ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 01841 DOMBROWSKI, EDWARD WHITE HEN PANTRY 07/08/04 ANESI OZMON RODIN NOVAK KO LAW OFFICES OF EDWARD J. KOZ 05WC001842 -C 2 07WC 37812 19B PLEIN, JUSTIN FISHERS INTERIORS LTD 04/06/07 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 3 09WC 00828 FOLLMAN, LAURA TRAVEL CENTERS OF AMERICA 08/17/06 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 4 10WC 26454 GONZALEZ, MICAELA OSCAR MEYER CLAUSEN PICKL 03/01/10 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 5 11WC 25398 BELLANTE, CHRISTIAN LDI INDUSTRIES 06/08/11 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 6 11WC 36249 19B SCIMECA, VICTOR R VILLAGE OF HEBRON 02/03/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 11WC036287 -C 7 12WC 01592 JORDAN, ZACHARY ROBERTS EXTERIOR SERVICES 11/23/11 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 8 13WC 02332 LARSEN, NANCY JEWEL FOOD STORES 12/15/12 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 9 13WC 15577 DIAZ KRISTA KELLY SERVICES 03/20/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 10 13WC 31024 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 03/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 11 13WC 31025 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 08/15/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 12 13WC 31779 JAWORSKI, JEFFREY ILLINOI STATE TOLL HIGHWA 08/18/13 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 13 13WC 36857 KARL, MARGARET APTARGROUP INC 08/29/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 14 14WC 07556 O'DONNELL, PATRICK RAGING BUFFALO SNOWBOARD 03/02/14 HEALY LAW FIRM HENNESSY & ROACH PC 15 14WC 10746 WERNER, WANDA WALMART 01/05/14 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 18WC000754 -C 16 14WC 13364 BROWN, MOSES COMMONWEALTH EDISON 03/31/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 14WC 19408 PAULSEN, BRAD GENERAL EXTERIOR CONSTRUC 03/20/14 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 18 14WC 31365 MAKI, JEANNE HAMPSHIRE FIRE PROTECTION 03/20/12 CAMERON CLARK RUSIN & MACIOROWSKI LTD 14WC031366 -C 14WC031367 -C 17WC025909 -C 19 14WC 31570 DOMINGUEZ, GILBERTO THE TEXAN BAR-B-QUE INC 09/03/14 STROM, NEAL B RUSIN & MACIOROWSKI LTD 20 14WC 37422 PAGE, JAMES FEDERAL EXPRESS 07/22/14 LEO ALT HANSON LAW OFFICE 21 14WC 38555 19B OGLE, RICHARD CATALENT PHARMA SOLUTIONS 05/16/14 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 22 14WC 40480 RAMOS, ANDRES SNAP-ON-TOOLS 09/05/14 WOLFE LAW PC GILDEA & COGHLAN 23 14WC 40907 KOTSY, AMANDA STATE OF ILLINOIS @ 07/26/13 COVEN LAW GROUP ASSISTANT ATTORNEY GENERAL 24 14WC 41106 SANCHEZ-PEREZ, SANTIAGO IRFAN NASIR AND USMAN CHE 06/14/14 EPSTEIN, JACK R LAW OFFICE ARIANO HARDY NYULI JOHHSON 25 15WC 00245 ROBELET, VICTOR P CRYSTAL LAKE PD 08/19/14 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 26 15WC 06489 LARSON, STACY SUPERIOR COATING 09/02/14 BLACK & JONES HOLTKAMP LIESE ET AL 27 15WC 08509 FRANZONE, DEBRA CENTEGRA HEALTH SYSTEMS 12/02/14 DIAMOND & LESUEUR PC RUSIN & MACIOROWSKI LTD 28 15WC 09066 ROJAS, LEODEGARIO AC HOME CONSTRUCTION 10/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 29 15WC 11001 CARTWRIGHT, STACI IAC 10/15/14 BLACK & JONES GANAN & SHAPIRO 30 15WC 12622 FROST, JACK JR GREAT LAKES FIRE & W 03/18/15 SOSTRIN AND SOSTRIN PC CAMPION CURRAN LAMB 31 15WC 20236 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 04/14/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 15WC028908 -C 32 15WC 22112 LACHER, KRISTINE J NIPPERSINK SCHOOL DISTRIC 04/08/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 33 15WC 24535 FISCHER, SUZETTE ANN INC 09/10/13 BRAD J. BALKE, PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 15WC 29832 BOYCE, MICHAEL J WEBER GRILL 04/06/15 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 35 15WC 34820 LANE, BRIAN DYLAN'S PUB 02/10/15 DWORKIN AND MACIARIELLO 36 15WC 42183 KINDSCHY, KEITH HANOR CO. 10/12/14 FRANKS, GERKIN & MCKENNA P HENNESSY & ROACH PC 37 16WC 04251 KRUZEL, CANDANCE ALDI MCHENRY 06/07/15 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 38 16WC 05801 CARRENO, MARIA D COVIDIEN 01/15/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 39 16WC 06159 BOUCHAREUNE, SOUVAHN DIRECT DIMENSION INC 10/21/15 TARADASH LAW OFFICE GANAN & SHAPIRO 40 16WC 06372 COSTAN, SUSAN A COMMUNITY HIGH SCHOOL DIS 02/03/16 LOCASCIO, MARK A LTD GOLDBERG SEGALLA LLC 41 16WC 09559 MANCHESTER, THOMAS S CITY OF HARVARD 08/11/14 MADSEN SUGDEN & GOTTEMOLLE RUSIN & MACIOROWSKI LTD 42 16WC 11879 FINNEGAN, DANIEL P SIEMENS INDUSTRY, INC 02/02/16 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 43 16WC 13046 LAMBERT, HEIDI ELGILOY SPECIALTY METALS 09/13/15 ELFENBAUM EVERS ZIELINSKA POWER & CRONIN LTD 44 16WC 14221 AVILES, MARIO HT LUMBER & CRATES 05/04/15 COSTA IVONE LLC 45 16WC 17008 MORALES, GLORIA NOVATION INDUSTRIES 09/02/15 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 46 16WC 19169 CHARO, ROBERT WEBER STEPHENS 03/24/16 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK 47 16WC 21848 BRITO, JACQUELINE THREE OAKS ASSISTED LIVIN 05/03/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 48 16WC 22195 AMICK, PAULA MCHENRY COMMUNITY CONS 12/18/15 HANNIGAN & BOTHA, LTD 16WC022196 -C 49 16WC 24564 TORRES, JOSE ZARATE SERV-ALL 06/06/16 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 16WC 27882 AVILLA, JOSE LUIS ERICK AVILLA & LUIS