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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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 11WC 01167 GARZA, NOE CITY OF CHICAGO 12/06/10 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 15 11WC 03575 CALDERON, ROSA ASPEN FOODS 11/23/10 STANCZAK LAW OFFICES INMAN & FITZGIBBONS 12WC004791 -C 12WC028617 -C 16 11WC 04806 MORRIS, JEFFERY CITY OF CHICAGO-DEPT OF S 01/19/11 COYNE REINKE LAW CITY OF CHICAGO 13WC000078 -C 17 11WC 05647 SOLIS, AURORA EL HOGAR DEL NINO 05/07/10 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 18 11WC 19042 ZABOR, DENNIS P ESTES EXPRESS LINES 09/07/07 LAWRENCE A SCORDINO WIEDNER & MCAULIFFE LTD 19 11WC 21023 MOSLEY, EDWARD J CITY OF CHICAGO 11/04/11 STEVEN J SEIDMAN LAW OFFIC CITY OF CHICAGO 11WC039672 -C 13WC000592 -C 20 11WC 26319 HARRIS, SHANELL FAMILY DOLLAR 07/05/11 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 12WC012563 -C 15WC009130 -C 21 11WC 27053 SHABAZZ, ABU DOLLAR GENERAL 06/29/11 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 22 11WC 32188 LA JOY, RICHARD II CITY OF EVANSTON 12/09/10 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 13WC017960 -C 23 11WC 37985 SMITH, DONALD SR CITY OF CHICAGO 05/04/11 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 11WC037986 -C 11WC037987 -C 14WC013749 -C 14WC023154 -C 24 11WC 39334 GONZALEZ, ROSSARIO LABOR NETWORK INC 09/26/11 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 12WC021379 -C 13WC011843 -C 25 11WC 42495 THOMAS, JEFFREY T & T FOOD SERVICE 10/04/11 MICHAEL P MCCREADY & ASSOC GANAN & SHAPIRO 26 11WC 44527 SEMETIS, LAWRENCE F ROOFS INC 08/17/11 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 11WC 44870 ADIBU, GEORGE CHICAGO CARRIAGE CAB CORP 10/31/11 POMPER & GOODMAN STONE & JOHNSON CHARTERED 28 12WC 00266 SMITH, EDGAR CITY OF CHICAGO 10/30/11 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 12WC022763 -C 12WC022764 -C 29 12WC 12264 LOPEZ, IRMA ED MINIAT INC 02/10/12 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 30 12WC 16851 SKWARCZYK, JANICE PALOS COMMUNITY HOSPITAL 04/16/12 JOSEPH G HAFFNER LAW OFFIC LORENZ & BERGIN PC 31 12WC 17015 19B CASAS, TONY CITY OF CHICAGO-DEPARTMEN 04/17/12 FIGLIOLI, DAVID CITY OF CHICAGO 32 12WC 18316 CASARRUBIAS-VELASCO, MARI UIC MEDICAL CENTER 08/17/11 ELFENBAUM EVERS & AMARILIO HEYL ROYSTER VOELKER & ALLEN 33 12WC 18666 WILFORE, BLANCHE UNITED AIRLINES INC. 09/02/11 JAMES P. TUTAJ WIEDNER & MCAULIFFE LTD 34 12WC 19732 IVORY, JOHNNY JR UNIVERSITY OF IL POLICE D 03/06/12 CHRISTIAN & MANNO NYHAN BAMBRICK KINZIE & LOWR 35 12WC 24018 19B GALDAMEZ, JUANA E ENAMELED STEEL & SIGN CO 05/23/12 ACEVES & PEREZ PC HENNESSY & ROACH PC 36 12WC 24161 SOLANO, ANGEL H EDURADO ALVAREZ INDIV & D @ W 06/28/12 VITELL & SPITZ LTD 37 12WC 24417 VILLALOBOS, GREGORIA CORNERSTONE CLEANERS W 06/25/12 LUIS A ACEVES & ASSOC DWYER AND COOGAN 38 12WC 25838 ELLIS, KATHERIS CITY OF CHICAGO 02/06/12 ANKIN LAW OFFICE CITY OF CHICAGO 15WC014471 -C 39 12WC 26295 MORAN, WILLIAM OPC COMMUNICATIONS INC 06/13/12 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 40 12WC 26922 TURNER, HERBERT WALGREENS 02/10/12 RUBIN LAW GROUP GILDEA & COGHLAN 16WC007596 -C OPTICIANCARE LTD 41 12WC 27109 MC GEE, KAY M UNIVERSITY OF ILLINOIS HO @ 10/27/11 O'CONNOR & NAKOS HEYL ROYSTER VOELKER & ALLEN

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 12WC 27828 VAS, WILLIAM UNITED AIRLINES INC. 07/27/12 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 43 12WC 28218 GUTIERREZ, ADELA APL LOGISTICS 03/10/11 HUGHES SOCOL PIERS RESNICK KEEFE CAMPBELL & ASSOC LLC 12WC028219 -C 13WC018070 -C 14WC021859 -C 14WC029308 -C 15WC009110 -C 16WC003065 -C 44 12WC 28755 ESQUIVEL, RAQUEL ALEXIAN BROTHERS MEDICAL 02/03/11 CULLEN HASKINS NICHOLSON RODDY LAW LTD 45 12WC 29258 POWELL, CLARA COOK DUPAGE TRANSPORT CO 08/15/12 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 46 12WC 29603 TAYLOR, PLESHETTE CHICAGO TRANSIT AUTHORITY 07/11/12 LARRY J COVEN CHICAGO TRANSIT AUTHORITY 47 12WC 30115 19B JAIMES, ENRIQUE R G CONSTRUCTION * 08/10/12 ALAN A BLUM, PC MACIOROWSKI SACKMANN & ULRIC 48 12WC 34565 WELLS, DIVETTA CITY OF CHICAGO 09/07/12 COVEN LAW GROUP CITY OF CHICAGO 15WC033880 -C 49 12WC 38412 CISNEROS, RIGOBERTO PAINT SOLUTIONS AUTO BODY 08/03/12 LOUIS A PLZAK & ASSOCIATES HANSON LAW OFFICE 50 12WC 39652 CRUZ, ISRAEL AMERICAN AIRLINES 10/27/12 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 51 12WC 40123 CWYNAR, LINCOLN M STATE OF ILLINOIS @ 09/19/11 JOHN E LUSAK COLIN KICKLIGHTER 52 12WC 40985 GRAY, GERROD CHICAGO TRANSIT AUTHORITY 10/27/12 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 53 12WC 41839 BUCKNER, CHRISTINA CTA 02/09/12 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 54 12WC 41859 HERNANDEZ, IRENE MC DONALDS 06/29/10 GRAVLIN, MICHAEL J LLC BRADY CONNOLLY & MASUDA PC 12WC041860 -C MCDONALDS 13WC030676 -C 55 13WC 02714 SALCEDO, VENTURA REMEDIAL ENVIRONMENTAL MA 09/09/12 STEVEN J SEIDMAN LAW OFFIC WOLF LAW LTD 56 13WC 03360 DOUGHERTY, DAN SOUTHERN WINE & SPIRITS 08/24/12 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 57 13WC 06134 OQUENDO, JAMES COMMUNITY GUIDE MAGAZINE 02/10/98 58 13WC 10772 LISBON, ERIC CORNER COMMUNITY 01/30/13 SHELDON I MINKOW & ASSOCIA BRADY CONNOLLY & MASUDA PC 13WC014590 -C 59 13WC 11516 MC GINLEY, JAMES SOUTHERN WINE & SPIRITS 03/22/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 13WC034754 -C 60 13WC 15167 ATIYEH, DAED HOME DEPOT 01/28/13 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 61 13WC 15777 SANCHEZ, ALBERTO AT & T, INC 03/08/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 13WC015778 -C 62 13WC 15836 SMITH, CYNTHIA (SPOUSE) PEPPERS CONSTRUCTION 04/01/13 MAURICE E DUSKY PC KEEFE CAMPBELL & ASSOC LLC 13WC021439 -C 63 13WC 16992 BELDIN, JOHN VILLAGE OF HOFFMAN ESTATE 12/11/12 DAVID W MARTAY RODDY LAW LTD 64 13WC 17391 CAZARES, ARMANDO NATIONAL PIZZA PRODUCTS, 06/25/12 ANGELINI & ORI LLC MEACHUM STARCK & BOYLE 65 13WC 17427 ISMAIL, GEORGE KUEHNE & NAGLE, INC 05/02/13 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 66 13WC 18960 LEBRON-CORTES, FELICITA ST OF IL DEPT OF HUMAN SE @ 03/13/12 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 67 13WC 20002 JOHNSON, BETTY ACTION FIGURES 05/29/13 BAUM RUFFOLO & MARZAL LTD QUINTAIROS PRIETO WOOD & BOY 68 13WC 23934 DORADO, TEODORO WORLD WIDE FITTINGS INC 06/28/13 CULLEN HASKINS NICHOLSON 69 13WC 24429 WASHINGTON, GLOVER RED DRAGON MATIAL ARTS AC 07/10/13 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 70 13WC 24601 NORWOOD, NIJA S (DAUGHTER JOHN H STROGER # 06/24/13 GOLDBERG WEISMAN & CAIRO L STATES ATTORNEY OF COOK COUN

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 13WC 24638 GAONA, SILVIA UNIVERSITY OF IL-CHICAGO @ 04/12/13 SAMUEL K BELL NYHAN BAMBRICK KINZIE & LOWR 72 13WC 25105 MENDOZA, IVAN STRIVE GROUP LLC 05/10/13 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 14WC039175 -C 16WC005167 -C 73 13WC 25165 HERNANDEZ, PAULO OFFICE FURNITURE RESOURCE 07/03/13 ACEVES & PEREZ PC HANSON LAW OFFICE 74 13WC 25568 HOLLIS, PATRICIA ANN WE CLEAN MAINTENANCE 04/30/11 STEVEN J SEIDMAN LAW OFFIC THOMAS & PORTELA 75 13WC 26132 SEGURA, MARIA H ST OF IL DEPT OF HUMAN SE @ 06/30/13 SALK, STEVEN B & ASSOC LTD JILL OTTE 76 13WC 26227 ROACH, BERNIE COOK COUNTY DEPT OF 07/29/13 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 77 13WC 26448 TAFF, KIM COMMUNITY HEALTH SYSTEMS 02/05/13 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 78 13WC 27154 SIMPSON, LARRY T ABF FREIGHT SYSTEMS 04/13/12 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 79 13WC 27520 KAUTZ, KEITH EDWARD WALMART STORE #1497 05/27/11 STUART H GALESBURG WIEDNER & MCAULIFFE LTD 80 13WC 27687 GONSALEZ, MARIA WE CLEAN MAINTENANCE & 05/31/12 GOLDBERG WEISMAN & CAIRO L THOMAS & PORTELA 81 13WC 27983 ZELEZNIK, MATT MCCAULEY MECHANICAL 08/06/13 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 82 13WC 28217 BOXLEY, TIFFANEY S CTA 08/03/13 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 83 13WC 28567 SHEARS, DERRICK M FORD MOTOR COMPANY 07/15/13 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 14WC004893 -C 17WC016954 -C 84 13WC 34033 19B GARCIA, CARLOS TENACIOUS CLEANING SERVIC 08/23/13 BERG & BERG BRADY CONNOLLY & MASUDA PC 85 13WC 35568 TORRES, MARIA G FERRARA PAN CANDY COMPANY 10/31/10 EPSTEIN, JACK R LAW OFFICE 86 13WC 36335 TYLL, MARILYN CHICAGO BOARD OF EDUCATIO 10/04/13 STROM, NEAL B LAW DEPARTMENT 87 13WC 36996 HOLLINS, ABDULAH RIGHT WAY HUGGINS CONSTRU 02/21/13 DWORKIN AND MACIARIELLO KLAUKE LAW GROUP LLC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 13WC 37147 GARCIA, ANTHONY WE CLEAN MAINTENANCE & 08/06/13 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 89 13WC 37338 AKLI, YAO YELLOW CAB COMPANY 10/20/13 OTUBUSIN & ASSOC PC 90 13WC 38151 RODRIGUEZ, DANIEL CTA 11/07/13 ANKIN LAW OFFICE 14WC029644 -C CHICAGO TRANSIT AUTHORITY 91 13WC 38762 NEALON, HOWARD FAMILY DOLLAR 07/31/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 92 13WC 40160 MORGAN, COREY CTA 11/22/13 JAMES J BURKE LAW OFFICE CHICAGO TRANSIT AUTHORITY 93 13WC 41781 WILLIAMS, SONJA UNITED INSURANCE CO 03/27/13 DAVID W MARTAY 94 14WC 00335 IZAGUIRRE, SALVADOR H & M INTERNATIONAL 12/10/13 LOUIS A PLZAK & ASSOCIATES SPIEGEL & CAHILL, PC 95 14WC 00745 ATKOCAITIS, DAVID NORTHLAKE FIRE PROTECTION 09/27/13 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 96 14WC 01828 ZAHUMENSKY, THOMAS WHITE WAY SIGN & MAINTENA 06/29/13 RUBIN LAW GROUP HOLECEK & ASSOCIATES 97 14WC 02028 CORRAL, MARIA CARMEN UNITED STATES SMOKELESS T 11/22/13 SALVATO & O TOOLE CACCHILLO LAW GROUP LLC 98 14WC 02455 GONZALEZ, NAYELI LABOR TEMPS 01/14/14 ENCINAS & ORNELAS 99 14WC 02562 CRISOSTOMO, EULOGIO CLYBOURN EXPRESS CAR WASH 12/03/13 LAW OFFICE HUGO ORTIZ 100 14WC 02631 CASTRO, SIMON CHGO WHITE SOX BASEBALL C 08/05/13 GORDON LAW OFFICES LTD BRADY CONNOLLY & MASUDA PC 101 14WC 03129 JONES, ELIZABETH CHICAGO BOARD OF EDUCATIO 12/09/13 JAMES W GREEN, JR LAW DEPARTMENT 102 14WC 03522 RAICA, KAREN CHRIST HOSPITAL 11/03/13 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CARLSON, KURT 005 ARBITRATION CALL FOR CHICAGO 99005 ON 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 14WC 06408 SANCHEZ, ROSARIO WE CLEAN MAINTENANCE 03/28/13 SOSTRIN AND SOSTRIN PC THOMAS & PORTELA 104 14WC 11173 AKINYEMI, GARCE PIPELAYO COOK COUNTY HEALTH & HOSP 03/05/14 THE ROMAKER LAW FIRM 15WC021236 -C 105 14WC 11807 FITZMAURICE, BRIAN CITY OF CHICAGO 05/03/11 MICHAEL P MCCREADY & ASSOC CITY OF CHICAGO 106 14WC 12235 CORRAL-CARRERA, REYNALDA PREFERRED MEAL SYSTEMS IN 01/17/14 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 107 14WC 12608 GUERRERO, LUIGI INTEGRITY TRADE SERVICES 02/17/14 KATZ FRIEDMAN EAGLE ET AL 108 14WC 13550 VALES, ARCELIA CITY OF CHICAGO 10/02/13 HORWITZ HORWITZ & ASSOC CITY OF CHICAGO 109 14WC 13606 WILLIAMS, SAVONIA CHICAGO TRANSIT AUTHORITY 11/27/13 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 110 14WC 13973 JANECEK, JEFFREY A NORTHERN PIPELINE CONSTRU 09/17/13 FABRIZIO, HANSON & PEYLA GRANT & FANNING 111 14WC 14002 BARBERA, VITO R CITY OF CHICAGO-DEPT OF 03/28/14 SALVATO & O'TOOLE CITY OF CHICAGO 112 14WC 14228 HORNE, REGINALD CHICAGO TRIBUNE 01/13/14 VRDOLYAK LAW GROUP LLC 113 14WC 15027 NORRIS, WILLIE U S AIRWAYS 04/27/14 RIDGE & DOWNES GAROFALO SCHREIBER STORM 15WC027860 -C U.S. AIRWAYS 114 14WC 15243 KING, CARLA ADDUS HEALTHCARE 10/28/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 115 14WC 16229 PINTORAN, JOE SODEXO INC 01/08/14 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 116 14WC 16412 CEDENO, JOSE CTA 04/15/13 KREITER, BYCK & ASSOC LLP CHICAGO TRANSIT AUTHORITY 117 14WC 16443 SMITH, SAUNDRA M CHICAGO TRANSIT AUTHORITY 01/20/14 ROMANUCCI & BLANDIN CHICAGO TRANSIT AUTHORITY 118 14WC 16668 PATRIZI, VALERIE SOUTH CHICAGO 05/02/14 DAVID W MARTAY 119 14WC 16812 SOLANO, DARIO RICHELIEU FOODS INC 04/25/14 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 120 14WC 17239 AREVALO, YOLANDA ADDUS HEALTH CARE INC 05/12/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 14WC 17726 GONZALES ROJAS, ROSA ELEN KCC PARTNERS INC 02/20/14 MAGNUSON, LAWRENCE K, PC 122 14WC 19781 LA VALLAIS, KIM CHICAGO BOARD OF EDUCATIO 05/15/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 123 14WC 23789 LOPEZ, GASPAR FLEXIBLE STAFFING SERVICE 06/13/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 124 14WC 23790 BURGESS, TABATHA ENVOY 06/10/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 125 14WC 24374 IVERSON, MICHAEL C J LEPRETRE CONSTRUCTION 06/24/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 126 14WC 24520 WRIGHT, LISA ALDEN TOWN MANOR 02/12/14 VITELL & SPITZ LTD LAW OFFICES FRANCESCA LARSEN 127 14WC 24524 BAGGETT, MARY A CITY OF CHICAGO 07/15/14 WILLIAM MARTAY CITY OF CHICAGO 128 14WC 24616 FIGUEROA, BERTHA WE CLEAN MAINTENANCE & 06/26/14 OSVALDO RODRIGUEZ PC KNELL & O'CONNOR 129 14WC 24883 GONZALEZ, SANTIAGO COURTWAY RESTAURANT 01/22/14 EPSTEIN, JACK R LAW OFFICE 130 14WC 24923 ORTIZ, JOSE CHICAGO TRANSIT AUTHORITY 07/10/14 LAW OFFICE OF SCOTT B SHAP CHICAGO TRANSIT AUTHORITY 131 14WC 25228 KACZONOWSKI, TAVIS R CITY OF BLUE ISLAND 02/11/13 JASINSKI, GEORGE J DEL GALDO LAW GROUP LLP 132 14WC 25252 HUSSAIN, MOHAMMED FLASH CAB CO 06/28/14 POMPER & GOODMAN 133 14WC 25531 MANSWOR, NATHER WESTERN RECYCLING 03/28/14 VRDOLYAK LAW GROUP LLC 134 14WC 25774 CHUKWU, BASIL DISPATCH TAXI 02/17/14 HUNER LAW OFFICES LLC 135 14WC 26305 ASIEDU, CYNTHIA O LANE BRYANT INC 01/10/14 MARKS INJURY LAW 136 14WC 26415 MURRAY, DEBBIE UNITED AIRLINES 07/08/14 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 137 14WC 26634 BUCCI, JUDITH STARBUCKS CORP 11/20/13 MARKS INJURY LAW BRADY CONNOLLY & MASUDA PC 138 14WC 26992 LEON, MELISSA MC DONALD'S 04/18/14 CULLEN HASKINS NICHOLSON

