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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 52830 BRADLEY, SCOTT CITY OF CHICAGO 09/09/02 ROMANUCCI & BLANDIN SCOPELITIS GARVIN LIGHT 2 05WC 24266 BELL, DOROTHY CHICAGO TRANSIT AUTHORITY 05/13/05 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 06WC041614 -C 3 06WC 45122 JOHNSON, TAMMY V. STATE OF IL @ 11/25/03 KARNO, MARK L & ASSOC ASSISTANT ATTORNEY GENERAL 11WC014078 -C ILLINOIS DEPARTMENT OF 4 08WC 41178 MONCIVAIS, GUILLERMINA SODEXO 05/02/08 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 5 09WC 19751 DELMONICO, MICHAEL CHICAGO BOARD OF EDUCATIO 01/22/08 ROSS TYRRELL LEAHY EISENBERG & FRAENKEL 6 09WC 36629 PHILLIPS, JUANITA CTA 08/18/09 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 7 09WC 53147 REVELES, NENA CITY OF CHICAGO- 11/20/09 HEALY LAW FIRM CITY OF CHICAGO 8 10WC 08961 COOPER, TRACY STATE OF ILLINOIS/STATEVI @ 01/25/10 GALLAGHER LAW PC ASSISTANT ATTORNEY GENERAL 10WC049021 -C ST OF IL STATEVILLE CORR C 9 10WC 25087 BINIAK, DEBORAH CITY OF CHICAGO FIRE DEPT 06/11/10 JAMES M RIDGE LAW OFFICE CITY OF CHICAGO 10 10WC 41777 SHAFFER, VELMA STATE OF ILLINOIS @ 10/16/10 COSTA IVONE LLC ASSISTANT ATTORNEY GENERAL 11 10WC 47933 PIETRZAK, SHARON LOYOLA UNIVERSITY MEDICAL 09/23/10 COVEN LAW GROUP LORENZ & BERGIN PC 11WC007992 -C 12 11WC 12806 FABIAN, MARTHA MBM ASSOC. INC. D/B/A SEL 02/25/11 SALK, STEVEN B & ASSOC LTD LEAHY EISENBERG & FRAENKEL 13 11WC 19989 BROWN, TIFFANY PACE 09/09/10 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER ALLEN 14WC027405 -C 14 11WC 27982 ANTWINE, CARLA CTA 07/21/09 LAW OFFICES PETER LEKAS CHICAGO TRANSIT AUTHORITY 11WC027984 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 33987 DROLENGA, DEBORAH L ITW FOOD EQUIPMENT GROUP 02/03/11 VITELL & SPITZ LTD HENNESSY & ROACH PC 16 12WC 04273 RAMOS, ALBERT IL DEPT OF CORRECTIONS @ 12/15/11 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 14WC015169 -C 18WC012730 -C 17 12WC 22648 PEOPLES, BENJAMIN CITY OF HARVEY 07/21/11 VRDOLYAK LAW GROUP LLC ANCEL GLINK PC 14WC025189 -C 18 12WC 42372 LAWSON, PAULETTE PROVIDENT HOSPITAL 11/28/11 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 19 12WC 42646 KELLY, DEBORAH CITY OF CHICAGO DEPT OF 08/29/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 16WC011489 -C 20 12WC 44013 JACKSON, MICHAEL 111 E CHESTNUT CONDO 02/08/12 SALVATO & O'TOOLE POWER & CRONIN LTD 21 13WC 01512 19B TELLEZ, MANUEL JR CITY OF CHICAGO 12/27/12 STEVEN J TENZER, LTD CITY OF CHICAGO 22 13WC 01633 RUIZ, SANDRA JDD INVESTMENT CO 12/15/12 JOHN S. ELIASIK GANAN & SHAPIRO 23 13WC 08703 CRONIN, PATRICK VILLAGE OF SKOKIE 02/24/13 ANESI OZMON RODIN NOVAK KO VILLAGE OF SKOKIE 24 13WC 09084 FIORE, JAMES MORTON SCHOOL DISTRICT 20 11/12/10 LUSAK AND COBB WIEDNER & MCAULIFFE LTD 25 13WC 09115 OCAMPO, ANTONIO WASTE MANAGEMENT 01/02/13 STEVEN J SEIDMAN LAW OFFIC THOMAS J STIBERTH LAW OFFICE 26 13WC 19186 PIERSZA, ROBERT STATE OF ILLINOIS - D.H.S @ 06/13/10 STROM, NEAL B JEANNINE SIMS 13WC019187 -C 14WC019247 -C 17WC009944 -C 27 13WC 22850 LOPEZ, PAULA CITY OF CHICAGO 06/17/13 THE ROMAKER LAW FIRM LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 13WC 27552 AGUILAR, LUIS JOSE BEHR PROCESS CORP 03/28/13 STEVEN J SEIDMAN LAW OFFIC MARTIN, PATRICK W 29 13WC 31538 PEDROZA, JOSEPH CHICAGO PARK DISTRICT 02/08/13 LORENZ & BERGIN PC CHICAGO PARK DIST LAW DEPT 14WC024664 -C 30 13WC 32648 SILVA, ROBERT S JR CITY OF CHICAGO DEPT 08/20/13 O'CONNOR & NAKOS CITY OF CHICAGO 31 13WC 36064 OWENS, ORLANDO CITY OF CHICAGO 10/22/13 DWORKIN AND MACIARIELLO CITY OF CHICAGO 32 13WC 40689 NICHOLS, MYRA ILLINOIS DEPT OF HUMAN SV @ 11/13/13 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 33 14WC 03474 KARAS, ELIZABETH (EXECUTO CITY OF CHICAGO 11/12/13 TAMVAKIS, GEORGE L CITY OF CHICAGO 34 14WC 07486 BARTH, CRYSTAL FORD MOTOR COMPANY 05/02/11 COLLISON LAW OFFICES POWER & CRONIN LTD 14WC007487 -C 14WC007488 -C 14WC007489 -C 14WC007490 -C 35 14WC 09055 JOSEPH, KIM CHICAGO PUBLIC SCHOOLS 05/11/12 MEYERS & FLOWERS LAW DEPARTMENT 36 14WC 09320 YOUNG, TORRI CITY OF CHICAGO 02/19/14 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 37 14WC 10999 19B ORTIZ, DANIEL S MECHANICAL 06/23/12 JOHN F GREGORIO & ASSOC THOMAS & PORTELA 38 14WC 11401 JOHNSON, MARY CTA 03/26/14 DONALD W FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 39 14WC 17623 WISNIEWSKI, PIOTR THE NEWARK GROUP INC 04/09/14 BELLAS & WACHOWSKI MEACHUM & STARCK 40 14WC 17912 BEITZEL, DAVID UNIQUE INDOOR COMFORT SER 04/24/14 HEALY SCANLON LAW FIRM EVANS & DIXON 41 14WC 18403 MARJANOVIC, MARIAN COOK COUNTY - HIGHWAY DEP 11/15/13 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 42 14WC 18980 RUSSELL, ACIE T III CITY OF CHICAGO 04/30/14 CHRISTIAN & MANNO LAW DEPARTMENT 43 14WC 19626 DI CRISTOFANO, JOSEPH CHICAGO TRANSIT AUTHORITY 04/29/14 STELZMAN, RUTH CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 14WC 22443 SAYED, FAHAD A.K.A. THE OBERWEIS GROUP INC 06/17/14 RUBIN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 45 14WC 27636 MURCHISON, WILLIE CITY OF HARVEY 07/15/14 HORWITZ HORWITZ & ASSOC ANCEL GLINK PC 18WC027536 -C 19WC005071 -C 46 14WC 30081 VALACH, ROBERT FAMILY DOLLAR 03/22/13 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 47 14WC 30314 CARPENTER, ZERITA DHS LUDEMAN CENTER 09/12/11 MICHAEL HELLMAN JEANNINE SIMS 15WC006742 -C 48 14WC 37349 MITCHELL, SIMMI CITY OF CHICAGO 10/28/14 ANGELINI & ORI LLC CITY OF CHICAGO 49 14WC 38958 MEDINA, MANUEL ABM JANITORIAL SERVICES 05/21/14 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 50 14WC 40415 SAMUEL, ISIAH CPS BRADWELL SCHOLL 11/14/14 SEIDMAN MARGULIS & FAIRMAN CHGO BOARD OF EDUCATION 51 14WC 40883 MCBRIDE, LASHONDA MARYVILLE ACADEMY 07/08/14 RICHARD O. GREENFIELD SMITH AMUNDSEN LLC 16WC032656 -C 52 14WC 41684 SMITH, RITA THORNTON HEIGHTS TERRACE 03/21/13 TRUGLIO, FRED A & ASSOC ACCIDENT FUND HOLDINGS 53 14WC 42452 KONOPZ, JANUSA HUDSON RCI 09/16/14 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 54 14WC 43550 GAYDEN, LITA CHICAGO TRANSIT AUTHORITY 12/19/14 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 55 15WC 01403 SHATALOVICH, VALENTIN AS LIMOUSINE SERVICE 12/03/14 CHEPOV & SCOTT LLC DEBORAH SCHAEFER 56 15WC 04859 VUKOVIC, MLADEN DAMIR EXPRESS 11/25/14 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 57 15WC 05153 REYES, EMILIO DART CONTAINER CORPORATIO 03/15/14 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 18WC028371 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 15WC 05433 RADTKE, MICHAEL ARRIGO ENTERPRISES 03/28/14 MINKOW DOMIN HARRIS DOWELL FISHER & HARRI 59 15WC 06058 JONES, NYKESHA CTA 01/21/15 SHELDON I MINKOW & ASSOCIA CHICAGO TRANSIT AUTHORITY 15WC006059 -C 60 15WC 06324 PEREZ, MARTHA WHITE LODGING SERVICES CO 07/28/13 EPSTEIN, JACK R LAW OFFICE 15WC006325 -C 61 15WC 07631 LANGSTON, HELEN CITY OF CHICAGO 04/22/14 O'CONNOR & NAKOS CITY OF CHICAGO 62 15WC 08042 GARCIA, GILBERTO CHICAGO PUBLIC SCHOOLS 02/03/15 O'CONNOR & NAKOS 63 15WC 08479 COMPANIO, DAVID TQ LOGISTICS INC 02/23/15 MINKOW DOMIN HEYL ROYSTER VOELKER & ALLEN 64 15WC 16595 HERNANDEZ, ROBERTO TRIAD SERVICES 02/12/15 SHANNON LAW GROUP LAW OFFICES JOSEPH MARCINIAK 65 15WC 17618 ANNORENO, DEBORAH M APPLEBEE'S - RMH FRANCHIS 05/20/15 LAW OFFICE OF SCOTT B SHAP GRANT & FANNING 66 15WC 17980 GOMEZ, RAFAEL IDOT @ 04/17/15 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 67 15WC 18529 NAVA-GRANADOS, GABRIEL FARMINGTON FOODS 05/04/15 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 16WC000707 -C 16WC035757 -C 16WC037332 -C 68 15WC 18837 HADDIX, JOHN BONNIE PLANTS 03/25/14 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 69 15WC 19173 BUSTAMANTE, RUTILO JERNBERG INDUSTRIES, INC. 06/16/13 DEPAOLO ZADEIKIS GORE HOLECEK & ASSOCIATES 70 15WC 20044 WILLIAMS, MONIQUE SUN RISE BUS COMPANY 06/08/15 VRDOLYAK LAW GROUP LLC 71 15WC 21552 GUTIERREZ-ROGUE, YOLANDA STATE OF ILLINOIS @ 08/19/13 BRUSTIN & LUNDBLAD LTD COLIN KICKLIGHTER 72 15WC 22179 COLYER, TERRANCE COOK COUNTY ILLINOIS C/O 06/24/15 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 73 15WC 27855 HAWKINS, BRUCE FORD MOTOR COMPANY 07/20/15 GRAZIAN & VOLPE PC WIEDNER & MCAULIFFE LTD 74 15WC 28842 BERNASOR, BRANDON JOHN H. STROGER HOSPITAL 08/17/15 RIDGE & DOWNES 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 STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 15WC 29201 FEJZOSKI, NEBI CHICAGO TRANSIT AUTHORITY 08/22/15 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 76 15WC 31455 WADE, TANYA FORD MOTOR COMPANY 09/14/15 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 77 15WC 38847 ORTEGA, ALONZO PACE SUBURBAN BUS CO 11/16/15 DEUTSCHMAN, JEFFREY S HEYL ROYSTER VOELKER ALLEN 78 15WC 39709 RHODES, CHRIS CMG CONSTRUCTION 11/12/15 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 17WC023298 -C 79 15WC 41022 CHRISTENSEN, MARIA MOTOROLA SOLUTIONS 09/24/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 80 15WC 41349 BAEZ, PAULA CITY FOODS INC 11/30/15 POLANSKY & CICHON CHTD GAROFALO SCHREIBER STORM 16WC031535 -C 81 15WC 41486 ARAMBULA, DAVID GEORGE'S CONCRETEINC 10/13/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN 82 15WC 41698 LA ROSA, JAMES CITY OF CHICAGO 11/13/15 O'CONNOR & NAKOS CITY OF CHICAGO 83 15WC 42362 SCHUMAN, MARILYN BIG TASTE, INC. DBA ACROS 07/19/14 GALLIANI DOELL & COZZI LTD GRIFFIN, LORETTA M LAW OFFIC 84 15WC 42518 LEDBETTER, CONNIE S, EXEC ELIZABETH LUDEMAN CENTER @ 01/08/15 SEIDMAN MARGULIS & FAIRMAN COLIN KICKLIGHTER 85 16WC 01431 DEAN, MELVINL CTA 01/05/16 BUDIN LAW OFFICES 86 16WC 01472 NARDONE, JOHN RAM FIRE PROTECTION 01/11/16 HORWITZ HORWITZ & ASSOC ANCEL GLINK DIAMOND BUSH & E 87 16WC 03358 LOPEZ, MARCO ANTONIO VIEY LAKESIDE LITHOGRAPHY LLC 01/22/13 MC HARGUE & JONES 88 16WC 03634 HERMOSA, MARIANO TERRACE HOLDING COMPANY 07/28/15 JAMES ELLIS GUMBINER & ASS 89 16WC 05230 DIAZ, VICTOR LAGROU MOTOR SERVICE 05/20/14 BOUDREAU NISIVACO LLC 90 16WC 08167 TOMASEK, JOHN SB ENTERPRISES, INC. 05/13/15 ROSS TYRRELL HENNESSY & ROACH