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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 10WC 36740 FINLEY, RENNEA MY BEAUTY SUPPLY STORE W 08/27/10 SHELDON I MINKOW & ASSOCIA GORDON & CENTRACCHIO LLC 15 11WC 09271 HEWITT, SHIREE CITY OF CHICAGO 02/22/11 COVEN LAW GROUP 12WC024264 -C 16WC022069 -C 18WC036946 -C 16 11WC 29146 SCOTT-THOMPSON, GAIL IL DEPT OF HUMAN SRVS @ 01/28/11 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 17 11WC 34336 ANDERSON, ALAN CTA 08/09/11 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 18 11WC 40519 CASARRUBIAS, ALFONSO LEE LUMBER & 09/14/11 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 19 11WC 42110 BLACK, SHAOWDELL CTA 10/09/11 LAW OFFICE OF BOGUSZ & BOG CHICAGO TRANSIT AUTHORITY 20 11WC 46096 O'REILLY, THOMAS CITY OF CHICAGO 11/07/11 KARCHMAR & STONE CITY OF CHICAGO 21 12WC 01616 EVANS, DENNIS SOUTHWEST AIRLINES 08/15/11 LAW OFFICES PETER LEKAS HENNESSY & ROACH PC 13WC026807 -C 13WC026808 -C 14WC039937 -C 18WC015362 -C 22 12WC 05060 COOPER, CLYDE JR CHICAGO TRANSIT AUTHORITY 07/28/08 COLLISON LAW OFFICES CHICAGO TRANSIT AUTHORITY 23 12WC 06211 FOGARTY, ELISA DAVIDS BRIDAL 11/08/11 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 24 12WC 08168 PEELO, JILL SHERWIN MANOR NURSING CEN 09/07/11 CZAPLA LAW BRADY CONNOLLY & MASUDA PC 25 12WC 17905 CONNOLLY, THOMAS VILLAGE OF SCHAUMBURG 12/01/11 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 26 12WC 26503 RICHARDSON, ANTHONY ELECTROMOTIVE 11/17/10 STEVEN J SEIDMAN LAW OFFIC GOLDBERG SEGALLA LLC 27 12WC 36214 SCOTT, DEMETRA BRIGHT HORIZONS 10/05/12 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 28 12WC 41096 DEUTCH, MYRON ST OF IL SECRETARY OF STA @ 11/13/12 CULLEN HASKINS NICHOLSON JORDAN FRANK 29 12WC 43072 KRAWIEC, LEONARD CITY OF CHICAGO 11/23/10 GRAZIAN & VOLPE PC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 12WC 43860 VALDEZ, ANGELICA MC DONALDS RESTAURANT 05/05/12 MINKOW DOMIN GANAN & SHAPIRO 31 13WC 00853 19B PEREZ, JOSEPH CITY OF CHICAGO 12/26/12 RUBIN LAW GROUP HENNESSY & ROACH PC 32 13WC 03429 KRZYMINSKI, MARY LOYOLA UIVERISTY HEALTH S 05/08/12 JOHN J CASTANEDA LORENZ & BERGIN PC 13WC025020 -C 33 13WC 05472 AVELAR, JESUS E THE REGENT GROUP INC 01/29/13 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 34 13WC 06711 CABRERA, LINDA M MACNEAL HOSPITAL 11/23/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 35 13WC 09430 AITZEMKOUR, MUSTAPHA SUN TAXI ASSOCIATION, INC 03/10/13 SALK, STEVEN B & ASSOC LTD LAW OFFICES OF JAY REESE PC 36 13WC 16418 MERCADO, BEATRIZ CATHOLIC CHARITIES OF THE 04/24/13 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 13WC027190 -C THE CATHOLIC CHARITIES 37 13WC 17389 DUFFY, JULIE COOK COUNTY SHERIFF'S POL 05/16/13 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 38 13WC 18305 CASTILLO, MILAGROS CITY OF CHICAGO DEPT OF 02/26/13 CUDA LAW OFFICES CITY OF CHICAGO 13WC018510 -C 17WC022932 -C 19WC022097 -C 39 13WC 25553 SEGURA, SILVANA JCG INDUSTRIES, INC 07/17/13 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 40 13WC 26889 CORRAL, SERGIO LEHIGH DIRECT 07/18/12 MAURICE E DUSKY PC RUSIN & MACIOROWSKI LTD 41 13WC 27187 GUYTON, CARL CITY OF CHICAGO 08/14/13 CUDA LAW OFFICES CITY OF CHICAGO 16WC033602 -C 42 13WC 27527 CAIN, BRIAN K ABF FREIGHT SYSTEMS 11/14/12 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 14WC042940 -C 14WC042941 -C 43 13WC 28841 CRAIG, TRICIA MONDELEZ INTERNATIONAL 08/20/13 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 44 13WC 29927 ABRAHAM, ANNAMMA KINDRED HOSPITAL CHICAGO 07/12/12 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 45 13WC 38695 DOTSON, SCH-NEA LAVON TRI-STATE NURSING HOME 09/03/13 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 13WC 39398 SOK, BOPHA ELITE NAILS & SPA, INC. W 01/07/12 THOMAS J STIBERTH LAW OFFI HELT LAW GROUP 47 14WC 03307 SMITH, THEODORE TECHNOTRIX, INC 08/08/13 RICHARD O. GREENFIELD LEWIS BRISBOIS BISGAARD 48 14WC 03956 HOPE, EVERLYN T CHICAGO TRANSIT AUTHORITY 01/24/14 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 49 14WC 05571 COOK, SCOTT CITY OF CHICAGO 01/14/14 HEALY LAW FIRM SCOPELITIS GARVIN LIGHT 201 12WC029305 -C 50 14WC 05964 BROWN, HELEN MERCY HOSPITAL 04/04/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 14WC005965 -C 51 14WC 06095 ROBLES, MANUEL OWENS & MINOR 05/28/13 ELFENBAUM EVERS ZIELINSKA KEEFE CAMPBELL & ASSOC LLC 15WC041029 -C 52 14WC 06933 STRZALKA, PAWEL CSM FASTENER PRODUCT CO 02/13/14 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 53 14WC 16873 CHRIST, JONATHON W PACE SUBURBAN 04/18/14 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 54 14WC 17427 RIVERA, ANASTACIO RAYS TOWING & RECOVERY SE 01/25/14 BRISKMAN BRISKMAN GREENBER 55 14WC 26243 CAMPBELL, GUNNAR C THE SALVATION ARMY 06/16/14 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 56 14WC 26994 DIAZ, MARGARITA DART CONTAINER CORP 07/07/14 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 15WC006287 -C SOLO CUP CO 57 14WC 29031 BOSS, JAMES AMERICAN RECYCLING& DISPO 10/16/13 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 58 14WC 30273 WILLIAMS, CAROLINE CIRCUIT COURT OF COOK COU 04/08/14 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 59 14WC 36719 YOUNG, CINDY CHICAGO COMMONS 05/29/14 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 14WC 37250 HERNANDEZ, ALVANO LOU MALATI'S/THE 04/04/14 ANKIN LAW OFFICE MEACHUM & STARCK 61 14WC 37620 AYYASH, DOROTHY KISWANI NATIONAL @#W 06/25/13 STROM, NEAL B KNELL & O'CONNOR 15WC009464 -C 15WC009465 -C 15WC009466 -C 15WC009467 -C 62 14WC 38077 TORRES, VICTOR RICHELIEU FOODS INC 08/21/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 63 14WC 38300 JAMEEL, KHAWAJA CAPRICORN CAB 11/02/14 ELFENBAUM EVERS & AMARILIO 64 14WC 38588 KORENIC, JOHN DE PAUL UNIVERSITY 10/30/14 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 65 14WC 39636 BARRERA, ALEJANDRO MIDWAY BUILDING GROUP INC 10/20/14 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 66 14WC 39888 LOPEZ, OSCAR SYED HUSSAINI 08/13/14 EPSTEIN, JACK R LAW OFFICE 67 14WC 41387 19B DI LEONARDI, JOSEPH G CITY OF CHICAGO 11/16/10 RUBIN LAW GROUP CITY OF CHICAGO 201 14WC041388 -C 68 14WC 42917 19B ROBINSON, MALESIA CTA 01/29/14 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 69 14WC 43414 ABOITES, JUAN CARLOS MIDLAND PAPER 10/23/14 PARENTE & NOREM PC HOLECEK & ASSOCIATES 70 15WC 03443 AVILA, JOSHEPHYS ELLY'S PANCAKE HOUSE 11/09/14 ANKIN LAW OFFICE 71 15WC 03788 SILVA, LUIS ILLINOIS DEPT OF TRANS 01/16/15 SHELDON I MINKOW & ASSOCIA 72 15WC 04060 DELRE, LINDA L ADVOCATE CHRIST HOSPITAL 04/27/14 KROCKEY CERNUGEL COWGILL E GAROFALO SCHREIBER STORM GRA 15WC005696 -C 15WC023162 -C 73 15WC 04524 RODRIGUEZ, ERICKA PHOENIX RISING 09/02/14 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 74 15WC 04528 PIERIK, PEARL M PALOS COMMUNITY HOSPITAL 07/30/14 PARENTE & NOREM PC LORENZ & BERGIN PC 75 15WC 11559 KIRKWOOD, THEODUS CHICAGO TRANSIT AUTHORITY 02/18/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 15WC 14472 WILLIAMS, MARGARET A 800 N MICHIGAN CONDOMINIU 01/12/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 77 15WC 14691 LOPEZ, ANTHONY FEDEX GROUND PACKAGE SYST 09/22/14 GRAZIAN & VOLPE PC KOPKA, PINKUS DOLIN, PC 78 15WC 14914 VAZQUEZ, MARILU HMSHOST CORP 01/10/15 SALK, STEVEN B & ASSOC LTD 79 15WC 15523 VERNON, LINDA UNIVERSITY OF ILLINOIS 01/13/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 80 15WC 16462 TRZECIAK, CRISTY L FORD MOTOR CO 05/06/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 15WC016463 -C 81 15WC 17015 VINSON, BARBARA THOMAS KELLY HIGH SCHOOL 05/05/15 VASILATOS & COTTER LLC CHGO BOARD OF EDUCATION 82 15WC 17350 JOHNSON, DAVID L. FORD MOTOR COMPANY 04/24/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 17WC032530 -C 17WC037550 -C 83 15WC 17513 DICARLO, ANTONIO FINAL TOUCH PAINTING W 02/16/15 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR 84 15WC 17579 KLEIN, EDWARD UNITED CONVEYOR SUPPLY CO 10/21/14 SALK, STEVEN B & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN 85 15WC 23497 ASAMOAH, DORIS UNIV OF CHGO MEDICAL CTR 11/21/13 HORWITZ HORWITZ & ASSOC KNELL O'CONNOR DANIELWICZ 15WC029722 -C UNIVERSITY OF CHICAGO 86 15WC 23653 AMBRIZ, RAMIRO AMITY PACKING CO 04/03/15 VITELL & SPITZ LTD HOLECEK & ASSOCIATES 87 15WC 25258 MONTGOMERY, AKIRA FORD MOTOR COMPANY 06/05/15 SNECKENBERG, WILLIAM J ASS POWER & CRONIN LTD 88 15WC 25876 BRUCE, DERRICK JMC STEEL GROUP/ATLAS TUB 03/17/14 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM GRA 17WC019698 -C 89 15WC 26198 DZIALO, EDWARD CITY OF CHICAGO 05/08/15 BRILL & FISHEL CITY OF CHICAGO 90 15WC 27077 BREWER, MARGARET R LUCKY #5409 DBA IHOP 08/17/15 THOMAS W DUDA LAW OFFICES JOSEPH MARCINIAK 91 15WC 27797 PEEL, CONRAD KELSO BURNETT 08/06/15 GRAZIAN & VOLPE PC CACCHILLO LAW GROUP LLC 92 15WC 35185 HARRIS, MICHELLE CTA 10/22/15 JOEL STEPHEN CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 93 15WC 36316 CESARONE, DIANE UIC COLLEGE OF NURSING 10/08/15 RUBIN LAW GROUP POWER & CRONIN LTD 94 15WC 37266 RUFFIN, LAWRENCE LBP MANUFACTURING 10/22/15 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 95 15WC 37309 TERRELL, MERRILL WESTROCK COMPANY 11/11/15 BIZZIERI LAW OFFICES GAROFALO SCHREIBER STORM GRA 96 15WC 37661 LEON, BETHZABE LABOR NETWORK, LOANING EM 10/17/15 THE ROMAKER LAW FIRM ROBERT L. SMITH 97 15WC 38165 PETERBURS, JOSEPH T NAVISTAR INC 11/09/15 CZAPLA LAW NYHAN BAMBRICK KINZIE & LOWR 98 15WC 39025 FLETCHER, SANDRA VITAS HEALTHCARE 12/16/13 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 99 16WC 04111 CROCKETT, MICAH MEADE ELECTRIC CO INC 09/04/14 GRAVLIN, MICHAEL J LLC RUSIN & MACIOROWSKI LTD 16WC004170 -C 16WC004360 -C 100 16WC 04661 CONEAL, ANTHONY TYSON BRUSS CO. 12/24/15 ROSENFELD HAFRON SHAPIRO F GANAN & SHAPIRO 101 16WC 04754 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP 102 16WC 04920 BAHENA, JUAN SALGADO EL POPOCATEPETL INDUSTRIE 12/11/15 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 103 16WC 05517 NICHOLAS, WILLIAM VILLAGE OF SKOKIE 09/14/15 CRONIN & PETERS VILLAGE OF SKOKIE 104 16WC 06196 PADULA, ANTHONY J CITY OF PARK RIDGE 12/30/15 FOOTE MIELKE CHAVEZ & O'NE RUSIN & MACIOROWSKI LTD 16WC006197 -C 105 16WC 06381 SMITH, THERESA LOYOLA GOTTLIEB MEMORIAL 02/20/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 106 16WC 06677 ISLEY, MELISSA STATE OF IL STATE POLICE @ 12/02/15 STRONG LAW OFFICE C. FLETCHER 107 16WC 07110 BARCENAS, LUIS PERFORMANCE FOOD GROUP 02/16/16 SALVATO O'TOOLE FROYLAN BRYCE DOWNEY & LENKOV LLC 108 16WC 13454 WALKUSKI, MIROSLAW A&K KATZ MANAGEMENT, INC 11/22/15 