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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 11WC 12522 RECENDEZ, JOSE DUNDEE TOWNSHIP 12/15/10 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 2 11WC 38293 LYNEST, GERALYN CELLCO PARTNERSHIP 03/28/11 DWORKIN AND MACIARIELLO 3 11WC 44775 ORTIZ, MARIA ALDI 07/08/11 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 4 12WC 06699 FRAILEY, ROBERT K.R. DRENTH TRUCKIN, INC 09/04/10 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 12WC033153 -C K R DRENTH TRUCKING, INC C 5 12WC 11395 DOMINGUEZ, GERARDO DYNACAST INC 12/05/11 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 6 12WC 13868 BUSH, MARILYN ELGIN MENTAL HEALTH FACIL 11/22/11 HORWITZ HORWITZ & ASSOC 12WC013869 -C 13WC032286 -C 14WC027099 -C 7 12WC 41227 ORTIZ, REYNALDO MAINTENANCE COATINGS COMP 05/24/12 MURPHY & MURPHY THOMAS & PORTELA 8 13WC 10179 CHINO, ESTHER MIDDLEBY CORPORATION 11/15/12 MARTIN V KUGIA WIEDNER & MCAULIFFE LTD 14WC000506 -C 14WC000507 -C 15WC008185 -C 9 13WC 11263 SANCHEZ, JESUS LEOPARDO CONSTRUCTION 03/07/13 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 10 13WC 12936 BROOKS, BARBARA JOHN B SANFILIPPO & SONS, 03/21/13 MEYERS & FLOWERS SLAVIN & SLAVIN 11 13WC 13076 METOYER, ANDRE C SR VILLAGE OF ROSELLE 01/02/13 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 12 13WC 26617 BARRER, GEORGE CITY OF ELGIN 05/24/13 WOODRUFF & JOHNSON FRED J BEER LAW OFFICES 13 13WC 30365 BROOKS, BARBARA JOHN B SANFILIPPO & SON I 07/14/11 MEYERS & FLOWERS LLC SLAVIN & SLAVIN 14 13WC 30576 HOPP, ERIC V CITY OF ELGIN FIRE 08/18/13 THOMAS W DUDA FRED J BEER LAW OFFICES 17WC021016 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 13WC 31910 SANCHEZ, DAWN SPEEDWAY 08/11/13 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 16 13WC 32816 FORTIN, CHERIF CITY OF ELGIN 02/25/12 SCHWARTZ, KENNETH L FRED J BEER LAW OFFICES 13WC032817 -C 18WC022702 -C 18WC022703 -C 18WC022704 -C 17 14WC 02244 GREEN, BOBBY L HOFFER PLASTICS CORP 01/03/12 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 18 14WC 02650 DELEON, MADELINE CITY OF ELGIN POLICE DEPT 01/13/14 LAW OFFICES DANIEL E MURPH FRED J BEER LAW OFFICES 19 14WC 02764 19B ZAVEDRA, ALICIA GARCIA JOHN B SAN FILIPPO & SONS 10/09/13 MARTIN V KUGIA SLAVIN & SLAVIN 20 14WC 02857 CHOLULA, JULIO CUSTOM ALUMINUM PRODUCTS 08/22/13 GAINES & GAINES RIPES NELSON BAGGOT KALOBRAT 21 14WC 04611 19B HOOKER, TRAVIS CITY OF ELGIN 06/20/13 ARNOLD & KADJAN FRED J BEER LAW OFFICES 16WC020684 -C 22 14WC 09049 MEDRANO, DANIELA CAT-1 GLASS 08/27/13 HART & DAVID LLP GRANT & FANNING 23 14WC 09943 GERARDO, CELIA PRONTO HELP INC 11/22/13 HORWITZ HORWITZ & ASSOC ASA LAW GROUP 24 14WC 10006 CRAM, KENNETH CARPTNERSVILLE POLICE DEP 01/10/14 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 25 14WC 14202 MENDEZ, FRANCISCO HOT MASALA W 04/07/14 ASSISTANT ATTORNEY GENERAL 26 14WC 20911 MAC KNIGHT, KARYN ILLINOIS SCHOOL DISTRICT 05/21/14 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 27 14WC 34238 HOLM, ADAM R AS CORPORATION INC 12/03/13 LAW OFFICES MICHAEL HELLMA 28 14WC 42067 CRAM, KENNETH CARPENTERSVILLE POLICE DE 06/12/14 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 29 15WC 00511 SCHULTE, JEFF PRAIRIE MATERIAL 08/06/14 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM GRA 019 15WC003634 -C 019 15WC003669 -C 30 15WC 01041 RAMIREZ, CARLOS ELGIN FIRE DEPARTMENT 07/16/14 RIDGE & DOWNES FRED J BEER LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 15WC 01106 JAMES, KATRINA PACE SUBURBAN BUS 12/29/14 GOLDBERG WEISMAN & CAIRO L 32 15WC 05541 MARTINEZ, GUADALUPE JOHN B SANFILLIPO & SONS 07/24/14 PORRO NIERMANN LAW GROUP COZZI & GOGGIN-WARD 15WC005788 -C 33 15WC 12550 HERNANDEZ, CAROLINA SCHOO,L DISTRICT U-46 12/18/14 MARTIN V KUGIA NYHAN BAMBRICK KINZIE & LOWR 34 15WC 17212 WILBUR, CHRISTOPHER ADP TOTAL SOURCE FLXVIII 03/19/15 GOLDBERG WEISMAN & CAIRO L WOLFE & JACOBSON, LTD 35 15WC 19779 19B HERRERA, MIGUEL ESTES EXPRESS LINES 03/03/15 LAW OFFICE ROBERTO ACEVEDO WIEDNER & MCAULIFFE LTD 36 15WC 25091 RODRIGUEZ, MARIA CAPSONIC GROUP, INC. 10/31/12 LAW OFFICE OF SCOTT B SHAP 37 15WC 25514 MAJID, DURE ELGIN MENTAL HEALTH CENTE @ 05/15/15 STELZMAN, RUTH ASSISTANT ATTORNEY GENERAL 38 15WC 26684 IBARRA, MARIA E JOHN B SANFILIPPO & SON I 12/03/14 SMOLER LAW OFFICE, PC COZZI & GOGGIN-WARD 39 15WC 27865 NOWICKI, LETICIA ADVOCATE SHERMAN HOSPITAL 08/21/15 LAW OFFICES DANIEL E MURPH GAROFALO SCHREIBER STORM GRA 40 15WC 33832 STALLWORTH, ARCHIE VALENTINE TRUCKING 02/14/15 17WC003727 -C 41 15WC 37524 19B HEILMANN, ROBERT SR ADVANCED GEOTHERMAL PLUMB 11/13/15 