ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 03097 RAMIREZ, ELIZABETH HEALTHCARE ALTERNATIVE SY 09/20/01 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS, LTD. 2 07WC 15696 CHRACA, ANDRZEJ UNITED WOODWORKING, INC 04/19/04 JOHN C WUNSCH, PC BRADY CONNOLLY & MASUDA PC 3 08WC 11724 RESIC, BEKIR BOWE BELL AND HOWELL 12/14/07 RITTENBERG & BUFFEN GALLIANI DOELL & COZZI LTD 4 08WC 35714 SZLAPCZYNSKI, STEFAN ANDREAS R VASSILOS @ W 07/23/08 BELLAS & WACHOWSKI 5 08WC 37906 KARKOSZ, KAJETAN NORMAN MECHANICAL 06/30/08 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 6 08WC 50098 BURTON, RENE V STATE OF ILLINOIS @ 07/05/06 LOCASCIO, MARK A LTD ASSISTANT ATTORNEY GENERAL 7 09WC 00596 MENDEZ, DOLORES CHICAGO BOARD OF EDUCATIO 12/16/08 MINKOW DOMIN LAW DEPARTMENT 8 10WC 31719 PITCHFORD, DARWINTA CITY OF CHICAGO 07/24/10 CULLEN HASKINS NICHOLSON 9 10WC 36070 WROBEL, MARK ARKANSAS BEST FREIGHT 11/14/08 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 17WC029481 -C ABF FREIGHT 10 10WC 40045 19B BARHOUMEH, KEN CITY OF CHICAGO 10/10/10 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 12WC005993 -C 13WC001783 -C 16WC034125 -C 11 10WC 42396 WOODS, TERRY CHICAGO TRANSIT AUTHORITY 10/06/10 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 12 11WC 01836 DAVIDSON, CHARLES CITY OF CHICAGO DEPT OF 05/11/10 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 13 11WC 29799 O'NEILL, DANIEL CASE FOUNDATION COMPANY 09/02/08 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 14 11WC 29842 CHANEY, BILLY F, SR STATE OF IL 07/19/11 MARSZALEK AND MARSZALEK COLIN KICKLIGHTER 11WC029843 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 36335 ARNOLD, LARON LORETTO HOSPITAL 08/15/11 NEMEROFF LAW OFFICES GAROFALO SCHREIBER STORM GRA 16 11WC 41716 CRUZ, MARCELA WEBER GRILL RESTAURANT LL 10/08/11 ANKIN LAW OFFICE GRANT & FANNING 17 11WC 42512 CLERMOND, JOE ARENA FOOTBALL ONE LLC 04/22/11 DEPAOLO & ZADEIKIS ADELSON TESTAN BRUNDO 18 12WC 00132 MORENO, DANIEL SEAN'S CONSTRUCTION & 12/13/11 JAMES ELLIS GUMBINER & ASS 19 12WC 04999 OREND, MICHAEL IL BELL TELEPHONE CO/AT & 11/14/11 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 20 12WC 13569 LAZARO, MAGDALENA ROSCOE COMPANY 04/09/12 TOPPER & WEISS LTD POWER & CRONIN LTD 14WC039169 -C 21 12WC 15673 ARCE, ADRIAN T CITY OF CHICAGO 05/25/10 KENNETH B GORE, LTD CITY OF CHICAGO 12WC015674 -C 14WC018914 -C 17WC018119 -C 22 12WC 16761 KEANE, PETER CHICAGO TRANSIT AUTHORITY 12/01/11 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 23 12WC 16812 CHAMBERLIN, DEBORAH A COMMUNITY CONSOLIDATED 02/13/12 FOTOPOULOS, JOHN S RUSIN & MACIOROWSKI LTD 13WC018487 -C 24 12WC 18721 HAYES, CALVIN SOUTHWEST AIRLINES 10/17/08 NEWLAND & NEWLAND HENNESSY & ROACH PC 25 12WC 27570 DIVIRGILIO, BETH ILLINOIS STATE POLICE @ 07/15/12 JAMES M RIDGE LAW OFFICE 26 12WC 28597 SANDOVAL, EDIBERTA SAN JOSE IMPORTS INC 07/27/12 GOLDSTEIN BENDER & ROMANOF LAW OFFICES KRISTEN M KOZLOW 27 12WC 31782 PEREZ, JUAN C ALTERNATIVE STAFFING 08/21/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 12WC041331 -C LABOR TEMPS SOUTH INC 28 12WC 33997 ROMERO, ELIZABETH CTA 05/08/12 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 29 12WC 39702 SHILWA, GRACIELA LUTHERAN GEN HOSPITAL 09/18/12 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM GRA 15WC031057 -C 30 12WC 41323 ROY, KATHERINE CHICAGO BOARD OF EDUCATIO 09/26/12 DAVID W MARTAY LAW DEPARTMENT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 13WC 04521 GUEST, PHILIP LOYOLA UNIVERSITY CHICAGO 10/18/10 VASILATOS & COTTER LLC LORENZ & BERGIN PC 32 13WC 05054 CENTENO, RAY VALLI PRODUCE 02/02/11 ROMANEK & ROMANEK GANAN & SHAPIRO 13WC005055 -C 33 13WC 18820 MENDEZ, MAYRA ELI'S CHEESECAKE COMPANY 01/07/12 LUIS A ACEVES & ASSOC HOLECEK & ASSOCIATES 34 13WC 19183 JOHNSON, JAMES VILLAGE OF HOFFMAN ESTATE 05/31/13 RIFFNER BARBER ROWDEN & SC EVANS & DIXON 35 13WC 19754 BANKS, CAROLYN E IL DEPT OF HEALTHCARE & @ 02/14/13 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 13WC036789 -C ST OF IL, IL DEPT OF 36 13WC 23103 CARNEY, HURBIE DEPT OF HUMAN SERVICES @ 04/18/13 BOGUSZ & BOGUSZ LTD ASSISTANT ATTORNEY GENERAL 37 13WC 26059 BAEZ, EVANGELISTA JR EDGEWATER BEACH APARTMENT 06/05/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES OF EDWARD J. KOZ 13WC026060 -C 38 13WC 38491 KOLENDOWICZ, ELKE AMERICAN AIRLINES 09/26/13 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 18WC034524 -C 39 13WC 39453 DUNBAR, LARRY D WE CLEAN MAINTENANCE & 08/16/13 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 40 14WC 00417 HAENNICKE, GEORGE F CITY OF BERWYN 02/24/13 GOLDBERG WEISMAN & CAIRO L CUDA LAW OFFICES 14WC000418 -C 15WC003155 -C 41 14WC 00932 WASHINGTON, FLORA CHICAGO TRANSIT AUTHORITY 01/02/14 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 16WC009481 -C 16WC019845 -C 42 14WC 01445 CHAVEZ, MARIA G LABOR NETWORK 09/30/13 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 43 14WC 03149 HUNTER, DOROTHY CHICAGO PUBLIC SCHOOLS 01/21/14 STEPHEN G PINTO LTD LAW DEPARTMENT 44 14WC 08427 MEDINA, ADRIAN CENTRAL TRANSPORT 01/27/14 NEMEROFF LAW OFFICES HINSHAW & CULBERTSON 45 14WC 15128 HUFFINE, MARK FORD MOTOR COMPANY 10/28/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 46 14WC 16024 MARCINIAK, KRZYSZTOF STATE OF ILLINOIS DEPT OF @ 03/17/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 14WC 24234 MADRY, MICHAEL SODEXO INC 05/19/14 STELZMAN, RUTH INMAN & FITZGIBBONS 48 14WC 26082 CARTER, AQUANITA CITY OF CHICAGO DEPT OF 07/18/14 SHELDON I MINKOW & ASSOCIA CITY OF CHICAGO 14WC027877 -C 14WC034170 -C 49 14WC 26265 SCHELL, RICK LEHIGH HANSON 06/02/14 DWORKIN AND MACIARIELLO EVANS & DIXON 50 14WC 26469 HILL, JOYCE CTA 07/10/14 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 51 14WC 28370 SCHENFELD, PAUL J CITY OF CHICAGO-OEMC 07/02/14 ANESI OZMON RODIN NOVAK KO CITY OF CHICAGO 18WC017562 -C 52 14WC 28393 DEL BOSQUE, HECTOR JOE LAWRENCE ENTERPRISES 07/28/14 SEIDMAN MARGULIS & FAIRMAN 53 14WC 34274 PHARR, CATHERINE JACKSON PARK HOSPITAL 09/01/14 SEIDMAN MARGULIS & FAIRMAN ODELSON & STERK 54 14WC 36559 MORGAN, REBECCA GREATER HOLY TEMPLE OF @ 10/16/14 ANKIN LAW OFFICE 55 14WC 37652 HATLEY, ANTONIO DESIGN PACKAGE COMPANY 10/24/14 SHELDON I MINKOW & ASSOCIA 56 14WC 38961 MORRIS, JEFF CPC LOGISTICS INC 10/06/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 57 14WC 39067 WALKER, CYNTHIA COOK COUNTY 10/03/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 58 15WC 01626 MAZUREK, MICHAEL G ROLLINS INC 10/07/14 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 59 15WC 03696 PIZARRO, JOSE ENTERPRISE 11/22/14 DAVID W MARTAY KNELL & O'CONNOR 17WC009765 -C 60 15WC 03856 BENAVIDES, JOSE L CITY OF CHICAGO 12/31/14 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 15WC 03974 POSADA, ENRIQUE CLEAR STAFF INC 01/08/15 PORRO NIERMANN LAW GROUP ACCIDENT FUND HOLDINGS 62 15WC 05187 EDWARDS, BARBARA RICH TOWNSHIP HIGH SCHOOL 01/20/15 RAYMOND P GARZA LAW OFFICE INMAN & FITZGIBBONS 16WC013008 -C 63 15WC 12727 19B BACCHIERE, DAVID LAKE SHORE BEVERAGE 11/05/14 SEIDMAN MARGULIS & FAIRMAN ASHER, RAYMOND L LTD 64 15WC 14439 ROMZA, ROBERT KOPPERS 04/20/15 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 65 15WC 15094 MONRREAL, PABLO ESMARK STEEL GROUP 04/21/15 ASHER, RAYMOND L LTD MEACHUM & STARCK 66 15WC 15190 RIVERA, LORETO ELITE STAFFING 10/10/14 CULLEN HASKINS NICHOLSON 67 15WC 15864 THOMSON, KIRK C U S A HOIST 04/22/15 TURCYCHUTE LLC LITCHFIELD CAVO 68 15WC 15997 ROTTO, DOMINIC CHICAGO TRANSIT AUTHORITY 01/20/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 69 15WC 20879 GALBRAITH, DANIEL CHICAGO DEPT OF FLEET2FM 06/18/15 SALVATO & O'TOOLE CITY OF CHICAGO 70 15WC 22684 MCNAMERA, DAVID W. CITY OF CHICAGO 05/16/15 TURCYCHUTE LLC CITY OF CHICAGO 71 15WC 22749 LEWIS, STEVEN CITY OF CHICAGO DEPT OF S 05/05/15 DEPAOLO & ZADEIKIS CITY OF CHICAGO 72 15WC 23259 ELAHI, SHAHNAWAZ UNITED AIRLINES INC. 06/15/15 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 19WC034032 -C 73 15WC 23320 HARRISON, MICHELLE COACH USA MEGABUS 07/23/15 RUBIN LAW GROUP POULOS & DIBENEDETTO LAW 16WC012584 -C 74 15WC 23705 MCFADDEN, CINDY M CHICAGO BOARD OF ED 04/28/14 WILLIAM MARTAY CHGO BOARD OF EDUCATION 75 15WC 24343 GOWDER, LARRY O&K AMERICAN CORP 08/08/15 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 76 15WC 24397 PIETRAROSSO, JOHN C. SR. MAIN TOWNSHIP HIGH SCHOOL 05/05/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 77 15WC 25571 STEVENSON, ANGELA VANGUARD HEALTH SERVICES 05/27/15 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 78 15WC 27838 LARA, FRANK F.E. MORAN FIRE PROTECTIO 04/05/14 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 79 15WC 36526 FOSTER, SUNGHWA COOK COUNTY 09/03/15 DAN COLLINS LAW FIRM STATES ATTORNEY OF COOK COUN 80 15WC 37308 SIKANICH, STEVEN CITY OF CHICAGO 11/16/15 DEPAOLO & ZADEIKIS CITY OF CHICAGO 81 15WC 37869 RUDISEL, KENNETH ENVOY AIRLINES 07/21/15 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM GRA 82 15WC 38136 HARRIS, MARQUITA AMERICAN AIRLINES INC 11/10/15 BRIAN J MC MANUS & ASSOC, GAROFALO SCHREIBER STORM GRA 83 15WC 38968 DOTSON, CHANEL CITY OF CHICAGO 11/23/15 STEPHEN G PINTO LTD CITY OF CHICAGO 84 15WC 39234 MAHMOUD, AHMAD KWIK MART 08/18/15 JAMES J BURKE LAW OFFICE RUSIN & MACIOROWSKI LTD 85 15WC 39395 CURTIS, JOHN SWISSPORT USA INC 10/11/15 HEALY SCANLON LAW FIRM KNELL & O'CONNOR 86 15WC 39576 LIEU, KATHERINE WINBERIE'S 06/07/15 MEYERS & FLOWERS MEACHUM & STARCK 87 15WC 39808 YOUNG, RONALD JERNBERG INDUSTRIES INC 09/08/15 CHRISTINE F DAVID MEACHUM & STARCK 88 15WC 39986 CALVERT, PAULINE PACE BUS 11/05/15 VRDOLYAK LAW GROUP LLC LITCHFIELD CAVO 89 16WC 05770 ABETE, PHILLIP M BANNER WHOLESALE GROCERS 09/22/15 RUBIN LAW GROUP GANAN & SHAPIRO 90 16WC 06014 DISMUKE, SHEFFEL CTA 02/11/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 91 16WC 06135 DONEGAN, MICHAEL CITY OF CHICAGO DEPT OF W 01/29/16 DAN COLLINS LAW FIRM CITY OF CHICAGO 92 16WC 06639 JOHNSON, TASHANA CTA 02/04/16 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY 93 16WC 06703 COPE, JANET GULLIVERS PIZZA & PUB @ W 02/01/16 ARGIONIS & ASSOCIATES LLC 94 16WC 07188 TAYLOR, OMETTA HOLIDAY INN 09/21/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 16WC030938 -C 95 16WC 07563 COBERLY, LUPE CHICAGO TRANSIT AUTHORITY 02/16/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 16WC 07770 ADAMS, ANNE-MARIE GOJET AIRLINES 01/03/16 SHANNON LAW GROUP EVANS & DIXON, LLC 97 16WC 10200 RAMIREZ, RODOLFO CITY OF CHICAGO 06/05/15 COYNE REINKE LAW CITY OF CHICAGO 98 16WC 13908 WATKINS, MARQUIS CHICAGO TRANSIT AUTHORITY 04/10/16 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 99 16WC 15652 MURRAY, MATTHEW VILLAGE OF LAGRANGE 03/08/16 HEALY SCANLON LAW FIRM 16WC015653 -C 100 16WC 15713 MADKINS, GENE E. CHICAGO REED MENTAL HEALT @ 05/01/16 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 101 16WC 15757 DEDORE, LINDA CITY OF CHICAGO, 06/16/15 ROSS TYRRELL CITY OF CHICAGO 102 16WC 15863 BRITTON, TYRONE CITY OF HARVEY-WATER DEPT 05/05/16 ANESI OZMON RODIN NOVAK KO ANCEL GLINK PC 103 16WC 16320 KAMINSKI, MARK CITY OF CHICAGO- DEPARTME 07/02/15 