ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 14662 COVINGTON, JAIME (CHILD O CENTRAL DUPAGE HOSPITAL 05/21/03 HORWITZ HORWITZ & ASSOC POWER & CRONIN LTD 04WC014664 -C 13WC023985 -C 2 04WC 49258 SHIPP, DARLENE COMMUNITY NURSING 08/01/04 PORRO NIERMANN LAW GROUP STELLATO & SCHWARTZ 3 05WC 07340 DURAN, MARIA COMMUNITY NURSING & REHAB 01/29/04 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 05WC049099 -C 4 05WC 15153 NORDBERG, WILLIAM G FORCE ELECTRIC, INC 11/16/04 ARNOLD & KADJAN RUSIN & MACIOROWSKI LTD 5 05WC 45568 GAYON, RICHARD PERLMAN ROCQUE COMPANY 08/04/05 ELFENBAUM EVERS & AMARILIO HOLECEK & ASSOCIATES 07WC003010 -C 6 06WC 11419 DURBIN, ALEXANDER J VIREN GILL LTD 08/15/05 TOPPER & WEISS LTD 7 06WC 43558 ROBERTS, JOHN LASER CONSTRUCTION INC 09/18/06 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 8 08WC 09969 COULES, JULIE ANN AFI INDUSTRIES INC 01/03/08 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 9 08WC 22024 ALOE-MILLSAPS, BETH MARY NAPERVILLE S D 11/26/07 STEVEN J SEIDMAN LAW OFFIC MACIOROWSKI SACKMANN & ULRIC 10 08WC 25113 AVALOS, FRANCISCA GERBER PLUMBING FIXTURES 02/14/07 DAVID W MARTAY THOMAS & ASSOCIATES 11 08WC 26144 GARCIA, FRANCIS RENE GENERAL ELECTRIC 01/15/08 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 10WC039275 -C 12 08WC 30468 GERUT, CHERYL L EDWARD HOSPITAL 11/28/07 PATRICIA HARDIMAN LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 13 08WC 33751 19B NEAL, PATRICIA R.W. DUNTEMAN 06/30/08 WOLFE LAW PC GRANT & FANNING 14 08WC 34533 WITT, CARL A WESTMONT FIRE DEPARTMENT 05/03/08 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 15 08WC 36089 RANGEL, LEANNE ADVOCATE GOOD 03/03/07 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 16 08WC 52469 OROZCO, MARIA DEL CARMEN HOME RUN INN 11/12/08 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 08WC 54011 JELONEK, DAVE AUTO TRUCK INC 09/25/08 COLLISON LAW OFFICES COZZI & GOGGIN-WARD 18 09WC 01623 WANNOS, SHEILA A COOPER'S HAWK 08/27/08 LEONARD LAW GROUP LLC 19 09WC 09017 MCGRATH, LAWRENCE UNISTRUT CONSTRUCTION 01/30/09 BECKER & SILVERMAN MACIOROWSKI SACKMANN & ULRIC 20 09WC 12126 COLEMAN, ERIC T MARS SNACKFOOD 06/26/08 DRANIAS HARRINGTON & WILSO GAROFALO SCHREIBER STORM 09WC012127 -C 10WC024742 -C 11WC025249 -C 21 09WC 17579 DEL CARMEN-OROZCO, MARIA HOME RUN INN PIZZA 11/12/08 EPSTEIN, JACK R LAW OFFICE ROCK FUSCO & CONNELLY 22 09WC 18834 SPERLING, GARY L AMERICAN LITHO INC 03/31/09 CRONIN & PETERS ACCIDENT FUND HOLDINGS 23 09WC 18992 ALAMILLA, ALEJANDRINA COMMUNITY LOANS OF AMERIC 02/11/09 CULLEN, HASKINS, NICHOLSON THOMAS & PORTELA 24 09WC 32631 ROSENQUIST, MARK PRO MOVERS 07/23/09 STEVEN J SEIDMAN LAW OFFIC WOLFE & JACOBSON, LTD 25 09WC 33963 19B MUSTEDANJIC, AMIRA WESTBROOK MARKET 04/07/09 STEVEN H MEVORAH & ASSOC NYHAN BAMBRICK KINZIE & LOWR 26 09WC 41834 MACIAS, TRINIDAD ITASCA COUNTRY CLUB 08/11/09 LULAY LAW OFFICES SCOPELITIS GARVIN LIGHT 27 09WC 45844 CHIRAFISI, KATHLEEN COVENTRY HEALTH CARE 10/20/09 LEWIS DAVIDSON & HETHERING MCANANY VANCLEVE & PHILLIPS 28 10WC 06079 19B PAYNE, DENISE DOMINICKS 01/15/10 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 29 10WC 10959 GARCIA, JOSEFINA CRATE & BARREL 02/06/10 EPSTEIN, JACK R LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 13WC002727 -C 30 10WC 12991 NORK, MAUREEN VENUTI'S BANQUETS & RISTO 06/12/09 FITZ & TALLON LTD 31 10WC 15655 WALLBRUCH, VERONICA M FIRST STUDENT 01/21/10 SASSAN & SASSAN WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 10WC 21469 RIES, TERRANCE RAMADA 05/11/10 MARK A MORGENSTERN RUSIN MACIOROWSKI & FRIEDMAN 33 10WC 24263 DELVIN, BRIAN KRAFT FOODS 08/05/09 BOUDREAU & NISIVACO LLC RUSIN & MACIOROWSKI LTD 10WC028168 -C 12WC007718 -C 12WC007719 -C 34 10WC 26911 HARNACK, JUDITH CENTRAL DUPAGE HOSPITAL 05/07/10 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 35 10WC 30239 TOLEDO, OLIVER MARTINEZ ASSOCIATED LABOR CORP 05/26/10 CULLEN HASKINS NICHOLSON DOWD & DOWD LTD 36 10WC 32917 BYRNE, SANDRA HOMEWATCH CARE GIVERS 01/06/10 CAPRON & AVGERINOS PC THOMAS & PORTELA 37 10WC 37814 GUZMAN, JULIO MOW IT ALL W 07/14/10 LAW OFFICE OF KEVIN O'BRIE 38 10WC 38621 HANCHAR, DAVID J AAR AIRCRAFT & ENGINE 08/20/10 SALK, STEVEN B & ASSOC LTD GAROFALO SCHREIBER STORM 39 10WC 41269 BELTRAN, YOLANDA ELITE STAFFING INC 09/16/10 SALK, STEVEN B & ASSOC LTD GOLDBERG SEGALLA LLC 40 10WC 47308 BILLMAN, BRUCE ST OF IL FIRE MARSHAL @ 08/30/10 THOMAS W DUDA ASSISTANT ATTORNEY GENERAL 12WC017217 -C 41 11WC 01441 WILSON, CHRISTOPHER S BLOOMINGDALE FIRE 09/02/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 42 11WC 05607 PEREZ, LIBRADO LO SECCO TILE & STONE DES 10/08/10 MC HARGUE & JONES INMAN & FITZGIBBONS 43 11WC 06185 BEERY, LISA TRADER JOE'S 02/04/10 BAUM RUFFOLO & MARZAL LTD GAROFALO SCHREIBER STORM 11WC020177 -C 14WC039475 -C 44 11WC 18041 FREITAS, JOHN BIG LOTS 04/29/11 STEVEN J SEIDMAN LAW OFFIC LITCHFIELD CAVO 45 11WC 25919 TRACZ, ROBERT MAGIC BRUSH PAINTING & 02/11/11 CULLEN HASKINS NICHOLSON LAW OFFICE OF SCOTT B SHAPIR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 11WC 26437 KOPEC, DANIEL BLACK HORSE CARRIERS INC 05/31/11 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 47 11WC 31556 GUSMAN, MARIA MEADOWBROOK MANOR 07/11/11 KINNALLY FLAHERTY KRENTZ & RODDY LAW LTD 11WC031557 -C 48 11WC 32640 PANAYIOTIDES, BECKY EDWARDS HOSPITAL 05/20/10 HORWITZ HORWITZ & ASSOC WILLIAMS MCCARTHY LLP 11WC034026 -C 49 11WC 33288 KAYHOLM, ALAN TELEPACIFIC COMMUNICATION 06/23/11 ASHER, RAYMOND L LTD HOLECEK & ASSOCIATES 50 11WC 33739 19B BOGACKI, PATRICIA SAM'S CLUB #6487 02/13/09 OSVALDO RODRIGUEZ PC WIEDNER & MCAULIFFE LTD 51 11WC 34439 19B KANE, KAREN STARBUCKS 08/02/11 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 52 11WC 38154 DIAZ, BENIGNO MADDEN COMMUNICATIONS INC 08/19/11 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 53 11WC 41360 OLAGUEZ, KARLA D OAK BROOK SURGICAL CENTER 03/25/11 54 11WC 44498 JORDAN, APRIL PEPPERIDGE FARM 11/12/11 WARREN W MARK 55 11WC 44585 HILSON, SONJA IL DEPT OF EMPLOYMENT SEC @ 10/19/11 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 56 11WC 44797 SHERIDAN, JOHN AT&T 08/30/11 KROL BONGIORNO & GIVEN LTD HENNESSY & ROACH PC 16WC035322 -C 17WC030646 -C 57 11WC 44875 DORAN, RUSSELL SYSCO/GUEST SUPPLY 06/22/05 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 11WC044930 -C 58 11WC 44927 NEHMEN, FRANK RED LOBSTER 02/10/11 PRESBREY & ASSOC INC 59 11WC 46447 19B AVAKIAN, JESSE CHICAGO TESTING TECHS 07/28/11 BUDIN LAW OFFICES HOLECEK & ASSOCIATES 60 11WC 46655 KREGG, BARBARA RED BOX 07/15/11 THOMAS W DUDA THOMAS & PORTELA 61 11WC 47496 QUANSTRUM, JANET TAUER PMSI/HIG 03/16/09 CAMERON CLARK RUSIN & MACIOROWSKI LTD 62 11WC 47905 LOCKETT, BOBBY UNISOURCE 10/12/11 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 63 12WC 02081 SHEN, SHIRLEY THE BIRCHES 06/11/10 WOODRUFF & JOHNSON 64 12WC 03946 COUGHLIN, ROBIN PURPLE LANGUAGE SERVICES 10/18/11 COLLISON & O'CONNOR LTD 65 12WC 05039 THICKPENNY, LANCE HOWARD MNI ENTERPRISES INC 10/05/11 DOUGLAS RALLO PC THOMAS & PORTELA 66 12WC 05386 RODRIGUEZ, DAVID PREMIER STAFFING 01/24/12 DWORKIN AND MACIARIELLO 67 12WC 05409 KOHNHORST, DAN BREAK THRU ENTERPRISES 09/30/11 HORWITZ HORWITZ & ASSOC GRANT & FANNING 68 12WC 06767 CUNZ, KENNETH FOX VALLEY FARMS 10/28/10 PORRO NIERMANN LAW GROUP HOLECEK & ASSOCIATES 15WC019945 -C 69 12WC 07303 SERRANO, GERARDA SELECT STAFFING 04/05/11 HECTOR ESPITIA LEAHY EISENBERG & FRAENKEL 70 12WC 07540 SKUBIK, WOJCIECH A WAREHOUSE ON WHEELS 01/18/12 BELCHER LAW OFFICE HENNESSY & ROACH PC 71 12WC 08116 HARTER, LEAH A DOG SPOT 11/20/10 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 72 12WC 08521 RANGEL, LEANNE ADVOCATE GOOD SAMARITAN H 03/27/09 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 73 12WC 09364 RIVERA, JOSE LUIS CAC CORPORATION 04/15/11 RIDGE & DOWNES RIPES NELSON BAGGOT KALOBRAT 12WC009365 -C 74 12WC 10423 ZAJEO, VINCENT INTERNATIONAL UNION-LOCAL 09/21/11 THE FITZ LAW GROUP LAW OFFICES JOSEPH MARCINIAK 75 12WC 14313 BURNSIDE, SUSAN JEWEL FOOD STORE 10/27/11 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 13WC040661 -C 15WC010533 -C 76 12WC 18297 BEDOLLA, ISIDRO J SKC CONSTRUCTION 05/11/12 STEVEN J SEIDMAN LAW OFFIC 77 12WC 19634 BANDALY, FREDRICK KRAFT FOODS 05/22/12 JAMES M RIDGE LAW OFFICE WIEDNER & MCAULIFFE LTD 14WC015342 -C MONDELEZ INTERNATIONAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 78 12WC 19870 PRIETO, MARCO MOBILE PAINTER W 05/17/12 JAMES ELLIS GUMBINER & ASS 79 12WC 20914 LONG, KAREN H APL LOGISTICS 04/12/12 SOSTRIN AND SOSTRIN PC KEEFE CAMPBELL & ASSOC LLC 13WC027839 -C 16WC007206 -C J. STERLING MORTON HIGH SC 80 12WC 22395 19B CRABBE, LESLIE WALMART 04/14/12 BART DURHAM WIEDNER & MCAULIFFE LTD 81 12WC 23065 JURIS, KATHRYN FLAGG CREEK WATER 12/01/10 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 82 12WC 23161 TOMANEK, BONNIE TRADER JOE'S 03/27/12 MILLON & PESKIN LTD GAROFALO SCHREIBER STORM 83 12WC 24590 ROSINSKI, DORRIE S & W MANUFACTURING 06/22/12 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 84 12WC 30468 SEIFRIED, MARTIN J BUDS AMBULANCE DALEY'S 03/17/12 ANESI OZMON RODIN NOVAK KO ROBERT L. SMITH 85 12WC 32824 LITTNER, JEFF TGI FRIDAYS 02/25/12 R. MARK MARITOTE PC LITCHFIELD CAVO 86 12WC 33228 CHAVEZ, FERNANDO ASG STAFFING 06/04/12 KINNALLY FLAHERTY KRENTZ & POWER & CRONIN LTD 87 12WC 33710 DUTKIEWICZ, DAVID WILTON BRANDS INC 08/06/12 POLANSKY & CICHON CHTD 88 12WC 34966 ALTIVEROS, VIRGINIA WYNSCAPE HEALTH & 09/15/12 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 89 12WC 35337 DAVIS, SACARL HERITAGE PROPANE EXPRESS 06/25/12 COHN LAMBERT RYAN & SCHNEI 90 12WC 35429 MC CORMICK, PATRICIA AUTUMN HOME CARE 08/06/12 BURNETT AND CARON, LTD KEEFE CAMPBELL & ASSOC LLC 91 12WC 40579 RUIZ, LEONARDO HOULIHANS 06/09/12 STEVEN J SEIDMAN LAW OFFIC GALLIANI DOELL & COZZI LTD 92 12WC 40853 O'BRIEN, AMY LOMBARD SCH DIST #44 12/20/11 STEVEN J SEIDMAN LAW OFFIC ANCEL GLINK DIAMOND BUSH & E 12WC040854 -C 12WC040855 -C 13WC034631 -C 93 12WC 41603 NALLY, HOPE BURGESS SQUARE 01/01/01 KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 94 12WC 42473 CIELO, GILBERTO CABANA CHARLEY'S 06/01/10 EPSTEIN, JACK R LAW OFFICE 95 13WC 00254 HUNTINGHOUSE, DARLENE CITY OF ELMHURST 08/04/12 MILLON & PESKIN LTD POWER & CRONIN LTD 16WC009642 -C 16WC028255 -C 16WC028256 -C 16WC028257 -C 96 13WC 01542 LOTT, TAMMY C CHRYSLER LLC 12/31/12 MARTOCCIO & MARTOCCIO CHILTON YAMBERT PORTER LLP 97 13WC 02950 GUEVARA, RICARDO WALZ BUILDERS INC 11/15/12 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 98 13WC 03180 RANALLO, MARIA FED EX 11/19/12 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 99 13WC 03481 19B STRIKE, ROGER VILLAGE OF CAROL STREAM 12/10/12 MILLON & PESKIN LTD POWER & CRONIN LTD 100 13WC 03812 RIES, TERRANCE RAMADA INN 01/17/13 CULLEN HASKINS NICHOLSON 101 13WC 04113 KLIMECKI, JAN WEST SIDE MACHINE, INC. 08/28/12 BELCHER LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 102 13WC 04463 SERRANO, ROSA L (WIDOW) OXBOW CALCINING/OXBOWCARB # 04/01/10 STEVEN J SEIDMAN LAW OFFIC GRANT & FANNING 13WC004464 -C 103 13WC 04751 VIAYRA, SARA ADVANCED URETHANE TECH IN 01/30/13 SALK, STEVEN B & ASSOC LTD LITCHFIELD CAVO 13WC004752 -C 13WC006032 -C 104 13WC 04849 ROMAN, TIMOTHY J WINFIELD FIRE PROTECTION 03/09/10 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 105 13WC 06186 ALBERT, KENNETH ARGONNE NATIONAL LABORATO 02/07/13 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 106 13WC 07024 DWYER, MATTHEW MEYER MATERIAL CO 01/04/13 MILLON & PESKIN LTD KEEFE CAMPBELL & ASSOC LLC 107 13WC 07066 FILIPOWICZ, TRACY L PETCO, 04/28/12 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN BRUNDO 14WC006714 -C 108 13WC 07257 TORRES, ESPERANZA NOODLES & COMPANY 02/13/13 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 109 13WC 07742 MUSSELMAN, ROBERT SHELTER BUILDERS, INC 12/01/11 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 110 13WC 07824 GONZALEZ, GILBERT UBID HOLDINGS 11/19/12 DAVID W MARTAY LAW OFFICES OF EDWARD J. KOZ 111 13WC 08808 SEIBER, DAVID JARDIS INDUSTRIES 01/18/13 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 13WC008809 -C 112 13WC 09166 DE LA ROSA, ELIZABETH EZ PAYROLL STAFFING SOLUT 02/14/13 JAMES ELLIS GUMBINER & ASS GRANT & FANNING 113 13WC 09500 BAIN, SCOTT DUPAGE COUNTY SHERIFF 10/02/11 KINNALLY FLAHERTY KRENTZ & WIEDNER & MCAULIFFE LTD 15WC028384 -C 15WC028385 -C 114 13WC 09687 HERNANDEZ, MARIA CRUZ SIEMENS 10/16/12 PORRO NIERMANN LAW GROUP LORENZ & BERGIN PC 115 13WC 10226 WHITLEY, LINDA (BENEFICIA FURMANITE AMERICA 12/18/12 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 116 13WC 10970 ANDRADE, LETICIA CROSSROADS HOSPITALITY CO 02/10/12 KENNETH B GORE, LTD 117 13WC 11068 ALBA, JOSE HECTOR TOMENSON MACHINE WORKS IN 02/12/13 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 118 13WC 11546 WILSON, CHADNICE STAFF ONSITE 02/06/13 STEVEN J MALMAN & ASSOCIAT HEYL ROYSTER VOELKER & ALLEN 119 13WC 13229 HUNTINGHOUSE, DARLENE CITY OF ELMHURST 02/03/13 MILLON & PESKIN LTD POWER & CRONIN LTD 120 13WC 13557 BLYTH, DEANNA GLENBARD TOWNSHIP HIGH SC 02/04/13 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 13WC037013 -C 121 13WC 13675 WELLMAN, JACLYN CASE: GLENWOOD ACADEMY 10/23/12 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 13WC013676 -C 122 13WC 13968 CODY, CLINTON IDOT @ 09/19/12 SAUNDERS CONDON & KENNY JILL OTTE 123 13WC 14109 WAWCZAK, STEPHAINIE MARS CHOCOLATE NORTH AMER 11/09/12 THOMAS R LICHTEN GAROFALO SCHREIBER STORM 124 13WC 14350 AURIEMME, MARK JOHN CONNELLY ELECTRIC CO 10/09/12 HUNT, KAISER, ARANDA & BRADY CONNOLLY & MASUDA PC 125 13WC 16486 TEMPINSKI, CHRISTINA CDH-DELNOR HEALTH 08/30/12 GRAUER & KRIEGEL LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 13WC 16704 TEDESCO, LOUIS NATURE'S BEST 04/22/13 CRONIN & PETERS LAW OFFICES OF EDWARD J. KOZ 127 13WC 18784 GEORGE, BRENDA COOK ILLINOIS CORP 04/08/13 ANKIN LAW OFFICE STONE & JOHNSON CHARTERED 14WC004546 -C 14WC004547 -C 128 13WC 19514 JENSEN, SHARON S BLOOMINGDALE SCHOOL 05/17/13 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 129 13WC 19765 BARTON, ANDY R MERIT CONTRACTORS LLC 12/27/12 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 130 13WC 19870 COSGROVE, JAMES DUPAGE HIGH SCHOOL DISTRI 04/09/13 SANDMAN LEVY & PETRICH ANCEL GLINK DIAMOND BUSH & E 16WC017986 -C 131 13WC 20440 DWYER, MICHAEL FUTABA NORTH AMERICA 04/20/12 SLAVIN & SLAVIN INMAN & FITZGIBBONS 13WC020441 -C 132 13WC 20795 SANCHEZ, JAVIER OSI WEST CHICAGO 08/25/12 PORRO NIERMANN LAW GROUP COZZI & GOGGIN-WARD 133 13WC 21233 BROWN, DARYL SELECT STAFFING 06/11/13 SANDMAN LEVY & PETRICH BRADY CONNOLLY & MASUDA PC 134 13WC 21805 DINWIDDIE, ADRIAN LUTHERBROOK ACADEMY 02/03/12 DWORKIN AND MACIARIELLO THOMAS & PORTELA 13WC021806 -C 135 13WC 23260 CORCORAN, MICHAEL AFFORDABLE FIRE PROTECTIO 11/16/12 HEALY LAW FIRM SCOPELITIS GARVIN LIGHT 136 13WC 23661 TYMICK, KENT U S FOODSERVICE 06/27/13 BOGUSZ & BOGUSZ LTD BRADY CONNOLLY & MASUDA PC 137 13WC 24245 CRUZ, SALUD G LA ROSITA CARNICERIA 07/04/13 LULAY LAW OFFICES RUSIN & MACIOROWSKI LTD 138 13WC 24713 DONIEK, DENISE LUNAN CORPORATION D/B/A 03/08/13 MOSS & MOSS PC COZZI & GOGGIN-WARD 139 13WC 24957 HOOKHAM, GLENN J GLENN HOOKHAM CONSTRUCTIO 08/23/12 WILLIAMS, ROBERT B LAW OFF BRADY CONNOLLY & MASUDA PC 140 13WC 26820 JIMENEZ, ERIKA SYSTEMAX DISTRIBUTION 04/01/13 DAVID W MARTAY HOLECEK & ASSOCIATES 141 13WC 26856 GONZALEZ, ANTONIO SIMPLEX GRINNELL 08/01/12 JOHNSON, MICHAEL D & ASSOC POWER & CRONIN LTD 142 13WC 26877 WOWK, MICHAEL M JTJ CONTRACTORS INC 01/19/12 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 13WC 26982 PILZ, HEATHER SUPERIOR AIR GROUND 11/15/12 MARSZALEK AND MARSZALEK POWER & CRONIN LTD 144 13WC 27538 SANTORO, ROSLYN KRAFT GENERAL FOODS 05/07/11 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 13WC027539 -C 13WC027540 -C 15WC001499 -C MONDELEZ GLOBAL LLC 145 13WC 28402 CLARO, ALMA SPICETEK USF 06/17/13 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 146 13WC 30291 BELMAN, THERESA THE PAMPERED CHEF 01/29/13 LAW OFFICE OF OSVALDO RODR GRANT & FANNING 13WC030292 -C 13WC030295 -C 13WC035754 -C 13WC035755 -C 13WC035756 -C 147 13WC 30475 HILGERT, ELLEN SECOND CHANCE RESALE SHOP 01/05/13 MILLON & PESKIN LTD ACCIDENT FUND HOLDINGS 148 13WC 30539 KRAL, CHRISTINE COMCAST CORP 07/12/13 DWORKIN AND MACIARIELLO ASHER, RAYMOND L LTD 149 13WC 30589 PINEDA, ALMA RED ROOF INN 06/17/13 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 150 13WC 30853 GRIFFETH, DAVID L ADVANCED MOVING AND STORA 08/01/13 WARREN W MARK RUSIN & MACIOROWSKI LTD 151 13WC 33393 19B KIRCHNER, THOMAS JR TAYLOR DEVELOPMENT INC 10/03/12 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 152 13WC 33660 GUERRERO, PEDRO CAPSTONE CUSTOM HOMES 09/12/13 STROM, NEAL B BRADY CONNOLLY & MASUDA PC 153 13WC 34650 19B SANCHEZ, JOEL BANNER HOME CONSTRUCTION 09/12/13 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 154 13WC 35253 DONIEK, DENISE LUNAN CORPORATION D/B/A 12/12/12 MOSS & MOSS PC COZZI & GOGGIN-WARD 155 13WC 35350 FERRARA, ANTHONY CONTINENTAL WEB PRESS 10/14/09 MILLON & PESKIN LTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 156 13WC 35578 GUZMAN, JAIME KRAMER TREE SPECIALISTS 11/28/12 PORRO NIERMANN LAW GROUP KNELL & O'CONNOR 157 13WC 36033 MARTIN, BRUCE US FOODS 10/08/13 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 13WC036421 -C 158 13WC 36268 HERNANDEZ, KEVIN MELLENIA METALS 09/09/13 MARCK B STOOKAL COZZI & GOGGIN-WARD 159 13WC 36499 TURI, FRANCESCO PENSKE TRUCK LEASING 08/10/13 WILLIAM MARTAY 160 13WC 37025 HRNJIC, NIHAD MERCEDES BENZ-WESTMONT 03/05/13 ELFENBAUM EVERS & AMARILIO NYHAN BAMBRICK KINZIE & LOWR 161 13WC 38950 AUGUST, JOSEPH B FIRESTONE 06/27/13 JOHN E LUSAK SLAVIN & SLAVIN 162 13WC 39457 SILVA, FIACRO SLANEY CONSTRUCTION INC 11/08/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 13WC039458 -C 163 13WC 41237 QUATRARO, KATHY M J P BELL FABRICATIONS, IN 05/14/12 MEYERS & FLOWERS, LLC BRYCE DOWNEY & LENKOV LLC 164 13WC 41625 PEREZ, ERWYN SOTO SCRAP METAL INC 10/16/13 LAW OFFICE OF JAMES H MILL 165 13WC 41673 SANCHEZ, JAVIER OSI GROUP 08/25/12 DWORKIN AND MACIARIELLO 166 13WC 42090 LAMBERT, PEARL VILLA PARK FRUIT MARKT 05/05/13 HART & DAVID LLP ALLEN KOPET & ASSOCIATES 167 13WC 42289 PINEDA, AURA HARVARD MAINTENANCE 10/01/12 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 13WC042290 -C GCA SERVICES GROUP 168 14WC 00967 CANN, RICHMOND AMERICAN TAXI 01/10/14 VASILATOS & COTTER LLC BAUM RUFFOLO & MARZAL LTD 169 14WC 01252 FERRARA, ANTHONY CONTINENTAL WEB PRESS 12/03/13 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 170 14WC 02005 KARGEL, WILLIAM TURNER INDUSTRIES GROUP 12/03/13 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 14WC 02122 VILLEGAS, GRISELDA MINUTE MAN STAFFING 12/06/13 LULAY LAW OFFICES GILDEA & COGHLAN 15WC007968 -C SUNCAST CORPORATION 172 14WC 02699 BARRY, EDWARD DOYLE KING-BRUWAERT HOUSE 05/29/13 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 14WC002700 -C 173 14WC 03047 WYATT, CARRIE CONSTAR INTERNATIONAL INC 11/07/13 ROBIN LAW OFFICE GRANT & FANNING 174 14WC 03085 JENSEN, LISA A PANASONIC HEALTHCARE 09/26/13 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 175 14WC 03463 PLAZOLA, ARTURO JESUS MARTINEZ W 01/14/14 FRIEDMAN & SOLMOR LTD 176 14WC 03819 ROBINSON, LAJAUANA HCR MANORCARE 12/03/13 PORRO NIERMANN LAW GROUP HENNESSY & ROACH PC 177 14WC 03960 PAYUK, STEVE SHAKI AUTO INC DBA 03/01/13 THE ROMAKER LAW FIRM STONE & JOHNSON CHARTERED 178 14WC 03968 PADILLA, MARIA A MARRIOTT-NAPERVILLE 11/24/13 KINNALLY FLAHERTY KRENTZ & NOBLE & ASSOCIATES PC 179 14WC 04918 WILLINGHAM, FREDERICK MATERION CORP 01/28/14 POMPER & GOODMAN 180 14WC 05470 ELENA, OLIVO MCDONALD'S OF OAKBROOK 10/04/13 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 14WC006258 -C MC DONALD'S OF OAKBROOK 181 14WC 06286 DUBBERKE, MICHAEL CONWAY TRUCKLOAD A DIVISI 06/18/11 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 182 14WC 06949 DONIEK, DENISE LUNAN CORPORATION D/B/A 11/01/13 MOSS & MOSS PC COZZI & GOGGIN-WARD 183 14WC 07085 VANCIL, EARL TOTAL STAFFING SOLUTIONS 02/11/14 PORRO