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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 12 11WC 08403 WATSON, MARY ST OF ILL DEPT OF HUMAN S 02/24/10 BAUM RUFFOLO & MARZAL LTD SHUAIB A. AHMED 13 11WC 13730 JUAREZ, MARIA CHICAGO HILTON CORP 04/16/08 SCHWEICKERT & GANASSIN NOBLE & ASSOC 11WC013795 -C HILTON HOTELS CORP 16WC023137 -C 14 11WC 15057 LOPEZ, LUCIANO CHICAGO AUTO REPAIR & W 04/04/11 CULLEN HASKINS NICHOLSON 15 11WC 25764 AYALA, ALEXANDER J DIAZ INC 07/18/08 JOHNSON, MICHAEL D & ASSOC BRADY CONNOLLY & MASUDA PC 16 11WC 25874 WEATHERALL, IRENE THE CATALYST SCHOOL 07/02/09 STEVEN J SEIDMAN LAW OFFIC LAW OFFICES JOSEPH MARCINIAK 17 11WC 37897 RODRIGUEZ,MARIA AS GUARDI NOVAK CONSTRUCTION 08/25/11 MEYERS & FLOWERS LITCHFIELD CAVO 18 11WC 38411 RIVERA, JOSE LUIS JR USED CAR FACTORY 07/06/11 CULLEN HASKINS NICHOLSON 19 11WC 38978 BROOKS, KELLIE SOUTH POINT NURSING REHAB 09/26/11 COVEN LAW GROUP KLAUKE LAW GROUP LLC 20 11WC 40074 HOLMES, JIM W JERNBERG INDUSTRIES 08/23/11 KATZ FRIEDMAN EAGLE ET AL HOLECEK & ASSOCIATES 11WC040075 -C 21 11WC 43539 PLEASANT, DESHUN CITY OF CHICAGO 02/11/11 KARCHMAR & STONE CITY OF CHICAGO 22 11WC 44264 MCLAIN, WILLIAM BRIAN & CINDY BUTLER 10/20/11 CHRISTIAN & MANNO COSTIGAN & WOLLRAB PC 23 11WC 46124 GANT, THELMA SMART STOP 11/08/11 DWORKIN AND MACIARIELLO ROBERT L. SMITH 24 12WC 06028 PEREZ, JORGE NORWEGIAN AMERICAN HOSPIT 12/06/11 JAMES ELLIS GUMBINER & ASS 25 12WC 10197 ORTIZ, GABRIEL ACME REFINING 03/17/11 RUSSO & RUSSO LTD RUSIN & MACIOROWSKI LTD 26 12WC 12238 19B MILLS, DAVID PARK DISTRICT OF OAK PARK 09/29/11 RUBIN LAW GROUP RUSIN & MACIOROWSKI LTD 27 12WC 27229 PALUMBO, CHARLES AMERICAN AIRLINES 06/23/12 ELFENBAUM EVERS ZIELINSKA GAROFALO SCHREIBER STORM GRA 14WC011046 -C LISIECKI, DANIELLE (EXECU 16WC013925 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 12WC 28112 BOKINA, ALEX POWER PLANT/GENERAL MAN 07/20/12 CHRISTOPHER BUCHCAR, LTD CASSANO & ASSOCIATES 29 12WC 29281 HILLERY, JACQUELINE HELP AT HOME 06/26/12 MICHAEL P MCCREADY & ASSOC MEACHUM & STARCK 14WC041566 -C 30 12WC 30901 NEGRON, ISABEL COUNTY OF COOK 06/23/10 LAW OFFICES PETER LEKAS INMAN & FITZGIBBONS 31 12WC 31448 MEHANOVIC, DZEVAD LAKESIDE ABM 08/10/12 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 13WC016683 -C ABM LAKESIDE BUILDING MAIN 13WC033893 -C ABM JANITORIAL 32 12WC 36225 DOTSON, NANCY CITY OF CHICAGO 01/01/12 STEPHEN G PINTO LTD CITY OF CHICAGO 33 12WC 40483 MERTES, PAULETTE MT PROSPECT PARK DIST 07/09/12 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 13WC029021 -C 34 12WC 40759 GOINS, LA BARBA CHICAGO BOARD OF EDUCATIO 05/29/12 POLTROCK & POLTROCK LAW DEPARTMENT 35 12WC 42169 KELLY, CARVEL CITY OF CHICAGO BLDG DEPT 08/16/12 SANDMAN LEVY & PETRICH CITY OF CHICAGO 36 12WC 42325 GRAY, KENNETH WATER ONE INC 09/01/12 JAMES M RIDGE LAW OFFICE LAW OFFICES OF EDWARD J. KOZ 37 13WC 05507 ROCCASALVA, JASON M WESTSIDE MECHANICAL INC 06/18/12 RUBIN LAW GROUP HOLECEK & ASSOCIATES 13WC005508 -C 38 13WC 16933 GUZMAN, SALVADOR MONDELEZ INTL SERVICE D/B 02/16/13 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 39 13WC 17410 SOLARTE, YOLANDA CHICAGO STATE UNIVERSITY @ 03/01/13 MAURICE E DUSKY PC ASSISTANT ATTORNEY GENERAL 40 13WC 17524 FRAPANPINA, JOSEPH M, III GARDA CASH LOGISTICS 02/22/13 LANZILLOTTI GRIBBEN & MARC KEEFE CAMPBELL & ASSOC LLC 16WC004572 -C 41 13WC 17733 GRAHAM, VASA BRIDGFORD QUALITY FOODS 05/08/13 ASHER, RAYMOND L LTD GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 13WC 19234 JONES, HENRIKA CHICAGO TRANSIT AUTHORITY 04/15/12 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 43 13WC 20626 MATTHEWS, CARY CITY OF CHICAGO 01/12/12 LUSAK AND COBB CITY OF CHICAGO 14WC034252 -C 44 13WC 22636 COZZI, ANTHONY CITY OF CHICAGO 03/27/13 GOLDBERG WEISMAN & CAIRO L CITY OF CHICAGO 45 13WC 25969 LUEVANOS, YOLANDA ST ANTHONY HOSPITAL 07/01/13 MARVIN A BRUSTIN LTD KLAUKE LAW GROUP LLC 14WC022957 -C 14WC022958 -C 46 13WC 27554 RICHARDSON, KARENA UNIVERSITY OF CHICAGO HOS 06/29/13 MARKER & ASSOCIATES NOBLE & ASSOC 47 13WC 27831 FAUST, WALLACE JERNBERG INDUSTRIES 10/25/12 CHRISTINE F DAVID 13WC027833 -C 48 13WC 29978 BARNER, BERTHA JOHN J MADDEN 07/06/13 HORWITZ HORWITZ & ASSOC TERESA R MAHER 49 13WC 33957 SILVA, JOSE N MAURITZON INC 09/23/13 50 13WC 38663 VERMILLION, VIVI FRANCISCAN ST JAMES HEALT 06/17/13 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 51 13WC 39552 KOLK, TRACI DISTRICT U46 09/25/13 RICHARD O. GREENFIELD NYHAN BAMBRICK KINZIE & LOWR 52 13WC 39896 MANNEY, DELORES STATE OF ILLINOIS @ 12/14/11 MINKOW DOMIN ASSISTANT ATTORNEY GENERAL 53 14WC 04470 CAMPBELL, SYLVESTER CITY OF CHICGO STREETS AN 02/05/14 BAUM RUFFOLO & MARZAL LTD CITY OF CHICAGO 54 14WC 05443 HAWN, THOMAS SUPERIOR TRUSS & PANEL IN 02/04/14 JAMES ELLIS GUMBINER & ASS GANAN & SHAPIRO 55 14WC 05471 HARRISON, JOHN B OGGLESBY ELEMENTARY SCHOO 01/31/14 KENNETH B GORE, LTD LEAHY EISENBERG & FRAENKEL 56 14WC 05782 PETERS, ELIA CLERK OF COOK COUNTY 02/03/14 STEPHEN G PINTO LTD INMAN & FITZGIBBONS 17WC011556 -C 18WC016900 -C 57 14WC 06035 SVOBODA, ROGER CITY OF CHICAGO 02/05/14 PARENTE & NOREM PC CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 14WC 10114 CAMPUZANO, JOSEFINA COMMUNITY CARE SYSTEMS, I 02/11/14 KENNETH B GORE, LTD LIVINGSTONE MUELLER ET AL 59 14WC 11262 MARTIN, EDGAR IL DEPT OF @ 09/01/12 BRUSTIN & LUNDBLAD LTD JEANNINE SIMS 11WC021426 -C 12WC036359 -C ILLINOIS DEPARTMENT OF 60 14WC 17091 DELGADO, LINDA CITY OF CHICAGO DEPT OF 12/04/10 CUDA LAW OFFICES CITY OF CHICAGO 14WC017092 -C 14WC017093 -C 14WC017094 -C 14WC017095 -C 17WC015912 -C 18WC024296 -C 61 14WC 18623 BLACKBURN, DENISE CHE TRINITY INC (LUMC) 02/19/14 LEONARD LAW GROUP LLC LORENZ & BERGIN PC 62 14WC 18702 FLOURNOY, DEJEANETTE M COOK COUNTY SHERIFF 04/27/14 ANKIN LAW OFFICE INMAN & FITZGIBBONS 63 14WC 26143 19B GOW, VICKIE RICKLEE VANS 05/16/14 ALEKSY BELCHER GALLIANI DOELL & COZZI LTD 64 14WC 27308 BATES, JEVON COOK COUNTY SHERIFF'S DEP 06/30/14 RANDALL T MANOYAN INMAN & FITZGIBBONS 65 14WC 27633 OZIMINSKI, MICHAEL U S SMOKELESS TOBACCO CO 06/05/14 HORWITZ HORWITZ & ASSOC CACCHILLO LAW GROUP LLC 66 14WC 29810 HERNANDEZ, RICARDO AEP INDUSTRIES 07/02/14 SCOTT B SHAPIRO GRANT & FANNING 67 14WC 34952 THOMAS, KEVIN CITY OF CHICAGO 10/10/14 VRDOLYAK LAW GROUP LLC CITY OF CHICAGO 68 14WC 38371 VEGA, RICHARD METROPOLITAN WATERRECLAIM 01/17/14 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 15WC002864 -C 69 14WC 38415 ZAJICEK, THOMAS B JR STATE OF ILLINOIS @ 10/26/14 GOLDBERG WEISMAN & CAIRO L JILL OTTE 70 14WC 38419 VARGAS, OMAR CBM PLUMBING 07/14/14 CUDA LAW OFFICES CASSANO & ASSOCIATES 71 14WC 38438 PHILLIP, TORIA CITY OF CHICAGO 07/05/14 MC HARGUE & JONES CITY OF CHICAGO 72 14WC 39100 ELKIN, KAREN CIM GROUP 02/06/14 LAW OFFICE OF SCOTT B SHAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 73 14WC 39253 SIMMONS, DARNELL CITY OF CHICAGO 09/10/84 KARCHMAR & STONE CITY OF CHICAGO 74 14WC 39372 SMITH, VANESSA STATE OF ILLINOIS HFS @ 10/07/14 ASSISTANT ATTORNEY GENERAL 75 14WC 39664 NAJERA, JIMMY SEARS HOLDINGS CORPORATIO 09/15/14 CHRISTINE F DAVID GAROFALO SCHREIBER STORM GRA 76 14WC 40598 DIAZ, ELLIS O JEWEL - OSCO 01/06/14 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 77 15WC 02066 YELLI, MENISHI ZENITH FACILITY SERVICES 10/23/14 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 78 15WC 03812 CISNEROS, BALTAZAR TOMAHAWK TRUCKING 10/28/14 STEVEN A CRIFASE, LTD 79 15WC 05016 KRAMER, ROGELIA ELI'S CHEESECAKE FACTORY 09/03/14 EVAN A HUGHES LAW OFFICE HOLECEK & ASSOCIATES 80 15WC 05196 JENKINS, JOHNNY N COMCAST 01/04/15 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 81 15WC 06109 REYES, DAVID SR BCI COMPONENTS AND 09/09/14 BAUM RUFFOLO & MARZAL LTD 82 15WC 06172 JACKSON, NAKIA DEPARTMENT OF STREETS 02/06/15 GOLDSTEIN BENDER & ROMANOF 83 15WC 06908 FRAIRE, MARIA MENASHA PACKAGING COMPANY 02/10/15 COHN & COHN GOLDBERG SEGALLA LLC 84 15WC 11084 MCKISSACK, SANDY BEACON HILLS 03/10/15 LAW OFFICE NANCY HIRSCH LL 85 15WC 14550 HUFF, CINDY CHICAGO TRANSIT AUTHORITY 03/17/14 ERIC M GLASSON & ASSOCIATE CHICAGO TRANSIT AUTHORITY 86 15WC 14715 ANAYA, JOSE SECURITAS 04/18/15 LAW OFFICES ROBERT WARSASK WIEDNER & MCAULIFFE LTD 87 15WC 14819 CANALE, LORETTA MARIANO'S/ROUNDY'S 11/20/13 VRDOLYAK LAW GROUP LLC BRYCE DOWNEY & LENKOV LLC 88 15WC 15311 TOWNSEND, CELESTE ATKORE INTERNATIONAL 11/05/13 DANIEL PERIASWAMY HENNESSY & ROACH PC 15WC015312 -C 89 15WC 16200 ALFARO, ABEL A. MOST VALUABLE PERSONNEL 04/23/15 EPSTEIN, JACK R LAW OFFICE KOREY RICHARDSON LLC 90 15WC 16241 CARPENTER, DENISE THE SALVATION ARMYSTORE # 11/22/14 DWORKIN AND MACIARIELLO EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 15WC 16608 PEAKE, ROBYN CTA 01/29/15 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 92 15WC 16760 GARRARD, LARA-TERESA UNITED AIRLINES 04/27/15 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 19WC001603 -C 93 15WC 17003 OCAMPO, FLEICIANO IRVINGTON, INC. 04/12/15 JOHN S. ELIASIK KOPKA, PINKUS DOLIN, PC 15WC017534 -C ALPS WEST RESTAURANT & 94 15WC 17050 DIXON, TAMIRRA CTA 09/08/13 DWORKIN AND MACIARIELLO CHICAGO TRANSIT AUTHORITY 95 15WC 17767 JANETZKE, LYNETTE NORTHWESTERN MEMORIAL HOS 04/12/14 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 96 15WC 18345 GUERRERO, ALEJANDRO WHEATLAND TUBE CO 04/06/15 STEPHEN G PINTO LTD GAROFALO SCHREIBER STORM GRA 97 15WC 18415 WELLS, MICHAEL A. HUDSON BOILER & TANK COMP 09/26/14 KARCHMAR & STONE THOMAS & ASSOCIATES 