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 104 16WC 16384 HARVEY-SINCLAIR, DIANA ALLIED BARTON SECURITY 04/06/16 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM GRA 105 16WC 16423 JUAREZ, NOE LARCKER RECYCLING SERVICE 04/04/16 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 17WC001951 -C 106 16WC 16526 RICKMAN, MARGARET DOOR TO DOOR ORGANICS 05/11/16 LAW OFFICES DANIEL E MURPH HOLECEK & ASSOCIATES 107 16WC 16680 SPENCER, GEORGE COOK COUNTY JUVENILE 05/05/16 KUMLIN & FROMM STATES ATTORNEY OF COOK COUN 108 16WC 16719 ANDERSON, JAMES CHICAGO PUBLIC SCHOOLS/JU 03/09/16 DEPAOLO & ZADEIKIS CHGO BOARD OF EDUCATION 109 16WC 16979 NAZARETH REYES, ALI ATHENA GREEK RESTAURANT 03/01/16 JONATHAN SCHLACK LEAHY EISENBERG & FRAENKEL 110 16WC 17773 MARTINEZ, SAHARA THAI IMPORTS 05/31/16 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 16WC 17872 GOMEZ, MARIA T. ELITE STAFFING 06/30/15 THE ROMAKER LAW FIRM 112 16WC 17943 COLLAZO, WILLIAM C. R. ENGLAND 05/27/15 BOTTO GILBERT GOLDBERG SEGALLA LLC 16WC017945 -C C.R. ENGLAND 113 16WC 18033 WAGNER, LINDA K. SAM'S CLUB-MATTESON 07/15/15 STROM, NEAL B QUINTAIROS PRIETO WOOD & BOY 114 16WC 18453 LAWRENCE, PHILLIP U.S. GLU-LAM INC 02/17/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 115 16WC 20708 SCHAFFER, BRANDON COOK COUNTY SHERIFF 06/25/16 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 116 16WC 23169 TOMINELLO, JOHN CITY OF CHICAGO DEPARTMEN 05/23/14 RUBIN LAW GROUP CITY OF CHICAGO 117 16WC 24783 CIBRIAN, DANIEL COOK COUNTY SHERIFF'S OFF 07/02/16 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 17WC033920 -C 118 16WC 25898 BOYD, CHRISTOPHER CHICAGO TRANSIT AUTHORITY 07/11/16 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 119 16WC 26287 ALVAREZ MARTINEZ, SANTIAG ELITE STAFFING, INC 04/14/16 THE ROMAKER LAW FIRM 120 16WC 26479 POTEMPA, LINDA (WIFE) CITY OF CHICAGO 12/14/15 WILLIAM MARTAY CITY OF CHICAGO 121 16WC 27124 BOYKIN, MARK STATE OF ILLINOIS DEPT OF @ 08/25/16 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENL 122 16WC 28187 DARAYYAD, BASSAM YELLOW CAB CO 08/30/16 LEO ALT 123 16WC 28231 GALINDO, ANA HUMAN SERVICES DEPARTMENT @ 07/21/16 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 124 16WC 28326 HERGENREDER, MATTHEW P DAVIS DANCORP 08/10/16 FIGLIOLI, DAVID JOSEPH MARCINIAK 125 16WC 30900 HUHN, JAMES FASTRON CO 06/21/16 ODELSON & STERK WIEDNER & MCAULIFFE LTD 126 16WC 34215 MORALES, ALBERTO ST GERARD MAJELLA RECTORY 08/04/16 LAW OFFICE OF SCOTT B SHAP MC ANDREWS & NORGLE LLC 127 16WC 34283 PEREZ, JORGE ANIBAL HI SO, INC D/B/A SUBLIME 07/09/16 HART & DAVID LLP 128 16WC 35302 ADAMS, JESSIE J.B.A. GENERAL CONTRACTOR 09/12/16 DISPARTI LAW GROUP PA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 16WC 35961 CARTER, YOLANDA CITY OF CHICAGO 10/24/16 LAW OFFICES ROBERT WARSASK CITY OF CHICAGO 130 16WC 36000 MOORE, TARA ANIMAL CARE CENTER 06/05/16 CULLEN HASKINS NICHOLSON GILDEA, COGHLAN & REGAN LTD. 131 16WC 36129 LLOYD, JIMMIE IL DEPT OF CORRECTIONS @ 11/16/16 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 132 16WC 36412 THOMAS, ERIC COOK COUNTY SHERIFF'S 07/31/16 RICHARD E ALEKSY INMAN & FITZGIBBONS 133 16WC 36518 MERRIWEATHER, LINDA SOI DEPT OF JUVENILE JUST @ 03/27/15 CORNFIELD & FELDMAN MATTHEW J KELLER 134 16WC 36555 CORDERO, FABIOLA PARAMOUNT STAFFING 10/28/16 HART & DAVID LLP SCOPELITIS GARVIN LIGHT 135 16WC 36754 LOPEZ, MARK WORLD CARRIER 01/27/16 BOUDREAU NISIVACO LLC SPIEGEL & CAHILL, PC 136 16WC 38038 LUBSHINA, STEPHANIE ALEXIAN BROTHERS MEDICAL 01/27/16 NEWLAND & NEWLAND POWER & CRONIN LTD 137 16WC 38392 MOREIRA, JORGE ALTERNATIVE STAFFING 11/17/16 HUGHES SOCOL PIERS RESNICK SLAVIN & SLAVIN 138 17WC 03889 VILLANUEVA, CARMELO B-WAY CORP 02/02/17 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 139 17WC 05137 HEJNAL, LEE PEPSI AMERICAS 07/11/16 SAUNDERS CONDON & KENNY GAIDO & FINTZEN 17WC013784 -C 140 17WC 05304 TESTA, SUSANA ATLAS EMPLOYMENT SERVICES 12/19/16 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 141 17WC 05317 ACOSTA, NORBERTO AEROTEK 02/02/17 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 142 17WC 05540 JOHNSON, TYRONE JERNBERG INDUSTRIES INC 12/16/16 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 143 17WC 05562 FROST, JACK FIRELINE SPRINKLER CORP 01/17/17 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 18WC010232 -C 18WC010233 -C 144 17WC 05737 OTUKOYA, OLALEYE UNIVERSAL TAXI DISPATCH A @ W 02/03/17 COHN & COHN 145 17WC 05796 JACKSON, MARK CITY OF CHICAGO 01/31/17 RICHARD O. GREENFIELD CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 17WC 05817 HERNANDEZ, PEDRO AMERICAN AIRLINES INC 01/29/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 147 17WC 05842 VANGEL, NED D FRANCHISE MANAGEMENT, INC 11/19/16 EFTEKHARI LAW OFFICES MEACHUM & STARCK 148 17WC 05986 RAMIREZ, JORGE PAUL'S HEATING & COOLING 02/11/17 TOPPER & WEISS LTD ANCEL GLINK DIAMOND BUSH & E 149 17WC 06181 SIMPSON, WILLIAM PACIFIC RAIL SERVICES 11/01/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 150 17WC 06290 JOHNSON, KIMBERLY V&V SUPREMO 02/21/17 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 151 17WC 06471 AUFIERO, JOHN US FOODS INC 02/06/17 CZAPLA LAW BRADY CONNOLLY & MASUDA PC 152 17WC 06729 BECKON, KELVIN CHICAGO TRANSIT AUTHORITY 03/01/17 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 153 17WC 07036 THOMAS, DONITA CHICAGO TRANSIT AUTHORITY 02/21/17 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 20WC004055 -C 154 17WC 07226 MORENO, SERGIO G&K TRUCKING OF CHICAGO I W 02/16/17 MENDOZA LAW PC 155 17WC 07474 REYNOLDS-FORD, RHONDA BWAY CORPORATION 05/03/16 KURASCH & KLEIN, LTD HOLECEK & ASSOCIATES 156 17WC 07573 IRBY, AVERY SYSCO CORPORATION 02/16/17 WILLIAM H MARTAY HENNESSY & ROACH PC 17WC034807 -C 18WC020447 -C 18WC020448 -C 157 17WC 07628 SCOTT, RICHARD MARIANOS-HARWOOD HEIGHTS 11/07/16 MARKER & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 18WC036516 -C 158 17WC 08041 HUNTER, CIARA WALDORFF ASTORIA 12/06/16 159 17WC 08072 ESPITIA-PEREZ, CLAUDIA LABOR NETWORK PERSONNEL S 02/23/17 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 160 17WC 08308 VALDEZ, ANGELA COOK DUPAGE TRANSPORTATIO 05/19/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 161 17WC 08603 RIVERS, ERICA ALLTOWN BUS CO 12/02/16 MARC J SHUMAN & ASSOCIATES GAROFALO SCHREIBER STORM GRA 162 17WC 08679 BONILLA, WILFREDO CHICAGO PUBLIC SCHOOLS 05/22/14 LAW OFFICES PETER LEKAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 17WC 10376 RUIZ, MARIA ED MINIATE LLC 12/16/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 164 17WC 12588 CERVANTES, JANET SGA YOUTH AND FAMILY 10/13/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 165 17WC 13969 STALLONE, ANDREA COOK COUNTY 02/03/17 DENNIS HESSER STATES ATTORNEY OF COOK COUN 166 17WC 15658 AKINUSUYI, BOLATITO JACKSON PARK HOSPITAL 09/17/16 ELFENBAUM EVERS ZIELINSKA ODELSON & STERK 167 17WC 15723 WINTERS, BARUCH A ROBERT HALF 05/17/17 ACEVES & PEREZ PC HENNESSY & ROACH PC 168 17WC 15823 ALBERTO, SAMUEL A COOK COUNTY DEPT OFCORREC 05/16/17 MATTHIAS D. GILL STATES ATTORNEY OF COOK COUN 169 17WC 15923 MACKAY, STEPHEN HUEN ELECTRIC CO. 10/31/15 NEWLAND & NEWLAND 170 17WC 15958 SANDERS, INGRID EASTERSEALS METROPOLITAN 01/17/17 DAVID W MARTAY 171 17WC 16011 CAMPOS, LORENZO THUNDER TOOL 04/10/17 HART & DAVID LLP WOLFE & JACOBSON, LTD 18WC010703 -C 172 17WC 16069 HOWEN, PAUL MERIT CONTRACTORS, LLC 04/21/16 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 173 17WC 16086 SOLANO, NOEMI PERALTA DO & CO CHICAGO CATERINC, 04/28/17 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 174 17WC 16101 BELTRAN, JOEL LAKE BOOK MANUFACTURING I 05/16/17 SALVATO & O'TOOLE SUGAR FELSENTHAL GRAIS HAMME 175 17WC 16167 GREEN, TERRY CITY OF CHICAGO 04/18/17 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 176 17WC 16170 JONES, CRYSTAL CTA 11/10/16 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 177 17WC 16387 JOHNSON, NICHOLAS UNITED CONVEYOR CORP 11/30/15 PORRO NIERMANN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 178 17WC 16589 LEWIS, TIFFANY S UNIV OF ILLINOIS HOSPITAL 05/24/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 179 17WC 16604 HANSAWALA, PANKAJ N BETHANY METHODIST COMMUNI 09/09/16 GARDI & HAUGHT SCOPELITIS GARVIN LIGHT 180 17WC 16854 HERNANDEZ, JOSE ELITE STAFFING INC, 05/06/17 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 17WC 16973 BRASSELL, SCHEWEDIA B CHICAGO PUBLIC SCHOOLS 05/01/17 ANKIN LAW OFFICE LAW DEPARTMENT 182 17WC 17066 HERNANDEZ, JUAN BARRY ROOFING 08/22/16 HART & DAVID LLP 183 17WC 17125 CHOI, JINA LOYOLA HOSPITAL 03/11/17 HUGHES SOCOL PIERS RESNICK 184 17WC 17146 WILLIAMS, ANGELA JJ MADDEN MENTAL HEALTH C 10/28/16 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENERAL 185 17WC 17193 HARRIS, LESLIE CITY OF CHICAGO 04/04/17 HORWITZ HORWITZ & ASSOC 186 17WC 17784 BROOKS, ROBERT CASSENS TRANSPORT CO. 11/15/16 CULLEN HASKINS NICHOLSON KNAPP, OHL & GREEN 187 17WC 17872 WEBSTER, ANEESHA BOOK COUNTY TEMPORARY JUV 11/02/16 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 188 17WC 18047 CELEPIA, FATLUM GROUP FOX MGMT 04/24/17 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 189 17WC 20941 MACIEL, JOSE CARL BUDDIG & CO 06/01/17 KNELL O'CONNOR DANIELWICZ 190 17WC 23573 LAWS, ROBERT CITY OF CHICAGO 07/19/17 HEALY SCANLON LAW FIRM 191 17WC 24905 FLAHERTY, PATRICK COOK COUNTY GOVERNMENT 01/03/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 192 17WC 25004 COTTON, DENISE CITY OF CHICAGO 08/16/17 KATZ FRIEDMAN EAGLE ET AL CITY OF CHICAGO 18WC002765 -C 193 17WC 25219 DIXON, MARSHAWN WASTE MANAGEMENT INC. 08/23/17 LEONARD LAW GROUP LLC THOMAS J STIBERTH LAW OFFICE 194 17WC 25243 GARCIA, HERMEREGILDA SEALCRAFT INTERNATIONAL 07/11/17 SALVATO O'TOOLE FROYLAN HOLECEK & ASSOCIATES 195 17WC 25594 RODRIGUEZ, HECTOR TROY TROY CORPORATION 08/11/17 196 17WC 25622 ROBINSON, PAMELA D COVENANT VILLAGE OF NORTH 12/23/16 SIGMOND, STEVEN ASHER, RAYMOND L LTD 197 17WC 25709 MARQUEZ, JOSE LUIS PANERA BREAD 07/12/17 CULLEN HASKINS NICHOLSON GILDEA & COGHLAN 198 17WC 25748 CROSSLEY, DWAYNE ROADRUNNERS AUTOTRANSPORT 08/19/17 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 17WC 25811 HERNANDEZ, MERCEDES ELITE STAFFING 07/10/17 JONATHAN SCHLACK 200 17WC 25887 GUTIERREZ, ENRIQUE NATIONAL CONTAINER GROUP 02/04/17 VANO LAW GROUP 201 17WC 26077 LESTER, KEVIN IHC CONSTRUCTION, LLC 08/14/17 MEYERS & FLOWERS JOSEPH MARCINIAK 202 17WC 26147 OBANA JR, ANIANO BRYN MAWR CARE 07/12/17 THE ROMAKER LAW FIRM WOLF & LAUDICINA LTD 203 17WC 26185 HODSON, KAROL CLOUD5 COMMUNICATIONS 06/02/17 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 204 17WC 26309 NIX, BARBARA FIRST STUDENT, INC 08/25/17 MARC J SHUMAN & ASSOCIATES 205 17WC 26326 ROBLES, AGUSTIN ARYSTA, LLC 11/28/16 LEONARDO MORALES HENNESSY & ROACH PC 206 17WC 26550 WILLIAMS, SARAH CTA 09/07/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 207 17WC 26752 BARKER, JEANNE E KOHLS STORE #180 08/01/17 DWYER AND COOGAN HENNESSY & ROACH PC 208 17WC 26793 SANCHEZ, CUAUHTEMOC CATHOLIC CEMETERIES 03/24/17 ACEVES & PEREZ PC MC ANDREWS & NORGLE LLC 209 17WC 26863 VOSBURG, SHARON