ILLINOIS WORKERS' C OMPENSATION COMMISSION PAGE 1 C A … · illinois workers' compensation...

62
ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 14811 YODER, KATHLEEN HEALTH DEPARTMENT 10/19/98 CRONIN & PETERS WOLFE & JACOBSON, LTD 01WC054481 -C COUNTY OF LAKE HEALTH DEPT 07WC025560 -C 2 02WC 50253 ROMANO, PAMELA NICOR GAS COMPANY 09/09/01 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 03WC027289 -C 07WC011846 -C 3 04WC 41929 RUIZ, DANIEL SHELL OIL CO. & JIFFY LUB 07/16/04 DUDLEY & LAKE LLC CHILTON YAMBERT PORTER LLP 4 05WC 20571 GREGORY, CHRISTINE M STATE OF ILLINOIS @ 01/07/03 FERRIS THOMPSON & ZWEIG ASSISTANT ATTORNEY GENERAL 5 07WC 54701 19B HAIN, KEVIN J RAYMOND CHEVROLET 11/17/06 CHEPOV & SCOTT LLC LORENZ & BERGIN PC 6 07WC 56024 ACOSTA, MANUEL JAMES METZGER & SALLY MET 09/20/07 LINN & CAMPE LTD 7 08WC 42376 TUDOR, MARC COUNTY OF COOK 08/30/07 STEVEN J SEIDMAN LAW OFFIC STATES ATTORNEY OF COOK COUN 8 08WC 47147 MARTINEZ, JUSTINO FK FOUNDRIES LLC 09/18/08 POSTERLI, OSCAR STONE & JOHNSON CHARTERED 09WC009449 -C F K FOUNDRIES LLC 9 09WC 19549 WEINDEL, ROBERT XEROX CORPORATION 08/01/08 MCGLYNN & MCGLYNN BRADY CONNOLLY & MASUDA PC 10 09WC 20000 SCHMIDT, MICHAEL S & L HOSPITALITY 02/10/09 GANAN & SHAPIRO 11 09WC 26774 SINGLETARY, CESSLIA STATE OF IL @ 08/22/08 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 12 10WC 43426 FRANCISCO, GARY LEE THE SCHWAN FOOD COMPANY 09/17/10 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 13 10WC 47527 BASSEL, JESSICA G JEWEL INC 08/22/10 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 10WC047634 -C 14 11WC 04239 REYES-SIMERY, KARLA P ILLINOIS CENTRAL 01/13/01 ROMAKER LAW FIRM MACIOROWSKI SACKMANN & ULRIC 11WC004240 -C KB STAFFING, LLC. 11WC039804 -C

Transcript of ILLINOIS WORKERS' C OMPENSATION COMMISSION PAGE 1 C A … · illinois workers' compensation...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 14811 YODER, KATHLEEN HEALTH DEPARTMENT 10/19/98 CRONIN & PETERS WOLFE & JACOBSON, LTD 01WC054481 -C COUNTY OF LAKE HEALTH DEPT 07WC025560 -C 2 02WC 50253 ROMANO, PAMELA NICOR GAS COMPANY 09/09/01 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 03WC027289 -C 07WC011846 -C 3 04WC 41929 RUIZ, DANIEL SHELL OIL CO. & JIFFY LUB 07/16/04 DUDLEY & LAKE LLC CHILTON YAMBERT PORTER LLP 4 05WC 20571 GREGORY, CHRISTINE M STATE OF ILLINOIS @ 01/07/03 FERRIS THOMPSON & ZWEIG ASSISTANT ATTORNEY GENERAL 5 07WC 54701 19B HAIN, KEVIN J RAYMOND CHEVROLET 11/17/06 CHEPOV & SCOTT LLC LORENZ & BERGIN PC 6 07WC 56024 ACOSTA, MANUEL JAMES METZGER & SALLY MET 09/20/07 LINN & CAMPE LTD 7 08WC 42376 TUDOR, MARC COUNTY OF COOK 08/30/07 STEVEN J SEIDMAN LAW OFFIC STATES ATTORNEY OF COOK COUN 8 08WC 47147 MARTINEZ, JUSTINO FK FOUNDRIES LLC 09/18/08 POSTERLI, OSCAR STONE & JOHNSON CHARTERED 09WC009449 -C F K FOUNDRIES LLC 9 09WC 19549 WEINDEL, ROBERT XEROX CORPORATION 08/01/08 MCGLYNN & MCGLYNN BRADY CONNOLLY & MASUDA PC 10 09WC 20000 SCHMIDT, MICHAEL S & L HOSPITALITY 02/10/09 GANAN & SHAPIRO 11 09WC 26774 SINGLETARY, CESSLIA STATE OF IL @ 08/22/08 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 12 10WC 43426 FRANCISCO, GARY LEE THE SCHWAN FOOD COMPANY 09/17/10 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 13 10WC 47527 BASSEL, JESSICA G JEWEL INC 08/22/10 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 10WC047634 -C 14 11WC 04239 REYES-SIMERY, KARLA P ILLINOIS CENTRAL 01/13/01 ROMAKER LAW FIRM MACIOROWSKI SACKMANN & ULRIC 11WC004240 -C KB STAFFING, LLC. 11WC039804 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 08049 HUERTA, NANCY MARIO TRICOCI HAWTHORN IN 01/10/11 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 16 11WC 08798 19B CAMPUZANO, GILBERTO COMPLETE TEMPORARY LABOR 12/22/10 GOLDBERG WEISMAN & CAIRO L KOREY LAW LLC 15WC000643 -C DIAMOND MARKETING SOLUTION 17 11WC 15870 ESPINOSA, CARMEN ADPRO HEALTH CARE SERVICE W 04/08/11 LAW OFFICES OF RONALD B SK 18 11WC 32634 VEGA, ROSA A KIPP MFG CO INC 07/26/11 EPSTEIN, JACK R LAW OFFICE WOLFE & JACOBSON, LTD 19 11WC 36706 19B GILBOY, DIANE FISCHER PAPER PRODUCTS IN 05/16/11 HEALY LAW FIRM BRADY CONNOLLY & MASUDA PC 20 11WC 37327 JIMENEZ, RAUL HENDRICKSON TREE CARE W 06/14/11 JAMES ELLIS GUMBINER & ASS 21 11WC 41453 OFENLOCH, DAVID A VILLAGE OF GURNEE 06/15/11 TAMVAKIS, GEORGE L ANCEL GLINK DIAMOND BUSH & E 22 12WC 00354 CURTIS, CARLI MARKET HILL FRAM INC 01/08/09 TERRENCE R LYONS, JR HINSHAW & CULBERTSON 23 12WC 08599 PIZANO, MARIA MOST VALUABLE PERSONNEL 05/29/09 HANNIGAN & BOTHA, LTD KOREY COTTER HEATHER RICHARD 12WC018506 -C 24 12WC 14763 SAKURAL, EMMA LINCOLNSHIRE SENIOR CARE 04/05/12 POSTERLI, OSCAR WOLFE & JACOBSON, LTD 25 12WC 17993 ESTES, SHERRY AMERICAN MARKETING SERVIC 12/01/10 MARKHAM M JEEP & ASSOCIATE ANCEL GLINK DIAMOND BUSH & E 26 12WC 18326 DAVIS, ARTHUR J VILLAGE OF ROUND 01/10/12 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 27 12WC 23368 MANDUJANO, MARISELA CIRCUIT COURT CLERK 05/15/12 MARKHAM M JEEP & ASSOCIATE BERNARD WYSOCKI & ASSOCIATES 28 12WC 27975 KELLY, PATRICK JETS PIZZA 12/03/11 FRANCIS J DISCIPIO LAW OFF ANCEL GLINK DIAMOND BUSH & E 29 12WC 29142 EGEBRECHT, SCOTT D SEARS INC 01/21/12 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM GRA 14WC039775 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 12WC 29838 19B CALUCCI, BRADLEY SAFELITE AUTO GLASS 04/10/12 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 31 12WC 32108 ZDON, JASON P CITY OF HIGHLAND PARK 09/06/12 DOUGLAS RALLO PC POWER & CRONIN LTD 12WC033774 -C 32 12WC 33024 CALDERON, VERONICA PETER BAKER & SONS 08/20/12 LINN, CAMPE & RIZZO LTD THOMAS & PORTELA 33 13WC 01858 19B BECK, KEVIN KEMPER VALVE & FITTING CO 10/25/12 ANKIN LAW OFFICE HENNESSY & ROACH PC 34 13WC 05535 PACHECO, SALVADOR MC DONALD'S 01/01/13 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 35 13WC 06344 RAMOS DEGAONO, MIGDALIA CHICAGO MARRIOTT SUITES 02/25/12 ACEVES & PEREZ PC KRAKER FANNING & OLSEN 15WC035695 -C 15WC035696 -C 36 13WC 06406 FERRI, KATHY M WAUKEGAN PUBLIC SCHOOL 11/22/11 SUSAN BLEDSOE BRADY CONNOLLY & MASUDA PC 37 13WC 07777 KAMINSKI, ROMAN ALEF REMODELING INC 10/08/12 GALLIANI DOELL & COZZI LTD 38 13WC 09158 SHRAKE, KENNETH HOBART 01/07/13 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 39 13WC 13020 GARRITY, LUCIA ASSURED HEALTH CARE STAFF 03/04/13 LEWIS & DAVIDSON, LTD RIPES NELSON BAGGOT KALOBRAT 40 13WC 13203 WILLE, RUTHIE STRAITS RESTAURANT INC 06/09/12 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 13WC041695 -C DOVER STRAITS 41 13WC 13823 FISHER, YASMINDA ANDY FRAIN SERVICES, INC 03/08/13 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 14WC004527 -C 42 13WC 14631 MILLER, REGINALD T STUDENT FINANCIAL ASSISTA W 04/04/13 KENNETH B GORE, LTTD ASSISTANT ATTORNEY GENERAL 43 13WC 19869 19B CAROTHERS, KEN COMMUNITY CONSOLIDATED SC 08/01/12 HANNIGAN & BOTHA, LTD 44 13WC 21491 PAYNE, MANFRED EMCO CHEMICAL DISTRIBUTOR 11/28/12 COLLISON LAW OFFICES THOMAS & PORTELA 13WC023343 -C 45 13WC 22604 KOZLOWSKI-SHANNON, GAYLE MARKET STAFF INC. 06/26/13 DOUGLAS RALLO PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 13WC 23172 LINARES, RHINA M E LINARES 10/27/11 STROM, NEAL B GAROFALO SCHREIBER STORM GRA 47 13WC 25698 RUDZINSKI, DARIUSZ SAIA 04/19/11 SOSTRIN AND SOSTRIN PC TUCKER ROBIN & MERKER LLC 48 13WC 25958 TREJO, GLORIA THERMOFLEX CORP 07/25/12 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 13WC025959 -C 49 13WC 26532 FLORES, MIRIAM KEYLIME COVE 06/16/13 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 50 13WC 26964 GONZAGA, LEONARDO LIFTEX CORPORATION 05/24/13 STROM, NEAL B KRAKER FANNING & OLSEN 51 13WC 27134 DIAZ, BLANCA E ECHO INCORPORATED 07/23/13 LINN, CAMPE & RIZZO LTD STONE & JOHNSON CHARTERED 14WC015830 -C 52 13WC 27747 SAAVEDRA, NOE JR SGS LIFE SCIENCE SERVICES 02/08/11 LOCASCIO, MARK A LTD HENNESSY & ROACH PC 53 13WC 29267 LARA, SANDRA QUALITY LABOR SERVICES LL 08/13/13 FERRIS THOMPSON & ZWEIG 54 13WC 29617 FLORES, XAVIER ELITE RENOVATION SYSTEMS W 08/27/13 STANCZAK LAW OFFICES GRIMES, G DOUGLAS 55 13WC 30302 O'NEILL, BARBARA PCI ENERGY SERVICES LLC 05/13/12 BLEAKNEY & TROIANI MC ANDREWS & NORGLE LLC 56 13WC 31074 CHRISTENSEN, JAMES WALGREEN CO 07/02/13 MARKHAM M JEEP & ASSOCIATE GILDEA & COGHLAN 13WC031075 -C 57 13WC 33112 KOTROTSIOS, NIKOLAS ALPHA BAKING DISTRIBUTION 09/10/13 HANNIGAN & BOTHA, LTD MACIOROWSKI SACKMANN & ULRIC 58 13WC 37645 BEDNOWICZ, ANTHONY LANSING BUILDING PRODUCTS 07/31/12 SMOLER LAW OFFICE, PC HENNESSY & ROACH PC 59 13WC 39834 MURAROVA, ANNA PATHWAY SENIOR LIVING, LL 08/01/13 LAW OFFICE JASON SAGER 60 13WC 42506 BUGARIN, ANTONIO BEST BUY 10/18/13 JOHN S. ELIASIK INMAN & FITZGIBBONS 61 14WC 01276 GALLARDO, EUNICE SPRINGHILL SUITES WAUKEGA 08/04/13 FERRIS THOMPSON & ZWEIG GRANT & FANNING 62 14WC 01487 FLORES, FERNANDO STAFF FORCE 10/02/13 JONATHAN SCHLACK SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 63 14WC 05012 JOB, ANNAMMA ANN KILEY DEVELOPMENTAL 07/18/13 STROM, NEAL B ASSISTANT ATTORNEY GENERAL 64 14WC 05710 NOVARRO, DALE J COUNTY OF LAKE 12/23/13 BAUM RUFFOLO & MARZAL LTD 65 14WC 06605 DOHM, KARIN MAPLE RESTAURANT INC W 06/29/13 TAMVAKIS, GEORGE L C. FLETCHER 66 14WC 08517 SCHWERY, JOSEPH KLOSS DISTRIBUTING CO INC 12/02/13 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 67 14WC 08644 HERNANDEZ, ARTURO ANDREWS STAFF FORCE 12/20/13 MC HARGUE & JONES SLAVIN & SLAVIN 68 14WC 13123 BAHENA, MARIA ELITE STAFFING, INC 03/21/14 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 69 14WC 13324 SENG, PETER MEDLINE INDUSTRIES 03/14/12 BOWMAN & CORDAY GAROFALO SCHREIBER STORM GRA 14WC013325 -C 70 14WC 15601 THOMAS, KATHLEEN MARIO TRICOCI HAIR SALONS 02/01/12 BOWMAN & CORDAY COZZI & GOGGIN-WARD 71 14WC 19643 SIMON, TASHA MOUNT ST JOSEPH'S 04/03/14 BURNES & LIBMAN SMITH AMUNDSEN LLC 72 14WC 21427 TLATENCHI, CLAUDIA MIDTOWN ATHLETIC 05/27/14 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 73 14WC 24451 PITTMAN, REEMON FED EX GROUND 01/15/14 GOLDBERG WEISMAN & CAIRO L KOPKA, PINKUS DOLIN, PC 15WC035496 -C FEDEX GROUND PACKAGE 74 14WC 25295 JAKUBIAK, ROMAN COST OF WISCONSIN INC 03/06/14 CUSHING LAW OFFICES STANCZAK LAW OFFICES 14WC025296 -C 75 14WC 25425 RAMIREZ, BLANCA COUNTYARD MARIOTT 06/07/13 POSTERLI, OSCAR NYHAN BAMBRICK KINZIE & LOWR 76 14WC 30737 PADILLA, YANET SUAREZ PEAPOD 07/21/14 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 77 14WC 33032 MORALES, JOSE FLEXIBLE STAFFING 09/04/14 AIOSSA LAW FIRM KOPKA, PINKUS DOLIN, PC 78 14WC 33107 GARDUNO, SERGIO FIRST CLASS MOVING & STOR 06/21/14 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 79 14WC 35583 PAZ, JOSUE ISAI MORAN GRANDE JAKE'S MEXICAN GRI 09/21/14 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 35634 19B QUILL, IRENE VILLAGE OF DEERFIELD 09/08/14 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 81 14WC 35778 YILMAZ, KEREM CORNFIELD 09/03/14 DWORKIN AND MACIARIELLO 82 14WC 36760 COCO, MARY THE FRESH MARKET 07/10/14 COLLISON & O'CONNOR HENNESSY & ROACH PC 83 14WC 37296 TAPIA, MARIA LORENA ECHO INC 10/10/14 AIOSSA LAW FIRM 84 14WC 39649 NAVA, FERNANDO MARSHALL BROTHERS INC W 10/21/14 GOLDSTEIN BENDER & ROMANOF 85 14WC 39969 HERRERA, DOLORES MCESSY INVESTMENT CO., 09/04/14 POSTERLI, OSCAR GANAN & SHAPIRO 86 14WC 41315 MALAVE, JAIME ST OF IL DEPT OF 11/26/14 ARGIONIS & ASSOCIATES LLC ASSISTANT ATTORNEY GENERAL 87 14WC 42344 WENZEL, MARILYN S WAL MART 01/21/14 MAY & BUEGE GANAN & SHAPIRO 88 15WC 00783 ROMERO, RUFINA EBM 10/23/14 HART & DAVID LLP HOLECEK & ASSOCIATES 89 15WC 01968 BECKER, JOYCE M MASSAGE ENVY SPA 01/03/15 SIGMOND, STEVEN GILDEA & COGHLAN 90 15WC 03302 REA, SILVIA V AMCOR FLEXIBLES 09/10/13 JEROME FOREMAN & ASSOCIATE HOLECEK & ASSOCIATES 91 15WC 03352 GARCIA, EMPERATRIZ ECHO, INC. 05/01/14 FERRIS THOMPSON & ZWEIG WIEDNER & MCAULIFFE LTD 92 15WC 03546 HUERTA, NANCY MARIO TRICOCI HAWTHORN IN 11/23/13 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 93 15WC 03848 VILLANUEVA, JOSEFINA VISUAL PAK 12/17/14 MC HARGUE & JONES KOREY RICHARDSON LLC 94 15WC 04239 PAUZA, RICH JASON INDUSTRIES/MORTON M 01/04/15 SEIDMAN MARGULIS & FAIRMAN COZZI & GOGGIN-WARD 95 15WC 07107 ALEXAKOS, JOHN ABLE ENGINEERING 02/12/15 HEALY SCANLON LAW FIRM MICHAEL JASPER 17WC011444 -C 96 15WC 07222 MATHIS, CHESTER L LAKESIDE TRANSPORTATION 10/02/14 MARKS INJURY LAW GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 97 15WC 07919 MARTINEZ-RODRIQUEZ, JUAN SCOTT BYRON & COMPANY, IN 07/25/14 FERRIS THOMPSON & ZWEIG 98 15WC 08442 BUENO, SILVANO KEMPER VALVE AND FITTINGS 01/28/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 15WC008446 -C 15WC008447 -C 99 15WC 09057 PEREZ, MARIA PET FACTORY 09/17/14 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 15WC009058 -C 15WC009506 -C 15WC009515 -C 100 15WC 11747 GROTKIEWICZ, KELLY LAKE COUNTY 08/04/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 101 15WC 12408 CANNON, DOCK DOLLAR GENERAL 08/16/14 LINN, CAMPE & RIZZO LTD LEAHY EISENBERG & FRAENKEL 102 15WC 13603 VARGAS, GIOVANNI VICINITECH 09/25/14 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 103 15WC 14241 THOMAS, LINDA MED LINE INDUSTRIES 05/02/14 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM GRA 104 15WC 15354 CARREON, RAYMUNDO WHOLE FOODS MARKET, INC. 03/14/14 GILDEA & COGHLAN 105 15WC 15376 FLORES, JUAN MIGUEL IRIBE WM ROOFING MASONRY & MORE 04/13/15 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 106 15WC 16917 DESTRY, LYNN M ROUNDYS SUPERMARKET INC 03/19/15 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 107 15WC 17112 CASHMORE, JONATHON LAKE COUNTY SHERIFF'S DEP 01/25/14 MARKHAM