PC 16WC036631 -C 91 16WC 08606 DELGADO, JOSE TOWN OF CICERO 02/26/16 ANGELINI & ORI LLC DEL GALDO LAW GROUP LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 92 16WC 09424 MONDRAGON, ELIZABETH QUALITY ASSURANCE HUMAN 08/17/15 FABRIZIO, HANSON & PEYLA ACCIDENT FUND HOLDINGS 93 16WC 09504 RANEY, KYLEE ALL FOR KIDZ 07/25/13 DEUTSCHMAN, JEFFREY S 94 16WC 09943 WOJCIECHOWSKI, MICHAEL CHICAGO TRANSIT AUTHORITY 03/02/16 RIDGE & DOWNES CHICAGO TRANSIT AUTHORITY 16WC039384 -C 95 16WC 11317 MARCINIAK, THOMAS R II DIMO'S PIZZA, LLC 08/01/15 ANKIN LAW OFFICE CHILTON YAMBERT PORTER LLP 96 16WC 11459 FERNANDEZ, LETICIA WORKFORCE, LLC 02/04/16 BOTTO GILBERT GRANT & FANNING 97 16WC 18793 RICHBERG, KATHERINEA. PRESENCE SAINTS MARY AND 01/27/16 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 17WC030665 -C 98 16WC 18956 HUNT, DARLETTE LEWIS & LEWIS TRANSPORTAT W 05/12/16 COSTA IVONE LLC 99 16WC 18988 GOLATTE, ERIK ELITE STAFFING INC 03/05/16 CULLEN HASKINS NICHOLSON 100 16WC 19221 STREB, JEANNE M, WIDOW OF CITY OF CHICAGO FACILITIE 05/28/16 CIARDELLI CUMMINGS CAMPAGN CITY OF CHICAGO 101 16WC 19445 IRONS, TRACIE ELITE LABOR SERVICES, LTD 06/16/16 16WC027293 -C 102 16WC 19730 DAVIS, TERRANCE AUBURN CORP WINDOWS & DOO 05/11/16 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 103 16WC 19878 AWAN, NADEEN NADEEM & KANU LIMOUSINE 06/11/16 COSTA IVONE LLC DEBORAH SCHAEFER 104 16WC 19953 MORREALE, THOMAS S JR STATE OF ILLINOIS @ 02/07/16 GOLDBERG WEISMAN & CAIRO L COLIN KICKLIGHTER 105 16WC 20441 MECELE, STEVE CITY OF CHICAGO 06/16/16 HEALY SCANLON LAW FIRM 106 16WC 21410 TATE, MYKAEL CTA 03/27/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 107 16WC 21761 HARRIS, JEFFREY FIRST STUDENT, INC. 06/07/16 STEPHEN G PINTO LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 16WC 21847 HARDY, KESHA CHICAGO TRANSIT AUTHORITY 04/25/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 109 16WC 22204 BRANTLEY, JEREMY FORD MOTOR COMPANY 03/01/16 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 16WC022205 -C 110 16WC 26202 LETTEN, JAMES C. CHICAGO TRANSIT AUTHORITY 11/11/15 LAW OFFICE PHILIP BLOMBERG CHICAGO TRANSIT AUTHORITY 111 16WC 28332 MARTINEZ, JUAN CARLOS RAYMOND'S TACOS #2 07/20/16 SALVATO & O'TOOLE MANUAL CARDENAS & ASSOC 112 16WC 29052 LOPEZ, CRESENCIANO MONTES ELITE STAFFING INC 08/17/16 ANKIN LAW OFFICE 113 16WC 29103 TREVINO, ANGELITA FRESENIUS MEDICAL CARE 04/22/16 MC HARGUE & JONES HENNESSY & ROACH PC 114 16WC 29383 JUAREZ, MARY LOU SODEXO, INC & 07/18/16 RUBENS KRESS MULHOLLAND INMAN & FITZGIBBONS 17WC019194 -C 18WC006487 -C 115 16WC 29963 MICHALSKI, JOHN REPUBLIC WASTE 06/20/16 CHRISTINE F DAVID GILDEA, COGHLAN & REGAN LTD. 116 16WC 30404 DVORAK, KATHLEEN ADJUSTABLE FORMS, INC 08/24/16 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 117 16WC 30955 CALHOUN, DONNELL PAN-O-GOLD BAKING CO 01/05/15 TAXMAN POLLOCK POWER & CRONIN LTD 18WC026265 -C 118 16WC 31149 KARANOUH, IMAD CR EXPRESS, INC 06/04/16 CZAPLA LAW MCANANY VANCLEVE & PHILLIPS 119 16WC 31176 BOCKWINKEL, PAMELA GROSSINER CITY AUTOCORP, 12/28/15 LEO M. BLEIMAN & ASSOC ROBERT L. SMITH 120 16WC 31310 RIGGINS, DAMONE CITY OF CHICAGO 06/09/16 GRAZIAN & VOLPE PC CITY OF CHICAGO 121 16WC 31885 ISOM, KEEVON UNION PACIFIC RAILROAD/ 10/02/16 122 16WC 32149 ELMORE, LATASHA FREDERICK DOUGLAS ACADEMY 09/28/16 LEE, MARK N LAW OFFICE 123 16WC 36360 MUNOZ, JOSE CITY OF CHICAGO 11/02/16 TOPPER & WEISS LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 16WC 36843 DE LEON, LUIS MURNANE PACKAGING CORP 11/21/16 COPLAN & CRANE, LTD ROSARIO CIBELLA 125 16WC 37136 BAEZ, JOSE GREENSIDE DEVELOPMENT LLC W 11/22/16 CHEPOV & SCOTT LLC LAW OFFICE OF PAUL O WATKISS 16WC038044 -C 17WC015227 -C 126 16WC 37564 HOLFORD, GEORGE FACTORY MOTOR PARTS 10/07/16 VRDOLYAK LAW GROUP LLC LEAHY EISENBERG & FRAENKEL 19WC010188 -C 127 16WC 38042 SOLIS, MARIA G FOCAL POINT, LLC 10/28/16 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 128 16WC 39064 HARDAWAY, GEORGETTE CTA 12/21/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 129 16WC 39170 CASTANEDA, DANIEL CITY OF CHICAGO 09/08/16 SALVATO & O'TOOLE CITY OF CHICAGO 130 16WC 39200 BROWNLEE, ESTHER CITY OF CHICAGO 11/30/16 FOHRMAN, DONALD W & ASSOCS 131 16WC 39351 ALSTON, BRANDON ST OF IL DEPT OF CORRECTI @ 11/04/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 16WC039352 -C 132 17WC 00019 HERRERA, ALEJANDRINA TOTAL FACILITY MAINTENANC 10/05/15 HETHERINGTON KARPEL BOBBER 17WC000020 -C 133 17WC 00299 SCHMIDT, DAVID MAVERICK POOLS INC 12/20/16 KARLIN FLEISHER & FALKENBE GAROFALO SCHREIBER STORM GRA 134 17WC 00354 HUNTER, KAREN D UNITED AIRLINES INC. 12/19/16 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 17WC000355 -C 19WC003118 -C 135 17WC 00603 STACHELEK, PAMELA THOMAS M TUNNEY ENTERPRIS 10/09/16 CUDA LAW OFFICES LEAHY EISENBERG & FRAENKEL 136 17WC 00859 MORALES, DAVID UNITED AIRLINES INC. 11/29/16 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 18WC009294 -C 137 17WC 00989 FIGUR, TANIA ADVOCATE LUTHERAN GENERAL 11/29/16 LAW OFFICES LEONARDO MORAL GAROFALO SCHREIBER STORM GRA 138 17WC 01018 BATKA, THOMAS SIMPLEX GRINNELL LP 12/29/16 HEALY SCANLON LAW FIRM RUSIN & MACIOROWSKI LTD 139 17WC 01187 VALLABHANENI, ARUNA SOUTHWEST AIRLINES 04/02/16 KREITER, BYCK & ASSOC LLP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 17WC 01306 ISLAS, ANTONIO AEROTEK 12/06/16 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 141 17WC 01324 MITCHELL, MELVIN CHICAGO TRANSIT AUTHORITY 01/04/17 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 142 17WC 01362 GUERRERO, KENIA CENTRAL CITY MANAGEMENT, 08/01/16 JAMES M GERAGHTY ANCEL GLINK DIAMOND BUSH & E 143 17WC 07388 RODRIGUEZ, BRYAN M BLOCK & SONS INC. 12/28/16 PORRO NIERMANN LAW GROUP SURE-STAFF 144 17WC 08405 VALDIVIA, FRANCISCO BRANDENBURG INDUSTRIAL 11/11/16 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD 145 17WC 08827 GREEN, DOROTHY ADDUN HEALTHCARE, INC. 10/03/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 17WC008828 -C ADDUS HEALTHCARE, INC. 146 17WC 08866 WILSON, KATHRYN ROCKIT RANCH PRODUCTIONS 02/17/15 BLEAKNEY & TROIANI 147 17WC 08982 PEREZ, CARLOS GARCIA COOK BROTHERS 03/22/17 EDWIN REYES LEGAL GROUP BRYCE DOWNEY & LENKOV LLC 148 17WC 09089 WILSON, RONNIE CTA 03/07/17 SALVATO & O'TOOLE CHICAGO TRANSIT AUTHORITY 149 17WC 09620 GARCIA, RAMON ITW SHAKEPROOF 11/28/16 ENCINAS & ORNELAS HENNESSY & ROACH PC 150 17WC 09681 AGUILAR,JORGE AEP INDUSTRIES, INC 02/03/17 SALVATO & O'TOOLE 151 17WC 09775 FRANCO, ISAAC NORTHEASTERN IL UNIVERSIT @ 03/22/17 MC HARGUE & JONES ASSISTANT ATTORNEY GENERAL 152 17WC 09855 FACKO, CHRISTOPHER ADVANCED AUTO PARTS 03/28/17 COVEN LAW GROUP GOLDBERG SEGALLA LLC 153 17WC 09971 KRACHUNOV, OGNYAN ARAMARK 02/06/17 SALVATO & O'TOOLE 154 17WC 10239 ADEJUMO, SADE IL DEPT OF JUVENILE JUSTI @ 11/01/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 155 17WC 10398 RANDAZZO, PORZIA HOME DEPOT 10/24/16 KURASCH & KLEIN, LTD MC ANDREWS & NORGLE LLC 156 17WC 10752 LAROS, FRANCISCO GARCIA CHICAGO BLASTING & DEBURR 04/06/17 COSTA IVONE LLC JOSEPH MARCINIAK 157 17WC 11036 NEHAN, BEUGRE JB HUNT TRANSPORT SERVICE 02/25/17 ROBERT A. WILSON GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 158 17WC 11102 BASS, SHERI ALDEN ESTATES OF BARRINGT 12/22/15 SCOTT BARBER 159 17WC 11123 HALL, LESTER DUNKIN DONUTS 04/08/17 160 17WC 11511 JONES, REGINALD F CHICAGO TRANSIT AUTHORITY 03/30/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 161 17WC 11527 MCLAUGHLIN, MAUREEN T COMMUNITY HIGH SCHOOL DIS 02/21/17 THOMAS W DUDA ODELSON & STERK 162 17WC 11554 RILEY, KIMBERLEY CHICAGO READ MENTAL HEALT 03/24/17 GOLDBERG WEISMAN & CAIRO L MATTHEW J KELLER 163 17WC 11650 BARTH, CRYSTAL FORD MOTOR COMPANY 04/11/17 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 164 17WC 11863 MILLER, LASONYIA KINDRED HEALTHCARE 12/30/15 BIZZIERI LAW OFFICES ARNETT LAW GROUP 165 17WC 12034 DEGUZMAN, MARISSA, WIDOW PLATINUM HEALTHCARE SERVI #W 03/13/17 WOODRUFF & JOHNSON 166 17WC 14439 MORUA, SOLEDAD ELITE STAFFING 02/07/16 167 17WC 16893 JACKSON, SABRINA ENOVA INTERNATIONAL 05/13/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 168 17WC 18125 STRONG, SYLVESTER JEWEL 10/01/16 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 169 17WC 18257 CURTIN, JAMES CITY OF CHICAGO 06/08/17 RIDGE & DOWNES 170 17WC 18300 AGUAYO, MARICEL NJB OPERATIONS INC 04/27/17 CHEPOV & SCOTT LLC GANAN & SHAPIRO 17WC018351 -C 171 17WC 18375 CABRERA, JESUS KALSI CONSTRUCTION CO, IN 10/04/16 KARCHMAR & STONE 172 17WC 18474 ANDERSON, ANTOINE HARVEY POLICE DEPARTMENT 05/17/15 LEONARD LAW GROUP LLC ANCEL GLINK PC 173 17WC 18528 CLAYBORN, LEVE YRC 06/08/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 174 17WC 18616 COLEY, JACQUELYN UNIVERSAL PROTECTION SRVC 06/08/17 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 175 17WC 18853 FREEMAN, DEANDRE B NORTH AMERICAN MIDWAY 06/12/17

