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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 08WC 43288 DAMON, BARRY STATEOF ILLINOIS @ 08/04/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 16WC025506 -C IL DEPT OF CORRECTIONS 16WC025507 -C ILLINOIS DEPT OF CORRECTIO 16WC025508 -C 16 08WC 48821 DARSIPUDI, VIJAI ILLINOIS DEPARTMENT 09/06/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC026435 -C IL DEPT OF CORRECTIONS 10WC032100 -C 12WC029763 -C 17 09WC 03939 KASSENOFF, CATHY ATI PHYSICAL THERAPY 08/25/08 SOSTRIN AND SOSTRIN PC LAW OFFICES OF EDWARD J. KOZ 18 09WC 15598 LONG, ROBERT STATE OF ILLINOIS @ 04/30/06 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 19 09WC 24532 SCHMIDT, LINDA STATE OF IL DJJ IYC JOLET @ 05/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 20 09WC 39271 MCLELLAND, ERIC P IL DEPT OF CORRECTIONS- @ 08/09/09 MCNAMARA PHELAN MCSTEEN, L ASSISTANT ATTORNEY GENERAL 21 09WC 42449 CARR, XAVIER HOME CHOICE 07/27/09 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 22 10WC 00658 HOWARD, CAROL J FAMILY CHRISTIAN STORES 10/08/09 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 23 10WC 06898 VERONESI, SHARON LEE MONREAL D/B/A AMERICA W 06/10/09 BLOCK, KLUKAS & MANZELLA P 24 10WC 08234 KERR, HAMPTON ILLINOIS DEPT OF CORRECTI @ 02/06/10 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 13WC024823 -C IL DEPT OF CORRECTIONS 25 10WC 11186 MCGAUGHY, SARAH SALEM VILLAGE NURSING HOM 02/07/10 BLOCK, KLUKAS & MANZELLA P THOMAS & PORTELA 26 10WC 11536 SCHWARZ, DALE STATE OF ILLINOIS 01/01/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 27 10WC 12596 WILDA, CARL STATE OF ILLINOIS DEPT @ 03/10/10 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 28 10WC 14150 REEVES, JODY SARAH MINI-MART W 01/07/10 HORWITZ HORWITZ & ASSOC 29 10WC 27067 NILES, LEE FAMILY DOLLAR 05/11/10 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 30 10WC 34651 COOPER, MEGAN STATE OF ILLINOIS @ 08/19/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 10WC 36396 GARVEY, TERRANCE ST OF IL DJJ IYC JOLIET @ 03/30/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 32 10WC 40448 WALKER, ROBERT GROUP O SUPPLY CHAIN/CATE 09/30/10 BLOCK, KLUKAS & MANZELLA P KNELL LAW LLC 33 10WC 42018 AGUILAR, EVERADO CASTRO'S LANDSCAPING W 09/29/10 KATZ FRIEDMAN EAGLE ET AL 34 10WC 43042 KAPP, WILLIAM WILL COUNTY SHERIFF'S DEP 07/29/00 SAUNDERS CONDON & KENNY HINSHAW & CULBERTSON 35 10WC 44020 GADBOIS, CINDY JEWEL-OSCO 04/08/10 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 36 10WC 44607 SZORC, KRZYSTOF ILLINOIS DEPARTMENT @ 08/12/10 R. MARK MARITOTE PC ASSISTANT ATTORNEY GENERAL 37 10WC 46973 NUNEZ, JESUS R & S DRYWALL CORP 11/09/10 HEALY LAW FIRM RUSIN & MACIOROWSKI LTD 38 11WC 06549 SPRINGER, ALISA STATE OF ILLINOIS @ 01/18/11 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 39 11WC 17171 TORRES, PHILIP WILL COUNTY HEALTH DPT 10/08/08 TONY L BRASEL HINSHAW & CULBERTSON 40 11WC 22989 GRAY, DOUGLAS BMS ENTERPRISES 11/02/09 COHN LAMBERT RYAN & SCHNEI CASSANO & ASSOCIATES 41 11WC 26379 WATSON, RAY ORANGE CRUSH LLC 10/26/10 HORWITZ HORWITZ & ASSOC NICHOLAS M. BIGONESS 11WC026380 -C 42 11WC 29518 TAYLOR, DANIELLE STATE OF ILLINOIS @ 04/27/11 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 43 11WC 35365 LEON, NATALIE PNC BANK 02/01/11 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 44 11WC 44860 JOHNSON, BILLY ST OF IL DEPT OF CORRECTI 11/05/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 45 11WC 44977 MITCHELL, SHIRLEY ADDUS HEALTHCARE 08/19/11 HENNESSY & ROACH PC 09WC030158 -C 46 11WC 46988 19B PITTMAN, TONY JOLIET SCHOOL DISTRICT #8 06/02/10 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 11WC046989 -C 11WC046990 -C 47 11WC 48491 VANDYKE, MARGARET WILL COUNTY COMMUNITY 08/16/11 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 12WC 02941 SALAZAR, SONJA SALEM VILLAGE 12/07/11 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 49 12WC 07344 MUDRON, PATRICIA PROVENA ST JOSEPH 08/10/11 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 50 12WC 08617 SHANKLE, JOHN RISELING MOTOR EXPRESS 01/26/12 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 13WC016835 -C 51 12WC 12503 MOYERS, JEFFREY LIGHTNING MOTORS W 12/26/11 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 52 12WC 13702 LOPEZ, VALENTIN STATEVILLE CORRECTIONAL C @ 01/14/12 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 53 12WC 14835 SCHWARZ, DALE ST OF IL, DEPT OF CORRECT @ 05/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 54 12WC 21596 BRONKE, BRIAN RR DONNELLY 05/14/12 PORRO NIERMANN LAW GROUP HENNESSY & ROACH 12WC021597 -C 13WC024555 -C 55 12WC 23223 VERTIZ, GUSTAVO GAYTAN SIGNS W 06/20/12 CULLEN HASKINS NICHOLSON 56 12WC 23443 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 05/17/11 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 13WC030720 -C 13WC030721 -C 14WC012145 -C 16WC027616 -C 57 12WC 23630 SHORE, CAROL SILVER CROSS HOSPITAL 10/17/11 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 58 12WC 27085 LOPEZ-RANGEL, ALEXCI SDLR ENTERTAINMENT INC D/ W 12/10/11 GALLIANI DOELL & COZZI LTD RATHBUN CSEVENYAK & KOZOL 59 12WC 27374 DINTERMAN, EVAN CEDAR ELECTRIC @ W 06/06/12 SAUNDERS CONDON & KENNY LEITER LAW OFFICES 60 12WC 28183 19B MUFICH, MARK ILLINOIS DEPARTMENT @ 11/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 61 12WC 28823 SCISSOM, CAROLYN UNITED CEREBRAL PALSY OF 09/19/11 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 12WC 31557 STOKES JR, SAMUEL L JOLIET HOUSING AUTHORITY 02/23/12 BRIAN T MORROW, LAW OFFICE THOMAS & ASSOCIATES 63 12WC 32772 GORDON, LAWRENCE ILLINOIS DEPARTMENT OF @ 04/28/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 13WC020953 -C ST OF IL DEPT OF CORRECTIO 64 12WC 34936 LARMON, DANIEL M METROPOLITAN TRUCKING 08/11/11 ROMANUCCI & BLANDIN STONE & JOHNSON CHARTERED 65 12WC 35221 SILVA, KATHERINE PARTY CITY 03/29/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 10WC003328 -C 66 12WC 39146 WAHLMAN, JAMES DIRECTSAT USA LLC 12/12/11 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 67 12WC 42872 REYNOLDS, SAMUEL S F.E. MORAN 04/08/08 CORTI ALEKSY & CASTANEDA 68 12WC 44174 LOFTIS, JOY L COUNTY OF WILL 09/12/12 FABRIZIO, HANSON PEYLA ET 69 12WC 44416 OLSON, DARRELL COAL CITY MUNICIPAL CORP 10/06/12 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 15WC003263 -C 70 13WC 03113 SIZEMORE, LESLIE PANERA BREAD 09/24/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 71 13WC 04712 HOUSTON, BENJAMIN IL DEPT OF CORRECTIONS 10/02/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 14WC023839 -C IDOC STATESVILLE PRISON 72 13WC 10089 ZAMUDIO, NORA HARRAHS CASINO 07/13/12 BRISKMAN BRISKMAN GREENBER NOBLE & ASSOC 16WC005216 -C 73 13WC 15790 PARRA, MARIA UNISTAFF, INC 12/04/12 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 74 13WC 16350 DU CHARME, WILLIAM ST OF ILL DEPT OF CORRECT @ 02/13/13 RATHBUN, CSERUVENYAK & KRO ASSISTANT ATTORNEY GENERAL 75 13WC 16405 JORGENSEN, JAKE R ST OF IL STATEVILLE PRISO @ 03/30/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 76 13WC 18989 LUTZ, PAUL M ST OF IL DEPT OF CORRECTI @ 08/30/12 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 13WC 19788 HARTKORN, CRAIG AMEX NOOTER, LLC 05/11/13 SCHWEICKERT & GANASSIN KNELL LAW LLC 78 13WC 23420 PRAWDZIK, GREG HOMER TOWNSHIP FIRE 03/29/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 14WC029423 -C 79 13WC 23687 NALLEY, MICHAEL D COUNTY OF WILL 06/26/12 CIARDELLI CUMMINGS CAMPAGN KNELL & O'CONNOR 80 13WC 25891 ROBB, MARY PACE 04/26/13 LAW OFFICE DAVID W CLARK POWER & CRONIN LTD 81 13WC 27459 SUMNER, JEFFREY CASSENS TRANSPORT COMPANY 11/10/11 ANGELINI & ORI LLC KNAPP, OHL & GREEN 13WC031452 -C 15WC025707 -C 82 13WC 30661 MC GEE, DAVID STATEVILLE CORRECTIONAL C 09/11/12 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 83 13WC 36456 MANOS, JOHN P ATLANTIC PLANT SERVICES 06/04/13 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 84 13WC 37547 ZIEGLER, BETTE ILLINOIS TOLL 10/06/13 ANGELINI & ORI LLC GANAN & SHAPIRO 85 13WC 38443 WEATHERSBY, BRIAN ST OF IL C/O STATEVILLE @ 07/17/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 86 13WC 39100 ROXBERG, BRYAN BARTON CARROLS 11/01/13 MCNAMARA PHELAN MCSTEEN LL 87 13WC 40018 MILLER, WANZA AMERICAN INN LODGE & SUIT 11/02/13 MARSZALEK AND MARSZALEK PERRY GENTILE 88 13WC 40968 JORDAN, JOEY M STATEVILLE CORRECTION CEN @ 04/17/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC041517 -C 14WC027527 -C 16WC010389 -C 89 13WC 42499 FERGUSON, THOMAS GENERAL MACHINE AND TOOL 07/02/12 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 90 14WC 00498 DICOSOLA, THOMAS TRADESMAN INTERNATIONAL 12/09/13 SALVATO & O'TOOLE 91 14WC 01897 WALSH, MICHELLE SILVE CROSS HOSPITAL 11/06/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 92 14WC 02590 WILLIAMS, RHONDA ST OF IL DOC PAROLE DEPT @ 12/11/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 93 14WC 02658 LEE, WHITNEY ILLINOIS DEPT OF CORRECTI 01/17/14 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 14WC027215 -C STATEVILLE CORRECTIONAL 94 14WC 04430 MC FARLAND, RANDALL L STATE OF ILLINOIS DOC @ 12/25/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 95 14WC 07012 VALDEZ, MARISSA JOHA 07/01/13 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 96 14WC 08270 ANGEL, GUDELIA WILTON BRANDS INC 01/20/14 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 97 14WC 09596 FAULKNER-PRIDE, CLORINDA SILVER CROSS HOSPITAL 02/04/14 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 98 14WC 11837 SMITH, GALE L ILLINOIS STATE POLICE @ 10/25/12 DWORKIN AND MACIARIELLO 99 14WC 12823 WEICHMANN, THOMAS B AT MECHANICAL LLC 02/14/14 ANGELINI & ORI LLC THOMAS & ASSOCIATES 100 14WC 13544 COOLEY, NICOLE SILVER CROSS HOSPITAL 09/18/13 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 101 14WC 13881 JENNINGS, DWAYNE ILLINOIS STATE POLICE 04/03/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 15WC004300 -C ST OF IL DEPT OF 102 14WC 14500 VANWERT, DONNA WILL COUNTY FOREST PRESER 03/04/13 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 16WC006318 -C 103 14WC 14739 STANFORD, LARRY H. CALUMET LIFT TRUCK SERVIC 11/27/13 FABRIZIO, HANSON & PEYLA WOLFE & JACOBSON, LTD 104 14WC 15352 NATOUR, MAITHAM D & N TRANSPORTATION 02/20/14 SEIDMAN MARGULIS & FAIRMAN 105 14WC 17967 MANNING, GERMAINE STATESVILLE CORRECTIONAL @ 05/19/14 SHELDON I MINKOW & ASSOCIA ASSISTANT ATTORNEY GENERAL 106 14WC 18312 MARTINEZ, ARNULFO PURPLE ONION INC 05/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 107 14WC 20078 ALVARADO, MARIA ELENA STAFFMARK AND SONY MUSIC 11/21/11 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 108 14WC 21367 19B CORTEZ, ROGELIO AJ OSTER 11/19/13 RATHBUN CSEVENYAK & KOZOL HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 109 14WC 21714 SANTORO, THOMAS ENERGY SERVICES AIR 01/01/14 VRDOLYAK LAW GROUP LLC EVANS & DIXON 110 14WC 22738 ANDE, DARLEEN K STATE OF IL @ 03/11/14 GOLDBERG WEISMAN & CAIRO L 111 14WC 23553 DONALD, JEAN STATE OF ILLINOIS @ 03/05/14 KUMLIN & FROMM ASSISTANT ATTORNEY GENERAL 112 14WC 23598 MANDAT, RHONDA ISLAND CITY REHAB CENTER 12/20/13 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 15WC005423 -C APERION CARE WILMINGTON 113 14WC 24140 TOWNSEND, JAMES E JB HUNT TRANSPORT INC 12/14/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 114 14WC 24789 O'DONNELL, MARIA WALMART 03/24/14 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 115 14WC 24921 HUBBERT, DAVID QSC CONTRACTING LLC 06/27/14 LAW OFFICE OF SCOTT B SHAP 116 14WC 26132 THORSON, MICHELE OSWEGO CUSD 308 01/20/12 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM GRA 117 14WC 29042 LEWIS, UNIQEK SHELBY SCHOLARS DAYCARE 1 06/21/14 LAW OFFICE OF SCOTT B SHAP 14WC029043 -C 118 14WC 29157 QUINONEZ, CORINA MENARD'S 12/01/11 MCNAMARA PHELAN MCSTEEN LL EVANS & DIXON 119 14WC 30287 SERRANO, JUAN M EWING TRUCKING INC 07/21/14 CULLEN HASKINS NICHOLSON SALVATO & O'TOOLE 120 14WC 30741 GARCIA, RICARDO LOGOPLASTE 03/22/14 LAW OFFICES TIMOTHY LAMPIN LAW OFFICES JOSEPH MARCINIAK 121 14WC 31597 SINANOSKI, ISA TVI LOGISTICS AND W 07/28/14 BART DURHAM 122 14WC 32208 MOORE, LORENZO REINHART 09/07/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 16WC000890 -C US FOODS 123 14WC 32330 BERRY, DONRASOUL ILLINOIS TOOL WORKS 06/17/14 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 124 14WC 33331 ROSALES, CHRISTIAN ELITE STAFFING 05/18/14 EPSTEIN, JACK R LAW OFFICE MARC CAIRO 125 14WC 35149 KULAK, JAN FIRST WEST EXPRESS 09/30/14 CHEPOV & SCOTT LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 14WC 38074 PARISI, LINDA STATEVILLE PRISON 01/08/14 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 127 14WC 38917 PFISTER, WILLIAM C WESTWAY COACH 08/22/14 FABRIZIO, HANSON & PEYLA GALLIANI DOELL & COZZI LTD 128 14WC 40649 SALERNO, ROBERT J JR FIVE STAR TENNIS CENTER 10/02/14 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 129 14WC 43575 MARTIN, RHONDA VALLEY VIEW SCHOOL 10/31/14 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 130 15WC 01172 GIBSON, ERIC ST OF IL C/O STATEVILLE @ 07/08/13 PETER C KOPOULOS ILLINOIS ATTORNEY GENERAL 131 15WC 01474 CUNDIFF, ROBERT PREMIERE ON BOARD 11/26/14 LEONARD LAW GROUP LLC 132 15WC 02051 GREEN, CHARLES JOLIET GRADE SCHOOL DIST 09/15/14 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 15WC002052 -C 16WC002270 -C 133 15WC 04442 COLLINS, TAWAII M ST. JAMES WELLNESS 02/01/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 134 15WC 04801 GASKIN, SANDRA VALLEY VIEW SCHOOL DIST 3 10/02/14 ANKIN LAW OFFICE KNELL & O'CONNOR 18WC002072 -C 135 15WC 05221 BRAMEL, MARK PREMIER EMPLOYEE SOLUTION 01/15/15 EPSTEIN, JACK R LAW OFFICE 136 15WC 05529 DIAZ, LAURA INNOTRAC 09/03/14 LAW OFFICES MICHAEL HELLMA LAW OFFICES JOSEPH MARCINIAK 137 15WC 05756 PERSSON, NICHOLAUS E TERRY'S FORD OF PEOTONE 10/16/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 138 15WC 06262 DORNER, SANDRA MENARD, INC 09/23/14 VRDOLYAK LAW GROUP LLC