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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 06WC 28811 SINAJ, MIKE HINTSCHE FERTILIZER 01/31/05 SCHWICKERT & GANASSIN EDWARD JANUSZKIEWICZ 15 06WC 53457 QUILLMAN, PATRICIA SILVER CROSS HOSPITAL 02/12/05 BLOCK, BLOCK & KLUKAS P.C. MACIOROWSKI SACKMANN & ULRIC 06WC053458 -C 16 07WC 13171 MANCERA, ROGER ECOLAB 03/02/07 JAMES M RIDGE & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 17 07WC 21267 TRUJILLO, ANTHONY CONCEPTS IN CARPENTRY INC 01/25/05 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 18 07WC 31389 MORGAN, BRIAN D EXEL LOGISTICS 07/13/06 FRANK C HERNANDEZ HENNESSY & ROACH PC 19 07WC 42380 HALL, CURTIS K HYDRITE CHEMICAL COMPANY 08/11/06 COHN & COHN COZZI & GOGGIN-WARD 20 07WC 49630 TARIN, FIDEL KEIGHER MOTORS W 09/01/07 BLOCK, BLOCK & KLUKAS P.C. 07WC057189 -C 21 07WC 52211 SIBERT, JOSEPH STATESVILLE CORRECTIONAL 11/08/05 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 22 08WC 12792 MINTON, JOSEPH AUTOBAHN COUNTRY CLUB 11/20/07 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 23 08WC 15510 RICCIARELLI, MICHAEL ROADWAY EXPRESS INC 03/29/07 DECARLO LAW GROUP 24 08WC 25073 ZAKRZEWSKI, STENIA QUANTAM FOODS 03/28/08 MINKOW DOMIN GRANT & FANNING 25 08WC 25684 THOMPSON, BEVERLY A JOLIET TOWNSHIP HIGH SCHO 08/10/07 FABRIZIO, HANSON & PEYLA THOMAS & ASSOCIATES 26 08WC 26444 KENNEDY, MICHAEL WILLIAMS BROTHERS CONSTRU 03/06/08 WHITESIDE & GOLDBERG LTD KNELL LAW LLC 27 08WC 28581 MILLER, RONALD STATE OF ILLINOIS @ 12/27/05 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 08WC028582 -C 28 08WC 28920 SOHOVICH, ROBIN PLAINFIELD SCHOOL DST 202 09/04/07 BARRETT & SRAMEK NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 08WC 39796 COBB, JACQUELYN M SCHOOL DISTRICT 201-U 01/23/08 CULLEN, HASKINS, NICHOLSON INMAN & FITZGIBBONS 30 08WC 39814 JEFFERSON, TIMOTHY ST OF IL DEPT OF CORRECTI @ 08/20/08 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 08WC039815 -C 10WC007445 -C 12WC007601 -C 13WC020397 -C 31 08WC 41010 LAMB, RICHARD SATO LABELING 10/18/07 STROM, NEAL B RODDY LAW LTD 32 08WC 41568 SKUBNIK, LISA SILVER CROSS HOSPITAL 03/24/08 FABRIZIO, HANSON & PEYLA MACIOROWSKI SACKMANN & ULRIC 33 08WC 49235 VANHOOSE, KEVIN JOLIET POLICE DEPT 11/03/06 MICHAEL P MCCREADY & ASSOC CITY OF JOLIET 34 08WC 51732 TADEO, SILVESTRE ECHN KEHE FOODS 08/02/08 GALLIANNI DOELL & COZZI LT RODDY LAW LTD 35 08WC 53251 CLAFFY, MILTON TOYS R US 01/09/08 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 36 08WC 53784 JONES, TOMMIE ST OF IL DJJ IYC JOLIET @ 11/16/08 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 37 08WC 54554 RICHARDSON, KEVIN ILLINOIS DEPARTMENT OF @ 10/21/08 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 12WC038471 -C STATE OF ILLINOIS 38 08WC 56505 PEDIGO, APRIL UNKNOWN OWNERS D/B/A 05/05/08 FRANK A CELANI RUSIN MACIOROWSKI & FRIEDMAN 39 09WC 02676 19B-1 LABOY, LOUIS CASSENS TRANSPORT COMPANY 11/07/08 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 40 09WC 06744 RODEGHERO, ROBERT J CITY OF JOLIET 12/16/08 PATRICIA HARDIMAN LAW OFFI CITY OF JOLIET 13WC025275 -C 41 09WC 12912 FOSTER, KELLY SENIOR SERVICES OF WILL C 02/26/09 FRANK A CELANI WOLFE & JACOBSON, LTD 42 09WC 14349 PATTERSON, ZIDAR STATE OF ILLINOIS @ 03/06/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 43 09WC 14411 MALECKI, CLYDE COLEMAN FLOOR CO 12/17/08 LEO ALT KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 09WC 14781 WEST, RENEA J TRINITY SERVICES INC 03/09/09 VITELL & SPITZ LTD 45 09WC 18363 THOMAS, JANET DEPT OF HUMANS SERVICES @ 04/16/09 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC021092 -C STATE OF ILLINOIS 46 09WC 21991 SALAS, MAXIMINO JOSE LUIS GONZALEZ @ W 08/24/08 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 47 09WC 23713 ANDERSON, CALVIN DISTRICT OF WILL COUNTY 09/05/08 ANESI OZMON RODIN NOVAK KO RUSIN MACIOROWSKI & FRIEDMAN 12WC027576 -C FOREST PRESERVE DISTRICT O 12WC027579 -C 15WC035158 -C FOREST PRESERVE DISTRICT 48 09WC 27413 SLATTERY, THOMAS EPCOR 01/13/09 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 49 09WC 30539 HARDY-ROSS, SHARON STATE OF IL 01/05/09 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 50 09WC 32946 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 06/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC011534 -C 12WC032769 -C 51 09WC 38459 ALMARAZ, ALEJANDRA MC DONALD'S 08/15/08 GOLDSTEIN BENDER & ROMANOF NOBLE & ASSOCIATES PC 09WC038460 -C 52 09WC 40574 BALESTRI, KATHY STADDEN HARRAH'S CASINO 04/25/09 NOBLE & ASSOCIATES PC 53 09WC 41910 CHAMBERS, HELENA M TRINITY SERVICES 03/23/07 HETHERINGTON KARPEL BOBBER STELLATO & SCHWARTZ 10WC007561 -C 10WC043597 -C 10WC043598 -C 54 09WC 44792 STANG, KIMBERLY PROVENA ST JOSEPH MEDICAL 07/22/09 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 12WC021640 -C ILLINOIS HEART & VASCULAR 55 09WC 48109 KEANE, STEPHEN IDOT @ 10/15/09 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENERAL 12WC000213 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 09WC 49653 CRONK, KEVIN DEPENDENT SO KIMBALL HILL HOMES # 03/26/56 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 57 10WC 03832 HENLEY, JACQUELINE EMBASSY HEALTHCARE SRVS 11/24/09 SACKS, ALBRECHT & GUBBINS RUSIN MACIOROWSKI & FRIEDMAN 10WC003836 -C 58 10WC 06467 WYNNE, RENEE PROVENA ST JOSEPHS 01/17/10 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 11WC014355 -C 59 10WC 06898 VERONESI, SHARON LEE MONREAL D/B/A AMERICA W 06/10/09 BLOCK, KLUKAS & MANZELLA P 60 10WC 07041 ISLEY, MELISSA ST OF IL DEPT OF @ 07/07/09 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 10WC031984 -C STATE OF ILLINOIS 14WC004027 -C 61 10WC 08205 CRAGG, TIM ILLINOIS DEPARTMENT OF 04/02/09 HORWITZ HORWITZ & ASSOC DANIEL SULLIVAN 62 10WC 08319 SMOTHERS, DENZIL WILL COUNTY 04/30/07 BLOCK, KLUKAS & MANZELLA P RUSIN MACIOROWSKI & FRIEDMAN 10WC008320 -C 10WC008321 -C 10WC008322 -C 11WC013197 -C 13WC019566 -C 14WC038763 -C FOREST PRESERVE DISTRICT O 15WC034227 -C 63 10WC 10160 CARDWELL, RENEE MENARD'S INC 12/10/09 O'CONNOR & NAKOS CHILTON YAMBERT PORTER LLP 64 10WC 11288 MARTINEZ, ROCIO FEDERAL SIGNAL CORPORATIO 08/03/09 BOUDREAU NISIVACO LLC BRADY CONNOLLY & MASUDA PC 65 10WC 13679 CONTRERAS, ANGELICA FILTRATION GROUP 03/17/10 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 66 10WC 14589 STAHR, BRIAN ILLINOIS DEPARTMENT @ 02/24/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 67 10WC 15004 ROBERTS, ALICIA NURSEPOWER 04/01/10 VRDOLYAK LAW GROUP LLC THOMAS & ASSOCIATES 68 10WC 15265 BREITENFELD, SUSAN MONGO MANAGEMENT LLC 01/22/10 BART DURHAM LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 10WC 15425 POWELL, ROBERT J B HUNT 04/05/10 CORTINA & MUELLER INMAN & FITZGIBBONS 70 10WC 16883 PEAK, CONNIE HARRAHS ILLINOIS CORP 04/05/10 HORWITZ HORWITZ & ASSOC NOBLE & ASSOCIATES PC 10WC016884 -C 71 10WC 17403 FRANIAK, BRONISLAW QUANTUM FOODS 05/29/09 MINKOW DOMIN GRANT & FANNING 72 10WC 18123 TREVINO, ALFONSO GERDAU AMERISTEEL 04/19/10 BRISKMAN BRISKMAN GREENBER GOLDBERG SEGALLA LLC 73 10WC 18803 ALMARAZ, BENITA SPORTS AUTHORITY 12/22/09 HECTOR ESPITIA RODDY LAW LTD 74 10WC 19486 19B BUSTAMANTE, ANTONIA INSPIRE STAFFING W 05/10/10 STROM, NEAL B SPIEGEL & CAHILL, PC 75 10WC 19642 SANDERS, CLARENCE VILLAGE OF MOKENA 01/15/10 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 12WC038052 -C 76 10WC 20296 CHITTY, JUDITH A VALLEY VIEW SCHOOL DIST 3 07/31/07 WARD, BERNARD D LAW OFFICE KNELL & O'CONNOR 77 10WC 21769 ESQUIVEL, GRISELDA SATO LABELING SOLUTIONS 04/20/10 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 78 10WC 23307 VICICH, JOHN MICHAEL STATE OF ILLINOIS - DOC @ 04/30/09 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 79 10WC 24867 RENWICK, TONYA DEPT OF HUMAN SRVC 06/08/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 80 10WC 26695 NORWOOD, CEDRIC ST OF IL DEPT OF @ 07/01/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 81 10WC 27924 FRYER, KAREN ST OF IL DEPT OF 11/17/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 82 10WC 30818 AUTEN, LINDA, WIDOW OF ST OF IL, IL STATE TOLL @ 06/14/10 ANKIN LAW OFFICE GANAN & SHAPIRO 83 10WC 32336 MONTES, JOSE G & K TRUCKING OF CHICAGO W 07/19/10 LAW OFFICE OF KEVIN O'BRIE 84 10WC 32826 NOEL, SHERRY L VILLAGE OF CHANNAHON 06/03/09 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 85 10WC 35307 QUINTERO, HECTOR STATEVILLE CORRECTIONAL @ 08/03/10 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 86 10WC 35709 BRENCZEWSKI, RAY IL DEPT OF CORRECTIONS @ 11/09/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 10WC 37209 GARCIA, NANCY LTD CHICAGO III LLC 05/12/10 LAW OFFICES OF LAW OFFICES JOSEPH MARCINIAK 88 10WC 38054 19B COCKBURN, JOHN JOLIET JUNIOR COLLEGE 12/19/08 RATHBUN CSEVENYAK & KOZOL SCOPELITIS GARVIN LIGHT 89 10WC 39537 OLDHAM, LORRAINE ILLIOIS DEPT REHAB SRVS @ 01/01/10 MARC S. MAYER & ASSOCIATES ASSISTANT ATTORNEY GENERAL 90 10WC 39702 SQUARE, LEONARDO TRINITY SERVICES INC 12/25/09 VRDOLYAK LAW GROUP LLC 91 10WC 40814 HILLIARD, DENNIS A STATE OF ILLINOIS @ 06/19/09 ANESI OZMON RODIN NOVAK KO ASSISTANT ATTORNEY GENERAL 10WC040815 -C 10WC040816 -C 10WC040817 -C 92 10WC 41202 KRUC, MARY SUE SILVER CROSS HOSPITAL 08/14/10 JASINSKI, GEORGE J MACIOROWSKI SACKMANN & ULRIC 93 10WC 41609 BAIRD, KEN ILLINOIS DEPARTMENT OF @ 10/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 94 10WC 41719 TOMASEVICH, KYLE W KONECRANES KCI HOLDING US 09/21/10 CAMERON CLARK GALLIANNI DOELL & COZZI LTD 95 10WC 42525 ZABALA, GEORGE MR BLATTNER ENERGY 06/09/10 HORWITZ HORWITZ & ASSOC GRANT & FANNING 10WC042528 -C 96 10WC 44712 19B KING, MICHAEL TURNER INDUSTRIES GROUP 10/11/10 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 97 10WC 45463 SOTO, ENRIQUE TRIUNE LOGISTICS 09/03/10 CHRISTINE F DAVID LITCHFIELD CAVO 98 10WC 46475 MCCLEVERTY, CHRISTOPHER J WILL COUNTY SHERIFF'S DEP 08/12/10 SACKS, ALBRECHT & GUBBINS 99 10WC 46479 MCCLEVERTY, CHRISTOPHER J WILL COUNTY SHERIFF'S DEP 09/09/10 SACKS, ALBRECHT & GUBBINS 100 10WC 48721 ZAKRZEWSKI, STENIA QUANTUM FOODS 11/26/10 MINKOW DOMIN COZZI & GOGGIN-WARD 101 10WC 49078 WILLIAMS-LEWIS, LORRAINE STATE OF ILLINOIS @ 09/23/10 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 11WC 00597 MENESES, JUAN M MVP INC 11/29/10 DAVID W MARTAY KOREY LAW LLC 103 11WC 03538 HARRIS, JACQUES SELECT STAFFING & 01/02/11 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 11WC003539 -C 104 11WC 05428 KAMIENSKI, MARK CENTRAL GROCERS 12/10/10 O'CONNOR & NAKOS ROSARIO CIBELLA 105 11WC 05525 SKUBNIK, LISA D SILVER CROSS HOSPITAL 12/29/10 FABRIZIO, HANSON & PEYLA MACIOROWSKI SACKMANN & ULRIC 106 11WC 06061 MELENDEZ, SHARON TARGET 09/29/09 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 107 11WC 06127 POULOS, STEVE VILLAGE OF BOLINGBROOK 02/20/08 SOSTRIN AND SOSTRIN PC RUSIN MACIOROWSKI & FRIEDMAN 11WC006128 -C 12WC000928 -C 108 11WC 06174 BUTKIEWICZ, EDMUND SOI DEPT OF CORRECTIONS @ 11/04/10 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 109 11WC 06964 JOHNSON, FLOYD CRST 01/23/11 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 110 11WC 08636 CALDERON, JOSE ESTES EXPRESS LINES 01/27/11 BRIAN T MORROW, LAW OFFICE GAROFALO SCHREIBER STORM 111 11WC 09157 DE LOACH, JERRY RELIABLE EMPLOYMENT SERVI 02/09/11 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 112 11WC 11397 LEAL, MARIA PLAINFIELD COMMUNITY 09/03/10 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 113 11WC 11494 RIVERA, FILOMENO M&R TANSPORT INC 10/21/10 LAW OFFICE OF JAMES URTIS 114 11WC 12884 GANZER, RICHARD JR ILLINOIS SECRETARY OF STA @ 02/16/11 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 115 11WC 15540 BRILL, DONALD STATEVILLE CORRECTIONAL @ 09/09/10 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 116 11WC 16452 GAMBOA, VICTOR PROGRESSIVE LOGISTICS SER 02/17/11 GALLAGHER, DONALD V THOMAS & ASSOCIATES 117 11WC 16619 LARA, ELIAMAR TURANO PASTRY SHOPS, INC 04/10/10 RATHBUN CSEVENYAK & KOZOL NOBLE & ASSOCIATES PC 12WC014738 -C 15WC013568 -C 118 11WC 17553 GENDUSO, JOSEPH M GRAND PRAIRIE TRANSIT INC 01/18/11 VITELL & SPITZ LTD GALLIANNI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 11WC 18523 LOZENSKI, RONALD P PARSEC 10/04/10 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 120 11WC 19787 MERCER, PAUL JOLIET TERRACE NURSING HO 03/04/11 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 121 11WC 20027 PALER, ADAM ILLINOIS DEPT OF CORRECTI @ 05/04/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 122 11WC 20559 COLON, MARIA LEVY HOME ENTERTAINMENT 03/31/10 LAW OFFICES OF BART DURHAM INMAN & FITZGIBBONS 123 11WC 21048 ORTIZ, CONSUELO C CATTICO INC D/B/A MC DONA 12/10/10 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 124 11WC 21056 SZMERGALSKI, THERESA L LOCKPORT TOWNSHIP 12/01/10 BRUGGEMAN HURST & ASSOC WIEDNER & MCAULIFFE LTD 125 11WC 21551 REITZ, KRISTINE L SILVER CROSS HOSPITAL 05/12/11 KROCKEY CERNUGEL COWGILL E MACIOROWSKI SACKMANN & ULRIC 126 11WC 22931 BAYLESS-MICKLES, FELECHIA ILLINOIS DEPARTMENT OF @ 05/12/11 DVP LAW LLC ASSISTANT ATTORNEY GENERAL 127 11WC 28108 DIAZ, EDUARDO DEER CREEK GOLF CLUB 06/24/11 LAW OFFICES PETER LEKAS LAW OFFICE OF CAPUANI & SHIE 128 11WC 28429 JONES, PHILIP D ENTERPRISE TRANSPORTATION 05/16/11 BARRETT & SRAMEK HENNESSY & ROACH PC 129 11WC 28582 MORMANN, JOHN A SOUTHERN WINE AND SPIRITS 06/28/11 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 12WC030710 -C 130 11WC 31549 GAYTAN, ISRAEL RAILWAY INDUSTRIAL 07/27/11 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 131 11WC 32217 JACOBO, MARIELA KEHE FOOD DISTRIBUTORS IN 08/13/11 EPSTEIN, JACK R LAW OFFICE NOBLE & ASSOCIATES PC 12WC008373 -C 132 11WC 32488 EARL, RENEE PROVENA ST JOSEPH 02/23/11 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 133 11WC 33498 BULMER, DENNIS JAMES COLFAX CORPORATION 06/20/11 VRDOLYAK LAW GROUP LLC THOMAS & PORTELA 134 11WC 34469 PADILLA, CELIA SCHNEIDER LOGISTICS 06/08/11 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 135 11WC 34641 DILLARD, CARLA ST OF IL @ 07/29/11 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 136 11WC 34776 LONG, ANTON VSP KILGORE 08/04/11 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 11WC 36263 HITE, KRYSTLE STATE OF IL DEPT OF HUMAN @ 07/22/11 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 138 11WC 36834 ALVAREZ, MARTHA STAFFING NETWORK LLC 08/02/11 SALK, STEVEN B & ASSOC LTD SLAVIN & SLAVIN 139 11WC 37432 MARTINEZ, JOHNNY SCHULER HEATING & COOLING 07/20/11 KROCKEY CERNUGEL COWGILL E COZZI & GOGGIN-WARD 140 11WC 42957 MCBRIDE, BOBBY A JR Z FORCE TRANSPORTATION, I 09/26/11 BERNAT & BERNAT PC STONE & JOHNSON CHARTERED 141 11WC 43491 TELLEZ, DONNA SILVER CROSS HOSPITAL 10/25/10 HEALY LAW FIRM MACIOROWSKI SACKMANN & ULRIC 142 11WC 43887 OLSON, DAVID NATHAN LINN & SONS INC 10/26/11 O'CONNOR & NAKOS THOMAS & PORTELA 143 11WC 44571 RUIZ, MARISA ULTA COSMETICS WAREHOUSE 08/16/11 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 144 11WC 44675 KURE, JEFFREY FOREST PRESERVE DISTRICT 10/26/11 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 12WC030469 -C 13WC013461 -C 16WC004154 -C 145 11WC 44963 PEREZ, MARIA VONACHEN SERVICES INC 10/13/11 SCHWEICKERT & GANASSIN THOMAS & ASSOCIATES 146 11WC 45736 HRAY, RICHARD RENDEL'S INC. 01/11/11 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 147 11WC 47289 SOLORZANO, MARIA RALPH'S D/B/A FOOD FOR LE 03/29/10 THE ROMAKER LAW FIRM GANAN & SHAPIRO 148 11WC 47732 LANGON, SHARON SAMUEL H SHAPIRO @ 11/25/11 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 149 11WC 47836 HOVORKA, ROGER J PLAINFIELD SCHOOL DIST 04/11/11 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM 150 11WC 47862 MEDINA, VICTOR SR AARON THOMAS COMPANY, INC 07/18/11 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 151 11WC 48455 19B HARTELL, ROBERT M MANTENO COMMUNITY 07/24/11 KOSIN LAW OFFICE LTD POWER & CRONIN LTD 152 11WC 48699 FLOURNOY, JEFFERY FEDEX 12/23/10 BAUM RUFFOLO & MARZAL LTD HANSON LAW OFFICE 153 12WC 00434 STAFORD, CHRISTOPHER CREST HILL POLICE DEPT 12/11/10 RATHBUN CSEVENYAK & KOZOL SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 12WC 01010 LEDFORD, KELLY ST OF IL DEPT OF CORRECTI @ 12/19/11 JOEL BELL JILL OTTE 155 12WC 01482 MARTIN, DAVE STATE OF IL/CO @ 12/03/11 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 156 12WC 03263 PEREZ, ARMANDO NFI 11/22/11 VITELL & SPITZ LTD MACIOROWSKI SACKMANN & ULRIC 157 12WC 03755 STOVER, GARY EAGLE EXPRESS LINE 01/26/12 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 158 12WC 03863 CORCORAN, THOMAS JOLIET PUBLIC LIBRARY 10/07/11 NEWMAN, BOYER & STATHAM RIPES NELSON BAGGOT KALOBRAT 14WC009009 -C 159 12WC 04539 PALMER, TARIEA LAKEWOOD NURSING REHAB 12/10/11 SHELDON I MINKOW & ASSOCIA 160 12WC 05408 SEYLLER, TERRY D CONSTRUCTION INC 11/17/11 KINNALLY FLAHERTY KRENTZ & COZZI & GOGGIN-WARD 161 12WC 06042 GIOVENGO, JERRY MACY'S LOGISTICS AND 11/28/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 162 12WC 06559 LOVE, DAGNE ST OF IL DOC STATEVILLE @ 04/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 163 12WC 06926 ALI, WESAM ILLINOIS DEPT OF CORRECTI @ 02/01/12 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 12WC036215 -C 164 12WC 07496 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 11/30/10 PRESBREY & ASSOC INC ASSISTANT ATTORNEY GENERAL 12WC007497 -C 165 12WC 07622 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 09/28/11 PRESBREY & ASSOC INC ASSISTANT ATTORNEY GENERAL 166 12WC 09153 STEGALL, ANGELIQUE AT HOME HEALTH SERVICES 01/01/01 MINKOW DOMIN POWER & CRONIN LTD 167 12WC 09402 HERRERA, JENNIFER SOI DJJ IYC JOLIET @ 02/22/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 168 12WC 10199 OWEN, CLYDE UNITED ROAD SERVICES 03/08/12 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 169 12WC 10685 HERNANDEZ, ANABEL FIRST MIDWEST BANK 12/20/11 HEALY LAW FIRM INMAN & FITZGIBBONS 170 12WC 10987 PARISI, LINDA SOI - DEPT OF CORRECTIONS @ 01/16/12 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 12WC 11175 THRALL, MICHELLE PREMIER GYMNASTICS 05/19/11 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 172 12WC 11340 LOPEZ, HECTOR HOME DEPOT 02/14/12 GOLDSTEIN BENDER & ROMANOF MC ANDREWS & NORGLE LLC 173 12WC 12250 COLNAR, RON JOLIET SCHOOLS DISTRICT 03/02/11 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 174 12WC 12394 GARCIA, MARTINA WALGREENS 03/09/11 WHITESIDE & GOLDBERG LTD GILDEA & COGHLAN 175 12WC 13332 MC MAHAN, CRYSTAL TRINITY SERVICES 09/22/11 BLOCK, KLUKAS & MANZELLA P STELLATO & SCHWARTZ 176 12WC 14064 DIAZ, DOLORES TROY COMMUNITY CONSOLIDAT 10/31/11 BRIAN T MORROW, LAW OFFICE BRYCE DOWNEY & LENKOV LLC 177 12WC 14398 KLUSKA, CAROL COUNTY OF WILL, ADULT DET 01/12/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 178 12WC 14435 WOOTEN, TODD CITY OF JOLIET FIRE DEPAR 07/03/11 MCNAMARA PHELAN MCSTEEN LL ANCEL GLINK DIAMOND BUSH & E 179 12WC 14903 ZAGORSKI, JADWIGA QUANTUM FOODS 09/04/07 CULLEN HASKINS NICHOLSON GRANT & FANNING 12WC014904 -C 180 12WC 15327 HAKEMAN, VALERIE IROQUOIS MEMORIAL HOSPITA 02/22/11 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 181 12WC 15401 RUVALCABA, WENDY ELITE STAFFING 03/27/12 PARENTE & NOREM PC MARC CAIRO 182 12WC 17046 MARTINEZ, OFELIA LABOR TEMPS 04/12/12 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 183 12WC 17979 NIEMIEC, DAVID SHAMROCK STAFFING W 02/12/12 DWORKIN AND MACIARIELLO SEGAL MCCAMBRIDGE SINGER MAH 184 12WC 18294 ABRAHAM, MARIAM ILLINOIS DEPT OF CORRECTI @ 01/23/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 185 12WC 19479 COLEMAN, RICKEY STATE OF ILLINOIS @ 05/23/12 BLOCK, KLUKAS & MANZELLA P 186 12WC 19877 RAINEY, MARY SEPTRAN INC 05/22/12 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 12WC034618 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 187 12WC 20224 THIGPEN, BRENDA ST OF IL DEPT OF CORRECTI @ 04/09/12 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 188 12WC 20325 WHEATON, TIMOTHY TRIANGLE ENVIRONMENTAL 03/01/12 ALBERT R. PINO LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 14WC000953 -C 189 12WC 20772 DAVIS, RHONDA GERDAU 08/05/09 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 12WC020773 -C 190 12WC 20779 MONTES, LOUIS ILLINOIS DEPARTMENT OF @ 05/09/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 191 12WC 20908 RUIZ, RICARDO IL DEPT OF JUVENILE JUSTI @ 05/02/12 STEVEN J SEIDMAN LAW OFFIC 192 12WC 22011 BLACK, ROY S ECOLAB 02/03/12 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC 193 12WC 23095 19B TOMASKA, JASON COMMSCOPE A DIVISION OF 12/10/11 LAW OFFICE OF PATRICK BROO BRADY CONNOLLY & MASUDA PC 194 12WC 23436 WHITE, JUDY JOLIET SCHOOL DISTRICT 86 09/01/11 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 