECEK & ASSOCIATES 224 15WC 11388 YU, JONATHAN PEAPOD, INC 12/16/14 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 225 15WC 11485 ARROYO, PERLA SMALLEY STEEL RING CO 03/23/15 LUIS A ACEVES & ASSOC 226 15WC 11551 LANZEROTTI, KRISTEN ANTIOCH SCHOOL DISTRICT 3 11/10/14 MARKS & ASSOCIATES ANCEL GLINK DIAMOND BUSH & E 227 15WC 12023 MC CORKHILL, SHAWN E PRAXAIR 10/21/14 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 228 15WC 12089 GARCIA, EMPERATRIZ ECHO INC 04/16/13 FERRIS THOMPSON & ZWEIG 229 15WC 12435 VELASCO, JAVIER SELECT REMEDY 08/22/14 JOHN S. ELIASIK LEAHY EISENBERG & FRAENKEL 230 15WC 12540 SCHWAB, MICHAEL HAYES MACHANICAL 03/09/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 15WC 12578 PEREZ, JUAN WILLIAMS CUSTOM CARPENTRY 03/18/15 LAW OFFICE EDWARD RUEDA BRADY CONNOLLY & MASUDA PC 232 15WC 13259 ACOSTA, SANDRA LONG GROVE CONFECTIONERY 03/09/15 NEWLAND & NEWLAND GANAN & SHAPIRO 15WC031333 -C 233 15WC 13401 PEREZ, BERTHA ABBVIE 10/20/13 WIEDNER & MCAULIFFE LTD 234 15WC 14119 SCALES, SAM IDOT 03/30/15 ILLINOIS ATTORNEY GENERAL 235 15WC 14319 JIMENEZ-ALVAREZ, MARIA D MVP 03/05/14 ANTHONY J MAY KOREY RICHARDSON LLC 236 15WC 14491 VELAZQUEZ, JOSE DE JESUS LABOR SOLUTIONS, LLC 03/02/15 LINN, CAMPE & RIZZO LTD 237 15WC 14861 CLEMENS, VINCENT WAUCONDA FIRE 02/27/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 238 15WC 15255 PETT, RON LAKE COUNTY SHERIFF'S OFF 02/28/14 STANCZAK LAW OFFICES SMITH AMUNDSEN LLC 239 15WC 15453 SALEK, KRZYSTOF VAL'S CONSTRUCTION INC 12/16/14 GROSZEK LAW FIRM RUSIN & MACIOROWSKI LTD 240 15WC 16995 PEAK, LUCELLA A NOSCO, INC. 12/15/14 GREG TUITE & ASSOC WOLFE & JACOBSON, LTD 15WC030173 -C 241 15WC 17023 OLEJNICZAK, JOHN WALKERS SERVICE 01/25/15 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 242 15WC 18096 KATRALIS, IRENE CITY OF WAUKEGAN 02/03/15 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 243 15WC 18120 DELCUADRO, FERNANDO STATE OF IL DEPT OF 03/19/15 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 244 15WC 18200 MILLER, STACY E/ WFF FACILITY SERVICES 05/14/13 ANTHONY J MAY 245 15WC 18965 BOOTHE-ANDERSON, MARIE L. ENERGY SOLUTIONS, INC. 02/19/13 LINN, CAMPE & RIZZO LTD 246 15WC 19373 POWERS, TINA M BARTON OF ZION, INC. 01/28/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 247 15WC 19391 REINHARD, TIMOTHY ENERGY SOLUTIONS 01/26/15 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 248 15WC 19787 ACOSTA, ANTONIO EDDY'S TREE SERVICE 04/27/15 DAVID J. BAWCUM NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 15WC 19869 JEFFREY, BURKE LAKE COUNTY ILLINOIS 12/08/12 BAUM RUFFOLO & MARZAL LTD 250 15WC 19975 JONES, GREDEL KILEY DEVELOPMENTAL CENTE 03/27/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 251 15WC 20030 GARDANIER, RONALD IDOT @ 03/09/15 GRAHAM J. JEEP ASSISTANT ATTORNEY GENERAL 252 15WC 20362 WINKLER, GIANENA WALGREENS 01/20/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 253 15WC 20957 ANDERSON, MARTHA BEL RESOURCE INC. 05/19/15 BAUM RUFFOLO & MARZAL LTD 254 15WC 21002 ROSALES, PABLO KRUGEL COBBLES 05/08/14 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 255 15WC 21341 OTAHAL, JILL WAUKEGAN PUBLIC SCHOOL DI 07/16/13 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 256 15WC 21817 GONZALEZ, EVERARDO NORTHSTAR GROUP SERVICES 05/18/15 LINN, CAMPE & RIZZO LTD THOMAS & PORTELA 257 15WC 22239 BRANDON, CHRISTEL E. ULTA SALON, COSMETICS 02/02/13 LEE A CAMPBELL LAW OFFICE RUSIN & MACIOROWSKI LTD 258 15WC 22439 LOPEZ, SUSANA KALLE USA INC. 05/08/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 259 15WC 22983 NEWBERRY, ANTHONY ROYER ASPHALT PAVING 06/11/15 CRONAUER, CHARLES E GOLDBERG SEGALLA LLC 260 15WC 23024 DEAND, MARIA LIBERTYVILLE MANOR 05/25/15 JEROME FOREMAN & ASSOCIATE 261 15WC 23504 QASUM, FATMEH KENTUCKY FRIED CHICKEN 07/11/15 AMBROSE BUTZEN LAW GROUP HENNESSY & ROACH PC 15WC037959 -C 262 15WC 23783 FRELAS, MARZENA STAFFING DIMENSION OF 03/13/15 MICHALSKI & GUBERNAT LAW OFFICES FRANCESCA LARSEN 263 15WC 23992 MCDUFFIE, SHAWN ABBOTT LABORATORIES 02/02/15 NEWLAND & NEWLAND HENNESSY & ROACH PC 264 15WC 24077 RIVERA, LINDA GARCIA WILLIAMS ELECTRONIC GAMES 11/05/14 COLLISON & O'CONNOR RUSIN & MACIOROWSKI LTD 265 15WC 24189 JUAREZ, ROSARIO ANDREWS STAFFING INC 07/31/15 FERRIS THOMPSON & ZWEIG 266 15WC 24275 COLE, JERRY J.B. HUNT 07/27/15 POLLANS, LANNIE A LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 15WC 24338 MIRELES, JUAN I&L CONSULTING 04/02/15 RUEDA, IVAN A LITCHFIELD CAVO 268 15WC 24382 OSORIO, GERONIMO ENRICO MOSCONI LANDSCAPE W 07/23/15 CHEPOV & SCOTT LLC 269 15WC 24646 MCCLAY, DASHANA AON HEWITT 03/03/15 EFTEKHARI LAW OFFICES BRADY CONNOLLY & MASUDA PC 270 15WC 25706 RODRIGUEZ, JOSEFINA AKA COMMERCIAL PLASTICS DBA X 11/04/14 JONATHAN SCHLACK ACCIDENT FUND HOLDINGS 271 15WC 25774 WATSCHKE, DIANNA CONSOLIDATED PATHOLOGY 07/07/15 MARKHAM M JEEP & ASSOCIATE 272 15WC 26162 LOZANO, MIRIAM RUPRECHT COMPANY 03/09/15 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 273 15WC 26946 GEZZER, ROBERT J COBBLESTONE OVENS INC 12/22/14 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 274 15WC 26949 SIMS, ROY L ARAMARK INC 02/19/15 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED 275 15WC 27400 SCHURMAN-PARKER, EVELYN T DYNAPAR 10/01/14 SOSTRIN AND SOSTRIN PC 276 15WC 28224 SMITH, RAYMOND SOUTHWIRE 08/15/15 AIOSSA LAW FIRM GANAN & SHAPIRO 277 15WC 28391 GUZMAN, ROBERTO PACE BUS COMPANY 08/05/15 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 278 15WC 28510 GIELCZYNSKI, JOANNA NORTHWESTERN LAKE 06/03/15 ARGIONIS & ASSOCIATES LLC HENNESSY & ROACH PC 279 15WC 28786 STARZEC, DARIUSZ TED'S TUCKPOINTING 08/14/15 CULLEN HASKINS NICHOLSON 280 15WC 28870 ESCOBAR, CRUZANN ACCURATE PERSONNEL SERVIC 07/18/15 JOHN S. ELIASIK 281 15WC 29048 GREEN, ROBERT BRIAN PARK DISTRIC OF 03/08/13 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 282 15WC 29305 GARIBAY, JUAN PABLO G T LANDSCAPING LLC 05/19/15 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 15WC 29502 WHITE, RODNEY ALERIS INTERNATIONAL 08/01/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 284 15WC 29707 SANCHEZ, MARLEN COUNTY OF LAKE 06/26/15 DOUGLAS RALLO PC WOLFE & JACOBSON, LTD 15WC029708 -C 285 15WC 29874 CASTILLO, ROSIBEL MEDLINE INDUSTRIES, INC 06/15/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM 15WC029875 -C 286 15WC 30017 BRINGER, JEFFREY REX ELECTRIC & 12/10/14 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 287 15WC 30257 AREVALO, RONY HN PRECISION 08/20/15 POLANSKY & CICHON CHTD 288 15WC 30432 DUCHITANGA, JUAN BRADLEY MARSHALL ROOFING 07/24/15 289 15WC 30965 AYALA, FERNANDO QUALITY LABOR SERVICES 08/02/15 COSTA IVONE LLC KOREY RICHARDSON LLC 290 15WC 31600 DAVIS, MARY EMCO CHEMICAL DISTRIBUTOR 09/24/15 ANKIN LAW OFFICE 291 15WC 31655 CASTILLO, PETER J RUNDY'S/MARIANO'S 09/14/15 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 292 15WC 31823 MACALALAD, ISAGANI STAPLES, INC. 07/09/15 STEVEN M SELAN HENNESSY & ROACH PC 293 15WC 32035 FINE, VICKI NORTHSHORE SCHOOL DIST 11 03/02/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 294 15WC 32341 MALDONADO, JOHN THE HOME DEPOT USA INC 03/11/15 GOLDBERG WEISMAN & CAIRO L ADELSON TESTAN & BRUNDO 295 15WC 32672 RODRIGUEZ, MARIA CATERINA FOODS 09/30/15 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 296 15WC 33094 GUTIERREZ, GERARDO PERSONNEL STAFFING GROUP 08/14/15 DWORKIN AND MACIARIELLO 297 15WC 33277 PATTEN, MICHAEL J DEERFIELD/BANNOCKBURN 05/04/13 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 298 15WC 33632 HANSEN, TONI A JEWEL, INC./ 05/19/15 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 299 15WC 33710 OWEN, TIFFANY SELECT STAFFING 06/23/15 MARKHAM M JEEP & ASSOCIATE LEAHY EISENBERG & FRAENKEL 300 15WC 33868 BELLINO, DOMINICK J CITY OF LAKE FOREST 05/24/15 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 15WC 34027 GALVAN, ANA MARIA STEINHAFELS, INC. 05/13/15 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 302 15WC 34245 BERNARD, THOMAS A & H CONSTRUCTION, LLC 10/06/15 GOLDBERG WEISMAN & CAIRO L 303 15WC 34659 BROWN, BONNIE J OAK GROVE SCHOOL DISTRICT 07/27/14 COLLISON LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 304 15WC 34741 ESTRADA, MARIO LABOR SOLUTION, LLC 07/24/15 CULLEN HASKINS NICHOLSON 305 15WC 35150 RUDNIK, DIANA DURHAM SCHOOL SERVICES 10/20/15 SEIDMAN MARGULIS & FAIRMAN 306 15WC 35610 SORAPARU, WARREN A FEDERAL EXPRESS CORP 09/22/14 LAW OFFICE DAVID W CLARK HANSON LAW OFFICE 307 15WC 35647 JACKSON, GEORGE CORNFIELDS, INC. 09/24/15 TAMVAKIS, GEORGE L WIEDNER & MCAULIFFE LTD 308 15WC 35695 RAMOS DE GAONO, MIGDALIA CHICAGO MARRIOTT 10/10/15 ACEVES & PEREZ PC 309 15WC 35774 CARTER, BEN FOX LAKE FIRE FROT DIST 10/23/14 SCOTT BARBER RUSIN & MACIOROWSKI LTD 310 15WC 35889 HAKE, SANDRA PREGIS CORPORATION 01/05/15 MILLON & PESKIN LTD COZZI & GOGGIN-WARD 311 15WC 36038 BAIN, TIMOTHY CLASSIC WINDOWS INC 10/06/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 312 15WC 36752 RAMIREZ, GREGORIO TERMAX, CO. 06/24/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 313 15WC 36979 DUBIENSKI, SEBASTIAN TOP LINE CONSTRUCTION COR 11/04/15 LAW OFFICE TIMOTHY DEFFET HEYL ROYSTER VOELKER & ALLEN 314 15WC 37150 BABNIK, SCOTT LAKE COUNTY 06/30/15 FOOTE MIELKE CHAVEZ & O'NE WOLFE & JACOBSON, LTD 315 15WC 37277 HARRIS-WRIGHT, MARVA MVP 09/04/13 LEONARD LAW GROUP LLC KOREY RICHARDSON LLC 316 15WC 37429 BLAZE, SHEILA ABBVIE INC 08/27/14 OSVALDO RODRIGUEZ PC 317 15WC 37532 CARMONA, ERNESTO GUSTAVO GUARDA LANDSCAPING W 09/14/15 FERRIS THOMPSON & ZWEIG 318 15WC 37628 TAMAYO, IRMA MEDLINE INDUSTRIES 06/20/15 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 15WC 37658 TODOROVA, OLGA RELIABLE HOME CARE PROVID 06/06/15 MINKOW DOMIN RIPES NELSON BAGGOT KALOBRAT 320 15WC 37739 COULMAN, PETER UNITED CANVAS INC 08/20/15 