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 17WC 19113 GALLAGHER, MICHAEL JAMES MCPHERSON ELEMENTAR 08/25/16 STROM, NEAL B CHGO BOARD OF EDUCATION 177 17WC 19232 CLARK, ARTHUR CITY OF CHICAGO 05/30/17 SEIDMAN MARGULIS & FAIRMAN 178 17WC 19393 BATULA, BERNARDO CHICAGO TRANSIT AUTHORITY 05/26/17 ROMANEK & ROMANEK CHICAGO TRANSIT AUTHORITY 179 17WC 19581 WILLIAMS, EARL CTA 07/28/16 EDWIN REYES LEGAL GROUP CHICAGO TRANSIT AUTHORITY 18WC009285 -C 180 17WC 19923 SIENBIDA, RYSZARD MAC TRUCKING INC 04/21/17 ANGELINI & ORI LLC 181 17WC 19979 LAWSON, SANTOSHA UNITED AIRLINES 07/06/17 GREGORIO & MARCO WIEDNER & MCAULIFFE LTD 182 17WC 20083 RODRIGUEZ, LOUKIA OSCO DRUG 01/27/17 WOLFE LAW PC BRADY CONNOLLY & MASUDA PC 17WC020084 -C 183 17WC 20135 LIVER, JOSEPH AEROTEK INC 06/16/17 SPIROS LAW PC LITCHFIELD CAVO 184 17WC 20189 FEENEY, PATRICK ILLINOIS PAVING COMPANY 06/21/17 SHANNON LAW GROUP ANCEL GLINK DIAMOND BUSH 185 17WC 20278 RINCK, DANIEL FEDERAL EXPRESS CORP 12/05/16 MATT MURPHY CONSULTING HANSON LAW OFFICE 186 17WC 20470 STADEKER, SPRINNG CTA 06/09/17 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 187 17WC 20537 PEREZ, HUGO MARIO & SONS REMODELING & 06/30/17 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 188 17WC 20864 SANDS, SARAH C CHICAGO PUBLIC SCHOOLS 11/15/16 ANKIN LAW OFFICE LAW DEPARTMENT 189 17WC 20884 CLAYBROOKS, RICKIE D PPG INDUSTRIES, LLC 12/27/16 SOSTRIN AND SOSTRIN PC RUSIN & MACIOROWSKI LTD 190 17WC 21118 ZAYAS, JONATHAN E CHICAGO TRANSIT AUTHORITY 07/07/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 191 17WC 23262 WROBEL, CZESLAW AVERS MACHINE&MANUFCTURIN 03/08/17 ANKIN LAW OFFICE 192 17WC 25706 GONZALEZ, CHRISTINE FEDEX EXPRESS 08/14/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 193 17WC 25995 SNYDER, MATTHEW NEW CITY WINDOW CLEANING W 08/21/17 GRAVLIN, MICHAEL J LLC HERMAN J MARINO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 17WC 27864 GUNTER, KEITH UNIVERSAL TAXI W 09/08/17 BART DURHAM 195 17WC 28208 FARIAS-INSCO, REBECCA JEWEL FOOD STORES 04/07/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 196 17WC 28232 SANTIAGO, DORA P COHN, LAMBERT RYAN & SCHN 11/07/16 MARSZALEK AND MARSZALEK MEACHUM BOYLE TRAUFMAN 197 17WC 28287 WILSON, ARDICE CTA 09/20/17 FOHRMAN, DONALD W & ASSOCS 198 17WC 28436 JOHNSON, WILLIAM USF HOLLAND INC 08/03/17 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 199 17WC 28468 CHAVEZ, MARIA VINAYAKA HOSPITALITY 08/12/17 CHRISTIAN & MANNO WIEDNER & MCAULIFFE LTD 200 17WC 28496 MARTINEZ, ARTURO MEADE ELECTRIC COMPANY 08/15/17 KINNALLY FLAHERTY KRENTZ & RUSIN & MACIOROWSKI LTD 201 17WC 28543 BRANTLEY, CORTIKA ENVOY AIR I NC 07/21/17 202 17WC 28601 HARSHAW, DEBBIE ADDUS HEALTHCARE 07/25/17 MC HARGUE, JAMES P LAW OFF 203 17WC 28666 ROSS, ROBERT HERTZ GLOBAL HOLDINGS INC 08/28/17 ROBERT ROSS INMAN & FITZGIBBONS 204 17WC 28846 NELSON, JACOB PK TRADEWORKS 08/01/17 GORDON & CENTRACCHIO LLC 205 17WC 28870 LORENZ, NANCY FEDEX 08/22/17 LANCASTER, DEBORAH 206 17WC 28989 STERLING, SHAWN PROFESSIONAL TRANSPORTATI @ 09/26/17 ANKIN LAW OFFICE 207 17WC 29143 RODRIGUEZ, TOMAS MYM CONSTRUCTION 09/05/17 208 17WC 29178 QUILTY, CHARLES GARDA WORLD 09/17/17 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC 209 17WC 29208 CARTER, JACQUELINE CTA 07/13/17 CURTIS S BURKE LAW OFFICE CHICAGO TRANSIT AUTHORITY 17WC029209 -C 210 17WC 29293 SANDOVAL, MARIO CEASAR TONYA FINER FOODS ENTERPR 05/02/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 211 17WC 29397 MATA, VIRGINIA CHICAGO PUBLIC SCHOOLS 06/03/17 BOTTO GILBERT CHGO BOARD OF EDUCATION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 17WC 29424 OCHOA, JUDITH L TRIAD CONSULTING 09/13/17 SALVATO & O'TOOLE GANAN & SHAPIRO 213 17WC 29441 ADMASU, TEWODROS CHOICE TAXI ASSOCIATION 07/18/15 SEIDMAN MARGULIS & FAIRMAN 214 17WC 29482 DZYACKY, JAMES CTA 09/07/17 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 215 17WC 29802 GRAY JR., AARON STATE OF ILLINOIS @ 09/18/17 RUBENS AND KRESS ASSISTANT ATTORNEY GENERAL 216 17WC 30296 KURAK, JOHATHAN J EXCLUSIVE MEDICAL SOLUTIO 04/28/17 COPLAN & CRANE, LTD MEACHUM & STARCK 217 17WC 30395 STANZER, OLAF MARIANOS 07/11/17 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 218 17WC 30428 BRAVO, CRESENCIO LOYOLA EXECUTIVE MAILING SERVICE 09/14/17 COSTA IVONE LLC ANCEL GLINK DIAMOND BUSH & E 219 17WC 30510 MARQUEZ, LUIS AV STONE CORP 08/14/17 WOODRUFF & JOHNSON GILDEA, COGHLAN & REGAN LTD. 220 17WC 37519 INGRAHAM, DAVID WASTE MANAGEMENT 10/08/16 WHITESIDE & GOLDBERG LTD THOMAS J STIBERTH LAW OFFICE 221 17WC 37549 TOWNSEND, ERICK ATT 08/09/17 FOHRMAN, DONALD W & ASSOCS 222 17WC 37603 VILCHEZ-PEREZ, MARIA GUAD LA BAGUETTE BAKERY 10/27/17 GANAN & SHAPIRO 223 17WC 37668 PITA, MA. LORENA WORKFORCE LLC 09/29/17 AIOSSA LAW FIRM 224 17WC 37732 CASTANEDA, MARINO MIDWAY BUILDING SERVICES 12/11/17 COSTA IVONE LLC 225 17WC 37839 ROBINSON, LAVENDA CITY OF CHICAGO 12/14/17 JAMES ELLIS GUMBINER & ASS 226 17WC 37928 KRAJECKI, MADELINE URBAN OUTSITTERS 07/01/17 227 18WC 00150 CERVANTES, ENRIQUE HUEN ELECTRICS 12/03/17 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 228 18WC 00201 HAMMANN, VALARIE FALCON TRANSPORT CO 01/07/16 O'CONNOR & NAKOS QUINN JOHNSTON HENDERSON ETA 18WC000202 -C 229 18WC 00298 KAMKA, KURT SYSCO FOODS SVS 01/02/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 18WC 00377 ORTEGA, DIEGO DISCOUNT TIRE 11/22/17 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 231 18WC 00460 JOHNSON, EDWARD VILLAGE OF HILLSIDE 12/05/17 HORWITZ HORWITZ & ASSOC 232 18WC 00493 RODRIGUEZ, ANDREW CITY OF CHICAGO 03/16/17 KARCHMAR & STONE 233 18WC 00861 BUCK, LYNN O AMERICAN AIRLINES 12/30/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 234 18WC 00987 WILKES, YVONNE CHICAGO PUBLIC SCHOOLS 01/11/17 CHGO BOARD OF EDUCATION 235 18WC 01378 ARIZINENDI, ANGEL MENDOZA WM ROOFING 01/09/18 LAW OFFICE OF SCOTT B SHAP WIEDNER & MCAULIFFE LTD 236 18WC 01467 MANCINAS, JOSE AMRITIN INTERNATIONAL COR 01/05/18 ANKIN LAW OFFICE 237 18WC 01824 FORT, CHRISTOPHER STATE OF IL 01/03/18 HERRERA LAW CENTER ASSISTANT ATTORNEY GENERAL 238 18WC 01965 JOHNSON, ERIC DISH NETWORK 03/30/17 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 239 18WC 08198 FRANKLIN, KIMBERLY RICH TOWNSHIP DIST 227 02/06/18 GOLDSTEIN BENDER & ROMANOF 240 18WC 08297 BLAZEK, GEORGE A WALMART SUPERCENTER 04/14/17 NILSON STOOKAL GLEASON CAP QUINTAIROS PRIETO WOOD & BOY 18WC008298 -C 241 18WC 08450 HINTON, LINDA STATE OF ILLINOIS LUDEMAN 08/19/16 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 242 18WC 08669 TURNER, JUSTIN SHEARD-LOMAN TRANSPORT LL 03/12/18 ANKIN LAW OFFICE ANCEL GLINK PC 18WC027853 -C 243 18WC 08682 WRIGHT, JIMMIE VS TRUCKLINES INC W 11/16/17 ELFENBAUM EVERS ZIELINSKA 244 18WC 08697 SCHICKEL, DANIEL ONE WAY SAFETY 03/08/18 LEONARD LAW GROUP LLC NOBLE & ASSOC 245 18WC 08722 TORRES, CESAR MECH-TRONICS CORPORATION 03/14/18 OSVALDO RODRIGUEZ PC KEEFE CAMPBELL & ASSOC LLC 246 18WC 08911 BLUNT, KEITH UNIFIED CML LLC 02/22/18 BERG & BERG HOLECEK & ASSOCIATES 247 18WC 09030 LONDON, LEONORA METHODIST HOSPITAL CHICAG 01/27/18 STROM, NEAL B SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 18WC 09115 MEEKS, MARIE D AIR WISCONSIN AIRLINES 01/08/18 KUMLIN & FROMM BRADY CONNOLLY & MASUDA PC 249 18WC 09163 CLANTON, KEVIN ALL POINTS SECURITY 02/02/18 GOLDSTEIN BENDER & ROMANOF BRYCE DOWNEY & LENKOV LLC 250 18WC 09178 ARRABALES, MAURA SPECIALTY PRINT COMMUNICA 02/19/18 COSTA IVONE LLC EDWARD J. KOZEL 251 18WC 09234 BROWN, MARIO CHEESECAKE FACTORY/ 02/03/18 DWORKIN AND MACIARIELLO ASA LAW GROUP 252 18WC 09478 MARIN, ELKIN GENERAL ELECTRIC TRANS 03/14/18 KREITER, BYCK & ASSOC LLP RUSIN & MACIOROWSKI LTD 253 18WC 09673 COOKS, ROOSEVELT CITY OF CHICAGO WATER DEP 01/08/18 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 254 18WC 09691 WINGERT, DIANA LOYOLA UNIVERSITY MEDICAL 09/25/17 CULLEN HASKINS NICHOLSON 255 18WC 09804 SUGIYAMA, RIVEEHMAE LANDMARK OF DES PLAINES 03/16/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 256 18WC 09881 COLLINS, GLENN RJ CORMAN 12/29/17 TAXMAN POLLOCK 257 18WC 09909 HERNANDEZ, JUVENAL CTA @ 03/22/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 258 18WC 10013 WATTS, MARCI J ALLSTATE INSURANCE CO 03/28/17 RUBIN LAW GROUP HENNESSY & ROACH PC 259 18WC 10065 BOUZANIS, DIMITRA CARSON PIRIE SCOTT 02/09/18 DEAN J CARAS & ASSOCIATES BRADY CONNOLLY & MASUDA PC 260 18WC 10151 RADCLIFE, DIVINE CTA 04/02/18 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 261 18WC 10196 COATS, CHRISTINE J CHICAGO PUBLIC SCHOOLS 01/09/18 GALLAGHER, DONALD V 262 18WC 10256 RANKIN, STANLEY CHICAGO PARK DISTRICT 03/31/18 JAMES ELLIS GUMBINER & ASS CHICAGO PARK DIST LAW DEPT 263 18WC 10508 CAMACHO, ANTHONY NEW ALBERTSONS LP 03/02/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 264 18WC 10561 NOTARIANO, NATHANIAL MR. ROOTER PLUMBING 03/30/18 STEWART C ORZOFF HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 18WC 10815 PEREZ, ARMANDO GROOT INDUSTRIES 08/04/17 HERRERA LAW CENTER 266 18WC 10942 BANG (BARBER), MIKI AMERICAN AIRLINES 06/09/16 HANNIGAN & BOTHA, LTD GAROFALO SCHREIBER STORM GRA 18WC010943 -C 19WC012671 -C 267 18WC 11042 GREEN, DEBRA L RUSH PRESBYTERIAN HOSPITA 11/17/17 MC HARGUE & JONES POWER & CRONIN LTD 268 18WC 11220 TORRES, ANACLETO CITY OF CHICAGO, DEPT OF 01/11/18 PETER LEKAS 269 18WC 11291 FOUNTAS, SABRINA NBC UNIVERSAL, LLC 01/05/18 TRAPP & GELLER HENNESSY & ROACH PC 270 18WC 11543 BAILEY, DIONA ALEXIAN BROTHERS MEDICAL 01/06/18 THOMAS J STIBERTH LAW OFFI POWER & CRONIN LTD 271 18WC 13452 BOUNAGUIDI, DANTE MICHAEL STATE OF ILLINOIS @ 01/10/18 JAMES M GERAGHTY ASSISTANT ATTORNEY GENERAL 272 18WC 16413 RAMEY, RAY CITY OF CHICAGO 02/02/18 SCOTT B SHAPIRO 273 18WC 17450 YOUNG, DAWN M NORTH PALOS SCHOOL 03/01/18 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 274 18WC 17915 TAM, PETER COOK COUNTY SHERIFF'S DEP 04/07/18 RICHARD O. GREENFIELD STATES ATTORNEY OF COOK COUN 275 18WC 18202 HOUSTON, KAREN ADMINISTRATIVE RESOURCE 05/18/18 ANKIN LAW OFFICE EDWARD J. KOZEL 276 18WC 18425 WARYCK, JOSEPH XPO LOGISTICS 12/04/17 KARCHMAR & STONE RUSIN & MACIOROWSKI LTD 277 18WC 18449 BAPTISTE, JEAN-ROBERT JEA ABM INDUSTRIAL SERVICES 02/07/17 ANKIN LAW OFFICE LITCHFIELD CAVO 278 18WC 18547 DOYLE, EVA SODEXO 05/01/18 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 279 18WC 18591 MILLER, HEATHER FORD MOTOR COMPANY 02/09/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 280 18WC 18655 CASTANEDA, MARTIN FORD MOTOR CO 05/11/18 KREITER, BYCK & ASSOC LLP POWER & CRONIN LTD 281 18WC 18677 TORRES, JOSE ALL STEEL STUCTURES 05/03/18 KROL BONGIORNO & GIVEN LTD FRIEDRICH LAW LLC 282 18WC 18786 KIDSTON, RICHARD INTEGRATED POWER SERVICES 02/01/18 KARCHMAR & STONE HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 18WC 18816 AGIC, NEDZIBA WESTIN RIVER N CHICAGO HO 04/08/18 COVEN LAW GROUP GANAN & SHAPIRO 284 18WC 18939 PLAIR, ANTHONY C WENDYS 04/19/18 COSTA IVONE LLC 285 18WC 18957 HOLMES, MICHAEL ROADRUNNER INTERMODAL SVC 06/05/18 COSTA IVONE LLC 286 18WC 19075 GONZALEZ, JOE PEPPER CONSTRUCTION 03/02/18 THEODORE L STACY KEEFE CAMPBELL BIERY & ASSOC 287 18WC 19243 MURGA, DANIEL WOW BAO 04/27/18 RYAN ROSENTHAL 288 