AVILA 01/20/16 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 51 16WC 28639 RAMIREZ, BERTHA INDUCTION HEAT TREATING 03/15/16 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 18WC013888 -C 52 16WC 28686 QUICK, PATRICK ELGILOY SPECIALTY METALS 04/07/16 BLACK & JONES POWER & CRONIN LTD 16WC028687 -C 53 16WC 30025 LORUSSO, NICK ELECTRONIC FOR IMAGING 10/27/15 COLLISON LAW OFFICES GOLDBERG SEGALLA LLC 54 16WC 33003 PENA, MARY C TRUE VALUE 09/21/16 FRANKS, GERKIN & MCKENNA P ASA LAW GROUP 55 16WC 34494 HUDSON, JESSICA CRYSTAL LAKE SCHOOL DIST 10/20/16 GOLDBERG WEISMAN & CAIRO L 56 16WC 35060 HARRIS, WENDY D FRESENIOUS KIDNEY CARE 10/25/16 ANESI OZMON RODIN NOVAK KO 57 16WC 38205 DOMINQUEZ, BALVINA WEBER-STEPHEN PRODUCTS LL 05/06/16 WHITESIDE & GOLDBERG LTD JOSEPH MARCINIAK 16WC038206 -C 58 16WC 38361 COLLINS, CHRISTOPHER NILCO INC 06/29/16 FRANKS, GERKIN & MCKENNA P GILDEA, COGHLAN & REGAN LTD. 59 17WC 00921 NEUKIRCH, ARMINDA ILLINOIS DEP OF REHABILIT @ 06/27/16 HANNIGAN & BOTHA, LTD HELEN LOZANO 60 17WC 05633 MILLER, WILLIAM IL DEPT OF TRANSPORTATION 09/07/16 GOLDBERG WEISMAN & CAIRO L HELEN LOZANO 61 17WC 05751 MARTINEZ, REYNALDA KRAFT HEINZ CO 12/14/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 17WC005752 -C 62 17WC 08093 KRUSE, HERBERT WOODSTOCK HIGH SCHOOL 01/23/15 MC HARGUE & JONES POWER & CRONIN LTD 63 17WC 08419 STRATMAN, PAIGE KOUNTRY PET RESORT 12/12/16 64 17WC 10523 ROTH, KATHLEEN CARY POLICE DEPT 01/17/17 HEALY SCANLON LAW FIRM 65 17WC 10630 SANCHEZ, JULIA ALPHA SWISS INDUSTRIES 01/26/17 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM GRA 66 17WC 11417 RAMOS, MARIA MEDTRONIC 06/15/16 DEPAOLO & ZADEIKIS POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 68 17WC 15795 BOND, KIMBERLY R MEIJER 02/13/17 RUBIN LAW GROUP KNELL & O'CONNOR 19WC007596 -C 69 17WC 16146 ROMITO, DARRIN PROFESSIONAL INSPECTION 09/15/16 E JAMES RAYMOND JOSEPH MARCINIAK 18WC021311 -C 70 17WC 16707 MORALES, GLORIA NAVATION INDUSTRIES 05/05/17 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 71 17WC 16987 DUCY, SADRAQUE HYDRAULIC SERVICES INC 07/06/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 72 17WC 18176 WALQUIST, KATHIE BUFFALO WILD WINGS 01/24/17 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 73 17WC 19965 HERNANDEZ, MARIO MIDWEST DRYWALL & ACOUSTI 04/13/17 HART & DAVID LLP POWER & CRONIN LTD 74 17WC 20369 AGUIRRE, IRMA APTAR CARY 10/19/16 JOHN S. ELIASIK HENNESSY & ROACH PC 75 17WC 21701 KAUFMANN, MICHAEL R MKD ELECTRIC CO 05/22/17 GIACOBBE, THOMAS M 76 17WC 23827 FICHTER, ANGELO ACCURATE PERSONNEL SERVIC 06/12/17 77 17WC 24708 ANGELES, LOURDES TRU-CUT, INC 02/06/17 CUDA LAW OFFICES JOSEPH MARCINIAK 78 17WC 25348 PEREZ, ROSALINDA CRYSTAL LAKE SCHOOL DIST 07/05/17 SOSTRIN AND SOSTRIN PC 79 17WC 26103 WEBB, MICHAEL CONSERV FS INC 09/19/14 WIEDNER & MCAULIFFE 80 17WC 26393 NOTEALEO, SAYSAMONE DIRECT DIMENSION, INC 03/31/17 ANKIN LAW OFFICE GANAN & SHAPIRO 81 17WC 30190 MORRIS, KIMBERLY A COMMUNITY HIGH SCHOOL DIS 09/18/17 CRONIN & PETERS 82 17WC 30807 KEITH, LINDA CENTEGRA HEALTH SYSTEM 03/04/17 CORBOY & DEMETRIO PC RUSIN & MACIOROWSKI LTD 19WC018189 -C 83 17WC 31154 SCACCIA, TONYA GOODWILL INDUSTRIES NORTH 06/07/17 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 17WC 31541 MOLENDA, LAWRENCE A WALMART 07/31/17 DAVID SZCZECIN & ASSOC QUINTAIROS PRIETO WOOD & BOY 85 17WC 32483 VOCKA, HEATHER STATE OF ILLINOIS/ COURT 04/17/17 GUMMERSON & RAUSCH LLC ASSISTANT ATTORNEY GENERAL 86 17WC 33251 MCNINCH, PATRICK V USF HOLLAND, INC 08/01/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 87 17WC 33397 OLSON, SANDRA LIFETIME FITNESS 02/28/15 SHANNON LAW GROUP RUSIN & MACIOROWSKI LTD 88 17WC 34721 CONRAD, NICHOLAS J SHERMAN MECHANICAL INC 07/26/17 WIEDNER & MCAULIFFE LTD 89 17WC 34873 JACOS, KURT KWIK SERV PLUMBING &HVAC 10/04/17 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 90 17WC 35976 POTOCZKY, JOHN R WOODSTOCK FIRE RESCUE 09/28/17 THOMAS W DUDA 91 18WC 00036 ROTHUNDE, PATRICIA ADVOCATE HOME HEALTH 01/07/15 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 18WC000037 -C 18WC000038 -C 92 18WC 00322 WIGGINS, RICHARD A FRITZ L LARSEN, INDIV AND 11/16/15 LINN, CAMPE & RIZZO LTD 93 18WC 00561 CARBAJAL, MARIA MEDELA, INC 04/27/16 WAGGONER LAW FIRM PC RUSIN & MACIOROWSKI LTD 94 18WC 00624 SAMANO, ELIDA CLAUSSEN PICKLE COMPANY 12/04/17 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 95 18WC 01205 RAFFAELE, SU CHONG UNICARRIERS AMERICA CORP 07/19/17 LULAY LAW OFFICES EVANS & DIXON 20WC002016 -C 20WC002017 -C 96 18WC 01638 ROBERSON, TAMARA M DOLLAR GENERAL 08/16/17 HANNIGAN & BOTHA, LTD LEAHY EISENBERG & FRAENKEL 97 18WC 03995 BERNAL, MANUEL OMNI PRODUCTS INC 06/08/17 PORRO NIERMANN LAW GROUP 98 18WC 05014 CRESPO, JASON RELIABLE STAFFING 01/25/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 99 18WC 05640 RUNGE, MARCUS TRUE VALUE COMPANY 06/09/15 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 100 18WC 06324 HERNANDEZ, KATIA INDUCTION HEAT TREATING 01/27/17 BOTTO GILBERT WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 18WC 07452 ELMS, JOAN KOHL'S 09/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 102 18WC 07752 SOBIERALSKI, DARIUSZ COTTER CONSTRUCTION CO IN 12/12/17 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 103 18WC 08478 NELSON, GENE DUNDEE TOWNSHIP PARK DIST 10/03/17 CUDA LAW OFFICES HENNESSY & ROACH PC 18WC008479 -C 18WC008480 -C 18WC008481 -C 