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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 09WC 06393 LESNIAK, TIMOTHY STATEVILLE CORRECTIONAL C @ 01/14/09 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 35 09WC 09007 CORREA, GILBERTO FABRICATED METAL SYSTEMS 01/29/09 OSVALDO RODRIGUEZ PC RIPES NELSON BAGGOT KALOBRAT 09WC009008 -C 36 09WC 13097 NOVAK, CATHERINE PLAINFIELD COMMUNITY 01/15/09 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 09WC013098 -C 10WC044240 -C SCHOOL DISTRICT 202 37 09WC 15598 LONG, ROBERT STATE OF ILLINOIS @ 04/30/06 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 38 09WC 17804 19B SMITH, MICHAEL L STONE & WEBSTER CONST SER 03/11/09 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 39 09WC 19337 CROSBY, GWENDOLYN KEHE FOOD DISTRIBUTORS IN 12/05/08 VRDOLYAK LAW GROUP LLC POULOS & DIBENEDETTO LAW 10WC013494 -C 11WC007601 -C 40 09WC 24532 SCHMIDT, LINDA STATE OF IL DJJ IYC JOLET @ 05/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 41 09WC 30158 MITCHELL, SHIRLEY ADDUS HEALTHCARE 05/12/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 11WC044977 -C 42 09WC 30437 CERVANTES, WILIBALDO MCCANN CONSTRUCTION W 07/13/09 BLOCK, KLUKAS & MANZELLA P MCNAMARA PHELAN MCSTEEN, LLC 43 09WC 32416 OCEGUERA, MANUEL US HOSE CORP 04/16/09 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 44 09WC 34734 GAGLIARDO, BRIAN CLENNON ELECTRIC 07/26/06 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 45 09WC 34748 CARRERA, GERARDO FIRST WORLD MGMT SERVICE W 08/07/09 O'CONNOR & NAKOS RAYMOND J SANDERS & ASSOC 46 09WC 35842 COBB, DONALD JR AT & T C/O SEGGWICK CMS 03/04/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 12WC023155 -C 47 09WC 35887 ORTEGA, CRISTINA TROY COMMUNITY CONSOLIDAT 08/03/09 GOLDSTEIN AIOSSA & GOOD POWER & CRONIN LTD 11WC021136 -C 48 09WC 39271 MCLELLAND, ERIC P IL DEPT OF CORRECTIONS- @ 08/09/09 MCNAMARA PHELAN MCSTEEN, L ASSISTANT ATTORNEY GENERAL 49 09WC 42449 CARR, XAVIER HOME CHOICE 07/27/09 BLOCK, KLUKAS & MANZELLA P EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 09WC 46426 BOLDEN, TANEL STATE OF ILLINOIS @ 10/22/09 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 51 09WC 47705 COSTELLO-SCUMACI, PATRICI NATIONAL CITY 11/04/08 CANDIANO LAW OFFICE INMAN & FITZGIBBONS 13WC028155 -C 52 09WC 48441 ESCOTO-CAMPOS, JORGE ALBE MIDWEST CUSTOM CASE INC 09/15/09 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 53 09WC 49558 EGGERT, KARY A AT&T INC 09/02/09 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 54 09WC 50988 JASTRZEMSKI, MARTIN AGISSLAS HAITAS D/B/A W 09/16/09 CULLEN HASKINS NICHOLSON JONATHAN KURASCH 55 10WC 00658 HOWARD, CAROL J FAMILY CHRISTIAN STORES 10/08/09 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 56 10WC 03328 SILVA, KATHERINE PARTY CITY 06/09/09 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 12WC035221 -C 12WC035222 -C 57 10WC 04504 LOCKWOOD, RONALD A BLOCK BLOCK & KLUKAS PC 03/19/07 58 10WC 06706 BARNES, DAVID ILLINOIS DEPT OF CORRECTI @ 08/24/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 59 10WC 06898 VERONESI, SHARON LEE MONREAL D/B/A AMERICA W 06/10/09 BLOCK, KLUKAS & MANZELLA P 60 10WC 08234 KERR, HAMPTON ILLINOIS DEPT OF CORRECTI @ 02/06/10 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 13WC024823 -C IL DEPT OF CORRECTIONS 61 10WC 11186 MCGAUGHY, SARAH SALEM VILLAGE NURSING HOM 02/07/10 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 62 10WC 11536 SCHWARZ, DALE STATE OF ILLINOIS 01/01/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 63 10WC 12596 WILDA, CARL STATE OF ILLINOIS DEPT @ 03/10/10 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 64 10WC 14150 REEVES, JODY SARAH MINI-MART W 01/07/10 HORWITZ HORWITZ & ASSOC 65 10WC 16393 MATZ, CAROL LINCOLN-WAY 02/02/10 BRUGGEMAN HURST & ASSOC RUSIN & MACIOROWSKI LTD 66 10WC 22620 GREEN, JAMES JEWEL FOOD STORES 05/06/10 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 10WC 24869 GORSKI, BARBARA MPI LABEL SYSTEM 01/15/10 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 68 10WC 25652 LOVE, TIMOTHY VILLAGE OF BOLINGBROOK 06/11/09 RUSIN & MACIOROWSKI LTD 11WC034197 -C 69 10WC 26624 JABLONSKI, GWEN LHK PARTNERS 02/19/10 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 10WC042401 -C 70 10WC 27067 NILES, LEE FAMILY DOLLAR 05/11/10 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 71 10WC 29432 BABCOCK, BETH US SECURITY SERVICES 02/12/10 BLOCK, KLUKAS & MANZELLA P GRANT & FANNING 72 10WC 32942 HALL, ROBERT CITY OF JOLIET POLICE DEP 08/05/10 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 73 10WC 33661 ROSALES, OFELIA ELITE STAFFING 03/10/10 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 74 10WC 34118 MIXON, DALIA M LG ELECTRONICS MOBILE COM 02/09/09 GALLAGHER, DONALD V THOMAS & ASSOCIATES 12WC014109 -C L G ELECTRONICS MOBILE 75 10WC 34651 COOPER, MEGAN STATE OF ILLINOIS @ 08/19/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 76 10WC 35203 MOOI, ANNETTE C FOOD 4 LESS 08/26/10 PETER F FERRACUTI & ASSOCI STONE & JOHNSON CHARTERED 10WC045689 -C SCHULTZ-MOOI, ANNETTE 77 10WC 35765 YOUNG, JAMES J&M FORKLIFT 08/05/10 BURNES & LIBMAN HENNESSY & ROACH PC 78 10WC 36396 GARVEY, TERRANCE ST OF IL DJJ IYC JOLIET @ 03/30/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 79 10WC 36705 HIBLER, MICHAEL JOLIET FIRE DEPARTMENT 06/16/10 GOLDBERG WEISMAN & CAIRO L CITY OF JOLIET 80 10WC 37091 BENNINK, PAUL CRETE CARRIERS CORP 09/07/10 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 81 10WC 37254 GONZALEZ, MAYTE TOYS "R" US 05/10/10 BERG NORTHCUTT & BERG KEEFE CAMPBELL & ASSOC LLC 82 10WC 38220 VAJDA, MICHAEL THOMAS VICTORIAN REMODELING @ 03/06/09 83 10WC 40448 WALKER, ROBERT GROUP O SUPPLY CHAIN/CATE 09/30/10 BLOCK, KLUKAS & MANZELLA P KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 10WC 42018 AGUILAR, EVERADO CASTRO'S LANDSCAPING W 09/29/10 KATZ FRIEDMAN EAGLE ET AL 85 10WC 43042 KAPP, WILLIAM WILL COUNTY SHERIFF'S DEP 07/29/00 SAUNDERS CONDON & KENNY HINSHAW & CULBERTSON 86 10WC 44020 GADBOIS, CINDY JEWEL-OSCO 04/08/10 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 87 10WC 44607 SZORC, KRZYSTOF ILLINOIS DEPARTMENT @ 08/12/10 R. MARK MARITOTE PC ASSISTANT ATTORNEY GENERAL 88 10WC 46973 NUNEZ, JESUS R & S DRYWALL CORP 11/09/10 HEALY LAW FIRM RUSIN & MACIOROWSKI LTD 89 10WC 48205 ALLEN, IRMA ST OF IL/STATEVILLE CORR @ 10/07/10 GALLAGHER LAW PC ASSISTANT ATTORNEY GENERAL 90 10WC 49277 NGIENTH, TINA PLAINFIELD TOOL & ENGINEE 11/08/10 BRIAN T MORROW, LAW OFFICE HOLECEK & ASSOCIATES 91 11WC 00690 LEVANGE, AARON UTI INTEGRATED LOGISTICS 09/10/10 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 92 11WC 01599 NGIENTH, TINA PLAINFIELD TOOL & ENGINEE 11/01/09 BRIAN T MORROW, LAW OFFICE HOLECEK & ASSOCIATES 93 11WC 03694 COUCH, JODIE ADVENTIST BOLINGBROOK HOS 03/28/08 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 94 11WC 05089 DANIELEWICZ, ABIGAIL PET SMART 10/03/10 THOMAS R LICHTEN MC ANDREWS & NORGLE LLC 11WC005090 -C 95 11WC 06549 SPRINGER, ALISA STATE OF ILLINOIS @ 01/18/11 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 96 11WC 09307 ANSERE, PATRICIA BOLINGBROOK HOSPITAL FOOD 01/01/11 LAW OFFICES OF INMAN & FITZGIBBONS 97 11WC 10214 DEMET, THOMAS DARVIN FURNITURE AND APPL 09/24/10 JOHN E LUSAK COZZI & GOGGIN-WARD 98 11WC 10842 RAMINIAK, TONI WILTON INDUSTRIES 10/17/08 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 11WC010843 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 99 11WC 11858 RADTKE, HELEN M PEOPLE 4 U INC 08/17/10 BRYCE DOWNEY & LENKOV LLC 022 11WC035557 -C MELCO TRANSFER INC 100 11WC 12723 SEROKA, DAVE GOLDEN STATE FOODS 04/15/09 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 101 11WC 15695 MORGAN, LADAWN ARC OF IROQUOIS COUNTY 12/21/10 COPELAND FINN & FIERI LTD KEEFE CAMPBELL & ASSOC LLC 102 11WC 15714 BEASLEY, DOUG INTERSTATE CHEMICAL 01/17/11 BOGGS & FILLENWARTH GRANT & FANNING 103 11WC 17171 TORRES, PHILIP WILL COUNTY HEALTH DPT 10/08/08 TONY L BRASEL 104 11WC 17493 SCHNEIDER, WILLIAM CIRCUIT CITY STORES INC 05/07/08 FRANKLIN, VALARIE P & ASSO 105 11WC 18457 RODRIGUEZ, JOSE VLG OF NEW LENOX 08/02/09 DWORKIN & MACIARIELLO SLAVIN & SLAVIN 11WC018458 -C 106 11WC 19918 TUNNEY, COLETTE M NUTRO PRODUCTS 04/02/11 MCNAMARA PHELAN MCSTEEN LL GAROFALO SCHREIBER STORM 107 11WC 20580 19B WILLIAMS, TELLIS ST OF IL @ 08/07/10 BLOCK, KLUKAS & MANZELLA P STEPHANIE KEVIL 108 11WC 21500 NORALS, LABRIDGETTE DEPT OF CORRECTIONS STATE @ 11/01/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 14WC040171 -C STATE OF IL 109 11WC 21765 GARNER, JANE E GOVERNORS STATE UNIVERSIT @ 03/02/10 LEO ALT ASSISTANT ATTORNEY GENERAL 110 11WC 22091 ZAVALA, JOSE SOGA TRUCKING INC & DAN @ W 02/24/11 SALK, STEVEN B & ASSOC LTD 111 11WC 22989 GRAY, DOUGLAS BMS ENTERPRISES 11/02/09 MCNAMARA PHELAN MCSTEEN LL CASSANO & ASSOCIATES 112 11WC 24710 TORRES, FORTINO RUBINELLI INC AN ILLINOIS 04/20/11 BRIAN J MC MANUS & ASSOC, RIPES NELSON BAGGOT KALOBRAT 113 11WC 25718 OCHOA, VICTOR RAILWAY & INDUSTRIAL 05/06/11 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 13WC004760 -C 114 11WC 26379 WATSON, RAY ORANGE CRUSH LLC 10/26/10 HORWITZ HORWITZ & ASSOC NICHOLAS M. BIGONESS 11WC026380 -C 115 11WC 27008 SHAIN, BARBARA CLEARWATER PAPER PRODUCTS 06/27/11 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 11WC 29518 TAYLOR, DANIELLE STATE OF ILLINOIS @ 04/27/11 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 117 11WC 29869 19B HARAN, JERROLD I AT&T CORPORATION 12/08/10 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 118 11WC 30023 CULLICK, CONSTANCE HORWITZ HORWITZ & ASSOC @ 05/06/11 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 119 11WC 31978 TRINKA, STEVE KEHE FOODS 06/24/11 LAW OFFICES OF NOBLE & ASSOCIATES PC 13WC000352 -C 120 11WC 32470 MORENO, NICOLASA ELITE STAFFING 12/08/10 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 13WC001992 -C 16WC000915 -C 16WC011993 -C 121 11WC 32865 RUSSELL, DANIEL UNITED STATES INFRASTRUCT 06/07/11 KARCHMAR & STONE COZZI & GOGGIN-WARD 122 11WC 34231 PELAEZ, ALBERTO COATINGS & LOGISTICS GROU 11/03/10 LEADERS LAW CENTER LLC RUSIN & MACIOROWSKI LTD 123 11WC 34413 RICHARDSON, KYLE JOLIET JUNIOR COLLEGE 04/01/10 RATHBUN CSEVENYAK & KOZOL SCOPELITIS GARVIN LIGHT 124 11WC 35357 CHEEK, DAVID CITY OF JOLIET DEPT 11/25/09 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 125 11WC 35365 LEON, NATALIE PNC BANK 02/01/11 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 126 11WC 36930 MEZA, JESUS DIAMOND GRANITE INC W 09/14/11 SALK, STEVEN B & ASSOC LTD 127 11WC 41246 AGUIRRE, MARY CITY OF JOLIET 09/21/11 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 128 11WC 41250 NEGRAY, SHANE DECEASED BY STREATOR MASONRY 08/23/11 SCHWEICKERT & GANASSIN LOSS & PAVONE 129 11WC 42953 GOMEZ, JUAN UNITED LANDSCAPE SERVICE 07/06/11 RANDALL A WOLFF & ASSOC. L HENNESSY & ROACH PC 130 11WC 43491 TELLEZ, DONNA SILVER CROSS HOSPITAL 10/25/10 HEALY LAW FIRM MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 131 11WC 44860 JOHNSON, BILLY ST OF IL DEPT OF CORRECTI 11/05/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 132 11WC 46988 19B PITTMAN, TONY JOLIET SCHOOL DISTRICT #8 06/02/10 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 11WC046989 -C 11WC046990 -C 133 11WC 48491 VANDYKE, MARGARET WILL COUNTY COMMUNITY 08/16/11 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 134 12WC 00611 ORNEALAS, CYNTHIA INNOTRAC 08/23/11 STEPHEN G PINTO LTD LAW OFFICES JOSEPH MARCINIAK 135 12WC 01877 19B KROLL, ANDREW E A N WEBBER INC 01/09/12 JAMES M RIDGE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 136 12WC 02941 SALAZAR, SONJA SALEM VILLAGE 12/07/11 DWORKIN AND MACIARIELLO GALLIANNI DOELL & COZZI LTD 137 12WC 05478 PALLARES, MICHAEL FIFTH THIRD BANK 11/21/11 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 138 12WC 06154 ESPINOZA, EDUARDO SEALER INDUSTRIES 10/11/11 BRISKMAN BRISKMAN GREENBER THOMAS & ASSOCIATES 139 12WC 07344 MUDRON, PATRICIA PROVENA ST JOSEPH 08/10/11 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 140 12WC 07408 GADSON, VICKI L ALL TRUST HOME CARE 03/16/11 ROSS TYRRELL HENNESSY & ROACH PC 141 12WC 07668 SARACCO, RICHARD UNITED VAN LINES 03/28/11 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 12WC011700 -C 142 12WC 08096 SCAMEN, SCOTT LODERS CROKLAAN 06/01/11 PATRICOSKI, MARK G GANAN & SHAPIRO 143 12WC 08617 SHANKLE, JOHN RISELING MOTOR EXPRESS 01/26/12 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 13WC016835 -C 144 12WC 09082 ROBERTO, BRUNO CROWN CORK & SEAL 03/15/10 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 145 12WC 09401 WARREN, DAVID SOI HUMAN SRVS/SODC C/O C @ 02/02/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 146 12WC 11493 THOMPSON, TONY DEDICATED LOGISTICS 03/10/12 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 147 12WC 12503 MOYERS, JEFFREY LIGHTNING MOTORS W 12/26/11 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 148 12WC 12778 GAYTAN, RICARDO CONCRETE SPECIALITIES COM 10/15/11 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 149 12WC 13702 LOPEZ, VALENTIN STATEVILLE CORRECTIONAL C @ 01/14/12 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 150 12WC 14101 PAYNE, RUBY ST OF IL DEPT OF CORRECTI @ 03/03/12 JASINSKI, GEORGE J DANIEL SULLIVAN 151 12WC 14345 TORRES, SABINO UNISTAFF 03/08/12 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 152 12WC 14835 SCHWARZ, DALE ST OF IL, DEPT OF CORRECT @ 05/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 153 12WC 17405 FARMER, ALBERT AMERICAN SECURITY SERVICE 05/06/12 MARKER & ASSOCIATES NOBLE & ASSOCIATES PC 154 12WC 17990 TORREY, DENNIS STATE OF ILL DOT STATEVIL @ 01/23/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 155 12WC 21596 BRONKE, BRIAN RR DONNELLY 05/14/12 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 12WC021597 -C 13WC024555 -C 156 12WC 23223 VERTIZ, GUSTAVO GAYTAN SIGNS 06/20/12 CULLEN HASKINS NICHOLSON 157 12WC 23443 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 05/17/11 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 13WC030720 -C 13WC030721 -C 158 12WC 23630 SHORE, CAROL SILVER CROSS HOSPITAL 10/17/11 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 159 12WC 25077 KALEBIC, DONNA BRIGHTSTAR HEALTHCARE 07/14/12 BAUM RUFFOLO & MARZAL LTD LITCHFIELD CAVO 160 12WC 25551 LOPEZ, CLAUDIA H HOLUM & SON COMPANY INC 06/26/12 CULLEN HASKINS NICHOLSON 161 12WC 25629 BORST, BRIAN DOW CHEMICAL 06/07/12 JOHN S. ELIASIK KNELL & O'CONNOR 15WC018638 -C DOW CHEMICAL 162 12WC 26088 MARTINEZ, LUIS PACTIV 06/20/12 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 163 12WC 26265 FRIEDERS, DEBRA OSWEGO SCHOOL DIST 308 CU 02/06/12 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 164 12WC 27085 LOPEZ-RANGEL, ALEXCI SDLR ENTERTAINMENT INC D/ W 12/10/11 GALLIANNI DOELL & COZZI LT RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 12WC 27374 DINTERMAN, EVAN CEDAR ELECTRIC @ W 06/06/12 SAUNDERS CONDON & KENNY 166 12WC 28183 19B MUFICH, MARK ILLINOIS DEPARTMENT @ 11/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 167 12WC 28823 SCISSOM, CAROLYN UNITED CEREBRAL PALSY OF 09/19/11 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 168 12WC 30215 19B PRYOR, ARTIC ST OF IL DEPT OF @ 07/05/12 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 169 12WC 31557 STOKES JR, SAMUEL L JOLIET HOUSING AUTHORITY 02/23/12 BRIAN T MORROW, LAW OFFICE 170 12WC 32105 19B ZAMBRANO, GUSTAVO APL LOGISTICS WAREHOUSE 08/17/12 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 171 12WC 32772 GORDON, LAWRENCE ILLINOIS DEPARTMENT OF @ 04/28/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 13WC020953 -C ST OF IL DEPT OF CORRECTIO 172 12WC 33764 VILLAFUENTE, LINDA C GONZ SECRETARY OF STATE @ 08/15/12 GOLDSTEIN, AIOSSA & GOOD ASSISTANT ATTORNEY GENERAL 173 12WC 33985 MARTINEZ, GENARO COMCAST INC 06/10/12 CHRISTIAN & MANNO SPIEGEL & CAHILL, PC 174 12WC 34521 MOLNAR, TREVOR CASSENS TRANSPORT CO 09/09/12 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 175 12WC 34574 CHUMBLEY, BRAD R J CORMAN RAILROAD CO LL 07/01/11 KEEFE & GRIFFITHS PC EVANS & DIXON, LLC 176 12WC 34936 LARMON, DANIEL M METROPOLITAN TRUCKING 08/11/11 ROMANUCCI & BLANDIN STONE & JOHNSON CHARTERED 177 12WC 35180 PELLILLO, JOAN MEIJER 08/27/12 LEITER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 178 12WC 35837 GUERRERO, LUIGI ALTERNATIVE STAFFING INC 09/13/12 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 179 12WC 37560 LYONS, FRANK ST DOMINIC CHURCH 07/13/12 BART DURHAM STONE & JOHNSON CHARTERED 180 12WC 38615 GOODVIN, MICHAEL UTI MARKET TRANSPORT 06/06/12 RATHBUN CSERVENYAK & KOZOL COZZI & GOGGIN-WARD 181 12WC 38858 BERENDSON, JOHN PRAIREE 10/02/12 LAW OFFICE DAVID W CLARK GAROFALO SCHREIBER STORM 182 12WC 39146 WAHLMAN, JAMES DIRECTSAT USA LLC 12/12/11 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 183 12WC 39676 TARNOWSKI, ERLINDA MCDONALDS 11/15/11 GOLDSTEIN AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR 184 12WC 39861 NGIENTH, TINA PLAINFIELD TOOL AND 11/20/09 BRIAN T MORROW, LAW OFFICE 185 12WC 40034 CHIRICH, THOMAS JEEB INC D/B/A 08/17/12 BRIAN T MORROW, LAW OFFICE LAW OFFICE OF PAUL O WATKISS 186 12WC 40438 ROMOLT, CATHLEEN BED BATH & BEYOND 11/13/12 RUBIN LAW GROUP WOLF LAW LTD 187 12WC 40461 RODRIQUEZ, JOSE VILLAGE OF NEW LENOX 05/15/12 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 188 12WC 42872 REYNOLDS, SAMUEL S F.E. MORAN 04/08/08 CORTI ALEKSY & CASTANEDA 189 12WC 43500 BODOH, AMY QUEST FOOD MANAGEMENT SER 08/20/12 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 190 12WC 44091 PRATT, VICKI EXTENDED CARE 10/05/12 ANESI OZMON RODIN NOVAK KO MCANANY VANCLEVE & PHILLIPS 13WC000147 -C 191 12WC 44174 LOFTIS, JOY L COUNTY OF WILL 09/12/12 FABRIZIO, HANSON PEYLA ET WIEDNER & MCAULIFFE LTD 192 12WC 44416 OLSON, DARRELL COAL CITY MUNICIPAL CORP 10/06/12 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 15WC003263 -C 193 12WC 44442 LEWIS, JAMES F RECALL SECURE D 11/26/12 MARKER & ASSOCIATES HOLECEK & ASSOCIATES 194 13WC 02362 KNEZEVICH, ANGELA SCHOOL OF EXPRESSIVE ARTS 12/18/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 195 13WC 03113 SIZEMORE, LESLIE PANERA BREAD 