ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 04569 19B MUNOZ, ENDLILISIA CITY OF CHICAGO 11/10/99 CULLEN, HASKINS, NICHOLSON CITY OF CHICAGO 2 03WC 50145 19B MUNOZ, MANUEL JR. CITY OF CHICAGO 09/19/03 ROMANEK & ROMANEK CITY OF CHICAGO 10WC035027 -C 3 06WC 03468 BURTIN, NORMAN INTERNATIONAL TRUCK & 06/21/05 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 06WC041116 -C 06WC041117 -C 06WC046844 -C 09WC002374 -C 09WC024160 -C 4 07WC 29638 CORDOVA, AARON H&M INTERNATIONAL 12/14/06 NIERMANN, KURT A SPIEGEL & CAHILL, PC 12WC010589 -C H & M INTERNATIONAL 12WC010675 -C 5 07WC 32640 19B KORBOS, EVELEEN HOST INTERNATIONAL, INC 06/17/07 KOSIN LAW OFFICE LTD ROBERT L. SMITH 6 07WC 51983 TORRES, LORETTA FORD MOTOR COMPANY 11/29/04 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 7 07WC 52175 BLAKE, ANGELA CHICAGO TRANSIT AUTHORITY 11/10/07 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 8 08WC 04764 19B EKBERG, ARTHUR C JR TOWN & COUNTRY DISTRIBUTI 06/05/07 NEWLAND NEWLAND & NEWLAND NYHAN BAMBRICK KINZIE & LOWR 10WC025277 -C 9 08WC 12126 VALDEZ, ELEUTERIO ADVANCED MOVING & STORAGE W 01/25/08 DEPAOLO ZADEIKIS GORE ANGELINI & ANGELINI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 10 08WC 20068 RUSH, CHERRYCE ST JAMES HOSPITAL 11/30/07 STEVEN J SEIDMAN LAW OFFIC NYHAN BAMBRICK KINZIE & LOWR 11 08WC 24432 GASSION, DENNIS CITY OF CHICAGO 03/25/08 KARCHMAR & STONE CITY OF CHICAGO 10WC004483 -C 13WC008709 -C 13WC008710 -C 13WC008711 -C 14WC019771 -C 16WC014136 -C 12 08WC 30625 HAYES, CHARLES CHICAGO HILTON 06/29/08 MINKOW DOMIN NOBLE & ASSOCIATES PC 13 08WC 33107 ESPINOZA, JOSE PATRICKS CONSTRUCTION @ W 07/11/08 LEO ALT 08WC033261 -C 14 08WC 33761 BOBAK, CASMIER GON & GEN: LABORER'S DST 10/17/07 MARVIN A BRUSTIN LTD LAW OFFICES JOSEPH MARCINIAK 08WC034134 -C CON & GEN. LABORER'S DIST 15 08WC 38875 LEE, JAE S KEELER CAB CO 08/23/08 MICHAEL P MCCREADY & ASSOC STONE & JOHNSON CHARTERED 16 08WC 40948 QUINTANA, ALFONSO PRITCHARD INDUSTRIAL/INDE W 03/19/07 REIBMAN HOFFMAN & BAUM 17 08WC 46483 FRANCO, ARTURO HOME FOR YOU W 02/19/08 CULLEN, HASKINS, NICHOLSON CHARLES LEVY & ASSOC LTD 18 08WC 49249 19B CULLEN, JAMES CITY OF CHICAGO 08/04/08 JOSEPH J SPINGOLA, LTD HENNESSY & ROACH PC 19 09WC 12892 19B REED, PAMELA CITY OF CHICAGO 03/18/09 JOHN J CASTANEDA 20 09WC 17325 BURTON, GLENN CHICAGO TRANSIT AUTHORITY 04/03/09 GOLDSTEIN BENDER & ROMANOF CHICAGO TRANSIT AUTHORITY 21 09WC 43091 HILL, GREGORY SERTONA CENTER INC 09/25/09 SALK, STEVEN B & ASSOC LTD SCOPELITIS GARVIN LIGHT 22 09WC 46738 MONTES, MINERVA CHICAGO TRANSIT AUTHORITY 06/24/09 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 23 09WC 48905 HARDY, BENEE CHICAGO PARK DISTRICT 10/01/09 ANKIN LAW OFFICE CHICAGO PARK DIST LAW DEPT 24 09WC 52833 BROWN, KENNETHE LOYOLA UNIVERSITY 10/28/09 LORENZ & BERGIN PC 10WC005133 -C 25 10WC 04387 MALKOWSKI, DAVE COUNTY OF COOK 01/17/10 FOOT MIELKE CHAVEZ O'NEIL STATES ATTORNEY OF COOK COUN 26 10WC 05688 19B MCCOY, TROY ELITE STAFFING 04/29/09 VRDOLYAK LAW GROUP LLC GOLDBERG SEGALLA LLC 27 10WC 10468 RHYMES, GARY G UNIVERSITY OF CHICAGO HOS 12/18/09 CULLEN HASKINS NICHOLSON MACIOROWSKI SACKMANN & ULRIC 28 10WC 14676 CASTANEDA, ANNABELLE CTA 08/10/09 COLLISON LAW OFFICES CHICAGO TRANSIT AUTHORITY 29 10WC 19310 BUTLER, LEE CITY OF CHICAGO DEPT 01/15/10 LAW OFFICES PETER LEKAS CITY OF CHICAGO 30 10WC 25025 COLEMAN, JULIE JOHN H STROGER JR 02/09/10 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 11WC041075 -C STROGER HOSP OF COOK COUNT 31 10WC 25219 BLONDIN, PATRICK ONCOLOGY SPECIALISTS 05/17/10 PETER C KOPOULOS HOLECEK & ASSOCIATES 32 10WC 26821 PEREZ, YESENIA STUDIO DENTAL 05/05/10 EPSTEIN, JACK R LAW OFFICE GRANT & FANNING 33 10WC 29048 WANDA, MICHELLE PALOS COMM HOSP 06/14/10 BAUM RUFFOLO & MARZAL LTD LORENZ & BERGIN PC 34 10WC 29587 MARTINEZ, GUILLERMO SHERIDAN SAND & GRAVEL IN 07/20/10 BERG & BERG LEAHY EISENBERG & FRAENKEL 35 10WC 30533 SCHRIMSHER, RAYMOND CARMAX, INC 10/06/06 ANESI OZMON RODIN NOVAK KO GILDEA & COGHLAN 36 10WC 31012 ORTIZ, DAVID SR CHICAGO BOARD OF ED 05/28/08 LEONARD LAW GROUP LLC LAW DEPARTMENT 12WC036079 -C 37 10WC 31014 WEAVER, CARRIE J CHICAGO TRANSIT AUTHORITY 06/07/10 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 38 10WC 32229 PORYS, MARK CHICAGO TRANSIT AUTHORITY 02/03/10 JAMES M RIDGE LAW OFFICE CHICAGO TRANSIT AUTHORITY 39 10WC 35318 MARTIN, DALE W E O'NEILL 09/07/10 RONALD SKLARE LAW OFFICES PAUL A COGHLAN & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 10WC 36740 FINLEY, RENNEA MY BEAUTY SUPPLY STORE 08/27/10 SHELDON I MINKOW & ASSOCIA GORDON & CENTRACCHIO LLC 41 10WC 45093 RADLOFF, LINDA SOUTHFORK RESTAURANT 11/03/10 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 42 10WC 47849 HOUSTON, ROBERT J CITY OF CHICAGO 11/02/10 THE BARRY LAW GROUP PC CITY OF CHICAGO 43 10WC 48318 LUNA, LUIS A HEGELE LOGISTICS 12/02/10 ANTHONY MANCINI LAW OFFICE HOLECEK & ASSOCIATES 44 11WC 01178 HANKS, ROSE MARIE WHITE CASTLE 12/29/10 VRDOLYAK LAW GROUP LLC SPIEGEL & CAHILL, PC 45 11WC 04597 TORRES, ALBERTO THE CLEAN BERETS W 01/26/11 EVINS & SKLARE LTD OLMSTEAD, GREGORY J LAW OFFI 46 11WC 09271 HEWITT, SHIREE CITY OF CHICAGO 02/22/11 COVEN LAW GROUP 12WC024264 -C 16WC022069 -C 47 11WC 11681 COLLAZO, JOEY C GRANITE EMPORIUM W 12/20/10 GOLDBERG WEISMAN & CAIRO L 48 11WC 13993 IATROPOULOS, LAURA ADVOCATE MEDICAL GROUP 02/28/11 MICHAEL R GRAF PC GAROFALO SCHREIBER STORM 49 11WC 17229 KLEMUNDT, EDWARD AT&T 04/15/09 RICHARD O. GREENFIELD HENNESSY & ROACH PC 11WC017230 -C 11WC017231 -C 50 11WC 17876 HAMPTON, ALEX JEWISH COMMUNITY CTR 03/23/11 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 51 11WC 18361 MAHER, VINCENT JR UNITED AIRLINES 04/27/11 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 52 11WC 19221 MINISTR, MAREK A&T EXTERIOR CORP 01/31/11 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 53 11WC 19435 DEL CARMEN-MORENO, MARIA CITYFRONT HOTEL ASSOC. LT 09/17/10 LEWIS & DAVIDSON, LTD GILDEA & COGHLAN 11WC024824 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 11WC 24434 SANCHEZ, BLANCA KELLOGG'S CO 05/22/11 BELCHER LAW OFFICE HINSHAW & CULBERTSON 55 11WC 25873 DAVIS, NEFERTITI THORNTON TOWNSHIP HS DIST 08/03/10 STEVEN J SEIDMAN LAW OFFIC WIEDNER & MCAULIFFE LTD 11WC026107 -C THORTON TOWNSHIP 56 11WC 27851 DAVIS, PATRICIA CTA 05/09/11 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 11WC027852 -C 57 11WC 29105 DABROWSKI, JOSEF CITY OF BERWYN 05/19/10 LEONARD LAW GROUP LLC CUDA LAW OFFICES 11WC029106 -C 58 11WC 29146 SCOTT-THOMPSON, GAIL IL DEPT OF HUMAN SRVS @ 01/28/11 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 59 11WC 33331 OWUNWANDU, IKE YELLOW CAB 08/16/11 FOHRMAN, DONALD W & ASSOCS LEAHY EISENBERG & FRAENKEL 60 11WC 36610 BECKWITH, WILLIAM VILLAGE OF HICKORY HILLS 11/06/10 GRAZIAN & VOLPE PC RUSIN MACIOROWSKI & FRIEDMAN 12WC006762 -C 61 11WC 36720 ARLOWE, EDWARD CITY OF CHICAGO DEPT OF 06/15/10 O'CONNOR & NAKOS CITY OF CHICAGO 12WC000999 -C 12WC013206 -C 12WC025689 -C 62 11WC 37232 MCDONOUGH, PATRICK CITY OF CHICAGO 07/30/11 HENNESSY & ROACH PC 13WC037546 -C 63 11WC 38701 VILLA, IRMA CUSTOM PLASTICS INC 06/02/11 DEUTSCHMAN, JEFFREY S WIEDNER & MCAULIFFE LTD 64 11WC 40519 CASARRUBIAS, ALFONSO LEE LUMBER & 09/14/11 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 65 11WC 42110 BLACK, SHAOWDELL CTA 10/09/11 LAW OFFICE OF BOGUSZ & BOG CHICAGO TRANSIT AUTHORITY 66 11WC 42520 19B BRITTEN, TOBY FAMILY DOLLAR STROES INC 07/12/11 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 13WC018550 -C 67 11WC 43005 RICHARDSON, ROSALINE STATE OF ILLINOIS 10/18/11 GOLDFEIN LAW OFFICE PC COLIN KICKLIGHTER 68 11WC 43882 POOLE, EUGENE JR CITY OF CHICAGO 11/01/11 HEALY LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 11WC 45398 KING, BRIAN FLASH, INC 10/13/11 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 70 11WC 46096 O'REILLY, THOMAS CITY OF CHICAGO 11/07/11 KARCHMAR & STONE CITY OF CHICAGO 71 11WC 46916 SMITH, AMANDA DUXLER TIRE CO. 11/18/11 EPSTEIN, JACK R LAW OFFICE LAW OFFICE OF CAPUANI & SHIE 72 12WC 01325 BALFOUR, SHEILA JACKSON PARK HOSPITAL 01/03/12 POMPER & GOODMAN ODELSON & STERK 73 12WC 01616 EVANS, DENNIS SOUTHWEST AIRLINES 08/15/11 LAW OFFICES PETER LEKAS HENNESSY & ROACH PC 13WC026807 -C 13WC026808 -C 14WC039937 -C 74 12WC 03299 19B HALL, JACQUETTA CITY OF CHICAGO-AVIATION 01/20/12 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 09WC050534 -C 12WC004098 -C 75 12WC 05060 COOPER, CLYDE JR CHICAGO TRANSIT AUTHORITY 07/28/08 COLLISON & O'CONNOR LTD CHICAGO TRANSIT AUTHORITY 76 12WC 05236 CARRAO, SANDY L CHICAGO PUBLIC SCHOOLS 01/13/12 BRILL & FISHEL LAW DEPARTMENT 12WC005237 -C 77 12WC 05704 PAOLI, GLADYS E MARY LYON SCHOOL-CPS DIST 01/29/11 CULLEN HASKINS NICHOLSON LAW DEPARTMENT 78 12WC 06211 FOGARTY, ELISA DAVIDS BRIDAL 11/08/11 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 79 12WC 06551 POZUELOS, OSBERTO M MENARD, INC 02/18/12 THE ROMAKER LAW FIRM CHILTON YAMBERT PORTER LLP 80 12WC 07561 JUAREZ, MARIA PACTIV 03/03/11 JOHN S. ELIASIK SPIEGEL & CAHILL, PC 12WC007563 -C 81 12WC 07591 HARDIN, LISA D CITY OF CHICAGO 12/16/11 WILLIAM MARTAY CITY OF CHICAGO 15WC017012 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 12WC 07676 WOODS, CHRISTOPHER COOK COUNTY DEPT OF CORRE 02/01/12 JOHN E LUSAK STATES ATTORNEY OF COOK COUN 83 12WC 07683 CASTILLO, SAUL HAUSNER HARD-CHROME, INC 03/09/11 SALK, STEVEN B & ASSOC LTD COZZI & GOGGIN-WARD 12WC007684 -C 84 12WC 08168 PEELO, JILL SHERWIN MANOR NURSING CEN 09/07/11 CZAPLA LAW BRADY CONNOLLY & MASUDA PC 85 12WC 15543 URIBE, GELACIO GPA CONTRACTING SRVS 10/11/11 PETER D CORTI LAW GROUP CASSANO & ASSOCIATES 86 12WC 16031 DOOT, BARBARA SAUK VILLAGE SCHOOL 03/21/12 ELFENBAUM EVERS & AMARILIO RUSIN MACIOROWSKI & FRIEDMAN 12WC041748 -C 12WC041749 -C 13WC039898 -C 14WC016481 -C COMMUNITY CONSOL 87 12WC 17882 MUNOZ, LAURA BOX FORM 01/01/01 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 88 12WC 17905 CONNOLLY, THOMAS VILLAGE OF SCHAUMBURG 12/01/11 CULLEN HASKINS NICHOLSON MACIOROWSKI, SACKMANN & ULRI 89 12WC 18783 HAWTHORNE, DAVE CHICAGO PUBLIC SCHOOLS 11/23/11 LAW OFFICES OF LEAHY EISENBERG & FRAENKEL 90 12WC 19195 BENAVIDES, MARBESKA PLUM SERVICES 05/09/12 GOLDSTEIN BENDER & ROMANOF 91 12WC 19341 CAMPBELL, SHARRIE CITY OF CHICAGO 04/04/12 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 92 12WC 24247 GUTIERREZ, HUMBERTO CITY OF CHICAGO 06/18/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 16WC019788 -C 93 12WC 26159 HEREDIA, GUILLERMINA DEPARTMENT OF HUMAN SERVI 06/28/12 BERG & BERG C. FLETCHER 94 12WC 26503 RICHARDSON, ANTHONY ELECTROMOTIVE 11/17/10 STEVEN J SEIDMAN LAW OFFIC GOLDBERG SEGALLA LLC 95 12WC 28041 DANAHER, NEIL J CITY OF CHICAGO 08/06/12 BERG & BERG BERG & BERG 14WC008791 -C 15WC014903 -C CHICAGO EMERGENCY MGMT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 12WC 28699 PEREZ, YOLANDA PACTIV 07/02/12 JAMES M GERAGHTY SPIEGEL & CAHILL, PC 13WC005489 -C 97 12WC 29305 COOK, SCOTT CITY OF CHICAGO 05/24/11 HEALY LAW FIRM SCOPELITIS GARVIN LIGHT 14WC005571 -C 98 12WC 29667 SCHIAVONE, JOANNE CHICAGO PUBLIC SCHOOLS 05/03/12 DWORKIN AND MACIARIELLO LAW DEPARTMENT 99 12WC 31079 RAMIREZ. LEONOR ROCK BOTTOM 04/24/12 CULLEN HASKINS NICHOLSON 100 12WC 33333 GAMINO, LETICIA CITY SCRAP METAL 08/06/12 ANKIN LAW OFFICE 101 12WC 35857 QUIROZ, MARIA C DELTA PETROLEUM CO 03/05/12 ANGELINI & ORI LLC HOLECEK & ASSOCIATES 102 12WC 36143 BOCOCK, LOGAN ALLIED TUBIN 07/20/12 SAUNDERS CONDON & KENNY KNELL & O'CONNOR 