M JEEP & ASSOCIATE WOLFE & JACOBSON, LTD 15WC017113 -C 15WC017114 -C 15WC017115 -C 108 15WC 17523 HERNANDEZ, ALBERTO METALEX 10/05/14 HANNIGAN & BOTHA, LTD COZZI & GOGGIN-WARD 109 15WC 18162 MILLER, STACY E WFF FACILITY SERVICES 06/07/12 ANTHONY J MAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 15WC 18606 NUNEZ, JUAN ROOF OPTIONS, LLC 04/30/15 GRAHAM J. JEEP LAW OFFICES OF EDWARD J. KOZ 111 15WC 18895 SHAW, MAIKO NORTH POINT RESOURCES 04/13/15 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 17WC027495 -C 112 15WC 19389 HAMIL, AUDREY BEST BUY 04/18/15 GOLDBERG WEISMAN & CAIRO L 113 15WC 19994 MICHAELS, KAREN S. JILL ACQUISITION, LLC 12/21/14 COZZI & GOGGIN-WARD 114 15WC 20472 RICHMAN, VICKI L NORTH SUBURBAN SPECIAL 10/21/14 WEISS & WEISS LAW OFFICES 115 15WC 20913 SALGADO, MYRTA B WAUKEGAN PUBLIC SCHOOL 06/12/15 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 116 15WC 21973 GARLAND, DARON UNISTAFF 05/26/15 STANCZAK LAW OFFICES LITCHFIELD CAVO 117 15WC 22119 KRUPICKI, DARIUSZ KRUDAR INC 06/04/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 118 15WC 22625 DEAND, MARIA LIBERTYVILLE MANOR 05/25/15 JEROME FOREMAN & ASSOCIATE 119 15WC 23012 HOSS, KATHY SMALLEY STEEL RING CO 02/03/15 HANNIGAN & BOTHA, LTD ACCIDENT FUND HOLDINGS 120 15WC 23253 HACKERT, JASON SEARS 08/07/14 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM GRA 15WC023254 -C 121 15WC 23272 ALVAREZ, JESUS HUEMANN CLEANING SERVICE 06/19/15 JOHN S. ELIASIK 122 15WC 24061 GABRIEL, MIKE MENARDS 07/11/15 JOHN F GREGORIO & ASSOC 123 15WC 24188 GALVEZ, JOSE MVP 07/27/15 FERRIS THOMPSON & ZWEIG KOREY RICHARDSON LLC 124 15WC 25360 SINGLETON-REED, KAMARIA LAKE COUNTY HEALTH DEPT 07/02/15 RUBIN LAW GROUP SMITH AMUNDSEN LLC 125 15WC 26080 SANCHEZ, EDGAR LUDLOW MANUFACTURING INC 06/29/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 18WC001662 -C 126 15WC 26170 JACKSON, MARY HERITAGE WOODS OF GURNEE 06/29/15 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 15WC 27753 MYERS, CARMEN THE GROVE AT THE LAKE 05/13/15 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 128 15WC 27915 GARCIA, PATRICIA SENTRAL ASSEMBLIES & 01/05/15 LAW OFFICES LEONARDO MORAL JOSEPH MARCINIAK 129 15WC 28120 RUIZ, MARIA MC DONALDS 07/14/15 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 130 15WC 28215 PERALTA, RONY PERFECT CLEANING SERVICES 08/11/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 16WC006911 -C 131 15WC 28865 GOMEZ, KEVIN RR ADJUSTING & LOSS MANAG W 08/25/15 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 132 15WC 31022 JIMENEZ, ROSA APTAR GROUP 07/23/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 133 15WC 31548 GARCIA, DIEGO VOLLMAR CLAY PRODUCTS 09/22/15 NEWLAND & NEWLAND 134 15WC 32214 FUGELSETH, TODD D. LAKE COUNTY SHERIFF 05/30/15 PARENTE & NOREM PC SMITH AMUNDSEN LLC 135 15WC 32360 GROSSMAN-JUDSON, THERESE BIG DADDY PUMP CO # 06/05/13 NEWLAND & NEWLAND QUINTAIROS PRIETO WOOD & BOY 136 15WC 32767 MUNOZ, YESENIA CRACKER BARREL OLD COUNTR 04/13/15 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 15WC038141 -C 137 15WC 33197 RENDON, AARON CONNELLY ELECTRIC, INC. 07/18/15 COLLISON LAW OFFICES BRADY CONNOLLY & MASUDA PC 138 15WC 33556 WITOWSKI, LOTTIE ROBERT HALF INTERNATIONAL 01/15/15 ANKIN LAW OFFICE 139 15WC 33680 CHACHA, ANA MARIA MVP STAFFING 09/24/15 JAUREGUI & ASSOCIATES KOREY RICHARDSON LLC 140 15WC 33911 GIZA, ALEKSANDRA THE BENIDA GROUP, LLC 06/08/15 BELCHER LAW OFFICE COZZI & GOGGIN-WARD 141 15WC 34266 MANOLIS, ZACHARY AMF BOWLING CENTER, INC 10/09/15 SLAVIN & SLAVIN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 15WC 34950 MATA-ARCOS, AUGUSTO TYLER'S UNDERGROUND, LLC 10/14/15 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 143 15WC 35128 SANDBERG, DOUGLAS ABBOTT LABORATORIES 07/18/13 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 15WC035129 -C 144 15WC 35376 MAZANET, RICHARD J ZION SOLUTIONS 07/21/15 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 145 15WC 35485 QUAID, TERRY HINES SUPPLY 06/02/14 BOWMAN & CORDAY GAROFALO SCHREIBER STORM GRA 146 15WC 35609 SORAPARU, WARREN A FEDERAL EXPRESS CORP 10/16/14 LAW OFFICE DAVID W CLARK HANSON LAW OFFICE 15WC035610 -C 15WC035611 -C 16WC038050 -C 147 15WC 35885 VORPAGEL, WILLIAM ADP TOTAL 10/14/15 PAPPAS & BELL WIEDNER & MCAULIFFE LTD 148 15WC 35924 MORALES, CARMELO JELLY BELLY CANDY CO 09/16/15 EPSTEIN, JACK R LAW OFFICE 149 15WC 37139 GALLARDO, ELENA HOLIDAY INN EXPRESS 08/14/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 150 15WC 38432 OH, CHRISTINE SEARCH INC 05/03/14 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 151 15WC 38928 WOOD, TERRY B FREEMONT PUBLIC LIBRARY 06/25/15 LINN, CAMPE & RIZZO LTD GILDEA & COGHLAN 152 15WC 38931 KENNEDY, JOHN D COLBERT PACKAGING INC 01/14/15 LINN, CAMPE & RIZZO LTD KNELL & O'CONNOR 153 15WC 38934 ENGQUIST, AUSTIN J AT&T 05/22/15 LINN, CAMPE & RIZZO LTD INMAN & FITZGIBBONS 154 15WC 38937 TUGGLE, FRANK D VILLAGE OF GURNEE 07/09/14 LINN, CAMPE & RIZZO LTD ANCEL GLINK DIAMOND BUSH & E 155 15WC 39358 GUERRERO, SOCORRO ELITE STAFFING INC 05/15/15 FERRIS THOMPSON & ZWEIG 156 15WC 39713 GARCIA, PEDRO MARIAN DULU 09/10/15 GOLDBERG WEISMAN & CAIRO L ROCK FUSCO & CONNELLY 157 15WC 41117 MARTINEZ, ROSALINO MARIANI LANDSCAPING 11/19/15 JONATHAN SCHLACK KRAKER FANNING & OLSEN 158 15WC 41225 CASTILLO, SERGIO LABOR SOLUTIONS 10/29/15 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 15WC 41611 ADKINS, JAIME L MUNDELEIN CONSOLIDATED SD 08/19/14 SEIDMAN MARGULIS & FAIRMAN 160 15WC 41945 MURRAY, KELLIE A CLEAN SWEEP 11/12/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 161 15WC 42229 TEWELL-HARMON, KAREN PNC BANK 12/30/13 DUDLEY & LAKE LLC 162 15WC 42345 SAMANGOOIE, DESIREE D. LAKE COUNTY HEALTH DEPT. 09/08/15 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 16WC019812 -C 16WC019813 -C 163 15WC 42641 FULLER, KYLE CHICAGO BEARS FOOTBALL 10/19/14 WOLFE LAW PC MC ANDREWS & NORGLE LLC 16WC002478 -C 16WC002479 -C 164 16WC 00760 WAGEMANN, DANIEL PEAPOD, LLC 01/19/15 MAGNUSON, LAWRENCE K, PC LITCHFIELD CAVO 16WC000761 -C 16WC000762 -C 16WC000763 -C 165 16WC 01621 GORSKI, ROBERT HLP SYSTEMS INC 09/29/15 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 166 16WC 01833 HERNANDEZ, MARIA PLEXUS CORP 09/16/15 SCOTT BARBER NYHAN BAMBRICK KINZIE & LOWR 167 16WC 03375 BRIDGEFORTH, TOMMIE ILLINOIS DEPARTMENT OF @ 01/11/16 JOHN E LUSAK ILLINOIS ATTORNEY GENERAL 168 16WC 03603 CALOMINO, ADELINA STARBUCKS INC 02/20/13 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 169 16WC 03868 COVEY, SHANNON SBARRO GURNEE MILL MALL 11/25/15 NEWLAND & NEWLAND COZZI & GOGGIN-WARD 170 16WC 04127 SPIVAK, GENRIETTA KLEIN TOOLS INC 08/05/12 BELCHER LAW OFFICE ROBERT L. SMITH 171 16WC 04738 CERVANTES, ESPERANZA COLEMAN CABLE LLC 11/03/15 LINN, CAMPE & RIZZO LTD GANAN & SHAPIRO 172 16WC 04925 HERNANDEZ, JORGE CANALES CRYSTAL LAKE BUILDERS 01/23/16 EPSTEIN, JACK R LAW OFFICE 173 16WC 05561 HENTSCHEL, JILLIAN IND DISTRIBUTION 01/08/16 CLARK FROST 174 16WC 05907 SOTO, SARAFIN ROCCO FIORE & SONS INC 06/04/15 VOGG, MARK J LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 16WC 05965 CASTRO, ALEJANDRO BECERRA PEAPOD, LLC 02/01/16 JONATHAN SCHLACK LITCHFIELD CAVO 176 16WC 06577 HILL, GREGORY R VILLAGE OF BUFFALO GROVE 06/30/15 LINN, CAMPE & RIZZO LTD 177 16WC 07001 NEGRON, MARTA CARDINAL HEALTH 04/05/13 COHN & COHN HENNESSY & ROACH PC 16WC007002 -C 178 16WC 07116 BETANCOURT, ERIBERTO CARDINAL HEALTH 02/25/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 179 16WC 08593 URBINA, HEYDA EXCEL PERSONNEL 09/10/15 GOLDSTEIN BENDER & ROMANOF KOREY RICHARDSON LLC 16WC008594 -C 180 16WC 09172 MATA-GUZMAN, MARTA CANCER TREATMENT CENTERS 04/17/15 POLANSKY & CICHON CHTD GAROFALO SCHREIBER STORM GRA 16WC009173 -C 181 16WC 09548 LOPEZ, ROBERTO HN PRECISION COMPANY 01/12/15 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 182 16WC 09725 PEREZ, VERGIL ALVARO ISRA POMPS TIRE 02/24/16 ANKIN LAW OFFICE KNELL & O'CONNOR 183 16WC 09794 VELAZQUEZ, MARGARITA SPRINGS WINDOW FASHIONS/ 01/29/14 DUDLEY & LAKE LLC COZZI & GOGGIN-WARD 184 16WC 09812 SUMMERS, RONALD A UNITED STATES INFRASTRUCT 05/06/15 LINN, CAMPE & RIZZO LTD MCANANY VANCLEVE & PHILLIPS 185 16WC 10923 SURUY, JORGE ROMEO CONSTRUCTION 02/02/16 DISPARTI LAW GROUP PA 186 16WC 11179 STARR, GEOFFREY A. MENDEL PLUMBING 11/16/15 GREGORIO & MARCO BRYCE DOWNEY & LENKOV LLC 187 16WC 11230 PORCAYO, JESUS ACCURATE PERSONNEL SVC & 12/21/15 POSTERLI, OSCAR MC ANDREWS & NORGLE LLC 188 16WC 11329 SMITH, JULIA VISTA 07/11/15 SCOTT BARBER 189 16WC 11554 FIGUEROA, RAUL BROOKDALE SENIOR LIVING D 10/28/15 FERRIS THOMPSON & ZWEIG 190 16WC 11571 SAKALOWSKI, LEONARD ZELLER PLASTIK, INC. 04/15/14 ROBERT EDENS RUSIN & MACIOROWSKI LTD 191 16WC 11877 VAN CLEVE, GEORGENE DURHAM SCHOOL SERVICES 03/10/16 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 16WC 12059 JOHNSON, PATSY A HELP AT HOME 03/16/16 AIOSSA LAW FIRM 193 16WC 12435 PEREZ, JOSE F UPLAND CONCRETE 12/07/15 ARGIONIS & ASSOCIATES LLC ACCIDENT FUND HOLDINGS 17WC028919 -C 194 16WC 12588 HUCKER, WENDY AON HEWITT 02/01/16 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 195 16WC 12712 LOPEZ, ELISA HYDRAFORCE INC 02/02/16 CLARK FROST 196 16WC 12897 SELLING, ERIC C AMICA MUTUAL INSURANCE CO 04/01/16 LAW OFFICES DANIEL E MURPH KEEFE CAMPBELL & ASSOC LLC 197 16WC 13000 SPAID, RAY A JR STATE OF ILLINOIS/ DEPT O @ 12/10/14 LINN, CAMPE & RIZZO LTD ILLINOIS ATTORNEY GENERAL 198 16WC 13169 MARTINEZ, CARMEN STAR CREATIONS 03/15/16 LAW OFFICES JOSEPH MARCINIAK 199 16WC 13582 FERNANDEZ, HECTOR HILLSIDE LANDSCAPE, INC. 04/15/16 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 200 16WC 13600 HARDER, THOMAS K. RIEDY CONSTRUCTION 07/13/15 FIGLIOLI, DAVID GILDEA & COGHLAN 201 16WC 13938 MORRIS, CHARLES R YASKAWA AMERICA 02/16/15 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 202 16WC 14312 LOPEZ, ISRAEL RENT-A-CENTER 04/07/16 MARKS INJURY LAW KEEFE CAMPBELL & ASSOC LLC 203 16WC 14525 NEGRON, TAMARA NORTHSORE SCHOOL DISTRICT 02/16/16 DEPAOLO ZADEIKIS GORE 204 16WC 14837 BODANI, SANIJE BUFFALO GROVE HIGH 06/11/15 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 205 16WC 15203 MIKE, SHANTE DHS OF ILLINOIS AKC @ 12/01/15 DWORKIN AND MACIARIELLO ILLINOIS ATTORNEY GENERAL 206 16WC 15471 REA, MAKI ANDREWS STAFFING 10/09/15 AIOSSA LAW FIRM SLAVIN & SLAVIN 207 16WC 15728 VARELA, GEORGE LABOR SOLUTIONS, LLC 09/15/15 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 208 16WC 15792 DUBIN, DEBORAH NORTHSHORE SCHOOL DISTRIC 11/13/15 WEISS & WEISS LAW OFFICES WIEDNER & MCAULIFFE LTD 209 16WC 15881 LIMON, JOSE G ILLINOIS BEACH RESORT 05/12/16 SALK, STEVEN B & ASSOC LTD CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 16WC 16316 WHALEN, JAMES MECHANICAL, INC 03/28/16 HANNIGAN & BOTHA, LTD 211 16WC 16381 GALVAN, MARIS TERESA ARAMARK 04/21/16 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 212 16WC 16512 BAUTISTA-LOPEZ, NORMA ANDREWS STAFFING 05/04/16 THE ROMAKER LAW FIRM SLAVIN & SLAVIN 213 16WC 17481 HARGROVE, WALTER LITTLE LADY FOODS 06/05/13 COHN & COHN KNELL O'CONNOR DANIELWICZ 214 16WC 17940 UMLAUF, ARACELI MAXIM STAFFING SOLUTIONS 10/05/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 215 16WC 18079 EVEN, JAMES CLEAN-TECH CO/WFF 08/27/15 BOWMAN & CORDAY 216 16WC 18308 BRYLKOWSKA, ANETA PARAGON SYSTEMS INC 01/12/16 URSULA BABICZ & ASSOC HENNESSY & ROACH PC 217 16WC 18426 STANOEV, MOMCHIL MECHANICAL PLUS 04/26/16 TEWS THEISEN & THEISEN LAW OFFICES JOSEPH MARCINIAK 218 16WC 18537 RODRIGUREZ, SALVADOR GARC LESTER'S MATERIAL SRVC IN 04/18/16 POSTERLI, OSCAR BRADY CONNOLLY & MASUDA PC 219 16WC 18576 MEDINA, LUIS PRIMESOURCE BUILDING PROD 03/21/16 DAVID W MARTAY LITCHFIELD CAVO 220 16WC 18760 IVANIUK, VIKTORIYA GDI-CARDINAL 06/09/16 LAW OFFICES ALEXANDER JARO COZZI & GOGGIN-WARD 221 16WC 19375 NOLEN, ROBERT G. CARRARA STONE SYSTEM 05/24/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 222 16WC 19514 WRIGHT, WILLIAM L CITY OF LAKE FOREST 01/30/16 LINN, CAMPE & RIZZO LTD 223 16WC 19520 BALL, SHARON L WALMART 09/24/15 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 224 16WC 19523 NORDIN, FRANK C JR CHARLES EQUIPMENT ENERGY 08/08/15 LINN, CAMPE & RIZZO LTD ANCEL GLINK PC 225 16WC 19562 AMBROCIO, YNEZ C SALAS IGM SOLUTIONS 04/14/16 ANTHONY ESPOSITO 226 16WC 20344 REID, ALTAMONT SCHOOLKIDZ.COM LLC 03/24/16 CORBOY & DEMETRIO PC HENNESSY & ROACH PC 227 16WC 20654 HAHLE, JOHN LEISURE WORLD 05/26/16 TURCYCHUTE LLC ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 16WC 20731 MEAL, JAMES T COUNTY OF LAKE 06/05/16 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 229 16WC 20734 EVELAND, TIMOTHY R VAL'S FRESH MARKET 06/08/16 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 230 16WC 21083 MENDEZ MENDEZ, ROBERTO WAUKEGAN COMMUNITY SCHOOL 11/13/14 RAPAPORT, STEVEN I BRADY CONNOLLY & MASUDA PC 231 16WC 21335 GARCIA, ALVARO FLORIDA FRUIT JUICES INC 05/16/16 MC HARGUE & JONES LITCHFIELD CAVO 232 16WC 21503 HERNANDEZ, ADOLFO JAIME S.C.H. SANTOS LANDSCAPING 06/23/16 HART & DAVID LLP 233 16WC 22100 RUSSO, DAN JAC MASONRY 12/18/13 DUDLEY & LAKE LLC GANAN & SHAPIRO 234 16WC 22332 BREWER, JOHN VAPOR BUS INTERNATIONAL 08/21/15 BLEAKNEY & TROIANI GAROFALO SCHREIBER STORM GRA 235 16WC 23029 NICIKOWSKI, SHANE SAIA LTL FREIGHT 03/16/16 CAPRON & AVGERINOS PC POULOS & DIBENEDETTO LAW 17WC017928 -C 236 16WC 23294 BLANCO, JOAQUIN MEDLINE INDUSTRIES INC 06/14/16 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 16WC027961 -C 237 16WC 23478 RUIZ, ROSA ISELA TERMAK CROP 06/06/16 RUEDA, IVAN A 238 16WC 23977 