09/24/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 196 13WC 03519 MANRIQUEZ, ROOSELT ELITE STAFFING 12/14/12 KATZ FRIEDMAN EAGLE ET AL MARC CAIRO 197 13WC 03948 GAYTAN, RICARDO NORTHWIND CONCRETE 10/21/11 PORRO NIERMANN LAW GROUP 198 13WC 04712 HOUSTON, BENJAMIN IL DEPT OF CORRECTIONS 10/02/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 14WC023839 -C IDOC STATESVILLE PRISON 199 13WC 04732 ZWART, JULIE H TY INC 07/24/12 GARDI & HAUGHT LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 13WC 04953 COLLINS, WILLIAM SAFEWAY INSURANCE 02/19/10 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 201 13WC 06189 HALEY, LORENZO JACK COOPER TRAN 01/05/13 DAVID W MARTAY KNELL & O'CONNOR 202 13WC 06429 TINOCO, CARBAJAL ANGEL JU SIMOS INSOURCING SOLUTION 05/13/12 COSTA IVONE LLC LAW OFFICES FRANCESCA LARSEN 203 13WC 06447 COLLINS, WILLIAM SAFEWAY INSURANCE 06/22/11 BLOCK, KLUKAS & MANZELLA P 204 13WC 07557 MACDONALD, CINDY PLAINFIELD SCHOOL DISTRIC 02/07/13 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 205 13WC 09110 JOHNSON, WILLIAM SELECT REMEDY 03/12/13 BRISKMAN BRISKMAN GREENBER LEAHY EISENBERG & FRAENKEL 206 13WC 09165 ZEPEDA, JESUS DESTINY ENTERPRISE INTL/ W 03/13/13 JAMES ELLIS GUMBINER & ASS 207 13WC 10089 ZAMUDIO, NORA HARRAHS CASINO 07/13/12 BRISKMAN BRISKMAN GREENBER NOBLE & ASSOCIATES PC 16WC005216 -C 208 13WC 10952 TULLY, MARTIN BERGSTROM, INC 02/14/13 JOHNSON, MICHAEL D & ASSOC WOLFE & JACOBSON, LTD 209 13WC 12062 KING, TERRENCE STATE OF ILLINOIS @ 02/04/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 210 13WC 12094 MALDONADO, VINCENTE OTIS SPUNKMEYER 10/04/11 RATHBUN, CSERVENYAK & KOZO LAW OFFICES JOSEPH MARCINIAK 211 13WC 12180 QUINONES, JOSE A.S.G. STAFFING INC 04/03/13 RATHBUN CSEVENYAK & KOZOL LAW OFFICE HUGO ORTIZ 212 13WC 12510 HORWATH, RONALD RAYS AUTO BODY 12/05/12 BOUDREAU & NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 213 13WC 14343 JAMES, CYNTHIA JOLIET TOWNSHIP HIGH SCHO 04/08/13 BRIAN T MORROW, LAW OFFICE THOMAS & ASSOCIATES 214 13WC 14359 ALVAREZ, JUANA JOLIET FRUIT RANCH D/B/A 04/15/13 LUIS A ACEVES & ASSOC HOLECEK & ASSOCIATES 215 13WC 15028 MIDDLETON, LUELLA FT CARE LLC 04/08/13 THERMAN LAW OFFICES BRADY CONNOLLY & MASUDA PC 216 13WC 15790 PARRA, MARIA UNISTAFF, INC 12/04/12 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 217 13WC 15924 ROGALA, PATRICIA GOVERNORS STATE UNIVERSIT @ 04/02/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 13WC 16350 DU CHARME, WILLIAM ST OF ILL DEPT OF CORRECT @ 02/13/13 RATHBUN, CSERUVENYAK & KRO ASSISTANT ATTORNEY GENERAL 219 13WC 16405 JORGENSEN, JAKE R ST OF IL STATEVILLE PRISO @ 03/30/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 220 13WC 17096 ALLEN, MICAH VOL WORKFORCE SOLUTIONS 04/10/13 ALAN A BLUM, PC ORENSTEIN & ASSOCIATES 221 13WC 17808 MEJIA, CLORISSA ALDI 11/30/12 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 13WC017809 -C 222 13WC 18291 ROCHA, JOSE NFI 02/08/12 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 223 13WC 18851 BARRERA, ELVIRA UNIQUE MAILING SERVICE IN 05/12/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES OF EDWARD J. KOZ 13WC018852 -C 224 13WC 18989 LUTZ, PAUL M ST OF IL DEPT OF CORRECTI @ 08/30/12 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 225 13WC 19788 HARTKORN, CRAIG AMEX NOOTER, LLC 05/11/13 SCHWEICKERT & GANASSIN KNELL LAW LLC 226 13WC 20032 FULLER, DEANDRE SEARS LOGISTICS SERVICES 04/15/13 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 227 13WC 20126 HERNANDEZ-MEJIA, JESUS CHIPOTLE MEXICAN GRILL 05/15/13 CHRISTINE F DAVID HENNESSY & ROACH PC 228 13WC 20409 MELENDEZ, DELFINA RON'S STAFFING 03/12/13 GOLDSTEIN, AIOSSA & GOOD KOREY COTTER HEATHER RICHARD 229 13WC 21083 LEASURE, RONALD SCHNEIDER LOGISTICS TRANS 12/11/12 PERONA, PETERLIN, ANDREONI POWER & CRONIN LTD 230 13WC 21836 THOMPSON, TERRIE L SEARS 09/01/12 WARREN W MARK GAROFALO SCHREIBER STORM 231 13WC 22257 JABLONSKI, SLAWOMIR MGD ELECTRIC INC 06/05/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 232 13WC 22651 STUART, DAVID J BURDICK BUILDERS, INC. 08/13/12 CAPRON & AVGERINOS PC BARMAN KRAMER & BOHLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 13WC 23075 YALDA, BENJAMIN ASHLEY FURNITURE INDUSTRI 03/02/12 DAVID NEMEROFF WOLF LAW LTD 14WC004980 -C 234 13WC 23420 PRAWDZIK, GREG HOMER TOWNSHIP FIRE 03/29/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 14WC029423 -C 235 13WC 23687 NALLEY, MICHAEL D COUNTY OF WILL 06/26/12 CIARDELLI CUMMINGS CAMPAGN KNELL & O'CONNOR 236 13WC 24294 OCHOA, SALVADOR TRIUMPH PACKAGING GROUP 06/10/12 O'CONNOR & NAKOS GRANT & FANNING 237 13WC 25831 BILLADEAU, SEAN FLEXIBLE STAFFING SERVICE 06/27/13 238 13WC 25891 ROBB, MARY PACE 04/26/13 LAW OFFICE DAVID W CLARK POWER & CRONIN LTD 239 13WC 27459 SUMNER, JEFFREY CASSENS TRANSPORT COMPANY 11/10/11 ANGELINI & ORI LLC KNAPP, OHL & GREEN 240 13WC 27521 MARTINEZ, GENARO COMCAST INC 06/25/13 CHRISTIAN & MANNO SPIEGEL & CAHILL, PC 241 13WC 27946 FARRIS, WARREN RYDER LOGISTICS 06/27/13 BIZZIERI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 242 13WC 27953 HILL, JACOB IMPERIAL MARBLE 07/17/13 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 243 13WC 28588 RODRIGUEZ, ABEL G & G LANDSCAPING 08/13/13 WHITESIDE & GOLDBERG LTD 244 13WC 29180 SCHROEDER, REBECCA HOME DEPOT 10/16/12 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN & BRUNDO 14WC023249 -C 14WC023465 -C 245 13WC 30008 GUTIERREZ, ROSIO VALLEY VIEW PUBLIC SCHOOL 08/26/13 KATZ FRIEDMAN EAGLE ET AL 246 13WC 30580 ELLIS, JOSPEH AT&T 07/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 247 13WC 30661 MC GEE, DAVID STATEVILLE CORRECTIONAL C 09/11/12 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 248 13WC 31099 SAMOSKA-BARSKI, JACALYN WILL COOUNTY COMMUNITY 03/28/13 GALLAGHER, DONALD V

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 13WC 31855 MONSON, NANCY BANFIELD/MEDICAL 03/04/13 KP LAW LLC HOLECEK & ASSOCIATES 250 13WC 32284 SANCHEZ, BLANCA DIAGEO GLOBAL SUPPLY 04/01/12 HORWITZ HORWITZ & ASSOC 13WC034123 -C 251 13WC 32668 REID, CHARLES VITRAN EXPRESS CORPORATIO 02/27/13 KARCHMAR & STONE COZZI & GOGGIN-WARD 13WC032669 -C 252 13WC 32955 GUERRERO, DANIEL VITRAN EXPRESS 02/08/13 FRANCIS J DISCIPIO LAW OFF GAROFALO SCHREIBER STORM 14WC003783 -C 253 13WC 33178 ADAN, SILVINO JACOBSON COMPANIES 07/24/13 CORTINA & MUELLER CACCHILLO LAW GROUP LLC 254 13WC 33467 GERRETIE, MALLORY (MINOR) CITY OF JOLIET 06/09/09 SHELDON I MINKOW & ASSOCIA 255 13WC 34491 RECORD, EDWARD COUNTRY LANE TREE SERVICE W 08/29/13 MEYERS & FLOWERS 256 13WC 35156 DRWAL, JOSEPH ADMIN STEWART SPREADING INC # 09/09/13 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 13WC037925 -C 257 13WC 35166 JONES, PATRICK ILLINOIS DEPARTMENT OF @ 05/26/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 258 13WC 36043 CALIBRARO, KRYSTINA PORTILLOS RESTAURANT 07/30/13 BRISKMAN BRISKMAN GREENBER GRANT & FANNING 259 13WC 36292 SCHROEDER, KAREN HOME DEPOT 06/18/13 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 260 13WC 36456 MANOS, JOHN P ATLANTIC PLANT SERVICES 06/04/13 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 261 13WC 36643 RAGLAND, ROBBIE STEPAN COMPANY 02/12/12 HORWITZ HORWITZ & ASSOC KLAUKE LAW GROUP LLC 262 13WC 37547 ZIEGLER, BETTE ILLINOIS TOLL 10/06/13 ANGELINI & ORI LLC GANAN & SHAPIRO 263 13WC 37926 DARNSTAEDT, GARY MC SHANES BUSINESS PRODUC 01/02/13 CAPRON & AVGERINOS PC HANSON LAW OFFICE 264 13WC 38014 LIND, MICHAEL MIDWEST GENERATION 05/07/13 BRIAN T MORROW, LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 13WC 38288 CHAVEZ, MARITZA INTERMAID INC 05/13/13 FICHERA & MILLER 266 13WC 38355 KIECA, BILL AMERICAN PRESIDENT LINES 02/19/13 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 13WC038356 -C 267 13WC 38443 WEATHERSBY, BRIAN ST OF IL C/O STATEVILLE @ 07/17/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 268 13WC 38957 BALDWIN, TAMMY VALID USA 11/12/13 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 269 13WC 39100 ROXBERG, BRYAN BARTON CARROLS 11/01/13 MCNAMARA PHELAN MCSTEEN LL 270 13WC 40018 MILLER, WANZA AMERICAN INN LODGE & SUIT 11/02/13 MARSZALEK AND MARSZALEK PERRY GENTILE 271 13WC 40567 AKROUSH, ANNA M SIMOS INSOURCING SOLUTION 11/05/13 MARKER & ASSOCIATES LAW OFFICES FRANCESCA LARSEN 272 13WC 40810 PARAMO, ROLANDO MENARDS DISTRIBUTION CENT 10/12/13 MCNAMARA PHELAN MCSTEEN LL GANAN & SHAPIRO 273 13WC 40968 JORDAN, JOEY M STATEVILLE CORRECTION CEN @ 04/17/13 ASSISTANT ATTORNEY GENERAL 13WC041517 -C 14WC027527 -C 16WC010389 -C 274 13WC 41469 PINA, JOSE WC TRANSPORT, INC. 10/15/13 STROM, NEAL B 275 13WC 42499 FERGUSON, THOMAS GENERAL MACHINE AND TOOL 07/02/12 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 276 13WC 42534 RANGE, SIDONIA WALGREENS PHARMACY 11/12/11 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 277 14WC 00146 FLANAGON, ALEISHA ST OF IL DEPT OF @ 12/23/13 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 278 14WC 00320 SMOJEK, RAY C RAM FIRE PROTECTION 11/26/13 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 279 14WC 00381 SCHREMSER, ANTHONY X DECE POWER DISTRIBUTING LLC 03/25/13 JOHN P GOGGIN GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 14WC 00498 DICOSOLA, THOMAS TRADESMAN INTERNATIONAL 12/09/13 SALVATO & O'TOOLE 281 14WC 00713 PRIMOUS, JAMIL FEDERAL EXPRESS 09/19/13 SCOPELITIS GARVIN LIGHT 14WC000714 -C 282 14WC 00982 MIKUZIS, DONNA PLAINFIELD SCHOOL 01/08/14 LAW OFFICE EDWARD LICHTENS KEEFE CAMPBELL & ASSOC LLC 283 14WC 01897 WALSH, MICHELLE SILVE CROSS HOSPITAL 11/06/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 284 14WC 02231 POHL, ALFRED TOVAR SNOW PROFESSIONALS 12/28/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 285 14WC 02484 MAC FADGEN, PEGGY OSWEGO SCHOOL DIST 308 08/26/13 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 286 14WC 02590 WILLIAMS, RHONDA ST OF IL DOC PAROLE DEPT @ 12/11/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 287 14WC 02658 LEE, WHITNEY ILLINOIS DEPT OF CORRECTI 01/17/14 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 14WC027215 -C STATEVILLE CORRECTIONAL 288 14WC 04000 JUNIOR, SHAHEED RAVAGO 11/27/13 WOODRUFF & JOHNSON 289 14WC 04189 THOMPSON, LAMONT VALLEY VIEW TRANSPORTATIO 01/21/14 STEPHEN G PINTO LTD KNELL & O'CONNOR 290 14WC 04380 RAMOS, WILLIAM GOYA FOODS, INC. 05/17/13 MARKER & ASSOCIATES LAW OFFICES FRANCESCA LARSEN 291 14WC 04430 MC FARLAND, RANDALL L STATE OF ILLINOIS DOC @ 12/25/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 292 14WC 04778 KOPSTAIN, GREGG PARSEC INC 12/15/13 RIDGE & DOWNES MACIOROWSKI SACKMANN & ULRIC 14WC021565 -C 293 14WC 04844 NEELY, KRYSTAL SILVER CROSS HOSPITAL & 08/17/13 HETHERINGTON KARPEL BOBBER MACIOROWSKI SACKMANN & ULRIC 294 14WC 06892 DOWNING, CHERYL AUTOZONE 06/20/13 MARSZALEK AND MARSZALEK QUERRY & HARROW LTD 295 14WC 07012 VALDEZ, MARISSA JOHA 07/01/13 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 296 14WC 07514 BRIDWELL, CHARLES USF HOLLAND 02/23/14 RIDGE & DOWNES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 297 14WC 08032 JONES, DUSTIN P INDICOM ELECTRIC 11/08/13 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 298 14WC 08270 ANGEL, GUDELIA WILTON BRANDS INC 01/20/14 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 299 14WC 08325 ENGLISH, JOHN OSWEGO COMMUNITY 01/09/14 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 300 14WC 08714 CUEVAS, ANELICA LABOR TEMPS 01/05/14 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 14WC008715 -C 301 14WC 08752 SZEWCZYK, ROSEMARIE IKEA 11/19/13 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 302 14WC 09352 ANDERSON, RITA GRAND PRARIE TRANSIT 01/15/14 JASINSKI, GEORGE J GALLIANI DOELL & COZZI LTD 303 14WC 09558 D'APICE, RANDOLPH SOUTHERN WINES & SPIRITS 02/26/13 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 14WC009559 -C 304 14WC 09596 FAULKNER-PRIDE, CLORINDA SILVER CROSS HOSPITAL 02/04/14 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 305 14WC 09666 BOGDAN, STEPHEN GENERAL ELECTRIC 06/06/13 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 306 14WC 09892 BLANFORD, SHERLY L PET SUPPLIES PLUS 10/22/13 BRUGGEMAN HURST & ASSOC LAW OFFICES JOSEPH MARCINIAK 307 14WC 09941 WILBER, DANIEL JR MIV INC 11/08/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 308 14WC 09995 NARANJO, EDDIE PRAIRIE MATERIAL 03/12/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 309 14WC 10599 JOHNSON, BERNARD PACE SUBURBAN BUS SERVICE 02/14/14 FABRICIUS & LINDIG POWER & CRONIN LTD 310 14WC 10825 ANDERSON, DJ RACHETTI'S PIZZA 05/03/13 CORTINA & MUELLER 311 14WC 11258 STRICKLAND, KIRK D VILLAGE OF NEW LENOX 12/30/10 ROSS TYRRELL SLAVIN & SLAVIN 14WC011793 -C 312 14WC 11481 MAYFIELD, DEANDRE DEPENDABLE STAFFING GROUP 03/22/04 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 313 14WC 11784 ARIAN, SHAHBAZ WALMART SUPER CENTER 02/20/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 14WC 11837 SMITH, GALE L ILLINOIS STATE POLICE @ 10/25/12 DWORKIN AND MACIARIELLO 315 14WC 11983 HERNANDEZ, JOSE VIZIO 02/14/12 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 14WC016241 -C SELECT REMEDY STAFFING 316 14WC 12357 ROSAS, VERONICA HOUSING AUTHORITY OF JOLI 12/09/13 RIDGE & DOWNES 317 14WC 12823 WEICHMANN, THOMAS B AT MECHANICAL LLC 02/14/14 ANGELINI & ORI LLC THOMAS & ASSOCIATES 318 14WC 13544 COOLEY, NICOLE SILVER CROSS HOSPITAL 09/18/13 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 319 14WC 13881 JENNINGS, DWAYNE ILLINOIS STATE POLICE 04/03/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 15WC004300 -C ST OF IL DEPT OF 320 14WC 14500 VANWERT, DONNA WILL COUNTY FOREST PRESER 03/04/13 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 16WC006318 -C 321 14WC 14739 STANFORD, LARRY H. CALUMET LIFT TRUCK SERVIC 11/27/13 FABRIZIO, HANSON & PEYLA WOLFE & JACOBSON, LTD 322 14WC 15352 NATOUR, MAITHAM D & N TRANSPORTATION 02/20/14 SEIDMAN MARGULIS & FAIRMAN 323 14WC 15427 DAVIS, JOHN FEDEX FREIGHT 12/31/13 ROBERT M WARSASKI SCOPELITIS GARVIN LIGHT 324 14WC 15604 AYALA, FERNANDO FRANCO ASHLEY FURNITURE 02/12/14 THOMAS J STIBERTH LAW OFFI WOLFE & JACOBSON, LTD 325 14WC 16864 ALCALA, FERNANDO KEHE DISTRIBUTORS LLC 12/27/12 GOLDBERG WEISMAN & CAIRO L NOBLE & ASSOCIATES PC 326 14WC 17967 MANNING, GERMAINE STATESVILLE CORRECTIONAL @ 05/19/14 SHELDON I MINKOW & ASSOCIA ASSISTANT ATTORNEY GENERAL 327 14WC 18312 MARTINEZ, ARNULFO PURPLE ONION INC 05/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 328 14WC 18609 CUEVAS, NATALIA QUANTUM FOODS 04/03/13 O'CONNOR & NAKOS COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 14WC 18699 PRATI, KAREN COUNTY OF WILL 06/15/11 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 330 14WC 19665 GARCIA SR, ELEAZAR LOCKPORT STEEL FABRICATOR 05/05/13 LAW OFFICE OF THOMAS P NAU RIPES NELSON BAGGOT KALOBRAT 14WC042849 -C 331 14WC 19801 WILKEY, MATT PACE BUS 03/10/14 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 332 14WC 19803 SIAMIS, KARL CHICAGO BAKING COMPANY 04/24/14 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 333 14WC 19826 BERRY, TYAN LUTHERAN CHILD & 05/06/14 SANDMAN LEVY & PETRICH BRADY CONNOLLY & MASUDA PC 334 14WC 19946 BLASKEY, ANGELA ADVENTIST BOLINGBROOK HOS 04/04/14 THE ROMAKER LAW FIRM STONE & JOHNSON CHARTERED 335 14WC 19989 GARCIA, DANIEL NIEVES BRODER BROTHERS 11/21/13 CHRISTINE F DAVID HOLECEK & ASSOCIATES 336 14WC 20078 ALVARADO, MARIA ELENA STAFFMARK AND SONY MUSIC 11/21/11 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 337 14WC 20825 AGUIRRE, GONZALO ASG STAFFING INC 06/12/14 OSVALDO RODRIGUEZ PC FRANCIS J DISCIPIO LAW OFFIC 338 14WC 21205 DOMINGUEZ, PEDRO ST OF ILL DEPT OF CORRECT @ 11/04/13 COHN LAMBERT RYAN & SCHNEI COLIN KICKLIGHTER 339 14WC 21714 SANTORO, THOMAS ENERGY SERVICES AIR 01/01/14 VRDOLYAK LAW GROUP LLC RODDY LAW LTD 340 14WC 21733 VEGA, JOHN NATIONAL POWER RODDING CO 04/11/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 341 14WC 21758 ZINN, SANDRA FRANKFORT TERRACE 01/26/14 CHRISTINE F DAVID BRADY CONNOLLY & MASUDA PC 14WC021759 -C 342 14WC 22383 CARDENAS, SANDRA FIRST MIDWEST BANK 03/11/14 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 14WC041721 -C 343 14WC 22581 MCCANNA, MIKE PACE-HERITAGE 06/04/14 PARAG P. BHOSALE POWER & CRONIN LTD 344 14WC 22738 ANDE, DARLEEN K STATE OF IL @ 03/11/14 GOLDBERG WEISMAN & CAIRO L 345 14WC 23193 MORATAYA, WILLIAM ST OF IL DEPT OF STATEVIL 01/18/14 LUIS A ACEVES & ASSOC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 14WC 23496 DAVIS, DONN INTEGRITY TRADE SERVICES 06/16/14 347 14WC 23553 DONALD, JEAN STATE OF ILLINOIS @ 03/05/14 KUMLIN & FROMM ASSISTANT ATTORNEY GENERAL 348 14WC 23598 MANDAT, RHONDA ISLAND CITY REHAB CENTER 12/20/13 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 349 14WC 24140 TOWNSEND, JAMES E JB HUNT TRANSPORT INC 12/14/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 350 14WC 24789 O'DONNELL, MARIA WALMART 03/24/14 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 351 14WC 24921 HUBBERT, DAVID QSC CONTRACTING LLC 06/27/14 LAW OFFICE OF SCOTT B SHAP 352 14WC 25186 MIKOS, STEPHEN VILLAGE OF ROMEOVILLE 04/02/14 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 16WC030682 -C 353 14WC 25254 DIAZ, MARIA ULTA BEAUTY 03/13/14 SALK, STEVEN B & ASSOC LTD HINSHAW & CULBERTSON 14WC041150 -C 354 14WC 25573 FLEMING, TABITHA BMO HARRIS BANK 03/24/14 LAW OFFICE PHILIP BLOMBERG HOLECEK & ASSOCIATES 355 14WC 25892 TUCKER, MICHAEL ST OF IL DEPT OF 06/04/14 BLOCK, KLUKAS & MANZELLA P 356 14WC 26002 NEVAREZ, ORALIA AARON THOMAS CO INC 04/04/14 RATHBUN CSEVENYAK & KOZOL LAW OFFICES JOSEPH MARCINIAK 357 14WC 26132 THORSON, MICHELE OSWEGO CUSD 308 01/20/12 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM 358 14WC 26420 PETERSON, SHARON SILVER CROSS HOSPITAL 04/23/14 WHITESIDE & GOLDBERG LTD MACIOROWSKI SACKMANN & ULRIC 359 14WC 26478 RUSSELL, KAREN SCHNEIDER LOGISTICS INC 05/13/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 360 14WC 26892 ROCHA-MORALES, HITCHEL NAVISTAR 12/17/13 STEVEN J TENZER, LTD NYHAN BAMBRICK KINZIE & LOWR 14WC026893 -C 361 14WC 27394 HOPE, CAMERON DHR STAFFING SOLUTIONS 07/01/14 LAW OFFICE OF PETER CULOTT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 362 14WC 28352 ROBINSON, EDDIE KENTUCKY FRIED CHICKEN 04/11/14 SCHREINER