ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A … · 2019-12-16 · 14 10wc 12464 dominquez,...

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 52593 JOHNSON, BETTY L ST OF IL ELIZABETH LUDERM @ 01/02/00 CHRISTIAN & MANNO IL ATTORNEY GENERAL'S OFFICE 2 07WC 26807 GARCIA, ANDY PHILIPS NORELCO 05/30/07 RUBIN & MACHADO POULOS & DIBENEDETTO LAW 3 07WC 34913 GRAHAM, DAVID A VILLAGE OF DOLTON 03/16/07 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 07WC035398 -C 07WC035781 -C 09WC035422 -C 15WC014786 -C 15WC014863 -C 4 08WC 34555 O'REILLY, PATRICIA CITY OF CHICAGO 06/06/08 WOODRUFF & JOHNSON LAW OFF HENNESSY & ROACH PC 5 08WC 34991 JEFFERSON, CHRIS HMD TRUCKING 07/18/08 EMPLOYEE LEGAL SERVICES LT CHEPOV & SCOTT LLC 08WC054330 -C 6 08WC 35714 SZLAPCZYNSKI, STEFAN ANDREAS R VASSILOS @ W 07/23/08 BELLAS & WACHOWSKI 7 08WC 52051 SAWYER, USHER COOK COUNTY HIGHWAY DEPT 10/21/08 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 10WC032304 -C 8 09WC 27064 MALONE, MARILYN CHICAGO BOARD OF EUCATION 01/17/08 GAINES & GAINES LAW DEPARTMENT 09WC027065 -C 10WC009929 -C 9 09WC 30777 WHITE, JESSICA PALOS HILLS EXTENDED CARE 06/23/09 BURNES & LIBMAN 10 09WC 45140 ZDERAD, RON SOUTHWEST AIRLINES 11/07/06 MILLON & PESKIN LTD HENNESSY & ROACH PC 09WC045141 -C 09WC045142 -C 09WC045143 -C 09WC045144 -C 09WC045145 -C 13WC021333 -C 18WC019846 -C 11 09WC 48498 HOLDER, MARCUS JOEY'S MOVERS & TRUCKING W 09/29/09 VASILATOS & COTTER LLC

Transcript of ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A … · 2019-12-16 · 14 10wc 12464 dominquez,...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 52593 JOHNSON, BETTY L ST OF IL ELIZABETH LUDERM @ 01/02/00 CHRISTIAN & MANNO IL ATTORNEY GENERAL'S OFFICE 2 07WC 26807 GARCIA, ANDY PHILIPS NORELCO 05/30/07 RUBIN & MACHADO POULOS & DIBENEDETTO LAW 3 07WC 34913 GRAHAM, DAVID A VILLAGE OF DOLTON 03/16/07 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 07WC035398 -C 07WC035781 -C 09WC035422 -C 15WC014786 -C 15WC014863 -C 4 08WC 34555 O'REILLY, PATRICIA CITY OF CHICAGO 06/06/08 WOODRUFF & JOHNSON LAW OFF HENNESSY & ROACH PC 5 08WC 34991 JEFFERSON, CHRIS HMD TRUCKING 07/18/08 EMPLOYEE LEGAL SERVICES LT CHEPOV & SCOTT LLC 08WC054330 -C 6 08WC 35714 SZLAPCZYNSKI, STEFAN ANDREAS R VASSILOS @ W 07/23/08 BELLAS & WACHOWSKI 7 08WC 52051 SAWYER, USHER COOK COUNTY HIGHWAY DEPT 10/21/08 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 10WC032304 -C 8 09WC 27064 MALONE, MARILYN CHICAGO BOARD OF EUCATION 01/17/08 GAINES & GAINES LAW DEPARTMENT 09WC027065 -C 10WC009929 -C 9 09WC 30777 WHITE, JESSICA PALOS HILLS EXTENDED CARE 06/23/09 BURNES & LIBMAN 10 09WC 45140 ZDERAD, RON SOUTHWEST AIRLINES 11/07/06 MILLON & PESKIN LTD HENNESSY & ROACH PC 09WC045141 -C 09WC045142 -C 09WC045143 -C 09WC045144 -C 09WC045145 -C 13WC021333 -C 18WC019846 -C 11 09WC 48498 HOLDER, MARCUS JOEY'S MOVERS & TRUCKING W 09/29/09 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 09WC 50330 CIESLA, FRED CITY OF CHICAGO 04/20/07 HEALY LAW FIRM LEAHY EISENBERG & FRAENKEL 13 09WC 51734 REDMOND, TAWONDA F/K/A CTA 12/08/08 KATZ FRIEDMAN EAGLE ET AL CHICAGO TRANSIT AUTHORITY 11WC029159 -C 14 10WC 12464 DOMINQUEZ, ARACELI P DOUBLE CORPORATION D/B/ 03/26/10 COHN LAMBERT RYAN & SCHNEI 15 10WC 24874 MELE, MARGARET YRC WORLDWIDE INC 06/17/10 BOUDREAU NISIVACO LLC HENNESSY & ROACH PC 16 10WC 36210 MC FERREN, FREDDIE L CITY OF CHICAGO 08/30/10 DRANIAS HARRINGTON & WILSO CITY OF CHICAGO 17 10WC 36840 O'LEARY, THOMAS AMERICAN AIRLINES 08/16/10 CHRISTIAN & MANNO GAROFALO SCHREIBER STORM GRA 11WC027810 -C 12WC004934 -C 17WC024818 -C 18 10WC 38748 PHILLIPS, SHARNIA ILLINOIS DEPARTMENT 08/02/10 LEE VASILATOS ASSISTANT ATTORNEY GENERAL 19 10WC 41734 19B THORPE, WILLIAM PREFERRED MEAL SYSTEMS 07/27/10 STEVEN J SEIDMAN LAW OFFIC POWER & CRONIN LTD 20 10WC 44136 PEREZ, FLORA HERNANDEZ EL MILAGRO INC. 08/25/10 LAW OFFICE OF SCOTT B SHAP 21 11WC 01905 BARAJAS, LEONARD AVIS BUDGET RENTAL CAR CO 12/13/10 SCHACTER, JEROME & ASSOC L BRADY CONNOLLY & MASUDA PC 22 11WC 11194 SAADEH, THAER POWER PLAY DISTRIBUTORS I 10/22/10 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY LLC 23 11WC 20307 HERNANDEZ, EUSEBIA HILTON WORLDWIDE, INC 05/15/11 ACEVES & PEREZ PC NOBLE & ASSOC 24 11WC 26390 LOCOCO, ANTHONY CITY OF CHICAGO 06/02/11 PARENTE & NOREM PC CITY OF CHICAGO 25 11WC 28888 CIPOLLA, FRANK A CITY OF CHICAGO 07/21/11 SALVATO & O'TOOLE CITY OF CHICAGO 26 11WC 36112 AKKARI, CHRISTINA FIRST PEEK ULTRASOUND W 08/10/11 STEVEN J SEIDMAN LAW OFFIC WESSELS & PAUTSCH 27 11WC 44583 RODRIGUEZ, ROCIO LOLITA'S RESTAURANT W 10/03/11 LUIS A ACEVES & ASSOC 28 12WC 06895 BACZYNSKI, MATEUSZ T & J WOODWORKING, INC W 11/18/11 JOSEPH F. VITU TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 12WC 14810 NELSON, PATRICK F CITY OF CHICAGO 08/25/11 GOLDSTEIN BENDER & ROMANOF CITY OF CHICAGO 30 12WC 17620 KAREN, ABEDELKARIM H&M INTERNATIONAL TRANS I 02/15/12 FOTOPOULOS, JOHN S 31 12WC 18021 KAVROULAKIS, NICK G COUNTY OF COOK COUNTY SHE 05/10/12 FOTOPOULOS, JOHN S INMAN & FITZGIBBONS 32 12WC 20752 HALE, ZYPORAH J SOUTH SHORE HOSPITAL 03/31/12 KARP & ELLIS NYHAN BAMBRICK KINZIE & LOWR 33 12WC 29342 GUZMAN, ELIZABETH OPW FUELING COMPONENTS 08/06/12 OSVALDO RODRIGUEZ PC MEACHUM & STARCK 34 12WC 29577 FRANKS, ROBERT PERFECTION BAKERY 05/10/12 BAUM RUFFOLO & MARZAL LTD GRANT & FANNING 35 12WC 30037 BIVENS, SHERRILYN CHICAGO BOARD OF EDUCATIO 09/29/11 HETHERINGTON KARPEL BOBBER LEAHY EISENBERG & FRAENKEL 15WC001673 -C CHGO BORAD OF ED 15WC001674 -C 36 12WC 30073 VARELA, CARLOS LARSEN ENVELOPE COMPANY W 04/03/12 COLLISON LAW OFFICES ASA LAW GROUP 13WC008239 -C 37 12WC 31359 SOLOJ, MAYRA SWEDISH COVENANT HOSPITAL 02/22/12 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 38 12WC 41060 SANCHEZ, JOSE WELSCH READY MIX 10/16/12 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 16WC022764 -C 16WC031139 -C 39 12WC 42206 RODRIGUEZ, PATRICA CIRCUIT COURT OF COOK CTY 11/13/12 STEVEN J SEIDMAN LAW OFFIC STATES ATTORNEY OF COOK COUN 40 12WC 42644 JEFFERY, ALSHON C/O CHICAGO BEARS FOOTBALL CL 10/07/12 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 12WC044257 -C 18WC026616 -C 18WC026617 -C 18WC026618 -C 18WC026619 -C 41 12WC 42837 TULLY, ANA CHICAGO BOARD OF EDUCATIO 11/26/12 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 13WC 06778 CANELA, RICARDO M HOLLANDER HOME FASHIONS 07/02/11 MC HARGUE & JONES HOLECEK & ASSOCIATES 43 13WC 07936 THOMPSON, ANGELA CITY OF CHICAGO 02/26/13 BARRY STEWART SILVER CITY OF CHICAGO 14WC008585 -C 44 13WC 08204 MILLER, GERALD WESTSIDE HEALTH AUTHORITY 02/28/13 DEUTSCHMAN, JEFFREY S KRAKER FANNING & OLSEN 45 13WC 08251 STEWART, CHERYL CITY OF CHICAGO 02/29/12 GORDON & CENTRACCHIO LLC CITY OF CHICAGO 46 13WC 09212 19B ERRICO, ERNEST J CENTRAL LIFT MAINTENANCE 02/22/13 ANESI OZMON RODIN NOVAK KO LITCHFIELD CAVO 13WC027262 -C 47 13WC 15034 SORIANO, MARIA E I T DAY CARE CENTER @ W 01/04/11 FRIEDMAN & SOLMOR LTD ASSISTANT ATTORNEY GENERAL 48 13WC 15490 LAUGHLIN, PATRICK CITY OF CHICAGO 04/03/13 O'CONNOR & NAKOS CITY OF CHICAGO 49 13WC 17426 WILLIAMS, WILBERT CITY OF CHICAGO 05/02/13 CIARDELLI CUMMINGS CAMPAGN 50 13WC 17568 ABEJA-LOPEZ, ALFONSO RECYCLING DEPOT 05/14/13 GORDON & CENTRACCHIO LLC KOREY COTTER HEATHER RICHARD 51 13WC 18730 FEAGINS, BEVERLY CITY OF CHICAGO 05/03/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 52 13WC 19135 GUZMAN, ERASMO GIANT WHOLESALE W 05/18/13 CULLEN HASKINS NICHOLSON 53 13WC 28877 MORALES, CARLOS SENIOR FLEXONICS INC 05/22/13 LEAHY, JAMES P BRADY CONNOLLY & MASUDA PC 16WC008985 -C 54 13WC 29676 SINGLETON-ALLEN, NANETTA COUNTY OF COOK 05/01/13 MARSZALEK AND MARSZALEK STATES ATTORNEY OF COOK COUN 55 13WC 30032 EVANS, JOAN FORD MOTOR COMPANY 07/12/13 DONALD W FOHRMAN & ASSOC POWER & CRONIN LTD 56 13WC 30154 JORDAN, EDDIE D KINDRED HEALTHCARE 08/17/13 BOWMAN & CORDAY ARNETT LAW GROUP 14WC024498 -C 57 13WC 33121 AMBROGI, ANA CANADA 10/29/99 SEIDMAN MARGULIS & FAIRMAN 58 13WC 33961 RAMIREZ, JAVIER TOTAL STAFFING SOLUTIONS 10/01/13 EPSTEIN, JACK R LAW OFFICE KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 14WC 04534 LESURE, THOMAS YELLOW CAB 01/29/14 ANKIN LAW OFFICE 60 14WC 04712 GATTI, JORDAN PERFORMANCE TRUCK REPAIR, 01/28/14 MANDELL, GREGG 61 14WC 04904 MALDONADO, WILLIAM CITY OF CHICAGO 07/31/13 O'CONNOR & NAKOS CITY OF CHICAGO 62 14WC 05375 DOMINGUEZ, MARIA UNIVERSITY OF ILLINOIS 03/22/12 MARSZALEK AND MARSZALEK NYHAN BAMBRICK KINZIE & LOWR 63 14WC 05515 KAMPENGA, MICHELLE F/M/A DUNBAR ARMORED INC 07/28/13 MARSZALEK AND MARSZALEK MEACHUM & STARCK 64 14WC 06175 BEARD, ISIAH CITY OF CHICAGO DEPT OF 12/17/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 65 14WC 06211 OBASI, LONGINUS ACROSS THE TOWN CAB CORP/ 02/17/14 LAW OFFICE OF SCOTT B SHAP 66 14WC 06249 KOPIEC, CHRIS CITY OF CHICAGO 12/23/13 THE KARMEL LAW FIRM 67 14WC 06277 HALEY, BRITTANY AMERI DREAM, INC. @ W 01/25/14 SKLARE LAW GROUP 68 14WC 06330 BURTON, KIOWA FORD MOTOR COMPANY 11/19/13 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 14WC034624 -C 69 14WC 07301 MARTLINK, MARIANNE PALOS HEIGHTS SCHOOL DIST 12/18/13 O'CONNOR LAW GROUP LLC ANCEL GLINK DIAMOND BUSH & E 70 14WC 07600 HORNE, AJ MY FIT FOOD 01/23/14 CANDIANO LAW OFFICE MEACHUM & STARCK 71 14WC 13869 STERLING, DORA L AMERICAN AIRLINES 03/20/14 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 16WC009659 -C 18WC028294 -C 72 14WC 14810 ZAYAS, AGUSTIN COCA COLA REFRESHMENTS US 12/16/13 CIARDELLI CUMMINGS CAMPAGN BRADY CONNOLLY & MASUDA PC 14WC017188 -C COCA-COLA REFRESHMENTS 15WC000483 -C 73 14WC 16504 DEALVA, JOSUE TEMPUS AUTO SPA 04/02/14 FOHRMAN, DONALD W & ASSOCS GANAN & SHAPIRO 14WC016505 -C 74 14WC 17649 STALLWORTH, WILLIE COOK COUNTY HOSPITAL 05/24/12 TRUGLIO, FRED A & ASSOC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 14WC 18041 AUGUSTIN, ODVELT FIRST TRANSIT 05/16/14 FRIEDMAN & SOLMOR LTD WIEDNER & MCAULIFFE LTD 76 14WC 18066 GREENE, ROSANNA PALOS COMMUNITY HOSPITAL 04/16/14 KARCHMAR & STONE POWER & CRONIN LTD 77 14WC 18074 THOMAS, SYBIL C CIRCUIT COURT OF COOK COU 03/06/13 CAMERON CLARK STATES ATTORNEY OF COOK COUN 78 14WC 18317 SNARSKI, JEFF VILLAGE OF SCHILLER PARK 10/11/11 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 16WC011310 -C 79 14WC 18375 TAMAN, WALID CALIFORNIA GARDEN NURSING 02/21/14 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 16WC007916 -C MANORCARE HEALTH 80 14WC 22232 ROMANO, KENNETH J JR LAGUNAS INC 01/30/14 FIORENTINO LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 14WC022233 -C 14WC038697 -C 81 14WC 23498 MOLONY, DANIEL FEDERAL EXPRESS GROUND 12/04/13 DAVID W MARTAY KOPKA, PINKUS DOLIN, PC 82 14WC 26031 VEGA-ALCALA, ANGEL TOMOTTO CO 07/05/14 EPSTEIN, JACK R LAW OFFICE 14WC035475 -C 83 14WC 27612 HOWELL, DAWN CERMAK HEALTH SERVICES 08/02/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 84 14WC 28974 RAMIREZ, CARLOS MASON DIXON/UNIVERSAL 04/25/14 SOSTRIN AND SOSTRIN PC HINSHAW & CULBERTSON 85 14WC 30272 PHIPPS, BENJAMIN CTA 08/20/14 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 86 14WC 34736 DE LEON, ANTONIO LABOR SERVICES COMPANY 09/18/14 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 87 14WC 36177 TORRES, SERAFIN L KERRY AMERICAS 08/16/14 ACEVES & PEREZ PC STONE & JOHNSON CHARTERED 88 14WC 36754 MILLSAP, ALLEN HHI GROUP HOLDINGS 04/06/14 FOHRMAN, DONALD W & ASSOCS HOLECEK & ASSOCIATES 89 14WC 37261 BONILLA, MIGUEL MR ROOTER PLUMBING 09/03/14 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 15WC018114 -C MT ROOTER PLUMBING 90 14WC 37423 CHOATE, THOMAS VESUVIES USA 10/13/14 LEO ALT RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 14WC 37571 JEFFRIES, TORIANO STATE OF ILLINOIS @ 05/20/14 MINKOW DOMIN JILL OTTE 92 14WC 38253 YOUNG, TIRESIAS POWER STOP 10/30/14 MARC J SHUMAN & ASSOCIATES JOSEPH MARCINIAK 93 14WC 38265 RADDATZ, JAMES CHICAGO BOARD OF EDUCATIO 08/22/14 SLAVIN & SLAVIN CHGO BOARD OF