ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 01185 BONET, TINA MOTHER AND NA DELTA CARPENTRY INC # 11/21/01 CULLEN, HASKINS, NICHOLSON CAPUANI, FRANK S 2 04WC 25884 SUBLEWSKI, JOSEPH S NELSON FIRE PROTECTION 03/23/04 HEALY SCANLON LAW FIRM GRANT & FANNING 08WC049776 -C 08WC049777 -C 08WC049778 -C 3 05WC 01841 DOMBROWSKI, EDWARD WHITE HEN PANTRY 07/08/04 ANESI OZMON RODIN NOVAK KO LAW OFFICES OF EDWARD J. KOZ 05WC001842 -C 4 09WC 51792 19B KOCH-HAGER, MICHELE LAKE BARRINGTON WOODS 11/18/09 DUDLEY & LAKE LLC COZZI & GOGGIN-WARD 5 10WC 04807 SILVA, ANA AUTOTROL CORPORATION 01/11/10 CULLEN HASKINS NICHOLSON ALLEN KOPET & ASSOCIATES 6 10WC 06650 CYGNAR, JAMES S VILLAGE OF CARY 01/10/10 RICHARD O. GREENFIELD RUSIN & MACIOROWSKI LTD 11WC043163 -C 13WC032356 -C 7 10WC 09954 MEDINA, MARCO AFFINIA 01/25/10 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC 13WC020611 -C 14WC005523 -C BRAKE PARTS SPECIAL AC DEL 8 10WC 28824 SCHROEDER, ADRIAN COUNTRY GAS-DIVISION OF I 12/29/09 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 10WC028825 -C 9 10WC 48170 VASQUEZ, JOHN EDWARD PUDLO D/B/A @ W 09/23/10 FRANKS, GERKIN & MCKENNA P 10 11WC 03191 HENRIQUES, KARLA MCDONALDS CORP 04/12/10 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 11 11WC 05697 ROCHA, ESTELA TJX COMPANIES, INC 10/15/10 BOTTO GILBERT GEHRIS BRADY CONNOLLY & MASUDA PC 13WC036208 -C 12 11WC 09286 KIESER, RICKY UNION FIRE DEPARTMENT 09/24/09 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 13 11WC 14291 AZZANO, MICHAEL SNAP ON TOOLS 01/16/11 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 14 11WC 25398 BELLANTE, CHRISTIAN LDI INDUSTRIES 06/08/11 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 15 11WC 36249 19B SCIMECA, VICTOR R VILLAGE OF HEBRON 02/03/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 36420 JASIEWICZ, ANDRZEJ AMERICAN PACKAGING MACHIN 07/20/10 BELLAS & WACHOWSKI CASSANO & ASSOCIATES 17 12WC 01592 JORDAN, ZACHARY ROBERTS EXTERIOR SERVICES 11/23/11 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 18 12WC 04410 MARQUEZ, MARGARITA WEBER STEPHAN PRODUCTS 01/13/12 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 19 12WC 35519 PAREDES, JULIO MORNING STAR CHURCH 05/16/12 FOHRMAN, DONALD W & ASSOCS GANAN & SHAPIRO 20 12WC 39282 GIBSON, KEVIN COSTCO 10/01/11 NEWLAND & NEWLAND GANAN & SHAPIRO 13WC021897 -C 21 13WC 02332 LARSEN, NANCY JEWEL FOOD STORES 12/15/12 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 22 13WC 15577 DIAZ KRISTA KELLY SERVICES 03/20/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 23 13WC 29645 DAVILA, VANESSA SILGAN PLASTICS 12/31/12 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 15WC011899 -C 24 13WC 31024 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 03/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 25 13WC 31025 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 08/15/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 26 13WC 31297 LANDREY, AMBER CHICK FIL A AND BEN MOORE 08/25/12 STEVEN J TENZER, LTD RUSIN & MACIOROWSKI LTD 13WC031298 -C 27 13WC 31532 GARRIDO, GLORIA WALNUT GROVE FARMS 06/11/13 MC HARGUE & JONES HOLECEK & ASSOCIATES 16WC034468 -C 28 13WC 31779 JAWORSKI, JEFFREY ILLINOI STATE TOLL HIGHWA 08/18/13 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 29 13WC 36857 KARL, MARGARET APTARGROUP INC 08/29/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 13WC 42120 KRIKORIAN, MARY L STTE OF ILLINOIS @ 10/07/13 MADSEN SUGDEN & GOTTEMOLLE ASSISTANT ATTORNEY GENERAL 31 14WC 03789 VASQUEZ BLANCO, EDITH SNAP ON INC AS A BORROWIN 11/19/13 JOHN J CASTANEDA GILDEA & COGHLAN 14WC042907 -C CRV ELECTRONICS/STAFFMARK 32 14WC 04259 COLE, KEVIN CRYSTAL LAKE SCHOOL DIST 07/30/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC004260 -C 33 14WC 07556 O'DONNELL, PATRICK RAGING BUFFALO SNOWBOARD 03/02/14 HEALY LAW FIRM HENNESSY & ROACH PC 34 14WC 08209 MURE, ELIZABETH ZALES CORPORATION 12/22/13 ANKIN LAW OFFICE 35 14WC 08867 VANDERWIEL, ROBIN FOLLETT LIBRARY RESOURCES 02/18/14 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 36 14WC 09124 VIERCK, DUANE SHARKEY TRANSPORTATION IN 01/21/14 FRANKS, GERKIN & MCKENNA P PERRY GENTILE 37 14WC 09268 SIDDIQUI, MUSARRAT MEIJERS 09/21/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 38 14WC 09847 DAVIS, CAROLYN CENTEGRA HEALTH SYSTEM 08/15/12 LINN, CAMPE & RIZZO LTD MACIOROWSKI SACKMANN & ULRIC 39 14WC 10746 WERNER, WANDA WALMART 01/05/14 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 40 14WC 12876 19B ISUNZA, TANIA CONSOLIDATED SCHOOL DIST 03/05/14 MARKS INJURY LAW POWER & CRONIN LTD 41 14WC 13364 BROWN, MOSES COMMONWEALTH EDISON 03/31/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 42 14WC 16455 MERLA, MARGARET CPC FOX VALLEY CRYSTAL LA 11/18/13 LINN, CAMPE & RIZZO LTD MACIOROWSKI SACKMANN & ULRIC 43 14WC 19408 PAULSEN, BRAD GENERAL EXTERIOR CONSTRUC 03/20/14 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 44 14WC 22655 