ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A … · 5 08wc 18302 rodriguez, camilo euro...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 16511 CALDWELL, KIMBERLY ALDI INC 03/17/06 HETHERINGTON, KARPEL, BOBB BRADY CONNOLLY & MASUDA PC 2 07WC 26029 MC HUGH, MATTHEW J METROPOLITAN WATER 03/07/07 SHELDON I MINKOW & ASSOCIA NOBLE & ASSOCIATES PC 12WC009828 -C 3 07WC 44978 STORINO, JACK M CITY OF CHICAGO-BUREAU OF 09/26/05 FIGLIOLI, DAVID HENNESSY & ROACH PC 07WC044979 -C 10WC042225 -C 4 08WC 14993 SHOEMAKER, VANESSA ST OF IL - DEPT OF HUMAN @ 04/17/06 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 08WC014994 -C 08WC014995 -C 08WC014996 -C 5 08WC 18302 RODRIGUEZ, CAMILO EURO TECH CONSTRUCTION IN W 09/18/06 JAMES ELLIS GUMBINER & ASS 6 08WC 46252 LAMER, HOLLY ITW-SIGNODE CORP 10/10/08 BOUDREAU NISIVACO LLC HENNESSY & ROACH PC 09WC028388 -C ITW SIGNODE 7 09WC 06884 MEYER, LORRIN MILLENIUM CONCRETE 07/08/08 HEALY LAW FIRM THOMAS & PORTELA 10WC026152 -C 10WC032821 -C 8 09WC 10723 NOWOTARSKI, DAN COOK COUNTY SHERIFF'S POL 02/12/09 STEVEN J TENZER, LTD INMAN & FITZGIBBONS 9 09WC 12245 SILVA, ADELAIDA COUNTY OF COOK 07/07/08 CULLEN, HASKINS, NICHOLSON STATES ATTORNEY OF COOK COUN 09WC012246 -C 10 09WC 34737 HOWARD-BELL, KIMBERLY S IL DEPT OF TRANSPORTATION @ 01/10/09 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 11 09WC 36209 HICKS, JOHN COOK COUNTY SHERIFF'S OFF 03/21/09 JAMES M RIDGE LAW OFFICE INMAN & FITZGIBBONS 15WC008006 -C 12 09WC 42589 ALVAREZ, YOLANDA UNIVERSITY OF ILLINOIS @ 01/05/09 FINE, MARK S LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 13 09WC 43684 MARTINEZ, MARGARITA CITY OF CHICAGO/ANIMAL CO 06/08/09 ANGELA NARDI-QUIGLEY CITY OF CHICAGO 14 10WC 20816 JULIAN, YOLANDA MARTHA TELLEZ & JERI-LOU W 05/05/10 EPSTEIN, JACK R LAW OFFICE SCHWARZ GILLIGAN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 10WC 36488 19B JUCKINS, DONALD E HEARTLAND AUTOMOTIVE 08/03/10 BRIAN T MORROW, LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 16 10WC 46662 O'DONNELL, ERIN FOX RIVER GROVE 10/15/08 RICHARD O. GREENFIELD RUSIN MACIOROWSKI & FRIEDMAN 11WC007593 -C 17 11WC 16494 19B KIRBY, WILLIAM CITY OF CHICAGO DEPT 05/11/10 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 12WC038560 -C 12WC038561 -C 14WC029406 -C 18 11WC 16870 BARNEY, SANDRA CTA 04/06/11 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 19 11WC 17255 THIGPEN, BRENDA STATE OF ILLINOIS @ 05/28/09 BAUM RUFFOLO & MARZAL LTD NICHOLE S. MCNAIR 11WC017256 -C 12WC020224 -C ST OF IL DEPT OF CORRECTIO 20 11WC 18653 MARTINEZ, PERFECTO ENGLEWOOD EDEN GREENS 03/25/11 POMPER & GOODMAN RUSIN MACIOROWSKI & FRIEDMAN 21 11WC 21853 JOHNSON, CHRISTINE ILLINOIS DEPT OF HUMAN SE @ 03/17/10 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 22 11WC 22880 19B MCHUGH, RUTH CITY OF CHICAGO 06/01/11 VRDOLYAK LAW GROUP LLC HENNESSY & ROACH PC 23 11WC 24990 MONTES, HERIBERTO RUSH UNIVERSITY MEDICAL C 02/22/11 GAINES & GAINES KEEFE CAMPBELL & ASSOC LLC 13WC019893 -C 15WC020821 -C 15WC020822 -C 15WC020823 -C 15WC020824 -C 24 11WC 31401 MARRERO, MARIA OMNI HOTELS 04/07/11 LAW OFFICE EDWARD LICHTENS GALLIANI DOELL & COZZI LTD 25 11WC 32949 HEPP, JEFFREY E HULCHER SERVICES INC 02/11/11 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 26 11WC 34926 RODRIGUEZ LOPEZ, LUIS C MG CONSTRUCTION W 11/10/10 JAMES ELLIS GUMBINER & ASS THE KARMEL LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 11WC 36904 MANZO, ERNESTO CONTINENTAL SALES 05/10/10 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 11WC038145 -C 28 11WC 38110 JONES, SHEREE LEXINGTON HEALTH CARE OF 09/06/11 LEWIS & DAVIDSON, LTD WIEDNER & MCAULIFFE LTD 29 11WC 38604 TOLOO-SHAMS, JAMILEH NORTHSHORE UNIVERSITY 06/15/11 EFTEKHARI LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 15WC032205 -C 30 11WC 44064 19B OBODOAKOR, JULIET JACKSON PARK HOSPITAL 07/21/11 KATZ FRIEDMAN EAGLE ET AL ODELSON & STERK 31 12WC 00820 JOHNSON-ANDERSON, RHONDA COOK COUNTY 12/31/11 HUGHES SOCOL PIERS RESNICK 12WC000822 -C 32 12WC 14535 RUSSO, JOSEPH IL BELL TELEPHONE CO (AT& 02/25/12 ANGELINI & ORI LLC HENNESSY & ROACH PC 13WC006489 -C ILLINOIS BELL TELEPHONE CO 33 12WC 14780 BENNINGER, LEANN RECREATION PLANTATION 11/01/10 POLANSKY & CICHON CHTD RUSIN MACIOROWSKI & FRIEDMAN 12WC014781 -C 34 12WC 15443 CERVANTES, RAUL ELITE STAFFING 04/24/12 JONATHAN SCHLACK MARC CAIRO 35 12WC 25849 SANTIAGO, MIGUEL A CITY OF CHICAGO 06/25/06 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 36 12WC 25878 SALDIVAR, MARTHA ALPHA BAKING CO 12/05/11 TAMVAKIS, GEORGE L MACIOROWSKI SACKMANN & ULRIC 37 12WC 26151 CEDILLO, FRANCISCO ESTES EXPRESS LINES INC 07/17/12 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 38 12WC 26931 SANTOS, NOEL EMPIRE HARD CHROME INC 06/06/12 VRDOLYAK LAW GROUP LLC MEACHUM & STARCK 12WC028208 -C 39 12WC 27355 HOGE, DANIEL M WALSH CONSTRUCTION 02/29/12 CRONIN & PETERS HINSHAW & CULBERTSON 40 12WC 31161 SHERRY, MICHAEL VILLAGE OF NILES 11/23/10 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 12WC031162 -C 15WC013477 -C 41 12WC 31458 VELASQUEZ, ANTHONY WALLACE PAVING 07/28/12 BARRY STEWART SILVER RUSIN MACIOROWSKI & FRIEDMAN 42 12WC 32841 BROWN, VICTORIA STATE OF ILLINOIS DEP OF @ 08/22/12 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 43 12WC 33002 HEARD, GEORGE CHICAGO TRANSIT AUTHORITY 09/19/12 LEONARD S BECKER CHICAGO TRANSIT AUTHORITY 44 12WC 35000 GLASER, NICK C ILLINOIS DEPT OF 09/26/12 JOHN S. ELIASIK ASSISTANT ATTORNEY GENERAL 45 12WC 37698 REYES, LUCIA FEDEX GROUND 09/20/12 EPSTEIN, JACK R LAW OFFICE KOPKA, PINKUS DOLIN, PC 46 12WC 38145 SMITH, KEVIN VESUVIUS 06/13/12 MARC J SHUMAN & ASSOCIATES RUSIN MACIOROWSKI & FRIEDMAN 12WC038146 -C 47 12WC 38669 BARHAM, HIRMS GLENBROOK SOUTH HIGH SCHO 08/10/12 EFTEKHARI LAW OFFICES WIEDNER & MCAULIFFE LTD 48 12WC 38907 RODRIGUEZ, ANDRE FORD MOTORS 09/13/12 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 13WC005217 -C 13WC008834 -C 49 12WC 40937 HINTON, ANGJELL V STATE OF IL/DHS @ 11/19/12 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 50 12WC 41099 THOMAS, CATHERINE JANE ARGO COMMUNITY 12/17/10 CULLEN HASKINS NICHOLSON RUSIN MACIOROWSKI & FRIEDMAN 12WC041100 -C 15WC014941 -C 15WC014942 -C 51 12WC 41108 GAMBOA, GILBERTO AGUSTIN NUNEZ @ W 10/28/12 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 52 13WC 09062 MARTINEZ, SIMON ILLINOIS DEPT OF TRANS @ 12/31/12 PETER D CORTI LAW GROUP MATTHEW LICAVOLI 53 13WC 13331 BANSLEY, ROBERT COOK COUNTY SHERIFF'S DEP 02/04/13 BAUM RUFFOLO & MARZAL LTD INMAN & FITZGIBBONS 54 13WC 13363 BECK, THELMA ROSELAND COMMUNITY HOSPIT 11/30/12 MARSZALEK AND MARSZALEK SCOPELITIS GARVIN LIGHT 55 13WC 13617 MAYER, CRISTIE A COUNTY OF COOK 11/08/11 BUIKEMA HISKES DILLNER ET INMAN & FITZGIBBONS 56 13WC 13731 BREESE, LEONARD V ORLAND FIRE PROTECTION DI 03/20/13 THOMAS W DUDA INMAN & FITZGIBBONS 57 13WC 13815 GARCIA, DAVID GRECO AND SONS 03/12/13 JONATHAN SCHLACK WIEDNER & MCAULIFFE LTD 13WC014347 -C CRECO & SONS 15WC033056 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 13WC 14529 OSUNWOKE, BEDE BLUE DIAMOND TAXI 03/31/11 SEIDMAN MARGULIS & FAIRMAN 59 13WC 14713 HUFFINE, JENNIFER STEIN MART 03/04/13 MARSZALEK AND MARSZALEK KOPKA, PINKUS DOLIN, PC 13WC014714 -C 60 13WC 20970 SMITH, DONNELL II IN ONE CONTRACTORS INC 05/30/13 TAXMAN POLLOCK HINSHAW & CULBERTSON 61 13WC 22294 SAMUEL-HOGKINS, TINA CHICAGO TRANSIT AUTHORITY 06/12/13 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 62 13WC 22636 COZZI, ANTHONY CITY OF CHICAGO 03/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 63 13WC 22663 KOTWICA, GREGORY CHICAGO MESSENGER SERVICE 07/09/13 PRETZEL & STOUFFER 14WC031488 -C 14WC031489 -C 64 13WC 23794 SPEECHLEY, JOHN REXNORD CORPORATION 05/06/13 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 65 13WC 25063 MIRVIC, SABIHA NORTHWESTERN MEMORIAL HOS 11/17/11 KENNETH B GORE, LTD LORENZ & BERGIN PC 13WC025064 -C 14WC000496 -C 66 13WC 25559 REICHEL, MATTHEW BERGOFF CATERING & 08/07/10 BAUM RUFFOLO & MARZAL LTD HOLECEK & ASSOCIATES 67 13WC 25762 SARICH, MICHELLE CHICAGO PUBLIC SCHOOLS 06/08/12 LEWIS & DAVIDSON, LTD 13WC025763 -C 68 13WC 26627 SMITH, SYLVIA CHICAGO TRANSIT AUTHORITY 08/09/13 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 69 13WC 33774 REED, CYNTHIA M EVANSTON TOWNSHIP HIGH SC 10/05/13 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 70 13WC 33973 DEVERS-RUCKER, DAVITTA COOK COUNTY DEPT OF 09/24/13 COHN LAMBERT RYAN & SCHNEI STATES ATTORNEY OF COOK COUN 71 13WC 34194 THURMAN, RAMONA ART & SCIENCE SALES 06/13/13 DAVID W MARTAY LAW OFFICES JOSEPH MARCINIAK 72 13WC 34383 PANIAGUA, VICTOR CHICAGO TRANSIT AUTHORITY 02/18/13 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY 73 13WC 34458 STRAWDER, CHARLES COMCAST 02/19/13 TAMVAKIS, GEORGE L ASHER, RAYMOND L LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 74 13WC 34735 FOFANA, LINDA NORTHSHORE UNIVERSITY 05/06/13 CULLEN HASKINS NICHOLSON 75 13WC 35193 ODIBO, GRACE CITY OF CHICAGO 04/27/13 RICHARD J ZABORSKY CITY OF CHICAGO 76 13WC 39388 LEWIS, KENYA MARINA EXPRESS INC 10/28/13 POLANSKY & CICHON CHTD 77 14WC 01271 SCHOLL, GREGORY SCHAUMBURG PALATINE DIST 10/15/13 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 78 14WC 01917 HARRIS, PERRY EARL M JORGENSEN 12/16/13 CUDA LAW OFFICES POULOS & DIBENEDETTO LAW 79 14WC 02916 GOODMAN, CLAUDINE UNITED AIRLINES INC. 12/06/12 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 15WC035988 -C 80 14WC 02929 TROCHE, CONITZIN ALDI 12/04/13 WEISS ORTIZ PC BRADY CONNOLLY & MASUDA PC 81 14WC 03108 RUSSELL, STANLEY NORTHWESTERN MEMORIAL HOS 01/05/14 SEIDMAN MARGULIS & FAIRMAN LORENZ & BERGIN PC 15WC033545 -C 82 14WC 03519 RIOS, MARY SEALED AIR CORPORATED 05/19/11 ROSS TYRRELL MEACHUM & STARCK 14WC003520 -C 83 14WC 03617 TRUJILLO-SUAREZ, NEREO MIDWEST CANVAS CORP 12/10/13 EPSTEIN, JACK R LAW OFFICE KNELL & O'CONNOR 84 14WC 03800 ACOSTA, CARMEN RUSH UNIVERSITY MEDICAL C 11/03/13 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 85 14WC 04174 ANDERSON, PAULA COOK COUNTY SHERIFF DEPT 01/16/14 THE FITZ LAW GROUP STATES ATTORNEY OF COOK COUN 86 14WC 04997 ORTIZ, JOAQUINA WORKFORCE LLC 09/04/13 CHRISTINE F DAVID KOREY RICHARDSON LLC 87 14WC 05937 LLOYD, FREDRIKA ELIZABETH LUDEMAN CENTER @ 01/07/14 MICHAEL HELLMAN JILL OTTE 88 14WC 07302 FLORES, MARIA G CHICAGO PUBLIC SCHOOLS 01/31/14 SEIDMAN MARGULIS & FAIRMAN LAW DEPARTMENT 89 14WC 08143 SCHMIDT, GREGORY VILLAGE OF NILES 01/13/14 TURCYCHUTE LLC NYHAN BAMBRICK KINZIE & LOWR 90 14WC 08617 NEIL, BRUCE W CITY OF CHICAGO 09/03/13 LARRY S MAYSTER LTD CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 14WC 12974 KING, ANDRE CAST & CREW ENTERTAINMENT 10/14/13 DINIZULU LAW GROUP LTD GRANT & FANNING 92 14WC 13033 DUNBAR, GWENDOLYN CHICAGO BOARD OF EDUCATIO 01/14/14 VRDOLYAK LAW GROUP LLC LAW DEPARTMENT 93 14WC 13212 EATON-JACKOWSKI, BRYTTANE PROCTOR & GAMBLE 05/15/12 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 94 14WC 14939 GEE, RANDY U.S. FOODS 01/07/14 BOGUSZ & BOGUSZ LTD BRADY CONNOLLY & MASUDA PC 95 14WC 15544 HAMLET, MONTE CHICAGO TRANSIT AUTHORIY 04/10/14 CHRISTOPHER FREEMAN 96 14WC 21727 GORDON, MITCHELL NAPLETONS RIVER OAKS HOND 06/04/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 15WC038404 -C RIVER OAKS HONDA 97 14WC 22403 GIBSON, TIFFANY CHICAGO TRANSIT AUTHORITY 10/02/13 BRISKMAN BRISKMAN GREENBER CHICAGO TRANSIT AUTHORITY 98 14WC 22518 MENDOZA, ELOY IMPACT STAFFING 05/07/14 SHELDON I MINKOW & ASSOCIA THOMAS & PORTELA 99 14WC 23255 BRIGHAM, DEBORAH CITY OF CHICAGO 09/12/11 CULLEN HASKINS NICHOLSON 100 14WC 23562 WILSON, MICHAEL ACC INC. 05/14/14 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 101 14WC 23667 SANDSTROM, CARL D J.B. HUNT TRANSPORT, INC 05/12/14 LAW OFFICE EDWARD RUEDA RUSIN MACIOROWSKI & FRIEDMAN 102 14WC 23687 LUCKIES, DANITA CTA 07/04/14 LEONARD LAW GROUP LLC 103 14WC 24220 VALLES, JUAN L LOWE'S HOME IMPROVEMENT 01/28/13 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 104 14WC 24269 MATA, CARLOS SIMON BROTHERS BAKERY INC 08/16/13 LAW OFFICE OF KEVIN O'BRIE LAW OFFICES JOSEPH MARCINIAK 105 14WC 24346 SHAW, DARLENE