ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 … · 1 00wc 13281 voss, mary ann cigna healthcare 01/21/99 matthew t gubbins pc lorenz & bergin pc 00wc013286 -c 2 00wc 61429 pearson,

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 13281 VOSS, MARY ANN CIGNA HEALTHCARE 01/21/99 MATTHEW T GUBBINS PC LORENZ & BERGIN PC 00WC013286 -C 2 00WC 61429 PEARSON, ROY EVENS TRANSPORTATION SERV 09/25/00 GARRISON FABRIZIO & HANSON DAVID M SHIFFER 3 02WC 13907 19B CONWAY, THERESA EVEREST HEALTHCARE FRESEN 04/08/00 MARSZALEK AND MARSZALEK SPIEGEL & CAHILL, PC 4 02WC 26786 JOHNSTON, BARRY INEOS SILICATE 02/14/02 BLOCK, KLUKAS & MANZELLA P RUSIN PATTON MACIOROWSKI ETA 04WC029562 -C 5 03WC 26987 RITZ, ELIZABETH ST OF IL-DEPT OF CORRECTI @ 04/11/03 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 6 04WC 13698 RIZO, AURELIA ILL STATE POLICE-CRIME LA 01/09/96 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 04WC013699 -C IL STATE POLICE CRIME LAB 04WC013700 -C 04WC013736 -C ILLINOIS STATE POLICE 06WC006834 -C STATE OF ILLINOIS 10WC039044 -C ILLINOIS STATE POLICE- 7 05WC 05593 VOSATKA, FRANK RANGER, INC 02/07/02 BLOCK, BLOCK & KLUKAS P.C. NYHAN BAMBRICK KINZIE & LOWR 8 05WC 35608 BEAVERS, CLIFTON SBC 06/30/05 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 9 05WC 39432 19B MARTIN, JOELLEN STATE OF ILLINOIS-DEPT OF @ 07/30/05 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 10 06WC 06563 WILLIAMS, AQUILLA K FIVE CONSTRUCTION CORP. 12/11/05 PORRO NIERMANN LAW GROUP GRANT & FANNING 11 06WC 09776 19B-1 MENDOZA, ROBIN PASCH & SON CONSTRUCTION 12/12/05 HORWITZ HORWITZ & ASSOC NYHAN PFISTER BAMBRICK KINZI 12 06WC 25007 SMITH, JODY L DOW CHEMICAL 10/31/05 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 10WC007593 -C 10WC007594 -C 13 06WC 28157 SALAZAR, ANTONIA PLAINFIELD SCHOOL DIST. 2 05/04/06 BLOCK, BLOCK & KLUKAS P.C. HENNESSY & ROACH PC

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 06WC 28811 SINAJ, MIKE HINTSCHE FERTILIZER 01/31/05 SCHWICKERT & GANASSIN EDWARD JANUSZKIEWICZ 15 06WC 53457 QUILLMAN, PATRICIA SILVER CROSS HOSPITAL 02/12/05 BLOCK, BLOCK & KLUKAS P.C. MACIOROWSKI SACKMANN & ULRIC 06WC053458 -C 16 07WC 31389 MORGAN, BRIAN D EXEL LOGISTICS 07/13/06 FRANK C HERNANDEZ HENNESSY & ROACH PC 17 07WC 42380 HALL, CURTIS K HYDRITE CHEMICAL COMPANY 08/11/06 COHN & COHN COZZI & GOGGIN-WARD 18 07WC 49630 TARIN, FIDEL KEIGHER MOTORS W 09/01/07 BLOCK, BLOCK & KLUKAS P.C. 07WC057189 -C 19 07WC 52211 SIBERT, JOSEPH STATESVILLE CORRECTIONAL 11/08/05 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 20 08WC 12792 MINTON, JOSEPH AUTOBAHN COUNTRY CLUB 11/20/07 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 21 08WC 25073 ZAKRZEWSKI, STENIA QUANTAM FOODS 03/28/08 MINKOW DOMIN GRANT & FANNING 10WC048721 -C 22 08WC 25684 THOMPSON, BEVERLY A JOLIET TOWNSHIP HIGH SCHO 08/10/07 FABRIZIO, HANSON & PEYLA THOMAS & ASSOCIATES 23 08WC 26444 KENNEDY, MICHAEL WILLIAMS BROTHERS CONSTRU 03/06/08 WHITESIDE & GOLDBERG LTD KNELL LAW LLC 24 08WC 28581 MILLER, RONALD STATE OF ILLINOIS @ 12/27/05 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 08WC028582 -C 25 08WC 39796 COBB, JACQUELYN M SCHOOL DISTRICT 201-U 01/23/08 CULLEN, HASKINS, NICHOLSON INMAN & FITZGIBBONS 26 08WC 41010 LAMB, RICHARD SATO LABELING 10/18/07 STROM, NEAL B RODDY LAW LTD 27 08WC 49235 VANHOOSE, KEVIN JOLIET POLICE DEPT 11/03/06 MICHAEL P MCCREADY & ASSOC CITY OF JOLIET 28 08WC 51732 TADEO, SILVESTRE ECHN KEHE FOODS 08/02/08 GALLIANNI DOELL & COZZI LT RODDY LAW LTD 29 08WC 53251 CLAFFY, MILTON TOYS R US 01/09/08 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 08WC 53784 JONES, TOMMIE ST OF IL DJJ IYC JOLIET @ 11/16/08 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 31 08WC 54554 RICHARDSON, KEVIN ILLINOIS DEPARTMENT OF @ 10/21/08 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 12WC038471 -C STATE OF ILLINOIS 32 09WC 02676 19B-1 LABOY, LOUIS CASSENS TRANSPORT COMPANY 11/07/08 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 33 09WC 06744 RODEGHERO, ROBERT J CITY OF JOLIET 12/16/08 PATRICIA HARDIMAN LAW OFFI CITY OF JOLIET 13WC025275 -C 34 09WC 12912 FOSTER, KELLY SENIOR SERVICES OF WILL C 02/26/09 FRANK A CELANI WOLFE & JACOBSON, LTD 35 09WC 14349 PATTERSON, ZIDAR STATE OF ILLINOIS @ 03/06/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 36 09WC 14411 MALECKI, CLYDE COLEMAN FLOOR CO 12/17/08 LEO ALT KNELL & O'CONNOR 37 09WC 18363 THOMAS, JANET DEPT OF HUMANS SERVICES @ 04/16/09 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC021092 -C STATE OF ILLINOIS 38 09WC 21991 SALAS, MAXIMINO JOSE LUIS GONZALEZ @ W 08/24/08 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 39 09WC 23713 ANDERSON, CALVIN DISTRICT OF WILL COUNTY 09/05/08 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 12WC027576 -C FOREST PRESERVE DISTRICT O 12WC027579 -C 15WC035158 -C FOREST PRESERVE DISTRICT 40 09WC 27413 SLATTERY, THOMAS EPCOR 01/13/09 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 41 09WC 30539 HARDY-ROSS, SHARON STATE OF IL 01/05/09 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 42 09WC 32946 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 06/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC011534 -C 12WC032769 -C

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 09WC 40574 BALESTRI, KATHY STADDEN HARRAH'S CASINO 04/25/09 NOBLE & ASSOCIATES PC 44 09WC 48109 KEANE, STEPHEN IDOT @ 10/15/09 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENERAL 12WC000213 -C 45 09WC 49653 CRONK, KEVIN DEPENDENT SO KIMBALL HILL HOMES # 03/26/56 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 46 10WC 03832 HENLEY, JACQUELINE EMBASSY HEALTHCARE SRVS 11/24/09 SACKS, ALBRECHT & GUBBINS RUSIN MACIOROWSKI & FRIEDMAN 10WC003836 -C 47 10WC 06467 WYNNE, RENEE PROVENA ST JOSEPHS 01/17/10 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 11WC014355 -C 48 10WC 06898 VERONESI, SHARON LEE MONREAL D/B/A AMERICA W 06/10/09 BLOCK, KLUKAS & MANZELLA P 49 10WC 07041 ISLEY, MELISSA ST OF IL DEPT OF @ 07/07/09 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 10WC031984 -C STATE OF ILLINOIS 14WC004027 -C 50 10WC 08205 CRAGG, TIM ILLINOIS DEPARTMENT OF 04/02/09 HORWITZ HORWITZ & ASSOC DANIEL SULLIVAN 51 10WC 08319 SMOTHERS, DENZIL WILL COUNTY 04/30/07 BLOCK, KLUKAS & MANZELLA P RUSIN MACIOROWSKI & FRIEDMAN 10WC008320 -C 10WC008321 -C 10WC008322 -C 11WC013197 -C 13WC019566 -C 14WC038763 -C FOREST PRESERVE DISTRICT O 15WC034227 -C 52 10WC 10160 CARDWELL, RENEE MENARD'S INC 12/10/09 O'CONNOR & NAKOS CHILTON YAMBERT PORTER LLP 53 10WC 11288 MARTINEZ, ROCIO FEDERAL SIGNAL CORPORATIO 08/03/09 BOUDREAU NISIVACO LLC BRADY CONNOLLY & MASUDA PC 13WC015173 -C 14WC025853 -C 15WC008296 -C 54 10WC 13679 CONTRERAS, ANGELICA FILTRATION GROUP 03/17/10 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 55 10WC 14589 STAHR, BRIAN ILLINOIS DEPARTMENT @ 02/24/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 10WC 15004 ROBERTS, ALICIA NURSEPOWER 04/01/10 VRDOLYAK LAW GROUP LLC THOMAS & ASSOCIATES 57 10WC 15265 BREITENFELD, SUSAN MONGO MANAGEMENT LLC 01/22/10 BART DURHAM LAW OFFICES OF EDWARD J. KOZ 58 10WC 16883 PEAK, CONNIE HARRAHS ILLINOIS CORP 04/05/10 HORWITZ HORWITZ & ASSOC NOBLE & ASSOCIATES PC 10WC016884 -C 59 10WC 17403 FRANIAK, BRONISLAW QUANTUM FOODS 05/29/09 MINKOW DOMIN GRANT & FANNING 60 10WC 18123 TREVINO, ALFONSO GERDAU AMERISTEEL 04/19/10 BRISKMAN BRISKMAN GREENBER GOLDBERG SEGALLA LLC 61 10WC 18803 ALMARAZ, BENITA SPORTS AUTHORITY 12/22/09 HECTOR ESPITIA RODDY LAW LTD 62 10WC 19486 19B BUSTAMANTE, ANTONIA INSPIRE STAFFING W 05/10/10 STROM, NEAL B SPIEGEL & CAHILL, PC 63 10WC 19642 SANDERS, CLARENCE VILLAGE OF MOKENA 01/15/10 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 12WC038052 -C 64 10WC 21769 ESQUIVEL, GRISELDA SATO LABELING SOLUTIONS 04/20/10 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 65 10WC 23307 VICICH, JOHN MICHAEL STATE OF ILLINOIS - DOC @ 04/30/09 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 66 10WC 24867 RENWICK, TONYA DEPT OF HUMAN SRVC 06/08/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 67 10WC 32336 MONTES, JOSE G & K TRUCKING OF CHICAGO W 07/19/10 LAW OFFICE OF KEVIN O'BRIE 68 10WC 35307 QUINTERO, HECTOR STATEVILLE CORRECTIONAL @ 08/03/10 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 69 10WC 35709 BRENCZEWSKI, RAY IL DEPT OF CORRECTIONS @ 11/09/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 70 10WC 37209 GARCIA, NANCY LTD CHICAGO III LLC 05/12/10 LAW OFFICES OF LAW OFFICES JOSEPH MARCINIAK 71 10WC 39537 OLDHAM, LORRAINE ILLIOIS DEPT REHAB SRVS @ 01/01/10 MARC S. MAYER & ASSOCIATES ASSISTANT ATTORNEY GENERAL

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 10WC 39702 SQUARE, LEONARDO TRINITY SERVICES INC 12/25/09 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 73 10WC 40814 HILLIARD, DENNIS A STATE OF ILLINOIS @ 06/19/09 ANESI OZMON RODIN NOVAK KO ASSISTANT ATTORNEY GENERAL 10WC040815 -C 10WC040816 -C 10WC040817 -C 74 10WC 41202 KRUC, MARY SUE SILVER CROSS HOSPITAL 08/14/10 JASINSKI, GEORGE J MACIOROWSKI SACKMANN & ULRIC 75 10WC 41609 BAIRD, KEN ILLINOIS DEPARTMENT OF @ 10/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 76 10WC 41719 TOMASEVICH, KYLE W KONECRANES KCI HOLDING US 09/21/10 CAMERON CLARK GALLIANNI DOELL & COZZI LTD 77 10WC 42525 ZABALA, GEORGE MR BLATTNER ENERGY 06/09/10 HORWITZ HORWITZ & ASSOC GRANT & FANNING 10WC042528 -C 78 10WC 44712 19B KING, MICHAEL TURNER INDUSTRIES GROUP 10/11/10 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 79 10WC 45463 SOTO, ENRIQUE TRIUNE LOGISTICS 09/03/10 CHRISTINE F DAVID LITCHFIELD CAVO 80 10WC 49078 WILLIAMS-LEWIS, LORRAINE STATE OF ILLINOIS @ 09/23/10 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 81 11WC 00597 MENESES, JUAN M MVP INC 11/29/10 DAVID W MARTAY KOREY LAW LLC 82 11WC 03538 HARRIS, JACQUES SELECT STAFFING & 01/02/11 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 11WC003539 -C 83 11WC 06061 MELENDEZ, SHARON TARGET 09/29/09 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 84 11WC 06127 POULOS, STEVE VILLAGE OF BOLINGBROOK 02/20/08 SOSTRIN AND SOSTRIN PC RUSIN MACIOROWSKI & FRIEDMAN 11WC006128 -C 12WC000928 -C 13WC018087 -C 13WC020362 -C 85 11WC 06174 BUTKIEWICZ, MARY (MOTHER) SOI DEPT OF CORRECTIONS @# 11/04/10 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 86 11WC 06964 JOHNSON, FLOYD CRST 01/23/11 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 11WC 08636 CALDERON, JOSE ESTES EXPRESS LINES 01/27/11 BRIAN T MORROW, LAW OFFICE GAROFALO SCHREIBER STORM 88 11WC 09157 DE LOACH, JERRY RELIABLE EMPLOYMENT SERVI 02/09/11 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 89 11WC 11397 LEAL, MARIA PLAINFIELD COMMUNITY 09/03/10 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 90 11WC 11494 RIVERA, FILOMENO M&R TANSPORT INC 10/21/10 LAW OFFICE OF JAMES URTIS 91 11WC 12884 GANZER, RICHARD JR ILLINOIS SECRETARY OF STA @ 02/16/11 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 92 11WC 15540 BRILL, DONALD STATEVILLE CORRECTIONAL @ 09/09/10 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 93 11WC 16452 GAMBOA, VICTOR PROGRESSIVE LOGISTICS SER 02/17/11 GALLAGHER, DONALD V THOMAS & ASSOCIATES 94 11WC 17553 GENDUSO, JOSEPH M GRAND PRAIRIE TRANSIT INC 01/18/11 VITELL & SPITZ LTD GALLIANNI DOELL & COZZI LTD 95 11WC 18523 LOZENSKI, RONALD P PARSEC 10/04/10 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 96 11WC 19787 MERCER, PAUL JOLIET TERRACE NURSING HO 03/04/11 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 97 11WC 20027 PALER, ADAM ILLINOIS DEPT OF CORRECTI @ 05/04/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 98 11WC 20559 COLON, MARIA LEVY HOME ENTERTAINMENT 03/31/10 LAW OFFICES OF BART DURHAM INMAN & FITZGIBBONS 99 11WC 21048 ORTIZ, CONSUELO C CATTICO INC D/B/A MC DONA 12/10/10 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 100 11WC 21056 SZMERGALSKI, THERESA L LOCKPORT TOWNSHIP 12/01/10 BRUGGEMAN HURST & ASSOC WIEDNER & MCAULIFFE LTD 101 11WC 21551 REITZ, KRISTINE L SILVER CROSS HOSPITAL 05/12/11 KROCKEY CERNUGEL COWGILL E MACIOROWSKI SACKMANN & ULRIC 102 11WC 28108 DIAZ, EDUARDO DEER CREEK GOLF CLUB 06/24/11 LAW OFFICES PETER LEKAS LAW OFFICE OF CAPUANI & SHIE

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 11WC 28429 JONES, PHILIP D ENTERPRISE TRANSPORTATION 05/16/11 BARRETT & SRAMEK HENNESSY & ROACH PC 104 11WC 28582 MORMANN, JOHN A SOUTHERN WINE AND SPIRITS 06/28/11 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 12WC030710 -C 105 11WC 31549 GAYTAN, ISRAEL RAILWAY INDUSTRIAL 07/27/11 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 106 11WC 32217 JACOBO, MARIELA KEHE FOOD DISTRIBUTORS IN 08/13/11 EPSTEIN, JACK R LAW OFFICE NOBLE & ASSOCIATES PC 12WC008373 -C 107 11WC 32488 EARL, RENEE PROVENA ST JOSEPH 02/23/11 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 108 11WC 33498 BULMER, DENNIS JAMES COLFAX CORPORATION 06/20/11 VRDOLYAK LAW GROUP LLC THOMAS & PORTELA 109 11WC 34469 PADILLA, CELIA SCHNEIDER LOGISTICS 06/08/11 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 110 11WC 34641 DILLARD, CARLA ST OF IL @ 07/29/11 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 111 11WC 36263 HITE, KRYSTLE STATE OF IL DEPT OF HUMAN @ 07/22/11 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 112 11WC 43491 TELLEZ, DONNA SILVER CROSS HOSPITAL 10/25/10 HEALY LAW FIRM MACIOROWSKI SACKMANN & ULRIC 113 11WC 43887 OLSON, DAVID NATHAN LINN & SONS INC 10/26/11 O'CONNOR & NAKOS THOMAS & PORTELA 114 11WC 44675 KURE, JEFFREY FOREST PRESERVE DISTRICT 10/26/11 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 12WC030469 -C 13WC013461 -C 16WC004154 -C 115 11WC 44963 PEREZ, MARIA VONACHEN SERVICES INC 10/13/11 SCHWEICKERT & GANASSIN THOMAS & ASSOCIATES 116 11WC 45736 HRAY, RICHARD RENDEL'S INC. 01/11/11 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 117 11WC 47289 SOLORZANO, MARIA RALPH'S D/B/A FOOD FOR LE 03/29/10 THE ROMAKER LAW FIRM GANAN & SHAPIRO 118 11WC 47732 LANGON, SHARON SAMUEL H SHAPIRO @ 11/25/11 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 119 11WC 47836 HOVORKA, ROGER J PLAINFIELD SCHOOL DIST 04/11/11 ROMANEK & ROMANEK GAROFALO SCHREIBER STORM

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 120 11WC 47862 MEDINA, VICTOR SR AARON THOMAS COMPANY, INC 07/18/11 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 121 11WC 48455 19B HARTELL, ROBERT M MANTENO COMMUNITY 07/24/11 KOSIN LAW OFFICE LTD POWER & CRONIN LTD 122 12WC 00434 STAFORD, CHRISTOPHER CREST HILL POLICE DEPT 12/11/10 RATHBUN CSEVENYAK & KOZOL SLAVIN & SLAVIN 123 12WC 01482 MARTIN, DAVE STATE OF IL/CO @ 12/03/11 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 124 12WC 03263 PEREZ, ARMANDO NFI 11/22/11 VITELL & SPITZ LTD MACIOROWSKI SACKMANN & ULRIC 125 12WC 03755 STOVER, GARY EAGLE EXPRESS LINE 01/26/12 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 126 12WC 03863 CORCORAN, THOMAS JOLIET PUBLIC LIBRARY 10/07/11 NEWMAN, BOYER & STATHAM RIPES NELSON BAGGOT KALOBRAT 14WC009009 -C 127 12WC 04539 PALMER, TARIEA LAKEWOOD NURSING REHAB 12/10/11 SHELDON I MINKOW & ASSOCIA 128 12WC 05408 SEYLLER, TERRY D CONSTRUCTION INC 11/17/11 KINNALLY FLAHERTY KRENTZ & COZZI & GOGGIN-WARD 129 12WC 06042 GIOVENGO, JERRY MACY'S LOGISTICS AND 11/28/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 130 12WC 06559 LOVE, DAGNE ST OF IL DOC STATEVILLE @ 04/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 131 12WC 06926 ALI, WESAM ILLINOIS DEPT OF CORRECTI @ 02/01/12 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 12WC036215 -C 132 12WC 07496 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 11/30/10 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 12WC007497 -C 133 12WC 07622 TORRES, ANDREA IL DEPT OF EMPLOYMENT @ 09/28/11 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 134 12WC 09402 HERRERA, JENNIFER SOI DJJ IYC JOLIET @ 02/22/12 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 135 12WC 10199 OWEN, CLYDE UNITED ROAD SERVICES 03/08/12 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 136 12WC 10685 HERNANDEZ, ANABEL FIRST MIDWEST BANK 12/20/11 HEALY LAW FIRM INMAN & FITZGIBBONS

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 12WC 10987 PARISI, LINDA SOI - DEPT OF CORRECTIONS @ 01/16/12 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 138 12WC 11175 THRALL, MICHELLE PREMIER GYMNASTICS 05/19/11 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 139 12WC 11340 LOPEZ, HECTOR HOME DEPOT 02/14/12 GOLDSTEIN BENDER & ROMANOF MC ANDREWS & NORGLE LLC 140 12WC 12250 COLNAR, RON JOLIET SCHOOLS DISTRICT 03/02/11 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 141 12WC 12394 GARCIA, MARTINA WALGREENS 03/09/11 WHITESIDE & GOLDBERG LTD GILDEA & COGHLAN 142 12WC 13332 MC MAHAN, CRYSTAL TRINITY SERVICES 09/22/11 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 143 12WC 14398 KLUSKA, CAROL COUNTY OF WILL, ADULT DET 01/12/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 144 12WC 14435 WOOTEN, TODD CITY OF JOLIET FIRE DEPAR 07/03/11 MCNAMARA PHELAN MCSTEEN LL ANCEL GLINK DIAMOND BUSH & E 145 12WC 14903 ZAGORSKI, JADWIGA QUANTUM FOODS 09/04/07 CULLEN HASKINS NICHOLSON GRANT & FANNING 12WC014904 -C 146 12WC 15327 HAKEMAN, VALERIE IROQUOIS MEMORIAL HOSPITA 02/22/11 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 147 12WC 15401 RUVALCABA, WENDY ELITE STAFFING 03/27/12 PARENTE & NOREM PC MARC CAIRO 148 12WC 17046 MARTINEZ, OFELIA LABOR TEMPS 04/12/12 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 149 12WC 17979 NIEMIEC, DAVID SHAMROCK STAFFING W 02/12/12 DWORKIN AND MACIARIELLO SEGAL MCCAMBRIDGE SINGER MAH 150 12WC 18294 ABRAHAM, MARIAM ILLINOIS DEPT OF CORRECTI @ 01/23/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 151 12WC 19479 COLEMAN, RICKEY STATE OF ILLINOIS @ 05/23/12 BLOCK, KLUKAS & MANZELLA P

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 12WC 19877 RAINEY, MARY SEPTRAN INC 05/22/12 BART DURHAM LAW OFFICES JOSEPH MARCINIAK 12WC034618 -C 153 12WC 20325 WHEATON, TIMOTHY TRIANGLE ENVIRONMENTAL 03/01/12 ALBERT R. PINO LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 14WC000953 -C 154 12WC 20772 DAVIS, RHONDA GERDAU 08/05/09 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 12WC020773 -C 155 12WC 22011 BLACK, ROY S ECOLAB 02/03/12 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC 156 12WC 23095 19B TOMASKA, JASON COMMSCOPE A DIVISION OF 12/10/11 LAW OFFICE OF PATRICK BROO BRADY CONNOLLY & MASUDA PC 157 12WC 23436 WHITE, JUDY JOLIET SCHOOL DISTRICT 86 09/01/11 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 12WC023441 -C 12WC023442 -C 158 12WC 23509 ZIGMAN, TODD C AT&T 01/27/12 ANKIN LAW OFFICE HENNESSY & ROACH PC 12WC023510 -C 159 12WC 24498 HOFER, KEITH A BILL JACOB CHEVROLET 06/01/11 LEONARD LAW GROUP LLC THOMAS & ASSOCIATES 160 12WC 24941 RASKER, PHILIP JACOBSON CO 06/04/12 MCCARRON LAW FIRM, PC CACCHILLO LAW GROUP LLC 161 12WC 26942 BEATTY, BARBARA (MOTHER) GT TRANSPORTING/PABLO GON W 02/14/12 WOODRUFF & JOHNSON 162 12WC 26972 HENDRIX, PAUL ST OF IL DEPT OF STATEVIL @ 06/25/12 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 163 12WC 28063 19B HARTELL, ROBERT M MANTENO COMMUNITY FIRE 07/21/11 KOSIN LAW OFFICE LTD POWER & CRONIN LTD 164 12WC 28652 DAVIS, LOAR SOUTHERN WINE & SPIRITS 10/08/09 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 165 12WC 28781 MARKEE, CHRISTOPHER STATE OF ILLINOIS 01/09/10 PETER C KOPOULOS COLIN KICKLIGHTER 166 12WC 30276 CHENEY, KAREN LAKEWOOD NURSING & REHAB 03/01/12 BLOCK, KLUKAS & MANZELLA P RIPES NELSON BAGGOT KALOBRAT