103 12WC 38104 COUNCIL, GARDELL LAMONT J & E ROOFING CORP 09/22/12 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 104 12WC 39821 DE JESUS, LUIS ADVANCE AUTO PARTS 03/09/12 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 105 12WC 40893 CAUSBY, YOLANDA CITY OF CHICAGO 04/11/12 SEIDMAN MARGULIS & FAIRMAN CITY OF CHICAGO 14WC034781 -C 106 12WC 41096 DEUTCH, MYRON ST OF IL SECRETARY OF STA @ 11/13/12 CULLEN HASKINS NICHOLSON JORDAN FRANK 107 12WC 41529 GERSCH, DANIEL IDEL BOX COMPANY 02/14/11 VRDOLYAK LAW GROUP LLC ACCIDENT FUND HOLDINGS 108 12WC 43072 KRAWIEC, LEONARD CITY OF CHICAGO 11/23/10 GRAZIAN & VOLPE PC CITY OF CHICAGO 109 12WC 43860 VALDEZ, ANGELICA MC DONALDS RESTAURANT 05/05/12 MINKOW DOMIN GANAN & SHAPIRO 110 13WC 03429 KRZYMINSKI, MARY LOYOLA UIVERISTY HEALTH S 05/08/12 JOHN J CASTANEDA LORENZ & BERGIN PC 13WC025020 -C 111 13WC 04186 THOMAS, SHIRLEY CHICAGO TRANSIT AUTHORITY 01/06/12 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 112 13WC 04449 DOUGLAS, JOYCE CLERK OF CIRCUIT COURT 02/15/10 CAPRON & AVGERINOS PC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 113 13WC 04530 SMITH, LEON GOVERNORS STATE UNIVERSIT 09/28/12 LAW OFFICE OF SCOTT B SHAP 114 13WC 04629 BALERIO, LETICIA PLUM GROVE NURSING & REHA 01/14/13 LEE A CAMPBELL LAW OFFICE LAW OFFICES FRANCESCA LARSEN 115 13WC 04883 JARMUSZ, KEVIN UNIVERSITY OF CHICAGO 02/01/13 THOMAS A MORRISSEY NYHAN BAMBRICK KINZIE & LOWR 116 13WC 05243 HAUSER, FRANK J CLUB ASSIST ROAD SERVICES 12/11/12 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD 117 13WC 05472 AVELAR, JESUS E THE REGENT GROUP INC 01/29/13 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 118 13WC 05558 FREITAS, CAROL PALATINE CCSD #15 02/13/12 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 15WC021186 -C 119 13WC 05932 CHAVEZ, CAROLINA CROTHALL LAUNDRY SERVICES 12/10/12 SALK, STEVEN B & ASSOC LTD BRADY CONNOLLY & MASUDA PC 120 13WC 06171 INENDINO, DANIEL CITY OF CHICAGO 10/10/12 COVEN LAW GROUP CITY OF CHICAGO 121 13WC 06556 BERRY, CRYSTAL CHICAGO TRANSIT AUTHORITY 12/04/10 STEVEN M SELAN CHICAGO TRANSIT AUTHORITY 13WC006557 -C 122 13WC 06711 CABRERA, LINDA M MACNEAL HOSPITAL 11/23/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 123 13WC 07301 BRITT, CLAUDELL CITY OF CHICAGO 02/15/13 SHELDON I MINKOW & ASSOCIA HENNESSY & ROACH PC 124 13WC 08785 HARRIS, DONALD CHICAGO-READ MENTAL HEALT @ 11/27/12 KP LAW LLC ASSISTANT ATTORNEY GENERAL 125 13WC 14247 DELL, VERNON CITY OF OAK FOREST 11/19/12 BARRETT & SRAMEK RUSIN MACIOROWSKI & FRIEDMAN 13WC014248 -C 126 13WC 15385 MULCRONE, VICTORIA CHICAGO PUBLIC SCHOOLS 02/19/13 SOSTRIN AND SOSTRIN PC LAW DEPARTMENT 127 13WC 15602 JONES, FLORRETTA I STATE OF ILLINOIS @ 01/28/11 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 128 13WC 16418 MERCADO, BEATRIZ CATHOLIC CHARITIES OF THE 04/24/13 SALVATO & O'TOOLE NYHAN BAMBRICK KINZIE & LOWR 13WC027190 -C THE CATHOLIC CHARITIES 129 13WC 16540 KLIMEX, JOHN VILLAGE OF OAK LAWN 02/14/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 13WC 16696 SANTOS, MANDI M UNITED TEMPS, INC. 12/03/12 JAMES ELLIS GUMBINER & ASS 131 13WC 17389 DUFFY, JULIE COOK COUNTY SHERIFF'S POL 05/16/13 BAUM RUFFOLO & MARZAL LTD STATES ATTORNEY OF COOK COUN 132 13WC 17449 PEREZ, EDITH P FAMILY DOLLAR, INC. 04/25/13 SALK, STEVEN B & ASSOC LTD MCANANY VANCLEVE & PHILLIPS 133 13WC 17542 PEREDA, RAMON CHICAGO TRIBUNE 05/01/13 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 134 13WC 17979 DANIELSON, NANCY L CHICAGO PUBLIC SCHOOLS 05/08/13 BRILL & FISHEL LAW DEPARTMENT 135 13WC 18092 PACE, RASHAD L FORD MOTOR COMPANY 12/16/12 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 13WC018093 -C 136 13WC 18098 MARTINEZ, JESSICA NEWLY WEDS FOODS 08/24/12 SMOLER LAW OFFICE, PC WOLFE & JACOBSON, LTD 137 13WC 18305 CASTILLO, MILAGROS CITY OF CHICAGO DEPT OF 02/26/13 CUDA LAW OFFICES CITY OF CHICAGO 13WC018510 -C 138 13WC 18453 ROBERTS, KENNETH, DEP SON CITY OF CHICAGO 02/11/13 SOSTRIN AND SOSTRIN PC CITY OF CHICAGO 13WC018454 -C 13WC018455 -C 139 13WC 18826 PALACIOS, MARCO UNLIMITED SOUND & SECURIT @ W 10/25/12 ACEVES & PEREZ PC ASSISTANT ATTORNEY GENERAL 140 13WC 18997 BENAVIDES, JOSE L FABRICATED METALS CO 05/09/13 LEWIS & DAVIDSON, LTD GAROFALO SCHREIBER STORM 141 13WC 25360 GUZMAN-SALADANA, MIGUEL UNITED ELECTRONICS CORP 06/24/13 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 142 13WC 25553 SEGURA, SILVANA JCG INDUSTRIES, INC 07/17/13 LEWIS & DAVIDSON, LTD INMAN & FITZGIBBONS 143 13WC 26130 GALLARDO, ROGELIO PETER KOT 07/16/12 SALK, STEVEN B & ASSOC LTD 144 13WC 26509 DURHAM, RALPH W STARLIGHT EXPRESS COACHES 07/26/13 KENNETH B GORE, LTD GANAN & SHAPIRO 13WC026510 -C 145 13WC 26889 CORRAL, SERGIO LEHIGH DIRECT 07/18/12 MAURICE E DUSKY PC MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 13WC 27108 STRYSZAK, LEONARD TOWER CAR WASH 06/27/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 147 13WC 27187 GUYTON, CARL CITY OF CHICAGO 08/14/13 CUDA LAW OFFICES CITY OF CHICAGO 16WC033602 -C 148 13WC 27527 CAIN, BRIAN K ABF FREIGHT SYSTEMS 11/14/12 RITTENBERG & BUFFEN KEEFE CAMPBELL & ASSOC LLC 14WC042940 -C 14WC042941 -C 149 13WC 27815 HUFFINE, BRADLEY FORD MOTOR COMPANY 08/16/13 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 16WC032132 -C 150 13WC 28182 MIZIMAKOSKI, SIMON B FUNK LINKO 08/23/12 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 151 13WC 28367 BAILEY, ROGER CTA 07/07/13 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 152 13WC 28841 CRAIG, TRICIA MONDELEZ INTERNATIONAL 08/20/13 SANDMAN LEVY & PETRICH WIEDNER & MCAULIFFE LTD 153 13WC 29927 ABRAHAM, ANNAMMA KINDRED HOSPITAL CHICAGO 07/12/12 DWORKIN AND MACIARIELLO ARNETT LAW GROUP 154 13WC 35469 GONZALES, JOHN THE UNIVERSITY OF CHICAGO @ 07/05/13 COYNE REINKE LAW SCOPELITIS GARVIN LIGHT 155 13WC 35912 JARAMILLO, SANDRA EL MILAGRO 07/11/13 BAUM RUFFOLO & MARZAL LTD BRYCE DOWNEY & LENKOV LLC 156 13WC 36320 SCHITTINO, MARIO ALPHA BAKING COMPANY 08/09/13 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC 157 13WC 37272 BOWMAN, ZACKERY CHICAGO BEARS 08/13/11 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 158 13WC 38221 MARIN, LORENA SOLUTION MAINTENANCE W 05/07/13 ENCINAS & ORNELAS MALLORY ZIMET 159 13WC 38332 MONTOYA, GLORIA X-CEL TECHNOLOGIES, INC 09/18/13 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 160 13WC 38695 DOTSON, SCH-NEA LAVON TRI-STATE NURSING HOME 09/03/13 CULLEN HASKINS NICHOLSON 161 13WC 39398 SOK, BOPHA ELITE NAILS & SPA, INC. W 01/07/12 THOMAS J STIBERTH LAW OFFI HELT LAW GROUP 162 13WC 39708 FOREST, YOLANDA ELITE STAFFING, INC 11/07/13 MARC J SHUMAN & ASSOCIATES MARC CAIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 163 13WC 39717 RIGGIO, ANTHONY COOK COUNTY 10/31/13 SALVATO & O'TOOLE STATES ATTORNEY OF COOK COUN 164 13WC 41555 MC GEE, TIMOTHY NBC UNIVERSAL INC 08/15/13 KARCHMAR & STONE ASHER, RAYMOND L LTD 165 14WC 01446 BALBINO, ANDRES STAFFING NETWORK, LLC 12/04/13 KARNO, MARK L & ASSOC SLAVIN & SLAVIN 166 14WC 01978 PADILLA, JOSE ASPEN FOODS 12/27/13 JAMES ELLIS GUMBINER & ASS 167 14WC 02129 DALTON, ROBERT DAVIS STAFFING 12/18/13 LEE VASILATOS 168 14WC 02751 WYNNE, ARVEL CHICAGO TRANSIT AUTHORITY 07/25/13 STEVEN A CRIFASE, LTD CHICAGO TRANSIT AUTHORITY 169 14WC 02909 FRANCISCO, OFELIA OUR LADY OF THE RESURRECT 05/20/13 POMPER & GOODMAN KEEFE CAMPBELL & ASSOC LLC 170 14WC 02967 CERVANTES, IVAN EL MILAGRO TORTILLAS 08/01/13 LAW OFFICES OF ANSELMO DUR 171 14WC 03050 JOHNSON, KASANDRA MOUNT SINAI HOSPITAL 01/04/14 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 172 14WC 03250 CRUZ, JAY URG UTILITY 12/12/13 CAPRON & AVGERINOS PC MACIOROWSKI SACKMANN & ULRIC 173 14WC 03265 GAMINO, JOSE L M & R PRECISION MACHINING 12/16/13 THE ROMAKER LAW FIRM GANAN & SHAPIRO 174 14WC 03307 SMITH, THEODORE TECHNOTRIX, INC 08/08/13 RICHARD O. GREENFIELD SPIEGEL & CAHILL, PC 175 14WC 03539 GUZMAN, JORGE KW CONSTRUCTION GROUP, IN 12/20/13 SALK, STEVEN B & ASSOC LTD QUINTAIROS PRIETO WOOD & BOY 176 14WC 03952 BEHAROVIC, BECIR FORTH GROUP REAL ESTATE S 02/03/12 THE ROMAKER LAW FIRM GILDEA & COGHLAN 14WC003954 -C 14WC003955 -C 177 14WC 03956 HOPE, EVERLYN T CHICAGO TRANSIT AUTHORITY 01/24/14 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 178 14WC 04037 KISIELEWSKI, BOZENA WIFE MARKO EXPRESS INC 12/18/13 CUDA LAW OFFICES 14WC004038 -C ADS LOGISTIC CO. LLC 179 14WC 04173 RICHARDS-WILKINS, YOULOND COOK COUNTY DEPT OF 08/26/13 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 14WC 04376 MILLER, WILLIAM IDOT @ 12/05/12 MUELHAUSEN & STEFANI ASSISTANT ATTORNEY GENERAL 181 14WC 04727 JOHNSON, ALVIN SELECT REMEDY 01/13/14 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 182 14WC 04971 PULLIAM, DARRELL O WIRTZ REALTY CORPORATION 03/02/12 MICHAEL A. PEDICONE LTD NYHAN BAMBRICK KINZIE & LOWR 183 14WC 05060 ALLEN, DONALD ALLSTATE INSURANCE COMPAN 09/30/13 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 184 14WC 05143 GARCIA, MANUEL UNITED TEMPS INC 11/27/13 KENNETH B GORE, LTD 185 14WC 05161 O'BRIEN, CATHERINE CHICAGO EDUCATION PROJECT 09/11/13 BLEAKNEY & TROIANI BRADY CONNOLLY & MASUDA PC 186 14WC 05469 JAMES, JE'NICE R NORTHWESTERN MEDICAL 06/12/09 KP LAW LLC 187 14WC 05528 WAKTKINS, ANTHONY CHICAGO TRANSIT AUTHORITY 02/09/14 LAW OFFICES OF CHICAGO TRANSIT AUTHORITY 188 14WC 05964 BROWN, HELEN MERCY HOSPITAL 04/04/13 CULLEN HASKINS NICHOLSON 189 14WC 06095 ROBLES, MANUEL OWENS & MINOR 05/28/13 ELFENBAUM EVERS & AMARILIO KEEFE CAMPBELL & ASSOC LLC 190 14WC 06153 VAZQUEZ, NICOLE ELECTRO-MOTIVE DIESEL INC 09/11/13 ANESI OZMON RODIN NOVAK KO GOLDBERG SEGALLA LLC 191 14WC 06933 STRZALKA, PAWEL CSM FASTENER PRODUCT CO 02/13/14 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 192 14WC 07234 SCHIMMEL, JOHN PARENTI & RAFFAELLI, LTD 08/08/13 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 193 14WC 10530 NUDO, ANDREW DEEN LLC 04/29/13 R MARK MARITOTE PC WOLFE & JACOBSON, LTD 194 14WC 13350 LUEVANAS, PEDRO CITY OF CHICAGO 10/25/13 BRUSTIN & LUNDLBAD LTD HENNESSY & ROACH PC 15WC012063 -C 195 14WC 13705 GRAY, TANYA O STATE OF ILLINOIS @ 02/16/14 PETER D CORTI LAW GROUP ASSISTANT ATTORNEY GENERAL 196 14WC 13804 VALENZUELA, SANTIAGO CHICAGO STREETS & SANITAT 03/13/14 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 197 14WC 14016 BALAS, BRIAN TRIBCO CONSTRUCTION 04/17/14 COVEN LAW GROUP LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 14WC 14318 CLAVIN, KATHLEEN ENTERNMANN'S BAKERY 03/21/14 LEONARD LAW GROUP LLC 199 14WC 14429 ZATZ, STEPHEN NATIONAL SYSTEMS 219, LLC 04/15/14 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 200 14WC 14858 WHITE, SAMUEL RICH TOWNSHIP SD #227 04/15/14 LANNON LANNON & BARR LTD INMAN & FITZGIBBONS 201 14WC 15127 HERNANDEZ, MARIA OLIVIA KIMPTON HOTEL 09/17/13 KATZ FRIEDMAN EAGLE ET AL 202 14WC 15193 BRUNO, MARIA ARAMARK FACILITY SERVICES 01/14/14 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 203 14WC 15460 HANEY, MICHAEL DIVERSIFIED 01/06/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 204 14WC 15547 GARCIA, ANTONIO MEYER DRUM 03/28/13 STEVEN A CRIFASE, LTD 205 14WC 15727 DORAN, PHILLIP CITY OF CHICAGO 04/29/14 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 206 14WC 15900 FREEMAN, LYNETTE CITY OF MARKHAM 02/05/14 PETER D CORTI LAW GROUP SMITH AMUNDSEN LLC 207 14WC 16644 RODRIGUEZ, LUZ CHICAGO PUBLIC SCHOOLS 01/17/14 THE ROMAKER LAW FIRM LAW DEPARTMENT 208 14WC 16686 ALLURI, HOWARD UNITED AIRLINES INC. 04/25/14 BOWMAN & CORDAY WIEDNER & MCAULIFFE LTD 209 