ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 … · 53 11wc 10561 morales, trinidad marian joy rehab 02 ... seq case nbr petitioner name respondent name ...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 99WC 66470 NEISWANGER, DONALD W W GRAINGER, INC 03/24/98 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER & HART 2 02WC 52424 VON LEHE, JOHN II NAPERVILLE TOWNSHIP 03/15/01 RICHARD P BOGUSZ, LTD MACIOROWSKI SACKMANN & ULRIC 3 03WC 29556 19B NIELSEN, PATRICIA J SAINTS PETER & PAUL LCHUR 11/13/02 LAW OFFICE DAVID W CLARK STONE & JOHNSON CHARTERED 07WC042098 -C 4 04WC 13725 JARZABEK, TED BED, BATH & BEYOND 06/10/03 DWORKIN AND MACIARIELLO ADELSON TESTAN & BRUNDO 5 06WC 33472 LOEHMAN, RHONDA TRU GREEN 05/01/06 SALVATO & O'TOOLE GRANT & FANNING 06WC042978 -C 6 06WC 46048 19B NOWICKI, DIANE NIPPON EXPRESS 03/20/06 THOMAS R LICHTEN LTD HOLECEK & ASSOCIATES 7 07WC 03351 KWAS, BRIAN ELITE MFG TECHNOLOGIES, I 11/10/06 RIFFNER BARBER ROWDEN & SC COZZI & GOGGIN-WARD 8 07WC 27007 SHABATURA, BILL RW DUNTEMAN 10/31/06 ARNOLD & KADJAN GRANT & FANNING 9 07WC 50888 POTTER, TIMOTHY RELIANCE GEAR CORPORATION 06/14/07 RIFFNER BARBER ROWDEN & SC GAROFALO SCHREIBER STORM 07WC050889 -C 10 07WC 51940 19B WARCHULSKI, LUKASZ MG BROS, INC 10/05/07 BELLAS & WACHOWSKI HOLECEK & ASSOCIATES 11 08WC 03798 HALLIN, PETER R JIM'S TOWING 10/22/07 ROMANUCCI & BLANDIN THOMAS & PORTELA 12 08WC 04869 KEATHLEY, PATRICIA DOUMAK, INC 08/26/07 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 13 08WC 09969 COULES, JULIE ANN AFI INDUSTRIES INC 01/03/08 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 14 08WC 12005 MARTINEZ, MARIA L SPRAYING SYSTEMS COMPANY 10/25/06 JOHN J CASTANEDA PEDERSEN & HOUPT PC 12WC027139 -C 13WC017271 -C 15 08WC 13928 MEDINA, RAFAEL MINUTE MAN 10/17/07 CULLEN, HASKINS, NICHOLSON LAW OFFICES JOSEPH MARCINIAK 16 08WC 26441 19B HEALY, LINDA DOMINICK'S FINER FOODS 02/17/07 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 17 08WC 31479 MOORE, JEFFREY JIFFY LUBE INT'L INC 02/12/08 STELZMAN, RUTH CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 08WC 43422 MENDOZA, EDILBERTO CCMC CONSTRUCTION LLC W 06/09/08 JAMES ELLIS GUMBINER & ASS 19 08WC 45682 DELGADILLO, CENDY COOPERS HAWK BURR RIDGE, 07/28/08 SAUNDERS CONDON & KENNY 20 08WC 56179 DIBARTELO, L DOUGLAS L DOUGLAS DIBARTELO 04/30/06 URBAN & BURT LTD COZZI & GOGGIN-WARD 21 08WC 56347 19B HARRINGTON, VAN VILLAGE OF CAROL STREAM 03/08/07 MILLON & PESKIN LTD POWER & CRONIN LTD 08WC056348 -C 22 09WC 03082 JUKNUIS, BRIAN PATTEN INDUSTRIES 11/04/08 CAPRON & AVGERINOS PC GRANT & FANNING 23 09WC 12014 DUAMROH, SOLOMON SPRAYING SYSTEMS CO 04/16/08 WOODRUFF & JOHNSON DONALD J. MORAN 24 09WC 13202 19B CARTER, ANDRE JASON LACEY CORP 09/02/08 WOLFE & JACOBSON, LTD 25 09WC 15894 SVOBODA, ROBERT TRANS-LINK INC 03/05/09 CULLEN, HASKINS, NICHOLSON CHRISTOPHER BUCHCAR LAW OFF 26 09WC 27727 RUIZ, DILIA FIC AMERICA CORP 04/23/09 CULLEN, HASKINS, NICHOLSON INMAN & FITZGIBBONS 09WC027728 -C 09WC027729 -C 09WC033615 -C 27 09WC 28196 OROZCO, MIGUEL EMPIRE BRONZE CORP 04/04/09 LEWIS DAVIDSON & HETHERING LAW OFFICES OF EDWARD J. KOZ 11WC013752 -C 28 09WC 35216 HENZLER, DEBORAH L HEALTH CARE AT HOME 12/22/08 JASINSKI, GEORGE J STONE & JOHNSON CHARTERED 09WC035217 -C 09WC035218 -C 11WC010167 -C 29 09WC 37784 WELTIN, MARGARET NAPERVILLE SCHOOL DIST 20 05/28/09 STEVEN J SEIDMAN LAW OFFIC MACIOROWSKI SACKMANN & ULRIC 30 09WC 39119 ZAGORSKI, DEBORAH FIRST TRANSIT 12/11/07 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 31 09WC 42250 HOLDEN, ROBERT CORPORATE RISK MANAGEMENT 08/03/09 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 32 10WC 02847 CORRAL, PABLO ROTEC INDUSTRIES, INC 06/24/09 LEWIS DAVIDSON & HETHERING HENNESSY & ROACH PC 33 10WC 03158 TURNER, PATRICIA COMMUNITY UNIT SCHOOL DIS 02/07/08 WOLFE LAW PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 10WC 06602 COOK, LAURA A UNITED SURGICAL PARTNERS 09/04/09 FIGLIOLI, DAVID HOLECEK & ASSOCIATES 35 10WC 08549 SABLIK, ARTHUR CAC CORPORATION 10/01/09 MEYERS & FLOWERS ACCIDENT FUND HOLDINGS, INC 36 10WC 24193 GERK, MICHAEL D MORSE ELECTRIC 05/14/10 NEWLAND & NEWLAND CACCHILLO LAW GROUP LLC 10WC024194 -C 10WC029475 -C 37 10WC 28042 HALL, ARRID SYNNEX CORPORATION 07/19/10 DAVID W MARTAY GRANT & FANNING 38 10WC 32095 EDEHEIT, NANCY PHARMERICA 08/05/10 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 39 10WC 35497 MUNIZ, JOE VILLAGE OF BENSENVILLE 07/02/10 STEINBERG BURTKER & GROSSM POWER & CRONIN LTD 40 10WC 35515 JAKOBSONS, VICTOR LISLE WOODRIDGE FIRE DEPT 05/26/10 THOMAS W DUDA RUSIN MACIOROWSKI & FRIEDMAN 11WC045442 -C 41 10WC 35751 CUNDARI, ALEX PENDUM LLC C/O 08/25/09 LEWIS & DAVIDSON, LTD NOBLE & ASSOCIATES PC 42 10WC 36349 SALEK, KYLE CITY OF ELMHURST 04/07/10 THOMAS W DUDA RODDY LAW LTD 43 10WC 36417 BARAJAS, SUSAN JOE DIETER & SONS 10/16/09 PRESBREY & ASSOC INC INMAN & FITZGIBBONS 44 10WC 36474 KISER, JAMES "TIM" BIG LOTS, INC 04/09/10 LITCHFIELD CAVO 10WC036475 -C 11WC026542 -C 11WC026580 -C 45 10WC 39570 CASTRO, HECTOR NAPERVILLE COMMUNITY UNIT 06/25/10 SALVATO & O'TOOLE MACIOROWSKI SACKMANN & ULRIC 10WC039571 -C 12WC034378 -C 46 10WC 48115 SIMS, FLOR SERVICE MASTER 11/19/10 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS, INC 11WC028642 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 11WC 00649 ESCALERA SOSA, ROCIO MVP VALUABLE PERSONNEL 07/23/10 COVEN LAW GROUP KOREY LAW LLC 48 11WC 01669 MOULTON, AMANDA VITAS HEALTHCARE 10/02/10 STRONG LAW OFFICE HENNESSY & ROACH PC 12WC039338 -C 49 11WC 02331 19B SAVALA, GLORIA NESTLE USA, INC-C/O CT CO 06/15/09 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 50 11WC 04209 NITSCH, ANNE E COMMUNITY SCHOOL DISTRICT 05/15/10 LAW OFFICE DAVID W CLARK ANCEL GLINK DIAMOND BUSH & E 11WC004210 -C 51 11WC 06599 MALDONADO, GUILLERMINA ANETORDER, INC D/B/A AMER 08/13/10 SALK, STEVEN B & ASSOC LTD RIPES NELSON BAGGOT KALOBRAT 11WC022171 -C 52 11WC 06620 LUNA, MARIA G VIE DE FRANCE 01/21/11 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 53 11WC 10561 MORALES, TRINIDAD MARIAN JOY REHAB 02/28/11 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 54 11WC 12913 BUDACH, HAROLD R CONNORS TRANSPORTATION 01/21/11 BARRETT & SRAMEK GAROFALO SCHREIBER STORM 55 11WC 14214 KANTOR, JASON ADVANCED AUTO PARTS 02/09/11 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 56 11WC 14568 KANIA, WALDEMAR PEPBOYS AUTO 03/31/11 CHEPOV & SCOTT LLC CHILTON YAMBERT PORTER LLP 57 11WC 15322 GLASGOW, TAMMY NICOR GAS 09/02/10 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 58 11WC 18016 RODRIGUEZ, ANTONIO CONAGRA FOODS 10/22/09 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 59 11WC 19660 TEELING, GEORGE MICHAEL CITY OF ELMHURST 12/12/09 THOMAS J STIBERTH LAW OFFI RODDY LAW LTD 60 11WC 22862 KIRCANOV, DEJAN GLOBAL CARD SERVICES 04/15/11 NEMEROFF LAW OFFICES LTD LAW OFFICES OF EDWARD J. KOZ 61 11WC 27086 MATA, MARIA T ELMHURST MEMORIAL HOSPITA 12/22/10 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 62 11WC 30135 BUTLER, ANITA ARDEN COURTS 07/01/10 SOSTRIN AND SOSTRIN PC BRYCE DOWNEY & LENKOV LLC 63 11WC 30509 WALENDZINSKI, GREGORY S KRAFT FOODS INC 03/03/11 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 11WC 31984 RIVERA, MAGDALENA CLASSIC STAFFING SERVICES 07/13/11 JAMES ELLIS GUMBINER & ASS JOHN HALPIN 65 11WC 35187 MOLENDA, LISA CORNER BAKERY CAFE 09/18/08 SOSTRIN AND SOSTRIN PC GRANT & FANNING 66 11WC 35839 ADAMS, JOHN M IV PUGI OF CHICAGO 07/21/10 ROUSKEY & BALDACCI HOLECEK & ASSOCIATES 67 11WC 38596 DAMIAN, BALBINA H C SCHAU & SON INC 04/06/11 LUIS J MAGANA COZZI & GOGGIN-WARD 68 11WC 39589 MCGANN, DENNIS M INTERBAY TECHNOLOGIES 03/29/11 FABRIZIO, HANSON & PEYLA LAW OFFICES JOSEPH MARCINIAK 69 11WC 39618 CASAS, CANDELARIA RON'S STAFFING SERVICES 09/26/11 CULLEN HASKINS NICHOLSON KOREY LAW LLC 70 11WC 39988 COHEN, REBECA SYNNEX CORPORATION 05/25/11 WOODRUFF & JOHNSON INMAN & FITZGIBBONS 71 11WC 42345 MCNELLIS, THOMAS PREGIS CORP 06/24/11 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 72 11WC 42874 CRUEGER, SCOTT STERLING ENGINEERING 09/21/11 JOEL BELL SPIEGEL & CAHILL, PC 73 11WC 44287 THIELEN, JASON C PANDUIT 09/22/11 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 12WC032133 -C 74 11WC 45154 TODOROVIC, ANNA BEST BUY 08/05/11 RUBIN LAW GROUP INMAN & FITZGIBBONS 75 11WC 45469 LUPO, KATHLEEN CENTRAL DU PAGE HOSPITAL 06/28/11 PRESBREY & ASSOC INC HENNESSY & ROACH PC 76 11WC 46787 SOTELO, EZEQUIEL PREFERRED MEAL SYSTEMS IN 11/17/11 MINKOW DOMIN POWER & CRONIN LTD 12WC012571 -C 12WC012572 -C 12WC012573 -C 77 11WC 48111 GOMEZ, ANGEL CRATE AND BARREL 05/01/10 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 78 11WC 48883 MARIN, JOSE CUT ABOVE LANDSCAPING & L 10/11/11 EPSTEIN, JACK R LAW OFFICE THOMAS & PORTELA 79 12WC 00945 DAYLOR, ANDREW BLOOMINGDALE FIRE 09/20/11 THOMAS W DUDA RUSIN MACIOROWSKI & FRIEDMAN 15WC020227 -C 80 12WC 01135 VEVERKA, RICHARD J.A.M. TRUCKING 12/05/11 RATHBUN CSEVENYAK & KOZOL RUSIN MACIOROWSKI & FRIEDMAN 81 12WC 02884 BURSE, JERRY DARIEN SCHOOL DISTRICT 61 11/07/11 DIXON LAW FIRM BRADY CONNOLLY & MASUDA PC 82 12WC 03010 RANSOM, SHARON L FRITO LAY INC 11/02/11 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 83 12WC 03895 BUTLER, ANITA M HCR MANOR CARE / ARDEN CO 07/21/10 SOSTRIN AND SOSTRIN PC BRYCE DOWNEY & LENKOV LLC 84 12WC 03936 TERRONES, MARIA STEAK N SHAKE 12/19/11 JAMES ELLIS GUMBINER & ASS KLAUKE LAW GROUP LLC 85 12WC 05340 ALEXANDER, ERIC SMART-TEK 02/03/12 CORTI ALEKSY & CASTANEDA KEEFE CAMPBELL & ASSOC LLC 86 12WC 05384 CAMPOS, RIGOBERTO EXPEDITORS INTERNATIONAL 02/16/11 LARRY FLEISCHER & ASSOCIAT HOLECEK & ASSOCIATES 12WC026574 -C 87 12WC 05498 OSORIO, ALENJANDRO EXPEDITORS INTERNATIONAL 12/02/11 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 88 12WC 05760 SVENCNER, KATIE INDIAN BOUNDARY YMCA 06/21/11 JAY S. SHETH LLC BRADY CONNOLLY & MASUDA PC 13WC033585 -C 89 12WC 05969 WHITE, JENNIFER VILLAGE OF OAK BROOK 12/22/11 RIDGE & DOWNES POWER & CRONIN LTD 90 12WC 07785 STIMACH, PHILLIP T MOBILE LOCK & SAFE, INC 12/30/09 COLLISON & O'CONNOR LTD WIEDNER & MCAULIFFE LTD 91 12WC 07942 SNITKO, AANNA MEADOWBROOK MANOR 01/17/12 COMPTON LAW GROUP 92 12WC 09344 OKOYE, ANTHONY A BUTTERFIELD HALTH CARE IN 09/10/11 GOLDSTEIN BENDER & ROMANOF 93 12WC 10571 KISS, THOMAS G GENERAL ELECTRIC 12/01/11 WILLIAMS, ROBERT B LAW OFF MACIOROWSKI, SACKMANN & 94 12WC 13452 PRADO DIAZ, ELISO TRINIDA SUPEREME LOBSTER AND SEAF 02/29/12 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 12WC 13737 MARTIN, ROBERT CENTRAL TURF AND 10/25/11 MINKOW DOMIN THOMAS & PORTELA 96 12WC 14461 BERGHOFF-YUSCZAK, BETTY M ELMHURST MEMORIAL HOSPITA 04/11/12 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 12WC015973 -C 97 12WC 14815 AGUILAR, CHERYL ECP INC 03/04/11 CHRISTIAN & MANNO COZZI & GOGGIN-WARD 98 12WC 15539 PIERCE, DOUGALS W JEWEL SUPER VALUE 04/02/12 ALAN A BLUM, PC BRADY CONNOLLY & MASUDA PC 99 12WC 15625 RANGEL, HERNANDEZ, HECTOR UNISTAFF, INC 04/23/12 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 100 12WC 16045 MENA, ZEFERINA SPRAYING SYSTEMS 03/22/12 THE ROMAKER LAW FIRM DONALD J. MORAN 101 12WC 16529 ORTEGA, EFRAIN KEMCO TRUCKING, INC 05/01/12 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 102 12WC 16894 MARJANOVIC, VLADIMIR INTER INC 12/10/09 WOLF & TENNANT 103 12WC 16963 SMITH, JEFFERY MAR COR PURIFICATION A 04/11/12 LANNON LANNON & BARR LTD LAW OFFICES JOSEPH MARCINIAK 104 12WC 17506 UCHWAT, KRZYSTOF FORESIGHT TRANSPORT GROUP 05/10/12 GOLDBERG WEISMAN & CAIRO L 105 12WC 18343 SANDERS, OZELL MOLEX INC 12/14/11 DAVID W MARTAY HOLECEK & ASSOCIATES 12WC018344 -C 106 12WC 18521 COTTER, JOHN A DUPAGE COUNTY SHERIFF'S O 12/28/11 JAMES M RIDGE LAW OFFICE WIEDNER & MCAULIFFE LTD 12WC018522 -C 107 12WC 18674 JOHNSON, KRISTINE SCHOOL DISTRICT 200 02/17/12 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 108 12WC 19111 WILLIAMS, ROSHANDA FELLOWES, INC 09/24/11 BRUSTIN & LUNDBLAD LTD WIEDNER & MCAULIFFE LTD 14WC005955 -C 14WC005956 -C 14WC022959 -C 109 12WC 20688 WILLIAMS, JARRET CRATE & BARRELL 05/14/12 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 12WC020482 -C ASG STAFFING 110 12WC 20984 SWAIN, KIERON GRAHAM PACKAGING 05/08/12 FRIEDMAN & SOLMOR LTD MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 12WC 21492 MARELLA, GIUSEPPE PLOTE CONSTRUCTION CO 11/08/11 LEO ALT GAROFALO SCHREIBER STORM 112 12WC 21551 MENDOZA, MARIBEL SELECT REMEDY STAFFING 06/11/12 VRDOLYAK LAW GROUP LLC LEAHY EISENBERG & FRAENKEL 113 12WC 21569 LUNA, MARIA VIE LE FRANCE 01/07/12 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 114 12WC 23227 ARITA, ALEX CORNERSTONE EXTERIORS 05/28/12 CULLEN HASKINS NICHOLSON 115 12WC 23886 JAQUET, JOSEPH MIDAS DOWNERS GROVE 07/02/10 PARENTE & NOREM PC COZZI & GOGGIN-WARD 116 12WC 25404 HERNANDEZ, SUYAPA PRESORT SOLUTION 03/04/12 PRESBREY & ASSOC INC GRANT & FANNING 117 12WC 25617 KUBORN, COREY FRITO LAY 05/28/12 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 118 12WC 26074 TENNEY, JEFFREY D HERTZ CORPORATION D/B/A 09/15/11 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC 119 12WC 26713 KOEHRING, ERIC TERRACE TILE W 06/19/12 CRONIN & PETERS JILL OTTE 120 12WC 27521 PAULING, JASON VILLAGE OF CAROL STREAM 08/01/11 MILLON & PESKIN LTD BRYCE DOWNEY & LENKOV LLC 121 12WC 28311 LAGIOIA, PAUL A MEDEFIL INC 12/13/10 VITELL & SPITZ LTD ACCIDENT FUND HOLDINGS, INC 122 12WC 29792 MAZUR, JAN BLAKESLEE 08/20/12 URSULA BABICZ & ASSOC WOLFE & JACOBSON, LTD 123 12WC 31184 DABOVICH, MAUREEN COMMUNITY UNIT SCHOOL DIS 11/15/07 MARKS & ASSOCIATES BRADY CONNOLLY & MASUDA PC 124 12WC 31291 JENKOT, FRANK CITY OF NAPERVILLE 08/02/12 HOEY & FARINA PC CITY OF NAPERVILLE 125 12WC 31566 CIELO, JUAN C OLIVE GARDENS 09/22/11 ACEVES & PEREZ PC BRYCE DOWNEY & LENKOV LLC 126 12WC 31904 19B LLOYD, JASON E DUPAGE COUNTY SHERIFF 01/23/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 127 12WC 32156 DIVITO, JOSH ALAN HEATING AIR CONDITIO 11/22/11 JOHN E LUSAK 128 12WC 32850 ZAPP, ANNETTE M LISLE WOODRIDGE FIRE 07/17/12 THOMAS W DUDA RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 12WC 33367 GAINES, JUSTEN D HCR MANORCARE 08/07/12 VITELL & SPITZ LTD 130 12WC 34916 BENITEZ, OLGA ELITE STAFFING, INC 09/04/12 GOLDSTEIN, AIOSSA & GOOD NYHAN BAMBRICK KINZIE & LOWR 12WC035549 -C 131 12WC 34945 ZOBJECK, RALPH VLGE OF HINSDALE 06/11/12 DAN COLLINS LAW FIRM RUSIN MACIOROWSKI & FRIEDMAN 132 12WC 35112 MERRITT, STEPHEN JDR INSTALLATIONS INC W 12/12/11 WOLFE LAW PC C. FLETCHER 133 12WC 36602 CARILLO, LUIS MCOLLISTER TRNSPORTATION 09/11/12 LAW OFFICE OF OSVALDO RODR HENNESSY & ROACH PC 134 12WC 37571 NAYONIS, MICHAEL WOODWARD, INC. 02/24/10 BLACK & JONES HINSHAW & CULBERTSON 135 12WC 37672 BROADWELL, LOREEN DEAN (W COMBINED ROOFING INC 08/17/12 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 12WC037673 -C 136 12WC 37847 REYNA, JOSEPH NICOR GAS 