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 12WC 30514 WASHINGTON, ALEAN TRINITY SERVICE INC 08/29/12 BERG & BERG BRADY CONNOLLY & MASUDA PC 168 12WC 31509 19B HERRERA, ALBINO SONY DADC 07/18/12 BAUM RUFFOLO & MARZAL LTD CHILTON YAMBERT PORTER LLP 169 12WC 31889 19B MC GEE, KARA SYMPHONY INC 07/10/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 170 12WC 33123 CLARK, ROBERT ECOLAB, INC. 05/15/12 LEITER LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 12WC037947 -C 171 12WC 33366 WHITED, RENEE WILL COUNTY SHERIFF'S DEP 08/08/12 GOLDBERG WEISMAN & CAIRO L 172 12WC 34352 TANTILLO, PATRICK P T O SERVICES INC 06/02/12 ANKIN LAW OFFICE CHILTON YAMBERT PORTER LLP 173 12WC 35901 HERNANDEZ-LOPEZ, CLAUDIA HOLUM & SON CO INC 06/26/12 GORDON & CENTRACCHIO LLC GAROFALO SCHREIBER STORM 12WC043678 -C 174 12WC 36394 DITTMAR, PATRICK M ILLINOIS GAMING BOARD 09/13/12 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 15WC001369 -C 175 12WC 37089 19B WILLIAMS, LEROY DEPARTMENT OF CORRECTIONS @ 07/25/12 DWORKIN AND MACIARIELLO JEANNINE SIMS 176 12WC 37185 LUCAS, JEREMY ROLAND MACHINARY COMPANY 06/01/12 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 177 12WC 37765 HANKE, JOHN D CITY OF JOLIET 04/02/12 SABUCO BECK HANSEN CITY OF JOLIET 178 12WC 38124 FARMER, TYLER VILLAGE OF COAL CITY 10/06/12 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 16WC034879 -C FLINT HILLS RESOURCES 179 12WC 38309 NEAL, NORMAN MADDOX BROTHERS W 10/17/12 SKLARE LAW GROUP 180 12WC 38587 MESSACAR, SHERRY BROWN BICKFORD ASSISTED LIVING 10/19/12 JOHN E LUSAK 181 12WC 38961 MOTSCH, TRACY PRO MOVERS 11/03/12 JOHN E LUSAK GANAN & SHAPIRO 182 12WC 38979 REMINGTON, JERRY NAVISTAR 08/27/12 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 183 12WC 39894 JAMESON, BARBARA PLAINFIELD SCH DIST 202 09/10/12 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 184 12WC 40432 ZUNIGA, HILDA HOME CARE PERSONAL SERVIC 08/23/12 KATZ FRIEDMAN EAGLE ET AL GALLIANNI DOELL & COZZI LTD 185 12WC 40837 VOLLING, PATRICK STATE OF ILLINOIS @ 01/14/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 186 12WC 41309 ABERNATHY, PEGGY V CORNERSTONE SERVICES INC 08/02/10 FABRIZIO, HANSON & PEYLA BRADY CONNOLLY & MASUDA PC 187 12WC 42130 GALLO, PHILLIP A FOREST PRESERVE DISTRICT 07/31/12 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 188 12WC 42741 RODRIGUES, VIRGINIA SABOR INTERNACIONAL 11/30/12 JONATHAN SCHLACK RATHBUN CSEVENYAK & KOZOL 189 12WC 43134 THOMPSON, WILLIAM R & R BRINKS LOCKING SYST 10/31/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 190 12WC 43292 BUCKLEY, YALONDA AMERICAN SCHOOL BUS CO 11/06/12 SHELDON I MINKOW & ASSOCIA GALLIANNI DOELL & COZZI LTD 191 12WC 44156 PENA, ANTHOULA BOUGHTON SQUARE ANIMAL CL 10/15/12 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 192 12WC 44203 TEMEN, BRADFORD FIXTURE FINDERS 12/11/12 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 193 12WC 44248 DENTON, ALEJANDRO MIDWEST AIR TECHNOLOGIES 10/10/12 OSVALDO RODRIGUEZ PC COZZI & GOGGIN-WARD 194 13WC 00607 CHAVEZ, JOSE GUZMAN METROSTAFF, INC AND VTKK 10/17/12 EPSTEIN, JACK R LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 195 13WC 00902 MICKELSON, HELMER DEDICATED TCS 12/05/12 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 196 13WC 01126 THOMPSON, LINDA WAL-MART 12/20/11 SPIROS LAW PC 197 13WC 01304 SCHMECKPEPPER, RYAN VILLAGE OF BOLINGBROOK FI 12/09/12 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 198 13WC 02445 ZUIDEMA, KIMBERLY MENARD'S HOMER GLEN 12/31/12 STEVEN A CRIFASE, LTD CHILTON YAMBERT PORTER LLP 199 13WC 02461 MCCORD, RUTY JOLIET PUBLIC SCHOOL 12/18/12 SALVATO & O'TOOLE BRADY CONNOLLY & MASUDA PC 200 13WC 03291 HAWKINS-NORRIS, VIRGINIA DEPARTMENT OF VETERANS AF @ 12/20/12 SPIROS LAW PC COLIN KICKLIGHTER 201 13WC 03822 GRAY, MARVIN UNITED TECHNOLOGIES INC 12/03/10 DONALD W FOHRMAN & ASSOC

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 202 13WC 04066 PORTER, JOHN JACK F AMEX NOOTER 08/17/12 ANTHONY C RACCUGLIA & ASSO GAROFALO SCHREIBER STORM 203 13WC 04777 LINK, NANCY TJ LAMBRECHT CONSTRUCTION 06/06/12 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 204 13WC 04853 MARTIN, JAMES BERKOT LTD 09/08/12 NEWMAN, BOYER & STATHAM GANAN & SHAPIRO 205 13WC 05665 ROGERS, HELICE ST OF IL DOC STATEVILLE @ 12/08/12 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 206 13WC 06084 ZANGRI, MICHAEL ROBERT ELLIOT CONSTRUCTIO 01/08/13 PAUL A COGHLAN & ASSOC BRYCE DOWNEY & LENKOV LLC 207 13WC 06109 LUNA, SHERRY SUNNY HILL NURSING HOME 02/05/13 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 208 13WC 08099 SKUDLAREK, DAVID PARTS FLEET 10/31/12 KINNALLY FLAHERTY KRENTZ & SCOPELITIS GARVIN LIGHT 209 13WC 08459 SMITH, EDWARD L PARSEC INDUSTRIES 06/08/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 210 13WC 08589 DERWINSKI, JANET PANDUIT 02/02/12 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 211 13WC 09827 WEIS, DWAYNE CITY OF JOLIET 02/02/12 HORWITZ HORWITZ & ASSOC KAVANAGH GRUMLEY & GORBOLD 212 13WC 10541 VARGAS, MODESTO CLAREFIELD CONSTRUCTION C 03/13/13 SALVATO & O'TOOLE RUSIN & MACIOROWSKI LTD 213 13WC 10643 PROWETT, SHANE TRANSPORT ONE, INC. 02/22/13 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 214 13WC 10662 MCGEE, DEVIN T FLEXIABLE STAFFING 11/15/11 GAINES & GAINES GRANT & FANNING 215 13WC 10678 CORTES, JOSE MORENO SELECT REMEDY/SNYDER 02/18/13 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 216 13WC 10843 MARTINEZ, ANGELINA ELITE STAFFING INC., 12/20/12 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 217 13WC 11838 JACOBS, JOHN D VILLAGE OF OAK BROOK 08/28/12 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD 218 13WC 12089 REYNOSO, MARTHA TARGET 09/21/12 RATHBUN, CSERVENYAK & KOZO NYHAN BAMBRICK KINZIE & LOWR

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 13WC 12288 ORTEGA, ALMA ASG STAFFING 03/05/13 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 220 13WC 12354 MACKOVITCH, TOM CENTRAL GROCERS INC 06/12/11 LEONARD LAW GROUP LLC ROSARIO CIBELLA 13WC012355 -C 15WC032610 -C 16WC027041 -C 221 13WC 12419 HERNANDEZ, WALTER SERVICE ALL INC 01/10/12 GERALD W KOREY RIPES NELSON BAGGOT KALOBRAT 222 13WC 12593 MANRIQUEZ, ORALIA KENT PRECISION FOODS INC 01/22/13 JOHN J CASTANEDA MICHAEL BEST & FRIEDRICH LLC 223 13WC 12835 AVALOS, ABEL PHILLIPS HR SHARED SERVIC 08/17/12 EPSTEIN, JACK R LAW OFFICE 224 13WC 12972 WILLIAMS, MARY ANN STATEVILLE CORRECTIONAL C @ 02/13/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 14WC033343 -C 225 13WC 15341 PASSI, CHARLES F INTERMODAL SERVICES OF AM 02/16/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 226 13WC 15575 KELLEY, JUDY WORLD KITCHEN, INC 01/10/13 PETER D CORTI LAW GROUP 227 13WC 15837 MITCHELL, STACEY TRINITY SERVICES, INC 04/30/13 VRDOLYAK LAW GROUP LLC 228 13WC 15968 SCHULTZ, DAVID ILLINOIS CENTRAL SCHOOL B 03/15/13 TEWS, THEISEN & THEISEN MACIOROWSKI SACKMANN & ULRIC 229 13WC 16213 LEONE, KANE P J.V. INDUSTRIAL 05/02/13 ROBIN LAW OFFICE RODDY LAW LTD 230 13WC 16808 PALOMARES, FREDY SELECT REMEDY 02/20/13 FOHRMAN, DONALD W & ASSOCS 231 13WC 17068 OROZCO, RUTH FOOD 4 LESS 12/28/12 STEVEN J SEIDMAN LAW OFFIC 232 13WC 17327 FOSTER, JAMES RHODIA SOLVAY INC 02/02/13 THOMAS LAW BRADY CONNOLLY & MASUDA PC 233 13WC 17825 BROWN, WILLIE STATE OF ILLIONIS @ 03/29/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 234 13WC 17926 WILLIAMS, PATRICK VITRAN EXPRESS 02/25/13 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 235 13WC 18221 HERNANDEZ, ENRIQUETA TDC FILTER 02/05/13 JAMES ELLIS GUMBINER & ASS

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 13WC 18659 MACEDO, JOSE L ALTERNATIVE STAFFING, INC 03/14/13 MC HARGUE, JAMES P LAW OFF MACIOROWSKI SACKMANN & ULRIC 237 13WC 19406 BUCIO, MARIA STAFF FORCE 05/20/13 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 238 13WC 19436 CASTILLO, BEATRIZ KEHE DISTRIBUTORS 08/31/12 CULLEN HASKINS NICHOLSON POULOS & DIBENEDETTO LAW 239 13WC 19620 SINGER, LISA MEIJER 09/22/12 GOLDBERG WEISMAN & CAIRO L KNELL & O'CONNOR 13WC019621 -C 240 13WC 19723 KELLER, STANLEY STEPEAN COMPANY 12/28/12 LEONARD LAW GROUP LLC KLAUKE LAW GROUP LLC 241 13WC 20085 FOGARTY, BRIAN ATLANTIC PLANT SERVICES 01/16/13 GRAZIAN & VOLPE PC ROSARIO CIBELLA 242 13WC 20169 RODRIQUEZ, LAURA L SENIOR STAR MEMORY CARE A 06/17/13 BRIAN T MORROW, LAW OFFICE 243 13WC 21274 MUNOZ, CRUZ FILTRATION GROUP 04/10/13 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 244 13WC 22664 COLE, SIDNEY L III JOLIET TOWNSHIP 04/07/13 STEVEN J SEIDMAN LAW OFFIC THOMAS & ASSOCIATES 245 13WC 22902 SANCHEZ, PROSPERO JACKSON & SCOTT INC 03/06/13 MC HARGUE, JAMES P LAW OFF COZZI & GOGGIN-WARD 246 13WC 23005 KURTYAK, NICOLAS LOCKPORT TOWNSHIP FIRE AN 01/28/13 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 13WC023006 -C COMMISSIONER LOCKPORT TOWN 247 13WC 23052 QUIROGA, JOSE J SMS MILLCRAFT LLC 06/21/13 STROM, NEAL B LAW OFFICES FRANCESCA LARSEN 248 13WC 23750 NEGRON, SERGIO PEREZ SMITHFIELD FOODS 06/14/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 249 13WC 23828 HANC, DEREK WASTE MANAGEMENT 05/01/13 LEVIN & ASSOCIATES GAROFALO SCHREIBER STORM 250 13WC 24165 CORTES, ARACELI PACTIV PRAIRIE PACKING 11/27/12 OSCAR P CHIAPPORI & ASSOCI KNELL & O'CONNOR 251 13WC 24450 JONES, GARY CRETE SCHOOL DIST 201 07/15/12 SPENCER LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 252 13WC 24506 ROMERO, ANA MIDWEST GROUP, INC. 05/16/13 LEONARDO MORALES LAW OFFIC 253 13WC 26268 19B CEPHUS, ALONZO GARDEN OF PRAYER YOUTH CE 09/24/12 YURGINE, JOSEPH THOMAS & ASSOCIATES

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 13WC 26654 HERNANDEZ, ERWIN TRIUMPH PACKAGING GROUP 08/15/12 HECTOR ESPITIA GRANT & FANNING 255 13WC 27063 BRANDOLINO, MARIANNE STATE OF ILLINOIS @ 07/15/13 SCHWEICKERT & GANASSIN COLIN KICKLIGHTER 256 13WC 27350 FREMPONG, GEORGE AM REGIONAL TAXI/303 TAXI 03/11/13 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 257 13WC 27549 BURNS, ERNESTINE NFI DISTRIBUTION 06/28/13 RUBENS AND KRESS 258 13WC 28056 SHAW, RONALD FIVE STAR DELIVERY 07/29/13 KUMLIN & FROMM GRANT & FANNING 259 13WC 28411 LARA, DORA STAFFING NETWORK 04/30/13 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 14WC003772 -C GREAT KITCHENS INC 14WC039926 -C 14WC039927 -C GREAT KITCHENS INC 260 13WC 28505 BOBBITT, LEAH ANGELA INTILI, MC, LTD 04/27/13 MEYERS & FLOWERS, LLC RUSIN & MACIOROWSKI LTD 261 13WC 28587 GRAY, DAWN DOLLAR TREE INC 06/04/13 MARKER & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 262 13WC 28755 PAGE, LORNA ALLSTATE INSURANCE COMPAN 11/21/11 BARMAN KRAMER & BOHLEN HENNESSY & ROACH, PC 263 13WC 29170 SANTOYO, VICTOR KEHE DISTRIBUTORS, LLC 08/13/13 CRONIN & PETERS NOBLE & ASSOCIATES PC 264 13WC 29261 TORRES, WILFREDO CUSTOM CULINARY 08/23/13 JAUREGUI & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 265 13WC 29541 HOMMEMA, THERESA UNITED CEREBRAL PALSY 09/22/10 GALLIANNI DOELL & COZZI LT BRADY CONNOLLY & MASUDA PC 13WC029542 -C 13WC029543 -C 266 13WC 29841 TRUITT, KENDRIC ST OF IL DEPT OF CORRECTI 09/08/13 MINKOW DOMIN COLIN KICKLIGHTER 267 13WC 30282 WINTERFELD, DENISE STATE OF ILLINOIS @ 06/27/13 PETER C KOPOULOS JEANNINE SIMS 268 13WC 30644 PTACK, JEFF COMCAST 08/15/13 LULAY LAW OFFICES SPIEGEL & CAHILL, PC 269 13WC 31023 IMERI, HASIME TONY'S FINER FOODS 08/31/13 BRIAN J MC MANUS & ASSOC, LAW OFFICES FRANCESCA LARSEN 270 13WC 31643 OROZCO, IDELFONSO BERGSTROM INC 09/05/13 LAW OFFICES LEONARDO MORAL WOLFE & JACOBSON, LTD

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 271 13WC 31666 POPPO, ROBERT NATIONAL DCP 08/29/13 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 272 13WC 31934 LOFDAHL, ZACHARY NAVISTAR 09/05/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 273 13WC 32877 VITAL, GUADALUPE JOLIET PUBLIC SCHOOL DIST 02/08/13 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 16WC033498 -C 274 13WC 33039 NELSON, WILLIAM CHICAGO HEIGHTS 05/15/12 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 13WC033049 -C 275 13WC 33086 WARCHOLEK, NANCY K BURLINGTON COAT FACTORY 07/16/13 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 276 13WC 33209 MAGAFAS, MICHAEL STREAMLINE CONSTRUCTION 01/27/12 WOLFE LAW PC 277 13WC 33227 LEWANDOWSKI, PATRICK CHICAGO HEIGHTS PARK DIST 04/04/13 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 278 13WC 33387 TORRES, EMMA A WAL MART STORES INC 12/13/12 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 279 13WC 33797 EVANS, CHAMP VILLAGE OF BOLINGBROOK 03/05/13 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 280 13WC 33989 DENNIS, DAKOTA M LONG JOHN SILVERS 10/05/12 HOLECEK & ASSOCIATES 281 13WC 34082 THOMAS, MARK LAFARGE NORTH AMERICAN IN 03/11/13 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 13WC034083 -C 282 13WC 34324 ORTEGA, MARIO CERAMIC POWDERS 01/03/13 DONAHUE, PAUL T LAW OFFICE HOLECEK & ASSOCIATES 283 13WC 35123 GEORGEFF, ESTELLE QUANTUAM FOODS 10/02/13 LAW OFFICE EDWARD RUEDA COZZI & GOGGIN-WARD 284 13WC 35165 DIETER, NAOMI MC DONALDS 09/18/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 285 13WC 35453 MONEY, GLORIA TRINITY SERVICES/COOPER H 08/21/13 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 286 13WC 35573 SCULLY, MICHAEL EVERGREEN REAL ESTATE SER 09/19/13 DANIEL J ADLER LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 287 13WC 35781 HAMMOND, HARLD JR M$G CONSTRUCTION INC 09/26/13 K P LAW LLC COZZI & GOGGIN-WARD

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 288 13WC 36513 QUINTERO, HECTOR ST OF IL STATEVILLE @ 10/08/12 PETER C KOPOULOS ILLINOIS ATTORNEY GENERAL 289 13WC 36990 SALERNO, CHRISTOPHER VILLAGE OF BOLINGBROOK 02/12/13 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 290 13WC 37626 ARROYO, LUIS NEVIN'S BREWING COMPANY 04/04/13 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 291 13WC 37914 ALEXANDER, THERESA WILL COUNTY HIGHWAY DEPAR 09/23/13 DAVID W MARTAY HINSHAW & CULBERTSON 292 13WC 38107 ASSAH, NICHOLAS MENIO WORLDWIDE LOGISTICS 10/10/13 BRIAN KEELEY LTD LEAHY EISENBERG & FRAENKEL 293 13WC 38846 TAPIA, BRANDY SHOREWOOD FAMILY DENTAL 09/23/13 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 294 13WC 39172 SCAVNICAR, AGICA PANCON CORPORATION 07/31/12 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 295 13WC 39639 HENLEY, DANIEL SOUTHERN WINE & 05/24/13 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 14WC013658 -C 296 13WC 39997 PEREZ, ALVARO MICHAELS 10/03/13 LAW OFFICES TIMOTHY LAMPIN EDWARD A PUISIS, LTD 297 13WC 40210 POINDEXTER, CHARLENE WALMART 04/12/13 BART DURHAM WIEDNER & MCAULIFFE LTD 14WC003705 -C WAL-MART STORES, INC 298 13WC 40608 GORDON, MICHAEL CASSENS TRANSPORT COMPANY 11/05/13 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 299 13WC 41263 KRUCZEK, ANNA QUANTUM FOODS 08/22/13 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 300 13WC 41784 GENTRY, JONATHAN TRE'ZURE DETAILING W 10/29/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 301 13WC 41788 DORVAL, DANIA SUNNY HILL REHAB CENTER 04/24/13 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 302 13WC 42154 MROZEK, TERESA ADVENTIST HOSPITAL/HINSDA 11/22/10 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 303 13WC 42485 ALSTON, ALICIA ST OF IL DEPT OF IDFPR 06/17/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 304 13WC 42531 REYES, SANDRA METRO STAFF INC 11/21/13 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 305 14WC 00273 DIMAS, DIANA OLIVE GARDEN 09/28/13 BART DURHAM COZZI & GOGGIN-WARD

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 306 14WC 00753 CHASE, MICHAEL UPTOWN PAINTING & CONSTRU 12/12/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 307 14WC 00982 MIKUZIS, DONNA PLAINFIELD SCHOOL 01/08/14 LAW OFFICE EDWARD LICHTENS KEEFE CAMPBELL & ASSOC LLC 308 14WC 01353 DZIEDZIC, SUZANNE VALLEY VIEW SCHOOL 10/30/13 LAW OFFICES MICHAEL HELLMA 309 14WC 02001 TORRES, ELADIO MOST VALUABLE PERSONNEL 11/08/13 HORWITZ HORWITZ & ASSOC GRANT & FANNING 310 14WC 02177 WEARY, DWAYNE STATE OF ILL DOC STATEVIL 03/25/11 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 311 14WC 02256 CROSS, RANDALL ALL ACCESS INTERNATIONAL 01/16/14 SOSTRIN AND SOSTRIN PC LAW OFFICES JOSEPH MARCINIAK 312 14WC 02377 JOHNSON, LAURA A SECURITAS SECURITY SERVIC 09/06/13 FABRIZIO, HANSON & PEYLA INMAN & FITZGIBBONS 313 14WC 03249 DABROWSKI, EDWARD G&D INTEGRATED 12/23/13 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 14WC005919 -C G & D INTEGRATED 314 14WC 03413 FLYNN, TIMOTHY MECHANICAL CONCEPTS 10/15/13 BOUDREAU & NISIVACO LLC 315 14WC 04284 RIVERA, MARTINA ITW ASSIT GRIP BUSINESS 12/11/13 KENNETH B GORE, LTD HENNESSY & ROACH PC 14WC018913 -C 316 14WC 04310 GNEWUCH, DAVID JACOBSON COMPANIES 12/11/13 STYKA & STYKA CACCHILLO LAW GROUP LLC 317 14WC 04379 ROBBINS, JENNIFER ATI PHYSICAL THERAPY 01/20/14 MARKER & ASSOCIATES GRANT & FANNING 318 14WC 04391 CUMMINGS, KATHY STATE OF IL 01/13/14 GOLDBERG WEISMAN & CAIRO L 319 14WC 04398 OEMBLE, MICHAEL GAVILON GRAIN, LLC 02/03/14 MARC J SHUMAN & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 320 14WC 04765 FINSTROM, NORINE ALDI INC 08/03/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 321 14WC 05477 PEREZ, GUADALUPE MACNEIL AUTOMOTIVE PRODUC 01/27/14 KENNETH B GORE, LTD SLAVIN & SLAVIN 14WC037400 -C STAFFING NETWORK 322 14WC 05602 KRIVICKAS, DAVID COUNTY OF WILL 09/16/12 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 14WC005603 -C 14WC038377 -C 323 14WC 05675 GASCA, MARISOL ELITE STAFFING-BOLINGBROO 12/17/13 DEPAOLO ZADEIKIS GORE ALBERT R. PINO LAW OFFICE 15WC010023 -C 324 14WC 05839 FOY, BETHANY BOLINGBROOK FIRE DEPARTME 12/28/13 THE ROMAKER LAW FIRM POWER & CRONIN LTD 15WC014625 -C 325 14WC 06346 VILLASENOR, MISAEL DEDICATED TCS LLC 03/18/13 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 326 14WC 06861 SHULK, BARBARA PRESENCE HEALTH 04/07/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 327 14WC 07247 BOATRIGHT, WILLIAM SEARS 10/09/13 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 328 14WC 07385 WALSH, KEVIN THOMAS JR CHARLES GIORDANO D/B/A AA W 08/25/13 BOWMAN & CORDAY 329 14WC 07628 TROVATO, ANNE LINCOLN WAY AREA SPEICAL 08/30/13 STROM, NEAL B RUSIN & MACIOROWSKI LTD 16WC031580 -C 330 14WC 08083 DITE, DAVID A BERGSTROM INC 04/14/12 ROSS TYRRELL 331 14WC 08142 EADY, JAMES W ABF FREIGHT SYSTEMS INC 12/15/13 GOLDBERG WEISMAN & CAIRO L 332 14WC 08571 MYSLIWIEC, ERVIN IL TOLLWAY @ 01/19/14 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 16WC010764 -C ILLINOIS STATE TOLL 333 14WC 08712 GABRISKO, JUDITH K ROBERT BOSCH TOOL CORPORA 04/12/11 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 334 14WC 08713 GABRISKO, JUDITH K ROBERT BOSCH TOOL CORPORA 04/20/11 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 335 14WC 08751 SEALS, MARSHALL LINEAGE LOGISTICS 01/21/14 DWORKIN AND MACIARIELLO 336 14WC 08860 ARIAS, MARIA STAFFMARK, INC. 01/10/14 LAW OFFICE OF OSVALDO RODR KEEFE CAMPBELL & ASSOC LLC

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 14WC 08958 WORDEN, JOEL MIDWEST GENERATION 10/07/13 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 338 14WC 08994 ERICKSON, JEANETTE PLAINFIELD DIST. 202 01/20/14 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 14WC013175 -C 14WC013176 -C 339 14WC 09785 RICHAUD, LEROY WALMART 01/10/12 COLLISON & O'CONNOR 14WC009786 -C 340 14WC 09954 RICKEY, JOHNATHAN A MICHAEL ARTS & CRAFTS 01/06/14 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 341 14WC 10009 BRIDGEFORTH, JOSH STATE OF ILLINOIS DJJ IYC 12/08/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 342 14WC 10596 ARRENDONDO, RUBICELLA DSC LOGISTICS 12/30/13 RATHBUN CSEVENYAK & KOZOL MC ANDREWS & NORGLE LLC 343 14WC 11432 GOOD, JILL JEFFREY LAMORTE SALON 12/11/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES JOSEPH MARCINIAK 344 14WC 11796 LUNA, CARLOS CENTRAL GROCERS 03/27/14 VRDOLYAK LAW GROUP LLC ROSARIO CIBELLA 345 14WC 12280 PRATER, DAN L INTERNATIONAL PAPER 04/14/11 MCNAMARA PHELAN MCSTEEN LL GOLDBERG SEGALLA LLC 346 14WC 12353 LLOYD, DEON STATE OF ILLINOIS @ 01/23/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 347 14WC 12633 PARKER, CASSANDRA CORNERSTONE SERVICES, INC 07/01/12 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 348 14WC 12691 BROOKS, HATTIE HQC INC 03/22/14 PORRO NIERMANN LAW GROUP 349 14WC 13367 ANHALT, RAY MENARDS 03/11/14 BRIAN T MORROW, LAW OFFICE RODDY LAW LTD 350 14WC 13626 PINTO, VICTOR DEPENDABLE STAFFING GROUP 03/25/14 JAMES ELLIS GUMBINER & ASS 351 14WC 14348 DZIEDZIC, STEVE PEP BOYS 05/23/12 LUKE C. ANTONSEN CHILTON YAMBERT PORTER LLP 352 14WC 14699 HOOK, ANTHONY AT&T 01/03/14 MARKER & ASSOCIATES HENNESSY & ROACH PC 353 14WC 14867 SMITH, PATRICIA ST OF IL DEPT OF GOVERNOR 02/20/14 BRISKMAN BRISKMAN GREENBER JILL OTTE

