Top Banner
ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 01841 DOMBROWSKI, EDWARD WHITE HEN PANTRY 07/08/04 ANESI OZMON RODIN NOVAK KO LAW OFFICES OF EDWARD J. KOZ 05WC001842 -C 2 07WC 37812 19B PLEIN, JUSTIN FISHERS INTERIORS LTD 04/06/07 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 3 09WC 00828 FOLLMAN, LAURA TRAVEL CENTERS OF AMERICA 08/17/06 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 4 10WC 26454 GONZALEZ, MICAELA OSCAR MEYER CLAUSEN PICKL 03/01/10 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 5 10WC 28824 SCHROEDER, ADRIAN COUNTRY GAS-DIVISION OF I 12/29/09 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 10WC028825 -C 16WC033854 -C COMMUNITY ACTION AGENCY 6 11WC 03191 HENRIQUES, KARLA MCDONALDS CORP 04/12/10 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 7 11WC 25398 BELLANTE, CHRISTIAN LDI INDUSTRIES 06/08/11 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 8 11WC 36249 19B SCIMECA, VICTOR R VILLAGE OF HEBRON 02/03/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 11WC036287 -C 9 12WC 01592 JORDAN, ZACHARY ROBERTS EXTERIOR SERVICES 11/23/11 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 10 13WC 15577 DIAZ KRISTA KELLY SERVICES 03/20/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 11 13WC 31024 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 03/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 12 13WC 31025 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 08/15/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 13 13WC 31779 JAWORSKI, JEFFREY ILLINOI STATE TOLL HIGHWA 08/18/13 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 14 13WC 36857 KARL, MARGARET APTARGROUP INC 08/29/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 15 14WC 04259 COLE, KEVIN CRYSTAL LAKE SCHOOL DIST 07/30/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC004260 -C
23

ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

Jan 24, 2021

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 05WC 01841 DOMBROWSKI, EDWARD WHITE HEN PANTRY 07/08/04 ANESI OZMON RODIN NOVAK KO LAW OFFICES OF EDWARD J. KOZ 05WC001842 -C 2 07WC 37812 19B PLEIN, JUSTIN FISHERS INTERIORS LTD 04/06/07 GOLDBERG WEISMAN & CAIRO L THOMAS & ASSOCIATES 3 09WC 00828 FOLLMAN, LAURA TRAVEL CENTERS OF AMERICA 08/17/06 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 4 10WC 26454 GONZALEZ, MICAELA OSCAR MEYER CLAUSEN PICKL 03/01/10 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 5 10WC 28824 SCHROEDER, ADRIAN COUNTRY GAS-DIVISION OF I 12/29/09 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 10WC028825 -C 16WC033854 -C COMMUNITY ACTION AGENCY 6 11WC 03191 HENRIQUES, KARLA MCDONALDS CORP 04/12/10 FRANKS, GERKIN & MCKENNA P NYHAN BAMBRICK KINZIE & LOWR 7 11WC 25398 BELLANTE, CHRISTIAN LDI INDUSTRIES 06/08/11 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 8 11WC 36249 19B SCIMECA, VICTOR R VILLAGE OF HEBRON 02/03/11 LINN, CAMPE & RIZZO LTD NYHAN BAMBRICK KINZIE & LOWR 11WC036287 -C 9 12WC 01592 JORDAN, ZACHARY ROBERTS EXTERIOR SERVICES 11/23/11 ATSAVES, LOUIS G LTD WIEDNER & MCAULIFFE LTD 10 13WC 15577 DIAZ KRISTA KELLY SERVICES 03/20/13 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 11 13WC 31024 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 03/07/11 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 12 13WC 31025 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 08/15/12 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 13 13WC 31779 JAWORSKI, JEFFREY ILLINOI STATE TOLL HIGHWA 08/18/13 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 14 13WC 36857 KARL, MARGARET APTARGROUP INC 08/29/13 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 15 14WC 04259 COLE, KEVIN CRYSTAL LAKE SCHOOL DIST 07/30/13 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 14WC004260 -C

Page 2: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 14WC 07556 O'DONNELL, PATRICK RAGING BUFFALO SNOWBOARD 03/02/14 HEALY LAW FIRM HENNESSY & ROACH PC 17 14WC 10746 WERNER, WANDA WALMART 01/05/14 HANNIGAN & BOTHA, LTD WIEDNER & MCAULIFFE LTD 18WC000754 -C 18 14WC 13364 BROWN, MOSES COMMONWEALTH EDISON 03/31/14 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 19 14WC 19408 PAULSEN, BRAD GENERAL EXTERIOR CONSTRUC 03/20/14 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 20 14WC 27777 19B FLORES, MARISELA CHICK-FIL-A 02/26/14 BOTTO GILBERT RUSIN & MACIOROWSKI LTD 21 14WC 31365 MAKI, JEANNE HAMPSHIRE FIRE PROTECTION 03/20/12 CAMERON CLARK RUSIN & MACIOROWSKI LTD 14WC031366 -C 14WC031367 -C 17WC025909 -C 22 14WC 31570 DOMINGUEZ, GILBERTO THE TEXAN BAR-B-QUE INC 09/03/14 STROM, NEAL B RUSIN & MACIOROWSKI LTD 23 14WC 37422 PAGE, JAMES FEDERAL EXPRESS 07/22/14 LEO ALT HANSON LAW OFFICE 24 14WC 40480 RAMOS, ANDRES SNAP-ON-TOOLS 09/05/14 WOLFE LAW PC GILDEA & COGHLAN 25 14WC 40907 KOTSY, AMANDA STATE OF ILLINOIS @ 07/26/13 COVEN LAW GROUP ASSISTANT ATTORNEY GENERAL 26 14WC 41106 SANCHEZ-PEREZ, SANTIAGO IRFAN NASIR AND USMAN CHE 06/14/14 EPSTEIN, JACK R LAW OFFICE ARIANO HARDY NYULI JOHHSON 27 15WC 00245 ROBELET, VICTOR P CRYSTAL LAKE PD 08/19/14 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 28 15WC 06489 LARSON, STACY SUPERIOR COATING 09/02/14 BLACK & JONES HOLTKAMP LIESE ET AL 29 15WC 08509 FRANZONE, DEBRA CENTEGRA HEALTH SYSTEMS 12/02/14 DIAMOND & LESUEUR PC RUSIN & MACIOROWSKI LTD 30 15WC 09066 ROJAS, LEODEGARIO AC HOME CONSTRUCTION 10/22/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 31 15WC 11001 CARTWRIGHT, STACI IAC 10/15/14 BLACK & JONES GANAN & SHAPIRO 32 15WC 12622 FROST, JACK JR GREAT LAKES FIRE & W 03/18/15 SOSTRIN AND SOSTRIN PC CAMPION CURRAN LAMB

