ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 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 LAW OFFICE IZZO CAPUANI SHIE 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 27641 BURKEMPER, SCOTT ALGONQUIN LITH FIRE PROT 03/31/09 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 5 09WC 51792 19B KOCH-HAGER, MICHELE LAKE BARRINGTON WOODS 11/18/09 DUDLEY & LAKE LLC COZZI & GOGGIN-WARD 6 10WC 04807 SILVA, ANA AUTOTROL CORPORATION 01/11/10 CULLEN HASKINS NICHOLSON ALLEN KOPET & ASSOCIATES 7 10WC 06650 CYGNAR, JAMES S VILLAGE OF CARY 01/10/10 RICHARD O. GREENFIELD RUSIN & MACIOROWSKI LTD 11WC043163 -C 13WC032356 -C 8 10WC 09954 MEDINA, MARCO AFFINIA 01/25/10 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC 13WC020611 -C 14WC005523 -C BRAKE PARTS SPECIAL AC DEL 9 10WC 28824 SCHROEDER, ADRIAN COUNTRY GAS-DIVISION OF I 12/29/09 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 10WC028825 -C 10 10WC 48170 VASQUEZ, JOHN EDWARD PUDLO D/B/A @ W 09/23/10 FRANKS, GERKIN & MCKENNA P 11 10WC 48339 BALLSCHMIEDE, ROBERT LOWES CO INC 02/04/09 FRANKS, GERKIN & MCKENNA P INMAN & FITZGIBBONS 12 11WC 03191 HENRIQUES, KARLA MCDONALDS CORP 04/12/10 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 13 11WC 05697 ROCHA, ESTELA TJX COMPANIES, INC 10/15/10 BOTTO GILBERT GEHRIS BRADY CONNOLLY & MASUDA PC 13WC036208 -C 14 11WC 09286 KIESER, RICKY UNION FIRE DEPARTMENT 09/24/09 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 15 11WC 14291 AZZANO, MICHAEL SNAP ON TOOLS 01/16/11 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 25398 BELLANTE, CHRISTIAN LDI INDUSTRIES 06/08/11 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 17 11WC 36249 19B SCIMECA, VICTOR R VILLAGE OF HEBRON 02/03/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 18 11WC 36420 JASIEWICZ, ANDRZEJ AMERICAN PACKAGING MACHIN 07/20/10 BELLAS & WACHOWSKI CASSANO & ASSOCIATES 19 12WC 01592 JORDAN, ZACHARY ROBERTS EXTERIOR SERVICES 11/23/11 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 20 12WC 04410 MARQUEZ, MARGARITA WEBER STEPHAN PRODUCTS 01/13/12 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 21 12WC 10650 MUNOZ, PEDRO, JR CURRAN CONTRACTING 10/22/11 LINN, CAMPE & RIZZO LTD GAROFALO SCHREIBER STORM 22 12WC 35519 PAREDES, JULIO MORNING STAR CHURCH 05/16/12 FOHRMAN, DONALD W & ASSOCS GANAN & SHAPIRO 23 12WC 39282 GIBSON, KEVIN COSTCO 10/01/11 NEWLAND & NEWLAND GANAN & SHAPIRO 13WC021897 -C 24 12WC 40216 PONTANINI, ANTHONY ACME REFINING 07/05/12 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 25 12WC 41282 TILLMAN, CARDELL JOE DALY W 10/03/12 BLACK & JONES 26 13WC 00424 MADSEN, RENEE S COSTCO 11/13/12 CRONIN & PETERS GANAN & SHAPIRO 27 13WC 02332 LARSEN, NANCY JEWEL FOOD STORES 12/15/12 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 28 13WC 08458 DECHOW, LARRY FOX LAKE HARBOR MARINA 05/12/12 ANESI OZMON RODIN NOVAK KO ROBERT L. SMITH 29 13WC 09453 CLAUDIO, PETRA VEER HOSPITALITY ALGONQUI 10/06/12 LEONARD LAW GROUP LLC RIPES NELSON BAGGOT KALOBRAT 14WC003142 -C 30 13WC 15577 DIAZ KRISTA KELLY SERVICES 03/20/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 31 13WC 29645 DAVILA, VANESSA SILGAN PLASTICS 12/31/12 HANNIGAN & BOTHA, LTD BRADY CONNOLLY & MASUDA PC 15WC011899 -C 32 13WC 31024 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 03/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 13WC 31025 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 08/15/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 34 13WC 31297 LANDREY, AMBER CHICK FIL A AND BEN MOORE 08/25/12 STEVEN J TENZER, LTD RUSIN & MACIOROWSKI LTD 13WC031298 -C 35 13WC 31532 GARRIDO, GLORIA WALNUT GROVE FARMS 06/11/13 JONATHAN SCHLACK HOLECEK & ASSOCIATES 36 13WC 31779 JAWORSKI, JEFFREY ILLINOI STATE TOLL HIGHWA 08/18/13 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 37 13WC 34914 HANEY, MELISSA J CENTEGRA HEALTH SYSTEMS 09/04/05 MADSEN SUGDEN & GOTTEMOLLE MACIOROWSKI SACKMANN & ULRIC 38 13WC 36857 KARL, MARGARET APTARGROUP INC 08/29/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 39 13WC 42120 KRIKORIAN, MARY L STTE OF ILLINOIS @ 10/07/13 MADSEN SUGDEN & GOTTEMOLLE ASSISTANT ATTORNEY GENERAL 40 14WC 03789 VASQUEZ BLANCO, EDITH SNAP ON INC AS A BORROWIN 11/19/13 JOHN J CASTANEDA GILDEA & COGHLAN 14WC042907 -C CRV ELECTRONICS/STAFFMARK 41 14WC 04259 COLE, KEVIN CRYSTAL LAKE SCHOOL DIST 07/30/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC004260 -C 42 14WC 07556 O'DONNELL, PATRICK RAGING BUFFALO SNOWBOARD 03/02/14 HEALY LAW FIRM BRYCE DOWNEY & LENKOV LLC 43 14WC 08209 MURE, ELIZABETH ZALES CORPORATION 12/22/13 ANKIN LAW OFFICE 44 14WC 08867 VANDERWIEL, ROBIN FOLLETT LIBRARY RESOURCES 02/18/14 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 45 14WC 09124 VIERCK, DUANE SHARKEY TRANSPORTATION IN 01/21/14 FRANKS, GERKIN & MCKENNA P 46 14WC 09268 SIDDIQUI, MUSARRAT MEIJERS 09/21/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 47 14WC 09847 DAVIS, CAROLYN CENTEGRA HEALTH SYSTEM 08/15/12 LINN, CAMPE & RIZZO LTD MACIOROWSKI SACKMANN & ULRIC 48 14WC 