18WC 19275 SANTUR, ADAN MOHAMED US FREIGHTWAYS LOGISTICS 04/13/18 FISHER & LAMONICA 289 18WC 19340 LE, HUNG ABACUS CORPORATION 06/18/18 MARTIN V KUGIA WIEDNER & MCAULIFFE LTD 290 18WC 19411 YAMICH, ERNEST R JR. CITY OF CHICAGO 12/22/17 CITY OF CHICAGO 291 18WC 19587 YAMICH JR, ERNEST R CITY OF CHICAGO 02/22/17 292 18WC 19607 EDWARDS, BRIAN LRI ENERGY SOLUTIONS 05/10/18 KATZ FRIEDMAN EAGLE ET AL 293 18WC 19717 SALAS, ALCIDES RAMOS AA & BR INC 05/16/18 EPSTEIN, JACK R LAW OFFICE 294 18WC 19840 MARTINEZ SALINAS, SALOMON TRY OUR PALLETS, INC 05/14/18 SCOTT B SHAPIRO JOSEPH MARCINIAK 295 18WC 19875 WEBSTER, DEMETRA LOYOLA MEDICAL CTR 01/11/17 DWORKIN AND MACIARIELLO LORENZ & BERGIN PC 296 18WC 19900 RYAN, FRANK COOK COUNTY 06/28/18 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 297 18WC 19945 BROCK, JANDA FORD MOTOR COMPANY 05/29/18 DONALD FOHRMAN & ASSOC POWER & CRONIN LTD 298 18WC 19974 YOUNG, ANNETRA METRO SOUTH MEDICAL CENTE 03/16/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 18WC024060 -C 299 18WC 20107 MAALA, ERNIEL MEIJER 08/30/16 VITELL & SPITZ LTD KOPKA, PINKUS DOLIN, PC 300 18WC 20217 BOSSMAN, DANIEL MONACO TAXI, INC 06/18/18 RYAN ROSENTHAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 18WC 20258 FIGUEROA, ADRIAN SAVOR AT MCCORMICK PLACE 02/11/18 ELFENBAUM EVERS & AMARILIO RUSIN & MACIOROWSKI LTD 302 18WC 20446 HENEGHAN, COLM IDOT DISTRICT 1 05/09/18 LEONARD LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 303 18WC 20465 ESPINOZA, MAYRA EL MILAGRO, INC. 06/11/18 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 304 18WC 20578 GRAY, TRICIA ACTS AVIATION SECURITY 07/02/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 305 18WC 20734 MCCLINTON, STEVEN INGREDION INC 04/11/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 306 18WC 20792 HAMLEY, DENIS M PEOPLES GAS LIGHT 05/08/18 RUBIN LAW GROUP MC CABE & HOGAN 307 18WC 20838 JOHNSON, BARBARA JEWEL OSCO 04/09/18 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 308 18WC 20909 HUBBARD, MARK CITY OF CHICAGO 12/28/16 STONE & MAYA PC 309 18WC 20927 WARD, CANTRELL COOK COUNTY/JUVENILE TEMP 07/14/16 EDWARD L OSOWSKI STATES ATTORNEY OF COOK COUN 310 18WC 20936 BRICE, JAMES OZINGA 12/01/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 19WC022957 -C 311 18WC 21108 CAMPBELL, RASHAWANDA HMS HOST 06/23/18 SEIDMAN MARGULIS & FAIRMAN 312 18WC 22409 STEWART, BRIANA FORD MOTOR COMPANY 04/26/18 KREITER, BYCK & ASSOC LLP RUSIN & MACIOROWSKI LTD 17WC009753 -C 313 18WC 23750 FIGUEROA, MIRNA KOCK FOODS 07/27/18 PETER LEKAS RUSIN & MACIOROWSKI LTD 314 18WC 25447 CARUFEL, DANIELLE ZENERE COMPANIES 08/02/18 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 315 18WC 25795 CUEVAS, YOLANDA CINTAS 07/12/18 WHITESIDE & GOLDBERG LTD POWER & CRONIN LTD 316 18WC 26079 19B EMMONS, DARIN MONDELEZ/NABISCO 03/01/18 STROM & ASSOC WIEDNER & MCAULIFFE LTD 317 18WC 27734 SATTLER, THOMAS RESIDENTIAL STEEL FABRICA 08/14/18 KREITER, BYCK & ASSOC LLP GILDEA, COGHLAN & REGAN LTD. 318 18WC 27754 DAVIS, TAMIRA CTA 09/16/18 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 18WC 27773 19B TUBBS, TIMOTHY RIGHTWAY AUTOMOTIVE CREDI 08/22/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 320 18WC 28224 JONES, CARL M & J INTERMODAL 05/12/18 COVEN LAW GROUP RONALD T KOPEC 321 18WC 28271 MEDINA, FRED CTA 09/12/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 322 18WC 28286 MARTINEZ, FELIX ASBURY COURT 08/07/18 STROM & ASSOC GOLDBERG SEGALLA LLC 323 18WC 28366 TYKA, TOMASZ WALGREEN'S 09/17/18 STANCZAK LAW OFFICES GILDEA, COGHLAN & REGAN LTD. 324 18WC 28384 CRAWFORD, JOHN SIGNODE INDUSTRIAL GROUP 08/08/18 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 325 18WC 28470 DORSEY, PATRICK JEWEL FOOD STORES 09/16/18 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 326 18WC 28496 ANDREWS, MICHAEL STATE OF ILLINOIS 06/21/18 LARRY FLEISCHER & ASSOCIAT ASSISTANT ATTORNEY GENERAL 18WC028497 -C 327 18WC 28510 REID-HARRIS, DIANA ALEXIAN BROTHERS HEALTH S 12/05/17 EAMES LAW GROUP LTD 328 18WC 28519 CROCKETT, WILLIAM A & M GENERAL CONTRACTOR 07/12/18 VITELL & SPITZ LTD 329 18WC 28568 VASQUEZ, ELMA COOK COOK SHERIFF'S DEPT 09/15/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 330 18WC 28638 HARRIS, JENNIFER SHERWIN WILLIAMS 05/03/18 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 331 18WC 28870 PIERGIES, DOMINIC AT&T 05/12/17 SANDMAN LEVY & PETRICH INMAN & FITZGIBBONS 332 18WC 28883 CASEY, PATRICK THYSSEN KRUPP ELEVATOR 09/12/18 LEONARD LAW GROUP LLC FOLEY & MANSFIELD PLLP 333 18WC 29215 MMANA BOR, PATRICK EASTBOUND CAB CO 09/01/18 HUNER LAW OFFICES LLC 334 18WC 29250 MEANS, DANIELLE PANERA BREAD 09/01/18 GILDEA, COGHLAN & REGAN LTD. 335 18WC 29305 LUCIANO, ANTONIO HI TECH AUTO BODY 09/11/18 CUDA LAW OFFICES ROSARIO CIBELLA 336 18WC 29377 ALVAREZ, LOURDES CHICAGO SOUTH LOOP HOTEL 02/23/18 LEITER LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 18WC 29458 EVANS, DERRICK COOK COUNTY DEPT CORRECTI 09/29/18 VITELL & SPITZ LTD STATES ATTORNEY OF COOK COUN 338 18WC 29476 SOLORZANO, JESUS CRISTINA FOODS, INC. 01/09/18 339 18WC 29565 VAZQUEZ, GUILLERMINA ELITE STAFFING (LOANING) 06/06/18 O'CONNOR & NAKOS 340 18WC 29582 FLORES, MARIA ELITE STAFFING 08/24/18 KARCHMAR & STONE 341 18WC 29637 DO, JIMMY L DOMINATION LLC DBA UFC GY W 07/02/18 VITELL & SPITZ LTD 342 18WC 29891 SPENCER, GLAFIRA GOLDEN CORRAL RESTAURANT 09/16/18 DWYER & COOGAN 343 18WC 29963 MARTINEZ, CARLOS ALTERNATIVE STAFFING, INC 09/17/18 KARCHMAR & STONE SLAVIN & SLAVIN 344 18WC 30006 DWYER, KEVIN A CITY OF EVANSTON 07/01/18 THOMAS W DUDA WIEDNER & MCAULIFFE LTD 345 18WC 30181 WESLEY-BASS, CRYSTAL CHICAGO TRANSIT AUTHORITY 09/28/18 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 346 18WC 30224 ILKANIC, AARON TRIBCO CONSTRUCTION 10/04/16 HORWITZ HORWITZ & ASSOC 347 18WC 30263 GORDON, ADRIENNE SURE STAFF 09/26/18 JAMES ELLIS GUMBINER & ASS LOUIS MUNDY 348 18WC 30287 ARREDIA, GREG IL STATE TOLL HWY AUTHORI 09/13/18 SALVATO O'TOOLE FROYLAN GANAN & SHAPIRO 349 18WC 30307 ABUKHAMIREH, MOHAMMED AMIN IJBARA 02/19/18 BRUSTIN & LUNDBLAD LTD 350 18WC 30401 GARZA, CORNELL CITY OF CHICAGO 10/03/18 SOSTRIN AND SOSTRIN PC 351 18WC 30433 YOUMARAN, ZEINA LORD & TAYLOR 08/31/18 BRADY CONNOLLY & MASUDA PC 352 18WC 30450 THOMPSON, TRACIE C TOTAL STAFFING SOLUTIONS 10/04/18 CHEPOV & SCOTT LLC LINDNER & MARSACK 353 18WC 30501 AGUILAR DAVID CONSUMER PACKAGING COMPAN 09/04/18 HEALY SCANLON LAW FIRM HOLECEK & ASSOCIATES 354 18WC 30519 BERNAL, MARIA D EAST MAINE SCHOOL DISTRIC 09/21/18 ANKIN LAW OFFICE GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 355 18WC 30537 BALLADARES, JULIA ACCURATE PERSONNEL SERVIC 09/18/18 STEIN & CHERNY LTD JOHN T GONNELLA 356 18WC 30556 O'DONNELL, JAMES COOK COUNTY SHERIFF'S DEP 09/11/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 19WC011301 -C 357 18WC 30645 SOMMO, EILEN TARGET CORPORATION 09/06/18 ACEVES & PEREZ PC KEEFE CAMPBELL BIERY & ASSOC 358 18WC 30696 DE DIOS, LUIS ALFREDO EXECUTIVE MAILING SERVICE 04/26/18 LANNON LANNON & BARR LTD HENNESSY & ROACH PC 359 18WC 30719 THOMAS, TIFFANY MV TRANSPORTATION INC 08/30/18 DEUTSCHMAN, JEFFREY S BRADY CONNOLLY & MASUDA PC 360 18WC 30916 FONTANA, SUZANNE PAMCO LABEL CO 09/13/17 ERIC H CHECK, LAW OFFICES 361 18WC 30933 SLATTERY, WILLIAM C CITY OF CHICAGO 09/13/18 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 362 18WC 31069 MORALES, FABIO K&I CONTRACTORS, LLC 06/26/18 DWYER & COOGAN MEACHUM & STARCK 363 18WC 31106 DAVIS, TONY CAPSTONE LOGISTICS 09/12/18 SEIDMAN MARGULIS & FAIRMAN 364 18WC 31159 GUERRERO-RAMOS, JASLIN WEBER STEPHEN PRODUCTS 05/22/18 HANNIGAN & BOTHA, LTD JOSEPH MARCINIAK 365 18WC 31300 JACKSON, THOMAS THE HABITAT COMPANY 07/18/18 KARLIN FLEISHER & FALKENBE 366 18WC 31456 SCHAFTER, CURTIS CITY OF CHICAGO 09/06/18 GERALD CONNOR 367 18WC 31496 LOPEZ, PEDRO GEORGE CARDENAS LANDSCAPE 04/23/18 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 19WC027540 -C 368 18WC 34777 GOMEZ, ALEJANDRO MINUTE MAN STAFFING 11/09/18 CHEPOV & SCOTT LLC POWER & CRONIN LTD 369 18WC 36308 OTHMAN, SULEIMAN PACE SUBURBAN BUS 07/30/18 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 370 18WC 36834 MENDOZA, GILBERTO COLIMA SUPERIOR KNIFE LLC 09/25/18 HERRERA LAW CENTER QUINTAIROS PRIETO WOOD & BOY 371 18WC 37210 ERGATOLO, PATRICIA LOYOLA UNIVERSITY MEDICAL 11/07/18 GALLAGHER, DONALD V 372 18WC 37321 MYLES, IMIA IL DEPT OF CORRECTIONS @ 04/24/18 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 373 18WC 37346 MARTIN, DARIUS GREENBRIER RAIL SERVICES 11/27/18 STEVEN J. MORTON & ASSOC HOLECEK & ASSOCIATES 374 18WC 37368 IBARRA, ALEJANDRO AMERICAN AIRLINES 10/19/18 LEONARD LAW GROUP LLC ROSARIO CIBELLA 375 18WC 37392 MARTISEK, MONICA ED NAPLETON OAK LAWN IMPO 08/15/18 RUSSO & RUSSO LTD FRANCESCA LARSEN 376 18WC 37497 BARBER, MARIO ALPHA BAKING 11/10/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 377 18WC 37501 TORRES, DEBBIE CHICAGO TRANSIT AUTHORITY 12/18/18 GRAVLIN, MICHAEL J LLC CHICAGO TRANSIT AUTHORITY 378 18WC 37705 NEVAREZ, ALEX STATE OF ILLINOIS @ 11/16/17 MARK N LEE ASSISTANT ATTORNEY GENERAL 379 18WC 37790 PAULSEN, CHRISTOPHER M WESTERN UTILITY CONTRACTO 10/22/18 BRILL & FISHEL 380 18WC 37880 PALOMINO, KATHRYN TRINITY SERVICES INC 12/16/18 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 381 18WC 37917 BRIANO, MARIO A HORN, INC 03/24/18 JOHN S. ELIASIK 382 18WC 38120 WISE, ALLAN REPUBLIC SERVICES, INC 03/08/13 DIESEL LAW 383 18WC 38157 SANCHEZ, AVERY CITY OF CHICAGO- STREETS 08/30/18 ARGIONIS & ASSOCIATES LLC 384 18WC 38282 LANCASTER, MARY KOHLS 12/07/18 SLAVIN & SLAVIN HENNESSY & ROACH PC 385 18WC 38399 HARRIS, QUINCY NATION PIZZA 12/02/18 LEONARD LAW GROUP LLC 386 18WC 38420 HARMS, TODD ZF LEMFORDER CHICAGO, LLC 06/13/18 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL BIERY & ASSOC 387 18WC 38468 CALIENDO, JANICE NORTHWESTERN UNIVERSITY 09/13/17 LUCAS & APOSTOLOPOULOS 388 19WC 00004 DAVIS, DONALD CHICAGO DEPARTMENT OF AVI 11/30/18 389 19WC 00023 HEFFERNAN, JOHN CHICAGO BOARD OF EDUCATIO @ 11/26/18 LEO ALT