14WC 16873 CHRIST, JONATHON W PACE SUBURBAN 04/18/14 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 210 14WC 16890 CALVILLO, TIFFANY SEARCH INC 05/02/14 SANDMAN LEVY & PETRICH BRADY CONNOLLY & MASUDA PC 14WC016891 -C 14WC016892 -C 211 14WC 17068 CARDENAS, MARIA MC DONALD'S RESTAURANT 06/21/13 RUEDA, IVAN A 212 14WC 17416 EDGAR, JACK ALDI INC 06/01/11 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 213 14WC 17427 RIVERA, ANASTACIO RAYS TOWING & RECOVERY SE 01/25/14 BRISKMAN BRISKMAN GREENBER 214 14WC 17451 MONTIEL, ORALIA SEALED AIR CORP 04/19/14 LAW OFFICES LEONARDO MORAL 215 14WC 17867 CARDENAS, JAIME QUANTUM CROSSINGS LLC 01/10/14 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 216 14WC 17957 FLORES, BERTHA L FEDERAL MOGUL 03/25/14 STEPHEN G PINTO LTD HOLECEK & ASSOCIATES 217 14WC 24028 SMITH, CARL ACADEMY FOR LEARNING 03/19/14 ROBIN LAW OFFICE 218 14WC 24315 GITTENS, MICHELLE CHICAGO TRANSIT AUTHORITY 08/31/12 DEAN J CARAS & ASSOCIATES CHICAGO TRANSIT AUTHORITY 219 14WC 24341 LEWIS, STEPHEN J POWERLINK ELECTRIC 12/01/11 TURNER & SACKETT LLC WIEDNER & MCAULIFFE LTD 220 14WC 24587 SANDERS, TREMAIL CENTRAL BEVERAGE COMPANY 03/16/14 GOLDBERG WEISMAN & CAIRO L 221 14WC 24758 O'FLAHERTY, KEVIN CITY OF CHICAGO DEPT OF 03/12/14 PETER D CORTI LAW GROUP CITY OF CHICAGO 222 14WC 24782 HUDDLESTON, DENNIS FORD MOTOR CO 07/09/14 KREITER, BYCK & ASSOC LLP RUSIN & MACIOROWSKI LTD 223 14WC 24917 MURPHY, MARY M CINTAS 08/14/13 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 224 14WC 25274 PISTORIUS, PAM ZURICH NORTH AMERICA 05/27/14 HEALY SCANLON LAW FIRM INMAN & FITZGIBBONS 14WC025275 -C 225 14WC 25366 ORTEGA, STEVE ELITE STAFFING 06/16/14 DWORKIN AND MACIARIELLO MARC CAIRO 226 14WC 25968 KLAZEK, JOHN M EMPLOYEE SOLUTIONS, LLC 09/25/13 CULLEN HASKINS NICHOLSON 227 14WC 26144 PATEL, NATHABHAI PARAMOUNT STAFFING 01/10/14 GOLDBERG WEISMAN & CAIRO L KNELL & O'CONNOR 228 14WC 26243 CAMPBELL, GUNNAR C THE SALVATION ARMY 06/16/14 CRONIN & PETERS NYHAN BAMBRICK KINZIE & LOWR 229 14WC 26441 LOSAVIO, JOSEPH M FREEMAN DECORATING SVCS I 05/01/14 ANESI OZMON RODIN NOVAK KO MC ANDREWS & NORGLE LLC 230 14WC 26848 ONOH, GABRIEL YELLOW CAB CO 06/11/14 LAW OFFICE RYAN ROSENTHAL 231 14WC 26994 DIAZ, MARGARITA DART CONTAINER CORP 07/07/14 CULLEN HASKINS NICHOLSON GAROFALO SCHREIBER STORM 15WC006287 -C SOLO CUP CO 232 14WC 27040 MCCLURE, VEESTER CHICAGO TRANSIT AUTHORITY 06/25/14 HORWITZ HORWITZ & ASSOC CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 14WC 27111 CASTREJON, CARLOS ALTERNATIVE STAFFINE INC 07/24/14 COVEN LAW GROUP 234 14WC 27245 HOLLIMAN, CRYSTAL FORD MOTOR CO 07/28/14 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 14WC027246 -C 235 14WC 27330 DAVIS, ANNETTE FILTRAN 04/01/14 SEIDMAN MARGULIS & FAIRMAN 236 14WC 27336 MILES-ST CLAIR, SHERRY UNITED AIRLINES INC. 04/24/14 BRIAN J MC MANUS & ASSOC, 237 14WC 27432 SOUKAL, FRANK NORTH DEGREE INC 05/15/14 GALLAGHER LAW PC MEACHUM & STARCK 238 14WC 27635 BAHENA, RAUL ADVOCATE HEALTH CARE 08/13/10 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 239 14WC 27782 VAUGHN, DANNY UNITED AIRLINES INC. 07/24/14 SAUNDERS CONDON & KENNY 240 14WC 28848 MC KNIGHT, COLETTE ST OF IL DEPT OF ELISABET 02/24/14 GOLDSTEIN BENDER & ROMANOF JILL OTTE 241 14WC 28941 POLENCIA, SEAN WINWARD ROOFING & CONSTRU 02/13/14 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 242 14WC 29031 BOSS, JAMES AMERICAN RECYCLING& DISPO 10/16/13 BOUDREAU NISIVACO LLC RUSIN MACIOROWSKI & FRIEDMAN 243 14WC 29086 EL, MALIK EMIR SOUTHWEST AIRLINES 08/02/14 THE FITZ LAW GROUP HENNESSY & ROACH PC 244 14WC 29151 LEWANDOWKI, MICHAEL CITY BEVERAGE COMPANY 02/10/14 CARONE LAW OFFICES ASHER, RAYMOND L LTD 245 14WC 29573 MOLINA, MARCO TULIO MANGO CONSTRUCTION INC 08/04/14 FERRIS THOMPSON & ZWEIG 246 14WC 29676 RUIZ, RAMON STAFFING NETWORK QPA 01/14/13 247 14WC 29914 JENKINS, DANE FUTURE MARK PAPER COMPANY 08/11/14 GOLDFEIN LAW OFFICE PC 248 14WC 29941 HARRIS, DAVID ALLIED BARTON SECURITY SE 07/10/14 GAROFALO SCHREIBER STORM 15WC011417 -C 249 14WC 30273 WILLIAMS, CAROLINE CIRCUIT COURT OF COOK COU 04/08/14 MICHAEL A. HIGGINS STATES ATTORNEY OF COOK COUN 250 14WC 33513 HAYES, RONALD STATE OF ILLINOIS @ 09/26/14 HARRIETT LAKERNICK ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 14WC 34624 BURTON, KIOWA FORD MOTOR CO 09/23/14 KATZ FRIEDMAN EAGLE ET AL POWER & CRONIN LTD 252 14WC 34844 LIVA, SUSAN M AUTUMN CONSTRUCTION SERVI 08/11/14 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 253 14WC 35268 KOTOWSKI, JAMES VILLAGE OF SKOKIE 10/01/14 KATZ FRIEDMAN EAGLE ET AL VILLAGE OF SKOKIE 254 14WC 35639 WARDLAW, AVA COOK DUPAGE TRANSPORT CO 10/13/14 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 255 14WC 35871 COLLINS-LEE, WINIFRED CHICAGO PUBLIC SCHOOLS 09/17/14 DEPAOLO ZADEIKIS GORE LAW DEPARTMENT 256 14WC 35922 KALANTZIS, MARTHA DESIGN CONSTRUCTION CONCE 08/21/14 MARKS & ASSOCIATES WIEDNER & MCAULIFFE LTD 257 14WC 36042 PORTER, PERRIN US AIRWAYS GROUP INC 03/25/14 STEWART C ORZOFF GAROFALO SCHREIBER STORM 258 14WC 36300 LARA, ADOLPH GREYHOUND BUS LINES 01/10/14 STEVEN H MEVORAH & ASSOCIA BRADY CONNOLLY & MASUDA PC 259 14WC 36370 WERKMEISTER, STEVE EDWARD ITS TECHNOLOGIES & 10/21/14 COVEN LAW GROUP BRYCE DOWNEY & LENKOV LLC 260 14WC 36504 CALDERON, ANITA TEC AIR, INC. 04/14/14 KARCHMAR & STONE ZENITH INSURANCE CO. 261 14WC 36548 PEREZ, MONICA ITW DELTAR BODY & INTERIO 09/19/14 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 262 14WC 36719 YOUNG, CINDY CHICAGO COMMONS 05/29/14 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 263 14WC 36721 POTTER, DAVID SR HARDT ELECTRIC 08/12/14 THE FITZ LAW GROUP GANAN & SHAPIRO 264 14WC 36931 SANTIAGO, IDA N GOURMET GORILLA 10/09/14 ANESI OZMON RODIN NOVAK KO 265 14WC 37250 HERNANDEZ, ALVANO LOU MALATI'S/THE 04/04/14 ANKIN LAW OFFICE MEACHUM & STARCK 266 14WC 37525 NALECK, LEONARD SUBURBAN ELEVATOR CO 10/14/14 GOLDBERG WEISMAN & CAIRO L 267 14WC 37620 AYYASH, DOROTHY KISWANI NATIONAL @#W 06/25/13 STROM, NEAL B 268 14WC 37645 TROTTER, REBECCA FOREST EDGE HEALTHCARE 10/02/14

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 269 14WC 37796 HILL, DEBBIE PARTY CITY 09/11/14 STEVEN H MEVORAH & ASSOCIA HOLECEK & ASSOCIATES 270 14WC 37835 OMOLE, WILLIAM CHICAGO CARRIAGE CAB 08/10/14 HUNER LAW OFFICES LLC 271 14WC 37868 ROBLEDO, MARIA APL LOGISTICS 09/04/14 HUGHES SOCOL PIERS RESNICK HOLECEK & ASSOCIATES 272 14WC 38077 TORRES, VICTOR RICHELIEU FOODS INC 08/21/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 273 14WC 38082 MEDRANO, CANDIA ASSOCIATED LABOR CORP 07/12/14 GAINES & GAINES BRADY CONNOLLY & MASUDA PC 274 14WC 38138 FUNK, RICHARD BATTAGLIA DISTRIBUTING CO 09/08/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 275 14WC 38278 LAMONICA, JOHN T CITY OF CHICAGO 05/01/13 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 276 14WC 38300 JAMEEL, KHAWAJA CAPRICORN CAB 11/02/14 ELFENBAUM EVERS & AMARILIO 277 14WC 38588 KORENIC, JOHN DE PAUL UNIVERSITY 10/30/14 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 278 14WC 38590 ROBERTS, SHIRLEY CTA 07/07/14 JOEL STEPHEN 279 14WC 38654 COFFEE, KENNETH CHICAGO TRANSIT AUTHORITY 08/19/14 VRDOLYAK LAW GROUP LLC 280 14WC 38806 SULLIVAN, DONNA M SOUTHWEST AIRLINES 05/24/13 KARCHMAR & STONE HENNESSY & ROACH PC 281 14WC 38998 HARRISON, LAMON H KRAMER & COMPANY 09/06/14 SEIDMAN MARGULIS & FAIRMAN SCOPELITIS GARVIN LIGHT 282 14WC 39170 ERICKSON, MORIA WILLIAM-SONOMA 05/01/12 DWORKIN AND MACIARIELLO 283 14WC 39194 RIOS, ANTONIO LAKE POINT TOWER 09/21/14 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 284 14WC 39636 BARRERA, ALEJANDRO MIDWAY BUILDING GROUP INC 10/20/14 SANDMAN LEVY & PETRICH HENNESSY & ROACH PC 285 14WC 39888 LOPEZ, OSCAR SYED HUSSAINI 08/13/14 EPSTEIN, JACK R LAW OFFICE 286 14WC 40580 CASTREJON, SIXTO MARR CHICAGO PIZZA INC 11/23/14 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 287 14WC 40879 WHITFIELD, ANTONIO FORD MOTOR CO 09/01/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 288 14WC 40933 HAWKINS, RUDOLPH A KNOCK AT MIDNIGHT 11/24/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 289 14WC 40991 JONES, GWENDOLYN MERCY HOSPITAL 07/22/14 PATRICIA HARDIMAN LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 290 15WC 00341 SPEAR, RICHARD CITY OF CHICAGO WATER DEP 05/16/14 LEO ALT CITY OF CHICAGO 291 15WC 01046 CARGO, MARY JEWEL FOODS 11/14/14 ANGELINI & ORI LLC 292 15WC 01052 KONTAXIS, HAROLD TYCO SIMPLEX GRINNELL 09/13/12 ANKIN LAW OFFICE POWER & CRONIN LTD 293 15WC 01330 SHIN, DIANA RAINFOREST CAFE 01/02/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 294 15WC 01475 RICE, CESSERLY NEW ALBERTSON'S INC 06/02/14 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 295 15WC 02002 MEDINA, RUBY SUPERIOR NUT & 11/19/14 JONATHAN SCHLACK GANAN & SHAPIRO 15WC016593 -C 296 15WC 02003 BLACKBURN, DANIEL A & A AMERICAN ENTERPRISE 01/05/15 VRDOLYAK LAW GROUP LLC CUTLER & HULL 297 15WC 02106 PETTIS, DERRICK AT&T 11/23/14 STEPHEN G PINTO LTD INMAN & FITZGIBBONS 298 15WC 02146 FIERSTEIN, ROBERT S ILLINOIS STATE POLICE @ 01/14/15 FIGLIOLI, DAVID 299 15WC 02474 REYES, RICARDO LAKESIDE METALS 01/12/15 HOWARD S. KAVENOW LLC 300 15WC 02497 MCFARLANE, NIGEL LAKE SHORE CONTRACTORS 01/05/15 GOLDBERG WEISMAN & CAIRO L 301 15WC 02514 HOOPER, STARYA BERKLEY HEALTH CARE CENTE 11/24/14 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 15WC002515 -C 302 15WC 02904 PEREZ, TEODULO CREATIVE LABEL INC 01/13/15 PARENTE & NOREM PC WIEDNER & MCAULIFFE LTD 303 15WC 03132 VERDONE, JOHN SR MOREY INDUSTRIES INC 06/10/13 WILLIAM S. WOJCIK LTD THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 304 15WC 03194 FLORES, ALVINA L METCO TREATING AND 01/24/15 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 305 15WC 03200 CRAIN, SHELIA FISERV INC 12/31/14 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 15WC004441 -C 306 15WC 03216 SMITH, RICHARD CITY OF CHICAGO 01/26/15 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 307 15WC 03349 HERNANDEZ, JORGE CORTINA WENDY'S OFHNY,INC. 10/23/14 FERRIS THOMPSON & ZWEIG HENNESSY & ROACH PC 308 15WC 03443 AVILA, JOSHEPHYS ELLY'S PANCAKE HOUSE 11/09/14 ANKIN LAW OFFICE 309 15WC 03690 HARLIN-JACKSON, WANDA ILLINOIS CENTRAL SCHOOL 12/10/14 SANDMAN LEVY & PETRICH MACIOROWSKI SACKMANN & ULRIC 310 15WC 03788 SILVA, LUIS ILLINOIS DEPT OF TRANS 01/16/15 SHELDON I MINKOW & ASSOCIA 311 15WC 03903 BRONER, GENA SAKS FIFTH AVE 10/14/14 MC HARGUE, JAMES P LAW OFF ROBERT L. SMITH 312 15WC 04060 DELRE, LINDA L ADVOCATE CHRIST HOSPITAL 04/27/14 KROCKEY CERNUGEL COWGILL E GAROFALO SCHREIBER STORM 15WC005696 -C 313 15WC 04084 COLON, LESLIE SOUTHWEST AIRLINES CO 06/01/14 LAW OFFICE TIMOTHY DEFFET HENNESSY & ROACH PC 314 15WC 04130 RICHARD, WILLIE CTA 01/24/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 315 15WC 04428 SPENCER, DEBORAH UNIVERSITY OF ILLINOIS 01/12/15 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 316 15WC 04524 RODRIGUEZ, ERICKA PHOENIX RISING 09/02/14 GOLDSTEIN BENDER & ROMANOF LAW OFFICES JOSEPH MARCINIAK 317 15WC 04528 PIERIK, PEARL M PALOS COMMUNITY HOSPITAL 07/30/14 PARENTE & NOREM PC LORENZ & BERGIN PC 318 15WC 04534 MILLER, TYREE MENARDS 01/06/15 GOLDBERG WEISMAN & CAIRO L CHILTON YAMBERT PORTER LLP 319 15WC 04874 PIGNATO, KIMBERLY ADVOCATE SO SUBURBAN HOSP 06/04/14 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM 320 15WC 04960 HERZOG, CYNTHIA BARRINGTON SADDLERY 08/26/14 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 321 15WC 04981 KEHR, STEVE