EDUCATION 94 14WC 38307 MICHEL, CHANTALE SEASON HOSPICE 06/17/14 JAMES J BURKE LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC038308 -C 95 14WC 38346 GRIFFITH, JACQUELINE CITY OF CHICAGO 09/27/13 GOLDSTEIN BENDER & ROMANOF CITY OF CHICAGO 96 15WC 03223 TAYLOR, MICHAEL CHICAGO BOARD OF EDUCATIO 11/18/13 HETHERINGTON KARPEL BOBBER LEAHY EISENBERG & FRAENKEL 97 15WC 03301 GONZALEZ, GINO DISPATCH TAXI AFFILIATION 01/24/15 ANKIN LAW OFFICE 98 15WC 03841 GRANDA, JEFFREY FEDEX CORPORATE OFFICES 10/28/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 99 15WC 04044 LESPIER, LILY JC PENNY 10/24/14 RUBIN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 100 15WC 04611 BARON, ARTHUR CITY OF CHICAGO 05/07/13 LEE, MARK N LAW OFFICE 101 15WC 04789 DOTLICH, DANIEL VILLAGE OF HOFFMAN ESTATE 12/08/14 HANNIGAN & BOTHA, LTD EVANS & DIXON 102 15WC 04893 WILLIAMS, STEVEN SECRETARY OF STATE 12/09/14 SMOLER LAW OFFICE, PC MALLORY ZIMET 15WC004894 -C 103 15WC 04970 SUERTH, JOSEPH CITY OF CHICAGO 02/06/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 104 15WC 05107 SAMBELL, PETER KLEEN AIR SERVICE CORP 04/11/13 CIARDELLI CUMMINGS CAMPAGN NYHAN BAMBRICK KINZIE & LOWR 105 15WC 05453 GAMBLE, LETREONA COOK JUVENILE DETENTION C 04/28/14 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 15WC005636 -C 15WC005637 -C 106 15WC 05505 KEICHER, KARL RIVER TRAILS TRANSIT LINE 12/18/14 CAPRON & AVGERINOS PC ACCIDENT FUND HOLDINGS 107 15WC 05632 VILLAGOMEZ, MARTIN JFC INTERNATIONAL INC 12/18/14 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 15WC 06110 COGLIANESE, THERESA TRINITY HEALTH/ 07/31/14 DWYER AND COOGAN LORENZ & BERGIN PC 109 15WC 06503 ROMAN, JOSE CTA 02/12/15 BAUM RUFFOLO & MARZAL LTD CHICAGO TRANSIT AUTHORITY 110 15WC 06755 QUINLAN, JAIME STATE OF ILLINOIS @ 07/17/14 TAMVAKIS, GEORGE L ASSISTANT ATTORNEY GENERAL 111 15WC 09073 SALINAS, PAUL FORD MOTOR COMPANY 09/25/14 ANKIN LAW OFFICE POWER & CRONIN LTD 112 15WC 15170 CLAUSEN, ERIC EAGLE MANAGEMENT 05/02/14 NEWLAND & NEWLAND LAW OFFICES OF EDWARD J. KOZ 17WC013099 -C 113 15WC 15726 KOSIEK, JOSEPH UNIV CHGO MEDICAL CENTER 05/31/13 BAUM RUFFOLO & MARZAL LTD NOBLE & ASSOC 15WC015727 -C 16WC032857 -C UNIVERSITY OF CHICAGO 114 15WC 15919 BROWN, BRENDA CHICAGO TRANSIT AUTHORITY 04/07/15 COHN LAMBERT RYAN & SCHNEI CHICAGO TRANSIT AUTHORITY 115 15WC 16516 19B RUFIN, LOUIS GET FRESH PRODUCE, INC. 04/03/15 JOHN F GREGORIO & ASSOC WIEDNER & MCAULIFFE LTD 116 15WC 16822 ADELFIO, ROSEMARIE ELI'S CHEESCAKE FACTORY 06/23/13 MC HARGUE & JONES HOLECEK & ASSOCIATES 117 15WC 17058 ADELFIO, ROSEMARIE ELI'S CHEESECAKE FACTORY 01/14/15 MC HARGUE & JONES HOLECEK & ASSOCIATES 118 15WC 23511 ALBA, JOSEPH A SR IL DEPT OF JUVENILE JUSTI @ 06/29/15 SEIDMAN MARGULIS & FAIRMAN MALLORY ZIMET 119 15WC 23571 SPILOTRO, PATRICIA L CITY OF CHICAGO DEPT OF S 10/15/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 120 15WC 23637 BRITO, MARIO LVI ENVIRONMENTAL SVCS 08/27/14 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 15WC 24032 MORA, ANDRES REPUBLIC SERVICES 07/28/15 GOLDBERG WEISMAN & CAIRO L GILDEA, COGHLAN & REGAN LTD. 122 15WC 26346 TORNINCASA, LEE CTA 05/24/14 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY 123 15WC 26780 MORGAN, DEAN VILLAGE OF MT PROSPECT 03/17/15 GAINES & GAINES EVANS & DIXON 17WC035320 -C 124 15WC 27018 HOBSON, CHRISTOPHER CHICAGO PUBLIC SCHOOLS 06/16/15 GOLDBERG WEISMAN & CAIRO L CHGO BOARD OF EDUCATION 125 15WC 27787 ERWIN, STEPHEN WLS-TV/WALT DISNEY CORP 10/16/14 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD 126 15WC 28604 VELEZ, LIZET C. ACCURATE PERSONNEL LLC 06/30/15 OSVALDO RODRIGUEZ PC MC ANDREWS & NORGLE LLC 15WC028605 -C 127 15WC 30473 VILLANUEVA, FLORENCIO CARAUSTAR CUSTOM 06/19/14 DESTEFANO, ROBERT A & ASSO KNELL & O'CONNOR 19WC013429 -C 128 15WC 30695 WIELOSINSKI, KATHLEEN THORNTON FRACTIONALTOWNSH 04/07/15 FRANK A CELANI BRADY CONNOLLY & MASUDA PC 15WC033476 -C 129 15WC 35552 GORTA, CYNTHIA UNITED AIRLINES 06/22/15 WIEDNER & MCAULIFFE LTD 130 15WC 35701 HARRIS, PETER BEKINS VAN LINES, INC 07/06/15 DAN COLLINS LAW FIRM 131 15WC 35838 JARAMILLO, WILLIAM TOWN OF CICERO 09/20/15 VRDOLYAK LAW GROUP LLC DEL GALDO LAW GROUP LLP 132 15WC 36136 JAMES, THOMAS COOK COUNTY FACILITY MANA 10/22/14 VRDOLYAK LAW GROUP LLC 133 15WC 36381 LOWERY, DOUGLAS BINNY'S 07/31/15 PARENTE & NOREM PC MEACHUM & STARCK 134 15WC 36502 MAGURNO, JOHN REPUBLIC SERVICES 09/22/15 CHRISTINE F DAVID GILDEA & COGHLAN 135 15WC 36948 MCLAUGHLIN, STEVEN HARVEST FOODS 01/01/13 SEIDMAN MARGULIS & FAIRMAN 136 15WC 36978 MARTINEZ, JOSE M BONTERRA, INC. 07/03/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 137 15WC 37013 MENDEZ, JUAN DON FRESCO MEXICAN EATERY W 10/08/15 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 15WC 37117 PHILLIP, NANCY IL CENTRAL SCHOOL BUS CO 11/05/15 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 139 15WC 37287 CAIN, JAMES JOHN H STROGER JR HOSPITA 04/30/14 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 140 15WC 37557 VEGA, MARGARITA HILTON WORLDWIDE INC 11/19/15 FRIEDMAN, MICHAEL T & ASSO NOBLE & ASSOC 141 15WC 37589 VELEZ, MARIA FRANCISCA BORGWARNER TRANSMISSION, 11/03/15 HECTOR ESPITIA KEEFE CAMPBELL & ASSOC LLC 15WC037590 -C 142 15WC 37607 SOTO, JOSEPH CHICAGOWATER MGMT DEPT 10/29/14 LUIS A ACEVES & ASSOC CITY OF CHICAGO 17WC001865 -C CITY OF CHICAGO 143 15WC 37633 HEPLER, GARY FORD MOTOR CO 10/10/15 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 144 15WC 37946 ANTONELLI, THOMAS SIEMENS 05/01/15 CASSANO & ASSOCIATES HOLECEK & ASSOCIATES 145 15WC 37962 RUFF, PATRICK J KORNERSTONE CONSTRUCTION 04/01/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 146 15WC 38941 BURKES, STEPHANIE STATE OF ILLINOIS @ 09/09/15 SCHWEICKERT & GANASSIN MALLORY ZIMET 147 15WC 38978 VARELA, MARITZA CVS 07/22/15 GOLDBERG WEISMAN & CAIRO L 15WC038979 -C 148 15WC 39490 CARRILLO, PEDRO A ALDI 01/10/14 JOHN J CASTANEDA BRADY CONNOLLY & MASUDA PC 17WC036677 -C 17WC036678 -C 19WC006508 -C 149 15WC 39732 PYRZ, PETER HAYES MECHANICAL LLC 11/24/15 RITTENBERG & BUFFEN GAROFALO SCHREIBER STORM GRA 150 15WC 41027 REYES, ESTEBAN UNITED AIRLINES 10/23/15 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 16WC021281 -C 18WC002495 -C 151 15WC 41407 GRAY, ROBERT NATIONAL BEVERAGE COMPANY 09/25/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 152 16WC 04730 GUTIERREZ, MARIA AMERICAN AIRLINES 10/11/15 TURCYCHUTE LLC ROSARIO CIBELLA 153 16WC 05303 BOYKIN, DEMETREAUS CITY OF CHICAGO DEPARTMEN 11/06/15 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 16WC 05623 HERNANDEZ, ROBERTO ALEJAN CHRISTIAN BLANCAS CARPENT 01/04/16 SALK, STEVEN B & ASSOC LTD 155 16WC 05926 SOUARI, ADAM SUN TAXI ASSOCIATES 02/21/16 ANKIN LAW OFFICE 156 16WC 06331 MONRROY, JUAN ELITE STAFFING/PACTIV 02/16/16 RUEDA, IVAN A 157 16WC 06493 TARIHI, JANNET AT&T 06/24/15 DAVID W MARTAY HENNESSY & ROACH PC 158 16WC 06647 MARTINEZ, MARIA D OSI INDUSTRIES LLC 02/18/16 HERRERA LAW CENTER HENNESSY & ROACH PC 16WC006648 -C 159 16WC 06659 CATANIA, BERNARD F. MAINES PAPER & FOOD SERVI 05/06/14 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 160 16WC 06805 KARIUKI, VERONICA THE IMPERIAL OF LINCOLN P 10/16/15 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 17WC017730 -C 17WC017731 -C 161 16WC 06927 MESSINA, PAUL CHICAGO FLEET MGMT DEPT 08/31/15 CUDA LAW OFFICES CITY OF CHICAGO 162 16WC 07773 LOPEZ, ERIKA CASTELLANO DOUBLETREE CHICAGO 02/19/16 HART & DAVID LLP WIEDNER & MCAULIFFE LTD 163 16WC 07964 ODONKOR OWUSU, BEATRICE W MEDALLION FUNDING CHICAGO # 05/24/14 ANKIN LAW OFFICE 164 16WC 14400 DAVY, MARCIA INGALLS MEMORIAL HOSPITAL 12/14/15 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 165 16WC 15484 SANCHEZ, RICARDO KOCH FOODS 01/09/16 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC 16WC015485 -C 166 16WC 15676 CALLIS, ROBERT W TEKSYSTEMS 04/15/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 167 16WC 15904 PACHECO, SARAH D MENARDS 05/04/16 THERMAN LAW OFFICES CHILTON YAMBERT PORTER LLP 168 16WC 16159 SANKS, LASHAWN CPS 04/05/16 LANGENDORF, ROBERT A CHGO BOARD OF EDUCATION 169 16WC 16191 HARRELL, SHANICE CTA 04/21/16 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 170 16WC 16270 HERBST, MATTHEW PRIME SCAFFOLD, INC 10/20/15 VLANTIS LAW LLC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 16WC 16570 PRYST, JOE VILLAGE OF SKOKIE 05/07/16 DANIEL E MURPHY VILLAGE OF SKOKIE 172 16WC 16728 KENNEDY, DANIEL CICERO SCHOOL DISTRICT 99 05/09/16 THOMAS A MORRISSEY INMAN & FITZGIBBONS 173 16WC 16831 GHISOLF, RONALD DEPAUL UNIVERSITY 05/11/16 SEIDMAN MARGULIS & FAIRMAN 174 16WC 17016 GASPER, ALFONSO SURE STAFF INC 05/27/16 LAW OFFICES LEONARDO MORAL LOUIS MUNDY 175 16WC 18180 VAZQUEZ, TAMARA ENVOY AIR INC 04/14/15 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 176 16WC 18188 POZNIAK, AMANDA PACTIV # 06/13/13 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 16WC018189 -C AEROTEK 177 16WC 19372 GERHART, RICHARD J. CITY OF CHICAGO, DEPT OF 04/29/16 ANKIN LAW OFFICE 16WC019373 -C 17WC010019 -C 178 16WC 21746 REECE, DANIEL DANIEL G. HODGES 12/04/13 CHRISTIAN & MANNO FRANCIS J DISCIPIO LAW OFFIC 179 16WC 22752 PIKOWSKI, ANNA PALOS COMMUNITY HOSPITAL 02/23/16 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 16WC022753 -C 180 16WC 23626 IBARRA, MARTIN JACKACKI BAG & BARREL INC 07/28/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 181 16WC 24077 DELUMUNDO, ELOSIA HOLY CROSS HOSPITAL 03/01/15 CARL H EBERT & ASSOC NYHAN BAMBRICK KINZIE & LOWR 182 16WC 25490 HERNANDEZ, CONRADO ELITE STAFFING 07/14/16 HART & DAVID LLP 183 16WC 25519 KIMBROUGH, GREGORY IWBF 08/13/16 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENERAL 184 16WC 25563 RICE, AUSTIN M. JACKSON PARK HOSPITAL 01/17/15 VITELL & SPITZ LTD ODELSON & STERK 185 16WC 25611 CASTILLO, ASUNCION ELITE STAFFING INC. 05/14/16 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 186 16WC 25736 ALCALA, LUCINDA CHICAGO TRANSIT AUTHORITY @ 08/08/16 LAW OFFICE HOWARD ABRAMS CHICAGO TRANSIT AUTHORITY 187 16WC 25863 O'CONNOR, MAURICE NORTHEASTERN ILLINOIS UNI 08/15/15 HEALY SCANLON LAW FIRM MALLORY ZIMET