MORALES, CESARIO ELITE STAFFING 06/06/16 FERRIS THOMPSON & ZWEIG 239 16WC 24034 DOMINGUEZ, FERNANDINO HOME DEPOT 02/27/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 240 16WC 24404 SCHULTZ, PHILLIP E. LYNDEX-NIKKEN, INC. 05/09/16 HANNIGAN & BOTHA, LTD BORGELT POWELL 241 16WC 24410 SALMINEN, CYNTHIA WOODLAND SCHOOL DISTRICT 03/28/16 DUDLEY & LAKE LLC GOLDBERG SEGALLA LLC 242 16WC 24638 MARTINEZ, EULALIO WAUBONSEE DEVELOPMENT 07/20/16 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS 243 16WC 25284 DUMONG, WILLIAM M. ILLINOIS SECRETARY OF STA @ 08/09/16 DEPAOLO & ZADEIKIS ILLINOIS ATTORNEY GENERAL 16WC025285 -C 244 16WC 25973 BANEGAS, LESLIE A INTERNATIONAL PRECISION 07/20/16 THE ROMAKER LAW FIRM HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 16WC 26232 TORRES, GILBERTO MANZANO AZTECA ROOFING INC. 06/06/16 LAW OFFICE ANTHONY B GORDO 246 16WC 26364 SIEGMAN, JOHN FAITH COUNTRYSIE HOMES 01/28/16 KOLKER LAW OFFICES BRUCE WARREN 247 16WC 26403 BITTON, DANIEL AIR ONE 03/12/16 SANDMAN LEVY & PETRICH 248 16WC 26644 KITCHENS, ANGEL ANDREWS STAFFING 08/18/16 249 16WC 27515 RAMIREZ, ROSA GCA SERVICES GROUP, ICN 07/21/16 SALK, STEVEN B & ASSOC LTD ASA LAW GROUP 250 16WC 28411 BUSTOS, FERNANDO BRANT BOX & PAPER CO 04/13/11 SEIDMAN MARGULIS & FAIRMAN 251 16WC 28909 IBARRA, MONICA SENTRAL ASSEMBLIES 05/06/16 LAW OFFICES OF ANSELMO DUR KEEFE CAMPBELL & ASSOC LLC 252 16WC 29204 MITCHELL, SONITRA SIX FLAGS 08/24/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 253 16WC 29334 VALDIVA, CARLOS PREMIER PAVING OF NORTHER 08/22/16 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 254 16WC 29515 CASTILLO MARTINEZ, JOSE M. JUAREZ LAWN SERVICE, I W 06/02/16 MC HARGUE & JONES BERNARD WYSOCKI & ASSOCIATES 255 16WC 29616 MAGEE, DENISE SPRING MEADOWS LIBERTYVIL 05/06/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 256 16WC 29743 FIGUEROA, OSCAR DOHENY ENTERPRISES 09/02/16 DOUGLAS RALLO PC 257 16WC 30328 GUADARRAMA, JORGE KING TRAILER REPAIR INC 04/04/16 POSTERLI, OSCAR GAROFALO SCHREIBER STORM GRA 258 16WC 31415 KATUZNY, KEN ALLSTATE INSURANCE 06/01/16 OWENS & LAUGHLIN LLC HENNESSY & ROACH PC 259 16WC 31714 HANSON, KEVIN JIMMY JOHN'S 12/16/15 ROMANEK & ROMANEK 260 16WC 32075 AYALA, HUGO CNA INSURANCE/ 01/14/15 EPSTEIN, JACK R LAW OFFICE 261 16WC 32689 HOLM, MATTHEW MANEVAL CONSTRUCTION CO, 09/20/16 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 262 16WC 32808 HILL, JAMES MCGILL LANDSCAPE SUPPLY 09/28/16 JAMES P. TUTAJ WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 16WC 32932 DELGIUDICE, ANGELO JR ANTIOCH SCHOOL DISTRICT # 08/31/16 THE FITZ LAW GROUP BRADY CONNOLLY & MASUDA PC 264 16WC 33066 HOLAN, JODI NATURANECTAR, LLC 09/22/15 BERNAT & BERNAT PC HOLECEK & ASSOCIATES 265 16WC 33315 GONZALEZ, RAUL R.J. & FAMILY CORP 10/14/16 MAY & BUEGE 266 16WC 33395 SOLANKA, DAVID KEHE DISTRIBUTION, INC 04/30/15 HANNA VANDER PLOEG LLC 267 16WC 33479 ALVAREZ, ANDREA GRAND STAFFING AGENCY 10/03/16 MC HARGUE & JONES HENNESSY & ROACH PC 268 16WC 33587 PERSCHKE, OLIVER S POLY-CLIP SYSTEM, LLC 09/08/15 THOMAS J STIBERTH LAW OFFI LAW OFFICES OF EDWARD J. KOZ 269 16WC 33618 SCHAPALS, MICHAEL LAKE BLUFF PARK DISTRICT 07/26/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 270 16WC 33927 VAUGHN, KATHLYN ILLINOIS TOLLWAY 07/31/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 271 16WC 34353 AGUILERA, VIOLETA SALVATION ARMY 02/01/16 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 272 16WC 34522 CORRANZA, MARIA VICTORIA AUTUMN LEAVES 10/17/16 STANCZAK LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 273 16WC 34719 MISJAK JR., RONALD CHICAGOLAND PAVING CONTRA 08/30/16 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 274 16WC 34875 JIMENEZ, ROCIO ADDUS HEALTHCARE 07/15/16 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 275 16WC 34919 19B WASHINGTON, KATRINA HILLCREST NURSING CENTER 09/25/16 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL & ASSOC LLC 276 16WC 35087 LYMAN, PAUL ENGINEERING CONSULTING SV 08/18/16 O'CONNOR & NAKOS JOSEPH MARCINIAK 277 16WC 35376 CARBAJAL, RODNEY CITY OF HIGHLAND PARK 02/16/16 LINN, CAMPE & RIZZO LTD POWER & CRONIN LTD 16WC035399 -C 278 16WC 35551 CHHEN, OL COLE PARMER 04/18/14 LEO ALT HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 16WC 36446 VANTREESE, MICHAEL MEINEKE CAR CARE CENTER 11/17/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 280 16WC 37095 PEREZ-MARTINEZ, HIPOLITO SHUR-WAY MOVING & CARTAGE 11/23/16 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 16WC037381 -C 281 16WC 37288 ALMAZAN, ROSALINO SORIANO ELITE STAFFING 09/08/16 POWELL & PISMAN GAROFALO SCHREIBER STORM GRA 282 16WC 38057 GARCIA, YOLANDA MC DONALD'S 12/09/16 SALVATO & O'TOOLE 283 16WC 38250 ZARENANA, BONIFACIA SI JACOBSON MFG CO 12/05/16 DUDLEY & LAKE LLC LAW OFFICES JOSEPH MARCINIAK 284 16WC 38433 LIMA, HUGO E JR SHOE ACRES GOLF COURSE 11/19/16 TAMVAKIS, GEORGE L ACCIDENT FUND HOLDINGS 285 16WC 38601 LEYVA, JESSICA PRO FEX 10/18/16 JOHN P GOGGIN 286 16WC 38690 RUGGLES, BOB PACE 11/11/16 CAPRON & AVGERINOS PC POWER & CRONIN LTD 287 16WC 38813 BARBER, DARNELL SOUTHWIRE 12/12/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 288 17WC 00190 KELLY, CHARLENE M GREAT LAKES RESOURCES 12/07/16 MARKS INJURY LAW COZZI & GOGGIN-WARD 289 17WC 00379 IRWIN, JEROME J JENSEN'S PLUMBING 06/22/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 290 17WC 00638 CONTRESRAS, JAVIER JR LAKE SHORE BEVERAGE 12/16/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 291 17WC 00735 PACHECO, AMYJO LEXINGTON HEALTH CARE 08/07/16 LAW OFFICES FRANCESCA LARSEN 292 17WC 00918 WROBEL, RANDY PEOPLELINK STAFFING 12/21/16 HANNIGAN & BOTHA, LTD WOLF LAW LTD 293 17WC 01486 SHADDEN, TYLER ALLSTATE INSURANCE CO 09/20/16 MARKS INJURY LAW HENNESSY & ROACH PC 294 17WC 01603 CANTU, LUISA LABOE SOLUTIONS LLC 11/01/16 SALK, STEVEN B & ASSOC LTD MC ANDREWS & NORGLE LLC 295 17WC 01731 THREATT, ERIC ALLENDALE ASSOCIATION 03/22/16 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 17WC 01785 SWANSON, SANDRA IL BONE & JOINT INSTITUTE 09/13/16 STEVEN J TENZER, LTD LAW OFFICES OF EDWARD J. KOZ 297 17WC 02055 GOBER, MICHAEL CARTER HOFFMANN 01/13/17 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 17WC016331 -C 298 17WC 02201 LEE, KEVIN TWEET GAROT MECHANICAL, I 12/13/16 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 299 17WC 02430 DIAZ, OFELIA ELTIE STAFFING 01/11/17 AIOSSA LAW FIRM 300 17WC 03343 BLISS, ROXANNE WAUKEGAN SCHOOL DISTRICT 10/13/16 TAMVAKIS, GEORGE L BRADY CONNOLLY & MASUDA PC 301 17WC 03510 MATUTE, EDDY MCDONALD'S 01/06/17 POWELL & PISMAN 302 17WC 03767 GROSS, SANDRA FIRST MERIT BANK 05/15/15 LEO ALT LAW OFFICES JOSEPH MARCINIAK 303 17WC 03811 MORRIS, CHINIEC HOME WATCH CAREGIVERS, NS 11/05/16 CHARLES LEVY & ASSOC LTD 304 17WC 03907 OSBORN, ROBERT DHL EXPRESS 01/17/17 NEWLAND & NEWLAND HENNESSY & ROACH PC 18WC019543 -C 305 17WC 04081 BARRERA, FELIPE COLEMAN CABLE, LLC 01/20/17 GANAN & SHAPIRO 306 17WC 04323 TRAEGER-HERMANSEN, DONNA WAUCONDA SCHOOL DIST. #11 01/09/17 KROL BONGIORNO & GIVEN LTD 307 17WC 04329 SILVA, ADELA B D&W FINE PACK LLC 11/11/16 BRILL & FISHEL KRAKER FANNING & OLSEN 308 17WC 04472 SCHMIDT, ROBERT HIGHLAND PARK HOSPITAL 01/20/17 SANDMAN LEVY & PETRICH 309 17WC 05371 PAPAGEORGIOU, EFTIHIA HELLENIC AMERICAN ACADEMY 01/25/17 BAUM RUFFOLO & MARZAL LTD GANAN & SHAPIRO 310 17WC 06117 CERVANTES, MARIA G QPS EMPLOYMENT GROUP 01/25/17 KATZ FRIEDMAN EAGLE ET AL WOLFE & JACOBSON, LTD 17WC006118 -C 311 17WC 06214 RUTHERFORD, NADIA GAVIN SCHOOL DISTRICT #37 08/11/16 MAGNUSON, LAWRENCE K, PC 312 17WC 06319 MALDANADO, MARVIN C&P REMODELING INC 11/22/16 FINE, MARK S LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 313 17WC 07171 FOX, HOWELL B COUNTY OF LAKE 09/26/16 LINN, CAMPE & RIZZO LTD 314 17WC 07172 WICKERSHEIM JR., DARYL L MERIT CONSTRUCTION 01/18/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 315 17WC 07570 HART, PAMELA KILDEER COUNTRYSIDE SCHOO 03/02/17 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR 316 17WC 07697 RAUSCH, DANIEL R MARINO'S 03/20/13 HANNIGAN & BOTHA, LTD 317 17WC 07903 SANTOYO, RAMON RAMON SANTOYO 03/01/17 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 318 17WC 08545 CANDRA, LAUREL AON HEWITT 10/01/16 ROBBINS SALOMON & PATT BRADY CONNOLLY & MASUDA PC 319 17WC 08585 VERDUZCO, FERNANDO WAL-MART STORES INC, D/B/ 10/22/16 GRAUER & KRIEGEL LLC QUINTAIROS PRIETO WOOD & BOY 320 17WC 08970 TOLEDO, GERARDO SUNSET FOOD MART, INC. 02/03/17 DOUGLAS RALLO PC FRANCESCA LARSEN 321 17WC 09237 FARNER, RICHARD LAKE COUNTY FOREST PRESER 01/06/17 RIDGE & DOWNES HENNESSY & ROACH PC 322 17WC 09291 WRIGHT, SEAN FEDEX 03/01/17 COSTA IVONE LLC 323 17WC 09401 LOPEZ, WILFREDO ENSEMBLE OF CARE, INC 01/26/16 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM GRA 324 17WC 09528 FLORES, LEVI LABOR SOLUTIONS 09/19/16 MARKS INJURY LAW MC ANDREWS & NORGLE LLC 325 17WC 09610 MACK, PYEISHA S STATE OF IL/IDHS ANN M. K @ 02/26/17 ANKIN LAW OFFICE ILLINOIS ATTORNEY GENERAL 326 17WC 09748 FRANCISCO, DEBRA TRANSPORTATION JOINT AGRE 01/31/17 HANNIGAN & BOTHA, LTD 327 17WC 09766 GARCIA, MARIA E LABOR SOLUTIONS 03/07/17 JAMES ELLIS GUMBINER & ASS ILLINOIS INJURY LAWYERS 328 17WC 10405 CAMBRAY, SILVIA FLEXIBLE STAFFING 02/20/17 GAINES & GAINES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 17WC 10581 BRINDIS-SANCHEZ, OCTAVIO LOUIS GLUNZ WINES, INC. 03/02/17 GRAHAM J. JEEP WOLFE & JACOBSON, LTD 330 17WC 10662 FICK, ADAM G. CALIBER CONSTRUCTION CO 11/11/16 ANESI OZMON RODIN NOVAK KO QUINTAIROS PRIETO WOOD & BOY 17WC026844 -C 331 17WC 11154 CARLSEN, CATHERINE M MICRO DESIGN SPECIALIST, 08/15/15 LINN, CAMPE & RIZZO LTD LAW OFFICES OF EDWARD J. KOZ 332 17WC 11748 GUGALA, MARTY MARIANO'S 02/27/17 SAUNDERS CONDON & KENNY BRYCE DOWNEY & LENKOV LLC 333 17WC 11796 CASALES, DULCE ACCURATE PERSONNEL LLC 07/18/16 MC HARGUE & JONES JOHN T GONNELLA 334 17WC 12072 GUERRERO, ROBERT CONCRETE STRUCTURES OF 02/27/17 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 335 17WC 12470 FULLILOVE, DOROTHY KILEY DEVELOPMENTAL CTR 09/04/17 POSTERLI, OSCAR KRISTIN LEASIA 336 17WC 12760 BLANCAS, ANGEL MIRANDA OSCAR LANDSCAPING INC. 11/17/16 RUEDA, IVAN A HOLECEK & ASSOCIATES 337 17WC 12892 CAMBRAY, IGNACIO AM LANDSCAPE & DESIGN 09/22/15 338 17WC 13068 GUERRERO, TERESA ADVOCATE CONDELL MEDICAL 03/17/17 THE MACK LAW GROUP PC NYHAN BAMBRICK KINZIE & LOWR 339 17WC 13164 CALDERON, EDUARDO HUGHES ENTERPRISES INC 12/16/16 HERRERA LAW CENTER COZZI & GOGGIN-WARD 340 17WC 13356 BECKES, EMILY BAXTER HEALTHCARE CORP 04/09/17 GRAHAM J. JEEP HENNESSY & ROACH PC 341 17WC 13438 MONDRAGON, NADIA G&A CLEANER SERVICES 03/15/17 342 17WC 13460 GARIBAY, MARIA CRUZ EMERIC FACILITY SERVICES 10/04/16 FERRIS THOMPSON & ZWEIG GANAN & SHAPIRO 343 17WC 13766 O'CONNOR, RICHARD BRIGGS D/B/A DMI HOLDINGS 06/16/15 GRAZIAN & VOLPE PC 344 17WC 14054 HARMON, ROSE DURHAM SCHOOL SERVICES 02/22/17 NEWLAND & NEWLAND GAIDO & FINTZEN 345 17WC 14168 RICHMOND, SIMONE REAL URBAN BARBEQUE 05/04/17 POLANSKY & CICHON CHTD GILDEA & COGHLAN 346 17WC 14217 DE CRUZ, ESTEBAN DUNKIN DONUTS 10/21/16 DAVID J. BAWCUM GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 17WC 14576 BRISENO, JOSE ALEX'S WASHINGTON GARDEN 03/26/17 POSTERLI, OSCAR JOSEPH MARCINIAK 348 17WC 14675 SCHUMACHER, VINCENT J MORAINE TOWNSHIP 02/16/17 LINN, CAMPE & RIZZO LTD JAMES M KELLY 349 17WC 15061 RODRIGUEZ, EMMANUEL WHITE HALL NORTH LLC 05/06/17 AIOSSA LAW FIRM 350 17WC 15458 RELATION, DONNA MUNDELEIN SCHOOL DISTRICT 04/06/17 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 351 17WC 15784 FURLONI, MARK WINTHROP HARBOR SCHOOL 03/21/17 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 352 17WC 16048 RUDNICK, DIANA DURHAM SCHOOL SERVICES 09/27/16 SEIDMAN MARGULIS & FAIRMAN 353 17WC 16065 LEE, EFREM VALSPAR, INC 04/17/17 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD 354 17WC 16068 MCDERMOTT, TAYLOR J ANTIOCH AUTO PARTS, INC 01/18/17 LINN, CAMPE & RIZZO LTD HANSON LAW OFFICE 355 17WC 16367 SHEBESTA, SUZANNE J JC PENNY, INC 04/05/17 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 356 17WC 16458 KUKIELKA, JOAN MK MARKETING LLC 03/04/17 TARADASH LAW OFFICE 357 17WC 17159 CUEVAS, GUADALUPE ELITE STAFFING 04/17/17 SALVATO & O'TOOLE 358 17WC 17187 DIAMOND, LINDA BRIGHT HORIZONS FAMILY 05/25/16 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 359 17WC 17188 GUADARRAMA, ROSA GREAT LAKES RESOURCES INC 07/14/16 HANNIGAN & BOTHA, LTD 17WC033269 -C GREAK LAKES RESOURCES, INC 360 17WC 17364 VIDAD, EILEEN BELMONT VILLAGE BUFFALO G 01/14/15 ROGER D RUDICH LTD GAROFALO SCHREIBER STORM GRA 17WC017365 -C 361 17WC 17683 ANAYA, RAMON C DAVID ARCHITECTURAL METAL 01/11/17 LAW OFFICES ROBERT WARSASK NYHAN BAMBRICK KINZIE & LOWR 362 17WC 17735 DE LA TORRE, JORGE SCHMIDT STEEL INC 05/13/17 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 363 17WC 18050 WALLACH, TONYA F ABBOTT LABORATORIES 03/17/16 COLLISON LAW OFFICES 364 17WC 18139 DEHMER, BRIAN M&M CYCLERY 05/26/17 NEWLAND & NEWLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 365 17WC 18612 HILL, TWEEARAND RG CONSTRUCTION 06/15/17 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 366 17WC 18771 BALDAN, JUSTYNA MUNDELEIN POLICE DEPARTME 02/23/16 RICHARD E ALEKSY RUSIN & MACIOROWSKI LTD 367 17WC 18807 BAHENA, ERNESTINA CREATIONS OF VIOLET A/K/A W 10/28/14 DUDLEY & LAKE LLC POSTERLI, OSCAR 368 17WC 18884 SANCHEZ, LUIS ALBERTO JAI ELITE STAFFING 03/09/16 EPSTEIN, JACK R LAW OFFICE 369 17WC 19032 PUGA, ANTONIO CLEAN CUT TREE SERVICE IN 11/28/16 DOUGLAS RALLO PC