ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 17343 CASTILLO, KIRBY S STATE OF ILLINOIS @ 10/31/01 DECKER LINN & CAMPE ASSISTANT ATTORNEY GENERAL 02WC017349 -C 05WC042245 -C ST OF IL DEPT OF MENTAL HE 05WC042304 -C 10WC012593 -C 10WC012594 -C 2 05WC 23327 EDMONDS, LEE BIG O MOVERS @ 05/05/05 GOLDSTEIN BENDER & ROMANOF 3 06WC 02015 CLONEY, MICHAEL STOGER HOSPITAL OF COOK C 05/08/05 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK CO 06WC028018 -C STROGER HOSPITAL COOK COUN 4 07WC 53612 PAGAN, JOSEPH TINLEY PARK HOWE CENTER @ 08/21/07 RUBIN & MACHADO ASSISTANT ATTORNEY GENERAL 5 08WC 06153 MARTINEZ, VICTORIA CHICAGO PUBLIC SCHOOLS 01/31/06 EPSTEIN, JACK R LAW OFFICE LEAHY EISENBERG & FRAENKEL 6 09WC 08445 GARCIA, MATILDE SOLO CUP 02/08/09 JAUREGUI & ASSOCIATES GAROFALO SCHREIBER STORM GRA 7 09WC 08569 JOSEPH, JERRY AMERICAN NATIONAL INSULAT 12/30/06 FRANKS GERKIN & MCKENNA MARTIN, PATRICK W 8 09WC 13107 ZABOROWSKI, STAN SUPERIOR MECHANICAL 11/12/08 PARENTE & NOREM PC GRANT & FANNING 9 09WC 39866 BELLO, SIKIRU TAXI AFFILIFATION SERVICE W 09/13/09 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 10 09WC 51116 MAINOR, DOLLIE CHICAGO TRANSIT AUTHORITY 10/20/09 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 11 10WC 03929 19B FITCH, NANCY ZURICH NORTH AMERICA 01/31/07 JOHN F GREGORIO & ASSOC EVANS & DIXON 12 10WC 04866 WILLIAMS, PAUL CASTINO PAINTING 12/01/09 LAW OFFICE OF WILLIAM STEA RUSIN & MACIOROWSKI LTD 13 10WC 09251 19B PECO, RONALD E FORD MOTOR CO 06/29/09 CRONIN & PETERS POWER & CRONIN LTD 14 10WC 13406 EDWARDS, GWEN CHICAGO BOARD OF EDUCATIO 10/29/09 JOHNSON, MICHAEL D & ASSOC LEAHY EISENBERG & FRAENKEL 15 10WC 21386 MARTINEZ, MARTIN P NAVISTAR/INTERNATIONAL TR 07/21/09 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 11WC027598 -C 13WC010429 -C 16WC012532 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 10WC 39793 HARDING, KATHRYN GLENWOOD-LYNWOOD PUBLIC 07/14/09 JAMES J BURKE LAW OFFICE MEACHUM & STARCK 17 10WC 42103 WESTON, PATRICIA CHICAGO TRANSTI AUTHORITY 10/10/10 SALK, STEVEN B & ASSOC LTD CHICAGO TRANSIT AUTHORITY 18 10WC 44530 AREVALO, SALLY FOLEY & LARDNER LLP 05/12/10 SLAVIN & SLAVIN KRAKER FANNING & OLSEN 19 10WC 49651 GILBERT, TIMOTHY JAMES C ISSACS, LUCY ISSA W 11/24/09 LAWRENCE A SCORDINO NEWLAND & NEWLAND 20 11WC 05539 LACH, MARGE PACTIV CORP C/O C T COPOR 01/15/11 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 15WC006981 -C 15WC006982 -C 15WC006983 -C 17WC002007 -C 21 11WC 06757 DUDA, VOLODYMYR STANLEY REBACZ TRUCKING, @ W 11/19/10 MINKOW DOMIN MACIOROWSKI SACKMANN & ULRIC 11WC022786 -C METROPOLITAN WATER RECLAMA 22 11WC 16404 19B STARCEVIC, GARY ILLINOIS DEPARTMENT OF NA @ 01/10/11 HORWITZ HORWITZ & ASSOC MATTHEW LICAVOLI 23 11WC 25135 HUTCHINSON, LARRY CTA 01/15/10 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 320 10WC017509 -C 24 11WC 28502 HERNANDEZ, ZAIDA CHICAGO BOARD OF EDUCATIO 12/18/07 MALMAN, STEVEN J LAW OFFIC CHGO BOARD OF EDUCATION 11WC028678 -C 14WC001801 -C 25 11WC 35006 DEJESUS, VIRGILIO N SILVICOM TRUCKING 10/08/10 GOLDSTEIN BENDER & ROMANOF CHEPOV & SCOTT LLC 26 11WC 40887 SLAJ, HELEN HAESOOK COOK COUNTY SHERIFF 10/13/11 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 27 12WC 15073 19B LUNA, MARIA E GROUP O 02/20/12 ALEKSY BELCHER KNELL LAW LLC 28 12WC 15501 HERNANDEZ, BETTY CHRIST HOSPITAL & 02/14/11 CAMERON CLARK NYHAN BAMBRICK KINZIE & LOWR 29 12WC 17410 FLORES, LETICIA H B STOWE 03/22/12 MARSZALEK AND MARSZALEK LAW DEPARTMENT 30 12WC 18298 19B JOYCE, JOHN GARDA GARGE 04/16/12 STEVEN J SEIDMAN LAW OFFIC KEEFE CAMPBELL & ASSOC LLC 31 12WC 20479 MALEC, JIM METRO WATER RECLAMATION 12/25/10 DWORKIN AND MACIARIELLO DENNIS J NOBEL & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 12WC 22136 SCOTT REA, DEBRA OAK FOREST HOSPITAL OF 05/15/12 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 33 12WC 25153 HOLEMS, PAMELA STATE OF ILLINOIS @ 12/02/11 SALK, STEVEN B & ASSOC LTD MATTHEW LICAVOLI 34 12WC 26741 RAMOS, MARICELA PANERA BREAD 07/26/11 MARTIN L GLINK LAW OFFICE GRANT & FANNING 35 12WC 38586 BROWN, SHARON HYATT REGENCY CHICAGO 05/10/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 14WC020279 -C 36 12WC 40929 AYALA, GREGORIO PACTIV, LLC 10/30/12 MCNAMARA PHELAN MCSTEEN LL SPIEGEL & CAHILL 37 12WC 41813 PUGA, JUAN ROJAS CONCRETE INC W 11/25/12 JONATHAN SCHLACK 38 12WC 42751 19B BERRY, LAURA K HMSHOST CBR SPECIALTY RET 11/09/11 ATSAVES, LOUIS G LTD ROBERT L. SMITH 39 13WC 01185 TAKAKI, EVELYN CHICAGO BOARD OF EDUCATIO 12/26/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 40 13WC 09893 HARRIS, DOROTHY ABM JANITORIAL SERVICES 11/17/12 ANKIN LAW OFFICE LITCHFIELD CAVO 15WC005267 -C 41 13WC 13354 SANCHEZ, JUAN SILVER LINE WINDOW COMPAN 11/26/12 MARSZALEK AND MARSZALEK LEAHY EISENBERG & FRAENKEL 42 13WC 14556 GONZALEZ, SANTIAGO MC LAUGHLIN CONCRETE, INC 04/29/13 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 15WC001153 -C 43 13WC 16160 HERNANDEZ, ROGUE CHICAGO TRANSIT AUTHORITY 04/25/13 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 16WC004297 -C 44 13WC 17880 MARQUARDT, DANIEL J LAGRANGE CRANE SERVICES 04/20/13 JASINSKI, GEORGE J LITCHFIELD CAVO 45 13WC 20439 DORSEY, CRAIG CITY OF CHICAGO DEPARTMEN 05/10/13 VRDOLYAK LAW GROUP LLC 46 13WC 22911 JACKSON, SHEILA ANN DCFS 06/19/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 47 13WC 22969 PICKERING, KENNETH CHICAGO PARK DISTRICT 06/03/13 SALVATO & O'TOOLE CHICAGO PARK DIST LAW DEPT 48 13WC 23232 CARMONA, GABINA INDIO INC W 08/09/10 TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 13WC 23774 MCNAMARA, ROBERT III VILLAGE OF ARLINGTON HEIG 01/29/12 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 50 13WC 24954 MORALES, GABINO NATIONAL CONCRETE PIPE CO 11/19/12 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 51 13WC 25620 KELLY, SUSAN M CBOE 04/04/13 KREITER, BYCK & ASSOC LLP LAW DEPARTMENT 52 13WC 26470 FLORES, WILMER V MARHABA FOODS W 10/31/12 CULLEN HASKINS NICHOLSON 53 13WC 26608 ARRIAGA, JOAQUIN THE BEVERLY COUNTRY CLUB 06/29/13 CULLEN HASKINS NICHOLSON NOBLE & ASSOC 54 13WC 30653 JOHNSON, ROLAN D UNITED PARCEL SERVICES (U 08/19/11 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 15WC027622 -C UPS 55 13WC 33689 HANDFORD, NORMA FORD MOTOR COMPANY 01/31/13 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 14WC041772 -C 16WC018118 -C 56 13WC 33940 WALKER, LOLITA E CHECKERS W 06/03/13 SOSTRIN AND SOSTRIN PC 57 13WC 41426 SALGADO, JOSEFINA CHICAGO BOARD OF EDUCATIO 11/06/13 CHRISTIAN & MANNO LAW DEPARTMENT 58 14WC 00632 RODRIGUEZ, JUAN LABOR POOL 10/23/13 HORWITZ HORWITZ & ASSOC 16WC030038 -C 59 14WC 01817 ALBRIGHT, THOMAS COOK COUNTY SHERIFF'S 01/07/14 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 60 14WC 02578 BUGG, MARIO S PORTLAND STREET CHURCH OF W 01/14/14 VITELL & SPITZ LTD 61 14WC 08049 FAULKNER, CARL THE LOCK UP SELF STORAGE 11/26/13 DWORKIN AND MACIARIELLO THOMAS & PORTELA 62 14WC 08362 GOERING, ALAN W CICERO SCHOOL DISTRICT 99 02/21/14 DEPAOLO & ZADEIKIS INMAN & FITZGIBBONS 63 14WC 08490 ORTIZ, ANTONIO TOOTSIE ROLL CORP 02/10/14 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 14WC018398 -C 64 14WC 12152 MENTZ, SARAH WHITE ARROW 02/11/14 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 65 14WC 12826 TRIPLETT, MAURICE UNIVERSITY OF CHICAGO MED 11/07/13 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 14WC 12828 HOWARD, DONNA G SHERIFF DEPARTMENT 02/05/14 JOHN S. ELIASIK INMAN & FITZGIBBONS 67 14WC 13288 RODRIGUEZ, SYLVIA ABMJANITORIAL 02/06/14 SEIDMAN MARGULIS & FAIRMAN GOLDBERG SEGALLA LLC 68 14WC 13362 GARCIA, RODRIGO DC HEATING COOLING & CONS W 04/04/14 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC 69 14WC 14230 CLANCY, TYLER BUFFALO WNGS & RINGS 03/30/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 70 14WC 14331 ROWE, LISA SIMON PROPERTY GROUP INC 07/25/13 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 71 14WC 17625 MOURLES, JOHN COOK COUNTY SHERIFF 05/14/14 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 72 14WC 22597 GALVEZ, JERONIMA FERRARA PAN CANDY 05/20/14 GRAZIAN & VOLPE PC HOLECEK & ASSOCIATES 14WC022598 -C 73 14WC 23898 SARDO, CHRISTOPHER VILLAGE OF FRANKLIN PARK 02/06/14 DEPAOLO & ZADEIKIS INMAN & FITZGIBBONS 14WC023899 -C 74 14WC 24009 CABRERA, MARIO BREAK THRU ENTERPRISE INC 12/05/13 PARAG P. BHOSALE 75 14WC 24460 IGNATOWICZ, NANCY R LOYOLA UNIVERSITY MEDICAL 01/25/13 ANESI OZMON RODIN NOVAK KO LORENZ & BERGIN PC 76 14WC 24521 GATES, DARRICK C STATE OF IL DEPT OF HS 06/03/14 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 77 14WC 24924 O'NEAL, CAROL YOUGH OUTREACH SERVICES 06/07/14 LAW OFFICE OF SCOTT B SHAP BRADY CONNOLLY & MASUDA PC 78 14WC 25363 WIDMAN, CHERYL CPS 05/12/14 DWORKIN AND MACIARIELLO LAW DEPARTMENT 79 14WC 30709 DAVIS, TINA CTA 09/05/14 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 80 14WC 31482 19B DUBOISE, VIRGINIA CHICAGO COMMONS 11/12/13 LAW OFFICE EDWARD LICHTENS BRADY CONNOLLY & MASUDA PC 81 14WC 33088 HAKKY, LHSAN PARK RIDGE COUNTRY CLUB 06/06/13 CUDA LAW OFFICES NOBLE & ASSOC 14WC033089 -C 14WC033090 -C 15WC014143 -C 82 14WC 33866 HENRY, JOHN E GRAND PRAIRIE TRANSIT INC 08/20/14 CHRISTINE F DAVID GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 14WC 34286 SPOOLSTRA, SHELLEY A ANKER TRUCKING 03/21/14 O'CONNOR & NAKOS JAMES M KELLY 84 14WC 34797 DIVENERE, NICHOLAS D ILLINOIS DEPARTMENT @ 09/25/14 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 16WC033509 -C IDOT 85 14WC 34841 SUPERSON, LUANN NORTHWESTERN UNIVERSITY 02/01/12 MARC J SHUMAN & ASSOCIATES 86 14WC 35640 JOSEPH, MARY DENISE CHICAGO PUBLIC SCHOOLS 09/03/14 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 87 14WC 36349 RUIZ, MARIA PALOS COMMUNITY HOSPITAL 05/13/14 JONATHAN SCHLACK LORENZ & BERGIN PC 88 14WC 36728 BRITO, GUADALUPE UNITED TEMPS, INC, 09/02/14 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 15WC005989 -C 15WC005990 -C 89 14WC 36809 CYNAR, MAREK OAKTON PAVILLION INC 08/29/14 BELLAS & WACHOWSKI BRADY CONNOLLY & MASUDA PC 90 14WC 39965 MOORE, TORIAN COOK COUNTY SHERIFF 09/02/14 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN 15WC033201 -C 91 15WC 00517 FRAZIER, TAKEYSHA CHICAGO TRANSIT AUTHORITY 01/05/15 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 15WC031395 -C 17WC024741 -C 17WC024742 -C 17WC024743 -C 92 15WC 00646 KARTOM, MARLIN ADMIN OF E CHICAGO DIAL INDICATOR 05/02/14 COVEN LAW GROUP ACCIDENT FUND HOLDINGS 93 15WC 01205 MENDEZ, JOSE GUADALUPE CLEAR STAFF INC 01/08/15 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 94 15WC 01808 MACIAS, ROBERTO WALSH CONSTRUCTION 12/11/14 RUBIN LAW GROUP HINSHAW & CULBERTSON 95 15WC 02180 HEALY, WILLIAM J NORTH PALOS SCHOOL 10/24/14 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 96 15WC 02454 MENDEZ, ROSALMA THOMAS KELLY HIGH SCHOOL 12/17/14 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 97 15WC 02653 PAREDES, JUANA HELP AT HOME 10/14/14 PARENTE & NOREM PC MEACHUM & STARCK 98 15WC 06272 WYATT, MICHAEL SG 360 09/08/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 99 15WC 10659 ELALLAOUI, JAMAL UBER 03/20/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 100 15WC 10748 ROSARIO, VINCENT WHITE CASTLE 03/01/15 MARC J SHUMAN & ASSOCIATES SPIEGEL & CAHILL, PC 101 15WC 10759 ZAHRADNICEK, JANUSZ CHICAGO MEAT AUTHORITY IN 10/09/14 BELLAS & WACHOWSKI LITCHFIELD CAVO 102 15WC 10918 VILLALOBOS, ISRAEL EMPLOYCO GROUP, HR STAFF 12/02/14 EPSTEIN, JACK R LAW OFFICE 103 15WC 11981 CAPPETTA, LEILANI MORTON COLLEGE 02/12/15 CUDA LAW OFFICES POWER & CRONIN LTD 104 15WC 12084 BYNUM-PEARSON, JONNITA M CTA 12/13/12 BUDIN LAW OFFICES CHICAGO