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 14WC 27022 SMITH, DEREK C JR CHICAGO TRANSIT AUTHORITY 07/20/14 STEWART C ORZOFF CHICAGO TRANSIT AUTHORITY 140 14WC 27035 JOHNSON, JOSEPHINE TJ MAXX 01/15/14 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 141 14WC 27110 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS 04/18/14 142 14WC 27260 MARTIN, MARY CATHERINE COLLEGE OF AMERICAN 09/14/11 MUELHAUSEN & STEFANI 143 14WC 27450 SISTO, MICHAEL CITY OF CHICAGO 07/01/14 PARAG P. BHOSALE CITY OF CHICAGO 144 14WC 27778 BERMUDEZ, JUAN C PROSPECT AIRPORT SERVICES 07/21/14 ANGELINI & ORI LLC THOMAS & PORTELA 145 14WC 28023 LOPEZ, ALEJANDRO STAMPEDE MEAT INC 07/21/14 CULLEN HASKINS NICHOLSON KNELL & O'CONNOR 146 14WC 28038 MONTES DE OCA, FELICITAS WHITE LODGING SERVICES CO 04/18/14 DEPAOLO ZADEIKIS GORE WILSON ELSER 147 14WC 32914 BROWN, DAWINTA CITY OF CHICAGO @ 08/06/14 COYNE REINKE LAW CITY OF CHICAGO 148 14WC 34086 TEDESCO, WENDY/FRIEND & G CITY OF CHICAGO 09/22/14 PARENTE & NOREM PC CITY OF CHICAGO 149 14WC 34691 BORNER, EDWARD CITY OF CHICAGO 05/20/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 150 14WC 34762 CALDERON, ROSA ASPEN FOODS 08/12/14 INMAN & FITZGIBBONS 151 14WC 35658 HYCAE, TAWONDA BINNY'S BEVERAGE DEPOT 08/19/14 ANKIN LAW OFFICE MEACHUM & STARCK 152 14WC 35733 SCHURY, GEORGE METROPOLITAN WATER RECLAM 06/26/13 DOUGLAS RALLO PC NOBLE & ASSOCIATES PC 15WC006068 -C 153 14WC 35832 CABRERA, OSVALDO UNITED AIRLINES INC. 07/24/14 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 154 14WC 35845 CHAPMAN, MELANIE UNITED AIRLINES INC. 09/07/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 155 14WC 35907 GROSS, GREG IL DEPT OF HUMAN SERVICES @ 08/19/14 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 156 14WC 36097 BUFORD, MARQUES JUVENILE TEMPORARY 12/05/13 MUELHAUSEN & STEFANI STATES ATTORNEY OF COOK COUN

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 14WC 36190 HERNANDEZ, MARIA REYNA ALTERNATIVE STAFFING INC 07/28/14 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 158 14WC 36227 FLORES, JUAN ACCURATE PERSONNEL LLC 09/17/14 DWORKIN AND MACIARIELLO 14WC038540 -C 14WC040823 -C 14WC040824 -C 159 14WC 36328 AHMAD, MIKAL LABOR TEMPS 10/15/14 SHELDON I MINKOW & ASSOCIA FRANCIS J DISCIPIO LAW OFFIC 160 14WC 36477 WACHTER, DEBRA K UNITED AIRLINES INC. 09/17/12 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 14WC036478 -C 161 14WC 36888 LYONS, ARTHUR ILLINOIS BELL TELEPHONE C 02/07/14 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 162 14WC 36936 KRANIG, ANTHONY B S GRINDING, INC 09/08/14 MEYERS & FLOWERS 163 14WC 37172 TASSONE, DOMINICK A UNIVERSITY OF ILLINOIS @ 10/02/14 PETER D CORTI LAW GROUP POWER & CRONIN LTD 15WC000602 -C 164 14WC 37302 JARACZ, SCOTT CENTRAL GROCERS 12/20/13 GAINES & GAINES ROSARIO CIBELLA 165 14WC 37356 WILLIAM, CLAIRE A IL DEPT OF CHILDREN & FAM @ 07/14/14 DAVID W MARTAY C. FLETCHER 166 14WC 37408 WHITE, MARY NORNAT MANAGEMENT SERVICE 09/26/14 FRIEND LEVINSON & BERGAL 167 14WC 37426 HOPKINS, SYLVIA HIGH TECH-PALOS HEIGHTS 01/25/12 BOWMAN & CORDAY GAROFALO SCHREIBER STORM 14WC037427 -C 14WC037428 -C 168 14WC 37443 IVONOVA, DENISE THE BREAKERS AT 07/14/14 SIGMOND, STEVEN RODDY LAW LTD 169 14WC 37698 19B TUNTLAND, THERESA A VILLAGE OF HANOVER PARK 08/11/14 FIGLIOLI, DAVID POWER & CRONIN LTD 170 14WC 37772 RUSH, HEATHER PALOS COMMUNITY HOSPITAL 10/10/14 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 171 14WC 37861 DATOLI, ANTHONY J MELROSE PARK POLICE DEPT 03/12/14 GIACOBBE, THOMAS M DEL GALDO LAW GROUP LLP 172 14WC 37892 ZARATE, CESAR FOOD 4 LESS 11/05/14 MICHAEL P MCCREADY & ASSOC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 14WC 37907 MC DUFFIE, PHILLIP COOK DUPAGE TRANSPORTATIO 09/26/12 LAW OFFICE OF SCOTT B SHAP 174 14WC 37968 MONSOR, STEVE ARLINGTON HEIGHTS 10/16/13 SCHACTER, JEROME & ASSOC L 175 14WC 38258 PLASCENCIA, OLGA F/K/A SWISSPORT AT O'HARE 06/14/14 WOLFE LAW PC KNELL & O'CONNOR 15WC027617 -C 176 14WC 38276 RODRIGUEZ, MARTHA CARL BUDDIG & COMPANY 04/23/14 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 177 14WC 38790 JENSEN, JAMES UNITED AIRLINES INC. 10/20/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 178 14WC 38815 GRAY, LEROY CITY OF CHICAGO 10/14/14 HEALY SCANLON LAW FIRM CITY OF CHICAGO 179 15WC 00541 PERTEET, LINDA CITY OF CHICAGO 12/19/13 ROMANEK & ROMANEK 180 15WC 01445 BARRIENTOS, JUANITA KOCH FOODS 08/23/14 ANKIN LAW OFFICE INMAN & FITZGIBBONS 181 15WC 01515 SEGURA, MARIA H ILL DEPT OF HUMAN SERVICE @ 12/30/14 SALK, STEVEN B & ASSOC LTD ASSISTANT ATTORNEY GENERAL 182 15WC 01573 SOLIMANO, OSWALDO SAM'S CLUB 12/27/14 DEPAOLO ZADEIKIS GORE 183 15WC 01591 MORAN, SCOTT M UNIVERSITY OF CHICAGO MED 12/30/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 184 15WC 01628 GREEN, SIRELL FORD MOTOR COMPANY 01/16/15 FOHRMAN, DONALD W & ASSOCS 185 15WC 01693 OLMOS, JOSE LUIS ABM 12/09/14 SALVATO & O'TOOLE GOLDBERG SEGALLA LLC 186 15WC 01828 WILLIAMS, LYNA TARGET CORPORATION 09/03/14 DAVID W MARTAY 187 15WC 01889 JOHNSON, KELLY VILLAGE OF LYNWOOD 12/08/14 SILVERMAN, CLIFFORD A SCOPELITIS GARVIN LIGHT 188 15WC 01994 DIAZ, EVELYN CHICAGO PUBLIC SCHOOLS 10/07/14 BOGUSZ & BOGUSZ LTD 189 15WC 02061 LUSA, TAMARA ORLAND SCHOOL DISTRICT 13 01/26/12 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 15WC 02241 TANTIVITHIWATE, JENNIFER CHICAGO PUBLIC SCHOOLS 01/15/15 SEIDMAN MARGULIS & FAIRMAN 191 15WC 02345 SIMS, FELICIA BRONZEVILLE PARL 08/30/14 LEE, MARK N LAW OFFICE MCCABE KIRSHNER PC 15WC002346 -C 192 15WC 02385 REYNA, PRIMITIVO AMERICAN CONCRETE RESTORA 10/07/14 THOMAS & PORTELA 15WC029838 -C 193 15WC 02436 HOUGH, LAWRENCE AIRTITE CONTRACTORS, INC. 09/01/12 BELCHER LAW OFFICE WOLFE & JACOBSON, LTD 194 15WC 02746 LATINA, STEVEN SENIOR OPERATIONS LLC 08/28/14 FRANKS, GERKIN & MCKENNA P BRADY CONNOLLY & MASUDA PC 16WC017346 -C 195 15WC 02931 USMAN, TOMI CHICAGO ELITE CAB CORP 11/27/14 COHN LAMBERT RYAN & SCHNEI 196 15WC 02946 GUTIERREZ, JONATHON M DELTA MASONRY INC 01/19/15 WARREN W MARK 197 15WC 03166 JONES-BATES, LORRAINE ST JOSEPH HOSPITAL 11/03/14 VRDOLYAK LAW GROUP LLC 198 15WC 03171 BARTGEN, CHRISTINE M UNIVERSITY OF ILLINOIS 05/14/13 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 199 15WC 03384 GASTON, TOMMIE UNITED AIRLINES 02/01/15 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 200 15WC 03456 SHAFFER, TRENTON FORD 06/03/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 201 15WC 03718 BUCZKOWSKI, DON D. JR COOK COUNTY SHERIFF'S OFF 01/09/15 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 202 15WC 03758 MARTINEZ, BEATRIZ SOUTHWEST AIRLINES 06/15/14 CULLEN HASKINS NICHOLSON 203 15WC 03777 HENKEN, CHRISTINE DECARI LEVINE AND FRIEDMA 12/27/13 GAINES & GAINES HOLECEK & ASSOCIATES 204 15WC 03970 HERNANDEZ, BENITO CLARE OAKS 11/27/13 CRONIN & PETERS WOLFE & JACOBSON, LTD 15WC009186 -C 205 15WC 04151 EBERT, GAIL (WIDOW OF P&G CRANE RENTAL 01/28/15 CRONIN & PETERS