104 18WC 08703 KALUPSKI, NATALIE ANIMAL HOSPITL OF SPRING 05/31/17 MC HARGUE & JONES 105 18WC 09144 HANSEN, DENISE ALEXANDER LEIGH CENTER 11/29/16 KATZ FRIEDMAN EAGLE ET AL 106 18WC 09593 SCHALK, MICHAEL CMS @ 01/07/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 107 18WC 10727 ARELLANO, HERIVERTO J ROMERO ARELLANOS LANDSC 08/14/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 108 18WC 11371 BEU, CHRISTINE CASEY'S GENERAL STORE 12/15/17 ARIANO HARDY NYULI JOHHSON 109 18WC 12043 JUSTES, NICOLE SHERMAN PERSONAL CARE INC 03/18/18 DOUGLAS RALLO PC GANAN & SHAPIRO 110 18WC 12944 SILLIN, ANGELA KOHLS 04/11/17 KEVIN P. JUSTEN PC HENNESSY & ROACH PC 111 18WC 13234 FELIX, JOSE CRYSTAL LAKE CHRYSLER 01/16/17 SANDMAN LEVY & PETRICH NOBLE & ASSOC 112 18WC 13457 HERNANDEZ, PEDRO CARDINAL HEALTH 09/17/17 ROSS TYRRELL HENNESSY & ROACH PC 113 18WC 13714 PERALTA, EDGAR EDEN PROJECT, INC & GAMAL 07/02/16 EPSTEIN, JACK R LAW OFFICE 114 18WC 14163 LAGRO, CHRISTOPHER LTL BUILDING MAINTENANCE 04/05/18 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 115 18WC 15082 OLSON, KEVIN D CHARTER MANUFCTRING CO DB 04/03/17 TUITE LAW RUSIN & MACIOROWSKI LTD 116 18WC 15381 BRYAN, ALEXANDER STEAK N SHAKE 04/14/18 KLAUKE LAW GROUP LLC 117 18WC 15920 DUNSETH, LAWRENCE W STRUCTURAL DYNAMICS, INC 04/23/18 TUITE LAW RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 18WC 16588 COTTONE, LAWRENCE MENARDS 05/03/18 MARTIN V KUGIA 119 18WC 17322 TAYLOR, MARILYN GREENLEE TEXTRON 12/16/16 BLACK & JONES GAROFALO SCHREIBER STORM GRA 18WC017323 -C 18WC017324 -C 120 18WC 18518 LENTZ, LAURA DOLLAR GENERAL 12/24/17 BLACK & JONES LEAHY EISENBERG & FRAENKEL 18WC018519 -C 121 18WC 18954 LOPEZ AGUILERA, MARIA KRAFT HEINZ FOODS CO 12/15/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 122 18WC 20844 FINKELMAN, MARK TRITON PLUMBING LLC 07/02/18 GRAUER & KRIEGEL LLC STONE & JOHNSON CHARTERED 123 18WC 21272 MORA, ROSA EMPLOYER SOLUTIONS STAFFI 06/27/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 124 18WC 21862 MULASMAJIC, HAJRUDIN UNICARRIERS AMERICAS CORP 04/18/18 REESE & REESE EVANS & DIXON 125 18WC 22656 LASKOWSKI, NICOLE MCHENRY COUNTY 12/07/17 STRELLIS & FIELD CTD NYHAN BAMBRICK KINZIE & LOWR 126 18WC 22748 KRAJCI, JESSE WALMART 05/09/18 KEVIN P. JUSTEN PC QUINTAIROS PRIETO WOOD & BOY 127 18WC 22923 CASTANEDA, DANIEL JAN-AIR, INC 12/19/17 BOTTO GILBERT ANCEL GLINK DIAMOND BUSH & E 128 18WC 22987 MAXWELL, CARRIE CENTEGRA HEALTH SYSTEM 05/01/18 OWENS & LAUGHLIN LLC RUSIN & MACIOROWSKI LTD 129 18WC 23658 SPRINGER, ANTHONY EXCEED FLOOR AND HOME 07/16/18 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 130 18WC 23946 BARAN TKACS, MARY C TRAVELCENTERS OF AMERICA, 06/27/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 131 18WC 25363 SALAS, FELIX A&M INTERMODAL W 11/25/16 CHEPOV & SCOTT LLC SCOPELITIS GARVIN LIGHT 132 18WC 25938 CRUZ, MARIA FIRST SERVICE RESIDENTIAL 08/31/15 COSTA IVONE LLC KELLEY KRONENBERG 133 18WC 26022 SOPHER, FAITH L AUTONAMIC CORPORATION 07/25/18 GILDEA, COGHLAN & REGAN LTD. 134 18WC 26406 STULL, ROBERT FIRST TRANSIT 08/13/18 BALKE & WILLIAMS WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 18WC 26518 VASQUEZ, ADAN WERNER MANUFACTURING SERV 04/04/18 FRANKS, GERKIN & MCKENNA P 136 18WC 27777 RIVERA, ORLANDO ACCURATE PERSONNEL, LLC 03/17/18 CULLEN HASKINS NICHOLSON JOHN T GONNELLA 137 18WC 28193 VASU, VASILE P SUNSET LOGISTICS, LLC 05/07/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 138 18WC 28481 MERSHON, RODNEY CONSERV FS 06/18/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 139 18WC 29056 PEREZ, CARLOS J VEGA NAY CONSTRUCTION 08/27/18 FRANKS, GERKIN & MCKENNA P 140 18WC 29537 MOORE, THOMAS MC HENRY COUNTY GLASS 01/19/16 DUDLEY & LAKE LLC JOSEPH MARCINIAK 141 18WC 29613 LADWIG, PATRICIA SURESTAFF 07/01/18 BLACK & JONES LOUIS MUNDY 142 18WC 29795 ROGERS, WILLIAMS A TOUCH OF CLASS LIMOUSIN 09/10/18 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 143 18WC 30509 GARCIA-REYES RICARDO E-BRO INC 09/28/18 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 144 18WC 31049 REIN, CHARLES BLAKELY ENTERPRISES, INC 10/10/16 VOGG, MARK J LAW OFFICE BRADY CONNOLLY & MASUDA PC 145 18WC 31358 REYES, RICARDO GARCIA E-BRO, INC 09/28/18 BLUMENSHINE LAW GROUP WIEDNER & MCAULIFFE LTD 146 18WC 31522 GOW, CORTLAND RUSH TRUCK CENTER 06/05/18 GESMER & REYNOLDS PC HENNESSY & ROACH PC 147 18WC 31933 BLAU, JAMES JOHN CRANE, INC 08/12/18 TARADASH LAW OFFICE GAROFALO SCHREIBER STORM GRA 148 18WC 32287 FIGURSKI, RONALD R HUNTSMAN POLYURETHANES 10/02/18 CRONIN PETERS & COOK RUSIN & MACIOROWSKI LTD 149 18WC 32443 DIMAS-LOPEZ, LUIS WOOLF DISTRIBUTING CO, IN 10/03/18 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 150 18WC 32586 KIRCHNER, SANDRA MCHENRY COUNTY VALLEY 09/26/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 151 18WC 32748 BERNDT, JENNIFER EAGLE TRAINING SERVICES 08/10/18 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 152 18WC 34474 HERNANDEZ, NICHOLAS ROMEO CONSTRUCTION LLC 10/27/18 MANUAL CARDENAS & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 18WC 34590 QUINTANA, JOSE HUERTA BROTHERS INC 09/15/18 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 154 18WC 35359 CABRERA, KELIN D. C. COBB'S 09/06/18 BOTTO GILBERT 155 18WC 35445 MORALES, ANAY ARAMARK CAMPUS LLC 11/09/18 STEVEN B SALK & ASSOC LTD STONE & JOHNSON CHARTERED 156 18WC 35595 WAGNER, MARY P HEARTHSTONE COMMUNITIES 09/21/18 