MALLOY & ETZLER 363 14WC 29042 LEWIS, UNIQEK SHELBY SCHOLARS DAYCARE 1 06/21/14 LAW OFFICE OF SCOTT B SHAP 14WC029043 -C 364 14WC 29157 QUINONEZ, CORINA MENARD'S 12/01/11 MCNAMARA PHELAN MCSTEEN LL RODDY LAW LTD 365 14WC 29970 RAMOS, JESUS LORENZO ELITE STAFFING 07/25/14 MC HARGUE, JAMES P LAW OFF 366 14WC 30287 SERRANO, JUAN M EWING TRUCKING INC 07/21/14 CULLEN HASKINS NICHOLSON SALVATO & O'TOOLE 367 14WC 30568 HANKERSON, SANDRA WALMART SUPERCENTER 05/26/14 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 368 14WC 30582 VALDEZ, CELIA EL AUTHENTICO BURRITO W 06/28/14 MC HARGUE, JAMES P LAW OFF PAUL F PETERS 369 14WC 30683 GARCIA, SARA CEVA LOGISTICS 04/11/14 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 370 14WC 30741 GARCIA, RICARDO LOGOPLASTE 03/22/14 LAW OFFICES TIMOTHY LAMPIN LAW OFFICES JOSEPH MARCINIAK 371 14WC 31466 GARCIA, SARA CEVA LOGISTICS 08/19/14 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 372 14WC 31597 SINANOSKI, ISA TVI LOGISTICS AND 07/28/14 BART DURHAM 373 14WC 31885 REYNA, LORETTA SOUTHWEST AIRLINES 08/15/13 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 374 14WC 32139 FURLAN, JERRI AMERICAN SURGICAL PROFESS 07/11/14 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 375 14WC 32173 CERDA, SLAVADOR PEACOCK 06/11/14 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 376 14WC 32198 ALLEN, DARRELL ELITE STAFFING INC 08/28/14 LAW OFFICE OF JAMES H MILL 377 14WC 32208 MOORE, LORENZO REINHART 09/07/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 16WC000890 -C US FOODS 378 14WC 32310 THOMPSON, CYNTHIA VISITING ANGELS 07/16/14 BLOCK, KLUKAS & MANZELLA P 379 14WC 32330 BERRY, DONRASOUL ILLINOIS TOOL WORKS 06/17/14 DONAHUE, PAUL T LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 14WC 32481 JONES, JENNIFER ULTA 07/28/14 THE FITZ LAW GROUP RUSIN & MACIOROWSKI LTD 381 14WC 32528 ROMAN, SANDY WALMART 01/15/14 JAMES ELLIS GUMBINER & ASS 382 14WC 33178 KENNEDY, JERRY RANDY METRO STAFF INC 08/22/14 THOMAS R LICHTEN FRANCIS J DISCIPIO LAW OFFIC 383 14WC 33267 PRINOS, MICHAEL KENDALL CTY FOREST PRESER 06/30/12 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 384 14WC 33331 ROSALES, CHRISTIAN ELITE STAFFING 05/18/14 EPSTEIN, JACK R LAW OFFICE MARC CAIRO 385 14WC 33648 PURSELL-BARON, ZORA JOLIET TOWNSHIP HS DIST 2 09/11/14 RUBENS AND KRESS INMAN & FITZGIBBONS 386 14WC 34010 LANDA, ARTURO PARAMOUNT STAFFING 08/07/14 BARRY E BLUMENFELD KEEFE CAMPBELL & ASSOC LLC 387 14WC 34124 KING, JONATHAN ORKIN 07/14/14 MCCARTHY ROWDEN & BAKER BRADY CONNOLLY & MASUDA PC 388 14WC 35149 KULAK, JAN FIRST WEST EXPRESS 09/30/14 CHEPOV & SCOTT LLC 389 14WC 35532 DAIL, JOSHUA A SCHNEIDER LOGISTICS 01/09/13 390 14WC 35617 LOPEZ, ANTONIO HANCOOK 09/11/14 391 14WC 36311 BECKER, JERRY RICHARDS & WEYER CONSTRUC 01/11/14 DWORKIN AND MACIARIELLO 392 14WC 36506 ALEXANDER, KARLA TOTAL STAFFING 10/23/14 MARC J SHUMAN & ASSOCIATES COZZI & GOGGIN-WARD 393 14WC 36628 WIENIEWSKI, CHRISTOPHER ESTES EXPRESS LINES 09/26/14 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 394 14WC 37023 SALAZAR, JESSE ULTRA FOODS 09/04/14 BRIAN T MORROW, LAW OFFICE 395 14WC 37418 KRAMER, JACOB HENDRON CONSTRUCTION 10/05/14 STEVEN A CRIFASE, LTD 396 14WC 37565 HUBBARD, TERESA PRESENCE ST JOSEPH HOSPIT 07/09/14 WHITESIDE & GOLDBERG LTD KEEFE CAMPBELL & ASSOC LLC 397 14WC 37682 ROBINSON, CHARLES JOLIET JOB CORPS 12/29/13 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 14WC 37997 DUCHENE, ROBERT CITY OF JOLIET 09/16/14 GOLDBERG WEISMAN & CAIRO L CITY OF JOLIET 399 14WC 38074 PARISI, LINDA STATEVILLE PRISON 01/08/14 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 400 14WC 38136 GAKWANDI, ISSA VYNERA TRANSPORATION INC. 03/03/14 SMITH AMUNDSEN LLC 401 14WC 38221 NOWOSIELSKI, JANUSZ ROCK TENN COMPANY 02/15/13 CORBOY & DEMETRIO PC GAROFALO SCHREIBER STORM 15WC013191 -C 402 14WC 38228 LANAHAN, MIKE MINOOKA SCHOOL DISTRICT 2 02/21/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 403 14WC 38485 KIMAK, JENNIFER JOLIET TOWNSHIP HIGH SCHO 10/22/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 404 14WC 38841 ZHOU, JIN CHENG ENLAI 59 CHINESE RESTUARA W 05/30/14 ZHAO & ASSOCIATES 405 14WC 38917 PFISTER, WILLIAM C WESTWAY COACH 08/22/14 FABRIZIO, HANSON & PEYLA GALLIANI DOELL & COZZI LTD 406 14WC 38968 PESAVENTO, DAVID KOMATSU FORKLIFT USA 10/22/14 KREITER, BYCK & ASSOC LLP 407 14WC 39005 LOPEZ, MARIO E NRG 09/02/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 408 14WC 39137 LEE, FREDDIE A JR WEATHER TECH 06/09/14 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 15WC019035 -C 409 14WC 39288 OCEQUEDA, JOSE KEHE DISTRIBUTORS 11/13/14 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 410 14WC 39343 GORDON, JOSH FIVE STAR ELITE 10/10/14 WOODRUFF & JOHNSON 411 14WC 39712 COFFMAN, JAMES HANSON MATERIAL SERVICE 10/20/14 BRISKMAN BRISKMAN GREENBER RODDY LAW LTD 412 14WC 39943 BROWN, ANTHONY T AIM NATIONALEASE 11/18/14 DEPAOLO ZADEIKIS GORE 413 14WC 40445 ABBOTT, ROBIN A SODEXO 05/30/14 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 414 14WC 40649 SALERNO, ROBERT J JR FIVE STAR TENNIS CENTER 10/02/14 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 415 14WC 40777 BUDRICK, MARITA LEE 1ST CHOICE TEMPORARY 09/08/14 THE FITZ LAW GROUP HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 450 15WC 04277 HOPPER, ANNA THE WIRELESS STORE 08/22/14 SPIROS LAW PC 451 15WC 04307 TAMAYO, ARMANDO SULLIVAN ROOFING, INC 10/29/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 452 15WC 04358 ANDERSON, DAKOTA UNITED STATES COLD STORAG 01/29/15 RUBIN LAW GROUP 453 15WC 04430 WILLIAMS, DERRICK FAMILY DOLLAR 01/14/15 VRDOLYAK LAW GROUP LLC 454 15WC 04442 COLLINS, TAWAII M ST. JAMES WELLNESS 02/01/15 ANKIN LAW OFFICE ALLEN & NEWMAN 455 15WC 04601 MILLER, ANTHONY R MEADE ELECTRIC 12/30/14 SCHWEICKERT & GANASSIN SPIEGEL & CAHILL, PC 456 15WC 04801 GASKIN, SANDRA VALLEY VIEW SCHOOL DIST 3 10/02/14 ANKIN LAW OFFICE KNELL & O'CONNOR 457 15WC 04818 KIMBLE, ANNELIESE ST VINCENT DEPAUL SOCIETY 09/08/14 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 458 15WC 05021 LESTER, HEATHER EXEL LOGISTICS 12/29/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 459 15WC 05221 BRAMEL, MARK PREMIER EMPLOYEE SOLUTION 01/15/15 EPSTEIN, JACK R LAW OFFICE 460 15WC 05529 DIAZ, LAURA INNOTRAC 09/03/14 LAW OFFICES MICHAEL HELLMA LAW OFFICES JOSEPH MARCINIAK 461 15WC 05756 PERSSON, NICHOLAUS E TERRY'S FORD OF PEOTONE 10/16/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 462 15WC 06136 BECKER, JENNIFER SILVER CROSS HOSPITAL 01/23/15 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 463 15WC 06206 HERRERA, NANCY READERLINK 01/14/15 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 464 15WC 06262 DORNER, SANDRA MENARD, INC 09/23/14 VRDOLYAK LAW GROUP LLC RODDY LAW LTD 15WC006263 -C 465 15WC 06493 REYES, JOSE ANTONIO AMADO ENTRPRISES, LTD. 11/28/14 LUKE C. ANTONSEN 466 15WC 06541 RUZZANO, CHRISTINA DOLLAR TREE 09/27/14 MEYERS & FLOWERS 467 15WC 06604 EDGEWORTH, SUSAN PLAINFIELD SCHOOL DIST #2 01/05/15 LAW OFFICE OF TRENT & BUTC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 468 15WC 06635 ADAMS, ANDREW AREA ERECTORS 08/02/12 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 469 15WC 06825 ARNOLD, SAM F JR US COLD STORAGE 01/25/15 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 470 15WC 06946 QUINN, JOSEPH STATE OF ILLINOIS - IDOT @ 01/27/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 471 15WC 07266 RODRIGUEZ, ANDRES JOLIET SCHOOL DIST 86 10/25/13 DAVID W MARTAY ROSARIO CIBELLA 472 15WC 07561 FERGUSON, STACEY MASSAGE ENVY 06/22/14 MARC J SHUMAN & ASSOCIATES WOLFE & JACOBSON, LTD 473 15WC 07676 ARELLANO, ART CITY OF JOLIET POLICE DEP 02/02/15 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 474 15WC 07723 NOVELLI, DEBORAH L THERAPY CARE LTD 05/29/14 VRDOLYAK LAW GROUP LLC 475 15WC 07749 FIGUEROA, FRANKLIN SOUTHERN WINE & SPIRITS O 02/23/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 476 15WC 08072 MIKAITIS, WILLIAM M.D. ADVOCATE MEDICAL GROUP 02/09/15 JOHNSON, MICHAEL D & ASSOC NYHAN BAMBRICK KINZIE & LOWR 477 15WC 08231 SALGADO, MARTIN LABOR TEMPS 03/03/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 478 15WC 08361 BROWN, DARLENE IL DOC - STATEVILLE @ 01/22/13 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 479 15WC 08572 BUNTING, DANIEL UNIVERSAL STEEL AMERICA 06/10/14 VITELL & SPITZ LTD LAW OFFICES JOSEPH MARCINIAK 480 15WC 08689 STEELE, SHELLEY KEITH HOUGH 02/07/15 ROMANEK & ROMANEK KNELL & O'CONNOR 481 15WC 08905 BROOKS, HATTIE HQC 03/11/14 PORRO NIERMANN LAW GROUP ROSARIO CIBELLA 482 15WC 09458 ROBINSON, ANTHONY RUAN 11/26/14 THE MACK LAW GROUP PC JAMES M KELLY 483 15WC 09646 VENEGAS, ARMANDINA THE WENDY'S COMPANY 01/06/15 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 484 15WC 09663 MAYREN, NOHEMI ELITE STAFFING 01/20/15 VRDOLYAK LAW GROUP LLC 485 15WC 09684 SMITH, JERMAINE LABOR TEMPS 10/26/14 DWORKIN AND MACIARIELLO ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 486 15WC 10059 MITCHELL, TODD A US SECURITY ASSOCIATES 01/12/15 BAUM RUFFOLO & MARZAL LTD 487 15WC 10202 NUNEZ, ELIZAI ELITE STAFFING 01/12/15 BAUM RUFFOLO & MARZAL LTD 488 15WC 10224 KLINGER, JODI ARAMARK 11/20/14 LOUIS A PLZAK & ASSOCIATES 489 15WC 10260 STOVALL, STEPHEN CITY OF JOLIET DEPT. 02/24/15 RIDGE & DOWNES ROSARIO CIBELLA 16WC012084 -C 490 15WC 10446 ABERNATHY, CAROLYN-WIDOW STATEVILLE CORRECTIONAL C 03/05/15 HORWITZ HORWITZ & ASSOC MALLORY ZIMET 491 15WC 10506 HOUSE, CALLIE JB HUNT 02/09/15 DWORKIN AND MACIARIELLO GRANT & FANNING 492 15WC 10745 MCGREW, ERICA WEATHERTECH 01/26/15 PARENTE & NOREM PC HOLECEK & ASSOCIATES 493 15WC 10919 TORRES, ELFONSA ELITE STAFFING BOLINGBROO 10/07/14 EPSTEIN, JACK R LAW OFFICE 494 15WC 10935 MIKENIS, DIANE M MC DONALD'S CORP 03/01/15 FREDRICK B BARDER, LTD NYHAN BAMBRICK KINZIE & LOWR 495 15WC 11032 WALSH, STEPHEN J AUSTIN TYLER CONST. CO 10/18/14 KROCKEY CERNUGEL COWGILL E HOLECEK & ASSOCIATES 496 15WC 11070 WILKOSZ, ERIC ABCO ELECTRIC 01/12/15 O'CONNOR & NAKOS THOMAS & ASSOCIATES 497 15WC 11671 CLARK, PAMELA FIRST MIDWEST BANK 02/13/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 498 15WC 11850 VILLEGAS, ARMANDO SUPERMERCADOS EL GUERO 04/06/15 LAW OFFICES MICHAEL HELLMA WIEDNER & MCAULIFFE LTD 499 15WC 11873 RIVERA, ANA (WIDOW) AMERISOURCEBERGEN DRUG CO # 03/23/15 KARCHMAR & STONE SPIEGEL & CAHILL, PC 500 15WC 12103 KIRINCICH, JANINA GRUNDY COUNTY SPECIAL ED 01/08/10 501 15WC 12192 RODRIGUEZ, MARCO ANTONIO NIKO'S PIZZERIA & GRILL W 03/27/15 502 15WC 12356 TROTTER, ERIC WILL COUNTY SHERIFF-ADULT 02/01/15 GOLDBERG WEISMAN & CAIRO L 503 15WC 12442 GONZALEZ, GLORIA S&S ACTIVEWEAR 08/01/13 JOHN S. ELIASIK

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 522 15WC 15644 ALAMOS, RAMON KENT PRECISION FOODS GROU 04/24/15 LUIS A ACEVES & ASSOC MICHAEL BEST & FRIEDRICH LLC 523 15WC 15930 SANSONE, ANTHONY UPCYCLE PRODUCTS INC. 03/05/15 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 524 15WC 15958 WADE-ENGLISH, SHERRI IL DEPT OF CORRECTIONS 04/09/15 WOODRUFF & JOHNSON JEANNINE SIMS 525 15WC 16087 RAMIREZ, MARIO THERMAL KINETICS CORP 06/16/14 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 526 15WC 16165 SALAZAR, JESSE ULTRA FOODS 03/16/15 BRIAN T MORROW, LAW OFFICE 527 15WC 16211 CLAY, CURTIS SOLVAY 12/29/14 DANIEL PERIASWAMY BRADY CONNOLLY & MASUDA PC 528 15WC 16286 RAMIREZ, MARIO THERMAL KINETICS CORP 02/05/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 529 15WC 16451 CANO, PABLO CENTRAL GROCERS 04/28/15 GOLDBERG WEISMAN & CAIRO L 530 15WC 16519 DUARTE, JOSE CLEAR STAFF, INC. 04/14/15 JONATHAN SCHLACK ACCIDENT FUND HOLDINGS 16WC004960 -C 531 15WC 16531 QUIROZ, ELEAZAR AARON THOMAS CO 03/05/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 532 15WC 16764 MASCOTE, VIRIDIANA ALCANT PETCO 04/28/15 GOLDSTEIN BENDER & ROMANOF ADELSON TESTAN & BRUNDO 533 15WC 16870 GUILLORY, NATHANIEL JR EXEL 05/20/15 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 534 15WC 17145 CECI, JAMES MD MILLER TRUCKING 03/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 535 15WC 17365 RUSSELL, SHANEKEA BP STAFFING 05/13/15 KUMLIN & FROMM RUSIN & MACIOROWSKI LTD 536 15WC 17573 MCCLELLAN, MARK ILLINOIS DOC PAROLE @ 12/09/14 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 537 15WC 17623 CROY, DAVID FBI BUILDINGS INC 02/24/15 538 15WC 17903 PESAVENTO, GINA (DEPENDEN PEPSICO, INC # 06/01/13 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 539 15WC 17986 ALLEN, LYNDON DOLLAR TREE WAREHOUSE 04/24/15 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 540 15WC 18502 POPLAWSKI, SHIRLEY MOSAIC SALES & MARKETING 03/31/15 LAW OFFICE OF JAMES H MILL GAROFALO SCHREIBER STORM 541 15WC 18621 HOLLYFIELD, JOHN SHIPPERS WAREHOUSE 05/22/15 ANGELINI & ORI LLC WOLF LAW LTD 542 15WC 18631 PONTAREILLI, THOMAS ILLINOIS DEPT OF CORRECTI @ 01/15/15 O'CONNOR & NAKOS JEANNINE SIMS 543 15WC 18652 MITCHELL, SHIRLEY FIRSTGROUP AMERICA INC 05/19/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 544 15WC 18659 DUNMARS, SHAFIAH ST OF IL DOC STATEVILLE @ 05/11/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 545 15WC 18892 ABEL, TAMARA BAKER & TAYLOR 01/15/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 546 15WC 19002 PRAWDZIK, GREGORY HOMER TWNSHP FIRE DISTRIC 11/07/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 547 15WC 19056 BERRY, DENNIS JACOBSON/X-PO 05/13/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 548 15WC 19500 SPOONER, WALTER R SR STORM SERVICES CORP 02/18/15 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 549 15WC 19688 SANGABRIEL, CESAR TOTAL STAFFING SOLUTION 03/13/15 AIOSSA LAW FIRM KNELL & O'CONNOR 550 15WC 20001 DOHERTY, WILLIAM IDOT 02/26/15 EVAN A HUGHES LAW OFFICE ILLINOIS ATTORNEY GENERAL 551 15WC 20158 GUZMAN, APOLINAR RAILWAY & INDUSTRIAL SERV 01/26/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 552 15WC 20285 KOHL, MICHAEL RPM RACKE PIPING & MECHAN 05/11/15 THE FITZ LAW GROUP WIEDNER & MCAULIFFE LTD 553 15WC 20776 KEAGLE, KEITH STAFFMARK/ HOME DEPOT 06/01/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 554 15WC 20796 GARCIA, ALICIA ELITE STAFFING 10/24/14 JOHN J CASTANEDA 555 15WC 21100 OCHOA, VICTOR RAILWAY & INDUSTRIAL 03/01/14 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 556 15WC 21279 WALKER JR, JEROME FEDERAL EXPRESS 01/27/15 DEER & STONE PC SCOPELITIS GARVIN LIGHT 557 15WC 21404 ZAMORA, JACKUELYN SUNNY HILL NURSING HOME 06/20/15 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 558 15WC 21535 CARTER, PAUL IL DEPT OF TRANSPORTATION 02/20/15 ARGIONIS & ASSOCIATES LLC MALLORY ZIMET 559 15WC 21565 GUTIERREZ, ROB OZBURN-HESSEY LOGISTICS 04/25/15 WOODRUFF & JOHNSON SPIEGEL & CAHILL, PC 560 15WC 21648 ZEPEDA, CARLOS ALG WORLD WIDE LOGISTICS 06/03/15 WITTER LAW OFFICE 561 15WC 21659 TAYLOR, GARY PARSEC INC 12/25/14 BUDIN LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 562 15WC 22038 RAPCAN, TIMOTHY TOYAL AMERICA INC 04/04/13 RATHBUN CSEVENYAK & KOZOL THOMAS & ASSOCIATES 563 15WC 22123 KEANE, MICHAEL HOME DEPOT 01/19/14 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC 564 15WC 22201 JUSKAITE, AGNE AGUIRRE GOVERNORS STATE UNIVERSIT 06/16/15 GOLDBERG WEISMAN & CAIRO L MALLORY ZIMET 565 15WC 22437 JIMENEZ, RICARDO ELITE STAFFING INC 06/08/15 CHEPOV & SCOTT LLC GOLDBERG SEGALLA LLC 566 15WC 22452 HANEY, REBECCA HELP AT HOME INC. 06/25/14 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 567 15WC 22465 BUFZKIEWICZ, DENNIS OZINGA 05/20/15 STYKA & STYKA GAROFALO SCHREIBER STORM 568 15WC 22537 LANCE, GARRY P. SELECTREMEDY/ REAL TIME 03/05/15 LEWIS & DAVIDSON, LTD LEAHY EISENBERG & FRAENKEL 569 15WC 23079 HAGGER, VALESHA HOLLYWOOD CASINO 06/07/15 PORRO NIERMANN LAW GROUP ORENSTEIN & ASSOCIATES 16WC005356 -C 570 15WC 23090 YANEZ, TRACY ECOLAB 06/28/15 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 571 15WC 23501 SANCHEZ, JOSE MENDOZA LAKEWOOD CARPENTRY SERVIC 06/25/15 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 572 15WC 23666 SKUJA, BRIAN AT&T 04/01/13 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 573 15WC 23748 SHELLSTROM, DANIEL AR SUPPLY 11/07/14 LAW OFFICE ILONKA ULRICH ROSARIO CIBELLA 574 15WC 23941 VELASQUEZ, LAURA IL DEPT OF HUMAN SERVICES @ 11/21/14 GORDON LAW OFFICES LTD ASSISTANT ATTORNEY GENERAL 575 15WC 24469 RYAN, ROSE CHILI'S GRILL AND BAR 02/27/15 LAW OFFICE PHILIP BLOMBERG WILSON ELSER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 576 15WC 24630 OLSZEWSKI, SUSAN PACE 11/16/13 COHN & COHN POWER & CRONIN LTD 577 15WC 24809 CORTEZ, ARACELI DOLLAR TREE STORES INC 06/17/15 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 578 15WC 24869 CORRALES, JAVIER BARTEL BLDG MAINTENANCE W 06/10/15 CHEPOV & SCOTT LLC MCNAMARA PHELAN MCSTEEN LLC 579 15WC 24906 VILLANUEVA, ROSA HR METRICS INC/TRADER JOE 05/30/15 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 580 15WC 24993 ROCHA, ISELA SANDVIK-EXEL 07/16/15 STROM, NEAL B HENNESSY & ROACH PC 581 15WC 25060 BUTLER, TYWANA THE INN AT WILLOW FALLS 05/12/15 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 582 15WC 25486 WILLIAMS, GENE PINNACLE STAFFING 07/11/15 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 583 15WC 25756 HOWEN, ROBERT NORTHERN ILLINOIS STEEL S 02/17/15 SCHWEICKERT & GANASSIN POULOS & DIBENEDETTO LAW 584 15WC 25935 BRUNO, ELIZABETH SYNAGRO TECHNOLOGIES INC 04/15/15 HEALY SCANLON LAW FIRM GRANT & FANNING 585 15WC 26035 IBARRA, VICTOR DENOVO CONSTRUCTION 05/29/15 O'CONNOR & NAKOS HENNESSY & ROACH PC 586 15WC 26086 VAUGHN, MICHAEL MIDWAY INDUSTRIAL 07/02/15 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 587 15WC 26119 CLARK, NORM GENERAL MOTORS 09/01/14 LAW OFFICES OF NYHAN BAMBRICK KINZIE & LOWR 588 15WC 26264 FAVIA, FRANK JEWEL OSCO 03/08/15 WOODRUFF & JOHNSON 589 15WC 26352 GOMEZ, BENJAMIN WEST LIBERTY FOODS 06/12/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 590 15WC 26511 LEE, ANTOINE STAFF FORCE 07/28/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 591 15WC 26871 MELQUIADES, GIOVANNI D&D MANUFACTURING, INC. 11/19/14 DEPAOLO ZADEIKIS GORE 592 15WC 27023 PUTNAM, JAMES CITY OF LOCKPORT 05/24/14 JACOBSON & SCHIEFELBEIN POWER & CRONIN LTD 593 15WC 27119 SOLIS, ELVIA ITW DELTAR 06/25/15 