BRISKMAN BRISKMAN GREENBER 321 15WC 37772 CASTRO, EVER QUALITY LABOR SERVICES 09/24/15 COSTA IVONE LLC KOREY RICHARDSON LLC 322 15WC 38141 MUNOZ, YESENIA CRACKER BARREL OLD COUNTR 01/27/15 BAUM RUFFOLO & MARZAL LTD 323 15WC 38412 VALADEZ, MARGARITA BROWN PAPER GOODS CO 09/29/15 POSTERLI, OSCAR 324 15WC 38787 PORCAYO, NICOMEDES MOST VALUABLE PERSONNEL 04/27/15 POSTERLI, OSCAR KOREY RICHARDSON LLC 325 15WC 38917 FOHLMEISTER, MICHELLE K NATIONAL HOME HEALTH 04/14/14 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL & ASSOC LLC 326 15WC 38920 FOHLMEISTER, MICHELLE K GLEN HEALTH & HOME MGMT 08/26/15 LINN, CAMPE & RIZZO LTD LAW OFFICES FRANCESCA LARSEN 327 15WC 38932 WOOD, TERRY B FREEMONT PUBLIC LIBRARY 12/11/13 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 328 15WC 38935 BOSTIC, BILLY J VILLAGE OF FOX LAKE 08/09/15 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 329 15WC 39047 REYES, ALBERTO TERMAX CORPORATION 11/13/15 JAMES ELLIS GUMBINER & ASS HOLECEK & ASSOCIATES 330 15WC 39519 ARIAS, SERGIO MEDLINE INSDUSTRIES 03/20/15 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 17WC022676 -C 331 15WC 39631 DEBOSSCHERE, ROSEMARIE JEWEL FOOD STORES, INC. 04/01/15 COMPTON LAW GROUP BRADY CONNOLLY & MASUDA PC 332 15WC 39698 THREAT, ERIC J ALLENDALE ASSOC 06/15/15 LINN, CAMPE & RIZZO LTD 333 15WC 39716 VALESCO, RAFAEL GLENBROOK GROUP INC 10/17/15 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 334 15WC 39763 GANDHI, VALMIK SHREE SINATH ENTERPRISE I 10/29/15 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 335 15WC 41274 MCCLENDON, DORIS ALICE'S DISCOVERY CENTER/ 01/29/15 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 336 15WC 41489 LUCIO, SANDRA LAKE CTY CLERK OF CIRCUIT 06/24/15 STELZMAN, RUTH CULLEN HASKINS NICHOLSON 15WC041490 -C 337 15WC 41544 LENHARDT, EILEEN AMERICAN FAMILY INSURANCE 01/07/13 BOGUSZ & BOGUSZ LTD 338 15WC 42537 CABRERA, CHRISTINE THE THERAPY TREE, LLC. 12/14/15 HANNIGAN & BOTHA, LTD INMAN & FITZGIBBONS 339 16WC 00086 HOHNSON, DYLAN J DISCOUNT TIRE 11/20/15 ANTHONY ESPOSITO 340 16WC 00122 LOBO, ALEJANDRO DUBLE TREE - MUNDELEIN 11/04/15 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 16WC000166 -C DOUBLE TREE MUNDELEIN 341 16WC 00559 CABRAL, CARLOS EXPRESS PERSONNEL PROS IN 08/10/15 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 342 16WC 00864 SOTELO, LAUREN GLENKIRK 10/15/15 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 343 16WC 00904 PALENCIA, SOFIA ADVANCED CLEANING SYSTEMS 12/14/15 COSTA IVONE LLC WOLFE & JACOBSON, LTD 344 16WC 01218 CARRASCO, JOSE R AMB ROOFING 12/04/15 TAMVAKIS, GEORGE L QUINTAIROS PRIETO WOOD & BOY 345 16WC 01255 PITTS, ROBERT A ABBVIE 11/16/15 DOUGLAS RALLO PC HENNESSY & ROACH PC 346 16WC 01488 HERNANDEZ-MARTINEZ, OCTAV POST & PICKETT LLC 12/07/15 DUDLEY & LAKE LLC RUSIN & MACIOROWSKI LTD 347 16WC 01867 YADANZA, PAMELA NORTH SHORE HOSPITAL 11/03/14 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 348 16WC 02134 TROPPLE, ROBERT MUNDELEIN SCHOOL DISTRICT 08/11/15 DUDLEY & LAKE LLC ANCEL GLINK DIAMOND BUSH & E 349 16WC 02280 REDDEN, KATIE SCARAMOUCHE ENTERPRISES L 01/16/16 MURPHY & MURPHY NYHAN BAMBRICK KINZIE & LOWR 350 16WC 02482 SIWEK, MAGDALENA ANIAS POLISH DELI 08/07/15 RICHARD E ALEKSY ROSARIO CIBELLA 351 16WC 02723 VASQUEZ-GARCIA, MARIA EUS SURESTAFF, INC 01/14/16 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 352 16WC 02934 NEE, MARTY ERIC WINOGRAD 01/25/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 16WC 02958 HAMANN, TIMOTHY VILLAGE OF GURNEE 01/07/15 DUDLEY & LAKE LLC ANCEL GLINK DIAMOND BUSH & E 354 16WC 03117 DOMERCHIE, ADAM LAKE COUNTY SHERIFF 10/20/15 MARSZALEK AND MARSZALEK SMITH AMUNDSEN LLC 355 16WC 03251 VAZQUEZ, ISIDRO PEREA LEWIS PRODUCE MARKET #2 12/30/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 356 16WC 03283 SMITH, ANDRE LAKESIDE TRANSPORTATION 11/10/15 VASILATOS & COTTER LLC GALLIANI DOELL & COZZI LTD 357 16WC 03290 DEMARR, EVAN SKIDMASTER 01/28/16 358 16WC 03366 DIAZ, IMELDA ADDUS HOME CARE 01/16/16 KARCHMAR & STONE HENNESSY & ROACH PC 359 16WC 03418 OCHOA, ERNESTO LURVEY LANDSCAPE SUPPLY 09/03/14 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 360 16WC 03682 LEBBINI, MAURINE AON 07/30/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 361 16WC 03953 WADOLOWSKA, REGINA BERNADETTE CLEANING SERVI W 01/26/16 KATZ FRIEDMAN EAGLE ET AL 362 16WC 04015 DIAZ, DIGNA E ANDREW STAFFING 11/25/15 CULLEN HASKINS NICHOLSON 363 16WC 04168 HOPPE, LYNDA SEDGBROOK RETIREMENT COMM 11/25/15 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 364 16WC 04513 KELLER, KURT BANE NELSON INC 10/11/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 365 16WC 04790 AQUIRIANO, DILMA ANDREWS STAFFING INC 11/22/15 LAW OFFICE OF SCOTT B SHAP SLAVIN & SLAVIN 366 16WC 04966 HENRY, IRIS ZION ELEMENTARY SCHOOL 10/27/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 16WC005941 -C 367 16WC 04999 MEZA, YANET ECHO INC 01/15/16 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 368 16WC 05064 BERENI, ROLAND ABBOTT LABORATORIES 12/10/12 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 369 16WC 05175 RAMIREZ, WILBUR I PHOENIX LOCAL MOVERS 07/13/15 DEPAOLO ZADEIKIS GORE LAW OFFICES JOSEPH MARCINIAK 370 16WC 05208 ALVARDO, JOSE AVERUS FIRE PROTECTION 01/30/16 MARKS INJURY LAW RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 16WC 05607 MEDINA, ALEJANDRA BURGER KING 01/14/16 HART & DAVID LLP 372 16WC 05824 GWINN, LA ANGEL SILVERADO HIGHLAND PARK 01/26/16 DWORKIN AND MACIARIELLO 373 16WC 05940 STRONG, ARTHUR B CITY OF NORTH CHICAGO 10/25/15 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 374 16WC 06003 BABCOCK, FRANK CLARENCE DAVIDS & CO. 08/12/14 STEVEN M SELAN LITCHFIELD CAVO 375 16WC 06405 RAMOS, DIEGO EGG HARBOR CAFE 04/12/15 LARRY FLEISCHER & ASSOCIAT GANAN & SHAPIRO 376 16WC 06569 DICKSON, PETER C. COUNTY OF LAKE 10/07/15 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 377 16WC 06575 BARRIENTOS, SANTIAGO R. GOODWILL INDUSTRIES OF 04/08/14 LINN, CAMPE & RIZZO LTD ACCIDENT FUND HOLDINGS 378 16WC 06581 BUCKLEY, RODNEY A GRAYSLAKE FIRE PROTCTION 08/31/15 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 379 16WC 06866 ZASLAVSKIY, YEFIM WHELAN SECURITY OF IL,INC 01/15/16 LAW OFFICES YEVGENIY VAYSM HENNESSY & ROACH PC 380 16WC 07261 GUZMAN, YOLANDA NEMERA 10/16/15 JONATHAN SCHLACK HENNESSY & ROACH PC 381 16WC 07642 FLETCHER, LISA WALGREENS 01/26/16 GOLDSTEIN BENDER & ROMANOF GILDEA & COGHLAN 382 16WC 08261 GLINIEWICZ, MICHAEL VILLAGE OF ANTIOCH 07/04/15 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 383 16WC 08403 BEARD, MOLLI IL BONE & JOINT INSTITUTE 09/04/15 BRILL & FISHEL LAW OFFICES OF EDWARD J. KOZ 384 16WC 08451 SCHREINER, ROBERT NEWPORT TWNSHP FIRE DIST 03/22/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 385 16WC 08480 VICE, MARK II LAKE COUNTY SHERIFF'S 01/13/16 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 386 16WC 08746 ROQUE, MARIO JR ADVOCATE CONDELL MEDICAL 05/28/13 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 387 16WC 08800 TERRAULT, JACQUES JR WOODLAND FOODS, LTD 06/25/14 BRILL & FISHEL HENNESSY & ROACH PC 388 16WC 08917 RUTHER, GEOFFREY VLGE OF DEERFIELD POLICE 11/19/15 CORBOY & DEMETRIO PC ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 16WC 09355 ROQUE, MARIO JR ADVOCATE CONDELL 12/28/13 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 390 16WC 09416 SNUFFER, DAN DOERING LANDSCAPE COMPANY 02/02/16 HANNIGAN & BOTHA, LTD RODDY LAW LTD 17WC001417 -C 391 16WC 09617 MCDERMOTT, JAMES M LTD COMMODITIES INC 11/09/15 LINN, CAMPE & RIZZO LTD 392 16WC 09863 BOMBACINO, PATRICIA WAL-MART 03/19/16 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 393 16WC 09905 WILSON, DUANE A-MOBILE, INC. 10/29/14 LAW OFFICE OF SCOTT B SHAP 394 16WC 10036 WOODS, TAMARA ENOVA FINANCIAL 11/03/15 DWORKIN AND MACIARIELLO 395 16WC 10047 LOPEZ, ALFREDO THE XCEL GROUP 03/09/16 HART & DAVID LLP GILDEA & COGHLAN 396 16WC 10133 PERNICE, DEBORAH J PRO SOURCE WHOLESALE FLOO 01/30/15 LANZILLOTTI GRIBBEN & MARC COZZI & GOGGIN-WARD 397 16WC 10174 EVANS, JASON M BW CONSTRUCTION & HOME 08/11/15 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 398 16WC 10569 MARKS, JAMES AB SPECIALTY SILICONES 01/28/16 JEROME FOREMAN & ASSOCIATE HENNESSY & ROACH PC 399 16WC 10671 PITA, JUANA L OLD REPUBLIC INS. CO 06/20/15 DEPAOLO ZADEIKIS GORE 400 16WC 10692 MEDINA, JOSE INDUSTRIAL PERSONNEL, LTD 02/18/16 DAVID J. BAWCUM THOMAS & PORTELA 401 16WC 10819 SONETZ, LOUIS GREAT LAKES ELECTRICAL 01/26/15 ALEKSY BELCHER LAW OFFICES JOSEPH MARCINIAK 16WC010820 -C 402 16WC 10925 RIVAS, JORGE AUTO PARTS CITY 02/25/16 DISPARTI LAW GROUP PA WOLFE & JACOBSON, LTD 403 16WC 10946 HOSKINS, WILLIAM CULLIGAN INTERNATIONAL CO 10/20/15 DUDLEY & LAKE LLC LAW OFFICES JOSEPH MARCINIAK 404 16WC 10961 BARR, MICHAEL ROUND LAKE BEACH POLICE D 06/07/15 DUDLEY & LAKE LLC ROBERT L. SMITH 405 16WC 11222 DANIEL, CAITLYN SUPERCUTS 02/19/16 DUDLEY & LAKE LLC GILDEA & COGHLAN 406 16WC 11231 RUELLI, DONNA NORTHERN SUBURBAN SPECIAL 09/17/15 POSTERLI, OSCAR NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 16WC 11450 LEWANDOWSKI, THOMAS TURANO BAKERY 07/05/15 WILLIAMS, ROBERT B LAW OFF KEEFE CAMPBELL & ASSOC LLC 408 16WC 11798 SALGADO, JOSE A HYDRAFORCE INC 02/20/15 MARSZALEK AND MARSZALEK HOLECEK & ASSOCIATES 409 16WC 12023 RACANELLI-DEADWILER, KIMB GOODWILL INDUSTRIES INC 03/09/16 LINN, CAMPE & RIZZO LTD 410 16WC 12248 RATLIFF, JEREMIAH CHICAGO BEARS FOOTBALL 09/14/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC012249 -C 16WC012250 -C 16WC012251 -C 411 16WC 12272 PALOMINO, HILDA LABOR SOLUTION 03/13/15 CHEPOV & SCOTT LLC 412 16WC 12451 PLETZ, SONIA FEDEX GROUND 06/20/13 TARADASH LAW OFFICE SCOPELITIS GARVIN LIGHT 413 16WC 12570 BARRIOS, VERONICA WINCHESTER HOUSE 03/05/16 SPENCER LAW OFFICES 