TORRES, CARMEN COMMUNITY UNIT 11/19/13 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR 45 14WC 23118 AMELIO, ANTHONY AT&T 10/15/13 LEAHY, JAMES P HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 14WC 23730 CABALLERO, HERMELINDA COMFORT INN 07/05/14 BOTTO GILBERT THOMAS & PORTELA 47 14WC 24168 CASKEY, PATRICK K ALGONQUIN/LITH FIRE PROT 06/27/14 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15WC024361 -C 16WC036193 -C 48 14WC 26005 GRANATA, JASON T (DECEASE IDEAL MODULAR SOLUTIONS L 04/25/14 SOSTRIN AND SOSTRIN PC GILDEA & COGHLAN 49 14WC 26123 LYONS, ANDREA L DEPT OF CHILDREN & @ 05/31/14 MADSEN SUGDEN & GOTTEMOLLE ASSISTANT ATTY GENERAL 50 14WC 26277 HUFFY, LANCE GARRETTS & SONS 04/16/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 51 14WC 27750 JARVA, LISA CUNAT PAYROLL, INC 02/24/14 FRANKS, GERKIN & MCKENNA P THOMAS & PORTELA 14WC027751 -C 52 14WC 28078 GUTIERREZ, MARIA AS WIDOW UNITED THERAPIES, LLC 10/10/13 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 53 14WC 28249 HOPKINS, KRISTY S ALGONQUIN 07/28/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15WC000899 -C 54 14WC 29010 KAKDA, DAVID EDSON GROUP, CORP W 03/25/14 MC HARGUE & JONES CHEPOV & SCOTT LLC 55 14WC 30203 WESTCOTT, ROCKY LAKEMOOR POLICE DEPT 02/25/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 56 14WC 30706 ROJAS, DOLORES WORKING WORLD STAFFING SE 07/03/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 57 14WC 31142 ABSOLON, NANCY G CARQUEST AUTO PARTS 05/24/14 LINN, CAMPE & RIZZO LTD GOLDBERG SEGALLA LLC 58 14WC 31365 MAKI, JEANNE HAMPSHIRE FIRE PROTECTION 03/20/12 CAMERON CLARK RUSIN & MACIOROWSKI LTD 14WC031366 -C 14WC031367 -C 17WC025909 -C 59 14WC 31570 DOMINGUEZ, GILBERTO THE TEXAN BAR-B-QUE INC 09/03/14 STROM, NEAL B RUSIN & MACIOROWSKI LTD 60 14WC 31812 BERGHOFF, BARBARA L CLAUSSEN PICKLE CO 08/14/14 BOTTO GILBERT GAROFALO SCHREIBER STORM 61 14WC 34381 WESOLEK, K WENDY MCHENRY COUNTY 06/01/14 MADSEN SUGDEN & GOTTEMOLLE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 14WC 35125 COTTONE, LAWRENCE MENARD'S 12/11/12 KOCH & ASSOCIATES CHILTON YAMBERT PORTER LLP 63 14WC 36676 SATKIEWICA, KHALIA MCHENRY COUNTY SHERIFF 10/16/14 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 64 14WC 37288 MANESS, DWIGHT MCHENRY COUNTY SHERIFF 10/16/14 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 65 14WC 37422 PAGE, JAMES FEDERAL EXPRESS 07/22/14 LEO ALT HANSON LAW OFFICE 66 14WC 37638 ROMERO, CARLOS NEW WERNER HOLDING CO INC 04/03/13 MARTIN V KUGIA THOMAS & PORTELA 67 14WC 40084 ODDO, LARRY D CENTEGRA HEALTH SYSTEM 10/01/13 GUMMERSON & RAUSCH LLC MACIOROWSKI SACKMANN & ULRIC 68 14WC 40480 RAMOS, ANDRES SNAP-ON-TOOLS 09/05/14 WOLFE LAW PC GILDEA & COGHLAN 69 14WC 40907 KOTSY, AMANDA STATE OF ILLINOIS @ 07/26/13 STEVEN H MEVORAH & ASSOCIA ASSISTANT ATTORNEY GENERAL 70 14WC 41106 SANCHEZ-PEREZ, SANTIAGO IRFAN NASIR AND USMAN CHE 06/14/14 EPSTEIN, JACK R LAW OFFICE ARIANO HARDY NYULI JOHHSON 71 15WC 00245 ROBELET, VICTOR P CRYSTAL LAKE PD 08/19/14 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 72 15WC 01072 ORTIZ-SEQUEIRA, JAIME PORK KING PACKING INC 11/29/14 BLACK & JONES RODDY LAW LTD 73 15WC 02211 KEARNS, DACIA L WILLIAMS SONOMA 02/01/13 FRANKS, GERKIN & MCKENNA P BRYCE DOWNEY & LENKOV LLC 74 15WC 02341 CASTANEDA, DANIEL JAN-AIR INC 11/12/14 BOTTO GILBERT GEHRIS ANCEL GLINK DIAMOND BUSH & E 75 15WC 04372 ZUNIGA, RICK TREND GRAPHICS 01/05/15 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 76 15WC 05321 SALINAS. ADRIANA ACCURATE PERSONNEL SERVIC 01/16/15 JOHN S. ELIASIK MC ANDREWS & NORGLE LLC 77 15WC 05768 GONZALEZ, DEMETRIO KING PORK CO 02/10/15 RODDY LAW LTD 78 15WC 06005 MURO, SANDRA METRO STAFF INC 03/06/14 JOHN P GOGGIN FRANCIS J DISCIPIO LAW OFFIC 79 15WC 06089 ALONSO, MARIA G WEBER 10/04/14 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 15WC 06186 SLOVE, DANIEL CITY OF CRYSTAL LAKE 09/14/11 BLACK & JONES POWER & CRONIN LTD 81 15WC 06489 LARSON, STACY SUPERIOR COATING 09/02/14 BLACK & JONES HOLTKAMP LIESE ET AL 82 15WC 06885 PUZZO, CHRISTOPHER CORPORATE SERVICES INC 01/23/15 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 83 15WC 08509 FRANZONE, DEBRA CENTEGRA HEALTH SYSTEMS 12/02/14 DIAMOND & LESUEUR PC MACIOROWSKI SACKMANN & ULRIC 84 15WC 08685 HRIBAL, SARAH ANDROID INDUSTRIALS/AL BE 10/15/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 85 15WC 09066 ROJAS, LEODEGARIO AC HOME CONSTRUCTION 10/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 86 15WC 09908 LIEBMANN, ADAM MJB MARKETING DBA 04/19/13 KEVIN P. JUSTEN PC 87 15WC 10661 DEVITT, FRANKIE ELBURN FIRE DEPT 10/02/13 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 88 15WC 11001 CARTWRIGHT, STACI IAC 10/15/14 BLACK & JONES GANAN & SHAPIRO 89 15WC 11548 ALDANA, MARIA COVIDIEN, LTD. 03/23/15 MARKS INJURY LAW POWER & CRONIN LTD 90 15WC 11764 WAGNER, DANIEL JOHN CRANE INC 10/16/12 MADSEN SUGDEN & GOTTEMOLLE GAROFALO SCHREIBER STORM 91 15WC 