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 42 15WC 37963 OCHOA, JOSE AGENCY STAFFING/PEOPLELIN 11/04/15 GOLDBERG WEISMAN & CAIRO L WOLF & LAUDICINA LTD 43 15WC 41055 LOPEZ, ROSA APET INC 11/09/15 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 44 15WC 41185 NAVARRO, IMELDA TCF NATL BANK 09/13/15 DISPARTI LAW GROUP PA GAROFALO SCHREIBER STORM GRA 45 16WC 00090 SULLIVAN, BRIAN FOX VALLEY INTERNET INC 10/23/15 PARENTE & NOREM PC LAW OFFICES JOSEPH MARCINIAK 46 16WC 00523 BAINES, LAJUAN PRESENCE HEALTH 10/20/15 SALK, STEVEN B & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 16WC 06680 BURKE, MELISSA A SLEEPY HOLLOW ELEMENTARY 11/06/15 SLAVIN & SLAVIN WIEDNER & MCAULIFFE LTD 48 16WC 07556 LOPEZ, TERESA HIGHLAND OAKS 06/12/13 THOMAS J STIBERTH LAW OFFI GALLIANI DOELL & COZZI LTD 16WC007557 -C 49 16WC 08346 NEUBURGER, MARGARET SCHOOL DISTRICT U-46 01/11/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 50 16WC 11908 CUEVAS, SANTIAGO HUBBEL 03/11/15 DISPARTI LAW GROUP PA COZZI & GOGGIN-WARD 51 16WC 12355 SANCHEZ, DEBBIE EXCEL STAFFING INC 03/25/16 PORRO NIERMANN LAW GROUP KOPKA, PINKUS DOLIN, PC 52 16WC 12865 RAMOS-VAZQUEZ, IRMA METRO STAFF, INC. 05/03/15 SALK, STEVEN B & ASSOC LTD FRANCIS J DISCIPIO LAW OFFIC 53 16WC 18732 WILLIAMS, JEAN NICOR GAS 01/08/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 54 16WC 20571 LEWIS, ANDRE L ELGIN SCHOOL DISTRICT U46 06/23/16 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 17WC011365 -C 55 16WC 21229 19B SOELTER, VICKIE MARKING SPECIALISTS 05/19/16 LAW OFFICES DANIEL E MURPH RUSIN & MACIOROWSKI LTD 56 16WC 24996 ALDERSON, TYRONE METRO STAFF INCORPORATED 07/14/16 COMPTON LAW GROUP FRANCIS J DISCIPIO LAW OFFIC 57 16WC 26011 DUCASSE, KIMBERLY VILLAGE OF CARPENTERSVILL 06/05/16 THE ROMAKER LAW FIRM RUSIN & MACIOROWSKI LTD 16WC026012 -C 16WC026013 -C 17WC037283 -C 58 16WC 26049 RUSTAY, JONATHAN CITY OF ELGIN POLICE DEPT 02/01/15 MEYERS & FLOWERS FRED J BEER LAW OFFICES 59 16WC 26975 MARTINEZ, LUZ ELITE STAFFING 08/16/16 COSTA IVONE LLC GOLDBERG SEGALLA LLC 60 16WC 27406 OLESZCZUK, DARIUSZ J. ZZ REMODEL INC. 05/30/16 SMOLER LAW OFFICE, PC RUSIN & MACIOROWSKI LTD 61 16WC 27525 GALLARDO, GABRIELA HOFFER PLASTICS CORPORATI 10/02/15 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 62 16WC 27556 REYES, MARIA METRO STAFF INC 10/01/14 AIOSSA LAW FIRM 63 16WC 27572 LEFEVRE, JAMES ELGIN MENTAL HEALTH CENTE 06/20/16 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 16WC 28655 CANIGLIA, JAMES J TODD TRANSIT INC 01/08/15 TUITE LAW RIPES NELSON BAGGOT KALOBRAT 65 16WC 29252 EASTMAN, SEAN G4S SECURE SOLUTIONS 09/24/14 COMPTON LAW GROUP BRYCE DOWNEY & LENKOV LLC 66 16WC 30707 MURDOCK, MATT HERITAGE CRYSTAL CLEAN 03/29/16 STROM, NEAL B HENNESSY & ROACH PC 67 16WC 31315 BARNES, JAMES R JR CPC LOGISTICS 06/05/15 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM GRA 68 16WC 32260 ANDREWS, CHIQUITA ELGIN MENTAL HEALTH CTR @ 08/12/16 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 69 16WC 33780 ESTRADA, FIDEL WELCH STEEL PRODUCTS, INC 10/05/16 MEYERS & FLOWERS LAW OFFICES JOSEPH MARCINIAK 70 16WC 35335 GAMERO, ALICIA JOHN B. SANFILIPPO & SONS 06/01/15 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 71 16WC 37761 REITER, RONALD VILLAGE OF PINGREE GROVE/ 12/03/16 LAW OFFICES DANIEL E MURPH RUSIN & MACIOROWSKI LTD 72 16WC 38460 WATSON, NICK CJ DRILLING INC 12/01/16 73 17WC 00576 MENDOZA-ESPARRA, DANELLY ELITE STAFFING, INC 11/17/16 CUSHING LAW OFFICES 74 17WC 00782 PASILLAS, MIRIAM SURE STAFF 08/04/16 COSTA IVONE LLC SURE-STAFF 75 17WC 01742 ENGEL, VINCENT SUNSET CARTAGE INC A/K/A 10/24/16 KENT M LUCACCIONI WIEDNER & MCAULIFFE LTD 76 17WC 04050 CASE, RYAN L VILLAGE OF ROSELLE 09/18/16 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 77 17WC 04163 PASHOLK, KEVIN SIEMENS INDUSTRY, INC 09/23/14 FOOTE MIELKE CHAVEZ & O'NE HOLECEK & ASSOCIATES 78 17WC 06208 WALLACE, RICK L CITY OF ELGIN 01/09/17 LEAHY, JAMES P FRED J BEER LAW OFFICES 79 17WC 07703 MONTANA, SANDRA, DCSD BY APERION CARE ELGIN LLC 01/14/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 80 17WC 10069 TORRES, LUCIA LIFETOUCH NATIONAL SCHOOL 11/15/16 SALK, STEVEN B & ASSOC LTD LEAHY EISENBERG & FRAENKEL 81 17WC 10966 AMATO, FRANK SOUTH ELGIN POLICE DEPART 02/25/17 COLLISON LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 17WC 11204 FELIX, SCOTT ADVANCED DISPOSAL - BATAV 03/28/17 HUGHES SOCOL PIERS RESNICK INMAN & FITZGIBBONS 83 17WC 11754 OSMANI, MEHMET NICOR GAS/SOUTHERN SERVIC 04/21/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 84 17WC 13638 ALIBUXSH, MOHAMMAD EXTRACTOR CORPORATION 