FRANKS & RECKENBERG GALLIANI DOELL & COZZI LTD 157 18WC 35835 ELOISA, DIOCELINA CARDINAL HEALTH 05/22/18 COSTA IVONE LLC HENNESSY & ROACH PC 158 18WC 35968 GARCIA-ROMERO, ANDRES MERRIHILL FARM INC 06/12/18 BOTTO GILBERT FRANKS, GERKIN & MCKENNA PC 159 18WC 36364 KENIK, DAVID M HUNTLEY FIRE PROTECTION D 09/05/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 160 18WC 36929 KASPER, THOMAS JEWEL 09/19/18 ALLEN, WILLIAM LAW OFFICES 161 18WC 37632 MOST, COREY MEGA PROS 11/29/18 FRANKS & RECKENBERG NYHAN BAMBRICK KINZIE & LOWR 162 18WC 37727 PASCOAL, DENISE DCFS @ 10/23/18 DUDLEY & LAKE LLC ASSISTANT ATTORNEY GENERAL 163 18WC 37994 VIOLA, CHRISTINE ITW MEDICAL 08/27/18 MARTIN V KUGIA HENNESSY & ROACH PC 18WC037995 -C 164 18WC 38181 VILLANUEVA, LUIS WEBER-STEPHEN PRODUCTS LL 11/13/18 PETER F FERRACUTI & ASSOCI JOSEPH MARCINIAK 165 19WC 00085 JONAS, LINDA KOHL'S DEPARTMENT STORE 12/12/18 MICHAEL HELLMAN HENNESSY & ROACH PC 166 19WC 00255 BAVUSO, VINCENT FOX POINT 12/01/17 KEVIN P. JUSTEN PC ACCIDENT FUND HOLDINGS 167 19WC 00327 MALDONADO, ANDREA ADVANCED FLEXIBLE COMPOSI 07/31/18 BOTTO GILBERT JOSEPH MARCINIAK 168 19WC 00672 STACKNIK, RON V. SENG TEAMING COMPANY 12/28/18 STROM & ASSOC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 19WC 01197 RAMIREZ, MARIA BERRY GLOBAL CONSUMER PAC 07/17/18 BOTTO GILBERT HENNESSY & ROACH PC 170 19WC 01715 JOINER, DALE W RYDER INTEGRATED LOGISTIC 01/30/17 FRANKS, GERKIN & MCKENNA P 19WC003555 -C 171 19WC 02672 TORRES, RAMONA PEDIGREE OVENS, INC 11/21/17 CLARK & MCARDLE 172 19WC 03163 THOMPSON, ANTHONY KNAACK, LLC 08/10/17 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 173 19WC 03462 GOROSTIETA, FABIOLA ROEHR WALMART 08/06/16 SOSTRIN AND SOSTRIN PC 174 19WC 03927 SCHWEITZER, MICHAEL DART EXPRESS 08/01/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 175 19WC 04222 GRON, HEIDI FAMILY ROOTS DENTISTRY 02/05/19 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 176 19WC 05615 MATWIJ, JERRY NEW ALBERTSON'S, INC 02/15/19 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 177 19WC 06366 EIRING, KATHLEEN VILLAGE OF CARY, POLICE 11/06/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 178 19WC 06456 CLEVELAND, DONALD BMWC CONSTRUCTORS INC 01/16/19 GOLDBERG WEISMAN & CAIRO L PAUL W PASCHE 179 19WC 06913 RETTIG, DAWN HALLMARK MARKETING COMPAN 02/13/19 PRIME LAW GROUP INMAN & FITZGIBBONS 180 19WC 07270 MEDINA-ORTEGA, PEDRO BRIGHTVIEW 11/14/18 THOMAS J STIBERTH LAW OFFI HENNESSY & ROACH PC 181 19WC 07555 PARKER, DONTE GET FRESH PRODUCE, INC 02/18/19 GOLDBERG WEISMAN & CAIRO L 182 19WC 07653 CASSAN, JENNIFER MC HENRY SCHOOL DISTRICT 02/20/19 HANNIGAN & BOTHA, LTD 183 19WC 08637 SMUDDE, JERALD DURANTE & RICH REAL ESTAT 03/02/19 MARKHAM M JEEP & ASSOCIATE FRANKS, GERKIN & MCKENNA PC 184 19WC 09264 NUNEZ, MARIA G BERRY GLOBAL 02/22/19 VITELL & SPITZ LTD 185 19WC 09536 TAYLOR, JERROD MINUTEMAN INTERNATIONAL I 10/15/18 CRONIN PETERS & COOK 186 19WC 09638 HANCOCK, KATHERINE ALDI INC 01/19/19 ROBERT J. IRSUTO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 187 19WC 10444 ROBERTS, JUDY CNC LOGISTICS 01/22/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 188 19WC 10986 PAYNE, SERENA CHICAGO MOTOR COACH 04/05/19 POLANSKY & CICHON CHTD 189 19WC 11219 PETTITI, JESSICA I LOVE KICKBOXING 03/20/19 ROSS TYRRELL JOSEPH MARCINIAK 190 19WC 11274 HAYES, STEVEN GLASS AMERICA 11/29/18 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 191 19WC 11595 HERNANDEZ, OFELIA MODERN ABRASIVE CORP 02/20/19 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 192 19WC 11685 KUKOVEC, MORGAN, A MINOR T-RICKS, LTD D/B/A 11/30/18 FOOTE MIELKE CHAVEZ O'NEIL 193 19WC 12311 BARRADAS, FELIPE M SUPPER CLUB LLC 02/19/19 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 194 19WC 12349 ORANGER, DIANE CENTEGRA HOSPITAL 06/23/18 FRANKS, GERKIN & MCKENNA P RUSIN & MACIOROWSKI LTD 195 19WC 12669 RENTIN, BRADLEY NEW CONCEPTS DEVELOPMENT 01/29/19 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 196 19WC 12806 JIMINEZ, LEONCIO TRUE VALUE 10/26/18 BOTTO GILBERT ASA LAW GROUP 197 19WC 12883 HEUER, AMY OLIVE GARDEN 11/16/17 ROMANEK & ROMANEK WIEDNER & MCAULIFFE LTD 198 19WC 13197 TURNER, MELISSA NEW ALBERTSON'S D/B/A 06/17/18 TARADASH LAW OFFICE 199 19WC 13680 NEVAREZ, MARIA PIONEER CENTER FOR HUMAN 01/29/19 MC HARGUE & JONES 200 19WC 13890 SCHROEDER, BECKY M DEAN FOODS 03/11/19 GALLAGHER, DONALD V ORENSTEIN & ASSOCIATES 201 19WC 14032 PERINA, SUZANNE MEIJER 04/15/19 HANNIGAN & BOTHA, LTD KOPKA, PINKUS DOLIN, PC 202 19WC 14440 GRAY, DOUGLAS MANUWEST INC 03/22/19 TARADASH LAW OFFICE 203 19WC 14850 ALEXANDER, ARTHUR L RYAN, INC. CENTRAL 07/17/18 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 204 19WC 14939 COOK, RANDALL FASTENAL COMPANY 03/21/18 FRANKS, GERKIN & MCKENNA P HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 205 19WC 15207 GORDON, PHILLIP AKI LOGISTIC INC. DBA 09/05/17 LUSAK AND COBB 206 19WC 15230 PAGAZA, TERESA MVP WORKFORCE LLC 11/20/18 CULLEN HASKINS NICHOLSON 207 19WC 15431 MARTINEZ, ANDY SUNRUN INC 02/01/19 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 208 19WC 15538 REHER, JUSTIN JAMES & JEREMIAH WIKMAN D 11/17/18 FRANKS, GERKIN & MCKENNA P 209 19WC 15806 BLACKBURN, ANTHONY FEDEX EXPRESS 02/08/19 MARTIN V KUGIA 210 19WC 16430 TIETZ (TRACY), LISA CITY OF CRYSTAL LAKE 07/01/16 CULLEN HASKINS NICHOLSON 211 19WC 16725 LARSEN, PAMELA CAPRON MANUFACTURING CO 04/22/19 CULLEN