12WC023441 -C 12WC023442 -C 195 12WC 23509 ZIGMAN, TODD C AT&T 01/27/12 ANKIN LAW OFFICE HENNESSY & ROACH PC 12WC023510 -C 196 12WC 24485 LASETER, WALTER STATE OF ILLINOIS @ 03/19/11 KROL BONGIORNO & GIVEN LTD ASSISTANT ATTORNEY GENERAL 197 12WC 24498 HOFER, KEITH A BILL JACOB CHEVROLET 06/01/11 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 198 12WC 24941 RASKER, PHILIP JACOBSON CO 06/04/12 MCCARRON LAW FIRM, PC CACCHILLO LAW GROUP LLC 199 12WC 25504 DALLEFELD, JASON FIVE STAR FITNESS 08/29/09 STRONG LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 14WC009863 -C THE CLUBS AT RIVER CITY 14WC009895 -C 14WC010019 -C THE CLUBS AT RIVER CITY 14WC010068 -C 200 12WC 26082 GONZALEZ, RENE UNITED STATES COLD STORAG 07/14/12 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 201 12WC 26942 BEATTY, BARBARA (MOTHER) GT TRANSPORTING/PABLO GON W 02/14/12 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 202 12WC 26972 HENDRIX, PAUL ST OF IL DEPT OF STATEVIL @ 06/25/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 203 12WC 27169 WATSON, JEFFREY A ALLECAP TRANSPORTATION 05/07/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 12WC033014 -C 12WC033015 -C 14WC010674 -C 204 12WC 27846 INOCENCIO, MICHELLE SILVER CROSS HOSPITAL 07/05/12 CORTINA & MUELLER MACIOROWSKI SACKMANN & ULRIC 205 12WC 28063 19B HARTELL, ROBERT M MANTENO COMMUNITY FIRE 07/21/11 KOSIN LAW OFFICE LTD POWER & CRONIN LTD 206 12WC 28639 SCALISE, DEBRA MANTENO VETERANS HOME 03/15/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 207 12WC 28652 DAVIS, LOAR SOUTHERN WINE & SPIRITS 10/08/09 COHN LAMBERT RYAN & SCHNEI MACIOROWSKI SACKMANN & ULRIC 208 12WC 28781 MARKEE, CHRISTOPHER STATE OF ILLINOIS 01/09/10 PETER C KOPOULOS COLIN KICKLIGHTER 209 12WC 29163 FINLEY, WILLIAM AEROTEK/ON SITE ENGINEERI 06/28/12 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 210 12WC 30276 CHENEY, KAREN LAKEWOOD NURSING & REHAB 03/01/12 BLOCK, KLUKAS & MANZELLA P RIPES NELSON BAGGOT KALOBRAT 211 12WC 30514 WASHINGTON, ALEAN TRINITY SERVICE INC 08/29/12 BERG & BERG STELLATO & SCHWARTZ 212 12WC 30631 COLE, JOSHUA GENEVA CONSTRUCTION COMPA 07/23/12 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 213 12WC 30706 CEBELLOS, SAMUEL SANDOVAL FIRST CHOICE STAFFING 05/28/12 PETER D CORTI LAW GROUP MACIOROWSKI SACKMANN & ULRIC 214 12WC 31509 19B HERRERA, ALBINO SONY DADC 07/18/12 BAUM RUFFOLO & MARZAL LTD CHILTON YAMBERT PORTER LLP 215 12WC 31889 19B MC GEE, KARA SYMPHONY INC 07/10/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 216 12WC 33123 CLARK, ROBERT ECOLAB, INC. 05/15/12 LEITER LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 12WC037947 -C 217 12WC 33366 WHITED, RENEE WILL COUNTY SHERIFF'S DEP 08/08/12 GOLDBERG WEISMAN & CAIRO L 218 12WC 33935 CHAVEZ, ROSALBA ELITE STAFFING CHICAGO 08/28/12 THE ROMAKER LAW FIRM GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 12WC 34352 TANTILLO, PATRICK P T O SERVICES INC 06/02/12 ANKIN LAW OFFICE CHILTON YAMBERT PORTER LLP 220 12WC 35901 HERNANDEZ-LOPEZ, CLAUDIA HOLUM & SON CO INC 06/26/12 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM 12WC043678 -C 221 12WC 36394 DITTMAR, PATRICK M ILLINOIS GAMING BOARD 09/13/12 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 15WC001369 -C 222 12WC 37089 19B WILLIAMS, LEROY DEPARTMENT OF CORRECTIONS @ 07/25/12 DWORKIN AND MACIARIELLO JEANNINE SIMS 223 12WC 37185 LUCAS, JEREMY ROLAND MACHINARY COMPANY 06/01/12 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 224 12WC 37765 HANKE, JOHN D CITY OF JOLIET 04/02/12 SABUCO BECK HANSEN CITY OF JOLIET 225 12WC 38124 FARMER, TYLER VILLAGE OF COAL CITY 10/06/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 226 12WC 38309 NEAL, NORMAN MADDOX BROTHERS W 10/17/12 SKLARE LAW GROUP 227 12WC 38587 MESSACAR, SHERRY BROWN BICKFORD ASSISTED LIVING 10/19/12 JOHN E LUSAK 228 12WC 38782 PALMER, MARK AIR RITE HEATING & COOLIN 07/30/12 BLOCK, KLUKAS & MANZELLA P CACCHILLO LAW GROUP LLC 229 12WC 38961 MOTSCH, TRACY PRO MOVERS 11/03/12 JOHN E LUSAK GANAN & SHAPIRO 230 12WC 38979 REMINGTON, JERRY NAVISTAR 08/27/12 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 231 12WC 39075 CRAVEN, DEBBIE S LEXINGTON HEALTH CARE 07/11/12 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 232 12WC 39894 JAMESON, BARBARA PLAINFIELD SCH DIST 202 09/10/12 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 233 12WC 40432 ZUNIGA, HILDA HOME CARE PERSONAL SERVIC 08/23/12 KATZ FRIEDMAN EAGLE ET AL GALLIANNI DOELL & COZZI LTD 234 12WC 40837 VOLLING, PATRICK STATE OF ILLINOIS @ 01/14/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 235 12WC 41309 ABERNATHY, PEGGY V CORNERSTONE SERVICES INC 08/02/10 FABRIZIO, HANSON & PEYLA STELLATO & SCHWARTZ 236 12WC 41954 PETITTI, TAMMY FOX FOOT & ANKLE 06/05/12 STYKA & STYKA RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 237 12WC 42130 GALLO, PHILLIP A FOREST PRESERVE DISTRICT 07/31/12 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 238 12WC 42741 RODRIGUES, VIRGINIA SABOR INTERNACIONAL 11/30/12 JONATHAN SCHLACK RATHBUN CSEVENYAK & KOZOL 239 12WC 43134 THOMPSON, WILLIAM R & R BRINKS LOCKING SYST 10/31/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 240 12WC 43292 BUCKLEY, YALONDA AMERICAN SCHOOL BUS CO 11/06/12 SHELDON I MINKOW & ASSOCIA GALLIANNI DOELL & COZZI LTD 241 12WC 44156 PENA, ANTHOULA BOUGHTON SQUARE ANIMAL CL 10/15/12 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 242 12WC 44203 TEMEN, BRADFORD FIXTURE FINDERS 12/11/12 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 243 12WC 44248 DENTON, ALEJANDRO MIDWEST AIR TECHNOLOGIES 10/10/12 OSVALDO RODRIGUEZ PC COZZI & GOGGIN-WARD 244 13WC 00607 CHAVEZ, JOSE GUZMAN METROSTAFF, INC AND VTKK 10/17/12 EPSTEIN, JACK R LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 245 13WC 00801 VANCE, SHIRL CITY OF LOCKPORT 11/24/10 JACOBSON & SCHIEFELBEIN RUSIN MACIOROWSKI & FRIEDMAN 14WC014279 -C 246 13WC 00902 MICKELSON, HELMER DEDICATED TCS 12/05/12 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 247 13WC 01126 THOMPSON, LINDA WAL-MART 12/20/11 SPIROS LAW PC 248 13WC 01304 SCHMECKPEPPER, RYAN VILLAGE OF BOLINGBROOK FI 12/09/12 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 249 13WC 02445 ZUIDEMA, KIMBERLY MENARD'S HOMER GLEN 12/31/12 STEVEN A CRIFASE, LTD CHILTON YAMBERT PORTER LLP 250 13WC 02461 MCCORD, RUTY JOLIET PUBLIC SCHOOL 12/18/12 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 251 13WC 03291 HAWKINS-NORRIS, VIRGINIA DEPARTMENT OF VETERANS AF @ 12/20/12 SPIROS LAW PC COLIN KICKLIGHTER 252 13WC 03559 AUSTIN, CALVIN MIDWEST GROUP STAFFING 01/27/13 MARC J SHUMAN & ASSOCIATES ROBERT L. SMITH 253 13WC 04066 PORTER, JOHN JACK F AMEX NOOTER 08/17/12 ANTHONY C RACCUGLIA & ASSO GAROFALO SCHREIBER STORM 254 13WC 04853 MARTIN, JAMES BERKOT LTD 09/08/12 NEWMAN, BOYER & STATHAM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 255 13WC 05665 ROGERS, HELICE ST OF IL DOC STATEVILLE @ 12/08/12 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 256 13WC 05939 KOBEL, CHRISTIAN H III DR GREEN SERVICES 06/06/12 BRIAN T MORROW, LAW OFFICE 257 13WC 06084 ZANGRI, MICHAEL ROBERT ELLIOT CONSTRUCTIO 01/08/13 PAUL A COGHLAN & ASSOC BRYCE DOWNEY & LENKOV LLC 258 13WC 06109 LUNA, SHERRY SUNNY HILL NURSING HOME 02/05/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 259 13WC 06642 MELBY, ERIC STATE OF ILLINOIS C/O @ 10/15/12 PETER C KOPOULOS JEANNINE SIMS 260 13WC 07856 MORGAN, NICK COMMISSIONER LOCKPORT TOW 06/15/12 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 261 13WC 08099 SKUDLAREK, DAVID PARTS FLEET 10/31/12 KINNALLY FLAHERTY KRENTZ & SCOPELITIS GARVIN LIGHT 262 13WC 08126 BANFI, JUSTIN IL DEPT OF CORRECTION STA @ 07/26/12 MCNAMARA PHELAN MCSTEEN LL COLIN KICKLIGHTER 263 13WC 08459 SMITH, EDWARD L PARSEC INDUSTRIES 06/08/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 264 13WC 08589 DERWINSKI, JANET PANDUIT 02/02/12 JASINSKI, GEORGE J 265 13WC 09827 WEIS, DWAYNE CITY OF JOLIET 02/02/12 HORWITZ HORWITZ & ASSOC KAVANAGH GRUMLEY & GORBOLD 266 13WC 10541 VARGAS, MODESTO CLAREFIELD CONSTRUCTION C 03/13/13 SALVATO & O'TOOLE RUSIN & MACIOROWSKI LTD 267 13WC 10643 PROWETT, SHANE TRANSPORT ONE, INC. 02/22/13 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 268 13WC 10662 MCGEE, DEVIN T FLEXIABLE STAFFING 11/15/11 GAINES & GAINES GRANT & FANNING 269 13WC 10678 CORTES, JOSE MORENO SELECT REMEDY/SNYDER 02/18/13 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 270 13WC 10843 MARTINEZ, ANGELINA ELITE STAFFING INC., 12/20/12 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 271 13WC 11838 JACOBS, JOHN D VILLAGE OF OAK BROOK 08/28/12 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD 272 13WC 12089 REYNOSO, MARTHA TARGET 09/21/12 RATHBUN, CSERVENYAK & KOZO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 273 13WC 12288 ORTEGA, ALMA ASG STAFFING 03/05/13 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 274 13WC 12354 MACKOVITCH, TOM CENTRAL GROCERS INC 06/12/11 LEONARD LAW GROUP LLC ROSARIO CIBELLA 275 13WC 12419 HERNANDEZ, WALTER SERVICE ALL INC 01/10/12 GERALD W KOREY RIPES NELSON BAGGOT KALOBRAT 276 13WC 12593 MANRIQUEZ, ORALIA KENT PRECISION FOODS INC 01/22/13 JOHN J CASTANEDA MICHAEL BEST & FRIEDRICH LLC 277 13WC 12711 JONES, JOHNNY ECOLAB 02/04/13 WILLIAM L STEARNS LAW OFFI KEEFE CAMPBELL & ASSOC LLC 278 13WC 12835 AVALOS, ABEL PHILLIPS HR SHARED SERVIC 08/17/12 EPSTEIN, JACK R LAW OFFICE 279 13WC 12972 WILLIAMS, MARY ANN STATEVILLE CORRECTIONAL C @ 02/13/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 14WC033343 -C 280 13WC 13971 FAGAN, MARIBETH FRANKFORT SCHOOL DISTRICT 10/17/11 CIARDELLI CUMMINGS CAMPAGN RUSIN MACIOROWSKI & FRIEDMAN 281 13WC 15173 MARTINEZ, ROCIO FEDERAL SIGNAL CORPORATIO 05/24/12 BOUDREAU & NISIVACO LLC BRADY CONNOLLY & MASUDA PC 282 13WC 15341 PASSI, CHARLES F INTERMODAL SERVICES OF AM 02/16/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 283 13WC 15411 DUKE, KAREN NICOR GAS 01/08/13 MCNAMARA PHELAN MCSTEEN LL MACIOROWSKI SACKMANN & ULRIC 284 13WC 15575 KELLEY, JUDY WORLD KITCHEN, INC 01/10/13 PETER D CORTI LAW GROUP 285 13WC 15788 RICHAUD, DEREK EMMITT WALMART SUPERCENTER 09/20/12 EK COLLISON III/MURIEL 286 13WC 15837 MITCHELL, STACEY TRINITY SERVICES, INC 04/30/13 VRDOLYAK LAW GROUP LLC 287 13WC 15968 SCHULTZ, DAVID ILLINOIS CENTRAL SCHOOL B 03/15/13 TEWS, THEISEN & THEISEN MACIOROWSKI SACKMANN & ULRIC 288 13WC 16213 LEONE, KANE P J.V. INDUSTRIAL 05/02/13 ROBIN LAW OFFICE RODDY LAW LTD 289 13WC 16393 GARCIA, ESTELA FIRST STAFF SERVICES INC 09/05/12 DONAHUE, PAUL T LAW OFFICE 290 13WC 16537 NOLAN, RONALD S NOOTER CONSTRUCTION 04/17/13 RUBIN LAW GROUP GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 291 13WC 16808 PALOMARES, FREDY SELECT REMEDY 02/20/13 FOHRMAN, DONALD W & ASSOCS 292 13WC 17068 OROZCO, RUTH FOOD 4 LESS 12/28/12 STEVEN J SEIDMAN LAW OFFIC 293 13WC 17327 FOSTER, JAMES RHODIA SOLVAY INC 02/02/13 THOMAS LAW BRADY CONNOLLY & MASUDA PC 294 13WC 17825 BROWN, WILLIE STATE OF ILLIONIS @ 03/29/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 295 13WC 17926 WILLIAMS, PATRICK VITRAN EXPRESS 02/25/13 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 296 13WC 18221 HERNANDEZ, ENRIQUETA TDC FILTER 02/05/13 JAMES ELLIS GUMBINER & ASS 297 13WC 18659 MACEDO, JOSE L ALTERNATIVE STAFFING, INC 03/14/13 MC HARGUE, JAMES P LAW OFF MACIOROWSKI SACKMANN & ULRIC 298 13WC 19406 BUCIO, MARIA STAFF FORCE 05/20/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 299 13WC 19436 CASTILLO, BEATRIZ KEHE DISTRIBUTORS 08/31/12 CULLEN HASKINS NICHOLSON POULOS & DIBENEDETTO LAW 300 13WC 19620 SINGER, LISA MEIJER 09/22/12 GOLDBERG WEISMAN & CAIRO L KNELL & O'CONNOR 13WC019621 -C 301 13WC 19723 KELLER, STANLEY STEPEAN COMPANY 12/28/12 LEONARD LAW GROUP LLC KLAUKE LAW GROUP LLC 302 13WC 20085 FOGARTY, BRIAN ATLANTIC PLANT SERVICES 01/16/13 GRAZIAN & VOLPE PC ROSARIO CIBELLA 303 13WC 20169 RODRIQUEZ, LAURA L SENIOR STAR MEMORY CARE A 06/17/13 BRIAN T MORROW, LAW OFFICE 304 13WC 20845 CHAVEZ, SANDRA SEARS LOGISTICS SERVICES 10/20/12 KENNETH B GORELTD GAROFALO SCHREIBER STORM 305 13WC 21274 MUNOZ, CRUZ FILTRATION GROUP 04/10/13 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 306 13WC 22664 COLE, SIDNEY L III JOLIET TOWNSHIP 04/07/13 STEVEN J SEIDMAN LAW OFFIC THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 307 13WC 22902 SANCHEZ, PROSPERO JACKSON & SCOTT INC 03/06/13 MC HARGUE, JAMES P LAW OFF COZZI & GOGGIN-WARD 308 13WC 23005 KURTYAK, NICOLAS LOCKPORT TOWNSHIP FIRE AN 01/28/13 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 13WC023006 -C COMMISSIONER LOCKPORT TOWN 309 13WC 23052 QUIROGA, JOSE J SMS MILLCRAFT LLC 06/21/13 STROM, NEAL B LAW OFFICES FRANCESCA LARSEN 310 13WC 23750 NEGRON, SERGIO PEREZ SMITHFIELD FOODS 06/14/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 311 13WC 23828 HANC, DEREK WASTE MANAGEMENT 05/01/13 LEVIN & ASSOCIATES GAROFALO SCHREIBER STORM 312 13WC 24165 CORTES, ARACELI PACTIV PRAIRIE PACKING 11/27/12 OSCAR P CHIAPPORI & ASSOCI KNELL & O'CONNOR 313 13WC 24450 JONES, GARY CRETE SCHOOL DIST 201 07/15/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 314 13WC 24506 ROMERO, ANA MIDWEST GROUP, INC. 05/16/13 LEONARDO MORALES LAW OFFIC 315 13WC 25479 RODRIGUEZ, ARTURO SR BROWN PACKING/DUTCH VALLE 04/30/13 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 316 13WC 25497 EVANS, WILLIAM AEROTEK/LITHOTYPE 03/22/13 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 317 13WC 26268 19B CEPHUS, ALONZO GARDEN OF PRAYER YOUTH CE 09/24/12 YURGINE, JOSEPH THOMAS & ASSOCIATES 318 13WC 26654 HERNANDEZ, ERWIN TRIUMPH PACKAGING GROUP 08/15/12 HECTOR ESPITIA GRANT & FANNING 319 13WC 27063 BRANDOLINO, MARIANNE STATE OF ILLINOIS @ 07/15/13 RATHBUN CSEVENYAK & KOZOL COLIN KICKLIGHTER 320 13WC 27350 FREMPONG, GEORGE AM REGIONAL TAXI/303 TAXI 03/11/13 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 321 13WC 27549 BURNS, ERNESTINE NFI DISTRIBUTION 06/28/13 RUBENS AND KRESS 322 13WC 28056 SHAW, RONALD FIVE STAR DELIVERY 07/29/13 KUMLIN & FROMM GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 13WC 28155 COSTELLO-SCUMACI, PATRICI NATIONAL CITY 01/06/12 CANDIANO LAW OFFICE INMAN & FITZGIBBONS 324 13WC 28411 LARA, DORA STAFFING NETWORK 04/30/13 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 14WC003772 -C GREAT KITCHENS INC 14WC039926 -C 14WC039927 -C GREAT KITCHENS INC 325 13WC 28505 BOBBITT, LEAH ANGELA INTILI, MC, LTD 04/27/13 MEYERS & FLOWERS, LLC RUSIN & MACIOROWSKI LTD 326 13WC 28587 GRAY, DAWN DOLLAR TREE INC 06/04/13 MARKER & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 327 13WC 28649 GOTTER, ANTHONY LYON LLC PRIDE METAL 05/20/12 SPIROS LAW PC HANSON LAW OFFICE 13WC028650 -C 328 13WC 28755 PAGE, LORNA ALLSTATE INSURANCE COMPAN 11/21/11 BARMAN KRAMER & BOHLEN HENNESSY & ROACH, PC 329 13WC 29158 KARKOSKA, CHAD PILOT TRAVEL CENTERS LLC 06/24/13 BRADY CONNOLLY & MASUDA PC 330 13WC 29170 SANTOYO, VICTOR KEHE DISTRIBUTORS, LLC 08/13/13 CRONIN & PETERS NOBLE & ASSOCIATES PC 331 13WC 29261 TORRES, WILFREDO CUSTOM CULINARY 08/23/13 JAUREGUI & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 332 13WC 29541 HOMMEMA, THERESA UNITED CEREBRAL PALSY 09/22/10 GALLIANNI DOELL & COZZI LT STELLATO & SCHWARTZ 13WC029542 -C 13WC029543 -C 333 13WC 29841 TRUITT, KENDRIC ST OF IL DEPT OF CORRECTI 09/08/13 MINKOW DOMIN COLIN KICKLIGHTER 334 13WC 30282 WINTERFELD, DENISE STATE OF ILLINOIS @ 06/27/13 PETER C KOPOULOS JEANNINE SIMS 335 13WC 30629 STEVENS, KENDRANETTA STATE OF IL/DOC IYC ST @ 08/22/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 336 13WC 30644 PTACK, JEFF COMCAST 08/15/13 LULAY LAW OFFICES SPIEGEL & CAHILL, PC 337 13WC 31023 IMERI, HASIME TONY'S FINER FOODS 08/31/13 BRIAN J MC MANUS & ASSOC, LAW OFFICES FRANCESCA LARSEN 338 13WC 31643 OROZCO, IDELFONSO BERGSTROM INC 09/05/13 LAW OFFICES LEONARDO MORAL WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 339 13WC 31666 POPPO, ROBERT NATIONAL DCP 08/29/13 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 340 13WC 31890 HAALAND, JON FIRST CHOICE LOGISTICS 03/12/13 MEYERS & FLOWERS LLC RIPES NELSON BAGGOT KALOBRAT 341 13WC 31934 LOFDAHL, ZACHARY NAVISTAR 09/05/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 342 13WC 32877 VITAL, GUADALUPE JOLIET PUBLIC SCHOOL DIST 02/08/13 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 16WC033498 -C 343 13WC 32989 SEIBT, TIMOTHY J FIVE STAR EMPLOYMENT INC. 03/19/13 VITELL & SPITZ LTD ROBERT L. SMITH 344 13WC 33039 NELSON, WILLIAM CHICAGO HEIGHTS 05/15/12 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 13WC033049 -C 345 13WC 33209 MAGAFAS, MICHAEL STREAMLINE CONSTRUCTION 01/27/12 WOLFE LAW PC 346 13WC 33387 TORRES, EMMA A WAL MART STORES INC 12/13/12 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 347 13WC 33797 EVANS, CHAMP VILLAGE OF BOLINGBROOK 03/05/13 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 348 13WC 33989 DENNIS, DAKOTA M LONG JOHN SILVERS 10/05/12 HOLECEK & ASSOCIATES 349 13WC 34082 THOMAS, MARK LAFARGE NORTH AMERICAN IN 03/11/13 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 13WC034083 -C 350 13WC 34324 ORTEGA, MARIO CERAMIC POWDERS 01/03/13 DONAHUE, PAUL T LAW OFFICE HOLECEK & ASSOCIATES 351 13WC 35123 GEORGEFF, ESTELLE QUANTUAM FOODS 10/02/13 LAW OFFICE EDWARD RUEDA COZZI & GOGGIN-WARD 352 13WC 35165 DIETER, NAOMI MC DONALDS 09/18/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 353 13WC 35453 MONEY, GLORIA TRINITY SERVICES/COOPER H 08/21/13 BAUM RUFFOLO & MARZAL LTD 354 13WC 35573 SCULLY, MICHAEL EVERGREEN REAL ESTATE SER 09/19/13 DANIEL J ADLER LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 355 13WC 35781 HAMMOND, HARLD JR M$G CONSTRUCTION INC 09/26/13 K P LAW LLC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 13WC 36513 QUINTERO, HECTOR ST OF IL STATEVILLE @ 10/08/12 PETER C KOPOULOS ILLINOIS ATTORNEY GENERAL 357 13WC 36990 SALERNO, CHRISTOPHER VILLAGE OF BOLINGBROOK 02/12/13 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 358 13WC 37340 HERNANDEZ, OSVALDO FILM QUEST GROUP 05/02/12 MARKER & ASSOCIATES HENNESSY & ROACH PC 359 13WC 37626 ARROYO, LUIS NEVIN'S BREWING COMPANY 04/04/13 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 360 13WC 37914 ALEXANDER, THERESA WILL COUNTY HIGHWAY DEPAR 09/23/13 DAVID W MARTAY HINSHAW & CULBERTSON 361 13WC 38107 ASSAH, NICHOLAS MENIO WORLDWIDE LOGISTICS 10/10/13 BRIAN KEELEY LTD LEAHY EISENBERG & FRAENKEL 362 13WC 38268 BROWN, JENNIE ILLINOIS CORPORATION SERV 02/06/13 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 363 13WC 38549 HOLLAND, ANDREW COMCAST 10/02/13 RATHBUN CSEVENYAK & KOZOL SPIEGEL & CAHILL, PC 15WC016095 -C 364 13WC 38846 TAPIA, BRANDY SHOREWOOD FAMILY DENTAL 09/23/13 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 365 13WC 39075 THURMAN, AMOS ABF FREIGHT SYSTEMS, INC 10/25/13 BRIAN CONNERANWEIG 366 13WC 39092 DIXON, TURNELL BUDCO INC/PARSEC INC 11/01/13 BRIAN T MORROW, LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 367 13WC 39172 SCAVNICAR, AGICA PANCON CORPORATION 07/31/12 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 368 13WC 39639 HENLEY, DANIEL SOUTHERN WINE & 05/24/13 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 14WC013658 -C 369 13WC 39997 PEREZ, ALVARO MICHAELS 10/03/13 BAUM RUFFOLO & MARZAL LTD 370 13WC 40210 POINDEXTER, CHARLENE WALMART 04/12/13 BART DURHAM WIEDNER & MCAULIFFE LTD 14WC003705 -C WAL-MART STORES, INC 371 13WC 40608 GORDON, MICHAEL CASSENS TRANSPORT COMPANY 11/05/13 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 372 13WC 41263 KRUCZEK, ANNA QUANTUM FOODS 08/22/13 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 373 13WC 41784 GENTRY, JONATHAN TRE'ZURE DETAILING W 10/29/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 374 13WC 41788 DORVAL, DANIA SUNNY HILL REHAB CENTER 04/24/13 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 375 13WC 41993 MCGOWEN, CHRISTINE RENZENBERGER 11/17/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 376 13WC 42154 MROZEK, TERESA ADVENTIST HOSPITAL/HINSDA 11/22/10 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 377 13WC 42485 ALSTON, ALICIA ST OF IL DEPT OF IDFPR 06/17/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 378 13WC 42531 REYES, SANDRA METRO STAFF INC 11/21/13 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 379 14WC 00273 DIMAS, DIANA OLIVE GARDEN 09/28/13 BART DURHAM COZZI & GOGGIN-WARD 380 14WC 00494 MC GUIRE, ELLIOTT D SELECT REMEDY 09/21/13 KROCKEY CERNUGEL COWGILL E LEAHY EISENBERG & FRAENKEL 381 14WC 00753 CHASE, MICHAEL UPTOWN PAINTING & CONSTRU 12/12/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 382 14WC 00922 AGUIRRE, GEORGE IFCO SYSTEMS