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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 FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 08WC 23102 SIBERT, JOSEPH STATESVILLE CORRECTIONAL @ 04/24/08 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 16 08WC 27045 BELLANTE, ROBERTA KD TRANSPORT INC W 02/08/08 PORRO NIERMANN LAW GROUP 08WC043830 -C KEVIN R DANIELS 17 08WC 27063 PATRICK, CHERYL ST OF IL DEPT OFSTATE POL @ 12/05/06 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 18 08WC 27303 JOHNSON, JEANETTE ILLINOIS DEPARTMENT OF @ 12/06/07 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTORNEY GENERAL 19 08WC 43288 DAMON, BARRY STATEOF ILLINOIS @ 08/04/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 20 08WC 44663 SANCHEZ, MANUEL ATRIUM 11/01/05 FITZ & TALLON LTD THOMAS & ASSOCIATES 21 08WC 48821 DARSIPUDI, VIJAI ILLINOIS DEPARTMENT 09/06/08 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 10WC026435 -C IL DEPT OF CORRECTIONS 10WC032100 -C 12WC029763 -C 22 09WC 03939 KASSENOFF, CATHY ATI PHYSICAL THERAPY 08/25/08 SOSTRIN AND SOSTRIN PC LAW OFFICES OF EDWARD J. KOZ 23 09WC 13097 NOVAK, CATHERINE PLAINFIELD COMMUNITY 01/15/09 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 09WC013098 -C 10WC044240 -C SCHOOL DISTRICT 202 24 09WC 15598 LONG, ROBERT STATE OF ILLINOIS @ 04/30/06 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 25 09WC 19337 CROSBY, GWENDOLYN KEHE FOOD DISTRIBUTORS IN 12/05/08 VRDOLYAK LAW GROUP LLC POULOS & DIBENEDETTO LAW 10WC013494 -C 11WC007601 -C 26 09WC 24532 SCHMIDT, LINDA STATE OF IL DJJ IYC JOLET @ 05/13/09 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 27 09WC 30158 MITCHELL, SHIRLEY ADDUS HEALTHCARE 05/12/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 11WC044977 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 09WC 34734 GAGLIARDO, BRIAN CLENNON ELECTRIC 07/26/06 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 29 09WC 35842 COBB, DONALD JR AT & T C/O SEGGWICK CMS 03/04/09 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 12WC023155 -C 30 09WC 35887 ORTEGA, CRISTINA TROY COMMUNITY CONSOLIDAT 08/03/09 GOLDSTEIN AIOSSA & GOOD POWER & CRONIN LTD 11WC021136 -C 31 09WC 39271 MCLELLAND, ERIC P IL DEPT OF CORRECTIONS- @ 08/09/09 MCNAMARA PHELAN MCSTEEN, L ASSISTANT ATTORNEY GENERAL 32 09WC 42449 CARR, XAVIER HOME CHOICE 07/27/09 BLOCK, KLUKAS & MANZELLA P GILDEA, COGHLAN & REGAN LTD. 33 09WC 47705 COSTELLO-SCUMACI, PATRICI NATIONAL CITY 11/04/08 CANDIANO LAW OFFICE INMAN & FITZGIBBONS 13WC028155 -C 34 10WC 00658 HOWARD, CAROL J FAMILY CHRISTIAN STORES 10/08/09 CULLEN HASKINS NICHOLSON LAW OFFICES OF EDWARD J. KOZ 35 10WC 03328 SILVA, KATHERINE PARTY CITY 06/09/09 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 12WC035221 -C 36 10WC 06898 VERONESI, SHARON LEE MONREAL D/B/A AMERICA W 06/10/09 BLOCK, KLUKAS & MANZELLA P 37 10WC 08234 KERR, HAMPTON ILLINOIS DEPT OF CORRECTI @ 02/06/10 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 13WC024823 -C IL DEPT OF CORRECTIONS 38 10WC 11186 MCGAUGHY, SARAH SALEM VILLAGE NURSING HOM 02/07/10 BLOCK, KLUKAS & MANZELLA P THOMAS & ASSOCIATES 39 10WC 11536 SCHWARZ, DALE STATE OF