10/25/16 STEWART C ORZOFF 85 17WC 14182 KENT, MICHAEL GROVE CONCRETE LLC 08/17/16 LAW OFFICES ROBERT WARSASK RUSIN & MACIOROWSKI LTD 86 17WC 15678 RATLIFF, GINA STATE OF ILLINOIS DEPARTM @ 05/12/17 ASSISTANT ATTORNEY GENERAL 87 17WC 19488 GILLIAM, KIMBERLY LABOR NETWORK 05/24/17 88 17WC 19673 ANDERSON, TAMMY L EARLY, TOUSEY, REGAN, 06/19/15 PORRO NIERMANN LAW GROUP JOSEPH MARCINIAK 89 17WC 19836 RIVERA, MARIA L PERFECT CLEANING SVC CORP 03/13/17 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 17WC025393 -C 90 17WC 20327 ZENI, ROGER E ILLINOIS TOOL WORKS 05/23/17 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 91 17WC 22302 MINTER, BRECK ELGIN SWEEPER CO 06/05/17 MARKS INJURY LAW 92 17WC 23365 SCHNEIDER, SAMANTHA A. DUNDEE ANIMAL HOSPITAL 03/15/17 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 93 17WC 23887 SIYAVONG, EDWARD SCHLEIFRING MEDICAL SYSTE 07/31/17 ANGELINI & ORI LLC RUSIN & MACIOROWSKI LTD 94 17WC 24020 LUCE, NICOLE GRAND VICTORIA CASINO ELG 04/20/17 DEPAOLO & ZADEIKIS BRYCE DOWNEY & LENKOV LLC 95 17WC 25001 JOHNSON, SCOTT JC HARRIS AND SONS INC 06/09/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 96 17WC 26531 WHITE, NITA SCHOOL DISTRICT U-46 04/28/15 LUSAK AND COBB NYHAN BAMBRICK KINZIE & LOWR 17WC026532 -C 97 17WC 26746 CARTER, PERRY J JUST IN TIME STAFFING 08/22/17 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 98 17WC 28104 HERNANDEZ, BELEM METROSTAFF INC 09/08/17 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 99 17WC 28497 SOTELO, OLGA CAT-1 GLASS 11/04/14 RUBENS KRESS MULHOLLAND KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 17WC 28636 ROBLES, RAPHAEL SOUTH ELGIN H.S. DISTRICT 08/18/17 LAW OFFICE OF LAURA A CHIL 101 17WC 29355 CHORNYI, VOLODYMYR M-R GROUP HOLDINGS LLC 03/27/17 FEDOR KOZLOV & ASSOC 102 17WC 30214 PLISOW, SYLWIA JP MORGAN CHASE & CO 04/19/17 EVAN A HUGHES LAW OFFICE INMAN & FITZGIBBONS 103 17WC 30312 DAVIS, KASHIMA STATE OF ILLINOIS DHS ELG @ 07/21/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 104 17WC 30505 JONES, ROBIN VILLAGE OF SOUTH ELGIN PO 09/14/17 MEYERS & FLOWERS ANCEL GLINK DIAMOND BUSH & E 105 17WC 31061 GARCIA, ARMANDO J&D DOOR SALES, INC 11/18/16 ALVARO COOK LTD NYHAN BAMBRICK KINZIE & LOWR 106 17WC 31174 CRESSWELL, RAVEN PULLMAN SUGAR 10/10/17 VRDOLYAK LAW GROUP LLC CAPUANI, FRANK S 107 17WC 31464 CONLEY, TIFFANY BUCHER HYDRAULICS 08/25/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 108 17WC 33383 RAMIEREZ, JOSE G METRO STAFF 04/04/16 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 109 17WC 33589 ALEXANDER, ALFARAE KELLY SERVICES USA LLC 10/27/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 110 17WC 33757 PISZCZEK, JOZEF M&R PRINTING CO 08/17/17 BELLAS & WACHOWSKI 111 17WC 34264 GUERRERO, MARIA ELGIN INDUSTRIES INC 08/24/17 LAW OFFICE ROBERTO ACEVEDO 112 17WC 34408 JOHNSON, CAROLINE CHASE CARD SERVICES 01/01/17 COMPTON LAW GROUP HENNESSY & ROACH PC 113 17WC 35134 ADCOCK, RUSSELL ADVANTAGE PAVEMENT SOLUTI 10/03/17 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 114 17WC 37176 LABOUFF, LINDA ST JOSEPH SCHOOL 02/13/17 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 115 17WC 37813 GOLZ, CAROLYN SNYDER MARK DRUGS 11/10/15 116 17WC 37849 BRUSVEN, BRYAN STATE OF ILLINOIS-ELGIN @ 12/16/16 HERRERA LAW CENTER ASSISTANT ATTORNEY GENERAL 117 18WC 00064 VALDEZ, SABRINA LUCKY LIVERY SERVICE INC 09/20/17 JOEL STEPHEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 18WC 00509 JONES, KENNY AMS MECHANICAL SERVICES I 08/22/17 NEWLAND & NEWLAND GAROFALO SCHREIBER STORM GRA 119 18WC 00620 BENNETT, DALE ELGIN COMMUNITY COLLEGE @ 01/13/16 LAW OFFICES DANIEL E MURPH HOLECEK & ASSOCIATES 120 18WC 00764 BARE, MICHAEL AT&T 01/05/18 CHRISTINE F DAVID INMAN & FITZGIBBONS 121 18WC 01695 TABOR, ANDREW LARSON JUHL US LLC 02/02/17 GRAUER & KRIEGEL LLC 122 18WC 02177 PIERCE, COURTNEY R CITY OF ELGIN 09/20/17 LAW OFFICE PHILIP BLOMBERG FRED J BEER LAW OFFICES 19WC002194 -C 123 18WC 02262 MOTTA, ESTHER SD U-46 10/16/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 124 18WC 02912 BENNETT, DALE ELGIN COMMUNITY COLLEGE 04/01/16 DANIEL E MURPHY HOLECEK & ASSOCIAT0ES 125 18WC 03022 VENEGAS, EDILZIA KELLY SVCS 09/07/17 GALLIANI DOELL & COZZI LTD NYHAN BAMBRICK KINZIE & LOWR 126 18WC 04111 HOLMES, KATY CITY OF ELGIN 01/01/18 KINNALLY FLAHERTY KRENTZ & FRED J BEER LAW OFFICES 127 18WC 04454 GUTIERREZ, NICHOLAS J. SR CHICAGO CITY GROUNDS INC 01/25/18 GALLAGHER, DONALD V LAWRENCE COZZI - LAW OFFICE 128 18WC 04679 CLARK, GREGORY LABOR NETWORK 10/28/17 SCOTT B SHAPIRO ROBERT L. SMITH 18WC004680 -C 129 18WC 04905 PETERSON, DONALD ECO