ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 09WC 34467 CELIS, JUAN ABCO REMODELING & DECORAT W 06/19/09 LAW OFFICE HUGO ORTIZ 2 10WC 15963 BUTTLER-JANSMA, KELLEY LY JC PENNEY 01/13/10 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 3 12WC 31452 MONTOYA, JOSE POKAR DE ASES W 05/27/12 LEONARD LAW GROUP LLC GUSTAVO SANTANA-LAWRENCE 4 12WC 32687 CASTANEDA, JOSE M TC INDUSTRIES INC 10/19/11 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 16WC028641 -C 5 12WC 39205 TROMP, RENEE MENARDS 06/02/12 MARTIN L GLINK LAW OFFICE GANAN & SHAPIRO 6 13WC 17998 ORTIZ, IGNACIO GREENLEE TEXTRON 04/22/13 BLACK & JONES GAROFALO SCHREIBER STORM GRA 7 14WC 08410 19B HAUSLER, JAMES N COOK ILLINOIS CORPORATION 01/21/14 RUBIN LAW GROUP GALLIANI DOELL & COZZI LTD 8 14WC 12185 FIGUEROA, MARIA G SILGAN PLASTICS INC 03/06/14 HECTOR ESPITIA NYHAN BAMBRICK KINZIE & LOWR 9 14WC 33895 MEDOW, RIKKI JO MEIJER 03/04/12 BELCHER LAW OFFICE KNELL & O'CONNOR 10 14WC 43179 KELIFI, KARIM GARDA CASH LOGISTICS 06/25/14 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 11 15WC 06432 MARSHALL, MARTI NIMC D/B/A CENTEGRA HOSP 10/09/14 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 12 15WC 08297 DASHUT, TONI M APTAR 06/07/12 BOTTO GILBERT HENNESSY & ROACH PC 13 15WC 11224 IMPASTATO, KENNETH D WASTE MANAGEMENT 09/09/13 RUBIN LAW GROUP HENNESSY & ROACH PC 14 15WC 16028 HALL, BARBARA A AH 2005 MANAGEMENT, LP 04/05/14 CRONIN & PETERS LAW OFFICES FRANCESCA LARSEN 15 15WC 18466 LOVELESS, BRYAN KELLERMEYER BERGONSONS SV 10/23/14 VOGG, MARK J LAW OFFICE HENNESSY & ROACH PC 16 15WC 18636 ENRIGUEZ, CONCEPCION THOMSON LINEAR 05/18/15 JOHN S. ELIASIK GILDEA & COGHLAN 17 15WC 19266 RILEY, JAMES DEAN FOODS 06/01/15 DERANGO & CAIN BRADY CONNOLLY & MASUDA PC 18 15WC 20042 TERMINI, MARK WHOLESOME TUMMIES 06/11/15 KARCHMAR & STONE GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 19 15WC 36062 WEIRICH, RAYMOND SEARS 10/13/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM GRA 20 16WC 01457 YOUNG, DION ALL MY SONS MOVING & STOR 01/13/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 16WC002899 -C 21 16WC 05828 HERNANDEZ, ESTHER KRAFT FOODS 07/24/15 JOHN J CASTANEDA GAROFALO SCHREIBER STORM GRA 22 16WC 06034 DIAZ GUTIERREZ, ROLANDO LUBRIZOL 01/22/16 BOTTO GILBERT RUSIN & MACIOROWSKI LTD 23 16WC 06711 RODRIGUEZ, RAMIRO PERFORMANCE CONTRACTING I 01/09/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 24 16WC 08503 WAYMAN, SARAH PIONEER CENTER FOUNDATION 11/04/15 SLAVIN & SLAVIN HANSON LAW OFFICE 25 16WC 17596 ESQUIVEL, ESMERALDA SAGE PRODUCTS, LLC 03/29/16 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 26 16WC 19592 PERIC, DEBRA M STATE OF IL IL DEPT OF @ 06/30/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENERAL 27 16WC 19858 MOUROUKAS, MAXINE MARK WERNER CONSTR & STF #W 05/04/15 HEALY SCANLON LAW FIRM HELEN LOZANO 28 16WC 24716 DRUML, RENEE BUFFALO WILD WINGS 12/29/14 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 29 16WC 28736 VONGPHAKDY, KHAMMY HELP AT HOME, LLC 08/29/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 30 16WC 29077 ARROYO, YVONNE MONDERN ABRASIVES 11/06/14 COMPTON LAW GROUP CAPUANI, FRANK S 31 16WC 31860 CABALLERO, MARCELA TARGET 02/23/15 STEPHEN G PINTO LTD NYHAN BAMBRICK KINZIE & LOWR 32 16WC 32297 ORDONEZ, YENI L AKA MEDELA, INC 05/26/16 FRANKS & RECKENBERG THOMAS & PORTELA 33 17WC 00164 GONZALEZ, CARLOTA METRO STAFFING INC 12/08/16 HANNIGAN & BOTHA, LTD FRANCIS J DISCIPIO LAW OFFIC 34 17WC 00326 LOGSDON, SUSAN BUTERA MARKET 12/07/16 MEYERS & FLOWERS CHILTON YAMBERT PORTER LLP 35 17WC 02403 MURRAY, JUSTIN CITY OF CRYSTAL LAKE 01/13/17 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 36 17WC 06953 BARON, JOSEPH G WALMART 06/19/16 LEAHY, JAMES P QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 