KARCHMAR & STONE HENNESSY & ROACH PC 109 16WC 14884 MARCHIORI, MICHAEL CITY OF CHICAGO 04/25/16 SHANNON LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 16WC 15496 PRIETO, JAIME PEPSI AMERICA'S 04/22/16 STROM, NEAL B GAIDO & FINTZEN 111 16WC 15660 JENTSCH, KURT W. WALSH CONSTRUCTION 10/26/15 O'CONNOR & NAKOS HINSHAW & CULBERTSON 112 16WC 15997 BRONGIEL, DAVID STATE OF IL TREASURER'S O 04/13/16 SAUNDERS CONDON & KENNY C. FLETCHER 113 16WC 16246 PERRY, TONJA FEDEX 02/03/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 114 16WC 16548 ROMERO, ZAHIRA FEDERAL RESERVE 01/29/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 115 16WC 16689 GALLO, CAROLYN J. MEIJER 11/25/15 MORGENSEN LAW LLC KNELL & O'CONNOR 116 16WC 16861 BURKE, AUSTIN FORD MOTOR COMPANY 05/10/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 117 16WC 16963 JOHNSON, GRETA J CITY OF CHICAGO DEPT OF P 02/17/16 ANKIN LAW OFFICE CITY OF CHICAGO 118 16WC 17259 MAGDALENO, RAUL CHALET LANDSCAPING CO 06/01/13 ANKIN LAW OFFICE HENNESSY & ROACH PC 16WC017264 -C 119 16WC 17476 MOLINA, JORGE J B HUNT TRANSPORT INC 04/10/16 ROSS TYRRELL MCANANY VANCLEVE & PHILLIPS 120 16WC 17588 ZAVALA, MARIA MVP WORKFORCE 06/01/16 GOLDSTEIN BENDER & ROMANOF KRAKER FANNING & OLSEN 121 16WC 17764 RAMIREZ, JOSE MILLWOOD INC 04/20/16 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 18WC014008 -C 122 16WC 21893 19B BANKS, KEVIN W O'HARE ENGINEERING, INC 06/29/16 GREGORIO & MARCO ANCEL GLINK DIAMOND BUSH & E 123 16WC 24969 BOENS, JANICE FIRST STUDENT, INC 05/04/16 PAUL J CRONIN WIEDNER & MCAULIFFE LTD 124 16WC 25457 HODGES, MELVINA WOODBRIDGE NURSING 07/11/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 125 16WC 25482 CRUZ, ANTHONY CTA & SEDWICK 02/18/14 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 16WC025483 -C 126 16WC 25870 SCOTT-BROWDER, NAKIA CTA 07/26/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 16WC 26098 THOMAS, KIRK CITY OF CHICAGO 03/09/16 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 128 16WC 26569 MONDRAGON, LLUVICELA CAREMARK GROUP, LLC 10/08/15 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM GRA 129 16WC 26839 MOTA, LUIS PERFORMANCE CONTRACTING I 07/20/16 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 130 16WC 26892 THOMAS, RETHA CITY OF CHICAGO 09/15/15 STROM, NEAL B 131 16WC 27302 NICHOLS, OTIS COOK COUNTY DEPT CORRECTI 09/03/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 132 16WC 27693 HURLEY, JOSEPH CHICAGO TRANSIT AUTHORITY 06/29/16 ALEKSY BELCHER CHICAGO TRANSIT AUTHORITY 133 16WC 27766 HAYES, NANCY UNIVERSITY OF CHICAGO HOS 12/23/15 STROM, NEAL B HENNESSY & ROACH PC 134 16WC 27908 ORTIZ, GABRIEL ELITE STAFFING INC 09/03/16 SALK, STEVEN B & ASSOC LTD 135 16WC 28449 MILLS, BRADY CHICAGO TRANIT AUTHORITY 07/25/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 136 16WC 33962 OUBOUHANE, HSSAINE LYON TAXI, LLC 10/28/16 FISHER & LAMONICA DEBORAH SCHAEFER 137 16WC 34307 RUSSELL, MELISSA D VILLAGE OF SKOKIE 07/06/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 138 16WC 34674 PEEPLES, KIMBERLY CHICAGO TRANSIT AUTHORITY 11/11/16 SALK, STEVEN B & ASSOC LTD CHICAGO TRANSIT AUTHORITY 139 16WC 34696 JOHNSON, ROBERT HMD TRUCKING 02/08/15 MARSZALEK AND MARSZALEK MCANANY VANCLEVE & PHILLIPS 140 16WC 34906 O'HEHIR, SEAN CITY OF CHICAGO 11/20/14 HEALY SCANLON LAW FIRM 141 16WC 35017 SALINAS, WILLIAM MENASHA 04/08/15 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 142 16WC 35120 DIAZ, JOSE PLASTICS COLOR CORP 05/18/16 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 143 16WC 35180 GODIN, GINA ELIZABETH LUDEMAN CENTER @ 04/28/16 SPIROS LAW PC ASSISTANT ATTY GENERAL 144 16WC 35219 ROGERS, DYLAN T WE MASSAGE 06/19/16 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 16WC 35462 BOOTH, SHERITA CHICAGO TRANSIT AUTHORITY 10/27/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 146 16WC 35590 MCLENDON, KEITH COOK COUNTY 11/13/16 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 147 16WC 35654 NAVAREZ, JESUS JJ2 LLC W 10/23/16 DWORKIN AND MACIARIELLO 148 16WC 36337 HARDING, KHADIJAH PARK VILLA NURSING HOME 11/20/16 COSTA IVONE LLC FRANCESCA LARSEN 149 16WC 36357 ZOLLNER, BRIAN CITY OF CHICAGO FIRE DEPT 02/26/16 WILLIAM S. WOJCIK LTD CITY OF CHICAGO 150 16WC 36598 BARRERA, MICHAEL COOK COUNTY SHERIFF DEPT 10/29/16 KARCHMAR & STONE INMAN & FITZGIBBONS 151 16WC 36708 RILEY, SYLVESTER INSULATED PANELS COMPANY 05/28/16 VITELL & SPITZ LTD RUSIN & MACIOROWSKI LTD 152 16WC 36780 LEBRON, REBECCA EXPRESS EMPLOYMENT 10/10/16 BERG & BERG HOLECEK & ASSOCIATES 153 16WC 37192 CARMER, JENNIFER R.S. OWENS & COMPANY 03/02/15 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK 154 16WC 37201 MORALES, ROSA AMERICAN COLLEGE OF HEALT 10/31/16 LAW OFFICE OF SCOTT B SHAP 155 16WC 37223 FORTSON, MACHARIA ILLINOIS STATE POLICE @ 11/07/16 SEIDMAN MARGULIS & FAIRMAN MATTHEW J KELLER 156 16WC 37287 ESPARZA, GERALDO RAHCO RUBBER INC 11/14/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 157 16WC 37310 SZOT, BARBARA FRESH EXPRESS, INC. 11/22/16 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR 158 16WC 37430 LOPEZ, MIGUEL ELITE STAFFING 12/07/16 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 159 17WC 00330 GUERRA, JUAN ANDRES MQ SEWER & WATER 09/01/15 DEPAOLO & ZADEIKIS LAW OFFICES OF EDWARD J. KOZ 160 17WC 02452 CAMARA, LUIS TANDEM PES/KERNEL SEASONS 10/11/16 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 17WC023502 -C KERNEL SEASON'S LLC 161 17WC 03860 ABOITES, JUAN MIDLAND PAPER COMPANY 01/17/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 162 17WC 04762 DUNNE, JAMES EXCELLENT MED ASSOC, P.C. 01/30/17 CORBOY & DEMETRIO PC STEVEN O HAMILL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 17WC 05017 MOYA, MARIA UNISTAFF, INC. 10/04/16 RAYMOND M SIMARD, PC MC ANDREWS & NORGLE LLC 164 17WC 05143 STEWART, DEVIN ROAD KNIGHTS 02/14/17 165 17WC 05164 MOJICA, MARTIN HARRIS STEEL CO 01/05/17 OSVALDO RODRIGUEZ PC NYHAN BAMBRICK KINZIE & LOWR 166 17WC 05226 THOMPSON, NATHANIEL FORD MOTOR COMPANY 04/21/15 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 167 17WC 05338 FALBO, JOHN COOK COUNTY SHERIFF 02/09/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 168 17WC 05469 SPAN, THERMON L CTA CHICAGO TRANSIT AUTHO 02/14/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 169 17WC 05561 FINISTER, RAMONDA DEPARTMENT OF HUMAN SERVI @ 02/12/17 BLACK & JONES ASSISTANT ATTORNEY GENERAL 170 17WC 05782 WILSON, MICHAEL COOK COUNTY DEPTARTMENT O 11/27/16 POMPER & GOODMAN STATES ATTORNEY OF COOK COUN 171 17WC 05806 WALKER, DAVID IL DEPT OF TRANSPORTATION 09/08/16 CORBOY & DEMETRIO PC ASSISTANT ATTY GENERAL 172 17WC 05826 ELLIS, WANDA CTA 02/16/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 173 17WC 05890 19B MATHIEU, JERRY R ESTES EXPRESS LINES, INC 02/18/17 DWYER AND COOGAN WIEDNER & MCAULIFFE LTD 174 17WC 06222 SMALLS, TASHEA CITY OF CHICAGO, DEPARTME 07/27/16 BRISKMAN BRISKMAN GREENBER 175 17WC 06480 PATEL, PRAVASIBHAI LSG SKY CHEFS 10/16/16 LEONARD LAW GROUP LLC MEACHUM & STARCK 176 17WC 06596 REID, TIMOTHY P SUPER ELECTRIC CONSTRUCTI 02/08/17 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 177 17WC 06855 PADGHAM, THOMAS R ABLE ENGINEERING SERVICES 10/05/16 FIGLIOLI, DAVID HENNESSY & ROACH PC 178 17WC 06981 BARRETT, BARBARA CITY OF CHICAGO 02/27/17 THE ROMAKER LAW FIRM CITY OF CHICAGO 179 17WC 07163 MARCUM, CAL JEWEL OSCO 02/26/17 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 180 17WC 07627 MOKY, HEATHER UNIVERSITY OF IL 10/05/16 LEE, MARK N LAW OFFICE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 17WC 10343 BROWN, VICTORIA MXD GROUP 03/06/17 MC HARGUE & JONES GRANT & FANNING 182 17WC 11819 SHARNELL-DOBBS, EBONY FORD MOTOR COMPANY 01/26/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 183 17WC 14561 MUHAMMAD, ANTOINE CITY OF CHICAGO 03/22/17 KREITER, BYCK & ASSOC LLP 184 17WC 15231 LOGAN, ERNEST CITY OF CHICAGO DEPT OF W 01/23/17 SOSTRIN AND SOSTRIN PC CITY OF CHICAGO 185 17WC 15614 MCCLINTON, CORRINA T PACE/COOK DUPAGE 04/28/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 18WC012218 -C NATIONAL EXPRESS TRANSIT C 186 17WC 16108 TRYGUBA, OLEKSANDR MAGIC CONSTRUCTION DBA 05/13/17 BERNSTEIN, PHILIP L MEACHUM & STARCK 187 17WC 16200 JOHNSON, DARRIN NOLAND SALES CORP 01/06/16 EFTEKHARI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 188 17WC 16308 GARCIA, JOSE L IMPERIAL ZINC, CORP 06/24/14 BUDIN LAW OFFICES 189 17WC 16547 KRAWCZYK, ELIZA GENERAL ELECTRIC 12/18/15 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 190 17WC 16594 ADARANIJO, OYEYEMI (SURVI LYFT, INC. # 04/26/17 LAW OFFICE NICHOLAS H. MIH ANCEL GLINK DIAMOND BUSH & E 191 17WC 16905 TORRES, ESTER MOLON MOTOR & COIL CORP 03/13/17 JONATHAN SCHLACK LAW OFFICES OF EDWARD J. KOZ 192 17WC 16917 LANDRY, SYREETA COMPASS GROUP 04/12/17 DAVID W MARTAY GOLDBERG SEGALLA LLC 193 17WC 16947 KAMHOLZ, NANCI ILLINOIS DEPT OF @ 03/17/17 BAUM RUFFOLO & MARZAL LTD STATE OF ILLINOIS 17WC022334 -C IL DEPT OF JUVENILE JUSTIC 17WC022335 -C 194 17WC 16986 STALLONE, ANDREA COOK COUNTY 05/05/17 DENNIS HESSER STATES ATTORNEY OF COOK COUN 195 17WC 17019 SANCHEZ-VILLA, VICTOR ARM CITY FOOD 06/02/17 MC HARGUE & JONES CAPUANI, FRANK S 196 17WC 17050 SCHILD, KATHRYN L CAMELOT EDUCATION 12/12/16 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 197 17WC 17174 WILLIAMS, ORLINDA N LUDEMANS DEVELOPMENTAL CE 05/16/14 JAMES ELLIS GUMBINER & ASS ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 17WC 17238 BOYKIN, BRENNEN PREFERRED MEAL SYSTEMS 05/03/17 COSTA IVONE LLC 199 17WC 22660 FOSTER, SAMUEL D CITY OF DES PLAINES 07/03/17 THOMAS W DUDA POWER & CRONIN LTD 200 17WC 23538 REYES, AMARIS SEARCH, INC 04/27/17 ACEVES & PEREZ PC POWER & CRONIN LTD 201 17WC 24147 ALLEN, TARRON CITY OF CHICAGO DEPT OF 08/16/17 FRIEDMAN & SOLMOR LTD 18WC007931 -C 202 17WC 24303 DE OCA, ANASTACIO MONTEZ HARMONY HEALTH PLAN 05/10/17 CUDA LAW OFFICES JOSEPH MARCINIAK 17WC024304 -C 203 17WC 24347 PRIETO, JAIME PEPSI AMERICA'S 07/25/17 STROM, NEAL B GAIDO & FINTZEN 204 17WC 24625 MACIEJEWSKI, CHRISTOPHER RICH TOWNSHIP SCHOOL DIST 08/08/17 JOHN J CASTANEDA RIPES NELSON BAGGOT KALOBRAT 205 17WC 24985 ROGERS, BRUCE COSTCO 09/01/14 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 17WC029737 -C 17WC030836 -C 206 17WC 25227 SCHEID, TERRI SUBURBAN ASOC IN OPHTHALM 01/04/12 SCOTT BARBER JOSEPH MARCINIAK 207 17WC 25314 WATTS, JAMES GARDA WORLD 08/15/17 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC 208 17WC 25337 MATTHEWS, JUNIUS PACE 08/18/17 KROL BONGIORNO & GIVEN LTD HEYL ROYSTER VOELKER ALLEN 209 17WC 25358 MARTINEZ, FRANCISCO