ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 99WC 03404 19B DE FALCO, PHILLIP SELCO INDUSTRIES 12/31/98 ELFENBAUM EVERS & AMARILIO LAW OFFICES OF EDWARD J. KOZ 2 02WC 11901 DUMAS, AL ST OF IL DEPT OF HS ELISA @ 09/24/01 EDWARD SPITZ & ASSOC LTD DONALD MC LAUGHLIN 02WC051247 -C 03WC033396 -C 05WC002627 -C 05WC002891 -C 3 02WC 49143 19B MITCHELL, JOHN DAYTON FREIGHT LINES 08/29/01 HEALY LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 03WC026244 -C 4 02WC 57116 ROHAN, WILLIAM CHICAGO PUBLIC SCHOOLS 10/12/01 TIMOTHY LAMPINEN LAW DEPARTMENT 03WC035590 -C 5 04WC 00106 RAUZI, DAWN CHICAGO BOARD OF EDUCATIO 11/11/03 ROMANEK & ROMANEK LAW DEPARTMENT 6 05WC 27781 WALKER, CYNTHIA COOK COUNTY SHERIFFS OFFI 07/08/04 SEIDMAN, STEVEN J STATES ATTORNEY OF COOK CO 05WC027783 -C 7 05WC 36980 19B STRUGIELSKI, DIANE COOK COUNTY MEDICAL EXAMI 07/13/05 NAVIGATO & SALVATO INMAN & FITZGIBBONS 8 05WC 49945 TOLEFREE, THOMAS ALPHA BAKING CO 07/13/05 EMPLOYEE LEGAL SERVICES LT MACIOROWSKI SACKMANN & ULRIC 9 06WC 17045 ROSEN, AL EVANSTON TOWNSHIP H.S. SD 03/15/05 STEVEN J SEIDMAN LAW OFFIC BRADY CONNOLLY & MASUDA PC 06WC017046 -C 10 06WC 46321 VALDEZ, ROSA BOARD OF EDUCATION 04/26/06 LAW OFC STEVEN SEIDMAN LEAHY EISENBERG & FRAENKEL 11 06WC 47892 IVANOV, EDWARD CHICAGO TRANSIT AUTHORITY 01/11/02 O'CONNOR & NAKOS 06WC047893 -C 06WC047894 -C 08WC009844 -C 12 07WC 02679 BORRERO, DEBORAH CHICAGO BOARD OF EDUCATIO 08/09/06 LEO ALT LEAHY EISENBERG & FRAENKEL 13 07WC 38739 STEVENS, JEFFREY CITY OF CHICAGO 11/29/05 JOHN E LUSAK CITY OF CHICAGO 07WC038740 -C 07WC038741 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 08WC 16442 LAZAR, EDMAND S & C ELECTRIC CO 02/06/08 HUGHES SOCOL PIERS RESNICK MACIOROWSKI SACKMANN & ULRIC 15 08WC 50939 SAHAL, NASIR W TIP TOM TOO INC 04/03/07 KNELL & O'CONNOR 16 09WC 05235 PEREZ, CARLOS DESSENT ROOFING 11/11/08 O'CONNOR & NAKOS LAW OFFICES OF EDWARD J. KOZ 17 09WC 14379 CHADWICK, JOSEPHINE FED EX FREIGHT EAST 01/02/08 GOLDBERG WEISMAN & CAIRO L SCOPELITIS GARVIN LIGHT 18 09WC 16042 MCLAURIN, JOE CHICAGO TRANSIT AUTHORITY 01/17/09 BOWMAN & CORDAY CHICAGO TRANSIT AUTHORITY 19 09WC 32214 PIERCE, HEATHER (WIFE) CHICAGO TRANSIT AUTHORITY # 07/17/09 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 20 09WC 33791 USTASIEWSKI, JOSEPH CITY OF CHICAGO 04/30/09 CULLEN, HASKINS, NICHOLSON 12WC040219 -C 21 09WC 36506 WELLS, LETICIA A CTA 08/24/09 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 22 10WC 26766 19B IRIZARRY, EDWIN CITY OF CHICAGO 06/21/10 BAUM RUFFOLO & MARZAL LTD 23 10WC 32246 BACHELDER, GEORGE OUTSOURCE FLEET SERVICES 07/22/10 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 24 10WC 35806 CORSEY, ENTROPHI A CARMAX 01/21/10 DEPAOLO ZADEIKIS GORE MARTIN, PATRICK W 25 10WC 41745 DIAZ, ELVA LOYOLA UNIVERSITY 08/20/10 SANDMAN LEVY & PETRICH LORENZ & BERGIN PC 26 10WC 43083 ALVARADO, JESUS ULTRAVEND 07/28/10 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 27 10WC 46964 THOMPSON, LORETTA CITY OF CHICAGO 11/03/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 28 11WC 03165 SANTIAGO, LOUIS IDOT @ 01/17/11 SIGMOND, STEVEN ASSISTANT ATTORNEY GENERAL 29 11WC 21515 HERNANDEZ, MARGARITA EXCEL SCREEN PRINTING 05/13/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 11WC 30774 WASHINGTON, LAVERNE PACE WEST DIVISION 01/18/10 TRUGLIO, FRED A & ASSOC MARK F SLAVIN 31 11WC 32789 GARCIA, JOSE J NORTHSHORE UNIVERSITY HEA 08/01/10 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 12WC008356 -C 32 11WC 39876 WILLIAMS, ANITA SCHIELE GROUP 08/19/10 LEONARD LAW GROUP LLC CASSANO & ASSOCIATES 33 11WC 48451 SEGURA, CELIA METAL IMPACT AND RON'S 10/08/10 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 34 12WC 09441 SPENCER, DEBORAH UNIVERSITY OF ILLINOIS 03/08/12 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 15WC004428 -C 35 12WC 12746 CHICO, ROBERT CHICAGO BOARD OF EDUCATIO 03/14/12 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 36 12WC 13465 TAYLOR, KATHRYN CHICAGO TRANSIT AUTHORITY 01/29/12 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 37 12WC 20479 MALEC, JIM METRO WATER RECLAMATION 12/25/10 DWORKIN AND MACIARIELLO DENNIS J NOBEL & ASSOC 38 12WC 21845 HERNANDEZ, CHRISTOPHER V CHICAGO PARK DIST 05/28/12 ANKIN LAW OFFICE CHICAGO PARK DIST 39 12WC 22136 SCOTT REA, DEBRA OAK FOREST HOSPITAL OF 05/15/12 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 40 12WC 22429 19B PORTILLO, SOCORRO CITY OF CHICAGO 04/13/12 HETHERINGTON KARPEL BOBBER CITY OF CHICAGO 12WC022430 -C 41 12WC 22957 CHAMBERS, KEITH CITY OF CHICAGO 03/23/12 HEALY LAW FIRM 42 12WC 25258 SANCHEZ, MIGUEL P SR ALBIN CARLSON INC 03/27/12 SALVATO & O'TOOLE STONE & JOHNSON CHARTERED 43 12WC 26161 SIMS GATES, SHARIANNE IHFS CHILD SUPPORT @ 06/27/12 DAVID W MARTAY MATTHEW LICAVOLI 44 12WC 30854 OREAGBA, NURUDEEN YELLOW CAB COMPANY W 08/17/12 POMPER & GOODMAN GAROFALO SCHREIBER STORM 45 12WC 35480 HENDERSON, CHARLES CHICAGO BOTANIC GARDEN 09/30/11 MARTIN L GLINK LAW OFFICE JOSEPH MARCINIAK 12WC040364 -C 13WC002750 -C 13WC002751 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 12WC 35730 SANTAMARIA-LINARES, GLORI MIDWEST DIRECT MAILERS 09/27/12 CULLEN HASKINS NICHOLSON 47 12WC 37045 JOHANN, DEBRA D TIMBER RIDGE SCHOOL 10/19/11 RANDALL A. WOLFF & ASSOC WIEDNER & MCAULIFFE LTD 48 12WC 41859 HERNANDEZ, IRENE MC DONALDS 06/29/10 GRAVLIN, MICHAEL J LLC BRADY CONNOLLY & MASUDA PC 12WC041860 -C MCDONALDS 13WC030676 -C 49 12WC 43027 CACERES, SOL V CHICAGO SOUL SOCCER W 10/03/12 LAW OFFICE OF SCOTT B SHAP 50 13WC 02841 GARDNER-DAVIS, VANESSA ADDUS HEALTHCARE INS 01/15/13 STEWART C ORZOFF HENNESSY & ROACH PC 51 13WC 03610 HEDLUND, DIANNE JESSE WHITE @ 01/05/13 BURNES & LIBMAN ASSISTANT ATTORNEY GENERAL 52 13WC 03853 DEVITA, ANGELO ST OF ILL EMERGENCY TRAFF 02/04/13 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 53 13WC 06180 RODRIGUEZ, VALENTIN CHICAGO REAL PROPERTY SER 04/25/12 LUIS A ACEVES & ASSOC 54 13WC 11004 BURTON, CHADDIE CITY OF CHICAGO 06/07/10 DWORKIN AND MACIARIELLO 55 13WC 11025 BELL, WAYNE J SR COOK COUNTY 10/29/12 TAXMAN POLLOCK STATES ATTORNEY OF COOK COUN 56 13WC 12225 STANFORD, EDDIE J JR ENTERPRISE HOLDINGS INC 12/12/12 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 14WC018353 -C 57 13WC 12892 SANTANA-ROMAN, JESUS ALPHA METALS CORPORATION 01/14/13 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 58 13WC 12941 TORRES, ELIZABETH DPI LOGISTICS 07/29/12 MEYERS & FLOWERS MEACHUM & STARCK 59 13WC 13025 MALLOY, JOHN NUANCE SOLUTIONS 10/10/12 CAPRON & AVGERINOS PC KEEFE CAMPBELL & ASSOC LLC 60 13WC 14328 WARD, JEANNE M CHICAGO PUBLIC SCHOOLS 03/07/13 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 61 13WC 20241 GOMEZ, HECTOR R VINCE & SONS PASTA CO 05/01/13 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 62 13WC 20540 OCHOA, FERNANDO CAPITOL CAR WASH COMPANY 07/05/12 ACEVES & PEREZ PC GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 63 13WC 24213 BELL, CAROLINE YOUTH CONNECTION 10/24/12 WHITESIDE & GOLDBERG LTD 64 13WC 24382 NOLAN, MICHAEL COOK COUNTY JOHN H STROGE 12/28/12 FRANK A CELANI STATES ATTORNEY OF COOK COUN 65 13WC 24977 DAVIS, SABRINA ADVOCATE CHRIST MEDICAL C 03/16/13 NICHOLAS ROBERT RECCHIA GAROFALO SCHREIBER STORM 66 13WC 30769 SARGON-SWENSON, LINDA ST OF IL SECRETARY OF STA @ 08/01/11 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 67 13WC 30907 DOUGLAS, ADORN CITY OF CHICAGO 09/17/13 FRIEDMAN & SOLMOR LTD CITY OF CHICAGO 14WC027097 -C 68 13WC 34140 ROSADO, JOEL CITY OF CHICAGO 09/16/13 SALVATO & O'TOOLE CITY OF CHICAGO 69 13WC 34663 RIVERA, YOLANDA CARAUSTAR 03/19/13 FRANCIS J DISCIPIO LAW OFF KNELL & O'CONNOR 13WC040388 -C 70 13WC 35965 COPELAND, DAWN ENTERTAINMENT PARTNERS 10/21/13 BRILL & FISHEL RUSIN & MACIOROWSKI LTD 16WC034337 -C 71 13WC 35977 DEMETER, JAMES N PERILLO BMW, INC. 06/19/13 SYREGELAS, NICHOLAS C HENNESSY & ROACH PC 72 13WC 38754 HOLIDAY, TAMMY J CITY OF CHICAGO 05/02/13 ANKIN LAW OFFICE 73 13WC 39539 ZARATE, CESAR FOOD 4 LESS 11/12/13 THE ROMAKER LAW FIRM STONE & JOHNSON CHARTERED 14WC037892 -C 74 13WC 40979 JACKSON, RAY C CHICAGO TRANSIT AUTHORITY 12/01/13 JAKOFSKY, WILLIAM CHICAGO TRANSIT AUTHORITY 75 13WC 42340 FEREGA, MICHAEL STATE OF ILLINOIS @ 08/29/13 BERG & ROBESON COLIN KICKLIGHTER 76 14WC 00570 RAYA, JESSE CITY OF CHICAGO 09/09/13 TAMVAKIS, GEORGE L CITY OF CHICAGO 77 14WC 00704 HOUSE, CATHERINE KIRK CITY OF CHICAGO 03/21/13 BERG & BERG ODELSON & STERK 78 14WC 00754 SURGES, JACQUELYN MAC NEAL HOSPITAL 02/22/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 79 14WC 00844 SALGADO, MARIA DART CONTAINER CORP 08/12/13 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 01580 CELAYA, ROMAN HIGHLAND BAKING COMPANY I 12/31/13 CULLEN HASKINS NICHOLSON RIPES NELSON BAGGOT KALOBRAT 81 14WC 03316 SIWEK, KAZIMIERZ RAVENSWOOD DISPOSAL 12/12/13 MINKOW DOMIN KNELL & O'CONNOR 82 14WC 05118 KLUGA, KIMBERLY HIGHLAND PARK HOSPITAL 11/01/11 ANKIN LAW OFFICE 83 14WC 05643 BEATTY, MARGIE L WARNING PAIGE TRANSPORTAT 01/23/14 BAUM RUFFOLO & MARZAL LTD STONE & JOHNSON CHARTERED 84 14WC 09992 SMITH, MICHAEL UIC BIOLOGICAL RESOURCES 10/19/13 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 85 14WC 10275 MANNO, CARL GES 02/18/14 LEO ALT GILDEA & COGHLAN 86 14WC 11145 WILLIAMS, CONSTANCE STATE OF ILLINOIS @ 03/04/14 VRDOLYAK LAW GROUP LLC 87 14WC 11390 RAMIREZ, MARTHA TARGET CORPORATION 03/10/14 SANDMAN LEVY & PETRICH KEEFE CAMPBELL & ASSOC LLC 88 14WC 11795 SOSA, CELSO CONTRACTORS ACCESS EQUIPM 12/03/13 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 89 14WC 12007 BOHLING, TIMOTHY HADADY MACHINING CO. INC 05/18/13 ANKIN LAW OFFICE HENNESSY & ROACH PC 90 14WC 12044 SCOTT, ARNOLD STATE OF ILLINOIS @ 01/24/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 91 14WC 12144 KUNZIE, STEVEN A VILLAGE OF MORTON GROVE 02/24/14 THOMAS W DUDA POWER & CRONIN LTD 92 14WC 12149 LIGGETT, CHANTEL COOK COUNTY SHERIFFS DEPT 12/01/13 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 93 14WC 12798 CAYABYAB, NICETAS UIC HOSPITAL 04/01/14 FRIEDMAN & SOLMOR LTD POWER & CRONIN LTD 94 14WC 15683 SIMPSON, JAY AT & T 03/31/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 95 14WC 16678 SHELBY, SIOBHAN CTA 05/02/14 MICHAEL P MCCREADY & ASSOC CHICAGO TRANSIT AUTHORITY 96 14WC 19148 PODRECCA, PHILLIP NATIONAL RAILWAY 03/20/14 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 15WC028042 -C 97 14WC 20871 BORGES, ENRIQUE SEWER TECH SERVICES 05/05/14 O'CONNOR & NAKOS MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 14WC 20932 POOL, JOHN UPS FREIGHT 10/08/13 DWORKIN AND MACIARIELLO ASA LAW GROUP 99 14WC 22326 BLAKELY, JACQUELINE FRESENIUS MEDICAL CARE 05/13/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 100 14WC 22502 WILLIAMS, SUE UNITED HEALTH GROUP 03/25/14 CHARLES A FANUCCHI SLAVIN & SLAVIN 101 14WC 23342 HARRIS, FRANCES CITY OF CHICAGO 06/29/14 SKLARE LAW GROUP 102 14WC 23548 STROUD, DANIEL VACUDYNE, INC. 06/30/14 GOLDBERG WEISMAN & CAIRO L WOLFE & JACOBSON, LTD 103 14WC 23589 THURMAN, TISA IMAGINE LIMO W 03/07/14 FOHRMAN, DONALD W & ASSOCS 104 14WC 23612 HERNANDEZ, JUANA ALTERNATIVE STAFFING 03/10/14 ENCINAS & ORNELAS MACIOROWSKI SACKMANN & ULRIC 105 14WC 25531 MANSWOR, NATHER WESTERN RECYCLING 03/28/14 VRDOLYAK LAW GROUP LLC 106 14WC 27129 FALGIER, DOUGLAS THE WJ MCGUIRE CO 07/29/14 HORWITZ HORWITZ & ASSOC 107 14WC 29110 CLARK, THERESA MACY'S/WATER TOWER 08/17/14 WITTENBERG DOUGHERTY MAGLI ROBERT L. SMITH 108 14WC 31382 HAHN, PETER RIDGEMOOR COUNTRY CLUB 05/28/13 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK 14WC031383 -C 16WC026507 -C 109 14WC 31670 TRIPP, BRANDON E ELECTRO MOTIVE DIESEL 07/30/13 MICHAEL HELLMAN GOLDBERG SEGALLA LLC 110 14WC 31927 JAAX, JAMES CITY OF CHICAGO 08/21/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 111 14WC 31957 BRADLEY, DONALD UNIVERSITY OF CHICAGO 07/03/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 112 14WC 31986 CAMPOS, ESTELA EXECUTIVE MAILING SERVICE 07/13/13 SALK, STEVEN B & ASSOC LTD 14WC031987 -C 113 14WC 32126 REILLY-DOSE, SUSAN THRESHOLDS 08/25/14 ROMANUCCI & BLANDIN BRYCE DOWNEY & LENKOV LLC 114 14WC 32388 ORTEGA, GILBERTO AP MACHINE INC 08/26/14 NILSON STOOKAL GLEASON CAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 14WC 32684 ROMANEK, GAIL CHICAGO TRANSIT AUTHORITY 01/29/14 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 116 14WC 32809 KUNZ, MICHAEL C AMERICAN AIRLINES 05/29/14 ELFENBAUM EVERS & AMARILIO ROSARIO CIBELLA 117 14WC 33600 KENNY, THOMAS CITY OF CHICAGO 09/16/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 118 14WC 33906 FLOWERS, DARRELL W SR CHGO STREETS & SAN DEPT 04/18/14 LAW OFFICE OF SCOTT B SHAP CITY OF CHICAGO 119 14WC 33944 BUTLER, MARIE IL DEPT OF TRANSPORTATION 09/24/14 SEIDMAN MARGULIS & FAIRMAN C. FLETCHER 120 14WC 33986 VALVERDR, ANTONIO SR LAYSTROM MANUFACTURING CO 07/30/14 CULLEN HASKINS NICHOLSON BORGELT POWELL 121 14WC 34011 GUBERNAT, BARTOSZ ALRO STEEL CORP 07/31/14 ALEKSY BELCHER GAROFALO SCHREIBER STORM 122 14WC 34632 REAL, JAMES KOLE CONSTRUCTION 09/30/14 FIGLIOLI, DAVID GANAN & SHAPIRO 123 14WC 34678 MOJICA, MARIA DEL CARMEN ALTERNATIVE STAFFING INC 07/26/14 COSTA IVONE LLC MACIOROWSKI SACKMANN & ULRIC 124 14WC 35283 RICHARDSON, KENNETH CITY OF CHICAGO - WATER D 08/20/14 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 125 14WC 41170 HOUSE, JACQUELINE CITY OF CHICAGO DEPT OF 02/17/14 ANKIN LAW OFFICE CITY OF CHICAGO 14WC041171 -C 126 14WC 41402 OCEGUERA, ALICIA METROPOLITAN WATER RECLAM 01/09/12 FRANCIS J DISCIPIO LAW OFF 127 14WC 42288 BROOKS, ANTHONY JB HUNT 11/26/14 CHRISTOPHER FREEMAN RUSIN & MACIOROWSKI LTD 128 14WC 42487 BARBA, ADRIANA SOUTHWEST AIRLINES 02/19/14 ANGELINI & ORI LLC HENNESSY & ROACH PC 129 14WC 42809 MORELOS, PALEMON GOLD STANDARD BAKING 12/04/14 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 130 14WC 42916 ROMERO, ALBERTO TOVAR QUALITY LABOR SERVICES LL 09/06/14 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 131 14WC 43397 CISZEK, JOZEF R & N MACHINING 04/25/12 SEIDMAN MARGULIS & FAIRMAN 132 15WC 00303 HIXSON, ROSALIE ST OF IL DEPT OF CHICAGO 09/04/14 GOLDBERG WEISMAN & CAIRO L C. FLETCHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 15WC 00516 OLVERA, MARVIN ST OF IL 11/24/14 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 134 15WC 00556 MUNOZ, GUADALUPE ADJUSTABLE FORMS INC 11/28/14 FIGLIOLI, DAVID HENNESSY & ROACH PC 135 15WC 01104 ANDERSON, RHONDA CTA 09/16/14 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 15WC021739 -C 136 15WC 01214 O'BRIEN, DEBRA ADVOCATE HEALTH CARE 12/31/14 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 137 15WC 02746 LATINA, STEVEN SENIOR OPERATIONS LLC 08/28/14 FRANKS, GERKIN & MCKENNA P BRADY CONNOLLY & MASUDA PC 16WC017346 -C 138 15WC 04644 GAYTAN, ROBERT CITY OF CHICAGO 03/27/13 ROSS TYRRELL 139 15WC 04880 LEE, JOSEPH CHICAGO TRANSIT AUTHORITY 01/27/15 BURNES & LIBMAN CHICAGO TRANSIT AUTHORITY 140 15WC 07261 GINAVEN, GARY FORD MOTOR COMPANY 10/24/14 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 15WC007262 -C 141 15WC 10440 BIELANSKI, ANDRZEJ HOUSE OF GRANITE & MARBLE 03/20/15 CUSHING LAW OFFICES LAW OFFICES KRISTEN M KOZLOW 142 15WC 10534 MUNOZ, MARIA GLENVIEW TERRANCE 02/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES FRANCESCA LARSEN 16WC033956 -C 143 15WC 10634 AVILA, ROCIO THE KROGER CO 12/24/14 DAVID W MARTAY 144 15WC 11186 RAMIREZ, JORGE BON TON FOOD SERVICE 09/23/13 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 145 15WC 11222 MANOLE, DRAGOS DISPATCH TAXI, INC. 02/23/15 LAW OFFICES CORTI & ALEKSY 146 15WC 11291 RYBARCZYK, ELIZABETH U S XPRESS ENTERPRISE 12/31/14 BART DURHAM WIEDNER & MCAULIFFE LTD 147 15WC 11651 SANCHEZ, MARY CHICAGO BOARD OF EDUCATIO 02/03/14 JAMES W GREEN, JR 148 15WC 11704 ADELFIO, ROSE MARY ELI'S CHEESECAKE FACTORY 04/06/15 MC HARGUE & JONES HOLECEK & ASSOCIATES 149 15WC 11959 BRITO, LOURDES FIC MANUFACTURING CO 06/19/13 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 15WC 12054 JIMENEZ, RAMIRO DR PEPPER/SEVEN UP, INC. 03/17/15 HETHERINGTON KARPEL BOBBER GAROFALO SCHREIBER STORM 151 15WC 12456 LUGO-ARAJO, DAISY ST MARY OF NAZARETH HOSPI 03/23/15 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 152 15WC 12556 KLOTZ, FRANK PARKWAY FORMING INC 11/21/14 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 153 15WC 12741 HILL, LYZERAX DR FED EX 02/04/15 COLLISON LAW OFFICES BRADY CONNOLLY & MASUDA PC 17WC029199 -C FEDERAL EXPRESS 154 15WC 13045 CARTER, LUCINDA UNITED SERVICE CO 02/02/15 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 155 15WC 17514 REMICK, STEPHEN FEDEX FREIGHT, INC 10/11/11 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 15WC017584 -C 156 15WC 19597 SNOWDEN, NEIL M BRIDGFORD FOODS CORP 04/08/15 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 157 15WC 20200 ABOUTORABI, HASSAN FIRST TRANSIT 12/08/14 CULLEN HASKINS NICHOLSON 158 15WC 20997 WARD, MARLENE JEWELL EVENTS AND CATERIN 11/12/14 ANGELINI & ORI LLC 159 15WC 21112 KOCZUR, JASON TROY DESIGN & MANUFACTURI 03/27/15 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 17WC008302 -C 160 15WC 21270 KETCHAM, TIMOTHY UNITED AIRLINES 06/18/15 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 161 15WC 21429 CHRISTIANSON, LESLIE ANN TAYLOR LOFT/ANN INC 05/24/15 NEWLAND & NEWLAND HENNESSY & ROACH PC 162 15WC 21587 HADDAD, ISMAT CHICAGO TRANSIT AUTHORITY 02/04/15 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 163 15WC 21993 DOSS, SUPRENA CHICGAO PUBLIC SCHOOLS (6 06/15/15 DWORKIN AND MACIARIELLO 164 15WC 22121 HRENO, ROBERT ECONOMY PACKING CO INC 05/22/10 BAUM RUFFOLO & MARZAL LTD 165 15WC 22733 PALENCIA, EMILIN PARLIAMENT CHICAGO 06/26/15 EVAN A HUGHES LAW OFFICE WOLF LAW LTD 166 15WC 23060 RODRIGUEZ, ERIK VAPIANO 06/23/15 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 167 15WC 23089 GEBRETINSAE, BESRAT FOUR SEASONS HOTEL LIMITE 09/21/13 MARK WHITESIDE ESQ 168 15WC 23132 MASLET, AHMAD OMAR HASSAN SUPER SALES INC DBA FOOD #W 04/01/14 SYREGELAS, NICHOLAS C CRONIN & PETERS 169 15WC 25056 MAURICIO SANTOS, JOSE GROT TOOL & MANUFACTURING 11/13/14 THE ROMAKER LAW FIRM LAW OFFICES JOSEPH MARCINIAK 170 15WC 25116 TABOR, TERENCE KALLEMEYN AUTO REBUILDERS 05/29/15 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 171 15WC 29820 GILBERT, MELISSA VILLAGE OF OAK PARK 01/05/15 LAW OFFICES GERALD DOLL NYHAN BAMBRICK KINZIE & LOWR 172 15WC 30027 VERCHER, RILEY III AAA RENTAL SYSTEM 09/04/15 ANKIN LAW OFFICE 173 15WC 30070 AGUILERA, TONY CITY OF CHICAGO 09/08/15 COVEN LAW GROUP 174 15WC 30410 BAUGH, JODY S & C ELECTRIC CO. 07/23/15 HEALY SCANLON LAW FIRM MACIOROWSKI SACKMANN & ULRIC 175 15WC 30448 GLOVER, KEVIN M. ABF FREIGHT SYSTEMS, INC. 07/15/15 LEONARD LAW GROUP LLC 176 15WC 30765 MOSES, BONNIE UNITED AIRLINES INC. 05/20/15 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 177 15WC 30825 GALLEGOS, ARIF BLAKC & WHITE VALET 09/17/15 STROM, NEAL B 178 15WC 31255 HEGLAR, TAMARA SOUTHWEST AIRLINES 09/09/15 STYKA & STYKA 179 15WC 31270 LEAL, ENRIQUE JR. WALT'S FOOD CENTER 07/05/15 RAYMOND M SIMARD, PC 180 15WC 31316 GARZA, MANFREDO CITY OF CHICAGO 02/27/15 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 15WC033071 -C 181 15WC 31428 SALES, STEVEN M MAYFIELD TRANSFER COMPANY 09/12/14 MCNAMARA PHELAN MCSTEEN LL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 15WC 31496 BELLO, FATAI BLUE RIBBON TAXI 08/23/15 LAW OFFICE RYAN ROSENTHAL 183 15WC 31556 REED, ANNETTE W CTA 09/29/15 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 16WC015492 -C 184 15WC 31913 QURAISHI, MOHAMMED S CHICAGO CARRIAGE CAB CORP 09/05/15 DEPAOLO ZADEIKIS GORE 185 15WC 31951 CROTHERS, ELIZABETH ROUNDY'S ILLINOIS LLC 09/13/15 ANKIN LAW OFFICE CLAYBORNE SABO & WAGNER 186 15WC 32056 HARVEY, MARGO CHICAGO PUBLIC SCHOOLS 09/17/15 VRDOLYAK LAW GROUP LLC 187 15WC 32596 DURAN, EDUARDO IRON MOUNTAIN 10/05/15 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 188 15WC 32644 BAEZ, EVANGELISTA JR EDGEWATER BEACH APARTMENT 05/05/13 BAUM RUFFOLO & MARZAL LTD LAW OFFICES OF EDWARD J. KOZ 189 15WC 32812 BETTS, CAROLYN A JACKSON PARK HOSPITAL 07/15/15 CULLEN HASKINS NICHOLSON ODELSON & STERK 190 15WC 32881 HEBERT, MICHAEL C JR ST OF IL DEPT OF 07/02/14 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENERAL 15WC032882 -C 191 15WC 32903 BARBA-MARSIGLIO, DONNA COMMUNITY SUPPORT SERVICE 09/23/15 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 192 15WC 32911 HOWARD, MICHAEL ELITE STAFFING 10/01/15 SEIDMAN MARGULIS & FAIRMAN 193 15WC 32934 MALDONADO, JESUS MARTIN PRODUCE 09/24/15 SALVATO & O'TOOLE ANCEL GLINK DIAMOND BUSH & E 194 15WC 36420 SALGADO, ALBERTO RKC CLEANERS 10/05/15 DAMISCH & DAMISCH LTD GAROFALO SCHREIBER STORM 195 15WC 37838 RAMIREZ, RAFAEL ALPHA BAKING CO. INC. 08/19/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 196 15WC 41295 VERHUNCE, JOHN UNITED AIRLINES 11/14/15 LAW OFFICE OF SCOTT B SHAP 197 15WC 42006 SANCHEZ, AVERY CHGO STREETS & SAN DEPT 04/21/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 16WC010400 -C CITY OF CHICAGO 198 16WC 00221 TAYLOR, KEVIN OMNI CART SERVICES 11/16/15 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 199 16WC 00236 DULLEN, DEBRA CHICAGO OF CHICAGO 10/16/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 200 16WC 00350 MELSON, SHALONDA CTA 11/20/15 ABELS & ANNES, PC 201 16WC 00405 THOMPSON, CALVIN SR. DUNBAR ARMORED 07/06/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 202 16WC 00432 NAVICKAS, CHUCK CITY OF CHICAGO 12/18/15 STEVEN A CRIFASE, LTD HENNESSY & ROACH PC 203 16WC 00464 ENGLESTAD, GEORGIA PETE'S FRESH MARKET 10/06/15 FRANCIS J DISCIPIO LAW OFF KEEFE CAMPBELL & ASSOC LLC 204 16WC 00546 KNOX-SABANE, FELICE CHALET LIVING & REHAB CEN 11/11/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 205 16WC 00580 BARRETT, JOSEPH M HAYES MECHANICAL 08/01/14 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 206 16WC 00782 ALCANTAR, MARCELO GURTLER INDUSTRIES 06/16/15 DISPARTI LAW GROUP PA RUSIN & MACIOROWSKI LTD 207 16WC 00835 RODRIGUEZ, CARLA COOK COUNTY ADULT PROBATI 08/20/15 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 208 16WC 01179 BENAVIDEZ, JIMMY VASILE VOICU D/B/A 12/02/15 KARCHMAR & STONE MEACHUM & STARCK 209 16WC 01551 HOWARD, RICHMOND AS LEGAL CHICAGO PUBLIC SCHOOLS 09/04/13 NEWMAN, BOYER & STATHAM 210 16WC 01644 PEREZ, ALVA