37 17WC 08393 GUZMAN, MARIA E MCDONALDS CORPORATION 01/12/17 BUDIN LAW OFFICES ASA LAW GROUP 38 17WC 09926 CUEVAS, ISABEL WEBER STEPHEN PRODUCTS LL 10/18/16 LAW OFFICE OF SCOTT B SHAP JOSEPH MARCINIAK 39 17WC 10279 VOLPE, ANGELA WALMART 12/01/16 HANNIGAN & BOTHA, LTD QUINTAIROS PRIETO WOOD & BOY 40 17WC 13957 O'DONNELL, MEAGAN CENTEGRA HEALTH SYSTEM 05/15/14 WAGGONER LAW FIRM PC RUSIN & MACIOROWSKI LTD 41 17WC 14643 NOVAK, DONALD CENTEGRA HEALTH SYSTEM 03/07/17 DUDLEY & LAKE LLC RUSIN & MACIOROWSKI LTD 42 17WC 15069 FRAPOLLY, KATHRYN CENTEGRA HEALTH SYSTEMS 02/02/16 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 43 17WC 15254 BEYER, ERIC FARM & FLEET 05/14/17 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 44 17WC 15607 BOESCH, DAVID J KANE COUNTY 07/23/15 WILLIAM A. JAEGER PC COLLISON LAW OFFICES 45 17WC 16244 LEAMAN, NICOLE U-HAUL OF NORTHERN CHICAG 05/06/17 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 46 17WC 16403 CASHMORE, KELLY FOLLETT SCHOOL SOLUTIONS 03/23/17 TARADASH LAW OFFICE KEVIN P. JUSTEN PC 47 17WC 16512 DIBASIO, DAN KCKC MEDICAL GROUP 04/11/17 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 48 17WC 16615 GARCIA, CELIA ADVANCED FLEXIBLE 12/30/16 TARADASH LAW OFFICE 49 17WC 18085 KEANE, FRANK MECHANICAL TEST & BALANCE 01/04/17 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 50 17WC 19940 STOCKLEY, MARK VILLAGE OF FOX RIVER GROV 01/20/16 LUSAK AND COBB ANCEL GLINK DIAMOND BUSH & E 17WC019941 -C 51 17WC 20281 JENKINS, ROBIN SAUK VALLEY BANK AND TRUS 11/05/16 ROCK FUSCO & CONNELLY ROSARIO CIBELLA 52 17WC 22953 HOWE, JAKE EDUIN CONSTRUCTION, LLC 07/05/17 PORRO NIERMANN LAW GROUP 53 17WC 24041 HOWE, JAKE EDUIN CONSTRUCTION LLC 07/05/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 17WC 24709 QUIROZ, ITZEL M. WENDY'S 07/19/17 JONATHAN SCHLACK HENNESSY & ROACH PC 55 17WC 24983 HORAN, CYNTHIA CENTEGRA HEALTH SYSTEMS 08/12/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 17WC024984 -C 56 17WC 26519 GARRETT, STEVE CRYSTAL LAKE MARINE INC 04/11/17 KEVIN P. JUSTEN PC GANAN & SHAPIRO 57 17WC 27577 RIVAS-GAMEZ, JOSE PAUL & MELISSA WICKLOW 07/21/17 ALBERT R. PINO LAW OFFICE 58 17WC 27927 WALSH, MICHAEL J HS CROCKER COMPANY INC 07/28/17 BRAD J. BALKE, PC RUSIN & MACIOROWSKI LTD 17WC027926 -C 59 17WC 28432 KRUZEL, CANDANCE ALDI HCHENRY 09/09/17 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 60 17WC 29142 COVARRUBIAS, MARIA SNAP-ON-TOOLS 03/20/17 GILDEA & COGHLAN 61 17WC 30054 RODRIGUEZ RAMOS, MARTHA DISTRICT 300 CENTRAL OFFI 08/09/17 GARDI & HAUGHT NYHAN BAMBRICK KINZIE & LOWR 19WC005951 -C COMMUNITY UNIT 62 17WC 30788 MUELLER, THOMAS J COMMUNITY HIGH SCHOOL DIS 05/20/17 RICHARD O. GREENFIELD NYHAN BAMBRICK KINZIE & LOWR 63 17WC 32439 DECICCO, ALYSON BIG R 10/11/17 TARADASH LAW OFFICE CAPUANI, FRANK S 64 17WC 33970 SMITH, RODGER J MEYER MATERIAL 09/14/17 FRANKS & RECKENBERG GAROFALO SCHREIBER STORM GRA 65 17WC 35506 BAJRAMI, SPTIM LAKESHORE BEVERAGE D/B/A 01/19/17 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 66 17WC 36157 KAPLAN, ANDREW KPW MANAGEMENT INC DBA HE 08/05/17 LANNON LANNON & BARR LTD JOSEPH MARCINIAK 67 17WC 36673 BOUTIN, TIMOTHY R MC HENRY TOWNSHIP FIRE 02/20/17 THOMAS W DUDA 17WC036676 -C 68 18WC 01096 BARSZTAITS, RAY LAFARGE HOLCIN 11/17/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 69 18WC 02062 WILSON, ERIC SPANCRETE INDUSTRIES, INC 06/29/17 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 70 18WC 02593 RONAN, STEVEN COMMONWEALTH EDISON CO 11/13/17 DUDLEY & LAKE LLC HENNESSY & ROACH PC 71 18WC 03683 RAMIREZ, MARIO KRAFT FOODS GROUP INC 12/05/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 18WC011880 -C 18WC011881 -C 72 18WC 03930 FAHEY, MARY K (ADMIN EST) FEDEX EXPRESS 12/05/17 LOREN