LEXINGTON HEALTH CARE CTR 03/29/16 VRDOLYAK LAW GROUP LLC FRANCESCA LARSEN 210 17WC 26920 GONZALEZ, ANGELICA LEADPOINT 04/27/17 RAYMOND M SIMARD, PC GRANT & FANNING 211 17WC 26937 VALENCIA, GERONCIO V3 COMPANIES, LTD 08/01/17 GRAZIAN & VOLPE PC LAW OFFICES OF EDWARD J. KOZ 212 17WC 27086 ARITA, EDMUND BERRY GLOBAL, INC 07/12/17 CANDIANO LAW OFFICE 213 17WC 27132 REYES, DANIEL MORRISON HEALTHCARE 06/12/17 LEONARD LAW GROUP LLC GOLDBERG SEGALLA LLC 214 17WC 27259 TURNER, LEE IW&G 08/01/17 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 17WC027260 -C 17WC027261 -C 215 17WC 27422 LIDE, PATRICK LOYOLA UNIVERSITY MEDICAL 08/07/17 MARSZALEK AND MARSZALEK 216 17WC 27571 SCOTT, BRANDY CHICAGO TRANSIT AUTHORITY 09/13/17 DEPAOLO & ZADEIKIS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 17WC 31483 BAUT, CZESLAW UG2 LLC 08/01/17 HOLECEK & ASSOCIATES 218 17WC 32766 WINDHAM, WENDELL CTA 10/24/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 219 17WC 33331 SMITH-BEATTY, LATRICE CHICAGO TRANSIT AUTHORITY 11/02/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 220 17WC 34208 GARCIA, LUPE MARIANO'S 02/28/17 VASILATOS & COTTER LLC 221 17WC 34289 BURNSIDE, LOLITA THE CLEANING AUTHORITY 10/10/17 GILDEA & COGHLAN 222 17WC 34320 NUNEZ, MARIA E NAS RESTAURANT GROUP LLC 11/19/16 HERRERA LAW CENTER GANAN & SHAPIRO 223 17WC 34416 GOLDBLATT, JACQUELINE COOK COUNTY SHERIFF'S OFF 11/14/17 RIDGE & DOWNES 224 17WC 34448 ANDERSON, GREGORY JR WATCO 10/16/17 STEVEN J MALMAN & ASSOCIAT 225 17WC 34585 JONES, CASSANDRA UNITED AIRLINES, INC 02/19/17 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 226 17WC 34784 SANDOVAL-BARRIO, JOSE L FARMINGTON FOODS INC 09/05/17 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 227 17WC 34875 MARSHAL, MARQUITA BANFIELD PET HOSPITAL 10/26/17 RIDGE & DOWNES RIPES NELSON BAGGOT KALOBRAT 228 17WC 35201 REYES, EDITH STATE OF IL/ @ 11/09/17 RUBIN LAW GROUP ASSISTANT ATTORNEY GENERAL 229 17WC 35327 FLORES, FRANCISCO DICICCO CONCRETE PRODUCTS 08/15/15 HORWITZ HORWITZ & ASSOC FRIEDRICH LAW LLC 230 17WC 35425 MONTOYA, ALEJANDRA CULVER'S 11/24/17 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 231 17WC 35658 PADILLA, LUCY C ARAMARK SERVICES INC 09/15/17 ANKIN LAW OFFICE INMAN & FITZGIBBONS 232 17WC 35681 STONE, LASHAWN UBER 11/27/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 233 17WC 36011 ZIVKOVIC, JOVICA WOLIN-LEVIN, INC ET AL 02/15/12 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 234 17WC 36407 HAWKINS, JERRI WINDY CITY CARRIERS 12/04/17 GRAVLIN, MICHAEL J LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 17WC 36544 TOLEDO, JACKLYN MEADE ELECTRIC 11/27/17 TAXMAN POLLOCK RUSIN & MACIOROWSKI LTD 236 17WC 36787 BROWN, REBECCA HOWARD AREA COMMUNITY CTR 06/20/17 MARK SCHAFFNER KEEFE CAMPBELL & ASSOC LLC 237 17WC 36807 19B WILKINS, LENORA HEALTH FORCE 08/15/17 HETHERINGTON KARPEL BOBBER ROBERT L. SMITH 238 17WC 36857 DAVIS, CLINIQUE UNIV OF CHICAGO MEDICAL C 12/08/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 239 17WC 37010 KUJAWA, JOSEPH FREEMAN DECORATING 12/05/17 VASILATOS & COTTER LLC MC ANDREWS & NORGLE LLC 240 17WC 37030 DELVALLE, RAMONITA BOARD OF EDUCATION CITY O 10/16/17 POLTROCK & POLTROCK CHGO BOARD OF EDUCATION 241 17WC 37093 COLLINS, BRANDON ARENA FOOTBALL ONE, LLC 08/13/17 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 242 18WC 02676 FLORES, JORGE VIENNA BEEF 01/06/18 CELSO FUENTES JR MEACHUM & STARCK 243 18WC 04870 MURPHY, WILLAM RANDALL ITALIAN WINE BAR LLC/QUAR 12/15/17 SOSTRIN AND SOSTRIN PC KRAKER FANNING & OLSEN 244 18WC 04913 SHARMA, SANTOSH K PACTIV CORPORATION 02/09/18 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 245 18WC 04960 SWEENEY, MICHAEL UNITED AIRLINES @ 05/27/17 FOHRMAN, DONALD W & ASSOCS 246 18WC 05006 UNDERWOOD, JACQUELINE REPUBLIC AIRWAYS 05/12/15 SCOTT B SHAPIRO 247 18WC 05125 MCUMBER, JOANNE MCDONALDS 01/18/18 ANGELINI & ORI LLC 248 18WC 05186 AGO, ROBERT SONILA & LOLA, INC 02/04/18 DWORKIN AND MACIARIELLO 249 18WC 05253 CHIYENI, ANN MARIE CHICAGO PUBLIC SCHOOL 10/22/15 TRUGLIO, FRED A & ASSOC LEAHY EISENBERG & FRAENKEL 18WC005254 -C 250 18WC 05273 HALE, VINCENT WASTE MANAGEMENT 01/11/17 KATZ FRIEDMAN EAGLE ET AL 251 18WC 05296 KENNEDY, JEFFERY COOK DUPAGE TRANSPORT 03/05/17 KARCHMAR & STONE 252 18WC 05329 ROGER, CURTIS IL DEPT OF TRANSPORTATION @ 02/09/18 STEVEN J MALMAN & ASSOCIAT ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 253 18WC 05551 CEDENO, DANIEL FIVE T MANAGEMENT INC 01/20/17 ELFENBAUM EVERS ZIELINSKA MEACHUM BOYLE TRAUFMAN 254 18WC 05556 WRIGHT, CHRISTOPHER AARON'S FURNITURE 12/27/17 255 18WC 05719 GARCIA, FREDDY MAX MAINTENANCE SOLUTIONS 02/14/18 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 256 18WC 05923 CARRILLO, MICHELLE AMERICAN AIRLINES GROUP, 01/14/18 GRAVLIN, MICHAEL J LLC ROSARIO CIBELLA 257 18WC 05963 POWELL, JOE E IL DEPT OF TRANSPORTATION @ 01/06/18 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 258 18WC 06116 THOMAS, ANTHONY UBER 09/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 259 18WC 06160 LAREAU, TIMOTHY VILLAGE OF SOUTH HOLLAND 01/12/18 NILSON STOOKAL GLEASON CAP INMAN & FITZGIBBONS 260 18WC 06253 CABE, ALEJANDRO FANUC AMERICA CORP 10/18/17 SCOTT BARBER RUSIN & MACIOROWSKI LTD 261 18WC 06335 HANNON, MARK GOTTLIEB MEMORIAL HOSPITA 02/02/18 ROMANUCCI & BLANDIN LORENZ & BERGIN PC 262 18WC 06511 AFANTE, EDGARDO LIFESCAN LABORATORY, INC 02/02/18 KARCHMAR & STONE ROBERT L. SMITH 263 18WC 06710 HENRY, JACQUELINE LUTHERAN SOCIAL SERVICES 01/17/18 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 264 18WC 06858 HERNANDEZ, MARTHA ABLE ELECTROPOLISHING CO, 01/04/18 MARGUERITE IORIO HOLECEK & ASSOCIATES 18WC032426 -C 265 18WC 07008 ROSAS, LUPE KELLOGG/CHICAGO BAKERY 02/20/18 ROBERT H HANAFORD KEEFE CAMPBELL BIERY & ASSOC 266 18WC 07091 MOORE, PATRICIA L MARS WRIGLEY CONFECTIONER 02/06/18 DAVID W CLARK GAROFALO SCHREIBER STORM GRA 18WC007092 -C 267 18WC 07101 GOODMAN, DARRYL F ETA CREATIVE ARTS FOUNDAT 01/23/18 ANKIN LAW OFFICE JOSEPH MARCINIAK 268 18WC 07117 THORNTON, KEVIN FORD MOTOR COMPANY 02/07/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 269 18WC 07266 PENA, JAVIER MORGAN LI 02/10/16 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 18WC 07322 POUTRE, ADAM GOEBEL FORMING, LLC 12/04/17 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 271 18WC 07394 LOPEZ, ANGEL UNIVERSITY OF IL 02/16/18 TIMOTHY DEFFET HEYL ROYSTER VOELKER & ALLEN 18WC007395 -C 272 18WC 07496 PAYNE, DEBRA D ALLSTATE INSURANCE COMPAN 07/11/17 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 273 18WC 07534 TOBIN-GRECO, MICHELE IL SECRETARY OF STATE @ 01/08/18 KROL BONGIORNO & GIVEN LTD ASSISTANT ATTORNEY GENERAL 274 18WC 07605 BRUHA, JOHNATHAN VERIZON WIRELESS 01/16/17 SCOTT B SHAPIRO KEEFE CAMPBELL BIERY & ASSOC 275 18WC 07670 VERZAL, PHILIP J SAPORITO FINISHING CO 11/07/17 MARKER & CRANNELL BRADY CONNOLLY & MASUDA PC 276 18WC 07901 PUTNAM, ZACH CHICAGO WHITE SOX BASEBAL 06/20/16 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 18WC007902 -C 277 18WC 07933 HERNANDEZ, ANTHONY J DART CONTAINER CORPORATIO 12/01/17 BERENZ LAW NETWORK GAROFALO SCHREIBER STORM GRA 278 18WC 08020 VICTORIA, MARIA T CAPITAL BUILDING SVCS 01/06/18 JOHN S. ELIASIK POULOS & DIBENEDETTO LAW 279 18WC 08145 JAVIER, MARTHA S FEDEX EXPRESS 05/22/17 RUEDA, IVAN A 280 18WC 14638 PINKAWA, NORB ERICKSON ELECTRICAL 05/23/17 TARADASH LAW OFFICE LAWRENCE COZZI - LAW OFFICE 281 18WC 15068 SCHARRINGHAUSEN, TONYA HOME GOODS 02/26/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 282 18WC 15182 FAVORS, HERBERT C COOK COUNTY CLERK OF THE 09/01/15 STATES ATTORNEY OF COOK COUN 283 18WC 15208 SIRIANO, RONALD LINDBLAD CONSTRUCTION COM 07/15/15 MICHAEL HELLMAN 284 18WC 15313 ROTH, RANDI DAVID'S BRIDAL 04/17/18 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 285 18WC 15336 TAYLOR, HENRYKA MICHAEL'S CARTAGE 07/25/16 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 286 18WC 15354 FITZGERALD, TODD UNIVERSAL CABLE COMPANY 04/04/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 287 18WC 15374 MCNEIL, KIMBERLY SOUTHWEST AIRLINES 04/30/16 LUSAK AND COBB HENNESSY & ROACH PC 18WC015375 -C 18WC015376 -C 288 18WC 15401 AGUILERA, FRANCISCO FIVE STAR HEATING & COLLI 04/18/18 ENCINAS & ORNELAS HOLECEK & ASSOCIATES 289 18WC 15462 HERNANDEZ, ANGELES AMERICAN STAFFING SOLUTIO 05/15/18 LEWUN & KAIS LTD 290 18WC 15598 SANDERS, KIM CITY OF CHICAGO 05/11/18 DAVID W MARTAY ODELSON & STERK 291 18WC 15696 JONES, OLIVIA ELITE STAFFING 05/21/18 DWORKIN AND MACIARIELLO 292 18WC 15747 MAGGIO, JOSEPH BROCK INDUSTRIAL SERVICES 03/23/18 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 293 18WC 15781 VANYAI, JOSEPH CRAFTSMAN CUSTOM METALS, 03/12/18 DEPAOLO & ZADEIKIS JOSEPH MARCINIAK 294 18WC 15804 GRANADOS, ANA ARLINGTON PLATING COMPANY 03/12/18 CULLEN HASKINS NICHOLSON KNELL O'CONNOR DANIELWICZ 295 18WC 15914 GORSKI, WILLIAM PACE SUBURBAN BUS 04/05/18 MARK N LEE HEYL ROYSTER VOELKER ALLEN 296 18WC 15946 REYES, AMALIA CHICAGO PUBLIC SCHOOLS 05/08/18 ANKIN LAW OFFICE CHGO BOARD OF EDUCATION 18WC015947 -C 19WC015434 -C 297 18WC 15996 WALLACE, THERESIA CTA 01/11/18 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 298 18WC 16049 MILLER, DECHANCEY CITY OF CHICAGO 05/16/18 ANKIN LAW OFFICE 299 18WC 16164 FRANCO, REBECA A&A MAINTENANCE 05/16/18 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 300 18WC 16348 ZYCHAL, STEVE CAMBRIA USA 04/18/18 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 301 18WC 16393 KRUPA, BEATA TARGET CORPORATION 01/18/18 JOSHUA KARMEL 302 18WC 16412 FIGUEROA, JESUS SYNERGY 05/16/18 SCOTT B SHAPIRO KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 18WC 16515 SUTHERLAND, INDIRA COOK ILLINOIS CORP 01/13/17 DEPAOLO & ZADEIKIS STONE & JOHNSON CHARTERED 304 18WC 16554 FINN, JEFFREY M CITY OF PARK RIDGE 05/08/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 305 18WC 16653 RUFF, AINSLEY R CHICAGO TRANSIT AUTHORITY 04/01/18 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 306 18WC 16752 GUNGER, PATTY EVANSTON TOWNSHIP HIGH SC 05/26/18 BERNAT & BERNAT PC 307 18WC 16833 SPRADLEY, DERRICK PARAMOUNT STAFFING 03/21/18 DAVID W MARTAY KNELL O'CONNOR DANIELWICZ 308 18WC 16929 CASTILLO, LETICIA EMPLOYCO USA, VARGAS GROU 04/14/17 PATRICIA HARDIMAN LAW OFFI 309 18WC 17171 PINEDA, NICACIO RODITYS 11/17/17 CULLEN HASKINS NICHOLSON LEAHY EISENBERG & FRAENKEL 310 18WC 17193 JUAREZ, ALVARO ASSEMBLERS INC. 03/08/18 CHEPOV & SCOTT LLC CAPUANI, FRANK S 311 18WC 17212 HERNANDEZ, MARIA L SOUTH COMMONS PHASE 1 02/27/18 JAMES M GERAGHTY WIEDNER & MCAULIFFE LTD 312 18WC 17232 NIEVES, JORGE GROOT INDUSTRIES, INC 05/22/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 313 18WC 17254 HORNE, TRACY UNITED CONTINENTAL HOLDIN 05/24/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 314 18WC 17411 FRAZIER, TANIJA PORTILLO'S 05/24/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 19WC030459 -C 315 18WC 17477 MCDOWELL, GREGORY PEOPLE READY 05/17/18 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 316 18WC 17708 MUNOZ, MARCOS EMJ JORGENSON 06/06/18 KALOGERAKOS & ASSOC POULOS & DIBENEDETTO LAW 317 18WC 