10746 WERNER, WANDA WALMART 01/05/14 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 49 14WC 11393 BEDELL, WAYNE CUSTOM ELECTRIC TECHNOLOG 11/22/13 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 14WC 11485 WIMMER, JAY COM ED 01/09/14 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 51 14WC 12876 19B ISUNZA, TANIA CONSOLIDATED SCHOOL DIST 03/05/14 MARKS INJURY LAW POWER & CRONIN LTD 52 14WC 14339 CRUZ, MARIA ELVIA MEDELA INC 10/21/13 BOTTO GILBERT LAW OFFICES JOSEPH MARCINIAK 53 14WC 14547 STAVROPOULOS, GEORGE TRANS JOINT AGREEMENT 12/18/13 HANNIGAN & BOTHA, LTD 54 14WC 15824 LIST, JACK E DEAN DAIRY HOLDINGS LLC 04/02/14 FRANKS, GERKIN & MCKENNA P BRADY CONNOLLY & MASUDA PC 15WC023157 -C 55 14WC 16455 MERLA, MARGARET CPC FOX VALLEY CRYSTAL LA 11/18/13 LINN, CAMPE & RIZZO LTD MACIOROWSKI SACKMANN & ULRIC 56 14WC 19408 PAULSEN, BRAD GENERAL EXTERIOR CONSTRUC 03/20/14 VOGG, MARK J LAW OFFICE BRADY CONNOLLY & MASUDA PC 57 14WC 20805 CUSTODIO, RANFERI BRILLIANCE HONDA 01/27/14 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 58 14WC 22655 TORRES, CARMEN COMMUNITY UNIT 11/19/13 SANDMAN LEVY & PETRICH NYHAN BAMBRICK KINZIE & LOWR 59 14WC 23420 BARNDT, DAWN M MCDONALD'S OF BULL VALLEY 03/21/14 MADSEN SUGDEN & GOTTEMOLLE BRYCE DOWNEY & LENKOV LLC 60 14WC 23730 CABALLERO, HERMELINDA COMFORT INN 07/05/14 BOTTO GILBERT THOMAS & PORTELA 61 14WC 23987 TRIPP, BRIAN AMERICAN BOTTING COMPANY 05/09/14 OLMSTEAD, GREGORY J LAW OF GAROFALO SCHREIBER STORM 62 14WC 24168 CASKEY, PATRICK K ALGONQUIN/LITH FIRE PROT 06/27/14 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15WC024361 -C 16WC036193 -C 63 14WC 24252 MARCUM, DANIEL J PARKING LOT SERVICES 06/27/14 BLACK & JONES 14WC024250 -C 14WC024251 -C 16WC007081 -C 16WC007082 -C 16WC007083 -C 64 14WC 26005 GRANATA, JASON T (DECEASE IDEAL MODULAR SOLUTIONS L 04/25/14 SOSTRIN AND SOSTRIN PC GILDEA & COGHLAN 65 14WC 26123 LYONS, ANDREA L DEPT OF CHILDREN & @ 05/31/14 MADSEN SUGDEN & GOTTEMOLLE ASSISTANT ATTY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 14WC 26277 HUFFY, LANCE GARRETTS & SONS 04/16/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 67 14WC 27750 JARVA, LISA CUNAT PAYROLL, INC 02/24/14 FRANKS, GERKIN & MCKENNA P THOMAS & PORTELA 14WC027751 -C 68 14WC 27777 FLORES, MARISELA CHICK-FIL-A 02/26/14 BOTTO GILBERT RUSIN & MACIOROWSKI LTD 69 14WC 28078 GUTIERREZ, MARIA AS WIDOW UNITED THERAPIES, LLC 10/10/13 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 70 14WC 28249 HOPKINS, KRISTY S ALGONQUIN 07/28/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15WC000899 -C 71 14WC 29010 KANDA, DAVID EDSON GROUP, CORP W 03/26/14 MC HARGUE, JAMES P LAW OFF CHEPOV & SCOTT LLC 72 14WC 30203 WESTCOTT, ROCKY LAKEMOOR POLICE DEPT 02/25/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 73 14WC 30706 ROJAS, DOLORES WORKING WORLD STAFFING SE 07/03/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 74 14WC 31142 ABSOLON, NANCY G CARQUEST AUTO PARTS 05/24/14 LINN, CAMPE & RIZZO LTD GOLDBERG SEGALLA LLC 75 14WC 31365 MAKI, JEANNE HAMPSHIRE FIRE PROTECTION 03/20/12 CAMERON CLARK RUSIN & MACIOROWSKI LTD 14WC031366 -C 14WC031367 -C 76 14WC 31570 DOMINGUEZ, GILBERTO THE TEXAN BAR-B-QUE INC 09/03/14 STROM, NEAL B RUSIN & MACIOROWSKI LTD 77 14WC 34178 VAZQUEZ, ROBERT JEWEL 04/18/13 ALLEN, WILLIAM LAW OFFICES BRADY CONNOLLY & MASUDA PC 14WC034179 -C 78 14WC 34381 WESOLEK, K WENDY MCHENRY COUNTY 06/01/14 MADSEN SUGDEN & GOTTEMOLLE WIEDNER & MCAULIFFE LTD 79 14WC 35125 COTTONE, LAWRENCE MENARD'S 12/11/12 KOCH & ASSOCIATES CHILTON YAMBERT PORTER LLP 80 14WC 36676 SATKIEWICA, KHALIA MCHENRY COUNTY SHERIFF 10/16/14 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 81 14WC 37288 MANESS, DWIGHT MCHENRY COUNTY SHERIFF 10/16/14 BRILL & FISHEL WIEDNER & MCAULIFFE LTD 82 14WC 37422 PAGE, JAMES FEDERAL EXPRESS 07/22/14 LEO ALT HANSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 14WC 37638 ROMERO, CARLOS NEW WERNER HOLDING CO INC 04/03/13 MARTIN V KUGIA THOMAS & PORTELA 84 14WC 38286 COLEMAN, EGAN AKMG LLC W 05/13/14 WOODRUFF & JOHNSON CRAIG & CRAIG 85 14WC 38555 OGLE, RICHARD CATALENT PHARMA SOLUTIONS 05/30/14 HANNIGAN & BOTHA, LTD LITCHFIELD CAVO 86 14WC 39084 GONZALEZ, JOSE LUIS METRO STAFFING 08/14/14 BOTTO GILBERT 87 14WC 39618 BUSCH, JAMES AMERICAN PALLET INDUSTRIE 07/30/14 BRADY CONNOLLY & MASUDA PC 88 14WC 40084 ODDO, LARRY D CENTEGRA HEALTH SYSTEM 10/01/13 GUMMERSON & RAUSCH LLC MACIOROWSKI SACKMANN & ULRIC 89 14WC 40480 RAMOS, ANDRES SNAP-ON-TOOLS 09/05/14 WOLFE LAW PC GILDEA & COGHLAN 90 14WC 40907 KOTSY, AMANDA STATE OF ILLINOIS @ 07/26/13 STEVEN H MEVORAH & ASSOCIA ASSISTANT ATTORNEY GENERAL 91 14WC 41106 SANCHEZ-PEREZ, SANTIAGO IRFAN NASIR AND USMAN CHE 06/14/14 EPSTEIN, JACK R LAW OFFICE 92 14WC 42385 MYLES, MELVIN COVIDIAN 08/12/14 COHN LAMBERT RYAN & SCHNEI POWER & CRONIN LTD 93 14WC 42770 SNOW, BRANDON COPENHAVER CONSTRUCTION 10/30/14 94 15WC 00245 ROBELET, VICTOR P CRYSTAL LAKE PD 08/19/14 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 95 15WC 01072 ORTIZ-SEQUEIRA, JAIME PORK KING