TRANSIT AUTHORITY 15WC012085 -C 105 15WC 12833 LIMIAK, BRAVELISIA I FOUR SEASONS HOTEL 09/16/14 PARENTE & NOREM PC GRANT & FANNING 106 15WC 13206 JOHNSON, DAVID LUIS CONSTRUCTION W 04/12/15 MARC J SHUMAN & ASSOCIATES 107 15WC 13256 ESCOBAR, JULIAN MOST VALUABLE PERSONNEL 02/18/15 PARENTE & NOREM PC KOREY RICHARDSON LLC 108 15WC 13615 ROMERO, LILIANA CHICAGO READ MENTAL HEALT @ 12/03/14 BART DURHAM ASSISTANT ATTORNEY GENERAL 109 15WC 13674 CRONIN, PATRICK ADJUSTABLE FORMS, INC. 03/30/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 110 15WC 14087 JAKUBOSKY, JULIE AMERICAN AIRLINES, INC 05/20/13 GREGORIO & MARCO ROSARIO CIBELLA 111 15WC 14249 SCAIFE, CYNTHIA COOK COUNTY 04/20/15 THE MACK LAW GROUP PC STATES ATTORNEY OF COOK COUN 112 15WC 18296 THOMAS, GENEVA CTA 04/27/15 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 113 15WC 20684 ARCHIE, BRETT E EXPRESS JET INC 12/31/14 SALK, STEVEN B & ASSOC LTD SPIEGEL & CAHILL, PC 114 15WC 21844 AYALA, ROSA HOLY CROSS MT. SINAI 03/24/15 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 115 15WC 22543 KLEPEK, ROBERT JB HUNT TRANSPORT SERVICE 06/08/15 SEIDMAN MARGULIS & FAIRMAN 116 15WC 22837 FAHEEM, ABDUL WILLIAM P GRAY ELEMENTARY 06/09/15 VASILATOS & COTTER LLC CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 15WC 22987 MIKRUT, JOHN PRECISION FRAME 03/23/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 118 15WC 23058 ALMERAZ, LAURIE HONEYWELL 05/25/11 COVEN LAW GROUP EVANS & DIXON 119 15WC 24885 GOMEZ, HERMINIA ELITE STAFFING 07/07/15 ENCINAS & ORNELAS GOLDBERG SEGALLA LLC 120 15WC 24952 WOJCIK, DAMIAN KITCHEN AND BATH DESIGN 2 W 06/01/15 CHASE & WERNER LTD 121 15WC 25225 SOTELO, ANA PRESTIGE MAINTENANCE 10/17/12 LUIS A ACEVES & ASSOC 15WC025226 -C 122 15WC 25462 GASKILL, ANNETTE FORD MOTOR COMPANY 06/10/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 18WC012723 -C 123 15WC 25719 TRICE, JOYCE ALLIED BARTON SECURITY SE 05/14/15 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM GRA 124 15WC 30534 LOPEZ, EDWYN BRENNAN MASONRY CO 07/15/15 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 125 15WC 31558 RICHARDSON, SHEILA CTA 09/28/15 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 126 15WC 31758 19B WILLIAMS, CARL THE HILL GROUP 07/03/15 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 127 15WC 32624 FLORES, OSCAR NAVISTAR 10/15/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 128 15WC 32813 BETTS, CAROLYN A JACKSON PARK HOSPITAL 09/27/15 CULLEN HASKINS NICHOLSON ODELSON & STERK 129 15WC 32860 PAYONK, EILEEN ILLINOIS STATE POLICE @ 09/24/15 RIDGE & DOWNES ASSISTANT ATTY GENERAL 130 15WC 33014 URGILES, JUANA KOCH FOODS 09/28/15 MC HARGUE, JAMES P LAW OFF INMAN & FITZGIBBONS 131 15WC 33235 REICHENBERGER, JACK JAMES WALKER MFG CO 09/24/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 132 15WC 33307 LOPEZ, IGNACIO CITY OF CHICAGO FLEET MGM 05/10/15 WEISS ORTIZ PC 133 15WC 33454 JOHNSON, FELICIA ST COLETTA 09/21/15 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 134 15WC 34510 BROWN, ADRIENNE, WIDOW OF STATE OF ILLINOIS 09/04/15 DAVID W MARTAY ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 15WC 34644 LEWIS, TONY ADT SECURITY SERVICES LLC 05/01/15 HORWITZ HORWITZ & ASSOC 136 15WC 34981 JENNINGS, FRANK ROBBINS POLICE DEPARTMENT 10/19/15 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 18WC005546 -C 137 15WC 35036 WEST, JAMES SOUTHWEST AIRLINES 06/29/15 KARCHMAR & STONE HENNESSY & ROACH PC 138 15WC 36042 TALLES, CHRISTOPHER NASH BROTHERS CONSTRUCTIO 03/03/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 139 16WC 01821 MCGEE, SUSAN ADVOCATE PHYSICIAN PARTNE 10/29/15 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 140 16WC 01848 ADAMS, CHERYL THE VILLA AT EVERGREEN PA 09/25/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 141 16WC 02393 TEER, CHRISTOPHER ALGUIRE'S FIREWOOD 11/19/15 DWORKIN AND MACIARIELLO 142 16WC 02516 HUDSON, VALERIE DEPT OF JUVENILE JUSTICE @ 11/12/15 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTY GENERAL 143 16WC 02914 CIOFALO, DONNA GRADY'S GRILLE 11/30/15 VRDOLYAK LAW GROUP LLC LAW OFFICE OF PAUL O WATKISS 144 16WC 03050 SANDERS, KELVIN ROSEMONT EXPOSITION SERVI 01/16/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 145 16WC 03210 MEEHLEIB, LYDON AMERICAN AIRLINES INC 11/10/15 DEPAOLO & ZADEIKIS GAROFALO SCHREIBER STORM GRA 146 16WC 03234 PALACIOS, RICARDO MERCHANDISE USA 04/13/15 CANDIANO LAW OFFICE MEACHUM & STARCK 17WC006295 -C 147 16WC 03969 SIMMONS, JERMAINE CTA 01/29/16 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 148 16WC 04117 ROESEL, MATTHEW VULCAN MATERIALS CO 11/02/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 149 16WC 04155 KARLATIRAS, JASON WIRTZ BEVERAGE IL 12/24/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 16WC 04339 HILL, CAROL CITYOFCHICAGO-DEPT OF AVI 01/28/16 MARC J SHUMAN & ASSOCIATES 151 16WC 04402 MONTEJANO, ROSA GHM INC DBA HILTON OAK LA 12/10/15 JONATHAN SCHLACK KOPKA, PINKUS DOLIN, PC 16WC016198 -C 152 16WC 04551 TARKA, JOSEPH CTA 01/18/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 153 16WC 04850 GARCIA, YESENIA LOYOLA MEDICINE 01/04/16 THE ROMAKER LAW FIRM LORENZ & BERGIN PC 154 16WC 04923 ANTUNEZ, GILDARDO CAS CONSTRUCTION 01/05/16 PARENTE & NOREM PC CACCHILLO LAW GROUP LLC 155 16WC 04968 GUZMAN, JOSE HBK ENGINEERING 03/25/15 CAPRON & AVGERINOS PC GILDEA & COGHLAN 156 16WC 04991 19B RODRIQUEZ, MARIA EDIBLE CUTS 01/26/16 JOHN F GREGORIO & ASSOC ROBERT L. SMITH 157 16WC 05018 MARTINEZ, MARIA THE FIELD MUSEUM 01/18/16 EFTEKHARI LAW OFFICES STONE & JOHNSON CHARTERED 158 16WC 05155 LOCKHART, DEBORAH CTA 01/20/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 159 16WC 09376 OVIEDO, OCTAVIO FRESH FARMS 04/13/14 JOHN S. ELIASIK 160 16WC 10541 MEDINA, SERGIO RICO FRESH MARKET 11/20/15 SALVATO O'TOOLE FROYLAN INMAN & FITZGIBBONS 161 16WC 10972 THOMAS, JACQUELINE STATE OF ILLINOIS DEPT @ 03/24/16 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTY GENERAL 162 16WC 11651 ESON, RANDI GAP INC. 02/22/16 ANKIN LAW OFFICE ROBERT L. SMITH 163 16WC 11847 OLMEDO, IGNACIO ACAXTENCO PARK ONE, INC. 03/07/16 INJURY LAWYERS OF IL HOLECEK & ASSOCIATES 164 16WC 12013 GOMEZ, CARMELLA UNIVERSITY OF ILLINOIS 01/21/14 VASILATOS & COTTER LLC HEYL ROYSTER VOELKER & ALLEN 16WC015351 -C 165 16WC 12097 BULVAN, ANTHONY PEPSI COLA 10/05/15 HORWITZ HORWITZ & ASSOC ROBERT L. SMITH 166 16WC 12703 QUINTERA, ANTONIO PENA GB SPRINKLER SYSTEMS INC 01/26/16 EDWIN REYES LAW FIRM JOSEPH MARCINIAK 167 16WC 12734 NIETO, LUZ MARIA DESLAURIERS, INC. 03/14/16 ACEVES & PEREZ PC BORGELT POWELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 16WC 12963 TEMPLE, MICHELLE FORD MOTOR COMPANY 08/17/15 FOHRMAN, DONALD W & ASSOCS 169 16WC 13084 KISKA, KENNETH NAMECO USA INC C/O NATL R 03/31/16 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 170 16WC 13181 BUTLER-DANIELS, DONITA FORD MOTOR COMPANY 05/19/15 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 16WC013182 -C 16WC013183 -C 16WC013184 -C 171 16WC 13504 WINTERS, TANASHIA UNIVERSITY OF ILLINOIS AT @ 03/03/15 COVEN LAW GROUP POWER & CRONIN LTD 172 16WC 13613 STRAUGHTER, RICKY ASAP TEMP AGENCY 04/18/16 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 173 16WC 13766 FREEMAN, YOLANDA SCR MEDICAL TRANSPORTATIO 01/10/16 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 174 16WC 13915 JEFFERSON, CARL CITY OF CHICAGO - DEPARTM 02/22/16 TAMVAKIS, GEORGE L 175 16WC 14055 HAWKINS, CEDRIC CITY OF CHICAGO DEPARTMEN 04/22/16 HORWITZ HORWITZ & ASSOC 176 16WC 14451 WILLIAMS, TAMMIE CHICAGO STATE UNIVERSITY 04/28/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 177 16WC 14838 FABIANO, GINA JONES LANG LASALLE, INC. 12/22/15 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 178 16WC 14931 MCGRADY, JAMES STATE OF IL-SECRETARY OF 04/05/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 179 16WC 15586 TUTU, KWAME OSEI RNBBS TAXI, LLC 03/15/16 BRUCE RAFALSON LTD 180 16WC 19919 MOORE, VINCENT THE HABITAT COMPANY, LLC 06/01/16 ROSENFELD HAFRON SHAPIRO F LAW OFFICES JOSEPH MARCINIAK 181 16WC 22045 ROGERS, TARINA THE VILLAGE AT WINDSOR PA 07/13/16 COSTA IVONE LLC FRANCESCA LARSEN 182 16WC 22167 KAHIN, ADAR KOCH FOODS, INC 03/31/16 ARGIONIS & ASSOCIATES LLC MACIOROWSKI SACKMANN & ULRIC 183 16WC 22188 OCAMPO, IMER RICHARD E CHIEMLEWSKI D/B 05/17/16 MENDOZA LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 184 16WC 22414 LAWSON, PAULETTE PROVIDENT HOSPITAL OF COO 05/18/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 185 16WC 22787 JEFFERSON, ANTHONY CHICAGO BEARS FOOTBALL CL 09/03/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC023775 -C 186 16WC 22895 CARDOZA, GUADALUPE MERCY HOSPITAL 06/01/16 ARNOLD & KADJAN LORENZ & BERGIN PC 187 16WC 22926 RAMIREZ, RENE WHEATLAND TUBE 07/05/16 MC HARGUE & JONES GAROFALO SCHREIBER STORM GRA 188 16WC 23038 HUNT, MARY FORD MOTOR COMPANY 06/22/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 189 16WC 23068 KEICHINGER, MICHELLE A. SOUTHWEST AIRLINES, CO. 07/16/16 KOSIN LAW OFFICE LTD HENNESSY & ROACH PC 190 16WC 23119 DUBOIS, EILENE P CHICAGO PUBLIC SCHOOLS 04/27/16 MC HARGUE & JONES CHGO BOARD OF EDUCATION 191 16WC 23479 TEODORO, ALONSO CHICAGO BOTANIC GARDEN 06/28/16 RUEDA, IVAN A JOSEPH MARCINIAK 192 16WC 23730 JOHNSON, ANTOINE COOK DUPAGE TRANSPORTATIO 08/03/13 HEALY SCANLON LAW FIRM 193 16WC 24615 KOUNITSKAYA, ELENA ELIZABETH WEST, BRADLEY W W 05/18/16 SMOLER LAW OFFICE, PC LAW OFFICE OF BAHTIAR HOXHA 194 16WC 24684 YOUNG, TAWANNA M CITY OF CHICAGO STREET & 07/26/16 DEPAOLO ZADEIKIS GORE 195 16WC 24710 WHITE, FRANCES ADVOCATE CHRIST MEDICAL C 02/03/16 GRAZIAN & VOLPE PC NYHAN BAMBRICK KINZIE & LOWR 196 16WC 24743 JONES, LINDA CVS PHARMACY 05/20/16 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 197 16WC 24923 MALDONADO, JUANA ENTERPRISE HOLDINGS 07/27/16 RUSSO & RUSSO LTD KEEFE CAMPBELL & ASSOC LLC 198 16WC 24942 PAYTON, QUIZET T COOK DUPAGE TRANSPORTATIO 07/30/16 ANKIN LAW OFFICE 199 16WC 25340 GAITE, IKE AMERICAN AIRLINES 07/09/16 VRDOLYAK LAW GROUP LLC 200 16WC 25434 MONTANEZ, ALEX NEARLY NEW BIKES 07/26/16 201 16WC 25595 MATTHEWS, WALTER DIRECTSAT 08/17/16 VASILATOS & COTTER LLC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 202 16WC 25605 WIEDENSKI, CASIMIR DEVENIR ENTERPRISES, INC 03/07/15 GOLDSTEIN BENDER & ROMANOF EVANS & DIXON 203 16WC 25781 BANKS, ALBERT DSC LOGISTICS 08/17/16 MC HARGUE & JONES MEACHUM & STARCK 16WC025782 -C 204 16WC 27593 HARRIS, DOROTHY ABM 06/30/16 COHN & COHN LITCHFIELD CAVO 205 16WC 28627 ERVIN, YOLANDA TOWER AUTOMOTIVE 08/29/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 16WC028628 -C 19WC006654 -C 206 16WC 28881 MOSLEY, DAVID CHICAGO TRANSIT AUTHORITY 08/30/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 207 16WC 32248 QUALLS, CAIUS TITAN 360 05/19/15 GREGORIO & MARCO BRYCE DOWNEY & LENKOV LLC 208 16WC 32427 WOODY, KELLY BEYONG EXHIBIT LOGISTICS 09/08/16 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 209 16WC 32521 BAILEY, DALE FORD MOTOR CO 10/01/16 STEPHAN L. HOFFMAN 210 16WC 32900 BARRERA, MARIA CARMEN RTS PACKAGING LLC 03/03/16 EPSTEIN, JACK R LAW OFFICE 211 16WC 32962 REYES, MARTHA L BRIDGE HOUSE TAVERN 10/10/16 ACEVES & PEREZ PC 212 16WC 33036 FARIAS, MANUEL CITY OF CHICAGO DEPT OF 09/29/16 ANKIN LAW OFFICE 213 16WC 33369 MAMADOU, TRAORE FLASH CAB 10/15/16 WARREN W MARK 214 16WC 33641 RAMIREZ, EPIFANIA BIO STAR FILMS, LLC 10/17/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 16WC033642 -C 215 16WC 33685 MORALES-SALGADO, CELIA TOWER AUTOMOTIVE 09/07/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 216 16WC 33830 MARES, JANET WALMART 