Page 3: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 15WC 16424 SCHMEICHEL, THOMAS SPITSON MASONRY INC 03/04/15 DUDLEY & LAKE LLC WIEDNER & MCAULIFFE LTD 34 15WC 20236 REYNOSO, FRANCISCA CLAUSSEN PICKLE COMPANY 04/14/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 15WC028908 -C 35 15WC 22112 LACHER, KRISTINE J NIPPERSINK SCHOOL DISTRIC 04/08/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 36 15WC 24535 FISCHER, SUZETTE ANN INC 09/10/13 BRAD J. BALKE, PC HOLECEK & ASSOCIATES 37 15WC 29832 BOYCE, MICHAEL J WEBER GRILL 04/06/15 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 38 15WC 34820 LANE, BRIAN DYLAN'S PUB 02/10/15 DWORKIN AND MACIARIELLO 39 15WC 42183 KINDSCHY, KEITH HANOR CO. 10/12/14 FRANKS, GERKIN & MCKENNA P HENNESSY & ROACH PC 40 16WC 04251 KRUZEL, CANDANCE ALDI MCHENRY 06/07/15 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 41 16WC 05801 CARRENO, MARIA D COVIDIEN 01/15/15 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 42 16WC 06159 BOUCHAREUNE, SOUVAHN DIRECT DIMENSION INC 10/21/15 TARADASH LAW OFFICE GANAN & SHAPIRO 43 16WC 06372 COSTAN, SUSAN A COMMUNITY HIGH SCHOOL DIS 02/03/16 LOCASCIO, MARK A LTD GOLDBERG SEGALLA LLC 44 16WC 09559 MANCHESTER, THOMAS S CITY OF HARVARD 08/11/14 MADSEN SUGDEN & GOTTEMOLLE RUSIN & MACIOROWSKI LTD 45 16WC 11879 FINNEGAN, DANIEL P SIEMENS INDUSTRY, INC 02/02/16 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 46 16WC 13046 LAMBERT, HEIDI ELGILOY SPECIALTY METALS 09/13/15 ELFENBAUM EVERS ZIELINSKA POWER & CRONIN LTD 47 16WC 14221 AVILES, MARIO HT LUMBER & CRATES 05/04/15 COSTA IVONE LLC 48 16WC 17008 MORALES, GLORIA NOVATION INDUSTRIES 09/02/15 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 49 16WC 19169 CHARO, ROBERT WEBER STEPHENS 03/24/16 NEWLAND & NEWLAND LAW OFFICES JOSEPH MARCINIAK

Page 4: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 16WC 21848 BRITO, JACQUELINE THREE OAKS ASSISTED LIVIN 05/03/16 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 51 16WC 22195 AMICK, PAULA MCHENRY COMMUNITY CONS 12/18/15 HANNIGAN & BOTHA, LTD 16WC022196 -C 52 16WC 24564 TORRES, JOSE ZARATE SERV-ALL 06/06/16 HANNIGAN & BOTHA, LTD GANAN & SHAPIRO 53 16WC 27882 AVILLA, JOSE LUIS ERICK AVILLA & LUIS AVILA 01/20/16 BAUM RUFFOLO & MARZAL LTD BRADY CONNOLLY & MASUDA PC 54 16WC 28639 RAMIREZ, BERTHA INDUCTION HEAT TREATING 03/15/16 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 18WC013888 -C 55 16WC 28686 QUICK, PATRICK ELGILOY SPECIALTY METALS 04/07/16 BLACK & JONES POWER & CRONIN LTD 16WC028687 -C 56 16WC 30025 LORUSSO, NICK ELECTRONIC FOR IMAGING 10/27/15 COLLISON LAW OFFICES GOLDBERG SEGALLA LLC 57 16WC 33003 PENA, MARY C TRUE VALUE 09/21/16 FRANKS, GERKIN & MCKENNA P ASA LAW GROUP 58 16WC 34494 HUDSON, JESSICA CRYSTAL LAKE SCHOOL DIST 10/20/16 GOLDBERG WEISMAN & CAIRO L 59 16WC 35060 HARRIS, WENDY D FRESENIOUS KIDNEY CARE 10/25/16 FIGLIOLI, DAVID 60 16WC 38205 DOMINQUEZ, BALVINA WEBER-STEPHEN PRODUCTS LL 05/06/16 WHITESIDE & GOLDBERG LTD JOSEPH MARCINIAK 16WC038206 -C 61 16WC 38361 COLLINS, CHRISTOPHER NILCO INC 06/29/16 FRANKS, GERKIN & MCKENNA P GILDEA, COGHLAN & REGAN LTD. 62 17WC 00921 NEUKIRCH, ARMINDA ILLINOIS DEP OF REHABILIT @ 06/27/16 HANNIGAN & BOTHA, LTD HELEN LOZANO 63 17WC 05633 MILLER, WILLIAM IL DEPT OF TRANSPORTATION 09/07/16 GOLDBERG WEISMAN & CAIRO L HELEN LOZANO 64 17WC 05751 MARTINEZ, REYNALDA KRAFT HEINZ CO 12/14/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM GRA 17WC005752 -C 65 17WC 06677 ELGANZOURI, MERVAT ARAMARK FOOD SERVICES 09/26/16 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 66 17WC 08093 KRUSE, HERBERT WOODSTOCK HIGH SCHOOL 01/23/15 MC HARGUE & JONES POWER & CRONIN LTD

Page 5: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 17WC 08419 STRATMAN, PAIGE KOUNTRY PET RESORT 12/12/16 68 17WC 10523 ROTH, KATHLEEN CARY POLICE DEPT 01/17/17 HEALY SCANLON LAW FIRM 69 17WC 10630 SANCHEZ, JULIA ALPHA SWISS INDUSTRIES 01/26/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 70 17WC 11417 RAMOS, MARIA MEDTRONIC 06/15/16 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY R MEIJER 02/13/17 RUBIN LAW GROUP KNELL & O'CONNOR 19WC007596 -C 73 17WC 16146 ROMITO, DARRIN PROFESSIONAL INSPECTION 09/15/16 E JAMES RAYMOND JOSEPH MARCINIAK 18WC021311 -C 74 17WC 16707 MORALES, GLORIA NAVATION INDUSTRIES 05/05/17 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 75 17WC 16987 DUCY, SADRAQUE HYDRAULIC SERVICES INC 07/06/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 76 17WC 18176 WALQUIST, KATHIE BUFFALO WILD WINGS 01/24/17 MARSZALEK AND MARSZALEK LAW OFFICES JOSEPH MARCINIAK 77 17WC 19965 HERNANDEZ, MARIO MIDWEST DRYWALL & ACOUSTI 04/13/17 HART & DAVID LLP POWER & CRONIN LTD 78 17WC 20055 RODRIGUEZ, YESENIA COMMUNITY SCHOOL DIST 155 02/02/17 BOTTO GILBERT NYHAN BAMBRICK KINZIE & LOWR 79 17WC 20369 AGUIRRE, IRMA APTAR CARY 10/19/16 JOHN S. ELIASIK HENNESSY & ROACH PC 80 17WC 21701 KAUFMANN, MICHAEL R MKD ELECTRIC CO 05/22/17 GIACOBBE, THOMAS M 81 17WC 22975 RICHARDSON-WEIBERG, PATTI HUNTLEY SCHOOL DISTRICT # 01/10/17 MADSEN SUGDEN & GOTTEMOLLE NYHAN BAMBRICK KINZIE & LOWR 82 17WC 23827 FICHTER, ANGELO ACCURATE PERSONNEL SERVIC 06/12/17 83 17WC 24708 ANGELES, LOURDES TRU-CUT, INC 02/06/17 FRANKS & RECKENBERG JOSEPH MARCINIAK 84 17WC 25348 PEREZ, ROSALINDA CRYSTAL LAKE SCHOOL DIST 07/05/17 SOSTRIN AND SOSTRIN PC