09/16/10 PRESBREY & ASSOC LLC MACIOROWSKI SACKMANN & ULRIC 137 12WC 38217 RAMIREZ, RAYMUNDO ROSALES HART & COOLEY INC 10/24/12 SALK, STEVEN B & ASSOC LTD 13WC004500 -C 138 12WC 40541 LAGIOIA, PAUL A MEDEFIL INC 10/31/12 VITELL & SPITZ LTD 139 12WC 42476 FERNANDEZ, MAYTE WORKFORCE, LLC 08/13/12 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING 140 12WC 42861 MARTINEZ, RUDY MAGIC FINISH W 10/29/12 EPSTEIN, JACK R LAW OFFICE 141 12WC 43668 CANTU, MARTHA NESTLE D/B/A 08/15/12 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 142 12WC 44563 HERNANDEZ, JESUS CADENCE HEALTH 05/03/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 143 13WC 00254 HUNTINGHOUSE, DARLENE CITY OF ELMHURST 08/04/12 MILLON & PESKIN LTD RODDY LAW LTD 019 13WC013229 -C 144 13WC 00281 JUSTINICO, HERNEY COTG 09/27/12 FOOT MIELKE CHAVEZ O'NEIL HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 13WC 00480 WELLS, CHARLES BRINKS INC 08/24/12 VASILATOS & COTTER LLC COZZI & GOGGIN-WARD 146 13WC 02249 BEARDEN, JAMES DUPAGE COUNTY SHERIFFS OF 02/28/12 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 147 13WC 03946 GUEVARA, JENNIFER KJF EGG HOLIOINGS LLC 10/05/12 CULLEN HASKINS NICHOLSON 148 13WC 04849 ROMAN, TIMOTHY J WINFIELD FIRE PROTECTION 03/09/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 149 13WC 05397 MILETIC, MICHAEL D GRAPHIC PACKAGING 12/10/12 MILLON & PESKIN LTD DOHERTY & PROGAR LLC 150 13WC 06199 DENOYELLES, CHRISTINA BURGESS SQUARE HEALTH CEN 05/31/12 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 151 13WC 07095 HAMAD, RAMSEY CONNIE'S PIZZA INC 02/05/13 GOLDBERG WEISMAN & CAIRO L 152 13WC 07310 HASS, JENNIFER EDWARD HOSPITAL & HEALTH 02/02/12 RATHBUN CSEVENYAK & KOZOL WILLIAMS MCCARTHY LLP 153 13WC 07783 VARGAS, ALEJANDRO ETS LINDGREN 02/28/13 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING 13WC007785 -C 13WC008737 -C 154 13WC 08952 WHITESIDE, KEESHIA STRATFORD INTERNAL 03/12/13 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 155 13WC 09142 CUAZITL, FEBRONIO MC DONALD 03/09/13 EPSTEIN, JACK R LAW OFFICE BRYCE DOWNEY & LENKOV LLC 156 13WC 09640 NUNEZ, PORFIRIA PRESORT SOLUTIONS 07/20/12 PORRO NIERMANN & PETERSEN GRANT & FANNING 157 13WC 10418 POLSTER, DAVID HANOVER INSURANCE COMPANY 04/06/12 RIDGE & DOWNES WOLFE & JACOBSON, LTD 158 13WC 11847 SHERROD, PAUL E LISLE-WOODRIDGE FIRE 12/21/12 THOMAS W DUDA RUSIN MACIOROWSKI & FRIEDMAN 13WC011848 -C 13WC011849 -C 159 13WC 13251 FOSCO, MARCO EDWARD HOSPITAL 12/10/12 WOLFE LAW PC KEEFE CAMPBELL & ASSOC LLC 160 13WC 13533 MARKS, JAMES BUY BUY BABY 04/04/13 WOODRUFF & JOHNSON KOPKA, PINKUS & DOLIN, PC 161 13WC 14184 MONCADA, RAMON OMEDA RESAURANT 04/24/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 13WC 14363 BAHENA, DANIEL NICKELSON INDUSTRIAL SERV 03/21/13 STEVEN J SEIDMAN LAW OFFIC INMAN & FITZGIBBONS 163 13WC 14606 ARNDT, EARL J AMERICAN MESSAGING 02/06/12 ANESI OZMON RODIN NOVAK KO RUSIN MACIOROWSKI & FRIEDMAN 164 13WC 14870 RIVAS, CONCEPCION CENTRAL BLACK TOP 10/15/12 NICHOLAS D. LAPONTE STONE & JOHNSON CHARTERED 165 13WC 14949 RICHARDSON, JOHN ARAMARK UNIFORM & CAREER 04/12/13 RUBIN LAW GROUP INMAN & FITZGIBBONS 15WC003387 -C 166 13WC 15343 FLORES, ALMA D VIE DE FRANCE YAMAZAKI, I 04/15/13 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 167 13WC 15759 ALALLAN, LSHAN AGM TRANSPORT INC 08/25/11 MARVIN A BRUSTIN LTD MCANANY VANCLEVE & PHILLIPS 168 13WC 16636 YOUNGBERG, ROBYN (WIDOW) WEST CHICAGO FIRE PROTECT # 03/14/13 PORRO NIERMANN & PETERSEN BRYCE DOWNEY & LENKOV LLC 169 13WC 16642 FRANCO, CAROLINA ACCURATE CARRIERS USA 05/06/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 170 13WC 16662 BURLINGAME, GLEN ROOF OPITIONS 11/15/12 BRAD J. BALKE, PC BRADY CONNOLLY & MASUDA PC 171 13WC 17121 LIKHANOV, SERGEY MIG TRANSPORT INC 05/05/13 DEFFET, TIMOTHY J LAW OFFI DAVID BUTBUL 172 13WC 17273 JANICH, JAMES COLLEGE OF DUPAGE 04/22/13 DECARLO LAW GROUP POWER & CRONIN LTD 173 13WC 17416 DORADO, SERGIO CHICAGO CLOSET AUTHORITY 05/16/13 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 174 13WC 17758 ZAMORA, EDWIN CPC LABS 03/20/13 WOODRUFF & JOHNSON HENNESSY & ROACH PC 175 13WC 18541 KLEBER, ELLEN V UNION LEAGUE BOYS & GIRLS 07/31/11 LAW OFFICE DAVID W CLARK RUSIN MACIOROWSKI & FRIEDMAN 176 13WC 18627 MANN, BRAD CITY OF WHEATON POLICEDEP 04/21/13 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 177 13WC 18797 GOMEZ, BERONICA PAPPAS RESTAURANTS INC 01/13/13 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 178 13WC 19282 VELAZQUEZ, GABRIEL PEREZ LANDSCAPING 05/28/13 LUIS A ACEVES & ASSOC MICHELOTTI & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 13WC 19489 WAYTULA, JOSEPH MONDELEZ GLOBAL 08/16/12 STROM, NEAL B WIEDNER & MCAULIFFE LTD 180 13WC 19716 KEOUGH, KEITH CITY OF DARIEN POLICE DEP 04/25/13 CUDA LAW OFFICES POWER & CRONIN LTD 15WC014980 -C 181 13WC 20925 AUDEH, EMAD REDBIRD CARRIERS W 08/20/12 LEO ALT 182 13WC 21334 CORP, CAROL JEAN BRIGHTON GARDENS OF WHEAT 09/08/12 MILLON & PESKIN LTD NOBLE & ASSOCIATES PC 183 13WC 21474 PETERSEN, ISABEL G4S TECHNOLOGY LLC 09/19/12 HART & DAVID LLP BRYCE DOWNEY & LENKOV LLC 184 13WC 21869 EVERS, GRANT BINNYS BEVERAGE DEPOT 07/23/12 PORRO NIERMANN & PETERSEN 185 13WC 21959 DREVS, ROY DOUMAK, INC 11/02/12 LUCAS & APOSTOLOPOULOS, LT HOLECEK & ASSOCIATES 186 13WC 22569 19B GILMORE, ANEDRA BURLINGTON COAT FACTORY 02/21/13 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 187 13WC 22778 VASILIEVAS, LEO C POWER MECHANICAL INC 06/27/13 DAVENPORT & WHITE BRADY CONNOLLY & MASUDA PC 188 13WC 23008 REISINGER, DENISE MARIANJOY REHABILITATION 11/22/12 JAMES G AHLBERG NYHAN BAMBRICK KINZIE & LOWR 13WC023012 -C 189 13WC 23847 PATEL, BABUBHAI GRIND LABS SERVICES 07/10/13 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 190 13WC 24096 CARR, SHEILA SUPERIOR AMBULANCE 06/07/13 LAW OFFICE EDWARD LICHTENS POWER & CRONIN LTD 191 13WC 24158 SHELTON, BONNIE SIMPLY HAIR 01/06/13 KARNO, MARK L & ASSOC GRANT & FANNING 192 13WC 24974 RITONDALE, TOM ITASCA FIRE DEPARTMENT 10/08/12 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 193 13WC 25034 DOLE, CYNTHIA NAPERVILLE SCHOOL 04/19/12 LAW OFFICE STEVEN J SEIDMA MACIOROWSKI SACKMANN & ULRIC 194 13WC 25047 THOMAS, LAMOND CLEAR STAFF, INC. 03/28/13 MILLON & PESKIN LTD ACCIDENT FUND HOLDINGS, INC 195 13WC 25468 CAMPOS, OTILIO BLACKHAWK MOLDING CO INC 05/31/13 ANKIN LAW OFFICE CHILTON YAMBERT & PORTER LLP 196 13WC 25529 UNRUH, CATHERINE CENTRAL DUPAGE HOSPITAL 09/04/12 TRUEMPER HOLLINGSWORTH ET GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 13WC 25574 FLORES, JUANA FIVE GUYS ENTERPRISES 09/18/12 BURNETT & CARON, LTD 198 13WC 26099 REYES, LISA MARIANJOY REHABILITATION 04/12/13 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 199 13WC 26438 RAMIREZ, JUAN M CONTINENTAL WEB PRESS 05/09/13 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 200 13WC 26558 GONZALEZ, RAFAEL J JR AT&T 07/11/13 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 14WC038782 -C AT & T 201 13WC 26721 19B MC KINNON, RYAN PEPSI CO 08/09/13 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 202 13WC 28267 GARCIA, APOLONIO EDDIE'S LANDSCAPING MAINT 07/26/13 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 203 13WC 28402 CLARO, ALMA SPICETEK USF 06/17/13 EPSTEIN, JACK R LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 204 13WC 28578 KOZY, ROBERT ENPRO INC 07/03/13 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 205 13WC 28778 MALLAVARSPU, SANJAY FED EX TRADE NETWORKS GRO 09/24/10 ANESI OZMON RODIN NOVAK KO LAW OFFICES JOSEPH MARCINIAK 206 13WC 28820 FONTENOT, JONATHON HOOTER'S 08/06/13 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 207 13WC 29377 19B SKIBBE, VICTORIA DUPAGE COUNTY CONVALESCEN 11/08/12 PORRO NIERMANN & PETERSEN WIEDNER & MCAULIFFE LTD 208 13WC 29869 GARCIA, RAYMUNDO PRIMARY STAFFING 04/01/13 LAW OFFICE OF JAMES URTIS KEEFE CAMPBELL & ASSOC LLC 209 13WC 29958 PLETSCH, JAMES SOUTHERN WINE & SPIRITS O 12/27/12 CRONIN PETERS & COOK, PC MACIOROWSKI SACKMANN & ULRIC 13WC029959 -C 16WC008875 -C 210 13WC 30108 GRZYWACZ, JAN M & R PRINTING EQUIPMENT 03/21/12 MINKOW DOMIN HOLECEK & ASSOCIATES 211 13WC 30533 VIRZI, ANNA M LIFETIME FITNESS 08/28/12 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 212 13WC 30969 GOLDSMITH, DAVID IMTT 04/17/13 DWORKIN AND MACIARIELLO 213 13WC 31167 RICHARDSON, REGINALD J U.S FOOD SERVICES 09/17/13 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 214 13WC 31383 PEREZ, LORENA A FIC AMERICA CORPORATION 06/15/12 GOLDSTEIN BENDER & ROMANOF INMAN & FITZGIBBONS 215 13WC 33388 IONETZ, ROBERT AMERICAN ROOFING AND REPA 08/09/13 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 216 13WC 34834 SANCHEZ, ANTONIA GCA SERVICES GROUP 09/13/13 ILLINOIS INJURY LAWYERS POWER & CRONIN LTD 217 13WC 35586 GUZMAN, JAIME KRAMER TREE SPECIALISTS 09/06/13 PORRO NIERMANN & PETERSEN KNELL & O'CONNOR 218 13WC 35755 BELMAN, MARIA THERESA THE PAMPERED CHEF 04/23/13 LAW OFFICE OF OSVALDO RODR 219 13WC 35831 DE ANDA, BENIGO GUARDSMARK 05/20/13 KATZ FRIEDMAN EAGLE ET AL THOMAS & PORTELA 13WC035832 -C 220 13WC 36464 DOMIO-BURNS, DELITE FEDERAL EXPRESS 10/10/13 SANDMAN LEVY & PETRICH HANSON LAW OFFICE 221 13WC 36467 JOACHIM, ERIC R ANTHONY ROOFING 09/13/13 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 222 13WC 37531 KRAJISNIK, ZORAN AS CORP., INC. 05/15/12 SHEA LAW GROUP 223 13WC 37613 TSAI, ANNIE SODEXO 10/25/13 LAW OFFICE DAVID W CLARK WIEDNER & MCAULIFFE LTD 224 13WC 37717 DAVIS, PAMELA FIRST STUDENT 09/20/13 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 225 13WC 38370 ELIAS, JAVIER COSTCO WAREHOUSE 08/22/13 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 226 13WC 38559 THOMAS, VICTORIA BP CORP. 08/20/13 LAW OFFICE DAVID W CLARK ROSARIO CIBELLA 227 13WC 38667 DIAZ, JUAN HARDSCAPE PRO'S 10/29/13 228 13WC 38948 MACAK, SUSAN K FIRST STUDENT 05/22/13 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 229 13WC 38991 KALEMBER, GORANA WAL MART 04/06/13 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 230 13WC 39309 RAMIREZ, RENE TRI-AIR TRANSPORTATION 10/07/13 LAW OFFICE EDWARD LICHTENS WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 13WC 39456 ALEMAN, MOISES TECHMER P M 09/12/13 CHRISTIAN & MANNO HOLECEK & ASSOCIATES 232 13WC 39516 HERNANDEZ, ANASTACIO ADVANCE THERMAL CORP 11/05/13 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 233 13WC 39854 CECILLE, SCOTT A R&R DRYWALL & PAINTING, I 11/21/13 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 234 13WC 40173 DIAZ, ANNA DUPAGE COUNTY SHERIFF 11/08/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC016803 -C 16WC020163 -C 16WC020164 -C 235 13WC 40566 BLAZE, JOSEPH OCO INDUSTRIES LLC 11/08/13 236 13WC 40725 MUNOZ, RIGOBERTO SPINNKER COATING LLC 11/14/13 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 237 13WC 41301 HURD, IRA ANIXTER FASTENERS 09/26/13 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 238 13WC 41567 DICKS, JENNIFER BLUE TECH 12/11/13 WOODRUFF & JOHNSON LAW OFFICES JOSEPH MARCINIAK 239 13WC 41664 BASSIG, ALFREDO WESTIN HOTEL CHICAGO NW 06/04/13 RIFFNER BARBER ROWDEN & SC GRANT & FANNING 240 13WC 41817 SCUMACI, MATTHEW ANDERSON PEST SOLUTIONS 07/11/13 JOHN E LUSAK WOLFE & JACOBSON, LTD 241 13WC 41897 RAMOS, HECTOR ASG STAFFING 11/29/13 WOODRUFF & JOHNSON POWER & CRONIN LTD 242 13WC 41945 HATLER, MARK W MEYER MATERIALS CO 10/23/13 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 243 13WC 42309 TREJO, SALVADOR FURNITURE VALUES 11/27/13 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 244 13WC 42405 VARGAS, NOEMI CHIPOTIE MEXICANGRILL 12/02/13 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 245 14WC 00040 BLAUW, DEAN EXONOMY DISPOSAL SERVICE 06/04/13 FIGLIOLI, DAVID 246 14WC 00399 TORRES, DIANA B HUBBELL INC 12/27/13 PARAG P. BHOSALE COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 14WC 00434 MARTINEZ, JAIME CONAGRA FOODS 08/29/13 GOLDSTEIN BENDER & ROMANOF RUSIN MACIOROWSKI & FRIEDMAN 248 14WC 00634 PALOMINO, VICENTE BCH WESTWOOD LLC 11/05/13 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 14WC009366 -C 249 14WC 01025 DAVIS-WILLIAMS, KIMBERLY PELLAR WINDOWS & DOORS 01/06/14 STEPHEN G PINTO LTD 250 14WC 01060 BOLANOS, JOSE PRAGER MOVING & STORAGE 10/25/13 RIFFNER BARBER ROWDEN & SC ADELSON TESTAN & BRUNDO 14WC001061 -C 251 14WC 01123 SHERMAN, BRIAN W FLOOD BROS DISPOSAL INC 07/11/13 FIGLIOLI, DAVID LITCHFIELD CAVO 252 14WC 01133 AGUIRRE, JOSE E GENERAL MILLS, INC 09/03/13 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 253 14WC 01252 FERRARA, ANTHONY CONTINENTAL WEB PRESS 12/03/13 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 254 14WC 01294 DECRAENE, DANIEL J LISLE-WOODRIGE FIRE 09/01/11 THOMAS W DUDA RUSIN MACIOROWSKI & FRIEDMAN 14WC001295 -C 255 14WC 01405 TALIA, TAWER VIE DE FRANCE YAMAZAKI IN 09/15/12 VITELL & SPITZ LTD HOLECEK & ASSOCIATES 256 14WC 02035 GALVAN, AGUSTIN CUBESMART 11/15/13 O'CONNOR & NAKOS 257 14WC 02362 ARNETT, ADAM SCHRAMM CONSTRUCTION 07/08/13 LAW OFFICE OF SCOTT B SHAP 258 14WC 02488 PATINO, ANGEL DON BOSCO LLC 11/18/13 PORRO NIERMANN & PETERSEN COZZI & GOGGIN-WARD 259 14WC 02507 SAVAGE, BRADLEY K CROIXCO CONSTRUCTION 01/20/14 ANESI OZMON RODIN NOVAK KO RUSIN MACIOROWSKI & FRIEDMAN 260 14WC 02755 SCARIA, BIGI RML SPECIALTY HOSPITAL 11/16/13 STEVEN A CRIFASE, LTD KEEFE CAMPBELL & ASSOC LLC 261 14WC 03085 JENSEN, LISA A PANASONIC HEALTHCARE 09/26/13 LAW OFFICE OF GREGORY MART RUSIN & MACIOROWSKI LTD 262 14WC 03146 ISAACSON, ALAN DIEBOLD INC 11/30/11 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 14WC003147 -C 263 14WC 03279 19B LLOYD, JASON E DUPAGE COUNTY SHERIFF 01/10/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 14WC 03284 HICKENBOTTOM, ALBERT AT&T AKA ILLINOIS 01/03/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 265 14WC 03621 POHL, BILL PTO SERVICES 08/05/13 DWORKIN & MACIARIELLO CHILTON YAMBERT PORTER LLP 14WC023196 -C 266 14WC 03869 SAMANO, EMMANUEL EVOLUTION SORBEN PRODUCTS 12/17/13 SALGADO, DAVID L QUINTAIROS PRIETO WOOD & BOY 267 14WC 04117 DUBOIS, KENYATA DUNKIN DONUTS 12/08/13 LEE VASILATOS INMAN & FITZGIBBONS 268 14WC 04328 ARAMBULA, JOSE CAPRI PIZZA & DELI 01/24/14 ENCINAS & ORNELAS 269 14WC 04528 CALLAHAN, DONNA KOHL'S 12/27/13 MEYERS & FLOWERS LLC HENNESSY & ROACH PC 270 14WC 04557 JACKSON, JASON HOME DEPOT 10/09/12 FOOTE MIELKE CHAVEZ & O'NE 271 14WC 04656 VILLAFUERTE-ESPINAL, HORA MAPEI CORPORATION 12/30/13 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 14WC037094 -C 272 14WC 04828 LEWANDOWSKI, CHESTER CHANNEL DISTRIBUTION CORP 01/03/14 JOHN E LUSAK LITCHFIELD CAVO 273 14WC 05180 ECHEVERRIA, CARLOS ELMHURST MEMORIAL HOSPITA 01/05/14 EPSTEIN, JACK R LAW OFFICE PETER BURBAN 274 14WC 05414 INSERRA, JOANNA GIANT STEPS 11/15/13 MARTIN L GLINK LAW OFFICE HOLECEK & ASSOCIATES 275 14WC 05917 DURAN, OLGA ADDUS HEALTHCARE 10/30/13 BOTTO GILBERT HENNESSY & ROACH