GAROFALO SCHREIBER STORM GRA 370 17WC 19552 WALCZAK, HOLLY NORTHWESTERN MEDICINE 02/16/17 MC HARGUE & JONES GAROFALO SCHREIBER STORM GRA 371 17WC 19889 JAMES, HENRY LEE SOUTHWIRE 05/18/17 LAW OFFICES TIMOTHY HENDER GANAN & SHAPIRO 17WC019890 -C 372 17WC 20392 ESCALANTE, HELI PEERLESS ENTERPRISES INC. 12/31/16 LEONARD LAW GROUP LLC 373 17WC 20422 SAIN, CARL B CITY OF NORTH CHICAGO 05/16/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 374 17WC 20564 SHAFFER, ELAINE CLUB DEMONSTRATIONSERVICE 06/24/17 THE ROMAKER LAW FIRM GOLDBERG SEGALLA LLC 375 17WC 20829 CUEVAS, MARIA L HORIZONS WINDOW FASHIONS 06/19/15 LINN, CAMPE & RIZZO LTD LAWRENCE COZZI - LAW OFFICE 17WC021837 -C 376 17WC 20919 FERRY, WARREN T. ZION BLDG DEPT 07/20/16 BARRY A KETTER RUSIN & MACIOROWSKI LTD 377 17WC 20950 DEGRYSE III, CHARLES W ABBVIE 07/12/16 DOUGLAS RALLO PC WIEDNER & MCAULIFFE LTD 378 17WC 21059 GOMEZ, LUCIA WORLD BIO PRODUCTS 03/15/17 HART & DAVID LLP GANAN & SHAPIRO 379 17WC 21427 LUCIDO, EDAHENA TERMAX CORP 03/14/17 TUITE LAW 380 17WC 21533 DERRINGTON, WILLIAM WAUKEGAN SAFE AND LOCK 10/14/16 ANGELINI & ORI LLC 381 17WC 21679 VALERIO, VITO TYCO INTEGRATED SECURITY 06/26/17 COLLISON LAW OFFICES MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 17WC 21842 HILDEBRANDT, RICHARD TAYLOR MADE EXPRESS 02/13/17 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 383 17WC 21913 GRIZIC, ESAD PEPSICO, INC 06/15/17 ANKIN LAW OFFICE GAIDO & FINTZEN 18WC013819 -C 384 17WC 22062 LEPMAN, MARTHA NORTH SHORE SCHOOL 03/17/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 385 17WC 22501 PIERCE, MARCI WYNDHAM VACATION OWNERSHI 07/16/17 RUBENS AND KRESS BRADY CONNOLLY & MASUDA PC 386 17WC 22544 ORSBY, LILLIE BAYSIDE TERRACE, LLC 07/14/17 JASON HAUCK KEEFE CAMPBELL BIERY & ASSOC 387 17WC 22679 GRENIER, MICHAEL R ANN KILEY CENTER 10/28/16 PAUL F SERKLAND ASSISTANT ATTORNEY GENERAL 388 17WC 22757 CHAVEZ, JOAQUIN FISHER CONTAINER LLC 04/12/17 ARGIONIS & ASSOCIATES LLC WOLFE & JACOBSON, LTD 389 17WC 22807 HERNANDEZ, YURIDIA ELITE STAFFING 06/15/17 AIOSSA LAW FIRM 390 17WC 23190 SASHKO, BRADLEY T MUNDELEIN FIRE DEPT 06/29/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 391 17WC 23254 TREADWAY, JOHN DOCK AND DOOR NATIONAL 04/21/17 MEYERS & FLOWERS 392 17WC 23338 MARTINEZ, MILDRED LABOR SOLUTIONS 11/05/16 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 393 17WC 23367 PEDROZA, VALENTINA GRAND STAFFING, INC 06/27/17 MC HARGUE & JONES ANCEL GLINK PC 394 17WC 23522 THOMAS, LARRY NORTH CHICAGO POLICE DEPT 12/19/16 COVEN LAW GROUP 395 17WC 24087 HERNANDEZ, RONALD A WAUKEGAN SCHOOL DISTRICT 01/12/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 396 17WC 24154 PHIFER, NATASI NORTHWESTERN MEDICINE 05/19/17 JASON HAUCK NYHAN BAMBRICK KINZIE & LOWR 397 17WC 24191 BEIRD, JOANNA SUNRISE SENIOR LIVING, LL 07/06/17 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 17WC024192 -C 398 17WC 24461 LEMASSON, LUIS R SAIA LTL FREIGHT 07/31/17 CHILTON YAMBERT PORTER LLP 399 17WC 24473 RAMIREZ, CARLOS J SEDGEBROOK RETIREMENT 06/24/17 HERRERA LAW CENTER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 17WC 24598 ALVAREZ-RAMIREZ, ALEJANDR TACOS EL NORTE 10/28/16 401 17WC 24969 RICHARDSON, JEFFREY L CBC NATIONAL BANK 08/01/17 LINN, CAMPE & RIZZO LTD WOLFE & JACOBSON, LTD 402 17WC 25172 ALANIS, ERIK LAYER3 TV, INC 06/11/17 TAXMAN POLLOCK GAROFALO SCHREIBER STORM GRA 403 17WC 25234 BELLEFUILLE, RHONDA PHARMEDIUM 06/13/17 DWORKIN AND MACIARIELLO 404 17WC 25377 SERNA, MANUEL, JR TEMPSNOW (LENDING) 08/17/17 HANNIGAN & BOTHA, LTD 405 17WC 25467 SORTO, JOSE SAIA FREIGHT 06/23/17 GOLDSTEIN BENDER & ROMANOF POULOS & DIBENEDETTO LAW 406 17WC 25530 MICHUR, RICK AIR-CON REFRIGERATION 12/22/16 MARKS INJURY LAW HENNESSY & ROACH PC 407 17WC 25984 MATA-ARCOS, AUGUSTO TYLERS UNDERGROUND, LLC 10/14/15 LINN, CAMPE & RIZZO LTD GILDEA, COGHLAN & REGAN LTD. 408 17WC 26359 RAINFORD, MICHAEL A ALL 1 STAFFING 09/02/17 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 409 17WC 26643 GEMBARSKI, KEN LOWES 07/07/17 ANGELA NARDI-QUIGLEY 410 17WC 27156 SIMMONS, RAQUEL EXPRESS EMPLOY PROFESSION 06/06/17 THE ROMAKER LAW FIRM MC ANDREWS & NORGLE LLC 411 17WC 27438 VELAZQUEZ-RODRIGUEZ, ZF SERVICE LLC 03/28/17 CARL H EBERT & ASSOC 412 17WC 27496 PICIRILLO, PAMELA PFIZER 02/02/16 NEWLAND & NEWLAND LITCHFIELD CAVO 413 17WC 27535 ANDRADE, SENDI LIQUID CONTROLS 06/02/16 ROMANUCCI & BLANDIN COZZI & GOGGIN-WARD 414 17WC 27549 ADAMSON, JOHN PEPSI BOTTLING COMPANY 08/21/17 HORWITZ HORWITZ & ASSOC ROBERT L. SMITH 415 17WC 27579 BAYS, BELINDA LOYOLA HOSPITAL 04/16/17 ANGELINI & ORI LLC 416 17WC 27610 MALAVE, REINALDO FIGUEROA MUELLER LANDSCAPE CO 08/07/17 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 417 17WC 27692 HOGUE, ANDREW L LABOR SOLUTIONS226 S SHER 07/25/17 LINN, CAMPE & RIZZO LTD MC ANDREWS & NORGLE LLC 418 17WC 27695 TAYLOR, JAMES B SAV-A-TREE 08/10/17 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 17WC027696 -C 419 17WC 27799 LARIOS, EDGAR R HOME CITY ICE 06/22/17 LINN, CAMPE & RIZZO LTD FRANCESCA LARSEN 420 17WC 28122 COOPER, BELINDA JIMMY JOHNS 07/08/17 DWORKIN AND MACIARIELLO 421 17WC 28213 AVILA, JAVIER FIVE STAR 09/08/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 422 17WC 28420 REBOLLEDO, RICARDO SUPER FRESH MARKET 09/03/17 DEPAOLO ZADEIKIS GORE LAVELLE LAW LTD 423 17WC 28633 KOBLER, BARBARAJ JP MORGAN CHASE BANK 09/14/17 TAMVAKIS, GEORGE L NYHAN BAMBRICK KINZIE & LOWR 424 17WC 28891 GARCIA, ANDRES AEROTEK 12/02/16 COSTA IVONE LLC 425 17WC 29115 JIMENEZ, ROSA APTAR GROUP 08/02/17 MACKEY & KRAMER PC HENNESSY & ROACH PC 426 17WC 29147 MONTES, NABOR ISRAEL MEDLINE INDUSTRIES 07/31/17 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 18WC026341 -C 427 17WC 29508 FIKE, SCOTT ILLINOIS TOLLWAY 07/18/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 428 17WC 29668 QUARRIE, CONNIE CAMPANELLA & SONS 11/16/16 SANDMAN LEVY & PETRICH WOLF LAW LTD 429 17WC 29902 WONS, ROBERT A HRI INSTALLATIONS LLC 07/10/17 LINN, CAMPE & RIZZO LTD COZZI & GOGGIN-WARD 430 17WC 30016 HOLBACH, ROBERT SIX FLAGS GREAT AMERICA 02/21/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 431 17WC 30372 MAHEU, DONALD XPO FREIGHT/CONWAY 08/17/17 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 18WC026277 -C 432 17WC 30457 VELAZQUEZ, MIGUEL ANGEL ADVANCED TREE CARE SERVIC 03/25/16 COSTA IVONE LLC 433 17WC 30485 BULLOCKS, TROYCE INDEPENDENCE REALTY TRUST 06/29/17 JOHN E LUSAK ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 17WC 30489 LAWSON, MICHAEL T ABBOTT LABORATORIES, INC. 10/03/16 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 435 17WC 30490 FRETT, JUDY L JEWEL, INC. 08/05/17 LINN, CAMPE & RIZZO LTD RODDY LAW LTD 436 17WC 30844 SALGADO, JOSE CORN FIELDS 09/25/17 ROBERT EDENS WIEDNER & MCAULIFFE LTD 437 17WC 30871 LENZ, JEFF RUST-OLEUM CORP 08/11/16 THE ROMAKER LAW FIRM RODDY LAW LTD 438 17WC 31071 GEDVILLE, ANTHONY COMMUNITY HIGH SCHOOL DIS 09/15/17 MARKS INJURY LAW BRYCE DOWNEY & LENKOV LLC 439 17WC 31092 HERNANDEZ, NARDALIA TEMPS NOW EMPLOYMENT & 07/09/17 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 17WC031093 -C 440 17WC 31236 RICHMOND, LISA MARIANO'S FRESH MARKET 08/08/16 EFTEKHARI LAW OFFICES BRYCE DOWNEY & LENKOV LLC 441 17WC 31282 BENNECKE, GERALD VILLAGE OF LAKE VILLA 05/11/16 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 442 17WC 31417 VEGA, MANUEL PARK DISTRICT AT HIGHLAND 08/16/17 BUDIN LAW OFFICES HENNESSY & ROACH PC 443 17WC 31773 RODRIGUEZ, MARVELIA HOOGWEGT U.S. INC 12/05/13 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 444 17WC 31845 ATKINSON, BYRON B.E. SMITH, INC 04/19/17 JOHN M BORCIA LAW OFFICE ADELSON TESTAN BRUNDO 445 17WC 31977 LOPEZ, MARIA BAXTER HEALTHCARE 09/08/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 446 17WC 32106 GARCIA, FRANCISCA DMN CORPORATION D/B/A 10/02/17 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 447 17WC 32210 HAMILTON, RITA HYATT DEERFIELD 10/07/17 LEONARD LAW GROUP LLC KRAKER FANNING & OLSEN 448 17WC 32547 WOJCIECHOWSKI, ARLENE CANDLEWOOD SUITES 07/06/16 MARKS INJURY LAW HENNESSY & ROACH PC 449 17WC 32618 STANLEY, SANDRA WHITE LODGING SERVICES CO 08/21/17 GRAUER & KRIEGEL LLC 450 17WC 32780 VAN HOOGEN, DANNY WAUKEGAN POLICE DEPARTMEN 10/23/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 451 17WC 32894 NEWMAN, KURT GRAYSLAKE POLICE DEPT 08/22/17 RUBIN MACHADO ROSENBLUM POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 17WC 33139 LUCY, TIMOTHY C RCI INCRESIDENTIAL COMMER 08/08/16 LEAHY, JAMES P 453 17WC 33235 TORRECILLA, ARELI MANAGEMENT REGISTRY/ALLST 10/20/17 MC HARGUE & JONES SLAVIN & SLAVIN 454 17WC 33330 SCHMITZ, CARL J LOWE'S HOME CENTERS INC 10/19/17 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 455 17WC 33398 GARCIA, SERGIO NEMERA 10/15/17 VRDOLYAK LAW GROUP LLC JOSEPH MARCINIAK 456 17WC 33473 RAPTA, MICHAL FISHER CONTAINER, LLC 08/31/17 NILSON STOOKAL GLEASON CAP WOLFE & JACOBSON, LTD 457 17WC 33734 PATINO, FERNANDO RUPRECHT CO. 10/31/17 ELFENBAUM EVERS & AMARILIO COZZI & GOGGIN-WARD 458 17WC 33826 GRIFFIN, MICHAEL A COMMUNITY CONSOLIDATED SC 01/17/17 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 459 17WC 33891 BAILEY, TRACY NICL LABORATORIES @ 01/10/17 LAW OFFICE ILONKA ULRICH GANAN & SHAPIRO 460 17WC 33951 SANCHEZ-OCAMPO, ALMA R TEMPSNOW EMPLOYMENT 07/18/17 CHEPOV & SCOTT LLC 461 17WC 34096 BATREZ, JUAN F SILVA'S PAINTING RENOVATI 10/24/17 CHRISTINE F DAVID COZZI & GOGGIN-WARD 462 17WC 34331 KWAS, SHAWN FORWARD SPACE 10/03/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 463 17WC 34480 REES, DOUGLAS D BUFFALO GROVE PARK DIST 11/09/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 464 17WC 34751 SINOPLE, DAVID JEWEL 05/02/16 RUBIN MACHADO ROSENBLUM WIEDNER & MCAULIFFE LTD 465 17WC 34913 NORKUS, GAIL FEDERAL EXPRESS CORP 08/11/17 BERNAT & BERNAT PC 466 17WC 34947 ESCALANTE, AUDBERTO ROQUETTE AMERICA INC 11/12/17 DWORKIN AND MACIARIELLO 467 17WC 35252 CEJA, SILVIA C & F PACKING CO 11/10/17 HERRERA LAW CENTER HOLECEK & ASSOCIATES 468 17WC 35577 ESCOBEDO, SAMUEL ROUND LAKE SCHOOL DIST 11 11/10/17 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 469 17WC 35700 BROOK, MICHAEL E VANTAGE SPECIALTY CHEMICA 05/26/17 MARKS INJURY LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 470 17WC 35862 MATHIAS, NANCY LOVIN OVEN CAKERY 06/07/17 HANNIGAN & BOTHA, LTD 471 17WC 35987 KIHLE, NANCY HERTZ SYSTEM INC 08/02/17 RIDGE & DOWNES 472 17WC 36050 OCHOA, MONICA GOLDEN CORRAL DBA 10/08/17 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 473 17WC 36276 RIVER, KEN RUPRECHT COMPANY 10/19/17 AIOSSA LAW FIRM COZZI & GOGGIN-WARD 474 17WC 36434 MARTINEZ, ALBERTO CONWAY FARMS GOLF CLUB 08/08/17 BAUM RUFFOLO & MARZAL LTD NOBLE & ASSOCIATES PC 475 17WC 36508 JACOB, GERARDO U-LINE 07/26/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 476 17WC 36560 GARIBAY, GUADALUPE THE CLEANING AUTHORITY, D 12/04/17 MC HARGUE & JONES 477 17WC 36674 KNOLL, KEVIN D CITY OF HIGHLAND PARK 11/11/17 THOMAS W DUDA 478 17WC 36718 AGUIRRE NAVA, JULIA SPRINGHILL SUITES WAUKEGA 07/16/17 HERRERA LAW CENTER 479 17WC 37114 LOWE, RONALD CROWN HOTELS LLC DBA HOLI 04/04/16 RIDGE & DOWNES RIPES NELSON BAGGOT KALOBRAT 480 17WC 37171 JUAREZ, MARIA SURE STAF, INC 12/01/17 PARENTE & NOREM PC LOUIS MUNDY 481 17WC 37328 DELAPENA, DANIEL SIGNATURE FLIGHT SUPPORT 08/13/17 NEWLAND & NEWLAND WIEDNER & MCAULIFFE LTD 482 17WC 37386 GROSSMAN, KRISTINE VOLKSWAGEN GROUP OF AMERI 10/12/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 483 17WC 37636 GILBERT, MICHAEL A GOODWILL INDUSTRIES OF SE 12/15/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 484 17WC 37738 ROBERTS, JUDY SILVERADO SENIOR LIVING 08/18/17 VOGG, MARK J LAW OFFICE RUSIN & MACIOROWSKI LTD 485 17WC 37862 WILLIAMS, HATTIE M THE GROVE AT THE LAKE LIV 07/25/17 KOSIN LAW OFFICE LTD BRADY CONNOLLY & MASUDA PC 486 17WC 37929 JOB, ANNAMMA STATE OF IL ANN KILEY DEV @ 11/26/17 CORNFIELD & FELDMAN KRISTIN LEASIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 487 17WC 37975 MERINO, AURORA RJB PROPERTIES, INC. 05/22/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 488 17WC 37989 RENDER, ROBERT VCNA PRAIRIE MATERIAL 10/14/16 DUDLEY & LAKE LLC PRETZEL & STOUFFER, CHRTD 18WC024675 -C 489 17WC 38028 HARRIS, TIJUANA FRESENIUS MEDICAL CARE 10/18/17 DUDLEY & LAKE LLC HENNESSY & ROACH PC 490 18WC 00215 JUAREZ, MARIA SURE STAFF INC 05/22/17 PARENTE & NOREM PC LOUIS MUNDY 491 18WC 00226 ORANTES, LORENA FRESENIUS KABI USA LLC 05/03/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 492 18WC 00446 RAMOS, JOSE MARPOL CINSTRUCTION SERVI 12/11/17 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 493 18WC 00625 NAPLES, DEANNA MENARDS 06/22/17 LEONARD LAW GROUP LLC 494 18WC 00788 MCQUEEN, MARY WALMART 12/08/17 THE ROMAKER LAW FIRM QUINTAIROS PRIETO WOOD & BOY 495 18WC 00795 LARREA, DAMIAN FEDEX 02/13/17 HEALY SCANLON LAW FIRM QUINTAIROS PRIETO WOOD & BOY 496 18WC 00869 ENRIQUEZ, RODOLFO TERMAX CORPORATION 10/03/17 HAMMERLUND, JEFFREY B HENNESSY & ROACH PC 497 18WC 00972 HERRERA, EVELIN MEDLINE 07/01/17 JOHN S. ELIASIK GAROFALO SCHREIBER STORM GRA 498 18WC 01056 SCHUSTER, KARIANN N VILLAGE OF ROUND LAKE BEA 10/31/17 LINN, CAMPE & RIZZO LTD 499 18WC 01101 GUTOSKY, JOHN GLENTRONICS INC 12/08/15 GOLDBERG WEISMAN & CAIRO L JOSEPH MARCINIAK 18WC001102 -C 500 18WC 01155 AGUILAR, TINA WALMART #1668 10/20/17 MARTIN L GLINK LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 501 18WC 01278 REYES, EDGAR CAMO JUGGERNAUT LLC 08/09/17 502 18WC 01299 KEDZIERSKI, EUGENE SWEET HOME KITCHEN AND BA 02/01/17 