NIERMANN LAW GROUP ROCK FUSCO & CONNELLY 184 14WC 07539 INIESTRA, SABINO PCTEL, INC 07/10/12 DANIEL PERIASWAMY 185 14WC 07589 LARSON, PAUL MENARDS 01/20/14 MILLON & PESKIN LTD FABRIZIO, HANSON & PEYLA 186 14WC 08019 GARCIA, JACOBO EXPRESS PACKAGING 11/01/13 LULAY LAW OFFICES GRANT & FANNING 187 14WC 08079 JACKSON, MONIQUE LAZY BOY FURNITURE GALLER 11/04/13 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 14WC 08286 ATIQ, AMER PARK TRANSPORTATION INC 01/08/13 STROM, NEAL B MCANANY VANCLEVE & PHILLIPS 189 14WC 08818 HOATSON, CORNELIA MAERCKER S D #60 09/20/13 HUGHES SOCOL PIERS RESNICK GANAN & SHAPIRO 190 14WC 09701 OLIVO, MARIANA EDWARD HOSPITAL 07/12/13 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 191 14WC 10304 MARTINEZ, EDGAR F COMPLETE BUILDING MAINTEN 07/12/13 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 192 14WC 11061 ESCOTO, RAFAEL ARMANDO WORKFORCE STAFFING 03/21/14 KATZ FRIEDMAN EAGLE ET AL GRANT & FANNING 193 14WC 11662 OLIVO, MARIANA EDWARDS HOSPITAL 07/12/13 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 194 14WC 11818 DYER, JERRY J.F. EDWARDS CONSTRUCTION 12/21/13 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 195 14WC 13290 RANGEL, VERONICA PHONAK LLC 11/26/13 MARKER & ASSOCIATES LAW OFFICES JOSEPH MARCINIAK 196 14WC 13346 BOMBECK, RORI L ROBERT J SIGNORELLA INC 02/12/14 ROSS TYRRELL WIEDNER & MCAULIFFE LTD 197 14WC 14928 SCHRAM, GREGORY HINSDALE SCHOOL DISTRICT 01/17/14 FRANCIS J DISCIPIO LAW OFF 198 14WC 15030 BROWN, PATRICIA SREIDE RITE 03/01/14 SHELDON I MINKOW & ASSOCIA 199 14WC 15152 GIBLIN, MICHAEL J AEROTEK STAFFING AGENCY 12/26/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 200 14WC 15742 BOHM, CATALINA CIRCLE K 05/13/11 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 14WC015743 -C 201 14WC 15933 PENA, ELLENA ACCEPTANCE INS. 03/01/14 WOODRUFF & JOHNSON HENNESSY & ROACH PC 202 14WC 16079 ORTEGA, ALVARO TELESOURCE SERVICES 03/26/14 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 203 14WC 16796 GALINDO, FERNANDO TOTAL STAFFING 05/02/14 EFTEKHARI LAW OFFICES KNELL & O'CONNOR 204 14WC 19231 WOLTER, DORIS A GENERAL MILLS INC 04/16/12 KATZ FRIEDMAN EAGLE ET AL COZZI & GOGGIN-WARD 205 14WC 19519 THOMAS, JEFF TOTAL HOME HEALTH 01/29/14 HORWITZ HORWITZ & ASSOC HOLTKAMP LIESE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 14WC 20264 OLSON, TERRY J VILLAGE OF LOMBARD 09/18/13 LUCAS & APOSTOLOPOULOS KLEIN THORPE & JENKINS LTD 207 14WC 20522 SIMMONS, DERICK BLACK HORSE CARRIERS 05/14/13 WOODRUFF & JOHNSON 208 14WC 21294 GOMEZ, PABLO PARKER HANNIFIN CORPORATI 05/23/14 PETER D CORTI LAW GROUP RUSIN & MACIOROWSKI LTD 14WC021295 -C 17WC004226 -C 209 14WC 21989 LONG, TODD DUPAGE COUNTY SHERIFF'S O 01/25/14 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 210 14WC 22132 19B ALCANTAR, ADRIAN FLAWLESS PAINTING & REMOD 06/13/14 WOODRUFF & JOHNSON BRADY CONNOLLY & MASUDA PC 211 14WC 22473 MARINES, JORGE RAMADA 05/31/14 DEPAOLO ZADEIKIS GORE 212 14WC 22504 ESPINOZA, MARIA E M & M SPECIAL EVENTS INC 06/09/14 CULLEN HASKINS NICHOLSON 213 14WC 22616 SPAGNOLA, ANTHONY BEST BUY 05/23/14 SALVATO & O'TOOLE HENNESSY & ROACH PC 214 14WC 22710 GONZALEZ, SONIA HEARTHSIDE FOOD SOLUTIONS 09/21/12 DWORKIN AND MACIARIELLO GRANT & FANNING 215 14WC 23538 CAMPBELL, JOANN PEPPERIDGEFARM INC 06/05/14 CRONIN & PETERS KEEFE CAMPBELL & ASSOC LLC 216 14WC 23811 SOTELO, REBECCA PLASTICS GROUP INC 04/26/14 JOHN J CASTANEDA LAW OFFICES JOSEPH MARCINIAK 217 14WC 24462 SHAVERS, MASTER TEMP AGENCY CRS 07/10/14 KATZ FRIEDMAN EAGLE ET AL SPIEGEL & CAHILL, PC 218 14WC 24577 CHAMBLIS, JACQUELYN SILVERLEAF RESORTS INC 07/13/14 GRAZIAN & VOLPE PC RUSIN & MACIOROWSKI LTD 219 14WC 24617 LANE, RENEE CVS 01/10/14 CHEPOV & SCOTT LLC HINSHAW & CULBERTSON 220 14WC 24954 MEDRANO, FRANK FIRST STUDENT 06/30/14 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 221 14WC 25279 LEASE, LEROY C UPS 03/27/13 RUBIN LAW GROUP COZZI & GOGGIN-WARD 15WC005583 -C 15WC027520 -C 222 14WC 25311 RAKOW, JAMES W CH2M HILL 07/02/14 BARRY A KETTER HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 14WC 25457 AVINO, ANDREA EDWARD HOSPITAL 02/13/13 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 224 14WC 25643 WILSON, JULIE (MOTHER OF R&R ELECTRICAL CONTRACTOR # 07/27/14 GOLDBERG WEISMAN & CAIRO L 225 14WC 25697 RODRIGUEZ, JOSE LIQUID ENVIRONMENTAL SOLU 11/11/13 CULLEN HASKINS NICHOLSON 226 14WC 26989 LEON, BLANCA T J MAXX 06/10/14 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 227 14WC 27549 GASCA, JAVIER INLAND FACILITIES MANAGEM 11/07/13 PETER D CORTI LAW GROUP POWER & CRONIN LTD 228 14WC 28062 LARLOS, LUIS A M. FISHMAN & COMPANY W 05/20/14 EPSTEIN, JACK R LAW OFFICE CLARK CASTREJO LAW FIRM 229 14WC 28179 BESHI, NICK CLARIANT MASTER BATCH INC 01/27/14 COLLISON LAW OFFICES GRANT & FANNING 14WC028180 -C 230 14WC 28208 WATSON, JOSEPH ILLINOIS TOLLWAY @ 12/04/13 LAW OFFICES OF DAVID FREYD GANAN & SHAPIRO 231 14WC 28429 RIHAWI, KHALED CASSENS TRANSPORT CO 07/03/14 CULLEN HASKINS NICHOLSON KNAPP, OHL & GREEN 232 14WC 29264 GUZMAN, IRENE MAPEI CORPORATION 07/07/14 LULAY LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 233 14WC 29293 JAMES ST, ELLEN COCA COLA BOTTLING CO 03/09/09 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 234 14WC 29562 PFURSICH, JOHN VILLAGE OF DOWNERS GROVE 10/01/13 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 14WC029563 -C 235 14WC 29801 GIOCOMELLI, TAMARA WALMART INC 07/08/14 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 236 14WC 30519 TSILIMIGRAS, GEORGIA CITIZENS FINANCIAL GROUP 03/05/13 COHN LAMBERT RYAN & SCHNEI COZZI & GOGGIN-WARD 14WC030520 -C 237 14WC 30806 CHIZEWSKI, ARACELI LABOR TEMPS 07/22/14 BLOCK, KLUKAS & MANZELLA P ROBERT L. SMITH 238 14WC 31000 DENNISON, KENNETH J WHOLE FOODS 01/27/14 CUDA LAW OFFICES GILDEA & COGHLAN 239 14WC 31445 TUDRYN, PAMELA M&M MARS 05/02/14 VASILATOS & COTTER LLC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 14WC 31722 TISCARENO, JOSE WOODRIDGE BUILDERS, INC. 05/06/14 MICHELOTTI & ASSOC 241 14WC 31737 VARGAS, ANA E WYNDEMERE LLC 02/04/14 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 242 14WC 32226 SMITH, MONIQUE OFFICE DEPOT INC 03/05/14 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 243 14WC 32399 STEICHEN, DOUGLAS RW DUNTEMAN 09/08/14 FICHERA & MILLER STONE & JOHNSON CHARTERED 244 14WC 32652 SACAUSKAS, KENNETH UPS FREIGHT 10/31/13 LEONARD LAW GROUP LLC ASA LAW GROUP 16WC000104 -C 245 14WC 33232 CORONADO, LISA GOOD SAMARITAN HOSPITAL 04/15/14 ALBERT R. PINO LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 246 14WC 33656 HERNANDEZ, FLORENCIO ELITE STAFFING 05/15/14 MARTIN V KUGIA 247 14WC 33772 KROTZ, MICHAEL TOLLWAY AUTHORITY 04/24/14 PORRO NIERMANN LAW GROUP GANAN & SHAPIRO 248 14WC 34684 WILKINS, VELTA CROWN SERVICES, INC 09/16/14 BRILL & FISHEL 249 14WC 34829 BUSSE, JEFF LAKESHORE BEVERAGE 08/14/14 GOLDBERG WEISMAN & CAIRO L ASHER, RAYMOND L LTD 250 14WC 35437 BLALARK, LEON ELITE STAFFING 09/09/14 FINE, MARK S LAW OFFICES MARC CAIRO 251 14WC 35635 GJANCI, ARIANA CHRISTIAN HOMES INC 12/23/13 CIARDELLI CUMMINGS CAMPAGN INMAN & FITZGIBBONS 252 14WC 35797 BAXTER, CHARLES TOUCHTUNES INTERACTIVE NE 01/11/13 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 253 14WC 36006 WALES, CHRISTINE SASED 02/27/14 SEIDMAN MARGULIS & FAIRMAN ANCEL GLINK DIAMOND BUSH & E 14WC036005 -C 14WC036007 -C 254 14WC 36642 MONTENEGRO, PATRICIA NOW HEALTH FOODS 10/01/14 BOUDREAU NISIVACO LLC ACCIDENT FUND HOLDINGS 255 14WC 36965 WILLIAMS, CLYDE STAFF ON SITE 09/17/14 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 256 14WC 37372 ARRIAGA, EDUARDO L AMERICAN DREAM HOME IMPRO 07/03/14 DEPAOLO ZADEIKIS GORE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 14WC 37474 TARNOWSKA-KRAHEL, BEATA AMBULATORY SURGICENTER 09/29/14 SYREGELAS, NICHOLAS C HOLECEK & ASSOCIATES 258 14WC 37671 GOMEZ, OLGA ACEVES METRO STAFFING 09/10/14 LAW OFFICES MICHAEL HELLMA NYHAN BAMBRICK KINZIE & LOWR 259 14WC 37966 SCHULATZ, JOHN CHICAGO ROLL CO. 08/18/14 MEYERS & FLOWERS HENNESSY & ROACH PC 260 14WC 38285 BEJAR, JESUS ELLIOT CONSTRUCTION 09/19/14 WOODRUFF & JOHNSON LITCHFIELD CAVO 261 14WC 39139 CHARATIN, MICHAEL ELMHURST SCHOOL DISTRICT 10/15/14 RUSSO & RUSSO LTD ROBERT L. SMITH 262 14WC 39335 GARCIA, JOSE D TURTLE WAX 09/03/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 263 14WC 39922 GOMEZ, EVA MC DONALD'S 08/12/14 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 264 14WC 39939 LOPEZ-PEREZ, MIGUEL VILLAGE MARKET PLACE 05/28/14 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 265 14WC 40386 ZDARSKY, WILLIAM NETPIQUE 02/05/13 DWORKIN AND MACIARIELLO 266 14WC 40599 MLADY, SCOTT T KINGS EXPRESS INC 09/04/14 SALK, STEVEN B & ASSOC LTD 267 14WC 40889 GOMEZ, VICENTE ELITE STAFFING 05/15/14 MC HARGUE & JONES MARC CAIRO 268 14WC 40936 CORCORAN, THOMAS CENTRAL CONTRACTORS SVC I 09/19/13 HEALY SCANLON LAW FIRM GRANT & FANNING 269 14WC 42146 DEL AGUILA, AMPARO ADDISON GROUP 11/14/14 CULLEN HASKINS NICHOLSON THOMAS & PORTELA 270 14WC 42275 YOUNG, WILLIAM FALA TRUCKING COMP 09/26/14 STYKA & STYKA 271 14WC 43052 PROSAPIO, CAROL STATE OF ILLINOIS 07/08/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 272 15WC 00078 MURILLO, LEONOR DITKA'S 12/09/14 CULLEN HASKINS NICHOLSON GANAN & SHAPIRO 273 15WC 00269 LICHTENBERT, BRUCE FED EX OFFICE 03/12/14 R. MARK MARITOTE PC BRADY CONNOLLY & MASUDA PC 274 15WC 00514 BODOR, JOANN UPS 12/04/14 SHELDON I MINKOW & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 15WC 00793 ANDROVIC, CHRISTOPHER CALAMOS INVESTMENTS 05/06/14 COHN LAMBERT RYAN & SCHNEI GRANT & FANNING 276 15WC 00825 ARCIC, PETAR FOKA LOGISTICS INC W 01/06/15 BELCHER LAW OFFICE PHILLIP FORNARO 277 15WC 01085 YANEZ, DEBRA SAVERS THRIFT 10/15/14 BLACK & JONES RODDY LAW LTD 16WC032817 -C 278 15WC 01146 VERNE, JEFFREY T AVI INC A/K/A SAVERS 09/26/14 LEE A CAMPBELL LAW OFFICE RUSIN & MACIOROWSKI LTD 279 15WC 01504 MOSS, JASON CONNECTIVITY WIRELESS SOL 09/29/14 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 280 15WC 01824 IBANEZ, ALIN CRATE & BARREL 12/19/14 THE ROMAKER LAW FIRM MACIOROWSKI SACKMANN & ULRIC 281 15WC 02029 ZUFFANTE, MAUREEN IL CREDIT UNION LEAGUE 02/10/14 ALEKSY BELCHER COZZI & GOGGIN-WARD 282 15WC 02245 CLARK, JAMES C JIFFY LUBE 09/30/13 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 15WC008044 -C 283 15WC 02537 O'LEARY, JANICE TOTAL STAFFING 12/26/14 FRIEDMAN & SOLMOR LTD COZZI & GOGGIN-WARD 284 15WC 03016 AULDS, SCOTT PEERLESS ENTERPRISES INC 11/21/14 GREGORIO & MARCO COZZI & GOGGIN-WARD 16WC012777 -C 285 15WC 03421 KARNES, SANDRA L JEWEL OSCO 09/06/13 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 286 15WC 03594 19B ARENA, NICK ADT SECURITY 01/02/15 CAPRON & AVGERINOS PC POWER & CRONIN LTD 287 15WC 03850 GONZALEZ, MARIO LTI SERVICES 09/29/14 PARENTE & NOREM PC ROBERT L. SMITH 288 15WC 04116 QUINTANILLA, DANIEL AMERICAN TIRE DISTRIBUTOR 01/05/15 GRAVLIN, MICHAEL J LLC LITCHFIELD CAVO 16WC024592 -C 289 15WC 04242 KAUR, JASPAL SONOCO PRODUCTS COMPANY 04/01/13 STROM, NEAL B NOBLE & ASSOCIATES PC 290 15WC 04305 ORELLANO, FABIAN JEWEL OSCO 12/19/14 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 291 15WC 04628 HALE, ETHAN GRINDLAP SERVICES 09/22/14 SEIDMAN MARGULIS & FAIRMAN 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 STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 292 15WC 05058 DERRY, MONICA R CHUCK'S SOUTHERN COMFORTS 07/27/13 MARSZALEK AND MARSZALEK ACCIDENT FUND HOLDINGS 293 15WC 05181 RAMOS, BALTAZAR ELITE MANUFACTURING 08/14/14 ANKIN LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 15WC005180 -C 15WC005182 -C 294 15WC 05206 KLEEFISCH, CAROLE EDWARDS/ELMHURST HEALTHCA 08/26/14 FRANCIS J DISCIPIO LAW OFF MACIOROWSKI SACKMANN & ULRIC 15WC039497 -C ELMHURST MEMORIAL HOSPITAL 295 15WC 05399 HORSTMANN, LARRY LEXINGTON HEALTH CARE 08/29/14 STROM, NEAL B KEEFE CAMPBELL & ASSOC LLC 15WC007301 -C 296 15WC 05418 STOMPANATO, PATRICK HB FULLER CO 09/11/14 STEVEN H MEVORAH & ASSOCIA RUSIN & MACIOROWSKI LTD 297 15WC 06363 ORTEGA, JOSE MANUEL K-FIVE CONSTRUCTION CORP 08/28/14 ALEKSY BELCHER GAROFALO SCHREIBER STORM 298 15WC 06778 MARMOLEJO, KIMBERLY TRANSFORCE INC 11/29/14 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 299 15WC 06910 ZATOR, MARYJO NORDSTROM INC 05/10/14 VRDOLYAK LAW GROUP LLC ROBERT L. SMITH 16WC028347 -C 300 15WC 07103 LEVINE, HAL H ST OF IL DEPT OF 02/25/15 SEIDMAN MARGULIS & FAIRMAN ASSISTANT ATTORNEY GENERAL 15WC007104 -C 301 15WC 07446 LARKIN, ANTON HANOVER INSURANCE 07/19/13 COPLAN & CRANE, LTD 302 15WC 07655 19B PRESA, FRANCISCO AMB JANITORIAL SERVICES 02/11/15 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 303 15WC 07864 GONZALEZ, JAVIER GREIF, INC 01/15/15 DEPAOLO ZADEIKIS GORE HOLECEK & ASSOCIATES 304 15WC 08555 JONES, JOHNNY G UNIVERSAL CABLE CONSTRUCT 12/22/14 DANIEL PERIASWAMY BRADY CONNOLLY & MASUDA PC 305 15WC 08973 SCHERRER, RAYMOND W JR EMPLOYMENT MANAGEMENT SER 10/15/13 VRDOLYAK LAW GROUP LLC 306 15WC 09088 WELCH, TERRY CHRYSLER 02/10/15 WOODRUFF & JOHNSON CHILTON YAMBERT PORTER LLP 15WC009089 -C 307 15WC 09504 MAYEN, JENNIFER DUPAGE MACHINE PRODUCTS 02/07/15 AIOSSA LAW FIRM GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 15WC 09593 GONZALEZ, MARIA SARA ASHLAND SAUSAGE 02/19/15 EPSTEIN, JACK R LAW OFFICE 309 15WC 09713 KUMAR, ARUN INGRAM MICRO INC 12/06/13 MILLON & PESKIN LTD 310 15WC 09714 PEREZ, PEDRO DU-COMM 09/02/11 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 15WC009715 -C 15WC009716 -C 311 15WC 09719 SBARBORO, LINDA WAL-MART 05/27/14 TOPPER & WEISS LTD QUINTAIROS PRIETO WOOD & BOY 15WC009720 -C 312 15WC 10039 YOUNKIN, CHERYL NYK LINE (NORTH AMERICA) 01/08/15 MARTIN J DEELY RUSIN & MACIOROWSKI LTD 313 15WC 10974 ZUNIGA, GUSTAVO A TOPLINE FURNITURE 12/12/14 BARRY E BLUMENFELD RUSIN & MACIOROWSKI LTD 314 15WC 11126 INIESTRA, SABINO PCTEL, INC 02/03/15 DANIEL PERIASWAMY 315 15WC 11253 ANDRAK, EDWARD PRAIRIE MATERIAL 03/26/14 BOGUSZ & BOGUSZ LTD GAROFALO SCHREIBER STORM 316 15WC 11595 STEEN, DOUGLAS CASTLE CHEVROLET 02/02/15 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 317 15WC 11715 BELL, THOMAS MARIO TRICOCI HAIR SALON 09/30/13 CUDA LAW OFFICES COZZI & GOGGIN-WARD 15WC011716 -C 318 15WC 11789 JIMINEZ, MARIA G ED HOY'S INTERNATIONAL 10/23/14 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 319 15WC 12655 BRASKI, NICHOLAS COLLEGE OF DUPAGE 03/23/15 DAVID W MARTAY POWER & CRONIN LTD 320 15WC 12744 GONZALEZ, MARICELA ADVENTIST GLEN OAKS HOSPI 07/31/14 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 321 15WC 12893 LOPEZ-CARILLO, RONALDO A AUTO SHOWCASE OF CAROL ST 12/29/14 VITELL & SPITZ LTD GANAN & SHAPIRO 322 15WC 13140 MALDONADO, JAIME DIGIOIA BROS CONSTRUCTION 06/13/14 NILSON STOOKAL GLEASON CAP CAPUANI, FRANK S 323 15WC 13875 TIPPEN, FANITA E GOTTLIEB HOME 03/24/15 DEPAOLO ZADEIKIS GORE NYHAN BAMBRICK KINZIE & LOWR 324 15WC 14283 HOLMES, LORRAINE STATE OF IL-IDHS 01/08/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 325 15WC 14372 COUGHLIN, JOHN WALSH CONSTRUCTION COMPAN 07/16/07 THE FITZ LAW GROUP HINSHAW & CULBERTSON 326 15WC 14574 GOMEZ, LETICIA IMAGE FIRST 02/25/15 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 327 15WC 14707 GARCIA, MARIELA FIRST CHOICE TEMP SERVICE 04/07/15 JOHN S. ELIASIK HENNESSY & ROACH PC 328 15WC 15005 SIRMONS, ANTHONY FEDEX 03/02/15 LANCASTER, DEBORAH 329 15WC 15387 NALEPA, ROMAN MCGRATH ACURA 05/08/12 SEIDMAN MARGULIS & FAIRMAN 330 15WC 15427 ORELLANA, FABIAN JEWEL OSCO 04/10/15 EPSTEIN, JACK R LAW OFFICE 331 15WC 15471 MCDONALD, GAIL A ROBERT SHAW CONTROLS 03/25/15 BARRY A KETTER LAW OFFICES JOSEPH MARCINIAK 332 15WC 17093 LUCENTE, CARMELA I.T.W. DELTAR SEAT COMPON 03/14/14 LEO ALT HENNESSY & ROACH PC 333 15WC 17478 GARCIA, ISIDRO OSS SERVICES 04/11/15 LAW OFFICE EDWARD RUEDA HOLECEK & ASSOCIATES 334 15WC 18356 BRUNNER, JOHN NUMBERS AUTOMATION 04/22/15 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 335 15WC 18447 LORENZO, ALICIA (PERSONAL LABOR SOLUTIONS # 09/26/13 LAW OFFICE OF JAMES URTIS RODDY LAW LTD 336 15WC 18547 SILVA, ALBERTO A & H VENDING 04/09/15 NEWLAND & NEWLAND 337 15WC 18919 KUNA, WILLIAM R. CECO CONCRETE CONSTRUCTIO 09/17/14 FIGLIOLI, DAVID RUSIN & MACIOROWSKI LTD 338 15WC 19594 FERNANDEZ, ELVA WCNW ASSCIATES LLC/ 05/31/15 GOLDSTEIN BENDER & ROMANOF HENNESSY & ROACH PC 339 15WC 19739 FERNANDEZ, JUDITH NAVA JETSON MAILERS 12/26/14 HART & DAVID LLP LAW OFFICES JOSEPH MARCINIAK 340 15WC 19886 19B WILLIAMS, CHRISTIANA EDWARD HOSPITAL 04/13/14 TIMOTHY E. TAKASH KEEFE CAMPBELL & ASSOC LLC 341 15WC 20968 BALTAZAR, FELICITAS G. ABS GRAPHICS INC. 03/06/15 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 342 15WC 21017 PETTIS, WILLIAM MAUSER 06/18/15 ELFENBAUM EVERS & AMARILIO GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 15WC 21189 LAMBERT, DAVID NAPERVILLE PARK DISTRICT 06/22/15 STELZMAN, RUTH HENNESSY & ROACH PC 344 15WC 21391 KEARNS, RICHARD SUBCO FOODS 06/26/15 ANESI OZMON RODIN NOVAK KO CAPUANI, FRANK S 345 15WC 21448 KOSZUTA, NICOLE SCHOOL DISTRICT 13 08/20/14 R. MARK MARITOTE PC WIEDNER & MCAULIFFE LTD 346 15WC 21504 LANHAM, RAYMOND AT&T 02/27/15 MARK G BERGAL LAW OFFICE 347 15WC 21544 CAPRIO, MICHAEL ULTRA FOODS INC 05/26/15 KARCHMAR & STONE ROSARIO CIBELLA 348 15WC 21751 MURPHY, MICHAEL P RUAN TRANSPORTATION 04/22/15 FIGLIOLI, DAVID JAMES M KELLY 349 15WC 21766 RODRIGUEZ, ROSARIO WINGREN LANDSCAPING 10/14/14 JONATHAN SCHLACK HANSON LAW OFFICE 350 15WC 21779 SCROGGINS, DAVID ADVOCATE HEALTHCARE 06/07/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC012007 -C 17WC012008 -C 351 15WC 22359 FEFFERIS, JANICE NEIMAN MARCUS 08/30/14 CRONIN & PETERS COZZI & GOGGIN-WARD 352 15WC 22445 TINOCO, CARMEN M. WALMART 04/09/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 353 15WC 22821 ANDERSON, RYAN FIRE CONTROL INC 04/01/13 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 15WC023672 -C 354 15WC 23050 BUFFKIN, ZINA EBRYIT INC 06/09/15 SLAVIN & SLAVIN LAW OFFICES OF EDWARD J. KOZ 355 15WC 23579 ZIELEZINSKI, STEPHEN IL STATE TOLL HWY AUTHORI 06/25/15 STROW LAW LLC GANAN & SHAPIRO 356 15WC 23663 CARDENAS, LEONEL A.S.G. STAFFING, INC 08/26/13 HORWITZ HORWITZ & ASSOC FRANCIS J DISCIPIO LAW OFFIC 357 15WC 23681 GARNICA, JUAN THE JEL SERT COMPANY 07/01/13 SALVATO & O'TOOLE 358 15WC 23909 RAMSEY, JASON MAXIMUM AUTOMOTIVE 12/05/14 BOUDREAU NISIVACO LLC RUSIN & MACIOROWSKI LTD 16WC005232 -C AUTO ADVANTAGE 359 15WC 24143 MARTINEZ, PEDRO WEST CHICAGO ELEMANTARY 03/27/15 LAW OFFICE EDWARD RUEDA WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 15WC 24225 PAUL, EDWARD NEW NOBLE BLACKTOP CORP 07/27/15 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 361 15WC 24383 MIRANDA, ARACELI METROSTAFF INC 06/21/14 FRANCIS J DISCIPIO LAW OFFIC 362 15WC 24589 GARAY, LUIS F SPECIALIZED STAFFING SOLU 07/03/15 JOHN S. ELIASIK HOLECEK & ASSOCIATES 363 15WC 24633 JUAREZ, SABINO TOVAR SNOW PROFESSIONALS 01/21/15 364 15WC 24808 MILLER, JAMES FURNEL INC 07/14/15 ADLER & ADLER GAROFALO SCHREIBER STORM 365 15WC 25031 TOPNICK, JASON CONDENSER PEOPLE INC 06/26/15 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 366 15WC 25057 MENDEZ, ANNA TRICOCI UNIVERSITY 12/16/14 VRDOLYAK LAW GROUP LLC 367 15WC 25101 PATEL, MEENA UNITED STATIONERS SUPPLY 05/13/15 STEPHEN MCMULLEN HOLECEK & ASSOCIATES 368 15WC 25332 JACOBY, RICKY US TANK ALLIANCE INC 07/29/14 ANDREA R. MAYSTER ORENSTEIN & ASSOCIATES 369 15WC 25572 GARRISON, BRIAN ALLIEDBARTON SECURITY SVC 05/09/15 MARC J SHUMAN & ASSOCIATES GAROFALO SCHREIBER STORM 370 15WC 25982 WESTON, EARL INFINITI OF NAPERVILLE 12/27/14 MILLON & PESKIN LTD WOLF LAW LTD 371 15WC 26088 KJUKICH, LJILJANA BLACKHAWK MOLDING CO., IN 01/11/14 RICHARD O. GREENFIELD BORGELT POWELL 372 15WC 26113 BONOMINI, DENNIS REXNORD, INC 02/27/15 TAMVAKIS, GEORGE L INMAN & FITZGIBBONS 373 15WC 26721 BUENO, JUAN DINEEN FRESH INC 05/13/15 GALLAGHER, DONALD V LAW OFFICES JOSEPH MARCINIAK 374 15WC 26738 NIEVES, MANUEL NOOTER CONSTRUCTION 03/24/15 RUBIN LAW GROUP GAROFALO SCHREIBER STORM 375 15WC 26921 CHAIRES, ERNESTO FIC AMERICA CORP 01/26/15 OSVALDO RODRIGUEZ PC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 