CHICAGO HILTON & TOWERS 06/11/15 EPSTEIN, JACK R LAW OFFICE NOBLE & ASSOCIATES PC 211 16WC 02129 ALONZO, MARIBEL EFIES CANTEEN INC 01/18/16 PARENTE & NOREM PC JOSEPH MARCINIAK 212 16WC 02159 BUREL, GREGORY NEP SUPERSHOOTERS BROADCA 08/22/15 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 213 16WC 02195 FAULKNER-STARKS, KIMBERLY CHICAGO TRANSIT AUTHORITY 01/11/16 DEPAOLO ZADEIKIS GORE 214 16WC 02227 ARELLANO, JAIME DENK & ROCHE BUILDERS 06/12/15 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 16WC 02572 MEDINA, ISRAEL SENOVA HEALTHCARE 01/21/16 COSTA IVONE LLC 216 16WC 02589 BAILLIE, BRIAN TRADER JOE'S 07/23/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 16WC002590 -C 217 16WC 02593 DAVIS, JENIKA CHICAGO ATHLETIC 11/28/15 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 218 16WC 02649 MAMON, JESSE JR DELTA AIRLINES 08/21/15 COHN LAMBERT RYAN & SCHNEI ROBERT L. SMITH 219 16WC 03049 CATALFAMO, KRISTA GAP 11/03/15 HORWITZ HORWITZ & ASSOC 220 16WC 03062 KORBUS, GARY NEXUS DISTRIBUTION 12/07/15 PETER D CORTI LAW GROUP SCOPELITIS GARVIN LIGHT 221 16WC 03564 OROZCO, EVARISTA NATIONAL PASTURIZED EGG 12/17/15 PETER D CORTI LAW GROUP 222 16WC 05606 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP HOLECEK & ASSOCIATES 223 16WC 09122 19B GLADNEY, WADDELL CITY OF CHICAGO 12/18/15 FOHRMAN, DONALD W & ASSOCS CITY OF CHICAGO 224 16WC 10126 MONTANO, MARIA B CARL BUDDIG AND COMPANY 03/14/16 SALK, STEVEN B & ASSOC LTD KNELL & O'CONNOR 16WC018317 -C 16WC018318 -C 225 16WC 10287 DEMELENDEZ, ISISDRA TAMARACK 02/02/15 ELFENBAUM EVERS & AMARILIO MEACHUM & STARCK 226 16WC 10395 MILLTER, BARBARA J WALMART 01/14/16 ROBERT A. WILSON QUINTAIROS PRIETO WOOD & BOY 227 16WC 10422 VAZQUEZ, FANNY CALMARK GROUP, LLC 10/25/15 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 228 16WC 10431 SUAREZ, ANTONIO ANGELOS PIZZA 06/22/14 COSTA IVONE LLC 229 16WC 10521 FLORES, GERONIMO CONSUMERS PACKING COMPANY 08/15/15 HART & DAVID LLP HOLECEK & ASSOCIATES 230 16WC 10551 MCCORMICK, KEITH CPS 02/20/15 LEO ALT 17WC015699 -C 17WC021830 -C 231 16WC 10603 DUDZIK, MICHAEL IL DEPT OF CORRECTIONS @ 05/02/13 DAVID SZCZECIN & ASSOC ASSISTANT ATTORNEY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 232 16WC 10631 MALDONADO, EDUARDO LABOR TEMPS 01/21/16 FRANCIS J DISCIPIO LAW OFFIC 233 16WC 10691 VILLASALDO, JOSE SCOTT BYRON & CO, INC 09/18/15 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 234 16WC 10722 MC VICKER, DAVID VALSPAR CORPORATION 03/23/16 BARRY STEWART SILVER RUSIN & MACIOROWSKI LTD 235 16WC 10867 CHAIDEZ, HUMBERTO H20 PLUS, LLC 12/11/15 COVEN LAW GROUP HOLECEK & ASSOCIATES 236 16WC 10870 VIENS, PAUL JEFFERY CENTRAL BLACKTOP CO., INC 07/13/15 THE FITZ LAW GROUP LAW OFFICES OF EDWARD J. KOZ 237 16WC 11215 HERRERA, MIGUEL A HEADLY MANUFACTURING 03/28/16 RONALDSON & KUCHLER GRANT & FANNING 238 16WC 11367 MADRANO, JOHN JR WORK FORCE 02/14/16 JAMES J BURKE LAW OFFICE KOREY RICHARDSON LLC 239 16WC 11499 MONTOYA, MARIA ISABEL TARA INTERNATIONAL 03/19/16 PETER D CORTI LAW GROUP WIEDNER & MCAULIFFE LTD 240 16WC 11518 BALEGH, HAMDY TITANIC FURNITURE COMPANY 07/03/14 TAMVAKIS, GEORGE L LAW OFFICE OF PETER LIMPERIS 241 16WC 11655 RAMOS, GLADYS STATE OF ILLINOIS @ 10/14/15 ASSISTANT ATTORNEY GENL 242 16WC 11664 MURRAY, CHERYL UNITED AIRLINES 06/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 243 16WC 11964 HOGUE, LEMUEL VETERANS ADMINISTRATION 03/28/16 LAW OFFICES OF KIRK MOYER 244 16WC 12074 CUEVAS, JOSE JERRY'S LAWN & TREE CARE 04/04/16 DEER & STONE PC POWER & CRONIN LTD 245 16WC 12271 ALVAREZ, JESSICA SEASONS HOSPICE & PALLIAT 01/04/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 246 16WC 12346 HARRIS, ARNETTE STATE OF IL DJJ IYC CHICA @ 03/30/16 BLOCK, KLUKAS & MANZELLA P C. FLETCHER 247 16WC 12420 GONZALEZ, VIDAL ST OF IL DEPT OF 12/21/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENL 248 16WC 12725 KOLFF, HENRY MR DAVID'S FLOORING 07/06/15 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 249 16WC 12853 ZUBIA, DANIEL LABOR QUALITY SERVICE 12/09/14 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 250 16WC 12962 AYALA, LUZ ACE ANODIZING & IMPREGNAT 02/25/16 LEWIS & DAVIDSON, LTD BRYCE DOWNEY & LENKOV LLC 251 16WC 13051 HARRIS, KAREN WADSWORTH ELEMENTARY SCHO 03/23/15 VASILATOS & COTTER LLC 252 16WC 13087 RUSH, MARK RIGHT AT HOME 10/08/14 JONATHAN SCHLACK BRADY CONNOLLY & MASUDA PC 253 16WC 13114 CLARKE, KRISTIN EVANSTON SKOKIE SCHOOL 04/19/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 254 16WC 13588 ZHMUD, MYKHAILO STREAM LOGISTICS, INC. 04/21/16 LAW OFFICES ALEXANDER JARO SCOPELITIS GARVIN LIGHT 255 16WC 13591 STRAMA, STANLEY J. SKOKIE MOTOR SALES D/B/A 01/29/16 GANAN & SHAPIRO 256 16WC 16387 MCCARTHY, JOHN SIMPLEX GRINNELL, L.P. 10/29/15 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 257 16WC 18833 GREEN, CONSTANCE CHICAGO TRANSIT AUTHORITY 05/28/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 258 16WC 19781 KROTIAK, JOHN UNIVERSITY OF CHICGO HOSP 06/15/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 259 16WC 20431 RICHARD, THOMAS PES PAYROLL 04/24/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 260 16WC 20474 WOBBE, SCOTT D STATE OF ILLINOIS 06/13/16 PETER BLASI LLC C. FLETCHER 261 16WC 20493 BOYD, ADREANNA ELISABETH LUDEMAN CTR/IDH 05/19/16 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENL 262 16WC 20507 DAWSON JR, STANLEY C BURLINGTON COAT FACTORY O 06/23/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 263 16WC 20532 MISTER, ELLIOT JB HUNT 11/09/15 POLLANS, LANNIE A LTD GRANT & FANNING 264 16WC 20567 REDMOND, LAQUITA M CTA- CHGO TRANSIT AUTHORI 06/25/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 265 16WC 20739 SANTOS, JOSE HORTONS HOME LIGHTING 05/29/16 JONATHAN SCHLACK CASSANO & ASSOCIATES 266 16WC 20837 VEGA, ANGELICA SQUEAKY CLEAN BY SHELLY B 06/02/16 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 267 16WC 20855 STETSENKO, NATALIYA KOHLS CORP 06/01/15 PARAD LAW OFFICES PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 268 16WC 20915 BELICI, ELENA GREEK AMERICAN REHABILITA 05/13/16 SPIEGEL & DEMARS 269 16WC 20933 LAERA, FRANCO ALAMP ROAD BUILDERS 06/22/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 270 16WC 21049 WILSON, AUGUSTUS FORD MOTOR CO 04/28/16 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 271 16WC 21064 OLIHA, OLADIMEJI CHICAGO CARRIAGE CAB CORP 07/06/16 JAMES ELLIS GUMBINER & ASS 272 16WC 21171 FRANCIS, STANLEY SERVICE MASTER RESTORATIO 06/23/16 COHN LAMBERT RYAN & SCHNEI RUSIN & MACIOROWSKI LTD 273 16WC 21197 HART, NIKIMA CTA 07/02/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 274 16WC 21236 O'HALLAREN, BERNIE NAVARRO'S CONCERETE, INC 06/08/16 CUDA LAW OFFICES 275 16WC 21331 GOMEZ, ISABELLE SPORT CLIPS 07/03/16 VASILATOS & COTTER LLC 276 16WC 21402 TOPETE, ALICIA ALLIANCE STAFFING 06/13/16 NYHAN BAMBRICK KINZIE & LOWR 277 16WC 21480 CEDENO, JOSE C.T.A 06/11/16 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 278 16WC 21500 GLOVER, ANGELO LIEBERMAN MANAGEMENT SERV 05/03/16 SALVATO & O'TOOLE 279 16WC 21595 ABDUL-MUHAIMIN, DAAIYAH HELP AT HOME, LLC. 08/24/15 SAMUEL K BELL MEACHUM & STARCK 280 16WC 21722 HUDACEK, MILAN ARAMARK UNIFORM AND 05/06/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 281 16WC 21910 KRUPA, DAVID PROVIDENT HOSP OF COOK CO 12/02/15 BOUDREAU NISIVACO LLC STATES ATTORNEY OF COOK COUN 282 16WC 21994 CAPUTO, BRIAN POSITIVE CONNECTIONS 04/14/16 SPIROS LAW PC RODDY LAW LTD 283 16WC 22187 MILES, MONIQUE DAKKOTA INTEGRATED SYSTEM 05/17/16 MENDOZA LAW PC 284 16WC 22492 MICHNIOWSKI, STANISLAW SOLID EXTERIOR REMODELING 07/25/14 ALEKSY BELCHER HOLECEK & ASSOCIATES 285 16WC 22598 FOY, XOCHUITL MARTHA JOHN H STROGER JR HOSPITA 06/27/16 PETER D CORTI LAW GROUP STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 286 16WC 22616 WATSON, CHARLES IL DEPARTMENT OF JUVENILE @ 07/19/16 ANKIN LAW OFFICE C. FLETCHER 287 16WC 22646 ROBINSON, DEONNE SOUTHWEST AIRLINES 04/09/16 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 18WC008032 -C 288 16WC 22761 SANKS, CHRYSTAL CHICAGO STATE UNIVERSITY 06/29/16 FOHRMAN, DONALD W & ASSOCS ASSISTANT ATTORNEY GENL 289 16WC 22812 WILLEY, JESSICA ALLIANT STAFFING LLC 06/21/16 LEWIS & DAVIDSON, LTD RIPES NELSON BAGGOT KALOBRAT 290 16WC 22817 JONES, ANNETTE STATE OF ILLINOIS HEALTHC @ 07/05/16 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENL 291 16WC 22953 WARD, JEFFERY CTA 07/02/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 292 16WC 22989 PEREZ, JULIA PACTIVE 02/12/16 STEVEN A CRIFASE, LTD WIEDNER & MCAULIFFE LTD 293 16WC 23066 TOVAR, HILDA AZUCENA PALA Z BAKERY, LLC 08/28/14 DWYER AND COOGAN 294 16WC 23243 COUSINEAU, MONIKA UNITED AIRLINES INC. 04/16/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 295 16WC 23312 REYES, ISRAEL WALDEMAR UNITED PARCEL SERVICE INC 07/14/16 DEAN J CARAS & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 296 16WC 23364 ADAMS, FELIX III STATE OF ILLINOIS @ 05/05/16 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENL 297 16WC 23477 LITUMA, SANDRO FULTON CATERING CORP 05/11/16 LAW OFFICE OF SCOTT B SHAP 298 16WC 23517 ANDERSON, HUBERT NEWLY WEDS FOODS 10/26/15 BURNES, EDWARD M 299 16WC 26038 SANCHEZ, VICENTE PEOPLEASE, LLC C/O CORPOR 06/20/16 HETHERINGTON KARPEL BOBBER WOLF LAW LTD 300 16WC 26857 MURPHY, MICHAEL P US FOODS 08/02/16 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 301 16WC 26982 ROSSI, GREG IN PRINT GRAPHICS 06/24/16 MCNAMARA PHELAN MCSTEEN LL QUINTAIROS PRIETO WOOD & BOY 302 16WC 30411 WHITE, JAMES CREVISTON TRUCKING, INC 04/12/15 SAUNDERS CONDON & KENNY QUINTAIROS PRIETO WOOD & BOY 303 16WC 30627 FRIAS, CHRISTIAN 3520 N LAKESHORE DR ASSOC 09/10/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 304 16WC 30851 GRASSE, KAREN UNITED AIRLINES 02/13/15 CULLEN HASKINS NICHOLSON 305 16WC 30963 ROQUE, LATISHA ALLIANCE HEALTHCARE 08/15/16 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 306 16WC 30986 LOCKE, TRISTIAN COURIER DISTRIBUTION 03/19/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 307 16WC 31105 MAZUR, JEFFREY CLARE OAKS 08/06/16 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS 308 16WC 31141 JOHNSON, ROBERT HMD TRUCKING @ 04/24/14 MARSZALEK AND MARSZALEK MCANANY VANCLEVE & PHILLIPS 309 16WC 31190 ASHE, PATRICK CITY OF CHICAGO-08TH DIST 09/06/16 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 310 16WC 31425 BENITEZ, SANTA PALMER HOUSE HILTON 09/07/16 JOHN E LUSAK NOBLE & ASSOCIATES PC 311 16WC 31473 SCHURINGA, JOSEPH CITY OF OAK FOREST 09/22/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 312 16WC 31594 STEVENS, MICHAEL TIM STEFL, INC 10/26/15 MATHYS & SCHNEID NYHAN BAMBRICK KINZIE & LOWR 313 16WC 31642 VAZQUEZ, LOURDES CITY OF CHICAGO/CHGO CITY 09/15/16 FISHER & LAMONICA CITY OF CHICAGO 314 16WC 31655 ALLEN, MARIO SAM'S CLUB 09/19/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 315 16WC 31810 ROBINSON, ANDRE L CTA 08/16/16 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 316 16WC 32133 CARVAJAL, NANCY ANAYA LUCKY NOODLES, LLC 10/13/16 MC HARGUE & JONES MEACHUM & STARCK 317 16WC 32151 EVANS, YVETTE D CHICAGO SPORTS SERVICE 