ELLIOT CONSTRUCTION CORP 02/04/14 EDWARD L OSOWSKI ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 322 15WC 05317 GALLO, ANTHONY MARIANO'S FRESH MARKET 12/29/14 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 323 15WC 05426 SANCHEZ, FRANCISCO CTA 01/28/14 CHEPOV & SCOTT LLC CHICAGO TRANSIT AUTHORITY 324 15WC 05461 SERY, SILVINA FAIRMONT HOTEL 11/26/14 COYNE LAW OFFICES HENNESSY & ROACH PC 325 15WC 05509 ZUREK, HENRY CITY OF CHICAGO 10/15/14 HEALY SCANLON LAW FIRM 326 15WC 05984 VILLARREAL, RAMON PACKERS SANITATION SERVIC 02/26/14 MACKEY & KRAMER PC 327 15WC 06074 MICKOW, LESLIE PETE'S FRESH MARKET 09/29/14 PORRO NIERMANN & PETERSEN KEEFE CAMPBELL & ASSOC LLC 328 15WC 06725 ABATE, MATHEW D. CHICAGO PARK DISTRICT 07/08/14 MARSZALEK AND MARSZALEK CHICAGO PARK DIST LAW DEPT 329 15WC 06728 RIVERA, MIGUEL WASTE MANAGEMENT 02/10/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 330 15WC 11559 KIRKWOOD, THEODUS CHICAGO TRANSIT AUTHORITY 02/18/15 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 331 15WC 12168 BONDS, MARVETTE WHITE LODGING/FAIRFIELD 01/18/15 STROM, NEAL B WILSON ELSER MOSKOWITZ 332 15WC 12191 OLVERA, REYNA LABOR NETWORK - 10/03/14 ACEVES & PEREZ PC ROBERT L. SMITH 333 15WC 13057 ESCALANTE, OFELIA SHERATON SUITES CHICAGO 10/05/14 STEFFEN KELLY & STEFFEN HENNESSY & ROACH PC 334 15WC 13278 HARDIMAN, EUGENE CHICAGO TRANSIT AUTHORITY 04/17/15 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 335 15WC 13311 LATIF, AISHA NEW ALBERTONS'S, INC., 12/13/14 KUMLIN & FROMM 336 15WC 13418 JONES, PATRICIA CPS 09/29/14 LAW OFFICES TIMOTHY HENDER 337 15WC 13846 SAUCEDO, JESUS UNITED PARCEL SERVICE INC 03/26/15 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 338 15WC 13909 RAHMING, MARILYN DEVAUX JUST ENERGY 12/02/14 MC HARGUE, JAMES P LAW OFF 339 15WC 14094 CASTRO, ORLANDO MINUTE MEN 03/05/15 FREDRICK B BARDER, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 340 15WC 14097 GUZMAN, HUGO VALLES'S PRODUCE 03/31/15 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 341 15WC 14159 SILVA, ADRIAN 1 HEAVY EQUIP LOADING INC 03/22/15 LEONARD LAW GROUP LLC 342 15WC 14463 DEAR, TINA CTA 04/17/15 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 343 15WC 14472 WILLIAMS, MARGARET A 800 N MICHIGAN CONDOMINIU 01/12/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 344 15WC 14569 LAMASSE, KEIT E QUALITY ELECTRIC W 08/05/14 MADSEN SUGDEN & GOTTEMOLLE COHN & COHN 345 15WC 14691 LOPEZ, ANTHONY FEDEX GROUND PACKAGE SYST 09/22/14 GRAZIAN & VOLPE PC SCOPELITIS GARVIN LIGHT 346 15WC 14914 VAZQUEZ, MARILU HMSHOST CORP 01/10/15 SALK, STEVEN B & ASSOC LTD 347 15WC 14975 JOHNSON, BENITA A.S.G. STAFFING INC 04/26/15 ANKIN LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 348 15WC 15234 TOMASELLO, DOMINICK CHICAGO DOT 05/06/15 ARGIONIS & ASSOCIATES LLC 349 15WC 15391 SWEISS, JOSEPH COP COPINE 03/18/15 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 350 15WC 15400 PEREZ, JESUS JR MEDSTAR LABORATORY 03/11/15 BRISKMAN BRISKMAN GREENBER 351 15WC 15409 PARAF, AGNES PEPSICO 03/05/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 352 15WC 15470 STOKES, ERIC E BARRINGTON HILLS POLICE D 04/07/14 BARRY A KETTER RUSIN & MACIOROWSKI LTD 353 15WC 15523 VERNON, LINDA UNIVERSITY OF ILLINOIS 01/13/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 354 15WC 15549 CALVILLO, FABIOLA SODEXO 11/24/14 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 355 15WC 15808 VALENCIA, ALICIA COMPASS GRP/LEVY RESTAURA 02/25/15 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 16WC000095 -C 356 15WC 15884 TOLBERT, LASHEKA FORD MOTOR CO 06/16/13 MEYERS & FLOWERS POWER & CRONIN LTD 357 15WC 16011 MC NEAL, DAVID LABOR TEMPS 05/11/15 BIZZIERI LAW OFFICES ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 358 15WC 16243 VESELI, SANIJE ALEXIAN MEDICAL GROUP 04/13/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 359 15WC 16334 THOMPSON, RONDAE CITY OF CHICAGO 01/14/15 KUMLIN & FROMM 360 15WC 16387 CAMACHO, MARIA FEDERAL MOGUL CORP 02/14/15 COYNE REINKE LAW HOLECEK & ASSOCIATES 361 15WC 16462 TRZACIAK, CRISTY L FORD MOTOR CO 05/06/14 LEWIS & DAVIDSON, LTD POWER & CRONIN LTD 362 15WC 16469 APONTE, HERMINIA HOME DEPOT 04/15/15 SEIDMAN MARGULIS & FAIRMAN ADELSON TESTAN & BRUNDO 363 15WC 16520 PRIETO, SALVADOR ARCELOR MITTAL RIVERDALE, 05/11/15 VRDOLYAK LAW GROUP LLC 364 15WC 16688 VELAZQUEZ, JOSE ASFI STAFFING, INC. 03/02/15 PARENTE & NOREM PC FRANCIS J DISCIPIO LAW OFFIC 365 15WC 16710 JANKE, PAUL SR. COOK COUNTY 04/19/15 PETER D CORTI LAW GROUP STATES ATTORNEY OF COOK COUN 366 15WC 16759 BOZEK, ENEDINA ED MINIAT LLC/ED MINIAT I 12/06/13 POWER & CRONIN LTD 15WC017013 -C 15WC017014 -C 367 15WC 16806 GROSSI, ANTHONY CTA 04/14/15 GOLDBERG WEISMAN & CAIRO L CHICAGO TRANSIT AUTHORITY 368 15WC 17015 VINSON, BARBARA THOMAS KELLY HIGH SCHOOL 05/05/15 VASILATOS & COTTER LLC 369 15WC 17312 GORDON, SALAMA K MT SINAI HOSPITAL MEDICAL 05/13/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 370 15WC 17350 JOHNSON, DAVID L. FORD MOTOR COMPANY 04/24/15 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 371 15WC 17513 DICARLO, ANTONIO FINAL TOUCH PAINTING W 02/16/15 MILLON & PESKIN LTD 372 15WC 17579 KLEIN, EDWARD UNITED CONVEYOR SUPPLY CO 10/21/14 SALK, STEVEN B & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN 373 15WC 18135 LEWIS, JACQUELINE ACCRETIVE HEALTH 05/22/15 RUBENS AND KRESS LAW OFFICES JOSEPH MARCINIAK 374 15WC 18503 MANNING, VANESSA CHICAGO PUBLIC SCHOOLS 09/15/14 LAW OFFICE OF JAMES H MILL 375 15WC 23178 TSOGOO, OYUNTSETSEG KINZIE HOTEL LLC 08/21/14 PARAD LAW OFFICES PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 376 15WC 23287 SANCHEZ, GISELA ASSEMBLERS, INC 06/22/15 DEPAOLO ZADEIKIS GORE MACIOROWSKI SACKMANN & ULRIC 377 15WC 23497 ASAMOAH, DORIS UNIV OF CHGO MEDICAL CTR 11/21/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 15WC029722 -C UNIVERSITY OF CHICAGO 378 15WC 23502 STOCKWELL, AVERY SOLAR TRANSPORT 02/01/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 379 15WC 23512 BYRD, DONALD E JR CHICAGO PUBLIC SCHOOLS 05/19/15 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 15WC023513 -C 380 15WC 23541 WESTLUND, DAN BIMBO BAKERIES USA 06/11/15 MARTIN V KUGIA KRALOVEC & MARQUARD 381 15WC 23606 FINNEGAN, NORINE WORLD WIDE TRANSPORTATION # 09/17/14 JOHN F GREGORIO & ASSOC BUSH MOTTO CREEN KOURY 382 15WC 23608 SHELLY, DAVID W MONDELEZ, INTERNATIONAL I 07/16/15 FITZPATRICK & FITZPATRICK WIEDNER & MCAULIFFE LTD 383 15WC 23653 AMBRIZ, RAMIRO AMITY PACKING CO 04/03/15 VITELL & SPITZ LTD 384 15WC 23788 HERNANDEZ, JORGE ANNIE'S PANCAKE HOUSE 05/01/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 385 15WC 23901 SUGAI, MARK FEDERAL MOGUL 03/06/15 MICHAEL J. GRAVLIN HOLECEK & ASSOCIATES 386 15WC 24148 WILLIAMS, NIESHA OBERWEIS 07/26/15 STEVEN A CRIFASE, LTD LAW OFFICES FRANCESCA LARSEN 387 15WC 24204 HAMPTON, KAREN ILLINOIS DEPT OF REVENUE @ 11/27/13 BRISKMAN BRISKMAN GREENBER ASSISTANT ATTORNEY GENERAL 388 15WC 24222 BUSTAMANTE, JUAN GOLAN'S MOVING & STORAGE 07/31/15 LEONARD LAW GROUP LLC GANAN & SHAPIRO 389 15WC 24386 ALCANTARA, JOSE MONROY TOTAL STAFFING SOLUTIONS 10/03/12 CHEPOV & SCOTT LLC KNELL & O'CONNOR 390 15WC 24409 BENNETT, MARC 1ST ASSIST HOME HEALTHCAR 12/06/12 WITTENBERG DOUGHERTY MAGLI STONE & JOHNSON CHARTERED 391 15WC 24436 GIERMALA, MATTHEW ORLAND FIRE PROTECTION DI 07/21/15 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 392 15WC 24448 RICHTER, DWAYNE J GOTTLIEB MEMORIAL HOSPITA 08/04/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 393 15WC 24648 SANCHEZ, FEDERICO GRANITEPOL & HDC 07/02/15 EFTEKHARI LAW OFFICES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 394 15WC 24924 MUHAMMAD, ARTHUR CTA 04/10/15 STEVEN J MALMAN & ASSOCIAT CHICAGO TRANSIT AUTHORITY 395 15WC 24969 PHAM, KHOA BREDEMANN TOYOTA 09/20/14 VRDOLYAK LAW GROUP LLC 396 15WC 25258 MONTGOMERY, AKIRA FORD MOTOR COMPANY 06/05/15 SNECKENBERG, WILLIAM J ASS POWER & CRONIN LTD 397 15WC 25361 MORGAN, LASHA UNITED AIRLINES INC. 06/24/15 ANGELINI & ORI LLC NYHAN BAMBRICK KINZIE & LOWR 398 15WC 25590 MEHTA, ANILKUMARH IKEA HOLDINGUS INC 08/07/13 ANKIN LAW OFFICE MEACHUM & STARCK 399 15WC 25876 BRUCE, DERRICK JMC STEEL GROUP/ATLAS TUB 03/17/14 LAW OFFICE OF SCOTT B SHAP GAROFALO SCHREIBER STORM 400 15WC 26197 ADELUSI, ADEMOLA CHICAGO ELITE CAB CORP 06/20/15 LEADERS LAW CENTER LLC 401 15WC 26198 DZIALO, EDWARD CITY OF CHICAGO 05/08/15 BRILL & FISHEL CITY OF CHICAGO 402 15WC 26238 DUNCAN, JARROTT CHICAGO ELITE CAB CORP 07/27/15 THE MACK LAW GROUP PC 403 15WC 26296 HINICH, MILAN JX ENTERPRISES 07/07/15 DEUTSCHMAN, JEFFREY S ACCIDENT FUND HOLDINGS 404 15WC 26605 HERNANDEZ, REMEDIOS LINCOLN PROVISIONS INC 07/06/15 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 405 15WC 26690 PEREZ, MAUEL DNR CONSTRUCTION INC 07/27/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 406 15WC 26720 VAZQUEZ, ROCIO LABOR TEMPS 07/04/15 PARENTE & NOREM PC 407 15WC 26733 HERNANDEZ, TOMMIE COMMUNITY CARE SYSTEMS, I 05/18/15 KARCHMAR & STONE LIVINGSTONE MUELLER ET AL 408 15WC 26764 RUIZ, SARA CHICAGO POWERED METAL 05/20/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 409 15WC 26860 HENRY, LECIA CHICAGO BOARD OF EDUCATIO 05/13/15 CAPRON & AVGERINOS PC 410 15WC 26881 MAYORGA, LETICIA FAMILY THRIFT STORE 05/13/14 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 15WC026882 -C 411 15WC 27027 JOHNSON, ANTOINE G. MANPOWER 08/19/15 PARENTE & NOREM PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 412 15WC 27077 BREWER, MARGARET R LUCKY #5409 DBA IHOP 08/17/15 THOMAS W DUDA LAW OFFICES JOSEPH MARCINIAK 413 15WC 27089 MAX, ALANA CHICAGO PUBLIC SCHOOLS 12/03/14 ANKIN LAW OFFICE 414 15WC 27157 BUSTAMANTE, MIGUEL WALSH CONSTRUCTION COMPAN 07/16/15 GOLDBERG WEISMAN & CAIRO L 415 15WC 27290 PORTER-ARMSTRONG, PORTIA SLC 08/04/15 SEIDMAN MARGULIS & FAIRMAN 416 15WC 27797 PEEL, CONRAD KELSO BURNETT 08/06/15 GRAZIAN & VOLPE PC CACCHILLO LAW GROUP LLC 417 15WC 27857 ALVAREZ, ANGEL WORTH STEEL & MACHINE 08/06/15 LANNON LANNON & BARR LTD WIEDNER & MCAULIFFE LTD 418 15WC 27917 GARCIA, JAMES G KINGDOM CHEVROLET 08/31/15 BUDIN LAW OFFICES ANCEL GLINK DIAMOND BUSH & E 419 15WC 28002 CRAIG VASSAR, VICTORIA OAKRIDGE HEALTHCARE CENTE 08/17/15 STEPHEN G PINTO LTD BRADY CONNOLLY & MASUDA PC 420 15WC 28415 HURTADO, ANA KARINA PLUM CREEK SUPPORTIVE LIV 05/29/15 PARENTE & NOREM PC 421 15WC 29307 GORGAU, EMILIO L THE SALVATION ARMY 08/17/15 ANKIN LAW OFFICE RODDY LAW LTD 422 15WC 34129 RAMOCKA, GRAZYNA THE TREMONT CHICAGO 09/11/15 HETHERINGTON KARPEL BOBBER QUINTAIROS PRIETO WOOD & BOY 423 15WC 34957 CRAWFORD, CHRISTIAN PHILIPS ELECTRONICS N A C 06/18/15 ANKIN LAW OFFICE POULOS & DIBENEDETTO LAW 424 15WC 35185 HARRIS, MICHELLE CTA 10/22/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 425 15WC 36029 HOSINI, HANAA PACTIV CORP 10/23/15 KALOGERAKOS & ASSOC 426 15WC 36053 ASCENCIO, JOSE ANTONIO LOU MALNATI'S PIZZERIA 02/20/15 SOSTRIN AND SOSTRIN PC MEACHUM & STARCK 15WC036054 -C 427 15WC 36169 BAEZ, REBECCA SCRUB, INC 10/20/15 DAVID W MARTAY INMAN & FITZGIBBONS 16WC034640 -C STAFFWORKS, LLC 428 15WC 36316 CESARONE, DIANE UIC COLLEGE OF NURSING 10/08/15 RUBIN LAW GROUP POWER & CRONIN LTD 429 15WC 36534 ROBINSON, DERAL AMERICAN AIRLINE/AMR 09/10/15 KROL BONGIORNO & GIVEN LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 15WC 36991 GAUD, SALVATOR WALMART 09/08/15 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 431 15WC 37010 MIJARES, MIGUEL BARKAAT FOODS 03/19/15 LAW