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 16WC 26138 MEZA, ROBERTO METRO STAFF, INC 08/05/16 STROM, NEAL B FRANCIS J DISCIPIO LAW OFFIC 189 16WC 26315 BORKO, GALINA Y LOYOLA MEDICINE HOME CARE 02/22/16 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 190 16WC 26369 SCHOLTENS, RANDY PRIME ELECTRIC CO., INC. 04/06/15 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 191 16WC 26421 CURTIS, DARREN CITY OF CHICAGO 08/15/16 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 192 16WC 26767 HARSLEY, STEVE M. COOK COUNTY SHERIFF'S DEP 11/10/15 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 17WC004201 -C 193 16WC 26826 HUDSON, ELIZABETH JEWEL FOOD STORES, INC. 04/01/16 JAMES ELLIS GUMBINER & ASS EVANS & DIXON 194 16WC 27213 DUDZIAK, DOROTA PRESENCE RESSURECTION MED 01/28/16 ALEKSY BELCHER BRADY CONNOLLY & MASUDA PC 195 16WC 27600 MOON, TRAVIS COOK COUNTY JUVELINE DETE 08/26/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 196 16WC 27721 HARDING, BRANDON FORD MOTOR COMPANY 07/20/16 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 197 16WC 28072 ALCOZER, JOSE DEPARTMENT OF HUMAN SERVI @ 08/08/16 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 198 16WC 28109 LUNA, BLADIMIR CHICAGO MATTRESS CO 08/30/16 DWORKIN AND MACIARIELLO 199 16WC 28269 KENNEDY, ZERLINKA LETTS INVESTMENT REALTY I 05/12/16 DEUTSCHMAN, JEFFREY S 200 16WC 28299 CAMPBELL, RUSSELL COOK-DUPAGE TRANSPORTATIO 10/27/13 HENNESSY & ROACH PC 201 16WC 32257 KHAN, SHAHIDA F STAFFING NETWORK 12/19/13 SHAHIDA FOZIA KHAN SLAVIN & SLAVIN 202 16WC 33588 WILSON, NATHAN CITY OF CHICAGO 06/08/15 TRUGLIO, FRED A & ASSOC 203 16WC 34789 TAYLOR, ROGIE JOHN STROGER JR HOSPITAL 06/08/16 TOPPER & WEISS LTD STATES ATTORNEY OF COOK COUN 204 16WC 34853 WOODS, CHRISTOPHER A COOK COUNTY DEPTOF CORREC 11/07/16 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 205 16WC 34981 JACKSON, CAROLYN R AMERICA'S KIDS LLC 11/04/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 16WC 35256 YOUNG, JOSEPH RON'S STAFFING 09/18/16 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM GRA 207 16WC 35306 STOCKDALE, TITUS DEPARTMENT OF WATER MANAG 11/02/16 RIDGE & DOWNES CITY OF CHICAGO 208 16WC 35308 SPAAGAREN, TIMOTHY MAYFIELD TRANSFER COMPANY 08/18/16 GOLDBERG WEISMAN & CAIRO L KNELL LAW LLC 209 16WC 35344 LANDA-HERNANDEZ, AGUSTINA ALAVA & SON 10/15/15 JAMES ELLIS GUMBINER & ASS 210 16WC 35552 ACOSTA, ENRIQUETA CHICAGO BOARD OF EDUCATIO 11/07/16 LEO ALT LAW DEPARTMENT 211 16WC 35686 DOOBAY, LUCIENE ESQUIRE HOSPITALITY STAFF 01/16/16 VASILATOS & COTTER LLC 212 16WC 35747 RICE, ERIC JONES LANG LASALLE 10/18/16 HEALY SCANLON LAW FIRM LAW OFFICES JOSEPH MARCINIAK 213 16WC 35816 NUNN-PAGE, NATASHA CITY OF CHICAGO 08/15/16 DANIEL PERIASWAMY CITY OF CHICAGO 214 16WC 35892 SHERWOOD, NIGEL JB HUNT ENTERPRISE 05/24/16 LEONARD LAW GROUP LLC MICHAEL JASPER 215 16WC 36194 RODRIGUEZ, DOMINIC CITY OF EVANSTON 06/24/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 216 16WC 36271 CARAVANTES, VERONICA CVS 11/23/16 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 217 16WC 36354 FERRARIS, ANTHONY CITY OF CHICAGO FIRE DEPA 09/12/16 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 218 16WC 36378 STENSLIK, CATHERINE D LOEWS CHICAGO HOTEL 10/09/16 RICHARD E ALEKSY MEACHUM & STARCK 219 16WC 36421 WELLINGTON, LAWRENCE FIRST CHOICE TRANSPORATIO 07/01/16 DE SALVO, SCOTT D LAW OFFI 220 16WC 36441 LAUGHERY, RICK UBER 10/12/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 16WC037009 -C 221 16WC 36485 SANCHEZ, WILLIAM A VILLAGE OF ORLAND PARK 08/13/16 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 222 16WC 36541 MIREA, SORIN YELLOW CAB CO/NECT 40 LLC 11/21/16 ROBIN LAW OFFICE LAW OFFICES DEBORAH SCHAEFER 223 16WC 36733 LEWIS, CHANCELLOR BRITE LOGISTICS INC 06/02/16 EMERSON & ELDER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 16WC 37002 SOLIS, MARTIN HIGHLINE BAR & GRILL 10/25/16 ROSS TYRRELL RUSIN & MACIOROWSKI LTD 225 16WC 37048 NELSON, ANTWON CITY OF CHICAGO 11/16/16 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 226 16WC 37219 KOSSLER, ANTHONY FORMULA FITNESS CLUB 05/06/15 LAW OFFICE OF KEVIN O'BRIE LAW OFFICES JOSEPH MARCINIAK 227 16WC 37356 TRADER, BARBARA SUMNER SCHOOL 11/14/16 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 228 16WC 37538 PALACIOS, MAURICIO ESTRUCTURAS, INC 09/13/16 EPSTEIN, JACK R LAW OFFICE POULOS & DIBENEDETTO LAW 229 16WC 37879 ELDRIDGE, COREY SHERIFFS OFFICE OF COOK C 11/15/16 LAW OFFICES PETER LEKAS STATES ATTORNEY OF COOK COUN 18WC005198 -C 230 16WC 37959 COURTNEY, SHAWN VILLAGE OF SCHAUMBURG 01/10/14 RICHARD E ALEKSY MACIOROWSKI SACKMANN & ULRIC 16WC037960 -C 231 16WC 38103 MATTI, ALIN NELLESSENS EXPRESS INC 03/25/16 DWORKIN AND MACIARIELLO 232 16WC 38172 KOETZLE, CYNTHIA ACH FOOD COMPANIES 09/07/16 MICHAEL HELLMAN NYHAN BAMBRICK KINZIE & LOWR 16WC038173 -C 233 16WC 38184 STERLING, DORA L AMERICAN AIRLINES 09/26/16 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 234 17WC 00034 JENKINS, TANGEE CHICAGO STATE UNIVERSITY 11/29/16 DEPAOLO ZADEIKIS GORE ASSISTANT ATTY GENERAL 235 17WC 04641 WILSON, RYAN STATE OF ILLINOIS-LOTTERY @ 10/14/16 LEE, MARK N LAW OFFICE MALLORY ZIMET 236 17WC 04781 BANNISTER, MONIQUE CHICAGO TRANSIT AUTHORITY 01/19/17 CHICAGO TRANSIT AUTHORITY 17WC005788 -C 237 17WC 04806 QUEEN-THOMAS, BEVERLY BOARD OF ED CHICAGO 04/12/16 BEVERLY QUEEN-THOMAS 238 17WC 04863 HERNANDEZ, JOSE L SEBERT LANDSCAPING 11/24/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 239 17WC 05013 NASH, BRENDA VITA FOOD PRODUCTS INC. 01/03/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 240 17WC 05204 STEELE, REGINA CHICAGO TRANSIT AUTHORITY 02/07/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 17WC 05283 THOMAS, BARBARA (WIDOW/BY CITY OF CHICAGO # 12/13/16 CUDA LAW OFFICES CITY OF CHICAGO 242 17WC 05570 BUFORD, CYNTHIA WELLS FARGO 02/05/16 VRDOLYAK LAW GROUP LLC 243 17WC 05708 MARTINEZ, MARIA DEL CARME TAQUERIA LOS COMALES 01/27/17 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 244 17WC 05801 SCOTT, CHAD W FORD MOTOR COMPANY 01/19/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 245 17WC 05989 MENDOZA, LORI TOWER AUTOMOTIVE 10/28/14 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 17WC005990 -C 17WC005991 -C 17WC005992 -C 17WC005993 -C 246 17WC 06329 MUELLER, ANN FERTILITY CENTERS OF AMER 01/02/15 COVEN LAW GROUP HOLECEK & ASSOCIATES 247 17WC 06381 FIELDS, NORMA CHICAGO TRANSITY AUTHORIT 02/01/17 STEVEN M SELAN CHICAGO TRANSIT AUTHORITY 248 17WC 06417 OSTROWSKI, CHRISTOPHER WASTE MANAGEMENT 11/01/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 249 17WC 06453 NEVAREZ, EFREN OSI INDUSTRIES, LLC 10/01/16 SALVATO & O'TOOLE HENNESSY & ROACH PC 250 17WC 06507 SKRYD, THOMAS MARS CHOCOLATE NORTH AMER 09/29/16 CUDA LAW OFFICES GAROFALO SCHREIBER STORM GRA 17WC017222 -C 251 17WC 06632 HOPKINS, LAMOUNT CTA 02/04/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 252 17WC 06731 SISTO, KELLY PALATINE PARK DISTRICT 01/23/17 SEIDMAN MARGULIS & FAIRMAN MC CABE & HOGAN 253 17WC 06891 JOHNSON, DELOYD JR UNITED PARCEL SERVICE 10/24/16 ANESI OZMON RODIN NOVAK KO ASA LAW GROUP 18WC022222 -C 254 17WC 06974 MARKOWSKI, JENNIFER L VILLAGE OF BROADVIEW - 08/30/16 FIGLIOLI, DAVID INMAN & FITZGIBBONS 255 17WC 07160 ORTEGON, JOSEPH CHICAGO TRANSIT AUTHORITY 02/21/17 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 256 17WC 07298 AMPONG, NANA TEL AVIV CAB CORP. 03/08/17 ROGER D RUDICH LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 17WC 07540 GARDNER, ANTHONY L SR. CHICAGO TRANSIT AUTHORITY 02/06/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 258 17WC 07656 MOGUEL, EMANUEL CHICAGO PARK DISTRICT 02/23/17 TOPPER & WEISS LTD CHICAGO PARK DIST LAW DEPT 259 17WC 07744 THOMPSON, KEZIA CHICAGO TRANSIT AUTHORITY 03/07/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 260 17WC 08003 RAMOS, ROBERT DAKKOTA INTEGRATED SYSTEM 07/13/16 KATZ FRIEDMAN EAGLE ET AL 17WC008004 -C 17WC011954 -C 261 17WC 13713 MERCADO, JUVENTINO RENUE SYSTEMS INC 03/16/17 BLEAKNEY & TROIANI RUSIN & MACIOROWSKI LTD 262 17WC 14937 WILLIAMS, SHERMAN FORD MOTOR COMPANY 11/02/16 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 263 17WC 15752 ABDULLAHI, MUHUMED DISPATCH AFFILIATION LLCC W 05/19/17 HETHERINGTON KARPEL BOBBER 264 17WC 15788 RAYA, JORGE GEORGIA NUT COMPANY 02/21/17 SHELDON I MINKOW & ASSOCIA CAPUANI, FRANK S 265 17WC 15975 FIGUEROA, ELENA FRESENIUS KABI USA, LLC 03/13/17 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 266 17WC 16041 TOMLIN, TERRELL LYFT 04/08/17 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 267 17WC 16093 FOSTER-DEAN, REGINA STATE OF IL- DEPT OF HS, 05/12/17 VITELL & SPITZ LTD HELEN LOZANO 268 17WC 16197 DAVIS, GARY ASPEN FOODS 02/08/17 SPINAK & BABCOCK POWER & CRONIN LTD 269 17WC 16283 WILKERSON, SHERMAN FEDEX 07/05/16 COVEN LAW GROUP KOPKA, PINKUS DOLIN, PC 270 17WC 16305 DEERING, DAVID LAZAR'S JUVENILE FURNITUR 03/21/17 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 271 17WC 16508 RADZIWANOWSKI, JERZY JV GROUP INC 05/30/17 ALEKSY BELCHER MCANANY VANCLEVE & PHILLIPS 272 17WC 16540 SUTTON, FRANK CITY OF CHICAGO 12/27/16 THE ROMAKER LAW FIRM CITY OF CHICAGO 273 17WC 16554 NUGUID, HELEN UNIVERSITY OF CHICAGO HOS 04/18/17 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 274 17WC 16653 HARRIS-REED, BERNICE BELLWOOD SCHOOL DISTRICT 10/23/14 COHN LAMBERT RYAN & SCHNEI ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 17WC 16795 CASO, MYRLIE TARIQ SIDDIQUIE W 01/13/17 BAUM RUFFOLO & MARZAL LTD 276 17WC 17070 ALVARES, EUGENIE CPS 09/23/16 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 277 17WC 17098 ANDERSON, EVELYN MAXIM HEALTHCARE SVCS 02/05/16 FRIEND LEVINSON & BERGAL RUSIN & MACIOROWSKI LTD 278 17WC 17129 MONROY, HUGO R DEL FRISCO'S RESTAURANT G 04/23/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 279 17WC 17216 COYNE, MICHELE R AMERICAN AIRLINES INC 05/10/17 CULLEN HASKINS NICHOLSON 280 17WC 17301 HOLMES, PAMELA STATE OF ILLINOIS 04/05/17 SALK, STEVEN B & ASSOC LTD HELEN LOZANO 281 17WC 17621 JOHNSON, ROBERT AAA RENTAL W 06/06/17 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 282 17WC 17684 HOGAN, GEORGIA DOLLAR TREE 05/30/17 LAW OFFICES ROBERT WARSASK 283 17WC 24480 MEDINA SR, CHRISTOPHER A IL DEPT OF TRANSPORTATION 08/17/17 DEPAOLO & ZADEIKIS ASSISTANT ATTORNEY GENERAL 284 17WC 24508 SMITH, DONALD JR CITY OF CHICAGO STREETS A 04/20/16 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 285 17WC 24560 TRIPAM, DYMPHNA MIDWEST OPERATING ENGINEE 02/25/16 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 18WC008909 -C 18WC008910 -C 286 17WC 24891 TANKSLEY, DANTE JEWEL-OSCO 08/20/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 287 17WC 25034 WATTS, EARL DISTRICT #209 08/09/17 CHRISTIAN & MANNO ANCEL GLINK DIAMOND BUSH & E 18WC011069 -C PROVISO TOWNSHIP DIST #209 288 17WC 25093 GANVIC, BIANCA LEGACY MARKETING PARTNERS 10/11/08 ORENSTEIN & ASSOCIATES 17WC032182 -C 289 17WC 25335 YOUNG, GENEVIVE R DELUXE CORPORATION 04/17/17 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 17WC 25446 KENT, BARBARA J RUSH UNIVERSITY MEDICAL C 08/23/17 ANKIN LAW OFFICE POWER & CRONIN LTD 291 17WC 25468 JONES, TAITANI BURLINGTON COAT FACTORY 03/03/17 SCHAFFNER RABINOWITZ FEINA KOPKA, PINKUS DOLIN, PC 18WC038261 -C 292 17WC 25627 SOTO, EFREN LAKESHORE BEVERAGE 08/09/17 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 293 17WC 25668 COLLAZO, DIANA CTA 04/05/17 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 294 17WC 25814 WILLIAMS, CATHY FORD MOTOR COMPANY 08/27/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 295 17WC 25913 SIDDIQ, SYED FLASH CAB CO 08/18/17 SEIDMAN MARGULIS & FAIRMAN 296 17WC 25937 HUNKER, HARVEY CITY OF CHICAGO 04/12/15 MARC S. MAYER & ASSOCIATES CITY OF CHICAGO 297 17WC 26046 GIERCZAK, MIROSLAWA ST ALEXIUS MEDICAL CENTER 08/31/16 SCOTT BARBER POWER & CRONIN LTD 298 17WC 26150 DAVIS, JACQUELINE Y SHIRLEY ABILITYL LABORATO 07/10/17 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 299 17WC 26192 BENITEZ-LOPEZ, GERMAN AEROTEK 08/03/17 300 17WC 26221 GIEWONT, JOZEF TREND TECHNOLOGIES LLC 07/19/17 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 301 17WC 26262 EGAN, RICHARD B CITY OF CHGO DEPT OF AVIA 07/31/17 BOWMAN & CORDAY LEAHY EISENBERG & FRAENKEL 302 17WC 26314 LUSK, DAVID SOUTHERN REFRIGERATED 01/18/17 MC HARGUE & JONES LEMP & MURPHY 303 17WC 26382 STEWART, DEVIN ROAD KNIGHTS, INC 02/15/17 VRDOLYAK LAW GROUP LLC 304 17WC 26497 GARCIA, JUAN MCHUGH CONSTRUCTION 08/15/17 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 305 17WC 26645 MERTINS, AMY L APPLE INC 02/08/17 FIGLIOLI, DAVID DOWD & DOWD LTD 306 17WC 26851 RYMUS, PHILLIP II IN ONE CONTRACTORS, IN 04/26/17 O'CONNOR & NAKOS 307 17WC 26866 ALCALA, ADRIAN THE PROFESSIONALS 06/14/17 JONATHAN SCHLACK GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 17WC 28736 RAMEY, BRENDA UNIVERSITY OF CHICAGO MED 08/23/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 309 17WC 28851 ALMAZAN, LENILYN UNIVERSITY OF IL AT CHICA 07/20/17 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 17WC028852 -C 17WC034558 -C 310 17WC 30626 EL-AMIN, ASHANTI CHICAGO TRANSIT AUTHORITY 10/02/17 GORDON & CENTRACCHIO LLC CHICAGO TRANSIT AUTHORITY 311 17WC 30785 JACHMIAK, JAMES M VILLAGE OF PARK FOREST 09/24/16 RAYMOND P GARZA LAW OFFICE POWER & CRONIN LTD 312 17WC 32323 WILLIAMS, PAMELA CHICAGO TRANSIT AUTHORITY 10/18/17 GORDON & CENTRACCHIO LLC CHICAGO TRANSIT AUTHORITY 19WC013774 -C 313 17WC 32535 DEER, BARBARA CHICAGO PUBLIC SCHOOL 10/10/17 BRISKMAN BRISKMAN GREENBER LAW DEPARTMENT 314 17WC 33869 