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 NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 14WC 15231 GRAY, DONALD DIAKON LOGISTICS 04/11/14 DWORKIN AND MACIARIELLO GRANT & FANNING 355 14WC 15293 LUNA, MARTA P BROOKDALE SENIOR LIVING 01/27/14 WOODRUFF & JOHNSON POWER & CRONIN LTD 14WC032362 -C HARBOR CHASE 15WC004654 -C 356 14WC 15372 KHAN, TARUJ ILLINOIS DEPT OF CORRECTI @ 03/03/14 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENERAL 357 14WC 15788 ESTRADA, FRANCISCO ILL DEPT OF CORRECTION 10/01/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 358 14WC 15979 ALBERTS, JOSHUA IL DEPT OF CORRECTION @ 03/03/14 MILLON & PESKIN LTD ASSISTANT ATTORNEY GENERAL 359 14WC 16376 TUCCI, KATHLEEN SILVER CROSS HOSPITAL 12/15/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 360 14WC 16589 SMITH, SANDRA COMMSCOPE 03/10/11 RATHBUN CSEVENYAK & KOZOL POULOS & DIBENEDETTO LAW 361 14WC 17079 SIKORA, LUKE C NEW LENOX POLICE DEPARTME 05/02/14 TOSCAS, JOHN Z LAW OFFICE 362 14WC 17183 JUNGLES, JEFF ALL TRADE CONSTRUCTION 04/14/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 363 14WC 17642 NASH, STEVEN ST OF IL DEPT OF 03/20/14 NEWLAND & NEWLAND COLIN KICKLIGHTER 364 14WC 17886 MCCORMACK, WENDY SILVER CROSS HOSPITAL 09/26/12 WOLFE LAW PC MACIOROWSKI SACKMANN & ULRIC 365 14WC 18270 CHANDLER, DAVID IFCO SYSTEMS NORTH AMERIC 04/11/14 VRDOLYAK LAW GROUP LLC 366 14WC 18617 CHERWIN, CRAIG MIDWEST GENERATION 01/03/14 RATHBUN CSEVENYAK & KOZOL 367 14WC 18687 ESTRADA, JUANITA ALDI 01/14/14 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 368 14WC 18987 CARUSO, TONY GEORGE'S 5 INC D/B/A 05/15/14 MILLON & PESKIN LTD LAW OFFICE OF PAUL O WATKISS 369 14WC 19277 LIMBERG, MICHAEL ATS TRANSPORT INC. W 05/13/14 SCHWEICKERT & GANASSIN BRYCE DOWNEY & LENKOV LLC 370 14WC 19361 NOWLAND, COURTNEY REMPREX LLC 05/06/14 371 14WC 19843 LIMON, MATTHEW A ILLINOIS BELL TELEPHONE C 06/04/14 MARKER & ASSOCIATES 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 DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 14WC 19861 ZUIDEMA, KIMBERLY MENARDS 06/08/13 STEVEN A CRIFASE, LTD CHILTON YAMBERT PORTER LLP 373 14WC 19989 GARCIA, DANIEL NIEVES BRODER BROTHERS 11/21/13 CHRISTINE F DAVID HOLECEK & ASSOCIATES 374 14WC 20017 GERMAN, ROBBY FOOD 4 LESS 04/26/14 HORWITZ HORWITZ & ASSOC 375 14WC 20118 STEPANEK, ROBERT IDOT @ 03/07/14 DWORKIN AND MACIARIELLO JEANNINE SIMS 376 14WC 20203 JONES, JOHN P ATLAS VAN LINES & RON TWI 05/21/14 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 377 14WC 20345 ROMERO, NELSON RUANE CONSTRUCTION, INC. 01/31/14 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 14WC020346 -C 378 14WC 20599 BANUELOS, DANIEL DIGIOLA BROTHERS CONTRUCT 05/30/14 CULLEN HASKINS NICHOLSON EDWARD JANUSZKIEWICZ 379 14WC 20910 SKIPPER, WILLIE STAFFING NETWORK FOR 06/10/14 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 14WC033212 -C 380 14WC 20942 MILES, WANDA VALLEY VIEW SCHOOL 05/13/14 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 381 14WC 21038 MICHALSKI,L SANDRA LINCOLN-WAY COMMUNITY 02/28/13 EVAN A HUGHES LAW OFFICE 382 14WC 21757 HERNANDEZ, JUAN CARLOS KNEAD DOUGH BAKERY CO, IN 03/23/14 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC 15WC003315 -C 383 14WC 22052 MARROQUIN, MIGUEL ULTRA FOODS 02/09/11 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 384 14WC 22063 LOZENSKI, RON PARSEC 03/21/14 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 385 14WC 22087 LOVE, SONYA GRAND PRAIRIE TRANSIT 06/23/14 SKLARE LAW GROUP GALLIANI DOELL & COZZI LTD 386 14WC 22106 VITKAUSKAS, JOANNE ESSINGTON PLACE RETIREMEN 10/17/13 GOLDSTEIN BENDER & ROMANOF COZZI & GOGGIN-WARD 387 14WC 22325 PARTILLA, LAVON ST ROSE SCHOOL 12/12/13 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 388 14WC 22855 MROZEK, KIMBERLY TRADER JOE'S 03/29/14 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 14WC 23068 WESTBROOKS, ANTHONY JOLIET STAFFING, LLC 06/17/14 BLOCK, KLUKAS & MANZELLA P WOLF LAW LTD 390 14WC 23192 MORATAYA, WILLIAM ST OF IL DEPT OF 05/15/14 LUIS A ACEVES & ASSOC COLIN KICKLIGHTER 391 14WC 23316 BRADFORD, STANLEY PBI 05/13/14 SHELDON I MINKOW & ASSOCIA GORDON & CENTRACCHIO LLC 392 14WC 23512 GARCIA, KARLA WILTON INDUSTRIES 06/24/14 BART DURHAM WOLFE & JACOBSON, LTD 393 14WC 24077 RUETTIGER, LYNN ALSIP NURSERY 04/07/13 GRAVLIN, MICHAEL J LLC MCANANY VANCLEVE & PHILLIPS 394 14WC 24439 GUTIERREZ, SOCORRO DREYER MEDICAL CLINIC 07/03/14 BOTTO GILBERT GAROFALO SCHREIBER STORM 395 14WC 24514 STEPHENS, SHELBY L STAFF MARK 05/13/14 MATTHEW T. GUBBINS PC KEEFE CAMPBELL & ASSOC LLC 396 14WC 24705 TORRES, ARTEMIO RADIAC ABRASIVES INC C/O 04/27/14 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 397 14WC 24915 ZIMMERMAN, DENNIS OZBURN & HESSEY LOGISTICS 06/20/14 BAUM RUFFOLO & MARZAL LTD SPIEGEL & CAHILL, PC 398 14WC 25113 JOZWIAK, MICHAEL F.T.C. SERVICES, INC. 06/09/14 CRONIN & PETERS GANAN & SHAPIRO 399 14WC 25119 RUPP, ADAM W LOGOPLASTE LLC 04/15/14 VITELL & SPITZ LTD LAW OFFICES JOSEPH MARCINIAK 14WC033897 -C 400 14WC 25246 JACQUES, ALBERTINA APL LOGISTICS 01/05/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 401 14WC 25472 RUSSELL, DANIEL UNITED STATES 08/30/11 KARCHMAR & STONE 402 14WC 25808 BULL, VALERIE D CONSTRUCTION # 06/10/14 FIGLIOLI, DAVID COZZI & GOGGIN-WARD 403 14WC 25872 MARTINECK, THOMAS RECALL TOTAL INFORMATION 04/10/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 404 14WC 26269 ELY, DAVID SCHNEIDER NATIONAL 05/19/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 405 14WC 26833 LEE, EILEEN GRAND PRAIRIE TRANSIT 05/19/14 BLOCK, KLUKAS & MANZELLA P STONE & JOHNSON CHARTERED 406 14WC 26913 MARBLE, BERNARD BILL JACOBS 11/18/13