CHGO BOARD OF EDUCATION 390 19WC 00188 DRASCHIL, AMBER SKY WEST AIRLINES 12/30/16 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 19WC 00222 PARKER, SHARON A AUTO WAREHOUSING CO, INC 11/19/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 392 19WC 00335 PIMPO, STEPHANIE UNITED CONTINENTAL HOLDIN 12/02/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 393 19WC 00377 ALFRED, ANTHONY FED EX GROUND 06/06/18 COSTA IVONE LLC KOPKA, PINKUS DOLIN, PC 394 19WC 00383 LANDRUM, BRIANA M STATE OF ILLINOIS @ 12/05/18 GALLAGHER, DONALD V ASSISTANT ATTORNEY GENERAL 395 19WC 00386 ENCINAS, ISABEL WINPAK PORTION PACKAGING, 11/27/18 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 396 19WC 00543 ODDO, ANN MARIE NBC UNIVERSAL STUDIO 09/05/18 ELFENBAUM EVERS ZIELINSKA POWER & CRONIN LTD 397 19WC 00638 KENNEBREW, FRANK CTA-CHICAGO TRANSIT AUTHO 01/04/19 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 398 19WC 00694 CARTER, SHYKELA CTA 01/02/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 399 19WC 00912 REDDY, GERALD T CHICAGO BOARD OPTIONS EXC 04/10/18 RUBIN LAW GROUP EDWARD J. KOZEL 400 19WC 00926 RURAK, ANDY AMITA/PRESENCE ST JOSEPH 11/16/17 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 19WC000927 -C 401 19WC 01025 HAMPTON, ROBERT COOK COUNTY DEPT OF 05/10/18 COHN LAMBERT RYAN & SCHNEI STATES ATTORNEY OF COOK COUN 402 19WC 01047 HUMPHREY, ANTOINETTE DENNY'S 12/15/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 403 19WC 01078 MUNETON, ANTONIA RESIDENCE INN BY MARRIOTT 07/18/18 MICHAEL HELLMAN 404 19WC 01185 THOMAS, RUTH RGIS 08/27/18 KEVIN O'BRIEN RUSIN & MACIOROWSKI LTD 405 19WC 01243 APER, DAMON STATE FARM INSURANCE COMP 03/07/18 JOHN J CASTANEDA GAROFALO SCHREIBER STORM GRA 406 19WC 01269 LOPEZ, SELENE E WHITE LODGING SERVICES CO 07/29/18 JAMES ELLIS GUMBINER & ASS WILSON ELSER 407 19WC 01318 HOHS, MARK JEWEL FOOD STORES 08/04/18 GOLDBERG WEISMAN & CAIRO L 408 19WC 01337 LEMKE-SHETTLES, PEARL HORIZON HOUSE 11/05/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 409 19WC 01380 CASARES, EDWARD CHICAGO TRANSIT AUTHORITY 10/24/18 RUSSO & RUSSO LTD CHICAGO TRANSIT AUTHORITY 410 19WC 01424 TRINIDAD, ANTHONY TINLEY PARK POLICE DEPT 08/31/18 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 411 19WC 01445 JAMES, LORRAINE CHICAGO TRANSIT AUTHORITY 12/17/18 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 412 19WC 01486 TATE, JEFFREY EMPERIAL ZINC 11/21/17 ANGELINI & ORI LLC 413 19WC 01525 KOLDENHOVEN, SUSAN RESTHAVEN ILLIANI CHRISTI 10/18/18 VRDOLYAK LAW GROUP LLC FRANCESCA LARSEN 414 19WC 01820 PEARSON, HELENE CHICAGO PUBLIC SCHOOLS 11/27/18 FRANK A CELANI CHGO BOARD OF EDUCATION 415 19WC 05517 19B JIMENEZ, CARLOS VILLAGE OF BROOKFIELD C/O 01/09/19 BRIAN J MC MANUS & ASSOC, RUSIN & MACIOROWSKI LTD 416 19WC 08792 RIVAS, BILL MAINES PAPER & FOOD SERVI 04/07/17 VASILATOS & COTTER LLC 417 19WC 08858 HASTY, JAMES DART CONTAINER CORPORATIO 02/20/19 KARNO, MARK L & ASSOC GAROFALO SCHREIBER STORM GRA 418 19WC 08979 MADISON, MICHAEL CHICAGO PARK DISTRICT 03/04/19 HEALY SCANLON LAW FIRM CHICAGO PARK DIST LAW DEPT 419 19WC 09006 HOLLOWAY, ASHLEY STATE OF ILLINOIS @ 02/21/19 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 19WC009007 -C 420 19WC 09052 SMITH, CHRISTOPHER CONGLOBAL INDUSTRIES LLC 03/19/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 421 19WC 09079 REID, MARCIA MCCORMACK BARON MANAGEMEN 03/16/19 SEIDMAN MARGULIS & FAIRMAN 422 19WC 09133 O'HEARN, BRENT S COOK COUNTY SHERIFF 03/06/19 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 423 19WC 09157 SOLANO, JOSE FRANCISCO INTEGRATED LOGISTICS GROU 03/22/18 HERRERA LAW CENTER 424 19WC 09174 WILLINGHAM, ANNIE CITY OF CHICAGO 11/14/18 WOODRUFF JOHNSON CITY OF CHICAGO 425 19WC 09197 SANCHEZ, GABINO VIENNA BEEF, LTD 12/18/17 KARNO, MARK L & ASSOC MEACHUM & STARCK 426 19WC 09224 ZAMORA, GABRIEL OLD DOMINION FREIGHT LINE 02/04/19 KREITER, BYCK & ASSOC LLP EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 427 19WC 09350 CHAVEZ, BALDEMAR CITY OF CHICAGO- FLEET AN 03/22/18 ANKIN LAW OFFICE 428 19WC 09412 KREBS, EVAN ASTRAZENECA 02/27/19 ANGELINI & ORI LLC 429 19WC 09468 GONZALEZ, ELIZABETH ALDI INC 10/02/18 BUDIN LAW OFFICES 430 19WC 09527 ROBINSON, APRIL CTA 03/17/19 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 431 19WC 09665 TORVELL, STEVEN E&R TOWING 03/12/19 FAJARDO LAW GROUP 432 19WC 09687 RODRIGUEZ, LYLLIAM AUTIN COLLEGE & CAREER AC 02/01/19 WHITESIDE & GOLDBERG LTD CHGO BOARD OF EDUCATION 433 19WC 09710 DENNIS, MARK R SOUTHWEST AIRLINES CO. 03/16/19 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 434 19WC 09713 SMITH, DELILAH D CHICAGO TRANSIT AUTHORITY 03/20/19 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY 435 19WC 09745 RODRIGUEZ, RICARDO MILLER'S PUB 02/02/19 436 19WC 09871 DANKHA, BASHER N CHICAGO METRO CONSTRUCTIO 01/23/19 ANKIN LAW OFFICE 437 19WC 09975 DEAN, SHALONDA WHITE CASTLE 03/15/19 COSTA IVONE LLC SPIEGEL & CAHILL, PC 438 19WC 10014 ALTAMIRANO, SILVANA UNITED CONTINENTL HOLDING 02/28/19 KATZ FRIEDMAN EAGLE ET AL 439 19WC 10058 BUDZIK, PAWEL STAN'S WELDING, INC 08/01/18 GRAUER & KRIEGEL LLC HOLECEK & ASSOCIATES 440 19WC 10075 POWROZNIK, MARIAN BRAD FOOTE GEAR WORKS, IN 03/13/19 CHEPOV & SCOTT LLC 441 19WC 10117 BURNETT, BILLY R CTA 03/25/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 442 19WC 10152 JUAREZ, ADELINA THE JORDAN COMPANY GP, LL 09/13/18 ANKIN LAW OFFICE 443 19WC 10175 GARCIA, ANA COURIER DISTRIBUTION SYST 12/16/17 HOWARD ABRAMS 444 19WC 10191 LEEN, THOMAS CITY OF CHICAGO 01/02/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 19WC 10245 MARQUEZ RODRIGUEZ, LEANDR JAX STAFFING SERVICES LLC 03/21/19 HERRERA LAW CENTER LAWRENCE COZZI - LAW OFFICE 446 19WC 10329 ALLEN, VINCENT ADAMO DEMOLITION 02/28/19 RUBENS KRESS MULHOLLAND BRADY CONNOLLY & MASUDA PC 447 19WC 10339 JANOTA, MARGO SHAMROCK ELECTRIC TECHNOL 10/05/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 448 19WC 10431 PRIETO, JAIME PEPSI AMERICA'S 01/29/19 STROM & ASSOC GAIDO & FINTZEN 449 19WC 10449 LOMELI, RUBEN WORLD CLEANING SERVICES 03/11/19 JONATHAN SCHLACK MEACHUM & STARCK 450 19WC 10639 WHITENHILL, NICHAE HARVEY SCHOOL DISTRICT 09/18/17 BOWMAN & CORDAY 451 19WC 10679 LEE, MARQUETTE FAMILY DOLLAR 04/05/19 DWORKIN AND MACIARIELLO 452 19WC 10747 DAVIS, STEVEN B CTA 02/08/19 RUBIN LAW GROUP CHICAGO TRANSIT AUTHORITY 453 19WC 10772 PATAKI, HENRIETTE UNITED AIRLINES 01/21/19 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 454 19WC 10953 ARIAS, SERGIO S&C ELECTRIC COMPANY 02/08/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 455 19WC 11029 SOSA, ANGEL YORK RISK SERVICES GRP 04/18/18 DEPAOLO & ZADEIKIS 456 19WC 11032 CARR, MARY ST ANTHONY HOSPITAL 11/16/18 CHRISTINE F DAVID KLAUKE LAW GROUP LLC 457 19WC 11074 AGUILAR, CHRISTINA HILTON WORLDWIDE 01/17/19 GORDON & CENTRACCHIO LLC 458 19WC 11112 FLYNN, PATRICK KENNY CONSTRUCTION 06/01/17 MARK LOFTUS GAROFALO SCHREIBER STORM GRA 459 19WC 11135 THOMAS, MARK THORNWOOD HIGH SCHOOL 04/02/19 VRDOLYAK LAW GROUP LLC 460 19WC 11161 ROYSTER, DENNIS IL DEPT OF TRANSPORTATION @ 03/16/19 ROMANUCCI & BLANDIN ASSISTANT ATTORNEY GENERAL 461 19WC 11200 RIVERA, EDGAR E-J INDUSTRIES 03/06/19 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 462 19WC 11275 FROUKH, QUSAY THE SHISH KABOB HOUSE & B 10/03/18 BAUM RUFFOLO & MARZAL LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 19WC 14003 FALLICO, CYNTHIA SCHOOL DISTRICT 211 08/17/18 STEVEN J MALMAN & ASSOCIAT WIEDNER & MCAULIFFE LTD 464 19WC 15804 MONTES DE OCA, JUVENTINA LBP HOLDINGS, LLC 04/01/19 STANCZAK LAW OFFICES 465 19WC 16848 NAVARRETE, ESTELA MCDONALD'S 06/02/19 SALVATO O'TOOLE FROYLAN 466 19WC 17560 CUEVAS, FERNANDO NATIONAL CYCLE INC 03/28/19 EPSTEIN, JACK R LAW OFFICE 467 19WC 17605 SMITH, DARRELL JEWEL FOOD STORES 08/13/18 BOUDREAU NISIVACO LLC EVANS & DIXON 468 19WC 17623 WARD, JENNIFER COOK COUNTY RECORDER OF D 05/20/19 FRIEDMAN & SOLMOR LTD STATES ATTORNEY OF COOK COUN 469 19WC 17656 MAGLIANO, DANIEL T MORAINE VALLEY 01/22/19 MORICI FIGLIOLI & ASSOC POWER & CRONIN LTD 470 19WC 17735 ALSHATARAT, RAWHI SHATARAT CAB, INC. 06/11/19 FISHER & LAMONICA 471 19WC 17781 QUIROGA, TINA SOUTHWEST AIRLINES 05/10/19 VASILATOS & COTTER LLC 472 19WC 17852 FLOWERS, KAREN MYSI CORP 05/08/19 HORWITZ HORWITZ & ASSOC THOMAS & ASSOCIATES 473 19WC 17872 ALBRIGHT, THOMAS COOK COUNTY SHERIFF'S DEP 05/31/19 GWC INJURY LAWYERS LLC STATES ATTORNEY OF COOK COUN 474 19WC 17931 POWERS, SUSAN HOMEGOODS 08/31/18 VASILATOS & COTTER LLC BRADY CONNOLLY & MASUDA PC 475 19WC 17949 SHERIDAN DONNA SOUTHWEST AIRLINES CO 04/06/19 EVAN A HUGHES LAW OFFICE 476 19WC 18027 HADZIMUSIC, ASIM ENGINEERED GLASS PRODUCTS 05/18/19 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 477 19WC 18053 CRIOLLO, VANESSA GARDA WORLD 06/06/18 KREITER, BYCK & ASSOC LLP KEEFE CAMPBELL BIERY & ASSOC 19WC021782 -C 478 19WC 18108 TORRES, ERICKA CROTHALL LAUNDRY SERVICES 10/10/18 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 479 19WC 18131 WRIGHT, DEBBIE JERNBERG INDUSTRIES INC 03/07/19 CHRISTINE F DAVID EVANS & DIXON 480 19WC 18202 DE LEON, ELODIA LAND O'FROST 05/17/19 WILLIAM H MARTAY GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 19WC 18219 ROSENBLUM, STEVEN CLAIRES STORES, INC 08/01/18 NEWLAND & NEWLAND RUSIN & MACIOROWSKI LTD 482 19WC 18238 SMITH, TREVOR ST LOUIS BLUES 03/16/14 FLOYD LAW FIRM 483 19WC 18279 HERNANDEZ, SAM TESTA PRODUCE, INC 04/02/19 TAMVAKIS, GEORGE L 484 19WC 18299 NEVEN, DAVID CITY OF CHICAGO 02/08/19 MAURICE E DUSKY PC 485 19WC 18317 SANCHEZ, FERNANDO GREENCORE 03/08/19 ENCINAS & ORNELAS WOLFE & JACOBSON, LTD 486 19WC 18334 GARCIA, LUBE COLON HIGHLAND BAKING COMPANY, 03/25/19 STEVEN B SALK & ASSOC LTD FRANCESCA LARSEN 487 19WC 18352 GARCIA, MARIA N G & K BAKING LLC 06/01/18 LAWRENCE COZZI - LAW OFFICE 488 19WC 18396 BATISTA, FRANCISCO V&B TRUCKING INC 03/29/19 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 489 19WC 18431 GILLETT, RORY KOBOTECH, INC. 06/08/19 HEALY SCANLON LAW FIRM 490 19WC 18461 PHILLIPS, JUSTIN CHICAGO