06/06/16 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 217 16WC 33888 CONTRERAS, LUIS F UNION AUTO SALES 02/25/16 218 16WC 33995 BARRE-GRIFFIN, PAMELA A CITY OF CHICAGO/ DEPT OF 08/26/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 16WC 34085 KEITH, MICHAEL U.S.A TRUCKING LLC 10/04/16 BAUM RUFFOLO & MARZAL LTD 220 16WC 34102 WILSON, DANNY CHICAGO TRANSIT AUTHORITY 10/30/16 LAW OFFICES TIMOTHY HENDER CHICAGO TRANSIT AUTHORITY 221 16WC 34119 19B MITROSZEWSKI, DARIUSZ JARO ROOFING CO 11/07/16 COVEN LAW GROUP HOLECEK & ASSOCIATES 222 16WC 34167 DEFRANCESCHI, CATHY CITY OF EVANSTON/ 10/22/16 CULLEN HASKINS NICHOLSON 223 16WC 34274 MCGINNIS, DEBRA VALSPAR CORP 03/14/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 224 16WC 34299 YOHANNES, EFREM 24 SEVEN TAXI ASSOCIATION 10/20/16 HETHERINGTON KARPEL BOBBER LAW OFFICES DEBORAH SCHAEFER 225 16WC 34347 VICARIO, MIKE CTA 10/18/16 BERG & BERG CHICAGO TRANSIT AUTHORITY 226 16WC 34371 CAMPOS, CESAR CONTRERAS J BEARY LANDSCAPING 10/25/16 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 227 16WC 34513 HARRIS-RICHARDSON, SUSIE COOK COUNTY DEPT OF CORRE 10/27/16 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 228 16WC 34647 JAMES, ICEAPHINE J METROSTAFF, INC. 11/02/16 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 17WC019100 -C 229 16WC 34740 HUDSON, ANTONIO CHICAGO PUBLIC SCHOOLS 04/28/16 RUBENS AND KRESS CHGO BOARD OF EDUCATION 230 16WC 34796 RODRIGUEZ, BELEN WINSTON BRANDS, INC 10/20/16 HERRERA LAW CENTER JOSEPH MARCINIAK 231 16WC 34924 ANAYA, ADAYR MCDONALD'S 03/05/16 COSTA IVONE LLC 232 16WC 35155 VIRANI, PYARALI V CHICAGO POLO XII, INC 10/29/16 SALVATO & O'TOOLE LAW OFFICES DEBORAH SCHAEFER 233 16WC 36700 YARBER, GIOVANI FORD MOTOR COMPANY 10/20/16 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 16WC036701 -C 17WC023461 -C 234 16WC 37983 HARDY, KENNETH C FORD MOTOR COMPANY 10/20/16 COHN & COHN POWER & CRONIN LTD 235 17WC 02040 CRUZ, JUAN ACME ALLIANCE, LLC 10/10/16 LAW OFFICES LEONARDO MORAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 17WC 02125 KHALIL, IMAD UNIFIED CARRIER SERVICES W 01/11/17 237 17WC 02317 ANDERSON, SANDRA UNITED AIRLINES INC. 10/29/16 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 238 17WC 02423 RAMIREZ, MANUEL TORO CONSTRUCTION CORP 01/16/17 FREDRICK B BARDER, LTD KELLEY KRONENBERG 239 17WC 02506 HUNTER, GABRIELLE CHICAGO PUBLIC SCHOOLS 09/14/16 ROSENFELD HAFRON SHAPIRO F CHGO BOARD OF EDUCATION 17WC002507 -C 240 17WC 02589 MATTHEWS, AMRK BEST PRACTICES STAFFING 08/11/16 ERIC M GLASSON & ASSOCIATE 241 17WC 02724 CRAWFORD, ALMARIO ILLINOIS DEPT OF CHILDREN @ 01/10/17 KARCHMAR & STONE ASSISTANT ATTY GENERAL 17WC003700 -C IL DEPT OF CHILDREN & FAMI 242 17WC 02753 JONES, KATRINA CHICAGO PUBLIC SCHOOLS 01/18/17 LEONARD LAW GROUP LLC CHGO BOARD OF EDUCATION 243 17WC 02984 DICKMAN, ROGER RG CONSTRUCTION 11/11/16 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 244 17WC 03033 FALLUCCA, GIOVANNA JEWEL FOOD STORES 03/04/16 FRANK A CELANI BRADY CONNOLLY & MASUDA PC 18WC016057 -C 245 17WC 03041 ELMI, ABDULKADIR KARABOOM CAB CO INC 01/20/17 FISHER & LAMONICA 246 17WC 03127 JONES-ESCHO, LADONNA M STATE OF IL, DEPT OF HS 01/22/17 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 247 17WC 03378 GARCIA, ISABEL HOSPITALITY STAFFING SOLU 01/01/17 COSTA IVONE LLC SPIEGEL & CAHILL, PC 248 17WC 03460 CARDOSO, ROBERT UPS 01/17/17 LEONARD LAW GROUP LLC ASA LAW GROUP 249 17WC 03597 VICTORIA JR, GILLERMO ELECTRIC MOTOR CORP 07/14/16 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 17WC003598 -C 17WC022604 -C 18WC007753 -C 18WC032929 -C 250 17WC 03620 HOULE, DENNIS MULTI-TEMPS SEVICES INC 09/15/16 SANDMAN LEVY & PETRICH ROBERT L. SMITH 251 17WC 03660 DJOLIC, FRANK COSTCO WHOLESALE 12/02/16 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 17WC 03710 MEADE, PAGE UNITED AIRLINES 12/25/16 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 253 17WC 03746 SMITH, CATHERINE SOUTHWEST AIRLINES 10/08/16 DWORKIN AND MACIARIELLO 254 17WC 03769 CLEVELAND, JASMINE FORD MOTOR COMPANY 01/18/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 255 17WC 03776 DIAZ, WHILDY DE JESUS CARLISLE COMPANIES INC 12/01/16 CHEPOV & SCOTT LLC KNAPP, OHL & GREEN 256 17WC 03880 ROBERTS, TIFFANY EASTERSEALS ACADEMY 11/01/16 MARC J SHUMAN & ASSOCIATES 257 17WC 03931 GRAZIANI, MARK TOWER AUTOMOTIVE 01/13/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 17WC033852 -C 258 17WC 03979 KYSER, LARRY BERRY PLASTICS 01/26/17 JAMES J BURKE LAW OFFICE 259 17WC 04478 LOWE, DUSTIN U.S. EXPRESS 08/25/16 260 17WC 04707 COPELAND, SONYA UNITED AIRLINES 09/18/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 261 17WC 04766 DIAZ, AMAURY C DELTA LOGISTICS INC IL 02/02/17 ANKIN LAW OFFICE LITCHFIELD CAVO 262 17WC 08160 DERBIGNY, JASMINE DAKKOTA INTEGRATED SYSTEM 02/02/17 KATZ FRIEDMAN EAGLE ET AL 263 17WC 11682 ANDREWS, GINA THE VILLA AT EVERGREEN PA 03/31/17 JAMES ELLIS GUMBINER & ASS 264 17WC 11761 MIKLOVIK, ROXANNA SOUTHWEST AIRLINES 06/29/16 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 18WC010492 -C 265 17WC 11884 NAJMAH, JAMEELAH H PREMIER HOME HEALTH CARE 09/09/16 BRILL & FISHEL HOLECEK & ASSOCIATES 266 17WC 12281 SANTIAGO, MIGUEL GHC MECHANICAL INC 01/27/17 LAW OFFICES MICHAEL HELLMA KEEFE CAMPBELL & ASSOC LLC 17WC020872 -C 267 17WC 12406 REGALADO, ALEJANDRO MEXUS INC 04/05/17 LAW OFFICES MICHAEL HELLMA 268 17WC 12570 HULMANOVA, IVANA SUNSET AVIATION, LLC D/B/ 11/12/16 FIORENTINO LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 17WC 12633 BONO, STEVEN M RELIABLE CONTRACTING 02/07/17 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 270 17WC 12648 CHAVEZ, ALEX AMERICAN BODY CO, INC 04/17/17 STROM, NEAL B GANAN & SHAPIRO 271 17WC 12730 CARILLO, REGINO ALPHA BAKERY @ 02/17/17 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 272 17WC 13066 JACKSON, DWAYNE PRUDENTIAL SECURITY, INC 03/11/17 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 273 17WC 13091 GONZALEZ, OMAR JAIMES ASSEMBLERS INC 10/07/16 KARCHMAR & STONE CAPUANI, FRANK S 274 17WC 13225 HARDIMON, EUGENE CHICAGO TRANSIT AUTHORITY 04/26/17 275 17WC 13251 SMITH, MICHAEL N. COOK COUNTY SHERIFF DEPT. 04/26/17 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 276 17WC 13302 MILLS, SHERRIE UNITED AIRLINES INC 06/14/16 GREGORIO & MARCO WIEDNER & MCAULIFFE LTD 277 17WC 13511 BOONE, RHONDA HARVEY PARK DISTRICT 05/01/15 KADZAI LAW GROUP DEL GALDO LAW GROUP LLP 278 17WC 13644 WILLIAMS, KOJUANA CHICAGO TRANSIT AUTHORITY 04/29/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 279 17WC 13687 QUEZADA, LUIS AIRCHECK 05/02/17 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 280 17WC 13780 TORRES, EDUARDO COOK COUNTY 04/14/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 281 17WC 13932 JEFFERSON, MICHAEL FORD MOTOR CO. 04/25/17 VASILATOS & COTTER LLC WIEDNER & MCAULIFFE LTD 282 17WC 13983 SHERRELL, ROBERT M WEIRD LIFE LLC 04/23/17 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 283 17WC 14136 MECCIA, FRANK PRESENCE RESURRECTION MED 11/26/16 SEIDMAN MARGULIS & FAIRMAN 284 17WC 14166 LEE, TWANA ADDUS HOME CARE 07/01/15 GERALD CONNOR 18WC035753 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 17WC 14253 SANCHEZ, LORENA ELSTON AVE FOOD CO, INC 04/04/17 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 18WC022297 -C 286 17WC 14293 AVILA, ROBERTO EVANS FOOD PRODUCTS CO 03/31/17 GRAUER & KRIEGEL LLC HOLECEK & ASSOCIATES 17WC036693 -C 287 17WC 14315 ALEMAN, REYNA RICHELIEU AMERICA LTD 03/29/17 FAJARDO LAW GROUP WIEDNER & MCAULIFFE LTD 288 17WC 14494 NIEMANN, GREGORY FORWARD AIR LOGISTICS 10/20/16 NEWLAND & NEWLAND HINSHAW & CULBERTSON 289 17WC 14511 TZITZKOVA, IRINKA FOREST CITY ENTERPRISES 03/13/17 BOWMAN & CORDAY GAROFALO SCHREIBER STORM GRA 290 17WC 14592 WESTENHOLTZ, ROMAN GOOD YEAR TRUCK & TIRE 03/31/17 DWORKIN AND MACIARIELLO MEACHUM & STARCK 291 17WC 14619 EVERETTE, GERALD SOUTHWEST AIRLINES 03/20/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 292 17WC 14699 BOLIN, LINDA SPECIALTY PHYSICIANS OF 11/14/16 KARCHMAR & STONE ACCIDENT FUND HOLDINGS 293 17WC 14828 BARNER, BRIAN JR RELIABLE BASEMENT SERVICE 04/18/17 PORRO NIERMANN & PETERSEN 294 17WC 15411 KENNEY, CAMERON BEAVER OIL CO 11/08/16 FOHRMAN, DONALD W & ASSOCS HOLECEK & ASSOCIATES 295 17WC 16910 DAVIS, JUSTIN SHIFTGIG 06/06/17 DAVID W MARTAY THOMAS & PORTELA 296 17WC 19866 HAYES, ROSINA ST JOSEPH HOSPITAL 05/18/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 17WC019867 -C 297 17WC 21379 LAMAS, ELIZABETH HELPING HANDS CENTER 06/19/17 VRDOLYAK LAW GROUP LLC 298 17WC 21479 LUKASEK, JOE HILLSIDE VILLAGE HALL 06/15/17 DWORKIN AND MACIARIELLO 299 17WC 21542 LARRY, TOM VETERANS DISTRIBUTION OF 07/20/17 ANKIN LAW OFFICE INMAN & FITZGIBBONS 300 17WC 21691 ORTIZ, GABRIEL SOUTHWEST AIRLINES 05/05/17 BERG & BERG HENNESSY & ROACH PC 18WC020115 -C 301 17WC 21805 LAM, CHAY T ARCHER SCREW PRODUCTS 09/20/16 JOHN P GOGGIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 17WC 21928 PENA, ANA R GRAPHIC PACKAGING CORP 06/06/17 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM GRA 303 17WC 22132 MOTON, LENORA STROGER-COOK COUNTY HOSPI 06/23/17 COSTA IVONE LLC STATES ATTORNEY OF COOK COUN 304 17WC 22170 RUIZ, GONZALO ASG STAFFING 07/11/17 COSTA IVONE LLC 305 17WC 22335 KAMHOLZ, NANCI IL DEPT OF JUVENILE JUSTI @ 07/11/17 BAUM RUFFOLO & MARZAL LTD STATE OF ILLINOIS 306 17WC 22455 GARCIA CORONA, ALFONSO MOTEL 6 09/26/16 HENNESSY & ROACH PC 307 17WC 22474 DE LA TORRE, JORGE SCHMIDT STEEL INC 12/12/16 RUBIN LAW GROUP 308 17WC 22551 RODRIGUEZ, GEORGE II COOK COUNTY SHERIFF 02/24/17 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 309 17WC 22648 WATTS, IVYL LYFT 07/08/17 BRISKMAN BRISKMAN GREENBER ANCEL GLINK DIAMOND BUSH & E 310 17WC 22993 DONOHUE, PHILIP P VILLAGE OF SKOKIE 02/27/17 FIGLIOLI, DAVID VILLAGE OF SKOKIE 311 17WC 23079 ROBLES, MARIA G THE HOME DEPOT USA INC 06/04/17 ANKIN LAW OFFICE 312 17WC 23212 HARPER, JENORA STATE OF ILLINOIS ELISABE 07/28/17 ANGELINI & ORI LLC ASSISTANT ATTORNEY GENERAL 313 17WC 23264 IGNATONIS, STEPHANIE HAMM ADDISON GROUP 03/22/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 314 17WC 23368 CHORKAWCIW, STEPHANIE IKEA 07/04/17 MC HARGUE & JONES MEACHUM & STARCK 315 17WC 23414 CHEEKS, JAMES POPEYES CHICKEN 06/04/16 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 316 17WC 23541 HICKS, HAYWORTH ARENA FOOTBALL ONE, LLC 05/29/16 GORDON & CENTRACCHIO LLC 317 17WC 23587 BAKER, TODD LA FITNESS 04/25/16 VASILATOS & COTTER LLC KRAKER FANNING & OLSEN 318 17WC 23655 TORRES DE RUIDIAS, AGUSTI SURESTAFF, INC (LOANING) 07/31/17 JOHN S. ELIASIK LOUIS MUNDY 319 17WC 23676 KOSTELNIK, CHRIS CTA 08/07/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 17WC 23728 DERCOLE, ANNETTE UNITED AIRLINES INC 05/06/17 GREGORIO & MARCO WIEDNER & MCAULIFFE LTD 321 17WC 23742 ALFANO, MICHAEL AMERICAN AIRLINES 07/07/17 SAUNDERS CONDON & KENNY 322 17WC 23900 GORDON, KELLY UNITED AIRLINES 09/19/16 CULLEN HASKINS NICHOLSON 323 17WC 23951 GRECO, CARLO HOLIDAY INN 08/04/17 LAW OFFICES TIMOTHY HENDER LAW OFFICES OF EDWARD J. KOZ 324 17WC 24046 BARRALES, SAARAIM ELITE STAFFING 08/07/17 ENCINAS & ORNELAS 325 17WC 24145 PERSON, VASHTI COOK COUNTY 07/26/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 326 17WC 24213 CALDERON, JOSE NORTHERN GLASS 05/22/17 BLEAKNEY & TROIANI GANAN & SHAPIRO 327 17WC 24399 HERNANDEZ, CARLOS CHRISTI LYFT 07/17/17 JONATHAN SCHLACK ANCEL GLINK DIAMOND BUSH & E 328 17WC 24534 GONZALEZ, MANUEL MVP WORKFORCE 08/15/17 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 329 17WC 24567 VELASQUEZ, JUAN E&R TOWING & GARAGE 08/03/17 LAW OFFICES