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 14WC 26956 BUMPHREY, ERIC L UPS 06/10/14 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 408 14WC 26991 GUTIERREZ, SALVADOR ELITE STAFFING 05/12/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 409 14WC 27041 SMOLICH, RAYMOND MEADE ELECTRIC CO INC 06/27/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 410 14WC 27113 PINEDA, ZENAYDA F/K/A NAVISTAR INT'L CORP 04/21/14 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 411 14WC 27222 CONNERY, CHRISTINE WILL COUNTY 05/05/14 RIDGE & DOWNES HINSHAW & CULBERTSON 412 14WC 27243 RODRIGUEZ, EFREN DHR INC 06/18/14 DEPAOLO ZADEIKIS GORE 413 14WC 27489 OLMO, JOSE G CLEAR STAFF INC 07/11/14 ILLINOIS INJURY LAWYERS 414 14WC 27502 WARD, WILLIE JOLIET PUBLIC SCHOOL 04/14/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 415 14WC 27522 19B GROSSMAN, BRAD I PROTEK CONSTRUCTION LLC 07/10/14 BRILL & FISHEL GANAN & SHAPIRO 416 14WC 27812 YOUNG, JARRELL JACOBSON WAREHOUSE COMPAN 07/03/14 VRDOLYAK LAW GROUP LLC 417 14WC 27831 CROMER, TYLER ALL AMERICAN TREE SERVICE W 07/03/14 WOODRUFF & JOHNSON 418 14WC 27892 GRIMES, RICK L WASTE MANAGEMENT 06/12/14 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM 14WC027899 -C 419 14WC 27944 MCALLISTER, WILLIAM ST OF IL DOC PAROLS @ 06/17/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 17WC010411 -C STATE OF ILLINOIS DOC PARO 420 14WC 28335 RICHARDS, PAM SILVER CROSS HOSPITAL 01/23/14 KAVANAGH GRUMLEY & GORBOLD MACIOROWSKI SACKMANN & ULRIC 421 14WC 28488 EBY, DAVID TOTAL REHAB PROPERTY 04/21/14 TAPELLA & EBERSPACHER LLC 422 14WC 28659 KRAMER, CATHERINE MCDONALD'S CORP 06/27/12 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 423 14WC 29103 GONZALEZ, PABLO INSPIRE STAFFING 10/03/11 LUKE C. ANTONSEN 424 14WC 29207 MARQUEZ, RIGOBERTO EFCO 07/07/14 JOHN E LUSAK GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 14WC 29618 GUTIERREZ, CHARLES HOME DEPOT 05/07/14 KIPNIS & KAHN ADELSON TESTAN & BRUNDO 426 14WC 29818 SARTORI, CHRISTOPHER R&I ORNAMENTAL IRON 08/22/14 O'CONNOR & NAKOS ROBERT L. SMITH 427 14WC 29949 CAHILL, JAMES OLD DOMINION FREIGHT LINE 06/02/14 ANESI OZMON RODIN NOVAK KO RODDY LAW LTD 428 14WC 29990 REYES, OLGA READER LINK 01/17/14 429 14WC 30015 JEROME-KON STATE OF IL @ 12/13/13 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 430 14WC 30346 HAYWARD, CARL SR PACTIV LLC 09/02/14 PARENTE & NOREM PC SPIEGEL & CAHILL, PC 431 14WC 30564 HOLLAND, MICHELLE SADDLE CREEK LOGISTICS 02/13/14 PARENTE & NOREM PC WOLFE & JACOBSON, LTD 432 14WC 30626 CLOONAN, BRENDAN M. JEWEL FOOD STORES 11/01/13 GALLAGHER, DONALD V RODDY LAW LTD 433 14WC 30670 PEREZ, ALVARO MICHAEL'S DISTRIBUTION CT 08/22/14 LAW OFFICES TIMOTHY LAMPIN 434 14WC 30973 PEREZ, OSCAR E CLEAR STAFF INC 06/23/14 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 435 14WC 31431 SINGLETON, RICHARD ADVANCE AUTO PARTS 02/18/14 JOHN E LUSAK 436 14WC 31596 MCCUE, ERIN PLAINFIELD SCHOOL DISTRIC 02/04/14 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 437 14WC 31626 HOLLIMAN, CAROLYN ST OF IL/DCFS @ 11/25/13 ASSISTANT ATTORNEY GENERAL 438 14WC 31736 MARTINEZ, GAMALIEL THE HARTFORD INSURANCE 01/14/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 439 14WC 32075 GAUREGUI, JOSE SAN JOSE TRUCKING INC 08/04/14 JOHN E LUSAK SCOPELITIS GARVIN LIGHT 440 14WC 32203 STONE, GENE MR TRANSMISSIONS 02/20/13 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 14WC041886 -C 441 14WC 32308 SHELTON, ANTWONNE AZZ GALVANIZING INC 08/21/14 PORRO NIERMANN LAW GROUP 442 14WC 32360 DE LA ROSA, IDANIA EL AUTHENTICO BURRITO 10/05/13 BAUM RUFFOLO & MARZAL LTD PAUL F PETERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 14WC 32675 WALLENBERG, JOSEPH DHR STAFFING SOLUTIONS 08/17/14 FOOTE MIELKE CHAVEZ & O'NE 444 14WC 32693 LAW-KING, YOLANDA CLOUD BLUE TECHNOLOGY 09/08/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 445 14WC 33015 AVILA, JAIME DOLLAR TREE STORES INC 07/29/14 OSVALDO RODRIGUEZ PC BRYCE DOWNEY & LENKOV LLC 446 14WC 33177 KENNEDY, JERRY RANDY METRO STAFF INC 07/17/14 THOMAS R LICHTEN ASSISTANT ATTORNEY GENERAL 447 14WC 33181 BUEL, PAUL ALLEY GRILL & TAP HOUSE W 02/28/14 CAMERON CLARK 448 14WC 33182 BOGDAN, KENNETH VILLAGE OF CRETE 04/01/12 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 14WC033727 -C 449 14WC 33254 REED, ERIC L WASTE MANAGEMENT 06/23/14 JASINSKI, GEORGE J GAROFALO SCHREIBER STORM 450 14WC 33296 RAMIREZ, ACELA PLAINFIELD SCHOOL DIST 20 01/15/14 COLLISON LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 451 14WC 33718 WATSON, JULIE ENVOY AIR INC 05/11/14 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 452 14WC 33793 VALLADOLID, BULMARO CLEARWATER PAPER CO 08/07/14 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 453 14WC 35036 HAMPTON, ANGIA R FIRST MIDWEST BANK 08/11/14 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 454 14WC 35383 RAMIREZ, RICARDO FAB WERKS INC 03/03/14 FABRIZIO, HANSON & PEYLA 455 14WC 35730 LITTLE, RANDY D ADT HOME SECURITY 09/20/14 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 456 14WC 35935 CAROTHERS, ANTHONY DHR STAFFING SOLUTIONS 07/20/14 FOOTE MIELKE CHAVEZ & O'NE 457 14WC 36046 SILVA, ELSA G6 HOSPITALITY/MOTEL 6 JO 12/12/12 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 458 14WC 36152 CALBERT, STEPHANIE SELECTREMEDY 10/10/14 PATRICOSKI, MARK G LEAHY EISENBERG & FRAENKEL 459 14WC 36310 WAGNER, SCOTT UPS FREIGHT 02/14/14 HORWITZ HORWITZ & ASSOC ASA LAW GROUP 460 14WC 36527 FROST, JEFFREY M CL COATINGS LLC 10/06/14 CULLEN HASKINS NICHOLSON GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 14WC 36994 JONES, LORETTA P SILVER CROSS HOSPITAL 10/30/11 MACIOROWSKI SACKMANN & ULRIC 462 14WC 37034 ZURAWSKI, DARLENE SPEEDWAY 10/06/14 MCNAMARA PHELAN MCSTEEN LL NYHAN BAMBRICK KINZIE & LOWR 463 14WC 37086 DE LA CRUZ, ROSA ACCURATE PERSONNEL LLC 07/26/14 THE ROMAKER LAW FIRM GRANT & FANNING 464 14WC 37157 ETHERIDGE, MIKE MULTI-PLASTICS INC 06/30/14 CORTINA & MUELLER HOLECEK & ASSOCIATES 465 14WC 37403 ALARCON, SARA ELITE STAFFING - BOLINGBR 09/18/14 MC HARGUE, JAMES P LAW OFF 15WC001575 -C 466 14WC 37842 CABAN-O'KENNARD, MICHELLE ST OF IL DEPT OF 08/27/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 467 14WC 37920 ZAVALA, ANTHONY ROBERT DEPENDABLE STAFFING GROUP 09/22/14 LUKE C. ANTONSEN 468 14WC 38063 MARTIN, LESLIE PACTIV * 09/14/14 VASILATOS & COTTER LLC SPIEGEL & CAHILL, PC 469 14WC 38152 LEHNING, THOMAS PEOPLE LINK 10/17/14 DWORKIN AND MACIARIELLO WOLF LAW LTD 470 14WC 38224 OSTROWSKI, DENNIS CHICAGO BRIDGE & IRON COM 04/04/14 HORWITZ HORWITZ & ASSOC RIPES NELSON BAGGOT KALOBRAT 471 14WC 38281 BRAUCHLER, WAYNE BOLINGBROOK FIRE DEPARTME 08/11/14 THOMAS W DUDA POWER & CRONIN LTD 472 14WC 38428 HAMILTON, JAMES E THE HOME DEPOT 11/16/11 CUDA LAW OFFICES MC ANDREWS & NORGLE LLC 473 14WC 38449 HERZOG, KAY ST OF IL DOC STATEVILLE @ 09/19/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 474 14WC 38494 ROBINSON, SANDRA PRESENCE ST JOSEPH 08/06/14 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 14WC038495 -C 15WC005005 -C 15WC033483 -C 475 14WC 38614 WHITE, CHERYL CORNERSTONE SERVICES INC 09/04/14 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 476 14WC 39122 BUTLER, MICHELLE C WILTON INDUSTRIES 07/17/14 BRILL & FISHEL GAROFALO SCHREIBER STORM 477 14WC 39219 PEDZIWIATR, PAMELA LINCOLN WAY AREA DISTRICT 10/23/14 MINKOW DOMIN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 14WC 39357 ZIMMERMAN, GEORGE INTERMODAL SERVICES OF AM 10/08/14 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 479 14WC 39942 BROWN, ANTHONY T AIM NATIONALEASE 10/19/14 DEPAOLO ZADEIKIS GORE 480 14WC 39960 SWIFT, JEROME PMB TRUCKING 11/11/14 RUBENS AND KRESS NYHAN BAMBRICK KINZIE & LOWR 481 14WC 40301 MORALES, MARTHA PLAINFIELD SCHOOL DIST 20 04/17/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 482 14WC 40328 SAENZ, VICKY IL DEPT OF HUMAN SERVICES @ 07/10/14 GOLDBERG WEISMAN & CAIRO L JEANNINE SIMS 483 14WC 40454 GARCIA, RICHARD PROLOGISTIX 09/29/14 484 14WC 40551 CLARK, DANIEL WEBB GROUNDS 11/21/14 RIDGE & DOWNES 485 14WC 40872 RENDON, CECILIO APEK INC 10/23/14 CARL H EBERT & ASSOC HOLECEK & ASSOCIATES 486 14WC 41040 DURAN, PAULINO ACCURATE PERSONNEL LLC 09/07/14 ANESI OZMON RODIN NOVAK KO 487 14WC 41359 HOUSE, DAVID CITY OF JOLIET 05/16/13 GOLDBERG WEISMAN & CAIRO L KAVANAGH GRUMLEY & GORBOLD 488 14WC 41522 GORDON, JOSH FIVE STAR ELITE 10/10/14 WOODRUFF & JOHNSON 489 14WC 41607 BOYLE, EILEEN ECOLAB 12/21/11 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 490 14WC 41968 MANGIALARDI, JILL BOLINGBROOK HIGH SCHOOL 09/05/14 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 491 14WC 42018 MATLAK, PHILIP PRIMETIME TRUCKING INC 08/20/14 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 492 14WC 42099 MARTINEZ, INOCENTE ELITE STAFFING 06/20/13 RUBIN MACHADO ROSENBLUM 493 14WC 42423 JOHSON, MARVIN NU WAY STAFFING 12/01/14 494 14WC 42887 LEAL, MARIA PLAINFIELD SCHOOL DIST 20 07/02/14 JONATHAN SCHLACK GAROFALO SCHREIBER STORM 495 14WC 42945 SHEDRICH, JOHN LINEAGE COLD STORAGE 04/07/14 CUTLER & HULL HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 14WC 42985 REID, JERRELL ILL. DEPT OF CORRECTIONS 12/16/14 FRANCIS J DISCIPIO LAW OFF JEANNINE SIMS 497 14WC 43000 AMARO, LILIANA MCDONALD'S 08/31/14 SALK, STEVEN B & ASSOC LTD QUINTAIROS PRIETO WOOD & BOY 498 14WC 43257 DUNFRUND, JASON MCDONALDS INNOVATIONS CEN 01/16/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 499 14WC 43575 MARTIN, RHONDA VALLEY VIEW SCHOOL 10/31/14 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 500 14WC 43742 ALVAREZ, ANDREA S&S ACTIVEWEAR 10/06/14 GALLIANI DOELL & COZZI LTD WALLACE SAUNDERS 501 15WC 00040 AVILA, EDA EDNA NU WAY STAFFING 12/24/14 RUEDA, IVAN A 502 15WC 00263 STADLER, GREGORY R ILLINOIS DEPT OF CORRECTI 12/16/14 DEPAOLO ZADEIKIS GORE JEANNINE SIMS 15WC000264 -C 15WC000265 -C 503 15WC 00562 MARTIN, DANNY MAACO 12/30/14 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 504 15WC 00611 EDWARDS, MICHAEL US HOSE CORP 09/23/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 505 15WC 00708 MORITZ, WILLIAM EXCEL CREATIVE CONVERTING 11/19/14 CUDA LAW OFFICES HENNESSY & ROACH PC 506 15WC 00787 SERRANO, LUIS ANTONIO UNI STAFF INC 12/26/14 ROBIN LAW OFFICE MC ANDREWS & NORGLE LLC 507 15WC 01495 JENKINS, RICKY NATIONAL DCP LLC 11/07/14 HORWITZ HORWITZ & ASSOC 508 15WC 01571 DE YOUNG, JEREMIAH B STATEVILLE C.C. @ 12/12/14 DEPAOLO ZADEIKIS GORE 509 15WC 01615 AYONA, CONCEPCION SUPERIOR HEALTH LINENS 11/22/14 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 510 15WC 01653 ANDERSON, SHAWN FLEXIBLE STAFFING SERVICE 11/17/14 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 511 15WC 02628 CRASE, CAROL SILVER CROSS HOSPITAL 11/30/12 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 15WC 03439 CARRILLO, FELIPE WORK NOW STAFFING 12/02/14 CULLEN HASKINS NICHOLSON 513 15WC 03610 INCH, GORDON PLAINFIELD MOTOR SERVICE 07/11/13 BLOCK, KLUKAS & MANZELLA P JAMES M KELLY 15WC003611 -C 514 15WC 03681 VALDEZ, JOSEFINA SUBWAY 01/08/15 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 15WC003682 -C 515 15WC 03728 BIRD, JOSEPH WHITING CORP. 01/19/15 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 516 15WC 03826 NORRIS, FERRIN CLEAN HARBORS 04/01/13 CUTLER & SILVERGLADE RODDY LAW LTD 517 15WC 03878 KURE, JOHN S LOCKPORT FIRE PROTECTION 01/21/15 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 518 15WC 04250 VILLARREAL, BERNAVE H CARPENTER LIQUID 07/11/13 MARC STOOKAL JAMES M KELLY 519 15WC 04405 HUDZIAK, PATRICIA JEWEL-OSCO 09/01/14 SLAVIN & SLAVIN 520 15WC 04469 CORTES, MARTIN TRIPLE CROWN SERVICES 08/19/14 CHASE & WERNER LTD MCANANY VANCLEVE & PHILLIPS 521 15WC 04741 RILEY, MELISSA SOI/DEPT CHILDREN & FAMIL @ 01/23/15 LAW OFFICE OF BART MARKESE JEANNINE SIMS 522 15WC 04879 CARROTHERS, DARRELL L. STATE OF ILLINOIS DEPT. O @ 09/25/14 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 523 15WC 04982 CRUZ, EDGAR ATLAS STAFFING AGENCY 11/15/14 RUBIN LAW GROUP POULOS & DIBENEDETTO LAW 524 15WC 05218 OROZCO, LORENA CORPORATE RESOURCE SERVIC 11/20/14 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 525 15WC 05353 BALDERAS, KEVIN CHEDDAR'S CASUAL CAFE 12/07/14 MCNAMARA PHELAN MCSTEEN LL HOLTKAMP LIESE ET AL 526 15WC 05423 MANDAT, RHONDA L APERION CARE WILMINGTON 01/30/15 MARSZALEK AND MARSZALEK 527 15WC 05568 WADE, YVETTE ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC JEANNINE SIMS 528 15WC 05570 VEAL, HERMAN ILL DEPT OF CORRECTIONS 01/16/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL 529 15WC 05674 HUITRON, LEONEL CHICAGO INTERMODAL 12/01/14 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 530 15WC 05765 MENDEZ, RUBEN DEDICATED LOGISTICS INC 01/26/15 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 531 15WC 06064 MEDNANSKY, MARIE CURRIE MOTORS 11/24/14 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 532 15WC 06199 BARTAK, NICHOLAS J ASG STAFFING 07/10/14 BLOCK, KLUKAS & MANZELLA P FRANCIS J DISCIPIO LAW OFFIC 533 15WC 06322 DIRKINS, CHANDEL CASA MARGARITA 12/18/14 PATRICIA HARDIMAN LAW OFFI 534 15WC 06361 LOPEZ, SANTIAGO B ARBOR TELE SERVICES INC. 02/02/15 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 535 15WC 06401 JIMENEZ, ORLANDO JOHN MORRELL - SARATOGA F 11/24/14 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 536 15WC 06530 FOX, BERNAL RCI 02/06/15 DWORKIN AND MACIARIELLO 537 15WC 06730 MITCHELL, FLOYD AMERICAN PRESIDENT LINES 06/18/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 538 15WC 07147 REAVES, NICOLE ALDI 03/25/14 BLOCK, KLUKAS & MANZELLA P 16WC017517 -C 539 15WC 07238 CASTRO, JOSE L PYRAMID CUSTOM CABINETS 01/20/15 FOOTE MIELKE CHAVEZ & O'NE ROSARIO CIBELLA 540 15WC 07492 O'BRIEN, JUSTIN P ATLAS FIRST ACCESS 12/31/13 FIGLIOLI, DAVID GAROFALO SCHREIBER STORM 541 15WC 07556 DEL-CARMEN-MATA, MARIA ALG DIRECT/PRINTING 07/15/14 ACEVES & PEREZ PC HENNESSY & ROACH PC 542 15WC 07660 RODRIGUEZ, JAQUELINE WEATHERTECH 01/28/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 543 15WC 07730 MITCHELL, FLOWAYA M SUNNY HILL NURSING HOME 02/06/15 LAW OFFICES MICHAEL HELLMA 544 15WC 07747 HOLMAN, JENNEICE JACOBSON WAREHOUSE CO, IN 02/13/15 ANKIN LAW OFFICE CACCHILLO LAW GROUP LLC 545 15WC 07785 HUGHES, GERALDINE, FOR ES INTERMODAL SERVICES OF AM # 02/13/15 PARENTE & NOREM PC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 546 15WC 07786 HERNANDEZ, EVELYN D & D MANUFACTURING INC 06/22/14 547 15WC 07881 GAGE, ARTLEAN ILLINOIS DOC PAROLE 02/25/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 15WC027723 -C ST OF IL DEPT OF 548 15WC 08172 WORKMAN, RICHARD JOLIET JUNIOR COLLEGE 12/11/14 DWORKIN AND MACIARIELLO SCOPELITIS GARVIN LIGHT 549 15WC 08388 HERRERA, HILDA PANDUIT 03/09/15 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 550 15WC 08421 LABARAN, IDRISU PACTIV CORP 05/24/12 KARCHMAR & STONE SPIEGEL & CAHILL, PC 551 15WC 08636 MC DONALD, CHARLES D JR UNIFIED CLEAN ROOM 03/05/13 MCNAMARA PHELAN MCSTEEN LL 552 15WC 09168 BLEDSOE, KYLE JOLIET POLICE DEPT 11/01/12 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 553 15WC 09299 WHITNEY, WILLIAM ALAN HORTICULTURAL ENTERP 08/08/14 R. MARK MARITOTE PC LAW OFFICES OF 554 15WC 09508 GARCIA, JESUS CENTRAL GROCERS INC 06/16/13 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 555 15WC 09645 MC DONALD, JAMES JOLIET HIGH SCHOOL DIST 2 01/20/15 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 16WC019723 -C 556 15WC 09751 GARNER, CHELYNA FIRST CLASS STAFFING AGEN 02/15/15 MCNAMARA PHELAN MCSTEEN LL GRANT & FANNING 557 15WC 10134 PASCUAL, MARIA PSA CARDS 08/05/14 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 558 15WC 10201 NUNEZ, ELIZAI ELITE STAFFING 03/11/15 BAUM RUFFOLO & MARZAL LTD 559 15WC 10230 ORSBORN, CARLOTTA JOLIET SCHOOL DIST #86 01/27/15 KIPNIS & KAHN ROSARIO CIBELLA 560 15WC 10286 BUSTAMENTE, GERARDO JR CENTRAL GROCERS INC 12/15/14 ANKIN LAW OFFICE ROSARIO CIBELLA 16WC005603 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 15WC 10292 CASTELLANO, MARTHA MICHAEL'S DISTRIBUTION CE 12/29/14 STROM, NEAL B 562 15WC 10444 KEIGHER, MATT JOLIET FIRE DEPT 09/29/14 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 15WC010732 -C 15WC010733 -C 563 15WC 10472 WILLIAMS, MICHAEL D. YAZMIN TRANSPORTATION, IN 02/26/15 FIGLIOLI, DAVID 564 15WC 10596 HANNIGAN, ROBERT P. MEP CONSTRUCTION 03/13/15 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 565 15WC 10644 HERNANDEZ, MARTIN ARYZTA LLC 09/02/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 566 15WC 10761 STOKES, KEVIN D ILL DEPT OF CORRECTIONS 10/01/14 COHN LAMBERT RYAN & SCHNEI JEANNINE SIMS 567 15WC 11238 CHAIDEZ, FLORENTIO CENTRAL GROCERS INC 03/12/15 OSVALDO RODRIGUEZ PC 568 15WC 11359 RAMAGLIA, MICHAEL F ROMEOVILLE POLICE DEPT 12/23/14 FIGLIOLI, DAVID SLAVIN & SLAVIN 569 15WC 11397 MINION, MARK ANDY'S FROZEN CUSTARD 02/25/15 DAN COLLINS LAW FIRM HOLECEK & ASSOCIATES 570 15WC 11466 KOUIMELIS, HARRY A MONROE TRANSPORTATION 01/20/14 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 571 15WC 11647 WHITMER, DENNIS TOVAR 02/09/15 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 572 15WC 11739 FASANO, DANIEL L PARSEC INDUSTIES, INC. 02/13/15 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 573 15WC 11824 PENNING, JULIE BEAVER CREEK ENTERPRISES 10/24/14 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 574 15WC 11851 REESE, JERALD D IL DEPT OF CORRECTIONS @ 03/17/15 PATRICOSKI, MARK G JEANNINE SIMS 575 15WC 12087 CARNEY, JOSEPH VILLAGE OF BOLINGBROOK 09/22/14 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 576 15WC 12199 CABRERA, MARINA SONY-DADC 11/26/12 MCNAMARA PHELAN MCSTEEN LL CHILTON YAMBERT PORTER LLP 577 15WC 12276 CARON, DEANNA SILVER CROSS HOSPITAL 09/07/14 MARKER & ASSOCIATES MACIOROWSKI SACKMANN & ULRIC 578 15WC 12519 JIMINEZ, ALBERTO NATIONAL TUBE SUPPLY 09/03/13 RAYMOND M SIMARD, PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 579 15WC 12696 CUNNINGHAM, GLORIA PROVENA ST. JOSEPH M C 01/18/15 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 580 15WC 12861 WAGNER, BRANDON M PARSEC INC 05/09/13 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 581 15WC 13005 WILLIAMS, TAWANDA ONE HOP UNITED 12/23/14 DWORKIN AND MACIARIELLO 582 15WC 13089 CRUMP, TAMLA DEPARTMENT OF CHILDREN & @ 03/03/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 583 15WC 13363 TYLER, LORETTA MACY'S RETAIL HOLDINGS IN 03/12/15 ANKIN LAW OFFICE ROBERT L. SMITH 584 15WC 13393 MORENO, JULIAN JORGE'S LANDSCAPING 03/29/15 PARENTE & NOREM PC 585 15WC 13515 GALEANA, JULIAN MORENO JORGE'S LANDSCAPING 03/29/15 ANKIN LAW OFFICE 586 15WC 13556 HEDGE, ELEANOR SILVER CROSS HOSPITAL 11/02/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 15WC014059 -C 587 15WC 13647 TAYLOR, DARRYL MENARDS 02/19/15 BRIAN T MORROW, LAW OFFICE 588 15WC 13723 ORTIZ, HECTOR WHITING CORP 04/25/12 THE OCHOA LAW GROUP 589 15WC 13838 ALI, WESAM ST OF IL DEPT OF 04/15/15 BRUCE RAFALSON LTD ASSISTANT ATTY GENERAL 590 15WC 13980 MALDONADO, ROCIO MACNEIL AUTOMOTIVE PRODUC 03/25/15 JOHN S. ELIASIK HOLECEK & ASSOCIATES 591 15WC 14037 SMITH, AMANDA M PILOT TRAVEL CENTERS 03/04/14 FABRIZIO, HANSON & PEYLA 592 15WC 14264 JEFFRIES, EUGENE EAGLE EXPRESS LINES INC 02/15/15 FRIEDMAN & SOLMOR LTD HINSHAW & CULBERTSON 593 15WC 14446 TOLIVER, NED RESOURCE EMPLOYMENT 04/13/15 SEIDMAN MARGULIS & FAIRMAN 594 15WC 14610 BARNEY, BROOKE MEIJER 02/19/15 BLOCK, KLUKAS & MANZELLA P KOPKA, PINKUS DOLIN, PC 15WC015263 -C 595 15WC 14764 JONES, KENNEDY JB HUNT 04/04/15 DWORKIN AND MACIARIELLO GRANT & FANNING 596 15WC 14979 DABNEY, BERNARD PREMIER EMPLOYEE SOLUTION 04/27/15 LAW OFFICES PETER LEKAS GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 15WC 15049 GIGLIO, MIKE THE HOME DEPOT 04/01/15 RATHBUN CSEVENYAK & KOZOL ADELSON TESTAN & BRUNDO 598 15WC 15146 MITCHELL, KEITH U.S. HOSE CORPORATION 04/23/15 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 599 15WC 15893 MARTINEZ, FLORA SURE STAFF 04/23/15 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 600 15WC 15958 WADE-ENGLISH, SHERRI IL DEPT OF CORRECTIONS 04/09/15 WOODRUFF & JOHNSON JEANNINE SIMS 601 15WC 16189 WAGNON, REBECCA L JOLIET PUBLIC SCHOOLS DIS 05/06/15 PARENTE & NOREM PC 602 15WC 16307 MCDONALD, ROBERT G JR MEIJER LTD PARTNERSHIP 03/25/15 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 603 15WC 16530 QUIROZ, ELEAZAR AARON THOMAS CO 04/22/15 CHEPOV & SCOTT LLC LAW OFFICES JOSEPH MARCINIAK 604 15WC 16577 SARPEY, BISMARK 303 TAXI 05/13/15 STEVEN J MALMAN & ASSOCIAT 605 15WC 16947 VALENCIANA-GONZALEA, ACEN METRO STAFF INC 07/03/14 BLOCK, KLUKAS & MANZELLA P FRANCIS J DISCIPIO LAW OFFIC 606 15WC 17555 DRAPEAU, DEANNA PLAINFIELD SCHOOL DIST 20 01/12/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 607 15WC 17634 BOURG, THOMAS J CATERPILALR INC 03/18/15 SLAVIN & SLAVIN CATERPILLAR, INC. 608 15WC 17694 MITCHELL-FRANKLIN, MICHEL TRINITY SERVICES, INC. 03/16/15 MARK WHITESIDE ESQ INMAN & FITZGIBBONS 15WC038896 -C 609 15WC 17748 SMITH, LORETTA REMPREX 03/11/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 610 15WC 17800 ESPINOSA, ROCIO WALMART 05/09/15 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 611 15WC 17915 TRINKA, STEVEN WALMART 11/03/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 612 15WC 18079 HALL, SCOTT JR. ILLINOIS DEPT OF CORRECTI @ 09/02/14 MC HARGUE, JAMES P LAW OFF COLIN KICKLIGHTER 613 15WC 18193 BOZINOVICH, KENNETH FIRST STUDENT 05/19/15 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 614 15WC 18245 BOZINOVICH, KENNETH FIRST STUDENT 10/29/14 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 615 15WC 18533 ORASCO, STEPHEN NEW ALBERTSONS, INC. 12/24/13 ANKIN LAW OFFICE 616 15WC 18643 RAMIREZ, ISRAEL LITTLE ELECTRIC 01/14/15 WOODRUFF & JOHNSON QUINTAIROS PRIETO WOOD & BOY 617 15WC 19408 MORALSES, ROBIN OSEWGO SCHOOL 09/13/14 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 618 15WC 19493 WILLIAMS, BERNARD OZINGA 10/20/14 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 619 15WC 19744 APRIL, MICHELLE UPS 12/15/14 SEIDMAN MARGULIS & FAIRMAN 620 15WC 19751 CORREA, JASON AD DELUXESIGN COMPANY 04/06/15 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 621 15WC 19820 DOESLAERE, AMANDA STATE OF ILLINOIS IYC @ 01/29/14 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 15WC020691 -C ILLINOIS IYC 15WC022067 -C 622 15WC 19953 ABDALLAH, EMAD I & A SERVICES 05/04/15 623 15WC 20008 LOPEZ, LISA M FEDERAL SIGNAL 02/27/15 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 624 15WC 20157 GUZMAN, APOLINAR RAILWAY & INDUSTRIAL SERV 01/02/14 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 625 15WC 20217 ALVAREZ, SILVIA DPWN HOLDINGS INC 04/02/15 WARREN E DANZ, PC HENNESSY & ROACH PC 626 15WC 20239 STEINER, JOEL ECHOSPHERE, LLC. 10/24/14 HANNA VANDER PLOEG LLC 627 15WC 20426 