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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 03904 HOUCK, JAMES R WINDSOR DOOR INC 11/19/02 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 04WC004851 -C 2 04WC 49611 NIELSON, MAUREEN CHARMING SHOPPES INC 07/18/04 MARKHAM M JEEP & ASSOCIATE BRADY CONNOLLY & MASUDA PC 3 05WC 28856 SIKORSKI, SANDRA L MENARDS 01/20/05 FRANKS GERKIN & MCKENNA NYHAN BAMBRICK KINZIE & LOWR 4 06WC 01992 DE LEGGE, CAROL MEIJER FRESH STORES 12/05/05 JAMES M RIDGE LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 5 07WC 37812 19B PLEIN, JUSTIN FISHERS INTERIORS LTD 04/06/07 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 6 08WC 17767 GONZALEZ, VICTORINO AFFINIA GROUP 09/02/06 DOUGLAS RALLO, PC MACIOROWSKI SACKMANN & ULRIC 08WC031347 -C 7 08WC 33113 CABRALES, ENRIQUETA AFFINIA GROUP 02/14/07 TARADASH LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 08WC033122 -C 11WC012536 -C 11WC012599 -C 11WC016204 -C 12WC003464 -C 8 09WC 00828 FOLLMAN, LAURA TRAVEL CENTERS OF AMERICA 08/17/06 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 9 09WC 13541 BROADBENT, JACOB CON-WAY FREIGHT INC 01/07/09 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 10 09WC 18462 LOPEZ, ANGEL CURTIS COMMERICAL 12/02/07 IVAN A RUEDA THOMAS & ASSOCIATES 11 09WC 25002 CRISWELL, KAREN 24-7 BRIGHTSTAR HEALTHCAR 08/07/08 HORWITZ HORWITZ & ASSOC THOMAS & ASSOCIATES 12 09WC 25665 SIKORSKI, SANDRA L MENARDS 05/11/09 FRANKS GERKIN & MCKENNA NYHAN BAMBRICK KINZIE & LOWR 13 10WC 11290 DAY, ROBERT J TRIANGLE DECORATING LLC 03/29/07 NEWLAND NEWLAND & NEWLAND SCOPELITIS GARVIN LIGHT 14 10WC 17843 PANAMENO, CARLOS POLY ONE 03/22/10 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 10WC017844 -C 14WC041158 -C 15 10WC 26454 GONZALEZ, MICAELA OSCAR MEYER CLAUSEN PICKL 03/01/10 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 10WC 44794 MILLETTE, MIKE TOYS R US 01/06/09 BLACK, JIM LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 17 10WC 48866 19B JANKOWSKI, RICHARD DEAN FOODS & 10/05/09 ROBERT M WARSASKI BRADY CONNOLLY & MASUDA PC 18 11WC 02858 JUAREZ, MELIDA WEBER STEPHAN PRODUCT INC 10/13/10 TARADASH LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 11WC028092 -C 19 11WC 14470 MORAVEC, JAMES JDM AUTOMOTIVE SERVICES I 02/15/11 GOLDBERG WEISMAN & CAIRO L EDWARD JANUSZKIEWICZ 20 11WC 16246 RYMEK, FRANCES ITW FILTERTEK 03/22/11 OWENS & LAUGHLIN LLC NYHAN BAMBRICK KINZIE & LOWR 13WC027651 -C 21 11WC 17615 HARRIS, ERIC E FUJI FOOD PRODUCTS, INC 04/19/11 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 22 11WC 30680 HARAS, JOHN G LINDA JOHNS @ W 08/01/11 FRANKS, GERKIN & MCKENNA P 23 11WC 34806 BRAVATA, JOSEPH GARRELTS & SONS INC 07/12/11 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 11WC034807 -C 24 11WC 36287 SCIMECA, VICTOR R VILLAGE OF HEBRON 02/05/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 25 11WC 39069 KLATT, SYLVIA MCHENRY SCHOOL DIST 15 09/09/11 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 26 11WC 41045 PARKER, TIMOTHY BROWN PRINTING CO 10/12/11 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 27 11WC 47304 MCCORKLE, KEN INTERNATIONAL DECORATORS 12/20/10 BLACK & JONES GAROFALO SCHREIBER STORM 28 12WC 05429 SPOERRY, GARY VILLAGE OF LAKEMOOR 12/11/11 GUMMERSON & RAUSCH LLC RUSIN & MACIOROWSKI LTD 29 12WC 06512 AHRENS, EDWARD R MCHENRY ELEMENTARY 09/12/11 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 30 12WC 08282 OLAGUE, ELIZABETH DANAHER 12/09/11 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 13WC021713 -C 31 12WC 17216 SHIPLEY, CAROLYN J CRYSTAL LAKE FIRE RESCUE 04/05/12 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 13WC003656 -C 32 12WC 17792 LIGHTBODY, ERIC BREX D/B/A CAR-X 12/17/08 MARTIN L GLINK LAW OFFICE CASSANO & ASSOCIATES

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 12WC 24696 BACON, WILLIAM VILLAGE OF WONDER LAKE 04/14/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 34 12WC 26617 HOLUB, MARK DYNAMEX 01/15/11 BLEAKNEY & TROIANI CHILTON YAMBERT PORTER LLP 35 12WC 31966 SWIERCZ, VALERIE JOHNSBURG DISTRICT #12 04/12/12 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 36 12WC 32687 CASTANEDA, JOSE M TC INDUSTRIES INC 10/19/11 BOTTO GILBERT HENNESSY & ROACH PC 37 12WC 34513 NOEGEL, BARBARA L CENTEGRA HEALTH SYSTEM 01/01/12 LEWIS & DAVIDSON, LTD MACIOROWSKI SACKMANN & ULRIC 38 12WC 38271 SOWA, JOHN IDOT 10/18/12 THOMAS J STIBERTH LAW OFFI 39 12WC 40011 MONAHAN, REBECCA SUNRISE SENIOR LIVING 04/27/12 CLARK FROST ADELSON TESTAN & BRUNDO 40 12WC 40406 GENGLER, MARIA LUZ CHROMA CORP 10/25/10 COHN & COHN LAW OFFICE OF PAUL O WATKISS 41 12WC 43354 SANDERS, MARK GFS FENCE GUARDRAIL & SIG 11/29/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 42 13WC 07894 HANCE, ROBERT FOX VALLEY SYSTEMS 03/06/13 HANNIGAN & BOTHA, LTD 43 13WC 08186 SCHLOEGL, ANTOINETTE OLSUN ELECTRICS CORPORATI 09/24/12 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 44 13WC 08679 HANLON, JAMES IDOT @ 09/08/11 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 45 13WC 09287 EKSTROM, BROOKE HUNTLEY FIRE PROTECTION D 01/07/12 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 46 13WC 10661 POLLACK, THERESA WAL MART 04/20/12 ANGELA NARDI-QUIGLEY WIEDNER & MCAULIFFE LTD 47 13WC 12189 DUCHI, ZARUMA LUIS STACHON CONSTRUCTION INC 12/19/12 ENCINAS & ORNELAS HOLECEK & ASSOCIATES 48 13WC 13340 LINEVICH, IGOR KAM TRANS INC W 11/06/12 FREYDIN LAW FIRM LLP BOTTO GILBERT 49 13WC 15789 JONES, ROBIN SOUTH ELGIN POLICE DEPART 04/30/13 COLLISON LAW OFFICES ANCEL GLINK DIAMOND BUSH & E 50 13WC 16914 BENNETT, OWEN JEWEL FOODS 12/18/12 JASINSKI, GEORGE J QUINTAIROS PRIETO WOOD & BOY