ILLINOIS 01/01/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 40 10WC 12596 WILDA, CARL STATE OF ILLINOIS DEPT @ 03/10/10 GOLDSTEIN BENDER & ROMANOF ASSISTANT ATTORNEY GENERAL 41 10WC 14150 REEVES, JODY SARAH MINI-MART W 01/07/10 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 42 10WC 24869 GORSKI, BARBARA MPI LABEL SYSTEM 01/15/10 BLOCK, KLUKAS & MANZELLA P LAW OFFICES OF EDWARD J. KOZ 43 10WC 26624 JABLONSKI, GWEN LHK PARTNERS 02/19/10 RATHBUN CSEVENYAK & KOZOL RUSIN & MACIOROWSKI LTD 10WC042401 -C 44 10WC 27067 NILES, LEE FAMILY DOLLAR 05/11/10 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 45 10WC 29432 BABCOCK, BETH US SECURITY SERVICES 02/12/10 BLOCK, KLUKAS & MANZELLA P GRANT & FANNING 46 10WC 33661 ROSALES, OFELIA ELITE STAFFING 03/10/10 KATZ FRIEDMAN EAGLE ET AL GOLDBERG SEGALLA LLC 47 10WC 34118 MIXON, DALIA M LG ELECTRONICS MOBILE COM 02/09/09 GALLAGHER, DONALD V THOMAS & ASSOCIATES 12WC014109 -C L G ELECTRONICS MOBILE 48 10WC 34651 COOPER, MEGAN STATE OF ILLINOIS @ 08/19/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 49 10WC 35203 MOOI, ANNETTE C FOOD 4 LESS 08/26/10 PETER F FERRACUTI & ASSOCI STONE & JOHNSON CHARTERED 10WC045689 -C SCHULTZ-MOOI, ANNETTE 50 10WC 35765 YOUNG, JAMES J&M FORKLIFT 08/05/10 BURNES & LIBMAN HENNESSY & ROACH PC 51 10WC 36396 GARVEY, TERRANCE ST OF IL DJJ IYC JOLIET @ 03/30/10 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 52 10WC 36705 HIBLER, MICHAEL JOLIET FIRE DEPARTMENT 06/16/10 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 53 10WC 40448 WALKER, ROBERT GROUP O SUPPLY CHAIN/CATE 09/30/10 BLOCK, KLUKAS & MANZELLA P KNELL LAW LLC 54 10WC 42018 AGUILAR, EVERADO CASTRO'S LANDSCAPING W 09/29/10 KATZ FRIEDMAN EAGLE ET AL 55 10WC 43042 KAPP, WILLIAM WILL COUNTY SHERIFF'S DEP 07/29/00 SAUNDERS CONDON & KENNY HINSHAW & CULBERTSON 56 10WC 44020 GADBOIS, CINDY JEWEL-OSCO 04/08/10 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 57 10WC 44607 SZORC, KRZYSTOF ILLINOIS DEPARTMENT @ 08/12/10 R. MARK MARITOTE PC ASSISTANT ATTORNEY GENERAL 58 10WC 46973 NUNEZ, JESUS R & S DRYWALL CORP 11/09/10 HEALY LAW FIRM RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 59 10WC 48205 ALLEN, IRMA ST OF IL/STATEVILLE CORR @ 10/07/10 GALLAGHER LAW PC ASSISTANT ATTORNEY GENERAL 60 11WC 06549 SPRINGER, ALISA STATE OF ILLINOIS @ 01/18/11 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 61 11WC 09307 ANSERE, PATRICIA BOLINGBROOK HOSPITAL FOOD 01/01/11 CHRISTOPHER FREEMAN INMAN & FITZGIBBONS 62 11WC 12723 SEROKA, DAVE GOLDEN STATE FOODS 04/15/09 MCNAMARA PHELAN MCSTEEN LL COZZI & GOGGIN-WARD 63 11WC 17171 TORRES, PHILIP WILL COUNTY HEALTH DPT 10/08/08 TONY L BRASEL 64 11WC 17493 SCHNEIDER, WILLIAM CIRCUIT CITY STORES INC 05/07/08 FRANKLIN, VALARIE P & ASSO 65 11WC 18457 RODRIGUEZ, JOSE VLG OF NEW LENOX 08/02/09 DWORKIN & MACIARIELLO SLAVIN & SLAVIN 11WC018458 -C 66 11WC 20580 19B WILLIAMS, TELLIS ST OF IL @ 08/07/10 BLOCK, KLUKAS & MANZELLA P STEPHANIE KEVIL 67 11WC 22989 GRAY, DOUGLAS BMS ENTERPRISES 11/02/09 COHN LAMBERT RYAN & SCHNEI CASSANO & ASSOCIATES 68 11WC 26379 WATSON, RAY ORANGE CRUSH LLC 10/26/10 HORWITZ HORWITZ & ASSOC NICHOLAS M. BIGONESS 11WC026380 -C 69 