ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 13870 PLOCINSKI, MICHAEL VILLAGE OF HOFFMAN ESTATE 04/30/97 TYRRELL, ROSS NYHAN BAMBRICK KINZIE & LOWR 01WC015289 -C 2 04WC 18386 PARRA, JERRY VLG OF OAK PARK 11/19/03 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 03WC057037 -C VILLAGE OF OAK PARK 04WC018385 -C 3 05WC 02827 DEVENPORT, CYNTHIA CITY OF CHICAGO-WATER 11/03/04 GRECO, MICHAEL J HENNESSY & ROACH PC 4 07WC 18148 RODRIGUEZ, IVETTE ST OF IL DEPARTMENT OF @ 04/13/07 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 11WC013816 -C DEPARTMENT OF UNEMPLOYMENT 13WC025139 -C STATE OF IL 5 07WC 48048 OLAGUE, ALFREDO WEBER MARKING SYSTEMS 08/23/07 GOLDSTEIN FISHMAN BENDER E MEACHUM & STARCK LAW OFFICES 06WC014406 -C SHERATON 07WC054775 -C 6 08WC 09783 WILLIAMS, SHIRLEY CITY OF CHICAGO 01/23/08 CHARLES LEVY & ASSOC LTD CITY OF CHICAGO 7 08WC 15467 RUTH, CHRISTINA AMERICAN AIRLINES 05/18/05 STEVEN J SEIDMAN LAW OFFIC GAROFALO SCHREIBER STORM GRA 08WC015468 -C 09WC019109 -C 09WC019110 -C 13WC028158 -C 8 08WC 26327 ZIGANTO, ROBERT WALSH CONSTRUCTION 05/08/08 RUBIN LAW GROUP HINSHAW & CULBERTSON 11WC005353 -C 9 08WC 35376 HESSE, NANCY L MIDWEST ORTHOPAEDICS CONS 01/24/08 FOTOPOULOS, JOHN S MEACHUM & STARCK 10 08WC 36829 GOMEZ, SARA UNIQUE THRIFT STORE 12/17/07 RAYMOND M SIMARD, PC MEACHUM & STARCK LAW OFFICES 08WC038203 -C 11 08WC 38409 RILEY, LEO SKOKIE FIRE DEPT 09/09/05 THOMAS W DUDA VILLAGE OF SKOKIE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 08WC 39856 REED, KIM CITY OF CHICAGO 08/03/08 STEWART C ORZOFF CITY OF CHICAGO 13 08WC 40662 PASQUINI, LAURA A FEDEX 11/17/05 SMOLER LAW OFFICE, PC ASHER, RAYMOND L LTD 08WC040663 -C 08WC040664 -C 10WC045403 -C FED EX 10WC045404 -C 13WC035955 -C 14 08WC 46877 19B SAWYER, DAN FEDERAL EXPRESS FREIGHT 08/18/08 ATSAVES, LOUIS G LTD QUINTAIROS PRIETO WOOD & BOY 15 08WC 50031 GARCIA, JOSE CITY OF CHICAGO 01/30/08 CAMERON CLARK 10WC041154 -C 16 08WC 54077 RIVERA, MARTIN CHICAGO FURNITURE W 11/20/08 EPSTEIN, JACK R LAW OFFICE 17 08WC 55976 SZUSZKIEWICZ, JOZEF RICH CONSTRUCTION INC W 11/25/08 BELCHER LAW OFFICE 18 09WC 02665 SANDOVAL-GARCIA, MIGUEL DEPARTMENT OF CHILDREN & @ 12/20/08 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 11WC010217 -C DCFS-DEPT OF CHILDREN & 19 09WC 06440 THUMMALAPALLI, SHASHIPAL AMERICAN UNITED CAB 02/07/09 TIMOTHY LAMPINEN STONE & JOHNSON CHARTERED 20 09WC 07977 ESCOBAR, JESUS EDT MAINTENANCE INC 02/11/09 JAMES ELLIS GUMBINER & ASS 21 09WC 20173 MURPHY, OTIS II CITY OF CHICAGO 03/13/09 SHELDON I MINKOW & ASSOCIA CITY OF CHICAGO 11WC038037 -C 22 09WC 25476 SPENCER, BEVERLEY ST OF IL, JRTC @ 06/25/08 BEVERLY SPENCER 23 09WC 50762 WILLIAMS, DERRICK CHICAGO TRANSIT AUTHORITY 11/20/09 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 24 09WC 51955 PRICE, BENNIE R JR ITALIAN FIESTA PIZZERIA 09/30/09 OSVALDO RODRIGUEZ PC THOMAS & PORTELA 11WC017047 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 25 10WC 18548 MERCADO, MIGDALIA CITY OF CHICAGO 07/11/07 RIDGE & DOWNES 26 10WC 31930 WADDLE, EDDIE NORTHBROOK FIRE DEPT 01/16/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 10WC031931 -C 27 10WC 35032 JUAREZ, RAFAEL F RIGHT CONCEPT INC 08/25/10 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 28 10WC 35632 SHAW, KENNETH COMCAST 02/11/10 ROSS TYRRELL ASHER, RAYMOND L LTD 10WC035634 -C 14WC026342 -C 29 10WC 35982 19B YOUNG, CLINTON SOUTHWEST AIRLINES 03/20/10 KARCHMAR & STONE HENNESSY & ROACH PC 13WC002200 -C 30 10WC 45346 19B NICHOLS, VERCEDA CHICAGO PUBLIC SCHOOLS 02/08/10 WARREN W MARK LEAHY EISENBERG & FRAENKEL 10WC045347 -C 31 10WC 45465 HURD, MICHAEL MAYWOOD POLICE DEPARTMENT 07/28/10 CHRISTINE F DAVID INMAN & FITZGIBBONS 32 10WC 48285 PEARLMAN, MICHAEL NORTHWEST SUBURBAN SPECIA 09/08/10 STELZMAN, RUTH WIEDNER & MCAULIFFE LTD 33 10WC 49163 LOPEZ, ALEXANDER JOSE A MELENDRES W 06/22/09 JAMES ELLIS GUMBINER & ASS VILLALOBOS, RAUL 34 11WC 04597 TORRES, ALBERTO THE CLEAN BERETS W 01/26/11 EVINS & SKLARE LTD OLMSTEAD, GREGORY J LAW OFFI 35 11WC 07032 ROLDAN, AIDA COMCAST 01/13/11 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 11WC013617 -C 36 11WC 16326 PERALTA, JOSE CHAMPION LOGISTICS GROUP 01/18/11 ACEVES & PEREZ PC BRYCE DOWNEY & LENKOV LLC 37 11WC 17040 SOLORZANO, ANTONIO CESARS 02/07/11 JAMES ELLIS GUMBINER & ASS THOMAS ROSENBURG ESQ.LTD. 38 11WC 20586 ALLEN, CHOLONDA CTA 07/17/10 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 39 11WC 25117 HERNANDEZ, SALVADOR TREATMENT PRODUCTS 11/23/10 RITTENBERG & BUFFEN 40 11WC 28821 SHUMATE, SANDRA CTA 07/09/11 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 11WC 31961 CHAVEZ, RICARDO METRO STAFF INC 04/18/11 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 42 11WC 33851 MARTINEZ, STEPHANIE CONCERT DANCE INC W 06/17/09 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 43 11WC 39028 LUDSTON, TIMOTHY WIRTZ BEVERAGE ILLINOIS L 06/09/10 PETER C KOPOULOS NYHAN BAMBRICK KINZIE & LOWR 15WC023709 -C 44 11WC 48794 ZAVALA, MARICELA ELITE STAFFING, INC 12/07/11 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 45 12WC 20365 GVOJIC, MITZI CITY OF CHICAGO 05/09/12 SOSTRIN AND SOSTRIN PC CITY OF CHICAGO 13WC038728 -C 46 12WC 22268 LAWRENCE, LINDA CIRCLE FAMILY HEALTHCARE 07/02/09 ROSS TYRRELL 47 12WC 26832 WEST, CLINTON EDSAL MANUFACTURING COMPA 12/06/10 JOHN S. ELIASIK SLAVIN & SLAVIN 48 12WC 33405 DAVIS, MICHAEL J CHICAGO LAKESHORE HOSPITA 03/03/12 KENNETH B GORE, LTD HOLECEK & ASSOCIATES 12WC034679 -C 49 12WC 33881 GARCIA, RAQUEL CITY OF CHICAGO 08/13/12 COYNE REINKE LAW CITY OF CHICAGO 50 12WC 34283 FLOYD, ELLEN T CITY OF CHICAGO 09/23/12 DAVID W MARTAY CITY OF CHICAGO 51 12WC 36175 HAYES, JAMARR FORD MOTOR COMPANY 10/16/12 MINKOW DOMIN POWER & CRONIN LTD 52 12WC 39929 OWENS, ORLANDO CITY OF CHICAGO 10/29/12 CITY OF CHICAGO 53 12WC 42943 HEREDIA, ANGELA ELITE STAFFING 11/02/12 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 54 12WC 43579 PUGH, PAMELA COOK COUNTY 12/06/12 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 55 12WC 43692 THOMAS, GREGORY CARAUSTAR INDUSTRIES INC 09/17/12 SKLARE LAW GROUP KNELL & O'CONNOR 56 12WC 43948 RODARTE, PEDRO EL ENCANTO PRODUCTS 10/27/12 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 57 12WC 43988 VEGA, PAMELA PALOS COMMUNITY HOSPITAL 08/26/12 ANESI OZMON RODIN NOVAK KO LORENZ & BERGIN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 12WC 44381 ESCAMILLIA, JAVIER SPARROW EXPRESS TRANSPORT 12/02/12 VRDOLYAK LAW GROUP LLC 59 13WC 01135 WALIA, POONAM TJ MAXX 04/09/10 MILLON & PESKIN LTD 13WC007062 -C 13WC008320 -C 60 13WC 01482 WATTS, LARHONDA UNIVERSITY OF CHICAGO HOS 12/18/12 DEPAOLO & ZADEIKIS NOBLE & ASSOC 13WC001483 -C 61 13WC 10535 FINNIGAN, ESTELLE A ILLINOIS STATE TOLL @ 07/05/11 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 62 13WC 11247 CARROLL, KEVIN CAHILL BUILDING & RESTORA 03/13/13 BAUM RUFFOLO & MARZAL LTD 63 13WC 11631 JEFFERSON, RHONDA CTA 03/26/13 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 64 13WC 11926 ROBINSON, LINDA M STATE OF IL DEPT OF HS @ 07/05/12 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC011927 -C 65 13WC 11957 DE LOS SANTOS, ANDREW CITY OF CHICAGO 02/27/13 SALVATO & O'TOOLE CITY OF CHICAGO 66 13WC 20064 MATELLI, FRANK AFFIRMATIVE INSURANCE 02/22/13 MARSZALEK AND MARSZALEK MEACHUM & STARCK 67 13WC 20478 GRAY, LARRY E NASH BROTHERS 05/07/13 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 68 13WC 23883 VARGAS DE GANDARILLA, FER ELITE STAFFING 04/26/13 THOMAS R LICHTEN 69 13WC 29633 ANDRINO, JACQUELINE PREFERRED MEAL SYSTEMS, I 08/08/13 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 15WC034060 -C 70 13WC 31978 NAHULAK, CAROL JEANETTE FLADOZA W 09/03/13 FRANK A CELANI DARRYL E ROBINSON 71 13WC 33430 WHITE, ALICE P JOLIET AREA COMMUNITY HOS 08/08/12 CAPRON & AVGERINOS PC ROBERT L. SMITH 72 13WC 38102 TYBURSKI, ROMAN CITY OF CHICAGO 12/20/12 CITY OF CHICAGO 14WC006754 -C 73 13WC 40539 SHILNEY, MARCIA IL DEPT OF COMMERCE & @ 07/02/12 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 74 13WC 40582 CLAIBORNE, CAROL CITY OF CHICAGO 10/17/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 75 13WC 40654 POCHIE, RACHEL COOK COUNTY SHERIFFS DEPT 11/20/13 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 76 13WC 41519 FAMEWO, WENDELLA COOK COUNTY 11/04/13 GRAZIAN & VOLPE PC 77 13WC 41560 ABDALLAH, NADIQ ADDUS HEALTHCARE 11/18/13 JOHN S. ELIASIK HENNESSY & ROACH PC 78 13WC 41814 MORT, EDWARD ARAMARK 09/10/13 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 79 13WC 42613 DREYER, DAVID D HILL MECHANICAL 04/01/12 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 80 14WC 02504 HAMPTON, FREDERICK IDOT @ 12/23/13 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 81 14WC 08689 CAMACHO, ALBERTO CITY OF CHICAGO 12/12/11 VRDOLYAK LAW GROUP LLC 82 14WC 09027 MONTERO, ALEXANDER FEDERAL EXPRESS 10/04/13 STROM, NEAL B HANSON LAW OFFICE 83 14WC 09416 RIED, PHILLIP VILLAGE OF SCHAUMBURG 03/20/14 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 84 14WC 10206 19B MAYS, ANNETTE CHICAGO TRANSIT AUTHORITY 03/06/14 BRIAN J MC MANUS & ASSOC, CHICAGO TRANSIT AUTHORITY 85 14WC 13869 STERLING, DORA L AMERICAN AIRLINES 03/20/14 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 16WC009659 -C 16WC038184 -C 18WC028294 -C 86 14WC 13879 LYLES, ROSHAWN SETON ACADEMY 03/12/14 COSTA IVONE LLC 87 14WC 18726 FARAH, ABDISAYID CARRIAGE CAB 02/09/14 LAW OFFICE RYAN ROSENTHAL 88 14WC 19888 RODRIQUEZ, MARISOL CHARLOTTE RUSSE 05/14/14 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 14WC 20092 PREJNA, LYNDA A SOUTHWEST AIRLINES CO 04/18/14 VITELL & SPITZ LTD HENNESSY & ROACH PC 90 14WC 20912 ALLEN, SHERON ST OF IL DEPT OF CHICAGO 04/16/14 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 14WC029224 -C CHICAGO STATE UNIVERSITY 17WC006315 -C 91 14WC 21528 KHAN, MOHAMMED YELLOW CAB CO 06/01/14 LAW OFFICE RYAN ROSENTHAL 92 14WC 21804 MARIANO, MARIA THE BON TON STORES INC 05/15/14 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 93 14WC 21853 CASSIDY, ANTHONY CITY OF CHICAGO 05/23/14 GRAZIAN & VOLPE PC CITY OF CHICAGO 94 14WC 22575 HIDALGO, FRANKLIN SIEMENS HEALTHCARE DIAGON 10/12/12 BELCHER LAW OFFICE MEACHUM & STARCK 95 14WC 30240 JOHNSON, MARTINIA FORD MOTOR COMPANY 07/25/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 16WC021195 -C 16WC021196 -C 96 14WC 30248 BRITO, GUADALUPE UNITED SERVICE COMPANY 05/31/14 SALK, STEVEN B & ASSOC LTD LEAHY EISENBERG & FRAENKEL 97 14WC 30271 MONARAN, NORMANDY COOK COUNTY (ADULT PROBAT 08/10/14 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 98 14WC 30579 VARGAS, MARIA DEL ROCIO TOTAL MAINTENANCE CLEANIN 04/24/14 MC HARGUE & JONES STONE & JOHNSON CHARTERED 14WC030580 -C 99 14WC 31349 CONTRERAS, MANUEL S KOLE CONSTRUCTION 08/28/14 LAW OFFICES MICHAEL HELLMA GAROFALO SCHREIBER STORM GRA 14WC031350 -C 100 14WC 33862 HERNANDEZ, ESTEBAN WINPAK PORTION PACKAGING 09/14/14 