CHICAGO PUBLIC SCHOOLS 01/22/14 VRDOLYAK LAW GROUP LLC 106 14WC 24497 SANCHEZ, JOSE UNITED CONTAINER CORP 05/05/14 BOWMAN & CORDAY BRYCE DOWNEY & LENKOV LLC 107 14WC 25606 WILSON, NOAH IL DEPT OF TRANSPORATION 01/05/14 COVEN LAW GROUP COLIN KICKLIGHTER 108 14WC 25843 HERNANDEZ, MAGDALENA SWEDISH COVENANT HOSPITAL 05/01/14 STROM, NEAL B MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 109 14WC 25849 RAMIREZ, JOSE LUIS FRESCO LLC NORTH AVENUE 06/24/14 110 14WC 25885 CAJALEON, FELITA METHODIST HOSPITAL 05/03/14 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 111 14WC 26487 SMITH, WILLIAM MENARDS INC 04/04/14 PETER D CORTI LAW GROUP CHILTON YAMBERT PORTER LLP 14WC026488 -C 112 14WC 27030 WASHINGTON, NICOLE T CTA 01/20/12 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 113 14WC 32157 SIMS, ANITA STEWART BUSINESS CENTER 04/16/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 114 14WC 35174 MARTIN, SHIRLEY CITY OF CHICAGO 09/04/14 BUDIN LAW OFFICES LAW DEPARTMENT 115 14WC 35333 VERDI, SUSAN AMERICAN AIRLINES 04/02/14 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 116 14WC 35837 MORENO, MARIO CHICAGO INTERMODAL TRANSP 01/31/14 KATZ FRIEDMAN EAGLE ET AL KARCHMAR & STONE 117 14WC 35900 THORNTON, PERRY CTA 10/18/14 CHICAGO TRANSIT AUTHORITY 118 14WC 36314 IHASZ, SEAN PRIMERA IRON WORKS CORP 10/01/14 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 119 14WC 36783 PRUITT, M CRYSTAL CHICAGO TRANSIT AUTHORITY 07/27/14 CHRISTIAN & MANNO CHICAGO TRANSIT AUTHORITY 120 14WC 37523 MITCHELL, BOBBY HOW TOO FOUNDATION 08/07/14 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 121 15WC 00224 JONES, GERALD CTA 01/03/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 122 15WC 01038 WILLIAMS, WILLIAM G DELTA AIR LINES INC 06/29/14 FIGLIOLI, DAVID ROBERT L. SMITH 123 15WC 01206 PUGH, TONY CHICAGO TRANSIT AUTHORITY 12/25/14 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 124 15WC 01695 ANNERINO, ANTHONY CHICAGO STREETS & SAN DEP 01/07/15 SALVATO & O'TOOLE 125 15WC 02288 MORA, HIPOLITO B&R INSURANCE PARTNERS 05/27/13 ACEVES & PEREZ PC RUSIN & MACIOROWSKI LTD 126 15WC 04816 MEICHANG, CHEN, WIDOW OF ZHIU YI MEI INDIVIDUALLY # 10/31/14 ROMANUCCI & BLANDIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 127 15WC 07750 WHITE, ANTHONY J CITY OF CHICAGO - 02/23/15 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 128 15WC 08709 MASNICA, ROMAN CROSS TOWN CARPENTRY, INC @ 12/31/14 CULLEN HASKINS NICHOLSON 129 15WC 10158 19B MC KINNEY, DION CAPSTONE LOGISTICS 03/09/15 BRISKMAN BRISKMAN GREENBER HOLECEK & ASSOCIATES 130 15WC 10209 REGAN, PATRICIA C LOYOLA UNIVERSITY MEDICAL 02/25/14 VITELL & SPITZ LTD 131 15WC 10525 O'CONNOR, JERRY AT&T 11/01/13 FOHRMAN, DONALD W & ASSOCS HENNESSY & ROACH PC 132 15WC 11207 GORRELL, VANCE GRIFFITH TRUCKING 01/21/14 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 133 15WC 11259 TERZIC, MIRSAD THE MONTGOMERY ON 05/31/14 EFTEKHARI LAW OFFICES POWER & CRONIN LTD 134 15WC 11424 WATERS, GAIL C. BIGANE PAVING COMPANY 08/04/14 BRILL & FISHEL LAW OFFICES OF EDWARD J. KOZ 135 15WC 11803 CHISM, NICOLE CTA 03/22/15 LEONARD LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 136 15WC 11889 JAGE, ROGER WESTERN SPRINGS POLICE DE 03/27/15 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 137 15WC 12172 MOORE, CHARLENE CTA 03/31/15 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 138 15WC 12296 FRANK, LARISSA ILLINOIS COURT REPORTING @ 10/01/14 BAUM RUFFOLO & MARZAL LTD COLIN KICKLIGHTER 139 15WC 12318 GONZALEZ, ANA FERRARA PAN CANDY 08/05/14 VASILATOS & COTTER LLC HOLECEK & ASSOCIATES 140 15WC 12337 MERAZ-RAMIREZ, JOSE E METRO STAFF INC 05/22/14 141 15WC 12592 PETRO, BRADLEY S CITY OF CHICAGO 03/12/15 O'CONNOR & NAKOS CITY OF CHICAGO 142 15WC 12997 PENCE, MARY ARPAC, LLC 06/07/13 THOMAS R LICHTEN HOLECEK & ASSOCIATES 143 15WC 13272 GARCIA, OSCAR SODEXO, INC. 02/19/15 PARENTE & NOREM PC 144 15WC 13305 DEEL, PAUL USF HOLLAND, INC. 02/21/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 15WC 13438 VILLAGOMEZ, PABLO PEPE'S MEXICAN RESTAURANT 11/24/14 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 146 15WC 13725 MIGASI, MARLENE PALATINE SD #15 02/19/14 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 147 15WC 13755 HOOTEN, ALICE SOLOMON SCHOOL 01/21/15 WILLIAM B MEYERS, LTD CHGO BOARD OF EDUCATION 15WC013766 -C 15WC036875 -C CHICAGO PUBLIC SCHOOLS 15WC036876 -C 148 15WC 13928 CRUMP, CAROLYN CITY OF CHICAGO 02/18/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 149 15WC 14024 DUAH, LESLIE GOLD COAST TAXI ASSN LLC 04/08/15 DWORKIN AND MACIARIELLO 150 15WC 14210 HEIN, JENNIFER ADVOCATE CHILDREN'S HOSPI 08/03/14 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 15WC014211 -C 151 15WC 14348 19B LIBERTY, TERRELL CHICAGO TRIBUNE 03/12/15 HUGHES SOCOL PIERS RESNICK NYHAN BAMBRICK KINZIE & LOWR 152 15WC 14613 ANDERSON, ALONZO CITY OF CHICAGO 01/22/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 153 15WC 14670 LENTZ, CHARLES ARLINGTON CEMETARY 01/14/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 154 15WC 14894 SOLIS, RUBEN MIETUS RESTORATION INC 04/18/15 ENCINAS & ORNELAS RUSIN & MACIOROWSKI LTD 15WC015580 -C 155 15WC 19352 HEREDIA, JOHN CITY OF CHICAGO 05/27/15 RUBIN LAW GROUP CITY OF CHICAGO 156 15WC 21552 GUTIERREZ-ROGUE, YOLANDA STATE OF ILLINOIS @ 08/19/13 BRUSTIN & LUNDBLAD LTD COLIN KICKLIGHTER 157 15WC 21625 KAGLER, ANGIE LYDIA HEALTH CARE 07/18/12 LEADERS LAW CENTER LLC 158 15WC 21696 RAMIREZ, JUANA WIREMASTERS, INC. D/B/A 07/06/15 SALK, STEVEN B & ASSOC LTD LAW OFFICES JOSEPH MARCINIAK 159 15WC 21781 DICKERSON, CLARK B LINE TRUCKING 06/03/15 ANKIN LAW OFFICE INMAN & FITZGIBBONS 160 15WC 21797 LEWIS, SHARON Y. CHICAGO PUBLIC SCHOOLS 04/16/15 161 15WC 21877 TORRES, CISCO COSTCO WHOLESALE 01/04/15 CANDIANO LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 15WC 22716 TONCHEVA, GERGANA COMPASS GROUP/TOUCHPOINT 03/11/15 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 163 15WC 22785 TOLEDO, LUIS MY THAI RESTAURANT 09/25/13 CHRISTOPHER FREEMAN 164 15WC 22824 SIMENTAL, JAVIER ROMA STAFFING 06/23/15 DWORKIN AND MACIARIELLO GRANT & FANNING 165 15WC 23322 ESPOSITO, JOSEPH C CITY OF CHICAGO WATER DEP 06/03/15 SALVATO & O'TOOLE 166 15WC 23643 BROWN, STACY INTEGRATED MEDICAL SYSTEM 06/12/15 MINKOW DOMIN NYHAN BAMBRICK KINZIE & LOWR 167 15WC 24871 GUZMAN, GERARDO FLEXIBLE STAFFING 06/10/15 PARENTE & NOREM PC 168 15WC 24902 BIELESCH, ALEXANDER R MARYVILLE ACADEMY 06/23/15 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 15WC024903 -C 169 15WC 26050 OLIVO, JOSE HECTOR SOLARES SCRAP METAL 06/09/15 EPSTEIN, JACK R LAW OFFICE 15WC026051 -C 170 15WC 26181 GIBSON, JACQUELINE RAVENSWOOD CHILDCARE CENT 03/13/15 KARCHMAR & STONE LAW OFFICES JOSEPH MARCINIAK 171 15WC 26252 MC LEAN, SCOTT CITY OF CHICAGO 07/17/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 172 15WC 31559 MILES, TODD CTA 10/01/15 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 173 15WC 32396 ROMERO, IRENE BEE LINE 05/01/15 JAMES ELLIS GUMBINER & ASS RODDY LAW LTD 15WC032397 -C 174 15WC 32699 SHEALLY, ELIZABETH PETE'S FRESH MARKET 09/15/15 HEFLER LAW KEEFE CAMPBELL & ASSOC LLC 175 15WC 32731 AMADOR, SANDRA BERENICE PRONTO STAFFING SERVICES, 02/09/15 DEPAOLO & ZADEIKIS GRANT & FANNING 176 15WC 32914 MORTON, ALEX RICH CENTRAL HIGH SCHOOL 08/04/15 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 177 15WC 33015 MARTINEZ, MARIA HEARTLAND FOOD LLC 01/08/14 JAMES ELLIS GUMBINER & ASS LAW OFFICES OF EDWARD J. KOZ 178 15WC 33588 PALMAR-OSTRIA, FERNANDO MIDWEST REM 01/22/15 INJURY LAWYERS OF IL HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 15WC 33745 MOORE, TOM CITY OF CHICAGO 08/27/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 180 15WC 33813 FURMAN, JAMES K. CROWN CORK & SEAL, COMPAN 09/14/15 WILLIAM S. WOJCIK LTD BRADY CONNOLLY & MASUDA PC 181 15WC 34140 TATEM, MOULOUD HMS HOST 07/21/15 THE MACK LAW GROUP PC ROBERT L. SMITH 182 15WC 34468 DANEK, DAVID B WAY CORPORATION 06/10/15 RICHARD E ALEKSY HOLECEK & ASSOCIATES 183 15WC 34530 KEANE, KEVIN CITY OF CHICAGO 09/26/15 WOODRUFF & JOHNSON CITY OF CHICAGO 184 15WC 34739 HEWIYOU, MARINA ARLINGTON HEIGHTS SCHOOL 05/21/15 SANDMAN LEVY & PETRICH RUSIN & MACIOROWSKI LTD 15WC036531 -C 185 15WC 34831 ROLDAN-PEREZ, LUISA IL DEPT OF FINANCIAL & @ 09/29/15 OSVALDO RODRIGUEZ PC ASSISTANT ATTORNEY GENERAL 186 15WC 34896 ADWAY, TYLER N SAM'S CLUB 08/26/15 SMOLER LAW OFFICE, PC QUINTAIROS PRIETO WOOD & BOY 187 15WC 35134 EARL, CHERRY M PROJECT HOPE ELC 08/20/15 188 15WC 35236 ESPOSITO, ROBERT LABRIOLA BAKING COMPANY 07/07/15 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 189 15WC 35335 IBARRA, JULIO FORD MOTOR CO 08/30/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 190 15WC 35387 RAMIREZ, ROSA CMA/FLODYE/HYDRADYNE 10/15/15 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 191 15WC 35675 PIENKOWSKI, KELLY PETERSO ILLINOIS TOLLWAY 10/14/15 BARRY A KETTER GANAN & SHAPIRO 192 15WC 35921 TAMAYO, ANGEL TRIMARK MARLINN 08/20/15 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 193 15WC 36180 19B SULLIVAN, JENNIFER UNITED AIRLINES 05/09/15 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 15WC 36621 WASIK, ROBIN AS ADMIN. OF DR PEPPER/SNAPPLE GROUP # 11/14/14 GALLIANI DOELL & COZZI LTD 195 15WC 41646 TABLATE, DOMINGO LOEWS HOTELS 05/28/15 CAPRON & AVGERINOS PC MEACHUM & STARCK 196 15WC 41966 PADILLA, ALICIA LBP MANUFACTURING 10/02/15 RUBIN MACHADO ROSENBLUM 197 16WC 00026 WASHINGTON, PENNEY WILLIAMS CHRISTIAN DAYCAR 10/26/15 CULLEN HASKINS NICHOLSON 198 16WC 00190 JOHNSON, IRVIN CITY OF CHICAGO 12/30/15 199 16WC 00472 SERRANO, MICHAEL HURTADO TRANSPORT 12/06/15 200 16WC 00552 SAUNDERS, KIMBERLY LOYOLA UNIVERSITY 08/16/15 STELZMAN, RUTH LORENZ & BERGIN PC 201 16WC 00808 NELSON, MARK FEDEX 07/20/15 LANCASTER, DEBORAH 202 16WC 01072 GASCON, ALONA LILIAN HARRIS W 10/21/15 WOODRUFF & JOHNSON 203 16WC 01216 CAMPBELL, JOHN CTA 01/10/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 204 16WC 01512 ROBLES, ZORAIDA REGAL GOURMET SNACKS 09/14/15 KATZ FRIEDMAN EAGLE ET AL 205 16WC 01679 HILL, DEWANDA JOHN H STROGER HOSPITAL 10/17/15 ROGER D RUDICH LTD STATES ATTORNEY OF COOK COUN 16WC028930 -C 206 16WC 01823 BUCK, WILLIAM W GOEBEL FORMING INC, LLC 12/04/15 BRENNAN, THOMAS E LTD ACCIDENT FUND HOLDINGS 207 16WC 02062 MORRISON, DONALD CTA 10/08/15 COVEN LAW GROUP CHICAGO TRANSIT AUTHORITY 208 16WC 02347 CORREA, TERESA THE RESURRECTION PROJECT 01/14/15 RUBIN MACHADO ROSENBLUM ANCEL GLINK DIAMOND BUSH & E 209 16WC 02465 AGHAJAN, ROBERT GONNELLA FROZEN PRODUCTS 10/27/15 LAW OFFICE OF SCOTT B SHAP RUSIN & MACIOROWSKI LTD 210 16WC 02629 GARIBAY-GIL, SERGIO SCATCHELL BEEF & PIZZA 05/16/14 EPSTEIN, JACK R LAW OFFICE GANAN & SHAPIRO 211 16WC 02652 HULUM, VANILLA FIRST STUDENT INC 01/14/16 COHN LAMBERT RYAN & SCHNEI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 16WC 02874 ANDRADE, MARTIN ELITE STAFFING INC CORP O 01/14/16 KATZ FRIEDMAN EAGLE ET AL 213 16WC 02916 STREETS, ANTHONY SCR MEDICAL TRANSPORT 01/21/16 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 214 16WC 02986 CAZADERO, EDILIA ABHIRUCHI SNACKS 01/04/16 GOLDSTEIN BENDER & ROMANOF NEWLAND & NEWLAND 215 16WC 03205 MARCINIAK, GEORGE COOK COUNTY SHERIFF DEPT 07/05/15 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 216 16WC 03353 KACHATRIAN, MANO CITY OF CHICAGO 01/06/16 ARGIONIS & ASSOCIATES LLC CITY OF CHICAGO 18WC009119 -C 217 16WC 03383 SANDOVAL, SALOMON FRANC GONZALEZ 12/28/15 SALVATO & O'TOOLE 218 16WC 03608 WILKERSON, ANGELA CHICAGO TRANSIT AUTHORITY 01/11/16 ELFENBAUM EVERS & AMARILIO CHICAGO TRANSIT AUTHORITY 219 16WC 03772 REIMER, ROBERT COOK COUNTY SHERIFF 01/15/16 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 220 16WC 03808 SCHAEFER, KELLI ADVOCATE CHRIST HOSPITAL 01/09/16 BARRY A KETTER 221 16WC 03830 AMARO, LAURA CHGO PUBLIC SCHOOLS 01/13/16 CORBOY & DEMETRIO PC 222 16WC 03856 DONIS, FRANK E COOK COUNTY SHERIFF'S DEP 01/30/16 CULLEN HASKINS NICHOLSON STATES ATTORNEY OF COOK COUN 223 16WC 10581 WATKINS, JOHN REPUBLIC SERVICES 02/01/15 PORRO NIERMANN LAW GROUP GILDEA & COGHLAN 224 16WC 11171 FAILANO, ADELAIDA COMFORT KEEPERS 02/02/16 MEYERS & FLOWERS 225 16WC 11269 HILL, JAMES T BEVEL GRANITE @ W 03/30/16 ANESI OZMON RODIN NOVAK KO HINSHAW & CULBERTSON 226 16WC 11280 GORDON, GWENDOLYN UNIVERSITY OF ILLINOIS CH 01/26/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 227 16WC 11484 LACEY, MICHELLE CITY OF CHICAGO DEPARTMEN 03/09/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 228 16WC 11671 MENDEZ, ANDY REXAM BEVERAGE CAN COMPAN 11/06/15 RIDGE & DOWNES SPIEGEL & CAHILL, PC 229 16WC 11858 BARTLETT, MARGO CHICAGO PUBLIC SCHOOLS 03/11/16 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 CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 16WC 12275 SOLARES, JUAN LARIAT LOGISTICS/CRUZ REY 03/11/16 231 16WC 12326 MAROVICH, CHARLES ARAMARK SERVICES 01/19/16 BOUDREAU NISIVACO LLC WIEDNER & MCAULIFFE LTD 232 16WC 12572 VEGA, ENRIQUE UNITED PARCEL SERVICE 01/11/16 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 16WC036151 -C 233 16WC 12597 PERALTA, JONATHAN AFFINITY GLOBAL 04/09/16 ACEVES & PEREZ PC 234 16WC 12635 ZARATE, MANUEL ALTERNATIVE STAFFING 03/08/16 KARNO, MARK L & ASSOC MACIOROWSKI SACKMANN & ULRIC 235 16WC 12643 PEREZ, JULIO ELITE STAFFING 04/06/16 HART & DAVID LLP 236 16WC 12738 FRIEL, GEORGE PARK FOREST-CHICAGO HEIGH 02/11/16 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 237 16WC 12855 ZUBIA, DANIEL LABOR QUALITY SERVICE 04/14/16 MC HARGUE & JONES 238 16WC 13067 JANUARY, HELEN HELP AT HOME INC 04/05/16 GOLDBERG WEISMAN & CAIRO L 239 16WC 13172 GANJI, ANDREW UPTOWN MOTORS, INC. 11/28/15 KALOGERAKOS & ASSOC NOBLE & ASSOCIATES PC 240 16WC 13259 ROY, BARBARA CHICAGO BOARD OF EDUCATIO 03/23/16 HORWITZ HORWITZ & ASSOC 241 16WC 13287 PEREZ, JOSE BEST PRICE MOVING & STORA 03/22/16 JOHN S. ELIASIK BRADY CONNOLLY & MASUDA PC 242 16WC 13366 MURPHY-WILLIAMS CTA 03/18/16 LEE, MARK N LAW OFFICE CHICAGO TRANSIT AUTHORITY 243 16WC 13505 CLARK, MICHAEL HALLSTAR COMPANY 03/02/16 LEO ALT RUSIN & MACIOROWSKI LTD 244 16WC 13615 PACHECO, MICHAEL YRC FREIGHT 01/22/16 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 245 16WC 13630 HAWKONSEN, CHRISTIAN S. COOK COUNTY SHERIFF'S DEP 02/23/16 RICHARD E ALEKSY INMAN & FITZGIBBONS 246 16WC 13638 BRANTL, KATHRYN W.R. GRACE 12/11/15 JASINSKI, GEORGE J 247 16WC 13858 ANAYA, RICARDO ELITE CABLE COMMUNICATION 03/21/16 HART & DAVID LLP BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 16WC 14127 MANOLIS, PHIL KINFORK 04/09/16 SLAVIN & SLAVIN BRADY CONNOLLY & MASUDA PC 249 16WC 14153 CORNELL-MORGAN, KRISTY CHICAGO TRANSIT AUTHORITY 04/08/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 250 16WC 20868 KONDILIS, JAMES COOK COUNTY SHERIFF'S DEP 02/26/14 STROM, NEAL B STATES ATTORNEY OF COOK COUN 251 16WC 20981 HOWARD, SONIA ADVOCATE SOUTH 01/22/16 VITELL & SPITZ LTD GAROFALO SCHREIBER STORM 252 16WC 21051 MILLER, DEBRA BELLWOOD S.D. #88 05/16/16 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 253 16WC 21088 JADZAK, STEVEN IL DEPT OF TRANSPORTATION @ 05/02/16 TOSCAS, JOHN Z LAW OFFICE COLIN KICKLIGHTER 254 16WC 21114 HARRIS, TIMOTHY L FORD MOTOR STAMPING PLANT 05/30/14 O'CONNOR & NAKOS 255 16WC 21377 HARRIS, MARCUS IRON MOUNTAIN 03/30/16 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 16WC021378 -C 256 16WC 21489 VAZQUEZ, VICTORIA CHICAGO TRANSIT AUTHORITY 06/10/16 KARCHMAR & STONE CHICAGO TRANSIT AUTHORITY 257 16WC 21496 DOUGLAS, MONIQUE UNITED AIRLINES, INC A 04/03/16 BRIAN J MC MANUS & ASSOC, NYHAN BAMBRICK KINZIE & LOWR 258 16WC 21616 KOZIK, ANTHONY PEOPLE'S LEASE 07/02/15 ROMANEK & ROMANEK WOLF LAW LTD 259 16WC 21869 AYALA, MIGUEL VILLAGE OF OLYMPIA FIELDS 01/05/16 REISING LAW FIRM LLC BRYCE DOWNEY & LENKOV LLC 260 16WC 21925 MARTINEZ, PAOLA AMERICAN GASKET & RUBBER 08/27/15 JONATHAN SCHLACK HOLECEK & ASSOCIATES 16WC035674 -C 17WC004557 -C PEAPOD, LLC 17WC004558 -C 261 16WC 21997 LUNA, DAVID AMERICAN CONCRETE RESTORA 05/20/16 LEAHY, JAMES P THOMAS & PORTELA 262 16WC 22076 SALINAS, CARMEN TCF BANK 04/05/16 DWORKIN AND MACIARIELLO 263 16WC 22191 MEDRANO GUILLEN, JESUS RON'S STAFFING SERVICES I 06/16/16 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 264 16WC 22286 PADILLA, JOSE BASIC ENTERPRISE INC. 07/05/16 GRAZIAN & VOLPE PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 16WC 22600 KAEHLER, ANGELA WHEELING POLICE DEPARTMEN 07/13/16 ANGELINI & ORI LLC KLEIN THORPE & JENKINS LTD 266 16WC 22694 SHERIDAN, KEVIN M CHICAGO PARK DISTRICT 07/30/13 ANESI OZMON RODIN NOVAK KO CHICAGO PARK DIST LAW DEPT 16WC022695 -C 16WC022696 -C 16WC022697 -C 267 16WC 22725 ARMSTEAD, CLEVELAND CENTRAL BEVERAGE COMPANY 11/15/14 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 268 16WC 22788 MAJERCZAK, DOMINIK JB HUNT TRANSPORT 06/16/16 CUSHING LAW OFFICES 269 16WC 22815 RANDLE, REBECCA JACKSON PARK HOSPITAL 05/05/16 MARC J SHUMAN & ASSOCIATES ODELSON & STERK 270 16WC 23115 WILEY, GINGER ENOVA INTERNATIONA INC 05/02/16 DEPAOLO ZADEIKIS GORE 271 16WC 23507 HOMLES, ANDREA FIRST STUDENT TRANSPORTAT 07/12/16 GOLDBERG WEISMAN & CAIRO L 272 16WC 23512 TWEEDY, RALPH METRO LIFT TRUCK 07/14/16 BERG & BERG 273 16WC 23568 GONZALEZ, NANCY PANERA BREAD 07/13/16 SAUNDERS CONDON & KENNY GILDEA & COGHLAN 274 16WC 23612 WINSTON, ANTON FINKLE STEEL 05/13/16 VRDOLYAK LAW GROUP LLC GAROFALO SCHREIBER STORM 275 16WC 23620 BROWN, JIMMY HOME DEPOT 07/13/16 COHN LAMBERT RYAN & SCHNEI ADELSON TESTAN BRUNDO 276 16WC 23690 LYONS, JEFF FOUR SEASONS COACH LEASIN 07/27/16 WOLFE LAW PC ACCIDENT FUND HOLDINGS 277 16WC 23803 BLAYLOCK, MIKE LOTUS ELECTRICAL 07/18/16 R. MARK MARITOTE PC HOLECEK & ASSOCIATES 278 16WC 23922 BLACKWELL, TIFFANY CHICAGO TRANSIT AUTHORITY 06/21/16 CHRISTOPHER FREEMAN CHICAGO TRANSIT AUTHORITY 279 16WC 24160 WILLIAMS, ANNETTE FORD MOTOR COMPANY 08/07/16 BERG & BERG RUSIN & MACIOROWSKI LTD 280 16WC 24192 BEALS, JAKESHIA CHICAGO TRANSIT AUTHORITY 07/18/16 BRIAN J MC MANUS & ASSOC, CHICAGO TRANSIT AUTHORITY 281 16WC 24284 CARMONA, ERNESTO TEMPS NOW 06/14/16 FERRIS THOMPSON & ZWEIG GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 16WC 24325 AUGUSTE, GERARD D. THE UNIVERSITY OF CHICAGO 12/23/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 283 16WC 30571 PETERSON, DEREK T&JJ'S SUPREME STEAKS AND 06/13/16 284 16WC 31117 GERON, EMMANUEL PREMIER FURNITURE OUTLET 08/29/14 MEYERS & FLOWERS HOLECEK & ASSOCIATES 285 16WC 31158 CALDERON, EDGAR COMMUNITY FIRST MED CTR 09/11/16 BRAD J. BALKE, PC 286 16WC 31234 VIGIL, EDGAR MINUTE MEN STAFFING 10/04/16 DAVID W MARTAY 287 16WC 31527 RIVERA, RONALD ILLINOIS TOLL @ 12/30/14 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 16WC031528 -C 16WC033458 -C IL TOLL HIGHWAY AUTHORITY 288 16WC 31643 SINGH, INDERJIT HARRY CAB CO 09/23/16 FISHER & LAMONICA 289 16WC 31821 WALLER, UNICE IL DEPT OF REHAB SERVICES @ 04/12/16 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 290 16WC 31893 ADETOLA, JIDE YELLOW CAB CHICAGO 05/25/15 COSTA IVONE LLC 291 16WC 32012 MOSS-CALLION, PATRICIA MCDONALDS 10/05/16 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 292 16WC 32140 WILLIAMS, JOE STAFFMARK 09/14/16 DISPARTI LAW GROUP PA KEEFE CAMPBELL & ASSOC LLC 293 16WC 32155 MADRIGAL, RAFAEL DPI DEDICATED LOGISTICS I 09/13/16 LEWIS & DAVIDSON, LTD GILDEA & COGHLAN 294 16WC 32256 HARRIS JR., CURTIS VILLAGE OF COUNTRY CLUB H 10/08/16 VRDOLYAK LAW GROUP LLC 295 16WC 32266 TAYLOR, JAMES JEWEL FOODS 09/29/16 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 296 16WC 32302 FLEMING, TONETTE VPC PIZZA HOLDINGS, LLC/ 07/26/16 GORDON & CENTRACCHIO LLC MEACHUM & STARCK 297 16WC 32322 DORSEY, CAROLE CLERK OF THE CIRCUIT COUR 10/04/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 298 16WC 32357 HARPER, JENORA ELISABETH LUDEMAN CENTER @ 10/01/16 JOHN C SERKLAND ASSISTANT ATTORNEY GENERAL 299 16WC 32622 HERNANDEZ, PABLO CHILLI'S - OHARE INTL AIR 12/14/15 MARSZALEK AND MARSZALEK GAIDO & FINTZEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 300 16WC 32683 BALLINGER, JOHN HOME DEPOT USA, INC 09/13/16 LAW OFFICE OF KEVIN O'BRIE ADELSON TESTAN BRUNDO 301 16WC 32704 MONSON, DARYL CITY OF CHICAGO DEPT OF W 05/31/16 CRONIN & PETERS CITY OF CHICAGO 302 16WC 32783 BELLO, CESAR HALLS RENTAL SERVICE 09/26/16 KARCHMAR & STONE RIPES NELSON BAGGOT KALOBRAT 303 16WC 32963 PRICE, CARLTON CTA 10/17/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 304 16WC 32988 SANCHEZ, ANTONIO GOLD STANDARD BAKERY 06/04/16 HERRERA LAW CENTER 305 16WC 33012 DURAN, LUIS ARKMAN LOGISTICS 06/09/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 306 16WC 33063 BERRIOS, MARYBEL CHICAGO TRANSIT AUTHORITY 10/18/16 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 307 16WC 33212 ROJAS, JOSE DEPT OF STREETS & SANITAT 06/02/16 OSVALDO RODRIGUEZ PC 308 16WC 33289 KRAWCZYK, KRZYSZTOF TURBO EXPRESS 11/06/13 CHRISTOPHER BUCHCAR, LTD MCANANY VANCLEVE & PHILLIPS 309 16WC 33325 ZAVALA, BRIAN J MAPLEHURST BAKERIES 09/09/16 GOLDSTEIN BENDER & ROMANOF 310 16WC 33477 BUTTS, ANDRE YRC WORLDWIDE 08/26/16 LEONARD LAW GROUP LLC 311 16WC 33519 MURPHY, TRIDONNA L 7 ELEVEN 10/27/16 VITELL & SPITZ LTD KEEFE CAMPBELL & ASSOC LLC 312 16WC 33552 DEAN, YOLANDA MONDELEZ INTERNATIONAL 04/09/16 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 313 16WC 33705 HORTA, GABRIEL MIDWEST WRECKING 07/19/16 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 314 16WC 33892 GIRARD, JOSEPH RIGGS DISTLER & CO 05/19/16 RATHBUN CSEVENYAK & KOZOL 16WC033893 -C 315 16WC 33978 GASCA, NORMA CITY OF CHICAGO/ DEPT OF 04/04/16 ANKIN LAW OFFICE CITY OF CHICAGO 316 16WC 35086 GALLICHIO, JANET (WIDOW) COOK COUNTY SHERIFF'S OFF # 09/27/16 O'CONNOR & NAKOS STATES ATTORNEY OF COOK COUN 317 16WC 36043 LYONS, ROBERT MARTIN PETERSON COMPANY I 11/01/16 FRANCIS J DISCIPIO LAW OFF HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 16WC 38137 TINCU, MAXIM (ESTATE) DREAMEX TRANS INC, # 05/27/16 319 16WC 38219 DAMPIER, NECOTA CHICAGO TRANSIT AUTHORITY 11/14/16 WOODRUFF & JOHNSON CHICAGO TRANSIT AUTHORITY 17WC005833 -C 320 17WC 00377 JENSEN, VICTORIA S KINDER CARE EDUCATION 06/13/16 TOSCAS, JOHN Z LAW OFFICE HENNESSY & ROACH PC 321 17WC 00468 PILLAI, RAKHY MARCO ROMA PIZZERIA 11/25/16 HOLECEK & ASSOCIATES 322 17WC 00771 TORRES, ARMANDO ENVOY/AMERICAN EAGLE 12/20/16 SEIDMAN MARGULIS & FAIRMAN 323 17WC 00775 COCHRAN,LATASHA P ADVOCATE CHRIST MEDICAL C 10/05/16 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 324 17WC 00830 OBASI, LONGINUS DISPATCH TAXI CAB 12/02/16 LAW OFFICE OF SCOTT B SHAP 325 17WC 00924 KADER, SYED HASNAT SADDAT INC. 12/31/16 FISHER & LAMONICA 326 17WC 00985 LEON, ERNESTO LKQ CORPORATION 02/09/16 LAW OFFICES LEONARDO MORAL BRYCE DOWNEY & LENKOV LLC 327 17WC 01026 VILLA, MARIA UIC MEDICAL CENTER 12/08/16 ELFENBAUM EVERS & AMARILIO HEYL ROYSTER VOELKER & ALLEN 328 17WC 01129 BAKER, LAWRENCE CTA 12/17/16 RUBIN MACHADO ROSENBLUM CHICAGO TRANSIT AUTHORITY 329 17WC 01180 KELLY, BRUCE NORTH SHORE TRANSIT 12/19/16 BRISKMAN BRISKMAN GREENBER GALLIANI DOELL & COZZI LTD 330 17WC 01245 IBARRA CARVAJAL, ALICIA SODEXO 08/03/16 HERRERA LAW CENTER INMAN & FITZGIBBONS 17WC001246 -C 331 17WC 01262 HANPTON, DEBRA A MONDELEZ INTERNATIONAL 12/28/16 BARRY STEWART SILVER WIEDNER & MCAULIFFE LTD 332 17WC 01272 BAINES, JAMES THE CITY OF CHICAGO 03/17/16 RITTENBERG & BUFFEN CITY OF CHICAGO 333 17WC 01301 SMITH, STEVEN ELITE STAFFING 12/16/16 CAPRON & AVGERINOS PC MARC CAIRO 334 17WC 01320 CRUMPTON, FLOYD EDWARD, J UNIVERSITY OF ILLINOIS/CH 12/01/16 HEYL ROYSTER VOELKER & ALLEN 335 17WC 01341 MIRANDA, JUAN HABITAT COMPANY 12/09/16 CUDA LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 17WC 01358 MARTINEZ, JOSE B OLYMPIA FOODS- BORROWING 11/18/16 SALK, STEVEN B & ASSOC LTD ROBERT L. SMITH 337 17WC 01385 WILLIAMS, RAALAKHANN STANLEY STEAMER 09/09/16 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 338 17WC 01441 CHOCZYNSKI, JAN CHARLES E LARSON & SONS I 12/22/16 HETHERINGTON KARPEL BOBBER COZZI & GOGGIN-WARD 339 17WC 01471 GASIK, ROSE M STATE OF IL/DEPT OF HUMAN @ 12/20/16 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 340 17WC 01525 VASQUEZ, MICHAEL COMPASS MINERALS AMERICA 03/28/16 HOWARD S. KAVENOW LLC