N AMERICA 05/10/13 FOHRMAN, DONALD W & ASSOCS HOLECEK & ASSOCIATES 383 14WC 00982 MIKUZIS, DONNA PLAINFIELD SCHOOL 01/08/14 LAW OFFICE EDWARD LICHTENS 384 14WC 01193 TEMPLE, BROODY LEMONT ATS CO 12/04/13 BLOCK, KLUKAS & MANZELLA P NOBLE & ASSOCIATES PC 385 14WC 01353 DZIEDZIC, SUZANNE VALLEY VIEW SCHOOL 10/30/13 LAW OFFICES MICHAEL HELLMA 386 14WC 01593 JACKSON, TIM BEST COMFORT HEATING & CO 09/22/11 387 14WC 02001 TORRES, ELADIO MOST VALUABLE PERSONNEL 11/08/13 HORWITZ HORWITZ & ASSOC GRANT & FANNING 388 14WC 02177 WEARY, DWAYNE STATE OF ILL DOC STATEVIL 03/25/11 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 389 14WC 02256 CROSS, RANDALL ALL ACCESS INTERNATIONAL 01/16/14 SOSTRIN AND SOSTRIN PC LAW OFFICES JOSEPH MARCINIAK 390 14WC 02377 JOHNSON, LAURA A SECURITAS SECURITY SERVIC 09/06/13 FABRIZIO, HANSON & PEYLA INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 14WC 02975 HILL, ANDREW EAST WEST HAULERS, INC 08/31/13 MATTHEW NAGEL 392 14WC 03249 DABROWSKI, EDWARD G&D INTEGRATED 12/23/13 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 14WC005919 -C G & D INTEGRATED 393 14WC 03413 FLYNN, TIMOTHY MECHANICAL CONCEPTS 10/15/13 BOUDREAU & NISIVACO LLC 394 14WC 03518 VISINAIZ, KELLY VALLEY VIEW COMM. UNIT SC 11/08/13 ROSS TYRRELL 395 14WC 03584 HARDEN, JANET L, GUARDIAN QUALITY AUTO BODY 01/09/14 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 396 14WC 04172 MUNOZ, IVAN MAC RAK INC 05/29/12 O'CONNOR & NAKOS CAPUANI & SCHNEIDER 397 14WC 04284 RIVERA, MARTINA ITW ASSIT GRIP BUSINESS 12/11/13 KENNETH B GORE, LTD HENNESSY & ROACH PC 14WC018913 -C 398 14WC 04310 GNEWUCH, DAVID JACOBSON COMPANIES 12/11/13 STYKA & STYKA CACCHILLO LAW GROUP LLC 399 14WC 04379 ROBBINS, JENNIFER ATI PHYSICAL THERAPY 01/20/14 MARKER & ASSOCIATES GRANT & FANNING 400 14WC 04391 CUMMINGS, KATHY STATE OF IL 01/13/14 GOLDBERG WEISMAN & CAIRO L 401 14WC 04398 OEMBLE, MICHAEL GAVILON GRAIN, LLC 02/03/14 MARC J SHUMAN & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 402 14WC 04765 FINSTROM, NORINE ALDI INC 08/03/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 403 14WC 05005 LYNCH, TIFFANY POLYONE 01/28/14 STROM, NEAL B KNELL & O'CONNOR 404 14WC 05477 PEREZ, GUADALUPE MACNEIL AUTOMOTIVE PRODUC 01/27/14 KENNETH B GORE, LTD SLAVIN & SLAVIN 14WC037400 -C STAFFING NETWORK 405 14WC 05547 DUNN, ANTHONY PREMIER EMPLOYEE SOLUTION 01/03/14 DWORKIN AND MACIARIELLO GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 14WC 05602 KRIVICKAS, DAVID COUNTY OF WILL 09/16/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 14WC005603 -C 14WC038377 -C 407 14WC 05675 GASCA, MARISOL ELITE STAFFING-BOLINGBROO 12/17/13 DEPAOLO ZADEIKIS GORE ALBERT R. PINO LAW OFFICE 15WC010023 -C 408 14WC 05839 FOY, BETHANY BOLINGBROOK FIRE DEPARTME 12/28/13 THE ROMAKER LAW FIRM POWER & CRONIN LTD 15WC014625 -C 409 14WC 06024 COLLINS, JULIUS STATE OF IL DJJ IYC JOLIE @ 09/07/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 410 14WC 06346 VILLASENOR, MISAEL DEDICATED TCS LLC 03/18/13 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 411 14WC 06861 SHULK, BARBARA PRESENCE HEALTH 04/07/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 412 14WC 07247 BOATRIGHT, WILLIAM SEARS 10/09/13 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 413 14WC 07385 WALSH, KEVIN THOMAS JR CHARLES GIORDANO D/B/A AA W 08/25/13 BOWMAN & CORDAY 414 14WC 07588 AMODEO, ANTHONY TRI-TECH ELECTRIC 09/16/13 MILLON & PESKIN LTD CHILTON YAMBERT PORTER LLP 415 14WC 07628 TROVATO, ANNE LINCOLN WAY AREA SPEICAL 08/30/13 DAVENPORT & WHITE RUSIN & MACIOROWSKI LTD 16WC031580 -C 416 14WC 08083 DITE, DAVID A BERGSTROM INC 04/14/12 ROSS TYRRELL 417 14WC 08142 EADY, JAMES W ABF FREIGHT SYSTEMS INC 12/15/13 GOLDBERG WEISMAN & CAIRO L 418 14WC 08480 LAREDO, MILDRED ARAMOUNT STAFFING 03/01/14 JAMES ELLIS GUMBINER & ASS KEEFE CAMPBELL & ASSOC LLC 419 14WC 08500 LOZANO, BLATAZAR HECTOR ABLE ENGINEERING 12/30/13 CRONIN & PETERS GRANT & FANNING 14WC018540 -C 420 14WC 08571 MYSLIWIEC, IRVIN IL TOLLWAY @ 01/19/14 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 421 14WC 08712 GABRISKO, JUDITH K ROBERT BOSCH TOOL CORPORA 04/12/11 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 422 14WC 08713 GABRISKO, JUDITH K ROBERT BOSCH TOOL CORPORA 04/20/11 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 423 14WC 08751 SEALS, MARSHALL LINEAGE LOGISTICS 01/21/14 DWORKIN AND MACIARIELLO 424 14WC 08755 JAWDAT, MICHELLE ADVENTIST BOLINGBROOK HOS 12/28/13 HORWITZ HORWITZ & ASSOC STONE & JOHNSON CHARTERED 425 14WC 08860 ARIAS, MARIA STAFFMARK, INC. 01/10/14 LAW OFFICE OF OSVALDO RODR KEEFE CAMPBELL & ASSOC LLC 426 14WC 08958 WORDEN, JOEL MIDWEST GENERATION 10/07/13 LAW OFFICE OF THOMAS P NAU INMAN & FITZGIBBONS 427 14WC 08994 ERICKSON, JEANETTE PLAINFIELD DIST. 202 01/20/14 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 14WC013175 -C 14WC013176 -C 428 14WC 09408 JANAS-STEFANSKO, DOREEN INTERNATIONAL ASSOCIATION 01/14/14 FRANK A CELANI HOLECEK & ASSOCIATES 429 14WC 09683 BEENE, GARY COMCAST 12/13/13 CHASE & WERNER LTD 430 14WC 09785 RICHAUD, LEROY WALMART 01/10/12 COLLISON & O'CONNOR 431 14WC 09954 RICKEY, JOHNATHAN A MICHAEL ARTS & CRAFTS 01/06/14 LAW OFFICE OF THOMAS P NAU WOLFE & JACOBSON, LTD 432 14WC 10009 BRIDGEFORTH, JOSH STATE OF ILLINOIS DJJ IYC 12/08/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 433 14WC 10154 CARRIGAN, DANIEL MICHAELS 03/05/14 BLOCK, KLUKAS & MANZELLA P 434 14WC 10596 ARRENDONDO, RUBICELLA DSC LOGISTICS 12/30/13 RATHBUN CSEVENYAK & KOZOL MC ANDREWS & NORGLE LLC 435 14WC 10694 PURCHASE, STEVEN CITY OF JOLIET 01/28/13 CHARLES LEVY & ASSOC LTD KNELL & O'CONNOR 436 14WC 10900 MEKHAIL, ADLY CO WORX STAFFING SERVICES 10/11/13 LAW OFFICES OF HENNESSY & ROACH PC 437 14WC 11316 HROUDA, JOHN KNOWLEDGE UNIVERSE 03/04/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 438 14WC 11432 GOOD, JILL JEFFREY LAMORTE SALON 12/11/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES JOSEPH MARCINIAK 439 14WC 11796 LUNA, CARLOS CENTRAL GROCERS 03/27/14 VRDOLYAK LAW GROUP LLC ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 440 14WC 12001 ORSBORN, BILLY F DHR INC 02/20/14 OTUBUSIN & ASSOC PC 441 14WC 12050 RENDE, PETER CENTRAL GROCERS 03/27/14 GOLDBERG WEISMAN & CAIRO L 442 14WC 12192 ADAMS, ROMNEY TRANSAID NEM TRANSPORTATI 03/21/14 443 14WC 12280 PRATER, DAN L INTERNATIONAL PAPER 04/14/11 MCNAMARA PHELAN MCSTEEN LL GOLDBERG SEGALLA LLC 444 14WC 12353 LLOYD, DEON STATE OF ILLINOIS @ 01/23/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 445 14WC 12633 PARKER, CASSANDRA CORNERSTONE SERVICES, INC 07/01/12 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 446 14WC 12691 BROOKS, HATTIE HQC INC 03/22/14 PORRO NIERMANN & PETERSEN 447 14WC 13367 ANHALT, RAY MENARDS 03/11/14 BRIAN T MORROW, LAW OFFICE RODDY LAW LTD 448 14WC 13626 PINTO, VICTOR DEPENDABLE STAFFING GROUP 03/25/14 JAMES ELLIS GUMBINER & ASS 449 14WC 14260 HARRISON, GINA OUTPOST PUB & GRILL 01/10/14 450 14WC 14348 DZIEDZIC, STEVE PEP BOYS 05/23/12 LUKE C. ANTONSEN CHILTON YAMBERT PORTER LLP 451 14WC 14699 HOOK, ANTHONY AT&T 01/03/14 MARKER & ASSOCIATES 452 14WC 14867 SMITH, PATRICIA ST OF IL DEPT OF GOVERNOR 02/20/14 BRISKMAN BRISKMAN GREENBER JILL OTTE 453 14WC 14906 REDMOND, ISSAC GERDAU LONG STEEL NORTH 10/02/13 GOLDBERG SEGALLA LLC 454 14WC 15231 GRAY, DONALD DIAKON LOGISTICS 04/11/14 DWORKIN AND MACIARIELLO 455 14WC 15293 LUNA, MARTA P BROOKDALE SENIOR LIVING 01/27/14 WOODRUFF & JOHNSON POWER & CRONIN LTD 14WC032362 -C HARBOR CHASE 15WC004654 -C 456 14WC 15372 KHAN, TARUJ ILLINOIS DEPT OF CORRECTI @ 03/03/14 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENERAL 457 14WC 15788 ESTRADA, FRANCISCO ILL DEPT OF CORRECTION 10/01/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 458 14WC 15979 ALBERTS, JOSHUA IL DEPT OF CORRECTION @ 03/03/14 MILLON & PESKIN LTD ASSISTANT ATTORNEY GENERAL 459 14WC 16320 HAWKINS, SONJA ILLINOIS CENTRAL BUS COMP 04/04/14 JAMES J. GAY MACIOROWSKI SACKMANN & ULRIC 460 14WC 16376 TUCCI, KATHLEEN SILVER CROSS HOSPITAL 12/15/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 461 14WC 16589 SMITH, SANDRA COMMSCOPE 03/10/11 RATHBUN CSEVENYAK & KOZOL POULOS & DIBENEDETTO LAW 462 14WC 17079 SIKORA, LUKE C NEW LENOX POLICE DEPARTME 05/02/14 TOSCAS, JOHN Z LAW OFFICE 463 14WC 17183 JUNGLES, JEFF ALL TRADE CONSTRUCTION 04/14/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 464 14WC 17372 KILPATRICK, MICHELE INT'L ASSOC. OF PLUMBING 01/10/14 FRANK A CELANI HOLECEK & ASSOCIATES 465 14WC 17642 NASH, STEVEN ST OF IL DEPT OF 03/20/14 NEWLAND & NEWLAND COLIN KICKLIGHTER 466 14WC 17886 MCCORMACK, WENDY SILVER CROSS HOSPITAL 09/26/12 WOLFE LAW PC MACIOROWSKI SACKMANN & ULRIC 467 14WC 17919 HEINE, JANET FRANCISCAN ALLIANCE 04/24/14 KROL BONGIORNO & GIVEN LTD ACCIDENT FUND HOLDINGS 468 14WC 18040 SERNA, RAMIRO AMERICAN PRESIDENT LINES 04/25/14 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 469 14WC 18270 CHANDLER, DAVID IFCO SYSTEMS NORTH AMERIC 04/11/14 VRDOLYAK LAW GROUP LLC 470 14WC 18617 CHERWIN, CRAIG MIDWEST GENERATION 01/03/14 RATHBUN CSEVENYAK & KOZOL 471 14WC 18687 ESTRADA, JUANITA ALDI 01/14/14 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 472 14WC 18919 PEREZ, LIBORIO REAL TIME STAFFING SERVIC 04/26/14 DEPAOLO ZADEIKIS GORE SLAVIN & SLAVIN 473 14WC 18967 CZYNIEJEWSKI, STEVEN FORD MOTOR COMPANY 03/25/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 14WC 18987 CARUSO, TONY GEORGE'S 5 INC D/B/A 05/15/14 MILLON & PESKIN LTD LAW OFFICE OF PAUL O WATKISS 475 14WC 19040 HOCHSTETLER, KENNETH YRC INC 08/18/11 PARENTE & NOREM PC HENNESSY & ROACH PC 14WC019041 -C 476 14WC 19277 LIMBERG, MICHAEL ATS TRANSPORT INC. W 05/13/14 SCHWEICKERT & GANASSIN BRYCE DOWNEY & LENKOV LLC 477 14WC 19358 VITAL, CELLA FILTRATION GROUP LLC 05/20/14 THE ROMAKER LAW FIRM 478 14WC 19361 NOWLAND, COURTNEY REMPREX LLC 05/06/14 STEVEN H MEVORAH & ASSOCIA 479 14WC 19843 LIMON, MATTHEW A ILLINOIS BELL TELEPHONE C 06/04/14 MARKER & ASSOCIATES 480 14WC 19861 ZUIDEMA, KIMBERLY MENARDS 06/08/13 STEVEN A CRIFASE, LTD CHILTON YAMBERT PORTER LLP 481 14WC 19989 GARCIA, DANIEL NIEVES BRODER BROTHERS 11/21/13 CHRISTINE F DAVID HOLECEK & ASSOCIATES 482 14WC 20017 GERMAN, ROBBY FOOD 4 LESS 04/26/14 HORWITZ HORWITZ & ASSOC 483 14WC 20072 PUHR, GARY UNIVAR 12/31/13 RONALDSON & KUCHLER RUSIN & MACIOROWSKI LTD 484 14WC 20118 STEPANEK, ROBERT IDOT @ 03/07/14 DWORKIN AND MACIARIELLO JEANNINE SIMS 485 14WC 20203 JONES, JOHN P ATLAS VAN LINES & RON TWI 05/21/14 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 486 14WC 20345 ROMERO, NELSON RUANE CONSTRUCTION, INC. 01/31/14 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 14WC020346 -C 487 14WC 20599 BANUELOS, DANIEL DIGIOLA BROTHERS CONTRUCT 05/30/14 CULLEN HASKINS NICHOLSON EDWARD JANUSZKIEWICZ 488 14WC 20910 SKIPPER, WILLIE STAFFING NETWORK FOR 05/29/14 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 14WC033212 -C 489 14WC 20942 MILES, WANDA VALLEY VIEW SCHOOL 05/13/14 DWORKIN AND MACIARIELLO KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 14WC 21038 MICHALSKI,L SANDRA LINCOLN-WAY COMMUNITY 02/28/13 EVAN A HUGHES LAW OFFICE 491 14WC 21757 HERNANDEZ, JUAN CARLOS KNEAD DOUGH BAKERY CO, IN 03/23/14 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC 15WC003315 -C 492 14WC 22052 MARROQUIN, MIGUEL ULTRA FOODS 02/09/11 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 493 14WC 22063 LOZENSKI, RON PARSEC 03/21/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 494 14WC 22087 LOVE, SONYA GRAND PRAIRIE TRANSIT 06/23/14 SKLARE LAW GROUP GALLIANI DOELL & COZZI LTD 495 14WC 22106 VITKAUSKAS, JOANNE ESSINGTON PLACE RETIREMEN 10/17/13 GOLDSTEIN BENDER & ROMANOF COZZI & GOGGIN-WARD 496 14WC 22325 PARTILLA, LAVON ST ROSE SCHOOL 12/12/13 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 497 14WC 22855 MROZEK, KIMBERLY TRADER JOE'S 03/29/14 GOLDBERG WEISMAN & CAIRO L 498 14WC 23068 WESTBROOKS, ANTHONY JOLIET STAFFING, LLC 06/17/14 ANKIN LAW OFFICE WOLF LAW LTD 499 14WC 23192 MORATAYA, WILLIAM ST OF IL DEPT OF 05/15/14 LUIS A ACEVES & ASSOC COLIN KICKLIGHTER 500 14WC 23316 BRADFORD, STANLEY PBI 05/13/14 SHELDON I MINKOW & ASSOCIA GORDON & CENTRACCHIO LLC 501 14WC 23512 GARCIA, KARLA WILTON INDUSTRIES 06/24/14 BART DURHAM 502 14WC 23909 EVANS, JERNELL ILLINOIS CENTRAL 02/07/14 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 503 14WC 24077 RUETTIGER, LYNN ALSIP NURSERY 04/07/13 GRAVLIN, MICHAEL J LLC MCANANY VANCLEVE & PHILLIPS 504 14WC 24439 GUTIERREZ, SOCORRO DREYER MEDICAL CLINIC 07/03/14 BOTTO GILBERT GAROFALO SCHREIBER STORM 505 14WC 24514 STEPHENS, SHELBY L STAFF MARK 05/13/14 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC 506 14WC 24705 TORRES, ARTEMIO RADIAC ABRASIVES INC C/O 04/27/14 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 507 14WC 24915 ZIMMERMAN, DENNIS OZBURN & HESSEY LOGISTICS 06/20/14 BAUM RUFFOLO & MARZAL LTD SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 14WC 25113 JOZWIAK, MICHAEL F.T.C. SERVICES, INC. 06/09/14 CRONIN & PETERS GANAN & SHAPIRO 509 14WC 25119 RUPP, ADAM W LOGOPLASTE LLC 04/15/14 VITELL & SPITZ LTD LAW OFFICES JOSEPH MARCINIAK 14WC033897 -C 510 14WC 25246 JACQUES, ALBERTINA APL LOGISTICS 01/05/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 511 14WC 25472 RUSSELL, DANIEL UNITED STATES 08/30/11 KARCHMAR & STONE 512 14WC 25808 BULL, VALERIE D CONSTRUCTION # 06/10/14 FIGLIOLI, DAVID COZZI & GOGGIN-WARD 513 14WC 25869 KAVANAUGH, ROBERT JR JERSEY MIKE'S SUB 07/10/14 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 514 14WC 25872 MARTINECK, THOMAS RECALL TOTAL INFORMATION 04/10/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 515 14WC 26130 VILLAMIZAR, LUIS PARAMOUNT STAFFING 07/21/14 BASHFORD LAW GROUP PC POULOS & DIBENEDETTO LAW 516 14WC 26269 ELY, DAVID SCHNEIDER NATIONAL 05/19/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 517 14WC 26536 MC REYNOLDS, DONALD SWIFT TRANSPORTATION CO I 01/25/14 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 518 14WC 26833 LEE, EILEEN GRAND PRAIRIE TRANSIT 05/19/14 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 519 14WC 26913 MARBLE, BERNARD BILL JACOBS 11/18/13 ANCEL GLINK DIAMOND BUSH 520 14WC 26956 BUMPHREY, ERIC L UPS 06/10/14 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 521 14WC 26991 GUTIERREZ, SALVADOR ELITE STAFFING 05/12/14 CULLEN HASKINS NICHOLSON MARC CAIRO 522 14WC 27041 SMOLICH, RAYMOND MEADE ELECTRIC CO INC 06/27/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 523 14WC 27113 PINEDA, ZENAYDA F/K/A NAVISTAR INT'L CORP 04/21/14 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 524 14WC 27222 CONNERY, CHRISTINE WILL COUNTY 05/05/14 RIDGE & DOWNES HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 525 14WC 27243 RODRIGUEZ, EFREN DHR INC 06/18/14 DEPAOLO ZADEIKIS GORE 526 14WC 27309 VILLAFUERTE, LORENA CLEAR STAFF 07/17/14 ELIZABETH BOWER KENT ACCIDENT FUND HOLDINGS 14WC034041 -C 527 14WC 27489 OLMO, JOSE G CLEAR STAFF INC 07/11/14 ILLINOIS INJURY LAWYERS 528 14WC 27502 WARD, WILLIE JOLIET PUBLIC SCHOOL 04/14/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 529 14WC 27812 YOUNG, JARRELL JACOBSON WAREHOUSE COMPAN 07/03/14 VRDOLYAK LAW GROUP LLC 530 14WC 27831 CROMER, TYLER ALL AMERICAN TREE SERVICE W 07/03/14 WOODRUFF & JOHNSON 531 14WC 27892 GRIMES, RICK L WASTE MANAGEMENT 06/12/14 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM 14WC027899 -C 532 14WC 27944 MCALLISTER, WILLIAM ST OF IL DOC PAROLS @ 06/17/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 533 14WC 28335 RICHARDS, PAM SILVER CROSS HOSPITAL 01/23/14 KAVANAGH GRUMLEY & GORBOLD MACIOROWSKI SACKMANN & ULRIC 534 14WC 28488 EBY, DAVID TOTAL REHAB PROPERTY 04/21/14 TAPELLA & EBERSPACHER LLC 535 14WC 28659 KRAMER, CATHERINE MCDONALD'S CORP 06/27/12 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 536 14WC 29103 GONZALEZ, PABLO INSPIRE STAFFING 10/03/11 LUKE C. ANTONSEN 537 14WC 29207 MARQUEZ, RIGOBERTO EFCO 07/07/14 JOHN E LUSAK GAROFALO SCHREIBER STORM 538 14WC 29295 PRUITT, CEDRIC CLEARWATER PAPER CORPORAT 08/01/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 539 14WC 29618 GUTIERREZ, CHARLES HOME DEPOT 05/07/14 KIPNIS & KAHN ADELSON TESTAN & BRUNDO 540 14WC 29818 SARTORI, CHRISTOPHER R&I ORNAMENTAL IRON 08/22/14 O'CONNOR & NAKOS ROBERT L. SMITH 541 14WC 29949 CAHILL, JAMES OLD DOMINION FREIGHT LINE 06/02/14 ANESI OZMON RODIN NOVAK KO RODDY LAW LTD 542 14WC 29990 REYES, OLGA READER LINK 01/17/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 543 14WC 30015 JEROME-KON STATE OF IL @ 12/13/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 544 14WC 30346 HAYWARD, CARL SR PACTIV LLC 09/02/14 PARENTE & NOREM PC SPIEGEL & CAHILL, PC 545 14WC 30564 HOLLAND, MICHELLE SADDLE CREEK LOGISTICS 02/13/14 PARENTE & NOREM PC WOLFE & JACOBSON, LTD 546 14WC 30626 CLOONAN, BRENDAN M. JEWEL FOOD STORES 11/01/13 GALLAGHER, DONALD V RODDY LAW LTD 547 14WC 30670 PEREZ, ALVARO MICHAEL'S DISTRIBUTION CT 08/22/14 LAW OFFICES TIMOTHY LAMPIN 548 14WC 30760 DOYLE, ANDY JR VILLAGE OF PLAINFIELD 02/04/14 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 549 14WC 30973 PEREZ, OSCAR E CLEAR STAFF INC 06/23/14 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 550 14WC 31431 SINGLETON, RICHARD ADVANCE AUTO PARTS 02/18/14 JOHN E LUSAK 551 14WC 31543 MARTIN, DANNY MAACO 08/15/14 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 15WC000562 -C 552 14WC 31596 MCCUE, ERIN PLAINFIELD SCHOOL DISTRIC 02/04/14 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 553 14WC 31626 HOLLIMAN, CAROLYN ST OF IL/DCFS @ 11/25/13 ASSISTANT ATTORNEY GENERAL 554 14WC 31736 MARTINEZ, GAMALIEL THE HARTFORD INSURANCE 01/14/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 555 14WC 31852 SMITH, JEANETTE 5/3 BANK 06/02/14 RATHBUN CSEVENYAK & KOZOL 556 14WC 32075 GAUREGUI, JOSE SAN JOSE TRUCKING INC 08/04/14 JOHN E LUSAK SCOPELITIS GARVIN LIGHT 557 14WC 32203 STONE, GENE MR TRANSMISSIONS 02/20/13 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 14WC041886 -C 558 14WC 32308 SHELTON, ANTWONNE AZZ GALVANIZING INC 08/21/14 PORRO NIERMANN & PETERSEN 559 14WC 32360 DE LA ROSA, IDANIA EL AUTHENTICO BURRITO 10/05/13 BAUM RUFFOLO & MARZAL LTD PAUL F PETERS 560 14WC 32675 WALLENBERG, JOSEPH DHR STAFFING SOLUTIONS 08/17/14 FOOTE MIELKE CHAVEZ & O'NE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 14WC 32693 LAW-KING, YOLANDA CLOUD BLUE TECHNOLOGY 09/08/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 562 14WC 32949 CARBAJAL, JOSE O'DONOGHUE ENTERPRISES LL 08/20/14 SKLARE LAW GROUP RUSIN & MACIOROWSKI LTD 563 14WC 33015 AVILA, JAIME DOLLAR TREE STORES INC 07/29/14 OSVALDO RODRIGUEZ PC BRYCE DOWNEY & LENKOV LLC 564 14WC 33177 KENNEDY, JERRY RANDY METRO STAFF INC 07/17/14 THOMAS R LICHTEN ASSISTANT ATTORNEY GENERAL 565 14WC 33181 BUEL, PAUL ALLEY GRILL & TAP HOUSE W 02/28/14 CAMERON CLARK 566 14WC 33182 BOGDAN, KENNETH VILLAGE OF CRETE 04/01/12 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 14WC033727 -C 567 14WC 33254 REED, ERIC L WASTE MANAGEMENT 06/23/14 JASINSKI, GEORGE J GAROFALO SCHREIBER STORM 568 14WC 33296 RAMIREZ, ACELA PLAINFIELD SCHOOL DIST 20 01/15/14 COLLISON & O'CONNOR KEEFE CAMPBELL & ASSOC LLC 569 14WC 33383 CRAGG, JOSHUA BURGER KING 05/22/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 570 14WC 33718 WATSON, JULIE ENVOY AIR INC 05/11/14 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 571 14WC 33793 VALLADOLID, BULMARO CLEARWATER PAPER CO 08/07/14 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 572 14WC 33845 MOSLEY, LARRY DHR, INC. 09/08/14 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 573 14WC 34850 GEE, CHRISTOPHER M METRO ONE LOSS PREVENTION 09/04/14 PARENTE & NOREM PC 574 14WC 35036 HAMPTON, ANGIA R FIRST MIDWEST BANK 08/11/14 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 575 14WC 35214 PRUITT, ESSIE ST OF IL DEPT OF CHILD & 09/19/14 STEVEN J MALMAN & ASSOCIAT ASSISTANT ATTORNEY GENERAL 576 14WC 35272 SMITH, DANIEL STAFFMARK 09/09/14 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 577 14WC 35383 RAMIREZ, RICARDO FAB WERKS INC 03/03/14 FABRIZIO, HANSON & PEYLA 578 14WC 35730 LITTLE, RANDY D ADT HOME SECURITY 09/20/14 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 579 14WC 35935 CAROTHERS, ANTHONY DHR STAFFING SOLUTIONS 07/20/14 FOOTE MIELKE CHAVEZ & O'NE 580 14WC 36046 SILVA, ELSA G6 HOSPITALITY/MOTEL 6 JO 12/12/12 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 581 14WC 36134 MAROTTA, GINA WILL COUNTY SHERIFF'S OFF 06/06/13 KROL BONGIORNO & GIVEN LTD 582 14WC 36152 CALBERT, STEPHANIE SELECTREMEDY 10/10/14 PATRICOSKI, MARK G LEAHY EISENBERG & FRAENKEL 583 14WC 36310 WAGNER, SCOTT UPS FREIGHT 02/14/14 