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 101 14WC 33900 BEANE, JEROME E ILL DEPT OF TRANSPORTATIO 09/24/14 FIGLIOLI, DAVID ILLINOIS ATTORNEY GENERAL 102 14WC 41297 RAMIREZ, DAVID UNITED AIRLINES 11/04/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 14WC 41391 MAYA, JUAN ABC LANDSCAPING INC W 11/08/14 DEPAOLO ZADEIKIS GORE RIFFNER BARBER ROWDEN & SCOT 104 14WC 42512 SALAZAR, CARLOS RICKARD CIRCULAR FOLDING 07/07/14 RUBIN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 16WC020574 -C 105 14WC 43610 TRUJILLO, MANUEL ASPHALT CONCRETE & 10/24/14 HORWITZ HORWITZ & ASSOC FRIEDRICH LAW LLC 106 15WC 04490 DELEON, SERGIO SUMMIT REAL 11/03/14 BOUDREAU NISIVACO LLC GAROFALO SCHREIBER STORM GRA 107 15WC 07707 RODRIGUEZ, SANDRA CLARK ADAMS ASSOCIATES LL 09/10/13 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 108 15WC 08096 GAINES, SABRINA STATE OF ILLINOIS @ 08/12/13 AMBROSE BUTZEN LAW GROUP ILLINOIS ATTORNEY GENERAL 109 15WC 18453 BROWN, ANDREA CHICAGO PUBLIC SCHOOLS 03/13/15 SEIDMAN MARGULIS & FAIRMAN CHGO BOARD OF EDUCATION 110 15WC 18512 GORDON, CANDRA FORD MOTOR CO 04/18/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 15WC019914 -C 111 15WC 18775 ALEXANDER, STEPHANIE STATE OF IL @ 12/22/14 BRIAN T MORROW, LAW OFFICE MALLORY ZIMET 112 15WC 19420 BOULIL, MOSTAFA CITY TAXI, INC. 03/28/15 MC HARGUE, JAMES P LAW OFF 113 15WC 19494 COLEMAN, DAJUAN M CTA 12/13/14 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 114 15WC 19750 MUDJER, RUDOLPH CZARNOWSKI DISPLAY SERVIC 04/08/08 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 115 15WC 19854 RICE, LANCE SEARS, ROEBUCK & CO 01/14/15 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM GRA 18WC023905 -C 19WC009280 -C 116 15WC 20463 TORRES, ARMANDO J MARIANOS 12/10/14 ANKIN LAW OFFICE CLAYBORNE SABO & WAGNER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 15WC 20819 ROMERO, EFREN KURIYAMA OF AMERICA, INC. 05/11/15 JOEL BELL 118 15WC 21009 DOMINGUEZ, MAXIMINIO FLEXSOL PACKAGING 04/08/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 18WC021980 -C MAXIMINO, DOMIGUEZ 119 15WC 21056 RUSSO, ROBERT BENCHMARK CONSTRUCTION 05/13/15 DUDLEY & LAKE LLC LITCHFIELD CAVO 120 15WC 22054 PALACIOS, LIESA CITY OF CHICAGO 03/20/15 THE ROMAKER LAW FIRM CITY OF CHICAGO 121 15WC 22331 MASCIO, JULIANNA PRAIRIE MATERIAL 02/17/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 122 15WC 28525 BACA, GREGORY UNITED AIRLINES INC. 08/07/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 123 15WC 28866 OROPEZA-ORTIZ, MARISOL MONTROSE SEELEY BUILDING 02/04/15 JOHN S. ELIASIK 124 15WC 29341 GARCIA, ANTONIO MOST VALUABLE PERSONNEL 06/16/15 LUIS A ACEVES & ASSOC 125 15WC 29414 ROBERTS, PATRICIA FORD MOTOR COMPANY 03/19/13 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 126 15WC 29952 WILSON, ANTHONY CHICAGO TRANSIT AUTHORITY 06/25/15 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 127 15WC 30101 HART, KATHLEEN CHARLES RIVERS LABORATORI 06/13/13 LAW OFFICE OF SCOTT B SHAP 128 15WC 31400 MC KINNEY, MARIAN SCHOOL DISTRICT #206 11/10/14 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 129 15WC 32095 GAMBOA, ANGELICA SCREENFLEX PORTABLE PARTI 02/13/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 130 15WC 35593 LEONARD, RONALD CITY OF CHICAGO, DEPT OF 09/20/15 RUBIN LAW GROUP CITY OF CHICAGO 131 15WC 41858 STEVENSON, CHARLES LOYOLA/TRINITY HEALTHCARE 02/02/15 THOMAS A MORRISSEY LORENZ & BERGIN PC 16WC011593 -C 18WC017576 -C 18WC017639 -C 19WC026951 -C 132 15WC 41982 RODRIGUEZ, LAZARO TEMPEL STEEL CO 11/13/15 FIGLIOLI, DAVID EVANS & DIXON 133 15WC 42021 PHELPS, STEPHEN GOODLUCK REFRIGERATION SV 10/01/14 EVAN A HUGHES LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 15WC 42669 BENSON, ERIK CAMELOT SCHOOL 01/24/15 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 135 16WC 00016 KEKOS, LABROS CITY OF CHICAGO 11/02/15 CUDA LAW OFFICES CITY OF CHICAGO 16WC037689 -C 19WC016462 -C 136 16WC 00160 WILLIAMS, MICHELLE PARK VILLA HEALTHCARE 10/21/15 LEONARD LAW GROUP LLC 137 16WC 00403 RATLIFF, CHRISTOPHER INDEPENDENT MECHANICAL 11/25/15 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 138 16WC 00626 SKOBEL, JOZEF BRADFOOT GEARS 02/20/14 KATZ FRIEDMAN EAGLE ET AL 139 16WC 00671 GUTIERREZ, SYLVIA CHGO PUBLIC SCHOOLS 09/02/15 GOLDSTEIN BENDER & ROMANOF CHGO BOARD OF EDUCATION 140 16WC 01668 REBERSKI, ALAN J STERLING MORTON HIGH SC 10/19/15 LUSAK AND COBB RUSIN & MACIOROWSKI LTD 141 16WC 01965 WARD, EBONY CHICAGO TRANSIT AUTHORITY 12/22/15 BAUM RUFFOLO & MARZAL LTD CHICAGO TRANSIT AUTHORITY 142 16WC 06240 SROOR, MARK GAMETECH INTERNATIONAL, I 02/16/10 CULLEN HASKINS NICHOLSON 143 16WC 07358 MALONE, FRANCIS PACE 02/16/16 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 144 16WC 08102 HASAN, HASAN H ANCHOR MECHANICAL 02/25/16 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 145 16WC 09104 CRUZ, JOE CONTINENTAL TOYOTA 01/21/16 SHANNON LAW GROUP HENNESSY & ROACH PC 146 16WC 09908 NORWOOD, JOSPEH CHICAGO TRANSIT AUTHORITY 03/18/16 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 147 16WC 09947 MADISON, JAMES MONDELEZ/NABISCO-KRAFT 02/01/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 148 16WC 10666 GARCIA, JOSEPH C BLACK BOX COMMUNICATIONS 04/16/15 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 149 16WC 10778 HERNANDEZ, NORMA JOHN H STROGER HOSPITAL 03/08/16 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 150 16WC 11272 JANKOVIC, NIKOLA EDDIE YILMAZ, IND.& DBA H W 04/16/14 GALLAGHER, DONALD V LUCAS & APOSTOLOPOULOS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 16WC 14938 LUNKES, JOHN CITY OF CHICAGO-DEPT OF F 07/08/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 152 16WC 15690 GLASCOW, JACLYN FORD MOTOR COMPANY 09/07/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 16WC015691 -C 16WC015692 -C 17WC003771 -C 153 16WC 18598 RODGERS, LESTER JR COOK COUNTY SHERIFF 04/17/16 FOTOPOULOS, JOHN S STATES ATTORNEY OF COOK COUN 154 16WC 18717 PUANGCO, EDGARDO AT&T 04/24/15 LEE, MARK N LAW OFFICE EVANS & DIXON 155 16WC 18750 CAROLINA, BIBICZ SEPHORA 09/11/15 JAMES ELLIS GUMBINER & ASS 156 16WC 18818 VEGA, CARLOS MAJIERS INVESTMENTS LLC 07/13/15 SALK, STEVEN B & ASSOC LTD 157 16WC 18873 NICKERSON, SHERRY CHICAGO PUBLIS SCHOOLS 05/09/16 LEE, MARK N LAW OFFICE 158 16WC 19173 CURTIS, IVORY PLYCON VAN LINES, INC 03/01/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 16WC030277 -C 159 16WC 19388 VIDAL, ESTELA THERMO ELECTRIC COOLING 10/19/15 BUDIN LAW OFFICES GILDEA & COGHLAN 160 16WC 19420 HERNANDEZ, RUTILA BAR S FOOD 05/08/16 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 161 16WC 19595 STOPKA, BRUCE TECHNOSOFT CORPORATION 04/14/16 BRILL & FISHEL INMAN & FITZGIBBONS 162 16WC 19775 MONTIEL, LUZ ABM MIDWEST, INC 02/03/16 DEPAOLO ZADEIKIS GORE GOLDBERG SEGALLA LLC 163 16WC 20031 KACKERT, CAROL MORIANE VALLEY COMMNTY CO @ 04/17/16 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 164 16WC 20326 LOPEZ, JUAN C S C STORE FIXTURE, INC 01/14/16 RUEDA, IVAN A 165 16WC 20373 FLEMMING, PATRICK COOK COUNTY HIGHWAY DEPT 05/31/16 PARENTE & NOREM PC STATES ATTORNEY OF COOK COUN 166 16WC 20579 LITTLE, VANASHA IDCFS 06/25/15 MARC J SHUMAN & ASSOCIATES MALLORY ZIMET 167 16WC 20944 JAMISON, CARL CITY OF CHICAGO DEPT OF 05/27/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 16WC 21127 GOVEA, YESSICA ACCESS COMMUNITY HLTH NET 01/04/16 HERRERA LAW CENTER LAW OFFICES JOSEPH MARCINIAK 169 16WC 21277 RIZZO, PHIL C.L. DOUCETTE 06/07/16 TAMVAKIS, GEORGE L 170 16WC 21700 BONILLA, DAN NATIONAL MATERIAL LLC 05/03/16 SLAVIN & SLAVIN POWER & CRONIN LTD 171 16WC 28741 PEREZ, MARIA GUADALUPE SIGNATURE CLEANING, INC 09/08/16 COSTA IVONE LLC THOMAS & PORTELA 172 16WC 28853 JACKSON, ANNE ADVOCATE CHRIST HOSPITAL 08/17/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 173 16WC 29037 BRAUER, KEITH A COMCAST 01/22/16 SLAVIN & SLAVIN POWER & CRONIN LTD 174 16WC 29110 SMITH, CHARLENE COOK COUNTY DEPT OF ADULT 08/09/16 BOUDREAU NISIVACO LLC STATES ATTORNEY OF COOK COUN 175 16WC 29549 CIUPA, MIKE FORD MOTOR COMPANY 07/29/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 176 16WC 29999 MARTINEZ, IRMA HOLIDAY INN CHICAGO O'HAR 11/06/15 SHEA LAW GROUP HOLECEK & ASSOCIATES 177 16WC 30183 GODLEN, BARBARA COOK COUNTY - STROGER HOS 02/04/16 BIZZIERI LAW OFFICES STATES ATTORNEY OF COOK COUN 178 16WC 30299 BRYSON, ASHLEY CHICAGO TRANSIT AUTHORITY 08/06/16 LUSAK AND COBB CHICAGO TRANSIT AUTHORITY 179 16WC 30400 19B AMENDOLA, JOSEPH J CHICAGO PARK DISTRICT 09/22/16 RUBIN LAW GROUP CHICAGO PARK DIST LAW DEPT 180 16WC 30544 MARTIN, CYNTHIA CITY OF CHICAGO 09/14/16 DEPAOLO & ZADEIKIS CITY OF CHICAGO 181 16WC 30769 GAMBOA, ELIAS METALS USA, INC 10/04/16 CORBOY & DEMETRIO PC POULOS & DIBENEDETTO LAW 182 16WC 30797 CAMPOS, AURELIO LB METALS, LLC 05/03/16 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 18WC027255 -C 183 16WC 31033 MILLER, JOHN CTA 10/12/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 184 16WC 31318 MIRANDA, RAFAEL ROVANCAL BROTHERS PLUMBIN 11/12/14 SPIROS LAW PC HENNESSY & ROACH PC 185 16WC 31378 RODRIQUEZ MELECIO, JAIME ASPHALT RESTORATION, INC 11/03/15 ANKIN LAW OFFICE MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 16WC 31771 JOHNSON, DORIAN YRC, INC 10/13/16 RIDGE & DOWNES HENNESSY & ROACH PC 187 16WC 35211 LEON, LUIS MINUTE OF MEN OF IL DBA 10/28/16 FIORENTINO LAW OFFICES POWER & CRONIN LTD 188 16WC 38211 MAY, DANIEL F CITY OF CHICAGO DEPT STRE 07/11/15 DEPAOLO ZADEIKIS GORE CITY OF CHICAGO 189 16WC 38321 ROHR, JOAN COMMUNITY FIRST MEDICAL C 11/15/16 SLAVIN & SLAVIN KRAKER FANNING & OLSEN 18WC012869 -C OUR LADY OF RESURRECTION H 190 16WC 38612 MARTINEZ-MURO, EULOGIO SHINE ON GROUP 11/29/16 DEPAOLO & ZADEIKIS DAVID W CLARK 191 16WC 38659 TAMBURRINO, JOSEPH STONEHENGE 11/30/16 ARGIONIS & ASSOCIATES LLC 192 16WC 38700 TORRES, CECILIA ELITE STAFFING 11/26/16 COSTA IVONE LLC 193 16WC 38928 VILLALOBOS, CARMEN L CARL BUDDIG 04/29/15 JOHN J CASTANEDA KNELL & O'CONNOR 194 16WC 39003 NUNEZ, JOSEFINA STAFFING SOLUTION 10/07/16 ENCINAS & ORNELAS 195 16WC 39040 HINES, VERNON THRESHOLDS SOCIAL SERVICE 12/03/16 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 196 16WC 39297 GARCIA, RAUL KNICKERBOCKER ROOFING & P 07/14/16 COSTA IVONE LLC GRANT & FANNING 197 16WC 39461 KIMBALL, MICHAEL GEORGE COOK COUNTY SHERIFF- DIST 10/12/16 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 198 17WC 00044 SALGADO, SAUL FORMEL INDUSTRIES 12/07/16 CUDA LAW OFFICES ROBERT L. SMITH 17WC000045 -C MULTI TEMPS INC 17WC023907 -C 17WC023908 -C 199 17WC 00303 MAGEE, BARBARA CHICAGO TRANSITY AUTHORIT 03/23/16 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 200 17WC 00307 BROWN, BARBARA TUTHILL PUMP GROUP 11/02/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 18WC022697 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 201 17WC 00329 WOODSON, JOSELYN NATIONAL YOUTH ADVOCATE P 09/22/16 MARTIN V KUGIA 202 17WC 00430 WILLIAMS, MARTHA ILLINOIS