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 594 15WC 27188 NAVARRO, IGNACIO WORK NOW STAFFING 06/04/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 595 15WC 27497 TINDLE, RICHARD ECOLAB 07/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 596 15WC 27657 CHAVEZ, JOSE ILL DEPT OF CORRECTIONS @ 07/10/15 KATZ FRIEDMAN EAGLE ET AL MALLORY ZIMET 597 15WC 27907 RIVERA, JUAN DAVIS STAFFING 08/11/15 VASILATOS & COTTER LLC 598 15WC 27930 ELLIOTT, TODD ALDI 06/19/15 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 599 15WC 28324 NEUBAUER, KARI D. ROSEBUD FARM INC 01/07/15 STROM, NEAL B LITCHFIELD CAVO 600 15WC 28440 BEY, PATRICIA JOLIET PUBLIC SCHOOLS 06/10/15 ANKIN LAW OFFICE ROSARIO CIBELLA 601 15WC 28765 ANDRADE, ARACELI PRIDE METAL PRODUCTS N/K/ 06/15/14 CORBOY & DEMETRIO PC 602 15WC 28962 RUSS, MARY RML SPECIALTY HOSPITAL 02/16/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 15WC028963 -C 603 15WC 29084 HERNANDEZ, JOSEFINA DISTRICT 202 08/04/15 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 604 15WC 29140 GARCIA, HECTOR RYDER 09/03/15 JAMES ELLIS GUMBINER & ASS HEYL ROYSTER VOELKER & ALLEN 605 15WC 29488 STACY, BRENDA AUTOBAHN COUNTRY CLUB 07/02/09 HORWITZ HORWITZ & ASSOC LAW OFFICES OF 606 15WC 29497 STAPP, MICHAEL CITY OF JOLIET 11/08/13 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 607 15WC 29587 RINEHART, JOHN ITW DELTAR FUEL SYSTEMS 08/31/15 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 608 15WC 29631 PETERS, RON PARSEC INDUSTRIES INC 04/04/15 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 609 15WC 29723 MORENO-TREVINO, MELINDA ILLINOIS CENTRAL SCHOOL B 07/06/15 RIDGE & DOWNES GILDEA & COGHLAN 610 15WC 30382 PLATTA, TINA DOLLAR GENERAL 03/10/15 WHITESIDE & GOLDBERG LTD LEAHY EISENBERG & FRAENKEL 611 15WC 30837 SNODGRASS, MARYSUSAN JOLIET PUBLIC SCHOOL DIST 06/01/15 FABRIZIO, HANSON & PEYLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 612 15WC 30878 GORDEN, KIMBERLY ELITE STAFFING INC 09/07/15 BERNAT & BERNAT PC MARC CAIRO 613 15WC 31021 WHITE, GENEVA HR METRICS, INC. 08/29/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 614 15WC 31040 FERGUSON, BERNARD ELITE STAFFING INC 08/20/15 ANKIN LAW OFFICE MARC CAIRO 615 15WC 31048 VELAZQUEZ, MARTIN STAFFING NETWORK LLC 08/23/15 COSTA IVONE LLC SLAVIN & SLAVIN 15WC031049 -C 616 15WC 31164 RIVERA, GREGORY BOLINGBROOK COLD STORAGE 07/17/15 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 617 15WC 31599 CUNNINGHAM, WILLIAM P NRG ENERGY 09/09/15 DIXON LAW FIRM WIEDNER & MCAULIFFE LTD 618 15WC 31654 NYSTROM , JODI L LINCOLN WAY SPECIAL EDUCA 09/11/15 FIGLIOLI, DAVID INMAN & FITZGIBBONS 619 15WC 31723 TRIPLETT, SHANEICE STAFFING NETWORK 09/19/15 SHELDON I MINKOW & ASSOCIA SLAVIN & SLAVIN 620 15WC 31885 MERCADO, MARIA E ELITE STAFFING 08/30/15 KATZ FRIEDMAN EAGLE ET AL 621 15WC 31941 WARE, HASSAN TOTAL LOGISTICS 07/11/15 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 622 15WC 32199 SWAIN, RUTH PEACOCK 04/20/15 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 15WC032200 -C 623 15WC 32452 FRONEK, MOLLY TOYS-R-US 08/31/15 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 624 15WC 32503 MANRIQUE, AYDE BERGSTROM 08/16/15 COSTA IVONE LLC WOLFE & JACOBSON, LTD 625 15WC 32663 KOZIOL, KEVIN BEST BUY INC 10/26/13 STYKA & STYKA HENNESSY & ROACH PC 626 15WC 32696 SAYAGO, MARGARITA ELITE STAFFING 09/14/15 DWORKIN AND MACIARIELLO 627 15WC 32735 GARCIA, RUBEN RASNER ENTERPRISES, INC 05/07/15 RUEDA, IVAN A 628 15WC 32854 RUSSELL, JOHN TOYAL AMERICA, INC. 06/18/15 ROBERT DARGIS THOMAS & PORTELA 629 15WC 32873 PAVLICK, JOHN CALUMET SCREW MACHINE PRO 10/14/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 630 15WC 32884 ALFARO, RAUL M JR CENTRAL GROCERS INC 09/14/15 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 631 15WC 33434 JURASITS, JASON 101 LODERS CROKLAAN INC 05/13/15 PETER D CORTI LAW GROUP ROSARIO CIBELLA 632 15WC 33677 VEGA, DIONICIO CARTA CONCRETE 10/02/15 633 15WC 34017 KOCHINSKY, VERONICA M LINCOLN-WAY SCHOOL 03/13/14 LAW OFFICE OF THOMAS P NAU POWER & CRONIN LTD 634 15WC 34141 AGUIRRE, TINA HOME HELPERS 09/30/15 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 635 15WC 34401 JOHNSON, FANNIE MAC NEIL AUTOMOTIVE PRODU 08/12/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 17WC023080 -C MACNEIL AUTO PRODUCTS LD 636 15WC 34434 MARIN, VERONICA PACTIV 11/07/13 MCNAMARA PHELAN MCSTEEN LL SPIEGEL & CAHILL, PC 637 15WC 34517 DROWER, DOLORES PLAINFIELD SCHOOL 01/23/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 638 15WC 34792 DENT, MICHAEL A XPO LOGISTICS 06/24/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 639 15WC 34810 TAYLOR, JEFFREY CLEARSTAFF INC 08/19/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 640 15WC 34828 EADY, ANDREA DHR STAFFING SOLUTIONS 10/02/15 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY 641 15WC 34893 PAYNE, JANET PRESENCE HEALTH CARE SYST 03/04/14 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 642 15WC 35123 ZEBELL, PATRICIA DIAGEO NORTH AMERICA INC 09/09/15 BART DURHAM COZZI & GOGGIN-WARD 643 15WC 35216 THIESSE, ANDREW STATE OF ILLINOIS @ 08/06/14 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 644 15WC 35591 FLYNN, MARK STATE OF IL, DEPT OF @ 07/24/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTY GENERAL 645 15WC 35605 URQUIZA, ALMA ADVENTIST BOLINGBROOK 02/11/15 JONATHAN SCHLACK STONE & JOHNSON CHARTERED 646 15WC 35928 WARD, CAROL SALEM VILLAGE NURSING HOM 11/24/14 KIPNIS & KAHN KEEFE CAMPBELL & ASSOC LLC 647 15WC 36043 NESE, RICHARD PERFORMANCE FOOD GROUP, I 10/20/15 STELLATO & SCHWARTZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 648 15WC 36204 VARGAS, MIGUEL PRES-ON 10/05/15 BERG & BERG 649 15WC 36419 LAIN, ZINA JOLIET LODGING, INC 10/17/15 MARK G BERGAL LAW OFFICE WOLFE & JACOBSON, LTD 650 15WC 36485 GULYBAN, CYNTHIA L KOHL'S DEPARTMENT STORE # 12/03/14 O'CONNOR & NAKOS HENNESSY & ROACH PC 651 15WC 36773 KESKE, BONNIE PLAINFIELD SCHOOL DIST 20 01/16/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 652 15WC 36990 MORROW, REGINALD BANNER PERSONNEL SERVICE 11/01/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 653 15WC 37186 BURNETT, DERRICK CARDINAL LOGISTICS 08/07/14 ASHER, RAYMOND L LTD SPIEGEL & CAHILL, PC 654 15WC 37296 HILL, RICHARD III HENRY ALES AUTOMOTIVE 08/12/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 655 15WC 37323 BALOG, PATRICIA KNOWLEDGE UNI/KINDER CARE 05/01/14 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 656 15WC 37542 CATCHINGS, EMOGENE SUNNY HILL NURSING HOME 06/12/15 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 657 15WC 37777 SWENSON, ROBERT JOLIET HOUSING AUTHORITY 07/24/15 HEALY SCANLON LAW FIRM THOMAS & ASSOCIATES 658 15WC 37955 OLAGUEZ, MIGUEL A CENTRAL GROCERS INC 12/24/13 KELLY & KING ROSARIO CIBELLA 659 15WC 38252 COCKERHAM, KERRY AMEX NOOTER, LLC 06/01/15 RIDGE & DOWNES HENNESSY & ROACH PC 660 15WC 38313 QUINTANA, JAIME ELITE STAFFING 11/11/15 BART DURHAM GAROFALO SCHREIBER STORM 661 15WC 38588 MARTINEZ, LUIS ART CRYSTAL LTD 05/12/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 662 15WC 39018 CAVANAUGH, FRANK STEPAN COMPANY 10/08/15 ANGELINI & ORI LLC KLAUKE LAW GROUP LLC 663 15WC 39071 MORALES, EVERARDO STAFF FORCE INC. 06/22/15 ENCINAS & ORNELAS SLAVIN & SLAVIN 664 15WC 39106 GUTIERREZ, ANTONIO QUANTUM CROSSINGS 10/29/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 665 15WC 39478 PUTRICH, MICHAEL WILL COUNTY SHERIFF DEPT 10/29/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 666 15WC 39637 MURRAY, KEITH JOLIET PARK DISTRIC 11/20/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 667 15WC 39767 GANDARA, MARTIN AIRSTREAM PRESSURE WASHIN 10/08/15 NEWLAND & NEWLAND 668 15WC 41124 MALDONADO, ANGEL ATLAS/SKYLINE STAFFING IN 11/16/15 JAMES ELLIS GUMBINER & ASS JAMES ELLIS GUMBINER & ASSOC 669 15WC 41366 AVALOS, JUAN EXEL 05/18/15 ALVARO COOK LTD HENNESSY & ROACH PC 670 15WC 41579 CASTILLO, J. CARMEN PRY-BAR INC. 05/14/15 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 671 15WC 41586 WARSAW, RICHARD W SOLVAY USA 12/11/15 KATZ FRIEDMAN EAGLE ET AL 672 15WC 41633 REYES, TEODORA MULTI-TEMPS INC * 12/10/15 COSTA IVONE LLC 673 15WC 41979 ALFARO, BRANDON CENTRAL GROCERS 11/15/15 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 674 15WC 42132 ANDERSON, SHAWN FLEXIBLE STAFFING SERVICE 01/10/14 HORWITZ HORWITZ & ASSOC 675 15WC 42449 GARCIA, MARTHA AUTUMN LEAVES OF OSWEGO 11/27/15 ANESI OZMON RODIN NOVAK KO 676 15WC 42593 EGGLESTON, CIERA D&U UNITED CORP 10/26/15 PORRO NIERMANN LAW GROUP KURT E. VRAGEL JR PC 15WC042595 -C SDVD/SKIRDOVIDA CORP 677 16WC 00030 PIERCE, KELLY LOCKPORT TOWNSHIP HS DIST 05/18/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 678 16WC 00175 PRIDE, LEMIUAL BEAT WAY LOGISTICS 12/03/15 RUBENS AND KRESS MCANANY VANCLEVE & PHILLIPS 679 16WC 00252 HUNTER, ULYSSES OLD DOMINION FREIGHT LINE 12/05/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 680 16WC 00330 LARSON, DONALD CATERPILLAR INC 11/17/15 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 681 16WC 00337 PARRISH, MARGIE TRINITY SVCS 09/06/15 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 682 16WC 00366 SANCHEZ, ISIDORO KEHE DISTRIBUTORS INC 11/25/15 STEWART C ORZOFF NOBLE & ASSOCIATES PC 683 16WC 00790 LACKEY, KRISTOPHER OSWEGO FIRE DISTRICT 3 06/13/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 684 16WC 00921 VILLAGOMEZ, LILIA HICKORY FARMS DIST CTRAND 09/25/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 685 16WC 01333 SORTINO, JOSEPH AT&T 12/04/15 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 686 16WC 01428 BURL, JELESSA SPRING CREEK NURSING & RE 01/04/16 LEITER LAW OFFICES 687 16WC 01629 CAMMACK, ALLEN RS CORCORAN CO 06/17/15 STEPHEN G PINTO LTD 688 16WC 01663 BONILLA, OMAYRA SYNNEX CORPORATION 01/12/15 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 689 16WC 01670 HUTCHINS, RODNEY D UNIVERSITY OF ST FRANCIS 10/21/14 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 690 16WC 01688 RIVERA, JEFFREY CENTRAL GROCERS INC. 03/20/15 SKLARE LAW GROUP ROSARIO CIBELLA 691 16WC 01949 HOLDING, DUSTIN WEDD HYUNDAI LLC 10/20/15 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 692 16WC 02119 SMITH, WILLIAM D CASSENS TRANSPORT COMPANY 12/17/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 693 16WC 02303 MUIR, ELBAR PLAINFIELD SCHOOL DIST #2 08/17/15 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 16WC033427 -C 694 16WC 02756 GARCIA, ALEX COSTCO 12/09/15 DAVID W MARTAY GANAN & SHAPIRO 695 16WC 03003 REZA, ROGELIA S&S ACTIVEWEAR 11/17/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 696 16WC 03183 VAZQUEZ, MARIA Y MACNEIL AUTO PRODUCTS LTD 12/07/15 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 697 16WC 03371 GALVEZ, MARIE E BUTTERFIELD HEALTH CARE I 05/21/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 698 16WC 03409 HERNANDEZ, TARA KELLY SERVICES 11/20/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 699 16WC 03523 WEIS, JALAYNE PLAINFIELD SCHOOL DIST 20 03/10/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 700 16WC 03558 ASCENCIO, EFRAIN GROUNDSKEEPER LANDSCAPE C 01/27/16 GOLDBERG & DOHAN RODDY LAW LTD 701 16WC 03569 EASLEY, JOHN SWAP.COM 12/17/15 JOHN F GREGORIO & ASSOC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 702 16WC 03775 MARINO, DON JOLIET PUBLIC SCHOOL 01/04/16 WHITESIDE & GOLDBERG LTD 703 16WC 03843 19B STEFANICH, DEANNA RYDER INTEGRATED LOGISTIC * 01/21/16 HEALY SCANLON LAW FIRM HEYL ROYSTER VOELKER & ALLEN 704 16WC 04076 RANDICH, TODD LOCKPORT TWP FIRE DISTRIC 09/19/15 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 705 16WC 04217 NIMO, TREMELL B FEDERAL EXPRESS 02/03/15 VASILATOS & COTTER LLC 706 16WC 04320 KOTALIK, DARLINE JEWEL-OSCO 12/23/15 MCNAMARA PHELAN MCSTEEN LL 707 16WC 04564 GREEN, NATHAN YRC 09/23/15 PARENTE & NOREM PC HENNESSY & ROACH PC 708 16WC 04744 HOLMAN, JOHNNY R SURGE STAFFING LLC 01/03/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 709 16WC 04809 PARKER, RICKIE ASPLUNDH TREE EXPERT CO 01/20/16 COSTA IVONE LLC KNELL & O'CONNOR 710 16WC 04971 REEDER, WILLIAM LABOR READY 01/29/16 MARC J SHUMAN & ASSOCIATES 711 16WC 05008 AMEGASHIE, THEORDORE K LODERS CROKLAAN USA LLC 02/05/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 712 16WC 05009 AMEGASHIE, THEODORE K LODERS CROKLAAN USA LLC 04/10/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 713 16WC 05255 ARENZ, MARCEL J B HUNT TRANSPORT SERVIC 02/09/16 COPLAN & CRANE, LTD GRANT & FANNING 714 16WC 05394 BROWN, PATRAIL G. JOLIET STAFFING, LLC. 01/25/16 ANKIN LAW OFFICE LITCHFIELD CAVO 715 16WC 05657 GALL, BRADLEY EDON CONSTRUCTION 11/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 716 16WC 05836 WISNIEWSKI, DAVE CENTRAL AMERICAN GROUP 12/31/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 717 16WC 06059 GIVENS, ESELINA "DOLLY" ILLINOIS DEPT OF CORRECTI @ 01/19/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 718 16WC 06748 REEVES, SALLY PRESENCE VILLA ST. 08/15/15 FOHRMAN, DONALD W & ASSOCS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 719 16WC 06872 VILLAFUERTE, AMIEE HOLLYWOOD CASINO 08/29/15 MCNAMARA PHELAN MCSTEEN LL ORENSTEIN & ASSOCIATES 720 16WC 07020 HORN, JAMES I H SERVICES INC 02/12/16 LAW OFFICES TIMOTHY HENDER WIEDNER & MCAULIFFE LTD 16WC007021 -C 721 16WC 07028 ALLEN, ANNETTE M. PUBLICIS TOUCHPOINT 10/21/15 THOMAS W DUDA 722 16WC 07040 CARVER, JAMES DISCOUNT TIRE 02/03/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 723 16WC 07113 NICHOLSON, ROBERT AMER PRIDE SECURITY SVCS 02/26/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 724 16WC 07197 ROLON, JOSEFA GDI FACILITY SRVCS 02/18/16 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 725 16WC 07241 FINNEY, PATRICIA JOLIET TOWNSHIP HS 204 09/23/15 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 726 16WC 07271 WEARY, DWAYNE II PARSEC INC 02/19/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 727 16WC 07301 CASILLAS, ROSA AARON THOMAS COMPANY, INC 11/03/15 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 16WC007302 -C 728 16WC 07437 MARQUEZ, MARIA INNOTRAC 03/30/15 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 16WC007438 -C 729 16WC 07453 DELGADO, JOSE GAYTAN SIGNS 03/06/13 LAW OFFICE HUGO ORTIZ 730 16WC 07661 TINOCO, MARIA SIGN SERVICES, INC. 06/01/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 731 16WC 07683 GEREDINE, KEVIN FEDEX 04/23/15 SCOPELITIS GARVIN LIGHT 732 16WC 07783 GOMEZ, GABRIEL NEXUS EMPLOYMENT 02/25/16 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 733 16WC 07843 GRIFFIN, LASHAWN INTEGRITY STAFFING / AMAZ 02/13/16 BRISKMAN BRISKMAN GREENBER SLAVIN & SLAVIN 734 16WC 07966 MCPHERSON, DANIELLE FEDERAL EXPRESS CORPORATI 02/16/16 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 735 16WC 08136 REZA, ROGELIA S&S ACTIVEWEAR 02/03/16 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 736 16WC 08327 MASCOTE, NICAULY AXCESS STAFFING 10/29/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 737 16WC 08447 CUELLAR, JOSE ELITE LOGISTIC SERVICES 11/02/15 SALGADO, DAVID L 738 16WC 08519 BLATTI, DOUGLAS M JR STARKS STEEL CO 11/03/15 LAW OFFICES MICHAEL HELLMA HENNESSY & ROACH PC 739 16WC 08732 SCOLES, JASON RIGGS DISTIER 01/22/16 ROBIN LAW OFFICE 740 16WC 08771 NUNEZ, CHERYL JOLIET HIGH SCHOOL 01/19/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 741 16WC 08778 STRICKLIN, ALYSSA NETCYCLER INC. 01/17/16 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 742 16WC 08867 BLAKNEY, RALPH J B HUNT TRANSPORT INC 11/16/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 743 16WC 08957 NEWELL, DEBBRA FARRAGUT ELEMENTRY SCHOOL 09/10/15 STROM, NEAL B 744 16WC 09167 HICKS, CHARLES JOLIET SCHOOL 03/01/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 745 16WC 09169 CASTRO, VICTOR MARITIME DELIVERY SERVICE 01/07/16 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 746 16WC 09774 LOPEZ, MINERVA AMERISOURCE BERGIN 10/20/15 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 747 16WC 09821 RIVERA, MACEDONIO GREEN EARTH PLASTIC RECYC 03/21/16 CHEPOV & SCOTT LLC COZZI & GOGGIN-WARD 16WC013796 -C 748 16WC 09923 MANTHEY, HEATHER PRESENCE HEALTH 01/26/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 749 16WC 10048 GARCIA, CARLOS EXEL 01/21/16 HART & DAVID LLP HENNESSY & ROACH PC 750 16WC 10062 MALDONADO, GABRIEL PEPSI CO 03/23/16 GREGORIO & MARCO ROBERT L. SMITH 751 16WC 10084 FERRER-MARTINEZ, INOCENCI CAP BARBELL INC 03/28/16 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 752 16WC 10132 STRAGAND, LORRINE EXECUTO ADVANTAGE SOLUTIONS 03/09/16 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 753 16WC 10176 SALGADO, ERIC USF HOLLAND 10/06/15 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 754 16WC 10229 NELSON, LINDA INTEGRITY STAFFING, INC 01/13/16 KARCHMAR & STONE SLAVIN & SLAVIN 755 16WC 10240 RODRIGUEZ, MARGARITA PLAINFIELD SCHOOL DISTRIC 01/28/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 16WC030960 -C 756 16WC 10578 MC CABE, MARK W CITY OF JOLIET 03/10/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 757 16WC 10592 SHERROD, RAYMOND FIRST STAFF SERVICES 03/15/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 758 16WC 10617 MCCOLLUM, MATTHEW SYBARIS CLUB 06/10/15 JOHN E LUSAK HOLECEK & ASSOCIATES 759 16WC 10680 LABOY, JOSE MACY'S LOGISTICS & 12/04/15 NEWMAN, BOYER & STATHAM ROBERT L. SMITH 760 16WC 10771 MATLOCK, CARLOS CITY OF JOLIET 10/21/14 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 761 16WC 10880 BURGHOLZER, BRIAN AOG AVIATION SPARES 03/17/16 PORRO NIERMANN LAW GROUP ROSARIO CIBELLA 762 16WC 10909 MURPHY, ROBERT MARIANOS' 03/25/15 GOLDBERG WEISMAN & CAIRO L 763 16WC 10928 JACKSON, TERESA JEWEL-OSCO 11/30/15 SAUNDERS CONDON & KENNY 764 16WC 10974 MUNDA, STEVE CENTRAL GROCERS 12/21/15 SEIDMAN MARGULIS & FAIRMAN 765 16WC 11199 BANKS, SAMITRA SILVER CROSS HOSPITAL 03/09/16 STEWART C ORZOFF MACIOROWSKI SACKMANN & ULRIC 766 16WC 11347 UDOWITZ, DYLAN ALRO STEEL 02/08/16 DWORKIN AND MACIARIELLO 767 16WC 11917 PETKOV, ALEC UPS 08/19/14 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 768 16WC 11994 GOWDY, DAVID L FISHER/FEDERATED AUTO PAR 08/18/14 SCOTT M BELT & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 769 16WC 