HORWITZ HORWITZ & ASSOC ASA LAW GROUP 584 14WC 36486 LILLY, SHERI CUPCAKE HOLDINGS LLC 08/20/14 FREDRICK B BARDER, LTD 585 14WC 36527 FROST, JEFFREY M CL COATINGS LLC 10/06/14 CULLEN HASKINS NICHOLSON GOLDBERG SEGALLA LLC 586 14WC 36694 PANKOW-HILL, TERRY CORNERSTONE SERVICES 09/30/14 RATHBUN CSEVENYAK & KOZOL INMAN & FITZGIBBONS 587 14WC 36994 JONES, LORETTA P SILVER CROSS HOSPITAL 10/30/11 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 588 14WC 37034 ZURAWSKI, DARLENE SPEEDWAY 10/06/14 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 589 14WC 37086 DE LA CRUZ, ROSA ACCURATE PERSONNEL LLC 07/26/14 THE ROMAKER LAW FIRM GRANT & FANNING 590 14WC 37157 ETHERIDGE, MIKE MULTI-PLASTICS INC 06/30/14 CORTINA & MUELLER HOLECEK & ASSOCIATES 591 14WC 37294 POWERS, SHATONE ELECTROLUX 09/13/14 LAW OFFICE OF JAMES H MILL RUSIN & MACIOROWSKI LTD 592 14WC 37403 ALARCON, SARA ELITE STAFFING - BOLINGBR 09/18/14 MC HARGUE, JAMES P LAW OFF 15WC001575 -C 593 14WC 37697 MASCOTE, JOSE GRASSHOPPER LAWN & LANDSC 10/14/14 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 594 14WC 37842 CABAN-O'KENNARD, MICHELLE ST OF IL DEPT OF 08/27/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 595 14WC 37920 ZAVALA, ANTHONY ROBERT DEPENDABLE STAFFING GROUP 09/22/14 LUKE C. ANTONSEN 596 14WC 38135 THUR, DANIEL ELITE STAFFING INC. 08/07/14 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 14WC 38152 LEHNING, THOMAS PEOPLE LINK 10/17/14 DWORKIN AND MACIARIELLO WOLF LAW LTD 598 14WC 38224 OSTROWSKI, DENNIS CHICAGO BRIDGE & IRON COM 04/04/14 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 599 14WC 38281 BRAUCHLER, WAYNE BOLINGBROOK FIRE DEPARTME 08/11/14 THOMAS W DUDA POWER & CRONIN LTD 600 14WC 38428 HAMILTON, JAMES E THE HOME DEPOT 11/16/11 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 601 14WC 38449 HERZOG, KAY ST OF IL DOC STATEVILLE @ 09/19/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 602 14WC 38494 ROBINSON, SANDRA PRESENCE ST JOSEPH 08/06/14 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 14WC038495 -C 15WC005005 -C 15WC033483 -C 603 14WC 38614 WHITE, CHERYL CORNERSTONE SERVICES INC 09/04/14 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 604 14WC 39122 BUTLER, MICHELLE C WILTON INDUSTRIES 07/17/14 BRILL & FISHEL GAROFALO SCHREIBER STORM 605 14WC 39219 PEDZIWIATR, PAMELA LINCOLN WAY AREA DISTRICT 10/23/14 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 606 14WC 39334 GONZALEZ, GERARDO GREENCORE USA, INC. 11/10/13 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 607 14WC 39357 ZIMMERMAN, GEORGE INTERMODAL SERVICES OF AM 10/08/14 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 608 14WC 39942 BROWN, ANTHONY T AIM NATIONALEASE 10/19/14 DEPAOLO ZADEIKIS GORE 609 14WC 39960 SWIFT, JEROME PMB TRUCKING 11/11/14 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 610 14WC 40301 MORALES, MARTHA PLAINFIELD SCHOOL DIST 20 04/17/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 611 14WC 40328 SAENZ, VICKY IL DEPT OF HUMAN SERVICES @ 07/10/14 GOLDBERG WEISMAN & CAIRO L JEANNINE SIMS 612 14WC 40454 GARCIA, RICHARD PROLOGISTIX 09/29/14 613 14WC 40551 CLARK, DANIEL WEBB GROUNDS 11/21/14 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 614 14WC 40698 MARTINEZ, ANA B ANDREWS STAFFING 08/21/14 BOTTO GILBERT GEHRIS SLAVIN & SLAVIN 615 14WC 40872 RENDON, CECILIO APEK INC 10/23/14 CARL H EBERT & ASSOC HOLECEK & ASSOCIATES 616 14WC 40929 TRINKAUS, EDWARD FIRST GRADE HARDWOOD SUPP 09/12/14 JACKOWIAK LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 617 14WC 41040 DURAN, PAULINO ACCURATE PERSONNEL LLC 09/07/14 ANESI OZMON RODIN NOVAK KO 618 14WC 41359 HOUSE, DAVID CITY OF JOLIET 05/16/13 GOLDBERG WEISMAN & CAIRO L KAVANAGH GRUMLEY & GORBOLD 619 14WC 41522 GORDON, JOSH FIVE STAR ELITE 10/10/14 WOODRUFF & JOHNSON 620 14WC 41575 TRATHEN, LORRAINE PRONGER SMITH MEDICAL GRO 06/19/13 BLOCK, KLUKAS & MANZELLA P ROBERT L. SMITH 621 14WC 41607 BOYLE, EILEEN ECOLAB 12/21/11 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 622 14WC 41760 BAILEY, WILLIAM ELITE STAFFING 11/20/14 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 623 14WC 41968 MANGIALARDI, JILL BOLINGBROOK HIGH SCHOOL 09/05/14 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 624 14WC 42099 MARTINEZ, INOCENTE ELITE STAFFING 06/20/13 RUBIN MACHADO ROSENBLUM 625 14WC 42322 ZAMORA, GERMAN KEHE FOODS 11/25/14 LAW OFFICE OF KEVIN O'BRIE POULOS & DIBENEDETTO LAW 626 14WC 42423 JOHSON, MARVIN NU WAY STAFFING 12/01/14 ANKIN LAW OFFICE 627 14WC 42436 RODRIGUEZ, RUBEN WENDY'S 10/06/14 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 628 14WC 42783 URIBE, MAURO RAY'S LANDSCAPING 11/05/14 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 629 14WC 42887 LEAL, MARIA PLAINFIELD SCHOOL DIST 20 07/02/14 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 630 14WC 42945 SHEDRICH, JOHN LINEAGE COLD STORAGE 04/07/14 CUTLER & HULL HOLECEK & ASSOCIATES 631 14WC 42985 REID, JERRELL ILL. DEPT OF CORRECTIONS 12/16/14 FRANCIS J DISCIPIO LAW OFF JEANNINE SIMS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 632 14WC 43000 AMARO, LILIANA MCDONALD'S 08/31/14 SALK, STEVEN B & ASSOC LTD QUINTAIROS PRIETO WOOD & BOY 633 14WC 43257 DUNFRUND, JASON MCDONALDS INNOVATIONS CEN 01/16/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 634 14WC 43435 CRUZ, TEODORO RCI US CORP 12/17/14 ANKIN LAW OFFICE GRANT & FANNING 635 14WC 43575 MARTIN, RHONDA VALLEY VIEW SCHOOL 10/31/14 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 636 14WC 43742 ALVAREZ, ANDREA S&S ACTIVEWEAR 10/06/14 GALLIANI DOELL & COZZI LTD WALLACE SAUNDERS 637 15WC 00040 AVILA, EDA EDNA NU WAY STAFFING 12/24/14 RUEDA, IVAN A 638 15WC 00263 STADLER, GREGORY R ILLINOIS DEPT OF CORRECTI 12/16/14 DEPAOLO ZADEIKIS GORE JEANNINE SIMS 15WC000264 -C 15WC000265 -C 639 15WC 00611 EDWARDS, MICHAEL US HOSE CORP 09/23/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 640 15WC 00708 MORITZ, WILLIAM EXCEL CREATIVE CONVERTING 11/19/14 CUDA LAW OFFICES HENNESSY & ROACH PC 641 15WC 00748 DOYLE, PATRICIA BON-TON STORES INC 08/05/14 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 15WC000749 -C 15WC030320 -C 642 15WC 00787 SERRANO, LUIS ANTONIO UNI STAFF INC 12/26/14 ROBIN LAW OFFICE MC ANDREWS & NORGLE LLC 643 15WC 00879 WOLLEK, BRITTANY VINCA SOLUTIONS LLC 05/07/14 DAVID W MARTAY COZZI & GOGGIN-WARD 644 15WC 00955 HENDERSON, JERRY DAVIS STAFFING INC 01/05/15 SPENCER LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 645 15WC 01464 OSLANZI, CHRISTOPHER WILL COUNTY SHERIFF 01/07/15 RITTENBERG & BUFFEN HINSHAW & CULBERTSON 646 15WC 01495 JENKINS, RICKY NATIONAL DCP LLC 11/07/14 HORWITZ HORWITZ & ASSOC 647 15WC 01554 KNIGHT, ADAM DALEY'S MEDICAL TRANSPORT 08/15/14 ERIC H CHECK, LAW OFFICES ROBERT L. SMITH 648 15WC 01571 DE YOUNG, JEREMIAH B STATEVILLE C.C. @ 12/12/14 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 649 15WC 01615 AYONA, CONCEPCION SUPERIOR HEALTH LINENS 11/22/14 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 650 15WC 01668 GONZALEZ, JOSE KNIGHT TRANSPORTATION INC 10/24/14 TRAPP & GELLER QUINTAIROS PRIETO WOOD & BOY 651 15WC 02410 BENNETT, DENNIS CHICAGO HEIGHTS STEEL 09/14/14 FRANK A CELANI WIEDNER & MCAULIFFE LTD 652 15WC 02628 CRASE, CAROL SILVER CROSS HOSPITAL 11/30/12 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 653 15WC 02724 BRADSHAW, RICHARD HEARTLAND REALTY/ABRORETU 07/06/12 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 654 15WC 02865 COSTILLA, JOSE CENTRAL LIFT MAINTENANCE 10/21/14 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 655 15WC 03439 CARRILLO, FELIPE WORK NOW STAFFING 12/02/14 CULLEN HASKINS NICHOLSON 656 15WC 03610 INCH, GORDON PLAINFIELD MOTOR SERVICE 07/11/13 BLOCK, KLUKAS & MANZELLA P JAMES M KELLY 15WC003611 -C 657 15WC 03681 VALDEZ, JOSEFINA SUBWAY 01/08/15 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 15WC003682 -C 658 15WC 03728 BIRD, JOSEPH WHITING CORP. 01/19/15 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 659 15WC 03826 NORRIS, FERRIN CLEAN HARBORS 04/01/13 CUTLER & SILVERGLADE RODDY LAW LTD 660 15WC 03878 KURE, JOHN S LOCKPORT FIRE PROTECTION 01/21/15 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 661 15WC 04250 VILLARREAL, BERNAVE H CARPENTER LIQUID 07/11/13 MARC STOOKAL JAMES M KELLY 662 15WC 04405 HUDZIAK, PATRICIA JEWEL-OSCO 09/01/14 SLAVIN & SLAVIN 663 15WC 04469 CORTES, MARTIN TRIPLE CROWN SERVICES 08/19/14 CHASE & WERNER LTD MCANANY VANCLEVE & PHILLIPS 664 15WC 04741 RILEY, MELISSA SOI/DEPT CHILDREN & FAMIL @ 01/23/15 LAW OFFICE OF BART MARKESE JEANNINE SIMS 665 15WC 04879 CARROTHERS, DARRELL L. STATE OF ILLINOIS DEPT. O @ 09/25/14 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 666 15WC 04982 CRUZ, EDGAR ATLAS STAFFING AGENCY 11/15/14 RUBIN LAW GROUP POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 667 15WC 05218 OROZCO, LORENA CORPORATE RESOURCE SERVIC 11/20/14 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 668 15WC 05353 BALDERAS, KEVIN CHEDDAR'S CASUAL CAFE 12/07/14 MCNAMARA PHELAN MCSTEEN LL HOLTKAMP LIESE ET AL 669 15WC 05423 MANDAT, RHONDA L APERION CARE WILMINGTON 01/30/15 MARSZALEK AND MARSZALEK 670 15WC 05568 WADE, YVETTE ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC JEANNINE SIMS 671 15WC 05570 VEAL, HERMAN ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL 672 15WC 05674 HUITRON, LEONEL CHICAGO INTERMODAL 12/01/14 RATHBUN CSEVENYAK & KOZOL 673 15WC 05765 MENDEZ, RUBEN DEDICATED LOGISTICS INC 01/26/15 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 674 15WC 06064 MEDNANSKY, MARIE CURRIE MOTORS 11/24/14 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 675 15WC 06102 IRIZARRY, EDGAR SMART LOGISTICS 01/26/15 HORWITZ HORWITZ & ASSOC 676 15WC 06199 BARTAK, NICHOLAS J ASG STAFFING 07/10/14 LAW OFFICE OF THOMAS P NAU FRANCIS J DISCIPIO LAW OFFIC 677 15WC 06322 DIRKINS, CHANDEL CASA MARGARITA 12/18/14 PATRICIA HARDIMAN LAW OFFI 678 15WC 06361 LOPEZ, SANTIAGO B ARBOR TELE SERVICES INC. 02/02/15 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 679 15WC 06401 JIMENEZ, ORLANDO JOHN MORRELL - SARATOGA F 11/24/14 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 680 15WC 06530 FOX, BERNAL RCI 02/06/15 DWORKIN AND MACIARIELLO 681 15WC 06557 LOZANO, RUBEN DUCT-KLEEN 07/28/14 MCNAMARA PHELAN MCSTEEN LL LAW OFFICES JOSEPH MARCINIAK 15WC012517 -C 682 15WC 06730 MITCHELL, FLOYD AMERICAN PRESIDENT LINES 06/18/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 683 15WC 07073 MARDINI, AMINE J TUFFY AUTO 10/17/14 HOLECEK & ASSOCIATES 684 15WC 07147 REAVES, NICOLE ALDI 03/25/14 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 685 15WC 07238 CASTRO, JOSE L PYRAMID CUSTOM CABINETS 01/20/15 FOOTE MIELKE CHAVEZ & O'NE ROSARIO CIBELLA 686 15WC 07492 O'BRIEN, JUSTIN P ATLAS FIRST ACCESS 12/31/13 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 687 15WC 07556 DEL-CARMEN-MATA, MARIA ALG DIRECT/PRINTING 07/15/14 ACEVES & PEREZ PC HENNESSY & ROACH PC 688 15WC 07660 RODRIGUEZ, JAQUELINE WEATHERTECH 01/28/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 689 15WC 07712 PEREZ, EFREN CENTRAL LIFT 02/06/15 ANGELINI & ORI LLC ACCIDENT FUND HOLDINGS 690 15WC 07730 MITCHELL, FLOWAYA M SUNNY HILL NURSING HOME 02/06/15 LAW OFFICES MICHAEL HELLMA 691 15WC 07747 HOLMAN, JENNEICE JACOBSON WAREHOUSE CO, IN 02/13/15 ANKIN LAW OFFICE CACCHILLO LAW GROUP LLC 692 15WC 07785 HUGHES, GERALDINE, FOR ES INTERMODAL SERVICES OF AM # 02/13/15 PARENTE & NOREM PC GAROFALO SCHREIBER STORM 693 15WC 07786 HERNANDEZ, EVELYN D & D MANUFACTURING INC 06/22/14 694 15WC 07881 GAGE, ARTLEAN ILLINOIS DOC PAROLE 02/25/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 15WC027723 -C ST OF IL DEPT OF 695 15WC 08172 WORKMAN, RICHARD JOLIET JUNIOR COLLEGE 12/11/14 DWORKIN AND MACIARIELLO SCOPELITIS GARVIN LIGHT 696 15WC 08296 MARTINEZ, ROCIO FEDERAL SIGNAL CORPORATIO 03/03/14 BOUDREAU NISIVACO LLC BRADY CONNOLLY & MASUDA PC 697 15WC 08388 HERRERA, HILDA PANDUIT 03/09/15 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 698 15WC 08421 LABARAN, IDRISU PACTIV CORP 05/24/12 KARCHMAR & STONE SPIEGEL & CAHILL, PC 699 15WC 08624 WHITNEY, WILLIAM ALAN HORTICULTURAL ENTERP 06/06/14 R. MARK MARITOTE PC LAW OFFICES OF 700 15WC 08636 MC DONALD, CHARLES D JR UNIFIED CLEAN ROOM 03/05/13 MCNAMARA PHELAN MCSTEEN LL 701 15WC 08883 LOGGINS, ORTERAH COMFORCARE SENIOR SERVICE 03/02/15 ANKIN LAW OFFICE 702 15WC 08921 GRISHABER, JAWANA WALGREENS 03/09/15 KREITER, BYCK & ASSOC LLP GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 703 15WC 09168 BLEDSOE, KYLE JOLIET POLICE DEPT 11/01/12 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 704 15WC 09183 PHILLIPS, DENNIS ILL DEPT OF CORRECTIONS @ 03/05/15 LANNON LANNON & BARR LTD JEANNINE SIMS 705 15WC 09299 WHITNEY, WILLIAM ALAN HORTICULTURAL ENTERP 08/08/14 R. MARK MARITOTE PC LAW OFFICES OF 706 15WC 09508 GARCIA, JESUS CENTRAL GROCERS INC 06/16/13 CHEPOV & SCOTT LLC ROSARIO CIBELLA 707 15WC 09645 MC DONALD, JAMES JOLIET HIGH SCHOOL DIST 2 01/20/15 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 16WC019723 -C 708 15WC 09751 GARNER, CHELYNA FIRST CLASS STAFFING AGEN 02/15/15 MCNAMARA PHELAN MCSTEEN LL GRANT & FANNING 709 15WC 10134 PASCUAL, MARIA PSA CARDS 08/05/14 JOHN S. ELIASIK GANAN & SHAPIRO 710 15WC 10201 NUNEZ, ELIZAI ELITE STAFFING 03/11/15 BAUM RUFFOLO & MARZAL LTD 711 15WC 10230 ORSBORN, CARLOTTA JOLIET SCHOOL DIST #86 01/27/15 KIPNIS & KAHN 712 15WC 10286 BUSTAMENTE, GERARDO JR CENTRAL GROCERS INC 12/15/14 ANKIN LAW OFFICE ROSARIO CIBELLA 713 15WC 10292 CASTELLANO, MARTHA MICHAEL'S DISTRIBUTION CE 12/29/14 STROM, NEAL B 714 15WC 10444 KEIGHER, MATT JOLIET FIRE DEPT 09/29/14 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 715 15WC 10472 WILLIAMS, MICHAEL D. YAZMIN TRANSPORTATION, IN 02/26/15 FIGLIOLI, DAVID 716 15WC 10596 HANNIGAN, ROBERT P. MEP CONSTRUCTION 03/13/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 717 15WC 10644 HERNANDEZ, MARTIN ARYZTA LLC 09/02/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 718 15WC 10743 VALENCIA, JAVIER FULLER'S CARE WASH 11/28/14 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 719 15WC 10761 STOKES, KEVIN D ILL DEPT OF CORRECTIONS 10/01/14 JOEL BELL JEANNINE SIMS 720 15WC 11054 AWADY, AHMAD JB HUNT TRANSPORTATION 07/08/14 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 721 15WC 11153 JOHNSON, TAMMY L. GNW ELECTRIC COMPANY 12/15/14 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 722 15WC 11238 CHAIDEZ, FLORENTIO CENTRAL GROCERS INC 03/12/15 OSVALDO RODRIGUEZ PC 723 15WC 11359 RAMAGLIA, MICHAEL F ROMEOVILLE POLICE DEPT 12/23/14 FIGLIOLI, DAVID SLAVIN & SLAVIN 724 15WC 11466 KOUIMELIS, HARRY A MONROE TRANSPORTATION 01/20/14 CUDA LAW OFFICES 725 15WC 11514 METZ, DAVID M R BULTS INC 12/15/14 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 726 15WC 11647 WHITMER, DENNIS TOVAR 02/09/15 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 727 15WC 11739 FASANO, DANIEL L PARSEC INDUSTIES, INC. 02/13/15 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 728 15WC 11824 PENNING, JULIE BEAVER CREEK ENTERPRISES 10/24/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 729 15WC 11851 REESE, JERALD D IL DEPT OF CORRECTIONS @ 03/17/15 PATRICOSKI, MARK G JEANNINE SIMS 730 15WC 12087 CARNEY, JOSEPH VILLAGE OF BOLINGBROOK 09/22/14 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 731 15WC 12199 CABRERA, MARINA SONY-DADC 11/26/12 MCNAMARA PHELAN MCSTEEN LL CHILTON YAMBERT PORTER LLP 732 15WC 12222 NICKEL, MARK APPOLO COLORS INC 01/23/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 733 15WC 12246 HERNANDEZ, CLAUDIA CLEARWATER PAPER 01/03/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 734 15WC 12276 CARON, DEANNA SILVER CROSS HOSPITAL 09/07/14 MARKER & ASSOCIATES MACIOROWSKI SACKMANN & ULRIC 735 15WC 12305 SLATER, CHRISTOPHER SMS MILLCRAFT LLC 04/08/15 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 736 15WC 12490 HOLIFIELD, JERMAINE H R METRICS INC 02/21/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 737 15WC 12519 JIMINEZ, ALBERTO NATIONAL TUBE SUPPLY 09/03/13 RAYMOND M SIMARD, PC BRADY CONNOLLY & MASUDA PC 738 15WC 12558 CROSBY, CHRISTINE WAL-MART STORES INC 11/15/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 739 15WC 12696 CUNNINGHAM, GLORIA PROVENA ST. JOSEPH M C 01/18/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 740 15WC 12861 WAGNER, BRANDON M PARSEC INC 05/09/13 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 741 15WC 13005 WILLIAMS, TAWANDA ONE HOP UNITED 12/23/14 DWORKIN AND MACIARIELLO 742 15WC 13089 CRUMP, TAMLA DEPARTMENT OF CHILDREN & @ 03/03/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 743 15WC 13363 TYLER, LORETTA MACY'S RETAIL HOLDINGS IN 03/12/15 ANKIN LAW OFFICE ROBERT L. SMITH 744 15WC 13393 MORENO, JULIAN JORGE'S LANDSCAPING 03/29/15 PARENTE & NOREM PC 745 15WC 13515 GALEANA, JULIAN MORENO JORGE'S LANDSCAPING 03/29/15 ANKIN LAW OFFICE 746 15WC 13556 HEDGE, ELEANOR SILVER CROSS HOSPITAL 11/02/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 15WC014059 -C 747 15WC 13647 TAYLOR, DARRYL MENARDS 02/19/15 BRIAN T MORROW, LAW OFFICE 748 15WC 13723 ORTIZ, HECTOR WHITING CORP 04/25/12 THE OCHOA LAW GROUP 749 15WC 13838 ALI, WESAM ST OF IL DEPT OF 04/15/15 BRUCE RAFALSON LTD ASSISTANT ATTY GENERAL 750 15WC 13892 BERTA, JOHN CITY OF JOLIET 08/04/14 STEFFEN, MARK R KAVANAGH GRUMLEY & GORBOLD 751 15WC 13980 MALDONADO, ROCIO MACNEIL AUTOMOTIVE PRODUC 03/25/15 JOHN S. ELIASIK HOLECEK & ASSOCIATES 752 15WC 14037 SMITH, AMANDA M PILOT TRAVEL CENTERS 03/04/14 FABRIZIO, HANSON & PEYLA 753 15WC 14215 ZEMAN, DANIEL G & D INTEGRATED 02/18/15 HEYL ROYSTER VOELKER & ALLEN 754 15WC 14264 JEFFRIES, EUGENE EAGLE EXPRESS LINES INC 02/15/15 FRIEDMAN & SOLMOR LTD HINSHAW & CULBERTSON 755 15WC 14446 TOLIVER, NED RESOURCE EMPLOYMENT 04/13/15 SEIDMAN MARGULIS & FAIRMAN 756 15WC 14610 BARNEY, BROOKE MEIJER 02/19/15 BLOCK, KLUKAS & MANZELLA P KOPKA, PINKUS & DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 757 15WC 14764 JONES, KENNEDY JB HUNT 04/04/15 DWORKIN AND MACIARIELLO GRANT & FANNING 758 15WC 14979 DABNEY, BERNARD PREMIER EMPLOYEE SOLUTION 04/27/15 LAW OFFICES PETER LEKAS GRANT & FANNING 759 15WC 15049 GIGLIO, MIKE THE HOME DEPOT 04/01/15 RATHBUN CSEVENYAK & KOZOL ADELSON TESTAN & BRUNDO 760 15WC 15146 MITCHELL, KEITH U.S. HOSE CORPORATION 04/23/15 GOLDBERG WEISMAN & CAIRO L 761 15WC 15211 AMOS, JAZERLE NRG ENERGY INC 02/27/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 762 15WC 15263 BARNEY, BROOKE MEIJER 05/26/13 BLOCK, KLUKAS & MANZELLA P ALLEN KOPET & ASSOCIATES 763 15WC 15893 MARTINEZ, FLORA SURE STAFF 04/23/15 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 764 15WC 15958 WADE-ENGLISH, SHERRI IL DEPT OF CORRECTIONS 04/09/15 WOODRUFF & JOHNSON JEANNINE SIMS 765 15WC 16189 WAGNON, REBECCA L JOLIET PUBLIC SCHOOLS DIS 05/06/15 PARENTE & NOREM PC 766 15WC 16307 MCDONALD, ROBERT G JR MEIJER LTD PARTNERSHIP 03/25/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 767 15WC 16530 QUIROZ, ELEAZAR AARON THOMAS CO 04/22/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 768 15WC 16577 SARPEY, BISMARK 303 TAXI 05/13/15 STEVEN J MALMAN & ASSOCIAT 769 15WC 16831 ALJUMAILI, AMMAR 1ST CLASS STAFFING LLC 05/16/15 CONKLIN & CONKLIN 770 15WC 16947 VALENCIANA-GONZALEA, ACEN METRO STAFF INC 07/03/14 BLOCK, KLUKAS & MANZELLA P FRANCIS J DISCIPIO LAW OFFIC 771 15WC 17417 O'CAMPO, MINERVA POLLMANN NORTH AMERICA 08/22/14 BERG & BERG 772 15WC 17555 DRAPEAU, DEANNA PLAINFIELD SCHOOL DIST 20 01/12/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 773 15WC 17634 BOURG, THOMAS J CATERPILALR INC 03/18/15 SLAVIN & SLAVIN CATERPILLAR, INC. 774 15WC 17694 MITCHELL-FRANKLIN, MICHEL TRINITY SERVICES, INC. 03/16/15 MARK WHITESIDE ESQ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 775 15WC 17748 SMITH, LORETTA REMPREX 03/11/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 776 15WC 17800 ESPINOSA, ROCIO WALMART 05/09/15 RATHBUN CSEVENYAK & KOZOL 777 15WC 17915 TRINKA, STEVEN WALMART 11/03/14 PORRO NIERMANN & PETERSEN WIEDNER & MCAULIFFE LTD 778 15WC 18079 HALL, SCOTT JR. ILLINOIS DEPT OF CORRECTI @ 09/02/14 MC HARGUE, JAMES P LAW OFF COLIN KICKLIGHTER 779 15WC 18193 BOZINOVICH, KENNETH FIRST STUDENT 05/19/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 780 15WC 18245 BOZINOVICH, KENNETH FIRST STUDENT 10/29/14 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 781 15WC 18276 MCGEE, TORRY CITY OF JOLIET 04/08/15 RATHBUN CSEVENYAK & KOZOL CITY OF JOLIET 782 15WC 18533 ORASCO, STEPHEN NEW ALBERTSONS, INC. 12/24/13 ANKIN LAW OFFICE 783 15WC 18643 RAMIREZ, ISRAEL LITTLE ELECTRIC 01/14/15 WOODRUFF & JOHNSON 784 15WC 18835 