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 15WC 04376 JIMENEZ, ALBERTO LITTLE LADY FOODS 01/17/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 207 15WC 11077 JOHNSON, ALFREDA CTA 03/24/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 15WC011078 -C 208 15WC 12183 HOLCOMB, DAVONNA FORD MOTOR COMPANY 10/25/14 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 209 15WC 13375 KALONJI, CHANTAL MARIA CLUB QUARTERS 11/21/13 THE ROMAKER LAW FIRM MEACHUM & STARCK 210 15WC 13440 LOPEZ, ESTEBAN OLYMPIA FIELDS POLICE FOR 12/27/13 O'CONNOR & NAKOS POWER & CRONIN LTD 15WC027055 -C 211 15WC 13475 MCDONNELL, JAMES P AIRPORT ELECTRIC 01/10/14 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD 212 15WC 13552 PETERS, GEORGE BELL FUELS 03/09/15 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 213 15WC 13606 MILLER, CRAIG PUZZO CONSTRUCTION INC 04/06/15 MARKHAM M JEEP & ASSOCIATE 214 15WC 13672 ALEJANDRE, FRANCISCO TRILLIUM DRIVERS 01/22/15 COLLISON & O'CONNOR SPIEGEL & CAHILL, PC 215 15WC 13705 KAIHARA, LENNARD M ST STANISLAUS KOSTKA PARI 01/31/15 BRILL & FISHEL MC ANDREWS & NORGLE LLC 216 15WC 13722 MILLER, JENNIFER NAVISTAR 05/01/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 217 15WC 13732 YAZZIE, AARON B CHICAGO STEEL CONSTRUCTIO 03/23/15 O'CONNOR & NAKOS 218 15WC 14208 SOTELO, ALLEN CHICAGO MEAT AUTHORITY 04/10/15 BOUDREAU NISIVACO LLC LITCHFIELD CAVO 219 15WC 14269 ASHFORD, MICHELLE CITY OF CHICAGO 04/30/14 WOODRUFF & JOHNSON CITY OF CHICAGO 220 15WC 14345 TAPIA, ROBERTO LUNA DANTE PENA ULTIMATE M A 02/18/15 SALVATO & O'TOOLE 221 15WC 14396 GIBBS, GALE CHICAGO TRANSIT AUTHORITY 02/24/15 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 222 15WC 14827 DEPOZO, LOUIS CITY OF CHICAGO DEPT OF 04/24/15 ANKIN LAW OFFICE CITY OF CHICAGO 223 15WC 14840 SOSSONG, JENIFFER BONEFISH GRILL 01/23/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 15WC 15071 NOVAK, ANTHONY UPS 04/19/15 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 225 15WC 15281 PRESS, HOMER REALTY & MORTGAGE BLDG SE 03/06/15 COHN LAMBERT RYAN & SCHNEI RUSIN & MACIOROWSKI LTD 226 15WC 15363 ROMAN, ELSIE CITY OF CHICAGO - DEPARTM 03/31/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 227 15WC 15366 GUILLERMO, JAVIER NISSAN WOODFIELD 01/14/14 POMPER & GOODMAN ROSARIO CIBELLA 228 15WC 15487 ALDRIDGE, HAROLD R SUBCONTRACTION CONCEPTS D 07/22/14 DEPAOLO ZADEIKIS GORE SCOPELITIS GARVIN LIGHT 229 15WC 15649 JONES, CHANTE M ALPHA SCHOOL BUS 04/22/14 CHARLES LEVY & ASSOC LTD 230 15WC 15889 BREJTA, BOGUSLAW VESUVIUS USA CORP 08/10/13 BELLAS & WACHOWSKI RUSIN & MACIOROWSKI LTD 231 15WC 16217 LA FLAME, BRYAN MERCURY SIGHT SETTING 08/28/14 HEALY SCANLON LAW FIRM KELLEY, KRONENBERG ETAL 232 15WC 16251 OLIVARES, ANEL MORTON HIGH SCHOOL 04/29/15 RUSIN & MACIOROWSKI LTD 233 15WC 16394 CONNER, DAVID M CITY OF CHICAGO 06/30/14 KARCHMAR & STONE 234 15WC 16500 ALVARADO, MANUEL COSMOS MFG 04/28/15 NEWMAN, BOYER & STATHAM GANAN & SHAPIRO 235 15WC 17134 DELGADO, MARIA AGUASCALIENTES @ W 03/13/15 GAINES & GAINES 236 15WC 17294 WILLIAMS, BRIDGETTE FORD MOTOR CO 06/01/14 CANDIANO LAW OFFICE WIEDNER & MCAULIFFE LTD 16WC010900 -C 237 15WC 19158 MC LAIN, KIM COMMUNITY UNIT SCHOOL DIS * 10/23/14 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 238 15WC 23808 LEPPER, JAMES R UPS 12/19/14 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 239 15WC 23859 ALARCON, MARIA UNITED AIRLINES INC. 06/08/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 240 15WC 23890 CONTRERAS, LUIS E. TAQUERIA LOS COMALES #9 08/01/15 CULLEN HASKINS NICHOLSON LAW OFFICE EDWARD RUEDA 241 15WC 23892 MOHAMED, MOHAMUD BLUE RIBBON TAXI/ GSCABCO 07/25/15 ELFENBAUM EVERS & AMARILIO LAW OFFICES DEBORAH SCHAEFER

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 15WC 23960 CERDA, KATHERINE CHGO STREETS & SAN DEPT 07/24/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 243 15WC 24085 BUSH, MICHAEL CHICAGO BEARS FOOTBALL CL 12/02/12 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 244 15WC 24116 FARJADO-GUTIERREZ, GUSTAV BULL & BEAR (TRIFECTA ENT 07/24/15 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 245 15WC 24134 BANACHOWSKI, FRANCISZEK CITY OF CHICAGO 06/03/15 WHITESIDE & GOLDBERG LTD 246 15WC 24149 ADAMAITIS, GERALD PAUL DARJEAN 08/15/12 247 15WC 24200 YOUNG, BRUCE CITY OF CHICAGO -- SANITA 08/04/15 JOSEPH J SPINGOLA, LTD CITY OF CHICAGO 248 15WC 24236 STOCKSTILL, STEVEN SR TOWN OF CICERO 07/30/15 ELFENBAUM EVERS & AMARILIO DEL GALDO LAW GROUP LLP 249 15WC 24403 KONCHAR, CASEY RIVER DOCKS, INC. 07/22/15 BAUM RUFFOLO & MARZAL LTD WOLF LAW LTD 250 15WC 24580 KOLESSAR, PAUL ILLINOIS STATE POLICE @ 09/11/15 LEE, MARK N LAW OFFICE C. FLETCHER 251 15WC 24601 MAREK, MARY NORTHSTAR AEROSPACE 02/28/13 LAW OFFICE WILLIAM STEARNS 252 15WC 24632 BALA, EUGENIA COVENANT CARE AT HOME 06/25/15 URSULA BABICZ & ASSOC ASHER, RAYMOND L LTD 253 15WC 24640 NEEQUAYE, ROSE NORTHWESTERN MEMORIAL HOS 07/21/14 KATZ FRIEDMAN EAGLE ET AL 254 15WC 24658 GARCIA, CLARA LBP MANUFACTURING 06/30/15 KARCHMAR & STONE HOLECEK & ASSOCIATES 255 15WC 24781 MATIAS, BETZAIDA CITY OF CHICAGO 07/07/14 CORBOY & DEMETRIO PC CITY OF CHICAGO 15WC024782 -C 15WC024783 -C 256 15WC 24839 HEREDIA, JOHN CHGO DEPT OF TRANSPORTATI 05/10/13 RUBIN LAW GROUP CITY OF CHICAGO 257 15WC 24853 TOWERS, BELINDA HEALTHCARE CONSORTIUM OF 05/20/13 BRISKMAN BRISKMAN GREENBER ACCIDENT FUND HOLDINGS 15WC024854 -C 15WC024855 -C 258 15WC 25266 PEREZ, NANCY AUGUSTINA UNIVERSITY OF IL AT CHICA 06/04/14 EPSTEIN, JACK R LAW OFFICE POWER & CRONIN LTD

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 259 15WC 25580 ALHAKIM, ZIAD ULTIMATE MARTIAL ARTS 05/13/14 LAW OFFICES OF JOSEPH YOUN 260 15WC 25701 RANCZIE, SHONIA CTA 07/09/15 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 261 15WC 25718 CAMPBELL, JAMIE M UNITED AIRLINES 07/09/15 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 262 15WC 25815 STAHL, JORDAN BEVERLY MATERIALS, LLC 07/01/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 263 15WC 25947 HOLLAND, TIMOTHY SEARS HOLDING CORP 07/07/15 LAW OFFICES ROBERT WARSASK 264 15WC 25988 THOMPSON, GRAHAM CITY OF CHICAGO 11/24/14 BOWMAN & CORDAY MEACHUM & STARCK 265 15WC 26045 HUBBARD, ARTHUR CHGO BOARD OF ED 07/21/15 CAPRON & AVGERINOS PC 266 15WC 26081 GONZALEZ, ANTHONY CONGLOBAL INDUSTRIES LLC 07/24/15 BRYCE DOWNEY & LENKOV LLC 15WC037426 -C CON GLOBAL INDUSTRIES INC 267 15WC 26137 MILEVSKI, TOME SIEMENS HEALTHCARE 01/20/15 RUBIN LAW GROUP HOLECEK & ASSOCIATES 268 15WC 26279 KAUFMAN, ANDREW JESSE WHITE TUMBLING TEAM 06/06/15 CULLEN HASKINS NICHOLSON MEACHUM & STARCK 269 15WC 26334 SANTOS, AMANDA ADVOCATE CHRIST HOSPITAL 01/17/15 GRAZIAN & VOLPE PC 270 15WC 26384 SULLIVAN-WOOD, TIMOTHY M. CITY OF CHICAGO HEIGHTS 07/18/15 THOMAS W DUDA PETERSON JOHNSON & MURRAY 15WC026385 -C 15WC026386 -C 271 15WC 26586 SALINAS, ANTONIO NASCO 04/07/15 SAUNDERS CONDON & KENNY GOLDSTEIN & PRICE LC 272 15WC 26624 SANCHEZ, OSCAR NUCARE SERVICES CORP. 12/07/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 273 15WC 26713 RODRIGUEZ, MARIA M LEMURIA LLC 07/13/15 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 274 15WC 26888 LINO, LETICIA ELITE STAFFING 05/27/15 JOHN S. ELIASIK 275 15WC 26985 INGRAM, MARTIAR CTA 07/31/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 15WC 32827 BOSBY, CALVIN ELAKY MANUFACTURING COMPA 05/21/15 CHARLES LEVY & ASSOC LTD 277 15WC 32997 BECKER, ROBERT ALLIED TUBE (ATKORE) 03/11/14 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH PC 278 15WC 33011 LOPEZ, SALVADOR JR BEST VALUE AUTOBODY 08/04/15 279 15WC 33194 JAKICH, RICHARD WALSH CONSTRUCTION COMPAN 07/21/15 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 280 15WC 33234 HERNANDEZ, FRANCISCO CITY OF CHICAGO DEPT OF 09/18/15 RUBIN LAW GROUP CITY OF CHICAGO 281 15WC 33246 MELENDEZ, MARTIN CITY OF CHICAGO DEPT OF 07/14/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 282 15WC 33340 SCHMIDT, KATELYNN BURBANK SCHOOL DISTRICT # 06/01/15 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 283 15WC 33352 PFROMMER, ROBERT J CHUCK'S CONSTRUCTION INC 10/06/15 GAROFALO SCHREIBER STORM 284 15WC 33453 PILOTTO, ARTHUR IROQUOIS PAVING CO 09/15/15 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 285 15WC 33485 HARDY, CRYSTAL MEIJER-BERWYN 09/18/15 MEYERS & FLOWERS KOPKA, PINKUS DOLIN, PC 286 15WC 33660 RODRIGUEZ, JESUS CITY OF CHICAGO DEPT OF 08/11/15 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 287 15WC 33811 MARTINEZ, MARIA HOME PRODUCTS INTERNATION 10/09/15 EPSTEIN, JACK R LAW OFFICE 288 15WC 33935 ABDULAHAD, NASHWAN AMMERAAL BELTECH 07/06/15 SEIDMAN MARGULIS & FAIRMAN 289 15WC 33969 ALMANZA, ABEL JR KELVIN CO LLC 09/30/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 290 15WC 34193 YEPEZ, JUAN M REINKE 10/20/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 291 15WC 34271 ROSAS, YOSELIN RON'S STAFFING 09/17/15 JAMES J. GAY GAROFALO SCHREIBER STORM 292 15WC 34371 HART, JEROME WALMART 04/23/15 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 293 15WC 34499 THAKKAR, SANJAY NESTLE USA, INC 07/10/15 GOLDSTEIN AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 15WC 34509 JOHNSON, CORDARYL FORD MOTOR COMPANY 07/24/15 DAVID W MARTAY POWER & CRONIN LTD 295 15WC 34528 GINA, ROLANDO AMERICNA AIRLINES GROUP 07/10/15 WOODRUFF & JOHNSON ROSARIO CIBELLA 296 15WC 34567 ROJAS, GUADALUPE SERVPRO 05/05/15 MC HARGUE, JAMES P LAW OFF 297 15WC 34757 RAMIREZ, MARIA DE LA LUZ HOME PRODUCTS 09/09/15 EPSTEIN, JACK R LAW OFFICE MEACHUM & STARCK 298 15WC 34941 DAVIS, AGNES STATE OF ILLINOIS @ 10/21/15 GOLDSTEIN AIOSSA & GOOD ASSISTANT ATTORNEY GENL 299 15WC 35035 RAPCIAK, DAMIAN GRANITE SOLUTIONS INC 09/14/15 ROSS TYRRELL INMAN & FITZGIBBONS 300 15WC 35155 NOYOLA, MARILU ALDI 06/24/15 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 301 15WC 35188 GAYDE, GEORGE FORD MOTOR COMPANY 07/13/13 FOHRMAN, DONALD W & ASSOCS RUSIN & MACIOROWSKI LTD 302 15WC 35283 BAILEY, WILLIAM DAVIS STAFFING, INC. 10/15/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 303 15WC 35365 MUHLY, FREDERICK EXELON WEST 04/24/15 HENNESSY & ROACH PC 304 15WC 35470 MUNGUIA, MARIO COLFAX CORP 06/15/15 SPIEGEL & DEMARS 305 15WC 35492 LEGGINS, ANIKA TITAN PERSONNEL INC. 09/08/14 GOLDBERG WEISMAN & CAIRO L 306 15WC 35613 OROZCO, ALFONSO WALSH CONSTRUCT CO 10/21/15 GOLDBERG WEISMAN & CAIRO L HINSHAW & CULBERTSON 307 15WC 35704 DAMASCHKE, JEFFREY CHICAGO PUBLIC SCHOOL 09/19/14 DINIZULU LAW GROUP 308 15WC 35903 PAREDES, ALEXANDER FH LEINWEBER, INC. 12/18/14 DAVID W MARTAY THOMAS & PORTELA 309 15WC 35919 CARMONA, ELKIN THE PROFESSIONALS INC 09/14/15 310 15WC 35986 SAV, SAMMUEL MADSEN BUILDERS 12/02/14 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 311 15WC 36023 VALLE, JUAN NORTHWEST GENERAL 10/08/15 PAUL LUKA PC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 15WC 36056 DIANA, SARAH R NORTHWEST SUBURBAN PHYSIC 09/30/15 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 313 15WC 36081 ROUSE, ANDREW AT & T 05/06/15 LEONARD LAW GROUP LLC 314 15WC 36137 RIVERA, MARIO L METRO LIFT TRUCK SERVICE 10/29/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 315 15WC 36303 EARL, CHERRY M PROJECT HOPE ELC 08/21/15 316 15WC 36331 WALLS,SKYNEEKA JACKSON PARK HOSPITAL 07/20/15 ODELSON & STERK 317 15WC 36661 HURT, LINDA CDS COURIER 10/23/15 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 318 15WC 36692 ANDERSON, MARCINE D CTA 10/25/15 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 319 15WC 36735 DALEY, GREG HALL ENTERPRISES, INC. 02/08/13 CZAPLA LAW GANAN & SHAPIRO 320 15WC 36775 RIBER, YANEK CREATIVE STEEL 10/17/14 BELCHER LAW OFFICE COZZI & GOGGIN-WARD 321 15WC 36869 HOLTE, RALPH R PJ FAZIO PLUMBING & HEATI 09/23/15 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 322 15WC 36939 JIMENEZ, ROCIO FLEXIBLE STAFFING SERVICE 11/02/15 JOHN C SERKLAND WIEDNER & MCAULIFFE LTD 323 15WC 37014 MENDEZ, HUGO METAL-MATIC INC 10/19/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 324 15WC 37073 JAMEEL, HAMID M VASKEN CAB INC 09/06/15 MARSZALEK AND MARSZALEK 325 15WC 37120 TREJO, CECILIA B AND B MAINTENANCE 07/06/15 HART & DAVID LLP HOLECEK & ASSOCIATES 326 15WC 37160 LEBRON, LUIS CITY OF CHICAGO 10/19/15 BOGUSZ & BOGUSZ LTD CITY OF CHICAGO 327 15WC 37273 ROBINSON, TERRANCE JOHN MARSHALL HIGH SCHOOL 11/03/15 LEONARD LAW GROUP LLC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 15WC 37291 BACHMANN, JACOB MIDWEST SIGN & LIGHTING I 11/05/15 HORWITZ HORWITZ & ASSOC 329 15WC 37350 QUARLES, KAREN COOK COUNTY JUVENILE TEMP 01/15/15 SEIDMAN MARGULIS & FAIRMAN 16WC003824 -C 330 15WC 37445 SANCHEZ, MARIA DE LOURDES TAMALES Y MAS TAMALES 10/20/15 PAUL LUKA PC 331 15WC 37476 TRIPLETT, JEROME SWISSPORT 11/04/15 LIPKIN & HIGGINS LAW OFFIC GAROFALO SCHREIBER STORM 332 15WC 37491 BRIGEMON, AHNAHTIYAH WAL-MART STORES, INC 10/31/15 SANDMAN LEVY & PETRICH 333 15WC 37591 DRAINE, JASON FORD MOTOR COMPANY 09/17/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 334 15WC 37601 MANSKE, BRIAN SUGAR STEEL 08/01/15 MC HARGUE, JAMES P LAW OFF 335 15WC 37735 ESPINOZA, ALEXIS PARK TAVERN 10/27/15 STROM, NEAL B 336 15WC 37778 MARCHIORI, GINA CITY OF CHICAGO 11/03/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 337 15WC 37817 OBADEIN, ABAYOMI DISPATCH TAXI 10/14/15 LAW OFFICE RYAN ROSENTHAL 338 15WC 37908 MAGEE, JAMIE REHAB INSTITUTE OF CHICAG 10/11/15 POLANSKY & CICHON CHTD KEEFE CAMPBELL & ASSOC LLC 17WC007522 -C 339 15WC 38021 PERKINS, JOSEPH OLYMPIA FIELDS COUNTRY CL 10/09/15 340 15WC 38148 VARGAS, ENCARNACION PIERCE ELEMENTARY SCHOOL 09/03/15 DEPAOLO ZADEIKIS GORE 341 15WC 38172 HENDERSON, KAWADA FALLAS/NATIONAL STORAGE 07/13/15 THOMAS & PORTELA 342 15WC 38427 CHINO, ARTURO GRILLHOUSE 11/11/15 DWORKIN AND MACIARIELLO 343 15WC 38556 MANNING, CHAUSSE COOK-DUPAGE TRANSPORTAION 09/29/15 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 344 15WC 38747 FRANKLIN, ALBERTA M CHICAGO OEMC 11/12/15 ANKIN LAW OFFICE CITY OF CHICAGO 345 15WC 38768 MORENA, ANEL COSTCO 08/05/15 COSTA IVONE LLC GANAN & SHAPIRO