LAB INC 05/18/17 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 130 18WC 05492 HERNANDEZ, FRANCISCO IL DEPT TRANSPORTATION @ 12/24/17 MICHAEL HELLMAN ASSISTANT ATTORNEY GENERAL 131 18WC 05523 OLSEN, STEWART SCHLEIFRING MEDICAL SYSTM 10/19/17 SCOTT B SHAPIRO ROSARIO CIBELLA 132 18WC 06089 DOMINGUEZ, OFELIA AVILA METRO STAFF 02/20/18 BAUM RUFFOLO & MARZAL LTD 133 18WC 06755 SCHMIDT, JESSICA GREAT LAKES COCA-COLA 05/12/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 18WC007415 -C 134 18WC 08965 HUFF, CHARLA IDHS @ 02/20/18 ASSISTANT AT0TORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 18WC 09537 LOPEZ RAMIREZ, MARTHA AEROTEK TEMP AGENCY 11/13/17 EPSTEIN, JACK R LAW OFFICE SPIEGEL & CAHILL, PC 136 18WC 10119 WEEMS, DANIELLE WICKSTROM AUTO GROUP 03/09/18 DAVID W MARTAY 137 18WC 10489 LEGORETTA, TOMAS COBRA METALWORKS 03/19/17 JONATHAN SCHLACK 138 18WC 10538 DIAZ, JOSE LUIS GRJ TRUCKING, INC. 04/25/17 SALK, STEVEN B & ASSOC LTD 139 18WC 11951 DESPARTE, DIANE MCDONALD'S 02/01/18 ANKIN LAW OFFICE 140 18WC 12002 ANDERSON, DAVID GRAND VICTORIA CASINO 12/11/14 GESMER & REYNOLDS PC 141 18WC 12769 FALBO, KRISTIN L CONTINENTAL DATALABEL INC 06/06/17 RIDGEWAY MCMEEN & MILLER HOLECEK & ASSOCIATES 142 18WC 14143 DE ANDA, JOSE TECH USA 02/19/18 JOHN S. ELIASIK JOSEPH MARCINIAK 18WC015477 -C 143 18WC 14236 KARAU, RALPH COMMONWEALTH EDISON 04/03/18 MAINARD LAW OFFICE CHILTON YAMBERT PORTER LLP 144 18WC 14776 CAMPOS, MONICA MCDONALDS 04/09/18 JOHN S. ELIASIK ROSARIO CIBELLA 145 18WC 15084 MENCHACA, EMILIO FLEXIBLE STAFFING SERVICE 11/22/17 STEFFEN & KELLY 146 18WC 15326 VALDARRABANO, CARMEN KENTUCKY FRIED CHICKEN 05/04/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 147 18WC 15467 PORRAS, KARLA JOHN B SANFILIPPO & SON, 10/25/17 KATZ FRIEDMAN EAGLE ET AL LAWRENCE COZZI - LAW OFFICE 148 18WC 17427 MUSLEH, AIMAN A MENARD, INC 05/23/18 ANKIN LAW OFFICE 149 18WC 18647 ABRAMS, VIOLET P ADVOCATE MEDICAL GROUP 03/15/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 150 18WC 18907 MEYER, JEAN SAM'S CLUB 02/09/18 PORRO NIERMANN LAW GROUP QUINTAIROS PRIETO WOOD & BOY 151 18WC 19489 CENTANNI, MICHAEL SCHOOL DISTRICT U-46 05/26/18 LEAHY, JAMES P 152 18WC 20453 DESCH, CHRISTOPHER J CLARK ENVIRONMENTAL 08/22/16 GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 18WC 20548 MCKINLEY, THOMAS J RAINBOW GLASS & TRIM LTD 06/13/18 ANKIN LAW OFFICE JOSEPH MARCINIAK 154 18WC 20991 ROSALES, PABLO BATHWRAPS 06/18/18 COSTA IVONE LLC ROSARIO CIBELLA 155 18WC 21580 MENDEZ, MARIA L MCDONALD'S OF CARPENTERSV 07/16/18 KATZ FRIEDMAN EAGLE ET AL 156 18WC 21782 WHEELER, LA VANDA J STATE OF IL, DEPT OF HS, 05/23/18 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 157 18WC 22707 LINDSEY, KENYORI ELGIN MENTAL HEALTH CENTE 05/13/18 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 158 18WC 23282 CELESTINO, LEODEIN METRO STAFF, INC 07/11/18 EPSTEIN, JACK R LAW OFFICE 159 18WC 24542 MENDOZA, MANUEL AMTEC PRECISION PRODUCTS 06/01/18 POLANSKY & CICHON CHTD 160 18WC 24599 GONZALEZ, MAXONIA WALMART 08/14/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 161 18WC 24641 ROMAN-LINOS, TIMOTEO LANGTON SNOW SOLUTIONS IN 02/11/18 RICHARD BINGHAM HANSON LAW OFFICE 162 18WC 25195 WARTENBERG, STELLA DAVITA, INC 08/09/18 THOMAS J STIBERTH LAW OFFI WIEDNER & MCAULIFFE LTD 163 18WC 25500 BESCH, WILLIAM SCHOOL DIST U-46 06/12/17 MEYERS & FLOWERS 164 18WC 26174 GARCIA, MARIBEL NIETO GCA SERVICE GROUP 05/21/18 PORRO NIERMANN LAW GROUP ASA LAW GROUP 165 18WC 26395 HUDSON, LAGWANDA STATE OF ILLINOIS- TOLLWA @ 06/12/18 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 166 18WC 27362 RICHARDSON, DAVID US REFRIGERATION SALES & 11/30/17 DAVID W MARTAY 167 18WC 27442 WARD, JASON E ADVANTAGE INDUSTRIAL 08/07/18 GOLDBERG WEISMAN & CAIRO L KRAKER FANNING & OLSEN 168 18WC 28312 ROCHEL, MATHEO AMERICAN NATIONAL SYSTEMS 08/31/18 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 169 18WC 29626 REYES, RODOLFO LINERS DIRECT 01/02/18 COSTA IVONE LLC GANAN & SHAPIRO 170 18WC 29862 AREOLA, JOSE FISHER NUTS 09/03/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 18WC 30158 VEGH, ANDREW ELMUND & NELSON CO 10/01/18 ROBIN LAW OFFICE WIEDNER & MCAULIFFE LTD 172 18WC 30954 CHINO, ESTHER MIDDLEBY CORPORATION 08/10/17 MARTIN V KUGIA WIEDNER & MCAULIFFE LTD 173 18WC 31111 VON FRAGSTEIN, GERTRUDE CROSSMARK, INC, C/O CAPIT 08/30/18 BRIAN J MC MANUS & ASSOC, QUINTAIROS PRIETO WOOD & BOY 174 18WC 31189 SERNA VELAZQUEZ, MARIA METRO STAFFING INC 01/15/18 KATHERINE A. CARDENAS SLAVIN & SLAVIN 175 18WC 31556 RASMUSSEN, PATRICK CITY OF ELGIN 10/08/18 DAVID W MARTAY FRED J BEER LAW