12137 JOHNSTON, SUMMER PARATECH INC 06/03/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 770 16WC 12219 WIRTH, NORRINE XPO LOGISTICS, INC 08/25/15 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 16WC035504 -C 771 16WC 12269 ARRANGA, JAMIE F/N/A SOSA UNIVERSAL LAMINATING LTD 03/08/16 CHEPOV & SCOTT LLC ROSARIO CIBELLA 772 16WC 12427 FOX, LINDA LINCOLN WAY AREA 04/16/14 NILSON STOOKAL GLEASON CAP 773 16WC 12655 DODSON, ROBERT A JR BECTON DICKINSON & COMPAN 09/11/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 774 16WC 12710 SANDOVAL, MANUEL JOHANSEN & ANDERSEN INCOR 01/14/15 GOLDBERG WEISMAN & CAIRO L BRUCE WARREN 775 16WC 13016 GOODWIN, ARDOLA FRESENIUS MEDICAL CARE 11/11/15 LAW OFFICES BRIAN LASSEN HENNESSY & ROACH PC 776 16WC 13055 COOPER, DAWN DICK'S SPORTING GOODS 01/13/16 VASILATOS & COTTER LLC BRYCE DOWNEY & LENKOV LLC 777 16WC 13100 GOETSCH, JOHN R. ALTA EQUIPMENT 10/30/14 SEIDMAN MARGULIS & FAIRMAN 778 16WC 13665 HARRIS, ANTHONY MAC NEIL AUTOMOTIVE 10/28/15 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 779 16WC 13986 GUTIERREZ, MICHAEL GUARDIAN ANGEL COMMUNITY 12/04/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 780 16WC 14043 SUYKO, BRIAN J SCHWAN'S CONSUMER BRANDS 03/29/16 MENDOZA LAW PC GAROFALO SCHREIBER STORM 781 16WC 14256 VALDEZ, CRISTIAN CENTRAL GROCERS, INC 04/28/16 ANKIN LAW OFFICE ROSARIO CIBELLA 782 16WC 14567 LEJA, ADAM WEST LIBERTY FOODS 02/29/16 NILSON STOOKAL GLEASON CAP HEYL ROYSTER VOELKER & ALLEN 783 16WC 14738 ALVAREZ, ANTONIO CRASH CHAMPION 10/05/15 LEONARD LAW GROUP LLC RODDY LAW LTD 784 16WC 14836 KOLODZIEI, KIMBERLY L. SILVER CROSS HOSPITAL 10/10/15 DREW J FERRACUTI 785 16WC 14921 PEREZ, ERICK O. K&R LANDSCAPING, INC. 04/01/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 786 16WC 15073 COOPER, ROBERT JR TURBINE PROS LLC 04/14/16 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 787 16WC 15192 HOPKINS, AARON M ILLINOIS TOOL WORKS INC 12/21/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 788 16WC 15243 MARQUEZ, GLORIA ANDREWS STAFFING 04/30/16 LAW OFFICES LEONARDO MORAL SLAVIN & SLAVIN 789 16WC 15355 RILEY, JERRY FAMILY LOGISTICS 04/28/16 790 16WC 15495 JEMENEZ, MARIA L MONDI ROMEOVILLE INC 02/06/16 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM 791 16WC 15641 FRANCO, ARELI RUBI IL SEC OF STATE DRIVER SE @ 04/09/16 PARENTE & NOREM PC MALLORY ZIMET 792 16WC 15741 MORAN, HUMBERTO O'DONOGHUE ENTERPRIES LLC 03/19/16 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 793 16WC 15783 BAREFIELD, TIARRA T. LAZER SPOT, INC. 02/14/16 ANKIN LAW OFFICE WOLF LAW LTD 794 16WC 15903 GABOR, WILLIAM ECE NEXXIA CORPORATION 03/21/16 STROM, NEAL B 795 16WC 16012 WENNBERG, ERIC BMWC CONSTRUCTORS 05/12/16 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 796 16WC 16130 VALENTINE, MICHAEL J. SR ECOLAB, INC. 12/30/14 WOLTER BEEMAN AND LYNCH KEEFE CAMPBELL & ASSOC LLC 797 16WC 16156 PERRI, JOHN III CITY OF JOLIET 03/23/16 FABRIZIO, HANSON & PEYLA KAVANAGH GRUMLEY & GORBOLD 798 16WC 16173 ADAMS, SAMUEL E III COMMONWEALTH EDISON CO 05/10/16 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 799 16WC 16251 WALSKI, CALA TACO BELL 05/16/16 800 16WC 16285 GIARDINA, EVAN J JB HUNT TRANSPORT INC 02/02/16 KAVANAGH GRUMLEY & GORBOLD GRANT & FANNING 801 16WC 16327 SOCHA, CASSANDRA CITY OF JOLIET 11/28/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 802 16WC 16333 RODRIGUEZ, ORLANDO CLEAN HARBOR'S ENVIRONMEN 04/28/16 MC HARGUE, JAMES P LAW OFF RODDY LAW LTD 803 16WC 16430 RAMBO, MARY COMMUNITY CARE SYSTEM INC 11/25/15 DWORKIN AND MACIARIELLO LIVINGSTONE MUELLER ET AL 804 16WC 16478 ST CLAIR, TIMOTHY CROWN LIFT TRUCKS 02/28/14 HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 805 16WC 16547 FAUGHT, CORI VALLEY VIEW SCHOOL 09/01/15 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 806 16WC 16760 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 01/26/16 EPSTEIN, JACK R LAW OFFICE 807 16WC 16795 TROYNER-SANDERS, RHONDA JOLIET STAFFING/TRADER JO 04/11/16 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 808 16WC 16806 HAYNES, CHERYL S FRESENIUS MEDICAL CARE 12/14/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 809 16WC 16813 WOKURKA, DENNIS NW HOMER FIRE DEPARTMENT 04/15/16 WHITESIDE & GOLDBERG LTD RUSIN & MACIOROWSKI LTD 810 16WC 16886 JACKSON, JAMES N. SLEEPY'S LLC 04/17/16 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 811 16WC 17183 WERRY, JOHN FAIRBANKS SCALES, INC. 01/14/15 LAW OFFICE OF CHRIS DOSCOT WOLFE & JACOBSON, LTD 812 16WC 17273 SCHLUETER, KATHY WEATHERTECH 10/14/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 813 16WC 17303 BLAIR, MICHAEL DOMINO'S PIZZA 04/27/16 MARC J SHUMAN & ASSOCIATES CHILTON YAMBERT PORTER LLP 814 16WC 17435 NEWTSON, JONATHAN RECYCLED RUBBER PRODUCTS 06/01/16 DWORKIN AND MACIARIELLO 815 16WC 17645 BARTZ, CHRISTINE VALLEY VIEW SCHOOL DIST. 11/08/14 LAW OFFICES MICHAEL HELLMA 816 16WC 17906 KORZENIOWSKA, MALGORZATA MEIJER 02/29/16 BART DURHAM KOPKA, PINKUS DOLIN, PC 817 16WC 18059 HERRERA, VICTOR HUGO AREN PACTIV LLC 05/27/16 ANKIN LAW OFFICE 818 16WC 18115 RILEY, JERRY FAMILY LOGISTIC INC 04/28/16 FINE, MARK S LAW OFFICES 819 16WC 18276 RAMIREZ, LILIA A/K/A SAND EXCEL BUILDING SERVICES 06/01/16 JONATHAN SCHLACK COZZI & GOGGIN-WARD 820 16WC 18342 PERALTA, RAMON NUEVA AZTECA BAKERY INC 09/26/15 NYHAN BAMBRICK KINZIE & LOWR 16WC019911 -C 821 16WC 18354 MIDDLETON, SOMMER SILVER CROSS HOSPITAL 06/20/13 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 822 16WC 18452 BOYLAN, DAVID JACK COOPER TRANSPORT 07/17/14 RUBIN MACHADO ROSENBLUM HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 823 16WC 18519 SMITH, ROBERT L CITY OF JOLIET 07/15/15 THE ROMAKER LAW FIRM ROSARIO CIBELLA 824 16WC 18657 GARIBAY, MIGUEL ESMARK STEEL MIDWEST GRP 04/12/16 CUSHING LAW OFFICES COZZI & GOGGIN-WARD 825 16WC 18672 BAGLEY, RAY TRILLIUM STAFFING 05/18/16 KATZ FRIEDMAN EAGLE ET AL 826 16WC 18736 CLARKE, TASKER JOLIET STAFFING, LLC AS A 12/10/15 PETER D CORTI LAW GROUP LITCHFIELD CAVO 827 16WC 18867 JAKIELSKI, CARYN UNIVERSITY OF ST FRANCIS 02/11/16 STYKA & STYKA 828 16WC 18887 SCHUSTER, MICHAEL TURNER INDUSTRIES GRP, LL 12/10/13 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 829 16WC 19108 CHANEY, BILL USF HOLLAND 06/09/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 830 16WC 19332 PEREZ, JESUS DEPENDABLE STAFFING GROUP 01/16/16 D&O LAW GROUP GAROFALO SCHREIBER STORM 831 16WC 19363 ANDERSON, DANIELLE PENBROCK ENTERPRISES, INC 03/17/16 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 832 16WC 19442 MATLOCK, CARLOS D CITY OF JOLIET POLICE DEP 03/01/16 PARENTE & NOREM PC KNELL & O'CONNOR 833 16WC 19876 CHAMA, FILIMON ELITE STAFFING 06/07/16 COSTA IVONE LLC GOLDBERG SEGALLA LLC 834 16WC 19895 CABRAL, JORGE VENTURA HURSTHOUSE LANDSCAPE ARCH 05/03/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 835 16WC 19955 TOWNS, JOHN REYES HOLDING LLC 03/08/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 836 16WC 19991 FEARENCE, DARNELL WEATHER TECH 02/26/16 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 837 16WC 20110 ZOBEL, MICHAEL GORDON FOOD SERVICE, INC 02/29/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 838 16WC 20297 SOLTYS, JOSEPH BMW CONSTRUCTORS 04/15/13 SCHREINER MALLOY & ETZLER ROSARIO CIBELLA 839 16WC 20333 OVANDO, MAXIMILIANO SNIDER-BLAKE PERSONNEL SR 06/15/16 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 840 16WC 20415 DIAZ BARRAGAN, EDWARD STAR CON INTERNATIONAL IN 03/03/16 BRIAN CONNERANWEIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 841 16WC 20609 MC CASLAND, MICHAEL SEARS HOLDING COMPANY 06/07/16 SPIROS LAW PC 842 16WC 20674 SOSA, DOMINIQUE COVIDIAN AND METRONIC 06/15/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 843 16WC 20808 SANDERS, KATHLEEN PROGRESSIVE PETROLEUM 02/15/16 DAVID W MARTAY 844 16WC 21058 JARRETT, GREGORY AQUA RESOLUTION LLC 06/17/16 STEVEN J MALMAN & ASSOCIAT 845 16WC 21080 MICHELETTO, JANET ADVANCED MOBILITY # 07/05/16 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 846 16WC 21167 LANGSTON, ANGELO PEACOCK ENGINEERING COMPA 05/02/16 COHN LAMBERT RYAN & SCHNEI 847 16WC 21214 LANGAN, DANIEL BREAKTHRU BEVERAGE ILLINO 06/23/16 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 848 16WC 21233 PENA, JUAN C ROMERO MOTOR MAT CAR WASH 06/17/16 ENCINAS & ORNELAS GAROFALO SCHREIBER STORM 849 16WC 21423 KARCZ, DONALD JOLIET POLICE DEPARTMENT 04/26/16 DWORKIN AND MACIARIELLO KAVANAGH GRUMLEY & GORBOLD 850 16WC 21738 CALVERT, KIMBERLY BONNIE MCBETH EARLY 10/31/13 RONALDSON & KUCHLER KEEFE CAMPBELL & ASSOC LLC 16WC021739 -C 851 16WC 21751 NUCI, ALFONSO CLARENCE DAVIDS & COMPANY 06/15/15 RUBIN MACHADO ROSENBLUM RUSIN & MACIOROWSKI LTD 852 16WC 21884 DICKS, KAYLUM J.B. HUNT TRANSPORT 02/23/15 DEAN J CARAS & ASSOCIATES GRANT & FANNING 853 16WC 22043 WEDER, MICHAEL WILL COUNTY SHERIFF DEPT. 03/27/15 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 854 16WC 22073 JOHNSON, STEPHEN SCHWAB PAPER PRODUCTS CO 07/06/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 855 16WC 22082 TOSCANO, ROSALINDA ROTH STAFFING 07/13/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 856 16WC 22210 FRASSIONE, DAWN DAVITA 03/16/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 857 16WC 22328 PASSAFIUME, JOHN ECO LAB 05/16/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 858 16WC 22402 KOZNARSKI, KENNETH R. DARCY MOTORS 11/10/15 JASINSKI, GEORGE J

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 859 16WC 22411 BALSLEY, AMY CITY OF JOLIET 05/26/16 COVEN LAW GROUP ROSARIO CIBELLA 860 16WC 22498 MULARSKI, JAMES G & W ELECTRIC 06/29/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 861 16WC 22500 TYRELL, KATHY JOLIET TOWNSHIP HIGH SCHO 02/16/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 862 16WC 22561 CASTELLI, MASHALE MACY'S 04/29/16 RATHBUN CSEVENYAK & KOZOL ROBERT L. SMITH 863 16WC 22711 HERNANDEZ, ROSA METRO STAFF INC 07/12/16 CHEPOV & SCOTT LLC FRANCIS J DISCIPIO LAW OFFIC 864 16WC 22813 GRIFFIN, SHANTINA ONE HOPE UNITED 04/25/16 MARC J SHUMAN & ASSOCIATES 865 16WC 22842 DASBACH, DAVID APOLLO COLORS 10/14/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 866 16WC 23265 AMMONS, THEODORE DIY GROUP, INC 07/20/16 DEPAOLO ZADEIKIS GORE 867 16WC 23305 GONZALEZ, MARTHA TRIUNE LOGISTICS LLC 07/21/16 ANKIN LAW OFFICE LITCHFIELD CAVO 868 16WC 23700 CHENEY, SHANNON FIRST STAFF SERVICES 07/08/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 869 16WC 23929 CISNEROS, DAVID ABC SUPPLY 03/02/16 FOOTE MIELKE CHAVEZ & O'NE RUSIN & MACIOROWSKI LTD 870 16WC 24058 BULL, CHRISTINE M. STAFFING SOLUTIONS 07/26/16 ANKIN LAW OFFICE 871 16WC 24184 DAVILA, JOSE M DBM SERVICES, INC 07/14/16 SOSTRIN AND SOSTRIN PC RODDY LAW LTD 16WC024185 -C 872 16WC 24214 MORALES, STEVEN SOLVAY USA INC. 02/22/16 SPENCER LAW OFFICES 873 16WC 24464 LOZADA, ALEX JAM TRUCKING, CO. 08/02/16 GREGORIO & MARCO GANAN & SHAPIRO 874 16WC 24593 HAISH, DENNIS WASTE MANAGEMENT, INC 09/24/13 HORWITZ HORWITZ & ASSOC 875 16WC 24617 DOYLE, WILLIAM DYWIDAG SYSTEMS INTL USA 07/15/16 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 876 16WC 24646 HOUSTON, ROBERT MUSTANG FIRE PROTECTION 08/06/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 943 16WC 28481 HARRIS, GERALD CR ENGLAND, INC 06/16/16 LEVIN RIBACK LAW GROUP HENNESSY & ROACH PC 944 16WC 28549 TIDWELL, RYAN SHOREWOOD LIQUIDATORS, IN 09/07/16 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 17WC031603 -C SLIBUY 945 16WC 28647 KUBORN, COREY FRITO LAY 09/12/16 SKLARE LAW GROUP GILDEA & COGHLAN 946 16WC 28750 CHAVEZ, JESUS TNT LAWNCARE SERVICES 06/28/16 WIEDNER & MCAULIFFE LTD 947 16WC 28922 KERR, NICHOLAS AT&T 02/26/14 RANDOLPH GREUNE LAW OFFICE 948 16WC 28952 HILLINGSWORTH, DENNIS M DARVIN FURNITURE 05/27/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 949 16WC 29013 CORNEJO, FELIPE PRIORITY STAFFING 05/26/16 COHN LAMBERT RYAN & SCHNEI 950 16WC 29121 RIVAS, BLANCA GOYA FOOD, INC 08/12/16 EPSTEIN, JACK R LAW OFFICE LAW OFFICES FRANCESCA LARSEN 951 16WC 29331 AGBEMAPLE, CYRIL ECOLAB 09/21/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 952 16WC 29466 NUETZMANN, ROBERT AMERICAN DREAM 08/11/16 BURNES & LIBMAN COZZI & GOGGIN-WARD 953 16WC 29810 ADDIS, CARMEN F DEPT OF AGRICULTURE/ @ 07/14/16 HASSAKIS & HASSAKIS ASSISTANT ATTORNEY GENERAL 954 16WC 30011 JACOBSON, AMY SALEM COMMUNICATIONS CORP 06/16/16 LAW OFFICE OF JAMES H MILL 955 16WC 30131 HORVAT, COURTNEY SILVER CROSS HOSPITAL 09/15/15 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 956 16WC 30143 CARDENAS, ROBERT SURESTAFF 09/13/16 MC HARGUE, JAMES P LAW OFF SURE-STAFF 957 16WC 30179 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 09/21/16 DAVID SZCZECIN & ASSOC 958 16WC 30588 OSTROWSKI, CHRISTOPHER GENERAL CONVERTING INC 04/26/16 RODDY LAW LTD 959 16WC 30787 WILLIAMS, ANDRE MACNEIL AUTOMOTIVE PRODUC 04/14/16 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 960 16WC 30818 JOHNSON, WILLIAM C VERY LUCKY, INC 08/05/16 HOLLINGSWORTH, DEWEY G WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 961 16WC 31014 PETEK, GINA GUILLERMINA HELP AT HOME 01/06/16 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 962 16WC 31340 COLLINS, MICHAEL HOMER TOWNSHIP FIRE 04/16/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 963 16WC 31353 KRUSZELNICKI, JAMES PEOTONE COMM UNIT SD #207 04/18/16 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 964 16WC 31634 KRAMER, JOSEPH DEEFIELD CONSTRUCTION 07/11/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 965 16WC 31707 GRAHAM, THOMAS MC HUGH ENTERPRISES 06/29/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 966 16WC 31770 SOPKO, GREG ECO LAB 09/12/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 967 16WC 31844 ECHOLS, TERRELL PACIFIC RAIL SERVICES 09/21/16 HERRERA LAW CENTER GAROFALO SCHREIBER STORM 968 16WC 31949 DEGUZMAN, JASON R XPO LOGISTICS 10/04/16 WILLIAMS, ROBERT B LAW OFF RUSIN & MACIOROWSKI LTD 969 16WC 32019 PUCEL, THOMAS ECOLAB 09/16/16 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 970 16WC 32076 HERNANDEZ, THELMA FIS 09/20/16 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 971 16WC 32113 HULME, ROBIN MEIJER 06/01/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 972 16WC 32345 CRABTREE, ERIC CUSTOM CULINARY 09/30/16 MARKER & ASSOCIATES 973 16WC 32388 PFIEFFER, MATTHEW EMBERS TAP HOUSE 09/10/16 VASILATOS & COTTER LLC WOLF LAW LTD 974 16WC 32529 PIERCE, SUSAN VALLEY VIEW SD 08/04/16 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 17WC027141 -C 975 16WC 32547 GREENE, DEMETRIUS RON STAFFING 10/20/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 976 16WC 32696 WEISSEG, ROBERT A YRC WORLDWIDE 08/01/16 RIDGE & DOWNES 977 16WC 32803 ROJAS, RAFAEL RADIAC ABRASIVES, INC 01/15/16 CHEPOV & SCOTT LLC 978 16WC 32860 NEWMAN, CHERYL PETCO DISTRIBUTION CENTER 08/10/16 RATHBUN CSEVENYAK & KOZOL ADELSON TESTAN & BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 979 16WC 33079 BRADLEY, KEVIN ILLINOIS DEPT OF CORRECTI @ 07/31/16 STEVEN H MEVORAH & ASSOCIA ASSISTANT ATTORNEY GENERAL 980 16WC 33138 KITTLING, LASANDRA HELP AT HOME 05/04/16 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC 17WC009446 -C 981 16WC 33164 RUIZ, JULIO GOOD TO GROW LANDSCAING 09/01/16 MC HARGUE, JAMES P LAW OFF 982 16WC 33242 FRAZIER, ROGER D WALMART 08/19/16 AMBROSE BUTZEN LAW GROUP GANAN & SHAPIRO 983 16WC 33346 WILKINS, CLINTON COUNTY OF WILL 10/05/16 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 984 16WC 33376 AVEZZANO, LORI GOLD STANDARD ENTERPRISES 02/18/16 CIARDELLI CUMMINGS CAMPAGN COZZI & GOGGIN-WARD 985 16WC 33454 CHANCELOR, MICHAEL C LABOR TEMPS 10/13/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 986 16WC 33487 STROENING, RICHARD CHAPINS BANQUETS 10/16/16 PERONA, PETERLIN, ANDREONI ROSARIO CIBELLA 987 16WC 33562 GOODSON, SHEILA PARAMOUNT STAFFING 09/13/16 PERRY M LAKS LAW OFFICE 988 16WC 33577 MIRANDA, MARIA WORK NOW STAFFING 10/26/16 HERRERA LAW CENTER HENNESSY & ROACH PC 989 16WC 33592 BENAVIDEZ, FRANKLIN DIRECT TRUCKING 10/04/16 COSTA IVONE LLC INMAN & FITZGIBBONS 990 16WC 33697 SMITH, MICHAEL J (BROTHER AGL RESOURCES/NICOR GAS C 10/11/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 991 16WC 33751 NACEY, JOE LODERS CROKLAAN 02/25/16 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 992 16WC 33792 CORDOVA, JESSICA COSTCO WHOLESALE 05/03/16 LEONARD LAW GROUP LLC GANAN & SHAPIRO 993 16WC 33917 CRISTOFORI, JOHN ILLINOIS STATE TOLL HWY A @ 08/09/16 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 16WC033918 -C 994 16WC 33953 NAGLE, JOHN P AT&T 08/30/16 BRILL & FISHEL 995 16WC 33980 SWACKER, ROBERT ALLIANCE GLAZING TECHNOLO 08/30/16 O'CONNOR & NAKOS GRANT & FANNING 996 16WC 33992 GRACIANO, KARINA SCHNEIDER LOGISTICS 10/21/16 COSTA IVONE LLC POWER & CRONIN LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1015 16WC 35201 MANZO, LORENZO JIMENEZ & SONS LANDSCAPIN 10/03/16 JONATHAN SCHLACK 1016 16WC 35251 EDWARDS, DEMARCUS CAPTIVEAIRE SYSTEMS 11/04/16 MICHAEL P MCCREADY & ASSOC 1017 16WC 35292 OBSCURA, MARIA PLAINFIELD SCHOOL DIST 20 10/14/16 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 1018 16WC 35336 HORTON, EDNA ALLEGIANCE STAFFING 10/04/16 CULLEN HASKINS NICHOLSON 1019 16WC 35393 ROSAS, MIGUEL TAP HOUSE GRILL 11/04/16 LEITER LAW OFFICES KOPKA, PINKUS DOLIN, PC 1020 16WC 35415 WHITSON, AARON FAJITAS MEXICAN RESTAURAN 06/02/16 WOLFE LAW PC 1021 16WC 35468 PRICE, STEPHANIE PETRO WILMINGTON 07/30/16 STRONG LAW OFFICE RODDY LAW LTD 1022 16WC 35544 MCCLEAN, KEVIN BCU ELECTRIC 10/27/16 DWORKIN AND MACIARIELLO 1023 16WC 35684 SMEDLEY, AARON L PREMIER TRANSPORTATION 10/16/16 LAW OFFICE OF ROBERT J. IR 1024 16WC 35701 HOLZAEPFEL, ERIC H TYCO INTEGRATED SECURITY 11/10/16 SPIROS LAW PC POWER & CRONIN LTD 1025 16WC 35782 MUNIZ-RAMOS, ALEXANDRO NFI INDUSTRIES 11/18/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1026 16WC 35949 GRACIDA, MAURICIO DUTCH AMERICAN FOODS 06/30/16 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 1027 16WC 35959 GARCIA, RIGOBERTO STEPAN COMPANY 03/16/15 RIDGE & DOWNES KLAUKE LAW GROUP LLC 1028 16WC 35998 TRAVIS, JEANIE WILTON INDUSTRIES 11/07/16 DAVID W MARTAY WOLFE & JACOBSON, LTD 1029 16WC 36057 EMMANUEL, KEVIN JOLIET STAFFING 11/21/16 