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 13WC 20733 KARAS, ANDREW J JR NORTHWEST EXPRESS INC 06/13/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 52 13WC 21452 CHAVEZ, ANTONIO AMPAC FLEXICON 05/09/12 THOMAS J STIBERTH LAW OFFI HENNESSY & ROACH PC 13WC021453 -C 14WC018822 -C 53 13WC 30273 CARBAJAL, MARIA MEDELA INC 02/06/13 WAGGONER LAW FIRM PC LAW OFFICES JOSEPH MARCINIAK 54 13WC 31361 REYNOSO, RAMON CLAUSSEN PICKLE CO 07/08/13 BOTTO GILBERT GEHRIS GAROFALO SCHREIBER STORM 55 13WC 31557 SEYLLER, JAY COUNTY OF KANE 07/23/10 MURPHY & MURPHY COLLISON & O'CONNOR 56 13WC 33103 HUGGINS, KENT CRYSTAL LAKE CENTRAL 10/10/12 GRAHAN J. JEEP WIEDNER & MCAULIFFE LTD 57 13WC 38101 MCNAMES, SCOTT FED-EX 08/19/13 MARTIN V KUGIA WIEDNER & MCAULIFFE LTD 13WC038103 -C 58 13WC 39053 BERGHOFF, BARBARA CLAUSSEN PICKLE COMPANY 11/05/13 BOTTO GILBERT GAROFALO SCHREIBER STORM 59 13WC 39570 MEYERHOFF, JUDITH E MERCY ALLIANCE, INC. 07/08/13 STEWART C ORZOFF HOLECEK & ASSOCIATES 60 13WC 40823 GREGORY, MICHAEL AT & T 10/10/13 CHRISTINE F DAVID 61 13WC 41732 JOHNSON, MARILYN STATE OF IL SECRETARY OF @ 08/20/13 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 62 14WC 02639 SOLIS, TERESA SYCAMORE PRECISION MACHIN 11/14/13 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 15WC031415 -C 63 14WC 03422 HELFERS, GARRETT M CJ DRILLING, INC 04/06/13 MADSEN SUGDEN & GOTTEMOLLE COZZI & GOGGIN-WARD 64 14WC 05397 RUSSELL, BOBBIE JO NEDZA FOOD SHOP 01/24/14 DWORKIN AND MACIARIELLO 65 14WC 07496 BRINSON, TROY NEWLAND & NEWLAND, LLP 10/07/13 BRIAN J MC MANUS & ASSOC, LAW OFFICES JOSEPH MARCINIAK 14WC008671 -C 66 14WC 09714 KAPTENA, JAMES J COVIDIEN 01/10/14 HANNIGAN & BOTHA, LTD POWER & CRONIN LTD 67 14WC 10486 DIAZ-MADRID, FRANCISCO METRO STAFF, INC. 11/25/13 BOTTO GILBERT FRANCIS J DISCIPIO LAW OFFIC

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 14WC 12552 KANKA, DAVID RD PRECISION INC & 03/26/14 MC HARGUE, JAMES P LAW OFF 69 14WC 12842 NELSON, RICHARD DEMETER LP DBA SEEGERS GR 11/15/13 WILLIAM MARTAY 70 14WC 13364 BROWN, MOSES COMMONWEALTH EDISON 03/31/14 CULLEN HASKINS NICHOLSON 71 14WC 14551 KOHLER, RITA CHASE 04/28/11 HANNIGAN & BOTHA, LTD HEYL ROYSTER VOELKER & ALLEN 72 14WC 14789 JURON, JOSEPH D. CENTEGRA HOSPITAL 01/02/14 CAPRON & AVGERINOS PC MACIOROWSKI SACKMANN & ULRIC 73 14WC 17061 GLUTH, JAMES R&B METAL PRODUCTS 09/21/12 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 74 14WC 17588 FILIPEK, JAMES J II MCDONALD'S 12/20/13 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 75 14WC 17639 KUPERMAN, DANIEL MEIJER PARTNERSHIP LTD 05/08/14 MARTIN V KUGIA KOPKA, PINKUS DOLIN, PC 76 14WC 19055 BERSIE, TAMMIE WALMART 10/25/13 SVENSON LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 77 14WC 20782 KAMENJARIN, NICK INDEPENDENT ELECTRIC INC 11/21/13 GORDON & CENTRACCHIO LLC CASSANO & ASSOCIATES 78 14WC 21675 MCNAMES, SCOTT FED EX 08/27/13 MARTIN V KUGIA 79 14WC 23118 AMELIO, ANTHONY AT&T 10/15/13 LEAHY, JAMES P 80 14WC 24250 MARCUM, DANIEL J PARKING LOT SERVICES 10/03/13 BLACK & JONES 81 14WC 24448 RAAP, MICHAEL J ALPINE CLEANING EQUIPMENT 09/03/13 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 82 14WC 24603 GERDES, JOSEPH HEARTHSTONE MANOR 01/27/13 BRAD J. BALKE, PC 83 14WC 26238 BEIZA, HORACIA WOODSTOCK PLASTICS COMPAN 07/03/14 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 14WC 27290 ATLAS, ROBERT COMBINED METALS OF CHICAG 05/26/14 GALLIANI DOELL & COZZI LTD POWER & CRONIN LTD 85 14WC 27572 PICKELL, JUDY CENTEGRA HEALTH SYSTEMS 02/18/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 14WC030114 -C 86 14WC 28359 WITZ, KENNETH KNAACK MANUFACTURING 04/14/14 DIAMOND & LESUEUR PC THOMAS & PORTELA 87 14WC 29595 BONEBRAKE, ROBERT GENERAL RV CENTER 10/02/13 LEAHY, JAMES P BRYCE DOWNEY & LENKOV LLC 88 14WC 29901 DWYER, JUDY WALGREENS STORE 4258 04/23/14 LAW OFFICE OF JAMES H MILL GILDEA & COGHLAN 14WC029902 -C 15WC007542 -C 89 14WC 30260 CASTILLO, KAREN STRIDE RITE 12/03/11 LAW OFFICE RICHARD BINGHAM 90 14WC 30874 ENRIQUEZ, GUADALUPE TC INDUSTRIES 06/04/14 91 14WC 33659 PORRAS, E ANGELICA CENTURY AUTOMATICS LLC 04/20/14 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 92 14WC 34671 DORADO, JOSE ACCURATE PERSONNEL 08/12/14 BOTTO GILBERT GEHRIS