376 15WC 26987 OCAMPO, ISIDRO KEITH TILDEN ROOFING 08/27/14 LEE, MARK N LAW OFFICE KNELL & O'CONNOR 377 15WC 27127 NSABIYEZE, CALLIXTE FIC AMERICA 07/24/15 THE ROMAKER LAW FIRM INMAN & FITZGIBBONS 16WC001690 -C 378 15WC 27178 MAREK, ROBERT STATE MECHANICAL SERVICES 07/09/15 PETER D CORTI LAW GROUP 379 15WC 27294 FLORES, DANIEL JEL SERT CO 07/08/15 SALVATO & O'TOOLE 380 15WC 27668 TREJO, GABRIELA COLLEGE OF DUPAGE 07/10/15 LUIS A ACEVES & ASSOC POWER & CRONIN LTD 381 15WC 27839 SIKOWICH, TIFFANY APEX 3 06/09/15 KARNO, MARK L & ASSOC LITCHFIELD CAVO 382 15WC 28272 SULLIVAN, JOLEEN AMERICAN MOBILE HEALTHCAR 07/02/15 SAM C MITCHELL & ASSOCIATE ADELSON TESTAN BRUNDO 383 15WC 28304 WU, SHAO RONG MOLEX, INC. 03/19/14 LAW OFFICE OF JAMES URTIS MC ANDREWS & NORGLE LLC 384 15WC 28801 ORRICO SOPER, MICHELE EDWARDS HOSPITAL 02/01/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 385 15WC 28926 MARTINO, MICHAEL A ACCURATE LOGISTICS INC. 07/20/15 MICHAEL A. HIGGINS QUINTAIROS PRIETO WOOD & BOY 386 15WC 29009 GRABOWSKI, KATHY ACOSTA SALES & MARKETING 12/04/13 CULLEN HASKINS NICHOLSON SPIEGEL & CAHILL, PC 387 15WC 29349 PENNAMON, STEVEN BOSMAN TRUCKING 08/14/15 SEIDMAN MARGULIS & FAIRMAN POWER & CRONIN LTD 388 15WC 29799 VAZQUEZ, MARICELA TACO GRILL & SALSA BAR IN 07/01/15 389 15WC 29861 PELAEZ, ALEJANDRO MULTITECH INDUSTRIES INC 12/08/14 JOHN S. ELIASIK ROBERT L. SMITH 390 15WC 30941 RAMIREZ, JAIME GOLD COAST BAKERIES 02/02/15 ANKIN LAW OFFICE HENNESSY & ROACH PC 391 15WC 30971 GARCIA, MANUEL H T N T CONSTRUCTION CO 07/15/15 ANKIN LAW OFFICE 392 15WC 31095 RILEY, LORI CHICAGO METROPOLITAN YMCA 04/24/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES FRANCESCA LARSEN 393 15WC 31184 PASTELIN, LEONARDO ELITE STAFFING INC. 09/18/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 394 15WC 31297 AVILA, WILSON ABBOTT LABEL 09/09/15 HERRERA LAW CENTER LAW OFFICES OF EDWARD J. KOZ 395 15WC 31581 KAMYS, WALTER CB RICHARD ELLIS 09/02/15 SOSTRIN AND SOSTRIN PC 396 15WC 31708 GUEVARA, CONSUELO LARLIN HOMECARE SERVICES 04/14/15 DWORKIN AND MACIARIELLO THOMAS & PORTELA 397 15WC 31917 VARGAS, ANA E WYNDEMERE LCS 06/23/15 CULLEN HASKINS NICHOLSON WOLFE & JACOBSON, LTD 398 15WC 32017 VEGA-RODEA, FELIPE BUTLER NATIONAL GOLF CLUB 08/25/15 GOLDSTEIN BENDER & ROMANOF QUINN JOHNSTON HENDERSON ETA 399 15WC 32457 HUGENGEL, BRENDELL A C I BRICKMASTERS 09/21/15 THOMAS A MORRISSEY QUINTAIROS PRIETO WOOD & BOY 400 15WC 32489 THOMAS, JAZMIN WALGREENS 10/06/14 SCHAFFNER RABINOWITZ FEINA GILDEA & COGHLAN 401 15WC 32532 CULLEN, CHRISTOPHER MJ CONCRETE 09/10/15 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 402 15WC 32638 PAGAN, DIANA MARIE ATHLETICO PHYSICAL THERAP 12/17/14 ROGER D RUDICH LTD LAW OFFICES OF EDWARD J. KOZ 403 15WC 32930 BALAC, PETER KOTUR MECHANICAL GROUP 10/11/13 SALK, STEVEN B & ASSOC LTD 404 15WC 33012 TILLMAN, JOSHUA ELITE STAFFING 08/24/15 405 15WC 33213 BRENT, DOUGLAS RED BAY INC 08/17/15 PETER D CORTI LAW GROUP LAW OFFICES JOSEPH MARCINIAK 406 15WC 33876 CARRIZALES, HUMBERTO CARRABA'S ITALIAN GRILL 09/28/15 DEPAOLO ZADEIKIS GORE BRYCE DOWNEY & LENKOV LLC 15WC033878 -C 407 15WC 34179 PICHARDO, BENJAMIN LISLE/NAPERVILLE HILTON 07/09/15 RATHBUN CSEVENYAK & KOZOL 408 15WC 34276 VALDEZ, EDWARD REPUBLIC SERVICES, INC 09/23/15 CHRISTINE F DAVID GILDEA & COGHLAN 409 15WC 34455 PEREZ, ANNA FLEXIBLE STAFFING SERVICE 10/30/12 FABRIZIO, HANSON & PEYLA 410 15WC 34938 WESTFALL, EDWARD INX INTERNATIONAL COMPANY 02/12/15 CAPRON & AVGERINOS PC 411 15WC 34968 POHL, BILL PTO SERVICES 10/16/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 412 15WC 35040 SMURZYNSKI, DEANNA CHARTWELLS 06/16/15 413 15WC 35559 LEGASSIQUE, ASHLEY CENTRAL DUPAGE HOSPITAL 03/23/15 MILLON & PESKIN LTD 414 15WC 35637 MEDLER, SANDRA MSC INDUSTRIAL SUPPLY CO. 10/15/15 FRANK A CELANI 415 15WC 35655 BOYD, BILAL RASHAAD AARON EQUIPMENT CO 10/14/15 RATHBUN CSEVENYAK & KOZOL LAW OFFICES JOSEPH MARCINIAK 416 15WC 35825 SMITH, JOYCE GRAPHIC PACKAGING INTL 10/26/15 MARC J SHUMAN & ASSOCIATES DOHERTY & PROGAR LLC 417 15WC 35851 BARTON, JEFFREY VILLAGE OF ADDISON 10/06/15 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 418 15WC 36151 KOLEOSHO, MICHAEL HCR MANOR CARE 10/06/15 FRANCIS J DISCIPIO LAW OFF BRYCE DOWNEY & LENKOV LLC 419 15WC 36301 TOMYSLAK, JOANNA M-R PRINTING EQUIPMEN, IN 08/05/15 BELCHER LAW OFFICE HOLECEK & ASSOCIATES 420 15WC 36321 CERVANTES, ISRAEL COLONIAL BAG CORP 10/06/15 ACEVES & PEREZ PC 421 15WC 36493 TROMBETTA, TAMARA STARBUCKS 07/14/13 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 422 15WC 36504 KING, DONNA BURLINGTON STORES, INC/ 03/19/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 16WC030013 -C 17WC007294 -C 423 15WC 36760 BURDALIC, ZIJAD CORE PIPE 07/13/15 NEMEROFF LAW OFFICES 424 15WC 36945 RODRIGUEZ, ADALIA CLEAR STAFFING 10/26/15 HERRERA LAW CENTER ACCIDENT FUND HOLDINGS 425 15WC 37033 ALEX, TRACIE HSBC NORTH AMERICA 11/02/11 BELCHER LAW OFFICE NOBLE & ASSOCIATES PC 426 15WC 37074 LUCATERO, EFRAIN CORY HOME DELIVERY 11/17/12 DISPARTI LAW GROUP PA 427 15WC 37405 JONES, ANDREA LINDEN OAKS HOSPITAL AT E 03/16/15 PORTER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 428 15WC 37632 PALACIOS, BELINDA ELMHURST MEMORIAL HOSPITA 01/30/15 STEPHEN G PINTO LTD LOSS & PAVONE 429 15WC 38012 FRANCIS, CARMENCITA R ADVENTIST HINSDALE HOSPIT 05/07/12

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 430 15WC 38187 SIMMONS, AYANA HANDLE WITH CARE 11/25/15 POLANSKY & CICHON CHTD 431 15WC 38433 SOLANO, SUSAN PETE'S FRESH MARKET 07/01/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 432 15WC 38770 WYATT, CHERYL R COOPER'S HAWK WINERY 10/14/15 LAW OFFICE PHILIP BLOMBERG 433 15WC 38982 STAUB, DAVID ROESCH FORD MOTORS 10/13/15 NILSON STOOKAL GLEASON CAP ROBERT L. SMITH 434 15WC 39125 BAUTISTA, MARGARITA M COLLEGE OF DUPAGE 08/11/15 FOOTE MIELKE CHAVEZ & O'NE POWER & CRONIN LTD 435 15WC 39149 LUNA, MARIO FELLOWES 10/16/14 COSTA IVONE LLC 436 15WC 39392 LEDERER, LAURA ADVANCED PAIN CENTER 01/20/15 LAW OFFICE EDWARD RUEDA LAW OFFICES JOSEPH MARCINIAK 437 15WC 39525 BISGROVE, JIMMY TRADESMEN INTERNATIONAL 10/14/15 SCHWEICKERT & GANASSIN RODDY LAW LTD 438 15WC 39684 LEMKE, CATHY L PANERA BREAD 02/21/15 EDWARD P GRAHM LAW OFFICE COZZI & GOGGIN-WARD 439 15WC 39832 ORTEGA-GONZALEZ, LIZET ELITE STAFFING 09/29/15 LULAY LAW OFFICES 440 15WC 41021 PEREZ, LETICIA PARTY CITY 02/11/14 CULLEN HASKINS NICHOLSON HOLECEK & ASSOCIATES 441 15WC 41141 ALBA, GERARDO COSTCO WHOLESALE CORP 11/08/15 SALK, STEVEN B & ASSOC LTD GANAN & SHAPIRO 442 15WC 41179 VILLEGAS, BENJAMIN CHICAGO PASTRY 09/21/15 LAW OFFICES LEONARDO MORAL RUSIN & MACIOROWSKI LTD 443 15WC 41618 ZEPEDA, CYNTHIA J.C. PENNY 04/22/14 DEPAOLO ZADEIKIS GORE QUINTAIROS PRIETO WOOD & BOY 15WC041619 -C 444 15WC 41680 CORRAL, DOLORES WIN CUP INC 01/14/15 MEYERS & FLOWERS HOLECEK & ASSOCIATES 445 15WC 41828 KEITH, SHARON WAL-MART 12/04/15 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 446 15WC 41900 HARE, BARBARA COMCAST 03/20/14 DAVID W MARTAY SPIEGEL & CAHILL, PC 447 15WC 41913 CRUZ, JOEL M. RANDAZZO,M RAND LANDSC 06/09/15 EFTEKHARI LAW OFFICES LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 448 15WC 41948 WRIGHT, ASHLEY V KOHLER CO 04/08/15 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 449 15WC 42022 JUAREZ, VERONICA MOREY CORP 11/30/15 JONATHAN SCHLACK LAW OFFICES JOSEPH MARCINIAK 450 15WC 42205 LAKOMECKI, VICTORIA DUPAGE COUNTY-SHERIFF'S D 10/23/13 KARCHMAR & STONE WIEDNER & MCAULIFFE LTD 15WC042206 -C 451 15WC 42648 PERRY, ANGELINE ELITE STAFFING 12/28/15 SKLARE LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 452 15WC 42711 COLON, CARLOS ASSURANCE CLEANING & 12/21/15 URSULA BABICZ & ASSOC BRADY CONNOLLY & MASUDA PC 453 16WC 00395 DURKOVIC, SUSAN ARGONNE NATIONAL 09/17/15 BURNETT & CARON, LTD KEEFE CAMPBELL & ASSOC LLC 454 16WC 01007 NORRIS, ELVIRA M LIFETOUCH NATIONAL SCHOOL 04/20/15 O'CONNOR & NAKOS LEAHY EISENBERG & FRAENKEL 16WC001008 -C 455 16WC 01086 DAVIS, CORETTA SAIA MOTOR FREIGHT 06/09/15 DANIEL PERIASWAMY TUCKER ROBIN & MERKER LLC 456 16WC 01601 SANDERS, OZELL MOLEX INC 09/17/15 DAVID W MARTAY MC ANDREWS & NORGLE LLC 12WC018343 -C 12WC018344 -C 457 16WC 01646 TKACZYK, JAROSLAW RELIANCE GEAR CORPORATION 06/15/15 THERMAN LAW OFFICES 458 16WC 01729 WIECZOREK, BRUCE FOX VENDING 08/03/15 WHITESIDE & GOLDBERG LTD LAW OFFICES JOSEPH MARCINIAK 459 16WC 01984 BUCIO, ROSA JEL SERT CO 04/21/15 FOOTE MIELKE CHAVEZ & O'NE HENNESSY & ROACH PC 460 16WC 02033 BOWLER, EUGENE STAFFING NETWORK 01/01/16 VASILATOS & COTTER LLC SLAVIN & SLAVIN 461 16WC 02163 MENDOZA, ROSMERY ELITE STAFFING 10/16/15 MC HARGUE & JONES 462 16WC 02337 RENTERIA, RAMON EDWARD DON AND COMPANY 01/11/16 GORDON & CENTRACCHIO LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 16WC 02656 HINES, MEGAN NEW ALBERTSONS INC 01/06/16 MORGENSEN LAW LLC 464 16WC 03056 GURGONE, PAUL LIFETIME FITNESS 10/13/15 RUBIN LAW GROUP CHILTON YAMBERT PORTER LLP 16WC033916 -C 465 16WC 03096 CAMPOS, ABRAHAM ANCHOR BRAKE SHOE CO LLC 01/13/16 JOHN J CASTANEDA GRANT & FANNING 466 16WC 03206 KING, DONALD A ILLINOIS STATE TOLLWAY @ 05/13/15 RUBIN MACHADO ROSENBLUM GANAN & SHAPIRO 467 16WC 03243 OOI ARAGON, ZHI QUAN ARGENTS EXPRESS GROUP 11/24/14 ROMANEK & ROMANEK HENNESSY & ROACH PC 468 16WC 03325 SOLIS, RAUL BENSHOOF & COMPANY INC. 11/21/15 THE ROMAKER LAW FIRM BRADY CONNOLLY & MASUDA PC 469 16WC 03452 THOMAS, DANNY ED NAPLETON ACURA AND ED 01/12/15 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 470 16WC 03494 ROBERTSON, CHRIS DICK'S SPORTING GOODS 02/27/15 FRANCIS J DISCIPIO LAW OFF BRYCE DOWNEY & LENKOV LLC 471 16WC 03744 WKES, NEIL CPC LOGISTICS INC 03/03/15 TARADASH LAW OFFICE GAROFALO SCHREIBER STORM 472 16WC 03885 GUERRA, EDWARD ILLINOIS CENTRAL SCHOOL B 11/23/15 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 473 16WC 04184 CURRIE, JAMES ILLINOIS SECRETARY OF STA 12/29/15 THE FITZ LAW GROUP ASSISTANT ATTORNEY GENERAL 474 16WC 04503 AMADOR, SATURNINO NATIVE FLORAL GROUP 12/22/15 SALVATO & O'TOOLE GRANT & FANNING 475 16WC 04560 LAVERY, TRISTIAN TARGET CORPORATION 01/18/16 SOSTRIN AND SOSTRIN PC 476 16WC 04604 VAN WINKLE, JANET M. COUNTY OF DUPAGE 09/22/15 LAW OFFICES BRIAN LASSEN WIEDNER & MCAULIFFE LTD 477 16WC 04731 CROWLEY, JEROME P ALTOM TRANSPORT INC 12/23/15 ANKIN LAW OFFICE 478 16WC 04778 GARDNER, BRIDGETTE ADVOCATE MEDICAL GRP 02/10/15 FOHRMAN, DONALD W & ASSOCS NYHAN BAMBRICK KINZIE & LOWR 479 16WC 04864 VALLE, NICHOLAS NAPERVILLE COUNTRY CLUB 01/02/15 MINKOW DOMIN 480 16WC 04913 KARAHALIOS, DEMITRIOS FIC AMERICA 07/16/14 BELCHER LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 16WC 05005 TOVAR, MIGUEL MINUTE MEN OF ILLINOIS IN 01/15/16 DEPAOLO ZADEIKIS GORE GILDEA & COGHLAN 482 16WC 05327 DANZA, DAVID ELMHURST SCHOOL DISTRICT 02/18/13 BOUDREAU NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 16WC005328 -C 483 16WC 05361 COKINAS, NICOLE DUPAGE COUNTY SHERIFF 04/24/13 SEIDMAN MARGULIS & FAIRMAN 484 16WC 05477 LOEFFLER, MICHAEL J PARK PLACE OF ELMHURST 10/05/15 MARTIN V KUGIA 485 16WC 05573 CABALLERO, PATRICIA SUPERMERCADO LA CHIQUITA 08/02/14 JOHN J CASTANEDA GANAN & SHAPIRO 486 16WC 05746 HARGROW, ADAM TERRAZZO & MARBLE 02/08/16 STROM, NEAL B 487 16WC 05997 HRNJIC, NIHAD MERCEDES BENZ- WESTMONT 03/05/13 ELFENBAUM EVERS & AMARILIO 488 16WC 06123 RAMOS, PETER SARPINOS PIZZERIA 11/15/15 LAW OFFICE OF SCOTT B SHAP BRADY, CONNOLLY & MASUDA, PC 489 16WC 06429 MELODY, KRISTINE CONVENTION ALL SERVICES 05/20/04 GOLDBERG WEISMAN & CAIRO L POULOS & DIBENEDETTO LAW 490 16WC 06499 TANGELA YOUNG ILLINOIS CENTRAL SCHOOL B 01/26/16 DEER & STONE PC MACIOROWSKI SACKMANN & ULRIC 491 16WC 06538 19B KROL, STEPHEN SPUR ELECTRICAL INC 11/13/15 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 492 16WC 06631 BOLIN-KAENEL, GAIL TRADER JOE'S 08/05/15 JAMES W GREEN, JR GAROFALO SCHREIBER STORM 493 16WC 06698 MARTINEZ, FRANCISCO QUALITY TEMPERM INC/MAAC 12/18/14 LULAY LAW OFFICES HOLECEK & ASSOCIATES 494 16WC 06738 MORELLI, RANDELL ABLE ENGINEERING 08/05/15 COVEN LAW GROUP GRANT & FANNING 495 16WC 06874 BURKE, MICHAEL BUFFALO WILD WINGS 11/24/15 MARC J SHUMAN & ASSOCIATES MC ANDREWS & NORGLE LLC 496 16WC 06894 SERRITELLA, ANNETTE MACY'S EAST 01/30/16 LAW OFFICE PHILIP BLOMBERG ROBERT L. SMITH 497 16WC 07091 PAZITNY, JANINA FED EX 01/11/16 TOPPER & WEISS LTD ASHER, RAYMOND L LTD 498 16WC 07350 DOWNARD, MARY ROBERTS PC 07/08/14 MILLON & PESKIN LTD LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 16WC 07355 LAGUNAS, MERCED LABOR TEMPS INC 02/03/16 MILLON & PESKIN LTD FRANCIS J DISCIPIO LAW OFFIC 500 16WC 07673 VASELS, NICOLE KOHL'S ELMHURST 10/07/15 MC HARGUE & JONES HENNESSY & ROACH PC 501 16WC 07926 NAIK, PRAKASH CARING TOUCH INC. 01/10/14 ANGELINI & ORI LLC 502 16WC 07975 FLACHMEYER, LARRY BRADLEY ENTERPRISES, INC 01/21/16 CULLEN HASKINS NICHOLSON SMITH AMUNDSEN LLC 503 16WC 08224 HIROSKY, JOHN CONTINENTAL WEB PRESS 12/03/13 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 504 16WC 08392 VILLALPANDO, ADAN HI PERFORMANCE SYSTEM 02/09/16 FIGLIOLI, DAVID BORGELT POWELL 505 16WC 08599 MC KINNON, KRISTIN MICHEL GLEN ELLYN ANIMAL HOSPITA 01/24/16 GOLDBERG WEISMAN & CAIRO L 506 16WC 08601 SANTOS, HECTOR STATE OF IL @ 01/27/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 507 16WC 08627 DELGADO, CARMEN WEST CHICAGO TERRACE 12/03/15 WARREN W MARK BRADY CONNOLLY & MASUDA PC 508 16WC 08676 GARCIA, GILDARD ORS NASCO 05/31/14 STROM, NEAL B HOLECEK & ASSOCIATES 509 16WC 08835 JACOBS, JOHN D VILLAGE OF OAK BROOK 07/07/15 FRANCIS J DISCIPIO LAW OFF POWER & CRONIN LTD 510 16WC 08932 PAIGE, TERMICA WYNDEMERE SENIOR CARE LLC 09/27/15 ANKIN LAW OFFICE WOLFE & JACOBSON, LTD 511 16WC 09145 STAFIE, DANIEL VILLAGE OF CAROL STREAM & 05/01/14 LAW OFFICES DANIEL E MURPH POWER & CRONIN LTD 512 16WC 09491 TKIHOMIROV, NIKITA SARPINOIS PIZZERIA 03/01/16 LAW OFFICES YEVGENIY VAYSM 513 16WC 09566 RHODES, RONALD WILD FIRE HARLEY-DAVIDSON 12/23/14 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 514 16WC 09567 RHODES, RONALD WILD FIRE HARLEY-DAVIDSON 05/04/15 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD 16WC009568 -C 515 16WC 09793 MORRISSETTE, MARY FEDERAL EXPRESS 08/26/15 PORRO NIERMANN LAW GROUP HANSON LAW OFFICE 516 16WC 09830 BARAJAS, MARIA ABM 11/13/15 DISPARTI LAW GROUP PA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 16WC 09853 KURINEC, DANIEL WESTMONT POLICE DEPT 12/07/15 RIDGE & DOWNES 518 16WC 10065 CORNELL, CHRISTINE CANDENCE HEALTH N/K/A 04/24/14 EVAN A HUGHES LAW OFFICE 519 16WC 10076 GUYTON, CASSANDRA HARBOR LIGHT HOSPICE 03/11/16 COLLISON LAW OFFICES 520 16WC 10150 WARFIELD, JAMIE M EDWARD HOSPITAL 03/24/14 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 16WC010158 -C 521 16WC 10258 ELLIS, MICHELLE HANDI FOIL 11/17/15 STEPHEN G PINTO LTD 522 16WC 10329 PADILLA, SANDRA RUIZ INNOCOR INC 02/22/16 LULAY LAW OFFICES WOLFE & JACOBSON, LTD 523 16WC 10851 HARDY, ANTHONY SALCO PRODUCTS INC 02/18/16 HOLECEK & ASSOCIATES 524 16WC 11071 ALEXANDER, SUZANNE SPEEDWAY LLC 01/27/16 MICHAEL HELLMAN NYHAN BAMBRICK KINZIE & LOWR 16WC014672 -C 525 16WC 11177 JANNEY, MIKE VILLAGE OF OAK BROOK 01/25/16 MEYERS & FLOWERS BRYCE DOWNEY & LENKOV LLC 526 16WC 11247 HERNANDEZ, ROBERT JACK COOPER TRANSPORT CO 01/19/16 GOLDBERG WEISMAN & CAIRO L RODDY LAW LTD 527 16WC 11503 GARBO, FRANK AUTO SHOWCASE, INC. 02/01/16 KARCHMAR & STONE LEAHY EISENBERG & FRAENKEL 528 16WC 11672 FIGGINS, DAVID ILLINOIS STATE POLICE @ 04/06/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 529 16WC 11857 GILLILAND, CHRISTOPHER VILLA PARK FIRE DEPARTMEN 02/15/16 GOLDBERG WEISMAN & CAIRO L 530 16WC 11907 ESTRADA, SABINA ARAMARK UNIFORM AND CAREE 02/28/16 SPENCER LAW OFFICES INMAN & FITZGIBBONS 531 16WC 11957 19B RICHARDSON, REGINALD J US FOODS INC 04/09/16 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 532 16WC 12105 CARRILLO, ABRAHAM A CUT ABOVELANDSCAPING 06/23/15 JAUREGUI & ASSOCIATES NOBLE & ASSOCIATES PC 533 16WC 12197 AYUOB, SALIM J CR EXPRESS INC 01/08/16 CZAPLA LAW ALLEN & NEWMAN 534 16WC 12247 MORENO, JOSE FIREPLACE & CHIMNEY AUTHO 05/19/15 HART & DAVID LLP WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 535 16WC 12354 TEGTMAN, MYRON EUCLID BEVERAGE 02/01/16 PORRO NIERMANN LAW GROUP ROBERT L. SMITH 536 16WC 12430 JOHNSON, GWENDOLYN MS-IL STAFFING & PACKING 01/27/16 CHARLES LEVY & ASSOC LTD 537 16WC 12791 19B GARCIA, MIGUEL DOYLE BRICK PAVING CO 04/08/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 538 16WC 12973 ALEXANDER, TYSON METRO STAFF INC 12/05/15 MARC J SHUMAN & ASSOCIATES FRANCIS J DISCIPIO LAW OFFIC 539 16WC 13010 D'ALESSANDRO, MICHAEL A J CHARDON LABORATORIES INC 04/04/16 LEE, MARK N LAW OFFICE 540 16WC 13133 HARRIS, EMMA LASALLE NETWORK 12/31/15 BRISKMAN BRISKMAN GREENBER LAW OFFICES JOSEPH MARCINIAK 541 16WC 13286 WILLIAMS, GABRIEL PHILL ROBBIN LANDSCAPING 04/19/16 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK 542 16WC 13346 TARGO, RAYMOND A BERARDO HOT ROD HOUSE INC 10/14/14 BUDIN LAW OFFICES 543 16WC 13894 BAILEY, OUENTIN US FOODS 04/24/16 MC HARGUE & JONES 544 16WC 13941 STEINGARD, SCOTT DELUXE AUDIO VIDEO, INC. 11/12/15 KROL BONGIORNO & GIVEN LTD RIPES NELSON BAGGOT KALOBRAT 545 16WC 14218 FLORES, MARIA ELITE STAFFING 04/22/16 COSTA IVONE LLC 546 16WC 14423 GILBERT, MARLA DOWNERS GROVE GRADE SCHOO 09/08/15 SEIDMAN MARGULIS & FAIRMAN LAW OFFICES JOSEPH MARCINIAK 17WC020259 -C 547 16WC 14443 SMYKOWSKI, JEFFREY VILLAGE OF ROSELLE 04/01/16 HANNIGAN & BOTHA, LTD BRYCE DOWNEY & LENKOV LLC 548 16WC 14454 WARMUZ, MARIA LEMONT-BROMBEREK CSD 113A 04/06/16 CHRISTOPHER BUCHCAR, LTD 549 16WC 14459 BHAGAT, MUHAMMAD AYUB GOTEMPO CO W 03/30/16 ARGIONIS & ASSOCIATES LLC 550 16WC 14742 MILLER, KAREN SPEEDWAY 01/15/16 DWORKIN AND MACIARIELLO ALLEN & NEWMAN 551 16WC 14756 FARMER, MICHAEL MATS TRUCKING 01/11/16 NEWLAND & NEWLAND RODDY LAW LTD 552 16WC 14826 THOMAS, LISA MCDONALD'S CORPORATION 05/14/15 MILLON & PESKIN LTD BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 553 16WC 15235 19B SESSA, STEPHANIE POTTERY BARN 12/12/15 KROL BONGIORNO & GIVEN LTD NOBLE & ASSOCIATES PC 554 16WC 15357 JESSIE, WILLIAM MANSFIELD OIL 02/09/15 CAPUANI, FRANK S 16WC031241 -C 555 16WC 15577 HERRERA, PALMIRA PARKER-HANNIFIN CORP 10/09/14 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 556 16WC 15651 OBUCINA, LILLIAN MIDWESTERN UNIVERSITY COL 05/11/16 HEALY SCANLON LAW FIRM LAW OFFICES JOSEPH MARCINIAK 557 16WC 15924 ADEROGBA, TROYCE STATE OF IL/FAMILY COMMUN @ 03/02/16 ASSISTANT ATTORNEY GENERAL 558 16WC 15937 HERNANDEZ, MARIA ARISTA HOTEL 07/24/15 FRANKS, GERKIN & MCKENNA P RODDY LAW LTD 559 16WC 16005 ARENA, NICK ADT SECURITY 04/28/16 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 560 16WC 16041 BARCENAS, CARLOS SERVICE KING PAINT & BODY 02/22/16 BERG & BERG RUSIN & MACIOROWSKI LTD 561 16WC 16284 GONZALES, ALBERTO GENERAL MILLS INC 01/11/16 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 562 16WC 16671 JOINER, JOE W KELLY SERVICES 08/25/15 DAVID W MARTAY NYHAN BAMBRICK KINZIE & LOWR 563 16WC 16821 REDGENAL, RENAHE PEPPERIDGE FARM INC PLANT 05/22/16 BRILL & FISHEL KEEFE CAMPBELL & ASSOC LLC 564 16WC 16916 ZANDER, KATHY ZEP MANUFACTORING 04/05/16 ASHER, RAYMOND L LTD SLAVIN & SLAVIN 565 16WC 17009 GARCIA, MARIA DE JESUS BLACKHAWK MOLDING CO INC 04/08/15 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 566 16WC 17141 GAMBLE, PRESTON ELITE STAFFING INC. 05/25/16 ANKIN LAW OFFICE 567 16WC 17309 NEGRETE, MARTINA DAVIE'S MOLDING 04/22/16 HERRERA LAW CENTER HENNESSY & ROACH PC 568 16WC 17327 KRUPICKA, KIMBERLY BUTLER SCHOOL DISTRICT 53 03/24/16 ANGELINI & ORI LLC ANCEL GLINK DIAMOND BUSH & E 569 16WC 17366 TORRES, TEODORO METRO STAFF INC. 09/16/15 CULLEN HASKINS NICHOLSON FRANCIS J DISCIPIO LAW OFFIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 570 16WC 17533 GOSSETT, MARK BULKMATIC TRANSPORTATION 06/29/15 PORRO NIERMANN LAW GROUP KNELL & O'CONNOR 571 16WC 17634 NOLAN, LIZA SOUTHERN WINE & SPIRITS O 12/02/15 LEONARD LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 16WC017635 -C 572 16WC 18002 TUCKER, DERRICK D. RTS HOLDINGS LLC D/B/A RO 12/02/14 573 16WC 18018 GIANOLA, LAWRENCE