PC 276 14WC 06108 IBEKIE, ANTHONY ST PATRICKS RESIDENCE 02/01/14 PORRO NIERMANN & PETERSEN GAROFALO SCHREIBER STORM 277 14WC 06320 MC NEELY, ANNETTE FOREST PRESERVE 01/06/14 ANGELINI & ORI LLC CHILTON YAMBERT PORTER LLP 278 14WC 06365 BOCTOR, MARSIL THE LEARNING CARE GROUP D 03/13/13 MARKER & ASSOCIATES HINSHAW & CULBERTSON 279 14WC 06424 SEYLLER, SANDIE WALGREENS CO 12/31/13 BRILL & FISHEL GILDEA & COGHLAN 280 14WC 06539 ONIK, MATTHEW C MICHELE PELAFAS INC 12/24/13 CUDA LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 281 14WC 07416 ALEXANDER, KRISTIN PARKER HANNIFIN CORPORATI 01/24/14 PETER D CORTI LAW GROUP RUSIN MACIOROWSKI & FRIEDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 14WC 07544 GIBBONS, MARTHA ROESCH FORD 02/15/14 KENNETH B GORE, LTD ROBERT L. SMITH 283 14WC 07587 SCHULTZ, LAURA HOBBY LOBBY 01/24/14 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 284 14WC 07595 SALAZAR, EFRAIN ASG STAFFING 11/01/13 ENCINAS & ORNELAS 285 14WC 07751 MARKOWSKI, EWA ABCOR HOME HEALTH INC 02/03/14 STONE & JOHNSON CHARTERED 286 14WC 07956 ZARCO, MAGDALENA BOSTON WINDOW CLEANING IN 02/05/14 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 287 14WC 08015 SAENZ, EDUARDO 1ST CLASS STAFFING 02/05/14 THOMAS J STIBERTH LAW OFFI RODDY LAW LTD 288 14WC 08068 WARRINER, HOLLY EDWARD HOSPITAL 01/14/14 CAPRON & AVGERINOS PC WILLIAMS MCCARTHY LLP 289 14WC 08155 GAROFALO, GIOVANNI VILLA PARK POLICE DEPARTM 02/27/14 MARC J SHUMAN & ASSOCIATES 290 14WC 08295 GLASGOW, TAMMY NICOR GAS COMPANY 05/01/12 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 291 14WC 08631 THOMAS, DION KEVIN JR PTO SERVICES, LOANING EMP 02/26/14 THE FITZ LAW GROUP CHILTON YAMBERT PORTER LLP 292 14WC 08928 BUCKNER, KATHLEEN GOODWILL INDUSTRIES 10/20/13 COSTA IVONE LLC ACCIDENT FUND HOLDINGS, INC 14WC020382 -C 14WC020383 -C COTTAGE HILL OPERATING CO 293 14WC 08975 AYALA, PEDRO AMERICA'S BEST INC 09/06/13 ACEVES & PEREZ PC LAW OFFICES JOSEPH MARCINIAK 14WC025831 -C 15WC018232 -C 294 14WC 09044 COBBINS, SYLVIA ELMHURST HOSPITAL 02/15/14 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 295 14WC 09348 ALBRIGHT, TERRY DUPAGE COUNTY SHERIFF 08/05/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 296 14WC 09487 ZAMUDIO, VERONICA JEL SERT 03/10/14 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 297 14WC 09987 SALGADO, JUAN THE FAIR PLUMBER 03/03/14 298 14WC 10904 BRUNO, MARGARITA ELITE STAFFING 01/28/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 299 14WC 11100 REYES, APOLINAR ROLLPRINT PACKAGING PRODU 01/08/14 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 300 14WC 11195 THOMPSON, KEVIN STANDARD FORWARDING 01/14/14 RUBIN LAW GROUP HENNESSY & ROACH PC 301 14WC 11227 LYDON, DARYL LARLIN HOME CARE SERVICES 03/07/14 CONWAY LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 302 14WC 11477 WALTON, JOHN CHICAGO PUBLIC SCHOOLS 01/24/14 RICHARD E ALEKSY LAW DEPARTMENT 303 14WC 11871 SIEBERT, RONALD A TRAVELERS INSURANCE 03/17/14 PETER F FERRACUTI & ASSOCI POWER & CRONIN LTD 304 14WC 12098 SMITH, RONALD DUPAGE COUNTY SHERIFF'S D 06/24/13 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 14WC012099 -C 14WC012100 -C 305 14WC 12110 EDUCATE, ROXANNE J DUPAGE MEDICAL GROUP 03/06/14 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 306 14WC 12150 MARIN, EMILIO COSS BUCK SERVICES 01/20/14 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 307 14WC 12181 LOPEZ, FRANCISCO RAUL LABTEC COSMETICS 03/21/14 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 308 14WC 13086 WARD, MAURICE CROWN SERVICES, INC 02/07/14 JOHN C SERKLAND 309 14WC 13122 DELGADILLO, HERMELINDA IONBOND, LLC 01/04/14 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 310 14WC 13154 WOOD, CAROL THE RESERVES NETWORK, INC 03/28/14 STEVEN J MALMAN & ASSOCIAT WIEDNER & MCAULIFFE LTD 311 14WC 13186 MCMINN, SONIA MEDICAL MANAGEMENT 03/14/14 VASILATOS & COTTER LLC 312 14WC 13278 PELAYO, ADAN AMBIUS 03/02/14 LAW OFFICES TIMOTHY HENDER INMAN & FITZGIBBONS 313 14WC 13298 TAYLOR, LASHAUNNA DUPAGE COUNTY SHERIFFS DE 03/11/14 RATHBUN SXERVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 314 14WC 13631 GARCIA, RAUL MEXICALI HARD CHROME CORP 04/01/13 JAMES ELLIS GUMBINER & ASS 315 14WC 13641 DUNLAP, BEVERLY E FED EX GROUND 03/08/14 DOBRA, CHARLES W LTD SCOPELITIS GARVIN LIGHT 316 14WC 13736 PEREZ, LUIS VILLAGE OF OAK BROOK 03/13/14 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 317 14WC 13763 BLANKENSHIP, DAVID DOORS BY RUSS INC 02/21/14 WHITESIDE & GOLDBERG LTD GANAN & SHAPIRO 318 14WC 13979 STEVENS, TINA ALDI INC C/O 02/09/12 BRIAN J MC MANUS & ASSOC, MACIOROWSKI SACKMANN & ULRIC 319 14WC 14188 POOL, VIRGINIA INHANCE TECHNOLOGIES 02/07/14 TURNER & SACKETT LLC 320 14WC 14408 ARGUELLO, JOSE METROSTAFF INC 04/14/14 GOLDBERG WEISMAN & CAIRO L 321 14WC 14537 HUERTA, ROBERTO EGG HARBOR CAFE 04/16/14 LAW OFFICE OF DOUGLAS SULL GANAN & SHAPIRO 322 14WC 14581 SANDERS, JERRY LOYOLA AMBULATORY SURGERY 02/19/14 HANNIGAN & BOTHA, LTD LAW OFFICES JOSEPH MARCINIAK 323 14WC 14611 DAMICO, SUSAN M JEWEL/NEW ALBERTSON'S INC 01/08/14 COLLISON & O'CONNOR 324 14WC 14760 VAN WITZENBURG, WILLIAM A 6 D'S ALUMINUM CO. 04/23/14 TAMVAKIS, GEORGE L 325 14WC 14848 HIRST, ROBERT OGDEN LINCOLN 10/30/13 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 326 14WC 14990 HENNINGS, THOMAS ORKIN PEST CONTROL 03/18/14 R. MARK MARITOTE PC BRADY CONNOLLY & MASUDA PC 327 14WC 15108 GONZALEZ, ANTONIO MICROMATIC SPRING & STAMP 05/30/13 BERG & BERG LAW OFFICES OF EDWARD J. KOZ 328 14WC 15317 SCHOBER, BARBARA M ELMHURST MEMORIAL HOSPITA 11/09/12 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 329 14WC 15535 MIRANDA, SAUL SAM'S CLUB 04/07/14 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 330 14WC 15715 ZMOLA, PAUL SLAMANS CONSTRUCTION INC 02/15/13 BRADY CONNOLLY & MASUDA PC 331 14WC 15725 NELL, JOSEPH UPS 12/11/13 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 332 14WC 15929 MEHRI, KAY LUXURY CHICAGO LIMOUSINE 03/23/14 333 14WC 16066 SOLORIO, FELICIANO TOTAL STAFFING SOLUTIONS 04/04/14 DEPAOLO ZADEIKIS GORE KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 14WC 16077 SANDOVAL, IRMA ELITE STAFFING/FLEXIBLE 03/26/14 JAMES ELLIS GUMBINER & ASS MARC CAIRO 335 14WC 16321 JOHNSON-COLE, LISA EDWARD HOSPITAL 10/27/12 ANKIN LAW OFFICE WILLIAMS MCCARTHY LLP 14WC016322 -C 14WC016323 -C 336 14WC 16346 PREUSSER, DENISE BEARING DISTRIBUTORS INC 01/15/14 MCNAMARA PHELAN MCSTEEN LL 337 14WC 16418 DOBBS, JENNIFER CAREER EDUCATION CORP 04/03/14 BRYCE DOWNEY & LENKOV LLC 338 14WC 16542 HARRIS, ANTHONY HART & COOCEY INC 01/27/14 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 339 14WC 16625 TURRISI, JOHN VILLAGE OF LOMBARD 02/09/14 GOLDBERG WEISMAN & CAIRO L 340 14WC 16927 GOMEZ-RAMIREZ, ARMANDO ASG STAFFING 04/18/14 JONATHAN SCHLACK POWER & CRONIN LTD 341 14WC 17125 ROSSUM, EARL F ARTS RV SERVICE CENTER IN 01/11/14 LAW OFFICE DAVID W CLARK KEEFE CAMPBELL & ASSOC LLC 342 14WC 17184 TAPIA, MIGUEL US FOOD SERVICE 04/30/14 LAW OFFICE ROBERTO ACEVEDO BRADY CONNOLLY & MASUDA PC 343 14WC 17213 BARKER, JOSEPH MIDWESTERN UNIVERSITY 04/21/14 JOHN E LUSAK LAW OFFICES JOSEPH MARCINIAK 344 14WC 17702 BACILIO, SONIA JEL SERT COMPANY 03/19/14 JONATHAN SCHLACK HENNESSY & ROACH PC 345 14WC 18115 PALACIOS, LESLELL TOTAL STAFFING SOLUTIONS 04/17/14 STROM, NEAL B ROCK FUSCO & CONNELLY 346 14WC 18280 TAPIA, JOSE UNITED LAWN & SEAL COATIN W 05/06/14 CULLEN HASKINS NICHOLSON 347 14WC 18710 MUNOZ, CRISTINO WILDFIRE 09/13/13 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 348 14WC 18771 PATEL, SATISH S&S INTERNATIONAL 04/29/14 THOMAS LAW SCOPELITIS GARVIN LIGHT 349 14WC 18794 SEMPLE, JAMES FLOWSERVE CORPORATION 11/30/14 HANNIGAN & BOTHA, LTD HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 350 14WC 18815 ORTEGA, SERGIO SEARS, ROEBUCK AND CO. 02/02/14 DIXON LAW FIRM GAROFALO SCHREIBER STORM 351 14WC 18935 ORDONEZ, CARLOS COSTCO-OAK BROOK 08/13/13 MEYERS & FLOWERS GANAN & SHAPIRO 15WC024174 -C 352 14WC 19090 PEREZ, CARMEN M SAM'S CLUB 04/28/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 353 14WC 19173 BEDFORD, SABRINA WEST SUBURBAN NURSING & 02/04/14 SEIDMAN MARGULIS & FAIRMAN GALLIANI DOELL & COZZI LTD 354 14WC 19348 DOUGLAS, JEFF HARGRAVE BUILDERS INC 05/20/14 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 355 14WC 19360 COBB, DAMIAN NU-WAY TRANSPORT 05/23/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 356 14WC 19439 BOBAK, PIOTR PLEASANT DALE 04/21/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 357 14WC 19572 IBARRA, OLGA CLASS STAFFING 03/31/14 WOODRUFF & JOHNSON GRANT & FANNING 358 14WC 19593 SWALLOW, DANIEL ADVANTAGE SALES & MARKETI 11/18/13 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 359 14WC 19668 PANTOJA, ALMA R NORTHSTAR METAL PRODUCTS, 08/29/13 GORDON & CENTRACCHIO LLC KEEFE CAMPBELL & ASSOC LLC 14WC019669 -C 360 14WC 19678 INIGUEZ, MANUEL FULLERS SERVICE CENTER 05/17/13 STROM, NEAL B EDWARD JANUSZKIEWICZ 361 14WC 20397 RADKIEWICZ, NICK ASPLUNDH 10/03/13 FOOTE MIELKE CHAVEZ & O'NE KNELL & O'CONNOR 362 14WC 20676 BANDUCCI, DE-ANN THE MEN'S WAREHOUSE 01/23/14 BUDIN LAW OFFICES HENNESSY & ROACH PC 363 14WC 20755 JONIAK, WLADYSLWA HILTON CHICAGO 01/24/14 KATZ FRIEDMAN EAGLE ET AL 364 14WC 20968 HARVEY, SANDRA FEDEX 04/19/14 NEWLAND & NEWLAND SCOPELITIS GARVIN LIGHT 14WC020969 -C 365 14WC 21167 RATTIN, MARIA GIANT STEPS 02/27/14 CULLEN HASKINS NICHOLSON 14WC021168 -C 14WC021169 -C 366 14WC 21171 KORBEL, SHERI TURNER INDUSTRIAL MAINTEN 02/17/14 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 14WC 21583 MARINES, JORGE RAMADA INN & SUITES 05/31/14 AIOSSA LAW FIRM 368 14WC 21987 RUSEVIC, ALICE EDWARD HEALTH & FITNESS C 07/19/12 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 369 14WC 22099 MEDINA, MICHAEL METALS TECHNOLOGY CORPORA 01/30/14 MAINARD LAW OFFICE GANAN & SHAPIRO 370 14WC 22421 SOBAS, KRYSTYNA THE MOREY CORPORATION 09/26/13 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 371 14WC 22423 HERNANDEZ, ARTEMIO LABOR SOLUTIONS LLC 06/10/14 GOLDBERG WEISMAN & CAIRO L 372 14WC 22511 GODSEY, JEFFREY LAND ROVER OF HINSDALE 02/08/13 LAW OFFICE DAVID W CLARK 373 14WC 22556 AGUIRRE, SANTURINO ENERGY SMART 05/30/14 PORRO NIERMANN & PETERSEN 374 14WC 22667 HAYS, MIA CAPUTO'S NEW FARM PRODUCE 04/27/14 FRANCIS J DISCIPIO LAW OFF ACCIDENT FUND HOLDINGS 15WC022937 -C FRESH MARKET 375 14WC 22779 MAMMINA, ROSEMARIE L ARAMARK 03/20/14 GALLAGHER, DONALD V 376 14WC 22919 STEINEKE, ED AVALANCHE PUB/ 06/13/13 R. MARK MARITOTE PC WOLF LAW LTD 377 14WC 22941 HIRATA, PATRICIA A MIDWEST PHYSICIAN 08/09/12 PETER F FERRACUTI & ASSOCI 378 14WC 22978 ALVARADO, ANA MARIA FOREST VIEW REHAB & 11/16/13 BOWMAN & CORDAY BRADY CONNOLLY & MASUDA PC 379 14WC 23117 DE ANDA MORENO, OSCAR R UNISTAFFING 01/31/14 LAW OFFICE OF JAMES H MILL WIEDNER & MCAULIFFE LTD 380 14WC 23253 WOODALL, BRIAN MB TRANSPORTATION 05/20/14 CULLEN HASKINS NICHOLSON 381 14WC 23636 STILTNER, ROCKY GRANE TRANSPORTATION 12/10/13 MILLON & PESKIN LTD LITCHFIELD CAVO 382 14WC 23784 MYERS, JONMERICH SUNRISE TRANSFER 10/20/12 BART DURHAM STONE & JOHNSON CHARTERED 383 14WC 23866 GATTUSO, GIOVANNI THREE GENERATIONS 07/07/14 LOCASCIO, MARK A LTD LITCHFIELD CAVO 384 14WC 23922 GROSS, RACHAEL CERMAK FOODS 06/06/14 WHITESIDE & GOLDBERG LTD KOPKA, PINKUS & DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 385 14WC 24025 SPENCER, MAURICE HCR MANOR CARE 06/26/14 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 386 14WC 24253 SCHNAYER, LEROY AT&T 06/12/14 GOLDBERG WEISMAN & CAIRO L 387 14WC 24742 ZUBEK, HELENA EDWARD HOSPITAL 04/03/14 DEPAOLO ZADEIKIS GORE WILLIAMS MCCARTHY LLP 14WC024743 -C ARAMARK MANAGEMENT SERVICE 388 14WC 24981 POULIOT, JEFFERY BRONSON & BRATTON 03/13/13 JACOBSON & SCHIEFELBEIN 389 14WC 25349 NEUMAN, TERRY CARQUEST AUTO PARTS 09/30/13 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 390 14WC 25600 SAMBRANO, AFREDO HORIZON CARPENTRY 06/21/14 PORRO NIERMANN & PETERSEN RODDY LAW LTD 391 14WC 25625 MEDINA-RUIZ, CAROLINA SNYDER INDUSTRIES INC 06/09/14 ANKIN LAW OFFICE 392 14WC 25649 ALVEN, VON TROY SYSCO CENTRAL ILLINOIS 06/11/14 SAUNDERS CONDON & KENNY 393 14WC 25801 GRADY, DONALD R BRACING SYSTEMS 04/25/14 CRONIN & PETERS WOLFE & JACOBSON, LTD 394 14WC 26853 CIELOCHA, MIKE NAPERVILLE PARK DISTRICT 12/05/13 FOOTE MIELKE CHAVEZ & O'NE GAROFALO SCHREIBER STORM 395 14WC 27115 HERNANDEZ, ELIAS BONAR PLASTICS INC 06/19/14 DANIEL PERIASWAMY QUINTAIROS PRIETO WOOD & BOY 396 14WC 27270 ARIZA, JOSE HUMBERTO METRO STAFF, INC. 03/10/12 EPSTEIN, JACK R LAW OFFICE 397 14WC 27294 CINTRON, LISA EQUIPMENT DEPOT 03/14/14 LAW OFFICE OF SCOTT B SHAP 398 14WC 27486 CINTRON, LISA EQUIPMENT DEPOT 03/14/14 LAW OFFICE OF SCOTT B SHAP COZZI & GOGGIN-WARD 399 14WC 27848 PATAPAUCHI, YESENIA WHITE CASTLE 03/14/14 400 14WC 27985 MANNING, JESSICA C MEDTRONIC SPINAL 12/31/13 PARENTE & NOREM PC SPIEGEL & CAHILL, PC 401 14WC 28350 LILL, MATTHEW JAGUAR OF NAPERVILLE 06/10/14 BURNETT AND CARON ROBERT L. SMITH 402 14WC 28376 GUTIERREZ, CLAUDIA MULTI-TECH INDUSTRY 12/06/13 KATZ FRIEDMAN EAGLE ET AL KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 14WC 28439 CAMACHO-MENDEZ, JESUS COM2 COMPUTERS & TECHNOLO 07/01/14 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 404 14WC 28606 MITTS, NAHSHON INTEGRA HEALTHCARE EQUIPM 07/23/14 DWORKIN AND MACIARIELLO 405 14WC 28795 19B LANGFORD, DEANDREA DOUMAK, INC. 08/13/14 LAW OFFICE EDWARD LICHTENS HOLECEK & ASSOCIATES 406 14WC 28826 SANCHEZ, JACOBO KRHR DISTRIBUTORS, INC. 05/15/14 LEWIS & DAVIDSON, LTD 407 14WC 28988 MARIN, ALFREDO QUALITY BAGS INC 07/18/14 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 408 14WC 29058 GODOY, GERDY COMPASS GROUP 08/11/14 GOLDSTEIN BENDER & ROMANOF 409 14WC 29340 VEGA, DAVID TOTAL TRANSPORATION 03/05/14 DEFFET, TIMOTHY J LAW OFFI HOLECEK & ASSOCIATES 410 14WC 29472 GKOTSE, THOMAS BRIGHTON GARDENS BY SUNRI 11/25/13 CUSHING LAW OFFICES HENNESSY & ROACH PC 411 14WC 29798 COLES, DAWN CADENCE HEALTH 04/29/14 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 412 14WC 29942 MC DANIEL, ROBIN GRAPHIC PACKAGING INT'L 05/08/14 SKLARE LAW GROUP DOHERTY & PROGAR LLC 413 14WC 30001 MEDRANO, MARY UPS 01/14/14 WILLIAM MARTAY ASA LAW GROUP 414 14WC 30225 SALCEDO, JOEL ARROW GEAR 06/02/14 KARCHMAR & STONE 415 14WC 30336 CALDERON, SUSANA ECU STAFFING MULTI-SVCS. 05/30/14 LEWIS & DAVIDSON, LTD THOMAS & PORTELA 14WC030337 -C 416 14WC 30469 MONROY, MARIA MARRIOTT OAKBROOK 01/01/14 SALVATO & O'TOOLE POWER & CRONIN LTD 417 14WC 30569 GRAZIANO, JESSE AT&T AKA ILLINOIS 07/25/14 BRILL & FISHEL HENNESSY & ROACH PC 418 14WC 30768 GRAMTIKO, NADA ADVENTIST HINSDALE HOSPIT 10/07/13 BAUM RUFFOLO & MARZAL LTD STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 419 14WC 30892 ARELLANO, MIGUEL SIMPLEX GRINNEL 06/15/14 MARC J SHUMAN & ASSOCIATES 420 14WC 31336 DELGADO, GRISELDA INDIAN PRAIRIE SCHOOL 10/02/13 