414 16WC 12675 NIETO, LIDIA ECHO, INC 04/13/16 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 415 16WC 12715 GARCIA, JOSE P MUDDY BOOTS LANDSCAPING 07/24/14 LINN, CAMPE & RIZZO LTD 416 16WC 12756 TAYLOR, DENISE GRAHAM-C STORES COMPANY 02/22/16 RANDALL A. WOLFF & ASSOC 417 16WC 12762 CRAMER, RYAN GRAYSLAKE FIRE 10/06/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 16WC024497 -C 16WC024498 -C 16WC024499 -C 418 16WC 13213 ELDER, ROBERT J JR QUESTLINER, INC. 06/19/15 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 419 16WC 13468 ANTUNEZ, ARMANDO ELAN LANDSCAPE DEVELOPMEN 05/27/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 420 16WC 13598 POOLE, MARLENE E. JEWEL FOOD STORES, INC. 03/06/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 16WC013599 -C 421 16WC 13797 RIVERA, SUNY ELITE STAFFING 03/01/16 422 16WC 13931 DRAKE, BRETT T MACGYVER DEVELOPMENT, INC 11/21/14 ANKIN LAW OFFICE STANCZAK 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 DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 423 16WC 14313 WARD, HEATHER NORTHERN SUBURBAN SPECIAL 12/10/15 MARKS INJURY LAW 424 16WC 14401 WRIGHT, JOHNATHON MASTER TRUCK & TRAILER, L 02/26/16 GRAHAM J. JEEP RUSIN & MACIOROWSKI LTD 425 16WC 14551 DIAZ, FRUTOSO COMMERCIAL PLASTICS 11/27/15 COSTA IVONE LLC 426 16WC 14572 LIPARI, SUSAN STATE OF ILLINOIS @ 06/03/15 FRANCIS J DISCIPIO LAW OFF ILLINOIS ATTORNEY GENERAL 427 16WC 14607 HAYES, WILBERT MEGABUS 02/21/16 BIZZIERI LAW OFFICES POULOS & DIBENEDETTO LAW 428 16WC 14758 OCAMPO-BRITO, ALEJANDRO MIDWEST PRINTED 02/16/16 MARKS INJURY LAW KEEFE CAMPBELL & ASSOC LLC 429 16WC 15291 RIOS, MARIA G ARAMARK 11/16/15 FERRIS THOMPSON & ZWEIG 430 16WC 15541 KELLEY, LISA BED, BATH & BEYOND 01/22/16 VOGG, MARK J LAW OFFICE KOPKA, PINKUS DOLIN, PC 431 16WC 15726 PAGE, KEITH CAPITOL PLUMBING, INC 02/18/16 KOSIN LAW OFFICE LTD 432 16WC 15739 HOOTSELL, JEARLEAN ACCURATE 05/07/16 RUBENS AND KRESS RODDY LAW LTD 433 16WC 16001 DE LA PAZ, JOSE F FIBERTEX NONWOVENS, LLC 12/03/15 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 434 16WC 16084 BELTRAN, TERESA ELITE STAFFING 01/27/16 AIOSSA LAW FIRM STANCZAK LAW OFFICES 435 16WC 16151 SOSA, DANIEL STELLAR PRODUCTIONS, INC. 05/08/16 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 436 16WC 16330 GARCIA, EDITH CRUZ ZION DONUTS INC. D/B/A DU 10/08/15 FERRIS THOMPSON & ZWEIG GANAN & SHAPIRO 437 16WC 16426 REBAGO, LUZ HYDRO FORCE INC 05/04/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 438 16WC 16636 PANKIEWICZ, BRIAN J WAUKEGAN SCHOOL DISTRICT 03/09/16 ANTHONY J MAY BRADY CONNOLLY & MASUDA PC 439 16WC 16670 POPE, RENALDO INTERNATIONAL PRECISION 07/07/15 DAVID W MARTAY GANAN & SHAPIRO 440 16WC 16713 PRYOR, CECELIA ARAMARK 03/10/16 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 441 16WC 16770 DONNENWIRTH, MICHAEL LAKE COUNTY CORONER 05/19/14 EVAN A HUGHES LAW OFFICE SMITH AMUNDSEN LLC 442 16WC 16998 FLAX, CINDY THE BON TON STORES, INC 04/26/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 443 16WC 17026 LINDOM, STEVE VILLAGE OF ANTIOCH 07/26/13 ROSS TYRRELL RUSIN & MACIOROWSKI LTD 16WC017027 -C 444 16WC 17501 VIDAL, CARMEN FRESH THYME FARMERS MARKE 04/22/16 LOCASCIO, MARK A LTD COZZI & GOGGIN-WARD 445 16WC 17524 DAVIS, GEORGIA C ACCURATE PERSONNEL 03/12/16 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 446 16WC 17777 GUTIERREZ, PABLO ALVAREZ WORLD WIDE FITTINGS 02/12/16 RUBERRY STALWACK & GARVEY GANAN & SHAPIRO 447 16WC 17918 ALVAREZ, EDGAR I HINES BUILDING SUPPLY 04/07/16 JEROME FOREMAN & ASSOCIATE WOLFE & JACOBSON, LTD 448 16WC 18493 ANTUNEZ, JAIME WOODLAND FOODS 11/17/15 DISPARTI LAW GROUP PA 449 16WC 18513 ALVAREZ, JUAN THE XCEL GROUP 01/13/16 DOUGLAS RALLO PC KOREY RICHARDSON LLC 450 16WC 18550 SANFORD, BARBARA NORTHERN ILLINOIS UNIVERS @ 07/12/15 FRANKS, GERKIN & MCKENNA P ILLINOIS ATTORNEY GENERAL 451 16WC 18713 GOMEZ, JULIA IDLEWOOD ELECTIC SUPPLY, 03/26/15 DOUGLAS RALLO PC GANAN & SHAPIRO 452 16WC 18745 ARMSTRONG, KIMBERLY SGS LIFE SCIENCES 06/10/16 GORDON & CENTRACCHIO LLC BRADY CONNOLLY & MASUDA PC 453 16WC 18761 LUCAS, MICHAEL R. ABBOTT LABORATORIES 12/07/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 454 16WC 18844 ARMENDARIZ, ARMANDO ROUNDY'S ILLINOIS LLC 04/24/16 BERG & BERG 455 16WC 19060 SCHUETTENBERG, CAROLYN A EMMONS GRADE SCHOOL DIST 05/28/14 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 456 16WC 19063 ADAMS, REBECCA JEWEL, INC 03/20/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 457 16WC 19069 RUIZ, JOSE NU ARRA, INC 09/10/15 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 458 16WC 19239 HANZELIN, KENNETH FEDEX GROUND EXPRESS 04/26/16 BURNETT & CARON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 459 16WC 19301 AMBROCIO, YNEZ C. SALAS MVP STAFFING 10/21/15 ANTHONY ESPOSITO 460 16WC 19434 TOMPKINS, MINNIE ARAMARK 10/05/15 BARRY A KETTER 461 16WC 19484 TREVINO, EDWARD DMS INC. 12/17/15 FRANCIS J DISCIPIO LAW OFF 462 16WC 19521 HORN, KEITH E ASPLUNDH 02/04/16 LINN, CAMPE & RIZZO LTD KNELL & O'CONNOR 463 16WC 19524 GARCIA, LUCILA CATERINA FOODS LLC 04/21/16 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 464 16WC 19529 MONTOYA, AGUSTIN OLSSON ROOFING CO INC 05/06/16 LAW OFFICES OF ANSELMO DUR INMAN & FITZGIBBONS 465 16WC 19952 FALCO, ALPHONSE S VILLAGE OF ROUND LAKE PAR 08/11/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 466 16WC 20154 BUTTLIERE, CARLA JEWEL OSCO 05/10/16 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 467 16WC 20481 GUERRERO, CARMELA ANDREWS STAFFING 05/04/16 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 468 16WC 20522 RAVEN, JEFFREY A SUPER MIX 10/26/15 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 469 16WC 20645 GONZALEZ-SANCHEZ, SILVIA MOST VALUABLE PERSONNEL 10/28/15 AIOSSA LAW FIRM KOREY RICHARDSON LLC 470 16WC 20996 GARCIA, CONSUELO ARAMARK @ 04/26/16 POSTERLI, OSCAR 471 16WC 21018 ADAMS, JACQUELINE AQUENT STAFFING 06/28/16 STEWART C ORZOFF LAW OFFICES OF EDWARD J. KOZ 472 16WC 21142 MENDOZA, BRENDA THE DELI SOURCE INC 07/05/16 MARKHAM M JEEP & ASSOCIATE RODDY LAW LTD 473 16WC 21151 GOLD, KATHLEEN ST OF ILLINOIS DEPT OF @ 05/29/16 DUDLEY & LAKE LLC ILLINOIS ATTORNEY GENERAL 474 16WC 21191 UPTON, JOHN J LAKE COUNTY SHERIFF'S DEP 10/10/15 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 475 16WC 21276 RAMIREZ, JOSE MENARDS 05/18/16 TAMVAKIS, GEORGE L 476 16WC 21336 ALVAREZ, SANTIAGO BG STAFFING 05/20/16 COSTA IVONE LLC SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 477 16WC 21583 GALEANO, ERLIN GUY SCOPELLITI LANDSCAPIN 06/07/16 DAVID J. BAWCUM 478 16WC 21777 LINVILLE, SUSAN M JEWEL FOOD STORE 10/16/15 GOLDBERG WEISMAN & CAIRO L 479 16WC 22080 MYERS, PORSHA BAXTER HEALTH CARE 07/12/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 480 16WC 22110 PAULUS, MICHAEL VILLAGE OF LAKE ZURICH 04/23/16 VOGG, MARK J LAW OFFICE 481 16WC 22133 VARNO, ELIZABETH LINCOLNSHIRE SCHOOL DIST. 06/16/16 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 482 16WC 22299 TABAKA, MARIA CM PACKAGING, INC.C/O NAT 07/30/13 LEWIS & DAVIDSON, LTD 483 16WC 22341 CASTRO, AURORA THE DELI SOURCE INC 03/30/16 AIOSSA LAW FIRM RODDY LAW LTD 484 16WC 22715 DAVIS, GWEN SENIOR HELPERS 07/03/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 485 16WC 22962 BIZIOR, JAROSLAW CRYSTAL MANAGEMENT & 06/18/16 ALEKSY BELCHER WIEDNER & MCAULIFFE LTD 486 16WC 23176 HAQQUI, SALEEM FRESENIUS MED CARE OF 04/20/16 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 487 16WC 23191 POWELL, SUSAN DOLLAR GENERAL CORP 05/23/14 ROBERT EDENS LEAHY EISENBERG & FRAENKEL 16WC033356 -C 16WC035384 -C 488 16WC 23295 RODRIGUEZ, JOSEFINA GURNEE PARK DISTRICT 08/08/15 FERRIS THOMPSON & ZWEIG 489 16WC 23534 INMAN, JEFFREY THE AUDI EXCHANGE 06/19/14 VOGG, MARK J LAW OFFICE 490 16WC 23602 RHOTON, LEE ANN ACCRETIVE SOLUTIONS CORP. 04/15/16 BRILL & FISHEL LAW OFFICES JOSEPH MARCINIAK 491 16WC 23978 GATICA, ROSALINDA EXMOOR COUNTRY CLUB 02/12/16 FERRIS THOMPSON & ZWEIG 492 16WC 24035 KNUTH, TIMOTHY BUTLER CORING 01/22/16 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 493 16WC 24178 GOMEZ, MARIA CHASE PROFESSIONALS 05/26/16 LAW OFFICE OF SCOTT B SHAP 494 16WC 24181 SABASTIANO, VICTOR ROUGHNECK CONCRETE DRILLI 06/30/16 O'CONNOR LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 16WC 24235 CARTER, LINCOLN ADOR CP. INC. 07/20/16 BRAD J. BALKE, PC RUSIN & MACIOROWSKI LTD 496 16WC 24320 MONREAL, SERGIO EBBEN MASONRY 07/27/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 16WC035276 -C 497 16WC 24486 MENDOZA, LONGINO ILT VIGNOCCHI 05/31/16 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 498 16WC 24569 BROWN, MICHAEL E GORDON FOOD SERVICE 05/06/16 MAY & BUEGE HENNESSY & ROACH PC 499 16WC 24608 GRACA, DANIEL PEAK SUPPLY INC. 07/28/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 500 16WC 24673 SIMS, VANESSA PACE SUBURBAN TRANSIT 03/11/16 COHN & COHN POWER & CRONIN LTD 501 16WC 24931 SELEGA, KAROL (KARL) PAULY MOTORS, INC 05/10/16 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 502 16WC 25004 LEMONS, LANA LAKE COUNTY SHERIFF'S DEP 12/02/15 DUDLEY & LAKE LLC WOLFE & JACOBSON, LTD 503 16WC 25101 VELIZ, MANUELA WINCHESTER HOUSE 06/23/16 SPENCER LAW OFFICES 504 16WC 25132 YARBROUGH, SHIRLEY LAKESIDE TRANSPORTATION 09/01/15 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 505 16WC 25173 WORLEY, DAEVON ADVANCED DISPOSAL 05/23/16 ROBERT EDENS INMAN & FITZGIBBONS 506 16WC 25667 POPE, JAMES E. JEWEL FOOD STORES, INC. 07/03/16 LINN, CAMPE & RIZZO LTD 507 16WC 25745 MALDONADO, FAUSTO MBA BUILDING SERVICES 07/20/16 SKLARE LAW GROUP 508 16WC 25933 PEREZ, MARIO LUCAS LANDSCAPING 06/16/16 ANGELINI & ORI LLC 509 16WC 26159 SANCHEZ, ELIA UNISTAFF PRO 06/28/16 MC HARGUE, JAMES P LAW OFF 510 16WC 26521 KUEHN, STEVEN SIEMANS 07/06/16 LANNON LANNON & BARR LTD 511 16WC 