11WC 27008 SHAIN, BARBARA CLEARWATER PAPER PRODUCTS 06/27/11 PORRO NIERMANN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 70 11WC 29518 TAYLOR, DANIELLE STATE OF ILLINOIS @ 04/27/11 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 71 11WC 29869 19B HARAN, JERROLD I AT&T CORPORATION 12/08/10 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 72 11WC 30023 CULLICK, CONSTANCE HORWITZ HORWITZ & ASSOC @ 05/06/11 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 73 11WC 31978 TRINKA, STEVE KEHE FOODS 06/24/11 CHRISTOPHER FREEMAN NOBLE & ASSOCIATES PC 13WC000352 -C 74 11WC 32470 MORENO, NICOLASA ELITE STAFFING 12/08/10 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 13WC001992 -C 16WC000915 -C 16WC011993 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 11WC 34231 PELAEZ, ALBERTO COATINGS & LOGISTICS GROU 11/03/10 RUSIN & MACIOROWSKI LTD 76 11WC 34413 RICHARDSON, KYLE JOLIET JUNIOR COLLEGE 04/01/10 RATHBUN CSEVENYAK & KOZOL SCOPELITIS GARVIN LIGHT 77 11WC 35365 LEON, NATALIE PNC BANK 02/01/11 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 78 11WC 41246 AGUIRRE, MARY CITY OF JOLIET 09/21/11 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 79 11WC 42953 GOMEZ, JUAN UNITED LANDSCAPE SERVICE 07/06/11 RANDALL A WOLFF & ASSOC. L HENNESSY & ROACH PC 80 11WC 43491 TELLEZ, DONNA SILVER CROSS HOSPITAL 10/25/10 HEALY LAW FIRM MACIOROWSKI SACKMANN & ULRIC 81 11WC 44860 JOHNSON, BILLY ST OF IL DEPT OF CORRECTI 11/05/11 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 82 11WC 46988 19B PITTMAN, TONY JOLIET SCHOOL DISTRICT #8 06/02/10 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 11WC046989 -C 11WC046990 -C 83 11WC 48491 VANDYKE, MARGARET WILL COUNTY COMMUNITY 08/16/11 CULLEN HASKINS NICHOLSON HINSHAW & CULBERTSON 84 12WC 02941 SALAZAR, SONJA SALEM VILLAGE 12/07/11 DWORKIN AND MACIARIELLO GALLIANI DOELL & COZZI LTD 85 12WC 07344 MUDRON, PATRICIA PROVENA ST JOSEPH 08/10/11 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 86 12WC 07668 SARACCO, RICHARD UNITED VAN LINES 03/28/11 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 12WC011700 -C 87 12WC 08617 SHANKLE, JOHN RISELING MOTOR EXPRESS 01/26/12 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 13WC016835 -C 88 12WC 11493 THOMPSON, TONY DEDICATED LOGISTICS 03/10/12 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 89 12WC 12503 MOYERS, JEFFREY LIGHTNING MOTORS W 12/26/11 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL 90 12WC 13702 LOPEZ, VALENTIN STATEVILLE CORRECTIONAL C @ 01/14/12 EPSTEIN, JACK R LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 12WC 14835 SCHWARZ, DALE ST OF IL, DEPT OF CORRECT @ 05/07/10 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 92 12WC 21596 BRONKE, BRIAN RR DONNELLY 05/14/12 PORRO NIERMANN LAW GROUP BRADY CONNOLLY & MASUDA PC 12WC021597 -C 13WC024555 -C 93 12WC 23223 VERTIZ, GUSTAVO GAYTAN SIGNS 06/20/12 CULLEN HASKINS NICHOLSON 94 12WC 23443 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 05/17/11 HORWITZ HORWITZ & ASSOC LAW OFFICES JOSEPH MARCINIAK 13WC030720 -C 13WC030721 -C 95 12WC 23630 SHORE, CAROL SILVER CROSS HOSPITAL 10/17/11 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 