07/03/15 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 318 16WC 32227 PERRY, LAURA COOK COUNTY ASSESSOR 12/29/15 STATES ATTORNEY OF COOK COUN 319 16WC 32320 RUEB, MEGAN YMCA OF METRO 07/01/16 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES FRANCESCA LARSEN 320 16WC 32442 RODRIQUEZ, ANDREW CITY OF CHICAGO 10/05/15 KARCHMAR & STONE 321 16WC 32525 SCHMIDT, MATT J AREA ERECTORS 10/07/16 DUDLEY & LAKE LLC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 322 16WC 32637 HARRIS JR., L M ASG STAFFING INC 08/23/16 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 323 16WC 32706 STROHMAN, KEN 3 GENERATION PLUMBING INC 01/22/16 HANNIGAN & BOTHA, LTD RODDY LAW LTD 324 16WC 32732 MUSKAT, GENO COOK COUNTY SHERIFF'S DEP 06/28/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 325 16WC 32942 LAPOINTE, MATTHEW CREATIVE CHANNEL RETAIL 10/01/15 KARCHMAR & STONE 326 16WC 33010 CAMACHO, ABEL CHICAGO TRANSIT AUTHORITY 10/18/16 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 327 16WC 33061 MOHIUDDIN, MUNAWAR STEPHEN OMOFONMWAN 02/14/16 DISPARTI LAW GROUP PA 328 16WC 33082 SUBICK, RONALD ARMACELL LLC 07/07/16 LOUIS A PLZAK & ASSOCIATES HOLECEK & ASSOCIATES 329 16WC 33184 SODUNKE, MOLARA SUN DOWN BOWL TAXI/ 09/27/16 STEPHEN G PINTO LTD 330 16WC 33200 CARDENAS, JOSE KATE LYNN PAINTING 08/22/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 331 16WC 33211 REYES, JIA LOYA EXPRESS, INC 09/21/16 THOMAS W DUDA ROSS TYRRELL 332 16WC 33367 MARTIN, CIARRA S COOK DUPAGE TRANSPORT CO 10/03/16 WARREN W MARK 333 16WC 33396 GOETSCH, JOHN R ALTA EQUIPMENT 09/27/16 SEIDMAN MARGULIS & FAIRMAN 334 16WC 33402 BURNS, JEFFERY CTA 10/07/16 MARC PEKAY CHICAGO TRANSIT AUTHORITY 335 16WC 33516 HERNANDEZ, GUILLERMO TARGET 04/01/15 LAW OFFICE OF SCOTT B SHAP KEEFE CAMPBELL & ASSOC LLC 336 16WC 33575 GARVIN, MICHAEL VENT PRODUCTS INC 09/08/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 337 16WC 33610 HALLOM, TONY FLEXIBLE STAFFING 09/30/16 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 338 16WC 33638 KOERNER, MARIA BARRINGTON TRANSPORTATION 05/19/16 NEWLAND & NEWLAND 339 16WC 33679 BAILEY, ROBERT J CITY OF CHICAGO 05/05/16 BARRY A KETTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 340 16WC 33703 OWENS, DION STK CHICAGO 09/29/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 341 16WC 33713 JEFCHAK, JAMES MONDELEZ INTL 10/03/16 CAPRON & AVGERINOS PC 342 16WC 33817 WRATHER, NICOLE PORTILLO'S HOT DOGS 11/15/15 BRISKMAN BRISKMAN GREENBER GRANT & FANNING 343 16WC 33826 HERNANDEZ, ANTONIO MILLARD CHICAGO WINDOW 10/01/16 THE ROMAKER LAW FIRM RODDY LAW LTD 344 16WC 34525 MUIR, ROBERT ADVOCATE CHRIST MEDICAL C 10/26/16 RICHARD O. GREENFIELD NYHAN BAMBRICK KINZIE & LOWR 345 17WC 00064 KENDALL, ALLISON CHICAGO TRANSIT AUTHORITY 11/21/16 GRAZIAN & VOLPE PC CHICAGO TRANSIT AUTHORITY 346 17WC 00198 SEALS, COLLETTA D DURHAM D&M, LLC 09/09/16 WARREN W MARK BRADY CONNOLLY & MASUDA PC 347 17WC 00255 MANALASTAS, EDEN UNIVERSITY OF IL HOSPITAL 11/30/16 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN 348 17WC 00337 CARTER, ANTHONY BARIC PROPERTIES 05/05/14 FAJARDO LAW GROUP HOLECEK & ASSOCIATES 349 17WC 00363 SAULSBERRY, CHARLES THE SHRINE NIGHTCLUB 04/14/14 BRISKMAN BRISKMAN GREENBER 350 17WC 00461 BETTS, WANDA CTA 08/11/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 351 17WC 00581 CUMISKEY, KYLE ROCLFORD ICE HOGS 09/29/14 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 17WC000582 -C ROCKFORD ICE HOGS 17WC023239 -C 17WC023240 -C ROCKFORD ICE HOGS 17WC023241 -C 352 17WC 00597 BROWN, DEONDRA PRUDENTIAL SECURITY 11/02/16 DEPAOLO ZADEIKIS GORE BRYCE DOWNEY & LENKOV LLC 353 17WC 00709 RAMOS-MUNOS, RAQUEL THORNTON'S 12/23/16 MANDELL, GREGG 354 17WC 00773 RAMIREZ, JESUS AUTO WAREHOUSING CO, INC 09/18/16 ANKIN LAW OFFICE MEACHUM & STARCK 355 17WC 00801 ROSIER, YANICK UNIVERSITY OF CHICAGO HOS 12/20/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 356 17WC 00828 GRAY, NICOLE CHICAGO TRANSIT AUTHORITY 12/08/16 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 357 17WC 00844 LINTON, PETE DHL 10/31/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 358 17WC 01010 PARAMORE, PARIS EXPRESS EMPLOYMENT 08/01/16 KARCHMAR & STONE MC ANDREWS & NORGLE LLC 359 17WC 01127 MARTINEZ, ANASTACIA HELP AT HOME, INC 01/05/17 MINKOW DOMIN HENNESSY & ROACH PC 360 17WC 01177 GALANTI, PHILIP IDOT @ 06/23/16 STROM, NEAL B C. FLETCHER 361 17WC 01339 SANCHEZ-LAND, YESENIA COOK COUNTY 11/07/16 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 362 17WC 01355 KELLER, CLIFFORD E GRAND PRAIRIE TRANSIT 11/16/16 TOPPER & WEISS LTD GALLIANI DOELL & COZZI LTD 363 17WC 01377 HARRISON, DONALD DHL 11/11/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 18WC014326 -C 364 17WC 01601 BAHENA, ESMERALDA FEDEX CORPORATION 01/04/17 LAW OFFICE OF KEVIN O'BRIE HANSON LAW OFFICE 365 17WC 01761 HAMMONDS, TERRE L LAPHAM-HICKEY STEEL 01/07/17 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 366 17WC 01786 GODOY, ROBERT HOLLAND FREIGHT 12/15/16 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 367 17WC 01941 ORTIZ, JUAN NAPLETON RIVER OAKS HONDA 12/20/16 SCHREINER MALLOY & ETZLER LAW OFFICES FRANCESCA LARSEN 368 17WC 02012 MURO, YOLANDA MEAD FLUID DYNAMICS 02/21/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 17WC002013 -C 369 17WC 02038 WOODS, MICHAEL STATE OF ILLINOIS/ @ 01/02/17 BLOCK, KLUKAS & MANZELLA P C. FLETCHER 370 17WC 02091 GRIFFIN, TAMARA FORD MOTOR CO 05/28/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 371 17WC 02122 SMITH, REGINA CITY OF CHICAGO DEPT OF 01/13/16 RUBENS AND KRESS CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 17WC 02312 SWIERCZ, MACIEJ ANDY'S DELI & MIKOLAJCZYK 12/29/16 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 373 17WC 02333 SMITH, PAULINE BELLWOOD NURSING CENTER 06/12/15 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 17WC002334 -C 374 17WC 02422 GONZALEZ, ARNULFO MICHAEL FOODS, INC 01/26/16 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 375 17WC 02446 SULEJMANI, NERXHIVAN ABM JANITORIAL SERVICES 05/16/16 STEVEN H MEVORAH & ASSOCIA GOLDBERG SEGALLA LLC 17WC002447 -C 376 17WC 02467 MYRDA, KRYSZTOF UP TURN CONSTRUCTION INC 01/10/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 377 17WC 02482 SNOW, ERNIE D HAYES MECHANICAL5959 S HA 11/17/14 GAROFALO SCHREIBER STORM 378 17WC 02505 HUNTER, GABRIELLE CHICAGOPUBLIC SCHOOLS 01/29/16 ROSENFELD HAFRON SHAPIRO F 379 17WC 02548 BURNETT, BRENDA WINDMILL NURSING PAVILLIO @ 12/13/16 HENNESSY & ROACH PC 380 17WC 02669 DOBYNE, DONALD COCA-COLA CO 01/03/17 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 381 17WC 02723 WHITE, THOMAS CITY OF CHICAGO 08/15/16 HEALY SCANLON LAW FIRM 382 17WC 02812 PEREZ, GIOVANNI MARIANO'S 01/15/17 LEONARD LAW GROUP LLC 383 17WC 02883 ROBINSON-WATTS, DIONIS EVANSTON TOWNSHIP HIGH SC 10/25/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 384 17WC 02983 HUDSON, TIMOTHY PAN OCEANIC ENGINEERING C 12/12/16 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 385 17WC 03040 TERRAZAS, MARIA SELF-HELP FEDERAL CREDIT 12/27/16 OSVALDO RODRIGUEZ PC 386 17WC 03086 BULLOCKS, TIFFANY CHICAGO TRANSIT AUTHORITY 10/05/16 ROGER D RUDICH LTD CHICAGO TRANSIT AUTHORITY 387 17WC 03209 LORR, KEVIN BERWYN POLICE DEPARTMENT 01/15/17 CHRISTINE F DAVID CUDA LAW OFFICES 388 17WC 03432 MATTHES, KATHLEEN WALMART SUPERCENTER 08/01/16 GANAN & SHAPIRO 389 17WC 05964 WARD, ANTONIO CHICAGO MESSENGER SERVICE 01/25/17 JONATHAN SCHLACK INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 17WC 09814 SAMUEL, BARBARA CHICAGO PUBLIC SCHOOLS 01/25/17 KUMLIN & FROMM LAW DEPARTMENT 391 17WC 09835 SOLANKA, DAVID KEHE DISTRUBUTION, INC 12/09/15 HANNA VANDER PLOEG LLC 392 17WC 09858 HORNER, HEATHER UNITED AIRLINES 04/21/15 ELFENBAUM EVERS & AMARILIO 393 17WC 09940 JOHNSON, KENNETH GREAT NORTHERN LUMBER INC 02/01/17 LAW OFFICES OF ANSELMO DUR KEEFE CAMPBELL & ASSOC LLC 394 17WC 09963 SAMBRANO, JABIN ARENA FOOTBALL ONE LLC 06/06/16 GORDON LAW OFFICES LTD 395 17WC 09987 CORTES, ANGELICA L PACTIV 05/18/16 JAMES M GERAGHTY 396 17WC 10038 NELSON, ERIC AT&T 12/04/15 EFTEKHARI LAW OFFICES 397 17WC 10110 GINO, ROLANDO AMERICAN AIRLINES GROUP 10/01/15 WOODRUFF & JOHNSON ROSARIO CIBELLA 398 17WC 10200 RODRIGUEZ, MARCO SCRUB INC 01/27/17 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 399 17WC 10280 BRUSH, KATELYN LOVE FUR DOGS 02/24/17 HANNIGAN & BOTHA, LTD 400 17WC 10328 BLANCHARD, RUSSELL COOK COUNTY RISK MANAGEME 04/03/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 401 17WC 10362 JOHNSON, TRACY D CTA INC 12/29/16 HASSAKIS & HASSAKIS CHICAGO TRANSIT AUTHORITY 402 17WC 10386 COLLINS, RICKEY R BROWN AND MOMEN INC. 03/29/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 403 17WC 10407 ANWIA, RONY DARD PRODUCTS 10/03/16 ACEVES & PEREZ PC JOSEPH MARCINIAK 404 17WC 10445 FRUSTI, MARK A ASBACH & VANSELOW INC 02/29/16 FOOTE MIELKE CHAVEZ & O'NE WIEDNER & MCAULIFFE LTD 17WC010447 -C 405 17WC 10508 SOUTHWARD, ANTOINETTE ELITE CARE MGMT 03/30/17 JOHN S. ELIASIK 406 17WC 10829 ALBERGO, KATHLEEN MEGURNEE LLC DBA MASSAGE 01/16/17 FIGLIOLI, DAVID JOSEPH MARCINIAK 407 17WC 10901 PRYOR, ALFREDA VILLAGE SENIOR CARE 03/27/16 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 17WC 10921 CHRISTENSEN, BRIAN ALEXIAN BROTHERS MEDICAL 02/16/17 NEWLAND & NEWLAND POWER & CRONIN LTD 409 17WC 10954 VILLEGAS, JOSE A PRIMARY STAFFING 02/03/17 EPSTEIN, JACK R LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 410 17WC 11045 ARROYO, CAMERINO NESTLE PROFESSIONAL BEVER 11/23/15 STEIN & CHERNY LTD NYHAN BAMBRICK KINZIE & LOWR 411 17WC 11139 LYKOURETZOS, JOHN BUSINESS OFFICE SYSTEMS, 11/03/16 LAW OFFICES PAPPAS & BELL RODDY LAW LTD 412 17WC 11256 LANGERMAN, DORAINE MARIANO'S 03/18/17 413 17WC 11411 CHARLES, ALBERT CHICAGO ILLINOIS ARAMARK 09/07/15 WHITERS, ALFRED T 414 17WC 11536 TODD, CHARLES UBER 04/12/17 DWORKIN AND MACIARIELLO 415 17WC 11589 MELLER, JULIE ROBERT MORRIS UNIVERSITY 11/05/14 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 416 17WC 11644 ECKLUND, LYDIA AMERICAN AIRLINES INC 01/03/17 CULLEN HASKINS NICHOLSON 417 17WC 11676 LLAMAS, ISAAC APEX PUMPING EQUIPMENT 03/08/17 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 418 17WC 11736 MARTINEZ, VICTOR H FLY PLUMBING CO 04/01/17 LAW OFFICE EDWARD RUEDA WIEDNER & MCAULIFFE LTD 419 17WC 11760 ALEXANDER, L C III COOK COUNTY SHERIFF'S DEP 04/17/17 GORDON & CENTRACCHIO LLC INMAN & FITZGIBBONS 420 17WC 11848 TOVEY, GEORGE MORAN TRANSPORTATION CORP 03/28/17 POLANSKY & CICHON CHTD 421 17WC 11883 RIVERA, APOLINAR STAR DIE MOLDING, INC. 02/16/17 RUEDA, IVAN A GANAN & SHAPIRO 422 17WC 11956 COLON, DENNIS AUTOPORT (MICHIGAN) LTD 02/16/17 SPENCER LAW OFFICES MEACHUM & STARCK 423 17WC 12045 TENA, DARLO RENE AUTO PARTS 01/13/17 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 424 17WC 12058 RICHARDSON, MARK A CHICAGO BOARD OF EDUCATIO 01/26/17 VITELL & SPITZ LTD 425 17WC 12113 CORTEZ, JOSE STACKED 04/09/17 MC HARGUE & JONES KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 17WC 12153 PENA, JOSE PRIMARY STAFFING 04/14/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 427 17WC 12252 