OFFICE HUGO ORTIZ ROBERT L. SMITH 432 15WC 37128 JONES, DEBORAH HELP AT HOME, INC. 04/15/15 DWORKIN AND MACIARIELLO MEACHUM & STARCK 433 15WC 37154 GORDON, SHERMAN L SUDLER AND COMPANY ETAL 06/10/15 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 434 15WC 37190 ALVAREZ, ALEJANDRO DR. PEPPER/SNAPPLE 07/11/14 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 15WC037191 -C 435 15WC 37211 GERAGHTY, KARLA AMERICAN AIRLINES INC 08/22/12 PETER D CORTI LAW GROUP 436 15WC 37219 REYNA, MARIVEL UNITED MAINTENANCE CO 10/23/15 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 437 15WC 37245 HATTER, JEFFERY D JR CONTRACTORS ACCESS EQUIPM 11/10/15 VASILATOS & COTTER LLC 438 15WC 37266 RUFFIN, LAWRENCE LBP MANUFACTURING 10/22/15 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 439 15WC 37309 TERRELL, MERRILL WESTROCK COMPANY 11/11/15 BIZZIERI LAW OFFICES GAROFALO SCHREIBER STORM 440 15WC 37440 KIEFER, GERALD F SOUTHWEST AIRLINES 08/11/15 ROMANUCCI & BLANDIN 441 15WC 37468 TORRES, EDUARDO CTA 09/04/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 442 15WC 37518 19B LEON, MARIA UPS 11/02/15 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 443 15WC 37519 CARRENO, JUAN AT & T 11/04/15 COVEN LAW GROUP 444 15WC 37563 MALOOF, KATHLEEN CHICAGO BOARD OF EDUCATIO 11/05/15 LEO ALT 445 15WC 37583 PALMER, PHILIP SCOTT ROSEMONT EXPOSITION SERVI 11/13/15 DAVID SZCZECIN & ASSOC HOLECEK & ASSOCIATES 446 15WC 37661 LEON, BETHZABE LABOR NETWORK 10/17/15 GOLDSTEIN BENDER & ROMANOF ROBERT L. SMITH 447 15WC 37837 BOURDEAU, MARK ACCURATE PERFORATING CO. 11/12/15 ANKIN LAW OFFICE LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 448 15WC 37991 MALDONADO, MARC AT & T 05/29/15 KARCHMAR & STONE HENNESSY & ROACH PC 449 15WC 38165 PETERBURS, JOSEPH T NAVISTAR INC 11/09/15 CZAPLA LAW NYHAN BAMBRICK KINZIE & LOWR 450 15WC 38182 SNYDER, RASHON CTA 11/25/15 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 451 15WC 38244 REID, GAIL CHICAGO PUBLIC SCHOOLS 10/06/15 ASHER, RAYMOND L LTD 452 15WC 38528 ASPEN, ROBERT VILLAGE OF MATTESON 07/15/15 DUDLEY & LAKE LLC INMAN & FITZGIBBONS 453 15WC 38716 RODRIGUEZ, JUAN A HUBBARD INN 08/28/15 DEPAOLO ZADEIKIS GORE RODDY LAW LTD 454 15WC 38741 GONZALEZ, RICARDO JCV TRANSPORTATION INC 11/21/15 ANKIN LAW OFFICE 455 15WC 38849 LINDSTROM, CECILIA CITY OF EVANSTON 02/28/15 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 456 15WC 38880 JONES, SHARON SCR MEDICAL TRANSPORTATIO 07/22/15 LAW OFFICES OF ANSELMO DUR 457 15WC 38969 MONGOY, GABRIELA MIDWAY BUILDING SERVICES 09/09/15 STEPHEN G PINTO LTD KEEFE CAMPBELL & ASSOC LLC 458 15WC 39025 FLETCHER, SANDRA VITAS HEALTHCARE 12/16/13 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 459 15WC 39077 THOMPSON, BERNARD CITY OF CHICAGO/FLEET FAC 11/19/15 WHITESIDE & GOLDBERG LTD 460 15WC 39174 PURVIN, ANDY NAPLETON CHRYSLER DODGE 11/23/15 HANNIGAN & BOTHA, LTD 461 15WC 39225 MACANDOG, CLETA JOHN H STROGER JR HOSPITA 10/05/15 BRISKMAN BRISKMAN GREENBER STATES ATTORNEY OF COOK COUN 15WC039226 -C 462 15WC 39248 BIRCH, KELVIN LABOR READY 11/03/15 CHARLES LEVY & ASSOC LTD 463 15WC 39373 RUACHO, GILBERTO SENIOR OPERATIONS INC 11/22/14 HECTOR ESPITIA BRADY CONNOLLY & MASUDA PC 464 15WC 39411 BENITEZ, ALBERTANO PEPSICO 12/04/15 BAUM RUFFOLO & MARZAL LTD 465 15WC 39578 ADKINS, ERICK AT&T 08/28/15 LEO ALT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 466 15WC 39746 SANCHEZ, EDUARDO FELXIBLE STAFFING 06/12/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 467 15WC 39775 MUNSON, JON LORIG CONTRUCTION COMPANY 11/17/15 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 468 15WC 39867 SMITH-EDMONDS, PATRICIA NORTHWEST COMMUNITY HOSPI 01/22/15 DESTEFANO, ROBERT A & ASSO HEYL ROYSTER VOELKER & ALLEN 469 16WC 01825 HOLLOWAY, ROXANNE PANDUIT CORP 12/28/15 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 470 16WC 02574 SOTELO, ARACELI ARROW PNEUMATICS 09/29/15 COSTA IVONE LLC HENNESSY & ROACH PC 471 16WC 03136 SUERTH, STEPHEN CITY OF CHICAGO- DEPARTME 12/21/15 ARGIONIS & ASSOCIATES LLC 472 16WC 04027 DE RODRIGUEZ,JOSELINNE PA PRINCESS FOODS INC 01/27/16 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 473 16WC 04111 CROCKETT, MICAH MEADE ELECTRIC CO INC 09/04/14 GRAVLIN, MICHAEL J LLC RUSIN & MACIOROWSKI LTD 16WC004170 -C 16WC004360 -C 474 16WC 04511 MASTRO, DIANA THE CONTAINER STORE 03/20/15 WILLIAM B MEYERS, LTD 475 16WC 04566 WALKER, LON AMERICAN AIRLINES 07/15/15 BRAD J. BALKE, PC 476 16WC 04589 CADENA, EVA EXRESS CLEANING SERVICES 01/15/16 THOMAS A MORRISSEY WIEDNER & MCAULIFFE LTD 477 16WC 04621 MAURINO, JUDY R. FERRERO U.S.A. INC. 01/08/16 FIGLIOLI, DAVID 478 16WC 04661 CONEAL, ANTHONY TYSON BRUSS CO. 12/24/15 ROSENFELD HAFRON SHAPIRO F GANAN & SHAPIRO 479 16WC 04712 DIAZ, YOLANDA LUCKY GAMES INC 02/27/15 SANDMAN LEVY & PETRICH LAW OFFICES OF EDWARD J. KOZ 480 16WC 04735 RHODES, GARY A VULCAN MATERIALS CO 05/15/15 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 481 16WC 04736 MEJDRICH, JEFFREY J CHICAGO LAND CONCRETE II 10/16/15 BUDIN LAW OFFICES 482 16WC 04754 SORIANO, MARGARITA PAMCO 06/16/15 HART & DAVID LLP 483 16WC 04782 FRANCO, CHRIS CITY OF CHICAGO 2FM FLEET 01/26/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 484 16WC 04830 HUMPHERY, PATRICE CTA 02/11/15 DWORKIN AND MACIARIELLO 485 16WC 04846 SKRZYNIK, ZYGMUNT MBT TRANSPORT INC. 02/03/16 CHEPOV & SCOTT LLC KOPKA, PINKUS & DOLIN, PC 486 16WC 04899 O'RYAN, SHANE GENESIS ELECTRIC AND TECH 01/29/16 KUMLIN & FROMM GILDEA & COGHLAN 487 16WC 04920 BAHENA, JUAN SALGADO EL POPOCATEPETL INDUSTRIE 12/11/15 EPSTEIN, JACK R LAW OFFICE 488 16WC 04962 BERTEN, ERIK HARDWOOD LINE MANUFACTURI 08/21/15 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 489 16WC 05015 COOPER, DERRICK ARYZTA LLC 06/01/15 EFTEKHARI LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 490 16WC 05044 HOLLIS, SAMUEL CTA 02/09/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 491 16WC 05168 WELLS, KIMBERLY CITY OF CHICAGO DEPT OF W 01/17/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 492 16WC 05210 FASONE, JOSEPHINE KOHLS DEPARTMENT STORES I 02/05/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 493 16WC 05261 HERNANDEZ, KARLA CLOVERHILL BAKERY 12/17/14 MC HARGUE, JAMES P LAW OFF 494 16WC 05428 CAMPBELL, KATIE NORTHWESTERN MEMORIAL HOS 07/25/14 SHELDON I MINKOW & ASSOCIA POWER & CRONIN LTD 495 16WC 05517 NICHOLAS, WILLIAM VILLAGE OF SKOKIE 09/14/15 CRONIN & PETERS VILLAGE OF SKOKIE 496 16WC 05529 FLORES, GERARDO GOLD STANDARD BAKING 01/17/16 JONATHAN SCHLACK 497 16WC 05591 SULLIVAN, MADELINE STUART G FERST SCHOOL 10/03/14 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 16WC005592 -C 16WC005593 -C 498 16WC 05630 GUSTAFSON, PHILLIP CARRIER AIR CONDITIONING 09/09/15 RUBENS AND KRESS RUSIN & MACIOROWSKI LTD 499 16WC 06196 PADULA, ANTHONY J CITY OF PARK RIDGE 12/30/15 FOOTE MIELKE CHAVEZ & O'NE MACIOROWSKI SACKMANN & ULRIC 500 16WC 06261 KELLY, DEBRA UNITED AIRLINES 01/07/16 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 501 16WC 06321 CONNOR, MATTHEW UPS 02/18/16 O'CONNOR & NAKOS COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 502 16WC 06334 TRULL, KEVIN CD RICHARD ELLIS 09/16/15 HEALY SCANLON LAW FIRM 503 16WC 06339 SUBARIC, RAJKA UNITED AIRLINES 02/12/16 STEIN & CHERNEY LTD WIEDNER & MCAULIFFE LTD 504 16WC 06381 SMITH, THERESA LOYOLA GOTTLIEB MEMORIAL 02/20/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 505 16WC 06414 MARATTO, DOMINIC M UNITED AIRLIES 02/19/16 ALAN A BLUM, PC 506 16WC 06447 BEEDIE, BRUCE YRC, INC. CT CORPORATION 12/29/15 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 507 16WC 06460 KOUEVI, KANGNI LINCOLNSHIRE SVC CORP 02/05/16 CORNFIELD & FELDMAN 508 16WC 06482 SOLIS, SARA THE TRUMP ORGIZATION 10/20/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 509 16WC 06523 COSTILLA, SHANDA ALDI INC 12/27/14 BURNES & LIBMAN BRADY CONNOLLY & MASUDA PC 510 16WC 06648 MARTINEZ, MARIA OSI INDUSTRIES LLC 02/04/16 HERRERA LAW CENTER HENNESSY & ROACH PC 511 16WC 06677 ISLEY, MELISSA STATE OF IL STATE POLICE @ 12/02/15 STRONG LAW OFFICE C. FLETCHER 512 16WC 06735 O'CONNOR, JAMES BREAKTHRU BEVERAGE 02/11/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 513 16WC 06756 CLAY, RICKY CHICAGO RPM, LLC. 01/03/16 KOFOED, RUSSEL M FINE, MARK S LAW OFFICES 514 16WC 06835 GAVINS, DAPHNE UNIVERSITY OF IL AT CHGO. 11/24/14 THE ROMAKER LAW FIRM POWER & CRONIN LTD 515 16WC 06906 PEREZ, ANA CITY OF CHICAGO 02/10/16 KROL BONGIORNO & GIVEN LTD CITY OF CHICAGO 516 16WC 06908 SALGADO, JOSE GREYHOUND 11/03/15 FOHRMAN, DONALD W & ASSOCS BRADY CONNOLLY & MASUDA PC 517 16WC 06978 GRIFFITH, JOSEPH RUAN TRANSPORTATION 02/16/16 POLANSKY & CICHON CHTD JAMES M KELLY 518 16WC 07013 GARZA, ERNESTO THRESHOLDS INC 02/03/16 DAVID W MARTAY MC ANDREWS & NORGLE LLC 519 16WC 07089 ESPARZA, SALOMON ASHLAUR CONSTRUCTION 02/29/16 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 520 16WC 07110 BARCENAS, LUIS PERFORMANCE FOOD GROUP 02/16/16 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 521 16WC 07276 COSTANTINI, DEBRA STARVIEW ENTERPRISES INC 02/24/16 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 522 16WC 07298 SARABIA, JOSE RELISH LABS LLC D/B/A 01/15/16 BRUCE RAFALSON LTD ACCIDENT FUND HOLDINGS 523 16WC 07401 HANSEN, MICHELLE ST ALEXIUS MEDICAL GROUP 02/01/16 ANGELINI & ORI LLC POWER & CRONIN LTD 524 16WC 07708 PARENTE, TINA BILLY CASPER GOLF, INC D/ 09/13/15 CUDA LAW OFFICES HENNESSY & ROACH PC 525 16WC 12258 GIRONDI, PHILLIP UNIVERSITY OF CHICAGO POL 04/01/16 STROM, NEAL B NYHAN BAMBRICK KINZIE & LOWR 526 16WC 13454 WALKUSKI, MIROSLAW A&K KATZ MANAGEMENT, INC 11/22/15 KARCHMAR & STONE HENNESSY & ROACH PC 527 16WC 14534 PAEZ, ANTONIA HEKTOEN INSTITUTE FOR MED 03/23/16 JAUREGUI & ASSOCIATES WIEDNER & MCAULIFFE LTD 528 16WC 14555 CRUZ, KELVIN UBER 05/07/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 529 16WC 14650 ORR, EDWIN J. BERNHARD WOODWORK, LTD. 02/22/13 GOLDBERG WEISMAN & CAIRO L 530 16WC 14884 MARCHIORI, MICHAEL CITY OF CHICAGO 04/25/16 HEALY SCANLON LAW FIRM 531 16WC 15168 JOHNSON, IVORY CHICAGO COMMONS 04/25/16 ROBIN LAW OFFICE 532 16WC 15219 VELASQUEZ, ELISSA LIGHTOLOGY 04/04/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 533 16WC 15294 CERVANTES, JOSE CHICAGO DRYER COMPANY 01/07/16 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 534 16WC 15345 FRANCO, ISABEL AUTHENTIC BRANDS OF 05/04/16 ROSENFELD HAFRON SHAPIRO F BRADY CONNOLLY & MASUDA PC 535 16WC 15351 GOMEZ, CARMELLA UNIVERSITY OF ILLINOIS 05/16/14 VASILATOS & COTTER LLC HEYL ROYSTER VOELKER & ALLEN 536 16WC 15414 YOUNG, CONNOR CERTIFIED AUTO 11/27/15 LUCAS & APOSTOLOPOULOS CAPUANI & SCHNEIDER 16WC015415 -C 16WC015416 -C 537 16WC 15487 CRUZ, YANCEY KATE'S DETECTIVE & SECURI 04/05/16 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 538 16WC 15496 PRIETO, JAIME PEPSI AMERICA'S 04/22/16 STROM, NEAL B BRYCE DOWNEY & LENKOV LLC 539 16WC 15560 WATTS, REGINALD TELECOM CONSTRUCTION DEVE 05/07/16 STEPHAN L. HOFFMAN 540 16WC 15660 JENTSCH, KURT W. WALSH CONSTRUCTION 10/26/15 O'CONNOR & NAKOS HINSHAW & CULBERTSON 541 16WC 15681 SCIALABBA, BRAD LSG SKYS CHEF'S 02/17/16 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 542 16WC 15702 WHITEHEAD, TRACEY D MONDELEZ 03/14/16 BRISKMAN BRISKMAN GREENBER 543 16WC 15736 NEAL, JANICE HOME INSTEAD SENIOR CARE 01/26/16 HORWITZ HORWITZ & ASSOC 544 16WC 15764 LABISSONIERE, SHERI UNITED AIRLINES 05/31/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 545 16WC 15791 DICKSON, DAVID ILLINOIS