Page 6: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 17WC 26103 WEBB, MICHAEL CONSERV FS INC 09/19/14 WIEDNER & MCAULIFFE LTD 86 17WC 26393 NOTEALEO, SAYSAMONE DIRECT DIMENSION, INC 03/31/17 ANKIN LAW OFFICE GANAN & SHAPIRO 87 17WC 30190 MORRIS, KIMBERLY A COMMUNITY HIGH SCHOOL DIS 09/18/17 CRONIN & PETERS 88 17WC 30807 KEITH, LINDA CENTEGRA HEALTH SYSTEM 03/04/17 CORBOY & DEMETRIO PC RUSIN & MACIOROWSKI LTD 19WC018189 -C 89 17WC 31154 SCACCIA, TONYA GOODWILL INDUSTRIES NORTH 06/07/17 ANKIN LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 90 17WC 31541 MOLENDA, LAWRENCE A WALMART 07/31/17 DAVID SZCZECIN & ASSOC QUINTAIROS PRIETO WOOD & BOY 91 17WC 32483 VOCKA, HEATHER STATE OF ILLINOIS/ COURT 04/17/17 GUMMERSON & RAUSCH LLC ASSISTANT ATTORNEY GENERAL 92 17WC 33206 ALDAMA, ALEXIS 721 COUNTRY CLUB ROAD 10/12/17 BOTTO GILBERT GANAN & SHAPIRO 93 17WC 33251 MCNINCH, PATRICK V USF HOLLAND, INC 08/01/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 94 17WC 33397 OLSON, SANDRA LIFETIME FITNESS 02/28/15 SHANNON LAW GROUP RUSIN & MACIOROWSKI LTD 95 17WC 34721 CONRAD, NICHOLAS J SHERMAN MECHANICAL INC 07/26/17 WIEDNER & MCAULIFFE LTD 96 17WC 34873 JACOS, KURT KWIK SERV PLUMBING &HVAC 10/04/17 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 97 17WC 35976 POTOCZKY, JOHN R WOODSTOCK FIRE RESCUE 09/28/17 THOMAS W DUDA 98 18WC 00036 ROTHUNDE, PATRICIA ADVOCATE HOME HEALTH 01/07/15 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 18WC000037 -C 18WC000038 -C 99 18WC 00322 WIGGINS, RICHARD A FRITZ L LARSEN, INDIV AND 11/16/15 LINN, CAMPE & RIZZO LTD 100 18WC 00561 CARBAJAL, MARIA MEDELA, INC 04/27/16 WAGGONER LAW FIRM PC RUSIN & MACIOROWSKI LTD

Page 7: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 18WC 00624 SAMANO, ELIDA CLAUSSEN PICKLE COMPANY 12/04/17 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 102 18WC 01205 RAFFAELE, SU CHONG UNICARRIERS AMERICA CORP 07/19/17 LULAY LAW OFFICES EVANS & DIXON 20WC002016 -C 20WC002017 -C 103 18WC 01638 ROBERSON, TAMARA M DOLLAR GENERAL 08/16/17 HANNIGAN & BOTHA, LTD LEAHY EISENBERG & FRAENKEL 104 18WC 03995 BERNAL, MANUEL OMNI PRODUCTS INC 06/08/17 PORRO NIERMANN LAW GROUP 105 18WC 05014 CRESPO, JASON RELIABLE STAFFING 01/25/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 106 18WC 05640 RUNGE, MARCUS TRUE VALUE COMPANY 06/09/15 GOLDBERG WEISMAN & CAIRO L SPIEGEL & CAHILL, PC 107 18WC 06324 HERNANDEZ, KATIA INDUCTION HEAT TREATING 01/27/17 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 108 18WC 07452 ELMS, JOAN KOHL'S 09/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 109 18WC 07752 SOBIERALSKI, DARIUSZ COTTER CONSTRUCTION CO IN 12/12/17 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 110 18WC 08478 NELSON, GENE DUNDEE TOWNSHIP PARK DIST 10/03/17 CUDA LAW OFFICES HENNESSY & ROACH PC 18WC008479 -C 18WC008480 -C 18WC008481 -C 111 18WC 08703 KALUPSKI, NATALIE ANIMAL HOSPITL OF SPRING 05/31/17 MC HARGUE & JONES 112 18WC 09144 HANSEN, DENISE ALEXANDER LEIGH CENTER 11/29/16 KATZ FRIEDMAN EAGLE ET AL 113 18WC 09593 SCHALK, MICHAEL CMS @ 01/07/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 114 18WC 10567 WIRTH, DEAN JEWEL FOOD STORES, INC 01/23/18 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 18WC010568 -C 115 18WC 10727 ARELLANO, HERIVERTO J ROMERO ARELLANOS LANDSC 08/14/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 116 18WC 11371 BEU, CHRISTINE CASEY'S GENERAL STORE 12/15/17 ARIANO HARDY NYULI JOHHSON

Page 8: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 18WC 12043 JUSTES, NICOLE SHERMAN PERSONAL CARE INC 03/18/18 DOUGLAS RALLO PC 118 18WC 12944 SILLIN, ANGELA KOHLS 04/11/17 KEVIN P. JUSTEN PC HENNESSY & ROACH PC 119 18WC 13234 FELIX, JOSE CRYSTAL LAKE CHRYSLER 01/16/17 SANDMAN LEVY & PETRICH NOBLE & ASSOC 120 18WC 13457 HERNANDEZ, PEDRO CARDINAL HEALTH 09/17/17 ROSS TYRRELL HENNESSY & ROACH PC 121 18WC 13714 PERALTA, EDGAR EDEN PROJECT, INC & GAMAL 07/02/16 EPSTEIN, JACK R LAW OFFICE 122 18WC 14163 LAGRO, CHRISTOPHER LTL BUILDING MAINTENANCE 04/05/18 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 123 18WC 14922 BRADY, CRYSTAL THOMSON LINEAR 07/17/17 BLACK & JONES GILDEA & COGHLAN 124 18WC 15082 OLSON, KEVIN D CHARTER MANUFCTRING CO DB 04/03/17 TUITE LAW RUSIN & MACIOROWSKI LTD 125 18WC 15381 BRYAN, ALEXANDER STEAK N SHAKE 04/14/18 KLAUKE LAW GROUP LLC 126 18WC 15920 DUNSETH, LAWRENCE W STRUCTURAL DYNAMICS, INC 04/25/18 TUITE LAW RUSIN & MACIOROWSKI LTD 127 18WC 16588 COTTONE, LAWRENCE MENARDS 05/03/18 MARTIN V KUGIA 128 18WC 17322 TAYLOR, MARILYN GREENLEE TEXTRON 12/16/16 BLACK & JONES GAROFALO SCHREIBER STORM GRA 18WC017323 -C 18WC017324 -C 129 18WC 18518 LENTZ, LAURA DOLLAR GENERAL 12/24/17 BLACK & JONES LEAHY EISENBERG & FRAENKEL 18WC018519 -C 130 18WC 18954 LOPEZ AGUILERA, MARIA KRAFT HEINZ FOODS CO 12/15/17 COSTA IVONE LLC GAROFALO SCHREIBER STORM GRA 131 18WC 20322 TERAN, ANDRES ELITE STAFFING 06/09/18 JOHN S. ELIASIK 132 18WC 20844 FINKELMAN, MARK TRITON PLUMBING LLC 07/02/18 GRAUER & KRIEGEL LLC STONE & JOHNSON CHARTERED 133 18WC 21272 MORA, ROSA EMPLOYER SOLUTIONS STAFFI 06/27/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD

Page 9: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 18WC 21862 MULASMAJIC, HAJRUDIN UNICARRIERS AMERICAS CORP 04/18/18 REESE & REESE EVANS & DIXON 135 18WC 22656 LASKOWSKI, NICOLE MCHENRY COUNTY 12/07/17 STRELLIS & FIELD CTD NYHAN BAMBRICK KINZIE & LOWR 136 18WC 22748 KRAJCI, JESSE WALMART 05/09/18 KEVIN P. JUSTEN PC QUINTAIROS PRIETO WOOD & BOY 137 18WC 22923 CASTANEDA, DANIEL JAN-AIR, INC 12/19/17 BOTTO GILBERT ANCEL GLINK DIAMOND BUSH & E 138 18WC 22987 MAXWELL, CARRIE CENTEGRA HEALTH SYSTEM 05/01/18 OWENS & LAUGHLIN LLC RUSIN & MACIOROWSKI LTD 139 18WC 23658 SPRINGER, ANTHONY EXCEED FLOOR AND HOME 07/16/18 TARADASH LAW OFFICE RUSIN & MACIOROWSKI LTD 140 18WC 23946 BARAN TKACS, MARY C TRAVELCENTERS OF AMERICA, 06/27/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 141 18WC 25363 SALAS, FELIX A&M INTERMODAL W 11/25/16 CHEPOV & SCOTT LLC SCOPELITIS GARVIN LIGHT 142 18WC 25938 CRUZ, MARIA FIRST SERVICE RESIDENTIAL 08/31/15 COSTA IVONE LLC KELLEY KRONENBERG 143 18WC 26022 SOPHER, FAITH L AUTONAMIC CORPORATION 07/25/18 GILDEA, COGHLAN & REGAN LTD. 144 18WC 26406 STULL, ROBERT FIRST TRANSIT 08/13/18 BALKE & WILLIAMS WIEDNER & MCAULIFFE LTD 145 18WC 26518 VASQUEZ, ADAN WERNER MANUFACTURING SERV 04/04/18 FRANKS, GERKIN & MCKENNA P 146 18WC 27200 REYNOLDS, JAMIE HUNTSMAN 10/12/16 HANNIGAN & BOTHA, LTD RUSIN & MACIOROWSKI LTD 19WC017152 -C 147 18WC 27777 RIVERA, ORLANDO ACCURATE PERSONNEL, LLC 03/17/18 CULLEN HASKINS NICHOLSON JOHN T GONNELLA 148 18WC 28193 VASU, VASILE P SUNSET LOGISTICS, LLC 05/07/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 149 18WC 28481 MERSHON, RODNEY CONSERV FS 06/18/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 150 18WC 29056 PEREZ, CARLOS J VEGA NAY CONSTRUCTION 08/27/18 FRANKS, GERKIN & MCKENNA P 151 18WC 29283 ALVARES, VERONICA LEICA BIOSYSTEMS 05/10/18 CUDA LAW OFFICES GILDEA, COGHLAN & REGAN LTD.

Page 10: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 18WC 29424 SALETTA, MICHAEL AMERICAN CALIBRATION 09/19/18 ROMANEK & ROMANEK RUSIN & MACIOROWSKI LTD 153 18WC 29537 MOORE, THOMAS MC HENRY COUNTY GLASS 01/19/16 DUDLEY & LAKE LLC JOSEPH MARCINIAK 154 18WC 29613 LADWIG, PATRICIA SURESTAFF 07/01/18 BLACK & JONES LOUIS MUNDY 155 18WC 29795 ROGERS, WILLIAMS A TOUCH OF CLASS LIMOUSIN 09/10/18 DEPAOLO & ZADEIKIS 156 18WC 29956 SAHLIN, SAVANNAH R PETSMART, INC 12/27/16 NO ATTORNEY WIEDNER & MCAULIFFE LTD 157 18WC 30202 ZARECKY, IDATYNA TOMS KING 06/12/18 DAVID W MARTAY 158 18WC 30509 GARCIA-REYES RICARDO E-BRO INC 09/28/18 JONATHAN SCHLACK GAROFALO SCHREIBER STORM GRA 159 18WC 31049 REIN, CHARLES BLAKELY ENTERPRISES, INC 10/10/16 VOGG, MARK J LAW OFFICE BRADY CONNOLLY & MASUDA PC 160 18WC 31358 REYES, RICARDO GARCIA E-BRO, INC 09/28/18 BLUMENSHINE LAW GROUP GAROFALO SCHREIBER STORM GRA 161 18WC 31522 GOW, CORTLAND RUSH TRUCK CENTER 06/05/18 GESMER & REYNOLDS PC HENNESSY & ROACH PC 162 18WC 31933 BLAU, JAMES JOHN CRANE, INC 08/12/18 TARADASH LAW OFFICE GAROFALO SCHREIBER STORM GRA 163 18WC 32287 FIGURSKI, RONALD R HUNTSMAN POLYURETHANES 10/02/18 CRONIN PETERS & COOK RUSIN & MACIOROWSKI LTD 164 18WC 32443 DIMAS-LOPEZ, LUIS WOOLF DISTRIBUTING CO, IN 10/03/18 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 165 18WC 32586 KIRCHNER, SANDRA MCHENRY COUNTY VALLEY 09/26/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 166 18WC 32748 BERNDT, JENNIFER EAGLE TRAINING SERVICES 08/10/18 TARADASH LAW OFFICE GAROFALO SCHREIBER STORM GRA 167 18WC 34474 HERNANDEZ, NICHOLAS ROMEO CONSTRUCTION LLC 10/27/18 MANUAL CARDENAS & ASSOC 168 18WC 34590 QUINTANA, JOSE HUERTA BROTHERS INC 09/15/18 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 169 18WC 34939 GONZALEZ, VALENTINA MORAL CALCO PALLET COMPANY 05/14/18 SALVATO O'TOOLE FROYLAN

Page 11: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 18WC 35359 CABRERA, KELIN D. C. COBB'S 09/06/18 BOTTO GILBERT 171 18WC 35445 MORALES, ANAY ARAMARK CAMPUS LLC 11/09/18 STEVEN B SALK & ASSOC LTD STONE & JOHNSON CHARTERED 172 18WC 35595 WAGNER, MARY P HEARTHSTONE COMMUNITIES 09/21/18 FRANKS & RECKENBERG GALLIANI DOELL & COZZI LTD 173 18WC 35835 ELOISA, DIOCELINA CARDINAL HEALTH 05/22/18 COSTA IVONE LLC HENNESSY & ROACH PC 174 18WC 35968 GARCIA-ROMERO, ANDRES MERRIHILL FARM INC 06/12/18 BOTTO GILBERT FRANKS, GERKIN & MCKENNA PC 175 18WC 36364 KENIK, DAVID M HUNTLEY FIRE PROTECTION D 09/05/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 176 18WC 36929 KASPER, THOMAS JEWEL 09/19/18 ALLEN, WILLIAM LAW OFFICES 177 18WC 37632 MOST, COREY MEGA PROS 11/29/18 FRANKS & RECKENBERG NYHAN BAMBRICK KINZIE & LOWR 178 18WC 37727 PASCOAL, DENISE DCFS @ 10/23/18 DUDLEY & LAKE LLC ASSISTANT ATTORNEY GENERAL 179 18WC 37858 NEPRAS, JOSEPH A AMS STORE & SHRED LLC 07/03/17 CASSANO & ASSOCIATES 180 18WC 37994 VIOLA, CHRISTINE ITW MEDICAL 08/27/18 MARTIN V KUGIA HENNESSY & ROACH PC 18WC037995 -C 181 18WC 38181 VILLANUEVA, LUIS WEBER-STEPHEN PRODUCTS LL 11/13/18 STANCZAK LAW OFFICES JOSEPH MARCINIAK 182 19WC 00085 JONAS, LINDA KOHL'S DEPARTMENT STORE 12/12/18 MICHAEL HELLMAN HENNESSY & ROACH PC 183 19WC 00255 BAVUSO, VINCENT FOX POINT 12/01/17 KEVIN P. JUSTEN PC ACCIDENT FUND HOLDINGS 184 19WC 00327 MALDONADO, ANDREA ADVANCED FLEXIBLE COMPOSI 07/31/18 BOTTO GILBERT JOSEPH MARCINIAK 185 19WC 00672 STACKNIK, RON V. SENG TEAMING COMPANY 12/28/18 STROM & ASSOC INMAN & FITZGIBBONS