PACKING INC 11/29/14 PORRO NIERMANN & PETERSEN RODDY LAW LTD 96 15WC 01272 RODRIQUEZ, MARIA E MODERN ABRASIVE CORP. 05/12/14 TARADASH LAW OFFICE 97 15WC 02211 KEARNS, DACIA L WILLIAMS SONOMA 02/01/13 FRANKS, GERKIN & MCKENNA P BRADY CONNOLLY & MASUDA PC 98 15WC 02341 CASTANEDA, DANIEL JAN-AIR INC 11/12/14 BOTTO GILBERT GEHRIS 99 15WC 02577 MACLACHLAN, PEARL CONSOLIDATED SCHOOL DIST 10/28/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 100 15WC 03793 ANGEL, RACHELLE WATLOW 04/26/13 NEWLAND & NEWLAND HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 15WC 04372 ZUNIGA, RICK TREND GRAPHICS 01/05/15 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 102 15WC 05321 SALINAS. ADRIANA ACCURATE PERSONNEL SERVIC 01/16/15 JOHN S. ELIASIK MC ANDREWS & NORGLE LLC 103 15WC 05768 GONZALEZ, DEMETRIO KING PORK CO 02/10/15 ANKIN LAW OFFICE RODDY LAW LTD 104 15WC 06005 MURO, SANDRA METRO STAFF INC 03/06/14 JOHN P GOGGIN FRANCIS J DISCIPIO LAW OFFIC 105 15WC 06089 ALONSO, MARIA G WEBER 10/04/14 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 106 15WC 06186 SLOVE, DANIEL CITY OF CRYSTAL LAKE 09/14/11 BLACK & JONES POWER & CRONIN LTD 107 15WC 06448 ZEPEDA, SERAFIN PORK KING PACKING 06/26/14 BLACK & JONES 108 15WC 06489 LARSON, STACY SUPERIOR COATING 09/02/14 BLACK & JONES HOLTKAMP LIESE ET AL 109 15WC 06885 PUZZO, CHRISTOPHER CORPORATE SERVICES INC 01/23/15 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 110 15WC 08509 FRANZONE, DEBRA CENTEGRA HEALTH SYSTEMS 12/02/14 DIAMOND & LESUEUR PC MACIOROWSKI SACKMANN & ULRIC 111 15WC 08685 HRIBAL, SARAH ANDROID INDUSTRIALS/AL BE 10/15/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 112 15WC 08818 MANCILLA, ANGEL E A SWEEN CO 02/13/15 SMOLER LAW OFFICE, PC 113 15WC 09066 ROJAS, LEODEGARIO AC HOME CONSTRUCTION 10/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 114 15WC 09908 LIEBMANN, ADAM MJB MARKETING DBA 04/19/13 KEVIN P. JUSTEN PC 115 15WC 10661 DEVITT, FRANKIE ELBURN FIRE DEPT 10/02/13 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 116 15WC 11001 CARTWRIGHT, STACI IAC 10/07/14 BLACK & JONES GANAN & SHAPIRO 117 15WC 11548 ALDANA, MARIA COVIDIEN, LTD. 03/23/15 MARKS INJURY LAW POWER & CRONIN LTD 118 15WC 11764 WAGNER, DANIEL JOHN CRANE INC 10/16/12 MADSEN SUGDEN & GOTTEMOLLE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 15WC 12200 NEESE, TIMOTHY M. CJ'S SEAMLESS GUTTERS, LL 03/16/15 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 120 15WC 12551 ROMAN, ANA MARIA ADDUS HOME CARE INC 12/31/14 LAW OFFICE OF JAMES URTIS HENNESSY & ROACH PC 121 15WC 12622 FROST, JACK JR GREAT LAKES FIRE & W 03/18/15 SOSTRIN AND SOSTRIN PC CAMPION CURRAN LAMB 122 15WC 12834 JONES, ANDREW SDR LOGISTICS INC 04/06/15 NYHAN BAMBRICK KINZIE & LOWR 15WC013617 -C 123 15WC 12895 ROWE, MATHA NORTHERN ROSE HOME HEALTH 03/03/14 GOLDBERG WEISMAN & CAIRO L 124 15WC 13267 ELIZARRARAZ, EULALIO RYASCAPE, INC. 03/30/15 PARENTE & NOREM PC COZZI & GOGGIN-WARD 125 15WC 13651 DVORKA, DAVID ELECTRIC CONDUIT CONSTRUC 06/02/14 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 126 15WC 15480 GOMEZ, ADOLFO TOLENTINO TRUCKS 06/09/14 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 127 15WC 15774 NIEZGODZKI, LAURA A EUROPEAN SERVICES AT HOME 11/10/14 GREG TUITE & ASSOC INMAN & FITZGIBBONS 128 15WC 15834 LAWYER, RONNIE IL DEPT OF NATURAL RESOUR @ 12/10/13 ASSISTANT ATTORNEY GENERAL 129 15WC 16424 SCHMEICHEL, THOMAS SPITSON MASONRY INC 03/04/15 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 130 15WC 18546 WOODBURN, SHARON FABRIK INDUSTRIES 04/20/15 NEWLAND & NEWLAND GILDEA & COGHLAN 15WC024886 -C 131 15WC 19270 HARRIS, SAVANNAH PANERA BREAD 04/27/15 GESMER LAW OFFICES, PC COZZI & GOGGIN-WARD 132 15WC 20112 FINKE, JOHN INTERSTATE INTERIORS INC 06/05/14 FRANKS, GERKIN & MCKENNA P COZZI & GOGGIN-WARD 133 15WC 20236 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 04/14/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 15WC028908 -C 134 15WC 20609 BRECEDA, JUAN KNAACK LLC/WERNER MANUFAC 07/31/14 THOMAS J STIBERTH LAW OFFI THOMAS & PORTELA 135 15WC 20970 GARCIA, THANIA M. MCDONALDS 06/06/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 136 15WC 21639 TIBBLE, JOSHUA CARE FREE WINDOWS 06/23/15 GESMER LAW OFFICES, PC 137 15WC 22112 LACHER, KRISTINE J NIPPERSINK SCHOOL DISTRIC 04/08/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 138 15WC 22198 ESCOBAR, VERONICA CRV ELECTRONICS 12/12/14 BOTTO GILBERT LAW OFFICES JOSEPH MARCINIAK 139 15WC 22518 UPHAM, APRIL TOTAL SYSTEMS ROOFING, IN 12/03/14 RIDGE & DOWNES WOLF LAW LTD 140 15WC 22757 SOLANO, RAUL MARENGO TOOL AND DIE WORK 06/19/15 KATZ FRIEDMAN EAGLE ET AL ROBERT L. SMITH 141 15WC 23216 FIGUEORA, JESUS HEARTH AND HOME 06/04/15 BOTTO GILBERT GILDEA & COGHLAN 142 15WC 25610 ALLEN, CHARLES AT & T SERVICES, INC. 07/15/15 STROM, NEAL B HENNESSY & ROACH PC 143 15WC 25910 VELLE, LUIS LIFE TIME FITNESS 04/21/15 KUMLIN & FROMM 144 15WC 26484 HORNE, CHRIS SPANLINK COMMUNICATIONS I 07/15/15 ZANCK COEN WRIGHT & SALADI NYHAN BAMBRICK KINZIE & LOWR 145 15WC 26679 