HARRIS STEEL COMPANY 04/06/17 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 210 17WC 25386 PHILLIPS, JOSEPH MIDWAY DODGE 08/03/17 GRAZIAN & VOLPE PC 211 17WC 25448 JONE, LINDA L VEHI-SHIP LLC @ 08/05/17 ANKIN LAW OFFICE 212 17WC 25654 PICKETT, ZALIKA CHIAGO PARK DISTRICT 01/05/17 GOLDSTEIN AIOSSA & GOOD CHICAGO PARK DIST LAW DEPT 213 17WC 25716 MEZA CABRERA, JUAN MANUEL ATOTONILCO TORTILLERIA 08/22/17 LAW OFFICES OF EDWARD J. KOZ 214 17WC 25818 REGALADO DE MERCADO, MARI REYNOLDS CONSUMER PRODUCT 06/22/17 RUEDA, IVAN A KLAUKE LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 17WC 25843 BENITEZ, BRENDA COOK COUNTY 08/04/16 216 17WC 25897 EDWARDS, KENNETH CITY OF CHICAGO DEPT OF 08/09/17 ANKIN LAW OFFICE 217 17WC 25915 CHAHID, OTHMANE CHICAGO MEDALLION MGMT CO 08/14/15 LANGENDORF, ROBERT A 218 17WC 25995 SNYDER, MATTHEW NEW CITY WINDOW CLEANING W 08/21/17 GRAVLIN, MICHAEL J LLC HERMAN J MARINO 219 17WC 26048 TORRES, ANTONIA CHICAGO PUBLIC SCHOOLS 07/18/17 MC HARGUE & JONES CHGO BOARD OF EDUCATION 18WC024998 -C 220 17WC 26172 LIEDER, KEVIN M VILLAGE OF SKOKIE-FIRE DE 09/02/17 FIGLIOLI, DAVID VILLAGE OF SKOKIE 221 17WC 26223 ANGELINO, JACQUELINE MIDWAY STAFFING 06/21/17 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 222 17WC 26250 BELL, KENNETH CITY FOODS 07/07/17 MARTIN L GLINK LAW OFFICE CAPUANI, FRANK S 223 17WC 26388 MENDOZA, BERNARDO DELGADO JANDY CONSTRUCTION LLC DB 08/16/17 ANKIN LAW OFFICE 224 17WC 26558 ROMAN, MARIA T UG2 08/22/17 LAW OFFICE OF SCOTT B SHAP HOLECEK & ASSOCIATES 225 17WC 26595 WILLIAMS, ALBERT CITY OF CHICAGO 07/12/17 DWORKIN AND MACIARIELLO 226 17WC 26665 MCGRATH, CATHERINE Y ADVOCATE HEALTH CARE 06/12/17 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 227 17WC 26977 TALOS, JOY R CHICAGO PUBLIC SCHOOLS 02/28/17 NILSON STOOKAL GLEASON CAP LAW DEPARTMENT 228 17WC 33243 JENKINS, LESLIE TERRACE PAPER COMPANY 06/06/17 GOLDSTEIN AIOSSA & GOOD FRANCESCA LARSEN 17WC033244 -C 229 17WC 33290 JAMES, TEVIN TWO MEN AND A TRUCK 10/21/17 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 230 17WC 33303 MARTINEZ, RODRIGO RICHELIEU 05/18/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 231 17WC 33337 MANDUJANO, JESUS CENTRAL STEEL & WIRE CO 09/13/17 ANKIN LAW OFFICE 232 17WC 33414 CARPIO, ADAN METRO STAFF INC LOANING E 10/07/17 SALK, STEVEN B & ASSOC LTD SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 17WC 33554 MASSURA, JEANETTE IL INSTITUTE OF TECHNOLOG 05/10/17 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 234 17WC 33623 PEREZ, JUAN MOORE LANDSCAPING, INC 10/18/17 DWORKIN AND MACIARIELLO EDWARD J. KOZEL 235 17WC 33684 RIVERA, CARMEN CAPITOL WHOLESALE MEATS 06/18/17 HOLECEK & ASSOCIATES 236 17WC 33840 KIRKLEY, JANE UNIVERSITY OF CHICAGO MED 11/19/14 MCNAMARA PHELAN MCSTEEN LL 237 17WC 33872 VIDAL, JOSE CITY AUTO PARTS AND GLASS 03/15/17 HENNESSY & ROACH PC 238 17WC 33926 RICHMOND, EMERA ACCEPTANCE INSURANCE 10/28/17 MC HARGUE & JONES 239 17WC 33957 BUTLER, HAROLD VILLAGE OF GLENCOE 10/26/17 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 240 17WC 34068 JOHNSON, ONEAL MINIAT AND SOUTH 08/17/17 GOLDSTEIN AIOSSA & GOOD POWER & CRONIN LTD 17WC034069 -C 241 17WC 34233 ARIAS, LUIS M. BANGERS AND LACE 07/28/17 BAUM RUFFOLO & MARZAL LTD 242 17WC 34252 HERNANDEZ, ELSIE CHRISTOPHER HOUSE 09/29/16 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 243 17WC 34325 PARRA, RUBEN AMERICAN HOTEL REGISTER C 10/24/17 COSTA IVONE LLC KRAKER FANNING & OLSEN 244 17WC 34327 LOURDES DUENAS, MARIA MASA UNO 08/25/17 COSTA IVONE LLC JOSEPH MARCINIAK 245 17WC 34368 BALOGH, TIBERIU WATERTON RESIDENTIAL/ 09/19/17 SALVATO & O'TOOLE HENNESSY & ROACH PC 246 17WC 34436 COLON, JOSE A FEDERAL EXPRESS 09/13/17 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 19WC034465 -C FEDEX CORPORATION 247 17WC 35375 MEYERS, WILLIAM CHICAGO TRANSIT AUTHORITY 01/25/17 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 17WC 35504 MCCARTHY, JOHN H CITY OF CHICAGO 11/15/17 KUMLIN & FROMM CITY OF CHICAGO 249 17WC 35646 GUERRO, LETICIA CITY OF CHICAGO DEPT OF 05/01/17 CUDA LAW OFFICES LEAHY EISENBERG & FRAENKEL 17WC035647 -C CIT OF CHICAGO DEPT OF 17WC035648 -C 18WC003655 -C 250 17WC 35665 CORTES, KAREN CTA 11/16/17 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 251 18WC 04285 HEIST, DIAMOND PANERA BREAD CO 02/02/18 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 252 18WC 04328 NUNEZ, GRACIELA DLH HOLDINGS CORP 01/19/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 253 18WC 04506 LLOYD, LISA COMPASS SELF STORAGE 01/07/18 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 254 18WC 04554 OLMETTI, TIMOTHY M TONY DS PAINTING, LLC 01/23/18 SALVATO & O'TOOLE HENNESSY & ROACH PC 255 18WC 04580 BUCHANIEC, AUGUSTA TJX MAX MARSHALLS 12/17/17 GAINES & GAINES 256 18WC 04604 RUIDIAS, AGUSTINA SURESTAFF 07/31/17 EPSTEIN, JACK R LAW OFFICE LOUIS MUNDY 257 18WC 04632 BARROIS, MARTHA RICHELIEU FOODS 12/14/17 ROBERT WARSASKI HOLECEK & ASSOCIATES 258 18WC 04672 STINSON, DELTON AMTRAK DIESEL SHOP 01/19/16 CIFELLI SCREMENTI & DORE 259 18WC 04941 AGUILAR, SALVADOR EL MILAGRO, INC 12/03/17 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD 260 18WC 05031 WILLIAMS, KEYANNA NORTHWESTERN MEMORIAL HOS 01/16/18 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 261 18WC 05079 SEPULVEDA, JESUS EUROPEAN BEER IMPORTERS 02/15/18 SMOLER LAW OFFICE, PC HOLECEK & ASSOCIATES 262 18WC 05109 MATTHEWS, JAMES PRO MASTER TRUCK REPAIR, 12/01/17 263 18WC 05156 ESKERA, DONALD C JR COMCAST CORP 06/01/15 ANKIN LAW OFFICE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 18WC 05308 RENEAU, LUTRELL CITY OF CHICAGO 10/24/17 ARGIONIS & ASSOCIATES LLC 265 18WC 05440 ALIASI, FEDERICO NAVISTAR INT CORP 09/28/17 LOCASCIO, MARK A LTD NYHAN BAMBRICK KINZIE & LOWR 18WC005441 -C 18WC037756 -C 266 18WC 05479 VELEZ, MARIA A UNITED AIRLINES 02/05/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 267 18WC 05652 HARRIS, SULAINE EVANSTON TOWNSHIP HIGH SC 02/14/18 ANKIN LAW OFFICE 268 18WC 05728 HOLAN, THOMAS AMERICAN TOWER 09/05/17 LEONARD LAW GROUP LLC 269 18WC 05952 ORDAZ, MARIA CHICAGO PUBLIC SCHOOLS/ 10/24/17 OSVALDO RODRIGUEZ PC BRADY CONNOLLY & MASUDA PC 270 18WC 06143 CAMPOS, ANA DART CONTAINER 11/06/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 271 18WC 06166 SWEARINGEN, CURTIS PEPPER CONSTRUCTION 02/07/18 COVEN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 272 18WC 06185 TATE, STEPHEN CITY OF CHICAGOO 01/12/18 DEPAOLO & ZADEIKIS 273 18WC 06214 CRUZ, PABLO CHICAGO TRANSIT AUTHORITY 02/13/18 O'CONNOR & NAKOS CHICAGO TRANSIT AUTHORITY 274 18WC 06494 WOLFORD, CURTIS J ORKIN PEST COMPANY 12/15/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 275 18WC 06651 MUSIAL, DIANE AMERICAN AIRLINES 01/26/18 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM GRA 276 18WC 06844 FALAT, PAWEL BEM CNC 02/22/18 KATZ FRIEDMAN EAGLE ET AL 277 18WC 07146 BEBAR, RYAN COOK COUNTY SHERIFF'S DEP 04/13/17 SHEA LAW GROUP STATES ATTORNEY OF COOK COUN 278 18WC 07194 CANGAS, ADRIAN A PAVEMENT SYSTEMS, INC 10/25/17 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 279 18WC 11571 HAZLEY, ASHLEY FORD MOTOR COMPANY 01/26/18 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 280 18WC 14316 GUAMAN, LUIS WALSH CONSTRUCTION 08/03/17 MILLON & PESKIN LTD HINSHAW & CULBERTSON 281 18WC 14455 KAPLAN, CRAIG DILLON TRANSPORT 01/24/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 18WC 14520 BURTIN, WALTER RUAN TRANSPORTATION 01/19/18 POLANSKY & CICHON CHTD JAMES M KELLY 283 18WC 14562 SHELTON, JAMES UNITED AIRLINES 02/23/18 STEARNEY, RONALD A LAW OFF NYHAN BAMBRICK KINZIE & LOWR 284 18WC 14701 LLAMAS, JOSE C JUNO LIGHTING 08/28/17 NILSON STOOKAL GLEASON CAP SLAVIN & SLAVIN 285 18WC 14722 HUBERT, OZELLE FORD MOTOR COMPANY 01/22/18 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 18WC014723 -C 286 18WC 14743 MCKITTRICK, COLLEEN CHICAGO PUBLIC SCHOOLS 11/03/16 KROL BONGIORNO & GIVEN LTD CHGO BOARD OF EDUCATION 287 18WC 14895 SMOAK, ANDREW UNIQUE FREIGHT CARRIERS 04/18/18 GESMER & REYNOLDS PC MCANANY VANCLEVE & PHILLIPS 288 18WC 14961 TZIC, JUAN SCIOTO, LLC 05/07/18 COSTA IVONE LLC 289 18WC 14989 MARRERO, JOSEPH M CICERO SCHOOL DISTRICT 99 03/12/18 DEPAOLO & ZADEIKIS DEL GALDO LAW GROUP LLP 19WC021970 -C 290 18WC 15035 SCHALLER, LEONARD ISS SOLUTIONS 02/08/18 COSTA IVONE LLC 291 18WC 15124 MCKENZIE, MICHAEL COIN WRAP INC 05/09/18 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 292 18WC 15318 CURRY, FRED SERVICE SANITATION 04/17/18 KARCHMAR & STONE KEEFE CAMPBELL BIERY & ASSOC 293 18WC 15363 BANDAS, ALEXANDRU SHERIFF'S OFFICE OF COOK 05/13/18 PETER LEKAS STATES ATTORNEY OF COOK COUN 294 18WC 15425 BENSON, ALICE BURGER KING/TRI CITY FOOD 04/17/18 TIMOTHY HENDERSON NYHAN BAMBRICK KINZIE & LOWR 295 18WC 15447 GREEN, REGINALD NUCO2 05/05/18 296 18WC 15494 BUCHANAN, CASANDRA CTA 05/15/18 VASILATOS & COTTER LLC CHICAGO TRANSIT AUTHORITY 297 18WC 15511 WASHINGTON, ANTHONY DOOR DISTRIBUTORS, INC. 03/23/18 LEONARD LAW GROUP LLC 298 18WC 15534 ALMANZA, JULIA SALVATION ARMY 02/24/18 LEO ALT EVANS & DIXON 299 18WC 15648 HOGUE, DENISE ALDI 08/14/17 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 300 18WC 15960 CRIVILARE, ANGELO LMAK INC 05/03/18 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 301 18WC 16125 COLLINS-SLATER, CARLA CHASE 05/04/18 LANNON LANNON & BARR LTD INMAN & FITZGIBBONS 302 18WC 16186 BLAHO, HELENA MACNEAL HOSPITAL 02/15/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 303 18WC 16354 PEREZ, PATRICIA EMBASSY SUITES HOTEL 02/10/18 JONATHAN SCHLACK HENNESSY & ROACH PC 19WC007212 -C 304 18WC 16542 BROWN, WALTER TRUSORT 05/21/18 BRISKMAN BRISKMAN GREENBER JOSEPH MARCINIAK 305 18WC 16638 DIXON, JASMIN ILLINOIS STATE POLICE @ 05/23/18 COLLISON LAW OFFICES ASSISTANT ATTY GENL 306 18WC 16759 VALACH, GENARO SRU ELECTRIC 12/10/16 JACKOWIAK LAW OFFICES GRANT & FANNING 307 18WC 16773 MCGUIRE, ANTHONY CITY OF CHICAGO 08/19/16 BURNES & LIBMAN 308 18WC 16839 STREET, DURWON ARAMARK UNIFORM SERVICES 05/29/18 CUDA LAW OFFICES 309 18WC 16855 RODRIGUEZ, EBE W DIAMOND GROUP CORP. 09/17/17 EPSTEIN, JACK R LAW OFFICE 310 18WC 17030 SHAKELFORD, NICHOLAS T FEDEX FREIGHT 04/25/18 HASSAKIS & HASSAKIS PC GANAN & SHAPIRO 311 18WC 17074 NAVA, SANDRA SWISSOTEL CHICAGO 06/12/17 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 312 18WC 17127 VILLASENOR, MARINA AFFY TAPPLE 01/04/18 INJURY LAWYERS OF IL GILDEA & COGHLAN 313 18WC 17284 HAN, JOHN K AMTRAK 03/30/18 DAVID W MARTAY 314 18WC 17309 MASTERS, KIMBERLY EXPRESSJET 12/17/17 BROWN & BROWN QUINTAIROS PRIETO WOOD & BOY 315 18WC 17364 RIOS-DIAZ, IMELDA