Page 12: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 19WC 01197 RAMIREZ, MARIA BERRY GLOBAL CONSUMER PAC 07/17/18 BOTTO GILBERT HENNESSY & ROACH PC 187 19WC 01715 JOINER, DALE W RYDER INTEGRATED LOGISTIC 01/30/17 FRANKS, GERKIN & MCKENNA P 19WC003555 -C 188 19WC 02672 TORRES, RAMONA PEDIGREE OVENS, INC 11/21/17 CLARK & MCARDLE 189 19WC 03163 THOMPSON, ANTHONY KNAACK, LLC 08/10/17 TARADASH LAW OFFICE HOLECEK & ASSOCIATES 190 19WC 03462 GOROSTIETA, FABIOLA ROEHR WALMART 08/06/16 SOSTRIN AND SOSTRIN PC 191 19WC 03658 STOCKER, ERIC BRANDON KD3 DECORATIVE ARTS LTD 01/20/18 WIEDNER & MCAULIFFE LTD 192 19WC 03927 SCHWEITZER, MICHAEL DART EXPRESS 08/01/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 193 19WC 04222 GRON, HEIDI FAMILY ROOTS DENTISTRY 02/05/19 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 194 19WC 05615 MATWIJ, JERRY NEW ALBERTSON'S, INC 02/15/19 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 195 19WC 06271 GUTIERREZ, HERARDO PORK KING PACKING 12/01/18 BOTTO GILBERT 196 19WC 06366 EIRING, KATHLEEN VILLAGE OF CARY, POLICE 11/06/18 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 197 19WC 06456 CLEVELAND, DONALD BMWC CONSTRUCTORS INC 01/16/19 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 198 19WC 06913 RETTIG, DAWN HALLMARK MARKETING COMPAN 02/13/19 PRIME LAW GROUP INMAN & FITZGIBBONS 199 19WC 07270 MEDINA-ORTEGA, PEDRO BRIGHTVIEW 11/14/18 THOMAS J STIBERTH LAW OFFI HENNESSY & ROACH PC 200 19WC 07555 PARKER, DONTE GET FRESH PRODUCE, INC 02/18/19 GOLDBERG WEISMAN & CAIRO L 201 19WC 07653 CASSAN, JENNIFER MC HENRY SCHOOL DISTRICT 02/20/19 HANNIGAN & BOTHA, LTD 202 19WC 08637 SMUDDE, JERALD DURANTE & RICH REAL ESTAT 03/02/19 MARKHAM M JEEP & ASSOCIATE FRANKS, GERKIN & MCKENNA PC 203 19WC 08772 SAGAT, WILLIAM INSPERITY SERVICES LP/DBA 02/26/19 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC

Page 13: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 19WC 09264 NUNEZ, MARIA G BERRY GLOBAL 02/22/19 VITELL & SPITZ LTD 205 19WC 09536 TAYLOR, JERROD MINUTEMAN INTERNATIONAL I 10/15/18 CRONIN PETERS & COOK 206 19WC 09638 HANCOCK, KATHERINE ALDI INC 01/19/19 ROBERT J. IRSUTO BRADY CONNOLLY & MASUDA PC 207 19WC 10241 SEITZ, MICHAEL JR. ASPLUNDH 02/14/19 REESE & REESE KNELL O'CONNOR DANIELWICZ 208 19WC 10444 ROBERTS, JUDY CNC LOGISTICS 01/22/19 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 209 19WC 10792 SPOERRY, GARY VILLAGE OF LAKEMOOR PD 07/18/18 GUMMERSON & RAUSCH LLC POWER & CRONIN LTD 210 19WC 10986 PAYNE, SERENA CHICAGO MOTOR COACH 04/05/19 POLANSKY & CICHON CHTD 211 19WC 11219 PETTITI, JESSICA I LOVE KICKBOXING 03/20/19 ROSS TYRRELL 212 19WC 11274 HAYES, STEVEN GLASS AMERICA 11/29/18 GORDON LAW OFFICES LTD 213 19WC 11595 HERNANDEZ, OFELIA MODERN ABRASIVE CORP 02/20/19 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 214 19WC 11685 KUKOVEC, MORGAN, A MINOR T-RICKS, LTD D/B/A 11/30/18 FOOTE MIELKE CHAVEZ O'NEIL 215 19WC 11788 SCHNEIDERMAN, KEITH M HANSON MATERIAL SERVICE 03/12/18 COMPTON LAW GROUP EVANS & DIXON 216 19WC 12181 NEUHAUS, LISA PIONEER CENTER 06/19/17 TARADASH LAW OFFICE 217 19WC 12311 BARRADAS, FELIPE M SUPPER CLUB LLC 02/19/19 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 218 19WC 12349 ORANGER, DIANE CENTEGRA HOSPITAL 06/23/18 FRANKS, GERKIN & MCKENNA P RUSIN & MACIOROWSKI LTD 219 19WC 12669 RENTIN, BRADLEY NEW CONCEPTS DEVELOPMENT 01/29/19 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 220 19WC 12806 JIMINEZ, LEONCIO TRUE VALUE 10/26/18 BOTTO GILBERT ASA LAW GROUP 221 19WC 12883 HEUER, AMY OLIVE GARDEN 11/16/17 ROMANEK & ROMANEK

Page 14: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 19WC 13197 TURNER, MELISSA NEW ALBERTSON'S D/B/A 06/17/18 TARADASH LAW OFFICE 223 19WC 13680 NEVAREZ, MARIA PIONEER CENTER FOR HUMAN 01/29/19 MC HARGUE & JONES 224 19WC 13777 MORALES, ANA NORTHWESTERN MEDICINE 02/12/19 GERALD CONNOR 225 19WC 13890 SCHROEDER, BECKY M DEAN FOODS 03/11/19 GALLAGHER, DONALD V ORENSTEIN & ASSOCIATES 226 19WC 14032 PERINA, SUZANNE MEIJER 04/15/19 HANNIGAN & BOTHA, LTD KOPKA, PINKUS DOLIN, PC 227 19WC 14440 GRAY, DOUGLAS MANUWEST INC 03/22/19 TARADASH LAW OFFICE 228 19WC 14850 ALEXANDER, ARTHUR L RYAN, INC. CENTRAL 07/17/18 LINN, CAMPE & RIZZO LTD CHILTON YAMBERT PORTER LLP 229 19WC 14939 COOK, RANDALL FASTENAL COMPANY 03/21/18 FRANKS, GERKIN & MCKENNA P 230 19WC 15207 GORDON, PHILLIP AKI LOGISTIC INC. DBA 09/05/17 LUSAK AND COBB 231 19WC 15230 PAGAZA, TERESA MVP WORKFORCE LLC 11/20/18 CULLEN HASKINS NICHOLSON 232 19WC 15431 MARTINEZ, ANDY SUNRUN INC 02/01/19 ANKIN LAW OFFICE ADELSON TESTAN BRUNDO 233 19WC 15538 REHER, JUSTIN JAMES & JEREMIAH WIKMAN D 11/17/18 FRANKS, GERKIN & MCKENNA P 234 19WC 15806 BLACKBURN, ANTHONY FEDEX EXPRESS 02/08/19 MARTIN V KUGIA 235 19WC 16430 TIETZ (TRACY), LISA CITY OF CRYSTAL LAKE 07/01/16 CULLEN HASKINS NICHOLSON 236 19WC 16725 LARSEN, PAMELA CAPRON MANUFACTURING CO 04/22/19 CULLEN HASKINS NICHOLSON 237 19WC 16850 PRUDEN-STAPLETON, GRAYSON PARTY CITY CORP. 11/11/16 SALVATO O'TOOLE FROYLAN HOLECEK & ASSOCIATES 238 19WC 17024 HINES, DAVON HINES COMPONENTS 05/08/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 239 19WC 17156 ROSE, KEVIN PLASPROS, INC 06/11/19 DAVID W MARTAY