GRANT & FANNING 93 14WC 34859 HENRY, RONALD INTERN 10/29/13 STROM, NEAL B WIEDNER & MCAULIFFE LTD 15WC037520 -C INTREN 94 14WC 36021 ANTHONY, SCOTT KELM GRAIN FARM 06/05/12 BART DURHAM WIEDNER & MCAULIFFE LTD 16WC005624 -C 95 14WC 38391 ODOM, REBECCA S RIVERSIDE ANIMAL CLINIC 01/03/14 96 14WC 38480 TERAN, ROGELIO ERJ DINING IV LLC 07/29/14 JONATHAN SCHLACK NOBLE & ASSOCIATES PC 97 14WC 39048 ROSS, DANETTE CENTEGRA HEALTH SYSTEM 08/13/14 VOGG, MARK J LAW OFFICE 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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 14WC 39677 EVENSON, MARK SEARS PARTS & REPAIR CENT 11/08/14 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 99 14WC 40308 ASPLUND, JENNIFER MCHENRY COUNTY 01/17/14 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 14WC040322 -C 100 14WC 41376 LAVIGNE, RUSSELL DYMOND CONTRACT GLAZING I 05/05/14 101 14WC 42150 HIDDING, MARY ANN SCHOLASTIC CORPORATION 03/05/14 ELIZABETH BOWER KENT GANAN & SHAPIRO 102 14WC 43654 ENGE, GREGORY LANDMARK CONSTRUCTION 10/27/14 DWORKIN AND MACIARIELLO THOMAS & PORTELA 103 15WC 00645 JERMY, JAMIE DON HANSEN'S ALIGNMENT & 06/13/13 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 104 15WC 01194 RUDDER, MARY APTAR 05/23/13 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 105 15WC 01373 KILL, BRIAN LEISERVE INC. 01/15/12 JAMES P. TUTAJ HINSHAW & CULBERTSON 106 15WC 03123 SPROULE, JARON PEDIATRIC SERVICES OF AME 11/25/14 BLACK & JONES INMAN & FITZGIBBONS 107 15WC 04027 GUADARRAMA, JOSE HUNTSMAN CORPORATION 05/11/12 CLARK FROST RUSIN & MACIOROWSKI LTD 108 15WC 04318 PENA, JUAN BUILDING MAINTENANCE SERV 01/08/15 DOUGLAS RALLO PC COZZI & GOGGIN-WARD 109 15WC 04486 KAVANAUGH, PAUL TM DOYLE TEAMING CO 01/09/15 LEONARD LAW GROUP LLC CHILTON YAMBERT PORTER LLP 110 15WC 04800 PICKELL, JUDY CENTEGRA HEALTH SYSTEM 02/04/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 111 15WC 05255 AVITIA, CARMEN SAGE PRODUCTS INC 10/10/14 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 112 15WC 05801 STAAB, TIMOTHY GULL 5 INC 10/11/14 BRAD J. BALKE, PC BRADY CONNOLLY & MASUDA PC 113 15WC 06003 BARAGAS, JOEL LABOR NETWORK 05/22/14 JOHN P GOGGIN 114 15WC 06183 SLOVE, DANIEL CITY OF CRYSTAL LAKE 02/10/15 BLACK & JONES POWER & CRONIN LTD 115 15WC 07402 RYMEK, FRANCES ITW FILTERTEK 09/02/14 OWENS & LAUGHLIN LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ERBACCI, ANTHONY 033 ARBITRATION CALL FOR WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 15WC 07533 KUSZYNSKI, GEORGE FINISH LINE HORSE PRODUCT 11/07/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 117 15WC 08297 DASHUT, TONI M APTAR 06/07/12 BOTTO GILBERT 118 15WC 08588 BORYSIEWICZ, WASYL COMMUNITY HIGH SCHOOL DIS 07/25/13 ROBBINS & ROBBINS LTD NYHAN BAMBRICK KINZIE & LOWR 119 15WC 08686 HRIBAL, SARAH ANDROID INDUSTRIALS/AL BE 07/01/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 120 15WC 09323 AGUIRRE, JOSE LUIS WEBER STEPHENS PRODUCTS L 01/21/15 WOLFE LAW PC LAW OFFICES JOSEPH MARCINIAK 15WC009324 -C 121 15WC 10308 GALVAN, MARIA ADVANCED FLEXIBLE 02/12/15 TARADASH LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 122 15WC 11224 IMPASTATO, KENNETH D WASTE MANAGEMENT 09/09/13 RUBIN LAW GROUP HENNESSY & ROACH PC 123 15WC 13268 ELIZARRARAZ, EULALIO RAYSCAPE, INC. 03/19/15 PARENTE & NOREM PC COZZI & GOGGIN-WARD 124 15WC 14033 LEVERENCE, RICHARD L JEWEL FOOD STORES LLC 11/06/14 BOWMAN & CORDAY BRADY CONNOLLY & MASUDA PC 125 15WC 14486 TAYLOR, NICHOLAS K.M. COFFEE, INC. 12/26/14 MADSEN SUGDEN & GOTTEMOLLE ASSISTANT ATTORNEY GENERAL 126 15WC 15838 SCHREIBER, ERIC IL DEPT OF NATURAL RESOUR @ 05/03/15 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 127 15WC 15891 KREJCI, JENNIFER KNOWLEDGE UNIVERSE D/B/A 02/23/15 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 128 15WC 15996 HARRIS, JOANNE CENTEGRA HEALTH SYSTEMS 05/30/14 SEIDMAN MARGULIS & FAIRMAN MACIOROWSKI SACKMANN & ULRIC 129 15WC 16100 SAUCEDO, ADONA DOLLAR GENERAL 09/26/14 FRANKS, GERKIN & MCKENNA P LEAHY EISENBERG & FRAENKEL 130 15WC 16789 SIEGERT, BRIAN JONES LANG LASALLE 04/03/13 131 15WC 17044 SANCHEZ, EMMA MC DONALD'S 09/14/14 BOTTO GILBERT GANAN & SHAPIRO 15WC017045 -C 132 15WC 17640 AVALOS, PAUL CHARTER DURA-BAR 04/08/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 133 15WC 17651 SHOOP, PATRICIA A. JEWEL FOOD STORES 06/14/12 LEE A CAMPBELL LAW OFFICE