12200 NEESE, TIMOTHY M. CJ'S SEAMLESS GUTTERS, LL 03/16/15 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 92 15WC 12551 ROMAN, ANA MARIA ADDUS HOME CARE INC 12/31/14 LAW OFFICE OF JAMES URTIS HENNESSY & ROACH PC 16WC010969 -C 93 15WC 12622 FROST, JACK JR GREAT LAKES FIRE & W 03/18/15 SOSTRIN AND SOSTRIN PC CAMPION CURRAN LAMB 94 15WC 12834 JONES, ANDREW SDR LOGISTICS INC 04/06/15 NYHAN BAMBRICK KINZIE & LOWR 15WC013617 -C 95 15WC 12895 ROWE, MATHA NORTHERN ROSE HOME HEALTH 03/03/14 GOLDBERG WEISMAN & CAIRO L 96 15WC 13267 ELIZARRARAZ, EULALIO RYASCAPE, INC. 03/30/15 PARENTE & NOREM PC COZZI & GOGGIN-WARD 97 15WC 13651 DVORKA, DAVID ELECTRIC CONDUIT CONSTRUC 06/02/14 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 15WC 15834 LAWYER, RONNIE IL DEPT OF NATURAL RESOUR @ 12/10/13 ASSISTANT ATTORNEY GENERAL 99 15WC 15891 KREJCI, JENNIFER KNOWLEDGE UNIVERSE D/B/A 02/23/15 MC HARGUE & JONES HENNESSY & ROACH PC 100 15WC 16424 SCHMEICHEL, THOMAS SPITSON MASONRY INC 03/04/15 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 101 15WC 18546 WOODBURN, SHARON FABRIK INDUSTRIES 04/20/15 NEWLAND & NEWLAND GILDEA & COGHLAN 15WC024886 -C 102 15WC 20112 FINKE, JOHN INTERSTATE INTERIORS INC 06/05/14 FRANKS, GERKIN & MCKENNA P COZZI & GOGGIN-WARD 103 15WC 20236 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 04/14/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 15WC028908 -C 104 15WC 20970 GARCIA, THANIA M. MCDONALDS 06/06/15 105 15WC 22112 LACHER, KRISTINE J NIPPERSINK SCHOOL DISTRIC 04/08/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 106 15WC 22198 ESCOBAR, VERONICA CRV ELECTRONICS 12/12/14 BOTTO GILBERT LAW OFFICES JOSEPH MARCINIAK 107 15WC 22518 UPHAM, APRIL TOTAL SYSTEMS ROOFING, IN 12/03/14 RIDGE & DOWNES WOLF LAW LTD 108 15WC 22962 DEMES, DEBORAH A COSTCO 05/03/15 TURNER & SACKETT LLC GANAN & SHAPIRO 109 15WC 23216 FIGUEORA, JESUS HEARTH AND HOME 06/04/15 GILDEA & COGHLAN 110 15WC 24195 RIVERA, LILIA APTARGROUP INC 03/24/15 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 111 15WC 24535 FISCHER, SUZETTE ANN INC 09/10/13 BRAD J. BALKE, PC HOLECEK & ASSOCIATES 112 15WC 25610 ALLEN, CHARLES AT & T SERVICES, INC. 07/15/15 STROM, NEAL B HENNESSY & ROACH PC 113 15WC 25910 VELLE, LUIS LIFE TIME FITNESS 04/21/15 KUMLIN & FROMM 114 15WC 26484 HORNE, CHRIS SPANLINK COMMUNICATIONS I 07/15/15 ZANCK COEN WRIGHT & SALADI NYHAN BAMBRICK KINZIE & LOWR 115 15WC 26679 YOUNGLOVE, JILL MC HENRY CO. ANIMAL CONTR 07/05/15 LEE, MARK N LAW OFFICE ELMAN & EHARDT LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 15WC 26897 MELCHOR, FIDEL WEBER-STEPHEN PRODUCTS, L 10/23/14 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 117 15WC 27305 PETERS, KENNETH E CUNAT INC 05/07/15 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 118 15WC 27591 AUBERT, MARIA COILCRAFT, INC. 06/09/15 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 119 15WC 29092 GONZALEZ, JOSE EXTENDED HOME LIVING SERV 09/11/14 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 15WC029093 -C 120 15WC 29613 SCHWANTZ, EDWARD PEPSICO 06/16/15 KUMLIN & FROMM 121 15WC 29832 BOYCE, MICHAEL J WEBER GRILL 04/06/15 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 122 15WC 30315 WARNER, AMANDA ALEXANDER LEIGH CENTER 06/01/15 CLARK FROST 123 15WC 30760 VILLANUEVA, HORTENCIA KRAFT FOODS GROUP, INC 07/09/13 JOHN C SERKLAND 124 15WC 31439 DORADO, ROBERTO POTSIE;S INC. 09/15/15 NEMEROFF LAW OFFICES BRADY CONNOLLY & MASUDA PC 125 15WC 32157 FERRER, ALEXE EARTH PEST CONTROL CO. 08/26/15 RONALDSON & KUCHLER 126 15WC 32751 ROMERO, JESUS MARIANI ENTERPRISES INC. 03/26/15 GRANT & FANNING 127 15WC 32874 PERKINS, SHAUN MATRIX RESOURCES 08/20/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 128 15WC 33596 KEARNS, CINDY HUNTLEY COMMUNITY 06/01/15 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 129 15WC 34820 LANE, BRIAN DYLAN'S PUB 02/10/15 DWORKIN AND MACIARIELLO 130 15WC 35455 WILSON, TIMOTHY L COMPLETE PERSONNEL LOGIST 08/22/15 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 131 15WC 38696 CONNORS, ROXANNE MEMORIAL MEDICAL CENTER 10/05/15 TARADASH LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 132 15WC 42140 THOMPSON, DEBBIE GEORGE R JUSTEN & SON FUN 05/23/14 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 15WC 42183 KINDSCHY, KEITH HANOR CO. 10/12/14 FRANKS, GERKIN & MCKENNA P HENNESSY & ROACH PC 134 16WC 02000 NEVAREZ-GARCIA, TAMARA BAG MAKERS 10/01/15 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 16WC012545 -C 17WC002530 -C 17WC002531 -C 135 16WC 02559 IRACHETA, RITCHARD TRADESMEN INTERNATIONAL 10/09/14 SCOTT BARBER RODDY LAW LTD 136 16WC 04207 PLUHM, FRANK CITY OF GENOA 11/20/14 RICHARD O. GREENFIELD POWER & CRONIN LTD 17WC004794 -C 137 16WC 04251 KRUZEL, CANDANCE ALDI MCHENRY 06/07/15 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 138 16WC 05144 KRUCEK, ALICE FOLLETT CORPORATION 05/17/13 JAMES P. TUTAJ RIPES NELSON BAGGOT KALOBRAT 16WC005145 -C 16WC005146 -C 139 16WC 05828 HERNANDEZ, ESTHER KRAFT FOODS 07/24/15 JOHN J CASTANEDA 140 16WC 06052 RAMIREZ, JOSE ELGILOY SPECIALTY METALS 03/15/13 RICHARD E ALEKSY POWER & CRONIN LTD 141 16WC 06159 BOUCHAREUNE, SOUVAHN DIRECT DIMENSION INC 10/21/15 TARADASH LAW OFFICE GANAN & SHAPIRO 142 16WC 06372 COSTAN, SUSAN A COMMUNITY HIGH SCHOOL DIS 02/03/16 LOCASCIO, MARK A LTD 143 16WC 08948 QURESHI, MOHAMMED STATE OF IL-IDOT 12/22/15 KROL BONGIORNO & GIVEN LTD ASSISTANT ATTY GENERAL 144 16WC 09559 MANCHESTER, THOMAS S CITY OF HARVARD 08/11/14 MADSEN SUGDEN & GOTTEMOLLE RUSIN & MACIOROWSKI LTD 145 16WC 10865 BIENIARZ, KRZYSZTOF A-1 DAKUM, INC. 09/24/15 BELLAS & WACHOWSKI GAROFALO SCHREIBER STORM 146 16WC 11879 FINNEGAN, DANIEL P SIEMENS INDUSTRY, INC 02/02/16 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 147 16WC 12130 WITTKAMP, LUCAS NORTHERN IL TILE & TERRAZ 01/04/16 GREGORIO & MARCO RODDY LAW LTD 16WC012131 -C 148 16WC 12195 HOKE, DALE R JEWEL OSCO 03/25/16 BOTTO GILBERT BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 149 16WC 12264 FIGUEROA, ROSY MCDONALD'S 03/19/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 150 16WC 12929 CYGNAR, JAMES VILLAGE OF CARY 03/18/16 RICHARD O. GREENFIELD 151 16WC 13046 LAMBERT, HEIDI ELGILOY SPECIALTY METALS 09/13/15 ELFENBAUM EVERS & AMARILIO POWER & CRONIN LTD 152 16WC 13515 HUBER, PHILLIP L WAL-MART 01/30/16 FRANKS & RECKENBERG GANAN & SHAPIRO 153 16WC 14221 AVILES, MARIO HT LUMBER & CRATES 05/04/15 COSTA IVONE LLC 154 16WC 14319 TELLADO, ROSE WHOLE FOODS MARKET 02/15/16 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 155 16WC 14626 HERNANDEZ, DAVID WASTE MANAGEMENT 01/26/16 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 156 16WC 15550 ROMERO, IVAN BUSS FORD LINCOLN 10/27/14 NEWLAND & NEWLAND QUINTAIROS PRIETO WOOD & BOY 157 16WC 16083 MOYER, CORY LEVEL CONSTRUCTION INC. 01/27/16 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 158 16WC 16257 MONTGOMERY, SCOTT ART VAN FURNITURE 03/23/16 BARRY STEWART SILVER HOLECEK & ASSOCIATES 159 16WC 16335 GARLAND, JASON M WOODSTOCK HEATING CO. 04/27/16 FRANKS & RECKENBERG 160 16WC 16609 ACEVEDO, SUSANA KENNA META/EXTRUDE HOME 11/02/15 LAW OFFICE OF SCOTT B SHAP 161 16WC 17008 MORALES, GLORIA NOVATION INDUSTRIES 09/02/15 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 162 16WC 17013 CASSIDY, LINDA S FIRE WAGON HOLDINGS. LLC 03/13/16 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 163 16WC 17882 ACEVEDO, SUSANA KENNA METAL/EXTRUDE HOME 11/03/15 LAW OFFICE OF SCOTT B SHAP 164 16WC 17976 SCHROEDER, SHAUN CITY OF ELGIN 06/13/14 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES 165 16WC 18834 JUAREZ, OSBALDO HUNTLEY PARK DISTRICT 05/07/16 LAW OFFICES LEONARDO MORAL 166 16WC 19169 CHARO, ROBERT WEBER STEPHENS 03/24/16 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 16WC 21227 QUINTANA, DINORA WEBER-STEPHEN PRODUCTS, L 05/04/16 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 168 16WC 21283 TRACY, LISA CITY OF CRYSTAL LAKE 09/10/15 BOWMAN & CORDAY BRYCE DOWNEY & LENKOV LLC 169 16WC 21550 OKRAY, CONNIE THE SPRINGS OF CRYSTAL LA 03/16/16 ATSAVES, LOUIS G LTD BRADY CONNOLLY & MASUDA PC 170 16WC 21848 BRITO, JACQUELINE THREE OAKS ASSISTED LIVIN 05/03/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 171 16WC 22093 HOMOLA, NANCY CONSOLIDATED SCHOOL DIST 05/20/16 OWENS & LAUGHLIN LLC 172 16WC 22195 AMICK, PAULA MCHENRY COMMUNITY CONS 12/18/15 HANNIGAN & BOTHA, LTD 16WC022196 -C 173 16WC 23143 TEJEDA, CIRILO MINERALLAC 06/28/16 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK 174 16WC 23603 LISAFIELD, JEFFREY CITY OF MCHENRY 06/23/15 HEALY SCANLON LAW FIRM ANCEL GLINK DIAMOND BUSH & E 175 16WC 24564 TORRES, JOSE ZARATE SERV-ALL 06/06/16 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 176 16WC 26339 HIVON, TERRENCE CENTEGRA HEALTH SYSTEM 03/23/15 CLARK FROST MACIOROWSKI SACKMANN & ULRIC 177 16WC 26368 RODRIGUEZ, TITO ELILOY SPECIALTY METALS 05/16/16 GESMER LAW OFFICES, PC POWER & CRONIN LTD 178 16WC 27040 FREDERICK, GRANT HERITAGE CRYSTAL CLEAN IN 11/03/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 179 16WC 27882 AVILLA, JOSE LUIS ERICK AVILLA & LUIS AVILA 01/20/16 BAUM RUFFOLO & MARZAL LTD 180 16WC 28639 RAMIREZ, BERTHA INDUCTION HEAT TREATING 03/15/16 BOTTO GILBERT 181 16WC 28641 CASTANADA, JOSE TC INDUSTRIES 07/29/16 EPSTEIN, JACK R LAW OFFICE HENNESSY & ROACH PC 182 16WC 28686 QUICK, PATRICK ELGILOY SPECIALTY METALS 04/07/16 BLACK & JONES POWER & CRONIN LTD 16WC028687 -C 183 16WC 29080 COLLINS, ANTHONY ALANTIC TRACK & TURNOUT C 12/28/15 GRAHAM J. JEEP WIEDNER & MCAULIFFE LTD 184 16WC 30025 LORUSSO, NICK ELECTRONIC FOR IMAGING 10/27/15 COLLISON LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 185 16WC 30118 RUIZ, VICTORINO PORT EDWARDS RESTAURANT 06/27/16 LAW OFFICE ROBERTO ACEVEDO LAW OFFICES JOSEPH MARCINIAK 186 16WC 30443 ROMANOWSKI, ROBERT J SYSCO EASTERN WISCONSIN, 07/29/16 TUITE LAW HENNESSY & ROACH PC 187 16WC 31368 BARAN-TKACS, MARY C JEWEL FOOD STORE, INC 03/20/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 16WC031369 -C 188 16WC 33003 PENA, MARY C TRUE VALUE 09/21/16 FRANKS, GERKIN & MCKENNA P KEEFE CAMPBELL & ASSOC LLC 189 16WC 33411 KLEPARSKI, DALE THOMPSON LINEAR AKA DANAH 07/31/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 190 16WC 33854 SCHROEDER, ADRIAN COMMUNITY ACTION AGENCY 12/12/13 BAUM RUFFOLO & MARZAL LTD RUSIN & MACIOROWSKI LTD 191 16WC 34035 EVANS, DENISE CASEY'S GENERAL STORE 06/28/16 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 192 16WC 34386 BAUMANN, BRIAN SUSTAINABLE STAFFING INC 10/03/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 193 16WC 34494 HUDSON, JESSICA CRYSTAL LAKE SCHOOL DIST 10/20/16 GOLDBERG WEISMAN & CAIRO L 194 16WC 34917 LOCKE, TERENCE O'REILLY AUTO ENTERPRISES 11/04/16 ALBERT R. PINO LAW OFFICE HENNESSY & ROACH PC 195 16WC 35060 HARRIS, WENDY D FRESENIOUS KIDNEY CARE 10/25/16 FIGLIOLI, DAVID 196 16WC 36469 BROCK, DANIELLE ANGELO'S MARKET, INC. 08/21/16 CLARK FROST ROSARIO CIBELLA 197 16WC 37079 DAHL, ANDREA MARIE G2 REVOLUTION LLC 08/24/16 PETER D CORTI LAW GROUP PERRY GENTILE 198 16WC 37195 COLIP, DEBORAH KOHL'S 06/18/16 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 199 16WC 38205 DOMINQUEZ, BALVINA WEBER-STEPHEN PRODUCTS LL 05/06/16 WHITESIDE & GOLDBERG LTD 200 16WC 38361 COLLINS, CHRISTOPHER NILCO INC 06/29/16 FRANKS, GERKIN & MCKENNA P 201 16WC 38923 REYES, MARTHA WEBER STEPHEN PRODUCTS 12/14/16 HERRERA LAW CENTER LAW OFFICES JOSEPH MARCINIAK 202 16WC 39288 HANRAHAN, JOANNE F CENTEGRA HEALTH SYSTEMS 05/16/16 MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 203 17WC 00021 THOMPSON, TERESA ARNOLD ENGINEERING 11/01/16 RIDGE & DOWNES 204 17WC 00520 REBECCA, JIM ARAMARK 12/29/16 GESMER LAW OFFICES, PC 205 17WC 00898 ADAMS, DANIEL ILLINOIS STATE TOLL HWY A 10/26/16 WILLIAMS MCCARTHY LLP GANAN & SHAPIRO 206 17WC 00921 NEUKIRCH, ARMINDA ILLINOIS DEP OF REHABILIT @ 06/27/16 HANNIGAN & BOTHA, LTD HELEN LOZANO 207 17WC 01626 MAHLER, ROBERT THORNE ELECTRIC, INC 11/03/16 GOLDBERG WEISMAN & CAIRO L 208 17WC 01792 DAVOLI, PETER MENARDS 10/01/15 BRAD J. BALKE, PC 209 17WC 02063 MILLER, MICHAEL W VILLAGE OF FOX RIVER GROV 11/02/16 FIGLIOLI, DAVID ANCEL GLINK DIAMOND BUSH & E 210 17WC 02244 RODIO, MIKE GENERAL KINEMATICS 10/13/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 211 17WC 03034 CLIFFORD, MELISSA ALDI INC 09/10/16 ARIANO HARDY NYULI JOHHSON NYHAN BAMBRICK KINZIE & LOWR 212 17WC 03831 DEGRAAF, STEPHEN MARTAM CONSTRUCTION 07/30/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 213 17WC 04219 CASTILLO Y SANTIAGO, IREN WEBER-STEPHENS PRODUCTS L * 09/30/16 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 214 17WC 04238 BLAKE, ROSAFE FOLLETT SCHOOL SOLUTIONS 11/05/16 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 215 17WC 04749 MARIN, ALVARO MAINES PAPER & FOOD SVCS, 12/12/16 JONATHAN SCHLACK 216 17WC 04838 DEKEYSER, DANIEL ATLANTIC TRACK & TURNOUT 11/04/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 217 17WC 05280 GOLLADAY, ANINA KOUNTRY PET RESORT 12/23/16 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 218 17WC 05633 MILLER, WILLIAM IL DEPT OF TRANSPORTATION 09/07/16 GOLDBERG WEISMAN & CAIRO L HELEN LOZANO 219 17WC 05751 MARTINEZ, REYNALDA KRAFT HEINZ CO 12/14/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 17WC005752 -C 220 17WC 06217 MEDINA, CHERYL MARENGO CAFE 10/20/16 FRANKS, GERKIN & MCKENNA P POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 221 17WC 06572 MAYO, VICTORIA SWIFT TRANSPORTATION 02/01/17 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 222 17WC 06593 VEACH, KELSIE ALDI 10/12/16 COLLISON LAW OFFICES BRADY CONNOLLY & MASUDA PC 223 17WC 06677 ELGANZOURI, MERVAT ARAMARK FOOD SERVICES 09/26/16 WHITING LAW GROUP 224 17WC 06984 STRICKLAND, CHARLES CRYSTAL LAKE INN CORP C/O 08/25/16 HETHERINGTON KARPEL BOBBER CHILTON YAMBERT PORTER LLP 225 17WC 07452 HANSEN, DENISE ALEXANDER KEIGH CTR FOR A 11/28/16 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 226 17WC 08419 STRATMAN, PAIGE KOUNTRY PET RESORT 12/12/16 TURNER & SACKETT LLC 227 17WC 09371 HANSEN, DENISE ALEXANDER LEIGH CENTER 01/19/17 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 228 17WC 09482 ROSS, DANETTE CENTEGRA HEALTH SYSTEM 09/15/16 VOGG, MARK J LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 229 17WC 09947 GARCIA, MARCO FYH BEARINGS 03/03/17 WOLFE LAW PC WOLFE & JACOBSON, LTD 230 17WC 10349 MARTINEZ, PAPHANY ALPHA SWISS INDUSTRIES, I 12/06/16 BLACK & JONES GAROFALO SCHREIBER STORM 231 17WC 10523 ROTH, KATHLEEN CARY POLICE DEPT 01/17/17 HEALY SCANLON LAW FIRM 232 17WC 10630 SANCHEZ, JULIA ALPHA SWISS INDUSTRIES 01/26/17 BOTTO GILBERT GAROFALO SCHREIBER STORM 233 17WC 10763 GRAPENTHIEN, GERALD EAGLE EXPRESS LINES INC. 03/28/17 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 234 17WC 11158 KINDER, FREDRICK GUARDIAN