STATE POLICE @ 04/12/16 ROMANUCCI & BLANDIN GANAN & SHAPIRO 546 16WC 15807 MARCHAN, EUFEMIA EMBASSY SUITE O'HARE 06/18/15 CHEPOV & SCOTT LLC GRANT & FANNING 547 16WC 15826 EDWARDS, ROSETTA UNITED AIRLINES INC. 06/30/15 WUNSCH, JOHN C PC 548 16WC 15972 KAMAL, MUSTAFA ALLIED BARTON SECURITY SV 02/21/14 MILLON & PESKIN LTD GAROFALO SCHREIBER STORM 549 16WC 15997 BRONGIEL, DAVID STATE OF IL TREASURER'S O 04/13/16 SAUNDERS CONDON & KENNY C. FLETCHER 550 16WC 16094 SALGADO, TERESA BUILDING SVS OF AMERICA L 04/13/16 DANIEL PERIASWAMY GAROFALO SCHREIBER STORM 551 16WC 16196 HOSKINS, KENNETH CTA 04/07/16 JOEL STEPHEN CHICAGO TRANSIT AUTHORITY 552 16WC 16246 PERRY, TONJA FEDEX 02/03/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 553 16WC 16275 JOHNSON, ELLIS III AT&T 05/04/16 STROM, NEAL B 554 16WC 16301 WESTON, TERESA A UNITED AIRLINES 01/15/15 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 555 16WC 16326 MARIN, VICTOR LAKEWOOD CARPENTRY SERVIC 04/19/16 THE ROMAKER LAW FIRM KNELL & O'CONNOR 556 16WC 16375 FIAMMETTA, TONY CHICAGO BEARS FOOTBALL CL 08/22/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 16WC016376 -C 557 16WC 16413 JONES, ENZA D ROADRUNNER AUTO TRANSPORT 05/19/16 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 558 16WC 16517 CARNEY, WANDA CHICAGO TRANSIT AUTHORITY 04/10/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 559 16WC 16548 ROMERO, ZAHIRA FEDERAL RESERVE 01/29/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 560 16WC 16574 MILLER, JAMES 233 CONDOMINIUM, ASSOCIAT 05/05/16 HUGHES SOCOL PIERS RESNICK 561 16WC 16615 CARLOS, MARIO TIO LUIS TACOS 04/21/16 LAW OFFICES LEONARDO MORAL NYHAN BAMBRICK KINZIE & LOWR 562 16WC 16667 DOROSZ, BOB JIMMY'S RESTAURANT 10/16/15 DAVID W MARTAY HOLECEK & ASSOCIATES 563 16WC 16689 GALLO, CAROLYN J. MEIJER 11/25/15 COHN LAMBERT RYAN & SCHNEI KNELL & O'CONNOR 564 16WC 16766 COLON, ESTEBAN LEE'S FOOD SERVICE PARTS 03/24/16 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 565 16WC 16859 FLANAGAN, MARK DHL EXPRESS 04/23/16 DESTEFANO, ROBERT A & ASSO HENNESSY & ROACH PC 566 16WC 16861 BURKE, AUSTIN FORD MOTOR COMPANY 05/10/16 FOHRMAN, DONALD W & ASSOCS POWER & CRONIN LTD 567 16WC 16961 GUILLEN, IRENE T FEDERAL EXPRESS CORP 07/14/15 ANKIN LAW OFFICE 568 16WC 16963 JOHNSON, GRETA J CITY OF CHICAGO DEPT OF P 02/17/16 ANKIN LAW OFFICE CITY OF CHICAGO 569 16WC 16986 MASSINGILL, DANNY DHL 04/27/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 570 16WC 17035 GUTIERREZ, JAIME AMERICAN AIRLINES 02/01/16 KATZ FRIEDMAN EAGLE ET AL 571 16WC 17045 CRUZ, ROBERTO ARACELY'S BAKERY 03/10/16 DISPARTI LAW GROUP PA 572 16WC 17107 ORTIZ, HECTOR SLOAN VALVE COMPANY 05/16/16 OSVALDO RODRIGUEZ PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 573 16WC 17170 BIZZARO, NORMA ESPERANZA COMMUNITY SERVI 02/25/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 574 16WC 17259 MAGDALENO, RAUL CHALET LANDSCAPING CO 06/01/13 MANUAL CARDENAS & ASSOC HENNESSY & ROACH PC 16WC017264 -C 575 16WC 17328 WALTERS, VERNON CTA 05/26/16 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 576 16WC 17412 ORDETX, ROSA FIARMONT PROPERTY MGMT 03/21/16 FRANCIS J DISCIPIO LAW OFF 577 16WC 17476 MOLINA, JORGE J B HUNT TRANSPORT INC 04/10/16 RICHARD J ZABORSKY MCANANY VANCLEVE & PHILLIPS 578 16WC 17509 GARCIA, MARIA G LA TOURAINE LLC 10/11/15 MICHAEL CONRAD WIEDNER & MCAULIFFE LTD 579 16WC 17588 ZAVALA, MARIA MVP WORKFORCE 06/01/16 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 580 16WC 17764 RAMIREZ, JOSE MILLWOOD INC 04/20/16 SALK, STEVEN B & ASSOC LTD KEEFE CAMPBELL & ASSOC LLC 581 16WC 17783 RAPCIAK, IRENA BWAY CORPORATION INC 05/23/16 ROSS TYRRELL HOLECEK & ASSOCIATES 582 16WC 18278 GLOVER, EVELYN MT SINAI HOSPITAL 04/22/16 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 583 16WC 22157 BRANDON, DWAYNE CITY OF CHICAGO 12/08/15 KUMLIN & FROMM CITY OF CHICAGO 584 16WC 24305 FUNES, JULIO GREENRIDGE FARM 08/01/16 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 585 16WC 24969 BOENS, JANICE FIRST STUDENT, INC 05/04/16 PAUL J CRONIN 586 16WC 25345 TOUSANT, SHARRON FRIENDSHIP VILLAGE 05/05/16 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 587 16WC 25405 HARRIS, MAURICE PEOPLE'S GAS 09/23/15 GALLAGHER, DONALD V GAROFALO SCHREIBER STORM 588 16WC 25457 HODGES, MELVINA WOODBRIDGE NURSING 07/11/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 589 16WC 25482 CRUZ, ANTHONY CTA & SEDWICK 02/18/14 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 590 16WC 25527 PULGARIN, ANA LBP MANUFACTURING 04/08/15 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 591 16WC 25546 MAURICIO, ALFREDO AUTO TRUCK GROUP 07/08/16 LAW OFFICES LEONARDO MORAL BRADY CONNOLLY & MASUDA PC 592 16WC 25587 MOORE, GREGG D CITY OF CHICAGO 08/12/16 WILLIAM MARTAY CITY OF CHICAGO 593 16WC 25614 PARTIDA, VICENTE ALLTOWN BUS COMPANY 08/10/16 BRILL & FISHEL RODDY LAW LTD 594 16WC 25706 PENA, ALBERTO ED MINIAT LLC 07/08/16 FRANK A CELANI POWER & CRONIN LTD 595 16WC 25870 SCOTT-BROWDER, NAKIA CTA 07/26/16 URSULA BABICZ & ASSOC CHICAGO TRANSIT AUTHORITY 596 16WC 25920 SIGUENCIA, MARIA HELP AT HOME 04/09/15 WILLIAMS, ROBERT B LAW OFF MEACHUM & STARCK 597 16WC 26075 BARRIENTOS, FARIT VIDEOJET TECHNOLOGIES, IN 07/26/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 598 16WC 26098 THOMAS, KIRK CITY OF CHICAGO 03/09/16 LEO M. BLEIMAN & ASSOC CITY OF CHICAGO 599 16WC 26123 KEMPER, JOSHUA FORD MOTOR CO 07/12/16 KREITER, BYCK & ASSOC LLP RUSIN & MACIOROWSKI LTD 600 16WC 26146 CERVANTES, MANUEL ARZTA 07/20/16 KATZ FRIEDMAN EAGLE ET AL 601 16WC 26162 JOHNSON, JOE LTI SERVICES 07/26/16 DEPAOLO ZADEIKIS GORE ROBERT L. SMITH 602 16WC 26187 MINARCIK, ANTHONY L VILLAGE OF MT PROSPECT 01/04/16 THOMAS W DUDA RODDY LAW LTD 603 16WC 26269 WIMES, DARIUS GREAT LAKES COCA COLA DIS 04/26/16 ACEVES & PEREZ PC NYHAN BAMBRICK KINZIE & LOWR 604 16WC 26271 WARDINGTON, AARON L AT & T 07/19/16 SMOLER LAW OFFICE, PC HENNESSY & ROACH PC 605 16WC 26297 CUAZITL, OCTAVIO WENDY'S RESTAURANT 08/22/16 ROGER D RUDICH LTD HENNESSY & ROACH PC 606 16WC 26376 MARTINEZ, MARITZA PRESENCE HEALTH 10/30/15 SEIDMAN MARGULIS & FAIRMAN 607 16WC 26444 SANCHEZ, JOSE A & A MIDWEST @ 12/18/15 KALOGERAKOS & ASSOC GANAN & SHAPIRO 608 16WC 26474 KAZAKOS, CHRISTOS TOWNSHIP HIGH SCHOOL 06/01/15 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 609 16WC 26506 BANKS, BYRON HAZEL CREST SCHOOL DIST 1 08/04/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 610 16WC 26530 CAHUE, MARIA DEL CARMEN GOLD STANDARD BAKING 11/25/15 ENCINAS & ORNELAS 611 16WC 26569 MONDRAGON, LLUVICELA CAREMARK GROUP, LLC 10/08/15 OSVALDO RODRIGUEZ PC KELLEY KRONENBERG 612 16WC 26601 HARTONO, LEEZA UNITED AIRLINES INC. 11/01/15 KATZ FRIEDMAN EAGLE ET AL 613 16WC 26699 WEBSTER, CAROLYN VARGAS GROUP 08/03/16 SALVATO & O'TOOLE INMAN & FITZGIBBONS 614 16WC 26718 MIX, THOMAS BLOMMER CHOCOLATE COMPANY 08/28/15 ANKIN LAW OFFICE 615 16WC 26839 MOTA, LUIS PERFORMANCE CONTRACTING I 07/20/16 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 616 16WC 26855 MICKLES, CHANTAI T CHICAGO TRANSIT AUTHORITY 08/22/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 617 16WC 26892 THOMAS, RETHA CITY OF CHICAGO 09/15/15 STROM, NEAL B 618 16WC 27024 PALMER, EURDICE ARAMARK 08/17/16 DAVID W MARTAY 619 16WC 27073 NAMBO, JULIO ALOIS BOX CO 08/08/16 FOHRMAN, DONALD W & ASSOCS 620 16WC 27104 ESTRELLA, RAFAEL KG PAYROLL & STAFFING 08/16/16 THE ROMAKER LAW FIRM SLAVIN & SLAVIN 621 16WC 27125 SCRUGGS, MARILYN J MACY'S CORPORATE SERVICES 06/30/14 ANKIN LAW OFFICE ROBERT L. SMITH 16WC027126 -C 622 16WC 27194 OLARRA, GABINO MIGUELS' LANDSCAPING 07/26/16 CUSHING LAW OFFICES MANUAL CARDENAS & ASSOC 623 16WC 27302 NICHOLS, OTIS COOK COUNTY DEPT CORRECTI 09/03/16 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 624 16WC 27353 VANKO, KEVIN AMERICAN BACK HOE SERVICE 08/19/16 625 16WC 27436 ANDRADE, TERESA OSS SERVICES, LLC/ 06/25/16 STEIN & CHERNY LTD MEACHUM & STARCK 16WC027437 -C 626 16WC 27513 RILEY, ERICA D CHICAGO TRANSIT AUTHORITY 08/26/16 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 627 16WC 27560 RAMIREZ, SERGIO EL MILAGRO INC 10/22/15 NIEMANN & PARKER WIEDNER & MCAULIFFE LTD 628 16WC 27612 SOMERVILLE-GRINSTEAD, CYN PRESENCE BEHAVIORAL HEALT 06/27/16 ROGER D RUDICH LTD 629 16WC 27693 HURLEY, JOSEPH CHICAGO TRANSIT AUTHORITY 06/29/16 ALEKSY BELCHER CHICAGO TRANSIT AUTHORITY 630 16WC 27715 BRYANT, MARVIN C CITY OF CHICAGO 08/15/16 DEPAOLO ZADEIKIS GORE 631 16WC 27728 BREHMER, BRANDON SUPERIOR AMBULANCE 07/29/16 STANCZAK LAW OFFICES POWER & CRONIN LTD 632 16WC 27766 HAYES, NANCY UNIVERSITY OF CHICAGO HOS 12/23/15 STROM, NEAL B HENNESSY & ROACH PC 633 16WC 27804 FERNANDEZ, PEDRO SORIA SEBERT LANDSCAPING 06/25/14 SEIDMAN MARGULIS & FAIRMAN 634 16WC 27825 CASTILLO, MARIA SHIFTGIG BULLPEN 07/26/16 TAMVAKIS, GEORGE L RUSIN & MACIOROWSKI LTD 635 16WC 27850 POOLE, APRIL STAFF RIGHT 08/31/16 LAW OFFICES TIMOTHY HENDER MC ANDREWS & NORGLE LLC 636 16WC 27908 ORTIZ, GABRIEL ELITE STAFFING INC 09/03/16 SALK, STEVEN B & ASSOC LTD 637 16WC 28114 WHITTAKER, MIKE JENNINGS CHEVROLET 03/21/16 STROM, NEAL B GANAN & SHAPIRO 638 16WC 31695 ROBINSON, ANDRE L CTA 08/16/16 DEPAOLO ZADEIKIS GORE CHICAGO TRANSIT AUTHORITY 639 16WC 33962 OUBOUHANE, HSSAINE LYON TAXI, LLC 10/28/16 FISHER & LAMONICA 640 16WC 34133 COTTON, CHERAL CITY OF CHICAGO, DEPARTME 10/26/16 DWORKIN AND MACIARIELLO 641 16WC 34307 RUSSELL, MELISSA D VILLAGE OF SKOKIE 07/06/16 FIGLIOLI, DAVID VILLAGE OF SKOKIE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 642 16WC 34323 KRAFT, ROBERT JEWEL OSCO 09/24/16 STEVEN J MALMAN & ASSOCIAT 643 16WC 34341 SEGURA, DONALD MICRO CENTER 10/26/16 STROM, NEAL B 644 16WC 34343 ALVAREZ, JOSEFINA RONS STAFFING SERVICES IN 11/01/16 HECTOR ESPITIA GAROFALO SCHREIBER STORM 645 16WC 34364 TUMPANE, THOMAS CITY OF CHICAGO 04/18/16 TIMOTHY E. TAKASH CITY OF CHICAGO 646 16WC 34413 CORTEZ, FRANCISCO LB METAL, LLC 10/27/16 KREITER, BYCK & ASSOC LLP HOLECEK & ASSOCIATES 647 16WC 34541 GARCIA, RAMON LUXURY MOTORS CREDIT INC 10/01/16 LAW OFFICE OF SCOTT B SHAP 648 16WC 34563 DURR, PHILLIP JEWEL-OSCO 03/23/16 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 649 16WC 34674 PEEPLES, KIMBERLY CHICAGO TRANSIT AUTHORITY 11/11/16 SALK, STEVEN B & ASSOC LTD CHICAGO TRANSIT AUTHORITY 650 16WC 34696 JOHNSON, ROBERT HMD TRUCKING 02/08/15 MARSZALEK AND MARSZALEK MCANANY VANCLEVE & PHILLIPS 651 16WC 34734 DIAZ, JOSE M PEERLESS IMPORTED RUGS IN 10/14/16 LAW OFFICES PAPPAS & BELL 652 16WC 34776 TORRES, ELVIRA MARIANO'S 09/07/16 COSTA IVONE LLC INMAN & FITZGIBBONS 653 16WC 34793 WALSH, MICHAEL VILLAGE OF SOUTH BARRINGT 07/21/15 SCOTT BARBER 654 16WC 34825 COOKS, TRACY CHICAGO PUBLIC SCHOOLS 03/03/16 RADZIN, BRUCE & ASSOC 655 16WC 34826 GARCIA, LUCIO STAFFING NETWORK INC 10/12/16 BERNAT & BERNAT PC SLAVIN & SLAVIN 656 16WC 34906 O'HEHIR, SEAN CITY OF CHICAGO 11/17/14 HEALY SCANLON LAW FIRM 657 16WC 34948 ROBINSON, ROBIN AW ZENGELER CLEANERS 07/25/16 DAVID M SPADA COZZI & GOGGIN-WARD 658 16WC 34985 HOWARD, WINSOME LUTHERAN HOME 07/28/16 BRISKMAN BRISKMAN GREENBER BRADY CONNOLLY & MASUDA PC 659 16WC 35017 SALINAS, WILLIAM MENASHA 04/08/15 EPSTEIN, JACK R LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 660 16WC 35076 PEURALA, JAMI WHOLE FOODS MKT GROUP, IN 06/16/16 BRIAN J MC MANUS & ASSOC, BRYCE DOWNEY & LENKOV LLC 661 16WC 35120 DIAZ, JOSE PLASTICS COLOR CORP 05/18/16 ROBERT H HANAFORD GAROFALO SCHREIBER STORM 662 16WC 35149 RIVERA, FELIX GE TRANSPORTATION