EVANS & DIXON 15WC006263 -C 139 15WC 06825 ARNOLD, SAM F JR US COLD STORAGE 01/25/15 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC 140 15WC 06946 QUINN, JOSEPH STATE OF ILLINOIS - IDOT @ 01/27/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 141 15WC 08361 BROWN, DARLENE IL DOC - STATEVILLE @ 01/22/13 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 142 15WC 10260 STOVALL, STEPHEN CITY OF JOLIET DEPT. 02/24/15 RIDGE & DOWNES ROSARIO CIBELLA 16WC012084 -C 143 15WC 10446 ABERNATHY, CAROLYN-WIDOW STATEVILLE CORRECTIONAL C 03/05/15 HORWITZ HORWITZ & ASSOC MALLORY ZIMET 17WC007304 -C 144 15WC 10506 HOUSE, CALLIE JB HUNT 02/09/15 DWORKIN AND MACIARIELLO GRANT & FANNING 145 15WC 11671 CLARK, PAMELA FIRST MIDWEST BANK 02/13/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 146 15WC 12103 KIRINCICH, JANINA GRUNDY COUNTY SPECIAL ED 01/08/10 RATHBUN CSEVENYAK & KOZOL 147 15WC 13009 MOFFETT, CASSANDRA VALLEYVIEW SCHOOL 12/02/14 JAMES J. GAY KNELL O'CONNOR DANIELWICZ 148 15WC 13097 REDD, GREGORY STATE OF ILLINOIS @ 03/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 149 15WC 13304 BARTLETT, AMY STATE OF ILLINOIS 03/07/14 GOLDBERG WEISMAN & CAIRO L ILLINOIS ATTORNEY GENERAL 150 15WC 13813 ALLEN, DEBRA MORNING STAR MISSION 08/21/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 151 15WC 15644 ALAMOS, RAMON KENT PRECISION FOODS GROU 04/24/15 LUIS A ACEVES & ASSOC MICHAEL BEST & FRIEDRICH LLC 152 15WC 16087 RAMIREZ, MARIO THERMAL KINETICS CORP 06/16/14 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 153 15WC 16286 RAMIREZ, MARIO THERMAL KINETICS CORP 02/05/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 154 15WC 18659 DUNMARS, SHAFIAH ST OF IL DOC STATEVILLE @ 05/11/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 155 15WC 19002 PRAWDZIK, GREGORY HOMER TWNSHP FIRE DISTRIC 11/07/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 156 15WC 20001 DOHERTY, WILLIAM IDOT 02/26/15 EVAN A HUGHES LAW OFFICE ILLINOIS ATTORNEY GENERAL 157 15WC 21659 TAYLOR, GARY PARSEC INC 12/25/14 BUDIN LAW OFFICES RUSIN & MACIOROWSKI LTD 158 15WC 22123 KEANE, MICHAEL HOME DEPOT 01/19/14 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 15WC 23501 SANCHEZ, JOSE MENDOZA LAKEWOOD CARPENTRY SERVIC 06/25/15 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 160 15WC 26086 VAUGHN, MICHAEL MIDWAY INDUSTRIAL 07/02/15 LITCHFIELD CAVO 161 15WC 26264 FAVIA, FRANK JEWEL OSCO 03/08/15 WOODRUFF & JOHNSON 162 15WC 26352 GOMEZ, BENJAMIN WEST LIBERTY FOODS 06/12/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 163 15WC 26871 MELQUIADES, GIOVANNI D&D MANUFACTURING, INC. 11/19/14 DEPAOLO ZADEIKIS GORE 164 15WC 27907 RIVERA, JUAN DAVIS STAFFING 08/11/15 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC 165 15WC 28440 BEY, PATRICIA JOLIET PUBLIC SCHOOLS 06/10/15 ANKIN LAW OFFICE ROSARIO CIBELLA 166 15WC 28962 RUSS, MARY RML SPECIALTY HOSPITAL 02/16/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 15WC028963 -C 167 15WC 29488 STACY, BRENDA AUTOBAHN COUNTRY CLUB 07/02/09 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 168 15WC 31654 NYSTROM , JODI L LINCOLN WAY SPECIAL EDUCA 09/11/15 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 169 15WC 32696 SAYAGO, MARGARITA ELITE STAFFING 09/14/15 DWORKIN AND MACIARIELLO 170 15WC 32735 GARCIA, RUBEN RASNER ENTERPRISES, INC 05/07/15 RUEDA, IVAN A 171 15WC 34517 DROWER, DOLORES PLAINFIELD SCHOOL 01/23/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 172 15WC 34792 DENT, MICHAEL A XPO LOGISTICS 06/24/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 173 15WC 34893 PAYNE, JANET PRESENCE HEALTH CARE SYST 03/04/14 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 174 15WC 35216 THIESSE, ANDREW STATE OF ILLINOIS @ 08/06/14 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 15WC 35591 FLYNN, MARK STATE OF IL, DEPT OF @ 07/24/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTY GENERAL 176 15WC 35605 URQUIZA, ALMA ADVENTIST BOLINGBROOK 02/11/15 JONATHAN SCHLACK STONE & JOHNSON CHARTERED 15WC035606 -C 177 15WC 36043 NESE, RICHARD PERFORMANCE FOOD GROUP, I 10/20/15 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 178 15WC 36773 KESKE, BONNIE PLAINFIELD SCHOOL DIST 20 01/16/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 179 15WC 36990 MORROW, REGINALD BANNER PERSONNEL SERVICE 11/01/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 180 15WC 37955 OLAGUEZ, MIGUEL A CENTRAL GROCERS INC 12/24/13 KELLY & KING ROSARIO CIBELLA 181 15WC 39106 GUTIERREZ, ANTONIO QUANTUM CROSSINGS 10/29/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 182 15WC 39478 PUTRICH, MICHAEL WILL COUNTY SHERIFF DEPT 10/29/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 183 15WC 41586 WARSAW, RICHARD W SOLVAY USA 12/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 184 15WC 42593 EGGLESTON, CIERA D&U UNITED CORP 10/26/15 PORRO NIERMANN LAW GROUP KURT E. VRAGEL JR PC 15WC042595 -C SDVD/SKIRDOVIDA CORP 185 16WC 00330 LARSON, DONALD CATERPILLAR INC 11/17/15 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 186 16WC 00921 VILLAGOMEZ, LILIA HICKORY FARMS DIST CTRAND 09/25/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 187 16WC 03775 MARINO, DON JOLIET PUBLIC SCHOOL 01/04/16 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 188 16WC 04320 KOTALIK, DARLINE JEWEL-OSCO 12/23/15 MCNAMARA PHELAN MCSTEEN LL 189 16WC 05008 AMEGASHIE, THEORDORE K LODERS CROKLAAN USA LLC 02/05/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 190 16WC 05009 AMEGASHIE, THEODORE K LODERS CROKLAAN USA LLC 04/10/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 191 16WC 05657 GALL, BRADLEY EDON CONSTRUCTION 11/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 16WC 06059 GIVENS, ESELINA "DOLLY" ILLINOIS DEPT OF CORRECTI @ 01/19/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 193 16WC 07020 HORN, JAMES I H SERVICES INC 02/12/16 LAW OFFICES TIMOTHY HENDER WIEDNER & MCAULIFFE LTD 16WC007021 -C 194 16WC 07040 CARVER, JAMES DISCOUNT TIRE 02/03/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 19WC002295 -C 195 16WC 07453 DELGADO, JOSE GAYTAN SIGNS 03/06/13 LAW OFFICE HUGO ORTIZ 196 16WC 08327 MASCOTE, NICAULY AXCESS STAFFING 10/29/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 197 16WC 08447 CUELLAR, JOSE ELITE LOGISTIC SERVICES 11/02/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 198 16WC 08732 SCOLES, JASON RIGGS DISTIER 01/22/16 ROBIN LAW OFFICE 199 16WC 08771 NUNEZ, CHERYL JOLIET HIGH SCHOOL 01/19/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 200 16WC 08778 STRICKLIN, ALYSSA NETCYCLER INC. 01/17/16 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 201 16WC 08867 BLAKNEY, RALPH J B HUNT TRANSPORT INC 11/16/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 202 16WC 08957 NEWELL, DEBBRA FARRAGUT ELEMENTRY SCHOOL 09/10/15 STROM, NEAL B HENNESSY & ROACH PC 203 16WC 09167 HICKS, CHARLES JOLIET SCHOOL 03/01/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 204 16WC 09774 LOPEZ, MINERVA AMERISOURCE BERGIN 10/20/15 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 16WC011985 -C 16WC036226 -C 205 16WC 10578 MC CABE, MARK W CITY OF JOLIET 03/10/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 206 16WC 10617 MCCOLLUM, MATTHEW SYBARIS CLUB 06/10/15 KARCHMAR & STONE HOLECEK & ASSOCIATES 207 16WC 10909 MURPHY, ROBERT MARIANOS' 03/25/15 GOLDBERG WEISMAN & CAIRO L 208 16WC 10928 JACKSON, TERESA JEWEL-OSCO 11/30/15 SAUNDERS CONDON & KENNY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 16WC 11199 BANKS, SAMITRA SILVER CROSS HOSPITAL 03/09/16 STEWART C ORZOFF RUSIN & MACIOROWSKI LTD 210 16WC 12219 WIRTH, NORRINE XPO LOGISTICS, INC 08/25/15 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 16WC035504 -C 211 16WC 12655 DODSON, ROBERT A JR BECTON DICKINSON & COMPAN 09/11/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM GRA 212 16WC 13986 GUTIERREZ, MICHAEL GUARDIAN ANGEL COMMUNITY 12/04/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 213 16WC 15641 FRANCO, ARELI RUBI IL SEC OF STATE DRIVER SE @ 04/09/16 PARENTE & NOREM PC MALLORY ZIMET 214 16WC 15903 GABOR, WILLIAM BCE NEXXIA CORPORATION 03/21/16 STROM, NEAL B LAWRENCE COZZI - LAW OFFICE 215 16WC 16333 RODRIGUEZ, ORLANDO CLEAN HARBOR'S ENVIRONMEN 04/28/16 MC HARGUE & JONES EVANS & DIXON 216 16WC 16760 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 01/26/16 EPSTEIN, JACK R LAW OFFICE 217 16WC 16795 TROYNER-SANDERS, RHONDA JOLIET STAFFING/TRADER JO 04/11/16 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 218 16WC 16906 ARELLANO, ART CITY OF JOLIET 03/23/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 219 16WC 17183 WERRY, JOHN FAIRBANKS SCALES, INC. 01/14/15 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 220 16WC 18115 RILEY, JERRY FAMILY LOGISTIC INC 04/28/16 FINE, MARK S LAW OFFICES 221 16WC 18887 SCHUSTER, MICHAEL TURNER INDUSTRIES GRP, LL 12/10/13 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 222 16WC 19108 CHANEY, BILL USF HOLLAND 06/09/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 223 16WC 20609 MC CASLAND, MICHAEL SEARS HOLDING COMPANY 06/07/16 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 224 16WC 20674 SOSA, DOMINIQUE COVIDIAN AND METRONIC 06/15/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 225 16WC 20808 SANDERS, KATHLEEN PROGRESSIVE PETROLEUM 02/15/16 226 16WC 21942 19B TESTERMAN, LITTLE JOHN ALLTECH DECORATING 07/08/16 RUBENS AND KRESS GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 16WC 22210 FRASSIONE, DAWN DAVITA 03/16/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 228 16WC 22498 MULARSKI, JAMES G & W ELECTRIC 06/29/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 229 16WC 22500 TYRELL, KATHY JOLIET TOWNSHIP HIGH SCHO 02/16/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 230 16WC 22813 GRIFFIN, SHANTINA ONE HOPE UNITED 04/25/16 MARC J SHUMAN & ASSOCIATES WOLF & LAUDICINA LTD 231 16WC 23305 GONZALEZ, MARTHA TRIUNE LOGISTICS LLC 07/21/16 ANKIN LAW OFFICE LITCHFIELD CAVO 232 16WC 24717 DALY, MICHAEL HUDSON BOILER 06/21/16 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 233 16WC 24729 PIROFALO, VICTOR SALISBURY BY HONEYWELL 05/09/16 SHANNON LAW GROUP MC ANDREWS & NORGLE LLC 234 16WC 25056 GUIDO, TIMOTHY PROFESSIONAL MEDICAL WARE 07/20/16 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 235 16WC 25261 ARMOR, JULIE SILVER CROSS HOSPITAL 06/28/13 LEE, MARK N LAW OFFICE 236 16WC 25274 HARSY, DON AARON ILLINOIS STATE POLICE @ 05/20/16 HARRIS & JONES MALLORY ZIMET 237 16WC 25311 PERRITANO, ANTHONY SMITH CROSSING SENIOR LIV 06/29/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC 16WC026595 -C 238 16WC 25534 MORATAYA, WILLIAM STATEVILLE CORRECTIONAL @ 07/09/16 VRDOLYAK LAW GROUP LLC MALLORY ZIMET 239 16WC 25566 SCHOENBECK, CANDACE HOMER SCHOOL DISTRICT 33C 06/03/15 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 240 16WC 26128 SALAJ, DARIUSZ J NATIONAL DPC LLC 08/09/16 LEWUN & KAIS LTD ARNETT LAW GROUP 241 16WC 26443 GARCIA, AGUSTINA UNISTAFF 06/28/16 PORRO NIERMANN LAW GROUP LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 16WC 26649 CORTINA, ELVIA BOB'S DISCOUNT FURNITURE 07/26/16 SALK, STEVEN B & ASSOC LTD 243 16WC 27336 MOTA, GABRIELLA STATE OF IL DOC STATEVILL @ 07/20/16 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 17WC023448 -C 244 16WC 27503 MORALES, ANA EXCEL BUILDING SERVICES, 05/25/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 245 16WC 27565 PUPPILO, NANCY ALDI-OSWEGO 12/01/14 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 246 16WC 27566 PUPPILO, NANCY ALDI-OSWEGO 04/10/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 247 16WC 27682 MCWILLIAMS, SUSAN PALLADIUM ENERGY GROUP/ 07/23/15 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 248 16WC 27922 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SRVC 09/22/14 CHEPOV & SCOTT LLC 16WC039410 -C 249 16WC 28047 REYES, ESMERALDA, ESTATE ORTNER CONSTRUCTION INC # 08/07/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 250 16WC 28170 ARMSTRONG, DEBRA OSWEGO SCHOOL DISTRICT 01/21/15 BURNETT & CARON, LTD ROSARIO CIBELLA 251 16WC 28358 HEINZ, AMANDA DUNKIN' DONUTS 09/14/16 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 252 16WC 28453 SMART, MARQUE M CENTRAL GROCERS, INC 03/25/15 ANKIN LAW OFFICE ROSARIO CIBELLA 253 16WC 30131 HORVAT, COURTNEY SILVER CROSS HOSPITAL 09/15/15 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 16WC030132 -C 254 16WC 30143 CARDENAS, ROBERT SURESTAFF 09/13/16 MC HARGUE & JONES SURE-STAFF 255 16WC 31014 PETEK, GUILLERMINA HELP AT HOME 01/06/16 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 18WC037934 -C 256 16WC 31338 19B MANCARI, LINDA J SPECIAL TOUCH CLEANING CO 09/19/16 PARENTE & NOREM PC ACCIDENT FUND HOLDINGS 257 16WC 32076 HERNANDEZ, THELMA FIS 09/20/16 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 258 16WC 32113 HULME, ROBIN MEIJER 06/01/15 WOODRUFF & JOHNSON KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 259 16WC 32803 ROJAS, RAFAEL RADIAC ABRASIVES, INC 01/15/16 CHEPOV & SCOTT LLC 260 16WC 33138 KITTLING, LASANDRA HELP AT HOME 05/04/16 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC 17WC009446 -C 261 16WC 33376 AVEZZANO, LORI GOLD STANDARD ENTERPRISES 02/18/16 CIARDELLI CUMMINGS CAMPAGN COZZI & GOGGIN-WARD 262 16WC 33454 CHANCELOR, MICHAEL C LABOR TEMPS 10/13/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 263 16WC 33697 SMITH, MICHAEL J (BROTHER AGL RESOURCES/NICOR GAS C 10/11/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 264 16WC 34298 COLFFELT, PETER A RED TOP SERVICES, INC 07/11/16 PARENTE & NOREM PC GANAN & SHAPIRO 265 16WC 35292 OBSCURA, MARIA PLAINFIELD SCHOOL DIST 20 10/14/16 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 266 16WC 35544 MCCLEAN, KEVIN BCU ELECTRIC 10/27/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 267 16WC 35949 GRACIDA, MAURICIO DUTCH AMERICAN FOODS 06/30/16 MC HARGUE & JONES HENNESSY & ROACH PC 18WC030841 -C 268 16WC 35998 TRAVIS, JEANIE WILTON INDUSTRIES 