ROBERT WARSASK SPIEGEL & CAHILL, PC 330 17WC 24604 STOOTS, VOULA JEWEL FOOD STORES 07/13/17 KARCHMAR & STONE EVANS & DIXON 331 17WC 24834 GORDON, JIMMY ARENA FOOTBALL ONE LLC 06/10/17 GORDON LAW OFFICES LTD 332 17WC 30875 JAIMES, DANIEL LEFT COAST FOOD JUICE DBA 10/07/17 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 333 17WC 30933 PUGH, LAWRENCE L TROY DESIGN & MANUFACTURI 09/21/17 MARTIN, PATRICK W WIEDNER & MCAULIFFE LTD 334 17WC 30964 LONG, JAMES ARAMARK 08/16/17 RITTENBERG & BUFFEN INMAN & FITZGIBBONS 335 17WC 31015 ARREDONDO, TIMOTHY J CITY OF CHICAGO-WATER MGN 03/09/17 BOWMAN & CORDAY 336 17WC 31125 MURITALA, BAOKU MONETA TAXI, INC 08/09/17 COHN LAMBERT RYAN & SCHNEI 337 17WC 31349 CASTERJON, JUAN CHEESE MERCHANTS 08/04/17 LAW OFFICES PETER LEKAS RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 17WC 31487 RANGEL, JOSEFINA MCDONALDS 02/24/16 CUDA LAW OFFICES 339 17WC 31506 MOZDZIERF, JOZEF JACKSON PARK HOSPITAL 12/27/16 MICHAEL NICHOLSON ODELSON & STERK 340 17WC 31629 GRIFFIN, LONISHA SAFE PASSAGE D/B/A 10/20/17 LAW OFFICES TIMOTHY HENDER 341 17WC 31658 GRAY, WALTER SECOND CITY ELECTRICAL CO 10/19/17 GOLDBERG WEISMAN & CAIRO L JOSEPH MARCINIAK 342 17WC 31700 CERDA, ROBERTO RG CONSTRUCTION SERVICES 09/01/17 BASHFORD LAW GROUP PC MACIOROWSKI SACKMANN & ULRIC 343 17WC 31862 TESSERA, KIDIST SP PLUS CORPORATION 09/27/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 344 17WC 32045 KNAPP, CATHRINE R FITNESS FORMULA CLUBS 05/30/16 SOSTRIN AND SOSTRIN PC JOSEPH MARCINIAK 345 17WC 32152 THOMAS, CRYSTAL AT&T 07/14/17 SAUNDERS CONDON & KENNY HENNESSY & ROACH PC 346 17WC 32185 HALLIBURTON, TWANA I MJM HEALTHCARE AGENCY 07/14/17 GALLAGHER, DONALD V BRADY CONNOLLY & MASUDA PC 347 17WC 32363 LOPEZ, EDUARDO SCOOBEEZ 10/15/17 COSTA IVONE LLC HENNESSY & ROACH PC 348 17WC 32384 COLEMAN, DAMEN UCAN 10/23/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 349 17WC 32521 TURNER, MARK A TCS - TATA CONSULTING SVC 09/29/17 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 350 17WC 32570 MIGDAL, MACIEJ MARKPOL REMODELING INC 10/25/17 KATZ FRIEDMAN EAGLE ET AL 351 17WC 32632 CHANEY, LATOYIA KIWI FRIENDSHIP MOTEL, LL 10/26/17 LAW OFFICE OF JAMES H MILL 352 17WC 32723 NEBUS, PETER J&J ROOFING & CONSTRUCTIO 05/16/17 CULLEN HASKINS NICHOLSON 353 17WC 32763 WILLIAMS, ROOSEVELT RELISH LABS LLC 07/17/17 ANKIN LAW OFFICE GANAN & SHAPIRO 354 17WC 32781 SULTAN, KATHLYN CHICAGO DOUBLE DECKER AND 10/22/17 DWORKIN AND MACIARIELLO POULOS & DIBENEDETTO LAW 355 17WC 32886 CHOUKRI, ADILE DIVERSE FACILITY SOLUTION 09/23/17 SALVATO & O'TOOLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 17WC 32959 GOMEZ, JOSE LUIS(ON BEHAL FEWER BOILER INC # 09/06/16 EPSTEIN, JACK R LAW OFFICE 357 17WC 32997 VALADEZ, JOSE SURE STAFFING 10/16/17 BERG & BERG LOUIS MUNDY 358 17WC 33065 MONCADA, NICK CHICAGO TRANSIT AUTHORITY 09/18/17 ROBERT A. WILSON CHICAGO TRANSIT AUTHORITY 359 17WC 33115 CARRANZA, VICTOR GONNELLA FROZEN PRODUCTS 04/04/17 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 360 17WC 33168 WILEY, CHANITA ADDUS HOMECARE 09/27/16 STROM, NEAL B HENNESSY & ROACH PC 361 18WC 01811 WELDON, LUIS A CAFE BIONDA 12/23/17 SALK, STEVEN B & ASSOC LTD GILDEA & COGHLAN 362 18WC 01849 SCOTT, THEARTHUR W CTA 12/24/17 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 363 18WC 01994 RAMIREZ, ISIDRO GEORGIA'S NUT CO. 12/04/17 STEIN & CHERNY LTD INMAN & FITZGIBBONS 364 18WC 02095 ZYGADLO, MALGORZATA POLSKA PARAFIALNA 11/04/17 THE ROMAKER LAW FIRM 365 18WC 02113 HANNAH JR, TERRY E TRINITY SVCS, INC 12/14/17 ROSS TYRRELL 366 18WC 02231 JOHNSON, LARISSA ALDEN ESTATES OF ORLAND P 10/11/17 THE ROMAKER LAW FIRM 18WC002232 -C 367 18WC 02269 LAWRENCE, PHD, CHARLES IL DEPT OF VETERANS AFFAI 12/07/17 COHN & COHN ASSISTANT ATTORNEY GENERAL 368 18WC 02276 ISRAEL, TAIWAN FORD MOTOR COMPANY 10/20/17 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 18WC028889 -C 369 18WC 02372 SANCHEZ, CHRISTINO 8 ACES DRYWALL CORP 09/02/16 THEODORE L STACY 370 18WC 02606 PARK, THOMAS MIDWAY TRANSPORT USA, INC 05/29/15 HART & DAVID LLP 371 18WC 02707 ALEXANDER, DARIAN CTA 01/21/18 LAW OFFICES TIMOTHY HENDER CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 18WC 02727 DEUTSCH, WAYNE M AUTOMATION 09/28/17 VITELL & SPITZ LTD 373 18WC 02910 KUZMANICH, ANTHONY UNIVERSITY OF ILLINOIS CH 07/05/17 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 18WC032512 -C 374 18WC 02921 CAMPBELL-WARD, STEPHANIE KRISPY SEAFOOD & CHICKEN W 11/20/17 ASHER, RAYMOND L LTD AKRAM ZANAYED & ASSOC 375 18WC 03251 MERRITT, MICHELLE DSI SECURITY SERVICES 01/15/18 GALLAGHER, DONALD V HENNESSY & ROACH PC 376 18WC 03441 VAZQUEZ, MARTIN SWEETENER SUPPLY CORP 01/11/18 GOLDSTEIN AIOSSA & GOOD JOSEPH MARCINIAK 377 18WC 03475 STYLES, DONNA KINDER CARE 04/20/17 STROM, NEAL B HENNESSY & ROACH PC 378 18WC 03676 BURGER, STEPHANIE DOUGHS GUYS BAKERY W 01/30/18 RIDGE & DOWNES 379 18WC 03719 RAMOS DE BRITO, MARCIO CHICAGO LAKESORE HOSPITAL 01/30/18 MC HARGUE & JONES 380 18WC 03738 POWELL, AMBER FRANCISCAN HEALTH ST JAME 01/10/18 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 381 18WC 03879 GRAFF, HOLLY OAKTON COMMUNITY COLLEGE 12/12/16 ROMANUCCI & BLANDIN POWER & CRONIN LTD 382 18WC 03901 WALLS, MARIA CHICAGO PUBLIC SCHOOLS 10/20/17 DAVID W MARTAY CHGO BOARD OF EDUCATION 383 18WC 03986 ROSS, KEVIN HEALTH CARE SERVICES 01/15/18 GOLDSTEIN BENDER & ROMANOF 384 18WC 04050 REY, ROBERTO ALLIED WASTED SERVICES OF 03/13/17 BUDIN LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 385 18WC 04143 ROCHE, MICHELLE UPS 01/31/18 PARENTE & NOREM PC ASA LAW GROUP 386 18WC 04286 SMITH, MELISSA A THE CHEF'S WAREHOUSE MIDW 01/24/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 387 18WC 04309 SILVERMAN, LAURIE NEIMAN MARCUS 10/27/17 MC HARGUE & JONES MEACHUM & STARCK 388 18WC 04330 KREUGER, MICHAEL NRTH PALOS FIRE PROTECTIO 03/16/16 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 18WC 04382 STINSON, JONIQUA FRANCISCAN ST JAMES HEALT 12/18/17 CHARLES LEVY & ASSOC LTD 390 18WC 06513 MALDONADO, NELIDA CTA 05/07/17 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 391 18WC 07550 GODINEZ, GILBERTO CINTAS CORPORATION 04/17/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 392 18WC 10551 PERALTA, EDGAR W CHROBAK CONSTRUCTION, I 02/26/18 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 393 18WC 11307 AGUIRRE, RICK A COOK COUNTY SHERIFF'S DEP 04/04/18 DEPAOLO & ZADEIKIS STATES ATTORNEY OF COOK COUN 394 18WC 11386 JOHNSON, MATTHEW COOK COUNTY/JUVENILE TEMP 11/29/16 EDWARD L OSOWSKI STATES ATTORNEY OF COOK COUN 395 18WC 11430 ROMAG, BRANDI ARLINGTON HEIGHTS POLICE 04/25/17 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 396 18WC 11530 DIAZ, OCTAVIANO OUTSOURCE FLEET SVCS, INC 02/05/18 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 397 18WC 11567 ROMAN, SANDRA UNITED AIRLINES INC 02/05/18 GREGORIO & MARCO WIEDNER & MCAULIFFE LTD 398 18WC 11604 MCENEARNEY, BELINDA CSX TRANSPORTATION, INC. 02/14/17 PETER C KOPOULOS INMAN & FITZGIBBONS 399 18WC 11640 GONZALES, SAGRARIO KOCH FOODS 09/25/16 EPSTEIN, JACK R LAW OFFICE 400 18WC 11660 TUCKER, SHEILAH UNITED AIRLINES INC. 07/29/16 KAT0Z FRIEDMAN EAGLE ET AL 401 18WC 11679 WINDT, TIMOTHY E HONEY CAN DO INTL, LLC 01/10/18 DWYER AND COOGAN 402 18WC 11741 JONES, MARCIA UNIVERSITY OF CHICAGO MED 04/03/17 COVEN LAW GROUP HENNESSY & ROACH PC 403 18WC 11906 NEWBURN, DAVID SOUTHWEST AIRLINES 12/14/17 THOMAS M. PARIS 404 18WC 11990 CUNNINGHAM, JOSETTE M CHICAGO BOARD OF EDUCATIO 02/12/18 VITELL & SPITZ LTD CHGO BOARD OF EDUCATION 405 18WC 12027 GREEN, ANGELA CTA 04/16/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 406 18WC 12086 VILLELA, FELIPE JW MARRIOT 08/10/17 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 18WC 12122 ESPINOZA, RAUNEL JCG INDUSTIRES INC DBA KO 04/06/18 SALK, STEVEN B & ASSOC LTD BRYCE DOWNEY & LENKOV LLC 408 18WC 12154 LIKENESS, SCOTT MIDWESTERN CONCRETE 02/02/18 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 409 18WC 12205 GRAHAM, VERONICA FEDERAL EXPRESS CORP 08/30/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 410 18WC 12224 RIVAS, IRMA AEROTECK (LENDING) 03/12/18 O'CONNOR & NAKOS 411 18WC 12239 JUNCAL, MANUEL ROKA AKOR 04/10/18 412 18WC 12276 JACKSON, TONYA TEAM SOLUTIONS FORD MOTOR 12/27/17 WIEDNER & MCAULIFFE LTD 413 18WC 12305 MAKAROWSKI, LAURA WALMART 09/15/17 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 414 18WC 12440 THOMAS, LEROY CITY OF CHICAGO ST & SANI 03/02/18 DWORKIN AND MACIARIELLO CITY OF CHICAGO 415 18WC 12547 MULCAHY, CATHERINE UNITED AIRLINES INC. 08/07/17 KAT0Z FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 416 18WC 12574 SOLIS, GENOVEVA LINCOLN ELEMENTARY SD 89 02/28/18 GAINES & GAINES 417 18WC 12717 LABELLE, LINDA UNITED CONTINENTAL HOLDIN 04/01/18 BRIAN J MC MANUS & ASSOC, 418 18WC 12744 MORALES, FELICIANA RON'S STAFFING SVCS 02/08/18 JONATHAN SCHLACK KOREY RICHARDSON LLC 18WC018808 -C 419 18WC 12805 BEDOLLA, MARTHA ALSCO 11/10/17 JAUREGUI & ASSOCIAT0ES ADELSON TESTAN BRUNDO 420 18WC 12981 HERSI, ABDULAHI FAST CAB COMPANY 03/13/18 CORNFIELD & FELDMAN NYHAN BAMBRICK KINZIE & LOWR 421 18WC 13004 VALLABHANENI, ARUNA SOUTHWEST AIRLINES 08/19/17 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC 422 18WC 13019 SALAZAR, VICTOR M TJ TRANSIT, TRUCK & 04/20/18 423 18WC 13038 GRAY, ZHAQUE K ALLERGAN USA INC 04/10/18 ANKIN LAW OFFICE 424 18WC 13074 CENTENO, ERNESTO ALLIANCE STEEL 02/12/18 ANSELMO DURAN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 18WC 13101 CASTRO, CONCEPCION TALERICO MARTIN RETAIL BA 12/22/17 DWORKIN AND MACIARIELLO 426 18WC 13223 CAMERON, PATRICK STEVENSON MIDDLE SCHOOL D 01/29/18 LEE, MARK N LAW OFFICE INMAN & FITZGIBBONS 427 18WC 13268 MURRAY, MARLON AT&T 04/28/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 428 18WC 13378 FLORES, PASTOR IMPACT STAFFING 02/26/18 STEIN & CHERNY LTD 429 18WC 13434 AREREGUIN, HOLLIE DUNKIN DONUTS 04/29/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 430 18WC 13500 PHELPS, VICTORIA UNIVERSITY OF ILLINOIS HO @ 06/08/15 GALLAGHER LAW PC HEYL ROYSTER VOELKER & ALLEN 18WC013501 -C 431 18WC 13519 KRAWCZYK, ANTHONY FEDEX 03/19/18 LANCASTER, DEBORAH 432 18WC 13583 NAUGHTON, EILEEN CHAPA REDFIN REAL ESTATE 01/15/18 SCOTT B SHAPIRO JOSEPH MARCINIAK 433 18WC 13602 SWEENEY, KEVIN CITY OF CHICAGO 03/15/18 DEPAOLO & ZADEIKIS CITY OF CHICAGO 434 18WC 13756 KRZAK, CHRISTOPHER DEPAUL UNIVERSITY 04/03/18 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 435 18WC 13792 BALEY, FRANK FAMILY HYUNDAI 11/21/17 VRDOLYAK LAW GROUP LLC 436 18WC 13841 BURKE, LORENZO DHL 02/10/18 NEWLAND & NEWLAND HENNESSY & ROACH PC 437 18WC 13937 ABDELMEGIED, SAID AN ENTERPRISE, INC 05/02/18 MC HARGUE & JONES HARTIGAN & O'CONNOR PC 438 18WC 13991 BOSTON, MILDRED CHICAGO BOARD OF EDUCATIO 03/03/17 CHGO BOARD OF EDUCATION 439 18WC 14196 BARZ, TIM HAZEL CREST FIRE DEPT 01/02/18 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 18WC014197 -C 440 18WC 14251 BORGHI, DENNIS CITY OF CHICAGO 03/29/18 RUBIN LAW GROUP CITY OF CHICAGO 441 18WC 14399 SANCHEZ, LEONARDO GRAPHIC PACKAGING INTL 05/06/18 JONATHAN SCHLACK DOHERTY & PROGAR LLC 442 18WC 14439 CLARK, SANDRA RICH TWNSHIP HS DISTRICT 05/24/17 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 18WC 14456 CESARIO, BRITTANY SOUTHERN GLAZERS WINE & S 05/01/18 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 444 18WC 14563 GONZALES, ABEL O'REILY AUTO PARTS 05/03/18 EDWIN REYES LEGAL GROUP BRYCE DOWNEY & LENKOV LLC 445 18WC 14593 ARTIS, MARQUISE O WERNER ENTERPRISES INC. 02/23/18 COVEN LAW GROUP 446 18WC 14759 CLARK, DARIUS LABOR SOLUTIONS LLC 11/07/17 MARSZALEK AND MARSZALEK