15WC018417 -C 15WC018418 -C 15WC018419 -C 98 15WC 23912 THOMPSON, JAMES CHICAGO TRANSIT AUTHORITY 06/27/14 DANIEL PERIASWAMY CHICAGO TRANSIT AUTHORITY 99 15WC 23939 CUNDARI, ALBERT CITY OF CHICAGO 07/30/15 HEALY SCANLON LAW FIRM CITY OF CHICAGO 100 15WC 28014 HUNT, SANFORD CITY OF CHICAGO POLICE DE 07/14/15 COHN LAMBERT RYAN & SCHNEI CITY OF CHICAGO 101 15WC 28090 JACKSON, ANTHONY MONDELEZ INTERNATIONAL 08/14/14 LUSAK AND COBB BRADY CONNOLLY & MASUDA PC 102 15WC 33833 ROSALIO BALTAZAR, JESUS OK AUTO REPAIR & BODY SHO W 10/02/15 MC HARGUE, JAMES P LAW OFF 103 15WC 36149 19B DAVILA, ALBERTO CHICAGO HEIGHTS POLICE DE 09/22/15 COVEN LAW GROUP DEL GALDO LAW GROUP LLP 104 15WC 36684 BRONAKOWSKI, NANCY ALL TRUST 10/01/15 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 105 15WC 37334 WIERZBOWSKA, ALICJA ANDY'S DELI & MIKOLAJCZYK 01/16/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 106 15WC 37618 FIGUEROA, MIRNA KOCH FOODS 10/12/15 PETER LEKAS RUSIN & MACIOROWSKI LTD 18WC023750 -C KOCK FOODS 107 15WC 38008 UGWA, KINGSLEY CHICAGO CARRIAGE CAB - 08/23/15 HORWITZ HORWITZ & ASSOC DEBORAH SCHAEFER 108 15WC 38378 SAMPSON, KENNETH CTA 05/18/15 SMOLER LAW OFFICE, PC CHICAGO TRANSIT AUTHORITY 109 15WC 39926 MELLETT, CATHERINE COOK CTY SHERIFF'S OFFICE 08/06/15 RIDGE & DOWNES INMAN & FITZGIBBONS 110 15WC 41402 SPRUELL, GWENDOLYN CTA 12/10/15 O'TOOLE LAW FIRM LLC CHICAGO TRANSIT AUTHORITY 111 16WC 00505 LORENZI, CHRISTOPHER NATIONAL POWER RODDING 10/07/15 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 112 16WC 04017 DOMINGUEZ, FABIOLA F FARMINGTON FOODS 12/16/15 CULLEN HASKINS NICHOLSON CAPUANI, FRANK S 17WC013296 -C 113 16WC 04197 VILLALOBOS, GILBERTO GPA CONTRACTING SERVICES @ 12/11/15 EFTEKHARI LAW OFFICES GANAN & SHAPIRO 114 16WC 04404 GUZMAN, JOSE G MENASHA PPACKAGING CO 01/17/15 ACEVES & PEREZ PC HEYL ROYSTER VOELKER & ALLEN 17WC020170 -C 115 16WC 04563 GIOIA, ANTHONY CITY OF CHICAGO 06/29/15 DEPAOLO & ZADEIKIS CITY OF CHICAGO 116 16WC 04961 TOMINELLO, JOHN R CITY OF CHICAGO DEPT 02/10/16 RUBIN LAW GROUP CITY OF CHICAGO 117 16WC 04972 CUDIA, LUZ RAQUELITA 1ST ASSIST HOME HEALTHCAR 12/30/15 MARC J SHUMAN & ASSOCIATES HENNESSY & ROACH PC 118 16WC 05135 PARKINSON, ANJEL COOK COUNTY JUVENILE DEPT 03/24/14 RIDGE & DOWNES STATES ATTORNEY OF COOK COUN 119 16WC 05538 MORTERA, JACOB CHICAGO TRANSIT AUTHORITY 01/01/16 MARC J SHUMAN & ASSOCIATES CHICAGO TRANSIT AUTHORITY 120 16WC 06309 SUSCAVAGE, RONALD NEWLY WEDS FOODS INC 01/29/15 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM GRA 121 16WC 06487 SAEZ, EDWIN SMITH-COPPER INTERNATIONA 10/19/15 ANKIN LAW OFFICE JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 16WC 06962 STEWART, CHERYL CITY OF CHICAGO 02/26/16 GORDON & CENTRACCHIO LLC CITY OF CHICAGO 123 16WC 06988 DAVIS, ANYA UNITED AIRLINES, INC. 11/01/15 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 124 16WC 08388 BERRY, MELISSA S CHICAGO TRANSIT AUTHORITY 02/14/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 125 16WC 10519 HOWELL, TAMIEKA CITY OF CHICAGO 01/14/16 STEVEN M SELAN CITY OF CHICAGO 126 16WC 12820 ROBERTS, CAROLYN FEDEX 03/16/16 BURNES & LIBMAN 127 16WC 14109 AMATO, FRANK ILLINOIS DEPARTMENT @ 08/04/15 FIGLIOLI, DAVID STEPHANIE KEVIL 128 16WC 14127 MANOLIS, PHIL KINFORK 04/09/16 SLAVIN & SLAVIN BRADY CONNOLLY & MASUDA PC 129 16WC 14375 STAPLES, MICHAEL CTA 04/18/16 SOSTRIN AND SOSTRIN PC CHICAGO TRANSIT AUTHORITY 130 16WC 14843 SMITH, MARK LAZ PARKING CHICAGO, LLC. 04/05/16 PORRO NIERMANN LAW GROUP MEACHUM & STARCK 131 16WC 14906 PEREZ, EDWIN CARLOS CONSTRUCTION CO. W 08/02/14 JAMES ELLIS GUMBINER & ASS QUINTAIROS PRIETO WOOD & BOY 132 16WC 15067 LAWAL, LINDA CHICAGO TRANSIT AUTHORITY 11/05/15 SEIDMAN MARGULIS & FAIRMAN CHICAGO TRANSIT AUTHORITY 16WC015068 -C 133 16WC 15176 ROGERS, LEROY JOHN TODD 04/08/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 16WC015526 -C 134 16WC 15201 GUNN, SANDRA ZURICH NORTH AMERICA 05/22/13 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 135 16WC 16007 MONTERO, JOSE LUIS DICICCO CONCRETE PRODUCTS 04/13/15 RUBENS KRESS MULHOLLAND WOLFE & JACOBSON, LTD 16WC016008 -C 136 16WC 16147 ALVAREZ, HECTOR BUEDEL FINE MEATS 03/16/16 DWORKIN AND MACIARIELLO KRAKER FANNING & OLSEN 137 16WC 16418 DIAZ, CHRISTINA ARYZTA LLC 03/25/16 SALK, STEVEN B & ASSOC LTD HENNESSY & ROACH PC 16WC016419 -C 16WC022841 -C 138 16WC 17091 ROBINSON, KEITH L. VARGAS GROUP 07/10/14 GORDON & CENTRACCHIO LLC THOMAS & PORTELA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 16WC 17290 RANGEL, ZENAIDA SUBMARINE PORT 04/15/16 SPENCER LAW OFFICES GAROFALO SCHREIBER STORM GRA 140 16WC 17491 RIVERA, EDDIE SWEDISH COVENANT HOSPITAL 08/06/12 CHRISTINE F DAVID RUSIN & MACIOROWSKI LTD 141 16WC 17575 BUTLER, DATRIN MARIANO'S FRESH MARKET 04/09/16 CHARLES LEVY & ASSOC LTD 142 16WC 21149 19B MCDONAGH, THOMAS P CITY OF CHGO-DEPT WATER M 04/15/16 O'CONNOR & NAKOS CITY OF CHICAGO 143 16WC 21868 TAMAYO, JORGE CITY OF CHICAGO 06/30/16 COVEN LAW GROUP 144 16WC 23897 KERMAN, ROBERT CHICAGO BOARD OF EDUCATIO 08/04/16 ANESI OZMON RODIN NOVAK KO CHGO BOARD OF EDUCATION 145 16WC 24445 MARIOTTI, MICHAEL J. NORTHROP GRUMMAN CORPORAT 11/30/15 LAW OFFICE PHILIP BLOMBERG RUSIN & MACIOROWSKI LTD 146 16WC 24510 JONES, TORRENCE CPS/RYDER SCHOOL 08/09/16 COSTA IVONE LLC CHGO BOARD OF EDUCATION 147 16WC 24611 LILLARD, CAROL CHICAGO TRANSIT AUTHORITY 07/19/16 THE ROMAKER LAW FIRM CHICAGO TRANSIT AUTHORITY 148 16WC 24619 HOPE, CHERYL THE RESIDENCES AT RIVER 03/18/16 FRIEDMAN, MICHAEL T & ASSO HENNESSY & ROACH PC 149 16WC 25343 GAWLIK, ROSEMARIE COOK COUNTY FACILITIES 07/29/16 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 150 16WC 25389 MURPH, DANIELLE CTA 07/12/16 FOHRMAN, DONALD W & ASSOCS CHICAGO TRANSIT AUTHORITY 151 16WC 25729 RIVERA, ESTEVAN D.T. CHICAGOLAND EXPRESS 01/09/15 BOGUSZ & BOGUSZ LTD EVANS & DIXON 16WC025730 -C 152 16WC 26115 GUZMAN, CARLOS SIPI METALS CORPORATION 08/11/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 17WC001353 -C 153 16WC 26247 JARAMILLO, SOCORRO AS WID THE ACACIA ASSOCIATION # 05/05/16 PORRO NIERMANN LAW GROUP THOMAS & PORTELA 154 16WC 26303 WIGITON, DEBRA SOUTHWEST AIRLINES CO 07/02/16 PATRICOSKI, MARK G HENNESSY & ROACH PC 155 16WC 26392 CUSACK, PATRICIA CITY OF CHICAGO 03/09/16 HEALY SCANLON LAW FIRM 156 16WC 26609 LEVINE, KATHERINE COOK COUNTY 01/10/14 SEIDMAN MARGULIS & FAIRMAN STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 16WC 27148 ROBERSON, ROBIN CDT 08/22/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 158 16WC 27311 DUSZYNSKI, THOMAS DEPAUL UNIVERSITY 08/03/15 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 159 16WC 34428 SANTOS, MAURA SONESTA HOTEL 10/19/16 HERRERA LAW CENTER 160 16WC 34497 NIEVES, ENRIQUE COOK COUNTY 09/08/15 KROL BONGIORNO & GIVEN LTD INMAN & FITZGIBBONS 19WC007442 -C 161 16WC 34540 ROMO-SANCHEZ, GERARDO DOC B'S FRESH KITCHEN 10/15/16 RUEDA, IVAN A 162 16WC 34612 SALDIVAR, MARCO CITY WIDE DISPOSAL AND 08/05/15 MENDOZA LAW PC LITCHFIELD CAVO 163 16WC 34992 NORWOOD, LEON COOK COUNTY HIGHWAY DEPT 09/06/16 VRDOLYAK LAW GROUP LLC STATES ATTORNEY OF COOK COUN 164 16WC 35137 TAMAYO, JUICE JUICE TYME 12/23/13 LAW OFFICE HUGO ORTIZ 165 16WC 35248 DE FILIPPO, BARBARA PROVIDENCE HOME HEALTH 03/24/16 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 166 16WC 35625 HAGGERTY, MARQUITHE O'REILLY AUTO PARTS 11/15/16 COSTA IVONE LLC HENNESSY & ROACH PC 167 16WC 35666 HARRIS, CAROLYN COUNTRY CLUB HILLS POLICE 11/14/16 SKLARE LAW GROUP HENNESSY & ROACH PC 168 16WC 35774 LATIMER, SHARON WALGREENS 11/01/14 DWORKIN AND MACIARIELLO 169 16WC 36585 HARRIS, TIENEH HYATT REGENCY MCCORMICK P 10/18/16 MORGENSEN LAW LLC NYHAN BAMBRICK KINZIE & LOWR 19WC000054 -C 170 16WC 36742 THOMAS, CHARLES GREEN DOLPHIN INC/ 10/23/16 KOFOED, RUSSEL M 171 16WC 37135 DRIVER, AARON S IL DEPTMENT OF HUMAN SERV 02/16/16 CHEPOV & SCOTT LLC ALYSSA SILVESTRI 172 16WC 37165 BOERMA, KEVIN INTERNATIONAL DECORATORS, 01/16/15 CUTLER & SILVERGLADE ROSARIO CIBELLA 173 16WC 37254 VELASQUEZ, CARLOS G UIC POLICE DEPT 06/30/15 O'CONNOR & NAKOS POWER & CRONIN LTD 174 17WC 03734 REED, SHERWIN MESSINA GROUP 02/17/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 17WC 03861 WILLIAMS, NICOLE CHICAGO TRANSIT AUTHORITY 06/15/16 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 176 17WC 03981 KYSER, LARRY BERRY PLASTICS 02/05/17 JAMES J BURKE LAW OFFICE 177 17WC 04073 MORZEL, GUS L ROOFING SOURCE AKA 07/30/15 GARDI & HAUGHT LAW OFFICES OF EDWARD J. KOZ 178 17WC 04270 GILES, PAULETTE AMERICAN AIRLINES INC 12/02/16 RICHARD O. GREENFIELD GAROFALO SCHREIBER STORM GRA 179 17WC 04360 BARKER, DENISE B CHICAGO BOARD EDUCATION 12/16/16 LEONARD LAW GROUP LLC 180 17WC 04622 KOHN, ROBERT IL DEPT OF TRANSPORTATION 09/27/15 CUDA LAW OFFICES ASSISTANT ATTORNEY GENERAL 20WC022481 -C 20WC022482 -C 181 17WC 04755 CERVANTES, JUAN L TIFFANY MATTRESS 01/20/17 SALVATO & O'TOOLE 182 17WC 04769 MURPHY, PETER RC HOME MAINTENANCE INC 10/09/16 183 17WC 05148 SULTANKHODZHAEV, DASTAN FLASH CAB CO 01/01/17 LAW OFFICES YEVGENIY VAYSM 184 17WC 05255 BUCHANAN, FREDERIC G CITY OF CHICAGO, DEPARTME 11/16/16 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 185 17WC 05415 TERRY, MARK ELITE STAFFING 01/26/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 186 17WC 05501 MORENO, JORGE SHAW'S CRAB HOUSE 01/13/15 JONATHAN SCHLACK NOBLE & ASSOC 17WC005502 -C 187 17WC 05537 HEFFERNAN, BRAIN CITY OF CHICAGO DEPT OF T 02/03/17 CULLEN HASKINS