WIEDNER & MCAULIFFE LTD 341 17WC 01624 ELSTNER, NANCY UNITED PARCEL SERVICES 06/13/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 342 17WC 01636 SMITH, ANTHONY CITY OF CHICAGO 01/12/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 343 17WC 01641 HARVEY, WARREN E COOK COUNTY 09/01/16 DEPAOLO ZADEIKIS GORE STATES ATTORNEY OF COOK COUN 344 17WC 01749 RADOSTA, VITO SUPER LOW FOODS AKA GAMBI 11/18/15 FIORENTINO LAW OFFICES 345 17WC 01851 MARKS, LARRY J TRINITY SVCS, INC 08/18/16 FIGLIOLI, DAVID 346 17WC 02232 KING, TIMOTHY COOK COUNTY GOVERNMENT 11/30/16 LEONARD LAW GROUP LLC STATES ATTORNEY OF COOK COUN 347 17WC 02255 BENSON, JERRY CTA 12/05/16 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 348 17WC 02319 CINA, ANTHONY TRINITY LANDSCAPE OF NORT 02/05/65 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 349 17WC 02335 GREEN, MILTON FORCE ONE ENTERPRISES, LL 09/06/16 ROSS TYRRELL LAW OFFICES JOSEPH MARCINIAK 350 17WC 02448 BAUMAN, CYNTHIA COOK COUNTY 10/19/15 KATZ FRIEDMAN EAGLE ET AL STATES ATTORNEY OF COOK COUN 351 17WC 02469 SCOTT, CHARLES L THE CATHOLIC BISHOP OF CH 06/22/15 ANKIN LAW OFFICE 352 17WC 02489 GRESHAM, KEVIN LAPHAM-HICKEY STEEL 07/07/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 353 17WC 02885 MORRIS, BOB D CONSTRUCTION INC 07/29/16 HORWITZ HORWITZ & ASSOC MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 17WC 02920 RIDGELL-ROBINSON, CAMELLI THE EMPLOYER ADVANTAGE, L 01/09/17 ANKIN LAW OFFICE GRANT & FANNING 355 17WC 02942 RUIZ-MARTINEZ, ISIDRO PETE'S FRESH MARKET 12/21/16 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 356 17WC 03010 TYLER, TERENCE CHICAGO TRANSIT AUTHORITY 01/16/17 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 357 17WC 03042 ELMI, ABDULKADIR KARABOOM CAB CO INC 01/12/17 FISHER & LAMONICA 358 17WC 03185 FLYNN, TERESE SPIRIT AIRLINES 04/04/14 HEALY SCANLON LAW FIRM KELLEY KRONENBERG 359 17WC 03211 PERIC, MILAN CITY OF CHICAGO-DEPT OF 01/09/17 SALVATO & O'TOOLE 360 17WC 03244 GRUSZCZYNSKA, IZABELA HAPPY MAIDS, INC. 01/13/17 URSULA BABICZ & ASSOC 361 17WC 03320 BUCHNER, CHRISTINE ADVOCATE GOOD SHEPHERD HO 04/15/16 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 362 17WC 03361 SANCHEZ, JOSE VALENCIAS TEXAS DE BRAZIL CORPORATI 12/22/16 PATRICIA HARDIMAN LAW OFFI 363 17WC 03380 FLORES, ANGEL A TEAM AUTOMOTIVE SERVICES, 11/03/16 COSTA IVONE LLC 364 17WC 03462 BOCK, MATTHEW DHL EXPRESS 01/19/17 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 365 17WC 03598 VICTORIA JR., GUILLERMO ELECTRIC MOTOR CORP 04/08/16 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 366 17WC 03693 MEJIA, LUIS A CHICAGO BEVERAGE SYSTEMS 12/21/16 GOLDSTEIN BENDER & ROMANOF MC CABE & HOGAN 367 17WC 03718 SITTON, JOSH CHICAGO BEARS FOOTBALL CL 09/19/16 GORDON LAW OFFICES LTD MC ANDREWS & NORGLE LLC 17WC003719 -C 18WC003726 -C 18WC003727 -C 18WC003728 -C 368 17WC 03836 VALDEZ, RICHARD COOK COUNTY 11/29/16 HEALY SCANLON LAW FIRM STATES ATTORNEY OF COOK COUN 369 17WC 03932 WAYTECK, WILLIAM DOYLE SIGNS 07/05/16 LEONARD LAW GROUP LLC 370 17WC 03980 KYSER, LARRY BERRY PLASTICS 01/29/17 JAMES J BURKE LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 17WC 04117 KRIETER, SHERYL AMERICAN AIRLINES 01/18/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 372 17WC 06949 KING, KAWON UNITED PARCEL SERVICE 12/12/16 DWORKIN AND MACIARIELLO ASA LAW GROUP 373 17WC 10389 MURRAY, WILLIE K JR. MANHEIM REMARKETING, INC. 11/10/16 GANAN & SHAPIRO 374 17WC 10696 DELIC, SEVAL THE WESTIN CHICAGO RIVER 02/08/16 STROM, NEAL B WIEDNER & MCAULIFFE LTD 375 17WC 10730 O'BRIEN, MICHAEL COOK COUNTY 03/30/17 RATHBUN CSEVENYAK & KOZOL STATES ATTORNEY OF COOK COUN 17WC010745 -C 376 17WC 10775 FRYMIRE, MATTHEW J CARMAX AUTO SUPERSTORES, 12/08/16 GRAUER & KRIEGEL LLC ASA LAW GROUP 17WC010776 -C 377 17WC 10834 PALUMBO, MICHAEL AT&T 08/31/16 BAUM RUFFOLO & MARZAL LTD 378 17WC 10905 BAKER, JACK SCR TRASPORTATION 01/12/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 379 17WC 11119 SASS, CHRISTOPHER SERENITY LED, INC 12/23/16 LAWRENCE M MACK NYHAN BAMBRICK KINZIE & LOWR 380 17WC 11219 CARLSON, KEITH C CFC INTERNATIONAL 01/31/17 GERALD W KOREY NYHAN BAMBRICK KINZIE & LOWR 381 17WC 11258 JASSO, FRANCISCO AVENUE METAL MANUFACTURIN 11/18/16 HERRERA LAW CENTER HOLECEK & ASSOCIATES 382 17WC 11274 MC GOWAN, ANGELA THE UNIVERSITY OF CHICAGO 03/24/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 383 17WC 11435 SALAS, JUAN C FLEXIBLE STAFFING SVCS, I 11/28/16 GOLDSTEIN BENDER & ROMANOF 384 17WC 11505 LAWS, DENISE SYMPHONY OF CRESTWOOD 01/07/17 EDWIN REYES LEGAL GROUP NYHAN BAMBRICK KINZIE & LOWR 385 17WC 11591 DOLECKI, JOHN C & J METAL PRODUCTS, INC 03/17/17 LOSS & PAVONE 386 17WC 11632 SMITH, QUENTIN KTY TRANSPORT 04/11/17 387 17WC 11646 DRESHER, LINDA UNITED AIRLINES 08/29/16 CULLEN HASKINS NICHOLSON 388 17WC 11767 LAFEVER, RICHARD E UPS FREIGHT 02/21/17 GALLAGHER, DONALD V ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 17WC 11797 GRAJEDA, SERGIO UNIVERSAL SCRAP METAL CO 04/17/17 HEALY SCANLON LAW FIRM KEEFE CAMPBELL & ASSOC LLC 390 17WC 11830 HARGONS, CYNTHIA A COOK COUNTY FACILITY MANA 02/06/17 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 391 17WC 11912 FLORES, DIANE GRAND PRAIRIE TRANSIT 11/01/16 DWORKIN AND MACIARIELLO 392 17WC 11931 MARTINEZ, EDUARDO STATE OF ILLINOIS, ILLINO @ 03/31/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 393 17WC 11968 KEELER, WILLIE THE SALVATION ARMY 03/20/17 CHARLES LEVY & ASSOC LTD 394 17WC 12028 JONES, JACQUELINE ZEIGLER CHEVROLET 02/17/17 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 395 17WC 12048 PACHECO, KELLY GREAT LAKES PLUMBING & HE 02/28/17 GREGORIO & MARCO WIEDNER & MCAULIFFE LTD 396 17WC 12094 WHITE, ROSE MARIE CHICAGO TRANSIT AUTHORITY 03/16/17 RICHARD O. GREENFIELD CHICAGO TRANSIT AUTHORITY 397 17WC 12207 WILSON, MARCELLA PRAIRIE MANOR REHAB 08/18/16 STEVEN J MALMAN & ASSOCIAT 398 17WC 12339 OCHOA, JUAN MANUEL J.P. PHILLIPS, INC 07/25/16 JUAN M OCHOA GAROFALO SCHREIBER STORM 399 17WC 12571 BUOL, MARSHA CENTRAL DUPAGE PHYSICIAN 06/20/16 FIORENTINO LAW OFFICES 400 17WC 12620 EGILSKE, RICHARD IL STATE TOLL HWY AUTHORI 09/30/16 GREGORIO & MARCO NYHAN BAMBRICK KINZIE & LOWR 401 17WC 12649 GERTKEN-LOMANTO,JODY TARGET CORPORATION 01/30/17 SALK, STEVEN B & ASSOC LTD 402 17WC 12691 SZYMAN, STEPHAN BARRY ROOFING AND INSULAT 07/06/15 O'CONNOR & NAKOS 403 17WC 12731 KIRK, KYLE JEWEL OSCO 04/22/17 LEONARD LAW GROUP LLC 404 17WC 12773 KHAN, IIYAS EAJJU, INC 01/12/17 HUNER LAW OFFICES LLC 405 17WC 12868 GARNER, CHARLENE KMART STORE #9339 06/03/14 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 406 17WC 12884 LEVINGSTON, STEVEN CHICAGO TRANSIT AUTHORITY 04/24/17 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 17WC 12922 ESTAFANIA, ANASTACIO MATER, INC, D/B/A SBARRO 04/21/16 DAVID M SPADA GILDEA & COGHLAN 408 17WC 12941 MAGEE, JOSEPH BATH FITTER 01/19/17 WHITESIDE & GOLDBERG LTD MEACHUM & STARCK 409 17WC 12968 MCCLAY, SIDNEY AT&T 04/14/17 WEISS & WEISS LAW OFFICES 410 17WC 13031 MUNOZ, DORIS CITY OF CHICAGO 08/16/16 SANDMAN LEVY & PETRICH 411 17WC 13050 JASANY, MOKDAM HELEN CAB COMPANY 01/27/17 DEPAOLO ZADEIKIS GORE 412 17WC 13093 NEGRON, CANDIDA POOL TRANS INC 03/22/17 DANIEL PERIASWAMY 413 17WC 13167 ORTIZ, LEISARDO OLYMPIC STORE FIXTURES IN 07/15/16 BERG & BERG RUSIN & MACIOROWSKI LTD 414 17WC 13252 SANALITRO, GUY GOTTLIEB HOSPITAL 03/07/17 BAUM RUFFOLO & MARZAL LTD 415 17WC 13303 NAVA, JAVIER ILLINOIS INSTITUTE OF 12/14/16 BUDIN LAW OFFICES 416 17WC 13394 JAKOVICH, JOE ARCORP STRUCTURES LLC 04/17/17 ANKIN LAW OFFICE 417 17WC 13420 BLAZIER, MELISSA(WIDOW OF PTO SERVICES #W 04/09/13 ANGELINI & ORI LLC 418 17WC 13472 HAUER, CHRIS ROTO MAZDA 03/23/15 419 17WC 13515 BENFORD, ANGELA ILLINOIS DEPT OF CORRECTI @ 05/03/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 420 17WC 13536 SHEAHAN, PATRICK COOK COUNTY SHERIFF 12/22/15 WOODRUFF & JOHNSON STATES ATTORNEY OF COOK COUN 421 17WC 13601 BALL, ROSALYN ADVOCATE HEALTH 03/06/17 SHELDON I MINKOW & ASSOCIA GAROFALO SCHREIBER STORM 422 17WC 13635 WHITLOCK, LATOYA ASSOCIATED BANK 03/07/17 SEIDMAN MARGULIS & FAIRMAN 423 17WC 13724 QUINN, TRACY RAINBOW CLOTHING STORE 03/29/17 HERRERA LAW CENTER 424 17WC 13782 JACKSON, LAVAR NEWLY WEDS FOOD 04/26/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 17WC 13831 NELSON, ARTHUR LEE VILLAGE OF HAZEL CREST 05/03/17 ANGELINI & ORI LLC POWER & CRONIN LTD 426 17WC 20096 BURKINSHAW, WENDY AMERICAN AIRLINES 05/13/17 ELFENBAUM EVERS & AMARILIO 427 17WC 20241 WILSON, LATRICIA CHICAGO TRANSIT AUTHORITY 03/15/17 PAUL MARZANO CHICAGO TRANSIT AUTHORITY 428 17WC 20251 RODRIGUEZ, CORINA VAN RU CREDIT CORP-COLLEC 06/19/17 THERMAN LAW OFFICES LAW OFFICES OF EDWARD J. KOZ 17WC027669 -C 429 17WC 20269 MC INTOSH, KRYSTAL AMC AMERICAN MULTI CINEMA 05/28/17 PAUL A COGHLAN & ASSOC HINSHAW & CULBERTSON 430 17WC 20297 HOBBS, BRENT FOUR SEASONS HOTEL 06/23/17 STROM, NEAL B HENNESSY & ROACH PC 431 17WC 20341 DELGADO, JOHNNY CITY OF BERWYN 09/05/14 KARCHMAR & STONE CUDA LAW OFFICES 432 17WC 20379 JONES, LAKEYSIA FLEXAN CORPORATION 12/04/16 DWORKIN AND MACIARIELLO 433 17WC 20431 MODHERA, SANJAY COOK COUNTY HOSPITAL 09/19/16 PORRO NIERMANN LAW GROUP STATES ATTORNEY OF COOK COUN 434 17WC 20458 BELLO, JUAN CARLOS STAFFING SERVICES CORP 07/06/17 AIOSSA LAW FIRM 435 17WC 20489 PURTELL, JAMES COCA COLA 07/06/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 436 17WC 20511 MILLER, SHEKENA COOK COUNTY SHERIFFS DEPT 06/27/17 GORDON & CENTRACCHIO LLC STATES ATTORNEY OF COOK COUN 437 17WC 20525 TAIMOUR, MAHAMMAD ZHANET CAB CORP 06/28/17 HUNER LAW OFFICES LLC 438 17WC 20579 EVANS, MARGARET CLASSIC CARE HEALTH SERVI 06/13/17 BRISKMAN BRISKMAN GREENBER 439 17WC 20706 AGUILAR, HUMBERTO JR TOOTSIE ROLL DWC 06/22/17 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 440 17WC 20859 WILSON, LANCE JERNBERG INDUSTRIES 06/02/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 441 17WC 20877 RAMOS, ADRIANA FEDERAL RESERVE BANK OF C 02/24/17 STROM, NEAL B RUSIN & MACIOROWSKI LTD 442 17WC 20899 PEREZ, MELINA MT SINAI HOSPITAL 06/15/17 ROMANUCCI & BLANDIN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 17WC 20984 SHELTON, KIZZIE M CITY OF CHICAGO 11/20/16 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 444 17WC 21070 LOOKMAN, ASHIRU CORNELL INC 06/10/17 LAW OFFICE RYAN ROSENTHAL 445 17WC 21103 LATIKER, BRIANNA ANDY FRIAN SECURITY SERVI 06/19/17 BART DURHAM GANAN & SHAPIRO 446 17WC 21192 PEREZ, MANUEL KERRY INGREDIENTS 06/28/17 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 447 17WC 21237 HOLT, VENUS (PRENTISS) JEWEL FOOD STORES, INC 04/07/17 DESTEFANO, ROBERT A & ASSO WIEDNER & MCAULIFFE LTD 448 17WC 21257 JONES, VICTOR FORD MOTOR CO 04/11/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 449 17WC 21323 STEVENSON, GREGORY CITY OF CHICAGO-WATER DEP 07/11/17 ANGELINI & ORI LLC CITY OF CHICAGO 450 17WC 21461 PARIS, JOANNA NORTHROP GRUMMAN SYSTEMS 02/20/17 GRAUER & KRIEGEL LLC RUSIN & MACIOROWSKI LTD 451 17WC 21523 PALERMO, RENEE DAINA ALDI FOODS, INC 11/22/16 TAXMAN POLLOCK NYHAN BAMBRICK KINZIE & LOWR 452 17WC 21692 LOFQUIST, DEREK PETE'S AUTO SERVICES 03/24/17 LEONARD LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 453 17WC 21745 MERCHANT, TESHA RANSTAD STAFFING 07/18/17 DWORKIN AND MACIARIELLO 454 17WC 21766 ROBLES, JORGE UNITED MAINTENANCE COMPAN 07/12/17 AIOSSA LAW FIRM RUSIN & MACIOROWSKI LTD 455 17WC 21845 O'CONNOR, WILLIAM SOUTHWEST AIRLINES 07/03/17 KARCHMAR & STONE 456 17WC 21874 HOLDMAN, FREDERICK BLACK HORSE CARRIERS 06/01/17 DWORKIN AND MACIARIELLO 457 17WC 21903 BLANCO, JESSICA VILLAGE OF ARLINGTON HEIG 08/09/16 SANDMAN LEVY & PETRICH MACIOROWSKI SACKMANN & ULRIC 458 17WC 22067 THOMPSON, FELICIA MUSEUM OF SCIENCE & INDUS 07/20/17 DWORKIN AND MACIARIELLO 459 17WC 22086 MORE, VICTIR M SR SENTRY INSURANCE CO 10/24/16 EPSTEIN, JACK R LAW OFFICE 460 17WC 22171 MORA, LUIS HASAK COLD STORAGE 07/21/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 17WC 22251 DELK, EDDIE CHICAGO TRANSIT AUTHORITY 07/06/17 LAW OFFICE OF SCOTT B SHAP 462 17WC 22270 SALEH, SALAH COOK COUNTY SHERIFF 