CENTRAL SCHOOL B 12/19/16 RUSIN & MACIOROWSKI LTD 18WC018864 -C 203 17WC 00934 PIERRE, EDITH CATHOLIC CHARITIES OF THE 11/15/14 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 204 17WC 00955 REED, CECILIA CENTRAL STEEL & WIRE 12/19/16 DAVID W MARTAY 205 17WC 01022 DE JESUS, REBECCA COOK COUNTY SHERIFF'S DEP 10/12/16 DEPAOLO ZADEIKIS GORE STATES ATTORNEY OF COOK COUN 17WC008900 -C 206 17WC 01172 BRICHACEK, DAVID COOK COUNTY SHERIFF 12/27/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 207 17WC 01193 VARGAS, RICARDO WALSH CONSTRUCTION 02/26/16 BUDIN LAW OFFICES HINSHAW & CULBERTSON 208 17WC 05119 MARTIN, GLENN UNIVERSITY OF ILLINOIS @ 07/27/16 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 209 17WC 07426 ANDERSON, TIENCE REPUBLIC AIRWAYS 05/20/16 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 210 17WC 08075 MUHAMMAD, ABDUL UPS 03/03/17 LEONARD LAW GROUP LLC ASA LAW GROUP 211 17WC 08260 RUHBECK, LYNN PALOS COMMUNITY HOSPITAL 08/21/16 STEVEN A CRIFASE, LTD LORENZ & BERGIN PC 212 17WC 08471 GABRIEL, KENNETH H ACH FOOD COMPANIES INC 02/10/17 LAW OFFICE PHILIP BLOMBERG 213 17WC 08513 RODRIGUEZ, DOMITILA SPARITO FINISHINGS 11/07/16 COSTA IVONE LLC 214 17WC 08778 JIMENEZ, ENRIQUE ABM 03/09/17 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 215 17WC 08874 REID, FREDRICK PRIME LOGISTICS, LLC/ W 02/23/17 MC HARGUE & JONES HERMAN J MARINO LTD 216 17WC 09285 RASO, MIKE CITY OF CHICAGO 01/05/15 BAER, ORA J II CITY OF CHICAGO 217 17WC 09302 VANEGAS-TELLEZ, JOSE LUIS COUNTERTOP FACTORY 01/17/17 LAW OFFICES ROBERT WARSASK ACCIDENT FUND HOLDINGS 218 17WC 09720 DIAZ, ANNETTE CUSHMAN & WAKEFIELD INC 12/09/16 RUBIN LAW GROUP HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 17WC 09929 RICO, JACKLYN WEST SUBURBAN SPECIAL 09/14/16 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 220 17WC 09953 COLON, BENJAMIN CORFU FOODS, INC 05/07/15 THE ROMAKER LAW FIRM JOSEPH MARCINIAK 221 17WC 09978 DELESTOWICZ, MATTHEW ORLAND FIRE PROTECTION DI 02/11/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 18WC027004 -C 19WC004430 -C 222 17WC 10002 SPERA, SCOTT MECCON INDUSTRIES, INC. 01/03/17 LAW OFFICES MICHAEL HELLMA CACCHILLO LAW GROUP LLC 223 17WC 10501 ZALAZAR, JOSE GUADALUPE MARBLECAST PRODUCTS 06/13/16 JONATHAN SCHLACK WOLFE & JACOBSON, LTD 224 17WC 10653 DIAZ, ADDI SPECIALTY PRINT COMMUNICA 12/01/16 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ 17WC020989 -C 225 17WC 10790 FERNANDEZ, ALEX CHARTWELL STAFFING 04/04/17 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 226 17WC 11110 OQUELI, ANTONIO KOCH FOODS, INC 11/14/16 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 227 17WC 11202 OSYSKO, JOHN N GLASS - NORTHERN GLASS 03/08/17 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 228 17WC 11227 WELNINSKI, CHRISTINE STATE OF IL - HUMAN RIGHT 06/27/16 GREGORIO & MARCO MALLORY ZIMET 229 17WC 12475 COLBY, JAHNA VERIZON WIRELESS 06/20/16 R. MARK MARITOTE PC ASA LAW GROUP 230 17WC 14660 SCHMALL, CAROL A PALOS COMMUNITY HOSPITAL 01/06/15 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 231 17WC 16073 WRIGHT, DEBBIE JERNBERG INDUSTRIES, INC 12/16/16 CHRISTINE F DAVID MEACHUM & STARCK 232 17WC 17807 KRALY, ANDY COOK COUNTY FOREST PRESER 05/17/17 VRDOLYAK LAW GROUP LLC FOREST PRESERVE DIST COOK CO 233 17WC 17875 JOHNSON, SHCHONIA UNIVERSITY OF CHICAGO 04/14/17 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 234 17WC 18218 MURPHY, ASHLEY CHICAGO TRANSIT AUTHORITY 06/13/17 BURNES & LIBMAN 235 17WC 18264 LAPORTE, SHERYL LYDEN OIL COMPANY 12/21/16 CAPRON & AVGERINOS PC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 17WC 18379 CERPA, RICARDO BL DOWNEY 10/24/16 STEPHANIE WEISSMAN WOLF LAW LTD 237 17WC 18458 ALVAREZ, MIRIAM TALERICO MARTIN CORPORATI 03/18/17 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 238 17WC 19013 RILEY, ERICA CTA 06/22/17 COSTA IVONE LLC 239 17WC 19101 COVINGTON, CHIQUITA CITY OF CHICAGO 06/20/17 POLANSKY & CICHON CHTD CITY OF CHICAGO 240 17WC 19173 CARROLL, KOREY CARL BUDDING & CO 05/30/17 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 241 17WC 19375 STEWART, JOHN IL DEPT OF TRANSPORTATION @ 02/03/17 DAVID W MARTAY HELEN LOZANO 242 17WC 19402 WOLDEMARIAM, JOYCE CHICAGO PUBLIC SCHOOLS 04/28/17 HUGHES SOCOL PIERS RESNICK LAW DEPARTMENT 243 17WC 19610 KING, EDNA APERION CARE EVANSTON 05/31/17 CHRISTINE F DAVID WOLF LAW LTD 244 17WC 19702 BRUBAKER, MICHAEL CITY OF CHICAGO - DEPT OF 06/20/17 SANDMAN LEVY & PETRICH 18WC016670 -C 245 17WC 19903 BERGLUND, STEVEN ATLAS TUBE 10/13/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 246 17WC 20502 VEGA, FRANCISCO JR. NESTLE PROFESSIONAL BEVER 04/18/17 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 18WC019139 -C 247 17WC 20659 GARCIA, RENE CJ ERICKSON PLUMBING CO 03/14/17 HORWITZ HORWITZ & ASSOC EVANS & DIXON 248 17WC 20738 STEARNEY, STEVEN CTA 05/31/17 DIXON LAW FIRM CHICAGO TRANSIT AUTHORITY 249 17WC 20795 REDDICK, WILLIAM TRUCKING 06/19/17 SEIDMAN MARGULIS & FAIRMAN 250 17WC 25280 MCMAHON, VAL CROWN ENERGY SERVICES INC 07/18/17 O'CONNOR & NAKOS HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 17WC 27263 KALLAS, RONDI RIVERS CASINO 08/18/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 252 17WC 27322 GALLERY, MARY CITY OF CHICAGO 06/22/15 CUDA LAW OFFICES 17WC027323 -C 253 17WC 27338 BORDUN, DMYTRO ATC MEDIVAN TRANSPORT 09/25/15 CHRISTOPHER BUCHCAR, LTD 254 17WC 27407 HARBI, SENAL HARD ROCK HOTEL, LLC 06/11/17 SPIEGEL & DEMARS LAW OFFICES JOSEPH MARCINIAK 255 17WC 27432 MORENO, RAMON CTA 08/31/17 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 256 17WC 27604 MILLER, PAUL CITY OF CHICAGO 11/08/16 STROM, NEAL B 257 17WC 27803 ALEJANDRO, ANIBAL TRIUNE LOGISTICS 09/11/17 ENCINAS & ORNELAS LITCHFIELD CAVO 258 17WC 27893 ALVAREZ, MAXIMILIANO ROSEBUD RESTAURANTS, INC 08/03/17 WHITESIDE & GOLDBERG LTD 259 17WC 28212 MIMS, JAMES D DEBBIE'S CUSTOMIZED STAFF 07/18/17 VITELL & SPITZ LTD GAROFALO SCHREIBER STORM GRA 260 17WC 28258 MARTIN, KEITH THYSSEN KRUPP ELEVATOR 09/20/17 HUGHES SOCOL PIERS RESNICK FOLEY & MANSFIELD PLLP 17WC028517 -C 18WC019204 -C THYSEEN KRUPP ELEVATOR 261 17WC 28336 NAVARRO, JORGE SEARS 06/19/17 LAW OFFICE HOWARD ABRAMS BRADY CONNOLLY & MASUDA PC 18WC027713 -C 262 17WC 28455 CHUKU, LEFTER CITY TAXI INC 09/16/17 DWORKIN AND MACIARIELLO 263 17WC 28584 SCHOLL, DAVID WALMART 02/16/17 RAYMOND M SIMARD, PC QUINTAIROS PRIETO WOOD & BOY 264 17WC 28674 GREEN, CARMELITA DAY'S ADULT DAY CARE & SE 02/28/17 DWORKIN AND MACIARIELLO DEPAOLO & ZADEIKIS 265 17WC 28893 COX, ANDRE CTA 09/24/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 266 17WC 28911 STERLING, QUINETTE COOK COUNTY SHERIFF 08/26/17 CUDA LAW OFFICES 267 17WC 29055 DELGADO, GREGORIO MILLARD GROUP LLC 08/21/17 LAW OFFICE EDWARD RUEDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 268 17WC 29198 MORENO, BENJAMIN CITY OF CHICAGO 08/04/17 COVEN LAW GROUP 269 17WC 29406 ANDERSON, JULIA UNIVERSITY OF IL HOSP 02/20/17 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 18WC027534 -C 18WC027535 -C 18WC027537 -C 270 17WC 29593 LANGFORD, MELDAN GLOBAL ELITE GROUP DBA GL 06/30/16 271 17WC 29641 CARPENTER, LAUREN PARAMOUNT OF OAK PARK 08/12/17 272 17WC 29752 BRAWNER-WOOLRIDGE, FRANK OZINGA READY MIX CONCRETE 09/25/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 273 17WC 29833 ESCOBAR, ARLEEN M ADVOCATE HELATHCARE IL MA 09/13/17 C DEAN MATSAS NYHAN BAMBRICK KINZIE & LOWR 274 17WC 30072 COLEMAN, KRISTI HYATT REGENCY MCCORMICK P 04/28/16 ELFENBAUM EVERS ZIELINSKA NYHAN BAMBRICK KINZIE & LOWR 275 17WC 30094 GONZALEZ, ALICIA ASG STAFFING INC 09/23/17 DWORKIN AND MACIARIELLO 276 17WC 30201 MERLOS SR, URBANO (DEPEND CH ROBINSON # 08/05/16 DEAN J CARAS & ASSOCIATES GANAN & SHAPIRO 277 17WC 37300 SMITH, BOBBY E POWER STOP LLC 02/16/17 JAMES ELLIS GUMBINER & ASS JOSEPH MARCINIAK 278 17WC 37499 ANDREWS, STEVEN COOKC OUNTY SHERIFF'S DEP 06/12/17 ROMANUCCI & BLANDIN STATES ATTORNEY OF COOK COUN 279 17WC 37554 GONZALEZ, FERNANDO DELTA SONIC 09/14/17 HERRERA LAW CENTER HOLECEK & ASSOCIATES 280 17WC 37757 ANDREWS, ALBERT HJ MOHR 08/23/17 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM GRA 281 17WC 37779 YEBOAH, SEFAH B RMK BUILDING MANAGEMENT 10/04/17 EDWIN REYES LAW FIRM EDWARD J. KOZEL 19WC003113 -C RMK MANAGEMENT GROUP 282 17WC 37912 WITHERSPOON, SHANDLYRA CTA 12/12/17 DANIEL PERIASWAMY CHICAGO TRANSIT AUTHORITY 283 17WC 37978 CAMACHO, DAVID CLEARSTAFF 12/14/17 SIGMOND, STEVEN 284 17WC 38043 STORM, SUPER METALS USA 11/10/17 COVEN LAW GROUP POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 18WC 00014 PLEASANT, LAFERN STATE OF IL DEPART OF JUV @ 12/13/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 286 18WC 00058 BRIGHT, MICHAEL T CITY OF CHICAGO 08/25/17 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 287 18WC 00154 DEEKS, SUE ANN UNITED AIRLINES 11/18/17 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 288 18WC 00207 ALEXANDER, RANDY MICHAELS FOUNDATION CORP 09/08/15 HEALY SCANLON LAW FIRM GAROFALO SCHREIBER STORM GRA 289 18WC 00404 SMITH, WALTER JOSH TRANSPORTATION DBA 11/14/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 290 18WC 00464 GARCIA, RUBEN S ANDERSON CORPORATION 07/07/17 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 291 18WC 00563 LENIARTEK, MAREK DURABLE PACKAGING 12/18/17 R. MARK MARITOTE PC WOLF LAW LTD 292 18WC 00738 BALESTRI, KATHY MATTRESS FIRM 02/08/17 MINKOW DOMIN 293 18WC 00767 ANDREWS, PATRICIA METRO SOUTH MED CTR 10/24/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 294 18WC 00857 JENSEN, RANDALL AUTO TRUCK GROUP 07/19/17 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 295 18WC 00990 BOWMAN, ROGER J COCA-COLA RESFRESHMENTS 02/05/15 VRDOLYAK LAW GROUP LLC 296 18WC 01008 BOROWA, BARBARA T BEST MAIDS, INC. 12/21/17 MICHALSKI & GUBERNAT NYHAN BAMBRICK KINZIE & LOWR 297 18WC 01063 SIERGIEJ, MITCHELL NEW ALBERTSON'S INC, 01/17/16 BRASSFIELD KRUEGER & RAMLO EVANS & DIXON 19WC009865 -C 298 18WC 01152 DARDEN, GEORGINA METRO STAFFING 09/01/15 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 299 18WC 01172 STONE SR, KENNETH M ALLIED TUBE AND CONDUIT 03/01/15 BRUGGEMAN HURST & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 300 18WC 04028 CALATAYUD III, ROBERT FORD MOTOR COMPANY 10/16/15 O'CONNOR & NAKOS POWER & CRONIN LTD 301 18WC 07832 BROWN, BOOKER SOUTHWEST AIRLINES 02/12/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 18WC014952 -C 302 18WC 07877 EDWARDS, OCHOA CHICAGO TRANSIT AUTHORITY 03/02/18 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 303 18WC 07937 PALACIOS, INADELIA SPECIALIZED STAFFING SOLU 08/15/17 COSTA IVONE LLC 304 18WC 08004 KRUSE, KATHLEEN ENTERPRISE HOLDINGS CO 05/13/15 CRONIN & PETERS KNELL & O'CONNOR 18WC008005 -C YORK RISK SVCS 305 18WC 08165 MARTIN, DARRICK PROFESSIONAL TRANSPORTATI 01/31/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 306 18WC 08184 JIMENEZ, ABRAHAM NELSEN STEEL COMPANY 01/18/18 