ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 97WC 19969 CARRINGTON, DAVID W JP FOODSERVICE 03/21/97 MATTHEW T. GUBBINS PC LIVINGSTONE MUELLER ET AL 03WC026888 -C ST OF IL ILLINOIS DEPARTME 2 00WC 61429 PEARSON, ROY EVENS TRANSPORTATION SERV 09/25/00 GARRISON FABRIZIO & HANSON DAVID M SHIFFER 3 02WC 13907 19B CONWAY, THERESA EVEREST HEALTHCARE FRESEN 04/08/00 MARSZALEK AND MARSZALEK SPIEGEL & CAHILL, PC 4 02WC 26786 JOHNSTON, BARRY INEOS SILICATE 02/14/02 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 04WC029562 -C 5 03WC 26987 RITZ, ELIZABETH ST OF IL-DEPT OF CORRECTI @ 04/11/03 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 6 04WC 13698 RIZO, AURELIA ILL STATE POLICE-CRIME LA 01/09/96 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 04WC013699 -C IL STATE POLICE CRIME LAB 04WC013700 -C 04WC013736 -C ILLINOIS STATE POLICE 06WC006834 -C STATE OF ILLINOIS 10WC039044 -C ILLINOIS STATE POLICE- 7 05WC 05593 VOSATKA, FRANK RANGER, INC 02/07/02 BLOCK, BLOCK & KLUKAS P.C. NYHAN BAMBRICK KINZIE & LOWR 8 05WC 35608 BEAVERS, CLIFTON SBC 06/30/05 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 9 06WC 06563 WILLIAMS, AQUILLA K FIVE CONSTRUCTION CORP. 12/11/05 PORRO NIERMANN LAW GROUP GRANT & FANNING 10 06WC 09776 19B-1 MENDOZA, ROBIN PASCH & SON CONSTRUCTION 12/12/05 HORWITZ HORWITZ & ASSOC NYHAN PFISTER BAMBRICK KINZI 11 06WC 25007 SMITH, JODY L DOW CHEMICAL 10/31/05 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 10WC007593 -C 10WC007594 -C 12 06WC 28157 SALAZAR, ANTONIA PLAINFIELD SCHOOL DIST. 2 05/04/06 BLOCK, BLOCK & KLUKAS P.C. HENNESSY & ROACH PC 13 06WC 28811 SINAJ, MIKE HINTSCHE FERTILIZER 01/31/05 SCHWICKERT & GANASSIN EDWARD JANUSZKIEWICZ 14 06WC 53457 QUILLMAN, PATRICIA SILVER CROSS HOSPITAL 02/12/05 BLOCK, BLOCK & KLUKAS P.C. MACIOROWSKI SACKMANN & ULRIC 06WC053458 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 07WC 42380 HALL, CURTIS K HYDRITE CHEMICAL COMPANY 08/11/06 COHN & COHN COZZI & GOGGIN-WARD 16 07WC 49630 TARIN, FIDEL KEIGHER MOTORS W 09/01/07 BLOCK, BLOCK & KLUKAS P.C. 07WC057189 -C 17 07WC 52211 SIBERT, JOSEPH STATESVILLE CORRECTIONAL 11/08/05 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 18 08WC 12792 MINTON, JOSEPH AUTOBAHN COUNTRY CLUB 11/20/07 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 19 08WC 15510 RICCIARELLI, MICHAEL ROADWAY EXPRESS INC 03/29/07 DECARLO LAW GROUP HENNESSY & ROACH PC 20 08WC 25073 ZAKRZEWSKI, STENIA QUANTAM FOODS 03/28/08 MINKOW DOMIN GRANT & FANNING 10WC048721 -C 21 08WC 25684 THOMPSON, BEVERLY A JOLIET TOWNSHIP HIGH SCHO 08/10/07 FABRIZIO, HANSON & PEYLA THOMAS & ASSOCIATES 22 08WC 26444 KENNEDY, MICHAEL WILLIAMS BROTHERS CONSTRU 03/06/08 WHITESIDE & GOLDBERG LTD KNELL LAW LLC 23 08WC 28581 MILLER, RONALD STATE OF ILLINOIS @ 12/27/05 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 08WC028582 -C 24 08WC 39796 COBB, JACQUELYN M SCHOOL DISTRICT 201-U 01/23/08 CULLEN, HASKINS, NICHOLSON INMAN & FITZGIBBONS 25 08WC 49235 VANHOOSE, KEVIN JOLIET POLICE DEPT 11/03/06 MICHAEL P MCCREADY & ASSOC CITY OF JOLIET 26 08WC 51732 TADEO, SILVESTRE ECHN KEHE FOODS 08/02/08 GALLIANNI DOELL & COZZI LT RODDY LAW LTD 27 08WC 53251 CLAFFY, MILTON TOYS R US 01/09/08 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 28 08WC 53784 JONES, TOMMIE ST OF IL DJJ IYC JOLIET @ 11/16/08 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 29 08WC 54554 RICHARDSON, KEVIN ILLINOIS DEPARTMENT OF @ 10/21/08 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 12WC038471 -C STATE OF ILLINOIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 09WC 02676 19B-1 LABOY, LOUIS CASSENS TRANSPORT COMPANY 11/07/08 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 31 09WC 06744 RODEGHERO, ROBERT J CITY OF JOLIET 12/16/08 PATRICIA HARDIMAN LAW OFFI CITY OF JOLIET 13WC025275 -C 32 09WC 12912 FOSTER, KELLY SENIOR SERVICES OF WILL C 02/26/09 FRANK A CELANI WOLFE & JACOBSON, LTD 33 09WC 14349 PATTERSON, ZIDAR STATE OF ILLINOIS @ 03/06/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 34 09WC 14411 MALECKI, CLYDE COLEMAN FLOOR CO 12/17/08 LEO ALT KNELL & O'CONNOR 35 09WC 18363 THOMAS, JANET DEPT OF HUMANS SERVICES @ 04/16/09 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC021092 -C STATE OF ILLINOIS 36 09WC 21991 SALAS, MAXIMINO JOSE LUIS GONZALEZ @ W 08/24/08 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 37 09WC 23713 ANDERSON, CALVIN DISTRICT OF WILL COUNTY 09/05/08 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 12WC027576 -C FOREST PRESERVE DISTRICT O 12WC027579 -C 15WC035158 -C FOREST PRESERVE DISTRICT 38 09WC 32946 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 06/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC011534 -C 12WC032769 -C 39 09WC 40574 BALESTRI, KATHY STADDEN HARRAH'S CASINO 04/25/09 JOHN E LUSAK NOBLE & ASSOCIATES PC 40 09WC 48109 KEANE, STEPHEN IDOT @ 10/15/09 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENERAL 12WC000213 -C 41 09WC 49653 CRONK, KEVIN DEPENDENT SO KIMBALL HILL HOMES # 03/26/56 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 42 09WC 53141 GRAY, DEBORAH AM PM 12/15/09 RICHARD E ALEKSY THOMAS & ASSOCIATES 43 10WC 06467 WYNNE, RENEE PROVENA ST JOSEPHS 01/17/10 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 11WC014355 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 10WC 08205 CRAGG, TIM ILLINOIS DEPARTMENT OF 04/02/09 HORWITZ HORWITZ & ASSOC DANIEL SULLIVAN 45 10WC 08319 SMOTHERS, DENZIL WILL COUNTY 04/30/07 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 10WC008320 -C 10WC008321 -C 10WC008322 -C 11WC013197 -C 13WC019566 -C 14WC038763 -C FOREST PRESERVE DISTRICT O 15WC034227 -C 46 10WC 10160 CARDWELL, RENEE MENARD'S INC 12/10/09 O'CONNOR & NAKOS CHILTON YAMBERT PORTER LLP 47 10WC 13679 CONTRERAS, ANGELICA FILTRATION GROUP 03/17/10 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 48 10WC 14589 STAHR, BRIAN ILLINOIS DEPARTMENT @ 02/24/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 49 10WC 15004 ROBERTS, ALICIA NURSEPOWER 04/01/10 VRDOLYAK LAW GROUP LLC THOMAS & ASSOCIATES 50 10WC 15265 BREITENFELD, SUSAN MONGO MANAGEMENT LLC 01/22/10 BART DURHAM LAW OFFICES OF EDWARD J. KOZ 51 10WC 16883 PEAK, CONNIE HARRAHS ILLINOIS CORP 04/05/10 HORWITZ HORWITZ & ASSOC NOBLE & ASSOCIATES PC 10WC016884 -C 52 10WC 17403 FRANIAK, BRONISLAW QUANTUM FOODS 05/29/09 MINKOW DOMIN GRANT & FANNING 13WC020165 -C 53 10WC 18123 TREVINO, ALFONSO GERDAU AMERISTEEL 04/19/10 BRISKMAN BRISKMAN GREENBER GOLDBERG SEGALLA LLC 54 10WC 19486 19B BUSTAMANTE, ANTONIA INSPIRE STAFFING W 05/10/10 STROM, NEAL B SPIEGEL & CAHILL, PC 55 10WC 19642 SANDERS, CLARENCE VILLAGE OF MOKENA 01/15/10 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 12WC038052 -C 56 10WC 21769 ESQUIVEL, GRISELDA SATO LABELING SOLUTIONS 04/20/10 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 57 10WC 23307 VICICH, JOHN MICHAEL STATE OF ILLINOIS - DOC @ 04/30/09 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 58 10WC 24867 RENWICK, TONYA DEPT OF HUMAN SRVC 06/08/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 10WC 32336 MONTES, JOSE G & K TRUCKING OF CHICAGO W 07/19/10 LAW OFFICE OF KEVIN O'BRIE 60 10WC 35709 BRENCZEWSKI, RAY IL DEPT OF CORRECTIONS @ 11/09/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 61 10WC 37209 GARCIA, NANCY LTD CHICAGO III LLC 05/12/10 CHRISTOPHER FREEMAN LAW OFFICES JOSEPH MARCINIAK 62 10WC 39537 OLDHAM, LORRAINE ILLIOIS DEPT REHAB SRVS @ 01/01/10 MARC S. MAYER & ASSOCIATES ASSISTANT ATTORNEY GENERAL 63 10WC 39702 SQUARE, LEONARDO TRINITY SERVICES INC 12/25/09 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 64 10WC 41202 KRUC, MARY SUE SILVER CROSS HOSPITAL 08/14/10 JASINSKI, GEORGE J MACIOROWSKI SACKMANN & ULRIC 65 10WC 41609 BAIRD, KEN ILLINOIS DEPARTMENT OF @ 10/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 66 10WC 41719 TOMASEVICH, KYLE W KONECRANES KCI HOLDING US 09/21/10 CAMERON CLARK GALLIANNI DOELL & COZZI LTD 67 10WC 42525 ZABALA, GEORGE MR BLATTNER ENERGY 06/09/10 HORWITZ HORWITZ & ASSOC GRANT & FANNING 10WC042528 -C 68 10WC 44712 19B KING, MICHAEL TURNER INDUSTRIES GROUP 10/11/10 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 69 10WC 45463 SOTO, ENRIQUE TRIUNE LOGISTICS 09/03/10 CHRISTINE F DAVID LITCHFIELD CAVO 70 10WC 49078 WILLIAMS-LEWIS, LORRAINE STATE OF ILLINOIS @ 09/23/10 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 71 11WC 00597 MENESES, JUAN M MVP INC 11/29/10 DAVID W MARTAY KOREY LAW LLC 72 11WC 03538 HARRIS, JACQUES SELECT STAFFING & 01/02/11 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 11WC003539 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 11WC 06061 MELENDEZ, SHARON TARGET 09/29/09 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 74 11WC 06127 POULOS, STEVE VILLAGE OF BOLINGBROOK 02/20/08 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 11WC006128 -C 12WC000928 -C 13WC018087 -C 13WC020362 -C 75 11WC 06964 JOHNSON, FLOYD CRST 01/23/11 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 76 11WC 08636 CALDERON, JOSE ESTES EXPRESS LINES 01/27/11 BRIAN T MORROW, LAW OFFICE GAROFALO SCHREIBER STORM 77 11WC 09157 DE LOACH, JERRY RELIABLE EMPLOYMENT SERVI 02/09/11 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 78 11WC 11397 LEAL, MARIA PLAINFIELD COMMUNITY 09/03/10 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 79 11WC 11494 RIVERA, FILOMENO M&R TANSPORT INC 10/21/10 LAW OFFICE OF JAMES URTIS 80 11WC 12884 GANZER, RICHARD JR ILLINOIS SECRETARY OF STA @ 02/16/11 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 81 11WC 15540 BRILL, DONALD STATEVILLE CORRECTIONAL @ 09/09/10 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 82 11WC 16452 GAMBOA, VICTOR PROGRESSIVE LOGISTICS SER 02/17/11 GALLAGHER, DONALD V THOMAS & ASSOCIATES 83 11WC 17553 GENDUSO, JOSEPH M GRAND PRAIRIE TRANSIT INC 01/18/11 VITELL & SPITZ LTD GALLIANNI DOELL & COZZI LTD 84 11WC 18523 LOZENSKI, RONALD P PARSEC 10/04/10 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 85 11WC 19787 MERCER, PAUL JOLIET TERRACE NURSING HO 03/04/11 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 86 11WC 20027 PALER, ADAM ILLINOIS DEPT OF CORRECTI @ 05/04/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 87 11WC 21048 ORTIZ, CONSUELO C CATTICO INC D/B/A MC DONA 12/10/10 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 88 11WC 21056 SZMERGALSKI, THERESA L LOCKPORT TOWNSHIP 12/01/10 BRUGGEMAN HURST & ASSOC WIEDNER & MCAULIFFE LTD 89 11WC 21551 REITZ, KRISTINE L SILVER CROSS HOSPITAL 05/12/11 KROCKEY CERNUGEL COWGILL E MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 11WC 28429 JONES, PHILIP D ENTERPRISE TRANSPORTATION 05/16/11 BARRETT & SRAMEK HENNESSY & ROACH PC 91 11WC 28582 MORMANN, JOHN A SOUTHERN WINE AND SPIRITS 06/28/11 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 12WC030710 -C 92 11WC 32217 JACOBO, MARIELA KEHE FOOD DISTRIBUTORS IN 08/13/11 EPSTEIN, JACK R LAW OFFICE NOBLE & ASSOCIATES PC 12WC008373 -C 93 11WC 33498 BULMER, DENNIS JAMES COLFAX CORPORATION 06/20/11 VRDOLYAK LAW GROUP LLC THOMAS & PORTELA 94 11WC 34469 PADILLA, CELIA SCHNEIDER LOGISTICS 06/08/11 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 95 11WC 34641 DILLARD, CARLA ST OF IL @ 07/29/11 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 96 11WC 36263 HITE, KRYSTLE STATE OF IL DEPT OF HUMAN @ 07/22/11 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 97 11WC 40678 WOJTOWICZ, TOMASZ TRUE KEEPER, LTD W 09/18/11 BELCHER LAW OFFICE BELLAS & WACHOWSKI 98 11WC 44675 KURE, JEFFREY FOREST PRESERVE DISTRICT 10/26/11 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 12WC030469 -C 13WC013461 -C 16WC004154 -C 99 11WC 45736 HRAY, RICHARD RENDEL'S INC. 01/11/11 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 100 11WC 47732 LANGON, SHARON SAMUEL H SHAPIRO @ 11/25/11 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 101 11WC 47836 HOVORKA, ROGER J PLAINFIELD SCHOOL DIST 04/11/11 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM 102 11WC 47862 MEDINA, VICTOR SR AARON THOMAS COMPANY, INC 07/18/11 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 103 12WC 00434 STAFORD, CHRISTOPHER CREST HILL POLICE DEPT 12/11/10 RATHBUN CSEVENYAK & KOZOL SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 12WC 01482 MARTIN, DAVE STATE OF IL/CO @ 12/03/11 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 105 12WC 03755 STOVER, GARY EAGLE EXPRESS LINE 01/26/12 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 106 12WC 03863 CORCORAN, THOMAS JOLIET PUBLIC LIBRARY 10/07/11 NEWMAN, BOYER & STATHAM RIPES NELSON BAGGOT KALOBRAT 14WC009009 -C 107 12WC 04539 PALMER, TARIEA LAKEWOOD NURSING REHAB 12/10/11 SHELDON I MINKOW & ASSOCIA 108 12WC 06042 GIOVENGO, JERRY MACY'S LOGISTICS AND 11/28/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 109 12WC 06926 ALI, WESAM ILLINOIS DEPT OF CORRECTI @ 02/01/12 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 12WC036215 -C 110 12WC 07496 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 11/30/10 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 12WC007497 -C 111 12WC 07622 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 09/28/11 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 112 12WC 09402 HERRERA, JENNIFER SOI DJJ IYC JOLIET @ 02/22/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 113 12WC 10199 OWEN, CLYDE UNITED ROAD SERVICES 03/08/12 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 114 12WC 10987 PARISI, LINDA SOI - DEPT OF CORRECTIONS @ 01/16/12 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 115 12WC 11175 THRALL, MICHELLE PREMIER GYMNASTICS 05/19/11 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 116 12WC 11340 LOPEZ, HECTOR HOME DEPOT 02/14/12 GOLDSTEIN BENDER & ROMANOF MC ANDREWS & NORGLE LLC 117 12WC 12250 COLNAR, RON JOLIET SCHOOLS DISTRICT 03/02/11 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 118 12WC 12394 GARCIA, MARTINA WALGREENS 03/09/11 WHITESIDE & GOLDBERG LTD GILDEA & COGHLAN 119 12WC 14398 KLUSKA, CAROL COUNTY OF WILL, ADULT DET 01/12/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 120 12WC 14435 WOOTEN, TODD CITY OF JOLIET FIRE DEPAR 07/03/11 MCNAMARA PHELAN MCSTEEN LL ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 12WC 15327 HAKEMAN, VALERIE IROQUOIS MEMORIAL HOSPITA 02/22/11 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 122 12WC 15401 RUVALCABA, WENDY ELITE STAFFING 03/27/12 PARENTE & NOREM PC MARC CAIRO 123 12WC 17046 MARTINEZ, OFELIA LABOR TEMPS 04/12/12 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 124 12WC 17979 NIEMIEC, DAVID SHAMROCK STAFFING W 02/12/12 DWORKIN AND MACIARIELLO JOHN LEE 125 12WC 19479 COLEMAN, RICKEY STATE OF ILLINOIS @ 05/23/12 BLOCK, KLUKAS & MANZELLA P 126 12WC 19877 RAINEY, MARY SEPTRAN INC 05/22/12 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 12WC034618 -C 127 12WC 20325 WHEATON, TIMOTHY TRIANGLE ENVIRONMENTAL 03/01/12 ALBERT R. PINO LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 14WC000953 -C 128 12WC 22011 BLACK, ROY S ECOLAB 02/03/12 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC 129 12WC 23095 19B TOMASKA, JASON COMMSCOPE A DIVISION OF 12/10/11 LAW OFFICE OF PATRICK BROO BRADY CONNOLLY & MASUDA PC 130 12WC 23436 WHITE, JUDY JOLIET SCHOOL DISTRICT 86 09/01/11 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 12WC023441 -C 12WC023442 -C 131 12WC 23509 ZIGMAN, TODD C AT&T 01/27/12 ANKIN LAW OFFICE HENNESSY & ROACH PC 12WC023510 -C 132 12WC 24498 HOFER, KEITH A BILL JACOB CHEVROLET 06/01/11 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 133 12WC 24941 RASKER, PHILIP JACOBSON CO 06/04/12 MCCARRON LAW FIRM, PC CACCHILLO LAW GROUP LLC 134 12WC 26942 BEATTY, BARBARA (MOTHER) GT TRANSPORTING/PABLO GON W 02/14/12 WOODRUFF & JOHNSON 135 12WC 26972 HENDRIX, PAUL ST OF IL DEPT OF STATEVIL @ 06/25/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 12WC 28652 DAVIS, LOAR SOUTHERN WINE & SPIRITS 10/08/09 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 137 12WC 31509 19B HERRERA, ALBINO SONY DADC 07/18/12 BAUM RUFFOLO & MARZAL LTD CHILTON YAMBERT PORTER LLP 138 12WC 31889 19B MC GEE, KARA SYMPHONY INC 07/10/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 139 12WC 33366 WHITED, RENEE WILL COUNTY SHERIFF'S DEP 08/08/12 GOLDBERG WEISMAN & CAIRO L 140 12WC 34352 TANTILLO, PATRICK P T O SERVICES INC 06/02/12 ANKIN LAW OFFICE 141 12WC 35901 HERNANDEZ-LOPEZ, CLAUDIA HOLUM & SON CO INC 06/26/12 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM 12WC043678 -C 142 12WC 36394 DITTMAR, PATRICK M ILLINOIS GAMING BOARD 09/13/12 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 15WC001369 -C 143 12WC 37089 19B WILLIAMS, LEROY DEPARTMENT OF CORRECTIONS @ 07/25/12 DWORKIN AND MACIARIELLO JEANNINE SIMS 144 12WC 37185 LUCAS, JEREMY ROLAND MACHINARY COMPANY 06/01/12 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 145 12WC 37765 HANKE, JOHN D CITY OF JOLIET 04/02/12 SABUCO BECK HANSEN CITY OF JOLIET 146 12WC 38124 FARMER, TYLER VILLAGE OF COAL CITY 10/06/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 16WC034879 -C FLINT HILLS RESOURCES 147 12WC 38309 NEAL, NORMAN MADDOX BROTHERS W 10/17/12 SKLARE LAW GROUP 148 12WC 38961 MOTSCH, TRACY PRO MOVERS 11/03/12 JOHN E LUSAK GANAN & SHAPIRO 149 12WC 38979 REMINGTON, JERRY NAVISTAR 08/27/12 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 150 12WC 39894 JAMESON, BARBARA PLAINFIELD SCH DIST 202 09/10/12 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 151 12WC 40432 ZUNIGA, HILDA HOME CARE PERSONAL SERVIC 08/23/12 KATZ FRIEDMAN EAGLE ET AL GALLIANNI DOELL & COZZI LTD 152 12WC 41309 ABERNATHY, PEGGY V CORNERSTONE SERVICES INC 08/02/10 FABRIZIO, HANSON & PEYLA BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 12WC 42130 GALLO, PHILLIP A FOREST PRESERVE DISTRICT 07/31/12 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 154 12WC 42741 RODRIGUES, VIRGINIA SABOR INTERNACIONAL 11/30/12 JONATHAN SCHLACK RATHBUN CSEVENYAK & KOZOL 155 12WC 43134 THOMPSON, WILLIAM R & R BRINKS LOCKING SYST 10/31/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 156 12WC 43292 BUCKLEY, YALONDA AMERICAN SCHOOL BUS CO 11/06/12 SHELDON I MINKOW & ASSOCIA GALLIANNI DOELL & COZZI LTD 157 12WC 44156 PENA, ANTHOULA BOUGHTON SQUARE ANIMAL CL 10/15/12 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 158 13WC 00902 MICKELSON, HELMER DEDICATED TCS 12/05/12 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 159 13WC 01126 THOMPSON, LINDA WAL-MART 12/20/11 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 160 13WC 01304 SCHMECKPEPPER, RYAN VILLAGE OF BOLINGBROOK FI 12/09/12 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 161 13WC 02461 MCCORD, RUTY JOLIET PUBLIC SCHOOL 12/18/12 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 162 13WC 04066 PORTER, JOHN JACK F AMEX NOOTER 08/17/12 ANTHONY C RACCUGLIA & ASSO GAROFALO SCHREIBER STORM 163 13WC 04853 MARTIN, JAMES BERKOT LTD 09/08/12 NEWMAN, BOYER & STATHAM GANAN & SHAPIRO 164 13WC 05665 ROGERS, HELICE ST OF IL DOC STATEVILLE @ 12/08/12 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 165 13WC 06084 ZANGRI, MICHAEL ROBERT ELLIOT CONSTRUCTIO 01/08/13 PAUL A COGHLAN & ASSOC BRYCE DOWNEY & LENKOV LLC 166 13WC 06109 LUNA, SHERRY SUNNY HILL NURSING HOME 02/05/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 167 13WC 08459 SMITH, EDWARD L PARSEC INDUSTRIES 06/08/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 168 13WC 08589 DERWINSKI, JANET PANDUIT 02/02/12 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 169 13WC 09827 WEIS, DWAYNE CITY OF JOLIET 02/02/12 HORWITZ HORWITZ & ASSOC KAVANAGH GRUMLEY & GORBOLD 170 13WC 10643 PROWETT, SHANE TRANSPORT ONE, INC. 02/22/13 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 13WC 10662 MCGEE, DEVIN T