VALTIERREZ, SAMUEL ALL TECH ENERGY, INC 07/27/17 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 315 17WC 33924 RYAN, JAMES UNIVERSITY OF IL HOSPITAL 08/19/17 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 316 17WC 33955 TRUJILLO RODRIGUEZ, LUZ E QUALITY ASURANCEHUMAN RES 11/03/17 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 317 17WC 34082 TIMU, JOHN CHICAGO BEARS FOOTBALL CL 10/09/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 318 17WC 34141 GARCIA, MARIA DEL PILAR HOLIDAY INN CHICAGO MIDWA 03/16/16 LEONARD LAW GROUP LLC WILSON ELSER 319 17WC 34178 MELO, YELYN AAA HOSPITALITY 06/15/17 GANAN & SHAPIRO 320 17WC 34231 ADDISON, SENTER D CAPSTONE LOGISTICS 11/08/17 MORICI FIGLIOLI & ASSOC 321 17WC 34276 SHIELDS, DONNA CITY OF CHICAGO 12/30/16 CITY OF CHICAGO 322 17WC 34303 RANGEL, ABRAHAM CITY OF CHICGO 11/03/17 KROL BONGIORNO & GIVEN LTD 323 17WC 34571 BOVAN, DEBORAH GERALEX MAINTENANCE, INC 09/06/17 KARCHMAR & STONE 324 17WC 34592 RODRIGUEZ, CESAR AT&T CORP. C/O C T CORPOR 10/11/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 17WC 34663 NELSON, DCHINIQUE CPS 10/20/17 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 326 17WC 34733 MAY, JACQUELINE FOOD 4 LESS 09/01/17 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 327 17WC 34790 PHELPS, GARY L CAST & CREWENTERTAINMENT 10/17/17 ANKIN LAW OFFICE GRANT & FANNING 328 17WC 34824 RODRIGUEZ, FRANCISCO CHICAGO FIRE ESCAPE 11/21/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 329 17WC 34941 WILLIAMS, CHARLES 22ND CENTURY STAFFING 10/26/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 330 17WC 35014 ESCOBAR-JIMENEZ, LUZ ELIZ ELI'S CHEESECAKE CO 10/12/17 GREGORIO & MARCO MEACHUM & STARCK 331 17WC 35035 GONZALEZ, MARIO WALLS MEMORIAL CHRISTIAN 01/04/17 332 17WC 35096 JACKSON, TIARRA CHICAGO TRANSIT AUTHORITY 11/08/17 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 333 17WC 35223 PERRY, LAURA COOK COUNTY ASSESOR 12/29/15 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 334 17WC 35314 MESSINA, BETH E NORTHWEST COMMUNITY HEALT 01/02/17 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 17WC035315 -C 335 17WC 35556 GRIFFIN, ROBERT L ORLAND FIRE PROTECTION DI 10/27/17 CULLEN HASKINS NICHOLSON 336 17WC 35643 HANDY, EMMANUEL HECKER & COMPANY INC 11/07/17 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 337 17WC 35706 KEYS, ANDRE CITY OF CHICAGO 11/15/17 DAVID W MARTAY 338 17WC 35876 TOWNSEND, TABITHA RANDOM ACTS OF KINDNESS 11/27/17 DWORKIN AND MACIARIELLO 339 17WC 35895 TAVARES, ISABEL MR GARCIA, INC. DBA PEPE' 11/05/17 OSVALDO RODRIGUEZ PC INMAN & FITZGIBBONS 340 17WC 36098 ARREDONDO, MARIA ISABEL WORKFORCE, LLC 03/17/15 SHEA LAW GROUP KOREY RICHARDSON LLC 341 17WC 36179 KOTLEWSKI, JACK CHICAGO TRANSIT AUTHORITY 12/05/17 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 342 17WC 36182 TELLEZ, MAURICIO SCOOBEEZ OF ILLINOIS 06/28/16 STROM, NEAL B HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 17WC 36218 MONREAL, LETITIA GMRI INC DBA SEASON'S 52 11/18/17 ANKIN LAW OFFICE 344 17WC 36234 ARNOLD, ARCHIBALD LKQ KEYSTONE 10/12/17 SHELDON I MINKOW & ASSOCIA INMAN & FITZGIBBONS 18WC035331 -C 345 17WC 36280 CHRISTENSEN, DALE HICKORY HILLS PUBLIC WORK 05/21/15 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 17WC036281 -C 346 17WC 36531 MARTIN, TONI RUSH UNIVERSITY MEDICAL C 11/14/17 ANKIN LAW OFFICE 347 17WC 36548 BECERRIL, BLANCA THE ROYAL GROUP 09/15/17 EPSTEIN, JACK R LAW OFFICE 348 17WC 36707 VELAZQUEZ, ROGER SCHNEIDER NATIONAL 10/07/17 HERRERA LAW CENTER HENNESSY & ROACH PC 349 17WC 36790 LINDLEY, THEODORE PTI 11/19/17 ANGELINI & ORI LLC 350 18WC 04268 HUDSON, TRACEY CHICAGO TRANSIT AUTHORITY 01/20/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 351 18WC 04304 AYERS, JOSEPH R KUEHNE & NAGEL, INC. 07/14/17 JOHN J CASTANEDA MACIOROWSKI SACKMANN & ULRIC 352 18WC 04527 MERGENTHALER, JOSEPH GAYLOR EXCAVATING INC 09/29/17 CUDA LAW OFFICES GANAN & SHAPIRO 353 18WC 04600 LACEY, KASLON COOK COUNTY DEPT OF CORRE 01/16/18 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 354 18WC 04630 PORTER, FREDRICK TRILLIUM, STAFFING 12/21/17 DAVID W MARTAY 355 18WC 04667 BROWN, FREDRICK FORD MOTOR COMPANY 05/09/17 RONALD JUSTIN WIEDNER & MCAULIFFE LTD 356 18WC 04745 COLE, SHAKITA MARRIOTT MARQUIS CHICAGO 10/28/17 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 357 18WC 04772 SIMENTAL, THEODORE M EVNT MEDIA INC 02/09/18 ANKIN LAW OFFICE POULOS & DIBENEDETTO LAW 358 18WC 04802 KALLO, MUNTAHA COSTCO 07/13/17 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 18WC004804 -C 359 18WC 04939 KIRKPATRICK, KENNETH COOK COUNTY SHERIFF DEPT 11/06/17 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 18WC 04962 ROGERS, JW FORD MOTOR-CHICAGO ASSEMB 11/16/17 WOLFE LAW PC 361 18WC 04978 CASTILLO, JORGE CTA 02/13/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 362 18WC 05009 PASHA, FOUZIA SAKS FIFTH AVENUE 11/10/17 SCOTT B SHAPIRO ROSARIO CIBELLA 363 18WC 05055 YACOUMAKIS, CHRYSOULA VANDENBERG AMBULANCE 10/17/17 BURNES & LIBMAN LAWRENCE COZZI - LAW OFFICES 364 18WC 05096 RATCLIFF, AL JOSE CHICAGO BEHAVIORAL HOSPIT 01/27/18 BRILL & FISHEL 365 18WC 05384 BROWN, KATHLEEN RED LOBSTER 11/30/17 SEIDMAN MARGULIS & FAIRMAN 366 18WC 05456 WALKER, PATTI METRO SOUTH MEDICAL CENTE 09/10/17 WIEDNER & MCAULIFFE LTD 367 18WC 05476 O'MALLEY, STEVE CITY OF CHICAGO 11/25/17 HEALY SCANLON LAW FIRM 368 18WC 05521 BROWN-BRYANT, SAUNDRA DAKKOTA INTEGRATED SYSTEM 02/05/18 NILSON STOOKAL GLEASON CAP RIPES NELSON BAGGOT KALOBRAT 369 18WC 05563 JOHNSON, KIERRA THRESHOLDS 02/09/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 370 18WC 05650 ROBINSON, MICHAEL VILLAGE OF DOLTON 01/17/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 18WC034953 -C 371 18WC 05705 TAYLOR, YOLENDA APERION CARE FOREST PARK 03/19/17 HANNIGAN & BOTHA, LTD SLAVIN & SLAVIN 372 18WC 05819 LAND, TRACEY SYSCO FOODS SERVICES - 01/23/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 373 18WC 05863 MARENHOKAS, JOHN UNITED PARCEL SERVICE 01/24/18 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 374 18WC 05889 IDELL, JIM JONES LANG LASALLE 01/26/17 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 375 18WC 05910 BARNES, KIANA C ENVOY AIR O'HARE AIRPORT 01/17/18 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 376 18WC 05927 RIVERA, VICTOR GARCIA THE SYNERGY COMPANIES D/B 01/30/18 COSTA IVONE LLC 377 18WC 05946 CHACHA, CELSO BEVOLUTION GROUP/LX JT 02/07/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 18WC 05968 HAMILTON, MARY JEWEL FOODS 02/17/18 MARSZALEK AND MARSZALEK 379 18WC 06099 BUSKING, CHRISTOPHER C CHICAGO TRANSIT AUTHORITY 02/08/18 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 380 18WC 06212 OLSON, KATHY SEYFARTH SHAW, LLC 01/08/18 TAXMAN POLLOCK INMAN & FITZGIBBONS 381 18WC 06303 MARTINEZ, JOSE ANTONIO'S LANDSCAPING CO. 10/21/17 R. MARK MARITOTE PC 382 18WC 06341 PATEL, BINA UNITED AIRLINES INC. 02/18/18 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 383 18WC 06444 GARRITY, MICHAEL AIM NATIONAL LEASE 12/23/16 DENNIS HESSER INMAN & FITZGIBBONS 384 18WC 06491 GARRETT, CHERYL E COOK-DUPAGE TRANSPORATION 10/09/17 HETHERINGTON KARPEL BOBBER 385 18WC 06559 WITCHER, MICHELLE E POR-SPHERE TEK, INC. 06/09/17 BUDIN LAW OFFICES JOSEPH MARCINIAK 386 18WC 06713 HARO, MARIA D SKYWEST AIRLINES INC 12/05/17 ACEVES & PEREZ PC GANAN & SHAPIRO 387 18WC 06749 SANIC, EDGAR ELITE STAFFING 02/14/18 HERRERA LAW CENTER 388 18WC 06833 JALOWIEC, TOMASZ SYMONS BY DAYTON SUPERIOR 12/09/17 BELLAS & WACHOWSKI HOLECEK & ASSOCIATES 389 18WC 07011 WILSON, KENNETH SOUTHWEST AIRLINES 01/18/18 SIGMOND, STEVEN 390 18WC 07034 JACKSON, KANETHA FIRST CALL CAB COMPANY 06/22/16 ROBERT BURROWS 391 18WC 07073 PAWELEK, MICHAEL TERRAZZO & MARBLE SUPPLY 02/13/18 STEVEN J MALMAN & ASSOCIAT 392 18WC 07216 MOEAKI, ANTHONY CHICAGO BEARS FOOTBALL CL 08/18/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 393 18WC 07251 CURTIS, MARZENA M BRITISH AIRWAYS 02/03/18 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 394 18WC 07272 GOMEZ, EDUARDO QUALITY RELOCATION SERVIC 02/05/18 ROBERT WARSASKI JOSEPH MARCINIAK 395 18WC 07422 ROBLES, ROBERT SYMPHONY OF CRESTWOOD 02/09/18 BLOCK, KLUKAS & MANZELLA P MCCABE KIRSHNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 18WC 07475 QUINONES, JOSE GRAND LUX CAFE 02/17/17 HOWARD ABRAMS 397 18WC 07543 AREVALO, GILBERTO CARDINAL FENCE & SUPPLY I 09/26/17 ANKIN LAW OFFICE GANAN & SHAPIRO 398 18WC 07561 LUCUS, PEDRO NORTHWEST COMMUNITY HOSPI 01/22/18 MICHAEL HELLMAN HEYL ROYSTER VOELKER & ALLEN 399 18WC 07729 LANDA, ADALBERTO CHALET LIVING AND REHAB C 02/27/18 HUGHES SOCOL PIERS RESNICK BRADY CONNOLLY & MASUDA PC 400 18WC 07843 ROBERTS, LYTOYA BARTON STAFFING SOLUTIONS 12/13/17 RICHARD E ALEKSY SLAVIN & SLAVIN 401 18WC 13492 BARAJAS, AVECITA NESTLE USA INC 01/16/18 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 402 18WC 14281 MARTINEZ, MARIA CASA CENTRAL 06/28/17 LEONARD LAW GROUP LLC POWER & CRONIN LTD 403 18WC 14560 LOPEZ, GARCIELA PAKET CORPORATION 03/01/18 JONATHAN SCHLACK GANAN & SHAPIRO 18WC014561 -C 404 18WC 14611 CARRILLO, MAYRA DOLORES CITY PRESS JUICE AND BOTT 05/01/18 JONATHAN SCHLACK HOLECEK & ASSOCIATES 18WC016350 -C 405 18WC 14664 ELALLAOUI, JAMAL BRILON ONE CAB CORP 04/03/18 FISHER & LAMONICA 406 18WC 14688 ZEMAITIS, GARY CHINA CARGO AIRLINES 05/02/18 RUBIN LAW GROUP LAWRENCE COZZI - LAW OFFICE 407 18WC 14740 BRANDON, DWAYNE CITY OF CHICAGO-SANITATIO 04/10/18 JOSEPH J SPINGOLA, LTD 408 18WC 14777 BONILLA, PIEDAD SPECIALIZED STAFFING SOLU 04/04/18 HART & DAVID LLP GOLDBERG SEGALLA LLC 409 18WC 14803 CASTANEDA, RAMIRO CARDINAL PALLET CO 05/02/18 HUGO ORTIZ GANAN & SHAPIRO 410 18WC 14872 HUMPHREY, EDWARD CITY OF CHICAGO 04/13/18 ROGER D RUDICH LTD 411 18WC 14940 BENSON, KEN CITY OF CHICAGO 04/20/18 GERALD CONNOR 412 18WC 14959 LARA, EMIR TOOTSIE ROLL 05/04/18 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 413 18WC 15083 OLSON, MARK S & S CARTAGE 05/07/18 GESMER & REYNOLDS PC KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 18WC 15227 JOHNSON, LATRICE PROGRESSIVE LEADERSHIP AC 03/13/18 BRISKMAN BRISKMAN GREENBER 415 18WC 15268 NICHOLAS, WILLIAM VILLAGE OF SKOKIE 04/20/18 CRONIN & PETERS VILLAGE OF SKOKIE 416 18WC 15294 SZURAN, ELZBIETA CITY OF CHICAGO 05/18/18 GOLDBERG WEISMAN & CAIRO L 417 18WC 15340 LEIDER, CHUTIMA UNITED CONTINENTAL HOLDIN 06/27/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 418 18WC 15443 HARRIS, CHRISTOPHER TWO MEN AND A TRUCK 12/30/17 419 18WC 15569 JOHNSON, ANDRE STERICYCLE 03/28/18 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 420 18WC 15934 WEEKLY, RASHEED BOSTON MARKET 04/20/18 GALLAGHER, DONALD V CACCHILLO LAW GROUP LLC 421 18WC 15955 KING, JASMINE O SUBWAY 05/11/18 VITELL & SPITZ LTD JOSEPH MARCINIAK 422 18WC 15982 SHADD, ALMA MALCOLM X CITY COLLEGES 02/08/18 EDWIN REYES LEGAL GROUP SMITH AMUNDSEN LLC 423 18WC 16001 SWENSEN, ERIC ALL SYSTEMS INSTALLATIONS 03/21/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 424 18WC 16053 ALVAREZ, BARBARITA J.W. MARRIOT 01/11/17 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 425 18WC 16122 GRECH-LISULA, NICOLE LUMES PANCAKE HOUSE 10/13/16 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 426 18WC 16143 LONDON, KOURTNAE CITY OF CHICAGO 11/14/17 MORICI FIGLIOLI & ASSOC 18WC031842 -C 427 18WC 16286 CASTILLO, SAUL BANNER PLUMBING SUPPLY 04/04/17 RIPES NELSON BAGGOT KALOBRAT 428 18WC 16302 GHEBREDO, BISCUT LIZ TAXI CORP 12/26/17 HUNER LAW OFFICES LLC 429 18WC 16331 PINO, IVON SODEXO,INC & 03/27/18 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 430 18WC 16351 RODRIGUEZ, VIRIDIANA AMMERAAL BELTECH 05/01/18 JONATHAN SCHLACK HOLECEK & ASSOCIATES 431 18WC 16378 FARIAS, MANUEL CITY OF CHICAGO 05/24/18 ANKIN LAW OFFICE CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 18WC 16401 PATE, CHRISTOPHER DUTCH FARMS 