HERRERA LAW CENTER 307 18WC 08241 SPEARS, NANCY AMITA-PRESENCE 03/06/18 MICHAEL NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 308 18WC 08433 KIRBY MILLER, COLLEEN METROPOLITAN PIER 02/15/17 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 18WC027862 -C METRPOLITAN PIER & 309 18WC 08470 PALEOGOGOS, LEONIDAS CITY OF CHICAGO 06/29/17 GORDON & CENTRACCHIO LLC 310 18WC 08547 VICARI, RALPH A MIDWEST MECHANICAL 07/01/17 CAMERON CLARK WIEDNER & MCAULIFFE LTD 311 18WC 08564 WILLIAMS, KATIE CTA 01/28/18 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 312 18WC 08685 WATTS, KELLY L LOYOLA UNIVERSITY MEDICAL 02/06/18 HERRERA LAW CENTER LORENZ & BERGIN PC 313 18WC 08728 VENERABLE, WENDELL STATE OF ILLINOIS, DEPT O @ 11/01/17 PETER C KOPOULOS ASSISTANT AT0TORNEY GENERAL 314 18WC 08829 D'ANDRIA, LAURIE UNITED AIRLINES 02/17/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 19WC027073 -C 315 18WC 08961 THOMPSON, LEROY CITY OF CHICAGO 02/28/18 ANKIN LAW OFFICE 316 18WC 09138 BATEMON, TYRICE AT&T 02/06/18 KARCHMAR & STONE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 317 18WC 09167 ESKRIDGE, EARNEST J DAVISON REALTY 12/01/17 GALLAGHER, DONALD V 318 18WC 09182 MCBEE, BRITTANY TARGET 01/23/18 COSTA IVONE LLC 319 18WC 09198 NANCE, LISA MALLORY COOK CNTY DEPT OF PUBLIC 03/14/18 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 320 18WC 09624 JENKINS, TANYA CITY OF EVANSTON-POLICE D 04/05/17 KOSIN LAW OFFICE LTD 321 18WC 09718 MAHOMES, JAMAL PEOPLES GAS 04/13/17 GOLDBERG WEISMAN & CAIRO L MC CABE & HOGAN 322 18WC 09912 SALIFOSKI, CENANZIJA SCHUMBURG TOWNSHIP DIST 2 05/23/16 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 323 18WC 09965 SHULGA, MARC WOLCOTT CONSTRUCTION 11/28/17 HORWITZ HORWITZ & ASSOC EVANS & DIXON 324 18WC 09992 MCCLENDON, TYNISHA WALMART, INC 02/09/18 SPENCER LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 325 18WC 10135 MC ELLIGOTT, DAVID COOK COUNTY 07/17/15 JASINSKI, GEORGE J STATES ATTORNEY OF COOK COUN 326 18WC 10186 GONZALEZ, SANDRA PACE SUBURBAN BUS 12/19/16 GRAUER & KRIEGEL LLC HEYL ROYSTER VOELKER ALLEN 327 18WC 10199 MOIESCU, EUGENE R MULTI GROUP, LOGISTICS IN 11/06/15 GALLAGHER, DONALD V MCANANY VANCLEVE & PHILLIPS 328 18WC 10283 DELAHANTY, ROBERT F LEVIN & ASSOCIATES W 03/08/18 ROGER D RUDICH LTD STEIN LAW OFFICE 329 18WC 10302 LEE, TONI GRIFOLS PLASMACARE 11/01/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 18WC017400 -C 330 18WC 10304 DERMODY, JAMES ABF FREIGHT 02/26/18 LEONARD LAW GROUP LLC KEEFE CAMPBELL BIERY & ASSOC 331 18WC 10320 WAGNER, CHARLES G CITY OF CHICAGO 06/05/17 O'CONNOR & NAKOS 18WC010321 -C 19WC029527 -C 332 18WC 10342 WILLIAMS, DEBBIE COSTCO WHOLESALE 03/18/18 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 333 18WC 10429 MAZIE, WILLIE SR. AMERICAN RECYCLING 02/08/18 DWORKIN AND MACIARIELLO DILLARD & NOEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 18WC 10502 SUAREZ, SILVESTRE FRESH FOODS 02/07/18 RUEDA, IVAN A 335 18WC 10516 RAWLS, KENNETH FORD MOTOR COMPANY 10/12/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 336 18WC 10565 HERNANDEZ, ERNESTINA ULLO GRECIAN DELIGHT FOODS 02/15/18 JAMES H MILLER JR NYHAN BAMBRICK KINZIE & LOWR 337 18WC 10607 KEENON, KRISTIE CHICAGO BOARD OF EDUCATIO 12/21/17 POLTROCK & POLTROCK CHGO BOARD OF EDUCATION 338 18WC 10620 SANTORIA, FRANK CITY OF CHICAGO DEPT OF 03/06/18 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC 339 18WC 10767 CHEERS, MAKIDA IL TOOL 04/06/18 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 340 18WC 10801 KUBUS, RAFAL M COOK COUNTY SHERIFF 03/24/18 COSTA IVONE LLC STATES ATTORNEY OF COOK COUN 341 18WC 10818 LEDESMA, MARIO ROBLES R & W MACHINE DIVISION 08/23/17 EPSTEIN, JACK R LAW OFFICE 342 18WC 10913 O'BRYANT, RAQUEL MIDWEST MEDICAL RECORDS 07/28/17 THE ROMAKER LAW FIRM EDWARD J. KOZEL 343 18WC 11029 WEEDEN, ANTHONY COOK COUNTY 03/20/18 KATZ FRIEDMAN EISENSTEIN STATES ATTORNEY OF COOK COUN 344 18WC 16418 ALLEN, LARRY MARTEN TRANSPORT LTD 04/24/18 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 345 18WC 17958 JONES, DEBRA PACE SUBURBAN BUS SERVICE 05/25/18 GALLAGHER LAW PC 346 18WC 18085 BUNVILLE, RENARD ELITE STAFFING 04/10/18 SEIDMAN MARGULIS & FAIRMAN 347 18WC 18132 BARTEL, JOSEPH MIDLAND MANUFACTURING 02/16/18 SEIDMAN MARGULIS & FAIRMAN MEACHUM & STARCK 348 18WC 18168 GRISSOM, BRENDA CITY OF CHICAGO DEPT OF S 10/27/17 COSTA IVONE LLC 349 18WC 18205 CARUSO, SALVATORE P COOK COUNTY FOREST PRESER 02/11/17 ANKIN LAW OFFICE FOREST PRESERVE DIST COOK CO 350 18WC 18257 MARTIN, JANELL COOK COUNTY SHERIFF'S DEP 05/03/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 351 18WC 18309 PEARSON, SAMANTHA PRESENCE RESURRECTION 05/28/18 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 18WC 18577 SPENCER, KENNY ARENA FOOTBALL ONE LLC 05/07/16 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 353 18WC 18615 HERNANDEZ, GABRIELA HELP AT HOME LLC 06/11/18 EPSTEIN, JACK R LAW OFFICE ROSARIO CIBELLA 354 18WC 18702 SPELLS, LORRAINE A CHICAGO PUBLIC SCHOOLS 05/14/18 VITELL & SPITZ LTD 355 18WC 18722 TORRES, JOEVANI SKOKIE POLICE DEPARTMENT 04/09/18 CUDA LAW OFFICES VILLAGE OF SKOKIE 356 18WC 18745 STASKO, KATHY A ON LOCATION 12/01/17 O'CONNOR & NAKOS KRAKER FANNING & OLSEN 357 18WC 18789 SORIA, CONSTANTINO DO & CO CHICAGO CATERING, 03/16/17 FICHERA & MILLER 358 18WC 18879 SHELTON, LORENZO KINDER MORGAN TERMINALS 05/07/18 MC HARGUE & JONES SPIEGEL & CAHILL, PC 359 18WC 18982 PINEDA, MARIA UNISTAFF 05/10/18 JONATHAN SCHLACK LITCHFIELD CAVO 360 18WC 19081 ALVAREZ, MARIA LOYOLA UNIVERSITY MEDICAL 10/27/17 SANDMAN LEVY & PETRICH 361 18WC 19118 JOHNSON, STACY ILLINOIS STATE POLICE @ 09/19/17 COLLISON LAW OFFICES ASSISTANT ATTORNEY GENERAL 18WC019119 -C 18WC019120 -C 362 18WC 19145 PRINTIS, MARK REVCON CONSTRUCTION CORP 06/21/18 EDWARD J. KOZEL 363 18WC 19213 SEXTON, THOMAS CITY COLLEGES OF CHICAGO 08/29/17 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC 364 18WC 19232 THOMAS, TONYA ALL POINTS SECURITY 02/25/18 JAMES ELLIS GUMBINER & ASS BRYCE DOWNEY & LENKOV LLC 365 18WC 19285 GARRETT, CATINA UNIVERSITY OF CHICAGO MED 03/01/18 LEO ALT POWER & CRONIN LTD 366 18WC 19434 VARGAS, OCTAVIO FAVELA VCNA PRAIRIE LLC D/B/A 05/23/18 LEONARD LAW GROUP LLC PRETZEL & STOUFFER, CHRTD 367 18WC 19459 ALEXANDER, DONTE PINE CREST HEALTH CARE 06/21/18 LEONARD LAW GROUP LLC GAIDO & FINTZEN 368 18WC 19511 LAMBERT, BRIAN IL DEP OF EMPLOYMENT SECU @ 06/29/18 JOHN JOYCE ASSISTANT ATTORNEY GENERAL 369 18WC 19534 NAVARETTE, MANUEL CHICAGO AMERICAN MFG 05/16/18 GOLDSTEIN BENDER & ROMANOF KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 18WC 19550 OCON, ASBIEL EDSAL MANUFACTURING CO IN 06/11/18 SOSTRIN AND SOSTRIN PC SLAVIN & SLAVIN 371 18WC 19681 MILLER, FRITZ, ESTATE OF GOODE PLUMBING CHICAGO PL # 06/14/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 372 18WC 19880 TORREZ, ARTURO MIDWAY STAFFING, INC. C/O 06/20/18 COSTA IVONE LLC INMAN & FITZGIBBONS 373 18WC 19912 NEKOLA, THOMAS ON TIME MESSENGER SERVICE 11/10/17 GRAUER & KRIEGEL LLC SCOPELITIS GARVIN LIGHT 374 18WC 20156 GATES, PATRICIA UNITED CONTINENTAL HOLDIN 03/18/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 18WC020157 -C 18WC020158 -C 375 18WC 20188 JOHNSON, JASON ATM BULK TRUCKING LLC 05/25/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 376 18WC 20262 BROWN, DEWAYNE MANASE CHICAGO 07/02/18 GERALD CONNOR 377 18WC 20312 JARAMILLO, MARDONIO MILLWOOD INC. 05/01/18 RUEDA, IVAN A 378 18WC 20413 POLSTER, MATT CHICAGO FIRE SOCCER CLUB 03/16/18 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 18WC020414 -C 18WC020415 -C 18WC020416 -C 18WC020417 -C 379 18WC 20506 CARABAJO, DALIA ARCHI DORATI CORP, 06/24/18 DENNIS DAPRATO GANAN & SHAPIRO 380 18WC 20552 JONES, JERELL H7 TRANSPORTATION 06/20/18 CULLEN HASKINS NICHOLSON 381 18WC 20622 LONGSTREET, ANTHONY PROVISO TOWNSHIP 12/30/17 ACEVES & PEREZ PC ANCEL GLINK DIAMOND BUSH & E 382 18WC 27387 VALDEZ, MARIA ELITE STAFFING 08/23/18 HERRERA LAW CENTER 383 18WC 27460 HESS, TRACY MARK T HICKEY & ASSOCIATE 02/16/18 CAPRON & AVGERINOS PC 384 18WC 27505 PUGH, JOSEPH P CHICAGO TRANSIT AUTHORITY 05/04/18 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 385 18WC 27555 KELLY, ANNETTE THE MINTE 08/14/18 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 18WC 27573 MATUSEK, AMANDA PUNCH BOWL SOCIAL 08/11/18 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 387 18WC 27634 HERNANDEZ, MARIA N FLYING FOOD GROUP 04/08/18 COSTA IVONE LLC GOLDBERG SEGALLA LLC 388 18WC 27675 SELLERS, XAVIER CLAD REX 09/12/18 DWORKIN AND MACIARIELLO 389 18WC 27759 TROKHANOVSKYI, ANDRII YANNI DESIGN STUDIO ELYMI 09/04/18 CHEPOV & SCOTT LLC GANAN & SHAPIRO 390 18WC 27808 DIXON, GAIL TITAN SECURITY SERVICES I 07/13/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 391 18WC 27878 MAYMO, ANGEL UBER EATS CO 09/11/18 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 392 18WC 28101 PINO, ADELE UNITED AIRLINES 03/29/18 ELFENBAUM EVERS ZIELINSKA 393 18WC 28120 DANIELS, DANIELLE E STATE OF IL-SECRETARY OF @ 08/21/18 BUDIN LAW OFFICES ASSISTANT ATTORNEY GENERAL 394 18WC 28142 RODRIGUEZ, ANTONIA KOCH FOODS 08/08/18 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 395 18WC 28172 HORTON, EDWARD HOSTESS BRANDS, LLC 08/13/18 ELFENBAUM EVERS ZIELINSKA INMAN & FITZGIBBONS 396 18WC 28181 FIELDS, STEVEN LTL EXPPRESS LINES 09/18/18 KATZ FRIEDMAN EAGLE ET AL 397 18WC 28253 GUCA, GEORGE WALGREENS 03/19/18 FRIEDMAN & SOLMOR LTD GILDEA, COGHLAN & REGAN LTD. 398 18WC 28272 MANZANAREZ, MARTHA ACCURATE PERSONNEL SERVIC 08/01/18 BAUM RUFFOLO & MARZAL LTD JOHN T GONNELLA 399 18WC 28292 URSO, CHRISTIE COOK COUNTY SHERIFF 09/15/18 RUBENS KRESS MULHOLLAND STATES ATTORNEY OF COOK COUN 400 18WC 28317 KOLFF, JOHN CITY OF EVANSTON 05/29/18 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 401 18WC 28351 GUTIERREZ, MARIA RON'S STAFFING 06/27/18 ENCINAS & ORNELAS KOREY RICHARDSON LLC 402 18WC 28389 JOYNER, TRAVIS THE EST OF MITCHELL ACOUSTICAL CNSTR 09/18/18 DWORKIN AND MACIARIELLO 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 KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 18WC 28430 RICO, RICHARD XPO LOGISTICS 04/14/18 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 404 18WC 28474 SMITH, CLAYTON AMERICAN AIRLINES 05/19/18 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 18WC028475 -C 405 18WC 28571 LEMONS, SHERRIE CHICAGO TRANSIT AUTHORITY 09/14/18 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 406 18WC 28644 ZAPF, CHARLES A FE MORAN, PLUMBING DIVISI 07/12/18 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 407 18WC 28670 RUIZ, WILLIAM L AMALGATED SERVICES INC 08/30/18 MORICI FIGLIOLI & ASSOC 408 18WC 28707 BROWN, BRITTANY ST PAUL'S HOUSE & HEALTH 08/24/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 409 18WC 28737 STUBBS, CHRISTELLAR PRAIRIE MANOR REHAB 08/23/18 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 410 18WC 28860 DOMINGUEZ, OCTAVIO