HASKINS NICHOLSON 212 19WC 16850 PRUDEN-STAPLETON, GRAYSON PARTY CITY CORP. 11/11/16 SALVATO O'TOOLE FROYLAN HOLECEK & ASSOCIATES 213 19WC 17024 HINES, DAVON HINES COMPONENTS 05/08/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 214 19WC 17156 ROSE, KEVIN PLASPROS, INC 06/11/19 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 215 19WC 17313 SORIANO, VERONICA AMS STORE AND SHRED LLC 06/06/19 BOTTO GILBERT 216 19WC 17337 GEHRKE, DANIEL TC INDUSTRIES, INC 04/02/19 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 217 19WC 17543 SALAS, JOSE VICTORINO CRYSTAL LAKE ELEMENTARY 01/29/19 CHEPOV & SCOTT LLC 218 19WC 17710 RIVERA, LORYN CAPRON MANUFACTURING CO 06/04/19 DWORKIN AND MACIARIELLO 219 19WC 17866 JAVIER, ALFREDO IVAN DRAKE SPECIALIZED SERVICE 04/22/19 KATZ FRIEDMAN EAGLE ET AL 220 19WC 18452 SIRTORI, JUAN CARLOS CARY POLICE DEPARTMENT 02/06/17 VASILATOS & COTTER LLC 221 19WC 18597 RUIZ-MAGANA, BALTASAR ABP REMODELING, INC 11/07/18 MENDOZA LAW PC ION LAW LLC 222 19WC 18730 KROLL, PHILLIP CATALENT PHARMA SOLUTIONS 09/14/16 MC HARGUE & JONES LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 19WC 18864 HEFFERNAN, BRIAN MERIT CONTRACTORS 02/22/19 MEYERS & FLOWERS HENNESSY & ROACH PC 224 19WC 18906 MARQUEZ, EMILIO ARNOLD MAGNETIC TECHNOLOG 08/15/18 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 225 19WC 19277 ARNOLD, BRIAN ILLINOIS DEPT OF HUMAN SE @ 06/25/19 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 226 19WC 19537 PALBICKE, ANTHONY THE HOME DEPOT 05/26/19 RONALDSON & KUCHLER ADELSON TESTAN BRUNDO 227 19WC 19648 LORENZ, KATELYN CITY OF MCHENRY 05/28/19 VOGG, MARK J LAW OFFICE 228 19WC 19868 ENSASTEGUI, RAYMUNDO PORK KING PACKING INC 06/28/19 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 229 19WC 20476 RIVERA-DELGADO, LETICIA POLYONE CORP 03/29/19 MARKHAM M JEEP & ASSOCIATE KNELL O'CONNOR DANIELWICZ 230 19WC 20644 NANNA, KATIE DUNDEE TOWNSHIP PARK DIST 06/05/18 BRIAN M LAUGHLIN PC 231 19WC 20797 USCATEGUI, MARIA IL DEPT OF PUBLIC HEALTH 06/10/19 CRONIN PETERS & COOK ASSISTANT ATTORNEY GENERAL 232 19WC 20962 SANCHEZ, RIGOBERTO KENMODE TOOL & ENGINEERIN 11/27/17 COVEN LAW GROUP CAPUANI, FRANK S 233 19WC 21116 LUZZI, JAMES GREAT LAKES CARING 07/09/19 LEONARD LAW GROUP LLC 234 19WC 21368 RODRIGUEZ, MARIA H WEBER-STEPHEN PRODUCTS LL 06/25/19 EPSTEIN, JACK R LAW OFFICE 235 19WC 21709 HOLDER, CRAIG CHICAGO CONSUMABLES 02/28/18 STEVEN J MALMAN & ASSOCIAT GANAN & SHAPIRO 236 19WC 21971 FLAHERTY, PATRICK PINE LANDSCAPING 11/06/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 237 19WC 22114 ZARATE, EDGAR MIDWEST ARBOR CORPORATION 04/09/19 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 238 19WC 22530 BENDER, SHARI BLACKHAWK RESTAURANT/ 03/08/19 MARTIN V KUGIA 239 19WC 22659 KUPREISIS, EDWARD C CHARLES HERDRICH & SON, I 07/28/17 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 240 19WC 22693 DELGADO, ALICIA NORTHWEST PROPERTY & 07/26/19 DANIEL E MURPHY RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 19WC 22958 GONI-FLORES, OSCAR POLI FILM AMERICA, INC 06/18/19 MICHAEL HELLMAN JOSEPH MARCINIAK 242 19WC 23340 ELLINGER, KENNETH M CITY OF CRYSTAL LAKE POLI 05/23/19 BOTTO GILBERT RUSIN & MACIOROWSKI LTD 243 19WC 23391 ANGELES, LEONEL DUREX INDUSTRIES 06/25/19 COSTA IVONE LLC HENNESSY & ROACH PC 244 19WC 23835 ROSE, JEFFREY LOWE EXCAVATING CO, INC 07/29/19 FRANKS, GERKIN & MCKENNA P 245 19WC 24294 KRUZEL, CANDACE ALDI-MCHENRY 08/04/19 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 246 19WC 24562 SLABY, JOHN ANTIOCH AUTOMOTIVE 01/09/19 GWC INJURY LAWYERS LLC EVANS & DIXON 247 19WC 24648 ARROYO, SERGIO PEOPLELINK, LLC 05/25/19 TARADASH LAW OFFICE WOLF & LAUDICINA LTD 248 19WC 25040 DUMELLE, JEFF DESHAZO CRANE COMPANY 07/17/19 COYNE REINKE LAW EDWARD J. KOZEL 249 19WC 25309 PORTILLO, LUIS AEROTEK 08/16/19 GWC INJURY LAWYERS LLC 250 19WC 25548 CASKEY, PATRICK STATE OF ILLINOIS @ 07/26/19 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 251 19WC 25639 WARMBOLD, PAMELA RED LOBSTER 08/02/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 252 19WC 25706 BIONDA, COLIN THE HOME DEPOT 07/01/19 SCOTT BARBER ADELSON TESTAN BRUNDO 253 19WC 25997 HERRMANN, BONNIE NORTHWESTERN MEDICINE MCH 06/09/19 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 254 19WC 26148 CORTEZ, MARTIN DUNNET BAY CONSTRUCTION 08/01/19 BARRICK SWITZER LONG WIEDNER & MCAULIFFE LTD 255 19WC 26474 SKIBA, BERNADETA E DAVITA, INC 08/26/19 CHEPOV & SCOTT LLC 256 19WC 26567 GARRIDO, GONZALO NORTHWEST CMMUNTY HOSP HU 01/19/19 JOHN S. ELIASIK 257 19WC 27047 SERNA, ALISIA MODERN ABRASIVE CORPORATI 07/12/19 BOTTO GILBERT HENNESSY & ROACH PC 258 19WC 27347 ZIMMERMAN, GARTH MCDERMAID ROOFING & 08/13/19 GESMER & REYNOLDS PC EDWARD J. KOZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 259 19WC 28261 MUNOZ, ELENA KRAFT HEINZ 04/26/19 JOSEPH J LOSS PC GAROFALO SCHREIBER STORM GRA 260 19WC 28339 FOREMAN, LEORA MCHENRY TOWNSHIP F.P.D. 11/10/16 RUSIN & MACIOROWSKI LTD 261 19WC 28537 VARA, BERNALDINO TROUT VALLEY ASSOCIATION 01/15/19 CULLEN HASKINS NICHOLSON 262 19WC 28578 WINFIELD, LYNN JEWEL FOOD STORE 04/16/19 BLACK & JONES EVANS & DIXON 263 19WC 29123 COZZI, JOSEPH BATTALION FIRE SAFETY 03/08/19 CHARLES A FANUCCHI 264 19WC 29299 HOFF, MICHAEL DOLLAR GENERAL 10/18/17 TARADASH LAW OFFICE LEAHY EISENBERG & FRAENKEL 265 19WC 29633 BURG, ROBERT CASEY'S GENERAL STORES, I 09/23/18 TARADASH LAW OFFICE 266 19WC 