ANKIN LAW OFFICE 503 18WC 01331 SNEYDER, PATRICIA ELITE STAFFING 10/20/17 JONATHAN SCHLACK 504 18WC 01454 TORRES, CARLOS JC LICHT, LLC 08/28/17 HECTOR ESPITIA HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 505 18WC 02063 BATTLEY, MORGAN ZION ELEMTARY SCHOOL DIST 10/30/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 506 18WC 02080 SAVAGE, JONATHAN VILLAGE OF GURNEE POLICE 10/01/17 DUDLEY & LAKE LLC 507 18WC 02191 CANALES, LILIA CHILDREN & FAMILY SERVICE 12/07/17 TARADASH LAW OFFICE KRISTIN LEASIA 508 18WC 02324 WYNN, DIANE JEWEL FOOD STORES INC 11/07/14 FERRIS THOMPSON & ZWEIG 509 18WC 02464 ROSARIO, ALEXANDER NORTH SHORE WATER RECLAMA 06/28/17 BARRY A KETTER 510 18WC 02490 DE BARTOLO, LISA BRUNSWICK CORPORATION 01/12/16 RICHARD O. GREENFIELD HINSHAW & CULBERTSON 511 18WC 02584 ZDUNCZYK, IZABELA SUNRISE SENIOR LIVING 12/17/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 512 18WC 02599 GUZMAN, GEORGINA LABOR SOLUTIONS 01/05/18 POSTERLI, OSCAR 513 18WC 02691 LIPPERT, MICHAEL J STATE OF ILLINOIS @ 12/02/17 LINN, CAMPE & RIZZO LTD KRISTIN LEASIA 514 18WC 02705 SIGALA, JOSE RG CONSTRUCTION 01/16/18 HERRERA LAW CENTER MACIOROWSKI SACKMANN & ULRIC 515 18WC 02729 HARRINGTON, DANIEL PEDCOR MGMT 01/05/18 TAMVAKIS, GEORGE L 516 18WC 02981 DAVIS, ERIC AT&T 05/15/17 ROMANEK & ROMANEK 517 18WC 03223 LAGUNEZ, HILDA ACCURATE PERSONNEL SERVIC 01/02/18 COSTA IVONE LLC 518 18WC 03407 COPP, LAURA (WIDOW) SPX FLOW # 06/22/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 519 18WC 03558 ROMERO GONZALEZ, MARIA TUF TITE INC 09/21/16 COLLISON LAW OFFICES BRADY CONNOLLY & MASUDA PC 520 18WC 03603 FLORES, CARMELO HEINEN'S GROCERY STORE 10/22/17 AIOSSA LAW FIRM GILDEA & COGHLAN 521 18WC 03624 MIKHAIL, EMMA BAXTER HEALTHCARE 09/19/17 TARADASH LAW OFFICE HENNESSY & ROACH PC 522 18WC 03814 TURNER-ALLEN, ELLEN D GEMINI TECH 01/08/18 LINN, CAMPE & RIZZO LTD KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 523 18WC 04060 PERALTA, JULIETA GARCIA MCDONALDS 12/30/15 SALVATO & O'TOOLE 524 18WC 04110 HERNANDEZ, YURIDIA ELITE STAFFING 01/24/18 AIOSSA LAW FIRM 525 18WC 04360 SCHADECK, HEATHER AMAZON 11/29/17 STROM, NEAL B 526 18WC 04399 MONTIEL, DULCE A MEDLINE INDUSTRIES, INC 11/20/17 BUDIN LAW OFFICES GAROFALO SCHREIBER STORM GRA 527 18WC 04669 MELAU, ROBERT CRASH CHAMPIONS 10/27/17 SCOTT BARBER BRADY CONNOLLY & MASUDA PC 528 18WC 04861 STANISZEWSKI, JACK XLNT TRUCKING, INC 12/04/17 DUDLEY & LAKE LLC 529 18WC 04972 PERRY, MARILYN COMPASS GROUP 12/14/17 COSTA IVONE LLC 530 18WC 05049 AGUILAR, JOSE M PRESBYTERIAN HOMES, INC 04/14/17 MARKS INJURY LAW 531 18WC 05116 SAWIN, PATRICIA ANN WARREN-NEWPORT PUBLIC 04/12/17 LINN, CAMPE & RIZZO LTD 532 18WC 05160 JOPLIN, BREANNA ACCURATE PERSONNEL LLC 11/27/17 ANKIN LAW OFFICE JOHN T GONNELLA 533 18WC 05541 FRIDGE, JOHN WAUCONDA COMM SCHOOL DIST 05/26/17 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 534 18WC 05547 MUNOZ, LOUIS RAINBOW GRAPHICS, INC. 03/16/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 18WC010799 -C 535 18WC 05852 ROLLINS, GENO KSI CHICAGO 02/21/18 ROGER D RUDICH LTD 536 18WC 05979 DELGADO, ARMANDO RIVMAR CORPORATION 09/05/17 CUDA LAW OFFICES JOSEPH MARCINIAK 537 18WC 05990 GLANDER, TONIA NORTHWESTERN MEDICAL/ 08/13/17 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 538 18WC 06011 GUERRERO, ISIDRO RAFAEL ELITE STAFFING 02/01/18 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 539 18WC 06180 SANCHEZ, ANA CVS PHARMACY 05/18/17 ZANCK COEN WRIGHT & SALADI NYHAN BAMBRICK KINZIE & LOWR 540 18WC 06306 SANCHEZ, MARIA RESOURCE MFG AND IRIS USA 01/15/18 POSTERLI, OSCAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 541 18WC 06424 BAHENA, ELIZABETH NEMERA 01/20/18 HERRERA LAW CENTER JOSEPH MARCINIAK 542 18WC 06517 LEON, LUIS ALBERTO RGC CONSTRUCTION SERVICES 01/22/18 FREDRICK B BARDER, LTD MACIOROWSKI SACKMANN & ULRIC 543 18WC 06576 MARTINEZ, JOSE TERMAX CORPORATION 08/25/17 MADSEN SUGDEN & GOTTEMOLLE 544 18WC 06614 BUENO, JOSE GOUNTANIS ENTERPRISES INC 12/18/17 LINN, CAMPE & RIZZO LTD 545 18WC 06617 SHEEDY, LOUISE M NEW ALBERTSON'S, INC 10/21/17 LINN, CAMPE & RIZZO LTD 546 18WC 06645 CABALLERO, CASIMIRO EVERGREEN DEVELOPMENT GRO 06/05/17 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 547 18WC 06839 OBOIKOVITZ, STEVE L MARSHALL ROOFING 09/05/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 548 18WC 06888 MANANSALA, JESSE JAY BAYSIDE TERRACE, LLC 01/25/18 MARKS INJURY LAW 549 18WC 06945 ARNOLD, BRIAN M HOMEWATCH CAREGIVERS 02/21/18 GALLAGHER, DONALD V 550 18WC 07137 ZELENY, TRACY SHOE SHOW INC 09/13/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 551 18WC 07229 ROSENBERG, CHARLES DHL EXPRESS 02/07/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 552 18WC 07261 JACKSON, JESSICA HAIR CUTTERY 02/21/18 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 553 18WC 07661 CRUMP, JASON LITTLE LADY FOODS 02/19/18 TRENT LAW FIRM PC SPIEGEL & CAHILL, PC 554 18WC 07771 WADKINS, DONNA THORNTONS INC 12/15/17 LINN, CAMPE & RIZZO LTD GRANT & FANNING 555 18WC 08339 CHAPMAN, CHRIS ANN KILEY CENTER 04/30/17 PAUL F SERKLAND KRISTIN LEASIA 556 18WC 08473 HERNANDEZ, JOSELIN RUPRECHT COMPANY 03/14/18 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICES 557 18WC 08528 BRINKLEY, RICHELLE TOYS R US 03/11/18 AIOSSA LAW FIRM KEEFE CAMPBELL & ASSOC LLC 558 18WC 08692 MARTINEZ, JOSE A BABIES 'R' US 03/24/15 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 559 18WC 08896 GARRISON, MICHAEL MARANATHA BAPTIST CHURCH 04/19/16 BRUCE RAFALSON LTD ROSARIO CIBELLA 560 18WC 09164 PERRIN, CHARLOTTE UCI-FRAM AUTOBRANDS 02/01/18 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 561 18WC 09318 QUALLS, BRITTANY L GENESCO, INC. 09/07/15 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 562 18WC 09372 HILL, DAVID LAKESIDE TRANSPORTATION 03/16/18 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 563 18WC 09438 HUCKER, WENDY AON HEWITT 08/10/17 DUDLEY & LAKE LLC 564 18WC 09492 ROSA, ALBA MIRIAM SEL SCHWEITZER 06/23/17 THOMAS J STIBERTH LAW OFFI KRAKER FANNING & OLSEN 565 18WC 09631 TEAMER, TIFFANY STATE OF ILLINOIS ANN KIL @ 01/16/18 CORNFIELD & FELDMAN KRISTIN LEASIA 566 18WC 09696 BREMER, MARK TRADESMAN INTERNATIONAL I 11/30/17 ANKIN LAW OFFICE RODDY LAW LTD 567 18WC 09705 GUIFARRO, DEIME NAVY EXCHANGE 05/28/15 DAMISCH & DAMISCH LTD 568 18WC 09765 LOWE, NOLAN DURHAM SCHOOL SERVICES 02/06/18 SCHACTER, JEROME & ASSOC L 569 18WC 09852 JOHNSON, SAM E ADVANCED DISPOSAL SVS INC 12/11/17 DOUGLAS RALLO PC INMAN & FITZGIBBONS 570 18WC 09895 JOHNSON, BRANDON J R&D THIEL, INC 09/18/17 LINN, CAMPE & RIZZO LTD WIEDNER & MCAULIFFE LTD 571 18WC 09898 CERVANTES, MARIA MEDLINE INDUSTRIES 10/18/17 SALVATO O'TOOLE FROYLAN GAROFALO SCHREIBER STORM GRA 572 18WC 10041 WAXMAN, CHARLA NICASA BEHAVIORAL HEALTH 12/05/17 SANDMAN LEVY & PETRICH 18WC031746 -C 573 18WC 10142 INES, ELOISA ALLSTAFF 01/03/18 WOODRUFF & JOHNSON 574 18WC 10348 MERZ, MEGAN THE GYMNASTICS SPOT 06/19/17 DUDLEY & LAKE LLC JOSEPH MARCINIAK 575 18WC 10510 MARKS, RONALD THE KENAN ADVANTAGE GROUP 01/30/18 ANKIN LAW OFFICE 576 18WC 10539 ARTEAGA, ISRAEL PERMACO INC. 10/19/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 577 18WC 10638 ESTRADA, GREGORIO MEDLINE 01/22/18 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM GRA 578 18WC 10730 GARCIA, GABRIELA ECHO, INC 02/28/17 KATZ FRIEDMAN EAGLE ET AL WOLF LAW LTD 18WC010731 -C 579 18WC 10779 ESCABAR, JOSE MEDINA SIGMA SERVICES CORPORATIO 03/21/18 SOSTRIN AND SOSTRIN PC 580 18WC 10851 RONCONE, LINDSAY PATTEN CAT 01/19/18 TARADASH LAW OFFICE GAROFALO SCHREIBER STORM GRA 581 18WC 11005 UNREIN, AUSTIN MCDONALD'S 03/29/18 582 18WC 11254 MERINO, AURORA RJB PROPERTIES, INC 03/09/18 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 583 18WC 11322 LEDAIN, WANDA G SIX FLAGS GREAT AMERICA 11/04/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC 584 18WC 11326 VESELI, HAYMET TEMPS NOW 02/10/18 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 585 18WC 11364 VAZQUEZ, JORGE A L HANSEN MANUF 11/10/16 LINN, CAMPE & RIZZO LTD 586 18WC 11382 MILLER, KEVIN VILLAGE OF MUNDELEIN 04/02/18 HUGHES SOCOL PIERS RESNICK POWER & CRONIN LTD 587 18WC 11415 CISKOWSKI, ROBERT ADVOCATE HEALTH CARE 07/27/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 588 18WC 11512 COMERFORD, ROBIN THE BIRCHWOOD CLUB 01/08/18 DUDLEY & LAKE LLC NOBLE & ASSOCIATES PC 589 18WC 11565 LOPEZ, ALFREDO H TEMPSNOW 12/18/17 DEPAOLO & ZADEIKIS 590 18WC 11622 BARRY, LORA FEDEX GROUND 08/12/17 MINKOW DOMIN KOPKA, PINKUS DOLIN, PC 18WC011623 -C 591 18WC 11697 ESPINOZA, RAY RON'S STAFFING SERVICES 04/11/18 SANDMAN LEVY & PETRICH KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 592 18WC 11746 PATINO, LAURA R UPS 11/20/17 LINN, CAMPE & RIZZO LTD ASA LAW GROUP 593 18WC 11752 RIVERA, ANSELMO WAUKEGAN STEEL 06/20/16 MC HARGUE & JONES 18WC011753 -C 594 18WC 11803 SMOTHERS, WENDY L TESTING SERVICES CORPORAT 08/04/17 LINN, CAMPE & RIZZO LTD 595 18WC 12124 CORTEZ, SINDY LAKE COUNTY HEALTH DEPT 03/21/18 STEWART C ORZOFF SMITH AMUNDSEN LLC 596 18WC 12187 GONZALEZ, JAVIER LOPEZ MUTUAL SVCESOF HIGHLND PR 10/26/15 DUDLEY & LAKE LLC 597 18WC 12220 CLAVEY, JOAN THE VILLAGE OF WADSWORTH 07/18/17 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 598 18WC 12246 HOWARD, FREDDIE L SURESTAFF, INC 04/17/18 ANKIN LAW OFFICE LOUIS MUNDY 599 18WC 12456 PONTON, KINGSLEY IL DEPT OF TRANSPORTATION @ 04/12/18 DWORKIN AND MACIARIELLO KRISTIN LEASIA 600 18WC 12475 ACOSTA, EFRAIN JASON, INC 03/29/18 DOUGLAS RALLO PC 601 18WC 12690 MICHNA, JANET MARIO TRICOCI 10/19/17 RANDALL A. WOLFF & ASSOC HOLECEK & ASSOCIATES 602 18WC 12871 MYERS, DAVID VILLAGE OF MUNDELEIN 10/13/17 HUGHES SOCOL PIERS RESNICK POWER & CRONIN LTD 603 18WC 12916 GROGAN, TERI HORIZON GROUP MGMT CORP. 01/22/18 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 18WC012917 -C L.B. ANDERSON & CO. INC. 604 18WC 13111 PETERSDORF, JORDAN HOME TOWNE ELECTRIC INC 11/02/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 605 18WC 13153 VALEK, JAMES ESTES EXPRESS LINES 09/16/16 ASHER, RAYMOND L LTD 606 18WC 13249 ARCEO, FRANCISCO COPENHAVEN CONSTRUCTION, 03/30/18 TARADASH LAW OFFICE EDWARD J. KOZEL 607 18WC 13363 LANIER, SYLVIA BURLINGTON INC 07/15/17 STEINBERG, POLACEK & GOODM 608 18WC 13470 NOTTER, MARY DOVENMUEHLE MORTGAGE INC 04/06/18 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 609 18WC 13524 DELANEY-HINES, LISA ZION ELEMENTARY SCHOOL DI 04/13/18 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 610 18WC 13656 KISER, MICHAEL KCF ENTERPRISES, DBA THE 01/09/18 LEE A CAMPBELL LAW OFFICE RUSIN & MACIOROWSKI LTD 611 18WC 13794 BURCHETT, GERRY RAY CHEVROLET 03/06/18 CAPRON & AVGERINOS PC GANAN & SHAPIRO 612 18WC 13821 MOORE, JOHN STATE OF IL STUDENT ASSIS @ 04/25/18 ANKIN LAW OFFICE KRISTIN LEASIA 613 18WC 13856 HEINZ, MADONNA BROOKDALE HAWTHORN LAKES 04/01/18 SCOTT B SHAPIRO HENNESSY & ROACH PC 614 18WC 14004 RICHARD, DESMOND SKYWEST AIRLINES 01/15/18 SHEA LAW GROUP 615 18WC 14079 OCAMPO, LAURA PSL HOLDINGS, LLC AND 12/22/17 EPSTEIN, JACK R LAW OFFICE 616 18WC 14470 GARCIA, CESAR CITY OF WAUKEGAN 02/07/18 LINN, CAMPE & RIZZO LTD 617 18WC 14537 SPRATT, KAREN SODEXO, INC 04/11/18 STEVEN J MALMAN & ASSOCIAT INMAN & FITZGIBBONS 618 18WC 14619 LUNA, JEREMY AMAZON 04/06/18 LINN, CAMPE & RIZZO LTD 619 18WC 14694 HORCASITAS, JUAN METALEX 09/20/17 DOUGLAS RALLO PC LAWRENCE COZZI - LAW OFFICE 620 18WC 14965 TAYLOR, CLIFF TOUR GREENS CHICAGO 03/20/18 COSTA IVONE LLC 621 18WC 15128 MACDONALD, STEVEN HOWE SECURITY INC 04/07/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 622 18WC 15429 DOYLE, MADELEINE LAKE BLUFF CRAFT BREWING 03/03/18 RITTENBERG BUFFEN 623 18WC 15493 VELASCO, STEPHANIE BANFIELD PET HOSPITAL 12/16/17 HANNIGAN & BOTHA, LTD 624 18WC 15520 BERMAS, ROGELIO CDW 06/12/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 625 18WC 15583 GRASSEL, STEPHANIE GRAINGER 02/15/18 KUMLIN & FROMM ASA LAW GROUP 626 18WC 15723 BENNECKE, GERALD VILLAGE OF LAKE VILLA 05/08/18 DUDLEY & LAKE LLC NYHAN BAMBRICK KINZIE & LOWR 627 18WC 15838 BRAZE, RICHARD EAGLE EXPRESS LINE 07/13/16 ROSS TYRRELL 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 HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 628 18WC 15919 HENNING, MARCY JEWEL OSCO 04/19/18 JOHN M BORCIA LAW OFFICE 629 18WC 15950 CASAREZ, RICHARD ALLSTAFF MNGEMNT REGISTRY 05/17/18 ASHER, RAYMOND L LTD 630 18WC 16059 AYALA, RIGOBERTO OVERLAND LANDSCAPE COMPAN 05/04/18 JOHN S. ELIASIK POWER & CRONIN LTD 631 18WC 16126 MARSHALL, CHARLOTTE PROTECTIVE ASSET PROTECTI 09/19/17 DWYER & COOGAN 632 18WC 16293 OLKER, JESSICA HOME DEPOT 05/17/18 GOLDBERG WEISMAN & CAIRO L ADELSON TESTAN BRUNDO 633 18WC 16377 WALKER, BRUCE MENARD INC 03/01/18 ANKIN LAW OFFICE 634 18WC 16421 WILCZEWSKI, ALAN CHICAGO COOLING TOWERS 12/27/17 ASHER, RAYMOND L LTD HENNESSY & ROACH PC 19WC008023 -C 635 18WC 16453 STACHOWICZ, PAWEL FLOORING RESOURCES CORPOR 01/31/17 WIEDNER & MCAULIFFE LTD 636 18WC 16474 RIGNEY, RAYMOND T. MOONCOTCH, INC 04/10/18 OWENS & LAUGHLIN LLC 637 18WC 16782 SVACHULA, PETER MARCUS LEMONIS, LLC 05/26/18 CORBOY & DEMETRIO PC NYHAN BAMBRICK KINZIE & LOWR 638 18WC 16918 MAITLAND, WILLIAM METALEX 05/10/18 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 639 18WC 16991 FRYE, TIFFANY L ALDI, INC 05/04/18 LINN, CAMPE & RIZZO LTD 640 18WC 17023 GARCIA, VICTOR BG STAFFING 10/16/17 HERRERA LAW CENTER SLAVIN & SLAVIN 641 18WC 17082 COLOSIMO, JAMES USAGAIN, LLC 05/17/18 GOLDBERG WEISMAN & CAIRO L JOSEPH MARCINIAK 642 18WC 17164 GARCIA, LUISA MARIA TERMAX AUTOMOTIVE COMPANY 02/26/18 