11/07/16 DAVID W MARTAY WOLFE & JACOBSON, LTD 269 16WC 36704 VENZOR, LAZARO ARGUELLO CORPORATION 08/08/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 270 16WC 36750 COMPTON, DUANE SHIPPERS WAREHOUSE 11/19/16 SOSTRIN AND SOSTRIN PC WOLF & LAUDICINA LTD 271 16WC 37793 OGDEN, ROBERT WERNER ENTERPRISE 08/26/16 PETER F FERRACUTI & ASSOCI SMITH AMUNDSEN LLC 272 16WC 38385 HARMS, ALAN CASSENS TRANSPORT COMPANY 11/14/16 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 273 16WC 38670 TATE, VICTORIA PARAMOUNT STAFFING 12/05/16 DISPARTI LAW GROUP PA SCOPELITIS GARVIN LIGHT 16WC039084 -C 274 16WC 39437 FIGUEROA, SUJEY PREMIER EMPLOYEE SOLUTION 10/24/16 GOLDSTEIN BENDER & ROMANOF GRANT & FANNING 275 17WC 00309 GUERRERO, BARBARA WILL COUNTY CLERK OFFICE 12/23/16 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 17WC 00754 CARRASQUILLO, ISMAEL KUUSAKOSKI 01/04/17 MC HARGUE & JONES HOLECEK & ASSOCIATES 277 17WC 00850 KELLY, CHRIS AREA ERECTORS 01/06/17 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 278 17WC 00885 BRACKETT, SCOTT JOLIET STAFFING 10/23/16 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 17WC000895 -C 279 17WC 01143 HOFBAUER, VALERIE ILL DEPT OF CORRRECTIONS @ 12/06/16 COPELAND FINN & FIERI LTD MALLORY ZIMET 280 17WC 01366 THE ESTATEPF CLARENCE WOR QC COMMUNICATIONS 11/16/16 DWORKIN AND MACIARIELLO 281 17WC 01746 RILEY, JEREMY LIBERTY COLD STORAGE 01/05/17 MARC J SHUMAN & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 282 17WC 01849 DIAZ, CECILIA HICKORY FARM 08/31/16 LEONARDO MORALES HOLECEK & ASSOCIATES 283 17WC 01986 MCCORMACK, EDWARD HOMER TOWNSHIP FORE PROTE 04/26/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 18WC019475 -C HOME TOWNSHIP 284 17WC 02200 LAMBERT, DANIELLE J.B. HUNT TRANSPORT SVCES 07/09/16 ANESI OZMON RODIN NOVAK KO KRAKER FANNING & OLSEN 17WC004222 -C JB HUNT TRANSPORT SVCS, IN 285 17WC 02386 CONDON, ADAM S JAY MORRIS TRUCKING 12/02/16 ANESI OZMON RODIN NOVAK KO POWER & CRONIN LTD 286 17WC 02603 VEGA, MARIA DEL ROSARIO READERLINK DISTRIBUTION 12/12/16 LAW OFFICES MICHAEL HELLMA INMAN & FITZGIBBONS 287 17WC 02897 SMITH, BRANDT CATERPILLAR 02/01/14 SHANNON LAW GROUP GANAN & SHAPIRO 19WC023624 -C 288 17WC 03337 SALZER, JOHN A CHICAGO AEROSOL, LLC 09/13/16 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 289 17WC 03381 MANNING, GERMAINE STATESVILLE CORRECTIONAL 12/19/16 SHELDON I MINKOW & ASSOCIA MALLORY ZIMET 290 17WC 04130 MANNING, MICHELE JOLIET TOWNSHIP HS DIST 2 11/07/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 291 17WC 04373 CUEVAS, ANGELICA ELITE STAFFING 01/13/17 COSTA IVONE LLC 292 17WC 04685 GUZIK, MARY BETH SILVER CROSS HOSPITAL 06/01/12 ROSS TYRRELL RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 17WC 04733 PULIDO, JOSE MORFIN CONSTRUCTION 06/20/16 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 294 17WC 04786 KRESS, ALANNA STAFFING NETWORK 10/21/16 DAVID W MARTAY 295 17WC 05243 GLOWINKE, SCOTT VILLAGE OF UNIVERSITY PAR 11/18/16 O'CONNOR & NAKOS ODELSON & STERK 296 17WC 05638 MALTROTTO, ROGER GALLAGHER ASPHALT CO 06/28/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 297 17WC 06520 CERWIN, STEVEN TRAVEL PILOT CENTER 08/24/16 LEITER LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 298 17WC 06557 BACOT, ANDRIA ILLINOIS DEPT O CORRECTIO @ 02/27/17 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 299 17WC 06811 HARTISON, DAVID B METRO STAFFING INCORPORAT 08/08/16 300 17WC 06963 KING, LANUNDRA WILL COUNTY HEALTH DEPART 09/01/16 HINSHAW & CULBERTSON 301 17WC 07301 NOLAN, WENDEE VALLET VIEW SCHOOL DIST 3 01/24/17 KURASCH & KLEIN, LTD KNELL & O'CONNOR 302 17WC 07324 LOEZZA, BIBIANO SEARS LOGISTICS 02/13/17 MARKER & ASSOCIATES BRADY CONNOLLY & MASUDA PC 303 17WC 07412 O'HARA, PATRICK CITY OF JOLIET FIRE DEPT 02/09/17 RATHBUN CSEVENYAK & KOZOL KNELL & O'CONNOR 304 17WC 07472 SHELBY, ERIC HOME DEPOT RDC 5851 05/17/16 HORWITZ HORWITZ & ASSOC MC ANDREWS & NORGLE LLC 305 17WC 07517 MCDERMOTT, TROY NRJM INC 11/19/16 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 306 17WC 08040 ROMERO GONZALES, MARIO ELITE STAFFING 12/06/16 PORRO NIERMANN LAW GROUP 307 17WC 08189 SMALLEY, DONALD SIMOS LOGISTICS 01/12/17 MARKER & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 308 17WC 08346 NEAL, LISA AMAZON FULLFILLMENT CTR 03/01/17 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 309 17WC 08403 RODRIGUEZ, GUADALUPE LOBOZ AND ASSOCIATES INC 12/01/16 GORDON LAW OFFICES LTD GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 17WC 08504 GONZALES, JOSE REYES ELITE STAFFING INC 03/02/17 CULLEN HASKINS NICHOLSON 311 17WC 08626 MARTEY, JOSEPHINE PRESENCE ST JOSEPH MED CT 08/01/16 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 17WC008627 -C 312 17WC 09262 MCADAMS, KELLY VINCA SOLUTIONS/HOME DEPO 09/20/16 BLOCK, KLUKAS & MANZELLA P COZZI & GOGGIN-WARD 313 17WC 09420 MORALES, PERLA ELITE STAFFING 02/24/17 CULLEN HASKINS NICHOLSON 314 17WC 09538 CARROLL, LENORE ALLERGY & ASTHMA ASSOCIAT 03/04/17 RIDGE & DOWNES GILDEA & COGHLAN 315 17WC 09565 STUKEL, JEREMY FRANKFORT FIRE DEPT 08/27/16 BLOCK, KLUKAS & MANZELLA P 316 17WC 10202 CATZIN, LUIS AMERISOURCE BERGEN 12/14/16 AIOSSA LAW FIRM SPIEGEL & CAHILL, PC 317 17WC 10327 FIELDS, BRENDA WALMART 09/18/16 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY 318 17WC 10859 HIR, DANIEL VISION INTEGRATED GRAPHIC 10/13/16 SLAVIN & SLAVIN 319 17WC 10961 DE ANGELIS, LORRAINE ILLINOIS CENTRAL SCHOOL B 02/27/17 RATHBUN CSEVENYAK & KOZOL GILDEA & COGHLAN 320 17WC 11325 HERATH, RONALD ECOLAB 03/25/17 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 321 17WC 11387 HERATH, RONALD ECOLAB 06/06/16 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 322 17WC 11420 MULARSKI, JAMES G & W ELECTRIC 03/20/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 323 17WC 11504 SOSA, ELVIA ELITE STAFFING 02/02/17 324 17WC 11525 HAJKOWICZ, ERIK M VILLAGE OF UNIVERSITY PAR W 09/04/16 THOMAS W DUDA MONTANA & WELCH 325 17WC 11538 WILLIAMS-LASH, CRYSTAL AMAZON 02/19/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 18WC034685 -C 18WC035711 -C 326 17WC 11870 CAMPOS, FRANCISCO D CITY OF JOLIET 04/23/14 KROCKEY CERNUGEL COWGILL E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 327 17WC 12021 JOHNSON, GEORGIA WORK NOW STAFFING 04/18/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 328 17WC 12714 LOPEZ, ALFREDO TUFFY AUTO SERVICE CENTER 09/22/16 MENDOZA LAW PC RUSIN & MACIOROWSKI LTD 329 17WC 12737 HEYWARD, SHEILA EDWARDS HOSPITAL & HEALTH 04/24/17 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 330 17WC 12973 TRIANA, SECILIO RAILWAY & INDUSTRIAL SERV 01/16/17 BRIAN T MORROW, LAW OFFICE 331 17WC 13426 SANCHEZ, THELMA ELITE STAFFING, INC 04/21/17 LEONARD LAW GROUP LLC 332 17WC 13489 WAGNER,LUKE RIVER HEIGHTS 09/26/16 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 333 17WC 13761 BAUER, LINDA WALMART STORE #3400 12/09/16 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 334 17WC 14287 MEDINA, ANGEL SENOR TEQUILA W 01/13/17 CHEPOV & SCOTT LLC 17WC014288 -C 335 17WC 14716 OLSON, NATHAN D CONSTRUCTION INC 02/08/17 STANCZAK LAW OFFICES COZZI & GOGGIN-WARD 336 17WC 15043 SHERER, REVANN ECOLAB 08/09/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 337 17WC 15296 GREEN, ANDRE MEDTRONIC 12/17/16 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 338 17WC 15335 ROGERS, JASON VILLAGE OF PLAINFIELD 04/05/17 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 339 17WC 15534 SMITH, SAVANNAH TROY COMM CONSOL SD 30-C 10/27/16 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 340 17WC 15568 SMITH, MELISSA AMAZON 01/13/17 MARTIN L GLINK LAW OFFICE WIEDNER & MCAULIFFE LTD 341 17WC 16052 MCCABE, MARK W CITY OF JOLIET 07/07/14 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 342 17WC 16186 GONZALEZ, ZUJEY ALPHABRODER 05/23/17 LAW OFFICE OF SCOTT B SHAP HOLECEK & ASSOCIATES 343 17WC 16232 MALINEK, CINDY GRAND PRAIRIE TRANSIT LOC 04/03/17 BRUGGEMAN HURST & ASSOC GALLIANI DOELL & COZZI LTD 344 17WC 17045 GONZALEZ, MARIA E PEACOCK ENGINEERING 01/29/15 MCNAMARA PHELAN MCSTEEN LL HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 345 17WC 17095 COOPER, ANTHONY S&S ACTIVEWEAR 04/04/17 346 17WC 17195 BROWN,B ILLY WASTE MANAGEMENT 02/24/17 RIDGE & DOWNES HENNESSY & ROACH PC 347 17WC 17428 MORGAN, LEIF NATIONAL DCP 04/06/17 LEONARD LAW GROUP LLC ARNETT LAW GROUP 348 17WC 17594 PHILLIP, VINCENT STATE OF ILLINOIS @ 04/11/16 ROSENFELD HAFRON SHAPIRO F ASSISTANT ATTORNEY GENERAL 349 17WC 17649 VENTRELLA, CRISTINA V AMAZON 04/22/17 DANIEL PERIASWAMY 350 17WC 17711 JUAREZ, NICHOLAS STATEVILLE CORRECTIONAL C @ 08/02/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 351 17WC 17776 NELSON, MAURICE HOME DEPOT 06/05/17 FRANK A CELANI MC ANDREWS & NORGLE LLC 352 17WC 17831 GLYNN, BILL TYCO INTEGRATED SECURITY 09/30/15 EFTEKHARI LAW OFFICES RUSIN & MACIOROWSKI LTD 353 17WC 18071 OWENS, SUSAN SILVER CROSS HOSPITAL 05/17/17 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 354 17WC 18091 QUINN, JOSEPH STATE OF ILLLINOIS @ 05/09/17 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 355 17WC 18170 MARTINEZ, BERTHA CARRANZA RAYMOND MANAGEMENT COMPAN 01/05/17 STEWART C ORZOFF ACCIDENT FUND HOLDINGS 17WC018171 -C 356 17WC 18738 TASCONE, CARL LINCOLN WAY CENTRAL 05/26/16 RUSIN & MACIOROWSKI LTD 357 17WC 18815 SOSA, GIOVANNI AMAZING FULFILLMENT CENTE 04/05/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 17WC018816 -C AMAZON FULFILLMENT CENTER 358 17WC 18974 RUZENCEVS, ANDRIS BIG BEAR CARPENTRY 06/08/17 CRONIN & PETERS COZZI & GOGGIN-WARD 359 17WC 19057 HINTON, DWIGHT PRAIRIE CREEK LOGISTICS 10/26/16 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 360 17WC 19425 19B EBERLE, JULIE M WALMART STORES, INC 04/18/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 361 17WC 19446 POKORNIK, DAVID LOWES HOME CENTERS, INC 05/04/17 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 362 17WC 19573 JACKSON-BERG, KATHY TRITON MANUFACTURING 04/07/17 DEPAOLO ZADEIKIS GORE BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 363 17WC 19694 BIEL, ROBERT METROPOLITAN WATER 06/17/17 LAW OFFICE OF SCOTT B SHAP NOBLE & ASSOC 364 17WC 20660 MILONE, PETER JR ILLINOIS DEPARTMENT OF 01/03/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 365 17WC 20972 CECI, DOUGLAS CONVEYER SPECIALTIES, INC 04/13/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 17WC020973 -C 366 17WC 21176 ROMERO, MARIA ELITE STAFFING INC 07/14/17 TAMVAKIS, GEORGE L 367 17WC 21231 KIDD, ASHLEY MENARDS 09/07/16 RATHBUN CSEVENYAK & KOZOL EVANS & DIXON 368 17WC 21295 ELDER, DENNIS NRG ENERGY SERVICES 01/03/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 17WC023867 -C 369 17WC 21513 NESS, RANDY ACTION PLUMBING COMPANY, 07/11/17 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 370 17WC 21607 LUNA, JOSE ALFREDO BERMUD MIM INSTALLATIONS, INC. 06/28/17 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 371 17WC 21662 OCHOA, MARTHA KEHE DISTRIBUTORS, INC 04/02/17 WHITESIDE & GOLDBERG LTD POULOS & DIBENEDETTO LAW 372 17WC 21809 JOHNSON, ANN JEWEL FOOD 06/06/14 MATTHEW T. GUBBINS PC EVANS & DIXON 373 17WC 21841 BELL, DAVID WEATHERTECH 07/14/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 374 17WC 21896 DOYLE, KEVIN P PRESENCE HEALTH 02/06/16 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 375 17WC 22715 PETERS, GEORGE LANGER TRANSPORT 06/19/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 376 17WC 23006 JOHNSON, KIMBERLY J STATE OF ILLINOIS DEPT OF @ 03/13/17 DWYER AND COOGAN ASSISTANT ATTORNEY GENERAL 377 17WC 23073 BEY, PATRICIA A JOLIET PUBLIC SCHOOLS 07/21/17 ANKIN LAW OFFICE ROSARIO CIBELLA 378 17WC 23101 LEVITT, LARRY VILLAGE OF STEGER 06/28/17 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 18WC021354 -C 19WC006783 -C 379 17WC 23130 PIEDRA, JOSE LUIS M&S DELIVERY SERVICE, INC 07/05/17 KAT0Z FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 17WC 23364 MEYER, JASON T. BUMP & GRIND AUTO BODY, I 02/15/17 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 381 17WC 23440 LEAL, EMANUAL METRO STAFF, INC 06/02/17 MILLON & PESKIN LTD SLAVIN & SLAVIN 382 17WC 23683 MCKENZIE, KAREN AMAZON 06/20/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 383 17WC 23726 MARTIN, DARRELL STATE OF IL DEPT OF CORRE 08/01/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 384 17WC 23865 CARROLL, TANESHA STATE OF IL 08/01/17 HORWITZ HORWITZ & ASSOC 385 17WC 23928 PUSATERI, JOSEPH OZINGA 03/27/17 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM GRA 386 17WC 24414 SEMANISION, TROY DIAGEO 06/08/17 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 387 17WC 24439 LOPEZ, GABRIEL MICHELIN NORTH AMERICA, I 08/16/17 388 17WC 24581 COFFLEY, BRANDON S JHOC, INC D/B/A 08/07/17 ANKIN LAW OFFICE MARTIN, PATRICK W 389 17WC 24608 LUNA, HERBERTO XPEDIENT MANAGEMENT GROUP 07/19/17 MENDOZA LAW PC WIEDNER & MCAULIFFE LTD 390 17WC 24621 GUINN, ROBERT DAYTON FREIGHT LINES INC 08/02/17 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 391 17WC 24755 BOSSE, PATRICK LEWIS TREE SERVICE 07/11/17 PETER C KOPOULOS GOLDBERG SEGALLA LLC 392 17WC 24816 MARTINEZ, GENARO FEDEX SUPPLY CHAIN INC 07/11/17 CHRISTIAN & MANNO SPIEGEL & CAHILL, PC 393 17WC 25051 HAMILTON, QUINCY MULTI PLASTICS, INC 01/23/17 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 394 17WC 25217 TRAVIS, LYSANDER CENTER FOR DISABILITY SER 03/21/17 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 395 17WC 25232 AALFORD, ADONIS WEATHERTECH 08/16/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 396 17WC 25416 JOHNSON, TAMIKA M AMAZON 12/10/16 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 397 17WC 25708 ALONSO, NEYVA GREAT AMERICAN BAGEL, INC 04/26/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 17WC 25829 19B BRASHER, MARK APL LOGSTICS 08/26/17 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 399 17WC 26344 STEFFEN, NICHOLE SUONGFARR INC 08/24/17 HORWITZ HORWITZ & ASSOC BORGELT POWELL 400 17WC 26498 CRAMER, JEFFREY BLUELINX 03/31/16 