OFFICES 176 18WC 31932 BOBKA, PAMELA ADVANCE STORES COMPANY,IN 06/27/18 RUSSO & RUSSO LTD 177 18WC 32465 MUELLER, CONNIE JEWEL 09/09/18 178 18WC 32749 ZIETHEN, RICHARD FOX VALLEY FORK LIFT 08/07/18 COMPTON LAW GROUP HOLECEK & ASSOCIATES 179 18WC 33174 SANTILLAN, ERICK ATT 03/20/18 R. MARK MARITOTE PC 180 18WC 33778 TOPPEL, MYRA PRESENCE ST JOSEPH HOSPIT 03/27/18 GORDON LAW OFFICES LTD 181 18WC 34106 RIVERA, MARCO ACCURATE PERSONNEL SERVIC 05/19/18 SANDMAN LEVY & PETRICH JOHN T GONNELLA 182 18WC 35557 TORRES, MARIA COMMUNICATIONS TEST DESIG 04/30/18 BRILL & FISHEL 183 18WC 35651 CULLY, JAMES ADVANTAGE CONTRACTOR SOLU 10/31/16 FOOTE MIELKE CHAVEZ O'NEIL KEEFE CAMPBELL BIERY & ASSOC 184 18WC 35816 THREATS, JOHN THIENEMAN CONSTRUCTION 09/25/18 HORWITZ HORWITZ & ASSOC EVANS & DIXON 185 18WC 36376 RAMOS, LAURA ATLAS STAFFING 10/23/17 COSTA IVONE LLC POULOS & DIBENEDETTO LAW 186 18WC 36402 AGUIRRE, DONALD J NEW ENGLAND MOTOR FREIGHT 11/26/18 LEAHY, JAMES P 187 18WC 36599 BOYAS, JOEL TC MULTIFILM PACKAGING CO 10/04/18 THOMAS J STIBERTH LAW OFFI HENNESSY & ROACH PC 188 18WC 36776 PASHOLK, ROBERT PLOW AND POUR, INC 09/13/17 FOOTE MIELKE CHAVEZ O'NEIL HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 189 18WC 37855 HANSON, BRETT INTELEX USA LLC 10/09/18 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 190 18WC 38066 LUPO, CINDY JEWEL OSCO 10/04/18 MARTIN V KUGIA EVANS & DIXON 191 18WC 38271 ASHWORTH, KYLE AT&T INC 12/14/18 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 192 19WC 00010 WILLIAMSON, LANCE CALDIC USA 08/29/18 ANGELINI & ORI LLC JOSEPH MARCINIAK 193 19WC 00078 ROCHEL, MATHEO AMERICAN NATIONAL SYSTEM 08/31/18 VRDOLYAK LAW GROUP LLC 194 19WC 00369 ARTEAGA, RAYMUNDO COPENHAVER CONSTRUCTION, 10/17/18 COSTA IVONE LLC EDWARD J. KOZEL 195 19WC 01215 MENDOZA, MARIA FINISH LINE 07/18/18 POLANSKY & CICHON CHTD 196 19WC 01541 PICAZO, SOLEDAD AMITA HEALTH ST JOSEPH EL 03/11/16 SALGADO, DAVID L NYHAN BAMBRICK KINZIE & LOWR 197 19WC 01681 MORGAN-BUFFINGTON, GAIL METRO STAFF INC 10/12/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 198 19WC 02492 SMITH, KWANE AAA COOPER TRANSPORTATION 01/24/19 SKLARE LAW GROUP BRYCE DOWNEY & LENKOV LLC 199 19WC 02619 CASTRO, ELVIRA ADVOCATE SHERMAN HOSPITAL 11/29/18 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 200 19WC 03323 MONDRAGON, MARIA GUADALUP JOHN B SANFILIPPO & SON, 09/07/18 MARTIN V KUGIA BRYCE DOWNEY & LENKOV LLC 201 19WC 03455 PUSKAR, ISMETA ADVOCATE SHERMAN HOSPITAL 01/09/18 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM GRA 202 19WC 03910 HERNANDEZ, SALVADOR JOHN B SANFILIPPO & SON I 11/14/18 SMOLER LAW OFFICE, PC BRYCE DOWNEY & LENKOV LLC 203 19WC 04009 SWINDELL, KYLE M BERTHOLD ELECTRIC/CIRCUIT 10/23/17 CORNFIELD & FELDMAN LEWIS BRISBOIS BISGAARD 19WC018706 -C CIRCUIT BREAKER SALES 204 19WC 04485 SIEMS, RYAN 24 HOUR HOME COMFORT SERV 01/22/19 LUSAK AND COBB GAROFALO SCHREIBER STORM GRA 205 19WC 04736 PASILLAS, JOSE METRO STAFF INC 01/30/19 NEWLAND & NEWLAND 206 19WC 05493 DAVILA, IRVIN O METRO STAFF, INC 12/14/18 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 207 19WC 05751 COOPER, JEFF VILLAGE OF SOUTH ELGIN & 02/14/19 DANIEL E MURPHY 208 19WC 05813 JOHNSON, LASHAWNDA ELGIN TREATMENT CENTER 10/19/18 WOODRUFF JOHNSON ASSISTANT ATTORNEY GENERAL 209 19WC 05997 GARTRELL, DAVID CITY OF ELGIN FIRE DEPT 01/31/19 THOMAS J STIBERTH LAW OFFI FRED J BEER LAW OFFICES 210 19WC 06279 ALLISON, MATTHEW J FEDEX EXPRESS 02/11/19 ANKIN LAW OFFICE 211 19WC 06424 RODRIGUEZ, OSBALDA PROVEN PARTNERS MANUFACTU 02/20/18 RICHARD BINGHAM 212 19WC 06755 BADGEROW, JUDY SEIGLE'S CABINENT CENTER, 04/04/16 ACCIDENT FUND HOLDINGS 213 19WC 07186 MONTERO AGUILAR, ANTONIO METRO STAFF 11/30/18 COSTA IVONE LLC 214 19WC 07271 ROTHSTEIN, SANDRA, EXECUT NORTH AMERICAN MIDWAY 07/01/18 THOMAS J STIBERTH LAW OFFI BRYCE DOWNEY & LENKOV LLC 215 19WC 07376 LOGOTHETIS, ELLIANA SPEEDWAY, LLC 11/20/18 GORDON LAW OFFICES LTD KEEFE CAMPBELL BIERY & ASSOC 19WC009382 -C 216 19WC 07600 STEWART, NICHOLAS C W SMITH CARTAGE CO., INC. 02/28/19 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 217 19WC 07713 BABIKIAN, RYAN APET, INC 04/25/18 TARADASH LAW OFFICE 218 19WC 07859 NORTH, MELANIE PRESENCE ST JOSEPH HOSP 05/28/18 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 219 19WC 08004 CAMPOBASSO, LINDSEY PIER ONE IMPORTS 09/21/18 COVEN LAW GROUP 220 19WC 08262 MC CAIN, STANTON III THE VINES 03/03/19 STANCZAK LAW OFFICES BRADY CONNOLLY & MASUDA PC 221 19WC 08399 CARTER, CARLA CITY OF ELGIN 07/25/17 MEYERS & FLOWERS FRED J BEER LAW OFFICES 222 19WC 08806 ROOD, JACK GILBERTS PD 01/22/19 COMPTON LAW