FLEXIABLE STAFFING 11/15/11 GAINES & GAINES GRANT & FANNING 172 13WC 10678 CORTES, JOSE MORENO SELECT REMEDY/SNYDER 02/18/13 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 173 13WC 10843 MARTINEZ, ANGELINA ELITE STAFFING INC., 12/20/12 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 174 13WC 11838 JACOBS, JOHN D VILLAGE OF OAK BROOK 08/28/12 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD 175 13WC 12288 ORTEGA, ALMA ASG STAFFING 03/05/13 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 176 13WC 12354 MACKOVITCH, TOM CENTRAL GROCERS INC 06/12/11 LEONARD LAW GROUP LLC ROSARIO CIBELLA 13WC012355 -C 15WC032610 -C 16WC027041 -C 177 13WC 12593 MANRIQUEZ, ORALIA KENT PRECISION FOODS INC 01/22/13 JOHN J CASTANEDA MICHAEL BEST & FRIEDRICH LLC 178 13WC 12835 AVALOS, ABEL PHILLIPS HR SHARED SERVIC 08/17/12 EPSTEIN, JACK R LAW OFFICE 179 13WC 12972 WILLIAMS, MARY ANN STATEVILLE CORRECTIONAL C @ 02/13/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 14WC033343 -C 180 13WC 15837 MITCHELL, STACEY TRINITY SERVICES, INC 04/30/13 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 181 13WC 15968 SCHULTZ, DAVID ILLINOIS CENTRAL SCHOOL B 03/15/13 TEWS, THEISEN & THEISEN MACIOROWSKI SACKMANN & ULRIC 182 13WC 16213 LEONE, KANE P J.V. INDUSTRIAL 05/02/13 ROBIN LAW OFFICE RODDY LAW LTD 183 13WC 17068 OROZCO, RUTH FOOD 4 LESS 12/28/12 STEVEN J SEIDMAN LAW OFFIC 184 13WC 17825 BROWN, WILLIE STATE OF ILLIONIS @ 03/29/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 185 13WC 17926 WILLIAMS, PATRICK VITRAN EXPRESS 02/25/13 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 186 13WC 18659 MACEDO, JOSE L ALTERNATIVE STAFFING, INC 03/14/13 MC HARGUE, JAMES P LAW OFF MACIOROWSKI SACKMANN & ULRIC 187 13WC 19406 BUCIO, MARIA STAFF FORCE 05/20/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 13WC 19436 CASTILLO, BEATRIZ KEHE DISTRIBUTORS 08/31/12 CULLEN HASKINS NICHOLSON POULOS & DIBENEDETTO LAW 189 13WC 21274 MUNOZ, CRUZ FILTRATION GROUP 04/10/13 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 190 13WC 22664 COLE, SIDNEY L III JOLIET TOWNSHIP 04/07/13 STEVEN J SEIDMAN LAW OFFIC THOMAS & ASSOCIATES 191 13WC 22902 SANCHEZ, PROSPERO JACKSON & SCOTT INC 03/06/13 MC HARGUE, JAMES P LAW OFF COZZI & GOGGIN-WARD 192 13WC 23005 KURTYAK, NICOLAS LOCKPORT TOWNSHIP FIRE AN 01/28/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 13WC023006 -C COMMISSIONER LOCKPORT TOWN 193 13WC 23052 QUIROGA, JOSE J SMS MILLCRAFT LLC 06/21/13 STROM, NEAL B LAW OFFICES FRANCESCA LARSEN 194 13WC 23750 NEGRON, SERGIO PEREZ SMITHFIELD FOODS 06/14/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 195 13WC 23828 HANC, DEREK WASTE MANAGEMENT 05/01/13 LEVIN & ASSOCIATES GAROFALO SCHREIBER STORM 196 13WC 24165 CORTES, ARACELI PACTIV PRAIRIE PACKING 11/27/12 OSCAR P CHIAPPORI & ASSOCI KNELL & O'CONNOR 197 13WC 24450 JONES, GARY CRETE SCHOOL DIST 201 07/15/12 SPENCER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 198 13WC 24506 ROMERO, ANA MIDWEST GROUP, INC. 05/16/13 LEONARDO MORALES LAW OFFIC 199 13WC 26268 19B CEPHUS, ALONZO GARDEN OF PRAYER YOUTH CE 09/24/12 YURGINE, JOSEPH THOMAS & ASSOCIATES 200 13WC 26654 HERNANDEZ, ERWIN TRIUMPH PACKAGING GROUP 08/15/12 HECTOR ESPITIA GRANT & FANNING 201 13WC 27063 BRANDOLINO, MARIANNE STATE OF ILLINOIS @ 07/15/13 SCHWEICKERT & GANASSIN COLIN KICKLIGHTER 202 13WC 27350 FREMPONG, GEORGE AM REGIONAL TAXI/303 TAXI 03/11/13 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 203 13WC 28056 SHAW, RONALD FIVE STAR DELIVERY 07/29/13 KUMLIN & FROMM GRANT & FANNING 204 13WC 28587 GRAY, DAWN DOLLAR TREE INC 06/04/13 MARKER & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 205 13WC 28755 PAGE, LORNA ALLSTATE INSURANCE COMPAN 11/21/11 BARMAN KRAMER & BOHLEN HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 13WC 29261 TORRES, WILFREDO CUSTOM CULINARY 08/23/13 JAUREGUI & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 207 13WC 29541 HOMMEMA, THERESA UNITED CEREBRAL PALSY 09/22/10 GALLIANNI DOELL & COZZI LT BRADY CONNOLLY & MASUDA PC 13WC029542 -C 13WC029543 -C 208 13WC 29841 TRUITT, KENDRIC ST OF IL DEPT OF CORRECTI 09/08/13 MINKOW DOMIN COLIN KICKLIGHTER 209 13WC 30282 WINTERFELD, DENISE STATE OF ILLINOIS @ 06/27/13 PETER C KOPOULOS JEANNINE SIMS 210 13WC 30644 PTACK, JEFF COMCAST 08/15/13 LULAY LAW OFFICES SPIEGEL & CAHILL, PC 211 13WC 31023 IMERI, HASIME TONY'S FINER FOODS 08/31/13 BRIAN J MC MANUS & ASSOC, LAW OFFICES FRANCESCA LARSEN 212 13WC 31643 OROZCO, IDELFONSO BERGSTROM INC 09/05/13 LAW OFFICES LEONARDO MORAL WOLFE & JACOBSON, LTD 213 13WC 31666 POPPO, ROBERT NATIONAL DCP 08/29/13 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 214 13WC 31934 LOFDAHL, ZACHARY NAVISTAR 09/05/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 215 13WC 32877 VITAL, GUADALUPE JOLIET PUBLIC SCHOOL DIST 02/08/13 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 16WC033498 -C 216 13WC 33039 NELSON, WILLIAM CHICAGO HEIGHTS 05/15/12 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 13WC033049 -C 217 13WC 33086 WARCHOLEK, NANCY K BURLINGTON COAT FACTORY 07/16/13 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 218 13WC 33209 MAGAFAS, MICHAEL STREAMLINE CONSTRUCTION 01/27/12 WOLFE LAW PC 219 13WC 33227 LEWANDOWSKI, PATRICK CHICAGO HEIGHTS PARK DIST 04/04/13 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 220 13WC 33387 TORRES, EMMA A WAL MART STORES INC 12/13/12 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 221 13WC 33797 EVANS, CHAMP VILLAGE OF BOLINGBROOK 03/05/13 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 222 13WC 33989 DENNIS, DAKOTA M LONG JOHN SILVERS 10/05/12 HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 13WC 35165 DIETER, NAOMI MC DONALDS 09/18/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 224 13WC 35573 SCULLY, MICHAEL EVERGREEN REAL ESTATE SER 09/19/13 DANIEL J ADLER LAW OFFICE RUSIN & MACIOROWSKI LTD 225 13WC 35781 HAMMOND, HARLD JR M&G CONSTRUCTION INC 09/26/13 K P LAW LLC COZZI & GOGGIN-WARD 226 13WC 36990 SALERNO, CHRISTOPHER VILLAGE OF BOLINGBROOK 02/12/13 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 227 13WC 37626 ARROYO, LUIS NEVIN'S BREWING COMPANY 04/04/13 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 228 13WC 37914 ALEXANDER, THERESA WILL COUNTY HIGHWAY DEPAR 09/23/13 DAVID W MARTAY HINSHAW & CULBERTSON 229 13WC 38107 ASSAH, NICHOLAS MENIO WORLDWIDE LOGISTICS 10/10/13 BRIAN KEELEY LTD LEAHY EISENBERG & FRAENKEL 230 13WC 38846 TAPIA, BRANDY SHOREWOOD FAMILY DENTAL 09/23/13 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 231 13WC 39172 SCAVNICAR, AGICA PANCON CORPORATION 07/31/12 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 232 13WC 39997 PEREZ, ALVARO MICHAELS 10/03/13 LAW OFFICES TIMOTHY LAMPIN EDWARD A PUISIS, LTD 233 13WC 41263 KRUCZEK, ANNA QUANTUM FOODS 08/22/13 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 234 13WC 41784 GENTRY, JONATHAN TRE'ZURE DETAILING W 10/29/13 ASSISTANT ATTORNEY GENERAL 235 13WC 42154 MROZEK, TERESA ADVENTIST HOSPITAL/HINSDA 11/22/10 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 236 13WC 42485 ALSTON, ALICIA ST OF IL DEPT OF IDFPR 06/17/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 237 14WC 00273 DIMAS, DIANA OLIVE GARDEN 09/28/13 BART DURHAM COZZI & GOGGIN-WARD 238 14WC 00635 PEREZ, BLANCA STAFFMARK 12/03/13 ALEKSY BELCHER KEEFE CAMPBELL & ASSOC LLC 239 14WC 01353 DZIEDZIC, SUZANNE VALLEY VIEW SCHOOL 10/30/13 LAW OFFICES MICHAEL HELLMA 240 14WC 02001 TORRES, ELADIO MOST VALUABLE PERSONNEL 11/08/13 HORWITZ HORWITZ & ASSOC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 241 14WC 02177 WEARY, DWAYNE STATE OF ILL DOC STATEVIL 03/25/11 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 242 14WC 02377 JOHNSON, LAURA A SECURITAS SECURITY SERVIC 09/06/13 FABRIZIO, HANSON & PEYLA INMAN & FITZGIBBONS 243 14WC 03249 DABROWSKI, EDWARD G&D INTEGRATED 12/23/13 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 14WC005919 -C G & D INTEGRATED 244 14WC 03413 FLYNN, TIMOTHY MECHANICAL CONCEPTS 10/15/13 BOUDREAU & NISIVACO LLC 245 14WC 04310 GNEWUCH, DAVID JACOBSON COMPANIES 12/11/13 STYKA & STYKA CACCHILLO LAW GROUP LLC 246 14WC 04379 ROBBINS, JENNIFER ATI PHYSICAL THERAPY 01/20/14 MARKER & ASSOCIATES GRANT & FANNING 247 14WC 04391 CUMMINGS, KATHY STATE OF IL 01/13/14 GOLDBERG WEISMAN & CAIRO L 248 14WC 04398 OEMBLE, MICHAEL GAVILON GRAIN, LLC 02/03/14 MARC J SHUMAN & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 249 14WC 04765 FINSTROM, NORINE ALDI INC 08/03/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 250 14WC 05477 PEREZ, GUADALUPE MACNEIL AUTOMOTIVE PRODUC 01/27/14 KENNETH B GORE, LTD SLAVIN & SLAVIN 14WC037400 -C STAFFING NETWORK 251 14WC 05602 KRIVICKAS, DAVID COUNTY OF WILL 09/16/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 14WC005603 -C 14WC038377 -C 252 14WC 05675 GASCA, MARISOL ELITE STAFFING-BOLINGBROO 12/17/13 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 15WC010023 -C 253 14WC 05839 FOY, BETHANY BOLINGBROOK FIRE DEPARTME 12/28/13 THE ROMAKER LAW FIRM POWER & CRONIN LTD 15WC014625 -C 254 14WC 06346 VILLASENOR, MISAEL DEDICATED TCS LLC 03/18/13 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 255 14WC 06861 SHULK, BARBARA PRESENCE HEALTH 04/07/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 256 14WC 07247 BOATRIGHT, WILLIAM SEARS 10/09/13 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 14WC 07385 WALSH, KEVIN THOMAS JR CHARLES GIORDANO D/B/A AA W 08/25/13 BOWMAN & CORDAY 258 14WC 07628 TROVATO, ANNE LINCOLN WAY AREA SPEICAL 08/30/13 STROM, NEAL B RUSIN & MACIOROWSKI LTD 16WC031580 -C 259 14WC 08142 EADY, JAMES W ABF FREIGHT SYSTEMS INC 12/15/13 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 260 14WC 08860 ARIAS, MARIA STAFFMARK, INC. 01/10/14 LAW OFFICE OF OSVALDO RODR KEEFE CAMPBELL & ASSOC LLC 261 14WC 09785 RICHAUD, LEROY WALMART 01/10/12 COLLISON & O'CONNOR 14WC009786 -C 262 14WC 09954 RICKEY, JOHNATHAN A MICHAEL ARTS & CRAFTS 01/06/14 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 263 14WC 10009 BRIDGEFORTH, JOSH STATE OF ILLINOIS DJJ IYC 12/08/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 264 14WC 11432 GOOD, JILL JEFFREY LAMORTE SALON 12/11/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES JOSEPH MARCINIAK 265 14WC 11796 LUNA, CARLOS CENTRAL GROCERS 03/27/14 VRDOLYAK LAW GROUP LLC ROSARIO CIBELLA 266 14WC 12280 PRATER, DAN L INTERNATIONAL PAPER 04/14/11 MCNAMARA PHELAN MCSTEEN LL GOLDBERG SEGALLA LLC 267 14WC 12353 LLOYD, DEON STATE OF ILLINOIS @ 01/23/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 268 14WC 12691 BROOKS, HATTIE HQC INC 03/22/14 PORRO NIERMANN LAW GROUP 269 14WC 13367 ANHALT, RAY MENARDS 03/11/14 BRIAN T MORROW, LAW OFFICE RODDY LAW LTD 270 14WC 14867 SMITH, PATRICIA ST OF IL DEPT OF GOVERNOR 02/20/14 BRISKMAN BRISKMAN GREENBER JILL OTTE 271 14WC 15231 GRAY, DONALD DIAKON LOGISTICS 04/11/14 DWORKIN AND MACIARIELLO GRANT & FANNING 272 14WC 15293 LUNA, MARTA P BROOKDALE SENIOR LIVING 01/27/14 WOODRUFF & JOHNSON ROSARIO CIBELLA 14WC032362 -C HARBOR CHASE 15WC004654 -C 273 14WC 15372 KHAN, TARUJ ILLINOIS DEPT OF CORRECTI @ 03/03/14 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 274 14WC 15979 ALBERTS, JOSHUA IL DEPT OF CORRECTION @ 03/03/14 MILLON & PESKIN LTD ASSISTANT ATTORNEY GENERAL 275 14WC 16320 HAWKINS, SONJA ILLINOIS CENTRAL BUS COMP 04/04/14 JAMES J. GAY MACIOROWSKI SACKMANN & ULRIC 276 14WC 16376 TUCCI, KATHLEEN SILVER CROSS HOSPITAL 12/15/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 277 14WC 17079 SIKORA, LUKE C NEW LENOX POLICE DEPARTME 05/02/14 TOSCAS, JOHN Z LAW OFFICE 278 14WC 17183 JUNGLES, JEFF ALL TRADE CONSTRUCTION 04/14/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 279 14WC 17642 NASH, STEVEN ST OF IL DEPT OF 03/20/14 NEWLAND & NEWLAND COLIN KICKLIGHTER 280 14WC 17886 MCCORMACK, WENDY SILVER CROSS HOSPITAL 09/26/12 WOLFE LAW PC MACIOROWSKI SACKMANN & ULRIC 281 14WC 18270 CHANDLER, DAVID IFCO SYSTEMS NORTH AMERIC 04/11/14 VRDOLYAK LAW GROUP LLC 282 14WC 18687 ESTRADA, JUANITA ALDI 01/14/14 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 283 14WC 19277 LIMBERG, MICHAEL ATS TRANSPORT INC. W 05/13/14 SCHWEICKERT & GANASSIN 284 14WC 19961 PETRIC, TONY MIDNIGHT FLYER & CO 08/05/13 LULAY LAW OFFICES STONE & JOHNSON CHARTERED 285 14WC 20118 STEPANEK, ROBERT IDOT @ 03/07/14 DWORKIN AND MACIARIELLO JEANNINE SIMS 286 14WC 20203 JONES, JOHN P ATLAS VAN LINES & RON TWI 05/21/14 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 287 14WC 20345 ROMERO, NELSON RUANE CONSTRUCTION, INC. 01/31/14 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 14WC020346 -C 288 14WC 20599 BANUELOS, DANIEL DIGIOLA BROTHERS CONTRUCT 05/30/14 THE ROMAKER LAW FIRM EDWARD JANUSZKIEWICZ 289 14WC 20942 MILES, WANDA VALLEY VIEW SCHOOL 05/13/14 DWORKIN AND MACIARIELLO KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 14WC 21038 MICHALSKI,L SANDRA LINCOLN-WAY COMMUNITY 02/28/13 EVAN A HUGHES LAW OFFICE 291 14WC 21757 HERNANDEZ, JUAN CARLOS KNEAD DOUGH BAKERY CO, IN 03/23/14 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC 15WC003315 -C 292 14WC 22063 LOZENSKI, RON PARSEC 03/21/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 293 14WC 22106 VITKAUSKAS, JOANNE ESSINGTON PLACE RETIREMEN 10/17/13 GOLDSTEIN BENDER & ROMANOF COZZI & GOGGIN-WARD 294 14WC 22325 PARTILLA, LAVON ST ROSE SCHOOL 12/12/13 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 295 14WC 22855 MROZEK, KIMBERLY TRADER JOE'S 03/29/14 GOLDBERG WEISMAN & CAIRO L 296 14WC 23068 WESTBROOKS, ANTHONY JOLIET STAFFING, LLC 06/17/14 BLOCK, KLUKAS & MANZELLA P WOLF LAW LTD 297 14WC 23192 MORATAYA, WILLIAM ST OF IL DEPT OF 05/15/14 LUIS A ACEVES & ASSOC COLIN KICKLIGHTER 14WC023193 -C 298 14WC 24705 TORRES, ARTEMIO RADIAC ABRASIVES INC C/O 04/27/14 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 299 14WC 24915 ZIMMERMAN, DENNIS OZBURN & HESSEY LOGISTICS 06/20/14 BAUM RUFFOLO & MARZAL LTD SPIEGEL & CAHILL, PC 300 14WC 25113 JOZWIAK, MICHAEL F.T.C. SERVICES, INC. 06/09/14 CRONIN & PETERS GANAN & SHAPIRO 301 14WC 25246 JACQUES, ALBERTINA APL LOGISTICS 01/05/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 302 14WC 25472 RUSSELL, DANIEL UNITED STATES 08/30/11 KARCHMAR & STONE COZZI & GOGGIN-WARD 303 14WC 25808 BULL, VALERIE D CONSTRUCTION # 06/10/14 FIGLIOLI, DAVID COZZI & GOGGIN-WARD 304 14WC 26130 VILLAMIZAR, LUIS PARAMOUNT STAFFING 07/21/14 BASHFORD LAW GROUP PC POULOS & DIBENEDETTO LAW 305 14WC 26269 ELY, DAVID SCHNEIDER NATIONAL 05/19/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 306 14WC 26833 LEE, EILEEN GRAND PRAIRIE TRANSIT 05/19/14 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 307 14WC 26991 GUTIERREZ, SALVADOR ELITE STAFFING 05/12/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 15WC021010 -C 308 14WC 27113 PINEDA, ZENAYDA F/K/A NAVISTAR INT'L CORP 04/21/14 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 309 14WC 27243 RODRIGUEZ, EFREN DHR INC 06/18/14 DEPAOLO ZADEIKIS GORE CHILTON YAMBERT PORTER LLP 310 14WC 27502 WARD, WILLIE JOLIET PUBLIC SCHOOL 04/14/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 311 14WC 27522 19B GROSSMAN, BRAD I PROTEK CONSTRUCTION LLC 07/10/14 BRILL & FISHEL NYHAN BAMBRICK KINZIE & LOWR 312 14WC 27812 YOUNG, JARRELL JACOBSON WAREHOUSE COMPAN 07/03/14 VRDOLYAK LAW GROUP LLC 313 14WC 27831 CROMER, TYLER ALL AMERICAN TREE SERVICE W 07/03/14 WOODRUFF & JOHNSON 314 14WC 27892 GRIMES, RICK L WASTE MANAGEMENT 06/12/14 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM 14WC027899 -C 315 14WC 27944 MCALLISTER, WILLIAM ST OF IL DOC PAROLS @ 06/17/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 17WC010411 -C STATE OF ILLINOIS DOC PARO 316 14WC 28335 RICHARDS, PAM SILVER CROSS HOSPITAL 01/23/14 KAVANAGH GRUMLEY & GORBOLD MACIOROWSKI SACKMANN & ULRIC 317 14WC 29103 GONZALEZ, PABLO INSPIRE STAFFING 10/03/11 LUKE C. ANTONSEN 318 14WC 29207 MARQUEZ, RIGOBERTO EFCO 07/07/14 JOHN E LUSAK GAROFALO SCHREIBER STORM 319 14WC 29818 SARTORI, CHRISTOPHER R&I ORNAMENTAL IRON 08/22/14 O'CONNOR & NAKOS ROBERT L. SMITH 320 14WC 29990 REYES, OLGA READER LINK 01/17/14 ANKIN LAW OFFICE 321 14WC 30015 JEROME-KON STATE OF IL @ 12/13/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 322 14WC 30564 HOLLAND, MICHELLE SADDLE CREEK LOGISTICS 02/13/14 PARENTE & NOREM PC WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 323 14WC 30626 CLOONAN, BRENDAN M. JEWEL FOOD STORES 11/01/13 GALLAGHER, DONALD V RODDY LAW LTD 324 14WC 30670 PEREZ, ALVARO MICHAEL'S DISTRIBUTION CT 08/22/14 LAW OFFICES TIMOTHY LAMPIN 325 14WC 31431 SINGLETON, RICHARD ADVANCE AUTO PARTS 02/18/14 JOHN E LUSAK 326 14WC 31596 MCCUE, ERIN PLAINFIELD SCHOOL DISTRIC 02/04/14 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 327 14WC 31736 MARTINEZ, GAMALIEL THE HARTFORD INSURANCE 01/14/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 328 14WC 32075 GAUREGUI, JOSE SAN JOSE TRUCKING INC 08/04/14 JOHN E LUSAK SCOPELITIS GARVIN LIGHT 329 14WC 32203 STONE, GENE MR TRANSMISSIONS 02/20/13 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 14WC041886 -C 330 14WC 32308 SHELTON, ANTWONNE AZZ GALVANIZING INC 08/21/14 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 331 14WC 32675 WALLENBERG, JOSEPH DHR STAFFING SOLUTIONS 08/17/14 PORRO NIERMANN LAW GROUP CHILTON YAMBERT PORTER LLP 332 14WC 32693 LAW-KING, YOLANDA CLOUD BLUE TECHNOLOGY 09/08/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 333 14WC 33015 AVILA, JAIME DOLLAR TREE STORES INC 07/29/14 OSVALDO RODRIGUEZ PC BRYCE DOWNEY & LENKOV LLC 334 14WC 33177 KENNEDY, JERRY RANDY METRO STAFF INC 07/17/14 THOMAS R LICHTEN ASSISTANT ATTORNEY GENERAL 14WC033178 -C 335 14WC 33181 BUEL, PAUL ALLEY GRILL & TAP HOUSE W 02/28/14 CAMERON CLARK 336 14WC 33182 BOGDAN, KENNETH VILLAGE OF CRETE 04/01/12 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 14WC033727 -C 337 14WC 33718 WATSON, JULIE ENVOY AIR INC 05/11/14 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 14WC 33793 VALLADOLID, BULMARO CLEARWATER PAPER CO 08/07/14 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 339 14WC 35730 LITTLE, RANDY D ADT HOME SECURITY 09/20/14 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 16WC036913 -C ADT 340 14WC 36527 FROST, JEFFREY M CL COATINGS LLC 10/06/14 CULLEN HASKINS NICHOLSON GOLDBERG SEGALLA LLC 341 14WC 37034 ZURAWSKI, DARLENE SPEEDWAY 10/06/14 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 342 14WC 37086 DE LA CRUZ, ROSA ACCURATE PERSONNEL LLC 07/26/14 THE ROMAKER LAW FIRM MC ANDREWS & NORGLE LLC 343 14WC 37157 ETHERIDGE, MIKE MULTI-PLASTICS INC 06/30/14 CORTINA & MUELLER HOLECEK & ASSOCIATES 344 14WC 37403 ALARCON, SARA ELITE STAFFING - BOLINGBR 09/18/14 MC HARGUE, JAMES P LAW OFF 15WC001575 -C 345 14WC 37842 CABAN-O'KENNARD, MICHELLE ST OF IL DEPT OF 08/27/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 346 14WC 37920 ZAVALA, ANTHONY ROBERT DEPENDABLE STAFFING GROUP 09/22/14 LUKE C. ANTONSEN 347 14WC 38224 OSTROWSKI, DENNIS CHICAGO BRIDGE & IRON COM 04/04/14 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 348 14WC 38281 BRAUCHLER, WAYNE BOLINGBROOK FIRE DEPARTME 08/11/14 THOMAS W DUDA POWER & CRONIN LTD 349 14WC 38428 HAMILTON, JAMES E THE HOME DEPOT 11/16/11 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 15WC016785 -C 350 14WC 38449 HERZOG, KAY ST OF IL DOC STATEVILLE @ 09/19/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 351 14WC 38494 ROBINSON, SANDRA PRESENCE ST JOSEPH 08/06/14 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 14WC038495 -C 15WC005005 -C 15WC033483 -C 352 14WC 38614 WHITE, CHERYL CORNERSTONE SERVICES INC 09/04/14 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 353 14WC 39122 BUTLER, MICHELLE C WILTON INDUSTRIES 07/17/14 BRILL & FISHEL GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 14WC 39219 PEDZIWIATR, PAMELA LINCOLN WAY AREA DISTRICT 10/23/14 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 355 14WC 39357 ZIMMERMAN, GEORGE INTERMODAL SERVICES OF AM 10/08/14 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 356 14WC 39942 BROWN, ANTHONY T AIM NATIONALEASE 10/19/14 DEPAOLO ZADEIKIS GORE 357 14WC 39960 SWIFT, JEROME PMB TRUCKING 11/11/14 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 358 14WC 40301 MORALES, MARTHA PLAINFIELD SCHOOL DIST 20 04/17/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 359 14WC 40328 SAENZ, VICKY IL DEPT OF HUMAN SERVICES @ 07/10/14 GOLDBERG WEISMAN & CAIRO L JEANNINE SIMS 360 14WC 40551 CLARK, DANIEL WEBB GROUNDS 11/21/14 RIDGE & DOWNES LAW OFFICES JOSEPH MARCINIAK 361 14WC 40872 RENDON, CECILIO APEK INC 10/23/14 CARL H EBERT & ASSOC HOLECEK & ASSOCIATES 362 14WC 41040 DURAN, PAULINO ACCURATE PERSONNEL LLC 09/07/14 ANESI OZMON RODIN NOVAK KO 363 14WC 41359 HOUSE, DAVID CITY OF JOLIET 05/16/13 GOLDBERG WEISMAN & CAIRO L KAVANAGH GRUMLEY & GORBOLD 364 14WC 41522 GORDON, JOSH FIVE STAR ELITE 10/10/14 WOODRUFF & JOHNSON 365 14WC 42099 MARTINEZ, INOCENTE ELITE STAFFING 06/20/13 RUBIN MACHADO ROSENBLUM 366 14WC 42887 LEAL, MARIA PLAINFIELD SCHOOL DIST 20 07/02/14 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 367 14WC 42945 SHEDRICH, JOHN LINEAGE COLD STORAGE 04/07/14 CUTLER & HULL HOLECEK & ASSOCIATES 368 14WC 42985 REID, JERRELL ILL. DEPT OF CORRECTIONS 12/16/14 FRANCIS J DISCIPIO LAW OFF JEANNINE SIMS 369 14WC 43000 AMARO, LILIANA MCDONALD'S 08/31/14 SALK, STEVEN B & ASSOC LTD QUINTAIROS PRIETO WOOD & BOY 370 14WC 43257 DUNFRUND, JASON MCDONALDS INNOVATIONS CEN 01/16/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 371 14WC 43448 RIOS, JOEL PRIME CUT LAWN CARE 11/07/14 LULAY LAW OFFICES RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 15WC 00040 AVILA, EDA EDNA NU WAY STAFFING 12/24/14 RUEDA, IVAN A 373 15WC 00263 STADLER, GREGORY R ILLINOIS DEPT OF CORRECTI 12/16/14 DEPAOLO ZADEIKIS GORE JEANNINE SIMS 15WC000264 -C 15WC000265 -C 374 15WC 00562 MARTIN, DANNY MAACO 12/30/14 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 375 15WC 00611 EDWARDS, MICHAEL US HOSE CORP 09/23/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 376 15WC 00787 SERRANO, LUIS ANTONIO UNI STAFF INC 12/26/14 ROBIN LAW OFFICE LITCHFIELD CAVO 377 15WC 01495 JENKINS, RICKY NATIONAL DCP LLC 11/07/14 HORWITZ HORWITZ & ASSOC 378 15WC 01571 DE YOUNG, JEREMIAH B STATEVILLE C.C. @ 12/12/14 DEPAOLO ZADEIKIS GORE 379 15WC 01653 ANDERSON, SHAWN FLEXIBLE STAFFING SERVICE 11/17/14 KOPKA, PINKUS DOLIN, PC 15WC042132 -C 15WC042133 -C 380 15WC 02610 19B WILSON, CORY CLAUSEN STRUCTURES INC 10/21/14 DUDLEY & LAKE LLC QUINTAIROS PRIETO WOOD & BOY 381 15WC 02628 CRASE, CAROL SILVER CROSS HOSPITAL 11/30/12 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 382 15WC 03439 CARRILLO, FELIPE WORK NOW STAFFING 12/02/14 CULLEN HASKINS NICHOLSON 383 15WC 03610 INCH, GORDON PLAINFIELD MOTOR SERVICE 07/11/13 BLOCK, KLUKAS & MANZELLA P JAMES M KELLY 15WC003611 -C 384 15WC 03681 VALDEZ, JOSEFINA SUBWAY 01/08/15 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 15WC003682 -C 385 15WC 03826 NORRIS, FERRIN CLEAN HARBORS 04/01/13 CUTLER & SILVERGLADE RODDY LAW LTD 386 15WC 04250 VILLARREAL, BERNAVE H CARPENTER LIQUID 07/11/13 MARC STOOKAL JAMES M KELLY 387 15WC 04469 CORTES, MARTIN TRIPLE CROWN SERVICES 08/19/14 CHASE & WERNER LTD MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 15WC 04741 RILEY, MELISSA SOI/DEPT CHILDREN & FAMIL @ 01/23/15 LAW OFFICE OF BART MARKESE JEANNINE SIMS 389 15WC 04879 CARROTHERS, DARRELL L. STATE OF ILLINOIS DEPT. O @ 09/25/14 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 390 15WC 05353 BALDERAS, KEVIN CHEDDAR'S CASUAL CAFE 12/07/14 MCNAMARA PHELAN MCSTEEN LL HOLTKAMP LIESE ET AL 391 15WC 05423 MANDAT, RHONDA L APERION CARE WILMINGTON 01/30/15 MARSZALEK AND MARSZALEK 392 15WC 05568 WADE, YVETTE ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC JEANNINE SIMS 393 15WC 05570 VEAL, HERMAN ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL 394 15WC 05674 HUITRON, LEONEL CHICAGO INTERMODAL 12/01/14 RATHBUN CSEVENYAK & KOZOL 395 15WC 05765 MENDEZ, RUBEN DEDICATED LOGISTICS INC 01/26/15 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 396 15WC 06322 DIRKINS, CHANDEL CASA MARGARITA 12/18/14 PATRICIA HARDIMAN LAW OFFI 397 15WC 06530 FOX, BERNAL RCI 02/06/15 DWORKIN AND MACIARIELLO 398 15WC 07147 REAVES, NICOLE ALDI 03/25/14 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 16WC017517 -C 399 15WC 07238 CASTRO, JOSE L PYRAMID CUSTOM CABINETS 01/20/15 FOOTE MIELKE CHAVEZ & O'NE ROSARIO CIBELLA 400 15WC 07492 O'BRIEN, JUSTIN P ATLAS FIRST ACCESS 12/31/13 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 401 15WC 07730 MITCHELL, FLOWAYA M SUNNY HILL NURSING HOME 02/06/15 LAW OFFICES MICHAEL HELLMA 402 15WC 07747 HOLMAN, JENNEICE JACOBSON WAREHOUSE CO, IN 02/13/15 ANKIN LAW OFFICE CACCHILLO LAW GROUP LLC 403 15WC 07785 HUGHES, GERALDINE, FOR ES INTERMODAL SERVICES OF AM # 02/13/15 PARENTE & NOREM PC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 404 15WC 07786 HERNANDEZ, EVELYN D & D MANUFACTURING INC 06/22/14 405 15WC 07881 GAGE, ARTLEAN ILLINOIS DOC PAROLE 02/25/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 15WC027723 -C ST OF IL DEPT OF 406 15WC 08421 LABARAN, IDRISU PACTIV CORP 05/24/12 KARCHMAR & STONE SPIEGEL & CAHILL, PC 407 15WC 08636 MC DONALD, CHARLES D JR UNIFIED CLEAN ROOM 03/05/13 MCNAMARA PHELAN MCSTEEN LL 408 15WC 09168 BLEDSOE, KYLE JOLIET POLICE DEPT 11/01/12 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 409 15WC 09299 WHITNEY, WILLIAM ALAN HORTICULTURAL ENTERP 08/08/14 R. MARK MARITOTE PC LAW OFFICES OF 410 15WC 09508 GARCIA, JESUS CENTRAL GROCERS INC 06/16/13 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 411 15WC 09645 MC DONALD, JAMES JOLIET HIGH SCHOOL DIST 2 01/20/15 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 16WC019723 -C 412 15WC 09751 GARNER, CHELYNA FIRST CLASS STAFFING AGEN 02/15/15 MCNAMARA PHELAN MCSTEEN LL GRANT & FANNING 413 15WC 10134 PASCUAL, MARIA PSA CARDS 08/05/14 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 414 15WC 10201 NUNEZ, ELIZAI ELITE STAFFING 03/11/15 BAUM RUFFOLO & MARZAL LTD 415 15WC 10286 BUSTAMENTE, GERARDO JR CENTRAL GROCERS INC 12/15/14 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 16WC005603 -C 416 15WC 10444 KEIGHER, MATT JOLIET FIRE DEPT 09/29/14 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 15WC010732 -C 15WC010733 -C 417 15WC 10472 WILLIAMS, MICHAEL D. YAZMIN TRANSPORTATION, IN 02/26/15 FIGLIOLI, DAVID 418 15WC 10596 HANNIGAN, ROBERT P. MEP CONSTRUCTION 03/13/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 419 15WC 10644 HERNANDEZ, MARTIN ARYZTA LLC 09/02/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 420 15WC 10761 STOKES, KEVIN D ILL DEPT OF CORRECTIONS 10/01/14 COHN LAMBERT RYAN & SCHNEI JEANNINE SIMS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 15WC 11238 CHAIDEZ, FLORENTIO CENTRAL GROCERS INC 03/12/15 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 422 15WC 11359 RAMAGLIA, MICHAEL F ROMEOVILLE POLICE DEPT 12/23/14 FIGLIOLI, DAVID SLAVIN & SLAVIN 423 15WC 11397 MINION, MARK ANDY'S FROZEN CUSTARD 02/25/15 DAN COLLINS LAW FIRM HOLECEK & ASSOCIATES 424 15WC 11466 KOUIMELIS, HARRY A MONROE TRANSPORTATION 01/20/14 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 425 15WC 11739 FASANO, DANIEL L PARSEC INDUSTIES, INC. 02/13/15 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 426 15WC 11824 PENNING, JULIE BEAVER CREEK ENTERPRISES 10/24/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 427 15WC 11851 REESE, JERALD D IL DEPT OF CORRECTIONS @ 03/17/15 PATRICOSKI, MARK G JEANNINE SIMS 428 15WC 12087 CARNEY, JOSEPH VILLAGE OF BOLINGBROOK 09/22/14 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 429 15WC 12199 CABRERA, MARINA SONY-DADC 11/26/12 MCNAMARA PHELAN MCSTEEN LL CHILTON YAMBERT PORTER LLP 430 15WC 13005 WILLIAMS, TAWANDA ONE HOP UNITED 12/23/14 DWORKIN AND MACIARIELLO 431 15WC 13363 TYLER, LORETTA MACY'S RETAIL HOLDINGS IN 03/12/15 ANKIN LAW OFFICE ROBERT L. SMITH 432 15WC 13393 MORENO, JULIAN JORGE'S LANDSCAPING 03/29/15 PARENTE & NOREM PC 433 15WC 13515 GALEANA, JULIAN MORENO JORGE'S LANDSCAPING 03/29/15 ANKIN LAW OFFICE 434 15WC 13556 HEDGE, ELEANOR SILVER CROSS HOSPITAL 11/02/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 15WC014059 -C 435 15WC 13647 TAYLOR, DARRYL MENARDS 02/19/15 BRIAN T MORROW, LAW OFFICE 436 15WC 13723 ORTIZ, HECTOR WHITING CORP 04/25/12 THE OCHOA LAW GROUP 437 15WC 13980 MALDONADO, ROCIO MACNEIL AUTOMOTIVE PRODUC 03/25/15 JOHN S. ELIASIK HOLECEK & ASSOCIATES 438 15WC 14037 SMITH, AMANDA M PILOT TRAVEL CENTERS 03/04/14 FABRIZIO, HANSON & PEYLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 439 15WC 14446 TOLIVER, NED RESOURCE EMPLOYMENT 04/13/15 SEIDMAN MARGULIS & FAIRMAN 440 15WC 14610 BARNEY, BROOKE MEIJER 02/19/15 BLOCK, KLUKAS & MANZELLA P KOPKA, PINKUS DOLIN, PC 15WC015263 -C 441 15WC 14764 JONES, KENNEDY JB HUNT 04/04/15 DWORKIN AND MACIARIELLO GRANT & FANNING 442 15WC 15146 MITCHELL, KEITH U.S. HOSE CORPORATION 04/23/15 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 443 15WC 15785 BERGE, ROBERT E STATEVILLE CORRECTIONAL C 06/01/13 RICHARD E ALEKSY COLIN KICKLIGHTER 444 15WC 16189 WAGNON, REBECCA L JOLIET PUBLIC SCHOOLS DIS 05/06/15 PARENTE & NOREM PC 445 15WC 16307 MCDONALD, ROBERT G JR MEIJER LTD PARTNERSHIP 03/25/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 446 15WC 16530 QUIROZ, ELEAZAR AARON THOMAS CO 04/22/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 447 15WC 16947 VALENCIANA-GONZALEA, ACEN METRO STAFF INC 07/03/14 BLOCK, KLUKAS & MANZELLA P FRANCIS J DISCIPIO LAW OFFIC 448 15WC 17555 DRAPEAU, DEANNA PLAINFIELD SCHOOL DIST 20 01/12/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 449 15WC 17634 BOURG, THOMAS J CATERPILALR INC 03/18/15 SLAVIN & SLAVIN CATERPILLAR, INC. 450 15WC 17694 MITCHELL-FRANKLIN, MICHEL TRINITY SERVICES, INC. 03/16/15 MARK WHITESIDE ESQ INMAN & FITZGIBBONS 15WC038896 -C 451 15WC 17748 SMITH, LORETTA REMPREX 03/11/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 452 15WC 17915 TRINKA, STEVEN WALMART 11/03/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 453 15WC 18079 HALL, SCOTT JR. ILLINOIS DEPT OF CORRECTI @ 09/02/14 MC HARGUE, JAMES P LAW OFF COLIN KICKLIGHTER 454 15WC 19408 MORALSES, ROBIN OSEWGO SCHOOL 09/13/14 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 455 15WC 19744 APRIL, MICHELLE UPS 12/15/14 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 15WC 19751 CORREA, JASON AD DELUXESIGN COMPANY 04/06/15 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 457 15WC 19820 DOESLAERE, AMANDA STATE OF ILLINOIS IYC @ 01/29/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 15WC020691 -C ILLINOIS IYC 15WC022067 -C 458 15WC 19953 ABDALLAH, EMAD I & A SERVICES 05/04/15 459 15WC 20157 GUZMAN, APOLINAR RAILWAY & INDUSTRIAL SERV 01/02/14 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 460 15WC 20426 HARVEY, TARJI HOME DEPOT DISTRIBUTION C 11/25/14 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN & BRUNDO 461 15WC 20459 PAIGE, ERIC A AEROTEC ELECTRIC 05/30/15 MEYERS & FLOWERS RODDY LAW LTD 462 15WC 20772 LIMON, MATTHEW A. ILLINOIS BELL TELEPHONE C 06/04/15 MARKER & ASSOCIATES HENNESSY & ROACH PC 463 15WC 21081 WINNS, KIMBERLYN TRINITY SERVICES 02/04/15 BRIAN T MORROW, LAW OFFICE BRADY CONNOLLY & MASUDA PC 16WC004350 -C 464 15WC 21095 MONSIVAIS, MARIA VALLEY VIEW SCHOOL DISTRI 05/29/14 RIDGE & DOWNES KNELL & O'CONNOR 16WC017740 -C 16WC020540 -C 465 15WC 21110 AUSTIN, RICHARD STAFFING NETWORK 06/13/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 466 15WC 21288 POTOCKI, RICH ACUREN GROUP 04/15/15 RUBIN LAW GROUP HENNESSY & ROACH PC 467 15WC 21743 GOERS, SABRINA VALLEY VIEW SCHOOL DIST 3 12/10/14 SHEA LAW GROUP KNELL & O'CONNOR 17WC010048 -C 468 15WC 21942 DUDDLESON, KENLYN IL DEPT OF CORRECTIONS @ 09/20/13 WHITESIDE & GOLDBERG LTD COLIN KICKLIGHTER 469 15WC 22047 MCCUMBER, BRIAN OSWEGO FIRE PROTECTION 10/30/14 BARRY A KETTER RUSIN & MACIOROWSKI LTD 15WC025960 -C 470 15WC 22330 WARD, SHONTA HARBOR CHASE 04/30/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 471 15WC 22679 FLORES, JENNIFER BUFFALO WILD WINGS 05/06/15 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 15WC 22907 ESCARENO, LUCERO RON'S STAFFING SERVICES, 06/24/15 BART DURHAM GAROFALO SCHREIBER STORM 473 15WC 23403 MURPHY, TIMOTHY RYDER LOGISTICS 06/24/15 LAW OFFICES PETER LEKAS HEYL ROYSTER VOELKER & ALLEN 474 15WC 23499 VINCI, KATHERINE CHIPOTLE MEXICAN GRILL 03/31/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 475 15WC 23686 MUNOZ, ROBERT RYDER 06/18/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 476 15WC 24175 ZINN, SANDRA PRESENCE VILLA FRANCISCAN 07/24/15 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 477 15WC 24429 RODRIGUEZ, ANTONIO NRG ENERGY, INC. 10/04/14 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 478 15WC 24847 FLORES, TABITA JOLIET SCHOOL DISTRICT 86 05/18/15 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM 479 15WC 25035 TAYLOR, DARRYL MENARDS 05/07/15 BRIAN T MORROW, LAW OFFICE 480 15WC 25457 GASHI, ALI CRANE CO C/O C T CORPORAT 12/17/14 HETHERINGTON KARPEL BOBBER SPIEGEL & CAHILL, PC 481 15WC 25482 KUHEL, ALEX PACTIV 06/14/15 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 482 15WC 25605 FENOGLIO, TERRY CREST HILL POLICE DEPARTM 01/17/15 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 483 15WC 25816 RENTAUSKAS, BRUNO EXCEL PETROLEUM TRANPORT 06/05/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 484 15WC 25915 FIFE, JOANNE VALLEY VIEW SCHOOL DIST 3 07/02/15 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 15WC025916 -C 485 15WC 25966 LORD, MARY A. STACI JO'S DAY CARE 06/23/15 MARC J SHUMAN & ASSOCIATES LAW OFFICES JOSEPH MARCINIAK 486 15WC 26182 PERRY, MAVERICK CRETE MONEE SCHOOL DISTRI 02/03/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 487 15WC 26254 FUENTES, MARIA I. WEST LIBERTY FOODS 06/10/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 16WC036343 -C 488 15WC 26338 LAMPIGNANO, VINCENZO A LAMP CONCRETE 11/26/14 KARCHMAR & STONE 489 15WC 26760 SULIT, MARY JANE CAPITAL ONE 03/08/15 DWORKIN AND MACIARIELLO GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 15WC 26808 PINTO, RUBICEL UNISTAFF INC. 07/22/15 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 491 15WC 26857 SANCHEZ, ANGEL STATE OF IL/IDOC @ 06/20/15 LAW OFFICES DANIEL E MURPH JEANNINE SIMS 492 15WC 26924 RUTTER, MARK MIDWEST GENERATION 04/01/14 BRIAN T MORROW, LAW OFFICE 493 15WC 26969 RUEDAS, CINTYA AZTECA BAKERY 08/14/14 BART DURHAM HENNESSY & ROACH PC 494 15WC 27022 PUTNAM, JAMES CITY OF LOCKPORT 05/17/14 JACOBSON & SCHIEFELBEIN POWER & CRONIN LTD 495 15WC 27187 SANCHEZ, MARIELA ALTERNATIVE STAFFING, INC 08/17/15 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 496 15WC 27424 MALINOWSKI, MICHAEL CRATERS & FREIGHTERS SO C 06/11/15 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 497 15WC 27608 SCOTT, MARTY ILL DOC STATEVILLE @ 07/01/13 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 15WC027609 -C 498 15WC 27950 LOPEZ, ROBERT R NRG ENERGY, INC. 01/04/15 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 499 15WC 28124 CRUZ-SERRANO, ULISES KEHE DISTRIBUTORS INC 08/12/15 LAW OFFICES MICHAEL HELLMA NOBLE & ASSOCIATES PC 500 15WC 28221 O'HERN, TERRENCE CHANNAHON FIRE 06/30/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 501 15WC 28342 SMITH, ANGELA FULL STEAM STAFFING, LLC 08/23/15 ANKIN LAW OFFICE 502 15WC 28421 GLOVER, ROBERT AREA TRANSPORTATION 12/17/14 KATZ FRIEDMAN EAGLE ET AL THOMAS & ASSOCIATES 503 15WC 28489 PHILLIPS, SAMUEL J STAFFMARK LLC 07/26/14 KROCKEY CERNUGEL COWGILL E KEEFE CAMPBELL & ASSOC LLC 504 15WC 28581 MARTINEZ, CARLOS ROSEN MATERIALS 06/16/15 COSTA IVONE LLC 505 15WC 28743 MORAN, NORINE DENTALWORKS/DENTAL ONE 05/01/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 506 15WC 28904 PALMER, FRANCIS MPHI, INC. 07/24/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 507 15WC 29043 CHAVEZ, ERICK WOODMARK, LLC 08/28/15 WOODRUFF & JOHNSON ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 15WC 29115 BACHILLER, MARINA THE PORTILLO RESTAURANT G 07/25/15 FOOTE MIELKE CHAVEZ & O'NE GRANT & FANNING 509 15WC 29482 FREEMAN, DANA PEACOCK ENGINEERING 04/09/15 GOLDBERG WEISMAN & CAIRO L GOLDBERG SEGALLA LLC 510 15WC 29610 ARENAS, ROSA AXCESS STAFFING SERVICES 08/07/15 EPSTEIN, JACK R LAW OFFICE 511 15WC 29721 COY, PATRICK PEPSICO 10/14/14 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 512 15WC 29943 LEWIS, CYNTHIA ELITE REHABILITATION 08/13/15 BLOCK, KLUKAS & MANZELLA P 15WC029944 -C 513 15WC 30475 DOROTIAK, JOHN HUMMINGBIRD ELECTRIC/ 07/23/15 KROL BONGIORNO & GIVEN LTD 514 15WC 30813 WILLARD, ZON BLACK HORSE CARRIERS, INC 09/14/15 ANKIN LAW OFFICE 515 15WC 30836 MORRIS, JOSHUA TAYLOR FREEZERS 10/24/12 BLOCK, KLUKAS & MANZELLA P 516 15WC 30951 MOLINA, HECTOR ANDERSON & SHAH ROOFING I 07/14/15 KARCHMAR & STONE STONE & JOHNSON CHARTERED 517 15WC 31165 WEREECKE, NORMAN II PARAMOUNT STAFFING 08/28/15 HORWITZ HORWITZ & ASSOC 518 15WC 31277 STAFORD, CHRISTOPHER ILINK RESOURCES & FUSION 08/04/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 519 15WC 31367 COOPER, ERNEST J. ELITE STAFFING 07/10/15 CULLEN HASKINS NICHOLSON MARC CAIRO 520 15WC 31377 ARENAS, ROSA ACCESS STAFFING SERVICES 09/17/15 EPSTEIN, JACK R LAW OFFICE 521 15WC 31467 SANCHEZ, MARISSA NEXUS EMPLOYMENT 10/20/14 MILLON & PESKIN LTD RIPES NELSON BAGGOT KALOBRAT 522 15WC 31683 PLUNGE, ANGELA GUARDIAN ANGEL COMMUNITY 11/16/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 523 15WC 31739 BAKER, STEVEN NORTHFIELD BLOCK CO 02/02/15 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 524 15WC 31864 RIVERA, MARIA ALPHA CLEANERS 08/15/15 BURNETT & CARON, LTD 525 15WC 32024 POWERS, MICHAEL CASSENS TRANSPORT COMPANY 09/09/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 526 15WC 32126 ROSENBERGER, DENNITH D PPL-RAVENS TRUCKING, INC. 02/02/15 FREDERICK & HAGLE RODDY LAW LTD 527 15WC 32203 MACHAK, DANIELLE SILVER CROSS HOSPITAL 12/05/14 EDWARD A. STARKMAN MACIOROWSKI SACKMANN & ULRIC 528 15WC 32310 LOZANO-VARGAS, FABRIT ITZ PHILLIPS CHEVROLET 02/22/15 THE ROMAKER LAW FIRM LITCHFIELD CAVO 16WC005960 -C 529 15WC 32338 PURCHASE, STEVEN L CITY OF JOLIET 05/13/15 KROCKEY CERNUGEL COWGILL E CITY OF JOLIET 530 15WC 32566 FREDERICK, JASON VILLAGE OF BOLINGBROOK/ 08/05/15 WHITESIDE & GOLDBERG LTD 531 15WC 32872 GABEHART, ALAN GEEDING CONSTRUCTION 09/10/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 532 15WC 32878 LOVE, CALVIN THE HOME DEPOT 08/24/15 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 533 15WC 33447 MUELLER, ROLLIN CATERPILLAR INC 08/04/15 RIDGE & DOWNES CATERPILLAR, INC. 15WC033448 -C 534 15WC 33584 ALCANTAR, VICTOR LUCENTA TIRE & EQUIPMENT 03/18/15 COSTA IVONE LLC 535 15WC 34048 GERMAN, IRMA ROUTE 30 LAUNDROMAT 03/03/15 MICHAEL P MCCREADY & ASSOC LAW OFFICES JOSEPH MARCINIAK 536 15WC 34273 FRAYSON, CHERALLE PRESENCE ST JOSEPH HOSPIT 08/21/15 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 537 15WC 34297 SWIERSZ, DAVID A COUNTY OF WILL/ BRUCE D C 10/30/12 HINSHAW & CULBERTSON 538 15WC 34493 VARGAS, JESUS MANUEL CLEARWATER PAPER CORP 09/21/15 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 539 15WC 34682 LUCE, CHRISTINE STATE OF ILLINOIS DEPT 09/01/14 DWORKIN AND MACIARIELLO COLIN KICKLIGHTER 540 15WC 34756 RODRIQUEZ, REYNALDO ELITE STAFFING, INC. 11/01/14 THE ROMAKER LAW FIRM 541 15WC 35278 ORTEGA, ALICIA SARATOGA FOOD SPEC 06/01/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 