VASILATOS & COTTER LLC 401 17WC 26533 PACH, KATHLYNE (BY AND TH BALTIC LINES II, INC #W 08/14/17 LUSAK AND COBB 17WC027450 -C SEPULVEDA, JEANETTE FOR M 402 17WC 27115 LAS, DOROTA ALDI, INC 09/22/15 TIMOTHY E. TAKASH BRADY CONNOLLY & MASUDA PC 403 17WC 27247 CARTER, TERESA R SPEEDWAY, LLC 10/11/14 MICHAEL HELLMAN NYHAN BAMBRICK KINZIE & LOWR 404 17WC 27418 DARDEN, ROBERT STATEVILLE CORRECTIONAL C 07/19/17 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 405 17WC 27574 FLYNN, SEAN AUCTION ACCESS 09/22/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 406 17WC 27888 MOTON, JOHNNY BARTON STAFFING 07/21/17 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN 407 17WC 27974 ORTIZ, MARITZA OUR LADY OF ANGELS 08/20/17 POWER & CRONIN LTD 408 17WC 28082 TROUTMAN, FREDRICK C AIR QUALITY INC 01/13/16 SANDMAN LEVY & PETRICH 409 17WC 28207 HIGHLAND, JOSEPH BLACK HORSE CARRIERS 03/17/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 410 17WC 28225 MENCHACA, ROQUE STATE OF IL DEPT OF CORRE @ 10/17/16 LARRY FLEISCHER & ASSOCIAT 411 17WC 28267 TSIAMAS, ANTHONY WINDY CITY WIRE 09/12/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 412 17WC 28656 FINGER, TONYA SILVER CROSS HOSPITAL 12/22/16 O'CONNOR & NAKOS RUSIN & MACIOROWSKI LTD 413 17WC 28689 KORZENIEWSKI, TY ENBRIDGE ENERGY 08/26/11 PONNE LAW GROUP 414 17WC 28974 BARLOW, KELLY J SILVER CROSS HOSPITAL 06/19/17 COLLINS BARGIONE RUSIN & MACIOROWSKI LTD 415 17WC 29148 MOORE, AMBER ECOLAB, INC 04/05/17 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 17WC 29248 BELTRAN, ARMANDO TRI PAR DRYWALL INC 07/06/17 MARC J SHUMAN & ASSOCIATES EVANS & DIXON 417 17WC 29416 SMITH, SABLE LITTLE KICKERS 10/03/17 MC HARGUE & JONES JOSEPH MARCINIAK 418 17WC 29613 SALINAS, OLIVIA ELITE STAFFING INC 09/11/17 LAW OFFICES MICHAEL HELLMA 419 17WC 29623 VIEYRA, LORENZO MVP WORKFORCE LLC LOANING 10/03/17 SALK, STEVEN B & ASSOC LTD KOREY RICHARDSON LLC 420 17WC 29792 GARCIA-HERNANDEZ, MARICEL SOUTHLAND SOLUTIONS/ 08/30/17 BLOCK, KLUKAS & MANZELLA P 421 17WC 30156 BOND, SANITA PRESENCE ST JOSEPH 09/16/17 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 422 17WC 30500 LOPEZ, MINERVA AMERISOURCE BERGEN 10/05/17 PORRO NIERMANN LAW GROUP 423 17WC 30612 CALLAGHAN, SANDRA PRESENCE ST JOSEPH HOSPIT 03/04/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 424 17WC 30771 DEUEL-MEISER, ADRIENNE VALLEY VIEW SCHOOL DISTRI 08/02/17 BURNETT & CARON, LTD KNELL O'CONNOR DANIELWICZ 425 17WC 31329 RANDLE, MELVIN JB HUNT 2950 09/13/17 JAMES ELLIS GUMBINER & ASS GRANT & FANNING 426 17WC 31368 BREWER, BROOKE H WILL COUNTY SHERIFF'S OFF # 10/14/17 COVEN LAW GROUP HINSHAW & CULBERTSON 427 17WC 31703 CRAIG, DEBORAH SOUTHERN COMPANY GAS 09/06/17 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 428 17WC 31857 GROSSI, SUSAN MICHAELS 01/16/17 HORWITZ HORWITZ & ASSOC 429 17WC 32056 VILLEGAS, STEVEN SNIDER-BLAKE PERSONNEL 08/30/17 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICES 430 17WC 32256 WILLIAMS, DENISE DHL 10/12/17 LEITER LAW OFFICES 431 17WC 32371 TAYLOR, LISA SOUTHERN WILL COUNTY 09/25/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 432 17WC 32494 SEXTON, EUGENE UNITED STATES COLD STORAG 06/20/17 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 433 17WC 32580 SALLESE, AMIE JOLIET PUBLIC SCHOOLS DIS 09/07/17 RIDGE & DOWNES ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 17WC 32678 WEIS, DWAYNE CITY OF JOLIET 08/20/16 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 435 17WC 33116 GUTIERREZ, CATHLEEN CLIFT AMAZON 08/24/17 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 436 17WC 34326 PENALOZA REYES, HECTOR M EXCEL BUILDING SERVICES, 10/25/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 437 17WC 34402 AGUILERA, SANDRO AUDREY TRANSPORT INC 12/28/15 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 438 17WC 34478 MOORE, MARTIN K ELITE STAFFING INC 10/16/17 ANKIN LAW OFFICE 439 17WC 34550 SODARO, ROSA HARRAH'S CASINO-JOLIET 07/27/17 BAUM RUFFOLO & MARZAL LTD NOBLE & ASSOC 440 17WC 34853 ARNOLD, DANIEL STAFFMARK 07/25/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 441 17WC 35078 HARRIS, DANGANETTA STATE OF IL DOC STATEVILL @ 10/11/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 442 17WC 35135 MCALLISTER, PAULA JOLIET TOWNSHIP HIGH SCHO 03/29/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 443 17WC 35136 BOENZI, PATRICK DELLWOOD TIRE & AUTO REPA 01/05/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 444 17WC 35235 KIRKLIN, JANICE SCHNEIDER LOGISTICS 11/20/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 445 17WC 35451 HOLMES, DENNIS ULTA DISTRIBUTION 08/23/17 BLOCK, KLUKAS & MANZELLA P ARNETT LAW GROUP 446 17WC 35512 HENNIN, JEFFREY REPUBLIC SERVICES, INC 10/23/17 RIDGE & DOWNES 447 17WC 35669 EZELL, KIMMAR JOLIET JUNIOR COLLEGE @ 11/13/17 BRISKMAN BRISKMAN GREENBER SCOPELITIS GARVIN LIGHT 448 17WC 36067 PEAIRS, JANICE AMAZON 11/29/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 449 17WC 36085 NIEZGODA, ROBERTA STARBUCKS 07/31/17 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 450 17WC 36178 BEY, BELINDA AMAZON 07/25/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 19WC032264 -C 451 17WC 36320 EDWARDS, ANNETTE VALLEY VIEW SD 08/18/17 MC HARGUE & JONES KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 17WC 36341 SMITH, JAZELLE TOYS R US 10/24/17 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 453 17WC 36624 HANSEN, BRIDGET TRINITY SERVICES 05/02/17 SEIDMAN MARGULIS & FAIRMAN 454 17WC 36842 GALL, NICHOLAS KENS BEVERAGE 01/19/17 CUDA LAW OFFICES GRANT & FANNING 17WC036843 -C 17WC036844 -C 455 17WC 36845 GALL, CHRISTOPHER WINDY CITY WIRE 10/15/17 CUDA LAW OFFICES HOLECEK & ASSOCIATES 456 17WC 36886 RUFFINO, JAMES CITY OF JOLIET FIRE DEPAR 09/04/17 SAM CUBA LAW OFFICE KNELL & O'CONNOR 457 17WC 37326 HERNANDEZ, EDGAR PARSEC, INC. 10/21/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 458 17WC 37657 DOLAN, SUSAN ERDMAN COMPANY 08/14/17 FOOTE MIELKE CHAVEZ O'NEIL JOSEPH MARCINIAK 459 17WC 37699 PRZYBYLSKI, RON AMAZON DISTRIBUTION CENTE 09/11/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 460 17WC 37844 MONRROY, GUADALUPE PENA FIRST LODGING MANAGEMENT 08/08/17 SALK, STEVEN B & ASSOC LTD ACCIDENT FUND HOLDINGS 461 17WC 37918 PENN, MARIETTA CHICAGO AUTISM AUTHORITY 12/06/17 HEALY SCANLON LAW FIRM ANCEL GLINK DIAMOND BUSH & E 462 17WC 38046 VELA, ANTONIO WILTON BRANDS/CUPCAKE HOL 11/07/17 FREDRICK B BARDER, LTD WOLFE & JACOBSON, LTD 463 18WC 00051 VERCELOTE, MATT AC & R SPECIALISTS 03/15/16 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 464 18WC 00074 JAY, JOSEPH BOLINGBROOK FIRE DEPT 11/30/17 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 20WC001821 -C 465 18WC 00190 RICHARDS, LUCKY A AMAZON.COM INC 03/11/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 466 18WC 00632 MARTINEZ, JUAN RAMIREZ TRIUNE LOGISTICS LLC 09/12/17 ANKIN LAW OFFICE LITCHFIELD CAVO 467 18WC 00879 CINGLE, MARTIN JOLIET STAFFING 12/24/17 WIEDNER & MCAULIFFE LTD 468 18WC 00901 TAYLOR, ANTHONY STATE OF ILLINOIS/ @ 10/04/16 DEER & STONE PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 469 18WC 01453 MICHACA, JAIME DHL 12/07/16 MENDOZA LAW PC 470 18WC 01498 HAYNES, EDWARD BEST PRACTICE STAFFING, I 10/05/17 CHARLES LEVY & ASSOC LTD RUSIN & MACIOROWSKI LTD 471 18WC 01557 ANTHONY, TERRENCE METRO STAFF, INC 11/29/17 KISS & ASSOCIATES FRANCIS J DISCIPIO LAW OFFIC 472 18WC 01769 ROHDENBURG, KURT FEDERAL SIGNAL CORPORATIO 01/08/18 BRILL & FISHEL 473 18WC 01903 BARRON, JERRY W APOLLO COLORS, INC 11/22/17 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICES 474 18WC 02272 RILEY, NANCY BIG LOTS STORES 11/03/16 PARENTE & NOREM PC LITCHFIELD CAVO 475 18WC 02506 GAWLIK, MICHAEL HR METRICS 07/17/17 MICHAEL A. HIGGINS 476 18WC 02535 SCHWAN, KAREN RESCARE HOMECARE 12/15/17 MARC J SHUMAN & ASSOCIATES SPIEGEL & CAHILL, PC 477 18WC 02539 DIEHL, ALEJANDRA ELITE STAFFING AGENCY 01/09/18 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM GRA 478 18WC 02709 POE, GABRIELLE TRINITY SERVICES 11/01/17 LAURA A CHILDS GALLIANI DOELL & COZZI LTD 479 18WC 02769 KOHUT, DAVID AMAZON @ 10/28/17 MC HARGUE & JONES 480 18WC 02831 FLORES, ERIC WEATHERTECH/MACNEILL 05/01/15 BRIAN T MORROW, LAW OFFICE 481 18WC 02837 ALLISON, JAMES CITY OF JOLIET 09/13/17 MCNAMARA PHELAN MCSTEEN LL ANCEL GLINK DIAMOND BUSH & E 482 18WC 03194 MAYO, MARIA ARYZTA 10/07/17 LUSAK AND COBB HENNESSY & ROACH PC 483 18WC 03765 ALPIZAR, ANA JOLIET STAFFING 11/14/17 CURTIS S BURKE LAW OFFICE HENNESSY & ROACH PC 19WC005195 -C 484 18WC 04329 BETTS, TIFFANY PACE SUBURBAN BUS 01/24/18 RIDGE & DOWNES 485 18WC 04661 DETTLOFF, CHRISTOPHER WSI MICHELIN TIRE 11/23/15 SCOTT B SHAPIRO 486 18WC 05130 ONGENAE, PHILLIP MEDTRONIC 01/06/17 SCHIFF GORMAN LLC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 487 18WC 05170 ROGERS, JASON VILLAGE OF PLAINFIELD POL 01/29/18 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 488 18WC 05214 TAYLOR, DARRYL MENARDS 03/13/17 BRIAN T MORROW, LAW OFFICE 489 18WC 05444 STONE SANDERS, TAYANECKA WORLD CLASS DISTRIBUTION 02/13/18 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 490 18WC 05510 TERRY, JEREMY STATEVILLE CORRECTIONAL C 12/09/17 ARGIONIS & ASSOCIATES LLC ASSISTANT ATTORNEY GENERAL 491 18WC 05654 FEARS, ANTHONY VICTORY CENTRE OF JOLIET 12/11/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 492 18WC 05911 BECKER, CHRISTOPER PARTNERS TRANSPORTATION 01/28/18 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 493 18WC 05991 DEROSA, BARB FIRST ADVANTAGE 01/09/18 GORDON & CENTRACCHIO LLC EDWARD J. KOZEL 494 18WC 06095 MUNDO, JEANETTE GREEN CORE USA 02/02/18 TAXMAN POLLOCK HOLECEK & ASSOCIATES 495 18WC 06110 BELL-REED, LAKISHIA AMAZON FULFILLMENT CENTER 12/12/17 SPRAGUE & SPRAGUE BRADY CONNOLLY & MASUDA PC 496 18WC 06297 HORGAN, SUSAN VILLAGE OF BOLINGBROOK, 06/06/15 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 497 18WC 06386 JANDURA, RYAN CHANNAHON FIRE PROTECTION 04/03/17 RATHBUN CSEVENYAK & KOZOL POWER & CRONIN LTD 18WC006437 -C 19WC008821 -C 498 18WC 06412 FERNANDEZ, MA DELREFUGIO METRO STAFF INC 05/23/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 499 18WC 06500 VILLAREAL, LOUIS RICH PRODUCTS CORPORATION 11/03/17 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 500 18WC 07123 CANALES, KIMBERLY SODEXO, INC. 03/15/17 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 18WC007124 -C 501 18WC 07167 HESTER, SABRINA WAL-MART 02/03/18 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 502 18WC 07212 MCCOY, YURI PROLOGISTIC 01/12/18 PARENTE & NOREM PC 503 18WC 07382 MASON, ASHLEE PRESENCE MCAULEY MANOR 11/25/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 504 18WC 07619 SHAWMEKER, JAMI AMAZON 03/17/17 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 505 18WC 07702 BRANDON, MATTHEW UNITED STATES COLD STORAG 01/18/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 506 18WC 08091 ROSALES, TEODORO JOHNS MANVILLE 01/19/18 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 507 18WC 08214 AMBRIZ, ELVA BOLINGBROOK PARK DISTRICT 01/30/17 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 508 18WC 08320 LOPEZ-CORTEZ, FIDELA SUMMIT STAFFING 02/26/18 GOLDSTEIN BENDER & ROMANOF WIEDNER & MCAULIFFE LTD 509 18WC 08526 ASHLINE, ANNETTE APERION CARE 08/17/17 BARMAN BOHLEN & SCOTT SLAVIN & SLAVIN 510 18WC 08586 ENGLISH, KIRK COMPASS GROUP USA INC 08/11/17 GOLDBERG WEISMAN & CAIRO L GOLDBERG SEGALLA LLC 511 18WC 08650 FLORES, AYME MARTINEZ TRIUNE LOGISTICS 02/09/18 COSTA IVONE LLC LITCHFIELD CAVO 512 18WC 08667 FISHER, ANDRE F STAFFMARK 01/06/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 513 18WC 08893 PEREZ, JUAN HOMER MANAGEMENT, LLC 09/28/17 CAPRON & AVGERINOS PC GAIDO & FINTZEN 514 18WC 09046 MCKENZIE, TERENCE FEDEX 01/17/18 DWORKIN AND MACIARIELLO 515 18WC 09239 JOHNSON, WILLIAM CRETE MONEE 03/06/18 DWORKIN AND MACIARIELLO 516 18WC 09290 CARLSON, JEFFREY BOUCHARD MASONRY 08/01/16 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 517 18WC 09411 FOWLKES, LONDELL MORAN TRANSPORTATION CORP 03/15/18 GRAUER & KRIEGEL LLC FRIEDRICH LAW LLC 19WC026659 -C 518 18WC 09615 GIVENS, DERRELL DOTS FOODS 01/23/18 SANDMAN LEVY & PETRICH HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 519 18WC 09674 EDNANSKY, MARIE CURIE MOTORS 01/03/18 VRDOLYAK LAW GROUP LLC GANAN & SHAPIRO 520 18WC 09824 O'SULLIVAN, MARY JO WEXFORD HEALTH SOURCES, I 09/15/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 18WC010265 -C 521 18WC 10173 GREENLY, ROBERT MARIANO'S 01/22/18 MARC J SHUMAN & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 522 18WC 10202 WIMMER, DAVID A JB HUNT TRANSPROTATION 03/10/18 PORRO NIERMANN LAW GROUP MICHAEL JASPER 523 18WC 10290 NUTILE, JOYCS ADVANTAGE SOLUTIONS 01/27/18 STROM, NEAL B KELLEY KRONENBERG 524 18WC 10384 BOSHARDY, ALLEN J JR. SAM'S 24 HOUR TOWING INC. 03/15/18 WEISS & WEISS LAW OFFICES 525 18WC 10542 MARQUEZ-MORENOS, MARTIN M JOSCO CONSTRUCITON INC 03/14/18 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 526 18WC 10757 BRAMMER, JENNIFER STATEVILLE PRISON @ 04/04/18 KREITER, BYCK & ASSOC LLP ASSISTANT ATTORNEY GENERAL 527 18WC 11001 VASQUEZ, ANTHONY WELSCH READY MIX, INC 07/11/17 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 528 18WC 11036 PONTARELLI, THOMAS ILLINOIS DEPT OF CORRECTI 10/26/17 O'CONNOR & NAKOS ASSISTANT ATTY GENL 529 18WC 11098 ORTEGA, MIRNA TOYS R US 03/23/18 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 530 18WC 11246 HARRIS, REGINALD PREMIER TRANSPORTATION 10/13/16 RATHBUN CSEVENYAK & KOZOL MARTIN, PAT0RICK W 531 18WC 11454 WINSTON, JANIYAH AMAZON 01/17/18 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 532 18WC 11591 SENFFNER, TRACY SILVER CROSS HOSPTIAL 11/02/17 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 533 18WC 11778 JONES, DOUGLAS BEST BUY WAREHOUSE 04/03/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 534 18WC 12108 GAVIN, VICTORIA S&S ACTIVEWEAR 03/02/18 VRDOLYAK LAW GROUP LLC EDWARD J. KOZEL 535 18WC 12131 KAPLAN, CHARISSA