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 15WC 39003 BEWLEY, MARK HARBOR GROUP MANAGEMENT 02/27/13 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 347 15WC 39033 CHAVEZ, MARTIN RAM ROOFING SERVICES, INC 11/04/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 348 15WC 42703 VARGAS, IGNACIO AAA PAINTING CONTRACTORS 10/14/15 KARCHMAR & STONE THOMAS & PORTELA 349 16WC 01095 FELDMAN, SHARON UNIVERSITY OF ILLINOIS @ 09/22/15 ROSS J HELFAND HEYL ROYSTER VOELKER & ALLEN 350 16WC 02674 HAND, JOHN UNIVERSITY OF IL AT CHICA @ 05/04/15 FRANK SOTO HEYL ROYSTER VOELKER & ALLEN 16WC003142 -C ST OF IL DEPT OF 351 16WC 02992 ARREOLA, JACQUELINE PROVIO MATH & SCIENCE ACA 01/15/16 FOOTE MIELKE CHAVEZ & O'NE BRADY CONNOLLY & MASUDA PC 352 16WC 03234 PALACIOS, RICARDO MERCHANDISE USA 04/13/15 CANDIANO LAW OFFICE MEACHUM & STARCK 17WC006295 -C 353 16WC 03402 HODGE, CHARON STUDENT TRANSPORTATION OF 01/11/16 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 354 16WC 03427 LOPEZ, BELLA SCRUB INC 04/19/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 355 16WC 03493 ZAKOIAN, MICHELLE PEAPOD INC 08/15/15 FRANCIS J DISCIPIO LAW OFF LITCHFIELD CAVO 356 16WC 03535 LUNER, CAROL ANNE BROOKDALE SENIOR LIVING @ 12/10/15 JOHNSON, MICHAEL D & ASSOC ROSARIO CIBELLA 357 16WC 03670 ANTONIAZZI, JOSEPH KEPPER HEARTT 05/14/15 ASHER, RAYMOND L LTD GANAN & SHAPIRO 358 16WC 03770 HERRERA, ELENA THE KEEBLER COMPANY 01/24/16 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 359 16WC 04032 PALMSISANO, JOHN ABLE ENGINEERING SERVICES 09/15/15 GALLIANI DOELL & COZZI LTD 360 16WC 04169 MERCADO, TEODULO BIONDILLOS BAKERY LLC 12/26/15 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 361 16WC 04172 ORTIZ-GARCIA, DAVID AIRCRAFT SERVICE INTERNAT 01/16/16 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 362 16WC 04212 BASILIO, PERMIN MARCELO UNITED SCRAP METAL INC 01/21/16 ANKIN LAW OFFICE WOLF LAW LTD 363 16WC 04294 SMITH, ROCKY ENTERPRISE LEASING CO 12/23/15 TAYLOR MILLER SPROWL ET AL KNELL & O'CONNOR

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 16WC 04338 ZARAGOZA, JUAN AMITY PACKING COMPANY INC 03/25/15 MARC J SHUMAN & ASSOCIATES HOLECEK & ASSOCIATES 365 16WC 04373 GRIFFIN, LOUISA PRAIRIE MANOR NURSING AND 12/11/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 366 16WC 04473 BALOUGH, APRIL PEPPER CONSTRUCTION CO 04/06/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 367 16WC 04518 HIDALGO, ANTONIO KELLOGS 08/09/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 368 16WC 04569 MEEKS, KENISHA CHICAGO PUBLIC SCHOOLS 01/11/16 STEWART C ORZOFF 369 16WC 04740 MORENO, AMBROSIO ASPEN FOODS 01/29/16 ANKIN LAW OFFICE POWER & CRONIN LTD 370 16WC 04922 OCHOA DE MARTINEZ, MARIA ASPEN FOODS INC 12/10/10 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 371 16WC 04990 BRENS, STEVEN SIEMENS 01/20/16 JOHN F GREGORIO & ASSOC 372 16WC 05048 ROMERO, UBALDO WESTROCK SERVICES, INC. 07/01/15 CZAPLA LAW GAROFALO SCHREIBER STORM 373 16WC 05067 MILLER, ERIK P VILLAGE OF MORTON GROVE 01/27/16 THOMAS W DUDA RIPES NELSON BAGGOT KALOBRAT 374 16WC 05107 MORTEGA, IRENE CHGO BOARD OF ED 01/26/15 HORWITZ HORWITZ & ASSOC 375 16WC 05170 ROMERO, ROBERT COOK COUNTY SHERIFF'S DEP 01/29/16 PETER D CORTI LAW GROUP STATES ATTORNEY OF COOK COUN 376 16WC 05220 SANDERS, DELVIN COOK COUNTY JUVENILE 10/13/15 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 377 16WC 05273 ROJAS, JOSE F CITY OF CHICAGO 08/04/15 FABRIZIO, HANSON & PEYLA CITY OF CHICAGO 378 16WC 05307 RESA, JERRY CITY OF CHICAGO STREETS & 03/05/14 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 379 16WC 05412 JANG, DANIEL DALE COYNE RACING 05/24/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 380 16WC 05432 LABOY, LESBIA MID-WEST WIRE SPECIALITIE 01/14/16 GOLDSTEIN BENDER & ROMANOF RODDY LAW LTD 381 16WC 05520 NUNEZ, ADRIAN GOMEZ STEAD SHEET METAL INC. 12/18/15 GOLDSTEIN BENDER & ROMANOF

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 16WC 06200 CUEVAS, TRINIDAD FLORIDA FRUIT JUICES 02/18/16 CRONIN & PETERS 383 16WC 06260 SERRANO, REYNALDO KEHE DISTRIBUTORS, INC. 02/01/16 LEONARD LAW GROUP LLC NOBLE & ASSOCIATES PC 384 16WC 06501 ASH, RALPHAEL FORD MOTOR COMPANY 02/18/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 385 16WC 06626 HARRIS, LAWRENCE DHL GLOBAL FORWARDING 11/25/15 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 16WC006627 -C 386 16WC 06693 VARNADO, VANESSA CHICAGO TRANSIT AUTHORITY 02/27/16 KARNO, MARK L & ASSOC CHICAGO TRANSIT AUTHORITY 387 16WC 06767 BLES, MICHAEL GATESAFE 02/02/16 NILSON STOOKAL GLEASON CAP RUSIN & MACIOROWSKI LTD 388 16WC 13402 GOSHEN, THOMAS COOK COUNTY 02/24/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 389 16WC 13634 LUNA, HUGO IMPERIAL ZINC 11/20/13 COVEN LAW GROUP RIPES NELSON BAGGOT KALOBRAT 390 16WC 13720 WILBON, SANDRA ILLINOIS SECRETARY OF STA 08/04/15 ASHER, RAYMOND L LTD C. FLETCHER 391 16WC 13765 CAMBRON, JULIO RELIABLE GALVANIZING 04/27/16 COSTA IVONE LLC RODDY LAW LTD 392 16WC 13782 FLORES-RUIZ, CARLOS BATTAGLIA DISTRIBUTING CO 04/22/16 SALK, STEVEN B & ASSOC LTD 393 16WC 13856 SEGINA, JOHN SCH&T CORP. OF ILLINOIS C 03/07/16 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD 394 16WC 13877 MURRAY, TIM VILLAGE OF SCHAUMBURG 08/31/15 MACIOROWSKI SACKMANN & ULRIC 395 16WC 13939 RYAN, MARGARET E BROADWAY IN CHICAGO 10/08/15 GALLAGHER, DONALD V KNELL & O'CONNOR 396 16WC 14188 BALTAZAR, MARICELA LITTLE LADY FOODS 04/06/16 LARRY FLEISCHER & ASSOCIAT HOLECEK & ASSOCIATES 397 16WC 14194 DZIABA, MARK ABF FREIGHT 09/24/15 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 398 16WC 14263 PICARDI, EMILIA JEWEL FOOD STORES 03/26/16 LAW OFFICES MICHAEL HELLMA RODDY LAW LTD 399 16WC 14372 DE WEIS, YAZMIN MORAD RON'S STAFFING/AB PLASTIC 12/30/15 ACEVES & PEREZ PC GAROFALO SCHREIBER STORM

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 16WC 14414 OKWEI, ANGELA DURO-HILEX 10/16/15 CAPRON & AVGERINOS PC 401 16WC 14444 LEAKE, KATHLEEN ENVOY AIR-OHARE AIRPORT 06/11/15 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 402 16WC 14446 BROWN, DULCIE UNITED AIRLINES 01/31/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 403 16WC 14487 VASQUEZ, ARMANDO COOK COUNTY SHERIFF'S DEP 04/07/16 ROMANEK & ROMANEK STATES ATTORNEY OF COOK COUN 404 16WC 14665 ALLEN, TASHA GAP INC 04/23/16 K P LAW LLC 405 16WC 14888 WEST, MICHAEL J. TRIBE MANAGEMENT CONCEPTS 03/03/16 ROSS TYRRELL HOLECEK & ASSOCIATES 406 16WC 14929 MORRISON, DAVID CHICAGO TRANSIT AUTHORITY 04/28/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 407 16WC 15058 RICHARDS, CINDY J UNITED AIRLINES INC. 04/18/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 408 16WC 15223 OLMOS, LEONCIO OSWALDO CASTRO 04/28/16 WOODRUFF & JOHNSON 409 16WC 15242 ESTRADA, MIRNA EL ASADOR EXPRESS 05/07/16 LAW OFFICES LEONARDO MORAL 410 16WC 15325 DE LA CRUZ, GERMAN ALLIANCE COMPANIES INC 04/28/16 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 411 16WC 15450 CARPENTER, ROBERT W JR ATKORE INTERNATIONAL 10/07/15 FINE, MARK S LAW OFFICES HENNESSY & ROACH PC 412 16WC 15501 PHILLIPS, DANIELLE DAVIS FOOD 4 LESS 04/01/16 THE ROMAKER LAW FIRM 413 16WC 15642 LIDDELL, IRIS BALLARD RESPITORY & REHAB 05/04/16 PARENTE & NOREM PC LAW OFFICES FRANCESCA LARSEN 414 16WC 15666 ROZKO, MAREK BWAY CORPORATION 03/28/16 TOPPER & WEISS LTD 415 16WC 15695 ROBINSON, KEVIN TRECAL 03/01/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 416 16WC 15743 WILLIAMS, SELINA CITY OF CHGO./DEPT OF FIN 05/04/16 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 417 16WC 15809 WALKER, ROSALYNN IL DEPT OF CHILDREN & FAM @ 01/15/16 STEVEN J TENZER, LTD ASSISTANT ATTORNEY GENL