542 15WC 35299 JONES, EUNICE EASTER SEALS 09/17/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 543 15WC 35340 LLOYD, BRANDON HENNESSEY RIVERVIEW FORD 10/10/15 HORWITZ HORWITZ & ASSOC KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 15WC 35372 SLATER, CHRISTOPHER SMS TECHNICAL SERVICES, L 09/16/15 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 545 15WC 35598 SPARKS, ANDREW KWM GUTTERMAN INC 11/10/14 GRAVLIN, MICHAEL J LLC HOLECEK & ASSOCIATES 17WC000874 -C 17WC000875 -C 546 15WC 35666 BROWN, DONALD COWORKS 11/02/15 KARNO, MARK L & ASSOC 547 15WC 35706 JOHNSON, TION UTI INTEGRATED LOGISTICS 10/16/15 SKLARE LAW GROUP 548 15WC 36010 SLASOR, JEAN M OSWEGO CUSD #308 03/23/15 JOHN J CASTANEDA ROSARIO CIBELLA 549 15WC 36036 WHITE, RYAN IL DEPT OF CORRECTIONS 10/08/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL 550 15WC 36198 BLOUNT, TYRONE SCHNEIDER NATIONAL LOGIST 10/08/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 551 15WC 36257 CULPEPPER, RYAN I.T.W. 10/20/15 BAUM RUFFOLO & MARZAL LTD 552 15WC 36772 KOLDER, APRIL VALLEY VIEW 08/17/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 553 15WC 36793 MEADORS, PATRICK D&H DISTRIBUTING 10/05/15 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 554 15WC 36820 JONES, GREGORY IL DEPT OF @ 10/27/15 ARGIONIS & ASSOCIATES LLC COLIN KICKLIGHTER 555 15WC 37294 GLEASON, DEBBIE SERVICE OF WILL GRUNDY AN 04/16/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 556 15WC 37307 BRACEY, DEMETRIOS RED ROOF INN 11/14/15 BIZZIERI LAW OFFICES COZZI & GOGGIN-WARD 557 15WC 37317 CHAVEZ, JULIO PRODRIVERS 11/04/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 558 15WC 37730 SHAW, RYAN CITY OF JOLIET 07/19/15 LULAY LAW OFFICES CITY OF JOLIET 559 15WC 38289 JUDGE, SHAUN BRANDENBURG DRAINAGE 10/29/15 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 560 15WC 38414 EARLEY, DAVID HOLLOWAY-MEYERS INC 07/08/14 CUTLER & SILVERGLADE 561 15WC 38866 HONDROS, JAMES IL DEPT OF CORRECTIONS 02/04/13 JOHN F GREGORIO & ASSOC COLIN KICKLIGHTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 562 15WC 38966 HAISH, DENNIS WASTE MANAGEMENT INC 11/11/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 563 15WC 39104 POWERS, TIFFANY HOME DEPOT RDC 5851 10/22/15 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 564 15WC 39210 COHEN, REBECCA S&S ACTIVEWEAR 10/12/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 565 15WC 39757 BARBER, KIMBERLY DOLLAR TREE DISTRIBUTION 09/19/15 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 17WC001507 -C 566 15WC 39836 SCEARCE, LINNEA PLAINFIELD CONSL SCHOOL 02/26/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 567 15WC 39940 MORRIS, JENNIFER WILL CTY CIRCUIT CLERK OF 05/28/15 STEVEN H MEVORAH & ASSOCIA HINSHAW & CULBERTSON 568 15WC 41039 BUSTAMANTE, GERARDO CENTRAL GROCERS CO-OP, IN 10/18/15 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 569 15WC 41409 MARCHETTI, GINA STATE OF ILLINOIS @ 12/09/15 SEIDMAN MARGULIS & FAIRMAN COLIN KICKLIGHTER 570 15WC 41457 TESSLING, FRANK SAUNORIS BROS 07/24/15 FINE, MARK S LAW OFFICES BRYCE DOWNEY & LENKOV LLC 571 15WC 41482 WIEDMAN, TONI CAESARS ENTERTAINMENT COR 03/21/15 RUSSO & RUSSO LTD NOBLE & ASSOCIATES PC 572 15WC 41655 BRIDGES, GREGORY M CRETE-MONEE SCHOOL DIST # 02/04/15 FABRIZIO, HANSON & PEYLA WIEDNER & MCAULIFFE LTD 573 15WC 42108 DEVRIES, JEAN A HARBOR HOUSE RESALE SHOPP 01/17/15 MATTHEW T. GUBBINS PC WIEDNER & MCAULIFFE LTD 574 15WC 42414 RUIZ, JOHN A A&D PAINTING & DRYWALL 12/04/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 575 15WC 42515 BARRIOS, GLORIA BOSCH 11/25/15 KARCHMAR & STONE GAROFALO SCHREIBER STORM 576 15WC 42626 KRYNSKI, ARTHUR WEATHERTRUCK 10/19/15 GIACOBBE, THOMAS M HOLECEK & ASSOCIATES 577 16WC 00048 BREGENZER, MICHAEL EA SWEEN 02/26/15 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 578 16WC 00332 SMITH, RITA LODERS CROKLAAN 03/06/15 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 579 16WC 00399 KALEC, DERICK LARSEN'S INC. 01/07/14 BRUGGEMAN HURST & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 580 16WC 00720 GUZMAN, ROGER WILTON BRANDS 11/16/15 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 581 16WC 00800 BINNS, KATHLEEN KENDALL CTY SPECIAL ED CO 10/02/15 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 582 16WC 00894 GONZALEZ, ROSA MOTEL 6 O.L.P. 11/21/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 583 16WC 01034 ARREOLA, CEASAR ALRO STEEL CORP 01/06/14 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 584 16WC 01066 BERMUDEZ, JOEL EXCEL PETROLEUM TRANSPORT 09/21/15 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 585 16WC 01152 DEL RIO, ROSE JEWEL FOOD STORES 07/02/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 16WC001153 -C 586 16WC 01286 MAJOR, DON BERKOTS SUPER FOODS 09/05/15 LIDOV & BLOCK 587 16WC 01327 TAYLOR, ERIN K DOLLAR TREE DISTRIBUTION 11/23/15 ANESI OZMON RODIN NOVAK KO 588 16WC 01610 RODRIGUEZ, ALICIA ULTA SALON COSMETICS 03/11/15 BERG & BERG RUSIN & MACIOROWSKI LTD 589 16WC 01843 WATKINS, ROGER RUAN TRANSPORTATION MANAG 11/19/15 ANKIN LAW OFFICE JAMES M KELLY 590 16WC 01903 CABRALES,ALICIA DIVERSIFIED MAINTENANCE S 05/27/15 BOWMAN & CORDAY 591 16WC 02489 DEESPITIA, MARIA RICH PRODUCTS CORP 10/14/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN 592 16WC 03048 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 12/10/15 HORWITZ HORWITZ & ASSOC COLIN KICKLIGHTER 593 16WC 03278 MONTGOMERY, NAOMI PATRICK L HALEY MANSION 03/22/14 LAW OFFICES MICHAEL HELLMA ACCIDENT FUND HOLDINGS 594 16WC 03299 GOMEZ, ROMUALDO HOUSING AUTHORITY 12/11/15 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 595 16WC 03360 HARPER, COURTNEY PEACOCK ENGIEERING 01/22/16 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 596 16WC 03482 MCKENDRY, VALERIE MINOOKA CONSO1DSCHOOL DIS 02/18/13 BOGGS & FILLENWARTH 597 16WC 03647 TOBIAS, SHARON STATE OF IL./DHS @ 09/23/15 BLOCK, KLUKAS & MANZELLA P

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 616 16WC 05633 SANCHEZ, MARIBEL ELITE STAFFING 02/11/16 COSTA IVONE LLC 617 16WC 05764 ROJAS, OLGA PREMIER EMPLOYEE SOLUTION 11/09/15 THE ROMAKER LAW FIRM GRANT & FANNING 618 16WC 05897 CRUZ, ROSALINDA JOLIET SCHOOL DISTRICT #8 12/04/15 CORTINA & MUELLER 619 16WC 05947 BOLOS, PATRICIA STAFF MARK/RR DONNELLY 02/05/16 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 620 16WC 06041 PRUITT, CEDRIC STATE OF IL DEPT OF CORRE @ 01/06/16 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENL 621 16WC 06058 SHIMKUS, SHARI ROLLING FRITO/LAY SALES 12/13/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 622 16WC 06125 PEREZ, PATRICIA ELITE STAFFING 01/26/16 LAW OFFICE OF SCOTT B SHAP 623 16WC 06295 BUTLER, JENNIFER CLEARWATER PAPER CORPORAT 11/02/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 624 16WC 06365 BANKSON, JAMES POMP'S TIRE 12/28/15 MEYERS FLOWERS KNELL & O'CONNOR 625 16WC 06650 CHAGALA, ANAHI PARAMOUNT STAFFING 02/03/16 HERRERA LAW CENTER 626 16WC 06726 TATE, CHARLIE SR FIRST STUDENT 10/26/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 627 16WC 06771 ALVARADO, ABIGAIL ELITE STAFFING BOLINGBROO 12/01/15 EPSTEIN, JACK R LAW OFFICE 628 16WC 06890 LACHETA, THOMAS S VILLAGE OF STEGER POLICE 01/20/16 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 629 16WC 06952 LAMBERT, WILLIAM LOCKPORT TOWNSHIP FIRE 04/01/15 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 16WC006953 -C 630 16WC 07008 CALDERIN, EUGENIO ELITE STAFFING 01/18/16 GOLDSTEIN BENDER & ROMANOF GOLDBERG SEGALLA LLC 631 16WC 07033 JUAREZ, VERONICA BERGSTROM INC. 09/28/15 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 632 16WC 07065 LOPINA, MICHAEL LOCKPORT TWP FIRE DISTRIC 01/21/16 RATHBUN CSEVENYAK & KOZOL 633 16WC 07196 FORD, DAKINIA LARAWAY SCHOOL DISTRICT 7 01/29/15 RIDGE & DOWNES ANCEL GLINK DIAMOND BUSH

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 651 16WC 09222 WALL, SHARON EASTCOM 02/09/16 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 652 16WC 09743 DAVIS, CRAIG SCHNEIDER 11/04/15 BOWMAN & CORDAY POWER & CRONIN LTD 653 16WC 09844 JASKOWIAK, JOSEPH JR HOMER TOWNSHIP FIRE 03/22/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 16WC009956 -C 654 16WC 10040 MORAN, JAMES VOLVO NORTH AMERICA 11/18/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 655 16WC 10046 HERRADA, HORTENCIA MCDONALD'S DBA ZOE & YUMM 10/12/15 HART & DAVID LLP 656 16WC 10059 TALLEY, STEVE LINEAGE LOGISTICS HOLDING 10/31/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 16WC010222 -C 657 16WC 10067 VITALE, ANNETTE SODEXO INC 03/05/16 GRAZIAN & VOLPE PC 658 16WC 10216 HILLER, MARK J NRG ENERGY JOLIET STATION 02/15/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 659 16WC 10228 NAVAR, GLORIA ARYZTA GREAT KITCHENS, IN 11/19/15 KARCHMAR & STONE HENNESSY & ROACH PC 660 16WC 10281 SULLIVAN, SHARMEL ELITE STAFFING INC 03/15/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 661 16WC 10385 GARCIA, FERNANDO INNOTRC GP, LLC 01/25/16 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY 662 16WC 10585 ROTT, KEVIN ADVENTIST HINSDALE HOSPIT 02/04/15 PORRO NIERMANN LAW GROUP RODDY LAW LTD 16WC010784 -C 663 16WC 10679 LABOY, JOSE MACY'S LOGISTICS & 07/15/15 NEWMAN, BOYER & STATHAM ROBERT L. SMITH 16WC010680 -C 664 16WC 10782 SANTOYO, JAIME CONNEMARA CONVERTING, LLC 01/15/16 GOLDSTEIN BENDER & ROMANOF 665 16WC 10908 TRAVIS, HERMAN HOUSING AUTHORITY OF JOLI 02/29/16 GOLDBERG WEISMAN & CAIRO L THOMAS & PORTELA 666 16WC 10920 MAGEE, STEVEN MONARCH CONSTRUCTION 02/23/16 RIDGE & DOWNES KNELL & O'CONNOR 667 16WC 11008 FAIRLEY, DEBRA SILVER CROSS HOSPITAL 06/08/15 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 668 16WC 11346 MIRTOSK, SULEJMAN ROTA DYNE 03/26/16 DWORKIN AND MACIARIELLO 669 16WC 11876 EGGERS, WAYNE ARS TRANSPORTATION COMPAN 07/15/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 670 16WC 11985 LOPEZ, MINERVA AMERISOURCE BERGEN 04/06/16 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 671 16WC 12155 DE BRAVO, IRENE HERNANDEZ DUTCH AMERICAN FOODS INC 12/15/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 672 16WC 12204 GLEIM, SCOTT CITY OF JOLIET 01/11/16 HETHERINGTON KARPEL BOBBER 673 16WC 12232 BURKHART, WILLIAM JEWEL/OSCO 11/15/15 MARC J SHUMAN & ASSOCIATES 674 16WC 12320 BAKER, MICHELLE VALLEY VIEW SCHOOL DIST 3 01/15/15 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 675 16WC 12514 JOHNSON, ADA STATE OF ILLINOIS DOC @ 04/06/16 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 676 16WC 12561 ARELLANO, SUSAN R ITW FASTENERS 01/05/16 BLAKE HORWITZ LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 677 16WC 12690 CARTER, DAWN ILLINOIS CENTRAL SCHOOL B 04/03/14 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 678 16WC 12873 MORGAN, MICHAEL J KENDALL AUTO AND TRUCK RE 12/02/15 PATRICOSKI, MARK G 679 16WC 13202 DENHAM, EDDIE ANZELC WELDING & FABRICAT 03/29/16 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 680 16WC 13407 ROSE, BRENT D FLINT HILLS 12/27/15 SCOTT M BELT & ASSOC MC ANDREWS & NORGLE LLC 681 16WC 13537 DIAZ, CLAUDIA STATE OF IL DOC 10/28/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 682 16WC 13700 GERMAN, BERTHA PRIMARY STAFFING, INC 01/15/16 GOLDSTEIN BENDER & ROMANOF 683 16WC 14105 ASHLEY, ANTWOINE PARSEC 01/28/16 BRISKMAN BRISKMAN GREENBER MACIOROWSKI SACKMANN & ULRIC 684 16WC 14181 JURENKA, RENATA AMAZON 04/25/16 BART DURHAM WIEDNER & MCAULIFFE LTD 685 16WC 14212 MILLER, RUTH STATE OF IL / STATEVILLE @ 04/19/16 HUGHES SOCOL PIERS RESNICK COLIN KICKLIGHTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 686 16WC 14468 DOMBROWSKI, LORI AMAZON WAREHOUSE 03/15/16 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 687 16WC 14599 SAENZ, DAVID IL DEPT OF TRANSPORTATION @ 02/08/16 BOWMAN & CORDAY ASSISTANT ATTORNEY GENL 688 16WC 14704 SULLIVAN, TRICIA MOKENA SCHOOL DISTRICT 15 11/05/15 PETER A SINK 689 16WC 14903 SHANKIN, JAMES IDOC-STATEVILLE @ 04/30/16 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 690 16WC 14930 FEARS, LEBOIN O'REILLY AUTO ENTERPRISES 04/30/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 691 16WC 15174 REYES, ANGEL RAILWAY & INDUSTRIAL 04/14/15 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 692 16WC 15266 DOLNAK, GREGORY UNIVERSITY OF CHICAGO 03/16/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 693 16WC 15993 NELSON, HERMANSKI SIMOS INSOURCING SOLUTION 06/11/13 BLOCK, KLUKAS & MANZELLA P 694 16WC 16037 MADERA, GREGORY JMK INC 05/11/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 695 16WC 16305 ABUDAN, JAMAL STATE OF ILLINOIS/I.D.O.T @ 05/12/16 THE FITZ LAW GROUP ASSISTANT ATTY GENERAL 696 16WC 16318 TOTTEN, DAVID RAILWORKS 09/15/15 RUBENS AND KRESS HEYL ROYSTER VOELKER & ALLEN 697 16WC 16329 SOCHA, CASSANDRA CITY OF JOLIET 05/01/16 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 16WC016327 -C 16WC016328 -C 698 16WC 16394 WAITEKUS, JAKOB MACY'S INC. 04/22/16 SCHWEICKERT & GANASSIN 699 16WC 16514 SCHAUER, DONNA SILVER CROSS HOSPITAL 04/10/14 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 700 16WC 16805 HAYNES, CHERYL S FRESENIUS MEDICAL CARE 03/21/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 701 16WC 16856 THOMAS, KATELYN AMAZON 11/17/15 KEDZIE LAW OFFICE PC WIEDNER & MCAULIFFE LTD 702 16WC 16966 FAREJ, ADAM DOLTON FIRE DEPARTMENT 04/29/16 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 703 16WC 17007 BRUEN, JAMES UPS 04/27/16 JASINSKI, GEORGE J

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 704 16WC 17051 PUTNAM, JENNIFER MEIJERS 05/07/16 LEITER LAW OFFICES KOPKA, PINKUS DOLIN, PC 705 16WC 17164 MARTIN, TIM AMAZON 05/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 706 16WC 17234 WALKER, MARK AMAZON.COM.LLC, DIST WARE 03/22/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 707 16WC 17385 WILLIAMS, TARION SCHNEIDER NATIONAL INC 05/08/16 JOHN E LUSAK POWER & CRONIN LTD 708 16WC 17599 MEDVED, MICHAEL M. D POLLACK GLASS & MIRROR 01/13/16 PARENTE & NOREM PC 709 16WC 17730 DOWNEN, ALLEN ROMEOVILLE POLICE DEPARTM 05/24/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 710 16WC 18249 LOULOUSIS, CHRISTOPHER J SUPER WASH, INC. 02/11/16 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 711 16WC 18269 ALFARO, ENRIQUE NAVISTAR, INC 05/25/16 NILSON STOOKAL GLEASON CAP NYHAN BAMBRICK KINZIE & LOWR 712 16WC 18326 RUSH, EDWARD AMERICAN STAIR INC 05/27/16 MARK G BERGAL LAW OFFICE RODDY LAW LTD 713 16WC 18654 RUSSELL, BRYAN MANPOWER 04/25/16 BRIAN T MORROW, LAW OFFICE GOLDBERG SEGALLA LLC 714 16WC 18668 ANDREWS, RANDY DIAGEO GLOBAL SUPPLY 04/01/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 715 16WC 18829 MORENO, FELIPE COSTCO 06/11/16 FRIEDMAN & SOLMOR LTD GANAN & SHAPIRO 716 16WC 18904 SCHRAER, RAYMOND ROCKWELL MEDICAL 02/08/16 BLOCK, KLUKAS & MANZELLA P 717 16WC 19148 HART, WILLARD STATEVILLE CORRECTIONAL C @ 05/12/16 GALLAGHER LAW PC COLIN KICKLIGHTER 718 16WC 19260 ERVIN, TERRY BUFFALO WILD WINGS 11/04/15 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 719 16WC 19294 RODRIGUEZ, ULISES STARCON INTERNATIONAL INC 05/24/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 720 16WC 19360 SANDSTROM, DOUGLAS STATE OF ILLINOIS @ 05/12/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 721 16WC 19467 BROWNLEE, TANNETTA DIY GROUP, INC 06/14/16 KREITER, BYCK & ASSOC LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 722 16WC 19664 BELL, DEMETRIUS RJ TRANSPORT 06/20/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 723 16WC 19754 DAVIS, CHRISTY SUDSATIONAL LAUNDROMAT 09/30/15 HORWITZ HORWITZ & ASSOC 724 16WC 19821 VEGETABLE, MICHAEL RESOURCE & EMPLOYMENT SOL 05/23/16 GRAZIAN & VOLPE PC 725 16WC 19873 FLETCHER, SHIRLEY SONY DADC 06/08/16 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 726 16WC 19889 VARGAS, LUIS TTX COMPANY 04/07/16 OSVALDO RODRIGUEZ PC RODDY LAW LTD 727 16WC 19951 KORELC, ROBERT NRG ENERGY, INC 04/29/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 728 16WC 19967 PAYNE, SHANNON WILL COUNTY SHERIFF'S OFF 06/06/16 RIDGE & DOWNES HINSHAW & CULBERTSON 729 16WC 20049 SERRATO, MARVILA S&S ACTIVE WEAR 03/28/16 BLOCK, KLUKAS & MANZELLA P BRYCE DOWNEY & LENKOV LLC 730 16WC 20056 HERNANDEZ, ISMAEL NATURE SECOND CHANCE HAUL 03/18/16 FOHRMAN, DONALD W & ASSOCS KNELL & O'CONNOR 731 16WC 20237 SMITH, SUSAN CHERYL AT & T 05/09/16 MATTHEW T. GUBBINS PC INMAN & FITZGIBBONS 732 16WC 20320 NORRIS, MICHAEL NFI INTERACTIVE LOGISTICS 11/22/15 KOSIN LAW OFFICE LTD MACIOROWSKI SACKMANN & ULRIC 733 16WC 20395 DOESLAERE, AMANDA STATE OF ILLINOIS @ 03/30/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 734 16WC 20413 BURAS JR, PAUL T TEAM INDUSTRIAL SERVICES 05/14/16 RIDGE & DOWNES 735 16WC 20447 PRESI, NICHOLAS N KNAUER INDUSTRIES 05/16/15 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 736 16WC 20480 VILLALOBOS, SERGIO ELITE STAFFING 06/13/16 CUSHING LAW OFFICES 737 16WC 20578 ODAM, ROSEANNE CASEY'S GENERAL STORE 02/27/16 MARC J SHUMAN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 738 16WC 20618 HICKS, WANDA KENDALL COUNTY SPECIAL 04/17/16 COSTA IVONE LLC 739 16WC 21213 LANGAN, DANIEL BREAKTHRU BEVERAGE ILLINO 03/02/16 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 16WC021214 -C 16WC029912 -C 740 16WC 21363 MAHALIK, RICHARD JOHNSTONE SUPPLY INC 01/12/16 KAVANAGH GRUMLEY & GORBOLD LAW OFFICES JOSEPH MARCINIAK 741 16WC 21412 STONE, CHARLES A CENTERLINE TRUCKING @ 03/17/16 ANKIN LAW OFFICE GANAN & SHAPIRO 742 16WC 21645 VENZON, CORRADO CITY OF JOLIET 04/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 743 16WC 21782 STEG, THOMAS A D CONSTRUCTION 08/01/15 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 744 16WC 21853 HARRIS, APRIL LIBERTY SCHOOL BUS COMPAN 03/03/16 ANKIN LAW OFFICE 745 16WC 21962 BLAN, JOSEPH PRESENCE SAINT JOSEPH MED 04/01/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 746 16WC 22042 WEDER, MICHAEL WILL COUNTY SHERIFF DEPT. 12/28/15 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 747 16WC 22081 GOULD, WILLIE SCHNEIDER LOGISTICS 04/07/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 748 16WC 22273 MACEY, BENNETT DR PEPPER 7UP BOTTLING 01/14/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 749 16WC 22324 VEGA, RAFAEL IW&G INC 06/15/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 750 16WC 22388 MOSELEY, DEYMEATRIUS C. LINEAGE LOGISTICS 01/28/16 DWORKIN AND MACIARIELLO 751 16WC 22486 STONE, CYNTHIA SANCHEZ ELEMENTARY SCHOOL 08/11/15 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 752 16WC 22732 BOLANOS, VIVIANA UNISTAFF PRO, INC.