Page 15: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 19WC 17313 SORIANO, VERONICA AMS STORE AND SHRED LLC 06/06/19 BOTTO GILBERT 241 19WC 17337 GEHRKE, DANIEL TC INDUSTRIES, INC 04/02/19 HANNIGAN & BOTHA, LTD 242 19WC 17543 SALAS, JOSE VICTORINO CRYSTAL LAKE ELEMENTARY 01/29/19 CHEPOV & SCOTT LLC 243 19WC 17710 RIVERA, LORYN CAPRON MANUFACTURING CO 06/04/19 DWORKIN AND MACIARIELLO 244 19WC 17866 JAVIER, ALFREDO IVAN DRAKE SPECIALIZED SERVICE 04/22/19 KATZ FRIEDMAN EAGLE ET AL 245 19WC 18452 SIRTORI, JUAN CARLOS CARY POLICE DEPARTMENT 02/06/17 VASILATOS & COTTER LLC 246 19WC 18597 RUIZ-MAGANA, BALTASAR ABP REMODELING, INC 11/07/18 MENDOZA LAW PC ION LAW LLC 247 19WC 18730 KROLL, PHILLIP CATALENT PHARMA SOLUTIONS 09/14/16 MC HARGUE & JONES LITCHFIELD CAVO 248 19WC 18864 HEFFERNAN, BRIAN MERIT CONTRACTORS 02/22/19 MEYERS & FLOWERS HENNESSY & ROACH PC 249 19WC 18906 MARQUEZ, EMILIO ARNOLD MAGNETIC TECHNOLOG 08/15/18 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 250 19WC 19277 ARNOLD, BRIAN ILLINOIS DEPT OF HUMAN SE @ 06/25/19 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 251 19WC 19537 PALBICKE, ANTHONY THE HOME DEPOT 05/26/19 RONALDSON & KUCHLER ADELSON TESTAN BRUNDO 252 19WC 19648 LORENZ, KATELYN CITY OF MCHENRY 05/28/19 VOGG, MARK J LAW OFFICE 253 19WC 19868 ENSASTEGUI, RAYMUNDO PORK KING PACKING INC 06/28/19 EPSTEIN, JACK R LAW OFFICE 254 19WC 20476 RIVERA-DELGADO, LETICIA POLYONE CORP 03/29/19 MARKHAM M JEEP & ASSOCIATE KNELL O'CONNOR DANIELWICZ 255 19WC 20644 NANNA, KATIE DUNDEE TOWNSHIP PARK DIST 06/05/18 BRIAN M LAUGHLIN PC 256 19WC 20797 USCATEGUI, MARIA IL DEPT OF PUBLIC HEALTH 06/10/19 CRONIN PETERS & COOK ASSISTANT ATTORNEY GENERAL 257 19WC 20962 SANCHEZ, RIGOBERTO KENMODE TOOL & ENGINEERIN 11/27/17 COVEN LAW GROUP CAPUANI, FRANK S

Page 16: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 19WC 21116 LUZZI, JAMES GREAT LAKES CARING 07/09/19 LEONARD LAW GROUP LLC 259 19WC 21368 RODRIGUEZ, MARIA H WEBER-STEPHEN PRODUCTS LL 06/25/19 EPSTEIN, JACK R LAW OFFICE 260 19WC 21709 HOLDER, CRAIG CHICAGO CONSUMABLES 03/15/18 STEVEN J MALMAN & ASSOCIAT GANAN & SHAPIRO 261 19WC 21971 FLAHERTY, PATRICK PINE LANDSCAPING 11/06/18 DEPAOLO & ZADEIKIS RUSIN & MACIOROWSKI LTD 262 19WC 22114 ZARATE, EDGAR MIDWEST ARBOR CORPORATION 04/09/19 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 263 19WC 22530 BENDER, SHARI BLACKHAWK RESTAURANT/ 03/08/19 MARTIN V KUGIA 264 19WC 22659 KUPREISIS, EDWARD C CHARLES HERDRICH & SON, I 07/28/17 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES 265 19WC 22693 DELGADO, ALICIA NORTHWEST PROPERTY & 07/26/19 DANIEL E MURPHY RUSIN & MACIOROWSKI LTD 266 19WC 22958 GONI-FLORES, OSCAR POLI FILM AMERICA, INC 06/18/19 MICHAEL HELLMAN 267 19WC 23340 ELLINGER, KENNETH M CITY OF CRYSTAL LAKE POLI 05/23/19 BOTTO GILBERT RUSIN & MACIOROWSKI LTD 268 19WC 23391 ANGELES, LEONEL DUREX INDUSTRIES 06/25/19 COSTA IVONE LLC HENNESSY & ROACH PC 269 19WC 23835 ROSE, JEFFREY LOWE EXCAVATING CO, INC 07/29/19 FRANKS, GERKIN & MCKENNA P 270 19WC 24294 KRUZEL, CANDACE ALDI-MCHENRY 08/04/19 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 271 19WC 24562 SLABY, JOHN ANTIOCH AUTOMOTIVE 01/09/19 GWC INJURY LAWYERS LLC EVANS & DIXON 272 19WC 24648 ARROYO, SERGIO PEOPLELINK, LLC 05/25/19 TARADASH LAW OFFICE WOLF & LAUDICINA LTD 273 19WC 24755 FRIEL, ROBERT P CRYSTAL LAKE SCHOOL DISTR 05/23/19 DOUGLAS RALLO PC NYHAN BAMBRICK KINZIE & LOWR 274 19WC 25040 DUMELLE, JEFF DESHAZO CRANE COMPANY 07/17/19 COYNE REINKE LAW EDWARD J. KOZEL 275 19WC 25174 BRICKLER, LISA MERCY HEALTH SYSTEM 11/29/18 STROM & ASSOC

Page 17: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 19WC 25309 PORTILLO, LUIS AEROTEK 08/16/19 GWC INJURY LAWYERS LLC 277 19WC 25548 CASKEY, PATRICK STATE OF ILLINOIS @ 07/26/19 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 278 19WC 25639 WARMBOLD, PAMELA RED LOBSTER 08/02/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 279 19WC 25706 BIONDA, COLIN THE HOME DEPOT 07/01/19 SCOTT BARBER ADELSON TESTAN BRUNDO 280 19WC 25997 HERRMANN, BONNIE NRTHWSTRN MEDCINE MC HENR 06/09/19 HANNIGAN & BOTHA, LTD 281 19WC 26148 CORTEZ, MARTIN DUNNET BAY CONSTRUCTION 08/01/19 BARRICK SWITZER LONG WIEDNER & MCAULIFFE LTD 282 19WC 26176 HALL SR, LUKE E HINES BUILDING SUPPLY 09/12/16 TURNER & SACKETT LLC 283 19WC 26474 SKIBA, BERNADETA E DAVITA, INC 08/26/19 CHEPOV & SCOTT LLC 284 19WC 26567 GARRIDO, GONZALO NORTHWEST CMMUNTY HOSP HU 01/19/19 JOHN S. ELIASIK 285 19WC 26787 RAWLINSON, DESIRAE S FEDEX EXPRESS 05/21/19 NILSON STOOKAL GLEASON CAP 286 19WC 27047 SERNA, ALISIA MODERN ABRASIVE CORPORATI 07/12/19 BOTTO GILBERT HENNESSY & ROACH PC 287 19WC 27347 ZIMMERMAN, GARTH MCDERMAID ROOFING & 08/13/19 GESMER & REYNOLDS PC EDWARD J. KOZEL 288 19WC 27567 AYALA, BLANCA CUSTOM PAK 08/21/18 ROSARIO CIBELLA 289 19WC 27844 SAGE, KIMBERLI MENARDS 03/06/19 GWC INJURY LAWYERS LLC 290 19WC 28261 MUNOZ, ELENA KRAFT HEINZ 04/26/19 JOSEPH J LOSS PC GAROFALO SCHREIBER STORM GRA 291 19WC 28339 FOREMAN, LEORA MCHENRY TOWNSHIP F.P.D. 11/10/16 RUSIN & MACIOROWSKI LTD 292 19WC 28408 LYNN, MICHAEL WONDER LAKE FIRE 06/10/19 POWER & CRONIN LTD 293 19WC 28422 MILLER, JOHN COUNTY OF MCHENRY 09/09/17 MCHENRY COUNTY