MC ANDREWS & NORGLE LLC 447 18WC 14898 ROG, STEPHEN HTI POLYMER, INC 03/31/18 MC HARGUE & JONES HOLECEK & ASSOCIATES 448 18WC 14947 SACKS, LOUIS UPS 05/11/18 STEWART C ORZOFF NYHAN BAMBRICK KINZIE & LOWR 449 18WC 14963 MEJIA, WILMAR Y MSG SERVICES 04/20/18 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 450 18WC 15038 GALVIN, JOSHUA NORTHSHORE UNIVERSITY HEA 05/10/18 LUSAK AND COBB KEEFE CAMPBELL BIERY & ASSOC 451 18WC 21009 ENESSY, YAKUBU MEN'S WEARHOUSE 11/04/15 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 18WC021010 -C 452 18WC 21044 ANDRACA, CLARA LUZ REGGIO'S PIZZA INC 07/06/18 OSVALDO RODRIGUEZ PC NOBLE & ASSOC 453 18WC 21098 HOLMES, GREGORY CTA 06/29/18 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 454 18WC 21144 AVILA, ISRAEL UNIFIED CMC 04/07/18 CUDA LAW OFFICES 455 18WC 21265 WYATT, MARY THE CITY OF CHICAGO 05/20/18 WOODRUFF JOHNSON 456 18WC 21305 BUDNICK, MICHAEL TOWN OF CICERO-DEPT OF WA 07/10/18 ANKIN LAW OFFICE DEL GALDO LAW GROUP LLP 457 18WC 21350 RAMIREZ, EMMANUEL CHICAGO TRANSIT AUTHORITY 07/16/18 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 458 18WC 21466 RODRIGUEZ, RICARDO HARRY CARAY'S 06/15/18 ANGELINI & ORI LLC 459 18WC 21581 COLEMAN, WILLIAM BBD TRUCKING CO 07/09/18 ANGELINI & ORI LLC JAMES M KELLY 460 18WC 21593 CASTILLO, ASCENCION PERSONNEL STAFFING GROUP 04/10/18 JAMES ELLIS GUMBINER & ASS KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 18WC 21673 MURRAY, NEMROY SUPERIOR PROPERTY SYSTEMS 07/18/18 JACKOWIAK LAW OFFICES HOLECEK & ASSOCIATES 462 18WC 21695 PAGAN, LIBERTAD VARGAS GROUP 07/11/18 SALVATO O'TOOLE FROYLAN BRADY CONNOLLY & MASUDA PC 463 18WC 21783 STEPKE, HEIDI OAKTON COMMUNITY COLLEGE 12/07/17 VITELL & SPITZ LTD POWER & CRONIN LTD 464 18WC 21804 WASHINGTON, THEODIS FED-EX 07/21/18 LEONARD LAW GROUP LLC KOPKA, PINKUS DOLIN, PC 465 18WC 21881 POLCYN, PAUL G SYSTEMS UNLIMITED INC 08/22/16 JAMES F. HERI 466 18WC 21925 QUINONES, RAUL CHICAGO TRANSIT AUTHORITY 06/26/18 BOTTO GILBERT CHICAGO TRANSIT AUTHORITY 467 18WC 21942 PERALES, ALFREDO YRC INC D/B/A YRC FREIGHT 01/20/18 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 468 18WC 21988 RADIMECKY, DANIEL ST COLETTA'S OF ILLINOIS 01/02/18 GORDON & CENTRACCHIO LLC 469 18WC 22020 GAMBOA, DAVID A SWIFT TRANSPORTATION 07/06/17 TIMOTHY DEFFET WIEDNER & MCAULIFFE LTD 470 18WC 22088 COOPER, AMY COOK COUNTY DEPT OF CORR. 06/30/18 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 471 18WC 22192 D'AMBROSIA, BRANDON DELJO HEATING AND COOLING 05/25/18 DEPAOLO & ZADEIKIS WOLFE & JACOBSON, LTD 472 18WC 22235 STARK, GEORGE BILGER CORPORATION 01/19/17 SALVATO O'TOOLE FROYLAN 473 18WC 22258 SHAFFER, LISHA CTA 07/07/18 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 474 18WC 22328 LEWANDOWSKI, FRED IL DEPT OF TRANSPORTATION 07/05/18 BURNETT & CARON, LTD KRISTIN LEASIA 475 18WC 22360 MONTGOMERY, DA'RON COOK COUNTY GOVERNMENT 05/16/18 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 476 18WC 22404 ABDULLAHI, ABDISALAM SAFE TAXI COMPANY 06/15/18 FISHER & LAMONICA 477 18WC 22472 ARBOGAST, MICHAEL FIELDS VOLVO CARS NORTHFI 01/18/17 GRAVLIN, MICHAEL J LLC GAIDO & FINTZEN 478 18WC 22493 WASHINGTON, THOMAS GLEN ST ANDREW 07/20/18 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 18WC 22500 PAN, JULIO BARRON CONSTRUCTION 07/27/18 JONATHAN SCHLACK 480 18WC 22517 GROSS, ERIC COOK COUNTY SHERIFF 07/16/18 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN 481 18WC 22603 PAZOS, OSCAR ROW, INC 08/26/16 FICHERA & MILLER 482 18WC 22647 WILLIAMS, PAUL UNIFIED CML, LLC 07/29/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 483 18WC 22778 STEWART, TARITA METROPOLITAN WATER RECLAM 07/09/18 CRONIN & PETERS NOBLE & ASSOC 484 18WC 22825 BARNES, CAROLYN UNITED AIRLINES INC. 06/21/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 485 18WC 22882 JOHNSON, SARAH HILTON CHICAGO 07/17/18 COSTA IVONE LLC 486 18WC 22935 GRACIA, ALEJANDRO AA PALLETS 06/25/18 DEPAOLO & ZADEIKIS 487 18WC 22988 BORUCKI-MASTEJ, KATHLEEN JEWEL FOOD STORES 07/17/18 TAMVAKIS, GEORGE L 488 18WC 23007 BENTALHA, ABDELLATIF CR EXPRESS, INC 03/08/18 HETHERINGTON KARPEL BOBBER KRAKER FANNING & OLSEN 489 18WC 23054 PATTON, CRAIG ELITE STAFFING 07/29/18 TOOMEY & ASSOCIATES 490 18WC 23072 BROWN, STEPHANIE INSIGHT GLOBAL 07/31/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 18WC025020 -C 491 18WC 23112 XAVIER, SHIRLEY LITTLE COMPANY OF MARY HO 04/19/18 MARKER & CRANNELL 492 18WC 23184 ALLEN, NATHAN JR. JEWEL 07/29/18 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 493 18WC 23207 SHIRDON, OMAR KARABOOM CAN CO INC 05/10/18 FISHER & LAMONICA 494 18WC 23243 BARNES, COLLEEN WALMART 12/13/17 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 495 18WC 23301 DYLONG, ELIZABETH MARIANOS FRESH MARKET/ 01/30/18 JOSHUA KARMEL BRYCE DOWNEY & LENKOV LLC 496 18WC 23356 NECHIPOR, PAUL HOME DEPOT 07/16/18 ACEVES & PEREZ PC ADELSON TESTAN BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 18WC 23453 METCALF, EKIM RUSH UNIVERSITY MEDICAL C 06/27/18 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL BIERY & ASSOC 498 18WC 23460 HERRERA, PEDRO SUNSTAR AMERICAS INC 06/23/18 KATZ FRIEDMAN EAGLE ET AL 499 18WC 23498 COLON, ANGELES WHITE LODGING SERVICE RES 05/21/18 EPSTEIN, JACK R LAW OFFICE WILSON ELSER 500 18WC 23532 DAVIS, DIAVONNA THE WESTIN CHICAGO RIVER 08/02/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 501 18WC 23562 STYLES, ARTHUR JR KOCK FOODS 07/28/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 18WC023564 -C KOCH FOODS INC 502 18WC 23626 TORRES, MARIA G UNIFIED CML 05/19/18 ANGELA NARDI-QUIGLEY 503 18WC 23650 WAGNER, JAMES CITY OF CHICAGO, 07/23/18 SALVATO O'TOOLE FROYLAN 504 18WC 23709 HENDERICKS, JASON PENSKE TRUCK LEASING CO L 03/13/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 505 18WC 23732 CANDELAS, JOSE JUAN HUERT MIDLAND STAMPING & FABRIC 06/20/18 COVEN LAW GROUP 506 18WC 23773 JAREMA, CAROL NORTH SUB SPECIAL ED DIST 03/14/18 THOMAS A MORRISSEY 507 18WC 23801 SHELBY, RON AIRGAS, INC 06/05/18 POLANSKY & CICHON CHTD MC ANDREWS & NORGLE LLC 508 18WC 23807 BROWNLEE, SHIRLEY THE MILLARD GROUP 06/08/18 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON 509 18WC 23855 FERN JR, RICHARD METAL MATIC-INC 07/16/18 STROM & ASSOC HOLECEK & ASSOCIATES 510 18WC 23894 CROSS, KIMBERLY JEWEL OSCO 02/28/18 NEWLAND & NEWLAND 511 18WC 24002 MATUSZKO, DAVID INTERIOR CRAFTS 05/31/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 512 18WC 24038 SALGADO, CHRISTINA BAY VALLEY FOODS 05/30/18 DEPAOLO & ZADEIKIS KEEFE CAMPBELL BIERY & ASSOC 513 18WC 24059 PITTMAN, KARA CHICAGO TRANSIT AUTHORITY 09/08/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 514 18WC 24101 MACKLIN, DELORES BOARD OF ED, CHICAGO WEND 04/27/18 COHN LAMBERT RYAN & SCHNEI CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 18WC 24147 MCCARTER, MARLON CTA 04/11/18 MICHAEL A. HIGGINS CHICAGO TRANSIT AUTHORITY 516 18WC 24164 ZEPEDA, JOSE BRIDGESTONE RETAIL OPERAT 02/22/18 CAPRON & AVGERINOS PC 517 18WC 24219 MESH, ALAN GENERAL IRON INDUSTRIES 09/09/16 HART & DAVID LLP 518 18WC 24314 REYES, EDGAR UNITED AIRLINES 10/24/17 JOSEPH G HAFFNER LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 519 18WC 24346 RAMOS, RUFINO ACCURATE DISPERSIONS 09/14/17 HUGO ORTIZ 520 18WC 24388 SPEIR, MARK BRACKENBOX 05/23/18 ROMANEK & ROMANEK KEEFE CAMPBELL BIERY & ASSOC 521 18WC 24469 ADAMS, NICK ENBEE PAINTING AND DECORA 09/28/17 BAUM RUFFOLO & MARZAL LTD MEACHUM & STARCK 522 18WC 24658 DOROCIAK, JANEEN FAMILY DENTAL CARE 03/24/18 ASHER, RAYMOND L LTD RUSIN & MACIOROWSKI LTD 523 18WC 24673 FRANKS, CRESCENT UNITED CONTINENTAL HLDNGS 07/27/18 BRIAN J MC MANUS & ASSOC, 524 18WC 24751 NOVAK, ROBERT VALVOLINE/ASHLAND CHEMICA 01/08/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 525 18WC 24766 MUHAMMAD, SHARON FORD MOTOR COMPANY 10/15/17 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 18WC024767 -C 526 18WC 24814 ESPOSITO, CHRISTINE UNITED AIRLINES INC. 07/28/18 ROMANUCCI & BLANDIN 527 18WC 24912 THURMAN, MIRACLE DAVE & BUSTER'S 08/08/18 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 528 18WC 24953 PACHECO, MARIA S&C ELECTRIC CO, C/O 07/25/18 HETHERINGTON KARPEL BOBBER MACIOROWSKI SACKMANN & ULRIC 529 18WC 25021 JONES, JACKIE KIMCO FACILITY SERVICES L 08/10/18 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 530 18WC 25039 HICKS, CLINT UPS 08/10/18 LEONARD LAW GROUP LLC ASA LAW GROUP 531 18WC 25062 MAGGERISE, EDWARD CTA 05/07/18 RANDOLPH GREUNE LAW OFFICE CHICAGO TRANSIT AUTHORITY 532 18WC 25120 JACKSON, THOMAS TWO MEN & A TRUCK 08/10/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 18WC 25211 HAYES, ANTHONY JR ALPHA BAKING CO INC 08/14/18 VITELL & SPITZ LTD 534 18WC 25236 HEAD, VERIA ALPHA BAKING COMPANY 02/03/17 SCOTT B SHAPIRO MACIOROWSKI SACKMANN & ULRIC 535 18WC 25308 POPOW, MICHAEL ILLINOIS TOLL HWY AUTHORI 06/29/18 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 536 18WC 25335 DALIEGE, ELIZABETH PALOS COMMUNITY HOSPITAL 04/29/18 HETHERINGTON KARPEL BOBBER POWER & CRONIN LTD 537 18WC 27347 YOUNG, ANNETRA METRO SOUTH MEDICAL CENTE 09/07/18 SEIDMAN MARGULIS & FAIRMAN 538 18WC 27655 THAKKAR, PARESH FERRARA CONFECTIONS, LLC 05/15/18 GARDI & HAUGHT HOLECEK & ASSOCIATES 539 18WC 30891 WRIGHT, NICOLE JP MORGAN CHASE 08/28/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 540 18WC 31392 CURIEL, JAIME SKYLINE EXHIBITS 05/23/18 LEONARD LAW GROUP LLC 541 18WC 31405 DOUGLAS, WESLEY RED LOBSTER 10/03/18 BRYCE DOWNEY & LENKOV LLC 542 18WC 31440 CARVER, NICOLE ELITE STAFFING 09/28/18 GOLDSTEIN BENDER & ROMANOF 543 18WC 31588 DONATIELLO, JEFFREY ASCHER BROTHERS CO 12/06/17 COVEN LAW GROUP KEEFE CAMPBELL BIERY & ASSOC 544 18WC 31679 NAVARRO, ALFONSO LB STEEL, LLC 09/26/18 TIMOTHY HENDERSON HOLECEK & ASSOCIATES 545 18WC 31723 DALY, WILLIAM LANCE CONSTRUCTION SUPPLY 04/18/18 KARCHMAR & STONE 546 18WC 31816 TUCCORI, CATHERINA HOLY FAMILY CATHOLIC CHUR 10/15/18 SCOTT B SHAPIRO MC ANDREWS & NORGLE LLC 547 18WC 31881 STIGGER, MARCUS BWAY INC 10/16/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 548 18WC 31897 TOLEDO, JOSHUA NUTS ON CLARK 09/15/18 VITELL & SPITZ LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 549 18WC 31939 DAVIS, JAMES ROHBI ENTERPRISES, INC 11/23/16 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 550 18WC 32004 MEZA BRIONES, JOSE JOAN S.A. GEAR, INC 09/07/18 THOMAS R LICHTEN GANAN & SHAPIRO 18WC032005 -C 551 18WC 32021 STOCH, BEATA BUEDEL FINE MEATS AND 08/27/18 ANKIN LAW OFFICE GRANT & FANNING 552 18WC 32071 MARSAW, GERALDINE CITY OF CHICAGO OFFICE OF 09/04/18 STEVEN B SALK & ASSOC LTD CITY OF CHICAGO 553 18WC 32087 MC CLOUD, SHAELONDIA A COOK COUNTY 08/16/18 WEISS & WEISS LAW OFFICES STATES ATTORNEY OF COOK COUN 554 18WC 32122 RODNEY, LAJUANESE S CAREER EDUCATION CORP 08/21/18 STEVEN J MALMAN & ASSOCIAT 555 18WC 32176 HENDENSKI, EDWARD J CHICAGO PUBLIC SCHOOLS 10/02/18 THERMAN LAW OFFICES CHGO BOARD OF EDUCATION 556 18WC 32278 ALEXANDER, KENDAH BURLINGTON COAT FACTORY 09/05/18 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 557 18WC 32324 ESCALANTE, ANGEL NORTHWESTERN UNIVERSITY 09/29/18 PARENTE & NOREM PC GAROFALO SCHREIBER STORM GRA 558 18WC 32472 QUINN, CHARLES VEE-PAK 05/11/18 CRONIN PETERS & COOK HOLECEK & ASSOCIATES 559 18WC 32532 ZAVALA, JOSE J GENUINE PARTS COMPANY 07/27/18 ANKIN LAW OFFICE 560 18WC 32587 GRIFFIN, LLOYD CHICAGO PUBLIC SCHOOLS 10/23/18 KATZ FRIEDMAN EAGLE ET AL CHGO BOARD OF EDUCATION 561 18WC 32633 TOWNSEND, LAKESHA M CTA 10/26/18 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 562 18WC 32651 BEAL, TYRONE GREAT NORTHERN LUMBER 10/18/18 