17776 HERNANDEZ, OLEGORIO CASTWELL PRODUCTS 05/31/18 AIOSSA LAW FIRM GAROFALO SCHREIBER STORM GRA 318 18WC 17891 ROLLAND, TRACY HOME CHEF 05/06/18 SALVATO O'TOOLE FROYLAN INMAN & FITZGIBBONS 319 18WC 17934 PAINO-CAMPBELL, ERMA INGALLS MEMORIAL HOSPITAL 01/12/17 VASILATOS & COTTER LLC 320 18WC 18079 KINGSLEY, SEAN METROPOLITAN WATER RECLM 05/16/18 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 18WC 18128 ALVAREZ, SANDRA ZF LEMFORDER CHICAGO, LLC 05/18/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC 322 18WC 24477 KELLAR, RICK TOWER AUTOMOTIVE 08/01/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC 323 18WC 25494 THOMPSON, AMANDA TOTAL AIRPORT SERVICES 06/11/18 LEONARD LAW GROUP LLC THOMAS & PORTELA 324 18WC 25513 CARDONA, JUAN KOPPERS, INC. 02/22/18 CZAPLA LAW RUSIN & MACIOROWSKI LTD 18WC027510 -C 325 18WC 25563 CONNELLY, ANITA SIX CONINTENTS HOTELS, IN 03/27/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 326 18WC 25604 COLETTA, BRIAN KEHE FOOD DISTRIBUTORS 05/21/18 LUSAK AND COBB NOBLE & ASSOC 327 18WC 25624 VASQUEZ, JERARDO RONS STAFFING 08/10/18 JAMES ELLIS GUMBINER & ASS KOREY RICHARDSON LLC 328 18WC 25642 HERRERA, RICARDO R.C. INDUSTRIES 07/02/18 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 329 18WC 25848 ROLLAND, EDWARD HARD PARTS WAREHOUSE, INC 06/22/18 ANGELINI & ORI LLC INMAN & FITZGIBBONS 330 18WC 26078 PERRY, ROBERT W RPK CONSTRUCTION, INC D/B 08/14/18 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 331 18WC 26203 AULL, GREGORY L SHAWNEE SERVICE CENTER 07/19/18 THOMAS R LICHTEN BRYCE DOWNEY & LENKOV LLC 332 18WC 26387 WILLIAMS, VERNETTE SOUTH SUBURBAN REHAB 08/26/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 333 18WC 26437 BATES, RICHARD GIBRALTAR CHEMICAL WORKS 09/21/17 DEPAOLO & ZADEIKIS KNELL LAW LLC 334 18WC 26458 HAWKINS, ANDRE CHICAGO TRANSIT AUTHORITY 08/24/18 STONE & MAYA PC CHICAGO TRANSIT AUTHORITY 335 18WC 26504 DICKEY, RACHEL M ANTHEM MEMORY CARE 08/09/18 SANDMAN LEVY & PETRICH 336 18WC 26575 LEWIS, SHARON ILLINOIS DPARTMENT OF @ 07/19/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 337 18WC 26633 NEAL, MELVIN ARMACELL LLC 06/25/18 LUSAK AND COBB 338 18WC 26691 ALBRIGHT, MARC RPM GARAGE DOOR 07/26/18 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 18WC 26709 ABUCEWICZ, PIOTR PERFECT EDGE CONSTRUCTION 07/26/18 MC HARGUE & JONES STEVEN L. VENIT 340 18WC 26788 KOZLOV, GEORGIY THE GARLANDS OF BARRINGTO 04/19/16 SEIDMAN MARGULIS & FAIRMAN 341 18WC 26813 BRICENO-BIERWIRTH, ADRIAN ON SITE HEALTH CARE 04/05/18 SALVATO O'TOOLE FROYLAN JURISPRUDENCE 342 18WC 26879 GONZALEZ, IRMA LAKE SHORE CAFE 08/15/18 LEONARDO MORALES MEACHUM BOYLE TRAUFMAN 343 18WC 26940 THOMPSON, MARSHALL MIDWAY STAFFING 09/05/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 344 18WC 26984 SAMS, ROCHELLE M CTA 08/25/18 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 345 18WC 26990 MCPHAIL, JUSTIN DOREENS GOURMET FROZEN PI 07/17/18 VRDOLYAK LAW GROUP LLC 346 18WC 27007 SCOTT, GERALD FORD MOTOR COMPANY 09/01/18 DONALD FOHRMAN & ASSOC 347 18WC 27105 SANCHEZ, CYNTHIA COSTCO 04/28/18 CRONIN & PETERS GANAN & SHAPIRO 348 18WC 27218 ELGAMMAL, SALAH UBER 12/30/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 349 18WC 27271 GREEN, JOHN CITY OF CHICAGO 03/01/18 STEVEN J MALMAN & ASSOCIAT 350 18WC 27379 DELGADO, SERGIO GEORGIA NUT COMPANY 09/19/17 EPSTEIN, JACK R LAW OFFICE 351 18WC 27400 PEREZ, EULALIA MOO & OINK, BEST CHICAGO 03/27/18 EPSTEIN, JACK R LAW OFFICE 352 18WC 27420 TAPIA, GLORIA JR DESSERT BAKERY 08/30/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 353 18WC 27474 HALLET, THOMAS LAKESHORE BEVERAGE 04/13/17 SHANNON LAW GROUP ACCIDENT FUND HOLDINGS 354 18WC 27485 SANDERS, LARRY A. FINKL & SONS CO. 09/05/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 355 18WC 27502 ADEBISI, ABIODUN NECT 7 INC 09/01/18 WEISS & WEISS LAW OFFICES 356 18WC 27517 UGHAMADU, ROBINSON MONETA TAXI INC 08/03/18 RYAN ROSENTHAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 357 18WC 27551 NORRIS-COLLINS, ELUDA JOLIET JOB CORPS 07/22/18 SKLARE LAW GROUP 358 18WC 27569 SANTUCCI, SABRINA M NBC UNIVERSAL 01/16/18 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 359 18WC 31903 VARGAS, CELIA CREATIVE WERKS LLC (BORRO 05/12/18 STEVEN B SALK & ASSOC LTD HOLECEK & ASSOCIATES 360 18WC 33843 SCOTT, VALADA WYNDHAM GRAND RIVERFRONT 08/13/18 ELFENBAUM EVERS ZIELINSKA BRADY CONNOLLY & MASUDA PC 361 18WC 34223 VEREST, PENNY OUTBACK STEAKHOUSE 05/08/17 NEWLAND & NEWLAND EVANS & DIXON 18WC034224 -C 362 18WC 34411 AMIN, RAHIMA A TYSON FOODS, INC 10/19/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 363 18WC 34477 CONTRERAS, JUAN WHEATLAND TUBE COMPANY 10/29/18 GRAVLIN, MICHAEL J LLC 364 18WC 34555 PATINO, MARICELA BIG STAR II D/B/A 08/27/18 STROM & ASSOC JOSEPH MARCINIAK 365 18WC 34649 VEGA, NANCY I U & F SONS INC 08/29/18 RUEDA, IVAN A BRADY CONNOLLY & MASUDA PC 366 18WC 34678 PALMER, ERICA N FEDERAL EXPRESS 11/14/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 367 18WC 34769 NIETO, MATILDE ELITE STAFFING INC. 10/01/18 COSTA IVONE LLC 368 18WC 34786 BROOKS, GARY DHL 07/16/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 369 18WC 34940 SANCHEZ, MA CONCEPCION AV DUTCH AMERICAN FOODS 07/03/18 SALVATO O'TOOLE FROYLAN BRADY CONNOLLY & MASUDA PC 370 18WC 35017 JAMSHIDI, MASOUMEH MACY'S INC. 09/30/18 RICHARD O. GREENFIELD GAIDO & FINTZEN 371 18WC 35066 SOKOLOWSKI, DENNIS US FOODS 11/14/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 372 18WC 35147 BUTT, MICHELLE ABF FREIGHT 02/02/18 JASINSKI, GEORGE J KEEFE CAMPBELL BIERY & ASSOC 19WC010876 -C 373 18WC 35209 MARTINEZ, JAIME SOUTHWEST AIRLINES 01/03/18 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 374 18WC 35239 CORONA, MAXIMINA CURTISS-WRIGHT CORP/ 10/19/18 ACEVES & PEREZ PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 18WC 35242 HOLLEY, GREGORY S CTA 11/15/18 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 376 18WC 35317 LOMBARDO, RICHARD UNITED CONTINENTAL HOLDIN 11/06/18 KROL BONGIORNO & GIVEN LTD 377 18WC 35404 SNUGGERUD, LUC ROCKFORD ICE HOGS 12/08/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 378 18WC 35427 ACEVEDO, TRISTIAN REGAL CINEMA 10/24/18 COSTA IVONE LLC MEACHUM & STARCK 379 18WC 35480 CURRAN, ALLISON D.C. HENNING INC 10/21/17 RICHARD O. GREENFIELD 380 18WC 35507 HACKSUNDA, PEGGY UNITED CONTINENTAL HLDNGS 06/26/18 KATZ FRIEDMAN EAGLE ET AL 381 18WC 35738 PORTER, QUBIA JR. HUB CAP CITY 09/22/18 DAVID W MARTAY POWER & CRONIN LTD 382 18WC 35780 TONEY, MELANIE HOUSING CHOICE PARTNERS 11/17/18 DWORKIN AND MACIARIELLO 383 18WC 35848 BURRELL, JACQUELYN MATTESON S.D. #159 09/13/18 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK PC 19WC035309 -C 384 18WC 35867 CERVANTES, SAL NAN MCKAY & ASSOCIATES 12/04/18 VASILATOS & COTTER LLC 385 18WC 35898 OCAMPO, CLAUDIA GUADARRAM ENGLANDER BEDDING CO. 07/18/18 CULLEN HASKINS NICHOLSON 386 18WC 35946 QUINN, MARIA PRINCI/STARBUCKS CORP 09/22/18 BALKE & WILLIAMS 387 18WC 35966 LOPEZ, MIGUEL LS CONTRACTING GROUP, INC 08/31/18 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 388 18WC 35994 PARKER, AVIS D XEROX COMPANY 09/19/18 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 389 18WC 36122 DEMEO, KENNETH TITON STEEL INC 11/06/18 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 390 18WC 36298 PENA, EDGAR ESTRUCTURAS, INC 09/05/18 STANCZAK LAW OFFICES 391 18WC 36394 RODRIGUEZ, NOE JEWEL OSCO 11/29/18 SCOTT B SHAPIRO 392 18WC 36511 GORECKI, SHELLEY LITTLE COMPANY OF 11/28/17 LIPKIN & HIGGINS LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 18WC 36534 TALLON, SHAUN THE HABITAT COMPANY 12/29/17 WHITESIDE & GOLDBERG LTD JOSEPH MARCINIAK 394 18WC 36622 BITOY, DARIO FORD MOTOR COMPANY 11/08/18 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 395 18WC 36726 ORTEGA, ARMANDO JOSE PANGEA VENTURES, LLC 11/27/18 ANKIN LAW OFFICE 396 18WC 36786 MARDIS, LATONIA GAREDA, LLC 09/13/18 HUGHES SOCOL PIERS RESNICK 397 18WC 37182 RUZICH, GEORGE AMBAR, INC 12/05/18 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 398 19WC 04579 CARTER, ANTWAN BLOMMER CHOCOLATE CO 01/29/19 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 399 19WC 04600 BOONJATHAI, AMANDA REVOLUTION DANCE WEAR 01/26/17 HART & DAVID LLP 400 19WC 04618 BRANSON, LEONARD QUALITY CONTROL CORPORATI 01/29/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 401 19WC 04640 BENFORD, MARVIN L SCR MEDICAL TRANSPORTATIO 01/12/19 VITELL & SPITZ LTD LEAHY EISENBERG & FRAENKEL 402 19WC 04733 RENAULT, RUSSELL J U.S.F. HOLLAND INC 01/09/19 BUDIN LAW OFFICES 403 19WC 04786 SKODA, SATCHEL ACE HOTEL 11/29/18 TAMVAKIS, GEORGE L BRYCE DOWNEY & LENKOV LLC 404 19WC 04842 JACKSON, GAKAHNA COMCAST 02/05/19 GERALD CONNOR HENNESSY & ROACH PC 405 19WC 04918 TOMAC, JOSEPH SOUTHWEST AIRLINES 02/03/19 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 406 19WC 04964 CONTRERAS, ISRAEL COMBINED ROOFING SERVICES 12/29/18 HORWITZ HORWITZ & ASSOC EDWARD J. KOZEL 407 19WC 05012 CANDIA, WILLIAM THE LASALLE PRIVATE RESID 03/16/17 KARCHMAR & STONE HENNESSY & ROACH PC 408 19WC 05086 ARELIANO, ARMANDO ATS, INC 01/25/19 JAMES URTIS HEYL ROYSTER VOELKER & ALLEN 409 19WC 05152 NIKETOPOULOS, LINDA L AIMBRIDGE HOSPITALITY 08/10/18 PHILIP BLOMBERG HENNESSY & ROACH PC 410 19WC 05155 LAMAS, AURELIO BAGCRAFT PAPERCON I, LLC 12/18/18 KOSIN LAW OFFICE LTD GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 19WC 05196 SIMMONS, SHEILA TITAN SECURITY 02/18/19 SCOTT B SHAPIRO 412 19WC 05226 MACIAS, MARIA LEGENDARY BAKING 12/11/18 STANCZAK LAW OFFICES BRYCE DOWNEY & LENKOV LLC 413 19WC 05288 SWIATEK, JOHN U.S. ADVANTAGE SALES & 02/03/19 MARC J SHUMAN & ASSOCIATES KELLEY KRONENBERG 414 19WC 05327 JONES, SHERMAN FORD MOTOR CO 02/27/18 HETHERINGTON KARPEL & BOBB WIEDNER & MCAULIFFE LTD 19WC019943 -C 415 19WC 05381 NAJAH, MOHAMED THE CATHOLIC BISHOP OF CH 06/25/18 SALVATO O'TOOLE FROYLAN 416 19WC 05421 MUNOZ, JOSHUA HINCKLEY SPRINGS WATER 08/15/18 CHEPOV & SCOTT LLC CHILTON YAMBERT PORTER LLP 417 19WC 05474 CRUZ, HECTOR VILLAGE OF PARK RIDGE 01/17/19 ROBERT J. IRSUTO RUSIN & MACIOROWSKI LTD 418 19WC 05585 ORTIZ, FELIX CITY OF CHICAGO 01/30/19 CULLEN HASKINS NICHOLSON 419 19WC 05630 PLATA, VERONICA MARIANO'S 11/07/18 DROST GILBERT ANDREW 420 19WC 05710 TOLER, RICHIE L COOK COUNTY 11/23/17 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 421 19WC 05738 DOMINGUEZ, VANESSA PLANT FITNESS 01/21/19 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 422 19WC 05870 HORN, TINY TRANSFORCE 01/21/19 DWORKIN AND MACIARIELLO 423 19WC 05900 WOZNIAK, CARL HOLLAND MANUFACTURING 05/05/16 RONALDSON & KUCHLER INMAN & FITZGIBBONS 424 19WC 05925 LOPEZ, LISA SHERIFF OF COOK COUNTY 02/11/19 BRIAN J MC MANUS & ASSOC, STATES ATTORNEY OF COOK COUN 425 19WC 05949 CANDELARIA, CHRISTOPHER PURELY MEAT COMPANY 01/24/19 SANDMAN LEVY & PETRICH 426 19WC 05970 VITAL, LESLEY ALPHA BAKIGN COMPANY, INC 12/19/18 CHEPOV & SCOTT LLC 427 19WC 06061 ROSALES, OCTAVIO BELTMANN RELOCATION GROUP 12/28/18 ROBERT WARSASKI HENNESSY & ROACH PC 428 19WC 06108 AGUIRRE, ALEX CITY OF CHICAGO DEPT 02/13/19 HUGHES SOCOL PIERS RESNICK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 