L SILVER CROSS HOSPITAL 02/20/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 18WC012132 -C 536 18WC 12430 MIRKOWICZ, ABIGNIEW MENDARDS 03/29/18 VASILAT0OS & COTTER LLC CHILTON YAMBERT PORTER LLP 537 18WC 12625 BAKER, IDA FRIENDS OVER50 SENIOR CAR 06/20/17 538 18WC 12800 ARTIS, ERIC METRO STAFFING 04/24/18 DWORKIN AND MACIARIELLO 539 18WC 12817 BUCK, RYAN WERNER ENTERPRISES INC 01/01/18 MICHAEL C. GOODE SMITH AMUNDSEN LLC 540 18WC 12842 BRADFORD, NATHAN BOLLER CONSTRUCTION CO 04/20/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 541 18WC 13110 SHAVERS, CHANELL INDIVIDUAL ADVOCACY GROUP 04/13/18 DWORKIN AND MACIARIELLO 542 18WC 13187 CHAPARRO, NORMA (IRIS) PLAINFIELD SD 202 08/17/17 KARCHMAR & STONE INMAN & FITZGIBBONS 543 18WC 13368 HURD, PAULA R STAFFMARK 04/12/18 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 544 18WC 13402 RENNER, BRANDY WALMART SUPERCENTER 06/16/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 545 18WC 13442 JACOBSON, ANDREW EAGLE EXPRESS LINES 01/13/18 DEPAOLO & ZADEIKIS HINSHAW & CULBERTSON 546 18WC 13460 ACEVEDO, EMILIO THE SCOULER CO 02/13/18 SEIDMAN MARGULIS & FAIRMAN CAPUANI, FRANK S 547 18WC 13559 ANGEL, AGNES FRESENIUS MEDICAL CARE 02/28/18 LEITER LAW OFFICES HENNESSY & ROACH PC 548 18WC 13618 WIEGAND, COLTON SPECIALIZED LIFTRUCK SERV 06/01/17 HORWITZ HORWITZ & ASSOC 18WC013619 -C 18WC015748 -C 549 18WC 13666 FERGUSON, CHERYL WILL COUNTY CIRCUIT COURT 03/28/18 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 550 18WC 13845 MENEGON, SUE PRESENCE HEALTH 01/24/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 18WC 13877 TAYLOR, KRISTY INTEGRITY 02/08/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 552 18WC 13895 DIAZ, KRISTAL PRECISION PIPELINE INC 04/09/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 553 18WC 13992 HOPKINS, CHERYL FLEXIBLE STAFFING 08/23/17 DAVID W MARTAY 554 18WC 14259 DUDLEY, DEONDRE TRINITY SERVICES 03/31/18 MC HARGUE & JONES GALLIANI DOELL & COZZI LTD 555 18WC 14264 GUGLIELMO, CAROLINA JAMKIL ENTERPRISES INC 07/17/17 MICHAEL HELLMAN 556 18WC 14269 VILLAGOMEZ, GUADALUPE PINE RIDGE LAWN & LANDSCA 09/29/17 CULLEN HASKINS NICHOLSON 557 18WC 14448 GALLINA, DONALD WINGS R US INC 03/11/18 SANDMAN LEVY & PETRICH 558 18WC 14606 COKLEY, BILLY GREENCORE USA 05/07/18 SCOTT B SHAPIRO 559 18WC 14646 WILLIAMS, MEGHEN BROOKS, TARULIS & TIBBLE, 04/16/18 PORRO NIERMANN LAW GROUP COZZI & ZAPF LAW OFFICE 560 18WC 14917 RUIZ, GUADALUPE JOLIET STAFFING 04/17/18 JONATHAN SCHLACK HENNESSY & ROACH PC 561 18WC 14991 ZAMORA, CARLOS PRATER INDUSTRIES 01/24/18 HORWITZ HORWITZ & ASSOC 562 18WC 15745 CAPPS, JAN AMERICAN PRESIDENT LIENS, 11/17/17 KRAKER FANNING & OLSEN 563 18WC 16002 WEIDEMANN, THOMAS AURELIO'S PIZZA OF LOCKPO 05/09/18 HORWITZ HORWITZ & ASSOC 564 18WC 16089 WINEINGER, BRADLEY STATE OF ILL DOC STATEVIL @ 04/29/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 565 18WC 16174 AMBROSIO, FELIPE WAREHOUSE SVCS, INC 09/28/16 SAUNDERS CONDON & KENNY FRANCESCA LARSEN 566 18WC 16256 ATEN, LESTER JOLIET JUNIOR COLLEGE 02/07/18 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 18WC029315 -C 19WC019733 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 567 18WC 16346 CUSACK, BRANDON M VILLAGE OF BOLINGBROOK 02/22/18 ANESI OZMON RODIN NOVAK KO 568 18WC 16651 BARAJAS, GILBERT CYBERDYNE MASONRY CORP 05/29/18 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 18WC016652 -C 569 18WC 16919 RICHARDS-HUNT, CYNTHIA AMAZON 04/26/18 COSTA IVONE LLC KEEFE CAMPBELL BIERY & ASSOC 570 18WC 17119 JABUREK, DEREK J STATE OF IL (STATEVILLE) 05/26/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 571 18WC 17350 REYES, ROBERTO ARGONNE NATIONAL LABORATO 09/21/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 572 18WC 17391 SAENZ, IRMA SALEM VILLAGE NURSING & R 02/27/18 JONATHAN SCHLACK POWER & CRONIN LTD 573 18WC 17545 BEADLESTON, MAUREEN PLAINFIELD CONSOLIDATED S 03/02/17 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 574 18WC 17723 HALL, STEPHEN DR PEPPER SNAPPLE GROUP 12/28/17 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM GRA 575 18WC 17725 BISHOP, MARK RUAN TRANSPORT CORP 03/16/17 BLOCK, KLUKAS & MANZELLA P JAMES M KELLY 576 18WC 17790 TRIPLETT, NALENA ELITE STAFFING INC 05/15/18 BRISKMAN BRISKMAN GREENBER GAROFALO SCHREIBER STORM GRA 577 18WC 17827 THOMPSON, VIVIAN AMAZON 06/04/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 578 18WC 17844 CORREA, JAIME UPLAND CONCRETE INC 10/02/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 579 18WC 17953 CROWDER, MICHAEL DSC LOGISTICS 03/18/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 580 18WC 18080 BARNES, LAURA M SILVER CROSS HOSPITAL 01/25/16 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 581 18WC 18284 SEALS, MARVIN F WEST LIBERTY FOODS 06/07/18 MARKER & CRANNELL HEYL ROYSTER VOELKER & ALLEN 582 18WC 18944 MOORE, CHARLOTTE AMAZON 05/21/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 583 18WC 19049 ALGOZINE, EDWARD III R&R SEWER WATER EXAVATION 06/14/18 TRAPP & GELLER BRADY CONNOLLY & MASUDA PC 584 18WC 19099 KAMRY, AMINA EL WEATHER TECH 12/12/17 SALVATO O'TOOLE FROYLAN BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 585 18WC 19210 FREVERT, RICHARD AMAZON 04/14/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 586 18WC 19351 ESTATE OF MARTINEZ, MARIO J.T. THORPE & SON, INC 06/13/18 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 587 18WC 19397 TAYLOR, KRISTY INTEGRITY STAFFING AMAZON 02/09/18 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 588 18WC 19508 JACKSON JR, RAYMOND JOLIET TREATMENT CENTER @ 02/15/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 589 18WC 19540 ANDRADE, SALVADOR WEST LIBERTYVILLE FOOD 04/02/18 JONATHAN SCHLACK HEYL ROYSTER VOELKER & ALLEN 590 18WC 19669 KULKA, BRIAN BLUE FROST HEATING & COOL 12/14/17 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 591 18WC 19710 OCAMPO, MINERVA MACY'S 02/20/18 EPSTEIN, JACK R LAW OFFICE GAIDO & FINTZEN 592 18WC 20173 NELSON, SONJA ARYZTA LLC 06/18/18 STEVEN B SALK & ASSOC LTD HENNESSY & ROACH PC 593 18WC 20212 HOOKER, DEIRDRE AMAZON.COM.DEDC, LLC 12/15/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 594 18WC 20233 PUGH, DOROTHY ELITE STAFFING 06/06/18 JAMES ELLIS GUMBINER & ASS 595 18WC 20321 RODRIGUEZ, DESTANY PROLOGISTIX 06/21/18 JOHN S. ELIASIK SPIEGEL & CAHILL, PC 596 18WC 20441 PALACIOS, ROBERT SUBURBAN MACHINE & TOOL 11/13/17 BERG & BERG JOSEPH MARCINIAK 597 18WC 20507 ROBERTS, JOSHUA W ELITE STAFFING 07/02/18 MORICI FIGLIOLI & ASSOC HEYL ROYSTER VOELKER & ALLEN 598 18WC 20624 MASTERSON, KEVIN ELITE STAFFING, INC 05/17/18 RUBIN LAW GROUP 599 18WC 20684 POLK, ISAIAH JOLIET STAFFING LLC- 06/19/18 LEONARD LAW GROUP LLC 600 18WC 20795 ROBLES, ANTHONY IN HOUSE DELIVERY SYSTEMS 07/06/18 601 18WC 20913 BURKLOW, LISA AMAZON DISTRIBUTION CENTE 01/14/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 602 18WC 20994 WILLIS, DARREN INDIVIDUAL ADVOCACY GROUP 12/13/17 BOWMAN & CORDAY GALLIANI DOELL & COZZI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 603 18WC 21019 HAYNES, ANGENIQUE AMAZON.COM DEDC LLC 07/10/18 STEVEN B SALK & ASSOC LTD WIEDNER & MCAULIFFE LTD 604 18WC 21080 VESELY, MICHAEL TUFFY OF ROMEOVILLE 04/03/18 JEROME LINDSAY SALMI LL BRADY, CONNOLLY & MASUDA, PC 605 18WC 21139 DERBY, DANIEL H GARY GALASSI STONE & STEE 06/02/18 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 606 18WC 21275 COPELAND, MARSHONE GREENCORE 05/01/18 CHASE & WERNER LTD HOLECEK & ASSOCIATES 607 18WC 21356 JORDAN, FRED ACMS GROUP 06/14/18 NEWLAND & NEWLAND 608 18WC 21400 PADOVANI, YAHAIRA TACO BELL 06/01/18 CULLEN HASKINS NICHOLSON 609 18WC 21851 GREER, ROXANNE ALL TEAM STAFFING 12/02/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 610 18WC 21938 ZATAR, JEHAD ARBY'S TINLEY PARK 07/06/18 FRANK A CELANI 611 18WC 21977 LENARD, LLEWELLYN B AIRINTERMODAL INC 01/07/18 VITELL & SPITZ LTD 612 18WC 22083 HUFFSTUTLER, ZACHARY SIMOS INSOURCING SOLUTION 06/25/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 613 18WC 22168 WESTBROOK, PERRY GREENCORE USA 06/29/18 LIPKIN & HIGGINS LAW OFFIC 614 18WC 22260 DOTTS, SUZANNE LINCOLNWAY DISTRICT 210 02/26/18 VASILATOS & COTTER LLC RUSIN & MACIOROWSKI LTD 615 18WC 22339 ROBINSON, CHRISTINE AMAZON 12/03/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 616 18WC 22443 SOWARDS, TRISTAN GLOBAL EXPERIENCE 05/18/18 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 617 18WC 22460 SANDERS, CLIFFORD US GREEN CORP 07/12/18 VITELL & SPITZ LTD 618 18WC 22491 VAZQUEZ GONZALES, JOSE D KEHE DISTRUBUTORS, LLC 05/22/18 LEITER LAW OFFICES NOBLE & ASSOC 619 18WC 22590 AGUILAR, GUILLERMINA WAL-MART 10/23/17 SALVATO O'TOOLE FROYLAN QUINTAIROS PRIETO WOOD & BOY 620 18WC 22685 NEVAREZ, IRMA KEHE DISTRIBUTION 03/09/18 OSVALDO RODRIGUEZ PC POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 621 18WC 22821 GREER, ADAM AMAZON.COM, LLC 11/17/17 RITTENBERG BUFFEN WIEDNER & MCAULIFFE LTD 622 18WC 22889 WASNEY, GUY EMR EXPRESS, INC 06/27/18 DAVID W MARTAY KRAKER FANNING & OLSEN 623 18WC 23017 PATRICK, KEVIN STATESVILLE CORRECTIONAL @ 07/20/18 WOODRUFF JOHNSON ASSISTANT ATTY GENL 624 18WC 23177 WATKINS, LESLIE JC TRANS CO. W 07/08/18 JAMES ELLIS GUMBINER & ASS 625 18WC 23204 OHARA, ROBERT WASTE MANAGEMENT 07/13/18 HORWITZ HORWITZ & ASSOC 626 18WC 23311 CHRISTENSEN, MATTHEW CITY OF JOLIET 11/22/17 HETHERINGTON KARPEL BOBBER KNELL O'CONNOR DANIELWICZ 627 18WC 23334 HICKS, TIONNA ITW DELTAR 04/02/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 628 18WC 23369 VOGELSANGER, WILLIAM LODERS CROKLAAN 04/27/18 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 629 18WC 23470 MENDOZA, SAMSON G WASTE MANAGEMENT 05/26/18 ANESI OZMON RODIN NOVAK KO THOMAS J STIBERTH LAW OFFICE 630 18WC 23549 TAYLOR, JEROME SCHNIEDER LOGISTICS 05/04/18 HERRERA LAW CENTER ASA LAW GROUP 631 18WC 23636 ARMSTRONG, ELIZABETH L JOLIET PUBLIC SCHOOLS 10/06/16 RIDGE & DOWNES ROSARIO CIBELLA 632 18WC 23821 TERRY, SHANTA DOLLAR TREE DISTRIBUTION 07/06/18 DEPAOLO & ZADEIKIS LEAHY EISENBERG & FRAENKEL 633 18WC 24028 ANZELMO, DONALD ALLEGIANCE STAFFING 05/14/18 ROSS TYRRELL POWER & CRONIN LTD 634 18WC 24524 TAYLOR, TENISHA JOHNSTONE SUPPLY 06/05/18 RATHBUN CSEVENYAK & KOZOL 635 18WC 24697 LINDER, KIMBERLY MENARDS 07/07/18 STROM & ASSOC 636 18WC 24931 YEAGER, MICHELLE ROUTE 66 FOOD N FUEL 07/31/18 RATHBUN CSEVENYAK & KOZOL 637 18WC 24996 JACKSON, BRIAN MARSDEN CO 03/09/18 MC HARGUE & JONES LEAHY EISENBERG & FRAENKEL 638 18WC 25010 MCDANIEL, TINA ADAMS & ASSOC 07/10/18 WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 18WC 25137 QUINN, JOSEPH STATE OF ILLINOIS @ 08/01/18 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTY GENL 640 18WC 25230 NIEHOFF, KATHLEEN WALMART 07/14/18 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 641 18WC 25405 MCGUIRE, MATTHEW JOLIET JUNIOR COLLEGE 09/03/15 BLOCK, KLUKAS & MANZELLA P 642 18WC 25497 GUIRAND, EDELYNE AMAZON 05/11/18 WIEDNER & MCAULIFFE LTD 643 18WC 25540 NORTON, QUENTIN BOB'S DISCOUNT FURNITURE 03/06/18 LEITER LAW OFFICES HENNESSY & ROACH PC 644 18WC 25577 BONNES, MELISSA TISCHLER'S MARKET 06/18/18 BAUM RUFFOLO & MARZAL LTD GILDEA, COGHLAN & REGAN LTD. 645 18WC 25605 BRASKI, BRENT JOLIET JUNIOR COLLEGE 08/07/18 KROL BONGIORNO & GIVEN LTD 646 18WC 25695 PUHRMANN, DAWN HOMEWOOD SCHOOL DIST 153 04/16/18 BLOCK, KLUKAS & MANZELLA P GOLDBERG SEGALLA LLC 647 18WC 25758 CHAVEZ, NICOLAS AMSYSCO, INC 04/27/18 JONATHAN SCHLACK EDWARD J. KOZEL 648 18WC 25889 SPANGLER, PAMELA MEIJER, INC 07/18/18 KARCHMAR & STONE 649 18WC 25970 REYES, AUGUSTIN HOME LANDSCAPE MATERIALS, 07/05/18 RICHARD O. GREENFIELD WOLFE & JACOBSON, LTD 650 18WC 26218 MOELLER, ART FOREST PRESERVE DISTRICT 08/21/18 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 651 18WC 26338 ORTEGA, TERESA S & S ACTIVEWEAR LLC 03/09/18 JAUREGUI & ASSOCIATES EDWARD J. KOZEL 652 18WC 26426 LEONARD, MICHAEL NFI INTERACTIVE LOGISTICS 08/24/18 ANKIN LAW OFFICE QUINN JOHNSTON HENDERSON ETA 653 18WC 26653 OCAMPO, MARIA ROSARIO PERSONALIZTIONMALL.COM LL 05/02/18 SALK FLORES & BRODERICK KOPKA, PINKUS DOLIN, PC 654 18WC 26701 SELLERS, GREGORY RJW TRANSPORTATION 09/05/18 DWORKIN AND MACIARIELLO 655 18WC 26770 AGUIRRE, JAZMIN A/K/A RONS STAFFING SERVICES 08/02/18 GOLDSTEIN BENDER & ROMANOF KOREY RICHARDSON LLC 656 18WC 26848 MULKA, CHRIS UPS # 08/28/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 18WC 26878 VANHOOK, ALLESAUNDRA AMAZON 06/25/18 STROM & ASSOC KEEFE CAMPBELL BIERY & ASSOC 658 18WC 26953 MILLER, WALTER W WEST LIBERTY FOODS 08/25/18 VITELL & SPITZ LTD HEYL ROYSTER VOELKER & ALLEN 659 18WC 27001 BARRERA, ERIC ARYZTA 08/25/18 COSTA IVONE LLC HENNESSY & ROACH PC 660 18WC 27233 ERVIN, CHARLES WEST LIBERTY FOODS, LLC 09/10/18 STEVEN B SALK & ASSOC LTD HEYL ROYSTER VOELKER & ALLEN 661 18WC 27312 LOPEZ, HERMINDA ILLINOIS INDUSTRIAL TOOL, 08/16/18 LUSAK AND COBB RUSIN & MACIOROWSKI LTD 662 18WC 27339 MISHKA, RICHARD M WILLIE BROTHERS CO 08/16/18 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 663 18WC 27571 NELSON, DUSTIN THORNE ELECTRIC CO, INC 08/14/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 664 18WC 27775 BISHOP, MARY CARSON PIRIE SCOTT 08/17/18 CULLEN HASKINS NICHOLSON LAWRENCE COZZI - LAW OFFICE 665 18WC 28180 CAZARES-MAGANA, MARGARITA XTREME CLEANERS INC 08/23/18 KATZ FRIEDMAN EAGLE ET AL JOSEPH MARCINIAK 666 18WC 28243 WAFFORD, TINA CHILDREN & FAMILY SERVICE 03/15/17 HERRERA LAW CENTER ASSISTANT ATTY GENL 667 18WC 28331 GLON, TRACI ASG STAFFING 10/30/17 WOODRUFF JOHNSON FRANCIS J DISCIPIO LAW OFFIC 668 18WC 28587 GILES, RANDY WILMAC ENTERPRISES LLC 02/02/17 DAVID M DUREE 669 18WC 28665 FRICANO, CHRISTOPHER SR FRASER CONSTRUCTION 07/30/18 MARK N LEE WIEDNER & MCAULIFFE LTD 670 18WC 28715 HAMILTON, CHAZ PREMIER STAFF SERVICE 09/19/18 MC HARGUE & JONES ASA LAW GROUP 18WC033587 -C SCHNEIDER NATIONAL, INC 671 18WC 29067 GROSS, ZIPPORAH GRAINGER WAREHOUSE 06/11/18 COVEN LAW GROUP ASA LAW GROUP 672 18WC 29227 KENNEDY, MICHAEL IDOT - (MOVABLE BRIDGES D 09/25/18 STROM & ASSOC ASSISTANT