SKLARE LAW GROUP BRADY CONNOLLY & MASUDA PC 14WC031337 -C 14WC031338 -C 421 14WC 31444 SMITH, ANTOINETTE WESTMONT NURSING & REHABI 07/18/14 VASILATOS & COTTER LLC BRADY CONNOLLY & MASUDA PC 422 14WC 31770 DRIESSEN, MAUREEN RRM FOUNDATION (CANTIGNY) 10/13/11 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 423 14WC 31880 LUCIANO, MARIA COMPASS GROUP 07/30/14 KINNALLY FLAHERTY KRENTZ & GANAN & SHAPIRO 424 14WC 32221 THOMAS, LAMOND CLEAR STAFF INC 10/08/13 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS, INC 425 14WC 32550 VANCIL, EARL SUNCRAFT TECHNOLOGIES INC 02/11/14 PORRO NIERMANN & PETERSEN COZZI & GOGGIN-WARD 426 14WC 32856 HUERTA, NORMA WILLOWBROOK INN 09/10/14 CULLEN HASKINS NICHOLSON LITCHFIELD CAVO 427 14WC 32958 GARZA, RAUL CORFU FOODS INC 05/30/14 VRDOLYAK LAW GROUP LLC 428 14WC 33096 BARAJAS, NINFA LINDSAY WINDOW & DOOR LLC 12/06/13 BRIAN T MORROW, LAW OFFICE COZZI & GOGGIN-WARD 429 14WC 33253 HERMAN, LEO METAL EDGE 10/03/11 JASINSKI, GEORGE J INMAN & FITZGIBBONS 430 14WC 33512 DOWD, STEVEN ARGONNE 08/15/14 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 15WC021762 -C 431 14WC 33645 PESOVIC, DALIBORKA UNITED PARCEL SERVICE 02/28/14 PORRO NIERMANN & PETERSEN ASA LAW GROUP 15WC017622 -C UPS 16WC023689 -C 432 14WC 33746 KENNEDY, CARMELIA WEST TERRACE NURSING HOME 07/14/14 PORRO NIERMANN & PETERSEN KEEFE CAMPBELL & ASSOC LLC 433 14WC 33921 JONES, KIMBERLY PRESTIGE PAINT & MAINT IN 09/24/14 AIOSSA LAW FIRM WIEDNER & MCAULIFFE LTD 434 14WC 34152 SANDOVAL, IRMA ELITE STAFFING 03/26/14 JAMES ELLIS GUMBINER & ASS MARC CAIRO 435 14WC 34165 BROWN, ELIZABETH MARKLUND CHILDREN'S HOME 07/04/14 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 14WC 34200 STEELE, GREG WILLIAM BUIKEMA'S ENTERPRISES LTD 01/22/12 RICHARD C GLEASON WOLFE & JACOBSON, LTD 437 14WC 34280 BARE, SHARON UNITED PARCEL SERVICE 08/21/14 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 438 14WC 34283 MEDRANO, SALOMON ADDISON FRESH MARKET INC 08/20/14 THE ROMAKER LAW FIRM GANAN & SHAPIRO 15WC041625 -C CARNICERIA JIMENEZ 439 14WC 34359 IBARRA, MARIA E DUNKIN DONUT PC #336533 07/04/14 OSVALDO RODRIGUEZ PC RUSIN & MACIOROWSKI LTD 440 14WC 34494 FERRERIA, JORGE JOHN BURNS CONSTRUCTION 09/24/14 BRUSTIN & LUNDBLAD LTD ACCIDENT FUND HOLDINGS, INC 441 14WC 34549 SCOTT, CLAY WHEATON COLLEGE 11/13/13 MARKER & ASSOCIATES HENNESSY & ROACH PC 442 14WC 34665 BARTELS, JEFFREY PANDUIT CORP 08/12/14 RITTENBERG & BUFFEN 443 14WC 34698 GARCIA, MARIA EDITH HOME PRIDE SERVICES, INC 07/30/14 RATHBUN CSEVENYAK & KOZOL 444 14WC 34778 DOYLE, JOE JOSEPH J HANDERSON & SON 09/02/14 ROMANEK & ROMANEK BRADY CONNOLLY & MASUDA PC 445 14WC 34899 GLASER, LORI DOWNERS GROVE S.D. #58 08/27/14 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 446 14WC 35699 JACKSON, CURTIS EDWARD HOSPITAL 08/08/14 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 447 14WC 35896 BERARD, CHRISTOPHER CITY OF NAPERVILLE 08/01/12 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 448 14WC 35966 KELLY, TIM CITY OF NAPERVILLE 08/13/14 GOLDBERG WEISMAN & CAIRO L 449 14WC 35981 TOCHIMANI, MARIA ARAMARK 09/05/14 JAMES ELLIS GUMBINER & ASS 450 14WC 36007 WALES, CHRISTINE SASED 04/25/14 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 451 14WC 36025 HERNANDEZ, LUZ COSTCO 04/11/14 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 452 14WC 36359 WHEELER, GEORGE JR DAIMLER TRUCKS NO AMERICA 08/20/12 LAW OFFICES OF MARK SCHAFF KNELL & O'CONNOR 14WC036360 -C 14WC036361 -C 14WC036362 -C 14WC036363 -C 14WC036364 -C 453 14WC 36522 RYZNER, DEBORAH VISKASE CASING SOLUTIONS 01/06/14 O'CONNOR & NAKOS LAW OFFICES JOSEPH MARCINIAK 454 14WC 36613 MICHALEK, PAUL ANGELO CAPUTOS FRESH MARK 05/26/14 BLOCK, KLUKAS & MANZELLA P 455 14WC 36637 SINGO, SANDILE SYNCREON 09/02/14 DWORKIN AND MACIARIELLO 456 14WC 36944 ALMEN, SCOTT VON DOWNERS GROVE POLICE DEPT 11/13/13 MEYERS & FLOWERS VILLAGE OF DOWNERS GROVE 457 14WC 37098 ROGERS, CORY MIDDLE WEST DISTRIBUTORS 09/19/14 PORRO NIERMANN & PETERSEN GAROFALO SCHREIBER STORM 458 14WC 37145 MARTINEZ, CLAUDIA FOREST ENVELOPE 01/14/14 RATHBUN CSEVENYAK & KOZOL CASSANO & ASSOCIATES 459 14WC 37174 LEE, ROBERT DUPAGE COUNTY 05/29/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 460 14WC 37219 CRUDU, VADIM ABS TRANSPORTATION INC; T 11/02/12 LAW OFFICES SIDNEY EZRA 461 14WC 37347 CAMPBELL, TARA DUPAGE COUNTY 09/26/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC009508 -C DU PAGE COUNTY JAIL 462 14WC 37370 PELAEZ, ELMA JF CLEANING, INC 10/10/14 CULLEN HASKINS NICHOLSON RODDY LAW LTD 463 14WC 37379 MARTINEZ, MARCO A ELITE STAFFING 07/01/14 CULLEN HASKINS NICHOLSON MARC CAIRO 464 14WC 37471 MALCZYK, JOHN UNITED STATIONERS, INC. 06/09/14 GALLAGHER, DONALD V HENNESSY & ROACH PC 465 14WC 37537 ROUTLEDGE, JEFFREY ILLINOIS GAMING BOARD @ 06/02/14 RIDGE & DOWNES C. FLETCHER 466 14WC 37693 SEBESTA, GREGORY OAKBROOK TERRACE 06/17/14 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 467 14WC 37780 SERRANO, DANIEL PROFESSIONAL TREE REMOVAL W 07/22/14 THOMAS J STIBERTH LAW OFFI ASSISTANT ATTORNEY GENERAL 468 14WC 37841 STUBBS, JOSEPH R OPUS DESIGN BUILD 06/25/13 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 469 14WC 38081 WALENDZINSKI, GREGORY S MONDELEZ GLOBAL LLC 08/01/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 470 14WC 38263 SALAS, MARIA ARAMARK 03/14/14 THE ROMAKER LAW FIRM STONE & JOHNSON CHARTERED 471 14WC 38719 JAKVANI, SHOUKAT EXTENDED STAY AMERICA 02/13/14 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 472 14WC 38758 CALDERON, RAMIRO CCA MIDWEST 10/02/14 PORRO NIERMANN & PETERSEN WIEDNER & MCAULIFFE LTD 473 14WC 38843 VELARDO, KAREN NEW ALBERTSON'S INC 09/19/14 LAW OFFICE PHILIP BLOMBERG BRADY CONNOLLY & MASUDA PC 474 14WC 39068 ROSE, PHILLIP FORE TRANSPORATION, INC. 11/11/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 475 14WC 39350 GUZMAN, LUIS BUILDERS CONCRET SERVICE 10/17/14 KALOGERAKOS & ASSOC 476 14WC 39377 PADILLA, JUAN CARLOS JOSE ROJAS & SHOWALTER RO 10/29/14 EPSTEIN, JACK R LAW OFFICE WOLF LAW LTD 477 14WC 39640 PEREZ, JUVENAL INTERNATIONAL WINDING INC 11/18/14 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 478 14WC 39939 LOPEZ-PEREZ, MIGUEL VILLAGE MARKET PLACE 05/28/14 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 479 14WC 40095 VICORY, JULIE EPSILON 09/30/13 LEONARD LAW GROUP LLC 480 14WC 40196 VALENZUELA, JORGE N J.B. HUNT 03/04/14 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 481 14WC 40385 STOFFLE, DAVID JEWEL OSCO 11/17/11 DWORKIN AND MACIARIELLO 482 14WC 40441 SERRITELLA, ANNETTE MACY'S EAST 10/03/10 LAW OFFICE PHILIP BLOMBERG ROBERT L. SMITH 14WC040442 -C 14WC040443 -C 14WC040444 -C 483 14WC 40487 LIGHTFOOT, CARL AGL/NICOR GAS 03/23/14 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 14WC 40776 RHODE, NICK RADIO SHACK 09/23/14 GRAZIAN & VOLPE PC 485 14WC 40950 SOLIS, JOSE OYUKIS LANDSCAPING CORP 10/29/14 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 486 14WC 41207 ROUTLEDGE, JEFFREY ILLINOIS GAMING BOARD 06/03/14 RIDGE & DOWNES C. FLETCHER 487 14WC 41238 DELGADO, ALVARO AMICI ITALIAN DELI 11/20/14 AIOSSA LAW FIRM 488 14WC 41454 CUEVAS-ROGEL, RUFINA ADDUS HOME CARE 10/17/14 TAMVAKIS, GEORGE L HENNESSY & ROACH PC 489 14WC 41499 LEWIS, JOHN J JR DAN LOGISTICS INC 03/21/13 ANTHONY C RACCUGLIA & ASSO 490 14WC 41528 GUZMAN, LUIS BUILDERS CONCRETE SERVICE 10/17/14 KALOGERAKOS & ASSOC 491 14WC 41541 NIKOLIC, PERO OVERTON CHICAGO GEAR 02/14/14 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 492 14WC 41649 LEVCHENKOV, LEONID WIESLAW SKOWRON CONSTRUCT 11/25/14 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 493 14WC 41735 ECHOLS-SHERRY, MELISSA ARJO-HUNTLEIGH 11/04/14 SANDMAN LEVY & PETRICH COZZI & GOGGIN-WARD 494 14WC 41910 ASCENCIO, MANUEL SERVICE DRYWALL COMPANY 11/17/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 495 14WC 41948 MONDRAGON, ARMANDO SOURCE ONE STAFFING 09/08/14 JAMES ELLIS GUMBINER & ASS ROBERT L. SMITH 15WC034061 -C 496 14WC 41967 KRIGSHOLM, CHRISTINE ALDEN VLGE HLTH FACILITY 04/25/14 BUDIN LAW OFFICES LAW OFFICES FRANCESCA LARSEN 497 14WC 42145 PEREZ, VICTOR M F.R.Y. INSTALLATIONS CORP 03/17/14 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 498 14WC 42156 PELAGIO, MARIA ARBOR MANAGEMENT INC 05/14/14 FOOTE MIELKE CHAVEZ & O'NE COZZI & GOGGIN-WARD 499 14WC 42310 AYALA, MANUELA ELITE STAFFING INC 11/01/14 SALK, STEVEN B & ASSOC LTD MARC CAIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 500 14WC 42323 JONES, SHIRLEY A BRIDGEWAY OF BENSENVILLE 10/30/14 FRIEDMAN & SOLMOR LTD 501 14WC 42444 JONES, PIERRE SAVERS THRIFT STORE 09/05/14 ANKIN LAW OFFICE RODDY LAW LTD 15WC012909 -C 502 14WC 42810 MOORE, JASON AT & T 09/01/14 GOLDBERG WEISMAN & CAIRO L 503 14WC 42986 MANCINI, HEATHER MCDONALDS 08/04/14 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 504 14WC 43046 GIRALDO, MARIA EATON CORPORATION 12/03/14 BARRY STEWART SILVER CASSIDAY SCHADE LLP 15WC006062 -C 505 14WC 43173 TARNOWSKA-KRAHEL, BEATA AMBULATORY SURGICENTER 01/10/12 SYREGELAS, NICHOLAS C 506 14WC 43442 KOMMENICH, MARY THE ILLINOIS STATE TOLL 11/13/14 ANKIN LAW OFFICE GANAN & SHAPIRO 507 14WC 43506 BERNACCHI, LISA US BANK 07/30/14 LIPKIN & HIGGINS LAW OFFIC HENNESSY & ROACH PC 508 14WC 43734 VELAQUEZ, HUGO E UNION STAFFING 11/21/14 GOLDSTEIN BENDER & ROMANOF MC ANDREWS & NORGLE LLC 509 14WC 43750 POSADA, MARIA ABBOTT LABEL INC. 09/23/14 ARGIONIS & ASSOCIATES LLC LAW OFFICES OF EDWARD J. KOZ 510 15WC 00132 MARU, DANIEL NAVIGATION INC 11/05/14 KATZ FRIEDMAN EAGLE ET AL 511 15WC 00161 BRENT, EARLINE PROTECTOSEAL 08/29/12 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 16WC011609 -C 512 15WC 00266 BRACAMONTES, JUAN D HART & COOLEY INC 08/20/14 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 513 15WC 00289 MELEHAN, DANIEL D2K TRAFFIC EQUIPMENT & D 12/20/14 DONALD M. PHELAN NYHAN BAMBRICK KINZIE & LOWR 514 15WC 00311 BELEIN, SAWSAN T TYSON FOODS INC 08/28/13 BUDIN LAW OFFICES GANAN & SHAPIRO 515 15WC 00319 MENDOZA, ANGELINA US BANK 07/15/14 LIPKIN & HIGGINS LAW OFFIC HENNESSY & ROACH PC 516 15WC 00370 MORALES, ALMA ELITE STAFFING 12/04/14 LAW OFFICES OF ANSELMO DUR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 15WC 00394 CLAMPITT, CORTNEY F/K/A ALDI 11/01/14 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 518 15WC 00534 LOPRESTI, ANNETTE M MEDINAH COUNTRY CLUB 09/03/14 GIACOBBE, THOMAS M RIPES NELSON BAGGOT KALOBRAT 519 15WC 00676 VAZQUEZ, DIEGO ADDANTE'S CATERING & PIZZ 10/03/14 MUELHAUSEN & STEFANI PATRICOSKI, MARK G 520 15WC 00722 WOJCIECHOWSKI, ANDREW NTA PRECISION AXLE CORP 10/28/13 HETHERINGTON KARPEL BOBBER 521 15WC 00790 FLORES, ISABEL A ARAMARK 10/09/14 LAW OFFICE DAVID W CLARK STONE & JOHNSON CHARTERED 522 15WC 00997 PINEDA, CARLOS ASG STAFFING 08/28/14 STROM, NEAL B 523 15WC 01427 FLORES, ISAI AGUILAR STANDARD MARKET LLC 08/26/14 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 524 15WC 01537 JIMENEZ, JOSE ASPLUNDH TREE EXPERT 10/15/14 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 525 15WC 01655 HALSTEAD, ALVA LORUSSO CEMENT CONTRACTOR 11/11/14 HORWITZ HORWITZ & ASSOC CHILTON YAMBERT PORTER LLP 526 15WC 01918 KNITTER, DEBORAH HCR MANORCARE 07/17/14 HORWITZ HORWITZ & ASSOC 15WC001919 -C 527 15WC 01944 ROBLES, ROBERTO OLYMPIA MOVING & STORAGE W 12/05/14 MC HARGUE, JAMES P LAW OFF MICHAEL DAVIS, ESQ 528 15WC 02023 CZECH, JENNIFER WALGREENS INFUSION SERVIC 11/24/14 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 529 15WC 02321 SCHOLTENS, DEANNA JEWEL-OSCO 11/06/14 LAW OFFICE MATHYS& SCHNEID 530 15WC 02540 AGUINIR-BOWIE, MARGARETTE EDWARD HOSPITAL/LINDEN OA 07/05/14 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 531 15WC 02635 WHITE, ALBERT PEOPLES RESOURCE CENTER 07/21/14 HUGHES SOCOL PIERS RESNICK GANAN & SHAPIRO 532 15WC 02898 MARTINEZ, CLAUDIA FOREST ENVELOPE CO 11/05/14 RATHBUN CSEVENYAK & KOZOL 533 15WC 02925 VARGAS, MARIA ABM JANITORIAL SERVICE 01/21/15 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 534 15WC 02930 SARRIS, DINOS NATIONAL EXPRESS CORP 03/12/13 JOEL BELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 535 15WC 03025 CANDIA, JOSE SUPREME LOBSTER & SEAFOOD 01/14/15 LUIS A ACEVES & ASSOC 536 15WC 03047 RENTERIA, JOSE INTEGRA 11/07/14 SOSTRIN AND SOSTRIN PC 537 15WC 03320 SCHULD, MICHAEL UPS 10/24/13 CHRISTIAN & MANNO NYHAN BAMBRICK KINZIE & LOWR 538 15WC 03435 SEAHRA, RANJIT COUNTY OF DUPAGE 09/10/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 539 15WC 03457 BIEDA, JOHN US FOOD SERVICES 06/11/14 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 15WC003458 -C 16WC020059 -C 540 15WC 03589 HILL, ROGER DOWNERS GROVE SOUTH H.S. 04/14/14 WHITESIDE & GOLDBERG LTD LAW OFFICES JOSEPH MARCINIAK 541 15WC 03619 MARTINEZ, MODESTA ARAMARK UNIFORM 10/20/14 JAMES ELLIS GUMBINER & ASS STONE & JOHNSON CHARTERED 15WC005017 -C 542 15WC 03764 DELEON, KATRINA EMBASSY SUITES CHICAGO 11/17/14 ROSS TYRRELL NOBLE & ASSOCIATES PC 543 15WC 03808 GHAI, VED BANK OF AMERICA 02/19/14 LAW OFFICE PHILIP BLOMBERG WOLFE & JACOBSON, LTD 544 15WC 03976 HAKIM, DAVID DUPAGE COUNTY SHERIFF 12/11/14 MCCARRON LAW FIRM, PC WIEDNER & MCAULIFFE LTD 545 15WC 04001 CLARK, TOM IL STATE TOLL HWY AUTHORI 11/15/14 FRANCIS J DISCIPIO LAW OFF GANAN & SHAPIRO 546 15WC 04055 MURPHY, JAMES LITTLE MAX INC 01/08/15 WOODRUFF & JOHNSON ALLEN KOPET & ASSOCIATES 547 15WC 04200 JACKSON, PATRICE A COMED 12/16/14 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 548 15WC 04237 DEALBA, GABRIELLE E SES LOGISTICS 12/01/14 SEIDMAN MARGULIS & FAIRMAN 549 15WC 04258 MENDEZ, MARVIN ALL MY SONS MOVING & STOR 08/28/14 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 15WC004259 -C 550 15WC 04282 DONIEK, DENISE LUNAN CORP 07/09/13 MOSS & MOSS PC COZZI & GOGGIN-WARD 551 15WC 04451 ALVARADO, MARIA ILLINOIS CENTRAL 10/30/12 BURNETT AND CARON MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 552 15WC 04657 MILLER, MICHELLE COUNTY OF DUPAGE 01/20/15 MEYERS & FLOWERS ROCK FUSCO & CONNELLY 553 15WC 04661 BARRAGAN, FIDEL ESSI MIDWEST INC 11/26/14 LAW OFFICES PETER LEKAS WIEDNER & MCAULIFFE LTD 554 15WC 04666 FULWILEY, EBONY MARIE UNITED PARCEL SERVICE 01/07/15 CULLEN HASKINS NICHOLSON 555 15WC 04775 SKRZYPIEC, NANCY UPS 09/08/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 556 15WC 04848 HAMILTON, SAMUEL CHIPAINS FINER FOODS 01/20/15 CUDA LAW OFFICES BRADY CONNOLLY & MASUDA PC 557 15WC 04890 GALVAN, ERASTO UNIVERSAL TAXI DISPATCH I W 01/09/15 WILLIAMS, ROBERT B LAW OFF MACIOROWSKI SACKMANN & ULRIC 558 15WC 04911 CERMAK, MATTHEW E EDWARD HOSPITAL & HEALTLH 08/14/14 GOLDBERG WEISMAN & CAIRO L KEEFE CAMPBELL & ASSOC LLC 559 15WC 04966 DRISH, KRISTINE FIRST CENTENNIAL MORTGAGE 02/06/15 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 560 15WC 05125 FRENECAK, BILL CARCARE COLLISSION 01/28/14 SAUNDERS CONDON & KENNY 561 15WC 05179 SROKA, RAFAL RANDALL MANUFACTURING 