26684 GARCIA, OSCAR STAFFING DIMENSIONS 07/06/15 TARADASH LAW OFFICE LAW OFFICES FRANCESCA LARSEN 512 16WC 26725 MERAZ, PERLA 7 HILLS HEALTHCARE CTR, P 08/08/16 LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 16WC 26812 SMITH, ANGELA FOSS PARK DISTRICT 08/05/16 JOSEPH G HAFFNER LAW OFFIC RUSIN & MACIOROWSKI LTD 514 16WC 26948 BAKER, DONALD THE MAIL BOX & FLAG COMPA 08/09/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 515 16WC 27176 PALMER, RAYMOND GDI SERVICES 06/27/16 VRDOLYAK LAW GROUP LLC COZZI & GOGGIN-WARD 516 16WC 27528 KOLB, LEE ALLAN LABRAK, INDIVIDUALL 09/01/16 LAW OFFICE OF SCOTT B SHAP 517 16WC 27608 MEENTS, HALEY LAKE COUNTY 01/20/16 DAVID J. BAWCUM WOLFE & JACOBSON, LTD 518 16WC 27640 ALEXANDER, TWALIA ARAMARK 08/26/16 AIOSSA LAW FIRM 519 16WC 28126 ZAVALA, JARVIN PAGUADA RICARDO 07/25/16 MARKS INJURY LAW HOLECEK & ASSOCIATES 520 16WC 28383 UMANZOR ROJAS, SANDRY M RUPRECHT COMPANY 07/26/16 FERRIS THOMPSON & ZWEIG 521 16WC 28435 WALKER, ANTOINETTE THE TERRACE 09/07/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 522 16WC 28548 ISAMAR GUIFARRO, VANESS PERSONNEL STAFFING GROUP 08/30/16 CULLEN HASKINS NICHOLSON 523 16WC 28668 JONES, NORMA AURORA PAC, LLC DBA AVANT 09/04/15 RUSSO & RUSSO LTD BRADY CONNOLLY & MASUDA PC 524 16WC 28801 GOODWIN, TIMOTHY R VILLAGE OF ROUND LAKE BEA 07/13/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 525 16WC 28821 JIMENEZ-TELLEZ, ANTONIA WALMART 03/07/16 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 526 16WC 29044 GUIFARRO, VANESSA XCEL PERSONNEL 08/30/16 SALVATO & O'TOOLE GILDEA & COGHLAN 527 16WC 29079 BALENTINE, COREY CDW 05/15/16 JOHN M BORCIA LAW OFFICE HENNESSY & ROACH PC 528 16WC 29194 KLINE, M. SCOTT COPENHAVER CONSTRUCTION I 08/17/16 CAPRON & AVGERINOS PC LAW OFFICES OF EDWARD J. KOZ 529 16WC 29340 BROWN, DEBRA BASS PRO SHOP 06/17/16 STANCZAK LAW OFFICES BRYCE DOWNEY & LENKOV LLC 530 16WC 29760 ORLANDO JOSEPH SYNNEX CORP 09/11/15 SCOTT BARBER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 531 16WC 29851 MARTINEZ, PAULINA UNISTAFF 09/01/16 CHEPOV & SCOTT LLC LITCHFIELD CAVO 532 16WC 29898 FLEMING, JOANN STATE OF ILLINOIS @ 04/06/16 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 533 16WC 30062 WILHELM, MICHAEL P THE CHICAGO PROFESSIONAL 10/05/13 SALVATO & O'TOOLE HENNESSY & ROACH PC 534 16WC 30208 BECERRIL, CARMEN QUALITY LABOR SERVICES 06/21/16 CUSHING LAW OFFICES KOREY RICHARDSON LLC 535 16WC 30285 MCGHEE, PATRICIA ILLINOIS TOOL WORKS, INC. 09/20/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 536 16WC 30370 ZAVALA, JAVIER ADVOCATE CONDELL MED CTR 03/19/16 STANCZAK LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 537 16WC 30452 ARROYO, SEVERO SCOTT BYRON & CO, INC 07/28/16 LINN, CAMPE & RIZZO LTD RIPES NELSON BAGGOT KALOBRAT 538 16WC 30456 ROLLENE, KEITH LAKE VILLA FIRE PROT DIST 01/17/16 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 539 16WC 30464 CIMINO, DIANE JEWEL OSCO 01/26/16 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 540 16WC 30555 POSADAS, ALFONSO L B ANDERSEN LIGHT FARMS 01/06/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 541 16WC 30835 MUNOZ, TERESA ADA S MCKINLEY COMMUNITY 01/27/16 HECTOR ESPITIA 542 16WC 30874 JACKSON, DERRICK CARDINAL HEALTH 09/15/16 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC 543 16WC 30905 JONES, HERBERT DORMA- KABA REVOLVING DOO 09/27/16 DUDLEY & LAKE LLC COZZI & GOGGIN-WARD 544 16WC 31057 LIRA, CLAUDIA ZELLER PLASTIK, INC 12/19/15 GRAHAM J. JEEP 545 16WC 31296 MENDOZA, MARIA IPCC 07/08/14 POSTERLI, OSCAR 546 16WC 31657 COLLINS, JUDY WALMART 07/15/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 547 16WC 32020 NASH, CORNELL AEROTEK, INC 11/16/15 DISPARTI LAW GROUP PA WIEDNER & MCAULIFFE LTD 548 16WC 32047 POST, CELENE ARAMARK EDUCATION, INC 05/19/16 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 16WC 32094 VEGA, GASPAR TRIALTA CONSTRUCTION, INC 11/06/14 LAW OFFICE OF SCOTT B SHAP 550 16WC 32186 PENA, GLORIA ACCURATE PERSONNEL LLC 08/09/16 FIORETTI & DESJARDINS LTD MC ANDREWS & NORGLE LLC 16WC032187 -C 16WC032188 -C 551 16WC 32336 SALGADO, LINO B NUWAVE, LLC 11/24/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 552 16WC 32443 RODRIGUEZ, DIMAS ROCCO FIORE & SONS INC # 08/01/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 553 16WC 32711 HALL, JOHN JONES LANG LASALLE 10/10/16 NEWLAND & NEWLAND 554 16WC 32903 BAKER, CAROL LAKE COUNTY HEALTH DEPT 09/12/15 JOHN M BORCIA LAW OFFICE WOLFE & JACOBSON, LTD 555 16WC 33070 BUCK, LYNN AMERICAN AIRLINES 10/03/16 RUBENS AND KRESS 556 16WC 33336 MEDLEY, BRENDA ELITE STAFFING 10/05/16 BRILL & FISHEL 557 16WC 33457 DE LEON, EMELDA SEDGEBROOK RETIREMENT 09/06/16 DAVID W MARTAY HENNESSY & ROACH PC 558 16WC 33613 BARRERA, EDUARDO DEERFIELD SCHOOL DIST 109 10/17/16 STROM, NEAL B ACCIDENT FUND HOLDINGS 559 16WC 33637 YONIN, KRISTO G HEALTH SOURCE OF NORTHSHO 10/24/16 BARGANSKA LAW 560 16WC 33672 BLANCAS, LUCIA KERRY AMERICAS 03/10/16 AIOSSA LAW FIRM 561 16WC 33729 YOUNG, DEE DISCOVER CARD FINANCIAL S 06/10/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 562 16WC 33787 PEREZ, TERESA MEDINA LANDSCAPING 10/31/14 MEYERS & FLOWERS GANAN & SHAPIRO 563 16WC 33839 WILSON, RICKY COLEMAN CABLE CO/SOUTHWIR 02/15/16 COHN & COHN GANAN & SHAPIRO 564 16WC 34147 SELANDER, GINA HAWTHORN SCHOOL DISTRICT 08/04/16 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 565 16WC 34241 RIVERA, NORMA PTO SERVICES, INC A/K/A 07/25/16 VOGG, MARK J LAW OFFICE 566 16WC 34524 DONATI, ANTHONY R JEWEL FOOD STORES 03/31/16 RICHARD O. GREENFIELD RODDY LAW LTD 17WC019017 -C 567 16WC 34568 JOHNSON, SHANEQUIA SIX FLAGS GREAT AMERICA 10/31/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 568 16WC 34655 KENT, STEVEN R FINISHMASTER, INC 08/09/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 16WC034656 -C 569 16WC 34876 MURRILLO, NORMA KENALL 06/10/16 FERRIS THOMPSON & ZWEIG HOLECEK & ASSOCIATES 16WC034877 -C 570 16WC 34991 RAMOS-RUIZ, JOSEFINA HAFEEZ ENTERPRISES, INC 09/12/16 ALBERT R. PINO LAW OFFICE 571 16WC 35034 ECKEL, CARL AMERIT FLEET SOLUTIONS IN 02/14/16 MATTHIAS D. GILL LAW OFFICES FRANCESCA LARSEN 572 16WC 35160 HORAK, BOGDAN SHERMAN MECHANICAL, INC 08/19/16 NEWLAND & NEWLAND ACCIDENT FUND HOLDINGS 573 16WC 35274 VILLA, NOEL SWEET TOMATOES 11/27/15 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 574 16WC 35303 ANTUNEZ, JAMIE WOODLAND FOODS, LTD 09/15/16 DISPARTI LAW GROUP PA 575 16WC 35334 MILLER, JUANITA GOODWILL STORES 10/27/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 576 16WC 35371 MUNOZ, FRANCISCA HUGHES ENTERP INC DBA BLU 07/05/16 LINN, CAMPE & RIZZO LTD 577 16WC 35374 VEGA, MARIA LABOR SOLUTIONS 02/24/16 LINN, CAMPE & RIZZO LTD 578 16WC 35377 GUTIERREZ-REMIREZ, FLOREN ANDREWS STAFFING 09/02/16 LINN, CAMPE & RIZZO LTD 579 16WC 35397 POLANCO, MARISOL CUBESMART 10/03/16 MILLON & PESKIN LTD 580 16WC 35481 MARTIN, RYAN DOMINOS PIZZA 10/08/16 ARGIONIS & ASSOCIATES LLC RUSIN & MACIOROWSKI LTD 581 16WC 35560 UPHOFF, CARL GRANT COMMUNITY HIGH SCHO 11/10/16 DUDLEY & LAKE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 582 16WC 35652 VEGA, MARIA LABOR SOLUTIONS 04/15/16 LINN, CAMPE & RIZZO LTD 583 16WC 36045 GOLDMAN, SHERI THE GAP INC, C/O CT CORP 11/12/16 GRAUER & KRIEGEL LLC 584 16WC 36156 NANI, KATHRYN GOLD STANDARD ENTERPRISES 09/29/16 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 585 16WC 36268 CHUNG HONG KIM, RICHARD LAKE CITY CLEANERS 08/05/16 WOLFE LAW PC LAW OFFICES JOSEPH MARCINIAK 586 16WC 36426 CZARNOWIESKI, TADEUSZ VISTA EAST MEDICAL CENTER 02/05/16 CULLEN HASKINS NICHOLSON 587 16WC 36699 JOHNSON, DAVID COMMONWEALTH EDISON 02/29/16 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 588 16WC 36762 NERHEIM, JAY STEFFEN WAUKEGAN TIRE & SUPPLY 10/19/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 16WC036763 -C 589 16WC 36790 VEGA, BALOMERO WALMART 01/02/16 MAURICE E DUSKY PC GANAN & SHAPIRO 590 16WC 36948 RIOS, MARCOS ROCCO FIORE & SONS, INC 09/01/16 CULLEN HASKINS NICHOLSON 591 16WC 37205 GONZALEZ, ANTONIO THERMASEAL/LAKESIDE INSUL 07/25/16 HANNIGAN & BOTHA, LTD RODDY LAW LTD 592 16WC 37262 SALAZAR, JUAN QUALITY LABOR STAFFING 08/19/16 DOUGLAS RALLO PC ROBERT L. SMITH 593 16WC 37381 PEREZ-MARTINEZ, HIPOLITO SHUR-WAY MOVING & CARTAGE 11/18/15 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 594 16WC 37726 STONE, LORRAINE M PEAPOD LLC 09/15/16 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 595 16WC 37950 KOZDRONKIEWICZ, RYSZARD KOVACS DECORATING & REMOD 10/09/16 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 596 16WC 38058 KWIECIEN, SANDRA CF INDUSTRIES HOLDINGS IN 07/25/16 CORBOY & DEMETRIO PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 16WC 38199 ZAVALA, RAUL FISH LAKE BEACH INC 06/24/15 EFTEKHARI LAW OFFICES RIPES NELSON BAGGOT KALOBRAT 598 16WC 38302 PORTH, BRUCE ZION SOLUTIONS LLC 04/08/15 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 16WC039247 -C TYJAX IRON WORKS INC 599 16WC 38327 HILBRANT, STACE HIGHLAND PARK POLICE DEPA 11/03/16 SANDMAN LEVY & PETRICH POWER & CRONIN LTD 600 16WC 38401 GUZMAN, ROSALINDA ACCURATE PERSONNEL & 09/09/16 LARRY FLEISCHER & ASSOCIAT MC ANDREWS & NORGLE LLC 601 16WC 38620 SOLIS, MARTHA MCDONALD'S 03/01/15 CULLEN HASKINS NICHOLSON 602 16WC 38656 DEJESUS, WILFREDO HOMEOWNERS BARGAIN OUTLET 08/23/16 VOGG, MARK J LAW OFFICE 603 16WC 38748 HERNANDEZ, LORENZO ROLLING LANDSCAPES INC 07/02/16 LAW OFFICES MICHAEL HELLMA 604 16WC 38955 CONTRERAS, JOSE DAVEY TREE EXPERT COMPANY 10/20/16 DAVID W MARTAY 605 16WC 39135 LAKOSKE, STEVEN NORTH CHICAGO 01/12/16 ASHER, RAYMOND L LTD GILDEA & COGHLAN 606 16WC 39263 GUZMAN, FERNANDO GARDEN FRESH MARKET 09/15/16 BAUM RUFFOLO & MARZAL LTD KOPKA, PINKUS DOLIN, PC 607 17WC 00110 CHACON, DAVID NOSCO 08/15/16 ROSENBERG EISENBERG ASSOC GAROFALO SCHREIBER STORM 608 17WC 