ILLINOIS STATE TOLL @ 03/09/16 SCHRAMM LAW GROUP GANAN & SHAPIRO 574 16WC 18396 BLAZEK, JOSEPH ADT SECURITY SERVICES 04/23/16 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 16WC018397 -C 16WC018398 -C 575 16WC 18460 COLLINS, MARTIN V3 CONSTRUCTION GROUP 11/13/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 576 16WC 18480 INIESTRA, SABINO PCTEL 04/01/15 DANIEL PERIASWAMY 577 16WC 18515 CASILLAS, ERIC AERO TECH STAFFING 03/04/16 O'CONNOR & NAKOS HENNESSY & ROACH PC 578 16WC 18583 RIVERA, MATILDE KKSP PREVISION MACHING 06/07/16 COSTA IVONE LLC GRANT & FANNING 579 16WC 18633 MONDRAGON, DOLORES COMMUNITY HS DISTRICT 94 05/02/16 LAW OFFICE OF SCOTT B SHAP ANCEL GLINK DIAMOND BUSH & E 580 16WC 19006 VALENTINO, KATIE E COMMUNITY UNIT SCHOOL DIS 02/16/16 ANKIN LAW OFFICE ANCEL GLINK DIAMOND BUSH & E 581 16WC 19161 SCIULLO, SANTINO DELTA SONIC 05/07/16 WOODRUFF & JOHNSON GILDEA & COGHLAN 582 16WC 19290 BOTELLO, ALICIA STAY INN 01/27/16 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 583 16WC 19376 BALDWIN, LARRYJ. FEDERAL EXPRESS CORPORATI 06/09/16 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 584 16WC 19456 THURMAN, DOROTHY UCHICAGO ARGONNE, LLC 05/25/16 TAMVAKIS, GEORGE L KEEFE CAMPBELL & ASSOC LLC 585 16WC 19582 CESARIO-FARRAJ, LORI A UCHICAGO ARGONNE, LLC 03/14/16 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 586 16WC 19675 PIERCE, PATRICIA IHOP 05/27/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 16WC 19724 SARAC, RENEE L K-FIVE 06/01/15 CRONIN & PETERS GAROFALO SCHREIBER STORM 588 16WC 19801 MARTINEZ, MARCO MARTINEZ WANG'S EXPRESS 05/05/16 KOFOED, RUSSEL M 589 16WC 19822 DE FRANCESCO, MICHAEL GRECO & SONS 06/09/16 VASILATOS & COTTER LLC 590 16WC 19840 GROVE, COLLEEN M EDWARD-ELMHURST HEALTH/FI 03/21/16 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 591 16WC 20175 SERNA, NORMA G DISCOVERY CLOTHING 03/26/16 ACEVES & PEREZ PC HOLECEK & ASSOCIATES 592 16WC 20225 GROVE, COLLEEN EDWARD HOSPITAL 03/09/14 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 593 16WC 20336 GERACI, KATHLEEN ADVOCATE HEALTH CARE 04/22/16 WOLFE LAW PC NYHAN BAMBRICK KINZIE & LOWR 594 16WC 20876 KUDLA, BASIA MACY'S DEPARTMENT STORE 01/17/16 TURNER & SACKETT LLC BRYCE DOWNEY & LENKOV LLC 595 16WC 20983 GARCIA, CELIA NEWMAN-GREEN, INC. 06/16/16 VITELL & SPITZ LTD LAW OFFICES JOSEPH MARCINIAK 596 16WC 21067 ALFARO, MARIA ELMHURST MEMORAL HOSPITAL 06/09/16 MACIOROWSKI SACKMANN & ULRIC 597 16WC 21099 GLASOW, WILLIAM P ROCKFORD CONSTRUCTION CO 12/22/15 CHARLES A FANUCCHI GAROFALO SCHREIBER STORM 598 16WC 21224 TOVIAN, STEVEN DAYTON FREIGHT LINES 06/22/16 LAW OFFICES MICHAEL HELLMA RUSIN & MACIOROWSKI LTD 599 16WC 21316 CASTILLO, TRINIDAD CONSOLIDATED CONTAINER 04/07/16 SALK, STEVEN B & ASSOC LTD RUSIN & MACIOROWSKI LTD 600 16WC 21584 PALERMO, MICHAEL UNITED PARCEL SERVICE, IN 05/20/16 BERNAT & BERNAT PC ASA LAW GROUP 601 16WC 21759 LEWIS, STUART NORTHROP GRUMMAN 10/22/14 BURNETT & CARON, LTD 602 16WC 21823 MORALES, EMILIA PUBLISHERS GRAPHICS LLC 01/05/16 SMOLER LAW OFFICE, PC LAW OFFICES OF EDWARD J. KOZ 603 16WC 22028 CINTRON, MICHAEL WOODLAND PLASTICS CORP 01/11/16 LAW OFFICE DAVID W CLARK RUSIN & MACIOROWSKI LTD 604 16WC 22103 TAYLOR, DION SELECT COMFORT 01/11/16 SCOTT BARBER WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 16WC 22264 HALL, KAREN ROGER E. PARDON D.D.S 11/25/13 MARKER & ASSOCIATES 606 16WC 22317 SANCHEZ, SANJUANA HOTEL ARISTA 07/03/16 KATZ FRIEDMAN EAGLE ET AL GRANT & FANNING 607 16WC 22347 DURAN, DAVID UPS ADDISON 02/08/16 MEYERS & FLOWERS COZZI & GOGGIN-WARD 608 16WC 22415 UVALLE, CRISPIN KNS COMPANIES, INC. 06/10/15 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 609 16WC 22631 CALIENDO, KATHLEEN RESCAR INDUSTRIES, INC 06/14/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 610 16WC 22722 FOX, JAMES E. GHX INDUSTRIAL D/B/A GOOD 03/08/16 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 611 16WC 22745 HERNANDEZ, MIGUEL ANGEL J HIGGINS CONSTRUCTION INC 07/05/16 BOWMAN & CORDAY NYHAN BAMBRICK KINZIE & LOWR 612 16WC 22938 WELCH, TERRY FCA 06/06/16 WOODRUFF & JOHNSON CHILTON YAMBERT PORTER LLP 613 16WC 23007 DAVYDOV, ANATOLY SUPERIOR BROKERAGE SERVIC 04/28/16 BRISKMAN BRISKMAN GREENBER RUSIN & MACIOROWSKI LTD 614 16WC 23127 MASOOD, SYED TRANSCENTRA 07/30/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 615 16WC 23458 MAY, DOLORES ROBERT R. DYLLA, SR CPA P 04/10/14 WHITESIDE & GOLDBERG LTD NYHAN BAMBRICK KINZIE & LOWR 616 16WC 23488 ESPOSITO, CATHERINE BED BATH & BEYOND 04/04/15 SMOLER LAW OFFICE, PC KOPKA, PINKUS DOLIN, PC 617 16WC 23617 TROVATO, TINA QUEEN BEE SCHOOL DIST. 16 06/06/15 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 618 16WC 23653 PACAS, CONCEPCION SONOCO PLASTICS 07/16/16 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 619 16WC 23828 LOPEZ, JUAN SYSTEMATICS SCREEN PRINTI 07/29/16 THE ROMAKER LAW FIRM RODDY LAW LTD 620 16WC 23930 ZUNO, DAVID TOTEM CONSTRUCTION, LLC. 07/01/16 FOOTE MIELKE CHAVEZ & O'NE GAROFALO SCHREIBER STORM 621 16WC 24113 PEREZ, LUIS VILLAGE OF OAK BROOK 04/03/16 FRANCIS J DISCIPIO LAW OFF 14WC013736 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 16WC 24209 GODINEZ, VANESSA ELITE STAFFING 08/03/16 FOOTE MIELKE CHAVEZ & O'NE 623 16WC 24258 ZANDER, TANYA STATE OF ILLINOIS YOUTH C @ 01/19/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 16WC024259 -C 17WC019906 -C SATTE OF IL YOUTH CENTER 624 16WC 24366 ALEMAN, JOE B2B INDUSTRIES, INC 06/24/16 GOLDSTEIN BENDER & ROMANOF 625 16WC 25493 KOWALEWICZ, BARTOSZ L. ALL PLUMBING AND SEWER 04/21/16 BERNSTEIN, PHILIP L RUSIN & MACIOROWSKI LTD 16WC026965 -C 16WC026966 -C 626 16WC 25515 FRENCL, ANTHONY J WASTE MANAGEMENT 08/01/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 627 16WC 25975 SULLIVAN, JERRY P ATI HOLDINGS, LLC 08/03/14 LAW OFFICE DAVID W CLARK GRANT & FANNING 628 16WC 26584 WEST, OLGA MAPLEBROOKE ELEMTARY SCHO 03/03/14 GOLDBERG WEISMAN & CAIRO L 629 16WC 26611 FOURNIER, CHARLES UPS 03/31/16 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 16WC026612 -C 630 16WC 27188 ROSALES, JESSE MY HAPPY FEET 08/09/16 SOSTRIN AND SOSTRIN PC 631 16WC 27310 FIELDS, MICHAEL PORTILLO'S RESTAURANT/GRO 12/15/13 SOSTRIN AND SOSTRIN PC GRANT & FANNING 632 16WC 27487 JONES, DAVID C COMMONWEALTH EDISON COMPA 08/01/16 ANESI OZMON RODIN NOVAK KO CHILTON YAMBERT PORTER LLP 633 16WC 27518 BARTON, JEFFREY VILLAGE OF ADDISON 07/21/16 FRANCIS J DISCIPIO LAW OFF RUSIN & MACIOROWSKI LTD 634 16WC 27623 LYDON, JOHN CHRISTY MGMT-THOMAS GLYNN 09/13/13 CONWAY LAW OFFICE MCLAUGHLIN & ASSOCIATES 635 16WC 27746 HOUSE, CHRISTOPHER PORTER INSTALLATION 01/23/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 636 16WC 27821 REYES, PATRICIA BLISTEX INC 07/27/16 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES 637 16WC 27932 CABAN, LUPERINO DUPAGE COVERED BRIDGES 11/30/15 LEONARD S. BECKER BRADY CONNOLLY & MASUDA PC 638 16WC 27951 BUSSE, DENISE JWEL/OSCO 07/29/15 ROBIN LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 639 16WC 28046 KRAUSE, RACHEL VCA ARBORETUM VIEW 11/11/15 GOLDBERG WEISMAN & CAIRO L 640 16WC 28230 MILLER, ROBERT FREDRIKSEN FIRE EQUIPMENT 07/30/16 CORBOY & DEMETRIO PC LAW OFFICES JOSEPH MARCINIAK 641 16WC 28288 BARRON, COLLEEN WINFIELD WOODS HEALTHCARE 01/14/16 ROSS TYRRELL BRADY CONNOLLY & MASUDA PC 642 16WC 28374 MENDOZA REYES, ANTONIO BAJAS CONCRETE, INC 04/21/16 MATHYS & SCHNEID NYHAN BAMBRICK KINZIE & LOWR 643 16WC 28460 LICHTER, LARRY EATON CORPORATION 03/27/15 EFTEKHARI LAW OFFICES GANAN & SHAPIRO 644 16WC 28573 GUZZO, JOSEPH INTERNATIONAL HAULING AND 06/28/16 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 645 16WC 28652 RADA, DEBORAH SEPTRAN/NATIONAL 01/04/16 MILLON & PESKIN LTD ROBERT L. SMITH 646 16WC 28800 PAFFUMI, BRADLEY HARTS COLLISION 08/04/16 STELZMAN, RUTH RUSIN & MACIOROWSKI LTD 647 16WC 29119 KRIBBS-MACKOWIAK, JUDITH AMERICAN BLUE RIBBON HOLD 05/28/16 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 648 16WC 29189 MELENDEZ, ROBERTO INNOCOR 07/21/16 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 17WC004967 -C 649 16WC 29220 LEON, LEOCADIA PARKER HANNIFIN CORPORATI 11/16/15 BERG & BERG RUSIN & MACIOROWSKI LTD 650 16WC 29659 CAMARA, ANTHONY LIFETIME FITNESS 01/15/16 THOMAS & PORTELA 651 16WC 29794 DAHMEN, JANET ARAMARK 08/11/16 MILLON & PESKIN LTD STONE & JOHNSON CHARTERED 652 16WC 29953 CHATMON, REGINA VICAR OPER INC 07/07/16 GOLDSTEIN AIOSSA & GOOD SLAVIN & SLAVIN 653 16WC 30018 MICHALEC, DENISE CLARIANT PLASTICS & COATI 01/12/16 MARTIN L GLINK LAW OFFICE GRANT & FANNING 16WC030019 -C 654 16WC 30202 AJAZI, ASTRIT CORNELIUS INC 10/30/15 CIARDELLI CUMMINGS CAMPAGN RUSIN & MACIOROWSKI LTD 655 16WC 30407 TUTTLE, DAVID A MR DAVIDS FLOORING INTL 06/06/16 TAMVAKIS, GEORGE L WIEDNER & MCAULIFFE LTD 656 16WC 30542 STRAITH, EDWARD CARL PAUL VIDEOJET TECHNOLOGIES, IN 12/31/15 BOGUSZ & BOGUSZ LTD GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 657 16WC 30626 BROWN, ANDREA BROOKDALE SENIOR LIVING 04/24/16 BRISKMAN BRISKMAN GREENBER ROSARIO CIBELLA 658 16WC 30700 SARTORI, SHARON HANNOVER RE SERVICES USA, 09/23/15 MILLON & PESKIN LTD HOLECEK & ASSOCIATES 659 16WC 30814 REESE, RUSSELL G PEPPERIDGE FARM, INC 08/27/16 MARKER & ASSOCIATES CHILTON YAMBERT PORTER LLP 660 16WC 30872 DEMARCO, JOHN ABS GRAPHICS 08/01/16 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 661 16WC 30948 RUS, DOUGLAS N HOME DEPOT 07/04/16 CRONIN & PETERS 662 16WC 31113 WADSWORTH, MIKE VILLAGE OF ADDISON 11/10/15 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 663 16WC 31224 GAONA, PAULO E A SCHULMAN, INC 09/22/16 MC HARGUE & JONES GAROFALO SCHREIBER STORM 664 16WC 31264 FISHER, ERIC KANE COUNTY SHERIFF'S OFF 01/07/16 KROL BONGIORNO & GIVEN LTD COLLISON & O'CONNOR 665 16WC 31424 SILVA, MARCO TOWN & COUNTY DISTRIBUTER 08/17/16 LAW OFFICE OF SCOTT B SHAP 666 16WC 31538 KLAPPER, MARY JEWEL FOODS 09/13/16 FRANCIS J DISCIPIO LAW OFF QUINTAIROS PRIETO WOOD & BOY 667 16WC 31570 KROKER, WENDY EXCLUSIVE MEDICAL SOLUTIO 10/03/16 LAW OFFICE OF SCOTT B SHAP LAW OFFICES JOSEPH MARCINIAK 668 16WC 31757 MAGALLON, TERESA AMCOR RIGID PLASTICS USA 02/14/16 MICHAEL HELLMAN 669 16WC 31798 DESTEFANO, ANTHONY NES INC 09/16/16 PORRO NIERMANN LAW GROUP 670 16WC 32010 JACOB, LAURIE SUPER CUTS 03/30/16 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 671 16WC 32119 RODRIGUEZ, ANA JEL SERT COMPANY 09/15/16 EFTEKHARI LAW OFFICES POWER & CRONIN LTD 672 16WC 32189 VAZQUEZ, SAMULE LAKE VENTURES, LLC 09/30/16 ROSENFELD HAFRON SHAPIRO F COZZI & GOGGIN-WARD 673 16WC 32230 SALAZAR, JOSE FAB EXPRESS & DYNAMIC 03/28/14 JOHN E LUSAK GANAN & SHAPIRO 17WC032017 -C 674 16WC 32280 JOHNSON, STEVEN RYDER SYSTEM, INC 10/11/16 SANDMAN LEVY & PETRICH HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 675 16WC 32323 WEDELL, CASSANDRA SAP AMERICA, INC 04/18/16 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 676 16WC 32344 CAMERON, JENNIFER M FEDERAL EXPRESS 06/24/16 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 677 16WC 32379 MILAN, ROBERT US FOODS 09/07/16 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 678 16WC 32714 RILEY, TIANA RML SPECIALTY HOSPITAL 09/27/16 MEYERS & FLOWERS KEEFE CAMPBELL & ASSOC LLC 679 16WC 32782 MARLIN, JOANNE VISTA HEALTHCARE CORP 04/21/16 COLLISON LAW OFFICES HENNESSY & ROACH PC 680 16WC 32836 WILLIAMS, VIRGIL PITT OHIO EXPRESS, LLC 09/22/16 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 16WC032837 -C 681 16WC 32867 MARQUEZ, MARIBEL ADVOCATE HEALTHCARE 08/09/16 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 682 16WC 32968 ANDERSON, JOHN WESTMONT INTERIOR SUPPLY 09/30/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 683 16WC 33295 BROWN, KIM COUNTY OF DUPAGE 08/04/16 BURNETT & CARON, LTD ROCK FUSCO & CONNELLY 684 16WC 33380 CAPRA, MARIA AT HOME W 10/12/16 KARNO, MARK L & ASSOC 685 16WC 33443 ALEJANDRE, SANDRA BURGESS SQUARE HEALTHCARE 06/05/16 RUBIN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 686 16WC 33475 DUBBERKE, GARY O'REILLY'S AUTO PARTS 09/09/16 HENNESSY & ROACH PC 687 16WC 33490 PRINCE, FLOYD WESCO COMMUNICATIONS 07/20/16 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 688 16WC 33529 ZIMA, KAREN GLENBARD EAST HIGH SCHOOL 09/24/16 ANGELINI & ORI LLC ANCEL GLINK DIAMOND BUSH & E 689 16WC 33558 WILLIAMS, STEVEN CENTERLINE CONSTRUCTION 10/14/16 KROL BONGIORNO & GIVEN LTD 690 16WC 33837 MCCANTS, TOMMIE STAFFMARK 10/05/16 COHN & COHN KEEFE CAMPBELL & ASSOC LLC 691 16WC 33845 NORTON, CHRISTOPHER LORIG CONSTRUCTION CO 10/27/16 ANGELINI & ORI LLC GAROFALO SCHREIBER STORM 692 16WC 33991 ORTIZ, JOSE A WORKFORCE, LLC 09/27/16 COSTA IVONE LLC KOREY RICHARDSON LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 693 16WC 34037 COLUNGA, JOSE L COPIES OVERNIGHT, INC 09/22/16 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 694 16WC 34286 NUNEZ, KARINA A.S.G STAFFING, INC 09/19/16 HART & DAVID LLP FRANCIS J DISCIPIO LAW OFFIC 695 16WC 34436 CLAYBORNE, ANTHONY SAIA MOTORFREIGHT 07/08/16 STEVEN A CRIFASE, LTD CHILTON YAMBERT PORTER LLP 696 16WC 34470 BARRERA, DONACIANO METALS TECHNOLOGY CORPORA 06/19/15 MC HARGUE & JONES RODDY LAW LTD 697 16WC 34548 MAXSON, WILLIAM R UPS GROUND FREIGHT 09/20/16 SOSTRIN AND SOSTRIN PC ASA LAW GROUP 698 16WC 34551 WILTON, JENNIFER CUSD #181 02/22/16 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 699 16WC 34630 SLOAN, TIMOTHY R CITY OF NAPERVILLE 10/03/16 PETER D CORTI LAW GROUP CITY OF NAPERVILLE 700 16WC 34668 RENOVATO, JUAN M TWO BROTHERS BREWING COMP 10/19/16 KINNALLY FLAHERTY KRENTZ & COZZI & GOGGIN-WARD 701 16WC 34676 FRANCISCO, CARMENCITA LIFESPACE DG LLC 05/13/16 BRISKMAN BRISKMAN GREENBER 702 16WC 34758 GIANNINI, STEVEN DUNNET BAY CONSTRUCTION 10/18/16 CUDA LAW OFFICES ACCIDENT FUND HOLDINGS 703 16WC 34957 EMMONS, MARK BEAR LANDSCAPE GROUP W 06/10/16 BRILL & FISHEL 704 16WC 35175 HANEBERG, JANICE JEWEL OSCO 10/21/16 LAW OFFICE OF ROBERT J. IR RODDY LAW LTD 705 16WC 35218 HENNESSEY, WILLIAM STESCORE INC 11/11/16 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 706 16WC 35262 KUNOVSZKY, EVA CGC MANAGEMENT/HOTEL ARIS 07/14/16 BART DURHAM GRANT & FANNING 707 16WC 35575 MAREK, PETER K CUSTOM APPLIANCE 06/14/16 FRANKS & RECKENBERG HOLECEK & ASSOCIATES 708 16WC 35609 FREDRICKSON, JOHN ROESCH FORD 12/18/15 CAPRON & AVGERINOS PC ROBERT L. SMITH 709 16WC 35629 STALEV, KRASIMIR AMERI FREIGHT SYSTEMS 03/04/16 LEONARD LAW GROUP LLC MCANANY VANCLEVE & PHILLIPS 710 16WC 35677 SIWAK, ANN M GUSTAVE A LARSON CO 08/22/16 BUDIN LAW OFFICES NOBLE & ASSOCIATES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 711 16WC 35691 CHIARAMONTE, MARIO ILLINOIS TOLLWAY 08/23/16 BARRY A KETTER NYHAN BAMBRICK KINZIE & LOWR 712 16WC 36102 LELOUP, FRANCES ADVENTIST HINSDALE HOSPIT 09/08/16 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 713 16WC 36187 JIMINIAN, EDDY SELECT RESTAURANTS 01/09/16 FOHRMAN, DONALD W & ASSOCS COZZI & GOGGIN-WARD 714 16WC 36202 PITTMAN, THOMAS LINDLEY EDWARD HEALTH VENTURES 08/01/16 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 715 16WC 36232 SALEH, SANDRA JASON'S DELI 05/26/16 RAYMOND M SIMARD, PC 716 16WC 36303 STETSIK, YAROSLAV HERREGAN DISTRIBUTION 12/01/14 SIMMONS COOPER LLC 717 16WC 36322 KOBACK, JOSEPH ILLINOIS TOLL HIGHWAY 08/01/16 THOMAS A MORRISSEY GANAN & SHAPIRO 718 16WC 36389 FLAGG, ERICA SPEEDWAY GAS STATION 08/23/16 PARENTE & NOREM PC ALLEN & NEWMAN 719 16WC 36511 GLOMB, BRETTE DARIEN POLICE DEPT * 09/12/15 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 720 16WC 36641 MARTINES, EDUARDO EDWARD HOSPITAL 03/11/16 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 721 16WC 36724 JOHNSON, CAROL MACY'S 11/22/15 JASINSKI, GEORGE J BRYCE DOWNEY & LENKOV LLC 722 16WC 36901 STOCKDALE, STEVEN F US FOOD SERVICE 07/27/16 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 723 16WC 36980 RODRIGUEZ, JUAN OTIS ELEVATOR 07/05/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 724 16WC 37050 GUSHI, JOSEPH JOHNSON SERVICE GROUP 11/05/16 GRAZIAN & VOLPE PC KNELL & O'CONNOR 725 16WC 37186 BOLTON, ANTON BLACK HORSE CARRIERS INC 09/07/16 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 726 16WC 37213 MARTINEZ, PEDRO JUNEZ BONAR PLASTIC/ 11/07/16 MC HARGUE & JONES QUINTAIROS PRIETO WOOD & BOY 727 16WC 37227 VANLOON, CURT ADVOCATE GOOD SAMARITAN H 10/14/16 GREGORIO & MARCO NYHAN BAMBRICK KINZIE & LOWR 17WC003610 -C 728 16WC 37539 ESCOBEDO-PADILLA, JUAN ANTONIO RAMIREZ AGUILAR 11/26/16 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 729 16WC 37722 TIOKANG, CHRISTELLE MELI MARIANJOY REHAB HOSPITAL 08/14/15 RONALDSON & KUCHLER NYHAN BAMBRICK KINZIE & LOWR 730 16WC 37735 CRNCEVIC, DRAGOLJUB AIM NATIONALEASE 11/18/16 SEIDMAN MARGULIS & FAIRMAN 731 16WC 37832 KORNSEY, CHRISTOPHER COLLEGE OF DUPAGE 02/20/14 SCHWEICKERT & GANASSIN 732 16WC 38003 HUERTA, BLANCA ROSA BEST BUY 11/28/16 ENCINAS & ORNELAS HENNESSY & ROACH PC 733 16WC 38091 DEROSA, LIS A ST PATRICKS RESIDENCE 11/04/15 SCOTT W SHEEN & ASSOCIATES GAROFALO SCHREIBER STORM 734 16WC 38125 LINEVICH, IGOR TGL LOGISTICS INC 07/05/16 MCANANY VANCLEVE & PHILLIPS 735 16WC 38149 FREIRE, VERONICA ARAMARK 11/11/16 GOLDSTEIN BENDER & ROMANOF STONE & JOHNSON CHARTERED 736 16WC 38187 HAYES, JAMES HOME OWNERS BARGAIN OUTLE 04/26/13 RUSIN & MACIOROWSKI LTD 737 16WC 38378 HAMPTON, ANNA TARGET CORPORATION 11/28/16 COYNE REINKE LAW NYHAN BAMBRICK KINZIE & LOWR 738 16WC 38445 CASTANEDA, JUAN BP COMPASS GROUP N AMERIC 10/13/16 PATRICOSKI, MARK G 739 16WC 38590 CHAVEZ, JORGE LUIS M&M EVENTS 09/06/16 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 740 16WC 38772 FINLEY, KIMBERLY EDWARD HOSPITAL 11/19/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 16WC038773 -C 741 16WC 38818 SINGLETON, RASHUN AMITA HEALTH 11/02/16 NYHAN BAMBRICK KINZIE & LOWR 742 16WC 38839 RENNER, LAUREN DARIEN POLICE DEPARTMENT 09/21/15 ANGELINI & ORI LLC 743 16WC 38848 SANCHEZ, CUATEMOC ELITE STAFFING 12/08/16 AIOSSA LAW FIRM 744 16WC 38938 JOHNSON, TINA M BROOKDALE SENIOR LIVING 06/24/16 BURNETT & CARON, LTD ROSARIO CIBELLA 745 16WC 39381 TODA, CLAUDIU DACIAN PIM QUALITY CONSTRUCTION 09/04/15 MICHAEL C. GOODE 746 17WC 00030 WEISBERG, ROBERT SODEXO 04/05/16 BAUM RUFFOLO & MARZAL LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 747 17WC 00240 ROSADO, PEDRO DOWNERS GROVE SD #58 10/17/16 SEIDMAN MARGULIS & FAIRMAN JOSEPH MARCINIAK 748 17WC 00417 GENZLER, JILL NEIMAN MARCUS 03/12/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 749 17WC 00429 CARROLL, WILLIAM MAC'S CONVENIENCE STORES, 04/28/16 LANNON LANNON & BARR LTD 750 17WC 00476 MCBRIDE, RICKY TRADESMEN INTERNATIONAL 01/05/17 VITELL & SPITZ LTD RODDY LAW LTD 751 17WC 00512 JUNG, JILL ARAMARK 10/07/16 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 752 17WC 00579 NOVIELLI, LINO VILLAGE OF GLENDALE HEIGH 10/15/15 E JAMES RAYMOND ROBERT L. SMITH 753 17WC 00633 JANOTA, BARBARA COOPER'S HAWK WINERY & 12/03/16 ABELS & ANNES, PC GRANT & FANNING 754 17WC 00644 SAVOY, STEVEN CREST CREEK COUNTRY CLUB 08/09/16 ARGIONIS & ASSOCIATES LLC KELLEY KRONENBERG 755 17WC 00847 RODRIGUEZ, FABIOLA COSTCO WHOLESALE 07/21/16 LEONARD LAW GROUP LLC 756 17WC 00886 BOJESKI, STEVEN D2K TRAFFIC 11/03/16 LEITER LAW OFFICES ACCIDENT FUND HOLDINGS 17WC024297 -C 757 17WC 01021 ETCITTY, LARRY WIEGEL TOOL WORKS 11/23/16 O'CONNOR & NAKOS 758 17WC 01736 SCHULTZ, DONALD T LISLE PARK DISTRICT 11/28/16 LAW OFFICE PHILIP BLOMBERG HENNESSY & ROACH PC 759 17WC 01773 MARCHAN, JESTINA DEMAR, INC 06/23/16 SALK, STEVEN B & ASSOC LTD HOLECEK & ASSOCIATES 760 17WC 01799 DIAZ, MARTHA JEWEL OSCO # 3294 12/17/16 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 761 17WC 02049 MORROW, KALILAH HOME DEPOT STORE #1916 08/15/16 KAUFFMAN, NEIL & ASSOC MC ANDREWS & NORGLE LLC 762 17WC 02229 ANDREUCETTI, ALBERT ALL SEALANTS INCORPORATED 08/19/16 LEONARD LAW GROUP LLC 763 17WC 02262 VERA, JUAN HYATT REGENCY LISLE 01/17/17 HERRERA LAW CENTER MARTIN, PATRICK W 764 17WC 02611 MASCOTE, ANTONIO BEARY LANDSCAPING 09/13/16 COSTA IVONE LLC LAW OFFICES OF EDWARD J. KOZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 765 17WC 02644 SOLIDAY, JANE GIORDANO'S 12/22/16 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 