NICHOLSON 188 17WC 05559 STAMPS, MARSHA CHICAGO PUBLIC SCHOOLS 09/25/15 DWORKIN AND MACIARIELLO 189 17WC 05612 NORIEGA, LUIS A PACE NORTHWEST 02/24/14 190 17WC 05655 THOMAS, DAPHNE J CITY OF CHICAGO, DEPT OF 02/07/17 COHN LAMBERT RYAN & SCHNEI 191 17WC 05692 AGLE, BRIAN ORLAND FIRE PROTECTION DI 02/02/17 CULLEN HASKINS NICHOLSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 17WC 05793 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 01/25/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 193 17WC 06317 ZAID, RAJA CHICAGO CARRIAGE CAB 07/11/16 SCOTT B SHAPIRO 194 17WC 06356 ZIENTEK-FIOCOLA, JENA LOYOLA UNIVERSITY MEDICAL @ 09/23/16 LAW OFFICE OF SCOTT B SHAP LORENZ & BERGIN PC 18WC022139 -C 195 17WC 06435 HARRINGTON, DANYELL SMG FOOD & BEVERAGE, LLC 02/23/17 RITTENBERG & BUFFEN 196 17WC 06547 STADNYCHUK, MYKOLA REMODLERS SUPPLY CNTR DIV 02/06/17 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 197 17WC 06817 HERNANDEZ, MARIA LAND O FROST 02/22/17 198 17WC 06880 GAZLAY, GLORIA UNITED AIRLINES INC 01/03/17 BRIAN J MC MANUS & ASSOC, WIEDNER & MCAULIFFE LTD 199 17WC 06933 OAKLEY, HOLLY ABBOTT MOLECULAR INC 12/23/16 CZAPLA LAW 200 17WC 11427 CARAWAY, MEGAN AMERICAN AIRLINES 12/10/16 SAUNDERS CONDON & KENNY 201 17WC 13690 STEWART, ORLANDO ST MARTHA MANOR 05/27/16 DAVID W MARTAY GALLIANI DOELL & COZZI LTD 202 17WC 13706 CAMACHO, JORGE H. INTERMODAL REPAIRS SERVIC 10/16/15 SALK, STEVEN B & ASSOC LTD THOMAS & PORTELA 203 17WC 14189 GALLEGOS, TERESA LAND O' FROST 03/14/17 CIARDELLI CUMMINGS CAMPAGN SCHOUEST BAMDAS SOSHEA 204 17WC 14339 LOFTMAN-DAVIS, MARIKA STATE OF IL LUDEMAN @ 05/01/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 205 17WC 14482 BYRD, YAHALOM HAYES-GIBSON INT & LENZY 01/16/17 COSTA IVONE LLC RIPES NELSON BAGGOT KALOBRAT 206 17WC 14696 GUAJAN, LIDIA OSI INDUSTRIES 05/08/17 BRISKMAN BRISKMAN GREENBER HENNESSY & ROACH PC 207 17WC 14720 PALMA, CONSTANTINA BWAY CORPORATION 12/01/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 208 17WC 14744 HERNANDEZ, SANDRA WEBER STEPHENS PRODUCTS 01/10/17 LAW OFFICE OF SCOTT B SHAP JOSEPH MARCINIAK 209 17WC 14927 BRADLEY, JIMMY DENTON CARTAGE TRUCKING C 04/28/17 ANGELINI & ORI LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 17WC 14990 DOROBA, FRANK ORKIN 03/08/17 DEPAOLO & ZADEIKIS BRADY CONNOLLY & MASUDA PC 211 17WC 15240 PEREZ, TIMOTHY COOK CNTY DEPT OF CORRECT 04/06/16 MC HARGUE & JONES INMAN & FITZGIBBONS 212 17WC 15672 REARDON, JOAN INGALLS MEMORIAL HOSPITAL 04/09/17 CUDA LAW OFFICES NYHAN BAMBRICK KINZIE & LOWR 17WC015673 -C 213 17WC 15741 RODRIGUEZ, JUAN SHERWIN WILLIAMS 07/26/16 ANKIN LAW OFFICE GANAN & SHAPIRO 214 17WC 15955 GUERRERO, ALICIA F MCDONALD'S 02/25/17 CULLEN HASKINS NICHOLSON 215 17WC 16184 RIX, JONATHAN UBER EATS 03/01/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 216 17WC 16709 CORONA, JAVIER THE CUSTOM COMPANY 04/11/16 COSTA IVONE LLC 217 17WC 16785 GALAN, DIANE COOK COUNTY SHERIFF'S 05/22/17 SMOLER LAW OFFICE, PC STATES ATTORNEY OF COOK COUN 218 17WC 23435 KINSLOW, ADAM RED LOBSTER MANAGEMENT, L 07/18/17 LAW OFFICE NICHOLAS H. MIH BRYCE DOWNEY & LENKOV LLC 219 17WC 23521 ALAGNA, PETER WILL COOK COUNTY 05/04/15 COVEN LAW GROUP HINSHAW & CULBERTSON 220 17WC 23730 DELL-PETERSON, MONIQUE ILLINOIS TOLLWAY 12/02/16 SKLARE LAW GROUP GANAN & SHAPIRO 17WC025747 -C 221 17WC 23744 PATEL, JAYANTIBHAI K. DUNKIN DONUTS OF AMERICA, 04/16/17 BAUM RUFFOLO & MARZAL LTD 222 17WC 23839 MERRITT, GLORIA CHICAGO YOUTH PROGRAM 05/10/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 17WC023918 -C 223 17WC 23866 BARNETT, LISA CITY OF CHICAGO, DEPART O 06/14/17 HORWITZ HORWITZ & ASSOC 224 17WC 23920 PATLAN, MARIA BRENTWOOD SUB-ACUTE 07/16/17 DWORKIN AND MACIARIELLO 225 17WC 24016 MANZON, HAROLD UNITED AIRLINES, INC 02/05/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 18WC008415 -C 226 17WC 24243 LEWIS, CHERISSE COOK COUNTY CLERK OFFICE 04/01/17 DWORKIN AND MACIARIELLO STATES ATTORNEY OF COOK COUN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 17WC 24424 BROOKS, ERIC CITY OF CHICAGO 07/19/17 EDWIN REYES LEGAL GROUP 228 17WC 24572 FOUGHALI, HOCINE GEORGIA NUT COMPANY 07/03/17 LAW OFFICES ROBERT WARSASK CAPUANI, FRANK S 229 17WC 24588 COBBINS, CHERESSE HALSTED PHARMACY, INC 08/08/17 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 230 17WC 24672 TRIPLETT, LANELL CHICAGO PARK DISTRICT 09/09/16 CHICAGO PARK DIST LAW DEPT 231 17WC 24697 CANALES, PEDRO REYES DECORATING 07/28/17 EPSTEIN, JACK R LAW OFFICE 232 17WC 24730 PINA, YNOCENCIO THE ELI'S CHEESECAKE COMP 08/13/16 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 233 17WC 24775 TEDMON, CHRISTOPHER SWISSPORT USA INC 08/18/17 TAXMAN POLLOCK KNELL & O'CONNOR 234 17WC 24836 GORDON, JIMMY ARENA ONE FOOTBALL LLC 06/20/15 GORDON LAW OFFICES LTD 235 17WC 24920 ESCO, JAMES E. POWER STOP LLC 08/12/17 ANKIN LAW OFFICE ACCIDENT FUND HOLDINGS 19WC029035 -C 236 17WC 25069 BROWNLEE, TANETTA DIY GROUP INC 06/14/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 237 17WC 25213 CRUZ, FRANCISCO SUGAR FACTORY 08/17/17 SALK, STEVEN B & ASSOC LTD INMAN & FITZGIBBONS 238 17WC 25302 JACKSON, LAKECIA THE UNIVERSITY OF CHICAGO 08/10/17 BRIAN J MC MANUS & ASSOC, RUSIN & MACIOROWSKI LTD 239 17WC 25320 LITTLE, EMANUEL COOK COUNTY CLERK OF COUR 08/07/17 LEONARD S. BECKER STATES ATTORNEY OF COOK COUN 240 17WC 25365 ROJAAS, SANDRA PSSI-PACKERS SANITATION 11/22/15 GOLDSTEIN BENDER & ROMANOF 241 17WC 25423 GARCIA, GUILLERMINA LCV STAFFING 08/21/17 SALVATO & O'TOOLE GAROFALO SCHREIBER STORM GRA 242 17WC 25456 ROSENTHALL, JOSEPH GRT TRANSPORATION 08/28/17 COSTA IVONE LLC 243 17WC 25681 HAMILTON, ANTOINETTE CHICAGO TRANSIT AUTHORITY 08/18/17 VRDOLYAK LAW GROUP LLC VRDOLYAK LAW GROUP LLC 244 17WC 25721 RIOS, BENITO A TOYOTA TSUSHO AMERICA INC 12/03/16 LAW OFFICES DEBORAH SCHAEF HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 17WC 25802 VAZQUEZ, JOANNA NORWEGIAN AMERICAN HOSPIT 05/29/17 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM GRA 246 17WC 25924 SCOTT, DONESHA JAMILA RICH PRODUCTS CORP 04/07/17 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 247 17WC 26038 EDWARDS, PATRICIA EVANSTON TOWNSHIP HIGH SC 07/05/17 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 248 17WC 26095 DE LO SANTO, JULIO SCRUB INC 03/02/17 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 249 17WC 26141 OWENS, DAVID WHOLE FOODS MARKET 07/09/17 HORWITZ HORWITZ & ASSOC 250 17WC 26943 RIVERA, JOSE L CITY OF CHICAGO 06/22/17 VITELL & SPITZ LTD 251 17WC 32944 ROMO, ALEJANDRO INFINITY TRAILER REPAIR 10/01/17 HERRERA LAW CENTER HOLECEK & ASSOCIATES 252 17WC 33040 BANYAMIN, GLADES RGB, INC 07/11/17 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH PC 253 17WC 33096 ROBINSON, APRIL CTA 10/21/17 COSTA IVONE LLC CHICAGO TRANSIT AUTHORITY 254 17WC 33250 SABA, MICHAEL CHICAGO TRANSIT AUTHORITY 09/08/17 HEALY SCANLON LAW FIRM CHICAGO TRANSIT AUTHORITY 19WC001060 -C 19WC001061 -C 255 17WC 33278 GARCIA, OMAR RICH PRODUCTS CORP. 02/19/16 LEONARD LAW GROUP LLC GILDEA & COGHLAN 256 17WC 33346 WATSON, DENISE GATE GOURMET 11/07/17 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 257 17WC 33399 BOLDEN-SMITH, LILLIAN ADDUS HOME 10/21/17 VRDOLYAK LAW GROUP LLC WIEDNER & MCAULIFFE LTD 258 17WC 33611 BERMUDEZ, ELVA FLYING FOOD GROUP, LLC. 11/05/17 SALK FLORES & BRODERICK GOLDBERG SEGALLA LLC 259 17WC 33785 VELAZQUEZ, YOLANDA CITY OF CHICAGO 10/25/17 BURNETT & CARON, LTD HENNESSY & ROACH PC 260 17WC 33879 GARDNER, TERRENCE PROVISO TOWNSHIP HIGH SCH 10/28/17 SHANNON LAW GROUP ANCEL GLINK DIAMOND BUSH & E 261 17WC 34027 PATTERSON, SHEILA JJ MADDEN 09/28/17 EDWIN REYES LEGAL GROUP ALYSSA SILVESTRI 262 17WC 34074 GONZALEZ HERNANDEZ, JUAN WORLD CLEANING SVCS, INC 09/19/17 JAMES M GERAGHTY BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 263 17WC 34198 HOFFMAN, MICHAEL R ECOLAB, INC 12/01/16 BUDIN LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 264 17WC 34377 EMMANUEL, ADESHINA O SUN TAXI 11/03/17 LAW OFFICE OF SCOTT B SHAP GRANT & FANNING 265 17WC 34529 PERRINO, EMANUEL EVANSTON FIRE DEPT 03/13/15 HUGHES SOCOL PIERS RESNICK WIEDNER & MCAULIFFE LTD 19WC023499 -C 266 17WC 34652 MCADORY, JACQUELINE ADDUS HEALTH CARE 09/11/17 CHARLES LEVY & ASSOC LTD HENNESSY & ROACH PC 267 17WC 34703 ALPHONSE, LANTANYA CTA 07/29/16 LAW OFFICE JOSHUA KARMEL CHICAGO TRANSIT AUTHORITY 268 17WC 34978 VESELI, TEFIKE ASHA SALON & SPA 05/24/16 SCOTT BARBER JOSEPH MARCINIAK 269 17WC 35042 MOORE, VINCENT THE HABITAT CO, LLC 11/16/17 KEANE LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 270 17WC 35196 ROZSIVAL, MICHAL CHICAGO BLACKHAWKS HOCKEY 01/16/15 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 271 17WC 35306 TERRY JR, MARK NICHOLAS ELITE STAFFING INC 10/02/17 POMPER & GOODMAN BRADY CONNOLLY & MASUDA PC 272 17WC 35322 BALL, DONALD L CITY OF CHGO DEPT OF WATE 10/11/17 KOSIN LAW OFFICE LTD 273 17WC 35380 HERMAN, DIONNDREA SOUTH SUBURBAN REHAB CENT 09/15/17 FRIEDMAN & SOLMOR LTD BRADY CONNOLLY & MASUDA PC 274 17WC 35426 JENNER, EDWARD O'HARE CAB CO. 10/29/17 HUNER LAW OFFICES LLC 275 17WC 35493 AGUILAR, JUAN EMA GROUP, INC 11/15/17 ACEVES & PEREZ PC 276 17WC 35541 MARTINEZ, MARITZA HARVARD MAINTENANCE 11/20/17 SEIDMAN MARGULIS & FAIRMAN GAIDO & FINTZEN 277 17WC 35652 SKINNER JR, GROVER KOPPERS INC 05/31/17 RUSIN & MACIOROWSKI LTD 18WC032656 -C 18WC032657 -C 18WC032658 -C 278 17WC 35675 KARIMI, KAYVON VILLAGE OF HOMEWOOD 11/25/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 