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 418 16WC 15832 MENGWA, GLORY CHALET SKILLED NURSING 04/30/16 RICHARD E ALEKSY BRADY CONNOLLY & MASUDA PC 419 16WC 15878 CENTENO, JUAN DART CONTAINER CORP 03/18/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 420 16WC 15926 ANASTASOF, FRANK CITY OF CHICAGO 11/09/15 SOSTRIN AND SOSTRIN PC 421 16WC 16030 CALATAYUD, RICKY A.L.L. MASONRY CONSTRUCTI 04/12/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 422 16WC 16074 LOPEZ, IGNACIO CLOVERHILL SOUTH 05/12/15 ENCINAS & ORNELAS ROBERT L. SMITH 423 16WC 16198 MONTEJANO, ROSA GHM INC D/B/A HILTON OAK 12/04/15 SALK, STEVEN B & ASSOC LTD 424 16WC 16216 HARRIS, MELVIN CTA 04/29/16 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 425 16WC 16245 COLEMAN, INEZ FEDEX 03/22/16 DWORKIN AND MACIARIELLO 426 16WC 16249 HUDSON, GLORIA CITY OF CHICAGO 03/01/16 DWORKIN AND MACIARIELLO 427 16WC 16443 RUIZ, CESAR CATER BIZ 04/25/16 HERRERA LAW CENTER 428 16WC 16576 SMITH, SHIRLEY CITY OF CHICAGO 05/04/16 SEIDMAN MARGULIS & FAIRMAN 429 16WC 16630 PATRICK, MARCUS CTA 05/17/00 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 430 16WC 16749 SWANSEY, DIESHA CELADON TRUCKING SERVICES 05/24/16 SEIDMAN MARGULIS & FAIRMAN KOPKA, PINKUS DOLIN, PC 431 16WC 16864 BURKS, CHANTELLE RICOH AMERICAS CORP 01/22/16 FOHRMAN, DONALD W & ASSOCS CHILTON YAMBERT PORTER LLP 432 16WC 16938 KALINOWSKI, HENRY AMERICAN AIRLINES INC 03/24/16 PETER D CORTI LAW GROUP 433 16WC 22065 GILL, TIMOTHY CTA 07/14/16 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 434 16WC 23221 SUGGS, MARLON COMCAST CORP 07/01/16 LEONARD LAW GROUP LLC POWER & CRONIN LTD 435 16WC 23877 SEGURA, GUADALUPE FACTORY MOTOR PARTS 07/12/16 RUBENS AND KRESS LEAHY EISENBERG & FRAENKEL

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 16WC 23901 ESCOBAR, MIRNA ANDREWS STAFFING, INC. 05/04/16 JAUREGUI & ASSOCIATES 437 16WC 23940 LAMARCA, MARY PRESENCE ST JOSEPH HOSPIT 07/16/16 EVAN A HUGHES LAW OFFICE 438 16WC 23953 RIVERA, JOHNNY RIVERSIDE CONCRETE W 07/28/16 MC HARGUE, JAMES P LAW OFF 439 16WC 23974 PEREZ, BERTHA SLOAN VALVE COMPANY 06/14/16 DEAN J CARAS & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 440 16WC 24047 NIEMIEC, JOSEPHINE CITY OF CHICAGO 05/13/16 JOSEPH J SPINGOLA, LTD 441 16WC 24121 ANDERSON, ALISHAYA MARSHALLS OF IL, LLC 07/25/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 442 16WC 24203 WEEKS, SANDRA LORETTO HOSPITAL 02/22/16 BOWMAN & CORDAY 443 16WC 24247 ROBINSON, EDWARD EXPRESS EMPLOYMENT 03/17/16 DEER & STONE PC MC ANDREWS & NORGLE LLC 444 16WC 24282 DELGADO, CENON STAFFING NETWORK LLC 09/04/15 KARCHMAR & STONE SLAVIN & SLAVIN 445 16WC 24361 LAWRENCE, MELINDA FORD MOTOR CHICAGO ASSEMB 06/02/16 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 446 16WC 24595 PARKER-ROBINSON, GWENDOLY PRIMESOURCE HEALTHCARE SY 07/05/16 HORWITZ HORWITZ & ASSOC 447 16WC 24642 GARCIA, CHRISTIAN PEPSI CO. 07/26/16 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 448 16WC 24683 KYSER, LONNIE OLYMPIC MOVING 07/22/16 STEVEN J MALMAN & ASSOCIAT 449 16WC 24708 LANNANTENE, JOHN SYSCO CHICAGO INC 07/16/15 TAXMAN POLLOCK HENNESSY & ROACH PC 450 16WC 24742 REED, KYLIE AVANT GARDENIA 07/17/16 MEYERS & FLOWERS 451 16WC 24835 MITCHELL, NAKAJI SODEXO 06/23/16 SPENCER LAW OFFICES 452 16WC 24989 MATA, YESENIA GROVE OF LAGRANGE PARK 10/01/15 LAW OFFICES OF HERBERT ABR BRADY CONNOLLY & MASUDA PC 16WC024990 -C 453 16WC 25069 GIBBONS, NEAL GIBBONS, NEAL 08/10/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 454 16WC 25141 CARRASQUILLO, WILBERTO NU-WAY INDUSTRIES, INC. 04/12/16 ANKIN LAW OFFICE 455 16WC 25196 COLE, ASHELY NEW ALBERTON'S INC 03/22/15 EFTEKHARI LAW OFFICES 456 16WC 25235 STEELE, CHRISTOPHER DHL EXPRESS USA INC 07/08/16 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 457 16WC 25348 GOTT, ALEX ASSOCIATED SERVICES 08/12/16 458 16WC 25381 PATRICIO, ALFREDO KIMCO 07/27/16 459 16WC 25407 CIGANOVIC, VERA WALDORF ASTORIA, A SUBSID 09/29/15 GALLIANI DOELL & COZZI LTD 460 16WC 25459 RIVERA, ANGEL PLANT PROPERTY MANAGEMENT 04/20/15 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 16WC025460 -C 461 16WC 25529 SANCHEZ, OSCAR EL MILAGRO, INC 04/13/15 MC HARGUE, JAMES P LAW OFF LAW OFFICES FRANCESCA LARSEN 462 16WC 25549 AULENTA, JOSEPH D. GES CHICAGO 06/29/16 LAW OFFICES MICHAEL HELLMA GILDEA & COGHLAN 463 16WC 25573 DRISH, RYAN SILBRICO CORP 05/03/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 464 16WC 25617 FARRIS, RICK POWER CONSTRUCTION 02/28/15 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 465 16WC 25819 OCAMPO, ESTEBAN CHICAGO TRANSIT AUTHORITY 07/30/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 466 16WC 25927 CANO, MARILU STAFF RIGHT 05/03/16 AIOSSA LAW FIRM MC ANDREWS & NORGLE LLC 467 16WC 25998 BATAINEH, KHALED CLIMATE ZONE HEATING & 04/08/16 GOLDBERG WEISMAN & CAIRO L 468 16WC 26025 ANSARI, SAMEENA NORWEGIAN AMERICAN HOSPIT 07/28/16 COLLISON LAW OFFICES 469 16WC 26166 MICHALSKI, MIROSLAWA MB FINANCIAL BANK 08/01/16 BELLAS & WACHOWSKI HENNESSY & ROACH PC 470 16WC 26274 KILCULLEN, JOHN J VILLAGE OF SKOKIE POLICE 05/05/16 FIGLIOLI, DAVID 471 16WC 26435 BEJARANO, LUIS NESTLE CHOCOLATE & CONFEC 08/20/16 MILLON & PESKIN LTD NYHAN BAMBRICK KINZIE & LOWR

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 16WC 26450 HUBBARD, SONYA N CHICAGO PUBLIC SCHOOLS 01/21/16 DISPARTI LAW GROUP PA 473 16WC 26508 SAMANO-CORIA, GRACIELA METROSTAFF INCORPORATED 12/30/15 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 474 16WC 26533 ESCOBEDO, MONICA COOK COUNTY SHERIFF'S DEP 08/07/16 STELZMAN, RUTH STATES ATTORNEY OF COOK COUN 475 16WC 26571 DOMINGUEZ, LUIS M MEYER STEEL & DRUM 03/01/16 LAW OFFICES LEONARDO MORAL 476 16WC 26604 IBARRA, RICARDO COOK COUNTY 08/13/16 ANGELINI & ORI LLC STATES ATTORNEY OF COOK COUN 477 16WC 26720 DURON, MARIA P RAIN FOREST CAFE, INC 03/19/16 ANKIN LAW OFFICE 478 16WC 26857 MURPHY, MICHAEL P US FOODS 08/02/16 FIGLIOLI, DAVID BRADY CONNOLLY & MASUDA PC 479 16WC 26895 FIGUEROA, MARILYN SECURE AMERICA 08/28/16 GALLIANI DOELL & COZZI LTD 480 16WC 26911 BRYANT, EVITA P FAMILY DOLLAR 04/12/16 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 481 16WC 33789 NOEL, CHRISTINE MEIJER 09/28/16 MEYERS & FLOWERS KOPKA, PINKUS DOLIN, PC 482 16WC 33887 CONTRERAS, LUIS F UNION AUTO SALES 02/25/16 483 16WC 33994 SMITH, PRESTON L CITY OF CHICAGO/DEPT OF 10/30/16 ANKIN LAW OFFICE 484 16WC 34040 GREEN, BARBARA CERMAK HEALTH SERVICES 04/07/15 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN 485 16WC 34044 BOTICA, MARTIN CITY OF CHICAGO 10/11/16 SALVATO & O'TOOLE 486 16WC 34054 COOPER, LARRY WATERFRONT TERRACE, INC 07/15/16 SPENCER LAW OFFICES POWER & CRONIN LTD 487 16WC 34116 LOPEZ, LUIS CHICAGO TRANSIT AUTHORITY 10/26/16 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 488 16WC 34143 RODRIGUEZ, MARGARITA CARL BUDDIG & CO 10/21/16 CHEPOV & SCOTT LLC KNELL & O'CONNOR 489 16WC 34166 MORALES, ROBERTO INDUSTRIAL MATERIALS & SU 01/21/16 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 16WC 34200 PANIK, THOMAS WILLIAMS STEEL ERECTORS 10/27/16 ELFENBAUM EVERS & AMARILIO 491 16WC 34221 HUGHIE, STEVE UNITED AIRLINES INC. 09/11/16 NILSON STOOKAL GLEASON CAP 492 16WC 34272 FANANI, GIOVANNA UNITED AIRLINES INC. 09/22/16 KATZ FRIEDMAN EAGLE ET AL 493 16WC 34294 WARD, DENEEN M STATE OF ILLINOS ET AL @ 03/01/16 STUART H GALESBURG C. FLETCHER 494 16WC 34309 BUENZOW, KEITH E VILLAGE OF SKOKIE FIRE DE 09/28/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE 495 16WC 34325 BENITEZ, NEYVA O'REILLY AUTO ENTERPRISES 10/04/16 CUSHING LAW OFFICES HENNESSY & ROACH PC 496 16WC 34345 BLOCH, FERN COOK COUNTY CLERK OF COUR 10/31/16 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 497 16WC 34370 JORDAN-BAHENA, JACOB RENE CAMPOS LANDSCAPING I 09/27/16 LAW OFFICES LEONARDO MORAL 498 16WC 34396 MUNOZ, JOSE RED CARPET INN 08/03/15 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 499 16WC 34425 CONDE, WALTER LOU MALNATI'S 03/11/16 HERRERA LAW CENTER GRANT & FANNING 500 16WC 34490 MCCREEDY, LAWRENCE COOK COUNTY 05/17/16 SOSTRIN AND SOSTRIN PC STATES ATTORNEY OF COOK COUN 501 16WC 34512 CAMERINO, FRANK J PATHWAY TO ADVENTURE COUN 07/04/16 TAMVAKIS, GEORGE L INMAN & FITZGIBBONS 502 16WC 34543 JUNGO, PATRICIA CHICAGO MEAT AUTHORITY 10/29/16 RUEDA, IVAN A 503 16WC 34570 HOOKS, KAREN PACE SUBURBAN BUS 09/15/16 DAVID W MARTAY SLAVIN & SLAVIN 504 16WC 34605 ROUSE-NELSON, TANICIA SEARS HOME IMPROVEMENT 10/22/16 RIDGE & DOWNES 505 16WC 34646 CLINTON-TYRUS, APRIL ADVOCATE HOME HEALTH SERV 03/27/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 506 16WC 34678 FARA, ALI CHICAGO HEIGHTS POLICE DE 11/14/16 DEL GALDO LAW GROUP LLP 507 16WC 34739 HUDSON, ANTONIO CHICAGO PUBLIC SCHOOLS 10/24/16 RUBENS AND KRESS

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 16WC 34795 HSIAO, RUTH DARDEN RESTAURANTS, INC 08/30/16 SCOTT BARBER 509 16WC 34827 GRAHAM, THERESA JEWEL OSCO 07/06/16 THE KARMEL LAW FIRM 510 16WC 34837 PALADIN, LUKE COOK COUNTY SHERIFF'S DEP 09/20/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 511 16WC 34860 GARCIA, MARCO HILTON 07/04/16 LAW OFFICE HOWARD ABRAMS NOBLE & ASSOCIATES PC 512 16WC 34887 CLAIBORNE, THEODORE C UNIVERSITY OF IL AT CHICA 05/21/15 SLAVIN & SLAVIN NYHAN BAMBRICK KINZIE & LOWR 513 16WC 34909 WARD, GRANT CHICAGO FIRE SOCCER CLUB 02/19/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 514 16WC 34962 SKOWRON, BOZENA LITTLE SISTERS OF THE POO 11/02/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 515 16WC 34987 YOES, AMY SCHOOL OF THE ART INSTITU 09/21/16 RUBENS AND KRESS THOMAS & PORTELA 516 16WC 35019 RODRIGUEZ, ALICIA STAFFING NETWORK, LLC 11/08/16 EPSTEIN, JACK R LAW OFFICE SLAVIN & SLAVIN 517 16WC 35083 KELLY, MICHAEL U-HAUL COMPANY OF IL 06/26/16 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 518 16WC 35153 WILLIAMS, DEVONA EUROPEAN SERVICE AT HOME 05/23/16 DWORKIN AND MACIARIELLO 519 16WC 35192 RIGGENS, DUANE INFUSION MANAGEMENT GROUP 11/21/15 WOLIN KELTER & ROSEN LTD RIPES NELSON BAGGOT KALOBRAT 520 16WC 35221 MCDONALD, ALICE SPIRIT HALLOWEEN SUPER ST 11/03/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 16WC035222 -C 521 16WC 35244 GORDON, ANNIE COOK COUNTY 07/28/16 CARONE LAW OFFICES STATES ATTORNEY OF COOK COUN 522 16WC 35312 WILES, SHERI JEWEL FOOD STORES 04/26/16 GOLDBERG WEISMAN & CAIRO L 523 16WC 35331 MARTINEZ, ANILU EYM DINER LP AKA PIZZA HU 10/01/16 CUDA LAW OFFICES INMAN & FITZGIBBONS 524 16WC 35349 PROCTOR, RENDA LUDEMAN CENTER @ 07/03/16 ASSISTANT ATTORNEY GENL 525 16WC 35508 EVITT, DEREK TOWN OF CICERO POLICE DEP 10/11/16 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP

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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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 16WC 36680 GARCIA, AIDE SHOP & SAVE 03/21/16 COVEN LAW GROUP 545 17WC 02341 HERBERT, CAROL NCH IMMEDIATE CARE CENTER 01/10/17 STROM, NEAL B HEYL ROYSTER VOELKER & ALLEN 546 17WC 03065 WARZECHA, ARTUR JCB INTERNATIONAL INC 01/26/17 KNELL & O'CONNOR 547 17WC 03266 ARREOLA, LORRAINA COSTCO WHOLESALE CORPORAT 07/01/16 CORBOY & DEMETRIO PC MARTIN, PATRICK W 548 17WC 03339 LEWIS, RAMON EXPRESS EMPLOYMENT 01/25/17 POLANSKY & CICHON CHTD 549 17WC 03340 PODGORSKI, JOZEF TOTAL FACILITY MAINTENANC 08/17/16 GREGORIO & MARCO 550 17WC 03359 RIPKA, JOHN P VILLIAGE OF WINNETKA 10/05/16 THOMAS W DUDA POWER & CRONIN LTD 551 17WC 03407 MC NEAL, LISA JACKSON CHICAGO REED MENTAL HEALT 01/04/17 EDWIN REYES LEGAL GROUP ASSISTANT ATTORNEY GENL 552 17WC 03436 WINSTON, SARITA EUROPEAN AT HOME SERVICES 12/23/16 BRISKMAN BRISKMAN GREENBER 553 17WC 03454 SZPAKOWICS, WIACZESLAW SHEDD AQUARIUM 10/05/16 LEONARD LAW GROUP LLC 554 17WC 03543 GONZALEZ, HILARIO METRO POUTAN CLUB MANAGEM 09/11/16 RUEDA, IVAN A WIEDNER & MCAULIFFE LTD 555 17WC 03595 BRANDON, CHERYL KELLOGG 01/12/17 MARC J SHUMAN & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 556 17WC 03619 ASKHARIA, NINOSE HC NAHIGIAN & SONS 01/10/17 SANDMAN LEVY & PETRICH 557 17WC 03655 GUZMAN, SANDRA UPS PALATINE 12/06/16 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC003656 -C 558 17WC 03659 HALIOTIS, GEORGE DANIA FURNITRE CO AKA PLU 08/19/16 NICHOLIS J STEIN 559 17WC 03690 PERNELL, LARRY JEWEL OSCO 11/02/16 HORWITZ HORWITZ & ASSOC 560 17WC 03749 MANLY, JEFFREY MEN'S WEARHOUSE 05/04/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 561 17WC 03774 TURAJ, ROMAN ILLINOIS GRANITE & MARBLE 12/06/16 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 562 17WC 03828 LEON, MILDRED M VILLAGE OF ARLINGTON HEIG 02/09/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 563 17WC 03858 BENDER, NICOLE CHICAGO TRANSIT AUTHORITY 11/30/16 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 564 17WC 03894 ARRIAGE, MARTHA BLUE PLATE 10/28/16 DWORKIN AND MACIARIELLO 565 17WC 03913 RIVERA, SOPHIA NORTHEASTERN IL UNIVERSIT 12/20/16 LAW OFFICE OF SCOTT B SHAP ASSISTANT ATTORNEY GENL 566 17WC 03930 SANCHEZ, CAROLINA SMG MCCORMICK PLACE F&B 10/23/16 LEONARD LAW GROUP LLC RUSIN & MACIOROWSKI LTD 567 17WC 03975 KIRKLEY, JAMES FORD MOTOR COMPANY 07/10/16 HORWITZ HORWITZ & ASSOC 568 17WC 04015 WILLIS, BRENDA SYNERGY HOME CARE 01/12/17 COLLISON LAW OFFICES ACCIDENT FUND HOLDINGS 569 17WC 04109 STEPHANY, LERAY CHRISTY WEBBER LANDSCAPES 06/03/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 570 17WC 04204 WALSH, ROBERT MEDSPEED 08/27/15 HORWITZ HORWITZ & ASSOC ACCIDENT FUND HOLDINGS 571 17WC 04234 WIECZOREK, ARKADIUSZ VINAKOM, INC 10/20/16 HETHERINGTON KARPEL BOBBER 572 17WC 04267 ADAMS, CHRISTIAN TOWN & COUNTRY DISTRIBUTO 06/23/15 RICHARD O. GREENFIELD 17WC004268 -C 573 17WC 04289 REESE-JOHNSON, SHIRLEY ULTRA FOODS 11/21/16 DWORKIN AND MACIARIELLO 574 17WC 04335 CHANDLER, IRIS ALPHA MONTESSORI SCHOOL 01/13/17 575 17WC 04355 LANIER, JAN SECRETARY OF STATE IL 09/06/16 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENL 576 17WC 04388 HARDY, DOUGLAS DR. PEPPER SNAPPLE 01/27/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 577 17WC 04406 AMAYA, JOSE SECURITAS SECURITY SERVIC 03/03/16 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 578 17WC 04421 BENJAMIN, KRISTEN CHILDREN'S HOME CENTER IN 12/16/16 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 579 17WC 04473 GALE, JEFFREY VILLAGE OF FOREST VIEW 01/29/17 SKLARE LAW GROUP INMAN & FITZGIBBONS

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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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 598 17WC 05441 SHIPP, SHIOBAN STATE OF ILLINOIS, DEPT H @ 12/26/16 GALLAGHER LAW PC ASSISTANT ATTORNEY GENL 599 17WC 05482 GONZALEZ, PHILLIP FEDEX 02/11/17 GOLDSTEIN BENDER & ROMANOF 600 17WC 05514 MCCLAIN, MICHAEL MCHUGH CONSTRUCTION CO 02/10/17 HEALY SCANLON LAW FIRM KEEFE CAMPBELL & ASSOC LLC 601 17WC 05528 PRICE, GARRYL A DR PEPPER SNAPPLE GROUP I 01/13/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 602 17WC 05577 BRANDER, JOSHUA VILLAGE OF BRIDGEVIEW 06/26/16 DWYER AND COOGAN INMAN & FITZGIBBONS 603 17WC 05637 MALDONADO, VICTOR BLOOMER CHOCOLATE COMPANY 10/27/16 HORWITZ HORWITZ & ASSOC WOLFE & JACOBSON, LTD 604 17WC 05659 SUSTAITA, LUIS BLOOMIN BRANDS, INC 11/08/16 CUSHING LAW OFFICES 605 17WC 05687 PIZARRO, LYDIA HOMEGOODS INC 11/10/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 606 17WC 05760 SANCHEZ, ESTEBAN MR DUCT 02/15/17 LANNON LANNON & BARR LTD GANAN & SHAPIRO 607 17WC 05789 PEARSON, JEFFREY UPS FREIGHT 02/16/17 STROM, NEAL B ASA LAW GROUP 608 17WC 05830 CHRISTOPHER, RICARDO UPS- HODGKINS 03/23/16 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 609 17WC 05944 DIAZ, LUCIO CITY OF CHICAGO 08/22/16 HEALY SCANLON LAW FIRM 610 17WC 05952 HITCHCOCK, AMANDA FORD MOTOR COMPANY 01/09/17 FOHRMAN, DONALD W & ASSOCS 611 17WC 05970 BARRON, ANGELA M AMBULANCE TRANSPORTATION 04/05/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 612 17WC 05994 OUTLAND, CARLTON UNITED PARCEL SERVICE 02/11/17 BERG & BERG NYHAN BAMBRICK KINZIE & LOWR 613 17WC 06100 LYNCH JR, MICHAEL OAK FOREST POLICE DEPT 12/24/16 RATHBUN CSEVENYAK & KOZOL 614 17WC 06171 ORTIZ, MIGUEL PIZZA NOVA 12/17/16 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 615 17WC 06192 CHAVEZ, JESUS TAUBENSEE STEEL AND WIRE 02/15/17 DAVID J. BAWCUM

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 616 17WC 06274 IZGUERRA, GUADALUPE TRELLEBORG SEALING SOLUTI 01/15/16 MARTIN V KUGIA 617 17WC 06305 CHATMAN, GWENDOLYN SCR MEDICAL TRANSPORTATIO 01/31/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 618 17WC 06335 ROJAS, JUVENAL TWEETEN FIBRE CO. 10/19/16 HODES GREENSTEIN & LITWIN 619 17WC 06353 SCHAPIRA, GERALDINA THE CONTAINER STORE INC 02/16/17 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 620 17WC 06424 GOMEZ, MIGUEL LATINO MEATS 12/01/16 KREITER, BYCK & ASSOC LLP 621 17WC 06456 NAJERA, SANTA A MCDONALDS 12/22/16 DEPAOLO ZADEIKIS GORE POWER & CRONIN LTD 622 17WC 06541 HATTEN-ALEXANDER, ANGELA THE CIRCUIT COURT OF COOK 02/15/17 WILLIAMS, ROBERT B LAW OFF STATES ATTORNEY OF COOK COUN 623 17WC 10338 GALBRAITH, DANIEL CITY OF CHICAGO 03/24/17 SALVATO & O'TOOLE 624 17WC 12243 HOLBERT, YOLANDA ROSS DRESS FOR LESS 06/01/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 625 17WC 13361 KIRKWOOD, SAMUEL GRANE DISTRIBUTION 01/01/17 WILLIAMS, ROBERT B LAW OFF 626 17WC 13376 LOPEZ, ERNEST PACIFIC RAIL SERVICES 04/20/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 627 17WC 13424 CABRALES, OMAR 24/7 CHICAGO LOCKSMITHS 01/31/17 DWORKIN AND MACIARIELLO 628 17WC 13465 BELK, ANTONIO COOK COUNTY SHERIFF'S DEP @ 01/31/17 LANGENDORF, ROBERT A STATES ATTORNEY OF COOK COUN 629 17WC 13500 WILLIAMS, CHRISTOPHER AMERIFREIGHT SYSTEMS, LLC 04/07/17 ARGIONIS & ASSOCIATES LLC 630 17WC 13506 CIEZKOWSKA, BARBARA UNITED AIRLINES 03/19/17 SCHRAMM LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 631 17WC 13624 GOOSSENS, JOHN CHICAGO FIRE SOCCER CLUB 04/29/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 17WC013625 -C 17WC013626 -C 632 17WC 13633 DIAZ, RAUL VARGAS GROUP 09/14/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 633 17WC 13649 TRIPP, CORILIS STATE OF ILLINOIS-DEPARTM @ 04/03/17 ANKIN LAW OFFICE

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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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 652 17WC 14563 PADILLA, ENELIDA SECURITAS 11/29/16 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 653 17WC 14569 GAVIN, KARA V METROPOLITAN WATER RECLAM 01/20/17 CULLEN HASKINS NICHOLSON 654 17WC 14588 SUGGS, DANISHA SEGUIN SERVICES INC 05/13/17 DWORKIN AND MACIARIELLO 655 17WC 14618 LIAUBA, MARIANNE SOUTH SUBURBAN COLLEGE 05/12/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 656 17WC 14733 OGUNDIPE, MICHAEL ALL CITY MADALLION MANAGE 04/28/17 WEISS & WEISS LAW OFFICES 657 17WC 14765 RODRIGUEZ, MARIA M METROSTAFF, INC 04/19/17 ANKIN LAW OFFICE 658 17WC 14786 WRIGHT, TYLER BY ROBERT W JESSE WHITE TUMBLING TEAN 07/31/15 JAMES ELLIS GUMBINER & ASS COZZI & GOGGIN-WARD 659 17WC 14903 CURRY, ADAM WALSH CONSTRUCTION CO OF 07/13/16 HORWITZ HORWITZ & ASSOC 660 17WC 14924 JACINTO, JOEL SIX GRAND INC DBA SKYWAY 01/14/17 O'CONNOR & NAKOS 661 17WC 14941 JAUREZ, MAYBELINE SWEDISH COVENANT HOSPITAL 12/22/16 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 662 17WC 14984 SEGERS, MICHAEL NORTH AMERICAN DISTRIBUTI 05/11/17 DISPARTI LAW GROUP PA 663 17WC 15037 MADRIZ-OCAMPO, JOSE PANGEA VENTURES, LLC 06/29/15 EPSTEIN, JACK R LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 664 17WC 15119 MEDLER, SANDRA MSC INDUSTRIAL SUPPLY CO. 05/02/17 FRANK A CELANI 665 17WC 15139 WILSON, KORTILLOUS AVERUS 05/16/17 POLANSKY & CICHON CHTD MACIOROWSKI SACKMANN & ULRIC 666 17WC 15162 ZAPATA, EVA ALDI 06/28/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 667 17WC 15197 PIPHUS, GERALDINE FEDEX GROUND PACKAGE SYST 04/22/17 CORBOY & DEMETRIO PC 668 17WC 15219 LINCOLN, DAVID CITY OF CHICAGO 12/16/16 CULLEN HASKINS NICHOLSON 669 17WC 15236 GOGGINS, SANDRA CHICAGO TRANSIT AUTHORITY 04/29/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 670 17WC 15258 WILLIAMS, CALVIN CITY OF CHICAGO 05/10/17 DWORKIN AND MACIARIELLO 671 17WC 15282 PRICE, LEAH CAREER EDUCATION CORPORAT 05/01/17 KOSIN LAW OFFICE LTD NYHAN BAMBRICK KINZIE & LOWR 672 17WC 15314 DANYAL, GORGES D&D FINER FOODS 05/03/17 SEIDMAN MARGULIS & FAIRMAN RIPES NELSON BAGGOT KALOBRAT 673 17WC 15340 SOLORIO, ERIC LIFE FITNESS 05/05/17 ENCINAS & ORNELAS 674 17WC 15357 TERCS, CSABA RUSH UNIVERSITY MEDICAL C 05/14/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 675 17WC 15401 LOUIS, TERESA BURLINGTON COAT FACTORY 05/08/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 676 17WC 15486 STRIBLING, DONNA DAKKOTA INTEGRATED SYSTEM 04/15/16 KATZ FRIEDMAN EAGLE ET AL 677 17WC 15532 RODRIGUEZ, LUCAS A WHOLE FOODS MARKET,INC 10/10/16 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 678 17WC 15551 WHITE, ANDREW SUMMIT POLICE DEPT 04/19/17 RIDGE & DOWNES 679 17WC 15591 STOUTMIRE, LESTER FRESH EXPRESS 03/12/16 JAMES ELLIS GUMBINER & ASS 680 17WC 15623 MARTINEZ, JEFFREY PERI FORMWORK SYSTEMS, IN 02/09/15 HOLECEK & ASSOCIATES 681 17WC 15651 MEHRINGER, BRIAN NORTHERN PRODUCTS CO 09/19/16 ROBIN LAW OFFICE 682 17WC 15669 ROSALIO, CRISOFORO ACCURATE PARTITIONS 04/07/17 MC HARGUE, JAMES P LAW OFF 683 17WC 15693 MORALES, ALEXANDRA CHICAGO BARTON LLC 12/08/16 COSTA IVONE LLC 684 17WC 15718 WALTERS, HORACE PRESENCE RESURRECTION 05/25/15 EFTEKHARI LAW OFFICES 685 17WC 15734 MALDONADO, LENNY PRESENCE HEALTH 05/14/17 COVEN LAW GROUP 686 17WC 15757 QUALIZZA, STEVEN TILE ROOFS, INC 04/13/17 JASINSKI, GEORGE J WOLF LAW LTD 687 17WC 15799 PLECKI, JACOB M BETON CONSTRUCTION CO. 05/16/17 FIGLIOLI, DAVID