ATTORNEY GENERAL 673 18WC 29352 SIMPSON, DEREK STATEVILLE ILLINOIS DEPT @ 07/18/18 MARKER & CRANNELL ASSISTANT ATTY GENL 674 18WC 29448 KURTZ, THOMAS TRI-STAR CABINET & TOP CO 09/25/15 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 18WC 29488 MORALES, REBECA MAGID GLOVE & SAFETY 07/10/18 ANSELMO DURAN WIEDNER & MCAULIFFE LTD 676 18WC 29608 CASILLAS, WENDY MCDONALDS 09/22/18 ANKIN LAW OFFICE 677 18WC 29828 CICERO, THOMAS HD TRUCK EQUIPMENT 09/07/18 KROL BONGIORNO & GIVEN LTD GANAN & SHAPIRO 678 18WC 29856 KRUPINSKI, ROBERT AT&T 08/24/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 679 18WC 30004 STEGENGA, MICHAEL C VILLAGE OF UNIVERSITY PAR 03/14/18 THOMAS W DUDA 680 18WC 30094 SCOTT, JOSEPH FUNCHES TRUCKING 09/21/18 CHARLES LEVY & ASSOC LTD LORENZ & BERGIN PC 681 18WC 30136 LOERA, JOSE CLEAR STAFF INC 10/02/18 LEONARD LAW GROUP LLC ACCIDENT FUND HOLDINGS 682 18WC 30187 JOHNSON, APRIL METRO STAFF 09/27/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 683 18WC 30209 LANG, GABRIELLE AMAZON 06/08/18 DANIEL PERIASWAMY 684 18WC 30270 KRUPINSKI, ROBERT AT&T 08/24/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 685 18WC 30366 WILSON, FRANCISCA SCHNEIDER LOGISTICS 05/25/18 MORICI FIGLIOLI & ASSOC ASA LAW GROUP 686 18WC 30382 WILLIAMS, VIVIAN L AMAZON 05/07/18 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 687 18WC 30524 MOFFETT, CASSANDRA VALLEY VIEW CMNTY UNIT SC 07/10/18 JAMES J. GAY KNELL O'CONNOR DANIELWICZ 688 18WC 30542 WIEKERT, SHANE MEADE ELECTRIC CO 08/20/18 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 689 18WC 30903 PATINO MEDINA, JUAN F WESTERN DUPAGE LANDSCAPIN 07/24/18 THE ROMAKER LAW FIRM HEYL ROYSTER VOELKER & ALLEN 690 18WC 31013 RASHEED, ZAHRA FURGAAN ACADEMY 12/20/17 GANAN & SHAPIRO 691 18WC 31258 SULLIVAN, SAMANTHA WILMINGTON POLICE DEPARTM 08/04/16 MCNAMARA PHELAN MCSTEEN LL 692 18WC 31458 PANNARALLA, JACQUELINE MENARD'S 06/03/18 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 18WC 31499 BENNETT, JUNETTE STATE OF IL 08/09/18 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 694 18WC 31542 CAMARDO, PASQUALE OPTIMUM STAFFING, INC 03/15/18 TUITE LAW RUSIN & MACIOROWSKI LTD 695 18WC 31655 WILLIAMS, TAMMY HR METRICS, INC/TRADER JO 07/03/18 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 696 18WC 31663 PANNARALLA, GEOFF STATE OF ILLINOIS 05/29/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 697 18WC 31852 MOTON, JOHNNY SCHNEIDER LOGISTICS, INC 03/02/18 SCHWEICKERT & GANASSIN ASA LAW GROUP 698 18WC 32038 PARRA-LOPEZ, ROBERTO KOVA, LLC 09/27/18 KARCHMAR & STONE KNELL O'CONNOR DANIELWICZ 699 18WC 32253 BALES, NELLANN CHICAGO AEROSOL 07/07/18 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 700 18WC 32300 BATCHELOR, CLIFF HAYES MECHANICAL 06/14/18 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 701 18WC 32457 GALVEZ, ANTONIO DIAGEO 06/02/18 BART DURHAM LAWRENCE COZZI - LAW OFFICE 18WC032458 -C 702 18WC 32483 LEON, VICTOR ST DENNIS CHURCH 01/24/18 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 703 18WC 32609 CLERK, NORVEEA GRAND PRARIE TRANSIT CO 09/24/18 RIDGE & DOWNES 704 18WC 32695 EBERHART, ANTHONY CITY OF JOLIET 01/23/17 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 705 18WC 32734 RODRIGUEZ, ALEXANDER LOVITT BLIND & DRAPERY 09/10/18 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 706 18WC 32833 HILL, CHERYL HOME DEPOT 09/23/18 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 707 18WC 32952 LANDEROS, ELIAS NORTH COAST HOLDING 06/23/17 SEIDMAN MARGULIS & FAIRMAN 708 18WC 33000 VARSEK, JOYCE DELTA AIRLINES 07/03/17 FRANCIS J DISCIPIO LAW OFF GAIDO & FINTZEN 709 18WC 33428 SZABPSKI, CHRISTINE AMAZON 07/22/18 GAINES & GAINES KEEFE CAMPBELL BIERY & ASSOC 710 18WC 33568 KEENE, RICHARD DYNAMIC UTILITY SOLUTIONS 07/19/18 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 18WC 33648 VELASQUEZ, JUANITA ELITE STAFFING 08/19/17 EPSTEIN, JACK R LAW OFFICE 712 18WC 33663 WISNIEWSKI, PEGGY PRESENCE ST JOSEPH MEDICA 09/10/18 BLOCK, KLUKAS & MANZELLA P 713 18WC 33865 ZURALES, LISA SILVER CROSS HOSPITAL 03/24/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 714 18WC 33878 JOHNSON, TYLER CLEARSTAFF 10/27/18 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 715 18WC 34214 SKAGGS, RANDALL G MFR MANUFACTURING 09/20/18 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 716 18WC 34232 GENTRY, VERONICA IH SERVICES INC. 10/31/18 COSTA IVONE LLC JOSEPH MARCINIAK 717 18WC 34443 GARCIA, JULIO CRATE SERVICES 10/29/18 EPSTEIN, JACK R LAW OFFICE WOLF & LAUDICINA LTD 718 18WC 34463 TOMAS, LORETTA REDEMPTION TRANSPORTATION 04/17/17 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 719 18WC 34566 CALMES, GERMAINE STATE OF ILLINOIS DOC @ 11/14/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 720 18WC 34823 RIOS, NICOLAS RELIABLE LANDSCAPING 09/25/18 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 721 18WC 34895 RUIZ, ALBERTO O'REILLY AUTO PARTS 07/21/18 SOSTRIN AND SOSTRIN PC HENNESSY & ROACH PC 722 18WC 34965 GREEN, CATRINA PROLOGISTIX 08/26/18 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 723 18WC 34987 VOITIK, RICHARD JOLIET PARKDISTRICT 12/13/17 RIDGE & DOWNES BRADY CONNOLLY & MASUDA PC 724 18WC 35006 ENRIGHT, PATRICK COMFORT FIRST HEATING AND 11/21/18 O'CONNOR & NAKOS 725 18WC 35027 DHULSTER, CYNTHIA AMAZON 03/13/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 726 18WC 35376 KIRKSEY, DAWN, A/K/A AMAZON 11/09/18 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 727 18WC 35544 PRISTAS, ANTHONY SCOULAR 11/27/18 WHITESIDE & GOLDBERG LTD 728 18WC 35601 FRITZ, SUZETTE A ACOSTA INC 09/05/18 PERONA PETERLIN ANDREONI HENNESSY & ROACH PC 19WC013101 -C 19WC019336 -C 729 18WC 35765 HOWARD, TAKYRA T TRIUNE LOGISTICS LLC 09/25/18 DEPAOLO & ZADEIKIS LITCHFIELD CAVO 730 18WC 35920 MATIA, EDWARD ILLINOIS DEPT OF TRANSPOR 11/07/17 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 731 18WC 35978 MARTIN, JEROME NATIONAL DCP, LLC 10/23/18 ACEVES & PEREZ PC ARNETT LAW GROUP 732 18WC 36039 RUCKER, GABBY INTEGRITY TRADE SERVICES 08/28/18 GOLDBERG & DOHAN 733 18WC 36115 FARRELL, ROBERT AMY'S FRESH MARKET/AMY'S W 03/01/18 PETER F FERRACUTI & ASSOCI 734 18WC 36172 TAPELLA, STEPHANIE SEPTRAN, INC 11/27/18 SHANNON LAW GROUP GAIDO & FINTZEN 735 18WC 36332 ORTIZ, ESTEFANIA VERIZON 09/27/18 KATZ FRIEDMAN EAGLE ET AL ASA LAW GROUP 736 18WC 36350 SNOW, ANDREA JOLIET PUBLIC SCHOOL DIST 09/26/18 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 737 18WC 36412 GONCHAR, STEPAN PRATER INDUSTRIES INC 01/26/18 LEWUN & KAIS LTD HOLECEK & ASSOCIATES 738 18WC 36536 BOYLE, EILEEN E ECOLAB INC 12/03/16 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL BIERY & ASSOC 739 18WC 36784 BUCKLES HOLMES, AKEETA ELITE AMBULANCE 11/07/18 SEIDMAN MARGULIS & FAIRMAN LAWRENCE COZZI - LAW OFFICE 740 18WC 36825 PIUNTI, LISA M AMAZON 06/10/18 BAUM RUFFOLO & MARZAL LTD 741 18WC 36921 BREHM, YOLANDA BOLINGBROOK PARK DISTRICT 10/08/18 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 742 18WC 37010 HARDY, BEATRIZ SPECTRA 360 TEMP AGENCY 11/26/18 MEYERS & FLOWERS GILDEA, COGHLAN & REGAN LTD. 743 18WC 37122 SCHLITTER, RICHARD JEWEL DISTRIBUTION CENTER 12/04/18 GOLDBERG WEISMAN & CAIRO L 744 18WC 37378 BELTRAN, ARUBIS SPEC ENGINEERING 10/12/18 ROMANEK & ROMANEK HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 745 18WC 37433 AFRIFAH, BENJAMIN CHICAGO TRANSIT AUTHORITY 10/18/18 PORRO NIERMANN LAW GROUP CHICAGO TRANSIT AUTHORITY 746 18WC 37719 CHAVEZ, DOMINGO HEADWAY WORKFORCE SOLUTIO 10/22/18 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 747 18WC 37758 SHORT, BERWICK METRO STAFF INC 11/22/18 HORWITZ HORWITZ & ASSOC SLAVIN & SLAVIN 748 18WC 37887 LOPEZ, GINA TIMBERS OF SHOREWOOD 10/21/18 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO 749 18WC 37935 NIEVES, ROSEMARIE AMAZON, INC 07/01/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 750 18WC 38199 ARRIAGA, JONATHAN US XPRESS ENTERPRISES, IN 09/15/18 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 751 18WC 38215 ALVAREZ, KESHA STATEVILLE CORRECTIONAL C @ 05/24/18 CUTLER & HULL ASSISTANT ATTORNEY GENERAL 752 19WC 00045 ST GERMAIN, CHRISTINE JOLIET PUBLIC SCHOOLS DIS 05/17/17 RIDGE & DOWNES ROSARIO CIBELLA 753 19WC 00083 UGDAH, RACHEL MIDEST X-RAY, INC 09/21/18 MICHAEL HELLMAN LAWRENCE COZZI - LAW OFFICE 754 19WC 00178 ALVAREZ, JUAN CARLOS CARD METRO STAFFING 03/16/18 BAUM RUFFOLO & MARZAL LTD SLAVIN & SLAVIN 755 19WC 00199 NICHOLSON, ROBERT PLAINFIELD CONSOLIDATED S 11/08/18 DEPAOLO & ZADEIKIS INMAN & FITZGIBBONS 756 19WC 00237 GILLS, EQUARION UNIFIED CML 12/31/18 BERG & BERG HOLECEK & ASSOCIATES 757 19WC 00409 PRICE, CERRITHA AMAZON 09/12/18 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 758 19WC 00459 ALLEN, MICHAEL B AMAZON.COM.DEDC LLC 12/16/18 ANKIN LAW OFFICE 759 19WC 00497 TURNER, TIMOTHY J FIRST MIDWEST BANK 11/14/18 ANESI OZMON RODIN NOVAK KO EDWARD J. KOZEL 760 19WC 00536 SIWINSKI, DANIEL J VILLAGE OF MOKENA 07/23/18 HANNIGAN & BOTHA, LTD SLAVIN & SLAVIN 761 19WC 00666 DONNELLY, MARGARET WEST LIBERTY FOODS 01/10/18 SEIDMAN MARGULIS & FAIRMAN HEYL ROYSTER VOELKER & ALLEN 762 19WC 00703 MARTINEZ, ALBERTO MIDWEST AIR TECHNOLOGY IN 10/12/18 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 763 19WC 00747 JOHNSON, RICARDO GREENCORE USA INC 12/21/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 764 19WC 00819 BENSON, DIANE AMAZON 10/30/18 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 19WC008002 -C 765 19WC 00954 SHREVES, TOTIANNA GENERAL MOTORS, LLC 09/12/18 SOSTRIN AND SOSTRIN PC NYHAN BAMBRICK KINZIE & LOWR 766 19WC 01041 FABIAN, MARIA BARTON STAFFING SOLUTIONS 12/20/18 COSTA IVONE LLC SLAVIN & SLAVIN 767 19WC 01071 TEJEDA, MARIA I ORIGINAL LITTLE JOE'S PIZ 10/26/17 CULLEN HASKINS NICHOLSON 768 19WC 01098 JORDAN, TONY WILLIAMS BROTHERS CONSTRU 08/09/18 LEONARD LAW GROUP LLC KNELL LAW LLC 769 19WC 01168 MITCHELL, RICHARD YRC WORLDWIDE 07/27/18 RATHBUN CSEVENYAK & KOZOL HENNESSY & ROACH PC 770 19WC 01201 LEON, ELIA ARYZTA, LLC 10/24/18 ROBERT J. IRSUTO HENNESSY & ROACH PC 771 19WC 01252 SMITH, MORRIEL D DOLLAR TREE DISTRIBUTION 10/26/18 PAUL A COGHLAN & ASSOC LEAHY EISENBERG & FRAENKEL 772 19WC 01365 MOLNAR, DANIEL IST AMERICAN US OPERATION 09/18/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 773 19WC 01371 GRIJALVA, MARIO JR CHICAGO SUBURBAN EXPRESS 09/14/18 LEONARD LAW GROUP LLC FRIEDRICH LAW LLC 774 19WC 01518 COUGHLIN, LORI IKEA 01/01/19 VRDOLYAK LAW GROUP LLC LAWRENCE COZZI - LAW OFFICE 775 19WC 01751 RICE, JACQUELINE MYLIFE HOME HEALTHCARE 01/04/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 776 19WC 01803 SANDERS, DWAYNE ARCHITECTURAL METAL ERECT 06/14/17 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 777 19WC 01902 ORNELAS, ARTURO GREENSCAPE 01/02/19 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 778 19WC 01950 MERCADO, ABRAHAM ARBON STEEL & SERVICE COM 01/08/19 GORDON & CENTRACCHIO LLC GRIFFIN, LORETTA M LAW OFFIC 779 19WC 01964 ALBERTSEN, DAVID SUPERIOR HEALTH LINENS 12/20/18 CULLEN HASKINS NICHOLSON LAWRENCE COZZI - LAW OFFICE 780 19WC 01972 SANTIAGO, JOSE W SCHNEIDER NATIONAL 04/05/18 BLOCK, KLUKAS & MANZELLA P ASA LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 781 19WC 01978 CODDINGTON, CATHERINE BREMEN CHSD #228 04/30/18 BLOCK, KLUKAS & MANZELLA P SRAGA HAUSER LLC 782 19WC 02103 MOLLOY, JUSTIN JEWEL FOOD STORES 1537 07/05/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 783 19WC 02151 HUBBARD, KRISTE AMAZON DISTRIBUTION CENTE 12/08/18 GOLDBERG WEISMAN & CAIRO L 784 19WC 02204 STEVENS, RON HITS, INC. 04/12/18 RUSIN & MACIOROWSKI LTD 785 19WC 02240 CHAVEZ, SHIRLEY GP TRANSCO 11/21/18 JAMES J. GAY KRAKER FANNING & OLSEN 786 19WC 02291 COE, SUSANNE NAPERVILLE PROFESSIONALS, 01/14/19 BLOCK, KLUKAS & MANZELLA P LAWRENCE COZZI - LAW OFFICE 787 19WC 02360 CARTER, SAMMY MIDWAY MOVING AND STORAGE 01/18/19 JOHN S. ELIASIK FRIEDRICH LAW LLC 788 19WC 02410 PEREZ, FABIAN ELITE STAFFING 01/16/19 WOLFE LAW PC 789 19WC 02476 FRENCH, COREY IFCO SYSTEMS 01/21/19 DWORKIN AND MACIARIELLO 790 19WC 02653 OROZCO, ALFREDO BOLINGBROOK COLD STORAGE 11/16/18 LEO ALT WIEDNER & MCAULIFFE LTD 791 19WC 02800 MILELLA, DAWN HARRAH'S JOLIET CASINO 07/31/18 PETER LEKAS NOBLE & ASSOC 792 19WC 02889 CARTER, KHYIA AMAZON.COM, INC 11/13/18 COVEN LAW GROUP 793 19WC 03216 USBORNE, ROBERT PRO LOGISTIX 07/11/18 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN 794 19WC 03303 KING, SHANEQUIA WALMART 12/08/18 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 19WC025290 -C 795 19WC 03442 SOLIS, LEANDRO INTEGRATED INDUSTRIES 01/21/19 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 19WC017018 -C 19WC017019 -C 19WC017020 -C 796 19WC 03589 ALBRECHT, KATHY ANOINTED CHILD CARE ACADE 06/26/18 KEDZIE LAW OFFICE PC HOLECEK & ASSOCIATES 797 19WC 03926 VINSON, MELVIN STATEVILLE CORRECTIONAL C @ 04/12/18 HORWITZ HORWITZ & ASSOC ASSISTANT ATTY GENL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 798 19WC 03951 PACHECO, CRISTINA SUMMIT STAFFING INC 10/25/18 GREGORIO & MARCO GAIDO & FINTZEN 799 19WC 04001 VAN WESTRIENEN, BRITTANY LIFE TOUCH 11/18/18 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 800 19WC 04026 PAYTON, KENNETH COOPERS HAWK 11/10/18 COVEN LAW GROUP KRAKER FANNING & OLSEN 801 19WC 04357 POOL, JIMMY JB HUNT TRANSPORT, INC 01/14/19 HORWITZ HORWITZ & ASSOC 802 19WC 04642 SIMPSON, CANDICE TORRID 11/15/18 DIXON LAW FIRM BRADY CONNOLLY & MASUDA PC 803 19WC 04681 OLGUIN, JORGE GOLDEN COUNTRY ORIENTAL F 01/23/19 KREITER, BYCK & ASSOC LLP 804 19WC 04720 MULL, DEDRA STAFFING SLUTONS SOUTHEAS 02/08/19 ANKIN LAW OFFICE LEAHY EISENBERG & FRAENKEL 805 19WC 04817 KING, RORY CRETE MONEE SCHOOOL DIST 02/08/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 806 19WC 04934 WRIGHT, TAMERA SPRING CREEK NURSING & RE 06/17/18 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 807 19WC 04954 HARPER, JASON D HAWK CHEVROLET OF JOLIET 08/30/18 BLOCK, KLUKAS & MANZELLA P 808 19WC 05307 PIERCE, MICHELLE MARINO'S FRESH MARKET/KRO 12/23/18 