279 17WC 35784 DEROSA, JEREMY FIRST PRIORITY RESTORATIO 10/21/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 18WC 06547 FINNIGAN, BART COOK COUNTY SHERIFF DEPT 09/16/17 SALK, STEVEN B & ASSOC LTD STATES ATTORNEY OF COOK COUN 315 18WC 06665 WEBSTER, DEBORAH CHICAGO PUBLIC SCHOOLS 01/17/18 THOMAS M. PARIS CHGO BOARD OF EDUCATION 316 18WC 06740 HERNANDEZ, MIREYA SCHULZE & BURCH BISCUIT C 02/26/18 MARSZALEK AND MARSZALEK WIEDNER & MCAULIFFE LTD 317 18WC 06879 MARTINEZ CERNA, ROSA M MCDONALD'S OF BERWYN RELO 01/14/18 THE ROMAKER LAW FIRM HENNESSY & ROACH PC 318 18WC 06922 BERRY, REGINALD OLD VETERAN CONSTRUCTION 04/03/17 PARENTE & NOREM PC GAROFALO SCHREIBER STORM GRA 319 18WC 13831 ARITZMENDY, BENJAMIN UNITED REMANUFACTURING 10/23/15 CULLEN HASKINS NICHOLSON 320 18WC 13914 SANCHEZ, JULIAN CENTRAL STEEL & WIRE COMP 04/06/18 GALLAGHER, DONALD V 321 18WC 13998 BOURAS, CONSTANTINOS F CHICAGO TRANSIT AUTHORITY 04/24/18 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 322 18WC 14146 PALENCIA, JAVIER CENVEO, INC 10/26/17 O'CONNOR & NAKOS NOBLE & ASSOC 323 18WC 14161 WIAFE-ABABIO, NANA UNITED AIRLINES 09/06/17 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 324 18WC 14332 OSENI, RAMON OZZIE CAB CO 04/22/18 HUNER LAW OFFICES LLC 325 18WC 14403 VEHAB, ARNELA ABM JANITORIAL SVCS 03/14/15 STROM, NEAL B 326 18WC 14501 DYSZYNSKI, THOMAS DEPAUL UNIVERSITY 02/14/18 SOSTRIN AND SOSTRIN PC HOLECEK & ASSOCIATES 327 18WC 14583 REIZ, ZEHRA RIDGE MAINTENANCE GROUP I 05/04/18 ANKIN LAW OFFICE MEACHUM & STARCK 328 18WC 14658 ADOGA, DANIEL GREVENA CORP 05/07/18 329 18WC 14731 SEDLACEK, RAYMOND UPS 01/15/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 330 18WC 14764 SANTIAGO, RAYMOND P CHICAGO PUBLIC SCHOOLS 09/22/17 LEONARD S. BECKER CHGO BOARD OF EDUCATION 331 18WC 14788 HINTON, LOREAL SPEEDWAY 05/01/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 332 18WC 14856 MUFWENE, PATRICIA PARKSHORE ESTATES NURSING 03/22/18 TRAPP & GELLER BRYCE DOWNEY & LENKOV LLC 333 18WC 14951 SCHAEFER, SHERRI ALLIANCE GROUNDINTERNATIO 03/07/18 COSTA IVONE LLC NYHAN BAMBRICK KINZIE & LOWR 334 18WC 14968 CALVILLO, SALVADORA DEBBIE'S CUSTOMIZED STAFF 04/09/18 HUGO ORTIZ 335 18WC 15200 NEWBY, TONYA CTA 05/16/18 FRIEDMAN & SOLMOR LTD CHICAGO TRANSIT AUTHORITY 336 18WC 15245 CURTIS, ANTONIA FIRST STUDENT BUS COMPANY 05/09/18 HERRERA LAW CENTER 337 18WC 15308 HAYNES, LEVERNE STAMPED MEAT INC 05/08/18 ANKIN LAW OFFICE JOHN T GONNELLA 338 18WC 15331 LOPEZ, VINCENT TRANSCENDIA, INC 03/01/18 RUBIN LAW GROUP HENNESSY & ROACH PC 339 18WC 15386 LUCIO, SERGIO ALPHA BAKING 03/04/18 SALK, STEVEN B & ASSOC LTD MACIOROWSKI SACKMANN & ULRIC 340 18WC 15458 MENA, SERAFIN LEONA'S PIZZERIA, INC 05/11/18 RUEDA, IVAN A 341 18WC 15518 GUARDADO, LUDIN PASTA MIA 04/14/18 AIOSSA LAW FIRM GANAN & SHAPIRO 342 18WC 15543 EDWARDS, TAMALA SUNRISE TRANSPORTATION LL 04/09/18 JONATHAN SCHLACK 343 18WC 15655 TRAHEY, KATHLEEN R CHICAGO PUBLIC SCHOOLS 04/30/18 DAVID W MARTAY CHGO BOARD OF EDUCATION 344 18WC 15679 MALLET, ANNETTE JOHN H. STROGER 10/20/17 KENNETH B GORE LTD STATES ATTORNEY OF COOK COUN 345 18WC 15834 SANNI, MAJORIE PRESENCE HEALTH DBA ST FR 01/11/18 BUDIN LAW OFFICES BRADY CONNOLLY & MASUDA PC 346 18WC 15942 MITCHELL, ANTHONY LEAF FILTER NORTH, LLC 04/12/18 ANKIN LAW OFFICE MEACHUM BOYLE TRAUFMAN 347 18WC 15971 BARBARA, AMANDA ACE 09/19/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 18WC031786 -C 348 18WC 16015 BYRON, RALPH WASTE MANAGEMENT 04/13/17 LUSAK AND COBB THOMAS J STIBERTH LAW OFFICE 19WC015730 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 18WC 16192 BRUSCEMI, JESSE HUEN ELECTRIC CO 04/26/18 CRAIG L MANCHIK & ASSOC. STONE & JOHNSON CHARTERED 350 18WC 16296 KAMKA, MITCHELL SYSCO FOOD SERVICES 03/30/18 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 18WC016297 -C 351 18WC 16370 MARKEY, KATHRYN MARIANO'S FRESH MARKET 09/25/17 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 352 18WC 16386 PITMAN, ERIC CICERO FIRE DEPARTMENT 12/08/16 COPLAN & CRANE, LTD DEL GALDO LAW GROUP LLP 353 18WC 16428 MINION, HEATHER BERGHAUS ORGAN CO 08/12/16 BLOCK, KLUKAS & MANZELLA P JOSEPH MARCINIAK 354 18WC 16489 CROW-SCHIYER, KIMBERLY TREASURE ISLAND FOODS INC 05/25/18 ROBERT WARSASKI ROSARIO CIBELLA 355 18WC 16629 JARQUIN, CARLOS CHEESE MERCHANTS OF AMERI 04/10/17 THE ROMAKER LAW FIRM RIPES NELSON BAGGOT KALOBRAT 356 18WC 16648 WELLS, MORHFIA S CITY OF CHICAGO 05/03/18 VRDOLYAK LAW GROUP LLC LEAHY EISENBERG & FRAENKEL 357 18WC 16749 WHEELER, BERNARD HOSTESS 05/03/18 MC HARGUE & JONES INMAN & FITZGIBBONS 19WC010857 -C AEROTEK STAFFING 358 18WC 16830 HILL, RAYMOND CITY OF CHICAGO DEPT OF 01/19/18 ANKIN LAW OFFICE CITY OF CHICAGO 359 18WC 16861 RUIZ, ARIEL GINO ROSADO CROWN SERVICES 05/29/18 EPSTEIN, JACK R LAW OFFICE EVANS & DIXON 360 18WC 16908 STACK, GARY LIBERTY FLAG AND BANNER 05/15/18 COSTA IVONE LLC ACCIDENT FUND HOLDINGS 361 18WC 16925 MUNOZ, PAZ O ACCURATE PERSONNEL SERVIC 04/26/18 COSTA IVONE LLC JOHN T GONNELLA 362 18WC 16948 VARGAS, ADRIANA BAGELERS CAFE LUNA 03/21/17 NILSON STOOKAL GLEASON CAP JOSEPH MARCINIAK 363 18WC 18490 LYONS, ROBERT STATE OF ILLINOIS @ 04/01/18 ASSISTANT ATTY GENL 364 18WC 21096 GERALDO, GUADALUPE M CINTAS 06/13/18 MANUAL CARDENAS & ASSOC POWER & CRONIN LTD 365 18WC 24045 SCHURING, ADAM M COOK COUNTY SHERIFF'S DEP 04/15/17 ANESI OZMON RODIN NOVAK KO STATES ATTORNEY OF COOK COUN 366 18WC 24169 SELINGER, LEAH QUINTAIROS PRIETO WOOD & 04/10/18 SEIDMAN MARGULIS & FAIRMAN EDWARD J. KOZEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 18WC 24301 WILSON, BARBRA TRADER JOE'S COMPANY 03/31/18 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 368 18WC 24350 AGUILAR, MARIO R FERRERA PAN CANDY 05/24/18 ANSELMO DURAN HOLECEK & ASSOCIATES 369 18WC 24627 GUZMAN, OMAR AEROTEK 08/02/17 JONATHAN SCHLACK 370 18WC 24662 TAMEZ, LINDA COOK COUNTY DETENTION CEN 06/20/18 TAXMAN POLLOCK STATES ATTORNEY OF COOK COUN 371 18WC 24726 MONTERO, JUAN CITY OF CHICAGO DEPT OF 08/15/18 SALVATO O'TOOLE FROYLAN 372 18WC 24741 SFIRNACIUC, ELENA HARVARD MAINTENANCE INC 08/02/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 373 18WC 24771 FALVEY, THOMAS CITY OF CHICAGO 06/07/18 PATRICIA HARDIMAN LAW OFFI CITY OF CHICAGO 374 18WC 25069 BROGAN, PATRICK REPUBLIC SERVICES, INC. 07/05/18 CHRISTINE F DAVID 375 18WC 25154 SOTO, DAVID IL BELL TELEPHONE COMPANY 05/11/18 ROBERT WARSASKI HENNESSY & ROACH PC 20WC001510 -C ILLINOIS BELL TELEPHONE CO 376 18WC 25270 KELLY, MICHAEL A COOK COUNTY SHERIFF 07/19/18 GARDI & HAUGHT STATES ATTORNEY OF COOK COUN 377 18WC 25343 BANKS, TAURUS ILLINOIS STATE TOLLWAY @ 08/10/18 VRDOLYAK LAW GROUP LLC ASSISTANT ATTORNEY GENERAL 378 18WC 25365 RAMIREZ, DAVID UNITED AIRLINES 05/22/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 379 18WC 25417 QUEZADA, MA DEL ROSARIO STAFF RIGHT/QUANTUM GROUP 06/26/18 RUEDA, IVAN A LOUIS MUNDY 380 18WC 25443 ORTIZ, JOSE L OLD DOMINION FREIGHT 01/09/18 BAUM RUFFOLO & MARZAL LTD EVANS & DIXON 381 18WC 25510 PSALTIS, CONSTANTINE FEDERAL EXPRESS 05/16/18 LANCASTER, DEBORAH 382 18WC 25559 LOPER, MARCUS GARDA USA, INC 08/10/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 383 18WC 25582 SIGLE, ALEXUS WHITE CASTLE 08/06/18 JOHN S. ELIASIK 384 18WC 25619 WASHINGTON, IVORY LUDEMAN DEVELOPMENT CTR @ 08/04/18 BRISKMAN BRISKMAN GREENBER ALYSSA SILVESTRI 19WC025985 -C 385 18WC 25635 GONZALEZ, JOSE SUPERIOR AMBULANCE 08/21/18 HERRERA LAW CENTER POWER & CRONIN LTD 386 18WC 25659 TRACY, JABREEL UBER 08/21/18 WIEDNER & MCAULIFFE LTD 387 18WC 25729 CONTRERAS, JUAN WHEATLAND TUBE COMPANY 04/03/17 GRAVLIN, MICHAEL J LLC GAROFALO SCHREIBER STORM GRA 388 18WC 25763 TELLEZ, JOSE LUIS THERMAL EXTERIORS INC LOA 08/18/18 BERG & BERG 389 18WC 25798 SUZUKI, AZUMI DELOITTE & TOUCHE LLP 04/07/16 GORDON & CENTRACCHIO LLC RUSIN & MACIOROWSKI LTD 390 18WC 25822 SCHROEDER, CHRISTINA DEMARS FAMILY RESTAURANT/ 07/18/18 MC HARGUE & JONES 391 18WC 25867 JOHNSON, GENISE PUBLIC BUILDING 05/11/18 KEVIN O'BRIEN JOSEPH MARCINIAK 392 18WC 25893 BANIASDI, MOHAMMAD ALI BLK & WHT VALET, LLC 08/16/18 COLLISON LAW OFFICES HOLECEK & ASSOCIATES 393 18WC 26006 NIX, MICHELLE CITY OF CHICAGO 06/05/18 WOODRUFF JOHNSON CITY OF CHICAGO 394 18WC 26074 KEARNEY, JEFF CITY OF CHICAGO, WATER DE 08/27/18 ARGIONIS & ASSOCIATES LLC 395 18WC 26133 ACOSTA, SANDRA UNITED SERVICE COMPANIES 05/15/18 CHRISTIAN & MANNO RUSIN & MACIOROWSKI LTD 396 18WC 26162 GOTLIBOWSKI, GREG FEDEX CORPORATION 04/23/18 MAURICE E DUSKY PC BRADY CONNOLLY & MASUDA PC 397 18WC 26198 BRIDGES, SHANDAR J FEDEX FREIGHT 06/06/18 NILSON STOOKAL GLEASON CAP QUINTAIROS PRIETO WOOD & BOY 398 18WC 26215 GRECO, GREGORY AT&T 10/31/17 CHRISTINE F DAVID 399 18WC 26335 DUNLEVY, LARRY CITY OF CHICAGO 07/06/18 HEALY SCANLON LAW FIRM CITY OF CHICAGO 400 18WC 26434 DEVER, JAMES STATE OF ILLINOIS/ IDOT @ 06/27/18 DEPAOLO & ZADEIKIS ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 401 18WC 33612 BUTCHER, RACHEL BURLINGTON COAT FACTORY 04/11/18 VASILATOS & COTTER LLC KOPKA, PINKUS DOLIN, PC 402 18WC 33637 MINOR, DORIAN CITY OF CHICAGO, DEPT OF 03/13/18 CHRISTY & CHRISTY CITY OF CHICAGO 403 18WC 33725 BASILIOS, ANGELOPOULOS MERLIN 12/21/16 CULLEN HASKINS NICHOLSON PAUL O WATKISS 404 18WC 33895 PIETSCH, AL BEACON FASTENERS & COMPON 06/01/16 TAXMAN POLLOCK JOSEPH MARCINIAK 405 18WC 34077 DREW JR, ANTWON F AIRCRAFT SERVICE INTERNAT 11/03/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 406 18WC 34248 CASSARINO, FRANK