SYSTEMS 05/18/16 DWORKIN AND MACIARIELLO 663 16WC 35180 GODIN, GINA ELIZABETH LUDEMAN CENTER @ 04/28/16 SPIROS LAW PC ASSISTANT ATTY GENERAL 664 16WC 35196 VAZQUEZ, ANTONIO AT&T 07/04/15 MC HARGUE, JAMES P LAW OFF HENNESSY & ROACH PC 665 16WC 35219 ROGERS, DYLAN T WE MASSAGE 06/19/16 LEONARD LAW GROUP LLC 666 16WC 35239 NAREZ, JUANA RESIDENCE INN BY MARRIOT 10/12/16 CHRISTIAN & MANNO 667 16WC 35261 UPCHURCH, LEE KAS SERVICES 11/08/16 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 668 16WC 35310 JIMENEZ-SOTELO, ROBERTO LITGEN CONCRETE CUTTING & 04/07/16 GOLDBERG WEISMAN & CAIRO L 669 16WC 35328 DAWKINS, INELL SMG HOLDINGS, INC 07/27/16 DEPAOLO ZADEIKIS GORE 670 16WC 35346 AGULIAR, LIDIA CHICAGO BOARD OF EDUCATIO 11/12/16 BERG & BERG 671 16WC 35347 AGUILAR, LIDIA CHICAGO BOARD OF EDUCATIO 03/21/16 BERG & BERG 672 16WC 35462 BOOTH, SHERITA CHICAGO TRANSIT AUTHORITY 10/27/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 673 16WC 35511 DESIDERIO, JORGE E RV DUNIGAN CONSTRUCTION, 09/27/16 STEVEN J MALMAN & ASSOCIAT 674 16WC 35533 DIVIZIO, DIANE M SUPERSONIC PETROLEUM, INC 10/21/16 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 675 16WC 35590 MCLENDON, KEITH COOK COUNTY 11/13/16 BURNES & LIBMAN STATES ATTORNEY OF COOK COUN 676 16WC 35645 VALLE, OSCAR JR RAINBOW INTERNATIONAL OF 11/14/16 STEPHEN G PINTO LTD 677 16WC 35654 NAVAREZ, JESUS JJ2 LLC 10/23/16 LAW OFFICE HOWARD ABRAMS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 678 16WC 35693 WEATHERS, LATEISHA FALLAS RETAIL 09/30/16 HERRERA LAW CENTER 679 16WC 35820 SOUTHERN, JUANITA RICH TOWNSHIP DIST 227 11/02/16 ELFENBAUM EVERS & AMARILIO 680 16WC 35886 WINDSOR, RODRICK ARENA FOOTBALL ONE, LLC 08/08/16 GORDON LAW OFFICES LTD 681 16WC 35893 ALLEN, EMERSON MANAGEMENT & TRAINING COR 10/28/16 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 682 16WC 35947 GALINDO, MARIA MIDWAY AIRPORT HOTEL PART 10/09/16 ACEVES & PEREZ PC BRADY CONNOLLY & MASUDA PC 16WC035948 -C 683 16WC 36008 LOY, GEORGE INDEPENDENCE TUBE CORPORA 11/21/16 BRUCE RAFALSON LTD 684 16WC 36026 HARVEY, JEROME SYSCO 07/29/16 KATZ FRIEDMAN EAGLE ET AL 685 16WC 36030 EIRIZ, ISABELLE UNITED AIRLINES INC. 01/22/16 BRIAN J MC MANUS & ASSOC, 686 16WC 36047 DANGERFIELD, TIM ESTES TRUCKING 11/22/16 MICHAEL P MCCREADY & ASSOC 687 16WC 36158 NICHOLSON, RONNIE TITAN ELECTRIC LLC 05/02/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 688 16WC 36229 TESTA, FRANK CARQUEVILLE PRINTING 10/09/14 JAMES W GREEN, JR BRADY CONNOLLY & MASUDA PC 689 16WC 36273 BYRO, DANIEL MIDWEST SALT, LLC 08/31/16 ANKIN LAW OFFICE GANAN & SHAPIRO 16WC036274 -C 690 16WC 36288 MASLANKA, PAUL GENERAL CEILING OF ILLINO 09/02/15 ASHER, RAYMOND L LTD 691 16WC 36337 HARDING, KHADIJAH PARK VILLA NURSING HOME 11/20/16 VASILATOS & COTTER LLC 692 16WC 36357 ZOLLNER, BRIAN CITY OF CHICAGO FIRE DEPT 02/26/16 WILLIAM S. WOJCIK LTD 693 16WC 36383 OWEN, NATALIE AMERICAN AIRLINES 11/07/16 SAUNDERS CONDON & KENNY 694 16WC 36425 MULLIN, CHISTOPHER SKOKIE COUNTRY CLUB 07/27/16 CULLEN HASKINS NICHOLSON 695 16WC 36445 HALL, DEMETRIUS AL WARREN OIL CO 11/15/16 DWORKIN AND MACIARIELLO RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 696 16WC 36506 KOMPERDA, STANLEY CENTRAL STEEL & WIRE CO 09/02/16 GRAZIAN & VOLPE PC 697 16WC 36544 THOMPSON, SIDNEY L ATLAS EMPLOYMENT SVCS INC 11/15/16 ANKIN LAW OFFICE ROBERT L. SMITH 698 16WC 36573 BURGOS, SANDRA HOMETOWN BAGEL INC 08/12/16 CUSHING LAW OFFICES 699 16WC 36598 BARRERA, MICHAEL COOK COUNTY SHERIFF DEPT 10/29/16 KARCHMAR & STONE STATES ATTORNEY OF COOK COUN 700 16WC 36630 OBERDIECK, SANDRA ENTERTAINMENT PARTNERS 06/08/16 RICHARD O. GREENFIELD RUSIN & MACIOROWSKI LTD 701 16WC 36678 MCKISSICK, ARIEL C DUNKIN DONUTS 11/27/16 STROM, NEAL B 702 16WC 36708 RILEY, SYLVESTER INSULATED PANELS COMPANY 05/28/16 VITELL & SPITZ LTD 703 16WC 36709 PIAZZA, SAM LAGRANGE CRANE SERVICE IN 11/10/16 GOLDBERG WEISMAN & CAIRO L ACCIDENT FUND HOLDINGS 704 16WC 36736 PETERSON, JERRELL L EYM PIZZA OF ILLINOIS LLC 10/29/16 ANKIN LAW OFFICE 705 16WC 36780 LEBRON, REBECCA EXPRESS EMPLOYMENT 10/10/16 BERG & BERG HOLECEK & ASSOCIATES 706 16WC 36827 VARELA, ESTHER PETE'S FRESH MARKET 04/26/15 SALK, STEVEN B & ASSOC LTD 707 16WC 36861 VINAS LIZARDI, ARACELI MINUTE MEN/ALTON INDUSTRI 01/23/16 RUEDA, IVAN A 708 16WC 36892 LONG, KARLA AMERICAN AIRLINES 10/25/16 RUBENS AND KRESS 709 16WC 37007 GREENE, ASHLEY ARAMARK CORP. 11/28/16 DWORKIN AND MACIARIELLO 710 16WC 37090 HAZELWOOD, POPPI LAKEFRONT NURSING & REHAB 11/09/16 MC HARGUE, JAMES P LAW OFF BRADY CONNOLLY & MASUDA PC 711 16WC 37116 BUSH, MITCHELL CITY OF CHICAGO 10/24/16 DANIEL PERIASWAMY CITY OF CHICAGO 712 16WC 37144 BUENO, ROSARIO RESTORATION HARDWARE 09/17/16 CHEPOV & SCOTT LLC 713 16WC 37192 CARMER, JENNIFER R.S. OWENS & COMPANY 03/02/15 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 714 16WC 37201 MORALES, ROSA AMERICAN COLLEGE OF HEALT 10/31/16 LAW OFFICE OF SCOTT B SHAP 715 16WC 37223 FORTSON, MACHARIA ILLINOIS STATE POLICE @ 11/07/16 SEIDMAN MARGULIS & FAIRMAN MATTHEW J KELLER 716 16WC 37287 ESPARZA, GERALDO RAHCO RUBBER INC 11/14/16 HART & DAVID LLP 717 16WC 37310 SZOT, BARBARA FRESH EXPRESS, INC. 11/22/16 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR 718 16WC 37324 DEUTER, DOUGLAS PREMIER LANDSCAPE CONTRAC 12/09/13 BOUDREAU NISIVACO LLC 719 16WC 37345 BENITEZ, EMILIO IMVM INC W 08/26/16 CHEPOV & SCOTT LLC FRITZHALL & PAWLOWSKI 720 16WC 37410 COTTON, KENNETH NORDSTROM, INC 10/17/16 SANDMAN LEVY & PETRICH ROBERT L. SMITH 721 16WC 37430 LOPEZ, MIGUEL ELITE STAFFING 12/07/16 DWORKIN AND MACIARIELLO 722 16WC 37493 QUEEN-THOMAS, BEVERLY BOARD OF EDUCATION 05/15/15 723 16WC 37522 BARONE, GREGORY P.F. CHANGS 08/20/16 MEYERS & FLOWERS 724 16WC 37587 AGUIAR, JAYSON CLOSET WORKS 08/31/16 CULLEN HASKINS NICHOLSON 725 16WC 37638 BARROW, KEITH US FOODS 11/07/16 BOGUSZ & BOGUSZ LTD 726 16WC 37652 JONES, VICTORIA M HILTON WOLRLDWIDE INC 09/11/16 ANKIN LAW OFFICE NOBLE & ASSOCIATES PC 16WC037653 -C 727 16WC 37669 SHARAWI, MAGDI S ALL CITY TEXI LLC 11/11/16 ANKIN LAW OFFICE GANAN & SHAPIRO 728 16WC 37730 WIESER, BRIAN UBITED AIRLINE INC C/O CT 09/17/16 BRIAN J MC MANUS & ASSOC, 729 17WC 02154 MELVIN, FELESA AJILON STAFFING 01/16/17 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 730 17WC 03444 COLEMAN, TYRONE CITY OF CHICAGO 12/15/16 ARGIONIS & ASSOCIATES LLC 731 17WC 03591 ORTIZ, FELIX PACE 01/12/17 RUBIN MACHADO ROSENBLUM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 732 17WC 04034 GERACI, JOHN CHICAGO TRANSIT AUTHORITY 03/02/16 KROL BONGIORNO & GIVEN LTD CHICAGO TRANSIT AUTHORITY 733 17WC 04262 EDWARDS, COREY UNITED PARCEL SERVICE 12/09/16 COVEN LAW GROUP ASA LAW GROUP 734 17WC 04287 MAJOCH, LAWRENCE COOK COUNTY SHERIFF'S OFF 05/21/16 CORBOY & DEMETRIO PC STATES ATTORNEY OF COOK COUN 735 17WC 04317 GRAY, NOVIS FORD MOTOR COMPANY 01/17/17 HETHERINGTON KARPEL BOBBER POWER & CRONIN LTD 736 17WC 04330 CURTIS, CAROL A PARKSHORE ESTATES 01/10/17 BRILL & FISHEL KEEFE CAMPBELL & ASSOC LLC 737 17WC 04353 ABOVELYAKIN, DRISSYA AB CAR RENTAL SERVICES IN 12/07/16 CULLEN HASKINS NICHOLSON 738 17WC 04386 WOODS, MARSEAN WEST SURBURBAN MEDICAL CE 02/10/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 739 17WC 04403 SADA, AURELIO J UNITED PARCEL SERVICE, IN 11/22/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 740 17WC 04419 DAWSON, HAROLD C COMMUNITY&ECONOMIC DEVELO 11/15/16 ANKIN LAW OFFICE RODDY LAW LTD 741 17WC 04498 KROLIKOWSKI, EVA CONTINENTAL WEB PRESS 03/04/14 GORDON LAW OFFICES LTD 742 17WC 04499 SLAUSON, MATT CHICAGO BEARS FOOTBALL CL 09/07/14 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 17WC004500 -C 17WC004501 -C 17WC004502 -C 17WC004503 -C 743 17WC 04521 HASKELL, THURLOW MATTESON SCHOOL DISTRICT 02/23/16 RIDGE & DOWNES 744 17WC 04557 MARTINEZ, PAOLA PEAPOD, LLC 11/20/16 JONATHAN SCHLACK LITCHFIELD CAVO 745 17WC 04698 ACRED, COREY ALTEC INDUSTRIES, INC 09/14/15 HORWITZ HORWITZ & ASSOC 746 17WC 04762 DUNNE, JAMES EXCELLENT HEALTH CARE SER 01/30/17 CORBOY & DEMETRIO PC CORBOY & DEMETRIO PC 747 17WC 04784 MUHAMMAD, DONALD CTA 04/17/15 DAVID W MARTAY CHICAGO TRANSIT AUTHORITY 748 17WC 04809 THOMAS, BEVERLY QUEEN BOARD OF ED CHICAGO 01/04/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 17WC 04868 QUINTANA, PABLO SG360 09/25/15 COYNE REINKE LAW 750 17WC 04976 MCCORD, KATHRYNK JEWEL OSCO 09/07/16 JOHN J CASTANEDA 751 17WC 04998 CASTILLO, ZERVANDO UPS 12/23/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 752 17WC 04999 BARAJAR, JAMES PEOPLES GAS 01/28/17 LEONARD LAW GROUP LLC 753 17WC 05017 MOYA, MARIA UNISTAFF, INC. 10/04/16 RAYMOND M SIMARD, PC MC ANDREWS & NORGLE LLC 754 17WC 05102 LARRY, JULIUS SCR MEDICAL TRANSPORTATIO 01/20/17 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 755 17WC 05143 STEWART, DEVIN ROAD KNIGHTS 02/14/17 KROL BONGIORNO & GIVEN LTD 756 17WC 05164 MOJICA, MARTIN HARRIS STEEL CO 01/05/17 OSVALDO RODRIGUEZ PC NYHAN BAMBRICK KINZIE & LOWR 757 17WC 05207 BRANTLEY, SANDRA KOHL'S 01/17/17 NILSON STOOKAL GLEASON CAP 758 17WC 05226 THOMPSON, NATHANIEL FORD MOTOR COMPANY 04/25/15 FOHRMAN, DONALD W & ASSOCS 759 17WC 05266 BROWN, PHANTASHA SOUTH CYCLE 02/13/17 DWORKIN AND MACIARIELLO 760 17WC 05318 MENEDEZ, JUAN MATTHEW'S ROOFING CO 09/22/15 ARGIONIS & ASSOCIATES LLC LAW OFFICES OF EDWARD J. KOZ 761 17WC 05338 FALBO, JOHN COOK COUNTY SHERIFF 02/09/17 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 762 17WC 05360 HATCHER, RICHARD V SOUTHWEST AIRLINES, CO 02/01/17 ANESI OZMON RODIN NOVAK KO 763 17WC 05383 HASSELL, CANDICE DELIVERENCE HOME HEALTH C 01/21/17 STEVEN J MALMAN & ASSOCIAT 764 17WC 05409 EZIMOHA, JANINE NEWMAN SEDGWICK CMS 11/30/16 STROM, NEAL B ARNETT LAW GROUP 765 17WC 05434 TOLENTINO, MARIA FLEXIBLE STAFFING 01/16/17 HERRERA LAW CENTER 766 17WC 05469 SPAN, THERMON L CTA CHICAGO TRANSIT AUTHO 02/14/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 767 17WC 05488 FREDERICKS, KATHIE UNITED AIRLINES INC CT 03/25/14 BRIAN J MC MANUS & ASSOC, 768 17WC 05489 FREDERICKS, KATHIE KATHIE FREDERICKS 07/31/15 BRIAN J MC MANUS & ASSOC, 769 17WC 05512 MATOS, OSCAR CHEM PLATE INDUSTRIES 11/09/16 DEPAOLO ZADEIKIS GORE 770 17WC 05529 SISTRUNK, LARRY UNITED AIRLINES (UAL) 10/22/16 ANKIN LAW OFFICE 771 17WC 05553 THOMAS, KYRAN USF HOLLAND 01/23/17 COVEN LAW GROUP HENNESSY & ROACH PC 772 17WC 05656 PEREZ, FRANCISCO J SCHOLLE PACKAGING 12/10/16 PETER D CORTI LAW GROUP MEACHUM & STARCK 773 17WC 05685 BACKSTORM, VANESIA DOLTON SCHOOL DISTRICT 14 02/17/17 ANKIN LAW OFFICE 774 17WC 05757 HERNANDEZ RIVAS, ARMANDO ELENS & MAICHIN ROOFING 04/29/16 JAUREGUI & ASSOCIATES INMAN & FITZGIBBONS 775 17WC 05782 WILSON, MICHAEL COOK COUNTY DEPTARTMENT O 11/27/16 POMPER & GOODMAN STATES ATTORNEY OF COOK COUN 776 17WC 05787 ELLZEY, JOSHUA MCLANE GROCERY MIDWEST 01/30/17 STROM, NEAL B KEEFE CAMPBELL & ASSOC LLC 777 17WC 05806 WALKER, DAVID IL DEPT OF TRANSPORTATION 09/08/16 CORBOY & DEMETRIO PC 778 17WC 05826 ELLIS, WANDA CTA 02/17/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 779 17WC 05849 MAXWELL-GANT, EUNICE CITY OF CHICAGO 02/01/17 EDWIN REYES LEGAL GROUP 780 17WC 05887 REEVES, ANTHONY L STATE OF ILLINOIS @ 02/10/17 ACEVES & PEREZ PC ASSISTANT ATTORNEY GENERAL 781 17WC 05890 MATHIEU, JERRY R ESTES EXPRESS LINES, INC 02/18/17 DWYER AND COOGAN 782 17WC 05939 WEBSTER, RUBY UNITED QUICK 12/12/16 VRDOLYAK LAW GROUP LLC 783 17WC 05965 VELEZ-ROJAS, LORENA PRIMARY STAFFING INC 12/30/16 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 784 17WC 06116 