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 643 18WC 17199 GUERRERO, ALFREDO BIG TRUCK REPAIR INC 05/17/18 LINN, CAMPE & RIZZO LTD PAUL O WATKISS 644 18WC 17228 VEGA, GUADALUPE STAFF RIGHT, LLC 08/24/17 MC ANDREWS & NORGLE LLC 645 18WC 17430 RASMUSSEN, BRIAN PEAPOD 02/14/18 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 646 18WC 17468 VILLAFANA, GUILLERMO MRK INDUSTRIES, INC 05/11/18 DOUGLAS RALLO PC RODDY LAW LTD 647 18WC 17525 JOHNSON, EARLE CITY OF WAUKEGAN 06/07/18 ATSAVES, LOUIS G LTD NYHAN BAMBRICK KINZIE & LOWR 648 18WC 17595 KNIGHT, TIMOTHY E ZION BENTON TOWNSHIP 01/09/17 ANKIN LAW OFFICE 649 18WC 17875 FORKIN, THOMAS J AT&T 04/30/18 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 18WC017876 -C 650 18WC 17922 PINSKI, JOHN LAKE COUNTY FACILITIES 03/18/18 MARSZALEK AND MARSZALEK SMITH AMUNDSEN LLC 651 18WC 18003 HALLORAN, NORA WALMART SUPERCENTER 01/14/18 RIDGE & DOWNES GANAN & SHAPIRO 652 18WC 18269 PENA, CESAR SMART TEMPS INC 06/05/18 HERRERA LAW CENTER QUINTAIROS PRIETO WOOD & BOY 653 18WC 18383 GRATZ, MICHAEL A IDOT 04/30/18 LINN, CAMPE & RIZZO LTD KRISTIN LEASIA 654 18WC 18393 FAHLSING, ROBERT C ELITE STAFFING 04/20/18 LINN, CAMPE & RIZZO LTD 655 18WC 18414 BOULRECE, KEIOSHA ALLENDALE ASSOCIATION, IN 06/02/18 WHITESIDE & GOLDBERG LTD 656 18WC 18476 GUERRERO, ANGELICA WAUKEGAN SCHOOL DIST 60 05/14/18 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 657 18WC 18499 VANDERGRIFF, JEAN E ST JOSEPH SCHOOL 04/04/18 DOUGLAS RALLO PC 658 18WC 18538 COLLEY, JAMALL GREAT WOLF RESORTS 06/16/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 659 18WC 18675 STEPHENS, DEWAUN EXPRESS EMPLOYMENT 06/19/18 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 18WC019893 -C 660 18WC 18738 PELAS, KRISTINE LINDENHURST RESTAURANT GR 03/02/17 DAVID DEL RE 661 18WC 18819 ZSIDO, BRANDON KELSO-BURNETT 03/27/18 KROL BONGIORNO & GIVEN LTD CACCHILLO LAW GROUP LLC 18WC018820 -C 662 18WC 18926 SALGADO, MARIA SPRINGS WINDOW FASHIONS, 07/03/17 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 663 18WC 18994 KIZIOLEK, WOJCIECH AUDI EXCHANGE 01/29/18 MC HARGUE & JONES ROSARIO CIBELLA 664 18WC 19085 MAY, JASON M VILLAGE OF GURNEE 07/12/17 LINN, CAMPE & RIZZO LTD 665 18WC 19137 MATUS, FLOR ALLSTAFF STAFFING & RECRU 06/13/18 STAVINS & ASSOCIATES 666 18WC 19316 KEENUM, MICHAEL PLEXUS CORP 05/17/18 GRAHAM J. JEEP ACCIDENT FUND HOLDINGS 667 18WC 19342 ALBA, ANTONIO CHICAGO TAG & LABEL INC 05/30/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 18WC030370 -C 668 18WC 19596 RIZZI, NICHOLAS T&M INSTALLATION INC 03/27/17 HORWITZ HORWITZ & ASSOC 669 18WC 19712 KRUCKENBERG, KEITH WORLDWIDE FARMS 01/25/18 LUSAK AND COBB 670 18WC 19879 SWANSON, PAIGE MIDTOWN ATHLETIC CLUB 06/16/18 NILSON STOOKAL GLEASON CAP 671 18WC 19942 HAWKER, MICHELLE AON 06/05/18 NEWLAND & NEWLAND BRADY CONNOLLY & MASUDA PC 672 18WC 20150 BAEZA, JOSE ANTONIO PARTYTIME HDO OPERATIONS, 06/17/18 AIOSSA LAW FIRM 673 18WC 20227 CHAVEZ, VERONICA SUMMIT STAFFING INC 07/20/16 COHN & COHN 674 18WC 20483 GUZMAN, MARTHA ALLSTAFF 04/24/18 DAVID J. BAWCUM SLAVIN & SLAVIN 675 18WC 20486 QUINTANA, RAUL AL HANSEN MANUFACTURING, 04/12/18 DAVID J. BAWCUM 676 18WC 20630 JONES, ALONA RANDSTAD STAFFING 06/22/18 MARKS INJURY LAW 677 18WC 20966 GARCIA, ROSALBA HARGER LIGHTNING 02/22/17 JACKOWIAK LAW OFFICES 678 18WC 21178 MASLO, TOMASZ P&L CONSTRUCTION SERVICES 06/28/18 ALEKSY BELCHER 679 18WC 21310 RICH, JOHN P AMAZON.COM, INC 07/06/18 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 680 18WC 21422 POPPE, RICHARD AUTONATION TOYOTA LIBERTY 09/11/15 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 681 18WC 21596 SANDOVAL, VICTOR WALTER PAINTING & SERVICE 06/19/18 HERRERA LAW CENTER 682 18WC 21762 LOPEZ, JAMIE RUE 21 07/16/18 TAXMAN POLLOCK 683 18WC 21825 CASTREJON, JULIO ABBVIE, INC AND TEMPS NOW 06/20/18 GRAHAM J. JEEP 684 18WC 21944 ZEPEDA, CARLOS ALFREDO RIVERA 03/10/18 EPSTEIN, JACK R LAW OFFICE 685 18WC 21950 KEMPF, KEVIN BROWN PAPER GOODS 06/29/18 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 686 18WC 22008 PATTON, SEAN MULTIMEDIA SALES & MARKET 06/21/18 DWORKIN AND MACIARIELLO 687 18WC 22040 DIAZ, MODESTO Z&L MACHINING, INC 04/10/17 MARKS INJURY LAW ROSARIO CIBELLA 18WC022041 -C 688 18WC 22282 SHEBESTA, CHARLES P NEW ALBERTSON'S D/B/A 06/09/18 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 689 18WC 22451 VERMILLION, JOSEPH C ILLINOIS TOLLWAY 06/10/18 HANNIGAN & BOTHA, LTD 690 18WC 22501 PAWILAN, BERNICE BUTERA FRESH MARKETS 06/20/18 SANDMAN LEVY & PETRICH CHILTON YAMBERT PORTER LLP 691 18WC 22566 EWING, EDWARD ROAD SAFE TRAFFIC SYSTEMS 07/13/18 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 692 18WC 22615 GARCIA, JESSIE SURESTAFF, INC 07/05/18 ANKIN LAW OFFICE LOUIS MUNDY 693 18WC 22726 JENKINS, INDIA KELLY SERVICES INC 05/30/18 FRANKS, GERKIN & MCKENNA P BRADY CONNOLLY & MASUDA PC 694 18WC 22801 VALADEZ, EFREN HEATHER RIDGE UMBRELLA AS 05/29/18 DOUGLAS RALLO PC WOLFE & JACOBSON, LTD 695 18WC 22804 KANAROWSKI, MARK D OWENS & MINOR, INC 09/24/17 LINN, CAMPE & RIZZO LTD 696 18WC 22819 MARTINEZ, ALEJANDRO TERMAX CORPORATION 07/14/18 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 697 18WC 22836 APARICIO, SANDRA ECHO INC 07/17/18 KATZ FRIEDMAN EAGLE ET AL SLAVIN & SLAVIN 698 18WC 22926 MARTINEZ, MARTHA FEDEX GROUND 04/05/17 BOTTO GILBERT KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 699 18WC 23075 PALAITH, CARRIE STONEBRIDGE OF GURNEE 07/15/18 DWORKIN AND MACIARIELLO 700 18WC 23160 EDWARDS, LORETTA NEMERA BUFFALO GROVE, LLC 05/01/18 ROBERT WARSASKI JOSEPH MARCINIAK 701 18WC 23195 MAXWELL, MARY CATHERINE LITTLE LADY FOODS-PARAMOU 05/26/18 TAMVAKIS, GEORGE L 702 18WC 23360 ADAMS, WILLIAM ACCURATE PERSONNEL LLC 08/10/17 COHN & COHN JOHN T GONNELLA 703 18WC 23431 SIERRA, NORA L LARA CARDINAL HEALTH 02/13/17 DOUGLAS RALLO PC HENNESSY & ROACH PC 18WC023432 -C 704 18WC 23581 CORONA, JESSICA ADVOCATE CONDELL MEDICAL 06/30/18 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 705 18WC 23603 GONZALEZ, ANTONIO TERMAX 05/02/18 SCOTT BARBER INMAN & FITZGIBBONS 706 18WC 23720 UTLEY, EDDIE PERFORMANCE FOOD GROUP 09/19/17 DAVID J. BAWCUM 707 18WC 23799 SCHUH, PETER AT&T, INC 04/16/18 GOLDBERG WEISMAN & CAIRO L 708 18WC 23867 WATKINS, CARMEN BAYSIDE TERRACE, LLC 06/29/18 JASON HAUCK 709 18WC 23914 ROMERO-MONROY, MARIA ISAB TERMAX CORPORATION 03/02/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 710 18WC 23915 GIBSON, GLORIA SUNRISE SENIOR LIVING 07/16/18 DWORKIN AND MACIARIELLO 711 18WC 24086 GONZALEZ, NORMA ARAMARK 06/15/18 STROM & ASSOC STONE & JOHNSON CHARTERED 712 18WC 24235 RYAN, TIMOTHY SHEET METAL SUPPLY 08/06/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 713 18WC 24309 LEBARON, CAILIN BUTERA MARKET 04/07/18 TAMVAKIS, GEORGE L CHILTON YAMBERT PORTER LLP 714 18WC 24381 MARTINEZ, MARIA JM ELITE SERVICES 07/05/18 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 715 18WC 24430 RODRIGUEZ, LAURA LITTLE LADY FOODS 06/04/18 DUDLEY & LAKE LLC SPIEGEL & CAHILL, PC 716 18WC 24587 GONZALEZ, CHONITO BRENTWOOD NORTH HEALTHCAR 07/31/18 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 717 18WC 24886 MCKNIGHT, ARACELIS ANN KILEY CENTER @ 01/13/18 PAUL F SERKLAND KRISTIN LEASIA 718 18WC 24964 GASPAR, ISRAEL THE EXCEL GROUP 08/08/18 AIOSSA LAW FIRM SLAVIN & SLAVIN 719 18WC 25017 RODAMMER, JEAN NORTHWESTERN MEDICINE 11/01/17 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 720 18WC 25056 MOFFATT, DENNIS PLC 03/14/18 DUDLEY & LAKE LLC 721 18WC 25264 MACELLA, NICHOLAS REEF DR 08/08/18 DUDLEY & LAKE LLC 722 18WC 25298 HUNT, CLEMTEEN GOODWILL INDUSTRIES 08/14/18 AIOSSA LAW FIRM 723 18WC 25352 GONZALEZ, KARINA R US INCOPORATED DBA PHAR 07/27/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 724 18WC 25374 CARTAGENA, EDUIN KILDEER COUNTYSIDE DISTRI 05/23/18 GOLDSTEIN BENDER & ROMANOF 725 18WC 25382 GUTIERREZ, JULIA M LEICA MICROSYSTEMS 02/16/18 LINN, CAMPE & RIZZO LTD GILDEA, COGHLAN & REGAN LTD. 726 18WC 25584 ALANIS, AMERICA VILLAGE OF ROUND LAKE BEA 08/02/18 O'CONNOR & NAKOS 727 18WC 25611 JOHNSON, TRACEY ZION ELEMENTARY SCHOOL DI 04/13/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 728 18WC 25707 NUNEZ, OSVALDO EBBEN MASONRY, INC 02/01/18 SALGADO, DAVID L LITCHFIELD CAVO 729 18WC 25727 SCOTT, PHILLIP M ANN M KILEY CENTER 07/19/18 LINN, CAMPE & RIZZO LTD ASSISTANT ATTY GENL 730 18WC 25824 LOPEZ, DANIEL STERICYCLE 12/04/17 O'CONNOR & NAKOS HENNESSY & ROACH PC 731 18WC 25918 RICHARDSON, DAVID US REFRIGERATION SALES & 08/01/18 DAVID W MARTAY 732 18WC 26046 PFEIFFER, ANTHONY SILGAN EQUIPMENT CO 07/23/18 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD 733 18WC 26219 ARREDONDO, ROSENDO R LORIG CONSTRUCTION COMPAN 08/03/18 ROBERTO ACEVEDO GAROFALO SCHREIBER STORM GRA 734 18WC 26336 CASTILLO JARILLO, DANIEL ACRES ENTERPRISES D/B/A 08/24/18 JONATHAN SCHLACK ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 735 18WC 26576 RAINES, DEBRA DAVIDSON PARAMOUNT STAFFING 08/16/18 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 736 18WC 26670 TATE, SHELIA FOSS PARK DISTRICT 08/02/18 JAMES ELLIS GUMBINER & ASS RUSIN & MACIOROWSKI LTD 737 18WC 27048 FRANKS, JEFFREY WANXIANG BANNOCKBURN LLC 08/17/18 DUDLEY & LAKE LLC JOSEPH MARCINIAK 738 18WC 27119 FIGUEROA, BRENDA BRIGHTSTAR US 08/23/18 KATZ FRIEDMAN EAGLE ET AL 739 18WC 27152 TAZBAZIAN, NADER BEAR DOWN LOGISTICS 07/30/18 JAMES ELLIS GUMBINER & ASS 740 18WC 27197 MOYO, GLADYS VCR SENIOR CARE DBA COMFO 04/27/18 HANNIGAN & BOTHA, LTD 741 18WC 27264 GONZALEZ, SONIA WIRELESS CHOICE, LLC 07/24/18 DAVID J. BAWCUM MC ANDREWS & NORGLE LLC 742 18WC 27480 MORALES, ROSARIO ITW CONSTRUCTION PRODUCTS 08/28/18 STEVEN B SALK & ASSOC LTD HENNESSY & ROACH PC 743 18WC 27704 MURRAY, CHARLES BBQ'D PRODUCTIONS 06/29/18 HORWITZ HORWITZ & ASSOC 744 18WC 27841 MAHMOOD, FAZIL AMAZON 07/01/18 TRENT LAW FIRM PC 745 18WC 28140 FLORES, TELESFORA ELITE STAFFING 09/07/18 MC HARGUE & JONES 746 18WC 28205 KELLY, LINDSEY EINSTEIN BROS. BAGELS 08/10/18 HANNIGAN & BOTHA, LTD LAWRENCE COZZI - LAW OFFICE 747 18WC 28316 CAMPBELL, RICHARD A TERMAX CORPORATION 11/22/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 748 18WC 28341 RIZNYK, ANDREA L SURESTAFFINC 05/15/18 ANKIN LAW OFFICE LOUIS MUNDY 749 18WC 28438 REIMHOLZ, CANDICE ATHLETICO OF GRAYSLAKE, L 05/24/18 MARKHAM M JEEP & ASSOCIATE 750 18WC 28493 MONTEON, MIGUEL WORLD WIDE FITTING 11/21/17 ACEVES & PEREZ PC 751 18WC 28641 MATA, JESSE A LOCAL ROOFING CO, INC 04/10/18 ALEKSY BELCHER 752 18WC 28658 MCALEVY, BONNIE PEDIATRIC THERAPY SRVS, L 09/12/18 STONE & MAYA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 753 18WC 28693 CONTRERAS, LUIS PETCO 01/13/17 DOUGLAS RALLO PC HOLECEK & ASSOCIATES 754 18WC 28734 PLASCENCIA, EPIGMENIO CITY OF WAUKEGAN 08/17/18 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 755 18WC 28783 HAMM, TRAVIS GREAT LAKES COCA-COLA 08/13/18 MARKHAM M JEEP & ASSOCIATE 756 18WC 28845 CHRISTENSEN, KIMBERLEE AMAZON.COM, INC 03/02/18 MARKHAM M JEEP & ASSOCIATE WIEDNER & MCAULIFFE LTD 757 18WC 28973 SKARBEK, NIKKI HALLMARK MARKETING CO, LL 08/15/18 DESTEFANO, ROBERT A & ASSO BRADY CONNOLLY & MASUDA PC 758 18WC 29052 GONZALEZ, EVERARDO CRUZ Q & Q SERVICES 08/30/18 HERRERA LAW CENTER QUINTAIROS PRIETO WOOD & BOY 759 18WC 29177 MULLIN, MAKIA J COUNCIL FOR JEWISH ELDERL 09/22/18 ANKIN LAW OFFICE 760 18WC 29258 SAMANO, EDUARDO FALCON ELECTRIC INC. 09/10/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 761 18WC 29462 AGUIRRE, DONALD NEW ENGLAND MOTOR FREIGHT 08/30/17 LEAHY, JAMES P 762 18WC 29516 SONDEJ, MATTHEW H VILLAGE OF GURNEE 02/06/18 LINN, CAMPE & RIZZO LTD 763 18WC 29523 SCHUBERT, WALTER P INSPECTOR TRAINING INC D/ 05/21/18 LINN, CAMPE & RIZZO LTD BRYCE DOWNEY & LENKOV LLC 764 18WC 29599 DEROHAN, ERIC NOSCO, INC 08/25/18 DUDLEY & LAKE LLC 765 18WC 29603 WALKER, BEN A.D.L. INSTALLERS 05/11/18 SANDMAN LEVY & PETRICH 766 18WC 29647 TORRES, ROBERTO WASTE MANAGEMENT, INC. 09/18/18 MARKHAM M JEEP & ASSOCIATE 767 18WC 29708 JOHNSON, COREY A MIDWEST SEAMLESS GUTTERS 12/05/16 PIGNATELLI & ASSOCIATES 768 18WC 30031 BENSER, JEAN THE VEGAS CAFE/CNKK, INC. 08/28/18 VOGG, MARK J LAW OFFICE 769 18WC 30059 BREWTON, ROXANNE QUALITY LABOR SERVICES LL 09/20/18 MARKHAM M JEEP & ASSOCIATE KOREY RICHARDSON LLC 770 18WC 30084 JIMENEZ, ROGARCIANO MARIANI LANDSCAPING 08/31/18 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 771 18WC 30161 LISSADE, LOUIS FLEXTRONICS INTERNATIONAL 09/19/18 MARK SCHAFFNER 772 18WC 30280 LOBLANCO, FRANK M ARCORP STRUCTURES, LLC 01/03/18 RUBIN LAW GROUP 773 18WC 30335 MILOSAVLJEVIC, SLAVICA WINDY CITY DELI PROVISION 03/30/17 MICHAEL HELLMAN RUSIN & MACIOROWSKI LTD 774 18WC 30402 BRANDIUK, RYSZARD C&F PACKING CO, INCC/O 02/13/18 HETHERINGTON KARPEL BOBBER 775 18WC 30574 COLON, JOSE L SOUTHERN GLAZER'S 04/24/18 LOREN S GOLDEN MACIOROWSKI SACKMANN & ULRIC 776 18WC 30705 GALVIN, DOROTHY JEWEL OSCO 07/07/18 JOSHUA KARMEL RODDY LAW LTD 777 18WC 30747 MOHEAD, ROSCOE PACE 07/13/17 GORDON & CENTRACCHIO LLC 778 18WC 30772 UDANY, GARY HILTI, INC 09/26/14 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 779 18WC 30806 FLORES PABLO DK ORGANICS 03/13/18 ANGELINI & ORI LLC LAWRENCE COZZI - LAW OFFICE 780 18WC 30854 MOGOLIAN, JORGE ALBERTO R TARGET 07/17/18 ANSELMO DURAN 781 18WC 30902 RAMIREZ GALVAN, ALMA THE SALVATION ARMY 09/07/18 THE ROMAKER LAW FIRM RODDY LAW LTD 782 18WC 31033 CHAVEZ, CARLA ECHO INC 09/27/18 WOODRUFF JOHNSON 783 18WC 31185 LABRADOR, FRANCIS ST OF IL DEPT OF HUMAN SV @ 10/03/18 LUSAK AND COBB KRISTIN LEASIA 784 18WC 31195 COLLINS, ANN BANTA