CERMAK PRODUCE 06/28/18 O'CONNOR & NAKOS HOLECEK & ASSOCIATES 411 18WC 28887 GUERRERO, MARIA PROTOPAK 06/18/18 GAROFALO SCHREIBER STORM GRA 412 18WC 28906 SIMA, CHERYL G TARGET CORPORATION 03/27/18 NILSON STOOKAL GLEASON CAP KEEFE CAMPBELL BIERY & ASSOC 413 18WC 28954 SHAPIRO-RIZZI, MARTA RANDSTAD 11/01/17 MILLON & PESKIN LTD 414 18WC 28990 ADAMS, NORMAN THORNDALE CONSTRUCTION 07/16/18 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 415 18WC 29043 GLUSZEK, STEVEN COOK COUNTY SHERIFF'S DEP 08/31/18 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 416 18WC 29143 WHITE, NIKOLE CITY OF CHICAGO-OEMC 09/14/18 SCOTT B SHAPIRO 417 18WC 29253 CERVANTES, EFREN CICERO POLICE DEPT 10/12/16 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP 418 18WC 29321 BROOKS, ALLIZON UNIVERSITY OF CHICAGO HOS 11/01/17 JOHN C SERKLAND HENNESSY & ROACH PC 18WC035016 -C 419 18WC 29461 LEE, ALEXIS N HOME DEPOT 09/06/18 ADELSON TESTAN BRUNDO 420 18WC 29547 ALCANTAR, ROSEANNE LANE BRYANT 08/11/18 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 18WC 29569 PACILIO, RODNEY CSC SERVICE W 07/23/18 GALLIANI DOELL & COZZI LTD HENNESSY & ROACH PC 422 18WC 29587 MEZA, ADRIAN BEST FOOD SERVICE 06/12/18 JONATHAN SCHLACK JOSEPH MARCINIAK 423 18WC 29666 BOOKER, DEAN B ARCBEST 04/02/18 CAMERON CLARK KEEFE CAMPBELL BIERY & ASSOC 424 18WC 29798 GIEREK, JAMES M JR, ADMIN IL STATE TOLL HWY AUTHORI 09/16/18 GREGORIO & MARCO GANAN & SHAPIRO 425 18WC 29852 ZEROLIS, CLARA SOUTHWEST AIRLINES 04/18/18 LUSAK AND COBB 426 18WC 29876 DE LOS SANTOS, NANETTE GATEWAY FOUNDATION 09/07/18 TRAPP & GELLER RUSIN & MACIOROWSKI LTD 427 18WC 29894 PROCELLI, SANTE FH PASCHEN 09/27/18 GOLDBERG WEISMAN & CAIRO L STONE & JOHNSON CHARTERED 428 18WC 29936 MENDELSOHN, ANDREW MISERICORDIA HOME 08/21/18 SOSTRIN AND SOSTRIN PC 429 18WC 30010 ENRIGHT, FRANK M CITY OF CHICAGO HEIGHTS 10/05/16 THOMAS W DUDA DEL GALDO LAW GROUP LLP 430 18WC 30105 SANCHEZ, JOSE G TAILOR MADE PROPERTY SVCE 08/10/18 COSTA IVONE LLC 431 18WC 30126 SULSKI, MARK ARAMARK 09/28/18 COVEN LAW GROUP INMAN & FITZGIBBONS 432 18WC 30162 KLAK, MARIUSZ MARUICHI LEAVITT PIPE 05/31/18 CHRISTIAN & MANNO BORGELT POWELL 19WC024502 -C 433 18WC 30294 LONG, OMAR AT&T 07/30/18 KARCHMAR & STONE 434 18WC 30337 LAMPLE, MICHAEL PLYCON VAN LINES 09/26/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 435 18WC 30475 HERNANDEZ, IMELDA ALANIS SENIOR FLEXONICS, INC 09/27/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 436 18WC 30505 RODRIGUEZ MAURICIO AT&T 09/24/18 STROM & ASSOC 437 18WC 30540 MONZON, JOSE B SOUTHWEST AIRLINES 09/20/18 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 438 18WC 30610 MARTINEZ, SAUL DDM LOGISTICS 09/28/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 439 18WC 30701 HARDING, JAELYL FORD MOTOR COMPANY 11/14/16 DONALD FOHRMAN & ASSOC 440 18WC 30795 FERRER STELLA J.B. HUNT 07/25/18 MAINARD LAW OFFICE MICHAEL JASPER 441 18WC 30840 FLORES, JOSE COMED 09/11/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 442 18WC 30921 MCCAIN, GANELL ERA TRANSPORT, INC 09/25/18 SEIDMAN MARGULIS & FAIRMAN 443 18WC 34582 WELTER, ANTHONY J GOLDEN STATE FOODS 08/06/18 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 444 18WC 35175 DUNBAR, KIRK SCHNEIDER NATIONAL INC 11/21/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 445 18WC 36878 CASAS, MARIO FIVE GUYS ENTERPRISES LLC 10/20/18 NEWLAND & NEWLAND 446 18WC 36983 SHROPSHIRE, CHARLES CROWN CORK & SEAL 12/07/16 JASINSKI, GEORGE J 447 18WC 37119 ESPARZA, CARLOS BEAR CONSTRUCTION COMPANY 12/10/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 448 18WC 37185 MARTINEZ, CLEMENTE MILLS PALLET 09/23/17 JONATHAN SCHLACK RANDALL A. WOLFF & ASSOC 449 18WC 37241 HAYES, TERRANCE LOCAL 705 05/21/18 ROMANEK & ROMANEK HOLECEK & ASSOCIATES 450 18WC 37375 NOWAK, AUMA WALGREEN'S 09/26/18 VASILATOS & COTTER LLC GILDEA, COGHLAN & REGAN LTD. 451 18WC 37419 PATEL, SMITA CROTHALL LAUNDRY SERVICES 08/11/18 GRAUER & KRIEGEL LLC GOLDBERG SEGALLA LLC 452 18WC 37582 GOMEZ, JOSE GARCIA ADVANCE WHEEL CORPORATION 11/14/18 STANCZAK LAW OFFICES GANAN & SHAPIRO 453 18WC 37609 GILL, ALLISON A BLOOM HIGH SCHOOL DISTRIC 04/05/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 454 18WC 37642 BARRIGA, ERNESTINA EAST BANK CLUB 07/12/17 OSVALDO RODRIGUEZ PC LAWRENCE COZZI - LAW OFFICE 455 18WC 37737 MONDRAGON, ERIKA UNITED HEALTH CAR 10/04/18 R. MARK MARITOTE PC SLAVIN & SLAVIN 456 18WC 37796 RAMIREZ, JOSE FIVE STAR LAUNDRY 12/09/18 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 457 18WC 37824 STOVALL, BOSHIEK JERK 48 09/11/18 GERALD CONNOR 458 18WC 37847 SALGADO, BERNIE TEAM WOWZZA 12/13/18 EPSTEIN, JACK R LAW OFFICE 459 18WC 37864 WILLIAMS, KOREY CHICAGO TRANSIT AUTHORITY 12/03/18 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 460 18WC 37923 ALANIS, ANA CHICAGO PUBLIC SCHOOLS 12/05/18 TAXMAN POLLOCK CHGO BOARD OF EDUCATION 461 18WC 37986 VEGA, WILLIE PEPSI BEVERAGE CO. 12/28/17 EDWIN REYES LAW FIRM GAIDO & FINTZEN 462 18WC 38164 HARRIS, NANNETTE COMCAST 11/12/18 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 463 18WC 38212 ESCOBAR, LETICIA HOBBS EAST, LLC 12/06/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 464 18WC 38287 MEDINA, ANTONIO FURNITURE A OUTLET LLC W 11/02/18 JONATHAN SCHLACK 465 18WC 38308 MCCLENDON, VANESSA HEALTH CARE SERVICES GROU 11/30/16 MC HARGUE & JONES 466 18WC 38384 JOHNSON, JERONE CITY OF CHICAGO, DEPT OF 12/18/18 ANKIN LAW OFFICE 467 18WC 38402 BRASLAVSKY, STELLA UPS 12/11/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 468 18WC 38445 CEDENO, ANGEL CITY OF CHICAGO 10/11/18 CUDA LAW OFFICES CITY OF CHICAGO 469 19WC 00007 HARRIS, TODD ADMIRAL THEATRE 11/28/18 ANGELINI & ORI LLC 470 19WC 00073 OUTLAW-CLAY, PATRICIA CERMACK HEALTH SERVICES 11/07/18 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 471 19WC 00128 NORIEGA, MARCOS RON'S STAFFING 11/27/18 ENCINAS & ORNELAS HEYL ROYSTER VOELKER & ALLEN 472 19WC 00173 TUNSTILL, JOSEPH PROFESSIONAL BUSINESS PRV 12/05/18 COVEN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 473 19WC 00226 RAMIREZ, JENNIFER CITY OF CHICAGO DEPT OF 12/24/18 ANKIN LAW OFFICE 474 19WC 00341 RADTKE, ANDREW JONES LANG LASALLE 11/26/18 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 475 19WC 00390 SCOTT, JOEY KEURIG DR PEPPER 10/05/18 DAVID W MARTAY GAROFALO SCHREIBER STORM GRA 476 19WC 00418 LACY, GABRIELA PHALANX FAMILY SERVICES 12/05/18 JAMES ELLIS GUMBINER & ASS THOMAS & ASSOCIATES 477 19WC 00641 WILSON-LOURY, KIMBERLY R PACE SUBURBAN BUSES 09/06/16 DEPAOLO & ZADEIKIS 478 19WC 00663 HERNANDEZ, SERGIO CENTRAL STEEL & WIRE COMP 11/05/18 LIPKIN & HIGGINS LAW OFFIC 479 19WC 00719 HAWKINS, STEPHEN CITY OF CHICAGO 12/02/17 MINKOW DOMIN 19WC015632 -C 480 19WC 00741 BROWN, THERESA JEWEL-OSCO 12/26/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 481 19WC 00756 GRABOWSKI, CHRISTOPHER VILLAGE OF MATTESON 03/21/18 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 482 19WC 00806 JOHNSON, SHARONDA WARREN BARR GOLD COAST 12/28/18 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 483 19WC 00843 COLEMAN, KEN COMBINED ROOFING SERVICES 12/29/18 HORWITZ HORWITZ & ASSOC EDWARD J. KOZEL 484 19WC 00861 WILSON, JONATHAN SYSCO FOOD SERVICE OF CHI 09/26/17 GOLDBERG WEISMAN & CAIRO L 485 19WC 00889 PETERSON, GENESIS NICHOLAS QUALITY MEATS 01/02/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 486 19WC 00915 TOLEDO, EDWIN MOUNT SINAI HOSPITAL 12/16/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 487 19WC 00930 MARTINEZ, MARCO KFC 12/17/18 CHRISTINE F DAVID HENNESSY & ROACH PC 488 19WC 01030 WALKER, FRANK ADVOCATE HEALTH CARE 12/26/17 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM GRA 489 19WC 01151 ROSARIO, MARIA RON'S STAFFING SERVICES 12/13/18 LEONARDO MORALES KOREY RICHARDSON LLC 490 19WC 01189 SILLER, CRAIG SECURITAS SECURITY 11/16/18 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 491 19WC 07921 RICE, ANTONIO ALL MASONARY CONSTRUCTION 03/11/19 DEPAOLO & ZADEIKIS HEYL ROYSTER VOELKER ALLEN 492 19WC 07951 WILLIAMS, JOE L JR ATKORE INTERNATIONAL 02/12/18 ELFENBAUM EVERS ZIELINSKA HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 493 19WC 07968 KRYGER, JULIA NSSEO 10/11/18 ROBERT WARSASKI 494 19WC 07994 JOHNSON, ELLIOTT NEXUS EMPLOYMENT SOLUTION 03/12/19 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 495 19WC 08050 CURTIS, JAMES ABF FREIGHT SYSTEMS, INC. 02/06/18 CAPRON & AVGERINOS PC 496 19WC 08176 WILSON, ANNIE BRETT ANTHONY FOODS 02/22/19 TRAPP & GELLER HOLECEK & ASSOCIATES 497 19WC 08228 MITCHEFF, SUZANNE PERFECT SMILE 09/04/18 LEONARD LAW GROUP LLC JOSEPH MARCINIAK 498 19WC 08247 THOMAS, SHIRLEY UPS 10/06/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 499 19WC 08261 CRUSE, OLIVIA CTA 03/06/19 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 500 19WC 08282 JOHNSTON, JOANN LEVY RESTAURANT 08/17/18 DAMISCH & DAMISCH LTD GANAN & SHAPIRO 501 19WC 08303 WALSH, PHILIP UPS 02/12/19 ANGELA NARDI-QUIGLEY ASA LAW GROUP 502 19WC 08330 MISHER, MARIO CITY OF CHICAGO 03/14/19 ANKIN LAW OFFICE 503 19WC 08412 OLVERA, FRANCISCO NORTH AMERICAN EN 10/16/18 HERRERA LAW CENTER PAUL O WATKISS 504 19WC 08525 VILLAREAL, YOLANDA MELGAR FACILITY MAINTENAN 02/13/19 BAUM RUFFOLO & MARZAL LTD JOSEPH MARCINIAK 505 19WC 08542 KNIGHT, JOYCE UNITED CONTINENTAL HOLDNG 02/14/19 KATZ FRIEDMAN EAGLE ET AL 506 19WC 08566 BATEMON, SUSAN ABF FREIGHT SYSTEMS, INC. 03/11/19 KARCHMAR & STONE KEEFE CAMPBELL BIERY & ASSOC 507 19WC 08616 MOHAMMAD, MOHAMMAD COOK COUNTY DEPT 01/28/19 BOWMAN & CORDAY STATES ATTORNEY OF COOK COUN 508 19WC 08710 COATES, NICOLE LYFT ILLINOIS INC 03/15/19 NEIL KAUFMAN ANCEL GLINK PC 509 19WC 08742 WOJCIECHOWSKI, MARIA WALGREEN CO. 12/18/18 CORBOY & DEMETRIO PC GILDEA, COGHLAN & REGAN LTD. 510 19WC 08775 RODRIGUEZ, PATRICIA SALVATION ARMY 02/05/19 BRISKMAN BRISKMAN GREENBER EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 511 19WC 08797 TAYLOR, ALEXIS CHARLES RIVER LABS, INC 11/12/18 BURNES & LIBMAN HENNESSY & ROACH PC 512 19WC 08870 ORTEGA, ALONZO PACE SUBURBAN BUS COMPANY 01/19/19 DWORKIN AND MACIARIELLO 513 19WC 08919 GILMORE, LAWRENCE PACOFIC RAIL 10/03/18 EDWIN REYES LAW FIRM GAROFALO SCHREIBER STORM GRA 514 19WC 08987 ALDEN, JOHN 1143 S PLYMOUTH CT CONDO W 08/06/18 MORICI FIGLIOLI & ASSOC 515 19WC 09009 THOMAS, DAKARI CITY OF CHICAGO 02/11/19 ANKIN LAW OFFICE 516 19WC 09034 ZUIDEMA, SHAWN UPS 03/12/19 LEONARD LAW GROUP LLC ASA LAW GROUP 517 19WC 09055 GISCOMBE, MARCUS UCAN-UHLICH CHILDREN'S 03/21/19 MC HARGUE & JONES 518 19WC 09096 GARCIA, AMABEL VISITING ANGELS 12/27/18 RANDALL A. WOLFF & ASSOC ROSARIO CIBELLA 519 19WC 09137 JONES, YVETTE WALMART, INC 03/19/19 ANKIN LAW OFFICE GANAN & SHAPIRO 520 19WC 09160 JIMENEZ, MIDGALIA JIMMY JOHNS 11/26/18 STEPHAN L. HOFFMAN 521 19WC 09183 PUNDA, JOSEPH DURR SYSTEMS 03/11/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 522 19WC 09202 GUTIERREZ RODRIGUEZ, ROCI HARVARD MAINTENANCE 10/26/18 