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 15WC 18267 DELA-CRUZ, COROZON LIFE HOME HEALTH CARE INC 04/24/15 VINCENT WAGNER INMAN & FITZGIBBONS 135 15WC 19068 RIOS, MINERVA MODINE MFG 02/25/15 TARADASH LAW OFFICE 136 15WC 20733 GABBERT, BARBARA HUNTLEY HIGH SCHOOL 04/30/15 MADSEN SUGDEN & GOTTEMOLLE NYHAN BAMBRICK KINZIE & LOWR 137 15WC 21783 GARCIA, TEODORO CECO CONCRETE 12/17/14 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 138 15WC 22083 MARQUEZ, NOE WEBER-STEPHEN PRODUCTS LL 06/09/15 GREG TUITE & ASSOC LAW OFFICES JOSEPH MARCINIAK 139 15WC 22200 CERVERA, GUILLERMO PORK KING PACKING 04/17/15 RODDY LAW LTD 140 15WC 22463 MORALES, MIGUEL CENTURY AUTOMATICS 04/06/15 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 15WC022464 -C 141 15WC 22962 DEMES, DEBORAH A COSTCO 05/03/15 TURNER & SACKETT LLC GANAN & SHAPIRO 142 15WC 24195 RIVERA, LILIA APTARGROUP INC 03/24/15 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 143 15WC 24389 DEMPSEY, DAVID P CITY OF WOODSTOCK 09/08/14 FRANKS, GERKIN & MCKENNA P ANCEL GLINK DIAMOND BUSH & E 144 15WC 24519 RAETHER, KEVIN R ALGONQUIN/LTH FIRE PROT D 07/06/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 145 15WC 25158 KRSKA, LAURA OSCO DRUG - HUNTLEY 09/29/14 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 15WC025159 -C 146 15WC 25234 DE OCS, GABRIELA MONTES ERNEST FOSTER DBA # 01/11/15 CULLEN HASKINS NICHOLSON 147 15WC 26324 KIRKALDY, COLLEEN RENEE'S OF RIDGEFIELD INC 06/04/14 COHN LAMBERT RYAN & SCHNEI GAROFALO SCHREIBER STORM 148 15WC 26875 SALDANA, LUCIANO AGENCY STAFFING 07/13/15 HANNIGAN & BOTHA, LTD WOLF LAW LTD 149 15WC 29817 SANCHEZ, LETICIA ACCURATE AGENCY 07/27/15 BOTTO GILBERT MC ANDREWS & NORGLE LLC 150 15WC 29867 GAMEZ, PAULINO JOSEPHS INC 08/09/15 JOHN S. ELIASIK ROSARIO CIBELLA 151 15WC 32281 WEINSTEIN, WENDY STERLING JEWELERS INC. 06/08/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 15WC 32593 WAGNER, DAVID M DOUGHERTY ENTERPRISES, IN 08/31/15 WILLIAMS, ROBERT B LAW OFF 153 15WC 33642 MILLER, KENNETH M II AIRGAS, USA LLC 11/14/14 MADSEN SUGDEN & GOTTEMOLLE MC ANDREWS & NORGLE LLC 154 15WC 35449 SPEROPOULOS, CITLALIC THE FOUNTAINS OF CRYSTAL 08/17/15 BOTTO GILBERT GRANT & FANNING 155 15WC 36062 WEIRICH, RAYMOND SEARS 10/13/15 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM 156 15WC 36101 ARIMBADO, ERIS INTERNATIONAL HOUSE OF PA 11/20/14 BOTTO GILBERT INMAN & FITZGIBBONS 15WC036102 -C 157 15WC 37762 SMITH, ANNE E CENTEGRA HEALTH BRIDGE FI 02/21/14 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 158 15WC 38490 RUDDEN, DAVID C T.C. TRANSPORTATION 03/10/14 MARTIN V KUGIA 159 15WC 39343 VADEN, JAMES JB HUNT TRANSPORT 03/26/15 ROGER D RUDICH LTD GRANT & FANNING 160 15WC 39386 SEELEY, MATTHEW JEWEL OSCO 06/24/15 GORDON & CENTRACCHIO LLC WIEDNER & MCAULIFFE LTD 161 15WC 39460 ZALEWSKI, HALINA SILGAN PLASTICS 08/05/14 FRANKS & RECKENBERG BRADY CONNOLLY & MASUDA PC 162 15WC 39652 JESSE, ARMOND CCA MIDWEST, INC. 10/20/15 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 163 15WC 39779 KYRIAKOPOULOS, CATHERINE JEWEL-OSCO 06/03/15 OWENS & LAUGHLIN LLC QUINTAIROS PRIETO WOOD & BOY 164 15WC 41391 GEHRINGER, JASON BUCK BROS. INC. 08/03/15 PETER D CORTI LAW GROUP 165 15WC 42183 KINDSCHY, KEITH HANOR CO. 10/12/14 FRANKS, GERKIN & MCKENNA P HENNESSY & ROACH PC 166 15WC 42321 HUERTA, FLORINA OSORIO PORK KING PACKING INC 05/18/15 GREG TUITE & ASSOC 167 16WC 00829 LOPEZ, HUMBERTINA OLIVE GARDEN 10/20/15 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 168 16WC 01376 VARGAS, SUSIE CENTURY DENTAL 12/07/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 169 16WC 01437 ALONZO, HORTENSIA CLAUSSEN 10/16/14 JOHN E LUSAK

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 16WC 01581 CABALLERO, ROGELIO POLAR TECH INDUSTRIES, IN 01/11/16 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 171 16WC 02210 SALINAS, FERMIN CENTRAL WIRE HOLDINGS 02/20/15 BLACK & JONES HOLECEK & ASSOCIATES 172 16WC 03145 LEISTEN, RICHARD K CITY OF MC HENRY 12/07/15 DOUGLAS RALLO PC BRADY CONNOLLY & MASUDA PC 173 16WC 03300 UNGER, NICHOLE CLEANING AUTHORITY OF CAR 12/31/15 DWORKIN AND MACIARIELLO 174 16WC 03404 BRASEL, JESSICA FIRST LIGHT HOMECARE INC 12/28/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 175 16WC 03993 CEPEDA, LIDIA MARRIOTT INTL DBA COURTYA 01/14/15 NYHAN BAMBRICK KINZIE & LOWR 176 16WC 04936 VOIGT, PETER WIRTZ BEVERAGE IL 11/23/15 GOLDBERG WEISMAN & CAIRO L 177 16WC 05651 WOLF, THOMAS ADVANCE AUTO PARTS 10/26/15 FRANKS, GERKIN & MCKENNA P 178 16WC 06060 THOMPSEN, GEORGE LDI INDUSTRIES, INC 04/01/15 HOLECEK & ASSOCIATES 179 16WC 06561 JIMENEZ, PAULA MCDONALD'S 02/11/16 RAYMOND M SIMARD, PC BRYCE DOWNEY & LENKOV LLC 180 16WC 06711 RODRIGUEZ, RAMIRO PERFORMANCE CONTRACTING I 01/09/15 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 181 16WC 07081 MARCUM, DANIEL PARKING LOT SERVICES MAIN @ 10/03/13 BLACK & JONES ILLINOIS ATTORNEY GENERAL 182 16WC 07469 PRITCHARD, DEBRA CASEY'S GENERAL STORE 12/30/15 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 183 16WC 07645 CABALLERO-OLALDE, DANIEL MCDONALDS'S #12437 10/17/15 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 184 16WC 07868 BENISON, ERIKA A BUDDY Z'S CHICAGO PIZZERI 10/20/15 FRANKS & RECKENBERG KOPKA, PINKUS DOLIN, PC 185 16WC 08042 STITTGEN, SETH MERIT CONTRACTORS LLC 01/16/16 TARADASH LAW OFFICE PERRY GENTILE 186 16WC 08293 DEMARCO, MILVA MEDELA INC 09/16/15 ROSENFELD HAFRON SHAPIRO F 187 16WC 08626 FIGUEROA, ROSA M. MEDELA, INC 02/16/16 FRANKS & RECKENBERG RUSIN & MACIOROWSKI LTD