01/25/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 562 15WC 05181 RAMOS, BALTAZAR ELITE MANUFACTURING 08/14/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 15WC005182 -C 563 15WC 05217 FORTINO, ROBERT VILLAGE OF WOODRIDGE 01/03/15 WHITESIDE & GOLDBERG LTD POWER & CRONIN LTD 564 15WC 05261 GONZALEZ, AZUCENA CAPUTO'S NEW FARM PRODUCE 01/12/15 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 565 15WC 05397 GLOWA, ZBIGNIEW INX INTERNATIONAL INK CO 01/14/15 KARCHMAR & STONE RODDY LAW LTD 566 15WC 05739 VARGAS, SUSAN COVENANT RETIREMENT 01/02/15 COVEN LAW GROUP ASHER, RAYMOND L LTD 567 15WC 05807 SMARZEWSKI, JOANN M REOPCO DBA ROAD RANGER #2 11/30/14 CULLEN HASKINS NICHOLSON 568 15WC 06162 TILL, KENNETH MID CITY TRUCK BODY & 06/19/13 BRIAN T MORROW, LAW OFFICE GAROFALO SCHREIBER STORM 569 15WC 06266 DOUGLAS, RHONDA FEDEX GROUND PACKAGE 01/20/15 SANDMAN LEVY & PETRICH SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 570 15WC 06375 RIZZI, ANGELO C PRO SERVICES INC 12/30/14 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 571 15WC 06403 LOPEZ, VICTOR TPG NORAMCO LLC 02/09/15 AIOSSA LAW FIRM 572 15WC 06547 MORSON, MICHAEL D UPS 12/31/14 THE ROMAKER LAW FIRM 573 15WC 06636 ARANDA, RAUL APPIAN STONE WERKS INC 07/02/13 BARRY STEWART SILVER GANAN & SHAPIRO 15WC006637 -C 15WC006638 -C 574 15WC 06642 ISIDRO REZA, JOSE NEW ROYAL DISTRIBUTERS 02/09/15 JAMES ELLIS GUMBINER & ASS 575 15WC 06736 TORRES, MERCEDES CORNELIUS 02/07/15 BART DURHAM GAROFALO SCHREIBER STORM 15WC006737 -C 15WC006738 -C 576 15WC 06741 FARON, ELIZABETH M. MASSAGE ENVY 08/05/14 WILLIAMS, ROBERT B LAW OFF BRADY CONNOLLY & MASUDA PC 577 15WC 06903 MORALES, JUAN SUNRISE ELECTRIC SUPPLY C 06/23/14 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 578 15WC 06951 SCHULTZ, ERIN DUPAGE COUNTY 02/12/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 579 15WC 06956 LAMBERT, RICHARD DILWORTH WINDOWS & DOORS 06/04/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 580 15WC 07028 NAVA, MARIA ELITE STAFFING 02/20/15 JONATHAN SCHLACK 581 15WC 07141 ZIETHEN, RICK FOX VALLEY FORK LIFT 01/27/15 COMPTON LAW GROUP COZZI & GOGGIN-WARD 582 15WC 07241 PATTELLI, GINA J WHOLE FOODS MARKET INC 03/08/13 MICHAEL FRADIN GILDEA & COGHLAN 583 15WC 07277 FLORES, BELKYN STAND FAST PACKAGING 06/09/14 JAMES ELLIS GUMBINER & ASS 584 15WC 07290 ROMO, VERONICA AUTO MART NATIONWIDE, INC 02/17/15 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 585 15WC 07400 BARNO, JEFF NAVISTAR 03/14/12 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 586 15WC 07424 JOHNSON, ANDERS MAAC MACHINERY CO 02/02/15 CAMERON CLARK 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 FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 15WC 07490 SOLORZANO, PABLO GOLDEN STATE FOODS 02/15/15 HORWITZ HORWITZ & ASSOC 588 15WC 07497 WESOLEK, THOMAS AMERIGAS PROPANE INC 10/31/13 CORBOY & DEMETRIO PC WIEDNER & MCAULIFFE LTD 589 15WC 07609 HAYDON, JEFFREY S THE TILE SHOP 07/03/13 ANESI OZMON RODIN NOVAK KO COZZI & GOGGIN-WARD 590 15WC 07767 KAZOTIN, CHRISTELLE VITAS HEALTHCARE CORP 02/02/15 CRONIN & PETERS HENNESSY & ROACH PC 591 15WC 07859 ADAMS, ROBERT F II ADVANTAGE VALET PARKING I 02/04/15 DOUGLAS RALLO PC 592 15WC 07877 MESQUITA, WILLIAM MCMASTER-CARR 09/23/14 RIFFNER BARBER ROWDEN & SC NYHAN BAMBRICK KINZIE & LOWR 593 15WC 08201 MORALES, ISABEL MEYERCORD 11/07/14 LEAHY, JAMES P THOMAS & PORTELA 594 15WC 08207 HARRISON, GENE GRADY SPEEDWAY TRANSPORT 02/25/15 WOODRUFF & JOHNSON LEWUN & KAIS LTD 595 15WC 08384 SHAH, ANILKUMAR DELTA CIRCUITS INC 05/20/14 KINNALLY FLAHERTY KRENTZ & WOLFE & JACOBSON, LTD 596 15WC 08548 ALVAREZ, LAURA ARAMARK 09/08/14 LEE A CAMPBELL LAW OFFICE 597 15WC 08703 SALGADO, ROCIO E&C CUSTOM PLASTICS INC 01/15/15 FRIEND LEVINSON & BERGAL LAW OFFICES JOSEPH MARCINIAK 598 15WC 08736 MACDONALD, DOUGLAS PETCO PETROLEUM CORP 02/05/15 SOSTRIN AND SOSTRIN PC GRANT & FANNING 599 15WC 09002 HAMMOND, MICHAEL CASSENS TRANSPORT 02/24/14 PORRO NIERMANN & PETERSEN KNAPP, OHL & GREEN 600 15WC 09081 WRIGHT, FRAN FIRST STUDENT 12/29/14 WOODRUFF & JOHNSON 601 15WC 09090 STILES, PAT OZINGA READY MIX CONCRETE 10/30/14 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 602 15WC 09192 BERRY, BRIAN M IDOT @ 09/05/14 ANESI OZMON RODIN NOVAK KO ASSISTANT ATTORNEY GENERAL 603 15WC 09349 PARKER, CHARLES GENERAL MILLS, INC. 01/14/15 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 604 15WC 09612 SASSEN, JUSTIN D GIVAUDAN FLAVORS 08/22/14 BUDIN LAW OFFICES SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 15WC 09706 SCHERRER, RAYMOND W JR EMPLOYMENT MANAGEMENT SER 10/07/14 SHENOO, EDWARD G BRYCE DOWNEY & LENKOV LLC 606 15WC 09713 KUMAR, ARUN INGRAM MICRO INC 12/06/13 MILLON & PESKIN LTD 607 15WC 09729 BURNS, JEANNINE FOREST ENVELOPE CO 08/26/14 GREGORY H BOOTH HENNESSY & ROACH PC 608 15WC 09738 GUERRERO, GIOVANNI ALBLE ENGINEERING SERVICE 02/06/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 609 15WC 09988 MONACO, MICHELE D HARBOR LIGHT HOSPICE 02/05/15 FIGLIOLI, DAVID 610 15WC 10082 OLIVAS, MARIO FIC AMERICA 08/01/13 FRIEDMAN & SOLMOR LTD INMAN & FITZGIBBONS 16WC017137 -C 611 15WC 10381 EILERT, AILEEN GZA GEO ENVIRONMENTAL INC 01/15/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 612 15WC 10494 HERNANDEZ, LIONY GCA SERVICES GROUP 03/09/15 JOHN C SERKLAND POWER & CRONIN LTD 613 15WC 10533 BURNSIDE, SUSAN JEWEL FOOD STORE 09/27/14 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 614 15WC 10553 SAUCEDO, ALMA S&S CLEANING SOLUTINS 02/25/15 615 15WC 10590 CHAMBERS, BRIAN MECHANICAL INC. 03/13/15 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC 616 15WC 10709 KAUR, JASWINDER SONOCO PRODUCT COMPANY 04/07/14 KP LAW LLC NOBLE & ASSOCIATES PC 15WC010710 -C 15WC010711 -C 15WC010712 -C 15WC010713 -C 617 15WC 10952 ROJAS, ADAN JEL SERT CO 01/29/15 KARCHMAR & STONE HENNESSY & ROACH PC 618 15WC 11058 VARGAS, GENARO SHAPE, LLC 01/28/15 LAW OFFICES LEONARDO MORAL BRADY CONNOLLY & MASUDA PC 619 15WC 11160 RASIC, DANIEL SECURITIES USA 03/13/15 STEVEN H MEVORAH & ASSOCIA STONE & JOHNSON CHARTERED 620 15WC 11276 MUTZ, CATHERINE EDWARDS HOSPITAL 01/04/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 621 15WC 11369 WHITE, KATHY FACTORY NESTLE USA INC 04/11/14 JOHN E LUSAK KEEFE CAMPBELL & ASSOC LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 15WC 15425 FONSECA, MARIA SPRAYING SYSTEMS CO 08/15/13 EPSTEIN, JACK R LAW OFFICE 658 15WC 15503 BROWNLOW, MELISSA GRAPHIC PACKAGING 01/16/15 DWORKIN AND MACIARIELLO DOHERTY & PROGAR LLC 659 15WC 15556 VARGAS, ROBERT ARGONNE NAATIONAL LABORAT 04/15/15 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 660 15WC 15612 RODRIGUEZ, VANESSA COMPASS GROUP 06/23/14 LANNON LANNON & BARR LTD 661 15WC 15672 MONTERO FIGUERO, JOSE A SABIC INNOVATIVE PLASTICS 07/25/14 SALGADO, DAVID L 662 15WC 15676 KUHTER, STEPHANIE FED EX # 04/20/15 LAW OFFICE PHILIP BLOMBERG SCOPELITIS GARVIN LIGHT 663 15WC 15792 HARRIS, BARBARA GENERAL MILLS INC 05/31/13 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 664 15WC 15805 LODESTRO, VINCENT CAPUTO'S FRESH MARKET 11/13/14 STEVEN M SELAN GANAN & SHAPIRO 665 15WC 15875 HUITZ, AMALIA DEMAR 05/12/14 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 15WC015876 -C 666 15WC 15936 HICKS, BYRON UNITED STATIONERS 07/15/14 MAURICE E DUSKY PC HOLECEK & ASSOCIATES 667 15WC 15985 MACIEJEWSKI, ROBERT T JR MAVERICK TRANSPORTATION L 04/25/14 MAURICE E DUSKY PC LEWIS RICE LLC 668 15WC 16031 WILLIAMS, JAMES REINHAR FOODSERVICE, LLC 03/25/15 RIDGE & DOWNES HENNESSY & ROACH PC 669 15WC 16179 RICCARDO, MARGARET THE BONTON 03/11/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 670 15WC 16219 CORTES, JAVIER DON BOSCO LLC 03/02/15 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 671 15WC 16267 MCCORKELL, KYLE MANSFIELD OIL CO. 08/12/14 CAPRON & AVGERINOS PC LAW OFFICES OF 672 15WC 16379 LAKE, LYLE CITY OF WHEATON 03/13/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 673 15WC 16429 ADKINS, TINA NEW ALBERTSON'S/ 11/19/14 LOSS & PAVONE 674 15WC 16522 CARPENTER, BRANDON MCDONALD'S 05/09/15 VRDOLYAK LAW GROUP LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 708 15WC 19620 KIDD, SARAH EDWARD HOSPITAL 11/08/14 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 709 15WC 19840 AMBRAY, MICHAEL L ADVOCATE GOOD SAMARITAN H 08/12/13 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 15WC019841 -C 710 15WC 19858 GALLIMORE, TYRONE FRAME ALL SW CONSTRUCTION 06/10/15 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 711 15WC 19938 WHEELER, GREY ACCURATE TEMPORARY SERVIC 03/26/15 MEYERS & FLOWERS GRANT & FANNING 712 15WC 20062 BLANCHETT, PAMELA UPS @ 04/23/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 713 15WC 20142 VASQUEZ, MIGUEL RACKOW POLYMERS 01/06/15 FREDRICK B BARDER, LTD LUCAS & APOSTOLOPOULOS 714 15WC 20296 ARZETA, OFELIA METRO STAFF INC 05/14/15 AIOSSA LAW FIRM HENNESSY & ROACH PC 715 15WC 20471 MOORE, KAREN COMFORT KEEPERS 09/27/14 STROM, NEAL B 716 15WC 20726 PRENTICE, REBECCA TERRI LYNN INC 01/31/14 MARKHAM M JEEP & ASSOCIATE HOLECEK & ASSOCIATES 717 15WC 20744 SYDOR, JASON TOP HAT LOGISTICS 03/29/13 STEWART C ORZOFF SMITH AMUNDSEN LLC 718 15WC 20785 RODRIGUEZ, ISMAEL DAIMLER TRUCKS OF NO AMER 06/01/15 CAPRON & AVGERINOS PC KNELL & O'CONNOR 719 15WC 20931 CARREON, GABRIEL ARS OF CHICAGO 05/26/15 STEVEN H MEVORAH & ASSOCIA COZZI & GOGGIN-WARD 720 15WC 21079 LOPEZ, DIANA PROTECTO SEAL 02/18/15 STEVEN J MALMAN & ASSOCIAT 721 15WC 21183 DOMALIK, PIOTR CORONET CONSTRUCTION INC 06/17/14 LEO ALT 722 15WC 21243 WHITESIDE, KEESHIA CADENCE NORTHWESTERN 06/25/15 ACEVES & PEREZ PC HENNESSY & ROACH PC 723 15WC 21280 ACEVEDO, MANUEL AMERICAN GARDEN INC 05/10/14 MARC J SHUMAN & ASSOCIATES LAW OFFICES OF 724 15WC 21385 MARTINEZ, FRANSISCO SURE STAFF INC 05/11/15 JOHN S. ELIASIK KEEFE CAMPBELL & ASSOC LLC 725 15WC 21518 HARTMAN, CECIL E NEWMARK GRUBB KNIGHT FRAN 01/08/15 RONALDSON & KUCHLER GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 726 15WC 21684 EVANS, KERRIANNE 1888 MILLS 09/23/14 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 727 15WC 21727 BEASLEY, WISHANDA ST PATRICK'S RESIDENCE 06/18/15 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM 728 15WC 21746 LAROCCA, JACQUELINE JEWEL OSCO 07/30/14 CRONIN & PETERS BRADY CONNOLLY & MASUDA PC 729 15WC 21858 BURROW, AARON BRADFORD EXCHANGE 02/03/15 HANNIGAN & BOTHA, LTD HENNESSY & ROACH PC 730 15WC 21972 KRAYNAK, STEPHEN THOMAS HOMES INC 06/05/15 STANCZAK LAW OFFICES HENNESSY & ROACH PC 731 15WC 22013 SITTIG, MICHELE CHANG DENTAL 03/24/14 KINNALLY FLAHERTY KRENTZ & RUSIN & MACIOROWSKI LTD 732 15WC 22203 HARRIS, AUTUMN NICOR GAS COMPANY 06/10/15 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 733 15WC 22278 GOMEZ, MANUEL AGL RESOURCES 06/24/15 RUBIN LAW GROUP 734 15WC 22332 HERNANDEZ, MARIA NORTHSTAR METAL PRODUCTS 04/09/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 735 15WC 22357 BAUTISTA, VICTORINA THE SALVATION ARMYC/O IL 04/06/15 HETHERINGTON KARPEL BOBBER RODDY LAW LTD 736 15WC 22431 BARRERA, JUAN CARLOS E&M ALVAREZ MOVING COMPAN 04/25/15 CHEPOV & SCOTT LLC 737 15WC 22475 PROCICH, ALEXANDER J. THOMAS INTERIOR SYSTEMS 06/05/15 MARKER & ASSOCIATES CASSANO & ASSOCIATES 738 15WC 22745 LOCKERT, STEVEN PLOTE CONSTRUCTION 02/14/14 RIDGE & DOWNES 739 15WC 22773 AMADOR, MARIA ARAMARK 04/17/15 DAVID W MARTAY INMAN & FITZGIBBONS 740 15WC 22860 TLAHUEXTL, JORGE TGI FRIDAYS 06/02/15 PARENTE & NOREM PC INMAN & FITZGIBBONS 741 15WC 22996 FABIANO, FRANK MIKE DITKA'S RESTAURANTS 09/25/13 LAW OFFICES OF MARK SCHAFF GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 742 15WC 23188 ALDAY, JUAN PACKEY WEBB FORD 12/02/14 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 743 15WC 23213 THOMAS, JOSEPH W RND EXHIBITS INTERNATIONA 11/30/12 TAMVAKIS, GEORGE L 15WC023214 -C 744 15WC 23234 LALEIAN, THEODORE CAROL STREAM PARK DIST 08/08/13 MILLON & PESKIN LTD HENNESSY & ROACH PC 745 15WC 23237 LALEIAN, THEODORE CAROL STREAM PARK DIST 08/19/14 MILLON & PESKIN LTD HENNESSY & ROACH PC 746 15WC 23248 BUENO, ROSALINDA M&R HVAC 08/06/12 BLOCK, KLUKAS & MANZELLA P GILDEA & COGHLAN 747 15WC 23288 TATE, LAKEESHA D BIRGHTSTAR CARE 07/16/15 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 15WC023729 -C WYNSCAPE NURSING/REHAB CTR 748 15WC 23418 DIMITROV, IVAN NORTHWESTERN MEDICINE 01/19/15 CAPRON & AVGERINOS PC 749 15WC 23479 MORON, DAVID VENUS LABORATORIES INC 04/07/14 WHITESIDE & GOLDBERG LTD 750 15WC 23535 COLON, CHRISTOPHER ACCURATE PERSONNEL, LLC 07/17/15 VRDOLYAK LAW GROUP LLC MC ANDREWS & NORGLE LLC 751 15WC 23578 ZIELEZINSKI, STEPHEN IL STATE TOLL HWY AUTHORI 04/27/15 STROW LAW LLC GANAN & SHAPIRO 752 15WC 23646 DOLE, BRIAN K5 CONSTRUCTION 06/05/15 FITZ & TALLON LTD GAROFALO SCHREIBER STORM 753 15WC 23683 GARNICA, JUAN THE JEL SERT COMPANY 07/08/15 SALVATO & O'TOOLE 754 15WC 23706 JOHNSON, LAURA FED EX 03/23/15 PAUL A COGHLAN & ASSOC SCOPELITIS GARVIN LIGHT 755 15WC 23723 COTTS, REINALDO SERVICE MASTER CLEAN 04/04/15 FOOTE MIELKE CHAVEZ & O'NE 756 15WC 23798 CURTIN, PATRICK PHIL WALZ PLUMBING 04/13/15 LOSS & PAVONE 757 15WC 23857 SMART, RON FIRST STUDENT INC 07/18/15 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 758 15WC 24038 GASCA, EDUARDO COMMERCIAL FLOOR COVERING 07/28/15 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 759 15WC 24043 BURRELL, KERRY DUPAGE HABITAT FOR HUMANI 06/03/15 STEVEN H MEVORAH & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 760 15WC 24070 CUADROS, ROSA EUREST SERVICES 06/04/15 ALBERT R. PINO LAW OFFICE GANAN & SHAPIRO 761 15WC 24117 JACKSON, RUBY XEROX CORPORATION 02/13/15 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 762 15WC 24165 CAVANAUGH, AURORA M & H MACHINING, LLC 07/14/15 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 763 15WC 24376 ADAMS, KYLE NAPERVILLE SCHOOL DISTRIC 04/17/15 DRISCOLL LAW OFFICES PC MACIOROWSKI SACKMANN & ULRIC 764 15WC 24491 CLAYTON, L.C. KRAFT FOODS 07/12/15 SMOLER LAW OFFICE, PC WIEDNER & MCAULIFFE LTD 765 15WC 24531 LEICHT, BRENDA L HAIR CLUB FOR MEN OF CHGO 06/27/15 ANKIN LAW OFFICE 766 15WC 24620 DE LA CRUZ, ANABEL GOODWILL RETAIL SERVICES 06/04/15 EPSTEIN, JACK R LAW OFFICE 767 15WC 24678 FLORES, EPIFANIA JEL SERT COMPANY 04/15/15 SALVATO & O'TOOLE HENNESSY & ROACH PC 768 15WC 24856 TALERICO, RICHARD CLARENDON HILLS POLICE DE 01/11/15 O'CONNOR & NAKOS 769 15WC 24890 DESIMONE, GUY UPS FREIGHT 01/30/15 CHRISTIAN & MANNO ASA LAW GROUP 770 15WC 25009 VENCES, HOMERO COLONIAL BAG 09/19/15 R. MARK MARITOTE PC 771 15WC 25014 IGLESIAS, FRANCISCO IMPACT LABOR LLC 06/30/15 ROSS TYRRELL 772 15WC 25065 BUMBAR, SHANE CLEARY BUILDING 10/07/14 DAVID W MARTAY STONE & JOHNSON CHARTERED 773 15WC 25100 MORSON, MICHAEL D. UPS 12/31/14 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 774 15WC 25349 WILLIAMS, CANNIE L SPRAYING SYSTEMS CO 05/02/14 LAW OFFICE PHILIP BLOMBERG DONALD J. MORAN 775 15WC 25474 