AFFILIATED CUSTOMER SERVC 10/23/18 MARC J SHUMAN & ASSOCIATES GANAN & SHAPIRO 407 18WC 34295 GRAHAM, NICHOLAS UNITED AIRLINES 07/09/18 TAXMAN POLLOCK 408 18WC 34362 SANDOVAL, SALUD S&C ELECTRIC COMPANY 09/15/18 CUSHING LAW OFFICES RUSIN & MACIOROWSKI LTD 409 18WC 34442 WRIGHT, JAMES M KEN RICH CONCRETE LIFTING 12/06/16 JAMES ELLIS GUMBINER & ASS 410 18WC 34466 VALENTINE, MICHAEL ILLINOIS DEPT OF TRANSPOR @ 08/24/18 DEPAOLO & ZADEIKIS ASSISTANT ATTY GENL 411 18WC 34495 WHORRALL, GUY KNUDSEN CONSTRUCTION 09/10/18 BURNES & LIBMAN GANAN & SHAPIRO 412 18WC 34548 MACIAS, ARTURO CBSL TRANSPORTATION SERVI 11/05/18 SALVATO O'TOOLE FROYLAN MCANANY VANCLEVE & PHILLIPS 413 18WC 34583 STONE, EARNESTINE VICTORY CENTER OF PARK FO 09/11/18 CIFELLI SCREMENTI & DORE 414 18WC 34666 ALICEA, MIGUEL MICRON METAL FINISHING 06/04/18 ENCINAS & ORNELAS KEEFE CAMPBELL BIERY & ASSOC 415 18WC 34693 CASTILLO, CHRISTOPHER EDSAL MANUFACTURING 08/06/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 416 18WC 34724 RONJAK, TYRELL UNITED PARCEL SERVICE 09/06/18 RIDGE & DOWNES ASA LAW GROUP 417 18WC 34754 ORTIZ, JUAN HIGHLAND BAKING CO, INC 10/20/18 ROBERT EDENS 418 18WC 34824 ANDERSON, MICHAEL INTEGRATED DEMOLITION SER 09/10/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 419 18WC 34954 MC CURTY, JAKIA L CITY OF CHICAGO 11/21/18 ANKIN LAW OFFICE 420 18WC 34976 BUTLER, BRIAN DOOR SYSTEMS 10/30/18 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 421 18WC 34994 MARSHALL, ALEX FREEMAN ELECTRICAL INC 09/16/18 STEVEN J MALMAN & ASSOCIAT MC ANDREWS & NORGLE LLC 422 18WC 35029 LOPEZ, HECTOR M HUNSICKER ELECTRICAL SERV 10/29/18 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 423 18WC 35055 SHAFFER, KRISTAL UNIVERSITY OF CHICAGO MED 09/08/18 MC HARGUE & JONES POWER & CRONIN LTD 424 18WC 35161 QUILES, JOSE FOUR SEASONS HEATING & 06/09/18 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 425 18WC 35302 RODRIGUEZ, ELIZABETH IL DEPT OF REVENUE 11/27/18 MC HARGUE & JONES ASSISTANT ATTY GENL 426 18WC 35328 STECHER, ROBERT C CITY OF CHICAGO DEPT 2FM 11/06/18 CUDA LAW OFFICES CITY OF CHICAGO 427 18WC 35397 CLINE, JEREMY STEVENS EXHIBITS 03/05/18 KREITER, BYCK & ASSOC LLP JOSEPH MARCINIAK 428 18WC 35432 MCKINNEY, NOLITA J CTA 08/29/18 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 429 18WC 35516 GUEVERA, TERESITA FRESH MARKET 03/03/18 MARK G BERGAL LAW OFFICE 430 18WC 35539 MCCLELLAN, GREGORY E HICKORY HILLS NRSNG PAVIL 10/03/18 JAMES ELLIS GUMBINER & ASS GOLDBERG SEGALLA LLC 18WC035540 -C 431 18WC 35732 SMITH, SAMANTHA BUTERA MARKET 11/12/18 DAVID W MARTAY CHILTON YAMBERT PORTER LLP 432 18WC 35750 JOHNSON, HENRY D PARK 1 INC. 11/07/18 JAMES ELLIS GUMBINER & ASS EVANS & DIXON 433 19WC 02431 JOHNSON, NICHOLAS EMSAR, INC 09/06/18 JACKOWIAK LAW OFFICES WIEDNER & MCAULIFFE LTD 434 19WC 02450 LOVE, EMMARETTA RUSH OAK PARK HOSPITAL 12/20/18 LEONARD LAW GROUP LLC 435 19WC 02455 JIMENEZ, ANTONIO COOK CTY DEPT OF CORRECTI 12/18/18 CUDA LAW OFFICES STATES ATTORNEY OF COOK COUN 436 19WC 03363 ROSAS, YONUEL CONTINENTAL NISSAN 01/30/19 BERG & BERG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 437 19WC 03438 REYES, MARIO AMERICAN AIRLINES 01/19/19 SCOTT B SHAPIRO GAROFALO SCHREIBER STORM GRA 438 19WC 03521 CROSBY, SHEM U CHICAGO TRANSIT AUTHORITY 01/22/19 ANESI OZMON RODIN NOVAK KO CHICAGO TRANSIT AUTHORITY 439 19WC 03584 VAN HENXLEDEN, CHARLES SUGAR STEEL CORPORATION 12/21/16 GALLAGHER, DONALD V 440 19WC 03627 DIXON, GLEN EATON CORPORATION 11/13/18 ANGELINI & ORI LLC LEAHY EISENBERG & FRAENKEL 441 19WC 03690 ALFARO, ALMA MCDONALD'S 04/07/18 TAXMAN POLLOCK 442 19WC 03709 MARTINEZ, JESUS LIFE FITNESS 09/20/18 JOHN S. ELIASIK HENNESSY & ROACH PC 443 19WC 03759 PEREZ, NATALIE A FOX RENT A CAR 12/20/18 WEISS & WEISS LAW OFFICES MEACHUM BOYLE TRAUFMAN 444 19WC 03810 RAHIMOM, BIBI APERIAN CARE 01/20/19 MARK SCHAFFNER WIEDNER & MCAULIFFE LTD 445 19WC 03861 EWINGS, KENIJA WEST SIDE TRANSPORT INC. 01/17/19 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 446 19WC 03892 SOLIS, JERARDO ELSTON MATERIALS, LLC 02/14/17 HERRERA LAW CENTER 447 19WC 03911 HARBIN, VICTORIA MARY CRANE LEAGUE 11/20/18 STANCZAK LAW OFFICES JOSEPH MARCINIAK 448 19WC 03956 LEDESMA, GENARO DRIVE CONSTRUCTION 11/12/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 449 19WC 03985 ARMSTRONG, MICHAEL EMPACT CONSTRUCTION SERVI 01/24/19 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 450 19WC 04006 SMITH, JAMIERE Y MD JAMIERE Y SMITH, MD, SC 10/05/17 BUDIN LAW OFFICES 451 19WC 04036 GARCIA, DAVID WALDHEIM CEMETARY 08/01/17 ENCINAS & ORNELAS 452 19WC 04174 WILLIAMS, MARCIA PEPE'S MEXICAN RESTAURANT W 12/28/18 VRDOLYAK LAW GROUP LLC SEIDMAN MARGULIS & FAIRMAN L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 453 19WC 04224 DEARON, BARBARA AM BUS COMPANY, INC 02/04/19 VASILATOS & COTTER LLC LEAHY EISENBERG & FRAENKEL 454 19WC 04296 MENDEZ, SUSANA FORD MOTORS 08/22/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 19WC009169 -C 455 19WC 04318 WELLS, TERRENCE BALTON CORPORATION 01/14/19 DWORKIN AND MACIARIELLO 456 19WC 04370 MOYA, STEVE COMPASS GROUP CANTEEN 11/07/18 HOWARD ABRAMS GANAN & SHAPIRO 457 19WC 04392 EVITT, DEREK TOWN OF CICERO 01/31/19 DAVID SZCZECIN & ASSOC DEL GALDO LAW GROUP LLP 458 19WC 04410 ARAMBURO- HERNANDEZ, ADRI SHOP-N-SAVE 10/08/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 459 19WC 04443 MC GARRY, JAZMINE EMBASSY SUITES BY HILTON 12/29/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 460 19WC 04471 MELECIO, ELLIOT SWISSPORT 12/05/18 SHEA LAW GROUP 461 19WC 04518 MICELE, RAYMOND M KARAVITES RESTAURANT, INC 10/30/18 MORICI FIGLIOLI & ASSOC RUSIN & MACIOROWSKI LTD 462 19WC 04548 ZEPEDA, MARIA DE LA LUZ ABM JANITORIAL 01/20/19 BRILL & FISHEL ASA LAW GROUP 463 19WC 04632 REED, JALIA TARGET CORPORATION 11/09/18 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 464 19WC 04674 MULLIN, CHRISTOPHER IL AUTO CENTRAL THERMO KI 01/16/19 CAPRON & AVGERINOS PC HOLECEK & ASSOCIATES 465 19WC 04705 DAVILA, JOSE M OAKK CONSTRUCTION 08/02/18 SOSTRIN AND SOSTRIN PC INMAN & FITZGIBBONS 466 19WC 04874 HARDERS, THOMAS PACIFIC RAIL SERVICES 06/14/17 POLANSKY & CICHON CHTD GAROFALO SCHREIBER STORM GRA 467 19WC 04913 JOHNSON-QUINN, DEMITRIE PINE CREST HEALTH CARE, L 01/24/19 ANKIN LAW OFFICE GALLIANI DOELL & COZZI LTD 468 19WC 04927 GALLO, ANTHONY R FRIENDSHIP VILLAGE 01/19/19 MARSZALEK AND MARSZALEK FRANCESCA LARSEN 469 19WC 04986 LEE, LAKESHA CHICAGO TRANSIT AUTHORITY 02/14/19 STROM & ASSOC CHICAGO TRANSIT AUTHORITY 470 19WC 05040 HUDSON, ANDRE HAMMOND ELEMENTARY SCHOOL 01/22/19 SHELDON I MINKOW & ASSOCIA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 471 19WC 05078 GILLAM, CARMEN CHICAGO TRANSIT AUTHORITY 02/14/19 KUMLIN & FROMM CHICAGO TRANSIT AUTHORITY 472 19WC 05131 GALARZA, JAVIER ARRELLANO TRUCKING INC 08/13/18 ANGELINI & ORI LLC 473 19WC 05181 KUTSCHKE, MARYANN ADM INVESTOR SERVICES, IN 11/02/18 COHN LAMBERT RYAN & SCHNEI NYHAN BAMBRICK KINZIE & LOWR 474 19WC 05206 ROUNDS, JEREMY UPS FREIGHT 01/15/19 HOWARD S. KAVENOW LLC ASA LAW GROUP 475 19WC 05313 FONTAINE, KOLLIN SOS SECURITY 02/13/19 DWORKIN AND MACIARIELLO 476 19WC 05357 ILIC, ANITA BRICKYARD BANK 02/05/17 WHITESIDE & GOLDBERG LTD WIEDNER & MCAULIFFE LTD 477 19WC 05484 AGUILAR, MARIA CONSUMER PACKING COMPANY 01/25/19 COSTA IVONE LLC HOLECEK & ASSOCIATES 478 19WC 05508 GUZMAN, BALTAZAR MIDWEST INDUSTRIAL METAL 09/17/18 RUEDA, IVAN A JOSEPH MARCINIAK 479 19WC 05594 JOHNSON, ANTHONY SERTOMA 02/01/19 480 19WC 05614 HANSON, ELLYN LEE MANOR REHAB & NURSING 01/22/19 COVEN LAW GROUP ACCIDENT FUND HOLDINGS 481 19WC 05684 BANKS, JOHNNIE CITY OF CHICAGO 01/22/19 ABELS & ANNES, PC 482 19WC 05731 BANKS, CORREN A COOK COUNTY SHERIFF'S DEP 01/29/19 MARKS INJURY LAW STATES ATTORNEY OF COOK COUN 483 19WC 05759 CABRAL, MARIA JACENT STRATEGIC MERCHAND 02/13/19 SEIDMAN MARGULIS & FAIRMAN WOLFE & JACOBSON, LTD 484 19WC 05834 BACHINGER, RAYMOND UPS 02/05/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 485 19WC 05860 SCHROYER, RICK JEWEL OSCO 02/10/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 486 19WC 05917 GONZALEZ, EDGAR HARVEST FOODS GROUP 01/08/19 JONATHAN SCHLACK 487 19WC 05960 RAWL, DONNA BLUE SKYHOME CARE 12/21/18 COVEN LAW GROUP HENNESSY & ROACH PC 488 19WC 06094 SIMS, LEDA SCRUB INC 12/22/18 DWORKIN AND MACIARIELLO PETERSON JOHNSON & MURRAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 489 19WC 06135 STREETER, EDDIE AMERICAN HERITAGE 04/16/18 COSTA IVONE LLC MCANANY VANCLEVE & PHILLIPS 490 19WC 06157 MARTINEZ, ARTURO PEPSI BOTTLING CO. 01/03/19 HEALY SCANLON LAW FIRM 491 19WC 06194 NEMCEK, ROBERT ADVANCED DISPOSAL 01/21/19 KROL BONGIORNO & GIVEN LTD INMAN & FITZGIBBONS 492 19WC 06240 ALFARO, CRYSTAL WYNDAM GRAND CHGO RIVERFR 08/10/18 LANNON LANNON & BARR LTD BRADY CONNOLLY & MASUDA PC 493 19WC 06292 MURRAY, DEAN X MCDONALD'S 12/29/18 ANKIN LAW OFFICE 494 19WC 06345 ALVAREZ, RAMON CITY OF CHICAGO 01/14/19 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 495 19WC 06425 MAGEE, COREON BEST WESTERN 08/03/18 NO ATTORNEY 496 19WC 06447 MARTINEZ, JORGE MOTIF EVENTS 02/20/19 DWORKIN AND MACIARIELLO 497 19WC 06494 FORD, SELENA NAVISTAR, INC. 05/25/16 COHN & COHN NYHAN BAMBRICK KINZIE & LOWR 498 19WC 06739 RODRIGUEZ, JESUS OSEGUERA PANGEA REALESTATE CORP. 05/01/18 O'CONNOR & NAKOS HENNESSY & ROACH PC 499 19WC 07659 GONZALEZ, IMELDA, FOR DIAMOND HOME SERVICE CO # 06/27/17 EPSTEIN, JACK R LAW OFFICE LITCHFIELD CAVO 500 19WC 09834 SEARCY, JOHN