APTAKSIC-TRIPP COMMUNITY 02/02/17 NILSON STOOKAL GLEASON CAP 785 18WC 31270 EVANS, ANDREW MONARCH INVESTMENTS 09/06/18 DUDLEY & LAKE LLC HENNESSY & ROACH PC 786 18WC 31490 BLOM, SAUL RANDSTAD LIFE SERVICES 03/02/18 GOLDBERG WEISMAN & CAIRO L 787 18WC 31544 NEUENFELDT, DARCY A ENERGY SOLUTIONS, LLC 03/26/18 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 788 18WC 31573 RAMIREZ, LUIS I CHALET LANDSCAPING 11/27/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 789 18WC 31670 GELHAR, HARRY LUIS NAZARIO D/B/A W 09/01/18 DUDLEY & LAKE LLC 790 18WC 31750 MCDUFFIE, SHAWN ABBOTT LABORATORIES 06/21/18 NEWLAND & NEWLAND HENNESSY & ROACH PC 15WC023992 -C 791 18WC 31862 HARDBARGER, KELLY ATI PHYSICAL THERAPY 12/27/16 O'CONNOR & NAKOS LAWRENCE COZZI - LAW OFFICE 792 18WC 32093 ALLEN, KENYACHTA ADVOCATE CONDELL MEDICAL 09/13/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 793 18WC 32229 COOK, TIMOTHY M LAKE COUNTY STORMWATER MG 10/02/18 TAMVAKIS, GEORGE L 794 18WC 32448 VAN HOOGEN, DANIEL J CITY OF WAUKEGAN 10/24/17 LINN, CAMPE & RIZZO LTD 795 18WC 32507 JORDAN, RAY IL BELL TELEPHONE CO 08/14/17 HENNESSY & ROACH PC 796 18WC 32654 SULLIVAN, KELLEY HOLLAND (YRC) 10/10/18 LEONARD LAW GROUP LLC 797 18WC 32870 OLIVER, JAMES R MATT'S COOKIE COMPANY, IN 02/07/18 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 798 18WC 32937 MARKS, SHADAUN ONE HOPE UNITED 07/15/18 GOLDBERG WEISMAN & CAIRO L 799 18WC 33117 HERNDEZ-ARAGON, JUANA QUALITY LABOR SERVICES 06/13/18 KATHERINE A. CARDENAS KOREY RICHARDSON LLC 800 18WC 33161 BRIONES, GUDELIA MVP WORKFORCES, LLC. 06/18/18 STANCZAK LAW OFFICES KOREY RICHARDSON LLC 801 18WC 33199 FIGEL, JENNIFER VARSITY BRANDS INC 07/09/12 DUDLEY & LAKE LLC LAWRENCE COZZI - LAW OFFICE 802 18WC 33277 HALL, ANDRE WAUKEGAN PARK DISTRICT 09/26/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 803 18WC 33300 ROJAS, DARIO LARSEN MANUFACTURING 10/18/18 SANDMAN LEVY & PETRICH 804 18WC 33358 REDER, MICHAEL EAGLE EXPRESS LINES INC 07/07/18 COSTA IVONE LLC INMAN & FITZGIBBONS 805 18WC 33406 FELDER, STACI WALMART 08/26/18 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 806 18WC 33542 GONZALEZ, FERNANDO NORTON SONS ROOFING CO 10/29/18 PETER LEKAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 18WC 33584 BRIDGEFORTH, TOMMIE ILLINOIS DEPARTMENT @ 10/11/18 LUSAK AND COBB KRISTIN LEASIA 808 18WC 33668 GIRON, ERICK CDW 10/26/18 HERRERA LAW CENTER HENNESSY & ROACH PC 809 18WC 33688 HERNANDEZ, SANTOS SURE STAFF 10/17/18 MARTIN V KUGIA LOUIS MUNDY 810 18WC 33761 ZIELINSKI, NICHOLAS EQUIPMENT DEPOT 11/05/18 CAPRON & AVGERINOS PC BRYCE DOWNEY & LENKOV LLC 811 18WC 33769 DEAN, MARSHALL ALLSTAFF 10/08/18 SLAVIN & SLAVIN 812 18WC 33833 CANIZALES, MARCOS GLEN ELLYN STORAGE CORP 06/16/18 MC HARGUE & JONES WOLF LAW LTD 813 18WC 33921 MENDOZA, LAURENTINO KR DRENTH TRUCKING, INC 09/24/18 MORICI FIGLIOLI & ASSOC KEEFE CAMPBELL BIERY & ASSOC 814 18WC 33937 AYON, GUILLERMINA ISS FACILITY SERVICES, IN 10/31/18 SALVATO O'TOOLE FROYLAN HENNESSY & ROACH PC 815 18WC 34091 VERGARA, LISELI LAKE COUNTY PRESS, INC 07/17/18 JONATHAN SCHLACK 816 18WC 34132 HUERTA, ELIAS POPEYE'S LOUISIANA KITCHE 08/21/18 HERRERA LAW CENTER 817 18WC 34269 HAYES, JERMAINE WESTROCK 07/21/18 DWORKIN AND MACIARIELLO 818 18WC 34277 MATULIS, ROMAS MEADE ELECTRIC COMPANY 10/15/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 819 18WC 34338 QUINN, PAUL KENGENELK DELIVERY SERVIC 02/16/18 DAVID J. BAWCUM GANAN & SHAPIRO 820 18WC 34384 REHN, JON PANACEA PRODUCTS CORP 06/21/18 CAPRON & AVGERINOS PC LAWRENCE COZZI - LAW OFFICE 821 18WC 34423 ORDONEZ, DARIEL CNC LOGISTICS, INC. 11/15/18 KARNO, MARK L & ASSOC 822 18WC 34529 PORTER, DENNY RICHARD NORTH CHICAGO CUSD #187 10/07/17 WIEDNER & MCAULIFFE LTD 823 18WC 34567 REYES, MIGUEL ATLAS EMPLOYMENT 10/23/18 HERRERA LAW CENTER GAIDO & FINTZEN 824 18WC 34607 MIRANDA, GLORIA A REALTY MANAGEMENT PARTNER 10/11/18 LINN, CAMPE & RIZZO LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 18WC 34647 MARTINEZ, FELIX MARIANI LANDSCAPE 08/10/18 KATZ FRIEDMAN EAGLE ET AL 826 18WC 34692 HARRIS, JASMINE CNC LOGISTICS 11/19/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 827 18WC 34723 BRYA, TIMOTHY CBRE, INC 09/24/18 GOLDBERG WEISMAN & CAIRO L KRAKER FANNING & OLSEN 828 18WC 34889 KLINCIK, KEVIN SUPERIOR AIR GROUND AMBUL 03/21/18 POWER & CRONIN LTD 829 18WC 35021 MCGHEE, WILLIE GREAT LAKES RESOURCES 09/01/18 MARC J SHUMAN & ASSOCIATES LAWRENCE COZZI - LAW OFFICE 830 18WC 35051 STORCZER, GEORGE WHITMORES WRECKERS SERVIC 09/27/18 TAMVAKIS, GEORGE L 831 18WC 35126 TORTORELLA, JOSEPHINE GAGES LAKE SCHOOL (SEDOL) 11/06/18 GOLDBERG WEISMAN & CAIRO L 832 18WC 35156 DULMAGE, DAVID ARLYN DAY SCHOOL 11/02/18 ERIC H CHECK, LAW OFFICES BRADY CONNOLLY & MASUDA PC 833 18WC 35177 RODRIGUEZ, JESSICA R COUNCIL FOR JEWISH ELDERL 11/10/18 ANKIN LAW OFFICE 834 18WC 35246 BROWN, LAQUITA ALLENDALE ASSOCIATION 05/20/18 DWYER & COOGAN WOLF LAW LTD 835 18WC 35265 CAMPOS, PATRICIA MENARDS 12/02/17 DEPAOLO & ZADEIKIS 836 18WC 35314 HARRIS, HEIDI PNC BANK 07/31/18 ARGIONIS & ASSOCIATES LLC 837 18WC 35356 BRADLEY, ERIC ALDRIDGE ELECTRIC INC 12/13/17 HANNIGAN & BOTHA, LTD 838 18WC 35484 BLACK, BETH LIEBERMAN MGMT CORP 01/24/17 BOGUSZ & BOGUSZ LTD 839 18WC 35620 CULBERSON, KEITH AMERICAN OUTFITTERS 11/22/17 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH 840 18WC 35832 TARQUINO, HERNAN BG STAFFING, D/B/A IN STA 11/11/18 COSTA IVONE LLC 841 18WC 35902 CURRA, EDWARD CARDINAL HEALTH 09/21/18 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 842 18WC 35997 DARAMOLA, MAGRET LYDIA HEALTHCARE CENTER 09/02/18 JASINSKI, GEORGE J

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 18WC 36099 GRAY, SIMEKO MCDONALD'S 11/28/18 DWORKIN AND MACIARIELLO 844 18WC 36316 ZWIERZYNSKI, ELIZABETH LIBERTY AUTO CITY, INC 07/28/16 BRADY CONNOLLY & MASUDA PC 845 18WC 36424 BELLICH, TRICIA KOPKA PINKUS & DOLIN 11/17/16 SCHREINER MALLOY & ETZLER HENNESSY & ROACH PC 846 18WC 36478 GABEL, CHERYL ALL SUBURBAN DRIVING SCHO 08/17/18 AIOSSA LAW FIRM LAWRENCE COZZI - LAW OFFICE 847 18WC 36562 MCAULIFF, PATRICK MARRIOTT INTERNATIONAL IN 01/25/18 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 848 18WC 36637 CASTILLO, NICHOLAS THE FISHER BURTON COMPANY 11/23/16 DAVID J. BAWCUM FRIEDRICH LAW LLC 849 18WC 36675 CHIAPPETTA, ADAM CITY OF NORTH CHICAGO 12/07/17 HENNESSY & ROACH PC 850 18WC 36782 AVILA, MARIO LEWIS PRODUCE 06/03/18 KOPKA, PINKUS DOLIN, PC 851 18WC 36823 ESPINOZA, MARIA DE LOURDE ROSBOROUGH PARTNERS, INC. 07/20/18 BRADY CONNOLLY & MASUDA PC 852 18WC 36977 RETTIG, MARC A WESTINGHOUSE ELECTRIC CO 01/21/16 CHILTON YAMBERT PORTER LLP 853 18WC 37021 CLARK, JACOB SERVICE SANITATION 07/01/16 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL BIERY & ASSOC 854 18WC 37127 VALENCIA, MAGDALENA WW DISPLAYS, INC 08/27/18 SKLARE LAW GROUP 855 18WC 37175 HOWARD, JAYE CHICAGO BEARS FOOTBALL CL 08/12/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 856 18WC 37201 BANEGAS, LESLIE GUADALUPE AMERIMARK FKAL.T.D. 11/06/18 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 857 18WC 37312 GEORGE, JEFFREY FRESENIUS KABI USA, LLC 09/12/18 KENNETH FISHMAN HOLECEK & ASSOCIATES 858 18WC 37382 HILSON, ROSE E KINDERCARE 09/19/18 JAMES ELLIS GUMBINER & ASS 859 18WC 37477 MARTINEZ-FELIPE, LOUIS MEDLINE INDUSTRIES, INC 10/09/18 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM GRA 860 18WC 37481 BEGIN, EVAN M MERIT CONTRACTORS, LLC 08/14/18 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 861 18WC 37526 MILLER, TINA STONEBRIDGE OF GURNEE 07/22/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 862 18WC 37549 FISHER, VICTOR S CITY OF NORTH CHICAGO 08/03/17 ROSS TYRRELL HENNESSY & ROACH PC 863 18WC 37563 MILLER, DAVID GURNEE PARK DISTRICT 01/26/16 SEIDMAN MARGULIS & FAIRMAN 864 18WC 37615 MITCHELL, CHARLES E GREATER ROUND LAKE FIRE 05/02/17 THOMAS W DUDA INMAN & FITZGIBBONS 865 18WC 37663 ROSALES, MARIA FRONTIER SOUPS 05/20/16 DUDLEY & LAKE LLC 18WC037677 -C 866 18WC 37703 MORDINI, PETER DEERFIELD HIGH SCHOOL 01/16/17 DUDLEY & LAKE LLC 867 18WC 37799 SALAZAR TORRES, ROBERTO SPRINGS WINDOW FASHIONS,L 10/30/18 COSTA IVONE LLC RODDY LAW LTD 868 18WC 37822 CHRISTOPHERSEN, KEITH PEAK PLUMBING 11/27/18 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 869 18WC 37954 GARZA, MARTIN GALASSINI & ORI CONSTRUCT 09/04/18 LINN, CAMPE & RIZZO LTD 870 18WC 38100 HARRINGTON, DANIEL PEDCOR MANAGEMENT 11/26/18 TAMVAKIS, GEORGE L 871 18WC 38140 MAROULIS, MICHELE HERE'S WINGS VERNON HILLS 08/17/18 JAMES H MILLER JR 872 18WC 38243 GONZALEZ, ELIGIO COMMERCIAL PLASTICS 12/04/18 GERALD CONNOR 873 18WC 38294 POPOCA, JERONIMO SANCHI LANDSCAPE CONCEPTS 11/30/18 JOHN S. ELIASIK BRADY CONNOLLY & MASUDA PC 874 18WC 38367 SCHULTZ, KARISTA JEWEL OSCO 11/15/18 TARADASH LAW OFFICE 875 18WC 38477 SANTOS, CARLOS SUPER FRESH MARKET 12/23/18 DWORKIN AND MACIARIELLO 876 19WC 00058 BARDESI, LUIS BANNER PLUMMING SUPPLY 06/25/14 KARLIN FLEISHER & FALKENBE 877 19WC 00081 OCAMPO, CARLOS TARGT 07/14/18 ROSENBERG EISENBERG ASSOC KEEFE CAMPBELL BIERY & ASSOC 878 19WC 00105 MOSLEY, SHON J LAKE COUNTY ADULT 12/16/18 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 879 19WC 00154 CAMPBELL, PATRICE L LAKE COUNTY SUBSTANCE ABU 09/01/15 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 880 19WC 00157 CAMPBELL, PATRICE L LAKE COUNTY SUBSTANCE ABU 09/12/18 TAMVAKIS, GEORGE L WOLFE & JACOBSON, LTD 881 19WC 00194 MORGAN, KAY ARBOR MANAGEMENT INC. 09/05/18 EFTEKHARI LAW OFFICES GANAN & SHAPIRO 882 19WC 00218 LOSSMANN, ROBERT C COLLEGE OF LAKE COUNTY 11/28/17 ATSAVES, LOUIS G LTD GAROFALO SCHREIBER STORM GRA 883 19WC 00293 CROCK, ROBERT EXELON 02/14/18 HENNESSY & ROACH PC 884 19WC 00294 RIVERA, LUZ LITTLE LADY FOODS 12/17/18 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 885 19WC 00363 WHEATON, MARKUS CHICAGO BEARS FOOTBALL CL 10/12/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 19WC000678 -C 886 19WC 00404 MARTINEZ AMADOR, WLATER L XCEL STAFFING SOLUTIONS, 11/30/18 STEVEN B SALK & ASSOC LTD SLAVIN & SLAVIN 887 19WC 00439 JOHNSON, DOREEN BAUERS PARTY MASTERS 11/03/17 RIPES NELSON BAGGOT KALOBRAT 888 19WC 00538 CAMPA, LUCILA APAK, INC 11/17/17 HANNIGAN & BOTHA, LTD 889 19WC 00588 HECKER, CHRISTINE O COUNTY OF LAKE 07/27/18 LINN, CAMPE & RIZZO LTD SMITH AMUNDSEN LLC 890 19WC 00597 ZIEBKA, JEREMY S DEERFIELD-BANNOCKBURN 01/30/18 LINN, CAMPE & RIZZO LTD 891 19WC 00608 LAMBERT, BRADLEY B VILLAGE OF GURNEE 11/27/18 LINN, CAMPE & RIZZO LTD 892 19WC 00628 GARIBAY, JAIME RAYMOND MARTINEZ LAWN CAR 07/30/18 GAROFALO SCHREIBER STORM G 893 19WC 00749 JAMES, KEVIN VP EXPRESS, LLC 10/23/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 894 19WC 00809 LOPEZ, JORGE L INTERNATIONAL LASER PRODU 11/26/18 COSTA IVONE LLC GANAN & SHAPIRO 895 19WC 00904 GARCIA, JOVANNI MARTIN JOHN COMPANY 11/20/18 KARCHMAR & STONE RODDY LAW LTD 896 19WC 00959 MARTYNIOUK, ALEXANDRE JKC TRUCKING, INC 01/04/19 PARAD LAW OFFICES PC GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 897 19WC 01036 POKORNEY, MARK DICKOW CYZAK TILE 05/04/18 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 898 19WC 01044 GARCIA, ANDRES FLEXTRONICS INTL. 08/31/18 COSTA IVONE LLC 899 19WC 01130 MANQUEROS, JORGE LAKE CNTY FOREST PRESERVE 08/30/18 MARKHAM M JEEP & ASSOCIATE HENNESSY & ROACH PC 900 19WC 01262 RUBIO, JOSIE FREEDOM HOME CARE 08/29/18 HANNIGAN & BOTHA, LTD 901 19WC 01324 SWANSON, SANDRA ILLINOIS BONE & JOINT INS 10/19/18 STEVEN J TENZER, LTD 902 19WC 01423 CARLSON, RONALD MIDI LOGISTICS, INC 11/06/18 RIDGE & DOWNES INMAN & FITZGIBBONS 903 19WC 01439 LOPEZ, MAURICIO NICK ELECTRIC 01/04/19 KATZ FRIEDMAN EAGLE ET AL 904 19WC 01648 HAYES, KRISTIN LEICA BIOSYSTEMS 12/12/18 MARKS INJURY LAW HENNESSY & ROACH PC 905 19WC 01680 ZAPANTA, JULY ROUND LAKE CMTY UNIT DIST 06/28/17 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 906 19WC 01742 LIVELY, ROBERT AMAZON.COM, INC 12/20/18 MARKHAM M JEEP & ASSOCIATE 907 19WC 01797 VITALE, MICHAEL MUNDELEIN PARK DISTRICT 12/17/18 EFTEKHARI LAW OFFICES HENNESSY & ROACH PC 908 19WC 01798 VITALE, MICHAEL MUNDELEIN PARK DISTRICT 01/09/19 EFTEKHARI LAW OFFICES HENNESSY & ROACH PC 909 19WC 02054 MCLINDEN, RACHEL MARIO TRICOCI HAIR SALONS 10/30/18 MARKHAM M JEEP & ASSOCIATE 910 19WC 02157 OQUENDO, JESUS HOME DEPOT 12/18/18 DUDLEY & LAKE LLC ADELSON TESTAN BRUNDO 911 19WC 02227 MUJICA, SALVADOR CARTER-HOFFMAN 10/04/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 912 19WC 02264 NEWMAN, PETER R VILLAGE OF ARLINGTON HEIG 09/13/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 913 19WC 02362 VLCEK, DONALD D BIMBO BAKERIES USA INC 10/11/18 ZANCK COEN WRIGHT & SALADI KRALOVEC & MARQUARD 914 19WC 02423 TADE, KEVIN OLSON RUG DO 04/14/18 JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 915 19WC 02477 JORDEN-WOODS, JERIAL LAKE COUNTY 03/22/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 916 19WC 02599 MORALES, EDWIN SURESTAFF INC 12/20/18 AIOSSA LAW FIRM LOUIS MUNDY 917 19WC 02639 OCAMPO, REYNALDO WENDT MAINTENANCE INC 07/20/18 LINN, CAMPE & RIZZO LTD 918 19WC 02654 NHEM, SAREK COUNTY OF LAKE COUNTY 11/22/16 LEO ALT 919 19WC 02731 WILSON, MICHAEL SAM'S CLUB 01/11/19 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 920 19WC 02781 DORSEY, SHERYL NORTHERN ILLINOIS FOOD BA 07/03/18 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 921 19WC 02846 KOLLIN, JENNIFER AS WIDOW TSI SNOW # 01/26/19 RUBENS KRESS MULHOLLAND HENNESSY & ROACH PC 922 19WC 02918 LIEBERMAN, DAVID ALTOUNIAN CONSTRUCTION 11/14/18 VASILATOS & COTTER LLC 923 19WC 02980 REPEC, CHARLES J