29848 GILLESPIE, BECKY DOLLAR GENERAL 10/07/17 COMPTON LAW GROUP LEAHY EISENBERG & FRAENKEL 267 19WC 30323 TOMASELLI, JEFFREY S HINES LUMBAR SUPPLY 10/12/18 HORWITZ HORWITZ & ASSOC 268 19WC 30542 KAPING, JOLENE SHELTERED VILLAGE 01/21/19 PRIME LAW GROUP HENNESSY & ROACH PC 269 19WC 31130 SUZZI, MICHAEL J HOME DEPOT 08/27/15 FRANKS & RECHENBERG MC ANDREWS & NORGLE LLC 270 19WC 31146 GONZALEZ, MARGARITA N THRIVE 02/26/19 BOTTO GILBERT HOLECEK & ASSOCIATES 19WC031147 -C NTHRIVE 271 19WC 31365 WINKLER, RAVEN (ON BEHALF QUALITY SERVICE AND REPAI # 10/07/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 272 19WC 32086 RAMIREZ, MANUEL GREAT LAKES LANDSCAPING 04/18/18 CUSHING LAW OFFICES 273 19WC 32131 DICKENS, TRACY VILLAGE OF BULL VALLEY 10/31/16 BALKE & WILLIAMS EVANS & DIXON 274 19WC 32553 BUSH, RONALD TYLER STAFFING SERVICES 10/07/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 275 19WC 32725 BROUGHER, BRIAN JL FOSTER TRUCKING, LLC 06/05/19 RIDGE & DOWNES 276 19WC 32830 PEREZ, PAULA WEBER-STEPHEN PRODUCTS LL 03/15/18 VRDOLYAK LAW GROUP LLC JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 277 19WC 33008 UNZUETA, JOSEFINA AFC FOOD PRODUCTS GROUP, 01/04/19 TARADASH LAW OFFICE 278 19WC 33236 CARNIE, LEONARD III FOLLETT SCHOOL SOLUTIONS 06/12/19 BALKE & WILLIAMS RIPES NELSON BAGGOT KALOBRAT 279 19WC 33240 LUCENTE, MARC LOVES TRAVEL STOP 10/01/19 ANGELINI & ORI LLC ROSARIO CIBELLA 280 19WC 33970 ROBERTSON, ALEX UNICARRIERS AMERICAS CORP 06/01/19 BLACK & JONES RUSIN & MACIOROWSKI LTD 281 19WC 34078 FROHLING, STEVEN CONSERV FS 06/06/19 KATZ FRIEDMAN EISENSTEIN HEYL ROYSTER VOELKER & ALLEN 282 19WC 34351 SCHMIDT, TODD BH MANAGEMENT SRVS, LLC 11/13/18 CUSHING LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 283 19WC 34617 DAVILA, ALFONSO SCHIAVONE, MASONARY INC. 10/16/19 BOTTO GILBERT 284 19WC 34816 MICHALIK, DIANE CLARENDALE OF ALGONQUIN 01/05/18 STROM & ASSOC 285 19WC 34914 ANGILERI, JO JEWEL-OSCO 07/02/19 MC HARGUE & JONES 286 19WC 34946 MAYBERRY, KARL MENASHA PACKAGNG 10/28/19 JOSEPH L SAMUELSON PC 287 19WC 35473 TOLBERT, LEONARD CONSOLIDATED CONTAINERS, 06/03/18 TUITE LAW WIEDNER & MCAULIFFE LTD 288 19WC 35564 EVANS, KALENE WOODSTOCK FIRE RESCUE/DIS 10/18/19 ROBERT EDENS ANCEL GLINK PC 289 19WC 35704 MOORE, KEVIN DEAN FOODS 10/16/19 HANNIGAN & BOTHA, LTD ORENSTEIN & ASSOCIATES 290 19WC 35863 BEYER, JULIE WAL-MART 12/21/17 FRANKS, GERKIN & MCKENNA P QUINTAIROS PRIETO WOOD & BOY 291 19WC 36021 MYERS, STACEY MERRIEHILL FARMS, INC 09/23/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 292 19WC 36125 PONTICELLI, THOMAS G JR WALMART 11/19/18 LOUIS A PLZAK & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 293 19WC 36198 ADAMS, KEVIN P SNAP-ON TOOLS 10/11/19 GALLAGHER, DONALD V GILDEA, COGHLAN & REGAN LTD. 294 19WC 36752 VALADEZ, JUAN THERMASEAL/LAKESIDE INSUL 01/21/19 ROSS TYRRELL BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 295 19WC 36879 GERDES, ERIC GENERAL KINEMATICS CORPOR 04/15/19 MAURICE E DUSKY PC WIEDNER & MCAULIFFE LTD 296 20WC 00144 MCGRIFF, STEVEN JEWEL 12/31/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 297 20WC 00406 PEASE, GREGORY M MCHENRY PUBLIC LIBRARY 12/12/19 GWC INJURY LAWYERS LLC INMAN & FITZGIBBONS 298 20WC 00515 THOMAS, ALICE TRADER JOE'S COMPANY 06/05/18 STOLLER & GARSTKI GAROFALO SCHREIBER STORM GRA 299 20WC 00803 SHAFFER, TIARRA ANIMAL HOUSE SHELTER, INC 07/04/19 TARADASH LAW OFFICE 300 20WC 01074 BROOKS, BARBARA HOME DEPOT USA, INC. 05/19/18 MARKHAM M JEEP & ASSOCIATE ADELSON TESTAN BRUNDO 301 20WC 01375 FIGUEROA, YENSY MODERN ABRASIVE 10/04/19 JOHN S. ELIASIK ROSARIO CIBELLA 302 20WC 01489 QUINTERO, BRENDA MCDONALD'S 05/27/19 JONATHAN SCHLACK 303 20WC 01565 PRUITT, JEFFREY BUCKHEAD MEAT & SEAFOODOF 11/25/19 TARADASH LAW OFFICE 304 20WC 01579 PRUITT, JEFFREY BUCKHEAD MEAT & SEAFOODOF 12/21/17 TARADASH LAW OFFICE 305 20WC 01862 ORTIZ, CRISTIAN AYALA ASTRO INSTILLATION 08/15/18 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 306 20WC 02030 PRUITT, JEFFREY BUCKHEAD MEAT & SEAFOOD 05/21/18 TARADASH LAW OFFICE 307 20WC 02120 JORGENSON, JAMIE JA FRATE INC 12/09/19 TARADASH LAW OFFICE 308 20WC 02198 PELKE, DANA CARY SCHOOL DISTRICT 26 02/27/19 WOLFE LAW PC 309 20WC 02580 OBISPO, EFRAIN BUCKHEAD MEAT OHIO 01/24/20 HERRERA LAW CENTER 310 20WC 02678 DUBBERKE, DONNA FED EXPRESS 09/25/19 MICHAEL HELLMAN 311 20WC 03166 CASASSA, LISA MARIANO'S/THE KROGER CO 01/15/20 COVEN LAW GROUP 312 20WC 03293 BURROWS, ALFRED SUMMIT SOLAR 02/01/20 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 313 20WC 03635 VEGA, JULIO NIEVES WEBER STEPHEN PRODUCTS 11/06/19 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 314 20WC 03824 DENEVE, JOSEPH SPANCRETE 02/04/20 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 315 20WC 03978 SAVELEY, KATHERINE M ASSISI ANIMAL FOUNDATION 01/11/20 LEAHY, JAMES P HENNESSY & ROACH PC 316 20WC 04147 MONHEIM, GREGORY A TOM PECK FORD 12/26/19 TURNER & SACKETT LLC NYHAN BAMBRICK KINZIE & LOWR 317 20WC 04633 VOLENEC, JOHN CITY OF CRYSTAL LAKE 07/17/19 CULLEN HASKINS NICHOLSON 318 20WC 05038 FERRANTE, CAROLYN SUNNYWOOD, INC 05/12/18 VRDOLYAK LAW GROUP LLC 319 20WC 05182 DARGATZ, DALE SUPERIOR KNIFE 11/20/19 KEVIN P. JUSTEN PC GRIFFIN, LORETTA M LAW OFFIC 320 20WC 05366 FREDERICK, THOMAS C RYDER 01/22/19 FRANKS, GERKIN & MCKENNA P 321 20WC 05392 PETERSON, CHRIS DOHERTY CONSTRUCTION INC 12/26/18 TARADASH LAW OFFICE 322 20WC 05528 DOMINGUEZ, PEDRO