05/28/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 433 18WC 16419 RODRIGUEZ, ANTONIO MAPES & SPROWL STEEL LLC 06/21/15 CHASE & WERNER LTD 18WC016420 -C 19WC007038 -C 19WC007039 -C 434 18WC 16448 TENORIO, ROSA SOUTHWIRE 04/23/18 CHEPOV & SCOTT LLC GANAN & SHAPIRO 19WC001357 -C 435 18WC 16498 PAGAN, MIGDALIA VARGAS GROUP 05/10/18 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 436 18WC 16590 REED, AJA COOK COUNTY HEALTH 05/04/18 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 437 18WC 16620 MORRISM CEDRIC CITY OF CHICAGO 09/29/17 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 438 18WC 16689 GRANADOS, ANTONIO CHUDY BUILDERS, INC. 10/27/17 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 439 18WC 16737 OLVERA, ELIGIO HURTADO V&V SUPREMO 12/06/17 ENCINAS & ORNELAS HENNESSY & ROACH PC 440 18WC 16770 KAPUSTIANYK, JOHN MARK 1 RESTORATION 04/05/18 CRONIN & PETERS 441 18WC 16807 ROBLES, ROBERTO CENTER HOME FOR HISPANIC 04/03/18 GORDON LAW OFFICES LTD GAIDO & FINTZEN 442 18WC 16837 GUERRA, ELIAS FORD MOTOR COMPANY 05/25/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 443 18WC 16853 GUTIERREZ, ASUNCION TYSON FOODS, INC. 05/10/18 EPSTEIN, JACK R LAW OFFICE 444 18WC 16881 KING, BLAKE ROBERT BOSCH TOOL CORPORA 03/09/18 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM GRA 445 18WC 16916 NASON, KEYONTATE CTA 05/14/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 446 18WC 16933 FLAGG, JESSIKA NORTHWESTERN MEMORIAL 05/04/18 HETHERINGTON KARPEL BOBBER 447 18WC 16999 MUSE, JANETTE WALMART 04/16/18 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 448 18WC 17043 TURNER, LAWRENCE DR. PEPPERS SNAPPLE GROUP 05/23/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 449 18WC 17105 ROMOZZI, ANNAMARIE GRAND RIVER ONE, INC D/B/ 05/10/18 WHITESIDE & GOLDBERG LTD SPYRATOS DAVIS LLC 450 18WC 17258 SMITH JR, CLEO W GENUINE PARTS COMPANY 03/28/18 DWYER & COOGAN KEEFE CAMPBELL BIERY & ASSOC 451 18WC 17418 SPRATT, DARRYL CSI NEWS 1 CORPORATION 05/13/18 GALLAGHER, DONALD V RIDGE & DOWNES 452 18WC 17441 BRANCH, PERSAIL COOK COUNTY JEVENILE 04/11/18 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 453 18WC 17522 ILIBASIC, SNEZANA EDGEWOOD VALLEY COUNTRY C 05/10/18 HORWITZ HORWITZ & ASSOC NOBLE & ASSOC 454 18WC 17586 KING, JERMAINE P MONTERREY SECURITY 06/01/18 SANDMAN LEVY & PETRICH 455 18WC 17630 SIMMONS, KEVIN DIETZ & KOLODENKO CO 11/02/17 JOSEPH MARCINIAK 456 18WC 17711 BELL, BLANCHE CITY OF CHICAGO 05/22/18 DAVID W MARTAY 457 18WC 17847 ARREGUIN, FLORENTINO CHICAGO TRANSIT AUTHORITY 05/07/18 HETHERINGTON KARPEL BOBBER CHICAGO TRANSIT AUTHORITY 458 18WC 19343 MCKEE, JOHN P BOB'S AUTO BODY 09/05/17 WILLIAM S RYAN NYHAN BAMBRICK KINZIE & LOWR 459 18WC 22573 IJAOBL, LAWAL PROGRESS RAIL-ELECTRO-MOT 02/19/18 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 460 18WC 24908 THORNTON, COURTNEY RGIS INVENTORY SPECIALIST 04/16/18 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 461 18WC 24993 RIDDELL, MELVIN CITY OF CHICAGO 08/16/18 GOLDSTEIN AIOSSA & GOOD CITY OF CHICAGO 462 18WC 25015 ONKEN, MARY DARDEN RESTAURANTS 11/28/16 PETER LEKAS WIEDNER & MCAULIFFE LTD 18WC025016 -C 463 18WC 25034 YOUNG, ANNETTE LAREDO, HOSPITAL 07/19/18 JAMES ELLIS GUMBINER & ASS LEAHY EISENBERG & FRAENKEL 464 18WC 25112 CONRAD, KEVIN LAKESIDE METALS, INC 03/07/18 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 465 18WC 25135 ANDERSON, ANDREW CASTWELL PRODUCTS, LLC 09/02/16 GOLDBERG WEISMAN & CAIRO L 466 18WC 25205 CONFER, RONALD II AMERICAN AIRLINES 07/29/18 MC HARGUE & JONES ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 18WC 25229 PRICE, CARL COOK COUNTY DEPT OF CORRE 06/11/18 JAMES ELLIS GUMBINER & ASS STATES ATTORNEY OF COOK COUN 468 18WC 25252 JORDAN, ARETHA EL VALOR 07/20/18 DONALD FOHRMAN & ASSOC ROSARIO CIBELLA 469 18WC 25394 WADDELL, IVORY CALEDONIA SENIOR LIVING & 07/08/18 PETER C KOPOULOS 470 18WC 25432 MURPHY, JAMES D III BRINE'S REFRIGERATION 12/16/16 FRANKS & RECKENBERG 471 18WC 25452 PULGARIN, SANDRA HAMPTON SUITE 03/14/18 SEIDMAN MARGULIS & FAIRMAN HOLTKAMP LIESE 472 18WC 25499 WILLIAMS, WAKISHIA LORETTO HOSPITAL 07/14/18 MEYERS & FLOWERS 473 18WC 25566 VUJOSEVIC, COLE COOK COUNTY 08/21/18 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN 474 18WC 25939 MUNOZ, ANTONIO DEL RIO POPEYE'S CHICKEN 07/22/16 COSTA IVONE LLC 475 18WC 25978 URIBE, HUGO Z GREAT LAKES COCA-COLA DIS 06/04/18 MORTELL, RICHARD W JR NYHAN BAMBRICK KINZIE & LOWR 476 18WC 26105 SZTURGULEWSKI, KONRAD ACME INDUSTRIES 01/30/15 JOSEPH J LOSS PC HOLECEK & ASSOCIATES 477 18WC 26227 ORDUNO, ESTHER GOLD EAGLE 06/08/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 478 18WC 26276 GEMEIN, STEVEN R A&B BUS SERVICE 05/16/18 NORMAN E. WILSON QUINTAIROS PRIETO WOOD & BOY 479 18WC 26302 CHACON, ROGELIO BAR-S FOODS CO 07/11/18 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 480 18WC 26322 BRISCOE, BRIANNA LOVE ON THE BLU W 08/22/18 GERALD CONNOR 481 18WC 26356 FORREST, DARNELL LABOR TEMPS INC LOANER 06/21/18 VITELL & SPITZ LTD GAIDO & FINTZEN 482 18WC 26425 VENCES, FREDY PEPSICO INC 06/06/18 ANKIN LAW OFFICE GAIDO & FINTZEN 483 18WC 26441 GREEN, DENNIS REDMAN'S TOWING 08/19/18 COVEN LAW GROUP 484 18WC 26463 ACOSTA PALACIOS, EUSTOLIO AIRA ENTERPRISES, INC 05/09/18 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 485 18WC 26485 ROGERS, BRYANT D UNITED PARCEL SERVICE 08/17/18 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 486 18WC 26507 MENDOZA, HORACIO ACCURATE METAL FABRICATIN 05/24/18 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 487 18WC 26581 JOHNSON-EWING, ANDREA ASSOCIATES IN NEPHROLOGY- 06/15/18 DWORKIN AND MACIARIELLO 488 18WC 26601 HERRERA, ADRIAN JP PHILLIPS, INC 05/29/18 THE ROMAKER LAW FIRM KEEFE CAMPBELL BIERY & ASSOC 489 18WC 26622 PHILLIPS, KASI AUTO WAREHOUSING COMPANY 08/31/18 DAVID W MARTAY MEACHUM & STARCK 490 18WC 26640 LEON, VICTOR QUALITY ASSURANCE 08/17/18 JONATHAN SCHLACK SLAVIN & SLAVIN 491 18WC 26664 BASRAOUI, GHASSAN SUBURBAN SURGICAL COMPANY 03/11/16 KROL BONGIORNO & GIVEN LTD JOSEPH MARCINIAK 492 18WC 26695 SIMMONS-GROSS, SHIRLEY JEWEL OSCO 12/21/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 493 18WC 26768 CABALLERO, ADRIAN ARLINGTON HEIGHTS FORD 09/04/18 THERMAN LAW OFFICES GAROFALO SCHREIBER STORM GRA 494 18WC 26886 SILVA, ADOLFO EVERFRESH INTERNATIONAL, 06/21/18 TIMOTHY HENDERSON RUSIN & MACIOROWSKI LTD 495 18WC 27011 MCGHEE, BRIAN RICH TOWNSHIP DISTRICT #2 05/16/18 GERALD CONNOR RIPES NELSON BAGGOT KALOBRAT 496 18WC 27075 HUNTER, MARK A IMEX GLOBAL SOLUTIONS 07/01/18 ROSS TYRRELL 497 18WC 27112 DORTILUS, ANDERSON SOUTHWEST AIRLINES 04/28/18 POLANSKY & CICHON CHTD 498 18WC 27139 DIAZ JR, JUAN A GROSSNGER CHEVROLET/ 08/02/18 DEPAOLO & ZADEIKIS GAIDO & FINTZEN 499 18WC 27151 HOFFMANN, SCOTT GEORGE T SCHMIDT INC 02/23/18 GRAUER & KRIEGEL LLC JOSEPH MARCINIAK 500 18WC 27253 EKUE, DOSSEH UBER TECHNOLOGIES, INC CO 09/16/16 BRUCE RAFALSON LTD WIEDNER & MCAULIFFE LTD 501 18WC 27348 MARSHALL, SELENA RICH TOWNSHIP DIST #227 08/14/18 ANGELINI & ORI LLC RIPES NELSON BAGGOT KALOBRAT 502 18WC 32361 HUNTER, JAMIRA CTA 10/12/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 503 18WC 34333 FLORES-MARTINEZ, JUAN JOS NORTHWESTERN UNIVERSITY 06/12/18 ROSS J HELFAND 504 18WC 34357 WALKER, RAQKEHA AUTO WAREHOUSING COMPANY 11/15/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 505 18WC 34431 YBANEZ, TANYA CHILDREN'S HOME & AID 10/23/18 ELFENBAUM EVERS & AMARILIO 506 18WC 34543 ANDERSON, GEORGE PEOPLE SCOUT, INC 02/23/17 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 507 18WC 34575 GALEAS, MIGUEL A SUPER AUTO TIRE AND MECHA 10/25/18 VITELL & SPITZ LTD 508 18WC 34628 MONTEMAYOR, FIDEL CARMAX 09/13/18 CAPRON & AVGERINOS PC 509 18WC 34653 GREEN, EVYONNE STATE OF ILLINOIS 11/15/18 TAXMAN POLLOCK ASSISTANT ATTORNEY GENERAL 510 18WC 34660 KINCADE, JENAE M ST MARY'S OF PROVIDENCE 08/24/17 GALLAGHER, DONALD V HENNESSY & ROACH PC 511 18WC 34685 WILLIAMS-LASH, CRYSTAL AMAZON 11/22/17 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 512 18WC 34709 MARZALIK, MARK A-1 ROOFING 09/10/16 HORWITZ HORWITZ & ASSOC 513 18WC 34757 LONGMIRE, DARLENE PROFESSIONAL TRANSPORTATI 10/31/18 CHARLES LEVY & ASSOC LTD 514 18WC 34856 DAHLHAUSER, LAURA UNITED CONTINENTAL HOLDIN 11/02/18 BRIAN J MC MANUS & ASSOC, 515 18WC 34892 GAITAN, FRANCISCO POPEYES #2865 11/09/18 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 516 18WC 34946 MARTINEZ, SANDRA P LAND O' FROST 10/31/16 CORNFIELD & FELDMAN GAROFALO SCHREIBER STORM GRA 19WC004023 -C 517 18WC 34968 FOLEY, SEAN LAKESHORE BEVERAGE - 11/26/18 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 518 18WC 34989 MAMI, SHABE ARAMARK 10/16/18 JONATHAN SCHLACK 519 18WC 35022 POLLION, CHRISTINA HELP AT HOME 11/02/18 DAMISCH & DAMISCH LTD INMAN & FITZGIBBONS 520 18WC 35041 DE LA ROSA, IRMA FRESENIUS-KABI PHARMACEUT 07/26/18 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 521 18WC 35072 SMITH, CASEY MENARDS 08/05/18 COVEN LAW GROUP 522 18WC 35111 LEGRAND, ALESSA ROSS DRESS FOR LESS 11/20/18 NYHAN BAMBRICK KINZIE & LOWR 523 18WC 35131 SEMENIK, MANDY YMCA OF METROPOLITAN CHIC 06/19/18 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 524 18WC 35150 NUNOZ, FRANCISCO MAG & ASSOCIATES, LLC 11/01/18 JONATHAN SCHLACK ROBINS & ASSOC LTD 525 18WC 35173 ODEH, HAYFA PALOS COMMUNITY HOSPITAL 06/29/18 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 526 18WC 35275 CAMARDA, EMANUELE NELSEN STEEL COMPANY 11/13/18 GREGORIO & MARCO 527 18WC 35322 GATICA, ERIKA HARVEST FOOD GROUP 11/26/18 HART & DAVID LLP HOLECEK & ASSOCIATES 528 18WC 35361 VYNALEK, THOMAS C ABARI CONSTRUCTION, INC 11/15/18 MORICI FIGLIOLI & ASSOC 529 18WC 35407 HARDY, RAYMOND CTA 10/02/18 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 530 18WC 35460 VARNADO, ALMON SOUTHWEST AIRLINES 11/15/18 STYKA & STYKA HENNESSY & ROACH PC 531 18WC 35545 GUTIERREZ, MARTHA L ROSEMONT EXPOSITION SERVI 02/17/18 VASILATOS & COTTER LLC 532 18WC 35645 HOLMES, TERRENCE COOK COUNTY ADULT PROBATI 08/14/18 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 533 18WC 35682 BUTROS, SAAD GRAND LUX CAFE, LLC 09/28/18 534 18WC 35799 CAMPBELL, JOHN CHICAGO TRANSIT AUTHORITY 11/13/18 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 535 18WC 35859 HERNANDEZ, MERCEDES ELITE STAFFING 02/10/18 JONATHAN SCHLACK 536 18WC 35885 HOLLOWAY, GARY A FRESENIUS KIDNEY CARE 04/16/18 VITELL & SPITZ LTD HENNESSY & ROACH PC 537 18WC 35904 SEPANIK, AMANDA DELTA AIRLINES 02/20/18 VRDOLYAK LAW GROUP LLC GAIDO & FINTZEN 538 18WC 35949 BELANGER, CHRISTY PRESENCE ST. FRANCIS HOSP 04/24/18 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 539 18WC 35973 MARSICO, MARIO EDWARD DON AND COMPANY 11/30/17 MARKER & CRANNELL 540 18WC 36029 WASIELEWSKI, JEFFREY OTIS ELEVATOR CO 08/30/18 MILLON & PESKIN LTD MACIOROWSKI SACKMANN & ULRIC 541 18WC 36093 MAYS, DEMETRA UNITED AIRLINES INC. 11/26/18 COVEN LAW GROUP 542 18WC 36125 PIZZOLATO, LAURIE M ARLINGTON HEIGHTS ELEMENT 04/27/18 MORICI FIGLIOLI & ASSOC 543 18WC 36161 WILLIAMS, ERNEST CITY OF CHICAGO 10/30/18 ANGELINI & ORI LLC 544 18WC 36178 GARCIA, ABIMAEL LABOR SOLUTIONS 12/05/18 RUBENS KRESS MULHOLLAND 545 18WC 36198 RODRIGUEZ, ESTELLA NXT FR POLAR ICE COMPANY # 03/06/17 WOODRUFF JOHNSON BRYCE DOWNEY & LENKOV LLC 546 18WC 36305 RUIZ, CARMEN RON'S STAFFING SERVICE 10/24/18 JONATHAN SCHLACK KOREY RICHARDSON LLC 547 18WC 36329 RAMIREZ, JULIA CROWNE PLAZA CHICAGO WEST 10/30/18 TIMOTHY HENDERSON 548 18WC 36379 LARIOS, RAUL ESA IRONWORKS INC 03/10/18 COSTA IVONE LLC 549 18WC 36410 WILSON, WILLIE JR. UNIVERSITY OF CHICAGO 12/10/18 MINKOW DOMIN 550 18WC 36514 RAISOR, RHONDA CRATE & BARREL 11/11/18 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 551 18WC 36561 TORRES, VICTOR THE BOELTER COMPANIES, IN 11/26/18 HETHERINGTON KARPEL BOBBER KRAKER FANNING & OLSEN 552 18WC 36601 CWIKLINSKI, MICHAEL HAYES MECHANICAL 08/28/18 