JEWEL-OSCO 10/17/17 DAVID B RABEL BRADY CONNOLLY & MASUDA PC 924 19WC 03260 PLACENCIA, GABRIELA BEYER DENTAL 11/10/18 JONATHAN SCHLACK EDWARD J. KOZEL 925 19WC 03359 HERRINGTON, HARVEY WALGREENS 12/01/18 MARKS INJURY LAW 926 19WC 03447 MANKA, MICHAEL J VILLAGE OF BUFFALO GROVE 01/17/19 THOMAS W DUDA 927 19WC 03533 HEKENBERGER, REBECCA A CHILD'S PLACE 03/06/18 DEPAOLO & ZADEIKIS JOSEPH MARCINIAK 928 19WC 03625 DUFFIE, RAHTWAN REYES HOLDING LLC 01/14/19 ANGELINI & ORI LLC 929 19WC 03654 BIONDI, VINCE JEWEL FOODS 12/05/18 GOLDBERG WEISMAN & CAIRO L 930 19WC 03704 MCMANIS, SHERRICK CHICAGO BEARS FOOTBALL CL 05/11/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 931 19WC 03731 JOHNSON, JAMES L G&S SERVICES 11/26/18 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 932 19WC 03797 KIDDER, LEIGHTON D AT&T 08/14/84 HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 933 19WC 03866 ARTETA, NIVALDO THE NEW GENERATION LLC 01/20/19 JONATHAN SCHLACK 934 19WC 03932 DIAZ, JOSE TOP NOTCH SERVICE 01/16/19 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 935 19WC 04019 RAMIREZ, MARIA L TRANSITIONAL CARE OF LAKE 04/13/16 CORNFIELD & FELDMAN 936 19WC 04025 JASAREVIC, HUSO QUELLA CONSTRUCTION, INC * 01/25/19 SCHACTER, JEROME & ASSOC L JOSEPH MARCINIAK 937 19WC 04043 ROMAN, PEDRO FACTORY MOTOR PARTS 02/02/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 938 19WC 04080 LOPEZ, MATILDE MORRISON HEALTHCARE FOOD 01/25/19 AIOSSA LAW FIRM 939 19WC 04300 ADELOWO, ADEYINKA FORTEC MEDICAL * 12/27/18 BRILL & FISHEL 940 19WC 04403 FALLS, DAVID E JONES LANG LASALLE 01/14/19 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 941 19WC 04427 VELAZQUEZ, MARIC C GARCIA PET FACTORY, INC * 12/13/18 DAVID J. BAWCUM HENNESSY & ROACH PC 942 19WC 04467 CHRISTOR, TEVIN LABOR SOLUTION LLC * 02/04/19 JAMES ELLIS GUMBINER & ASS 943 19WC 04582 GASTON, ADRIENA ILLINOIS DEPT OF HUMAN SR @ * 01/20/19 ANKIN LAW OFFICE KRISTIN LEASIA 944 19WC 04768 EAQUIVEL, CARLOS HYDE PARK ELEMENTARY * 01/28/19 ANGELINI & ORI LLC BRADY CONNOLLY & MASUDA PC 945 19WC 04890 MOLINA, JULIA QPS EMPLOYMENT GROUP, INC * 11/07/18 STEPHANIE WEISSMAN WOLFE & JACOBSON, LTD 946 19WC 04935 VILLAFUERTE, ROLANDO WAUKEGAN POLICE DEPARTMEN * 02/03/19 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 947 19WC 05060 LEITH, DENNIS J DEERFIELD MOVING & STORAG * 12/01/17 LINN, CAMPE & RIZZO LTD 948 19WC 05084 BARAJAS, GRISELDA HARVARD SERVICES GROUP, I * 03/09/18 DEPAOLO & ZADEIKIS 949 19WC 05122 RODRIGUEZ, JESUS Q-UP INC. * 11/15/17 LINN, CAMPE & RIZZO LTD 950 19WC 05129 OCAMPO, JULIO GRAND STAFFING * 07/11/18 LINN, CAMPE & RIZZO LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 951 19WC 05140 KING, ELRICH L BLACKHAWK CORRUGATED, LLC * 09/24/18 LINN, CAMPE & RIZZO LTD JOSEPH MARCINIAK 952 19WC 05143 RIOS, LUIS PERSONNEL STAFFING DBA MV * 11/13/18 LINN, CAMPE & RIZZO LTD KOREY RICHARDSON LLC 953 19WC 05147 DANIELS, LYNN PAYSON CASTERS * 01/09/19 LINN, CAMPE & RIZZO LTD 954 19WC 05174 AMRTINEZ, CINTHIA TEMPS NOW EMPLOYMENT * 09/19/18 MC HARGUE & JONES 955 19WC 05317 MORELOS, RODOLFO WASTE CONNECTIONS US INC * 12/11/18 GOLDBERG WEISMAN & CAIRO L 956 19WC 05366 CRUZ, ASCENSION COMMERICAL PLASTICS CO * 11/28/18 DUDLEY & LAKE LLC 957 19WC 05432 MOREFIELD, SHANNA 545 N MILWAUKEE AVE, LLC * 10/30/18 DUDLEY & LAKE LLC 958 19WC 05470 HEARTON, MILDRED EMCO CHEMICAL DISTRIBUTOR 09/25/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 959 19WC 05513 SILVA, JOHN DOMINO AMJET, INC * 11/01/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 960 19WC 05637 DAMHAUSER, KEVIN L AT&T * 09/10/18 LINN, CAMPE & RIZZO LTD 961 19WC 05681 PEREZ, DAILY OPEN ARMS SOLUTIONS * 01/02/19 AIOSSA LAW FIRM 962 19WC 05746 CLARKE, MICHAEL DURHAM SCHOOL SERVICES, L * 02/07/19 ROSS TYRRELL 963 19WC 05785 ROSARIO, ALEXANDER NORTH SHORE WATER RECLAIM * 07/17/18 BARRY A KETTER 964 19WC 05885 KLEIN, TRISTAN 2ND CHANCE WATER RESTORAT * 07/25/18 STEVEN J MALMAN & ASSOCIAT 965 19WC 06013 KAROLEWSKI, DENISE NEW ALBERTSON'S INC * 01/10/19 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD 966 19WC 06021 PETERSON, DEBRA A HORIZONS WINDOW FASHIONS * 11/27/18 HANNIGAN & BOTHA, LTD RODDY LAW LTD 967 19WC 06208 BECKER, PETER FIRST PRIORITY RESTORATIO * 02/17/19 LEAHY, JAMES P 968 19WC 06215 SHAW, PAUL CSM/HOMEWOOD SUITES * 08/15/18 TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 969 19WC 06273 BOCARDO, JULIO COMCAST CORPORATION 01/05/19 ZANCK COEN WRIGHT & SALADI HENNESSY & ROACH PC 970 19WC 06380 CARPENTER, STEVEN AT&T INC * 12/21/18 MARKHAM M JEEP & ASSOCIATE 971 19WC 06485 HUERTA, ELVIRA MIRACAPO PIZZA COMPANY * 08/18/18 JONATHAN SCHLACK SPIEGEL & CAHILL, PC 972 19WC 06580 YERUSHALMI, RAYMOND PLEXUS CORP * 09/04/18 LINN, CAMPE & RIZZO LTD ACCIDENT FUND HOLDINGS 973 19WC 06627 CAMPOS, ANTONIO CATHOLIC BISHOP OF CHGO A * 01/25/19 LINN, CAMPE & RIZZO LTD 974 19WC 06701 ARANDA, MANUEL HYDRAFORCE INC. * 01/10/18 HOLECEK & ASSOCIATES 975 19WC 06828 BUTTLER, SUSAN (BEHALF OF GURNEE PARK DISTRICT * 11/05/18 MARKS INJURY LAW HENNESSY & ROACH PC 976 19WC 06911 LOPEZ, MINERVA ADDUS HOMECARE * 12/29/18 FERRIS THOMPSON & ZWEIG 977 19WC 07062 GARZA, MARIA ABM FACILITY SERVICES * 10/27/18 HERRERA LAW CENTER 978 19WC 07180 SANTELLANO, NANCY THE XCEL GROUP * 08/23/18 COSTA IVONE LLC 979 19WC 07383 GUZMAN, JOSE IDOT @ * 01/21/19 DUDLEY & LAKE LLC 980 19WC 07491 VOCE, EDWARD D.K. CONTRACTORS INC * 01/11/19 DUDLEY & LAKE LLC GANAN & SHAPIRO 981 19WC 07654 DREZEK, SHELLY M HAWTHORN CONSOLIDATED * 10/11/17 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 982 19WC 07687 MARTINEZ, SALVADOR EMCO CHEMICAL DISTRIBUTOR * 10/05/18 LINN, CAMPE & RIZZO LTD QUINTAIROS PRIETO WOOD & BOY 983 19WC 07711 BERNARDY, MARCUS D COUNTY OF LAKE * 12/31/18 LINN, CAMPE & RIZZO LTD 984 19WC 07844 HEWCHUK, DAVID WAUKEGAN PUBLIC SCHOOL DI * 02/15/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 985 19WC 07883 PAZ, YOLANDA QUALITY LABOR SERVICES LL * 02/20/19 KATZ FRIEDMAN EAGLE ET AL 986 19WC 08018 MALUSKA, EDWARD LLD ELECTRIC CO 02/18/19 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 987 19WC 08068 ZAK, CHRISTOPHER STACK-ON-PRODUCTS COMPANY * 09/22/18 GANAN & SHAPIRO 988 19WC 08103 EHMEN, MARK NORTH SHORE GAS COMPANY * 05/18/18 MC CABE & HOGAN 989 19WC 08127 RANGEL, EUSEBIO HYDRAFORCE, INC * 02/01/19 DUDLEY & LAKE LLC 990 19WC 08186 VELAZQUEZ, ANGEL M IL STATE TOLL HWY AUTHORI @ * 12/10/18 BAUM RUFFOLO & MARZAL LTD 991 19WC 08239 AYALA, JUANA ECHO, INC * 02/26/19 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 992 19WC 08341 HEINZ, EDWARD R COUNTRYSIDE FIRE PROTECTI * 02/22/16 PULLANO LAW INMAN & FITZGIBBONS 993 19WC 08407 ALVAREZ, JESUS ATLAS EMPLOYMENT SERVICES * 01/08/18 COSTA IVONE LLC GAIDO & FINTZEN 994 19WC 08431 BOESCH, CHARLOTTE A NEW ALBERTSON'S, INC * 10/21/18 LINN, CAMPE & RIZZO LTD 995 19WC 08434 MARAVILLAS, IMELDA HUNTINGTON RESOURCES * 02/13/18 LINN, CAMPE & RIZZO LTD 996 19WC 08489 GUZMAN, JULIO AJL ELECTRIC, INC * 02/27/19 MILLON & PESKIN LTD 997 19WC 08509 ROTH, CYNTHIA UNITED SERVICE COMPANIES * 11/01/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 998 19WC 08551 KULCZYCKI, MARK C SUPERIOR TEST AND BALANCE * 10/23/18 GANAN & SHAPIRO 999 19WC 08586 BARTIK, DAVID STATE OF ILLINOIS- IDOT @ * 10/22/18 LINN, CAMPE & RIZZO LTD 1000 19WC 08657 CRUZ, ROSEMARIE ADVOCATE CONDELL MEDICAL * 03/17/18 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR 1001 19WC 08728 COOPER, BELINDA MIDWEST PROPERTY MANAGEME * 11/26/18 ANKIN LAW OFFICE ROSARIO CIBELLA 1002 19WC 08808 GUZMAN, TIMOTEA WHOLE FOODS MARKET * 11/21/17 MARKS INJURY LAW HENNESSY & ROACH PC 1003 19WC 08827 MACIN, ALFONSO ALLSTAFF * 08/27/18 DAVID J. BAWCUM 1004 19WC 08904 HUFNUS, MICHAEL M.E. SIMPSON CO, INC * 11/27/18 MARKHAM M JEEP & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1005 19WC 08954 DAMULAKIS, DARCY AMAZON * 02/05/19 ANGELINI & ORI LLC 1006 19WC 08959 MONTERO, LUZ MARIA LEIDER HORTICULTURAL COMP * 04/14/18 DOUGLAS RALLO PC 1007 19WC 09013 BERMAS, ROGELIO CDW * 12/13/18 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 1008 19WC 09037 PEREZ, ARIANA DR. CHRISTOPHER HARRIS MD * 01/29/19 JOHN C SERKLAND 1009 19WC 09289 ALVARADO, SONIA SCHWEITZER ENGINEERING * 09/18/18 EPSTEIN, JACK R LAW OFFICE 1010 19WC 09432 MOLINA, SERGIO UPLAND CONCRETE * 02/26/19 HERRERA LAW CENTER RODDY LAW LTD 1011 19WC 09500 JILES, BERNITA HCR MANOR CARE/ * 06/05/18 LINN, CAMPE & RIZZO LTD 1012 19WC 09721 FLORES, RICK GALLAGHER BASSETT * 08/03/18 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 1013 19WC 09810 FELIX, ANA GABRIELA SMS DISPLAY GROUP * 02/20/19 KATZ FRIEDMAN EAGLE ET AL 1014 19WC 10002 DUFFY, KEVIN HOLLIS, LLC * 11/02/18 FOOTE MIELKE CHAVEZ O'NEIL 1015 19WC 10125 EDWARDS, GAIL SALEM GROUP TEMP * 03/15/19 EDWIN REYES LAW FIRM 1016 19WC 10159 DAUGHERTY, JOLYN WORLDPAY, LLC * 02/26/19 ANKIN LAW OFFICE JOSEPH MARCINIAK 1017 19WC 10270 BARCAL, CHRISTINA LEXINGTON HEALTH CARE * 11/03/18 LUSAK AND COBB 1018 19WC 10462 COCHRAN, ANITA MEDLINE 07/18/17 DUDLEY & LAKE LLC HENNESSY & ROACH PC 1019 19WC 10575 DUFFIE, RAHQUAN COCA-COLA BOTTLING CO * 03/08/19 COHN LAMBERT RYAN & SCHNEI 1020 19WC 10658 ENDERS, JOE ILLINOIS DEPARTMENT * 02/05/19 ANGELINI & ORI LLC 1021 19WC 10776 MORALES, JAIRO MENARD'S * 08/15/18 POSTERLI, OSCAR 1022 19WC 10881 GOMEZ, ADRIANA CARE IN THE HOME INC. DBA * 03/20/19 STEVEN B SALK & ASSOC LTD ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1023 19WC 10946 ALVAREZ BRITO, ROSA MARIA TRI CITY FOODS, INC * 05/05/18 HERRERA LAW CENTER 1024 19WC 11014 DIMAS, LAURA ECHO INC. * 11/12/18 JONATHAN SCHLACK 1025 19WC 11045 SANTIAGO, JOSE ACCURATE PERSONNEL * 11/07/18 LARRY FLEISCHER & ASSOCIAT 1026 19WC 11103 GONZALEZ-PACHECO, LUCIA P ACCURATE PERSONNEL, LLC * 12/23/18 SHEA LAW GROUP JOHN T GONNELLA 1027 19WC 11181 CATAUDELLA, DAN ILLINOIS TOLLWAY * 04/01/19 HANNIGAN & BOTHA, LTD 1028 19WC 11408 CASTRO, CHRISTIAN PSSI * 03/09/19 ANKIN LAW OFFICE 1029 19WC 11441 DZIADKOWIEC, TIEARA WINCHESTER HOUSE * 03/31/19 SANDMAN LEVY & PETRICH 1030 19WC 11483 HURTADO, ELIDA KHM PLASTICS * 02/26/19 MOSES BRISENO 1031 19WC 11556 LOPEZ, GABRIEL ANDREW STAFFING * 02/13/17 JONATHAN SCHLACK 1032 19WC 11559 KENT-LA ROUSSA, DEBRA J LINCOLNSHIRE PRAIRIEVIEW * 11/27/18 GALLAGHER, DONALD V 1033 19WC 11619 FLAHERTY, MICHAEL VILLAGE OF BUFFALO GROVE * 02/08/18 POWER & CRONIN LTD 1034 19WC 11678 ECKHARDT, KIMBERLY SEDOL SPECIAL EDUCATION * 08/13/18 LEO ALT 1035 19WC 11782 WILSON, KATHY BRAESIDE HOLDINGS LLC * 09/18/17 VOGG, MARK J LAW OFFICE 1036 19WC 11825 DONNELLY JR, DANIEL T VILLAGE OF GURNEE * 05/29/18 LINN, CAMPE & RIZZO LTD 1037 19WC 11901 GONZALEZ, JOHN SCHAFF PIANO SUPPLY COMPA * 06/05/18 WIEDNER & MCAULIFFE LTD 1038 19WC 12000 BELL, FLOYD GOODWILL * 04/17/19 STANCZAK LAW OFFICES 1039 19WC 12139 WIATR, TOM KNAUZ CONTINENTAL AUTOS I * 07/06/16 HANNIGAN & BOTHA, LTD 1040 19WC 12180 MINOR, STEPHANIE NOSCO,INC * 04/04/18 DUDLEY & LAKE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1041 19WC 12232 DAVIE, QUENTIN DEERFIELD POLICE DEPARTME * 02/24/19 GWC INJURY LAWYERS LLC 1042 19WC 12302 WASCOW, JEFFREY VILLAGE OF LAKE ZURICH * 04/08/19 DONALD FOHRMAN & ASSOC 1043 19WC 12420 LOPEZ, SONIA EMERIC FACILITY SERVICES * 03/15/19 KATZ FRIEDMAN EAGLE ET AL 1044 19WC 12565 MENDEZ, OSVALDO SEARS 01/23/19 ROSENBERG EISENBERG ASSOC 1045 19WC 12647 FOSTER, TEVON R ROLLING HILLS MANOR * 01/01/19 LAWRENCE COZZI - LAW OFFICE 1046 19WC 12782 CROWELL, ROBERT LETECH, INC * 01/10/18 NYHAN BAMBRICK KINZIE & LOWR 1047 19WC 12813 BROWN, TANNETTE ELITE 12/27/18 ASHER, RAYMOND L LTD 1048 19WC 12938 MCBEAN, CHARLES LIBERTYVILLE MITSUBISHI * 11/14/18 DAVID W MARTAY 1049 19WC 13114 DE TOMASO, SALVATORE J NEW ALBERTSON'S, INC * 03/28/19 LINN, CAMPE & RIZZO LTD 1050 19WC 13119 LORENZO-MOLINA, ILDEFONSO BEAR DOWN LOGISTICS, INC * 12/29/18 LINN, CAMPE & RIZZO LTD ROSARIO CIBELLA 1051 19WC 13159 WASH, JOVAN B ANN M KILEY CENTER * 12/19/18 LINN, CAMPE & RIZZO LTD 1052 19WC 13163 PLATE, SUSAN R BURLINGTON COAT FACTORY * 03/04/19 LINN, CAMPE & RIZZO LTD 1053 19WC 13325 GUERRERO, MARLET MMD * 04/23/19 KATZ FRIEDMAN EAGLE ET AL 1054 19WC 13382 GALVEZ BARRERA, WILMER EN THE LEIDER HORTICULTURAL * 01/17/19 HERRERA LAW CENTER 1055 19WC 13465 SANCHEZ, EDWIN MACLEAN FOGG * 08/11/18 JOHN M BORCIA LAW OFFICE 1056 19WC 13529 GOELZ, JAMES BEAR DOWN LOGISTICS INC; * 03/08/19 HEALY SCANLON LAW FIRM 1057 19WC 13546 BAIZABAL, NORMA LAKE PARK CENTER * 04/18/19 JONATHAN SCHLACK 1058 19WC 13566 BRADFORD, JORDAN AMAZON * 11/27/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR WAUKEGAN 50003 ON 06/21/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1059 19WC 13649 FREEMAN, DIMITRIS ANN M. KILEY CENTER * 02/26/19 MORICI FIGLIOLI & ASSOC 1060 19WC 13765 NAVARRETE, TERESA ALL STAFF- GURNEE * 04/24/19 TIMOTHY HENDERSON 1061 19WC 13814 STEPHAN, JEFFREE PANERA BREAD * 04/23/19 DWORKIN AND MACIARIELLO 1062 19WC 13923 ESPARZA, ULYSSES Z & L MACHINING * 02/26/18 WOODRUFF JOHNSON 1063 19WC 14024 LANUZA, FRANCISCO BOZA XCELL STAFFING SOLUTIONS * 12/17/18 JONATHAN SCHLACK 1064 19WC 14084 IBRAHIM, MAYDA JEWEL FOOD STORES, INC * 11/19/18 RODDY LAW LTD 1065 19WC 14254 NAVARETTE, ALFONSO DAVID'S BISTRO * 04/09/19 HERRERA LAW CENTER 1066 19WC 14286 SIORDIA, JASON AB SPECIALTY SILICONES, L * 05/03/19 TAXMAN POLLOCK 1067 19WC 14309 LEIST, DAVID GENGEL MINK FARM INC * 06/12/17 BRADY CONNOLLY & MASUDA PC 1068 19WC 14322 BELTRAN, LINDA ARBOR MANAGEMENTM, INC * 04/12/19 JOHN M BORCIA LAW OFFICE 1069 19WC 14380 IUNGERICH, PETER ASSURANCE HEATING & * 02/04/19 MARKHAM M JEEP & ASSOCIATE