LETICIA METRO STAFF INC 04/28/18 WARREN W MARK 316 18WC 17388 LANDGREN, DAVID COOK COUNTY, IL 06/06/18 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 317 18WC 24592 WILLIAMS, ANTHONY E CTA 04/06/18 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 18WC 24633 RENTERIA, IRENE SOUTHEAST PERSONNEL LEASN 04/26/17 LAW OFFICE OF M ANDREW HAM QUINTAIROS PRIETO WOOD & BOY 319 18WC 24657 RICHARDSON, MARVIN DENNY GUESTS' 07/25/18 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 320 18WC 24789 ARNIERI, DARLENE AMERICAN AIRLINES 07/06/18 SALVATO O'TOOLE FROYLAN 321 18WC 24813 BONAREK, BRIAN COOK COUNTY SHERIFF'S OFF @ 10/03/16 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 322 18WC 24841 RODRIGUEZ, JOSE TAUBENSEE STEEL & WIRE CO 07/18/18 FRIEND LEVINSON & BERGAL EDWARD J. KOZEL 323 18WC 24887 MYERS, DONALD CHICAGO TRANSIT AUTHORITY 06/11/18 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 324 18WC 25037 SOLANO, SIXTO ATLAS ROOFING 07/09/18 EDWIN REYES LAW FIRM 325 18WC 25061 POMAGUIZA, JOSE FELIPE ARIZAGA CONSTRUCTION INC. 07/31/18 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 326 18WC 25138 SIVELS, DORA MORTON GROVE LIVING & 06/15/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 327 18WC 25255 CHIRILLO, TOMMY CITY OF CHICAGO- DEPT OF 08/03/18 WITTENBERG DOUGHERTY MAGLI 328 18WC 25307 JAIME, ADIEL NICOR GAS/SOUTHERN SERVIC 07/18/18 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 329 18WC 25332 MOLINA, CHRISTOPHER BLUE ISLAND PUBLIC WORKS 04/13/18 DEPAOLO & ZADEIKIS ODELSON & STERK 330 18WC 25351 JOHNSON, MARK PACTIV, LLC 08/09/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 331 18WC 25504 GARDNER, DARRELL NICOR GAS 07/25/18 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 332 18WC 25546 STERN, DARREN LANDAUER 01/01/16 MENDOZA LAW PC GILDEA, COGHLAN & REGAN LTD. 333 18WC 25594 DE BENEDETTI, IDA ANN UNITED CONTINENTAL HOLDIN 06/24/18 BRIAN J MC MANUS & ASSOC, 334 18WC 25651 SIERRA, MARCOS BECHSTEIN CONSTRUCTION 08/13/18 JEFFREY FRIEDMAN GILDEA, COGHLAN & REGAN LTD. 335 18WC 25676 ARREGUIN, MARIA CLEAR STAFF 08/15/18 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 18WC 25711 DEL VALLE, MARILYN VILLAGE OF SKOKIE 06/14/18 KOSIN LAW OFFICE LTD VILLAGE OF SKOKIE 337 18WC 25744 BHAGAT, DIPENDRA BLUE RIBBON TAXI ASSOC, I 03/01/18 BRUSTIN & LUNDBLAD LTD 18WC026091 -C KARKI, ROSHA GLOBE TAXI ASSOCIATION 338 18WC 25787 CHUNGATA, JULIO POLO MASONRY BUILDERS AND 08/06/18 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 339 18WC 25840 DIAZ, MARIA CASA CENTRAL 07/16/18 ANGELINI & ORI LLC 340 18WC 25858 TILLIS, THEOPHILUS UNIVERSITY OF CHICAGO 08/25/18 GRAZIAN & VOLPE PC 341 18WC 25942 MOORE, DAVID INSTUFORM TECHNOLOGIES 11/17/17 COSTA IVONE LLC HENNESSY & ROACH PC 18WC025949 -C INSITUFORM TECHNOLOGIES 342 18WC 25981 O'NEILL, SCOTT VILLAGE OF OAK LAWN 05/01/18 MINKOW DOMIN KEEFE CAMPBELL BIERY & ASSOC 343 18WC 26048 MC CREA, KEISHA R CTA 08/18/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 344 18WC 26065 YOUNG, LEROY CITY OF CHICAGO 07/25/18 ANKIN LAW OFFICE CITY OF CHICAGO 345 18WC 26165 VEGA, MILAGROS ROUNDY'S SUPERMARKETS INC 08/15/18 ANKIN LAW OFFICE 346 18WC 26291 SLARZYNSKI, JAMES C CHICAGO BOARD OF ELECTION 03/20/18 BARRY A KETTER STATES ATTORNEY OF COOK COUN 347 18WC 26342 FLORES, ORFILDA ARYZTA LLC 04/16/18 GREGORIO & MARCO HENNESSY & ROACH PC 348 18WC 26382 EWERS, BRIAN CHICAGO HEIGHTS POLICE DE 08/19/18 DWORKIN AND MACIARIELLO PETERSON JOHNSON & MURRAY 349 18WC 26435 BATES, RICHARD GIBRALTAR CHEMICAL WORKS 08/23/17 DEPAOLO & ZADEIKIS KNELL LAW LLC 350 18WC 26479 BROWN II, LAMARK ARENA FOOTBALL ONE LLC 05/20/17 GORDON LAW OFFICES LTD 351 18WC 26516 JORDAN, NADINE MACY'S RELAIL HOLDINGS IN 08/08/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 352 18WC 26571 MCKITTRICK, MICHAEL MANACARI'S CHRYSLER JEEP 09/02/15 DWORKIN AND MACIARIELLO NOBLE & ASSOC 353 18WC 26613 MARTINEZ, AGUSTIN SCALETTA MOLONEY ARMORING 03/06/18 OSVALDO RODRIGUEZ PC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 18WC 26657 PICKETT, ANTHONY CENTERS FOR NEW HORIZONS 08/20/18 COSTA IVONE LLC POWER & CRONIN LTD 355 18WC 26678 LONG, BRENT A DEARBORN MID-WEST COMPANY 07/01/18 TUITE LAW JOSEPH MARCINIAK 356 18WC 26707 BREJ, KATHLEEN NEWS AMERICA MARKETING 11/07/16 MC HARGUE & JONES 357 18WC 26752 BOLDEN, DARRELL TEAM STRATEGIC INC 08/20/18 SCHRAMM LAW GROUP 358 18WC 26781 CARDOSO, FELIX ELITE LABOR SERVICES/ 08/14/18 BAUM RUFFOLO & MARZAL LTD 359 18WC 31978 FELICIANO, JUSTIN R CTA 08/24/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 360 18WC 32137 FRAZIER, ANTOINETTE RIVEREDGE HOSPITAL 08/08/18 GERALD CONNOR MC ANDREWS & NORGLE LLC 361 18WC 33885 ALDRIDGE, LATASHA LYFT 11/07/18 DWORKIN AND MACIARIELLO ANCEL GLINK PC 362 18WC 33902 CASTLEBERRY, SHAKEETAH AMERICASH LOANS, LLC 11/01/18 STEVEN J. MORTON & ASSOC JOSEPH MARCINIAK 363 18WC 33959 BROWN, JACQUELINE COOK COUNTY SHERIFF'S 06/08/18 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 364 18WC 33983 SOTO, FELIPE PACTIV, LLC 06/01/18 CUDA LAW OFFICES SPIEGEL & CAHILL, PC 18WC033984 -C 365 18WC 33997 HOLM, RICHARD HUMAN CAPITAL STAFFING 11/24/15 DEUTSCHMAN, JEFFREY S KRAKER FANNING & OLSEN 366 18WC 34026 FLOWERS, YOLANDA COOK COUNTY RECORDER OF D 10/25/18 KURASCH & KLEIN, LTD STATES ATTORNEY OF COOK COUN 367 18WC 34153 MEDRANO, SANDRA GERALEX INC 09/07/18 CELSO FUENTES JR KEEFE CAMPBELL BIERY & ASSOC 368 18WC 34206 SMITH, LINDA CHICAGO TRANSIT AUTHORITY 11/01/18 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 369 18WC 34235 WILLIAMS, VALERIE P CIRCLE K 10/28/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 370 18WC 34349 BERBERENA, ALEXI LAWNDALE TRUCKING 11/14/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK 371 18WC 34424 ORDONEZ, LESLY EMERICK FACILITY SERVICES 09/24/18 STEVEN B SALK & ASSOC LTD RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 18WC 34447 CARRILLO, RUPERTO JIM & PETE'S CATERING 10/01/18 COSTA IVONE LLC GANAN & SHAPIRO 373 18WC 34473 SABILLON, AISSA SOLANO DE CARRIER 05/09/18 MANUAL CARDENAS & ASSOC 374 18WC 34513 ROLLINS, DAVID MEADE ELECTRIC 11/18/18 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 375 18WC 34551 KIERAS, ROBERT ATT D/B/A IL BELL TELEPHO 09/26/18 DEPAOLO & ZADEIKIS INMAN & FITZGIBBONS 376 18WC 34589 VAZQUEZ, MANUEL BOLANOS CONSTRUCTION, INC W 04/20/18 377 18WC 34619 BRANCH, TYESHA PALMER HOUSE 11/15/18 DWORKIN AND MACIARIELLO 378 18WC 34673 RHODES, JEREMY BLUE ISLAND POLICE DEPT 08/05/18 KROL BONGIORNO & GIVEN LTD ODELSON & STERK 379 18WC 34699 ALVAREZ, YOLANDA CHICAGO PUBLIC SCHOOLS-MA 04/24/18 OSVALDO RODRIGUEZ PC CHGO BOARD OF EDUCATION 380 18WC 34767 MORALES, FRANCISCO SONOCO PRODUCTS CO. 10/12/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 381 18WC 34851 KULAK, DARIUSZ NEW AGE BUILDER SERVICES 10/18/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 18WC034852 -C 382 18WC 34879 GUERRA, LUIS DGD DEMOLITION COMPANY 11/14/18 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 383 18WC 34885 MENDEZ, HILDA UIC MEDICAL CENTER 10/10/18 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 384 18WC 34920 REVES-OCHOA, LORENZO ANTO SCULPTED LANSCAPE, INC. 07/30/18 CURNYN, JOHN GILDEA, COGHLAN & REGAN LTD. 385 18WC 34957 MARTINEZ, JORGE TOUCHPOITN SUPPORT SRVCS, 03/14/16 COSTA IVONE LLC GOLDBERG SEGALLA LLC 386 18WC 34999 HUTCHINSON, OMARA CITY OF CHICAGO 11/02/18 KARCHMAR & STONE 387 18WC 35015 JASTROWSKI, JAMES DAYTON FREIGHT 09/19/18 LUSAK AND COBB GANAN & SHAPIRO 19WC016148 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 18WC 35034 GARRISON, CHARMICA CTA 09/16/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 389 18WC 35094 GONZALEZ, HUGO WASTE MANAGEMENT 09/10/18 BUDIN LAW OFFICES THOMAS J STIBERTH LAW OFFICE 19WC016253 -C 390 18WC 35122 BALDERAS DE JESUS, JACOB LABOR SOLUTIONS, LLC 10/19/18 COHN LAMBERT RYAN & SCHNEI 391 18WC 35235 MARTENSEN, SCOTT UPS FRANKLIN PARK 11/27/18 392 18WC 35262 LOWITZKI, DAVE ALL MASONRY CONSTRUCTION 03/03/16 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM GRA 393 18WC 35293 IGNACIO, MYRNA UNITED CONTINENTAL HOLDIN 09/16/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 394 18WC 35315 CIPPARD-WALLS, ROBIN MARYKNOLL FATHERS AND BRO 10/05/18 EDWIN REYES LAW FIRM HENNESSY & ROACH PC 395 18WC 35332 BLUNT, KEITH UNIFIED CML 02/22/18 BERG & BERG 396 18WC 35476 DAVIS, FLORA ILLINOIS CENTRAL SCHOOL B 11/15/18 DWORKIN AND MACIARIELLO 397 18WC 35542 MAZIQUE, KAREN CHICAGO PUBLIC SCHOOLS 11/27/18 MARC J SHUMAN & ASSOCIATES CHGO BOARD OF EDUCATION 398 18WC 35608 JAKUBOWSKI, MICHAEL CHICAGO POLICE DEPARTMENT 07/31/18 BART DURHAM 399 18WC 35775 PARKER, SHERRY KICKERT SCHOOL BUS LINE I 11/16/18 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 400 18WC 35813 VILLEGAS, MAGDALENO ACCURATE PERSONNEL, LLC 10/29/18 BAUM RUFFOLO & MARZAL LTD JOHN T GONNELLA 401 18WC 35844 HOWARD, PAUL LAKESHORE BEVERAGES-BUDWE 11/06/18 SEIDMAN MARGULIS & FAIRMAN ACCIDENT FUND HOLDINGS 19WC032364 -C 402 18WC 35874 THOMAS, EDNA UCP SEGUIN OF GREATER CHI 09/22/17 ANKIN LAW OFFICE 403 18WC 35896 CERVANTES, LUIS CERMAK PRODUCE 06/01/18 CULLEN HASKINS NICHOLSON KOPKA, PINKUS DOLIN, PC 404 18WC 35944 STEINER, DEBBIE CHICAGO PUBLIC SCHOOL 10/02/18 SANDMAN LEVY & PETRICH CHGO BOARD OF EDUCATION 405 18WC 35964 WIESEN, FRANK AMERICAN AIRLINES-CHICAGO 07/25/18 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 18WC 35985 NASH, WANDA LOYOLA UNIVERISTY OF CHIC 06/04/18 ANKIN LAW OFFICE LORENZ & BERGIN PC 407 18WC 36171 RODRIGUEZ, JOSE C/O EL MILAGRO, INC 07/13/18 GORDON LAW OFFICES LTD WOLF & LAUDICINA LTD 408 19WC 01775 LI, RUI YING/HUANG, SAM NEW CHINA HUT 2 INC. 01/23/16 ROBINS & ASSOC LTD 409 19WC 02418 VILLALPANDO, GABRIEL ALLIANCE CONCRETE SAWING 05/12/18 KROL BONGIORNO & GIVEN LTD 410 19WC 02435 MENDEZ, JESSE UIC CAMPUS 09/27/18 HERRERA LAW CENTER HEYL ROYSTER VOELKER & ALLEN 411 19WC 02458 WILLIAM, MERCY SYMPHONY OF CREST WOOD 12/11/18 MC HARGUE & JONES MCCABE KIRSHNER PC 412 19WC 03876 HANDY, TYRONE CHICAGO TRANSIT AUTHORITY 12/01/18 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 413 19WC 04126 CORTES, EDWIN ALEXIS MIDWAY BUILDING SERVICES 10/31/18 EPSTEIN, JACK R LAW OFFICE 414 19WC 04160 URIOSTEGUI, FRANCELIA EL MESON RESTAURANT 09/25/17 BRIAN J MC MANUS & ASSOC, 415 19WC 04178 ALEXANDER, VANESSA WALMART 01/18/19 JAMES ELLIS GUMBINER & ASS QUINTAIROS PRIETO WOOD & BOY 416 19WC 04192 SALINAS, EDUARDO RON'S STAFFING SERVICES, 01/14/19 CULLEN HASKINS NICHOLSON KOREY RICHARDSON LLC 417 19WC 04209 DOMINGUEZ, MARITZA G4S SECURE SOLUTIONS 11/17/18 DAVID W MARTAY BRYCE DOWNEY & LENKOV LLC 418 19WC 04228 LUMPKIN, SOPHIA