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 16WC 09014 KELLY, KYLE ENTERPRISE LEASING CO 01/29/16 FRANKS, GERKIN & MCKENNA P KNELL & O'CONNOR 189 16WC 09637 SCHEREMETA, DAVID TRUE VALUE COMPANY 07/01/15 BRASSFIELD KRUEGER & RAMLO BRADY CONNOLLY & MASUDA PC 190 16WC 10199 RIVERA, RODOLFO J ADVANCED FLEXIBLE COMPOSI 03/11/16 HANNIGAN & BOTHA, LTD 191 16WC 11947 KIDDOO, ANGIE SCHOOL DISTRICT 26 @ 09/14/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 192 16WC 12114 PETERSON, AARON JOHNSBURG SCHOOL DISTRICT 11/23/15 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 193 16WC 12199 SKILLICORN, APRIL GOODWILL 11/03/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 194 16WC 12419 PILAT, LORIE WOODSTOCK SCHOOL 12/02/15 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 195 16WC 12678 HERRERA, VIANKA ANDREWS STAFFING 03/14/16 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN 196 16WC 12911 ZEPEDA, BERTHA CAPRON MANUFACTURING COMP 07/15/15 LAW OFFICES OF HERBERT ABR 197 16WC 13050 FLANNIGAN, GINA M CHICAGO BREAD, LLC 02/17/15 ROSS TYRRELL COZZI & GOGGIN-WARD 198 16WC 13545 SULLENTRUP, DWAYNE UNITED LEASING & LOGISTIC 09/26/15 MARKHAM M JEEP & ASSOCIATE RUSIN & MACIOROWSKI LTD 199 16WC 13852 DINERO, ANSELMO VROOM VROOM DBA 10/14/14 WILLIAMS, ROBERT B LAW OFF GANAN & SHAPIRO 200 16WC 14070 BERNA, AUDREY A. WATLOW ELECTRIC MFG. CO. 06/16/15 DIAMOND & LESUEUR PC HENNESSY & ROACH PC 201 16WC 14239 JAIMES, MARIA FIRSTSERVICE RESIDENTIAL 03/24/15 WOODRUFF & JOHNSON KELLEY KRONENBERG 202 16WC 14392 CERER, LORI J. WOODSTOCK COMMUNITY SCHOO 03/17/16 FRANKS, GERKIN & MCKENNA P 203 16WC 14873 MORRIS, RONALD RYDER INTEGRATED LOGISTIC 03/09/16 GESMER LAW OFFICES, PC PAUL E BAUER 204 16WC 15804 ESPIN, JORGE A NEW AGE CRYO 03/08/16 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 205 16WC 15895 ROACH, MICHAEL SNAP-ON TOOLS 05/04/16 CLARK JUSTEN ZUCCHI GILDEA & COGHLAN

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 16WC 16183 KOCH, KARI B AMERIPRINT 04/21/14 FRANKS, GERKIN & MCKENNA P RODDY LAW LTD 207 16WC 16460 SILVA, ROSA E PEOPLE LINK STAFFING 05/11/16 THOMAS J STIBERTH LAW OFFI WOLF LAW LTD 208 16WC 16492 RAMOS, MARCO ARLINGTON NISSAN 02/12/16 KELLEHER & BUCKLEY 209 16WC 16637 STEVENS, LEANN LEICA BIOSYSTEMS RICHMOND 04/17/14 TARADASH LAW OFFICE GILDEA & COGHLAN 210 16WC 16870 GARLING, ROBERT ADVANCED AUTO PARTS 05/21/16 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 211 16WC 17011 MORALES, GLORIA NOVATION INDUSTRIES 04/08/16 CULLEN HASKINS NICHOLSON 212 16WC 17142 GONZALEZ, FEDERICO GE TRANSPORTATION PARTS, 04/06/16 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 213 16WC 17427 RUBO, DARLENE COSTCO 05/14/16 PARENTE & NOREM PC GANAN & SHAPIRO 214 16WC 17615 MINOR, REGINALD CATALENT 04/21/16 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 215 16WC 18216 SCHURING, JASON AGGREGATE INDUSTRIES, INC 04/07/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 216 16WC 18246 CHAIREZ, VERONICA LEICA BIOSYSTEMS RICHMOND 05/06/16 FIGLIOLI, DAVID GILDEA & COGHLAN 217 16WC 18543 SEELEY, MATTHEW JEWEL/OSCO INC 07/03/15 WIEDNER & MCAULIFFE LTD 218 16WC 18650 KINDSCHY, KEITH HANOR CO 06/07/16 FRANKS, GERKIN & MCKENNA P 219 16WC 19242 SNODIE, RICHARD B TRUE VALUE DISTRIBUTION C 07/17/14 GESMER LAW OFFICES, PC 220 16WC 19581 DELANEY, JOHN P HINES BUILDING SUPPLY 03/11/16 TUITE LAW WOLFE & JACOBSON, LTD 221 16WC 19783 OREGON, ANITA BRAKE PARTS, INC 05/11/16 HANNIGAN & BOTHA, LTD MACIOROWSKI SACKMANN & ULRIC 222 16WC 19921 COLLETTI, PATRICIA CLUB DEMONSTRATION SRVCS 03/21/16 LAW OFFICE OF KEVIN O'BRIE RIPES NELSON BAGGOT KALOBRAT 223 16WC 20468 AVALOS, PAUL CHARTER DURS-BAR 04/08/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 16WC 21438 KROMAN, JEANINE MCHENRY COUNTY SHERIFF'S 12/10/15 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 225 16WC 21774 MOCTEZUMA, ROSA WEBER-STEPHEN PRODUCTS 01/14/14 LANNON LANNON & BARR LTD LAW OFFICES JOSEPH MARCINIAK 226 16WC 22165 STEVENS, JANE JOHNSBURG SCHOOL DISTRICT 11/23/15 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 227 16WC 22177 MESSLING, BRAD WILSON NURSERIES INC 06/02/16 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 228 16WC 22471 CAMERON, BRENT ROHRER CORPORATION 07/07/16 LAW OFFICES ROBERT WARSASK 229 16WC 22869 RUTKOWSKE, JOE BULL VALLEY FORD INC 12/29/15 TARADASH LAW OFFICE GANAN & SHAPIRO 230 16WC 24526 TRAN, HOANG ACCURATE PERSONNEL 01/12/15 JOHN P GOGGIN MC ANDREWS & NORGLE LLC 231 16WC 24622 SALDANA, MARIA HOFFIE NURSERY 07/28/15 FRANKS, GERKIN & MCKENNA P 232 16WC 24715 LOPEZ, JERARDO VISION TEAM CONSTRUCTION 08/02/16 LAW OFFICE ROBERTO ACEVEDO HOLECEK & ASSOCIATES 233 16WC 24976 PULIDO, RAUL OLIVE GARDEN 05/27/16 CARONE LAW OFFICES 234 16WC 25335 DURAN, ANTHONY CENTEGRA HOSPITAL 02/06/15 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 16WC025336 -C 16WC025337 -C 235 16WC 25339 KUFFEL, DANIEL WALMART 10/27/15 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 236 16WC 25571 ZMUDA, MICHAEL HANSON, MATERIAL SERVICE 07/07/16 STROM, NEAL B RODDY LAW LTD 237 16WC 25982 WONSOWICZ, JOHN C WATSON INVESTMENT MANAGEM 12/16/15 MADSEN SUGDEN & GOTTEMOLLE 238 16WC 26448 DAHL, MATTHEW DUREX INDUSTRIES 07/05/16 DISPARTI LAW GROUP PA 239 16WC 27049 SWEARINGEN, JOE BLACK DIAMOND 08/17/16 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 240 16WC 27115 SCHAFER, SUSAN LHK PARTNERS INC 04/17/15 WOODRUFF & JOHNSON 241 16WC 28264 WHETHAM, RYAN ACCURATE PERSONNEL 06/18/16 MADSEN SUGDEN & GOTTEMOLLE MC ANDREWS & NORGLE LLC