YOUNGLOVE, JILL MC HENRY CO. ANIMAL CONTR 07/05/15 LEE, MARK N LAW OFFICE ELMAN & EHARDT LTD 146 15WC 26897 MELCHOR, FIDEL WEBER-STEPHEN PRODUCTS, L 10/23/14 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 147 15WC 27305 PETERS, KENNETH E CUNAT INC 05/07/15 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 148 15WC 27591 AUBERT, MARIA COILCRAFT, INC. 06/09/15 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 149 15WC 29092 GONZALEZ, JOSE EXTENDED HOME LIVING SERV 09/11/14 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 15WC029093 -C 150 15WC 29613 SCHWANTZ, EDWARD PEPSICO 06/16/15 KUMLIN & FROMM 151 15WC 29832 BOYCE, MICHAEL J WEBER GRILL 04/06/15 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 152 15WC 30315 WARNER, AMANDA ALEXANDER LEIGH CENTER 06/01/15 CLARK FROST 153 15WC 30760 VILLANUEVA, HORTENCIA KRAFT FOODS GROUP, INC 07/09/13 JOHN C SERKLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 154 15WC 31439 DORADO, ROBERTO POTSIE;S INC. 09/15/15 NEMEROFF LAW OFFICES BRADY CONNOLLY & MASUDA PC 155 15WC 32157 FERRER, ALEXE EARTH PEST CONTROL CO. 08/26/15 RONALDSON & KUCHLER 156 15WC 32751 ROMERO, JESUS MARIANI ENTERPRISES INC. 03/26/15 GRANT & FANNING 157 15WC 32874 PERKINS, SHAUN MATRIX RESOURCES 08/20/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 158 15WC 33596 KEARNS, CINDY HUNTLEY COMMUNITY 06/01/15 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 159 15WC 34820 LANE, BRIAN DYLAN'S PUB 02/10/15 DWORKIN AND MACIARIELLO 160 15WC 34979 MIRELES-ALVARADO, MARLENE FOLLETT LIBRARY RESOURCES 04/22/15 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 161 15WC 35455 WILSON, TIMOTHY L COMPLETE PERSONNEL LOGIST 08/22/15 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 162 15WC 38696 CONNORS, ROXANNE MEMORIAL MEDICAL CENTER 10/05/15 TARADASH LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 163 15WC 42140 THOMPSON, DEBBIE GEORGE R JUSTEN & SON FUN 05/23/14 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 164 16WC 01002 TRUJILLO, DIEGO TC INDUSTRIES 07/30/15 POLANSKY & CICHON CHTD HENNESSY & ROACH PC 165 16WC 02000 NEVAREZ-GARCIA, TAMARA BAG MAKERS 10/01/15 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 16WC012545 -C 17WC002530 -C 17WC002531 -C 166 16WC 02406 SAGO, BERNARD MDC DISPOSAL 12/21/15 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR 167 16WC 02559 IRACHETA, RITCHARD TRADESMEN INTERNATIONAL 10/09/14 SCOTT BARBER RODDY LAW LTD 168 16WC 04207 PLUHM, FRANK CITY OF GENOA 11/20/14 RICHARD O. GREENFIELD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 169 16WC 04251 KRUZEL, CANDANCE ALDI MCHENRY 06/07/15 HANNIGAN & BOTHA, LTD MACIOROWSKI SACKMANN & ULRIC 170 16WC 05144 KRUCEK, ALICE FOLLETT CORPORATION 05/17/13 JAMES P. TUTAJ RIPES NELSON BAGGOT KALOBRAT 16WC005145 -C 16WC005146 -C 171 16WC 05828 HERNANDEZ, ESTHER KRAFT FOODS 07/24/15 JOHN J CASTANEDA 172 16WC 06052 RAMIREZ, JOSE ELGILOY SPECIALTY METALS 03/15/13 RICHARD E ALEKSY POWER & CRONIN LTD 173 16WC 06159 BOUCHAREUNE, SOUVAHN DIRECT DIMENSION INC 10/21/15 TARADASH LAW OFFICE GANAN & SHAPIRO 174 16WC 06372 COSTAN, SUSAN A COMMUNITY HIGH SCHOOL DIS 02/03/16 LOCASCIO, MARK A LTD 175 16WC 08948 QURESHI, MOHAMMED STATE OF IL-IDOT 12/22/15 KROL BONGIORNO & GIVEN LTD ASSISTANT ATTY GENERAL 176 16WC 09559 MANCHESTER, THOMAS S CITY OF HARVARD 08/11/14 MADSEN SUGDEN & GOTTEMOLLE RUSIN & MACIOROWSKI LTD 177 16WC 10865 BIENIARZ, KRZYSZTOF A-1 DAKUM, INC. 09/24/15 BELLAS & WACHOWSKI GAROFALO SCHREIBER STORM 178 16WC 11879 FINNEGAN, DANIEL P SIEMENS INDUSTRY, INC 02/02/16 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 179 16WC 12130 WITTKAMP, LUCAS NORTHERN IL TILE & TERRAZ 01/04/16 GREGORIO & MARCO RODDY LAW LTD 16WC012131 -C 180 16WC 12195 HOKE, DALE R JEWEL OSCO 03/25/16 BOTTO GILBERT BRADY CONNOLLY & MASUDA PC 181 16WC 12264 FIGUEROA, ROSY MCDONALD'S 03/19/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 182 16WC 12642 CERDA, JUAN J SERV-ALL DIE AND TOOL COM 03/15/16 HART & DAVID LLP 183 16WC 12929 CYGNAR, JAMES VILLAGE OF CARY 03/18/16 RICHARD O. GREENFIELD 184 16WC 13046 LAMBERT, HEIDI ELGILOY SPECIALTY METALS 09/13/15 ELFENBAUM EVERS & AMARILIO POWER & CRONIN LTD 185 16WC 13279 ORTEGA, JOSE AEROTEK 03/29/16 GORDON LAW OFFICES LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 16WC 13515 HUBER, PHILLIP L WAL-MART 01/30/16 FRANKS & RECKENBERG GANAN & SHAPIRO 187 16WC 14221 AVILES, MARIO HT LUMBER & CRATES 05/04/15 COSTA IVONE LLC 188 16WC 14319 TELLADO, ROSE WHOLE FOODS MARKET 02/15/16 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 189 16WC 14626 HERNANDEZ, DAVID WASTE MANAGEMENT 01/26/16 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 190 16WC 15550 ROMERO, IVAN BUSS FORD LINCOLN 10/27/14 NEWLAND & NEWLAND QUINTAIROS PRIETO WOOD & BOY 191 16WC 16083 MOYER, CORY LEVEL CONSTRUCTION INC. 01/27/16 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 192 16WC 16257 MONTGOMERY, SCOTT ART VAN FURNITURE 03/23/16 BARRY STEWART SILVER HOLECEK & ASSOCIATES 193 16WC 16335 GARLAND, JASON M WOODSTOCK HEATING CO. 04/27/16 FRANKS & RECKENBERG 194 16WC 16609 ACEVEDO, SUSANA KENNA META/EXTRUDE HOME 11/02/15 LAW OFFICE OF SCOTT B SHAP 195 16WC 17008 MORALES, GLORIA NOVATION INDUSTRIES 09/02/15 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 196 16WC 17013 CASSIDY, LINDA S CRYSTAL ICEHOUSE 03/13/16 CULLEN HASKINS NICHOLSON 197 16WC 17423 MARTINEZ, LUCIA LEICA BIOSYSTEMS, INC. 10/28/15 COLLISON LAW OFFICES GILDEA & COGHLAN 198 16WC 17882 ACEVEDO, SUSANA KENNA METAL/EXTRUDE HOME 11/03/15 LAW OFFICE OF SCOTT B SHAP 199 16WC 17976 SCHROEDER, SHAUN CITY OF ELGIN 06/13/14 MURPHY & MURPHY FRED J BEER LAW OFFICES 200 16WC 18834 JUAREZ, OSBALDO HUNTLEY PARK DISTRICT 05/07/16 LAW OFFICES LEONARDO MORAL 201 16WC 19169 CHARO, ROBERT WEBER STEPHENS 03/24/16 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK 202 16WC 19908 TROSSKOPF, EDWARD MEIJER 06/16/16 DWORKIN AND MACIARIELLO ALLEN & NEWMAN 203 16WC 20292 DECICCO, ALYSON HOME DEPOT 05/03/15 KEVIN P. JUSTEN PC ADELSON TESTAN & BRUNDO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 16WC 21227 QUINTANA, DINORA WEBER-STEPHEN PRODUCTS, L 05/04/16 JOHN J CASTANEDA 205 16WC 21283 TRACY, LISA CITY OF CRYSTAL LAKE 09/10/15 BOWMAN & CORDAY 206 16WC 21550 OKRAY, CONNIE THE SPRINGS OF CRYSTAL LA 03/16/16 ATSAVES, LOUIS G LTD BRADY CONNOLLY & MASUDA PC 207 16WC 21574 REESE, JOHN PEP WAUCONDA 04/18/14 CAPRON & AVGERINOS PC LAW OFFICES JOSEPH MARCINIAK 208 16WC 21848 BRITO, JACQUELINE THREE OAKS ASSISTED LIVIN 05/03/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 209 16WC 22093 HOMOLA, NANCY CONSOLIDATED SCHOOL DIST 05/20/16 OWENS & LAUGHLIN LLC 210 16WC 22195 AMICK, PAULA MCHENRY COMMUNITY CONS 12/18/15 HANNIGAN & BOTHA, LTD 16WC022196 -C 211 16WC 22668 GRANDT, TAMARA I WORKING WORLD, INC. 01/05/16 FRANKS & RECKENBERG BRADY CONNOLLY & MASUDA PC 212 16WC 22856 RIVERA, CANDIDA LABOR NETWORK 05/26/15 GOLDBERG & DOHAN ROBERT L. SMITH 213 16WC 23143 TEJEDA, CIRILO MINERALLAC 06/28/16 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK 214 16WC 23603 LISAFIELD, JEFFREY CITY OF MCHENRY 06/23/15 HEALY SCANLON LAW FIRM ANCEL GLINK DIAMOND BUSH & E 215 16WC 23687 VANCE, DENNIS E UNION SPECIAL, LLC 03/24/15 GESMER LAW OFFICES, PC RODDY LAW LTD 216 16WC 24402 COX, BRIAN CARMICHAEL CONSTRUCTION 07/08/16 MARKS INJURY LAW 217 16WC 24564 TORRES, JOSE ZARATE SERV-ALL 06/06/16 HANNIGAN & BOTHA, LTD MCANANY VANCLEVE & PHILLIPS 218 16WC 25650 JOHNSON, MARIA STRLCHECK CHIROPRACTIC CL 10/21/15 TARADASH LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 219 16WC 26339 HIVON, TERRENCE CENTEGRA HEALTH SYSTEM 03/23/15 CLARK FROST MACIOROWSKI SACKMANN & ULRIC 220 16WC 26368 RODRIGUEZ, TITO ELILOY SPECIALTY METALS 05/16/16 GESMER LAW OFFICES, PC 221 16WC 27040 FREDERICK, GRANT HERITAGE CRYSTAL CLEAN IN 11/03/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 16WC 27803 FERNANDEZ, PEDRO SORIA SEBERT LANDSCAPING 04/07/16 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 223 16WC 27882 AVILLA, JOSE LUIS ERICK AVILLA & LUIS AVILA 01/20/16 SALGADO, DAVID L 224 16WC 28639 RAMIREZ, BERTHA INDUCTION HEAT TREATING 03/15/16 BOTTO GILBERT 225 16WC 28686 QUICK, PATRICK ELGILOY SPECIALTY METALS 04/07/16 BLACK & JONES POWER & CRONIN LTD 16WC028687 -C 226 16WC 29080 COLLINS, ANTHONY ALANTIC TRACK & TURNOUT C 12/28/15 GRAHAM J. JEEP 227 16WC 30025 LORUSSO, NICK ELECTRONIC FOR IMAGING 10/27/15 COLLISON LAW OFFICES 228 16WC 30118 RUIZ, VICTORINO PORT EDWARDS RESTAURANT 06/27/16 LAW OFFICE ROBERTO ACEVEDO LAW OFFICES JOSEPH MARCINIAK 229 16WC 30393 CEJA, FERNANDO M BERUMEN TREE SVC, INC 07/20/16 RUSIN & MACIOROWSKI LTD 230 16WC 31368 BARAN-TKACS, MARY C JEWEL FOOD STORE, INC 03/20/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 231 16WC 31393 CAUDLE, KENNETH D HUNTLEY FIRE PROT DISTRIC 04/11/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 232 16WC 31518 BAKER, SCOTT CUSTOM ALUMINUM PRODUCTS 06/21/16 TURNER & SACKETT LLC 233 16WC 32730 HERNANDEZ, ERIC TC INDUSTRIES INC 09/30/16 LAW OFFICES OF ANSELMO DUR 234 16WC 33003 PENA, MARY C TRUE VALUE 09/21/16 FRANKS, GERKIN & MCKENNA P 235 16WC 33411 KLEPARSKI, DALE THOMPSON LINEAR AKA DANAH 07/31/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 236 16WC 33854 SCHROEDER, ADRIAN COMMUNITY ACTION AGENCY 12/12/13 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 237 16WC 34035 EVANS, DENISE CASEY'S GENERAL STORE 06/28/16 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 238 16WC 34386 BAUMANN, BRIAN SUSTAINABLE STAFFING INC 10/03/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 239 16WC 34463 UDESEN, JAMES MCHENRY COUNTY SHERIFF 09/15/16 THOMAS J STIBERTH LAW OFFI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 16WC 34494 HUDSON, JESSICA CRYSTAL LAKE SCHOOL DIST 10/20/16 GOLDBERG WEISMAN & CAIRO L 241 16WC 34729 ESPEJEL, MARGARITA PEKIN INSURANCE 06/28/16 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD 242 16WC 34917 LOCKE, TERENCE O'REILLY AUTO ENTERPRISES 11/04/16 ALBERT R. PINO LAW OFFICE HENNESSY & ROACH PC 243 16WC 35060 HARRIS, WENDY D FRESENIOUS KIDNEY CARE 10/25/16 FIGLIOLI, DAVID 244 