19WC 06145 ZAMORA, ANA G SSP AMERICA MDW LLC 02/02/19 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 430 19WC 06183 OREJEL, LETICIA ILLINOIS INSTITUTE OF 01/31/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 431 19WC 06200 BACETTE, MIMOSE ARAMARK 11/02/18 MINKOW DOMIN INMAN & FITZGIBBONS 432 19WC 06280 SOTO, SHANNON ALDEN-LAKELAND REHABILITA 11/13/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 433 19WC 06298 PISZCZOR, EVELYN A VILLAGE OF PARK FOREST 05/18/17 BRILL & FISHEL 434 19WC 06435 ERRUM, JONATHAN A CITY OF CHICAGO 01/21/19 TIMOTHY DEFFET 435 19WC 06482 ROMERO, MIGUEL ANGEL UMW INC. 02/11/19 JONATHAN SCHLACK 19WC011013 -C 436 19WC 06497 SANCHEZ, HORACIO RICHARDS & WEYER 01/21/19 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 437 19WC 06601 MARTINEZ, YESENIA SURE STAFF 02/11/19 THOMAS LAW LOUIS MUNDY 438 19WC 06744 JIMERSON, ELSIE CHICAGO TRANSIT AUTHORITY 02/23/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 439 19WC 06773 PEERZ, ALICE MARIANO'S FINER FOOD 02/03/19 BRISKMAN BRISKMAN GREENBER 440 19WC 06800 RAIGOZA, AURELIA GLOBAL METAIL TECHNOLOGIE 01/24/19 LEONARDO MORALES KOPKA, PINKUS DOLIN, PC 441 19WC 06977 KROL, KEVIN ILLINOIS STATE POLICE @ 02/16/19 SANDMAN LEVY & PETRICH ASSISTANT ATTORNEY GENERAL 442 19WC 07052 MANN, MARC A VILLAGE OF MORTON GROVE 10/30/18 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 19WC007053 -C 19WC007054 -C 443 19WC 07173 VEGA, LUCIA ASG STAFFING/BENSENVILLE 08/08/17 SALVATO O'TOOLE FROYLAN FRANCIS J DISCIPIO LAW OFFIC 444 19WC 07232 BENITEZ, JULIAN L JR SHELL LUBRICANT 07/05/18 DAVID W MARTAY CHILTON YAMBERT PORTER LLP 19WC007233 -C 445 19WC 07254 GAMEZ, ELIZABETH TOWN OF CICERO 01/26/19 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 446 19WC 07430 FAVELA, OSCAR AT&T 11/26/18 CULLEN HASKINS NICHOLSON 447 19WC 07530 CAMPOBASSO, EVELYN PEDIATRIC HEALTH CARE ASS 03/05/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 448 19WC 07553 GUYTON, YOLANDA MISERICORDIA HOME 02/08/19 HORWITZ HORWITZ & ASSOC 449 19WC 07587 PILLIZZI, DINO CBS CORPORATION- WBBM-TV 01/02/19 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 450 19WC 07604 WANG, JISHUN THE MALNATI ORGANIZATION 01/21/19 O'CONNOR & NAKOS 451 19WC 07669 HARDIN, HARLAN GREAT LAKES COCA COLA 06/08/17 GAINES & GAINES 452 19WC 07776 PITTARD, DEANDRE L ARL TRANSPORT, LLC 02/13/19 CULLEN HASKINS NICHOLSON SCOPELITIS GARVIN LIGHT 453 19WC 07796 PEREZ, SAMANTHA ALDI 02/27/19 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 454 19WC 07813 LULLO, KIM WESTSIDE TRANSPORT 02/08/19 CRONIN PETERS & COOK HOLECEK & ASSOCIATES 455 19WC 07839 SEGURA, REBECA ATLAS EMPLOYMENT SERVICES 02/25/19 DWORKIN AND MACIARIELLO 456 19WC 07888 RAMIREZ, GELACIO AFFY TAPPLE (CARAMEL APPL 02/26/19 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 457 19WC 07903 PERCHES, MICHELLE ANIMAL WELFARE LEAGUE 12/10/17 RUBENS KRESS MULHOLLAND 458 19WC 07945 PELIKAN, JOSEPH GREENWAY RECYCLING 02/27/19 BRISKMAN BRISKMAN GREENBER 459 19WC 07964 EATON, ALICIA SHAKIA CHICAGO PUBLIC SCHOOLS 01/11/19 MC HARGUE & JONES CHGO BOARD OF EDUCATION 460 19WC 07980 MERCED, LUIS J IL DEPT OF TRANSPORTATION @ 03/12/19 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 461 19WC 08149 GOODLET, DIANNA CTA 02/28/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 462 19WC 08198 MYERS, ROBERT VANEE FOODS COMPANY 05/01/18 ANKIN LAW OFFICE WOLF & LAUDICINA LTD 463 19WC 08231 ANDERSEN, SCOTT USF HOLLAND 10/09/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 464 19WC 08244 BOLTZ, COLLIN NOBLE NETWORK OF 12/17/18 DWORKIN AND MACIARIELLO 465 19WC 08260 GOSS, MYRNA CTA 03/12/19 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 466 19WC 08300 MCGARY, ESTHER MAJANI RESTAURANT 02/20/19 ANGELINI & ORI LLC 467 19WC 08360 BRYANT, LAREGGUISE BRIA OF RIVER OAKS 02/27/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 468 19WC 08386 OCHOA, ISAAC UNILEVER 03/17/19 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 469 19WC 08465 ACEVEDO, DEYSI LOEWS CHICAGO OPERATING C 10/11/18 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 470 19WC 08538 MCCLUSKEY, RON H&H ELECTRIC CO. 03/07/19 TAXMAN POLLOCK BRADY CONNOLLY & MASUDA PC 471 19WC 08561 OLLIE, JENISE M CHICAGO TRANSIT AUTHORITY 03/08/19 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 472 19WC 08739 KOWALESKI, MICHAEL GREENWOOD CARE, INC. 01/10/19 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 473 19WC 10072 ARSHAK, VAHAN FLEX COMPANY/RANDSTAD NOR 03/16/19 INJURY LAWYERS OF IL SLAVIN & SLAVIN 474 19WC 13679 TOMLIN, TRAFFAIRE UNITED AIRLINES INC. 04/11/19 WILLIAM H MARTAY 475 19WC 14401 CARR, TRECOLE CURTIS ELEMENTARY 05/14/19 GERALD CONNOR CHGO BOARD OF EDUCATION 476 19WC 14456 RAMIREZ, ALMA A & R JANITORIAL,INC 07/20/18 ACEVES & PEREZ PC EVANS & DIXON 477 19WC 14472 REED, JUAVANA ENVISION UNLIMITED 03/13/19 DWORKIN AND MACIARIELLO 478 19WC 14514 BROWN, LINDA B&W CARTAGE COMPANY, INC/ 05/01/19 ANKIN LAW OFFICE MEACHUM BOYLE TRAUFMAN 479 19WC 14533 GARCIA, GABRIELA THE MILLARD GROUP 01/20/19 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM GRA 480 19WC 14602 SELVY, ELIJAH WENDY'S 04/07/19 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 481 19WC 14623 WOOD, CHRISTOPHER KIM WALKS DOGS 05/14/19 JACKOWIAK LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 482 19WC 14665 HENRY, LAWRENCE FIRESTONE AUTO 02/24/18 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 483 19WC 14686 RUNDLE, PETER PROGRESS RAIL 03/14/19 LEONARD LAW GROUP LLC GOLDBERG SEGALLA LLC 484 19WC 14727 KHAN, ZAHED KERRY INGREDIENTS & FLAVO 05/11/19 MICHAEL HELLMAN STONE & JOHNSON CHARTERED 485 19WC 14778 MINGO, GABRIEL COOK COUNTY 05/17/19 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 486 19WC 14806 MONTALVO, JASMINE IMPERFECT PRODUCE 04/22/19 TAXMAN POLLOCK LAWRENCE COZZI - LAW OFFICE 487 19WC 14871 RIVERA, NANCY TRIUNE LOGISTICS 04/30/19 LEONARD LAW GROUP LLC LITCHFIELD CAVO 488 19WC 14993 RHODES, BARRY REYES HOLDINGS 03/12/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 489 19WC 15031 BODNAR, WALTER MARINO CHRYSLER 04/13/19 CAPRON & AVGERINOS PC 490 19WC 15048 BAILEY, LINDA G BOARD OF ED OF CHICAGO, 10/31/18 COHN LAMBERT RYAN & SCHNEI CHGO BOARD OF EDUCATION 491 19WC 15085 JACKSON, JANET CHICAGO BOARD OF EDUCATIO 04/22/19 STEVEN B SALK & ASSOC LTD CHGO BOARD OF EDUCATION 492 19WC 15241 ANSON, FRANK COOK COUNTY SHERIFF 11/27/18 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 493 19WC 15275 ROMERO, ANA I ELI'S CHEESECKAKE 03/02/18 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 494 19WC 15301 HANSEN, GREGORY BAKE'S STEEL ERECTORS, IN 12/19/18 CAPRON & AVGERINOS PC 495 19WC 15319 RAMOS, MARCELA ARYZTA 05/16/19 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 496 19WC 15357 JOHNSON, TENISHA ILLINOIS CENTRAL SCHOOL B 05/15/19 BRISKMAN BRISKMAN GREENBER GILDEA, COGHLAN & REGAN LTD. 497 19WC 15422 REYES, RICARDO SCHUEPFER INC 04/25/19 DEPAOLO & ZADEIKIS EDWARD J. KOZEL 19WC015423 -C SCHEPFER INC 498 19WC 15440 SALTOUROS, KONSTANTINOS THE AMERICAN BOTTLING CO 11/27/18 ROSS TYRRELL GAROFALO SCHREIBER STORM GRA 499 19WC 15456 THOMAS, CYNTHIA UNIVERSITY OF CHICAGO 02/19/19 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 500 19WC 15487 SARROS, MARK LOEBER MOTOR, INC 11/03/18 WILLIAM H MARTAY 501 19WC 15566 CARDENAS, GABRIELA ABM INDUSTRY GROUPS, LLC 04/19/19 SOSTRIN AND SOSTRIN PC GOLDBERG SEGALLA LLC 19WC015567 -C 502 19WC 15606 FORSLING, GUSTAV CHICAGO BLACKHAWKS HOCKEY 01/01/19 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 503 19WC 15624 HOOKER, OCTAVIUS CTA 02/27/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 504 19WC 15802 STEPHENS, DUNCAN BURLINGTON 03/21/19 CIFELLI SCREMENTI & DORE CHILTON YAMBERT PORTER LLP 505 19WC 15829 MELE, GAETANO BLOCK MIDLAND GROUP 05/13/19 MC HARGUE & JONES 506 19WC 15853 MCCAULEY, DEAN DELTA AIRLINES 10/20/17 SCOTT B SHAPIRO GAIDO & FINTZEN 507 19WC 15891 COLEMAN, SHENITA LITLE COMPANY OF MARY HOS 04/15/19 ROSS TYRRELL 508 19WC 15910 NELSON, ANTOINE CTA 05/23/19 CHICAGO TRANSIT AUTHORITY 509 19WC 15946 DEAN, LILLIAN CHICAGO PUBLIC SCHOOLS 05/22/19 ANGELINI & ORI LLC CHGO BOARD OF EDUCATION 510 19WC 16001 CZERWINSKI, PHIL CHICAGO TRANSIT AUTHORITY 08/08/18 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 511 19WC 16079 HARRIS, REBUKA ALDI, INC. 05/08/19 ACEVES & PEREZ PC 512 19WC 16114 MICK, MARCUS MARIANOS 04/01/19 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 513 19WC 16140 DIAZ ARANDA, OLGA, WIDOW CHEM PLATE INDUSTRIES # 11/13/98 RICHARD O. GREENFIELD GAROFALO SCHREIBER STORM GRA 514 19WC 16159 KREJCZYK, LAWRENCE CROWN CORK & SEAL 08/04/16 ELFENBAUM EVERS AMARILIO Z BRADY CONNOLLY & MASUDA PC 515 19WC 16182 BAROCIO, ARNULFO ASCHER BROTHERS COMPANY I 05/03/19 GWC INJURY LAWYERS LLC KEEFE CAMPBELL BIERY & ASSOC 516 19WC 16204 STENNIS, ANTHONY HEARTLAND ALLIANCE 09/01/18 ANGELINI & ORI LLC 517 19WC 16229 LEE, TYRONE PROFESSIONAL STAFFING GRP 04/17/19 COHN LAMBERT RYAN & SCHNEI KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 518 19WC 16330 ELLISON, LARA MICHELLE CHICAGO TRANSIT AUTHORITY 04/29/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 519 19WC 16373 NEWSOME, ALECIA A'VIANDS, LLC 04/04/19 ANKIN LAW OFFICE 520 19WC 16390 STACHO, JOHN H&M INTERNATIONAL TRANSPO 03/31/19 GWC INJURY LAWYERS LLC SPIEGEL & CAHILL, PC 521 19WC 16427 SCIMECA, KAREN A AIM SPECIALTY HEALTH 04/04/19 GALLAGHER, DONALD V KRAKER FANNING & OLSEN 522 19WC 16445 GOBENCIONG, HERVY STROGER COOK COUNTY HOSPI 05/28/19 SCOTT B SHAPIRO STATES ATTORNEY OF COOK COUN 523 19WC 16487 SANDS, KEN ARAMARK FACILITY SRVS, LL 04/04/19 GWC INJURY LAWYERS LLC 524 19WC 16508 MEJIA, GIOVANNY ALL 1 STAFFING LLC 04/19/19 EPSTEIN, JACK R LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 525 19WC 16542 MATTHEWS, BRENDA CONTINENTAL AIR 05/30/19 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 526 19WC 16637 JONES-VINCENT, MICHELLE COMCAST 05/30/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 527 19WC 16734 WHATLEY, EBONY GRIEF, INC 05/23/19 TURCYCHUTE LLC GOLDBERG SEGALLA LLC 528 19WC 16815 KULTON, GARY UNITED AIRLINES INC. 03/23/19 SAUNDERS CONDON & KENNY 529 19WC 16879 BARNES, TORRENCE CPS 05/24/19 MC HARGUE & JONES CHGO BOARD OF EDUCATION 530 19WC 16906 PEREZ, CRUZ PALMER HOUSE 05/22/19 RUEDA, IVAN A NOBLE & ASSOC 531 19WC 16932 DIAZ, LUCIO MULTI TEMPS SERVICES, INC 12/17/18 ANGELA NARDI-QUIGLEY GAIDO & FINTZEN 532 19WC 16949 JENKINS, ADRENNA CITY LIGHTS LTD 02/16/18 GWC INJURY LAWYERS LLC JOSEPH MARCINIAK 533 19WC 16966 SPRATT, DARRYL IL SEC OF STATE & TRISTAR 05/17/19 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 534 19WC 16991 WEBER, LEAH BIMBO BAKERIES USA, INC 05/14/19 CULLEN HASKINS NICHOLSON 535 19WC 17014 MONTES, EMMANUEL INDUSTRIAL BUSINESS SERVI 10/26/18 SALGADO, DAVID L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 536 19WC 17044 KREGIEL, BOGUSLAW EXPERIOR TRANSPORT 06/03/19 HETHERINGTON KARPEL & BOBB WIEDNER & MCAULIFFE LTD 537 19WC 17094 ORTEGA, ARTURO COOK COUNTY SHERIFF 01/15/19 COLLISON LAW OFFICES STATES ATTORNEY OF COOK COUN 538 19WC 17258 KOLB, JASON CITY OF CHICAGO 12/27/18 