-LOANIN 06/02/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 753 16WC 22930 RUZICH, AMANDA DELTA SONIC CAR WASH 02/20/16 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 754 16WC 23262 SIMO, LINDA NEOVIA LOGISTICS SERVICES 07/07/16 DWORKIN AND MACIARIELLO 755 16WC 23402 CONSTANTINE, ANTHONY STATE OF ILLINOIS DOC @ 07/04/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 756 16WC 23431 EARLEY, COREY AMAZON FULFILLMENT CENTER 06/17/16 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 757 16WC 23492 MOOTY, JEROME PACTIV 03/24/16 DAVID W MARTAY 758 16WC 23685 DOMINIK, MARTIN S II KNAUER INDUSTRIES LTD 03/10/16 LAW OFFICE PHILIP BLOMBERG BRUCE WARREN 759 16WC 23703 LEBEDA, MICHAEL AMERISOURCE BERGEN 05/26/16 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 760 16WC 23773 WILLIAMS, TABATHA RJW TRANSPORT INC 06/23/16 GOLDSTEIN BENDER & ROMANOF HEYL ROYSTER VOELKER & ALLEN 761 16WC 23852 TREVINO, DELORES STATE OF ILLINOIS @ 12/23/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 762 16WC 23896 BOND, TAMMY LAKES VENTURE, LLC D/B/A 07/15/16 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 763 16WC 24028 WILLIAMS, DONNA ROUTE 66 FOOD & FUEL 07/06/16 GREGORIO & MARCO 764 16WC 24092 STONE-SANDERS, TAVANECKA NEXUS EMPLOYMENT 07/25/16 GOLDSTEIN BENDER & ROMANOF RIPES NELSON BAGGOT KALOBRAT 765 16WC 24107 O'CONNELL, JOSEPH ALLEY TAP & GRILL 06/15/16 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 766 16WC 24190 MOUTRY, PEARL WE CARE HOME CARE INC 07/14/16 RAYMOND M SIMARD, PC RUSIN & MACIOROWSKI LTD 767 16WC 24211 MARTINEZ, MARIA ELITE STAFFING-BOLINGBROO 07/28/16 COSTA IVONE LLC 768 16WC 24292 MARRERO, MARIO ISLAMORADA FISH COMPANY 01/20/16 PETER A SINK BRYCE DOWNEY & LENKOV LLC 769 16WC 24487 BRAULIO, ROBERTO ELITE STAFFING INC. 07/26/16 CULLEN HASKINS NICHOLSON 770 16WC 24508 MARIN, ISMAEL CORTEZ MIDWEST STORE FIXTURES 07/20/16 COSTA IVONE LLC LITCHFIELD CAVO 771 16WC 24722 HAISH, DENNIS WASTE MANAGEMENT INC. 06/07/16 HORWITZ HORWITZ & ASSOC 772 16WC 24749 LEHNERT, THERESA MINOOKA COMMUNITY HIGH SC 03/14/14 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 773 16WC 24791 HUGON, CHRISTINE ALLIED BARTON 07/21/16 LAW OFFICES MARK LOFTUS GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 774 16WC 24833 ROGERS, TIMOTHY L WELSCH READY MIX 08/03/16 RIDGE & DOWNES 775 16WC 25047 CUELLAR, FELIPE IMPERIAL ROOFING @ 08/04/16 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 776 16WC 25125 ROGNLEY, ANDREW MIDWEST ARCHITECTURAL GLA 11/01/12 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 777 16WC 25142 FOWLKES, CAROLYN L HELP AT HOME, LLC 05/18/16 ANKIN LAW OFFICE ROSARIO CIBELLA 778 16WC 25194 CURTIS, JEANETTE MEIJER 07/07/16 BRISKMAN BRISKMAN GREENBER 779 16WC 25254 NELSON, ERICA BP STAFFING 08/05/16 BIZZIERI LAW OFFICES RUSIN & MACIOROWSKI LTD 780 16WC 25306 ALDRIDGE, JAMES JOLIET STAFFING LLC 05/13/16 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 781 16WC 25361 FLIGHT, MICAH VPC PIZZA HOLDINGS/ 08/01/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 782 16WC 25438 PERRY, MAVERICK C CRETE-MONEE SCHOOL DISTRI 02/10/16 DEES, BRIAN J LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 783 16WC 25507 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 01/22/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 784 16WC 25508 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 07/26/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 785 16WC 25547 HERNANDEZ, DAVID J. PROLOGISTIX 08/15/16 LAW OFFICES MICHAEL HELLMA LEAHY EISENBERG & FRAENKEL 786 16WC 25624 NETTLEINGHAM, JAY FREEDOM EMS 07/20/16 PETER F FERRACUTI & ASSOCI 787 16WC 25648 NETTLEGHAM, JAY C. NETTLEGHAM, JAY C. 08/02/16 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 788 16WC 25712 BURNETTE, CLEDY METRO STAFFING INC 08/08/16 WEISS & WEISS LAW OFFICES 789 16WC 26073 FOLA, LYNDELL STATE OF IL DEPT OF CORRE @ 06/21/16 LANNON LANNON & BARR LTD ASSISTANT ATTY GENERAL 790 16WC 26178 SANDT, JERI L. LINCOLN WAY SCHOOL DIST. 07/11/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 791 16WC 26193 SIMMONS, TOKEISHA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 792 16WC 26281 NEWBERTY, JOHN WILL COUNTY SHERIFF'S OFF 05/07/16 DAVID SZCZECIN & ASSOC 793 16WC 26381 VALDEZ, SERGIO JR. SPEARS MANUFACTORING 08/18/16 LEITER LAW OFFICES 794 16WC 26513 FLYNN, DENNIS CENTRAL CROCERS INC 01/18/16 ANKIN LAW OFFICE ROSARIO CIBELLA 795 16WC 26728 PORTWOOD, MATTHEW A E QUIP MANUFACTURING 08/16/16 MCNAMARA PHELAN MCSTEEN LL ACCIDENT FUND HOLDINGS 796 16WC 26775 JOHNSON, NANCY BELCAN TECHSERVICES 08/17/16 RIDGE & DOWNES HOLECEK & ASSOCIATES 797 16WC 26784 HOUSE, ERIKA RESOURCE EMPLOYMENT SOLUT 07/22/16 HORWITZ HORWITZ & ASSOC 798 16WC 26871 BARROWMAN, JAMES RUAN LEASING COMPANY 08/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 799 16WC 26878 BOBO, JONATHAN PROLOGISTIX 08/18/16 LEAHY EISENBERG & FRAENKEL 800 16WC 27268 ELSEN, CHRISTOPHER LOCKPORT STEEL FABRICATOR 07/29/16 HORWITZ HORWITZ & ASSOC 801 16WC 27393 BRAND, TIFFANY STATE OF IL DOC PAROLE DE @ 02/21/15 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 802 16WC 27611 HARRIS, JEFFREY GEOMAT 08/06/16 RODDY LAW LTD 803 16WC 27619 SHERROD, DIANCE CATERPILLAR INC 08/19/16 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 804 16WC 27725 SPREITZER, SUZANNE VALLEY VIEW SCHOOL DIST 08/18/16 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 805 16WC 27742 REDWOOD, SHAKITA ELITE STAFFING 08/29/16 DWORKIN AND MACIARIELLO 806 16WC 27886 KALUZA, MATEUSZ DOLLAR TREE DISTRIBUTION, 07/28/16 ANKIN LAW OFFICE 807 16WC 27952 GURKE, JEFFREY CHELLINO CRANE 07/17/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 808 16WC 28031 MOLINA, MERCY W.W. GRAINGER 11/22/15 VRDOLYAK LAW GROUP LLC ASA LAW GROUP 809 16WC 28137 WARDEN, LESLIE STATE OF ILLINOIS DEPARTM @ 08/06/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 810 16WC 28235 PAGE, UNDRA AMAZON 08/17/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 811 16WC 28366 BURKS, ANTON BURKS BROTHER DRYWALL, IN 01/26/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 812 16WC 28500 WITZ, DANIELLE RADIAL 08/14/16 LOUIS A PLZAK & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 813 16WC 28521 RODRIGUEZ, JAVIER THOMAS NISSAN OF JOLIET 07/16/16 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 814 16WC 28546 WHIPPIE, JAMES W SCOTT'S U-SAVE TIRE, INC 03/28/16 CULLEN HASKINS NICHOLSON 815 16WC 28633 ROJO, MIGUEL HOMER TREE SERVICE, INC 09/14/16 GORDON & CENTRACCHIO LLC ROBERT L. SMITH 816 16WC 28794 PADILLA, XOCHILT ELITE STAFFING 07/18/16 CHEPOV & SCOTT LLC 817 16WC 28855 VICTOR, SILVIA ITW DELTAR FASTENERS 04/27/16 HORWITZ HORWITZ & ASSOC 818 16WC 28912 HUERTA, EDUARDO ELITE STAFFING INC 07/27/16 LAW OFFICES MICHAEL HELLMA 819 16WC 28951 MAREK, KAPRINTA ALDI, INC 07/31/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 820 16WC 29074 FINNEY, DAVID KELLY SERVICES INC 08/22/16 DANIEL J ADLER LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 821 16WC 29123 PALACIOS, MARIA WEATHERTECH 07/11/16 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 822 16WC 29279 ZENKE, TERESA WORLD KIA OF JOLIET 07/21/16 WHITESIDE & GOLDBERG LTD 823 16WC 29308 GAY, EVERETT E CENTRAL GROCERS INC 05/23/16 ANKIN LAW OFFICE ROSARIO CIBELLA 824 16WC 29486 MIREE, MARKUS KANE IS ABLE, INC. 09/22/16 CAPRON & AVGERINOS PC WOLF LAW LTD 825 16WC 29829 WADDELL, KRISTA A CITY OF JOLIET 12/22/15 HASSAKIS & HASSAKIS ROSARIO CIBELLA 826 16WC 30142 MORGAN, JERRY ROADRUNNER INTERMODAL SVC 03/29/16 WARNER & ZIMMERLE BETTY NEUMAN & MCMAHON 827 16WC 30178 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 08/19/16 DAVID SZCZECIN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 828 16WC 30265 JONES, ALONZO ELITE STAFFING, INC 08/31/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 829 16WC 30337 MARCHIANDO, MATT MANPOWER GROUP, INC. 09/06/16 MILLON & PESKIN LTD HENNESSY & ROACH PC 830 16WC 30476 POPOVICH, NICK AMERICA DISPLAY, INC 11/10/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 831 16WC 30573 SWEENEY, PATRICK M STATE OF ILLINOIS DEPARTM @ 02/05/15 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 17WC017845 -C 832 16WC 30681 BARRETT, SIDNEY THORNTONS, INC 08/10/16 LEITER LAW OFFICES GRANT & FANNING 833 16WC 30782 SISSON, LOVETTA STATE OF IL DOC/ @ 05/18/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 834 16WC 30822 GREEN, NATHAN YRC INC 08/23/16 PARENTE & NOREM PC HENNESSY & ROACH PC 835 16WC 31220 NORWOOD, THOMAS C PARTY CITY 09/08/15 RITTENBERG & BUFFEN HOLECEK & ASSOCIATES 836 16WC 31410 CRAWFORD, MENARD JB HUNT TRANSPORT, INC 09/05/16 HERRERA LAW CENTER GRANT & FANNING 837 16WC 31602 CORONELLI, CHRISTINE TRINITY SERVICES LTD 03/26/16 ROSS TYRRELL 838 16WC 31850 SIMMONS, EBONIE 1ST TRANSIT 07/27/16 BRIAN T MORROW, LAW OFFICE 839 16WC 31945 SAGO, JANET HARRAH'S JOLIET CASINO HO 10/01/16 MCNAMARA PHELAN MCSTEEN LL NOBLE & ASSOCIATES PC 840 16WC 32018 UJKA, JENNIFER JOLIET PUBLIC SCHOOLS 11/20/13 RIDGE & DOWNES ROSARIO CIBELLA 841 16WC 32046 REYES, GLORIA PARAMOUNT STAFFING 05/05/16 BLOCK, KLUKAS & MANZELLA P KOPKA, PINKUS DOLIN, PC 842 16WC 32078 VALADEZ, ARACELI FIS 07/06/16 EPSTEIN, JACK R LAW OFFICE 843 16WC 32112 HULME, ROBIN MEIJER 08/04/16 WOODRUFF & JOHNSON KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 844 16WC 32200 TAYLOR, DARRYL MENARDS 06/01/16 BRIAN T MORROW, LAW OFFICE 845 16WC 32536 BAKER, TIANA AMAZON 08/19/16 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 17WC003100 -C 846 16WC 32688 TERNOIR, KHALID NEXUS EMPLOYMENT SOLUTION 10/06/16 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 847 16WC 32759 CASAGRANDE, JOSEPH LOCKPORT TOWNSHIP FIRE 09/19/16 HETHERINGTON KARPEL BOBBER 848 16WC 32840 ORTIZ, ALICIA RICH PRODUCTS 08/12/16 DEPAOLO ZADEIKIS GORE 849 16WC 33031 HOLLIS, PAULA LABOR READY 09/24/16 THOMAS LAW CHILTON YAMBERT PORTER LLP 850 16WC 33074 WEAVER, STANLEY TURNER INDUSTRIES GROUP L 06/12/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 851 16WC 33125 VALENTINO, PAULA LABCORP 08/05/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 852 16WC 33185 ROBINSON JR., TOMMY L METROSTAFF INC 10/21/16 FRANCIS J DISCIPIO LAW OFFIC 853 16WC 33232 DUFFIELD, NICOLETTE IDOC - STATEVILLE CORR CT @ 09/15/15 SCHWEICKERT & GANASSIN ASSISTANT ATTY GENERAL 17WC002754 -C ILLINOIS DEPARTMENT OF 854 16WC 33314 JIMENEZ, SAUL FIRST STAFF SERVICES 07/28/15 RATHBUN CSEVENYAK & KOZOL THOMAS & PORTELA 855 16WC 33375 MACK, NATALIE AMERISOUCE BERGEN 03/01/16 DWYER AND COOGAN SPIEGEL & CAHILL, PC 856 16WC 33559 BARRON, ALEJANDRO WEST ROCK 09/19/16 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 857 16WC 33574 MCDADE, LUCIUS ASHLEY FURNITURE 10/01/16 DWORKIN AND MACIARIELLO WOLF LAW LTD 858 16WC 33584 DIAZ, ADALBERTO LA-Z-BOY 06/21/16 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 859 16WC 33894 NEGRON, JOSE BRAUN'S EXPRESS 09/19/16 BLOCK, KLUKAS & MANZELLA P 860 16WC 33943 SENISAIS, RICARDO ACCURATE PERSONNEL LLC 09/22/16 HUGHES SOCOL PIERS RESNICK MC ANDREWS & NORGLE LLC 861 16WC 33974 JOHNSON, DEMARCUS RON'S STAFFING/ITL 10/20/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 862 16WC 34013 TRAVIS, LASONYA PEACOCK ENGINEERING 10/12/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 863 16WC 34067 MIDDLETON, SONIA EDWARD HOSPITAL 08/15/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 864 16WC 34163 MOLENHOUSE, ROGER CITY BEVERAGE DBA 08/06/15 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 865 16WC 34181 WOODARD, ARNETRIS AMAZON 10/13/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 866 16WC 34456 MIEHLE SR, CHARLES E ESSENDANTINC 08/10/15 GIACOBBE, THOMAS M 867 16WC 34491 KUZMA, JOSEPH WILL COUNTY SHERIFF'S DEP 09/29/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 868 16WC 34598 FLOREY, JOHN MILLER PIPELINE MINNESOTA 10/12/16 SCHWEICKERT & GANASSIN GRANT & FANNING 869 16WC 34689 BENNINGTON, AMANDA TRINITY SERVICES INC 10/26/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 870 16WC 34704 GUALANDI, ROBERT L PRESENCE ST JOSEPH MED CT 10/02/16 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 871 16WC 34721 REYNOSO, RUBEN A BOARDUP PLUS INC W 02/22/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 16WC034722 -C 872 16WC 34763 SUMMITT, DONNA DOLLAR TREE 11/11/16 VASILATOS & COTTER LLC 873 16WC 34902 CASAGRANDE, DONALD LOCKPORT TOWNSHIP FIRE 11/03/16 HETHERINGTON KARPEL BOBBER 874 16WC 34956 BENNETT, STEVEN WESCO MACHINE & TOOL CO I 09/23/16 LEITER LAW OFFICES ROSARIO CIBELLA 875 16WC 34982 SUBLETT, LATANYA JOLIET STAFFING 11/10/16 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 876 16WC 35127 LOREENC, KATHLEEN OUR LADY OF ANGELS 05/20/16 BLOCK, KLUKAS & MANZELLA P 877 16WC 35240 HILTON, JASON SHOREWOOD LIQUIDATORS INC 10/13/16 RATHBUN CSEVENYAK & KOZOL 878 16WC 35271 JUNGLES, DEBRA RICHS PRODUCTS CORPORATIO 10/29/16 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 879 16WC 35404 CERVANTES, CARLOS BIOVIEW LANDSCAPING & 09/26/16 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 880 16WC 35442 MUNOZ, IRMABEL COILPLUS INC # 06/23/16 DANIEL O STAMM 881 16WC 35605 REID, JAKIA SCHNEIDER LOGISTICS 02/12/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 882 16WC 35817 SCHALK, AMBER SPEEDWAY 09/02/16 DANIEL PERIASWAMY KEEFE CAMPBELL & ASSOC LLC 883 16WC 35875 MURPHY, BRIAN FRESH THYME FARMERS MARKE 11/08/16 PETER D CORTI LAW GROUP COZZI & GOGGIN-WARD 884 16WC 35937 KING, CYNTHIA FRANKFORT ITALIAN FOODS 09/13/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 885 16WC 35956 GARCIA, LYNDA CITY OF JOLIET 03/10/16 RIDGE & DOWNES KNELL & O'CONNOR 886 16WC 36063 FARMER, AMANDA GEODIS/OHL 05/24/16 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 887 16WC 36086 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO 08/07/15 HERRERA LAW CENTER 888 16WC 36226 LOPEZ, MINERVA AMERISOURCE BERGEN 08/17/16 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 889 16WC 36270 SAN JUAN, GUADALUPE ELITE STAFFING 10/13/16 PARENTE & NOREM PC 890 16WC 36302 VOLFOVICH, YURIY LAKE COUNTY PUBLIC WORKS 11/01/16 SIMMONS COOPER LLC SMITH AMUNDSEN LLC 891 16WC 36400 LYNCH, JOSEPH MEIJER 10/29/16 MCNAMARA PHELAN MCSTEEN LL KOPKA, PINKUS DOLIN, PC 892 16WC 36533 RENTERIA, ANTONIO ROTATION DYNAMICS CORP 05/20/16 KARCHMAR & STONE RODDY LAW LTD 893 16WC 36683 ROBLES, JOSE DOLLAR TREE STORE 11/07/16 FOHRMAN, DONALD W & ASSOCS 894 16WC 36959 CASTRO, MARIA PEACOCK ENGINEERING CO 06/01/16 EPSTEIN, JACK R LAW OFFICE GAROFALO SCHREIBER STORM 895 16WC 37043 GRECO, JOSEPH M MEIJER, INC 02/06/16 FABRIZIO, HANSON & PEYLA KNELL & O'CONNOR 896 16WC 37125 PINKSTON, DANIEL ELITE STAFFING 09/15/16 GESMER LAW OFFICES, PC 897 16WC 37255 SEIVWRIGHT, LEONARD USF HOLLAND 05/23/16 RUBIN LAW GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 898 16WC 37383 CERVANTES, ANTONIO SEATING CONCEPTS 04/22/16 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 899 16WC 37411 WILLIS, MICHAEL PERSONAL COMMUNICATIONS 10/06/16 STORTO FINN & ROSINSKI LAW OFFICES JOSEPH MARCINIAK 900 16WC 37474 KENEIPP, MARY CANLAN ICE SPORTS 02/06/16 SEIDMAN MARGULIS & FAIRMAN ADELSON TESTAN & BRUNDO 901 16WC 37513 HOSEY, JAMES YRC FREIGHT 10/26/16 PERRY M LAKS LAW OFFICE 902 16WC 37555 SPANN, LOUGWIN TOTAL LOGISTICS DBA 12/08/16 SKLARE LAW GROUP 903 16WC 37625 MCDONALD, PATRICK BLACK HORSE CARRIER INC 11/02/16 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 904 16WC 37649 VERA, GERALD BUTLER TRANSPORT INC 10/23/12 ALEKSY BELCHER MCANANY VANCLEVE & PHILLIPS 905 16WC 37837 HUGHES, DWAYNE INTERSTATE WAREHOUSING 08/24/16 RATHBUN CSEVENYAK & KOZOL GRANT & FANNING 906 16WC 37863 WOOD JR., ALBERT J KEYSTONE FREIGHT CORP 09/02/15 PAUL MARZANO 907 16WC 37900 DILLAVOU, TINA LARRY'S BAR & GRILL 07/07/14 HENNESSY & ROACH PC 908 16WC 38262 WILLIAMS, ISIAH SCHNEIDER NATIONAL 12/09/16 CAPRON & AVGERINOS PC POWER & CRONIN LTD 909 16WC 38328 TURNER, JOY K WALMART SUPERCENTER 12/29/13 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 910 16WC 38487 CATALANO, JEANINE HELZBERG DIAMONDS 07/25/16 LULAY LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 911 16WC 38668 DOWLING, ALEXANDRA M PRESENCE HEALTH VILLA 11/12/16 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 17WC017686 -C 912 16WC 38736 ANDERSON, CALVIN FOREST PRESERVE DISTRICT 09/12/16 ANESI OZMON RODIN NOVAK KO 913 16WC 38782 GATZ, TIMOTHY HONDA SUPERSTORE OF JOLIE 08/24/16 RUBENS AND KRESS 914 16WC 38851 MENNEGA, ROSS CHEIF CONSTRUCTION 12/13/16 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 915 16WC 38875 HORODNIK, WILLIAM NORRED & ASSOCIATES 10/28/16 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 916 16WC 38911 BINGHAM, AARON C SUNDANCE I NC D/B/A TACO 12/12/16 BRYCE DOWNEY & LENKOV LLC 917 16WC 39011 LEE, WINDY A AMAZON 10/17/16 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 918 16WC 39087 CHOCHOLA, AMY JOLIET POLICE DEPARTMENT 07/27/16 KROL BONGIORNO & GIVEN LTD KAVANAGH GRUMLEY & GORBOLD 919 16WC 39144 SIGWALT, KENNETH UNITED STATES COLD STORAG 10/25/16 ROGER D RUDICH LTD 920 16WC 39262 LOPEZ, EMMA SODEXO 06/16/14 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 921 16WC 39322 BETSINGER, TODD JB HUNT TRANSPORT, INC/ 10/21/16 STRONG LAW OFFICE GRANT & FANNING 922 16WC 39365 GOURLEY, CRYSTAL FEDERAL SIGNAL CORP 01/07/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 923 16WC 39395 VILLANUEVA, ROBERTO WEATHER TECH 12/09/16 DWORKIN AND MACIARIELLO 924 16WC 39410 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SERV 10/13/16 CHEPOV & SCOTT LLC 925 16WC 39420 ORTIZ, JOSE R PENSKE LOGISTIC 11/23/16 LAW OFFICE EDWARD RUEDA HENNESSY & ROACH PC 926 17WC 00066 WALKER, JIMMY JOLIET TOWNSHIP SCHOOL 10/12/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 927 17WC 00072 SCHAEFER, JOHN BEST PRACTICES STAFFING 12/14/16 928 17WC 00099 RAFAEL, ROSA NFI INDUSTRIES 10/20/16 RATHBUN CSEVENYAK & KOZOL QUINN JOHNSTON HENDERSON ETA 929 17WC 00127 BROMBEREK, WAYNE HOME DEPOT INC 01/08/14 BLOCK, KLUKAS & MANZELLA P 930 17WC 00207 JUREKA, VLADISLAV DIAGEO 12/17/16 BART DURHAM COZZI & GOGGIN-WARD 931 17WC 00228 GUZMAN, SALVADOR BRAKUR CUSTOM CABINETS 10/08/14 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 932 17WC 00304 CHASE, NICOLE LITTLE CAESARS PIZZA 12/09/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 933 17WC 00340 SOLIS, HEATHER ECOLAB, INC 11/21/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 934 17WC 00385 ESTRADA, SYISHA AMAZON 11/25/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 935 17WC 00463 LENARD, LIEWELLY CLEAR CAR CONNECTION 12/19/16 POMPER & GOODMAN HINSHAW & CULBERTSON 936 17WC 00517 BRAWTHEN, KIMBERLY PARSEC INC 12/09/16 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC 937 17WC 00618 ELLIS, YOLANDA INDIVIDUAL ADVOCACY GROUP 02/25/14 ERIC M GLASSON & ASSOCIATE 938 17WC 00642 HABERKORN, THOMAS COUNTY OF WILL 09/27/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 939 17WC 00674 ARANDA, JULIO C TRICO PERSONNEL SERVICES 12/28/16 WILLIAM MARTAY 940 17WC 00726 JURICH, KEITH CORNERSTONE SERVICES 11/04/16 LEITER LAW OFFICES BRADY CONNOLLY & MASUDA PC 941 17WC 00785 HARDESTY, DONALD COMED 11/09/16 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 942 17WC 00856 GRABON, DANIEL W AT&T CORP, C/O CORP SYSTE 12/19/16 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 943 17WC 00896 WARRINER, VERNON NEZUS EMPLOYMENT SOLUTION 10/27/16 RATHBUN CSEVENYAK & KOZOL 944 17WC 00953 OCAMPO, JOSE A INTERNATIONAL BUILDING SE 11/22/16 DAVID W MARTAY 945 17WC 01170 REYES, JOSE ARTURO SULLIVAN ROOFING INC 01/04/17 THE ROMAKER LAW FIRM LAW OFFICES OF EDWARD J. KOZ 946 17WC 01199 FONTANEZ, DEBORAH WALMART SUPERCENTER 04/14/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 947 17WC 01211 SORIA, EULALIO AZZ GALVANIZING 01/05/17 JAUREGUI & ASSOCIATES GRANT & FANNING 948 17WC 01365 CLARK, SHEILA INTEGRITY 12/05/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 949 17WC 01398 COFFEY, ANTHONY M SR. WORK NOW,LLC 01/02/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 950 17WC 01455 CARNEY, JOSEPH PRESENCE ST JOSPH'S HOSP 01/04/17 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 951 17WC 01523 LOPEZ, ENRIQUE SALCE INC 12/19/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 952 17WC 01616 TOUTGES, KYLE ARNOLD'S TREE SERVICE INC 09/16/14 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 953 17WC 01682 LACOSTE, CHRISTOPHER NFI NATIONAL FREIGHT 12/12/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 954 17WC 01741 BILO, FRANK AVERITT EXPRESS INC 01/04/17 CORBOY & DEMETRIO PC 955 17WC 01910 JOHNSON, ANDREW STEPAN CO 04/14/16 RATHBUN CSEVENYAK & KOZOL 956 17WC 01984 SCHNAYER, LEROY AT&T INC 12/19/16 GOLDBERG WEISMAN & CAIRO L 957 17WC 02024 VAZQUEZ, MARIA WEATHER TECH 01/11/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 958 17WC 02048 CAMILLI, EDWARD MEIJER @ 01/16/17 BURNES & LIBMAN KNELL & O'CONNOR 959 17WC 02083 ZIMA, TINA PLAINFIELD SD #202 10/25/16 LAW OFFICES OF JOSEPH F. V KEEFE CAMPBELL & ASSOC LLC 960 17WC 02172 GUERRERO, GUADALUPE GCA