16WC 35275 CASTANEDA, BLANCA BESTMETAL CORP 10/28/15 LINN, CAMPE & RIZZO LTD HOLECEK & ASSOCIATES 245 16WC 35613 MAYA-ESQUIVEL, SERGIO PROTECT-ALL INNOVATIVE 03/28/16 ALBERT R. PINO LAW OFFICE 246 16WC 36469 BROCK, DANIELLE ANGELO'S MARKET, INC. 08/21/16 CLARK FROST ROSARIO CIBELLA 247 16WC 36931 RAVEN, JEFFREY A SUPER MIX 02/10/16 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 248 16WC 37079 DAHL, ANDREA MARIE G2 REVOLUTION LLC 08/24/16 PETER D CORTI LAW GROUP PERRY GENTILE 249 16WC 37169 PETTIGREW, JAY UNICARRIERS AMERICAS CORP 11/15/16 BLACK & JONES 250 16WC 37703 RANDALL, ELIZABETH DONLEY'S WILD WEST TOWN 06/26/16 BLACK & JONES GANAN & SHAPIRO 251 16WC 38205 DOMINQUEZ, BALVINA WEBER-STEPHEN PRODUCTS LL 05/06/16 WHITESIDE & GOLDBERG LTD 252 16WC 38361 COLLINS, CHRISTOPHER NILCO INC 06/29/16 FRANKS, GERKIN & MCKENNA P 253 16WC 38923 REYES, MARTHA WEBER STEPHEN PRODUCTS 12/14/16 HERRERA LAW CENTER 254 16WC 39218 JOHNSON, DRU SURESTAFF 10/24/16 BLACK & JONES SURE-STAFF 255 16WC 39288 HANRAHAN, JOANNE F CENTEGRA HEALTH SYSTEMS 05/16/16 FRANKS & RECKENBERG MACIOROWSKI SACKMANN & ULRIC 256 17WC 00021 THOMPSON, TERESA ARNOLD ENGINEERING 11/01/16 RIDGE & DOWNES 257 17WC 00520 REBECCA, JIM ARAMARK 12/29/16 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 17WC 00898 ADAMS, DANIEL ILLINOIS STATE TOLL HWY A 10/26/16 WILLIAMS MCCARTHY LLP GANAN & SHAPIRO 259 17WC 00921 NEUKIRCH, ARMINDA ILLINOIS DEP OF REHABILIT @ 06/27/16 HANNIGAN & BOTHA, LTD HELEN LOZANO 260 17WC 01088 CORTES, IGNACIO SALINAS SAGE PRODUCTS 11/05/16 BOTTO GILBERT 261 17WC 01626 MAHLER, ROBERT THORNE ELECTRIC, INC 11/03/16 GOLDBERG WEISMAN & CAIRO L 262 17WC 01792 DAVOLI, PETER MENARDS 10/01/15 BRAD J. BALKE, PC 263 17WC 02063 MILLER, MICHAEL W VILLAGE OF FOX RIVER GROV 11/02/16 FIGLIOLI, DAVID 264 17WC 02244 RODIO, MIKE GENERAL KINEMATICS 10/13/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 265 17WC 02602 DUFFEY, DENNIS KWCC, INC. 12/16/16 LAW OFFICES MICHAEL HELLMA 266 17WC 03034 CLIFFORD, MELISSA ALDI INC 09/10/16 ARIANO HARDY NYULI JOHHSON MACIOROWSKI SACKMANN & ULRIC 267 17WC 03671 TRIPLETT, JASON DIRECT DRIVE EXPRESS 01/16/17 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 268 17WC 03831 DEGRAAF, STEPHEN MARTAM CONSTRUCTION 07/30/16 HORWITZ HORWITZ & ASSOC 269 17WC 04105 ARGUELLES, EDGAR CHARTER DURA-BAR 05/16/16 DWORKIN AND MACIARIELLO 270 17WC 04238 BLAKE, ROSAFE FOLLETT SCHOOL SOLUTIONS 11/05/16 FRANKS, GERKIN & MCKENNA P 271 17WC 04425 JULIAN, MICHAEL J ICON MODERN INC 12/31/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 272 17WC 04749 MARIN, ALVARO MAINES PAPER & FOOD SVCS, 12/12/16 JONATHAN SCHLACK 273 17WC 04838 DEKEYSER, DANIEL ATLANTIC TRACK & TURNOUT 11/04/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 274 17WC 05029 GARCIA, DANIEL TRUE VALUE 07/25/16 GOLDSTEIN BENDER & ROMANOF 275 17WC 05195 GAZZANO, JILL A KOHLS DEPT STORES, INC 12/03/15 DIAMOND & LESUEUR PC CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 17WC 05280 GOLLADAY, ANINA KOUNTRY PET RESORT 12/23/16 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 277 17WC 05613 SOTO, FEDERICO ILA TRUCK, INC 01/11/17 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 278 17WC 05633 MILLER, WILLIAM IL DEPT OF TRANSPORTATION 09/07/16 GOLDBERG WEISMAN & CAIRO L HELEN LOZANO 279 17WC 05751 MARTINEZ, REYNALDA KRAFT HEINZ CO 12/14/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 17WC005752 -C 280 17WC 06217 MEDINA, CHERYL MARENGO CAFE 10/20/16 FRANKS, GERKIN & MCKENNA P POWER & CRONIN LTD 281 17WC 06572 MAYO, VICTORIA SWIFT TRANSPORTATION 02/01/17 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD 282 17WC 06593 VEACH, KELSIE ALDI 10/12/16 COLLISON LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 283 17WC 06677 ELGANZOURI, MERVAT ARAMARK FOOD SERVICES 09/26/16 WHITING LAW GROUP 284 17WC 06984 STRICKLAND, CHARLES CRYSTAL LAKE INN CORP C/O 08/25/16 HETHERINGTON KARPEL BOBBER CHILTON YAMBERT PORTER LLP 285 17WC 07452 HANSEN, DENISE ALEXANDER KEIGH CTR FOR A 11/28/16 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 286 17WC 07687 KHOSHABA, MARTA SEARS 03/03/17 SEIDMAN MARGULIS & FAIRMAN GAROFALO SCHREIBER STORM 287 17WC 08093 KRUSE, HERBERT WOODSTOCK HIGH SCHOOL 01/23/15 MC HARGUE, JAMES P LAW OFF POWER & CRONIN LTD 288 17WC 08419 STRATMAN, PAIGE KOUNTRY PET RESORT 12/12/16 TURNER & SACKETT LLC 289 17WC 08688 LIVINGSTON, MARIO WEBER STEPHEN PRODUCTS 02/07/17 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 290 17WC 09371 HANSEN, DENISE ALEXANDER LEIGH CENTER 01/19/17 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 291 17WC 09482 ROSS, DANETTE CENTEGRA HEALTH SYSTEM 09/15/16 VOGG, MARK J LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 292 17WC 09947 GARCIA, MARCO FYH BEARINGS 03/03/17 WOLFE LAW PC WOLFE & JACOBSON, LTD 293 17WC 10198 FRAIRE, JORGE AMERICA'S BATH COMPANY 01/12/17 CARONE LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 17WC 10349 MARTINEZ, PAPHANY ALPHA SWISS INDUSTRIES, I 12/06/16 BLACK & JONES GAROFALO SCHREIBER STORM 295 17WC 10523 