WIGGINS, DARREN POLYCHEM SERVICES, INC. 12/07/16 DONALD M. PHELAN RUSIN & MACIOROWSKI LTD 428 17WC 12337 SCHULTZ, JEFFREY AUBURN DISPOSAL 05/11/16 GOLDBERG WEISMAN & CAIRO L 429 17WC 12403 PRADO, JAIME ADC DIECASTING LLC 06/09/16 JOHN S. ELIASIK 430 17WC 12440 PHILLIPS JONES, DELORES ILLINOIS TOOL WORKS 01/12/17 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 431 17WC 12548 RIVERA, MIGUEL KINDRED HEALTH CARE 03/13/17 MC HARGUE & JONES ARNETT LAW GROUP 432 17WC 12598 PACHECO, DOLORES SCHOOL HEALTH CORPORATION 07/06/16 LAW OFFICE ROBERTO ACEVEDO RUSIN & MACIOROWSKI LTD 17WC012753 -C 433 17WC 12838 MCGEOCH, DEREK SCOTTISH PLUMBER 03/21/17 EFTEKHARI LAW OFFICES 434 17WC 12878 THIGPEN, ARMIDA COUNTRYSIDE NURSING & REH 01/16/17 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 435 17WC 12920 ARTAJO, EDDIE PREMIER STAFFING CO, A/K/ 05/12/16 HANNIGAN & BOTHA, LTD GRANT & FANNING 17WC019855 -C THE WIT CHICAGO -A DOUBLE 436 17WC 12963 ROEH, RICHARD CTA 04/19/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 437 17WC 13029 FERGUSON, MICHAEL J COM ED 12/29/16 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 438 17WC 13047 JEFFERSON, CARL CITY OF CHICAGO-DEPT OF 01/23/17 TAMVAKIS, GEORGE L 439 17WC 13076 MULAY, JOSPEH UNITED AIRLINES INC. 03/14/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 440 17WC 13090 LEWIS, RONALE POWER STOP 04/28/17 DWORKIN AND MACIARIELLO 441 17WC 13117 LAMPKIN, CANDACE MARIANO'S 04/23/17 DAVID W MARTAY 442 17WC 13165 GONZALEZ, JAZMINE ALDI 03/31/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 443 17WC 13280 DEVOGELEAR, ROBERT COOK COUNTY SHERIFF'S DEP 04/13/17 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 17WC 13301 NICHOLOS, ELLIS CENTRAL TRANSPORT LLC 03/23/17 RITTENBERG & BUFFEN HINSHAW & CULBERTSON 445 17WC 13417 MARTINEZ, JOSE JC DECAUX NORTH AMERICA I 04/30/17 HEALY SCANLON LAW FIRM 446 17WC 13506 CIEZKOWSKA, BARBARA UNITED AIRLINES 03/19/17 SCHRAMM LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 447 17WC 13741 PEREZ, JOSE EDUARDO LEGACY UNDERGROUND CORP 02/28/17 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM 448 17WC 18784 CHAIDEZ SOTO, PEDRO MIGUE THE DOMAIN GROUP, LLC # 07/01/16 RUSIN & MACIOROWSKI LTD 449 17WC 19355 ALVARADO, ISIDRA HOME PRODUCTS INTL 04/01/16 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 450 17WC 19380 WATKINS, TOYA UNIVERSITY OF CHICAGO HOS 06/14/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 451 17WC 19430 MARTINS, IRIS WAL-MART ASSOCIATES, INC 10/01/14 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 452 17WC 19496 RAMIREZ, GABRIEL VILLAGE OF NORRIDGE POLIC 05/20/17 JOHN J CASTANEDA POWER & CRONIN LTD 453 17WC 19615 LAY, LENA GAREDA, LLC 06/19/17 ANKIN LAW OFFICE 454 17WC 19707 ALLEN, LASHARN CTA 07/03/17 FRIEDMAN & SOLMOR LTD 455 17WC 19731 KYRIAK-LOPEZ, YVETTE UCAN @ 05/22/17 COHN LAMBERT RYAN & SCHNEI RUSIN & MACIOROWSKI LTD 456 17WC 19766 YOUSUF, FARZANA CHICAGO PUBLIC SCHOOLS 10/19/16 GOLDBERG WEISMAN & CAIRO L LAW DEPARTMENT 457 17WC 19798 BREWER, LATOCHIA CDT 06/22/17 COSTA IVONE LLC 458 17WC 19879 GONZALEZ, NORIE LISTER & ROSALIE ANXITER 10/24/16 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 459 17WC 19951 LARENTOWICZ, JEFF CHICAGO FIRE SOCCER & MLS 06/03/15 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 17WC019952 -C 460 17WC 19990 OKAMOTO, TABATHA NORTHEASTERN IL UNIVERSIT 06/12/17 MC HARGUE & JONES ASSISTANT ATTORNEY GENERAL 461 17WC 20007 LIN, ZHENFENG WIN WIN SEAFOOD 05/24/17 STEWART C ORZOFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 17WC 20056 LEMA, LUZ M KOCH FOODS INC 06/01/16 BAUM RUFFOLO & MARZAL LTD 463 17WC 20094 LOPEZ, JORGE HUMBERTO DA STEIN CULINARY GROUP L 06/22/17 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 464 17WC 20177 CAMARGO, ELSA PACTIV/RESOURCE EMPLOYMEN 01/27/17 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 465 17WC 20213 COOK, MICHAEL RUDD CONTAINER 07/07/17 MICHAEL P MCCREADY & ASSOC 466 17WC 20293 POPP, SARAH PARKVIEW ORTHOPEDIC GROUP 05/31/16 RIDGE & DOWNES JOSEPH MARCINIAK 467 17WC 20317 MINNIEFIELD, RANDALL FORD MOTOR COMPANY 08/19/14 FOHRMAN, DONALD W & ASSOCS 468 17WC 20349 MOORE, TREVELL CHICAGO TRANSIT AUTHORITY 06/23/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 469 17WC 20377 SPAIN, MICHAEL GLENBRIDGE NURSING AND 04/18/17 LAW OFFICE HUGO ORTIZ 470 17WC 20454 WOJTOWICZ, ZOFIA,BEHALF O IWBF 03/28/17 STANCZAK LAW OFFICES BAUM RUFFOLO & MARZAL LTD 471 17WC 20485 JOINTER, TIYA CHICAGO BOARD OF EDUCATIO 06/19/17 DWORKIN AND MACIARIELLO 472 17WC 20506 GRIMALDO, ALMA TOPPSHELF STAFFING, INC 05/14/17 RUEDA, IVAN A 473 17WC 20518 SARGENT, TERVALON J CHICAGO TRANSIT AUTHORITY 05/09/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 474 17WC 20665 WILHELMY, TODD ILLINOIS STATE POLICE @ 05/07/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 475 17WC 20803 PAGE, HORACE JR BG MULTIFAMILY 07/07/17 COYNE REINKE LAW KEEFE CAMPBELL & ASSOC LLC 476 17WC 20855 CABRERA, MIGUEL ADELMAN'S TRUCK & EQUIPME 07/06/17 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 477 17WC 20874 PALAO, ODILIA TONY'S FINER FOODS 06/22/17 MC HARGUE, JAMES P LAW OFF 478 17WC 20895 LANDRY, DEON APEX PINNACLE MOVING 07/10/17 THOMAS LAW 479 17WC 20940 HERNANDEZ, AMADA LAND O'FROST INC 07/04/17 CHEPOV & SCOTT LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 17WC 20952 AUGUSTYNIAK, PATRICK WMC INC 06/05/17 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 481 17WC 21018 HENTON, DWIGHT JACK COOPER TRANSPORT CO, 10/12/15 MEYERS & FLOWERS HENNESSY & ROACH PC 482 17WC 21097 GONZALEZ, ROBERTO JR BERMAN NISSAN OF CHICAGO 06/12/17 PETER D CORTI LAW GROUP RODDY LAW LTD 483 17WC 21190 PUCKETT, MELANYE OAK LAWN RESPIRATORY & RE 06/28/17 SIGMOND, STEVEN KNELL & O'CONNOR 484 17WC 21235 REDZIC, HUSO SENIOR FLEXONICS 03/08/17 LEAHY, JAMES P BRADY CONNOLLY & MASUDA PC 485 17WC 21254 REID-MARTINEZ, CHERYL UNITED AIRLINES INC. 07/13/16 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 486 17WC 21316 LUSTOFIN, CHRISTINE JEWEL FOOD STORE 04/10/17 R. MARK MARITOTE PC 487 17WC 21356 MC BETH, MARK TECH USA, INC 06/19/17 SPENCER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 488 17WC 21378 HOOD, MARCHELLE CATHOLIC CHARITIES 07/12/17 VRDOLYAK LAW GROUP LLC KEEFE CAMPBELL & ASSOC LLC 489 17WC 21459 COVINGTON, ROBERT CTA 07/02/17 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 490 17WC 21519 MCDONALD JR, DARRELL VILLAGE OF MAYWOOD 08/11/15 PARENTE & NOREM PC INMAN & FITZGIBBONS 491 17WC 21763 REID, DARREN CAST & CREW ENTERTAINMENT 06/23/17 LANNON LANNON & BARR LTD 492 17WC 21838 LAWRENCE, JAMMIE TERRANCE ELECTRIC CO, INC 07/18/17 HORWITZ HORWITZ & ASSOC 493 17WC 21871 PACLIBARE, LINA RETINA INSTITUTE OF ILLIN 02/27/17 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 494 17WC 21895 BANKSROBINSON, DENISE ROOSEVELT UNIVERSITY 07/20/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 495 17WC 21927 CASSELLO, PHILLIP AEROTEK, INC 07/17/17 ARGIONIS & ASSOCIATES LLC 496 17WC 21966 LISTELLO, SHARRI AMITA HEALTH ADVENTIST ME 02/14/17 BART DURHAM NYHAN BAMBRICK KINZIE & LOWR 497 17WC 22037 RADCLIFFE, CAPRICE TRINITY UNITED 05/16/17 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 17WC 22082 VANZANT, MARCY CTA 07/27/17 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 499 17WC 22106 GORYL, KRZYSTOF USP TRANS INC 06/12/17 BURNES & LIBMAN GANAN & SHAPIRO 17WC022107 -C 500 17WC 22169 ZAVALA, ANTONIO WIRTZ RENTALS COMPANY 07/22/16 COSTA IVONE LLC 501 17WC 22190 SOLIK, MICHAEL UNITED AIRLINES 10/19/16 DWORKIN AND MACIARIELLO 502 17WC 22334 KAMHOLZ, NANCI IL DEPT OF JUVENILE JUSTI @ 06/26/17 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 503 17WC 22414 RANGEL, EVELYN CITIBANK 06/15/17 RONALDSON & KUCHLER CHILTON YAMBERT PORTER LLP 504 17WC 22454 WALKER, VERONICA CTA 08/08/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 505 17WC 22471 ACEVEDO, SIGFREDO O INTERPARK HOLDINGS LLC 04/24/17 HART & DAVID LLP HOLECEK & ASSOCIATES 506 17WC 22525 KOSCIELNIAK, KATARZYNA LITTLE COMPANY OF MARY HO 10/25/15 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 507 17WC 22550 CURRY, FLOYD LANGER TRANSPORT CORP 06/22/17 VASILATOS & COTTER LLC 508 17WC 22663 CANAVAN, WILLIAM F CITY OF HARVEY 06/12/17 THOMAS W DUDA 509 17WC 28221 GASERO, MELISSA AMITA HEALTH 08/18/17 THE MACK LAW GROUP PC POWER & CRONIN LTD 510 17WC 28995 MARROQUIN, OSCAR ARMOR SHIELD CONSTRUCTION 07/22/17 THE ROMAKER LAW FIRM RIPES NELSON BAGGOT KALOBRAT 511 17WC 29018 ENDERSON, SHANIECE CTA 08/10/17 DWORKIN AND MACIARIELLO 512 17WC 29042 PRUNSKY, EDWARD YRC FREIGHT 07/16/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 513 17WC 29058 STEWARD, DALE MT PROSPECT FIRE DEPARTME 08/02/17 LAW OFFICES OF ANN O'CONNE RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 17WC 29083 RIVERA, EDWIN ADVANCE AUTO PARTS 10/05/15 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 515 17WC 29096 JIMENEZ, MARIA SCHULZE & BRUCH BISCUIT C 04/15/17 LAW OFFICES OF MARK SCHAFF WIEDNER & MCAULIFFE LTD 17WC029097 -C 17WC029098 -C 516 17WC 29124 GALAURAN, FELICITAS ADVOCATE ILLINOIS MASONIC 08/15/17 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 517 17WC 29159 PACHECO, ALICIA HD HOSPITALITY DBA 09/10/17 518 17WC 29185 BROWN, TRAMOND ED MINIAT LLC, INC 05/02/17 COHN LAMBERT RYAN & SCHNEI POWER & CRONIN LTD 519 17WC 29201 RAMIREZ, JOSE FLEXIBLE STAFFING 09/20/17 RAYMOND M SIMARD, PC 520 17WC 29218 KARLIN, SHARON MACY'S RETAIL HOLDINGS, I 08/18/17 NEMEROFF LAW OFFICES BRYCE DOWNEY & LENKOV LLC 521 17WC 29300 COLLIER, LISA A ADVOCATE HEALTH CARE 08/07/17 ANKIN LAW OFFICE 522 17WC 29321 HERNANDEZ, JUAN CHICAGO DRYER COMPANY 09/11/17 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 523 17WC 29340 NOBLE, DOLLY PAYLESS 03/01/17 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 524 17WC 29378 NAGHAN, HAMID N CTA-CHICAGO TRANSIT AUTHO 08/15/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 525 17WC 29409 ISHOLA, HAKEEM NURSE SOURCE 05/18/17 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 526 17WC 29431 PAGAN, ANDRES KERRY HOLDINGS CO 07/25/17 WHITESIDE & GOLDBERG LTD STONE & JOHNSON CHARTERED 527 17WC 29456 TATE, MONIQUE CHICAGO TRANSIT AUTHORITY 09/20/17 LEWIS & DAVIDSON, LTD CHICAGO TRANSIT AUTHORITY 528 17WC 29474 VILLALPANDO, LUIS THE VITAMIN SHOPPE 02/11/17 LAW OFFICES ROBERT WARSASK 529 17WC 29496 COATES, PIERRE L NEIMAN MARCUS 08/02/17 LAW OFFICE OF SCOTT B SHAP 530 17WC 29516 WILLIAMS, PAMELA JEWEL OSCO 08/12/17 GOLDSTEIN BENDER & ROMANOF 531 17WC 29578 CHUBOFF, SHARON A CCDS 15 08/22/17 BRILL & FISHEL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 17WC 29601 MCNICHOLAS, ROBERT CITY OF CHICAGO 05/09/17 RUBIN LAW GROUP CITY OF CHICAGO 533 17WC 29625 TOVAR, MANUEL JR GMI PACKAGING CO 12/22/16 ELFENBAUM EVERS & AMARILIO QUINTAIROS PRIETO WOOD & BOY 534 17WC 29651 WARD, DESIREE CHIPOTLE MEXICAN GRILL 10/03/17 DWORKIN AND MACIARIELLO 535 17WC 29667 CANNISTRA, MICHAEL AMADEOS ITALIAN DELIGHTS 07/07/15 CULLEN HASKINS NICHOLSON 536 17WC 29757 HANSON, JAMES VILLAGE OF WESTERN SPRING 06/02/17 HORWITZ HORWITZ & ASSOC 537 17WC 29771 RIOS JR, ABEL RAINCOAT ROOFING SYSTEMS, 08/14/17 O'CONNOR & NAKOS CLAUSEN MILLER PC 538 17WC 29820 TINAJERO, FRANCISCO METRO STAFF, INC 09/13/17 RUEDA, IVAN A FRANCIS J DISCIPIO LAW OFFIC 539 17WC 29855 TORRES, MARIA DE JESUS WEBER STEPHEN PRODUCTS 12/03/15 HERRERA LAW CENTER 540 17WC 29934 CORNISH, WILLIAM ESSEX ELECTRICAL 12/19/16 TURNER & SACKETT LLC HENNESSY & ROACH PC 541 17WC 29962 MOORE, CARL KELLY SERVICES, INC 09/05/17 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 542 17WC 29981 SANGSTER, DEANDRE HMS HOSTS 10/02/17 ANGELINI & ORI LLC GAIDO & FINTZEN 543 17WC 30050 ANDERSON, ANDRE LINDOP SD 92 06/15/17 BRIAN KEELEY LTD BRADY CONNOLLY & MASUDA PC 544 17WC 30057 SCHELFHOUT, JENNIFER EVNOY AIR 07/02/17 CULLEN HASKINS NICHOLSON 545 17WC 30097 AVELAR, CESAR GARY GOLAND AB CREATIVE C 05/04/17 LAW OFFICES PETER LEKAS 546 17WC 30212 ADKINS-COOPER, KELLY AMERICAN AIRLINES 06/02/17 RUBENS AND KRESS 547 17WC 30281 LEWANDOWSKI, KATHLEEN O'HARE CHILD DEVELOPMENT 09/07/17 VASILATOS & COTTER LLC 548 17WC 30308 FORD, SCOTT CITY OF CHICAGO-WATER MGM 09/26/17 DAVID W MARTAY CITY OF CHICAGO 549 17WC 30383 HOFFMANN, MICHAEL R ECOLAB INC 11/25/15 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 17WC 30434 WILSON, JACKIE THE TERMINIZ INTERNATIONA 07/01/17 ANKIN LAW OFFICE 551 17WC 30454 SANDOVAL, VANESSA GDI SERVICES INC 07/17/17 BERG & BERG MEACHUM & STARCK 552 17WC 30495 SARTIN, BRUCE ROSE PLUMBING & SEWAGE IN 12/04/14 KEDZIE LAW OFFICE PC 553 17WC 30633 TAYLOR, MAMIE BLUE CROSS BLUE SHIELD 06/14/17 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 554 17WC 30648 STERLING, SHAWN PTI 09/28/17 SEIDMAN MARGULIS & FAIRMAN 555 17WC 30702 MILLER, PIERRE ELITE MEDICAL CARD 09/18/17 DWORKIN AND MACIARIELLO ROBERT L. SMITH 556 17WC 30752 MORGAN, RYAN JEWEL-OSCO 09/22/17 LEONARD LAW GROUP LLC 557 17WC 30832 MCKEE, CAMERON KS ENERGY SVCS 07/19/17 CLARK FROST STONE & JOHNSON CHARTERED 558 17WC 30854 GUTIERREZ, ANTONIO CITY OF CHICAGO WATER 09/01/17 JOSEPH J SPINGOLA, LTD 559 17WC 30873 GURUMENDI, MANUEL METALDYNE PERFORMANCE GRO 09/09/17 JOHN E LUSAK 560 17WC 30931 GORDON, KEVIN L TREIA ROOFING & REMODELIN 06/26/17 LANNON LANNON & BARR LTD KEEFE CAMPBELL & ASSOC LLC 561 17WC 30963 GRANSTON, LEORA STATE OF ILLINOIS - DHS @ 10/13/17 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 562 17WC 31098 WILLIAMS, CEDRIC UNITED SECURITY INC 01/17/17 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 563 17WC 31153 AUSTIN, JESSICA MACK & ASSOCIATES LTD 01/24/17 ANKIN LAW OFFICE MEACHUM & STARCK 564 17WC 31195 MARBAN, RAUL GLEN VIEW CLUB 09/02/17 COSTA IVONE LLC NOBLE & ASSOCIATES PC 565 17WC 31211 COOPER, TERRY FOREST PRESERVE DISTRICT 12/01/16 CUDA LAW OFFICES FOREST PRESERVE DIST COOK CO 566 17WC 31328 DAVIS, SHELDON ALLIED UNIVERSAL 10/14/17 JAMES ELLIS GUMBINER & ASS GAROFALO SCHREIBER STORM 567 17WC 31348 NUNEZ, MIGUEL VECTOR DISEASE CTRL INTER 09/27/17 HERRERA LAW CENTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 17WC 31386 BOSIO, CHRIS CHICAGO CUBS 09/05/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 569 17WC 31466 PRICKETT, MARK CARL BUDDIG & CO. 09/02/17 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 570 17WC 31505 ZAWITKOWSKI, ADAM MZ REMODELING, INC 10/18/17 CHEPOV & SCOTT LLC MEACHUM & STARCK 571 17WC 31526 JONES, PAMELA EAST BALT COMMISSARY 08/22/17 THE MACK LAW GROUP PC 572 17WC 31609 SHIELDS, DARSANDRA WALGREEN CO 05/31/17 FOHRMAN, DONALD W & ASSOCS GILDEA & COGHLAN 573 17WC 31628 BABAJIDE, HAKEEM SCORPION CAB CO 10/08/16 WARREN W MARK 574 17WC 31657 RANGEL, RONALD RUSH UNIVERSITY MEDIRUSH 10/06/17 GOLDBERG WEISMAN & CAIRO L 575 17WC 31680 TITTLE, SCOTT FEDEX EXPRESS 08/21/17 JOSEPH G HAFFNER LAW OFFIC 576 17WC 31699 CATAMIN, SHARLIN PRESECE STS. MARY AND 10/12/17 VRDOLYAK LAW GROUP LLC 577 17WC 31715 SLAUGHTER, LEMUEL FORD MOTOR COMPANY 09/14/17 FOHRMAN, DONALD W & ASSOCS 578 17WC 31767 STINNETTE, LISA SOUTHWEST AIRLINES 02/26/16 RONALDSON & KUCHLER 579 17WC 31860 BAILEY, CHRISTOPHER XPO LOGISTICS INC 10/06/17 OWENS & LAUGHLIN LLC RUSIN & MACIOROWSKI LTD 580 17WC 31897 BRUESCH, DONALD ARCHITECTURAL SYSTEMS 10/17/16 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 581 17WC 31914 MURDOCK, TONYA JP MORGAN CHASE 10/24/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 582 17WC 31929 BROWN, MARCUS GREYHOUND 07/13/17 FOHRMAN, DONALD W & ASSOCS 583 17WC 31978 LEWIS, GLEN INTERNATIONAL PAPER 10/16/17 DWORKIN AND MACIARIELLO 584 17WC 32085 ROLDAN, JOSE A ROLLEX CORPORATION 12/21/15 GOLDSTEIN BENDER & ROMANOF 585 17WC 32130 ZHANG, YU AI CHINESE AMERICAN SVS LEAG 03/21/15 RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 17WC 32151 MLKHAIL, ALLEN AMPAC 10/17/17 LAW OFFICE NANCY HIRSCH LL WIEDNER & MCAULIFFE LTD 587 17WC 32177 DIAZ, OSCAR SYSCO FOODS 06/20/17 BOUDREAU NISIVACO LLC 588 17WC 32184 RODRIGUEZ, GERARDO PERPETUAL, LLC 08/18/17 GALLAGHER, DONALD V 589 17WC 32228 MONDRAGON, JUAN HONEY BUTTER FRIED CHICKE 06/15/17 THOMAS LAW MEACHUM & STARCK 590 17WC 32313 MORGAN, RAYMOND CITY OF CHICAGO STREET AN 09/26/17 THE FITZ LAW GROUP 591 17WC 32333 MOORE, JOHN P WASTE CONNECTIONS INC 09/27/17 PARENTE & NOREM PC 592 17WC 32353 GOLDEN, CHRISTOPHER J. FORD MOTOR CO 02/04/16 CIARDELLI CUMMINGS CAMPAGN POWER & CRONIN LTD 593 17WC 34812 ROSALES, MONICA LAND O'FROST 11/14/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 17WC034813 -C 17WC036796 -C 17WC036797 -C 594 18WC 00239 DYBAS, JAMES UPS 10/02/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 595 18WC 00360 MORGAN, ROY BIMBO BAKERIES USA 12/12/17 CULLEN HASKINS NICHOLSON 596 18WC 00412 RUSS, ZIOMARA GRAND LUX CAFE, LLC/ 12/19/17 LAW OFFICE OF JAMES H MILL 597 18WC 00447 BARRETO, DENISE COOK COUNTY JUVENILE DETE 11/27/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 598 18WC 00486 VELAZQUEZ, NORMA PROPERTY MGMT EXPERTS, IN 10/20/17 KATZ FRIEDMAN EAGLE ET AL BRADY CONNOLLY & MASUDA PC 599 18WC 00507 SVACHIRE, KATHLEEN NORTHWEST COM HOSP 08/06/17 NEWLAND & NEWLAND 600 18WC 00602 JUAREZ, GRACIELA TJ MAXX OF IL, LLC 10/13/17 THE MACK LAW GROUP PC BRADY CONNOLLY & MASUDA PC 601 18WC 00649 SMOLAREK, STEVEN UNITED RENTALS 12/29/16 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 602 18WC 00665 BERNABE, MARCO ANTONIO PAY DAY, LLC 12/14/17 CHEPOV & SCOTT LLC KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 18WC 00685 CARMONA, OSCAR COLORADO PREMIUM 12/22/17 ENCINAS & ORNELAS 604 18WC 00775 SAITTA, ANTHONY NAVISTAR 07/26/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 605 18WC 00843 LICKO, JOSEPH EKLIND TOOL COMPANY 06/11/15 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 606 18WC 00867 CASTRO, ALBERTO MAPLE & SPROWL STEEL 12/27/17 SHEA LAW GROUP 607 18WC 00943 TARRALLO, ERIN B AMITA ADVENTIST 01/02/18 LAW OFFICE DAVID W CLARK RODDY LAW LTD 608 18WC 00967 BLACKMAN, TIFFANY DOLTON SD 149 12/14/17 SEIDMAN MARGULIS & FAIRMAN 609 18WC 00995 DIXON, ROSA SECURITAS SECURITY SERVIC 06/14/17 GALLAGHER, DONALD V STONE & JOHNSON CHARTERED 610 18WC 01035 ROBINSON, BEATRICE UNIVERSITY OF CHICAGO 10/27/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 611 18WC 01080 WILKINSON, TANYA MV TRANSPORTATION 10/19/17 LEE, MARK N LAW OFFICE 612 18WC 01114 AHMED, NASIR JEWEL FOOD STORES 11/09/17 EDWIN REYES LEGAL GROUP 613 18WC 01134 COKER, REID W ENTERTAINMENT PARTNERS 03/24/16 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 614 18WC 01158 WALTON, TEMEKA CHICAGO TRANSIT AUTHORITY 12/30/17 HERRERA LAW CENTER CHICAGO TRANSIT AUTHORITY 615 18WC 01184 HILL, KANESHIA COSTCO WHOLESALE 02/18/17 CHASE & WERNER LTD GANAN & SHAPIRO 616 18WC 01218 GONZALEZ, JOSEPH SCHMIDT STEEL INC 01/08/18 CORBOY & DEMETRIO PC QUINTAIROS PRIETO WOOD & BOY 617 18WC 01243 HERRERA, MARIA E ALPHA BAKING CO 12/08/17 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 618 18WC 01263 ALDRIDGE, STEVEN ADVANCED ELECTRICAL SYSTE 07/27/17 HEALY SCANLON LAW FIRM 619 18WC 01291 RODRIGUEZ, MELISSA SCHUBERT ELEMENTARY SCHOO 03/22/17 EDWIN REYES LEGAL GROUP 620 18WC 01350 COLLINS, MICHELLE UBER 01/01/18 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 18WC 01367 WALKER, TEMECA KURTZ AMBULANCE 01/03/18 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 622 18WC 01460 SAHULOUL, ZIEN TOP CAB CORPORATION 01/05/18 RONALDSON & KUCHLER 623 18WC 01479 SANTIAGO, ARNALDO CHICAGO TRANSIT AUTHORITY 01/12/18 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 624 18WC 01499 SILAS, BENNIE SNAK KING 11/10/17 CHARLES LEVY & ASSOC LTD 625 18WC 01560 MAHONEY, BRIAN UNIVERSITY OF ILLINOIS 10/24/17 SHANCER, JEFFREY M NYHAN BAMBRICK KINZIE & LOWR 626 18WC 01650 MINOR, WANDA SCR MEDICAL TRANSPORTATIO 12/20/17 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 627 18WC 01696 STAINE, MICHAEL INTERSPED INC D/B/A AMCAN 01/02/18 MCANANY VANCLEVE & PHILLIPS 628 18WC 01739 NICHOLS, DEMARCO IL DEPT OF TRANSPORTATION 09/13/17 HORWITZ HORWITZ & ASSOC 629 18WC 01766 HARRIS, LETONYA CHICAGO TRANSIT AUTHORITY 12/28/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 630 18WC 01813 HARPER, JAMES D JR HOUSING OPPURTUNITY 01/12/18 VITELL & SPITZ LTD 631 18WC 01859 WILLIAMS, KEVIN ALPHA BAKING 12/04/17 MARKER & ASSOCIATES 632 18WC 01910 MAHONEY, GERALD EVANS ELECTRIC 12/07/17 THE FITZ LAW GROUP MACIOROWSKI SACKMANN & ULRIC 633 18WC 01932 JENKINS, RAVEN CHIPOTLE MEXICAN GRILL 12/04/17 KATZ FRIEDMAN EAGLE ET AL 634 18WC 01956 LANDOS, PETE ALPS CONSTRUCTION 05/16/16 BAUM RUFFOLO & MARZAL LTD 635 18WC 01977 MELVIN, JOSHUA C AMBAR INC 12/06/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 636 18WC 01999 HOWARD, CHARLES CTA 01/05/18 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 637 18WC 02096 LUELLEN, RAY LISA UNIVERSITY OF ILL HOSPITA 01/16/18 THE ROMAKER LAW FIRM HEYL ROYSTER VOELKER & ALLEN 638 18WC 02116 NELSON, MARY UNITED AIRLINES INC 12/02/17 TAXMAN POLLOCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 18WC 02120 UKROPEN, BEVERLY GUSTO RESTAURANT 12/24/17 KROL BONGIORNO & GIVEN LTD 640 18WC 02145 ARANDA, JULIO PRIMARY STAFFING INC. 01/18/18 HERRERA LAW CENTER HENNESSY & ROACH PC 641 18WC 02188 NGUYEN, ROBERT MECH-TRONICS 09/06/17 EFTEKHARI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 642 18WC 02246 LENTINE, FRANK CITY OF CHICAGO 12/19/17 BRIAN J MC MANUS & ASSOC, CITY OF CHICAGO 643 18WC 02270 LAWRENCE, PHD, CHARLES IL DEPT OF VETERANS AFFAI 07/05/16 COHN & COHN ASSISTANT ATTORNEY GENERAL 644 18WC 02277 MIRANDA, AUSTEBERTO BH MANAGEMENT SERVICES LL 01/03/18 SANDMAN LEVY & PETRICH 645 18WC 02298 TERRY, GLENNA K COOK COUNTY CLERK'S OFFIC 11/08/16 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 646 18WC 02319 HAMILTON, MARCIA GAREDA HOME CARE SERVICES 11/07/17 COSTA IVONE LLC KEEFE CAMPBELL & ASSOC LLC 647 18WC 02374 MONTALBANO, MAYRA UNITED PARCEL SERVICE 12/21/17 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 648 18WC 02399 NATHAN, TIERA C APERION CARE CHICAGO HEIG 01/07/18 STEVEN J MALMAN & ASSOCIAT 649 18WC 02405 ROBERTSON, ELIZABETH AT HOME QUALITY CARE 01/11/18 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 650 18WC 02424 WALSH, MADELINE DELOITTE CONSULTING 06/19/17 HEALY SCANLON LAW FIRM 651 18WC 02439 MINGLEDOLPH-MARTIN, DEBRA SHEEHY MAIL CONTRACTORS I 01/07/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 