S GOLDEN WIEDNER & MCAULIFFE LTD 73 18WC 04026 RONDONE, THOMAS NUCO2, LLC 04/26/17 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 74 18WC 05398 REA, JASON A FEDERAL EXPRESS CORP 09/12/17 MADSEN SUGDEN & GOTTEMOLLE 75 18WC 06164 GORDILLO, JUAN F TC INDUSTRIES 01/31/18 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 76 18WC 06326 AVITIA, CARMEN SAGE PRODUCTS 02/17/18 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 77 18WC 06495 TUHOWSKI, GEORGE K III LEOPARDO COMPANIES 12/08/17 ROSS TYRRELL GRANT & FANNING 78 18WC 06920 CORREA, DESTINI WORKING WORLD INC 09/13/17 GOLDFINE & BOWLES BRADY CONNOLLY & MASUDA PC 79 18WC 07159 HERNANDEZ-GUEVARA, JULIO ILLINOIS RACK ENTERPRISES 11/01/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 18WC007160 -C 19WC006463 -C 80 18WC 09072 RAYSBY, TRINA E LEICA BIOSYSTEMS 10/20/16 CHRIS CRONSON GILDEA, COGHLAN & REGAN LTD. 81 18WC 09397 MORALES, MARTINA PAPY'S FOODS, INC 09/27/17 TARADASH LAW OFFICE 82 18WC 10179 KLINGBERG, RHONDA G JEWEL-OSCO 11/07/17 ANESI OZMON RODIN NOVAK KO 83 18WC 10578 GARCIA, SERGIO MCDONALD'S - CRYSTAL LAKE 03/30/18 BOTTO GILBERT 84 18WC 10716 ALBRECHT, DAVID J ABF FREIGHT SYSTEM INC 08/14/17 FIGLIOLI, DAVID KEEFE CAMPBELL BIERY & ASSOC 85 18WC 10744 HERRERA, JAIME HAINESVILLE PROPERTIES, L 03/20/18 LUSAK AND COBB GUMMERSON & RAUSCH LLC 86 18WC 11299 KERSTEN, SUZANNE JEWEL FOOD STORES 05/03/17 LINN, CAMPE & RIZZO LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 18WC 12019 RICE, RONALD T&J PRINTING 01/17/18 DWORKIN AND MACIARIELLO CASSANO & ASSOCIATES 88 18WC 12160 MORONEY, JAIME TRACTOR SUPPLY COMPANY 01/13/18 HENNESSY & ROACH PC 89 18WC 12844 OLIVAN-HERNANDEZ, ROCIO CARLSON BUILDING MANAGEME 03/12/18 90 18WC 13033 QUINN, JEFFREY TRUE VALUE DISTRIBUTION C 03/08/18 MC HARGUE & JONES ASA LAW GROUP 91 18WC 13889 MERCADO, ESTELA AMERICAN AD BAG 04/17/18 BOTTO GILBERT 92 18WC 14024 DOMAGALA, JOHN UPS 04/04/18 LEONARD LAW GROUP LLC ASA LAW GROUP 93 18WC 14386 KRUSE, THERESA JEWEL OSCO 03/27/18 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 94 18WC 15752 MC FARLAND, SHAWN HENKELS & MC COY 08/01/17 JOSEPH J LOSS PC WIEDNER & MCAULIFFE LTD 95 18WC 15798 STEINKAMP, TAMARA L MATHEWS COMPANY 04/21/17 FRANKS & RECKENBERG HOLECEK & ASSOCIATES 96 18WC 18296 MOODY, JUNE WALMART 04/21/18 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 97 18WC 19468 WOODVILLE, WILLIAM SCOTT ATLAS-ACE CORP 06/13/18 TARADASH LAW OFFICE 98 18WC 19856 JARILLO, DANIEL CASTILLO ACRES ENTERPRISES DBA GOO 06/28/18 JONATHAN SCHLACK ACCIDENT FUND HOLDINGS 18WC019857 -C 18WC019858 -C 18WC026336 -C 99 18WC 21252 OLSON, ERIC EX-TECH PLASTIC, INC 02/20/18 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 100 18WC 21856 MILLER, STEVEN ILLINOIS LIFT EQUIPMENT 02/18/18 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 101 18WC 21921 OFENLOCK, SUSAN MCHENRY COMMUNITY CONSOLI 11/15/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 102 18WC 22094 WAGLER, DANIEL G ON TARGET RANGE & 11/01/17 BARRICK SWITZER LONG LAWRENCE COZZI - LAW OFFICE 103 18WC 22450 HAYMES, GLENN GPM PUMP & TRUCK PART 10/27/17 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 18WC 22532 DIAZ, WILLIAM BUTERA MARKET 07/02/18 CHEPOV & SCOTT LLC CHILTON YAMBERT PORTER LLP 105 18WC 22900 MORENO, SERGIO AC PAVEMENT STRIPING 06/28/18 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 106 18WC 22941 QUIROZ, ITZEL M WENDY'S 07/19/17 JONATHAN SCHLACK HENNESSY & ROACH PC 107 18WC 23218 RINCON, CYNTHIA VICTORIA'S SECRET 05/04/18 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 108 18WC 23724 WOLOTOWSKY, AMBER LOWES 01/13/18 MEYERS & FLOWERS KEEFE CAMPBELL BIERY & ASSOC 109 18WC 23885 EDGE III, JEROME UNION FIRE DEPT 04/29/18 HANNIGAN & BOTHA, LTD POWER & CRONIN LTD 110 18WC 24290 