ROTH, KATHLEEN CARY POLICE DEPT 01/17/17 HEALY SCANLON LAW FIRM 296 17WC 10630 SANCHEZ, JULIA ALPHA SWISS INDUSTRIES 01/26/17 BOTTO GILBERT 297 17WC 10763 GRAPENTHIEN, GERALD EAGLE EXPRESS LINES INC. 03/28/17 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 298 17WC 11158 KINDER, FREDRICK GUARDIAN ELECTR MANUFACTR 09/21/15 MADSEN SUGDEN & GOTTEMOLLE GANAN & SHAPIRO 299 17WC 11237 SOTO, MARIA IRMA CARLSON BUILDING MAINTENA 03/18/17 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 300 17WC 11417 RAMOS, MARIA MEDTRONIC 06/15/16 WOODRUFF & JOHNSON POWER & CRONIN LTD 301 17WC 11598 EHARDT, JOSEPH SNO-BELT INDUSTRIES, INC 11/09/15 CLARK FROST 302 17WC 11972 RODRIGUEZ, ARMANDO WEBER-STEPHEN PRODUCTS CO 04/03/17 SALK, STEVEN B & ASSOC LTD 303 17WC 12445 ORTIZ, EDGAR KNAACK LLC 04/27/16 TARADASH LAW OFFICE 304 17WC 12962 THOUNSAVATH, PHOUGEUN BAG MAKERS INC 07/11/16 LEONARD LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 305 17WC 13455 LOPEZ, REYNA BAG MAKERS INC 04/18/16 BLACK & JONES POWER & CRONIN LTD 306 17WC 13533 PRADO, TERESA WEBER-STEPHEN PRODUCTS LL 07/24/15 RAYMOND M SIMARD, PC 307 17WC 14188 RUSSELL, DANIEL INTERMATIC 07/21/16 LINN, CAMPE & RIZZO LTD THOMAS & PORTELA 308 17WC 14326 THOMAS, GABRIEL MICHAELS STORE 03/12/16 ALBERT R. PINO LAW OFFICE 309 17WC 14586 MEZA, JUAN TRUE VALUE MANUFACTURING 01/17/17 DWORKIN AND MACIARIELLO 310 17WC 14656 BOLDA, DANIEL JR CITY OF WOODSTOCK 07/29/14 BOWMAN & CORDAY ANCEL GLINK DIAMOND BUSH & E 311 17WC 14830 QUIMBY, DAVID HOLLAND MOTOR 02/27/17 GESMER LAW OFFICES, PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 17WC 15070 CLARK, JAMES D ROOF OPTIONS 04/25/17 HANNIGAN & BOTHA, LTD RIPES NELSON BAGGOT KALOBRAT 313 17WC 15183 FREDERICKS, GERALD ROCK SOLID STABILIZATION 10/19/16 JAMES P. TUTAJ BRYCE DOWNEY & LENKOV LLC 314 17WC 15298 CLARK, LINDA AS SURVIVING BELVIDERE/BOONE COUNTY FO # 09/10/14 CAPRON & AVGERINOS PC RIPES NELSON BAGGOT KALOBRAT 315 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC 316 17WC 15795 BOND, KIMBERLY R MEIJER 02/13/17 RUBIN LAW GROUP 317 17WC 15929 LEBRUN, JAY GENERAL KINEMATICS CORP. 04/27/16 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 318 17WC 16146 ROMITO, DARRIN PROFESSIONAL INSPECTION 09/15/16 E JAMES RAYMOND 319 17WC 16264 BLOODWORTH, THOMAS AEROTEK 03/07/17 TARADASH LAW OFFICE HENNESSY & ROACH PC 320 17WC 16406 MATLOCK, ERIC JENSEN'S PLUMBING &HEATIN 10/18/16 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 321 17WC 16425 THERAULT, HOROLD SILVERSTAR DELIVERY LTD 05/28/17 STROM, NEAL B 322 17WC 16617 WILLIAMS, TREVOR THE BARN NURSERY & LANDSC 05/01/17 TARADASH LAW OFFICE CAPUANI & SCHNEIDER 323 17WC 16707 MORALES, GLORIA NAVATION INDUSTRIES 05/05/17 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 324 17WC 16987 DUCY, SADRAQUE HYDRAULIC SERVICES INC 07/06/16 GOLDBERG WEISMAN & CAIRO L 325 17WC 17186 STROMBACH, HANK RENT-A-CENTER 04/10/17 HANNIGAN & BOTHA, LTD KEEFE CAMPBELL & ASSOC LLC 326 17WC 17273 BRAWN, STEVEN CENTEGRA HEALTH SYSTEM 01/13/16 TARADASH LAW OFFICE 327 17WC 17423 BRUNETTI, DEBRA CENTEGRA HEALTH SYSTEM 03/21/17 SCOTT BARBER MACIOROWSKI SACKMANN & ULRIC 328 17WC 17663 RIVAS, JESUS SAGE PRODUCTS, INC 02/24/16 TARADASH LAW OFFICE WIEDNER & MCAULIFFE LTD 329 17WC 17770 BURTON, HEATHER A BETHESDA LUTHERAN 06/04/17 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 17WC 18092 MICHELIN, KATHY JEWEL-OSCO 11/04/16 KATZ FRIEDMAN EAGLE ET AL 331 17WC 18176 WALQUIST, KATHIE BUFFALO WILD WINGS 01/24/17 KEVIN P. JUSTEN PC LAW OFFICES JOSEPH MARCINIAK 332 17WC 18359 PENA, JUAN ZNA INNOVATIONS, INC D/B/ 05/08/17 DOUGLAS RALLO PC COZZI & GOGGIN-WARD 333 17WC 19150 MOON, MICHAEL EPSON AMERICA INC 12/22/14 DUDLEY & LAKE LLC 334 17WC 19941 STOCKLEY, MARK VILLAGE OF FOX RIVER GROV 06/13/17 JOHN E LUSAK ANCEL GLINK DIAMOND BUSH & E 335 17WC 19965 HERNANDEZ, MARIO MIDWEST DRYWALL & ACOUSTI 04/13/17 HART & DAVID LLP 336 17WC 20055 RODRIGUEZ, YESENIA COMMUNITY SCHOOL DIST 155 02/02/17 BOTTO GILBERT NYHAN BAMBRICK KINZIE & LOWR 337 17WC 20359 GOMEZ, MARIA ECU STAFFING MULTI-SERVIC 04/24/17 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 338 17WC 20369 AGUIRRE, IRMA APTAR CARY 10/19/16 CHEPOV & SCOTT LLC 339 17WC 20590 JONES, PATRICIA COMMUNITY SCHOOL DIST 155 02/09/17 FRANKS, GERKIN & MCKENNA P 340 17WC 21044 ROSARIO, DOROTHY DELTA-THERM CORPORATION 05/06/16 ALBERT R. PINO LAW OFFICE 341 17WC 21701 KAUFMANN, MICHAEL R MKD ELECTRIC CO 05/22/17 GIACOBBE, THOMAS M 342 17WC 21867 COLUMBUS, JOSEPH K ALEXANDER LUMBER COMPANY 03/01/17 MEYERS & FLOWERS 343 17WC 22029 HAMILTON, GRANT CENTEGRA HEALTH SYSTEMS 08/05/14 ASHER, RAYMOND L LTD MACIOROWSKI SACKMANN & ULRIC 344 17WC 22248 KHOLLMAN, ELIZABETH AMY'S HALLMARK 12/28/16 LAW OFFICE OF SCOTT B SHAP INMAN & FITZGIBBONS 345 17WC 22568 ROMO, JESUS AVILA NORTHWEST WOOD PRODUCTS 05/30/17 EVAN A HUGHES LAW OFFICE 346 17WC 22762 KAZMINSKI, LORI WAL MART * 10/07/16 LAW OFFICE RICHARD BINGHAM GANAN & SHAPIRO 347 17WC 22903 PENA-FRANC, MARLENE C CASEY'S GENERAL STORES, I * 07/18/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 