MARBURY-BRAGG, JACQUELINE ADDUS HEALTHCARE 02/09/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 785 15WC 18971 JOHNSON, RONNIE STAFFING NETWORK 06/03/15 ANKIN LAW OFFICE SLAVIN & SLAVIN 786 15WC 19094 DEDIC, ANTHONY J NEOVIA LOGISTICS 03/05/15 LEONARD LAW GROUP LLC GRANT & FANNING 787 15WC 19408 MORALSES, ROBIN OSEWGO SCHOOL 09/13/14 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 788 15WC 19493 WILLIAMS, BERNARD OZINGA 10/20/14 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 789 15WC 19510 MORALES, JORGE CRANE WORLWIDE LOGISTICS 04/28/15 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 790 15WC 19744 APRIL, MICHELLE UPS 12/15/14 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 791 15WC 19751 CORREA, JASON AD DELUXESIGN COMPANY 04/06/15 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 792 15WC 19820 DOESLAERE, AMANDA STATE OF ILLINOIS IYC @ 01/29/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 15WC020691 -C ILLINOIS IYC 15WC022067 -C 793 15WC 19953 ABDALLAH, EMAD I & A SERVICES 05/04/15 DAVID W MARTAY 794 15WC 20008 LOPEZ, LISA M FEDERAL SIGNAL 02/27/15 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 795 15WC 20157 GUZMAN, APOLINAR RAILWAY & INDUSTRIAL SERV 01/02/14 KARCHMAR & STONE 796 15WC 20170 SALDIVAR, SALVADOR STAFFMARK 05/25/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 797 15WC 20217 ALVAREZ, SILVIA DPWN HOLDINGS INC 04/02/15 WARREN E DANZ, PC HENNESSY & ROACH PC 798 15WC 20239 STEINER, JOEL ECHOSPHERE, LLC. 10/24/14 HANNA VANDER PLOEG LLC 799 15WC 20357 JAKVANI, RUKSHANA ADECCO 04/30/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 800 15WC 20372 ROMAN, HERMES MAGID GLOVE AND SAFETY 10/15/12 MC HARGUE, JAMES P LAW OFF WOLF LAW LTD 801 15WC 20426 HARVEY, TARJI HOME DEPOT DISTRIBUTION C 11/25/14 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN & BRUNDO 802 15WC 20459 PAIGE, ERIC A AEROTEC ELECTRIC 05/30/15 MEYERS & FLOWERS 803 15WC 20693 JEFFERSON, KIARA SALEM VILLAGE 05/15/14 BLOCK, KLUKAS & MANZELLA P 804 15WC 20772 LIMON, MATTHEW A. ILLINOIS BELL TELEPHONE C 06/04/15 MARKER & ASSOCIATES 805 15WC 21081 WINNS, KIMBERLYN TRINITY SERVICES 02/04/15 BRIAN T MORROW, LAW OFFICE 806 15WC 21095 MONSIVAIS, MARIA VALLEY VIEW SCHOOL DISTRI 05/29/14 RIDGE & DOWNES KNELL & O'CONNOR 16WC017740 -C 16WC020540 -C 807 15WC 21110 AUSTIN, RICHARD STAFFING NETWORK 06/13/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 808 15WC 21171 CHAVEZ, RODRIGO VILLA DEPENDABLE STAFFING GROUP 01/29/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 809 15WC 21288 POTOCKI, RICH ACUREN GROUP 04/15/15 RUBIN LAW GROUP HENNESSY & ROACH PC 810 15WC 21468 MADRID, CECILIO METRO STAFF INC 06/24/15 LAW OFFICE EDWARD RUEDA HENNESSY & ROACH PC 811 15WC 21527 BAKER, RUSSELLL STATEVILLE CORRECTIONAL C @ 03/31/15 DREW J FERRACUTI COLIN KICKLIGHTER 812 15WC 21646 MAYA-HERNANDEZ, BULMARO D&D TOOLING & MFG INC 06/12/15 PARENTE & NOREM PC HOLECEK & ASSOCIATES 813 15WC 21652 BREEN, MARY L KAMAN INDUST TECH CORP 02/26/15 WHITESIDE & GOLDBERG LTD 814 15WC 21743 GOERS, SABRINA VALLEY VIEW SCHOOL DIST 3 12/10/14 SHEA LAW GROUP KNELL & O'CONNOR 815 15WC 21769 BARAJAS, PRUDENCIO PALNET 06/15/15 JOHN S. ELIASIK THOMAS & ASSOCIATES 816 15WC 21942 DUDDLESON, KENLYN IL DEPT OF CORRECTIONS @ 09/20/13 WHITESIDE & GOLDBERG LTD COLIN KICKLIGHTER 817 15WC 22047 MCCUMBER, BRIAN OSWEGO FIRE PROTECTION 10/30/14 BARRY A KETTER RUSIN & MACIOROWSKI LTD 15WC025960 -C 818 15WC 22090 DISMUKE, SHERRI STATE OF IL DOC PAROLE DE @ 06/14/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 819 15WC 22122 BACOT, ANDRIA IL DEPT OF CORRECTIONS @ 06/24/15 SKLARE LAW GROUP COLIN KICKLIGHTER 820 15WC 22330 WARD, SHONTA HARBOR CHASE 04/30/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 821 15WC 22435 KOCZTA, HUBERT BLONDIE EXPRESS, 5 STAR S 08/11/14 CHEPOV & SCOTT LLC SCOPELITIS GARVIN LIGHT 822 15WC 22438 TAPIA, FABIOLA WWELS DBA 04/21/15 CHEPOV & SCOTT LLC SLAVIN & SLAVIN 823 15WC 22556 CONTRERAS, MARIA MULTI-TEMPS STAFFING, INC 04/17/15 BERG & BERG ROBERT L. SMITH 824 15WC 22679 FLORES, JENNIFER BUFFALO WILD WINGS 05/06/15 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC 825 15WC 23000 KOBIT, MICHAEL FED EX 02/15/14 MARSZALEK AND MARSZALEK SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 826 15WC 23054 ADAMSKI, KAROL WASTE MANAGEMENT 07/15/15 RUBENS AND KRESS GAROFALO SCHREIBER STORM 827 15WC 23264 CHRISTIANSON, PAT DOLLAR TREE STORES 08/22/14 JOHN S. ELIASIK BRYCE DOWNEY & LENKOV LLC 828 15WC 23403 MURPHY, TIMOTHY RYDER LOGISTICS 06/24/15 LAW OFFICES PETER LEKAS HEYL ROYSTER VOELKER & ALLEN 829 15WC 23446 STONE, ROY VILLAGE OF STEGER 03/09/15 VASILATOS & COTTER LLC 830 15WC 23499 VINCI, KATHERINE CHIPOTLE MEXICAN GRILL 03/31/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 831 15WC 23686 MUNOZ, ROBERT ELECTROLUX 06/18/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 832 15WC 23700 MILLER, WILLIAM E VERIHA TRUCKING 07/30/15 MARKER & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 833 15WC 23760 RAPCAN, TIMOTHY TOYAL AMERICA, INC 07/17/13 RATHBUN CSEVENYAK & KOZOL 834 15WC 24074 PLATA, BRANDON A DOLLAR TREE DISTRIBUTION 05/22/15 RUBIN LAW GROUP BRYCE DOWNEY & LENKOV LLC 15WC024075 -C 835 15WC 24175 ZINN, SANDRA PRESENCE VILLA FRANCISCAN 07/24/15 MARC J SHUMAN & ASSOCIATES 836 15WC 24216 COLANT, JENNIFER R PETSMART 08/02/15 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 16WC034960 -C 837 15WC 24310 SANGSTER, IVETTA WEXFORD HEALTH SOURCES 04/19/15 HORWITZ HORWITZ & ASSOC 838 15WC 24429 RODRIGUEZ, ANTONIO NRG ENERGY, INC. 10/04/14 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 839 15WC 24788 BONILLA, PIEDAD ACCURATE PERSONNEL-BOLING 06/30/15 HART & DAVID LLP 840 15WC 24847 FLORES, TABITA JOLIET SCHOOL DISTRICT 86 05/18/15 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM 841 15WC 24957 WIDLOWSKI, JOSEPH CITY OF JOLIET FIRE DEPAR 01/15/14 RATHBUN CSEVENYAK & KOZOL KAVANAGH GRUMLEY & GORBOLD 842 15WC 25035 TAYLOR, DARRYL MENARDS 05/07/15 BRIAN T MORROW, LAW OFFICE 843 15WC 25109 ALLMAN, WILLIAM NRG ENERGY SERVICES LLC 04/17/15 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 844 15WC 25232 BOJKO, JAROSLAW PRO DRIVERS 02/19/14 WHITESIDE & GOLDBERG LTD 845 15WC 25325 GRANT, LISA UNIVERSITY PARK GOLF CLUB 06/08/15 THE MACK LAW GROUP PC INMAN & FITZGIBBONS 846 15WC 25355 HOMYAK, DANIEL YRC ROADWAY EXPRESS 10/21/14 ALAN A BLUM, PC 847 15WC 25457 GASHI, ALI CRANE CO C/O C T CORPORAT 12/17/14 HETHERINGTON KARPEL BOBBER SPIEGEL & CAHILL, PC 848 15WC 25482 KUHEL, ALEX PACTIV 06/14/15 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 849 15WC 25537 MILLISON, JAMES MENARD'S 04/24/15 STANCZAK LAW OFFICES RODDY LAW LTD 850 15WC 25605 FENOGLIO, TERRY CREST HILL POLICE DEPARTM 01/17/15 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 851 15WC 25650 DAVILA, VIRGIN MARIA SENIOR STAR 01/02/15 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 852 15WC 25732 KUKOWSKI, KEVIN VILLAGE OF MANHATTAN @ 03/24/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 853 15WC 25816 RENTAUSKAS, BRUNO EXCEL PETROLEUM TRANPORT 06/05/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 854 15WC 25915 FIFE, JOANNE VALLEY VIEW SCHOOL DIST 3 07/02/15 BLOCK, KLUKAS & MANZELLA P 15WC025916 -C 855 15WC 25966 LORD, MARY A. STACI JO'S DAY CARE 06/23/15 MARC J SHUMAN & ASSOCIATES LAW OFFICES JOSEPH MARCINIAK 856 15WC 26065 KLEIN, KIMBERLY M. CITY OF JOLIET 07/18/15 ANKIN LAW OFFICE KAVANAGH GRUMLEY & GORBOLD 857 15WC 26182 PERRY, MAVERICK CRETE MONEE SCHOOL DISTRI 02/03/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 858 15WC 26254 FUENTES, MARIA I. WEST LIBERTY FOODS 06/10/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 859 15WC 26338 LAMPIGNANO, VINCENZO A LAMP CONCRETE 11/26/14 KARCHMAR & STONE 860 15WC 26349 THOMAS, ELAINE HOME DEPOT WAREHOUSE 01/02/15 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 861 15WC 26360 BRUSATORI, STEPHEN P COMCAST (ROMEOVILLE) 02/07/14 O'CONNOR & NAKOS SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 862 15WC 26642 ESPOSITO, ANTHONY ANTHONY MARANO COMPANY, I 07/02/15 FRANCIS J DISCIPIO LAW OFF 863 15WC 26760 SULIT, MARY JANE CAPITAL ONE 03/08/15 DWORKIN AND MACIARIELLO 864 15WC 26808 PINTO, RUBICEL UNISTAFF INC. 07/22/15 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC 865 15WC 26857 SANCHEZ, ANGEL STATE OF IL/IDOC @ 06/20/15 MURPHY & MURPHY JEANNINE SIMS 866 15WC 26924 RUTTER, MARK MIDWEST GENERATION 04/01/14 BRIAN T MORROW, LAW OFFICE 867 15WC 26969 RUEDAS, CINTYA AZTECA BAKERY 08/14/14 BART DURHAM HENNESSY & ROACH PC 868 15WC 26991 NEWBY, THADDEUS UPS 05/07/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 869 15WC 27022 PUTNAM, JAMES CITY OF LOCKPORT 05/17/14 JACOBSON & SCHIEFELBEIN 870 15WC 27187 SANCHEZ, MARIELA ALTERNATIVE STAFFING, INC 08/17/15 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 871 15WC 27236 OHSE, JOHN MONACH CONSTRUCTION CO 08/05/15 GOLDFEIN LAW OFFICE PC KNELL & O'CONNOR 872 15WC 27264 ROGERS, GEORGE YOSHINO AMERICA 07/27/15 SPIROS LAW PC 873 15WC 27285 DURAN, MARGARITO ACCURATE PERSONNEL SERVIC 08/13/15 THE ROMAKER LAW FIRM MC ANDREWS & NORGLE LLC 874 15WC 27334 ROBINSON, BETHORA SILVER CROSS HOSPITAL 07/25/15 GAINES & GAINES MACIOROWSKI SACKMANN & ULRIC 875 15WC 27424 MALINOWSKI, MICHAEL CRATERS & FREIGHTERS SO C 06/11/15 PORRO NIERMANN & PETERSEN HOLECEK & ASSOCIATES 876 15WC 27565 HOLIFIELD, JERMAINE TRADER JOE'S 02/21/15 CULLEN HASKINS NICHOLSON 877 15WC 27608 SCOTT, MARTY ILL DOC STATEVILLE @ 07/01/13 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 15WC027609 -C 878 15WC 27921 GOINS, SCOTT DIAGEO NORTH AMERICA INC 06/09/14 KINNALLY FLAHERTY KRENTZ & COZZI & GOGGIN-WARD 879 15WC 27950 LOPEZ, ROBERT R NRG ENERGY, INC. 01/04/15 LAW OFFICE OF THOMAS P NAU

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 880 15WC 28079 HRNJIC, MUSKA WALMART 09/01/14 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 881 15WC 28124 CRUZ-SERRANO, ULISES KEHE DISTRIBUTORS INC 08/12/15 LAW OFFICES MICHAEL HELLMA NOBLE & ASSOCIATES PC 882 15WC 28221 O'HERN, TERRENCE CHANNAHON FIRE 06/30/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 883 15WC 28342 SMITH, ANGELA FULL STEAM STAFFING, LLC 08/23/15 ANKIN LAW OFFICE 884 15WC 28421 GLOVER, ROBERT AREA TRANSPORTATION 12/17/14 KATZ FRIEDMAN EAGLE ET AL THOMAS & ASSOCIATES 885 15WC 28489 PHILLIPS, SAMUEL J STAFFMARK LLC 07/26/14 KROCKEY CERNUGEL COWGILL E KEEFE CAMPBELL & ASSOC LLC 886 15WC 28515 URSO, MATTHEW JEWEL OSCO 03/11/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 887 15WC 28581 MARTINEZ, CARLOS ROSEN MATERIALS 06/16/15 ACEVES & PEREZ PC 888 15WC 28673 CARTWRIGHT, AVRIL STAFFING NETWORK 08/07/15 DAVID W MARTAY SLAVIN & SLAVIN 889 15WC 28743 MORAN, NORINE DENTALWORKS/DENTAL ONE 05/01/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 890 15WC 28857 JACKSON, NINA HOBBY LOBBY 10/20/14 JOHN F GREGORIO & ASSOC BRADY CONNOLLY & MASUDA PC 891 15WC 28904 PALMER, FRANCIS MPHI, INC. 07/24/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 892 15WC 28947 HENNESSY, JAMES FEDERAL SIGNAL 08/05/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 893 15WC 28985 JONES, ROGER SEVILLE STAFFING 06/16/15 STEVEN A CRIFASE, LTD COZZI & GOGGIN-WARD 894 15WC 29043 CHAVEZ, ERICK WOODMARK, LLC 08/28/15 WOODRUFF & JOHNSON ACCIDENT FUND HOLDINGS 895 15WC 29115 BACHILLER, MARINA THE PORTILLO RESTAURANT G 07/25/15 FOOTE MIELKE CHAVEZ & O'NE GRANT & FANNING 896 15WC 29280 PORTER, DAWN ELITE STAFFING 07/28/15 MARC J SHUMAN & ASSOCIATES 897 15WC 29482 FREEMAN, DANA PEACOCK ENGINEERING 04/09/15 GOLDBERG WEISMAN & CAIRO L GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 898 15WC 29493 RICE, MICHAEL KEVIN NUGENT CONSTRUCTION 08/06/13 HORWITZ HORWITZ & ASSOC 899 15WC 29610 ARENAS, ROSA AXCESS STAFFING SERVICES 08/07/15 EPSTEIN, JACK R LAW OFFICE 900 15WC 29721 COY, PATRICK PEPSICO 10/14/14 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 901 15WC 29916 GABRIEL, WILLIAM NATIONAL TUBE SUPPLY CO 05/27/14 KAVANAGH GRUMLEY & GORBOLD BRADY CONNOLLY & MASUDA PC 902 15WC 29943 LEWIS, CYNTHIA ELITE REHABILITATION 08/13/15 BLOCK, KLUKAS & MANZELLA P 15WC029944 -C 903 15WC 30011 HUERTA, MARIA SEATING CONCEPTS INC 08/20/15 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 904 15WC 30398 MURPHY, BRIAN MACNEIL AUTOMOTIVE PRODUC 09/15/15 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 905 15WC 30475 DOROTIAK, JOHN HUMMINGBIRD ELECTRIC 07/23/15 KROL BONGIORNO & GIVEN LTD 906 15WC 30593 TERRAZAS, GLADYS TREJO BORTON STAFFING SOLUTIONS 05/16/14 LULAY LAW OFFICES BRADY CONNOLLY & MASUDA PC 907 15WC 30813 WILLARD, ZON BLACK HORSE CARRIERS, INC 09/14/15 ANKIN LAW OFFICE 908 15WC 30836 MORRIS, JOSHUA TAYLOR FREEZERS 10/24/12 BLOCK, KLUKAS & MANZELLA P 909 15WC 30951 MOLINA, HECTOR ANDERSON & SHAH ROOFING I 07/14/15 KARCHMAR & STONE STONE & JOHNSON CHARTERED 910 15WC 31137 19B MONARREZ, MANUEL CENTRAL GROCERS CO-OP INC 09/18/14 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 911 15WC 31165 WEREECKE, NORMAN II PARAMOUNT STAFFING 08/28/15 HORWITZ HORWITZ & ASSOC 912 15WC 31277 STAFORD, CHRISTOPHER ILINK RESOURCES & FUSION 08/04/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 913 15WC 31367 COOPER, ERNEST J. ELITE STAFFING 07/10/15 CULLEN HASKINS NICHOLSON 914 15WC 31377 ARENAS, ROSA ACCESS STAFFING SERVICES 09/17/15 EPSTEIN, JACK R LAW OFFICE 915 15WC 31467 SANCHEZ, MARISSA NEXUS EMPLOYMENT 10/20/14 MILLON & PESKIN LTD RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 916 15WC 31683 PLUNGE, ANGELA GUARDIAN ANGEL COMMUNITY 11/16/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 917 15WC 31739 BAKER, STEVEN NORTHFIELD BLOCK CO 02/02/15 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 918 15WC 31864 RIVERA, MARIA ALPHA CLEANERS 08/15/15 BURNETT & CARON, LTD 919 15WC 32024 POWERS, MICHAEL CASSENS TRANSPORT COMPANY 09/09/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 920 15WC 32126 ROSENBERGER, DENNITH D PPL-RAVENS TRUCKING, INC. 02/02/15 FREDERICK & HAGLE RODDY LAW LTD 921 15WC 32203 MACHAK, DANIELLE SILVER CROSS HOSPITAL 12/05/14 EDWARD A. STARKMAN MACIOROWSKI SACKMANN & ULRIC 922 15WC 32310 LOZANO-VARGAS, FABRIT ITZ PHILLIPS CHEVROLET 02/22/15 RAYMOND M SIMARD, PC THE ROMAKER LAW FIRM 16WC005960 -C 923 15WC 32338 PURCHASE, STEVEN L CITY OF JOLIET 05/13/15 KROCKEY CERNUGEL COWGILL E CITY OF JOLIET 924 15WC 32363 HOGUE, ANGELA XEROX CORPORATION 10/05/14 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 12WC031090 -C ADECCO 925 15WC 32477 DODD, JACQUARI DEPENDABLE STAFFING 10/01/15 STROM, NEAL B RUSIN & MACIOROWSKI LTD 926 15WC 32566 FREDERICK, JASON VILLAGE OF BOLINGBROOK/ 08/05/15 WHITESIDE & GOLDBERG LTD 927 15WC 32649 MARTIN, ALEX CONSTRUCTION BY CAMCO 05/18/15 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 928 15WC 32681 PASSANANTI, ANTHONY SOUTHERN WINE & SPIRITS 04/30/14 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 929 15WC 32689 COCROFT, GERRY NAVISTAR 09/21/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 930 15WC 32872 GABEHART, ALAN GEEDING CONSTRUCTION 09/10/15 HORWITZ HORWITZ & ASSOC 931 15WC 32878 LOVE, CALVIN THE HOME DEPOT 08/24/15 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 932 15WC 33286 TIPTON, BRIAN USF HOLLAND TRUCKING 10/22/14 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 933 15WC 33447 MUELLER, ROLLIN CATERPILLAR INC 08/04/15 RIDGE & DOWNES CATERPILLAR, INC.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 934 15WC 33584 ALCANTAR, VICTOR LUCENTA TIRE & EQUIPMENT 03/18/15 COSTA IVONE LLC 935 15WC 34008 JAUREGUI, MIGUEL S & S ACTIVEWEAR 08/24/15 BART DURHAM KLAUKE LAW GROUP LLC 936 15WC 34028 KLUCK, JASON DJURIC TRUCKING, INC. 07/14/15 SAUNDERS CONDON & KENNY 937 15WC 34048 GERMAN, IRMA ROUTE 30 LAUNDROMAT 03/03/15 MICHAEL P MCCREADY & ASSOC 938 15WC 34092 DUTTON, CHRISTOPHER PEPSICO, INC 09/25/15 BLOCK, KLUKAS & MANZELLA P ROBERT L. SMITH 939 15WC 34273 FRAYSON, CHERALLE PRESENCE ST JOSEPH HOSPIT 08/21/15 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 940 15WC 34297 SWIERSZ, DAVID A COUNTY OF WILL/ BRUCE D C 10/30/12 941 15WC 34396 TAYLOR, CELSEA M (MINOR) MC DONALD'S 09/10/15 MARKER & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 942 15WC 34493 VARGAS, JESUS MANUEL CLEARWATER PAPER CORP 09/21/15 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 943 15WC 34674 BENITEZ, JAMIL EXEL 01/08/14 GIAMANCO & OOINK LAW OFFIC HENNESSY & ROACH PC 944 15WC 34682 LUCE, CHRISTINE STATE OF ILLINOIS DEPT 09/01/14 DWORKIN AND MACIARIELLO COLIN KICKLIGHTER 945 15WC 34756 RODRIQUEZ, REYNALDO ELITE STAFFING, INC. 11/01/14 EPSTEIN, JACK R LAW OFFICE 946 15WC 34804 LOSIAK, CYNTHIA CREST HILL CAT & DOG CLIN 03/27/15 DWORKIN AND MACIARIELLO 947 15WC 34902 HERNANDEZ, ARTURO ELITE STAFFING INC. 01/24/15 GOLDSTEIN BENDER & ROMANOF 948 15WC 34958 ORASCO, ANGELA JV ENTERPRISES OF IL INC 10/25/15 ANKIN LAW OFFICE 949 15WC 35052 WIGGINS, JAMES UTILITY CONCRETE PRODUCTS 08/16/15 MCNAMARA PHELAN MCSTEEN LL MC ANDREWS & NORGLE LLC 950 15WC 35121 GREEN, KENDRA R LUTHERAN SOCIAL SERVICES 09/21/15 KROCKEY CERNUGEL COWGILL E 951 15WC 35278 ORTEGA, ALICIA SARATOGA FOOD SPEC 06/01/15 JONATHAN SCHLACK INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 952 15WC 35299 JONES, EUNICE EASTER SEALS 09/17/15 DWORKIN AND MACIARIELLO 953 15WC 35340 LLOYD, BRANDON HENNESSEY RIVERVIEW FORD 10/10/15 HORWITZ HORWITZ & ASSOC KNELL LAW LLC 954 15WC 35372 SLATER, CHRISTOPHER SMS TECHNICAL SERVICES, L 09/16/15 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 955 15WC 35598 SPARKS, ANDREW KWM GUTTERMAN INC 11/10/14 GRAVLIN, MICHAEL J LLC HOLECEK & ASSOCIATES 956 15WC 35666 BROWN, DONALD COWORKS 11/02/15 KARNO, MARK L & ASSOC 957 15WC 35706 JOHNSON, TION UTI INTEGRATED LOGISTICS 10/16/15 SKLARE LAW GROUP 958 15WC 36010 SLASOR, JEAN M OSWEGO CUSD #308 03/23/15 JOHN J CASTANEDA ROSARIO CIBELLA 959 15WC 36036 WHITE, RYAN IL DEPT OF CORRECTIONS 10/08/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL 960 15WC 36146 ANTON, RONALD HIGHLAND PARK CVS, LLC 06/13/15 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 961 15WC 36198 BLOUNT, TYRONE SCHNEIDER NATIONAL LOGIST 10/08/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 962 15WC 36257 CULPEPPER, RYAN I.T.W. 10/20/15 BAUM RUFFOLO & MARZAL LTD 963 15WC 36395 ARNOLD, DEBORAH L NEW ALBERTSON'S INC 04/13/15 FOTOPOULOS, JOHN S 964 15WC 36772 KOLDER, APRIL VALLEY VIEW 08/17/15 HORWITZ HORWITZ & ASSOC 965 15WC 36793 MEADORS, PATRICK D&H DISTRIBUTING 10/05/15 WHITESIDE & GOLDBERG LTD 966 15WC 36820 JONES, GREGORY IL DEPT OF @ 10/27/15 ARGIONIS & ASSOCIATES LLC COLIN KICKLIGHTER 967 15WC 36958 MILLER, RONALD J ROY ZENERE TRUCKING & 05/22/15 O'CONNOR & NAKOS 968 15WC 37294 GLEASON, DEBBIE SERVICE OF WILL GRUNDY AN 04/16/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 969 15WC 37307 BRACEY, DEMETRIOS RED ROOF INN 11/14/15 BIZZIERI LAW OFFICES COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 970 15WC 37317 CHAVEZ, JULIO PRODRIVERS 11/04/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 971 15WC 37615 ALONSO, LUIS ANTONIO KNOLLCREST LANDSCAPE DESI 05/26/15 ELIZABETH BOWER KENT GANAN & SHAPIRO 972 15WC 37679 EUBANKS, TIANA METRO STAFFING 11/23/15 SKLARE LAW GROUP 973 15WC 37777 SWENSON, ROBERT JOLIET HOUSING AUTHORITY 07/24/15 HEALY SCANLON LAW FIRM THOMAS & ASSOCIATES 974 15WC 37886 BULLOCK, JIM JW HOLSTEIN'S SALOON 12/20/13 CULLEN HASKINS NICHOLSON 975 15WC 37917 NEEDHAM, DESMOND A. ON TIME BUILDERS 09/26/14 PETER F FERRACUTI & ASSOCI GANAN & SHAPIRO 976 15WC 37961 KAMBAROV, HASAN N R1 TRANSPORT INC 10/18/15 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 977 15WC 38289 JUDGE, SHAUN BRANDENBURG DRAINAGE 10/29/15 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 978 15WC 38306 LIKAR, DALE LOCKPORT POLICE DEPARTMEN 06/18/15 KAVANAGH GRUMLEY & GORBOLD RUSIN & MACIOROWSKI LTD 979 15WC 38414 EARLEY, DAVID HOLLOWAY-MEYERS INC 07/08/14 CUTLER & SILVERGLADE 980 15WC 38511 RUIZ, VIRMA WAL-MART 08/24/15 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 981 15WC 38525 HEDRICK, JOSHUA QUALITY AUTO BODY SHOP 09/02/15 SCHWEICKERT & GANASSIN 982 15WC 38866 HONDROS, JAMES IL DEPT OF CORRECTIONS 02/04/13 JOHN F GREGORIO & ASSOC COLIN KICKLIGHTER 983 15WC 38966 HAISH, DENNIS WASTE MANAGEMENT INC 11/11/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 984 15WC 39046 MEDINA, MONICA MCDONALDS 11/20/15 JAMES ELLIS GUMBINER & ASS 985 15WC 39104 POWERS, TIFFANY HOME DEPOT RDC 5851 10/22/15 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 986 15WC 39210 COHEN, REBECCA S&S ACTIVEWEAR 10/12/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 987 15WC 39409 VILLACANAS, FORTINO RON'S STAFFING 11/17/15 HERRERA