TORTORELLA, MICHAEL JOSEP PAN-O-GOLD BAKING CO. 01/06/15 SAL INDOMENCIO & ASSOC POWER & CRONIN LTD 776 15WC 25587 COLEMAN, EDWARD F FELLOWES 01/07/15 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 15WC025588 -C 777 15WC 25639 GALLEGOS, LUIS BUCK SERVICES 05/22/15 AIOSSA LAW FIRM HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 778 15WC 25730 VARGAS, URIEL I UNISTAFF 06/24/15 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 779 15WC 25791 KORBOS, THEODORE CLAIM JUMPERS ACQUISITION 07/18/15 KOSIN LAW OFFICE LTD RUSIN & MACIOROWSKI LTD 780 15WC 25860 VERA, ANGELICA C. TEXAS ROADHOUSE MGT. CORP 06/03/15 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 781 15WC 25982 WESTON, EARL INFINITI OF NAPERVILLE 12/27/14 MILLON & PESKIN LTD WOLF LAW LTD 782 15WC 26039 DIMAS, FRANCISCO LAKE CABLE 07/11/15 FAJARDO LAW GROUP MEACHUM & STARCK 783 15WC 26110 HIGDON, ROBERT BBU, INC 05/09/15 STEFFEN KELLY & STEFFEN 784 15WC 26184 MEJIA, HORACIO KRONOS FOOD CORPORATION 03/09/15 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 15WC028568 -C 785 15WC 26314 KOCHENY, MARTIN VILLAGE OF DOWNERS GROVE 10/14/13 MCNABOLA LAW GROUP PC VILLAGE OF DOWNERS GROVE 786 15WC 26359 D'ORONZO, KATHY AB DERMATOLOGY 01/13/15 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 787 15WC 26496 ELIZARRARAZ, LUIS DUPAGE COUNTY SHERIFF 12/17/14 PAUL F PETERS WIEDNER & MCAULIFFE LTD 788 15WC 26876 ROGERS, VICTORIA ELITE CARE MANAGEMENT 06/13/13 SEIDMAN MARGULIS & FAIRMAN 789 15WC 26976 STEVENS, CHRISTOPHER L LOMBARD FIRE DEPARTMENT 06/09/15 GOLDBERG WEISMAN & CAIRO L 790 15WC 26996 ROMERO, OMAR CONCRETE CONSTRUCTION CO 07/29/15 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 791 15WC 27097 RODRIGUEZ, JOSE WISE BOXER 08/07/15 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC 792 15WC 27177 BACHMANN, MICHAEL ANDERSON PEST CONTROL 09/23/10 CAPRON & AVGERINOS PC CASSIDAY SCHADE LLP 793 15WC 27184 MENDOZA, LEANDRO VDS ROOFING & SIDING & 06/24/15 STROM, NEAL B COZZI & GOGGIN-WARD 794 15WC 27293 FLORES, DANIEL JEL SERT CO 07/18/14 SALVATO & O'TOOLE 795 15WC 27304 ORDONEZ, DEDIUSKA VALDES GCA SERVICES 07/29/15 HANNIGAN & BOTHA, LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 796 15WC 27542 GARCIA, IRMA SIEMENS INDUSTRY INC 01/06/15 ALVARO COOK LTD HOLECEK & ASSOCIATES 797 15WC 27612 MAY, LAURA J QUEST DIAGNOSTIC 02/10/14 LAURA WALKER HENNESSY & ROACH PC 798 15WC 27734 RANGEL, MARIA R PORTFOLIO OAK BROOK LLC 06/23/15 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 799 15WC 27977 DE LA TORRE, JOSE ICON METAL CRAFT 06/04/15 WILLIAM MARTAY RUSIN & MACIOROWSKI LTD 800 15WC 28033 PLENCNER, JOSEPH LISLE-WOODRIDGE FIRE 06/23/15 THOMAS W DUDA 801 15WC 28087 DRASKOVIC, OGNJEN LITTLE MACS, INC. 06/19/15 LOSS & PAVONE NYHAN BAMBRICK KINZIE & LOWR 802 15WC 28167 BANOS, AGREPINO MINUTE MEN AURORA 08/07/15 EPSTEIN, JACK R LAW OFFICE GILDEA & COGHLAN 803 15WC 28254 GALLINA, BARRY IMTT-ILLINOIS 08/20/15 SALK, STEVEN B & ASSOC LTD GRANT & FANNING 804 15WC 28299 GARCIA, DONATO T MARTIN CONCRETE 06/16/15 THOMAS A MORRISSEY GANAN & SHAPIRO 805 15WC 28322 SMITH-MYLES, KATHERINE HCR MANOR CARE 04/02/15 ANGELINI & ORI LLC BRYCE DOWNEY & LENKOV LLC 806 15WC 28354 BARLOW, JAMES OXBOW MIDWEST CALCINING 08/05/15 BIZZIERI LAW OFFICES GRANT & FANNING 807 15WC 28420 LINCOLN, KATHERINE STS PETER AND PAUL PARISH 11/03/13 EDWARD P GRAHM LAW OFFICE STONE & JOHNSON CHARTERED 808 15WC 28450 WALLS, WILLIAM THE WESTIN LOMBARD 07/13/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 809 15WC 28669 MARTIN, JUSTIN CARMAX 10/03/14 BLEAKNEY & TROIANI ASA LAW GROUP 810 15WC 28774 HANDA, NEENA BANK OF AMERICA 01/03/15 MARKER & ASSOCIATES 811 15WC 28867 HERMOSILLO, MARIA MVP TEMPS 07/31/15 THE ROMAKER LAW FIRM KOREY RICHARDSON LLC 812 15WC 29152 GROSS, CATHERINE MONDELEZ 07/29/15 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 813 15WC 29235 ROSENDAHL, RICK PLOTE CONSTRUCTION INC. 08/01/15 WOLFE LAW PC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 814 15WC 29339 BODIWALA, LINA INEOS AMERICAS 01/31/13 RATHBUN CSEVENYAK & KOZOL 815 15WC 29416 ROMERO, EVELIO COLONIAL BAG CORP 07/07/15 FAJARDO LAW GROUP GAROFALO SCHREIBER STORM 816 15WC 29547 AGUIRRE, RIGOBERTO CARRABBA'S ITALIAN GRILL 08/13/15 COSTA IVONE LLC 817 15WC 29630 DOLAN, COLLEEN TURNER INDUSTRIES GROUP 08/25/15 RUBIN LAW GROUP 818 15WC 29662 PEREZ, MIGUEL C. ED HOY'S STAINED GLASS 09/09/15 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 16WC025495 -C CREATIVE CRAFTSMEN CO. INC 819 15WC 29737 ORELLANA, RENE CHICAGO SWITCHBOARD 10/29/12 THE ROMAKER LAW FIRM HOLECEK & ASSOCIATES 820 15WC 29786 RECCHIA, CHANNON UPS - ADDISON 03/21/14 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 821 15WC 29794 HERMAN, JAMES VILLAGE OF DARIEN 07/06/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 822 15WC 29860 PELAEZ, ALEJANDRO MULTITECH INDUSTRIES INC 07/25/15 JOHN S. ELIASIK GILDEA & COGHLAN 823 15WC 29921 HENRICKS, JOHN R JEWEL-OSCO 07/05/15 MARKER & ASSOCIATES 824 15WC 29930 GILLIS, KEVIN SOUTH SIDE CONTROL 08/18/15 KREITER, BYCK & ASSOC LLP 825 15WC 29958 PETERSON, MARIE L ADDUS HEALTHCARE 09/02/15 PARENTE & NOREM PC HENNESSY & ROACH PC 826 15WC 30002 GRANRATH, THOMAS G. WILLIAMS BROTHERS CONSTRU 11/11/14 LUCAS & APOSTOLOPOULOS KNELL LAW LLC 827 15WC 30005 ANDERSON, AMOS DAIMLER TRUCKS NORTH 09/02/15 LAW OFFICES OF MARK SCHAFF KNELL & O'CONNOR 828 15WC 30064 MUNIZ, ANTHONY W GEM CONSTRUCTION 07/21/15 O'CONNOR & NAKOS COZZI & GOGGIN-WARD 829 15WC 30160 STAMPS, LOUIS CENTRAL TRANSPORT 09/09/15 PETER D CORTI LAW GROUP 830 15WC 30358 TUNZI, DEBORAH ST OF IL/SECRETARY OF STA @ 06/16/15 E JAMES RAYMOND ASSISTANT ATTORNEY GENERAL 831 15WC 30548 MINEO, JOSEPH ILLINOIS TOLLWAY 06/03/15 WOLFE LAW PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 832 15WC 30638 SANCHEZ, JUAN M MIDWEST UTILITY 06/25/15 HERRERA LAW CENTER 833 15WC 30697 LAWTON, RUSSELL MULTI PACKAGING 06/16/15 MEYERS & FLOWERS COZZI & GOGGIN-WARD 834 15WC 30864 ROBERTO, FRANK ILLINOIS TOLLWAY 02/03/14 POLANSKY & CICHON CHTD 835 15WC 30937 KLIMEK, HENRYK QUALITY MOBILE TRUCK REPA 04/13/15 GOLDSTEIN BENDER & ROMANOF 836 15WC 30962 ALYAHYA, YAHYA M & R PRINTING EQUIPMENT 07/28/15 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 837 15WC 31061 CINTO-ACA, CARLOS UNITED STATIONERS 07/27/15 GOLDSTEIN BENDER & ROMANOF 838 15WC 31136 SAUCEDO, ROSALINA SPRAYING SYSTEMS CO. 07/23/15 OSVALDO RODRIGUEZ PC DONALD J. MORAN 839 15WC 31381 SOTELO, MARIA INDIANA LAKE HOTEL 07/16/15 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 840 15WC 31409 MURPHY, CHRISTINE ADVOCATE GOOD SAMARATION 12/25/12 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 841 15WC 31469 DE FRANCESCO, VINCENZO OZINGA BROTHER, INC 07/27/15 MILLON & PESKIN LTD GAROFALO SCHREIBER STORM 15WC031470 -C 842 15WC 31605 ORTIZ, SILVIA KRONOS FOODS, INC 08/03/15 MICHELOTTI & ASSOC 843 15WC 31635 MEDRANO, MANUEL DREYER TRANSPORTATION W 10/01/14 SYREGELAS, NICHOLAS C 844 15WC 31649 POLAND, JOHN PATTEN INDUSTRIES 01/02/15 KATZ FRIEDMAN EAGLE ET AL 845 15WC 31681 FLEETWOOD, JOHN ARAMARK INC 10/24/14 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 846 15WC 31834 JIMENEZ, JOSE THE PLASTICS GROUP, INC. 09/10/15 ENCINAS & ORNELAS LAW OFFICES JOSEPH MARCINIAK 847 15WC 31943 GUERRERO, LIZETTE BURGESS SQUARE HEALTHCARE 05/30/15 KEEFE CAMPBELL & ASSOC LLC 848 15WC 31967 MISKANIS, RONALD J D2K TRAFFIC EQUIPMENT & 05/14/15 FRANCIS J DISCIPIO LAW OFF 849 15WC 32016 RODRIGUEZ, ORALIA NESTLE USA, INC 08/17/15 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 850 15WC 32258 LARSON, SHANNA BUFFALO WILD WINGS 08/15/15 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 851 15WC 32362 MARTINEZ, KARLA CARLSON BUILDING MAINTENA 09/07/15 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 852 15WC 32431 MARTINEZ, JACQUELINE VENTIS 09/12/15 R. MARK MARITOTE PC ROSARIO CIBELLA 853 15WC 32463 FERNANDEZ, BERONIKA GF MANAGEMENT 07/01/15 MARTIN L GLINK LAW OFFICE HENNESSY & ROACH PC 854 15WC 32511 CORDOVA, NORBERTO LAKE CABLE 09/06/15 COSTA IVONE LLC COZZI & GOGGIN-WARD 855 15WC 32583 LODYGOWSKI, KRISTIN REDSTONE AMERICAN GRILL 09/05/14 KINNALLY FLAHERTY KRENTZ & HOLECEK & ASSOCIATES 856 15WC 32637 KOLLING, STACY M EDWARDS HOSPITAL 11/13/14 DEBT & INJURY LAW CENTER KEEFE CAMPBELL & ASSOC LLC 857 15WC 32652 FRANKIEWICA, JOHN E UNIQUE MACHINE REPAIR 09/25/15 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 858 15WC 32676 PATERALA, ROBERT A DAN WOLF CHEVROLET 01/23/15 E JAMES RAYMOND HOLECEK & ASSOCIATES 859 15WC 32693 KLEIN, MARY KAY HOME DEPOT 08/01/15 BRISKMAN BRISKMAN GREENBER ADELSON TESTAN & BRUNDO 860 15WC 32729 VAUGHAN, TIA DUPAGE COUNTY SHERIFF 05/26/15 DEER & STONE PC WIEDNER & MCAULIFFE LTD 861 15WC 32819 FONSECA, MARIBEL FIC AMERICA CORP 08/28/15 LAW OFFICE OF SCOTT B SHAP INMAN & FITZGIBBONS 862 15WC 32879 SANCHEZ, HECTOR SERVICE DRYWALL & DECORAT 12/05/14 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 863 15WC 32907 DE LA TORRE, NICANOR VALLI PRODUCE OF GLENDALE 10/28/14 SALVATO & O'TOOLE GANAN & SHAPIRO 864 15WC 32938 ORLANDO, CHRISTOPHER BELLWOOD POLICE ACADEMY 08/14/15 GOLDBERG WEISMAN & CAIRO L ROCK FUSCO & CONNELLY 865 15WC 33118 MORENO, CARMEN KKSP PRECISION MACHINING 10/06/15 POWELL & PISMAN GRANT & FANNING 866 15WC 33409 COLEMAN, BRIAN AEROTEK STAFFING 06/11/14 WOODRUFF & JOHNSON HENNESSY & ROACH PC 867 15WC 33457 LA COUR, ANTHONY CARLISLE STAFFING LTD 06/05/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 886 15WC 35391 HULSMAN, DENISE SUPERIOR BULK LOGISTICS 10/15/15 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 887 15WC 35454 PERRY, LAURA WALMART 08/19/15 SEIDMAN MARGULIS & FAIRMAN QUINTAIROS PRIETO WOOD & BOY 888 15WC 35559 LEGASSIQUE, ASHLEY CENTRAL DUPAGE HOSPITAL 03/23/15 MILLON & PESKIN LTD 889 15WC 35635 LEJA, LOTTIE ANTHELIO HEALTHCARE SOL 11/15/12 KINNALLY FLAHERTY KRENTZ & HENNESSY & ROACH PC 890 15WC 35682 VANDERMOLEN, ERIC ALL STEEL IROM WORKS, INC 08/30/15 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 891 15WC 35967 VACHULA, PAUL PHOENIX PRECISION 07/17/15 KARCHMAR & STONE 892 15WC 36037 LINDEN, SCOTT GENEVA CONSTRUCTION CO 10/15/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 893 15WC 36145 RIO, JEFFREY VARIO MECHANICAL, LLC 01/07/15 KROL BONGIORNO & GIVEN LTD ROSARIO CIBELLA 894 15WC 36182 ELLMAN, STEVEN IL STATE TOLL HWY AUTHORI @ 10/05/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 895 15WC 36186 SINCHE, MICAELA MAGGIANOS 11/05/13 ROSS J HELFAND COZZI & GOGGIN-WARD 896 15WC 36217 ALDANA, ANGEL ADVANCE THERMAL CORPORATI 09/03/15 ANGELA NARDI-QUIGLEY 897 15WC 36283 DENNY, JOSEPH UNITED EXPRESS SYSTEM 03/06/15 TURNER & SACKETT LLC 898 15WC 36304 ELMORE, JEFFREY AAA COOPER 10/28/15 ERIC H CHECK, LAW OFFICES GAROFALO SCHREIBER STORM 899 15WC 36431 BARBIER, KEVIN WILLAGE OF LOMBARD 04/21/14 HORWITZ HORWITZ & ASSOC KLEIN THORPE & JENKINS LTD 900 15WC 36637 NIEMI, DONALD DR PEPPER SNAPPLE 03/19/15 BOUDREAU NISIVACO LLC GAROFALO SCHREIBER STORM 901 15WC 36675 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 902 15WC 36751 SCHWARZ, DAVID UPS 04/20/15 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 903 15WC 36819 HEATHER, THOMAS GENERAL MILLS 06/30/14 BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 904 15WC 36888 BERTAGNOLLI, MARISSA L DUPAGE CONVALESCENT CENTE 09/17/13 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 905 15WC 36922 PUDLIK, JOSEPH JR TRUGREEN LIMITED PARTNERS 10/15/15 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 906 15WC 37112 BURKETT, LATOYA SCHOOL DISTRIC 204 08/10/15 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 907 15WC 37201 HALLIGAN, DANA BILL JACOBS MINI 07/12/15 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 908 15WC 37243 STEPHENS, LANI GOODWILL 05/26/15 E JAMES RAYMOND 909 15WC 37268 CORTEZ, KIRA ARAMARK 10/09/15 BRISKMAN BRISKMAN GREENBER STONE & JOHNSON CHARTERED 910 15WC 37305 CAHILL, CECILIA M MONTESSORI CHILDREN'S ACA 01/09/14 FRANCIS J DISCIPIO LAW OFF 911 15WC 37444 ABU-SHALBAK, MUSTAFA FRITO LAY 02/19/14 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 912 15WC 37469 PEREZ, LILIA SEPTRAN 10/21/15 FOHRMAN, DONALD W & ASSOCS 913 15WC 37627 HUBBARD, LORI A GO2 DECORATORS 06/05/15 SOSTRIN AND SOSTRIN PC INMAN & FITZGIBBONS 914 15WC 37686 LOFENDO, ROBERT PORTILLO'S 11/02/15 ASHER, RAYMOND L LTD GRANT & FANNING 915 15WC 37826 TLASECA, TEODORA UNITED BUILDING MAINTENAN 04/29/15 SALVATO & O'TOOLE COZZI & GOGGIN-WARD 916 15WC 37867 WALLS, LEONARD JEWEL OSCO 09/04/15 NILSON STOOKAL GLEASON CAP 917 15WC 37926 JENSEN, JASON UPS 07/01/14 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 15WC037927 -C 918 15WC 38006 BOWLES, MICHAEL RB CONSTRUCTION, INC 09/29/15 TARADASH LAW OFFICE GANAN & SHAPIRO 919 15WC 38014 ALBRECHT, SCOTT DUPAGE CONVALESCENT CENTE 04/21/15 MILLON & PESKIN LTD ROCK FUSCO & CONNELLY 920 15WC 38405 OLAGE, ERENDIDA MACK'S GOLDEN PHEASANT 08/24/15 MC HARGUE, JAMES P LAW OFF GANAN & SHAPIRO 921 15WC 38605 MENDOZA, JAMES S AMERICAN COMFORT ONE HOUR 05/28/15 ANESI OZMON RODIN NOVAK KO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 922 15WC 38611 DAVALOS, URIEL ACURA INC 11/30/15 HANNIGAN & BOTHA, LTD LAW OFFICES OF EDWARD J. KOZ 923 15WC 38764 MATHEWS, BRANDI MEADOWBROOK MANOR NURSING 10/28/15 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 924 15WC 38817 JORDAN, MICHELLE ADVENTIST HOSP HINSDALE 09/29/15 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 925 15WC 38848 LYLE, KRISTI COCA-COLA 11/19/15 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 926 15WC 38992 ANDERSON, DAWAN ILLINOIS STATE POLICE @ 06/20/15 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 927 15WC 39027 CASTELLANOS, FIDEL CENTIMARK 02/03/15 TOSCAS, JOHN Z LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 928 15WC 39121 PANZICA, PETER COMPASS GROUP USA INC 05/15/15 RITTENBERG & BUFFEN GANAN & SHAPIRO 929 15WC 39148 AMAYA, CARLOS ABRASIVE FORM 02/11/15 COSTA IVONE LLC MC ANDREWS & NORGLE LLC 930 15WC 39329 FITZPATRICK, BRENNAN W FLOOR & DECOR 11/18/15 WILLIAMS, ROBERT B LAW OFF LAW OFFICES OF EDWARD J. KOZ 931 15WC 39405 PINA, MARIA DE JESUS THE ROOM PLACE WOODRIDGE 11/09/15 HERRERA LAW CENTER LAW OFFICES FRANCESCA LARSEN 932 15WC 39480 HANIF, MUHAMMAD BEST BUY 11/24/15 DWORKIN AND MACIARIELLO 933 15WC 39678 CISNEROS, JESUS QUESTMARK 03/06/14 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 934 15WC 39708 JOHNSON, EVELYN GENERAL MILLS 08/24/15 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 935 15WC 39755 PEDERSEN, ROBERT RICK'S TRUCKING SERVICE I 11/20/15 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 936 15WC 39807 DEPIANO, JOE DONALD CHARLES BUILDERS, 11/21/15 ALBERT R. PINO LAW OFFICE GILDEA & COGHLAN 937 15WC 39852 JONES, PAUL SR. IRON MOUNTAIN 07/15/15 MICHAEL R. GRAF 938 15WC 39869 WARD, MAOLA PORTFOLIO OAK BROOK, LLC 11/24/15 LAW OFFICES OF MARK SCHAFF