00216 NYGARD, KARL J HOLOGIC, INC 11/16/16 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 609 17WC 00493 KUKREJA, SHAMA SPECTRUM RETIREMENT COMMU 11/30/16 SEIDMAN MARGULIS & FAIRMAN THOMAS & PORTELA 610 17WC 00695 RIVAS, MARIA TARGET 06/26/15 FERRIS THOMPSON & ZWEIG NYHAN BAMBRICK KINZIE & LOWR 611 17WC 00919 MCNEIL, KELLIE CARDINAL HEALTH 06/04/13 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 612 17WC 00923 RAIFORD, ADRIAN D WOODY'S 3 IN 1, INC. 06/02/16 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 613 17WC 01038 GUERRERO, STEPHANIE COUNTY OF LAKE 12/06/16 DAVID J. BAWCUM SMITH AMUNDSEN LLC 614 17WC 01453 BOGOJEVIC, GORAN NAPLETON CADILLAC 12/01/16 CAPRON & AVGERINOS PC RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 615 17WC 01488 WAGNER, CASSANDRA KHAYAT GROUP DBA 12/28/16 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 616 17WC 01568 JOHNSON, LORETTA N PEARSON, INC 02/17/16 LINN, CAMPE & RIZZO LTD RODDY LAW LTD 617 17WC 01729 GAWRON, TROY J UPS 11/08/16 LINN, CAMPE & RIZZO LTD ASA LAW GROUP 618 17WC 01771 URIBE, FERNANDA PARAMOUNT BUILDING SOLUTI 09/07/16 LARRY FLEISCHER & ASSOCIAT 619 17WC 01848 BAARTZ, TRACY NOSCO INC 08/17/16 MARKHAM M JEEP & ASSOCIATE 620 17WC 01871 HERNANDEZ, JOSE RUPRECHT CO 01/12/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 621 17WC 01967 NELSON, MICHAEL D COUNTY OF LAKE 11/07/16 DOUGLAS RALLO PC SMITH AMUNDSEN LLC 622 17WC 02136 PIFKE, WILLIAM STRITAR CONSTRUCTION DBA 07/25/14 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 623 17WC 02439 19B SANCHEZ, JACINTA FINCA FOODS, INC D/B/A 12/25/16 ZANCK COEN WRIGHT & SALADI WIEDNER & MCAULIFFE LTD 624 17WC 02471 MC PHERSON, WILLIAM SCOOBEEZ INC 11/25/16 BOWMAN & CORDAY 625 17WC 02691 WING JR, ROBERT NORTH SHORE WATER 08/02/16 JOHN M BORCIA LAW OFFICE 626 17WC 02907 AMOS, RICKY R MANPOWER US INC 12/06/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 627 17WC 02916 WALSH, NOLAN A MOD SUPER FAST PIZZA LLC 11/06/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 628 17WC 02955 LONG, DONALD POLY-CLIP SYSTEM CORP 07/25/14 HANNIGAN & BOTHA, LTD LAW OFFICES OF EDWARD J. KOZ 629 17WC 03258 TAYLOR, ROSANNE SAIA 06/16/16 MARKS INJURY LAW POULOS & DIBENEDETTO LAW 630 17WC 03309 BELLINO, DOMINICK J CITY OF LAKE FOREST 09/15/16 LINN, CAMPE & RIZZO LTD 631 17WC 03420 LEWINSKI, MARIUSZ ILLINOIS DEPARTMENT @ 12/27/16 ALEKSY BELCHER ILLINOIS ATTORNEY GENERAL 632 17WC 03504 BAHENA, PENNY S JEWEL INC D/B/A 10/14/16 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 633 17WC 03589 NEWMAN, KURT VILLAGE OF GRAYSLAKE POLI 10/23/16 RUBIN MACHADO ROSENBLUM POWER & CRONIN LTD 634 17WC 03661 PLAZA, JESUS TAPIA COMCAST 10/09/16 LARRY FLEISCHER & ASSOCIAT POWER & CRONIN LTD 635 17WC 03780 CHAVEZ, VERONICA UNISTAFF PRO 07/20/16 CHEPOV & SCOTT LLC LITCHFIELD CAVO 636 17WC 03832 STOYKOV, STEFAN HUNT MILITARY COMMUNITIES 05/22/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 637 17WC 03901 GOMEZ, ARMANDO RICK'S AUTO CARE & COLLIS 03/11/16 COSTA IVONE LLC 638 17WC 03938 FLEISCHMAN, RALPH MENCONI TERRAZZO, LLC 10/07/16 THERMAN LAW OFFICES GAROFALO SCHREIBER STORM 639 17WC 04036 ROYAL, EDDIE CHIAGO BEARS FOOTBALL 08/25/15 WOLFE LAW PC MC ANDREWS & NORGLE LLC 17WC004037 -C CHICAGO BEARS FOOTBALL 17WC004038 -C 17WC004039 -C CHICAGO BEARS FOOTBALL 17WC004040 -C 17WC004041 -C CHICAGO BEARS FOOTBALL 17WC004042 -C 640 17WC 04082 CORTES, MANUEL RAMON & RAMON LANDSCAPING 11/07/16 FERRIS THOMPSON & ZWEIG 641 17WC 04333 READ, PHILIP I HERITAGE CARPENTRY 09/29/16 QUINTAIROS PRIETO WOOD & BOY 642 17WC 04542 CRUZ, YANIEL GARDEN FRESH GENERAL INC 06/13/16 HOLECEK & ASSOCIATES 643 17WC 04620 SMITH, CHLOE J FRANCHISE MANAGEMENT INVE 01/16/17 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 644 17WC 04702 MARTINEZ, SERGIO PERSONNEL STAFFING GROUP 04/30/16 GOLDBERG WEISMAN & CAIRO L 645 17WC 04717 RACANELLI-DEADWILER, KIMB GOODWILL INDUSTRIES, INC 09/18/16 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 646 17WC 04797 GARCIA, JOSE L KARL KNAUZ MOTORS INC. 01/31/17 CHEPOV & SCOTT LLC 647 17WC 04985 GOMEZ, DOMINGA MOST VALUABLE PERSONNEL 12/06/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC 648 17WC 05218 BOYSEN, DENISE L WAL-MART STORES INC 12/08/16 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 649 17WC 05251 GABINO, SALOME ANASTASIA'S RESTAURANT AN 12/22/16 SOSTRIN AND SOSTRIN PC 650 17WC 05477 VOLLMER, ROBERT MERIT INSTALLATIONS, INC 11/08/16 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 651 17WC 05684 WATTS, ORLANDO FCWS INC/FIRST CLASS WORK 02/03/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 652 17WC 05974 HARKER, JULIE GDI SERVICES INC 06/16/16 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 653 17WC 06087 NELLESSEN, GERALD VILLAGE OF BEACH PARK 12/13/16 THOMAS J POPOVICH POWER & CRONIN LTD 654 17WC 06118 CERVANTES, MARIA G QPS EMPLOYMENT GROUP 12/17/16 KATZ FRIEDMAN EAGLE ET AL WOLFE & JACOBSON, LTD 655 17WC 06162 BANUELOS, ELIZABETH NB MANAGEMENT LTD 01/20/17 CHEPOV & SCOTT LLC GANAN & SHAPIRO 656 17WC 06489 RODRIGUEZ, CLAUDIA F XCEL STAFFING SOLUTIONS L 01/09/17 JASON HAUCK 657 17WC 06551 LEONG, CONNIE CONFORT KEEPERS 02/21/17 GOLDBERG WEISMAN & CAIRO L 658 17WC 06585 JAFFE, SHELLEY R. COSTCO WHOLESALE CORP 12/29/16 BRILL & FISHEL GANAN & SHAPIRO 659 17WC 06724 CLAYMAN, DIANE BENTLEY'S PET STUFF 01/13/17 ASHER, RAYMOND L LTD GILDEA & COGHLAN 660 17WC 06794 CHACON, DAVID NOSCO 02/24/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 661 17WC 07172 WICKERSHEIM JR., DARYL L MERIT CONSTRUCTION 01/18/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 662 17WC 07242 BROWNING, MICHAEL LAKE COUNTY PRESS INC 07/01/15 DWORKIN AND MACIARIELLO 663 17WC 07381 TAPIA, JACQUELINE ADVOCATE CONDELL MEDICAL 01/16/17 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 664 17WC 07483 MALDONADO, FAUSTO MBA BUILDING SUPPLIES 07/20/16 LINN, CAMPE & RIZZO LTD 665 17WC 07582 GONZALEZ RIVAS, ADRIANA THE PORTILLO RESTAURANT G 11/23/16 SOSTRIN AND SOSTRIN PC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 666 17WC 07662 RAMIREZ, MARIA TRANSITIONAL CARE OF LAKE 04/13/16 SPENCER LAW OFFICES 667 17WC 07695 BERNSTEIN, DANIEL W KLOSS DISTRIBUTING CO 06/29/16 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 17WC007696 -C 668 17WC 07698 RAUSCH, DANIEL R MARIANO'S 09/08/16 HANNIGAN & BOTHA, LTD 669 17WC 07822 JAIMES, ARTURO NORTHSHORE MANAGEMENT ASS 12/19/16 FIGLIOLI, DAVID COZZI & GOGGIN-WARD 670 17WC 07862 DIAZ, MARIA GUADALUPE THE DELI SOURCE INC 02/21/17 CUSHING LAW OFFICES 671 17WC 08023 HERNANDEZ, LEONARDO ABBOTT LABORATORIES 12/17/16 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 672 17WC 08175 VAN DIEN, JOHN COUNTY OF LAKE 11/25/16 MARKHAM M JEEP & ASSOCIATE SMITH AMUNDSEN LLC 673 17WC 08202 MISICKA, LAWRENCE PETER BAKER & SON CO 09/28/16 CAPRON & AVGERINOS PC KLAUKE LAW GROUP LLC 674 17WC 08230 BROWN, LISA EMCO CHEMICAL DISTRIBUTOR 02/02/17 BRISKMAN BRISKMAN GREENBER 675 17WC 08283 CAPACCIO, FREDRICK M LAKE COUNTY FOREST 09/23/15 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 676 17WC 08436 MORITA, ROBERT J KROGER, INC D/B/A 11/06/16 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 677 17WC 08486 BLOCK, LISA ONE HOPE UNITED 10/31/16 O'CONNOR & NAKOS WOLF LAW LTD 678 17WC 08670 ALAYLI, ROWAIDA FREEDOM HOME CARE 02/20/17 DWORKIN AND MACIARIELLO 679 17WC 08705 FISHER, JOSEPH M THE DELI SOURCE INC 01/05/17 LINN, CAMPE & RIZZO LTD RODDY LAW LTD 680 17WC 08757 BELOW, JESSICA MENARDS 05/25/15 TARADASH LAW OFFICE CHILTON YAMBERT PORTER LLP 681 17WC 08872 GARCIA, BELEN TERMAX CORPORATION 06/27/16 STANCZAK LAW OFFICES 682 17WC 08961 SALAS, MARTA E WAUCONDA CARE 12/09/15 HANNIGAN & BOTHA, LTD 683 17WC 08978 VARGAS-REYES, ANNA INTERNATIONAL PRECISION 02/08/17 JASON HAUCK WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 684 17WC 09064 ATKINS, BRENDA GOODWILL INDUSTRIES OS SE 05/20/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 685 17WC 09102 BUBLITZ, DAVID LINCARE 01/17/17 JOHN E LUSAK 686 17WC 09140 LAND, DOYLE ALLIED UNIVERSAL SECURITY 09/17/16 SCHAFFNER RABINOWITZ FEINA 687 17WC 09179 SANCHEZ, MICHEL ELIZABETH TRUJILLO D/B/A 02/22/17 LEE A CAMPBELL LAW OFFICE COZZI & GOGGIN-WARD 688 17WC 09268 HERNANDEZ, NORA ELITE STAFFING 04/13/16 DOUGLAS RALLO PC 689 17WC 09386 VOLODKA, NIKOLAS FOREST BUILDERS, INC 05/20/08 SEIDMAN MARGULIS & FAIRMAN 690 17WC 09402 LOPEZ, WILFREDO ENSEMBLE OF CARE, INC 01/15/16 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM 691 17WC 09419 BATZEL, MICHAEL AIR-RITE HEATING AND COOL 03/03/17 GALLAGHER, DONALD V CACCHILLO LAW GROUP LLC 692 17WC 09452 SPICKA, JAMES M LINCOLNSHIRE RIVERWOODS F 11/05/15 THOMAS W DUDA 693 17WC 09559 SAWYER, JAMAR ABBVIE 03/14/17 JOHN M BORCIA LAW OFFICE 694 17WC 09578 WAGENAAR, MIKE RINGWOOD 12/06/15 VRDOLYAK LAW GROUP LLC 695 17WC 09639 ZABKIEWICZ, ADAM SOLTYS CONSTRUCTION 04/23/15 CHRISTOPHER BUCHCAR, LTD HOLECEK & ASSOCIATES 696 17WC 09803 TWOMEY, JOSEPH AT&T INC 12/08/15 GOLDBERG WEISMAN & CAIRO L 697 17WC 10024 MARTIN, BRIAN ILLINOIS STATE TOLL @ 03/12/17 ANKIN LAW OFFICE GANAN & SHAPIRO 698 17WC 10113 TRAMMELL, KAMALI ARGYLE SECURITY 03/06/17 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 699 17WC 10428 SMITH, BRIAN PAPA JOHN'S 03/20/17 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 700 17WC 10453 MICHELS, KEVIN M ASSOCIATED ELECTRICAL 11/21/16 FRANKS & RECKENBERG ACCIDENT FUND HOLDINGS 701 17WC 10591 CAMPOS, SANTOS WAUCONDA COMMUNITY UNIT 10/08/16 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 702 17WC 10664 VALENZUELA, DARIO TEMPS NOW 03/20/17 SALVATO & O'TOOLE 703 17WC 10770 SUCHOWSKI, PATRICK WELDING APPARATUS 01/01/17 DAVID J. BAWCUM 704 17WC 10920 BULATEK, ROY AFFILIATED FIRE SYSTEMS 02/17/17 NEWLAND & NEWLAND 705 17WC 11152 TOLVER, DEVEN M CITY OF NORTH CHICAGO 02/20/17 