CORBOY & DEMETRIO PC GAROFALO SCHREIBER STORM GRA 553 18WC 36625 AUSTIN, ERIC FEDEX 11/21/18 JAMES ELLIS GUMBINER & ASS KOPKA, PINKUS DOLIN, PC 554 18WC 36647 ZAMORANO, ANGELICA DUDEK & BOCK SPRING MFG. 12/03/18 SCOTT B SHAPIRO RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 18WC 36730 COBBINS, CRYSTAL SERTOMA CENTRE, ICN 11/26/18 ANKIN LAW OFFICE 556 19WC 02467 HARDESTY, JAMES H SERVICE KING HOLDINGS, LL 12/17/18 DEPAOLO & ZADEIKIS MEACHUM & STARCK 19WC002468 -C 19WC004963 -C LIBERTY MUTUTAL 557 19WC 03996 GASCA, FRANCISCO L PROFESSIONAL FREEZING 06/27/18 JOHN J CASTANEDA KNELL LAW LLC 558 19WC 04199 EDMONDS, KETURAH PENTAIR FILTRATION SOLUTI 09/15/17 ACEVES & PEREZ PC HENNESSY & ROACH PC 559 19WC 04241 ISALLARI, ANDONETA THE JAMES HOTEL 06/18/18 GALLAGHER, DONALD V HENNESSY & ROACH PC 560 19WC 04255 WOODS, CARMELITA CTA 02/02/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 561 19WC 04291 SOTO, MARIA DLH HOLDINGS CORP 11/21/18 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 562 19WC 04307 MAHER, ALLISON MCDONALDS 11/06/18 STEVEN J. MORTON & ASSOC 563 19WC 04346 GAYTAN, PEDRO BRENNTAG GREAT LAKES, LLC 01/21/19 STEVEN J MALMAN & ASSOCIAT EVANS & DIXON, LLC 564 19WC 04365 PERRY, ROY COOK COUNTY SHERIFF'S OFF 02/05/19 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 565 19WC 04383 LINNE, JACOB LAMIN-8 SERVICES 06/27/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 566 19WC 04454 EVES, LANISHA FEDEX 09/10/17 BRISKMAN BRISKMAN GREENBER KOPKA, PINKUS DOLIN, PC 567 19WC 04483 CORDERO, LUIS S WENDY'S INTERNATIONAL 10/08/18 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 568 19WC 04583 MINOR, SHARON WESTAT, INC 06/12/18 LAWRENCE COZZI - LAW OFFICE 569 19WC 04667 GOMEZ, SAMI BUILDING SERVICE OF AMERI 12/21/18 COSTA IVONE LLC 570 19WC 04693 EVOY, BRIAN FIBRE DRUM SALES, INC. 11/27/18 MARSZEWSKI & GALVIN BRADY CONNOLLY & MASUDA PC 571 19WC 04714 COTTON, TYRONE J FRESH EXPRESS INC 01/30/19 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 572 19WC 04737 BOWEN, TIMOTHY J BIMBO BAKERIES USA INC 11/02/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 19WC 04769 BRAGG, CALVIN EXPRESS INTERNATIONAL 01/04/19 SOSTRIN AND SOSTRIN PC MC ANDREWS & NORGLE LLC 574 19WC 04825 JACKSON, MANSON GATE GOURMET 02/02/19 CELSO FUENTES JR RUSIN & MACIOROWSKI LTD 575 19WC 04889 KREVO, GEORGE MATTHEW HELIZ A POPPIN 09/11/18 RUBENS KRESS MULHOLLAND 576 19WC 04942 KATZ, DOMINICK NSSRA 08/12/18 NICHOLIS J STEIN HENNESSY & ROACH PC 577 19WC 05017 MORALES, VIRGILIO GRECO AND SONS, INC 12/16/16 HANNIGAN & BOTHA, LTD 578 19WC 05033 HERNANDEZ DE ESCOBAR, MAR LABOR NETWORK 12/14/18 HERRERA LAW CENTER 579 19WC 05066 REYES, JUAN LA BARRA RESTAURANT 02/14/19 JOHN S. ELIASIK HOLECEK & ASSOCIATES 580 19WC 05103 LOWERY, TIFFANY RICH TOWNSHIP 12/14/18 RAYMOND M SIMARD, PC 581 19WC 05158 BIEDA, MARY CARL BUDDIG & COMPANY 02/14/19 CULLEN HASKINS NICHOLSON KNELL O'CONNOR DANIELWICZ 582 19WC 05175 PEREZ, GUADALUPE CATERING BY MICHAEL'S 07/17/18 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 583 19WC 05229 TOPEL, DONALD R NEXEO SOLUTIONS 12/13/18 TOSCAS, JOHN Z LAW OFFICE SPIEGEL & CAHILL, PC 584 19WC 05299 VELAZQUEZ, ANDRE ADVACARE SYSTEMS INC 06/01/18 DWORKIN AND MACIARIELLO 585 19WC 05300 MOLL, JIMMY XFINITY STORE BY COMCAST 02/01/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 586 19WC 05385 VENDEL, ROBERT KEURIG DR PEPPER 02/15/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 587 19WC 05406 TUREK, RICHARD OAK LAWN POLICE DEPARTMEN 09/16/18 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 588 19WC 05424 IVY, MARKUS JAKACKI BAY & BARREL, INC 02/01/19 VITELL & SPITZ LTD POULOS & DIBENEDETTO LAW 589 19WC 05478 PALMA, VICTOR QUALITY LABOR SERVICE 12/26/18 COSTA IVONE LLC KOREY RICHARDSON LLC 590 19WC 05497 LEE, JESSE LOTUS MANAGEMENT GROUP 01/30/19 GALLAGHER, DONALD V HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 591 19WC 05555 VERA, JAIME HOME DEPOT 10/12/17 KARCHMAR & STONE ADELSON TESTAN BRUNDO 592 19WC 05588 FRIZZLE, MELANIE STATE OF ILLINOIS- 09/06/18 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 593 19WC 05646 SAVAGE, BRENDA PAPER SOURCE 01/08/19 ROGER D RUDICH LTD KRAKER FANNING & OLSEN 594 19WC 05716 KREFFT, DAVID VILALGE OF MAYWOOD 05/30/16 ROMANEK & ROMANEK INMAN & FITZGIBBONS 19WC005717 -C VILLAGE OF MAYWOOD 595 19WC 05742 MADKINS, TONIA LITTLE COMPNY OF MARY HOS 02/06/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 596 19WC 05781 SIMONE, ROBERT SPECIALTY BUILDERS, INC. 02/12/18 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 597 19WC 05805 JACKSON, DEMOND F DYNOMAX, INC 09/26/18 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 598 19WC 05826 LUSTER, TA-AQUA UNIVERSITY OF CHICAGO 01/23/19 SCOTT B SHAPIRO NOBLE & ASSOC 599 19WC 05878 ACOSTA, MARIA HANNAH'S BRETZEL 01/02/19 EPSTEIN, JACK R LAW OFFICE 600 19WC 05903 HUSSEIN, MOHAMMED DOUBLE TREE HILTON 12/28/18 EDWIN REYES LAW FIRM HOLECEK & ASSOCIATES 601 19WC 05937 OLAYO, ALBA AMERICAN HERITAGE PROTECT 02/14/19 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 602 19WC 06082 BURKE, REGINALD SECRETARY OF STATE POLICE 09/24/18 WOODRUFF JOHNSON ASSISTANT ATTORNEY GENERAL 603 19WC 06121 LAJEWSKI, JENNIFER A LA GRANGE SCHOOL DISTRICT 03/12/18 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 604 19WC 06151 GOSS, HERMAN OLIVE HARVEY COLLEGE 02/02/19 ANGELINI & ORI LLC 605 19WC 06186 VAN BUSSUM, STEVE TQ LOGISTICS 01/16/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 606 19WC 06203 TORRES, PEDRO TRIUNE LOGISTICS 02/13/19 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 607 19WC 06234 BILAK, MARIAN G&J MASONRY, INC 06/06/18 GAUZA LAW OFFICE LAWRENCE COZZI - LAW OFFICE 608 19WC 06306 KOLESNIK, VLADIMIR D SENIOR SUITES CHICAGO COR 02/21/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 609 19WC 06334 TONEY, DARIAN SUPERIOR AIR GROUND AMBUL 02/22/19 ARGIONIS & ASSOCIATES LLC POWER & CRONIN LTD 610 19WC 06394 FINLEY, CHRISTOPHER GREYSTAR SONO EAST 02/18/19 JAMES ELLIS GUMBINER & ASS 611 19WC 06438 REYES, ROBERTO B UNITED AIRLINES INC. 02/27/19 COVEN LAW GROUP 612 19WC 06464 MILES, ISABELLE UNITED CONTINENTAL HOLDIN 01/23/19 KATZ FRIEDMAN EAGLE ET AL 613 19WC 06486 KEEFE, PATRICIA JEWEL-OSCO 10/05/18 JONATHAN SCHLACK 614 19WC 06505 SERRANO LEON, MARICELA FRESH EXPRESS, INCORPORAT 01/24/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 615 19WC 06639 ALVARADO, ESPERANZA ARYZTA LLC 05/12/16 FREDRICK B BARDER, LTD HENNESSY & ROACH PC 616 19WC 06670 BURSON, YVONNE CITY OF CHICAGO 01/29/19 ARGIONIS & ASSOCIATES LLC 617 19WC 06731 ROBINSON, MICHAEL OFFC OF CHIEF JUDGE, COOK 02/22/19 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 618 19WC 06776 LEE, JESSE LOTUS MANAGEMENT 01/22/19 JAMES ELLIS GUMBINER & ASS 619 19WC 06961 IVERSON, MATTHEW JAMES MCHUGH CONTRUCTION 04/09/18 RUBIN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 620 19WC 07003 WALKER, EUGENE KUEHNE & NAGEL 03/05/19 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 621 19WC 07058 MONTES, FRANK J PATRICK CADILLAC/VOLVO 11/27/18 WIEDNER & MCAULIFFE LTD 622 19WC 07124 MICHELS, DUSTIN L&W SUPPLY 01/07/19 LEONARD LAW GROUP LLC 623 19WC 07150 JAFFER, AKBAR NEW MILLENIUM TAXICAB INC 02/25/19 FISHER & LAMONICA 624 19WC 07259 VELASQUEZ, JORGE MORENO ELITE STAFFING, INC 02/19/19 DWORKIN AND MACIARIELLO 625 19WC 07414 BLAKE, CHRISTOPHER S MINUTE MEN OF ILLINOIS, I 01/30/19 ANKIN LAW OFFICE POWER & CRONIN LTD 626 19WC 07435 COOPER, DANETTE UPS 10/18/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 627 19WC 07473 MC CARTER, KENYATTA BOARD OF EDUCATION 11/26/18 SHELDON I MINKOW & ASSOCIA CHGO BOARD OF EDUCATION 628 19WC 07590 WHEELER, LEONARD CHICAGO TRANSIT AUTHORITY 02/18/19 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 629 19WC 07620 GOSLING, FLORANGEL SUPREME LABOR SOURCE LLC 02/22/19 TAXMAN POLLOCK 630 19WC 07642 GOMEZ, YESENIA CERMAK PRODUCE NO 2 D/B/A 01/23/19 HERRERA LAW CENTER GANAN & SHAPIRO 631 19WC 07698 USREY, DANNY UPS 02/13/17 LULAY LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 632 19WC 07744 SIEBRANDT-DOWD, LIDA REHABILITATION INSTITUTE 03/26/16 LUSAK AND COBB KEEFE CAMPBELL BIERY & ASSOC 633 19WC 07761 MIKHAIL, ANDREW 2020 COMPANIES 02/27/19 NO ATTORNEY JOSEPH MARCINIAK 634 19WC 07780 FERGUSON, JOSEPH A JUNO LIGHTING GROUP 03/08/19 ANKIN LAW OFFICE SLAVIN & SLAVIN 635 19WC 07817 BOLLAS, MARIA ARYZTA LLC 03/14/17 LEONARDO MORALES HENNESSY & ROACH PC 19WC007818 -C 636 19WC 07891 KREMIDAS, MICHAEL OWENS CORNING ROOFING & A 08/24/18 SEIDMAN MARGULIS & FAIRMAN 637 19WC 07913 UMANA-LINDER, JANE REPUBLIC AIRWAYS 08/18/18 GORDON LAW OFFICES LTD NYHAN BAMBRICK KINZIE & LOWR 638 19WC 13913 WESSEL, MIKE VILLAGE OF WILMETTE 07/21/18 SCOTT BARBER 639 19WC 13975 RATLIFF, HEATHER A GENESIS TECHNOLOGIES 09/01/16 DWYER & COOGAN GAROFALO SCHREIBER STORM GRA 640 19WC 14008 HUTTON, FENNER SUBURBAN LANDSCAPING 04/26/19 STEVEN J MALMAN & ASSOCIAT 641 19WC 14043 REYES, MARTHA RON STAFFING 03/29/19 CULLEN HASKINS NICHOLSON KOREY RICHARDSON LLC 642 19WC 14066 JAIMES, JORGE L THE LANGHAM, CHICAGO 04/25/19 CHEPOV & SCOTT LLC 643 19WC 14093 PALACIAS, YADIRA LABOR SOLUTIONS 01/24/19 ENCINAS & ORNELAS 644 19WC 14127 ZAWADZKI, DENNIS AMERICAN AIRLINES 01/01/19 SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 645 19WC 14167 GONZALEZ, ROCIO CAMACHO MID CITY PLAZA, LLC 07/26/18 GANAN & SHAPIRO 646 19WC 14230 TAMAYO, APOLONIO IMPACT LABOR LLC 04/27/19 DEPAOLO & ZADEIKIS 647 19WC 14247 LOFTON, SABRINA FAMILY DOLLAR 05/06/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 648 19WC 14266 KANE, MICHAEL CITY OF EVANSTON 04/28/19 WOLFE LAW PC 649 19WC 14292 BOYCE, FRED PENSKE TRUCK RENTAL 08/14/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 650 19WC 14315 KULAWIAK, MONIKA WESTRIC MARINA MANAGEMENT 10/09/18 TAMVAKIS, GEORGE L KEEFE CAMPBELL BIERY & ASSOC 651 19WC 14407 FARLEY, RICHARD ILLINOIS DEPT OF CORRECTI 02/04/19 ARGIONIS & ASSOCIATES LLC ASSISTANT ATTORNEY GENERAL 652 19WC 14459 GARCIA, MIGUEL SERVICE DRYWALL&DECORATIN 03/05/19 ACEVES & PEREZ PC INMAN & FITZGIBBONS 653 19WC 14479 CONSTANTOPOULOS, NICHOLAS THE SEGERDAHL CORPORATION 04/15/19 GWC INJURY LAWYERS LLC WOLF & LAUDICINA LTD 654 19WC 14517 PETERS, TIMMIE FIRST CHURCH OF DELIVERAN 01/29/19 ANKIN LAW OFFICE 655 19WC 14537 TALDONE, JOHN MAINE TOWNSHIP HIGH SCHOO 04/01/19 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 656 19WC 14553 SHAW, DELISA UPS 04/08/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 657 19WC 14607 OLVERA, MANUEL EVANS FOOD GROUP 08/15/17 LUSAK AND COBB 658 19WC 14629 MALDONADO, GUSTAVO DOBSON PLAZA NURSING HOME 12/04/18 MARC J SHUMAN & ASSOCIATES 659 19WC 14670 HAWKINS, CARL LEVY RESTAURANTS 05/10/19 MC HARGUE & JONES GANAN & SHAPIRO 660 19WC 14691 FLOURNOY, TERRILL HOME DEPOT 06/21/18 LEONARD LAW GROUP LLC 661 19WC 14714 GUZMAN, MARK W FRANCESCA'S MIDWEST 01/27/19 HERRERA LAW CENTER 662 19WC 14731 THORNTON, LATIA COUNTRYSIDE NURSING REHAB 01/24/19 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 663 19WC 14787 RINCON, ROSEMARY CR EXPRESS, INC 01/24/19 ARGIONIS & ASSOCIATES LLC HOLECEK & ASSOCIATES 664 19WC 14809 RUM, ARLENE I BOARD OF EDUC- CHICAGO, 03/14/19 COHN LAMBERT RYAN & SCHNEI CHGO BOARD OF EDUCATION 665 19WC 14874 MOORE, WILLIAM G CONCRETE STRUCTURES OF 09/19/18 MORICI FIGLIOLI & ASSOC KEEFE CAMPBELL BIERY & ASSOC 666 19WC 14891 LEWIS-DAVIS, TASCHA CONSOLIDATED SCHOOL DIST 04/25/19 WOODRUFF JOHNSON 667 19WC 14911 AVERY, SHARON CHICAGO METHODIST SENIOR 03/12/18 STANCZAK LAW OFFICES ACCIDENT FUND HOLDINGS 668 19WC 14998 HODGE, LYNDA OUNCE OF PREVENTION FUND 05/09/19 ANKIN LAW OFFICE 669 19WC 15019 ALVARADO, JOSE JR. KLOECKNER PERFER FLOWERS 05/09/19 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 670 19WC 15034 MORENO, ROLANDO MIDWAY DISTRIBUTORS 05/09/19 KATZ FRIEDMAN EAGLE ET AL GILDEA, COGHLAN & REGAN LTD. 671 19WC 15045 