JACKSON PARK HOSPITAL 01/23/19 EDWIN REYES LAW FIRM ODELSON & STERK 419 19WC 04250 RODRIGUEZ, IMELDA ED MINIAT INC 09/24/18 STEVEN B SALK & ASSOC LTD POWER & CRONIN LTD 420 19WC 04264 MILES, ROSE A COOK DUPAGE TRANSPORTATIO 11/05/18 VITELL & SPITZ LTD 421 19WC 04358 RUIZ, CYNTHIA NORTHSHORE UNIV HEALTH SY 01/27/19 HORWITZ HORWITZ & ASSOC 422 19WC 04373 HAYES, JACQUELINE CHICAGO TRANSIT AUTHORITY 02/05/19 CHICAGO TRANSIT AUTHORITY 423 19WC 04418 MURRY-SEALE, CAROLYN MARSHALLS 01/04/19 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 19WC 04431 ZEITZ, BRIAN GREAT LAKES PLUMBING 06/13/18 CULLEN HASKINS NICHOLSON 425 19WC 04449 NUNEZ, MICHELLE CITY OF CHICAGO-OEMC 02/03/19 ENCINAS & ORNELAS 426 19WC 04498 BASCOMB, KENNETH BLOOMERS CHOCOLATE 02/05/19 ANGELINI & ORI LLC WOLFE & JACOBSON, LTD 427 19WC 04524 BRUNSLIK, GEORGE BEDFORD PARK FIRE DEPT 03/06/18 RIDGE & DOWNES 428 19WC 04552 CRUZ, OSVALDO HUBBARD BROADCASTING 11/30/18 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 429 19WC 04561 VISOSO, VICTOR MICKEYS LINEN 06/08/18 CUDA LAW OFFICES 430 19WC 04577 ZWARYCZ, THOMAS J CITY OF CHICAGO DEPT OF W 01/24/19 ANKIN LAW OFFICE 431 19WC 04598 MARIN, THOMAS AT&T 02/06/19 TOSCAS, JOHN Z LAW OFFICE 432 19WC 04615 CAMPBELL, BRIAN SYLVESTER CONSTRUCTION SR 01/28/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 433 19WC 04635 HARVEY, LYMAN SDS LAST MILE, INC 01/15/19 MENDOZA LAW PC NYHAN BAMBRICK KINZIE & LOWR 434 19WC 04655 JIMENEZ-ESCOBAR, LUZ THE ELI'S CHEESECAKE COMP 01/25/19 GREGORIO & MARCO MEACHUM & STARCK 435 19WC 04679 OLGUIN, JORGE GOLDEN COUNTRY ORIENTAL F 01/16/19 KREITER, BYCK & ASSOC LLP 436 19WC 04709 MONDRAGON, JESSE J & B MECHANICAL 10/10/18 RUBENS KRESS MULHOLLAND 437 19WC 04726 WEAVER, RICHARD PEPSI CO 02/27/18 LEONARD LAW GROUP LLC GAIDO & FINTZEN 438 19WC 04759 RAINES, ERIC KINDER MORGAN 02/12/19 BRISKMAN BRISKMAN GREENBER SPIEGEL & CAHILL, PC 439 19WC 04808 SHOFIDIYA, HENRY CHICAGO CARRIAGE CAB CO 12/08/18 DWORKIN AND MACIARIELLO 440 19WC 04858 RIVERA, CUTBERTO CARBIT PAINT CO LLC 11/17/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 19WC004859 -C 19WC004860 -C 441 19WC 04903 MURILLO, JOEL MCDONALDS, EVERGREEN PARK 12/01/18 DEPAOLO & ZADEIKIS QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 19WC 04916 GALLAGHER, CASEY CITY OF OAK FOREST PD 01/23/19 KROL BONGIORNO & GIVEN LTD 443 19WC 04962 MORGAN, SHEREE TONY'S FRESH MARKET 12/18/18 DWORKIN AND MACIARIELLO 444 19WC 04992 RENTERIA, JASON CHICAGO TRANSIT AUTHORITY 12/26/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 445 19WC 05026 DE LEEUW, MICHAEL MAJOR LEAGUE SOCCER 09/30/17 WOLFE LAW PC MC ANDREWS & NORGLE LLC 446 19WC 05051 PAVON, LUIS CDN LOGISTICS 11/29/18 MARC J SHUMAN & ASSOCIATES 447 19WC 05139 NELSON, TRACY COOK COUNTY SHERIFFS DEPA 10/24/18 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 448 19WC 05325 REVELES, ARMANDO ESTARPITA COMSTRUCTION 06/01/18 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 449 19WC 05374 GARCIA, SAN JUAN FIRST STUDENT 12/03/18 MARK N LEE WIEDNER & MCAULIFFE LTD 450 19WC 05396 NAVA, ALEJANDRO WICHITA PACKING CO 01/16/19 HUGO ORTIZ 451 19WC 05418 HOPKINS, REGINALD CTA 02/20/19 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 452 19WC 05488 HARRIS, SARA GATEWAY FOUNDATION 02/04/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 453 19WC 05545 BOWMAN, BRENDA HOME DEPOT 12/19/18 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 454 19WC 05707 NACHMAN, ALAN LOWES 01/10/19 MANDELL, GREGG 455 19WC 05817 WOOD, GREGORY L WALMART 02/20/19 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 19WC017784 -C 456 19WC 05838 GAVARRETE, HERBERT SUDLER & CO 01/09/19 STANCZAK LAW OFFICES HENNESSY & ROACH PC 457 19WC 05879 SILVA, ANDREA DNL HELATH CARE SRVS, INC 02/18/19 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 458 19WC 05898 MERCADO, JUANITA S&C ELECTRIC COMPANY 11/05/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 459 19WC 05923 RAMOS, ROGER ATLAS EMPLOYMENT 10/25/18 SALVATO O'TOOLE FROYLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 19WC 05947 VILCHEZ-GARCIA, EVELIO PANGEA REAL ESTATE 02/14/19 COSTA IVONE LLC 461 19WC 05964 BERNS, WILHELMINE SHAMROCK MOTEL 01/28/19 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 462 19WC 06143 MCCOY, MARKETA ASPIRE CHICAGO 01/24/19 BAUM RUFFOLO & MARZAL LTD ACCIDENT FUND HOLDINGS 463 19WC 06169 WILLIAMS-LASH, CRYSTAL INTEGRITY STAFFING SOLUTI 11/22/17 PORRO NIERMANN LAW GROUP 464 19WC 06179 WILMOTH, JENNIFER VILLAGE OF BEDFORD PARK 10/24/18 FRANCIS J DISCIPIO LAW OFF 465 19WC 06296 LUPO, GREGORY INTERSTATE ELECTRONICS CO 05/10/18 HOLECEK & ASSOCIATES 466 19WC 06327 GREEN, MITCHELL K PEOPLES GAS 09/21/17 LEONARD LAW GROUP LLC MC CABE & HOGAN 467 19WC 06348 BOARDEN, JOANN CITY OF CHICAGO 02/19/19 CULLEN HASKINS NICHOLSON 468 19WC 06480 MYLES, YOLANDA COOK COUNTY OF ILLINOIS 02/13/19 VASILATOS & COTTER LLC STATES ATTORNEY OF COOK COUN 469 19WC 06567 PRANCZKE, DENNIS AT&T, INC 12/10/18 MARKHAM M JEEP & ASSOCIATE 470 19WC 06656 ELLIS, DORENE UNITED CONTINENTAL 09/10/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 471 19WC 06696 SHUDY, DEBORAH L DEBORAH L SHUDY 01/22/19 GREGORY MARTUCCI GILDEA, COGHLAN & REGAN LTD. 472 19WC 06735 MONTOYA, MA RAQUEL THE CALMARK GROUP 07/31/18 JONATHAN SCHLACK 473 19WC 06787 WELLS, FELICIA CITY OF CHICAGO 10/26/18 VRDOLYAK LAW GROUP LLC 474 19WC 06941 KYPRIANIDIS, MARIO UNITED AIRLINES 03/14/18 RANDALL A. WOLFF & ASSOC 475 19WC 06972 DANCY, JOHNNY VILLAGE OF MATTESON 02/25/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 476 19WC 06997 BURKE, PEGGY CHICAGO PUBLIC SCHOOLS 02/21/19 MARK SCHAFFNER CHGO BOARD OF EDUCATION 477 19WC 07018 MANTILLA-FAJARDO, JUAN DI ELEGANT PACKAGING 07/18/18 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 19WC 07045 RADKE, WILLIAM (BILL) RESDSTONE RESIDENTIAL, IN 01/29/19 GOLDBERG WEISMAN & CAIRO L KRAKER FANNING & OLSEN 479 19WC 07075 HAYNES, VENISE SOUTH SUBURBAN COLLEGE 10/18/16 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 480 19WC 07095 LOPEZ, MANUEL CASTRO AMITY PACKING CO INC 06/12/18 JONATHAN SCHLACK 481 19WC 12001 FOUNTAIN, SAMUEL VITALANT 04/17/19 STRELLIS & FIELD CTD NYHAN BAMBRICK KINZIE & LOWR 482 19WC 13705 CEJA, MARIA E MIDWAY STAFFING 04/11/19 COSTA IVONE LLC 483 19WC 13751 DEBB, MICHELE AMERICA AIRLINES 12/07/17 RUBENS KRESS MULHOLLAND GAROFALO SCHREIBER STORM GRA 484 19WC 13772 BRADLEY, DESMOND SDI SECURITY 04/29/19 GRAVLIN, MICHAEL J LLC BRYCE DOWNEY & LENKOV LLC 485 19WC 13826 LOPEZ, GAUDENCIO RON'S TEMPORARY HELP 03/28/18 KATZ FRIEDMAN EAGLE ET AL 486 19WC 13850 CARRENO, ERIJIDO EN-CHRO PLATING LTD PTRSH 01/16/19 RUEDA, IVAN A 487 19WC 13906 CARDENAS, ROSALVA CALUMET CARTON CO 09/25/18 VITELL & SPITZ LTD GRIFFIN, LORETTA M LAW OFFIC 488 19WC 13946 RUDE, JUSTIN J THE KROGER CO. D/B/A MARI 04/19/19 ORENSTEIN & ASSOCIATES 489 19WC 13997 SCALISE, VINCENT CITY OF CHICAGO- DEPARTME 08/10/18 ROMANUCCI & BLANDIN CITY OF CHICAGO 490 19WC 14021 GLINSKI, KEITH INSTALLATION SPECIALISTS, 10/29/18 JAMES URTIS WIEDNER & MCAULIFFE LTD 491 19WC 14035 BROWNING, SUSAN CHRISTINE MAIANI LANDSCAPE 07/19/18 HANNIGAN & BOTHA, LTD 492 19WC 14059 OWENS, ERIC ALPHA BAKING 04/26/19 COVEN LAW GROUP 493 19WC 14080 VARGAS, BELINDA CTA 03/14/19 SCOTT B SHAPIRO CHICAGO TRANSIT AUTHORITY 494 19WC 14121 PARKER, TYWRELL WALTON ST KITCHEN & GRILL 05/12/19 SKLARE LAW GROUP 495 19WC 14148 SOLIMAN, HEBA UNITED AIRLINES INC. 06/07/15 EAMES LAW GROUP LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 19WC 14241 LONG, DAVID CHICAGO HEIGHTS POLICE DE 05/13/19 COVEN LAW GROUP DEL GALDO LAW GROUP LLP 497 19WC 14258 TINOCO, RICARDO LEOPARDO COMPANIES, INC 10/11/18 MICHAEL HELLMAN WIEDNER & MCAULIFFE LTD 498 19WC 14304 DENNEY, MICHAEL NAVISTAR 09/14/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 499 19WC 14398 BIANCHI-SHEEHAN, WENDY UNITED AIRLINES 03/30/19 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 500 19WC 14452 CERRENTANO, JAMES UNITED PARCEL SERVICE 05/15/19 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 501 19WC 14468 WILLIAMSON, TYRONE NEXUS EMPLOYMENT SOLUTION 05/14/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 502 19WC 14512 HAWKINS, KHADIJAH SCR MEDICAL TRANSPORTATIO 05/02/19 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 503 19WC 14528 ROYAL, JO AUNT MARTHA'S 05/10/19 CHEPOV & SCOTT LLC GANAN & SHAPIRO 504 19WC 14599 TAYLOR, SHELLY VILLAGE DISCOUNT OUTLET I 09/14/18 ROBERT WARSASKI NYHAN BAMBRICK KINZIE & LOWR 505 19WC 14621 ESPINOSA, MAYRA FOOD FOR THOUGHT 04/06/19 RUBIN LAW GROUP LEWIS BRISBOIS BISGAARD 506 19WC 14663 KRANZUSCH, MATTHEW CHICAGO TRANSIT AUTHORITY 04/26/19 RUBENS KRESS MULHOLLAND CHICAGO TRANSIT AUTHORITY 507 19WC 14704 SOTO, DANNIE MEYER STEEL DRUM, INC 02/09/19 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 508 19WC 14723 HICKS, WILLIAM DOLLAR TREE 03/16/19 VITELL & SPITZ LTD 509 19WC 14730 CRUSE, OLIVIA CTA 03/06/19 SHELDON I MINKOW & ASSOCIA 510 19WC 14798 BOTICH, LINDA GIORDANO'S 04/27/19 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 511 19WC 14886 FRANCO, ARACELI TSD ASSEMBLY SERVICES, IN 04/19/19 ENCINAS & ORNELAS 512 19WC 15008 FISHER, JENNIFER JESSE WHITE LEARNING ACAD 10/03/18 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 513 19WC 15166 SEIDEL, ROBERT COOK COUNTY HIGHWAY DEPT 09/27/18 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 19WC 15206 YANGAS, DENA M CH ROBINSON 10/02/18 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 515 19WC 15238 HAYS, BRAD REX ELECTRIC 03/31/19 KROL BONGIORNO & GIVEN LTD KRAKER FANNING & OLSEN 516 19WC 15264 THOMAS, DONNA INGALLS MEMORIAL HOSPITAL 12/20/18 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 517 19WC 15299 KUNTARAS, STANLEY A MEADE ELECTRIC 03/28/19 RONALDSON & KUCHLER RUSIN & MACIOROWSKI LTD 518 19WC 15333 OWENS, EVELYN CITY OF CHICAGO 02/27/19 MARC J SHUMAN & ASSOCIATES 519 19WC 15436 MINNIFIELD, MICHELLE THE MINTE 05/14/19 DWORKIN AND MACIARIELLO 520 19WC 15454 ANDRADE, LORENA KOCH FOODS 03/23/19 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 521 19WC 15477 BLACKMON, TYNETTA LORETTO HOSPITAL 04/19/19 O'CONNOR & NAKOS 522 19WC 15502 BURFORD, JAMES CITY OF CHICAGO, DEPT OF 05/06/19 DONALD FOHRMAN & ASSOC 523 19WC 15561 CAMPBELL, ROBERT CITY OF CHICAGO 05/09/19 THE ROMAKER LAW FIRM CITY OF CHICAGO 524 19WC 15582 BILLUPS-JACKSON, BABETTE CHILDCARE CAREERS, LLC 01/29/19 ANKIN LAW OFFICE HENNESSY & ROACH PC 525 19WC 15604 FORSLING, GUSTAV CHICAGO BLACKHAWKS HOCKEY 03/03/18 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 526 19WC 15621 RICCIARDI, DANTE ROYAL POWER SOLUTIONS 