GENERAL KINEMATICS CORP 01/17/20 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 323 20WC 05851 BOOKER, JOANNE SYCAMORE PRECISION 02/20/20 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 324 20WC 05907 LAUDICK, STEVE COUNTY OF MC HENRY 09/05/17 MCHENRY COUNTY 325 20WC 05995 ROTH, JASON VILLAGE OF ALGONQUIN 05/03/19 FRANKS, GERKIN & MCKENNA P ANCEL GLINK PC 326 20WC 06056 WILSON, ALYSSA TOMS KING HOLDINGS LLC DB 06/08/19 TARADASH LAW OFFICE 327 20WC 06158 SANCHEZ, LUIS METRO STAFF, INC 02/12/20 STANCZAK LAW OFFICES 328 20WC 06412 ALEXANDER, JOSEPH MEIJER 02/19/20 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 329 20WC 06553 GERATY, CHRIS MC HENRY COMMUNITY CONS. 02/10/20 HANNIGAN & BOTHA, LTD 330 20WC 06780 MARTINEZ, MARIA KRAFT HEINZ COMPANY 02/21/20 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 331 20WC 06856 DIAZ, BIANCA NEW DIMENSIONS 05/18/19 FOOTE MIELKE CHAVEZ O'NEIL WIEDNER & MCAULIFFE LTD 332 20WC 07096 WATT, TIA DW ENTERPRISES 02/15/20 THOMAS J STIBERTH LAW OFFI 333 20WC 07175 CHAIREZ, OMAR CARDINAL STAFFING SERVICE 10/19/19 BLACK & JONES HENNESSY & ROACH PC 334 20WC 07218 BURNS, RONALD SAM'S CLUB 02/27/20 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 335 20WC 07711 INGRAM, AARON M CNC LOGISTICS, INC. 07/21/18 MARKS INJURY LAW 336 20WC 07853 FLORES, SOLEDAD BESTMETAL CORPORATION 03/04/20 HERRERA LAW CENTER 337 20WC 07965 DAVIS, KURT MARENGO TOOL & 02/19/20 TARADASH LAW OFFICE HENNESSY & ROACH PC 338 20WC 08072 STRAUCH, ERIK W.S HAMPSHIRE 03/03/20 ANGELINI & ORI LLC 339 20WC 08171 HANSEN, JEANETTE PET VET ANIMAL CLINIC 12/07/19 BLACK & JONES 340 20WC 08254 HAZEL, ADAM HAMPSHIRE MIDDLE SCHOOL 09/14/18 LEITER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 18WC029291 -C 341 20WC 08399 THOMPSON, JOHN ASPLUNDH 03/25/19 BLACK & JONES KNELL O'CONNOR DANIELWICZ 342 20WC 08645 MAHONEY, DAVID CXI TRUCKING 05/31/19 KATZ FRIEDMAN EISENSTEIN HINSHAW & CULBERTSON 343 20WC 09329 DENEVE, JOSEPH SPANCRETE 02/04/20 STELZMAN, RUTH WOLFE & JACOBSON, LTD 344 20WC 09491 AUGELLO, ANN ALDEN MGMT 01/16/19 THE LAW OFFICES OF 345 20WC 09961 JOHNSON, CHRISTOPHER SOLIDER DELIVERY 10/11/19 THOMAS J STIBERTH LAW OFFI 346 20WC 10444 SULLIVAN, KALEY PIONEER CENTER FOR HUMAN 05/21/18 WIEDNER & MCAULIFFE LTD 347 20WC 10544 SULLIVAN, KALEY PIONEER CENTER FOR HUMAN 05/21/18 WIEDNER & MCAULIFFE LTD 348 20WC 10567 MC BRIDE, TIMOTHY PSM INDUSTRIES, INC/ 10/04/18 RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 20WC 10794 HYDE, DARRICK THE VILLAGE OF ALGONQUIN 10/17/18 CUDA LAW OFFICES ANCEL GLINK PC 350 20WC 11063 CASTANEDA, YESICA PEOPLELINK STAFFING SOLUT 03/02/20 PRIME LAW GROUP WOLF & LAUDICINA LTD 351 20WC 11107 CASTRO, ALICIA SURE STAFF 02/24/20 ESR LAW GROUP LOUIS MUNDY 352 20WC 11282 HOENISCH, JAMES MARIANO FRESH MARKET/KROG 10/11/19 JOSHUA KARMEL 353 20WC 11399 RAMOS, CLAUDIO DISTRICT 300 04/28/20 MC HARGUE & JONES 354 20WC 11668 WOODALL, RACHEL MATRIX BROADCASTING, LLC 07/23/18 THE BAUDIN LAW GROUP LTD. 355 20WC 11784 GARCIA, ANDREA NORTHWESTERN MEDICINE 02/07/19 VOGG, MARK J LAW OFFICE 356 20WC 12129 ORLAK, PAUL ACE HARDWARE 05/03/17 KEVIN P. JUSTEN PC 357 20WC 12398 HERNANDEZ, MIGDALIA KNAACK LLC 09/19/19 DWORKIN AND MACIARIELLO 358 20WC 12484 SIMO, DEBRA NAPLETON DEALERSHIP GROUP 04/28/20 MORICI FIGLIOLI & ASSOC FRANCESCA LARSEN 359 20WC 12540 OCHOA, ELEAZAR KC CHAVEZ DRY WALL INC 03/02/20 LEONARD LAW GROUP LLC 360 20WC 12627 BRUECKS, ERIC EXPRESS EMPLOYMENT PROF. 03/06/20 MC HARGUE & JONES MC ANDREWS & NORGLE LLC 361 20WC 13055 HERNANDEZ, URIEL CATTY CORPORATION 02/24/20 NO ATTORNEY 362 20WC 13234 VILLANUEVA, LUIS WEBER-STEPHEN PRODUCTS 06/09/20 PETER F FERRACUTI & ASSOCI JOSEPH MARCINIAK 363 20WC 13283 FLORES, CHRISTIAN W.M. PLASTICS INC D/B/A 06/04/20 ANKIN LAW OFFICE 364 20WC 13560 MEAGHER, DONALD MEDALA CORPORATION 11/15/19 STANCZAK LAW OFFICES HOLECEK & ASSOCIATES 365 20WC 13913 RUTTENBERG, SAMANTHA M SEAL SOUTH, INC 04/10/19 FRANKS & RECHENBERG 366 20WC 13948 BROKAW, JEREMY R DORR TOWNSHIP 09/19/18 GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 20WC 14371 MORA, MARIA DE JESUS ROSA PORK KING PACKING, INC. 06/08/20 ESR LAW GROUP 368 20WC 14529 NAVA, FELIX PERFORMANCE PAVING, LTD 06/18/20 STROM & ASSOC BRYCE DOWNEY & LENKOV LLC 369 20WC 14754 NESTEROWICZ, NANCY NESTEROWICZ & ASSOCIATES, 03/16/20 COLLISON LAW OFFICES 370 20WC 15060 GORMAN, MATTHEW KACOA LANDSCAPING 06/05/20 BLACK & JONES 371 20WC 15314 FRONEY, ROBERT PRESERVATION PARTNERS 01/31/20 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 372 20WC 15374 SCHMITZ, DAVID A ALTA EQUIPMENT COMPANY 06/16/20 MARSZALEK AND MARSZALEK 373 20WC 15461 MONTGOMERY, DALE JR. NEW WERNER HOLDING CO. 06/29/19 BOTTO GILBERT 374 20WC 15594 VERA, MARIO SUSTAINABLE STAFFING, INC 06/22/20 ENCINAS & ORNELAS 375 20WC 15640 STOUTMIRE, TROY L CANTEEN VENDING 06/08/20 FRANKS & RECHENBERG GANAN & SHAPIRO 376 20WC 15700 COURTNEY, ROBERT EAGLE EXPRESS LINES, INC. 06/23/20 SCHACTER, JEROME & ASSOC L HENNESSY & ROACH PC 20WC015701 -C 377 20WC 15715 SERETIS, NATHALIE CUNAT PAYROLL INC. 10/23/19 COLLISON LAW OFFICES 378 20WC 15805 CAMPOS MARTINEZ, VICTOR ALDEN TERRACE OF MCHENRY 04/12/20 EPSTEIN, JACK R LAW OFFICE 379 20WC 15855 OLEKSY, STEVEN M IL DEPT OF TRANSPORTATION @ 04/22/20 HANNIGAN & BOTHA, LTD 380 20WC 15974 TSEHLYAR, VOLODYMYR SHAWN BROWN ENTERPRISES, 06/11/20 CHEPOV & SCOTT LLC 381 20WC 16028 RAEL, FLORENCIO, FOR ALDEN TERRANCE OF