96 12WC 25077 KALEBIC, DONNA BRIGHTSTAR HEALTHCARE 07/14/12 BAUM RUFFOLO & MARZAL LTD BRYCE DOWNEY & LENKOV LLC 97 12WC 26088 MARTINEZ, LUIS PACTIV 06/20/12 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 98 12WC 27085 LOPEZ-RANGEL, ALEXCI SDLR ENTERTAINMENT INC D/ W 12/10/11 GALLIANI DOELL & COZZI LTD RATHBUN CSEVENYAK & KOZOL 99 12WC 27374 DINTERMAN, EVAN CEDAR ELECTRIC @ W 06/06/12 SAUNDERS CONDON & KENNY 100 12WC 28183 19B MUFICH, MARK ILLINOIS DEPARTMENT @ 11/16/09 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 101 12WC 28823 SCISSOM, CAROLYN UNITED CEREBRAL PALSY OF 09/19/11 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 102 12WC 30215 19B PRYOR, ARTIC ST OF IL DEPT OF @ 07/05/12 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 103 12WC 31557 STOKES JR, SAMUEL L JOLIET HOUSING AUTHORITY 02/23/12 BRIAN T MORROW, LAW OFFICE THOMAS & PORTELA 104 12WC 32772 GORDON, LAWRENCE ILLINOIS DEPARTMENT OF @ 04/28/12 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 13WC020953 -C ST OF IL DEPT OF CORRECTIO 105 12WC 34521 MOLNAR, TREVOR CASSENS TRANSPORT CO 09/09/12 HORWITZ HORWITZ & ASSOC KNAPP, OHL & GREEN 106 12WC 34936 LARMON, DANIEL M METROPOLITAN TRUCKING 08/11/11 ROMANUCCI & BLANDIN STONE & JOHNSON CHARTERED 107 12WC 39146 WAHLMAN, JAMES DIRECTSAT USA LLC 12/12/11 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 12WC 40034 CHIRICH, THOMAS JEEB INC D/B/A 08/17/12 BRIAN T MORROW, LAW OFFICE LAW OFFICE OF PAUL O WATKISS 109 12WC 40461 RODRIQUEZ, JOSE VILLAGE OF NEW LENOX 05/15/12 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 110 12WC 42872 REYNOLDS, SAMUEL S F.E. MORAN 04/08/08 CORTI ALEKSY & CASTANEDA 111 12WC 43500 BODOH, AMY QUEST FOOD MANAGEMENT SER 08/20/12 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 112 12WC 44091 PRATT, VICKI EXTENDED CARE 10/05/12 ANESI OZMON RODIN NOVAK KO MCANANY VANCLEVE & PHILLIPS 13WC000147 -C 113 12WC 44174 LOFTIS, JOY L COUNTY OF WILL 09/12/12 FABRIZIO, HANSON PEYLA ET WIEDNER & MCAULIFFE LTD 114 12WC 44416 OLSON, DARRELL COAL CITY MUNICIPAL CORP 10/06/12 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 15WC003263 -C 115 12WC 44442 LEWIS, JAMES F RECALL SECURE D 11/26/12 MARKER & ASSOCIATES HOLECEK & ASSOCIATES 116 13WC 03113 SIZEMORE, LESLIE PANERA BREAD 09/24/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 117 13WC 04712 HOUSTON, BENJAMIN IL DEPT OF CORRECTIONS 10/02/12 STEVEN J SEIDMAN LAW OFFIC ASSISTANT ATTORNEY GENERAL 14WC023839 -C IDOC STATESVILLE PRISON 118 13WC 04953 COLLINS, WILLIAM SAFEWAY INSURANCE 02/19/10 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 119 13WC 06429 TINOCO, CARBAJAL ANGEL JU SIMOS INSOURCING SOLUTION 05/13/12 COSTA IVONE LLC LAW OFFICES FRANCESCA LARSEN 120 13WC 06447 COLLINS, WILLIAM SAFEWAY INSURANCE 06/22/11 BLOCK, KLUKAS & MANZELLA P 121 13WC 07557 MACDONALD, CINDY PLAINFIELD SCHOOL DISTRIC 02/07/13 NEWLAND & NEWLAND KEEFE CAMPBELL & ASSOC LLC 122 13WC 09165 ZEPEDA, JESUS DESTINY ENTERPRISE INTL/ W 03/13/13 JAMES ELLIS GUMBINER & ASS 123 13WC 10089 ZAMUDIO, NORA HARRAHS CASINO 07/13/12 BRISKMAN BRISKMAN GREENBER NOBLE & ASSOCIATES PC 16WC005216 -C 124 13WC 12180 QUINONES, JOSE