HENNESSY & ROACH PC 939 15WC 39915 GELFARB, DAWN ELMHURST MEMORIAL HOSPITA 06/19/15 MILLON & PESKIN LTD MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 940 15WC 41046 SERIO, PATRICK US FOODS 11/30/15 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 941 15WC 41126 VAZQUEZ, VICTOR INNOCOR FOAM TECHNOLOGIES 08/21/15 DEPAOLO ZADEIKIS GORE GAROFALO SCHREIBER STORM 942 15WC 41175 HEDGER, ROBERT TURNER INDUSTRIES 07/06/15 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 943 15WC 41181 SALAS, CARLOS JASPER MEATS 01/17/15 LAW OFFICES LEONARDO MORAL 944 15WC 41261 MENDOZA, ROSMERY HANDI-FOIL 10/16/15 MC HARGUE, JAMES P LAW OFF 945 15WC 41300 NICHOLSON, JOSEPH M. BILL KAY CHEVROLET 11/20/15 TAMVAKIS, GEORGE L RODDY LAW LTD 946 15WC 41562 TINOCO, FRANCISCO MARIANI LANDSCAPE NURSERY 05/13/14 CULLEN HASKINS NICHOLSON 947 15WC 41827 LYLE, KRISTI COCA-COLA 09/09/15 ASHER, RAYMOND L LTD NYHAN BAMBRICK KINZIE & LOWR 948 15WC 41892 PEREDIA, FELICIA STEVEN STANLEY RESTAURANT 11/07/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 949 15WC 41973 WESTOVER, JONATHAN PUSH LOGISTICS INC W 10/17/15 RITTENBERG & BUFFEN 950 15WC 42001 KEEFE, LUKE J LJ KEEFE CO 11/07/13 CRONIN & PETERS LAW OFFICES OF EDWARD J. KOZ 951 15WC 42018 RAMIREZ, ELSA AEROFAST INC 04/20/15 RUEDA, IVAN A LAW OFFICES JOSEPH MARCINIAK 952 15WC 42091 HANSEL, GEORGE J 5TH AVE CONSTRUCTION INC 11/02/15 MARK T HICKEY & ASSOCIATES HOLECEK & ASSOCIATES 953 15WC 42225 CLEMENS, KYLE DUPAGE COUNTY HEALTH DEPT 09/24/15 MARKER & ASSOCIATES ROCK FUSCO & CONNELLY 954 15WC 42448 BYRNE, SUSAN AMITA HEALTH ADVENTIST ME 05/12/15 BART DURHAM RODDY LAW LTD 955 15WC 42467 HERNANDEZ, IRMA LEXINGTON HEALTH CARE 08/15/15 CARONE LAW OFFICES LAW OFFICES FRANCESCA LARSEN 956 15WC 42554 RUIZ, MARIAH ASG STAFFING INC. 12/08/15 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 957 15WC 42574 TSIMOURIS, MARIA DOUBLE TREE 11/19/15 PORRO NIERMANN & PETERSEN BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 958 15WC 42627 CUCHETTO, CANDACE ELMHURST HOSPITAL 11/26/15 LAW OFFICE OF KEVIN O'BRIE LOSS & PAVONE 959 15WC 42698 SKINNER, THOMAS S III NATIONAL DCP-LLC 09/10/15 LOSS & PAVONE 960 15WC 48942 PERRICONE, FRANKIE LUXURY BATH SYSTEMS 07/13/15 MEYERS & FLOWERS 961 16WC 00089 GAD, EDWARD SEPTRAN 12/15/15 KARCHMAR & STONE BRADY CONNOLLY & MASUDA PC 962 16WC 00206 BUSH, KRISTEN R EDWARD ELMHURST HEALTH 11/18/14 THOMAS J. POLINSKI & ASSOC KEEFE CAMPBELL & ASSOC LLC 963 16WC 00256 GOMEZ, ROEL EXPEDITERS INTERNATIONAL 10/08/15 LAW OFFICE PHILIP BLOMBERG 964 16WC 00343 ETIENNE, GEORDANY DR PEPPER 12/09/15 PARENTE & NOREM PC SMITH AMUNDSEN LLC 965 16WC 00387 CALDERON, CESAR A RAMECO INTL 10/22/15 LAW OFFICES LEONARDO MORAL 966 16WC 00428 KHAMESIEH, FARAMARZ VALID USA, INC. 10/01/15 THERMAN LAW OFFICES 967 16WC 00504 ALVARADO, GERMAN BROOKHAVEN MARKETPLACE 02/01/15 RUBIN LAW GROUP 968 16WC 00584 POTTPRFF, DIANNE L RAY GRAHAM ASSCIATION 08/19/15 PETER F FERRACUTI & ASSOCI COZZI & GOGGIN-WARD 969 16WC 00597 SOLANO, SALVADOR ACCURATE PERSONNEL SERVIC 11/16/15 GOLDSTEIN BENDER & ROMANOF 970 16WC 00784 RODRIGUEZ, SANDRA FRITO LAY 12/03/15 DISPARTI LAW GROUP PA GILDEA & COGHLAN 971 16WC 01004 MURPHY, SEAN PLATED/DINE-IN-FRESH 12/09/15 SEIDMAN MARGULIS & FAIRMAN 972 16WC 01013 ALFARO, GIOVANNY SEBERT LANDSCAPING INC 06/22/15 ANGELINI & ORI LLC 973 16WC 01046 SARABIA, FRANCISCO COMEX CONSTRUCTION COMPAN 11/10/15 ANKIN LAW OFFICE 974 16WC 01054 HATTEN, JOHNNY B MAUSER USA LLC 11/30/15 ANKIN LAW OFFICE 975 16WC 01071 OROZCO, CESAR O'REILLY AUTO PARTS 12/04/15 WOODRUFF & JOHNSON HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 976 16WC 01082 DAVIS, JERRY SAIA MOTOR FREIGHT 01/15/15 DANIEL PERIASWAMY TUCKER ROBIN & MERKER LLC 977 16WC 01204 HARTTUNG, CHRISTOPH BUZZFIRE INC 12/18/15 VRDOLYAK LAW GROUP LLC GILDEA & COGHLAN 978 16WC 01372 TASEV, BOJAN ELITE VALET 12/08/15 DWORKIN AND MACIARIELLO 979 16WC 01469 LEWIS, ROSALYN FRANCISCAN VILLAGE SISTER 10/18/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 16WC001470 -C 980 16WC 01496 WORTH, ENOCH ETS LINDGREN 08/01/15 SEIDMAN MARGULIS & FAIRMAN 981 16WC 01572 VILLANUEVA, SERGIO ENO INC. 10/14/15 ALBERT R. PINO LAW OFFICE KNELL & O'CONNOR 982 16WC 01597 BEAMON, RONALD WHEATON COLLEGE 12/09/15 ANKIN LAW OFFICE 983 16WC 01661 ZUNIGA, GRICELDA UNITED BLDG MAINTENANCE I 07/10/14 EFTEKHARI LAW OFFICES COZZI & GOGGIN-WARD 984 16WC 01773 STRBAC, RADE MERKEL WOODWORKING INC 11/06/15 BRILL & FISHEL GILDEA & COGHLAN 985 16WC 01876 KING, KENA DELTA T GROUP 12/30/15 DWORKIN AND MACIARIELLO 986 16WC 01997 JUSTINIANO, LUZ DOUMAK INC 05/18/15 DEPAOLO ZADEIKIS GORE 16WC001998 -C 16WC012140 -C 16WC013466 -C 987 16WC 02008 GARDUNO, ABEL ASHTON PLACE 12/05/15 DEPAOLO ZADEIKIS GORE 988 16WC 02019 SANCHEZ, JAVIER RR DONNELLEY & SONS CO 10/28/15 MARKER & ASSOCIATES BRADY CONNOLLY & MASUDA PC 989 16WC 02320 BARRERA, TERESA TRI FIN LLC 09/01/15 FAJARDO LAW GROUP HOLECEK & ASSOCIATES 990 16WC 02414 BRANDT, NANCY MCDONALDS 01/23/16 SKLARE LAW GROUP BRYCE DOWNEY & LENKOV LLC 991 16WC 02442 LOOME, TERRY E FARMINGDALE NORTH 07/28/15 LASSEN, BRIAN D LAW OFFICE HENNESSY & ROACH PC 992 16WC 02513 DIXON, ROBERT B PEPPERIDGE FARM INC PLANT 06/30/13 BRILL & FISHEL KEEFE CAMPBELL & ASSOC LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1064 16WC 07787 JONES, BRUCE STAFFMARK 03/07/16 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 1065 16WC 07797 VALENTIN, MIGUEL ELITE STAFFING INC 11/26/13 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 1066 16WC 07921 SALAZAR, DAVID YRC-USF HOLLAND 10/13/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 1067 16WC 07942 COOLIDGE, PETER DUPAGE COUNTY SHERIFF'S O 11/10/15 MILLON & PESKIN LTD ROCK FUSCO & CONNELLY 1068 16WC 08002 STARKS, EDITH PCTEL 08/15/14 PATRICIA HARDIMAN LAW OFFI 1069 16WC 08097 DANILO ARIAS, ELDIN A/K/A MORELOS CONSTRUCTION 03/13/13 NEMEROFF LAW OFFICES 1070 16WC 08130 DIBELLA, ANTHONY WHEATON PUBLIC WORKS 02/19/16 STEVEN H MEVORAH & ASSOCIA 1071 16WC 08148 UGALDE, MIRNA CURTISS ONE HOUR DRY CLEA 03/01/16 MC HARGUE, JAMES P LAW OFF RUSIN & MACIOROWSKI LTD 1072 16WC 08175 DEWELDE, RAUL GLENDALE NISSAN 02/17/16 DWORKIN AND MACIARIELLO 1073 16WC 08195 BANASZAK, RICHARD L IL TOLLWAY 12/28/15 BARRY A KETTER GANAN & SHAPIRO 1074 16WC 08343 MEDINA, ANGEL SERVICEMASTER 03/16/15 LAW OFFICES LEONARDO MORAL 1075 16WC 08350 VALDEZ, ROSA HYATT REGENCY 03/02/16 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 1076 16WC 08422 KRUEGER, ROBERT MEN'S WAREHOUSE 11/14/15 LANGENDORF, ROBERT A HENNESSY & ROACH PC 1077 16WC 08446 HERRERA, LAURO CLARIANT PLASTICS & COATI 05/11/15 TARADASH LAW OFFICE 1078 16WC 08464 FOX, DEAN MONTEREY FLOOR COVERING I 01/20/14 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 1079 16WC 08600 DEBOK, DAVID STATE OF IL, @ 12/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 1080 16WC 08729 WALLACE, LAMONT TRILLIUM DRIVER SOLUTIONS 02/29/16 BURNES & LIBMAN 1081 16WC 08822 DAVIS, ORA TOTAL NURSES NETWORK, LLC 03/07/16 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1082 16WC 08883 HANRAHAN, THOMAS CLEAVER BROOKS SALES & 01/11/16 GOLDBERG WEISMAN & CAIRO L GRANT & FANNING 1083 16WC 08959 GARDNER, JERRY U.S. FOOD SERVICE 03/08/16 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 1084 16WC 08978 HUICOCHEA, INES DOUBLETREE HILTON 02/28/16 LAW OFFICE HUGO ORTIZ HENNESSY & ROACH PC 1085 16WC 09133 BARBER, PATRICK US FOODS 06/22/15 ALAN A BLUM, PC BRADY CONNOLLY & MASUDA PC 1086 16WC 09168 BAHR, LORRIE SEPTRAN 08/04/15 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 1087 16WC 09183 BOEHM, MARICA A HINSDALE ANESTHESIA 02/29/16 FIGLIOLI, DAVID LAW OFFICES OF EDWARD J. KOZ 1088 16WC 09371 MAGLARAS, SOULA WALMART STORE 1553 12/15/15 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 1089 16WC 09566 RHODES, RONALD WILD FIRE HARLEY-DAVIDSON 12/23/14 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 1090 16WC 09597 VERDIN, MARISOL KINDERCARE, LLC 01/05/16 NILSON STOOKAL GLEASON CAP 1091 16WC 09787 IACOVA, JOSEPH DI ADVANCED AUTO PARTS 01/15/16 NIGRO & WESTFALL PC 1092 16WC 09828 MARTINEZ, GERARDO WINGS STOP 06/03/15 DISPARTI LAW GROUP PA ROSARIO CIBELLA 1093 16WC 09850 ASTORGA, VERONICA RJB PROPERTIES 01/20/16 PARENTE & NOREM PC RODDY LAW LTD 1094 16WC 09887 MCTEAR, KAYLA LEXINGTON HEALTH CARE 03/25/16 DWORKIN AND MACIARIELLO 1095 16WC 09918 AGYEN, ROSE WESTMONT NURSING AND 03/11/15 BART DURHAM BRADY CONNOLLY & MASUDA PC 1096 16WC 09942 MESSINA, SALVATORE TBD CORP/NATIONAL TIRE AN 03/25/16 HUGHES SOCOL PIERS RESNICK BRYCE DOWNEY & LENKOV LLC 1097 16WC 09991 SCHILF, CANDY M ADVOCATE HEALTHCARE - AMG 04/10/14 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 1098 16WC 10014 VELASQUEZ, RICARDO INNOCOR INC. 08/31/15 LAW OFFICES MICHAEL HELLMA 1099 16WC 10033 PEDERSEN, MARCIA DRAPERY CONNECTION 12/04/15 DWORKIN AND MACIARIELLO

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1154 16WC 13400 MILINCIC, VISESLAV ADVOCATE HEALTH & HOSPITA 01/04/16 GALLAGHER, DONALD V 1155 16WC 13605 GRZYBEK, JAMES GENERAL MILLS, INC. 02/26/16 KATZ FRIEDMAN EAGLE ET AL 16WC013606 -C 1156 16WC 13618 POSADAS, GERBER FORTUNE FISH COMPANY 12/15/15 ROSS J HELFAND HOLECEK & ASSOCIATES 1157 16WC 13639 DIMAS, JOSE E. O'NEAL INDUSTRIES 04/08/15 JASINSKI, GEORGE J 1158 16WC 13656 KOSINSKI, TIMOTHY TOP-LINE 03/24/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 1159 16WC 13687 MARINO, SAM S JR CAPITAL SECURITY & 03/10/16 FRANKS & RECKENBERG 1160 16WC 13743 MALIK-DUMAPIAS, CHRISTOPH CABINETS & GRANITE DIRECT 12/23/15 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 1161 16WC 13863 GLOSNIAK, MINERVA ADDISON SCHOOL DISTRICT 4 03/03/16 ACEVES & PEREZ PC 1162 16WC 13878 HOOD, DEMETRIA NURSES ON CALL 10/01/14 BAUM RUFFOLO & MARZAL LTD UCHE O NWAKUDU 1163 16WC 14053 IZAGUIRRE, ELLIOTT MCKESSON MEDICAL SURGICAL 12/10/15 NICHOLAS M. BIGONESS 1164 16WC 14249 BAKER, REGINALD EA SWEEN COMPANY 07/31/15 ANKIN LAW OFFICE 1165 16WC 14290 MOODY, SHARON BEHAVIORAL STAFFING 03/10/16 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1166 16WC 14389 SCHWARZ, DAVID UPS 03/05/16 MC HARGUE, JAMES P LAW OFF NYHAN BAMBRICK KINZIE & LOWR 1167 16WC 14427 WILLIAMS, SHENITHA ASG STAFFING 05/02/16 GOLDSTEIN AIOSSA & GOOD FRANCIS J DISCIPIO LAW OFFIC 1168 16WC 14506 DEIDA, SIGRFREDO AVERITT EXPRESS 11/13/15 HORWITZ HORWITZ & ASSOC 1169 16WC 14539 GOMOLL, DEBORAH PEPPERIDGE FARM 02/04/16 MICHAEL P MCCREADY & ASSOC CHILTON YAMBERT PORTER LLP 1170 16WC 14592 REYES, SONIA LANE BRYANT 03/21/16 HART & DAVID LLP 1171 16WC 14705 DARRIN, TRINA ODEUM, INC. 02/29/16 GOTTREICH & GRACE WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1316 16WC 23441 SIMPSON, DANIEL E TOMATOW TRUCKING & TRANSP 06/20/16 SCHACTER, JEROME & ASSOC L 1317 16WC 23455 SCHMITT, RHONDA ARCHER VETERINARY CLINIC 02/24/16 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 1318 16WC 23466 STEWART, ANDREW CITY OF NAPERVILLE 07/13/16 MC HARGUE, JAMES P LAW OFF CITY OF NAPERVILLE 1319 16WC 23482 EASLEY, JOHN MID AMERICA TAPE AND REEL 06/09/16 GREGORIO & MARCO LAW OFFICES OF EDWARD J. KOZ 1320 16WC 23501 RODRIGUEZ, GUILLERMO ASG STAFFING 10/17/15 COSTA IVONE LLC FRANCIS J DISCIPIO LAW OFFIC 1321 16WC 23704 WIECEK, TED INX INTERNATIONAL INK COM 10/05/15 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 1322 16WC 23739 COLUNGA, ALDO K.D. SERVICE INC 06/25/16 DEPAOLO ZADEIKIS GORE HENNESSY & ROACH PC 1323 16WC 23777 FENNELL, MICHAEL WOOD DALE FIRE 06/27/16 THE ROMAKER LAW FIRM 1324 16WC 23823 RIAS, DERRICK A NATIONWIDE RAIL SERVICES 02/23/16 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 1325 16WC 23831 DENNIS, LEROY LOGISTIC RESOURCES INC 04/29/16 STEVEN J TENZER, LTD 1326 16WC 23892 GRACE, RAMAAN CDS 07/23/16 KUMLIN & FROMM 1327 16WC 24008 ERICKSEN, EMILY ASSOCIATED MATERIAL HANDL 07/26/16 SANDMAN LEVY & PETRICH 1328 16WC 24056 POWERS, DIANN ANTHEM MEMORY CARE LLC 07/31/16 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 1329 16WC 24070 PALOMARES-BELLO, JESUS BARRON P. CONSTRUCTION, I 06/20/16 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 1330 16WC 24110 WASHINGTON, TED DIV CORP 07/10/16 VRDOLYAK LAW GROUP LLC 1331 16WC 24129 DILWORTH, KEITH A JR CARAVAN FACILITITES MANAG 07/26/16 ANKIN LAW OFFICE GRANT & FANNING 1332 16WC 24208 MARTINEZ, RIGOBERTO ACRES GROUP 07/13/16 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 1333 16WC 24232 KAPPA, LINDA BMO HARRIS BANK 09/23/15 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1334 16WC 24274 ALLGOOD, ANTONIYA WALMART CORPORATION 06/09/16 THE ROMAKER LAW FIRM QUINTAIROS PRIETO WOOD & BOY 1335 16WC 24350 PEREZ, MARIO WALMART SUPERCENTER 07/15/16 CUSHING LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 1336 16WC 24365 MEDINA, JORGE DIVERSIFIED LABELING SOLU 07/01/14 ARGIONIS & ASSOCIATES LLC RODDY LAW LTD 1337 16WC 24397 DUMAS, SIDNEY IL STATE TOLL HWY AUTHORI @ 08/01/16 ANGELINI & ORI LLC GANAN & SHAPIRO 1338 16WC 24406 BACI, ZIMBILE NAPERVILLE SCHOOL DIST. 2 03/08/16 LAW OFFICE PETER DELONGIS MACIOROWSKI SACKMANN & ULRIC 1339 16WC 24412 SIMO, NIKOLIN WAL-MART 01/26/16 LAW OFFICE OF ROBERT J. IR WIEDNER & MCAULIFFE LTD 1340 16WC 24444 PRIMAS, JAY TAYLOR ROOFING SOLUTIONS 12/22/15 LAW OFFICE PHILIP BLOMBERG 1341 16WC 24470 BECKMAN, JOHN PARAMEDIC SERVICES OF ILL 01/01/16 SEIDMAN MARGULIS & FAIRMAN HENNESSY & ROACH PC 1342 16WC 24483 KIMBROUGH, TODD JOE COTTON FORD 02/08/16 TURNER & SACKETT LLC WOLFE & JACOBSON, LTD 1343 16WC 24599 CRIS II, LARRY G CHICAGO CUT CONCRETE CUTT 05/19/16 HORWITZ HORWITZ & ASSOC ANCEL GLINK DIAMOND BUSH & E 1344 16WC 24601 GUITIERREZ, JUAN ARK TECHNOLOGY 07/28/16 JAMES ELLIS GUMBINER & ASS 1345 16WC 24676 LIMONCIELLO, MARIA D'ESCOTO, INC 10/05/15 RIDGE & DOWNES 1346 16WC 24709 EDWARDS, JEFFREY PEACOCK FOODS 07/26/16 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 1347 16WC 24777 BINDER, KATHYRN SOARING EAGLE ACADEMY 05/27/16 BARRY E BLUMENFELD 1348 16WC 24824 MEYERS, SCOTT GLENBARD TOWNSHIP HIGH SC 05/26/16 KATZ FRIEDMAN EAGLE ET AL ANCEL GLINK DIAMOND BUSH & E 1349 16WC 24855 STRINGHAM, ARTHUR W WALMART, INC 03/16/15 STEINBERG BURTKER & GROSSM QUINTAIROS PRIETO WOOD & BOY 1350 16WC 25164 DE OCA, IVAN MONTES POWER SOLUTION INTERNATIO 04/08/16 DWORKIN AND MACIARIELLO 1351 16WC 25170 DAVIES, CARL TMKG, INC 08/08/16 LIPKIN & HIGGINS LAW OFFIC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1442 16WC 30130 CAVER, ANTOINE ELMHURST MEMORIAL HOSPITA 08/31/16 FRIEND LEVINSON & BERGAL 1443 16WC 30193 MARTIN, RONNIE ILLINOIS DEPT OF HUMAN SR 08/30/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 1444 16WC 30206 DIMONTE, ANTHONY JOHN ILLINOIS STATE TOLLWAY 08/26/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 1445 16WC 30262 DEL VALLE, DIANA EUROPEAN SVC AT HOME, INC 09/20/16 ANKIN LAW OFFICE 1446 16WC 30302 DARBY, SCOTT H ADT 12/24/13 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 1447 