ELECTR MANUFACTR 09/21/15 MADSEN SUGDEN & GOTTEMOLLE GANAN & SHAPIRO 235 17WC 11237 SOTO, MARIA IRMA CARLSON BUILDING MAINTENA 03/18/17 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 236 17WC 11417 RAMOS, MARIA MEDTRONIC 06/15/16 WOODRUFF & JOHNSON POWER & CRONIN LTD 237 17WC 11598 EHARDT, JOSEPH SNO-BELT INDUSTRIES, INC 11/09/15 CLARK FROST 238 17WC 11972 RODRIGUEZ, ARMANDO WEBER-STEPHEN PRODUCTS CO 04/03/17 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 239 17WC 12445 ORTIZ, EDGAR KNAACK LLC 04/27/16 TARADASH LAW OFFICE 240 17WC 12962 THOUNSAVATH, PHOUGEUN BAG MAKERS INC 07/11/16 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 241 17WC 13455 LOPEZ, REYNA BAG MAKERS INC 04/18/16 BLACK & JONES ROSARIO CIBELLA 242 17WC 13533 PRADO, TERESA WEBER-STEPHEN PRODUCTS LL 07/24/15 RAYMOND M SIMARD, PC 243 17WC 14188 RUSSELL, DANIEL INTERMATIC 07/21/16 LINN, CAMPE & RIZZO LTD THOMAS & PORTELA 244 17WC 14586 MEZA, JUAN TRUE VALUE MANUFACTURING 01/17/17 DWORKIN AND MACIARIELLO 245 17WC 14656 BOLDA, DANIEL JR CITY OF WOODSTOCK 07/29/14 BOWMAN & CORDAY ANCEL GLINK DIAMOND BUSH & E 246 17WC 14830 QUIMBY, DAVID HOLLAND MOTOR 02/27/17 BLACK & JONES HENNESSY & ROACH PC 247 17WC 15070 CLARK, JAMES D ROOF OPTIONS 04/25/17 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 248 17WC 15298 CLARK, LINDA AS SURVIVING BELVIDERE/BOONE COUNTY FO # 09/10/14 CAPRON & AVGERINOS PC RIPES NELSON BAGGOT KALOBRAT 249 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC 250 17WC 15795 BOND, KIMBERLY R MEIJER 02/13/17 RUBIN LAW GROUP 251 17WC 15929 LEBRUN, JAY GENERAL KINEMATICS CORP. 04/27/16 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 252 17WC 16146 ROMITO, DARRIN PROFESSIONAL INSPECTION 09/15/16 E JAMES RAYMOND 253 17WC 16264 BLOODWORTH, THOMAS AEROTEK 03/07/17 TARADASH LAW OFFICE HENNESSY & ROACH PC 254 17WC 16406 MATLOCK, ERIC JENSEN'S PLUMBING &HEATIN 10/18/16 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 255 17WC 16425 THERAULT, HOROLD SILVERSTAR DELIVERY LTD 05/28/17 STROM, NEAL B 256 17WC 16707 MORALES, GLORIA NAVATION INDUSTRIES 05/05/17 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 17WC 16987 DUCY, SADRAQUE HYDRAULIC SERVICES INC 07/06/16 GOLDBERG WEISMAN & CAIRO L 258 17WC 17186 STROMBACH, HANK RENT-A-CENTER 04/10/17 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL & ASSOC LLC 259 17WC 17273 BRAWN, STEVEN CENTEGRA HEALTH SYSTEM 01/13/16 TARADASH LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 260 17WC 17423 BRUNETTI, DEBRA CENTEGRA HEALTH SYSTEM 03/21/17 SCOTT BARBER MACIOROWSKI SACKMANN & ULRIC 261 17WC 17663 RIVAS, JESUS SAGE PRODUCTS, INC 02/24/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 262 17WC 17770 BURTON, HEATHER A BETHESDA LUTHERAN 06/04/17 TUITE LAW 263 17WC 18092 MICHELIN, KATHY JEWEL-OSCO 11/04/16 KATZ FRIEDMAN EAGLE ET AL 264 17WC 18176 WALQUIST, KATHIE BUFFALO WILD WINGS 01/24/17 KEVIN P. JUSTEN PC LAW OFFICES JOSEPH MARCINIAK 265 17WC 18359 PENA, JUAN ZNA INNOVATIONS, INC D/B/ 05/08/17 DOUGLAS RALLO PC COZZI & GOGGIN-WARD 266 17WC 19965 HERNANDEZ, MARIO MIDWEST DRYWALL & ACOUSTI 04/13/17 HART & DAVID LLP POWER & CRONIN LTD 267 17WC 20055 RODRIGUEZ, YESENIA COMMUNITY SCHOOL DIST 155 02/02/17 BOTTO GILBERT NYHAN BAMBRICK KINZIE & LOWR 268 17WC 20359 GOMEZ, MARIA ECU STAFFING MULTI-SERVIC 04/24/17 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 269 17WC 20369 AGUIRRE, IRMA APTAR CARY 10/19/16 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 270 17WC 21701 KAUFMANN, MICHAEL R MKD ELECTRIC CO 05/22/17 GIACOBBE, THOMAS M 271 17WC 21867 COLUMBUS, JOSEPH K ALEXANDER LUMBER COMPANY 03/01/17 MEYERS & FLOWERS 272 17WC 22029 HAMILTON, GRANT CENTEGRA HEALTH SYSTEMS 08/05/14 ASHER, RAYMOND L LTD MACIOROWSKI SACKMANN & ULRIC 273 17WC 22248 KHOLLMAN, ELIZABETH AMY'S HALLMARK 12/28/16 LAW OFFICE OF SCOTT B SHAP INMAN & FITZGIBBONS 274 17WC 22568 ROMO, JESUS AVILA NORTHWEST WOOD PRODUCTS 05/30/17 EVAN A HUGHES LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 17WC 22762 KAZMINSKI, LORI WAL MART 10/07/16 LAW OFFICE RICHARD BINGHAM GANAN & SHAPIRO 276 17WC 22903 PENA-FRANC, MARLENE C CASEY'S GENERAL STORES, I 07/18/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 277 17WC 22975 RICHARDSON-WEIBERG, PATTI HUNTLEY SCHOOL DISTRICT # 01/10/17 MADSEN SUGDEN & GOTTEMOLLE 278 17WC 23354 KEENAN, MICHAEL T. AT&T DBA ILLINOIS BELL 04/12/17 FIGLIOLI, DAVID 279 17WC 23413 ALEMAN, ADAM PLASPROS, INC 08/09/16 EFTEKHARI LAW OFFICES 280 17WC 23491 SANCHEZ, YOANA HERITAGE WOODS OF MCHENRY 07/14/17 DUDLEY & LAKE LLC POWER & CRONIN LTD 281 17WC 23631 RAVEN, JOSEPH A POINT READY MIX LLC 04/04/17 KROL BONGIORNO & GIVEN LTD GANAN & SHAPIRO 282 17WC 23827 FICHTER, ANGELO ACCURATE PERSONNEL SERVIC 06/12/17 NEMEROFF LAW OFFICES 283 17WC 24210 MONTOYA, RAUL CONSOLIDATED MATERIALS IN 06/23/17 O'CONNOR & NAKOS 284 17WC 24708 ANGELES, LOURDES TRU-CUT, INC 02/06/17 FRANKS & RECKENBERG JOSEPH MARCINIAK 285 17WC 24984 