JOSHUA KARMEL 809 19WC 05379 ALBA, JOSEFINA MCDONALDS 01/15/19 PORRO NIERMANN LAW GROUP 810 19WC 05485 ALTAMIRANO, LETICIA RON'S STAFFING SERVICES 01/18/19 COSTA IVONE LLC KOREY RICHARDSON LLC 811 19WC 05561 RODRIGUEZ, CLAUDIA CATHOLIC CHARITIES 07/16/18 BAUM RUFFOLO & MARZAL LTD 812 19WC 05765 CRUZ, CRISTIAN TONY'S FINER FOODS 11/28/18 RATHBUN CSEVENYAK & KOZOL 813 19WC 05866 SERGEANT, MARK AEROTECH 08/13/18 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 814 19WC 05920 KANE, BRIAN SHOREWOOD LIQUIDATORS, IN 02/05/19 WHITESIDE & GOLDBERG LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 815 19WC 05980 GROSSMAN, JOHN AMAZON 09/24/18 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 816 19WC 06003 JURENKA JR., VLADISLAV IKEA 01/22/19 BART DURHAM LAWRENCE COZZI - LAW OFFICE 19WC037141 -C 817 19WC 06084 BROWN, ASHLEY PREMIER EMPLOYEE SOLUTION 02/19/19 ROBIN LAW OFFICE 818 19WC 06217 ROSS, LEKORA ASG STAFFING 01/30/19 DWORKIN AND MACIARIELLO FRANCIS J DISCIPIO LAW OFFIC 819 19WC 06315 GARCIA, URIEL S&S ACTIVEWEAR 09/24/18 COSTA IVONE LLC 820 19WC 06376 RAMIRES, MARTIN GEA FARM TECHNOLOGY 01/14/19 BLOCK, KLUKAS & MANZELLA P 821 19WC 06531 SMITH, ROBERT CITY OF JOLIET FIRE DEPT 04/16/17 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 822 19WC 06576 SERRANO-SANCHEZ, ADRIANA PRIMARY STAFFING INC 01/15/19 JOHN S. ELIASIK HENNESSY & ROACH PC 823 19WC 06618 ADAMOWSKI, KYLE A ROGINA ENGINEERING 11/19/18 MCNAMARA PHELAN MCSTEEN LL RIPES NELSON BAGGOT KALOBRAT 824 19WC 06683 DELISIO, BRAD, FOR ESTATE NAAMZ AUTOBODY 02/07/19 SYREGELAS, NICHOLAS C KEEFE CAMPBELL BIERY & ASSOC 825 19WC 06761 AUTMAN, MEGHANN INDEPENDENT LIVING SYSTEM 10/01/18 WOLFE LAW PC HOLECEK & ASSOCIATES 826 19WC 06877 STAPLETON, ADAM CITY OF JOLIET 01/08/19 LULAY LAW OFFICES KNELL O'CONNOR DANIELWICZ 827 19WC 06966 YOUNG, CHAD MOTIVE POWER RESOURCES, I 09/24/18 PARENTE & NOREM PC 828 19WC 07032 CARREON, SALVADOR KUUSAKOSKI RECYCLING 02/09/18 MARKER & CRANNELL 829 19WC 07094 REYES, VIRGINIA SANTIAGO ELITE STAFFING 11/07/18 JONATHAN SCHLACK 830 19WC 07145 FARMER, JEFFREY M ELITE STAFFING INC 02/21/19 CULLEN HASKINS NICHOLSON

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 885 19WC 12668 PENA, JESUS FIESTA MARKET 03/03/19 CANDIANO LAW OFFICE 886 19WC 12744 HERNANDEZ, ARACELI KELLY SERVICES INC 04/12/18 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 887 19WC 12824 HOLLIS, LATRICE AMAZON.COM.DEDC LLC 04/26/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 888 19WC 12891 MCKENZIE, TERENCE FEDEX 03/27/19 DWORKIN AND MACIARIELLO 889 19WC 12983 ALLEN, KEVIN C FLEXIBLE STAFFING SERVICE 03/21/19 GALLAGHER, DONALD V ROSARIO CIBELLA 890 19WC 13056 SANTOYO, ANA GLORIA GREAT AMERICAN BAGEL INC. 03/11/19 JONATHAN SCHLACK 891 19WC 13098 HOFHERR, MICHAEL SUPERWASH, INC 02/07/19 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 892 19WC 13201 PEREZ, SILVIA TURANO BAKERY 01/10/19 BLOCK, KLUKAS & MANZELLA P 893 19WC 13740 ALI, NISAR ROBERT BOSCH LLC 03/25/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 894 19WC 13889 ROGERS, ROBERT L PACE TRANSPORATION 02/20/19 GALLAGHER, DONALD V 895 19WC 13919 GARCIA, BLANCA FUTURE DIAGNOSTICS GROUP 01/11/19 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 896 19WC 13945 VORREYER, ROBERT ARBON STEEL & SERVICE CO 11/20/18 MCNAMARA PHELAN MCSTEEN LL GILDEA, COGHLAN & REGAN LTD. 897 19WC 13969 WILLIAMS, ANTHONY NICOR GAS 03/13/19 PETER C KOPOULOS 898 19WC 14013 BAZIL, STEVEN FED EX 02/01/19 VRDOLYAK LAW GROUP LLC QUINTAIROS PRIETO WOOD & BOY 19WC014014 -C 899 19WC 14022 TELLEZ, BRIAN PARAMOUNT STAFFING 03/08/19 JONATHAN SCHLACK KEEFE CAMPBELL BIERY & ASSOC 900 19WC 14070 KUSINSKI, MARTIN XPO LAST MILE, INC 03/18/19 EAMES LAW GROUP LTD 901 19WC 14143 MCCALLUM, LYNELL N COMMONWEALTH EDISON COMPA 04/27/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 902 19WC 14296 TANCREDI, ROBERT GCA SRVS CENTRAL STATES 09/12/17 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 921 19WC 16288 PAZ, MONICA COUNTRYSIDE LODGING, INC 02/16/19 EPSTEIN, JACK R LAW OFFICE KRAKER FANNING & OLSEN 922 19WC 16521 CANO, OLGA WEATHERTECH 02/13/19 MICHAEL HELLMAN 923 19WC 16574 BORGRA, SANDRA FRESH THYME FARMER'S MARK 03/08/19 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 924 19WC 16646 CHAMBLEE, STEPHEN AMAZON DISTRIBUTION CENTE 05/21/19 HORWITZ HORWITZ & ASSOC 925 19WC 16695 BRAWTHEN, KIMBERLY PARSEC 05/02/19 PARENTE & NOREM PC RUSIN & MACIOROWSKI LTD 926 19WC 16724 MATHERLY, PENNY AMAZON FULFILLMENT CENTER 05/15/19 DAVID W MARTAY 927 19WC 16851 BRADFORD, PRINCE C METRO STAFF INC. 06/01/19 SLAVIN & SLAVIN 928 19WC 17170 GUERRERO, MIGUEL CAPSTONE LOGISTICS, LLC 04/15/19 ANKIN LAW OFFICE 929 19WC 17299 JORDAN, JEANETTE STAFFMARK 05/29/19 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 930 19WC 17464 ALLRED, KELLY SEPTRAN, INC 05/15/19 HORWITZ HORWITZ & ASSOC 931 19WC 17562 FISHBECK, BELINDA LOVER'S LANE 01/04/19 BERG & BERG 932 19WC 17584 KOS, VINCENT GEODIS 05/20/19 HORWITZ HORWITZ & ASSOC LAWRENCE COZZI - LAW OFFICE 933 19WC 17669 HUMPHRIES, LEROY STELA EXPRESS INC 04/10/19 JAMES ELLIS GUMBINER & ASS KRAKER FANNING & OLSEN 934 19WC 17743 RUEFF, ANDREW L TAYLOR CHRYSLER DODGE INC 04/09/18 MAURICE E DUSKY PC MCANANY VANCLEVE & PHILLIPS 935 19WC 17828 WAGILA, MARK THE DAVEY TREE EXPERT COM 05/07/19 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 936 19WC 17900 JUREK, JACK ARAMARK 06/08/17 SARKISIAN & FLEMING 937 19WC 18028 MAYER, PAUL J MOTION & CONTROL ENTERPRI 04/01/16 HORWITZ HORWITZ & ASSOC 938 19WC 18221 BROWN, DANIEL AMAZON, INC 05/07/19 MINKOW DOMIN WIEDNER & MCAULIFFE LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 957 19WC 19687 FOREMAN, NEVEDA WALMART DISTRIBUTION CENT 07/02/19 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 958 19WC 19703 GREEN, MICHAEL XPO SUPPLY CHAIN INC 04/12/19 HORWITZ HORWITZ & ASSOC 959 19WC 19760 MOLLAN, JEFF CLEARWATER PAPER 06/21/19 STROM & ASSOC 960 19WC 19802 ROGERS, DAVID TATE & LYLE 06/26/19 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 961 19WC 19908 PRUITTE, STACY SCHNEIDER LOGISTICS 11/16/18 GWC INJURY LAWYERS LLC ASA LAW GROUP 962 19WC 19999 WIRTH, PAUL PRECISION PLUMBING 07/16/18 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 963 19WC 20021 DARDEN, RESHAWNDA AMAZON 12/06/18 GOLDSTEIN BENDER & ROMANOF 964 19WC 20168 MCEVILLY, ERIC FEDEX 01/03/19 BLOCK, KLUKAS & MANZELLA P KOPKA, PINKUS DOLIN, PC 965 19WC 20355 KLINGBERG, JESSE GREENCORE US HOLDINGS LLC 06/11/19 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 966 19WC 20535 MATESEVIC, MASON UPS 06/28/19 BLOCK, KLUKAS & MANZELLA P ASA LAW GROUP 967 19WC 20710 ALM, MICHELLE OLIVE GARDEN 08/21/18 MARKER & CRANNELL 968 19WC 20793 CALDERON, CAMILO HONEYWELL 03/07/17 CUSHING LAW OFFICES EVANS & DIXON 969 19WC 20842 WILSON, KRYSTAL PRESENCE VILLA FRANCISCAN 01/22/19 JAMES J. GAY 970 19WC 20867 AHMAD, JAMIL STATE OF ILLINOIS DOC @ 06/21/19 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 971 19WC 20948 ALES, SARAH WINGS, ETC 06/22/19 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 972 19WC 21016 JOHNSON, ANTOINE WALMART WAREHOUSE 05/12/19 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 19WC032353 -C SCHEINDER NATIONAL 973 19WC 21089 ADAMS, JUSTIN WENDY'S 10/13/18 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 974 19WC 21105 BOYLE, MATTHEW SOUTHERN WINE & SPIRITS 04/18/19 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1011 19WC 23900 ROBINSON, PAUL RICOH 09/12/18 LEITER LAW OFFICES CHILTON YAMBERT PORTER LLP 1012 19WC 23934 REYNOSA, MARIA H.B. FULLER COMPANY 03/15/18 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 1013 19WC 23976 ATHANS, RAMONA AMAZON 05/06/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1014 19WC 24058 POSTEL SCULLEY, ANN T THE INN AT WILLOW FALLS 07/19/19 DANIEL J ADLER LAW OFFICE ACCIDENT FUND HOLDINGS 1015 19WC 24099 PARKER, JASHAUNTI STAFFMARK 08/08/19 WOODRUFF JOHNSON KEEFE CAMPBELL BIERY & ASSOC 1016 19WC 24112 RODRIGUEZ, DAISY EXPRESS EMPLYMNT PROFESSI 04/11/19 GRAVLIN, MICHAEL J LLC MC ANDREWS & NORGLE LLC 1017 19WC 24190 TAYLOR, DIONDRA SUPERIOR HEALTH LINENS 03/16/19 CULLEN HASKINS NICHOLSON 1018 19WC 24255 YANEZ, BELEN WENDY'S/ALL STAR MANAGEME 11/07/18 BAUM RUFFOLO & MARZAL LTD JOSEPH MARCINIAK 1019 19WC 24336 RODRIGUEZ, TOMAS K-BROTHERS FENCE CO, INC 06/27/19 OSVALDO RODRIGUEZ PC KEEFE CAMPBELL BIERY & ASSOC 1020 19WC 24370 SENIOR, CAROLYN ILLINOIS TOOL WORKS 06/11/19 BRILL & FISHEL NYHAN BAMBRICK KINZIE & LOWR 1021 19WC 24436 HERNANDEZ, CAROLINA G & W ELECTRIC 06/21/19 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 1022 19WC 24592 LOVE, NICOLE HEARTHSIDE FOOD SOLUTIONS 06/20/19 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 1023 19WC 24652 NUNEZ, JAIME JULIAN ELECTRIC 02/13/19 RATHBUN CSEVENYAK & KOZOL 1024 19WC 24702 BOE, STEVEN CITY OF JOLIET POLICE DEP 05/18/19 RATHBUN CSEVENYAK & KOZOL KNELL O'CONNOR DANIELWICZ 1025 19WC 24877 BENSON, KATRINA AMITA HEALTH ST.JOSEPH ME 05/21/19 PORRO NIERMANN LAW GROUP 1026 19WC 24905 PHILLIPS, CATHERINE A CAESARS ENTERTAINMENT COR 05/09/19 KAVANAGH GRUMLEY & GORBOLD NOBLE & ASSOC 1027 19WC 25021 CONTRERAS, ARTURO CLEARWATER PAPER CORPORAT 07/10/19 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1028 19WC 25067 BROWN, VERONICA GRAND PRAIRIE TRANSIT 09/25/18 ANGELINI & ORI LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1047 19WC 27018 JOHNSON, MICHAEL B J IS L TRUCLING, LLC 08/18/19 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 1048 19WC 27054 LONDON, ROXANNE AT&T 06/06/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1049 19WC 27174 CLAAR, LYDIA SPEEDWAY LLC 05/26/19 SCHWEICKERT GANASSIN KEEFE CAMPBELL BIERY & ASSOC 1050 19WC 27276 REYES, ELIZABETH AS CUSTD MCDONALD'S 09/07/19 ANGELINI & ORI LLC 1051 19WC 27293 HERNANDEZ, THELMA FIS 09/20/16 PORRO NIERMANN LAW GROUP GOLDBERG SEGALLA LLC 1052 19WC 27311 BISPING, DONALD STATE OF ILLINOIS DOT @ 04/10/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 1053 19WC 27370 ELLIOTT, TODD ALDI 05/21/19 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 1054 19WC 27444 NUNNALLY, KEITH COOK COUNTY OF ILLINOIS 04/01/19 GOLDSTEIN AIOSSA & GOOD STATES ATTORNEY OF COOK COUN 1055 19WC 27509 LINARES, CHRISTOPHER ILLINOIS STATE POLICE @ 08/16/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 1056 19WC 27601 JOHNSON, ELLIOTT SNIDER-BLAKE PERSONNEL 09/16/19 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 1057 19WC 27624 CASH, RACHEL LEE WALMART, INC. DBA WALMART 09/07/19 FIORENTINO LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 1058 19WC 27644 GONZALEZ, ADRIAN ALYSSA PAINTING, INC 07/29/19 DAVID W MARTAY 1059 19WC 27681 SALINAS, JUAN PABLO F/K/A PRIMARY STAFFING 07/03/19 CHEPOV & SCOTT LLC HENNESSY & ROACH PC 1060 19WC 27697 TWIGGS, MARK THE RESERVES NETWORK @ 08/09/19 JAMES ELLIS GUMBINER & ASS 1061 19WC 27722 THOMAS, MARCO J JB HUNT TRANSPORT, INC 07/19/19 ANKIN LAW OFFICE 1062 19WC 27916 LEFEVERS, JOEL DRYER VENT WIZARD 02/04/19 MINKOW DOMIN 1063 19WC 27964 GREEN, NAYA CHIPOTLE SERVICES LLC 09/19/19 DWORKIN AND MACIARIELLO 1064 19WC 28036 GARCIA, ODON GREENSCAPE SERVICES 08/19/19 WOODRUFF JOHNSON THOMAS MAMER LLP

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1191 19WC 36568 PHELPS, JOHN MARIANO'S 09/12/19 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 1192 19WC 36583 HAVENER, BRENT NEW LENOX FIRE 07/29/18 POWER & CRONIN LTD 1193 19WC 36684 GRAHAM, JANET K ROCKDALE SCHOOL DISTRICT 12/06/19 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 1194 19WC 36719 REED, SAMANTHA HARRAH'S JOLIET 10/17/19 MC HARGUE & JONES 1195 19WC 36746 GLORIA, HIGINIA DOLLAR TREE 06/06/19 FOOTE MIELKE CHAVEZ O'NEIL LEAHY EISENBERG & FRAENKEL 1196 19WC 36771 MALDONADO, FIDEL NFI NATIONAL FREIGHT 12/04/19 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 1197 19WC 36866 HERNANDEZ, FRANCISCO PETCO ANIMAL 12/05/17 CULLEN HASKINS NICHOLSON ROSARIO CIBELLA 1198 19WC 36883 ANDRADE, MARIA FILTRATION GROUP INC 10/29/18 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 1199 19WC 36966 NAVARRO, EFRAIN WALMART 10/03/19 ANKIN LAW OFFICE 1200 19WC 36995 CRUZ, XAVIER WORKFORCE ENTERPRISES 11/12/19 R. MARK MARITOTE PC SPONSLER BISHOP 1201 19WC 37035 COLBURN, JAMES HOMER SCHOOL DIST 33C 11/19/19 BLOCK, KLUKAS & MANZELLA P 1202 19WC 37059 MAZZONE, JOSEPH COSTCO 07/31/19 RATHBUN CSEVENYAK & KOZOL WOLFE & JACOBSON, LTD 1203 19WC 37115 JASLOWSKI, STACEY WALMART 10/15/19 MCNAMARA PHELAN MCSTEEN LL QUINTAIROS PRIETO WOOD & BOY 1204 19WC 37175 WILLIAMS, ALISSA AMAZON FULFILLMENT CENTER 11/15/19 DWORKIN AND MACIARIELLO 1205 19WC 37260 JONES, CHARLES E CITY OF JOLIET 09/27/19 ANKIN LAW OFFICE KNELL O'CONNOR DANIELWICZ 1206 19WC 37376 SANCHEZ, SANDRA QUAD GRAPHICS 07/21/19 SPIROS LAW PC WOLF & LAUDICINA LTD 1207 19WC 37395 BOSKELLY, KELSEY COMM UNIT SD 308 10/28/19 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 1208 19WC 37437 DAVIS, ANDY JB HUNT TRANSPORT, INC 11/18/19 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1209 19WC 37478 DEL GALLO, MICHAEL KIRSCH BUILDERS SUPPLY 11/27/19 JAMES URTIS 1210 19WC 37522 CHRONISTER, TRACY A ST OF ILLINOIS C/OSTATEVI @ 08/26/19 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 1211 19WC 37539 GREGG, MICHELLE CCMSI 07/24/18 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 1212 20WC 00073 STEIN, NICK SCHNEIDER ELECTRIC 12/19/19 RUBENS KRESS MULHOLLAND 1213 20WC 00097 BURNS, LYNELL MAIJER, INC 08/05/19 DAVID W CLARK KOPKA, PINKUS DOLIN, PC 1214 20WC 00147 MARINEZ, JESSIE MOORE ADVANCED 12/27/19 DWORKIN AND MACIARIELLO SMITH AMUNDSEN LLC 1215 20WC 00173 KATSIGRIS, CONSTANTINE AMAZON FULFILLMENT CENTER 12/07/19 KATZ FRIEDMAN EISENSTEIN 1216 20WC 00271 BARDEL, WILLIAM JOLIET STAFFING, LLC 12/11/19 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 1217 20WC 00278 CRISTAN, CELINA A AMAZON DISTRIBUTION CENTE 04/03/19 HORWITZ HORWITZ & ASSOC 1218 20WC 00297 GALINDO, CECILIA DOT FOODS 01/09/19 KARCHMAR & STONE HEYL ROYSTER VOELKER & ALLEN 1219 20WC 00333 LOZA, RICARDO