PADRO JR, PEDRO J CITY OF MC HENRY 10/28/16 HUGHES SOCOL PIERS RESNICK ANCEL GLINK PC 18WC025595 -C 18WC034880 -C 111 18WC 24338 LOPES, VIVIAN JANJIC CENTEGRA HEALTH SYSTEMS 02/15/18 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 112 18WC 24655 SCHMIDT, JOSEPH GILCOR CONSTRUCTION 08/08/18 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 113 18WC 25115 LEVY, ERICA CENTEGRA HOSPITAL 01/04/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 114 18WC 25493 HERNANDEZ, BERTHA AFC INDUSTRIES 07/28/17 LEONARD LAW GROUP LLC JOSEPH MARCINIAK 115 18WC 25906 HENRY, STEPHANIE H BRAKE PARTS INC 08/08/18 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 116 18WC 26169 MORAN, THOMAS W HARBOR FREIGHT TOOLS USA 08/21/17 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 117 18WC 26500 GALLOWAY, ILLYA E LIFEZONE 360 07/09/18 GALLAGHER, DONALD V 118 18WC 27448 DODSON, DOUGLAS W STRYKER 07/17/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 119 18WC 27861 NIEDERKORN, MICHAEL NEWPORT INDUSTRIES INC 07/24/18 GOLDBERG WEISMAN & CAIRO L CACCHILLO LAW GROUP LLC 120 18WC 28204 LARSON, ALLISON FREE SPIRIT SIBERIAN RESC 04/14/18 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 121 18WC 28414 DEL TORO, JOEL WEBER STEPHEN PRODUCTS 07/18/18 BLACK & JONES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 18WC 28909 BUSO, ALVARO TC INDUSTRIES INC 02/18/17 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 123 18WC 29167 HATHCOAT, THRESE US BANK 10/27/17 JACKOWIAK LAW OFFICES HENNESSY & ROACH PC 124 18WC 29378 MYERS, CONNOR L MC HENRY COUNTRY CLUB 06/24/18 DOUGLAS RALLO PC 125 18WC 29515 MICHEL, JESUS TC INDUSTRIES INC 03/01/18 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 126 18WC 30163 GIBSON, CARVONNA EXPRESS PROFESSIONAL 09/05/18 CHRISTIAN & MANNO MC ANDREWS & NORGLE LLC 127 18WC 30502 MARIN LUZ ASSISTING HANDS FLINTZ HO 07/13/18 BERNAT & BERNAT PC 128 18WC 30816 TAYLOR, JAMES (WIDOWER OF COMMUNITY UNIT SCHL DIST # 09/20/18 MEYERS & FLOWERS GOLDBERG SEGALLA LLC 129 18WC 31001 KOCH, DANIEL CANTEGRA MCHENRY 08/25/18 DONALD FOHRMAN & ASSOC 130 18WC 31452 NOVAK, KATHLEEN ADVANTAGE SOLUTIONS 09/29/18 LEO ALT KELLEY KRONENBERG 131 18WC 31523 LIND, JOE ASSOCIATED INTEGRATED SUP 08/13/18 TURNER & SACKETT LLC BORGELT POWELL 132 18WC 31931 BOBKA, PAMELA ADVANCE STORES COMPANY, I 06/15/18 RUSSO & RUSSO LTD 133 18WC 32240 WIECZOREK, NANCY J POWER WELLNESS 09/09/18 FRANKS & RECKENBERG WIEDNER & MCAULIFFE LTD 134 18WC 32528 LEO, PAUL P JR. D.L.S. ELECTRONIC SYSTEMS 08/13/18 ANKIN LAW OFFICE GRIFFIN, LORETTA M LAW OFFIC 135 18WC 33100 DOMINGUEZ, ALMA MAXIM HEALTHCARE SERVICES 07/02/18 BAUM RUFFOLO & MARZAL LTD RUSIN & MACIOROWSKI LTD 136 18WC 34085 SEMINERIO, VINCENZO ADVATAGE MEDICAL EQUIPMEN 10/09/18 PARENTE & NOREM PC BRADY CONNOLLY & MASUDA PC 137 18WC 35013 RITACCO, EDWARD NEW WERNER HOLDING CO., I 07/27/18 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 138 18WC 35306 MORENO, CANDELARIO RED LOBSTER 10/23/18 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 18WC 35358 MERCADO, ERNESTO HARVARD BUILDING PRODUCTS 10/05/18 BOTTO GILBERT JOSEPH MARCINIAK 140 18WC 35413 JUAREZ, HECTOR SEBERT LANDSCAOING INC 06/01/17 NYHAN BAMBRICK KINZIE & LOWR 18WC035414 -C 141 18WC 36058 PAGAN-CHAPMAN, IANY AFC MANUFACTURING 06/26/18 GALLAGHER, DONALD V JOSEPH MARCINIAK 142 18WC 36497 BYRD, JOHN MENARDS 02/08/18 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 143 18WC 36588 RAISOR, DAWN WOODSTOCK SCHOOL DIST 200 08/20/18 MARTIN V KUGIA NYHAN BAMBRICK KINZIE & LOWR 144 18WC 36796 EVANS, BILLY MDC ENVIRONMENTAL SVCS 10/01/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 145 18WC 37075 CARAWAY, JIMMIE AEROTEK 10/03/17 TARADASH LAW OFFICE 146 18WC 37157 SCHIRMBECK, KYLE NORTHERN ILLINOIS MEDICAL 07/15/18 