766 17WC 02653 GUTIERREZ, ENRIQUE WWELS INC STAFFING NETWOR 08/15/16 GOLDSTEIN AIOSSA & GOOD 767 17WC 03013 PETRUNCIO, JO ALDEN MANAGEMENT SERVICES 10/06/16 ROSS TYRRELL 768 17WC 03150 CARDONA, GARY SUN CHEMICAL CORP 06/11/15 RICHARD O. GREENFIELD HENNESSY & ROACH PC 769 17WC 03179 ANDERSON, TAWANA VIDEOJET TECHNOLOGIES 12/12/16 MINKOW DOMIN GILDEA & COGHLAN 770 17WC 03296 AIELLO, DAVE UPS 01/05/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 771 17WC 03393 MAHONEY, CHERYL PALOS COMMUNITY HOSPITAL 12/17/16 TURCYCHUTE LLC LORENZ & BERGIN PC 772 17WC 03461 MCINTOSH, MARC ASS ABLOY 09/29/16 LEONARD LAW GROUP LLC 773 17WC 03733 EARLS, MARY C ANTECH DIAGNOSTICS 10/06/16 DAVID W MARTAY SLAVIN & SLAVIN 774 17WC 03876 DIAZ, GORGE GOLF PLUS INC 10/16/16 GREGORIO & MARCO 775 17WC 03927 MENDOZA, MARIA NAI HIFFMAN ASSET MANAGEM 11/22/16 SPENCER LAW OFFICES 776 17WC 03983 SMITH, DENITA M COMCAST 10/03/16 RICHARD E ALEKSY SPIEGEL & CAHILL, PC 777 17WC 04029 SYED, INTESARUDDIN A INDEXX 06/05/14 TAMVAKIS, GEORGE L HOLECEK & ASSOCIATES 778 17WC 04044 ALBOBUKHEET, KHALID MICKEY'S CAR WASH 06/09/16 STELZMAN, RUTH 17WC013893 -C 779 17WC 04394 MOBLEY, VALERIE TRAVELERS INSURANCE 02/14/14 RUSIN & MACIOROWSKI LTD 780 17WC 04738 JAMES, VERNON FLAVORCHEM 06/07/16 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 781 17WC 04775 SERRANO, CRISOFORO CAPUTO'S NEW FARM PRODUCE 12/06/16 JAUREGUI & ASSOCIATES GANAN & SHAPIRO 782 17WC 04790 ELLIS, LINDA PEPPERIDGE FARM, INC. 02/20/16 MARKER & ASSOCIATES CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 783 17WC 04828 WELTIN, MARGARET NAPERVILLE SCHOOL DIST #2 02/16/14 SEIDMAN MARGULIS & FAIRMAN MACIOROWSKI SACKMANN & ULRIC 784 17WC 04844 MASON, MICHAEL ABEC ELECTRIC 10/31/16 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 785 17WC 04977 URIBE, MIGUEL MAUSER USA, LLC 02/07/17 JOHN J CASTANEDA 786 17WC 05087 ACKERMAN, JOSEPH M JR VILLAGE OF BENSENVILLE 04/29/16 LAW OFFICE PHILIP BLOMBERG 787 17WC 05284 RUBIO, JESSE WESTMORE APARTMENTS 08/10/16 LAW OFFICES OF MARK SCHAFF GILDEA & COGHLAN 788 17WC 05309 KINNEY, JAMES IL DEPT OF TRANSPORTATION 12/18/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 789 17WC 05334 PRIDGEON, DEVIN GIVAUDAN 02/18/17 SKLARE LAW GROUP SLAVIN & SLAVIN 790 17WC 05390 STROMME, ALICIA BRIDGEWAY OF BENSENVILLE 12/05/16 CULLEN HASKINS NICHOLSON 791 17WC 05404 ABAD-FIERRO, LILIANA WILTON INDUSTRIES 12/08/16 COSTA IVONE LLC WOLFE & JACOBSON, LTD 792 17WC 05440 REYES, MARK GORDON FOOD SERVICE 01/30/17 BARRY STEWART SILVER GANAN & SHAPIRO 793 17WC 05456 STOFFLE, COLLEEN BURGESS SQUARE HEALTHCARE 07/07/16 SCHWANER INJURY LAW KEEFE CAMPBELL & ASSOC LLC 794 17WC 05461 BRYANT, CURTIS DUPAGE COUNTY 02/07/17 KATZ FRIEDMAN EAGLE ET AL ROCK FUSCO & CONNELLY 795 17WC 05547 HENNEBRY, DALE F ST. PATRICK'S PARISH: CHI 11/15/16 ELFENBAUM EVERS & AMARILIO 796 17WC 05705 BLANCHARD, STEPHEN OBERWEISE DAIRY 11/20/15 VRDOLYAK LAW GROUP LLC LAW OFFICES FRANCESCA LARSEN 797 17WC 05825 DAVIS, CORTEZ ROYAL GROUP 02/14/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 798 17WC 05841 MICHAEL, KING SPELLMATT MOTORS, INC 01/16/17 EFTEKHARI LAW OFFICES BRADY CONNOLLY & MASUDA PC 799 17WC 05930 WALLY LENDS HIS HORSE INT'L LOGISTICS GROUP INC 04/30/16 CULLEN HASKINS NICHOLSON MCANANY VANCLEVE & PHILLIPS 800 17WC 06321 SPADARO, KATHERINE A EBY-BROWN COMPANY, LLC 11/30/16 BUDIN LAW OFFICES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 801 17WC 06482 BROWN, ROGER FRAIN INDUSTRIES 03/11/14 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 802 17WC 06594 ANGELI, JOSEFINA SECURITY WALLS, LLC 01/11/17 BOWMAN & CORDAY 803 17WC 06624 RUIZ, ANTONIETA PANERA 11/21/16 LAW OFFICES ROBERT WARSASK 804 17WC 06903 ROJAS, HILARIO TIM COTE,INC 09/14/16 MEYERS & FLOWERS 805 17WC 06906 CRAWFORD, DEBBIE GREENCORE USA 03/03/17 COSTA IVONE LLC HOLECEK & ASSOCIATES 806 17WC 06980 HARTNER, JESSICA SHOELESS JOE'S SPORTSBAR, 01/06/17 MAURICE E DUSKY PC HENNESSY & ROACH PC 807 17WC 07013 MACKOWIAK, THERESA COMPASS GROUP 02/12/17 HUGHES SOCOL PIERS RESNICK 808 17WC 07133 VOGEL, JSOETTE BIG LOTS, INC 08/24/16 MENDOZA LAW PC LITCHFIELD CAVO 809 17WC 07259 VLAHOS, JOHN DOYLE SINGS INC 01/27/17 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM 810 17WC 07453 OCAMPO, ONIDINE ELITE STAFFING 07/11/16 GOLDSTEIN BENDER & ROMANOF 811 17WC 07468 MCPOLIN, MEGHAN ACCESS FINANCIAL 12/06/16 SAUNDERS CONDON & KENNY 812 17WC 07503 LAMPEN, ROBERT INK SYSTEMS, INC 04/01/16 SEIDMAN MARGULIS & FAIRMAN RODDY LAW LTD 813 17WC 07551 EDDLEMAN, ALESIA CRATE & BARREL 02/02/17 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 814 17WC 07639 SCORTINO, DEBORAH SERV PRO 10/29/15 QUINTAIROS PRIETO WOOD & BOY 815 17WC 07975 TORRES, BERTIN NEXUS EMPLOYMENT/ 01/24/17 RUEDA, IVAN A 816 17WC 08063 BISAILLON, KENNETH CIT BEVERAGE DBA LAKESHOR 12/29/16 CULLEN HASKINS NICHOLSON ACCIDENT FUND HOLDINGS 817 17WC 08100 SALAZAR, DIANA HILTON OAK BROOK HILLS 03/11/17 HERRERA LAW CENTER HENNESSY & ROACH PC 818 17WC 08159 THOMAS, LARONDA GENERAL MILLS, INC 07/26/16 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 819 17WC 08229 BEDOLLA, SAM RELIANCE GEAR CORP 03/03/17 BRISKMAN BRISKMAN GREENBER 820 17WC 08332 MCKINNEY, MELANIE PIVOTAL HOME SOLUTIONS 03/11/17 SKLARE LAW GROUP MACIOROWSKI SACKMANN & ULRIC 821 17WC 08540 KIMBROUGH, MICHAEL ALLIED WATERPROOFING, INC 06/01/15 LAW OFFICE DAVID W CLARK HOLECEK & ASSOCIATES 822 17WC 08638 JOHNSON, DAVID GP TRANSPORTATION CO 02/01/17 ANKIN LAW OFFICE 823 17WC 08979 ZERA, MARY MARGO HITECH GROUP INTERNATIONA 12/21/16 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK 824 17WC 09053 GUILLEN, MARISOL STAFFING NETWORK 03/20/17 COSTA IVONE LLC SLAVIN & SLAVIN 825 17WC 09118 MALKAWI, OMER DIRECT MARKETING GROUP, C 02/24/17 826 17WC 09213 JANKOVEC, DANIEL ADDISON ELECTRIC, INC 01/12/16 ASHER, RAYMOND L LTD 827 17WC 09284 MONTANO, MANUEL OPTIMAS 02/17/17 ROBERT H HANAFORD 828 17WC 09378 CONNERY, CHRISTINE HINSDALE GOLF CLUB 05/24/16 RIDGE & DOWNES NOBLE & ASSOCIATES PC 829 17WC 09527 MILANO, ANGELO CITY OF ELMHURST 05/06/14 MILLON & PESKIN LTD POWER & CRONIN LTD 830 17WC 09587 VELAZQUEZ, JOSE ARAGON RI THE ROOM PLACE 03/11/17 CHEPOV & SCOTT LLC LAW OFFICES FRANCESCA LARSEN 831 17WC 09714 STALLING, DALIA NOW HEALTH GROUP DBA NOW 11/09/16 HETHERINGTON KARPEL BOBBER ACCIDENT FUND HOLDINGS 17WC009715 -C 832 17WC 09768 ROSALES, DELIA ANN JEWEL FOOD STORES, INC. 02/27/17 SALK, STEVEN B & ASSOC LTD 833 17WC 09847 GRAVES, DANIEL UPS 03/20/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 834 17WC 09890 LYSIAK, HALINA DAIMIER TRUCKS, NORTH 09/08/16 WHITING LAW GROUP KNELL & O'CONNOR 835 17WC 09917 QUILICI, JILLIAN M EDWARDS HOSPITAL 02/26/17 GOLDBERG WEISMAN & CAIRO L POWER & CRONIN LTD 836 17WC 09960 RILEY, TONYA CARSON'S 09/26/16 MARC J SHUMAN & ASSOCIATES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 837 17WC 10076 DOTSON, DORSEY E ANDY FRAIN SECURITY INC 12/06/16 DOUGLAS TRENT KNELL & O'CONNOR 838 17WC 10162 BARRAZA, CANDELARIO KRONOS PRODUCTS INC 08/02/16 DWORKIN AND MACIARIELLO GRANT & FANNING 839 17WC 10172 PEREZ, NOHEMI A RON'S STAFFING SERVICES 09/01/16 MANUAL CARDENAS & ASSOC GAROFALO SCHREIBER STORM 840 17WC 10563 UMFREY, JASON IMI CORLEIUS/JAFRATE COVE 07/29/16 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 841 17WC 10580 TUFTS, MICHELLE OAK TRACE 01/07/17 PORRO NIERMANN LAW GROUP 842 17WC 10670 MAZUREK, JOSEPH F. MARON ELECTRIC CO 01/14/16 CAPRON & AVGERINOS PC KLAUKE LAW GROUP LLC 843 17WC 10679 HUMANN, MICHELLE M TVI INC (SAVERS) 02/02/17 ANKIN LAW OFFICE RODDY LAW LTD 844 17WC 10782 RODRIGUEZ, ARMANDO EDWARD DON & COMPANY 01/30/17 JAUREGUI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 845 17WC 10923 LOMELI, AMALIA ELITE STAFFING 12/29/16 NEWLAND & NEWLAND 846 17WC 10952 RODRIGUEZ, ORALIA NESTLE USA 03/07/17 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 847 17WC 10987 BURGERT, SCOTT SYSTEMS UNLIMITED INCORPO 03/10/17 HORWITZ HORWITZ & ASSOC 848 17WC 11111 REYES, EMILIO APOGEE TRUCKING, LLC 01/26/17 CULLEN HASKINS NICHOLSON RODDY LAW LTD 849 17WC 11135 BELL, RENARD G COSTCO 12/11/16 HERRERA LAW CENTER GANAN & SHAPIRO 850 17WC 11137 BROWN, BETTY SEARS 01/31/17 CULLEN HASKINS NICHOLSON 851 17WC 11234 MIRAMONTES, JOSE STERNE CONSTRUCTION GROUP 03/23/15 GORDON & CENTRACCHIO LLC GILDEA & COGHLAN 852 17WC 11302 GARCIA, ALEJANDRO BLACKHAWK MOLDING CO 03/25/17 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 853 17WC 11399 VILLEGAS, MARK TRADER JOE'S 12/05/16 KARNO, MARK L & ASSOC 854 17WC 11522 RAMIREZ, JOSE SOTO AEROTEK 04/01/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 855 17WC 11582 WILDER, ANDREW WHOLE FOODS MARKET 12/06/16 MILLON & PESKIN LTD GILDEA & COGHLAN 856 17WC 11731 LETNA, LUIS STAFFING NETWORK LLC 02/16/17 DAVENPORT & WHITE SLAVIN & SLAVIN 857 17WC 11802 BOBLEWSKI, EDWARD DUKES OIL SERVICES INC 03/07/17 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 858 17WC 11841 MCCORNACK, WILLIAM CORNELIUS IMI, INC 06/06/16 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 859 17WC 11905 ADKINS, JACQUELYN SPEEDWAY 01/05/17 DWORKIN AND MACIARIELLO ALLEN & NEWMAN 860 17WC 12043 FERGUSON, JEREME VILLAGE OF VILLA PARK 02/20/17 RUSSO & RUSSO LTD BRYCE DOWNEY & LENKOV LLC 861 17WC 12089 MEDINA, LUZ ANGELICA SOLI METRO STAFF 01/06/17 EFTEKHARI LAW OFFICES 862 17WC 12139 KARAHOLIOS, DEMITROIS FIC AMERICA 04/18/17 ALEKSY BELCHER INMAN & FITZGIBBONS 863 17WC 12529 FRIEDMAN, JOHN NORTHWEST EXPRESS, INC 11/15/14 MILLON & PESKIN LTD 864 17WC 12542 GARCIA, FRANKIE A SCHULMAN, INC 07/11/16 MC HARGUE & JONES 865 17WC 12585 ROY, ALLEN MID CITY TRUCK BODY 03/06/17 WOODRUFF & JOHNSON 866 17WC 12859 ROSARIO, DORIS ELITE STAFFING, INC 12/06/16 MARC J SHUMAN & ASSOCIATES 867 17WC 12880 PICHARDO, JULIE NAPERVILLE SURGICAL CENTR 11/02/16 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 868 17WC 13053 GUTIERREZ, ROLANDO PHOENIX CLOSURES, INC 03/08/17 WOODRUFF & JOHNSON KEEFE CAMPBELL & ASSOC LLC 869 17WC 13100 SALGADO, PABLO JUST IN TIME STAFFING LLC 02/12/17 BRADY CONNOLLY & MASUDA PC 870 17WC 13154 BENITEZ, OLGA SUBWAY 11/15/16 STANCZAK LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 871 17WC 13235 AMOLSCH, JARROD HINSDALE TOWNSHIP HIGH SC 03/02/17 PATRICIA KLADIS-SCHIAPPA 872 17WC 13260 SANCHEZ, MARIA T. ADDUS HEALTHCARE 02/06/17 RICHARD E ALEKSY WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 873 17WC 13384 CARTER, JOYCE A UCP SEGUIN OF GREATER CHI 04/28/17 ANKIN LAW OFFICE 874 17WC 13421 MONTENEGRO, ARIEL EDDIE'S TRUCK & TRAILER R 06/03/16 DE SALVO, SCOTT D LAW OFFI 875 17WC 13437 PEREZ, FERNANDO VILLA PARK FRUIT MARKET 03/19/17 KOPKA, PINKUS DOLIN, PC 876 17WC 13464 QUIRK, THOMAS ALBERTSONS LLC 12/29/16 TURNER & SACKETT LLC 877 17WC 13586 RODRIGUEZ, JOSE ALLIED WASTE SERVICES OF 01/13/17 BRIAN KEELEY LTD 878 17WC 13685 CINA, ANDON ELMHURST COMM UNIT SD 205 12/27/16 SALVATO & O'TOOLE WIEDNER & MCAULIFFE LTD 879 17WC 13777 ARQUETTE, MELISSA QUEEN BEE 16 04/20/17 ANTHONY ESPOSITO 880 17WC 13870 ACOSTA, DANIEL RANGEL RG CONSTRUCTION SVCS, INC 04/03/17 JONATHAN SCHLACK MACIOROWSKI SACKMANN & ULRIC 17WC013873 -C 881 17WC 13883 GROLLO, PETER JR. ABF FREIGHT 05/09/17 KROL BONGIORNO & GIVEN LTD 882 17WC 13896 SPECKMAN, JOHN PARAMOUNT STAFFING 09/01/16 DWORKIN AND MACIARIELLO 883 17WC 13964 LOPEZ, ROMERO ARROW GEAR COMPANY 07/28/16 KUMLIN & FROMM 884 17WC 13977 COADY, SUSAN FIRST STUDENT INC 04/24/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 885 17WC 14230 VELAZQUEZ, IRMA UPS 04/01/17 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 886 17WC 14254 BEARDEN, SHARENNE MOLINA HEALTHCARE OF IL, 04/01/15 GOLDSTEIN BENDER & ROMANOF 887 17WC 14324 MAGEE, THOMAS NA CENTRAL SCHOOL BUS 02/07/17 KINNALLY FLAHERTY KRENTZ & GILDEA & COGHLAN 888 17WC 14343 MOBLEY, ERICA COURIER DISTRIBUTION SYST 04/29/17 WILLIAM B MEYERS, LTD 889 17WC 14427 SIZE, JAMES A JEWEL FOOD STORES 05/01/17 CULLEN HASKINS NICHOLSON RODDY LAW LTD 890 17WC 14463 FURTAK, FRANK DOWNERS GROVE SANITARY DI 02/15/12 ROSS TYRRELL RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 891 17WC 14714 MORALES, FILIBERTO GCA EDUCATION SERVICES CE 03/21/17 SALK, STEVEN B & ASSOC LTD POWER & CRONIN LTD 892 17WC 14745 WHITE, TAIYLAR EVERSIGHT VISION 04/12/17 LAW OFFICE OF SCOTT B SHAP LAW OFFICES OF EDWARD J. KOZ 893 17WC 14780 STANLEY, JARED GUARDIAN SECURITY 11/11/16 DAVID W MARTAY RODDY LAW LTD 894 17WC 14876 PAGLIA, KEITH VILLAGE OF CAROL STREAM 04/25/16 MILLON & PESKIN LTD 895 17WC 14918 WALLACE, STEVE INKA GROUP W 04/18/17 RUBENS AND KRESS STEPHAN L. HOFFMAN 896 17WC 14945 WOODRUFF, PATRICE BEACON HILL 05/04/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 897 17WC 14973 HRDINA, KATHERINE MAERCKER SCHOOL DISTRICT 10/17/16 SEIDMAN MARGULIS & FAIRMAN 898 17WC 15016 JOHNSON JR, KENNETH SUNRISE TRANSFER, INC 01/20/16 MILLON & PESKIN LTD HENNESSY & ROACH PC 899 17WC 15074 SERRITELLA, ANNETTE MACY'S EAST 09/24/16 LAW OFFICE PHILIP BLOMBERG ROBERT L. SMITH 900 17WC 15097 ROTELLI, BRETT A JEWEL-OSCO 05/07/17 RUBIN LAW GROUP BRADY CONNOLLY & MASUDA PC 901 17WC 15228 DRAKE, CHRISTOPHER WILLOWBROOK POLICE DEPART 01/26/16 MORICI FIGLIOLI & ASSOC ANCEL GLINK DIAMOND BUSH & E 902 17WC 15292 BRANDKAMP, STEVE NICOR GAS 03/21/17 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 903 17WC 15391 FROBERG, JEFF INGERSOLL RAND 04/12/17 LAW OFFICE JOSHUA KARMEL HEYL ROYSTER VOELKER & ALLEN 904 17WC 15529 BRANDKAMP, STEVE NICOR GAS 05/03/17 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 905 17WC 15567 VASQUEZ, AURORA WESTIN HOTEL 07/29/16 MARTIN L GLINK LAW OFFICE HENNESSY & ROACH PC 906 17WC 15609 PULIDO, LUZ SUNRISE SENIOR LIVING 09/14/15 SHEA LAW GROUP 907 17WC 15692 LOPEZ, VICTOR ELITE STAFFING INC 07/28/16 COSTA IVONE LLC 908 17WC 15729 CAINISEK, MATTHEW ALLIANCE MECHANICAL 05/16/17 REHN & SKINNER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 909 17WC 15742 TODD, SHARON E DUPAGE COUNTY SHERIFF'S D 05/12/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 910 17WC 15768 GARCIA, FERNANDO ASG STAFFING, INC 06/11/16 ANGELINI & ORI LLC FRANCIS J DISCIPIO LAW OFFIC 911 17WC 15774 DRAKE, CHRISTOPHER WILLOWBROOK POLICE DEPART 03/27/17 MORICI FIGLIOLI & ASSOC ANCEL GLINK DIAMOND BUSH & E 912 17WC 15793 COSTELLO, JONATHAN BURR RIDGE HOSPITALITY/DR 05/24/17 PETER D CORTI LAW GROUP RIPES NELSON BAGGOT KALOBRAT 913 17WC 15981 CONNEH, HARRIET DUPAGE CARE CENTER 05/01/17 WOODRUFF & JOHNSON 914 17WC 16105 NICHOLS, VELMA INGRAM MICRO 04/10/15 ROSS TYRRELL 915 17WC 16173 KELLY, BRIAN LITGEN CONCRETE CUTTING 02/02/17 BRAD J. BALKE, PC HOLECEK & ASSOCIATES 916 17WC 16195 OSHEA, GABRIELLA CIRCLE K 04/22/17 MEYERS & FLOWERS NYHAN BAMBRICK KINZIE & LOWR 917 17WC 16256 BURGIN, STACEY SEPTRAN INC 04/25/17 SCHWEICKERT & GANASSIN ROBERT L. SMITH 918 17WC 16291 BOSWELL, CANDICE J USIC, LLC LOCATE HOLDINGS 03/22/17 ANKIN LAW OFFICE MCANANY VANCLEVE & PHILLIPS 919 17WC 16306 HAYES, MARY ADVOCATE GOOD SAMARITAN H 04/04/17 LAW OFFICE OF SCOTT B SHAP NYHAN BAMBRICK KINZIE & LOWR 920 17WC 16366 REED, MELISSA A BAKER'S SQUARE 05/17/17 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH PC 921 17WC 16404 CONTRERAS, LETICIA G H PRINTING 05/16/17 BLOCK, KLUKAS & MANZELLA P 922 17WC 16429 WILLIAMS, BRENNA VISO GRAPHIC INC 05/11/17 DWORKIN AND MACIARIELLO 923 17WC 16485 LOZOYA, ELEAZAR CRATE & BARREL 07/07/16 FOOTE MIELKE CHAVEZ & O'NE MACIOROWSKI SACKMANN & ULRIC 924 17WC 16539 BAILEY, RHONDA FCA US LLC 09/22/16 THE ROMAKER LAW FIRM 925 17WC 16574 WHITFIELD, BROOKE L ALDI INC 04/24/17 ANKIN LAW OFFICE 926 17WC 16730 KRYSTOZEK, CYNTHIA PROVIDENCE HEALTH CARE & 08/17/16 DWORKIN AND MACIARIELLO FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 927 17WC 16820 PARK, MICHAEL EINSTEINS BAGELS 04/11/17 MARKER & ASSOCIATES LAW OFFICES OF EDWARD J. KOZ 928 17WC 16877 CABALLERO, JONATHAN CHEMI - FLEX INC 04/07/17 POMPER & GOODMAN HENNESSY & ROACH PC 929 17WC 16995 FRAGOSO, MIGUEL TRUGREEN LAWN 03/20/17 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 930 17WC 17109 WHITE, MICHAEL J VILLAGE OF CLARENDON HILL 08/03/15 GALLAGHER, DONALD V RUSIN & MACIOROWSKI LTD 931 17WC 17143 MARTINEZ, JOSE M BRYAN D OGDEN LTD 05/05/15 ANKIN LAW OFFICE RODDY LAW LTD 932 17WC 17191 KOSK, ROBERT MENARD INC 03/31/17 SPENCER LAW OFFICES 933 17WC 17226 CORONA, MARISOL GREENCORE USA 11/24/14 COSTA IVONE LLC HOLECEK & ASSOCIATES 17WC017227 -C 17WC017228 -C 934 17WC 17462 PONCE, CHRISTIAN WALMART 04/06/17 BART DURHAM GANAN & SHAPIRO 935 17WC 17474 MIRA, MANUEL XPO LOGISTICS 05/26/17 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 936 17WC 17706 BUKOWSKI, JOHN AT&T 06/12/17 RIDGE & DOWNES HENNESSY & ROACH PC 937 17WC 17799 CASAREZ, SILVIA FIC AMERICA CORP 04/05/16 MC HARGUE & JONES INMAN & FITZGIBBONS 938 17WC 17847 RUIZ, SANTOS CHAMPION CONTAINER 05/22/17 SMOLER LAW OFFICE, PC 939 17WC 17917 MILLER, DYVONNA WENDY'S INTERNATIONAL 11/01/16 JAMES ELLIS GUMBINER & ASS HENNESSY & ROACH PC 940 17WC 17960 WAKSMUNDZKI, ANDRZEJ LMC CONSTRUCTION 03/17/17 TENENBAUM LAW GROUP RUSIN & MACIOROWSKI LTD 941 17WC 18057 MULAC, RHONDA RESIDENTIAL HOME HEALTH 04/03/17 DAVID W MARTAY HOLECEK & ASSOCIATES 942 17WC 18132 OLMOS, VALENTIN KING'S LANDSCAPING 06/13/17 COSTA IVONE LLC 943 17WC 18183 BUTLER, JAMES JR. VIKING SUPPLY NETWORK 05/26/17 SIGMOND, STEVEN 944 17WC 18418 ESPARZA, MIGUEL MOFFAT WIRE & DISPLAY INC 06/15/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 945 17WC 18457 JOSINOWSKI, PAUL K FEDEX FREIGHT INC 05/18/17 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 946 17WC 18480 CHRISTY, RICK UPS 11/04/15 HART & DAVID LLP NYHAN BAMBRICK KINZIE & LOWR 947 17WC 18691 WRIGHT, MAUREEN VILLAGE OF ADDISON 07/01/14 ROSS TYRRELL 948 17WC 18891 BEGAY, PRISCILLA CRATE & BARREL 07/01/16 MEYERS & FLOWERS MACIOROWSKI SACKMANN & ULRIC 949 17WC 19004 SOTELO, REBECCA PLASTICS GROUP 06/17/16 JOHN J CASTANEDA 950 17WC 19056 PEARSON, ERNEST PAULI'S SERVICE INC 12/22/16 HORWITZ HORWITZ & ASSOC 951 17WC 19185 RODRIGUEZ, SARAI (SPEC AD US FOODS INC 06/15/17 GARDI & HAUGHT BRADY CONNOLLY & MASUDA PC 952 17WC 19234 BRADFORD, SYLVIA SEPTRAN 11/01/16 CAPRON & AVGERINOS PC 953 17WC 19352 OAKES, MATTHEW PROTO PRODUCTIONS INC 09/04/15 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 954 17WC 19452 URBAN, DONALD DUPAGE DODGE CHRYSLER JEE 05/30/17 BURNETT & CARON, LTD INMAN & FITZGIBBONS 955 17WC 19629 SIMPSON, DANIEL NAPERVILLE FIRE DEPT 05/17/17 BARRY A KETTER CITY OF NAPERVILLE 956 17WC 19700 ZOLNA, MICHAEL F CASTLE PAINTING 03/27/17 DWYER AND COOGAN RODDY LAW LTD 957 17WC 19768 HERBERT, PATRICIA CD PEACOCK INC., C/O 05/09/16 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 958 17WC 19853 KMIECIAK, ANDREW DAUFENBACH ELECTRIC INC 02/14/17 FRED J BEER LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 959 17WC 20028 LEO, DAWN CHICO'S FAS 10/21/16 LOSS & PAVONE KOPKA, PINKUS DOLIN, PC 960 17WC 20048 LEE, CYNTHIA HCR MANOR CARE 07/21/15 ROMANUCCI & BLANDIN HENNESSY & ROACH PC 961 17WC 20098 PATINO, DIANE EDWARD-ELMHURST HEALTHCAR 05/11/16 CASSANO & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 17WC020099 -C 962 17WC 20405 TRUJILLO, GENOVEVA INTERGRITY TRADE SERVICES 06/22/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 963 17WC 20473 STOCZYNSKI, ROBERT PEOPLE READY 07/11/17 BRADY CONNOLLY & MASUDA PC 964 17WC 20494 WHITE, SARAH E DCCC 03/01/17 LAW OFFICE DAVID W CLARK 965 17WC 20540 RAMIREZ, HILARIA MISTICA FOODS, LLC 06/20/17 NIGRO & WESTFALL PC SPIEGEL & CAHILL, PC 966 17WC 20626 WILLIAMS, CAREY TIME MESSENGER & TRUCKING 12/22/14 JOHN S. ELIASIK 967 17WC 20645 BIAN, WEI AMAZON 06/10/17 CULLEN HASKINS NICHOLSON 968 17WC 20712 TAYLOR-HEARD, MARILYN POWER SOLUTIONS INTERNATI 06/22/17 EVAN A HUGHES LAW OFFICE 969 17WC 20849 KADAKIA, RAKESH DIAMOND MARKETING SOLUTIO 05/27/17 JOHN E LUSAK JOSEPH MARCINIAK 970 17WC 20960 EDELMANN, MICHAEL K&K SCREW PRODUCTS 07/27/15 ASHER, RAYMOND L LTD RODDY LAW LTD 971 17WC 20997 KOWALSKI, DIANA CHARTWELLS 04/28/17 BURNETT & CARON, LTD 972 17WC 21024 CRUZ, CARLOS EXPRESS PAINTING LLC 06/05/17 OSVALDO RODRIGUEZ PC 973 17WC 21145 RODRIGUEZ, ROBERTO HILTON HOTEL 06/28/17 MC HARGUE & JONES 974 