HARVEY, TARJI HOME DEPOT DISTRIBUTION C 11/25/14 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN & BRUNDO 628 15WC 20459 PAIGE, ERIC A AEROTEC ELECTRIC 05/30/15 MEYERS & FLOWERS 629 15WC 20650 KRAKOWSKI, JENNIFER NAPA AUTO PARTS 05/28/15 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 630 15WC 20693 JEFFERSON, KIARA SALEM VILLAGE 05/15/14 BLOCK, KLUKAS & MANZELLA P 631 15WC 20772 LIMON, MATTHEW A. ILLINOIS BELL TELEPHONE C 06/04/15 MARKER & ASSOCIATES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 632 15WC 21081 WINNS, KIMBERLYN TRINITY SERVICES 02/04/15 BRIAN T MORROW, LAW OFFICE 633 15WC 21095 MONSIVAIS, MARIA VALLEY VIEW SCHOOL DISTRI 05/29/14 RIDGE & DOWNES KNELL & O'CONNOR 16WC017740 -C 16WC020540 -C 634 15WC 21110 AUSTIN, RICHARD STAFFING NETWORK 06/13/15 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 635 15WC 21288 POTOCKI, RICH ACUREN GROUP 04/15/15 RUBIN LAW GROUP HENNESSY & ROACH PC 636 15WC 21468 MADRID, CECILIO METRO STAFF INC 06/24/15 LAW OFFICE EDWARD RUEDA HENNESSY & ROACH PC 637 15WC 21527 BAKER, RUSSELLL STATEVILLE CORRECTIONAL C @ 03/31/15 DREW J FERRACUTI COLIN KICKLIGHTER 638 15WC 21646 MAYA-HERNANDEZ, BULMARO D&D TOOLING & MFG INC 06/12/15 PARENTE & NOREM PC HOLECEK & ASSOCIATES 639 15WC 21743 GOERS, SABRINA VALLEY VIEW SCHOOL DIST 3 12/10/14 SHEA LAW GROUP KNELL & O'CONNOR 17WC010048 -C 640 15WC 21942 DUDDLESON, KENLYN IL DEPT OF CORRECTIONS @ 09/20/13 WHITESIDE & GOLDBERG LTD COLIN KICKLIGHTER 641 15WC 22047 MCCUMBER, BRIAN OSWEGO FIRE PROTECTION 10/30/14 BARRY A KETTER RUSIN & MACIOROWSKI LTD 15WC025960 -C 642 15WC 22330 WARD, SHONTA HARBOR CHASE 04/30/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 643 15WC 22435 KOCZTA, HUBERT BLONDIE EXPRESS, 5 STAR S 08/11/14 CHEPOV & SCOTT LLC SCOPELITIS GARVIN LIGHT 644 15WC 22620 MCFADDEN, SADE FRANKFORT TERRACE 06/22/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 645 15WC 22679 FLORES, JENNIFER BUFFALO WILD WINGS 05/06/15 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC 646 15WC 22907 ESCARENO, LUCERO RON'S STAFFING SERVICES, 06/24/15 BART DURHAM GAROFALO SCHREIBER STORM 647 15WC 23000 KOBIT, MICHAEL FED EX 02/15/14 MARSZALEK AND MARSZALEK SCOPELITIS GARVIN LIGHT 648 15WC 23403 MURPHY, TIMOTHY RYDER LOGISTICS 06/24/15 LAW OFFICES PETER LEKAS HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 649 15WC 23499 VINCI, KATHERINE CHIPOTLE MEXICAN GRILL 03/31/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 650 15WC 23686 MUNOZ, ROBERT ELECTROLUX 06/18/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 651 15WC 23700 MILLER, WILLIAM E VERIHA TRUCKING 07/30/15 MARKER & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 652 15WC 23760 RAPCAN, TIMOTHY TOYAL AMERICA, INC 07/17/13 RATHBUN CSEVENYAK & KOZOL 653 15WC 24175 ZINN, SANDRA PRESENCE VILLA FRANCISCAN 07/24/15 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 654 15WC 24429 RODRIGUEZ, ANTONIO NRG ENERGY, INC. 10/04/14 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 655 15WC 24847 FLORES, TABITA JOLIET SCHOOL DISTRICT 86 05/18/15 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM 656 15WC 25035 TAYLOR, DARRYL MENARDS 05/07/15 BRIAN T MORROW, LAW OFFICE 657 15WC 25109 ALLMAN, WILLIAM NRG ENERGY SERVICES LLC 04/17/15 HORWITZ HORWITZ & ASSOC 658 15WC 25457 GASHI, ALI CRANE CO C/O C T CORPORAT 12/17/14 HETHERINGTON KARPEL BOBBER SPIEGEL & CAHILL, PC 659 15WC 25482 KUHEL, ALEX PACTIV 06/14/15 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 660 15WC 25537 MILLISON, JAMES MENARD'S 04/24/15 STANCZAK LAW OFFICES RODDY LAW LTD 661 15WC 25605 FENOGLIO, TERRY CREST HILL POLICE DEPARTM 01/17/15 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 662 15WC 25650 DAVILA, VIRGIN MARIA SENIOR STAR 01/02/15 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 663 15WC 25816 RENTAUSKAS, BRUNO EXCEL PETROLEUM TRANPORT 06/05/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 664 15WC 25915 FIFE, JOANNE VALLEY VIEW SCHOOL DIST 3 07/02/15 BLOCK, KLUKAS & MANZELLA P 15WC025916 -C 665 15WC 25966 LORD, MARY A. STACI JO'S DAY CARE 06/23/15 MARC J SHUMAN & ASSOCIATES LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 666 15WC 26182 PERRY, MAVERICK CRETE MONEE SCHOOL DISTRI 02/03/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 667 15WC 26254 FUENTES, MARIA I. WEST LIBERTY FOODS 06/10/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 16WC036343 -C 668 15WC 26338 LAMPIGNANO, VINCENZO A LAMP CONCRETE 11/26/14 KARCHMAR & STONE 669 15WC 26760 SULIT, MARY JANE CAPITAL ONE 03/08/15 DWORKIN AND MACIARIELLO GRANT & FANNING 670 15WC 26808 PINTO, RUBICEL UNISTAFF INC. 07/22/15 EPSTEIN, JACK R LAW OFFICE MC ANDREWS & NORGLE LLC 671 15WC 26857 SANCHEZ, ANGEL STATE OF IL/IDOC @ 06/20/15 MURPHY & MURPHY JEANNINE SIMS 672 15WC 26924 RUTTER, MARK MIDWEST GENERATION 04/01/14 BRIAN T MORROW, LAW OFFICE 673 15WC 26969 RUEDAS, CINTYA AZTECA BAKERY 08/14/14 BART DURHAM HENNESSY & ROACH PC 674 15WC 26991 NEWBY, THADDEUS UPS 05/07/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 675 15WC 27022 PUTNAM, JAMES CITY OF LOCKPORT 05/17/14 JACOBSON & SCHIEFELBEIN POWER & CRONIN LTD 676 15WC 27187 SANCHEZ, MARIELA ALTERNATIVE STAFFING, INC 08/17/15 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC 677 15WC 27264 ROGERS, GEORGE YOSHINO AMERICA 07/27/15 SPIROS LAW PC 678 15WC 27424 MALINOWSKI, MICHAEL CRATERS & FREIGHTERS SO C 06/11/15 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 679 15WC 27608 SCOTT, MARTY ILL DOC STATEVILLE @ 07/01/13 BLOCK, KLUKAS & MANZELLA P JEANNINE SIMS 15WC027609 -C 680 15WC 27950 LOPEZ, ROBERT R NRG ENERGY, INC. 01/04/15 BLOCK, KLUKAS & MANZELLA P 681 15WC 28124 CRUZ-SERRANO, ULISES KEHE DISTRIBUTORS INC 08/12/15 LAW OFFICES MICHAEL HELLMA NOBLE & ASSOCIATES PC 682 15WC 28221 O'HERN, TERRENCE CHANNAHON FIRE 06/30/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 683 15WC 28342 SMITH, ANGELA FULL STEAM STAFFING, LLC 08/23/15 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 684 15WC 28421 GLOVER, ROBERT AREA TRANSPORTATION 12/17/14 KATZ FRIEDMAN EAGLE ET AL THOMAS & ASSOCIATES 685 15WC 28489 PHILLIPS, SAMUEL J STAFFMARK LLC 07/26/14 KROCKEY CERNUGEL COWGILL E KEEFE CAMPBELL & ASSOC LLC 686 15WC 28581 MARTINEZ, CARLOS ROSEN MATERIALS 06/16/15 COSTA IVONE LLC 687 15WC 28673 CARTWRIGHT, AVRIL STAFFING NETWORK 08/07/15 DAVID W MARTAY SLAVIN & SLAVIN 688 15WC 28743 MORAN, NORINE DENTALWORKS/DENTAL ONE 05/01/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 689 15WC 28904 PALMER, FRANCIS MPHI, INC. 07/24/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 690 15WC 29043 CHAVEZ, ERICK WOODMARK, LLC 08/28/15 WOODRUFF & JOHNSON ACCIDENT FUND HOLDINGS 691 15WC 29115 BACHILLER, MARINA THE PORTILLO RESTAURANT G 07/25/15 FOOTE MIELKE CHAVEZ & O'NE GRANT & FANNING 692 15WC 29482 FREEMAN, DANA PEACOCK ENGINEERING 04/09/15 GOLDBERG WEISMAN & CAIRO L GOLDBERG SEGALLA LLC 693 15WC 29493 RICE, MICHAEL KEVIN NUGENT CONSTRUCTION 08/06/13 HORWITZ HORWITZ & ASSOC 694 15WC 29610 ARENAS, ROSA AXCESS STAFFING SERVICES 08/07/15 EPSTEIN, JACK R LAW OFFICE 695 15WC 29721 COY, PATRICK PEPSICO 10/14/14 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 696 15WC 29943 LEWIS, CYNTHIA ELITE REHABILITATION 08/13/15 BLOCK, KLUKAS & MANZELLA P 15WC029944 -C 697 15WC 30011 HUERTA, MARIA SEATING CONCEPTS INC 08/20/15 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 698 15WC 30398 MURPHY, BRIAN MACNEIL AUTOMOTIVE PRODUC 09/15/15 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 699 15WC 30475 DOROTIAK, JOHN HUMMINGBIRD ELECTRIC 07/23/15 KROL BONGIORNO & GIVEN LTD 700 15WC 30813 WILLARD, ZON BLACK HORSE CARRIERS, INC 09/14/15 ANKIN LAW OFFICE 701 15WC 30836 MORRIS, JOSHUA TAYLOR FREEZERS 10/24/12 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 702 15WC 30951 MOLINA, HECTOR ANDERSON & SHAH ROOFING I 07/14/15 KARCHMAR & STONE STONE & JOHNSON CHARTERED 703 15WC 31137 19B MONARREZ, MANUEL CENTRAL GROCERS CO-OP INC 09/18/14 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 704 15WC 31165 WEREECKE, NORMAN II PARAMOUNT STAFFING 08/28/15 HORWITZ HORWITZ & ASSOC 705 15WC 31277 STAFORD, CHRISTOPHER ILINK RESOURCES & FUSION 08/04/15 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 706 15WC 31367 COOPER, ERNEST J. ELITE STAFFING 07/10/15 CULLEN HASKINS NICHOLSON MARC CAIRO 707 15WC 31377 ARENAS, ROSA ACCESS STAFFING SERVICES 09/17/15 EPSTEIN, JACK R LAW OFFICE 708 15WC 31467 SANCHEZ, MARISSA NEXUS EMPLOYMENT 10/20/14 MILLON & PESKIN LTD RIPES NELSON BAGGOT KALOBRAT 709 15WC 31683 PLUNGE, ANGELA GUARDIAN ANGEL COMMUNITY 11/16/14 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 710 15WC 31739 BAKER, STEVEN NORTHFIELD BLOCK CO 02/02/15 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 711 15WC 31864 RIVERA, MARIA ALPHA CLEANERS 08/15/15 BURNETT & CARON, LTD 712 15WC 32024 POWERS, MICHAEL CASSENS TRANSPORT COMPANY 09/09/15 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 713 15WC 32126 ROSENBERGER, DENNITH D PPL-RAVENS TRUCKING, INC. 02/02/15 FREDERICK & HAGLE RODDY LAW LTD 714 15WC 32203 MACHAK, DANIELLE SILVER CROSS HOSPITAL 12/05/14 EDWARD A. STARKMAN MACIOROWSKI SACKMANN & ULRIC 715 15WC 32310 LOZANO-VARGAS, FABRIT ITZ PHILLIPS CHEVROLET 02/22/15 RAYMOND M SIMARD, PC THE ROMAKER LAW FIRM 16WC005960 -C 716 15WC 32338 PURCHASE, STEVEN L CITY OF JOLIET 05/13/15 KROCKEY CERNUGEL COWGILL E CITY OF JOLIET 717 15WC 32566 FREDERICK, JASON VILLAGE OF BOLINGBROOK/ 08/05/15 WHITESIDE & GOLDBERG LTD 718 15WC 32689 COCROFT, GERRY NAVISTAR 09/21/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 719 15WC 32872 GABEHART, ALAN GEEDING CONSTRUCTION 09/10/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 720 15WC 32878 LOVE, CALVIN THE HOME DEPOT 08/24/15 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 721 15WC 33286 TIPTON, BRIAN USF HOLLAND TRUCKING 10/22/14 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 722 15WC 33447 MUELLER, ROLLIN CATERPILLAR INC 08/04/15 RIDGE & DOWNES CATERPILLAR, INC. 15WC033448 -C 723 15WC 33584 ALCANTAR, VICTOR LUCENTA TIRE & EQUIPMENT 03/18/15 COSTA IVONE LLC 724 15WC 34028 KLUCK, JASON DJURIC TRUCKING, INC. 07/14/15 SAUNDERS CONDON & KENNY 725 15WC 34048 GERMAN, IRMA ROUTE 30 LAUNDROMAT 03/03/15 MICHAEL P MCCREADY & ASSOC 726 15WC 34273 FRAYSON, CHERALLE PRESENCE ST JOSEPH HOSPIT 08/21/15 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 727 15WC 34297 SWIERSZ, DAVID A COUNTY OF WILL/ BRUCE D C 10/30/12 HINSHAW & CULBERTSON 728 15WC 34396 TAYLOR, CELSEA M (MINOR) MC DONALD'S 09/10/15 MARKER & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 729 15WC 34493 VARGAS, JESUS MANUEL CLEARWATER PAPER CORP 09/21/15 BRISKMAN BRISKMAN GREENBER NYHAN BAMBRICK KINZIE & LOWR 730 15WC 34674 BENITEZ, JAMIL EXEL 01/08/14 GIAMANCO & OOINK LAW OFFIC HENNESSY & ROACH PC 731 15WC 34682 LUCE, CHRISTINE STATE OF ILLINOIS DEPT 09/01/14 DWORKIN AND MACIARIELLO COLIN KICKLIGHTER 732 15WC 34756 RODRIQUEZ, REYNALDO ELITE STAFFING, INC. 11/01/14 THE ROMAKER LAW FIRM 733 15WC 34902 HERNANDEZ, ARTURO ELITE STAFFING INC. 01/24/15 GOLDSTEIN BENDER & ROMANOF 734 15WC 34958 ORASCO, ANGELA JV ENTERPRISES OF IL INC 10/25/15 ANKIN LAW OFFICE 735 15WC 35052 WIGGINS, JAMES UTILITY CONCRETE PRODUCTS 08/16/15 MCNAMARA PHELAN MCSTEEN LL MC ANDREWS & NORGLE LLC 736 15WC 35278 ORTEGA, ALICIA SARATOGA FOOD SPEC 06/01/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 737 15WC 35299 JONES, EUNICE EASTER SEALS 09/17/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 738 15WC 35340 LLOYD, BRANDON HENNESSEY RIVERVIEW FORD 10/10/15 HORWITZ HORWITZ & ASSOC KNELL LAW LLC 739 15WC 35372 SLATER, CHRISTOPHER SMS TECHNICAL SERVICES, L 09/16/15 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 740 15WC 35598 SPARKS, ANDREW KWM GUTTERMAN INC 11/10/14 GRAVLIN, MICHAEL J LLC HOLECEK & ASSOCIATES 741 15WC 35666 BROWN, DONALD COWORKS 11/02/15 KARNO, MARK L & ASSOC 742 15WC 35706 JOHNSON, TION UTI INTEGRATED LOGISTICS 10/16/15 SKLARE LAW GROUP 743 15WC 36010 SLASOR, JEAN M OSWEGO CUSD #308 03/23/15 JOHN J CASTANEDA ROSARIO CIBELLA 744 15WC 36036 WHITE, RYAN IL DEPT OF CORRECTIONS 10/08/15 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENL 745 15WC 36146 ANTON, RONALD HIGHLAND PARK CVS, LLC 06/13/15 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 746 15WC 36198 BLOUNT, TYRONE SCHNEIDER NATIONAL LOGIST 10/08/15 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 747 15WC 36257 CULPEPPER, RYAN I.T.W. 10/20/15 BAUM RUFFOLO & MARZAL LTD 748 15WC 36395 ARNOLD, DEBORAH L NEW ALBERTSON'S INC 04/13/15 FOTOPOULOS, JOHN S 749 15WC 36772 KOLDER, APRIL VALLEY VIEW 08/17/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 750 15WC 36793 MEADORS, PATRICK D&H DISTRIBUTING 10/05/15 WHITESIDE & GOLDBERG LTD 751 15WC 36820 JONES, GREGORY IL DEPT OF @ 10/27/15 ARGIONIS & ASSOCIATES LLC COLIN KICKLIGHTER 752 15WC 36958 MILLER, RONALD J ROY ZENERE TRUCKING & 05/22/15 O'CONNOR & NAKOS 753 15WC 37294 GLEASON, DEBBIE SERVICE OF WILL GRUNDY AN 04/16/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 754 15WC 37307 BRACEY, DEMETRIOS RED ROOF INN 11/14/15 BIZZIERI LAW OFFICES COZZI & GOGGIN-WARD 755 15WC 37317 CHAVEZ, JULIO PRODRIVERS 11/04/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 756 15WC 37679 EUBANKS, TIANA METRO STAFFING 11/23/15 SKLARE LAW GROUP 757 15WC 37777 SWENSON, ROBERT JOLIET HOUSING AUTHORITY 07/24/15 HEALY SCANLON LAW FIRM THOMAS & ASSOCIATES 758 15WC 37886 BULLOCK, JIM JW HOLSTEIN'S SALOON 12/20/13 CULLEN HASKINS NICHOLSON KOPKA, PINKUS DOLIN, PC 759 15WC 37961 KAMBAROV, HASAN N R1 TRANSPORT INC 10/18/15 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 760 15WC 38289 JUDGE, SHAUN BRANDENBURG DRAINAGE 10/29/15 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 761 15WC 38306 LIKAR, DALE LOCKPORT POLICE DEPARTMEN 06/18/15 KAVANAGH GRUMLEY & GORBOLD RUSIN & MACIOROWSKI LTD 15WC038334 -C 762 15WC 38414 EARLEY, DAVID HOLLOWAY-MEYERS INC 07/08/14 CUTLER & SILVERGLADE 763 15WC 38525 HEDRICK, JOSHUA QUALITY AUTO BODY SHOP 09/02/15 SCHWEICKERT & GANASSIN 764 15WC 38866 HONDROS, JAMES IL DEPT OF CORRECTIONS 02/04/13 JOHN F GREGORIO & ASSOC COLIN KICKLIGHTER 765 15WC 38966 HAISH, DENNIS WASTE MANAGEMENT INC 11/11/13 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 766 15WC 39046 MEDINA, MONICA MCDONALDS 11/20/15 JAMES ELLIS GUMBINER & ASS 767 15WC 39104 POWERS, TIFFANY HOME DEPOT RDC 5851 10/22/15 HORWITZ HORWITZ & ASSOC ADELSON TESTAN & BRUNDO 768 15WC 39210 COHEN, REBECCA S&S ACTIVEWEAR 10/12/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 769 15WC 39409 VILLACANAS, FORTINO RON'S STAFFING 11/17/15 HERRERA LAW CENTER KOREY RICHARDSON LLC 770 15WC 39757 BARBER, KIMBERLY DOLLAR TREE DISTRIBUTION 09/19/15 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 17WC001507 -C 771 15WC 39836 SCEARCE, LINNEA PLAINFIELD CONSL SCHOOL 02/26/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 772 15WC 39881 WYSOCK, ROBERT PACTIV 03/12/15 RATHBUN CSEVENYAK & KOZOL SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 773 15WC 39940 MORRIS, JENNIFER WILL CTY CIRCUIT CLERK OF 05/28/15 STEVEN H MEVORAH & ASSOCIA HINSHAW & CULBERTSON 774 15WC 40982 DISSI, ATEF SCHNEIDER LOGISTICS TRANS 11/22/15 BRIAN J MC MANUS & ASSOC, POWER & CRONIN LTD 16WC015970 -C 775 15WC 41039 BUSTAMANTE, GERARDO CENTRAL GROCERS CO-OP, IN 10/18/15 OSVALDO RODRIGUEZ PC ROSARIO CIBELLA 776 15WC 41361 MEDRANO, DAVID JMJ TALENT SOLUTIONS 11/04/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 777 15WC 41409 MARCHETTI, GINA STATE OF ILLINOIS @ 12/01/15 SEIDMAN MARGULIS & FAIRMAN COLIN KICKLIGHTER 778 15WC 41457 TESSLING, FRANK SAUNORIS BROS 07/24/15 FINE, MARK S LAW OFFICES BRYCE DOWNEY & LENKOV LLC 779 15WC 41482 WIEDMAN, TONI CAESARS ENTERTAINMENT COR 03/21/15 RUSSO & RUSSO LTD NOBLE & ASSOCIATES PC 780 15WC 41508 TERRY, FREDERICK PREMIER EMPLOYERS/IFCO 12/02/15 BLOCK, KLUKAS & MANZELLA P 781 15WC 41597 CARRISALES, CATALINA METRO STAFF INC. 11/12/15 HERRERA LAW CENTER FRANCIS J DISCIPIO LAW OFFIC 782 15WC 41655 BRIDGES, GREGORY M CRETE-MONEE SCHOOL DIST # 02/04/15 FABRIZIO, HANSON & PEYLA 783 15WC 41947 LEUZINGER-KELLY, VIVIAN WALMART 10/11/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 784 15WC 42108 DEVRIES, JEAN A HARBOR HOUSE RESALE SHOPP 01/17/15 MATTHEW T. GUBBINS PC WIEDNER & MCAULIFFE LTD 785 15WC 42384 SCHMIDT, RYAN MENARDS 10/01/15 KROL BONGIORNO & GIVEN LTD RODDY LAW LTD 786 15WC 42414 RUIZ, JOHN A A&D PAINTING & DRYWALL 12/04/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 787 15WC 42515 BARRIOS, GLORIA BOSCH 11/25/15 KARCHMAR & STONE GAROFALO SCHREIBER STORM 788 15WC 42553 STEWART, TIFFANY CONERSTONE SERVICES INC. 12/23/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 789 15WC 42626 KRYNSKI, ARTHUR WEATHERTRUCK 10/19/15 GIACOBBE, THOMAS M HOLECEK & ASSOCIATES 790 15WC 42697 MC GEE, DEVIN STAFFING NETWORK 12/10/15 MC HARGUE, JAMES P LAW OFF SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 791 16WC 00022 TAMAYO, APOLONIO TRIUNE LOGISTICS 11/05/15 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 792 16WC 00048 BREGENZER, MICHAEL EA SWEEN 02/26/15 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 793 16WC 00332 SMITH, RITA LODERS CROKLAAN 03/06/15 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 794 16WC 00399 KALEC, DERICK LARSEN'S INC. 01/07/14 BRUGGEMAN HURST & ASSOC 795 16WC 00720 GUZMAN, ROGER WILTON BRANDS 11/16/15 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 796 16WC 00786 BARKAUSKAQS, NICHOLAS MAURER TRUCK REPAIR 09/18/15 GOLDBERG WEISMAN & CAIRO L LITCHFIELD CAVO 797 16WC 00800 BINNS, KATHLEEN KENDALL CTY SPECIAL ED CO 10/02/15 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 798 16WC 00894 GONZALEZ, ROSA MOTEL 6 O.L.P. 11/21/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 799 16WC 00971 RAMIREZ, RICARDO SEATING CONCEPTS INC 11/05/15 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 800 16WC 01034 ARREOLA, CEASAR ALRO STEEL CORP 01/06/14 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 801 16WC 01066 BERMUDEZ, JOEL EXCEL PETROLEUM TRANSPORT 09/21/15 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 802 16WC 01152 DEL RIO, ROSE JEWEL FOOD STORES 07/02/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 16WC001153 -C 803 16WC 01286 MAJOR, DON BERKOTS SUPER FOODS 09/05/15 LIDOV & BLOCK 804 16WC 01327 TAYLOR, ERIN K DOLLAR TREE DISTRIBUTION 11/23/15 ANESI OZMON RODIN NOVAK KO 805 16WC 01348 BARLEY, MATTHEW ILINK RESOURCES 10/14/15 VASILATOS & COTTER LLC LAW OFFICES JOSEPH MARCINIAK 806 16WC 01610 RODRIGUEZ, ALICIA ULTA SALON COSMETICS 03/11/15 BERG & BERG RUSIN & MACIOROWSKI LTD 807 16WC 01655 CUNNINGHAM, CORNELL PREMIER EMPLOYEE SOLUTION 09/10/15 RUBENS AND KRESS GRANT & FANNING 808 16WC 01722 ULMER, ASHLEY ILLINOIS VETERANS HOME @ 11/29/15 FINE, MARK S LAW OFFICES ASSISTANT ATTORNEY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 809 16WC 01843 WATKINS, ROGER RUAN TRANSPORTATION MANAG 11/19/15 ANKIN LAW OFFICE JAMES M KELLY 810 16WC 01903 CABRALES,ALICIA DIVERSIFIED MAINTENANCE S 05/27/15 BOWMAN & CORDAY 811 16WC 02104 19B RICE, MICHAEL A CORPORATE EMPLOYMENT 01/08/16 KOSIN LAW OFFICE LTD SLAVIN & SLAVIN 812 16WC 02387 FILIP, TIMOTHY QUALITY PLUMBING 08/20/14 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 813 16WC 02489 DEESPITIA, MARIA RICH PRODUCTS CORP 10/14/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN 814 16WC 03002 LOPEZ, ROSA I S&S ACTIVEWEAR 09/09/15 FIGLIOLI, DAVID KNELL & O'CONNOR 815 16WC 03048 KYSER, JENNIFER ILLINOIS DEPT OF CORRECTI @ 12/10/15 HORWITZ HORWITZ & ASSOC COLIN KICKLIGHTER 816 16WC 03252 WOOTEN, DWAYNE FED EX 12/14/15 BRAD J. BALKE, PC HANSON LAW OFFICE 817 16WC 03278 MONTGOMERY, NAOMI PATRICK L HALEY MANSION 08/18/14 LAW OFFICES MICHAEL HELLMA ACCIDENT FUND HOLDINGS 818 16WC 03299 GOMEZ, ROMUALDO HOUSING AUTHORITY 12/11/15 DWORKIN AND MACIARIELLO THOMAS & ASSOCIATES 819 16WC 03360 HARPER, COURTNEY PEACOCK ENGIEERING 01/22/16 MC HARGUE, JAMES P LAW OFF HOLECEK & ASSOCIATES 820 16WC 03482 MCKENDRY, VALERIE MINOOKA CONSO1DSCHOOL DIS 02/18/13 BOGGS & FILLENWARTH 821 16WC 03627 HALL, DONALD PAPER TRANSPORT INC @ 12/19/15 SCHREINER MALLOY & ETZLER HINSHAW & CULBERTSON 822 16WC 03647 TOBIAS, SHARON STATE OF IL./DHS @ 09/23/15 BLOCK, KLUKAS & MANZELLA P 823 16WC 03788 JIMENEZ, BENJAMIN WINTER LANDSCAPING 06/03/15 LULAY LAW OFFICES GAROFALO SCHREIBER STORM 824 16WC 03861 TRUJILLO, HENRY S TOPHAT LOGISTICAL SOLUTIO 01/18/16 ANKIN LAW OFFICE SMITH AMUNDSEN LLC 825 16WC 04050 ROSE, KARL CREATIVE CONVERTING 01/12/16 LEITER LAW OFFICES HENNESSY & ROACH PC 826 16WC 04112 GRAY, CORNELIOUS FIRST STUDENT BUS SERVICE 11/23/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 827 16WC 04173 HOOKER, TIMOTHY WORLD KIA JOLIET 10/12/15 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 828 16WC 04217 NIMO, TREMELL B FEDERAL EXPRESS 02/03/15 VASILATOS & COTTER LLC 829 16WC 04262 BAKER, ADAM STAFFMARK 01/27/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 830 16WC 04323 MORALES, CARMENCITA PRESENCE MERCY MEDICAL CE 09/02/15 MCNAMARA PHELAN MCSTEEN LL 831 16WC 04377 DENNIS, CHARLES SCHNEIDER TRANSLOADING 06/25/15 STEVEN J TENZER, LTD POWER & CRONIN LTD 16WC004378 -C 832 16WC 04383 MEDINA, LATOYA CORNERSTONE SERVICES 12/16/13 LAW OFFICES MICHAEL HELLMA 833 16WC 04583 KLAPPER, MARY JEWEL FOODS 07/12/15 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 834 16WC 04607 BRONGIEL, DAVID E. INTERNATIONAL COMPONENTS 12/09/13 WILLIAMS, ROBERT B LAW OFF 835 16WC 04614 DASTYCH, CAROLYN KURTZ AMBULANCE SERVICES, 12/05/14 LAWRENCE A SCORDINO BRADY CONNOLLY & MASUDA PC 836 16WC 04704 SCHNEIDER-ANDREW, LESLI PRESENCE ST JOSEPH'S MED 05/13/15 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 837 16WC 04797 GONZALEZ, ISIDRA METRO STAFF INC IN LOANIN 02/05/16 SALK, STEVEN B & ASSOC LTD FRANCIS J DISCIPIO LAW OFFIC 838 16WC 04939 FRLANICH, SUSAN FIRST STUDENT BUS SERVICE 12/09/15 GOLDBERG WEISMAN & CAIRO L 839 16WC 05054 ALLEGLETTI, DENISE PREMIER STAFFING 02/04/16 DWORKIN AND MACIARIELLO 840 16WC 05079 MORGAN, MICHAEL KENDALL AUTO AND TRUCK RE 10/12/15 PATRICOSKI, MARK G 841 16WC 05165 SOBCZAK,CHRISTOPHER JACOB NUTTER INSTALLATIONS 10/22/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 842 16WC 05383 HARDING, DOUGLAS J.B. HUNT 10/07/15 LAW OFFICES MICHAEL HELLMA GRANT & FANNING 843 16WC 05506 BRODANEX, ARNELL JR RESOURCE EMPLOYMENT 12/17/15 GOLDSTEIN BENDER & ROMANOF 844 16WC 05519 ORTIZ, CARLOS FLEXIBLE STAFFING 02/12/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 845 16WC 05625 ZEIGER, JOSEPH SPORTS AUTHORITY 12/30/15 BART DURHAM RODDY LAW LTD 846 16WC 05633 SANCHEZ, MARIBEL ELITE STAFFING 02/11/16 COSTA IVONE LLC 847 16WC 05673 MOTON, YOLANDA STATE OF ILLINOIS DHS @ 02/03/16 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 848 16WC 05764 ROJAS, OLGA PREMIER