TARADASH LAW OFFICE 147 18WC 37629 SOTO, CHARLES APTARGROUP, INC. 05/04/18 TARADASH LAW OFFICE INMAN & FITZGIBBONS 148 18WC 37672 PAUL, SHARON NEW ALBERTSON'S INC D/B/A 09/02/18 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 149 18WC 37834 ALTAMORE, LAURA MONDELEZ INTERNATIONAL 03/27/18 HANNIGAN & BOTHA, LTD 150 18WC 38319 GIL, EDWARD J JR. MCHENRY COUNTY 11/14/18 CORNFIELD & FELDMAN NYHAN BAMBRICK KINZIE & LOWR 151 19WC 00133 PEREZ, GABRIEL HS CROCKER 10/26/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 152 19WC 00306 DEWART, CHARLENE NORTHERN IL MEDICAL CENTE 07/19/18 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 153 19WC 00393 RICO, MARIA KRAFT-HEINZ 09/15/18 WOODRUFF JOHNSON GAROFALO SCHREIBER STORM GRA 154 19WC 01196 PEREZ, PEDRO ARREGUIN BROTHERS LANDSCA 05/27/18 155 19WC 01321 DANIELS, BRIAN AIRGAS 10/09/18 MICHAEL G. MILLER MC ANDREWS & NORGLE LLC 156 19WC 01410 DUTENHAFER, ADAM STRAIGHT LINE MOVING COMP 10/06/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 19WC 01564 MARTINEZ, GABRIEL IMS BUHRKE OLSON 01/10/19 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 158 19WC 01757 WALKER, JOHN TC INDUSTRIES 07/05/18 RICHARD O. GREENFIELD HENNESSY & ROACH PC 159 19WC 01911 RILEY, ALLISON ADULT & CHILD THERAPY SRV 05/15/18 GOLDBERG WEISMAN & CAIRO L EDWARD J. KOZEL 160 19WC 02602 MCNAMES, SCOTT FED-EX 05/19/16 MARTIN V KUGIA 161 19WC 02768 TROCCOLI, CAITLIN MARIE ANIMAL HOUSE SHELTER 04/02/18 DAVID W MARTAY CAPUANI, FRANK S 162 19WC 02886 RIVAS-CASTRO, ROSENDO COMCAST CABLE 01/25/19 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 163 19WC 03161 SALAZR, ARMANDO LOWE'S COMPANIES, INC 06/14/18 FRANKS, GERKIN & MCKENNA P KEEFE CAMPBELL BIERY & ASSOC 164 19WC 03457 CREACH, CHERI PROFEX, INC 12/03/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 165 19WC 04343 DEWART, CHARLENE NORTHERN IL MEDICAL CENTE 07/18/18 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 166 19WC 04457 KRAYNIK, ALICIA ASSISTING HANDS 02/03/19 WOODRUFF JOHNSON RIPES NELSON BAGGOT KALOBRAT 167 19WC 04832 COFFMAN, DONNA DURHAM SCHOOL SERVICES 12/07/18 STEVEN J MALMAN & ASSOCIAT BRADY CONNOLLY & MASUDA PC 168 19WC 05916 LATINA, BRIAN HOBBY LOBBY 11/27/18 POLANSKY & CICHON CHTD QUINTAIROS PRIETO WOOD & BOY 169 19WC 05991 KARMAN, CATHERINE LANAI HOLDINGS LLLC 05/15/17 BLACK & JONES HENNESSY & ROACH PC 19WC005992 -C 19WC005993 -C 170 19WC 06473 CARLSON, MICHAEL WEBER-STEPHEN PRODUCTS 10/20/18 JOSEPH MARCINIAK 171 19WC 06506 PRIDDY, NOAH T III EXPRESS SERVICES, ICN 02/26/19 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 172 19WC 06707 JORDAN, ALLEN ACL LABORATORIES, INC. 02/07/19 MARKHAM M JEEP & ASSOCIATE 173 19WC 06813 GALLARDO, GABRIEL NEW WERNER HOLDING CO, IN 08/16/18 FRANKS, GERKIN & MCKENNA P HOLECEK & ASSOCIATES 174 19WC 07266 DIAZ, DELISA APTAR GROUP 12/23/18 FRANKS, GERKIN & MCKENNA P 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 ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 19WC 07439 HARRIS, ERIN HARVARD COMMUNITY UNIT 02/11/19 KROL BONGIORNO & GIVEN LTD ANCEL GLINK PC 176 19WC 07546 SMITH, GEORGE E CITY OF CRYSTAL LAKE 01/04/19 MORICI FIGLIOLI & ASSOC 177 19WC 07651 WALSH, KEN CITY OF ST CHARLES 02/28/19 HANNIGAN & BOTHA, LTD GILDEA, COGHLAN & REGAN LTD. 178 19WC 08065 GARCIA, OSCAR PROAMPAC PG HOLDINGS, LLC 01/14/19 DUDLEY & LAKE LLC WOLF & LAUDICINA LTD 179 19WC 08141 BARNFIELD, VANESSA BC TECHNICAL 03/21/18 KEVIN P. JUSTEN PC 180 19WC 08199 REESE, NICHOLAS VERTICAL LIMIT CONSTRUCTN 03/06/18 ANKIN LAW OFFICE KRAKER FANNING & OLSEN 181 19WC 08455 VICENS-RAMIREZ, MARISOL BUFFALO WILD WINGS 02/06/19 FRANKS, GERKIN & MCKENNA P JOSEPH MARCINIAK 182 19WC 08627 DANTES, CARLOS M NRG INSTALLATIONS, LLC 11/01/18 LEAHY, JAMES P 183 19WC 09440 DE ALBA, GERARDO PITEL