652 18WC 02458 BERNARD, ALBERT VORTEX COMMERCIAL FLOORIN 11/16/17 COSTA IVONE LLC 653 18WC 02574 WATKINS, KEVIN CTA 01/23/18 MINKOW DOMIN CHICAGO TRANSIT AUTHORITY 654 18WC 02708 KOCHANSKI, SYLVIA CINTAS 01/07/18 LAW OFFICES TIMOTHY HENDER POWER & CRONIN LTD 655 18WC 02749 SANDERS, CLINTON ROBERTS PARK FIRE PROTECT 12/27/17 SAUNDERS CONDON & KENNY 656 18WC 02829 DIAZ, ELIAS SKYBRIDGE CONDOMINIUM ASS 01/13/18 BRIAN T MORROW, LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 18WC 02887 RICHARDSON, EARLENE CITY OF CHICAGO STREETS 01/16/18 CELSO FUENTES JR 658 18WC 02924 ROSENDO, CLAUDIO JD NEW CON & REMODELING & 12/18/17 JOHN J CASTANEDA 659 18WC 02945 STEWART, DONETTA CHICAGO PUBLIC SCHOOLS 01/10/18 LEONARD LAW GROUP LLC 660 18WC 02962 STEPHENS, DANA ARAMARK-NINA'S CAFE 10/25/17 DWORKIN AND MACIARIELLO 661 18WC 02985 MENDEZ, MARIBEL RONS STAFFING SERVICES 01/09/18 LAW OFFICE EDWARD RUEDA KOREY RICHARDSON LLC 662 18WC 03027 SUAREZ, JOSE WATER HOUSE TAVERN 12/23/17 TAXMAN POLLOCK GANAN & SHAPIRO 663 18WC 03051 PARRA, JESSE T UNIFIED CML LLC- G2K LOGI 12/03/16 HANNIGAN & BOTHA, LTD 664 18WC 03084 CANO, JAIME RODRIGUEZ ENCANTO TRANSPORT INC 01/20/18 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 665 18WC 03140 SMITH, LAVELLE D COOK COUNTY SHERIFF'S DEP 07/15/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 666 18WC 03174 JOHNSON, KARLONDA COOK CNTY DEPT OF CORRECT 09/13/17 RUBENS AND KRESS STATES ATTORNEY OF COOK COUN 667 18WC 03221 MANJARREZ, RAFAEL O'S DECORATING INC 10/26/17 COSTA IVONE LLC GANAN & SHAPIRO 668 18WC 03246 CASTILLO, EFRAIN LAKESHORE RECYCLING 01/19/18 RATHBUN CSEVENYAK & KOZOL RODDY LAW LTD 669 18WC 03345 AGUIRRE, NOE DAMASO HILTON WORLDWIDE, INC 07/17/17 ANKIN LAW OFFICE 670 18WC 03371 ARIAS, JOSE JUAN DHALIWAL LABS IL LLC 06/01/17 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 671 18WC 03414 SULAN, MARK BROOKFIELD ZOO 07/24/16 MC HARGUE & JONES EDWARD J. KOZEL 672 18WC 09917 CHARBONNIER, MARCELLINA HOME INSTEAD SENIOR CARE 01/18/17 RAYMOND M SIMARD, PC GANAN & SHAPIRO 673 18WC 09935 BROWNLOW, MELISSA ACCURATE PERSONNEL LLC 09/27/17 DWORKIN AND MACIARIELLO 674 18WC 09978 COLLAZO, EDWARD BANNER ACADEMY 04/24/17 COHN LAMBERT RYAN & SCHNEI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 18WC 10044 TOVAR, SALVADOR GARCIA COBRA CONCRETE CUTTING SE 06/19/14 COSTA IVONE LLC 676 18WC 10114 KINDLE, JAMES E COCA-COLA 09/27/17 DAVID W MARTAY 677 18WC 10145 MC MILLON, BOBBY COOK COUNTY JUVENILE 01/09/18 ALEKSY BELCHER STATES ATTORNEY OF COOK COUN 678 18WC 10163 REMEZAS, PAUL SOUTHWEST AIRLINES 02/17/18 ROGER D RUDICH LTD 679 18WC 10205 DAVIS, TRACY NOVA STAFF HEALTHCARE SER 02/15/18 ANKIN LAW OFFICE 680 18WC 10264 URBANSKI, DANIEL JEWEL OSCO 03/02/16 JOSHUA KARMEL 681 18WC 10291 SCHAFFER, JEREMIAH HOLLANDER STORAGE & MOVIN 09/25/17 STROM, NEAL B HENNESSY & ROACH PC 682 18WC 10328 COLESIO, ARTURO C ALTERNATIVE STAFFING 12/05/17 STEVEN J MALMAN & ASSOCIAT SLAVIN & SLAVIN 683 18WC 10369 STEVERSON, JANET CONTINENTAL LOGISTICS 02/12/18 STANCZAK LAW OFFICES MCANANY VANCLEVE & PHILLIPS 684 18WC 10417 WRIGHT, PHILLIP NORTHSHORE UNIVERSITY HEA 02/27/18 DWORKIN AND MACIARIELLO 685 18WC 10434 RODRIGUEZ, ANTONIO RAHCO RUBBER 03/01/18 CHASE & WERNER LTD 686 18WC 10459 MOTLEY, STEVEN CTA 02/08/17 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 687 18WC 10520 HERNANDEZ, SENONA TOMMY BAHAMA 03/08/18 STROM, NEAL B 688 18WC 10548 AGUIRRE, ROMUALDO JUSTICE FRESH MARKET 09/01/17 EPSTEIN, JACK R LAW OFFICE 689 18WC 10559 ADERMAN, MARY HELP AT HOME 10/30/17 STEVEN A CRIFASE, LTD 690 18WC 10597 ALAYAH, AHMED AMERICAN ACCORD FOOD CORP 02/08/18 ROBERT WARSASKI 691 18WC 10625 VALDEZ, JUAN SOUTHWEST AIRLINES 11/22/17 ELFENBAUM EVERS & AMARILIO 692 18WC 10646 RANDLE, LESLIE ALC TRANSPORTATION 03/22/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 18WC 10688 BAYRAK, ERDAL PEOPLES AUTO PARKING, INC 01/12/18 RICHARDS & MARSH 694 18WC 10721 AKERS, EVAN PLEASANTVIEW FIRE PROTECT 03/01/17 RIDGE & DOWNES 695 18WC 10746 KOSUR, JOSEPH LAKESHORE BEVERAGE 01/30/18 HEALY SCANLON LAW FIRM ACCIDENT FUND HOLDINGS 696 18WC 10772 DIFILIPPO, JOHN P CPS 12/08/17 JOSEPH T. KASIAK 697 18WC 10806 TOLEDO, TONY CHICAGO GRINDING & MACHIN 11/18/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 698 18WC 10833 HERNANDEZ, ASHLEY LONGHORN STEAKHOUSE 03/01/18 DWORKIN AND MACIARIELLO 699 18WC 10891 NAM, JULIA PRESENCE ST FRANCIS HOSPI 06/12/17 FISHER & LAMONICA NYHAN BAMBRICK KINZIE & LOWR 700 18WC 10922 SLATER, MICHAEL ANN & ROBERT H LURIE 02/23/18 CORBOY & DEMETRIO PC KEEFE CAMPBELL & ASSOC LLC 701 18WC 10955 HERNANDEZ, DAGOBERTO ROTEC INDUSTRIES 01/22/18 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 702 18WC 10975 ASH, PATRICIA A FRIENDSHIP VILLAGE 01/15/18 LEAHY, JAMES P 703 18WC 10990 ALLEN, WILLIE ALPHA BAKING 04/05/18 COVEN LAW GROUP 704 18WC 11033 LATRONICO, GLENN IL STATE POLICE 09/21/15 COLLISON LAW OFFICES 705 18WC 11150 VALENTI, DINO CITY OF CHICAGO 03/16/18 SALVATO & O'TOOLE 706 18WC 11184 PHELAN, MARY PRINTING ARTS 07/27/17 PARENTE & NOREM PC LAWRENCE COZZI - LAW OFFICES 707 18WC 11210 MAYA AVILA, DAVID RAHCO RUBBER, INC 11/20/17 SALGADO, DAVID L 708 18WC 11230 COLLINS, AJA POPEYES 03/26/18 LEONARD LAW GROUP LLC 709 18WC 11271 ARITZMENDY, BENJAMIN DAVID PORMAN 03/07/18 710 18WC 11400 HRUBY, VIOLET FEDEX 01/12/18 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 18WC 11431 ROMAG, BRANDI ARLINGTON HEIGHTS POLICE 02/27/18 MEYERS & FLOWERS POWER & CRONIN LTD 712 18WC 11470 CHAUDHRY, ZAFAR YELLOW CAB 08/19/17 STEPHAN L. HOFFMAN 713 18WC 11498 FURDGE, CAROLINE LIFECARE HOME SOLUTION 01/20/18 DWORKIN AND MACIARIELLO 714 18WC 11556 HERNANDEZ, DAVID LACAVA LLC 04/09/18 MC HARGUE & JONES JOSEPH MARCINIAK 715 18WC 11569 THOMAS, MORGAN CTA 11/03/17 FOHRMAN, DONALD W & ASSOCS 716 18WC 11586 CLARK, DAVID ACCURATE PERSONNEL 03/20/18 BRISKMAN BRISKMAN GREENBER JOHN T GONNELLA 717 18WC 11606 TAYLOR, WANDA FORD MOTOR COMPANY 12/03/17 HERRERA LAW CENTER 718 18WC 11621 MARTINEZ, ANASTACIA HELP AT HOME, INC 04/05/18 MINKOW DOMIN HENNESSY & ROACH PC 719 18WC 11641 RODRIGUEZ, MARICELA COOK COUNTY STATE'S ATTOR 01/26/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 720 18WC 11661 ZABIEGA, EDWARD CHICAGO CONTRACTOR'S SUPP 04/09/18 KAT0Z FRIEDMAN EAGLE ET AL 721 18WC 11680 CARRILLO, DIEGO CHICAGO TRANSIT AUTHORITY 04/06/18 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 722 18WC 11714 MURPHY, DAVID T ENWAVE CHICAGO 01/29/18 GALLIANI DOELL & COZZI LTD 723 18WC 11747 CASTON, CORINTHIA SPEED SEJA SD #802 03/01/18 ROSENBERG EISENBERG ASSOC 724 18WC 11787 CHAMBLISS, DERRAN AMERICAN QUEST STAFFING 04/12/18 DWORKIN AND MACIARIELLO ELMER JENKINS 725 18WC 11805 HILL, ROBERT V RYDER LOGISTICS 01/06/18 RANDOLPH GREUNE LAW OFFICE 726 18WC 11819 FARAH, IRENE MACY'S, INC 09/02/17 RUBIN MACHADO ROSENBLUM 727 18WC 11876 TARASCHEWSKY, MONIKA ALLSTATE 01/17/18 JOHN E LUSAK 728 18WC 11913 ESTRADA, ERNESTO TERROIR, INC 11/13/17 BUDIN LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 18WC 11928 LOPEZ, ANA WHITE LODGING 10/01/17 JONAT0HAN SCHLACK 730 18WC 11957 BATTS, MICHAEL CITY OF CHICAGO 04/16/18 FOHRMAN, DONALD W & ASSOCS 731 18WC 12007 MADISON, JEFF FORD MOTOR CO 04/04/18 SEIDMAN MARGULIS & FAIRMAN 732 18WC 12028 STENSON, KEVIN SUTTON FORD 04/16/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 733 18WC 12065 BRIEMMER, STEWART M ABF FREIGHT 04/05/18 FIGLIOLI, DAVID KEEFE CAMPBELL & ASSOC LLC 734 18WC 12088 REYNA, RICARDO TESTA PRODUCE, INC 03/09/18 BAUM RUFFOLO & MARZAL LTD 735 18WC 12102 BROWN, KHATARA AT&T 02/23/18 VRDOLYAK LAW GROUP LLC 736 18WC 12123 JOHNSON, TEDDY TRITON LOGISTICS INC 01/05/18 RICHARD O. GREENFIELD MCANANY VANCLEVE & PHILLIPS 737 18WC 12156 COLLETTI, MICHAEL THORTON TOWNSHIP HS 01/18/18 SCHWEICKERT & GANASSIN 738 18WC 12206 GUIDONE, JAMES R CHICAGO TRANSIT AUTHORITY 11/28/17 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 739 18WC 12225 HURSON, MARK LANSING CUT STONE 02/06/18 O'CONNOR & NAKOS 740 18WC 12240 COFFIE, KAMILLE BROOKDALE SENIOR LIVING 04/18/18 THOMAS E HILDEBRAND 741 18WC 12259 BARAJAS, ANGEL SAGER SEALANT CORPORATION 11/27/17 COSTA IVONE LLC HENNESSY & ROACH PC 742 18WC 12277 OWENS, VARNARDO SHERIDAN PLUMBING & SEWER 12/29/16 JAMES ELLIS GUMBINER & ASS 743 18WC 12292 OSBORN, RICHARD BIO PACKAGING FILMS 06/23/17 SCOTT B SHAPIRO 744 18WC 12306 TEMCHENKO, OLGA SAKS FIFTH AVENUE 02/20/18 VRDOLYAK LAW GROUP LLC ROSARIO CIBELLA 745 18WC 12328 MCDONALD, KENNETH CTA 04/11/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 746 18WC 12361 GIANNOUTSOS, KRISTINA EDGEBROOK HOSPITAL 04/16/18 MC HARGUE & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 18WC 12421 WESLEY, MARTY J EQUIPMENT DEPOT OF IL INC 04/11/17 CULLEN HASKINS NICHOLSON 748 18WC 12441 MELTON, YVETTE CHICAGO PARK DIST LANDSCA 04/12/18 DWORKIN AND MACIARIELLO CHICAGO PARK DIST LAW DEPT 749 18WC 12461 MONTGOMERY, CHESTER HAYES BEER DISTRIBUTING C 09/04/14 LEONARD LAW GROUP LLC RODDY LAW LTD 750 18WC 12500 ABDELHAMID, ALAALDIN BESTWAY LOGISTICS INC 02/06/18 GORDON LAW OFFICES LTD GRANT & FANNING 751 18WC 12522 MEALING, LUCIOUS JR. EVERGREEN REALESTATE SVCE 04/21/18 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 752 18WC 12549 HEALY, JODY INGALLS HOSPITAL 10/03/16 SLAVIN & SLAVIN 753 18WC 12576 WEBB, JAMERSON JEWEL FOODS 02/16/18 SEIDMAN MARGULIS & FAIRMAN 754 18WC 12581 JENKINS-BLANEY, IVORY CITY OF CHICAGO 04/02/18 WILLIAM MARTAY 755 18WC 12629 DELGADO, RAMON PEREZ SURE-STAFF, INC. 03/21/18 STANCZAK LAW OFFICES LOUIS MUNDY 756 18WC 12660 RAMIREZ, MAURICIO FOGO DE CHAO 03/24/18 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 757 18WC 12689 HOWARD, MELLA ADVANCED DISPOSAL 05/23/16 GERALD CONNOR INMAN & FITZGIBBONS 758 18WC 12718 WASHINGTON, RUBY FORD MOTOR COMPANY 01/09/18 KAT0Z FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 759 18WC 12745 ANTHONY, WILLIAM WALSH CONSTRUCTION 03/22/18 O'CONNOR & NAKOS 760 18WC 12806 MENDOZA, SANDRA G MSC INDUSTRIAL 02/05/18 MAT0TEO RAGO & ASSOC ROBERT L. SMITH 761 18WC 12823 DAILIDAS, JOANNA AMERICAN AIRLINES 02/02/16 TURCYCHUTE LLC 762 18WC 12854 RAMIREZ, ROCIO UNITED SERVICE CO, INC 03/24/18 STEVEN J TENZER, LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 763 18WC 12882 FRASHER, KIM ZENON J SKYUTA ELEMENTARY 04/16/18 ARGIONIS & ASSOCIAT0ES LLC 764 18WC 12914 CISZEK, TIMOTHY STAR THERMOPLASTIC ALLOYS 09/18/17 LUCAS & APOSTOLOPOULOS KEEFE CAMPBELL & ASSOC LLC 18WC012915 -C 765 18WC 12935 WILLIAMS, CYNTHIA JOHN STROGER HOSPITAL 02/20/18 GERALD CONNOR STATES ATTORNEY OF COOK COUN 766 18WC 12984 MACK, SHARON COUNTRY CLUB HILLS DIST # 03/15/17 GOLDBERG WEISMAN & CAIRO L MEACHUM & STARCK 767 18WC 13007 BROWN, CAMILLE JB HUNT TRANSPORT SVCS 03/22/18 STROM, NEAL B 768 18WC 13020 BASA, ARVEY UNITED AIRLINES, INC 04/13/18 GREGORIO & MARCO 769 18WC 13039 MACARTHUR, DAVID CERTIFIED ELECTRIC SOLUTI 04/16/18 ANKIN LAW OFFICE 770 18WC 13058 RUSSELL, LARRY HOSTESS BAKERY 04/03/18 DAVID W MARTAY 771 18WC 13075 BLACK, TROY JR. ILLINOIS STATE POLICE @ 04/07/18 STEVEN M SELAN DANIELLE CURTISS 772 18WC 13102 STEVENSON, MARCELIS TITIANIC FURNITURE INC 04/25/18 DWORKIN AND MACIARIELLO 