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 18WC033634 -C 563 18WC 32703 LULLO, PATRICK ARLINGTON AUTOMOTIVE SERV 09/27/18 PORRO NIERMANN LAW GROUP CASSANO & ASSOCIATES 18WC032708 -C 18WC032866 -C 564 18WC 32763 HESTER, MICHAEL T MOONCOTCH, INC 10/23/18 MILLON & PESKIN LTD 565 18WC 32792 LOUBEAU, KARINE A'VIANDS 10/05/18 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 566 18WC 32813 VILLAGRANA, GUADALUPE GENERATION BRANDS HOLDING 02/22/18 SALVATO O'TOOLE FROYLAN 567 18WC 32830 PARKS, LISA INGALLS MEMORIAL HOSPITAL 10/03/18 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 568 18WC 32853 ALVAREZ, PEDRO MIDWEST ARBOR CORP 10/11/18 SOSTRIN AND SOSTRIN PC GANAN & SHAPIRO 569 18WC 32997 MOLINA, DANIEL PACE TRANSIT 08/21/18 MARK N LEE 570 18WC 33040 CHAVEZ, MARIA NIXON PEABODY LLP 06/25/18 HART & DAVID LLP 571 18WC 33107 BELL, MICHAEL A VILLAGE OF HOMEWOOD 10/21/18 JASINSKI, GEORGE J RUSIN & MACIOROWSKI LTD 572 18WC 33287 ESCALERA, VICTORIA APOLLO PLASTICS CORP. 05/15/18 STROM & ASSOC 573 18WC 33372 BROWN, JOSEPH MICKEY'S LINEN 10/04/18 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 574 18WC 33421 JESSOME, BARRIE UNITED CONTINENTAL HOLDIN 06/01/17 BRIAN J MC MANUS & ASSOC, 575 18WC 33438 HERNANDEZ, GERARDO AMERICAN SUGAR REFINING I 07/10/18 GOLDSTEIN BENDER & ROMANOF 576 18WC 33458 GONZALEZ, JAVIER OMNI COMMERICAL GROUP, IN 08/28/18 ACEVES & PEREZ PC HENNESSY & ROACH PC 577 18WC 33503 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION 01/22/16 NO ATTORNEY 578 18WC 33510 HARRIS, SHANTUAN UPS 08/08/18 LEONARD LAW GROUP LLC ASA LAW GROUP 579 18WC 33548 DANIELS, SEAN WERNER ENTERPRISES INC 11/19/17 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 580 18WC 33571 GARCIA, VIDAL NORTHWESTERN MEDICINE 11/16/17 KOSIN LAW OFFICE LTD 18WC033572 -C 581 18WC 33597 DABNEY, JAMIA CONNECTIONS TO THE HOMELE 08/27/18 MEYERS & FLOWERS 582 18WC 33716 THOMAS, DOMINIQUE D CRAWFORD STEEL COMPANY 08/30/18 GOLDSTEIN BENDER & ROMANOF GILDEA, COGHLAN & REGAN LTD. 583 18WC 33782 AVINA, ANITA FOOD FOR THOUGHT 10/26/18 JONATHAN SCHLACK LEWIS BRISBOIS BISGAARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 584 18WC 33892 WILCOXON, DARWIN THE HABITAT COMPANY 11/06/18 EDWIN REYES LAW FIRM JOSEPH MARCINIAK 585 18WC 33916 MITCHELL, DIANA UNITED AIRLINES 09/10/18 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 586 18WC 34008 ZEPEDA, CARLOS CITY OF CHICAGO DEPT OF W 09/28/18 SCOTT B SHAPIRO 587 18WC 34073 LIEU, YEN LOYOLA UNIVERSITY MED CTR 11/06/18 ANKIN LAW OFFICE 588 18WC 34116 LUCARZ, MARIUSZ COOK COUNTY SHERIFF'S DEP 11/06/18 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 589 18WC 34139 MACCABE, JAMES PRAIRIE MATERIAL/VCNA 12/23/16 STELZMAN, RUTH PRETZEL & STOUFFER, CHRTD 590 18WC 34226 STARK, TIM UL LLC 12/21/17 NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 591 18WC 34245 HOLLINGSWORTH, ERMA TARGET CORP 07/28/18 ASHER, RAYMOND L LTD 592 18WC 34268 MORGAN, YOLANDA ALWAYS BEST CARE SENIOR S 11/12/18 DWORKIN AND MACIARIELLO 593 18WC 36411 CLARK, AMY FORD MOTOR COMPANY 01/07/17 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 594 19WC 01747 DIXON, LATOYA WALGREENS 12/19/18 DWORKIN AND MACIARIELLO 595 19WC 01846 TORRES, FABIAN HIGHLAND BAKING CO 08/30/18 HERRERA LAW CENTER 596 19WC 01861 KACZMAREK, KONRAD WELDPOL COMPANY 01/10/19 CUSHING LAW OFFICES GAROFALO SCHREIBER STORM GRA 597 19WC 01912 KLASSEN, ANTHONY UNITED PARCEL SERVICES 01/19/19 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 598 19WC 02023 GUTIERREZ-LECHEUGA, FRANC JUST IN TIME STAFFING LLC 09/28/18 KINNALLY FLAHERTY KRENTZ LEAHY EISENBERG & FRAENKEL 599 19WC 02181 HARRIS, VERONICA CTA 12/20/18 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 600 19WC 02228 JOHNSON, JIMMY JEWEL FOODS 09/17/18 SEIDMAN MARGULIS & FAIRMAN 601 19WC 02246 RICHARDSON, SHIRLEY SET AND SERVICE RESOURCES 10/22/18 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 602 19WC 02374 HERNANDEZ, RICARDO BERRY GLOBAL INC 11/25/18 HETHERINGTON KARPEL BOBBER BRADY CONNOLLY & MASUDA PC 603 19WC 02406 MUHAMMAD, KHALID CITY OF CHICAGO 12/28/18 ANKIN LAW OFFICE 604 19WC 02447 DAVENPORT, MICHAEL IRON MOUNTAIN 11/28/18 LEONARD LAW GROUP LLC 605 19WC 02469 HARDESTY, JAMES H SCHAUMBURG AUTO BODY, INC 04/01/18 DEPAOLO & ZADEIKIS GAROFALO SCHREIBER STORM GRA 606 19WC 02482 CHANANA,KEWAL JNR III, INC 12/19/18 FISHER & LAMONICA 607 19WC 02562 SALAZAR, MIGUEL ANGEL ALA ABBOTT RUBBER COMPANY 12/29/18 CHEPOV & SCOTT LLC GANAN & SHAPIRO 608 19WC 02638 008 CANDELARIA, LAWRENCE WHOLE FOODS MARKET INC 12/12/18 LINN, CAMPE & RIZZO LTD HENNESSY & ROACH PC 008 18WC029519 -C 008 18WC030065 -C 609 19WC 02742 POE, CHARLES ALLIANCE GROUND INTERNATI 01/19/19 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 610 19WC 02755 GUZMAN GUERRERO, NICOLAS SELECT COMFORT CORPORATIO 09/18/18 JAUREGUI & ASSOCIATES WOLFE & JACOBSON, LTD 611 19WC 02766 MOSS, TELISHA C CHICAGO TRANSIT AUTHORITY 01/20/19 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 612 19WC 02820 MORA, PEDRO L ADJUSTABLE FORMS, INC. 11/14/18 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL BIERY & ASSOC 613 19WC 02838 CHATMAN, KATHALEEN PRAIRE HILLS ELEMENTARY S 02/16/18 WIEDNER & MCAULIFFE LTD 614 19WC 02866 WILLIAMS, MELVERN MIDWEST CRANE RENTAL 10/19/18 GANAN & SHAPIRO 615 19WC 02893 HUGHES, AARON HOLLAND MANUFACTURING 11/01/18 GALLAGHER, DONALD V BRADY CONNOLLY & MASUDA PC 616 19WC 02916 AGUINIGA, LETICIA POWERSTOP 01/14/19 DWORKIN AND MACIARIELLO 617 19WC 02938 FISHER, ALESIA FAY SERVICING, LLC 01/18/19 SEIDMAN MARGULIS & FAIRMAN KRAKER FANNING & OLSEN 618 19WC 02989 CRUMB, JOSEPH CHICAGO TRANSIT AUTHORITY 01/26/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 619 19WC 03031 WILKES, YVONNE TOTAL FACILITY MAINTENANC 08/21/18 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 620 19WC 03070 MYERS, SHERMAN CTA 08/23/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 621 19WC 03085 DANGERFIELD, TIMOTHY WEST SIDE TRANSPORT, INC 12/28/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 622 19WC 03115 TURK, MOUNIR UNITED CONTINENTAL HLDING 04/23/16 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 623 19WC 03222 SIMS, GREGORY CHICAGO PARK DISTRICT 10/06/18 GOLDBERG WEISMAN & CAIRO L CHICAGO PARK DIST LAW DEPT 624 19WC 03251 FELICIANO, JOSE M BOOM ENTERTAINMENT, LLC 01/26/19 RUBIN LAW GROUP HOLECEK & ASSOCIATES 625 19WC 03286 HELFOGT, JON AT&T 01/19/19 KROL BONGIORNO & GIVEN LTD 626 19WC 03320 HOLLINS, VERCYSIA CTA 07/13/17 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 627 19WC 03434 CARTER, BERNADETTE C CPS-STEPHEN GALE COMM ACA 01/15/19 SCOTT B SHAPIRO CHGO BOARD OF EDUCATION 628 19WC 03600 MARTINEZ, ROGELIO SUPERIOR STAFFING 12/20/18 LULAY LAW OFFICES SLAVIN & SLAVIN 629 19WC 03621 BROWN, RANDY OLIVE HARVEY COLLEGE 12/27/18 ANGELINI & ORI LLC 630 19WC 03770 MARTINEZ, RUBEN ARIZTA 11/25/18 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 19WC005102 -C ARYZTA 631 19WC 03805 MATA, GREGORY NFI INTERACTIVE LOGISTICS 12/30/18 BALKE & WILLIAMS 632 19WC 03828 OLLIE, TOMMIE USF HOLLAND FREIGHTWAYS 12/18/18 BOTTO GILBERT 633 19WC 03886 LOPEZ, JESUS MAGDALENO PEOPLE 2.0 GLOBAL, INC D/ 01/21/19 STEVEN B SALK & ASSOC LTD RUSIN & MACIOROWSKI LTD 634 19WC 03924 DANTZLER, ANITA CHICAGO BOARD OF EDUCATIO 01/22/19 HORWITZ HORWITZ & ASSOC CHGO BOARD OF EDUCATION 635 19WC 03946 TOWNES, JULIUS REDFORD'S PUB INC 01/17/19 GOLDBERG WEISMAN & CAIRO L WOLFE & JACOBSON, LTD 636 19WC 03981 CONTE, GIUSEPPE JEWEL OSCO 07/24/18 CAPRON & AVGERINOS PC 637 19WC 03999 LEWIS, FINNIE CITY OF CHICAGO 12/07/18 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 638 19WC 04031 KOZEL, MICHAEL COOK COUNTY SHERIFF 06/26/18 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 639 19WC 04149 LAWRENCE, EDWARD ESPERANZA COMMUNITY SERVI 12/04/18 BAUM RUFFOLO & MARZAL LTD 640 19WC 04168 082 JONES, KANDRA CITY OF CHICAGO 11/27/18 LEO M. BLEIMAN & ASSOC 082 19WC004165 -C 082 19WC004166 -C 082 19WC004167 -C 641 19WC 11221 PEREZ, CARLOS T.H. RYAN CARTAGE COMPANY 03/27/19 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 642 19WC 11242 DOSS, RODELL RELATED MIDWEST 04/05/19 ANGELINI & ORI LLC 643 19WC 11260 OLIVAR, MIGUEL ANGEL MANZ ED MINIAT, LLC 01/10/19 THE ROMAKER LAW FIRM POWER & CRONIN LTD 644 19WC 11286 MC CLAIN, TREVOR GREAT LAKES COCA-COLA 02/13/19 DAVID W MARTAY 645 19WC 11306 DIAZ, ADDI SPECIALTY PRINT COMMUNICA 04/02/19 COSTA IVONE LLC EDWARD J. KOZEL 646 19WC 11338 BROCKNER, SUZANNE ADVOCATE GOOD SHEPHERD HO 11/21/18 MARKHAM M JEEP & ASSOCIATE NYHAN BAMBRICK KINZIE & LOWR 647 19WC 11391 O'ROURKE, JOSEPH COOK COUNTY FACILITIES MG 03/28/19 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 648 19WC 11444 BARTUSIAK, MICHAEL J UNITED CONTINENTAL HOLDIN 08/19/18 KROL BONGIORNO & GIVEN LTD 649 19WC 11464 WAWRO, CHRISTOPHER AT&T 12/13/18 NILSON STOOKAL GLEASON CAP HENNESSY & ROACH PC 650 19WC 11484 GANDARA, MARIA M&S CLEANING 03/24/19 ENCINAS & ORNELAS 651 19WC 11529 BENNETT, DELONDA L STAFFMARK 11/30/18 TIMOTHY HENDERSON 652 19WC 11558 ECHEVERRIA, ENRIQUE MVP FIRE SYSTEMS, INC. 03/20/18 HEALY SCANLON LAW FIRM WOLFE & JACOBSON, LTD 653 19WC 11560 OWENS, CHARLES NATION PIZZA 04/12/19 GERALD CONNOR MEACHUM & STARCK 654 19WC 11582 LEWIS, NATHAN CITY OF CHICAGO, DEPT OF 04/05/19 LEO ALT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 655 19WC 11605 CATES, LESLEY L STARBUCKS 04/21/18 TIMOTHY HENDERSON QUINTAIROS PRIETO WOOD & BOY 656 19WC 11643 CALHOUN, MARIA PEOPLES GAS 02/22/19 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 657 19WC 11716 MANLEY, BRIAN SSP AMERICA, INC 04/13/19 ANKIN LAW OFFICE 658 19WC 11857 WASHINGTON, ANDRE CONNECT SEARCH 04/09/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 659 19WC 11892 CASSIBERRY, DEBBY HOSTESS BRANDS, LLC 05/05/18 MILLON & PESKIN LTD INMAN & FITZGIBBONS 19WC011893 -C 19WC011894 -C 660 19WC 11952 CORTEZ, HERMAN JR. CHICAGO TRANSIT AUTHORITY 04/15/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 661 19WC 11967 KREGEL, DONALD SARGENT'S EQUIPMENT 02/06/19 CULLEN HASKINS NICHOLSON 662 19WC 11985 EHRENBERG, MAEGAN THE VILLAGE OF NORTH RIVE 11/12/18 EAMES LAW GROUP LTD ANCEL GLINK PC 663 19WC 12012 MACIAS, JOSE ELITE STAFFING 11/26/18 DWORKIN AND MACIARIELLO 664 19WC 12040 LOPEZ, LEONARDO PACIFIC MANAGEMENT INC 10/02/17 KREITER, BYCK & ASSOC LLP 665 19WC 12111 KOENITZER, JONNA QUEEN OF ANGELS/ARCHDIOCE 02/07/19 RUBERRY STALWACK & GARVEY 666 19WC 12134 SMITH, RAMON DUNAWAY BROTHERS 04/05/19 BRISKMAN BRISKMAN GREENBER 667 19WC 12171 MORENO, JUAN MRC POLYMERS 10/31/17 SCOTT B SHAPIRO WOLF & LAUDICINA LTD 668 19WC 12221 CERVANTESM GUMECINDO AMYSYSCO, INC 04/05/19 RUEDA, IVAN A EDWARD J. KOZEL 669 19WC 12295 BRAGG, KENNETH CITY OF CHICAGO 04/18/19 LEONARD LAW GROUP LLC 670 19WC 12315 RAMIREZ, FELIPE COOK COUNTY SCHOOL BUS IN 04/02/19 CHEPOV & SCOTT LLC 671 19WC 12348 FERNANDEZ, EVEL RENTACRATE 04/01/19 MARKS INJURY LAW EDWARD J. KOZEL 672 19WC 12399 LEMARIER, LYLE P S&J TOWING RECOVERY, INC. 02/21/19 KOSIN LAW OFFICE LTD GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 673 19WC 12458 ALFRED, CHARISSE CBSI TRANSPORTATION 03/25/19 SHELDON I MINKOW & ASSOCIA HEYL ROYSTER VOELKER & ALLEN 674 19WC 12477 ACOSTA HERRERA, GIANCARLO COOK CNTY SCHOOL DISTRICT 01/13/17 LANNON LANNON & BARR LTD 19WC012478 -C 675 19WC 12498 REDMOND, SYMPHONY A CTA 04/21/19 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 676 19WC 12514 CRUMPTON, JAMES UIC HOSPITAL 01/30/19 ANGELINI & ORI LLC 677 19WC 12529 STOKLOSA, ZBIGNIEW C CELINSKI TUCKPOINTING C 10/29/18 CHRISTOPHER BUCHCAR, LTD 678 19WC 12554 DUGGER, JASON COOK COUNTY SHERIFF'S DEP 04/02/19 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 