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 1030 16WC 36087 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO 10/01/15 HERRERA LAW CENTER 1031 16WC 36152 CARROLL, SHAWN CITY OF JOLIET 10/19/16 THE ROMAKER LAW FIRM ROSARIO CIBELLA 1032 16WC 36175 BROWN, SHERMAN DOLLAR TREE STORES INC 11/14/16 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 FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1033 16WC 36258 KLEIN, JAMES H USF HOLLAND 05/22/15 DAVID W OLIVERO 1034 16WC 36285 VINCE, MARK A CHICAGO SUBURBAN EXPRESS 11/02/16 JOHN J CASTANEDA GANAN & SHAPIRO 1035 16WC 36331 HENRY, RICKY LUTHERAN CHILD & FAMILY S 11/15/16 WHITESIDE & GOLDBERG LTD 1036 16WC 36376 KELSEY, MIESHA AMAZON DISTRIBUTION CENTE 11/08/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1037 16WC 36487 FITCH, GLORIA ST PATRICK RESIDENCE 10/24/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1038 16WC 36509 ALVAREZ, ANGELA ATWORK PERSONNEL SERVICES 08/18/16 STRONG LAW OFFICE HENNESSY & ROACH PC 1039 16WC 36560 GARCIA, STEPHANIE ELITE STAFFING 08/17/16 DWORKIN AND MACIARIELLO 1040 16WC 36704 VENZOR, LAZARO ARGUELLO CORPORATION 08/08/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 1041 16WC 36750 COMPTON, DUANE SHIPPERS WAREHOUSE 11/19/16 SOSTRIN AND SOSTRIN PC 1042 16WC 36811 MORROW, SHAWANDA SUNNY HILL NURSING HOME 10/06/16 CULLEN HASKINS NICHOLSON 1043 16WC 36944 GLUSAK, MICHAEL SAFELITE AUTOGLASS 10/21/16 KARNO, MARK L & ASSOC HENNESSY & ROACH PC 1044 16WC 36963 MITROVICH, SHERI LOCKPORT TOWNSHIP HS 09/30/16 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 1045 16WC 37085 STATEN, DEMETRICE METRO STAFF 08/08/16 MC HARGUE, JAMES P LAW OFF FRANCIS J DISCIPIO LAW OFFIC 1046 16WC 37180 MORALES, LEOPOLDO VOLFLEX 11/30/16 HOWARD S. KAVENOW LLC CAPUANI & SCHNEIDER 1047 16WC 37394 MORRIS, DEBRA VENTURE EMPLOYER SERVICES 10/22/16 HORWITZ HORWITZ & ASSOC 1048 16WC 37545 HAYWOOD, LARONDA DSC LOGISTICS 11/14/16 GOLDBERG WEISMAN & CAIRO L MC ANDREWS & NORGLE LLC 1049 16WC 37588 ALVAREZ, JOSE CECCHIN PLUMBING & HEATIN 10/19/16 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 1050 16WC 37696 CARLSON, TIFFANY ACCURATE PERSONNEL 11/25/16 STROW LAW LLC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1051 16WC 37707 JOHNSON, ESPERANZA THE ARC OF IROQUOIS COUNT 10/19/16 SPIROS LAW PC 1052 16WC 37793 OGDEN, ROBERT WERNER ENTERPRISE 08/26/16 PETER F FERRACUTI & ASSOCI SMITH AMUNDSEN LLC 1053 16WC 37847 THOMPSON, SHANEEN AMAZON 11/29/16 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 1054 16WC 38108 BURN, ISAIAH ELITE STAFFING 11/29/16 DWORKIN AND MACIARIELLO 1055 16WC 38147 GIVENS, KARL LINEAGE LOGISTICS HOLDING 09/23/16 GOLDSTEIN BENDER & ROMANOF WOLFE & JACOBSON, LTD 1056 16WC 38178 KINCAID, JIM SCHNEIDER LOGISTICS 10/25/16 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 1057 16WC 38274 DONNELLY, JOANN JOLIET JUNIOR COLLEGE 10/24/16 KROL BONGIORNO & GIVEN LTD 1058 16WC 38385 HARMS, ALAN CASSENS TRANSPORT COMPANY 11/14/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1059 16WC 38407 RUSSELL-HETH, PATRICIA K WAL-MART 11/19/15 WILLIAMS, ROBERT B LAW OFF WIEDNER & MCAULIFFE LTD 1060 16WC 38429 REYES, JONNIE JOFEN ORIENTAL FRESH MARK 12/30/15 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 1061 16WC 38543 MCGUIRE-CLEM, WENDI THE HOME DEPOT USA, INC 12/15/15 LEITER LAW OFFICES MC ANDREWS & NORGLE LLC 1062 16WC 38670 TATE, VICTORIA PARAMOUNT STAFFING 12/05/16 DISPARTI LAW GROUP PA SCOPELITIS GARVIN LIGHT 16WC039084 -C 1063 16WC 38743 HERNANDEZ, LAURA PRIMARY STAFFING INC 07/11/14 JAMES M GERAGHTY QUINTAIROS PRIETO WOOD & BOY 1064 16WC 38882 MORROW LC HILL BROTHERS TRANSPORTAT 12/19/16 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 1065 16WC 39083 BURNS, JESSICA AMAZON 12/22/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1066 16WC 39088 MCFEDRIES, ROBERT A LOCKPORT TOWNSHIP HIGH SC 12/07/16 SOSTRIN AND SOSTRIN PC 1067 16WC 39232 SHEWMAKE, LAURENCE LOCKPORT STEEL FABRICATOR 11/25/16 ROUSKEY & BALDACCI 1068 16WC 39324 LOCKHART, SHENIKA SILVER CROSS HOSPITAL 01/12/16 BUSSE, BUSSE & GRASSE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1069 16WC 39352 ALSTON, BRANDON ST OF IL DEPT OF CORRECTI 12/06/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 1070 16WC 39386 MORALES, DOMINGO BAY STATE MILLING 12/20/16 MANUAL CARDENAS & ASSOC LAW OFFICES JOSEPH MARCINIAK 1071 16WC 39396 REGNIER, BRADFORD BATTLE ENTERPRISES LLC 12/22/16 DWORKIN AND MACIARIELLO 1072 16WC 39437 FIGUEROA, SUJEY PREMIER EMPLOYEE SOLUTION 10/24/16 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 1073 17WC 00192 FIORDIROSA, ANTHONY DAVE JONES PLUMBING 12/12/16 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 1074 17WC 00221 TESCHKE, BRYAN SURESTAFF, INC/ GOYA 10/19/16 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 1075 17WC 00234 CERVANTES, SARA AT&T 11/22/16 CUSHING LAW OFFICES 1076 17WC 00309 GUERRERO, BARBARA WILL COUNTY CLERK OFFICE 12/23/16 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 1077 17WC 00389 DAVIS, ISAIAH INTEGRITY STAFFING SOLUTI 12/12/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1078 17WC 00436 JACKSON, KENNETH KANE IS ABLE INC 12/21/16 ANKIN LAW OFFICE WOLF LAW LTD 1079 17WC 00564 MAEZES, KATIE ASTRAZENECA PHARMACEUTICA 01/08/16 DEER & STONE PC HENNESSY & ROACH PC 17WC000565 -C 1080 17WC 00606 PEREZ, MAXIMO A CRATE SERVICES 12/20/16 CHEPOV & SCOTT LLC 1081 17WC 00650 NORTON, QUENTIN NEXUS EMPLOYMENT SOLUTION 07/19/16 LEITER LAW OFFICES 1082 17WC 00693 MC GAUGHY, ELLIOTT LABOR READY 12/01/16 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 1083 17WC 00754 CARRASQUILLO, ISMAEL KUUSAKOSKI 01/04/17 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 1084 17WC 00786 JARAMILLO, JOSE NEXUS EMPLOYMENT SOLUTION 11/22/16 COSTA IVONE LLC 1085 17WC 00802 JONES, JACQUELINE VALLEY VIEW 10/09/15 DWORKIN AND MACIARIELLO 1086 17WC 00810 GAMBLE, JOANN INTEGRITY STAFFING 12/28/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1087 17WC 00850 KELLY, CHRIS AREA ERECTORS 01/06/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1088 17WC 00865 NOVOROLSKY, MARK FED EX FREIGHT 12/19/16 KARCHMAR & STONE 1089 17WC 00885 BRACKETT, SCOTT JOLIET STAFFING 10/23/16 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 17WC000895 -C 1090 17WC 00900 BROOKS, SHERREE DIAGEO 11/08/16 RATHBUN CSEVENYAK & KOZOL COZZI & GOGGIN-WARD 1091 17WC 00950 ERICKSON, JOHN FEDEX GROUND 12/08/16 CUDA LAW OFFICES 1092 17WC 01066 BOHLEN, JANINE COSTCO 12/16/16 DEAN J CARAS & ASSOCIATES GANAN & SHAPIRO 1093 17WC 01143 HOFBAUER, VALERIE ILL DEPT OF CORRRECTIONS @ 12/06/16 COPELAND FINN & FIERI LTD MALLORY ZIMET 1094 17WC 01189 LATHAN, PAUL HOME DEPOT 12/24/16 ASHER, RAYMOND L LTD ADELSON TESTAN & BRUNDO 1095 17WC 01207 ANSTED, GAYLE ACOSTA SALES & MARKETING 06/10/16 RATHBUN CSEVENYAK & KOZOL SPIEGEL & CAHILL, PC 1096 17WC 01241 RAYMUNDI, JULIO BRENNAN EQUIP & MANUFACTU 10/07/16 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 1097 17WC 01317 BALL, WILLIAM H DIAMOND TECHNICAL SRVCS, 06/02/16 ANKIN LAW OFFICE 1098 17WC 01366 WORLEY, CLARENCE QC COMMUNICATIONS 11/16/16 DWORKIN AND MACIARIELLO 1099 17WC 01665 WILLIAMS, MICHAEL E DELLWOOD TIRE AND AUTO RE 01/03/16 KAVANAGH GRUMLEY & GORBOLD 1100 17WC 01700 SIMS, JAMES FIRST STAFF SERVICES 12/07/16 RATHBUN CSEVENYAK & KOZOL 1101 17WC 01725 LEMIEUX, RICHARD PROFESSIONAL TRANSPORTATI 12/12/16 ROMANUCCI & BLANDIN QUINTAIROS PRIETO WOOD & BOY 1102 17WC 01746 RILEY, JEREMY LIBERTY COLD STORAGE 01/05/17 MARC J SHUMAN & ASSOCIATES 1103 17WC 01849 DIAZ, CECILIA HICKORY FARM 08/31/16 RATHBUN CSEVENYAK & KOZOL 1104 17WC 01868 SANTOS, KHEY SUMMITT STAFF 12/30/16 COSTA IVONE LLC LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1105 17WC 01902 BYAS-LURGIO, JESSICA ADAMS AND ASSOC JOLIET JO 01/04/17 BLOCK, KLUKAS & MANZELLA P 1106 17WC 01975 ESPARZA, ROSALBA SCRIPHESSCO 09/19/16 GOLDSTEIN BENDER & ROMANOF 1107 17WC 01986 MCCORMACK, EDWARD HOMER TOWNSHIP FORE PROTE 04/26/13 HORWITZ HORWITZ & ASSOC 1108 17WC 02088 TALARICO, WILLIAM J CITY OF JOLIET 05/19/16 KROCKEY CERNUGEL COWGILL E KNELL & O'CONNOR 1109 17WC 02131 LISAK, RICHARD A JR ADVNANCED AUTO PARTS 06/16/16 GARDI & HAUGHT 1110 17WC 02200 LAMBERT, DANIELLE J.B. HUNT TRANSPORT SVCES 07/09/16 ANESI OZMON RODIN NOVAK KO 17WC004222 -C JB HUNT TRANSPORT SVCS, IN 1111 17WC 02234 MAYS, DESHA AMAZON 01/05/17 VASILATOS & COTTER LLC WIEDNER & MCAULIFFE LTD 1112 17WC 02283 POLICANDRIOTES, JOHN POLLEY'S GARAGE INC 09/20/16 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 1113 17WC 02386 CONDON, ADAM S JAY MORRIS TRUCKING 12/02/16 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 1114 17WC 02438 DILLARD, CHARLES ELITE STAFFING 01/11/17 LAW OFFICES TIMOTHY HENDER 1115 17WC 02568 VAZQUEZ, JOSE KEHE DISTRIBUTION INC 11/17/16 PARENTE & NOREM PC NOBLE & ASSOCIATES PC 1116 17WC 02603 VEGA, MARIA DEL ROSARIO READERLINK DISTRIBUTION 12/12/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 1117 17WC 02614 WILKINS, THADDEUS ELITE STAFFING 01/23/17 DWORKIN AND MACIARIELLO 1118 17WC 02666 ORNELAS, IRMA PETCO 09/19/16 RUBENS AND KRESS ADELSON TESTAN & BRUNDO 1119 17WC 02712 VAZQUEZ, JOSE KEHE DISTRIBUTION INC 03/03/16 PARENTE & NOREM PC NOBLE & ASSOCIATES PC 1120 17WC 02718 ARNOLD, KELVIN JEWEL OSCO 12/14/16 MARC J SHUMAN & ASSOCIATES RODDY LAW LTD 1121 17WC 02761 JOHNSON, ERIC CITY OF JOLIET 01/10/17 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 1122 17WC 02793 HILL, AARON CITY OF JOLIET 05/16/16 HETHERINGTON KARPEL BOBBER ROSARIO CIBELLA

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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 FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1141 17WC 04336 GOFRON, JOHN J SHIPPERS WAREHOUSE 12/04/16 STEVEN J MALMAN & ASSOCIAT 1142 17WC 04350 HERNANDEZ, PAUL E PLAINFIELD SCHOOL DISTRIC 12/20/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 1143 17WC 04373 CUEVAS, ANGELICA ELITE STAFFING 01/13/17 COSTA IVONE LLC 1144 17WC 04380 HERRERA, BERTHA PROLOGISTIX STAFFING 02/02/17 COSTA IVONE LLC 1145 17WC 04546 JOHNSON, MICHAEL B CRANE COMPOSITES 01/27/17 PETER D CORTI LAW GROUP SPIEGEL & CAHILL, PC 1146 17WC 04614 THOMPSON, MARK FEDERAL EXPRESS 12/17/15 MARKER & ASSOCIATES 1147 17WC 04647 HERNANDEZ, JOSE ANGEL PEACOCK ENGINEERING CO/ 01/30/17 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 1148 17WC 04685 GUZIK, MARY BETH SILVER CROSS HOSPITAL 06/01/12 ROSS TYRRELL MACIOROWSKI SACKMANN & ULRIC 1149 17WC 04733 PULIDO, JOSE MORFIN CONSTRUCTION 06/20/16 BLOCK, KLUKAS & MANZELLA P 1150 17WC 04786 KRESS, ALANNA STAFFING NETWORK 10/21/16 DAVID W MARTAY 1151 17WC 05014 ESQUIVEL, MICHAEL AMAZON FULFILLMENT CENTER 10/07/16 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 1152 17WC 05058 CROWTHER, LEITH CITY OF JOLIET FIRE DEPT 01/07/17 RATHBUN CSEVENYAK & KOZOL ANCEL GLINK DIAMOND BUSH & E 1153 17WC 05085 MUELLER, SHELBY GREATER JOLIET AREA YMCA 08/03/15 MCNAMARA PHELAN MCSTEEN LL 1154 17WC 05162 BOL, WAYNE USF HOLLAND 12/20/16 PARENTE & NOREM PC HENNESSY & ROACH PC 1155 17WC 05208 CHARLES, DARRYL JR SOUTHEAST PERSONNEL LEASI 01/07/17 ANKIN LAW OFFICE SPONSLER BISHOP 1156 17WC 05243 GLOWINKE, SCOTT VILLAGE OF UNIVERSITY PAR 11/18/16 O'CONNOR & NAKOS ODELSON & STERK 1157 17WC 05291 COLE, RITA G & W ELECTRIC COMPANY 12/13/16 BERG & BERG INMAN & FITZGIBBONS 1158 17WC 05345 OCHOA, LUIS ROSEBUD RESTAURANTS, INC 02/05/17 LAW OFFICES OF JOSEPH YOUN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1159 17WC 05427 HAMPTON, ALAN VILLAGE OF BOLINGBROOK 12/20/16 BART DURHAM POWER & CRONIN LTD 1160 17WC 05448 GOMEZ, ROMUALDO HOUSING AUTHORITY OF JOLI 02/24/14 DWORKIN AND MACIARIELLO 1161 17WC 05638 MALTROTTO, ROGER GALLAGHER ASPHALT CO 06/28/16 HORWITZ HORWITZ & ASSOC 1162 17WC 05716 WITTMAYER, TODD WILL COUNTY SHERIFF DEPAR 01/20/17 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 1163 17WC 05857 SILVA, CARLOS THYSENKRUPP MATERIALS NA 01/31/17 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 1164 17WC 05899 YOUNG, DAVID AT&T 11/30/16 GOLDBERG WEISMAN & CAIRO L 1165 17WC 05941 RAINE, THADDEUS XPO LOGISTICS 02/12/17 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 1166 17WC 06052 FRESSE, MARCO USF HOLLAND TRUCKING 02/01/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1167 17WC 06126 JOHNSON, GREG CATERPILLAR, INC 06/29/16 HEALY SCANLON LAW FIRM CATERPILLAR, INC. 1168 17WC 06177 KETEL, KATHERINE AMAZON 02/27/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1169 17WC 06324 WILLIAMS, TREMAIN DOLLAR TREE DISTRIBUTION 02/27/17 DWORKIN AND MACIARIELLO 1170 17WC 06412 PEDROZA, HECTOR JB HUNT TRANSPORT INC 10/28/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 1171 17WC 06520 CERWIN, STEVEN TRAVEL PILOT CENTER 08/24/16 LEITER LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 1172 17WC 06557 BACOT, ANDRIA ILLINOIS DEPT O CORRECTIO @ 02/27/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 1173 17WC 06743 RENTAUSKAS, BRUNO USF HOLLAND 02/14/17 PARENTE & NOREM PC HENNESSY & ROACH PC 1174 17WC 06769 WILDA SR., PAUL PILOT FLYING J 02/14/17 WOODRUFF & JOHNSON 1175 17WC 06811 HARTISON, DAVID B METRO STAFFING INCORPORAT 08/08/16 WEISS & WEISS LAW OFFICES 1176 17WC 06859 JAMES-TRINIDAD, CLAUDETTE ENLIVANT ROCK RUN PLACE 02/19/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1177 17WC 06921 GARCIA, PABLO MONROY AMERICAN BUILT SYSTEMS, I 12/16/16 LEO M. BLEIMAN & ASSOC 1178 17WC 06963 KING, LANUNDRA WILL COUNTY HEALTH DEPART 09/01/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1179 17WC 07137 SIEGEL, ZACHARY SIEGEL'S COTTONWOOD FARM 10/02/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1180 17WC 07155 PIEHL, CANDICE SUNDANCE, INC/ 05/30/15 BLOCK, KLUKAS & MANZELLA P 1181 17WC 07190 ROSSI, JOSEPH FIDELITONE 12/22/16 MILLON & PESKIN LTD 1182 17WC 07262 SMITH, COLLEEN JEWEL OSCO 09/23/16 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 1183 17WC 07301 NOLAN, WENDEE VALLET VIEW SCHOOL DIST 3 01/24/17 KURASCH & KLEIN, LTD KNELL & O'CONNOR 1184 17WC 07324 LOEZZA, BIBIANO SEARS LOGISTICS 02/13/17 MARKER & ASSOCIATES 1185 17WC 07332 QUIRAM, JACQUELYN DRAUDEN POINT MIDDLE SCHO 11/09/16 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 1186 17WC 07412 O'HARA, PATRICK CITY OF JOLIET FIRE DEPT 02/09/17 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 1187 17WC 07472 SHELBY, ERIC HOME DEPOT RDC 5851 05/17/16 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 1188 17WC 07517 MCDERMOTT, TROY NRJM INC 11/19/16 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 1189 17WC 07581 EID, ABDALAZIZ LAKHA INVESTMENT, LLC 12/24/16 NOBLE & ASSOCIATES PC RODDY LAW LTD 1190 17WC 07754 QUEZADA, FIDEL EL CUNADO HEATING & COOLI 01/20/17 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 1191 17WC 07834 BUTCHER, JAMES AMAZON 10/04/16 SCHREINER MALLOY & ETZLER WIEDNER & MCAULIFFE LTD 1192 17WC 07924 MITCHELL, LAREAS R PEACOCK ENGINEERING CO 10/26/16 ANKIN LAW OFFICE 1193 17WC 07938 LARKIN, TYRIKA GRAND PRAIRIE TRANSIT 01/26/17 CHARLES LEVY & ASSOC LTD 1194 17WC 08012 WILLIS, ERICA AMAZON 11/04/16 KUMLIN & FROMM 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 FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1195 17WC 08040 ROMERO GONZALES, MARIO ELITE STAFFING 12/06/16 PORRO NIERMANN LAW GROUP 1196 17WC 08070 MORALES, ANTONIO GCA SERVICES 02/02/16 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD 1197 17WC 08167 MILLER, NATHANIEL SPRING STORE BY AIRCORP, 03/01/17 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 1198 17WC 08189 SMALLEY, DONALD SIMOS LOGISTICS 01/12/17 MARKER & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 1199 17WC 08346 NEAL, LISA AMAZON FULLFILLMENT CTR 03/01/17 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 1200 17WC 08355 ALBA-CORTEZ, RAUL AHC MECHANICAL, INC 02/03/17 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 1201 17WC 08403 RODRIGUEZ, GUADALUPE LOBOZ AND ASSOCIATES INC 12/01/16 CHEPOV & SCOTT LLC GANAN & SHAPIRO 1202 17WC 08483 DILLARD SR., DOUG L HANSON MATERIAL SVC 12/07/16 O'CONNOR & NAKOS RODDY LAW LTD 1203 17WC 08504 GONZALES, JOSE REYES ELITE STAFFING INC 03/02/17 CULLEN HASKINS NICHOLSON 1204 17WC 08566 FRAZIER, SHANTIA WEST LIBERTY FOODS 01/09/17 STEPHEN G PINTO LTD 1205 17WC 08590 RUEDLINGER, KIMBERLY WALMART STORES 11/30/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1206 17WC 08626 MARTEY, JOSEPHINE PRESENCE ST JOSEPH MED CT 08/01/16 DONAHUE, PAUL T LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 17WC008627 -C 1207 17WC 08639 LOPEZ, REFUGIO SNIDER-BLAKE PERSONNEL 02/28/17 NIEMANN & PARKER COZZI & GOGGIN-WARD 1208 17WC 08668 COKLEY, WARREN QUALITY HINGES 03/14/17 DWORKIN AND MACIARIELLO 1209 17WC 08717 FERNANDEZ, JOSE R CENTRAL SOD FARMS, INC 06/10/16 FOOTE MIELKE CHAVEZ & O'NE 1210 17WC 08726 FLORES, JUAN LABOR TEMPS 01/05/17 STEFFEN KELLY & STEFFEN 1211 17WC 08774 HARPER, MEEGAL SCHNEIDER LOGISTICS 02/22/17 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 1212 17WC 08807 LUCAS, MONICA AMAZON 03/05/17 BIZZIERI LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1213 17WC 09050 THORN, JOHN ALL MASONRY CONSTRUCTION 09/22/16 MCNAMARA PHELAN MCSTEEN LL ACCIDENT FUND HOLDINGS 1214 17WC 09084 SCALZITTI, ANTHONY USF HOLLAND 11/21/16 PARENTE & NOREM PC 1215 17WC 09135 AGRON, ANDRES FILTRATION GROUP LLC 01/09/17 THE ROMAKER LAW FIRM ROSARIO CIBELLA 1216 17WC 09158 CAMPAGNA, KIMBERLY HUTTON FAMILY DENTAL 09/07/16 SOSTRIN AND SOSTRIN PC 1217 17WC 09232 DUPREE, FRANK DIAGEO NORTH AMERICA, INC 02/15/17 RUBIN LAW GROUP COZZI & GOGGIN-WARD 1218 17WC 09262 MCADAMS, KELLY VINCA SOLUTIONS/HOME DEPO 09/20/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 1219 17WC 09367 MITCHELL, KESHIANNA AMAZON WAREHOUSE 11/16/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 1220 17WC 09420 MORALES, PERLA ELITE STAFFING 02/24/17 CULLEN HASKINS NICHOLSON 1221 17WC 09447 GRIFFIN, LATANYA VILLAGE WOOD RETIREMENT L 03/07/16 BIZZIERI LAW OFFICES 1222 17WC 09538 CARROLL, LENORE ALLERGY & ASTHMA ASSOCIAT 03/04/17 RIDGE & DOWNES GILDEA & COGHLAN 1223 17WC 09565 STUKEL, JEREMY FRANKFORT FIRE DEPT 08/27/16 BLOCK, KLUKAS & MANZELLA P 1224 17WC 09643 SCHMIDT, JOELLYN LINCOLNWAY COMMUNITY 11/01/16 ASHER, RAYMOND L LTD 1225 17WC 09668 BENOIT, MICHAEL A BRENNAN