TRANSIT AUTHORITY 06/17/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 491 19WC 18518 MALDONADO-SOLORIO, RAMON WHITE ARROW LLC 06/06/19 EPSTEIN, JACK R LAW OFFICE 492 19WC 18574 BOGDA, HOLLY GET FRESH PRODUCE 02/22/19 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 493 19WC 18607 WROBEL, RENEE SOLO CUP COMPANY 02/14/19 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 494 19WC 18696 KUBICK, SHANNAN IDOT @ 11/08/18 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 495 19WC 18719 MONTANA, RAFAEL MIDWAY STAFFING 06/19/19 HERRERA LAW CENTER 496 19WC 18726 PHAN, HON T CTA 04/19/19 HERRERA LAW CENTER CHICAGO TRANSIT AUTHORITY 497 19WC 18748 HOLDA, EPISE CHICAGO PUBLIC SCHOOLS 05/28/19 GORDON & CENTRACCHIO LLC CHGO BOARD OF EDUCATION 498 19WC 18819 RUIZ-GONZALEZ, JULISSA HELP AT HOME HOLDING 01/25/19 RUEDA, IVAN A INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 19WC 18837 KING, VALARIE UNIVERSITY OF CHICAGO HOS 05/02/18 BRIAN J MC MANUS & ASSOC, HENNESSY & ROACH PC 500 19WC 18861 FUSCO, GIANNA SOKOL & COMPANY 01/02/19 MEYERS & FLOWERS 501 19WC 18885 DAILEY, TIMOTHY ALLIANCE PRINTERS 05/10/19 SCOTT B SHAPIRO GRIFFIN, LORETTA M LAW OFFIC 502 19WC 19023 WAKEFIELD, FONTE T COOK COUNTY DEPT OF 04/10/19 RUBIN LAW GROUP STATES ATTORNEY OF COOK COUN 503 19WC 19062 DZIURDZIK, KAZIMIERZ BRAYVIEW CONSTRUCTION 04/29/19 BELLAS & WACHOWSKI LAWRENCE COZZI - LAW OFFICE 504 19WC 19135 GEIGER, COMMIE J RIMLAND SERVICES NFP 11/12/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 505 19WC 19157 MCDANIEL, RYAN ARENA FOOTBALL ONE LLC 08/05/17 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 506 19WC 19227 BREWSTER, HELENA CITY OF CHICAGO 06/04/19 LEONARD LAW GROUP LLC 507 19WC 19257 PALMER, JOHN WASTE MANAGEMENT 05/22/19 GWC INJURY LAWYERS LLC 508 19WC 19301 BROWN, ANTHONY JEWEL FOODS 06/19/19 SEIDMAN MARGULIS & FAIRMAN EVANS & DIXON 509 19WC 19323 HAYES, JAMIE HEARTIS VILLAGE OF ORLAND 02/01/19 JAMES ELLIS GUMBINER & ASS BRYCE DOWNEY & LENKOV LLC 510 19WC 19339 SOTO-BELTRAN, CARLOS WORKFORCE 06/03/19 EFTEKHARI LAW OFFICES KOREY RICHARDSON LLC 511 19WC 19370 SALAZAR, LINA HOOTERS MANAGEMENT CORP 06/13/19 HECTOR ESPITIA MEACHUM & STARCK 512 19WC 19403 GOFF-EL, TRACY HOME DEPOT 11/18/18 GALLAGHER, DONALD V ADELSON TESTAN BRUNDO 513 19WC 19456 WOZNICKI, NICHOLAS WASTE MANAGEMENT INC 06/15/19 WHITESIDE & GOLDBERG LTD 514 19WC 19465 CANNAN, ALINA UNITED CONTINENTAL HOLDIN 09/22/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 515 19WC 19610 DIAZ, SERGIO CITY OF BERWYN 08/14/18 FRANCIS J DISCIPIO LAW OFF CUDA LAW OFFICES 516 19WC 19682 HERNANDEZ, ISRAEL ST. MARY'S OF PROVIDENCE 09/05/18 RUBENS KRESS MULHOLLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 19WC 19762 JARECKI, BRIAN MELROSE PARK POLICE DEPAR 07/08/19 HUGHES SOCOL PIERS RESNICK DEL GALDO LAW GROUP LLP 518 19WC 19840 BERTRAND, LEONEL LEXUS OF ARLINGTON 12/18/17 LEONARD LAW GROUP LLC 519 19WC 19855 CARTER, MICHAEL SAM'S CLUB 10/13/18 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY 520 19WC 19874 ACEVES, JAIME LINCOLN PROVISION INC 07/02/19 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 521 19WC 19906 PIFER, JOHN A-1 ROOFING 08/18/18 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 522 19WC 19969 MENESES, JUANITA PROVANTAGE CORPORATE SOLU 05/31/19 DAVID W MARTAY 523 19WC 19985 KNOX, SHERRY SUMMIT OF UPTOWN 05/17/19 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 524 19WC 20037 OBERG, LINDA UNITED CONTINENTL HOLDING 06/01/19 KATZ FRIEDMAN EAGLE ET AL 525 19WC 20042 HALL, TIFFANY CHICAGO TRANSIT AUTHORITY 07/03/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 526 19WC 20059 TUTAK, PAUL WHOLE FOODS MARKET 06/26/19 HORWITZ HORWITZ & ASSOC GILDEA, COGHLAN & REGAN LTD. 527 19WC 20067 COLEMAN, SHANTANNA R WALGREEN'S 06/19/19 GALLAGHER, DONALD V 528 19WC 20089 MONROY, YOLANDA, AKA MIDWEST FOODS, INC 04/26/19 STEVEN B SALK & ASSOC LTD 529 19WC 20106 ROLLINS, RICKEY WESTERN EXPRESS 06/26/19 WOODRUFF JOHNSON FRANCESCA LARSEN 530 19WC 20153 SALLIS, PAMELA HOME INSTEAD SENIOR CARE 03/14/19 ROBERT WARSASKI 531 19WC 20414 DEBLECOURT, MICAH CAR WASH, LLC, D/B/A 02/08/19 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 532 19WC 20435 KALATA, JADWIGA T KIMCO FACILITY SVCES/HARV 10/24/18 SALVATO O'TOOLE FROYLAN 533 19WC 20487 RODRIGUEZ, ANDREA LIFETOUCH, INC 05/16/19 ANGELINI & ORI LLC 534 19WC 20540 WILHELM, ROBERT AMERICAN AIRLINES 03/18/19 CULLEN HASKINS NICHOLSON

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 571 19WC 28112 STOKES, TORRY RICH TWNSHIP HIGH SCHL DI 06/27/19 ANKIN LAW OFFICE 572 19WC 28143 ARTEAGA, OFELIA CONCHA RJB PROPERTIES INC 07/12/19 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 573 19WC 28180 MAYBERRY, STANLEY GDI CORP 07/05/18 DEPAOLO & ZADEIKIS MEACHUM BOYLE TRAUFMAN 574 19WC 28204 THOMPSON, WHITNEY CHICAGO PUBLIC SCHOOLS 09/06/19 CULLEN HASKINS NICHOLSON CHGO BOARD OF EDUCATION 575 19WC 28220 MASON, CHARLITA LITTLE CAESARS 09/07/19 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 576 19WC 28233 BONFIGLIO, KAREN MARIE STEINMART 09/03/19 ELFENBAUM EVERS ZIELINSKA KOPKA, PINKUS DOLIN, PC 577 19WC 28299 LIMON, RAMIRO VANEE FOODS COMPANY 08/30/19 DWORKIN AND MACIARIELLO 578 19WC 28326 GOODSON, JAMES D.S.C. LOGISTICS 09/10/19 CAPRON & AVGERINOS PC MC ANDREWS & NORGLE LLC 579 19WC 28375 MARTINEZ, BRANDON A LITTLE CAESAR'S 01/25/19 GALLAGHER, DONALD V HENNESSY & ROACH PC 580 19WC 28396 IRINEO MONDRAGON, CAM KOREA FARM, INC 06/18/19 HERRERA LAW CENTER 581 19WC 28470 ECHEVARRIA, EDUARDO CITY OF CHICAGO WATER DEP 09/23/19 VITELL & SPITZ LTD 582 19WC 28489 PATTERSON, TERRELL GONNELLA DISTRIBUTION CTR 05/25/19 STEVEN J MALMAN & ASSOCIAT 583 19WC 28509 VALLES, JENNIFER BOTTLE & BRANCH, INC 07/11/19 RITTENBERG BUFFEN JOSEPH MARCINIAK 584 19WC 28553 VERA, MARCO ALONZO BALANCE ENVIRONMENT, INC 07/15/19 WEISS & WEISS LAW OFFICES EDWARD J. KOZEL 585 19WC 28583 JONES, TIESHA CITY OF CHICAGO DEPT OF 09/25/19 SCOTT B SHAPIRO 586 19WC 28633 ROBINSON, LATASHA M CHICAGO TRANSIT AUTHORITY 09/26/19 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 587 19WC 28654 CASCIOLA, BARBARA SUNRISE SENIOR LIVING 05/28/19 HORWITZ HORWITZ & ASSOC NOBLE & ASSOC 588 19WC 28693 BOYLE, SEAMUS CITY OF CHICAGO DEPT OF 09/18/19 KREITER, BYCK & ASSOC LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 19WC 28721 COOK, CLIFFORD CTA 09/26/19 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 590 19WC 28750 MOON, KIMBERLY ADDUS HEALTHCARE INC 09/16/19 ANKIN LAW OFFICE 591 19WC 28827 ASHLEY, SHERRI SEASON HOSPICE 08/31/19 HERRERA LAW CENTER NOBLE & ASSOC 592 19WC 28912 TEAGUE, LAVERNE FEDEX O'HARE 09/09/19 GERALD CONNOR 593 19WC 28938 OETKER, KATHERINE J LAKESIDE TRANSPORTATION, 08/24/16 ZANCK COEN WRIGHT & SALADI GALLIANI DOELL & COZZI LTD 594 19WC 28955 VIVAS DE CONTRERAS, ALMA EVANGELICAL RETIREMNT HOM 09/25/19 THE ROMAKER LAW FIRM 595 19WC 29034 WILLIAMS, TIERRA HABILITATIVE SYSTEMS, INC 05/30/19 ANKIN LAW OFFICE 596 19WC 29090 AL-SAIMARY, KAREEM ROCKLEDGE FURNITURE 06/12/19 ACEVES & PEREZ PC WOLF & LAUDICINA LTD 19WC029091 -C 597 19WC 29195 GORDON, ANTHONY CHICAGO DOWELL CO INC @ 09/17/19 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 598 19WC 29292 BAILEY, JAMES CHICAGO PARK DISTRICT 10/05/19 GOLDSTEIN AIOSSA & GOOD CHICAGO PARK DIST LAW DEPT 599 19WC 29378 SANCHEZ ALARCON, OCTAVIA HOME CHEF 07/31/19 STEVEN B SALK & ASSOC LTD GANAN & SHAPIRO 600 19WC 29400 SCHMITT, ROBERT SET ENTERPRISES, INC.C/O 08/14/19 HETHERINGTON KARPEL & BOBB 601 19WC 29419 HENDRY, PEGGY FRIENDSHIP VILLAGE 06/25/18 BOTTO GILBERT FRANCESCA LARSEN 602 19WC 29460 TORRES, MARIA AIMBRIDGE HOSPITALITY 09/03/19 GOLDSTEIN BENDER & ROMANOF 603 19WC 29501 CHRONOS, JOHN UNITED AIRLINES 09/18/19 STELZMAN, RUTH WIEDNER & MCAULIFFE LTD 604 19WC 29541 BARES, THOMAS H PROARC ELECTRICAL CONSTRU 09/25/19 JAMES MACCHITELLI WIEDNER & MCAULIFFE LTD 605 19WC 29564 BERUMEN, ERIC CKII CONTRACTING, INC. 09/23/19 GREGORIO & MARCO KRAKER FANNING & OLSEN 606 19WC 29600 CONLEY, JOSEPH UNIFIED CML, LLC 07/18/19 STEVEN J MALMAN & ASSOCIAT HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 607 19WC 29650 SMITH, WENDY CTA 10/03/19 JAMES ELLIS GUMBINER & ASS CHICAGO TRANSIT AUTHORITY 608 19WC 29675 MC CALL, HUGH COOK COUNTY 08/08/19 SCOTT B SHAPIRO STATES ATTORNEY OF COOK COUN 609 19WC 29743 DODDS, KANDY BIO-RAD LABORATORIES INC 04/13/18 FLAHERTY LAW 610 19WC 29778 MUENCH, LAWRENCE BAKES STEEL ERECTORS INC 02/25/19 CRONIN PETERS & COOK 611 19WC 29869 HIDALGO, ENRIQUE WINDY CITY FRESH MARKET 09/09/19 DEPAOLO & ZADEIKIS 612 19WC 29914 SMALL, CHAD L SLS JETS IV CAB CORPORATE 04/09/19 WEISS & WEISS LAW OFFICES 613 19WC 29936 ANGELES-VASQUEZ, CARLOS THREE OAKS CAR WASH 08/08/19 WITTER LAW OFFICE 614 19WC 29952 ALLEN JR, MICHAEL WALMART, INC 08/18/19 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 615 19WC 29972 ARREDONDO, GUSTAVO DUAL TEMP OF ILLINOIS 01/08/18 O'CONNOR & NAKOS ROSARIO CIBELLA 616 19WC 29988 COBB, ANTONIO CLUTTER STORAGE, INC. 10/04/19 COSTA IVONE LLC LEWIS BRISBOIS BISGAARD 617 19WC 30009 EGONMWAN, DINA COUNTRY CLUB HILLS HIGH 10/02/19 SEIDMAN MARGULIS & FAIRMAN 618 19WC 30049 TERRAZO, HILDA HARVARD MAINTENANCE 10/07/19 MICHAEL HELLMAN HENNESSY & ROACH PC 619 19WC 30076 REYNA-SALGADO, CLEMENTE FRANKS AUTO GLASS 01/15/19 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 620 19WC 30171 SPRATT, DARRYL IL SECRETARY OF STATE @ 08/07/19 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 621 19WC 30200 CARDOSO, LILIA WORLDWIDE FLIGHT SVCS 10/12/19 DWORKIN AND MACIARIELLO 622 19WC 30232 ROSS, KENNETH ACTION CAULKING & SEALANT 10/09/19 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 623 19WC 30241 SUTTLE, SHAKIRA HMS HOST/STARBUCKS 08/29/19 ELFENBAUM EVERS ZIELINSKA 624 19WC 30262 SPENCER, KHALIAN AUTOWAREHOUSING COMPANY 09/29/19 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 625 19WC 30307 DONNERSON, TORRENCE COOK COUNTY SHERRIFF'S OF 09/11/19 CORBOY & DEMETRIO PC STATES ATTORNEY OF COOK COUN 626 19WC 30378 O'HARA, KELLY G & C COOK, INC. 05/08/19 