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 16WC 28641 CASTANADA, JOSE TC INDUSTRIES 07/29/16 BOTTO GILBERT HENNESSY & ROACH PC 243 16WC 29069 GONZALEZ, HERMILO NOVATION INDUSTRIES 01/22/16 FRANKS, GERKIN & MCKENNA P WOLFE & JACOBSON, LTD 244 16WC 29232 EICHHORN, JEFF VILLAGE OF CARY POLICE DE 05/31/16 BOWMAN & CORDAY 245 16WC 30005 DYE, CARL TRUE VALUE HARDWARE 08/15/16 GESMER LAW OFFICES, PC 246 16WC 30423 SALAZAR, SARAH DEPT OF TRANSPORTATION/ 09/01/16 ALBERT R. PINO LAW OFFICE PERRY GENTILE 247 16WC 30443 ROMANOWSKI, ROBERT J SYSCO EASTERN WISCONSIN, 07/29/16 TUITE LAW 248 16WC 30748 GARCIA, HECTOR CR SMITH 07/05/16 LEAHY, JAMES P 249 16WC 30933 LOPEZ, FERNANDO KRIMSON VALLEY LANDSCAPE 07/27/16 HERRERA LAW CENTER COZZI & GOGGIN-WARD 250 16WC 31051 ERICKSON, PAUL MCHENRY COUNTY COLLEGE 04/19/16 BLACK & JONES POWER & CRONIN LTD 251 16WC 31369 BARAN-TKACS, MARY C JEWEL FOOD STORE, INC 06/04/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 252 16WC 31911 GROVER, VICKI COSTCO 04/28/16 MARTIN L GLINK LAW OFFICE GANAN & SHAPIRO 253 16WC 32201 WHETHAM, RYAN SPORTS DECAL 06/18/16 MADSEN SUGDEN & GOTTEMOLLE CAPUANI & SCHNEIDER 254 16WC 32417 VIZCARRA CARRERA, JUAN CA ENERGY SMART INSULTATION 04/15/16 STEVEN H MEVORAH & ASSOCIA 255 16WC 32912 MUNROE, WILLIAM DRIVELINE RETAIL 10/04/16 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 256 16WC 33485 LUCAS, ANTWON EXPRESS EMPLOYMENT 10/20/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 257 16WC 34021 HANRAHAN, THOMAS T SHARED MEDICAL SERVICES 06/13/16 FRANKS & RECKENBERG PERRY GENTILE 258 16WC 34409 SAZMA, CHERE RAE PRAIRIE GROVE SCHOOL DIST 11/09/15 MADSEN SUGDEN & GOTTEMOLLE NYHAN BAMBRICK KINZIE & LOWR 259 16WC 34468 GARRIDO, GLORIA WALNUT GROVE FARMS LLC 07/27/16 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 16WC 35081 BARBER, NICHOLAS THORNTONS, INC 06/07/16 CAPRON & AVGERINOS PC GRANT & FANNING 261 16WC 35277 RISCHE, KEVIN TRILLIUM NATIVE LANDSCAPE 06/23/15 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 262 16WC 35339 REYES, SALVADOR SIGNATURE AUTO GROUP 09/12/16 JAMES ELLIS GUMBINER & ASS 263 16WC 35630 FROST, ROBERT UPS 10/18/16 LEONARD LAW GROUP LLC ASA LAW GROUP 264 16WC 36034 BRASILE, STEPHANIE J WOODSTOCK NORTH HIGH SCHO 06/30/16 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 265 16WC 36377 SERIO, SUSAN LOWE EXCAVATING CO, INC # 11/16/16 ZANCK COEN WRIGHT & SALADI WIEDNER & MCAULIFFE LTD 266 16WC 36470 BROCK, DANIELLE ANGELO'S MARKET, INC. 09/10/16 CLARK FROST ROSARIO CIBELLA 267 16WC 36666 CRUZ, MARIA E BRAKE PARTS INC 09/11/15 HANNIGAN & BOTHA, LTD MACIOROWSKI SACKMANN & ULRIC 268 16WC 36891 DIAZ, STEVE DEAN FOODS 07/28/16 RUBENS AND KRESS BRADY CONNOLLY & MASUDA PC 269 16WC 37021 REZENDES, DAVID ROUTE 14 AUTO PARTS, INC 10/12/15 VOGG, MARK J LAW OFFICE 16WC037026 -C 270 16WC 37195 COLIP, DEBORAH KOHL'S 06/18/16 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 271 16WC 37329 CERVANTES-CERVANTES, ROMA POWER TREE & STUMP REMOVA W 08/15/16 CORNFIELD & FELDMAN 272 16WC 37434 GREN ARICKA MENARD'S 12/03/16 DWORKIN AND MACIARIELLO 273 16WC 37756 WILLIAMS, MARGARET EAGLE EXPRESS 02/24/16 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 274 16WC 38206 DOMINQUEZ, BALVINA WEBER STEPHEN PRODUCTS LL 07/15/16 WHITESIDE & GOLDBERG LTD 275 16WC 38351 CASTIC, EDWARD VOLT WORKFORCE SOLUTIONS 09/07/16 SCOTT BARBER ORENSTEIN & ASSOCIATES 276 16WC 38494 AHRENS, RUSSELL S GRANGE INSURANCE 05/12/15 FRANKS, GERKIN & MCKENNA P LAW OFFICES OF EDWARD J. KOZ 277 16WC 38888 BERETTA, LISA MENARDS 08/05/16 LANNON LANNON & BARR LTD

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 16WC 38936 MULLEN, RUSSELL L PEET FRATE LINE, INC 05/26/16 FRANKS & RECKENBERG JAMES M KELLY 279 16WC 39330 GONZALEZ, ALFREDO TC INDUSTRIES INC 03/30/16 VOGG, MARK J LAW OFFICE HENNESSY & ROACH PC 280 16WC 39430 RAMOS, YOLANDA FABRIK MOLDED PLASTICS 09/28/16 BLACK & JONES GILDEA & COGHLAN 281 17WC 00598 KOZELL, EMIL J JENSEN CARPENTRY INC 12/09/14 MAY & BUEGE 282 17WC 00855 NAGHIBI, NASIM THINGS REMEMBERED, INC C/ 12/16/16 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD 283 17WC 01676 MCDOUGALL, ALAN MERRYMAN EXCAVATION INC 04/11/16 KEVIN P. JUSTEN PC HEYL ROYSTER VOELKER & ALLEN 284 17WC 01758 ROWE, MARTHA ALDEN TERRACE OF MCHENRY 01/10/17 JOHN S. ELIASIK 285 17WC 01890 BELTRAN, ALFREDO CALCO PALLETS 11/30/16 CUSHING LAW OFFICES 286 17WC 