16WC 30330 GIBSON, ALEXANDER S & S AUTOMOTIVE, INC. 07/07/15 SPIROS LAW PC 1448 16WC 30401 MIRANDA, FRANCISCO ACE METAL CRAFTS 05/31/12 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1449 16WC 30416 NOVAK, CHAD OFFICE DEPOT 08/02/15 R. MARK MARITOTE PC NYHAN BAMBRICK KINZIE & LOWR 1450 16WC 30440 FARLEY, LESLIE FLOWSERVE, INC 12/07/15 NEWLAND & NEWLAND 1451 16WC 30469 ULRICH, RICHARD RICHARD S ULRICH, DDS PC 07/30/16 KATZ FRIEDMAN EAGLE ET AL 1452 16WC 30511 NUN, NAK M UNITED PARCEL SERVICE 12/10/15 LAW OFFICE OF TRENT & BUTC ASA LAW GROUP 1453 16WC 30568 THOMPSON, CHERYL FEDEX 02/15/15 FOOTE MIELKE CHAVEZ & O'NE 1454 16WC 30602 SALGADO, CRISTINA MCDONALD'S CORPORATION 09/16/16 ANKIN LAW OFFICE 1455 16WC 30688 ADAME, LUIS A JUST IN TIME STAFFING, LL 09/23/16 RUEDA, IVAN A INMAN & FITZGIBBONS 1456 16WC 30803 SARI, ANDREA COUNTY OF DUPAGE 03/21/16 LAW OFFICE DAVID W CLARK 1457 16WC 30813 LEON, JOSE THE PATE CO 07/28/16 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 1458 16WC 30830 WACHT, NANCY NEW ALBERTSON'S, INC 07/15/16 NILSON STOOKAL GLEASON CAP 1459 16WC 30869 NAVARRO, MARIA R ACCUTECH MACHINING, INC 09/14/16 SALK, STEVEN B & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1460 16WC 30942 BLAZE, JOSEPH WINDOW WORKS 08/16/16 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 1461 16WC 30944 O'NEIL, JENNIFER NEAL MAST AND SON INC 11/20/15 GORDON & CENTRACCHIO LLC CAPUANI & SCHNEIDER 1462 16WC 31053 SOTO, JOSE ALLIED BARTON SECURITY SV 07/15/16 GALLAGHER LAW PC GAROFALO SCHREIBER STORM 1463 16WC 31070 CARUSO, PHILLIP RUAN LOGICS CORP 05/15/15 SCHREINER MALLOY & ETZLER JAMES M KELLY 1464 16WC 31112 DOBROTKA, JOHN THE HOME DEPOT 09/16/16 MEYERS & FLOWERS 1465 16WC 31223 CASTILLO PEREZ, MILTON ASPHALT PAVING 08/11/16 MC HARGUE, JAMES P LAW OFF WIEDNER & MCAULIFFE LTD 1466 16WC 31249 PORKSCH, JOSEPH ABS & TAYLOR 08/19/15 CULLEN HASKINS NICHOLSON 1467 16WC 31363 ZERMENO, ROSARIO CENTURY MOVING, INC 07/26/16 COSTA IVONE LLC ROSARIO CIBELLA 1468 16WC 31407 ESTRADA, NELSON TRANSCHICAGO TRUCK GROUP 07/05/16 LAW OFFICE OF ROBERT J. IR 1469 16WC 31465 TYLKA, MAGDALENA ARGONNE NATIONAL LABORATO * 09/29/16 MC HARGUE, JAMES P LAW OFF KEEFE CAMPBELL & ASSOC LLC 1470 16WC 31485 MONROY, MARIA MARRIOTT OAKBROOK 08/14/16 SALVATO & O'TOOLE 1471 16WC 31491 JACKSON, DEIRDRE HCR MANOR CARE 07/15/16 LEO M. BLEIMAN & ASSOC 1472 16WC 31536 MURILLO, ALEXANDER G ESSENDANT 08/09/16 GALLAGHER, DONALD V 1473 16WC 31554 JUAREZ, JOSE US FOODS CHICAGO 08/16/16 OSVALDO RODRIGUEZ PC 1474 16WC 31592 CARTER, ANDREW DESIGNED STAIRS, INC 02/17/16 MATHYS & SCHNEID 1475 16WC 31656 VILLARREAL, JESSE CTM MEDIA GROUP 06/21/16 DWORKIN AND MACIARIELLO 1476 16WC 31797 DENNIS, LEROY LOGISTIC RESOURCES INC 10/11/16 STEVEN J TENZER, LTD WOLFE & JACOBSON, LTD 1477 16WC 31849 MROCH, EUGENE W JR GENERAL GROWTH PROPERTIES * 12/29/15 THE FITZ LAW GROUP RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1478 16WC 31861 KHAN, RAHAT DEMAR DIRECT 07/21/16 MILLON & PESKIN LTD 1479 16WC 31887 REEVES, SHAUN METRO STAFF * 10/10/16 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 1480 16WC 31952 SANCHEZ, SAMUEL DEGRAF CONCRETE CONSTR IN * 06/07/16 BERNAT & BERNAT PC ACCIDENT FUND HOLDINGS 1481 16WC 32056 STEWARD, VIRGIL ED HOY INTL/ * 08/30/16 DAVID W MARTAY 1482 16WC 32215 GARCIA, IRMA RR STREET & CO, INC * 08/15/16 ACEVES & PEREZ PC 1483 16WC 32269 GONZALEZ, AGUSTINA FIRST HOSPITALITY GROUP, * 05/02/16 COSTA IVONE LLC COZZI & GOGGIN-WARD 1484 16WC 32291 WARD, STACY ADVOCATE MEDICAL GROUP * 05/17/16 PARENTE & NOREM PC 1485 16WC 32335 O'NEILL, WILLIAM L UPS * 06/13/16 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 1486 16WC 32375 GARCIA, MARIA FIRST TRANSIT, INC * 09/28/16 DWORKIN AND MACIARIELLO 1487 16WC 32478 HUERTA, ISAAC SURE STAFF, INC * 08/09/16 LULAY LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 1488 16WC 32519 BARNES, ARMANI MELROSE TRANSPORT SYSTEMS * 05/27/16 LAW OFFICES OF ANSELMO DUR 1489 16WC 32530 BOORSMA, MARVIN FX FREIGHT EXCHANGE * 08/31/16 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 1490 16WC 32615 GARCIA, MICHELLE ULTRA FOODS * 08/17/16 RUBENS AND KRESS 1491 16WC 32677 RYAN, DENNIS FRALEY AND SCHILLING, INC * 06/28/16 SCHWEICKERT & GANASSIN 1492 16WC 32733 MALDONADO, VICTOR SUPREME LOBSTER * 05/23/16 LEO ALT 1493 16WC 32761 DIAZ, JOSE DECO LABELS & TAGS * 06/28/16 MC HARGUE, JAMES P LAW OFF 1494 16WC 33019 ROUVIERE, PHILLIP J MED POINT, LLC * 05/10/16 HASSAKIS & HASSAKIS LAW OFFICES JOSEPH MARCINIAK 1495 16WC 33048 LOZANO, ROGER A DOYLE SIGNS, INC * 10/29/15 SCHRAMM LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1496 16WC 33080 TORREZ, RALPH USF HOLLAND TRUCKING * 08/12/16 STEVEN H MEVORAH & ASSOCIA 1497 16WC 33127 LIMONEZ, ELISEO J C WOOD FINISHING * 10/21/16 DWORKIN AND MACIARIELLO 1498 16WC 33269 MALONEY, RON TERRANCE ELECTRIC * 01/07/14 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 1499 16WC 33368 LOPEZ, AUDEN JNR ADVANTI ENGINERING, E * 02/19/16 WARREN W MARK 1500 16WC 33426 FRANCO, JOSE THE COUNTERTOP FACTORY * 10/17/16 FOOTE MIELKE CHAVEZ & O'NE ACCIDENT FUND HOLDINGS 1501 16WC 33447 LOPEZ, ROSA EXTENDED STAY AMERICA HOT * 10/18/16 LAW OFFICES LEONARDO MORAL 1502 16WC 33466 BERRY, GERALD IMPERIAL LIGHTING * 08/25/16 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 1503 16WC 33486 WASP, JOHN OUTREACH COMMUNITY MINIST * 05/09/16 DWORKIN AND MACIARIELLO 1504 16WC 33531 ROSZEL, THOMAS FLOYD'S STEEL ERECTORS * 05/02/16 ANGELINI & ORI LLC 1505 16WC 33579 LOPEZ, SILVIA VICTOR ENVELOPE MFG CO IN * 10/10/16 SALK, STEVEN B & ASSOC LTD 1506 16WC 33687 GILBERT, MICHAEL T SCARBROUGH INTL LTD * 09/21/14 KATZ FRIEDMAN EAGLE ET AL ROSARIO CIBELLA 1507 16WC 33804 GOEBEL, MICHAEL J NEW ALBERTSON'S INC./ * 10/07/16 SOSTRIN AND SOSTRIN PC 1508 16WC 33820 LOJA, MARIO TRI CITY FOODS, INC * 11/09/15 MARKER & ASSOCIATES LAW OFFICES OF EDWARD J. KOZ 1509 16WC 33844 HARDY, MARGARET THE RICHARD LYNN CO * 05/08/15 ANGELINI & ORI LLC 1510 16WC 33988 JAIMES, NOE M THE PLASTICS GROUP * 09/07/16 COSTA IVONE LLC 1511 16WC 33999 CRIVELLO, CYNDI A HEALTHCARE SVC CORP * 10/12/16 ANKIN LAW OFFICE 1512 16WC 34029 GALVAN, ADAN TLC PLUMBING INC * 06/07/16 JOHN E LUSAK RUSIN & MACIOROWSKI LTD 1513 16WC 34068 MARTINEZ, PEDRO DIAZ BLACK CREEK CANYON, INC * 01/14/15 HODES GREENSTEIN & LITWIN

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1550 16WC 35745 DE LA TORRE, JASON CAPUTO'S FRESH MARKET * 10/07/16 SALVATO & O'TOOLE 1551 16WC 35759 YANEZ, ENRIQUE SIEMENS CORP * 02/05/14 KINNALLY FLAHERTY KRENTZ & 1552 16WC 35853 ARMSTRONG, TIFFANY BRIDGEWAY OF BENSENVILLE * 11/21/16 MC HARGUE, JAMES P LAW OFF 1553 16WC 36053 FIGUEROA, JASON ELMHURST TOYOTA * 07/18/16 MEYERS & FLOWERS WOLFE & JACOBSON, LTD 1554 16WC 36071 BARAN, KEVIN MARQUETTE MANAGEMENT * 12/01/13 WOODRUFF & JOHNSON 1555 16WC 36094 ANDERSON, JAMES UPS * 11/02/16 SCOTT W SHEEN & ASSOCIATES 1556 16WC 36133 STOAKLEY, KALON R CADILLAC OF NAPERVILLE * 09/16/16 GARDI & HAUGHT 1557 16WC 36184 HUERTA, MARIO WHOLE FOODS MARKET * 11/12/16 COSTA IVONE LLC 1558 16WC 36192 MEINE, EDWARD R CITY OF NAPERVILLE * 11/04/16 THOMAS W DUDA CITY OF NAPERVILLE 1559 16WC 36289 BROWN, MAYA ALC HOMEHEALTH CARE, INC * 06/26/16 ASHER, RAYMOND L LTD BRADY CONNOLLY & MASUDA PC 1560 16WC 36384 HILLIARD, DAVID AT&T * 07/28/16 SAUNDERS CONDON & KENNY 1561 16WC 36415 ZERNIA, KRISTA DUPAGE MEDICAL GROUP * 07/18/16 SKLARE LAW GROUP COZZI & GOGGIN-WARD 1562 16WC 36497 FELDMAN, JOSEPH DOLLAR TREE * 11/03/16 FOOTE MIELKE CHAVEZ & O'NE 1563 16WC 36553 WIMS, KEHELA WALMART * 06/22/16 BRISKMAN BRISKMAN GREENBER GANAN & SHAPIRO 1564 16WC 36571 TOMS, SHANE STONE INSTALLATION & MAIN * 03/18/16 LAW OFFICE DAVID W CLARK 1565 16WC 36613 KAMPEN, MARY JEWEL FOOD STORES * 11/12/16 KARNO, MARK L & ASSOC QUINTAIROS PRIETO WOOD & BOY 1566 16WC 36657 IZEWSKI, JEFFREY CITY OF ELMNURST * 04/22/16 MILLON & PESKIN LTD RODDY LAW LTD 1567 16WC 36688 WOZNIAK, STEVE ELMHURST AUTO CARE INC * 02/03/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1568 16WC 36693 LANGE, DILITTA LIBERTY MUTUAL * 10/28/16 FOOTE MIELKE CHAVEZ & O'NE 1569 16WC 36723 JOHNSON, CAROL MACY'S * 11/17/12 JASINSKI, GEORGE J BRYCE DOWNEY & LENKOV LLC 1570 16WC 36772 DEL VESCOVO, DOMENIC ILLINOIS TOLLWAY * 09/28/16 BARRY A KETTER 1571 16WC 36900 QUICK, ANGELA UPS * 10/06/16 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 1572 16WC 36913 LITTLE, RANDY ADT * 08/12/14 RATHBUN CSEVENYAK & KOZOL 1573 16WC 36942 ARREGUIN, EUMIR AMERIT FLEET SOLUTIONS * 09/29/15 PORRO NIERMANN & PETERSEN 1574 16WC 36974 DECUIR, KEVIN IKS HEALTH * 08/30/16 LAW OFFICE HOWARD ABRAMS 1575 16WC 37041 TOMS, PETER M NORTHWESTERN FLAVORS, LLC * 10/06/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 1576 16WC 37060 MESZAROS, MICHAEL COUTY OF DUPAGE * 09/17/16 ATSAVES, LOUIS G LTD 1577 16WC 37117 BARRON, JUAN CARLOS BEMA, INC * 08/11/16 FABRIZIO, HANSON & PEYLA BRYCE DOWNEY & LENKOV LLC 1578 16WC 37159 CARRERA, ROLANDO A S&S INTERNATIONAL * 10/27/16 ROSS TYRRELL 1579 16WC 37204 ARIAS, ELDIN D AAPCO GROUP * 10/09/16 CHRISTIAN & MANNO CASSANO & ASSOCIATES 1580 16WC 37277 LI, JIN BAO SARKU JAPAN * 09/08/16 WILLIAM MARTAY COZZI & GOGGIN-WARD 1581 16WC 37312 TODD, CHARLOTTE BED BATH AND BEYOND * 09/16/15 GOLDBERG WEISMAN & CAIRO L 1582 16WC 37414 SHICK, LAWRENCE M LEMONT SCHOOL DISTRICT #1 * 04/29/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 1583 16WC 37464 MARTINEZ-MEDINA GAVURE INK @ * 11/15/16 WEISS ORTIZ PC 1584 16WC 37734 FAORO, MICHELLE SUPERIOR AMBULANCE * 08/03/16 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 1585 16WC 37745 BLACK, LOLETA STATE OF IL DEPT OF HUMAN @ * 12/01/16 COSTA IVONE LLC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1586 16WC 37768 KOCORAS, FRIEDA MACY'S FURNITURE GALLERY * 11/26/16 ROMANEK & ROMANEK BRYCE DOWNEY & LENKOV LLC 1587 16WC 37845 SANDOVAL, ELENA OLIVE GARDEN * 08/29/16 MC HARGUE, JAMES P LAW OFF 1588 16WC 37893 ARJON, ELIZABETH HARVARD MAINTENANCE, INC * 10/04/16 KUMLIN & FROMM 1589 16WC 37918 FRANCESCO DE, MICHAEL GREC & SONS * 06/02/16 VASILATOS & COTTER LLC 1590 16WC 37971 RIVERA, HEIDI FROZEN FOOD EXPRESS * 11/10/15 CAPRON & AVGERINOS PC 1591 16WC 38000 KUPCZYK, RAY ADDISON TRAIL HIGH SCHOOL * 01/14/16 KROL BONGIORNO & GIVEN LTD 1592 16WC 38086 HUERTA, FLAUDIANO ALANIS DOUGLAS FLOORING COVERING * 10/31/16 COSTA IVONE LLC 1593 16WC 38124 D'ORONZO, VINCE D&P CONSTRUCTION CO INC * 08/27/16 LOCASCIO, MARK A LTD ACCIDENT FUND HOLDINGS 1594 16WC 38141 NEAL, DOUGLAS DUTCHMAN HEATIGN & COOLIN * 07/30/16 MC HARGUE, JAMES P LAW OFF 1595 16WC 38204 EZQUIVEL, ADOLFO GENESIS CONSTRUCTION * 12/06/16 WHITESIDE & GOLDBERG LTD 1596 16WC 38217 TIJERINA, GABRIEL ERNIE'S TOWING SVC * 11/14/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 1597 16WC 38265 BRISSETTE, MICHAEL UPS * 07/14/16 ASA LAW GROUP 1598 16WC 38305 CIFONE, ROSEANN JEWEL/OSCO FOOD STORES * 07/26/16 GOLDBERG WEISMAN & CAIRO L 1599 16WC 38312 WASKO, AMY ADVOCATE GOOD * 08/08/16 RIDGE & DOWNES 1600 16WC 38370 DAVIS, KRISTY PEACOCK ENGINEERING CO * 07/22/16 BART DURHAM 1601 16WC 38537 VELAZQUEZ, JUAN TOMMY NEVIN'S PUB * 09/11/16 POLANSKY & CICHON CHTD 1602 16WC 38573 LOGAN, DEON JB HUT TRANSPORT INC * 12/11/16 ANKIN LAW OFFICE 1603 16WC 38605 OKUBO, KOJI CRATE AND BARREL * 09/16/16 ROGER D RUDICH LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1604 16WC 38679 PATTERSON, ALISA ATRIA PARK OF GLEN ELLYN * 12/06/16 BRISKMAN BRISKMAN GREENBER 1605 16WC 38701 JESCHKE, TIMOTHY S BARRIER CORPORATION * 05/12/16 HANNIGAN & BOTHA, LTD 1606 16WC 38777 PHILLIPS, LONNIE ILLINOIS STATE TOLLWAY AU * 04/27/16 HORWITZ HORWITZ & ASSOC 1607 16WC 38797 BORGE, NICOLE A WHOLE FOODS MARKET * 04/03/16 HART & DAVID LLP 1608 16WC 38823 CONNER, KEVIN ILINOIS CENTRAL SCHOOL BU * 12/13/16 DWORKIN AND MACIARIELLO 1609 16WC 38833 RIVERA, JUAN DSI SPACEFRAMES, INC. * 09/28/16 HENNESSY & ROACH PC 1610 16WC 38912 BUENO, CARMELA SMX LLC * 08/30/16 ANKIN LAW OFFICE 1611 16WC 38976 OCHOA, EMILIO US FOODS CHICAGO * 07/26/16 OSVALDO RODRIGUEZ PC 1612 16WC 39028 SEPE, MARK VILLAGE OF LOMBARD * 07/01/15 KLEIN THORPE & JENKINS LTD 1613 16WC 39089 VAZQUEZ, MARYANN MACY'S * 06/11/16 JOHN E LUSAK ROBERT L. SMITH 1614 16WC 39178 MATONIAK, EDWARD JOE KOS REMODELING * 05/11/16 NILSON STOOKAL GLEASON CAP 1615 16WC 39299 CASTRO LOPEZ, JOSE SPRUCE LANDSCAPING * 08/01/16 COSTA IVONE LLC 1616 16WC 39308 RAO, DAISY D WYNDEMERE D/B/A WESTBRIDG * 01/03/15 BUDIN LAW OFFICES 1617 16WC 39378 GALLEGOS, FRANCISCO KFC/TACO BELL * 12/06/16 STEVEN H MEVORAH & ASSOCIA 1618 16WC 39405 LONG, STEVEN M. DIAMLER TRUCKS OF NORTH * 04/18/16 PERRY M LAKS LAW OFFICE 1619 17WC 00001 GILBERT, BERT PARTS TOWN * 09/21/16 EDWIN REYES LEGAL GROUP 1620 17WC 00025 ERRI, MARLA A CERBERUS CAPITAL MGMT GRO * 05/23/16 FIGLIOLI, DAVID 1621 17WC 00036 MORA, ELVIRA PLASTECH, INC * 08/10/16 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1622 17WC 00043 MONTANA, RAFAEL GDI SERVICES * 12/27/16 HERRERA LAW CENTER 1623 17WC 00122 VYAS, NPIM AMAZON * 10/22/16 KARNO, MARK L & ASSOC 1624 17WC 00135 GALINSKY, JAMES MONROE TRANSPORTATION SER * 12/21/16 LAW OFFICES OF MARK SCHAFF 1625 17WC 00162 LAY, PAUL GLENEAGLES COUNTRY CLUB * 07/20/15 WOLFE & JACOBSON, LTD 1626 17WC 00204 MC KNIGHT, JARVARIUS J US FOODS * 11/27/16 GARDI & HAUGHT 1627 17WC 00249 CASTANEDA, SALVADOR RELIANCE GEAR CORP * 03/28/16 LAW OFFICE OF JAMES URTIS 1628 17WC 00269 JONES, JAQUELLA COURIER DISTRIBUTION SYST * 12/13/16 ANKIN LAW OFFICE 1629 17WC 00338 SANCHEZ, CARLOS GRAVURE INK * 05/28/15 WEISS ORTIZ PC 1630 17WC 00368 SARABIA, VIRGINIA RELIABLE CLEANING * 08/20/16 FOOTE MIELKE CHAVEZ & O'NE 1631 17WC 00556 CAMPBELL, PETER EDWARD AMBULANCE SERVICES * 05/28/15 RUSIN & MACIOROWSKI LTD 1632 17WC 00578 WALSH, CHRIS ROSELAND INDUSTRIES * 05/13/16 E JAMES RAYMOND 1633 17WC 00610 ADAMS, CARRIE SAMS CLUB * 12/14/15 GESMER LAW OFFICES, PC 1634 17WC 00637 VOGT, MICHAEL KH RANOVATIONS INC * 12/09/16 GOLDBERG WEISMAN & CAIRO L 1635 17WC 00798 SPIGHT, TOMMY WIDE OPEN WEST CABLE * 12/12/16 DWORKIN AND MACIARIELLO 1636 17WC 00846 RODRIGUEZ, FABIOLA COSTCO WHOLESALE * 07/23/15 LEONARD LAW GROUP LLC 1637 17WC 00882 LARA, ERICA HYATT REGENCY * 12/12/16 BART DURHAM 1638 17WC 00904 TURNER, JOHN PER SE GROUP * 12/18/14 BLOCK, KLUKAS & MANZELLA P 1639 17WC 00981 HERNANDEZ, ERICK BENCHMARK HOSPITALITY, IN * 12/05/16 MILLON & PESKIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 95 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR WHEATON 51002 ON 02/15/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1640 17WC 01005 BARNES, JOSEPH E UNITED PARCEL SERVICE * 11/29/16 LASSEN, BRIAN D LAW OFFICE 1641 17WC 01168 WININGER, EDWIN UPS * 09/28/16 THE MACK LAW GROUP PC 1642 17WC 01226 ANDREASEN, CHRISTINE NORTH DUPAGE SPECIAL * 11/15/16 MEYERS & FLOWERS 1643 17WC 01271 NESBIT, SHELDON SIZEWISE RENTALS, LLC * 01/08/16 HOLECEK & ASSOCIATES