17WC 21196 HOLT, SAMANTHA HOME CLEANING CTRS OF AME 06/05/17 DWORKIN AND MACIARIELLO 975 17WC 21306 CONWAY, LARON II SCOOBEEZ INC 06/14/17 PARENTE & NOREM PC HENNESSY & ROACH PC 976 17WC 21330 MALDONADO, ADAM GERALD KIA OF NAPERVILLE 02/09/17 KINNALLY FLAHERTY KRENTZ & 977 17WC 21506 BARTELS, ROBERT JEWEL OSCO 09/03/16 LAW OFFICE JOSHUA KARMEL 978 17WC 21525 VELAZQUEZ, ULISES AUGUSTINO'S ROCK & ROLL 06/15/17 TAXMAN POLLOCK 979 17WC 21589 GAMBINO, SUSAN JEWEL FOOD STORES, INC. 09/23/15 PETER A. PAPOUTSIS RODDY LAW LTD 980 17WC 21687 SANCHEZ ESPINO, IRMA NAPER GOLD HOSPITALITY DB 03/09/17 HERRERA LAW CENTER ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 981 17WC 21700 SILVA, RITA MICKEY'S LINEN TOWELSUPPL 06/24/17 OSVALDO RODRIGUEZ PC HOLECEK & ASSOCIATES 982 17WC 21892 CUTHBERTSON, SARAH FEDEX GROUND 05/17/17 DWORKIN AND MACIARIELLO 983 17WC 21945 RODRIGUEZ, SANTANA GDI INTERGRATED FACILITY 07/08/17 FRIEDMAN & SOLMOR LTD COZZI & GOGGIN-WARD 984 17WC 21970 RAMIREZ, MARIA G ALDI FOODS CORP 05/26/17 THOMAS J STIBERTH LAW OFFI 985 17WC 22028 DLOUHY, RAYMOND CITY OF ELMHURST 06/12/12 ASHER, RAYMOND L LTD POWER & CRONIN LTD 17WC028515 -C 986 17WC 22084 MEDRANO, OSCAR ROSS DEPT STORES 07/14/17 EPSTEIN, JACK R LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 987 17WC 22259 PAGSISIHAN, ANDREI COMCAST CABLE COMMUNICATI 02/10/17 GOLDSTEIN AIOSSA & GOOD SPIEGEL & CAHILL, PC 988 17WC 22286 TOMSOVIC, RANDALL LISLE TOWNSHIP AND HWY DE 04/24/17 ANGELINI & ORI LLC 989 17WC 22322 NUDING, JAMES GRAPHIC PACKAGING INTRNAT 05/19/17 MCNAMARA PHELAN MCSTEEN LL 990 17WC 22409 CUNNINGHAM, SARAH ALDI 12/28/16 MARC J SHUMAN & ASSOCIATES BRADY CONNOLLY & MASUDA PC 991 17WC 22448 ALVESTAD, JOSTEIN CITY OF ELMHURST 05/18/17 MILLON & PESKIN LTD POWER & CRONIN LTD 992 17WC 22664 ZAHARA, KENNETH A WEST CHICAGO FIRE PROTECT 10/17/16 THOMAS W DUDA 993 17WC 22758 VELAZQUEZ, VICTOR CITY OF NAPERVILLE 04/10/17 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 994 17WC 22889 KOSOWSKI, JAN CASEY ELECTRIC SALES, INC 08/08/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 995 17WC 22990 SMITH, ELIZABETH FOX VALLEY INSTITUTE 04/12/17 BLOCK, KLUKAS & MANZELLA P 996 17WC 23031 HERNANDEZ, SERGIO EUROVIEW # 07/22/17 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 997 17WC 23050 HABEEB, OMAR MIDWESTERN UNIVERSITY 05/12/17 KINNALLY FLAHERTY KRENTZ & LAW OFFICES JOSEPH MARCINIAK 998 17WC 23127 RODRIGUEZ, WILFREDO ALL MY SONS MOVING & STOR 05/29/17 GOLDSTEIN BENDER & ROMANOF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 59 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 999 17WC 23154 PAUP, MICHAEL VILLAGE OF ITASCA 10/30/16 LAW OFFICE OF ROBERT J. IR 1000 17WC 23194 MEDINA, JOSE V SUNSHINE GRANITE INC 06/21/17 GOLDSTEIN BENDER & ROMANOF BRIAN J MC MANUS & ASSOC, LT 1001 17WC 23244 KRAMER, MICHAEL SIMON ROOFING 03/16/16 STYKA & STYKA COZZI & GOGGIN-WARD 1002 17WC 23261 YOUNG, MAKANI AMERICAN FURNITURE RENTAL 11/28/16 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 1003 17WC 23306 DAVIDAUSKAS, CHARLES EDWARD DON & COMPANY 04/01/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 1004 17WC 23348 BOTSUL, OLEG CINTAS CORPORATION 06/13/17 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 1005 17WC 23403 TEICHMILLER, ANDREA GLEN ELLYN ELEMENTARY SCH 09/21/15 ANKIN LAW OFFICE 1006 17WC 23465 ORR, EARL BUILDING SERVICES AMERICA 06/17/17 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 1007 17WC 23649 DOBOSE, RICHARD K LIGHTEN THE LOAD 05/22/17 CUDA LAW OFFICES RUSIN & MACIOROWSKI LTD 1008 17WC 23708 BENNETT, JOHN ADL ISNTALLERS 10/24/16 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 1009 17WC 23789 KELLER, ANGELA DANADA DENTAL 09/15/16 MILLON & PESKIN LTD LAW OFFICES JOSEPH MARCINIAK 1010 17WC 23791 LONGO, PATRICIA COMMUNITY UNIT SCHOOL DIS * 04/24/17 MILLON & PESKIN LTD BRADY CONNOLLY & MASUDA PC 1011 17WC 23858 LEO, DAWN CHICO'S FAS 10/21/16 LOSS & PAVONE KOPKA, PINKUS DOLIN, PC 1012 17WC 23921 POWELL, ANDREW JR. GRAPHIC TOOL CORPORATION 06/12/17 COPLAN & CRANE, LTD 1013 17WC 24006 SOTO, JOSE LORUSSO ELECTRIC, INC 06/30/17 GALLAGHER LAW PC 1014 17WC 24072 BRADLEY, DONNA MBM ENTERPRISES INC 04/11/17 VRDOLYAK LAW GROUP LLC 1015 17WC 24121 ZIEHM, CHRISTOPHER JEWEL FOOD STORES, INC 07/25/17 ALLEN, WILLIAM LAW OFFICES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 60 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1016 17WC 24134 VARGAS, MAYRA FIFTH THIRD BANK 03/02/17 SKLARE LAW GROUP 1017 17WC 24205 ULANSKI, THOMAS TGM MCDOWELL PLACE 06/09/17 MARKER & ASSOCIATES COZZI & GOGGIN-WARD 17WC024206 -C 1018 17WC 24230 MIHALOPOULOS, FAY JEWEL FOOD STORES INC 04/20/17 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 1019 17WC 24257 LEONARD, SYRIA R MARRIOT HOTEL SERVICES IN 05/26/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1020 17WC 24381 FRICKE, SCOTT EQUIPMENT DEPOT 06/20/17 CAPRON & AVGERINOS PC 1021 17WC 24432 SMITH, TRENDA DUPAGE MEDICAL GROUP 07/21/17 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 1022 17WC 24603 ADLER, RACHEL NAPERVILLE COMMUNITY UNIT 03/01/17 RUBIN LAW GROUP MACIOROWSKI SACKMANN & ULRIC 1023 17WC 24651 GUZMAN, DOLORES ELITE STAFFING, INC 08/04/17 THOMAS LAW BRADY CONNOLLY & MASUDA PC 1024 17WC 24829 MOORE, MICHELLE UPS 08/17/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 1025 17WC 24936 GUZMAN, SAMUEL BULLEY & ANDREWS 07/11/17 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 1026 17WC 25024 GIZOWSKI, CYNTHIA THE HARTFORD 04/28/17 DEPAOLO ZADEIKIS GORE 1027 17WC 25097 STEGMEIER, STEVE EVOLUTION ENDEAVOR, INC 06/20/17 BRISKMAN BRISKMAN GREENBER 1028 17WC 25200 DIBARTELO, BLAKE L DOUGLAS DIBARTELO D/B/A 04/05/16 URBAN & BURT LTD 1029 17WC 25255 MALOVICH, JOHN WINDY CITY SKYLIGHT 06/18/17 WOODRUFF & JOHNSON CAPUANI, FRANK S 17WC025256 -C 1030 17WC 25461 BUCZEK, ROBERT IL STATE TOLL HWAY AUTH @ 06/02/17 DANIEL PERIASWAMY NYHAN BAMBRICK KINZIE & LOWR 1031 17WC 25481 KOZIOL, DARIUSZ ASSA ABLOY SERVICE CENTER 08/21/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 1032 17WC 25510 MUNOZ, SANTIAGO ESCOBEDO INTEGRITY TRADE SERVICES 08/01/17 LULAY LAW OFFICES 1033 17WC 25585 COGLIANESE, JANICE CITY OF OAKBROOK TERRACE 08/06/15 ROSS TYRRELL RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 61 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1034 17WC 25599 RYNDERS, HOWARD MONARCH CONSTRUCTION CO 08/14/17 SPIROS LAW PC KNELL & O'CONNOR 1035 17WC 25765 WONG, JANELLE SABADO EDWARD HOSPITAL 01/15/17 BURNETT & CARON, LTD 1036 17WC 25839 JOHNSON, LATHEDA PARKER HANNIFIN CORP 08/30/17 FRIEDMAN & SOLMOR LTD RUSIN & MACIOROWSKI LTD 1037 17WC 25926 HERRERA, FRANCISCO PERMA-SEAL WATERPROOFING 07/17/17 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 1038 17WC 25951 LOPEZ, RODOLFO GENERAL MILLS, INC. 05/01/16 EPSTEIN, JACK R LAW OFFICE 1039 17WC 26019 ALBRITTON, MILTON S JR ONE TOUCH POINT 08/24/17 RITTENBERG & BUFFEN 1040 17WC 26053 OLAND, WILLIAM ZONE MECHANICAL INC 10/29/16 NILSON STOOKAL GLEASON CAP 1041 17WC 26065 DIXON, GARY US FOODS 08/15/17 VRDOLYAK LAW GROUP LLC 1042 17WC 26085 ABRIL, LLUMINADA EDWARD HOSPITAL & HEALTH 03/26/17 BRIAN KEELEY LTD KEEFE CAMPBELL & ASSOC LLC 1043 17WC 26125 WINFREY, JEROMY COMCAST 06/30/17 GORDON & CENTRACCHIO LLC POWER & CRONIN LTD 1044 17WC 26133 MORAN, JENNIFER STAFFMARK 12/27/16 MARKER & ASSOCIATES 1045 17WC 26178 PRUITT, DENITA MAXIM HEALTH CARE 07/08/17 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 1046 17WC 26263 SOTO, HENRY WIDE OPEN WEST 04/19/17 LANNON LANNON & BARR LTD 1047 17WC 26313 HANSEN, JON C ENVIRONMENTAL 08/23/17 FITZPATRICK & FITZPATRICK 1048 17WC 26342 RAMIREZ, ARMAND P F & C DISTRIBUTORS 08/04/17 ROMANUCCI & BLANDIN WIEDNER & MCAULIFFE LTD 1049 17WC 26369 WALIA, NEELAM NAPERVILLE MONTESSORI/LEA 10/11/16 NYHAN BAMBRICK KINZIE & LOWR 1050 17WC 26508 DE SANTIAGO, TERESA THE HYATT 12/22/16 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 1051 17WC 26555 BECK, SCOTT VILLAGE OF DOWNERS GROVE 08/23/17 WOLFE LAW PC VILLAGE OF DOWNERS GROVE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 62 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1052 17WC 26586 PURTA, TADEUSZ GREAT LAKES SERVICE II 06/23/17 CHEPOV & SCOTT LLC 1053 17WC 26840 BOYLAND, TOMMY CRATE & BARREL 08/11/17 MARKER & ASSOCIATES MACIOROWSKI SACKMANN & ULRIC 1054 17WC 26934 NEZIRI, BESNIK SUPERIOR AMBULANCE SERVIC 03/07/17 MILLON & PESKIN LTD POWER & CRONIN LTD 1055 17WC 26961 ARAGON, ELIZABETH FOREVER 21 09/01/17 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 1056 17WC 26979 BILLINGS, DONOVAN NAPERVILLE SCHOOL DISTRIC 09/09/15 STEPHEN P. KELLY MACIOROWSKI SACKMANN & ULRIC 1057 17WC 26981 SANTOS, ARMANDO STANDARD MARKET, LLC 08/28/16 RUSIN & MACIOROWSKI LTD 1058 17WC 27216 THOMAS, JOEL P ESPO ENGINEERING CORPORAT 08/16/17 TUITE LAW 1059 17WC 27303 MATOS, MARIA THE BRADFORD GROUP 08/10/17 JONATHAN SCHLACK HENNESSY & ROACH PC 1060 17WC 27345 GUZMAN, MARCOS APPIAN STONE WERKS INC 09/12/17 CHEPOV & SCOTT LLC COZZI & GOGGIN-WARD 1061 17WC 27354 MORALES, CESAR ZEIGLER CHRYSLER JEEP OF 11/15/16 COSTA IVONE LLC HENNESSY & ROACH PC 1062 17WC 27410 MEDINA, ANDRIANA RED LOBSTER 07/28/17 GOLDBERG WEISMAN & CAIRO L 1063 17WC 27456 BRUNKE, JAMES C MERIT CONTRACTORS, LLC 02/13/17 LAW OFFICE OF JAMES URTIS HENNESSY & ROACH PC 1064 17WC 27470 KIRKPATRICK, BETH COLLEGE OF DUPAGE 08/23/17 VASILATOS & COTTER LLC 1065 17WC 27484 OTERO, ALFONSO DANCO CONVERTING 02/27/17 COSTA IVONE LLC 1066 17WC 27522 ROBINSON, DERRICK AMITA HEALTH ADVENTIST 05/29/17 DEPAOLO & ZADEIKIS NYHAN BAMBRICK KINZIE & LOWR 17WC033456 -C 1067 17WC 27597 GREENLAW, RERNARD ELITE STAFFING 09/07/17 COSTA IVONE LLC 1068 17WC 27657 MURRAY, DAVID ASCENT 08/12/17 LEONARD LAW GROUP LLC 1069 17WC 27723 LEMUS, ORLIN SYR-TECH PERF & ROLL 08/26/17 BARRY A KETTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1070 17WC 27772 HERNANDEZ, LUIS SALCIDO SOUTHEAST PERSONNEL LEASI 02/24/17 GOLDSTEIN BENDER & ROMANOF QUINTAIROS PRIETO WOOD & BOY 1071 17WC 27903 FIGUEROA, ANGEL MILLENIA METALS 09/05/17 RUBENS AND KRESS 1072 17WC 27970 KMIEC, BRIAN NCR 04/25/16 PORRO NIERMANN LAW GROUP 1073 17WC 28009 GRAHAM, ANTHONY SEIU 06/20/17 BARRY A KETTER 1074 17WC 28103 RICHARDSON, JOSEPH J LOCATE HOLDINGS, INC 03/21/17 STEWART C ORZOFF 1075 17WC 28124 MOSHER, KINDELL UPS 06/29/17 DWORKIN AND MACIARIELLO 1076 17WC 28204 FLOHRE, ALICIA PETSMART 09/15/17 JAY S. SHETH LLC HENNESSY & ROACH PC 1077 17WC 28244 CHAIDEZ, MANUEL FOSTER CHAMBERS & PHOENIX 05/05/17 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD 1078 17WC 28295 ZBYLUT, GERALD JR. QUEEN BEE SCHOOL DISTRICT 03/14/17 LAW OFFICE PHILIP BLOMBERG 1079 17WC 28302 RONNING, MICHAEL COMCAST 09/24/17 KROL BONGIORNO & GIVEN LTD SPIEGEL & CAHILL, PC 1080 17WC 28476 RUIZ, MARTHA MAXIM HEALTHCARE 02/25/17 SOSTRIN AND SOSTRIN PC 1081 17WC 28546 HAYES, DENNIS SBC/AT&T 09/12/17 PETER D CORTI LAW GROUP 1082 17WC 28643 BAUTISTA, MARLEN STAFF MANAGEMENT, INC 08/16/17 ANKIN LAW OFFICE RODDY LAW LTD 1083 17WC 28734 DAVIS, EMMETTE ORBUS 08/30/17 DWORKIN AND MACIARIELLO 1084 17WC 28805 NEIL, PAUL L PRECISION SERVICE MTR INC 04/13/17 DOUGLAS TRENT 1085 17WC 28832 RODAS, MARCO WISMETTAC ASIAN FOODS, IN 05/09/17 HETHERINGTON KARPEL BOBBER RODDY LAW LTD 1086 17WC 28978 PERALTA, ENRIQUE CHAMA GAUCHA BRAZILLIAN 06/15/15 KARCHMAR & STONE GANAN & SHAPIRO 1087 17WC 28984 MIGACZEWSKI, BRIAN SPELIMATT MOTORS, INC AKA 02/02/17 VRDOLYAK LAW GROUP LLC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1088 17WC 28999 STOKES, NICHOLE JEWEL-OSCO 09/08/17 MC HARGUE & JONES RODDY LAW LTD 1089 17WC 29023 DOSHI, PUSHPA WALMART 04/16/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 1090 17WC 29089 BONDDARCHUK, STANISLAW HOODZ OF DOWNTOWN CHICAGO 08/24/16 SEIDMAN MARGULIS & FAIRMAN 1091 17WC 29129 CALLOPE, MARIA LUISA FEDEX GROUNDS 04/14/17 HORWITZ HORWITZ & ASSOC 1092 17WC 29167 RIVERA, JORGE BEMA, INC 09/22/17 SEIDMAN MARGULIS & FAIRMAN 1093 17WC 29173 MACALUSO, ALEX ALDI, INC 06/07/17 KROL BONGIORNO & GIVEN LTD BRADY CONNOLLY & MASUDA PC 1094 17WC 29251 DIMONTE, MICHAEL IDOT 04/24/17 STROM, NEAL B ASSISTANT ATTORNEY GENERAL 1095 17WC 29290 RETTER, ALEX LINDEN OAKS HOSPITAL 06/29/17 FOHRMAN, DONALD W & ASSOCS KEEFE CAMPBELL & ASSOC LLC 1096 17WC 29348 BAGGETT, JASON CHEMTAINER INDUSTRIES 09/26/17 DWORKIN AND MACIARIELLO 1097 17WC 29399 HERNANDEZ, FRANCISCO CARDINAL LOGISTICS 09/10/16 FOOTE MIELKE CHAVEZ & O'NE GAROFALO SCHREIBER STORM 17WC030235 -C 1098 17WC 29450 FLOWERS, BELINDA M JEWEL OSCO 12/01/16 RUBIN LAW GROUP 1099 17WC 29460 CAMACHO, MIGUEL ROBERT C WEISHEIT CO & 12/01/16 DEPAOLO ZADEIKIS GORE RODDY LAW LTD 1100 17WC 29492 PETERS, JAMES THE PORTILLO'S RESTAURANT 07/14/16 STEPHAN L. HOFFMAN 1101 17WC 29506 YOUKHANA, MICHELLE THE PAMPERED CHEF 05/06/17 ANKIN LAW OFFICE WOLF LAW LTD 1102 17WC 29545 DELAPAZ, BARBARA TK BEHAVIORAL, LLC 12/05/16 DWYER AND COOGAN 1103 17WC 29550 ROGERS, BRAD CITY OF NAPERVILLE 07/13/17 GOLDBERG WEISMAN & CAIRO L CITY OF NAPERVILLE 1104 17WC 29629 LOPEZ, MIGUEL DIAZ THE DRAKEHOTEL 03/26/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 1105 17WC 29633 VASQUEZ, BENJAMIN DECO LABELS & TAGS 09/27/15 COSTA IVONE LLC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 65 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1106 17WC 29649 RODGERS, RONNIE JR. PEPPERIDGE FARMS 10/03/17 BURNES & LIBMAN 1107 17WC 29683 SLEBODA, PAUL E PATTEN INDUSTRIES 05/21/13 LAW OFFICE DAVID W CLARK GAROFALO SCHREIBER STORM 17WC029684 -C 1108 17WC 29736 FUNAKOSHI, GEORGE E KONICA MINOLTA 09/15/17 MILLON & PESKIN LTD 1109 17WC 29914 PILTAVER, THOMAS M EQUIPMENT DEPOT 07/25/16 LAW OFFICE OF GREGORY MART 1110 17WC 29936 TURNHOLT, EMILY THE THRESHOLDS 09/07/17 JAMES J. GAY 1111 17WC 29988 MARTINEZ, EDGAR ABRA AUTO BODY & GLASS 08/30/17 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 1112 17WC 30090 SAUCEDO-DIAZ, JULIO DIVERSIFY LABELING SOLUTI 10/05/17 DWORKIN AND MACIARIELLO 1113 17WC 30221 WINTZ, VAN C VILLAGE OF BANSENVILLE 08/11/17 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 1114 17WC 30258 GOMEZ, MARIA C POWER SOLUTIONS INTL 02/03/17 ACEVES & PEREZ PC FRANCESCA LARSEN 1115 17WC 30270 VELASQUEZ, EDIS CHESSE MERCHANTS OF AMERI 07/17/17 CHEPOV & SCOTT LLC RIPES NELSON BAGGOT KALOBRAT 1116 17WC 30304 KUJACA, SPASOJA FIC AMERICA CORPORATION 08/11/17 LAW OFFICE DAVID W CLARK 1117 17WC 30493 TYLER, WILLIAM BIMBO BAKERIES USA 09/18/17 RATHBUN CSEVENYAK & KOZOL KRALOVEC & MARQUARD 1118 17WC 30583 MENENDEZ, ELDER E GENERAL LOGISTICS, INC 04/29/17 RUEDA, IVAN A 1119 17WC 30616 DANCHISE, ELAINE AMERICAN AIRLINES 05/26/17 ASHER, RAYMOND L LTD 1120 17WC 30642 KOWALSKI, ANDREW HIRE NELSON CO 04/23/15 KARCHMAR & STONE 17WC030643 -C 1121 17WC 30681 MCDUFFEE, KELLY WILDSIDE JEEP CUSTOMS 09/23/16 MEYERS & FLOWERS 1122 17WC 30709 CHRISTENSEN, SCOTT RELIABLE BASEMENT SERVICE 09/26/17 DWORKIN AND MACIARIELLO 1123 17WC 30781 SOCHACKI, ROBERT CITY OF ELMHURST 08/16/17 MILLON & PESKIN LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1124 17WC 30826 FRANCO, FIDELINA ELITE STAFFING 09/02/17 JAMES J. GAY 1125 17WC 30858 HAEFNER, JAMES LISLE-WOODRIDGE FIRE 05/30/17 THOMAS W DUDA INMAN & FITZGIBBONS 1126 17WC 30918 CHRISTENSEN, KIM PEBBLEWOOD DENTAL 03/31/17 SCHWEICKERT & GANASSIN ACCIDENT FUND HOLDINGS 1127 17WC 31053 MURRAY, DAWNDRIA JUST CHEEZIE, INC 10/29/14 PULLANO LAW GANAN & SHAPIRO 1128 17WC 31086 MOORE, RENEE FED EX 03/24/17 MILLON & PESKIN LTD 1129 17WC 31170 PETROFF, DAVID CROWN PAINTING 09/07/17 TAXMAN POLLOCK KEEFE CAMPBELL & ASSOC LLC 1130 17WC 31196 DOMINQUEZ, JESUS GREEN GRASS INC 09/06/17 COSTA IVONE LLC 1131 17WC 31397 DOBBS, LASHONDA CHUCK E CHEESE 10/04/17 WOODRUFF & JOHNSON 1132 17WC 31406 ZUBROWSKI, ANDREZEJ CJKJC INC, D/B/A HOODZ 04/28/17 KATZ FRIEDMAN EAGLE ET AL 1133 17WC 31489 BROWNING, LEONARD OLD CASTLE 06/07/17 MEYERS & FLOWERS COZZI & GOGGIN-WARD 1134 17WC 31560 LIPSKI, JACEK CJKJC, INC DBA 10/03/17 KALOGERAKOS & ASSOC 1135 17WC 31611 TROTTA, MICHAEL BROCK INDUSTRIAL 10/04/17 WOODRUFF & JOHNSON SPIEGEL & CAHILL, PC 1136 17WC 31665 LEON, RIGO ARCHITECTURAL CAST STONE 07/20/17 KINNALLY FLAHERTY KRENTZ & 1137 17WC 31751 BURNETT, TYOTIS KRONOS 10/25/17 DWORKIN AND MACIARIELLO 1138 17WC 31858 MENDOZA, MARIO MURPHY'S SEAL COATING 06/13/17 KATZ FRIEDMAN EAGLE ET AL 1139 17WC 31887 KAINE, TAMMY MC MASTER-CARR 11/04/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 1140 17WC 31907 KRUZAC, ANDREW DPI 06/18/17 PARENTE & NOREM PC 1141 17WC 31966 JONES, NORMAN JF SPECIALTIES 01/23/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1142 17WC 32043 MAXSON, WILLIAM R UPS GROUND FREIGHT 10/25/17 SOSTRIN AND SOSTRIN PC 1143 17WC 32117 BEARD-BROWN, ERIKA O'REILLY AUTO PARTS 10/10/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1144 17WC 32164 NASO, JENNIFER A NAPERVILLE COMM UNIT SD 2 08/29/17 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 1145 17WC 32279 COON, CORINNE FLAT TOP GRILL 10/26/16 GOLDFINE & BOWLES RODDY LAW LTD 1146 17WC 32383 EPHRAIM, RAJON PREMIER STAFFING 10/12/17 DWORKIN AND MACIARIELLO 1147 17WC 32442 VICICH, JAMES UNIVERSAL TECHNICAL INSTI 09/18/17 CORTINA & MUELLER 1148 17WC 32615 AMPTMANN, JUSTIN M. AT&T 09/16/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1149 17WC 32681 CENDANA, DELFIN ALLMETAL INC 01/07/16 LEONARD S. BECKER 1150 17WC 32740 SANCHEZ, STEVEN FFE TRANSPORTATION 09/28/17 SEIDMAN MARGULIS & FAIRMAN NYHAN BAMBRICK KINZIE & LOWR 1151 17WC 32774 OTTO, ROGER CITY OF NAPERVILLE 04/28/17 MARTOCCIO & MARTOCCIO CITY OF NAPERVILLE 1152 17WC 32854 CAZARES, ADRIAN DOMTAR 10/18/17 BAUM RUFFOLO & MARZAL LTD COZZI & GOGGIN-WARD 1153 17WC 32950 BETANCOURT, SANTIAGO NESTLE 08/22/17 LULAY LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 1154 17WC 32978 WICKERT, KRISTOFER R PAPPADEAUX SEAFOOD KITCHE 10/31/17 CELSO FUENTES JR HOLECEK & ASSOCIAT0ES 1155 17WC 33028 BETANCOURT, SANTIAGO NESTLE 08/23/17 LULAY LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 1156 17WC 33032 SCHULZE, JEFFREY L CONSTRUCTION ENTERPRISES 09/12/17 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 1157 17WC 33164 OROZCO, JOSE NESTLE 09/09/17 LULAY LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 1158 17WC 33204 GONSOWSKI, KEITH E DAIMLER TRUCKS NORTH AMER 09/05/17 KOSIN LAW OFFICE LTD KNELL & O'CONNOR 1159 17WC 33237 LAMBERT, PETER VILLAGE OF HINSDALE 07/25/17 LAW OFFICE OF ROBERT J. IR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1160 17WC 33267 MORALES, FILIBERTO APEX EXTERIORS INC 10/05/17 HANNIGAN & BOTHA, LTD RODDY LAW LTD 1161 17WC 33276 LIVSEY, DAPHNE NORTH DUPAGE SPECIAL ED C 09/22/17 WOODRUFF & JOHNSON ACCIDENT FUND HOLDINGS 1162 17WC 33352 SANCHEZ-GARCIA, TERESA NATIVE FLORAL GROUP/NATIV 09/11/17 ALEKSY BELCHER 1163 17WC 33382 LANDEROS, JESUS PRESTIGE MAINTENANCE USA 02/06/17 JONATHAN SCHLACK 1164 17WC 33592 KUCHMEK, DENISE JEWEL-OSCO 06/05/17 MARC J SHUMAN & ASSOCIATES 1165 17WC 33637 HALITI, ARBEN NORTHWEST EXPRESS,INC 08/26/17 LOCASCIO, MARK A LTD 1166 17WC 33682 CHRISTOPHER, BOBBY R NAVISTAR, INC 08/16/17 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 1167 17WC 33822 ZIELINSKI, CATHERINE GOLDSTINE, SKORDZKI, RUSS 08/19/15 ROSS TYRRELL EDWARD J. KOZEL 1168 17WC 33903 GLENDRO, LIMUEL P PATE COMPANY 11/02/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 1169 17WC 33974 VALERIO, FRANCISCO ACCURATE PERSONNEL, LLC 05/22/17 KINNALLY FLAHERTY KRENTZ & 1170 17WC 34150 TALSMA, RUSSELL UPS 08/14/17 LEONARD LAW GROUP LLC ASA LAW GROUP 1171 17WC 34238 GONZALEZ, FERNANDO DIESEL RADIATOR CO 09/10/17 STROM, NEAL B 1172 17WC 34269 SMITH, DERIKA S FEDEX GROUND 10/26/17 GALLAGHER, DONALD V KOPKA, PINKUS DOLIN, PC 1173 17WC 34313 HOERR, CYNTHIA MAX MADSEN IMPORTS 11/11/17 GORDON & CENTRACCHIO LLC GANAN & SHAPIRO 1174 17WC 34378 RIVAS, GILBERTO KRONOS MEATS 08/25/17 LAW OFFICE OF SCOTT B SHAP 1175 17WC 34456 BUCIO, ROSA JEL-SERT CO 03/08/16 FOOTE MIELKE CHAVEZ & O'NE 1176 17WC 34609 PADRO, DANIEL MOORE ADDISON COMPANY COR 06/16/17 CIARDELLI CUMMINGS CAMPAGN 1177 17WC 34690 VERA-TELLEZ, MIGUEL ANGEL NATURE GREEN SCAPE, INC 10/10/17 LULAY LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1178 