679 19WC 12591 GREENE, DARYN R GRAND PRAIRIE TRANSIT 02/20/19 GOLDSTEIN BENDER & ROMANOF 680 19WC 12619 CARRILLO, MISTY UNILEVER 04/05/19 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 681 19WC 12643 MITCHELL, SCOTT OAK LAWN POLICE DEPARTMEN 04/16/19 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 682 19WC 12682 MORRIS, ANTHONY DR PEPPER SNAPPLE GROUP 04/25/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 683 19WC 12721 MATOS, JUAN COSMOS PLASTICS 03/06/19 SEIDMAN MARGULIS & FAIRMAN 684 19WC 12736 SMITH, ERICK S CONTRACT FLOORING SVCE CO 04/01/19 ANKIN LAW OFFICE KRAKER FANNING & OLSEN 19WC014037 -C QUALITY CUSTOM INSTALL, IN 685 19WC 12767 FINISTER, RAMONDA LUDEMAN CENTER 02/12/17 BLACK & JONES ASSISTANT ATTY GENERAL 686 19WC 12808 MENDEZ, LORENSO COLFAX CORP 12/27/17 CIARDELLI CUMMINGS CAMPAGN BRYCE DOWNEY & LENKOV LLC 687 19WC 12851 GONZALEZ, MARIA DENNY'S RESTAURANT 09/18/18 SMOLER LAW OFFICE, PC BRADY CONNOLLY & MASUDA PC 688 19WC 12862 GALLAGA, FRANK A-1 ROOFING 04/09/19 DONALD FOHRMAN & ASSOC 689 19WC 12881 RIVERA, DAVID MWRDGC 04/12/19 SCOTT B SHAPIRO NOBLE & ASSOC 690 19WC 12904 ADARDOUR, MOHAMED CHICAGO SEVEN INC 04/18/19 FISHER & LAMONICA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 691 19WC 12952 KING, MARCUS COMPTROLLER'S OFFICE ST O @ 04/09/19 BRUSTIN & LUNDBLAD LTD KRISTIN LEASIA 692 19WC 12989 PAIGE, LINDA CITY OF CHICAGO 04/24/19 CUDA LAW OFFICES CITY OF CHICAGO 693 19WC 13007 ROGERS, MARJORIE CHICAGO PUBLIC SCHOOLS 03/14/19 KEVIN O'BRIEN CHGO BOARD OF EDUCATION 694 19WC 13042 HERNANDEZ, JUAN NATIONAL POWER RODDING 04/15/19 MICHAEL NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 695 19WC 13065 SALAZAR, JUDITH COOK COUNTY SHERIFF'S DEP 04/24/19 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 696 19WC 13129 FOX, WILLIE G JR ILLINOIS DEPT OF CORRECTI @ 04/11/19 JAMES J. GAY ASSISTANT ATTY GENERAL 697 19WC 13213 JONES, CHERYL THE UNIVERISTY OF CHICAGO 03/18/19 HENNESSY & ROACH PC 698 19WC 13235 MOJICA, VICENTE COOK COUNTY SHERIFF'S DEP 09/05/17 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN 699 19WC 13259 BELL, CRYSTAL J ILLINOIS BONE AND JOINT 02/22/19 ANESI OZMON RODIN NOVAK KO EVANS & DIXON 700 19WC 13282 KELLY, ERIC THE KELLY GROUP 12/12/18 COVEN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 701 19WC 13305 HEARAN, RONALD RANDSTAD TEMP AGENCY 04/16/19 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 702 19WC 13329 SCISLOWICZ, PIOTR AWAY STAFFING SERVICES IN 04/23/19 ANKIN LAW OFFICE 703 19WC 13348 MICHAELS, ROBERT W CHICAGO TRANSIT AUTHORITY 12/05/17 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 704 19WC 13406 CRISTEA, CIPRIAN UPS 04/26/19 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 705 19WC 13536 BROWN, SOPHIA L BELLWOOD PUBLIC LIBRARY 04/08/19 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 706 19WC 13563 JOINER, KAMARI APERION CARE FOREST PARK 04/29/19 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 707 19WC 13579 MACIEL MORENO, JOSE L RELISH LABS LLC D/B/A 04/14/19 ANKIN LAW OFFICE 708 19WC 13605 MATUSZAK, JEFFREY ASCHER BROTHERS CO INC 08/16/17 BALKE & WILLIAMS KEEFE CAMPBELL BIERY & ASSOC 19WC013606 -C 709 19WC 13648 ALEXANDER, ALICIA UNITED CONTINENTL HOLDING 04/10/19 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 710 19WC 13673 PICKHAM, WILLIAM R JOE RIZZA FORD 01/30/18 BRILL & FISHEL 19WC013674 -C 711 19WC 13692 GRACE, HELEN COOK DUPAGE TRANSPORTATIO 04/18/19 SCOTT B SHAPIRO 712 19WC 13714 BELMONTES, VIRIDIANA FERRARA CANDY 04/26/19 COSTA IVONE LLC 713 19WC 13738 LOWERY, PRENIS BEST HAND SUPERIOR 04/22/19 ANKIN LAW OFFICE 714 19WC 13763 BAILEY, JANETTE UNITED CONTINENTL HOLDING 09/18/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 715 19WC 13783 YANKE, JOHN CITY OF PROSPECT HEIGHTS 05/03/19 CULLEN HASKINS NICHOLSON 716 19WC 13785 RICHTER, NICHOLAS OAK LAWN POLICE DEPT 06/15/18 DAVID W MARTAY KEEFE CAMPBELL BIERY & ASSOC 717 19WC 13810 WYNN, DARNEY C UNIVERSITY OF ILLINOIS 03/04/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 718 19WC 13837 MARTINEZ ABALOS, MARIA LU SURESTAFF CORPORATE INC 01/25/19 CHEPOV & SCOTT LLC LOUIS MUNDY 719 19WC 13900 DZHEMOV, NIKOLAY SWAROVSKI 04/03/19 MC HARGUE & JONES HENNESSY & ROACH PC 720 19WC 13924 ELLISON, RANDAL SCHOOL DISTRICT U46 05/26/18 DRISCOLL LAW OFFICES PC NYHAN BAMBRICK KINZIE & LOWR 721 19WC 13977 GARCIA, JOSE T NATION PIZZA & FOODS 01/17/19 FREDRICK B BARDER, LTD MEACHUM & STARCK 722 19WC 14100 AVALOS, EDGAR WORLD'S FINEST CHOCOLATE 05/07/19 DWORKIN AND MACIARIELLO 723 19WC 14232 BIGOS, DAN C ABF FREIGHT SYSTEMS, INC 03/08/19 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 724 19WC 14249 SANCHEZ, MARTHA ELITE STAFFING, INC-HUBBA 04/19/19 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 725 19WC 14340 FLORES, JAVIER EDSAL MANUFACTURING CO, I 01/25/19 STROM & ASSOC SLAVIN & SLAVIN 726 19WC 17658 GARDNER, AMANDA MENARD, INC 11/02/16 KOSIN LAW OFFICE LTD 727 19WC 17806 STALBAUM, ANDREW FORD MOTOR CO 11/28/18 MC HARGUE & JONES POWER & CRONIN LTD 728 19WC 20588 JUAREZ, SOILA ELITE LAUNDRY SERV OF CHI 04/27/19 LITCHFIELD CAVO 729 19WC 20606 PEREZ, EDMANUEL CTA 07/12/19 EDWIN REYES LAW FIRM CHICAGO TRANSIT AUTHORITY 730 19WC 20623 KNOX, RANDALL ENTERPRISE RENT-A-CAR 07/12/19 TAXMAN POLLOCK KEEFE CAMPBELL BIERY & ASSOC 731 19WC 20627 GONZALEZ, HECTOR GARVEY'S OFFICE PRODUCTS 06/05/19 TAXMAN POLLOCK NYHAN BAMBRICK KINZIE & LOWR 732 19WC 20658 SALCIDO, ADRIANA HYATT REGENCY O'HARE 05/25/19 BUDIN LAW OFFICES 733 19WC 20674 VELASQUEZ, RICARDO ALSCO 07/05/19 HERRERA LAW CENTER ADELSON TESTAN BRUNDO 734 19WC 20692 JONES, MICHAEL OWENS CORNING 07/02/19 DWORKIN AND MACIARIELLO 735 19WC 20706 JAUREGUI, RUBEN VANEE FOODS 06/05/19 DEPAOLO & ZADEIKIS 736 19WC 20748 MASON, JUNIUS L VILLAGE DICOUNT OUTLET, I 05/09/19 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 737 19WC 20762 BUSH, JAY AMERICAN AIRLINES 07/14/18 CULLEN HASKINS NICHOLSON 738 19WC 20808 LOPEZ, FRANCISCO EDSAL MANUFACTURING CO, I 06/19/19 WILLIAM S. WOJCIK LTD 739 19WC 20840 CARTER, CORA J IS L TRUCKING 06/19/19 ANGELINI & ORI LLC 740 19WC 20856 HILLARD, DONNA J JACKSON PARK HOSPITAL FOU 06/27/19 ANKIN LAW OFFICE 741 19WC 20885 THURMAN, CASSANDRA ENVISION UNLIMITED 07/01/19 CRAIG L MANCHIK & ASSOC. 742 19WC 20915 ZEINA, AHMAD FOUR SEASONS 07/14/19 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 743 19WC 20937 ALVAREZ, BENITO DIAZ JAX STAFAFING SERVICES LL 06/26/19 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 744 19WC 20959 TREVINO, MARIA AMERICAN LIGHTING BRANDS, 04/29/19 THE ROMAKER LAW FIRM 745 19WC 20994 SERNA, ANGELICA M DLH HOLDING CORP 02/18/19 LEONARD LAW GROUP LLC 746 19WC 21043 PRYST, JOE VILLAGE OF SKOKIE 10/23/17 DANIEL E MURPHY VILLAGE OF SKOKIE 747 19WC 21059 NICHOLAS, MACK CTA 07/02/19 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 748 19WC 21064 BRADLEY, SCOTT PENGUIN TRUCKING 06/05/19 RITTENBERG BUFFEN DAVID M SPADA 749 19WC 21096 TATE, ROGER TENET CONCEPTS 06/29/19 CHARLES LEVY & ASSOC LTD 750 19WC 21113 CERVANTES, JUAN CARLOS PAPA CHARLIE'S, INC 06/17/19 BERG & BERG GANAN & SHAPIRO 751 19WC 21202 ALAGNA, STEPHEN O&K AMERICAN GROUP 02/15/19 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 752 19WC 21221 BAIRD, MICHAEL SYSCO CHICAGO 07/02/19 ERIC H CHECK, LAW OFFICES 753 19WC 21237 HARRISON, ANTHONY CONTOUR SAW 07/17/19 ACEVES & PEREZ PC 754 19WC 21315 JONES, DANIELLE CHICAGO TRANSIT AUTHORITY 01/07/19 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 755 19WC 21318 RODRIGUEZ, FIDEL SUREWAY TOOL & ENGINEERIN 03/18/19 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 756 19WC 21334 TORRES, JOEL SPRING FILL INDUSTRIES, L 06/20/19 LEONARD LAW GROUP LLC 757 19WC 21378 RUSNAK, EDWARD OVERTON CHICAGO GEAR CORP 07/14/17 RUBENS KRESS MULHOLLAND KEEFE CAMPBELL BIERY & ASSOC 758 19WC 21397 KELLER, MARCIA COMMUNITY SUPPORT SERVICE 02/21/18 LAW OFFICE OF LAURA A CHIL NYHAN BAMBRICK KINZIE & LOWR 759 19WC 21416 BROWN, TERRANCE WALMART 07/14/19 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 760 19WC 21436 KROHN, RYAN COCA-COLA 07/11/19 WILLIAM S. WOJCIK LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 761 19WC 21472 MARTINEZ, FERNANDO COPENHAVER CONSTRUCTION I 06/05/19 COSTA IVONE LLC 762 19WC 21490 ROBINSON, CELIA SENIOR OPERATIONS INC 01/27/18 LOUIS A PLZAK & ASSOCIATES BRADY CONNOLLY & MASUDA PC 763 19WC 21573 BISSING, CATHERINE MARIANO'S 09/05/18 GWC INJURY LAWYERS LLC 764 19WC 21593 GAYTAN, BENIGNO UNITED AIRLINES, INC. 07/17/19 SEIDMAN MARGULIS & FAIRMAN 765 19WC 21622 HERNANDEZ, GEORGE FLORIDA FRUIT JUICE 05/10/18 SIGMOND, STEVEN GAIDO & FINTZEN 19WC021623 -C 766 19WC 21681 CIOTTI, DEAN SARPINO'S 06/19/19 PORRO NIERMANN LAW GROUP 767 19WC 21712 SHELLY, ROBERT VILLAGE OF ORLAND HILLS 07/06/19 STEVEN J MALMAN & ASSOCIAT 768 19WC 21730 PEREZ, HECTOR RESOURCE PLASTICS 06/10/19 GOLDSTEIN BENDER & ROMANOF 769 19WC 21811 090 SLEZEWSKI, PHILIP VITALE TRU CUT LANDSCAPIN 07/23/19 ANKIN LAW OFFICE 090 19WC019139 -C 770 19WC 21867 BEENES, DOUGLAS WASTE MANAGEMENT 06/18/19 JASINSKI, GEORGE J 771 19WC 21908 SHAUGHNESSY, MICHAEL JOHN H STROGER HOSPITAL 06/08/19 TIMOTHY E. TAKASH STATES ATTORNEY OF COOK COUN 772 19WC 21938 CENICEROS, JESSICA LUCKY DOG 06/15/19 RATHBUN CSEVENYAK & KOZOL JOSEPH MARCINIAK 773 19WC 21967 GONZALEZ, GONZALO M HASSE CONSTRUCTION CO INC 03/22/19 O'CONNOR & NAKOS BRYCE DOWNEY & LENKOV LLC 774 19WC 22037 DY, ROGELIO GATE GOURMET 09/15/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 775 19WC 22067 ALEXANDER, DARIAN CTA 07/22/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 776 19WC 22072 CALDERON, GUILLERMO NATIONAL PIZZA 02/14/19 KREITER, BYCK & ASSOC LLP MEACHUM BOYLE TRAUFMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 777 19WC 22091 COLLINS, DONNA JENNY'S STEAK AND BANQUET 03/29/19 MC HARGUE & JONES WOLFE & JACOBSON, LTD 778 19WC 22097 016 CASTILLO, MILAGROS CITY OF CHICAGO 05/30/19 CUDA LAW OFFICES CITY OF CHICAGO 016 13WC018305 -C 016 13WC018510 -C 016 17WC022932 -C 779 19WC 22121 BARKIN, ROBERT L NORTHSHORE UNIVERSITY 08/31/18 RICHARD O. GREENFIELD 780 19WC 22149 ARTEAGA, MICHAEL DICK'S SPORTING GOODS 07/02/18 DAVID W MARTAY BRYCE DOWNEY & LENKOV LLC 781 19WC 22217 HOLLIS, LEANNA MARSHALLS 07/11/19 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 782 19WC 22235 HOLLIE, MICHAEL XSPORT FITNESS 07/25/19 DWORKIN AND MACIARIELLO 783 19WC 22254 LOPEZ, MICHAEL AT&T 01/08/19 MARK N LEE 784 19WC 22273 GARCIA, SALVADOR GRAND WORLDWIDE LOGISTICS 07/26/19 KREITER, BYCK & ASSOC LLP 785 19WC 22290 BEEKS, EUGENE IDOT @ 02/06/18 STROM & ASSOC KRISTIN LEASIA 786 19WC 22334 SANTOYO, JUAN PABLO OJEDA CHICAGO TEMPERED GLASS IN 04/10/18 MC HARGUE & JONES EVANS & DIXON 787 19WC 22370 FRISON, NICOLE FORD MOTOR COMPANY 07/27/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 788 19WC 22395 LEWIS, SUZIE T IL DEPT OF JUSTICE IYC @ 07/09/19 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 789 19WC 22413 LAWRENCE, JAMIE J RUSH UNIVERISTY MEDICAL C 07/11/19 ANKIN LAW OFFICE 790 19WC 22434 TYLER, MICHAEL L BIMBO BAKERIES USA 06/11/19 GOLDSTEIN BENDER & ROMANOF 791 19WC 22450 FERGUSON, DARREN UNITED AIRLINES 07/03/19 VRDOLYAK LAW GROUP LLC 792 19WC 22506 GOMEZ DE BONILLA, ANA UNITED AIRLINES 06/17/19 HEALY SCANLON LAW FIRM 793 19WC 22569 GUILLEN, MARVIN PARTYTIME - HDO PRODUCTIO 04/03/19 GERALD CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 794 19WC 22602 CARPENTER, GARRETH AT&T 06/28/17 DWORKIN AND MACIARIELLO 795 19WC 22617 OSHA, ANGELA THE ADMIRAL AT THE LAKE 06/28/19 ACEVES & PEREZ PC 796 19WC 22690 CAPIZ, ELVIA MC DONALD'S 07/31/19 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 