LAW CENTER KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 988 15WC 39757 BARBER, KIMBERLY DOLLAR TREE DISTRIBUTION 09/19/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 989 15WC 39836 SCEARCE, LINNEA PLAINFIELD CONSL SCHOOL 02/26/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 990 15WC 39881 WYSOCK, ROBERT PACTIV 03/12/15 RATHBUN CSEVENYAK & KOZOL SPIEGEL & CAHILL, PC 991 15WC 39940 MORRIS, JENNIFER WILL CTY CIRCUIT CLERK OF 05/28/15 STEVEN H MEVORAH & ASSOCIA 992 15WC 40982 DISSI, ATEF SCHNEIDER LOGISTICS TRANS 11/22/15 BRIAN J MC MANUS & ASSOC, POWER & CRONIN LTD 16WC015970 -C 993 15WC 41039 BUSTAMANTE, GERARDO CENTRAL GROCERS CO-OP, IN 10/18/15 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 994 15WC 41162 NUNN, JANET NEXUS EMPLOYMENT SOLUTION 12/09/15 COSTA IVONE LLC 995 15WC 41220 CASTILLO, MONICA PETCO MAIN DC 198/PETCO 10/28/15 GOLDSTEIN BENDER & ROMANOF MCANANY VANCLEVE & PHILLIPS 996 15WC 41361 MEDRANO, DAVID JMJ TALENT SOLUTIONS 11/04/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 997 15WC 41409 MARCHETTI, GINA STATE OF ILLINOIS @ 12/01/15 SEIDMAN MARGULIS & FAIRMAN COLIN KICKLIGHTER 998 15WC 41457 TESSLING, FRANK SAUNORIS BROS 07/24/15 FINE, MARK S LAW OFFICES BRYCE DOWNEY & LENKOV LLC 999 15WC 41482 WIEDMAN, TONI CAESARS ENTERTAINMENT COR 03/21/15 RUSSO & RUSSO LTD NOBLE & ASSOCIATES PC 1000 15WC 41508 TERRY, FREDERICK PREMIER EMPLOYERS/IFCO 12/02/15 BLOCK, KLUKAS & MANZELLA P 1001 15WC 41597 CARRISALES, CATALINA METRO STAFF INC. 11/12/15 HERRERA LAW CENTER 1002 15WC 41633 REYES, TEODORA MULTI-TEMPS INC 12/10/15 COSTA IVONE LLC 1003 15WC 41655 BRIDGES, GREGORY M CRETE-MONEE SCHOOL DIST # 02/04/15 FABRIZIO, HANSON & PEYLA 1004 15WC 41754 VUCKOVICH, ANDREW THE RESERVES NETWORK 11/10/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1005 15WC 41947 LEUZINGER-KELLY, VIVIAN WALMART 10/11/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1006 15WC 42108 DEVRIES, JEAN A HARBOR HOUSE RESALE SHOPP 01/17/15 MATTHEW T. GUBBINS PC WIEDNER & MCAULIFFE LTD 1007 15WC 42384 SCHMIDT, RYAN MENARDS 10/01/15 KROL BONGIORNO & GIVEN LTD RODDY LAW LTD 1008 15WC 42414 RUIZ, JOHN A A&D PAINTING & DRYWALL 12/04/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 1009 15WC 42515 BARRIOS, GLORIA BOSCH 11/25/15 KARCHMAR & STONE GAROFALO SCHREIBER STORM 1010 15WC 42553 STEWART, TIFFANY CONERSTONE SERVICES INC. 12/23/15 ANKIN LAW OFFICE 1011 15WC 42626 KRYNSKI, ARTHUR WEATHERTRUCK 10/19/15 GIACOBBE, THOMAS M HOLECEK & ASSOCIATES 1012 15WC 42697 MC GEE, DEVIN STAFFING NETWORK 12/10/15 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 1013 16WC 00022 TAMAYO, APOLONIO TRIUNE LOGISTICS 11/05/15 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 1014 16WC 00048 BREGENZER, MICHAEL EA SWEEN 02/26/15 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1015 16WC 00332 SMITH, RITA LODERS CROKLAAN 03/06/15 HORWITZ HORWITZ & ASSOC 1016 16WC 00399 KALEC, DERICK LARSEN'S INC. 01/07/14 BRUGGEMAN HURST & ASSOC 1017 16WC 00720 GUZMAN, ROGER WILTON BRANDS 11/16/15 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 1018 16WC 00786 BARKAUSKAQS, NICHOLAS MAURER TRUCK REPAIR 09/18/15 GOLDBERG WEISMAN & CAIRO L LITCHFIELD CAVO 1019 16WC 00800 BINNS, KATHLEEN KENDALL CTY SPECIAL ED CO 10/02/15 HORWITZ HORWITZ & ASSOC 1020 16WC 00894 GONZALEZ, ROSA MOTEL 6 O.L.P. 11/21/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 1021 16WC 00971 RAMIREZ, RICARDO SEATING CONCEPTS INC 11/05/15 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 1022 16WC 01034 ARREOLA, CEASAR ALRO STEEL CORP 01/06/14 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1023 16WC 01066 BERMUDEZ, JOEL EXCEL PETROLEUM TRANSPORT 09/21/15 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 1024 16WC 01152 DEL RIO, ROSE JEWEL FOOD STORES 07/02/14 HORWITZ HORWITZ & ASSOC 16WC001153 -C 1025 16WC 01286 MAJOR, DON BERKOTS SUPER FOODS 09/05/15 LIDOV & BLOCK 1026 16WC 01327 TAYLOR, ERIN K DOLLAR TREE DISTRIBUTION 11/23/15 ANESI OZMON RODIN NOVAK KO 1027 16WC 01348 BARLEY, MATTHEW ILINK RESOURCES 10/14/15 VASILATOS & COTTER LLC 1028 16WC 01381 TAYLOR, ISAIAH CAPSTONE LOGISTICS 11/26/15 DWORKIN AND MACIARIELLO 1029 16WC 01571 BRAWNER, KAREN THE TILLERS NURSING HOME 07/01/15 MEYERS & FLOWERS GALLIANI DOELL & COZZI LTD 1030 16WC 01610 RODRIGUEZ, ALICIA ULTA SALON COSMETICS 03/11/15 BERG & BERG RUSIN & MACIOROWSKI LTD 1031 16WC 01655 CUNNINGHAM, CORNELL PREMIER EMPLOYEE SOLUTION 09/10/15 RUBENS AND KRESS 1032 16WC 01722 ULMER, ASHLEY ILLINOIS VETERANS HOME @ 11/29/15 FINE, MARK S LAW OFFICES ASSISTANT ATTORNEY GENL 1033 16WC 01843 WATKINS, ROGER RUAN TRANSPORTATION MANAG 11/19/15 ANKIN LAW OFFICE JAMES M KELLY 1034 16WC 01903 CABRALES,ALICIA DIVERSIFIED MAINTENANCE S 05/27/15 BOWMAN & CORDAY 1035 16WC 02387 FILIP, TIMOTHY QUALITY PLUMBING 08/20/14 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 1036 16WC 02489 DEESPITIA, MARIA RICH PRODUCTS CORP 10/14/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN 1037 16WC 02540 AGUIREE, FELIPE BALMORAL RACING CLUB INC 12/26/15 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 1038 16WC 03002 LOPEZ, ROSA I S&S ACTIVEWEAR 09/09/15 FIGLIOLI, DAVID KNELL & O'CONNOR 1039 16WC 03048 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 12/10/15 HORWITZ HORWITZ & ASSOC COLIN KICKLIGHTER 1040 16WC 03228 JIMENEZ, NANCY M PORTILLO'S HOT DOG, LLC 12/07/15 DEPAOLO ZADEIKIS GORE GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1041 16WC 03252 WOOTEN, DWAYNE FED EX 12/14/15 BRAD J. BALKE, PC HANSON LAW OFFICE 1042 16WC 03278 MONTGOMERY, NAOMI PATRICK L HALEY MANSION 08/18/14 LAW OFFICES MICHAEL HELLMA ACCIDENT FUND HOLDINGS 1043 16WC 03299 GOMEZ, ROMUALDO HOUSING AUTHORITY 12/11/15 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 1044 16WC 03360 HARPER, COURTNEY PEACOCK ENGIEERING 01/22/16 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 1045 16WC 03482 MCKENDRY, VALERIE MINOOKA CONSO1DSCHOOL DIS 02/18/13 BOGGS & FILLENWARTH 1046 16WC 03627 HALL, DONALD PAPER TRANSPORT INC @ 12/19/15 SCHREINER MALLOY & ETZLER HINSHAW & CULBERTSON 1047 16WC 03788 JIMENEZ, BENJAMIN WINTER LANDSCAPING 06/03/15 LULAY LAW OFFICES 1048 16WC 03838 ORTIZ, MELITON RICH PRODUCTS 11/16/15 DEPAOLO ZADEIKIS GORE 1049 16WC 03861 TRUJILLO, HENRY S TOPHAT LOGISTICAL SOLUTIO 01/18/16 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 1050 16WC 04050 ROSE, KARL CREATIVE CONVERTING 01/12/16 LEITER LAW OFFICES HENNESSY & ROACH PC 1051 16WC 04096 MILSTEAD, BRANDON WAREHOUSE SERVICES INC 08/23/15 MARKER & ASSOCIATES LAW OFFICES FRANCESCA LARSEN 1052 16WC 04112 GRAY, CORNELIOUS FIRST STUDENT BUS SERVICE 11/23/15 GOLDBERG WEISMAN & CAIRO L 1053 16WC 04173 HOOKER, TIMOTHY WORLD KIA JOLIET 10/12/15 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 1054 16WC 04217 NIMO, TREMELL B FEDERAL EXPRESS 02/03/15 VASILATOS & COTTER LLC 1055 16WC 04262 BAKER, ADAM STAFFMARK 01/27/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 1056 16WC 04323 MORALES, CARMENCITA PRESENCE MERCY MEDICAL CE 09/02/15 MCNAMARA PHELAN MCSTEEN LL 1057 16WC 04377 DENNIS, CHARLES SCHNEIDER TRANSLOADING 06/25/15 STEVEN J TENZER, LTD POWER & CRONIN LTD 16WC004378 -C 1058 16WC 04383 MEDINA, LATOYA CORNERSTONE SERVICES 12/16/13 LAW OFFICES MICHAEL HELLMA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1059 16WC 04559 CARDENAS, ISIS RONS STAFFING 01/21/16 HART & DAVID LLP GAROFALO SCHREIBER STORM 1060 16WC 04583 KLAPPER, MARY JEWEL FOODS 07/12/15 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 1061 16WC 04607 BRONGIEL, DAVID E. INTERNATIONAL COMPONENTS 12/09/13 WILLIAMS, ROBERT B LAW OFF 1062 16WC 04614 DASTYCH, CAROLYN KURTZ AMBULANCE SERVICES, 12/05/14 LAWRENCE A SCORDINO BRADY CONNOLLY & MASUDA PC 1063 16WC 04704 SCHNEIDER-ANDREW, LESLI PRESENCE ST JOSEPH'S MED 05/13/15 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 1064 16WC 04797 GONZALEZ, ISIDRA METRO STAFF INC IN LOANIN 02/05/16 SALK, STEVEN B & ASSOC LTD 1065 16WC 04901 LAWRENCE, DEBRA THE INN OF WILLOW FALLS 09/14/15 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC 1066 16WC 04939 FRLANICH, SUSAN FIRST STUDENT BUS SERVICE 12/09/15 GOLDBERG WEISMAN & CAIRO L 1067 16WC 05028 RODRIGUEZ, ANTONIO MIDWEST AIR TECHNOLOGY 11/19/14 WOODRUFF & JOHNSON 1068 16WC 05054 ALLEGLETTI, DENISE PREMIER STAFFING 02/04/16 DWORKIN AND MACIARIELLO 1069 16WC 05079 MORGAN, MICHAEL KENDALL AUTO AND TRUCK RE 10/12/15 PATRICOSKI, MARK G 1070 16WC 05165 SOBCZAK,CHRISTOPHER JACOB NUTTER INSTALLATIONS 10/22/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 1071 16WC 05383 HARDING, DOUGLAS J.B. HUNT 10/07/15 LAW OFFICES MICHAEL HELLMA 1072 16WC 05506 BRODANEX, ARNELL JR RESOURCE EMPLOYMENT 12/17/15 GOLDSTEIN BENDER & ROMANOF 1073 16WC 05519 ORTIZ, CARLOS FLEXIBLE STAFFING 02/12/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 1074 16WC 05545 SHEMITIS, TIMOTHY ALBERTSONS JEWEL FOOD STO 11/26/14 BLEAKNEY & TROIANI BRADY CONNOLLY & MASUDA PC 1075 16WC 05564 MUNOZ, RUTH S & S ACTIVEWEAR 09/16/15 BART DURHAM KNELL & O'CONNOR 1076 16WC 05625 ZEIGER, JOSEPH SPORTS AUTHORITY 12/30/15 BART DURHAM RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1077 16WC 05633 SANCHEZ, MARIBEL ELITE STAFFING 02/11/16 COSTA IVONE LLC 1078 16WC 05673 MOTON, YOLANDA STATE OF ILLINOIS DHS @ 02/03/16 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 1079 16WC 05764 ROJAS, OLGA PREMIER EMPLOYEE SOLUTION 11/09/15 THE ROMAKER LAW FIRM GRANT & FANNING 1080 16WC 05897 CRUZ, ROSALINDA JOLIET SCHOOL DISTRICT #8 12/04/15 CORTINA & MUELLER 1081 16WC 05947 BOLOS, PATRICIA STAFF MARK/RR DONNELLY 02/05/16 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 1082 16WC 06041 PRUITT, CEDRIC STATE OF IL DEPT OF CORRE @ 01/06/16 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENL 1083 16WC 06058 SHIMKUS, SHARI ROLLING FRITO/LAY SALES 12/13/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 1084 16WC 06125 PEREZ, PATRICIA ELITE STAFFING 01/26/16 LAW OFFICE OF SCOTT B SHAP 1085 16WC 06295 BUTLER, JENNIFER CLEARWATER PAPER CORPORAT 11/02/15 HORWITZ HORWITZ & ASSOC 1086 16WC 06318 VANWERT, DONNA WILL COUNTY FOREST PRESER 11/12/15 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 14WC014500 -C 1087 16WC 06365 BANKSON, JAMES POMP'S TIRE 12/28/15 MEYERS FLOWERS 1088 16WC 06418 AGUIRRE, MARTIN RAILWAYS & INDUSTRIAL SER 01/29/16 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 1089 16WC 06505 NICKOLIC, MIROFLAV PREMIER TRANSPORTATION 02/27/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 1090 16WC 06535 AUSTIN, VIVIAN JS SECURITY ASSOCIATES 02/15/16 VRDOLYAK LAW GROUP LLC COZZI & GOGGIN-WARD 1091 16WC 06650 CHAGALA, ANAHI PARAMOUNT STAFFING 02/03/16 HERRERA LAW CENTER 1092 16WC 06726 TATE, CHARLIE SR FIRST STUDENT 10/26/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 1093 16WC 06771 ALVARADO, ABIGAIL ELITE STAFFING BOLINGBROO 12/01/15 EPSTEIN, JACK R LAW OFFICE 1094 16WC 06823 PIERCE, KEVIN CARPENTER LIQUID TRANSPOR 02/25/15 BAUM RUFFOLO & MARZAL LTD JAMES M KELLY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1131 16WC 09222 WALL, SHARON EASTCOM 02/09/16 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 1132 16WC 09469 MEYER, KEITH ALL SEASONS HOME 03/17/16 KREITER, BYCK & ASSOC LLP 1133 16WC 09664 MUNOZ, ANGELO JR. SCHNEIDER, LOGISTICS 03/07/16 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 1134 16WC 09743 DAVIS, CRAIG SCHNEIDER 11/04/15 BOWMAN & CORDAY POWER & CRONIN LTD 1135 16WC 09844 JASKOWIAK, JOSEPH JR HOMER TOWNSHIP FIRE 03/22/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 16WC009956 -C 1136 16WC 10040 MORAN, JAMES VOLVO NORTH AMERICA 11/18/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 1137 16WC 10046 HERRADA, HORTENCIA MCDONALD'S DBA ZOE & YUMM 10/12/15 HART & DAVID LLP 1138 16WC 10059 TALLEY, STEVE LINEAGE LOGISTICS HOLDING 10/31/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 1139 16WC 10067 VITALE, ANNETTE SODEXO INC 03/05/16 GRAZIAN & VOLPE PC 1140 16WC 10130 MITCHELL, JESSICA MEADOWBROOK MANOR 12/24/15 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 1141 16WC 10170 BUCCIFERRO, MICHAEL CENTRELLA GROCERS 12/21/15 STEVEN A CRIFASE, LTD ROSARIO CIBELLA 1142 16WC 10216 HILLER, MARK J NRG ENERGY JOLIET STATION 02/15/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 1143 16WC 10228 NAVAR, GLORIA ARYZTA GREAT KITCHENS, IN 11/19/15 KARCHMAR & STONE HENNESSY & ROACH PC 1144 16WC 10281 SULLIVAN, SHARMEL ELITE STAFFING INC 03/15/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 1145 16WC 10385 GARCIA, FERNANDO INNOTRC GP, LLC 01/25/16 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1164 16WC 12171 MILLER, ANTHONY SITEONE LANDSCAPE 07/27/15 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 1165 16WC 12204 GLEIM, SCOTT CITY OF JOLIET 01/11/16 HETHERINGTON KARPEL BOBBER 1166 16WC 12232 BURKHART, WILLIAM JEWEL/OSCO 11/15/15 MARC J SHUMAN & ASSOCIATES 1167 16WC 12320 BAKER, MICHELLE VALLEY VIEW SCHOOL DIST 3 01/15/15 HORWITZ HORWITZ & ASSOC 1168 16WC 12514 JOHNSON, ADA STATE OF ILLINOIS DOC @ 04/06/16 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 1169 16WC 12561 ARELLANO, SUSAN R ITW FASTENERS 01/05/16 BLAKE HORWITZ LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 1170 16WC 12624 SUTTON, OTHA ANDREW STAFFING 04/17/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1171 16WC 12690 CARTER, DAWN ILLINOIS CENTRAL SCHOOL B 04/03/14 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 1172 16WC 12774 COX, ERNEST GRAINGER DISTRIBUTION CEN 08/13/15 WOODRUFF & JOHNSON HENNESSY & ROACH PC 1173 16WC 12804 WIATER, ANN CRETE MONEE SCHOOL * 01/26/16 STROM, NEAL B 1174 16WC 12845 MILLER, APRIL N SCHNEIDER LOGISTICS 04/01/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 1175 16WC 12873 MORGAN, MICHAEL J KENDALL AUTO AND TRUCK RE 12/02/15 PATRICOSKI, MARK G 1176 16WC 12955 GARBER, PATRICIA ROMEOVILLE POLICE DEPARTM 01/12/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1177 16WC 13013 JASKULA, AMY KENDALL COUNTY SPECIAL 01/05/16 WOODRUFF & JOHNSON 1178 16WC 13053 MCINTIRE, DEBRA DEER CREEK CHRISTIAN SCHO 01/14/16 VASILATOS & COTTER LLC 1179 16WC 13202 DENHAM, EDDIE ANZELC WELDING & FABRICAT 03/29/16 SCHWEICKERT & GANASSIN 1180 16WC 13378 ARMSTRONG, GLEN M MASTEC, INC. 09/16/15 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1181 16WC 13407 ROSE, BRENT D FLINT HILLS 12/27/15 SCOTT M BELT & ASSOC MC ANDREWS & NORGLE LLC 1182 16WC 13422 STROUB, BRIAN OSWEGO FIRE PROTECTION DI 02/26/15 CORNFIELD & FELDMAN RUSIN & MACIOROWSKI LTD 16WC013423 -C 1183 16WC 13506 O'REILLY, MICHAEL C SHERWIN WILLIAMS PAINT CO 07/07/15 LEVIN RIBACK LAW GROUP GANAN & SHAPIRO 16WC013507 -C 1184 16WC 13537 DIAZ, CLAUDIA STATE OF IL DOC 10/28/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 1185 16WC 13700 GERMAN, BERTHA PRIMARY STAFFING, INC 01/15/16 GOLDSTEIN BENDER & ROMANOF 1186 16WC 13755 JOHNSON, ROBERT NATIONAL BEDDING COMPANY, 04/14/16 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC 1187 16WC 13810 WILLIAMS, ROXANNE PREMIER TRANSPORTATION 03/23/16 LAW OFFICE TIMOTHY DEFFET 1188 16WC 14042 MORROW, BRANDON A MENARDS 02/08/16 MARKER & ASSOCIATES RODDY LAW LTD 1189 16WC 14071 POOL, DEBRA IROQUOIS WEST UNIT DIST. 10/02/15 SPIROS LAW PC BRYCE DOWNEY & LENKOV LLC 1190 16WC 14102 DILLION, SHANNON ECOLAB 04/05/16 BRISKMAN BRISKMAN GREENBER 1191 16WC 14105 ASHLEY, ANTWOINE PARSEC 01/28/16 BRISKMAN BRISKMAN GREENBER MACIOROWSKI SACKMANN & ULRIC 1192 16WC 14181 JURENKA, RENATA AMAZON 04/25/16 BART DURHAM WIEDNER & MCAULIFFE LTD 1193 16WC 14212 MILLER, RUTH STATE OF IL / STATEVILLE @ 04/19/16 HUGHES SOCOL PIERS RESNICK COLIN KICKLIGHTER 1194 16WC 14344 GATES, ALPHONSO SIMOS INSOURCING SOLUTION @ 04/25/16 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 1195 16WC 14417 COLLINS, KENNEDY REGAL CINEMA 02/27/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 1196 16WC 14468 DOMBROWSKI, LORI AMAZON WAREHOUSE 03/15/16 SPIROS LAW PC 1197 16WC 14558 SUTTON, OTHA ANDREW STAFFING 04/17/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1198 16WC 14591 CHIOVATERO, WILLIAM C WARHOUSE SERVICES INC 04/11/16 MARKER & ASSOCIATES LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1199 16WC 14599 SAENZ, DAVID IL DEPT OF TRANSPORTATION @ 02/08/16 BOWMAN & CORDAY ASSISTANT ATTORNEY GENL 1200 16WC 14636 WARD, SEAN AMEX NOOTER, LLC 04/11/16 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 1201 16WC 14704 SULLIVAN, TRICIA MOKENA SCHOOL DISTRICT 15 11/05/15 PETER A SINK 1202 16WC 14734 HILLIARD, BRANDON PROMET STEEL 01/19/16 DAVID W MARTAY 1203 16WC 14871 REEDER, MARIETTA D. PASCHALL TRUCK LINES, INC 03/09/15 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 1204 16WC 14903 SHANKIN, JAMES IDOC-STATEVILLE @ 04/30/16 JOEL BELL ASSISTANT ATTORNEY GENL 1205 16WC 14930 FEARS, LEBOIN O'REILLY AUTO ENTERPRISES 04/30/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 1206 16WC 14940 FLORES, ZOILA SENIOR STAR MANAGEMENT 04/01/14 ENCINAS & ORNELAS COZZI & GOGGIN-WARD 1207 16WC 15174 REYES, ANGEL RAILWAY & INDUSTRIAL 04/14/15 BRIAN T MORROW, LAW OFFICE 1208 16WC 15199 SCOTT, DEAN STAFFING SOLUTION SOUTH E 05/02/16 ANKIN LAW OFFICE 1209 16WC 15266 DOLNAK, GREGORY UNIVERSITY OF CHICAGO 03/16/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1210 16WC 15305 POE, GABRIELLE TRINITY SERVICES 04/23/16 STEVEN H MEVORAH & ASSOCIA 1211 16WC 15513 BERKERY, TIMOTHY F VILLAGE OF BOLINGBROOK 04/28/16 CULLEN HASKINS NICHOLSON 1212 16WC 15645 LA BREC, BRYAN YRC FREIGHT-TRUCK DRIVE 04/21/16 PARENTE & NOREM PC HENNESSY & ROACH PC 1213 16WC 15664 LEPARSKI, NADEEN PIER 1 IMPORTS 05/03/16 FRANK A CELANI BRYCE DOWNEY & LENKOV LLC 1214 16WC 15880 ZARATE, ADRIAN PINEPA RON'S STAFFING SERVICES I 05/04/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 1215 16WC 15974 MAGANA, ROBERTO EMECOLE INC 05/02/16 POMPER & GOODMAN ACCIDENT FUND HOLDINGS 1216 16WC 15993 NELSON, HERMANSKI SIMOS INSOURCING SOLUTION 06/11/13 BLOCK, KLUKAS & MANZELLA P