02139 WALSH, JUANA HEARTHSTONE COMMUNITIES 09/27/16 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 287 17WC 02353 WALLEN, WILLIAM WOOLF DISTRIBUTION CO INC 05/13/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 288 17WC 02957 GONZALEZ-CORTES, RAYMUNDO TC INDUSTRIES, INC 10/31/16 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 289 17WC 03014 CASTANEDA, MARIA A CUSTOM WINDOW ACCENTS 03/04/15 CORNFIELD & FELDMAN LAW OFFICES JOSEPH MARCINIAK 290 17WC 03713 DONLEY, VICKI JEWEL FOOD STORES, INC 09/19/16 GORDON LAW OFFICES LTD 291 17WC 03775 CASTRO, JOSE A TOMMY'S RED HOTS 12/17/16 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 292 17WC 03833 LUNDGREN, ADAM JAN-AIR, INC 11/02/16 ZANCK COEN WRIGHT & SALADI 293 17WC 03976 FRINK, FELINA PLASPROS, INC 05/23/16 HORWITZ HORWITZ & ASSOC

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 17WC 04174 HATCH, TERRY GREENLEE TEXTRON 01/21/16 BLACK & JONES GAROFALO SCHREIBER STORM 295 17WC 04217 MARTINEZ, MARIA WEBER-STEPHEN PRODUCTS LL * 09/21/16 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 17WC004218 -C 296 17WC 04791 WOOD, PAMELA JOURNEY CARE 01/16/17 BRISKMAN BRISKMAN GREENBER 297 17WC 05030 GARCIA, DANIEL TRUE VALUE 12/06/16 GOLDSTEIN BENDER & ROMANOF 298 17WC 05196 HAYWOOD, DEANGELO VIVINT 11/28/16 GREGORY EASLEY RODDY LAW LTD 299 17WC 05691 GONZALEZ, RIVERA MISAEL PEOPLELINK STAFFING SOLUT 07/15/16 JAMES ELLIS GUMBINER & ASS 300 17WC 05752 MARTINEZ, REYNALDA KRAFT HEINZ CO 10/09/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 301 17WC 05982 RICHMOND, DEBORAH TARGET 01/20/17 COSTA IVONE LLC 302 17WC 06703 SNODIE, RICHARD B TRUE VALUE DISTRIBUTION C 03/10/16 GESMER LAW OFFICES, PC 303 17WC 06783 ROJAS, GERARDO CALCO PALLETT CO 12/27/16 LAW OFFICES OF ANSELMO DUR 304 17WC 07488 SZUKALSKI, LOUIS P WASTE MANAGEMENT 09/09/15 TARADASH LAW OFFICE 305 17WC 07646 FRY, THOMAS EARL PAT-LIN ENTERPRISES INC 02/08/16 TARADASH LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 306 17WC 07690 ESPEJEL, MARGARITA ALPHA BUILDING MAINTENANC 10/05/16 DEPAOLO ZADEIKIS GORE 307 17WC 08256 LINN, CLARENCE A JR. APTARGROUP INC. 09/22/16 TUITE LAW 308 17WC 08500 KLEIN, ROBERT AAA MOVERS, LLC 06/01/15 TARADASH LAW OFFICE 309 17WC 08503 BARAJAS, DIDIA L INDUCTION HEAT TREATING C 01/17/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 310 17WC 08852 PSENSKY, MARK WALMART 02/16/15 STEINBERG BURTKER & GROSSM QUINTAIROS PRIETO WOOD & BOY 311 17WC 09265 SAUCEDO, ADONA DOLLAR GENERAL 02/07/17 FRANKS, GERKIN & MCKENNA P LEAHY EISENBERG & FRAENKEL

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 17WC 09881 BRADY, JAMES EXPRESS EMPLOYMENT 03/02/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 313 17WC 10277 GRIFFIN, GERALD W CENTEGRA HEALTH SYSTEM 04/06/15 HANNIGAN & BOTHA, LTD MACIOROWSKI SACKMANN & ULRIC 314 17WC 10524 JANIS, DAVID UNITED PARCEL SERVICE 01/31/17 BRAD J. BALKE, PC ASA LAW GROUP 315 17WC 10632 BONILLA, LUIS ALONSO INGLESE BOX CO 03/23/17 BOTTO GILBERT HENNESSY & ROACH PC 316 17WC 10716 MENGE, DANIEL D RICHMOND TOWNSHIP 12/30/15 FRANKS, GERKIN & MCKENNA P 317 17WC 10817 LOYO, YURIELA REYES MCDONALDS 04/01/17 FRANKS, GERKIN & MCKENNA P 318 17WC 11000 ENGLISH, MEAGAN ARNOLD MAGNETIC TECHNOLOG 03/21/17 RIDGE & DOWNES 319 17WC 11155 LEISTEN, KAREN COUNTRYSIDE FLOWER SHOP/N 06/01/16 VOGG, MARK J LAW OFFICE 320 17WC 11217 ROTH, CHAD M HUNTLEY FIRE PROTECTION D 11/16/15 KOSTANTACOS LAW FIRM 321 17WC 11389 FIRLICK, JOSHUA AEROTEK 02/11/16 FRANKS, GERKIN & MCKENNA P HEYL ROYSTER VOELKER & ALLEN 322 17WC 11907 WESTON, ROGINA EVERONES FAMILY DENTAL 04/06/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 323 17WC 11984 HAUCK, JEFF GRAPHIC ARTS STUDIO INC 08/25/16 GOLDBERG WEISMAN & CAIRO L 324 17WC 12184 KAYSER, ANDREW KEY USED CARS,LTD 01/24/17 ZANCK COEN WRIGHT & SALADI 325 17WC 12334 SETZER, CLARENCE ADVANCE DESIGN STUDIO, LT 01/23/17 GOLDBERG WEISMAN & CAIRO L 326 17WC 12446 DIXON, ELIZABETH LITTLE CAESARS 01/04/17 TARADASH LAW OFFICE 327 17WC 12541 CASTILLO, LIBORIA D CHROMA CORPORATION 08/31/16 COLLISON LAW OFFICES CASSANO & ASSOCIATES 328 17WC 12629 BLACK, CHRISTINE COMMUNITY UNIT SCHOOL DIS 03/09/15 CULLEN HASKINS NICHOLSON 329 17WC 12775 LEON, LEONEL ANGELES DUREX INDUSTRIES 04/11/17 AIOSSA LAW FIRM