797 19WC 22759 JONES, BRANDON ENGLER MEIER & JUSTUS, IN 04/06/18 SPIROS LAW PC 798 19WC 22765 PONCE, VICTORIA WINPAK PORTION PACKAGING, 08/12/16 RUBENS KRESS MULHOLLAND 799 19WC 22797 VAILANT, CRISTIANO UPS 07/25/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 800 19WC 22815 DEMIROVSKI, SAID BEAL PROPERTIES 12/21/18 VASILATOS & COTTER LLC HOLECEK & ASSOCIATES 19WC022816 -C 19WC022817 -C 801 19WC 22869 VOLKMAN, MAUREEN BOOSTER ENTERPRISE, INC 11/01/17 CRONIN PETERS & COOK 802 19WC 22893 WOOD, SHERRELL LURIE CHILDREN'S HOSPITAL 04/12/19 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 803 19WC 22916 JOHNSON, DANIEL COOK COUNTY 07/03/19 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 804 19WC 23051 DEL RIO, SAUL MANGO CONSTRUCTION 07/03/19 DUDLEY & LAKE LLC 805 19WC 23089 THOMAS, SIMONE AMAZON 07/16/19 ROGER D RUDICH LTD 806 19WC 23112 MANNING, DONALD RANDSTAD 07/12/19 ANGELINI & ORI LLC 807 19WC 23126 JONES, LANISE CTA 08/02/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 808 19WC 23148 GINEZ, MARIA A TRIBUNE DIRECT 12/15/18 CUDA LAW OFFICES 809 19WC 23215 PILATI, DOMINIC VLGE OF MELROSE PARK FIRE 02/09/19 WILLIAM H MARTAY DEL GALDO LAW GROUP LLP 810 19WC 23232 SCHWARTZ, LARRY ADVOCATE BATH 10/15/18 STONE & MAYA PC 811 19WC 23272 RAMIREZ, MARGARITO MARIOTTINI, INC. 01/07/19 HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 812 19WC 23295 JEMISON, TINA UNIVERSITY OF CHICAGO 11/07/18 ANSELMO DURAN POWER & CRONIN LTD 813 19WC 23317 BASS, CODY COLORADO EAGLES 04/06/19 WOLFE LAW PC 814 19WC 23349 LOPEZ, FRANCISCO HIGHLAND BAKING COMPANY 06/12/19 STROM & ASSOC 815 19WC 23368 JONES, LANCE WHOLE FOODS MARKET 05/08/19 DAVID W MARTAY 816 19WC 23410 PATTERSON, QUENTIN UPS 08/02/19 LAW OFFICES OF ADRIAN CHER 817 19WC 23418 HOOD, TOMMIE MIDWAY GARDEN APTS 04/03/19 LAW OFFICES OF ADRIAN CHER 818 19WC 23438 ANTIMO, MARIA A.S.G. STAFFING 07/24/19 DWORKIN AND MACIARIELLO FRANCIS J DISCIPIO LAW OFFIC 819 19WC 23460 PEREZ, MICHAEL SCHULZE & BURCH BISCUIT C 08/09/19 GRAVLIN, MICHAEL J LLC WIEDNER & MCAULIFFE LTD 820 19WC 23498 BROCK, KATHLEEN COOK COUNTY TEMPORARY 07/23/19 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 821 19WC 23511 SAINT, HEZEKIAH JR RUSH UNIVERSITY MEDICAL C 11/19/18 ANKIN LAW OFFICE 822 19WC 23529 CAMPOS, HECTOR HAPPY FOODS, INC 07/22/19 HERRERA LAW CENTER 823 19WC 23548 FUENTES, GILBERTO MIDWEST CANVAS 07/17/19 EPSTEIN, JACK R LAW OFFICE 824 19WC 23587 GAYE, ARTEMUS LUFTHANSA GERMAN AIRLINES 04/14/19 HORWITZ HORWITZ & ASSOC MEACHUM BOYLE TRAUFMAN 825 19WC 23620 COLLIER, ERIC POWERSTOP LLC 11/29/18 KREITER, BYCK & ASSOC LLP 826 19WC 23658 JOHNSON, DYASHAWN CONCORD NURSING & REHAB C 05/27/19 ANKIN LAW OFFICE SLAVIN & SLAVIN 827 19WC 23678 WISNIEWSKI, MARGARET UPS 06/14/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 828 19WC 23695 SANTUCCI, ANTONIO VILLAGE OF BROADVIEW 06/23/19 MARSZALEK AND MARSZALEK 829 19WC 23767 PIO, ANTHONY WALTZ BROTHERS 10/10/14 BOGUSZ & BOGUSZ LTD JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 830 19WC 23794 BROWN, CLARK J&J SNACK 08/14/19 ACEVES & PEREZ PC 831 19WC 23816 DEL CID, KENIA FLIP 3132, INC 08/12/19 JONATHAN SCHLACK HOLECEK & ASSOCIATES 832 19WC 30450 CHILDERS, CAMILLA UNITED AIRLINES (UAL) * 07/19/19 ROMANUCCI & BLANDIN 833 19WC 30469 ALFRED, KHADIJAH RIVEREDGE HOSPITAL, INC. * 09/24/19 STEVEN B SALK & ASSOC LTD MC ANDREWS & NORGLE LLC 834 19WC 30491 RANGEL, KEITH F LOYOLA UNIVERSITY MEDICAL * 12/31/18 GALLAGHER, DONALD V 835 19WC 30505 DUFFIN, MAURA E KRAPIL'S STEAKHOUSE & PAT * 10/05/19 LEONARD LAW GROUP LLC 836 19WC 30526 VAUGHN, ALBERT THE CARRINGTON AT LINCOLN * 10/03/19 LAW OFFICES OF ADRIAN CHER 837 19WC 30553 JOHNSON, CLARICE AUBERGE AT HIGHLAND PARK * 10/17/19 GERALD CONNOR 838 19WC 30570 MOSCHETTO, JOHN FEDERAL EXPRESS * 12/03/18 CAPRON & AVGERINOS PC 839 19WC 30596 BROW, MICHAEL MID-AMERICAN ELEVATOR COM * 10/05/19 GWC INJURY LAWYERS LLC 840 19WC 30617 HERRERA, CRYSTAL WORKFORCE ENTERPRISES WFE * 07/20/19 DEPAOLO & ZADEIKIS 841 19WC 30639 WILSON, CHUNDA BURLINGTON COAT FACTORY * 10/04/19 VITELL & SPITZ LTD CHILTON YAMBERT PORTER LLP 842 19WC 30689 MCDOUGAL, ANDRE ARRO FOODS * 10/09/19 WHITESIDE & GOLDBERG LTD 843 19WC 30707 TAYLOR, TIFFANY JOHN STROGER HOSPITAL * 10/01/19 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 844 19WC 30749 VARGAS, LUZ LUCERO SCRUB, INC. * 09/07/19 SALVATO O'TOOLE FROYLAN 845 19WC 30776 GAONA, JULIO HARVEY PALLETS * 09/26/19 VASILATOS & COTTER LLC 846 19WC 30795 PRATT, CARL COSTCO * 09/30/19 WOODRUFF JOHNSON 847 19WC 30814 GABRIEL, YVONNE UNIVERSAL SECURITY CORP * 10/17/19 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 848 19WC 30876 CUEVAS, IMEIDA BRETT ANTHONY FOODS * 10/18/18 CAPRON & AVGERINOS PC 849 19WC 30902 WILSON, ANTONIO RUSH UNIVERSITY MEDICAL C * 09/20/19 DAVID W MARTAY 850 19WC 30928 GRIFFIN, MONICA HEFFERAN ELEMENTARY SCHOO * 09/10/19 BURNES & LIBMAN CHGO BOARD OF EDUCATION 851 19WC 30946 BORUM, JAMES MARRIOTT MARQUIS * 10/18/19 DWORKIN AND MACIARIELLO 852 19WC 30961 BROWN, RACHEL ASTELLAS PHARMACEUTICLS U * 06/07/17 RUSIN & MACIOROWSKI LTD 853 19WC 30980 BOWSKY, CORETTA COUNTRY CLUB HILLS DISTR * 10/08/19 SEIDMAN MARGULIS & FAIRMAN 854 19WC 30987 DELLA CROCE, JOSEPH M HOME DEPOT * 02/11/19 GALLAGHER, DONALD V 855 19WC 31011 PEREZ, MARTHA C RENAISSANCE CHICAGO * 10/06/19 CHEPOV & SCOTT LLC 856 19WC 31028 ESPOSITO, RONALD METROPOLITAN WATER RECLAM * 06/25/18 NYHAN BAMBRICK KINZIE & LOWR 857 19WC 31120 PEREZ, MARCELINO CLUNE CONSTRUCTION * 08/29/19 KARCHMAR & STONE 858 19WC 31167 DURAN, FLORENCIO AMERICAN MATERIALS * 06/25/19 COVEN LAW GROUP 859 19WC 31217 WARD, DARIA CITY OF CHICAGO * 10/15/19 ANKIN LAW OFFICE 860 19WC 31243 SANTAMARIA, STEVEN CHICAGO TRANSIT AUTHORITY * 10/16/19 HORWITZ HORWITZ & ASSOC 861 19WC 31285 ALVARADO, PABLO G CUSTOM MAINTENANCE SOLUTI * 10/16/19 STROM & ASSOC 862 19WC 31327 ALLEN, FRANKIE SSP AMERICA * 10/20/19 ANSELMO DURAN 863 19WC 31345 BASTIDA, CAYETANO J&A SHEET METAL, INC * 10/23/19 HERRERA LAW CENTER 864 19WC 31399 HAUSEN, ROGER CITY OF CHICAGO * 10/10/19 NILSON STOOKAL GLEASON CAP 865 19WC 31428 GREEN, DAVID LIFELINE AMBULANCE, LLC * 10/22/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 866 19WC 31445 VALENCIA, ROBERTO SAMS CLUB * 10/10/19 DWORKIN AND MACIARIELLO 867 19WC 31487 HATCH, WILLIAM CTA * 10/16/19 DOUGLAS RALLO PC CHICAGO TRANSIT AUTHORITY 868 19WC 31516 WELCH, GREGORY M ADP TOTAL SOURCE * 04/25/19 WIEDNER & MCAULIFFE LTD 869 19WC 31531 MORALES, FIDEL VILLAGE OF PARK FOREST * 08/29/19 JOHN J CASTANEDA 870 19WC 31554 JENNINGS, GARFIELD MENZIES AVIATION * 08/13/19 COSTA IVONE LLC 871 19WC 31582 BURNS, DELBERT J III BERNHARD WOODWORK LTD * 01/17/18 EVANS & DIXON 872 19WC 31611 HARRIS-TURNER, BARBARA HELP AT HOME, LLC * 10/29/19 THE ROMAKER LAW FIRM 873 19WC 31669 VASQUEZ, RODRIGO CHEESE MERCHANTS * 08/31/19 WHITING LAW GROUP 874 19WC 31731 WILLIAMS, COLLETTE WARREN BARR LIVING & REHA * 07/04/19 STRONG LAW OFFICE 875 19WC 31762 WOOD, KYLE WINDY CITY THUNDERBOLTS * 09/03/17 QUINTAIROS PRIETO WOOD & BOY 876 19WC 31783 TIGNOR, KAREN UNITED AIRLINE HOLDINGS, * 06/20/19 BRIAN J MC MANUS & ASSOC, 877 19WC 31864 TERRONES, ANTHONY M ST PAUL'S UNITED CHURCH * 08/01/19 DAVID W MARTAY 878 19WC 31919 EVANS, PAUL ALDEN WENTWORTH * 10/20/19 JAMES ELLIS GUMBINER & ASS 879 19WC 31945 AYALA, RAMIRO ATLAST EMPLOYMENT SERVICE * 05/20/19 COSTA IVONE LLC 880 19WC 31976 GUARDADO, JOSE JANKO PROPERTIES * 10/04/19 MC HARGUE & JONES 881 19WC 32014 PHILLIPS, DWAYNE ACIA AUTOMOTIVE, INC * 08/22/19 GRAUER & KRIEGEL LLC 882 19WC 32048 THOMPSON, LAMONTE US, VENTURE, INC * 10/29/19 ANKIN LAW OFFICE 883 19WC 32070 HARRIS, TREVOR NORTHSHORE HEALTH SYSTEMS * 10/29/19 STEVEN J MALMAN & ASSOCIAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 884 19WC 32091 RUBIS, EVERETT WALGREENS * 06/23/19 STYKA & STYKA 885 19WC 32124 KOZIOL, MICHAEL UPS 10/21/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 886 19WC 32136 VALDEZ, SANTIAGO ABM * 10/23/19 SALVATO O'TOOLE FROYLAN 887 19WC 32150 PRIMBAS, SAM CITY OF CHICAGO-FLEET MGM * 08/21/19 ARGIONIS & ASSOCIATES LLC 888 19WC 32170 CALIXTO, FRANCISCO DCG ROOFING SOLUTIONS * 10/25/19 ACEVES & PEREZ PC 889 19WC 32188 DIAZ, NICOLE DANIELLE DUNKIN DONUTS * 05/28/19 SEIDMAN MARGULIS & FAIRMAN 890 19WC 32208 VILLANUEVA, VALENTIN AGUI AUTOFX INC. * 10/14/19 BAUM RUFFOLO & MARZAL LTD 891 19WC 32228 OLIVA, LILIA GATE GOURMET * 10/20/19 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 892 19WC 32236 SIMPSON, ANTHONY D HAGGERTY LANDSCAPING, INC * 03/29/19 GALLAGHER, DONALD V 893 19WC 32263 TORRES, ERIC R CHARLES ALBERTS LANDSCAPI * 08/19/19 BIZZIERI LAW OFFICES 894 19WC 32279 BARRIOS, EDITH VILLALOBOS LOUNGE * 08/08/19 EPSTEIN, JACK R LAW OFFICE 895 19WC 32302 HOLMES, ROBERT PIVOTAL STAFFING SRVS, LL * 06/23/19 ANKIN LAW OFFICE 896 19WC 32325 MILLER, DANIEL N FOREST PARK POLICE DEPT * 02/03/17 RIDGE & DOWNES INMAN & FITZGIBBONS 897 19WC 32343 ANDREA, CHRISTOPHER GLASS SOLUTIONS, INC. * 09/21/19 CAPRON & AVGERINOS PC 898 19WC 32364 HOWARD, PAUL LAKESHORE BEVERAGE BUDWEI * 10/30/19 SEIDMAN MARGULIS & FAIRMAN 899 19WC 32398 MILLER, ROBERT CTA * 10/30/19 DONALD FOHRMAN & ASSOC 900 19WC 32419 LUNA, OMAR THE MARVEL GROUP * 10/11/19 CULLEN HASKINS NICHOLSON 901 19WC 32444 MORROW, LANCE UNITED CONTINENTAL HOLDIN * 08/11/19 KATZ FRIEDMAN EISENSTEIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 902 19WC 32483 SANCHEZ-NIETO, NICASIO THE STEEL SUPPLY COMPANY * 05/22/19 HANNIGAN & BOTHA, LTD 903 19WC 32504 PATEL, VIJAY SIGMATRON INTERNATIONAL * 08/27/19 KROL BONGIORNO & GIVEN LTD 904 19WC 32523 KING, ADOLFO CITY OF CHICAGO * 07/24/19 ANGELINI & ORI LLC 905 19WC 32541 JANIL, PETER JANIK CUSTOM MILLWORK, IN * 07/24/18 BRADY CONNOLLY & MASUDA PC 906 19WC 32558 WINTERS, CIARA ARYZTA * 11/01/19 COSTA IVONE LLC 907 19WC 32577 BOWEN, MATTHEW INDEPENDENCE PLUS, INC. * 08/16/19 GWC INJURY LAWYERS LLC 908 19WC 32610 RIOS, RUBEN L SURE STAFFING * 11/10/19 EDWIN REYES LAW FIRM 909 19WC 32626 FALCON, MARIA CHICAGO PARK DISTRICT * 09/17/19 COVEN LAW GROUP 910 19WC 32651 TRUSS, KENYATHA KOCH FOODS INC * 10/13/19 DWORKIN AND MACIARIELLO 911 19WC 32676 GRABOWSKI, ADAM COOK COUNTY ADULT PROBATI * 11/09/18 MICHAEL A. HIGGINS 912 19WC 32694 BOCCIA, ANGELO J CITY OF CHICAGO * 05/15/19 ANKIN LAW OFFICE 913 19WC 32715 JOHNSON, GLEN A TRANS-UNITED, INC. * 02/13/19 SCOPELITIS GARVIN LIGHT 914 19WC 32737 MYERS, HAYLEY K MAC CLUB, LLC * 10/28/19 COHN LAMBERT RYAN & SCHNEI 915 19WC 32763 WEEKLY, RASHEED THE PALM CHICAGO * 10/25/19 MC HARGUE & JONES 916 19WC 32776 OAKES, JAMES UNITED CENTER * 02/03/19 HEALY SCANLON LAW FIRM 917 19WC 32795 GONZALEZ, ANDREW TRANSOR FILTER * 07/11/19 WOODRUFF JOHNSON 918 19WC 32819 HYMAN, BETH UNITED AIRLINES INC. * 10/30/19 ANGELINI & ORI LLC 919 19WC 32839 REED, EUGENIA SPEEDWAY * 10/21/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR CHICAGO 99003 ON 12/16/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 920 19WC 32861 SWEITZER, ROBERT YRC, INC C/O * 10/18/19 HETHERINGTON KARPEL & BOBB 921 19WC 32887 NEUDENBACK, JOSEPH METROPOLITAN STEEL, INC. * 10/15/19 GREGORIO & MARCO 922 19WC 32917 MUNOZ, MARIA ALTERNATIVE STAFFING, INC * 10/25/19 CULLEN HASKINS NICHOLSON 923 19WC 32939 PADILLA RAMOS, JOSE WASHINGTON SQUARE MANAGEM * 06/12/19 HERRERA LAW CENTER 924 19WC 33009 CALABREESE, JASON SCHOOL DISTRICT U-46 * 09/10/19 TARADASH LAW OFFICE 925 19WC 33035 GAUDIN, JUAN SHINE ON GROUP * 09/23/19 RIDGE & DOWNES 926 19WC 33056 MERGENTHALER, WILLIAM SOUTHWEST AIRLINES * 11/03/19 WHITESIDE & GOLDBERG LTD 927 19WC 33097 DELEON, SAUL INGREDION INC * 11/27/18 KREITER, BYCK & ASSOC LLP