17WC 34797 ELVERY, DUDLEY VILLAGE OF LOMBARD 04/29/15 MEYERS & FLOWERS 1179 17WC 34825 NORDEN, ELIZABETH NORDSTROM INC/NORDSTROM R 02/03/15 LOUIS A PLZAK & ASSOCIATES WIEDNER & MCAULIFFE LTD 1180 17WC 34890 ANAYA, SERGIO NICKELSON INDUS SRVC 06/27/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 1181 17WC 34927 NIEZGODA, RENATA SALT CREEK SURGERY CENTER 06/16/17 CULLEN HASKINS NICHOLSON 1182 17WC 34937 SOBOTA, BOZENA T FRANCISCAN SISTERS OF CHI 04/24/17 ANKIN LAW OFFICE 1183 17WC 34979 BARRIENTOS, FILIBERTO 4 STAR PAINTING INC 07/26/17 SCOTT BARBER 1184 17WC 35083 SZOT, STEVEN PROVIDENCE HEALTHCARE & 10/27/17 DWORKIN AND MACIARIELLO LAW OFFICES FRANCESCA LARSEN 1185 17WC 35187 BURNETT, DELORSE DUPAGE MEDICAL GROUP 11/13/17 SAUNDERS CONDON & KENNY 1186 17WC 35243 MENDEZ, ROBERTO MORALES APL LOGISTICS 04/20/17 LAW OFFICES OF ANSELMO DUR 1187 17WC 35263 ANGEL-MELENDEZ, MARIO EDU SANTIAGO CELEDON CONSTRUC 10/13/17 BRAD J. BALKE, PC 1188 17WC 35319 TAPIAS, ISAIAS OLIVE GROVE LANDSCAPING 09/09/17 DEPAOLO ZADEIKIS GORE LAWRENCE COZZI - LAW OFFICES 18WC002911 -C 1189 17WC 35339 SANTIAGO, BRANDON VILLA PARK FIRE DEPARTMEN 08/27/17 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 1190 17WC 35343 RUBIO, BASILIA AJ ANTUNES & CO 10/19/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 1191 17WC 35385 DICK, BRYAN P JIM WAGNER PUMBLING INC 10/07/17 ANKIN LAW OFFICE 1192 17WC 35436 SANCHEZ, SANTIAGO PARAMOUNT STAFFING OF CHG 03/17/17 TRUGLIO, FRED A & ASSOC 1193 17WC 35521 ALVAREZ, REYNA ANGELO CAPUTO'S 11/28/17 COLLISON LAW OFFICES GANAN & SHAPIRO 1194 17WC 35632 SALLEE, ROBERT HOUGHTON MIFFLIN HARCOURT 08/23/16 LAW OFFICES ROBERT WARSASK 1195 17WC 35688 GONZALEZ, MARIO ELITE STAFFING 11/20/17 COSTA IVONE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1196 17WC 35811 HANDZIK, THOMAS J JR BILL KAY BUICK GMC 06/29/16 RODERICK J. BERGIN & ASSOC RODDY LAW LTD 1197 17WC 35833 LAMPEN, ROBERT INK SYSTEMS, INC 01/03/17 SEIDMAN MARGULIS & FAIRMAN COZZI & GOGGIN-WARD 1198 17WC 35887 MORENO, DANIEL III APL LOGISTIC 11/29/17 DWORKIN AND MACIARIELLO 1199 17WC 36016 MONTALVO, REINA MCKESSON GLENDALE HEIGHTS 08/21/13 KREITER, BYCK & ASSOC LLP 1200 17WC 36052 ESQUEDA, ERNESTO SAI ADVANCED POWER SOLUTI 10/26/17 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 1201 17WC 36084 HOPE, LAURA JEWEL FOODS--DOWNERS GROV 05/09/17 WOLFE LAW PC 1202 17WC 36132 HILTZ, MEGAN L TW METALS 10/02/17 MILLON & PESKIN LTD 1203 17WC 36220 HARDIE, CRAIG AMERICAN LITHO 10/11/17 R. MARK MARITOTE PC 1204 17WC 36269 JARECZEK, BARRY F DAIEI TRADING-CHICAGO, CO 09/25/17 LAW OFFICE DAVID W CLARK 1205 17WC 36319 OSBORN, SHELTON ARBOR EARTH & SNOW 09/14/16 MC HARGUE & JONES LAWRENCE COZZI - LAW OFFICES 1206 17WC 36355 LUDWIG, VALERIE UPS 09/30/17 KROL BONGIORNO & GIVEN LTD NYHAN BAMBRICK KINZIE & LOWR 1207 17WC 36526 RAMIREZ, JOSE OSCO OIL 09/01/16 LEONARD LAW GROUP LLC RODDY LAW LTD 1208 17WC 36554 SHEBEL, JOHN KONE, INC 11/15/17 LEE, MARK N LAW OFFICE GAROFALO SCHREIBER STORM 1209 17WC 36603 SOLIS, JUAN TRYSON METAL STAMPINGS 04/04/17 GOLDSTEIN BENDER & ROMANOF 1210 17WC 36738 KAMINSKI, RODION K WINCUP INC 11/01/17 LAW OFFICE DAVID W CLARK HOLECEK & ASSOCIATES 1211 17WC 36846 GONZALEZ, STEVEN VILLA PARK FIRE DEPT 09/19/17 CUDA LAW OFFICES POWER & CRONIN LTD 1212 17WC 36859 HUERTA, ALBA ORGANIC LIFE, LLC 10/20/17 ANKIN LAW OFFICE JOSEPH MARCINIAK 1213 17WC 36945 MCGINNIS, RICHARD RYAN R ROBISON & COMPANY 01/11/16 MARKER & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1214 17WC 36985 TAPIA, JAIME CONTOUR SYSTEMS CORP 12/14/16 GREGORIO & MARCO GANAN & SHAPIRO 1215 17WC 37023 FLORES SELMA GEA FARM TECHNOLOGIES 12/16/16 DWORKIN AND MACIARIELLO 1216 17WC 37050 HARDIE, CRAIG AMERICA LITHO 10/11/17 R. MARK MARITOTE PC 1217 17WC 37094 GRIFFIN, ELLIOTT WAL-MART 12/23/16 GORDON & CENTRACCHIO LLC GANAN & SHAPIRO 1218 17WC 37111 RETANA, JOSE GUADALUPE CCS CONTRACTOR EQUIPMENT 06/29/17 RICHARD E ALEKSY 1219 17WC 37169 KREMER, JOHN TEAM INDUSTRIAL SERVICES 12/11/17 ELFENBAUM EVERS & AMARILIO 1220 17WC 37222 GRIFFIN, DANIEL P ENVIRONETX, LLC 12/16/16 DOUGLAS RALLO PC 1221 17WC 37244 VERA, RAUL RANA MEAL SOLUTIONS 09/22/17 KATZ FRIEDMAN EAGLE ET AL 1222 17WC 37329 RONGSTAD, INGER DILLON LOGISTICS INC AKA 02/28/17 MARTIN L GLINK LAW OFFICE ROSARIO CIBELLA 1223 17WC 37366 WOLOSZYK, GLENN ADVANCE AUTO PARTS 03/05/16 LOREN S GOLDEN 1224 17WC 37402 CAPUTO, ADAM AT&T 02/29/16 WOODRUFF & JOHNSON HENNESSY & ROACH PC 1225 17WC 37484 CALDERON, LEOBARDO JEL SERT 11/13/17 FOOTE MIELKE CHAVEZ & O'NE 1226 17WC 37509 HOGAN, TIMOTHY LOMBARD FIRE DEPT 04/14/17 GOLDBERG WEISMAN & CAIRO L 1227 17WC 37534 GARDNER, JERRY US FOOD SERVICE 10/13/17 STROM, NEAL B 1228 17WC 37552 REYES, CLAUDIA DAVIE'S MOLDING 07/06/17 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 1229 17WC 37640 ALBAUGH, DANIEL H CF RUFFLED FEATHERS 12/11/17 ANKIN LAW OFFICE 1230 17WC 37674 PRUCHNICK, DAVID CAROL STREAM FIRE PROTECT 01/16/17 CUDA LAW OFFICES POWER & CRONIN LTD 17WC037675 -C 1231 17WC 37706 ROSALES, JEANNE A JASON'S DELI 11/28/17 DEPAOLO ZADEIKIS GORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1232 17WC 37740 BODENSTAB, PAUL JEWEL-OSCO 10/30/17 NILSON STOOKAL GLEASON CAP 1233 17WC 38055 JONES, EARLISSA MOTHER & COMCAST # 09/29/16 LAW OFFICE PATRICK JENNETT SPIEGEL & CAHILL, PC 1234 18WC 00013 JIMENEZ, IRMA BUSTAMANTE EDWARD HOSPITAL 09/14/17 ANKIN LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 1235 18WC 00076 DIXON, JACKIE NATIONAL ABLE NETWORK 12/05/17 DEPAOLO ZADEIKIS GORE RUSIN & MACIOROWSKI LTD 1236 18WC 00151 GIROLAMO, MICHAEL KONICA MINOLTA BUSINESS S 06/09/16 LAW OFFICE OF PETER LIMPER 1237 18WC 00157 LENOCH, MICHAEL F SCOOBEEZ 07/03/17 VITELL & SPITZ LTD HENNESSY & ROACH PC 1238 18WC 00173 PEREZ, SERGIO DUPAGE COUNTY - PUBLIC WO 09/11/17 SAUNDERS CONDON & KENNY 1239 18WC 00245 HOWARD, ROBERT GREIF INC. 10/13/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 1240 18WC 00257 INEGUEZ, MIGUEL ELITE STAFFING 12/29/17 DWORKIN AND MACIARIELLO 1241 18WC 00299 WOLKOTTE, JASON BEAVER PACKAGING & CRATIN 12/06/17 GOLDBERG WEISMAN & CAIRO L 1242 18WC 00354 DASKALOV, DESSISLAV ADT SECURITY 10/06/17 SEIDMAN MARGULIS & FAIRMAN BRYCE DOWNEY & LENKOV LLC 1243 18WC 00465 O'CONNELL, EILEEN COMPASS GROUP USA, INC 05/02/16 ANKIN LAW OFFICE 1244 18WC 00469 O'CALLAGHAN, MATTHEW M FORTUNE INTL, LLC 12/19/17 ANKIN LAW OFFICE 1245 18WC 00498 YANEZ, SALVADOR SCHAMBERGER BROS, INC 12/26/17 SOSTRIN AND SOSTRIN PC ACCIDENT FUND HOLDINGS 1246 18WC 00528 FLORES, TEODORA ELITE STAFFING 10/12/17 EDWIN REYES LEGAL GROUP 1247 18WC 00580 WILLIAMS, ETHEL PARAMOUNT STAFFING 11/21/17 LAW OFFICES TIMOTHY HENDER 1248 18WC 00669 CUMMINGS, BURTON LITTLE MACS, INC 10/31/17 CHRISTIAN & MANNO RODDY LAW LTD 1249 18WC 00722 ECTON, JEFF ENERGY SERVICES 03/01/17 PORRO NIERMANN LAW GROUP RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1250 18WC 00823 WARFIELD, MARTIN B UPS 12/20/17 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 1251 18WC 00978 BUCIO, SELENE AEROTEK 12/04/17 WOODRUFF & JOHNSON HENNESSY & ROACH PC 1252 18WC 01000 CENTENO, IVAN MAUSER USA, LLC 10/31/17 JAMES J. GAY 1253 18WC 01023 AGUILAR, CECILIA SANCHEZ JEL SERT COMPANY 06/05/17 MC HARGUE & JONES HENNESSY & ROACH PC 1254 18WC 01045 FOX, JAMES GOODING RUBBER CO 12/11/17 MARKER & ASSOCIATES 1255 18WC 01054 JAFRI, SYEDA GLEN ELLYN DONUTS, INC 11/19/17 R. MARK MARITOTE PC 1256 18WC 01146 BAUER, RONALD K ITASCA FIRE PROTECTION DI 11/09/17 THOMAS W DUDA 1257 18WC 01180 QUINTANA, RODOLFO U.S. FOODS 12/29/17 CHEPOV & SCOTT LLC 1258 18WC 01282 BARBER, LAWRENCE A SR IL TOLL HIGHWAY AUTHORITY 11/02/17 BARRY A KETTER GANAN & SHAPIRO 1259 18WC 01314 ORTIZ, RODOLFO BH MANAGEMENT SERVICES, L 08/18/17 SALK, STEVEN B & ASSOC LTD 1260 18WC 01336 FORTSON, JUSTIN UPS 01/04/18 LEONARD LAW GROUP LLC ASA LAW GROUP 1261 18WC 01389 WILLIAMS, SANDRA ZELLER REALTY 12/15/17 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICES 1262 18WC 01422 CARLSON, STEVE JEWEL FOOD STORES INC 12/24/17 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 1263 18WC 01428 HAROLD, PHILLIP GROOT INDUSTRIES - SOUTH 04/26/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1264 18WC 01448 KAZMIERCZAK, THOMAS COMET DIE & ENGINEERING C 01/03/18 FRIEND LEVINSON & BERGAL GAROFALO SCHREIBER STORM 1265 18WC 01468 MC LUIN, PICKENS ILLINOIS STATE HIGHWAY AU @ 01/07/18 ANKIN LAW OFFICE GANAN & SHAPIRO 1266 18WC 01493 NAVARRO, RAFAEL OPTIMAS OE SOLUTIONS 05/24/17 CULLEN HASKINS NICHOLSON 1267 18WC 01532 GASCA, MATTHEW MENARDS 11/08/17 ALVARO COOK LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1268 18WC 01646 JAFRI, SYEDA GLEN ELLYN DONUTS 11/19/17 CULLEN HASKINS NICHOLSON 1269 18WC 01802 BROWN LATHEDA PARKER HANNIFIN CORP 01/17/18 FRIEDMAN & SOLMOR LTD RUSIN & MACIOROWSKI LTD 1270 18WC 01827 QUIROZ, FEDERICO JLDC CONSTRUCTION 12/16/17 HERRERA LAW CENTER 1271 18WC 01868 VOIGTS, SHIRLEY HILTON INDIAN LAKES RESOR 04/28/16 MILLON & PESKIN LTD 1272 18WC 01894 GARDUNO, CATALINA HILTON HOTELS & RESORTS 11/09/17 FOOTE MIELKE CHAVEZ & O'NE LAWRENCE COZZI - LAW OFFICES 1273 18WC 01922 EPSTEIN, SHARON COSTCO 12/11/17 ASHER, RAYMOND L LTD GANAN & SHAPIRO 1274 18WC 01945 MCELHERNE, LINDA ST ISAAC JOGUES PARISH 01/15/16 ERIC H CHECK, LAW OFFICES 1275 18WC 01967 FOSTER, MATTHEW ARCHITECTURAL CAST STONE 10/17/17 CAPRON & AVGERINOS PC 1276 18WC 01981 MCDOWELL, EBONI M DELIVERY & DISTRIBUTION 12/20/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1277 18WC 02036 SCHUETT, ANNETTE ADVANTAGE SOLUTIONS 04/30/17 RATHBUN CSEVENYAK & KOZOL 1278 18WC 02065 SMITH, MICHAEL D LITTLE MACS 12/23/17 HORWITZ HORWITZ & ASSOC 1279 18WC 02143 MCCREEDY, KAREN TITAN SECURITY 01/04/18 KARNO, MARK L & ASSOC WIEDNER & MCAULIFFE LTD 1280 18WC 02216 MADISON, COLIN ARENA FOOTBALL ONE, LLC 08/12/17 GORDON & CENTRACCHIO LLC 1281 18WC 02224 PINSON, NICKEY ORGANIC LIFE 01/12/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 1282 18WC 02268 TORGERSON, DONALD LANG ICE CO 09/23/17 MC HARGUE & JONES 1283 18WC 02286 MROZ, BRANDON CLOSET WORKS 10/06/17 CULLEN HASKINS NICHOLSON 1284 18WC 02294 GARCIA, DIEGO J AAA COOPER TRANSPORTATION 10/04/17 GRAUER & KRIEGEL LLC MACIOROWSKI SACKMANN & ULRIC 1285 18WC 02389 URBIETA, PEDRO LABOR SOLUTIONS 12/12/17 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1286 18WC 02445 SCHWENDEMAN, DAN B REPUBLIC SERVICES 12/21/17 ANKIN LAW OFFICE 1287 18WC 02500 VILLA, MARIA FIRST TRANSIT 09/08/17 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 1288 18WC 02515 SPINASANTO, JOSEPH VORTEX 08/04/16 LANNON LANNON & BARR LTD HOLECEK & ASSOCIATES 1289 18WC 02543 BROWN, JAMES UPS 01/22/18 JOHN E LUSAK ASA LAW GROUP 1290 18WC 02570 SMITH, CHITASHIA RAY GRAHAM ASSOCIATION 01/15/18 STROM, NEAL B LAWRENCE COZZI - LAW OFFICES 1291 18WC 02612 PEREZ, GREG JOHNSON FITNESS AND WELLN 11/16/17 DAVID W MARTAY HOLECEK & ASSOCIATES 1292 18WC 02664 STEUER, JANICE VON MAUR 09/20/17 MILLON & PESKIN LTD BRYCE DOWNEY & LENKOV LLC 1293 18WC 02678 GNADT, DAVID VILLAGE OF ROSELLE-FIRE D 06/01/17 BURNETT & CARON, LTD POWER & CRONIN LTD 1294 18WC 02737 ZARATE, GRACIE TOLL GLOBAL FORWARDING 11/17/17 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 1295 18WC 02783 KURASZ, NICHOLAS R POWER DRY CHICAGO INC 12/22/17 ANKIN LAW OFFICE ORENSTEIN & ASSOCIATES 1296 18WC 02938 MICHEL, SANDRA ALDEN VILLAGE HEALTH FACI 12/31/15 CULLEN HASKINS NICHOLSON 1297 18WC 02973 ORTIZ, RAFAEL GIVAUDAN FLAVORS CORP 09/19/16 PETER LEKAS HENNESSY & ROACH PC 1298 18WC 02976 MARTINEZ HERNANDEZ, ALFRE BRYAN D OGDEN LTD 09/14/17 MANUAL CARDENAS & ASSOC BAUM RUFFOLO & MARZAL LTD 1299 18WC 02992 PEREZ, JUAN THE PLASTICS GROUP, INC 01/11/18 KOSIN LAW OFFICE LTD 1300 18WC 03008 ECK, BRIAN CASSENS TRANSPORT COMPANY 11/13/17 GOLDBERG WEISMAN & CAIRO L KNAPP, OHL & GREEN 1301 18WC 03055 REECE, ZELORIS D MARIANJOY MEDICAL GROUP D 01/05/18 ANKIN LAW OFFICE 1302 18WC 03080 RAMIREZ, JESUS M AMF BOWLING CENTERS INC 01/12/18 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 1303 18WC 03107 ESSLING, RONALD CITY OF ELMHURST 01/11/18 MILLON & PESKIN LTD POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1304 18WC 03178 MATHEWS, MARILYN PEPPERIDGE FARM 06/01/16 SALVATO & O'TOOLE 1305 18WC 03337 OSMOND, CHRISTIAN C AT&T 01/05/18 FOOTE MIELKE CHAVEZ & O'NE 1306 18WC 03370 AL-ANY, JASMIN KIRKLAND'S INC 10/20/17 FIGLIOLI, DAVID 1307 18WC 03384 MONROY, ENRIQUE SOURCE ONE STAFFING 01/05/18 FOOTE MIELKE CHAVEZ & O'NE 1308 18WC 03423 MASUDI, SAMINA CPS CARDS 01/12/18 HETHERINGTON KARPEL BOBBER 1309 18WC 03501 DEL TORO, MANUEL KELLOGG'S 03/30/17 TAMVAKIS, GEORGE L 1310 18WC 03583 ALEJANDRE, FRANCISCO ARCTIC EXPRESS 12/06/16 BURNETT & CARON, LTD 1311 18WC 03685 HUNT, VALERIE ESTES EXPRESS LINES (INC) 11/30/17 FRED J BEER LAW OFFICES 1312 18WC 03760 CORTEZ, RICARDO ELITE STAFFING 11/09/17 COSTA IVONE LLC 1313 18WC 03846 BOYLE, THERESA RAY GRAHAM ASSOCIATION 12/12/16 COHN LAMBERT RYAN & SCHNEI LAWRENCE COZZI - LAW OFFICES 1314 18WC 03965 BILADEAU, GAIL E FIRST STUDENT 12/11/17 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 1315 18WC 04045 CARRETO, JOSE L BARRY ROOFING 11/29/17 CULLEN HASKINS NICHOLSON 1316 18WC 04080 HUNTER, ERIC SCOOBEEZ 01/25/18 DWORKIN AND MACIARIELLO 1317 18WC 04118 WALKER, JOSEPH UNITED PARCEL SERVICE 10/05/17 MILLON & PESKIN LTD ASA LAW GROUP 1318 18WC 04119 WALEN, ROBERT JIMMY JOHNS/JS FORT GROUP 02/28/17 MILLON & PESKIN LTD 1319 18WC 04169 HABIBOVIC, SEVAL FIC AMERICA CORP 12/20/17 MC HARGUE & JONES INMAN & FITZGIBBONS 1320 18WC 04221 ADEROGBA, TROYCE STATE OF ILLINOIS 12/13/17 TAMVAKIS, GEORGE L ASSISTANT ATTORNEY GENERAL 1321 18WC 04316 ONWUALU, REBECCA TIMBERLINE KNOLLS RESIDEN 02/04/18 BRISKMAN BRISKMAN GREENBER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1322 18WC 04322 MICHAUD, DIANE ELM BROOK HEALTHCARE & RE 01/28/18 NILSON STOOKAL GLEASON CAP 1323 18WC 04374 SMITH, DONNA M KOHL'S 09/25/17 NICHOLAS ROBERT RECCHIA 1324 18WC 04492 TRAPP, CALBERT SUNRISE ELECTRIC 01/01/18 DWORKIN AND MACIARIELLO 1325 18WC 04498 ROSARIO, ALEJANDRA O'REILLY AUTO PARTS 04/14/17 WOODRUFF & JOHNSON 1326 18WC 04557 SLIWA, STANLEY PAUL BORG CONSTRUCTION 10/13/17 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 1327 18WC 04597 MCQUEEN, MARK S DT CHICAGOLAND EXPRESS DB 01/12/18 O'CONNOR & NAKOS 1328 18WC 04628 WILDER, TERRY L SURE FIRE AUTO PARTS 01/04/17 DAVID W MARTAY RODDY LAW LTD 1329 18WC 04657 BRACAMONTES, LUIS WHOLESALE INTERIORS 01/12/18 CHEPOV & SCOTT LLC 1330 18WC 04747 GOLTZ, JOSHUA D US FOODS 12/11/17 COHN LAMBERT RYAN & SCHNEI 1331 18WC 04787 JENKINS, GLENN SECURE AMERICA 01/07/18 WOODRUFF & JOHNSON LAWRENCE COZZI - LAW OFFICES 1332 18WC 04793 ZBROZEK, JASON CITY OF NAPERVILLE 08/16/17 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 1333 18WC 04827 JANKOWSKI, JASON WOOD DALE FIRE PROTECTION 08/27/17 KEVIN P. JUSTEN PC RUSIN & MACIOROWSKI LTD 1334 18WC 04886 HOPPENSTEDT, RANDY SWITCHBOARD APPARATUS 03/03/15 ASHER, RAYMOND L LTD LAWRENCE COZZI - LAW OFFICES 1335 18WC 04911 MOLINA, ADAN FYVE ELEMENTS LLC 02/05/18 KATZ FRIEDMAN EAGLE ET AL 1336 18WC 04973 GAMEZ, ENEIDA ELITE STAFFING- CICERO 01/18/18 COSTA IVONE LLC 1337 18WC 05083 BRASSEUR, DARCI TIMBERLINE KNOLLS 02/08/18 RICHARD E ALEKSY HENNESSY & ROACH PC 1338 18WC 05166 REED, JASON UPS 08/02/15 LEONARD LAW GROUP LLC ASA LAW GROUP 1339 18WC 05239 MORALES, ARMANDO CENTRAL DUPAGE HOSPITAL 03/17/14 BARRY STEWART SILVER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1340 18WC 05251 MUENCH, BRIAN UNITED PARCEL SERVICE 12/18/17 ARNOLD & KADJAN ASA LAW GROUP 1341 18WC 05303 SARABIA, FELIPE SURE STAFF 02/08/18 DE SALVO, SCOTT D LAW OFFI LOUIS MUNDY 1342 18WC 05327 MORRISON, MILES EXTENDED STAY AMERICA INC 01/05/18 WOLFE & JACOBSON, LTD 1343 18WC 05383 MUNOZ, ALBERTO ADVANCED AUTO PARTS 11/06/17 FRANCIS J DISCIPIO LAW OFF 1344 18WC 05477 LLUVIAS, MARIO AMTC NEWS AGENCY 02/11/18 KATZ FRIEDMAN EAGLE ET AL 1345 18WC 05548 MENDONEZ, LYDIA PARKWAY BANK 09/13/17 FINE, MARK S LAW OFFICES 1346 18WC 05561 DOYLE, KRISTINA GRAPHIC PACKAGNG INTERNAT 04/03/17 DWORKIN AND MACIARIELLO 1347 18WC 05570 HOWARD, THERESA ADVOCATE GOOD SAMARITAN H 11/17/16 NYHAN BAMBRICK KINZIE & LOWR 1348 18WC 05600 UTTERBACK, MARGARET ADDISON SCHOOL DISTRICT 4 01/16/18 AIOSSA LAW FIRM 1349 18WC 05628 O'ROURKE, RALPH FRED HAAS & ASSOC INC D/B 11/24/17 STEVEN H MEVORAH & ASSOCIA INMAN & FITZGIBBONS 1350 18WC 05665 LOPEZ, HORACIO JOSCO CONSTRUCTION 01/12/18 BURNETT & CARON, LTD 1351 18WC 05834 CARLOS, RIGOBERTO KS ENERGY SERVICES, INC 10/28/17 HORWITZ HORWITZ & ASSOC 1352 18WC 05903 HERMOSILLO, MARIA DE JESU MSI 01/26/18 FICHERA & MILLER 1353 18WC 05912 KRON, KRISTINA L CENTRAL DUPAGE HOSPITAL 09/08/17 CULLEN HASKINS NICHOLSON 1354 18WC 05938 MORRIS, JAMES WALMART 02/17/18 JAMES ELLIS GUMBINER & ASS QUINTAIROS PRIETO WOOD & BOY 1355 18WC 05950 DOMINGUEZ, ANGEL NORAMCO TERMINAL CORPORAT 09/26/17 HERRERA LAW CENTER 1356 18WC 06030 SOTO, SERGIO VALLI PRODUCE INTERNATION 02/07/18 AIOSSA LAW FIRM 1357 18WC 06057 CORONADO, MARTIN O'REILLY AUTO PARTS 12/09/17 EDWIN REYES LEGAL GROUP HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 79 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1358 18WC 06081 DICKSON, JULIUS GOLDEN STATE FOODS CORP 01/23/18 RIDGE & DOWNES 1359 18WC 06104 KORZIUK, JOSEPH UNITED PARCEL SVC 01/02/17 ROSS TYRRELL ASA LAW GROUP 1360 18WC 06117 BANNER, HENRY STERICYCLE 01/18/18 DWORKIN AND MACIARIELLO 1361 18WC 06146 MALOVICH, JOHN WINDY CITY SKYLIGHT 03/01/17 WOODRUFF & JOHNSON CAPUANI, FRANK S 1362 18WC 06153 FINCH, WILLIAM SCHOOL DISTRICT #203 02/09/16 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 1363 18WC 06200 MC COLLUM, KEVIN THE KROGER COMPANY 02/07/18 ROGER D RUDICH LTD 1364 18WC 06217 SPILLER, RANDY ILLINOIS MATERIAL HANDLIN 05/10/17 O'CONNOR & NAKOS WOLFE & JACOBSON, LTD 1365 18WC 06257 BOLIN, PATRICK AMERICAN LITHO 12/17/17 MEYERS & FLOWERS 1366 18WC 06272 VEGA, JUAN ELIZALDE H&P ROOFING AND SIDING 08/09/17 ANSELMO DURAN 1367 18WC 06417 ESPINOZA, JESUS SWEET SPECIALTY SOLUTIONS 07/14/17 SALK, STEVEN B & ASSOC LTD 1368 18WC 06449 PUNZO, BENITO PARRA GENERAL TRUCK SALES INC 01/31/18 CHEPOV & SCOTT LLC BRADY CONNOLLY & MASUDA PC 1369 18WC 06532 AGUIAR, JAYSON CLOSET WORKS 01/15/18 CULLEN HASKINS NICHOLSON 1370 18WC 06582 CALANGAN, JOSEPH TREE TOWN REPROGRAPHICS, 06/20/17 DAVID W CLARK 1371 18WC 06605 FLORES, DAVID NESTLE USA INC 09/07/17 TRENT LAW FIRM PC 1372 18WC 06640 ROGERS, MICHAEL EDWARD AMBULANCE SERVICES 03/05/15 WHITING LAW GROUP RUSIN & MACIOROWSKI LTD 1373 18WC 06660 SIMENTAL, AMALIA DOUMAK 01/07/18 CARONE LAW OFFICES 1374 18WC 06702 PITTS, BRIAN E COMCAST CORP 02/21/18 ANKIN LAW OFFICE SPIEGEL & CAHILL, PC 1375 18WC 06776 LEO, FRANK D ILLINOIS CENTRAL BUS COMP 02/21/18 SCHRAMM LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 80 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1376 18WC 06832 MANGO, LISA JOIANNA, INC 12/06/17 LOSS & PAVONE 1377 18WC 06857 KLAUS, MATTHEW WOOD DALE FIRE DEPARTMENT 04/21/17 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 1378 18WC 06936 BULLERI, DANIEL CAROL STREAM POLICE DEPT 01/24/18 MILLON & PESKIN LTD 1379 18WC 06947 GRAAMAN, TIMOTHY J ACE HARDWARE 01/30/18 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 1380 18WC 07082 MCCLUSKEY, FRANK DAIMLER TRUCKS OF NORTH 06/19/17 CAPRON & AVGERINOS PC KNELL & O'CONNOR 1381 18WC 07179 VARGAS, ROBERTO THE CARE OF TREES 08/08/16 EDWIN REYES LEGAL GROUP 1382 18WC 07196 KELLY, BRIAN NAPERVILLE SCHOOL DIST #2 12/13/17 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 1383 18WC 07225 ANGERMAN, HEATHER HOME DEPOT 02/16/18 LEONARD LAW GROUP LLC ADELSON TESTAN BRUNDO 1384 18WC 07255 OBRIEN, PATRICK VLGE OF HINSDALE PUBLIC W 02/06/18 VASILATOS & COTTER LLC 1385 18WC 07325 CLARKE JR, GARY ILLINOIS TOLLWAY @ * 10/30/17 STEVEN H MEVORAH & ASSOCIA GANAN & SHAPIRO 1386 18WC 07326 WELLING, DONALD COSTCO WHOLESALE CORP 10/27/17 WILLIAM A. JAEGER PC 1387 18WC 07357 ROBERTO, MARY ILLINOIS TOLLWAY 10/12/17 POLANSKY & CICHON CHTD NYHAN BAMBRICK KINZIE & LOWR 1388 18WC 07420 SCHAEFER, VERONICA MONARCH LANDING 02/26/18 MC HARGUE & JONES HENNESSY & ROACH PC 1389 18WC 07501 EBERS, DENISE