07/15/17 THE ROMAKER LAW FIRM STATES ATTORNEY OF COOK COUN 463 17WC 22431 MILLER, KAREN VILLAGE OF HARWOOD HEIGHT 12/09/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 464 17WC 22456 HALPER III, EDWARD J PARKWAY ELEVATORS 04/10/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 465 17WC 22475 LEON, MARIA TERESA SMG SAVOR/MCCORMICK PLACE 06/05/17 RUBIN LAW GROUP 466 17WC 22530 IVY, JOHNATHAN ELITE STAFFING 06/25/17 DWORKIN AND MACIARIELLO 467 17WC 22552 NEUMANN-MELONE, JEANETTE CHICAGO PUBLIC SCHOOLS 03/08/17 JASON HAUCK 468 17WC 22591 SPILLER, MYRON WEISS MEMORIAL HOSPITAL 07/14/17 CUDA LAW OFFICES HENNESSY & ROACH PC 469 17WC 22629 CRESPO-HERNANDEZ, SANDRA COOK COUNTY SHERIFF'S 06/22/17 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN 470 17WC 22649 ROBLES, HUMBERTO CITY OF CHICAGO 07/27/17 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 471 17WC 22709 CARTWRIGHT, GYPSY NORTHWESTERN MEMORIAL HOS 05/02/17 KUMLIN & FROMM 472 17WC 22735 WASHINGTON, TAL AM BUS CO INC 02/15/17 PETER D CORTI LAW GROUP 473 17WC 22902 RATCLIFF, SHENNICE N REYNOLDS CONSUMER PRODUCT 05/16/17 ANKIN LAW OFFICE 474 17WC 23041 LAYTON, BRIAN WEST WIND EXPRESS 06/22/17 LEONARD LAW GROUP LLC 475 17WC 23112 SANTIAGO, JAVIS LABOR NATION, LLC 07/16/17 LAW OFFICES PETER LEKAS RIPES NELSON BAGGOT KALOBRAT 476 17WC 23141 WASHINGTON, TERESA UNITED AIRLINES 07/27/15 KATZ FRIEDMAN EAGLE ET AL 477 17WC 23166 SAENZ, EVELINA SPOTLESS CLEANING CHICAGO 07/20/17 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 478 17WC 23214 CHRISTMAN, CURTISS INPAX SHIPPING SOLUTIONS 07/17/17 HANNIGAN & BOTHA, LTD WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 17WC 23292 MORRIS, TRAVIS CENTRAL TRANSPORT, LLC 05/15/17 POMPER & GOODMAN HINSHAW & CULBERTSON 480 17WC 23312 RODRIGUEZ, JOSE THE FA BARTLETT TREE 01/17/17 HOLECEK & ASSOCIATES 481 17WC 23331 GETHERS, RHONDA COOK COUNTY 07/21/17 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 482 17WC 23997 NUZZOLO, PAUL ORACLE 05/28/17 RUBENS AND KRESS WIEDNER & MCAULIFFE LTD 483 17WC 26345 DVORAK, JAMES GENERATIONS HOME DECORATI 07/27/17 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 484 17WC 27431 COE, PATRICK R CTA CHCIAGO TRANSIT AUTHO 09/08/17 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 485 17WC 29303 BOREN, RYAN VILLAGE OF STEGER POLICE 07/18/17 COVEN LAW GROUP INMAN & FITZGIBBONS 486 17WC 29324 BALBINO, AGUSTIN WORLD'S FINEST CHOCOLATE 03/15/16 HERRERA LAW CENTER GRANT & FANNING 17WC029325 -C 487 17WC 29347 WATKINS, SHEILA TOTAL FACILITY MAINTENANC 10/03/16 GOLDSTEIN BENDER & ROMANOF WOLFE & JACOBSON, LTD 488 17WC 29417 VILLEGAS, GABRIEL CIPOTLE MEXICAN GRILL 11/17/15 MC HARGUE & JONES HENNESSY & ROACH PC 489 17WC 29435 DEMPSEY, ROBERT W. IMPERIAL LIGHTING & 08/14/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 490 17WC 29476 ORTEGA, CEASAR SOLUTIONS MANAGEMENT CORP 09/29/17 491 17WC 29498 MILAN, LILIANA EMBASSY SUITES BY HILTON 09/27/17 PATRICIA HARDIMAN LAW OFFI NOBLE & ASSOCIATES PC 492 17WC 29563 JUAREZ, JOSE ILLINOIS STATE POLICE @ 06/20/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 493 17WC 29653 SILVA, JORGE MIGUEL CHICAGO HEIGHTS STEEL 01/24/17 STEWART C ORZOFF 494 17WC 29675 CASILLAS, MIRIAM JOHN STROGER HOSP OF COOK 09/01/17 ARGIONIS & ASSOCIATES LLC STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 495 17WC 29759 FOUTS, ROXANNE M BLOCK & SONS, INC 02/27/17 HORWITZ HORWITZ & ASSOC 496 17WC 29825 PETERSON, KIMBERLY ADVOCATE HEALTH CARE 11/08/16 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 18WC011032 -C 497 17WC 29941 HARRIS, LONZETTA CTA 10/05/17 LAW OFFICES TIMOTHY HENDER CHICAGO TRANSIT AUTHORITY 498 17WC 29966 DEAR, EURETHIA BRIDGESTREET GLOBAL 08/17/17 PETER D CORTI LAW GROUP 499 17WC 29984 SNOW, ANDRE MADDAN MENTAL HEALTH CENT 09/21/17 ANGELINI & ORI LLC 500 17WC 30059 BELLFLOWER, MYRIAM G UNITED AIRLINES 09/20/17 CULLEN HASKINS NICHOLSON 501 17WC 30080 BROUGHTON, RONALD CITY OF CHICAGO 09/14/17 FOHRMAN, DONALD W & ASSOCS 502 17WC 30099 CABRERA, NELLY TOTAL STAFFING SOLUTIONS 10/09/17 LAW OFFICE OF SCOTT B SHAP KNELL & O'CONNOR 503 17WC 30184 HERRERA, VALERIE EAST BALT COMMISARY INC 04/15/17 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 504 17WC 30264 MOUHAMED, BALKISSOU MAMA TYSON FRESH MEATS, INC 08/16/16 LEADERS LAW CENTER LLC GANAN & SHAPIRO 505 17WC 30284 ORTEGA, OSCAR J HEALTH PARK HOSPITALITY 10/05/17 FRIEDMAN & SOLMOR LTD 506 17WC 30385 SALAS, JULIO GET FRESH PRODUCE 09/22/17 MC HARGUE & JONES CAPUANI, FRANK S 507 17WC 30414 GONZALEZ, JORGE MIDWEST REM ENTERPRISES 09/15/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 508 17WC 30458 VELCICH, JADE DAVIS STAFFING INC 10/09/17 COSTA IVONE LLC 509 17WC 30497 ROMO, MARIA CURTISS-WRIGHT 03/07/17 PORRO NIERMANN LAW GROUP 510 17WC 30610 GLOWACZ, KAMIL LAS TRANSPORT, LLC C/O 10/11/17 HETHERINGTON KARPEL BOBBER NYHAN BAMBRICK KINZIE & LOWR 511 17WC 30635 MADIGAN, MARCELINE LATIN SCHOOL OF CHICAGO 09/20/17 STROM, NEAL B 512 17WC 30673 BRUCE, MARKEESA T RONS STAFFING SERVICEINC 08/21/17 DEPAOLO ZADEIKIS GORE KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 513 17WC 30755 CARTER, RENALD T.H. CARTAGE CO 10/13/17 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 514 17WC 30805 MIMMS, SARAH BED BATH & BEYOND 05/24/17 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS DOLIN, PC 515 17WC 30857 KENNEDY, JUDITH COMMUNITY CONSOLIDATED SC 09/08/17 THOMAS W DUDA 516 17WC 30876 AUDZIEJCZYK, MIROSLAW ESSENCE PAINTING & RESTOR 10/04/17 CHEPOV & SCOTT LLC SMITH AMUNDSEN LLC 517 17WC 30991 ROMERO, MIGUEL PINE LANDSCAPING 09/12/17 ANKIN LAW OFFICE 518 17WC 31016 MUNOZ, EDUARDO SEALED AIR CORPORATION 09/17/17 HOWARD S. KAVENOW LLC MEACHUM & STARCK 519 17WC 31104 CLAYTON, TRACEY STATE OF IL-DEPT OF HUMAN 02/12/17 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 520 17WC 31126 TOLEDO, SOFIA BON APETIT MANAGEMENT COM 05/03/17 COHN LAMBERT RYAN & SCHNEI 521 17WC 31171 WARD, APRIL UNITED AIRLINES 04/29/17 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 522 17WC 31178 LALLY, THOMAS CITY OF CHICAGO WATER 09/05/17 MANDELL, GREGG 523 17WC 31363 HOOD, DEONNA CHICAGO BOARD OF EDUCATIO 10/17/17 FRIEDMAN & SOLMOR LTD LAW DEPARTMENT 524 17WC 31390 AGUILERA, HECTOR OLIVER CONSTRUCTION SERVI 10/18/17 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 525 17WC 31423 KALCSITS, JOSEPH AMERICAN AIRLINES INC 10/12/17 PETER D CORTI LAW GROUP 526 17WC 31566 HOSTY, JOHN F BREAK THRU BEVERAGE GROUP 12/28/16 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 527 17WC 31662 STAMESON, ANDREW ILLINOIS TOLLWAY AUTHORIT 04/07/17 O'CONNOR & NAKOS NYHAN BAMBRICK KINZIE & LOWR 528 17WC 31701 WINSTON, MARCUS OZINGA 01/06/17 EDWIN REYES LEGAL GROUP GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 529 17WC 31737 RODGERS, YVONNE HOLSTEN MANAGEMENT 10/12/17 DWORKIN AND MACIARIELLO ANCEL GLINK DIAMOND BUSH & E 530 17WC 31756 HOLDER, MARCUS THE CUBBY BEAR 10/01/17 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 17WC034849 -C 531 17WC 31769 HUERTA HERNANDEZ, MARIA D PARAMOUNT STAFFING (LEND) 10/16/17 FRIEND LEVINSON & BERGAL KNELL O'CONNOR DANIELWICZ 532 17WC 31867 ORTIZ, MARIA ALTERNATIVE STAFFING 10/05/17 ACEVES & PEREZ PC SLAVIN & SLAVIN 533 17WC 31916 DERFLER, EDWARD HERTIAGE WINE CELLARS 06/30/17 LEONARD LAW GROUP LLC 534 17WC 32023 ATIYEH, BADIA DAED HOME DEPOT 09/16/17 SEIDMAN MARGULIS & FAIRMAN MC ANDREWS & NORGLE LLC 535 17WC 32111 SANCHEZ, MARIA MI COSTENITA, LLC 08/22/17 RUEDA, IVAN A 536 17WC 32179 GAITER, HERSHEL KOCH FOODS, INC 10/20/17 ANGELINI & ORI LLC 537 17WC 32188 NANCE, JOHN E CHICAGO PUBLIC SCHOOLS 10/06/17 ANKIN LAW OFFICE LAW DEPARTMENT 538 17WC 32335 RICHARDSON, THEITA COOK COUNTY SHERIFF'S OFF 10/08/17 PARENTE & NOREM PC 539 17WC 32357 HANLEY, COLLEEN EVANSTON FIRE DEPT 11/21/15 HEALY SCANLON LAW FIRM WIEDNER & MCAULIFFE LTD 540 17WC 32364 MURRILLO, TORIBIO SOUTHEAST LINEN ASSOCIATE 10/26/17 COSTA IVONE LLC BRYCE DOWNEY & LENKOV LLC 541 17WC 32385 SCOTT, TRACEY TWO MEN AND A TRUCK 10/21/17 542 17WC 32522 KLAGES, ROBERT VEE PAK LLC 10/24/17 PETER D CORTI LAW GROUP HOLECEK & ASSOCIATES 543 17WC 32595 WHYMS, ROBERT LAKE LINE DELIVERIES 11/03/14 STROM, NEAL B 544 17WC 32606 MORGAN, SCOT EAGLE EXPRESS LINES INC 09/19/17 JOHN J CASTANEDA HINSHAW & CULBERTSON 545 17WC 32782 DIXON, BRIAN CITY OF CHICAGO 10/03/17 DWORKIN AND MACIARIELLO 546 17WC 32798 GARCIA, ALEX FOOD EVALUATION 10/26/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 547 17WC 32864 CERVANTES, MICHAEL SOUTHWEST AIRLINES 07/19/17 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 548 17WC 32889 INNISS, GEORGE CITY OF CHICAGO 10/06/17 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 549 17WC 32924 SPARKS, SANDRE DPI SPECIALTY FOODS 10/20/17 DWORKIN AND MACIARIELLO GILDEA & COGHLAN 550 17WC 33001 HARRIS, KURT J GATEWAY FOUNDATION 07/04/17 GALLAGHER, DONALD V RUSIN & MACIOROWSKI LTD 551 17WC 33039 HALL, JAMES MON DAN, INC 03/27/17 ANESI OZMON RODIN NOVAK KO BRYCE DOWNEY & LENKOV LLC 552 17WC 37794 STOUT, MICHAEL GERRESHEIMER GLASS 11/16/17 ALEKSY BELCHER RUSIN & MACIOROWSKI LTD 553 18WC 00592 FLANAGAN, MIKE AIR DESIGN SYSTEMS INC 12/01/17 GOLDBERG WEISMAN & CAIRO L 554 18WC 00633 PENDLETON, ANGELO LABOR TEMPS II LLC 12/28/17 VRDOLYAK LAW GROUP LLC ROBERT L. SMITH 555 18WC 00667 PHILLIPS, RANDAL RELIABLE TRANSPORTATION 12/20/17 SCOPELITIS GARVIN LIGHT 556 18WC 00687 VIERA, LORENA EDDIE V'S 06/10/17 ENCINAS & ORNELAS 557 18WC 00778 WEBSTER, HENRY HERTZ CAR SALES 01/02/18 GORDON & CENTRACCHIO LLC BRYCE DOWNEY & LENKOV LLC 558 18WC 00804 KEENE, JEREMY P AREA ERECTORS INC 11/08/17 RUBIN LAW GROUP ACCIDENT FUND HOLDINGS 559 18WC 00845 ROBINSON, JACQUELINE MASSAGE ENVY 10/29/17 COSTA IVONE LLC JOSEPH MARCINIAK 560 18WC 00949 COLLINS, ANTON D COOK COUNTY DEPT OF CORRE 12/10/17 CHAPMAN & CUTLER STATES ATTORNEY OF COOK COUN 561 18WC 00973 BRAVO, GREGORIO CELESTE EXPRESS TRANSPORT 11/30/17 562 18WC 00998 MORALES, SERGIO ENGINEERED GLASS PRODUCTS 04/29/17 ACEVES & PEREZ PC WIEDNER & MCAULIFFE LTD 563 18WC 01015 RUBIO, ARACELI SHREE ARMITAGE INC. DBA 12/21/17 SALK, STEVEN B & ASSOC LTD MEACHUM & STARCK 564 18WC 01037 HAMEED, MARYLIN J.C. PENNY CORPORATION IN 10/14/17 SPENCER LAW OFFICES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 565 18WC 01087 MCCAFFREY, JOHN STATE OF IL/ @ 02/02/17 LANNON LANNON & BARR LTD ASSISTANT ATTORNEY GENERAL 566 18WC 01118 WOKURKA, DIANE UNITED AIRLINES 03/14/17 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 567 18WC 01160 BROWN, KATON PROLOGISTIX 12/29/17 LEO ALT NYHAN BAMBRICK KINZIE & LOWR 568 18WC 01186 GRACZYK JR, KEN CHICAGO TRANSIT AUTHORITY 03/06/17 TRUGLIO, FRED A & ASSOC CHICAGO TRANSIT AUTHORITY 569 18WC 01229 SANDOVAL, ALBERT G NEW ALBERTSON'S INC AKA 12/03/17 KOSIN LAW OFFICE LTD BRADY CONNOLLY & MASUDA PC 570 18WC 01293 GREEN, DEBRA FORD MOTOR COMPANY 01/09/18 FOHRMAN, DONALD W & ASSOCS WIEDNER & MCAULIFFE LTD 571 18WC 01332 WELLS, STANYA PARK VILLA NURSING & REHA 02/10/17 JAMES ELLIS GUMBINER & ASS 572 18WC 01352 ESPINOZA, MOISES WINDWARD ROOFING 12/21/17 LEONARD LAW GROUP LLC 573 18WC 01411 ANDES, JOHN HOEKSTRA TRANSPORTATION L 01/02/18 HETHERINGTON KARPEL BOBBER JAMES M KELLY 574 18WC 01437 HIPPEARD, RANDALL ARENA FOOTBALL ONE LLC 06/03/17 GORDON LAW OFFICES LTD GORDON & CENTRACCHIO LLC 575 18WC 01462 KANIA, RICHARD SCHWAN INC 03/16/16 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 576 18WC 01484 ARPI, MANUEL C LAWRY'S THE PRIME RIB 10/29/17 HERRERA LAW CENTER 577 18WC 01502 ESTRADA, DIANA MICHAEL LEWIS COMPANY 12/29/17 EPSTEIN, JACK R LAW OFFICE 578 18WC 01564 PEREZ, JUAN M CHANNEL DISTRIBUTION 09/14/17 BOTTO GILBERT 579 18WC 01592 TURNER, TIMOTHY MIDWEST MECHANICAL GROUP 12/13/17 ARGIONIS & ASSOCIATES LLC WIEDNER & MCAULIFFE LTD 580 18WC 01609 RAMIREZ, VICTOR CHICAGO GREYHOUND LINE 12/13/17 KREITER, BYCK & ASSOC LLP 581 18WC 01657 TROTTER-BAKER, TONISHA MCDONALDS 01/08/18 ANKIN LAW OFFICE 582 18WC 01676 KELLER, KEISHA FOOD 4 LESS 02/03/17 EDWIN REYES LEGAL GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 583 18WC 01741 CZERNIAK, BRYAN KS ENERGY SERVICES, LLC 09/01/15 GOLDBERG