03/11/19 CUDA LAW OFFICES EDWARD J. KOZEL 527 19WC 15661 WELCH, CAITLEN SCHOOL DISTRICT 54 04/15/19 KINNALLY FLAHERTY KRENTZ 528 19WC 15726 VERA, EDGAR TOWN OF CICERO 03/08/19 ANGELA NARDI-QUIGLEY DEL GALDO LAW GROUP LLP 529 19WC 15764 ESTRADA, GABRIEL THE FIFTY/50 RESTAURANT G 05/11/19 BUDIN LAW OFFICES 530 19WC 15777 LOVEALL, KELLY YRC WORLDWIDE 05/11/19 KROL BONGIORNO & GIVEN LTD 531 19WC 15826 HEIM, GERALD A ILLINOIS SCHOOL BUS CO IN 04/30/19 VITELL & SPITZ LTD STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 19WC 15851 ARMENTA, ROMAN CRUZ A/K/A ACCURATE PERSONNEL SERVIC 09/13/18 STANCZAK LAW OFFICES JOHN T GONNELLA 533 19WC 15907 OLIVAREZ, FIDELMAR AMERICAN HERITAGE FIREPLA 04/11/19 EFTEKHARI LAW OFFICES 534 19WC 15938 MARSHALL, LIONEL FIRST CHOICE LANDSCAPING 05/06/19 ANGELINI & ORI LLC 535 19WC 16076 MURGUIA, BACILIO WM OF ILLINOIS- NORTH #53 01/26/19 JOSEPH J LOSS PC 536 19WC 16137 PORTER, WANDA GREAT LAKES COCA COLA 05/25/19 DONALD FOHRMAN & ASSOC 537 19WC 16155 FELICIANO, RAMON EKLIND TOOL COMPANY 03/07/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 538 19WC 16178 MARTIN, KEVIN COOK COUNTY SHERIFF POLIC 03/11/19 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 539 19WC 16226 GONOUDE, AMBROSE CITY OF CHICAGO 04/05/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO 540 19WC 16242 RODRIGUEZ, RUBEN AMERICAN AIRLINES 01/28/19 JAMES W GREEN, JR 541 19WC 16251 ESPINOZA, SILVIA CITY OF CHICAGO 05/06/19 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 542 19WC 16279 MENDOZA, JESSICA LOWE'S 05/08/19 JAMES URTIS KEEFE CAMPBELL BIERY & ASSOC 543 19WC 16312 DEAN, TERRY STATE OF ILLINOIS C/O IDO @ 09/04/18 PETER C KOPOULOS ASSISTANT ATTY GENL 544 19WC 16362 DAVIS, MICHAEL ROAD RUNNER 05/29/19 DWORKIN AND MACIARIELLO 545 19WC 16425 FIZER, ERNEST M PALMER HOUSE HILTON CHICA 06/19/18 KARNO, MARK L & ASSOC NOBLE & ASSOC 546 19WC 16443 ANDERSON, ANDREWNETTA NATIONAL EXPRESS/CDT 04/08/19 SCOTT B SHAPIRO BRADY CONNOLLY & MASUDA PC 547 19WC 16506 SIMMONS, CHRISTINE ADVOCATE SOUTH SUBURBAN H 05/19/19 STROM & ASSOC GAROFALO SCHREIBER STORM GRA 548 19WC 16635 WALLACE, LINDA T IL DEPT OF JUVENILE JUSTI 02/07/19 ANKIN LAW OFFICE ASSISTANT ATTY GENERAL 549 19WC 16658 WALLACE, MARCUS HEARTLAND ALLIANCE 09/01/18 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 19WC 16698 RODRIGUEZ, MONICA DABDOUB CLEANING SERVICES 02/27/19 JONATHAN SCHLACK HOLECEK & ASSOCIATES 551 19WC 23305 ESPINOSA, RICARDO CITY OF CHICAGO-DEPT OF 06/14/19 ANKIN LAW OFFICE CITY OF CHICAGO 552 19WC 23331 KOWALKOWSKI, KRYSTYNA HARVARD MAINTENACE 01/29/19 KURASCH & KLEIN, LTD HENNESSY & ROACH PC 553 19WC 23358 LEWIS, DWAYNE RESTAURANT DEPOT 08/08/19 ANGELINI & ORI LLC MEACHUM BOYLE TRAUFMAN 554 19WC 23389 HALEY, CORVETTE TYTAN EXPRESS, INC AND 03/05/19 ROBERT WARSASKI MCANANY VANCLEVE & PHILLIPS 555 19WC 23407 BILLINGS, THOMAS JR ABRA AUTO BODY AND GLASS 04/10/19 RICHARD J ZABORSKY MEACHUM BOYLE TRAUFMAN 556 19WC 23425 LARA, OMAR E FREEDMAN SEATING 07/22/19 TIMOTHY HENDERSON SEIDMAN MARGULIS & FAIRMAN L 557 19WC 23446 GARCIA, FRANCISCO ITS CONGLOBAL 07/10/19 ROMANUCCI & BLANDIN BRYCE DOWNEY & LENKOV LLC 558 19WC 23471 MCELROY, KIM KIRBY SCHOOL DISTRICT #14 06/10/19 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 559 19WC 23488 COLLAZO, ROBERTO AJAX TOOLS 08/06/19 LIPKIN & APTER 560 19WC 23495 BURNS, TIFFANY CTA 02/12/19 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 561 19WC 23541 HOZEY, ROY L CHICAGO PARK DISTRICT 05/23/19 TIMOTHY DEFFET CHICAGO PARK DIST LAW DEPT 562 19WC 23559 PACETTI, JAMES COOK COUNTY SHERIFF 11/26/18 JACOBSON & SCHIEFELBEIN STATES ATTORNEY OF COOK COUN 563 19WC 23649 MOSBY, ROBERT DRY GROCERY-JEWEL OSCO 08/05/19 TAMVAKIS, GEORGE L 564 19WC 23671 LAWRENCE, KARI FEDEX GROUND 03/15/19 BRISKMAN BRISKMAN GREENBER 565 19WC 23673 CUMMINGS, MICHAEL UPS 07/15/19 LEONARD LAW GROUP LLC ASA LAW GROUP 566 19WC 23720 HORNBAKER, VICTORIA MARIANO'S FRESH MARKET 08/04/19 CURTIS S BURKE LAW OFFICE BRYCE DOWNEY & LENKOV LLC 567 19WC 23783 KALRA-CHOPRA, TAMANNA UNITED CONTINENTAL HOLDIN 02/24/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 19WC 23805 BARTON, JAMES TIP TOP BUILDERS INC 03/12/17 STROM & ASSOC RIPES NELSON BAGGOT KALOBRAT 569 19WC 23871 BALL, DEANTE C STAFFING NETWORK HOLDINGS 08/09/19 ANKIN LAW OFFICE 570 19WC 23925 ANGLE, HOLLY AMERICAN AIRLINES 03/31/18 RUBENS KRESS MULHOLLAND ROSARIO CIBELLA 571 19WC 23974 BOWLING, JERMAINE NATIONAL RAILWAY EQUIPMEN 07/15/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 572 19WC 23995 BOOKER, TERRENCE GREENCORPS CHICAGO 08/09/19 VASILATOS & COTTER LLC 573 19WC 24035 BAHENA, JUAN CARLOS BEAR STEWART CORPORATION 04/01/19 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 574 19WC 24113 NEAL, JASON AT&T 08/06/19 GWC INJURY LAWYERS LLC 575 19WC 24156 JOSEPH, MICHAEL MAYWOOD FIRE DEPARTMENT 10/23/17 TAXMAN POLLOCK INMAN & FITZGIBBONS 576 19WC 24187 HARPER, ROSE UNITED AIRLINES 07/12/19 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 577 19WC 24207 GIERUT, RICHARD YRC FREIGHT 08/08/18 LEONARD LAW GROUP LLC 578 19WC 24239 JONES, WILLIE EAST LAKE MANAGEMENT 08/09/19 DWORKIN AND MACIARIELLO 579 19WC 24307 WILLIAMS-BALL, REBEKAH COOK DUPAGE TRANSPORTATIO 07/24/18 VASILATOS & COTTER LLC 580 19WC 24329 LADD, OTIS J ALPHA BAKING CO 07/11/19 TOPPER & WEISS LTD RUSIN & MACIOROWSKI LTD 581 19WC 24372 HOLMES, ROBERT PIVOTAL STAFFING SRVS, LL 07/29/19 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 19WC032302 -C 582 19WC 24393 FLORES, CESAR LIBERTY STAFFING 07/24/19 COSTA IVONE LLC 583 19WC 24423 LUK, KIN CHUNG ERIC UNITED CONTINENTL HOLDING 07/02/19 KATZ FRIEDMAN EAGLE ET AL 584 19WC 24469 WENTZ, LAWRENCE ATLAS TUBE 07/26/19 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA 585 19WC 24490 BEDNARZ, CHARLES CITY OF EVANSTON 09/30/17 DONALD FOHRMAN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 19WC 24495 REED, BERNICE BELLWOOD SCHOOL DISTRICT 02/23/18 COHN LAMBERT RYAN & SCHNEI ANCEL GLINK PC 587 19WC 24524 LINDAHL, KENNETH A UNITED AIRLINES INC. 08/13/18 PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 19WC024525 -C 19WC024526 -C 588 19WC 24603 BARANOWSKI, JERZY NU-WAY INDUSTRIES, INC 08/12/19 CHEPOV & SCOTT LLC GANAN & SHAPIRO 589 19WC 24620 THOMAS, JAMES UNITED AIRLINES 01/31/18 BOWMAN & CORDAY 590 19WC 24638 BURNS, DARRYL METRO STAFF, INC 07/31/19 JAMES H MILLER JR 591 19WC 24707 ALVIZO, MATILDE MCDONALD'S RESTAURANTS OF 03/19/19 RICHARD O. GREENFIELD 592 19WC 24743 WALKER, LIONELL CHICAGO PARK DISTRICT 08/16/19 ANKIN LAW OFFICE CHICAGO PARK DIST LAW DEPT 593 19WC 24827 TAYLOR, GREG BELCON/REGIS 05/29/18 NO ATTORNEY WIEDNER & MCAULIFFE LTD 594 19WC 24923 JOHNSON, DARRYL ENTERTAINMENT PARTNERS 11/05/18 ROBERT WARSASKI 595 19WC 24966 TRYLOVICH, MARK CITY OF CHICAGO 07/09/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO 596 19WC 25011 KAMPINEN, DIANNE LEVY RESTAURANTS 08/04/19 MORICI FIGLIOLI & ASSOC 597 19WC 25035 LEE, DEOK SOO CHICAGO FOOD CORP 06/28/19 FISHER & LAMONICA EVANS & DIXON 598 19WC 25060 KELLEHER, JOHN CITY OF CHICAGO 10/28/16 HORWITZ HORWITZ & ASSOC ODELSON & STERK 599 19WC 25108 FISHER, BARBARA ENVOY 07/06/19 RUBENS KRESS MULHOLLAND 600 19WC 25161 CINTRON, HECTOR JEWEL OSCO WAREHOUSE 06/21/19 STEVEN J MALMAN & ASSOCIAT 601 19WC 25184 HAWKINS, DONNA FRESENUIS MEDICAL CARE 06/22/19 FRIEDMAN & SOLMOR LTD HENNESSY & ROACH PC 602 19WC 25219 SAMPLE, SHAMAYA SCRUB, INC 08/12/19 DAVID W MARTAY THOMAS & ASSOCIATES 603 19WC 25248 TENORIO, ELICIA ARYZTA, LLC 02/19/19 LEONARDO MORALES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 19WC 25289 VELDMAN, STEVEN MANNHEIM AUTO AUCTIONS 11/27/18 DWYER & COOGAN EVANS & DIXON 605 19WC 25344 RAGGS, ANITA ST FRANCIS HOSPITAL 07/27/19 LAW OFFICES OF ADRIAN CHER NYHAN BAMBRICK KINZIE & LOWR 606 19WC 25371 JACKSON, ROGER ARENA FOOTBALL ONE LLC 07/22/17 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 607 19WC 25394 HUMPHRIES, MARCUS L STATE TRACTOR TRUCKING, I 04/10/19 MARK & BURKHEAD WIEDNER & MCAULIFFE LTD 608 19WC 25482 PERKINS, DONTE JB HUNT TRANSPORT, INC 07/16/19 CUTLER & SILVERGLADE 609 19WC 25508 DAVIS, ARTHUR FORD MOTOR COMPANY 04/10/19 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 610 19WC 25608 LOPEZ, ANGEL AMERICAN VINTAGE HOME 07/12/19 DOUGLAS RALLO PC 611 19WC 25656 HERRERA, HILDA TOTAL STAFFING SOLUTIONS/ 04/25/19 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 612 19WC 25680 HERRERA, ELOISA CHICAGO MEAT AUTHORITY 01/19/18 HEALY SCANLON LAW FIRM BRYCE DOWNEY & LENKOV LLC 613 19WC 25692 CHAVEZ, JOHN MORRAINE VALLEY 06/30/19 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 614 19WC 25710 HARTJE, MARY SUNRISE SENIOR LIVING 04/21/19 SCOTT BARBER 615 19WC 25736 ZELM, LAURA ENVOY AIR, O'HARE AIRPORT 07/25/19 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 616 19WC 25752 MCCOY, JACQUELINE MARRIOTT INTERNATIONAL IN 08/17/19 RITTENBERG BUFFEN WIEDNER & MCAULIFFE LTD 617 19WC 25778 TEAGUE, MARANDA MERCY HOSPITAL 08/19/19 ANGELINI & ORI LLC 618 19WC 25798 LOPEZ, MIGUEL LS CONTRACTING GROUP, INC 07/26/19 HETHERINGTON KARPEL & BOBB 619 19WC 25814 SALAZAR CARRILLO, DANIEL THE BEST TOUCH 07/29/19 KROL BONGIORNO & GIVEN LTD 620 19WC 25837 PAYTON, AMBER SURE STAFF 08/02/19 LAW OFFICES OF ADRIAN CHER LOUIS MUNDY 621 19WC 25901 MCGUIRE, JOSEPH VILLAGE OF LAGRANGE 04/24/19 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 19WC 25950 HARRIS, PERRIONE DELAWARE CAR RENTAL INC. 04/16/19 COVEN LAW GROUP GANAN & SHAPIRO 623 19WC 25983 PICKENS, DEONTAI STARBUCKS 08/30/19 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 624 19WC 26012 PEERY, PATRICE NSSEO/NORTH SUBURBAN SPEC 03/06/19 LEONARD LAW GROUP LLC 625 19WC 26102 PERDUE, ROLANDA CHICAGO PUBLIC SCHOOL 09/04/19 SKLARE LAW GROUP CHGO BOARD OF EDUCATION 626 19WC 26125 PINEDA, MAIRA ACME FINISHING COMPANY, L 05/17/19 GOLDSTEIN BENDER & ROMANOF 627 19WC 26158 GOSPODAREK, ELIZABETH BUREAU VERITAS 03/15/19 ANGELINI & ORI LLC JOSEPH MARCINIAK 628 19WC 27436 WILLIAMS, INDYA JEWEL OSCO 05/12/19 VASILATOS & COTTER LLC 629 19WC 32494 CROSSWAIT, MARIA PEOPLES GAS 09/30/19 LEONARD LAW GROUP LLC MC CABE & HOGAN 630 19WC 32513 SHUTTLESWORTH, ERIC KATES SECURITY & 09/15/19 MATTEO RAGO & ASSOC ROSARIO CIBELLA 631 19WC 32533 TOWNSEND, JASON EMJ METALS 05/07/19 DAVID W MARTAY 632 19WC 32549 MEANS, JADA C TARGET 10/27/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 633 19WC 32567 PAYNE, REGINA FIDELITY NATIONAL FINACIA 05/07/18 COHN & COHN 634 19WC 32593 BATEMAN, ALLEN FREEWAY FORD TRUCK SALES 09/27/19 CAPRON & AVGERINOS PC ACCIDENT FUND HOLDINGS 635 19WC 32600 HARDWICKS, AUDREA CROSS COUNTRY ALLIED 11/07/19 