DEPASQUALE STEEL ERECTORS 03/28/19 PARENTE & NOREM PC NYHAN BAMBRICK KINZIE & LOWR 501 19WC 13427 SZWET, RICHARD LOW MALNATI'S PIZZA 10/10/18 URBAN & BURT LTD MEACHUM & STARCK 502 19WC 13459 ALEXANDER, SHARON YANCY CTA 05/03/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 503 19WC 13485 EDWARDS, HENRINE FEDEX 11/14/17 KUMLIN & FROMM KOPKA, PINKUS DOLIN, PC 504 19WC 13539 BECKFORD, WINSTON BELLA AUTO REPAIR 02/13/19 WARREN W MARK 505 19WC 13583 REYES, MARTHA FONTANINI ITALIAN MEATS 04/08/19 COSTA IVONE LLC LEAHY EISENBERG & FRAENKEL 506 19WC 13611 DAVID, WYNTER STREAMWOOD BEHAVIORAL HLT 04/15/19 GRAUER & KRIEGEL LLC MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 507 19WC 13633 MCGILLIVRAY, STEVEN SKYLINE DECORATING INC 11/05/18 GWC INJURY LAWYERS LLC GILDEA, COGHLAN & REGAN LTD. 508 19WC 13654 BRUNO, BENEDICTO COMPASS GROUP USA 02/22/19 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 509 19WC 13701 JIMENEZ, MARIBEL UNIVERSITY OF CHICAGO MED 02/02/19 SHEA LAW GROUP POWER & CRONIN LTD 510 19WC 13768 MCDONALD, CODY ANN MERCY HOME FOR BOYS & GIR 01/17/18 PARENTE & NOREM PC MC ANDREWS & NORGLE LLC 511 19WC 13789 KUDUZOVIC, ZINAJDA VON MAUR 04/29/19 COVEN LAW GROUP 20WC002464 -C 512 19WC 13820 CILIA, ROLANDO SG 360 A SEGERDAHL COMPAN 04/03/19 VITELL & SPITZ LTD WOLF & LAUDICINA LTD 513 19WC 13933 VEGA, TEODULA LA-CO INDUSTRIES 04/17/19 MINKOW DOMIN EDWARD J. KOZEL 514 19WC 14015 SPARANO, ANGELO CITY OF CHICAGO 07/25/18 VRDOLYAK LAW GROUP LLC 515 19WC 14054 TRAVIS, DARRYL BARR & MILES 02/12/19 LEONARD LAW GROUP LLC JAMES M KELLY 516 19WC 14179 MALCOLM, RONALD HYDRO EXCAVATIONS, INC. 03/01/19 GWC INJURY LAWYERS LLC 517 19WC 14236 IVEY, JAMES CHICAGO PARK MANAGEMENT 03/11/19 LEONARD LAW GROUP LLC 518 19WC 14256 HERNANDEZ, DANIEL PLANET FITNESS 05/02/19 ELFENBAUM EVERS ZIELINSKA 519 19WC 14273 KOTAPKA, JOZEF ANDERSON SHUMAKER CO 04/07/18 URSULA BABICZ & ASSOC 520 19WC 14390 RAMIREZ, DIEGO HIGHLAND BAKING COMPANY, 04/26/19 SCHRAMM LAW GROUP 521 19WC 14446 MARTINEZ, CHAD ILLINOIS STATE POLICE @ 02/05/19 THE MACK LAW GROUP PC ASSISTANT ATTY GENL 522 19WC 14509 FRANKLIN, BRITNI J FIRST ACCEPTANCE CORPORAT 02/08/19 JAMES W GREEN, JR HENNESSY & ROACH PC 523 19WC 14542 JOHN, SABU FED EX 02/06/19 STEVEN A CRIFASE, LTD 524 19WC 14615 ALEXANDER, DAPHANNE BIMBO BAKERIES USA 05/14/19 GOLDSTEIN AIOSSA & GOOD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 525 19WC 14658 TRICE, STARLA IDHS LUDEMAN DEVELOPMENT 04/16/19 ANKIN LAW OFFICE ASSISTANT ATTY GENL 526 19WC 14678 MORALES, BLANCA E COMPASS GROUP USA, INC 12/10/18 COSTA IVONE LLC GANAN & SHAPIRO 527 19WC 14698 AGUAYO, DAVID PEOPLE GAS 05/07/19 LEONARD LAW GROUP LLC MC CABE & HOGAN 528 19WC 14749 LAUREANO, GEORGE CRAFT DIE CASTING CO 04/01/19 JAMES ELLIS GUMBINER & ASS NYHAN BAMBRICK KINZIE & LOWR 529 19WC 14863 DOSS, KENYA MID CITY PLAZA OWNER, LLC 05/15/19 ANKIN LAW OFFICE 530 19WC 14882 PADILLA-PEREZ, EDGAR ALBE VALENZANO BAKING COMPANY, 05/11/19 SALK FLORES & BRODERICK RUSIN & MACIOROWSKI LTD 531 19WC 15025 SMITH, JAVEL HOME DEPOT 03/23/19 ANGELINI & ORI LLC ADELSON TESTAN BRUNDO 532 19WC 15042 REYES, ERWIN REYES CLEANING INC. 03/07/19 KEVIN O'BRIEN GILDEA, COGHLAN & REGAN LTD. 533 19WC 15076 BONILLA, ISMAEL EMSUR, USA 03/28/19 LUSAK AND COBB HOLECEK & ASSOCIATES 19WC019914 -C 534 19WC 15226 HERNANDEZ, ELENA S COOK COUNTY - CFO 11/06/18 SANDMAN LEVY & PETRICH STATES ATTORNEY OF COOK COUN 535 19WC 15260 BOLLS, KIMBERLY METHOD 05/07/19 ACEVES & PEREZ PC HENNESSY & ROACH PC 536 19WC 15295 CONTRERAS, PATRICIA DUPAGE MEDICAL GROUP 02/18/19 DWORKIN AND MACIARIELLO MEACHUM & STARCK 537 19WC 15313 SIMS, DOUGLAS R JANOSZ TRANSPORTATION LLC 05/08/19 ANKIN LAW OFFICE MEACHUM & STARCK 538 19WC 15328 BEANLAND, DENISE STATE OF ILLINOIS 04/16/19 VRDOLYAK LAW GROUP LLC ASSISTANT ATTY GENL 539 19WC 15349 EDWARDS, NAPOLEON BARTON STAFFING SOLUTIONS 05/08/19 LEONARD LAW GROUP LLC SLAVIN & SLAVIN 540 19WC 15552 AILEMAN, JOSPEHINE PERESON PARK HEALTH CARE 05/17/19 KURASCH & KLEIN, LTD BRADY CONNOLLY & MASUDA PC 541 19WC 15601 NIETO, GUADALUPE MONDELEZ GLOBAL LLC 05/15/19 SPENCER LAW OFFICES 542 19WC 15618 GIAMARUSTI, ANTHONY CITY OF CHICAGO 05/15/19 CUDA LAW OFFICES CITY OF CHICAGO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 543 19WC 15633 AGUIRRE, REBECA WEBER PACKAGING SOLUTIONS 03/22/19 MINKOW DOMIN EDWARD J. KOZEL 544 19WC 15694 ELMORE, THOMAS INSTITUTE FOR NONVIOLENCE 05/23/19 TIMOTHY HENDERSON RUSIN & MACIOROWSKI LTD 545 19WC 15774 ASSOODEE, ALI ALLIANCE GROUND INTERNATI 05/04/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 546 19WC 15823 RODRIGUEZ, YOLANDA MEZZA MEDITERRANEAN GRILL 05/17/19 HERRERA LAW CENTER HOLECEK & ASSOCIATES 547 19WC 15844 CHAPPLE, KENDALL PARAMOUNT STAFFING 05/25/19 DWORKIN AND MACIARIELLO 548 19WC 15885 EPTING, RENEE CHICAGO PUBLIC SCHOOLS 09/05/17 GERALD CONNOR 549 19WC 16028 CHILDRESS, JOSHUA MANHEIM CHICAGO 01/26/19 DWORKIN AND MACIARIELLO EVANS & DIXON 550 19WC 16070 ELLIS, DENNIS NORTHERN ILLINOIS UNIVERS 04/11/18 GWC INJURY LAWYERS LLC ASSISTANT ATTY GENL 551 19WC 16150 RINELLA, JOSEPH A CITY OF CHICAGO, DEPT 22 06/20/16 CULLEN HASKINS NICHOLSON CITY OF CHICAGO 552 19WC 16196 CAHUE, MARGARITA ALL TRUCK TRANSPORTATION 05/13/19 STEVEN J MALMAN & ASSOCIAT CHILTON YAMBERT PORTER LLP 553 19WC 16239 GARCIA, MARCOS LOS TRES GARCIAS 04/22/19 DEPAOLO & ZADEIKIS 554 19WC 16266 RAMIREZ, GEORGE AT&T 04/15/19 MINKOW DOMIN 555 19WC 16296 CRAIG, RENAE COOK COUNTY SHERIFF'S DEP 04/13/19 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 556 19WC 16407 CASTILLO, JULIO ILLINOIS STATE POLICE @ 05/26/19 COLLISON LAW OFFICES STATE OF ILLINOIS 557 19WC 16437 HARVEY, ARMENTHA FORD MOTOR COMPANY 05/08/19 DONALD FOHRMAN & ASSOC 558 19WC 16628 ENGLUND, KEVIN SOUTHWEST AIRLINES 02/26/19 ELFENBAUM EVERS AMARILIO Z HENNESSY & ROACH PC 559 19WC 17816 CASH, TIMOTHY AREAS USA ORD LLC 06/10/19 ELFENBAUM EVERS ZIELINSKA POWER & CRONIN LTD 560 19WC 23218 CAREY, LIAM CHICAGO TRANSIT AUTHORITY 10/31/18 CULLEN HASKINS NICHOLSON CHICAGO TRANSIT AUTHORITY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 19WC 23235 RHEIN, DAVID YRC 05/20/19 JASINSKI, GEORGE J 562 19WC 23260 ROCHA, JOEL FERRARA CANDY CO 06/25/19 DWORKIN AND MACIARIELLO 563 19WC 23298 PILLOT, RAMON READ MENTAL HEALTH CENTER 07/29/19 EDWIN REYES LAW FIRM ASSISTANT ATTY GENL 564 19WC 23322 HERRERA, EDUARDO COURT REPORTERS OFFICE 08/05/19 DWORKIN AND MACIARIELLO ASSISTANT ATTY GENL 565 19WC 23404 SMITH, KASSANDRA UNITED AIRLINES 06/19/19 STEVEN M SELAN 566 19WC 23422 BIELAWSKA, ELZBIETA PRESENCE SAINTS MARY AND 01/30/19 NO ATTORNEY 567 19WC 23443 PAWLOWSKI, MICHAEL COURTYARD BY MARRIOTT 09/28/18 GWC INJURY LAWYERS LLC WIEDNER & MCAULIFFE LTD 568 19WC 23465 NOLAN, LEEANN AMERICAN AIRLINES 07/07/19 MAURICE E DUSKY PC GAROFALO SCHREIBER STORM GRA 569 19WC 23532 DRWAL, DAMIAN PEPPER CONSTRUCTION 05/20/19 CHEPOV & SCOTT LLC KEEFE CAMPBELL BIERY & ASSOC 570 19WC 23551 MARTINEZ, ENRIQUE 90 MILES CUBAN CAFE 02/20/19 EPSTEIN, JACK R LAW OFFICE JOSEPH MARCINIAK 571 19WC 23623 MONTEJANO, ROSA GHM INC. DBA HILTON OAK L 05/04/19 JONATHAN SCHLACK KOPKA, PINKUS DOLIN, PC 572 19WC 23644 THOMAS, NAKEYA S ST BERNARD HOSPITAL 03/13/19 GALLAGHER, DONALD V GALLIANI DOELL & COZZI LTD 573 19WC 23666 CARTER, PAMELA ENVISION UNLIMITED 03/29/19 COVEN LAW GROUP ACCIDENT FUND HOLDINGS 574 19WC 23681 WILLIAMS, GRADY AT&T 07/29/19 MC HARGUE & JONES INMAN & FITZGIBBONS 575 19WC 23778 PATENAUDE, TIMOTHY C F.E MORAN, INC 07/15/19 GWC INJURY LAWYERS LLC 576 19WC 23799 CARMONA, ARTURO ALPINE DEMOLITION SVCS 08/15/18 SEIDMAN MARGULIS & FAIRMAN MCANANY VANCLEVE & PHILLIPS 577 19WC 23831 AGNIS, FRANCIS FAE DISTRIBUTORS, INC 08/12/19 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 578 19WC 23970 JOHNSON, DAVID PANTHER PREMIUM LOGISTICS 08/13/19 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 579 19WC 23992 DAVIDSON, BRANDON ROCKFORD ICE HOGS 11/12/18 GORDON LAW OFFICES LTD 580 19WC 24073 MAHER, KARL HP PRODUCTS 01/09/19 LEITER LAW OFFICES HENNESSY & ROACH PC 581 19WC 24108 HANSBROUGH, LATASHA ENVISION UNLIMITED 08/05/19 SAUNDERS CONDON & KENNY 582 19WC 24151 HERNANDEZ, IRRVIN KEHOE DESIGNS 07/30/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 583 19WC 24236 HENRY, PAMELA PRAIRIE MANOR NURSING HOM 08/04/19 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 584 19WC 24266 JIMENEZ, JUAN CARLOS SEBERT LANDSCAPE 06/01/17 JONATHAN SCHLACK NYHAN BAMBRICK KINZIE & LOWR 585 19WC 24303 JACKSON, NAKIA CITY OF CHICAGO-SANITATIO 11/05/18 JOSEPH J SPINGOLA, LTD 586 19WC 24323 RODRIGUEZ, RAFAEL TOOTSIE ROLL INDUSTRIES 02/22/19 HERRERA LAW CENTER NYHAN BAMBRICK KINZIE & LOWR 587 19WC 24345 JAMES, RICHARD MIDWAY BUILDING SUPPLY 07/23/19 DAMON YOUNG POWER & CRONIN LTD 588 19WC 24387 ESTRADA, ERIKA ADVOCATE IL MASONIC MED C 06/21/19 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 589 19WC 24417 MARQUEZ, JESUS WEC ENERGY GROUP DBA 02/07/19 LUSAK AND COBB GAROFALO SCHREIBER STORM GRA 590 19WC 24482 RUEDA, RAMIRO GREIF INC F/K/A CARAUSTAR 04/19/17 ELFENBAUM EVERS ZIELINSKA KNELL O'CONNOR DANIELWICZ 591 19WC 24516 SHAMOUN, DIANA ADVOCATE HEALTHCARE 11/09/18 INJURY LAWYERS OF IL GAROFALO SCHREIBER STORM GRA 592 19WC 24617 VALENCIA, JENNI LAWSON PRODUCTS 08/19/19 MC HARGUE & JONES HENNESSY & ROACH PC 593 19WC 24634 HANNAH, CARNESHA VENTURA FOODS 06/12/19 SAUNDERS CONDON & KENNY 594 19WC 24731 BASKIN, PSALLAREOUS ABLE ELECTROPOLISHING 08/16/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 