AFL-CIO 11/15/18 MARK N LEE 1220 20WC 00461 NORIEGA, MANUEL WINDY CITY WIRE 11/07/19 COSTA IVONE LLC 1221 20WC 00590 SYZNALSKI, WALTER WENDY'S 12/23/19 BAUM RUFFOLO & MARZAL LTD 1222 20WC 00623 DONELSON, DORIS FEDEX 06/29/19 STEVEN J MALMAN & ASSOCIAT KOPKA, PINKUS DOLIN, PC 1223 20WC 00646 AGUILAR, ELENA PRIMARY STAFFING 06/14/19 CULLEN HASKINS NICHOLSON 1224 20WC 00704 CHRISTENSEN, JONATHAN R MANHATTAN FIRE PROTECTION 11/13/19 CRONIN PETERS & COOK 1225 20WC 00729 HOLLARS, BRIAN WESTROCK 11/14/19 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1226 20WC 00782 MONTES, LOUIS ILLINOIS DEPARTMENT 01/03/20 COSTA IVONE LLC ASSISTANT ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1460 20WC 12256 STANDBERRY, TIANNA ECLIPSE IA * 04/30/20 DONALD FOHRMAN & ASSOC FRANCESCA LARSEN 1461 20WC 12277 LAPICE, JACK L WERNER TRUCKING CO * 12/19/19 O'CONNOR & NAKOS HENNESSY & ROACH PC 1462 20WC 12312 ZEPEDA, CRISTINA SUPERIOR HEALTH LINES * 05/01/20 CULLEN HASKINS NICHOLSON 1463 20WC 12362 KOZIELSKI, KATELYN CITY OF JOLIET * 09/27/18 KNELL O'CONNOR DANIELWICZ 1464 20WC 12381 JOERMS, CHRISTOPHER CRETE SERVICE CENTER * 03/13/20 SEIDMAN MARGULIS & FAIRMAN 1465 20WC 12437 CRUZ, JOSE JR JEWEL-OSCO * 03/15/20 SOSTRIN AND SOSTRIN PC 1466 20WC 12510 SHUKLA, DISHA RESIDENTIAL HOME HEALTH * 05/05/20 MARKER & CRANNELL COZZI & ZAPF LAW OFFICE 1467 20WC 12536 CATHEY, ROOSEVELT JR NFI * 05/07/20 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 1468 20WC 12582 COLE, DEMETRIS JLL * 05/13/20 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1469 20WC 12626 NELSON, ALVIN ST OF IL DBA LUDEMAN CENT @ * 11/01/19 BLOCK, KLUKAS & MANZELLA P 1470 20WC 12671 MACLIN, JESSIE J INTEGRITY TRADE SERVICES * 05/19/20 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 1471 20WC 12718 SAMUEL, LORENZO ASG STAFFING * 05/14/20 ANGELINI & ORI LLC FRANCIS J DISCIPIO LAW OFFIC 1472 20WC 12752 MUELLER, MATTHEW UNITED PARCEL SERVICE * 05/20/20 CULLEN HASKINS NICHOLSON ASA LAW GROUP 1473 20WC 12812 JAMES, RODNEY QUALITY CUSTOM DISTRIBUTI * 06/06/20 PARENTE & NOREM PC 1474 20WC 12826 HEISNER, TAMMI THE PARC AT JOLIET * 04/29/20 RIDGE & DOWNES GANAN & SHAPIRO 1475 20WC 12853 PUENTES, MARIA TERESA CLEAR STAFFING INC./ * 02/26/20 EPSTEIN, JACK R LAW OFFICE ACCIDENT FUND HOLDINGS 1476 20WC 12927 CAFFEY, NATHAN FERRERA CANDY COMPANY * 03/17/20 VASILATOS & COTTER LLC 1477 20WC 12965 TASA, JOAN ST MARY IMMACULATE * 08/14/19 STONE & JOHNSON CHARTERED

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1514 20WC 14762 SLADCIK, DUSTIN INTERTAPE POLYMER CORPORA * 10/09/19 GAROFALO SCHREIBER STORM GRA 1515 20WC 14815 VIAN, NICOLE TPOD MANAGEMENT * 05/23/20 LEONARD LAW GROUP LLC 1516 20WC 14896 KELLY, TRACI A AMAZON * 03/10/20 ANKIN LAW OFFICE 1517 20WC 14944 REGALADO, MARIA DEL ROCIO PRO STAFFING * 11/21/18 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 1518 20WC 14963 KOLLARITSCH, JESSE JEWEL-OSCO * 06/08/20 WOODRUFF JOHNSON 1519 20WC 14975 QUEZADA, MARIA DARVIN FURNITURE DISTR CE * 01/09/20 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 1520 20WC 14989 JONES, LAWANDA SALEM VILLAGE * 12/19/19 VASILATOS & COTTER LLC 1521 20WC 15030 WARREN, STEVEN NRJM/DOMINOS PIZZA * 12/31/19 BLOCK, KLUKAS & MANZELLA P 1522 20WC 15050 GROCHOWSKI, MICHAEL ABS TRUCKING * 05/22/20 LEITER LAW OFFICES 1523 20WC 15134 HEAD, JAMES CONTAINER PORT GROUP * 07/06/19 TARADASH LAW OFFICE 1524 20WC 15174 SANCHEZ, CATHY A BERNARDIN'S LANDSCAPING I * 04/27/20 ROMANUCCI & BLANDIN 1525 20WC 15318 SANTANA ORTIZ, FIDEL USF HOLLAND * 06/06/20 PARENTE & NOREM PC 1526 20WC 15330 MCGEE, RAY BATTERY SYSTEMS OF BOLING * 04/22/20 STEVEN J MALMAN & ASSOCIAT KRAKER FANNING & OLSEN 1527 20WC 15348 HARRIS, TONY ST OF IL DEPT OF TRANSPRT @ * 01/23/20 CUDA LAW OFFICES 1528 20WC 15393 CHAVEZ, NICOLAS AMSYSCO, INC * 06/25/20 JONATHAN SCHLACK 1529 20WC 15493 SANTOS, JOSE GEODIS LOGISTICS LLC * 06/09/20 STROM & ASSOC 1530 20WC 15579 JOHNICAN, EARLE DSC LOGISTICS * 05/06/20 FRANCIS J DISCIPIO LAW OFF MC ANDREWS & NORGLE LLC 1531 20WC 15615 FUNK, ELISABETH A WALMART * 08/22/18 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1532 20WC 15633 THOMAS, BEYANKAV IKEA US RETAIL * 08/08/19 TIMOTHY HENDERSON BRYCE DOWNEY & LENKOV LLC 1533 20WC 15671 HERNANDEZ, OTHON INTREN, INC. * 09/19/19 WIEDNER & MCAULIFFE LTD 1534 20WC 15703 HOLLON, CHARLIE JR. PEOPLESHARE BEST PRACTICE * 06/30/20 LUSAK AND COBB 1535 20WC 15732 LOPEZ-CRUZ, RENE DE JESUS NIKO'S PIZZERIA * 06/08/20 MC HARGUE & JONES 1536 20WC 15751 ALEXANDER, CALVIN HIRSCHBACH MOTOR LINES * 06/08/20 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1537 20WC 15788 ALVARADO, ATILANO K&D LANDSCAPE MANAGEMENT, * 04/02/20 EPSTEIN, JACK R LAW OFFICE 1538 20WC 15859 GUZMAN, LINDA RICH PRODUCTS CORPORATION * 06/26/20 HERRERA LAW CENTER 1539 20WC 15879 FUGATE, CYNTHIA INTEGRITY STAFFING * 05/25/20 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1540 20WC 15895 ARRIETA, CARI LOGISTICS KING INC * 02/01/20 WOODRUFF JOHNSON 1541 20WC 15924 MCCOY, BRIAN TARGET * 05/05/20 DISPARTI LAW GROUP PA 1542 20WC 15954 KORTUM, ROBERT THE PEP BOYS MANNY MOE & * 01/30/20 FRANK A CELANI 1543 20WC 15966 HERNANDEZ, MINERVA ESSEN NUTRITION CORPORATI * 05/27/20 CULLEN HASKINS NICHOLSON 1544 20WC 15979 GARDUNO, ALBERTO MINUTE MEN STAFFING SERVI * 06/15/20 COSTA IVONE LLC 1545 20WC 16012 CHAPMAN, BRITTANY A ADVENTIST BOLINGBROOK HOS * 05/11/20 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 1546 20WC 16046 HESS, DOREEN JOLIET STAFFING, LLC * 06/29/20 DREW J FERRACUTI 1547 20WC 16107 DUCKMANTON, RYAN VILLAGE OF ROMEOVILLE * 05/13/20 KINNALLY FLAHERTY KRENTZ 1548 20WC 16167 ANDERSON, THOMAS OLDCASTLE BUILDING ENVELO * 01/20/20 CAPRON & AVGERINOS PC 1549 20WC 16218 VANCINA, JOSHUA CROWN LIFT TRUCKS * 02/01/19 SCOTT W SHEEN & ASSOCIATES INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1550 20WC 16283 ARNIERI, CHARLES FEDERAL EXPRESS * 07/11/20 KOSIN LAW OFFICE LTD KOPKA, PINKUS DOLIN, PC 1551 20WC 16324 SMITH, GEORGE USF HOLLAND * 06/09/20 TAXMAN POLLOCK 1552 20WC 16388 VELASQUEZ, DAVID SR WOODLAWN MEMORIAL PARK * 06/06/19 BLOCK, KLUKAS & MANZELLA P KRAKER FANNING & OLSEN 1553 20WC 16393 HERRADA, MARIA ARYZTA * 05/28/20 MC HARGUE & JONES 1554 20WC 16413 ARENAS, CRESCENCIO SURGE STAFFING, LLC * 05/18/20 BLOCK, KLUKAS & MANZELLA P 1555 20WC 16431 PEREZ, TOMMY BATTLE ENTERPRISES, LLC * 06/08/20 DAVID W MARTAY FRIEDRICH LAW LLC 1556 20WC 16491 GUDIEL-PAREDES, LUIS ALFR BOB'S DISCOUNT FURNITURE * 06/15/20 KATZ FRIEDMAN EISENSTEIN HENNESSY & ROACH PC 1557 20WC 16516 LAROCCA, JACQUELINE JEWEL/NEW ALBERTSON'S INC * 08/30/19 WHITESIDE & GOLDBERG LTD 1558 20WC 16530 MARTINEZ, PERIA SUPERIOR HEALTH LINENS * 03/30/20 CULLEN HASKINS NICHOLSON 1559 20WC 16566 SMITH, KEVIN STATE OF ILLINOIS @ * 09/09/19 RUSSO & RUSSO LTD 1560 20WC 16629 MC CALLUM, SUSAN AMITA HEALTH ST JOSEPH * 05/27/20 ANKIN LAW OFFICE 1561 20WC 16653 SPEARMAN, DANIELLE AMAZON (DCH6) * 06/25/20 ANKIN LAW OFFICE 1562 20WC 16690 MANTEL, DAVID S AMAZON * 06/25/20 GALLAGHER, DONALD V 1563 20WC 16711 TERRELL, KIARA ELIZALDE DOLLAR TREE * 05/26/20 JOHN S. ELIASIK LEAHY EISENBERG & FRAENKEL 1564 20WC 16747 WENDT, JAMES SOUTHWEST MECHANICAL, INC * 07/10/20 SHANNON LAW GROUP 1565 20WC 16849 RUTLEDGE, DESTINY ANNE AMAZON * 12/15/19 O'CONNOR & NAKOS 1566 20WC 16882 BUZO, RUBEN BERNARDIN LANDSCAPING, IN * 05/09/20 MC HARGUE & JONES 1567 20WC 16983 BROWN, ZACHARY D M NATIONAL DCP LLC * 02/23/20 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1568 20WC 17037 FLORES-RIVERA, PORFIRIO ALLEGIANCE STAFFING * 06/24/20 DANIEL PERIASWAMY 1569 20WC 17069 FREJEK, NANCY S AMAZON MDW4 * 06/04/20 ANKIN LAW OFFICE 1570 20WC 17116 BAUTISTA, DONACIANO GREEN EARTH PLATIC RECYCL * 05/16/20 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 1571 20WC 17241 NEGRETE, GORJE N NATIONAL DCP, LLC * 04/20/20 BRIAN J MC MANUS & ASSOC, 1572 20WC 17260 MANIGLIA, PAMELA HEARTHSIDE FOODS * 07/08/20 DWORKIN AND MACIARIELLO 1573 20WC 17310 MCCRAY, GUS H ARAMARK UNIFORM SERVICES * 07/08/20 CULLEN HASKINS NICHOLSON 1574 20WC 17340 CLEMONS, MARK STAFFMARK * 06/29/20 DWORKIN AND MACIARIELLO 1575 20WC 17389 WILSON, DON BEG E TRANSPORTATION LLC * 01/18/20 STEVEN J MALMAN & ASSOCIAT 1576 20WC 17440 KING, SHANEQUIA WALMART * 05/12/20 RATHBUN CSEVENYAK & KOZOL 1577 20WC 17563 COSTELLO, CRAIG ECLIPSE ADVANTAGE/HOME DE * 05/06/20 BLOCK, KLUKAS & MANZELLA P 1578 20WC 17593 MATILDE, MARIO TRIUNE LOGISTICS * 12/12/19 DAVID W MARTAY LITCHFIELD CAVO 1579 20WC 17700 BARRETT, BRAD LOCOMOTIVE SERVICE, INC. * 04/10/20 LEONARD LAW GROUP LLC 1580 20WC 17723 CHIGUIL, GUSTAVO SEATING CONCEPTS * 10/01/19 JOHN S. ELIASIK 1581 20WC 17734 WORST, CHRIS INTEGRITY TRADE SERVICES, * 07/13/20 ANSELMO DURAN 1582 20WC 17830 GUTIERREZ, JORGE A&J CONCRETE * 02/02/20 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 1583 20WC 17865 LIM, LOURDES SILVER CROSS SURGERY CENT * 02/07/19 ROMANUCCI & BLANDIN 1584 20WC 18028 PALMER, LETESHIA AMAZON MDW7 * 07/22/20 ANKIN LAW OFFICE 1585 20WC 18099 RISSMILLER, ROBERT CRETE-MONEE SCHOOL * 02/10/20 SOSTRIN AND SOSTRIN PC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1586 20WC 18110 PEREZ, DANIEL SOUTHERN WINE & SPIRITS * 04/28/20 COVEN LAW GROUP 1587 20WC 18172 ROESEL, JESSICA INSTACART * 07/16/20 WHITESIDE & GOLDBERG LTD 1588 20WC 18255 MAGANA, FERNANDO JH BOTTS, INC * 12/18/19 BLOCK, KLUKAS & MANZELLA P 1589 20WC 18285 CARUSI, FRANK GCA EDUCATION SERVICES, I * 05/25/20 CUDA LAW OFFICES 1590 20WC 18338 LITVIAK, MARY ANN LEGACY HEALTHCARE SERVICE * 06/24/20 KATZ FRIEDMAN EISENSTEIN 1591 20WC 18354 MENSAH, MARGARET WORK NOW STAFFING * 06/10/20 COSTA IVONE LLC HENNESSY & ROACH PC 1592 20WC 18378 RIVERA, SHEQUILA ASHLEY STATESVILLE CORRECTIONAL @ * 06/30/20 KREITER, BYCK & ASSOC LLP 1593 20WC 18406 JONES, CATHERINE AMAZON.COM.DEDC, LLC * 01/13/20 GRAUER & KRIEGEL LLC 1594 20WC 18491 JIMENEZ, BRYAN TOUCHDOWN LANDSCAPING * 07/28/20 EDWIN REYES LAW FIRM COZZI & ZAPF LAW OFFICE 1595 20WC 18502 DEAN, LAURENSE ELITE STAFFING * 07/14/20 DWORKIN AND MACIARIELLO 1596 20WC 18530 SCHWARZ, LASHONDA THOMAS NEXUS EMPLOYMENT SOLUTION * 06/11/20 DONALD FOHRMAN & ASSOC 1597 20WC 18575 CONTRERAS, ANA AMAZON * 05/03/19 DISPARTI LAW GROUP PA 1598 20WC 18593 STALLINGS, DONEQUA SUPERIOR HEALTH LINENS * 07/18/20 DEPAOLO & ZADEIKIS 1599 20WC 18714 JONES, JORDAN G PROLOGISTIX * 08/03/20 DWORKIN AND MACIARIELLO 1600 20WC 18762 DILL, DANIEL FRONTRUNNER SYSTEMS INC * 07/22/20 ANKIN LAW OFFICE 1601 20WC 18789 TSAMBIKOU, DIMITRIOS ILLINOIS STATE POLICE * 02/21/20 RIDGE & DOWNES 1602 20WC 18808 GRUBBS, JAMES AMAZON * 05/23/20 STEVEN J MALMAN & ASSOCIAT 1603 20WC 18841 TORRES, IGNACIO DHL * 03/14/20 MINKOW DOMIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1604 20WC 18931 VILLARREAL, ELDA JOLIET STAFFING, LLC * 01/16/20 SCHWEICKERT GANASSIN 1605 20WC 18969 HOLLAND, MICHAEL ALL MASONRY CONSTRUCTION * 06/23/20 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 1606 20WC 19016 CHAVARRIA, WALTER UNITED POSTAL SERVICE * 04/29/20 ARGIONIS & ASSOCIATES LLC 1607 20WC 19044 BROWN, TAHJA FED EX * 07/03/20 GORDON & CENTRACCHIO LLC KOPKA, PINKUS DOLIN, PC 1608 20WC 19097 OOSTMAN, JOSEPH L ALLIED HEATING & COOLING, * 01/08/20 O'CONNOR & NAKOS 1609 20WC 19244 REANY, CLINTON ULTIMATE FLEET SERVICE * 12/12/19 RUBENS KRESS MULHOLLAND 1610 20WC 19283 LANDFAIR, EUNIQUA SUPERIOR AMBULANCE SERVIC * 07/14/20 ANKIN LAW OFFICE 1611 20WC 19317 PELLEGRINI, JACOB C WILLOW RUN APARTMENTS * 06/17/20 ANESI OZMON RODIN NOVAK KO 1612 20WC 19347 CABRALES, MAGDALENA TURANO BAKING COMPANY * 07/20/20 DEPAOLO & ZADEIKIS 1613 20WC 19386 RAMIREZ, FAUSTINO MILLER METALS * 08/10/20 ENCINAS & ORNELAS 1614 20WC 19417 MORALES, ANGEL TRIUNE LOGISTICS, LLC * 07/30/20 SALK FLORES & BRODERICK 1615 20WC 19466 TURNIPSEED, TAURUS A SAFE HAVEN * 07/08/20 ANGELINI & ORI LLC 1616 20WC 19501 HOUSTON, TAVARIS DOLLAR TREE DISTRIBUTION, * 07/16/20 MENDOZA LAW PC 1617 20WC 19533 JONES, ARNITA AMAZON * 06/16/20 ACEVES & PEREZ PC 1618 20WC 19570 BRODA, ANDREW CIT TRUCKS * 05/07/20 DWORKIN AND MACIARIELLO 1619 20WC 19642 LEWANDOWSKI, JOHN KEITH'S CARTAGE & EXCAVAT * 05/13/20 DRISCOLL LAW OFFICES PC 1620 20WC 19690 BRACAMONTES, JOSE DBM SERVICES, INC * 07/06/20 SCHWEICKERT GANASSIN 1621 20WC 19708 LIGHTFOOT, AUSTIN FAE DISTRIBUTORS * 08/16/20 PARENTE & NOREM PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR NEW LENOX 31001 ON 10/01/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1622 20WC 19719 THOMAS, RONALD MACNEIL AUTOMOTIVE PRODUC * 06/04/20 GWC INJURY LAWYERS LLC 1623 20WC 19724 O'CONNOR, DANIEL FINISHING TOUCHES/ * 07/17/20 BLOCK, KLUKAS & MANZELLA P 1624 20WC 19796 TURNER, ALPHONSO HEARTHSIDE FOODS * 08/06/20 ACEVES & PEREZ PC 1625 20WC 19813 MAXWELL, DEBORAH A AMAZON * 03/17/20 FRIEDMAN & SOLMOR LTD 1626 20WC 19840 TUSTISON, EMBER MCDONALD'S * 08/16/19 DANIEL PERIASWAMY 1627 20WC 19949 GUTIERREZ, DAVID NORTHEASTERN EAGLE * 11/21/18 MCNAMARA PHELAN MCSTEEN LL 1628 20WC 19997 SLOBODNIK, MARK SUPERIOR HEALTH LINENS * 05/16/20 MCNAMARA PHELAN MCSTEEN LL 1629 20WC 20110 HANKS, KATHERINE PIPERS EXPRESS, INC * 07/19/20 TURNER & SACKETT LLC 1630 20WC 20129 STROUBE, BRIAN UNITED PARCEL SERVICES * 08/07/20 ANGELINI & ORI LLC 1631 20WC 20257 SALINAS, ELEUTERIO CHILLED SOLUTIONS, INC/AD * 04/09/20 WOLFE & JACOBSON, LTD 1632 20WC 20287 WASHINGTON, DWIGHT ECLIPSE ADVANTAGE * 08/17/20 DISPARTI LAW GROUP PA 1633 20WC 20314 FLETCHER, DARNELL PRISM HEALTHCARE SRVS INC * 06/17/20 GOLDSTEIN BENDER & ROMANOF 1634 20WC 20321 YEARBY, CHANTEE RASMUSSEN COLLEGE * 10/30/19 FRANCIS J DISCIPIO LAW OFF 1635 20WC 20344 FAYSON, ELANCE AMAZON MDW 7 * 08/16/20 VASILATOS & COTTER LLC 1636 20WC 20351 RICHARDSON, RUTH PRESENCE VILLA FRANCISCAN * 09/20/19 BRISKMAN BRISKMAN GREENBER 1637 20WC 20365 FARRELL, ANDREW FEDERAL EXPRESS * 06/11/20 CURTIS S BURKE LAW OFFICE 1638 20WC 20424 ALVAREZ, KARLA MSG SERVICES GROUP INC * 12/01/19 COSTA IVONE LLC 1639 20WC 20501 FOLSOM, BRIAN EFCO CORPORATION * 07/27/20 ANKIN LAW OFFICE

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