DAVID W MARTAY HOLECEK & ASSOCIATES 636 19WC 32618 JACKSON, ZINA UPS 02/06/18 LEONARD LAW GROUP LLC 637 19WC 32638 ACHILLE, GUERDA COOK COUNTY HLTH & HOSP S 05/20/19 STROM & ASSOC STATES ATTORNEY OF COOK COUN 638 19WC 32665 RAMIREZ, ANGELA NORTHWEST COMMUNITY HEALT 10/17/18 NYHAN BAMBRICK KINZIE & LOWR 639 19WC 32702 KIDD, WILLIAM FIRST RESPONSE 11/30/18 MICHAEL A. HIGGINS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 19WC 32746 MENDEZ, JOSE CASE PAPER CO 11/05/19 COVEN LAW GROUP 641 19WC 32765 GUTIERREZ, KAREN CHICAGO NORTH ILLINOIS 11/12/19 MC HARGUE & JONES ASSISTANT ATTY GENERAL 642 19WC 32785 PIERRE-LAINE, REGINE MT SINAI HOSPITAL 11/07/19 FRIEDMAN & SOLMOR LTD 643 19WC 32804 BRADLEY, JANET DONATO FAMILY RESTAURANT, 11/09/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 644 19WC 32827 JACKSON, NATE SIMPLY METALS CORP 02/23/19 MICHAEL A. HIGGINS 645 19WC 32852 CARPENTER, CHUCK MARIANO FRESH MARKET/KROG 10/15/19 TIMOTHY HENDERSON BRYCE DOWNEY & LENKOV LLC 646 19WC 32874 RUCH, MARIGO AMERICAN AIRLINES 07/14/18 SAUNDERS CONDON & KENNY 647 19WC 32897 LAUING, RICHARD D ELFCO, INC. 03/01/19 FRIEDMAN & SOLMOR LTD 648 19WC 32930 CLARK, REGINALD COMCAST 10/01/19 BOWMAN & CORDAY POWER & CRONIN LTD 649 19WC 32949 LAZAREK, HANNA UPS 10/31/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 650 19WC 33025 SZOT, JOHN CITY OF CHICAGO 02/20/18 BOGUSZ & BOGUSZ LTD 651 19WC 33074 ROVLEDO, VELIA JEWEL OSCO 11/11/19 THE MACK LAW GROUP PC 652 19WC 33118 DOLGACH, JOSEPH PACELLA TRUCKING EXPRESS, 10/22/19 LANNON LANNON & BARR LTD 653 19WC 33188 SEATON, RICHARD FEDEX 11/02/19 DWORKIN AND MACIARIELLO 654 19WC 33214 ALMENADRIZ-CERVANTES, SER AZURE REALM DECORATING, L 09/15/17 COSTA IVONE LLC 655 19WC 33237 BERDUZCO, ISAIAS CORTES TRIPLE L LAWN & LANDSCAPE 08/28/19 ANGELINI & ORI LLC 656 19WC 33263 MONZALVO, JUAN CARLOS FOOD EVOLUTION 11/29/18 JONATHAN SCHLACK 657 19WC 33274 TSERKOVNYUK, TATYANA STS MARY & ELIZABETH MEDI 11/04/19 SANDMAN LEVY & PETRICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 19WC 33301 VIRGEN TACACHI, LUIS DURABLE PACKAGING INTERNA 01/31/18 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 659 19WC 33358 DAVIS, BINJAMON UPS 10/29/19 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 660 19WC 33406 KACENA, JAMES AMERICAN AIRLINES 10/17/19 ELFENBAUM EVERS AMARILIO Z 661 19WC 33480 SANTAMARIA, STANLI AMERICAN MOULDING TECHNOL 10/31/19 COSTA IVONE LLC MEACHUM BOYLE TRAUFMAN 662 19WC 33516 JACOBY, CIARA AMERICAN AIRLINES 11/08/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 663 19WC 33609 JONES, MAURICE DAWGS DOOR & WINDOW GUARD 08/26/19 POLANSKY & CICHON CHTD QUINTAIROS PRIETO WOOD & BOY 664 19WC 33617 ORTIZ, JAVIER ALL ABOUT PERSONNEL LLC 11/04/19 FRIEDMAN & SOLMOR LTD 665 19WC 33636 BAGNESCHI, VINCENT ANDERSON LOCK 10/09/19 NEWLAND & NEWLAND 666 19WC 33659 OLUFEMI, EMANUEL CHICAGO POLO XVI, INC 09/25/19 RYAN ROSENTHAL 667 19WC 33675 RADLOFF, EARL FED EX EXPRESS 09/12/19 JOSEPH G HAFFNER LAW OFFIC 668 19WC 33713 KURZ, LINDA ALEXIAN BROTHERS MEDICAL 10/29/19 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 669 19WC 33754 QUILLIN, JAMES FORD MOTOR CO. 10/12/19 KREITER, BYCK & ASSOC LLP 670 19WC 33812 CERVANTES RAMIREZ, ALFRED MARKING SPECIALISTS CORP 11/06/19 DANIEL E MURPHY RUSIN & MACIOROWSKI LTD 671 19WC 33832 WEATHERSBY, GLEN ADVOCATE LUTHERAN GENERAL 11/15/19 ANSELMO DURAN NYHAN BAMBRICK KINZIE & LOWR 672 19WC 33850 PLUMMER, LORRAINE JOURNEY CARE 06/14/19 SCOTT B SHAPIRO 673 19WC 33874 PULIDO, JOSEPH JEWISH FEDERATION OF 09/23/19 ANKIN LAW OFFICE JOSEPH MARCINIAK 674 19WC 33907 HERRERA, ELEAZAR ARDAGH GROUP 08/04/19 RIDGE & DOWNES 675 19WC 33924 WILSON, ANITA TGI FRIDAY'S 10/28/19 KROL BONGIORNO & GIVEN LTD MEACHUM BOYLE TRAUFMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 19WC 33954 CHRISTOPHER, MYRTHIS CHICAGO TRANSIT AUTHORITY 11/22/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 677 19WC 34002 MARTINEZ, JOSE ANTONIO MIDWEST CONVERTING INC 10/21/19 GWC INJURY LAWYERS LLC 678 19WC 34089 GONZALEZ, JESUS COOK COUNTY SHERIFF'S OFF 03/25/19 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 679 19WC 34113 DAVID, JAQUELIN CVS 05/31/19 CULLEN HASKINS NICHOLSON 680 19WC 34131 PITTMAN, DOMINIQUE AUTO WAREHOUSING COMPANY 11/12/19 THOMAS LAW KEEFE CAMPBELL BIERY & ASSOC 681 19WC 34165 FLORES, RICARDO ENVOY AIR 09/23/19 MILLON & PESKIN LTD GAROFALO SCHREIBER STORM GRA 682 19WC 34290 GARAY, NANCY ST ANTHONY HOSPITAL 10/02/19 STRELLIS & FIELD CTD KLAUKE LAW GROUP LLC 683 19WC 34315 JIMENEZ, MERCEDES SPECIALIZED STAFFING SLTN 05/17/19 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 684 19WC 34341 COLLACHIA, CHRISTOPHER CITY OF CHICAGO FIRE DEPT 05/02/17 DWORKIN AND MACIARIELLO 685 19WC 34365 CHAMPION, ERICKA DAKKOTA INTEGRATED SYSTEM 11/16/19 ANKIN LAW OFFICE 686 19WC 34417 TOLEDO FLORES, JOEL WBM INC 11/21/19 COVEN LAW GROUP 687 19WC 34451 KAMINSKY, RONALD CTA 08/03/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 688 19WC 34483 VARGAS, CAMILO MD METALS, INC 01/25/19 RUSSO & RUSSO LTD EVANS & DIXON 689 19WC 34513 LUMPKIN, BRENDA SOUTH COOK CDT NATIONAL E 07/23/19 DWORKIN AND MACIARIELLO 690 19WC 34545 BADILLO, NICOLE UNITED PARCEL SERVICE 05/17/19 SANDMAN LEVY & PETRICH ASA LAW GROUP 691 19WC 34571 ALMAZA JR, RAMON V DUBOIS CHEMICALS, INC 11/16/19 ANKIN LAW OFFICE 692 19WC 34589 OUSLEY, RYAN REDMON'S TOWING 06/17/19 DWORKIN AND MACIARIELLO 693 19WC 34609 ABBAS, GRACE ROSEWOOD CARE CENTER 11/29/19 GERALD CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 694 19WC 34635 COUSINS, JAGUAR STANLEY STEEMER 10/17/19 JOHN C SERKLAND BRYCE DOWNEY & LENKOV LLC 695 19WC 34674 LOME, CLARA EVANS FOOD GROUP 08/16/19 MC HARGUE & JONES 696 19WC 34719 BARAJAS, JUSTINO J&J SNACK FOODS, INC 09/21/19 SHEA LAW GROUP 697 19WC 34768 GRAY, ANGELINE AMAZON 08/11/19 NEIL KAUFMAN 698 19WC 34800 RODRIGUEZ, ROSALIO EBBEN MASONRY INC. 10/25/19 GWC INJURY LAWYERS LLC ACCIDENT FUND HOLDINGS 699 19WC 34821 NEVAREZ, EFREN CHICAGO MEAT AUTHORITY, I 11/01/19 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 700 19WC 34872 ZIELINSKI, ERIC ORLAND FIRE PROTECTON DIS 08/31/19 CULLEN HASKINS NICHOLSON 701 19WC 34892 PEREZ, MOISES HEARTHSIDE FOODS SOLUTION 09/12/19 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 702 19WC 34921 SPENCER, LASHAUNDA CHICAGO PUBLIC SCHOOLS 11/25/19 MC HARGUE & JONES CHGO BOARD OF EDUCATION 703 19WC 34973 MARTINEZ, SILVIO LEON MICHAEL HOSMEIER CONSTRUC 09/05/19 JOHN S. ELIASIK 704 19WC 34991 SPENCER, BRYANT ROINS PRODUCE INC DBA RFD 03/16/18 ARGIONIS & ASSOCIATES LLC JOSEPH MARCINIAK 705 19WC 35013 HOENDERVOOGT, GENNA ELITE AMBULANCE 11/07/19 JOHN C SERKLAND MEACHUM BOYLE TRAUFMAN 706 19WC 35041 ROJAS TAPIA, ANTONIA RESERVES NETWORK 10/18/19 AIOSSA LAW FIRM 707 19WC 35086 MARINOV, VENTZISLAV 57TH STREET BOOKCASE & CA 11/12/19 DAVID W MARTAY JOSEPH MARCINIAK 708 19WC 35119 OJEDA, LIDIA ONIN STAFFING 07/31/19 DWORKIN AND MACIARIELLO FRANCIS J DISCIPIO LAW OFFIC 709 19WC 35175 KLEESE, CASCINDA PIER ONE 11/01/19 HORWITZ HORWITZ & ASSOC 710 19WC 35233 SIDNEY, PERRIN COLOR COMMUNICATIONS, INC 11/05/19 LEONARD LAW GROUP LLC KLAUKE LAW GROUP LLC 711 19WC 35264 PEREZ, ANDREA FOOD 4 LESS 12/02/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 712 19WC 35290 MIXON, TORRENCE BLACKHAWK TRANSPORT 10/21/19 GRAVLIN, MICHAEL J LLC WIEDNER & MCAULIFFE LTD 713 19WC 35312 RIBAN, TERRY HARD SURFACE FINISHERS 10/03/19 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 714 19WC 35348 BROADWAY, CHARLES F REM, INC 11/06/19 VITELL & SPITZ LTD HENNESSY & ROACH PC 715 19WC 35374 LOVRICH, JONATHAN TOTAL STAFFING SOLUTIONS 11/18/19 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 716 19WC 35415 REUBEN, YEDIDAH CHICAGO PUBLIC SCHOOLS 10/17/19 BAUM RUFFOLO & MARZAL LTD CHGO BOARD OF EDUCATION 717 19WC 35434 BARYL, GREGORY RESIDENCES OF RIVERBEND 10/15/17 MARKHAM M JEEP & ASSOCIATE 718 19WC 35467 GARCIA, JOSE AETNA PLYWOOD INC. 11/09/19 JONATHAN SCHLACK 719 19WC 35497 BROCKMAN, WILLIAM INNOVATION GROUP 08/16/19 STEIN & CHERNY LTD 720 19WC 35517 RASHO, JAIME MULTIPOINT, INC 11/11/19 CUDA LAW OFFICES 721 19WC 35608 DANIEL, BRIAN FEDERAL EXPRESS 12/06/19 STEVEN J TENZER, LTD 722 19WC 35659 BEAMAN, VICTOR J SR. COLUMBUS MANOR INTERMEDIA 11/09/19 STEVEN J MALMAN & ASSOCIAT 723 19WC 35680 DIAZ, PABLO SYSCO 08/11/19 TAXMAN POLLOCK 724 20WC 03472 COOPER, FRANCES SWEDISH COVENANT HOSPITAL 11/30/19 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 725 20WC 03488 PACHECO, MIRNA EVELYN CRE STAFFING NETWORK 12/23/19 STEVEN B SALK & ASSOC LTD 726 20WC 03521 OLMOS, MELISSA RAYMUNDO'S FOOD GROUP 02/11/19 DWORKIN AND MACIARIELLO 727 20WC 03555 LAWRENCE, ANNA MARIE PERKSPOT 10/04/19 RIDGE & DOWNES GAROFALO SCHREIBER STORM GRA 728 20WC 03575 BILLUPS-JACKSON, BABETTE PILLARS COMMUNITY HEALTH 01/15/20 ANKIN LAW OFFICE 729 20WC 03596 KELLY, KEVIN VILLAGE OF MIDLOTHIAN 03/22/18 THOMAS W DUDA INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 730 20WC 03629 LIGGINS, RALPH UPS 02/04/20 STEWART C ORZOFF NYHAN BAMBRICK KINZIE & LOWR 731 20WC 03669 KORBEL, KYLIE SWCCCASE 12/12/19 DWORKIN AND MACIARIELLO 732 20WC 03691 CONDON, DONNA G4S SOLUTIONS 01/25/20 ROMANUCCI & BLANDIN BRYCE DOWNEY & LENKOV LLC 733 20WC 03714 MADERA, JONATHAN CBRE, INC 02/05/20 THE ROMAKER LAW FIRM 734 20WC 03742 WOODLAND, LATINYA M UNITED PARCEL SERVICE 01/08/20 GALLAGHER, DONALD V ASA LAW GROUP 735 20WC 03760 GONAZLEZ, JOSE M&K TRUCK CENTERS 10/29/19 SANDMAN LEVY & PETRICH 736 20WC 03779 LEON, DORICE HOLIDAY INN EXPRESS 06/05/19 COVEN LAW GROUP 737 20WC 03796 DANDRIDGE, ANDREA EDGE LIGHTING 01/29/20 SCOTT B SHAPIRO BORGELT POWELL 738 20WC 03821 OCHOA, NICHOLAS ITS TECHNOLOGIES & LOGIST 02/02/20 DWORKIN AND MACIARIELLO 739 20WC 03848 DUNKEL, ERIC LARSON PACKAGING 10/11/19 WOODRUFF JOHNSON 740 20WC 03882 GARCIA, TEODULO MAIN STEEL 05/01/19 JONATHAN SCHLACK 741 20WC 03903 SOTO, KENIA ALDI US 09/21/17 RANDALL T MANOYAN BRADY CONNOLLY & MASUDA PC 742 20WC 03924 ZUGIC, MILANKA PROGRESS RAIL 12/03/19 COSTA IVONE LLC GOLDBERG SEGALLA LLC 743 20WC 03948 HUNTER, TIFFANY FRESENIUS KIDNEY CARE 01/24/20 COVEN LAW GROUP HENNESSY & ROACH PC 744 20WC 03968 FRANTZ, COREY HEARTLAND ALLIANCE 01/03/20 HERRERA LAW CENTER 745 20WC 03993 GOODMAN, GARY DAKKOTA INTEGRATED SYSTEM 02/10/20 DWORKIN AND MACIARIELLO WOLF & LAUDICINA LTD 746 20WC 04042 WINDETT, DONALD ELGIN BEVERAGE COMPANY 12/11/19 GWC INJURY LAWYERS LLC RIPES NELSON BAGGOT KALOBRAT 747 20WC 04062 LAUING, RICHARD D ELFCO, INC. 01/22/20 FRIEDMAN & SOLMOR LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 748 20WC 04087 BINGUE, JEAN ANDRE GERARD CITY OF CHICAGO 