GROUP 223 19WC 09423 MARTIN, DANIEL NTN BEARING CORP 04/18/17 COMPTON LAW GROUP WIEDNER & MCAULIFFE LTD 224 19WC 09682 PLANZ, MARTIN ITW 07/30/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 19WC 09726 BALL, SAHRAYNE PACE SUBURBAN 02/23/19 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 226 19WC 09994 PAM, HENRY ELGIN RIVER BOAT DBA GRAN 02/08/19 CUSHING LAW OFFICES 227 19WC 10003 KEMPISTY, WILLIAM INDUSTRIAL METALS RECYCLI 11/26/18 BAUM RUFFOLO & MARZAL LTD 228 19WC 10077 MOBLEY, KELLY AMERICAN NTN BEARING 02/11/19 RAYMOND M SIMARD, PC WIEDNER & MCAULIFFE LTD 229 19WC 10418 CLARK, GREGORY V JOHN B SANFILLIPPO & SON 03/05/19 RONALDSON & KUCHLER BRYCE DOWNEY & LENKOV LLC 230 19WC 11153 HOWE, KRISTI GFL ENVIRONMENTAL INC. 03/15/19 GREGORIO & MARCO NYHAN BAMBRICK KINZIE & LOWR 231 19WC 11302 IBANEZ, FERNANDO WALMART SUPER CENTER 03/13/19 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 232 19WC 11347 TORREZ, LINDA AMERICAN NTN BEARING 11/02/18 ROBERTO ACEVEDO WIEDNER & MCAULIFFE LTD 19WC015162 -C 233 19WC 11547 RICHARD, CHAD LORCHEM TECHNOLOGIES, INC 04/26/18 STROM & ASSOC BRYCE DOWNEY & LENKOV LLC 234 19WC 11704 ARIAS-PARADA, INEX IHERB HOLDINGS, LLC 04/05/19 ARGIONIS & ASSOCIATES LLC HOLECEK & ASSOCIATES 235 19WC 11906 BINION, MELVIN DOLLAR TREESTORE #3744 11/17/18 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 236 19WC 11948 MARTINEZ-ALCANTAR, FRANCI USIC, LLC 10/17/18 SALGADO, DAVID L KEEFE CAMPBELL BIERY & ASSOC 237 19WC 12123 GARCIA, CHRISTIAN UNLIMITED MASONRY & 04/12/19 ANSELMO DURAN QUINTAIROS PRIETO WOOD & BOY 238 19WC 12407 GARCIA, EDILBERTO CTI INDUSTRIES CORPORATIO 03/11/19 POLANSKY & CICHON CHTD HENNESSY & ROACH PC 239 19WC 12741 RODAS, DARINEL AMTEC PRECISION PRODUCTS 08/16/18 CULLEN HASKINS NICHOLSON EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 19WC 13295 LYNEVYCH, MYRON M & R PRINTING 04/11/19 FREYDIN LAW FIRM HOLECEK & ASSOCIATES 241 19WC 13987 JOHNSON, MICHAEL ADVANTAGE CONTRACTOR SOLU 07/11/16 BRIAN J MC MANUS & ASSOC, KEEFE CAMPBELL BIERY & ASSOC 19WC013988 -C 19WC013989 -C 242 19WC 14203 ALVAREZ, MARIA METRO STAFF INC. 09/17/18 RICHARD BINGHAM 243 19WC 14391 STOCKWELL, ROBERT NATIONAL FREIGHT SYSTEMS 02/05/19 BURNETT & CARON, LTD WOLFE & JACOBSON, LTD 244 19WC 14944 WINTERS, DITA DUPAGE MEDICAL GROUP 04/18/19 TURNER & SACKETT LLC LAWRENCE COZZI - LAW OFFICE 245 19WC 15303 HARMS, AARON SCHMIDT STEEL, INC. 05/08/19 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 246 19WC 15837 REBOLLAR, GABRIELA CAPSONIC GROUP LLC 05/08/19 CHEPOV & SCOTT LLC KRAKER FANNING & OLSEN 247 19WC 16152 AVALOS, DELFINA SURE STAFFING 05/22/19 COSTA IVONE LLC LOUIS MUNDY 248 19WC 16386 BROSKO, MARY PRESENCE HOME CARE 01/12/19 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR 249 19WC 16889 ALVARADO, JACKIE CITY OF ELGIN 09/12/17 DANIEL E MURPHY FRED J BEER LAW OFFICES 250 19WC 17467 SOTO, HELODORO JIMMYS CHARHOUSE OF ELGIN 04/21/19 ANKIN LAW OFFICE INMAN & FITZGIBBONS 251 19WC 17946 GUERRERO, RAMIRO METROSTAFF, INC 10/14/17 RICHARD BINGHAM SLAVIN & SLAVIN 252 19WC 18223 OCAMPO, MARCO METRO STAFF, INC 06/05/19 EPSTEIN, JACK R LAW OFFICE 253 19WC 18513 BROWN, ALEXIA L NORTHWESTERN MEDICINE 01/22/19 FRANKS, GERKIN & MCKENNA P 254 19WC 18722 FLORES, ANA HANSEN PLASTICS 04/21/18 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 255 19WC 18998 CALDWELL, JACQUELINE HOME DEPOT 05/10/19 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 256 19WC 19244 HARTLEY, NATHAN VILLAGE OF CARPENTERSVILL 02/22/19 CRONIN PETERS & COOK RUSIN & MACIOROWSKI LTD 257 19WC 19304 LOCKARD, WALLACE NORMAN MECHANICAL, INC 11/30/18 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 19WC 20091 CREMEANS, MICHAEL STAPLES 05/14/19 ANGELINI & ORI LLC HENNESSY & ROACH PC 259 19WC 20516 ALLERUZZO, ANDRIA M&R GROUP HOLDINGS, LLC 11/06/18 BURNETT & CARON, LTD HOLECEK & ASSOCIATES 260 19WC 20784 CRIBARI, SAL METRO STAFF INC 06/26/19 SIGMOND, STEVEN 261 19WC 21047 FATTAL, SOUREN G CONTINENTAL AUTOMOTIVE SY 08/28/18 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 262 19WC 21331 MELLIN, ERIC UPS 06/10/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 263 19WC 21471 CARRANZA, SAYURI WEBER STEPHENS PRODUCTS, 07/08/19 COSTA IVONE LLC 264 19WC 21608 THOMPSON, RONALD, FOR TOWER HILL HEALTHCARE CEN 07/02/19 MEYERS & FLOWERS 265 19WC 21773 RAMADAN, AYMAN OMEGA SIGN & LIGHTING, IN 09/10/18 SALGADO, DAVID L RIPES NELSON BAGGOT KALOBRAT 266 19WC 21928 SAAVEDRA, JOSE OMEGA DEMOLITION 08/11/16 ACEVES & PEREZ PC MACIOROWSKI SACKMANN & ULRIC 267 19WC 22547 LERMA, ALFREDO H JOHN B SANFILLIPO & SON, 06/30/18 ARIANO HARDY NYULI JOHHSON