SALVATO O'TOOLE FROYLAN HENNESSY & ROACH PC 523 19WC 09230 PALACIOS, ROSA FRESH EXPRESS DBA CHIQUIT 10/30/18 STROM & ASSOC NYHAN BAMBRICK KINZIE & LOWR 524 19WC 09242 SMOLAREK, STEVEN UNITED RENTALS 10/24/18 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 525 19WC 09274 DRIVER, JOSHUA M ERJ DINING LV LLC D/B/A 02/05/19 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 526 19WC 09334 ARCOS, VANESSA BELMONT VILLAGE OAK PARK 02/04/19 LANZILLOTTI GRIBBEN & MARC GAROFALO SCHREIBER STORM GRA 527 19WC 09353 BLAS, EDUARDO ELITE STAFFING INC. 04/19/18 GOLDBERG WEISMAN & CAIRO L 528 19WC 09379 PETERS, JESSICA UNITED PARCEL SERVICE 01/10/19 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 529 19WC 09475 HARRIS, DONNA MADDEN HEALTH CENTER @ 12/06/18 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 530 19WC 09529 JACKSON, ALTON CTA 03/17/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 531 19WC 09573 IRVINE, MICHAEL OLD DOMINION FREIGHT LINE 01/14/19 RITTENBERG BUFFEN EVANS & DIXON 532 19WC 09602 HOGAN, JOHN LEVY RESTAURANTS 12/10/18 MARK SCHAFFNER GANAN & SHAPIRO 533 19WC 09671 TRAVIS, WESLEY ALL ERECTION & CRANE RENT 01/06/19 DAVID W CLARK MEACHUM BOYLE TRAUFMAN 534 19WC 09691 JURGENS, VICKI UNITED CONTINENTL HOLDING 12/24/17 KATZ FRIEDMAN EAGLE ET AL 535 19WC 09818 KHAMO, ADEL HAUSNER HARD CHROME 09/27/18 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 536 19WC 09978 GALLEGOS, NORA MARGARITA EVANS FOOD GROUP LTD 01/30/19 COSTA IVONE LLC MEACHUM & STARCK 537 19WC 10032 TRIMBLE, KIM REGIS CORP. 12/24/18 HUGHES SOCOL PIERS RESNICK ADELSON TESTAN BRUNDO 538 19WC 10180 CORONEL, CECILIA CENVEO 09/29/18 DEPAOLO & ZADEIKIS NOBLE & ASSOC 539 19WC 10195 ODEN, MARCUS HADADY CORP 01/24/19 STROM & ASSOC HOLECEK & ASSOCIATES 540 19WC 10211 HARRISON, LOUIS OAI 04/02/19 VASILATOS & COTTER LLC 541 19WC 10271 GARZA, RUBEN LSG SKY CHEFS 03/29/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 19WC027773 -C 542 19WC 10299 SOURBIS, SPIROS CUSHMAN & WAKEFIELD INC 04/26/16 GOLDBERG WEISMAN & CAIRO L 19WC010300 -C 543 19WC 10318 CONTRERAS, FRANCES UNITED CONTINENTL HOLDING 11/04/18 BRIAN J MC MANUS & ASSOC, 544 19WC 10333 RIBOTA, ANA ELIZABETH BEE CLEAN HOUSE CLEANERS 08/23/18 JOHN S. ELIASIK 545 19WC 10360 CONIGLIO, PATRICIA CHICAGO BOARD OF EDUCATIO 03/01/19 POLTROCK & POLTROCK CHGO BOARD OF EDUCATION 546 19WC 10436 AREVALO, ANA S ALVAREZ NATION PIZZA AND FOODS 10/20/18 CURNYN, JOHN MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 547 19WC 10452 MCDONOUGH, MICHAEL ANCHOR MECHANICAL 07/20/18 HEALY SCANLON LAW FIRM 548 19WC 10490 BARWICKI, ROBERT WJ MCGUIRE 06/30/18 ACCIDENT FUND HOLDINGS 549 19WC 10508 BENTON, ROBERT H FEDEX FREIGHT 02/06/19 LEONARD LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 550 19WC 10551 DIAZ, HILDA ENGINEERED GLASS PRODUCTS 07/19/17 ROSS TYRRELL MC ANDREWS & NORGLE LLC 551 19WC 10576 VANYAI, JOSEPH S CRAFTSMAN CUSTOM METALS, 01/27/05 DEPAOLO & ZADEIKIS EDWARD J. KOZEL 552 19WC 10644 MENDOZA, MARGARITA MEATS BY LINZ, INC 04/03/19 HERRERA LAW CENTER 553 19WC 10668 OVALLE, ELVIRA MIDWAY STAFFING INC 10/26/18 ANKIN LAW OFFICE 554 19WC 10683 RYAN, PATRICIA AMERICAN AIRLINES 01/23/19 CURTIS S BURKE LAW OFFICE GAROFALO SCHREIBER STORM GRA 555 19WC 10789 IPINA OLIVA, OSCAR GALLARDO CONSTRUCTION COM 02/05/19 556 19WC 10875 HIMES, TATIANA E UPS 03/26/19 GORDON & CENTRACCHIO LLC ASA LAW GROUP 557 19WC 10923 HILL, JEREMIAH CHICAGO HEIGHTS STEEL 03/19/19 EDWIN REYES LAW FIRM BRADY CONNOLLY & MASUDA PC 19WC010972 -C 558 19WC 10956 HUNTLEY, BRUCE E INGALLS HOSPITAL 01/10/18 TOSCAS, JOHN Z LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 559 19WC 10997 PANALIGAN, ARJAN INTEGRATED HEALTH SOLUTIO 01/09/19 EFTEKHARI LAW OFFICES HOLECEK & ASSOCIATES 560 19WC 11016 SHAW, CONNOR CHICAGO BEARS FOOTBALL CL 08/31/17 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 561 19WC 13388 ROSALES, DAISY ALEXIAN BROS MED CENTER 01/07/19 JOHN J CASTANEDA POWER & CRONIN LTD 562 19WC 16973 MEJIA, JAVIER RON'S STAFFING SERVICES, 03/19/19 ACEVES & PEREZ PC KOREY RICHARDSON LLC 563 19WC 16995 KIZART, VANESSA AMERICAN SOCIETY FOR 09/04/18 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 564 19WC 17017 TYLER, GIOVANNI FRITO LAY 04/23/19 CELSO FUENTES JR GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 565 19WC 17048 MARTINEZ, ANGEL ARDAGH METAL BEVERAGE USA 01/13/19 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 566 19WC 17102 SNCHEZ, ARMANDO KRASON'S GROUP CORP 05/16/19 JOHN S. ELIASIK BIELINSKA LAW LLC 567 19WC 17158 TORRES, MARIANA G AERO SPECIAL 11/07/17 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR 568 19WC 17277 WELCH, LARRY AETNA AUTO PARTS INC 05/06/19 LIPKIN & APTER JOSEPH MARCINIAK 569 19WC 17363 WILSON, STEPHEN JB HUNT TRANSPORTATION 05/24/19 LANNON LANNON & BARR LTD MICHAEL JASPER 570 19WC 17456 GOLDEN, LACRICHA THE UNIVERSITY OF 05/08/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 571 19WC 17544 TANKSLEY, PAMELA AUNT MARTHA'S HEALTH 04/24/19 CHEPOV & SCOTT LLC 572 19WC 17565 WHITE, TOKENUA C.R. ENGLAND INC 05/18/19 ANKIN LAW OFFICE 573 19WC 17591 BUENO, MARY AMERICAN AIRLINES 03/30/19 SAUNDERS CONDON & KENNY 574 19WC 17609 MITHANI, NINA HALO SALON FOR MEN 11/29/18 ANGELINI & ORI LLC 575 19WC 17635 SAUCEDO, MARIA C TUKAIZ, LLC 03/26/18 CULLEN HASKINS NICHOLSON 576 19WC 17662 AQUINO, CANDELARIO CITY OF CHICAGO 04/11/19 CUDA LAW OFFICES 577 19WC 17716 PURALESKI, MELODY SKYWEST AIRLINES 04/14/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 19WC017717 -C 578 19WC 17739 TYRONE, ALICE ST. COLETTA'S OF ILLINOIS 12/25/17 RUBENS KRESS MULHOLLAND 579 19WC 17763 VARGAS, DARLENE D COOK COUNTY SCHOOL DIST 1 05/15/19 TAYLOR MILLER SPROWL ET AL 580 19WC 17766 LEIBAS, FELIX COOK COUNTY 05/26/19 DAVID W MARTAY STATES ATTORNEY OF COOK COUN 581 19WC 17805 WRIGHT, NAA TSOTSOO VICTORY CENTRE OF SOUTH C 05/06/19 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 582 19WC 17831 FEZATTE, BRUCE G APOGEE TRUCKING LLC 03/25/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 583 19WC 17901 BERMUDEZ, MANUEL CHICAGO BOARD OF EDUCATIO 06/11/19 JAMES W GREEN, JR CHGO BOARD OF EDUCATION 584 19WC 17935 SALAM, ABDUL Z&Z CAB, INC 06/14/19 FISHER & LAMONICA 585 19WC 17971 VITAGLIANO, GIULIANA UNIDINE 02/18/19 CARONE LAW OFFICES GANAN & SHAPIRO 586 19WC 18032 SAFLARSKI, ADAM JEWEL-OSCO 06/04/19 R. MARK MARITOTE PC QUINTAIROS PRIETO WOOD & BOY 587 19WC 18059 ZAJA, ROBERT A CHICAGO RIDGE FIRE DEPART 06/15/19 THE ROMAKER LAW FIRM 588 19WC 18114 BROADWATER, TERRELL STAFFING NETWORK/ 06/14/19 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 589 19WC 18140 WILLIAMS, SHATARR FORD MOTOR COMPANY 06/18/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 590 19WC 18207 TAYLOR, ARTHUR COOK COUNTY SERIFF 06/02/16 COVEN LAW GROUP STATES ATTORNEY OF COOK COUN 591 19WC 18226 MATIAS, JOSE ANDY'S GT ROOFING, INC 12/21/18 EPSTEIN, JACK R LAW OFFICE 592 19WC 18246 BUELL, JOYCE E MARIANO FRESH MARKET/KROG 05/26/19 JOSHUA KARMEL 593 19WC 18265 CHAVEZ, ARTHUR CHICAGO TRANSIT AUTHORITY 06/15/19 RUBENS KRESS MULHOLLAND CHICAGO TRANSIT AUTHORITY 594 19WC 18304 EDERATI, BRIAN ORANGE CRUSH LLC 07/20/17 KARCHMAR & STONE NICHOLAS BIGONESS 595 19WC 18321 CRAWFORD, AARON CHICAGO TRANSIT AUTHORITY 05/11/19 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 596 19WC 18337 MAYFIELD, KATHLEEN STREET FACTORY MEDIA 03/12/19 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 597 19WC 18403 HAYES, YOLANDA D BRITTAN II, LLC D/B/A 06/20/19 VITELL & SPITZ LTD GANAN & SHAPIRO 598 19WC 18436 MCGEE, CHRISTOPHER AT&T 09/19/18 VRDOLYAK LAW GROUP LLC 599 19WC 18466 CASAS, MARIA PRIME FLIGHT 06/06/19 BARRY STEWART SILVER WIEDNER & MCAULIFFE LTD 600 19WC 18539 DIAZ, ABRAHAM STAFF RIGHT LLC 06/12/19 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 601 19WC 18580 ROSALES, AUGUSTIN UNITED REMODELERS & 09/13/18 WHITESIDE & GOLDBERG LTD 602 19WC 18633 SALVADOR, ESTER ALSCO, INC. 07/11/17 KARCHMAR & STONE ADELSON TESTAN BRUNDO 19WC018634 -C 603 19WC 18682 SCHABER, MATTHEW A MYERS TECHNOLOGY, COMPANY 06/05/19 ANKIN LAW OFFICE ANCEL GLINK PC 604 19WC 18699 CASTILLO, LILLIAN ALDEN MANAGEMENT 06/01/19 COVEN LAW GROUP 605 19WC 18729 HERNANDEZ GONZALEZ, JUAN PIZANO'S PIZZA & PASTA 06/07/19 HERRERA LAW CENTER 606 19WC 18769 SEKULIC, ALLAN BARRINGTON HIGH SCHL DIST 03/03/17 ROBERT EDENS NYHAN BAMBRICK KINZIE & LOWR 19WC018770 -C 607 19WC 18822 DUARTE, ERNESTO WELL AUTOMOTIVE SERVICE 03/27/19 NO ATTORNEY 608 19WC 18844 CORREA, MARTINA SAPORITO FINISHING CO. 04/27/19 JONATHAN SCHLACK WOLF & LAUDICINA LTD 19WC018845 -C 19WC029104 -C 609 19WC 18871 ROBINSON, SABRINA COURIER EXPRESS 06/21/19 BRISKMAN BRISKMAN GREENBER 610 19WC 18889 EDDY, KASSANDRA BLUE CROSS BLUE SHIELD 02/19/18 CULLEN HASKINS NICHOLSON STEPHEN CARTER 611 19WC 18980 ABDULLAH, KHALILAH NORTHWESTERN MEDICINE 11/21/18 GORDON & CENTRACCHIO LLC WIEDNER & MCAULIFFE LTD 612 19WC 18997 DAVISON, STEPHANIE A, IND PET SUPPLY PLUS 05/14/19 ANESI OZMON RODIN NOVAK KO 613 19WC 19026 RADER, GEORGE PENSKE TRUCK LEASING 06/06/19 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 614 19WC 19049 DESAVIEU, DOMINIQUE CTA 09/14/18 SCOTT B SHAPIRO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 615 19WC 19086 WASHINGTON, JUANA FERRARO 06/21/19 STYKA & STYKA 616 19WC 19139 SLEZEWSKI, PHILIP VITALE TRU CUT LANDSCAPIN 06/11/19 ANKIN LAW OFFICE 19WC021811 -C 617 19WC 19174 DIAZ, LISET GROUND SERVICES INTERNATI 06/11/19 MEACHUM & STARCK 618 19WC 19211 MARTINEZ, EDGAR OSI GROUP 10/04/18 ALBRECHT LAW OFFICES 619 19WC 19262 EDWARDS, HOWARD MR. BUILT'S INC 06/03/19 JEFFREY FRIEDMAN WIEDNER & MCAULIFFE LTD 620 19WC 19285 PINEDA, MAIRA ACME FINISHING COMPANY, L 06/05/18 GOLDSTEIN BENDER & ROMANOF 621 19WC 19305 AGUILAR, MARCELA ENGLANDER BEDDING CO. 02/04/19 MC HARGUE & JONES 622 19WC 19326 LAMB, BOBBIE FILTRATION GROUP, LLC 01/23/18 JAMES ELLIS GUMBINER & ASS 623 19WC 19343 ROBINSON, NICOLE EXTRA SPACE STORAGE 10/30/18 DE FRIES LAW OFFICES PC INMAN & FITZGIBBONS 624 19WC 19358 EVANGELISTA, HENRY AMERICAN AIRLINES 06/09/19 COVEN LAW GROUP ROSARIO CIBELLA 625 19WC 19384 ROBINSON, LACI TITAN SECURITY SRVS, INC 05/23/19 GOLDSTEIN AIOSSA & GOOD 626 19WC 19406 JOHNSON, WILKIN M LEADEC INDUSTRIAL SERVICE 05/20/19 GALLAGHER, DONALD V 627 19WC 19459 GREEN, MARK EXELON 05/03/19 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 628 19WC 19473 DUBLIN, JUSTIN ORLAND FIRE PROTECTION DI 06/21/19 CULLEN HASKINS NICHOLSON 629 19WC 19499 SCHRODER, ANTHONY GHG, INC 05/13/19 PETER LIMPERIS 630 19WC 19520 TREJO, JUANITA M MACY'S 11/17/18 SOSTRIN AND SOSTRIN PC GAIDO & FINTZEN 631 19WC 19551 TIPPEN, ANNETTE MAYFIELD CARE CENTER 05/09/19 TIMOTHY HENDERSON 632 19WC 19569 DOYLE, DIANE COMMUNITY CONSOLIDATED 05/29/19 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 633 19WC 19595 CHAVEZ, GABRIELA PRESBYTERIAN HOMES 03/02/19 CHEPOV & SCOTT LLC FRANCESCA LARSEN 634 19WC 19613 HARDWICK, ERICA CTA 06/15/19 