SEPTIC, INC 11/02/18 TARADASH LAW OFFICE 184 19WC 09547 ANTIS, WILLIAM J RYDER INTEGRATED LOGISTIC 10/11/17 RUBIN LAW GROUP HEYL ROYSTER VOELKER & ALLEN 185 19WC 09637 HANCOCK, KATHERINE ALDI INC 11/25/18 ROBERT J. IRSUTO BRADY CONNOLLY & MASUDA PC 186 19WC 10027 ROBERTS, JUDY CNC LOGISTICS 03/07/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 187 19WC 10378 PETITTI, JESSICA I LOVE KICKBOXING 12/19/18 ROSS TYRRELL 188 19WC 10532 GALASSI, THOMAS CRYSTAL CAR WASH SERVICES 05/14/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 189 19WC 10698 CRAFT, CHARLES ADVANCED ELEVATOR 04/11/18 KEVIN O'BRIEN HENNESSY & ROACH PC 190 19WC 11147 PALMER, JOHN L VILLAGE OF ALGONQUIN- POL 03/16/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 191 19WC 11953 RAMBERG, ROBIN JEWEL-OSCO 04/11/19 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 192 19WC 12156 GERDES, NORMA JOURNEY CARE INC 10/25/16 TARADASH LAW OFFICE ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 19WC 12185 HART, JACQUELINE CARDINAL HEALTH 04/12/19 PRIME LAW GROUP HENNESSY & ROACH PC 194 19WC 12673 MELODY, MELISSA BULLDOG ALE HOUSE 05/28/18 SCOTT B SHAPIRO HENNESSY & ROACH PC 195 19WC 12855 CATINO, SCOTT COMCAST CABLE 01/28/18 SCOTT BARBER 196 19WC 12988 MORENO, JOSE CUCINA BELLA 01/11/18 CUDA LAW OFFICES JOSEPH MARCINIAK 197 19WC 13407 RAYPHOLE, JAMES WASTE CONNECTIONS, INC 12/29/18 DOUGLAS RALLO PC 198 19WC 13855 KROOS, BAILEY MORETTI'S RISTORANTE &PIZ 11/17/18 GESMER & REYNOLDS PC 199 19WC 14420 NEVES, MEGAN ALEXANDER LEIGH CENTER 12/14/18 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 19WC014437 -C 200 19WC 14653 DUNHAM, LISA JOURNEYCARE CARE CENTER 05/08/19 HANNIGAN & BOTHA, LTD ACCIDENT FUND HOLDINGS 201 19WC 14894 BURNS, RONALD SAM'S CLUB 05/02/19 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 202 19WC 15058 HOWARD, BRETT CITY OF CRYSTAL LAKE 03/26/19 WILLIAM H MARTAY 203 19WC 15121 CHEVOPULOS, MARY SHELTERED VILLAGE 05/01/19 TARADASH LAW OFFICE SLAVIN & SLAVIN 204 19WC 15529 CRANE, DANIEL G.W. THIEL INC 01/18/19 MILLON & PESKIN LTD ACCIDENT FUND HOLDINGS 205 19WC 15555 VELAZQUEZ-QUINONES, ROSAL ELITE STAFFING 05/23/19 EDWIN REYES LAW FIRM 206 19WC 15778 MILLER, PATRICIA VILLAGE OF ALGONQUIN PD 04/21/19 KROL BONGIORNO & GIVEN LTD ANCEL GLINK PC 207 19WC 15955 GALASSI, TOM CRYSTAL CAR WASH SERVICES 05/14/18 GESMER & REYNOLDS PC 208 19WC 16423 HALSEY, DEBORAH HUNTSMAN POLYURETHANES 08/03/16 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 209 19WC 16812 MORIARTY, DAVID AMS RETAIL SOLUTIONS 05/08/19 GWC INJURY LAWYERS LLC LAWRENCE COZZI - LAW OFFICE 210 19WC 16992 LUZZI, JAMES GREAT LAKES CARING 04/14/19 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 19WC 17462 KOLB, LUZVININDA MODERN ABRASIVE CORP 07/09/18 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 212 19WC 17651 QUINTANA, DINORA WEBER-STEPHENS PRODUCTS, 11/30/18 COSTA IVONE LLC JOSEPH MARCINIAK 213 19WC 17713 COOPER, EDDIE SEARS 04/13/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 214 19WC 18270 FALLON, ROBERT FEDERAL EXPRESS 04/02/19 ADLER & ADLER 215 19WC 18596 RUIZ-MAGANA, BALTASAR ABP REMODELING, INC 02/28/19 MENDOZA LAW PC ION LAW LLC 216 19WC 18631 NAJAR, MARIA SURGE STAFFING, LLC 04/05/19 STROM & ASSOC HENNESSY & ROACH PC 217 19WC 18905 SHAVER, TODD CARPENTERSVILLE 11/28/18 MARTIN V KUGIA RUSIN & MACIOROWSKI LTD 218 19WC 18973 MEJIA, JESUS HOULIHAN'S RESTAURANT 09/28/18 ANSELMO DURAN 219 19WC 19314 BERG, TINA (IN BEHALF OF) ILLINI DRILLED # 05/21/19 BIZZIERI LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 220 19WC 19501 BARKER, ROBERT EXPRESS EMPLOYMENT 02/21/19 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 221 19WC 19619 FRUMENTO, KELLY PEOPLELINK 07/01/19 STYKA & STYKA WOLF & LAUDICINA LTD 222 19WC 19719 