SLAVIN & SLAVIN 268 19WC 22682 JASHARI, MUAMER PACE SUBURBAN BUS COMPANY 12/27/18 RUSSO & RUSSO LTD 269 19WC 22804 HILLSTROM, THOMAS BOX PARTNERS 12/12/18 REED LAW LLC INMAN & FITZGIBBONS 270 19WC 22940 SANDERS, PAUL ELGIN MENTAL HEALTH CENTE @ 04/19/19 MICHAEL HELLMAN ASSISTANT ATTORNEY GENERAL 271 19WC 23492 STRUM, OSCAR METRO STAFFING 07/31/19 TUITE LAW 272 19WC 23581 BRUCE, TERENCE M EITY OF ELGIN 07/24/19 THOMAS W DUDA FRED J BEER LAW OFFICES 273 19WC 23685 VAZQUEZ, JOSE SWISS AUTOMATION 06/13/19 COSTA IVONE LLC 274 19WC 23722 GRANADOS, BRYANT STAMAR PACKAGING 05/24/19 KINNALLY FLAHERTY KRENTZ HOLECEK & ASSOCIATES 275 19WC 23935 LUSE, MARK A PRINTPACK INC. 05/06/19 TUITE LAW 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 HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 19WC 23981 MORALES-DOMINGUEZ, MARIA JOHN B SANFILIPPO & SONS, 06/13/19 BOTTO GILBERT SLAVIN & SLAVIN 277 19WC 24227 HUDSON, ANGELA DISTRICT U46 ELGIN HIGH S 09/25/18 TURNER & SACKETT LLC NYHAN BAMBRICK KINZIE & LOWR 278 19WC 24457 GULLICKSON, KENNETH W LUTHERAN LIFE COMMUNITIES 01/24/19 FRANKS & RECHENBERG 279 19WC 24730 ALRCON, MANUEL HIWIN CORPORATION 10/27/16 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 280 19WC 25216 BRAZIEL, LUTHER XPO CNW, INC 08/08/19 KROL BONGIORNO & GIVEN LTD 281 19WC 25313 VARELAS, SERGIO ELIAS METROSTAFF, INC 08/03/19 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 282 19WC 25375 CRIGLEY, DALE HD PLUMBING AND HEATING I 11/12/18 JOEL STEPHEN EVANS & DIXON 283 19WC 25623 MILLER, GINA L ILARL ST JOSEPH HOSPITAL- 05/18/19 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 284 19WC 25843 DAVIS, QIANA THORNTON'S 08/04/19 LAW OFFICES OF ADRIAN CHER 285 19WC 26005 CHOMA, LUKASZ OLYMPIC STEEL 07/12/19 LEONARD LAW GROUP LLC 286 19WC 26378 EVERETT, RICKY METRO STAFF, INC 07/11/19 STANCZAK LAW OFFICES 287 19WC 26864 WILLIAM, ANTHONY ELGIN M.H.C. 04/21/19 MARK N LEE ASSISTANT ATTORNEY GENERAL 288 19WC 27267 RUTTENBERG, JEFFREY GAT GUNS, INC 09/13/19 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 289 19WC 27450 TORTOREA, ANTHONY NEW ENGLAND FIRE CAUSE 06/21/19 NYHAN BAMBRICK KINZIE & LOWR 290 19WC 27647 GILLIAM, MONICA IHERB HOLDINGS, INC 09/06/19 STEWART C ORZOFF HOLECEK & ASSOCIATES 291 19WC 27941 MARAVILLAS-NARVAEZ, JOSE WILD ONION BREWERY CO 08/28/19 RUEDA, IVAN A GRIFFIN, LORETTA M LAW OFFIC 292 19WC 28527 VALENTINE, EDWARD WALMART 08/14/19 KINNALLY FLAHERTY KRENTZ QUINTAIROS PRIETO WOOD & BOY 293 19WC 28615 RAMIREZ, OBER IDHS @ 07/09/19 BLACK & JONES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 19WC 28866 PARO, CHARLES PRINTPACK INC 09/10/19 BART DURHAM WIEDNER & MCAULIFFE LTD 295 19WC 28936 DOMINGUEZ, JULIA IHERB 09/17/19 BOTTO GILBERT 296 19WC 29148 LOPEZ, SANDRA HI-LINE UTILITY SUPPLY 07/25/19 COMPTON LAW GROUP 297 19WC 29335 COLCLASURE, TAMARA MIDWEST DENTAL ELGIN 11/11/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 298 19WC 29422 HOLMES, GLENN THE GRAPHIC ARTS STUDIO, 11/04/16 CULLEN HASKINS NICHOLSON 299 19WC 29470 MC GINLEY, DANIEL ADVOCATE SHERMAN HOSPITAL 09/09/19 DANIEL E MURPHY GAROFALO SCHREIBER STORM GRA 300 19WC 29559 BUSS, FRANK WHITED BROTHERS, INC. 01/24/19 SEIDMAN MARGULIS & FAIRMAN 301 19WC 30224 MALEKISMAIL, DANIEL COMMUNICATION TEST DESIGN 03/24/19 KARCHMAR & STONE 302 19WC 30369 RASMUSSEN, JOSHUA P TOP COVERAGE LTD 02/27/19 FRANKS & RECHENBERG 303 19WC 30449 FORMALES, KRISTEL B ELGIN MENTAL HEALTH CENTE 06/23/19 MORICI FIGLIOLI & ASSOC ASSISTANT ATTORNEY GENERAL 304 19WC 30651 MUNIZ, SONIA ADVANCED AUTOMOTIVE GRIND 07/16/19 SOSTRIN AND SOSTRIN PC LAWRENCE COZZI - LAW OFFICE 305 19WC 30968 CABREJA, RICHARDSON HCSG CENTRAL, LLC 09/30/19 FOOTE MIELKE CHAVEZ O'NEIL 306 19WC 31530 BAUTISTA, ARALIN CUSTOM ALUMINUM PRODUCTS, 09/03/19 JOHN J CASTANEDA 307 19WC 31614 PALOMINO, HERMINIO IMPACT PLASTICS CORP 09/20/19 MARC J SHUMAN & ASSOCIATES 308 19WC 31703 DEAN, KENNETH AT&T 06/25/19 COMPTON LAW GROUP 309 19WC 31863 ALVAREZ, ELIZABETH IHERB 02/13/19 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 310 19WC 32222 ALVAREZ, APOLINAR A & A PAVING CONTRACTORS 05/15/19 WIEDNER & MCAULIFFE LTD 311 19WC 32282 EMERSON-BAILEY, NINA SUNBELT STAFFING INC 10/09/19 MICHAEL HELLMAN HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 19WC 32430 GARCIA, CRISTINA CITY OF ELGIN/ELGIN POLIC 03/12/18 DANIEL E MURPHY FRED J BEER LAW OFFICES 313 19WC 32448 CAZHO-GUAMAN, CHRISTIAN TAMBO CONSTRUCTION, INC 10/24/19 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER ALLEN 314 19WC 32506 MAREZ, SANTOS FIRST STUDENT 10/16/19 STORTO FINN & ROSINSKI 315 19WC 32591 LOPEZ, ECLISERIO ELITE