17WC 22975 RICHARDSON-WEIBERG, PATTI HUNTLEY SCHOOL DISTRICT # * 01/10/17 MADSEN SUGDEN & GOTTEMOLLE 349 17WC 23354 KEENAN, MICHAEL T. AT&T DBA ILLINOIS BELL * 04/12/17 FIGLIOLI, DAVID 350 17WC 23413 ALEMAN, ADAM PLASPROS, INC * 08/09/16 EFTEKHARI LAW OFFICES 351 17WC 23491 SANCHEZ, YOANA HERITAGE WOODS OF MCHENRY * 07/14/17 DUDLEY & LAKE LLC POWER & CRONIN LTD 352 17WC 23631 RAVEN, JOSEPH A POINT READY MIX LLC * 04/04/17 KROL BONGIORNO & GIVEN LTD GANAN & SHAPIRO 353 17WC 23827 FICHTER, ANGELO ACCURATE PERSONNEL SERVIC * 06/12/17 NEMEROFF LAW OFFICES 354 17WC 24210 MONTOYA, RAUL CONSOLIDATED MATERIALS IN * 06/23/17 O'CONNOR & NAKOS 355 17WC 24385 HEIDT, LENNY CRYSTAL LAKE SD #47 * 08/31/16 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 356 17WC 24456 ALVARADO, JESUS MANUEL CRYSTAL LAKE * 06/09/17 CHEPOV & SCOTT LLC 357 17WC 24708 ANGELES, LOURDES TRU-CUT, INC * 02/06/17 FRANKS & RECKENBERG 358 17WC 24849 RINCON, ABERLARDO MAASS MIDWEST * 04/28/17 LAW OFFICE ROBERTO ACEVEDO 359 17WC 24984 HORAN, CYNTHIA CENTEGRA HEALTH SYSTEMS * 06/16/17 WHITESIDE & GOLDBERG LTD MACIOROWSKI SACKMANN & ULRIC 360 17WC 25247 KULINSKI, MICHAEL ARNTZEN * 08/10/17 DWORKIN AND MACIARIELLO 361 17WC 25285 KENNEDY, MICHAEL A SHINDLER ELEVATOR * 12/22/16 LAW OFFICE OF KEVIN O'BRIE 362 17WC 25348 PEREZ, ROSALINDA CRYSTAL LAKE SCHOOL DIST * 07/05/17 SOSTRIN AND SOSTRIN PC 363 17WC 25538 MARKHAM, RALPH OZINGA BROTHERS * 02/27/17 E JAMES RAYMOND 364 17WC 25678 SULLIVAN, JULIE INDUSTRIAL FENCE INC * 07/31/17 GREGORIO & MARCO 365 17WC 25859 ISPAS, JOVANKA FRESH TIME MARKET/LAKES * 07/26/17 FRANKS & RECKENBERG COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 17WC 26011 JONES, GREGORY UNITED PARCEL SVS * 12/20/16 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 367 17WC 26103 WEBB, MICHAEL CONSERV FS INC * 09/19/14 WIEDNER & MCAULIFFE LTD 368 17WC 26300 MARCHAND, RAYMOND A RUSHT RUCK CENTER/HUNTLEY * 02/09/17 LAW OFFICE OF GREGORY MART 369 17WC 26393 NOTEALEO, SAYSAMONE DIRECT DIMENSION, INC * 03/31/17 ANKIN LAW OFFICE 370 17WC 26453 HERNANDEZ, SANDRA SUSTAINABLE STAFFING, INC * 05/02/17 CULLEN HASKINS NICHOLSON 371 17WC 26628 LOVE, DAVID BW CONSTRUCTION * 10/15/15 RODDY LAW LTD 372 17WC 26747 ENRIQUEZ, EDUARDO METRO STAFFING * 06/14/17 CHRISTIAN & MANNO 373 17WC 27019 GRAY, DANIEL NIPPERSINK SCHOOL DIST 2 * 04/12/17 VOGG, MARK J LAW OFFICE 374 17WC 27690 COMBS, WILLIAM SYNAGRO CENTRAL, LLC * 08/21/17 BLACK & JONES 375 17WC 27922 BARAJAS, DIDIA L INDUCTION HEAT TREATING C * 08/19/14 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 376 17WC 27936 ALVARADO, GILBERTO P KNAACK, LLC * 11/13/16 FRANKS, GERKIN & MCKENNA P 377 17WC 28329 BRYAN, KURT WISTED'S SUPERMARKET * 11/05/15 NYHAN BAMBRICK KINZIE & LOWR 378 17WC 28454 DISMUKE, TERRELL PEOPLELINK STAFFING DYNAC * 09/05/17 DWORKIN AND MACIARIELLO 379 17WC 28619 MOTYKA, JASON EX-TECH PLASTICS * 09/10/17 TARADASH LAW OFFICE CASSANO & ASSOCIATES 380 17WC 28754 RUIZ, SUE ANN JEWEL FOOD STORES INC * 02/23/17 SOSTRIN AND SOSTRIN PC 381 17WC 28790 MENSING, JOURDAN CHICAGO PLASTIC SYSTEMS, * 02/02/17 WIEDNER & MCAULIFFE LTD 382 17WC 28816 WILBURN, ALICIA FAYETTE COUNTY HOSPITAL * 06/11/17 LAW OFFICE TARUN RANA 383 17WC 28817 DURBIN, KATHLEEN MCDONALD'S * 09/16/17 FOOTE MIELKE CHAVEZ & O'NE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 17WC 29021 MERAZ, JULIO WALNUT GROVE VOC FARM * 03/02/17 DWORKIN AND MACIARIELLO 385 17WC 29363 SOCHA, DAMIAN WALMART * 09/13/17 CHEPOV & SCOTT LLC GANAN & SHAPIRO 386 17WC 29567 GUSTUS, LIA TRADER JOE'S COMPANY * 05/25/16 GAROFALO SCHREIBER STORM 387 17WC 30079 BECKLINGER, ROSEMARY MINUTEMAN INTERNATIONAL I * 02/28/17 GRANT & FANNING 388 17WC 30190 MORRIS, KIMBERLY A COMMUNITY HIGH SCHOOL DIS * 09/18/17 CRONIN & PETERS 389 17WC 30347 LEUTIK, KARRIE A KELSEY'S CABIN, INC * 08/16/17 DIAMOND & LESUEUR PC 390 17WC 30576 HELMAN, DOUGLAS J ALGONQUIN TOWNSHIP * 10/19/16 JAMES M KELLY 391 17WC 30675 VANDERHEYDEN, RONALD VIOX SERVICES * 03/13/17 FRANCIS J DISCIPIO LAW OFF BRADY CONNOLLY & MASUDA PC 392 17WC 30807 KEITH, LINDA CENTEGRA HEALTH SYSTEM * 03/04/17 CORBOY & DEMETRIO PC 393 17WC 30877 JOHNSON, SANDY PABLO'S MEXICAN RESTAURAN * 04/15/16 DWORKIN AND MACIARIELLO 394 17WC 31027 REED, MICHAEL SEARS/ROEBUCK & CO. * 11/19/16 BLACK & JONES 395 17WC 31154 SCACCIA, TONYA GOODWILL INDUSTRIES NORTH * 06/07/17 ANKIN LAW OFFICE 396 17WC 31230 ROBERTS, PAMELA FOLLETT LIBRARY RESOURCES * 11/04/15 HANNIGAN & BOTHA, LTD 397 17WC 31541 MOLENDA, LAWRENCE A WALMART * 07/31/17 DAVID SZCZECIN & ASSOC 398 17WC 31618 RIVERA, MANUEL ROSBOROUGH PARTNERS, INC * 06/30/17 LAW OFFICES OF ANSELMO DUR 399 17WC 31735 CHAVERA, JOE MCHENRY TOWNSHIP * 08/08/17 DWORKIN AND MACIARIELLO 400 17WC 32175 LINNENKOHL, LANE NORMAN UTPADEL DAIRY * 07/31/12 HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOLLISON, GREGORY 095 ARBITRATION CALL FOR WOODSTOCK 52003 ON 12/06/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 401 17WC 32292 DELAPENA, JETRO ESCO TECHNOLOGIES, INC * 06/28/17 FRANKS, GERKIN & MCKENNA P