LINN, CAMPE & RIZZO LTD 706 17WC 11200 PARKER, JAMES ABCO ELECTRICAL CONSTRUCT 07/12/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 707 17WC 11295 CAMACHO, CELIA RUPRECHT COMPANY 06/16/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 708 17WC 11360 DANIELS, JEAN ABBOT LABS 02/27/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 709 17WC 11372 BEJAR, REBECA WAUKEGAN PUBLIC SCHOOL DI 02/22/17 FERRIS THOMPSON & ZWEIG BRADY CONNOLLY & MASUDA PC 710 17WC 11462 BOSQUE, LOURDES BELMONT VILLAGE SENIOR LI 04/07/17 BARRY STEWART SILVER GAROFALO SCHREIBER STORM 711 17WC 11643 CABRERA, ANA THE XCEL GROUP * 08/16/16 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 712 17WC 11813 IORII, SHERRI JACOBS COMPANY 11/01/16 BARRY A KETTER 713 17WC 12062 LONGO, SHARON L JEWEL FOOD STORES, INC 03/27/17 FIGLIOLI, DAVID 714 17WC 12111 BUCKLEY, RONALD PARAMOUNT STAFFING 02/28/17 COSTA IVONE LLC 715 17WC 12137 SHELDON, EVERETT W THE HOME DEPOT 12/03/16 ROBERT EDENS 716 17WC 12225 LORII, SHERRI JACOBS COMPANY 11/01/16 BARRY A KETTER 717 17WC 12263 NATONEK, THEODORE HOSPIRA, INC. 05/17/15 MARKHAM M JEEP & ASSOCIATE SPIEGEL & CAHILL, PC 718 17WC 12404 SILBER, CARL X POLYURETHANE ENGINEERING 05/27/15 ROSS TYRRELL HOLECEK & ASSOCIATES 719 17WC 12471 WYSE, PATRICIA WALMART INC STORE 1404 01/30/17 SCHRAMM LAW GROUP QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 720 17WC 12666 FOWLER, LAKISHA S.O.I ANN KILEY D.C. @ 08/23/16 CORNFIELD & FELDMAN MALLORY ZIMET 721 17WC 12817 KEOUGH, CHRISTINA M CROWN HOTELS, LLC 03/18/17 LINN, CAMPE & RIZZO LTD 722 17WC 12840 DRAYTON, KAREN GREAT LAKES RESOURCES INC 08/14/16 SKLARE LAW GROUP COZZI & GOGGIN-WARD 723 17WC 12893 CAMACHO BONILLA, DELIN E MVP STAFFING/MOST VALUABL 11/11/16 SOSTRIN AND SOSTRIN PC KOREY RICHARDSON LLC 724 17WC 13173 BUBEL, DAWN UHAUL 12/12/16 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 725 17WC 13291 MARTINEZ, MARIA ALEJANDRA NEMERA * 02/06/17 CULLEN HASKINS NICHOLSON 726 17WC 13404 VAN KAST, MARK GRAYSLAKE COMMUNITY PARK 01/30/17 COLLISON LAW OFFICES HENNESSY & ROACH PC 727 17WC 13572 REDMON, TONIYKA CENTRAL FLORIDA RESTURANT 01/23/17 PAUL A COGHLAN & ASSOC COZZI & GOGGIN-WARD 728 17WC 13641 SHAMBURG, TIMOTHY J DICK'S SPORTING GOODS INC 12/23/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 729 17WC 13662 FAUST, TERRI PEDIATRIC THERAPY SERVICE 09/12/16 BOTTO GILBERT LAW OFFICES JOSEPH MARCINIAK 730 17WC 13689 WILSON, VICKI WOODLAND SCHOOL DISTRICT 02/23/17 DAVID W MARTAY 731 17WC 13806 CABRALES, ISRAEL J ADVACNED DISPOSAL SERVICE 04/24/17 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 732 17WC 13809 HERNANDEZ, ERIKA B BONVIVANT, LLC 11/04/16 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 733 17WC 14063 MOSS, MORGAN SUNRISE SENIOR LIVING 12/28/15 BARRY STEWART SILVER NOBLE & ASSOCIATES PC 17WC014064 -C 734 17WC 14218 CAREY, KEITH NORTH SHORE WATER RECLAMA 04/07/17 DAVID J. BAWCUM 735 17WC 14342 KRUCKENBERG, WILLIAM A ELA TOWNSHIP 08/07/14 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 736 17WC 14413 MONTES, EVA LONG GROVE CONFECTIONARY 05/02/17 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 737 17WC 14432 SALAS, MARTA E WAUCONDA CARE 12/28/15 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 738 17WC 14644 DIGIACINTO, ANDREA VILLAGE OF LIBERTYVILLE 02/22/17 DUDLEY & LAKE LLC 739 17WC 14685 MUNOZ DEL HOYO, DAVID LITTLE LADY FOODS 11/23/16 BAUM RUFFOLO & MARZAL LTD SPIEGEL & CAHILL, PC 740 17WC 14705 PERILLO, JUSTIN CHICAGO BEARS FOOTBALL CL 12/07/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 741 17WC 14789 MULDOWNEY, BERTHA ADVOCATE CONDELL MEDICAL 03/16/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 742 17WC 14850 GARCIA, CONSUELO ARAMARK 03/14/17 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 743 17WC 15066 CRUZ, JOSE MARKET SQUARE RESTAURANT 09/15/16 PAUL F SERKLAND 744 17WC 15333 CAZARES, ADRIANA ECHO INCORPORATED 10/16/16 CULLEN HASKINS NICHOLSON 745 17WC 15402 PEREZ, JUAN PHARMA LOGISTICS 01/21/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 746 17WC 15421 TUZINKIEWICZ, TOMASZ ADVENT TOOL & MANUFACTURI 05/10/17 MADSEN SUGDEN & GOTTEMOLLE 747 17WC 15521 MUNOZ, JOSE A JAFFA SALADS 04/28/17 JONATHAN SCHLACK COZZI & GOGGIN-WARD 748 17WC 15577 CALMEYN, THOMAS DAYTON FREIGHT LINES 06/22/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 749 17WC 15626 SANCHEZ, GLORIA CROSSLAND ECONOMY STUDIOS 11/27/16 TAMVAKIS, GEORGE L COZZI & GOGGIN-WARD 750 17WC 15706 SALGADO, JOSE A HYDRAFORCE, INC 10/14/16 MARSZALEK AND MARSZALEK 751 17WC 15789 ALDRIDGE, JAMES UNISTAFF, INC 12/30/16 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 752 17WC 16066 THREATT, ERIC J ALLENDALE ASSOCIATION 03/15/17 LINN, CAMPE & RIZZO LTD 753 17WC 16130 MCLANAHAN, CYNTHIA MCDONALDS 05/17/17 DWORKIN AND MACIARIELLO 754 17WC 16175 SACHS, MELISSA (WIDOW) ALEX N SILL CO # 05/18/17 JOHN E LUSAK COZZI & GOGGIN-WARD 755 17WC 16408 BOORAS, JAMES BEST COURIER &DELIVERY SE 05/19/17 JASON HAUCK JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 756 17WC 16470 FRANZ, LAURA CRAWFORD & COMPANY 05/04/17 BERNARD WYSOCKI & ASSOCIAT 757 17WC 16728 HERRERA, ANA PATRICIA XCEL GROUP 05/25/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 758 17WC 16831 SANDSTROM, SCOTT RAVINIA PLUMBING & 01/03/17 GOLDBERG WEISMAN & CAIRO L 759 17WC 17017 GONGOLA, MARLEANA J SPECIAL EDUCATION DISTRIC 01/20/17 PETER D CORTI LAW GROUP GOLDBERG SEGALLA LLC 760 17WC 17179 MALONE, MARK UPS (NORTHBROOK) 06/06/17 JOHN E LUSAK NYHAN BAMBRICK KINZIE & LOWR 761 17WC 17236 GOMEZ, CESAR RICK'S AUTO CARE 12/16/16 COSTA IVONE LLC 762 17WC 17261 MAKI, CATHERINE J ROBERT SCHWAKE STONE CO 06/01/17 AIOSSA LAW FIRM 763 17WC 17365 VIDAD, EILEEN BELMONT VILLAGE BUFFALO G 01/09/17 ROGER D RUDICH LTD GAROFALO SCHREIBER STORM 764 17WC 17401 BERRY, LUEVADA ELITE LABOR SERVICE 05/25/17 STEVEN J MALMAN & ASSOCIAT 765 17WC 17624 HUNTER, ROBERT 901 MLK MED MENTUM 06/13/14 766 17WC 17662 FAHLSING, ROBERT C COMMERCIAL PLASTICS COMPA 05/03/17 LINN, CAMPE & RIZZO LTD LAW OFFICES OF EDWARD J. KOZ 767 17WC 17724 BOYLAND, AUBREYANNA CHICAGOLAND DETAIL 05/24/17 STEVEN J MALMAN & ASSOCIAT DWORKIN AND MACIARIELLO 768 17WC 17750 BUNNAG, MARGO J ADVOCATE GOOD SHEPHERD HO 10/18/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 769 17WC 17811 MYERS, JELISSA SIX FLAGS 10/10/16 DWORKIN AND MACIARIELLO 770 17WC 17891 SAVIGNANI, DANIEL R GALASSINI & ORI MASONRY I 05/16/17 LINN, CAMPE & RIZZO LTD 771 17WC 18039 SILER, MARIO LAKE FOREST SD #67 04/27/17 KUMLIN & FROMM 772 17WC 18144 CARRANZA, RAMIRO NUWAVE, LLC * 03/15/17 HANNIGAN & BOTHA, LTD 773 17WC 18294 STARE, DAWN ZION DISTRICT 6 SCHOOLS * 05/11/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 774 17WC 18369 DUNN, ROBERTA ZION PARK DISTRICT * 06/13/17 GOLDBERG WEISMAN & CAIRO L 775 17WC 18388 MELZER, KELLY SEDOL * 05/03/17 BOWMAN & CORDAY 776 17WC 18483 PRONDZINSKI, CRAIG FIDELITONE, INC. * 04/17/17 TARADASH LAW OFFICE 777 17WC 18581 PUMPHREY, BRYAN KLEINSCHMIDT, INC * 05/25/17 COSTA IVONE LLC 778 17WC 18642 SIMUNDIC, EDWARD J, JR CYGNET CONTROLS, INC * 08/29/16 KOSIN LAW OFFICE LTD 779 17WC 18667 APONTE, JESUS GRAEBEL VAN LINES * 01/16/16 SOSTRIN AND SOSTRIN PC 780 17WC 18836 SUTTER, MICHELLE DURHAM SCHOOL SERVICES/ * 05/12/17 POSTERLI, OSCAR BRADY CONNOLLY & MASUDA PC 781 17WC 18900 GONZALEZ, MARIA G LTD COMMODOTIES, LLC * 04/04/16 TAMVAKIS, GEORGE L 782 17WC 18999 VARELA, PRISCILLA HMS HOST * 04/24/17 FREDRICK B BARDER, LTD 783 17WC 19037 PEETE, JOHN M CITY OF WAUKEGAN * 07/14/16 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 784 17WC 19124 TREVINO, CESAR VICTORY CENTER OF VERNON * 06/17/17 FIGLIOLI, DAVID 785 17WC 19230 MUJICA, SALVADOR CARTER-HOFFMANN * 04/21/17 SEIDMAN MARGULIS & FAIRMAN 786 17WC 19281 ANTONOPOULOS, KONSTADINA DEERFIELD HS/TOWNSHIP DIS * 09/15/16 DUDLEY & LAKE LLC 787 17WC 19353 NOVOTNY, EDWARD AEROTEK * 05/18/17 KATZ FRIEDMAN EAGLE ET AL 788 17WC 19553 KITCHEL, ANNE BAXTER HEALTHCARE CORPORA * 05/24/07 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 789 17WC 19606 GRILLO, SOPHIA MACY'S * 03/16/17 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 790 17WC 19729 GRAHAM, TRACY WARREN BARR LINCOLNSHIRE * 05/13/17 LEONARD LAW GROUP LLC 791 17WC 19873 GOETZ, WALTER BAUERS CATERING * 03/25/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 792 17WC 19890 JAMES, HENRY LEE SOUTHWIRE * 06/26/17 LAW OFFICES TIMOTHY HENDER GANAN & SHAPIRO 793 17WC 20065 GORSKI, LAURA HOME DEPOT * 07/05/17 LAW OFFICE OF ROBERT J. IR MC ANDREWS & NORGLE LLC 794 17WC 20091 VARNO, COREY CHICAGO WHOLESALE AUCTION * 11/24/16 TAMVAKIS, GEORGE L 795 17WC 20226 MARCEL, MICHAEL P. MILLER'S AREA HEATING * 05/11/17 ANESI OZMON RODIN NOVAK KO 796 17WC 20283 DELGADO, ALEJANDRO SERENO'S INSULATION * 10/02/15 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 17WC020284 -C 797 17WC 20421 HUGHES, DANIEL G NEW ALBERTSON'S D/B/A * 06/14/17 LINN, CAMPE & RIZZO LTD 798 17WC 20512 HARRIS, CHARLES SIX FLAGS GREAT AMERICA, * 06/08/17 GORDON & CENTRACCHIO LLC 799 17WC 20516 GONZALEZ, MARISOL ANDREWS STAFFING * 07/10/17 HERRERA LAW CENTER 800 17WC 20557 GOMEZ, VICENTE UNIVERSITY OF SAINT MARY * 06/22/17 JONATHAN SCHLACK 801 17WC 20570 WILLIAMS, LINDA PENSKE * 06/20/17 DUDLEY & LAKE LLC 802 17WC 20786 REYNOLDS, KENNETH AMERICAN AUTO EXPO * 08/30/16 DOUGLAS RALLO PC 803 17WC 20843 CUEVAS, MARIA L HORIZONS WINDOW FASHIONS * 06/21/17 BERNARD WYSOCKI & ASSOCIAT 804 17WC 20907 EUCOLONO, MATTHEW PACE * 06/09/17 ANTHONY J MAY 805 17WC 20920 FERRY, WARREN T. ZION BLDG DEPT * 01/04/16 BARRY A KETTER 806 17WC 20947 ALBARRAN, JORGE SMART TEMP,INC * 10/20/15 ANTHONY J MAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 17WC 20974 O'KEEFE, MARGARET CRABTREE & EVELYN, LTD * 12/19/16 HOLECEK & ASSOCIATES 808 17WC 21110 MONTGOMERY, JASON PAYNE & DOLAN * 09/28/16 KEVIN P. JUSTEN PC STONE & JOHNSON CHARTERED 17WC021111 -C 809 17WC 21181 KEETON, ANGELA GLENKIRK * 09/09/15 DUDLEY & LAKE LLC 810 17WC 21223 PAAR JR, CARL A MORGAN ADMINISTRATION * 05/12/17 DOUGLAS RALLO PC 811 17WC 21314 ORTEGA, RITA AKA LOPEZ KEY LIME COVE * 07/20/16 JONATHAN SCHLACK 812 17WC 21388 CASHMORE, MICHAEL TRADESMAN INTERNATIONAL * 07/17/17 POSTERLI, OSCAR 813 17WC 21455 BORLAND-MATUS, BERTHA CANCER TREATMENT CENTER * 04/26/17 BRISKMAN BRISKMAN GREENBER 814 17WC 21610 CHERRY, CHRISTOPHER R LAKESIDE GLASS & MIRROR * 04/02/16 LINN, CAMPE & RIZZO LTD 815 17WC 21644 WARDEN, ZACKARY M DELI SOURCE * 01/04/17 MARKS INJURY LAW 816 17WC 21776 GATES, CHARLES ABC SUPPLY COMPANY, INC * 03/03/17 KINNALLY FLAHERTY KRENTZ & 817 17WC 21818 WASHINGTON, QUINIA KILEY DEVELOPMENTAL CENTE * 12/22/15 LAW OFFICE JEFFREY FRIEDMA ASSISTANT ATTORNEY GENERAL 818 17WC 21919 SANTOS, JULIO LABOR SOLUTIONS, LLC * 05/17/17 CULLEN HASKINS NICHOLSON 819 17WC 22001 SAVOIA, DANIEL NORTHSHORE WATER RECLAMAT * 01/18/17 KROL BONGIORNO & GIVEN LTD 820 17WC 22079 WEINHANDL, ROGER MEDLINE INDUSTRIES * 07/17/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 821 17WC 22197 JOHNSON, JOSEPH AMETEK POWVAR * 07/26/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 822 17WC 22289 ALBAVERA, EMILIA LINCOLNSHIRE MARRIOT RESO * 06/23/17 STEIN & CHERNY LTD 823 17WC 22424 CAMPOS, ARMANDO JIMMY'S MASONRY * 06/09/17 DUDLEY & LAKE LLC 824 17WC 22502 BLAIR, DONALD JEWEL FOOD/ALBERTSON'S * 07/03/17 WILLIAM MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 17WC 22581 ANDERSON, TRAVIS RELIABLE TRADE SERVICES, * 04/04/17 TARADASH LAW OFFICE 826 17WC 22783 DIXON, LINDA CITY OF HIGHLAND PARK * 06/29/17 LANGENDORF, ROBERT A POWER & CRONIN LTD 827 17WC 22838 TORGERSEN, PAUL LLD ELECTRIC CO * 06/14/17 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 828 17WC 22910 WALKER, DORIS STAFFING NETWORK * 07/24/17 SLAVIN & SLAVIN 17WC026098 -C THE STAFFING NETWORK 829 17WC 23001 JAHN, ANDREW P NEW ALBERTSON'S DBA JEWEL * 05/09/17 LINN, CAMPE & RIZZO LTD 830 17WC 23216 PEREZ, JAVIER LIQUID CONTROLS * 06/07/17 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 831 17WC 23336 LECHUGA, SALVADOR WEST ROCK * 06/15/15 LINN, CAMPE & RIZZO LTD 832 17WC 23339 HERL, CHRISTINA M WALGREENS * 12/26/16 LINN, CAMPE & RIZZO LTD 833 17WC 23428 DIAZ, CHRISTINA THE ANIMAL HOSPITAL OF GU * 04/18/17 LAW OFFICE NANCY HIRSCH LL COZZI & GOGGIN-WARD 834 17WC 23549 SANCHEZ, FERNANDO YANEZ ELITE STAFFING * 05/29/17 WOODRUFF & JOHNSON 835 17WC 23580 DELGADO, JUAN PNR PAINTING PLUS, INC * 07/15/17 BARRY STEWART SILVER 836 17WC 23969 WEBER, KEITH BUTERA FINER FOODS * 08/02/15 DIBELLA LAW FIRM PC CHILTON YAMBERT PORTER LLP 837 17WC 23994 BOJKO, RAFAL TOP LINE CONSTRUCTION; 07/28/17 ALEKSY BELCHER 838 17WC 24002 MERKLING, DANNY NORTH SHORE GAS CO * 06/15/16 MC CABE & HOGAN 839 17WC 24083 LEVY, JOSEF G SPECIALIZED TESTING & BAL * 08/05/16 LINN, CAMPE & RIZZO LTD CAPUANI & SCHNEIDER 840 17WC 24088 BRADEK, RICHARD A MCKEE FOODS CORPORATION I * 12/22/16 LINN, CAMPE & RIZZO LTD 841 17WC 24182 BARKUS, MELISSA M SCHAFF INTERNATIONAL * 08/11/17 DOUGLAS RALLO PC 842 17WC 24211 MORALES, JOSE LUIS JSL BUILDING RESTORATION * 08/01/17 O'CONNOR & NAKOS ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 17WC 24266 FLORES, PEDRO CARNICERIA Y FRUTERIA EL * 07/31/17 DUDLEY & LAKE LLC 844 17WC 24471 HERNANDEZ, ABEL LURVEY LANDSCAPE SUPPLY * 06/14/17 HERRERA LAW CENTER 845 17WC 24526 ZEFFERY, DAVID T WEBSTER DENTAL CARE OF * 05/10/17 FIGLIOLI, DAVID 846 17WC 24574 TEMPLEMAN, DUANE S VACATION VILLAGE * 08/10/17 HANNIGAN & BOTHA, LTD 847 17WC 24687 DUNCAN, DERRICK PAULY MOTORS INC * 06/01/17 MARKS INJURY LAW 848 17WC 24833 BUSSE, JEFF LAKESHORE BEVERAGE * 08/02/17 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 849 17WC 24897 OCAMPO, LUCIA ANDREW STAFFING * 08/17/17 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 850 17WC 24970 JOSEFSON, CYNTHIA A NEW ALBERTSON'S INC D/B/A * 04/10/17 LINN, CAMPE & RIZZO LTD 851 17WC 24977 OLIVA, HENRY MCNELLY SERVICES, INC * 06/13/16 SALGADO, DAVID L 852 17WC 25083 IVERSON, MELANIE SMALL TOWN BREWERY * 08/06/17 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 853 17WC 25161 BARRAGAN, OLGA BRIDGEMAN FOODS * 06/24/17 STROM, NEAL B WILSON ELSER 854 17WC 25197 HERNANDEZ, YURIDIA ELITE STAFFING * 08/16/17 AIOSSA LAW FIRM 855 17WC 25258 ROSARIO, DELIA SOUTH WIRE * 01/17/17 BARRY A KETTER GANAN & SHAPIRO 856 17WC 25375 MORALES, MARIO METALEX * 07/13/17 HANNIGAN & BOTHA, LTD 857 17WC 25380 RODRIGUEZ, MARIA JEWEL OSCO * 08/18/17 HANNIGAN & BOTHA, LTD 858 17WC 25471 ZEGLIN, THOMAS CURRENT ELECTRIC * 11/13/14 ROSENBERG EISENBERG ASSOC RUSIN & MACIOROWSKI LTD 859 17WC 25506 SUMONJA, CLINT W ROUND LAKE SCHOOL DIST 11 * 05/01/17 MARKS INJURY LAW 860 17WC 25578 BENITEZ, JAIME TERMAX CORPORATION * 07/28/16 MADSEN SUGDEN & GOTTEMOLLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 861 17WC 25687 SUMMY, TOM THE SHUTTER HUT INC. * 08/09/17 LEONARD LAW GROUP LLC 862 17WC 25919 SALATA, DALE T PEPSICO, INC * 05/16/17 LEWIS & DAVIDSON, LTD ROBERT L. SMITH 863 17WC 25940 RUIZ, EDUARDO DIRECT METALS CO LLC * 08/03/17 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 864 17WC 25979 PFLEGER, TIMOTHY S COUNTY OF LAKE * 08/15/15 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 865 17WC 25985 PFLEGER, TIMOTHY S COUNTY OF LAKE * 07/28/17 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 866 17WC 26177 DOMIN, RON EURO LLC * 11/10/15 HOLECEK & ASSOCIATES 867 17WC 26269 SANCHEZ, LAZARO ECHO INCORPORATED * 07/06/17 CULLEN HASKINS NICHOLSON 868 17WC 26289 OCHSNER, VINETA A KOHL'S DEPARTMENT STORES * 10/15/14 HENNESSY & ROACH PC 869 17WC 26372 KITTERMAN, CYNTHIA FRESNIUS KABI USA LLC * 06/22/17 HENNESSY & ROACH PC 870 17WC 26424 SERZYNSKI, PAUL S LAKE COUNTY DIVISION OF * 11/24/16 HANNIGAN & BOTHA, LTD WOLFE & JACOBSON, LTD 871 17WC 26568 RAMIREZ, MARIA APAK, INC 02/13/17 CULLEN HASKINS NICHOLSON 872 17WC 26646 CALDERON, MARIA COSTCO * 08/27/17 BAUM RUFFOLO & MARZAL LTD GANAN & SHAPIRO 873 17WC 26678 ALAMO, VINCENT WINDY CITY DELI PROVISION * 08/10/17 ANGELINI & ORI LLC 874 17WC 26908 ALEJANDRO, ERNEST WAUCONDA COMMUNITY UNIT S * 08/24/16 KEVIN P. JUSTEN PC 875 17WC 27127 ORGANISTA, ANTONIO NOISE BARRIERS, LLC * 07/13/17 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 876 17WC 27208 BLACKOWICZ, JEFF HOME DEPOT USA, INC * 07/11/17 JASON HAUCK 877 17WC 27387 CRUZ, DION DE LA ANN M KILEY CENTER * 07/25/17 POSTERLI, OSCAR 878 17WC 27460 ARANDA, AURORA TARGET * 08/21/17 RUEDA, IVAN A

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 879 17WC 27469 ARANDA, AURORA TARGET 08/21/17 CULLEN HASKINS NICHOLSON 880 17WC 27512 BARNER, SHANNON AT&T 04/14/17 BELLAS & WACHOWSKI 881 17WC 27580 RODRIGUEZ, FERNANDO QUALITY CATRING 03/06/17 ANGELINI & ORI LLC 882 17WC 27619 CRUZ, MAYRA SURE STAFF 08/23/17 HERRERA LAW CENTER LOUIS MUNDY 883 17WC 27693 BUDRIS, BRIAN A CITY OF WAUKEGAN 07/29/16 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 884 17WC 27696 TAYLOR, JAMES B SAV-A-TREE 07/14/17 LINN, CAMPE & RIZZO LTD 885 17WC 27734 DEL REFUGIO AYALA, JOSE WOODLAWNS LANDSCAPING CO 04/22/17 JONATHAN SCHLACK 886 17WC 27804 VILLARREAL, ELIA ANN KILEY CENTER 07/25/17 DUDLEY & LAKE LLC 887 17WC 27813 DETINA, JEFFREYS FED EX 07/13/17 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 888 17WC 28017 GOMEZ, YADIRA SEDGEBROOK 02/07/17 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 889 17WC 28090 SALGADO, JAVIER LABOR SOLUTIONS 08/03/17 MARKS INJURY LAW 890 17WC 28150 HUBBARD, BRUCE LAZER SPOT INC 09/07/17 LAW OFFICE JEFFREY FRIEDMA 891 17WC 28318 MCALEVY, BONNIE WOODLAND CCSD #50 12/22/16 DEER & STONE PC WIEDNER & MCAULIFFE LTD 892 17WC 28421 REBOLLEDO, RICARDO SUPER FRESH MARKET & 03/30/17 DEPAOLO ZADEIKIS GORE 893 17WC 28433 JUREK, JOSEPH M CIT OF WAUKEGAN POLICE 12/26/16 HANNIGAN & BOTHA, LTD 894 17WC 28486 EFRALEW-WEBER, HELENE ILLINOIS BONE AND JOINT 09/08/16 BARRY STEWART SILVER LAW OFFICES OF EDWARD J. KOZ 895 17WC 28563 ROBINSON, MICHELLE GIDTWITZ PLACE 08/06/17 SEIDMAN MARGULIS & FAIRMAN 896 17WC 28615 POTERACKI, SARAH GREAT AMERICA LLC 06/30/14 ROSS TYRRELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 897 17WC 28688 ROGERS, RITA WW GRAINGER CORP OFFICE 08/24/17 ALBERT R. PINO LAW OFFICE ASA LAW GROUP 898 17WC 28708 HARTSTEIN, JUDY SCHOOL DISTRICT 96 08/29/17 NEWLAND & NEWLAND 899 17WC 28757 BARRETT, MICHAEL ROBERT I CDI CORPORATION 08/24/17 DOUGLAS RALLO PC 900 17WC 28794 PARISI, MARY KAY LAURETTA'S ITALIAN BAKESH 02/12/16 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 901 17WC 28797 STECHER, JEFFREY R SUPERIOR AMBULANCE 09/04/16 LINN, CAMPE & RIZZO LTD 902 17WC 28859 COIRIER, RICHARD WAUCONDA SD 118 05/25/17 SEIDMAN MARGULIS & FAIRMAN 903 17WC 28899 GERAGHTY, PEGGY THE FRESH MARKET 09/28/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 904 17WC 28930 GOLD, DEIDRA WOLTERS KLUWER UNITED STA 02/02/17 STEPHAN L. HOFFMAN HOLECEK & ASSOCIATES 905 17WC 29045 RUCK, SHAWN VAN VLISSINGEN & CO 10/24/14 GRAZIAN & VOLPE PC RUSIN & MACIOROWSKI LTD 906 17WC 29137 FOLLMAN, CODY WAL-MART STORES 12/13/16 SAUNDERS CONDON & KENNY GANAN & SHAPIRO 907 17WC 29302 HARDEMAN, APRIL EMCO CHEMICAL DISTRIBUTIO 09/05/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 908 17WC 29333 BIRKENBACH, PAUL LOWES 05/10/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 909 17WC 29445 TRIMBORN, GABRIELLA VETERINARY SPECIALTY CTR, 04/10/15 ANESI OZMON RODIN NOVAK KO 910 17WC 29509 RIVERA, CARMEN SAFEWAY TRANSPORTATION 09/12/17 HANNIGAN & BOTHA, LTD ROBERT L. SMITH 911 17WC 29590 SKUTA, DAN CHICAGO BEARS FOOTBALL CL 05/09/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 912 17WC 29609 NHEM, SAREK LAKE COUNTY COURTHOUSE 11/11/16 PAUL A COGHLAN & ASSOC SMITH AMUNDSEN