WEISMAN & CAIRO L 584 18WC 01768 ELBERT, JULIAN UNITED AIRLINES 11/01/17 BRILL & FISHEL 585 18WC 01816 MORRISON, PARRISH URBER 01/11/18 DWORKIN AND MACIARIELLO 586 18WC 01867 BRITTON, CARL ADAIR ENTERPRISES 03/28/17 MILLON & PESKIN LTD 587 18WC 01912 VIDANA, GABRIELA PICK-N-PULL 07/01/17 GRAZIAN & VOLPE PC 588 18WC 01934 BAK, ALEKSANDRA BELMONT VILLAGE SENIOR LI 02/06/16 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 589 18WC 01980 GREEN, SHARON THE HABITAT COMPANY 12/16/17 ANKIN LAW OFFICE 590 18WC 02032 MITRIUS, CAROLYN NATION PIZZA & FOODS 06/27/16 MILLON & PESKIN LTD MEACHUM & STARCK 591 18WC 02033 VOIGTS, WILLIAM WORLD FUEL SERVICES CORP 10/10/16 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 592 18WC 02098 LLOYD, SCOTT J BARNEY'S NEW YORK 11/20/17 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 593 18WC 02122 HERNANDEZ, JAVIER MORFIN CLEANING SERVICES 10/12/17 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 594 18WC 02234 DAVIS, VERNONICA SMS ASSIST LLC 01/02/18 KUMLIN & FROMM 595 18WC 02248 CORTEZ, ANNETTE CHICAGO PUBLIC SCHOOLS 11/16/17 JOHN C SERKLAND CHGO BOARD OF EDUCATION 596 18WC 02300 KINSEY, SHARDAI SOUTHWEST AIRLINES 01/05/18 COVEN LAW GROUP 597 18WC 02344 VAN BUREN, STEVEN MEADE ELECTRIC CO 02/17/15 O'CONNOR LAW GROUP LLC RUSIN & MACIOROWSKI LTD 598 18WC 02426 WILLIAMS, SANTIANA FEDEX EXPRESS 05/09/17 THE HOPSON FIRM PC 599 18WC 02441 HENRY, MIKITA Y CITY OF CHICAGO/DEPT OF 11/16/17 RITTENBERG & BUFFEN 600 18WC 02460 CASTRO, JESUS FAMILY DOLLAR 01/14/18 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 601 18WC 02479 TRIPLETT, JERRY PARAMOUNT STAFFING 01/21/18 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 602 18WC 02499 AVELAR, GABRIEL PEOPLE'S GAS 02/27/17 LEONARD LAW GROUP LLC MC CABE & HOGAN 603 18WC 02521 TIPIANI, JAVIER COOK COUNTY SHERIFF'S DEP 11/30/17 HORWITZ HORWITZ & ASSOC STATES ATTORNEY OF COOK COUN 604 18WC 02545 GOCUAN, ROY UNITED AIRLINES 01/19/18 KATZ FRIEDMAN EAGLE ET AL 605 18WC 02557 DRAKE, BEVERLY D FIRST TRANSIT, INC 01/18/18 FRIEDMAN & SOLMOR LTD 606 18WC 02622 CZARNECKI, CATHERINE AMERICAN AIRLINES 12/15/17 DUDLEY & LAKE LLC GAROFALO SCHREIBER STORM 607 18WC 02712 FONSECA, NOEMI HCR MANOR CARE 11/16/17 GRAZIAN & VOLPE PC 608 18WC 02732 DURAND, ROSARIO ADDUS HOMECARE 12/29/16 JONATHAN SCHLACK HENNESSY & ROACH PC 609 18WC 02751 VALKOV, MARIAN M CITY OF NORTHLAKE 07/14/17 FIGLIOLI, DAVID 610 18WC 02796 JURGENSON, RORY ELITE MEDICAL TRANSPORT 12/27/17 VASILATOS & COTTER LLC MEACHUM & STARCK 611 18WC 02928 TORRES, JUAN RAUL CB RICHARD ELLIS INC 01/04/18 LAW OFFICES MICHAEL HELLMA BRADY CONNOLLY & MASUDA PC 612 18WC 02947 GARNER, ZYLA SHERWIN-WILLIAMS 06/06/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 613 18WC 02966 MALLETT, GREGORY KATES DETECTIVE AGENCY/ 01/23/18 DWORKIN AND MACIARIELLO 614 18WC 02987 GONZALEZ, ANTONIO FLOOD BROTHERS 01/19/18 OSVALDO RODRIGUEZ PC 615 18WC 03030 RODRIGUEZ, CHRISTIAN GATE GOURMET, INC 12/26/17 HETHERINGTON KARPEL BOBBER RUSIN & MACIOROWSKI LTD 616 18WC 03058 OROZCO, SAMUEL PEPE'S INC. 01/09/18 MC HARGUE & JONES 617 18WC 03086 HERNANDEZ, MARIELA ERIE FAMILY HEALTH CENTER 10/21/15 BIZZIERI LAW OFFICES 618 18WC 03142 PIEKOS, ZDZISLAW JR MENARD, INC 01/22/18 ALEKSY BELCHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 619 18WC 03201 NASH, TASHEIKA NAVISTAR 11/01/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 620 18WC 03225 READ, CALVIN SCR MEDICAL TRANSPORTATIO 01/23/18 COSTA IVONE LLC QUINTAIROS PRIETO WOOD & BOY 621 18WC 03270 SALGADO, ALBALINDA BWAY CORPORTATION 10/08/17 COSTA IVONE LLC HOLECEK & ASSOCIATES 622 18WC 03302 ELMS, LINDA MID AMERICA TILE 05/01/17 LAW OFFICES MARK LOFTUS GANAN & SHAPIRO 623 18WC 03347 HUESCA, HUGO CIAO BABY 12/12/17 LAW OFFICES OF ANSELMO DUR 624 18WC 03387 SNIEGOWSKI, JAMES CVS PHARMACY 01/29/17 MILLON & PESKIN LTD HINSHAW & CULBERTSON 625 18WC 03416 ALONZO, GREGORY CITY OF CHICAGO 11/05/17 PETER D CORTI LAW GROUP CITY OF CHICAGO 626 18WC 03449 LYONS, CRYSTAL FORMAN MILLS 11/28/17 LEONARD LAW GROUP LLC 627 18WC 03480 HALL, TERRENCE UBER 01/25/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 628 18WC 03515 CARDONA, BALTAZAR J ARYZTA LLC 10/31/17 PHILIP BLOMBERG HENNESSY & ROACH PC 629 18WC 03544 PROCHAC, JEAN PAUL UNITED CONTINENTAL HOLDIN 01/25/18 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 630 18WC 03568 YI, SANG COOK COUNTY 01/30/18 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 631 18WC 03605 MARTINEZ-ROSAS, MARIA ARYZTA LLC 01/19/18 RAYMOND M SIMARD, PC HENNESSY & ROACH PC 632 18WC 03681 GWOZDZ, PIOTR SYSCO FOODS SRVCS CHICAGO 01/26/18 GOLDBERG WEISMAN & CAIRO L 633 18WC 03724 RUSSELL, CHANA UNIVERSITY OF CHICAGO 01/24/18 MC HARGUE & JONES HENNESSY & ROACH PC 634 18WC 10334 QUEEN-THOMAS, BEVERLY CHICAGO PUBLIC SCHOOLS (C 04/22/15 BEVERLY QUEEN-THOMAS 635 18WC 10373 BROWN, CORDALE F CHICAGO TRANSIT AUTHORITY 03/07/18 VITELL & SPITZ LTD CHICAGO TRANSIT AUTHORITY 636 18WC 10420 GOMEZ, JOSEPH ADJUSTABLE FORMS 03/05/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 637 18WC 10442 CALO, KRISTIN UNITED AIRLINES 12/15/16 KATZ FRIEDMAN EAGLE ET AL 638 18WC 10488 SCHELLER, JEANNE NORTHWESTERN UNIVERSITY 03/01/17 LEWIS & DAVIDSON, LTD 639 18WC 10580 MYLES, IMIA ILLINOIS DEPARTMENT 01/21/18 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 640 18WC 10613 DZAFIC, SEMSA WYNDHAM HOTEL 09/26/17 COVEN LAW GROUP BRADY CONNOLLY & MASUDA PC 641 18WC 10703 CAMPOS, LORENZO THUNDER TOOLS, INC 11/20/17 HART & DAVID LLP 642 18WC 10724 KREUGER, MICHAEL NORTH PALOS FIRE 03/24/16 RIDGE & DOWNES 643 18WC 10809 PEREZ, EFREN LABOR NETWORK LLC 03/20/18 HERRERA LAW CENTER 644 18WC 10836 THOMAS, DARRYL ALLOY SLING CHAINS INC DB 02/07/18 DWORKIN AND MACIARIELLO 645 18WC 10895 GLANZ, DOUGLAS D VILLAGE OF ARLINGTON HTS 03/06/18 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 646 18WC 10960 CABAN, JULIAN GEORGIA NUT COMPANY 03/15/18 COSTA IVONE LLC CAPUANI, FRANK S 647 18WC 10977 ORTIZ, ALMA DHALIWAL LABORATORIES NRT 03/28/18 HERRERA LAW CENTER 648 18WC 10992 PEREZ, ALEJANDRO OZINGA 02/07/18 WEISS ORTIZ PC GAROFALO SCHREIBER STORM 649 18WC 11015 FREY, SHAWN COOK COUNTY SHERIFF'S POL 04/01/18 BOTTO GILBERT STATES ATTORNEY OF COOK COUN 650 18WC 11051 WALLACE, STEVEN UPS 11/24/15 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 651 18WC 11120 SHEHADEH ALI, SHEHADEH NEW DAWN LOGISTIC INC 03/23/18 STANCZAK LAW OFFICES 652 18WC 11153 CREASY, MICHAEL STAFF RIGHT 03/31/18 CHEPOV & SCOTT LLC MC ANDREWS & NORGLE LLC 653 18WC 11186 GOMEZ, ROMAN RANA MEAL SOLUTIONS 09/30/17 ROBERTO ACEVEDO 654 18WC 11232 WILLIAMS, CARLINE ALDEN ORLAND PARK REHAB & 12/19/17 HOWARD S. KAVENOW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 655 18WC 11279 OLIVARES, CARLOS THE CLEANING PEOPLE 04/03/18 DOUGLAS RALLO PC 656 18WC 11315 RODRIGUEZ, IRVIN N EXPRESS/TRIMACO 03/09/18 GORDON & CENTRACCHIO LLC MC ANDREWS & NORGLE LLC 18WC025799 -C 657 18WC 11345 SAMHAN, FATIMA W DIAMOND GROUP CORP 10/02/17 THE ROMAKER LAW FIRM WIEDNER & MCAULIFFE LTD 658 18WC 11402 HOGAN, ZENA U-HAUL INTERNATIONAL INC 03/10/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 659 18WC 11419 TYLER, LOIS CITY OF CHICAGO 09/17/16 DANIEL PERIASWAMY 660 18WC 11434 OJOFEITIMI, KAREN STATE OF ILLINOIS- @ 10/26/17 MEYERS & FLOWERS ASSISTANT ATTORNEY GENERAL 661 18WC 11477 DUNN, DONNA JEWEL OSCO 09/14/17 JOSHUA KARMEL 662 18WC 11538 JEGLUM, DAVID PROSPECT HEIGHTS FIRE 03/26/18 SAUNDERS CONDON & KENNY 663 18WC 11571 HAZLEY, ASHLEY FORD MOTOR COMPANY 01/26/18 FOHRMAN, DONALD W & ASSOCS 664 18WC 11589 REYNOLDS, MARIKA LITTLE COMPANY OF MARY HO 02/06/18 COSTA IVONE LLC 665 18WC 11608 AZTLAN, RICHARD CITY COLLEGES OF CHICAGO 04/11/18 HERRERA LAW CENTER 666 18WC 11626 BROWN, VINCENT CHEESECAKE FACTORY 02/15/18 DWORKIN AND MACIARIELLO 667 18WC 11645 VILLEGAS, IRMA PAYLESS SHOE SOURCE 02/23/18 ANSELMO DURAN 668 18WC 11664 VASQUEZ, EUGENIA TARGET 10/12/16 ROBERTO ACEVEDO NYHAN BAMBRICK KINZIE & LOWR 669 18WC 11683 BROWN-WALKER, NICOLE CTA 04/12/17 WILLIAM B MEYERS, LTD CHICAGO TRANSIT AUTHORITY 670 18WC 11702 MARTINEZ, JOSE LUIS ALEX DELI 04/17/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 671 18WC 11728 TOVAR, LUIS M KEY TOWER LLC 03/28/18 LEONARD LAW GROUP LLC GRANT & FANNING 672 18WC 11758 HAMILTON, PAMELA ILLINOIS SCHOOL BUS, INC. 04/11/18 DANIEL PERIASWAMY GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 673 18WC 11789 CONNOR, PERRY AUTO WAREHOUSING COMPANY 02/12/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK 674 18WC 11807 HILL, ROBERT V RYDER LOGISTICS 02/06/18 RANDOLPH GREUNE LAW OFFICE 675 18WC 11841 ROGERS, STEVEN ARCHDIOCESE OF CHICAGO 01/29/17 MILLON & PESKIN LTD 676 18WC 11879 BURCHARD, ROBERT POWER CONSTRUCTION COMPAN 09/15/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 677 18WC 11915 HOLLINGSWORTH, HENRY V ARAMARK, INC 03/25/18 KARCHMAR & STONE 678 18WC 11930 ALFONZO, ELIZABETH (AKA) ATLAS EMPLOYMENT SVCS, IN 04/11/18 JONAT0HAN SCHLACK ROBERT L. SMITH 679 18WC 11959 ERVIN, JERRY CITY OF CHICAGO 04/16/18 FOHRMAN, DONALD W & ASSOCS 680 18WC 12011 MC COLLOUGH, SAMUEL AEROTEK STAFFING AGENCY 04/03/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 681 18WC 12105 CACHO, MARIA MENTAL ACADEMY CHICAGO SO 02/27/18 VRDOLYAK LAW GROUP LLC 682 18WC 12128 SOLOMON, SHAUN UPS 03/14/18 STEWART C ORZOFF NYHAN BAMBRICK KINZIE & LOWR 683 18WC 12161 CONTRERAS, CARLOTA PACTIV, LLC 04/10/18 BERG & BERG 684 18WC 12227 PEREZ-ROSALES, MARCELA ALTERNATIVE STAFFING, INC 01/26/18 KAT0Z FRIEDMAN EAGLE ET AL SLAVIN & SLAVIN 685 18WC 12261 SHERDEN, TAMIEKA COMPASS GROUP USA INC 06/01/17 COSTA IVONE LLC GANAN & SHAPIRO 686 18WC 12279 KING, CHRISTOPHER VETERANS DISTRIBTN OF CHI 04/13/18 JAMES ELLIS GUMBINER & ASS INMAN & FITZGIBBONS 687 18WC 12294 KELLY, DARA JACKSON PARK HOSPITAL MED 02/13/18 SCOTT B SHAPIRO ODELSON & STERK 688 18WC 12308 WILLIAMS, DENISE CTA 03/05/18 VRDOLYAK LAW GROUP LLC CHICAGO TRANSIT AUTHORITY 689 18WC 12363 DAVID, ADAM FOREST PRESERVE DISTRICT 04/17/18 COLLISON LAW OFFICES FOREST PRESERVE DIST COOK CO 690 18WC 12447 HARRIS-COURTLAND, CUTASHA CITY OF CHICAGO BOARD OF 02/15/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 691 18WC 12466 BOSSANY, CHARLES ROSIN EYECARE 02/07/18 DWORKIN AND MACIARIELLO MEACHUM & STARCK 692 18WC 12524 GARCIA, MERCEDES BRIDGFORD FOODS 12/15/17 GOLDSTEIN BENDER & ROMANOF 693 18WC 12551 FUTARSKI, STOIL ZVONKO TIJANIC/FEDEX 03/16/18 PETER D CORTI LAW GROUP 694 18WC 12595 GUNDERSEN, JILL AMERICAN AIRLINES, INC 03/25/18 CULLEN HASKINS NICHOLSON 695 18WC 12632 ISSAKA, MARIAM COOK COUNTY HEALTH & HOSP 11/02/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN 696 18WC 12671 RHOADES, TODD CHICAGO THEATRE GROUP INC 09/11/16 LANNON LANNON & BARR LTD 697 18WC 12696 STARKS, LARRY METROPOLITAN WATER 04/04/18 SKLARE LAW GROUP 698 18WC 12722 LOPEZ, JOSE C CC TRIM, LLC 02/07/18 KAT0Z FRIEDMAN EAGLE ET AL 699 18WC 12747 PAGAN, ANGELO CARL SANBURG VILLAGE COND 02/08/18 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 700 18WC 12808 PATRON, GLORIA J ST MARY OFPROVIDENCE/DAUG 01/10/18 ROSS TYRRELL 701 18WC 12832 GONZALEZ, SERGIO V.V.V. DIAMOND SVS, INC 03/26/18 LOSS & PAVONE 702 18WC 12856 POWELL, CHARMAINE ISM SECURITY 09/27/16 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 703 18WC 12887 FIGUEROA, VERONICA MULTI-TEMPS SERVICES INC 03/20/18 HERRERA LAW CENTER GAIDO & FINTZEN 704 18WC 12918 MAGNO, RICHARD MORINE VALLEY COMM COLLEG 11/21/17 SANDMAN LEVY & PETRICH 705 18WC 12991 LOPEZ, MARTIN EDSAL MANUFACTURING 11/21/17 JAMES M GERAGHTY 706 18WC 13009 SHARMA, SATINDER DOMINO'S 02/13/18 STROM, NEAL B 707 18WC 13024 THOMPSON, DAVID CITY OF CHICAGO 03/01/18 ALEKSY BELCHER 708 18WC 13041 WEBSTER, KELVIN THE NATIONAL CASH REGISTE 04/01/18 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 709 18WC 13060 SMITH, CHARLES RICHARD JR AC MEDTRAN INC 04/14/18 TIMOTHY HENDERSON RUSIN & MACIOROWSKI LTD 710 18WC 13077 FAZEKAS, DEBRA SPECIAL EDUCATION SERVICE 04/24/17 LAWRENCE COZZI - LAW OFFICES 711 18WC 13105 DIPAULO, LORIELEE COORDINATED CLAIM SERVICE 01/16/18 DWORKIN AND MACIARIELLO 712 18WC 13139 NELLS, DAN CAREY ELECTRIC CONTRACTIN 12/07/17 HORWITZ HORWITZ & ASSOC 713 18WC 13160 BRACEY, REDDI SOUTH SHORE HOSPITAL 02/14/18 BAUM RUFFOLO & MARZAL LTD NYHAN BAMBRICK KINZIE & LOWR 714 18WC 13183 GIL, TANIA MIDWAY STAFFING 04/10/18 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 715 18WC 13239 PEREZ, IRMA HILTON CHICAGO 04/28/18 DAVID SZCZECIN & ASSOC 716 18WC 13300 GIBBONS, LAUREN UPS 03/26/18 SPIROS LAW PC ASA LAW GROUP 717 18WC 13358 DELAROSA, RAFAEL CHICAGO TRANSIT AUTHORITY 04/29/18 STROM, NEAL B CHICAGO TRANSIT AUTHORITY 718 18WC 13385 ZAVALA, MARIO BANNER WHOLESALE GROCERS 04/24/18 CELSO FUENTES JR 719 18WC 13411 BIGGINS, MILTON BIGGINS RIDEL INC BRG SPORTS LLC 04/13/18 RONALDSON & KUCHLER 720 18WC 13437 SCARELLI, PACHINA BROOKDALE LAKE VIEW 04/30/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 721 18WC 13465 VELINSKE, DANIELLE ALDI 01/28/18 KATZ FRIEDMAN EAGLE ET AL 722 18WC 13487 MALONGA, ANICET GATE GOURMET INC 03/12/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 723 18WC 13528 DUNN, DONNA JEWEL OSCO 11/26/17 JOSHUA KARMEL 724 18WC 13552 FENNESSY, FRANCES FIRST STUDENT, INC. 02/08/18 LEONARD LAW GROUP LLC 725 18WC 13588 CIRILO, PRIMITIVO J PH-PRESENCE RESURRECTION 03/20/18 RUEDA, IVAN A 726 18WC 13760 BROWN, NORBERT ASTRIX SOFTWARE TECHNOLOG 03/13/18 STROM, NEAL B