MC HENR # 04/07/20 BOTTO GILBERT BRADY CONNOLLY & MASUDA PC 382 20WC 16245 ZALUD, ERIK P UNIVERSAL PROTECTION SRVC 06/09/20 FRANKS, GERKIN & MCKENNA P GAROFALO SCHREIBER STORM GRA 383 20WC 16608 GUNDERSON, SHAWN CRYSTAL CLEAR PLUMBING 11/10/19 KEVIN P. JUSTEN PC JOSEPH MARCINIAK 384 20WC 17184 LEMUS, GERRARDO TC INDUSTRIES 11/13/19 FRANKS, GERKIN & MCKENNA P HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 385 20WC 17335 BASLER, CARLES K WHITEY'S CRANE RENTAL 08/03/18 KEEFE CAMPBELL BIERY & ASSOC 386 20WC 17428 CERVANTES, RAFAEL NEW WERNER HOLDING CO. IN 05/20/20 TARADASH LAW OFFICE 387 20WC 17868 BAUSIC, DARYL MARENGO DISPOSAL/MDC 05/04/20 CLARK FROST 388 20WC 17919 SANCHEZ, BULMARO SJOSTROM & SONS CONSTRUCT 06/09/20 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 389 20WC 17951 RODRIGUEZ, YESENIA COMMUNITY UNIT SCHL DIST 08/14/19 ANSELMO DURAN NYHAN BAMBRICK KINZIE & LOWR 390 20WC 18150 LOGWOOD, ANTONIO WOOLF DISTRIBUTING 06/11/20 KUMLIN & FROMM 391 20WC 18183 PULIDO ROJAS, MARIA LUCIA WGF, LLC 01/31/20 COSTA IVONE LLC 392 20WC 18286 HOHOL, VINCENT M MEADE ELECTRIC * 09/03/19 CUDA LAW OFFICES HENNESSY & ROACH PC 393 20WC 18317 MALONEY, TED LEE JENSEN SALES CO * 10/25/18 ROBERT WARSASKI LEAHY EISENBERG & FRAENKEL 394 20WC 18374 MOROZ, JAN R&R TRUCK REPAIRS * 01/21/20 MARSZALEK AND MARSZALEK 395 20WC 18573 HENRICKSEN, JAMES ADAMS AUTO BODY & SERVICE * 02/25/20 HANNIGAN & BOTHA, LTD 396 20WC 18720 GONZALEZ, MARIA SENAIDA ALDEN TERRACE OF MCHENRY * 03/31/20 EPSTEIN, JACK R LAW OFFICE 397 20WC 18732 RICKERT, BRANDON GLACIER CONSTRUCTION INC * 04/08/19 WIEDNER & MCAULIFFE LTD 398 20WC 18848 LADY, DARYL RYDER TRANSPORTATION * 06/13/20 FRANKS, GERKIN & MCKENNA P 399 20WC 19204 MARTIN JR, RICHARD L RYDER TRANSPORTATION * 02/27/19 FRANKS, GERKIN & MCKENNA P 400 20WC 19452 FAILLO, DENNIS CAGAN MANAGEMENT GROUP, I * 06/22/20 LEONARD LAW GROUP LLC 401 20WC 19531 PERALTA, KEN MIDWEST ARBOR * 07/09/20 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 402 20WC 19578 NOYES, CHRISTINA CITY OF MC HENRY * 02/10/19 VOGG, MARK J LAW OFFICE ANCEL GLINK PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 20WC 19627 FINZEL, RANDY ILLINOS TRUCK & EQUIPMENT * 12/16/19 FRANKS, GERKIN & MCKENNA P 404 20WC 20041 SHARP, LAURIE ORTHO MOLECULAR PRODUCTS * 07/22/20 FRANKS, GERKIN & MCKENNA P 405 20WC 20233 DOCHNAL, BARTLOMIEJ S 2 MASONRY * 07/20/20 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 406 20WC 20290 MURPHY, EDWARD IL DEPT OF TRANSPORTATION @ * 08/06/20 GRAUER & KRIEGEL LLC 407 20WC 20394 KITCH, KATELYN M TOMS KING HOLDINGS LLC * 08/16/19 KRAKER FANNING & OLSEN 408 20WC 20465 WILSON, KRYSTYNA KIPFERI FOOT & ANKLE CENT * 05/15/20 MARTIN V KUGIA 409 20WC 20486 SAMPSON, SEAN ST LOGISTICS, LLC * 05/27/20 MEYERS & FLOWERS 410 20WC 20717 THOMAS, CAPRICE HEARTHSTONE * 07/02/20 DWORKIN AND MACIARIELLO 411 20WC 20758 TROVILLION, LEILENE WATLOW ELECTRIC MNUFCTRIN * 10/01/19 HETHERINGTON KARPEL & BOBB 412 20WC 20931 GONZALE, FRANCISCO EMPIRE COOLER SERVICES * 08/18/20 GOLDSTEIN BENDER & ROMANOF 413 20WC 21150 ELLIOTT, BRIAN PEOPLELINK STAFFING SOLUT * 11/13/19 DAVID W MARTAY WOLF & LAUDICINA LTD 414 20WC 21236 TUCKER, JAMES AREA ERECTORS, INC * 01/04/19 ANESI OZMON RODIN NOVAK KO ACCIDENT FUND HOLDINGS 415 20WC 21445 ADAMS, KATHY K HOME DEPOT * 04/30/19 HANNIGAN & BOTHA, LTD ADELSON TESTAN BRUNDO 416 20WC 21700 FORD, KEVIN MCHENRY COUNTY SHERIFF DE * 03/14/20 THOMAS J STIBERTH LAW OFFI 417 20WC 21881 SCHMITT, MICHAEL LOVE'S TRAVEL STOPS & COU * 09/09/20 ANKIN LAW OFFICE 418 20WC 21912 PILARCZYK, B JEANNIE TOMS KING * 01/15/20 BOTTO GILBERT NYHAN BAMBRICK KINZIE & LOWR 419 20WC 22074 GRADER, ANTHONY DUNCAN DONUTS * 09/10/20 DWORKIN AND MACIARIELLO 420 20WC 22118 BURNS, NATHANIAL WOODSTOCK FIRE RESCUE DIS * 07/10/20 SCOTT BARBER ANCEL GLINK PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 20WC 22223 CAMPBELL, AUSTIN PAULY TOYOTA * 01/27/20 DWORKIN AND MACIARIELLO 422 20WC 22388 WCISLO, ANNA SPECTRUM RETIREMENT/ * 06/26/19 LEONARD S. BECKER HENNESSY & ROACH PC 423 20WC 22978 CERDA, XENIA ALEXANDER LEIGH * 03/09/20 TARADASH LAW OFFICE 424 20WC 23516 MOREAU, SHARON MC HENRY SCHOOL DISTRICT * 04/01/19 KEVIN P. JUSTEN PC 425 20WC 23762 SAMPSON, SEAN ST LOGISTICS, LLC * 05/27/20 MEYERS & FLOWERS 426 20WC 24050 URIOSTEGUI, MARIANA CARDINAL HEALTH * 01/09/20 EPSTEIN, JACK R LAW OFFICE 427 20WC 24258 COLBERG, VERONICA M ISABELS FAMILY RESTAURANT * 06/18/20 FRANKS & RECHENBERG 428 20WC 24413 PRESTLER, MITCHELL ALLEGIS GROUP INC/AEROTEK * 11/16/18 SPIEGEL & CAHILL, PC 429 20WC 24584 CZARNECKI, DANIEL J CAMFIL USA, INC. * 09/28/20 ATSAVES, LOUIS G LTD 430 20WC 24826 KLEIN, MICKIE EUROPEAN SERVICES AT HOME * 08/03/20 PRIME LAW GROUP 431 20WC 24987 GRAHAM, NEOKA TOLER NORTHWESTERN MEDICINE * 05/14/20 MC HARGUE & JONES 432 20WC 25211 ADAMS, DAVID FAIR OAKS HEALTH CARE CEN * 04/13/20 GESMER & REYNOLDS PC 433 20WC 25816 ZIMMERMAN, JEREMY SPARTAN PRODUCTS, INC * 03/04/20 VOGG, MARK J LAW OFFICE 434 20WC 25930 GILBERT, GREG ST CATHERINE SIENA CATHOL * 11/01/18 BLACK & JONES 435 20WC 26195 PRINN, MORGAN NORTHERN ILLINOIS FOOT AN * 08/03/20 MARKS INJURY LAW 436 20WC 26335 HARMER, CRAIG HARVARD CUSD #50 * 02/27/20 TARADASH LAW OFFICE 437 20WC 26648 MORALES, CHRISTOPHER HARVARD CHEVROLET * 08/28/20 FRANKS, GERKIN & MCKENNA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 20WC 26812 FLOYD, DSHON TC INDUSTRIES * 09/18/20 FRANKS & RECHENBERG