KNAPKOVA, SHARKA UNITED AIRLINES, INC. 12/27/18 COHN LAMBERT RYAN & SCHNEI 672 19WC 15054 MACIAS, JOSE IBUILDERS CORP. 05/06/19 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 673 19WC 15065 ROSE, BARRY GOLD STANDARD BAKING, INC 04/02/19 CULLEN HASKINS NICHOLSON 674 19WC 15088 UNDERWOOD, MELVIN CTA 05/09/19 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 675 19WC 15109 MAGANA, MAXIMILIANO DYNAMIC EXTERIORS 10 INC 04/15/19 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 676 19WC 15177 PARZYGNAT, STEPHEN CHICAGO ZOOLOGICAL SOCIET 01/25/19 GWC INJURY LAWYERS LLC EDWARD J. KOZEL 677 19WC 15213 COUGHLIN, DAVID CITY OF CHICAGO- DEPARTME 03/15/19 KARCHMAR & STONE CITY OF CHICAGO 678 19WC 15220 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION 04/18/18 679 19WC 15246 JENKINS, THOMAS DOMESTIC UNIFORM 01/22/19 TRAPP & GELLER HOLECEK & ASSOCIATES 680 19WC 15287 THOMAS, CHARLES HERTZ 05/18/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 681 19WC 15307 TESCHKY, STEVEN AT&T 12/20/17 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 682 19WC 15337 CASTRO, FERNANDO RAMCEL PRECISION STAMPING 03/21/19 ZANCK COEN WRIGHT & SALADI NYHAN BAMBRICK KINZIE & LOWR 683 19WC 15425 BROCK, ERIC TIME INSULATION 05/13/19 STEWART C ORZOFF 684 19WC 15443 LOERZEL, JANICE AMERICAN AIRLINES 02/18/19 MAURICE E DUSKY PC 685 19WC 15466 RAMSEY, KENDRA LACEY'S PLACE 05/21/19 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 686 19WC 15512 SIMS, WILLIE FLYING FOOD GROUP 04/23/19 JAMES ELLIS GUMBINER & ASS GOLDBERG SEGALLA LLC 687 19WC 15541 FLOWERS, DWIGHT UNITED PARCEL SERVICE 05/15/19 HOWARD S. KAVENOW LLC NYHAN BAMBRICK KINZIE & LOWR 688 19WC 15596 TELLEZ, ARISBEL ALPHA BAKING CO INC. 02/13/19 JONATHAN SCHLACK MACIOROWSKI SACKMANN & ULRIC 689 19WC 15628 BOWEN, PAMELA DAYTON SUPERIOR 05/18/19 MC HARGUE & JONES HOLECEK & ASSOCIATES 690 19WC 15713 DUBE JR, RONALD L UNIVERSITY OF CHGO MEDICA 05/06/19 GWC INJURY LAWYERS LLC POWER & CRONIN LTD 691 19WC 15754 MINS, RUDDIE RJB PROPERTIES 05/02/19 SALVATO O'TOOLE FROYLAN HENNESSY & ROACH PC 692 19WC 15768 URRIETA, MARIBEL HARVARD MAINTENANCE 02/13/18 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 693 19WC 15811 MAYA, MARIA GABRIELA DIVERSE FACILITY 05/18/19 STEVEN B SALK & ASSOC LTD KEEFE CAMPBELL BIERY & ASSOC 694 19WC 15832 GONZALEZ, ANGELICA MCDONALD'S 01/16/19 CHEPOV & SCOTT LLC 695 19WC 15879 MCKENZIE, DOMINIQUE RESTORATION HARDWARE OUTL 12/12/18 JAMES ELLIS GUMBINER & ASS 696 19WC 15917 FLEMING, KIMBERLY FRESENIUS MEDICAL CARE 05/22/19 GOLDSTEIN AIOSSA & GOOD HENNESSY & ROACH PC 697 19WC 16063 JONES, ANNETTE MERCY HOUSING 03/29/19 ERIC H CHECK, LAW OFFICES 698 19WC 16082 MERAZ, ENRIQUE DAKKOTA INTEGRATED SYSTEM 02/22/19 ACEVES & PEREZ PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 699 19WC 16118 MOHR, MARGARET AMERICAN AIRLINES (A.M.R. 04/04/18 BAUM RUFFOLO & MARZAL LTD 700 19WC 16144 ABUJOUDEH, RIHAM CHUY'S HOLDINGS, INC 05/15/18 CAPRON & AVGERINOS PC 701 19WC 16165 SENDRA, FRANK ORLAND PARK SCHOL DISTRIC 08/14/18 BRILL & FISHEL INMAN & FITZGIBBONS 19WC016166 -C 702 19WC 16215 HALL, REGINALD UNITED PARCEL SERVICE 03/27/19 ROGER D RUDICH LTD 703 19WC 16232 OKOLO, AMALACHUWU JASMIN TAXI, INC. 08/03/16 COHN LAMBERT RYAN & SCHNEI 704 19WC 16257 BARNES, SHAWN MV TRANSPORTATION 06/03/19 VASILATOS & COTTER LLC BRADY CONNOLLY & MASUDA PC 705 19WC 16287 TRUJILLO, ALFONSO REM 05/27/19 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 706 19WC 16346 STEWART, JONATHAN THE HALAL GUYS (CHICAGO L 06/29/18 DWORKIN AND MACIARIELLO 707 19WC 16376 BURT, DONELL FREEDMAN SEATING COMPANY 05/14/19 ANKIN LAW OFFICE GANAN & SHAPIRO 708 19WC 16401 SCHUSTEK, KAREN PALATINE CCSD #15 04/15/19 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 709 19WC 16420 CRAPPS, DEL-RITA CHICAGO BOARD OF EDUCATIO 02/16/18 KARCHMAR & STONE CHGO BOARD OF EDUCATION 710 19WC 16462 KEKOS, LABROS CITY OF CHICAGO 05/31/19 CUDA LAW OFFICES CITY OF CHICAGO 711 19WC 16496 WASHINGTON, DORYCE V CANTATA ADULT LIFE SERVIC 03/13/19 WARREN W MARK 712 19WC 16546 RIVAS, EDISON FREEDMAN SEATING COMPANY 05/03/19 ANGELINI & ORI LLC 713 19WC 16626 OBA, GAIL UNITED CONTINENTAL HOLDIN 03/01/18 BRIAN J MC MANUS & ASSOC, 714 19WC 16649 MORALES, CONSTANTINO LABOR PERSONNEL, LLC 04/17/19 RITTENBERG BUFFEN KNELL O'CONNOR DANIELWICZ 715 19WC 16685 GRANADOS, SULEMA LAGRANGE SCHOOL DISTRICT 01/09/19 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 716 19WC 16717 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION 11/27/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 717 19WC 16737 GAUGHAN, JUDY C NORTHBROOK INN 04/04/19 THOMAS W DUDA BRYCE DOWNEY & LENKOV LLC 718 19WC 16791 SALGASO, FELIPE TAUBENSEE STEEL & WIRE CO 01/11/19 DWORKIN AND MACIARIELLO 719 19WC 16821 PARKER, JOSHUA NAYLOR PIPE CO 10/22/18 VASILATOS & COTTER LLC 720 19WC 16837 BERRY, THOMAS ARAMARK 01/25/19 DEPAOLO & ZADEIKIS STONE & JOHNSON CHARTERED 721 19WC 16890 DAVIS, PATRICK CITY OF CHICAGO STREETS & 01/26/19 DONALD FOHRMAN & ASSOC 722 19WC 16913 SNCHEZ, NOEMI J ARC TRONICS, INC 12/14/18 HECTOR ESPITIA EDWARD J. KOZEL 723 19WC 16935 GRAY MARTIN, ERIN E UNITED AIRLINES 10/27/18 MORICI FIGLIOLI & ASSOC WIEDNER & MCAULIFFE LTD 724 19WC 16953 HENLEY, BENNIE NICOR GAS DES PLAINES 01/31/18 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 725 19WC 22306 WADE, PHILLIP REPUBLIC SERVICES * 07/08/19 CHRISTINE F DAVID GILDEA, COGHLAN & REGAN LTD. 726 19WC 23526 HARRIS, JIMMY DALE POMP'S TIRE SERVICE 07/26/19 HERRERA LAW CENTER 727 19WC 23546 AZUL, ABEL CITY OF CHICAGO 05/30/19 INJURY LAWYERS OF IL 728 19WC 23616 CHAVEZ, CONSTANTINO JOHN R. MORREALE 04/30/19 GORDON LAW OFFICES LTD 729 19WC 23656 WOLFORD, ERMEL JOLIET TENT CO 07/25/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 730 19WC 23676 AGUIRRE, AMADA ACE ANODIZING IMPREGNATIN 04/17/19 COVEN LAW GROUP 731 19WC 23765 MEDINA, DELORES PENTAIR FILTRATION SOLUTI 07/10/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 732 19WC 23791 HILL, TERRELL POTBELLY 08/03/19 DWORKIN AND MACIARIELLO 733 19WC 23814 DEL CID, KENIA FLIP 3132, INC 07/12/19 JONATHAN SCHLACK 734 19WC 23859 SAMSON, HOMER LOYOLA UNIVERSITY MEDICAL 04/01/19 BOWMAN & CORDAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 735 19WC 23878 MENDOZA, XEZEMANI IBARRA RDHN INVESTMENTS, LLC D/B 06/18/19 STEVEN B SALK & ASSOC LTD JOSEPH MARCINIAK 736 19WC 23964 CALERON, JUVENAL COZZINI BROTHERS, INC 03/04/19 EAMES LAW GROUP LTD 737 19WC 23985 BINFORD, JERRY ILLINOIS DEPARTMENT @ 08/08/19 GWC INJURY LAWYERS LLC ASSISTANT ATTORNEY GENERAL 738 19WC 24003 CAMPOS, JESUS SANDSMITH MASONRY, INC 07/30/19 SALGADO, DAVID L 739 19WC 24024 HERRERA, CONSUELO FAIRMONT CARE 03/18/19 COSTA IVONE LLC 740 19WC 24096 CALLAHAN, DAWN UNITED AIRLINES INC. 05/29/19 NILSON STOOKAL GLEASON CAP 741 19WC 24122 JACKSON, PIERRE ALLIANCE GROUND INTERNATI 07/24/19 ANKIN LAW OFFICE 742 19WC 24177 BARRADAS-VIVEROS, MAGDALE AMITY PACKING COMPANY, IN 07/10/19 SANDMAN LEVY & PETRICH 743 19WC 24199 SANFORD, DASSAN COOK COUNTY JUVENILE 07/03/19 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 744 19WC 24229 BROWN, VERONICA TAG RESTAURANTS ENTRPRISE 07/19/19 SCOTT B SHAPIRO 745 19WC 24247 ORANGE, CARMEN UNIVERSITY OF IL @ CHICAG 04/25/19 ANKIN LAW OFFICE 746 19WC 24276 WATSON, STEVEN UNITED PARCEL SERVICE 06/29/19 KARCHMAR & STONE ASA LAW GROUP 747 19WC 24298 JOHNSON, MELVINA L MV TRANSPORTATION 08/16/19 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 748 19WC 24315 SMITH, ARIEL T UNIVERSAL SECURITY CORP 07/29/19 KARNO, MARK L & ASSOC 749 19WC 24337 RIVERA, ANTONIO QUALITY ASSURANCE 07/24/19 OSVALDO RODRIGUEZ PC 750 19WC 24378 SCHRETTER, MARGARET AON CORPORATION 06/24/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 751 19WC 24404 CHERRINGTON, DOUGLAS JIF PAVING & SEALCOATING 10/08/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 752 19WC 24432 GAGLIANO, MARK DG PRINTING, INC. 09/21/18 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 753 19WC 24478 AYWAS, WILLIAMS MCCORMICK FOOD MART INC 11/29/18 ACEVES & PEREZ PC 754 19WC 24503 CLINTRON, LUZ C CATHOLIC CHARITIES 08/08/19 TIMOTHY DEFFET 755 19WC 24537 TERAN DE SIERRA, MARIA DE GOLD STANDARD BAKING 06/08/19 LANNON LANNON & BARR LTD 756 19WC 24561 BARCA, FRANK FUJIFILM GRAPHIC SYSTEMS 07/16/19 GWC INJURY LAWYERS LLC 757 19WC 24584 WALLS, LAURA WHOLE FOODS MARKET 04/25/19 HUGHES SOCOL PIERS RESNICK GILDEA, COGHLAN & REGAN LTD. 758 19WC 24591 SANDA, GREGORY C TRITON COLLEGE 10/12/17 SCOTT B SHAPIRO POWER & CRONIN LTD 759 19WC 24609 OCAMPO, MARIA TRINIDAD VARGAS GROUP, INC 07/03/19 CHEPOV & SCOTT LLC LITCHFIELD CAVO 760 19WC 24626 HOPSON, DARRYL UCAN 08/10/19 ANGELINI & ORI LLC 761 19WC 24646 TORRES, DAVID COOK COUNTY 07/14/19 WHITESIDE & GOLDBERG LTD 762 19WC 24720 BONILLA, JENNY CARDONA W DIAMOND GROUP 02/08/18 DWORKIN AND MACIARIELLO 763 19WC 24754 BOATMAN, TASIA NEW STAR, INC. 08/02/19 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 764 19WC 24794 CARTER, LASHON EMC SUPERIOR TRANSPORTS, 07/26/19 JOHN S. ELIASIK ACCIDENT FUND HOLDINGS 765 19WC 24854 ALEMAN, ALEJANDRO PABLO MIDWAY AIRPORT CONCESSION 09/19/12 EPSTEIN, JACK R LAW OFFICE EDWARD J. KOZEL 766 19WC 24873 STEPHAN, DAVID FEDERAL EXPRESS CORPORATI 05/31/19 ROBERT J. IRSUTO 767 19WC 24929 STEWART, TOCCARA GLENWOOD ACADEMY 07/18/19 STROM & ASSOC 768 19WC 24972 KULOVITZ, KENNETH CITY OF CHICAGO- DEPT OF 06/26/19 DEPAOLO & ZADEIKIS CITY OF CHICAGO 769 19WC 24977 NEWSOM, ZERENA PALMER HOUSE HILTON 07/27/19 DAVID W MARTAY 770 19WC 24996 DAVIS, TIERRA-NICOLE PRAIRIE OASIS 08/19/19 CHEPOV & SCOTT LLC GAIDO & FINTZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 771 19WC 25019 FIRMIN, BRYAN ADVANCE AUTO PARTS 07/21/19 VASILATOS & COTTER LLC WIEDNER & MCAULIFFE LTD 772 19WC 25041 JONES, CHRISTOPHER CENTRAL TRANSPORT LLC 07/05/19 ANKIN LAW OFFICE HINSHAW & CULBERTSON 773 19WC 25115 AGUILAR SOSA, ANTONIO NAPUCK SALVAGE OF 07/28/18 EPSTEIN, JACK R LAW OFFICE 774 19WC 25145 PEREZ, RAMIRO A & R JANITORIAL SERVICE 08/08/19 HETHERINGTON KARPEL & BOBB 775 19WC 25167 SPILLER, SABUA JOURNEYCARE ADMINISTRATIV 06/25/19 STEVEN J MALMAN & ASSOCIAT 776 19WC 25189 PARKS, LYCRECIA CHICAGO COMMUNITY LOAN FU 04/12/19 GORDON LAW OFFICES LTD JOSEPH MARCINIAK 777 19WC 25206 MC CULLOUGH, CORTEZ RON'S STAFFING SERVICE 08/14/19 HANNIGAN & BOTHA, LTD KOREY RICHARDSON LLC 778 19WC 25256 MC GARRY, PATRICIA COSTCO 07/10/17 MARTIN L GLINK LAW OFFICE GANAN & SHAPIRO 779 19WC 25329 PORTER, MARCUS ADVOCATE AURORA HEALTH 10/31/18 MC HARGUE & JONES GAROFALO SCHREIBER STORM GRA 780 19WC 25355 OWSLEY, JON UNITED AIRLINES 02/13/18 COVEN LAW GROUP 781 19WC 25379 NAYES, SETH GIBSONS ITALIA RP RESTAUR 08/03/19 SCOTT B SHAPIRO 782 19WC 25425 ABED, FADI A CHICAGO RECYCLE SERVICE I 06/23/19 AKRAM ZANAYED & ASSOC 783 19WC 25495 FERGUSON, PRINCETON COOK COUNTY JUVENILE DETE 06/17/19 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 784 19WC 25516 WOZNIAK, DARREN R & M TRUCKING CO 07/31/19 GWC INJURY LAWYERS LLC RUSIN & MACIOROWSKI LTD 785 19WC 25533 CARR, PATRICK VILLAGE OF DOLTON 08/19/19 WITTENBERG DOUGHERTY MAGLI 786 19WC 25622 COCHRAN, KIM UNITED AIRLINES INC. 08/11/19 BRIAN J MC MANUS & ASSOC, 787 19WC 25663 BENZON, AVELINO AMERICAN AIRLINES 06/19/19 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 788 19WC 25690 SHARKEY, JEFFREY ABM 08/05/19 SALVATO O'TOOLE FROYLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 789 19WC 25699 GARCIA, ELIZABETH CINTAS 05/21/19 SCHACTER, JEROME & ASSOC L POWER & CRONIN LTD 790 19WC 25717 IZQUIERDO, ALEJANDRO MIDWEST FIREPROOFING 05/15/19 GREGORIO & MARCO 791 19WC 25741 PINARDO, JOHN UNITED AIRLINES HOLDINGS 07/25/19 BRIAN J MC MANUS & ASSOC, 792 19WC 25762 ECHEFULA, ERIC SINAI HEALTH SYSTEMS 07/02/19 GARDNER LAW LLC NYHAN BAMBRICK KINZIE & LOWR 793 19WC 25784 CHAVEZ, EDGAR SALVATION ARMY 07/11/19 LUSAK AND COBB EVANS & DIXON 794 19WC 25803 GAMBOA DE