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 688 17WC 15815 BROWN, HENRY J TOTAL FACILITY MAINTENANC 05/09/17 ANKIN LAW OFFICE 689 17WC 15906 ZAMBRANO, PRILCILIANA HAMPTON INN SUITES 07/13/16 SALGADO, DAVID L 690 17WC 15951 SHARP, TERRENCE CTA 05/12/17 FOHRMAN, DONALD W & ASSOCS 691 17WC 15966 CHAVEZ, MA ROSARIO CHICAGO POWDERED METAL PR 01/07/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 692 17WC 15990 GALINDO, EDWIN JANOZ BUILDING SERVICES, 04/26/17 AIOSSA LAW FIRM VILLALOBOS, RAUL 693 17WC 16030 WILLIAMS, DEANNA ALLIED UNIVERSAL 05/16/17 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 694 17WC 16045 POUND, WENDY PETSMART 05/11/17 ASHER, RAYMOND L LTD HENNESSY & ROACH PC 695 17WC 16154 090 CARRENO, JORGE 630 NORTH STATE PARKWAY 11/04/15 STEVEN J TENZER, LTD HENNESSY & ROACH PC 090 15WC039800 -C 696 17WC 16180 MULLANEY, JAMES T CITY OF CHICAGO - FINANCE 08/11/16 WILLIAM MARTAY 697 17WC 16202 MC DONAGH, KAREN CHICAGO BOARD OF EDUCATIO 03/28/17 JAMES W GREEN, JR LAW DEPARTMENT 698 17WC 16271 GRINNAGE, SYLVIA FIRST TRANSIT 05/18/17 BRISKMAN BRISKMAN GREENBER 699 17WC 16287 VEGA, MARIA D EXPRESS JET 03/29/17 RUBENS AND KRESS QUINTAIROS PRIETO WOOD & BOY 700 17WC 16310 LOPEZ, JESSICA FLORES SURE STAFF 01/27/17 EDWIN REYES LEGAL GROUP LOUIS MUNDY 701 17WC 16354 MANTLE-DICKSON, MADGE UNITED AIRLINES 01/02/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 702 17WC 16494 LAMBERT, GEORGE THE WALSH GROUP 05/02/17 TAXMAN POLLOCK HINSHAW & CULBERTSON 703 17WC 16523 GAWLIK, ROSEMARIE COUNTY OF COOK 07/29/16 TAMVAKIS, GEORGE L STATES ATTORNEY OF COOK COUN 704 17WC 20816 GUIA, JOSE COSTA ROOFING INC * 07/05/17 KATZ FRIEDMAN EAGLE ET AL MEACHUM & STARCK 705 17WC 22504 MITIC, MILOS MTS STAFFING LTD & IL GUA # * 05/24/17 SPIEGEL & CAHILL, PC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 706 17WC 22750 PATTERSON, ANTHONY DART CONTAINER * 06/19/17 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM 707 17WC 22790 COPPAGE, TAMIA ROSS DRESS FOR LESS * 07/26/17 SKLARE LAW GROUP 708 17WC 22800 REYES, SUZANNE G NORTHWEST COMMUNITY HOSPI * 10/13/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 709 17WC 22840 GILCHRIST, STEVEN ARYZTA * 07/29/17 JAMES ELLIS GUMBINER & ASS 710 17WC 22897 VALDEZ, TERESA WATERTON HOSPITALITY D/B/ * 12/11/16 FREDRICK B BARDER, LTD 711 17WC 22919 STERLIN, MARC A CHICAGO TRANSIT AUTHORITY * 07/06/17 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 712 17WC 22992 BLAGA, CRINA THE TERRACE AT TRUMP * 08/02/17 KURASCH & KLEIN, LTD 713 17WC 23018 ROCK, CINDY BLU PETROLEUM * 11/17/16 JAMES J. GAY 714 17WC 23038 ALTIER, SCOTT PILOT FREIGHT SVCS * 04/07/17 LEONARD LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 715 17WC 23077 MILES, CHRISTINE CHICAGO TRANSIT AUTHORITY * 07/22/17 ANKIN LAW OFFICE 716 17WC 23108 CASTILLO, ROBERT CITY OF CHICAGO * 05/31/16 ARGIONIS & ASSOCIATES LLC 717 17WC 23139 BUCKNER, DELOREAN CTA * 07/24/17 GARDI & HAUGHT CHICAGO TRANSIT AUTHORITY 718 17WC 23164 MARTINEZ, MARTHA CHICAGO WHIRLY INC * 07/10/17 CHEPOV & SCOTT LLC 719 17WC 23211 REED, JASMINE ARYTZA BAKERY * 08/04/17 DAMISCH & DAMISCH LTD HENNESSY & ROACH PC 720 17WC 23236 LAUTERBURG, CAROLL A BILLS VILLAGE MARATHON * 06/01/17 NILSON STOOKAL GLEASON CAP 721 17WC 23290 RANGEL, JESUS THE CHEF'S WAREHOUSE CHIC * 06/09/17 LEONARD LAW GROUP LLC 722 17WC 23307 ZUNIGA, FRANNCISCO CHICAGO TRANSIT AUTHORITY * 07/22/14 RIDGE & DOWNES 723 17WC 23328 CAHUE, MARIA STAMPEDE MEAT INC * 05/10/17 GANAN & SHAPIRO

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 724 17WC 23366 BROCK, NOELANI "LANI" UNITED AIRLINES, INC, AN * 07/24/17 BRIAN J MC MANUS & ASSOC, 725 17WC 23376 WAGEMANN, CHERYL PAEC SEJA 803 * 06/16/17 DAVID M SPADA ANCEL GLINK DIAMOND BUSH & E 726 17WC 23411 FRIGO, MICHAEL WERTHEIMER BOX AND PAPER * 07/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 727 17WC 23429 GRIMSLEY JR, GLENN W CXI TRUCKING * 08/01/17 LAW OFFICE NANCY HIRSCH LL NYHAN BAMBRICK KINZIE & LOWR 728 17WC 23461 YARBER, GIOVANI FORD MOTOR CO * 08/04/17 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 729 17WC 23505 MILTON, JEQUITA BELLWOOD NURSING CENTER L * 07/22/17 BRILL & FISHEL 730 17WC 23518 BOX, JAMES SPO CNW, INC * 01/31/17 KROL BONGIORNO & GIVEN LTD 731 17WC 23540 BEAUCHAMP, MARQUIS COOK COUNTY SHERIFF'S DEP * 07/26/17 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 732 17WC 23572 SMITH, REGINA ARIES CHARTER TRANSPORTAT * 08/03/17 POLANSKY & CICHON CHTD QUINTAIROS PRIETO WOOD & BOY 733 17WC 23586 THOMAS, LAYMOND PLANET TOYOTA * 06/06/17 VASILATOS & COTTER LLC 734 17WC 23616 BERGLES-MUEHLENBECK, TRAC MOBILITIE MGMT, LLC * 06/27/17 PAUL A COGHLAN & ASSOC 735 17WC 23637 POLK, DEBRA CHICAGO TRANSIT AUTHORITY * 05/10/17 DOWD & DOWD LTD CHICAGO TRANSIT AUTHORITY 736 17WC 23654 CARPENTER, WILLIAM AMERICAN AIRLINES * 07/12/17 ELFENBAUM EVERS & AMARILIO 737 17WC 23675 LINTON, STANLEY WESTMONT ENGINEERING CO * 09/25/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 738 17WC 23690 MARTINEZ, CESAR CTA * 08/04/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 739 17WC 23725 PUCKETT, DOMINICK PEOPLES GAS * 03/29/17 GOLDBERG WEISMAN & CAIRO L 740 17WC 23741 KUROWSKI, MICHELLE BERTEAU-LOWELL PLATING WO * 08/18/15 SAUNDERS CONDON & KENNY NOBLE & ASSOCIATES PC 741 17WC 23763 SOLANO, JORGE A. RUSSO POWER EQUIPMENT * 12/01/16 SALVATO & O'TOOLE

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 742 17WC 23776 BONADURER, DONALD CTA * 08/11/17 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 743 17WC 23804 DURLEY, JAMES LAWRENCE FOODS, INC * 07/28/17 ANKIN LAW OFFICE 744 17WC 23818 NASH, TABITHA UPS * 04/17/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 745 17WC 23836 HASSANI, SAMUEL JAKE TRANSIT CO * 07/17/17 LAW OFFICE RYAN ROSENTHAL 746 17WC 23861 SIMPSON, COLIN PURPLE PIG * 07/15/17 THE FITZ LAW GROUP QUINTAIROS PRIETO WOOD & BOY 747 17WC 23880 TYSON, DIMETRIO ARENA FOOTBALL ONE LLC * 08/06/16 GORDON LAW OFFICES LTD HOLECEK & ASSOCIATES 748 17WC 23881 DIAZ, ANDRES LSI STEEL 08/09/17 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 749 17WC 23899 TYREE, DIANA L UNITED AIRLINES * 08/02/17 CULLEN HASKINS NICHOLSON 750 17WC 23917 WACHINSKI, DONNA MAXIM HEALTHCARE SERVICES * 11/10/16 SCOTT BARBER RUSIN & MACIOROWSKI LTD 751 17WC 23945 MC GOWAN, SHERRY ARYZTA BAKERY * 07/25/17 LAW OFFICES TIMOTHY HENDER HENNESSY & ROACH PC 752 17WC 24026 MARTINEZ, ANTHONY J UNIVERSITY OF IL AT CHICA * 07/05/16 THOMAS R LICHTEN POWER & CRONIN LTD 753 17WC 24045 MARSH, EDWARD HOME DEPOT * 11/01/16 SCHREINER MALLOY & ETZLER 754 17WC 24109 OCTAVIANO, CORINA WESTWOOD MANOR * 06/23/17 DEPAOLO ZADEIKIS GORE ROBERT L. SMITH 755 17WC 24144 PERSON, VASHTI COOK COUNTY * 11/16/16 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 756 17WC 24149 WALKER, MARIA ENVOY AIR INC * 07/08/17 DEPAOLO ZADEIKIS GORE 757 17WC 24209 STEWART, RICKY JEWEL-OSCO/NEW ALBERTSON' @ * 06/13/17 BRILL & FISHEL 758 17WC 24258 JEAN-PIERRE, MILDRED I COOK COUNTY JUVENILE * 07/18/17 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 759 17WC 24311 ROWE, DAVID WESTERN UTILITY CONTRACTO * 08/22/14 WOLFE LAW PC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 760 17WC 24373 BLAKEMORE, LAYMONDT FEDEX * 05/27/17 KARNO, MARK L & ASSOC 761 17WC 24402 EVANS, MICHELLE UNITED AIRLINES INC * 02/09/17 BRIAN J MC MANUS & ASSOC, 762 17WC 24447 MILLER, ERIEK ALTERNATIVE STAFFING * 08/09/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 17WC025846 -C 763 17WC 24464 GALIGHER, MICHELLE L ADVOCATE CHRIST MEDICAL C * 05/01/17 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 764 17WC 24500 JOHNSON, BRIAN CITY OF CHICAGO 07/27/17 GOLDSTEIN AIOSSA & GOOD 765 17WC 24513 MORRIS, FRANK K ACTION COMPACTION SERVICE * 03/08/17 PETERSON JOHNSON & MURRAY 766 17WC 24532 TELLEZ-MELO, EULOGIA PREFERRED BUILDING SERVIC * 07/27/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 767 17WC 24566 DUSEK, ERIC UNISYS CORPORATION * 08/04/17 VRDOLYAK LAW GROUP LLC 768 17WC 24585 WEBB, DENARDO DELTA SONIC * 08/11/17 ANKIN LAW OFFICE 769 17WC 24601 FEIBUS, SAMUEL UNITED AIRLINES * 07/26/17 CORNFIELD & FELDMAN 770 17WC 24628 CALI, JOSEPH E JR VILLAGE OF WHEELING * 09/02/15 THOMAS W DUDA 771 17WC 24669 VILLEGAS, MELISSA GAP INC * 05/01/17 LEONARD LAW GROUP LLC ROBERT L. SMITH 772 17WC 24685 BURNS, MELVIN STATE OF IL DEPT OF @ * 08/02/17 MARKHAM M JEEP & ASSOCIATE 773 17WC 24721 WILLEY JR., CURTIS UNITED AIRLINES, INC/ * 08/02/17 BRIAN J MC MANUS & ASSOC, 774 17WC 24771 HOLMES, MELISSA CHICAGO BOARD OF EDUCATIO * 04/03/17 LEO ALT 775 17WC 24805 BURTON, BRANDON FRITO-LAY INC * 05/22/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 776 17WC 24827 WILLIAMS, SAM SYSCO CORPORATION * 06/22/17 STORTO FINN & ROSINSKI HENNESSY & ROACH PC 777 17WC 24865 SHONDER, JASON JEWEL OSCO * 04/11/17