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 727 18WC 13779 GRIFFIN, YEVONNE KENTUCKY FRIED CHICKEN 09/23/17 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 728 18WC 13796 GOWDY, TONI SWISSPORT NORTH AMERICA 03/18/18 ARGIONIS & ASSOCIATES LLC KNELL & O'CONNOR 729 18WC 13830 ARITZMENDY, BENJAMIN UNITED REMANUFACTURING 03/07/18 CULLEN HASKINS NICHOLSON 730 18WC 13850 CHAGALA, CARLOS RON'S STAFFING SERVICES, 05/03/18 ENCINAS & ORNELAS KOREY RICHARDSON LLC 731 18WC 13872 RODRIGUEZ, LUCIO OLD DOMINION FREIGHT LINE 02/04/18 DWORKIN AND MACIARIELLO 732 18WC 13913 ANDERSON, CHARLIE CORNER BAKERY 05/15/17 GALLAGHER, DONALD V HOLECEK & ASSOCIATES 733 18WC 13941 LEE, STEPHANIE KINDRED HOSPITAL 04/20/18 CHASE & WERNER LTD ARNETT LAW GROUP 734 18WC 15916 AINA, DERRIANA (NEXT OF K FLEX TRANSPORT INC # 05/16/18 735 18WC 20175 ANAYA, BERNARDO CSM FASTENER PRODUCTS 06/08/17 HERRERA LAW CENTER 736 18WC 20194 ROYAL, ANDREA COACH USA 06/18/18 JOHN C SERKLAND POULOS & DIBENEDETTO LAW 737 18WC 20207 BARJEBO, MUNEH HYATT PLACE-CHARLOTTE/CIT 04/28/18 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 738 18WC 20232 QUIGLEY, ERIC I FEDERAL EXPRESS 04/03/18 ACEVES & PEREZ PC 739 18WC 20274 KISLIAK, OLGA ONE HOME HEALTH 06/27/18 ROSENBERG EISENBERG ASSOC 740 18WC 20385 OTTO, CHARLES F IDOT @ 06/16/18 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 741 18WC 20439 NEELEY, SAMANTHA ANN ANIMAL WELFARE LEAGUE 05/14/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 742 18WC 20458 SANCHEZ, ARMANDO BUONA BEEF 06/15/18 JAMES ELLIS GUMBINER & ASS 743 18WC 20478 RUSSELL, ERIC RGIS, LLC 01/24/18 GORDON & CENTRACCHIO LLC 744 18WC 20514 SINHA, ANSHUMAN SYNCHRONY FINANCIAL 08/09/17 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 745 18WC 20538 JUSTICE, EDREICK ARCELOR MITTAL 11/06/17 VRDOLYAK LAW GROUP LLC 746 18WC 20564 HACKEL, JOSEPH A AMERICLEAN 06/21/18 COSTA IVONE LLC 747 18WC 20605 PATTERSON, GREGORY FILTRAN, LLC 06/26/18 STONE & MAYA PC 748 18WC 20635 UWAZIE, NNAMDI TAXI TOWN 06/22/18 WEISS & WEISS LAW OFFICES 749 18WC 20650 ABDULLAH, AMIRA PACKERS SANITATION SRVS I 06/22/18 TIMOTHY HENDERSON 750 18WC 20670 LOZADA, WILFREDO MICRON METAL FINISHING 07/03/18 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL BIERY & ASSOC 751 18WC 20677 ANDERSON, RAYMOND VESUVIUS USA 05/12/17 WOLFE LAW PC QUINN JOHNSTON HENDERSON ETA 752 18WC 20714 POIRIER, DAVID R SMG SAVOR 06/10/17 RUBIN LAW GROUP 753 18WC 20780 AVILA, JESUS VILLAGE OF BURNHAM 05/18/18 RAYMOND P GARZA LAW OFFICE RUSIN & MACIOROWSKI LTD 754 18WC 20808 ALICEA, CRISTIAN ECOBRITE LINEN 06/01/18 GOLDSTEIN BENDER & ROMANOF 755 18WC 20874 MEDRANO, VICTOR LIBERTY STAFFING INC. 07/14/16 THEODORE L STACY 756 18WC 20901 ALVAREZ, CANDELARIA OPEN KITCHENS 06/04/18 BERG & BERG 757 18WC 20922 ANDERSON, JAMIE GET FRESH PRODUCE, INC 04/14/17 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 758 18WC 20964 MONTERROSO, JUAN THE BUILDING GROUP 06/26/18 GORDON & CENTRACCHIO LLC 759 18WC 20997 ALBRECHT, LARRY UNITED AIRLINES INC 06/27/18 BOWMAN & CORDAY 760 18WC 21015 TANZE, ASHABI JEWEL OSCO 03/31/18 DAVID W MARTAY 761 18WC 21047 MORENO, KARINA MIMOSA INTERIOR LANDSCAPE 01/15/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 762 18WC 21104 SAXON, ELIZABETH UNITED CONTINENTAL HOLDIN 01/05/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 763 18WC 21134 BROWN, PATRAIL ALL 1 STAFFING, LLC 07/10/18 ANGELINI & ORI LLC POWER & CRONIN LTD 764 18WC 21149 BOURRET, ALYSON CHICAGO PARK DISTRICT 07/12/17 SANDMAN LEVY & PETRICH CHICAGO PARK DIST LAW DEPT 765 18WC 21179 BROZ, ERICK VILLAGE OF BARTLETT 12/28/17 FRED J BEER LAW OFFICES 766 18WC 21250 ISAAC, TEOFILO CITY OF CHICAGO 06/08/18 SANDMAN LEVY & PETRICH 767 18WC 21270 SMITH, TYHELIA NANDO'S PERI-PERI 05/31/18 COSTA IVONE LLC 768 18WC 21287 NOGUEDA, SALOMON VANTEC HITACHI TRANSPORT 02/07/18 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 769 18WC 21314 HARRISON, JORDAN TARGET 06/29/18 SKLARE LAW GROUP 770 18WC 21339 HERNANDEZ, THERESA NATIONAL ASIAN PACIFIC CT 06/27/18 MC HARGUE & JONES MEACHUM & STARCK 771 18WC 21357 BARA, GARY BARA ELECTRIC INC 06/27/17 NEWLAND & NEWLAND BRADY CONNOLLY & MASUDA PC 772 18WC 21380 TYREE, ALYCE ADECCO 08/02/17 TRUGLIO, FRED A & ASSOC HENNESSY & ROACH PC 773 18WC 21414 TAMILLO, WALT HESTER COMMERCIAL DECORAT 07/03/18 VASILATOS & COTTER LLC BRADY CONNOLLY & MASUDA PC 774 18WC 21436 GARD, BRENDA ABF FREIGHT SYSTEMS, INC 07/05/18 PARENTE & NOREM PC KEEFE CAMPBELL BIERY & ASSOC 775 18WC 21471 BIRCH, JOHN AMALGAMATED SVCS, INC 05/30/18 GREGORIO & MARCO 776 18WC 21539 ABUNDIZ, IRENE MANORCARE HEALTH SERVICES 02/06/18 ROBERTO ACEVEDO 777 18WC 21564 SHELBY, KENNETH BYRNE & JONES 07/02/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 778 18WC 21599 SERRANO, JUANA THE GARLANDS OF BARRINGTO 03/30/18 HERRERA LAW CENTER 779 18WC 21652 DAVIS, GEORGE M ITS CONGLOBAL 07/12/18 VITELL & SPITZ LTD 780 18WC 21677 LEWIS, DONALD SECRETARY OF STATE @ 07/11/18 SMOLER LAW OFFICE, PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 781 18WC 21698 BRYANT, JUANICA HELP AT HOME, LLC 06/07/18 CHRISTINE F DAVID 782 18WC 21748 BASOFIN, SHARON ANIXTER CENTER 05/01/18 MARK N LEE 783 18WC 21767 HAYES, OMA LBP MANUFACTURING LLC 07/03/18 COSTA IVONE LLC 784 18WC 21789 MCCLURE, VE-ESTER CTA 11/22/17 DONALD FOHRMAN & ASSOC 785 18WC 21810 BARRAZA, ALICIA MIDWAY STAFFING 07/12/18 HERRERA LAW CENTER 786 18WC 21866 OLIVER, TERRENCE L REPUBLIC SVCS 06/18/18 BUDIN LAW OFFICES 787 18WC 21884 ALLEN, BRITTANY DIVERSE FACILITY SOLUTION 04/27/18 ACEVES & PEREZ PC BRYCE DOWNEY & LENKOV LLC 788 18WC 21947 AUSTWICK, LAURA AMERICAN AIRLINES 06/20/18 LEONARD LAW GROUP LLC 789 18WC 21954 VELAZQUEZ, RODOLFO MARSCO GLASS PRODUTS LLC 05/07/18 ANKIN LAW OFFICE MC ANDREWS & NORGLE LLC 790 18WC 21972 YORK, ROBERT CHICAGO TRANSIT AUTHORITY 07/21/18 DONALD FOHRMAN & ASSOC CHICAGO TRANSIT AUTHORITY 791 18WC 21996 FIKS, KRZYSZTOF KITCHEN AND BATH DIRECT 08/17/16 MINKOW DOMIN RUSIN & MACIOROWSKI LTD 792 18WC 22029 BOOE, STEPHEN THYSSEN KRUPP ELEVATOR CO 11/22/17 MARK N LEE 793 18WC 22073 GONZALEZ, MARIA UNIVERSITY OF ILLINOIS - 05/16/18 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 794 18WC 22096 SODERLUND, JAMES D S MECHANICAL INC 01/17/18 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 795 18WC 22114 RIOS, LUIS OSI INDUSTRIES 04/25/18 MC HARGUE & JONES 796 18WC 22135 CALDWELL, CANDUS TARGET 05/01/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 797 18WC 22155 VAZQUEZ, JUAN INDUSTRA SHARP, INC. 05/01/18 BOUDREAU NISIVACO LLC LAWRENCE COZZI - LAW OFFICE 798 18WC 22180 JANKOWSKI, RICHARD NEWS AMERICA MARKETING - 03/07/18 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 799 18WC 22196 DUBOIS, MIKEL UNITED CONTINENTAL HOLDIN 11/29/17 KATZ FRIEDMAN EAGLE ET AL 800 18WC 22240 BOONSTRA, JASON TRINITY ROOFING & SHEET 11/08/17 LEITER LAW OFFICES 801 18WC 22283 MARTINEZ, J GUADALUPE NOT JUST GRASS, INC 07/09/18 STANCZAK LAW OFFICES MEACHUM & STARCK 802 18WC 22306 OSEGUERRA, ALEJANDRO AQS SERVICES, INC 06/22/18 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 803 18WC 22344 SEGURA, CELIA MVP WORKFORCE LLC 06/18/18 HERRERA LAW CENTER KOREY RICHARDSON LLC 804 18WC 22365 KING, PATRICK CITY OF CHICAGO 07/09/18 RICHARD O. GREENFIELD 805 18WC 22407 GALLEGOS, ALEXIS TUFF SHED 10/24/17 STEVEN J MALMAN & ASSOCIAT 806 18WC 22446 NELSON, JESSICA MANDEL, LIPTON, 08/08/17 THOMAS M. PARIS 807 18WC 22475 HENRY, SONIA RJB PROPERTIES, INC 07/24/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 808 18WC 22497 DURAN, GALDINA ELI'S CHEESECAKE CO 04/18/18 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 809 18WC 22505 HOLMES, WENDELL FORD MOTOR COMPANY 01/09/18 DONALD FOHRMAN & ASSOC 810 18WC 22520 ABOYTES, JULIAN MARINE SERVICES CORPORATI 12/02/16 MARSZALEK AND MARSZALEK 811 18WC 22538 HUBBART, LONNIE TRONC, INC. 06/25/18 GALLAGHER, DONALD V NYHAN BAMBRICK KINZIE & LOWR 812 18WC 22567 PRUITT, DYON TAUBENSEE STEEL & WIRE CO 04/03/18 TAXMAN POLLOCK EDWARD J. KOZEL 813 18WC 22578 ARNDT, MATTHEW FORD MOTOR COMPANY 05/17/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 814 18WC 22608 BORIS, RAZIEH ARHAUS FURNITURE 06/16/18 STROM & ASSOC 815 18WC 22638 BROWN, JEREMIAH T THE RITZ CARLTON - CHICAG 03/05/18 GALLAGHER, DONALD V 816 18WC 22650 KOZIEL, KAZIMIERZ CORNELL FORGE CO, INC 04/16/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 817 18WC 22654 SMALL, DAVID XEROX CORPORATION 02/06/18 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 818 18WC 22690 LOUCHAME, HAMZA SASHA CAB COMPANY 06/03/18 FISHER & LAMONICA 819 18WC 22716 JACKSON, QUINTEN VILLAGE OF BRIDGEVIEW 06/14/18 LEONARD LAW GROUP LLC INMAN & FITZGIBBONS 820 18WC 22763 KRZYZANOWSKI, TIM GENERAL ELECTRIC HEALTH C 06/06/18 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 821 18WC 22795 LOPEZ, GUSTAVO A-KORN ROLLER, INC 07/13/18 SEIDMAN MARGULIS & FAIRMAN 822 18WC 22830 KNIGHT-COLLINS, VALERIE A IL DEPT OF HUMAN SERVICES @ 06/11/18 DAMISCH & DAMISCH LTD 823 18WC 22891 DIAZ-RAMIREZ, JESUS ABM FACILITY SVCS 07/06/18 DAVID W MARTAY 824 18WC 22901 CLARKE, AARON BAR PROCESSING 07/26/18 DWORKIN AND MACIARIELLO 825 18WC 22939 VILLANUEVA, LIBERTAD PERE DD CLEANIGN SERVICES 06/11/18 JONATHAN SCHLACK QUINTAIROS PRIETO WOOD & BOY 826 18WC 22952 YEPEZ, DAVID G SODEXO INC 01/18/18 PETER LEKAS 827 18WC 22974 BARRERA, JESSE TSA PROCESSING 07/06/18 CULLEN HASKINS NICHOLSON 828 18WC 22991 WHITE, AUSTIN JIFFY LUBE 07/05/18 ANKIN LAW OFFICE 829 18WC 23011 DIAZ, MARIA HOTEL STAFFING SOLUTION 05/15/18 ESR LAW GROUP 830 18WC 23032 COOK, CECILIA AMERICAN AIRLINES 06/08/18 SAUNDERS CONDON & KENNY 831 18WC 23076 FRICANO, CHRISTINA BLUE MERCURY 07/30/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 832 18WC 23116 SHUTT, JANE D UNITED CONTINENTAL HLDING 06/20/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 833 18WC 23156 SCHAMROWSKI, MICHAEL TRONC, INC 11/01/17 ROBERT WARSASKI NYHAN BAMBRICK KINZIE & LOWR 834 18WC 23170 MANUEL, STEPHANIE BRIA OF FOREST EDGE HEALT 07/04/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 835 18WC 23187 ANDERSON, JEROME ISAAC THE HOME DEPOT 07/24/18 CULLEN HASKINS NICHOLSON ADELSON TESTAN BRUNDO 836 18WC 23229 BELMONTES, MARCO A HOBBS OVERHEAD DOOR INC 02/01/18 FITZPATRICK & FITZPATRICK 837 18WC 23281 LOPEZ, ABAD JEN'S GUESTHOUSE 04/13/18 EPSTEIN, JACK R LAW OFFICE 838 18WC 23306 ARIAS, JOSE G VEGETABLE JUICES, INC 06/04/18 THE ROMAKER LAW FIRM 839 18WC 23330 HUICOCHEA, MARIA DEL CARM WESTLAKE HOSPITAL 01/13/17 LEO ALT HENNESSY & ROACH PC 840 18WC 23361 GLISPIE, MELVETA FERRARA CANDY COMPANY 05/10/18 COHN & COHN HOLECEK & ASSOCIATES 841 18WC 23406 HAVILAND, ALMA ARDAGH GLASS, INC 08/06/15 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 18WC023407 -C 18WC023408 -C 842 18WC 23437 DONALDSON, SHEILA SOLO CUP OPERATING