TRUEBA, SYLVIA COOK COUNTY SHERIFF'S DEP 08/29/19 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 795 19WC 25821 PERDUE, JAZZMON DOCK'S GREAT FISH 08/20/19 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 796 19WC 25842 AMOS, STARLING CTA 08/12/19 LAW OFFICES OF ADRIAN CHER CHICAGO TRANSIT AUTHORITY 797 19WC 25909 ROSS, AARON STAFF ILLINOIS 08/20/19 ANKIN LAW OFFICE 798 19WC 25936 WALKER, JILL COOK COUNTY JUVENILE 04/30/19 GWC INJURY LAWYERS LLC 799 19WC 25959 DOWNER, ALICIA WALSH GROUP 06/21/19 SALVATO O'TOOLE FROYLAN HINSHAW & CULBERTSON 800 19WC 26002 BRITT, KEYANA FEDEX GROUND 03/03/19 LEONARD LAW GROUP LLC 801 19WC 26018 THOMAS, SHAWN SOUTH CHICAGO PACKING 08/03/19 SHELDON I MINKOW & ASSOCIA POWER & CRONIN LTD 802 19WC 26077 TENNENT, CHRISTOPHER SHEARD LOMAN TRANSPORT LL 08/29/19 MARC J SHUMAN & ASSOCIATES 803 19WC 26112 LYNCH, BRENDEN BURKE BEVERAGE, INC. 02/04/17 HETHERINGTON KARPEL & BOBB HEYL ROYSTER VOELKER & ALLEN 804 19WC 26205 MCCAULEY, STEVEN RICOH 07/26/19 DAVID W MARTAY CHILTON YAMBERT PORTER LLP 805 19WC 26269 LOPEZ, VERONICA SURGE STAFFING 08/29/19 ENCINAS & ORNELAS HENNESSY & ROACH PC 806 19WC 26288 MIRANDA, ANDRES SUPERIOR STAFFING, INC 07/24/19 STEVEN B SALK & ASSOC LTD SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 19WC 26308 OWENS, ZILPHA GAREDA HOME CARE SERVICES 08/02/19 DWORKIN AND MACIARIELLO 808 19WC 26328 GOODRICH, ROBERT OKAW TRUSS INC. 06/17/19 SEIDMAN MARGULIS & FAIRMAN 809 19WC 26341 LOTT, SOLOMON TENET CONCEPTS LLC 01/12/19 ACCIDENT FUND HOLDINGS 810 19WC 26363 ALMODAVAR, NORMA UPS 08/19/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 811 19WC 26380 JONES, THOMAS KELLY NISSAN, INC 12/12/16 KOSIN LAW OFFICE LTD GANAN & SHAPIRO 812 19WC 26401 LEGGIN, ADOLPH ALLTOWN BUS SERVICE, INC. 09/04/19 ANKIN LAW OFFICE 813 19WC 26419 CHRISTMAS, SHARON CHICAGO TRANSIT AUTHORITY 08/30/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 814 19WC 26440 RILEY, MAILIKA TOTAL FACILITY MAINTENANC 12/05/18 ARGIONIS & ASSOCIATES LLC 815 19WC 32608 DE LEON LUNA, MARIA GUADA WALMART * 10/10/19 EDWIN REYES LAW FIRM 816 19WC 32623 FRANKLIN, MARK FORD MOTOR COMPANY * 12/05/18 DONALD FOHRMAN & ASSOC RUSIN & MACIOROWSKI LTD 817 19WC 32648 MOODY, GENE FIRST CHOICE LOGISTICS IN * 10/21/19 DWORKIN AND MACIARIELLO 818 19WC 32672 BATES, DEMARCUS HOMEWOOD DISPOSAL * 10/25/19 GERALD CONNOR 819 19WC 32692 COLLAZO, ANIBAL CUMMINS, INC. * 09/05/19 ANKIN LAW OFFICE GOLDBERG SEGALLA LLC 820 19WC 32711 NAVARRO, JESUS M ELITESTAFFING/PACTIV, LLC * 10/19/19 RUEDA, IVAN A 821 19WC 32734 WITTKAU, SHANTI UNITED CONTINENTAL HOLDIN * 10/25/18 KATZ FRIEDMAN EISENSTEIN 822 19WC 32758 WHITAKER, WILLIAM UPS * 07/23/19 GARDNER LAW LLC NYHAN BAMBRICK KINZIE & LOWR 823 19WC 32774 BELTRAN, JUSTINO BLAS ROZCO LANDSCAPING * 10/27/19 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 824 19WC 32793 TRUJILLO, YAZHINARI I STARBUCKS * 09/22/19 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 19WC 32817 TAPIAS, CRISTIAN JERRY'S FRUIT & GARDEN CT * 11/01/19 SCOTT B SHAPIRO 826 19WC 32835 BRIM, ROVALE BLOMMER CHOCOLATE COMPANY * 10/04/19 DWORKIN AND MACIARIELLO 827 19WC 32859 BARNETT, BILLIE M HELP AT HOME, LLC * 09/04/19 ANKIN LAW OFFICE 828 19WC 32882 CANNON, KELLY ST OF IL-CHICAGO READ MEN @ * 02/05/19 STROM & ASSOC 829 19WC 32914 CHIKELES, MICHAEL PREMIUM CONCRETE * 10/28/19 VASILATOS & COTTER LLC 830 19WC 32937 ROCHA, MARIA CROWNE PLAZA CHICAGO WEST * 10/03/19 ELFENBAUM EVERS AMARILIO Z 831 19WC 32982 GALI, JORGE COOK COUNTY SHERIFF * 12/21/18 RICHARDS & MARSH 832 19WC 33030 HANNON, VICTORIA UNITED CONTINENTL HOLDING * 10/22/19 KATZ FRIEDMAN EISENSTEIN 833 19WC 33053 MIXSON, JASON COOK COUNTY SHERIFF'S DEP * 05/09/19 WHITESIDE & GOLDBERG LTD 834 19WC 33082 BALA, RAFAL STONE DESIGN, INC * 10/11/19 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 835 19WC 33104 TISDALE, DENNIS DUBURG IRON WORKS * 11/02/18 CULLEN HASKINS NICHOLSON 836 19WC 33124 ROMUALDA, SOJKA ADVANCED STROBE PRODUCTS * 09/09/19 CHEPOV & SCOTT LLC 837 19WC 33197 TADIN, ROBERT MENARDS * 10/21/19 DWORKIN AND MACIARIELLO 838 19WC 33222 GRUSZCA, ARKADIUSZ WESTERN-CULLEN-HAYES, INC * 07/09/19 RIDGE & DOWNES 839 19WC 33248 COLE, TENISHA CHICAGO TRANSIT AUTHORITY * 11/01/19 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 840 19WC 33279 SMITH, KASSANDRA CTA * 11/11/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 841 19WC 33307 FLORES, FERNANDO MEADE ELECTRIC * 11/15/19 GERALD CONNOR HENNESSY & ROACH PC 842 19WC 33342 BOTTLEY, CHRISTOPHER QUEST DIAGNOSTICS, INC * 11/11/19 KUMLIN & FROMM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 19WC 33370 SPANOS, GEORGIA JEWEL-OSCO FOODS * 09/05/19 COVEN LAW GROUP 844 19WC 33388 PLUMEY, ANGELO HOME DEPOT * 11/12/19 EDWIN REYES LAW FIRM 845 19WC 33448 DIAZ, JUSTIN FLY MECHANICAL, INC * 09/10/19 TAMVAKIS, GEORGE L BRADY CONNOLLY & MASUDA PC 846 19WC 33490 CHANEY, ANGEL AUNT MARTHA'S YOUTH SERVC * 09/29/19 JAY S. SHETH LLC 847 19WC 33523 SHUTTS, MARK FLIGHTCHECK * 04/20/19 DAVID M SPADA QUINTAIROS PRIETO WOOD & BOY 848 19WC 33623 BEAL, TYRONE GREAT NORTHERN LUMBER * 11/13/19 LEONARD LAW GROUP LLC 849 19WC 33646 LOZANO, MARIA LILIANA HOTEL STAFFING SOLUTION * 07/30/19 OSVALDO RODRIGUEZ PC 850 19WC 33664 ASHIRU, LOOKMAN NEET 44 LLC * 08/03/19 RYAN ROSENTHAL 851 19WC 33697 CORRAL, MARTHA JO-ANN STORES, LLC * 04/09/19 EPSTEIN, JACK R LAW OFFICE 852 19WC 33721 QUANDT, YVONNE UNITED CONTINENTL HOLDING * 02/27/19 KATZ FRIEDMAN EISENSTEIN 853 19WC 33744 MUHAMMAD, LELAND ALI HEALTHCARE SERVICES GROUP * 10/11/19 DEPAOLO & ZADEIKIS 854 19WC 33773 WALESA, DAVID NOUVEAU ELEVATOR * 10/25/19 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 855 19WC 33822 MCCULLOUGH, DARIN JEWEL FOOD STORES INC * 01/16/19 ROBERT WARSASKI 856 19WC 33838 HERNANDEZ, PABLO CITY ESCAPE GARDEN & DESI * 09/04/19 HERRERA LAW CENTER 857 19WC 33862 SMITH, TERRI QUEST DIAGNOSTICS * 11/16/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 858 19WC 33886 CORREA, ANGEL HESTER DECORATING CO. INC * 08/05/19 GWC INJURY LAWYERS LLC 859 19WC 33932 WILLIAMS, BRITTANY ALLEGRO FORWARD DELIVERY * 11/14/19 TAXMAN POLLOCK 860 19WC 33984 SCHNABL, KATRIN ART INSTITUTE OF CHICAGO * 04/19/19 LEO ALT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 861 19WC 34027 BELTER, JAMES JOHNSON CONTROLS, INC. * 05/06/19 DUDLEY & LAKE LLC 862 19WC 34071 SANCHEZ, JUAN R ALEXIAN BROTHERS MED CTR * 06/10/19 COSTA IVONE LLC 863 19WC 34120 PEREZ, MARIA A SCHOOL HEALTH CORPORATION * 08/17/18 CZAPLA LAW 864 19WC 34139 YOUNG, LEWIS ELITE STAFFING * 09/20/19 STEVEN O HAMILL LTD 865 19WC 34187 YATES, EVA CHICAGO PUBLIC SCHOOLS * 11/20/19 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 866 19WC 34254 WILLIAMSON, KEITH JEWEL - OSCO * 09/24/19 GWC INJURY LAWYERS LLC 867 19WC 34307 MAYA, LIZBETH WALMART * 11/22/19 GERALD CONNOR QUINTAIROS PRIETO WOOD & BOY 868 19WC 34329 CAMACHO, ELVA C TRIPPE MANUFACTURING CO & * 09/30/19 LANZILLOTTI GRIBBEN & MARC 869 19WC 34354 MCGAHEE, CARLOS CHICAGO TRANSIT AUTHORITY * 11/13/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY 870 19WC 34372 CABRERA, APOLINAR METHOD PRODUCTS * 08/21/19 GRAVLIN, MICHAEL J LLC GAROFALO SCHREIBER STORM GRA 871 19WC 34402 BONNER, CYNTHIA A DIVERSE FACILITY SOLUTION * 11/12/19 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL BIERY & ASSOC 872 19WC 34423 UZOHO, OKECHUKWU O CHICAGO ELITE CAB COMPANY * 11/07/19 WEISS & WEISS LAW OFFICES 873 19WC 34439 GUERRERO, ENRIQUE GA PAVING/POWER PAVING * 12/01/16 KROL BONGIORNO & GIVEN LTD MEACHUM BOYLE TRAUFMAN 874 19WC 34466 BRADLEY, CYNTHIA CHICAGO TRANSIT AUTHORITY * 11/09/19 ACEVES & PEREZ PC 875 19WC 34489 CAMPBELL, ERICK CHICAGO TRANSIT AUTHORITY * 11/08/19 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 876 19WC 34522 HALL, BEVERLY ELITE STAFFING * 06/15/19 LAW OFFICES OF ADRIAN CHER 877 19WC 34530 KING, DENISE LYDIA HEALTHCARE * 11/07/19 SEIDMAN MARGULIS & FAIRMAN 878 19WC 34556 BOLDIAN, JURON LABOR SERVICES COMPANY- * 11/15/19 ELFENBAUM EVERS ZIELINSKA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 879 19WC 34579 MCWILLIAMS, TYRAN AT&T CORPORATION * 05/13/19 MARC J SHUMAN & ASSOCIATES 880 19WC 34597 ROBINSON, ANTHONY MBI BULTS * 11/11/19 DWORKIN AND MACIARIELLO 881 19WC 34615 FRANKLIN, MALINDA AUNT MARTHA'S YOUTH SERVI * 10/27/19 JAY S. SHETH LLC 882 19WC 34653 PERRY, DARRYL CLEAN HARBORS * 05/12/19 FRIEND LEVINSON & BERGAL 883 19WC 34662 WOLFE, MELVIN CHICAGO TRANSIT AUTHORITY * 11/26/19 DONALD FOHRMAN & ASSOC 884 19WC 34688 BICKHAM, BIANCA LSG SKY CHEFS-ORD * 10/15/19 JAMES H MILLER JR 885 19WC 34733 MENDOZA, RONALD ADVOCATE GOOD * 04/23/18 NYHAN BAMBRICK KINZIE & LOWR 886 19WC 34788 TURNER, MICHAEL UNITED AIRLINES * 10/21/19 STEVEN M SELAN 887 19WC 34809 BANKS, JEROME HAWK FORD OF OAK LAWN * 08/21/19 COHN LAMBERT RYAN & SCHNEI 888 19WC 34842 KING, BRIDGET E UNIVERSITY OF ILLINOIS * 11/05/19 FRIEDMAN & SOLMOR LTD 889 19WC 34879 MINER, KIT SUGAR GROVE FIRE PROTECTN * 08/06/19 MEYERS & FLOWERS 890 19WC 34907 WETHERSPOON, PATRICIA CHICAGO PUBLIC SCHOOLS * 04/08/19 GREGORIO & MARCO 891 19WC 34933 FEGGINS, ZIANNI RIGHT AT HOME * 11/27/19 DWORKIN AND MACIARIELLO 892 19WC 34982 CURTIS, HAROLD J BLACK HORSE CARRIERS, INC * 06/26/19 WIEDNER & MCAULIFFE LTD 893 19WC 35002 MCINTYRE, DAVID L II CITY OF CHICAGO * 11/29/19 ANKIN LAW OFFICE 894 19WC 35029 SILVA, GONZALA KUSTOM SEATING UNLIMITED * 04/24/19 ESR LAW GROUP 895 19WC 35093 DYSON, KENNETH REPUBLIC SVC * 11/21/19 COSTA IVONE LLC 896 19WC 35109 GONZALEZ, JUAN ANGEL DNJ INTERMODAL * 11/20/19 EDWIN REYES LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 897 19WC 35120 HOLMES, TANEISHA TRANSITIONAL CARE CENTER * 10/28/19 DWORKIN AND MACIARIELLO 898 19WC 35152 MOSLEY, MARLIN ALBERT NORTHWESTERN MEDICINE * 12/03/19 GERALD CONNOR 899 19WC 35181 ALBARRAN, JUAN NATIONAL PAINTING INC * 07/23/19 HORWITZ HORWITZ & ASSOC 900 19WC 35215 SIMMON-WILSON, LAVERNA ARTHUR J GALLAGHER & CO. * 10/14/19 ARGIONIS & ASSOCIATES LLC 901 19WC 35240 DAVIS, QUINTEL SPECIALIZED STAFFING SOLU * 10/07/19 MARC J SHUMAN & ASSOCIATES 902 19WC 35276 LOGAN, AMMON JEWEL * 05/25/19 EVANS & DIXON 903 19WC 35297 SANABRIA, DANIEL KLGR, LLC D/B/A * 05/01/19 MORICI FIGLIOLI & ASSOC 904 19WC 35322 FICHT, ERIC MORTON GROVE POLICE DEPT * 11/20/17 GREGORIO & MARCO 905 19WC 35354 LOPEZ, RODERICO AMADO CREATIVE RESOURCE PERSONN * 04/27/19 ENCINAS & ORNELAS 906 19WC 35397 DUDEK, DAWN CIRCLE K * 04/30/19 GERALD CONNOR 907 19WC 35420 MOON, TAKELLER DHL EXPRESS(USA), INC * 11/28/19 ANKIN LAW OFFICE 908 19WC 35454 CEDENO, JOE COOK COUNTY SHERIFF'S DEP * 11/14/19 DEPAOLO & ZADEIKIS 909 19WC 35507 CHOLAK, KENNETH CHICAGO PUBLIC SCHOOLS * 10/25/19 BRIAN LASSEN 910 19WC 35541 ROBINSON, LARRY ADVOCATE LUTHERAN GENERAL * 10/30/18 NYHAN BAMBRICK KINZIE & LOWR 911 19WC 35622 REBOLLOSO, MARIA ROBERT BOSCH AUTOMOTIVE * 03/26/19 HORWITZ HORWITZ & ASSOC 912 19WC 35646 JANACEK, GREGORY CHICAGO PUBLIC SCHOOLS * 11/21/19 MC HARGUE & JONES 913 19WC 35669 TUCKER, SUSIE CHICAGO VOCATIONAL CAREER * 10/08/19 DEPAOLO & ZADEIKIS 914 19WC 35692 EDWARDS, RAHEEM CHICAGO FIRE SOCCER CLUB * 03/28/19 GORDON LAW OFFICES LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 01/14/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 915 19WC 35728 DAILY, PAMELA YRC FREIGHT * 06/30/19 LEONARD LAW GROUP LLC 916 19WC 35745 KARKOSKA, EUGENE J FAIR MUFFLER/UNDERCAR CAR * 12/12/18 917 19WC 35787 GREEN, LEVIETTE HMS HOST * 12/07/19 DWORKIN AND MACIARIELLO 918 19WC 35808 SOLORZANO, MARIA ISABEL ARC 3304 LTD. (MCDONALDS) * 06/14/19 O'CONNOR & NAKOS 919 19WC 35835 ADWAY, TYLER JB HUNT- JOLIET * 12/11/19 STROM & ASSOC 920 19WC 35865 HERVEY, VICTOR CTA * 08/23/19 MC HARGUE & JONES 921 19WC 35886 CORRO, XANA CHIK-FIL-A * 07/13/18 ROBERT WARSASKI 922 19WC 35951 GEORGE, KENNY GOEBEL FORMING * 03/01/19 MANDELL, GREGG 923 19WC 35988 ABERO, HADEZ UNITED AIRLINES * 12/04/19 DWORKIN AND MACIARIELLO