HORAN, CYNTHIA CENTEGRA HEALTH SYSTEMS 06/16/17 WHITESIDE & GOLDBERG LTD MACIOROWSKI SACKMANN & ULRIC 286 17WC 25348 PEREZ, ROSALINDA CRYSTAL LAKE SCHOOL DIST 07/05/17 SOSTRIN AND SOSTRIN PC 287 17WC 25538 MARKHAM, RALPH OZINGA BROTHERS 02/27/17 E JAMES RAYMOND 288 17WC 26103 WEBB, MICHAEL CONSERV FS INC 09/19/14 WIEDNER & MCAULIFFE LTD 289 17WC 26393 NOTEALEO, SAYSAMONE DIRECT DIMENSION, INC 03/31/17 ANKIN LAW OFFICE 290 17WC 26453 HERNANDEZ, SANDRA SUSTAINABLE STAFFING, INC 05/02/17 CULLEN HASKINS NICHOLSON 291 17WC 27019 GRAY, DANIEL NIPPERSINK SCHOOL DIST 2 04/12/17 VOGG, MARK J LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 292 17WC 27690 COMBS, WILLIAM SYNAGRO CENTRAL, LLC 08/21/17 BLACK & JONES GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 17WC 27922 BARAJAS, DIDIA L INDUCTION HEAT TREATING C 08/19/14 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 294 17WC 27936 ALVARADO, GILBERTO P KNAACK, LLC 11/13/16 FRANKS, GERKIN & MCKENNA P 295 17WC 29363 SOCHA, DAMIAN WALMART 09/13/17 CHEPOV & SCOTT LLC GANAN & SHAPIRO 296 17WC 30190 MORRIS, KIMBERLY A COMMUNITY HIGH SCHOOL DIS 09/18/17 CRONIN & PETERS 297 17WC 30347 LEUTIK, KARRIE A KELSEY'S CABIN, INC 08/16/17 DIAMOND & LESUEUR PC 298 17WC 30675 VANDERHEYDEN, RONALD VIOX SERVICES 03/13/17 FRANCIS J DISCIPIO LAW OFF BRADY CONNOLLY & MASUDA PC 299 17WC 30807 KEITH, LINDA CENTEGRA HEALTH SYSTEM 03/04/17 CORBOY & DEMETRIO PC MACIOROWSKI SACKMANN & ULRIC 300 17WC 30877 JOHNSON, SANDY PABLO'S MEXICAN RESTAURAN 04/15/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 301 17WC 31154 SCACCIA, TONYA GOODWILL INDUSTRIES NORTH 06/07/17 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 302 17WC 31230 ROBERTS, PAMELA FOLLETT LIBRARY RESOURCES 11/04/15 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 303 17WC 31541 MOLENDA, LAWRENCE A WALMART 07/31/17 DAVID SZCZECIN & ASSOC QUINTAIROS PRIETO WOOD & BOY 304 17WC 31735 CHAVERA, JOE MCHENRY TOWNSHIP 08/08/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 305 17WC 32483 VOCKA, HEATHER STATE OF ILLINOIS/ COURT 04/17/17 306 17WC 32861 ERCKFRITZ, CASEY ARNOLD MAGNETIC TECHNOLOG 09/28/17 RIDGE & DOWNES 307 17WC 32987 CASTRO, MARIA CENTEGRA MILESTONES 07/12/17 LULAY LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 308 17WC 33206 ALDAMA, ALEXIS 721 COUNTRY CLUB ROAD 10/12/17 BOTTO GILBERT GANAN & SHAPIRO 309 17WC 33251 MCNINCH, PATRICK V USF HOLLAND, INC 08/01/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 310 17WC 33397 OLSON, SANDRA LIFETIME FITNESS 02/28/15 HEALY SCANLON LAW FIRM MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 311 17WC 33689 HOLDEN, BARBARA ALA CARTE ENTERTAINMENT 08/31/16 KARLIN FLEISHER & FALKENBE KEEFE CAMPBELL & ASSOC LLC 312 17WC 34353 KONECNY, CATHERINE WALMART SUPERCENTER 08/22/17 TARADASH LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 313 17WC 34721 CONRAD, NICHOLAS J SHERMAN MECHANICAL INC 07/26/17 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 314 17WC 34724 SINGLETON, SHIRLEY SHELTERED VILLAGE 08/24/17 MILLON & PESKIN LTD 315 17WC 34873 JACOS, KURT KWIK SERV PLUMBING &HVAC 10/04/17 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 316 17WC 35218 ANDREWS, NORMAN R A-OK INC 06/02/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 317 17WC 35279 MATLOCK, TRACY NORTHERN ILLINOIS MEDICAL 09/16/17 TARADASH LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 318 17WC 35927 GOLABEK, ANDREW L TRUE VALUE COMPANY 03/24/17 TUITE LAW KEEFE CAMPBELL & ASSOC LLC 319 17WC 35976 POTOCZKY, JOHN R WOODSTOCK FIRE RESCUE 09/28/17 THOMAS W DUDA 320 17WC 35989 HAJROJA, MEGJAHIT PINECREST GOLF CLUB 11/24/17 BRIAN J MC MANUS & ASSOC, RIPES NELSON BAGGOT KALOBRAT 321 17WC 36093 TACKEBERRY, PAUL TERRACON 05/11/17 CLARK FROST HOLECEK & ASSOCIATES 322 17WC 36676 BOUTIN, TIMOTHY R MC HENRY TOWNSHIP FIRE 01/28/17 THOMAS W DUDA 323 17WC 37185 PETERS, ANDREW S WOODSTOCK HEATING 06/07/16 FRANKS & RECKENBERG 324 17WC 37872 RUHM, PHILLIP W ARNOLD MAGNETIC TECH 09/06/17 RICHARD O. GREENFIELD 325 17WC 37919 WARNER, JEROME ADMINISTRATIVE DISTRICT 12/12/17 HEALY SCANLON LAW FIRM LAWRENCE COZZI - LAW OFFICES 326 18WC 00036 ROTHUNDE, PATRICIA ADVOCATE HOME HEALTH 01/07/15 RAYMOND M SIMARD, PC 327 18WC 00048 RICH, DENNIS THE FOUNTAIN AT CRYSTAL L 09/22/17 BOTTO GILBERT 328 18WC 00263 BRIDGEFORTH, TERRANCE METRO STAFFING INC 12/22/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 18WC 00322 WIGGINS, RICHARD A FRITZ L LARSEN, INDIV AND 11/16/15 LINN, CAMPE & RIZZO LTD 330 18WC 00561 CARBAJAL, MARIA MEDELA, INC 04/27/16 WAGGONER LAW FIRM PC 331 18WC 00624 SAMANO, ELIDA CLAUSSEN PICKLE COMPANY 12/04/17 ANGELINI & ORI LLC 332 18WC 00848 NAKAERTS, BRENT LEISURE WOODS 10/28/16 DWORKIN AND MACIARIELLO 333 18WC 01205 RAFFAELE, SU CHONG UNICARRIERS AMERICA CORP 07/19/17 LULAY LAW OFFICES 334 18WC 01368 NAVARRO, LISETTE THOMSON LINEAR 01/05/18 DWORKIN AND MACIARIELLO 335 18WC 01440 CONTRERAS LOPEZ, FRANCELY SURESTAFF, INC 