A.S.G. STAFFING INC 04/03/13 RATHBUN CSEVENYAK & KOZOL LAW OFFICE HUGO ORTIZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 125 13WC 12510 HORWATH, RONALD RAYS AUTO BODY 12/05/12 BOUDREAU & NISIVACO LLC NYHAN BAMBRICK KINZIE & LOWR 126 13WC 14343 JAMES, CYNTHIA JOLIET TOWNSHIP HIGH SCHO 04/08/13 BRIAN T MORROW, LAW OFFICE THOMAS & ASSOCIATES 127 13WC 15790 PARRA, MARIA UNISTAFF, INC 12/04/12 COLLISON LAW OFFICES WIEDNER & MCAULIFFE LTD 128 13WC 16350 DU CHARME, WILLIAM ST OF ILL DEPT OF CORRECT @ 02/13/13 RATHBUN, CSERUVENYAK & KRO ASSISTANT ATTORNEY GENERAL 129 13WC 16405 JORGENSEN, JAKE R ST OF IL STATEVILLE PRISO @ 03/30/13 KENNETH B GORE, LTD ASSISTANT ATTORNEY GENERAL 130 13WC 18851 BARRERA, ELVIRA UNIQUE MAILING SERVICE IN 05/12/11 GOLDSTEIN BENDER & ROMANOF LAW OFFICES OF EDWARD J. KOZ 13WC018852 -C 131 13WC 18989 LUTZ, PAUL M ST OF IL DEPT OF CORRECTI @ 08/30/12 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 132 13WC 19788 HARTKORN, CRAIG AMEX NOOTER, LLC 05/11/13 SCHWEICKERT & GANASSIN KNELL LAW LLC 133 13WC 21836 THOMPSON, TERRIE L SEARS 09/01/12 WARREN W MARK GAROFALO SCHREIBER STORM 134 13WC 23420 PRAWDZIK, GREG HOMER TOWNSHIP FIRE 03/29/13 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 14WC029423 -C 135 13WC 23687 NALLEY, MICHAEL D COUNTY OF WILL 06/26/12 CIARDELLI CUMMINGS CAMPAGN KNELL & O'CONNOR 136 13WC 24294 OCHOA, SALVADOR TRIUMPH PACKAGING GROUP 06/10/12 O'CONNOR & NAKOS GRANT & FANNING 137 13WC 25891 ROBB, MARY PACE 04/26/13 LAW OFFICE DAVID W CLARK POWER & CRONIN LTD 138 13WC 27459 SUMNER, JEFFREY CASSENS TRANSPORT COMPANY 11/10/11 ANGELINI & ORI LLC KNAPP, OHL & GREEN 139 13WC 27953 HILL, JACOB IMPERIAL MARBLE 07/17/13 BLOCK, KLUKAS & MANZELLA P 140 13WC 28588 RODRIGUEZ, ABEL G & G LANDSCAPING 08/13/13 WHITESIDE & GOLDBERG LTD 141 13WC 30008 GUTIERREZ, ROSIO VALLEY VIEW PUBLIC SCHOOL 08/26/13 KATZ FRIEDMAN EAGLE ET AL KNELL O'CONNOR DANIELWICZ 142 13WC 30661 MC GEE, DAVID STATEVILLE CORRECTIONAL C 09/11/12 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 143 13WC 31855 MONSON, NANCY BANFIELD/MEDICAL 03/04/13 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 144 13WC 32284 SANCHEZ, BLANCA DIAGEO GLOBAL SUPPLY 04/01/12 HORWITZ HORWITZ & ASSOC 13WC034123 -C 145 13WC 32668 REID, CHARLES VITRAN EXPRESS CORPORATIO 02/27/13 KARCHMAR & STONE COZZI & GOGGIN-WARD 13WC032669 -C 146 13WC 34491 RECORD, EDWARD COUNTRY LANE TREE SERVICE W 08/29/13 MEYERS & FLOWERS 147 13WC 35156 DRWAL, JOSEPH ADMIN STEWART SPREADING INC # 09/09/13 SCHWEICKERT & GANASSIN CHILTON YAMBERT PORTER LLP 13WC037925 -C 148 13WC 35166 JONES, PATRICK ILLINOIS DEPARTMENT OF @ 05/26/13 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 149 13WC 36456 MANOS, JOHN P ATLANTIC PLANT SERVICES 06/04/13 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 150 13WC 37547 ZIEGLER, BETTE ILLINOIS TOLL 10/06/13 ANGELINI & ORI LLC GANAN & SHAPIRO 151 13WC 37926 DARNSTAEDT, GARY MC SHANES BUSINESS PRODUC 01/02/13 CAPRON & AVGERINOS PC HANSON LAW OFFICE 152 13WC 38443 WEATHERSBY, BRIAN ST OF IL C/O STATEVILLE @ 07/17/13 PETER C KOPOULOS ASSISTANT ATTORNEY GENERAL 153 13WC 39100 ROXBERG, BRYAN BARTON CARROLS 11/01/13 MCNAMARA PHELAN