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 635 19WC 19690 ATWATER, MUSTANG CHICAGO PUBLIC SCHOOLS 03/26/19 DWORKIN AND MACIARIELLO CHGO BOARD OF EDUCATION 636 19WC 19717 ROGERS, NICKOLA AMAZON DELIVERY STATION D 03/15/19 DAVID W MARTAY 637 19WC 19827 LOPEZ, KELLY CERMAK FRESH MARKET 05/12/19 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 638 19WC 19913 EASON, CHRITIAN HEARTLAND ALLIANCE 03/08/19 CHEPOV & SCOTT LLC 639 19WC 19972 VARGAS GODINEZ, GONZALO LEON SEALCOATING CORPORAT 06/20/19 640 19WC 20018 MCKINNEY, EMMA CTA 06/03/19 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 641 19WC 26512 BARRERA, MARTIN ROMAN FLECK'S LANDSCAPING 08/14/19 LANNON LANNON & BARR LTD WIEDNER & MCAULIFFE LTD 642 19WC 26537 FRANCO, FRANCISCO NARS NORTH AMERICAN RISK 01/15/19 KATZ FRIEDMAN EAGLE ET AL 643 19WC 26578 MOTEN, ELLIOTT STAFFING NETWORK 06/20/19 DAVID W MARTAY SLAVIN & SLAVIN 644 19WC 26594 GARCIA, MARIO UPS 03/21/19 STEWART C ORZOFF NYHAN BAMBRICK KINZIE & LOWR 645 19WC 26622 NELSON, CORNELL ANN & ROBERT H LURIE 08/15/19 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 646 19WC 26648 KIRKSEY, CYD FAIRMONT HOTEL 03/28/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 647 19WC 26672 BABIN, JON SOUND INVESTMENT AV 05/15/19 RICHARD BINGHAM 648 19WC 26696 SMITH, RACHEL ELLA ELLI 08/02/19 RUBENS KRESS MULHOLLAND 649 19WC 26712 COLLINS, ALBERT IL DEPT OF TRANSPORATION @ 07/24/19 JASINSKI, GEORGE J ASSISTANT ATTORNEY GENERAL 650 19WC 26739 FRANCO, HUMBERTO CRESTONE GROUP, LLC 02/21/19 MC HARGUE & JONES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 651 19WC 26773 WARE, KIMBERLY LITTLE COMPANY OF 09/18/18 SANDMAN LEVY & PETRICH 652 19WC 26812 WALCZAK, EILEEN VILLA AT PALOS HEIGHTS 05/08/19 JEROME FOREMAN & ASSOCIATE HENNESSY & ROACH PC 653 19WC 26882 HARTLEY, LARRY RED ROOF INNS, INC 08/24/19 ANKIN LAW OFFICE MEACHUM BOYLE TRAUFMAN 654 19WC 26904 MARBETH, JOHN QFS SERVICE 08/24/19 DWORKIN AND MACIARIELLO 655 19WC 26932 CALLAHAN, BRYCE CHICAGO BEARS FOOTBALL CL 10/29/17 GORDON LAW OFFICES LTD BRYCE DOWNEY & LENKOV LLC 656 19WC 26937 THURMAN, MONIQUE CITY OF COUNTRY CLUB HILL 06/05/19 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 657 19WC 26956 SPEARS, AARON COOK COUNTY SHERIFF'S DEP 08/21/19 BLOCK, KLUKAS & MANZELLA P STATES ATTORNEY OF COOK COUN 658 19WC 26975 ALVAREZ, CARLOS CATERING BY MICHAELS 08/06/19 ENCINAS & ORNELAS 659 19WC 27023 PROFIT, ERNEST WEISS MEMORIAL HOSPITAL 11/29/18 ANKIN LAW OFFICE 660 19WC 27038 STIEN, LORETTA M BM OF CHICAGO RIDGE, LLC 08/23/19 ANKIN LAW OFFICE PAUL O WATKISS 661 19WC 27071 BIRAM, BIRAM ENTERPRISE 09/12/19 INJURY LAWYERS OF IL KNELL O'CONNOR DANIELWICZ 662 19WC 27090 SCALFANO, FRANKIE LINR ROGETS ELECTRICAL 11/01/17 ERIC M GLASSON & ASSOCIATE 663 19WC 27111 CASTANEDA, OSCAR LABRIOLA BAKING CO 05/17/19 EDWIN REYES LAW FIRM 664 19WC 27259 GONZALEZ, BULMARIO BEAR STEWART CORP. 08/26/19 ACEVES & PEREZ PC INMAN & FITZGIBBONS 665 19WC 27309 KARIOTT, JOHN ZEIGLER CHRYSLER 11/30/18 KOSIN LAW OFFICE LTD HENNESSY & ROACH PC 666 19WC 27365 RICONENO, GABRIEL MYCARGA ELECTRICAL SYSTMS 06/17/19 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 667 19WC 27396 GIBSON, BRANDON SOUTHWEST AIRLINES CO 09/10/19 ANKIN LAW OFFICE 668 19WC 27420 FARR, JALEN UPS 08/14/19 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 669 19WC 27445 CALZADA, BALTAZAR WALLY PARK 03/13/18 SMOLER LAW OFFICE, PC 670 19WC 27469 GOMEZ, LUCINDA MIDWAY STAFFING 08/08/19 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 671 19WC 27497 BARRERA, GRISELDA ROSS DRESS FOR LESS 09/03/19 COSTA IVONE LLC 672 19WC 27545 NICHOL, KEVIN CODE ENGINEERING SERVICES 11/02/18 FRIEND LEVINSON & BERGAL FRIEDRICH LAW LLC 673 19WC 27597 GRAY, BETTY NOVOLEX BAGCRAFT, INC 08/08/19 ANKIN LAW OFFICE GOLDBERG SEGALLA LLC 674 19WC 27699 FARLEY, DAN CONTINENTAL PAINTING 07/12/19 BOWMAN & CORDAY BRADY CONNOLLY & MASUDA PC 675 19WC 27716 OCHOA, LIZET MAYWOOD POLICE DEPT 08/17/19 DAVID SZCZECIN & ASSOC INMAN & FITZGIBBONS 676 19WC 27739 SMITH, MARK COOK COUNTY SHERIFF 08/25/19 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 677 19WC 27757 CARRERO, MIKE COUNTY OF COOK DEPT OF TR 09/10/18 ROSS TYRRELL STATES ATTORNEY OF COOK COUN 678 19WC 27788 ACEVEDO, ORLANDO SWEETENER SUPPLY CORP 02/06/19 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 679 19WC 27810 COLLIER, JALISA J.B. HUNT TRANSPORT INC 09/12/19 COVEN LAW GROUP 680 19WC 27836 JONES, QUINTIN UBER 05/31/19 DWORKIN AND MACIARIELLO 681 19WC 27854 QUINONES, VICTOR MANUEL SUNSET FOOD MARKET, INC 08/11/19 BRIAN J MC MANUS & ASSOC, 682 19WC 27875 WARREN, CRAIG R PIZZA HUT 08/29/19 ANESI OZMON RODIN NOVAK KO KRAKER FANNING & OLSEN 683 19WC 27942 MADRIGAL, LUIS POLITAN ROW CHICAGO 08/09/19 RUEDA, IVAN A 684 19WC 27975 TAYLOR, PEGGY LOWES HOME IMPROVEMENT 04/11/18 SEIDMAN MARGULIS & FAIRMAN 685 19WC 28004 HURST, LINDSAY PUPSTARS PET CARE 09/11/19 SLAVIN & SLAVIN 686 19WC 28038 WASHINGTON, TEARRA J IS L TRUCKING, INC 07/25/19 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 687 19WC 28116 BASTIEN, FRANK JLL CHICAGO 09/19/19 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 688 19WC 28167 WEBER, VALERIE AMITA HEALTH 06/27/19 COLLISON LAW OFFICES 689 19WC 28208 RAMIREZ, ANTHONY HOUSE OF RENTAL 09/07/19 JOSHUA KARMEL NYHAN BAMBRICK KINZIE & LOWR 690 19WC 28231 VEHRS, ALEXANDER FALCON GREEN RESOURCES 09/03/19 LANNON LANNON & BARR LTD 691 19WC 28309 OJEDA, JOSE G GRAPEVINE MEDITERRANEAN 07/10/19 DIXON LAW FIRM 692 19WC 28346 RIBANDO, CYNTHIA UNITED AIRLINES, INC. 12/07/18 RIDGE & DOWNES 693 19WC 28399 RODRIGUEZ, SAMUEL UNITED AIRLINES 09/28/19 COVEN LAW GROUP 694 19WC 28427 PEREZ REYES, ANDRES EL VALOR CORPORATION 09/16/19 BAKOV LAW LTD 695 19WC 28473 PERVEILER, MICHAEL J OTIS ELEVATOR COMPANY 10/15/18 GWC INJURY LAWYERS LLC RUSIN & MACIOROWSKI LTD 696 19WC 28560 JOHNSON, SARAH HILTON CHICAGO 09/20/19 COSTA IVONE LLC NOBLE & ASSOC 697 19WC 28592 GABALDON, JOSE MVP WORKFORCE LLC 08/27/18 BERG & BERG KOREY RICHARDSON LLC 698 19WC 28637 SPIVEY III, CHARLES CHRISTOPHER GLASS & ALUMI 09/16/19 ANKIN LAW OFFICE 699 19WC 28666 011 ROBINSON, CHANTEL PACE SUBURBAN BUS 09/19/19 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 011 17WC031743 -C 011 19WC021384 -C 700 19WC 28696 JANDO, RAINA AETNA BETTER HEALTH 02/26/19 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 701 19WC 28734 MURILLO, RENE GE MATHIS COMPANY 08/29/19 GREGORIO & MARCO WIEDNER & MCAULIFFE LTD 702 19WC 28759 WILLIAMS, NICHOLAS STAFF SOURCE 09/28/19 HORWITZ HORWITZ & ASSOC KNELL O'CONNOR DANIELWICZ 703 19WC 28789 HENSON, JANICE FORD MOTOR CO. 08/30/19 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 704 19WC 28806 HALLS, TOMMY CHICAGO TRANSIT AUTHORITY 09/23/19 JOHN S. ELIASIK CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 705 19WC 28833 MOHAMED, DIAELDIN B TAXI TOWN, INC 09/20/19 STEWART C ORZOFF 706 19WC 28916 ESTRADA, GRACE REPUBLIC DRILL CORP 06/19/19 CUSHING LAW OFFICES GAIDO & FINTZEN 707 19WC 28945 SATA, MEHMET MARIANO'S 09/08/19 SAUNDERS CONDON & KENNY 708 19WC 28961 WILLIAMS, KIOWANNA FEDERAL EXPRESS 09/06/19 CAPRON & AVGERINOS PC 709 19WC 28978 ROBLES, MARIO EL MILAGRO 10/01/19 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 710 19WC 28995 CASTRO, JUDITH ACCURATE PERSONNEL 06/27/19 MC HARGUE & JONES JOHN T GONNELLA 711 19WC 29038 HARGROVE, GLORIA MV TRANSPORTATION, INC 10/02/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 712 19WC 29062 DE FRONZO, AGOSTINO ASSOC BUILDERS & CONTRACT 07/24/19 DWORKIN AND MACIARIELLO 713 19WC 29093 GONZALEZ, IVAN M COOK COUNTY DEPT OF 07/24/19 RUBIN LAW GROUP STATES ATTORNEY OF COOK COUN 714 19WC 29125 BONILLA, HILDA J TOWNSHIP HIGH SCHOOL DIST 08/30/18 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 715 19WC 29250 MACK, VIVIAN UPS 09/24/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 716 19WC 29295 KOVACS, SOFIA CHICAGO PUBLIC SCHOOLS 10/02/19 KEVIN O'BRIEN CHGO BOARD OF EDUCATION 717 19WC 29333 CIONE, SCOTT CITY OF BERWYN 09/20/19 LEONARD LAW GROUP LLC CUDA LAW OFFICES 718 19WC 29385 GARCIA, OSCAR LEXINGTON HEALTH CARE CEN 10/02/19 MARC J SHUMAN & ASSOCIATES 719 19WC 29405 POWELL, JOE IL DEPT OF TRANSPORTATION @ 09/29/19 MORICI FIGLIOLI & ASSOC ASSISTANT ATTORNEY GENERAL 720 19WC 29424 MOORE, SAMUEL J&E DUFF 10/08/19 GERALD CONNOR BRADY CONNOLLY & MASUDA PC 721 19WC 29445 GOMEZ, OFELIA BOTELLA MULTI-TEMPS SERVICES, INC 08/12/19 HERRERA LAW CENTER GAIDO & FINTZEN 722 19WC 29464 GOLDSMITH, MINNIE JOAN DACHS BAIS YAAKOV 06/29/18 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 723 19WC 29520 SILVA, EDISON HOST INTERNATIONAL INC 09/30/19 DWORKIN AND MACIARIELLO 724 19WC 29546 SANCHEZ, URIEL SANCHEZ CONSTRUCTION SERV 10/08/19 GWC INJURY LAWYERS LLC NYHAN BAMBRICK KINZIE & LOWR 725 19WC 29551 TORRES LAZARINI, CARLOS SCRUB INC 09/25/19 WARREN W MARK 726 19WC 29603 YOUNGER, JOHNNY UNITED CEREBRAL PALSY SEG 07/13/18 STEVEN J MALMAN & ASSOCIAT 727 19WC 29652 SHIVE, FRANCEDA RAINBOW HOSPICE AND 09/25/19 COSTA IVONE LLC 728 19WC 29755 DEL SANTO, JOHN ANIXTER 09/16/19 BARRY STEWART SILVER HENNESSY & ROACH PC 729 19WC 29783 RAYFORD, RUBYLENE WALMART, INC 05/18/19 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 730 19WC 29812 STUDNICKI, KRZYSZTOF COOK COUNTY SHERIFF DEPAR 10/01/18 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 731 19WC 31023 HINES, JAMES UNITED AIRLINES 08/07/18 NICHOLAS ROBERT RECCHIA NYHAN BAMBRICK KINZIE & LOWR 19WC031024 -C 732 19WC 36024 HICKEY, TIMOTHY CITY OF CHICAGO 11/28/19 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM GRA 733 19WC 36045 MARTINEZ, ANA QUALITY ASSURANCE HUMAN 10/25/19 WOODRUFF JOHNSON 734 19WC 36070 KWAKYE, KWAME CHICAGO CARRIAGE CAB CO 11/25/19 DWORKIN AND MACIARIELLO 735 19WC 36085 OSUNA, DOMINIC MIDWEST SRO LLC 12/03/19 SKLARE LAW GROUP 736 19WC 36156 BOBAK, MARIA ABM INDUSTRIES 08/14/19 KURASCH & KLEIN, LTD GOLDBERG SEGALLA LLC 737 19WC 36191 TOLBERT, ROSIE SYKES JP MORGAN CHASE BANK 01/08/19 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC 738 19WC 36212 SLUSHER, KEISHA HOME CHEF 09/15/19 DAVID W MARTAY 739 19WC 36243 ALFARO, HUMBERTO ANNE FLYNN 04/05/19 CULLEN HASKINS NICHOLSON ARNETT LAW GROUP 740 19WC 36280 CALDERON, PEDRO ESCUTIA J&J NEWELL CONCRETE CONTR 10/14/19 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 741 19WC 36317 MARTIN, LATRINA CONCORDIA PLACE 10/29/19 HORWITZ HORWITZ & ASSOC 742 19WC 36361 BALLER, SAMUEL UPS 11/30/19 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 743 19WC 36425 HILARIO, EFRAIN TRIUNE LOGISTICS 12/06/19 COSTA IVONE LLC LITCHFIELD CAVO 744 19WC 36450 WEINBRECHT, LAWRENCE VILLAGE OF LYNWOOD-POLICE 11/05/19 STRONG LAW OFFICE 745 19WC 36482 ALONSO, ANTONIA PREMIER STAFFING COMPANY 10/16/19 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 746 19WC 36518 ACREE, MYRTLE LYDIA HEALTHCARE I, LLC 10/31/19 ANKIN LAW OFFICE 747 19WC 36576 BUSTAMANTE, MARCIAL STAR MONT MANUFACTORY 04/05/18 