VOGG, MARK J LAW OFFICE 627 19WC 34355 VILLEGAS, SERGIO CHICAGO PARK DISTRICT 11/12/19 JOHN S. ELIASIK CHICAGO PARK DIST LAW DEPT 628 19WC 35737 VANEK, JUNE PALOS HOSPITAL 07/07/19 MINKOW DOMIN POWER & CRONIN LTD 629 19WC 36711 GUERRERO, JUAN C SOUTHERN MAIL SERVICE 12/30/16 LEE A CAMPBELL LAW OFFICE EVANS & DIXON 630 19WC 36735 WILLIAMS, SEQUINA METROPOLITAN WATER 12/16/19 SCOTT B SHAPIRO 631 19WC 36737 HALBERT, EARL CHICAGO TRANSIT AUTHORITY 11/26/19 CUDA LAW OFFICES CHICAGO TRANSIT AUTHORITY 632 19WC 36760 BURTON, SONYA UNIVERSITY OF CHICAGO 12/11/19 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 633 19WC 36804 RICHARDS, CINDY J UNITED CONTINENTL HOLDING 12/06/19 KATZ FRIEDMAN EISENSTEIN 634 19WC 36832 DAVIS, KIMBERLY RUSH OAK PARK HOSPITAL 12/04/19 VASILATOS & COTTER LLC 635 19WC 36858 BEDOLLA, ELIZABETH ALDI, INC 12/12/19 KOSIN LAW OFFICE LTD BRADY CONNOLLY & MASUDA PC 20WC000550 -C 636 19WC 36906 POWERS-STARR, TARA A VILLAGE OF RIVERDALE 01/03/19 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 637 19WC 36973 DEL SANTO, PAUL LEAK STOP ROOFING 07/11/18 PORRO NIERMANN LAW GROUP 638 19WC 37148 GLYAZER, ALEKSANDR COUNCIL FOR JEWISH ELDERL 07/12/19 PARAD LAW OFFICES PC 639 19WC 37170 MC CRAY, ROCHELLE ENTERPRISE RENT-A-CAR 11/11/19 KROL BONGIORNO & GIVEN LTD KEEFE CAMPBELL BIERY & ASSOC 20WC000033 -C 640 19WC 37189 SALAZAR, DAVID YRC-USF HOLLAND 12/20/19 GWC INJURY LAWYERS LLC 641 19WC 37212 BURKS, KENNETH G AUTOZONE 11/22/19 GALLAGHER, DONALD V 642 19WC 37235 SANTIAGO ALMODOVAR, KENNE WASHINGTON SQUARE MGMT LL 12/18/19 HERRERA LAW CENTER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 643 19WC 37255 MITCHELL, SHELEACH FIRST STUDENT 12/09/19 DWORKIN AND MACIARIELLO 644 19WC 37271 MCNEIL, DEBRA THE VILLGE OF ROBBINS 12/16/19 RUSIN & MACIOROWSKI LTD 645 19WC 37290 LIETZ, ERIC COOK COUNTY SHERIFF'S OFF 12/01/19 NILSON STOOKAL GLEASON CAP STATES ATTORNEY OF COOK COUN 646 19WC 37344 COLE, DENNIS GARDENT MGMT SOLUTIONS, D 12/13/19 ASHER, RAYMOND L LTD POWER & CRONIN LTD 647 19WC 37433 SIMS, RONNIE ACCURATE PERSONNEL, LLC 12/17/19 ANKIN LAW OFFICE JOHN T GONNELLA 648 19WC 37457 GARY, TEVEN SOHO HOUSE CHICAGO 12/14/19 DEPAOLO & ZADEIKIS 649 19WC 37485 HANRAHAN, JAMES UNITED BUS, INC 11/15/19 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 650 19WC 37542 POTTS, RAINA STATE OF IL DHS LUDEMAN C @ 09/17/19 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 651 19WC 37547 WILLIAMS, MINERVA CTA 12/28/19 MC HARGUE & JONES CHICAGO TRANSIT AUTHORITY 652 20WC 00038 WILLIAMS, RAVEN OAK LEYDEN DEVELOPMENTAL 11/30/19 SKLARE LAW GROUP 653 20WC 00068 WASHINGTON, ANTONISHA JEWEL OSCO 12/19/19 STROM & ASSOC QUINTAIROS PRIETO WOOD & BOY 654 20WC 00110 CZARKOWSKI, IWONA SKOKIE SCHOOL DIST #73.5 05/29/19 STEWART C ORZOFF 655 20WC 00212 SANTIAGO, RICHARD J COOK COUNTY SERIFFS DEPAR 04/12/19 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 656 20WC 00235 BOENS, MELONDY LA'TRICE STARBUCKS COFFEE COMPANY 12/18/19 JAMES H MILLER JR KOPKA, PINKUS DOLIN, PC 657 20WC 00254 ROBINSON, ANTHONY WESTSIDE TRANSFORMATION 12/31/19 GERALD CONNOR HANSON LAW OFFICE 658 20WC 00294 AHMAD, SAEED A FRITO LAY 05/23/19 O'CONNOR & NAKOS GILDEA, COGHLAN & REGAN LTD. 659 20WC 00305 BELL, NIGERIA WHOLE FOODS MARKET 12/12/19 SANDMAN LEVY & PETRICH 660 20WC 00324 HUFF, KENNETH COY'S AUTO REBUILDERS 06/25/19 CIFELLI SCREMENTI & DORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 661 20WC 00395 THOMAS, APRIL RUSH OAK PARK HOSPITAL 03/03/19 COHN LAMBERT RYAN & SCHNEI GAIDO & FINTZEN 662 20WC 00419 RIVERA, OBDULIA ACCURATE PERSONNEL LLC 10/01/19 COSTA IVONE LLC JOHN T GONNELLA 663 20WC 00466 RODRIGUEZ, HILDA ARBOR LODGING PARTNERS, L 12/11/19 OSVALDO RODRIGUEZ PC JOSEPH MARCINIAK 664 20WC 00485 PEDROZA, JOSEPHINE DHL GLOBAL FORWARDING 12/27/19 LEONARD LAW GROUP LLC 665 20WC 00506 RENTERIA, MARIA MIRAMAR INTERNATIONAL 12/05/19 HERRERA LAW CENTER 666 20WC 00558 DOMINGUEZ, BRIAN OAKLAWN LUBE, LLC 05/17/19 EDWIN REYES LAW FIRM RUSIN & MACIOROWSKI LTD 667 20WC 00594 HANSBURY, THOMAS CALUMET CARTON CO 06/25/19 HORWITZ HORWITZ & ASSOC 668 20WC 00625 JACKSON, VERONICA FRIEND & FAMILY HEALTH 09/20/19 STEVEN J MALMAN & ASSOCIAT 669 20WC 00642 HOPKINS, CORA SOUTHWEST AIRLINES 10/16/19 PARENTE & NOREM PC 670 20WC 00645 AGUILAR, ELENA TOTAL STAFFING SOLUTIONS, 11/20/19 CULLEN HASKINS NICHOLSON LINDNER & MARSACK 671 20WC 00667 WILKERSON, CLINTON EAGLE EXPRESS LINES, INC 11/23/19 STANCZAK LAW OFFICES 672 20WC 00691 BIALY, JAKUB SWEDISH COVENANT HOSPITAL 12/17/18 MICHALSKI & GUBERNAT MACIOROWSKI SACKMANN & ULRIC 673 20WC 00711 RYAN, KEITH ADP TOTALSOURCE/CRG GLOBA 04/15/19 WIEDNER & MCAULIFFE LTD 674 20WC 00740 FERRARIO, JOHN HECKER & COMPANY INC 09/11/19 SCHWEICKERT GANASSIN ACCIDENT FUND HOLDINGS 675 20WC 00763 MILLER, LATESE D MAX MARA RETAIL, LTD. 12/18/19 ANKIN LAW OFFICE 676 20WC 00834 JOHNSON, GLENN UNITED AIRLINES INC. 12/17/19 DWORKIN AND MACIARIELLO 677 20WC 00882 PAPKA, VANESSA COOK COUNTY 10/31/19 THOMAS LAW STATES ATTORNEY OF COOK COUN 678 20WC 00903 JIMENEZ, PATRICIA WYNDHAM GARDEN SCHAUMBURG 12/12/19 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 679 20WC 00966 KING, PHILLIP PEOPLES GAS 01/07/20 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 680 20WC 00979 DIAZ, MELISSA KURASCH & KLEIN LTD 10/10/19 CZAPLA LAW 681 20WC 00992 MILLER, SIKEARA CTA 01/02/20 CELSO FUENTES JR CHICAGO TRANSIT AUTHORITY 682 20WC 01008 GOMEZ, ANGEL PANERA BREAD 10/23/19 RICHARD E ALEKSY GILDEA, COGHLAN & REGAN LTD. 683 20WC 01031 AGUIRRE, MARIO INLAND DIE CASTING 11/01/19 KATZ FRIEDMAN EISENSTEIN SLAVIN & SLAVIN 684 20WC 01051 ROSE, DIANNE DEN-TEX CENTRAL DBA DENNY 07/02/19 CAPRON & AVGERINOS PC GANAN & SHAPIRO 20WC001052 -C 685 20WC 01093 GREEN, HENRY ST JAMES WELLNESS 01/02/20 COSTA IVONE LLC 686 20WC 01143 WILLIAMS, PHILIP LEAFFILTER GUTTER PROTECT 11/21/19 DWORKIN AND MACIARIELLO MEACHUM BOYLE TRAUFMAN 687 20WC 01174 CAMARGO, RAUL WERTHEIMER BOX & PAPER CO 09/17/19 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 688 20WC 01229 VALENTIN, CARLOS RES-CARE, INC. 11/13/19 HEALY SCANLON LAW FIRM SPIEGEL & CAHILL, PC 689 20WC 01241 FISCHER, JUSTIN ASSURED AIR, LTD 12/03/19 MICHAEL HELLMAN 690 20WC 01262 ZUNIGA CRUZ, OSCAR G LAKESHORE RECYCLING SYSTE 12/11/19 HERRERA LAW CENTER 691 20WC 01302 SARINANA, THANIA THE ILEARN CENTER OF CHIC 12/12/19 COSTA IVONE LLC ML LEFEVOUR AND ASSOCIATES, 692 20WC 01327 NAUMIEC, MARK A CHICAGO PARK DISTRICT 03/22/19 MORICI FIGLIOLI & ASSOC CHICAGO PARK DIST LAW DEPT 693 20WC 01346 RINER, CHARLES RICH TOWNSHIP HIGH SCHOOL 10/17/19 ANESI OZMON RODIN NOVAK KO 694 20WC 01372 MARTINEZ, GUADALUPE COMMERCIAL PALLET 12/12/19 JOHN S. ELIASIK KEEFE CAMPBELL BIERY & ASSOC 695 20WC 01390 LOMAS, MARCIA CONSTRUCTION REX 10/30/19 STEVEN B SALK & ASSOC LTD HENNESSY & ROACH PC 696 20WC 01412 THOMPSON, LAMAR LAWNDALE CHRISTIAN HEALTH 01/10/20 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 697 20WC 01480 GREEN, SHEILA UNIVERSITY OF IL AT CHICA 08/21/19 STEVEN J MALMAN & ASSOCIAT 698 20WC 01500 MARTINEZ, JUAN ECOBRITE LINEN 11/14/19 CULLEN HASKINS NICHOLSON MEACHUM BOYLE TRAUFMAN 699 20WC 01530 HAYWOOD, TIERRA SOUTH SUBURBAN REHAB CENT 06/10/19 MARSZALEK AND MARSZALEK 700 20WC 01598 CHAVEZ-JACQUEZ, ERUBIEL JEWEL DISTRIBUION CENTER 06/29/17 MARKER & CRANNELL 701 20WC 01621 FLORNOY JR, DOUGLAS FORD MOTOR COMPANY 02/25/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 702 20WC 01733 PINEDA, CARLOS COOK COUNTY 01/01/20 WHITESIDE & GOLDBERG LTD 703 20WC 01751 JONES, ANNA ABP CORPORATION/AU BON PA 11/15/18 ANKIN LAW OFFICE GANAN & SHAPIRO 704 20WC 01771 BEAL, DIONDRE OFFICE OF THE CHIEF JUDGE 09/06/19 RITTENBERG BUFFEN STATES ATTORNEY OF COOK COUN 705 20WC 01794 BELLER, JOHN N II RAPID DISPLAYS 08/22/19 RICHARD E ALEKSY 706 20WC 01813 RAMIREZ, SANDRA RIBBON WEBBING CORPORATIO 12/17/19 JOHN S. ELIASIK 707 20WC 06934 HENDRIX, CYNETHA NORTHBROOK INN 12/02/19 GERALD CONNOR BRYCE DOWNEY & LENKOV LLC 708 20WC 07344 JESKE, KATHERINE CITY OF CHICAGO DEPT OF 03/03/20 ROMANUCCI & BLANDIN 709 20WC 07417 ARROLLO, PABLO PULLMAN SUGAR LLC 02/13/20 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 710 20WC 07492 STEART, JAN R CTA 03/11/20 TIMOTHY HENDERSON 711 20WC 07701 THOMAS, CURTIS JAKACKI BAG & BARREL 02/21/20 BRISKMAN BRISKMAN GREENBER POULOS & DIBENEDETTO LAW 712 20WC 07877 ANDERSON, LEAVY CTA 03/16/20 DWORKIN AND MACIARIELLO 713 20WC 07911 SAFRANIEC, MICHAEL BENSON ELECTRICAL CONTRAC 11/11/19 GWC INJURY LAWYERS LLC RUSIN & MACIOROWSKI LTD 714 20WC 07943 DENNY, JAMES WINPAK PORTION PACKAGING 01/29/17 SCHWEICKERT GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 715 20WC 08031 LEMUS, RICARDO PACE BUS 12/30/19 PORRO NIERMANN LAW GROUP 716 20WC 08068 FOX, NAKITA ADVOCATE SOUTH SUBURBAN 03/11/20 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM GRA 717 20WC 08132 CASIMIR, JACQUELINE CHICAGO BOARD OF EDUCATIO 03/13/19 SANDMAN LEVY & PETRICH 718 20WC 08169 CAMPOS TUS, GRACIELA ARTIS SENIOR LIVING 11/24/19 BURNETT & CARON, LTD 719 20WC 08295 TRAVERSA, CHRISTOPHER K REMEDIAL ENVIRONMENTAL 02/17/20 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 720 20WC 08322 JASSO-VALDEZ, IRMA UNITED CONTINENTAL HLDING 02/22/17 KATZ FRIEDMAN EISENSTEIN 721 20WC 08341 WINSLEY, MARSALETTE JOHN H STROGER HOSPITAL 02/19/19 MC HARGUE & JONES STATES ATTORNEY OF COOK COUN 722 20WC 08427 CULLOTTA, DONALD USPI 03/29/18 NO ATTORNEY 723 20WC 08492 PETTIGREW, RENEE CHICAGO PUBLIC SCHOOLS 02/24/20 DWORKIN AND MACIARIELLO 724 20WC 08512 RAZVI, SYED UNITED AIRLINES 02/15/20 COVEN LAW GROUP 725 20WC 08536 VARGAS, CIRILO ARCUS CONSTRUCTION INC/ 01/07/20 EPSTEIN, JACK R LAW OFFICE 726 20WC 08561 DAIL, ASHLEY KINDRED HOSPICE 02/21/20 GERALD CONNOR 727 20WC 08579 WILLIAMS, ALBERT PACIFIC RAIL SVCS 03/27/20 ARGIONIS & ASSOCIATES LLC 728 20WC 08604 ARMAS-MORATAYA, JUAN C ENTERTAINMENT PARTNERS 10/08/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 729 20WC 08646 MC COLLOUGH, TARA UNITED CONTINENTAL 07/24/19 KATZ FRIEDMAN EISENSTEIN 730 20WC 08689 MOORE, MARKCINNO THORNRIDGE HIGH