EMPLOYEE SOLUTION 11/09/15 THE ROMAKER LAW FIRM GRANT & FANNING 849 16WC 05897 CRUZ, ROSALINDA JOLIET SCHOOL DISTRICT #8 12/04/15 CORTINA & MUELLER 850 16WC 05947 BOLOS, PATRICIA STAFF MARK/RR DONNELLY 02/05/16 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 851 16WC 06041 PRUITT, CEDRIC STATE OF IL DEPT OF CORRE @ 01/06/16 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENL 852 16WC 06058 SHIMKUS, SHARI ROLLING FRITO/LAY SALES 12/13/15 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 853 16WC 06125 PEREZ, PATRICIA ELITE STAFFING 01/26/16 LAW OFFICE OF SCOTT B SHAP 854 16WC 06295 BUTLER, JENNIFER CLEARWATER PAPER CORPORAT 11/02/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 855 16WC 06365 BANKSON, JAMES POMP'S TIRE 12/28/15 MEYERS FLOWERS KNELL & O'CONNOR 856 16WC 06442 AVITIA, RODOLFO BAUER BUILT 05/02/14 JONATHAN SCHLACK RODDY LAW LTD 857 16WC 06535 AUSTIN, VIVIAN JS SECURITY ASSOCIATES 02/15/16 VRDOLYAK LAW GROUP LLC COZZI & GOGGIN-WARD 858 16WC 06650 CHAGALA, ANAHI PARAMOUNT STAFFING 02/03/16 HERRERA LAW CENTER 859 16WC 06726 TATE, CHARLIE SR FIRST STUDENT 10/26/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 860 16WC 06771 ALVARADO, ABIGAIL ELITE STAFFING BOLINGBROO 12/01/15 EPSTEIN, JACK R LAW OFFICE 861 16WC 06823 PIERCE, KEVIN CARPENTER LIQUID TRANSPOR 02/25/15 BAUM RUFFOLO & MARZAL LTD JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 862 16WC 06890 LACHETA, THOMAS S VILLAGE OF STEGER POLICE 01/20/16 MATTHEW T. GUBBINS PC ASSISTANT ATTORNEY GENERAL 863 16WC 06952 LAMBERT, WILLIAM LOCKPORT TOWNSHIP FIRE 04/01/15 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 16WC006953 -C 864 16WC 07008 CALDERIN, EUGENIO ELITE STAFFING 01/18/16 GOLDSTEIN BENDER & ROMANOF GOLDBERG SEGALLA LLC 865 16WC 07033 JUAREZ, VERONICA BERGSTROM INC. 09/28/15 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 866 16WC 07065 LOPINA, MICHAEL LOCKPORT TWP FIRE DISTRIC 01/21/16 RATHBUN CSEVENYAK & KOZOL 867 16WC 07196 FORD, DAKINIA LARAWAY SCHOOL DISTRICT 7 01/29/15 RIDGE & DOWNES ANCEL GLINK DIAMOND BUSH 868 16WC 07213 XIA, MAODE SEAL LOGISTIC, INC 05/25/15 MC HARGUE, JAMES P LAW OFF LAW OFFICES JOSEPH MARCINIAK 869 16WC 07255 PIDGEON, WENDLA E. LINCOLNWAY DIST. 843 10/28/15 KROCKEY CERNUGEL COWGILL E INMAN & FITZGIBBONS 870 16WC 07314 DUVALL, WILLOW DEPT OF REHABILITATION SV 02/04/16 SPIROS LAW PC ASSISTANT ATTY GENERAL 871 16WC 07412 DJOMOU, IRENE WEATHER TECH 11/07/15 GORDON & CENTRACCHIO LLC HOLECEK & ASSOCIATES 872 16WC 07497 FREDERIKSEN, CATHERINE ISL EMPLOYEES, INC D/B/A 02/20/16 ANKIN LAW OFFICE 873 16WC 07572 GAMBOA, THERESA FEDERAL SIGNAL CORPORATIO 12/01/14 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 874 16WC 07638 SEPEDA, VINCENT HOME DEPOT 12/01/15 DAVID W MARTAY ADELSON TESTAN & BRUNDO 875 16WC 07659 SCHNEIDER, FLORENCE LINCOLN WY SPECIAL ED DIS 10/28/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 876 16WC 07675 HOLLAND, MELVIN CENTRAL TRANSPORTAION 06/24/15 LEONARD LAW GROUP LLC HINSHAW & CULBERTSON 877 16WC 07782 SMITH-WISE, TIFFANY L GREAT LAKES COCA COLA 02/22/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 878 16WC 07922 SOROKOWSKYI, MARK CENTRAL GROCERS 01/20/16 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 879 16WC 08008 JACKSON, KENNETH STAFFMARK 02/17/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 880 16WC 08135 REZA, ROGELIA S&S ACTIVEWEAR 07/13/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 881 16WC 08245 MUSGROVE, MARY EASTER SEALS 04/07/14 BLOCK, KLUKAS & MANZELLA P 882 16WC 08308 BROOKS, LOREN USF HOLLAND 12/08/15 JOHN C SERKLAND 883 16WC 08425 ROGERS, ROBERT JOLIET JOB CORPS 04/08/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 16WC038792 -C 884 16WC 08642 GONZALEZ, JOSE MAURICIO BROCK INDUSTRIAL SERVICES 03/07/16 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 885 16WC 08679 JONES, KEVIN OZINGA BROTHERS INCORPORA 07/28/15 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 16WC008680 -C 16WC031138 -C 886 16WC 08704 URIBE, FRANCISCO ALPIMEX INC 12/18/15 FREDRICK B BARDER, LTD 887 16WC 08774 HERNANDEZ, JOHN SHIPPER'S WAREHOUSE 02/29/16 BLOCK, KLUKAS & MANZELLA P WOLF LAW LTD 888 16WC 08855 AHMAD, JAMIL STATE OF ILL DOC STATEVIL @ 01/10/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 889 16WC 08877 JEFFERSON, KYLE E BOLINGBROOK PARK DISTRICT 07/06/15 VITELL & SPITZ LTD HENNESSY & ROACH PC 890 16WC 08934 JOHNSON, PATRICE EASTER SEALS JOLIET REGIO 03/02/16 ANKIN LAW OFFICE 891 16WC 09167 HICKS, CHARLES JOLIET SCHOOL 03/01/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 892 16WC 09222 WALL, SHARON EASTCOM 02/09/16 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 893 16WC 09469 MEYER, KEITH ALL SEASONS HOME 03/17/16 KREITER, BYCK & ASSOC LLP 894 16WC 09743 DAVIS, CRAIG SCHNEIDER 11/04/15 BOWMAN & CORDAY POWER & CRONIN LTD 895 16WC 09844 JASKOWIAK, JOSEPH JR HOMER TOWNSHIP FIRE 03/22/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 16WC009956 -C 896 16WC 10040 MORAN, JAMES VOLVO NORTH AMERICA 11/18/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 915 16WC 11653 DOMINICK, BRIDGET GRAND PRARIE TRANSIT 12/17/15 THE FITZ LAW GROUP GALLIANI DOELL & COZZI LTD 916 16WC 11876 EGGERS, WAYNE ARS TRANSPORTATION COMPAN 07/15/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 917 16WC 11985 LOPEZ, MINERVA AMERISOURCE BERGEN 04/06/16 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 918 16WC 12129 ALTAMIRANA, DORA S HOLIDAY INN 04/30/15 COSTA IVONE LLC 919 16WC 12155 DE BRAVO, IRENE HERNANDEZ DUTCH AMERICAN FOODS INC 12/15/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 920 16WC 12204 GLEIM, SCOTT CITY OF JOLIET 01/11/16 HETHERINGTON KARPEL BOBBER 921 16WC 12232 BURKHART, WILLIAM JEWEL/OSCO 11/15/15 MARC J SHUMAN & ASSOCIATES 922 16WC 12320 BAKER, MICHELLE VALLEY VIEW SCHOOL DIST 3 01/15/15 HORWITZ HORWITZ & ASSOC 923 16WC 12514 JOHNSON, ADA STATE OF ILLINOIS DOC @ 04/06/16 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 924 16WC 12561 ARELLANO, SUSAN R ITW FASTENERS 01/05/16 BLAKE HORWITZ LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 925 16WC 12690 CARTER, DAWN ILLINOIS CENTRAL SCHOOL B 04/03/14 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 926 16WC 12804 WIATER, ANN CRETE MONEE SCHOOL 01/26/16 STROM, NEAL B POWER & CRONIN LTD 927 16WC 12845 MILLER, APRIL N SCHNEIDER LOGISTICS 04/01/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 928 16WC 12873 MORGAN, MICHAEL J KENDALL AUTO AND TRUCK RE 12/02/15 PATRICOSKI, MARK G 929 16WC 13053 MCINTIRE, DEBRA DEER CREEK CHRISTIAN SCHO 01/14/16 VASILATOS & COTTER LLC 930 16WC 13202 DENHAM, EDDIE ANZELC WELDING & FABRICAT 03/29/16 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 931 16WC 13407 ROSE, BRENT D FLINT HILLS 12/27/15 SCOTT M BELT & ASSOC MC ANDREWS & NORGLE LLC 932 16WC 13422 STROUB, BRIAN OSWEGO FIRE PROTECTION DI 02/26/15 CORNFIELD & FELDMAN RUSIN & MACIOROWSKI LTD 16WC013423 -C 933 16WC 13506 O'REILLY, MICHAEL C SHERWIN WILLIAMS PAINT CO 07/07/15 LEVIN RIBACK LAW GROUP GANAN & SHAPIRO 16WC013507 -C 934 16WC 13537 DIAZ, CLAUDIA STATE OF IL DOC 10/28/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 935 16WC 13700 GERMAN, BERTHA PRIMARY STAFFING, INC 01/15/16 GOLDSTEIN BENDER & ROMANOF 936 16WC 13755 JOHNSON, ROBERT NATIONAL BEDDING COMPANY, 04/14/16 WHITESIDE & GOLDBERG LTD BRYCE DOWNEY & LENKOV LLC 937 16WC 14105 ASHLEY, ANTWOINE PARSEC 01/28/16 BRISKMAN BRISKMAN GREENBER MACIOROWSKI SACKMANN & ULRIC 938 16WC 14181 JURENKA, RENATA AMAZON 04/25/16 BART DURHAM WIEDNER & MCAULIFFE LTD 939 16WC 14212 MILLER, RUTH STATE OF IL / STATEVILLE @ 04/19/16 HUGHES SOCOL PIERS RESNICK COLIN KICKLIGHTER 940 16WC 14344 GATES, ALPHONSO SIMOS INSOURCING SOLUTION @ 04/25/16 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 941 16WC 14417 COLLINS, KENNEDY REGAL CINEMA 02/27/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 942 16WC 14468 DOMBROWSKI, LORI AMAZON WAREHOUSE 03/15/16 SPIROS LAW PC 943 16WC 14599 SAENZ, DAVID IL DEPT OF TRANSPORTATION @ 02/08/16 BOWMAN & CORDAY ASSISTANT ATTORNEY GENL 944 16WC 14704 SULLIVAN, TRICIA MOKENA SCHOOL DISTRICT 15 11/05/15 PETER A SINK 945 16WC 14871 REEDER, MARIETTA D. PASCHALL TRUCK LINES, INC 03/09/15 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 946 16WC 14903 SHANKIN, JAMES IDOC-STATEVILLE @ 04/30/16 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 947 16WC 14930 FEARS, LEBOIN O'REILLY AUTO ENTERPRISES 04/30/16 ANKIN LAW OFFICE HENNESSY & ROACH PC 948 16WC 15174 REYES, ANGEL RAILWAY & INDUSTRIAL 04/14/15 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 949 16WC 15199 SCOTT, DEAN STAFFING SOLUTION SOUTH E 05/02/16 ANKIN LAW OFFICE 950 16WC 15266 DOLNAK, GREGORY UNIVERSITY OF CHICAGO 03/16/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 951 16WC 15305 POE, GABRIELLE TRINITY SERVICES 04/23/16 STEVEN H MEVORAH & ASSOCIA 952 16WC 15513 BERKERY, TIMOTHY F VILLAGE OF BOLINGBROOK 04/28/16 CULLEN HASKINS NICHOLSON 953 16WC 15645 LA BREC, BRYAN YRC FREIGHT-TRUCK DRIVE 04/21/16 PARENTE & NOREM PC HENNESSY & ROACH PC 954 16WC 15664 LEPARSKI, NADEEN PIER 1 IMPORTS 05/03/16 FRANK A CELANI BRYCE DOWNEY & LENKOV LLC 955 16WC 15974 MAGANA, ROBERTO EMECOLE INC 05/02/16 POMPER & GOODMAN ACCIDENT FUND HOLDINGS 956 16WC 15993 NELSON, HERMANSKI SIMOS INSOURCING SOLUTION 06/11/13 BLOCK, KLUKAS & MANZELLA P 957 16WC 16037 MADERA, GREGORY JMK INC 05/11/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 958 16WC 16098 VESCOVI, PETER PQ CORP 01/20/16 RATHBUN CSEVENYAK & KOZOL GRANT & FANNING 959 16WC 16155 BISHOP, JANAY CHARTWELL STAFFING AGENCY 05/11/16 SKLARE LAW GROUP RIPES NELSON BAGGOT KALOBRAT 960 16WC 16305 ABUDAN, JAMAL STATE OF ILLINOIS/I.D.O.T @ 05/12/16 THE FITZ LAW GROUP ASSISTANT ATTY GENERAL 961 16WC 16318 TOTTEN, DAVID RAILWORKS 09/15/15 RUBENS AND KRESS HEYL ROYSTER VOELKER & ALLEN 962 16WC 16329 SOCHA, CASSANDRA CITY OF JOLIET 05/01/16 HORWITZ HORWITZ & ASSOC ROSARIO CIBELLA 963 16WC 16394 WAITEKUS, JAKOB MACY'S INC. 04/22/16 SCHWEICKERT & GANASSIN 964 16WC 16514 SCHAUER, DONNA SILVER CROSS HOSPITAL 04/10/14 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 965 16WC 16771 ANDERSON, LUTHER JEWEL-NEW ALBERTSONS 04/09/16 LAW OFFICES OF BRADY CONNOLLY & MASUDA PC 966 16WC 16805 HAYNES, CHERYL S FRESENIUS MEDICAL CARE 03/21/15 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 967 16WC 16856 THOMAS, KATELYN AMAZON 11/17/15 KEDZIE LAW OFFICE PC WIEDNER & MCAULIFFE LTD 968 16WC 16885 ALVAREZ, ADRIAN SAGGART CONSTRUCTION 05/23/16 GRAVLIN, MICHAEL J LLC 969 16WC 16966 FAREJ, ADAM DOLTON FIRE DEPARTMENT 04/29/16 KROL BONGIORNO & GIVEN LTD 970 16WC 16978 RIOS, JORGE SEATING CONCEPTS INC 01/11/16 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 971 16WC 17007 BRUEN, JAMES UPS 04/27/16 JASINSKI, GEORGE J 972 16WC 17051 PUTNAM, JENNIFER MEIJERS 05/07/16 LEITER LAW OFFICES KOPKA, PINKUS DOLIN, PC 973 16WC 17133 ELEBY, TERRANCE SCHNEIDER NATIONAL, INC./ 05/23/16 VASILATOS & COTTER LLC POWER & CRONIN LTD 974 16WC 17164 MARTIN, TIM AMAZON 05/01/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 975 16WC 17234 WALKER, MARK AMAZON.COM.LLC, DIST WARE 03/22/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 976 16WC 17385 WILLIAMS, TARION SCHNEIDER NATIONAL INC 05/08/16 JOHN E LUSAK POWER & CRONIN LTD 977 16WC 17599 MEDVED, MICHAEL M. D POLLACK GLASS & MIRROR 01/13/16 PARENTE & NOREM PC 978 16WC 17730 DOWNEN, ALLEN ROMEOVILLE POLICE DEPARTM 05/24/16 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 979 16WC 17758 SARAVIA, RAUL KANE WAREHOUSING, INC 03/06/14 DEER & STONE PC 980 16WC 17832 LAFVER, OWEN M. RANDSTAD USA 04/04/16 MARKER & ASSOCIATES 981 16WC 18091 ZAMBRANO, ANGELINA F. PROLOGISTIX 05/23/16 FIGLIOLI, DAVID 982 16WC 18249 LOULOUSIS, CHRISTOPHER J SUPER WASH, INC. 02/11/16 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 983 16WC 18269 ALFARO, ENRIQUE NAVISTAR, INC 05/25/16 NILSON STOOKAL GLEASON CAP NYHAN BAMBRICK KINZIE & LOWR 984 16WC 18326 RUSH, EDWARD AMERICAN STAIR INC 05/27/16 MARK G BERGAL LAW OFFICE RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 985 16WC 18361 STARKS, WILLIAM FARRARA CANDY AND 05/24/16 LEITER LAW OFFICES RODDY LAW LTD 986 16WC 18654 RUSSELL, BRYAN MANPOWER 04/25/16 BRIAN T MORROW, LAW OFFICE GOLDBERG SEGALLA LLC 987 16WC 18668 ANDREWS, RANDY DIAGEO GLOBAL SUPPLY 04/01/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 988 16WC 18735 STRAUGHTER, CHERYL B.P. STAFFING 05/28/16 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 989 16WC 18777 WATSON, RONALD GRANE TRANSPORTATION LINE 05/25/16 GOLDFEIN LAW OFFICE PC LITCHFIELD CAVO 990 16WC 18829 MORENO, FELIPE COSTCO 06/11/16 FRIEDMAN & SOLMOR LTD GANAN & SHAPIRO 991 16WC 18904 SCHRAER, RAYMOND ROCKWELL MEDICAL 02/08/16 BLOCK, KLUKAS & MANZELLA P 992 16WC 19148 HART, WILLARD STATEVILLE CORRECTIONAL C @ 05/12/16 GALLAGHER LAW PC COLIN KICKLIGHTER 993 16WC 19260 ERVIN, TERRY BUFFALO WILD WINGS 11/04/15 HORWITZ HORWITZ & ASSOC 994 16WC 19294 RODRIGUEZ, ULISES STARCON INTERNATIONAL INC 05/24/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 995 16WC 19360 SANDSTROM, DOUGLAS STATE OF ILLINOIS @ 05/12/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 996 16WC 19467 BROWNLEE, TANNETTA DIY GROUP, INC 06/14/16 KREITER, BYCK & ASSOC LLP 997 16WC 19647 MUELLER, WENDY ST JOSEPH HOSPITAL 11/30/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 998 16WC 19664 BELL, DEMETRIUS RJ TRANSPORT 06/20/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 999 16WC 19722 TUTTLE, JANET BRIDGEMAN FOODS, INC 03/07/14 KELLY LAW OFFICES NOBLE & ASSOCIATES PC 1000 16WC 19754 DAVIS, CHRISTY SUDSATIONAL LAUNDROMAT 09/30/15 HORWITZ HORWITZ & ASSOC 1001 16WC 19821 VEGETABLE, MICHAEL RESOURCE & EMPLOYMENT SOL 05/23/16 GRAZIAN & VOLPE PC 1002 16WC 19841 MONDANE, WAYNE Z FORCE TRANSPORTATION 03/04/16 ASHER, RAYMOND L LTD KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1003 16WC 19873 FLETCHER, SHIRLEY SONY DADC 06/08/16 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 1004 16WC 19889 VARGAS, LUIS TTX COMPANY 04/07/16 OSVALDO RODRIGUEZ PC GRANT & FANNING 1005 16WC 19951 KORELC, ROBERT NRG ENERGY, INC 04/29/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 1006 16WC 19967 PAYNE, SHANNON WILL COUNTY SHERIFF'S OFF 06/06/16 RIDGE & DOWNES HINSHAW & CULBERTSON 1007 16WC 19987 ROMPA, MIKE VILLAGE OF BOLINGBROOK 03/19/16 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 1008 16WC 20039 MERRIMAN, NICOLE R GREATER JOLIET AREA YMCA 05/25/16 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 1009 16WC 20049 SERRATO, MARVILA S&S ACTIVE WEAR 03/28/16 BLOCK, KLUKAS & MANZELLA P BRYCE DOWNEY & LENKOV LLC 1010 16WC 20056 HERNANDEZ, ISMAEL NATURE SECOND CHANCE HAUL 03/18/16 FOHRMAN, DONALD W & ASSOCS KNELL & O'CONNOR 1011 16WC 20237 SMITH, SUSAN CHERYL AT & T 05/09/16 MATTHEW T. GUBBINS PC INMAN & FITZGIBBONS 1012 16WC 20320 NORRIS, MICHAEL NFI INTERACTIVE LOGISTICS 11/22/15 KOSIN LAW OFFICE LTD MACIOROWSKI SACKMANN & ULRIC 1013 16WC 20395 DOESLAERE, AMANDA STATE OF ILLINOIS @ 03/30/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 1014 16WC 20413 BURAS JR, PAUL T TEAM INDUSTRIAL SERVICES 05/14/16 RIDGE & DOWNES 1015 16WC 20447 PRESI, NICHOLAS N KNAUER INDUSTRIES 05/16/15 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 1016 16WC 20480 VILLALOBOS, SERGIO ELITE STAFFING 06/13/16 CUSHING LAW OFFICES 1017 16WC 20578 ODAM, ROSEANNE CASEY'S GENERAL STORE 02/27/16 MARC J SHUMAN & ASSOCIATES 1018 16WC 20618 HICKS, WANDA KENDALL COUNTY SPECIAL 04/17/16 COSTA IVONE LLC 1019 16WC 20671 JOHNSON, DEMETRIUS DSC LOGISTICS 05/24/16 JAMES ELLIS GUMBINER & ASS MC ANDREWS & NORGLE LLC 1020 16WC 20738 GONZALEZ, DANTE FAT RICKY RESTAURANT 06/11/16 JONATHAN SCHLACK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1021 16WC 20783 DAVIS, CLARENCE CRANE COMPOSITES 01/09/16 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 1022 16WC 21177 TADEY, RICHARD J CITY OF CREST HILL 12/03/15 JACOBSON & SCHIEFELBEIN SLAVIN & SLAVIN 1023 16WC 21213 LANGAN, DANIEL BREAKTHRU BEVERAGE ILLINO 03/02/16 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 1024 16WC 21303 QUINTERO, HECTOR STATE OF IL C/O STATEVILL @ 08/08/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENL 1025 16WC 21363 MAHALIK, RICHARD JOHNSTONE SUPPLY INC 01/12/16 KAVANAGH GRUMLEY & GORBOLD LAW OFFICES JOSEPH MARCINIAK 1026 16WC 21412 STONE, CHARLES A CENTERLINE TRUCKING @ 03/17/16 ANKIN LAW OFFICE GANAN & SHAPIRO 1027 16WC 21645 VENZON, CORRADO CITY OF JOLIET 04/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 1028 16WC 21782 STEG, THOMAS A D CONSTRUCTION 08/01/15 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 1029 16WC 21853 HARRIS, APRIL LIBERTY SCHOOL BUS COMPAN 03/03/16 ANKIN LAW OFFICE 1030 16WC 21962 BLAN, JOSEPH PRESENCE SAINT JOSEPH MED 04/01/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 1031 16WC 22042 WEDER, MICHAEL WILL COUNTY SHERIFF DEPT. 12/28/15 THOMAS J STIBERTH LAW OFFI HINSHAW & CULBERTSON 1032 16WC 22081 GOULD, WILLIE SCHNEIDER LOGISTICS 04/07/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1033 16WC 22273 MACEY, BENNETT DR PEPPER 7UP BOTTLING 01/14/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1034 16WC 22324 VEGA, RAFAEL IW&G INC 06/15/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 1035 16WC 22344 FITZPATRICK, TONYA RADIAL 05/08/16 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 16WC022346 -C 1036 16WC 22354 NAVALGUND, DEEPA MEIJER, INC 02/03/15 MARKER & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 1037 16WC 22388 MOSELEY, DEYMEATRIUS C. LINEAGE LOGISTICS 01/28/16 DWORKIN AND MACIARIELLO 1038 16WC 22486 STONE, CYNTHIA SANCHEZ ELEMENTARY SCHOOL 08/11/15 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1039 16WC 22732 BOLANOS, VIVIANA UNISTAFF PRO, INC.-LOANIN 06/02/16 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 1040 16WC 22930 RUZICH, AMANDA DELTA SONIC CAR WASH 02/20/16 CHEPOV & SCOTT LLC 1041 16WC 23262 SIMO, LINDA NEOVIA LOGISTICS SERVICES 07/07/16 DWORKIN AND MACIARIELLO 1042 16WC 23402 CONSTANTINE, ANTHONY STATE OF ILLINOIS DOC @ 07/04/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENERAL 1043 16WC 23431 EARLEY, COREY AMAZON FULFILLMENT CENTER 06/17/16 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 1044 16WC 23492 MOOTY, JEROME PACTIV 03/24/16 DAVID W MARTAY 1045 16WC 23685 DOMINIK, MARTIN S II KNAUER INDUSTRIES LTD 03/10/16 LAW OFFICE PHILIP BLOMBERG BRUCE WARREN 1046 16WC 23703 LEBEDA, MICHAEL AMERISOURCE BERGEN 05/26/16 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 1047 16WC 23773 WILLIAMS, TABATHA RJW TRANSPORT INC 06/23/16 GOLDSTEIN BENDER & ROMANOF HEYL ROYSTER VOELKER & ALLEN 1048 16WC 23852 TREVINO, DELORES STATE OF ILLINOIS @ 12/23/15 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1049 16WC 23896 BOND, TAMMY LAKES VENTURE, LLC D/B/A 07/15/16 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 1050 16WC 24028 WILLIAMS, DONNA ROUTE 66 FOOD & FUEL 07/06/16 GREGORIO & MARCO 1051 16WC 24092 STONE-SANDERS, TAVANECKA NEXUS EMPLOYMENT 07/25/16 GOLDSTEIN BENDER & ROMANOF RIPES NELSON BAGGOT KALOBRAT 1052 16WC 24107 O'CONNELL, JOSEPH ALLEY TAP & GRILL 06/15/16 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 1053 16WC 24164 GONZALEZ, DAVID METRO STAFF, INC. 07/26/16 ARGIONIS & ASSOCIATES LLC 1054 16WC 24190 MOUTRY, PEARL WE CARE HOME CARE INC 07/14/16 RAYMOND M SIMARD, PC RUSIN & MACIOROWSKI LTD 1055 16WC 24211 MARTINEZ, MARIA ELITE STAFFING-BOLINGBROO 07/28/16 COSTA IVONE LLC 1056 16WC 24292 MARRERO, MARIO ISLAMORADA FISH COMPANY 01/20/16 PETER A SINK BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1057 16WC 24487 BRAULIO, ROBERTO ELITE STAFFING INC. 07/26/16 CULLEN HASKINS NICHOLSON 1058 16WC 24508 MARIN, ISMAEL CORTEZ MIDWEST STORE FIXTURES 07/20/16 COSTA IVONE LLC LITCHFIELD CAVO 1059 16WC 24624 POWELL, CYNTHIA ASG STAFFING/WEATHER TECH 05/17/16 FRIEDMAN & SOLMOR LTD FRANCIS J DISCIPIO LAW OFFIC 1060 16WC 24652 CALVO, JAVIER S & S ACTIVE WEAR 04/19/16 CHEPOV & SCOTT LLC KEEFE CAMPBELL & ASSOC LLC 1061 16WC 24722 HAISH, DENNIS WASTE MANAGEMENT INC. 06/07/16 HORWITZ HORWITZ & ASSOC 1062 16WC 24749 LEHNERT, THERESA MINOOKA COMMUNITY HIGH SC 03/14/14 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 1063 16WC 24791 HUGON, CHRISTINE ALLIED BARTON 07/21/16 LAW OFFICES MARK LOFTUS GAROFALO SCHREIBER STORM 1064 16WC 24833 ROGERS, TIMOTHY L WELSCH READY MIX 08/03/16 RIDGE & DOWNES 1065 16WC 24885 GRANT, JAMES M ST OF IL DEPT OF 05/25/16 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTY GENERAL 1066 16WC 24903 MCCASKILL, ANTHONY II ABACUS 08/02/16 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 1067 16WC 24916 DOWDA, DORIS DOLLAR TREE STORES, INC 05/06/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 1068 16WC 25047 CUELLAR, FELIPE IMPERIAL ROOFING @ 08/04/16 PORRO NIERMANN LAW GROUP ASSISTANT ATTORNEY GENERAL 1069 16WC 25125 ROGNLEY, ANDREW MIDWEST ARCHITECTURAL GLA 11/01/12 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 1070 16WC 25142 FOWLKES, CAROLYN L HELP AT HOME, LLC 05/18/16 ANKIN LAW OFFICE 1071 16WC 25194 CURTIS, JEANETTE MEIJER 07/07/16 BRISKMAN BRISKMAN GREENBER 1072 16WC 25254 NELSON, ERICA BP STAFFING 08/05/16 BIZZIERI LAW OFFICES RUSIN & MACIOROWSKI LTD 1073 16WC 25306 ALDRIDGE, JAMES JOLIET STAFFING LLC 05/13/16 HORWITZ HORWITZ & ASSOC LITCHFIELD CAVO 1074 16WC 25361 FLIGHT, MICAH VPC PIZZA HOLDINGS/ 08/01/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1075 16WC 25438 PERRY, MAVERICK C CRETE-MONEE SCHOOL DISTRI 02/10/16 FABRIZIO, HANSON & PEYLA NYHAN BAMBRICK KINZIE & LOWR 1076 16WC 25478 LARKINS, AARON SAFWAY SERVICES LLC 12/21/15 STEVEN H MEVORAH & ASSOCIA GOLDBERG SEGALLA LLC 1077 16WC 25507 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 01/22/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 1078 16WC 25508 DAMON, BARRY ILLINOIS DEPT OF CORRECTI 07/26/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENERAL 1079 16WC 25547 HERNANDEZ, DAVID J. PROLOGISTIX 08/15/16 LAW OFFICES MICHAEL HELLMA LEAHY EISENBERG & FRAENKEL 1080 16WC 25583 ALSUP, GREGORY RYDER 03/08/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 1081 16WC 25624 NETTLEINGHAM, JAY FREEDOM EMS 07/20/16 PETER F FERRACUTI & ASSOCI 1082 16WC 25648 NETTLEGHAM, JAY C. NETTLEGHAM, JAY C. 08/02/16 PETER F FERRACUTI & ASSOCI HOLECEK & ASSOCIATES 1083 16WC 25712 BURNETTE, CLEDY METRO STAFFING INC 08/08/16 WEISS & WEISS LAW OFFICES 1084 16WC 25824 ESCAMILLA CORTES, ALFREDO MCDONALD'S 02/25/16 DANIEL PERIASWAMY 1085 16WC 25857 YOUNG, TYRONE NEW ALBERTSONS INC D/B/A 05/10/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 1086 16WC 25985 POSADA, ALEJANDRO POSADA'S ALL PURPOSE 03/07/16 BLOCK, KLUKAS & MANZELLA P 1087 16WC 26073 FOLA, LYNDELL STATE OF IL DEPT OF CORRE @ 06/21/16 LANNON LANNON & BARR LTD ASSISTANT