STAFFING 07/02/19 JONATHAN SCHLACK 316 19WC 32595 CAMERON, BRENT OWEN PLASTICS 11/30/18 EVANS & DIXON 317 19WC 32717 OPALKA, DANIEL M & R GROUP HOLDINGS 08/01/18 HOLECEK & ASSOCIATES 318 19WC 32983 RAMIREZ, OBER IDHS-IL DEPT OF HUMAN SER @ 06/24/19 BLACK & JONES 319 19WC 33290 ARELLANES, LUIS ANTONIO EL MILAGRO, INC 11/12/19 HERRERA LAW CENTER 320 19WC 33363 BARKER, PATRICK REINKE WHOLESALE SUPPLY 12/13/18 GWC INJURY LAWYERS LLC 321 19WC 33634 POTVIN, CLAY CITY OF ELGIN FIRE DEPT 11/14/19 ANGELINI & ORI LLC FRED J BEER LAW OFFICES 322 19WC 33728 CABRERA, MANUEL ADVANCE PALLET, INC. 09/23/19 ANKIN LAW OFFICE 323 19WC 33854 NAPPIER, PATRICIA ELGIN MENTAL HEALTH CENTE 12/21/18 MICHAEL M WOJITAS ASSISTANT ATTORNEY GENERAL 324 19WC 33890 FRAZIER, MATTHEW ILLINOIS SCHOOL DISTRICT 07/28/17 ACEVES & PEREZ PC 325 19WC 34201 PEREZ, ANTHONY ELGIN VOLKSWAGON 08/09/19 STEVEN J TENZER, LTD 326 19WC 34303 FORTOSO, NANCY AMERICAN NTN BEARING CORP 09/17/19 SCOTT BARBER WIEDNER & MCAULIFFE LTD 327 19WC 34376 DECOTO, JAMES MR. BULTS, INC. 07/09/19 CARAS LAW GROUP 328 19WC 34925 WALL, ALLEN WALL, ALLEN W 11/01/18 HENNESSY & ROACH PC 329 19WC 35052 GARCIA, AARON MIDDLEBY MARSHALL 10/31/19 THOMAS J STIBERTH LAW OFFI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 19WC 35095 SCHMIED, TODD TEMPERATURE EQUIPMENT COR 10/21/19 COSTA IVONE LLC 331 19WC 35235 DRIVER, DWIGHT UPS 02/21/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 332 19WC 35314 LOREN, MICHAEL ACE HARDWARE 07/12/19 STEVEN J MALMAN & ASSOCIAT 333 19WC 35437 WALCZAK, JASON CITY OF ELGIN 12/04/19 THE ROMAKER LAW FIRM FRED J BEER LAW OFFICES 334 19WC 35609 DUCKINS, TINA HERITAGE WOODS OF S ELGIN 10/28/19 ANKIN LAW OFFICE POWER & CRONIN LTD 335 19WC 35725 HARPER, SHARON UPS 09/30/19 LEONARD LAW GROUP LLC ASA LAW GROUP 336 19WC 36303 OPPAN, ANTHONY K AMAZON, INC 06/19/19 WIEDNER & MCAULIFFE LTD 337 19WC 36479 RIOS, CESAR MJC CONTRACTING 08/01/19 EPSTEIN, JACK R LAW OFFICE 338 19WC 36595 HUNT, ROBERT E ABF FREIGHT 11/13/19 LEONARD LAW GROUP LLC 339 19WC 36695 CASTELAN, BEATRIZ A ADVOCATE HEALTHCARE 09/29/19 FEDOR KOZLOV & ASSOC NYHAN BAMBRICK KINZIE & LOWR 18WC000326 -C 18WC000327 -C 340 19WC 36967 CLARK, GREGORY V JEWEL-OSCO 11/23/19 RONALDSON & KUCHLER 341 19WC 37082 HERNANDEZ, GERARDO A GRID ONE SOLUTIONS,LLC 12/19/19 STUART H GALESBURG RIPES NELSON BAGGOT KALOBRAT 342 19WC 37274 WIMBLEY, DUSHAY ELGIN MENTAL HEALTH CENTE * 03/31/19 STEVEN J MALMAN & ASSOCIAT ASSISTANT ATTORNEY GENERAL 343 20WC 00145 DYSON, DERRICK PEOPLEREADY * 11/26/19 DWORKIN AND MACIARIELLO 344 20WC 00291 DOMINGUEZ, JOSEFA CRUZ BLUFF CITY METAL RECYCLIN * 11/06/19 JOHN S. ELIASIK 345 20WC 01118 CRUZ, IRMA ALONDRA WENDYS * 01/07/20 EDWIN REYES LAW FIRM HENNESSY & ROACH PC 346 20WC 01249 BRAZIEL, LUTHER XPO CNW, INC * 12/20/19 KROL BONGIORNO & GIVEN LTD 347 20WC 01617 GALINDEZ, ARMANDO CONTINENTAL DATA LABEL * 12/04/19 ANGELINI & ORI LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HARRIS, ROBERT 003 ARBITRATION CALL FOR WHEATON II (ELGIN) 22001 ON 04/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 20WC 01645 MARTINEZ, LUIS ALFREDO BATH WRAPS * 01/14/20 COSTA IVONE LLC ROSARIO CIBELLA 349 20WC 01722 VALDEZ, ALEX B NCR GLOBAL HEADQUARTERS * 01/17/20 HERRERA LAW CENTER 350 20WC 01814 LINARES, FRANCISCA COURIER EXPRESS ONE, INC. * 12/22/19 JOHN S. ELIASIK 351 20WC 02014 JOHNSON, KIMBERLY SCHL DIST U46 * 08/23/19 KINNALLY FLAHERTY KRENTZ 352 20WC 02454 DATISMAN, TAMMY BORAD OF EDUCATION U-46 * 11/26/19 ROBERT WARSASKI 353 20WC 02503 ROSENAU, MELISSA A SCHOOL DISTRICT U-46 * 01/22/19 MORICI FIGLIOLI & ASSOC NYHAN BAMBRICK KINZIE & LOWR 354 20WC 03030 MINSON, TRACY DUPAGE MEDICAL GROUP * 10/21/19 THOMAS J STIBERTH LAW OFFI 355 20WC 03260 GALVAN, BEATRIZ TWO RIVERS HEAD START AGE * 03/12/18 ACCIDENT FUND HOLDINGS 356 20WC 03335 WHISTLE, SARAH E BOARD OF EDUCATION * 11/14/19 ARIANO HARDY NYULI JOHHSON 357 20WC 03509 GRIMM, THERESA INVO PROGRESSUS THERAPY * 09/23/19 GARDI & HAUGHT 358 20WC 03818 BOYLE, RYAN T WILLIAMS SONOMA STORES, I * 10/23/19 JOHN C WUNSCH 359 20WC 04265 VILLALOBOS, ENDER JUST IN TIME STAFFING * 12/20/19 COSTA IVONE LLC 360 20WC 04432 OTT, JACOB ESTES EXPRES LINES * 01/16/20 CUDA LAW OFFICES 361 20WC 04754 PEREZ-LOPEZ, HUGO WEBER STEPHEN PRODUCTS * 11/22/19 KATZ FRIEDMAN EISENSTEIN 362 20WC 04845 HESTER, JAMES P US VENTURE * 12/10/18 BLEAKNEY & TROIANI 363 20WC 05087 ARNOLD, CRAIG CITY OF ELGIN/ELGIN POLIC * 12/09/18 DANIEL E MURPHY 364 20WC 05238 LOPEZ, ECLISERIO ELITE STAFFING * 05/01/18 JONATHAN SCHLACK 365 20WC 05377 GONZALEZ, OSCAR JOSEPH T RYERSON & SON, I * 01/16/20 DANIEL E MURPHY