CANDIANO LAW OFFICE 539 19WC 17332 HERNANDEZ, GERONIMA RON'S STAFFING SERV/FANMA 04/20/19 RUEDA, IVAN A KOREY RICHARDSON LLC 540 19WC 17339 MC COLLUM, DONALD C UPS GROUND FREIGHT 05/10/19 SOSTRIN AND SOSTRIN PC LAWRENCE COZZI - LAW OFFICE 541 19WC 17360 YOUNG, COREY RON'S STAFFING SERVICES, 06/11/19 STROM & ASSOC KOREY RICHARDSON LLC 542 19WC 17450 STROZIER, DARNEICE CITY OF CHICAGO - 05/23/19 ACEVES & PEREZ PC CITY OF CHICAGO 543 19WC 17493 TELLEZ, ARISBEL ALPHA BAKING CO INC. 04/24/17 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 544 19WC 17682 REDDIC, AITZA E AMERICAN AIRLINES INC 12/19/15 JAMES RUPPERT GAROFALO SCHREIBER STORM GRA 545 19WC 21529 DELGADO, ADRIAN KEURIG DR PEPPER, INC 12/19/18 CARONE LAW OFFICES 546 19WC 23153 DARDON, LETICIA NORCOMM 07/21/19 DAVID SZCZECIN & ASSOC POWER & CRONIN LTD 547 19WC 23565 RUSSELL, DENICOLE KBP FOODS 07/12/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 548 19WC 24605 WOJCIK, ANTONINA ROSE PACKING, A DIVISION 07/23/19 CHEPOV & SCOTT LLC INMAN & FITZGIBBONS 549 19WC 24622 FLINTON, JOSEPH VILLAGE OF BARRINGTON 10/30/17 KRISTEN M KOZLOWSKI RUSIN & MACIOROWSKI LTD 550 19WC 24716 RITCHIE, JACOB STARCON INTERNATIONAL INC 08/20/18 MARKER & CRANNELL MEACHUM BOYLE TRAUFMAN 551 19WC 24783 JASSO-VALDEZ, IRMA UNITED CONTINENTL HOLDING 07/26/19 KATZ FRIEDMAN EAGLE ET AL 552 19WC 24844 GRACIA, FRANK PEOPLES GAS 05/31/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 553 19WC 24864 ZARATE, OSWALDO RAYNER & RINN SCOTT, INC 07/23/19 ENCINAS & ORNELAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 554 19WC 24993 BROWN, LEODA TERRY TOWN NURSERY SCHOOL 05/16/19 RUSIN & MACIOROWSKI LTD 555 19WC 25013 GARDNER, RITA HOYNE SAVINGS BANK 02/01/19 NEWLAND & NEWLAND KRAKER FANNING & OLSEN 556 19WC 25037 MOHAMED, SADIA SASHA CAB COMPANY 07/13/19 FISHER & LAMONICA 557 19WC 25065 HENEGHAN, ANDREW CITY OF CHICAGO 07/29/19 LUSAK AND COBB CITY OF CHICAGO 558 19WC 25111 KOPLIN, KARL PLEASANTVIEW FIRE 07/28/18 RIDGE & DOWNES 559 19WC 25138 STEVENS, MICHAEL ENVOY AIR INC 07/05/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 560 19WC 25163 JONES, DANIELLE MISERACORDIA HOME 05/02/19 STEVEN J MALMAN & ASSOCIAT 561 19WC 25186 SCALES, ARTHUR SR. CTA 08/19/19 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 562 19WC 25203 FINLEY, BRIAN INTEGRA HEALTHCARE EQUIPM 12/29/17 LEONARD LAW GROUP LLC 563 19WC 25221 TURNER, JEFFERY CITY OF CHICAGO 06/03/19 DAVID W MARTAY CITY OF CHICAGO 564 19WC 25294 SMITH, STEPHEN S JR. SUPERIOR EXHIBITS & DESIG 08/24/19 NILSON STOOKAL GLEASON CAP 565 19WC 25326 DEVOGELEAR, ROBERT COOK COUNTY SHERIFF 08/25/19 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 566 19WC 25350 RODRIGUEZ, JUAN WESTIN O'HARE 07/13/19 FRIEND LEVINSON & BERGAL WIEDNER & MCAULIFFE LTD 567 19WC 25376 RAMOS, GUADALUPE TORTILLERIA ATOTONILCO 06/02/19 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 568 19WC 25401 MARTINEZ, MARTHA ALL ABOUT CHARTER INC 07/12/19 HERRERA LAW CENTER MEACHUM BOYLE TRAUFMAN 569 19WC 25658 POWELL-DICKENS, DANELENE FORD MOTOR COMPANY 07/09/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 570 19WC 25685 PADRO, PEDRO B DHALIWAL LABS ILLINOIS LL 08/16/19 STROM & ASSOC HOLECEK & ASSOCIATES 571 19WC 25713 DALO, FRANK P FRANKLIN PARK 09/26/17 CUDA LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 572 19WC 25738 BATTISTELLA, PATRICK ELITE AMBULANCE COMPANY 08/07/19 CULLEN HASKINS NICHOLSON MEACHUM BOYLE TRAUFMAN 573 19WC 25800 CHAVEZ, MARIA CHICAGO PUBLIC SCHOOLS 08/07/19 HETHERINGTON KARPEL & BOBB CHGO BOARD OF EDUCATION 574 19WC 25839 ESPINOSA, ONYX SWISSPORT 08/31/19 LAW OFFICES OF ADRIAN CHER 575 19WC 25926 FLANAGAN, MICHAEL CITY OF CALUMET 07/09/19 RIDGE & DOWNES 576 19WC 25935 JOHNSON, MONICA CHICAGO TRANSIT AUTHORITY 08/29/19 GWC INJURY LAWYERS LLC CHICAGO TRANSIT AUTHORITY 577 19WC 25954 BOADI, DANIEL AMITA HEALTH- HOLY FAMILY 07/30/19 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 578 19WC 25977 DOMINGUEZ, LUIS M MEYER STEEL & DRUM 05/31/19 GONZALEZ LAW GROUP 579 19WC 26014 MEDRANO, EDNA PETFOOD EXPERTS INC 04/02/19 THERMAN LAW OFFICES 580 19WC 26071 WASHINGTON, TAL FACTORY MOTOR PARTS 08/29/19 CELSO FUENTES JR RUSIN & MACIOROWSKI LTD 581 19WC 26109 GORONSON, AUDRI AMERICAN AIRLINES 07/15/19 SAUNDERS CONDON & KENNY 582 19WC 26129 BAPTISTE, GADNER JEAN ARAMARK FACILITY SERVICES 07/19/19 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 583 19WC 26168 MOORE, LENATTIA FAIRMONT HOTEL 06/07/19 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 584 19WC 26202 LOPEZ, JUAN CORNELL FORGE COMPANY 05/22/19 SANDMAN LEVY & PETRICH HOLECEK & ASSOCIATES 585 19WC 26283 TORRES, MARTIN COREY STEEL CO 02/05/19 GOLDSTEIN BENDER & ROMANOF 586 19WC 26359 TORRES, EDNAEL ORTIZ ACME FINISHING COMPANY 03/25/19 CUDA LAW OFFICES 587 19WC 26398 RASPBERRY-STRONG, ANITA CHICAGO CHILD CARE SOCIET 08/16/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 19WC026399 -C 588 19WC 26413 MARTINEZ, FRANCISCO FERRARA CANDY COMPANY 08/14/19 SKLARE LAW GROUP HOLECEK & ASSOCIATES 589 19WC 26436 SYNAKIEWICZ, LARRY E ARCBEST CORP 11/10/18 O'CONNOR & NAKOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 590 19WC 26452 CABRERA, ROBERTO INTERSTATE HOTEL 06/07/19 FRIEDMAN & SOLMOR LTD HENNESSY & ROACH PC 591 19WC 26461 REED, ANNETTE CARL BUDDIG 09/04/19 VASILATOS & COTTER LLC KNELL O'CONNOR DANIELWICZ 592 19WC 26485 SOSTENES, FRANCISCO MENARDS 10/12/18 NEWLAND & NEWLAND 593 19WC 26508 RAMOS, MARGARET AMERICAN MAIDS OF CHICAGO 06/25/19 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 594 19WC 26532 HUAZANO, JUAN ABLE DISTRIBUTORS 08/12/19 RIDGE & DOWNES 595 19WC 26555 ALLSEITS, EMMANUELLE M UNIVERSITY OF IL OF CHICA 03/11/19 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 596 19WC 26574 THORSON, COURTNEY L UNIVERSITY OF ILLINOIS AT 09/17/18 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 597 19WC 26590 CARTER, SAMUEL E JEWEL OSCO 09/04/19 JAMES ELLIS GUMBINER & ASS 598 19WC 26617 THOMAS, SHANELLE EXPRESS SERVICES, INC 11/01/18 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 599 19WC 26644 RAMIREZ, GLADYS FLEXIBLE STAFFING SERVICE 07/02/19 GOLDSTEIN BENDER & ROMANOF ROSARIO CIBELLA 600 19WC 26667 MILLER, TIANA STATE OF ILLINOIS @ 08/06/19 MC HARGUE & JONES ASSISTANT ATTORNEY GENERAL 601 19WC 26689 MAGGIO, JOSEPH A MARINE TECHNOLOGY SOLUTIO 07/11/19 ANESI OZMON RODIN NOVAK KO 602 19WC 26709 FRIESENDORF, KARYN THE ASSEMBLY AMERICAN BAR 09/03/19 DEPAOLO & ZADEIKIS JOSEPH MARCINIAK 603 19WC 26735 KIMBROUGH, LAVEANIA CHICAGO TRANSIT AUTHORITY 07/17/19 DEPAOLO & ZADEIKIS CHICAGO TRANSIT AUTHORITY 604 19WC 26767 WILLIAMS, MARY GREENWOOD CARE, INC. 07/18/19 EAMES LAW GROUP LTD PAUL O WATKISS 19WC026768 -C 605 19WC 26770 HARDAWAY, KIARA PRONTO STAFFING SERVICES 09/05/19 SCOTT B SHAPIRO 606 19WC 26785 DEAN, MELVIN CTA 03/04/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 607 19WC 26897 ADELAIDO, ABELAIDO RUIZ SIZZLE PRODUCTIONS 08/13/19 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 608 19WC 26927 RUIZ, LETICIA RCKC CORPORATION DBA MCDO 09/04/19 STROM & ASSOC INMAN & FITZGIBBONS 609 19WC 30450 CHILDERS, CAMILLA UNITED AIRLINES (UAL) 07/19/19 ROMANUCCI & BLANDIN 610 19WC 32267 ALLEN, BETTY FIRST CLASS STAFFING 10/14/19 GERALD CONNOR KEEFE CAMPBELL BIERY & ASSOC 611 19WC 32483 SANCHEZ-NIETO, NICASIO THE STEEL SUPPLY COMPANY 05/22/19 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 612 19WC 32622 MOSLEY, JEROME CTA 11/06/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 613 19WC 33120 PINKERTON, SHEILA UNIVERSITY OF CHICAGO CAR 11/11/19 MINKOW DOMIN POWER & CRONIN LTD 614 19WC 33193 CONTRERAS, ALONSO MCGRATH ACURA OF MORTON G 11/07/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 615 19WC 33265 CONTRERAS, ROBERTO RKC CLEANERS 10/08/19 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 616 19WC 33276 CAIRO, JOHN VILLAGE OF REIVERSIDE 10/22/19 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 617 19WC 33304 STERLING, RENA CITY OF CHICAGO @ 11/21/16 LESJANUSAR PETERSON 618 19WC 33337 ANTU, RAUL SUBURBAN GENERAL 08/23/19 LAW OFFICE OF LAURA A CHIL EDWARD J. KOZEL 619 19WC 33351 PICKETT, CALVIN BLOMMER CHOCOLATE COMPANY 09/30/19 RICHARD E ALEKSY 620 19WC 33380 BADILLO, LETICIA GERALEX 07/01/18 CULLEN HASKINS NICHOLSON 621 19WC 33487 REED, LORETTA AMERICAN IMAGING MANAGEME 08/13/19 ANKIN LAW OFFICE 622 19WC 33518 GINDO, SUSAN AMERICAN AIRLINES 11/08/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 623 19WC 33619 NAVARRETE-SERNA, MARCOS EXTENDED HOME LIVING SERV 11/18/19 STEIN & CHERNY LTD 624 19WC 33639 OSBORN, ROBERT DHL EXPRESS 06/21/19 NEWLAND & NEWLAND HENNESSY & ROACH PC 625 19WC 33661 MOHAMMED, SIRAJ AHMED RAMIZ II INC 09/14/19 RYAN ROSENTHAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 626 19WC 33677 WOODEN, RICHARD CHICAGO TRANSIT AUTHORITY 11/04/19 GREGORIO & MARCO CHICAGO TRANSIT AUTHORITY 627 19WC 33706 FOURNIER, SHERI NEW ALBERTSON'S D/B/A JEW 03/01/19 HETHERINGTON KARPEL & BOBB 628 19WC 33715 ALTMEYER, ANTHONY JR. IL DEPT OF TRANSPORTATION @ 10/25/19 MORICI FIGLIOLI & ASSOC ASSISTANT ATTORNEY GENERAL 629 19WC 33738 DELGADO, EDGAR STANDARD EQUIPMENT COMPAN 08/01/19 ANESI OZMON RODIN NOVAK KO 630 19WC 33756 RUSSELL, CHANA UNIVERSITY OF CHICAGO 01/24/18 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 631 19WC 33818 VARGAS, WILLIAM COOK COUNTY SHERIFF/ DEPT 11/01/19 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN 632 19WC 33834 EVANS, LADESHIA LIBERMAN NURSING HOME 10/09/19 JAMES ELLIS GUMBINER & ASS 633 19WC 33852 MILLER, LEE NIAGRA LASALLE CORP 09/09/19 SCOTT B SHAPIRO 634 19WC 33928 TURNER, ASHLEY LYDIA HEALTH CARE CENTER 08/29/19 BARRY A KETTER 635 19WC 33965 DELGADO, EUSEBIO J HILTON ROSEMONT HOTEL/ 06/15/19 ROSS TYRRELL 636 19WC 34004 CROSS, JEFFREY INNOPHOS, INC 10/29/19 ROMANUCCI & BLANDIN 637 19WC 34056 MICHALOWICZ, ANTHONY CHICAGO TRANSIT AUTHORITY 06/22/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 638 19WC 34115 FINE, SHARON ILLINOIS HOLOCAUST MUSEUM 09/01/18 CULLEN HASKINS NICHOLSON NOBLE & ASSOC 639 19WC 34133 GUZMAN, JULIETA ALPHA BAKING 07/02/18 SALVATO O'TOOLE FROYLAN 640 19WC 34292 CALVO, CHRISTINE TRADER JOE'S 08/24/19 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 641 19WC 34325 REYES, JOSE E U-HAUL MOVING & STORAGE O 08/28/19 COHN LAMBERT RYAN & SCHNEI RUSIN & MACIOROWSKI LTD 642 19WC 34346 JOYCE, JOHN BUFFALO WILD WINGS 11/17/19 DWORKIN AND MACIARIELLO CAPUANI, FRANK S 643 19WC 34368 MONROE, TANISHA W.F.S. SERVICE 10/17/19 COVEN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 644 19WC 34393 STEFANEK, JERZY KEHOE DESIGNS 08/05/19 STROM & ASSOC 645 19WC 34435 LEWIS, ANTONIO TOOL STEEL SERVICE INC 10/29/19 ANKIN LAW OFFICE GRIFFIN, LORETTA M LAW OFFIC 646 19WC 34461 DEVIVO, AUGUST IL DEPT OF TRANSPORTATION @ 05/19/19 DEPAOLO & ZADEIKIS ASSISTANT ATTORNEY GENERAL 647 19WC 34485 VALDERRAMA, CHRISTINE CITY OF CHICAGO 10/24/19 ANKIN LAW OFFICE 648 19WC 34518 SAZA, MARLY RUIZ VEIN CLINICS OF AMERICA 10/31/19 DWORKIN AND MACIARIELLO 649 19WC 34548 ENGSTROM, CHRISOPHER CHICAGO TRANSIT AUTHORITY 11/27/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 650 19WC 34610 