EQUIPMENT & MFG, 01/30/17 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 1226 17WC 09721 POLLACK, DONALD TRIMAC EQUIPMENT LEASING 01/13/17 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 1227 17WC 09777 DIGAN, EDWARD CICERO PLASTIC PRODUCTS I 03/14/17 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 1228 17WC 09840 ARBUTHNOT, VINCENT RYDER SERVICES 01/12/17 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 1229 17WC 09873 BARTOLI, JOSEPH GIORDANO'S 12/16/16 SEIDMAN MARGULIS & FAIRMAN 1230 17WC 09962 MELENDEZ, TASHANNA ELCEL IN DBA DHL SUPPLY C 03/25/17 GOLDSTEIN AIOSSA & GOOD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1231 17WC 09983 WALCZAK, DEBORAH SILVER CROSS HOSP 08/19/15 KROL BONGIORNO & GIVEN LTD MACIOROWSKI SACKMANN & ULRIC 1232 17WC 10037 BORCHERT, MARK LEISURE HOURS HOBBIES 05/09/15 EFTEKHARI LAW OFFICES HOLECEK & ASSOCIATES 1233 17WC 10111 GUTIERREZ, ROB GEODIS 02/20/17 WOODRUFF & JOHNSON SPIEGEL & CAHILL, PC 1234 17WC 10158 HENDERSON, NATASHA DAVITA 01/17/17 DWORKIN AND MACIARIELLO 1235 17WC 10202 CATZIN, LUIS AMERISOURCE BERGEN 12/14/16 AIOSSA LAW FIRM SPIEGEL & CAHILL, PC 1236 17WC 10271 ZAMORA, ROLANDO SPX COOLING TECHNOLOGIES 02/10/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 1237 17WC 10327 FIELDS, BRENDA WALMART 09/18/16 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY 1238 17WC 10368 JACKSON, ARIEL DELTA TGROUP IL INC 03/16/17 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 1239 17WC 10395 PITTMAN, TIMOTHY PACTIV CORP 03/28/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1240 17WC 10421 TREGONING, TODD DOUBLE D EXPRESS INC 02/09/17 SCHWEICKERT & GANASSIN 1241 17WC 10471 CALDERON, GUADALUPE MIDWAY CUSTOM CASE 01/16/17 CHRISTIAN & MANNO COZZI & GOGGIN-WARD 1242 17WC 10541 MCCHARTHY, KEVIN J II ACARS GROUP INC 03/31/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 1243 17WC 10633 SANCHEZ, JOSAFATH NEXUS EMPLOYMENT SOLUTION 03/07/17 SKLARE LAW GROUP 1244 17WC 10674 PETTIS, KYLEN PROLOGISTIX 03/07/17 VRDOLYAK LAW GROUP LLC 1245 17WC 10700 BREWER, KHADIDRA SETTLES FLEXIBLE STAFFING 03/16/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 1246 17WC 10786 SZAJERSKI, JULIE SILVER CROSS HOSPITAL 01/08/17 SAM CUBA LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 1247 17WC 10832 MARTINEZ, JOSE A LOGOPLASTE USA, INC 11/30/16 KATZ FRIEDMAN EAGLE ET AL 1248 17WC 10859 HIR, DANIEL VISION INTEGRATED GRAPHIC 10/13/16 SLAVIN & SLAVIN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1285 17WC 12923 LESLIE, WILLIE T RJW TRANSPORT, INC 04/14/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1286 17WC 12973 TRIANA, SECILIO RAILWAY & INDUSTRIAL SERV 01/16/17 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 1287 17WC 13058 AVINA, JOSE FIVE ACES INC 07/13/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1288 17WC 13085 GRANT, NATAYIA SEPTRAN BUS 04/25/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1289 17WC 13176 WEST-STEPHENS, JARRETT LAKES VENTURE LLC DBA FRE 03/19/17 MARKER & ASSOCIATES 1290 17WC 13254 TRAFTON, RICHARD JOLIET CITY POLICE DEPT 03/01/17 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 17WC013255 -C 1291 17WC 13278 REAGAN, MICHELLE TIFFANY AND CO 10/15/16 HETHERINGTON KARPEL BOBBER SPIEGEL & CAHILL, PC 1292 17WC 13299 CRUZ-LEZAMA, BENJAMIN PRESTIGE MAINTENANCE USA 08/05/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 1293 17WC 13327 DAVIS, CRAIG SCHNEIDER 03/22/17 BOWMAN & CORDAY 1294 17WC 13368 GELIN, LARRY JOLIET TOWNSHIP HS 01/06/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 1295 17WC 13407 STARANOWICZ, REBECCA PRESENCE ST JOSEPH 04/19/17 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 1296 17WC 13426 SANCHEZ, THELMA ELITE STAFFING, INC 04/21/17 SALK, STEVEN B & ASSOC LTD 1297 17WC 13489 WAGNER,LUKE RIVER HEIGHTS 09/26/16 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 1298 17WC 13613 KOREN, SEAN B VILLAGE OF BOLINBROOK 06/27/16 FIGLIOLI, DAVID 1299 17WC 13663 ALIELGAZAR, ASHRAF CONTAINPORT GROUP INC 04/26/16 RUBIN MACHADO ROSENBLUM MCANANY VANCLEVE & PHILLIPS 1300 17WC 13701 FOSTER, ELVIS AMAZON 05/03/17 DWORKIN AND MACIARIELLO 1301 17WC 13754 SPENCER, SHIQUITA GRAINGER 04/04/17 RATHBUN CSEVENYAK & KOZOL 1302 17WC 13761 BAUER, LINDA WALMART STORE #3400 12/09/16 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1321 17WC 14851 GAVALICK, JOHN GDI INTEGRATED FACILITY S 08/10/16 LAW OFFICES MICHAEL HELLMA COZZI & GOGGIN-WARD 1322 17WC 14908 EISON, JULIAN ILLINOIS STATE POLICE 02/08/17 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 1323 17WC 14948 YOUNG, RUSSELL G DARK HORSE EXPRESS 12/22/16 HASSAKIS & HASSAKIS PC 1324 17WC 15043 SHERER, REVANN ECOLAB 08/09/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1325 17WC 15131 ELLIS, GREGORY SHARK SHREDDING & DOCUMEN 10/03/14 CRONIN & PETERS 1326 17WC 15178 PACE, JACQUELINE PARAMOUNT STAFFING INC 04/20/17 PAUL MARZANO 1327 17WC 15235 YOUNG, EDWARD R JR. SUNSET CARTAGE, INC. 10/13/16 LAW OFFICES JOHN HEDRICH WIEDNER & MCAULIFFE LTD 1328 17WC 15262 GONZALEZ, ADRIAN DE JESUS SUMMIT STAFFING 05/10/17 WOODRUFF & JOHNSON 1329 17WC 15296 GREEN, ANDRE MEDTRONIC 12/17/16 HORWITZ HORWITZ & ASSOC 1330 17WC 15318 NEWSOME, DENNITH VISION, INC 05/02/17 WITTENBERG DOUGHERTY MAGLI 1331 17WC 15335 ROGERS, JASON VILLAGE OF PLAINFIELD 04/05/17 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 1332 17WC 15358 HUGHES, DANIEL TRINITY SERVICES, INC 02/10/17 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 1333 17WC 15491 BLAKE, JACQUIELINE M ARYZTA LLC 03/27/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 1334 17WC 15534 SMITH, SAVANNAH TROY COMM CONSOL SD 30-C 10/27/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 1335 17WC 15554 EDWARDS, ERIC ARBON STEEL & SERVICES CO 05/11/17 BRISKMAN BRISKMAN GREENBER GILDEA & COGHLAN 1336 17WC 15568 SMITH, MELISSA AMAZON 01/13/17 MARTIN L GLINK LAW OFFICE 1337 17WC 15615 BLACKBURN, KENDRICK FRESH THYME DISTRIBUTION 05/03/17 WARREN W MARK COZZI & GOGGIN-WARD 1338 17WC 15677 CULBREATH, FRED L CURRIE MOTORS FRANKFORT I 05/17/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1339 17WC 15928 DUSTIN, CAROLYN HOBBY LOBBY 12/16/16 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 1340 17WC 15997 FLORES, JOSE AMAZON FULFILLMENT CENTER 03/31/17 STANCZAK LAW OFFICES 1341 17WC 16052 MCCABE, MARK W CITY OF JOLIET 07/07/14 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 1342 17WC 16087 AARON, MARSHALL DHL * 05/01/17 HERRERA LAW CENTER HENNESSY & ROACH PC 1343 17WC 16114 VALERIO, OMAYRA TQUERIA LOST COMALES #14 04/23/17 SALK, STEVEN B & ASSOC LTD ROSARIO CIBELLA 1344 17WC 16127 WATTS, REGINALD READER LINK 05/24/17 DWORKIN AND MACIARIELLO 1345 17WC 16186 GONZALEZ, ZUJEY ALPHABRODER * 05/23/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1346 17WC 16232 MALINEK, CINDY GRAND PRAIRIE TRANSIT LOC 04/03/17 BRUGGEMAN HURST & ASSOC GALLIANI DOELL & COZZI LTD 1347 17WC 16326 WOODARD, BREANNA NOLAN LOGISTICS, INC * 05/19/17 BIZZIERI LAW OFFICES 1348 17WC 16343 CHAVEZ, DOMINGO HICKORY FARMS * 09/28/16 BLOCK, KLUKAS & MANZELLA P 1349 17WC 16394 GREEN, ELVIN VICTORY PACKAGING INC * 04/05/17 PORRO NIERMANN LAW GROUP 1350 17WC 16405 HENDRICKS, ALEX BOYD BROS TRANSPORTATION * 05/17/17 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 1351 17WC 16456 BETHEA, ELWOOD STATE OF ILL DOC STATEVIL @ * 02/21/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1352 17WC 16501 CAVIN, WILLIAM SATO LABELING SOLUTIONS * 12/19/16 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 1353 17WC 16685 CRUZ, JOSE AIM NATIONAL LEASE * 05/26/17 POLANSKY & CICHON CHTD 1354 17WC 16720 WRAY, NICHOLAS THREE TREE LANDSCAPES, LL * 05/11/17 LAW OFFICES OF JOSEPH F. V 1355 17WC 16840 PERCONTI, MICHELLE COWORX STAFFING * 04/13/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1356 17WC 16861 ALONSO, CHRIS KNAUER INDUSTRIES * 03/16/17 ROSS TYRRELL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1375 17WC 17711 JUAREZ, NICHOLAS STATEVILLE CORRECTIONAL C @ * 08/02/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 1376 17WC 17772 BENOIT, REBECCA COMMUNITY CARE SYSTEMS IN * 03/07/17 SPIROS LAW PC 1377 17WC 17776 NELSON, MAURICE HOME DEPOT * 06/05/17 FRANK A CELANI MC ANDREWS & NORGLE LLC 1378 17WC 17831 GLYNN, BILL TYCO INTEGRATED SECURITY * 09/30/15 EFTEKHARI LAW OFFICES 1379 17WC 17880 RASMUSSEN, JAMES P WILL COUNTY CORORNER'S OF * 10/01/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1380 17WC 17904 PALUCH, MARK REALISTIC LOGISTICS INC * 04/30/15 RICHARD O. GREENFIELD 1381 17WC 17952 GLIENKE, ERIC ULTA BEAUTY DISTRIBUTION * 05/01/15 LANNON LANNON & BARR LTD ARNETT LAW GROUP 1382 17WC 18030 MSZAL, MISTY VALLEY VIEW SCHOOL DISTRI * 05/25/17 DESTEFANO, ROBERT A & ASSO 1383 17WC 18071 OWENS, SUSAN SILVER CROSS HOSPITAL * 05/17/17 WOLFE LAW PC MACIOROWSKI SACKMANN & ULRIC 1384 17WC 18091 QUINN, JOSEPH STATE OF ILLLINOIS @ * 05/09/17 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 1385 17WC 18151 CADENA, FERNANDO NC TRANSITION STAFFING CO * 05/30/17 BART DURHAM GAROFALO SCHREIBER STORM 1386 17WC 18159 PHILLIPS, JIMMY GREENSCAPE SVCS * 06/01/17 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 1387 17WC 18170 MARTINEZ, BERTHA CARRANZA RAYMOND MANAGEMENT COMPAN * 01/05/17 STEWART C ORZOFF 1388 17WC 18178 ARIAS, FABIOLA RASNER COMPANIES INC * 06/01/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 1389 17WC 18252 SWIDER, DANIEL ROTADYNE * 03/31/17 LOSS & PAVONE 1390 17WC 18262 GRIFFIN, PATRICIA AMAZON.COM DEDC, LLC * 03/15/17 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1391 17WC 18282 CHAUDHRY, AHMAD ALPHABRODER * 06/15/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1392 17WC 18309 WHITE, DONNELL MARQUETTE COMPANIES * 03/28/17 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 17WC018310 -C 1393 17WC 18372 PANZICA, DOMINICK LINCOLN WAY HIGH SCHOOL * 05/09/17 STEVEN J MALMAN & ASSOCIAT 1394 17WC 18397 ALLEN, TERRON SCHNEIDER LOGISTICS TRANS * 06/07/17 ANKIN LAW OFFICE POWER & CRONIN LTD 1395 17WC 18486 ROGERS, MATT LOCKPORT FIRE DEPARMENT * 04/29/17 RATHBUN CSEVENYAK & KOZOL 1396 17WC 18502 ROGERS, MATT LOCKPORT FIRE DEPARTMENT * 04/26/17 RATHBUN CSEVENYAK & KOZOL 1397 17WC 18522 JONES, ROBERT E SR MILLENIUM METALS * 11/28/16 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 1398 17WC 18603 GERO, MONICA SMS TECHNICAL SERVICES * 03/03/17 DWORKIN AND MACIARIELLO 1399 17WC 18738 TASCONE, CARL LINCOLN WAY CENTRAL * 05/26/16 RUSIN & MACIOROWSKI LTD 1400 17WC 18815 SOSA, GIOVANNI AMAZING FULFILLMENT CENTE * 03/01/17 MC HARGUE, JAMES P LAW OFF 17WC018816 -C AMAZON FULFILLMENT CENTER 1401 17WC 18849 DIETER, PHILIP APEX MATERIAL TECHNOLOGIE * 12/19/16 MCNAMARA PHELAN MCSTEEN LL 1402 17WC 18904 DOLATOWSKI, GARY SONY DADC US INC * 01/23/17 LOSS & PAVONE KEEFE CAMPBELL & ASSOC LLC 1403 17WC 18974 RUZENCEVS, ANDRIS BIG BEAR CARPENTRY * 06/08/17 CRONIN & PETERS COZZI & GOGGIN-WARD 1404 17WC 19005 RODRIGUEZ, MONICA MEIJER, INC * 06/04/17 JOHN J CASTANEDA KNELL & O'CONNOR 1405 17WC 19022 FOWLER, TRAVIS J HOMEOWNERS BARGAIN OUTLET * 06/01/17 KROCKEY CERNUGEL COWGILL E QUINTAIROS PRIETO WOOD & BOY 1406 17WC 19057 HINTON, DWIGHT PRAIRIE CREEK LOGISTICS * 10/26/16 HORWITZ HORWITZ & ASSOC 1407 17WC 19165 MCDANIELS, BRIAN HORIZON CARPENTRY * 10/26/16 CHRISTIAN & MANNO 1408 17WC 19239 RODRIGUEZ, MARIO USF HOLLAND * 05/22/17 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1409 17WC 19305 ORTEGA, FROILAN HOMER TREE SERVICE INC * 04/10/17 DUDLEY & LAKE LLC 1410 17WC 19378 ZARATE, LATASHA SCHNEIDER LOGISTICS * 03/07/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1411 17WC 19425 EBERLE, JULIE M WALMART STORES, INC * 04/17/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 1412 17WC 19446 POKORNIK, DAVID LOWES HOME CENTERS, INC * 05/04/17 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 1413 17WC 19537 NELSON, JACK JOSCO CONSTRUCTION SERVIC * 03/27/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1414 17WC 19573 JACKSON-BERG, KATHY TRITON MANUFACTURING * 04/07/17 DEPAOLO ZADEIKIS GORE BRADY, CONNOLLY & MASUDA, PC 1415 17WC 19647 POE, GABRIELLE INDIVIDUAL ADVOCACY GROUP * 06/27/17 ANGELINI & ORI LLC 1416 17WC 19694 BIEL, ROBERT METROPOLITAN WATER * 06/17/17 LAW OFFICE OF SCOTT B SHAP NOBLE & ASSOCIATES PC 1417 17WC 19849 SIMPSON, DARLENE SPRING CREEK NURSING & RE * 05/11/17 GOLDSTEIN BENDER & ROMANOF 1418 17WC 19858 DAVIS, BARBARA RT 66 FOOD & FUEL * 07/02/17 DWORKIN AND MACIARIELLO 1419 17WC 19870 GRANT, GEORGIYANA BURLINGTON COAT FACTORY * 06/29/17 DWORKIN AND MACIARIELLO 1420 17WC 19968 PATERIMOS, JENNIFER NETWORK GLOBAL LOGISTICS * 05/26/17 MEYERS & FLOWERS 1421 17WC 20140 CRICKMAN, DONALD STEPAN CO * 06/05/17 RATHBUN CSEVENYAK & KOZOL KLAUKE LAW GROUP LLC 1422 17WC 20196 AGUILERA, J FRANCISCO FLEETWOOD INC * 05/04/17 SCOTT BARBER 1423 17WC 20291 WOOD, WILLIAM SONY DADC US, INC C/O ILL * 05/11/17 HETHERINGTON KARPEL BOBBER INMAN & FITZGIBBONS 1424 17WC 20353 O'NEAL, DEVI ADAMS AND ASSOCIATES, INC * 06/23/17 MINKOW DOMIN 1425 17WC 20484 HALSEY, KARI AMAZON * 03/15/17 DWORKIN AND MACIARIELLO 1426 17WC 20603 SCOTT, JAJUAN VERIHA TRUCKING * 06/15/17 SCHREINER MALLOY & ETZLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1427 17WC 20660 MILONE, PETER JR ILLINOIS DEPARTMENT OF * 01/03/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 1428 17WC 20700 TRAVER, BRYCE R CITY OF JOLIET * 04/16/17 FABRIZIO, HANSON & PEYLA 1429 17WC 20711 REYES, REYNA CHILI'S GRILL & BAR * 06/26/17 COSTA IVONE LLC 1430 17WC 20813 HAYNES, STEPHANIE T AMAZON CROSS-DOCKING FACI * 06/27/17 VITELL & SPITZ LTD 1431 17WC 20911 ARMSTRONG, BRUCE TAMMEN TREEBURY FARM * 06/02/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 1432 17WC 20972 CECI, DOUGLAS CONVEYER SPECIALTIES, INC * 04/13/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 1433 17WC 21021 ANTON, SHARILYN GREER LABORATORIES * 01/13/16 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 1434 17WC 21084 KURTYAK, NICHOLAS LOCKPORT TOWNSHIP FIRE * 05/29/17 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 1435 17WC 21100 CARSON, GERVA D PACIFIC RAIL SERVICES * 03/10/17 THOMAS R LICHTEN GAROFALO SCHREIBER STORM 1436 17WC 21143 RIDDLEY, LATANYA AMAZON * 06/11/17 LEONARD LAW GROUP LLC 1437 17WC 21176 ROMERO, MARIA ELITE STAFFING INC * 07/14/17 JAMES ELLIS GUMBINER & ASS 1438 17WC 21231 KIDD, ASHLEY MENARDS * 09/07/16 RATHBUN CSEVENYAK & KOZOL 1439 17WC 21295 ELDER, DENNIS NRG ENERGY SERVICES * 01/03/17 HORWITZ HORWITZ & ASSOC 1440 17WC 21384 SASSER, MICHAEL USA HOIST COMPANY INC * 07/12/17 SANDMAN LEVY & PETRICH 1441 17WC 21450 WARREN, DARRELL YRC FREIGHT * 07/07/17 CULLEN HASKINS NICHOLSON 1442 17WC 21474 BRYANT, TINESHA HELP AT HOME * 07/14/17 DWORKIN AND MACIARIELLO 1443 17WC 21513 NESS, RANDY ACTION PLUMBING COMPANY, * 07/11/17 HORWITZ HORWITZ & ASSOC 1444 17WC 21540 POTTS, LISA C SYBARIS CLUBS INTRNATIONA * 07/12/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1445 17WC 21547 BROWN, RAVEN ATLAS STAFFING INC * 07/19/17 JAMES ELLIS GUMBINER & ASS 1446 17WC 21565 MOERSCHBAECHER, RITA ALBERTSON'S DBA JEWEL/OSC * 07/15/17 DAVID W MARTAY 1447 17WC 21607 LUNA, JOSE ALFREDO BERMUD MIM INSTALLATIONS, INC. * 06/28/17 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 1448 17WC 21662 OCHOA, MARTHA KEHE DISTRIBUTORS, INC * 04/02/17 WHITESIDE & GOLDBERG LTD 1449 17WC 21730 ABOAGYE, GRENDA HOME DEPOT * 04/04/17 WOODRUFF & JOHNSON ADELSON TESTAN & BRUNDO 1450 17WC 21762 ORTIZ-AVILA, SOLEDAD Y NEWSTREAM ENTERPRISES, LL * 07/07/17 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 1451 17WC 21809 JOHNSON, ANN JEWEL FOOD * 06/06/14 MATTHEW T. GUBBINS PC 1452 17WC 21841 BELL, DAVID WEATHERTECH * 07/14/17 HORWITZ HORWITZ & ASSOC 1453 17WC 21857 PHILLIPS, JOHN MICHAEL USF HOLLAND * 03/08/17 PARENTE & NOREM PC 1454 17WC 21862 BETZWISER, FRANK USF HOLLAND * 07/12/17 PARENTE & NOREM PC 1455 17WC 21896 DOYLE, KEVIN P PRESENCE HEALTH * 02/06/16 SOSTRIN AND SOSTRIN PC 1456 17WC 21951 JONES, KOADIE SCHNEIDER LOGISTICS * 01/11/17 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 1457 17WC 22049 WETZIG, NICOLE M CHILI'S BAR & GRILL * 07/08/17 STROM, NEAL B WILSON ELSER 1458 17WC 22091 BENDETTI, AUSTIN SC IFCO * 07/19/17 VITELL & SPITZ LTD 1459 17WC 22143 FLORES, MARIA LITTLE EXPLORERS CHRISTIA * 09/03/15 LAW OFFICES JOSEPH MARCINIAK 1460 17WC 22166 IRELAND, LATOYIA NEXUS * 07/23/17 DAVID W MARTAY 1461 17WC 22274 CALLIS, RAYMOND WALMART SUPERCENTER * 03/22/17 PARENTE & NOREM PC GANAN & SHAPIRO 1462 17WC 22328 PEDIGO, JAMES CENTRAL GROCERS, INC. * 04/27/17 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1463 17WC 22463 ENRIQUEZ-DELGADO, CUPERTI PRESS ON * 06/05/17 JAUREGUI & ASSOCIATES 1464 17WC 22495 WILLIAMS, SANDRA PCL ALVERNO * 03/02/15 LAW OFFICES MICHAEL HELLMA 1465 17WC 22516 ROBLES, ALVARO HEITHKOTTER INC * 07/18/17 COLLISON LAW OFFICES 1466 17WC 22542 FULLER, TODD SUPERIOR LAWN, INC AGA SP * 04/21/17 BLOCK, KLUKAS & MANZELLA P CAPUANI & SCHNEIDER 1467 17WC 22654 HERRERA, ELVIS RICHARD ATLAS STAFFING * 07/19/17 ELIZABETH BOWER KENT 1468 17WC 22715 PETERS, GEORGE LANGER TRANSPORT * 06/19/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 1469 17WC 22768 MATHEWS, JACOB HOME DEPOT WAREHOUSE * 03/13/17 SPIROS LAW PC 1470 17WC 22881 OCANA-PINEDA, ZAIRA S&S ACTIVE WEAR * 05/19/17 LEADERS LAW CENTER LLC KNELL & O'CONNOR 1471 17WC 22938 PHEBUS, ELIZABETH FEDEX GROUND * 06/06/17 RATHBUN CSEVENYAK & KOZOL 1472 17WC 22983 HERNANDEZ, ROSA TIMBERS OF SHOREWOOD * 11/30/16 BRIAN T MORROW, LAW OFFICE 1473 17WC 23006 JOHNSON, KIMBERLY J STATE OF ILLINOIS DEPT OF @ * 03/13/17 DWYER AND COOGAN ASSISTANT ATTORNEY GENERAL 1474 17WC 23057 NESBITT, ALAN CITY OF LOCKPORT POLICE D * 05/31/17 THOMAS J STIBERTH LAW OFFI 1475 17WC 23073 BEY, PATRICIA A JOLIET PUBLIC SCHOOLS * 07/21/17 ANKIN LAW OFFICE ROSARIO CIBELLA 1476 17WC 23083 APARICIO, JOSE SEATING CONCEPTS INC * 12/06/16 COSTA IVONE LLC 1477 17WC 23101 LEVITT, LARRY VILLAGE OF STEGER * 06/28/17 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 1478 17WC 23130 PIEDRA, JOSE LUIS M&S DELIVERY SERVICE, INC * 07/05/17 JONATHAN SCHLACK 1479 17WC 23225 MALDONADO, NESTOR ABBY INTERIORS SOLUTIONS * 02/26/17 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 1480 17WC 