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 17WC 13300 BALBOA, HUGO KCG MANAGEMENT INC 10/01/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 331 17WC 13767 TORRES, MARIA MODERN ABRASIVE CORP 09/01/15 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 332 17WC 13948 EIBL, JODI HOBBY LOBBY STORES, INC 12/08/14 TARADASH LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 333 17WC 14236 HANUS, SHIAN COMPANION ANIMAL SPECIALT 12/11/16 VASILATOS & COTTER LLC 334 17WC 14362 HAUSCHILD, KIM ROUTE 14 AUTO PARTS, INC 01/10/17 VOGG, MARK J LAW OFFICE 335 17WC 14608 GOSPODAREK, JOSHUA DURHAM SCHOOL SERVICES 08/19/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 336 17WC 14657 BOLDA, DANIEL JR CITY OF WOODSTOCK 08/22/14 BOWMAN & CORDAY ANCEL GLINK DIAMOND BUSH & E 337 17WC 15071 DUFFY, MICHAEL G. CAPRON MFG CO 01/16/17 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 338 17WC 15247 ZAPATA, HECTOR IRON MOUNTAIN 04/14/17 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 339 17WC 15422 STEEDMAN, AMANDA CITGO 03/16/17 LAWRENCE BLICKHAN 340 17WC 15802 HOOKER, GARY M COMPASS GROUP LLC 01/17/17 ANKIN LAW OFFICE GOLDBERG SEGALLA LLC 341 17WC 16221 CLICK-RICHARDS, JACCI M CAMPION CURRAN LAMB 03/03/17 FIGLIOLI, DAVID 342 17WC 16288 SOTELO, ANGELICA CULVER'S 05/20/17 HERRERA LAW CENTER 343 17WC 16457 PAASKE, LARA CENTEGRA HEALTH SYSTEM * 08/31/16 VOGG, MARK J LAW OFFICE 344 17WC 16530 DANNER, LINDA TRANSPORTATION JOINT AGRE * 03/15/17 LANNON LANNON & BARR LTD 345 17WC 16562 BOLDA, DANIEL JR CITY OF WOODSTOCK * 02/24/17 BOWMAN & CORDAY 346 17WC 16811 CACCAMO, FRANK DISTRICT 15 * 05/24/17 KEVIN P. JUSTEN PC GOLDBERG SEGALLA LLC 347 17WC 17059 NAUMIEC, SHARON CENTEGRA NORTHERN ILL MED * 04/12/17 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 17WC 17197 WILLS, STEVEN INTREN * 03/20/17 SKLARE LAW GROUP 349 17WC 17319 URIBE, ROCIO MEDELA INC * 01/31/17 DAVID J. BAWCUM 350 17WC 17475 ROQUE, MARILU MOGUEL WALMART - ALGONQUIN * 03/11/16 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 351 17WC 17715 JOHNSON, JON TRUE VALUE * 03/30/17 ROBERT H HANAFORD 352 17WC 17935 MILLER, GINA CENTEGRA HOSPITAL-HUNTLEY * 05/09/17 KROL BONGIORNO & GIVEN LTD MACIOROWSKI SACKMANN & ULRIC 353 17WC 18081 FRIAS, FRANCISCA FRESH THYME FARMERS MARKE * 02/06/17 ELFENBAUM EVERS & AMARILIO COZZI & GOGGIN-WARD 354 17WC 18411 TAPIA, JASMIN NEW DIMENSIONS PRECISION * 03/24/17 VRDOLYAK LAW GROUP LLC WOLFE & JACOBSON, LTD 355 17WC 18630 LOPEZ, REYNA BAG MAKER, INC * 04/18/16 BLACK & JONES POWER & CRONIN LTD 356 17WC 18761 CARNEY, COLLEEN R AUTUMN LEAVES, INC. * 06/02/15 FRANKS & RECKENBERG 357 17WC 19317 MEDINA, EDWARD HUNTLEY COMM SCHOOL * 03/15/17 BLACK & JONES 358 17WC 19504 SCHIMIAN, BRIAN HUNTSMAN CORP * 05/17/17 HUGHES SOCOL PIERS RESNICK 359 17WC 19672 PATRICK, JAMES WALMART STORE, INC * 01/27/17 TARADASH LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 360 17WC 20038 GOMULKA, RYSZARD QUALITY EXTERIORS, INC * 06/23/16 KATZ FRIEDMAN EAGLE ET AL 361 17WC 20256 EHRKE, ANDREW NEW ALBERTSON'S INC * 11/18/16 E JAMES RAYMOND 362 17WC 20387 KRUG, PHILLIP EXELON/COMED * 04/07/16 HENNESSY & ROACH PC 363 17WC 20488 CRISP, JULIE ROAD RANGER * 03/11/17 DWORKIN AND MACIARIELLO 364 17WC 20599 KAUTZ, ANTHONY OLSUN ELECTRICS CORPORATI * 06/09/17 TARADASH LAW OFFICE 365 17WC 21206 STEEN, RITA PCI PHARMA SVCS * 01/10/17 DWORKIN AND MACIARIELLO

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 17WC 21467 ALVAREZ, VERONICA LEICA BIOSYSTEMS * 03/31/17 CUDA LAW OFFICES 367 17WC 21955 NICOLAS, ZAYA D WOODSTOCK SCHOOL DISTRICT * 05/09/17 FRANKS & RECKENBERG 368 17WC 22042 THERENS, JEFF SUNSET CARTAGE * 07/18/17 CAPRON & AVGERINOS PC 369 17WC 22147 IMES, TOBIN GENERAL KINEMATICS CORP * 04/22/14 MC ANDREWS & NORGLE LLC 370 17WC 22186 PRATSCHER, ROBERT LOWES HOME CENTER * 06/29/17 STELZMAN, RUTH 371 17WC 22387 SCHAAB, MARIE CENTRAL BIG R STORES, INC * 09/15/16 VOGG, MARK J LAW OFFICE CAPUANI & SCHNEIDER 372 17WC 22928 JIMENEZ, JORGE CHARTER MARNUFACTURING CO * 08/14/15 FRANKS, GERKIN & MCKENNA P 373 17WC 23089 MCKERNAN, BRIAN HOME DEPOT * 05/16/17 DUDLEY & LAKE LLC MC ANDREWS & NORGLE LLC 374 17WC 23235 CHACON, ALEJANDRO PERFECT SHUTTERS INC * 05/08/17 STANCZAK LAW OFFICES 375 17WC 23438 ORTIZ, JUAN CARLOS EVERGREEN LANDSCAPE ASSOC * 05/02/16 WIEDNER & MCAULIFFE LTD 376 17WC 23525 BRECHEL, MILAGRO JEWEL OSCO * 06/28/17 DWORKIN AND MACIARIELLO 377 17WC 23591 SANTORO, FRED MEIJER CORPORATION * 06/13/17 CUDA LAW OFFICES 378 17WC 23672 HOWARD, CHRISTOPHER WALMART SUPERCENTER * 06/11/17 DWORKIN AND MACIARIELLO 379 17WC 23828 FICHTER, ANGELO ACCURATE PERSONNEL SERVIC * 06/23/17 NEMEROFF LAW OFFICES 380 17WC 24125 BAILLARGEON, ERIC VILLAGE OF LAKE IN THE HI * 09/02/16 POWER & CRONIN LTD 381 17WC 24215 POLTERA, JEFFREY PAULY TOYOTA * 05/18/17 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 382 17WC 24247 DIAZ, LUIS RAUL WR MEADOWS CONSTRUCTION * 07/20/17 BRISKMAN BRISKMAN GREENBER 383 17WC 24386 HEIDT, LENNY CRYSTAL LAKE SD #47 * 05/26/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR

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 WOODSTOCK 52001 ON 10/04/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 17WC 24594 RAY, TAMMIE AVANADE * 07/25/17 RAYMOND M SIMARD, PC 385 17WC 24709 QUIROZ, ITZEL M. WENDY'S * 07/19/17 FRANKS & RECKENBERG 386 17WC 24886 BEY, JOSEPH SCS LOGISTICS INC * 05/24/17 DAVID W MARTAY 387 17WC 25072 MARTINEZ, JAVIER OLD WORLD STONE * 08/15/17 DWORKIN AND MACIARIELLO 388 17WC 25378 BARBOUR, LISA FOLLETT LIBRARY RESOURCES * 05/05/17 HANNIGAN & BOTHA, LTD 389 17WC 25626 REPOGLE, DOUG PERFORMANCE FOOD SERVICE * 04/06/17 HORWITZ HORWITZ & ASSOC