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1235 16WC 17164 MARTIN, TIM AMAZON 05/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1236 16WC 17234 WALKER, MARK AMAZON.COM.LLC, DIST WARE 03/22/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 1237 16WC 17385 WILLIAMS, TARION SCHNEIDER NATIONAL INC 05/08/16 JOHN E LUSAK POWER & CRONIN LTD 1238 16WC 17486 CARDENAS, GUADALUPE WINDY LANDINGS INC D/B/A 03/01/15 JONATHAN SCHLACK KEEFE CAMPBELL & ASSOC LLC 1239 16WC 17599 MEDVED, MICHAEL M. D POLLACK GLASS & MIRROR 01/13/16 PARENTE & NOREM PC 1240 16WC 17730 DOWNEN, ALLEN ROMEOVILLE POLICE DEPARTM 05/24/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1241 16WC 17747 AGUIRRE, LUIS CENTRAL GROCERS 10/12/14 WHITESIDE & GOLDBERG LTD 1242 16WC 17758 SARAVIA, RAUL KANE WAREHOUSING, INC 03/06/14 DEER & STONE PC 1243 16WC 17832 LAFVER, OWEN M. RANDSTAD USA 04/04/16 MARKER & ASSOCIATES 1244 16WC 18091 ZAMBRANO, ANGELINA F. PROLOGISTIX 05/23/16 FIGLIOLI, DAVID 1245 16WC 18192 HERMOSILLO, ROBERTO PARAMOUNT STAFFING 05/13/16 COSTA IVONE LLC HENNESSY & ROACH PC 1246 16WC 18249 LOULOUSIS, CHRISTOPHER J SUPER WASH, INC. 02/11/16 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 1247 16WC 18269 ALFARO, ENRIQUE NAVISTAR, INC 05/25/16 NILSON STOOKAL GLEASON CAP 1248 16WC 18326 RUSH, EDWARD AMERICAN STAIR INC 05/27/16 MARK G BERGAL LAW OFFICE 1249 16WC 18361 STARKS, WILLIAM FARRARA CANDY AND 05/24/16 LEITER LAW OFFICES RODDY LAW LTD 1250 16WC 18516 MC QUEEN, MARK S HUSSMAN CORPORATION 05/19/16 O'CONNOR & NAKOS GANAN & SHAPIRO 1251 16WC 18654 RUSSELL, BRYAN MANPOWER 04/25/16 BRIAN T MORROW, LAW OFFICE GOLDBERG SEGALLA LLC 1252 16WC 18668 ANDREWS, RANDY DIAGEO GLOBAL SUPPLY 04/01/16 KAVANAGH GRUMLEY & GORBOLD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1253 16WC 18735 STRAUGHTER, CHERYL B.P. STAFFING 05/28/16 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 1254 16WC 18777 WATSON, RONALD GRANE TRANSPORTATION LINE 05/25/16 GOLDFEIN LAW OFFICE PC 1255 16WC 18829 MORENO, FELIPE COSTCO 06/11/16 FRIEDMAN & SOLMOR LTD GANAN & SHAPIRO 1256 16WC 18884 REYES, DAVID NEXUS EMPLOYMENT SOLUTION 05/30/16 BLOCK, KLUKAS & MANZELLA P 1257 16WC 18904 SCHRAER, RAYMOND ROCKWELL MEDICAL 02/08/16 BLOCK, KLUKAS & MANZELLA P 1258 16WC 19148 HART, WILLARD STATEVILLE CORRECTIONAL C @ 05/12/16 GALLAGHER LAW PC COLIN KICKLIGHTER 1259 16WC 19260 ERVIN, TERRY BUFFALO WILD WINGS 11/04/15 HORWITZ HORWITZ & ASSOC 1260 16WC 19294 RODRIGUEZ, ULISES STARCON INTERNATIONAL INC 05/24/16 DWORKIN AND MACIARIELLO 1261 16WC 19360 SANDSTROM, DOUGLAS STATE OF ILLINOIS @ 05/12/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1262 16WC 19467 BROWNLEE, TANNETTA DIY GROUP, INC 06/14/16 KREITER, BYCK & ASSOC LLP 1263 16WC 19647 MUELLER, WENDY ST JOSEPH HOSPITAL 11/30/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 1264 16WC 19664 BELL, DEMETRIUS RJ TRANSPORT 06/20/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 1265 16WC 19722 TUTTLE, JANET BRIDGEMAN FOODS, INC 03/07/14 KELLY LAW OFFICES NOBLE & ASSOCIATES PC 1266 16WC 19754 RYBICKI, GEORGEANNE SUDSATIONAL LAUNDROMAT 09/30/15 HORWITZ HORWITZ & ASSOC 1267 16WC 19821 VEGETABLE, MICHAEL RESOURCE & EMPLOYMENT SOL 05/23/16 GRAZIAN & VOLPE PC 1268 16WC 19841 MONDANE, WAYNE Z FORCE TRANSPORTATION 03/04/16 ASHER, RAYMOND L LTD KEEFE CAMPBELL & ASSOC LLC 1269 16WC 19873 FLETCHER, SHIRLEY SONY DADC 06/08/16 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 1270 16WC 19889 VARGAS, LUIS TTX COMPANY 04/07/16 OSVALDO RODRIGUEZ PC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1271 16WC 19951 KORELC, ROBERT NRG ENERGY, INC 04/29/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 1272 16WC 19967 PAYNE, SHANNON WILL COUNTY SHERIFF'S OFF 06/06/16 RIDGE & DOWNES HINSHAW & CULBERTSON 1273 16WC 19987 ROMPA, MIKE VILLAGE OF BOLINGBROOK 03/19/16 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 1274 16WC 20039 MERRIMAN, NICOLE R GREATER JOLIET AREA YMCA 05/25/16 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 1275 16WC 20049 SERRATO, MARVILA S&S ACTIVE WEAR 03/28/16 BLOCK, KLUKAS & MANZELLA P BRYCE DOWNEY & LENKOV LLC 1276 16WC 20056 HERNANDEZ, ISMAEL NATURE SECOND CHANCE HAUL 03/18/16 FOHRMAN, DONALD W & ASSOCS KNELL & O'CONNOR 1277 16WC 20237 SMITH, SUSAN CHERYL AT & T 05/09/16 MATTHEW T. GUBBINS PC INMAN & FITZGIBBONS 1278 16WC 20320 NORRIS, MICHAEL NFI INTERACTIVE LOGISTICS 11/22/15 KOSIN LAW OFFICE LTD MACIOROWSKI SACKMANN & ULRIC 1279 16WC 20395 DOESLAERE, AMANDA STATE OF ILLINOIS @ 03/30/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 1280 16WC 20413 BURAS JR, PAUL T TEAM INDUSTRIAL SERVICES 05/14/16 RIDGE & DOWNES 1281 16WC 20447 PRESI, NICHOLAS N KNAUER INDUSTRIES 05/16/15 WOODRUFF & JOHNSON 1282 16WC 20480 VILLALOBOS, SERGIO ELITE STAFFING 06/13/16 CUSHING LAW OFFICES 1283 16WC 20578 ODAM, ROSEANNE CASEY'S GENERAL STORE 02/27/16 MARC J SHUMAN & ASSOCIATES 1284 16WC 20618 HICKS, WANDA KENDALL COUNTY SPECIAL 04/17/16 COSTA IVONE LLC 1285 16WC 20671 JOHNSON, DEMETRIUS DSC LOGISTICS 05/24/16 JAMES ELLIS GUMBINER & ASS 1286 16WC 20738 GONZALEZ, DANTE FAT RICKY RESTAURANT 06/11/16 JONATHAN SCHLACK HENNESSY & ROACH PC 1287 16WC 20783 DAVIS, CLARENCE CRANE COMPOSITES 01/09/16 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 1288 16WC 20995 JOHNSTON, JEFFREY APEX MATERIAL TECHNOLOGIE 06/21/16 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1289 16WC 21074 ALVAREZ, SERGIO BOBS DISCOUNT FURNITURE 07/07/16 DWORKIN AND MACIARIELLO 1290 16WC 21177 TADEY, RICHARD J CITY OF CREST HILL 12/03/15 JACOBSON & SCHIEFELBEIN SLAVIN & SLAVIN 1291 16WC 21213 LANGAN, DANIEL BREAKTHRU BEVERAGE ILLINO 03/02/16 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 1292 16WC 21303 QUINTERO, HECTOR STATE OF IL C/O STATEVILL @ 08/08/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENL 1293 16WC 21363 MAHALIK, RICHARD JOHNSTONE SUPPLY INC 01/12/16 KAVANAGH GRUMLEY & GORBOLD LAW OFFICES JOSEPH MARCINIAK 1294 16WC 21412 STONE, CHARLES A CENTERLINE TRUCKING @ 03/17/16 ANKIN LAW OFFICE GANAN & SHAPIRO 1295 16WC 21645 VENZON, CORRADO CITY OF JOLIET 04/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 1296 16WC 21756 FISHER, JAMIE L. STATE OF IL/DJJ IYC ST CH @ 06/16/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 1297 16WC 21782 STEG, THOMAS A D CONSTRUCTION 08/01/15 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 1298 16WC 21808 HOPKINS, BEVERLY MEIJER'S 06/21/16 SKLARE LAW GROUP KOPKA, PINKUS & DOLIN, PC 1299 16WC 21853 HARRIS, APRIL LIBERTY SCHOOL BUS COMPAN 03/03/16 ANKIN LAW OFFICE 1300 16WC 21922 SHUMAKER, PAUL TRANSPORT ONE INC 03/02/16 ASHER, RAYMOND L LTD 1301 16WC 21962 BLAN, JOSEPH PRESENCE SAINT JOSEPH MED 04/01/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 1302 16WC 22042 WEDER, MICHAEL WILL COUNTY SHERIFF DEPT. 12/28/15 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 1303 16WC 22081 GOULD, WILLIE SCHNEIDER LOGISTICS 04/07/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1304 16WC 22273 MACEY, BENNETT DR PEPPER 7UP BOTTLING 01/14/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1305 16WC 22324 VEGA, RAFAEL IW&G INC 06/15/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 1306 16WC 22344 FITZPATRICK, TONYA RADIAL 05/08/16 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 16WC022346 -C 1307 16WC 22354 NAVALGUND, DEEPA MEIJER, INC 02/03/15 MARKER & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 1308 16WC 22388 MOSELEY, DEYMEATRIUS C. LINEAGE LOGISTICS 01/28/16 DWORKIN AND MACIARIELLO 1309 16WC 22444 MARCHNER, KATHLEEN AMAZON WAREHOUSE 07/11/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1310 16WC 22486 STONE, CYNTHIA SANCHEZ ELEMENTARY SCHOOL 08/11/15 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 1311 16WC 22707 LUCIO, MA CARMEN JERNBERG INDUSTRIES INC 06/13/16 CHEPOV & SCOTT LLC COZZI & GOGGIN-WARD 1312 16WC 22732 BOLANOS, VIVIANA UNISTAFF PRO, INC.-LOANIN 06/02/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 1313 16WC 22743 CURRY, KARL TOYAL AMERICA, INC 04/30/16 ROBERT DARGIS 1314 16WC 22792 MARCUS, JOHN XPO XNW INC 05/10/14 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 16WC022793 -C XPO CNW INC 1315 16WC 22801 MCCUE, DORIS THE RESERVE NETWORK 02/09/16 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 1316 16WC 22818 WITTENAUER, HOLLY STATE OF IL/DJJ IYC ST CH @ 03/14/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1317 16WC 22930 RUZICH, AMANDA DELTA SONIC CAR WASH 02/20/16 CHEPOV & SCOTT LLC 1318 16WC 23036 TATE, REGINALD MTNA C/O AMRY SINGH 07/05/16 WILLIAM MARTAY 1319 16WC 23106 HERNANDEZ, MARCELA GCA SERVICE GROUP INC 11/01/15 CUSHING LAW OFFICES POWER & CRONIN LTD 1320 16WC 23262 SIMO, LINDA NEOVIA LOGISTICS SERVICES 07/07/16 DWORKIN AND MACIARIELLO 1321 16WC 23340 ZENKE, MARK SILVER CROSS HOSPITAL 05/24/16 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 1322 16WC 23375 CANTONE, DAVID WILL COUNTEY SHERIFF'S OF 08/16/15 DAVID SZCZECIN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1323 16WC 23402 CONSTANTINE, ANTHONY STATE OF ILLINOIS DOC @ 07/04/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 1324 16WC 23431 EARLEY, COREY AMAZON FULFILLMENT CENTER 06/17/16 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 1325 16WC 23492 MOOTY, JEROME PACTIV 03/24/16 DAVID W MARTAY 1326 16WC 23685 DOMINIK, MARTIN S II KNAUER INDUSTRIES LTD 03/10/16 LAW OFFICE PHILIP BLOMBERG BRUCE WARREN 1327 16WC 23703 LEBEDA, MICHAEL AMERISOURCE BERGEN 05/26/16 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 1328 16WC 23773 WILLIAMS, TABATHA RJW TRANSPORT INC 06/23/16 GOLDSTEIN BENDER & ROMANOF HEYL ROYSTER VOELKER & ALLEN 1329 16WC 23852 TREVINO, DELORES STATE OF ILLINOIS @ 12/23/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1330 16WC 23874 GARCIA, ROBERTO ACCURATE PERSONNEL 07/14/16 RUBENS AND KRESS MC ANDREWS & NORGLE LLC 1331 16WC 23896 BOND, TAMMY LAKES VENTURE, LLC D/B/A 07/15/16 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 1332 16WC 23965 DAVIS, KAYLA TRINITY SERVICES 06/30/16 DWORKIN AND MACIARIELLO 1333 16WC 24028 WILLIAMS, DONNA ROUTE 66 FOOD & FUEL 07/06/16 GREGORIO & MARCO 1334 16WC 24092 STONE-SANDERS, TAVANECKA NEXUS EMPLOYMENT 07/25/16 GOLDSTEIN BENDER & ROMANOF 1335 16WC 24107 O'CONNELL, JOSEPH ALLEY TAP & GRILL 06/15/16 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 1336 16WC 24164 GONZALEZ, DAVID METRO STAFF, INC. 07/26/16 ARGIONIS & ASSOCIATES LLC 1337 16WC 24190 MOUTRY, PEARL WE CARE HOME CARE INC 07/14/16 RAYMOND M SIMARD, PC RUSIN & MACIOROWSKI LTD 1338 16WC 24211 MARTINEZ, MARIA ELITE STAFFING-BOLINGBROO 07/28/16 COSTA IVONE LLC 1339 16WC 24251 AVITIA, VERONICA FOREST ENVELOPE CO. 01/14/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 1340 16WC 24292 MARRERO, MARIO ISLAMORADA FISH COMPANY 01/20/16 PETER A SINK BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1341 16WC 24487 BRAULIO, ROBERTO ELITE STAFFING INC. 07/26/16 CULLEN HASKINS NICHOLSON 1342 16WC 24508 MARIN, ISMAEL CORTEZ MIDWEST STORE FIXTURES 07/20/16 COSTA IVONE LLC LITCHFIELD CAVO 1343 16WC 24624 POWELL, CYNTHIA ASG STAFFING/WEATHER TECH 05/17/16 FRIEDMAN & SOLMOR LTD FRANCIS J DISCIPIO LAW OFFIC 1344 16WC 24652 CALVO, JAVIER S & S ACTIVE WEAR 04/19/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 1345 16WC 24722 HAISH, DENNIS WASTE MANAGEMENT INC. 06/07/16 HORWITZ HORWITZ & ASSOC 1346 16WC 24749 LEHNERT, THERESA MINOOKA COMMUNITY HIGH SC 03/14/14 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 1347 16WC 24791 HUGON, CHRISTINE ALLIED BARTON 07/21/16 LAW OFFICES MARK LOFTUS 1348 16WC 24833 ROGERS, TIMOTHY L WELSCH READY MIX 08/03/16 RIDGE & DOWNES 1349 16WC 24885 GRANT, JAMES M ST OF IL DEPT OF 05/25/16 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTY GENERAL 1350 16WC 24903 MCCASKILL, ANTHONY II ABACUS 08/02/16 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 1351 16WC 24916 DOWDA, DORIS DOLLAR TREE STORES, INC 05/06/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 1352 16WC 25047 CUELLAR, FELIPE IMPERIAL ROOFING 08/04/16 PORRO NIERMANN & PETERSEN SPONSLER BISHOP 1353 16WC 25125 ROGNLEY, ANDREW MIDWEST ARCHITECTURAL GLA 11/01/12 DWORKIN AND MACIARIELLO 1354 16WC 25142 FOWLKES, CAROLYN L HELP AT HOME, LLC 05/18/16 ANKIN LAW OFFICE 1355 16WC 25194 CURTIS, JEANETTE MEIJER 07/07/16 BRISKMAN BRISKMAN GREENBER 1356 16WC 25254 NELSON, ERICA BP STAFFING 08/05/16 BIZZIERI LAW OFFICES RUSIN & MACIOROWSKI LTD 1357 16WC 25306 ALDRIDGE, JAMES JOLIET STAFFING LLC 05/13/16 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 1358 16WC 25361 FLIGHT, MICAH VPC PIZZA HOLDINGS/ 08/01/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1359 16WC 25438 PERRY, MAVERICK C CRETE-MONEE SCHOOL DISTRI 02/10/16 FABRIZIO, HANSON & PEYLA NYHAN BAMBRICK KINZIE & LOWR 1360 16WC 25450 MCDONALD, URSULA RYDER 06/16/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 1361 16WC 25478 LARKINS, AARON SAFWAY SERVICES LLC 12/21/15 STEVEN H MEVORAH & ASSOCIA GOLDBERG SEGALLA LLC 1362 16WC 25507 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 01/22/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 1363 16WC 25508 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 07/26/16 HORWITZ HORWITZ & ASSOC 1364 16WC 25547 HERNANDEZ, DAVID J. PROLOGISTIX 08/15/16 LAW OFFICES MICHAEL HELLMA LEAHY EISENBERG & FRAENKEL 1365 16WC 25583 ALSUP, GREGORY RYDER 03/08/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 1366 16WC 25624 NETTLEINGHAM, JAY FREEDOM EMS 07/20/16 PETER F FERRACUTI & ASSOCI 1367 16WC 25648 NETTLEGHAM, JAY C. NETTLEGHAM, JAY C. 08/02/16 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 1368 16WC 25712 BURNETTE, CLEDY METRO STAFFING INC 08/08/16 WEISS & WEISS LAW OFFICES 1369 16WC 25824 ESCAMILLA CORTES, ALFREDO MCDONALD'S 02/25/16 DANIEL PERIASWAMY 1370 16WC 25857 YOUNG, TYRONE NEW ALBERTSONS INC D/B/A 05/10/16 SPIROS LAW PC QUINTAIROS PRIETO WOOD & BOY 1371 16WC 25882 RENIGUNTALA, SHOBHA TRINITY SERVICES 08/10/16 MICHAEL P MCCREADY & ASSOC 1372 16WC 25985 POSADA, ALEJANDRO POSADA'S ALL PURPOSE 03/07/16 BLOCK, KLUKAS & MANZELLA P 1373 16WC 25996 DOLAN, JOHN R LOWES HOME IMPROVEMENT 06/17/16 GOLDBERG WEISMAN & CAIRO L 1374 16WC 26073 FOLA, LYNDELL STATE OF IL DEPT OF CORRE @ 06/21/16 LANNON LANNON & BARR LTD ASSISTANT ATTY GENERAL 1375 16WC 26083 PEREZ-HERNANDEZ, MA IRENE MEADOWBROOK MANOR 01/12/15 BERG & BERG 1376 16WC 26151 MCDANIEL, TINA ADAMS & ASSOCIATES 08/20/16 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1377 16WC 26178 SANDT, JERI L. LINCOLN WAY SCHOOL DIST. 07/11/16 LAW OFFICES MICHAEL HELLMA 1378 16WC 26190 COCKREAM, PATRICIA THE RESERVES NETWORK TRN 06/30/16 TOPPER & WEISS LTD WIEDNER & MCAULIFFE LTD 1379 16WC 26193 SIMMONS, TOKEISHA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS 1380 16WC 26281 NEWBERTY, JOHN WILL COUNTY SHERIFF'S OFF 05/07/16 DAVID SZCZECIN & ASSOC 1381 16WC 26381 VALDEZ, SERGIO JR. SPEARS MANUFACTORING 08/18/16 LEITER LAW OFFICES 1382 16WC 26437 JACKSON, BILLIE JR CRANE COMPOSITES, INC 01/07/15 BLOCK, KLUKAS & MANZELLA P 1383 16WC 26471 VEITKUS, GIOVANNI AT&T 04/27/16 KARCHMAR & STONE 1384 16WC 26513 FLYNN, DENNIS CENTRAL CROCERS INC 01/18/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1385 16WC 26520 MALFAVON, JESUS CELTIC LANDSCAPING, LLC 07/09/16 SALK, STEVEN B & ASSOC LTD RODDY LAW LTD 1386 16WC 26575 REEVES, MARGARET COMMUNITY CARE SYSTEMS, I 08/15/16 RATHBUN CSEVENYAK & KOZOL LIVINGSTONE MUELLER ET AL 1387 16WC 26728 PORTWOOD, MATTHEW A E QUIP MANUFACTURING 08/16/16 MCNAMARA PHELAN MCSTEEN LL 1388 16WC 26775 JOHNSON, NANCY BELCAN TECHSERVICES 08/17/16 RIDGE & DOWNES HOLECEK & ASSOCIATES 1389 16WC 26784 HOUSE, ERIKA RESOURCE EMPLOYMENT SOLUT 07/22/16 HORWITZ HORWITZ & ASSOC 1390 16WC 26840 MCKEE, TIM FRANKFORT FIRE PROTECTION 08/22/16 BLOCK, KLUKAS & MANZELLA P 1391 16WC 26862 BISHOP, JANETTE WILL COUNTY SHERIFF'S OFF 08/23/16 DAVID SZCZECIN & ASSOC 1392 16WC 26871 BARROWMAN, JAMES RUAN LEASING COMPANY 08/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 1393 16WC 26878 BOBO, JONATHAN PROLOGISTIX 08/18/16 HUGHES SOCOL PIERS RESNICK LEAHY EISENBERG & FRAENKEL 1394 16WC 27003 LOVE, TIMOTHY T.M. TIRE CO. INC. 05/26/16 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1395 16WC 27041 MACKOVITCH, THOMAS CENTRAL GROCERS 08/15/16 LEONARD LAW GROUP LLC 1396 16WC 27051 RUSH, RANDY WILL COUNTY SHERIFF'S OFF 08/23/16 DAVID SZCZECIN & ASSOC 1397 16WC 27268 ELSEN, CHRISTOPHER LOCKPORT STEEL FABRICATOR 07/29/16 HORWITZ HORWITZ & ASSOC 1398 16WC 27286 KING, BOOKER PROFESSIONAL TRANSPORTATI 08/11/16 STEVEN J MALMAN & ASSOCIAT NYHAN BAMBRICK KINZIE & LOWR 1399 16WC 27393 BRAND, TIFFANY STATE OF IL DOC PAROLE DE @ 02/21/15 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 1400 16WC 27611 HARRIS, JEFFREY GEOMAT 08/06/16 GOLDBERG WEISMAN & CAIRO L 1401 16WC 27619 SHERROD, DIANCE CATERPILLAR INC 08/19/16 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 1402 16WC 27725 SPREITZER, SUZANNE VALLEY VIEW SCHOOL DIST 08/18/16 RATHBUN CSEVENYAK & KOZOL 1403 16WC 27742 REDWOOD, SHAKITA ELITE STAFFING 08/29/16 DWORKIN AND MACIARIELLO 1404 16WC 27886 KALUZA, MATEUSZ DOLLAR TREE DISTRIBUTION, 07/28/16 ANKIN LAW OFFICE 1405 16WC 27952 GURKE, JEFFREY CHELLINO CRANE 07/17/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 1406 16WC 27999 BOWERS, MARVELLE ASHLEY FURNITURE 08/09/16 COSTA IVONE LLC WOLF LAW LTD 1407 16WC 28031 MOLINA, MERCY W.W. GRAINGER 11/22/15 VRDOLYAK LAW GROUP LLC 1408 16WC 28085 GRZELAK, LUCY WALGREENS 06/16/16 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 1409 16WC 28137 WARDEN, LESLIE STATE OF ILLINOIS DEPARTM @ 08/06/16 BLOCK, KLUKAS & MANZELLA P 1410 16WC 28235 PAGE, UNDRA AMAZON 08/17/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 1411 16WC 28366 BURKS, ANTON BURKS BROTHER DRYWALL, IN 01/26/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 1412 16WC 28500 WITZ, DANIELLE RADIAL 08/14/16 LOUIS A PLZAK & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1413 16WC 28521 RODRIGUEZ, JAVIER THOMAS NISSAN OF JOLIET 07/16/16 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 1414 16WC 28546 WHIPPIE, JAMES W SCOTT'S U-SAVE TIRE, INC 03/28/16 CULLEN HASKINS NICHOLSON 1415 16WC 28551 ALVARADO, JOSE T & D METAL PRODUCTS 11/21/15 CULLEN HASKINS NICHOLSON 1416 16WC 28633 ROJO, MIGUEL HOMER TREE SERVICE, INC 09/14/16 GORDON & CENTRACCHIO LLC ROBERT L. SMITH 1417 16WC 28794 PADILLA, XOCHILT ELITE STAFFING 07/18/16 CHEPOV & SCOTT LLC 1418 16WC 28855 VICTOR, SILVIA ITW DELTAR FASTENERS 04/27/16 HORWITZ HORWITZ & ASSOC 1419 16WC 28912 HUERTA, EDUARDO ELITE STAFFING INC 07/27/16 LAW OFFICES MICHAEL HELLMA 1420 16WC 28951 MAREK, KAPRINTA ALDI, INC 07/31/16 CULLEN HASKINS NICHOLSON 1421 16WC 28966 JOHNSON, SOLOMON SCHNEIDER LOGISTICS 06/14/16 GAINES & GAINES POWER & CRONIN LTD 1422 16WC 29074 FINNEY, DAVID KELLY SERVICES INC 08/22/16 DANIEL J ADLER LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1423 16WC 29123 PALACIOS, MARIA WEATHERTECH 07/11/16 EPSTEIN, JACK R LAW OFFICE 1424 16WC 29205 NIEVES, MIGUEL UNITED GLOBAL LOGISTICS 09/15/16 DWORKIN AND MACIARIELLO 1425 16WC 29279 ZENKE, TERESA WORLD KIA OF JOLIET 07/21/16 WHITESIDE & GOLDBERG LTD 1426 16WC 29308 GAY, EVERETT E CENTRAL GROCERS INC 05/23/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1427 16WC 29313 GUNTER, LARRY WEST LIBERTY FOODS LLC 03/31/15 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 1428 16WC 29325 VARGAS-BARAJAS,MARIA GUAD RONS STAFFING SERVICE 08/25/16 COSTA IVONE LLC GAROFALO SCHREIBER STORM 1429 16WC 29486 MIREE, MARKUS KANE IS ABLE, INC. 09/22/16 CAPRON & AVGERINOS PC WOLF LAW LTD 1430 16WC 29581 KNIES, PAUL EAGLES EXPRESS 09/13/16 LANNON LANNON & BARR LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1431 16WC 29621 STEINLICHT, DAVID CENTRAL GROCERS 06/05/16 RATHBUN CSEVENYAK & KOZOL 1432 16WC 29774 JOHNSON, KATHY CROWN LIFT TRUCKS 05/11/16 MILLON & PESKIN LTD 1433 16WC 29829 WADDELL, KRISTA A CITY OF JOLIET 12/22/15 HASSAKIS & HASSAKIS 1434 16WC 29890 OWENS, THOMAS BARRY PLUMBING & HEATING 09/16/16 ANESI OZMON RODIN NOVAK KO 1435 16WC 29988 DIXON, QUARTEZ J.B. HUNT 09/05/16 DWORKIN AND MACIARIELLO GRANT & FANNING 1436 16WC 30142 MORGAN, JERRY ROADRUNNER INTERMODAL SVC 03/29/16 WARNER & ZIMMERLE BETTY NEUMAN & MCMAHON 1437 16WC 30178 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 08/19/16 DAVID SZCZECIN & ASSOC 1438 16WC 30211 CAMACHO, RAMIRO CENTRAL GROCERS INC C/O K 03/06/15 HETHERINGTON KARPEL BOBBER ROSARIO CIBELLA 1439 16WC 30255 DENVIR, JAMES MAUL ASPHALT 09/22/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 1440 16WC 30337 MARCHIANDO, MATT MANPOWER GROUP, INC. 09/06/16 MILLON & PESKIN LTD 1441 16WC 30341 PRICE, JOHN E.R.H. ENTERPRISES, INC. 11/09/15 SPIROS LAW PC 1442 16WC 30476 POPOVICH, NICK AMERICA DISPLAY, INC 11/10/15 HORWITZ HORWITZ & ASSOC 1443 16WC 30573 SWEENEY, PATRICK M STATE OF ILLINOIS DEPARTM @ 02/05/15 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 1444 16WC 30681 BARRETT, SIDNEY THORNTONS, INC 08/10/16 LEITER LAW OFFICES GRANT & FANNING 1445 16WC 30782 SISSON, LOVETTA STATE OF IL DOC/ @ 05/18/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1446 16WC 30822 GREEN, NATHAN YRC INC 08/23/16 PARENTE & NOREM PC 1447 16WC 30888 BOCHNAK, JOHN ABF FREIGHT SYSTEM, INC 08/22/16 RIDGE & DOWNES 1448 16WC 30960 RODRIGUEZ, MARGARITA PLAINFIELD SCHOOL DISTRIC 02/19/16 JOHN S. ELIASIK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1449 16WC 31081 WILLIAMS, REGINALD ROADRUNNERS AUTO TRANSPOR 06/22/16 MICHAEL P MCCREADY & ASSOC WOLFE & JACOBSON, LTD 1450 16WC 31107 MARTIN, LASHUNNA CORNERSTONE SVCS 09/07/16 MEYERS & FLOWERS 1451 16WC 31124 VICTOR, HERMELINDA AARON THOMAS CO, INC 09/21/16 WOODRUFF & JOHNSON 1452 16WC 31138 JONES, KEVIN OZINGA BROTHERS INC 02/29/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 1453 16WC 31196 HOFFMAN, ROBERT DHL GLOBAL SUPPY CHAIN 03/17/16 SAUNDERS CONDON & KENNY 1454 16WC 31220 NORWOOD, THOMAS C PARTY CITY 09/08/15 RITTENBERG & BUFFEN 1455 16WC 31325 DANT, SALLY SOUTHERN WILL COUNTY 03/02/16 HETHERINGTON KARPEL BOBBER 1456 16WC 31338 MANCARI, LINDA J SPECIAL TOUCH CLEANING CO 09/19/16 PARENTE & NOREM PC 1457 16WC 31410 CRAWFORD, MENARD JB HUNT TRANSPORT, INC 09/05/16 HERRERA LAW CENTER GRANT & FANNING 1458 16WC 31602 CORONELLI, CHRISTINE TRINITY SERVICES LTD 03/26/16 ROSS TYRRELL 1459 16WC 31739 MARQUEZ, BENJAMIN XANASURE, INC 09/20/16 RATHBUN CSEVENYAK & KOZOL 1460 16WC 31817 DUENEZ, LUIS HR METRICS, INC 06/02/16 MC HARGUE, JAMES P LAW OFF QUINTAIROS PRIETO WOOD & BOY 1461 16WC 31838 RODRGUEZ, SANDRA PLAINFIELD SCHOOL DISTRCT 03/10/16 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 1462 16WC 31850 SIMMONS, EBONIE 1ST TRANSIT 07/27/16 BRIAN T MORROW, LAW OFFICE 1463 16WC 31914 GRANICZNY, JANET JEWEL 04/01/14 DANIEL PERIASWAMY 1464 16WC 31945 SAGO, JANET HARRAH'S JOLIET CASINO HO 10/01/16 LEITER LAW OFFICES NOBLE & ASSOCIATES PC 1465 16WC 32018 UJKA, JENNIFER JOLIET PUBLIC SCHOOLS 11/20/13 RIDGE & DOWNES ROSARIO CIBELLA 1466 16WC 32046 REYES, GLORIA PARAMOUNT STAFFING 05/05/16 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1467 16WC 32078 VALADEZ, ARACELI FIS 07/06/16 EPSTEIN, JACK R LAW OFFICE 1468 16WC 32112 HULME, ROBIN MEIJER 08/04/16 WOODRUFF & JOHNSON KNELL & O'CONNOR 1469 16WC 32158 BERG, WAYNE RANDSTAD USA 10/10/16 LIPKIN & HIGGINS LAW OFFIC SLAVIN & SLAVIN 1470 16WC 32200 TAYLOR, DARRYL MENARDS 06/01/16 BRIAN T MORROW, LAW OFFICE 1471 16WC 32377 LEWIS, JOSHUA D CHANDLER