MUNOZ, ANTHONY MOORE LANDSCAPING 09/16/19 JOHN S. ELIASIK HENNESSY & ROACH PC 651 19WC 34611 RAMIREZ, ANITA MCDONALD'S 09/08/19 JOHN S. ELIASIK 652 19WC 34680 FARIAS, ADRIAN JOHNSTONE SUPPLY 11/12/19 LEONARD LAW GROUP LLC 653 19WC 34721 MELENDEZ, JORGE ASTORIA WIRE & METAL PROD 11/08/19 SHEA LAW GROUP JOSEPH MARCINIAK 654 19WC 34781 HERRERA, FRANCISCO J ELLA'S BUBBLES LLC 11/19/19 HOWARD S. KAVENOW LLC HOLECEK & ASSOCIATES 655 19WC 34803 DEL LLANO, ALEXANDER SRC HOSPITAL DBA WEISS HS 11/05/19 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 656 19WC 34834 MARTINEZ, JOSE GRAND APPLIANCE 02/02/19 DOUGLAS RALLO PC CAPUANI, FRANK S 657 19WC 34876 DIXON JOHNSON, MARY JACKSON PARK HOSPITAL 11/29/19 TOPPER & WEISS LTD ODELSON & STERK 658 19WC 34896 COLON, TAMARA JCG INDUSTRIES INC 11/07/19 HERRERA LAW CENTER 659 19WC 34923 KNUDSON, MICHAEL J REX ELECTRIC & TECHNOLOGI 04/24/19 MD JOHNSON PC 660 19WC 34976 PENTECOST, LIZA UNITED AIRLINES 09/11/19 GRAVLIN, MICHAEL J LLC 661 19WC 34995 JENKINS, CLARENCE ALL CLEAR PROTECTION 01/04/19 DAVID W MARTAY GORDON LAW OFFICES LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 662 19WC 35048 PETERSON, NICHOLAS CITY OF CHICAGO 11/08/19 HEALY SCANLON LAW FIRM 663 19WC 35105 KRAMER, CHRISTINA M CHICAGO PUBLIC SCHOOLS 05/29/19 STEWART C ORZOFF CHGO BOARD OF EDUCATION 664 19WC 35149 COWARD, LIONEL STAR SECURITY 12/03/19 LAW OFFICES OF ADRIAN CHER 665 19WC 35178 HOGAN, SCOTT ERNIE LOBERG CONSTRUCTION 07/22/19 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 666 19WC 35211 BRAATEN, RICARDO SUPERIOR AIR-GROUND AMBUL 11/14/19 LUSAK AND COBB POWER & CRONIN LTD 667 19WC 35236 HARMS, CURRAN CHICAGO HEIGHTS 12/03/19 LEONARD LAW GROUP LLC DEL GALDO LAW GROUP LLP 668 19WC 35273 STEWART, VINITA L STAFFMARK INVESTMENT, LLC 11/19/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 669 19WC 35294 FRAZIER, KATRINIA SEARCH, INC 05/02/19 GWC INJURY LAWYERS LLC 670 19WC 35352 GALLAGHER, MICHAEL BLVD 05/12/19 LEONARD LAW GROUP LLC ROSARIO CIBELLA 671 19WC 35417 CORBETT, WILLIAM ARCHDIOCESE OF CHICAGO 10/31/19 ANKIN LAW OFFICE 672 19WC 35439 SAENZ-HERNANDEZ, RUBI CONRAD MANAGEMENT 10/20/19 DUDLEY & LAKE LLC 673 19WC 35503 MEHRBANI, MARYAM SCHOOL DISTRICT 59 11/18/19 MEYERS & FLOWERS 674 19WC 35530 DELGADO, CESAR OLD DOMINION FREIGHT LINE 05/30/18 KARNO, MARK L & ASSOC EVANS & DIXON 675 19WC 35643 SSEPUUYA, FREDERICK K PRETTY RACHEL IN CHICAGO 11/26/19 WEISS & WEISS LAW OFFICES 676 19WC 35661 MOORE, REGINALD BRINKS, INC 11/18/19 STEVEN J MALMAN & ASSOCIAT 677 19WC 35687 AGUILAR, THEODORE COOK COUNTY HWY DEPT 04/29/19 PARENTE & NOREM PC STATES ATTORNEY OF COOK COUN 678 19WC 35724 KRUMRIE, DANIEL ABSOLUTE INSULATION 11/27/19 SCHWANER INJURY LAW GAROFALO SCHREIBER STORM GRA 679 19WC 35741 O'CONNOR, DENISE UNITED AIRLINES 04/26/19 NILSON STOOKAL GLEASON CAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 680 19WC 35774 PILLER, JIMMIE BROADVIEW MISSIONARY 06/17/19 KULLMAN KLEIN & DIONEDA 681 19WC 35881 CALDERON, HECTOR NEWLYWEDS FOODS 04/10/19 ROBERT WARSASKI 682 19WC 35908 ANDERSON, LAQUITA PACE 09/13/19 SCOTT B SHAPIRO HEYL ROYSTER VOELKER ALLEN 683 19WC 35982 WARDINGTON, AARON AT&T CORP 12/05/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 684 19WC 36019 PEREZ, HERMELINDA ATLAS MATERIAL TESTING 09/15/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 685 19WC 36082 JONES, CHERNISE WINDSOR ESTATES NURSING A 10/12/19 TIMOTHY HENDERSON BRADY CONNOLLY & MASUDA PC 686 19WC 36112 HILL, DEANGELO TRAFFIC CONTROL & PROTECT 12/11/19 DAVID W MARTAY 687 19WC 36155 DENGLER, ROBERT CHICAGO TRANSIT AUTHORITY 08/07/19 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 688 19WC 36172 TYE, RICHARD WEBSTER DENTAL CARE EVANS 05/14/18 STUART H GALESBURG 689 19WC 36188 RUSTAQI, JAMSHID UNITEK-DIRECTSAT 11/15/19 GARDNER LAW LLC MEACHUM BOYLE TRAUFMAN 690 19WC 36208 HERNANDEZ, FRANCISCO SYSCO CHICAGO 09/26/19 NEWLAND & NEWLAND QUINTAIROS PRIETO WOOD & BOY 691 19WC 36240 MARTINEZ, BEATRIZ SOUTHWEST AIRLINES 10/04/19 CULLEN HASKINS NICHOLSON 692 19WC 36273 ALANIZ, DAVID COMED 09/27/18 HENNESSY & ROACH PC 693 19WC 36313 SMITH, JEREMY ED MINIAT LLC 12/02/19 COSTA IVONE LLC POWER & CRONIN LTD 694 19WC 36354 NORMAN, STEVEN III BLUE PEAK TENTS 08/19/19 PORRO NIERMANN LAW GROUP 695 19WC 36357 JOHNSON, LAWANNA CTA 11/06/19 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 696 19WC 36442 VAZQUEZ, SALVADOR SOHO HOUSE CHICAGO 10/02/19 JOHN S. ELIASIK HENNESSY & ROACH PC 697 19WC 36473 SPYRKA, ANDRZEJ A. HORN INC 02/04/19 HETHERINGTON KARPEL & BOBB

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 698 19WC 36514 MORRIS, SOPHIA CARTER INVESTMENTS, INC/ 07/01/19 ANKIN LAW OFFICE JOSEPH MARCINIAK 699 19WC 36628 BANKS, AARON CHICAGO BOARD OF EDUCATIO 05/08/19 GALLAGHER LAW PC CHGO BOARD OF EDUCATION 700 19WC 36667 ORTIZ, FRANCISCO WALMART 12/06/19 STROM & ASSOC WIEDNER & MCAULIFFE LTD 701 19WC 36687 KENT, DEBORAH A SUNRISE SENIOR LIVING 08/28/19 ANESI OZMON RODIN NOVAK KO 702 19WC 36826 BIALAS, PEGGY ADMIN FOR E AREA ERECTORS # 10/09/18 KEEFE CAMPBELL BIERY & ASSOC 703 20WC 03486 LOPEZ, RAMIRO NU-WAY INDUSTRIES 10/07/19 CUDA LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 704 20WC 04089 MORALES, NICHOLAS JEWEL OSCO/ALBERTSON 09/06/19 MANDELL, GREGG 705 20WC 04111 DELGADO, ARMANDO MULTI TEMPS SERVICES, INC 09/19/19 ANGELA NARDI-QUIGLEY GAIDO & FINTZEN 706 20WC 04135 LEON, MARCO GERBER COLLISION-GLASS 12/12/19 COVEN LAW GROUP HOLECEK & ASSOCIATES 707 20WC 04169 GRONWICK, DAVID MSC INDUSTRIAL SUPPLY 11/15/19 ALEKSY BELCHER EVANS & DIXON 708 20WC 04196 REYES, DAMIAN CHICAGO PARK DISTRICT 11/08/19 ANKIN LAW OFFICE CHICAGO PARK DIST LAW DEPT 709 20WC 04248 THOMAS, MONTISHA ITALIAN FIESTA PIZZERIA 02/02/20 SANDMAN LEVY & PETRICH BRYCE DOWNEY & LENKOV LLC 710 20WC 04272 STREILER, TIMOTHY UNITED PARCEL SERVICE(10) 01/20/20 MARSZALEK AND MARSZALEK 711 20WC 04312 CASTILLO, MAYDA MISERICORDIA HOME 11/20/18 DWORKIN AND MACIARIELLO 712 20WC 04348 CLENDENNINGM KATHY NORTHSHORE GLENBROOD HOSP 10/01/19 TAXMAN POLLOCK 713 20WC 04361 KERRISON, PATRICK FORD MOTOR CO 01/14/20 HETHERINGTON KARPEL & BOBB 714 20WC 04397 COLON, DENNIS AUTOPORT (MICHIGAN) LIMIT 04/16/19 SPENCER LAW OFFICES 715 20WC 04416 BOWEN, BLAINE ABE FREIGHT SYSTEMS, INC 11/06/19 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 716 20WC 04436 ACOSTA, MARIA ST JAMES HEALTH OLYMPIA F 02/08/20 VASILATOS & COTTER LLC 717 20WC 04452 MIGON, TIM CITY OF EVANSTON 01/16/20 DONALD FOHRMAN & ASSOC 718 20WC 04472 LOVINGS, MACEO FED EX 02/06/19 LAW OFFICES OF ADRIAN CHER 719 20WC 04514 MARSHALL, HORACE ST OF ILLINOIS DJJ IYC CH @ 07/23/19 BLOCK, KLUKAS & MANZELLA P 720 20WC 04532 BYRD, SHIRLEY CHICAGO TRANSIT AUTHORITY 12/02/19 STONE & MAYA PC CHICAGO TRANSIT AUTHORITY 721 20WC 04548 PASS, LEON RJR. COUNTY OF COOK- DEPT OF 07/31/19 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 722 20WC 04605 ORDAZ, DANIEL JUST TIRES 01/31/20 RUEDA, IVAN A MEACHUM BOYLE TRAUFMAN 723 20WC 04620 RODRIGUEZ, NILDA BWAY CORPORATION 06/20/19 GRAUER & KRIEGEL LLC 724 20WC 04645 DUKULAY, FATMATA N MOSAIC OF LAKESHORE 12/02/19 C DEAN MATSAS 725 20WC 04690 YANEZ, VERNICA WALMART 02/13/20 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 726 20WC 04742 ESPARZA, EUNICE J.J. HUDETZ, INC. DBA 02/27/17 ROSS TYRRELL GRIFFIN, LORETTA M LAW OFFIC 727 20WC 04761 LOVING, TERRANCE A POWER STOP LLC 01/06/20 COHN LAMBERT RYAN & SCHNEI 728 20WC 04791 LOVE, DARYL JIFFY LUBE 09/25/19 SHEA LAW GROUP 729 20WC 04811 ABERA, KIBRA E TYSON FOODS, INC 01/03/20 LEADERS LAW CENTER LLC WIEDNER & MCAULIFFE LTD 730 20WC 04835 TODD, MARC AMERICAN AIRLINES 05/23/18 HUGHES SOCOL PIERS RESNICK 731 20WC 04854 BRUCE, BOSEDE ATTORBEYS TITLE GUARANTY 04/04/18 EDWARD J. KOZEL 732 20WC 04877 ZAJAC, JOSEPH COOK COUNTY SHERIFF'S DEP 02/08/20 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 733 20WC 04893 KLABACHA, JOSEPH PEOPLES GAS 02/17/20 LEONARD LAW GROUP LLC MC CABE & HOGAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 734 20WC 04949 ROSADO, JEREMY AIRLINE TOWING 11/17/19 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 735 20WC 05024 MCPHERSON, YVETTE SPIRIT AIRLINES 09/30/18 HORWITZ HORWITZ & ASSOC 736 20WC 05055 CLEARY, CATHERINE C NATIONS PIZZA 10/02/19 GALLAGHER, DONALD V MEACHUM BOYLE TRAUFMAN 737 20WC 05073 GEORGE, LATOYA CENTRAL BAPTIST VILLAGE 02/18/20 GERALD CONNOR SLAVIN & SLAVIN 738 20WC 05099 RAY, RICKI DELTA AIRLINES 12/05/17 SCOTT B SHAPIRO 739 20WC 05121 RICE, TERRI COON COUNTY/JUVENILE 01/20/20 EDWARD L OSOWSKI 740 20WC 05151 KUZBIEL, MARIAN ITS TECHNOLOGIES & LOGIST 01/09/19 ROSS TYRRELL 741 20WC 05187 BROWN, PATRICIA SYMPHONY OF MORGAN PARK 09/17/19 JOHN C SERKLAND MCCABE KIRSHNER PC 742 20WC 05227 OBEROI, SONAL UNITED AIRLINES HOLDINGS 01/02/20 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 743 20WC 05289 SYKES, EBONY A AMERICAN AIRLINES 08/23/19 COVEN LAW GROUP 744 20WC 05294 BLASINGHAME, KAHLIL CDS TRANSPORT 02/19/20 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD 745 20WC 05310 SACKRIDER, ROBERT E JR FORD MOTOR COMPANY 06/05/19 TAMVAKIS, GEORGE L 746 20WC 05418 VELEZ, JESUS FELICIANO O'BRIEN LANDSCAPE, INC. 12/02/19 THE ROMAKER LAW FIRM 747 20WC 05462 HERNANDEZ, JUAN CAFE ZUPAS 02/15/19 DROST GILBERT ANDREW 748 20WC 05481 GONZALEZ, CHRISTIAN FERRARA CANDY COMPANY 01/10/20 STEVEN J TENZER, LTD 749 20WC 05500 RUSSELL, LARENA ELIM CHRISTIAN SERVICES 02/05/20 KENNETH L. SCHWARTZ 750 20WC 05534 SALGADO, MIGUEL A SIPI METALS CORP 01/30/19 SMOLER LAW OFFICE, PC 751 20WC 05558 DAUPHIN, GINA MAXIM HEALTHCARE SERVICES 01/10/20 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 752 20WC 05598 MCCARTHY, DONALD CITY OF CHICAGO 05/20/19 CULLEN HASKINS NICHOLSON 753 20WC 05616 BELL, TAMARA SHERWIN WILLIAMS (ACCURAT 09/05/18 LEONARD LAW GROUP LLC 754 20WC 05652 FLOWERS, DONALD AKERS PACKAGING SERVICE G 07/24/19 CUTLER & SILVERGLADE HOLECEK & ASSOCIATES 755 20WC 05823 DELAVEGA, RICARDO A COUNTY OF COOK CORRECTION 01/19/20 MORICI FIGLIOLI & ASSOC 756 20WC 05844 PORCHMAN, TABITHA ANN & ROBERT H LURIE CHIL 02/05/20 STEVEN J MALMAN & ASSOCIAT KEEFE CAMPBELL BIERY & ASSOC 757 20WC 05868 HURDLE, JAWAUNA CTA 02/05/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 758 20WC 06011 STACKHOUSE, THERESA DHS 02/18/20 MINKOW DOMIN 759 20WC 06073 ZIMMER, DANIEL THYSSEN KRUPP ELEVATOR 01/06/20 WHITESIDE & GOLDBERG LTD FOLEY & MANSFIELD PLLP 760 20WC 06095 TRIPLETT, JESSICA DAKKOTA INTEGRATED SYSTEM 02/19/20 KATZ FRIEDMAN EISENSTEIN 761 20WC 06221 VALENTI, ANTHONY WEC ENERGY 10/11/19 SALVATO O'TOOLE FROYLAN MC CABE & HOGAN 762 20WC 06232 QUEZADA, ALJANDRO ALL 1 STAFFING 02/18/20 GERALD CONNOR 763 20WC 06254 CHAUDHRY, ASGHAR BP 11/07/19 THE MACK LAW GROUP PC 764 20WC 06316 LEE, LINDA ALLISON'S INFANT & TODDLE 02/20/20 ANKIN LAW OFFICE CHILTON YAMBERT PORTER LLP 765 20WC 06359 SALINAS, DEANNA TRANSPLACE HOLDINGS 10/24/19 BAUM RUFFOLO & MARZAL LTD EDWARD J. KOZEL 766 20WC 06381 SABATINO, TOM CITY OF CHICAGO-WATER DEP 11/08/19 HEALY SCANLON LAW FIRM 767 20WC 06404 GIST, TERENCE INTEGRITY TRADE SERVICES 02/13/20 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM GRA 768 20WC 06431 CRUMB, CARLA