LEXINGTON HEALTH NETWORK 05/02/17 ERIC H CHECK, LAW OFFICES 1390 18WC 07560 ANGELONE, MATTHEW BLACK TIE FORMALWEAR ABDA 02/08/18 MICHAEL HELLMAN 1391 18WC 07581 JAQUAN, THOMAS GDI INTERGRATED FACILITIE 02/22/18 JAMES ELLIS GUMBINER & ASS LAWRENCE COZZI - LAW OFFICES 1392 18WC 07606 MECCIA, DONALD ROCCO JR. DUPAGE COUNTY FACILITIES 02/21/18 SCOTT B SHAPIRO WIEDNER & MCAULIFFE LTD 1393 18WC 07658 FLORES, CARLOS CU-GAR MASONRY, INC 08/02/16 AIOSSA LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 81 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1394 18WC 07689 ARMSTRONG, TIFFANY BEACON HILL 12/22/17 DWORKIN AND MACIARIELLO 1395 18WC 07699 HATHCOAT, JOSEPH GRAYBAR 09/12/17 JACKOWIAK LAW OFFICES 1396 18WC 07740 TORRES, JULIA SAP FIELDGLASS 03/01/18 JOHN E LUSAK 1397 18WC 07769 WRIGHT, JOSEPH SIMPSON STRONG TIE 02/23/18 LEO ALT 1398 18WC 07811 O'MALLEY, LYNDA WHEATON FRANCISCAN HEALTH 02/28/18 MILLON & PESKIN LTD 1399 18WC 07819 DURKIN, SARAH DUPAGE MEDICAL GROUP LTD 02/08/18 URBAN & BURT LTD LAWRENCE COZZI - LAW OFFICES 1400 18WC 07875 HANKES, JACOB CARLSENS ELEVATOR SVS INC 11/02/17 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICES 1401 18WC 07886 VARGAS, JOSE PERMA SEAL 01/13/18 PETER D CORTI LAW GROUP QUINTAIROS PRIETO WOOD & BOY 1402 18WC 07932 HOLMQUIST, DAWN CHICAGO ACCESS CARE 02/16/18 WOLFE LAW PC 1403 18WC 07957 GORSKI, ERIC LIBERTY PROPANE 12/27/17 DWORKIN AND MACIARIELLO WOLF LAW LTD 1404 18WC 08035 WEST, WILLIAM EAGLE EXPRESS LINES INC * 08/20/16 E JAMES RAYMOND ROSARIO CIBELLA 1405 18WC 08041 AVILA, FRANCISCO JAVIER V DAVE & BUSTERS INC * 01/05/18 SALK, STEVEN B & ASSOC LTD 1406 18WC 08115 GROSSMAN, ZUZANA THE BIRCHES, LLC * 03/24/16 BRILL & FISHEL 1407 18WC 08196 ROMERO, LITVANA WHEATON COLLEGE * 09/28/17 STORTO FINN & ROSINSKI 1408 18WC 08216 GARCIA, GUSTAVO ARAMARK * 02/06/18 GOLDSTEIN BENDER & ROMANOF 1409 18WC 08322 BOTELLO, DAVID SPROVIERI'S CUSTM COUNTER * 02/22/17 CHEPOV & SCOTT LLC RODDY LAW LTD 1410 18WC 08393 RAMIREZ, HERIBERTO AIR CAR SERVICES, INC * 05/08/17 LOCASCIO, MARK A LTD 1411 18WC 08482 MARIN, ALFREDO QUALITY BAGS INC * 11/01/17 EPSTEIN, JACK R LAW OFFICE RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 82 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1412 18WC 08618 CARRASCO, JUAN J CARL HOMES * 07/22/16 PARENTE & NOREM PC GAROFALO SCHREIBER STORM 1413 18WC 08654 LATHUS, RICHARD M WASTE MANAGEMENT METRO * 03/06/18 CULLEN HASKINS NICHOLSON 1414 18WC 08664 MARTINEZ, AIDA NAPERVILLE MARKET INC * 03/16/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 1415 18WC 08705 SEPE, NICHOLAS A USIC LLC * 03/07/18 FRIEND LEVINSON & BERGAL 1416 18WC 08724 RUDDY, LAURA DUPAGE MEDICAL GROUP * 01/24/18 MARKER & CRANNELL LAWRENCE COZZI - LAW OFFICES 1417 18WC 08776 LACY, JAYSON POWER SOLUTIONS INTERNATI * 11/13/17 HORWITZ HORWITZ & ASSOC 1418 18WC 08848 COLANGELO, STEVEN CENTRAL DUPAGE HOSPITAL * 02/15/18 ASHER, RAYMOND L LTD 1419 18WC 08852 ABNER, MICHAEL FAIRFIELD INN & SUITES BY * 03/07/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 1420 18WC 08883 SOPIKIOTIS, VANA ROCKSUGAR SOUTHEAST * 03/08/18 SCOTT B SHAPIRO 1421 18WC 08952 CODDINGTON, JEFFERY US FOODS INC * 03/09/18 GOLDBERG WEISMAN & CAIRO L 1422 18WC 08960 LANGLOTZ, GEORGE A RANDOLPH AND SON INC * 01/09/18 ANKIN LAW OFFICE 1423 18WC 09024 SANTILLAN, SAL REMPREX, LLC * 04/03/16 BRISKMAN BRISKMAN GREENBER 1424 18WC 09056 RAMOS, LEANDRO HOUSTON WIRE & CABLE COMP * 03/09/18 AIOSSA LAW FIRM HOLECEK & ASSOCIATES 1425 18WC 09133 SALAS JR, PEDRO FED EX * 10/03/17 SLAVIN & SLAVIN 1426 18WC 09158 AGATA, KAPUSCIAK LASSAK MARKET & DELI * 02/06/18 VRDOLYAK LAW GROUP LLC 1427 18WC 09308 WOJCIK, SABRINA AMERICAN FURNITURE RENTAL * 06/10/16 DEPAOLO & ZADEIKIS LAWRENCE COZZI - LAW OFFICES 1428 18WC 09335 PATEL, MEHULKUMAR B HYDAC * 02/20/18 GARDI & HAUGHT 1429 18WC 09364 KRUEGER, KATHRYN JEWEL OSCO * 05/27/17 PORRO NIERMANN LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 83 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1430 18WC 09388 ORTIZ, ARNULFO MARS, INC * 10/26/17 PORRO NIERMANN LAW GROUP GAROFALO SCHREIBER STORM 1431 18WC 09456 GRAHAM, DEBRA A THE TJX COMPANIES, INC * 02/09/18 FIGLIOLI, DAVID 1432 18WC 09487 RAMOS, LEANDRO HOUSTON WIRE & CABLE CO * 07/23/17 AIOSSA LAW FIRM JOSEPH MARCINIAK 1433 18WC 09611 HILL, SHARMAINE CLARE WOODS ACADEMY * 01/19/18 DWORKIN AND MACIARIELLO 1434 18WC 09643 PIERSON, CHARLES E STATE OF ILLINOIS YOUTH C * 01/02/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 1435 18WC 09707 MIMS, CHERYL GRAND PRAIRIE TRANSIT * 09/06/17 GILBERT KIMMEL HUFFMAN ETA 1436 18WC 09800 COTTIER, MICHAEL SUNCRAFT TECHNOLOGIES INC * 03/13/18 DWORKIN AND MACIARIELLO 1437 18WC 09818 ORBE, PAULINA C C CRETORS & COMPANY * 03/06/18 MAURICE E DUSKY PC 1438 18WC 09874 PARTIDA, FRANCISCO SNYDER INDUSTRIES, INC * 03/22/18 JACKOWIAK LAW OFFICES HENNESSY & ROACH PC 1439 18WC 09891 ALMAZAN, HELEODORO GRIND LAP SVC, INC * 02/27/18 JOHN S. ELIASIK 1440 18WC 09901 FALLERT, JOHN VIDEOJET TECHNOLOGIES, IN * 12/11/15 COSTA IVONE LLC GILDEA & COGHLAN 1441 18WC 09907 CONTRERAS, ADELFO CLEAR STAFF * 02/22/18 COSTA IVONE LLC 1442 18WC 09931 BARTOSZ, TAMMY MANOR CARE WESTMONT * 03/15/18 DWORKIN AND MACIARIELLO 1443 18WC 09937 ALBORES, MARIA E PORTILLO'S * 02/03/18 RUBIN MACHADO ROSENBLUM 1444 18WC 09969 RUIZ, MARIA A PORTILLO'S * 09/19/17 VITELL & SPITZ LTD 1445 18WC 09997 CAIL, DOUGLAS VILLAGE OF LOMBARD * 02/02/16 WHITESIDE & GOLDBERG LTD 1446 18WC 10045 TORRIJOS, RUBEN WILLOWBROOK FORD KIA SERV * 12/12/17 COSTA IVONE LLC GANAN & SHAPIRO 1447 18WC 10054 GELIS, KRISTINE THE OBERWEIS GROUP, INC. * 10/28/17 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 84 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1448 18WC 10076 ELLERY, DANIEL M OPTO INTERNATIONAL, INC. * 01/08/18 LOUIS A PLZAK & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 1449 18WC 10189 CZUBAK, KENNETH NAPERVILLE POLICE DEPT * 03/13/17 SEIDMAN MARGULIS & FAIRMAN CITY OF NAPERVILLE 1450 18WC 10204 BROWN, JACKIE GREENCORE USA * 03/15/18 SANDMAN LEVY & PETRICH HOLECEK & ASSOCIATES 1451 18WC 10271 HIRST, JOHN RESOLUTE PLUMBING, INC * 03/09/18 BOTTO GILBERT 1452 18WC 10284 BERG, CHRISTOPHER PIKENS-KANE * 03/23/18 ROGER D RUDICH LTD ROSARIO CIBELLA 1453 18WC 10335 MICKLE, JAMIE BROOKDAL SENIOR LIVING * 03/15/18 NEWLAND & NEWLAND 1454 18WC 10385 CARLBERG, JERRY WHOLE FOODS * 03/02/18 MARKER & CRANNELL 1455 18WC 10444 CHACON, LATIFA DU PAGE COUNTY * 03/19/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 1456 18WC 10486 ORMOND, THOMAS A EUCLID BEVERAGE, LTD * 03/06/18 COLLISON LAW OFFICES ROBERT L. SMITH 1457 18WC 10540 ABUFANNUN, NASHAAT APPLE ZEBRA, INC. W* 03/15/18 CHEPOV & SCOTT LLC KNELL & O'CONNOR 1458 18WC 10623 MCFARLAND, SHERRY GRAPHIC PACKING INC * 09/22/17 FRANCIS J DISCIPIO LAW OFF DOHERTY & PROGAR LLC 1459 18WC 10736 GONZALES, MIGUEL MAPEI CORP * 10/24/16 DEUTSCHMAN, JEFFREY S KEEFE CAMPBELL & ASSOC LLC 1460 18WC 10808 RAYMUNDO, ANGELES PORTILLO'S HOT DOGS LLC * 11/17/17 HERRERA LAW CENTER 1461 18WC 10830 LESTINA, ALEXANDRA MEATHEADS BURGERS & FRIES * 03/19/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 1462 18WC 10896 GILSPIE, ORLANDO CANON USA * 05/26/16 ROMANEK & ROMANEK 1463 18WC 10941 HALPIN, GABRIELLE ELMHURST HOSPITAL * 01/02/18 KROL BONGIORNO & GIVEN LTD MACIOROWSKI SACKMANN & ULRIC 1464 18WC 11221 GARRETT, STANLEY ADVANCE AUTO PARTS * 02/21/18 KROL BONGIORNO & GIVEN LTD 1465 18WC 11406 NAGY, MICHAEL A EDWARD-ELMHURST HEALTH * 02/05/18 SCOTT BARBER KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1466 18WC 11433 CROWELL, DAVID PALERMO'S VILLA INN * 10/27/17 MEYERS & FLOWERS 1467 18WC 11478 MORMINO, KATHLEEN MARIANO FRESH MARKET/KROG * 10/09/17 JOSHUA KARMEL 1468 18WC 11521 BEASLEY, NATHANIEL ILLINOIS TOLLWAY AUTHORIT * 09/05/17 ANGELINI & ORI LLC 1469 18WC 11524 SERDAR, ANTHONY KRAUSE ELECTRICAL CONTRAC * 06/09/17 OWENS & LAUGHLIN LLC RUSIN & MACIOROWSKI LTD 1470 18WC 11573 BRUCE, JONATHAN C CTL GLOBAL INC * 02/01/18 ANKIN LAW OFFICE 1471 18WC 11602 GARCIA, RAFAEL BLANKENSHIP MOVERS * 04/05/18 GORDON & CENTRACCHIO LLC 1472 18WC 11634 CLEMONS, CARLEN PACKEY WEBB FORD * 04/04/18 DWORKIN AND MACIARIELLO 1473 18WC 11658 WASHINGTON, LETTIE ADVENTIST HINSDALE HOSPIT * 11/14/15 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 1474 18WC 11731 WALESKI, SHARON PAROTILLO'S * 12/26/17 LEONARD LAW GROUP LLC 1475 18WC 11934 ALMATIIN-COTTON, CHERYL ELI LILLY AND CO * 01/24/18 ANCEL GLINK DIAMOND BUSH & 1476 18WC 11970 MEDINA, JOSE DARIEN COLLISION CENTER * 07/08/16 PORRO NIERMANN LAW GROUP 1477 18WC 11988 RICE, MICHAEL A MENS WAREHOUSE * 05/26/17 PORRO NIERMANN LAW GROUP 1478 18WC 12005 FREEMAN, ELIZABETH GLENBARD EAST DIST #87 * 01/17/18 MILLON & PESKIN LTD ANCEL GLINK DIAMOND BUSH & E 1479 18WC 12042 HERNANDEZ, JOSE PREMIER EMPLOYER SERVICES * 03/29/18 ALVARO COOK LTD NYHAN BAMBRICK KINZIE & LOWR 1480 18WC 12112 PINTO, MARC A AMAZON.COM DEDC LLC * 02/26/18 ANKIN LAW OFFICE 1481 18WC 12137 CERVANTES, KARINA PASINDO UNCLE JULIO'S * 02/18/18 DWORKIN AND MACIARIELLO 1482 18WC 12377 SZALKOWSKI, MARY BETH FIRST STUDENT * 07/12/17 PARENTE & NOREM PC 1483 18WC 12439 NAIR, ANU SCULLEN MIDDLE SCHOOL * 11/29/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1484 18WC 12462 RAMIREZ, LAURA SCOOBEEZ * 01/16/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1485 18WC 12554 DANIELS, LINDA ADVOCATE SUPPORT CENTER * 06/05/17 NYHAN BAMBRICK KINZIE & LOWR 1486 18WC 12563 WOLCOTT, DEBRA MATTRESS FIRM * 03/30/18 WOODRUFF & JOHNSON 1487 18WC 12656 NERI-DOMINGUEZ, LUCIA AGUAMIEL LLC * 02/17/18 AIOSSA LAW FIRM 1488 18WC 12703 NERI-DOMINGUEZ, LUCIA AGUAMIEL, LLC * 01/25/18 AIOSSA LAW FIRM 1489 18WC 12728 MOELLER, ROBERT GRAND SUBARU * 04/18/18 RUBENS AND KRESS 1490 18WC 12796 BUSTOS, JUANA AEROTEK * 02/21/18 DWORKIN AND MACIARIELLO 1491 18WC 12839 KLEPSER, SCOTT E R & G SERVICES, INC * 07/28/17 ARTHUR D. WELLMAN 1492 18WC 12851 CORREA, NORA GCA SVCS GROUP OF NORTH * 10/18/17 HETHERINGTON KARPEL BOBBER 1493 18WC 12888 MARTINEZ, SIMON INSTALLATION SPECIALISTS * 10/03/17 HERRERA LAW CENTER 1494 18WC 13006 ZUNIGA-SOTO, ROGELIO SURESTAFF INC * 03/27/17 JONAT0HAN SCHLACK LOUIS MUNDY 1495 18WC 13035 HERNANDEZ, GABRIEL PREMIER OUTDOOR ENVIRONME * 04/12/18 MC HARGUE & JONES 1496 18WC 13051 WALKER, LYNETTA M TARGET * 02/08/18 VITELL & SPITZ LTD NYHAN BAMBRICK KINZIE & LOWR 1497 18WC 13065 NOLAN, LIZA SOUTHERN WINE & SPIRITS O * 10/12/15 LEONARD LAW GROUP LLC 1498 18WC 13208 THOMAS, MOHAMED VIA LOGISTICS * 08/19/17 CULLEN HASKINS NICHOLSON 1499 18WC 13254 SUAREZ, JESUS GERARDO ARRIAGA DBA J&G L * 03/26/18 EPSTEIN, JACK R LAW OFFICE 1500 18WC 13309 CARNEVALE, JOSEPH NAPERVILLE TOWING SERVICE * 03/11/18 TURCYCHUTE LLC 1501 18WC 13374 FERRARO, ROSARIO NDP ELECTRIC * 01/17/18 O'CONNOR LAW GROUP LLC JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1502 18WC 13384 SACKS, KATHERINE PROVIDENCE HEALTHCARE & * 04/27/18 CELSO FUENTES JR 1503 18WC 13449 CRUZ, MARIA ORTIZ THERMO-PROK COMPANY, INC * 01/31/18 AIOSSA LAW FIRM 1504 18WC 13520 TUMILITY, JAMES W NEW ALBERTSONS/JEWEL * 05/18/17 DAVID W CLARK 1505 18WC 13532 ZMUDA, JOANNE R MARIANO'S * 04/02/18 GALLAGHER, DONALD V 1506 18WC 13551 RODRIGUEZ, JUAN UPS * 04/10/18 LEONARD LAW GROUP LLC 1507 18WC 13577 ROMO, ISAIAS VMS & SONS * 12/08/17 DENNIS HESSER 1508 18WC 13625 FORCELLI, SANTE FH PASCHEN * 06/09/17 GOLDBERG WEISMAN & CAIRO L STROM SEWELL LARSON & POPP 1509 18WC 13659 JACKSON, TONETTA RAY GRAHAM ASSOCIATION * 08/25/17 ANKIN LAW OFFICE 1510 18WC 13761 JIMENEZ, ROSARIO CHICAGO MARRIOTT OAK BROO * 04/12/18 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 1511 18WC 13813 MC CLAIN, WENDELL STEPHENSON COUNTY SHERIFF * 04/10/18 R. MARK MARITOTE PC 1512 18WC 13822 LAWSON, JACK R TRAIVANTAGE LLC * 04/25/18 ANKIN LAW OFFICE 1513 18WC 13863 BISHOP, CLIFTON B GENERAL ELECTRIC CONSUMER * 02/02/18 WEISS & WEISS LAW OFFICES HENNESSY & ROACH PC 1514 18WC 13976 TREVINO, MARIA EDWARD HOSPITAL * 03/09/18 BART DURHAM POWER & CRONIN LTD 1515 18WC 14003 ALMAGUER, JOSE MARS INC * 11/10/16 VASILATOS & COTTER LLC 1516 18WC 14032 VERGARA, ENID INTEGRATED ACCESS CORPORA * 04/25/17 MARKER & CRANNELL JOSEPH MARCINIAK 1517 18WC 14112 LIPPE, SCOTT LEMONT FIRE PROTECTION * 07/29/16 ROMANUCCI & BLANDIN 1518 18WC 14124 WATTERS, STEPHANIE ADVOCATE GOOD SAMARITAN * 04/26/18 DWORKIN AND MACIARIELLO 1519 18WC 14148 SERWINEK, SEBASTIAN BLACK HORSE CARRIERS, INC 04/22/18 MILLON & PESKIN LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1520 18WC 14165 TINAJERO, DINO CITY OF NAPERVILLE * 12/21/17 MEYERS & FLOWERS 1521 18WC 14184 CASAS, ANTONIO DUPAGE MACHINE PRODUCTS * 01/19/18 HERRERA LAW CENTER 1522 18WC 14270 VARGAS, MANUEL MT CUSTOM CASES * 03/21/18 CULLEN HASKINS NICHOLSON 1523 18WC 14279 MADIA, TERRY VON MAUR * 01/28/18 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 1524 18WC 14317 HERNANDEZ, JAIME DE JESUS BENEDICTINE SISTERS OF TH * 03/01/18 MILLON & PESKIN LTD 1525 18WC 14368 KOSAR, RICHARD CIRCASSIA PHARMACEUTICALS * 01/08/18 RATHBUN CSEVENYAK & KOZOL 1526 18WC 14378 VARCO, VINCENT OAKBROOK TOYOTA * 10/03/17 GOLDSTEIN BENDER & ROMANOF 1527 18WC 14391 GOODLIN, HEATH GRAHAM ENTERPRISE * 12/15/17 HORWITZ HORWITZ & ASSOC 1528 18WC 14430 BERARDI, NICOLA ILLINOIS STATE TOLL HWY A @ * 04/23/18 KARCHMAR & STONE NYHAN BAMBRICK KINZIE & LOWR 1529 18WC 14468 KARUM, MARC MOSTARDI-PLATT ASSOCIATES * 03/31/17 DAVID W CLARK 1530 18WC 14507 BRUCE, JAMES HVAC FITTINGS, LLC * 04/16/18 LANNON LANNON & BARR LTD NYHAN BAMBRICK KINZIE & LOWR 1531 18WC 14555 KURLISHCHUK, GANNA JACKAR LIMOUSINE INC * 12/24/15 JASON SAGER 1532 18WC 14601 SOLORZANO, JOSE JEWEL * 01/11/18 ROMANEK & ROMANEK 1533 18WC 14652 CARDINET, KEVIN UNITED PARCEL SERVICE, IN * 03/29/18 BERNAT & BERNAT PC NYHAN BAMBRICK KINZIE & LOWR 1534 18WC 14709 LAMBERT, CAROL JEWEL-OSCO * 02/26/18 MC HARGUE & JONES 1535 18WC 14738 MACINTYRE, KEVIN K CHICAGO BLOWER CORPORATIO * 10/26/17 HANNIGAN & BOTHA, LTD 1536 18WC 14761 ABADINIS, JOSE FROZEN FOODIES * 01/23/18 PETER LEKAS 1537 18WC 14775 BLOCK, SYLVIA SEPTRAN, INC. * 04/05/18 CHARLES LEVY & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1538 18WC 14795 ALI, ISHAQ NATIONWIDE RAIL SERVICES * 03/21/18 DWORKIN AND MACIARIELLO 1539 18WC 14930 BORZEWSKI, MICHAEL TRANSCHICAGO * 03/07/18 SCOTT BARBER 1540 18WC 14938 NAGY, MICHAEL A EDWARD-ELMHURST HEALTH * 02/01/16 SCOTT BARBER 1541 18WC 15016 JOSEPH, TEENA EDWARD HOSPITAL * 04/04/18 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 1542 18WC 15036 MENDOZA, PHYLLIS JEWEL FOOD STORES * 11/12/17 PETER D CORTI LAW GROUP 1543 18WC 15081 BRINLEY, ANGELA IN THE SWIN * 11/17/16 JEROME FOREMAN & ASSOCIATE 1544 18WC 15096 HICKEY, GLORIA RAY GRAHAM ASSOCIATION * 04/11/18 MILLON & PESKIN LTD 1545 18WC 15101 MACLIN, RODNEY RXG CARGO CORP. * 04/21/18 FOOTE MIELKE CHAVEZ O'NEIL MCANANY VANCLEVE & PHILLIPS 1546 18WC 15166 BRESLEY, CATHERINE JEWEL FOOD STORES * 04/27/18 BRUCE RAFALSON LTD 1547 18WC 15199 WESTERN, TERRELL CORRPRO COMPANIES INC * 04/18/18 SANDMAN LEVY & PETRICH 1548 18WC 15206 ROSARIO, ALEJANDRA O'REILY AUTO PARTS * 01/08/18 WOODRUFF & JOHNSON 1549 18WC 15272 JUZWIAK, KALVIN COLLEGE OF DUPAGE * 09/25/17 ROSS TYRRELL 1550 18WC 15295 SUWANSKI, MICHAEL G UNITED STATIONERS INC/ * 11/08/16 STEINBERG, POLACEK & GOODM 1551 18WC 15304 REYES IZAGUIIRE, FERNANDO BEST BUY CARPET INC * 05/07/18 PETER D CORTI LAW GROUP 1552 18WC 15394 STEWART, RENEA HANDLE WITH CARE, * 02/08/18 SCOTT B SHAPIRO 1553 18WC 15452 CUTHBERTSON, SARAH FEDEX GROUND * 05/08/18 DWORKIN AND MACIARIELLO 1554 18WC 15504 URUKALO, GEORGE BROOK ELECTRICAL SUPPLY- * 04/17/18 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 1555 18WC 15542 NAVARRO, KIM OWENS & MINOR * 01/17/18 GORDON LEVINE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1556 18WC 15644 DODD, RYAN UNITED PARCEL SVC, INC * 12/19/17 BRIAN J MC MANUS & ASSOC, 1557 18WC 15688 ROBERTS, NICO NANA PACIFIC LLC * 02/21/17 SANDMAN LEVY & PETRICH GRANT & FANNING 1558 18WC 15716 JOHNSON, KATHLEEN ILLINOIS HLTH & HOSPITAL * 03/07/18 RATHBUN CSEVENYAK & KOZOL 1559 18WC 15806 PARKER, JAWAUN RELIABLE BASEMENT SERVICE * 05/23/18 VASILATOS & COTTER LLC 1560 18WC 15837 PASOWICZ, KYLE ENERGY SERV AIR CONDITION * 10/18/17 GANAN & SHAPIRO 1561 18WC 15892 JORDAN, LATONYA HCR MANORCARE * 03/14/18 RASMUSSEN, RICHARD 1562 18WC 15932 BALENSKI, NOBERT CASTLE CHEVROLET * 11/25/14 MICHAEL HELLMAN 1563 18WC 15968 TERRELL, CORLEONE HARBORCHASE OF NAPERVILLE * 05/15/18 DWORKIN AND MACIARIELLO 1564 18WC 15979 GIBERTINI, THOMAS CITY OF NAPERVILLE * 04/10/18 DRISCOLL LAW OFFICES PC CITY OF NAPERVILLE 1565 18WC 16045 NDULULA, ZIZWE M MEGA MILE INC * 01/16/17 CULLEN HASKINS NICHOLSON 1566 18WC 16075 CLAVIJO, LISET BARTON STAFFING * 05/16/18 HERRERA LAW CENTER SLAVIN & SLAVIN 1567 18WC 16127 WILLIAMSON, SNO MARSHALLS * 05/20/18 DWORKIN AND MACIARIELLO 1568 18WC 16148 RAMIREZ, MARIA G TOWNE PLAZA SUITES * 12/25/17 WHITESIDE & GOLDBERG LTD 1569 18WC 16166 MORTEGA, ARTHUR ADECCO STAFFING * 03/29/18 TAXMAN POLLOCK 1570 18WC 16183 CHAVEZ, MARIA RR DONNELLEY & SONS CO * 04/30/18 ANKIN LAW OFFICE 1571 18WC 16207 HOLMAN, CHRISTINA TITAN MEDICAL STAFFING * 01/21/18 BURNETT & CARON, LTD RIPES NELSON BAGGOT KALOBRAT 1572 18WC 16238 FASH, DANIEL ACCUPERF, INC. * 05/24/16 BURNETT & CARON, LTD 1573 18WC 16285 MARTINEZ, ZENEN MILLER CONCRETE * 10/14/16 GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1574 18WC 16314 WELCH, JUDY GLEN ELLYN SCHOOL DIST 41 * 01/26/18 CORNFIELD & FELDMAN 1575 18WC 16363 WRIGHT, DARRALYN TRINITY LOYOLA HOMECARE * 05/02/18 ANGELINI & ORI LLC 1576 18WC 16444 RANDALL, KYLEE C PLASTIPAK PACKAGING * 03/17/18 CRONAUER, CHARLES E 1577 18WC 16477 SPANKROY, AIMEE HAIMER USA * 05/08/18 KATZ FRIEDMAN EAGLE ET AL 1578 18WC 16512 PALMA, FELIX TILDEN ROOFING CO, INC * 04/20/18 JOHN S. ELIASIK 1579 18WC 16557 MATA, RODOLFO A. SCHULMAN * 05/15/18 MC HARGUE & JONES 1580 18WC 16568 SHANNON, VALERIE THOMAS INTERIORS * 09/21/17 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 1581 18WC 16619 GARCIA, HECTOR ABM INDUSTRIES * 05/25/18 CURTIS S BURKE LAW OFFICE 1582 18WC 16672 MITCHELL, THOMAS CASTLE PAINTING * 05/11/18 SANDMAN LEVY & PETRICH 1583 18WC 16771 MARTINEZ, RANDY SAM'S CLUB * 07/15/17 GANAN & SHAPIRO 1584 18WC 16866 VOSHALL, ROBERT E USF HOLLAND * 05/23/18 HART & DAVID LLP 1585 18WC 16935 MARTINEZ, RITO FLOWSERVE CORP * 07/15/15 FOOTE MIELKE CHAVEZ O'NEIL 1586 18WC 16949 GARCIA, RUBI ADVANCE THERMAL CORP * 02/27/17 JAUREGUI & ASSOCIATES 1587 18WC 17012 HAMILTON, ZAKIYA ALL STAFF NET * 11/24/17 MC HARGUE & JONES 1588 18WC 17049 MOORE, SHANTIA MANORCARE HLTH SVCES-WEST * 05/25/18 DWORKIN AND MACIARIELLO 1589 18WC 17070 MONTIEL, SALVADOR ACCURATE * 04/23/18 DWORKIN AND MACIARIELLO 1590 18WC 17102 AGUIRRE, EDUARDE JEWEL * 03/10/18 RODDY LAW LTD 1591 18WC 17142 ESPINAL, ANGELINA JELSERT * 12/20/17 LULAY LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M STEFFEN, KETKI 014 ARBITRATION CALL FOR WHEATON 51003 ON 07/18/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1592 18WC 17208 BAKER, SHANDA NORTHWESTERN HOSPITAL * 01/24/18 JACKOWIAK LAW OFFICES 1593 18WC 17237 NUNEZ, RICARDO NATURE'S SECOND CHANCE * 03/08/18 TAMVAKIS, GEORGE L 1594 18WC 17387 VILLA, NATALY NATIVE WHOLESALE, INC * 04/02/18 THE ROMAKER LAW FIRM 1595 18WC 17412 BARBOSA, DENYSE REACT 24/7 * 02/22/17 JOHN S. ELIASIK 1596 18WC 17514 VEAL SR, ROOSEVELT L EDWARD HOSPITAL * 04/05/18 FRIEDMAN & SOLMOR LTD 1597 18WC 17528 GLORIOSO, GAYLENA HCR MANOR CARE * 05/15/18 GOLDBERG WEISMAN & CAIRO L 1598 18WC 17587 MAHMOOD, BASIMA K MACY'S * 10/12/17 SANDMAN LEVY & PETRICH 1599 18WC 17618 CHRISTENSEN, DAMANNETTE J BILL JACOBS VOLKSWAGEN * 04/10/17 GARDI & HAUGHT 1600 18WC 17641 COOK, KIMBERLY NELSON LABS * 04/20/18 DWORKIN AND MACIARIELLO 1601 18WC 17716 CORTEZ-HILL, EMMA MAPEI CORPORATION * 05/21/18 SAUNDERS CONDON & KENNY 1602 18WC 17750 GONZALEZ, ROBERTO CARROLL DISTRIBUTING & * 08/01/16 HETHERINGTON KARPEL BOBBER 1603 18WC 17848 AGUILAR LEANOS, JOSE M SAUNDERS CORPORATION * 05/23/18 FAJARDO LAW GROUP 1604 18WC 17890 VALENCIA, MARIA JAQUELINA VINAYAKA HOSPITALITY LISL * 02/01/17 JONATHAN SCHLACK