SVCS, INC 10/06/16 KOSIN LAW OFFICE LTD 1472 16WC 32536 BAKER, TIANA AMAZON 08/19/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 1473 16WC 32688 TERNOIR, KHALID NEXUS EMPLOYMENT SOLUTION 10/06/16 HORWITZ HORWITZ & ASSOC 1474 16WC 32759 CASAGRANDE, JOSEPH LOCKPORT TOWNSHIP FIRE 09/19/16 HETHERINGTON KARPEL BOBBER 1475 16WC 32840 ORTIZ, ALICIA RICH PRODUCTS 08/12/16 DEPAOLO ZADEIKIS GORE 1476 16WC 32950 KRIZEK, ANTHONY TARGET 08/19/16 MARKER & ASSOCIATES 1477 16WC 33031 HOLLIS, PAULA LABOR READY 09/24/16 THOMAS LAW 1478 16WC 33074 WEAVER, STANLEY TURNER INDUSTRIES GROUP L 06/12/15 LAW OFFICES OF JEFF A SALT BRADY CONNOLLY & MASUDA PC 1479 16WC 33117 WALTON, JOHN CHICAGO PUBLIC SCHOOLS 10/07/14 RICHARD E ALEKSY 1480 16WC 33125 VALENTINO, PAULA LABCORP 08/05/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1481 16WC 33185 ROBINSON JR., TOMMY L METROSTAFF INC 10/21/16 ANKIN LAW OFFICE 1482 16WC 33232 DUFFIELD, NICOLETTE IDOC - STATEVILLE CORR CT @ 09/15/15 SCHWEICKERT & GANASSIN ASSISTANT ATTY GENERAL 1483 16WC 33288 KLEIN, KEVIN VISION LOGICTS INC 08/16/16 DAVENPORT & WHITE NYHAN BAMBRICK KINZIE & LOWR 1484 16WC 33314 JIMENEZ, SAUL FIRST STAFF SERVICES 07/28/15 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1485 16WC 33375 MACK, NATALIE AMERISOUCE BERGEN 03/01/16 DWYER AND COOGAN SPIEGEL & CAHILL, PC 1486 16WC 33427 MUIR, ELBAR PLAINFIELD SD 202 01/26/15 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 1487 16WC 33449 HARRISON, ANDRE AMERISOURCE BERGEN 10/19/16 FRIEDMAN & SOLMOR LTD SPIEGEL & CAHILL, PC 1488 16WC 33500 CHATMAN, LARRY MCLANE 10/19/16 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 1489 16WC 33559 BARRON, ALEJANDRO WEST ROCK 09/19/16 CULLEN HASKINS NICHOLSON 1490 16WC 33574 MCDADE, LUCIUS ASHLEY FURNITURE 10/01/16 DWORKIN AND MACIARIELLO 1491 16WC 33584 DIAZ, ADALBERTO LA-Z-BOY 06/21/16 LAW OFFICE PHILIP BLOMBERG 1492 16WC 33629 STUCZYNSKI, JOHN DAYTON FREIGHT LINES 10/14/16 GALLAGHER LAW PC 1493 16WC 33740 SALINAS, HECTOR BARR TREE CARE 05/24/16 CHEPOV & SCOTT LLC COZZI & GOGGIN-WARD 1494 16WC 33806 RADOMSKI, KAREN PLAINFIELD SD 202 04/16/15 ROMANEK & ROMANEK KEEFE CAMPBELL & ASSOC LLC 1495 16WC 33894 NEGRON, JOSE BRAUN'S EXPRESS * 09/19/16 BLOCK, KLUKAS & MANZELLA P 1496 16WC 33943 SENISAIS, RICARDO ACCURATE PERSONNEL LLC * 09/22/16 HUGHES SOCOL PIERS RESNICK 1497 16WC 33974 JOHNSON, DEMARCUS RON'S STAFFING/ITL * 10/20/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1498 16WC 34013 TRAVIS, LASONYA PEACOCK ENGINEERING * 10/12/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1499 16WC 34045 GRIFFIN, LA TANYA VILLAGE WOODS * 09/22/16 BIZZIERI LAW OFFICES 1500 16WC 34067 MIDDLETON, SONIA EDWARD HOSPITAL * 08/15/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 1501 16WC 34134 WATERS, LASHAWNDRA SNYDER LOGISTICS * 11/04/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1502 16WC 34163 MOLENHOUSE, ROGER CITY BEVERAGE DBA * 08/06/15 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1503 16WC 34181 WOODARD, ARNETRIS AMAZON * 10/13/16 DWORKIN AND MACIARIELLO 1504 16WC 34194 GUNTY, KURT SHIPPERS WAREHOUSE * 10/27/16 DWORKIN AND MACIARIELLO WOLF LAW LTD 1505 16WC 34242 KURIGER, SHARON BERKOT'S * 05/24/16 BLOCK, KLUKAS & MANZELLA P 1506 16WC 34297 GRZANICH, JOAN AHS MIDWEST MANAGEMENT IN * 02/23/16 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 1507 16WC 34354 SAENZ, JOSE LUIS METRO STAFF INC * 10/20/16 JONATHAN SCHLACK FRANCIS J DISCIPIO LAW OFFIC 1508 16WC 34383 DON, CORNEL ROAD RUNNER * 03/30/16 KANURU LAW GROUP PC 1509 16WC 34418 BLOWERS, CHARLES J JR SHOREWOOD LIQUIDATORS, IN * 08/31/16 KAVANAGH GRUMLEY & GORBOLD 1510 16WC 34456 MIEHLE SR, CHARLES E ESSENDANTINC * 08/10/15 GIACOBBE, THOMAS M 1511 16WC 34491 KUZMA, JOSEPH WILL COUNTY SHERIFF'S DEP * 09/29/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1512 16WC 34598 FLOREY, JOHN MILLER PIPELINE MINNESOTA * 10/12/16 SCHWEICKERT & GANASSIN GRANT & FANNING 1513 16WC 34689 BENNINGTON, AMANDA TRINITY SERVICES INC * 10/26/16 DWORKIN AND MACIARIELLO 1514 16WC 34704 GUALANDI, ROBERT L PRESENCE ST JOSEPH MED CT * 10/02/16 KATZ FRIEDMAN EAGLE ET AL 1515 16WC 34714 CANNELLA, ANTHONY SKY ZONE * 10/28/16 MEYERS & FLOWERS LEAHY EISENBERG & FRAENKEL 1516 16WC 34721 REYNOSO, RUBEN A BOARDUP PLUS INC * 07/22/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 1517 16WC 34763 SUMMITT, DONNA DOLLAR TREE * 11/11/16 VASILATOS & COTTER LLC 1518 16WC 34830 READ, WILLIAM THOMASON EXPRESS * 04/24/16 KOLKER LAW OFFICES HINSHAW & CULBERTSON 1519 16WC 34902 CASAGRANDE, DONALD LOCKPORT TOWNSHIP FIRE * 11/03/16 HETHERINGTON KARPEL BOBBER 1520 16WC 34956 BENNETT, STEVEN WESCO MACHINE & TOOL CO I * 09/23/16 LEITER LAW OFFICES ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1521 16WC 34982 SUBLETT, LATANYA JOLIET STAFFING * 11/10/16 BRISKMAN BRISKMAN GREENBER 1522 16WC 35027 TERRELL, MARNETTE WEST LIBERTY FOODS * 10/18/16 DRISCOLL LAW OFFICES PC 1523 16WC 35127 LOREENC, KATHLEEN OUR LADY OF ANGELS * 05/20/16 BLOCK, KLUKAS & MANZELLA P 1524 16WC 35240 HILTON, JASON SHOREWOOD LIQUIDATORS INC * 10/13/16 RATHBUN CSEVENYAK & KOZOL 1525 16WC 35271 JUNGLES, DEBRA RICHS PRODUCTS CORPORATIO * 10/29/16 BLOCK, KLUKAS & MANZELLA P 1526 16WC 35382 DEPOLO, JEFFREY THE HOME DEPOT USA, INC * 04/22/16 LEITER LAW OFFICES 1527 16WC 35404 CERVANTES, CARLOS BIOVIEW LANDSCAPING & * 09/26/16 COSTA IVONE LLC 1528 16WC 35442 MUNOZ, IRMABEL COILPLUS INC # * 06/23/16 DANIEL O STAMM 1529 16WC 35514 DENOOD, JON UPS FREIGHT * 01/11/16 MEYERS & FLOWERS ASA LAW GROUP 1530 16WC 35605 REID, JAKIA SCHNEIDER LOGISTICS * 02/12/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 1531 16WC 35632 NAILON, SHAQUILLE NETWORK GLOBAL LOGISTICS * 11/08/16 KROL BONGIORNO & GIVEN LTD 1532 16WC 35700 BATTY, LLOYD GRAINGER DISTRIBUTION CEN * 08/01/16 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 1533 16WC 35781 CRAWFORD, ASHLEY SIMOS WAREHOUSE * 11/20/16 DWORKIN AND MACIARIELLO 1534 16WC 35803 MOORE, LEONA CRETE- MONEE HIGH SCHOOL * 07/22/16 LANNON LANNON & BARR LTD 1535 16WC 35817 SCHALK, AMBER SPEEDWAY * 09/02/16 DANIEL PERIASWAMY KEEFE CAMPBELL & ASSOC LLC 1536 16WC 35875 MURPHY, BRIAN FRESH THYME FARMERS MARKE * 11/08/16 PETER D CORTI LAW GROUP COZZI & GOGGIN-WARD 1537 16WC 35937 KING, CYNTHIA FRANKFORT ITALIAN FOODS * 09/13/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 1538 16WC 35956 GARCIA, LYNDA CITY OF JOLIET * 03/10/16 RIDGE & DOWNES KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1539 16WC 36028 IMERI, KADIME SENIOR STAR MGMT CO A FOR * 09/10/16 BRIAN J MC MANUS & ASSOC, 1540 16WC 36056 BULLOCK, RIKITA SIMOS * 11/17/16 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 1541 16WC 36063 FARMER, AMANDA GEODIS/OHL * 05/24/16 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 1542 16WC 36086 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO * 08/07/15 HERRERA LAW CENTER 1543 16WC 36127 CHRISTY, MICHAEL MC INDUSTRIAL * 06/12/15 KNELL LAW LLC 1544 16WC 36205 DAVIDSON, ROBERT IL DEPT OF TRANSPORTATION @ * 10/04/16 BOWMAN & CORDAY ASSISTANT ATTY GENERAL 1545 16WC 36226 LOPEZ, MINERVA AMERISOURCE BERGEN * 08/17/16 PORRO NIERMANN & PETERSEN SPIEGEL & CAHILL, PC 1546 16WC 36270 SAN JUAN, GUADALUPE ELITE STAFFING * 10/13/16 PARENTE & NOREM PC 1547 16WC 36302 VOLFOVICH, YURIY LAKE COUNTY PUBLIC WORKS * 11/01/16 SIMMONS COOPER LLC SMITH AMUNDSEN LLC 1548 16WC 36330 HERRERA, DIEGO WARFIELD ELECTRIC CO, INC * 02/17/16 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 1549 16WC 36400 LYNCH, JOSEPH MEIJER * 10/29/16 MCNAMARA PHELAN MCSTEEN LL KOPKA, PINKUS & DOLIN, PC 1550 16WC 36486 FITCH, GLORIA ST PATRICK RESIDENCE * 06/10/16 BLOCK, KLUKAS & MANZELLA P 1551 16WC 36508 CHURCH, KEVIN USF HOLLAND * 11/17/16 PARENTE & NOREM PC HENNESSY & ROACH PC 1552 16WC 36533 RENTERIA, ANTONIO ROTATION DYNAMICS CORP * 05/20/16 KARCHMAR & STONE 1553 16WC 36643 DICKS, CHARLES ACE HARDWARE * 08/21/15 MARKER & ASSOCIATES 1554 16WC 36683 ROBLES, JOSE DOLLAR TREE STORE * 11/07/16 FOHRMAN, DONALD W & ASSOCS 1555 16WC 36854 MURDIE, JAMES CATERPILLAR MEDICAL * 10/07/16 RIDGE & DOWNES CATERPILLAR, INC. 1556 16WC 36943 ZIELINOWSKI, LUKASZ TOM'S TRUCK REPAIR SOUTH, * 06/02/16 KARNO, MARK L & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1557 16WC 36959 CASTRO, MARIA PEACOCK ENGINEERING CO * 06/01/16 EPSTEIN, JACK R LAW OFFICE 1558 16WC 37043 GRECO, JOSEPH M MEIJER, INC * 02/06/16 FABRIZIO, HANSON & PEYLA 1559 16WC 37125 PINKSTON, DANIEL ELITE STAFFING * 09/15/16 GESMER LAW OFFICES, PC 1560 16WC 37177 HANSEN, BERNARD FRANKFORT FIRE PROTECTION * 11/10/16 HETHERINGTON KARPEL BOBBER 1561 16WC 37255 SEIVWRIGHT, LEONARD USF HOLLAND * 05/23/16 RUBIN LAW GROUP HENNESSY & ROACH PC 1562 16WC 37383 CERVANTES, ANTONIO SEATING CONCEPTS * 04/22/16 BLOCK, KLUKAS & MANZELLA P 1563 16WC 37411 WILLIS, MICHAEL PERSONAL COMMUNICATIONS * 10/06/16 STORTO FINN & ROSINSKI 1564 16WC 37474 KENEIPP, MARY CANLAN ICE SPORTS * 02/06/16 SEIDMAN MARGULIS & FAIRMAN 1565 16WC 37513 HOSEY, JAMES YRC FREIGHT * 10/26/16 PERRY M LAKS LAW OFFICE 1566 16WC 37542 ALBERICO, GIOVANNI E PYRAMID CUSTOM CABINETS * 08/15/16 MCNAMARA PHELAN MCSTEEN LL INMAN & FITZGIBBONS 1567 16WC 37555 SPANN, LOUGWIN TOTAL LOGISTICS DBA * 12/08/16 SKLARE LAW GROUP 1568 16WC 37625 MCDONALD, PATRICK BLACK HORSE CARRIER INC * 11/02/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 1569 16WC 37648 EBERT, WILLIAM FRANKFORT SCHOOL DIST 157 * 10/05/16 DREW J FERRACUTI 1570 16WC 37696 CARLSON, TIFFANY ACCURATE PERSONNEL * 11/25/16 STROW LAW LLC 1571 16WC 37724 KAVANAUGH, SHAWN FABIAN'S FLOORING INC * 09/19/16 RATHBUN CSEVENYAK & KOZOL 1572 16WC 37750 PRUITT, IRISHA PROLOGISTIX * 12/08/16 DWORKIN AND MACIARIELLO 1573 16WC 37778 CROXEN, CHRISTINE M CIRCLE K * 10/25/16 FREDERICK & HAGLE 1574 16WC 37837 HUGHES, DWAYNE INTERSTATE WAREHOUSING * 08/24/16 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1575 16WC 37863 WOOD JR., ALBERT J KEYSTONE FREIGHT CORP * 09/03/15 PAUL MARZANO 1576 16WC 37900 DILLAVOU, TINA LARRY'S BAR & GRILL * 07/07/14 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 1577 16WC 38032 JUGGINS, DIONTE UPS FREIGHT * 12/12/16 DWORKIN AND MACIARIELLO ASA LAW GROUP 1578 16WC 38135 WACYRA, RYAN ADVENT AUTO BODY * 05/23/16 SPIROS LAW PC 1579 16WC 38262 WILLIAMS, ISIAH SCHNEIDER NATIONAL * 12/09/16 CAPRON & AVGERINOS PC POWER & CRONIN LTD 1580 16WC 38269 HOOVER, MATTHEW ORLAND FIRE PROTECTION DI * 08/22/16 CULLEN HASKINS NICHOLSON 1581 16WC 38328 TURNER, JOY K WALMART SUPERCENTER * 12/29/13 HANNIGAN & BOTHA, LTD 1582 16WC 38387 KUZMA, JOSEPH WILL COUNTY * 09/29/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1583 16WC 38476 O'BRIEN, LAURA AEROTEK * 11/14/16 BLOCK, KLUKAS & MANZELLA P 1584 16WC 38543 MCGUIRE-CLEM, WENDI THE HOME DEPOT USA, INC * 12/15/15 LEITER LAW OFFICES MC ANDREWS & NORGLE LLC 1585 16WC 38574 WASHINGTON, LINDA A READERLINK LLC * 11/30/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 1586 16WC 38668 DOWLING, ALEXANDRA M PRESENCE HEALTH VILLA * 11/12/16 KOSIN LAW OFFICE LTD 1587 16WC 38685 MITCHELL, DALE SUNBELT RENTALS * 11/17/16 O'CONNOR & NAKOS 1588 16WC 38736 ANDERSON, CALVIN FOREST PRESERVE DISTRICT * 09/12/16 ANESI OZMON RODIN NOVAK KO 1589 16WC 38782 GATZ, TIMOTHY HONDA SUPERSTORE OF JOLIE * 08/24/16 RUBENS AND KRESS 1590 16WC 38851 MENNEGA, ROSS CHEIF CONSTRUCTION * 12/13/16 GOLDBERG WEISMAN & CAIRO L 1591 16WC 38875 HORODNIK, WILLIAM NORRED & ASSOCIATES * 10/28/16 CUDA LAW OFFICES 1592 16WC 38911 BINGHAM, AARON C SUNDANCE I NC D/B/A TACO * 12/12/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1593 16WC 38968 HERNANDEZ, ANDRES SUPREME LOBSTER * 12/16/16 MC HARGUE, JAMES P LAW OFF 1594 16WC 39011 LEE, WINDY A AMAZON * 10/17/16 FABRIZIO, HANSON & PEYLA WIEDNER & MCAULIFFE LTD 1595 16WC 39056 RODRIGUEZ, ROSALINDA FITNESS INTERNATIONAL LLC * 08/20/15 HERRERA LAW CENTER 1596 16WC 39087 CHOCHOLA, AMY JOLIET POLICE DEPARTMENT * 07/27/16 KROL BONGIORNO & GIVEN LTD KAVANAGH GRUMLEY & GORBOLD 1597 16WC 39132 CASTILLO, ARMANDO ESMARK STEEL * 10/27/16 ASHER, RAYMOND L LTD 1598 16WC 39144 SIGWALT, KENNETH UNITED STATES COLD STORAG * 10/25/16 ROGER D RUDICH LTD 1599 16WC 39224 DAVIS, CRYSTAL STAFFING NETWORK * 11/30/16 ELFENBAUM EVERS & AMARILIO SLAVIN & SLAVIN 1600 16WC 39262 LOPEZ, EMMA SODEXO * 06/16/14 BLOCK, KLUKAS & MANZELLA P 1601 16WC 39322 BETSINGER, TODD JB HUNT TRANSPORT, INC/ * 10/21/16 STRONG LAW OFFICE GRANT & FANNING 1602 16WC 39341 GONZALEZ, MARISSA R GRAINGER MINOOKA DISTRIBU * 12/07/16 MCNAMARA PHELAN MCSTEEN LL HENNESSY & ROACH PC 1603 16WC 39365 GOURLEY, CRYSTAL FEDERAL SIGNAL CORP * 01/07/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 1604 16WC 39395 VILLANUEVA, ROBERTO WEATHER TECH * 12/09/16 DWORKIN AND MACIARIELLO 1605 16WC 39410 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SERV * 10/13/16 CHEPOV & SCOTT LLC 1606 16WC 39437 FIGUEROA, SUJEY PREMIER EMPLOYEE SOLUTION * 10/24/16 GOLDSTEIN BENDER & ROMANOF 1607 17WC 00066 WALKER, JIMMY JOLIET TOWNSHIP SCHOOL * 10/12/16 HORWITZ HORWITZ & ASSOC 1608 17WC 00072 SCHAEFER, JOHN BEST PRACTICES STAFFING * 12/14/16 SKLARE LAW GROUP 1609 17WC 00099 RAFAEL, ROSA NFI INDUSTRIES * 10/20/16 AIOSSA LAW FIRM 1610 17WC 00127 BROMBEREK, WAYNE HOME DEPOT INC * 01/08/14 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1611 17WC 00207 JUREKA, VLADISLAV DIAGEO * 12/17/16 BART DURHAM 1612 17WC 00228 GUZMAN, SALVADOR BRAKUR CUSTOM CABINETS * 10/08/14 BLOCK, KLUKAS & MANZELLA P 1613 17WC 00304 CHASE, NICOLE LITTLE CAESARS PIZZA * 12/09/14 CULLEN HASKINS NICHOLSON 1614 17WC 00340 SOLIS, HEATHER ECOLAB, INC * 11/21/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 1615 17WC 00385 ESTRADA, SYISHA AMAZON * 11/25/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1616 17WC 00432 GARCIA-MEDINA, LUCAS MXD GROUP, INC * 11/03/16 EPSTEIN, JACK R LAW OFFICE 1617 17WC 00463 LENARD, LIEWELLY CLEAR CAR CONNECTION * 12/19/16 POMPER & GOODMAN 1618 17WC 00517 BRAWTHEN, KIMBERLY PARSEC INC * 12/09/16 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC 1619 17WC 00552 TURK, BRENT ECOLAB * 09/14/15 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 1620 17WC 00566 PAYNE, MILTON PARSEC * 12/28/16 POLANSKY & CICHON CHTD MACIOROWSKI SACKMANN & ULRIC 1621 17WC 00618 ELLIS, YOLANDA INDIVIDUAL ADVOCACY GROUP * 02/25/14 ERIC M GLASSON & ASSOCIATE 1622 17WC 00642 HABERKORN, THOMAS COUNTY OF WILL * 09/27/16 HORWITZ HORWITZ & ASSOC 1623 17WC 00674 ARANDA, JULIO C TRICO PERSONNEL SERVICES * 12/28/16 WILLIAM MARTAY 1624 17WC 00688 JAGGER, ROBERT HOME DEPOT * 09/02/16 WOODRUFF & JOHNSON 1625 17WC 00726 JURICH, KEITH CORNERSTONE SERVICES * 11/04/16 LEITER LAW OFFICES 1626 17WC 00743 PEREZ, JERRY H&M TRANSPORTATION, INC * 12/20/16 FIGLIOLI, DAVID KEEFE CAMPBELL & ASSOC LLC 1627 17WC 00785 HARDESTY, DONALD COMED * 11/09/16 COSTA IVONE LLC 1628 17WC 00797 SMITH, TERRILL ALLEGIANCE STAFFING * 12/26/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 95 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1629 17WC 00808 FROWNER, CARMEN INTEGRITY * 12/13/16 DWORKIN AND MACIARIELLO 1630 17WC 00823 NORWOOD, MELODY SPAR GROUP INC * 12/11/14 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 1631 17WC 00856 GRABON, DANIEL W AT&T CORP, C/O CORP SYSTE * 12/19/16 HETHERINGTON KARPEL BOBBER 1632 17WC 00875 SPARKS, ANDREW KWM GUTTERMAN,INC * 07/16/15 GRAVLIN, MICHAEL J LLC 1633 17WC 00896 WARRINER, VERNON NEZUS EMPLOYMENT SOLUTION * 10/27/16 RATHBUN CSEVENYAK & KOZOL 1634 17WC 00928 IKARD, LISA INDUSTRIAL STAFFINC SERVI * 12/16/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1635 17WC 00953 OCAMPO, JOSE A INTERNATIONAL BUILDING SE * 11/22/16 DAVID W MARTAY 1636 17WC 01025 ZACARIAS, ENEDINA 1ST CLASS STAFFING * 11/07/16 CULLEN HASKINS NICHOLSON 1637 17WC 01034 GRIFFIN, DARRYL XPO LOGISTICS * 11/23/16 DWORKIN AND MACIARIELLO 1638 17WC 01068 HILL, SHANYCE US SECURITY ASSOCIATES * 12/30/16 LAW OFFICES TIMOTHY HENDER 1639 17WC 01092 REBELLON, RICARDO TURANO BAKERY * 01/03/17 CHEPOV & SCOTT LLC 1640 17WC 01170 REYES, JOSE ARTURO SULLIVAN ROOFING INC * 01/04/17 THE ROMAKER LAW FIRM LAW OFFICES OF EDWARD J. KOZ 1641 17WC 01199 FONTANEZ, DEBORAH WALMART SUPERCENTER * 04/14/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 1642 17WC 01211 SORIA, EULALIO AZZ GALVANIZING * 01/05/17 JAUREGUI & ASSOCIATES 1643 17WC 01365 CLARK, SHEILA INTEGRITY * 12/05/16 DWORKIN AND MACIARIELLO 1644 17WC 01381 GONZALEZ, SAMANTHA ULTRA FOODS * 10/01/16 DWORKIN AND MACIARIELLO 1645 17WC 01398 COFFEY, ANTHONY M SR. WORK NOW,LLC * 01/02/17 ANKIN LAW OFFICE 1646 17WC 01455 CARNEY, JOSEPH PRESENCE ST JOSPH'S HOSP * 01/04/17 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 96 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1647 17WC 01523 LOPEZ, ENRIQUE SALCE INC * 12/19/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 1648 17WC 01616 TOUTGES, KYLE ARNOLD'S TREE SERVICE INC * 09/16/14 THE FITZ LAW GROUP 1649 17WC 01682 LACOSTE, CHRISTOPHER NFI NATIONAL FREIGHT * 12/12/16 BLOCK, KLUKAS & MANZELLA P 1650 17WC 01712 SMITH, CIERA INTEGRITY STAFFING * 11/30/16 DWORKIN AND MACIARIELLO 1651 17WC 01741 BILO, FRANK AVERITT EXPRESS INC * 01/04/17 CORBOY & DEMETRIO PC 1652 17WC 01818 BROWN, TOMMY THOMAS FERGUSON, INC * 11/10/16 DAMISCH & DAMISCH LTD 1653 17WC 01893 MEZA, ELIZABETH NAVISTAR * 12/28/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1654 17WC 01910 JOHNSON, ANDREW STEPAN CO * 04/14/16 RATHBUN CSEVENYAK & KOZOL 1655 17WC 01984 SCHNAYER, LEROY AT&T INC * 12/19/16 GOLDBERG WEISMAN & CAIRO L 1656 17WC 02024 VAZQUEZ, MARIA WEATHER TECH * 01/11/17 DWORKIN AND MACIARIELLO 1657 17WC 02048 CAMILLI, EDWARD MEIJER @ * 01/16/17 BURNES & LIBMAN 1658 17WC 02083 ZIMA, TINA PLAINFIELD SD #202 * 10/25/16 LAW OFFICES OF JOSEPH F. V 1659 17WC 02118 EYRE, BLAKE SAW ENTERPRISES, INC * 12/09/16 KREITER, BYCK & ASSOC LLP 1660 17WC 02172 GUERRERO, GUADALUPE GCA SERVICES GROUP, INC. * 04/27/16 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 1661 17WC 02230 POLK, TARANIKA Y GRAINGER * 01/09/17 LEONARD LAW GROUP LLC 1662 17WC 02248 TRIGG, BILL INTEGRITY STAFFING SOLUTI * 01/03/17 DWORKIN AND MACIARIELLO 1663 17WC 02281 DROPSKI, DAVID TCI TIRE CENTER, LLC * 05/26/16 LAW OFFICE MICHAEL M WOJIT 1664 17WC 02318 HUDEK, LYNN COMFORT KEEPERS * 12/10/15 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 97 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1665 17WC 02349 MCCLEAN, KEVIN APOLLO K ELECTRIC * 01/19/17 DWORKIN AND MACIARIELLO 1666 17WC 02464 BURTON, ROOSEVELT FILTRATION GROUP * 01/04/17 CAPRON & AVGERINOS PC 1667 17WC 02492 SALVADOR, MARTHA MAGENTA SALVADOR * 01/12/17 SALK, STEVEN B & ASSOC LTD 1668 17WC 02560 LANNEN, LARRY STATE OF IL-STATEVILLE * 04/26/15 GOLDBERG WEISMAN & CAIRO L 1669 17WC 02599 FEATHERLY, TRACY VILLAGE OF PLAINFIELD * 10/10/14 SLAVIN & SLAVIN 1670 17WC 02607 LEADINGHOUSE, TYLER CARROLL CONSTRUCTION SUPP * 10/19/16 LAW OFFICES MICHAEL HELLMA 1671 17WC 02660 HARDEN, CHARLES NAVISTAR * 01/12/17 WOODRUFF & JOHNSON 1672 17WC 02706 CAMACHO, AGUSTIN CENTRAL GROCERS * 05/15/16 ASHER, RAYMOND L LTD 1673 17WC 02716 DOMINQUE, CAROL CLEAR WATER PAPER CORP * 11/09/16 HORWITZ HORWITZ & ASSOC 1674 17WC 02747 GALLAGA, NICOLE TONY'S FINER FOODS * 01/20/17 DWORKIN AND MACIARIELLO 1675 17WC 02758 HARDING, JENNIFER DUPAGE MEDICAL GROUP/ MER * 07/08/15 BLOCK, KLUKAS & MANZELLA P 1676 17WC 02780 MARCO, DAVID JOLIET TOWNSHIP H.S.-DIST * 12/16/16 WHITESIDE & GOLDBERG LTD 1677 17WC 02792 BOROS, MARK CITY OF JOLIET * 11/05/16 HETHERINGTON KARPEL BOBBER 1678 17WC 02848 FLOYD, GUY POWER EQUIPMENT LEASING * 02/03/14 RIPES NELSON BAGGOT KALOBRAT 1679 17WC 02889 BAXTER, DOVONNA AMAZON.COM LLC, C/O * 12/18/16 BRIAN J MC MANUS & ASSOC, 1680 17WC 02909 ADENT, MICHAEL SYNNEX CORPORATION * 12/20/16 ANKIN LAW OFFICE 1681 17WC 02936 LACEY, DEVON PARAMOUNT STAFFING * 01/20/17 DWORKIN AND MACIARIELLO 1682 17WC 03036 KINCHEN, RANDALL YRC FREIGHT CHICAGO HEIGH * 01/13/16 FRANK A CELANI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 98 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/09/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1683 17WC 03057 KLUEVER, PATRICK R COWORX STAFFING * 11/04/16 1684 17WC 03098 HRUSOSKY, SHARRY ALDI * 05/16/14 BURNETT & CARON, LTD 1685 17WC 03146 BENO, JASON HOME DEPOT * 10/14/16 WOODRUFF & JOHNSON 1686 17WC 03203 PATTON, CHANEL AMAZON WAREHOUSE * 01/18/17 LEITER LAW OFFICES 1687 17WC 03243 SPANO, DENISE LUMES PANCAKE HOUSE * 08/18/16 DWORKIN AND MACIARIELLO 1688 17WC 03301 JAMISON, PATRICE OHL-OZBURN HESSEY LOGISTI * 05/03/16 LOSS & PAVONE 1689 17WC 03379 ROSOLOWSKI, MAUREEN BEECHER MANOR * 11/06/16 COSTA IVONE LLC 1690 17WC 03423 STORNES, RACHEL AMAZON * 01/10/17 MC HARGUE, JAMES P LAW OFF