FITTERS, MICHAEL LOWELL C HAGEN TRUCKING I 09/21/18 COPLAN & CRANE, LTD EVANS & DIXON 223 19WC 19826 SCHRIVER, JONATHAN MC DONALD'S 07/02/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 224 19WC 20177 MOSHER, JADE E KRAFT HEINZ FOODS COMPANY 02/07/19 TUITE LAW GAROFALO SCHREIBER STORM GRA 225 19WC 20358 RHODERICK, DEBORAH HELP AT HOME 04/01/19 MARTIN V KUGIA ROSARIO CIBELLA 226 19WC 20782 HARRIS, JOSEPH BIRKYES FARM STORE 04/01/19 STANCZAK LAW OFFICES ACCIDENT FUND HOLDINGS 227 19WC 20966 JOHNSON, CAROL JEWEL FOOD STORE 06/26/19 CAPRON & AVGERINOS PC 228 19WC 21461 TEDESCO, BRIANNA LAKEMOOR POLICE DEPARTMEN 07/26/18 MARTIN L GLINK LAW OFFICE POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 19WC 21682 JASTER, KATHLEEN HOME OF THE SPARROW 01/23/17 FRANKS, GERKIN & MCKENNA P 230 19WC 21936 STILSON, SUSAN EXPRESS SERVICES, INC 09/11/18 TARADASH LAW OFFICE MC ANDREWS & NORGLE LLC 231 19WC 22382 GREGORY, RICHARD ALDRIDGE ELECTRIC INCORPO 06/06/19 GWC INJURY LAWYERS LLC WIEDNER & MCAULIFFE LTD 232 19WC 22510 MAGNUSON, AUBREY E PAWS ON PINGREE, LLC 04/23/19 MAGNUSON, LAWRENCE K, PC JOSEPH MARCINIAK 233 19WC 22558 FOREMAN, KAREN TJ MAX OF IL, LLC 09/26/18 WAGGONER LAW FIRM PC 234 19WC 22675 MARTINEZ, MARIA THOMPSON LINEAR, LLC 05/28/19 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 235 19WC 22997 DEAN, BRANDON UNICARRIERS AMERICAS CORP 03/07/19 BLACK & JONES RUSIN & MACIOROWSKI LTD 19WC022998 -C 236 19WC 23752 PREWETT, DANNY WILLIAMS BROTHRS CNSTRUCT 10/14/17 JOHN LESAGANICH KNELL LAW LLC 237 19WC 23789 JUSTUS, NICOLE JEWEL OSCO 03/05/19 DWORKIN AND MACIARIELLO 238 19WC 24090 WIESE, TRACY A ROSCOE ROCK & SAND INC 06/14/18 HORWITZ HORWITZ & ASSOC 239 19WC 24293 ALEMAN, ASUCENA KOHL'S - WOODSTOCK 12/04/18 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 240 19WC 24368 MACARDLE, JEFFREY POLI-FILM AMERICA, INC 04/29/19 BRILL & FISHEL 241 19WC 24727 FRONTIER, MICHELE JEWEL FOOD STORES 04/30/18 EVANS & DIXON 242 19WC 24823 MORRISON, RICHARD C MEIJER 04/10/19 NO ATTORNEY KOPKA, PINKUS DOLIN, PC 19WC024824 -C 243 19WC 24889 SULLENTRUP, SHANE RMH FRANCHISE HOLDINGS IN 07/20/19 MARKHAM M JEEP & ASSOCIATE HOLECEK & ASSOCIATES 244 19WC 25120 BRICKLER, LISA MERCY HEALTH SYSTEM 10/15/18 STROM & ASSOC 245 19WC 25258 SILVA, KARLA STRYKER CORPORATION 06/13/19 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 246 19WC 25480 STRAIGHT, PAUL ASSOCIATED ELECTRICAL 07/12/19 BLACK & JONES ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 19WC 25687 ARIAS, ELVA RJB PROPERTY, INC 02/18/19 JONATHAN SCHLACK HENNESSY & ROACH PC 248 19WC 26106 QUINTERO, BRENDA MCDONALDS 05/27/19 JONATHAN SCHLACK ASA LAW GROUP 249 19WC 26473 SKIBA, BERNADETA E DAVITA, INC 08/09/19 CHEPOV & SCOTT LLC 250 19WC 26889 NEGRI, DIANA JEWEL FOOD STORES 02/12/19 EVANS & DIXON 251 19WC 27045 FABIAN, JOSE PEDRO BERRY GLOBAL GROUP, INC 06/12/19 BOTTO GILBERT HENNESSY & ROACH PC 252 19WC 27284 GARRIDO, GONZALO NORTHWESTERN MEMORIAL HOS 01/19/19 BRUSTIN & LUNDBLAD LTD 253 19WC 27476 WOODHOUSE, WILLIAM AEROTEK 09/04/19 KROL BONGIORNO & GIVEN LTD SPIEGEL & CAHILL, PC 254 19WC 28138 LAPPEN, LESLIE A WALMART, INC 11/04/17 QUINTAIROS PRIETO WOOD & BOY 255 19WC 28325 HERNANDEZ, DAVID WASTE MANAGEMENT 06/27/19 JACKOWIAK LAW OFFICES 256 19WC 28421 KRAMER, DANIEL COUNTY OF MCHENRY 08/22/18 MCHENRY COUNTY 257 19WC 28500 WILSON, DAVID INTREN, INC. 04/25/17 WIEDNER & MCAULIFFE LTD 258 19WC 28576 GUTIERREZ, MARIA WEBER 06/03/19 FOOTE MIELKE CHAVEZ O'NEIL JOSEPH MARCINIAK 259 19WC 28595 BOYD, LANCE R CAISSON INDUSTRIES INC D/ 08/28/19 HENRY H. SUGDEN III LLC HEYL ROYSTER VOELKER & ALLEN 260 19WC 28940 LOCKE, JAMES R AT&T 08/09/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 261 19WC 29325 STOUT, VON JEWEL INC 06/06/19 LINN, CAMPE & RIZZO LTD 262 19WC 