BOZA, RICHARD UPS 12/08/15 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 785 17WC 06169 GIL, ANANDA ABINGTON OF GLENVIEW 12/05/16 SCOTT BARBER BRADY CONNOLLY & MASUDA PC 786 17WC 06188 CARROLL, TIMOTHY INGREDION INC 10/23/16 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 787 17WC 06222 SMALLS, TASHEA CITY OF CHICAGO, DEPARTME 07/27/16 BRISKMAN BRISKMAN GREENBER 788 17WC 06272 LIMON, EUGENIO POINTE PEST CONTROL 10/20/16 LEE, MARK N LAW OFFICE 789 17WC 06302 MOORE, RAYMOND FRITO-LAY, INC 02/22/17 MC HARGUE, JAMES P LAW OFF GILDEA & COGHLAN 790 17WC 06332 JENKINS, KYLE ILLINOIS BELL TELEPHONE C 02/23/17 LAW OFFICES OF MARK SCHAFF 791 17WC 06350 TAPP, MILLIE C ADDUS HEALTHCARE INC 12/29/16 ANKIN LAW OFFICE 792 17WC 06384 SMITH, JAMES CITY OF CHICAGO/ 09/19/16 LANNON LANNON & BARR LTD 793 17WC 06385 BARNES, SINA BOARD OF EDUCATION 02/01/16 SCHACTER, JEROME & ASSOC L 794 17WC 06422 ABDEL HAMID, ABDALLAH F COOK COUNTY SHERIFF 02/14/17 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 795 17WC 06457 CASTANEDA, DANIEL CCMSI 01/09/17 DEPAOLO ZADEIKIS GORE 796 17WC 06480 PATEL, PRAVASIBHAI LSG SKY CHEFS 10/16/16 LEONARD LAW GROUP LLC MEACHUM & STARCK 797 17WC 06526 PHILLIPS, CAROLYN BRIA OF RIVER OAKS 12/02/16 LANNON LANNON & BARR LTD 798 17WC 06563 BERNAL, JOSE VULCAN MATERIALS 06/02/15 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 799 17WC 06596 REID, TIMOTHY P SUPER ELECTRIC CONSTRUCTI 02/08/17 ANESI OZMON RODIN NOVAK KO 800 17WC 06636 ROSA, LORENA DE LA BEST WESTERN HOTEL 02/25/17 STEWART C ORZOFF INMAN & FITZGIBBONS 801 17WC 06713 BLAND, ILISA D ASPEN FOODS 01/28/17 GOLDSTEIN BENDER & ROMANOF POWER & CRONIN LTD 802 17WC 06737 RUCKER, DUAME SCHOOL DISTRICT #159 05/16/16 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 803 17WC 06786 LEDBETTER, L JERMAINE ROUNDY'S SUPERMARKETS INC 12/11/16 ANKIN LAW OFFICE 804 17WC 06832 MARTINEZ, THERESA JEWEL OSCO 12/02/16 THE KARMEL LAW FIRM 805 17WC 06855 PADGHAM, THOMAS R ABLE ENGINEERING SERVICES 10/05/16 FIGLIOLI, DAVID 806 17WC 06896 MCCULLOUGH, ANTHONY PROFESSIONAL TRANSPORATIO 02/28/17 MARC J SHUMAN & ASSOCIATES 807 17WC 06918 JARMOLINSKI, MATT O'REILLY AUTO PARTS 01/23/17 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 808 17WC 06981 BARRETT, BARBARA CITY OF CHICAGO 02/27/17 THE ROMAKER LAW FIRM 809 17WC 07010 TWARDY, ROB CONSOLIDATED HS DISTRICT 11/05/15 CAPRON & AVGERINOS PC 810 17WC 07025 AUSTIN, SHEENA US BANK 10/31/16 COSTA IVONE LLC HENNESSY & ROACH PC 811 17WC 07091 BISHOP, GREGORY LYONS ELECTRIC CO INC 11/18/16 RATHBUN CSEVENYAK & KOZOL 812 17WC 07163 MARCUM, CAL JEWEL OSCO 02/26/17 GOLDBERG WEISMAN & CAIRO L 813 17WC 07202 KIRBY, DEBORAH ALBERTSON'S DBA JEWEL OSC 01/04/17 KREITER, BYCK & ASSOC LLP BRADY CONNOLLY & MASUDA PC 814 17WC 07216 GODFREY, DENISE METRO STAFFING INC 10/07/16 DEPAOLO ZADEIKIS GORE 815 17WC 07268 SANTANA, RADAMES AAMRO CORP 02/23/17 HERRERA LAW CENTER RODDY LAW LTD 816 17WC 07303 CLIFFORD, MARTHA UNITED AIRLINES INC C/O 04/14/14 BRIAN J MC MANUS & ASSOC, 817 17WC 07327 FARLEY, SHEILA SCHULZE & BURCH 08/18/15 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 818 17WC 07363 ACOSTA, ELISEO FEDEX GROUND 02/24/17 DWORKIN AND MACIARIELLO 819 17WC 07443 THOMAS, JAMEELAH CINTAS CORPORATION 02/28/17 STEVEN J TENZER, LTD POWER & CRONIN LTD 820 17WC 07446 CONTRERAS, SENORINA LEGENDARY BAKING 09/15/16 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 821 17WC 10343 BROWN, VICTORIA MXD GROUP * 03/06/17 MC HARGUE, JAMES P LAW OFF 822 17WC 11744 TETERS-KRUTZLER, LYNN UNITED AIRLINES INC. * 03/13/16 KATZ FRIEDMAN EAGLE ET AL 823 17WC 13644 WILLIAMS, KOJUANA CHICAGO TRANSIT AUTHORITY * 04/29/17 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 824 17WC 14205 JACKSON, MICHAEL H SCHNEIDER NATIONAL CARRIE * 04/10/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 825 17WC 14439 MORUA, SOLEDAD ELITE STAFFING * 02/07/16 CHEPOV & SCOTT LLC 826 17WC 14476 STIGLER, ZOA US SECURITY * 05/14/17 COVEN LAW GROUP MEACHUM & STARCK 827 17WC 14491 GEANS, JOHNNIE CITYWIDE DISPOSAL * 02/19/17 BRISKMAN BRISKMAN GREENBER LITCHFIELD CAVO 828 17WC 14507 RAYBORM, TAMMY AON CENTER * 02/19/17 DWORKIN AND MACIARIELLO 829 17WC 14530 SCOTT SR, TERRANCE L IDEAL BOX COMPANY, INC * 09/09/15 SOSTRIN AND SOSTRIN PC 830 17WC 14561 MUHAMMAD, ANTOINE CITY OF CHICAGO * 03/22/17 KREITER, BYCK & ASSOC LLP 831 17WC 14584 DAVIS, AARON SAVAGE SERVICES * 12/22/16 CASSANO & ASSOCIATES 832 17WC 14612 PADILLA, RAMON ARYSTA * 09/13/16 LAW OFFICES LEONARDO MORAL 833 17WC 14648 LESTER, CATINA MT SINAI HOSPITAL * 03/02/17 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 834 17WC 14690 URZEDOWSKI, DAVID CHICAGO TRIBUNE CO * 05/09/17 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 835 17WC 14711 KHAREL, KUL WALDORF ASTORIA * 04/15/17 ELFENBAUM EVERS & AMARILIO 836 17WC 14730 HOWSE, LAKENDRA STAFF SOURCE * 04/07/17 VRDOLYAK LAW GROUP LLC 837 17WC 14762 THOMAS, JESSIE ONE STOP FOOD & * 05/05/17 ANKIN LAW OFFICE 838 17WC 14784 RARRAT, GLEN UPS * 04/18/17 LEONARD LAW GROUP LLC 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 ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 839 17WC 14818 LOPEZ, DANIEL ADVANCE WELDING & CONTRAC * 01/27/16 RUBIN MACHADO ROSENBLUM 840 17WC 14898 ELLIS, BEVERLY BELLWOOD DEVELOPMENTAL CE * 04/05/17 DEAN J CARAS & ASSOCIATES 841 17WC 14901 PORTWOOD, ANGELA PROVIDENCE HEALTH CARE & * 03/18/17 HORWITZ HORWITZ & ASSOC 842 17WC 14939 HERVAI, DEBORAH CHICAGO BOARD OF EDUCATIO * 03/08/17 JAMES W GREEN, JR LAW DEPARTMENT 843 17WC 14980 TAYLOR, JULIAN UNITED PARCEL SERVICE * 04/07/17 LANNON LANNON & BARR LTD NYHAN BAMBRICK KINZIE & LOWR 844 17WC 15033 ROGALSKI, KRISTIAN MENARDS * 05/05/17 GIACOBBE, THOMAS M 845 17WC 15114 TYLKA, BERNICE LYONS TOWNSHIP HS DIST 20 * 12/29/16 STEVEN H MEVORAH & ASSOCIA BRADY CONNOLLY & MASUDA PC 846 17WC 15137 LIFSCHULTZ, BONNIE COOK COUNTY SHERIFF * 04/22/17 THE ROMAKER LAW FIRM 847 17WC 15160 GRACE, EDDIE FORD MOTOR COMPANY * 04/10/17 FOHRMAN, DONALD W & ASSOCS 848 17WC 15195 DECKELMANN, MICHAEL J. MURPHY-MILLER, INC * 11/23/15 KRISIK, DENNIS J LTD HOLECEK & ASSOCIATES 849 17WC 15216 BARATTA-COOPER, LAUREN FOREST PARK DISTRICT #91 * 04/28/17 CULLEN HASKINS NICHOLSON 850 17WC 15231 LOGAN, ERNEST CITY OF CHICAGO DEPT OF W * 01/23/17 SOSTRIN AND SOSTRIN PC 851 17WC 15253 ARSOV, NIKOLOC TRIUMPH LOGISTICS, INC * 06/26/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 852 17WC 15280 JOHNSON, DERRICK 100 BELLEVUE PLACE CONDO * 02/03/15 KOSIN LAW OFFICE LTD MACIOROWSKI SACKMANN & ULRIC 853 17WC 15310 GARCIA, JOSE A HOME DEPOT * 03/27/17 O'CONNOR & NAKOS MC ANDREWS & NORGLE LLC 854 17WC 15338 GONZALEZ, MARIA G CENTRAL STEEL & WIRE CO. * 05/12/17 COSTA IVONE LLC 855 17WC 15355 SHANNON, ANTOINETTE L BLUE ISLAND HOME CARE SER * 05/05/17 ANKIN LAW OFFICE 856 17WC 15390 PENARANDA, JACQUELINE LEXINGTON HEALTH CARE CEN * 03/26/17 CARONE LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 857 17WC 15472 KEMP, KEVIN FELDCO FACTORY DIRECT, LL * 05/11/17 FOOTE MIELKE CHAVEZ & O'NE GANAN & SHAPIRO 858 17WC 15527 LUKJANOWICZ, DAVID PEPPER CONSTRUCTION CO * 01/29/17 HORWITZ HORWITZ & ASSOC 859 17WC 15549 ANDRADE, YESENIA CHICAGO MEAT AUTHORITY, I * 03/10/17 KATZ FRIEDMAN EAGLE ET AL 860 17WC 15587 REYES, RAFAEL NEALEY FOODS INC * 05/19/17 HERRERA LAW CENTER 861 17WC 15614 MCCLINTON, CORRINA T PACE/COOK DUPAGE * 04/28/17 WARREN W MARK 862 17WC 15648 TOVAR, ANTHONY NBC UNIVERSAL, LLC * 04/06/17 CORBOY & DEMETRIO PC 863 17WC 15666 GALVEZ-DALEY, IAN UNITED PARCEL SERVICE * 03/22/17 BUDIN LAW OFFICES 864 17WC 15686 BODDIE, CLARISSA SOUTH CHICAGO PARENTS &FR * 05/21/17 DWORKIN AND MACIARIELLO 865 17WC 15707 RIVERA, JUAN CARLOS CONCRETE STRUCTURE * 02/07/17 JOHN E LUSAK 866 17WC 15732 KURTIJIAN, MARIA V MARCH MANUFACTURING CO, I * 11/11/15 HENNESSY & ROACH PC 867 17WC 15755 JONES, DEJA D GLENBRIDGE NURSING & REHA * 05/07/17 STEVEN J MALMAN & ASSOCIAT 868 17WC 15797 DENT, CAROLYN UNITED INSURANCE COMPANY * 12/10/16 BRUSTIN & LUNDBLAD LTD 869 17WC 15812 TRUESDELL, WALTER M SMG/MCCORMICK PLCE F & B * 08/18/16 ANKIN LAW OFFICE 870 17WC 15849 THOMAS, BRANDON COOK COUNTY * 05/18/17 GORDON & CENTRACCHIO LLC 871 17WC 15889 PERALES, SANDRA ABM JANITORIAL SVCS * 02/20/17 STEVEN J MALMAN & ASSOCIAT 872 17WC 15904 CISNEROS, JUANA ABM-FACILITY SERVICES * 05/23/17 HERRERA LAW CENTER 873 17WC 15941 TORRES, ASHLEY TONY'S FINER FOODS * 05/20/17 WILLIAM S. WOJCIK LTD 874 17WC 15962 LOVE, ROY CITY OF CHICAGO * 04/13/17 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 875 17WC 15985 DAHLE, JAMES VALET WASTE HOLDINGS * 10/23/16 COZZI & GOGGIN-WARD 876 17WC 16028 WLSH, MAURA EDWARDS ELEMENTARY SCHOOL * 06/28/16 GOLDBERG WEISMAN & CAIRO L 877 17WC 16043 ROBLES MEDINA, NELSON DYNAMIC MANUFACTURING INC * 02/23/17 LAW OFFICES OF GORDON LEVI 878 17WC 16082 ALPISAR, ISAC HMM PALLETS, INC * 05/11/17 JAUREGUI & ASSOCIATES 879 17WC 16108 TRYGUBA, OLEKSANDR MAGIC CONSTRUCTION DBA * 05/13/17 BERNSTEIN, PHILIP L 880 17WC 16140 REGNER, BRENT CHICAGO WOLVES * 03/15/15 FLOYD LAW FIRM 881 17WC 16152 KARCZEWSKA, PAULINA WALGREENS * 06/29/16 THERMAN LAW OFFICES 882 17WC 16178 ZIVADINOVIC, BRANKA ABM INDUSTRIES * 03/13/17 SANDMAN LEVY & PETRICH 883 17WC 16199 JOHNSON, DARRIN NOLAND SALES CORPORATION * 04/24/17 EFTEKHARI LAW OFFICES 884 17WC 16249 BUSH, SHERRIE CTA * 05/23/17 ROMANUCCI & BLANDIN 885 17WC 16285 WARD, TIMOTHY DEPAUL UNIVERSITY * 09/02/16 O'CONNOR & NAKOS 886 17WC 16308 GARCIA, JOSE L IMPERIAL ZINC, CORP * 06/24/14 BUDIN LAW OFFICES 887 17WC 16340 HOLLINS, JAKE LIFE CHANGE CONVERSATION * 05/26/17 MARC J SHUMAN & ASSOCIATES 888 17WC 16428 HODGES, PHYLLIS LITTLE COMPANY OF MARY HO * 03/30/17 DWORKIN AND MACIARIELLO 889 17WC 16484 PATTON, WILLIAM JR BOYER ROSENE MOVING & STO * 12/21/15 LANNON LANNON & BARR LTD 890 17WC 16511 ALEXANDER, MIKE ATKORE INTERNATIONAL * 04/05/17 HORWITZ HORWITZ & ASSOC 891 17WC 16547 KRAWCYK, ELIZA GENERAL ELECTRIC * 12/18/15 HEALY SCANLON LAW FIRM 892 17WC 16558 TAMAYO, JOSE LINCOLN PROVISION INC * 04/14/17 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M ANDROS, GEORGE 001 ARBITRATION CALL FOR CHICAGO 99001 ON 07/14/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 893 17WC 16580 MCGEE, CLIFTON DIVERSE FACILITY SOLUTION * 05/16/17 ANKIN LAW OFFICE 894 17WC 16594 ADARANIJO, OYEYEMI (SURVI LYFT, INC. # * 04/26/17 LAW OFFICE NICHOLAS H. MIH 895 17WC 16610 STEVENSON, DARRELL THE ROYAL GROUP * 03/09/17 BOGUSZ & BOGUSZ LTD 896 17WC 16655 ZUNIGA, ALFREDO ACUITY BRANDS INC DBA JUN * 04/17/17 THE ROMAKER LAW FIRM 897 17WC 16674 MORALES, XANY GCA SERVICES * 04/28/17 AIOSSA LAW FIRM 898 17WC 16702 MOORE, PAUL B ELGIN SWEEPING SERVICE * 05/31/17 SILVERMAN, CLIFFORD A 899 17WC 16721 CRUZ, ARIEL SEA FOOD CITY MARKET * 05/21/17 DWORKIN AND MACIARIELLO 900 17WC 16742 CRUDUP, DENISE TOTAL FACILITY MAINTENANC * 03/10/17 EDWIN REYES LEGAL GROUP 901 17WC 16767 BANDERA, ELEAZAR VALMONT INDUSTRIES INC * 03/20/17 CHEPOV & SCOTT LLC 902 17WC 16798 MURDZA, PIOTR MJ CELCO INC * 07/20/15 HOLECEK & ASSOCIATES 903 17WC 16865 DESIR, JEAN USF HOLLAND * 08/28/16 PARENTE & NOREM PC 904 17WC 16889 SILVA, HUGO DTM MASONRY INC * 05/24/16 HORWITZ HORWITZ & ASSOC 905 17WC 16905 TORRES, ESTER MOLON MOTOR & COIL CORP * 03/13/17 JONATHAN SCHLACK 906 17WC 16917 LANDRY, SYREETA COMPASS GROUP * 04/12/17 DAVID W MARTAY 907 17WC 16947 KAMHOLZ, NANCI ILLINOIS DEPT OF @ * 03/17/17 BAUM RUFFOLO & MARZAL LTD 908 17WC 17019 SANCHEZ-VILLA, VICTOR ARM CITY FOOD * 06/02/17 MC HARGUE, JAMES P LAW OFF