SERVICES GROUP, INC. 04/27/16 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 961 17WC 02318 HUDEK, LYNN COMFORT KEEPERS 12/10/15 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 962 17WC 02349 MCCLEAN, KEVIN APOLLO K ELECTRIC 01/19/17 DWORKIN AND MACIARIELLO 963 17WC 02492 SALVADOR, MARTHA MAGENTA SALVADOR 01/12/17 SALK, STEVEN B & ASSOC LTD 964 17WC 02560 LANNEN, LARRY STATE OF IL-STATEVILLE 04/26/15 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 965 17WC 02599 FEATHERLY, TRACY VILLAGE OF PLAINFIELD 10/10/14 LEITER LAW OFFICES SLAVIN & SLAVIN 966 17WC 02607 LEADINGHOUSE, TYLER CARROLL CONSTRUCTION SUPP 10/19/16 LAW OFFICES MICHAEL HELLMA 967 17WC 02706 CAMACHO, AGUSTIN CENTRAL GROCERS 05/15/16 ASHER, RAYMOND L LTD 968 17WC 02716 DOMINQUE, CAROL CLEAR WATER PAPER CORP 11/09/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 969 17WC 02758 HARDING, JENNIFER DUPAGE MEDICAL GROUP/ MER 07/08/15 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 988 17WC 04261 SMITH, SHAQUIRA AMAZON 11/03/16 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 989 17WC 04307 DIFIORE. MARY N JEWEL OSCO 01/03/17 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 990 17WC 04312 SWAN, ELLEN TARGET 06/16/16 HORWITZ HORWITZ & ASSOC 991 17WC 04371 CUEVAS, ANGELICA ELITE STAFFING 08/02/16 COSTA IVONE LLC 992 17WC 04378 GUTIERREZ, VICTOR SHOWALTER ROOFING 01/23/17 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ 993 17WC 04424 ARREOLA, CESAR H ALRO STEEL CORP 10/23/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 994 17WC 04460 VILCEK, MATHEW CITY OF JOLIET FIRE DEPT 12/08/16 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 17WC004464 -C 995 17WC 04538 GRAHAM, JOSEPH CHRISTOPHE FLEXMANAGE 01/11/17 MCNAMARA PHELAN MCSTEEN LL 996 17WC 04625 RIGGS, JERRY C SPONGE CUSHION INC. 01/06/17 MCNAMARA PHELAN MCSTEEN LL RUSIN & MACIOROWSKI LTD 997 17WC 04684 GUZIK, MARY BETH SILVER CROSS HOSPITAL 04/12/09 ROSS TYRRELL 998 17WC 04703 DRYNA, SCOTT CASSENS TRANSPORT COMPANY 12/13/16 GOLDBERG WEISMAN & CAIRO L 999 17WC 04709 GRIFFIN-STEPHENS, ELIZABE VALLEY VIEW PUBLIC SCHOOL 01/13/17 DIXON LAW FIRM POWER & CRONIN LTD 1000 17WC 04732 EDWARDS, JOHNATHAN C KENCO GROUP 11/30/16 FABRIZIO, HANSON & PEYLA 1001 17WC 04865 MAEBANE, DAVID W AMAZON 01/25/17 LEAHY, JAMES P WIEDNER & MCAULIFFE LTD 1002 17WC 04883 VALENCIA, CRISTY RADIAL, INC C/OCORPPRATIO 01/17/17 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY 1003 17WC 04937 DIAZ, ESTEBAN SARATOGA FOOD SPECIALISTS 07/08/16 STEPHEN G PINTO LTD INMAN & FITZGIBBONS 1004 17WC 04975 RAMIREZ, VALENTIN NEOVIA LOGISTICS 07/09/16 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 1005 17WC 05054 GOUTREMOUT, JENNIFER WATERFORD ESTATES/TRIAD S 10/13/16 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1006 17WC 05084 MUELLER, SHELBY GREATER JOLIET AREA YMCA 02/11/14 MCNAMARA PHELAN MCSTEEN LL 1007 17WC 05103 STIFF, EDDIE III URGENT COURIER 02/07/17 FRIEDMAN & SOLMOR LTD 1008 17WC 05231 ROMERO, LAURA FERRARA CANDY CO 06/23/16 COSTA IVONE LLC 1009 17WC 05335 STEFANISIN, MICHAEL ALRO STEEL 08/22/16 KENT M LUCACCIONI 1010 17WC 05372 CHAVEZ NAPOLES, YADIRA C ALLSOURCE 10/26/16 EFTEKHARI LAW OFFICES 1011 17WC 05389 VALDEZ, JOSE ARYZTA, LLC 10/07/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1012 17WC 05422 VIEYRA, SELENA SCHNEIDER LOGISTICS 12/17/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1013 17WC 05442 EVANS, STEVEN DAYTON FREIGHT LINES 01/20/17 GALLAGHER LAW PC RUSIN & MACIOROWSKI LTD 1014 17WC 05445 FUENTES-LOPES, RIGOBERTO HZ OPS HOLDINGS, INC 02/02/17 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 1015 17WC 05474 CORE, LENNARD AMERICAN DREAM 10/11/16 STEVEN A CRIFASE, LTD COZZI & GOGGIN-WARD 1016 17WC 05632 STAHL, MICHAEL BEDFORD MOTOR SERVICES IN 07/06/16 GOLDBERG WEISMAN & CAIRO L 1017 17WC 05713 LOPEZ, MELCHOR BARTON STAFFING 11/16/16 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 1018 17WC 05753 GRAHAM, JERRY NFI LP NATIONAL FREIGHT 07/20/16 SCHREINER MALLOY & ETZLER QUINN JOHNSTON HENDERSON ETA 1019 17WC 05808 VERDUN, CAROLYN PROLOGISTIX 11/03/15 EFTEKHARI LAW OFFICES 1020 17WC 05820 HORTON, YKESHA AMAZON 01/23/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1021 17WC 05856 HARRIS, VERONICA MEDTRONIC 03/09/15 LEONARD LAW GROUP LLC POWER & CRONIN LTD 1022 17WC 05867 ZARTLER, DOUGLAS OGDEN HILL CEMENT 12/07/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 1023 17WC 05937 ANGELUS, STEVEN J JOLIET TOWNSHIP HS DIST 2 03/04/16 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1024 17WC 06037 VEGA, LUIS NORTHERN IL STEEL SUPPLY 06/01/15 LAW OFFICES MICHAEL HELLMA 1025 17WC 06228 LANGFORD, ANTHONY LISLE-WOODRIDGE FIRE PROT 04/08/16 PORRO NIERMANN LAW GROUP 1026 17WC 06318 SWORAN, JOANN MISTWOOD GOLF CLUB 12/02/15 FINE, MARK S LAW OFFICES RODDY LAW LTD 1027 17WC 06364 NUNEZ, ESTEBAN LOCKPORT METAL RECYCLING 01/23/17 HART & DAVID LLP 1028 17WC 06410 SMITH, JODY DOW CHEMICAL 05/15/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 1029 17WC 06449 WILKERSON, SAMUEL STATE OF IL DOC PAROLE AN @ 02/11/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1030 17WC 06552 OROZCO, RAMON SEAL TIGHT ROOFING & EXTE 01/27/17 GOLDBERG WEISMAN & CAIRO L LAW OFFICES OF EDWARD J. KOZ 1031 17WC 06577 KOLODINSKI, DAVID ROCK RUN PLACE 01/14/17 PARENTE & NOREM PC 1032 17WC 06631 MADDOX, BRYANT UNITECH GLOBAL 11/29/16 DWORKIN AND MACIARIELLO GRANT & FANNING 1033 17WC 06690 KAUFMANN, CRAIG SOLUTIONS MECHANICAL 02/13/17 MARTIN V KUGIA GANAN & SHAPIRO 1034 17WC 06732 NEWMAN, GREGORY D AUTOZONE 02/18/17 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 1035 17WC 06745 VIVIAN, DAVID USF HOLLAND 11/04/16 PARENTE & NOREM PC HENNESSY & ROACH PC 1036 17WC 06772 DYLLA, MARIA RICH PRODUCTS 09/06/16 WOODRUFF & JOHNSON GILDEA & COGHLAN 1037 17WC 06785 JANOWAIK, KARA K AMF BOWLING CENTERS INC 05/05/15 ANKIN LAW OFFICE 1038 17WC 06825 JONES, PATRICIA RELIABLE HOME HEALTH 02/08/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 1039 17WC 06858 DEMIAN, KELLEYE DOWNTOWN DENTAL AND IMPLA 03/16/16 RIDGE & DOWNES GAROFALO SCHREIBER STORM 1040 17WC 06916 SCOTT, CELENA BEECHER MANOR NURSING & 10/01/16 CULLEN HASKINS NICHOLSON 1041 17WC 06962 JOHNSON, JOHN WEST LIBERTY FOODS 01/16/17 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1042 17WC 07000 BAKER, FREDDIE GRAINGER 01/23/17 WOODRUFF & JOHNSON ASA LAW GROUP 1043 17WC 07090 HICKS, DIANE SCHOOL DISTRICT 92 01/26/17 RAMBO, JOHN E LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 1044 17WC 07100 RAMSEY, SANDRA WALGREENS 11/26/15 RATHBUN CSEVENYAK & KOZOL GILDEA & COGHLAN 1045 17WC 07177 IVLOW, TRISHA DISTRICT 30 TROY SCHOOLS 01/10/17 HORWITZ HORWITZ & ASSOC 1046 17WC 07286 MARTIN, FRANKLIN ALLIED UNIVERSAL CORPORAT 01/04/17 MATTHEW T. GUBBINS PC GAROFALO SCHREIBER STORM 1047 17WC 07317 DOTTS, JAMES CONTRACT GLAZIERS, INC 01/05/17 RUBIN LAW GROUP 1048 17WC 07331 FLORES JR., VLADIMIR AMERISOURCE BERGIN 01/22/17 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 17WC010744 -C 17WC010980 -C 1049 17WC 07516 DIGGS, JILLIAN AMAZON & ZURICH NORTH AME 02/10/17 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 1050 17WC 07576 RAMIREZ, GABRIELA TOYS "R" US, INC 11/22/16 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 1051 17WC 07670 STEIB, JEFFREY S JEWEL OSCO #3191 10/03/16 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 1052 17WC 07678 WHITE, REGINALD DSC LOGISTICS 08/03/16 RUBIN LAW GROUP MC ANDREWS & NORGLE LLC 17WC009546 -C 17WC010663 -C 1053 17WC 07861 JIMENEZ, RUBEN CHUCKS CONSTRUCTION INC 03/28/16 MENDOZA LAW PC 1054 17WC 07911 MONDY, ALEXANDER T IL DEPT OF TRANSPORTATION @ 10/11/16 TOSCAS, JOHN Z LAW OFFICE 1055 17WC 07936 FUQUA, MARIJKE FAMILY DOLLAR 01/17/17 LAW OFFICES ROBERT WARSASK 1056 17WC 07943 MCCLELLAND, JAMES NEW ENGLAND MOTOR FREIGHT 01/16/17 FINE, MARK S LAW OFFICES WIEDNER & MCAULIFFE LTD 1057 17WC 08011 LOGAN, KRISTIN PRESENCE ST JOSEPH HOSPIT 05/27/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 1058 17WC 08200 KNOTTS, JESSE AREA ERECTORS, INC 11/25/16 RUBIN LAW GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1059 17WC 08222 GRACEY, CHARLES BARR NUNN 03/08/17 DAVID W MARTAY 1060 17WC 08353 GARCIA, STEPHANIE ELITE STAFFING 11/15/16 LAW OFFICE OF JAMES URTIS 1061 17WC 08376 PENA, HUGO FLEXICORPS, INC. 12/10/16 COSTA IVONE LLC ROBERT L. SMITH 1062 17WC 08456 SOEHRMAN, AMANDA BEST PRACTICES STAFFING 03/03/17 ASHER, RAYMOND L LTD RUSIN & MACIOROWSKI LTD 1063 17WC 08580 HOWARD, JUSTINE AMAZON.COMDEDC, LLC C/O I 02/20/17 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 1064 17WC 08614 SHELBY, VINCENT SILVER CROSS HOSPITAL 03/14/17 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 1065 17WC 08664 SHAH, FOZIA RADIAL HOLDINGS 04/20/16 DEPAOLO ZADEIKIS GORE KELLEY, KRONENBERG ETAL 1066 17WC 08713 SOSA, MARIA OSWEGO CUSD #308 03/23/16 FOOTE MIELKE CHAVEZ & O'NE 1067 17WC 08868 HICKS, EDWARD CORNERSTONE SERVICES 08/12/15 BLEAKNEY & TROIANI 1068 17WC 08976 ROBERTS, ALLEN STATE OF ILLINOIS DOC @ 12/28/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1069 17WC 09005 SCARBOROUGH, ANTOINETTE WILL COUNTY HEALTH DEPART 01/30/17 LEITER LAW OFFICES HINSHAW & CULBERTSON 1070 17WC 09059 MOXLEY, SEAN ELEPHANT PLUMBING 11/07/16 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 1071 17WC 09165 BASS, CARL THE RESERVES NETWORK 03/22/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 1072 17WC 09243 BOTTOMS, GARRETT HITS 11/09/16 ANESI OZMON RODIN NOVAK KO 1073 17WC 09365 GRAY, REGINALD FRESH THYME FARMER'S MARK 01/20/17 BRISKMAN BRISKMAN GREENBER COZZI & GOGGIN-WARD 1074 17WC 09403 MELCHOR, ARGUILEO SADDLE CREEK 03/07/17 EPSTEIN, JACK R LAW OFFICE 1075 17WC 09432 MATTHEWS, RODNEY DOLLAR TREE DISTRIBUTION 03/16/17 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 ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1076 17WC 09467 WITTMAYER, TODD WILL COUNTY SHERIFF DEPT 06/14/14 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 1077 17WC 09511 EVANS, DEBBIE SAM'S CLUB 04/28/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 17WC009512 -C 1078 17WC 09530 SHIRENBEKOV, SHAMILBEK TRANSLINES, INC 01/18/17 SWANEY, JEFFREY R 1079 17WC 09590 JOHNSON, EMILY SILVER CROSS HOSPITAL 10/05/16 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 1080 17WC 09609 MILONE, PETER JR. STATE OF IL DEPT OF TRANS @ 01/03/17 ANKIN LAW OFFICE COLIN KICKLIGHTER 1081 17WC 09713 NEYLON, ROCHELLE SUNNY HILL NURSING 12/13/16 O'CONNOR & NAKOS HINSHAW & CULBERTSON 1082 17WC 09892 LAM, MARLISS INDIAN PRAIRIE SCHOOL DIS 11/29/16 BELLAS & WACHOWSKI BRADY CONNOLLY & MASUDA PC 1083 17WC 09918 PEAL, MARK VSNA-PRAIRIE MATERIALS, I 02/17/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 1084 17WC 09934 BAKER, SHERRY VALLEY VIEW PUBLIC SCHOOL 10/12/16 RIDGE & DOWNES 1085 17WC 09961 HARRIS, DWAYNE EXEL INC DBA DHL SUPPLY C 03/25/17 GOLDSTEIN AIOSSA & GOOD 1086 17WC 09968 DIAZ, RAYMUNDO HERNANDEZ KEC CONSTRUCTION LLC 09/26/16 LEWIS & DAVIDSON, LTD 1087 17WC 10036 PENA, DESIDERIO NRG ENERGY 01/07/16 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 1088 17WC 10109 LOVE, DEJUAN 1ST CLASS STAFFING 03/14/17 KARCHMAR & STONE GRANT & FANNING 1089 17WC 10177 CHAMBERS, BRENDA BEECHER MANOR 02/09/17 LAW OFFICES OF ANSELMO DUR 1090 17WC 10226 PALKA, JASON KOZOL BROTHERS INC 08/31/15 SPIROS LAW PC ROSARIO CIBELLA 1091 17WC 10259 CROKENOWER, STEVEN JEWEL FOOD STORES 04/14/16 SCHWEICKERT & GANASSIN 1092 17WC 10465 VERDUN, JULIUS FRESH THYME DISTRIBUTION 02/22/17 EFTEKHARI LAW OFFICES COZZI & GOGGIN-WARD 1093 17WC 10479 JOHNSON, KEVIN SCHNEIDER LOGISTICS 06/15/16 LAW OFFICES TIMOTHY HENDER POWER & CRONIN LTD

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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 ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1130 17WC 12883 NEUFELD, ANDREW ROMEOVILLE POLICE DEPT 04/19/17 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1131 17WC 13038 SAVAGE-OLSON, COREY COUNTY CARE ANIMAL HOSPIT 09/30/14 KAVANAGH GRUMLEY & GORBOLD 1132 17WC 13067 TAHJA, NATHAN MINNESOTA LIMITED 11/08/16 HORWITZ HORWITZ & ASSOC 1133 17WC 13130 EVERTS, CHAD TH RYAN 09/21/16 DUDLEY & LAKE LLC WOLFE & JACOBSON, LTD 1134 17WC 13178 ALKALTAH, MOHAMMAD FRESH THYME 03/16/17 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 1135 17WC 13193 DECESARE, MICHAEL JEWEL 11/22/16 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 1136 17WC 13286 ESPINOZA, JUAN AXCESS STAFFING SERVICES 04/12/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 1137 17WC 13325 ROGGENKAMP, ADAM MEDTRONIC, PLC 03/23/17 ROMANUCCI & BLANDIN POWER & CRONIN LTD 1138 17WC 13349 CARO, GILBERT STATEVILLE IDOC @ 04/19/17 STEVEN A CRIFASE, LTD ASSISTANT ATTY GENERAL 1139 17WC 13403 VASQUEZ, JESUS AMERICAN STAIR CORP 03/06/17 DWORKIN AND MACIARIELLO 1140 17WC 13430 ARANA, JOSELIN AUTUMN LEAVES NURSING HOM 11/24/16 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 1141 17WC 13585 JAIME-VALENCIA, LORENA BARTON STAFFING 04/07/17 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 1142 17WC 13627 ESPARZA, MATTHEW HOLLYWOOD CASINO 11/04/09 ANGELINI & ORI LLC ORENSTEIN & ASSOCIATES 1143 17WC 13778 SCHEIWEKE, VICTORIA SPEEDWAY 03/14/17 WHITESIDE & GOLDBERG LTD 1144 17WC 13901 KATRO, JEREMY DOLLAR TREE 03/24/17 FOHRMAN, DONALD W & ASSOCS BRYCE DOWNEY & LENKOV LLC 1145 17WC 13920 THOMAS, ANDRE MAC'S CONVENIENCE STORE 05/06/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 1146 17WC 13983 SHERRELL, ROBERT M WEIRD LIFE LLC 04/23/17 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 1147 17WC 14012 MORRIS, DEMETRIUS L WEATHER TECH DIRECT LLC 02/23/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1148 17WC 14157 DAVIS JR., DONALD R. SOUTHERN GLAZIER'S 06/14/16 GARDI & HAUGHT MACIOROWSKI SACKMANN & ULRIC 1149 17WC 14206 BERNER, JAIME STONEY POINT GRILL 02/22/17 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 1150 17WC 14298 REYES, SILVERIO AMERICAN AUTO WORKS LLC 03/18/17 JOHN J CASTANEDA 1151 17WC 14306 SMITH, MARSHA AMAZON 02/22/17 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 1152 17WC 14348 MELROSE, SHARON CHICAGOAEROSOL 04/13/17 MARKER & ASSOCIATES 1153 17WC 14355 TROPP, JEFFREY CITY OF JOLIET 03/16/17 LANNON LANNON & BARR LTD KNELL & O'CONNOR 1154 17WC 14475 WINTERS, JANICE JOLIET TOWNSHIP TRANSPORT 09/01/15 CHARLES LEVY & ASSOC LTD 1155 17WC 14512 CIARLETTE, RANDY FEDEX GROUND 09/20/16 BOWMAN & CORDAY 1156 17WC 14544 HAYWOOD, DANTES THOMAS NISSAN 02/22/17 O'CONNOR & NAKOS HEYL ROYSTER VOELKER & ALLEN 1157 17WC 14571 MOSQUEDA, IRMA Y LSC COMMUNICATON 04/25/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 1158 17WC 14708 CARTER, KAYLA NEW LENOX PARK DISTRICT 05/01/17 CIFELLI SCREMENTI & DORE RUSIN & MACIOROWSKI LTD 1159 17WC 14823 EDEH, IFEOMA PLAINFIELD SCHOOL DISTRIC 03/07/17 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 1160 17WC 14883 HERREDA, MARIA ARYZTA 03/14/17 JOHN E LUSAK HENNESSY & ROACH PC 1161 17WC 14932 RODRIGUEZ, LISA RED ROOF INNS, INC 11/28/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 1162 17WC 14965 SHOAF, GINA JOLIET COLD STORAGE 08/16/16 BLOCK, KLUKAS & MANZELLA P 1163 17WC 15026 HERNANDEZ, NOEMI WEATHERTECH 05/03/17 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 1164 17WC 15103 RIVERA-MORALES, RICARDO ECOWIZE NORTH AMERICA LLC 05/09/17 SALK, STEVEN B & ASSOC LTD 1165 17WC 15177 COLLINS, KRISTINA TRINITY SERVICES 05/09/17 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1166 17WC 15192 JINDELA, JAMES ELITE STAFFING 08/22/16 LAW OFFICE OF JAMES H MILL 1167 17WC 15207 BOTNARI, VLAD GIGI LINE, INC 06/05/16 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 1168 17WC 15271 HERREDA, MARIA ARYZTA 12/26/15 JOHN E LUSAK 1169 17WC 15295 JOHNSON, KENNETH SR WIRELESS STORES MIDWEST 05/03/17 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 1170 17WC 15317 NEWSOME, DENNITH VISION, INC 12/16/16 WITTENBERG DOUGHERTY MAGLI 1171 17WC 15354 ACOSTA, ANAHIS AMAZON.COM LLC 03/27/17 ANKIN LAW OFFICE 1172 17WC 15476 HENZLER, DAVID G VILLAGE OF BOLINGBROOK 01/29/17 FABRIZIO, HANSON & PEYLA 1173 17WC 15518 TYLER, LEROY WAREHOUSE SVCS, INC 03/10/17 JOHN C SERKLAND LAW OFFICES FRANCESCA LARSEN 1174 17WC 15519 TYLER, LEROY WAREHOUSE SVCS, INC 05/06/17 JOHN C SERKLAND LAW OFFICES FRANCESCA LARSEN 1175 17WC 15541 SWIFT JR., DAVID LINIAGE LOGISTICS 02/17/17 STEVEN J MALMAN & ASSOCIAT 1176 17WC 15593 WILLIAMS, ROBIN EXPO LOGISTICS 02/02/17 JAMES ELLIS GUMBINER & ASS 1177 17WC 15643 BROOKS, JARED WILL COUNTY SHERIFF'S OFF 04/25/17 COVEN LAW GROUP HINSHAW & CULBERTSON 17WC015644 -C 1178 17WC 15675 HILEMAN, BRANDON WILL COUNTY SHERIFF 12/07/16 WHITESIDE & GOLDBERG LTD HINSHAW & CULBERTSON 1179 17WC 15781 HERNANDEZ, LORENZA SALIS BURY HONEYWELL 03/24/17 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 1180 17WC 15834 DAVIS, WALTER CALHOUN TRUCK LINES 05/08/17 MCNAMARA PHELAN MCSTEEN LL 1181 17WC 15888 BARRY, STEVEN NOOTER CONSTRUCTION CO 06/22/15 ANESI OZMON RODIN NOVAK KO 1182 17WC 15925 SCHMIDT, DONNA AMAZON 04/10/17 BURNETT & CARON, LTD 1183 17WC 15953 HUDSON, BRIAN STAFF MARK 12/09/16 JAMES ELLIS GUMBINER & ASS MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1184 17WC 15996 FLORES, JOSE MICHAELS LOGISTICS, INC 03/09/17 STANCZAK LAW OFFICES 1185 17WC 16023 VILETSRA, CHAD HOMER TOWNSHIP FIRE 09/18/16 THE ROMAKER LAW FIRM 1186 17WC 16103 MUNOZ, LISBET TRIUNE LOGISTICS 03/02/17 SALVATO & O'TOOLE LITCHFIELD CAVO 1187 17WC 16121 LEE, BOOKER AMAZON CROSSDOCK FACILITY 02/09/17 HETHERINGTON KARPEL BOBBER 1188 17WC 16298 ORTIZ, ALBERTO SURESTAFF LOANING COMPANY 05/23/17 SALK, STEVEN B & ASSOC LTD LOUIS MUNDY 1189 17WC 16325 CARDENAS, BAYRON E&M ALVAREZ MOVING CO 05/24/17 MC HARGUE, JAMES P LAW OFF 1190 17WC 16402 CEBALLOS-ZAVALA, FERNANDO STUMP'S TREE 04/27/17 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 1191 17WC 16419 HERNANDEZ, SONIA PLAINFIELD COMMUNITY 11/10/16 HERRERA LAW CENTER KEEFE CAMPBELL & ASSOC LLC 1192 17WC 16496 RODRIGUEZ, SHELSIE ALLSTATE INSURANCE 11/23/16 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 1193 17WC 16526 ENNIS, JOHNNY R HOME DEPOT 05/08/17 DEER & STONE PC 1194 17WC 16560 FOX, DWIGHT M PENSKE LOGISTICS 03/06/17 CAMERON CLARK 1195 17WC 16579 DRAYTON, APRIL ELITE LABOR SERVICES DBA 04/24/17 ANKIN LAW OFFICE 1196 17WC 16703 SLATON, JEANNE AMAZON FULFILLMENT 05/08/17 CULLEN HASKINS NICHOLSON 1197 17WC 16867 THORP, ANN USF HOLLAND 08/23/16 PARENTE & NOREM PC HENNESSY & ROACH PC 1198 17WC 16904 PANFIL, MARSHA L STINCHCOMB ASSOCIATES, IN 03/28/17 RUBIN LAW GROUP 1199 17WC 17034 KELLY, DOUGLAS NFI INDUSTRIES 01/04/17 MARC J SHUMAN & ASSOCIATES 1200 17WC 17069 STAHL, ANALIESE ALDEN ESTATES OF SHOREWOO 05/13/17 RATHBUN CSEVENYAK & KOZOL 1201 17WC 17112 AMENTA, CHARLES HILENBRAND INC 04/08/16 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1202 17WC 17161 GARCIA, CIPRIANO FLEXI VAN 05/08/17 SALVATO & O'TOOLE HENNESSY & ROACH PC 1203 17WC 17201 HEDGE, BRET HOMER TOWNSHIP 03/20/17 THE ROMAKER LAW FIRM POWER & CRONIN LTD 1204 17WC 17204 VILLALPANDO, ADRIAN SUMMIT STAFFING INC 05/10/17 THE ROMAKER LAW FIRM LITCHFIELD CAVO 1205 17WC 17247 WOODS, JOHN JR FLEXIBLE STAFFING 05/25/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1206 17WC 17279 WOODS, MELODY A ADAMS ASSOCIATES 10/11/16 FABRIZIO, HANSON & PEYLA 1207 17WC 17397 GORDON, OLARA AMITA HEALTH ADVENTIST ME 05/18/17 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 1208 17WC 17451 CANO, OLGA WEATHER TECH 03/08/16 LAW OFFICES MICHAEL HELLMA 1209 17WC 17497 PAYNE, SAM PLANT SERVICES ST 10/04/16 LEITER LAW OFFICES GANAN & SHAPIRO 17WC017498 -C 1210 17WC 17513 PASTERNAK, WALTER ULTRA FOODS 03/09/17 HORWITZ HORWITZ & ASSOC 1211 17WC 17572 SHAW, TERRANCE DSC LOGISTICS 06/14/16 MCNAMARA PHELAN MCSTEEN LL MC ANDREWS & NORGLE LLC 1212 