07/11/19 MANDELL, GREGG 749 20WC 04108 PEDEN, LILLIAN CTA 01/22/20 MINKOW DOMIN 750 20WC 04128 TREVITHICK, STEVEN BADGER OIL EQUIPMENT 02/21/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 751 20WC 04194 CRAWFORD, INEZ CROTHALL HEALTHCATE INC 05/15/19 ANKIN LAW OFFICE 752 20WC 04215 FRANKLIN, ERIC WATER RECLAMATION DISTRIC 10/16/19 SEIDMAN MARGULIS & FAIRMAN 753 20WC 04244 WILSON, KENNY MCGUIRE-WESTERN LUMBER CO 01/28/20 CULLEN HASKINS NICHOLSON 754 20WC 04270 JACKSON, ROBERT BANNER WAREHOUSE 12/18/19 EDWIN REYES LAW FIRM 755 20WC 04288 MANCERA, RAFAELA J & J SNACK FOODS SALES C 11/29/19 HERRERA LAW CENTER 756 20WC 04310 MARQUEZ, MARTIN CITY OF EVANSTON 09/10/19 TURCYCHUTE LLC 757 20WC 04344 DISMUKES, HAROLD BARTON STAFFING 02/05/20 ROGER D RUDICH LTD 758 20WC 04366 BEARDEN, ISOM AUTO WAREHOUSING CO 12/15/19 GWC INJURY LAWYERS LLC KEEFE CAMPBELL BIERY & ASSOC 759 20WC 04395 COBB, LAARIA TARGET 01/09/18 STROM & ASSOC 760 20WC 04412 BARBERO, CARMEN M SIGNATURE TRANPORTATION, 02/03/20 RUBIN LAW GROUP 761 20WC 04434 MEDINA, THERESA CHICAGO DENTAL BOUTIQUE 02/17/20 CUDA LAW OFFICES JOSEPH MARCINIAK 762 20WC 04450 ALLEN, ASHLEY FORD MOTOR COMPANY 01/30/20 DONALD FOHRMAN & ASSOC RUSIN & MACIOROWSKI LTD 763 20WC 04469 MARTIN, ERVIN AT&T 09/05/19 LAW OFFICES OF ADRIAN CHER 764 20WC 04502 VEVERKA, EDWARD J COOK CNTY FACILITIES MANA 02/16/18 TIMOTHY E. TAKASH STATES ATTORNEY OF COOK COUN 765 20WC 04543 STOGOWSKA, MAGDALENA THE MILLARD GROUP, INC. C 02/05/20 HETHERINGTON KARPEL & BOBB GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 766 20WC 04561 CHACON, JESSE NEWTEC WINDOWS & DOORS 01/30/20 DAVID W MARTAY 767 20WC 04599 PECORA, JOSEPH M CITY OF CHICAGO 11/25/19 SALVATO O'TOOLE FROYLAN 768 20WC 04618 BUDDE, GLENN GES/VIAD CORP 04/04/19 GILDEA, COGHLAN & REGAN LTD. 769 20WC 04640 ESPINOSA, LUIS FC VALET 02/03/20 LEONARDO MORALES 770 20WC 04687 RILEY, DEANDRE ALLIED UNIVERSAL 02/15/20 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 771 20WC 04759 ANDERSON, VALENCIA WALGREEN COMPANY #1503 01/01/20 COHN LAMBERT RYAN & SCHNEI GILDEA, COGHLAN & REGAN LTD. 772 20WC 04787 MENDEZ, OMAR HWDP CARPENTRY, INC 01/20/20 CULLEN HASKINS NICHOLSON 773 20WC 04809 AMUSAH, MUDAH A TAXI TOWN 01/15/20 WEISS & WEISS LAW OFFICES 774 20WC 04829 ALDRIDGE, MELISSA AVENUE STORES LLC 05/30/19 RUEDA, IVAN A 775 20WC 04891 CARDENAS, MARIA GATE GOURMET 12/01/19 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 776 20WC 04939 CRUMP, ROSITA DHS 02/07/20 DWORKIN AND MACIARIELLO 777 20WC 05020 SMITH, BRYAN R DR PEPPER SNAPPLE GROUP 11/19/18 HORWITZ HORWITZ & ASSOC 778 20WC 05071 FLORES, ORLANDO LABOR SOLUTIONS 02/20/20 GERALD CONNOR 779 20WC 05096 PORTILLO, GUADALUPE MATTHEWS ROOFING CO INC 11/07/19 JAUREGUI & ASSOCIATES 780 20WC 05116 HERRERA, GRISELDA BOB'S DISCOUNT FURNITURE 06/15/18 ROBERTO ACEVEDO HENNESSY & ROACH PC 781 20WC 05147 OCHOA, LIZET MAYWOOD POLICE DEPARTMENT 11/09/19 DAVID SZCZECIN & ASSOC INMAN & FITZGIBBONS 782 20WC 05153 HUDGINS, CATHERINE CHICAGO TRANSIT AUTHORITY 06/15/17 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 783 20WC 05180 LEON, FRANCISCO ECOBRITE LINEN 11/30/19 STANCZAK LAW OFFICES MEACHUM BOYLE TRAUFMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 784 20WC 05261 JOANET, LOUISE NEPTUNE STAR, INC 09/30/19 DEPAOLO & ZADEIKIS 785 20WC 05291 OLSON, KENNETH J JEWEL FOOD STORES 12/04/19 STEVEN B SALK & ASSOC LTD 786 20WC 05307 RODRIGUEZ, MARIZA BEST WESTERN HOTEL 02/07/20 CUDA LAW OFFICES 787 20WC 05341 ABDURAKHMANOVA, NINA (ADM GOLD STAR CARRIERS INC # 11/12/19 ANKIN LAW OFFICE 788 20WC 05414 VERGARA, LEONARDO PANAMERICAN CONSTRUCTION 08/30/19 KATZ FRIEDMAN EISENSTEIN LITCHFIELD CAVO 789 20WC 05460 VIVEROS, VICTORIA ADVOCATE ILLINOIS MASONIC 02/12/20 GERALD CONNOR 790 20WC 05479 NORRIS, JUAWHAUN LYFT 02/16/20 CHARLES LEVY & ASSOC LTD 791 20WC 05497 PEER-TAYLOR, GWENDOLYN ADVOCATE HEALTH CARE NETW 11/09/17 SAM CUBA LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 792 20WC 05517 CALDWELL, MICHAEL ARIES CHARTER 02/22/20 ANKIN LAW OFFICE 793 20WC 05556 CASSARINO, FRANK AFFILIATED CUSTOMER SERVC 03/27/19 MARC J SHUMAN & ASSOCIATES 794 20WC 05596 CATHEY, LAMONT APACHE SERVICE AND SUPPLY 02/05/20 SALVATO O'TOOLE FROYLAN POWER & CRONIN LTD 795 20WC 05612 ZARECKI, FRANK UPS 01/21/20 LEONARD LAW GROUP LLC ASA LAW GROUP 796 20WC 05641 ENOLVA, MENERVA AMITA HEALTH 01/11/20 COVEN LAW GROUP 797 20WC 05769 BACKSTROM, MIKE VILLAGE OF HOFFMAN ESTATE 02/05/20 GESMER & REYNOLDS PC EVANS & DIXON 798 20WC 05842 DAVIS, JASON COMCAST 02/21/20 STEVEN J MALMAN & ASSOCIAT POWER & CRONIN LTD 799 20WC 05866 LASCH, KEVIN IGS 02/15/20 POLANSKY & CICHON CHTD 800 20WC 05891 STURKEY, JEMAL SOUTHWEST AIRLINES 02/24/20 LEONARD LAW GROUP LLC 801 20WC 06007 ALVAREZ, SILVIA P GALLAGHER BASSETT SERVICE 02/25/20 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 820 20WC 06730 GARCIA, VICTOR WICHITA PACKING CO 10/23/19 ENCINAS & ORNELAS EVANS & DIXON 821 20WC 06783 VASQUEZ, JESUS MONARCH CONTRUCTION CO 11/18/19 ARGIONIS & ASSOCIATES LLC KNELL O'CONNOR DANIELWICZ 822 20WC 06799 FELDMAN, LAWRENCE UNITED AIRLINES 02/20/19 CULLEN HASKINS NICHOLSON 823 20WC 06818 POPE, LATASHA CTA 08/01/19 DONALD FOHRMAN & ASSOC 824 20WC 06857 ISMAIL, AHMED M RUSH UNIVERSITY MEDICAL C 07/21/18 MORICI FIGLIOLI & ASSOC KEEFE CAMPBELL BIERY & ASSOC 825 20WC 06901 IRIARRY, JOSE ADT SECURITY 10/12/19 GOLDSTEIN AIOSSA & GOOD 826 20WC 10773 ARPS, MELINDA UNITED CONTINENTAL HLDNGS * 09/26/18 KATZ FRIEDMAN EISENSTEIN 827 20WC 10788 AUSTIN, DONALD PROFESSIONAL TRANSPORTATI * 04/07/20 ELFENBAUM EVERS ZIELINSKA 828 20WC 10821 ROZCO, IVAN COOK COUNTY SHERIFF'S DEP * 02/24/20 WHITESIDE & GOLDBERG LTD 829 20WC 10849 NIKIEL, KENNETH JONES LANG LASALLE * 06/27/19 RUBENS KRESS MULHOLLAND 830 20WC 10871 KEATING, JULIANNE AUTOBARN VOLVO CARS OAK P * 01/27/20 WILLIAM A. JAEGER PC 831 20WC 10928 MARIN, EDGAR MEYER STEEL DRUM INC * 04/01/20 LEONARD LAW GROUP LLC 832 20WC 10953 SANTOS, WALTER SYMONS CORPORATION * 01/23/20 EPSTEIN, JACK R LAW OFFICE 833 20WC 11003 JAMES, TEVIN TRANS ONE * 03/18/20 SAUNDERS CONDON & KENNY 834 20WC 11022 ORTIZ, EVELYN RESTAURANT PERSONNEL INC * 12/23/19 CULLEN HASKINS NICHOLSON 835 20WC 11040 WARD, JASMINE EATALY * 06/12/17 WHITESIDE & GOLDBERG LTD MEACHUM BOYLE TRAUFMAN 836 20WC 11067 POSADAS, JOSHUA FRIENDSHIP SENIOR OPTIONS * 04/15/20 GRAUER & KRIEGEL LLC 837 20WC 11089 DE JESUS, ISMAEL JEWEL FOOD DISTIBUTION CE * 04/17/20 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 838 20WC 11109 CASTRO, NICOLAS CITY OF CHICAGO DEPT OF * 04/02/20 ANKIN LAW OFFICE 839 20WC 11128 MALINOWSKI, STEVEN THE CITY OF PALOS HEIGHTS * 04/29/20 COVEN LAW GROUP 840 20WC 11151 AZZEH, CINDY ADVOCATE CHRIST HOSPITAL * 04/18/20 DAVID W MARTAY 841 20WC 11187 GHOLAR, YOSAFE MARIANO'S * 04/04/20 TAXMAN POLLOCK 842 20WC 11269 AVILA, MARIA ARROW HOME PRODUCTS * 12/18/19 ACEVES & PEREZ PC 843 20WC 11310 CARRIGLIO, GREGORY CHICAGO TRANSIT AUTHORITY * 04/03/19 CHARLES A FANUCCHI 844 20WC 11330 FERNANDEZ, JESUS PROVEN SNOW & ICE CONTROL * 01/18/20 MICHALSKI & GUBERNAT 845 20WC 11346 KASPER, THERESA JEWEL FOOD STORES * 07/21/19 BLOCK, KLUKAS & MANZELLA P 846 20WC 11369 LEWIS, A.D. REM INC * 04/29/20 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 847 20WC 11392 MESSNER, ALAN NEXUS COMMUNICATIONS TECH * 09/03/19 DE SALVO, SCOTT D LAW OFFI GRIFFIN, LORETTA M LAW OFFIC 848 20WC 11404 GONZALEZ, CLINT COOK COUNTY SHERIFF DEPT * 04/03/20 GORDON & CENTRACCHIO LLC 849 20WC 11451 MARTINEZ, MARIO UNITED SCRAP METAL, INC. * 05/11/20 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 850 20WC 11468 ALVARADO, MARIA RSR PARTNERS LLC. * 04/28/20 CULLEN HASKINS NICHOLSON 851 20WC 11502 VALDEZ, LUCILA KIK CUSTOM PRODUCTS, INC * 04/11/20 KATZ FRIEDMAN EISENSTEIN 852 20WC 11518 MALLETT, BYRON CHICAGO TRANSIT AUTHORITY * 01/15/20 ANKIN LAW OFFICE 853 20WC 11538 TIBERIU, STEFAN OLEM CONSTRUCTION INC * 04/08/20 DISPARTI LAW GROUP PA 854 20WC 11560 PEREZ, NOE GOODYEAR * 05/11/20 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 855 20WC 11585 KOSIN, ANATOLIJ APD ELECTRIC INC * 07/03/19 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 856 20WC 11609 GUSHCHIN, ANYA COOK COUNTY HEALTH DEPT * 08/15/19 WHITESIDE & GOLDBERG LTD 857 20WC 11632 MARQUEZ, JOSE SYSCO CHICAGO INC * 07/22/19 GWC INJURY LAWYERS LLC 858 20WC 11689 BROADWATER, TREMMEL PGT HOLDINGS INC * 04/20/20 RATHBUN CSEVENYAK & KOZOL 859 20WC 11718 PERALTA, LEONEL ZK DECORATING CO, INC * 04/11/20 AIOSSA LAW FIRM 860 20WC 11807 ESQUIVAL, NATASHA SPIRIT AIRLINES, INC * 03/09/20 CORBOY & DEMETRIO PC 861 20WC 11827 ANDRADE, OSCAR LIFE FITNESS * 04/20/20 OSVALDO RODRIGUEZ PC 862 20WC 11854 THOMPSON, PAUL FEDEX * 11/27/18 SCOTT B SHAPIRO 863 20WC 11870 COMPTON, JOHN KERRY INGREDIENTS * 05/14/20 DWORKIN AND MACIARIELLO 864 20WC 11882 TORRES, YOVANI MEYER STEEL DRUM INC * 04/23/20 KATZ FRIEDMAN EISENSTEIN 865 20WC 11909 GUZELDERE, HASAN T AT&T * 03/26/20 ANKIN LAW OFFICE 866 20WC 11936 FERNANDEZ, JOEL DIVERSE FACILITY SOLUTION * 05/05/20 CULLEN HASKINS NICHOLSON 867 20WC 11951 YAGER, JAMES ALDRIDGE ELECTRIC, INC * 09/19/19 HEALY SCANLON LAW FIRM 868 20WC 11981 RICHEE, KERRY 3400 NORTH LAKE SHORE * 11/21/19 VASILATOS & COTTER LLC 869 20WC 12011 DAWSON, KATRINA CITY OF CHICAGO * 12/19/19 WILLIAM H MARTAY 870 20WC 12044 YOUSFI, MOSTEFA SUN TAXI ASSOCIATION INC. * 06/17/17 SIDNEY EZRA 871 20WC 12076 CONWELL, SHANTAMIQUE MEDLINE RENEWAL * 05/08/20 BRISKMAN BRISKMAN GREENBER 872 20WC 12128 WHITE, BRENDA WATERFORD ESTATES * 03/10/20 STANCZAK LAW OFFICES 873 20WC 12174 CORRAL, RUBEN FIXER SERVICES * 11/19/19 KREITER, BYCK & ASSOC LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M KAY, TIFFANY 016 ARBITRATION CALL FOR CHICAGO 99016 ON 07/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 874 20WC 12199 JONES, LAKISHA NEW ALBERTSONS LP * 05/07/20 ANKIN LAW OFFICE 875 20WC 12223 VAZQUEZ, OSCAR CLAYCO CONSTRUCTION * 10/19/19 LLOYD MILLER LAW GROUP HENNESSY & ROACH PC 876 20WC 12243 OFC. SHAWANA HARVEY COOK COUNTY * 04/05/20 RANDALL T MANOYAN 877 20WC 12262 BRIDGES, DEANNA ALSIP-HAZELGREEN OAK LAWN * 03/03/20 DWYER & COOGAN 878 20WC 12285 MATHEWS-LATHAM, GERALDINE CTA * 05/14/20 WHITESIDE & GOLDBERG LTD 879 20WC 12304 MEJIA, SERGIO BUFFALO WINGS & RINGS * 05/24/20 ENCINAS & ORNELAS 880 20WC 12327 WIGMAN, CHRIS T THE HILL GROUP * 03/12/20 ANESI OZMON RODIN NOVAK KO 881 20WC 12348 HOWARD, CYNTHIA NOVAK CONSTRUCTION * 05/12/20 GRAVLIN, MICHAEL J LLC 882 20WC 12376 TAYLOR, TENESHA CHICAGO TRANSIT AUTHORITY * 05/30/20 ELFENBAUM EVERS ZIELINSKA 883 20WC 12403 GILLIAM, ANGELA CHICAGO BOARD OF EDUCATIO * 06/15/17 STROM & ASSOC