SCHOOL 01/15/20 BRILL & FISHEL 731 20WC 08748 BOYETT, DESHAWN DHL EXPRESS 03/25/20 DAVID W MARTAY HENNESSY & ROACH PC 732 20WC 08783 PELLETIER, CARTER M SCHMIDT STEEL, INC 03/13/20 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 733 20WC 08807 PETERSON, PIERRE SUBURBAN LANDSCAPING 07/17/19 RUBENS KRESS MULHOLLAND 734 20WC 08821 MURPHY, MICHELLE UNITED AIRLINES INC. 01/21/20 CULLEN HASKINS NICHOLSON 735 20WC 08849 DONJUIELLE, MICHELLE AMERICAN AIRLINES 02/03/20 SAUNDERS CONDON & KENNY ROSARIO CIBELLA 736 20WC 08864 BANAL, EDGARDO ENVOY AIR, INC 11/12/19 ASHER, RAYMOND L LTD 737 20WC 08876 SABINANO, JEFFREY M ENVOY AIR 07/13/19 CULLEN HASKINS NICHOLSON 738 20WC 08905 WADE, ROBERT DYNAMIC WRECKING AND 01/31/20 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 739 20WC 08939 RUFFIN, EDDIE AT&T/ILLINOIS BELL TELEPH 03/24/20 GOLDSTEIN AIOSSA & GOOD 740 20WC 08997 BUSH, DIEISHA CTA 04/05/20 COVEN LAW GROUP 741 20WC 09034 HOWARD, JESSIE CHICAGO PARK DISTRICT 03/01/19 LLOYD MILLER LAW GROUP 742 20WC 09050 LASOTA, DAVID C RR DONNELLEY 01/14/20 RONALDSON & KUCHLER 743 20WC 09071 JIMERSON, LATREESE HOSTESS BRANDS, LLC 04/14/19 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 744 20WC 09114 O'LEARY, THOMAS AMERICAN AIRLINES 10/05/19 SAUNDERS CONDON & KENNY 745 20WC 09116 NEALS, BRIANA CTA 03/08/20 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 746 20WC 09133 MASTRANGELO, TITUS CHICAGO TRANSIT AUTHORITY 04/07/20 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 747 20WC 09135 RANISZEWSKI, JOSEPH AMS MECHANICAL SYSTEMS IN 02/28/20 ARGIONIS & ASSOCIATES LLC GAROFALO SCHREIBER STORM GRA 748 20WC 09153 MCNEAL, BILLY COOK COUNTY SHERIFF'S DEP 03/05/20 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 749 20WC 09173 AGUILAR, ANTONIO HILTON EMBASSY SUITES 08/03/19 DEPAOLO & ZADEIKIS 750 20WC 09261 BELJUNG, ANTHONY CAST & CREW ENTERTAINMENT 02/26/20 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 751 20WC 09290 LEE SR, MICHAEL E ARAMARK 01/06/20 RUBIN LAW GROUP 752 20WC 09340 MESKILL, PAT CHICAGO TRANSIT AUTHORITY 03/23/20 ROMANEK & ROMANEK 753 20WC 09355 TUMMINELLO, DAVID ORKIN PEST CONTROL 07/11/18 SEIDMAN MARGULIS & FAIRMAN BRADY CONNOLLY & MASUDA PC 754 20WC 12286 SILVA, MIGUEL IL DEPT OF TRANSPORTATION @ 02/27/19 WHITESIDE & GOLDBERG LTD 755 20WC 13743 GONZALES, DEAN CHICAGO TRANSIT AUTHORITY 06/24/17 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 756 20WC 13819 COOPER, CARL CITY OF CHICAGO * 06/03/20 ARGIONIS & ASSOCIATES LLC 757 20WC 13837 SIMONE, GINO ARTIE'S TOWING * 06/08/20 SHANNON LAW GROUP 758 20WC 13937 DEL RIO, LUZ COOPERS HAWK WINERY * 03/11/20 STEWART C ORZOFF 759 20WC 13989 CUNNINGHAM, APRIL FEDEX SHIP CENTER * 06/14/20 DWORKIN AND MACIARIELLO ASHER, RAYMOND L LTD 760 20WC 14022 AGUILAR, RADAMES FLEET PRIDE #481 * 06/08/20 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 761 20WC 14038 CATALAN, SAUL DAUBERT CROMWELL LLC * 03/06/19 RAYMOND P GARZA LAW OFFICE 762 20WC 14039 CATALAN, SAUL DAUBERT CROMWELL LLC 05/07/19 RAYMOND P GARZA LAW OFFICE 763 20WC 14062 SZEWCZYK, ALICIA AMITA HEALTH * 06/08/20 MINKOW DOMIN 764 20WC 14109 MOORE, MARIA ADVOCATE CHRIST MEDICAL C * 03/18/18 DAVID W MARTAY GAROFALO SCHREIBER STORM GRA 765 20WC 14129 STOVALL, WESLEY CHICAGO TRANSIT AUTHORITY * 06/10/20 DISPARTI LAW GROUP PA 766 20WC 14147 WOJCIECHOWSKI, EDMUND MARQUETTE BANK * 08/06/19 SHANCER, JEFFREY M 767 20WC 14251 AYAVACA, RODRIGO FOGO DE CHAO * 12/23/19 ELFENBAUM EVERS ZIELINSKA 768 20WC 14290 TZITZKOVA, IRINKA FOREST CITY ENTERPRISES I * 06/05/18 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 769 20WC 14340 DANTA, ANTHONY M VILLAGE OF RICHTON PARK * 05/27/20 RUBIN LAW GROUP 770 20WC 14383 MCKINLEY, VONSHAE GLENWOOD HEALTHCARE AND R * 06/20/20 VASILATOS & COTTER LLC 771 20WC 14423 CHAPARRO, LINDA KOCH FOODS, INC. * 03/17/20 STANCZAK LAW OFFICES 772 20WC 14479 FISHER, MARTHA SUPERIOR AMBULANCE * 02/05/20 GALLAGHER, DONALD V 773 20WC 14507 FUDALA, ERIK THUSSENKRUPP ELEVATOR * 05/15/20 STROM & ASSOC 774 20WC 14559 MARQUEZ, GILBERT FEDEX FREIGHT, INC * 11/04/19 QUINTAIROS PRIETO WOOD & BOY 775 20WC 14563 RAKANOVIC, INDIRA SPA SPACE * 07/15/19 INJURY LAWYERS OF IL 776 20WC 14589 WILLIS, WILLMONICA ADDUS HEALTH CARE * 08/22/18 ERIC M GLASSON & ASSOCIATE 777 20WC 14617 DUBOIS, CASEY STARBUCKS * 06/10/18 STEVEN A CRIFASE, LTD 778 20WC 14637 HAYS, GREGORY COOK COUNTY SHERIFF DEPAR * 12/16/19 CORNFIELD & FELDMAN 779 20WC 14662 TENA, STEPHANIE MCDONALD'S * 06/17/20 DWORKIN AND MACIARIELLO 780 20WC 14803 LOBATO, JOSE GRECO & SON * 11/05/19 HERRERA LAW CENTER 781 20WC 14820 BARAHUNA, JOSE FRANCISCO TAFCO CORP * 05/27/20 STEVEN B SALK & ASSOC LTD 782 20WC 14848 SMITH, JANICE R SCHWAB REHAB. HOSP.& CARE * 06/06/20 PAUL A COGHLAN & ASSOC 783 20WC 14877 ALVARADO, FRANCISCO SERVICE KING * 08/17/17 SEIDMAN MARGULIS & FAIRMAN 784 20WC 14901 OQUENDO, ENRIQUE ALLIANCE GROUND INTRNATNA * 05/14/20 ANKIN LAW OFFICE 785 20WC 14919 GARRETT, CARLOS INTERSTATE TRANSP SYSTEMS W* 03/04/20 CHEPOV & SCOTT LLC 786 20WC 14933 ROSS, KAREN AMERICAN DRUG STORES, LLC * 07/06/17 ROSS TYRRELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 787 20WC 14949 BERNDT, KIMBERLY MIDWAY SHUTTLE * 06/15/20 GORDON LAW OFFICES LTD STONE & JOHNSON CHARTERED 788 20WC 14978 GRABINSKI, THOMAS L UNITED AIRLINES * 01/09/20 SOSTRIN AND SOSTRIN PC 789 20WC 14994 UTRIA, LUZ DA STEIN CULINARY GROUP, * 11/05/19 THE ROMAKER LAW FIRM 790 20WC 15017 ROJAS, ARMANDO AT&T * 06/18/18 GWC INJURY LAWYERS LLC 791 20WC 15048 SMITH, ANDRE COOK COUNTY JEVENILE * 03/02/20 WHITESIDE & GOLDBERG LTD 792 20WC 15172 VOIGHT, ALAYNA GOOSE ISLAND BEER CO * 12/04/19 ROMANUCCI & BLANDIN 793 20WC 15211 BOHN, AMANDA COSTCO * 09/22/19 KROL BONGIORNO & GIVEN LTD WOLFE & JACOBSON, LTD 794 20WC 15252 PATEL, GHANSHYAMBHAI K AMITRON CORP * 08/27/19 GARDI & HAUGHT 795 20WC 15276 HARRINGTON, JUANATRIA WERNER ENTERPRISE * 07/01/20 COVEN LAW GROUP HENNESSY & ROACH PC 796 20WC 15287 WEINSTEIN, BRIAN CHICAGO RIDGE FIRE DEPT * 10/08/19 SEROWKA LAW 797 20WC 15313 GARCIA, JOSE CALIBER COLLISSION * 03/06/20 CHRISTINE F DAVID 798 20WC 15332 CONLEY, MARCUS A NEXUS STAFFING AGENCY * 06/18/20 STEVEN J MALMAN & ASSOCIAT 799 20WC 15353 SCHOTT, BRADLEY M FRESENIUS KABI * 06/25/20 VLANTIS LAW LLC 800 20WC 15378 CATEMAXCA, OSCAR WE WASH HAND CAR WASH &DE * 06/23/20 KATZ FRIEDMAN EISENSTEIN 801 20WC 15401 GUTIERREZ, JESUS COMED * 06/05/20 DWORKIN AND MACIARIELLO 802 20WC 15425 CLAYTON, ARICA BEACON HEALTH CENTER * 06/08/20 DWORKIN AND MACIARIELLO 803 20WC 15451 ZENKOVIC, AMELA WALMART * 12/26/19 SEIDMAN MARGULIS & FAIRMAN GANAN & SHAPIRO 804 20WC 15471 DUENA, JORGE LABOR SOLUTIONS * 07/01/20 ENCINAS & ORNELAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 805 20WC 15491 TASIC, STEVE CASTLE CHEVROLET NORTH * 03/17/19 CAPRON & AVGERINOS PC 806 20WC 15507 TIDWELL, AARON THE COMMUNITY BUILDERS, I * 09/26/19 ANKIN LAW OFFICE 807 20WC 15521 RIVERA, JAVIER VALLEY PRODUCE * 05/03/20 VASILATOS & COTTER LLC 808 20WC 15548 BARBOSA, DAVID S CASTILLO ACE TIRE & WHEELS INC. * 06/20/20 HERRERA LAW CENTER 809 20WC 15593 RICO, JESUS TEMPS PDQ, INC * 08/30/19 ENCINAS & ORNELAS 810 20WC 15616 HUGHLETT, BYRON RR DONNELLEY * 04/15/20 GALLAGHER, DONALD V 811 20WC 15631 AIARDO, JONATHAN GROOT INDUSTRIES * 06/01/20 TIMOTHY HENDERSON 812 20WC 15655 ESQUIVEL, ALEXANDRO Z & E INC * 04/29/20 JACKOWIAK LAW OFFICES 813 20WC 15684 MALDONADO, MASON AMERICAN AIRLINES * 06/28/20 SOSTRIN AND SOSTRIN PC 814 20WC 15705 BENABIDA, HANANE MENZIES AVIATION ORD * 06/09/20 SANDMAN LEVY & PETRICH 815 20WC 15729 YEE, ALAN C UNITED CONTINENTL HOLDING * 03/01/19 KATZ FRIEDMAN EISENSTEIN 816 20WC 15739 MC BRIDE, YOLANDA SOUTHPOINT NURSING * 06/30/20 LEONARD LAW GROUP LLC 817 20WC 15767 MARTINEZ, JUAN II IN ONE CONTRACTORS, IN * 04/18/20 EPSTEIN, JACK R LAW OFFICE 818 20WC 15792 REYES, MAIRA ATLAS EMPLOYMENT SRVCS, I * 06/03/20 EPSTEIN, JACK R LAW OFFICE 819 20WC 15817 BRANCH, DONALD UNITED AIRLINES * 01/27/20 FRANCIS J DISCIPIO LAW OFF 820 20WC 15834 IZGUERRA, GUADALUPE TRELLEBORG SEALING SOLUTI * 07/13/17 MARTIN V KUGIA 821 20WC 15880 ALSEN, FRED COBBLESTONE REMODLEING, I * 07/01/20 DWORKIN AND MACIARIELLO 822 20WC 15893 FORD, TRINICA GOTTLIEB MEMORIAL HOSPITA * 06/18/20 ACEVES & PEREZ PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 823 20WC 15904 MAURICIO, JORGE L GENERAL BUILDING SUPPLY L 06/10/20 SCHWEICKERT GANASSIN 824 20WC 15920 MCMASTER, REBECCA JEWEL-OSCO * 01/18/19 TRUGLIO, FRED A & ASSOC 825 20WC 15937 GOMEZ, ENRIQUE SUPERIOR STAFFING * 01/09/20 JAMES H MILLER JR 826 20WC 15957 ASCENCIO, ALBA ABLE ELECTROPOLISHING * 06/22/20 DWORKIN AND MACIARIELLO 827 20WC 15978 BELTRAN, BERNARDO MICRO LAPPING &GRINDING C * 03/01/20 COSTA IVONE LLC 828 20WC 15988 QAIYIM, HAMINAH SOUTH SUBURBAN HOSPITAL * 11/16/19 BLOCK, KLUKAS & MANZELLA P 829 20WC 16004 FERNANDEZ, LUDWIG ALEXIAN VILLAGE OF ELK GR * 06/10/20 TAMVAKIS, GEORGE L 830 20WC 16025 FICNER, JOSEPH CBRE * 04/30/20 MICHAEL HELLMAN 831 20WC 16042 WILKES, LAURIE DHL EXPRESS * 02/28/20 BRILL & FISHEL 832 20WC 16144 ADAMS, DONELL MCGRATH ACURA OF * 10/11/19 PATRICOSKI, MARK G 833 20WC 16173 TAYLOR, CORY ARKA EXPRESS INC * 07/04/20 ANGELINI & ORI LLC 834 20WC 16196 TORINO, JEFFERY TRI-STATE DISPOSAL * 03/03/20 HORWITZ HORWITZ & ASSOC 835 20WC 16229 WILLIAMS, BRIAN CTA * 07/10/20 STEWART C ORZOFF 836 20WC 16288 GAUD, NOEMI COOK COUNTY JAIL * 04/13/20 CUDA LAW OFFICES 837 20WC 16315 MONROY, CARLOS WELCH BROTHERS, INC. * 05/05/20 JOHN J CASTANEDA 838 20WC 16334 LOPEZ, MARICELA ANN & ROBERT LURIE CHILDR * 07/09/19 ACEVES & PEREZ PC 839 20WC 16375 SOLIS, BERNARDO HOLLAND TRUCKING * 06/04/20 JOHN S. ELIASIK 840 20WC 16395 KARWACZKA, JAN UPS * 06/18/20 ALEKSY BELCHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M STEFFENSON, DOUGLAS 028 ARBITRATION CALL FOR CHICAGO 99028 ON 08/19/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 841 20WC 16422 MUNOZ, RENE BLACK HORSE CARRIERS * 06/29/20 KROL BONGIORNO & GIVEN LTD 842 20WC 16444 KERNER, JOHN VILLAGE OF BERKELEY * 05/27/20 THOMAS A MORRISSEY