17WC 17591 MUNIZZI, CARMEN A, SR ILLINOIS SECRETARY OF STA @ 06/07/16 FIGLIOLI, DAVID ASSISTANT ATTORNEY GENERAL 1213 17WC 17617 OLLIE, MARTEL SCHNEIDER 02/05/17 RUBENS AND KRESS POWER & CRONIN LTD 1214 17WC 17637 MEZEIKA, SARA SILVER CROSS HOPSITAL 03/27/17 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 1215 17WC 17691 LIRANZA, GUILLERMO SURESTAFF, INC 04/06/17 POMPER & GOODMAN LOUIS MUNDY 1216 17WC 17736 HESPEN, STEVEN SGS PETROLEUM SERVICE COR 02/24/17 RUBIN LAW GROUP 1217 17WC 17825 HAZEL, ADAM TROY COMMUNITY CONSOLIDAT 06/13/17 WOODRUFF & JOHNSON 1218 17WC 17858 GREENBERG, ROBERT JONES LAND LASALLE 04/26/17 GOLDBERG WEISMAN & CAIRO L SMITH AMUNDSEN LLC 1219 17WC 18064 VARON, RUDY TRANS-ONE MOVING & DELIVE 04/05/17 DAVID W MARTAY HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1238 17WC 18920 FELLER, JENNIFER VALLEY VIEW SCHOOL DIST # 08/29/16 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 1239 17WC 19021 FOWLER, TRAVIS J HOMEOWNERS BARGAIN OUTLET 06/01/16 KROCKEY CERNUGEL COWGILL E ALLEN & NEWMAN 1240 17WC 19051 ABAD-FIERRO, LILIANA WILTON BRANDS, LLC 12/08/16 CULLEN HASKINS NICHOLSON 1241 17WC 19064 STRECKERT, SARA O'HARE TOWING SERVICE INC 07/03/14 GOLDBERG WEISMAN & CAIRO L 1242 17WC 19130 MARLEY, JACAIMA SCHNEIDER LOGISTICS 05/31/17 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 1243 17WC 19161 MARTINEZ, RENE PREMIER EMPLOYERS SERVICE 05/22/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 1244 17WC 19299 SALAZAR, GLADYS WALMART 12/24/16 LANNON LANNON & BARR LTD GANAN & SHAPIRO 1245 17WC 19388 MITCHELL, STACEY CRETE-MONEE SCHOOL DIST 2 09/16/15 DWORKIN AND MACIARIELLO 1246 17WC 19435 MORALES, MIGUEL COMCAST 06/28/17 SKLARE LAW GROUP POWER & CRONIN LTD 1247 17WC 19514 KELLY, TIFFANY CORNERSTONE SERVICES 04/12/17 FOHRMAN, DONALD W & ASSOCS 1248 17WC 19646 NOWAK, MARIUSZ WES LIBERTY FOODS 05/16/17 ANGELINI & ORI LLC 1249 17WC 19670 COYNE, PAIGE APERION OF WILMINGTON 04/19/17 SPIROS LAW PC 1250 17WC 19841 TERRAZAS, FLAVIO KENCO LOGISTICS SEVICES L 06/26/17 CHEPOV & SCOTT LLC 1251 17WC 19868 JOHNSON, JERROD LUCKY HAULERS INC. 06/28/17 1252 17WC 19885 CASTILLO, FRANCISCA S&S ACTIVEWEAR 02/10/17 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 1253 17WC 19966 PATERIMOS, JENNIFER NETWORK GLOBAL LOGISTICS 02/16/17 MEYERS & FLOWERS HOLECEK & ASSOCIATES 1254 17WC 20017 VUKASOVIC, STEVE TRIANGLE MECHANICAL SERVI 05/16/16 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 1255 17WC 20192 OLESZKIEWICZ, LOUIS VILLAGE OF BOLINGBROOK 06/08/17 THE ROMAKER LAW FIRM POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1256 17WC 20287 THOMPSON, ANDRE ILLINOIS TOOL WORKS, INC 03/20/17 LAW OFFICES ROBERT WARSASK 1257 17WC 20330 PAZDA, SCOTT AMAZON.COM LLC 06/28/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1258 17WC 20389 ALAMILLO, RAQUEL UNIVERSAL LAMINATING LTD 06/15/17 LEONARD LAW GROUP LLC 1259 17WC 20478 LEWIS, SUZETTE SAM'S CLUB 05/20/17 DWORKIN AND MACIARIELLO 1260 17WC 20499 RICKEN, MATTHEW WESTROCK 07/08/17 STROM, NEAL B SPIEGEL & CAHILL, PC 1261 17WC 20577 JONES, NAKIA LAZER SPOT, INC 06/23/17 DEUTSCHMAN, JEFFREY S 1262 17WC 20624 BAKER, SANDRA HARDEE'S RESTAURANTS 06/26/17 ANESI OZMON RODIN NOVAK KO 1263 17WC 20692 MARCUS, JAMILIA AMAZON 03/16/17 MARC PEKAY WIEDNER & MCAULIFFE LTD 1264 17WC 20710 REYES, REYNA CHILI'S GRILL & BAR 09/03/16 COSTA IVONE LLC 1265 17WC 20756 SUSTE, ROBERTA ULTRA FOODS 09/21/16 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 1266 17WC 20871 NAJERA, FRANCISCO CLEAN GARDENS LANDSCAPING 06/27/17 LAW OFFICES MICHAEL HELLMA QUINTAIROS PRIETO WOOD & BOY 1267 17WC 20959 GARNER, CHELYNA SCHNEIDER LOGISTICS 04/30/16 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 1268 17WC 21083 KURTYAK, NICHOLAS LOCKPORT TOWNSHIP FIRE 07/16/17 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 1269 17WC 21166 DIAZ, JOSE DHL SUPPLY CHAIN 06/19/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1270 17WC 21221 WOOD, RAYMOND RJW TRANSPORT 02/23/17 RUSSO & RUSSO LTD 1271 17WC 21270 GRITSUK, JOHN FRANKFORT FIRE DEPT 07/08/17 BLOCK, KLUKAS & MANZELLA P 1272 17WC 21292 GABEHART, GRIAN MICHELS CORPORATION 06/12/17 HORWITZ HORWITZ & ASSOC 1273 17WC 21373 NURCZYK, MICHAEL CITY OF JOLIET 07/19/17 ROSENFELD HAFRON SHAPIRO F KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1274 17WC 21430 KENT, SARAH HAMPSHIRE FARMS LLC 05/11/17 LEONARD LAW GROUP LLC 1275 17WC 21471 LEACH, MICHAEL AMAZON 06/11/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1276 17WC 21507 STOKES, JOHN W DIY GROUP 05/24/17 MAINARD LAW OFFICE GANAN & SHAPIRO 1277 17WC 21531 ADAMSKI, KAROL WASTE MANAGEMENT 07/24/17 RUBENS AND KRESS HENNESSY & ROACH PC 1278 17WC 21535 MILLER, THOMAS COMMUNITY HONDA 06/17/17 FRANK A CELANI 1279 17WC 21563 HOPSON, SHARAYON INTEGRITY STAFFING SOLUTI 06/02/17 DAVID W MARTAY SLAVIN & SLAVIN 1280 17WC 21641 FELIX, MAGDALENA FEDEX SUPPLY CHAIN INC 05/23/17 PORRO NIERMANN LAW GROUP 1281 17WC 21726 MOORE, CLAYSHIA AMAZON 12/24/16 WOODRUFF & JOHNSON 1282 17WC 21761 ORTIZ-AVILA, SOLEDAD Y NEWSTREAM ENTERPRISES, LL 11/10/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 1283 17WC 21840 LABANOWSKI, LANCE DISCOUNT TIRE STORE 07/13/17 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 1284 17WC 21856 STENNETT, JAMES R. BOLINGBROOK FIRE DEPT 04/01/17 BARRY A KETTER 1285 17WC 21860 GUZMAN, DANIEL ARS ALEUT SVCS LLC 05/30/17 PARENTE & NOREM PC GRANT & FANNING 1286 17WC 21879 BOCOT, BRIANNA MAT HOLDINGS 07/11/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 1287 17WC 21989 SANJUAN, MIRIAM SUPERIOR HEALTH LINENS 05/25/16 KATZ FRIEDMAN EAGLE ET AL 1288 17WC 22053 BROWN, DARIEN RANDSTAD MANUFACTURING 02/23/17 DWORKIN AND MACIARIELLO 1289 17WC 22115 HOSELTON, MICHAEL WELSCH RED-E-MIX INC 07/18/17 GILDEA & COGHLAN 1290 17WC 22202 LOWERY, VALERIE AMAZON 05/10/17 DWORKIN AND MACIARIELLO 1291 17WC 22273 TERRAZAS, SILVIA MACNEIL AUTOMOTIVE PRODUC 01/31/17 PETER D CORTI LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1292 17WC 22283 HERRERA, ROMAN ARBON STEEL 05/16/17 RUBIN MACHADO ROSENBLUM GILDEA & COGHLAN 1293 17WC 22313 GORDON, ELLA M COUNTY OF WILL 07/23/16 FABRIZIO, HANSON & PEYLA 1294 17WC 22400 NEWELL, BRANDON STATE OF ILLINOIS - 06/07/17 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 1295 17WC 22457 HUSA, CHISTOPHER LOWE'S COMPANIES INC 06/09/17 RUBIN LAW GROUP 1296 17WC 22488 GARCIA, RAYMUNDO ELITE STAFFING 04/26/17 LAW OFFICE OF JAMES URTIS 1297 17WC 22493 CAMARGO, JUAN J PLAINFIELD LANDSCAPING 07/27/17 LAW OFFICES MICHAEL HELLMA 1298 17WC 22531 PELLETIER, MICHAEL JOMARI TRANSPORT INC 07/08/17 DWORKIN AND MACIARIELLO 1299 17WC 22569 LUCAS, FRANCOIS STATE OF IL DOC STATEVILL @ 06/15/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1300 17WC 22647 MAYEN, RUBEN SUPER RIO GRANDE FRESH MA 06/05/17 BRISKMAN BRISKMAN GREENBER 1301 17WC 22714 RIVERA, ROBERT AMERISOURCE BERGEN 04/13/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 1302 17WC 22749 PUTIS, PAT LODERS CROKLANN 02/01/16 MARKER & ASSOCIATES 1303 17WC 22827 GROUNDS, WILLIAM STATE OF IL DOC STATEVILL 05/14/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1304 17WC 22862 GARCIA, JULIO UNIVERSITY PARK PD * 05/15/17 KROL BONGIORNO & GIVEN LTD 1305 17WC 22933 OSTROWSKI, JOHN VCN PRAIRIE * 11/22/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1306 17WC 22951 BRADLEY, PRESTON LITTLE CEASARS PIZZA * 07/27/17 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 1307 17WC 22997 KNIGHT, LINDA STARBUCKS COFFEE COMPANY * 07/20/17 EDWIN REYES LEGAL GROUP 1308 17WC 23088 HERNDON, DANA ELITE STAFFING/FERRARA CA * 01/15/17 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 1309 17WC 23118 MILLER, BERTHA AMERICAN SCHOOL BUS COMPA * 07/10/17 MARC J SHUMAN & ASSOCIATES GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1310 17WC 23256 HUDSON, BRADLEY I BOB'S DISCOUNT FURNITURE * 07/25/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 1311 17WC 23330 WEAVER, JOHNNY L SONY DADC US INC * 07/08/17 STRONG LAW OFFICE INMAN & FITZGIBBONS 17WC025781 -C 1312 17WC 23375 ATOJOKO, BERIKISU CORNERSTONE SERVICES * 07/18/16 CULLEN HASKINS NICHOLSON 1313 17WC 23402 JOHNSON, JERROD LUCKY HAULERS, INC * 06/28/17 GRAUER & KRIEGEL LLC 1314 17WC 23515 WESTMORELAND, JOSEPH TRUGREEN LAWN CARE * 08/01/17 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 1315 17WC 23528 MAZARIEGOS, NOELINDA SURGE STAFFING * 08/10/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 1316 17WC 23628 JAMES, WILLIAM C&C BUILDING SOLUTIONS * 07/27/17 STEWART C ORZOFF 1317 17WC 23657 DE LA CRUZ, GALDINO SUPERIOR HEALTH LINENS * 12/16/16 MC HARGUE, JAMES P LAW OFF 1318 17WC 23747 REDMOND, ROCHELLE HOME DEPOT * 05/03/17 KATZ FRIEDMAN EAGLE ET AL MC ANDREWS & NORGLE LLC 1319 17WC 23830 MARTINEZ, JAIME JOLIET STAFFING LLC * 08/24/15 CULLEN HASKINS NICHOLSON 1320 17WC 23893 PINDEL, RICHARD MEIJER * 06/08/17 SEIDMAN MARGULIS & FAIRMAN 1321 17WC 23982 JETER, PATRICIA AMAZON.COM/AMAZON FULFILL * 05/13/17 COHN LAMBERT RYAN & SCHNEI 1322 17WC 24054 BURKE, MARY KATHLEEN HOME DEPOT - HOMER GLEN * 08/06/17 STROM, NEAL B MC ANDREWS & NORGLE LLC 17WC024055 -C 1323 17WC 24099 OCHOA, ABEL HORIZON CARPENTRY * 05/10/17 BLOCK, KLUKAS & MANZELLA P 1324 17WC 24198 CASSINERI, DEBORAH CASEY'S * 10/06/16 MCNAMARA PHELAN MCSTEEN LL 1325 17WC 24288 BOROS, JOSEPH WILLE BROTHERS * 06/30/17 SPIROS LAW PC 1326 17WC 24362 GUTIERREZ, JUAN CENTRELLA GROCERS * 04/06/17 GOLDSTEIN BENDER & ROMANOF 1327 17WC 24427 DEVINE, SANDRA ILLINOIS AUTO ELCTRIC CO * 12/09/16 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1328 17WC 24466 COFFMAN, JAMES HANSON MATERIAL SERVICES * 06/07/17 MC HARGUE, JAMES P LAW OFF 1329 17WC 24528 DUNIVER, DARRIUS COWORX STAFFING SERVICES * 07/30/17 DISPARTI LAW GROUP PA BRADY CONNOLLY & MASUDA PC 1330 17WC 24599 HINES, PAMELA LUTHERAN SOCIAL SERVICES * 04/17/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 1331 17WC 24710 ADJEI, AKWASI GREAT LAKES WHOLESALE GRO * 06/30/17 BART DURHAM COZZI & GOGGIN-WARD 1332 17WC 24776 POWELL, JAMES ILLINOIS STATE POLICE @ * 08/09/17 TAXMAN POLLOCK 1333 17WC 24788 REED, JUSTIN AMAZON * 06/15/17 DAVID W MARTAY 1334 17WC 24809 GUTIERREZ, OFELIA SMITHFIELD FOODS, INC/ * 06/08/17 OSVALDO RODRIGUEZ PC 1335 17WC 24911 LUNDSTROM-MCCALLION, JENN BEECHER MANOR * 07/18/16 ELFENBAUM EVERS & AMARILIO 1336 17WC 24956 TORRES, MARIO SOUTHERN GLAZERS WINE &SP * 08/16/17 SILVERMAN, CLIFFORD A 1337 17WC 24993 ANZELMO, ELIZABETH GIORDANO'S PIZZA * 07/01/17 PETER F FERRACUTI & ASSOCI LAW OFFICES JOSEPH MARCINIAK 1338 17WC 25075 LYSE, MARGARET AMAZON * 04/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1339 17WC 25090 MIRABELLI, STEVEN CNW SERVICES * 06/13/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1340 17WC 25231 BERGER, ROBERT OZINGA BROTHERS INC. * 07/26/16 RIDGE & DOWNES 1341 17WC 25240 RICHBERG, DESEAN INPAX * 07/25/17 DWORKIN AND MACIARIELLO WOLF LAW LTD 1342 17WC 25278 SANJUANESO, SALVADOR TRANSFORCE * 04/27/17 O'CONNOR & NAKOS 1343 17WC 25332 RAMIREZ, JESUS ANGUIANO SCHNEIDER LOGISTICS * 07/15/17 THE FITZ LAW GROUP POWER & CRONIN LTD 1344 17WC 25504 ANDRIST, MEGAN GRAINGER * 08/02/17 BLOCK, KLUKAS & MANZELLA P ASA LAW GROUP 1345 17WC 25526 BULIAN, GINA HELP AT HOME, INC * 01/13/17 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1346 17WC 25570 TAPIA ORTIZ, JOSE MARTIN MTO&MTG PAINTING & REMODE * 03/28/17 BART DURHAM COZZI & GOGGIN-WARD 1347 17WC 25625 PRYOR, KEVIN LSC COMMUNICATIONS * 07/19/17 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 1348 17WC 25653 MILES, SHAYLA SILVER CROSS HOSPITAL * 08/18/17 RIDGE & DOWNES MACIOROWSKI SACKMANN & ULRIC 1349 17WC 25691 ANDERSON, GREGORY SCHNEIDER LOGISTICS INC * 08/26/17 ANKIN LAW OFFICE 1350 17WC 25925 EDMONSON, JOHNNIE MSG DBA BRIGHT SKY * 07/27/17 COSTA IVONE LLC 1351 17WC 26007 SNEED, MILTON SNS ACTIVEWEAR * 08/23/17 WOODRUFF & JOHNSON LAW OFFICES OF EDWARD J. KOZ 1352 17WC 26128 WILLIAMS, ANDRE MACNEIL AUTOMOTIVE PRODUC * 08/17/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 1353 17WC 26243 MARSHALL, BRYANT SCHNEIDER LOGISTICS * 06/06/17 LEONARD LAW GROUP LLC 1354 17WC 26302 GUERRERO, ROBERT RP COATINGS, INC * 07/17/16 BLOCK, KLUKAS & MANZELLA P 1355 17WC 26330 FRAGOSO, ANDRES UPS FREIGHT * 08/18/17 WHITESIDE & GOLDBERG LTD ASA LAW GROUP 1356 17WC 26354 GROCHOWSKI, EDWARD COMCAST NBC UNIVERSAL * 06/08/17 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 1357 17WC 26492 THOMAS, BEYANKA AMAZON * 03/06/17 LAW OFFICES TIMOTHY HENDER WIEDNER & MCAULIFFE LTD 1358 17WC 26518 GARAY, MICHAEL GEODIS LOGISTICS * 06/13/17 AMATO SHEEN & MAJER 1359 17WC 26572 GALLEGOS, SOTERO REMIN LABORATORIES INC. * 02/16/17 MC HARGUE, JAMES P LAW OFF 1360 17WC 26624 HOCH, RAYMOND WILL COUNTY SHERIFF'S OFF * 07/06/17 DAVID SZCZECIN & ASSOC 1361 17WC 26680 JAMESON, TONJA WEDFORD HEALTH SERVICES I * 09/30/14 STROW LAW LLC RUSIN & MACIOROWSKI LTD 1362 17WC 26737 VILLAGRAN, JAQUELINE DISCOUNT TIRE STORE * 12/19/16 SCHWEICKERT & GANASSIN KEEFE CAMPBELL & ASSOC LLC 1363 17WC 26754 TERRIQUEZ, JUAN BRODER BROTHERS COMPANY * 03/10/17 PORRO NIERMANN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1364 17WC 26792 GIACOME, XIOMARA SOUTHWEST AIRLINES * 06/30/17 HORWITZ HORWITZ & ASSOC 1365 17WC 26825 WILLIAMS, WANDA SALISBURY BY HONEYWELL * 03/15/17 HEALY SCANLON LAW FIRM RODDY LAW LTD 1366 17WC 26860 CASTANEDA, JAVIER ELITE STAFFING * 08/22/17 BRISKMAN BRISKMAN GREENBER GOLDBERG SEGALLA LLC 1367 17WC 26877 SALGADO, ERIC USF HOLLAND/YRC WORLD WID * 06/08/16 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 1368 17WC 26946 COLE, TRACY L FLEXIBLE STAFFING SOURCES * 08/31/17 VITELL & SPITZ LTD 1369 17WC 27028 BURNS, STEPHANIE STATE OF ILLINOIS DHS @ * 08/03/17 BLOCK, KLUKAS & MANZELLA P 1370 17WC 27105 LOPEZ, JOEL DOLLAR TREE DISTRIBUTION * 12/21/16 KATZ FRIEDMAN EAGLE ET AL 1371 17WC 27140 COFFEY, THOMAS WILL COUNTY SHERIFF'S OFF * 08/24/17 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 1372 17WC 27146 GRAVES, TRACEY L ELITE STAFFING INC * 09/05/17 ANKIN LAW OFFICE 1373 17WC 27155 BROWN, ADDIE AMAZON * 05/18/17 DAVID W MARTAY 1374 17WC 27182 HERNANDEZ, JUAN BEARY LANDSCAPING * 05/02/17 DWORKIN AND MACIARIELLO 1375 17WC 27228 JELKS, JASMINE AMAZON * 07/13/17 STEPHEN G PINTO LTD 1376 17WC 27262 MIDDLETON, MICHAEL APOLIS TRANSPORT INC * 11/21/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 1377 17WC 27356 KMETTY, JUDITH KENCO * 05/25/17 LAW OFFICE OF SCOTT B SHAP 1378 17WC 27417 DARDEN, ROBERT STATEVILLE CORRECTIONAL C * 12/08/14 DREW J FERRACUTI 1379 17WC 27421 TOMA, ANDREW ABBEY PAVING & SEALCOATIN * 08/30/17 SCHWEICKERT & GANASSIN BRYCE DOWNEY & LENKOV LLC 1380 17WC 27485 GRIMALDO, EVA MARTINEZ AMAZON FULFILLMENT CENTER * 04/11/17 COSTA IVONE LLC 1381 17WC 27501 PANTOJA, MIRIAM MCDONALD'S * 06/07/17 SHEA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1382 17WC 27576 GUZMAN, BALTASAR WILTON INDUSTRIES * 02/10/16 TAMVAKIS, GEORGE L 1383 17WC 27596 GUTIERREZ, VICTOR SHOWALTER ROOFING * 07/17/17 COSTA IVONE LLC 1384 17WC 27769 HENDRICKS, CHARLES B VERIZON WIRELESS * 06/20/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 1385 17WC 27784 LEWIS, YVETTE ALLEGIANCE STAFFING * 08/30/17 DWORKIN AND MACIARIELLO 1386 17WC 27794 LEDEZMA, RUSSELL R VILLAGE OF UNIVERSITY PAR * 06/07/17 RIPES NELSON BAGGOT KALOBR 1387 17WC 27843 AGOSTINELLI, NICHOLAS PALOS FIRE PROTECTION DIS * 08/31/17 JASINSKI, GEORGE J 1388 17WC 27873 DUTKIEWICZ, BRIAN ACCURATE RECYCLING SOLUTI * 10/20/15 LANNON LANNON & BARR LTD 1389 17WC 27913 OLVERA, ROSARIO FEDERAL SIGNAL * 06/28/17 BOUDREAU NISIVACO LLC 1390 17WC 27982 GUIMOND, JEFF SCURTO CEMENT CONSTRUCTIO * 05/30/17 RATHBUN CSEVENYAK & KOZOL CAPUANI & SCHNEIDER 1391 17WC 28016 KEHOE, VICTORIA WASHINGTON JUNIOR HIGH * 08/30/17 RIDGE & DOWNES 1392 17WC 28072 DUPREE, FRANK DIAGEO NORTH AMERICA, INC * 09/12/17 RUBIN LAW GROUP 1393 17WC 28156 PECORA, MICHAEL CITY OF JOLIET * 09/23/14 MARKER & ASSOCIATES KNELL & O'CONNOR 1394 17WC 28215 VARGO, ROBERT LOCKPORT * 09/16/17 HETHERINGTON KARPEL BOBBER 1395 17WC 28237 PENA, SUSAN M TRIUNE LOGISTICS, LLC * 09/12/17 ANKIN LAW OFFICE LITCHFIELD CAVO 1396 17WC 28292 BIBIAN, MARIA ST FRANCIS UNIVERSITY * 08/25/17 CHEPOV & SCOTT LLC SMITH AMUNDSEN LLC 1397 17WC 28393 WATSON, THOMAS FOREST PRESERVE DISTRICT * 07/24/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 1398 17WC 28461 VILLANUEVA, JUAN DEPENDABLE STAFFING GROUP * 08/21/17 HERRERA LAW CENTER 1399 17WC 28523 WHARTON, TABITHA WEST LIBERTY FOODS * 09/21/17 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1400 17WC 28637 SIEPKA, NORINE ENLIVANT COMPANY * 03/11/17 O'CONNOR LAW GROUP LLC 1401 17WC 28683 HILL, CHERYL HOME DEPOT * 09/14/17 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 1402 17WC 28768 CASTO, CRAIG W THOMAS AUTO GROUP INC * 11/23/15 LAW OFFICE OF THOMAS P NAU 1403 17WC 28818 SETINA-HOLMBERG, ROBIN M GRAND PRAIRIE TRANSIT * 01/04/16 MCNAMARA PHELAN MCSTEEN LL 1404 17WC 28841 SHAW, KERRIE STATE OF ILLINOIS @ * 09/18/17 WHITESIDE & GOLDBERG LTD 1405 17WC 28886 PIERCE, SHANNON M RUBEN RESTAURANTS INC DBA * 01/10/15 CULLEN HASKINS NICHOLSON 1406 17WC 28912 GREEN, MARY MICHAEL'S DISTRIBUTION CE * 08/03/15 CUDA LAW OFFICES 1407 17WC 28915 GREEN, MARY MICHAEL'S DISTRIBUTION CE * 03/14/17 CUDA LAW OFFICES 1408 17WC 28967 NABAZAS, ED WORK ZONE SAFETY * 01/05/17 ASHER, RAYMOND L LTD 1409 17WC 28998 DIAZ, JOSE MIDWEST WAREHOUSE & * 07/17/17 LAW OFFICES OF ANSELMO DUR 1410 17WC 29066 WASHINGTON, ANTHONY AMAZON * 09/12/17 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 1411 17WC 29169 BALCER, JUSTIN BOLINGBROOK FIRE DEPT * 09/30/17 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 1412 17WC 29179 WILLIAMS-ANDERSON, DESIRE FEDEX GROUND PACKAGE SYST * 04/19/16 COHN LAMBERT RYAN & SCHNEI 1413 17WC 29247 NAUJOKAITIS, LINDA HARRAH'S JOLIET CASINO * 09/29/17 BAUM RUFFOLO & MARZAL LTD 1414 17WC 29343 RAYHORN, HANNAH PARSEC INC * 09/10/17 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 1415 17WC 29369 ELLIS, EBONI VOLT STAFFING * 07/27/17 CHARLES LEVY & ASSOC LTD ORENSTEIN & ASSOCIATES 1416 17WC 29411 MATHIS, SAMUEL DOLLAR TREE WAREHOUSE * 04/05/16 GOLDBERG WEISMAN & CAIRO L 1417 17WC 29453 HADEL, MARTIN WDS ENTERPRISES * 09/28/17 POLANSKY & CICHON CHTD HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1418 17WC 29470 BATTLE, JASMINE SCHNEIDER NATIONAL INC * 09/13/17 ANKIN LAW OFFICE POWER & CRONIN LTD 1419 17WC 29529 CLAYTON, ANTHONY J SUPERIOR HEALTH LINEN * 07/01/17 GALLAGHER, DONALD V COZZI & GOGGIN-WARD 1420 17WC 29612 SALINAS, OLIVIA ELITE STAFFING INC * 10/04/16 LAW OFFICES MICHAEL HELLMA 1421 17WC 29622 VIEYRA, LORENZO MVP WORKFORCE, LLC - LOAN * 08/29/17 SALK, STEVEN B & ASSOC LTD 1422 17WC 29685 WASHINGTON, BART COMM UNIT SCHOOL DIST #30 * 12/25/11 KINNALLY FLAHERTY KRENTZ & ROSARIO CIBELLA 1423 17WC 29710 CORDOVA-TREJO, RANULFO PERKINS MANUFACTURING COM * 09/11/17 AIOSSA LAW FIRM HENNESSY & ROACH PC 1424 17WC 29783 NUTTER, WILLIAM CITY OF AURORA * 08/29/17 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 1425 17WC 29809 SPENCER, KEVIN WILL COUNTY SHERIFF'S OFF * 07/01/17 DAVID SZCZECIN & ASSOC 1426 17WC 29841 RUNYON, TERRY INLAND ELECTRIC * 02/27/17 WOODRUFF & JOHNSON 1427 17WC 30044 HODGES, MATTHEW ALAN VALLEY VIEW SD 365U * 04/25/17 SMITH ALLEN MENDENHALL ET 1428 17WC 30092 RODRIGUEZ, JOE ESPO ENGINEERING STAFFING * 09/22/17 DWORKIN AND MACIARIELLO 1429 17WC 30153 CARROLL, FRANZINA AMERICAN SCHOOL BUS CO * 06/28/17 STONE & JOHNSON CHARTERED 1430 17WC 30192 JONES, MARIA L LINCOLN-WAY COMMUNITY * 09/11/17 CRONIN & PETERS RUSIN & MACIOROWSKI LTD 1431 17WC 30222 NICHOLSON, ROBERT COWORX STAFFING LLC * 09/08/17 PETER D CORTI LAW GROUP 1432 17WC 30274 HURTADO, OSCAR BUNZL DISTRIBUTION * 08/23/17 COSTA IVONE LLC 1433 17WC 30315 STANTON, JOHN DSC LOGISTICS * 09/21/17 