595 19WC 24777 BERGER, LYNN UNITED CONTINENTL HOLDING 03/29/19 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 596 19WC 24803 SHERIDAN, KRISTIE CHILDREN'S HOME & AID 07/17/19 CAPRON & AVGERINOS PC ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 19WC 24839 BOLL, DOUGLAS OZINGA CONCRETE 11/20/18 COVEN LAW GROUP GAROFALO SCHREIBER STORM GRA 598 19WC 24920 ASASNTE, JULIANA PARK HYATT HOTEL 06/18/19 THE ROMAKER LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 599 19WC 24934 DIXON, EMONI UPS 08/15/19 DWORKIN AND MACIARIELLO ASA LAW GROUP 600 19WC 24983 SCOTT, WINFRED UNIVERSITY OF CHICAGO 05/21/19 DAVID W MARTAY POWER & CRONIN LTD 601 19WC 25027 AMMONS, PATRICE H GOLDEN YEARS COMPANION 02/21/19 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 602 19WC 25048 AGUILAR, LUIS B&J WIRE 06/12/19 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 603 19WC 25086 DOYLE, CHRISTINE GENERAL DYNAMICS 03/06/19 RUBIN LAW GROUP HENNESSY & ROACH PC 604 19WC 25100 TRANKINA, RICHARD WHITNEY FOODS 10/16/18 COVEN LAW GROUP RUSIN & MACIOROWSKI LTD 605 19WC 25130 AVINO, STEPHEN COSTCO 10/22/18 THOMAS A MORRISSEY GANAN & SHAPIRO 606 19WC 25179 LARES, MICHAEL NOVOLEX DBA BAGCRAFT PAPE 06/24/19 GOLDSTEIN AIOSSA & GOOD GOLDBERG SEGALLA LLC 607 19WC 25213 MC DOWELL, KENEESHA CHICAGO TRANSIT AUTHORITY 08/01/19 ANKIN LAW OFFICE CHICAGO TRANSIT AUTHORITY 608 19WC 25232 CONTRERAS, ROGELIO HUDSON BOILER & TANK CO 03/29/19 HERRERA LAW CENTER RUSIN & MACIOROWSKI LTD 20WC003962 -C 20WC003963 -C 609 19WC 25281 WAGNER, GARRETT D VLGE OF MORTON GROVE-FIRE 12/22/18 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 19WC025282 -C 610 19WC 25321 DODSON, KERRYBET UNITED AIRLINES INC. 10/12/17 CORNFIELD & FELDMAN WIEDNER & MCAULIFFE LTD 611 19WC 25341 PREWITT, DUDLITA IL SECRETARY OF STATE DMV @ 08/21/19 LAW OFFICES OF ADRIAN CHER ILLINOIS ATTORNEY GENERAL 612 19WC 25385 CARDOZA, RAMON ATLAS EMPLOYMENT SERVICES 07/15/19 MC HARGUE & JONES GAIDO & FINTZEN 613 19WC 25502 MARTINEZ, BRIAN A C4 TECHNICAL SERVICES 08/08/19 NILSON STOOKAL GLEASON CAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 614 19WC 25528 GILLENWATER-CATRON, TASHA THORNTON TOWNSHIP- DIST 2 11/09/18 SEIDMAN MARGULIS & FAIRMAN WIEDNER & MCAULIFFE LTD 615 19WC 25649 GUIDOTTI, HILLARY PET SUPPLIES PLUS 04/17/19 COVEN LAW GROUP 616 19WC 25677 BUTLER, DION CITY OF CHICAGO 08/12/19 HEALY SCANLON LAW FIRM CITY OF CHICAGO 617 19WC 25747 IRIAS, JASMIN CAROLINA GLOBAL MATERIAL TECHNOLOG 08/07/19 COSTA IVONE LLC 618 19WC 25772 BACON, BRUCE GREIF 08/22/19 DWORKIN AND MACIARIELLO 619 19WC 25791 ANAYA, EUGENIA GLOBAL MAIL, INC 08/16/19 DEPAOLO & ZADEIKIS HOLECEK & ASSOCIATES 620 19WC 25828 PEREZ, GUILLERMINA W CHICAGO LAKESHORE HOTEL 03/19/19 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 621 19WC 25968 RODRIGUEZ, SANDRA EASTERSEALS GILCHRIST MAR 07/30/18 PARENTE & NOREM PC 622 19WC 29804 018 DILAN, MARISOL ALDI 02/22/19 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 018 19WC029803 -C 623 19WC 32246 RODRIGUEZ, MIGUEL A LIFEWAY FOODS, INC 10/22/19 COSTA IVONE LLC 624 19WC 32288 FREEMAN, LATANYA JACKSON PARK HOSPITAL 06/02/19 RONALDSON & KUCHLER ODELSON & STERK 625 19WC 32305 LEWIS, LUTHER ORKIN, LLC 10/25/19 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 626 19WC 32330 LARRY, MALISHA CTA 10/13/19 SAUNDERS CONDON & KENNY CHICAGO TRANSIT AUTHORITY 627 19WC 32369 LEANO, MARILYN NORWEGIAN AMERICAN HOSPIT 10/18/19 SCOTT B SHAPIRO 628 19WC 32401 BILLINGSLEY, DOMINIQUE FRESENIUS KABI 06/25/19 DONALD FOHRMAN & ASSOC HOLECEK & ASSOCIATES 629 19WC 32422 BENNETT, DEON M GERRESHEIMER GLASS 10/04/19 JAMES ELLIS GUMBINER & ASS 630 19WC 32427 CHUNG, IVAN CONTINENTAL AIR TRANSPORT 10/08/19 CUDA LAW OFFICES BRYCE DOWNEY & LENKOV LLC 631 19WC 32449 BERLANGA, SERGIO WASTE CONNECTIONS 11/04/19 GWC INJURY LAWYERS LLC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 704 19WC 35037 TRIPP, ALANA TPOD MANAGEMENT INC 11/30/19 PARENTE & NOREM PC JAMES M KELLY 705 19WC 35077 RODRIGUEZ, MARIA DE LA LU PETE'S FRESH MARKET 05/26/19 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL BIERY & ASSOC 706 19WC 35100 RETA, JORGE RELIABLE BASEMENT SERVICE 07/17/19 STEVEN B SALK & ASSOC LTD 707 19WC 35115 JONES, ERICA COOK COUNTY DEPT OF 11/17/19 RANDALL T MANOYAN STATES ATTORNEY OF COOK COUN 708 19WC 35188 JACKSON, DARRYL G CTA 11/26/19 TIMOTHY HENDERSON CHICAGO TRANSIT AUTHORITY 709 19WC 35230 REEVES, DAVID ELKAY MANUFACTURING CO 05/28/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 710 19WC 35247 LOPEZ MEJIA, ADALBERTO FIRESIDE RESTAURANT & LOU 11/28/19 HERRERA LAW CENTER GANAN & SHAPIRO 711 19WC 35287 COMPTON, KEITH P LAKESHORE BEVERAGE 11/30/18 GOLDSTEIN BENDER & ROMANOF ACCIDENT FUND HOLDINGS 712 19WC 35333 WILSON, TEDDY USF HOLLAND 12/05/19 PARENTE & NOREM PC HENNESSY & ROACH PC 713 20WC 01314 RIDDLE, ALBERT USF HOLLAND 12/19/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH PC 714 20WC 03232 HILL, JENNIFER UNITED PARCEL SERVICE 01/28/20 EAMES LAW GROUP LTD ASA LAW GROUP 715 20WC 03268 HARRIS, TERRY NEW ALBERTSON'S INC DBA 12/17/19 COLLISON LAW OFFICES 716 20WC 03287 AL-ISHWAIT, MARWAN TRANSIT ADMIN CNTR INC/YE 01/30/20 BRUSTIN & LUNDBLAD LTD 717 20WC 03308 MACK, ROBERT BOYER-ROSENE BEKINS 11/23/19 LEONARD LAW GROUP LLC GANAN & SHAPIRO 718 20WC 03329 KULASIK, ANNA ADVOCATE GOOD SHEPHERD 10/23/19 RAYMOND M SIMARD, PC NYHAN BAMBRICK KINZIE & LOWR 719 20WC 03354 OLIVER, TIANNA SCOOBEEZ 01/31/20 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 720 20WC 03399 DUMAS, SIDNEY ILLINOIS TOLLWAY 01/31/20 LAW OFFICE OF LAURA A CHIL 721 20WC 03427 ROBLES, RAUL MIDWAY STAFFING 01/18/20 DEPAOLO & ZADEIKIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 722 20WC 03450 HARTS, GREGORY MINORITY AUTO HANDLING SP 01/27/20 SEIDMAN MARGULIS & FAIRMAN MEACHUM BOYLE TRAUFMAN 723 20WC 03469 HEHIR, CONOR CITY OF CHICAGO 10/19/19 SALVATO O'TOOLE FROYLAN 724 20WC 03485 MILLER, TRACY SUZIE'S HALLMARK SHOP 09/19/19 STANCZAK LAW OFFICES 725 20WC 03512 WILLIAMS, ANGELILA CITY OF CHICAGO POLICE DE 12/02/19 CORNFIELD & FELDMAN 726 20WC 03551 VILLEGAS, SALVADOR DYNAMIC POWERTRAIN REMAN 01/06/20 GOLDSTEIN BENDER & ROMANOF QUINTAIROS PRIETO WOOD & BOY 20WC003552 -C 727 20WC 03571 HARRIS, SHARON CTA 02/06/20 ACEVES & PEREZ PC CHICAGO TRANSIT AUTHORITY 728 20WC 03611 NOTO, JAMES DELTA AIRLINES 09/23/19 CAPRON & AVGERINOS PC GAIDO & FINTZEN 729 20WC 03625 CHRISTMAS, KENNETH UPS FREIGHT 11/12/19 RAYMOND M SIMARD, PC 730 20WC 03683 JOVEL, JOSE P URBAN ALTERNATIVES 10/03/19 ACEVES & PEREZ PC 20WC003684 -C 731 20WC 03739 DAVIS, GREGORY D SUPERIOR NUTS AND CANDY 01/16/20 GALLAGHER, DONALD V GANAN & SHAPIRO 732 20WC 03776 MILIVOJEVIC, OBRAD A FINKL & SONS CO 01/08/20 SAM CUBA LAW OFFICE GAROFALO SCHREIBER STORM GRA 733 20WC 03793 ALLEN, STEVEN SUN CHEMICAL 01/28/20 DEPAOLO & ZADEIKIS HENNESSY & ROACH PC 734 20WC 03816 OCAMPO, SAUL LOGAN SQUARE ALUMINUM SUP 12/19/19 ANKIN LAW OFFICE 735 20WC 03874 DAVIS, FANTASIA MARCUS CHICAGO HEIGHTS CI 02/10/20 STROM & ASSOC CHILTON YAMBERT PORTER LLP 736 20WC 03902 WALLACE, ARNESTER HEALTHCARE PLUS 06/26/19 STYKA & STYKA QUINTAIROS PRIETO WOOD & BOY 737 20WC 03915 DE LA LUZ MUNOZ, MARIA ALTERNATIVE STAFFING, INC 08/09/19 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 738 20WC 03945 BRYANT, JOHNNY EOS TRUCKING 12/19/19 MC HARGUE & JONES GAROFALO SCHREIBER STORM GRA 739 20WC 03961 CASILLAS, ERNESTO SUPREME LOBSTER & SEAFOOD 12/05/19 HERRERA LAW CENTER

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 900 20WC 19350 SILLER, DOLORES CHICAGO TRANSIT AUTHORITY 08/03/20 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 901 20WC 19371 TORRES, LISANDRO PROGRESS RAIL 04/13/20 WOODRUFF JOHNSON GOLDBERG SEGALLA LLC 902 20WC 19390 AUGUST, JAMES COOK COUNTY 08/12/20 WHITESIDE & GOLDBERG LTD STATES ATTORNEY OF COOK COUN 903 20WC 19413 MARS, SUSAN JEWEK OSCO 08/17/19 DAVID SZCZECIN & ASSOC 904 20WC 19455 RUIZ, JESUS MERCADO FOX RUN GOLF LINKS/ELK GR 08/14/19 COSTA IVONE LLC RUSIN & MACIOROWSKI LTD 905 20WC 19490 ALCIVAR, JOHNNY KNAGA LOGISTICS, INC 06/23/20 CULLEN HASKINS NICHOLSON 906 20WC 19512 FERNANDEZ, ISMAEL SALINAS ARAMARK FACILITY SERVICES 07/22/20 EPSTEIN, JACK R LAW OFFICE 907 20WC 19552 ALLEN, JERMAINE JB HUNT TRANSPORTATION 08/13/20 KUMLIN & FROMM 908 20WC 19686 EZEAKOR, NNAEMEKA NECT 16, LLC 08/07/19 HUNER LAW OFFICES LLC 909 20WC 19732 MITCHELL, RIKAYLA UPS 07/20/20 DISPARTI LAW GROUP PA NYHAN BAMBRICK KINZIE & LOWR 910 20WC 19755 ROWE JR, HOPETON O TOWN OF CICERO 08/14/20 DAVID SZCZECIN & ASSOC 911 20WC 19777 ORDUNO, JESUCITA HOME DEPOT 08/05/20 COSTA IVONE LLC ADELSON TESTAN BRUNDO 912 20WC 19785 MASON, TYWAIN USHER TRANSPORTATION 02/21/20 BART DURHAM SCOPELITIS GARVIN LIGHT 913 20WC 19810 MORALES, SILVIA MIDWAY STAFFING 06/09/20 ENCINAS & ORNELAS 914 20WC 19831 VICTORIA, RODOLFO AARONS RELIABLE 07/29/20 GORDON & CENTRACCHIO LLC INMAN & FITZGIBBONS 915 20WC 19887 PRICE, FRED O NORTHERN PIPELINE CONSTRU 08/13/20 PETER LEKAS KNELL O'CONNOR DANIELWICZ 916 20WC 19911 SHORTS, ADAM NONNA'S PIZZA 12/01/19 WARREN W MARK 917 20WC 20040 HENAO, ADOLFO GONNELLA FROZEN PRODUCTS 05/23/20 DOUGLAS RALLO PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 918 20WC 20133 HARDY, RHONDA CHICAGO PUBLIC SCHOOLS 06/09/20 TRAPP & GELLER 919 20WC 20153 FORTNEY, DARNELL BERKELEY NURSING & REHAB 05/15/20 KUMLIN & FROMM 920 20WC 20172 MURRAY, MARY SCHOOL DISTRICT 159 07/24/20 SEIDMAN MARGULIS & FAIRMAN 921 20WC 20194 