CORP. 02/05/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 843 18WC 23458 REED, ADRIAN ABM INDUSTRY GROUP LLC 06/29/18 KATZ FRIEDMAN EAGLE ET AL 844 18WC 23505 RAMIREZ, ARNULFO BARTON STAFFING SOLUTIONS 06/18/18 COSTA IVONE LLC SLAVIN & SLAVIN 845 18WC 23522 JAMES, ALISA M CITY OF CHICAGO 07/26/18 ANKIN LAW OFFICE CITY OF CHICAGO 846 18WC 23535 DICKENS, ALFRED RIVER EDGE HOSP 06/10/18 DONALD FOHRMAN & ASSOC 847 18WC 23568 BOYCE, RUTH TOTAL MAINTENANCE 07/27/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 848 18WC 23610 ERVEN, DAVID NICHOLAS DESIGN COLLABORA 01/05/18 WOLFE LAW PC 849 18WC 23630 VARGAS, LILIA MIDDAY MEALS, INC 06/29/18 GOLDSTEIN BENDER & ROMANOF 850 18WC 23654 BERDINE, FRANKLIN L PATTEN CATERPILLAR INDUST 06/20/18 O'CONNOR & NAKOS 851 18WC 23685 NG, CECILLIA UNITED AIRLINES, INC 11/24/17 ERIC H CHECK, LAW OFFICES 852 18WC 23713 GARCIA, UNEL RUIZ STORMS INDUSTRIES INC 07/24/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 853 18WC 23784 ERVIN, TIFFANY L METRO STAFFING & COMPANY 08/01/18 TIMOTHY HENDERSON 854 18WC 23808 NELSON, DWIGHT AMERICAN AIRLINES 07/14/18 ASHER, RAYMOND L LTD ROSARIO CIBELLA 855 18WC 23840 REYES, MANUEL GEORGIS CATERING, INC 07/06/18 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 856 18WC 23858 ALEMAN, ADRIAN PEDRO SSP AMERICA 08/20/17 JONATHAN SCHLACK 857 18WC 30164 HARRIS, MARVIN UNIVERSITY OF ILLINOIS 07/20/18 CHRISTIAN & MANNO POWER & CRONIN LTD 858 18WC 30329 WILLIAMS, MICHAEL SET ENTERPRISES INC * 10/01/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 859 18WC 30350 CHATMAN, DENISE REGIS INC D/B/A SUPERCUTS * 09/17/18 THERMAN LAW OFFICES ADELSON TESTAN BRUNDO 860 18WC 30374 DIMITROV, BOJIDAR R STAFF MANAGEMENT SOLUTION * 01/25/18 GALLAGHER, DONALD V 861 18WC 30405 LOMELI, ROSA MICHAEL FOODS/NATIONAL * 01/31/18 BAUM RUFFOLO & MARZAL LTD 862 18WC 30427 CELEDONIO, EDELMIRA M SINAI HEALTH SYSTEM * 08/22/17 BUDIN LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 863 18WC 30446 MORENO, ANEL COSTCO WHOLESALE CORP. * 09/30/18 ANKIN LAW OFFICE 864 18WC 30466 CORONA, FRANK COOK COUNTY DIVISION 08/R * 09/25/18 RUBIN MACHADO ROSENBLUM STATES ATTORNEY OF COOK COUN 865 18WC 30496 WHITE SHANNA MRV CONSTRUCTION * 08/26/18 JOHN S. ELIASIK 866 18WC 30516 018 SIMMONS, ANGELA R UNIVERSITY OF CHICAGO * 09/20/18 MINKOW DOMIN WIEDNER & MCAULIFFE LTD 018 14WC016269 -C 018 17WC036423 -C 867 18WC 30532 JONES, BRIAN SOUTHWEST AIRLINES * 07/29/18 KROL BONGIORNO & GIVEN LTD 868 18WC 30550 GARCIA, LUIS HICKEY ELECTRICAL CONTRAC * 08/20/18 HERRERA LAW CENTER 869 18WC 30602 SULLIVAN, ANNE UNITED CONTINENTAL HOLDIN * 05/25/18 BRIAN J MC MANUS & ASSOC, 870 18WC 30642 HALLMAN, CHARLES UPS * 09/22/18 MOGENSEN LAW LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 871 18WC 30665 MENDEZ, ROMARIO DISP PACK * 08/29/18 KATZ FRIEDMAN EAGLE ET AL CAPUANI, FRANK S 872 18WC 30689 JENSEN KELLY HORWITZ HORWITZ & ASSOCIA * 07/25/17 JOSEPH MARCINIAK 873 18WC 30693 WILLIAMS, TITILAYO HELP AT HOME * 08/07/18 WOLFE LAW PC 874 18WC 30714 ARRIAGA, MARIA G HAMPTON INN-HILTON * 10/04/18 COSTA IVONE LLC 875 18WC 30735 BELL, CASSANDRA COOK COUNTY JUVENILE DETE * 08/31/18 MARSZALEK AND MARSZALEK 876 18WC 30760 MANGAFIC, SNJEZANA NORTHWESTERN MEMORIAL HOS * 10/12/16 TAMVAKIS, GEORGE L 877 18WC 30785 GAMBLE, RANDY A UNITED FAST FOOD BEVERAGE * 07/11/18 STEVEN J MALMAN & ASSOCIAT 878 18WC 30809 WALKER MONTEZ TENET CONCEPTS * 09/24/18 ANGELINI & ORI LLC 879 18WC 30813 CHIQUITO, MARIA LUISA RANA MEAL SOLUTIONS * 04/10/18 MEYERS & FLOWERS 880 18WC 30833 LEWIS, IRENIA WILLIAMS CHRISTIAN DAYCAR * 04/30/18 ANKIN LAW OFFICE JOSEPH MARCINIAK 881 18WC 30852 WISHEW, ROGER MIKE HAGGERTY BUICK GMC * 08/17/18 ELFENBAUM EVERS & AMARILIO ROSARIO CIBELLA 882 18WC 30868 GREEN, CARMELITA DAY'S ADULT DAY CARE * 02/28/17 DWORKIN AND MACIARIELLO 883 18WC 30884 QUAGLIATO, ROBERT PRAIRIE MATERIAL * 09/18/18 BOWMAN & CORDAY PRETZEL & STOUFFER, CHRTD 884 18WC 30912 HARRIS, LASHONDA A RUSH UNIVERSITY MEDICAL C * 09/19/18 ANESI OZMON RODIN NOVAK KO 885 18WC 30929 CONTRERAS, MARIA B UNIVERSITY OF IL AT CHICA * 04/01/16 JOHN J CASTANEDA 886 18WC 30949 PHILLIPS, IRMA ASPIRE CHICAGO * 10/10/18 JAMES ELLIS GUMBINER & ASS 887 18WC 30987 SIMONSON, PAUL THE VILLAGE OF GLENVIEW * 01/04/18 PAPPAS & BELL NYHAN BAMBRICK KINZIE & LOWR 888 18WC 31063 ALEXANDER, ROLANDA COOK COUNTY * 09/25/18 LANNON LANNON & BARR LTD STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 889 18WC 31094 SAUCEDO, RUMALDO DOUGLAS PRESS, INC * 08/23/18 BAUM RUFFOLO & MARZAL LTD RODDY LAW LTD 890 18WC 31128 BROWN, KEVIN ARCELOR MITTAL INDIANA HA * 02/12/18 HORWITZ HORWITZ & ASSOC 891 18WC 31153 CHEN, TAI HUA UNITED AIRLINES INC. * 05/28/18 CULLEN HASKINS NICHOLSON 892 18WC 31174 FRANCO, ANDREW TWENTIETH CENTRY FOX FILM * 10/09/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 893 18WC 31191 PEREZ, ELAINE CITY OF CHICAGO * 08/21/17 KATHERINE A. CARDENAS 894 18WC 31196 COONEY, JONATHAN SPILLANE FIRE PROTECTION * 08/22/18 NILSON STOOKAL GLEASON CAP 895 18WC 31294 MICHALSKI, DAVID LEHIGH HANSON, INC * 11/23/15 RODDY LAW LTD 896 18WC 31325 LAVE, PAM LOREN CORPORATION * 10/10/17 GANAN & SHAPIRO 897 18WC 31397 ROMAN, ANDRE COOK COUNTY SHERIFF DEPT * 06/10/18 CUDA LAW OFFICES 898 18WC 31453 ROJAS, FERNANDO SERRANO LANDSCAPING, INC * 10/08/18 TOPPER & WEISS LTD 899 18WC 31489 GUZMAN, MARIA GOOD TO GO FOOD * 09/19/18 ACEVES & PEREZ PC CAPUANI, FRANK S 900 18WC 31512 TALLEY, LACHERIE PACE * 10/10/18 TIMOTHY HENDERSON 901 18WC 31554 PETTIGREW, LEONARD EMPIRE CASTING, LLC * 10/01/18 DAVID W MARTAY ROSARIO CIBELLA 902 18WC 31629 COULTER, PARRIS NATIONAL PASTEURIZED EGG * 10/11/18 DWORKIN AND MACIARIELLO 903 18WC 31666 SHEPHERD, JOSEPH MAKRAY MANUFACTURING CO, * 01/19/17 DUDLEY & LAKE LLC 904 18WC 31687 WESTMORELAND, MELISSA CHICAGO TRANSIT AUTHORITY * 10/15/18 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 905 18WC 31733 PIOTROWSKI, PETER ATLAS CONCRETE CUTTING * 07/03/18 HEALY SCANLON LAW FIRM 906 18WC 31747 WINSTON, MARCUS OZINGA * 10/17/18 EDWIN REYES LAW FIRM GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 907 18WC 31769 FAESTEL, KEVIN SCHNEIDER N'TL BULK CARIE * 09/19/17 POWER & CRONIN LTD 908 18WC 31792 HAMLETTE, MYRON C CHIQUITA BRANDS INTERNATI * 07/15/18 DEPAOLO & ZADEIKIS 909 18WC 31841 COPP, LYNNE DEPAUL UNIVERSITY * 02/06/18 HOLECEK & ASSOCIATES 910 18WC 31868 BURNSIDE, GINA UNITED CONTINENTAL HOLDIN * 05/28/18 KATZ FRIEDMAN EAGLE ET AL 911 18WC 31887 WALLS, KAREN RJB PROPERTIES INC * 09/18/18 JOHN J CASTANEDA HENNESSY & ROACH PC 912 18WC 31903 VARGAS, CELIA CREATIVE WERKS LLC (BORRO * 05/12/18 STEVEN B SALK & ASSOC LTD 913 18WC 31972 MEDEL, BRISA ELITE STAFFING * 09/29/18 EPSTEIN, JACK R LAW OFFICE 914 18WC 31994 OLSEN, SUSAN UNITED AIRLINES INC. * 09/09/18 RIDGE & DOWNES 915 18WC 32012 FLOOD, SEAN METROPOLITAN PIER & * 09/11/18 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 916 18WC 32027 RIVKIN, CHRISTINE CITY OF CHICAGO DEPT OF * 09/27/18 ANKIN LAW OFFICE 917 18WC 32058 CLARK, LESHA UNITED AIRLINES * 12/21/17 HEALY SCANLON LAW FIRM 918 18WC 32060 BOOKER, WILNEKA GREAT LAKES CARING * 09/01/18 DAVID W MARTAY 919 18WC 32076 ESCOBEDO, MONICA COOK COUNTY SHERIFF DEPT * 08/19/18 CUDA LAW OFFICES 920 18WC 32092 VAZQUEZ, BEATRIZ CORCODIA PALACE * 09/11/18 DAVID W MARTAY 921 18WC 32114 WADE, DEIDRE UPS * 08/08/18 DWORKIN AND MACIARIELLO 922 18WC 32128 THOMSON-TAYLOR, PATRICIA SEGUIN SERVICES * 10/10/18 STEVEN J MALMAN & ASSOCIAT 923 18WC 32145 TRAMMELL, SUSAN R UNITED CONTINENTAL HOLDIN * 10/21/18 KATZ FRIEDMAN EAGLE ET AL 924 18WC 32166 LONGORIA, YOLANDA JOURNEYCARE, INC. * 09/05/16 ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 925 18WC 32184 MOELLER, JACQUELINE MOSCI JOFFREY BALLET * 12/27/17 LANNON LANNON & BARR LTD 926 18WC 32206 REVUELTA, JORGE L GARCIA RESTAURANT HOLDINGS LLC D * 10/15/18 POMPER & GOODMAN 927 18WC 32286 WOJCIK, WILLIAM PACKAGING CORPORATION * 07/27/18 DEPAOLO & ZADEIKIS 928 18WC 32309 DONDA, TOMASZ MOTION PR - THE MOTION AG * 07/17/18 ROMANUCCI & BLANDIN 929 18WC 32332 SOMERVILLE, SCOTT AT&T * 01/15/18 ANESI OZMON RODIN NOVAK KO 930 18WC 32350 RENT, JAMES ADVANCED CONSTRUCTION * 08/10/18 ANKIN LAW OFFICE 931 18WC 32353 SLANSKY, LINDA D HCR MANOR CARE * 09/03/18 WILLIAM H MARTAY 932 18WC 32391 HERNANDEZ-LEAL, ALBERTO CHEESE MERCHANTS OF AMERI * 08/23/18 LULAY LAW OFFICES 933 18WC 32427 PEREZ, CHRISTINE UNITED AIRLINES * 08/26/18 RUBENS KRESS MULHOLLAND 934 18WC 32484 JOHNSON, WILLIE MONDELEZ INTERNATIONAL * 07/30/18 HORWITZ HORWITZ & ASSOC 935 18WC 32508 GURROLA, TAMI FEDEX * 09/20/18 GREGORIO & MARCO 936 18WC 32539 LEWEY, JOANNA HAPPY MAIDS * 09/10/18 HANNIGAN & BOTHA, LTD 937 18WC 32553 ELLIOTT, ROBERT YRC WORLDWIDE * 06/29/18 KROL BONGIORNO & GIVEN LTD 938 18WC 32578 ROY, CARL VITALANT * 10/25/18 DWORKIN AND MACIARIELLO 939 18WC 32594 ZAREMEBA, MAREK COAST CONNECTION, INC * 04/09/17 CHRISTOPHER BUCHCAR, LTD 940 18WC 32617 LEDESMA, JAVIER ANTHONY MARANO CO, INC * 06/15/17 HOLECEK & ASSOCIATES 941 18WC 32638 STIMAC, PAUL CITY OF CHICAGO DEPT OF 2 * 09/26/18 STEWART C ORZOFF 942 18WC 32658 SKINNER, GROVER KOPPERS INC. * 03/29/18 LEONARD LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 943 18WC 32754 SANTANA, OMAR BUBBLES, LLC * 08/14/18 BRADY CONNOLLY & MASUDA PC 944 18WC 32772 RILEY, LONZO II VILLAGE OF DOLTON * 10/04/16 CORNFIELD & FELDMAN 945 18WC 32798 HEALY, WILLIAM J NORTH PALOS SCHOOK DIST 1 * 08/15/17 ANESI OZMON RODIN NOVAK KO 946 18WC 32820 JACOBSON, ANDREW EAGLE EXPRESS LINES * 01/13/18 DEPAOLO & ZADEIKIS 947 18WC 32837 PEARSON, PHILLIP N CITY OF CHICAGO * 10/07/18 ANKIN LAW OFFICE 948 18WC 32880 BARAN, RUBEN FEDEX GROUND * 09/25/18 WARREN W MARK 949 18WC 32922 FUENTES, ALEJANDRO QUALITY ASSURANCE/ * 10/26/18 ANKIN LAW OFFICE 950 18WC 32948 ARROYO, GUADALUPE POLYONE CORP * 07/27/18 SALVATO O'TOOLE FROYLAN 951 18WC 32984 SINGH, MICKEY KENNEDY KING COLLEGE * 04/23/18 KEEFE CAMPBELL BIERY & ASSOC 952 18WC 33017 ARROYO, ERIC FIRESTONE * 06/20/18 CARONE LAW OFFICES 953 18WC 33070 THOMPSON, TIMOTHY MAP AUTOMOTIVE OF CHICAGO * 09/11/18 CUSHING LAW OFFICES 954 18WC 33094 GUBRICKY, REGINA ECHO JOINT AGREEMENT * 10/15/18 SAUNDERS CONDON & KENNY 955 18WC 33119 DIAZ, RUBEN GRAPHIC PCKGNG INTERNATIO * 05/21/18 THE ROMAKER LAW FIRM 956 18WC 33137 GUZMAN, TOMAS THE HABITAT COMPANY * 09/07/18 SALVATO O'TOOLE FROYLAN 957 18WC 33157 GRAY, JAMESE C.R. ENGLAND TRUCKING * 10/24/18 CHEPOV & SCOTT LLC 958 18WC 33200 DE JESUS, MIGUEL ROSE PACKING COMPANY * 11/20/17 NYHAN BAMBRICK KINZIE & LOWR 959 18WC 33236 DUVAL, WALTER UNITED AIRLINES * 09/29/18 STEVEN J TENZER, LTD 960 18WC 33265 ANDERSON, ANDREW PRIME ELECTRIC * 09/18/18 LUSAK AND COBB

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M CIECKO, THOMAS 015 ARBITRATION CALL FOR CHICAGO 99015 ON 12/11/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 961 18WC 33294 FAULKNER, TOMMY II WERNER ENTERPRISES INC DB * 10/24/18 COVEN LAW GROUP 962 18WC 33316 MCCREEDY, STEVEN COOK COUNTY SHERIFF DEP O * 06/14/18 CUDA LAW OFFICES 963 18WC 33332 POLK, CONSTANCE JEWEL OSCO * 05/25/18 MC HARGUE & JONES 964 18WC 33354 DEFRANCESCO, GIUSEPPE ENVOY AIR * 10/16/18 SIGMOND, STEVEN 965 18WC 33380 GOLDEN, TEMEKA CTA * 09/28/18 WILLIAM B MEYERS, LTD 966 18WC 33410 JEFFERSON, MONICA HEALTH CARE SERVICES * 11/01/16 DWORKIN AND MACIARIELLO 967 18WC 33429 MEDINA, MARIA GARFIELD ELEMENTARY SCHOO * 08/31/18 GAINES & GAINES 968 18WC 33444 RICHARDSON, SHEILA UNIFIED CML * 10/30/18 POLANSKY & CICHON CHTD 969 18WC 33466 FORESTA, MARY FORD MOTOR CO * 09/20/18 KATZ FRIEDMAN EAGLE ET AL 970 18WC 33493 GARCIA, HUGO FRANK A EDMUND & CO, INC * 10/05/18 KARCHMAR & STONE 971 18WC 33518 JORDAN, KENNY SONOMA UNDERGROUND * 08/28/18 LEONARD LAW GROUP LLC 972 18WC 33532 STURGES, DONALD E LILY TRANSPORTATION CORP * 10/19/18 VITELL & SPITZ LTD 973 18WC 33553 PABELLO, MAURO HENEGHAN WRECKINGEXCAVATN * 10/26/18 DEPAOLO & ZADEIKIS 974 18WC 33576 EDMONDS, CORDELL GREYHOUND LINES, INC * 10/07/18 CORBOY & DEMETRIO PC 975 18WC 33605 PICO, ANGEL KROPP FORGE * 10/29/18 JAMES ELLIS GUMBINER & ASS

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