BLOCK, KLUKAS & MANZELLA P 1434 17WC 30388 NANNEY, RUSSELL HR METRICS INC * 08/26/17 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 1435 17WC 30419 BULOW, SCOTT BRINKS LOCKING SYSTEMS * 04/11/17 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1436 17WC 30455 GONZALEZ, MARIA AARON THOMAS COMPANY INC * 09/25/17 BERG & BERG 1437 17WC 30491 KYSER, JENNIFER STATE OF ILLINOIS DEPT OF @ * 08/26/17 RATHBUN CSEVENYAK & KOZOL 1438 17WC 30611 MALAK, ANDREW RICH PRODUCTS CORPORATION * 06/18/16 GOLDBERG WEISMAN & CAIRO L 1439 17WC 30701 MARTINEZ, JOHN GOLDEN PYRAMID ENTERPRISE * 09/20/17 COSTA IVONE LLC GANAN & SHAPIRO 1440 17WC 30753 LOPEZ, FRANCISCO MEDTRONIC * 07/25/17 LEONARD LAW GROUP LLC POWER & CRONIN LTD 1441 17WC 30808 SCHMIDT, RAY TYSON MOTOR CORPORATION * 01/12/17 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 1442 17WC 30820 KANE, SANDRA PLAINFIELD COMM CONSOLIDA * 10/14/16 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 1443 17WC 30828 DOYLE, TIMOTHY NATIONAL DCP * 08/08/17 RUBIN MACHADO ROSENBLUM ARNETT LAW GROUP 1444 17WC 30879 GAMBOA, NOE NATURAL GEMS COMPANY * 10/04/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 1445 17WC 30939 GLATCZAK, CARYN PILOT FLYING J * 10/03/17 ASHER, RAYMOND L LTD 1446 17WC 30957 GERMAN, IRMA ROUTE 30 LAUNDROMAT * 09/28/17 MICHAEL P MCCREADY & ASSOC 1447 17WC 31010 RUIZ, DANIEL BIMBA MANUFACTURING * 05/21/17 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 1448 17WC 31132 HOARTY, JIM IL DEPT OF CORRECTIONS * 09/08/17 COHN LAMBERT RYAN & SCHNEI 1449 17WC 31263 PATTERSON, LASHON JB HUNT TRANSPORT * 04/01/17 LAW OFFICE OF JASON C. BEL MCANANY VANCLEVE & PHILLIPS 1450 17WC 31324 SLOUP, JAMES ROMEOVILLE POLICE DEPARTM * 06/02/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1451 17WC 31342 CADE, KIRK AMAZON * 09/20/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1452 17WC 31377 ROBLEDO, ROMELIA S&S ACTIVEWEAR, LLC * 09/25/17 ROMANEK & ROMANEK LAW OFFICES OF EDWARD J. KOZ 1453 17WC 31400 BENTLEY, MARCUS BRENNAN EQUIPMENT & MFG, * 09/22/17 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1454 17WC 31433 HARGIS, KEVIN CITY OF JOLIET * 09/24/17 HETHERINGTON KARPEL BOBBER KNELL & O'CONNOR 1455 17WC 31463 CLARK, RUFUS ILLINOIS DEPT OF CORRECTI @ * 02/23/17 DWORKIN AND MACIARIELLO 1456 17WC 31589 SMERLING, VICTORIA MACY'S DISTRIBUTION CENTE * 03/27/17 SCHWEICKERT & GANASSIN ROBERT L. SMITH 1457 17WC 31637 WEBB, DIMITRIA AMAZON FULFILLMENT SVS, I * 10/01/17 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 1458 17WC 31702 GORDON, KAREN SALEM VILLAGE NURSING, RE * 10/10/17 LAW OFFICES MICHAEL HELLMA 1459 17WC 31722 DAWSON, KENNETH D MACNEIL AUTOMOTIVE PRODUC * 09/06/17 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 1460 17WC 31741 KING, TEALA HOME DEPOT * 09/25/17 DWORKIN AND MACIARIELLO ADELSON TESTAN & BRUNDO 1461 17WC 31754 ABUBAKAR, MUHAMMAD HOME DEPOT * 08/27/17 DWORKIN AND MACIARIELLO ADELSON TESTAN & BRUNDO 1462 17WC 31823 ROUSER, CORNELIUS XPO LOGISTICS * 02/28/17 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 1463 17WC 31856 CALLAGHAN, SANDRA PRESENCE ST JOSEPH HOSPIT * 03/04/17 HORWITZ HORWITZ & ASSOC 1464 17WC 31889 MACKEY, ARBES RYDER * 07/24/17 HEYL ROYSTER VOELKER & ALLEN 1465 17WC 31945 MARTINEZ, ROSALINDA RON'S STAFFING SERVICES * 08/04/17 COSTA IVONE LLC 1466 17WC 31962 COTE, CHERYL STAFFMARK * 09/03/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 1467 17WC 31998 ROBERTS, WILLIAM USF HOLLAND * 09/28/17 PARENTE & NOREM PC 1468 17WC 32038 TURPIN, ELIZABETH PREMIER TRANSPORTATION IN * 10/09/17 CULLEN HASKINS NICHOLSON 1469 17WC 32138 WHITEMON, GREGORY TAYLOR TRUCK LINE * 08/31/17 WILLIAM S. WOJCIK LTD MC ANDREWS & NORGLE LLC 1470 17WC 32156 BRICENO, RUBEN NATIONAL TUBE SUPPLY * 10/13/17 WOODRUFF & JOHNSON 1471 17WC 32198 MILTON, VERONICA ELITE STAFFING * 10/17/17 JAMES ELLIS GUMBINER & ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1472 17WC 32245 LAYCHAK, LOTTIE AMAZON * 10/10/17 BLOCK, KLUKAS & MANZELLA P 1473 17WC 32331 FELBER, NICHOLAS LOCKPORT TOWNSHIP FIRE * 09/29/17 THE ROMAKER LAW FIRM 1474 17WC 32381 COLLINS, KAREN IKEA * 06/03/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 1475 17WC 32440 ANDERSON, JOHN CORNERSTONE SERVICES * 05/15/17 RATHBUN CSEVENYAK & KOZOL 1476 17WC 32574 RUIZ-ALPIZAR, ROMELIA MVP WORKFORCE, LLC * 10/02/17 SALK, STEVEN B & ASSOC LTD 1477 17WC 32670 MC DILDA, JOSEPH RAMSEY CORPORATION * 09/19/17 MCNAMARA PHELAN MCSTEEN LL GANAN & SHAPIRO 1478 17WC 32691 MEDINA III, FRED L AURELIO'S PIZZA * 09/27/17 MCNAMARA PHELAN MCSTEEN LL 1479 17WC 32728 JACKSON, ERIC PRIORITY STAFFING * 09/28/17 ANGELINI & ORI LLC 1480 17WC 32754 ESCAMILLA, LORENZO ARYTZA LLC * 09/07/17 STROM, NEAL B HENNESSY & ROACH PC 1481 17WC 32812 BAUTISTA-MERLOS, ELIZABET ADVENTIST HEALTH SYSTEM * 01/19/17 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1482 17WC 32880 MELVIN, DOMINICK D GREIF * 02/24/17 MCNAMARA PHELAN MCSTEEN LL 1483 17WC 32991 LAVE, ASHLEY ANIMAL CARE CLINIC * 08/29/16 RATHBUN CSEVENYAK & KOZOL 1484 17WC 33034 NELSON, LINDA CRETE-MONEE SCHOOL DIST # * 04/14/17 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 1485 17WC 33109 SYLVESTER, CYNTHIA D AMAZON * 07/25/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 1486 17WC 33128 WEBER, JOHN MEANY ELECTRIC * 09/05/17 DWORKIN AND MACIARIELLO 1487 17WC 33151 PAZDRO, CURT USF HOLLAND TRUCKING * 10/18/17 BLOCK, KLUKAS & MANZELLA P 1488 17WC 33212 SOLARIO, SANTIAGO DRALLE CHEVROLETTE & BUIC * 08/31/17 KREITER, BYCK & ASSOC LLP ROSARIO CIBELLA 1489 17WC 33240 NOAH, TERRY CRETE CARRIER CORP * 04/24/17 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1490 17WC 33365 MONDRAGON, MARIO THE BROCK GROUP * 09/21/17 BAUM RUFFOLO & MARZAL LTD SCHOUEST BAMDAS SOSHEA 1491 17WC 33385 KUZNICKI, JUNE FITZGERALD HEALTH EDUCATI * 04/25/15 CAPRON & AVGERINOS PC 1492 17WC 33405 SHEATS, NICHOLAS HUMANO, LLC * 08/28/17 TAXMAN POLLOCK 1493 17WC 33519 NEAL, BRIAN CASSENS TRANSPORT CO * 05/20/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1494 17WC 33584 PENA, NICOLE CINTAS FIRE PROTECTION BL * 10/06/17 LAW OFFICES MICHAEL HELLMA GANAN & SHAPIRO 1495 17WC 33622 COLLINS, JAMES WESCO DISTRIBUTION, INC * 11/23/16 DWORKIN AND MACIARIELLO 1496 17WC 33638 PRUIM, KRISTA SOUTHERN WILL CNTY COOPER * 05/05/17 BLOCK, KLUKAS & MANZELLA P 1497 17WC 33668 ARENDS, JOHN PRAIRIE FARMS DAIRY * 10/07/17 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 1498 17WC 33675 DODGE, AMY GRAINGER DISTRIBUTION CTR * 06/19/17 KATZ FRIEDMAN EAGLE ET AL 1499 17WC 33720 MANNING, MELISSA JOLIET TOWNSHIP SCHOOL DI * 11/01/17 GALLAGHER LAW PC 1500 17WC 33737 DIAZ, YESSICA G ILINK RESOURCES * 10/16/17 HERRERA LAW CENTER 1501 17WC 33844 HERRERA, JOSE LOGISTICS RESOURCES INC C * 09/30/16 MATT MURPHY CONSULTING 1502 17WC 33953 VERA-CASTILLO, OSCAR WORK NOW LLC * 10/31/17 CHEPOV & SCOTT LLC 1503 17WC 34247 CATES, TRACY AMAZON * 11/04/17 ANGELINI & ORI LLC 1504 17WC 34273 JAMES, MATTHEW PEACOCK ENGINEERING CO, L * 11/07/17 ANKIN LAW OFFICE 1505 17WC 34311 WILLIAMS, KAMIKA SCHNEIDER LOGISTICS * 08/14/17 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 1506 17WC 34330 RUIZ, GRACIELA COWORX STAFFING SVCS * 11/10/17 BERG & BERG BRADY CONNOLLY & MASUDA PC 1507 17WC 34401 DEL RIO, ADAN MAGANA US HOSE CORP * 06/15/17 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1508 17WC 34425 PRUNEDA, JOSE HIGH PERFORMANCE LUBRICNT * 07/31/17 SAUNDERS CONDON & KENNY 1509 17WC 34460 CANO, OLGA WEATHERTECH * 10/24/17 LAW OFFICES MICHAEL HELLMA 1510 17WC 34594 WADE, SHABILHAH DELTA T GROUP * 11/09/17 DWORKIN AND MACIARIELLO 1511 17WC 34623 SALAZAR, LUIS ARCTIC GLACIER PREMIUM IC * 07/03/17 CHEPOV & SCOTT LLC 1512 17WC 34660 SMITH, JACQUELINE WILL COUNTY SHERIFF'S OFF * 08/30/17 DWORKIN AND MACIARIELLO 1513 17WC 34758 TEPPER, ROBERT TRANSAMERICA LIFE INSURAN * 08/14/17 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 1514 17WC 34796 VARGAS, JAVIER KEHE DISTRIBUTORS * 10/27/17 ANKIN LAW OFFICE 1515 17WC 34839 HULL, SHEILA E GREENCORE, USA * 11/03/15 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 1516 17WC 34851 THOMAS, RICHARD SERTOMA CENTRE, INC * 11/16/17 DWORKIN AND MACIARIELLO 1517 17WC 34871 GAETA, LOMBARDO DONNELLY TRANSPORTATION, * 09/11/17 RATHBUN CSEVENYAK & KOZOL 1518 17WC 34932 ROLLINS, BRIAN J ATTERO INC * 11/14/17 ANKIN LAW OFFICE 1519 17WC 34990 GONZALEZ, SAULO BEARY LANDSCAPING * 06/22/17 CHEPOV & SCOTT LLC 1520 17WC 35057 CRAVENS, CELINA C WAL MART ASSOCIATES INC * 11/12/17 SANDMAN LEVY & PETRICH 1521 17WC 35133 CERDA, CARLOS MR LEROY STEFFES * 09/10/16 HORWITZ HORWITZ & ASSOC 1522 17WC 35216 GROVE, JASON S JR FURTURE ENVIRONMENTAL INC @ * 08/14/17 ANKIN LAW OFFICE 1523 17WC 35231 SUTTON, DAN HR METRICS INC. * 11/21/17 DWORKIN AND MACIARIELLO 1524 17WC 35264 CARBERRY, ROBIN HOMER COMMUNITY CONSOLIDA * 12/09/16 RIDGE & DOWNES 1525 17WC 35326 LEE, ANGELIA PRESENCE ST JOSEPH HOSPIT * 06/18/17 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1526 17WC 35351 TILLMAN, KEVIN AMAZON * 08/20/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 1527 17WC 35382 GRUCA, RONALD FLINT HILLS RESOURCES * 12/08/14 PORRO NIERMANN LAW GROUP MC ANDREWS & NORGLE LLC 1528 17WC 35403 JOHNSON, CHRISTOPHER PARAMOUNT STAFFING * 11/21/17 DWORKIN AND MACIARIELLO 1529 17WC 35498 ROFF, ALISA WEST SIDE TRANSPORT * 10/17/17 STEVEN J MALMAN & ASSOCIAT 1530 17WC 35524 MARIN, JAVIER KOLE CONSTRUCTION * 01/30/17 GALLAGHER LAW PC 1531 17WC 35600 TEJEDA, ELVIS NEEDHAM BUILDERS, INC * 10/09/17 BERG & BERG 1532 17WC 35659 KALOTIHOS, ELEFTHERIOS CLOSET WORKS LLC * 11/30/17 ANKIN LAW OFFICE 1533 17WC 35672 JOHNSON, MILDRED AMAZON * 07/29/17 DWORKIN AND MACIARIELLO 1534 17WC 35732 MC INTYRE, JESSICA SILVER CROSS HOSPITAL * 06/27/17 CIFELLI SCREMENTI & DORE MACIOROWSKI SACKMANN & ULRIC 1535 17WC 35826 JOHNSON, MICHAEL B CRANE COMPOSITES * 11/08/17 PETER D CORTI LAW GROUP 1536 17WC 35857 RAYGOZA, MARIA D&H DISTRIBUTING * 09/22/17 JAMES ELLIS GUMBINER & ASS 1537 17WC 35914 ELLIOTT, TODD ALDI * 09/24/17 BURNETT & CARON, LTD 1538 17WC 35980 PURCELL, JAMES TESTING SERVICE CORPORATI * 08/23/17 HORWITZ HORWITZ & ASSOC 1539 17WC 36059 TERRY, YALANDA PETCO DISTRIBUTION CENTER * 11/27/17 DWORKIN AND MACIARIELLO 1540 17WC 36074 BENNETT, ERIC TOYS "R" US * 08/30/17 MC HARGUE, JAMES P LAW OFF 1541 17WC 36124 POKORNIK, ROBERT THE HOME DEPOT, INC * 09/17/17 LAW OFFICES OF ADAM ZAYED 1542 17WC 36154 GARCIA, ELEAZAR KANE IS ABLE INC * 06/29/17 ROSS TYRRELL 1543 17WC 36250 STURGIS, TASHA AMERICAN SCHOOL BUS COMPA * 05/25/17 BIZZIERI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1544 17WC 36339 MITCHELL, JERLISA ADVOCATE MEDICAL GROUP * 06/06/17 CULLEN HASKINS NICHOLSON 1545 17WC 36377 KONIECZKI, GERALD B.L. DUKE COMPANY * 06/27/16 HARRIETT LAKERNICK 1546 17WC 36399 OHMS, SHAUN ACCURATE PERSONNEL SERVIC * 11/17/17 KIPNIS & KAHN 1547 17WC 36525 EVANS, JEFF LODERS CROKLAAN * 11/22/17 JAMES ELLIS GUMBINER & ASS 1548 17WC 36663 CLARK, MYEISHA INTEGRITY STAFFING SOLUTI * 11/26/17 ANKIN LAW OFFICE 1549 17WC 36697 WALKER, TASEAN VOLT WORKFORCE SOLUTIONS * 12/08/17 ORENSTEIN & ASSOCIATES 1550 17WC 36743 SCHMIDT, BRIAN AMAZON.COM, INC * 10/01/17 SPIROS LAW PC 1551 17WC 36758 GONZALEZ, MARTHA EXTREME CLEANERS INC * 04/18/17 ROBERT H HANAFORD 1552 17WC 36804 MATHEY, SUSAN JEAN AMAZON * 11/17/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 1553 17WC 36822 MAJERCZYK, JUSTIN IRON HORSE CRANES INC * 11/15/17 SALVATO & O'TOOLE GANAN & SHAPIRO 1554 17WC 36844 GALL, NICHOLAS KENS BEVERAGE * 08/18/17 CUDA LAW OFFICES 1555 17WC 36854 WARREN, LATOYIA R SALEM VILLAGE NURSING & * 12/01/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 1556 17WC 36883 COX, BOBBY SCHNEIDER LOGISTICS * 11/11/17 MC HARGUE, JAMES P LAW OFF 1557 17WC 36914 OLSZEWSKI-GIEBEL, LAURA PENN NATIONAL GAMING, INC * 10/13/15 CORTINA & MUELLER 1558 17WC 36942 DIXON, REBECCA SEPTRAN, INC * 10/05/17 MARKER & ASSOCIATES 1559 17WC 37084 PINEDA, JESUS TOMMY POLLINA LANDSCAPE C * 12/08/17 AIOSSA LAW FIRM 1560 17WC 37150 WETZIG, KIMBERLY WALMART * 12/01/17 STROM, NEAL B GANAN & SHAPIRO 1561 17WC 37156 WALKER, MARIE AMAZON * 10/08/17 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1562 17WC 37188 SPENCER, FAHREN WILL COUNTY SHERIFF'S OFF * 11/07/17 DAVID SZCZECIN & ASSOC 1563 17WC 37273 ACOSTA, BLANCA RUTH VOLT MANAGEMENT CORP * 11/04/17 RATHBUN CSEVENYAK & KOZOL ORENSTEIN & ASSOCIATES 1564 17WC 37325 BARAKAT, JAMILA LUTHERAN SOCIAL SERVICES * 11/04/17 BOWMAN & CORDAY 1565 17WC 37383 WOJTYSZYN, THOMAS P DSC LOGISTICS, INC * 08/29/17 THE FITZ LAW GROUP MC ANDREWS & NORGLE LLC 1566 17WC 37400 REARDON, NICHOLAS PERFORMANCE AUTO CENTER * 11/27/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 1567 17WC 37456 SEAY, LIDIA WILL COUNTY HEALTH DEPART * 07/25/17 DWORKIN AND MACIARIELLO 1568 17WC 37478 WEBSTER, DENNIS (CARE OF) POMP'S TIRE SERVICE # * 11/17/17 PETER F FERRACUTI & ASSOCI 1569 17WC 37565 GUZMAN, SALVADOR CORESTTI STRUCTURAL STEEL * 09/30/17 SALK, STEVEN B & ASSOC LTD 1570 17WC 37614 DAVENPORT, THOMAS XPO LOGISTICS FREIGHT * 11/10/17 MCNAMARA PHELAN MCSTEEN LL 1571 17WC 37631 PACE, NICOLE PROLOGISTIX * 12/08/17 DEPAOLO ZADEIKIS GORE 1572 17WC 37726 SPINDLER, MARK AT&T 3 * 06/19/17 WOLFE LAW PC 1573 17WC 37761 KERPAN, RICHARD THE HOME DEPOT * 08/15/17 DWORKIN AND MACIARIELLO 1574 17WC 37781 HAYES, DEBORAH AMAZON * 09/25/17 TIMOTHY E. TAKASH 1575 17WC 37799 SMITH, PHILIP F LOCKPORT TOWNSHIP FIRE * 12/15/17 HETHERINGTON KARPEL BOBBER 1576 17WC 37843 TAYLOR, CATHERINE AMAZON * 10/24/17 JAMES ELLIS GUMBINER & ASS 1577 17WC 37859 ROMERO LUNA, JUAN LUIS AMAZON * 12/16/17 LAW OFFICE OF SCOTT B SHAP 1578 17WC 37873 MORALES, JORGE ESMARK STEEL * 09/01/17 ASHER, RAYMOND L LTD 1579 17WC 37941 BLANKENSHIP, DAVID SYSTEMS MECHANICAL INC * 10/26/17 HANNIGAN & BOTHA, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1580 17WC 38000 ECHEVERRIA BECERRA, GUSTA DELICIA MEXICAN GRILL * 10/29/17 PORRO NIERMANN LAW GROUP 1581 17WC 38029 SHYU, SUSAN SUSHI TRAIN * 01/02/17 RATHBUN CSEVENYAK & KOZOL 1582 17WC 38045 TRENT, JACQUELINE INTEGRITY STAFFING SOLUTI * 12/18/17 SEIDMAN MARGULIS & FAIRMAN 1583 17WC 38072 ZARATE, RICARDO ILLINOIS STATE POLICE @ * 02/01/15 SPIROS LAW PC 1584 18WC 00012 MCBRIDE, KATRINA INTEGRITY STAFFING SOLUTI * 12/20/17 ANKIN LAW OFFICE 1585 18WC 00070 JONES, DAVID C COMMONWEALTH EDISON COMPA * 12/27/17 ANESI OZMON RODIN NOVAK KO CHILTON YAMBERT PORTER LLP 1586 18WC 00110 JOHNSON, MADISON WEST LIBERTY FOODS * 11/13/17 DWORKIN AND MACIARIELLO 1587 18WC 00141 LOESCHEN, RABECCA LAKEWOOD NURSING & REHAB * 11/14/16 SCHWEICKERT & GANASSIN 1588 18WC 00165 WALSH, KAITLYN UPS * 12/11/17 MC HARGUE, JAMES P LAW OFF 1589 18WC 00202 HAMMANN, VALARIE FALCON TRANSPORT CO * 02/01/16 O'CONNOR & NAKOS 1590 18WC 00232 BEESON, ROBIN RIDE RIGHT LLC * 12/22/17 ANKIN LAW OFFICE 1591 18WC 00324 NOONAN, ROBERT E AMAZON FULFILLMENT CENTER * 11/05/17 LAW OFFICE PHILIP BLOMBERG WIEDNER & MCAULIFFE LTD 1592 18WC 00334 BURNS, LYNELL MEIJER, INC * 11/23/17 LAW OFFICE DAVID W CLARK KOPKA, PINKUS DOLIN, PC 1593 18WC 00390 ROBERTSON, ANDREA ALGO WORLDWIDE LOGISTICS * 12/20/17 JAMES ELLIS GUMBINER & ASS 1594 18WC 00485 SEIDEL, ANTHONY M COMMONWEALTH EDISON * 12/21/16 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 1595 18WC 00589 PLUTZ, ROBERT VILLAGE OF PLAINFIELD * 01/09/15 MARKER & ASSOCIATES 1596 18WC 00606 KAVOURINOS, FRANCINE JOLIET PUBLIC SD 86 * 09/29/17 BRILL & FISHEL 1597 18WC 00628 SALAZAR, JUAN ON TIME STAFFING * 12/12/17 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1598 18WC 00641 LARSON, ALLEN NAPA AUTO PARTS * 01/02/18 DWORKIN AND MACIARIELLO 1599 18WC 00662 BUSTAMANTE, JUAN M SEATING CONCEPTS * 12/14/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 1600 18WC 00783 WILLIAMS, DANIEL R PEACOCK ENGINEERING * 12/26/17 RUBIN MACHADO ROSENBLUM 1601 18WC 00801 HAWKINS, ANTHONY GRAINGER * 11/01/17 POLANSKY & CICHON CHTD 1602 18WC 00836 DIAZ, RONMEL GIANT CONSTRUCTION, INC * 11/17/17 DAVID J. BAWCUM 1603 18WC 00864 CLARK, CHRISTOPHER DISCOUNT TIRE * 08/24/17 LAW OFFICE OF SCOTT B SHAP 1604 18WC 00889 ZITELLA, NICOLE INDIAN PRAIRIE UNIT * 10/24/17 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 1605 18WC 00922 HICKS, ISAAC L WALLACE ELECTRICAL SYSTEM * 12/21/16 JAMES RUPPERT RUSIN & MACIOROWSKI LTD 1606 18WC 00947 HATHAWAY, CAROLJEAN WILL COUNTY SOCIETY * 01/07/17 BRADY CONNOLLY & MASUDA PC 1607 18WC 00968 GLENDE, SARAH OSWEGO SD 308 * 05/11/17 KARCHMAR & STONE 1608 18WC 01092 KANYUH, DIANE ZENITH AMERICAN SOLUTIONS * 01/13/15 ARNOLD & KADJAN 1609 18WC 01162 MCCRAY, JOHN PEACOCK ENGINEERING * 04/29/16 DWORKIN AND MACIARIELLO 1610 18WC 01195 JONES, ALISHA ASG STAFFING/WEATHER TECH * 12/29/17 BLOCK, KLUKAS & MANZELLA P 1611 18WC 01236 ALLEN, BRENDA AMAZON * 07/25/17 DE FRIES LAW OFFICES PC 1612 18WC 01257 MURPHY, BRIAN FRESH THYME FARMERS MARKE * 01/08/18 PETER D CORTI LAW GROUP 1613 18WC 01283 BROWN, MARK PORTILLO'S HOT DOGS, LLC * 01/02/18 SANDMAN LEVY & PETRICH 1614 18WC 01379 FLORES, ALICIA GCA SERVICES GROUP * 11/27/17 LAW OFFICES LEONARDO MORAL 1615 18WC 01421 GROENENDAL, STEVE ADT SECURITY SERVICES LLC * 10/19/17 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1616 18WC 01425 CRADDOCK, RICKIE HAMILTON SUNDSTRAND * 03/15/14 MACIOROWSKI SACKMANN & ULRIC 1617 18WC 01477 GARDNER, JOHN METRONICS * 12/30/17 DWORKIN AND MACIARIELLO 1618 18WC 01540 SULEJMANI, IDRIS MEN'S WEARHOUSE * 11/09/16 RATHBUN CSEVENYAK & KOZOL 1619 18WC 01576 CONTRERAS, JESUS TTX COMPANY, C/O * 08/02/17 HETHERINGTON KARPEL BOBBER 1620 18WC 01581 KLYMKOWYCH, SOPHIA BOLINGBROOK FIRE DEPT * 10/31/17 RIDGE & DOWNES 1621 18WC 01605 MOLEK, JAROSLAV ASLAN DESIGN & RENOVATION * 08/08/16 BRYCE DOWNEY & LENKOV LLC 1622 18WC 01631 CASILLAS, MARTHA BUCK SVCS, INC * 09/06/17 LAW OFFICES OF ADAM ZAYED 1623 18WC 01665 DOYLE, HUGH WILLIAMS BROTHERS CONSTRU * 08/11/17 WOLFE LAW PC 1624 18WC 01691 CLARK, MYEISHA INTEGRITY STAFFING SOLUTI @ * 11/26/17 CHASE & WERNER LTD 1625 18WC 01722 LOGGINS, DECEMBER HARBOR LIGHT HOSPICE/ * 01/04/18 BLOCK, KLUKAS & MANZELLA P 1626 18WC 01750 DESIDERIO, ROBERT JOLIET POLICE DEPT * 05/24/17 RIDGE & DOWNES 1627 18WC 01764 AGUILAR, ARTURO PETCO * 04/13/17 RATHBUN CSEVENYAK & KOZOL 1628 18WC 01779 NUGARA, MICHAEL ABF FREIGHT SYSTEMS, INC * 01/16/18 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 1629 18WC 01791 SMITH, BENITA COUNTY OF WILL/SUNNY HILL * 06/09/17 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 1630 18WC 01812 MITCHELL, KELLY D AMAZON.COM INC * 11/25/17 SALK, STEVEN B & ASSOC LTD 1631 18WC 01889 KAVAL, JOSEPH DIRECT ELECTRIC * 01/11/18 CULLEN HASKINS NICHOLSON 1632 18WC 01989 SANTIAGO, ANALECIA AMAZON * 11/15/17 EDWIN REYES LEGAL GROUP 1633 18WC 02125 DIAMOND, JAMES A HOME DEPOT (JOLIET) * 01/10/18 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 95 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR NEW LENOX 31003 ON 03/01/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1634 18WC 02180 SMITH, DANIEL SCHNEIDER LOGISTICS * 12/23/17 SPIROS LAW PC 1635 18WC 02221 NIMAKOH, JOHN ARYZTA LL D/B/A ARYZTA BA * 12/28/17 GORDON & CENTRACCHIO LLC 1636 18WC 02263 HEILMAN, BRANDON FAMILY WATERPROOFING SOLU * 07/12/17 RIDGE & DOWNES 1637 18WC 02311 WATERS, DENISE FLORSTAR SALES INC * 11/09/17 DWORKIN AND MACIARIELLO 1638 18WC 02373 WILLIAMS, RAYMOND INTEGRITY STAFFIGN SOLUTI * 11/19/17 LAW OFFICES MICHAEL HELLMA 1639 18WC 02413 CHAMBERS, MICHAEL ILLINOIS BELL TELEPHONE C * 12/28/17 HETHERINGTON KARPEL BOBBER 1640 18WC 02455 JANOPOULOS, JESSICA AMAZON * 05/31/17 DAVID W MARTAY 1641 18WC 02485 WALTON, IVORY SUNNY HILL NURSING HOME * 01/18/18 DWORKIN AND MACIARIELLO 1642 18WC 02522 WOOTERS, DANIEL MICHELS PIPELINE * 10/03/17 HORWITZ HORWITZ & ASSOC 1643 18WC 02538 STROJNY, KAREN AMAZON * 08/02/17 THE ROMAKER LAW FIRM