MARILLAC ST VINCENT 11/09/19 ANKIN LAW OFFICE 769 20WC 06450 LIVERS, KELLY PUBLIC STORAGE 02/14/20 GWC INJURY LAWYERS LLC EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 770 20WC 06473 MURCIA, LUIS F TARGET STORE (BROADWAY) 10/23/19 O'CONNOR & NAKOS 771 20WC 06518 HENRY, ORAL PRESBYTERIAN HOMES 11/19/19 BURNETT & CARON, LTD 772 20WC 06544 MOORE, TAKIA CHICAGO PUBLIC SCHOOLS 03/02/20 DWORKIN AND MACIARIELLO 773 20WC 06607 HEICHERT, GERALD LAGROU DISTRIBUTION INC 02/28/20 GWC INJURY LAWYERS LLC JAMES M KELLY 774 20WC 06631 KING, ARTHUR SURBANA MACHINE 10/28/19 SCOTT B SHAPIRO 775 20WC 06655 CHOUKIER, RADHI ATEKI 02/18/20 GERALD CONNOR RUSIN & MACIOROWSKI LTD 776 20WC 06698 FLORES, GLORIA B TRITON COLLEGE 06/13/19 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 777 20WC 06701 KLOEPFFER, CHRISTOPHER COMMUNITY HIGHSCHOOL DIST 12/04/19 VOGG, MARK J LAW OFFICE ODELSON & STERK 778 20WC 06734 VAZQUEZ, JOCELYN AMAZON 01/31/20 EAMES LAW GROUP LTD 779 20WC 06764 JOHNSON, ALTHANIEL SHERMAN WILLIAMS 02/04/20 GREGORIO & MARCO 780 20WC 06785 FAUST, DARNELL COCA COLA 06/01/19 PARENTE & NOREM PC HENNESSY & ROACH PC 781 20WC 06802 CHACON, YOSHIRA SUBWAY JAYSHREE 06/26/19 BUDIN LAW OFFICES 782 20WC 06822 CERVANTES DE AYALA, LAURA HOSTMARK HOSPITALITY GROU 01/09/20 HERRERA LAW CENTER HENNESSY & ROACH PC 783 20WC 06859 ISOM, MICHAEL A CITY OF PARK RIDGE 05/17/19 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 784 20WC 06936 PEREZ, SANDRA SIMS RECYCLING SOLUTIONS 01/17/20 BRISKMAN BRISKMAN GREENBER 785 20WC 06950 WELCHKO, KRIS CHICAGO BOARD OF EDUCATIO 10/06/17 JAMES W GREEN, JR 786 20WC 06976 MOSLEY, HAZEL LUDEMAN DEVELOPMENTAL CEN 11/14/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 787 20WC 07010 PETERSON, SEAN INTREN, LLC 02/27/20 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 788 20WC 07027 018 MENDOZA, CELINA ADVOCATE LUTHERAN GENERAL 09/10/19 ALEKSY BELCHER GAROFALO SCHREIBER STORM GRA 018 20WC007026 -C 789 20WC 07048 PICKENS, CLAUDE PAPER STREET REALTY, LLC 01/06/20 DISPARTI LAW GROUP PA 790 20WC 07067 GATTERAU, VILLADROUIN NV FREIGHT, INC 10/04/19 STANCZAK LAW OFFICES 791 20WC 07116 MALDONADO RUIZ, ADRIANA ALDEN DES PLAINES REHABIL 01/29/20 STEVEN B SALK & ASSOC LTD 792 20WC 07143 LEATHERMAN, JAMES CITY OF CHICAGO 02/25/20 WHITESIDE & GOLDBERG LTD 793 20WC 07207 MONROE, SANDRA CHICAGO PUBLIC SCHOOLS 02/06/19 DISPARTI LAW GROUP PA 794 20WC 07227 OCAMPO RODRIGUEZ, KARINA HEPHZIBAH CHILDREN'S ASSO 01/23/20 HERRERA LAW CENTER 795 20WC 07245 ANDREOTTA, MARY UNITED AIRLINES, ICN 03/01/20 GREGORIO & MARCO 796 20WC 07289 082 CAZAREZ, OCTAVIO RAMUNDO FOOD GROUP 10/26/19 ANGELINI & ORI LLC SLAVIN & SLAVIN 082 19WC032936 -C RAYMUNDO'S FOOD GROUP 797 20WC 07310 HANNAH, TANISHA SOUTHWEST AIRLINES 10/05/19 VRDOLYAK LAW GROUP LLC 798 20WC 07347 JONES, WILLIE CHICAGO TRANSIT AUTHORITY 03/08/20 KUMLIN & FROMM 799 20WC 07376 CRISTINO, JONATHAN LEOPARDO COMPANIES 04/26/19 LUSAK AND COBB 800 20WC 07397 PIATEK, JAN TH EM & R COMPANIES 01/15/20 KARCHMAR & STONE 801 20WC 07411 WESLEY, HAZEL M POPEYES LOUISIANA KITCHEN 02/10/20 GALLAGHER, DONALD V GANAN & SHAPIRO 802 20WC 07438 HOWARD-EMANUEL, JEANINE ST OF IL-DEPT OF HUMAN SR @ 12/30/19 ANKIN LAW OFFICE 803 20WC 07489 WANDEL, ROBERT CTA 12/16/18 CHICAGO TRANSIT AUTHORITY 804 20WC 07531 WILCOX, PHIILANI UNITED AIRLINES HOLDINGS 02/16/18 BRIAN J MC MANUS & ASSOC,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 805 20WC 07557 GONZALEZ, CHRISTIAN FERRARA CANDY - BELLWOOD 01/10/20 COSTA IVONE LLC 806 20WC 07584 MUSAU, KATUNGE STATE OF ILLINOIS MADDEN @ 10/30/19 CORNFIELD & FELDMAN 807 20WC 07634 SOLOMON, JERI FEDEX 12/18/19 VASILATOS & COTTER LLC 808 20WC 07680 MOORE, LATINA IL DEPT OF HUMAN SVCS @ 02/05/20 SEIDMAN MARGULIS & FAIRMAN 809 20WC 07704 WILEY, TUNISHA TRI CITY FOODS 03/06/20 BRISKMAN BRISKMAN GREENBER 810 20WC 07737 SGRIGNOLI, RICHARD INSTALLATION SPECIALISTS, 08/11/17 HEYL ROYSTER VOELKER & ALLEN 811 20WC 07762 FADDEN, DANIEL GLASS SOLUTIONS INC 08/13/19 GWC INJURY LAWYERS LLC 812 20WC 07786 BARNETT, LORENZO NEW LIFE TRANSPORTATION 03/10/20 SKLARE LAW GROUP MCANANY VANCLEVE & PHILLIPS 813 20WC 07806 NEUMANN, INGA UNITED AIRLINES HOLDINGS 09/30/18 BRIAN J MC MANUS & ASSOC, 814 20WC 11106 PERKINS, LISA APERION CARE OAK LAWN 05/06/20 VRDOLYAK LAW GROUP LLC 815 20WC 11428 YOUNG, MARQUITA FED EX EXPRESS * 01/03/20 KUMLIN & FROMM 816 20WC 11430 GRAY, ANTHONY CHICAGO TRANSIT AUTHORITY 03/19/20 KUMLIN & FROMM 817 20WC 11455 PEREZ, JAVIER DHL EXPRESS INC. * 11/26/18 DESTEFANO, ROBERT A & ASSO 818 20WC 11504 MC KAY, BREANNA CTA * 05/16/20 COSTA IVONE LLC 819 20WC 11523 HARPER, TEMAR PLOTE CONSTRUCTION, INC * 04/23/20 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 820 20WC 11541 BLAND, ANDRE P COOK CNTY DEPT OF CORRECT * 04/11/20 VITELL & SPITZ LTD 821 20WC 11590 NUNEZ, KATHERIN M BRIGHTSTAR US * 04/24/20 CULLEN HASKINS NICHOLSON 822 20WC 11611 WHITAKER, DAVID LOWE'S * 05/12/20 GRAVLIN, MICHAEL J LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 823 20WC 11635 HARRIS, DEL-VON AUNT MARTHA'S * 04/06/20 RUBENS KRESS MULHOLLAND 824 20WC 11729 FERRUGGIO, JOSEPH AMERICAN AIRLINES GROUP * 06/14/19 STORTO FINN & ROSINSKI 825 20WC 11809 LARSON, MARK VIVINT SOLAR * 08/14/19 CORBOY & DEMETRIO PC KRAKER FANNING & OLSEN 826 20WC 11829 RUNDLE, PETER PROGRESS RAIL * 05/09/20 LEONARD LAW GROUP LLC GOLDBERG SEGALLA LLC 827 20WC 11856 VOKAC, MICHAEL BERWYN POLICE DEPT * 03/15/20 BARRY A KETTER 828 20WC 11873 KELLY-MANSOUR, JENNIFER EXPRESS JET UNITED EXPRE * 09/30/19 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 829 20WC 11888 WILCZYNSKI, ROBERT CITY OF CHICAGO * 03/16/20 BRIAN J MC MANUS & ASSOC, 830 20WC 11892 CUDWELL, ANTWANA DANIELS WESTCHESTER HEALTH &REHAB 04/30/20 JOHN S. ELIASIK 831 20WC 11938 HERNENDEZ, MARCOS ARAMARK * 04/30/20 MC HARGUE & JONES 832 20WC 11954 UNNERSTALL-HEALY, KAREN AMERICAN AIRLINES * 10/09/19 KATZ FRIEDMAN EISENSTEIN 833 20WC 11983 PRADO, ONELIA SENIOR FLEXONICS * 03/02/20 LEO ALT BRADY CONNOLLY & MASUDA PC 834 20WC 12021 CARDENAS, CORNELIO METRO STAFF * 01/05/19 EPSTEIN, JACK R LAW OFFICE 835 20WC 12046 GHEEWALA, SHITAL AMERICAN AIRLINES * 03/15/20 SAUNDERS CONDON & KENNY 836 20WC 12079 LYNCH, MICHAELL CITY OF OAK FOREST * 03/15/19 THOMAS W DUDA INMAN & FITZGIBBONS 837 20WC 12176 ELLIS, SHARON MEDCALL HEALTHCARE * 04/16/20 STONE & MAYA PC 838 20WC 12202 COENIC, CEDRICK GREAT LAKES COCA COLA * 04/13/20 ANKIN LAW OFFICE 839 20WC 12226 SIMS, DEBORAH FEDEX GROUND * 05/15/20 DWORKIN AND MACIARIELLO 840 20WC 12246 DEBOIS, TIFFANY UNITED AIRLINES INC. * 04/02/20 NO ATTORNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 841 20WC 12249 GONZALEZ-ALARCON, ENRIQUE COMCAST CORP * 02/26/20 POWER & CRONIN LTD 842 20WC 12265 WAGNER, KEITH ABT ELECTRONICS * 10/30/18 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 843 20WC 12287 SUAREZ, ANA MARIA RESIDENCE INN BY MARRIOT * 02/02/20 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD 844 20WC 12310 GUTIERREZ, FATIMA HALLCON * 04/11/20 CULLEN HASKINS NICHOLSON 845 20WC 12332 MORENO, SAUL ROSE PACKING CO, INC * 05/16/20 DWORKIN AND MACIARIELLO 846 20WC 12358 GIACALONE, ANTHONY R CORNILLE PRODUCE * 09/19/19 NILSON STOOKAL GLEASON CAP 847 20WC 12382 MARTINEZ, JUAN JEWEL * 10/21/19 SEIDMAN MARGULIS & FAIRMAN 848 20WC 12405 SHELTON, MATTHEW CHICAGO TRANSIT AUTHORITY * 05/29/20 STROM & ASSOC 849 20WC 12497 EISENHAUER, BRIAN CITY OF CHICAGO * 01/08/20 ARGIONIS & ASSOCIATES LLC 850 20WC 12517 CONTRERAS, MARIANA NETTIE'S KITCHEN, INC * 06/30/19 GRAUER & KRIEGEL LLC 851 20WC 12553 NIETO, GEORGE COOK COUNTY SHERIFF'S DEP * 04/16/20 CULLEN HASKINS NICHOLSON 852 20WC 12554 WILLIS, JAMES WASTE MANAGEMENT 04/06/20 CULLEN HASKINS NICHOLSON 853 20WC 12570 ROLDAN, NYKKOL INSTACART * 05/12/20 STROM & ASSOC 854 20WC 12589 BRADLEY, STEVEN LUDEMAN DEVELOPMENTAL CTR * 04/17/20 DWORKIN AND MACIARIELLO 855 20WC 12619 YOUNG, VIOLA M LINCOLN PARK HS/CHICAGO * 03/03/20 WARREN W MARK 856 20WC 12647 HERNANDEZ-MAURICIO, JUAN COCULA RESTAURANT COMMERI * 05/02/20 KATZ FRIEDMAN EISENSTEIN 857 20WC 12667 ZAYYAD, BILAL SOUTHWEST AIRLINES * 05/29/20 ANKIN LAW OFFICE 858 20WC 12701 REED, ROBERT T ABF FREIGHT SYSTEMS * 05/19/20 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 859 20WC 12705 HAMPTON, LATESSA CTA 06/05/20 WHITESIDE & GOLDBERG LTD 860 20WC 12729 CALLEJAS, ALEJANDRINA ROLLEX CORPORATION * 04/15/20 EAMES LAW GROUP LTD 861 20WC 12755 SANDOVAL, NATALIA (WIDOW) EL MILAGRO # * 04/24/20 CULLEN HASKINS NICHOLSON 862 20WC 12801 HARGONS, CYNTHIA COOK COUNTY FACILITY MANA * 05/01/20 STROM & ASSOC 863 20WC 12830 WINGARD, FERWINI M (WIDOW FEDEX # * 04/27/20 NEIL KAUFMAN 864 20WC 12851 CORNEJO, ARNULFO FACTOR 75 * 05/01/20 EPSTEIN, JACK R LAW OFFICE 865 20WC 12868 WASZKIEWICZ, FELIKS ANDY'S DELI & MIKOLAJCZYK * 06/27/19 HETHERINGTON KARPEL & BOBB 866 20WC 12894 CAPLAN, ALEXANDER ROB WEST PLUMBING, INC. * 01/24/20 GILDEA, COGHLAN & REGAN LTD. 867 20WC 12915 GUERRERO, DANIEL CHICAGO TRANSIT AUTHORITY * 05/24/20 DAVID W MARTAY 868 20WC 12935 SHTILTZ, RAFAL JANI-KING * 02/16/19 ARGIONIS & ASSOCIATES LLC 869 20WC 12947 BUTATEK, BRIAN NORTH SUBURBAN * 10/17/18 WOLFE & JACOBSON, LTD 870 20WC 12973 MARTINEZ, JUAN JEWEL * 10/21/19 SEIDMAN MARGULIS & FAIRMAN 871 20WC 13002 HUTCHISON, THOMAS VILLAGE OF WINNETKA 10/26/19 POWER & CRONIN LTD 872 20WC 13007 GARCIA, ANTHONY ASSURANCE TECHNOLOGIES * 06/14/18 EFTEKHARI LAW OFFICES LLC 873 20WC 13033 YORK, ROBERT CTA * 05/31/20 FRIEDMAN & SOLMOR LTD 874 20WC 13154 WRIGHT, RALPH STATE OF ILLINOIS @ 02/28/20 RUBIN LAW GROUP 875 20WC 13202 JACOBS, TERRY APSTONE LOGISTICS LLC * 01/21/20 LAW OFFICES OF ADRIAN CHER 876 20WC 13222 SOTO, JESSE UNITED AIRLINES INC. * 06/10/20 GERALD CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 07/20/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 877 20WC 13246 MANSWOR, NATHER XL TOWING & STORAGE, INC * 03/24/20 HETHERINGTON KARPEL & BOBB 878 20WC 13280 RAZO, DANIEL COOK COUNTY SHERIFF, DEPT * 03/22/20 ANKIN LAW OFFICE 879 20WC 13308 DE BLAS, YENIFER WALMART INC * 05/23/20 DAVID W CLARK 880 20WC 13376 LEGGETT, KENNETH NAMDAR REALTY GROUP * 03/12/20 WILLIAM H MARTAY 881 20WC 13389 TOEFIELD, MARIA GOLDCOAST SURGERY CENTER * 05/26/20 ACEVES & PEREZ PC 882 20WC 13423 RUBIO, KAREN WIDOW OF FERRARA CANDY COMPANY # * 04/14/20 ROMANUCCI & BLANDIN 883 20WC 13434 GOMEZ, MIGUEL A UNITED FURNITURE IMPORT * 05/29/20 LEONARDO MORALES 884 20WC 13456 ROMERO, JACOBO RAFAEL GARCIA CONSTRUCTIO * 09/27/19 JONATHAN SCHLACK 885 20WC 13481 COLLINS, SARAH SPLASH 527, LLC * 03/14/18 HOLECEK & ASSOCIATES 886 20WC 13552 HANKERSON, BOBBIE J SECURITAS * 08/18/19 RUBIN LAW GROUP 887 20WC 13629 BISHOP, CHRISTOPHER VEHI SHIP * 06/11/20 JAMES ELLIS GUMBINER & ASS 888 20WC 13689 BADRA, PEDRO HEALTH CARE DEKOR, LLC * 05/01/19 DE FRIES LAW OFFICES PC 889 20WC 13709 TORRES, OMAR CONTRACTORS ACCESS EQUIPM * 06/02/20 WHITESIDE & GOLDBERG LTD 890 20WC 13735 BROWN, MONIQUE COLORADO TECHNICAL UNIVER * 03/12/20 DWORKIN AND MACIARIELLO 891 20WC 13772 NICHOLS, ROBERT JEWEL DISTRIBUTION CTR * 06/10/20 GWC INJURY LAWYERS LLC 892 20WC 13797 BUTLER, ALBERT KEYSTONE AUTOMOTIVE * 02/18/20 KUMLIN & FROMM