ATTY GENERAL 1088 16WC 26083 PEREZ-HERNANDEZ, MA IRENE MEADOWBROOK MANOR 01/12/15 BERG & BERG BRADY CONNOLLY & MASUDA PC 1089 16WC 26178 SANDT, JERI L. LINCOLN WAY SCHOOL DIST. 07/11/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 1090 16WC 26193 SIMMONS, TOKEISHA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS 1091 16WC 26281 NEWBERTY, JOHN WILL COUNTY SHERIFF'S OFF 05/07/16 DAVID SZCZECIN & ASSOC 1092 16WC 26381 VALDEZ, SERGIO JR. SPEARS MANUFACTORING 08/18/16 LEITER LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1093 16WC 26471 VEITKUS, GIOVANNI AT&T 04/27/16 KARCHMAR & STONE HENNESSY & ROACH PC 1094 16WC 26513 FLYNN, DENNIS CENTRAL CROCERS INC 01/18/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1095 16WC 26575 REEVES, MARGARET COMMUNITY CARE SYSTEMS, I 08/15/16 RATHBUN CSEVENYAK & KOZOL LIVINGSTONE MUELLER ET AL 1096 16WC 26728 PORTWOOD, MATTHEW A E QUIP MANUFACTURING 08/16/16 MCNAMARA PHELAN MCSTEEN LL 1097 16WC 26775 JOHNSON, NANCY BELCAN TECHSERVICES 08/17/16 RIDGE & DOWNES HOLECEK & ASSOCIATES 1098 16WC 26784 HOUSE, ERIKA RESOURCE EMPLOYMENT SOLUT 07/22/16 HORWITZ HORWITZ & ASSOC 1099 16WC 26871 BARROWMAN, JAMES RUAN LEASING COMPANY 08/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 1100 16WC 26878 BOBO, JONATHAN PROLOGISTIX 08/18/16 HUGHES SOCOL PIERS RESNICK LEAHY EISENBERG & FRAENKEL 1101 16WC 27268 ELSEN, CHRISTOPHER LOCKPORT STEEL FABRICATOR 07/29/16 HORWITZ HORWITZ & ASSOC 1102 16WC 27393 BRAND, TIFFANY STATE OF IL DOC PAROLE DE @ 02/21/15 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 1103 16WC 27611 HARRIS, JEFFREY GEOMAT 08/06/16 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 1104 16WC 27619 SHERROD, DIANCE CATERPILLAR INC 08/19/16 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 1105 16WC 27725 SPREITZER, SUZANNE VALLEY VIEW SCHOOL DIST 08/18/16 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 1106 16WC 27742 REDWOOD, SHAKITA ELITE STAFFING 08/29/16 DWORKIN AND MACIARIELLO 1107 16WC 27886 KALUZA, MATEUSZ DOLLAR TREE DISTRIBUTION, 07/28/16 ANKIN LAW OFFICE 1108 16WC 27952 GURKE, JEFFREY CHELLINO CRANE 07/17/15 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 1109 16WC 27999 BOWERS, MARVELLE ASHLEY FURNITURE 08/09/16 COSTA IVONE LLC WOLF LAW LTD 1110 16WC 28031 MOLINA, MERCY W.W. GRAINGER 11/22/15 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1111 16WC 28137 WARDEN, LESLIE STATE OF ILLINOIS DEPARTM @ 08/06/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1112 16WC 28235 PAGE, UNDRA AMAZON 08/17/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 1113 16WC 28366 BURKS, ANTON BURKS BROTHER DRYWALL, IN 01/26/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 1114 16WC 28500 WITZ, DANIELLE RADIAL 08/14/16 LOUIS A PLZAK & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 1115 16WC 28521 RODRIGUEZ, JAVIER THOMAS NISSAN OF JOLIET 07/16/16 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 1116 16WC 28546 WHIPPIE, JAMES W SCOTT'S U-SAVE TIRE, INC 03/28/16 CULLEN HASKINS NICHOLSON 1117 16WC 28551 ALVARADO, JOSE T & D METAL PRODUCTS 11/21/15 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 1118 16WC 28633 ROJO, MIGUEL HOMER TREE SERVICE, INC 09/14/16 GORDON & CENTRACCHIO LLC ROBERT L. SMITH 1119 16WC 28794 PADILLA, XOCHILT ELITE STAFFING 07/18/16 CHEPOV & SCOTT LLC 1120 16WC 28855 VICTOR, SILVIA ITW DELTAR FASTENERS 04/27/16 HORWITZ HORWITZ & ASSOC 1121 16WC 28912 HUERTA, EDUARDO ELITE STAFFING INC 07/27/16 LAW OFFICES MICHAEL HELLMA 1122 16WC 28951 MAREK, KAPRINTA ALDI, INC 07/31/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 1123 16WC 29074 FINNEY, DAVID KELLY SERVICES INC 08/22/16 DANIEL J ADLER LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1124 16WC 29123 PALACIOS, MARIA WEATHERTECH 07/11/16 EPSTEIN, JACK R LAW OFFICE 1125 16WC 29279 ZENKE, TERESA WORLD KIA OF JOLIET 07/21/16 WHITESIDE & GOLDBERG LTD 1126 16WC 29308 GAY, EVERETT E CENTRAL GROCERS INC 05/23/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1127 16WC 29313 GUNTER, LARRY WEST LIBERTY FOODS LLC 03/31/15 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 1128 16WC 29486 MIREE, MARKUS KANE IS ABLE, INC. 09/22/16 CAPRON & AVGERINOS PC WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1129 16WC 29621 STEINLICHT, DAVID CENTRAL GROCERS 06/05/16 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 1130 16WC 29774 JOHNSON, KATHY CROWN LIFT TRUCKS 05/11/16 MILLON & PESKIN LTD 1131 16WC 29829 WADDELL, KRISTA A CITY OF JOLIET 12/22/15 HASSAKIS & HASSAKIS ROSARIO CIBELLA 1132 16WC 29890 OWENS, THOMAS BARRY PLUMBING & HEATING 09/16/16 ANESI OZMON RODIN NOVAK KO 1133 16WC 29988 DIXON, QUARTEZ J.B. HUNT 09/05/16 DWORKIN AND MACIARIELLO GRANT & FANNING 1134 16WC 30142 MORGAN, JERRY ROADRUNNER INTERMODAL SVC 03/29/16 WARNER & ZIMMERLE BETTY NEUMAN & MCMAHON 1135 16WC 30178 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 08/19/16 DAVID SZCZECIN & ASSOC 1136 16WC 30211 CAMACHO, RAMIRO CENTRAL GROCERS INC C/O K 03/06/15 HETHERINGTON KARPEL BOBBER ROSARIO CIBELLA 1137 16WC 30265 JONES, ALONZO ELITE STAFFING, INC * 08/31/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1138 16WC 30337 MARCHIANDO, MATT MANPOWER GROUP, INC. 09/06/16 MILLON & PESKIN LTD HENNESSY & ROACH PC 1139 16WC 30476 POPOVICH, NICK AMERICA DISPLAY, INC 11/10/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1140 16WC 30573 SWEENEY, PATRICK M STATE OF ILLINOIS DEPARTM @ 02/05/15 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 1141 16WC 30681 BARRETT, SIDNEY THORNTONS, INC 08/10/16 LEITER LAW OFFICES GRANT & FANNING 1142 16WC 30782 SISSON, LOVETTA STATE OF IL DOC/ @ 05/18/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1143 16WC 30822 GREEN, NATHAN YRC INC 08/23/16 PARENTE & NOREM PC HENNESSY & ROACH PC 1144 16WC 30960 RODRIGUEZ, MARGARITA PLAINFIELD SCHOOL DISTRIC 02/19/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 1145 16WC 31081 WILLIAMS, REGINALD ROADRUNNERS AUTO TRANSPOR 06/22/16 MICHAEL P MCCREADY & ASSOC WOLFE & JACOBSON, LTD 1146 16WC 31107 MARTIN, LASHUNNA CORNERSTONE SVCS 09/07/16 MEYERS & FLOWERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1147 16WC 31196 HOFFMAN, ROBERT DHL GLOBAL SUPPY CHAIN 03/17/16 SAUNDERS CONDON & KENNY HENNESSY & ROACH PC 1148 16WC 31220 NORWOOD, THOMAS C PARTY CITY 09/08/15 RITTENBERG & BUFFEN HOLECEK & ASSOCIATES 1149 16WC 31325 DANT, SALLY SOUTHERN WILL COUNTY 03/02/16 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 1150 16WC 31338 MANCARI, LINDA J SPECIAL TOUCH CLEANING CO 09/19/16 PARENTE & NOREM PC ACCIDENT FUND HOLDINGS 1151 16WC 31410 CRAWFORD, MENARD JB HUNT TRANSPORT, INC 09/05/16 HERRERA LAW CENTER GRANT & FANNING 1152 16WC 31602 CORONELLI, CHRISTINE TRINITY SERVICES LTD 03/26/16 ROSS TYRRELL 1153 16WC 31739 MARQUEZ, BENJAMIN XANASURE, INC 09/20/16 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 1154 16WC 31817 DUENEZ, LUIS HR METRICS, INC 06/02/16 MC HARGUE, JAMES P LAW OFF QUINTAIROS PRIETO WOOD & BOY 1155 16WC 31838 RODRGUEZ, SANDRA PLAINFIELD SCHOOL DISTRCT 03/10/16 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 1156 16WC 31850 SIMMONS, EBONIE 1ST TRANSIT 07/27/16 BRIAN T MORROW, LAW OFFICE 1157 16WC 31914 GRANICZNY, JANET JEWEL 04/01/14 DANIEL PERIASWAMY 1158 16WC 31945 SAGO, JANET HARRAH'S JOLIET CASINO HO 10/01/16 MCNAMARA PHELAN MCSTEEN LL NOBLE & ASSOCIATES PC 1159 16WC 32018 UJKA, JENNIFER JOLIET PUBLIC SCHOOLS 11/20/13 RIDGE & DOWNES ROSARIO CIBELLA 1160 16WC 32046 REYES, GLORIA PARAMOUNT STAFFING 05/05/16 BLOCK, KLUKAS & MANZELLA P 1161 16WC 32078 VALADEZ, ARACELI FIS 07/06/16 EPSTEIN, JACK R LAW OFFICE 1162 16WC 32112 HULME, ROBIN MEIJER 08/04/16 WOODRUFF & JOHNSON KNELL & O'CONNOR 1163 16WC 32158 BERG, WAYNE RANDSTAD USA 10/10/16 LIPKIN & HIGGINS LAW OFFIC SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1164 16WC 32200 TAYLOR, DARRYL MENARDS 06/01/16 BRIAN T MORROW, LAW OFFICE 1165 16WC 32536 BAKER, TIANA AMAZON 08/19/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 17WC003100 -C 1166 16WC 32688 TERNOIR, KHALID NEXUS EMPLOYMENT SOLUTION 10/06/16 HORWITZ HORWITZ & ASSOC 1167 16WC 32759 CASAGRANDE, JOSEPH LOCKPORT TOWNSHIP FIRE 09/19/16 HETHERINGTON KARPEL BOBBER 1168 16WC 32840 ORTIZ, ALICIA RICH PRODUCTS 08/12/16 DEPAOLO ZADEIKIS GORE 1169 16WC 32950 KRIZEK, ANTHONY TARGET 08/19/16 ANCEL GLINK DIAMOND BUSH & NYHAN BAMBRICK KINZIE & LOWR 1170 16WC 33031 HOLLIS, PAULA LABOR READY 09/24/16 THOMAS LAW 1171 16WC 33074 WEAVER, STANLEY TURNER INDUSTRIES GROUP L 06/12/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 1172 16WC 33125 VALENTINO, PAULA LABCORP 08/05/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1173 16WC 33185 ROBINSON JR., TOMMY L METROSTAFF INC 10/21/16 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 1174 16WC 33232 DUFFIELD, NICOLETTE IDOC - STATEVILLE CORR CT @ 09/15/15 SCHWEICKERT & GANASSIN ASSISTANT ATTY GENERAL 17WC002754 -C ILLINOIS DEPARTMENT OF 1175 16WC 33288 KLEIN, KEVIN VISION LOGICTS INC 08/16/16 DAVENPORT & WHITE NYHAN BAMBRICK KINZIE & LOWR 1176 16WC 33314 JIMENEZ, SAUL FIRST STAFF SERVICES 07/28/15 RATHBUN CSEVENYAK & KOZOL THOMAS & PORTELA 1177 16WC 33375 MACK, NATALIE AMERISOUCE BERGEN 03/01/16 DWYER AND COOGAN SPIEGEL & CAHILL, PC 1178 16WC 33559 BARRON, ALEJANDRO WEST ROCK 09/19/16 CULLEN HASKINS NICHOLSON 1179 16WC 33574 MCDADE, LUCIUS ASHLEY FURNITURE 10/01/16 DWORKIN AND MACIARIELLO WOLF LAW LTD 1180 16WC 33584 DIAZ, ADALBERTO LA-Z-BOY 06/21/16 LAW OFFICE PHILIP BLOMBERG 1181 16WC 33629 STUCZYNSKI, JOHN DAYTON FREIGHT LINES 10/14/16 SANDMAN LEVY & PETRICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1182 16WC 33806 RADOMSKI, KAREN PLAINFIELD SD 202 04/16/15 ROMANEK & ROMANEK KEEFE CAMPBELL & ASSOC LLC 1183 16WC 33894 NEGRON, JOSE BRAUN'S EXPRESS 09/19/16 BLOCK, KLUKAS & MANZELLA P 1184 16WC 33943 SENISAIS, RICARDO ACCURATE PERSONNEL LLC 09/22/16 HUGHES SOCOL PIERS RESNICK MC ANDREWS & NORGLE LLC 1185 16WC 33974 JOHNSON, DEMARCUS RON'S STAFFING/ITL 10/20/16 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 1186 16WC 34013 TRAVIS, LASONYA PEACOCK ENGINEERING 10/12/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1187 16WC 34045 GRIFFIN, LA TANYA VILLAGE WOODS 09/22/16 BIZZIERI LAW OFFICES 1188 16WC 34067 MIDDLETON, SONIA EDWARD HOSPITAL 08/15/16 MCNAMARA PHELAN MCSTEEN LL KEEFE CAMPBELL & ASSOC LLC 1189 16WC 34134 WATERS, LASHAWNDRA SNYDER LOGISTICS 11/04/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1190 16WC 34163 MOLENHOUSE, ROGER CITY BEVERAGE DBA 08/06/15 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 1191 16WC 34181 WOODARD, ARNETRIS AMAZON 10/13/16 DWORKIN AND MACIARIELLO 1192 16WC 34194 GUNTY, KURT SHIPPERS WAREHOUSE 10/27/16 DWORKIN AND MACIARIELLO WOLF LAW LTD 1193 16WC 34242 KURIGER, SHARON BERKOT'S 05/24/16 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 1194 16WC 34297 GRZANICH, JOAN AHS MIDWEST MANAGEMENT IN 02/23/16 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 1195 16WC 34456 MIEHLE SR, CHARLES E ESSENDANTINC 08/10/15 GIACOBBE, THOMAS M 1196 16WC 34491 KUZMA, JOSEPH WILL COUNTY SHERIFF'S DEP 09/29/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1197 16WC 34598 FLOREY, JOHN MILLER PIPELINE MINNESOTA 10/12/16 SCHWEICKERT & GANASSIN GRANT & FANNING 1198 16WC 34689 BENNINGTON, AMANDA TRINITY SERVICES INC 10/26/16 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1199 16WC 34704 GUALANDI, ROBERT L PRESENCE ST JOSEPH MED CT 10/02/16 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 1200 16WC 34721 REYNOSO, RUBEN A BOARDUP PLUS INC W 02/22/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 16WC034722 -C 1201 16WC 34763 SUMMITT, DONNA DOLLAR TREE 11/11/16 VASILATOS & COTTER LLC 1202 16WC 34902 CASAGRANDE, DONALD LOCKPORT TOWNSHIP FIRE 11/03/16 HETHERINGTON KARPEL BOBBER 1203 16WC 34956 BENNETT, STEVEN WESCO MACHINE & TOOL CO I 09/23/16 LEITER LAW OFFICES ROSARIO CIBELLA 1204 16WC 34982 SUBLETT, LATANYA JOLIET STAFFING 11/10/16 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 1205 16WC 35127 LOREENC, KATHLEEN OUR LADY OF ANGELS 05/20/16 BLOCK, KLUKAS & MANZELLA P 1206 16WC 35240 HILTON, JASON SHOREWOOD LIQUIDATORS INC 10/13/16 RATHBUN CSEVENYAK & KOZOL 1207 16WC 35271 JUNGLES, DEBRA RICHS PRODUCTS CORPORATIO 10/29/16 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 1208 16WC 35404 CERVANTES, CARLOS BIOVIEW LANDSCAPING & 09/26/16 COSTA IVONE LLC HEYL ROYSTER VOELKER & ALLEN 1209 16WC 35442 MUNOZ, IRMABEL COILPLUS INC # 06/23/16 DANIEL O STAMM 1210 16WC 35605 REID, JAKIA SCHNEIDER LOGISTICS 02/12/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 1211 16WC 35632 NAILON, SHAQUILLE NETWORK GLOBAL LOGISTICS 11/08/16 KROL BONGIORNO & GIVEN LTD 1212 16WC 35817 SCHALK, AMBER SPEEDWAY 09/02/16 DANIEL PERIASWAMY KEEFE CAMPBELL & ASSOC LLC 1213 16WC 35875 MURPHY, BRIAN FRESH THYME FARMERS MARKE 11/08/16 PETER D CORTI LAW GROUP COZZI & GOGGIN-WARD 1214 16WC 35937 KING, CYNTHIA FRANKFORT ITALIAN FOODS 09/13/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1269 16WC 39365 GOURLEY, CRYSTAL FEDERAL SIGNAL CORP 01/07/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 1270 16WC 39395 VILLANUEVA, ROBERTO WEATHER TECH 12/09/16 DWORKIN AND MACIARIELLO 1271 16WC 39410 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SERV 10/13/16 CHEPOV & SCOTT LLC 1272 16WC 39437 FIGUEROA, SUJEY PREMIER EMPLOYEE SOLUTION 10/24/16 GOLDSTEIN BENDER & ROMANOF 1273 17WC 00066 WALKER, JIMMY JOLIET TOWNSHIP SCHOOL 10/12/16 HORWITZ HORWITZ & ASSOC 1274 17WC 00072 SCHAEFER, JOHN BEST PRACTICES STAFFING 12/14/16 1275 17WC 00099 RAFAEL, ROSA NFI INDUSTRIES 10/20/16 RATHBUN CSEVENYAK & KOZOL QUINN JOHNSTON HENDERSON ETA 1276 17WC 00127 BROMBEREK, WAYNE HOME DEPOT INC 01/08/14 BLOCK, KLUKAS & MANZELLA P 1277 17WC 00207 JUREKA, VLADISLAV DIAGEO 12/17/16 BART DURHAM COZZI & GOGGIN-WARD 1278 17WC 00228 GUZMAN, SALVADOR BRAKUR CUSTOM CABINETS 10/08/14 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 1279 17WC 00304 CHASE, NICOLE LITTLE CAESARS PIZZA 12/09/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1280 17WC 00340 SOLIS, HEATHER ECOLAB, INC 11/21/16 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 1281 17WC 00385 ESTRADA, SYISHA AMAZON 11/25/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1282 17WC 00432 GARCIA-MEDINA, LUCAS MXD GROUP, INC 11/03/16 EPSTEIN, JACK R LAW OFFICE 1283 17WC 00463 LENARD, LIEWELLY CLEAR CAR CONNECTION 12/19/16 POMPER & GOODMAN HINSHAW & CULBERTSON 1284 17WC 00517 BRAWTHEN, KIMBERLY PARSEC INC 12/09/16 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC 1285 17WC 00552 TURK, BRENT ECOLAB 09/14/15 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 1286 17WC 00566 PAYNE, MILTON PARSEC 12/28/16 POLANSKY & CICHON CHTD MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1287 17WC 00618 ELLIS, YOLANDA INDIVIDUAL ADVOCACY GROUP 02/25/14 ERIC M GLASSON & ASSOCIATE 1288 17WC 00642 HABERKORN, THOMAS COUNTY OF WILL 09/27/16 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 1289 17WC 00674 ARANDA, JULIO C TRICO PERSONNEL SERVICES 12/28/16 WILLIAM MARTAY 1290 17WC 00688 JAGGER, ROBERT HOME DEPOT 09/02/16 WOODRUFF & JOHNSON ADELSON TESTAN & BRUNDO 1291 17WC 00726 JURICH, KEITH CORNERSTONE SERVICES 11/04/16 LEITER LAW OFFICES BRADY CONNOLLY & MASUDA PC 1292 17WC 00785 HARDESTY, DONALD COMED 11/09/16 COSTA IVONE LLC CHILTON YAMBERT PORTER LLP 1293 17WC 00797 SMITH, TERRILL ALLEGIANCE STAFFING 12/26/16 DWORKIN AND MACIARIELLO 1294 17WC 00808 FROWNER, CARMEN INTEGRITY 12/13/16 DWORKIN AND MACIARIELLO 1295 17WC 00823 NORWOOD, MELODY SPAR GROUP INC 12/11/14 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 1296 17WC 00856 GRABON, DANIEL W AT&T CORP, C/O CORP SYSTE 12/19/16 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 1297 17WC 00875 SPARKS, ANDREW KWM GUTTERMAN,INC 07/16/15 GRAVLIN, MICHAEL J LLC HOLECEK & ASSOCIATES 1298 17WC 00896 WARRINER, VERNON NEZUS EMPLOYMENT SOLUTION 10/27/16 RATHBUN CSEVENYAK & KOZOL 1299 17WC 00928 IKARD, LISA INDUSTRIAL STAFFINC SERVI 12/16/16 ANKIN LAW OFFICE ROSARIO CIBELLA 1300 17WC 00953 OCAMPO, JOSE A INTERNATIONAL BUILDING SE 11/22/16 DAVID W MARTAY 1301 17WC 01025 ZACARIAS, ENEDINA 1ST CLASS STAFFING 11/07/16 CULLEN HASKINS NICHOLSON GRANT & FANNING 1302 17WC 01068 HILL, SHANYCE US SECURITY ASSOCIATES 12/30/16 LAW OFFICES TIMOTHY HENDER COZZI & GOGGIN-WARD 1303 17WC 01170 REYES, JOSE ARTURO SULLIVAN ROOFING INC 01/04/17 THE ROMAKER LAW FIRM LAW OFFICES OF EDWARD J. KOZ 1304 17WC 01199 FONTANEZ, DEBORAH WALMART SUPERCENTER 04/14/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1305 17WC 01211 SORIA, EULALIO AZZ GALVANIZING 01/05/17 JAUREGUI & ASSOCIATES GRANT & FANNING 1306 17WC 01365 CLARK, SHEILA INTEGRITY 12/05/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1307 17WC 01381 GONZALEZ, SAMANTHA ULTRA FOODS 10/01/16 DWORKIN AND MACIARIELLO 1308 17WC 01398 COFFEY, ANTHONY M SR. WORK NOW,LLC 01/02/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 1309 17WC 01455 CARNEY, JOSEPH PRESENCE ST JOSPH'S HOSP 01/04/17 CAPRON & AVGERINOS PC 1310 17WC 01523 LOPEZ, ENRIQUE SALCE INC 12/19/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 1311 17WC 01616 TOUTGES, KYLE ARNOLD'S TREE SERVICE INC 09/16/14 THE FITZ LAW GROUP HOLECEK & ASSOCIATES 1312 17WC 01682 LACOSTE, CHRISTOPHER NFI NATIONAL FREIGHT 12/12/16 BLOCK, KLUKAS & MANZELLA P 1313 17WC 01712 SMITH, CIERA INTEGRITY STAFFING 11/30/16 DWORKIN AND MACIARIELLO 1314 17WC 01741 BILO, FRANK AVERITT EXPRESS INC 01/04/17 CORBOY & DEMETRIO PC 1315 17WC 01818 BROWN, TOMMY THOMAS FERGUSON, INC 11/10/16 DAMISCH & DAMISCH LTD WOLFE & JACOBSON, LTD 1316 17WC 01910 JOHNSON, ANDREW STEPAN CO 04/14/16 RATHBUN CSEVENYAK & KOZOL 1317 17WC 01984 SCHNAYER, LEROY AT&T INC 12/19/16 GOLDBERG WEISMAN & CAIRO L 1318 17WC 02024 VAZQUEZ, MARIA WEATHER TECH 01/11/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 1319 17WC 02048 CAMILLI, EDWARD MEIJER @ 01/16/17 BURNES & LIBMAN KNELL & O'CONNOR 1320 17WC 02083 ZIMA, TINA PLAINFIELD SD #202 10/25/16 LAW OFFICES OF JOSEPH F. V KEEFE CAMPBELL & ASSOC LLC 1321 17WC 02118 EYRE, BLAKE SAW ENTERPRISES, INC 12/09/16 KREITER, BYCK & ASSOC LLP 1322 17WC 02172 GUERRERO, GUADALUPE GCA SERVICES GROUP, INC. 04/27/16 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1323 17WC 02281 DROPSKI, DAVID TCI TIRE CENTER, LLC 05/26/16 LAW OFFICE MICHAEL M WOJIT 1324 17WC 02318 HUDEK, LYNN COMFORT KEEPERS 12/10/15 HORWITZ HORWITZ & ASSOC 1325 17WC 02349 MCCLEAN, KEVIN APOLLO K ELECTRIC 01/19/17 DWORKIN AND MACIARIELLO 1326 17WC 02464 BURTON, ROOSEVELT FILTRATION GROUP 01/04/17 CAPRON & AVGERINOS PC 1327 17WC 02492 SALVADOR, MARTHA MAGENTA SALVADOR 01/12/17 SALK, STEVEN B & ASSOC LTD 1328 17WC 02560 LANNEN, LARRY STATE OF IL-STATEVILLE 04/26/15 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 1329 17WC 02599 FEATHERLY, TRACY VILLAGE OF PLAINFIELD 10/10/14 MICHAEL J. GRAVLIN SLAVIN & SLAVIN 1330 17WC 02607 LEADINGHOUSE, TYLER CARROLL CONSTRUCTION SUPP 10/19/16 LAW OFFICES MICHAEL HELLMA 1331 17WC 02660 HARDEN, CHARLES NAVISTAR 01/12/17 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1332 17WC 02706 CAMACHO, AGUSTIN CENTRAL GROCERS 05/15/16 ASHER, RAYMOND L LTD 1333 17WC 02716 DOMINQUE, CAROL CLEAR WATER PAPER CORP 11/09/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 1334 17WC 02758 HARDING, JENNIFER DUPAGE MEDICAL GROUP/ MER 07/08/15 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 1335 17WC 02792 BOROS, MARK CITY OF JOLIET 11/05/16 HETHERINGTON KARPEL BOBBER KNELL & O'CONNOR 1336 17WC 02909 ADENT, MICHAEL SYNNEX CORPORATION 12/20/16 ANKIN LAW OFFICE 1337 17WC 02936 LACEY, DEVON PARAMOUNT STAFFING 01/20/17 DWORKIN AND MACIARIELLO 1338 17WC 03036 KINCHEN, RANDALL YRC FREIGHT CHICAGO HEIGH 01/13/16 FRANK A CELANI 1339 17WC 03057 KLUEVER, PATRICK R COWORX STAFFING 11/04/16 COHN LAMBERT RYAN & SCHNEI BRADY CONNOLLY & MASUDA PC 1340 17WC 03098 HRUSOSKY, SHARRY ALDI 05/16/14 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1448 17WC 08637 BREWER, JOHNATHAN S&S ACTIVEWEAR, LLC 12/12/16 ANKIN LAW OFFICE KNELL & O'CONNOR 1449 17WC 08664 SHAH, FOZIA RADIAL HOLDINGS 04/20/16 DEPAOLO ZADEIKIS GORE KELLEY, KRONENBERG ETAL 1450 17WC 08713 SOSA, MARIA OSWEGO CUSD #308 03/23/16 FOOTE MIELKE CHAVEZ & O'NE 1451 17WC 08722 IVERSON, BECKY PLANO SCHOOL DISTRICT #88 09/02/16 KINNALLY FLAHERTY KRENTZ & 1452 17WC 08744 KUBI, NANA WEATHER TECH 03/07/17 LAW OFFICES OF 1453 17WC 08868 HICKS, EDWARD CORNERSTONE SERVICES 08/12/15 BLEAKNEY & TROIANI 1454 17WC 08976 ROBERTS, ALLEN STATE OF ILLINOIS DOC @ 12/28/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 1455 17WC 09005 SCARBOROUGH, ANTOINETTE WILL COUNTY HEALTH DEPART 01/30/17 LEITER LAW OFFICES HINSHAW & CULBERTSON 1456 17WC 09059 MOXLEY, SEAN ELEPHANT PLUMBING 11/07/16 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 1457 17WC 09115 HUERTA-FLORES, VICTOR DUNREE HOMES, INC 02/14/17 ACEVES & PEREZ PC 1458 17WC 09143 JENKINS, FRANKLIN FRESH THYME DISTRIBUTION 02/05/17 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 1459 17WC 09165 BASS, CARL THE RESERVES NETWORK 03/22/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 1460 17WC 09243 BOTTOMS, GARRETT HITS 11/09/16 ANESI OZMON RODIN NOVAK KO 1461 17WC 09365 GRAY, REGINALD FRESH THYME FARMER'S MARK 01/20/17 BRISKMAN BRISKMAN GREENBER COZZI & GOGGIN-WARD 1462 17WC 09377 SEXTON, MICHAEL WASTE MANAGEMENT 03/21/17 PARENTE & NOREM PC 1463 17WC 09403 MELCHOR, ARGUILEO SADDLE CREEK 03/07/17 EPSTEIN, JACK R LAW OFFICE 1464 17WC 09432 MATTHEWS, RODNEY DOLLAR TREE DISTRIBUTION 03/16/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1465 17WC 09467 WITTMAYER, TODD WILL COUNTY SHERIFF DEPT 06/14/14 THOMAS J STIBERTH LAW OFFI 1466 17WC 09511 EVANS, DEBBIE SAM'S CLUB 04/28/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 17WC009512 -C 1467 17WC 09530 SHIRENBEKOV, SHAMILBEK TRANSLINES, INC 01/18/17 SWANEY, JEFFREY R 1468 17WC 09551 SCUMACI, MATT AMAZON FULFILLMENT CENTER 03/07/17 ROBIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1469 17WC 09590 JOHNSON, JENNIFER(MOTHER) SILVER CROSS HOSPITAL 10/05/16 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 1470 17WC 09609 MILONE, PETER JR. STATE OF IL DEPT OF TRANS @ 01/03/17 ANKIN LAW OFFICE COLIN KICKLIGHTER 1471 17WC 09713 NEYLON, ROCHELLE SUNNY HILL NURSING 12/13/16 O'CONNOR & NAKOS HINSHAW & CULBERTSON 1472 17WC 09892 LAM, MARLISS INDIAN PRAIRIE SCHOOL DIS 11/29/16 BELLAS & WACHOWSKI BRADY CONNOLLY & MASUDA PC 1473 17WC 09918 PEAL, MARK VSNA-PRAIRIE MATERIALS, I 02/17/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 1474 17WC 09934 BAKER, SHERRY VALLEY VIEW PUBLIC SCHOOL 10/12/16 RIDGE & DOWNES 1475 17WC 09961 HARRIS, DWAYNE EXEL INC DBA DHL SUPPLY C 03/25/17 GOLDSTEIN AIOSSA & GOOD 1476 17WC 09968 DIAZ, RAYMUNDO HERNANDEZ KEC CONSTRUCTION LLC 09/26/16 LEWIS & DAVIDSON, LTD 1477 17WC 10036 