773 18WC 13137 TOVAR, JAIME HARD SURFACE FINISHERS 02/23/18 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 774 18WC 13161 MAYO, ERIC FED EX - O'HARE * 10/31/17 BAUM RUFFOLO & MARZAL LTD 775 18WC 13181 SCHWARTZ, CINDY BARID & WARNER REAL ESTAT 03/16/18 MC HARGUE & JONES EDWARD J. KOZEL 776 18WC 13229 MEDALIS, BRANDON R & L CARRIERS 03/01/18 DUDLEY & LAKE LLC KEEFE CAMPBELL & ASSOC LLC 777 18WC 13274 LOBO, CLARE MARIANO FRESH MARKET/KROG 08/08/17 JOSHUA KARMEL 778 18WC 13324 MC ADAMS, JACK ENTERPRISE RENT-A-CAR 04/19/18 VITELL & SPITZ LTD KEEFE CAMPBELL BIERY & ASSOC 779 18WC 13356 HARPER, LATINA (GUARDIAN) EXCEL AMBULANCE SERVICE # 03/31/18 STROM, NEAL B 780 18WC 13409 VANKO II, EUGENE W SENG DRIVER SOLUTIONS 04/16/18 THERMAN LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 781 18WC 13435 BURNETT, JACQUELINE BELLHAVEN NURSING HOME 04/24/18 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 782 18WC 13456 ARTHUR, DARRYL EUGENE STAELLITE AIR-LAND MOTOR 02/09/18 ROSS TYRRELL GANAN & SHAPIRO 783 18WC 13484 ROMAN, GILBERTO FORD MOTOR COMPANY 04/16/18 KREITER, BYCK & ASSOC LLP 784 18WC 14598 THEODOZIO, WILLIAM UNITED AIRLINES * 06/04/16 FRANCIS J DISCIPIO LAW OFF NYHAN BAMBRICK KINZIE & LOWR 785 18WC 17081 MC KINNEY, TERESSA CITY OF CHICAGO * 01/26/18 DAVID W MARTAY CITY OF CHICAGO 786 18WC 19651 HOUSTON-CARSON, DEANDRE CHICAGOBEARS FOOTBALL CLU * 11/19/17 GORDON LAW OFFICES LTD 787 18WC 19688 GRAY, ANGELA CTA * 06/06/18 DANIEL PERIASWAMY CHICAGO TRANSIT AUTHORITY 788 18WC 19773 GUASTAFERRO, TIM CABELA'S * 11/23/15 FOOTE MIELKE CHAVEZ O'NEIL 789 18WC 19794 SIUTA, MAREK KLOECKNER METALS * 09/14/17 JACKOWIAK LAW OFFICES 790 18WC 19831 HARRELSON, DAWN JEWEL FOOD STORES * 12/17/17 RODDY LAW LTD 791 18WC 19860 CAMACHO, JUANA C ELK GROVE LODGING LLC * 10/26/15 JONATHAN SCHLACK 792 18WC 19889 GORDON, GAIL CITY OF CHICAGO- FINANCE * 05/29/18 EDWIN REYES LAW FIRM 793 18WC 19937 THOMAS, CHRISTOPHER JEWEL * 06/15/18 LANNON LANNON & BARR LTD 794 18WC 19962 PONCE, HECTOR OSI INDUSTRIES, LLC * 01/13/17 STEVEN A CRIFASE, LTD 795 18WC 20003 THOMAS, CHARLENE TACO BELL * 06/17/18 LEONARD LAW GROUP LLC 796 18WC 20018 BELSANTI, ANTHONY UNITED AIRLINES INC * 06/12/18 RICHARD O. GREENFIELD 797 18WC 20063 WHITE, FELICIA COURTYARD HEALTHCARE * 05/29/18 STEVEN H MEVORAH & ASSOCIA 798 18WC 20097 LABUS, MELISSA PRUDENTIAL * 03/19/18 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 799 18WC 20130 BENITEZ, JESSICA ACCURATE PERSONNEL * 06/19/18 COSTA IVONE LLC 800 18WC 20172 CLARK, STACY L NCH CORP DBA CERTIFIED * 06/08/18 BUDIN LAW OFFICES 801 18WC 20203 MCGEE, LASHAWN SOUTHSHORE HOSPITAL * 05/14/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 802 18WC 20229 OLSEN, JOHN S & C ELECTRIC COMPANY * 07/27/17 STROM & ASSOC MACIOROWSKI SACKMANN & ULRIC 803 18WC 20270 MILLER, JANELLE COOK COUNTY * 04/21/18 LEO ALT 804 18WC 20317 ORR, LISA AMERICAN EAGLE AIRLINES/ * 06/27/18 SHELDON I MINKOW & ASSOCIA 805 18WC 20372 BARRERA, LILIANA SSP AMERICA MDW, LLC * 07/07/18 SOSTRIN AND SOSTRIN PC 806 18WC 20417 POLSTER, MATT CHICAGO FIRE SOCCER CLUB * 02/01/17 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 807 18WC 20437 NIANG, GEORGETTA SHERWIN WILLIAMS * 07/06/18 LEONARD LAW GROUP LLC 808 18WC 20456 CLIFFINS, MARILYN INGALLS MEMORIAL HOSPITAL * 06/26/18 JAMES ELLIS GUMBINER & ASS 809 18WC 20476 HERNANDEZ, MARTIN CHICAGO REVIEW PRESS- PUL * 11/10/17 EPSTEIN, JACK R LAW OFFICE 810 18WC 20512 HUNTER, SHIRLEY COVENANT HEALTHCARE SVCS * 06/08/18 KATZ FRIEDMAN EAGLE ET AL 811 18WC 20528 NUNEZ, DIANA CHICAGO TRANSIT AUTHORITY * 06/18/18 ROGER D RUDICH LTD ROGER D RUDICH LTD 812 18WC 20536 ROCCO, THOMAS CITY OF CHICAGO * 11/29/17 VRDOLYAK LAW GROUP LLC 813 18WC 20560 DESPARROIS, WILLIAM CENTRAL STEEL & WIRE CO * 10/11/17 COSTA IVONE LLC 814 18WC 20601 LAMAS, RICARDO AT&T PRIME COMMUNICATIONS * 07/04/18 TIMOTHY HENDERSON 815 18WC 20632 REED, DYLAN MC DONALD'S * 06/19/18 GALLAGHER, DONALD V 816 18WC 20648 FAVELA, HILARIO SKOKIE MOTOR SALES, INC * 04/10/17 COYNE REINKE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 817 18WC 20668 PELECH, MARK SOUTH SUBURBAN COLLEGE * 04/25/17 STEVEN A CRIFASE, LTD 818 18WC 20693 PEREZ RODRIGUEZ, ROSA ELB ATLAS EMPLOYMENT SERVICES * 05/14/18 STEVEN B SALK & ASSOC LTD 819 18WC 20712 BARLOW, SHANTINA FEDEX GROUND * 06/27/18 ANGELINI & ORI LLC 820 18WC 20776 BAKER, BRITTNEY SEARCH INC * 05/14/18 POSTERLI, OSCAR 821 18WC 20831 SANCHEZ, MARIA MSC INDUSTRIAL SUPPLY CO * 05/14/18 MILLON & PESKIN LTD 822 18WC 20849 ADAMS, SCOTTY L NORTHWEST EXPRESS INC * 02/13/18 ANKIN LAW OFFICE 823 18WC 20864 ABBOTT, TERESA C UNITED AIRLINES * 07/06/16 CULLEN HASKINS NICHOLSON 824 18WC 20920 MC KENZIE, EDDIE ZF LEMFORDER * 06/03/18 LANNON LANNON & BARR LTD 825 18WC 20958 MOORE, DERRICK D HARVEY CITY POLICE DEPT * 07/08/18 VITELL & SPITZ LTD 826 18WC 20984 MERAZ, MIGUEL AMS SOLUTIONS, INC * 05/17/18 KARCHMAR & STONE 827 18WC 20995 WASHINGTON, GERALD IL DEPT OF TRANSPORTATION @ * 06/27/18 BOWMAN & CORDAY 828 18WC 21010 ENESSY, YAKUBU MEN'S WEARHOUSE * 03/12/18 GALLAGHER, DONALD V 829 18WC 21045 RIVERA, EDGAR ALL 1 STAFAFING,INC * 07/02/18 OSVALDO RODRIGUEZ PC POWER & CRONIN LTD 830 18WC 21099 PALMA, JESUS ENGLANDER BEDDING CO * 07/10/18 THE MACK LAW GROUP PC 831 18WC 21132 OROZCO, ELISEO LSI STEEL DIVISION * 07/10/18 ANGELINI & ORI LLC 832 18WC 21145 RUIZ, ANDRE CHICAGO TRANSIT AUTHORITY * 01/03/18 CUDA LAW OFFICES CHICAGO TRANSIT AUTHORITY 833 18WC 21167 OCHOA, HERNANDO THORNE ASSOCIATES, INC. * 05/10/16 HORWITZ HORWITZ & ASSOC 834 18WC 21237 MANGAN, JOHN CROWN ENERGY SERVICES * 01/03/18 HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 835 18WC 21268 WARRENSFORD, DANIEL E MORTON GROVE POLICE DEPAR * 10/16/17 BARRY A KETTER BRYCE DOWNEY & LENKOV LLC 836 18WC 21284 WILLIAMS, BEVERLY CITY OF PALOS HILLS * 05/09/17 NYHAN BAMBRICK KINZIE & LOWR 837 18WC 21306 LUCERO, FERNANDO VILLAGE OF BELLWOOD POLIC * 01/30/18 MORICI FIGLIOLI & ASSOC 838 18WC 21335 CHOLIPSKI, JUDITH THE HOME DEPOT * 06/05/18 BERG & BERG ADELSON TESTAN BRUNDO 839 18WC 21353 CUNNINGHAM, GLOSCEENE WEST MINISTER PLACE * 06/29/18 HILL, M JOSEPH 840 18WC 21378 TURNAGE, SHIRLEY COOK COUNTY FOREST PRESER * 06/25/18 DWORKIN AND MACIARIELLO 841 18WC 21399 PALENICA, STEVE VILLAGE OF CALUMET PARK * 07/12/18 STROM & ASSOC 842 18WC 21407 BREWSTER, PAUL CITY OF CHICAGO 06/25/15 CAPRON & AVGERINOS PC CITY OF CHICAGO 843 18WC 21434 GARIBAY, LILIA ACCESS COMMUNITY HEALTH N * 07/09/18 HETHERINGTON KARPEL BOBBER WOLFE & JACOBSON, LTD 844 18WC 21509 MOORE, GUISEPEE LONG BEAN FARMS * 07/13/18 DWORKIN AND MACIARIELLO 845 18WC 21526 CHAVEZ, ADRIAN JOSEPHINE'S CONSTRUCTION, * 06/18/18 JOHN S. ELIASIK 846 18WC 21555 MIRANDA, CONRADO SURESTAFF INC - MELROSE * 05/30/18 BAUM RUFFOLO & MARZAL LTD LOUIS MUNDY 847 18WC 21582 DIALLO, KADIATOU UNITED AIRLINES * 06/28/18 ANGELINI & ORI LLC 848 18WC 21594 FINNEY, LEONARD TYSON FOODS * 05/21/18 JAMES ELLIS GUMBINER & ASS 849 18WC 21650 EDWARDS, BRIAN E INTERNATIONAL PAPER CO * 07/09/18 VITELL & SPITZ LTD 850 18WC 21675 RUELAS, EDUARDO LUCKY 2 LOGISTICS, LLC * 02/21/18 PETER D CORTI LAW GROUP 851 18WC 21696 MCKNIGHT, KRISTA CTA * 07/14/18 SALVATO O'TOOLE FROYLAN CHICAGO TRANSIT AUTHORITY 852 18WC 21735 LOPEZ, SERGIO JR BLUE DOOR FARM STAND * 05/19/18 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 853 18WC 21786 ALSUP, JAMES NEW LIFE COVENANT SOUTH E * 06/14/18 MC HARGUE & JONES 854 18WC 21805 COPELAND, ZETTIE JOHN H STROGER JR HOSPITA * 06/20/18 LEONARD LAW GROUP LLC 855 18WC 21864 HOWARD, L.B. UNITED AIRLINES * 01/27/18 BUDIN LAW OFFICES 856 18WC 21882 SWANSON, LAURA UNITED CONTINENTAL HOLDIN * 06/28/18 EAMES LAW GROUP LTD 857 18WC 21928 STEWART, TOM E CITY OF CHICAGODEPT OF * 06/24/18 KATZ FRIEDMAN EAGLE ET AL 858 18WC 21943 KELLY, WILLIAM MAXWELL BATISTE CONSTRUCT * 05/30/18 CULLEN HASKINS NICHOLSON 859 18WC 21965 LEE, KEVIN FEDEX * 06/16/18 LEONARD LAW GROUP LLC 860 18WC 21990 DIAZ, FILEMON ALPHA BAKING CO. INC. * 08/16/17 HERRERA LAW CENTER 861 18WC 22027 BERNAU, JAMES ALLIED ELECTRIC * 01/11/18 AMATO SHEEN & MAJER 862 18WC 22069 SAMUELS, TAKYNA K UNITED PARCEL SERVICE, IN * 06/02/18 ANKIN LAW OFFICE 863 18WC 22093 JONES-MURRY, KENYATTA HARVARD COLLECTION SVCS * 07/13/18 JEROME FOREMAN & ASSOCIATE 864 18WC 22111 LUNA, JOSE OFFICE DEPOT * 06/22/18 VASILATOS & COTTER LLC 865 18WC 22131 WISNIEWSKI, ARTUR BROKEN GLASS, INC. * 12/21/15 DWORKIN AND MACIARIELLO 866 18WC 22152 BEST, PEARLIE MCNEAL HOSPITAL * 07/07/16 HENNESSY & ROACH PC 867 18WC 22175 FUENTES, GUSTAVO AUTHENTIC BRANDS CHICAGO * 07/17/18 GRAZIAN & VOLPE PC 868 18WC 22193 WINOKOOR, NANCY UNITED CONTINENTAL HOLDIN * 06/26/18 BRIAN J MC MANUS & ASSOC, 869 18WC 22236 STARK, GEORGE BILGER CORPORATION * 03/22/18 SALVATO O'TOOLE FROYLAN 870 18WC 22259 JONES, JOSHUA FED EX * 02/12/18 VASILATOS & COTTER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 871 18WC 22303 UDOGU, HENRY NEWLY WEDS FOODS OMC * 07/12/18 ANGELINI & ORI LLC 872 18WC 22329 SMITH, CATHRINE WALGREENS * 07/17/18 DAVID W MARTAY 873 18WC 22361 ROSA, SERGIO A LEITELT BROTHERS INC * 07/18/18 ANKIN LAW OFFICE 874 18WC 22405 SIAD, BURHAN HAE P INC * 05/05/18 FISHER & LAMONICA 875 18WC 22433 WILLIAMS, MAURICE D JR CARL BUDDIG & CO * 07/13/18 ANKIN LAW OFFICE 876 18WC 22473 MOSES, ALESIA ARDAGH GLASS INC * 06/03/18 HETHERINGTON KARPEL BOBBER 877 18WC 22494 JOHNSON, SARAH HILTON CHICAGO * 07/16/18 COSTA IVONE LLC 878 18WC 22502 SIMON, THOMAS E VILLAGE OF WILMETTE * 12/01/16 THOMAS W DUDA 879 18WC 22518 PRYBIL, MICHAEL CHICAGO TRANSIT AUTHORITY * 07/09/18 LANNON LANNON & BARR LTD 880 18WC 22536 DURRELL, JASMINE CARL BUDDIG & COMPANY * 03/01/18 GALLAGHER, DONALD V 881 18WC 22562 CANCHOLA, TOMAS SHERWIN WILLIAMS * 02/23/17 RUEDA, IVAN A 882 18WC 22576 ARNDT, MATTHEW FORD MOTOR COMPANY * 08/17/16 KATZ FRIEDMAN EAGLE ET AL 883 18WC 22602 BARKER, MELISSA CTA * 07/29/18 TIMOTHY HENDERSON 884 18WC 22629 YOUSEF, KHALID ANTHONY'S COAL FIRED PIZZ * 01/20/18 DWORKIN AND MACIARIELLO 885 18WC 22648 JONES, RICHARD SOUTHVIEW MANOR * 07/27/18 ANKIN LAW OFFICE 886 18WC 22671 BANNISTER, TASHARA CNTR HOME FOR HISPANIC EL * 04/11/18 BRISKMAN BRISKMAN GREENBER 887 18WC 22714 ARREGUIN, GLORIA TRIBUNE DIRECT * 06/27/17 LEONARD LAW GROUP LLC 888 18WC 22760 POTTER, THOMAS H SCHOOL DISTRICT U-46 * 12/01/17 MEYERS & FLOWERS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 09/06/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 889 18WC 22779 WALKER, LATANYA COOK COUNTY JUVENILE DETE * 02/16/18 STEVEN J TENZER, LTD 890 18WC 22827 ZOLTEK, ADAM NILE SPOLISH DELI INC * 07/23/18 GOLDSTEIN BENDER & ROMANOF 891 18WC 22936 GARCIA, ALEJANDRO AA PALLETS * 05/15/18 PETER D CORTI LAW GROUP 892 18WC 22950 DEGEN, JEFF RICOH * 05/01/17 DANIEL C.TRUESDALE 893 18WC 22968 HANDY, CARMELITA AMAZON * 06/06/18 DWORKIN AND MACIARIELLO 894 18WC 22989 MOORE, CHRISTOPHER WENDY'S * 04/13/18 ANKIN LAW OFFICE 895 18WC 23008 HERNANDEZ, RUBEN CORTINA TOOL & MOLDING CO * 04/02/18 HETHERINGTON KARPEL BOBBER 896 18WC 23029 BUICAN, BRANDON AMERICAN AIRLINES * 07/17/18 SAUNDERS CONDON & KENNY 897 18WC 23055 SINGLETON, KENONER PARKSHORE ESTATES * 04/03/18 JACKOWIAK LAW OFFICES