Page 18: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 19WC 28537 VARA, BERNALDINO TROUT VALLEY ASSOCIATION 01/15/19 CULLEN HASKINS NICHOLSON 295 19WC 28578 WINFIELD, LYNN JEWEL FOOD STORE 04/16/19 BLACK & JONES EVANS & DIXON 296 19WC 28821 JOHNSON, JACQUE UPS 09/30/19 LEONARD LAW GROUP LLC ASA LAW GROUP 297 19WC 28974 LADD, CHRISTOPHER COSTCO WHOLESALE 01/14/19 GANAN & SHAPIRO 298 19WC 29123 COZZI, JOSEPH BATTALION FIRE SAFETY 03/08/19 CHARLES A FANUCCHI 299 19WC 29299 HOFF, MICHAEL DOLLAR GENERAL 10/18/17 TARADASH LAW OFFICE LEAHY EISENBERG & FRAENKEL 300 19WC 29396 WOLF, ROY GREENLEE DBA EMERSON 09/24/19 GWC INJURY LAWYERS LLC BRADY CONNOLLY & MASUDA PC 301 19WC 29633 BURG, ROBERT CASEY'S GENERAL STORES, I 09/23/18 TARADASH LAW OFFICE 302 19WC 29848 GILLESPIE, BECKY DOLLAR GENERAL 10/07/17 COMPTON LAW GROUP LEAHY EISENBERG & FRAENKEL 303 19WC 30197 COSTA, JOHN FASTENAL COMPANY 05/15/18 HOLECEK & ASSOCIATES 304 19WC 30323 TOMASELLI, JEFFREY S HINES LUMBAR SUPPLY 10/12/18 HORWITZ HORWITZ & ASSOC 305 19WC 30542 KAPING, JOLENE SHELTERED VILLAGE 01/21/19 PRIME LAW GROUP HENNESSY & ROACH PC 306 19WC 30647 KAKANDE, LUZZI EXPRESS EMPLOYMENT 08/14/19 STEVEN J TENZER, LTD MC ANDREWS & NORGLE LLC 307 19WC 31130 SUZZI, MICHAEL J HOME DEPOT 08/27/15 FRANKS & RECHENBERG MC ANDREWS & NORGLE LLC 308 19WC 31146 GONZALEZ, MARGARITA N THRIVE 02/26/19 BOTTO GILBERT HOLECEK & ASSOCIATES 19WC031147 -C NTHRIVE 309 19WC 31365 WINKLER, RAVEN (ON BEHALF QUALITY SERVICE AND REPAI # 10/07/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 310 19WC 32086 RAMIREZ, MANUEL GREAT LAKES LANDSCAPING 04/18/18 CUSHING LAW OFFICES 311 19WC 32131 DICKENS, TRACY VILLAGE OF BULL VALLEY 10/31/16 BALKE & WILLIAMS

Page 19: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 19WC 32491 NABATANZI, ELON CRYSTAL PINES REHABILITAT 08/25/19 LEONARD LAW GROUP LLC 313 19WC 32553 BUSH, RONALD TYLER STAFFING SERVICES 10/07/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 314 19WC 32725 BROUGHER, BRIAN JL FOSTER TRUCKING, LLC 06/05/19 RIDGE & DOWNES 315 19WC 32830 PEREZ, PAULA WEBER-STEPHEN PRODUCTS LL 03/15/18 VRDOLYAK LAW GROUP LLC 316 19WC 33008 UNZUETA, JOSEFINA AFC FOOD PRODUCTS GROUP, 01/04/19 TARADASH LAW OFFICE 317 19WC 33236 CARNIE, LEONARD III FOLLETT SCHOOL SOLUTIONS 06/12/19 BALKE & WILLIAMS 318 19WC 33240 LUCENTE, MARC LOVES TRAVEL STOP 10/01/19 ANGELINI & ORI LLC 319 19WC 33970 ROBERTSON, ALEX UNICARRIERS AMERICAS CORP 06/01/19 BLACK & JONES RUSIN & MACIOROWSKI LTD 320 19WC 33994 WILCYZNSKI, RAYMOND 5366 LOGISTICS CORP 10/02/19 GOLDSTEIN BENDER & ROMANOF 321 19WC 34078 FROHLING, STEVEN CONSERV FS 06/06/19 KATZ FRIEDMAN EISENSTEIN HEYL ROYSTER VOELKER & ALLEN 322 19WC 34213 SINCOX, BRANDEN NORTHWESTERN MEDICINE 03/18/19 TARADASH LAW OFFICE 323 19WC 34351 SCHMIDT, TODD BH MANAGEMENT SRVS, LLC 11/13/18 CUSHING LAW OFFICES KEEFE CAMPBELL BIERY & ASSOC 324 19WC 34617 DAVILA, ALFONSO SCHIAVONE, MASONARY INC. 10/16/19 BOTTO GILBERT 325 19WC 34816 MICHALIK, DIANE CLARENDALE OF ALGONQUIN 01/05/18 STROM & ASSOC 326 19WC 34914 ANGILERI, JO JEWEL-OSCO 07/02/19 MC HARGUE & JONES 327 19WC 34946 MAYBERRY, KARL MENASHA PACKAGNG 10/28/19 JOSEPH L SAMUELSON PC 328 19WC 35473 TOLBERT, LEONARD CONSOLIDATED CONTAINERS, 06/03/18 TUITE LAW WIEDNER & MCAULIFFE LTD 329 19WC 35564 EVANS, KALENE WOODSTOCK FIRE RESCUE/DIS 10/18/19 ROBERT EDENS ANCEL GLINK PC

Page 20: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 19WC 35704 MOORE, KEVIN DEAN FOODS 10/16/19 HANNIGAN & BOTHA, LTD ORENSTEIN & ASSOCIATES 331 19WC 35863 BEYER, JULIE WAL-MART 12/21/17 FRANKS, GERKIN & MCKENNA P QUINTAIROS PRIETO WOOD & BOY 332 19WC 36021 MYERS, STACEY MERRIEHILL FARMS, INC 09/23/19 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 333 19WC 36125 PONTICELLI, THOMAS G JR WALMART 11/19/18 LOUIS A PLZAK & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 334 19WC 36198 ADAMS, KEVIN P SNAP-ON TOOLS 10/11/19 GALLAGHER, DONALD V GILDEA, COGHLAN & REGAN LTD. 335 19WC 36752 VALADEZ, JUAN THERMASEAL/LAKESIDE INSUL 01/21/19 ROSS TYRRELL BRYCE DOWNEY & LENKOV LLC 336 19WC 36879 GERDES, ERIC GENERAL KINEMATICS CORPOR 04/15/19 MAURICE E DUSKY PC WIEDNER & MCAULIFFE LTD 337 19WC 37156 FILICHIA, LISA NEW ALBERTSON'S D/B/A 12/08/19 TARADASH LAW OFFICE 338 20WC 00144 MCGRIFF, STEVEN JEWEL 12/31/19 DWORKIN AND MACIARIELLO 339 20WC 00406 PEASE, GREGORY M MCHENRY PUBLIC LIBRARY 12/12/19 GWC INJURY LAWYERS LLC INMAN & FITZGIBBONS 340 20WC 00515 THOMAS, ALICE TRADER JOE'S COMPANY 06/05/18 STOLLER & GARSTKI GAROFALO SCHREIBER STORM GRA 341 20WC 00803 SHAFFER, TIARRA ANIMAL HOUSE SHELTER, INC 07/04/19 TARADASH LAW OFFICE 342 20WC 01074 BROOKS, BARBARA HOME DEPOT USA, INC. 05/19/18 MARKHAM M JEEP & ASSOCIATE ADELSON TESTAN BRUNDO 343 20WC 01375 FIGUEROA, YENSY MODERN ABRASIVE 10/04/19 JOHN S. ELIASIK 344 20WC 01489 QUINTERO, BRENDA MCDONALD'S 05/27/19 JONATHAN SCHLACK 345 20WC 01565 PRUITT, JEFFREY BUCKHEAD MEAT & SEAFOODOF 11/25/19 TARADASH LAW OFFICE 346 20WC 01579 PRUITT, JEFFREY BUCKHEAD MEAT & SEAFOODOF 12/21/17 TARADASH LAW OFFICE 347 20WC 01862 ORTIZ, CRISTIAN AYALA ASTRO INSTILLATION 08/15/18 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC

Page 21: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 20WC 02030 PRUITT, JEFFREY BUCKHEAD MEAT & SEAFOOD 05/21/18 TARADASH LAW OFFICE 349 20WC 02120 JORGENSON, JAMIE JA FRATE INC 12/09/19 TARADASH LAW OFFICE 350 20WC 02198 PELKE, DANA CARY SCHOOL DISTRICT 26 02/27/19 WOLFE LAW PC 351 20WC 02580 OBISPO, EFRAIN BUCKHEAD MEAT OHIO 01/24/20 HERRERA LAW CENTER 352 20WC 02678 DUBBERKE, DONNA FED EXPRESS 09/25/19 MICHAEL HELLMAN 353 20WC 03166 CASASSA, LISA MARIANO'S/THE KROGER CO * 01/15/20 COVEN LAW GROUP 354 20WC 03293 BURROWS, ALFRED SUMMIT SOLAR * 02/01/20 DWORKIN AND MACIARIELLO 355 20WC 03635 VEGA, JULIO NIEVES WEBER STEPHEN PRODUCTS * 11/06/19 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 356 20WC 03824 DENEVE, JOSEPH SPANCRETE * 02/04/20 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 357 20WC 03978 SAVELEY, KATHERINE M ASSISI ANIMAL FOUNDATION * 01/11/20 LEAHY, JAMES P HENNESSY & ROACH PC 358 20WC 04147 MONHEIM, GREGORY A TOM PECK FORD * 12/26/19 TURNER & SACKETT LLC NYHAN BAMBRICK KINZIE & LOWR 359 20WC 04633 VOLENEC, JOHN CITY OF CRYSTAL LAKE * 07/17/19 BOWMAN & CORDAY 360 20WC 04671 MOSHER, JADE E KRAFT HEINZ FOODS CO * 09/25/17 TUITE LAW 361 20WC 05038 FERRANTE, CAROLYN SUNNYWOOD, INC * 05/12/18 VRDOLYAK LAW GROUP LLC 362 20WC 05182 DARGATZ, DALE SUPERIOR KNIFE * 11/20/19 KEVIN P. JUSTEN PC GRIFFIN, LORETTA M LAW OFFIC 363 20WC 05366 FREDERICK, THOMAS C RYDER * 01/22/19 FRANKS, GERKIN & MCKENNA P 364 20WC 05392 PETERSON, CHRIS DOHERTY CONSTRUCTION INC * 12/26/18 TARADASH LAW OFFICE 365 20WC 05528 DOMINGUEZ, PEDRO GENERAL KINEMATICS CORP * 01/17/20 FRANKS, GERKIN & MCKENNA P

Page 22: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 20WC 05851 BOOKER, JOANNE SYCAMORE PRECISION * 02/20/20 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 367 20WC 05907 LAUDICK, STEVE COUNTY OF MC HENRY * 09/05/17 MCHENRY COUNTY 368 20WC 05995 ROTH, JASON VILLAGE OF ALGONQUIN * 05/03/19 FRANKS, GERKIN & MCKENNA P ANCEL GLINK PC 369 20WC 06056 WILSON, ALYSSA TOMS KING HOLDINGS LLC DB * 06/08/19 TARADASH LAW OFFICE 370 20WC 06158 SANCHEZ, LUIS METRO STAFF, INC * 02/12/20 STANCZAK LAW OFFICES 371 20WC 06412 ALEXANDER, JOSEPH MEIJER * 02/19/20 DWORKIN AND MACIARIELLO 372 20WC 06553 GERATY, CHRIS MC HENRY COMMUNITY CONS. * 02/10/20 HANNIGAN & BOTHA, LTD 373 20WC 06780 MARTINEZ, MARIA KRAFT HEINZ COMPANY * 02/21/20 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM GRA 374 20WC 06856 DIAZ, BIANCA NEW DIMENSIONS * 05/18/19 FOOTE MIELKE CHAVEZ O'NEIL WIEDNER & MCAULIFFE LTD 375 20WC 07096 WATT, TIA DW ENTERPRISES * 02/15/20 THOMAS J STIBERTH LAW OFFI 376 20WC 07175 CHAIREZ, OMAR CARDINAL STAFFING SERVICE * 10/19/19 BLACK & JONES HENNESSY & ROACH PC 377 20WC 07218 BURNS, RONALD SAM'S CLUB * 02/27/20 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 378 20WC 07711 INGRAM, AARON M CNC LOGISTICS, INC. * 07/21/18 MARKS INJURY LAW 379 20WC 07853 FLORES, SOLEDAD BESTMETAL CORPORATION * 03/04/20 HERRERA LAW CENTER 380 20WC 07901 PAUL, SHARON JEWEL FOOD STORES, INC * 06/07/19 EVANS & DIXON 381 20WC 07965 DAVIS, KURT MARENGO TOOL & * 02/19/20 TARADASH LAW OFFICE HENNESSY & ROACH PC 382 20WC 08072 STRAUCH, ERIK W.S HAMPSHIRE * 03/03/20 ANGELINI & ORI LLC 383 20WC 08171 HANSEN, JEANETTE PET VET ANIMAL CLINIC * 12/07/19 BLACK & JONES

Page 23: ILLINOIS WORKERS' COMPENSATION COMMISSION ......71 17WC 15638 INCANDELA, CASSIDY LIFETIME FITNESS 11/29/16 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 72 17WC 15795 BOND, KIMBERLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR WOODSTOCK 52003 ON 06/03/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 20WC 08254 HAZEL, ADAM HAMPSHIRE MIDDLE SCHOOL * 09/14/18 LEITER LAW OFFICES 385 20WC 08399 THOMPSON, JOHN ASPLUNDH * 03/25/19 BLACK & JONES KNELL O'CONNOR DANIELWICZ 386 20WC 08645 MAHONEY, DAVID CXI TRUCKING * 05/31/19 KATZ FRIEDMAN EISENSTEIN HINSHAW & CULBERTSON 387 20WC 09329 DENEVE, JOSEPH SPANCRETE * 02/04/20 STELZMAN, RUTH 388 20WC 09491 AUGELLO, ANN ALDEN MGMT * 01/16/19 THE LAW OFFICES OF 389 20WC 09545 ARCURI, MARY KIEFS REEF INC 09/01/19 HENNESSY & ROACH PC 390 20WC 09961 JOHNSON, CHRISTOPHER SOLIDER DELIVERY * 10/11/19 THOMAS J STIBERTH LAW OFFI