LECHUGA, FATIMA M BLOCK & SONS INC 08/11/20 COSTA IVONE LLC 922 20WC 20208 BOROUGHF, ROBIN A JEWEL FOOD STORES/ 11/21/19 COHEN, LARRY D 923 20WC 20231 KEYES, TRACY FEDERAL EXPRESS 08/19/20 STEVEN J TENZER, LTD 924 20WC 20254 CORCORAN, LAWRENCE AUTOGRILL GROUP INC 12/05/19 KATZ FRIEDMAN EISENSTEIN 925 20WC 20282 009 GORDON JR, ROBERT ATKORE INTERNATIONAL 08/14/20 GOLDSTEIN BENDER & ROMANOF 009 19WC028642 -C 926 20WC 20301 RODGERS, ANETRA CHICAGO-REED MENTAL HEALT @ 07/27/20 EDWIN REYES LAW FIRM ASSISTANT ATTY GENERAL 927 20WC 20331 ARTEAGA, JESUS FEDEX GROUND 08/17/20 LLOYD MILLER LAW GROUP KOPKA, PINKUS DOLIN, PC 928 20WC 20352 AGEE, CLEOPATRA STATE OF IL/DEPT OF HUMAN @ 07/29/20 BRISKMAN BRISKMAN GREENBER 929 20WC 20389 MILLS, GIBRON CITY OF CHICAGO DEPT OF 08/19/20 FRIEDMAN & SOLMOR LTD GAROFALO SCHREIBER STORM GRA 930 20WC 20412 LITTLE, STEPHON CHICAGO TRANSIT AUTHORITY 08/15/20 WHITESIDE & GOLDBERG LTD CHICAGO TRANSIT AUTHORITY 931 20WC 20441 HERRERA, MARIA M HOSTESS BRANDS, LLC 07/23/20 EPSTEIN, JACK R LAW OFFICE INMAN & FITZGIBBONS 932 20WC 20457 MITCHELL, GARY VILLAGE OF BARTLETT 08/08/19 MEYERS & FLOWERS 933 20WC 20497 DIMAKOS, DIMITRIOS PETES FRESH MARKET 03/28/20 ANKIN LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 934 20WC 20519 WRIGHT, KENYA PACKRUNNERS, INC 08/07/20 DWORKIN AND MACIARIELLO 935 20WC 20563 PARKER, DEBORAH MERCY HOSPITAL & MEDICAL 04/30/20 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 936 20WC 20618 KEENEY, JESSIE GREEN KITCHEN CONCEPTS IN 08/16/19 TRAPP & GELLER QUINTAIROS PRIETO WOOD & BOY 937 20WC 20642 VASQUEZ, CLAUDIA FOOD 4 LESS 08/02/20 BERG & BERG 938 20WC 20652 JOHNSON SR, RANDY E MIDWEST TRANSPORT 08/14/20 GOLDSTEIN BENDER & ROMANOF 939 20WC 20679 FLORES, CARLOS LABOR SOLUTIONS 08/17/20 ENCINAS & ORNELAS 940 20WC 20702 LOPEZ, JOSE C GABRIEL'S LANDSCAPE & TRE 08/05/20 KATZ FRIEDMAN EISENSTEIN 941 20WC 20732 GARCIA, THOMAS UPS FREIGHT 08/06/20 GWC INJURY LAWYERS LLC NYHAN BAMBRICK KINZIE & LOWR 942 20WC 20744 CRUZ, DYLAN CHASE BANK 04/13/20 WOODRUFF JOHNSON HENNESSY & ROACH PC 943 20WC 20776 TILLMAN, PATRICIA JERRY & SON ROOFING 07/30/20 ROGER D RUDICH LTD 944 20WC 20787 MOSER, EDWARD RACO STEEL COMPANY 11/20/19 ANESI OZMON RODIN NOVAK KO 945 20WC 20811 SANDORA, JASMINE CITY OF EVANSTON 03/08/20 DONALD FOHRMAN & ASSOC 946 20WC 20843 TOWNSEND, TONY EASGLE EXPRESS LINES, INC 11/15/19 ELFENBAUM EVERS ZIELINSKA INMAN & FITZGIBBONS 947 20WC 20889 LILLIE, LAJESSICA SCR TRANSPORTATION 08/12/20 CELSO FUENTES JR LEAHY EISENBERG & FRAENKEL 948 20WC 20912 CARRERA, ALBINO MACNEAL HOSPITAL/ 07/12/19 STEVEN J TENZER, LTD 949 20WC 20936 MENDOZA, RAMON CONTOUR LANDSCAPING, INC 10/18/19 ACEVES & PEREZ PC EVANS & DIXON 950 20WC 20957 MILLER, D'ORSAY COOK COUNTY GOVERNMENT 08/17/20 ANKIN LAW OFFICE STATES ATTORNEY OF COOK COUN 951 20WC 21684 RANDALL, TANDRA (ESTATE O BOEING CORPORATE OFFICES # 04/09/20 DWORKIN AND MACIARIELLO 952 20WC 27495 GARCIA, RICARDO PETE'S FRESH MARKET * 08/31/20 CHEPOV & SCOTT LLC 953 20WC 27511 GRA, KIMYATA COOK CNTY DEPT OF CORRECT * 06/20/20 VRDOLYAK LAW GROUP LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 954 20WC 27532 OLECHNO, WINCENTA ABM CLEANING SERVICES * 07/25/19 CULLEN HASKINS NICHOLSON 955 20WC 27554 GILLET, RAFAEL ALPHA BAKING * 06/11/20 DWORKIN AND MACIARIELLO 956 20WC 27581 DE LA CRUZ, FAUSTO APEX LANDSCAPING INC * 07/21/20 EPSTEIN, JACK R LAW OFFICE 957 20WC 27609 LEONCE, BENJAMIN ISOFLEX PACKAGING * 09/29/20 NEIL KAUFMAN 958 20WC 27622 BROADEN, DEJIAH DAKKOTA INTEGRATED SYSTEM * 08/26/20 ALEKSY BELCHER 959 20WC 27638 REYNOSO, PEDRO CITY OF CHICAGO * 10/28/20 RUBIN LAW GROUP 960 20WC 27678 CLAUSON, SCOTT ALPHA BAKING CO. * 10/05/19 ACEVES & PEREZ PC 961 20WC 27700 BRUNING, PETE C & C ASPHALT * 10/29/20 LEONARD LAW GROUP LLC 962 20WC 27822 HARRIS, THARNEL UNITED PARCEL SERVICE * 10/15/20 HOWARD S. KAVENOW LLC 963 20WC 27835 HAYWARD, KEN EVEREADY FLOOD CONTROL * 10/21/20 SEIDMAN MARGULIS & FAIRMAN 964 20WC 27857 RILEY, EDWARD PULLMAN SUGAR, LLC * 10/30/20 DWORKIN AND MACIARIELLO 965 20WC 27875 PERALTA, FRANCISCO DHL GLOBAL * 08/15/20 LEONARD LAW GROUP LLC 966 20WC 27895 GUNDERSON, NEIL VILLAGE OF GLENVIEW * 12/11/19 NYHAN BAMBRICK KINZIE & LOWR 967 20WC 27931 ADEGBOLA, GABRIEL BRIA CHICAGO HEIGHTS * 06/05/20 CULLEN HASKINS NICHOLSON 968 20WC 27961 ROBERTS, RALPHAEL CHICAGO TRANSIT AUTHORITY * 09/26/20 DONALD FOHRMAN & ASSOC 969 20WC 27981 HUGHES, BOBBY FORD MOTOR CO. * 10/03/19 KREITER, BYCK & ASSOC LLP 970 20WC 27988 MORIN, JORGE CHICAGO TRANSIT AUTHORITY * 11/09/20 STROM & ASSOC 971 20WC 28011 JORDAN, CHARLES JR. HELP AT HOME LLC * 05/03/20 DISPARTI LAW GROUP PA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 972 20WC 28025 HERMANN, DOUGLAS EXELON WEST * 12/19/19 HENNESSY & ROACH PC 973 20WC 28050 DAVIS, FALA UNIVERSITY OF CHGO MEDICA * 06/02/20 ANKIN LAW OFFICE 974 20WC 28075 CHOLICO, ALEJANDRO LB METALS LLC * 03/25/20 RUEDA, IVAN A 975 20WC 28097 LEBRON, KATHERINE; EXEC O HILTON MGMT LLC * 04/03/20 GWC INJURY LAWYERS LLC 976 20WC 28106 KOPEC, JOZEF A&R JANITORIAL SVC INC * 09/16/20 ALEKSY BELCHER EVANS & DIXON 977 20WC 28125 OSORIO, JOSE ALFREDO BERNDT RACING STABLE INC * 10/30/20 SALK FLORES & BRODERICK 978 20WC 28143 ALVAREZ, ASECION J RDI INC * 10/31/20 TAXMAN POLLOCK 979 20WC 28160 YOSHIHARA, DANRY CITY OF CHICAGO/ * 09/24/20 POULOS & DIBENEDETTO LAW 980 20WC 28188 JONES, RODNEY COOK COUNTY SHERIFFS DEPT * 10/30/20 EAMES LAW GROUP LTD 981 20WC 28229 SCIACCOTTA, ANTHONY VILLAGE OF ELMWOOD PARK * 01/01/20 INMAN & FITZGIBBONS 982 20WC 28251 HARRIS, NIKITA BLUE RAVEN SOLAR * 06/09/20 DWORKIN AND MACIARIELLO 983 20WC 28278 RUSSO, JOSEPH P AT&T * 11/04/20 ANESI OZMON RODIN NOVAK KO 984 20WC 28305 GRANADOS, FELIX ABC PLUMBING HEATING COOL * 11/02/20 RUBENS KRESS MULHOLLAND 985 20WC 28327 BROWN, TERRY L ASSOC. FOR ORAL MAXILLOFA * 07/17/18 ARIANO HARDY NYULI JOHHSON 986 20WC 28344 KLINGER, MICHAEL J SALVATION ARMY EVANGELINE * 10/27/20 BUDIN LAW OFFICES 987 20WC 28374 LEWIS, DAVID WILLIAMS SONOMA STORES IN * 09/29/20 ANKIN LAW OFFICE 988 20WC 28396 COLLINS, DEANNA HARPER COLLEGE * 11/27/18 HORWITZ HORWITZ & ASSOC 989 20WC 28431 CHRISTIANSEN, JAMES UNITED AIRLINES * 12/05/18 MARKHAM M JEEP & ASSOCIATE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 990 20WC 28451 HERNANDEZ, SIMON VITAL PROTEINS * 10/28/20 DWORKIN AND MACIARIELLO 991 20WC 28471 SANDOVAL CERVANTES, FRANC RIBBON WEBBING CORP * 10/15/20 HERRERA LAW CENTER 992 20WC 28489 MORALES, HIDALIA ATLAS EMPLOYMENT SVCS INC * 11/11/20 MC HARGUE & JONES 993 20WC 28506 MEDINA, JOSE L EVERLAST BLACKTOP INC * 10/30/20 COVEN LAW GROUP 994 20WC 28522 KELLY, RAMON CITY OF CHICAGO * 11/04/20 GWC INJURY LAWYERS LLC 995 20WC 28568 JACKSON, LINDA CITY OF CHICAGO * 07/28/20 DISPARTI LAW GROUP PA 996 20WC 28610 JONES, SOMMER FORD MOTOR COMPANY * 06/19/19 DONALD FOHRMAN & ASSOC 997 20WC 28626 MEYN, SAMANTHA AMITA HEALTH ALEXIAN BROT * 07/30/20 STIBERTH, SCARLATI & 998 20WC 28648 LOPEZ, CICELY ASPIRE CONSULTING, INC. * 08/28/20 MC HARGUE & JONES 999 20WC 28672 HAMISU, IBRAHIM MARTIN BI HONEYWELL INTERNATIONAL I * 01/04/20 SPENCER LAW OFFICES 1000 20WC 28718 JACKSON, BRANDON DR PEPPER SNAPPLE GROUP * 12/23/19 DWORKIN AND MACIARIELLO 1001 20WC 28733 HICKS, ANTHONY RAHMAN PLUMBING * 11/07/20 LEONARD LAW GROUP LLC 1002 20WC 28757 VALENTIN, ANTONIO UNITED AIRLINES * 12/02/19 SEIDMAN MARGULIS & FAIRMAN 1003 20WC 28849 MORRIS, TODD WALGREENS * 07/09/20 PORRO NIERMANN LAW GROUP 1004 20WC 28885 ADAM, DONALD STAFFMARK INVESTMENT LLC * 10/21/20 JAMES ELLIS GUMBINER & ASS 1005 20WC 28905 WALES, UKLER SUPERIOR TOWING INC * 09/25/20 VRDOLYAK LAW GROUP LLC 1006 20WC 28936 DEVEREUX, KEVIN METROPOLITAN WATER RECLAM * 10/28/20 HEALY SCANLON LAW FIRM 1007 20WC 28959 HERNANDEZ, LUIS RAPID PALLETS * 11/07/20 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 MASON, MOLLY 011 ARBITRATION CALL FOR CHICAGO 99011 ON 01/08/2021 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1008 20WC 28973 MUNOZ, VICTOR WOODFIELD HOTELS LLC * 09/17/20 EPSTEIN, JACK R LAW OFFICE 1009 20WC 28995 LOWERY, CLAUDE COOK CNTY DEPT OF CORRECT * 03/15/20 DISPARTI LAW GROUP PA 1010 20WC 29010 MANCE, PATRICK CTA * 05/01/20 STEPHEN R. MARTAY 1011 20WC 29031 BATTISTONI, NICK CITY OF CHICAGO * 10/27/20 HEALY SCANLON LAW FIRM 1012 20WC 29057 SANT, JOHN UNITED AIRLINES HOLDINGS * 09/28/20 BRIAN J MC MANUS & ASSOC, 1013 20WC 29083 LOPEZ, ARMANDO COOK COUNTY SHERIFF'S DEP * 11/23/20 WHITESIDE & GOLDBERG LTD 1014 20WC 29094 ARANA, JUAN T&M CARPENTRY, INC * 09/05/19 ENCINAS & ORNELAS 1015 20WC 29115 DRIVER, CLAUDE CITY OF CHICAGO * 10/25/19 ARGIONIS & ASSOCIATES LLC 1016 20WC 29135 DABABNEH, ARIJ BREMEN HIGH SCHOOL DIST 2 * 02/28/18 ASHER, RAYMOND L LTD 1017 20WC 29288 LINDROTH, ANITA PETCO ANIMAL SUPPLIES, IN * 10/12/19 ALBRECHT LAW OFFICES 1018 20WC 29306 WALKER, MISTY CHICAGO TRANSIT AUTHORITY * 11/24/20 ARGIONIS & ASSOCIATES LLC 1019 20WC 29332 HILL, DEWANDA COOK COUNTY * 11/21/20 RITTENBERG BUFFEN 1020 20WC 29357 RUIZ, MARVIN A LINCOLN PARK ZOO * 01/31/18 ROSS TYRRELL 1021 20WC 29386 WARMACK, NIJIAH AGB INVESTIGATIVE SERVICE * 11/23/20 DWORKIN AND MACIARIELLO 1022 20WC 29424 VAZQUEZ, J CARMEN VPC PIZZA OPERATING CORP * 02/22/20 LAW OFFICES OF COZZI & ZAPF 1023 20WC 29442 GOLDMAN, EDDIE CHICAGO BEARS FOOTBALL CL * 12/03/17 GORDON LAW OFFICES LTD 1024 20WC 29463 SANCHEZ, RAFAEL SUN BELLE INC. * 11/03/20 DISPARTI LAW GROUP PA 1025 20WC 29507 MAYER, MARK BERRY GLOBAL * 08/05/20 R. MARK MARITOTE PC