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 778 17WC 24895 EVANS, LEONARD CITY OF CHICAGO-DEPARTMEN * 05/11/17 ARGIONIS & ASSOCIATES LLC 779 17WC 24916 DURR, TAKARA FEDEX GROUND PACKAGE SYST * 08/02/17 ANKIN LAW OFFICE 780 17WC 24932 LITZEY, MARY CENTRAL STEEL AND WIRE CO * 03/21/17 ANKIN LAW OFFICE 781 17WC 24952 HERNANDEZ, MARVIN ALEXAND BEM MOLD INC DBA BEM CNC * 06/02/17 HERRERA LAW CENTER 782 17WC 24990 WILBURN, TYRONE RUSH UNIVERSITY MEDICAL C * 08/03/17 ABELS & ANNES, PC 783 17WC 25016 COLEMAN-TAYLOR, CARLA ARDAGH GLASS INC, C/O CT * 08/19/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 784 17WC 25037 HERNANDEZ, CECILIA LEE MANOR REHABILITATION * 08/21/17 JONATHAN SCHLACK 785 17WC 25066 SHEEHAN, JAMES CITY OF CHICAGO * 08/01/17 KROL BONGIORNO & GIVEN LTD 786 17WC 25143 MEDINA, GELACIO DEL RANCHO MARKET * 03/09/16 GANAN & SHAPIRO 787 17WC 25210 OLIVER, GWINETTE (ADM EST GIDEONS 300 SECURITY # * 11/26/16 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 788 17WC 25228 MARSHALL-LANG, ANTHONY FIRESTONE COMPLETE AUTO C * 04/19/17 SCOTT BARBER 789 17WC 25260 WANG, HONG MEI HARPER COLLEGE * 08/15/16 ROMANEK & ROMANEK WIEDNER & MCAULIFFE LTD 790 17WC 25293 MORRIS, VIVIAN NAVISTAR * 04/01/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 791 17WC 25315 WATSON, MICHAEL STEVEN'S SECURITY AND TRI * 08/03/17 VASILATOS & COTTER LLC 792 17WC 25338 LOY, DONALD COOK COUNTY SHERIFF * 08/26/15 KROL BONGIORNO & GIVEN LTD STATES ATTORNEY OF COOK COUN 793 17WC 25359 OLIVO-OJEDA, JOSE ROBBINS AUTO PART * 05/26/17 EPSTEIN, JACK R LAW OFFICE 794 17WC 25387 PHILLIPS, JOSEPH MISWAY DODGE * 08/11/17 GRAZIAN & VOLPE PC 795 17WC 25420 COULTER, LARRY GENERAL IRON * 06/29/17 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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 796 17WC 25449 TURNER, LINDA ARYZTA, LLC * 08/23/17 ANKIN LAW OFFICE 797 17WC 25473 RAY, ORLANDO PEPSI * 07/31/17 DWORKIN AND MACIARIELLO 798 17WC 25517 RAMIREZ, BRIDGETTE CITY OF BERWYN * 07/17/17 THOMAS A MORRISSEY CUDA LAW OFFICES 799 17WC 25656 LARA, ANABEL CLUB QUARTERS * 08/03/17 JOHN S. ELIASIK 800 17WC 25671 PITTMAN, ANDRE CHICAGO TANSIT AUTHORITY * 08/22/17 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 801 17WC 25700 SEVERINO, SOPHIA UNITED AIRLINES * 07/10/17 CULLEN HASKINS NICHOLSON 802 17WC 25717 ARENAS-ALVA, MARTINA MIDWEST CANVAS * 05/02/17 EPSTEIN, JACK R LAW OFFICE 803 17WC 31160 HOOKS, TABITHA BRIDGEVIEW HEALTH CARE CT * 09/20/17 ANKIN LAW OFFICE POWER & CRONIN LTD 804 17WC 31205 DOWNS, ROSIE UPS * 01/01/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 805 17WC 32362 HORTON, PATSY HELP AT HOME * 12/01/16 ROSARIO CIBELLA 806 17WC 32382 LORING, JOSEPH KNICKERBOCKER ROOFING * 07/31/17 DWORKIN AND MACIARIELLO 807 17WC 32413 NAVA, JUANITA QUALITY LABOR SERVICES * 10/19/17 LAW OFFICES LEONARDO MORAL KOREY RICHARDSON LLC 808 17WC 32504 MESICH, DANIEL T DEPASQUALE STEEL ERECTORS * 04/11/17 CHILTON YAMBERT PORTER LLP 809 17WC 32544 CARTER, DAVON DAKOTA INTEGRATED SYSTEMS * 04/06/17 BLOCK, KLUKAS & MANZELLA P 810 17WC 32568 PEREZ, ZEFERINO OPART THAI HOUSE- WEST TO * 10/09/17 KATZ FRIEDMAN EAGLE ET AL 811 17WC 32593 GILLILAN, TERRI TOOTSIE ROLL INDUSTRIES I * 06/19/15 THE ROMAKER LAW FIRM 812 17WC 32604 LITTLEFIELD, JOHN D OZINGA READY MIX CONCRETE * 09/07/17 LAW OFFICES BRIAN LASSEN GAROFALO SCHREIBER STORM 813 17WC 32623 FONTANA, JUNE INSIGHT GLOBAL LLC * 07/01/16 JAMES A. KAMIDE

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 814 17WC 32719 MILLAN, HENRY CITY OF CHICAGO HEALTH DE * 10/24/17 GOLDBERG WEISMAN & CAIRO L 815 17WC 32721 KNIGHT, CECIL AT&T * 09/27/17 GOLDBERG WEISMAN & CAIRO L 816 17WC 32762 WALLS, MARVIN SET ENTERPRISES INC * 10/18/17 ANKIN LAW OFFICE 817 17WC 32779 BATES, TRACY VERSITI, INC * 07/25/17 BRISKMAN BRISKMAN GREENBER 818 17WC 32794 JAMES, WILLIE MARIE JACKSON PARK HOSPITAL * 09/11/17 DWORKIN AND MACIARIELLO ODELSON & STERK 819 17WC 32834 CARPENTER, PHALON COOK COUNTY * 10/16/17 THOMAS LAW 820 17WC 32862 PAZEREKAS, DAVID UNITED AIRLINES INC * 10/26/17 RIDGE & DOWNES 821 17WC 32922 SMITH, DEREK DR. PEPPER SNAPPLE GROUP * 10/17/17 DWORKIN AND MACIARIELLO 822 17WC 32939 SMITH, RYAN NEXUS EMPLYMNT SOLUTIONS * 10/20/17 HERRERA LAW CENTER 823 17WC 32957 DEPEW, DEREK VILLAGE OF LYNWOOD * 10/16/17 SILVERMAN, CLIFFORD A 824 17WC 32995 OSWAL, PRINCE AMERICAN AIRLINES * 05/25/17 TURCYCHUTE LLC 825 17WC 33026 GONZALEZ, DANNY ACE HARDWARE CORPORATION * 02/01/16 BRIAN J MC MANUS & ASSOC, 826 17WC 33054 WYNN, ANTHONY TATA CONSULTANCY SVCS * 10/01/17 SHANCER, JEFFREY M 827 17WC 33064 FRIEL, GEORGE MICHELLE OBAMA JUNIOR HIG * 09/26/17 ANGELINI & ORI LLC 828 17WC 33093 LANG, DAVID THE YMI GROUP, INC. * 01/09/17 MEYERS & FLOWERS 829 17WC 33112 SLAUGHTER, LASHONDA HELP AT HOME * 10/24/17 EDWIN REYES LEGAL GROUP 830 17WC 33221 MOONEY, KATHERINE MICROSOFT TECHNOLOGY CENT * 08/22/17 HORWITZ HORWITZ & ASSOC 831 17WC 33246 TCHIRKO, MICHEL WYNDHAM GRAND * 07/23/17 JONATHAN SCHLACK

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 832 17WC 33266 HOROWTIZ, DEAN ELLIS PROGRESSIVE BUINESS MEDIA * 09/21/16 CULLEN HASKINS NICHOLSON 833 17WC 33305 LARVICK,MARY WALMART * 10/30/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 834 17WC 33325 MURDEN JR, RALSTON CHICAGO TRANSIT AUTHORITY * 09/24/17 ANKIN LAW OFFICE 835 17WC 33341 VALADEZ-HERRERA, ROSA ABM INDUSTRIES INC * 11/06/17 CELSO FUENTES JR 836 17WC 33353 MACHAN, NICHOLAS UNITED PARCEL SERVICE 09/11/17 NYHAN BAMBRICK KINZIE & LOWR 837 17WC 33370 MONTES, ALBERTA CROTHALL LAUNDRY SVCS * 11/02/17 TAMVAKIS, GEORGE L 838 17WC 33394 LARA, OBDULIA ENJOY LIFE NATURAL BRANDS * 12/10/15 LEWIS & DAVIDSON, LTD 839 17WC 33416 MONAHAN, JAMES ARAMARK * 04/01/15 THOMAS A MORRISSEY 840 17WC 33431 WEATHERS, LEONARD VILLAGE OF DIXMOORR * 05/27/17 STEVEN M SELAN 841 17WC 33441 MEDINA, OMAR CTA * 10/19/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 842 17WC 33448 FLOYD, KENDALL JT ENERGY * 07/25/17 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 843 17WC 33480 BROWN, SHELLY STATE OF IL DHS * 02/03/17 BLOCK, KLUKAS & MANZELLA P 844 17WC 33533 DECARLO, ANTHONY WOOD DALE ELECTRICAL * 01/11/17 GAROFALO SCHREIBER STORM 845 17WC 33557 SANTILLAN, JOSE SMART INTERIORS, LLC * 10/13/17 O'CONNOR & NAKOS 846 17WC 33591 FOX, NAKITA SOUTH SUBRUBAN HOSPITAL * 11/03/17 VASILATOS & COTTER LLC 847 17WC 33608 SILVERSTEIN, RICHARD MACHINED PRODUCT CO. * 10/19/17 NEWLAND & NEWLAND 848 17WC 33629 BIEL, AMELIA JEAN MONDELEZ CHICAGO BAKERY * 09/01/17 HERRERA LAW CENTER 849 17WC 33688 VELAZQUEZ, EZEQUIEL COOK COUNTY SHERIFF DEPT * 11/01/17 GORDON & CENTRACCHIO LLC

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 850 17WC 33721 BURTNER, STEPHEN CITY OF CHICAGO * 09/11/17 KROL BONGIORNO & GIVEN LTD 851 17WC 33758 PAREDES, JAVIER BEST BUY * 10/07/17 TURNER & SACKETT LLC 852 17WC 33842 JONES, ALLEN UNITED AIRLINES INC C/O C * 10/16/17 BRIAN J MC MANUS & ASSOC, 853 17WC 33876 SIMMONS, RAVEN WAL-MART * 08/17/17 RITTENBERG & BUFFEN QUINTAIROS PRIETO WOOD & BOY 854 17WC 33909 KNOX, DERRICK KIMPTON HOTEL ALLEGRO * 06/07/17 DWORKIN AND MACIARIELLO 855 17WC 33928 MENDOZA, ENRIQUE ILLINOIS INSTITUTE OF TEC * 09/30/17 MC HARGUE, JAMES P LAW OFF 856 17WC 33975 BAILEY, JOHN FOOD 4 LESS * 06/29/17 KINNALLY FLAHERTY KRENTZ & 857 17WC 34013 VILLEGAS, NORRIDGE GARDENS * 08/29/17 DEPAOLO ZADEIKIS GORE 858 17WC 34071 MANUEL, ETHEAL CITY OF CHICGO * 04/24/17 KUMLIN & FROMM 859 17WC 34092 DARDAGAN, RAMO UNIVERSAL GRANITE & MARBL * 11/24/15 LAW OFFICE JEFFREY FRIEDMA 860 17WC 34130 PRATL, DEBORAH AURORA AREA BLOOD BANK DB * 10/26/17 ANKIN LAW OFFICE 861 17WC 34145 DELGADO, REYNALDO HD SUPPLY FACILITIES MAIN * 05/26/17 LEONARD LAW GROUP LLC 862 17WC 34163 HENTGEN, DIANE CBOE * 03/28/17 LEO ALT 863 17WC 34183 OLEKSY, ROBERT HARVARD * 08/31/17 CHRISTOPHER BUCHCAR, LTD 864 17WC 34219 GINDA, STANISLAW VAN BERGEN & GREENER * 03/22/17 GANAN & SHAPIRO 865 17WC 34235 ESPINA, ESPIRIDION SIDNODE INDUSTRIAL GROUP, * 11/04/17 CORBOY & DEMETRIO PC HENNESSY & ROACH PC 866 17WC 34254 LEE, ERICA S RED LOBSTER * 11/26/16 BRYCE DOWNEY & LENKOV LLC 867 17WC 34281 SCRUGGS, KENNETH COLDWELL BANKER * 11/09/17 LEONARD LAW GROUP 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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 868 17WC 34308 MORENO, LUISA ACCURATE PERSONNEL LLC * 10/04/17 CHEPOV & SCOTT LLC 869 17WC 34332 GILES, TAISHA AM BUS CO * 11/10/17 DWORKIN AND MACIARIELLO 870 17WC 34370 DOMIAN, STEVEN P CITY OF CHICAGO- WATER MA * 10/17/17 NILSON STOOKAL GLEASON CAP 871 17WC 34394 SAUCEDO, ISIDRO LAKESHORE BEVERAGE * 09/01/17 DOUGLAS RALLO PC 872 17WC 34438 DAVISON, STEPHANIE MCDONALD'S RESTAURANT * 11/09/17 ANESI OZMON RODIN NOVAK KO 873 17WC 34465 DIAZ, JOSE M KRYSTYNA'S DELI MARKET * 11/20/17 ELFENBAUM EVERS & AMARILIO 874 17WC 34481 VITE, AUGUSTIN A US STAFFING, INC * 09/19/16 THOMAS & PORTELA 875 17WC 34505 JACOBO, SERGIO SCOTT BYRON & CO * 04/23/12 STANCZAK LAW OFFICES 876 17WC 34555 MIRANDA, FRANCISCO ZEKELMAN INSUDTRIES INC * 05/18/17 HOLECEK & ASSOCIATES 877 17WC 34576 NIETO, MA FELISA ANGELICA CORPORATION * 08/03/17 COLLISON LAW OFFICES 878 17WC 34603 FEJZA, SUZANNE SCHAUMBURG COMM.CONS. SCH * 01/26/17 DAVID SZCZECIN & ASSOC 879 17WC 34624 ARCEO, EFRAIN HUERTA, JAIME D/B/A * 11/04/17 CHEPOV & SCOTT LLC 880 17WC 34649 BAHENA, MARTHA CRESTLINE HOTELS & RESORT * 08/19/17 STELZMAN, RUTH 881 17WC 34688 VERA-TELLEZ, MIGUEL ANGEL NATURE GREEN SCAPE, INC * 09/01/16 LULAY LAW OFFICES 882 17WC 34741 HARRIS, NIKITA WIDE OPEN WEST * 10/21/17 CANDIANO LAW OFFICE 883 17WC 34764 HENRY, MICHELLE MIDWEST FOODS MFG * 11/25/17 GOLDSTEIN AIOSSA & GOOD 884 17WC 34777 CENTENO, ERICK JB HUNT * 10/20/17 FRIEDMAN & SOLMOR LTD 885 17WC 34795 BROOMFIELD, LEE A BEST WESTERN GRAND PARK H * 11/10/17 ANKIN LAW OFFICE

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 01/04/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 886 17WC 34813 ROSALES, MONICA LAND O'FROST * 08/12/17 ELFENBAUM EVERS & AMARILIO 887 17WC 34834 BONNER, EDDIE ESTES TRANSPORT * 11/15/17 DWORKIN AND MACIARIELLO 888 17WC 34863 JORDAN, TROY INVENERGY SVS, LLC * 09/25/16 HENNESSY & ROACH PC 889 17WC 34884 MARTIN, RICHARD UNITED AIRLINES * 09/23/17 STEVEN M SELAN 890 17WC 34904 SOLLSBERRY, CHECWANDA AMERICAN AIRLINES * 09/30/17 RUBENS AND KRESS 891 17WC 34950 BROWN, SHAWN STAFFING NETWORK BENSENVI * 10/30/17 DWORKIN AND MACIARIELLO 892 17WC 34996 GOMEZ RAMOS, RAMIRO SUPERIOR STAFFING * 11/15/17 EPSTEIN, JACK R LAW OFFICE 893 17WC 35023 JOHNSON, DEIMITRI HD SUPPLY * 11/08/16 CHILTON YAMBERT PORTER LLP 894 17WC 35039 TREVINO, ADRIAN ARENA FOOTBALL ONE LLC * 04/11/15 GORDON LAW OFFICES LTD 895 17WC 35064 SANDOVAL, JUAN MIDWEST CANVAS CORPORATIO * 11/06/17 COSTA IVONE LLC 896 17WC 35085 TOLIVER, ANTHONY SR. BREAKING GROUND INC * 11/16/17 DWORKIN AND MACIARIELLO 897 17WC 35129 BILLUPS, CORNELIUS CLARION HOTEL * 08/28/17 MC HARGUE, JAMES P LAW OFF 898 17WC 35190 THOMPSON, TIVONDA FIRST MIDWEST BANK * 10/10/17 SAUNDERS CONDON & KENNY