MCSTEEN LL 154 13WC 40018 MILLER, WANZA AMERICAN INN LODGE & SUIT 11/02/13 MARSZALEK AND MARSZALEK PERRY GENTILE 155 13WC 40968 JORDAN, JOEY M STATEVILLE CORRECTION CEN @ 04/17/13 VITELL & SPITZ LTD ASSISTANT ATTORNEY GENERAL 13WC041517 -C 14WC027527 -C 16WC010389 -C 156 13WC 41469 PINA, JOSE WC TRANSPORT, INC. 10/15/13 STROM, NEAL B 157 13WC 42499 FERGUSON, THOMAS GENERAL MACHINE AND TOOL 07/02/12 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 158 14WC 00320 SMOJEK, RAY C RAM FIRE PROTECTION 11/26/13 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 14WC 00498 DICOSOLA, THOMAS TRADESMAN INTERNATIONAL 12/09/13 SALVATO & O'TOOLE 160 14WC 00982 MIKUZIS, DONNA PLAINFIELD SCHOOL 01/08/14 LAW OFFICE EDWARD LICHTENS KEEFE CAMPBELL & ASSOC LLC 161 14WC 01897 WALSH, MICHELLE SILVE CROSS HOSPITAL 11/06/13 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 162 14WC 02484 MAC FADGEN, PEGGY OSWEGO SCHOOL DIST 308 08/26/13 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 163 14WC 02590 WILLIAMS, RHONDA ST OF IL DOC PAROLE DEPT @ 12/11/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 164 14WC 02658 LEE, WHITNEY ILLINOIS DEPT OF CORRECTI 01/17/14 SKLARE LAW GROUP ASSISTANT ATTORNEY GENERAL 14WC027215 -C STATEVILLE CORRECTIONAL 165 14WC 04430 MC FARLAND, RANDALL L STATE OF ILLINOIS DOC @ 12/25/13 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL 166 14WC 07012 VALDEZ, MARISSA JOHA 07/01/13 WOODRUFF & JOHNSON HOLECEK & ASSOCIATES 167 14WC 08270 ANGEL, GUDELIA WILTON BRANDS INC 01/20/14 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 168 14WC 09596 FAULKNER-PRIDE, CLORINDA SILVER CROSS HOSPITAL 02/04/14 VRDOLYAK LAW GROUP LLC MACIOROWSKI SACKMANN & ULRIC 169 14WC 09941 WILBER, DANIEL JR MIV INC 11/08/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 170 14WC 10825 ANDERSON, DJ RACHETTI'S PIZZA 05/03/13 CORTINA & MUELLER 171 14WC 11258 STRICKLAND, KIRK D VILLAGE OF NEW LENOX 12/30/10 ROSS TYRRELL SLAVIN & SLAVIN 14WC011793 -C 172 14WC 11481 MAYFIELD, DEANDRE DEPENDABLE STAFFING GROUP 03/22/04 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 173 14WC 11837 SMITH, GALE L ILLINOIS STATE POLICE @ 10/25/12 DWORKIN AND MACIARIELLO 174 14WC 12357 ROSAS, VERONICA HOUSING AUTHORITY OF JOLI 12/09/13 RIDGE & DOWNES THOMAS & PORTELA 175 14WC 12823 WEICHMANN, THOMAS B AT MECHANICAL LLC 02/14/14 ANGELINI & ORI LLC THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 14WC 13544 COOLEY, NICOLE SILVER CROSS HOSPITAL 09/18/13 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 177 14WC 13881 JENNINGS, DWAYNE ILLINOIS STATE POLICE 04/03/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 15WC004300 -C ST OF IL DEPT OF 178 14WC 14500 VANWERT, DONNA WILL COUNTY FOREST PRESER 03/04/13 ANESI OZMON RODIN NOVAK KO RUSIN & MACIOROWSKI LTD 16WC006318 -C 179 14WC 14739 STANFORD, LARRY H. CALUMET LIFT TRUCK SERVIC 11/27/13 FABRIZIO, HANSON & PEYLA WOLFE & JACOBSON, LTD 180 14WC 15352 NATOUR, MAITHAM D & N TRANSPORTATION 02/20/14 SEIDMAN MARGULIS & FAIRMAN 181 14WC 15427 DAVIS, JOHN FEDEX FREIGHT 12/31/13 ROBERT M WARSASKI SCOPELITIS GARVIN LIGHT 182 14WC 17967 MANNING, GERMAINE STATESVILLE CORRECTIONAL @ 05/19/14 SHELDON