12/14/17 KARCHMAR & STONE LOUIS MUNDY 336 18WC 01563 DIEHL, KENNETH PROCESS ENGINEERING CORP 03/20/17 BOTTO GILBERT RUSIN & MACIOROWSKI LTD 337 18WC 01638 ROBERSON, TAMARA M DOLLAR GENERAL 08/16/17 HANNIGAN & BOTHA, LTD LEAHY EISENBERG & FRAENKEL 338 18WC 01643 FISHER, JOHN SR BOOTS WELDING & TRUCK SER 07/24/17 SANDMAN LEVY & PETRICH 339 18WC 01870 UNRUH, BRETT XPO LOGISTICS 07/15/17 COYNE REINKE LAW RUSIN & MACIOROWSKI LTD 340 18WC 02185 BOI, WAYNE GREAT LAKES COCA COLA DIS 01/08/18 JASON HAUCK NYHAN BAMBRICK KINZIE & LOWR 341 18WC 02520 LLOYD, AARON HINES BUILDING SUPPLY * 07/19/17 HORWITZ HORWITZ & ASSOC 342 18WC 02700 SCHIRMBECK, COLLIN INSTALLED BUILDING PRODUC 11/06/17 TARADASH LAW OFFICE GRANT & FANNING 18WC002850 -C 343 18WC 02968 KUBERSKI, AMY MY PLACE BAR & GRILL 12/10/17 LAW OFFICE OF SCOTT B SHAP 344 18WC 03053 HERNANDEZ-CAZARES, ISAAC TC INDUSTRIES, INC 10/23/17 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 345 18WC 03626 HOGAN, DEBRA WIDOW ON BEH MARENGO COMMUNITY HIGH SC # 01/04/18 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 346 18WC 03704 GASCA, CARLA BRICKS WOOD FIRED PIZZA I * 11/24/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 18WC 03995 BERNAL, MANUEL OMNI PRODUCTS INC * 06/08/17 PORRO NIERMANN LAW GROUP 348 18WC 04093 LASAK, EDWIN JEWEL OSCO * 10/29/17 JOSHUA KARMEL 349 18WC 04384 FARR, NICHOLAS JAMES COMED * 01/29/18 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 350 18WC 04921 FALLON, SCOTT FRITO-LAY/PEPSICO * 02/14/18 JOSHUA KARMEL GILDEA & COGHLAN 351 18WC 05014 CRESPO, JASON RELIABLE STAFFING * 01/25/18 DWORKIN AND MACIARIELLO 352 18WC 05287 COLLINS, GERALD HS CROCKER CO, INC * 09/29/17 LOSS & PAVONE 353 18WC 05435 VOLENEC, INGRID CITY OF CRYSTAL LAKE POLI * 12/23/15 BOWMAN & CORDAY 354 18WC 05640 RUNGE, MARCUS TRUE VALUE COMPANY * 06/09/15 GOLDBERG WEISMAN & CAIRO L 355 18WC 05708 PIERCE, GARY M PROCESSED STEEL CO * 12/15/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 356 18WC 05824 HANKEL, PENNY BICKFORD SENIOR LIVING * 02/27/17 TARADASH LAW OFFICE BRYCE DOWNEY & LENKOV LLC 357 18WC 05978 WATERS, TERESA THE SPRINGS AT CRYSTAL LA * 01/14/18 MADSEN SUGDEN & GOTTEMOLLE 358 18WC 06107 SALAZAR, SARAH DEPT OF TRANSPORTATION FO * 02/02/18 ALBERT R. PINO LAW OFFICE 359 18WC 06324 HERNANDEZ, KATIA INDUCTION HEAT TREATING * 01/27/17 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 360 18WC 06456 DURHAM, JACK SEND DRIVER SOLUTIONS, IN * 01/03/18 TURNER & SACKETT LLC 361 18WC 06831 CORNS, MICHAEL MIXONSITE USA, INC * 06/16/17 LOSS & PAVONE EDWARD J. KOZEL 362 18WC 07508 HESTER, RICKIE CAPRON MANUFACTURING COMP * 01/08/18 TARADASH LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 363 18WC 07667 MONTOYA, JOSE MANUEL BENCHMARK * 01/17/18 AIOSSA LAW FIRM 364 18WC 07752 SOBIERALSKI, DARIUSZ COTTER CONSTRUCTION CO IN * 12/12/17 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 365 18WC 08389 HALILAJ, NETA SMARTSTYLE HAIR SALONS * 12/19/17 BOTTO GILBERT GAROFALO SCHREIBER STORM 366 18WC 08478 NELSON, GENE DUNDEE TOWNSHIP PARK DIST * 10/03/17 CUDA LAW OFFICES HENNESSY & ROACH PC 367 18WC 08636 DIENST, SCOTT KINGSTON TOWNSHIP * 08/22/17 TURNER & SACKETT LLC 368 18WC 08703 KALUPSKI, NATALIE ANIMAL HOSPITL OF SPRING * 05/31/17 MC HARGUE & JONES 369 18WC 08888 POWELL, JAMES WOLFE DISTRIBUTION * 02/07/18 BLACK & JONES 370 18WC 09144 HANSEN, DENISE ALEXANDER LEIGH CENTER * 11/29/16 KATZ FRIEDMAN EAGLE ET AL 371 18WC 09593 SCHALK, MICHAEL CMS @ * 01/07/18 LEE, MARK N LAW OFFICE 372 18WC 09976 CYRIER-BIZJACK,KATHY JEWEL-OSCO * 12/17/15 SAUNDERS CONDON & KENNY 373 18WC 10107 ROLLA, CATHY NEW ALBERTSON'S INC * 06/17/16 MADSEN SUGDEN & GOTTEMOLLE 374 18WC 10187 WEIHER, BRIDGETTE B NEW HAMPSHIRE INSURANCE C * 11/11/15 GRAUER & KRIEGEL LLC QUINTAIROS PRIETO WOOD & BOY 375 18WC 10333 VEVERKA, KAY K ARAMARK EDUCATION * 12/08/17 STEVEN J MALMAN & ASSOCIAT 376 18WC 10567 WIRTH, DEAN JEWEL FOOD STORES, INC * 01/23/18 ALBERT R. PINO LAW OFFICE 377 18WC 10727 ARELLANO, HERIVERTO J ROMERO ARELLANOS LANDSC * 08/14/17 KATZ FRIEDMAN EAGLE ET AL 378 18WC 10945 PASCHKE, ELIZABETH C GRAHAM C-STORE COMPANY * 03/17/18 HANNIGAN & BOTHA, LTD 379 18WC 11318 SOTELO, ANGEL TC INDUSTRIES, INC * 07/27/17 BOTTO GILBERT 380 18WC 11371 BEU, CHRISTINE CASEY'S GENERAL STORE * 12/15/17 ARIANO HARDY NYULI JOHHSON 381 18WC 11760 SCHMIDT, MICHAEL HINES SUPPLY * 08/31/17 CLARK FROST 382 18WC 11880 RAMIREZ, MARIO KRAFT FOODS GROUP INC * 06/06/16 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 383 18WC 12043 JUSTES, NICOLE SHERMAN PERSONAL CARE INC * 03/18/18 DOUGLAS RALLO PC 384 18WC 12111 WHITE, JODY SUNSET LOGISTICS LLC * 01/23/18 ANKIN LAW OFFICE 385 18WC 12944 SILLIN, ANGELA KOHLS * 04/11/17 KEVIN P. JUSTEN PC 386 18WC 13234 FELIX, JOSE CRYSTAL LAKE CHRYSLER * 01/16/17 PETER LEKAS 387 18WC 13352 RYAN, TIMOTHY SERV-U-SUCCESS * 03/05/18 MC HARGUE & JONES 388 18WC 13457 HERNANDEZ, PEDRO CARDINAL HEALTH * 09/17/17 ROSS TYRRELL