PENA, DESIDERIO NRG ENERGY 01/07/16 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 1478 17WC 10109 LOVE, DEJUAN 1ST CLASS STAFFING 03/14/17 KARCHMAR & STONE GRANT & FANNING 1479 17WC 10177 CHAMBERS, BRENDA BEECHER MANOR 02/09/17 LAW OFFICES OF ANSELMO DUR 1480 17WC 10226 PALKA, JASON KOZOL BROTHERS INC 08/31/15 SPIROS LAW PC ROSARIO CIBELLA 1481 17WC 10259 CROKENOWER, STEVEN JEWEL FOOD STORES 04/14/16 SCHWEICKERT & GANASSIN 1482 17WC 10313 WAGNER, DEMETRIA AMAZON.COM 01/27/17 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1483 17WC 10356 FITZGERALD, BRENT AT&T 02/28/16 SPIROS LAW PC 1484 17WC 10387 CORDOBA, HARBIN J PETCO ANIMAL SUPPLIES STO 01/10/17 ANKIN LAW OFFICE 1485 17WC 10465 VERDUN, JULIUS FRESH THYME DISTRIBUTION 02/22/17 EFTEKHARI LAW OFFICES COZZI & GOGGIN-WARD 1486 17WC 10479 JOHNSON, KEVIN SCHNEIDER LOGISTICS 06/15/16 LAW OFFICES TIMOTHY HENDER POWER & CRONIN LTD 1487 17WC 10503 DUQUETTE, MARK JEWEL OSCO 03/16/17 LAW OFFICE JOSHUA KARMEL 1488 17WC 10531 ORTIZ, MARGARITA ALLEGIANCE STAFFING 03/08/17 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 1489 17WC 10629 ORTIZ, JOSE A COMPASS GROUP USA, INC 08/06/15 FICHERA & MILLER 1490 17WC 10673 DIGGS, DAIRON SCHNEIDER LOGISTICS 06/02/15 VRDOLYAK LAW GROUP LLC POWER & CRONIN LTD 1491 17WC 10686 PRISTAS, ANTHONY GRAINGER 01/27/17 CULLEN HASKINS NICHOLSON 1492 17WC 10764 WILLIS, ROBERT LAYNE CHRISTENSEN CO. 02/17/17 BOWMAN & CORDAY GRANT & FANNING 1493 17WC 10858 HIR, DANIEL VISION INTEGRATED GRAPHIC 10/10/16 SLAVIN & SLAVIN 1494 17WC 10903 LEWIS, MELANIE AMAZON CENTER 04/09/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1495 17WC 11065 KARAMBELAS, NICHOLAS ST OF IL- DEPARTMENT OF @ 02/20/17 THERMAN LAW OFFICES 1496 17WC 11095 CLARKE, DOREEN EASTER SEALS 10/25/16 STEVEN J MALMAN & ASSOCIAT 1497 17WC 11103 REYES, VERONICA MONDI 10/31/16 SCOTT BARBER 1498 17WC 11214 TOLLER, MATTHEW WEST ROCK 01/16/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 1499 17WC 11249 HOPKINS, BRIAN LAGROU DISTIBUTION SYSTEM 12/01/16 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY 1500 17WC 11311 ALLGOOD, DAVID CABENO ENVIRONMENTAL FIEL 08/01/16 LEITER LAW OFFICES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1501 17WC 11356 PEREZ, ANA SURE STAFF 04/03/17 DWORKIN AND MACIARIELLO LOUIS MUNDY 1502 17WC 11386 ROUSONELOS, BROOKE FIREHOUSE SUBS 10/24/16 BLOCK, KLUKAS & MANZELLA P RODDY LAW LTD 1503 17WC 11398 SPRAGUE, BRAD STATE POLICE DISTRICT 5 @ 06/04/15 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENL 1504 17WC 11497 MUEHE, MICHAEL C LEGACY SUPPLY CHAIN SERVI 05/25/16 RUBIN LAW GROUP GRANT & FANNING 1505 17WC 11519 PARRA, PATRICIA TOTAL STAFFING SOLUTIONS 03/24/17 COSTA IVONE LLC KNELL & O'CONNOR 1506 17WC 11524 LOCKHART, JASMINE CORNERSTONE SERVICES 04/05/17 COSTA IVONE LLC 1507 17WC 11531 HERNANDEZ, ANGELA RON'S STAFFING 01/18/17 HERRERA LAW CENTER GAROFALO SCHREIBER STORM 1508 17WC 11545 WILKIE, BRIAN INNOVATIVE INTERMODAL INC 04/04/16 BOUDREAU NISIVACO LLC INMAN & FITZGIBBONS 1509 17WC 11549 AUTMAN, ZABORA AMAZON DISTRIBUTION CENTE 04/11/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1510 17WC 11673 BATTAGLIA, ROBERT CENTRELLA FOODS 07/15/15 RIDGE & DOWNES ROSARIO CIBELLA 1511 17WC 11716 THOMPSON, DAVID GRAINGER DISTRIBUTION CEN 09/15/16 DWORKIN AND MACIARIELLO 1512 17WC 11783 MORRIS, GARRY WAREHOUSE SERVICES, INC 02/15/17 HORWITZ HORWITZ & ASSOC LAW OFFICES FRANCESCA LARSEN 1513 17WC 11814 PERZ, CHERYL DIANA M BURDA M.D.S.C DBA 02/21/17 KARCHMAR & STONE 1514 17WC 11865 WILLIAMSON, ROBERT A VET COMMUNICATIONS INC 03/05/17 GREGORIO & MARCO 1515 17WC 11885 ESPINOZA-MAYORGA, JUAN AXCESS STAFFING SERVICES 04/12/17 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 1516 17WC 11925 MITCHELL, IAN D FIRST STUDENT, INC 04/06/17 ANKIN LAW OFFICE 1517 17WC 12017 CEPEDA, CARLOS SOUTHERN GLAZER'S WINE 01/13/17 OSVALDO RODRIGUEZ PC MACIOROWSKI SACKMANN & ULRIC 1518 17WC 12095 DIXON, EMIR WALMART 09/18/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1519 17WC 12156 VARGAS, ANGEL GREEN EARTH PLASTIC RECYC 03/31/17 HERRERA LAW CENTER COZZI & GOGGIN-WARD 1520 17WC 12177 LAURAS, NORBERT SHERWIN WILLIAMS 09/19/16 RATHBUN CSEVENYAK & KOZOL GANAN & SHAPIRO 1521 17WC 12216 HERNANDEZ, JOE JOLIET POLICE DEPARTMENT 03/04/17 ANESI OZMON RODIN NOVAK KO ANCEL GLINK DIAMOND BUSH & E 1522 17WC 12271 WALLACE, DIANE M. ARAMARK 09/23/16 KANOSKI BRESNEY INMAN & FITZGIBBONS 1523 17WC 12296 PERHON, SEBASTIAN TIMBERLINE GENERAL CONTRA 03/28/17 COYNE REINKE LAW 1524 17WC 12330 CASTILLO, GLADYS NEW STREAM ENTERPRISES 12/09/16 LULAY LAW OFFICES WIEDNER & MCAULIFFE LTD 1525 17WC 12363 FILER, JACQUELINE M PLAINFIELD COMMUNITY 10/21/16 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 1526 17WC 12392 MARTIN, JAMES WILL COUNTY POLICE DEPART 04/04/17 ASHER, RAYMOND L LTD HINSHAW & CULBERTSON 1527 17WC 12533 SUGGS, CHARLES LAKES VENTURE, LLC 02/08/17 BRISKMAN BRISKMAN GREENBER 1528 17WC 12615 ROBINSON, ROBERT M PARADISE POOLS INC 04/17/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 1529 17WC 12658 JAWOROWSKI, THOMAS JR ELITE STAFFING 04/26/17 DWORKIN AND MACIARIELLO 1530 17WC 12701 MUELLERSCHOEN, JULIE HOMER COMM CONSOLIDATED S 03/30/17 RIDGE & DOWNES 1531 17WC 12735 HUGUELET, KENNETH AMERICAN AUTO RESTORATION 12/22/16 ELFENBAUM EVERS & AMARILIO COZZI & GOGGIN-WARD 1532 17WC 12883 NEUFELD, ANDREW ROMEOVILLE POLICE DEPT 04/19/17 KROL BONGIORNO & GIVEN LTD SLAVIN & SLAVIN 1533 17WC 12903 SENFFNER, VICTOR PLAINFIELD SCHOOL DISTRIC 05/16/14 HORWITZ HORWITZ & ASSOC 1534 17WC 12932 MELE, LEONARDO NORVILLA 12/02/15 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 1535 17WC 13038 SAVAGE-OLSON, COREY COUNTY CARE ANIMAL HOSPIT 09/30/14 KAVANAGH GRUMLEY & GORBOLD 1536 17WC 13067 TAHJA, NATHAN MINNESOTA LIMITED 11/08/16 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1537 17WC 13130 EVERTS, CHAD TH RYAN * 09/21/16 DUDLEY & LAKE LLC WOLFE & JACOBSON, LTD 1538 17WC 13178 ALKALTAH, MOHAMMAD FRESH THYME * 03/16/17 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 1539 17WC 13193 DECESARE, MICHAEL JEWEL * 11/22/16 RATHBUN CSEVENYAK & KOZOL 1540 17WC 13286 ESPINOZA, JUAN AXCESS STAFFING SERVICES * 04/12/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 1541 17WC 13325 ROGGENKAMP, ADAM MEDTRONIC, PLC * 03/23/17 ROMANUCCI & BLANDIN POWER & CRONIN LTD 1542 17WC 13349 CARO, GILBERT STATEVILLE IDOC @ * 04/19/17 STEVEN A CRIFASE, LTD ASSISTANT ATTY GENERAL 1543 17WC 13403 VASQUEZ, JESUS AMERICAN STAIR CORP * 03/06/17 DWORKIN AND MACIARIELLO 1544 17WC 13430 ARANA, JOSELIN AUTUMN LEAVES NURSING HOM * 11/24/16 MEYERS & FLOWERS 1545 17WC 13487 CHAVEZ, DAMIAN CENTRAL GROCERS * 04/24/17 ENCINAS & ORNELAS 1546 17WC 13559 BOYD, AMY PHILLIP'S CHEVROLET * 01/09/17 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 1547 17WC 13585 JAIME-VALENCIA, LORENA BARTON STAFFING * 04/07/17 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 1548 17WC 13627 ESPARZA, MATTHEW HOLLYWOOD CASINO * 11/04/09 ANGELINI & ORI LLC ORENSTEIN & ASSOCIATES 1549 17WC 13778 SCHEIWEKE, VICTORIA SPEEDWAY * 03/14/17 WHITESIDE & GOLDBERG LTD 1550 17WC 13864 ERICKSON, CHRISTOPHER WILL COUNTY SHERIFF DEPT * 02/20/17 RATHBUN CSEVENYAK & KOZOL 1551 17WC 13901 KATRO, JEREMY DOLLAR TREE * 03/24/17 FOHRMAN, DONALD W & ASSOCS BRYCE DOWNEY & LENKOV LLC 1552 17WC 13920 THOMAS, ANDRE MAC'S CONVENIENCE STORE * 05/06/17 DWORKIN AND MACIARIELLO 1553 17WC 13983 SHERRELL, ROBERT M WEIRD LIFE LLC * 04/23/17 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 1554 17WC 14012 MORRIS, DEMETRIUS L WEATHER TECH DIRECT LLC * 02/23/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1555 17WC 14157 DAVIS JR., DONALD R. SOUTHERN GLAZIER'S * 06/14/16 GARDI & HAUGHT MACIOROWSKI SACKMANN & ULRIC 1556 17WC 14206 BERNER, JAIME STONEY POINT GRILL * 02/22/17 CULLEN HASKINS NICHOLSON 1557 17WC 14262 STELLWAGEN, REBECCA AT&T C/O SEDGWICK CMS * 10/15/16 BLOCK, KLUKAS & MANZELLA P 1558 17WC 14298 REYES, SILVERIO AMERICAN AUTO WORKS LLC * 03/18/17 JOHN J CASTANEDA 1559 17WC 14306 SMITH, MARSHA AMAZON * 02/22/17 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 1560 17WC 14348 MELROSE, SHARON CHICAGOAEROSOL * 04/13/17 MARKER & ASSOCIATES 1561 17WC 14355 TROPP, JEFFREY CITY OF JOLIET * 03/16/17 LANNON LANNON & BARR LTD 1562 17WC 14458 DEGRADO, GUY VILLAGE OF BOLINGBROOK * 06/03/15 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 1563 17WC 14475 WINTERS, JANICE JOLIET TOWNSHIP TRANSPORT * 09/01/15 CHARLES LEVY & ASSOC LTD 1564 17WC 14512 CIARLETTE, RANDY FEDEX GROUND * 09/20/16 BOWMAN & CORDAY 1565 17WC 14544 HAYWOOD, DANTES THOMAS NISSAN * 02/22/17 O'CONNOR & NAKOS HEYL ROYSTER VOELKER & ALLEN 1566 17WC 14571 MOSQUEDA, IRMA Y LSC COMMUNICATON * 04/25/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 1567 17WC 14615 BRYANT, NICOLE M WW GRAINGER, INC * 04/25/17 DREW J FERRACUTI INMAN & FITZGIBBONS 1568 17WC 14695 MOSQUEDA, IRMA RR DONNELLEY * 04/25/17 MCANANY VANCLEVE & PHILLIPS 1569 17WC 14708 CARTER, KAYLA NEW LENOX PARK DISTRICT * 05/01/17 CIFELLI SCREMENTI & DORE RUSIN & MACIOROWSKI LTD 1570 17WC 14775 SHERMAN, KYLE BUFFALO WILD WINGS * 03/25/17 DAVID W MARTAY MC ANDREWS & NORGLE LLC 1571 17WC 14823 EDEH, IFEOMA PLAINFIELD SCHOOL DISTRIC * 03/07/17 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 1572 17WC 14883 HERREDA, MARIA ARYZTA * 03/14/17 JOHN E LUSAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1573 17WC 14932 RODRIGUEZ, LISA RED ROOF INNS, INC * 11/28/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 1574 17WC 14965 SHOAF, GINA JOLIET COLD STORAGE * 08/16/16 BLOCK, KLUKAS & MANZELLA P 1575 17WC 15026 HERNANDEZ, NOEMI WEATHERTECH * 05/03/17 RATHBUN CSEVENYAK & KOZOL 1576 17WC 15045 DOYLE, WILLIAM DRILLED FOUNDATIONS * 07/15/15 BLOCK, KLUKAS & MANZELLA P RODDY LAW LTD 1577 17WC 15103 RIVERA-MORALES, RICARDO ECOWIZE NORTH AMERICA LLC * 05/09/17 SALK, STEVEN B & ASSOC LTD 1578 17WC 15177 COLLINS, KRISTINA TRINITY SERVICES * 05/09/17 BLOCK, KLUKAS & MANZELLA P 1579 17WC 15192 JINDELA, JAMES ELITE STAFFING * 08/22/16 LAW OFFICE OF JAMES H MILL 1580 17WC 15207 BOTNARI, VLAD GIGI LINE, INC * 06/05/16 ANESI OZMON RODIN NOVAK KO 1581 17WC 15259 GREGORY, DONALD PARAMOUTN STAFFING * 05/09/17 DWORKIN AND MACIARIELLO 1582 17WC 15271 HERREDA, MARIA ARYZTA * 12/26/15 JOHN E LUSAK 1583 17WC 15295 JOHNSON, KENNETH SR WIRELESS STORES MIDWEST * 05/03/17 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 1584 17WC 15317 NEWSOME, DENNITH VISION, INC * 12/16/16 WITTENBERG DOUGHERTY MAGLI 1585 17WC 15354 ACOSTA, ANAHIS AMAZON.COM LLC * 03/27/17 ANKIN LAW OFFICE 1586 17WC 15476 HENZLER, DAVID G VILLAGE OF BOLINGBROOK * 01/29/17 FABRIZIO, HANSON & PEYLA 1587 17WC 15519 TYLER, LEROY WAREHOUSE SVCS, INC * 05/06/17 DE SALVO, SCOTT D LAW OFFI LAW OFFICES FRANCESCA LARSEN 1588 17WC 15541 SWIFT JR., DAVID LINIAGE LOGISTICS * 02/17/17 STEVEN J MALMAN & ASSOCIAT 1589 17WC 15593 WILLIAMS, ROBIN EXPO LOGISTICS * 02/02/17 JAMES ELLIS GUMBINER & ASS 1590 17WC 15643 BROOKS, JARED WILL COUNTY SHERIFF'S OFF * 04/25/17 DAVID SZCZECIN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1591 17WC 15675 HILEMAN, BRANDON WILL COUNTY SHERIFF * 12/07/16 WHITESIDE & GOLDBERG LTD HINSHAW & CULBERTSON 1592 17WC 15781 HERNANDEZ, LORENZA SALIS BURY HONEYWELL * 03/24/17 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 1593 17WC 15834 DAVIS, WALTER CALHOUN TRUCK LINES * 05/08/17 MCNAMARA PHELAN MCSTEEN LL 1594 17WC 15888 BARRY, STEVEN NOOTER CONSTRUCTION CO * 06/22/15 ANESI OZMON RODIN NOVAK KO 1595 17WC 15925 SCHMIDT, DONNA AMAZON * 04/10/17 BURNETT & CARON, LTD 1596 17WC 15953 HUDSON, BRIAN DSC LOGISTICS INC * 12/09/16 JAMES ELLIS GUMBINER & ASS 1597 17WC 15996 FLORES, JOSE MICHAELS LOGISTICS, INC * 03/09/17 STANCZAK LAW OFFICES 1598 17WC 16023 VILETSRA, CHAD HOMER TOWNSHIP FIRE * 09/18/16 THE ROMAKER LAW FIRM 1599 17WC 16103 MUNOZ, LISBET TRIUNE LOGISTICS * 03/02/17 SALVATO & O'TOOLE LITCHFIELD CAVO 1600 17WC 16121 LEE, BOOKER AMAZON CROSSDOCK FACILITY * 02/09/17 DWORKIN AND MACIARIELLO 1601 17WC 16298 ORTIZ, ALBERTO SURESTAFF LOANING COMPANY * 05/23/17 SALK, STEVEN B & ASSOC LTD LOUIS MUNDY 1602 17WC 16325 CARDENAS, BAYRON E&M ALVAREZ MOVING CO * 05/24/17 MC HARGUE, JAMES P LAW OFF 1603 17WC 16402 CEBALLOS-ZAVALA, FERNANDO STUMP'S TREE * 04/27/17 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 1604 17WC 16419 HERNANDEZ, SONIA PLAINFIELD COMMUNITY * 11/10/16 HERRERA LAW CENTER KEEFE CAMPBELL & ASSOC LLC 1605 17WC 16496 RODRIGUEZ, SHELSIE ALLSTATE INSURANCE * 11/23/16 GOLDSTEIN BENDER & ROMANOF 1606 17WC 16526 ENNIS, JOHNNY R HOME DEPOT * 05/08/17 DEER & STONE PC 1607 17WC 16560 FOX, DWIGHT M PENSKE LOGISTICS * 03/06/17 CAMERON CLARK 1608 17WC 16579 DRAYTON, APRIL ELITE LABOR SERVICES DBA * 04/24/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1609 17WC 16703 SLATON, JEANNE AMAZON FULFILLMENT * 05/08/17 CULLEN HASKINS NICHOLSON 1610 17WC 16832 NEWMAN, RICKEY GEOTECH, INC * 04/11/17 GOLDBERG WEISMAN & CAIRO L 1611 17WC 16867 THORP, ANN USF HOLLAND * 08/23/16 PARENTE & NOREM PC HENNESSY & ROACH PC 1612 17WC 16904 PANFIL, MARSHA L STINCHCOMB ASSOCIATES, IN * 03/28/17 RUBIN LAW GROUP 1613 17WC 17034 KELLY, DOUGLAS NFI INDUSTRIES * 01/04/17 MARC J SHUMAN & ASSOCIATES 1614 17WC 17069 STAHL, ANALIESE ALDEN ESTATES OF SHOREWOO * 05/13/17 DWORKIN AND MACIARIELLO 1615 17WC 17112 AMENTA, CHARLES HILENBRAND INC * 04/08/16 KINNALLY FLAHERTY KRENTZ & 1616 17WC 17141 MURPHY, KENNETH W LAKE VENTURE LLC D/B/A * 03/02/17 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 1617 17WC 17161 GARCIA, CIPRIANO FLEXI VAN * 05/08/17 SALVATO & O'TOOLE HENNESSY & ROACH PC 1618 17WC 17192 BOSARD, CLAUDETTE (WIDOW BLACK HAWK PROPERTIES * 08/03/10 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 1619 17WC 17201 HEDGE, BRET HOMER TOWNSHIP * 03/20/17 THE ROMAKER LAW FIRM 1620 17WC 17204 VILLALPANDO, ADRIAN SUMMIT STAFFING INC * 05/10/17 THE ROMAKER LAW FIRM 1621 17WC 17247 WOODS, JOHN JR FLEXIBLE STAFFING * 05/25/17 DWORKIN AND MACIARIELLO 1622 17WC 17279 WOODS, MELODY A ADAMS ASSOCIATES * 10/11/16 FABRIZIO, HANSON & PEYLA 1623 17WC 17302 COULTHARD, ERIC FEDEX EXPRESS * 06/01/17 NILSON STOOKAL GLEASON CAP 1624 17WC 17348 MULLNER, DANIEL LOCKPORT TOWNSHIP FIRE * 05/11/17 HETHERINGTON KARPEL BOBBER 1625 17WC 17397 GORDON, OLARA AMITA HEALTH ADVENTIST ME * 05/18/17 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 1626 17WC 17451 CANO, OLGA WEATHER TECH * 03/08/16 LAW OFFICES MICHAEL HELLMA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 95 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1627 17WC 17498 PAYNE, SAM PLANT SERVICES INC * 05/15/17 LEITER LAW OFFICES GANAN & SHAPIRO 1628 17WC 17513 PASTERNAK, WALTER ULTRA FOODS * 03/09/17 HORWITZ HORWITZ & ASSOC 1629 17WC 17572 SHAW, TERRANCE DSC LOGISTICS * 06/14/16 MCNAMARA PHELAN MCSTEEN LL 1630 17WC 17591 MUNIZZI, CARMEN A, SR ILLINOIS SECRETARY OF STA @ * 06/07/16 FIGLIOLI, DAVID 1631 17WC 17617 OLLIE, MARTEL SCHNEIDER * 02/05/17 RUBENS AND KRESS POWER & CRONIN LTD 1632 17WC 17637 MEZEIKA, SARA SILVER CROSS HOPSITAL * 03/27/17 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 1633 17WC 17691 LIRANZA, GUILLERMO SURESTAFF, INC * 04/06/17 POMPER & GOODMAN LOUIS MUNDY 1634 17WC 17736 HESPEN, STEVEN SGS PETROLEUM SERVICE COR * 02/24/17 RUBIN LAW GROUP 1635 17WC 17825 HAZEL, ADAM TROY COMMUNITY CONSOLIDAT * 06/13/17 WOODRUFF & JOHNSON 1636 17WC 17858 GREENBERG, ROBERT JONES LAND LASALLE * 04/26/17 GOLDBERG WEISMAN & CAIRO L SMITH AMUNDSEN LLC 1637 17WC 18028 ALVAREZ, NICOLAS WEST LIBERTY FOODS * 05/20/17 GOLDSTEIN BENDER & ROMANOF HEYL ROYSTER VOELKER & ALLEN 1638 17WC 18064 VARON, RUDY TRANS-ONE MOVING & DELIVE * 04/05/17 DAVID W MARTAY HENNESSY & ROACH PC 1639 17WC 18088 SALINAS, ARTURO S PLAINFIELD SCHOOL DIST #2 * 05/09/17 FIGLIOLI, DAVID NYHAN BAMBRICK KINZIE & LOWR 1640 17WC 18112 ALARCON, DAMIANA COWORX STAFFING SVS * 05/05/17 MC HARGUE, JAMES P LAW OFF 1641 17WC 18158 NGU, TEMO W. ECOLAB, INC * 04/20/16 KROCKEY CERNUGEL COWGILL E 1642 17WC 18162 RAMIREZ, MARIA ELITE STAFFING * 05/04/17 SALVATO & O'TOOLE 1643 17WC 18166 SOLIS, CATHY ANN AMF BOWLING CENTERS INC D * 01/24/16 FRANK A CELANI 1644 17WC 18174 BUDKA, KELLY J VERSANT SUPPLY CHAIN * 05/09/17 JOHN J CASTANEDA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 96 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1645 17WC 18198 KASHIRSKY, KRISTINA STATE OF ILL DOC STATEVIL @ * 07/13/16 BLOCK, KLUKAS & MANZELLA P 1646 17WC 18259 GARCIA, CARLOS USF HOLLAND * 06/14/17 PARENTE & NOREM PC 1647 17WC 18279 GREENE, KEVIN RYDER * 06/12/17 DWORKIN AND MACIARIELLO 1648 17WC 18304 JERKOVIC, STEPHANIE PLS PAYDAY LOANS * 01/11/17 HOLECEK & ASSOCIATES 1649 17WC 18336 RAMIREZ, JORGE INTEGRITY LOGISTICS SERVI * 07/20/16 STELZMAN, RUTH 1650 17WC 18365 BALSTRODE, CHARLES JOLIET TOWNSHIP * 01/29/16 WHITESIDE & GOLDBERG LTD 1651 17WC 18461 GAELIDZE, SHOTA GE HEALTHCARE * 05/30/17 TAXMAN POLLOCK 1652 17WC 18492 VILLA, RAMIRO NGL OPERATING LLC * 06/24/16 GOLDSTEIN BENDER & ROMANOF 1653 17WC 18520 WELLS, DENISE WEATHERTECH * 09/01/15 WOODRUFF & JOHNSON 1654 17WC 18533 DIDIANA, DOMENICK ENTERTAINMENT PARTNERS * 06/12/17 BRILL & FISHEL 1655 17WC 18559 CONTRERAS, ADRIANA READERLINK DISTRIBUTION * 06/14/17 ANKIN LAW OFFICE INMAN & FITZGIBBONS 1656 17WC 18601 GOULD, WILLIE SCHNEIDER LOGISTICS * 06/21/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1657 17WC 18660 SHELBY, ERIC HOME DEPOT RDC 5851 * 06/08/17 HORWITZ HORWITZ & ASSOC 1658 17WC 18737 KARENBORG, BRIAN XPO LOGISTICS, INC * 02/01/17 RUSIN & MACIOROWSKI LTD 1659 17WC 18781 MENDOZA, JANIE CITY OF JOLIET * 05/02/17 PARENTE & NOREM PC 1660 17WC 18797 ANTWI, ESTHER PACTIV * 05/01/17 BART DURHAM 1661 17WC 18825 ROBINSON, KEVIN BOWLMOR AMF * 12/09/16 WHITESIDE & GOLDBERG LTD 1662 17WC 18893 GLASER, STEVEN MEIJER, INC * 10/21/16 ALLEN & NEWMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 97 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1663 17WC 18920 FELLER, JENNIFER VALLEY VIEW SCHOOL DIST # * 08/29/16 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 1664 17WC 18955 HERRING, TASHA CORNERSTONE SERVICES * 03/24/15 ROBERT A. CANTONE 1665 17WC 19021 FOWLER, TRAVIS J HOMEOWNERS BARGAIN OUTLET * 06/01/16 KROCKEY CERNUGEL COWGILL E ALLEN & NEWMAN 1666 17WC 19051 ABAD-FIERRO, LILIANA WILTON BRANDS, LLC * 12/08/16 CULLEN HASKINS NICHOLSON 1667 17WC 19064 STRECKERT, SARA O'HARE TOWING SERVICE INC * 07/03/14 GOLDBERG WEISMAN & CAIRO L 1668 17WC 19130 MARLEY, JACAIMA SCHNEIDER LOGISTICS * 05/31/17 JAMES ELLIS GUMBINER & ASS POWER & CRONIN LTD 1669 17WC 19161 MARTINEZ, RENE PREMIER EMPLOYERS SERVICE * 05/22/17 DWORKIN AND MACIARIELLO 1670 17WC 19191 BROOKS, LOREN USF HOLLAND * 06/09/17 DE SALVO, SCOTT D LAW OFFI 1671 17WC 19299 SALAZAR, GLADYS WALMART * 12/24/16 LANNON LANNON & BARR LTD 1672 17WC 19388 MITCHELL, STACEY CRETE-MONEE SCHOOL DIST 2 * 09/16/15 DWORKIN AND MACIARIELLO 1673 17WC 19435 MORALES, MIGUEL COMCAST * 06/28/17 SKLARE LAW GROUP 1674 17WC 19514 KELLY, TIFFANY CORNERSTONE SERVICES * 04/12/17 FOHRMAN, DONALD W & ASSOCS 1675 17WC 19646 NOWAK, MARIUSZ WES LIBERTY FOODS * 05/16/17 ANGELINI & ORI LLC 1676 17WC 19670 COYNE, PAIGE APERION OF WILMINGTON * 04/19/17 SPIROS LAW PC 1677 17WC 19841 TERRAZAS, FLAVIO KENCO LOGISTICS SEVICES L * 06/26/17 CHEPOV & SCOTT LLC 1678 17WC 19852 CHAMBERLAIN, STEVEN AMAZON FULFILLMENT CENTER * 01/06/17 WILLIAM MARTAY 1679 17WC 19868 JOHNSON, JERROD LUCKY HAULERS INC. * 06/28/17 DWORKIN AND MACIARIELLO 1680 17WC 19885 CASTILLO, FRANCISCA S&S ACTIVEWEAR * 02/10/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 98 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1681 17WC 19966 PATERIMOS, JENNIFER NETWORK GLOBAL LOGISTICS * 02/16/17 MEYERS & FLOWERS 1682 17WC 20017 VUKASOVIC, STEVE TRIANGLE MECHANICAL SERVI * 05/16/16 CUDA LAW OFFICES 1683 17WC 20192 OLESZKIEWICZ, LOUIS VILLAGE OF BOLINGBROOK * 06/08/17 SALVATO & O'TOOLE 1684 17WC 20287 THOMPSON, ANDRE ILLINOIS TOOL WORKS, INC * 03/20/17 LAW OFFICES ROBERT WARSASK 1685 17WC 20330 PAZDA, SCOTT AMAZON.COM LLC * 06/28/17 ANKIN LAW OFFICE 1686 17WC 20389 ALAMILLO, RAQUEL UNIVERSAL LAMINATING LTD * 06/15/17 LEONARD LAW GROUP LLC 1687 17WC 20478 LEWIS, SUZETTE SAM'S CLUB * 05/20/17 DWORKIN AND MACIARIELLO 1688 17WC 20499 RICKEN, MATTHEW WESTROCK * 07/08/17 STROM, NEAL B 1689 17WC 20577 JONES, NAKIA LAZER SPOT, INC * 06/23/17 DEUTSCHMAN, JEFFREY S 1690 17WC 20624 BAKER, SANDRA HARDEE'S RESTAURANTS * 06/26/17 ANESI OZMON RODIN NOVAK KO 1691 17WC 20692 MARCUS, JAMILIA AMAZON * 03/16/17 MARC PEKAY 1692 17WC 20710 REYES, REYNA CHILI'S GRILL & BAR * 09/03/16 COSTA IVONE LLC 1693 17WC 20756 SUSTE, ROBERTA ULTRA FOODS * 09/21/16 BLOCK, KLUKAS & MANZELLA P 1694 17WC 20871 NAJERA, FRANCISCO CLEAN GARDENS LANDSCAPING * 06/27/17 LAW OFFICES MICHAEL HELLMA 1695 17WC 20959 GARNER, CHELYNA SCHNEIDER LOGISTICS * 04/30/16 BRISKMAN BRISKMAN GREENBER 1696 17WC 21008 DOBROWITS, VALERIE FUSE SALON INC * 11/04/16 LAW OFFICES JOSEPH MARCINIAK 1697 17WC 21083 KURTYAK, NICHOLAS LOCKPORT TOWNSHIP FIRE * 07/16/17 HETHERINGTON KARPEL BOBBER 1698 17WC 21166 DIAZ, JOSE DHL SUPPLY CHAIN * 06/19/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 99 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31003 ON 09/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1699 17WC 21221 WOOD, RAYMOND RJW TRANSPORT * 02/23/17 RUSSO & RUSSO LTD 1700 17WC 21270 GRITSUK, JOHN FRANKFORT FIRE DEPT * 07/08/17 BLOCK, KLUKAS & MANZELLA P 1701 17WC 21292 GABEHART, GRIAN MICHELS CORPORATION * 06/12/17 HORWITZ HORWITZ & ASSOC 1702 17WC 21373 NURCZYK, MICHAEL CITY OF JOLIET * 07/19/17 ROSENFELD HAFRON SHAPIRO F 1703 17WC 21430 KENT, SARAH HAMPSHIRE FARMS LLC * 05/11/17 LEONARD LAW GROUP LLC 1704 17WC 21471 LEACH, MICHAEL AMAZON * 06/11/17 DWORKIN AND MACIARIELLO 1705 17WC 21507 STOKES, JOHN W DIY GROUP * 05/24/17 MAINARD LAW OFFICE 1706 17WC 21531 ADAMSKI, KAROL WASTE MANAGEMENT * 07/24/17 RUBENS AND KRESS 1707 17WC 21535 MILLER, THOMAS COMMUNITY HONDA * 06/17/17 FRANK A CELANI 1708 17WC 21543 COLEMAN, AKIMA DPWN HOLDINGS (USA)INC/ D * 08/13/16 ANKIN LAW OFFICE 1709 17WC 21563 HOPSON, SHARAYON INTEGRITY STAFFING SOLUTI * 06/02/17 DAVID W MARTAY 1710 17WC 21600 MARCO, CARMEN DHL * 07/11/17 ASHER, RAYMOND L LTD 1711 17WC 21641 FELIX, MAGDALENA FEDEX SUPPLY CHAIN INC * 05/23/17 PORRO NIERMANN LAW GROUP 1712 17WC 21726 MOORE, CLAYSHIA AMAZON * 12/24/16 WOODRUFF & JOHNSON 1713 17WC 21761 ORTIZ-AVILA, SOLEDAD Y NEWSTREAM ENTERPRISES, LL * 11/10/16 CHEPOV & SCOTT LLC 1714 17WC 21799 SCHMIDT, HERB J RYDER TRUCK RENTAL, INC * 08/28/15 CIARDELLI CUMMINGS CAMPAGN 1715 17WC 21840 LABANOWSKI, LANCE DISCOUNT TIRE STORE * 07/13/17 HORWITZ HORWITZ & ASSOC 1716 17WC 21856 STENNETT, JAMES R. BOLINGBROOK FIRE DEPT * 04/01/17 BARRY A KETTER

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