I MINKOW & ASSOCIA ASSISTANT ATTORNEY GENERAL 183 14WC 18312 MARTINEZ, ARNULFO PURPLE ONION INC 05/03/14 EPSTEIN, JACK R LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 184 14WC 18699 PRATI, KAREN COUNTY OF WILL 06/15/11 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 185 14WC 19665 GARCIA SR, ELEAZAR LOCKPORT STEEL FABRICATOR 05/05/13 LAW OFFICE OF THOMAS P NAU RIPES NELSON BAGGOT KALOBRAT 14WC042849 -C 186 14WC 19989 GARCIA, DANIEL NIEVES BRODER BROTHERS 11/21/13 CHRISTINE F DAVID HOLECEK & ASSOCIATES 187 14WC 20078 ALVARADO, MARIA ELENA STAFFMARK AND SONY MUSIC 11/21/11 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 188 14WC 20825 AGUIRRE, GONZALO ASG STAFFING INC 06/12/14 OSVALDO RODRIGUEZ PC FRANCIS J DISCIPIO LAW OFFIC 189 14WC 21367 19B CORTEZ, ROGELIO AJ OSTER 11/19/13 RATHBUN CSEVENYAK & KOZOL HEYL ROYSTER VOELKER & ALLEN 190 14WC 21714 SANTORO, THOMAS ENERGY SERVICES AIR 01/01/14 VRDOLYAK LAW GROUP LLC RODDY LAW LTD 191 14WC 22738 ANDE, DARLEEN K STATE OF IL @ 03/11/14 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 14WC 23553 DONALD, JEAN STATE OF ILLINOIS @ 03/05/14 KUMLIN & FROMM ASSISTANT ATTORNEY GENERAL 193 14WC 23598 MANDAT, RHONDA ISLAND CITY REHAB CENTER 12/20/13 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 15WC005423 -C APERION CARE WILMINGTON 194 14WC 24140 TOWNSEND, JAMES E JB HUNT TRANSPORT INC 12/14/13 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 195 14WC 24789 O'DONNELL, MARIA WALMART 03/24/14 MARKER & ASSOCIATES WIEDNER & MCAULIFFE LTD 196 14WC 24921 HUBBERT, DAVID QSC CONTRACTING LLC 06/27/14 LAW OFFICE OF SCOTT B SHAP 197 14WC 25573 FLEMING, TABITHA BMO HARRIS BANK 03/24/14 LAW OFFICE PHILIP BLOMBERG HOLECEK & ASSOCIATES 198 14WC 25892 TUCKER, MICHAEL ST OF IL DEPT OF 06/04/14 BLOCK, KLUKAS & MANZELLA P 199 14WC 26002 NEVAREZ, ORALIA AARON THOMAS CO INC 04/04/14 RATHBUN CSEVENYAK & KOZOL LAW OFFICES JOSEPH MARCINIAK 200 14WC 26132 THORSON, MICHELE OSWEGO CUSD 308 01/20/12 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM 201 14WC 26478 RUSSELL, KAREN SCHNEIDER LOGISTICS INC 05/13/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 202 14WC 27394 HOPE, CAMERON DHR STAFFING SOLUTIONS 07/01/14 LAW OFFICE OF PETER CULOTT CHILTON YAMBERT PORTER LLP 203 14WC 29042 LEWIS, UNIQEK SHELBY SCHOLARS DAYCARE 1 06/21/14 LAW OFFICE OF SCOTT B SHAP 14WC029043 -C 204 14WC 29157 QUINONEZ, CORINA MENARD'S 12/01/11 MCNAMARA PHELAN MCSTEEN LL RODDY LAW LTD 205 14WC 30287 SERRANO, JUAN M EWING TRUCKING INC 07/21/14 CULLEN HASKINS NICHOLSON SALVATO & O'TOOLE 206 14WC 30741 GARCIA, RICARDO LOGOPLASTE 03/22/14 LAW OFFICES TIMOTHY LAMPIN LAW OFFICES JOSEPH MARCINIAK 207 14WC 31597 SINANOSKI, ISA TVI LOGISTICS AND W 07/28/14 BART DURHAM 208 14WC 31885 REYNA, LORETTA SOUTHWEST AIRLINES 08/15/13 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 209 14WC 32173 CERDA, SLAVADOR PEACOCK 06/11/14 MC HARGUE & JONES LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 14WC 32198 ALLEN, DARRELL ELITE STAFFING INC 08/28/14 LAW OFFICE OF JAMES H MILL 211 14WC 32208 MOORE, LORENZO REINHART 09/07/14 LEONARD LAW GROUP LLC HENNESSY & ROACH PC 16WC000890 -C US FOODS 212 14WC 32330 