29371 PEARSON, KLINT TARNSMISSION EXPRESS 01/03/18 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 263 19WC 30061 DUNCAN, MATTHEW OUTDOOR LIGHTING PERSPECT 10/02/19 LEONARD LAW GROUP LLC 264 19WC 30226 CARDENAS, EVAN ALTRA INDUSTRIAL MOTION C 07/30/19 ADRIAN MURATI HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 19WC 31129 SUZZI, MICHAEL J HOME DEPOT 04/30/19 FRANKS & RECHENBERG MC ANDREWS & NORGLE LLC 266 19WC 31209 SUZZI, MICHAEL J. HOME DEPOT 07/19/15 FRANKS & RECHENBERG MC ANDREWS & NORGLE LLC 267 19WC 31978 PAYTON, MELISSA AS GUARDI C&A TRUCKING, INC # 10/08/19 MC HARGUE & JONES 268 19WC 32012 PESTER, JULIANN T NORTHWESTERN MEDICINE 04/09/19 HANNIGAN & BOTHA, LTD 269 19WC 32096 TOLEDO, ANTHONY AEROTEK 10/21/19 COVEN LAW GROUP 270 19WC 32290 SCIASCIA, TRACEI FIVE BELOW 06/10/19 EDWIN REYES LAW FIRM 271 19WC 32386 LOPEZ, AARCADIA GCA SERVICES GROUP 05/28/19 MEYERS & FLOWERS 272 19WC 32546 ROBERTS, DIANA FOOD MARKETING SRVS, IL, 11/06/19 ANKIN LAW OFFICE 273 19WC 33006 CARZOLI, DEBORAH THRONTON'S INC 11/29/18 TARADASH LAW OFFICE KRAKER FANNING & OLSEN 274 19WC 33268 HOHOL, VINCENT M MEADE ELECTRIC 10/30/19 CUDA LAW OFFICES HENNESSY & ROACH PC 275 19WC 33892 AGUILAR, SARA GOMEZ AEROTEK 11/30/18 ACEVES & PEREZ PC SPIEGEL & CAHILL, PC 276 19WC 33973 UHLIR, JAMES ARNOLD MAGNETIC TECHNOLOG 07/11/19 BLACK & JONES HOLECEK & ASSOCIATES 277 19WC 34204 PENA, JORGE GALLARDO CONSTRUCTION CO, 10/24/19 FRANKS, GERKIN & MCKENNA P RUSIN & MACIOROWSKI LTD 278 19WC 34305 RUFFINO, MARY CRYSTAL LAKE ELEMENTRY DI 03/15/19 SCOTT BARBER 279 19WC 34533 HERNANDEZ, DAVID WASTE MANAGEMENT 11/13/19 JACKOWIAK LAW OFFICES 280 19WC 34916 ANGILERI, JO JEWEL OSCO 08/17/19 MC HARGUE & JONES 281 19WC 35183 DUNKLEBERGER, CODY CUNAT PAYROLL INC. 11/15/19 BOTTO GILBERT GANAN & SHAPIRO 282 19WC 35508 ESTRADA, JOSE OSMOE UTILITY SERVICES 06/26/19 CHEPOV & SCOTT LLC HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52002 ON 08/05/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 20WC 01944 SANTOS-LLAMAS, JOSE MOONLIGHT GLASS & WINDOWS W 01/13/20 MC HARGUE & JONES 302 20WC 02221 LAMPTON, CAROL A ALDEN TERRACE OF MCHENRY 12/31/18 ANKIN LAW OFFICE 303 20WC 02425 ELSTON, JEFFERY VILLAGE OF OAKWOOD HILLS 06/21/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 304 20WC 02725 GUTIERREZ, HERARDO PORK KING PACKING INC 11/25/19 BOTTO GILBERT 305 20WC 02838 FAGAN, MARCIA D HUNTLEY COMM SCHOOL DIST 07/09/19 KENT M LUCACCIONI NYHAN BAMBRICK KINZIE & LOWR 306 20WC 03177 JUNG, ERIC SAM'S CLUB 02/01/20 PRIME LAW GROUP 307 20WC 03591 BECKER, DAKOTA C EUCLID CHEMICAL 01/29/20 THOMAS W DUDA KEEFE CAMPBELL BIERY & ASSOC 308 20WC 03823 DENEVE, JOSEPH SPANCRETE 02/04/20 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 309 20WC 04018 CHAVEZ, MARIA MAGDALENA METRO STAFF INC 06/24/19 STEVEN B SALK & ASSOC LTD 310 20WC 04096 OLSTA, AMANDA VILLAGE OF ALGONQUIN 01/23/20 KROL BONGIORNO & GIVEN LTD ANCEL GLINK PC 311 20WC 04354 SLOVE, DANIEL F CITY OF CRYSTAL LAKE 01/24/20 ANKIN LAW OFFICE 312 20WC 04660 BASS, BRIAN BASS TRUCKING 12/21/19 GAINES & GAINES RUSIN & MACIOROWSKI LTD 313 20WC 04709 SAVELEY, KATHERINE M ASSISI ANIMAL FOUNDATION 01/11/20 LEAHY, JAMES P HENNESSY & ROACH PC 314 20WC 04897 GAUGER, JOHN WALMART 02/16/20 COVEN LAW GROUP GANAN & SHAPIRO 315 20WC 05250 TURNGREN, STEFANIE O'REILLY AUTO ENTERPRISES 10/05/19 THE LAW FIRM OF KEITH D SL HENNESSY & ROACH PC 316 20WC 05343 DOLLMAN, DAVID ADVANCED SECURITY SOLUTIO 01/26/20 FRANKS, GERKIN & MCKENNA P COZZI & ZAPF LAW OFFICE 317 20WC 05373 FORREST, LOUISE POWER WELLNESS 12/12/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 318 20WC 05421 ELLIS, NICHOLAS ARNOLD MAGNETIC TECHNOLOG 02/07/20 RIDGE & DOWNES HOLECEK & ASSOCIATES

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