23284 HERNANDEZ, ALFONSO MEDTRONIC JOLIET * 03/23/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1481 17WC 23364 MEYER, JASON T. BUMP & GRIND AUTO BODY, I * 02/15/17 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 1482 17WC 23402 JOHNSON, JERROD LUCKY HAULERS, INC * 06/28/17 GRAUER & KRIEGEL LLC 1483 17WC 23448 MOTA, GABRIELLA STATE OF IL @ * 07/13/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1484 17WC 23554 NAVA, MARIA FERRARA CANDY COMPANY * 05/22/17 GOLDBERG WEISMAN & CAIRO L 1485 17WC 23594 READUS, CORINDA MEDTRONIC USA, INC * 05/30/17 ANKIN LAW OFFICE 1486 17WC 23608 WALKER, MICHAEL WELSCH READY MIX, INC * 07/21/17 HORWITZ HORWITZ & ASSOC 1487 17WC 23635 ROBINSON, ALAN SCHNEIDER LOGISTICS INC * 05/18/17 ANKIN LAW OFFICE POWER & CRONIN LTD 1488 17WC 23662 OSNESS, DIANE WESTAT, INC * 07/15/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 1489 17WC 23683 MCKENZIE, KAREN AMAZON * 06/20/17 COSTA IVONE LLC 1490 17WC 23726 MARTIN, DARRELL STATE OF IL DEPT OF CORRE * 08/01/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 1491 17WC 23777 JACOBS, JOSEPH AMAZON * 07/12/17 DAVID W MARTAY 1492 17WC 23865 CARROLL, TANESHA STATE OF IL * 08/01/17 HORWITZ HORWITZ & ASSOC 1493 17WC 23928 PUSATERI, JOSEPH OZINGA * 03/27/17 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM 1494 17WC 24004 HILL, DWAYNE ALRO STEEL CORP * 08/02/17 GALLAGHER LAW PC 1495 17WC 24259 KOWALEWSKI, WESSLEY J SOUTH EAST PERSONNEL LEAS * 07/17/17 ANKIN LAW OFFICE SPONSLER BISHOP 1496 17WC 24414 SEMANISION, TROY DIAGEO * 06/08/17 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 1497 17WC 24439 LOPEZ, GABRIEL MICHELIN NORTH AMERICA, I * 08/16/17 BERG & BERG 1498 17WC 24468 VILLEGAS, MARIA ARYZTA * 08/11/17 HERRERA LAW CENTER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1499 17WC 24495 SALLIE, RICK YRC FREIGHT * 06/30/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 1500 17WC 24581 COFFLEY, BRANDON S JHOC, INC D/B/A * 08/07/17 ANKIN LAW OFFICE MARTIN, PATRICK W 1501 17WC 24608 LUNA, HERBERTO XPEDIENT MANAGEMENT GROUP * 07/19/17 MENDOZA LAW PC 1502 17WC 24621 GUINN, ROBERT DAYTON FREIGHT LINES INC * 08/02/17 SANDMAN LEVY & PETRICH 1503 17WC 24755 BOSSE, PATRICK LEWIS TREE SERVICE * 07/11/17 PETER C KOPOULOS 1504 17WC 24789 REED, JUSTIN AMAZON * 06/15/17 DAVID W MARTAY 1505 17WC 24816 MARTINEZ, GENARO COMCAST, INC * 07/11/17 CHRISTIAN & MANNO 1506 17WC 24937 BRAVO, WILSON DSC LOGISTICS, INC. * 07/24/17 LAW OFFICES MICHAEL HELLMA 1507 17WC 24959 ARTEAGA, ANTHONY M.B.T. TRANSLOAD INC * 02/02/16 NICHOLIS J STEIN GANAN & SHAPIRO 1508 17WC 25010 COTTINGHAM, BRAD UNIVAR * 08/15/15 KATZ FRIEDMAN EAGLE ET AL 1509 17WC 25051 HAMILTON, QUINCY MULTI PLASTICS, INC * 01/23/17 VRDOLYAK LAW GROUP LLC 1510 17WC 25084 SYLER, ROBERT AMAZON * 08/09/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1511 17WC 25151 MURDOCK, THERESA CORNERSTONE SVCS, INC * 09/08/16 LANNON LANNON & BARR LTD 1512 17WC 25217 TRAVIS, LYSANDER CENTER FOR DISABILITY SER * 03/21/17 COSTA IVONE LLC 1513 17WC 25232 AALFORD, ADONIS WEATHERTECH * 08/16/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1514 17WC 25281 COOK, SUSAN L JEWEL OSCO/ ALBERTSONS LL 08/16/16 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 1515 17WC 25298 REDMOND, ROCHELLE HOME DEPOT * 05/03/17 KATZ FRIEDMAN EAGLE ET AL 1516 17WC 25333 RAMIREZ, JESUS ANGUIANO SCHNEIDER LOGISTICS * 08/10/16 THE FITZ LAW GROUP POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1517 17WC 25416 JOHNSON, TAMIKA M AMAZON * 12/10/16 GOLDSTEIN BENDER & ROMANOF 1518 17WC 25511 ANDRIST, MEGAN CPX SPORTS * 07/29/15 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 1519 17WC 25535 CARLSON, JAMES TITAN STEEL * 08/14/17 URBAN & BURT LTD 1520 17WC 25580 JETTER, SHERVCE CORNERSTONE SVS, INC * 12/02/16 MILLON & PESKIN LTD INMAN & FITZGIBBONS 1521 17WC 25676 MARKUSIC, DAVID AIM NATIONAL LEASE * 07/27/17 ANGELINI & ORI LLC 1522 17WC 25708 ALONSO, NEYVA GREAT AMERICAN BAGEL, INC * 04/26/17 CULLEN HASKINS NICHOLSON 1523 17WC 25829 BRASHER, MARK APL LOGSTICS 08/26/17 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 1524 17WC 26017 PIPER, KENNETH S MECHANICAL INC 07/12/16 HOLECEK & ASSOCIATES 1525 17WC 26251 ROMANO, IGNACIO SEATING CONCEPTS 06/19/17 HERRERA LAW CENTER 1526 17WC 26344 STEFFEN, NICHOLE SUONGFARR INC 08/24/17 HORWITZ HORWITZ & ASSOC CHILTON YAMBERT PORTER LLP 1527 17WC 26362 TANNER, TRINIDY ANDREWS STAFFING INC 08/26/17 ANKIN LAW OFFICE POWER & CRONIN LTD 1528 17WC 26498 CRAMER, JEFFREY BLUELINX 03/31/16 VASILATOS & COTTER LLC 1529 17WC 26533 PACH, KATHLYNE (BY AND TH BALTIC LINES II, INC #W* 08/14/17 JOHN E LUSAK 1530 17WC 26609 HERNANDEZ, JUAN BEARY LANDSCAPING 05/02/17 DWORKIN AND MACIARIELLO 1531 17WC 26700 DIXON, JOHNATHAN ACCURATE PERSONAL STAFF S 08/30/17 DWORKIN AND MACIARIELLO 1532 17WC 26738 ROJEK, MARK MOKENA FIRE DEPARTMENT 08/31/17 KROL BONGIORNO & GIVEN LTD 1533 17WC 26777 RANGEL GUZMAN, MARIA VIRG FLEXIBLE STAFFING/KENT FO 05/25/17 BRIAN T MORROW, LAW OFFICE 1534 17WC 26804 JOHNSON, NICHELLE HOME DEPOT 04/25/17 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1535 17WC 26836 ALFARO, MIGUEL WEST LIBERTY FOODS 08/24/17 HERRERA LAW CENTER 1536 17WC 26880 RATHBUN, WILLIAM JB HUNT CO TOYS R US DIST 03/22/16 RUBENS AND KRESS 1537 17WC 27033 MORALES, GILMA BAY STATE MILLING 07/14/16 MANUAL CARDENAS & ASSOC 1538 17WC 27115 LAS, DOROTA ALDI, INC 09/22/15 TIMOTHY E. TAKASH BRADY CONNOLLY & MASUDA PC 1539 17WC 27152 QUEEN, ERIC PALOS PARK FIRE PROTECTIO 08/31/17 DAVID W MARTAY 1540 17WC 27170 OSTANEK, ALBERT ERASTEEL, INC. 09/22/16 BRISKMAN BRISKMAN GREENBER 1541 17WC 27204 JACKSON, GEORGE RJW TRANSPORTATION 08/31/17 DWORKIN AND MACIARIELLO 1542 17WC 27247 CARTER, TERESA R SPEEDWAY, LLC 10/11/14 WILLIAMS, ROBERT B LAW OFF NYHAN BAMBRICK KINZIE & LOWR 1543 17WC 27359 CARRELL, PATRICIA(WIDOW/E COGNIS CORPORATION # 10/27/03 FRANCIS J DISCIPIO LAW OFF GRANT & FANNING 1544 17WC 27418 DARDEN, ROBERT STATEVILLE CORRECTIONAL C 07/19/17 DREW J FERRACUTI 1545 17WC 27428 JIMENEZ, PAULA J WILTON INDUSTRIES 08/23/17 VITELL & SPITZ LTD WOLFE & JACOBSON, LTD 1546 17WC 27487 GRIMALDO, EVA MARTINEZ AMAZON FULFILLMENT CENTER 08/04/17 COSTA IVONE LLC 1547 17WC 27502 HOLMON, TIFFANY M VERIZON WIRELESS 06/20/17 DWORKIN AND MACIARIELLO 1548 17WC 27538 GRUNWALD, KENNETH IL BELL TELEPHONE COMPANY 08/28/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 1549 17WC 27574 FLYNN, SEAN AUCTION ACCESS 09/22/16 CAPRON & AVGERINOS PC 1550 17WC 27598 BOOKER, SAMIKI T PEOPLE READY 08/16/17 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 1551 17WC 27780 FOUST, SHANNON PT FERRO CONSTRUCTION 09/13/17 DWORKIN AND MACIARIELLO 1552 17WC 27792 DELESIO, ROSARIO GARY GALASSI STONE & STEE 09/01/17 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1553 17WC 27814 JOHNSON, TERRELL WORK NOW 11/07/16 HENNESSY & ROACH PC 1554 17WC 27845 BERGER, ELKE PANDUIT 11/16/16 JASINSKI, GEORGE J 1555 17WC 27888 MOTON, JOHNNY BARTON STAFFING 07/21/17 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN 1556 17WC 27974 ORTIZ, MARITZA OUR LADY OF ANGELS 08/20/17 LEITER LAW OFFICES 1557 17WC 27984 JIMENEZ, ADALBERTO WORK NOW STAFFING 08/23/17 RATHBUN CSEVENYAK & KOZOL 1558 17WC 28036 TOLVER, MAURICIO PEOPLE READY INC 07/06/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 1559 17WC 28082 TROUTMAN, FREDRICK C AIR QUALITY INC 01/13/16 SANDMAN LEVY & PETRICH 1560 17WC 28137 MATLOCK, PAULA AMAZON 03/19/17 LEONARD LAW GROUP LLC 1561 17WC 28207 HIGHLAND, JOSEPH BLACK HORSE CARRIERS 03/17/17 GOLDBERG WEISMAN & CAIRO L 1562 17WC 28225 MENCHACA, ROQUE STATE OF IL DEPT OF CORRE @ 10/17/16 LARRY FLEISCHER & ASSOCIAT 1563 17WC 28238 PETTIGREW, JERMANE C PRIORITY STAFFING, LTD 08/28/17 ANKIN LAW OFFICE 1564 17WC 28267 TSIAMAS, ANTHONY WINDY CITY WIRE 09/12/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 1565 17WC 28296 HOLMES, ANTHONY SNIDER BLAKE 08/11/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 1566 17WC 28394 HORMEL, TERESA WAL-MART 08/01/17 ANESI OZMON RODIN NOVAK KO QUINTAIROS PRIETO WOOD & BOY 1567 17WC 28495 MYERS, JORDYN E LITTLE CAESARS 12/12/15 DREYER FOOTE STREIT ET AL 1568 17WC 28560 JACKSON, RYAN (MINOR) POPEYE'S 09/22/17 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 1569 17WC 28612 SNAPP, LAURA JT CARE * 07/20/17 WILLIAM B MEYERS, LTD 1570 17WC 28656 FINGER, TANYA SILVER CROSS HOSPITAL 12/22/16 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1571 17WC 28689 KORZENIEWSKI, TY ENBRIDGE ENERGY 08/26/11 PONNE LAW GROUP 1572 17WC 28735 ALLEN, PAULA POPEYES CHICKEN 03/31/17 DWORKIN AND MACIARIELLO 1573 17WC 28774 CALIENDO, PAUL DEVEN TRANSPORT 09/01/17 ROMANEK & ROMANEK 1574 17WC 28826 RIVERA, JOSE SUNOCO THERMOSAFE 08/30/17 RANDALL A. WOLFF & ASSOC 1575 17WC 28888 PATTON, JOSEPH B III CENTRAL GROCERS INC 10/10/14 ANKIN LAW OFFICE 1576 17WC 28913 GREEN, MARY MICHAEL'S DISTRIBUTION CE 01/26/17 CUDA LAW OFFICES 1577 17WC 28916 GREEN, MARY MICHAEL'S DISTRIBUTION CE 05/03/17 CUDA LAW OFFICES 1578 17WC 28974 BARLOW, KELLY J SILVER CROSS HOSPITAL 06/19/17 COLLINS BARGIONE 1579 17WC 29001 MCGAUGHY, RAFAEL WAREHOUSE SERVICES INC. 09/29/17 KIPNIS & KAHN LAW OFFICES FRANCESCA LARSEN 1580 17WC 29039 TORRES, JESUS DHL 08/02/17 LAW OFFICES TIMOTHY HENDER WIEDNER & MCAULIFFE LTD 1581 17WC 29127 ELLIS, ROBERT APOLLO COLORS * 08/31/17 HORWITZ HORWITZ & ASSOC 1582 17WC 29148 MOORE, AMBER ECOLAB, INC * 04/05/17 LEWIS & DAVIDSON, LTD 1583 17WC 29214 WALKER, MARQUIS PARSEC, INC * 09/07/17 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC 1584 17WC 29248 BELTRAN, ARMANDO TRI PAR DRYWALL INC * 09/14/17 MARC J SHUMAN & ASSOCIATES RODDY LAW LTD 1585 17WC 29292 JOHNSON, MARCUS STAFFMARK INVESTMENT INC * 09/28/17 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 1586 17WC 29360 DAUBARAS, ANGELA AMAZON.COM INC * 12/08/16 NILSON STOOKAL GLEASON CAP 1587 17WC 29416 SMITH, SABLE LITTLE KICKERS * 10/03/17 MC HARGUE, JAMES P LAW OFF 1588 17WC 29484 MYERS, EVONNE AMAZON FULFILMENT CENTER * 09/03/17 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1589 17WC 29555 DRAINO, WILLIAM MINNESOTA LIMITED * 08/04/17 HORWITZ HORWITZ & ASSOC 1590 17WC 29610 STELDOINS, CHARLES L SHOREWOOD CAR WASH * 11/18/16 LAW OFFICES MICHAEL HELLMA BRADY, CONNOLLY & MASUDA, PC 1591 17WC 29613 SALINAS, OLIVIA ELITE STAFFING INC * 09/11/17 LAW OFFICES MICHAEL HELLMA 1592 17WC 29623 VIEYRA, LORENZO MVP WORKFORCE LLC LOANING * 10/03/17 SALK, STEVEN B & ASSOC LTD 1593 17WC 29750 ALRAMHI, SAHAR JEWEL FOOD STORES * 06/15/17 LANNON LANNON & BARR LTD 1594 17WC 29792 GARCIA-HERNANDEZ, MARICEL SOUTHLAND SOLUTIONS/ * 08/30/17 BLOCK, KLUKAS & MANZELLA P 1595 17WC 29942 JONES, ULRIC HOME DEPOT * 09/07/17 JASINSKI, GEORGE J 1596 17WC 30142 SMITH, JUSTIN CASSENS TRANSPORT CO * 05/12/15 MARKER & ASSOCIATES KNAPP, OHL & GREEN 1597 17WC 30156 BOND, SANITA PRESENCE ST JOSEPH * 09/16/17 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 1598 17WC 30208 PEREZ, JOSE RIDGE LANDSCAPE SERVICES * 06/15/17 BLOCK, KLUKAS & MANZELLA P 1599 17WC 30230 REAVES, NICOLE ALDI STORE 16 * 09/07/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1600 17WC 30282 CLARK, DEBORAH MENARDS * 08/06/17 DAVID W MARTAY 1601 17WC 30353 AYALA, YANIRIAN CLEAR STAFF INC * 09/13/17 AIOSSA LAW FIRM 1602 17WC 30379 NEWTON, JEFFREY A D&M WESTERDALE TRUCKING I * 08/07/17 KATZ FRIEDMAN EAGLE ET AL 1603 17WC 30462 RIEVES, ADAM G UNITED GLOBAL SERVICES, I * 10/01/17 WEISS & WEISS LAW OFFICES GRANT & FANNING 1604 17WC 30500 LOPEZ, MINERVA AMERISOURCE BERGEN * 10/05/17 PORRO NIERMANN LAW GROUP 1605 17WC 30612 CALLAGHAN, SANDRA PRESENCE ST JOSEPH HOSPIT * 03/04/17 HORWITZ HORWITZ & ASSOC 1606 17WC 30704 WILSON, RODNEY PREMIER TRANSPORTATION * 09/19/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1607 17WC 30771 DEUEL-MEISER, ADRIENNE VALLEY VIEW SCHOOL DISTRI * 08/02/17 BURNETT & CARON, LTD 1608 17WC 30811 ALEXANDER, MARGUERITTA AMAZON.COM INC * 01/20/17 LAW OFFICE PHILIP BLOMBERG 1609 17WC 30821 VUCKOVICH, ANDREW CODE.USA * 10/03/17 RUBENS AND KRESS 1610 17WC 30913 HAIDUKE, HAWK CITY OF JOLIET * 08/07/17 MCNAMARA PHELAN MCSTEEN LL 1611 17WC 30946 MOSLEY, JEANENE W W GRAINGER * 10/12/17 SEIDMAN MARGULIS & FAIRMAN ASA LAW GROUP 1612 17WC 30984 ADAMS, KIMBERLY UNIVERSAL PROTECTION SERV * 10/13/17 ANKIN LAW OFFICE 1613 17WC 31032 RAWL, DONNA AMAZON * 08/30/17 COVEN LAW GROUP 1614 17WC 31133 HOARTY, JIM IL DEPT OF CORRECTIONS * 09/28/17 COHN LAMBERT RYAN & SCHNEI 1615 17WC 31222 FLETCHER, MICHAEL NEXUS STAFFING * 10/12/17 DWORKIN AND MACIARIELLO 1616 17WC 31274 SHARPE, RANDY STAFFING NETWORK * 10/12/17 SALVATO & O'TOOLE 1617 17WC 31329 RANDLE, MELVIN JB HUNT 2950 * 09/13/17 JAMES ELLIS GUMBINER & ASS 1618 17WC 31368 BREWER, BROOKE H WILL COUNTY SHERIFF'S OFF # * 10/14/17 COVEN LAW GROUP HINSHAW & CULBERTSON 1619 17WC 31383 BARNES, RACHEL AMAZON * 09/25/17 KUMLIN & FROMM 1620 17WC 31412 SIRMONS, ANTHONY FEDEX * 09/12/17 LANCASTER, DEBORAH 1621 17WC 31425 SUTTON, SHEANTAVIAA LAZER SPOT INC * 10/24/17 GOLDSTEIN AIOSSA & GOOD 1622 17WC 31465 FISCHER, MASON ECOLAB * 10/04/17 DWORKIN AND MACIARIELLO 1623 17WC 31534 VANA, MICHAEL OZINGA ILLINOIS RMC INC * 08/29/16 BAUM RUFFOLO & MARZAL LTD 1624 17WC 31579 BAILEY, RACHELLE RUSH COPLEY HOSPITAL * 04/04/17 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 FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1625 17WC 31643 CHAUDRY, MIRANDA D AMAZON * 10/28/16 WIEDNER & MCAULIFFE LTD 1626 17WC 31703 CRAIG, DEBORAH SOUTHERN COMPANY GAS * 09/06/17 LAW OFFICES MICHAEL HELLMA 1627 17WC 31739 WILLIAMS, LARRY METRO STAFFING * 10/09/17 DWORKIN AND MACIARIELLO 1628 17WC 31744 MONCHUNSKI, JASON FLEXIBLE STAFFING * 10/13/17 DWORKIN AND MACIARIELLO 1629 17WC 31776 CRAWFORD, MARY ANN TROY SCHOOL DISTRICT 30-C * 09/07/16 1630 17WC 31827 KNOWLES, JEFFREY BEAR CONSTRUCTION * 09/23/16 MCNAMARA PHELAN MCSTEEN LL 1631 17WC 31857 GROSSI, SUSAN MICHAELS * 01/16/17 HORWITZ HORWITZ & ASSOC 1632 17WC 31954 SANCHEZ, ANTHONY BOLINGBROOK PARK DISTRICT * 07/23/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 1633 17WC 31970 WEINSTOCK, KARL HR METRICS, INC * 10/19/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1634 17WC 31999 SOUTHWICK, KYLE WASTE MANAGEMENT * 10/03/17 PARENTE & NOREM PC 1635 17WC 32056 VILLEGAS, STEVEN SNIDER-BLAKE PERSONNEL * 08/30/17 EPSTEIN, JACK R LAW OFFICE 1636 17WC 32140 ROBERTS, SUSAN JEWEL FOOD STORE * 11/13/15 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 1637 17WC 32160 ORTUNO, ISELA BOWLMOR AMF * 09/19/17 ROSENFELD HAFRON SHAPIRO F 1638 17WC 32256 WILLIAMS, DENISE DHL * 10/12/17 LEITER LAW OFFICES 1639 17WC 32341 IBRAHIM, ANWAR MENARDS, INC * 07/14/17 SEIDMAN MARGULIS & FAIRMAN 1640 17WC 32371 TAYLOR, LISA SOUTHERN WILL COUNTY * 09/25/17 BLOCK, KLUKAS & MANZELLA P 1641 17WC 32390 SCHAEFFER, JOHN MORINGSTAR'S TEASURE CHES * 08/28/17 HERRERA LAW CENTER 1642 17WC 32494 SEXTON, EUGENE UNITED STATES COLD STORAG * 06/20/17 CORTINA & MUELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 95 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1643 17WC 32559 DRAGOO, ALEX DARVIN FURNITURE WAREHOUS * 10/24/17 CULLEN HASKINS NICHOLSON 1644 17WC 32580 SALLESE, AMIE JOLIET PUBLIC SCHOOLS DIS * 09/07/17 RIDGE & DOWNES 1645 17WC 32678 WEIS, DWAYNE CITY OF JOLIET * 08/20/16 MCNAMARA PHELAN MCSTEEN LL 1646 17WC 32722 MAYBERRY, BRIANNA HARBORCHASE OF PLAINFIELD * 09/12/17 OTUBUSIN & ASSOC PC OTUBUSIN & ASSOC PC 1647 17WC 32778 SHADE, DORA US SECURITY ASSOCIATES * 10/22/17 MC HARGUE, JAMES P LAW OFF 1648 17WC 32838 BROSSEAU, RYAN DAVID FRANKFORT FIRE PROTECTION * 08/16/16 POWER & CRONIN LTD 1649 17WC 32949 LACULLA, BRIAN AMAZON * 05/05/17 LEONARD LAW GROUP LLC 1650 17WC 33006 VASQUEZ, ERICK FRESH THYME DISTRIBUTION * 08/24/17 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 1651 17WC 33047 CLARK, ALVIN AMAZON * 11/02/17 DINIZULU LAW GROUP 1652 17WC 33116 GUTIERREZ, CATHLEEN CLIFT AMAZON * 08/24/17 FRANCIS J DISCIPIO LAW OFF 1653 17WC 33140 NEDELSKY, BRIAN TOYAL AMERICA * 03/13/17 ROBERT DARGIS 1654 17WC 33154 RITTER, KENNETH PEMCO SERVICE CO * 01/04/16 RATHBUN CSEVENYAK & KOZOL 1655 17WC 33226 STEGALL, THERESA SALEM VILLAGE NURSING & R * 10/24/17 GORDON & CENTRACCHIO LLC 1656 17WC 33283 CRAPIA, DANNY R PETCO * 11/15/16 SOSTRIN AND SOSTRIN PC 1657 17WC 33343 MCCARTHY, ANN TRINITY SERVICES INC * 05/10/17 BURNES & LIBMAN 1658 17WC 33379 FLORES, ADRIAN LIBERTY FURNITURE INDUSTR * 10/09/17 DEPAOLO ZADEIKIS GORE 1659 17WC 33423 LOVE, RASHAUN AMAZON * 07/23/17 DAVID W MARTAY 1660 17WC 33525 GIZA, DIANE M ARAMARK * 04/03/17 GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 96 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1661 17WC 33596 GADLEN, WILLIE M GREENCORE USA * 09/07/17 STROM, NEAL B 1662 17WC 33625 BELL, ANTHONY JOLIET STAFFING * 11/05/17 DWORKIN AND MACIARIELLO 1663 17WC 33670 METCALF, KATHLEEN ALDI * 02/27/17 HORWITZ HORWITZ & ASSOC 1664 17WC 33685 MOMOH, JOSEPH RICH HOLDINGS, INC * 04/03/17 HOLECEK & ASSOCIATES 1665 17WC 33708 ERWIN, SHAQUILLE R RJW TRANSPORT * 09/26/17 GALLAGHER, DONALD V 1666 17WC 33727 TILLMAN, KELVIN AMAZON * 10/22/17 STROM, NEAL B 1667 17WC 33748 SHOEMAKER, SHERI HOLLYWOOD CASINO * 07/06/17 RATHBUN CSEVENYAK & KOZOL ORENSTEIN & ASSOCIATES 1668 17WC 33835 GLASS, ERIC UNITED PARCEL SERVICE INC * 10/26/17 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 1669 17WC 33865 JURINEK, JACOB WEATHER TECH * 09/25/17 RUBIN LAW GROUP 1670 17WC 34026 REGALADO, JENNIFER WAL-MART STORES, INC. * 09/20/17 JAMES J. GAY 1671 17WC 34097 ABRAHAMSON, DWIGHT L GENERAL MANUFACTURING, LL * 04/11/16 LAW OFFICES JOSEPH MARCINIAK 1672 17WC 34176 DURAN, EDUARDO JSI CABINETRY * 02/25/15 BRISKMAN BRISKMAN GREENBER 1673 17WC 34211 PARAMO, DONAVEN GRAINGER * 02/22/17 RATHBUN CSEVENYAK & KOZOL 1674 17WC 34256 FITZGERALD, JOSHUA LOCKPORT TOWNSHIP FIRE * 11/14/17 HETHERINGTON KARPEL BOBBER 1675 17WC 34274 BOULWARE, TANESHIA T HOME DEPOT USA, INC * 10/08/17 ANKIN LAW OFFICE 1676 17WC 34326 PENALOZA, HECTOR MIGUEL GRAINGER MANAGEMENT LLC * 10/25/17 COSTA IVONE LLC 1677 17WC 34364 CONRAD, DAVID JR. KURTZ AMBULANCE * 08/10/17 BLOCK, KLUKAS & MANZELLA P 1678 17WC 34402 AGUILERA, SANDRO AUDREY TRANSPORT INC * 12/28/15 LAW OFFICE OF THOMAS P NAU

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