LLC 913 17WC 29669 LADEAN, ROBERT LAKE FOREST HOSPITAL 09/02/17 EFTEKHARI LAW OFFICES 914 17WC 29753 DESTRY, LYNN MARIANOS 06/02/17 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 915 17WC 29899 GONZALEZ, JUAN A BRIGHT VIEW 07/19/17 LINN, CAMPE & RIZZO LTD 916 17WC 29903 MORALES, BRENDA LABOR SOLUTIONS 09/18/17 LINN, CAMPE & RIZZO LTD 917 17WC 29918 CARRILLO, GUSTAVO SCHMECHTIG LANDSCAPES * 09/08/17 POSTERLI, OSCAR HEYL ROYSTER VOELKER & ALLEN 918 17WC 29943 BALLINGTON, JOSHUA HARRIS DAVIS REBAR 09/27/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 919 17WC 30004 HOLBACH, ROBERT SIX FLAGS GREAT AMERICA 07/27/16 LINN, CAMPE & RIZZO LTD 920 17WC 30066 VALLE, AARON COCA-COLA 07/31/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 921 17WC 30231 BEREZA, IRENEUSZ T VILLAGE OF LAKE ZURICH 11/09/16 LINN, CAMPE & RIZZO LTD 922 17WC 30234 URBANCIS, MICHAEL D PFASTIEHL LABORATORIES, I 03/16/17 LINN, CAMPE & RIZZO LTD 923 17WC 30286 GARCIA, PATRICIA THORNTON'S 03/16/17 DAVID J. BAWCUM GRANT & FANNING 924 17WC 30289 KOWALCZYK, RONALD TERMAX CORPORATION 07/17/16 DAVID J. BAWCUM 925 17WC 30350 DELGADO, JAIME ROMAN RUPRECHT COMPANY 08/17/17 AIOSSA LAW FIRM 926 17WC 30406 MCCANN, ERIC LAKE SHORE STAIR CO 06/13/17 BRADY CONNOLLY & MASUDA PC 927 17WC 30421 HARRISON, TAMMARA VILLAGE OF VICTORY LAKES 02/15/17 ROBERT EDENS ARNETT LAW GROUP 928 17WC 30452 VENSKI, AMY THE HOME DEPOT 10/02/17 HANNIGAN & BOTHA, LTD ADELSON TESTAN & BRUNDO 929 17WC 30464 VERA, FATIMA AFX INC 08/22/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 930 17WC 30488 SONDERS, KELLY S DEEFIELD PARK DISTRICT 05/07/16 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 931 17WC 30566 SCOTT, JAMES AMS EARTH MOVERS, INC 10/06/17 MARKS INJURY LAW INMAN & FITZGIBBONS 932 17WC 30631 DUPREE, JAMES D VILLAGE OF GURNEE 05/02/17 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 933 17WC 30743 BROWDER, DANIELLE CULVER'S * 10/06/17 HANNIGAN & BOTHA, LTD 934 17WC 30800 ROE, GORDON J ILLINOIS STATE TOLL * 07/11/17 BAUM RUFFOLO & MARZAL LTD 935 17WC 30848 BECERRA, ANDRE R STONE DEVELOPMENT GROUP, * 09/19/17 LUCAS & APOSTOLOPOULOS 936 17WC 30917 KHALATOVA, KARINA CITICARE TRANSPORTATION/ * 12/09/16 LAW OFFICES YEVGENIY VAYSM 937 17WC 31020 KOTLIAR, ALEXANDER VCI CALL CENTER/VOLKSWAGE * 09/22/17 LAW OFFICES YEVGENIY VAYSM 938 17WC 31084 AGUILAR, OSWALDO XCEL STAFFING SOLUTIONS, * 03/28/17 JASON HAUCK POWER & CRONIN LTD 939 17WC 31093 HERNANDEZ, NARDALIA TEMPS NOW EMPLOYMENT & * 07/14/17 FERRIS THOMPSON & ZWEIG 940 17WC 31151 GARCIA, JESSIE ACCURATE PERSONNEL LLC * 10/09/17 ANKIN LAW OFFICE 941 17WC 31215 SHIVERS, JOYCE GLENLAKE TERRACE * 09/19/17 STEVEN J TENZER, LTD LAW OFFICES FRANCESCA LARSEN 942 17WC 31237 RICHMOND, LISA MARIANO'S FRESH MARKET * 08/02/17 EFTEKHARI LAW OFFICES 943 17WC 31295 TREJO, MANUEL SCHWAN ELECTRIC * 06/28/17 NILSON STOOKAL GLEASON CAP 944 17WC 31384 REED, PERRY MIDWAY SERVICES * 04/26/16 RIPES NELSON BAGGOT KALOBRAT 945 17WC 31420 VILLEGAS, ARMANDO MEDLINE INDUSTRIES INC * 09/20/17 RUEDA, IVAN A 946 17WC 31461 HERNANDEZ, MARTIN HORIGAN TREE CARE, LLC * 08/25/17 SOSTRIN AND SOSTRIN PC KNELL & O'CONNOR 947 17WC 31485 CASTREJON, REYNOL EXMOOR COUNTRY CLUB * 10/09/17 STEWART C ORZOFF 948 17WC 31567 DIEBEL, ANN BLUEMERCURY, INC * 09/08/17 TARADASH LAW OFFICE ROBERT L. SMITH 949 17WC 31648 MARTINEZ, BENITO R PAUL'S LANDSCAPING * 07/24/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 950 17WC 31671 BRESNAHAN, KATHLEEN PEAPOD * 09/25/17 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 951 17WC 31746 HEARON, DOMINIQUE PAVILLION OF WAUKEGAN * 09/23/17 DWORKIN AND MACIARIELLO 952 17WC 31784 LEFT, JOHN B CEVA LOGISTICS * 09/26/17 DOUGLAS RALLO PC 953 17WC 31790 BARIGAZZI, MASSIMO CITY OF HIGHLAND PARK * 10/13/17 DOUGLAS RALLO PC POWER & CRONIN LTD 954 17WC 31878 DARBY, TIFFANY SURESTAFF, INC * 09/07/17 THE ROMAKER LAW FIRM LOUIS MUNDY 955 17WC 31942 GUTIERREZ, ABEL JR. NORTH SHORE GAS CO/INTEGR * 07/07/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 956 17WC 31995 SONETZ, LOUIS GREAT LAKES ELECTRICAL * 09/19/17 ALEKSY BELCHER 957 17WC 32055 LINDSTROM, SARA THE LAMBS FARM INC. * 07/21/16 COZZI & GOGGIN-WARD 958 17WC 32155 RAMIREZ, JUAN AAA BETTER ROOF INC * 08/17/17 FRIEDMAN, MICHAEL T & ASSO 959 17WC 32217 JONES, CARNELL THE HOME DEPOT * 02/08/17 STANCZAK LAW OFFICES 960 17WC 32326 CROWLEY, GREG ABBVIE * 12/19/16 ASHER, RAYMOND L LTD 961 17WC 32393 SANCHEZ, EUNICE CHASE PROFESSIONALS * 10/09/17 HERRERA LAW CENTER 962 17WC 32454 TRUJILLO, EMILIO MOORE LANDSCAPES, LLC * 09/13/17 DUDLEY & LAKE LLC 963 17WC 32510 SEGURA GUERRERO, JULIAN STONE SYSTEMS, INC * 08/14/17 DUDLEY & LAKE LLC LAW OFFICES FRANCESCA LARSEN 964 17WC 32625 NEUMANN, DIANA JEWEL FOOD STORES, INC. * 06/07/17 JASON HAUCK 965 17WC 32735 CECKOWSKI, PATSY ARBOR MANAGEMENT, INC * 10/04/16 GANAN & SHAPIRO 966 17WC 32807 ESQUIVEL, JOSE DC TRICORE INC * 10/19/17 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 967 17WC 32913 OJEDA, YAZMIN QUALITY LABOR SERVICES LE * 10/16/17 HANNIGAN & BOTHA, LTD 968 17WC 32966 JACOB, JUVENAL TESLA SUPERCHARGER * 10/17/17 CHEPOV & SCOTT LLC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 969 17WC 33030 JAHN, ANDREW P NEW ALBERTSON'S DBA JEWEL * 10/07/17 LINN, CAMPE & RIZZO LTD 970 17WC 33083 COLINO, ANGELINA JEWEL OSCO * 06/13/17 LAW OFFICE OF SCOTT B SHAP 971 17WC 33114 LARSEN, BRADLEY IHC CONSTRUCTION * 04/14/17 FRANCIS J DISCIPIO LAW OFF 972 17WC 33161 GASTON, HENRY CANCER TREATMENT CENTERS * 06/20/17 AIOSSA LAW FIRM 973 17WC 33269 GAUDARRAMA, ROSA GREAK LAKES RESOURCES, IN * 09/12/17 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 974 17WC 33406 WICKERSHEIM, LIZET VACATION VILLAGE CONDOMIN * 08/10/17 HENNESSY & ROACH PC 975 17WC 33504 ORTIZ, GUADALUPE LABOR SOLUTIONS LLC * 02/14/17 MC ANDREWS & NORGLE LLC 976 17WC 33543 JOHNSON, SANDRA A ZION BENTON TOWNSHIP HS * 07/25/17 COHN & COHN 977 17WC 33560 INGLESE, GARY HOLLISTER INC * 04/15/14 INMAN & FITZGIBBONS 978 17WC 33677 MARTINEZ-SALAMANCA, DELMY LABOR SOLUTIONS, LLC * 09/21/17 JONATHAN SCHLACK 979 17WC 33741 BALDINO, DONALD VILLAGE OF LIBERTYVILLE * 03/10/16 POWER & CRONIN LTD 980 17WC 33834 VASQUEZ, JOSE LTS MOTORWORKS * 04/19/17 BRADY CONNOLLY & MASUDA PC 981 17WC 33846 HOWARD, RUSSELL PAPPAS COMPANY * 10/10/17 KUMLIN & FROMM 982 17WC 33906 ROGERS, TERRANCE E ELITE STAFFING INC * 09/06/17 ANKIN LAW OFFICE 983 17WC 34044 PUGH, LATONJA MATTHEWS EMPLOYMENT/ * 11/02/17 DUDLEY & LAKE LLC 984 17WC 34055 TIMMONS, KISHEYA RANSTAD MANUFACTURING LOG * 05/08/17 AIOSSA LAW FIRM 985 17WC 34101 MORENO, OSCAR LUNA MIGUEL LANDSCAPING * 10/27/16 LARRY FLEISCHER & ASSOCIAT 986 17WC 34165 MONDROWSKI, MARK METRA RAILROAD * 11/20/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 987 17WC 34202 WILLIAMSON, ROYCE TRADER JOE'S CO * 06/19/17 RITTENBERG & BUFFEN 988 17WC 34218 BIEMOLT, ANN PET ADVENTURES LLC * 11/04/17 GORDON & CENTRACCHIO LLC 989 17WC 34350 HOLLEN, MAXWELL LEGENDARY MASONRY * 10/18/17 JEROME FOREMAN & ASSOCIATE 990 17WC 34375 BARRERA, PHIL FEDEX FREIGHT * 07/08/16 JOHN M BORCIA LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 991 17WC 34431 ARIAS, FERNANDO US ACRYLICS * 09/12/17 GORDON LAW OFFICES LTD 992 17WC 34494 SVEDMAN, AMANDA LAKESIDE CENTER * 11/02/17 BRILL & FISHEL 993 17WC 34520 SONETZ, LOUIS ALDRIDGE ELECTRIC, INC * 04/11/17 ALEKSY BELCHER 994 17WC 34641 GLORIOSO, CAROLYN JEWEL-OSCO * 09/05/17 RUSSO & RUSSO LTD 995 17WC 34682 ROLDAN, JOSE M STAFFING NETWORK * 07/15/17 LINN, CAMPE & RIZZO LTD 996 17WC 34755 PIETURA, TERESA LAKE PARK CTR * 10/22/17 NILSON STOOKAL GLEASON CAP 997 17WC 34780 MARX, CARY A ART VAN FURNITURE * 09/28/17 WILLIAM MARTAY HOLECEK & ASSOCIATES 998 17WC 34829 BAKER-BERGLUND, ANNIE COMFORCARE * 09/25/16 BERNARD WYSOCKI & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 999 17WC 34897 CHAMBERS, BRIAN GHC MECHANICAL INC * 07/18/17 GREGORIO & MARCO 1000 17WC 34960 BAILEY, HOURISE PARAMOUNT STAFFING * 09/12/17 DWORKIN AND MACIARIELLO 1001 17WC 35073 FLORES, YOLANDA XCEL STAFFING SOLUTIONS L * 10/31/17 SALK, STEVEN B & ASSOC LTD GILDEA & COGHLAN 1002 17WC 35276 ANZALONE, JOHN VCNA PRAIRIE MATERIAL * 10/24/17 DOUGLAS RALLO PC GAROFALO SCHREIBER STORM 1003 17WC 35473 SCHABB, TIMOTHY AT&T * 09/23/17 THOMAS J STIBERTH LAW OFFI 1004 17WC 35528 DELANEY, MARSHALL WORKFORCE CICERO * 10/13/17 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WAUKEGAN 50001 ON 01/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1005 17WC 35613 HELING, JERRY SANCKEN TRUCKING INTL * 09/14/16 HORWITZ HORWITZ & ASSOC 1006 17WC 35677 MARTINEZ, RIGOBERTO DE YOUNG TRUCKING & EXCAV * 11/09/17 DWORKIN AND MACIARIELLO 1007 17WC 35733 HANZELIN, KENNETH FEDEX GROUND EXPRESS * 11/08/17 BURNETT & CARON, LTD 1008 17WC 35816 SELMAN, PHIL BUFFALO GROVE PARK DISTRI * 10/18/17 BAUM RUFFOLO & MARZAL LTD 1009 17WC 35863 GOLDMAN, RACHEL SHAG BAK PET RETREAT & SP * 06/21/17 HANNIGAN & BOTHA, LTD 1010 17WC 36010 SWEENEY, NATHAN HIGHLAND PARK HIGH SCHOOL * 12/02/15 NYHAN BAMBRICK KINZIE & LOWR 1011 17WC 36062 JOHNSON, CLIFFTINA MANPOWER * 12/03/17 DWORKIN AND MACIARIELLO 1012 17WC 36092 ESPINOSA, SANTOS ALERIS * 04/20/17 WEISS ORTIZ PC 1013 17WC 36128 GUTIERREZ, EDUARDO SUPERIOR SHEET METAL & HE * 09/21/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 1014 17WC 36358 TORRES, JOSE ANTONIO TOST PRAIRIE EQUINE VETERINARY * 10/13/17 DAVID J. BAWCUM 1015 17WC 36436 RUBIO, JUAN A DREAMSCAPES HARDSCAPES & * 10/13/17 FERRIS THOMPSON & ZWEIG 1016 17WC 36509 HOLLEMAN, NORA BAXTER HEALTH CARE * 05/26/17 DWORKIN AND MACIARIELLO 1017 17WC 36609 MULLINS, JAUNZEL TACO BELL/ YUM BRANDS INC * 10/22/17 DEER & STONE PC 1018 17WC 36681 BLAS, FRANCISCO POUL'S LANDSCAPING & NURS * 11/16/17 COSTA IVONE LLC 1019 17WC 36731 MELESIO, JOSE G AIRWAYS SYSTEMS INC * 10/07/16 WIEDNER & MCAULIFFE LTD