VASILATOS & COTTER LLC 748 19WC 36606 LARA, HUGO ACCURATE FELT & GASKET MF 05/22/19 CORNFIELD & FELDMAN JOSEPH MARCINIAK 749 19WC 36632 ZURAWSKI, DEANNA STREAMWOOD BEHAVIORAL HLT 02/05/19 ANSELMO DURAN MC ANDREWS & NORGLE LLC 750 19WC 36673 EURIOLES, JAIME PRECISION DIALOGUE 11/20/19 WEISS ORTIZ PC BRADY CONNOLLY & MASUDA PC 751 19WC 36691 MROCZEK, ANDRZEJ ABM INDUSTRY GROUP LLC 11/25/19 KATZ FRIEDMAN EISENSTEIN 752 19WC 36715 RHODES, BARRINGTON ALPHA BAKING CO, INC 09/26/19 LEONARD LAW GROUP LLC 753 19WC 36741 ROCKINGHAM, STEVEN NEXUS EMPLOYMENT SOLUTION 12/11/19 STROM & ASSOC 754 19WC 36763 ERAZO, SARA SWITCHCRAFT 07/01/19 DWORKIN AND MACIARIELLO 755 19WC 36807 ZAMORA, JORGE HIGHLAND BAKING COMPANY, 05/26/18 ANKIN LAW OFFICE FRANCESCA LARSEN 756 19WC 36835 JUDAH, JADEER F VILLAGE OF OAK PARK 09/04/19 THOMAS W DUDA NYHAN BAMBRICK KINZIE & LOWR 757 19WC 36863 JANOWICZ, ANDREW KOCSIS BROTHERS 10/31/19 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 758 19WC 36884 MURRAY, MALRON ILLINOIS BELL TELEPHONE C 12/07/19 SKLARE LAW GROUP INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 759 19WC 36935 MUNOZ, JESUS CHICAGO CUT CONCRETE CUTT 07/22/19 BRYCE DOWNEY & LENKOV LLC 760 19WC 36986 PLUTO, TONY VILLAGE OF RIVER FOREST 09/04/18 RATHBUN CSEVENYAK & KOZOL 761 19WC 37176 HERRION, SANOBYA ALLTOWN BUS CO 11/13/19 DWORKIN AND MACIARIELLO 762 19WC 37193 MEDINA, SANDRA THE FAIRMONT HOTEL 12/05/19 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 763 19WC 37215 JAMES, CHRISTOPHER J GRANITE TOOLS 06/24/19 GALLAGHER, DONALD V LEAHY EISENBERG & FRAENKEL 764 19WC 37258 CASTON, ANTONIO LUSTER PRODUCTS INC 09/11/19 ANKIN LAW OFFICE 765 19WC 37275 CLARK, VANESSA PALET CORPORATION 08/29/19 STEVEN J MALMAN & ASSOCIAT 766 19WC 37302 PANCER, JOSEPH THE CHICAGO HIGH SCHOOL 11/20/19 VRDOLYAK LAW GROUP LLC JOSEPH MARCINIAK 767 19WC 37314 FERNANDEZ, JORGE SYNERGY FLAVORS, INC 02/03/17 HANNIGAN & BOTHA, LTD 768 19WC 37350 BOZIC, NANAD MAINTENANCE & CONSTRUCTIO 11/22/19 NEWLAND & NEWLAND INMAN & FITZGIBBONS 769 19WC 37397 SANTOYO, EDSON THILLENS, INC 10/16/19 MILLON & PESKIN LTD 770 19WC 37439 CELEDON, ARNETTA ROSIE LEE GREEN W 12/30/18 CHEPOV & SCOTT LLC 771 19WC 37461 AGUILAR, PAULINE CICERO SCHOOL DISTRICT 99 12/05/19 ANGELINI & ORI LLC 772 19WC 37479 ARELZAGA, ERIK JEWEL FOODS 12/18/19 SEIDMAN MARGULIS & FAIRMAN 773 19WC 37492 OCHOA, VALENTIN CITY OF CHICAGO 08/02/19 GRAUER & KRIEGEL LLC 774 19WC 37548 JURKOWSKI, TOMASZ AMERICAN DESIGN 05/09/19 MC HARGUE & JONES EVANS & DIXON 775 20WC 00010 FLOWERS, SHAMIRE GOURMET GORILLA 11/18/19 CULLEN HASKINS NICHOLSON 776 20WC 00022 PIETRYKA, MARK P WASTE MANAGEMENT 10/20/19 DIXON LAW FIRM THOMAS J STIBERTH LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 777 20WC 00048 GRIMALDO, CECILIA, WIDOW MARINE TECHNOLOGY SOLUTIO # 12/30/19 HORWITZ HORWITZ & ASSOC 778 20WC 00075 ARBAR, AWAD TYSON FOODS, INC 02/08/18 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 779 20WC 00131 WILLIAMS, JAMIKA FIRST TRANSIT 12/31/19 EDWIN REYES LAW FIRM WIEDNER & MCAULIFFE LTD 780 20WC 00174 MURRAY, CHARLES UNITED CONTINENTAL HLDING 08/06/19 KATZ FRIEDMAN EISENSTEIN 781 20WC 00199 MCALLISTER, CATHERINE ADDUS HEALTHCARE 02/13/18 HENNESSY & ROACH PC 782 20WC 00216 PIKRONE, JOHN FEDEX 04/15/19 ANKIN LAW OFFICE 783 20WC 00240 WHITMORE, FRANKIE FRANKFORT TERRACE NURSING 12/12/19 KIPNIS & KAHN 784 20WC 00264 MORGAN, AXEL THE W.J. MCGUIRE CO 08/05/19 GWC INJURY LAWYERS LLC ACCIDENT FUND HOLDINGS 785 20WC 00298 LUCAS, JULIA WALMART, INC. 11/06/19 KARCHMAR & STONE QUINTAIROS PRIETO WOOD & BOY 786 20WC 00312 GONZALEZ, ALEXANDER N JR AMAZON 12/27/19 COVEN LAW GROUP 787 20WC 00337 PHELPS, VICTORIA UNIV OF ILLINOIS HOSPITAL 10/03/19 FRANKLIN, VALARIE P & ASSO HEYL ROYSTER VOELKER ALLEN 788 20WC 00379 BOZEMAN, SUSAN UNITED AIRLINES 11/14/18 MATT MURPHY CONSULTING 789 20WC 00403 BIELSKI, TOMASZ ABM INDUSTRIES 01/03/20 STEVEN J TENZER, LTD GOLDBERG SEGALLA LLC 790 20WC 00422 FLORES, MARIA GREAT LAKES COCA-COLA DIS 10/22/19 COSTA IVONE LLC 791 20WC 00451 NEAL, WENDELL JEWEL FOOD STORES, INC. 12/27/19 GOLDSTEIN AIOSSA & GOOD 792 20WC 00471 OLVERA URIBE, CLAUDIO AMERIGAS PROPANE COMPANY 10/31/19 LEONARD LAW GROUP LLC 793 20WC 00493 MULHALL, DANIEL ROY STROM CO 11/11/19 DAVID W MARTAY 794 20WC 00510 RIOS, RENE OXI FRESH OF CHICAGO LAND 12/18/19 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 795 20WC 00563 JACKSON, EBONY A ADAMS & ASSOCIATES, INC/ 12/11/19 ANKIN LAW OFFICE 796 20WC 00579 HAMILTON, ROENITA FORD MOTOR COMPANY 10/28/19 GOLDSTEIN BENDER & ROMANOF 797 20WC 00602 CLAY, JOSEPHINE WERNER ENTERPRISE 12/21/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 798 20WC 00628 HUIZAR, LIZA RAFIKI ZAAZU LLC DBA FLOR 12/10/19 STROM & ASSOC LAWRENCE COZZI - LAW OFFICE 799 20WC 00650 CHACKO, ALIAMMA ADVOCATE SOUTH SUBURBAN H 02/12/19 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM GRA 800 20WC 00672 HERTEL, THOMAS MEADE CONSTRUCTION, INC 08/19/19 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 801 20WC 00694 WARD, JACQUELINE SPEEDWAY LLC 12/25/19 JOHN C SERKLAND KEEFE CAMPBELL BIERY & ASSOC 802 20WC 00714 FINLAY, KEVIN P VILLAGE OF SKOKIE - FIRE 07/03/19 MORICI FIGLIOLI & ASSOC VILLAGE OF SKOKIE 803 20WC 00775 ALEGRETTI, DEBRA JEWEL FOODS 11/13/19 CUDA LAW OFFICES 804 20WC 00804 SZAMLEWSKI, MICHAEL SUNRUN, INC 09/27/19 TARADASH LAW OFFICE ADELSON TESTAN BRUNDO 805 20WC 00851 SERRANO, MIGUEL ANGEL JIM'S ORIGINAL 03/01/19 WEISS ORTIZ PC 806 20WC 00887 BLANCO, BRYAN EURO USA INC 07/13/19 JACKOWIAK LAW OFFICES 807 20WC 00908 KARCESKI, JOHN ABF FREIGHT 10/02/19 JASINSKI, GEORGE J 808 20WC 00931 DRAKOULIS, DEMOS MAACO 01/06/20 GARDI & HAUGHT PAUL O WATKISS 809 20WC 00956 FORNOF, DEBRA M SAS RETAIL SERVICES 05/13/17 BOWMAN & CORDAY KELLEY KRONENBERG 810 20WC 00995 CAPLES, ELIAS DYNASTY PROPERTIES LLC 01/07/20 LANGENDORF, ROBERT A QUINTAIROS PRIETO WOOD & BOY 811 20WC 01013 WRIGHT, AUNDRA GIM ELECTRIC CO 01/08/19 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 812 20WC 01036 CARR, TAMIKA AMERICAN AIRLINES 12/22/19 POLANSKY & CICHON CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 813 20WC 01058 GONZALEZ, IVAN BULLY & ANDREW GENERAL CN 10/02/19 ANGELINI & ORI LLC 814 20WC 01099 GONZALEZ, MARTIN EBBEN MASONRY 10/25/19 MEYERS & FLOWERS LITCHFIELD CAVO 815 20WC 01122 HERRON, BRENDON GOLD STANDARD BAKERY 03/19/19 GORDON & CENTRACCHIO LLC 816 20WC 01147 KIRK, AYANA CHIPOTLE MEXICAN GRILL 08/30/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 817 20WC 01194 PIERCE, SHARON HN PRECISION COMPANY 10/17/18 HOLECEK & ASSOCIATES 818 20WC 01333 CAMACHO, MARTHA WIDOW OF ARAMARK SERVICES, INC. # 05/10/19 MARSZALEK AND MARSZALEK 819 20WC 07314 JAROSIK, ALLAN 1800 GOT JUNK * 10/19/19 MC HARGUE & JONES 820 20WC 07327 FIGUEROA, GABRIEL LAKESHORE WASTE SERVICES, * 08/09/19 HERRERA LAW CENTER 821 20WC 07350 BURWELL, SEAN RUSH UNIVERSITY MEDICAL C * 08/29/19 GREGORIO & MARCO KEEFE CAMPBELL BIERY & ASSOC 822 20WC 07381 GUILLEN AGUIRRE, ARIEL APEX LANDSCAPING * 02/17/19 CURNYN, JOHN 823 20WC 07418 DE LA PAZ, ADRIAN T-MOBILE USA INC * 02/28/20 CZAPLA LAW 824 20WC 07442 ORIGU, ADRIAN SUDLER MANAGEMENT * 12/16/19 THE MACK LAW GROUP PC HENNESSY & ROACH PC 825 20WC 07493 MCNEAL, LONNIE IMPERIAL ZINC CORP * 01/20/20 SKLARE LAW GROUP 826 20WC 07516 GARCIA, MICHAEL J SOUND INVESTMENTS A/V DEP * 02/15/20 ANKIN LAW OFFICE 827 20WC 07534 CARTER, GLORIA UNITED AIRLINES HOLDINGS * 12/27/19 BRIAN J MC MANUS & ASSOC, 828 20WC 07567 JACKSON, KENISE HOME CHEF * 02/12/20 GERALD CONNOR 829 20WC 07571 RURIK, JUDITH HELP AT HOME LLC * 01/02/19 VRDOLYAK LAW GROUP LLC 830 20WC 07604 KOVACS, GEZA GOLD MEDAL CLEANERS * 02/10/20 MARKS INJURY LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 831 20WC 07637 BOATMAN, MARCUS RIVEREDGE HOSPITAL * 01/28/20 WHITESIDE & GOLDBERG LTD 832 20WC 07684 DIXON, JOSEPH XPO * 02/19/20 SEIDMAN MARGULIS & FAIRMAN 833 20WC 07718 ZAMBRANO, GERARDO A KINDER MORGAN LIQUIDS * 03/04/20 KOSIN LAW OFFICE LTD 834 20WC 07749 BHATT, NIRALI CLARITY CLINIC, LLC * 08/18/17 WHITESIDE & GOLDBERG LTD 835 20WC 07766 TLASECA, FABRICIO FLORES INSULATION * 03/02/20 HERRERA LAW CENTER 836 20WC 07796 CARPENTER, CHARLES JR. MARIANO'S * 10/15/19 TIMOTHY HENDERSON 837 20WC 07811 OCHOA, JOSE PARK-OHIO HOLDINGS, CORP. * 08/08/19 HOLECEK & ASSOCIATES 838 20WC 07888 BLACK, DAVID SERTOMA CENTRE, INC * 03/11/20 MC HARGUE & JONES 839 20WC 07916 SOULIMIOTIS, PETER ARTHUR GOLDINER & ASSOCIA * 03/13/20 COVEN LAW GROUP 840 20WC 07969 RUIZ, ANA MARIA MICKEY'S LINEN & * 09/27/19 THE ROMAKER LAW FIRM 841 20WC 08036 TROTTER, JONATHAN WORLDWIDE FLIGHT SVCS * 12/21/19 DEPAOLO & ZADEIKIS 842 20WC 08074 DAGANS, LAVERNE ANIXTER INC * 01/20/20 ANGELINI & ORI LLC HENNESSY & ROACH PC 843 20WC 08138 LUCENA, SALVADOR CITY OF CHICAGO * 02/18/20 HETHERINGTON KARPEL & BOBB 844 20WC 08181 ABRAMS, FRED MARIANO FRESH MARKET/ * 02/13/19 JOSHUA KARMEL BRYCE DOWNEY & LENKOV LLC 845 20WC 08299 LEAL, JOSEPH FOUND CHICAGO BOARDING & * 05/29/19 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 846 20WC 08362 BARAJAS, JUAN JACKSON SPRING & MFG. CO. * 09/06/19 TARADASH LAW OFFICE 847 20WC 08447 WEST, JAMES L CITY OF CHICAGO * 11/21/18 FITZPATRICK & FITZPATRICK 848 20WC 08473 FONTAINE, KATHERINE UPS FREIGHT * 10/31/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M KANE, DAVID 090 ARBITRATION CALL FOR CHICAGO 99090 ON 05/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 849 20WC 08498 SOTO, CELESTINO CITY OF CHICAGO * 03/05/20 STEVEN J TENZER, LTD 850 20WC 08516 STEWART, ERIC SUTTON FORD AUTO * 02/24/20 STYKA & STYKA 851 20WC 08540 RODRIGUEZ, FEDERICO SCRAP METAL SERVICES LLC * 08/04/19 EPSTEIN, JACK R LAW OFFICE 852 20WC 08564 BODUCH, TAMMY THE AUBERGE AT LAKE ZURIC * 03/24/20 GERALD CONNOR 853 20WC 08584 ORTEGA, MARICELA FORD MOTOR COMPANY * 07/16/19 MC HARGUE & JONES 854 20WC 08627 PALMORE, STANLEY CHICAGO TRANSIT AUTHORITY * 03/23/20 DISPARTI LAW GROUP PA 855 20WC 08658 COSEY, KAREN STATE OF ILLINOIS/ @ * 03/22/20 ANKIN LAW OFFICE 856 20WC 08694 HERNANDEZ, BRUNO KPR EXTERIORS INC * 03/16/20 JONATHAN SCHLACK 857 20WC 08721 PRYOR, LANYON CASSENS TRANSPORT CO * 03/03/20 GESMER & REYNOLDS PC 858 20WC 08760 MCMANAMAN, HELENN ILLINOIS DEPT OF DCFS @ * 02/11/20 TARADASH LAW OFFICE 859 20WC 08788 OWENS, EUGENIE UNITED CONTINENTAL HOLDIN * 12/11/19 KATZ FRIEDMAN EISENSTEIN 860 20WC 08815 COLANGELO, JOHN NORTH PALOS FIRE * 05/18/19 RIDGE & DOWNES 861 20WC 08824 COLLINS, KEITH UPS * 02/18/20 HUGHES SOCOL PIERS RESNICK 862 20WC 08853 MELENDEZ, DANNY RESIDENTIAL COMMERCIAL * 01/08/20 MANDELL, GREGG 863 20WC 08869 LOFURNO, MARIE UNITED AIRLINES INC. * 10/11/19 MATT MURPHY CONSULTING 864 20WC 08887 TORRES, MICHELLE ALDEN VILLAGE NORTH * 02/23/19 DAVID W MARTAY 865 20WC 08909 RHORCHI, YOUNES UNITED AIRLINES * 06/03/19 MORICI FIGLIOLI & ASSOC 866 20WC 08926 GRAY, JAMESE SRT TRUCKING * 02/19/20 CHEPOV & SCOTT LLC

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