BERRY, DONRASOUL ILLINOIS TOOL WORKS 06/17/14 LAW OFFICES OF ADAM ZAYED NYHAN BAMBRICK KINZIE & LOWR 213 14WC 33267 PRINOS, MICHAEL KENDALL CTY FOREST PRESER 06/30/12 PORRO NIERMANN LAW GROUP INMAN & FITZGIBBONS 214 14WC 33331 ROSALES, CHRISTIAN ELITE STAFFING 05/18/14 EPSTEIN, JACK R LAW OFFICE MARC CAIRO 215 14WC 34124 KING, JONATHAN ORKIN 07/14/14 MCCARTHY ROWDEN & BAKER BRADY CONNOLLY & MASUDA PC 216 14WC 35149 KULAK, JAN FIRST WEST EXPRESS 09/30/14 CHEPOV & SCOTT LLC 217 14WC 36311 BECKER, JERRY (THE ESTATE RICHARDS & WEYER CONSTRUC 01/11/14 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 218 14WC 37023 SALAZAR, JESSE ULTRA FOODS 09/04/14 BRIAN T MORROW, LAW OFFICE ROSARIO CIBELLA 219 14WC 37399 GARCIA, ERNESTO REHRIG PACIFIC LOGISTICS 10/13/14 STROM, NEAL B HOLECEK & ASSOCIATES 220 14WC 37418 KRAMER, JACOB HENDRON CONSTRUCTION 10/05/14 STEVEN A CRIFASE, LTD 221 14WC 37682 ROBINSON, CHARLES JOLIET JOB CORPS 12/29/13 GOLDBERG WEISMAN & CAIRO L 222 14WC 38074 PARISI, LINDA STATEVILLE PRISON 01/08/14 CULLEN HASKINS NICHOLSON ASSISTANT ATTORNEY GENERAL 223 14WC 38485 KIMAK, JENNIFER JOLIET TOWNSHIP HIGH SCHO 10/22/14 VRDOLYAK LAW GROUP LLC INMAN & FITZGIBBONS 224 14WC 38917 PFISTER, WILLIAM C WESTWAY COACH 08/22/14 FABRIZIO, HANSON & PEYLA GALLIANI DOELL & COZZI LTD 225 14WC 38968 PESAVENTO, DAVID KOMATSU FORKLIFT USA 10/22/14 KREITER, BYCK & ASSOC LLP 226 14WC 39005 LOPEZ, MARIO E NRG 09/02/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 227 14WC 39343 GORDON, JOSH FIVE STAR ELITE 10/10/14 WOODRUFF & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 14WC 40649 SALERNO, ROBERT J JR FIVE STAR TENNIS CENTER 10/02/14 COHN LAMBERT RYAN & SCHNEI LAW OFFICES JOSEPH MARCINIAK 229 14WC 42119 NADELA, PEDRO PRESENCE PHYSICAL THERAPY 07/10/13 DUFFIN & DORE LLC NYHAN BAMBRICK KINZIE & LOWR 230 14WC 42432 MACIAS, JOSE A METRO STAFF INC 10/31/14 ANKIN LAW OFFICE HENNESSY & ROACH PC 231 14WC 42987 LOZADA, CINTHIA RICOH 11/22/14 THE ROMAKER LAW FIRM CHILTON YAMBERT PORTER LLP 17WC002994 -C 232 14WC 43010 ARMOR, JULIE SILVER CROSS HOSPITAL 06/28/13 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 233 14WC 43575 MARTIN, RHONDA VALLEY VIEW SCHOOL 10/31/14 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 234 14WC 43608 GOC, PETER PIONEER MECHANICAL 10/08/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 235 14WC 43703 RODRIGUEZ, EDWARD JOLIET PUBLIC LIBRARY 12/14/13 BLOCK, KLUKAS & MANZELLA P RIPES NELSON BAGGOT KALOBRAT 16WC007374 -C 236 15WC 00065 MAHONEY, SUSAN MICHAELS 09/20/14 BLOCK, KLUKAS & MANZELLA P WOLFE & JACOBSON, LTD 237 15WC 01172 GIBSON, ERIC ST OF IL C/O STATEVILLE @ 07/08/13 PETER C KOPOULOS ILLINOIS ATTORNEY GENERAL 238 15WC 01474 CUNDIFF, ROBERT PREMIERE ON BOARD 11/26/14 LEONARD LAW GROUP LLC 239 15WC 01570 DE YOUND, JEREMIAH B STATEVILLE C.C. @ 10/12/13 DEPAOLO ZADEIKIS GORE ILLINOIS ATTORNEY GENERAL 240 15WC 01962 HINES, JEFFREY P STATE OF ILLINOIS @ 05/16/14 HEALY SCANLON LAW FIRM ASSISTANT ATTORNEY GENERAL 241 15WC 02051 GREEN, CHARLES JOLIET GRADE SCHOOL DIST 09/15/14 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 15WC002052 -C 16WC002270 -C 242 15WC 02234 DANZELL, NICOLE GRAND PRAIRIE TRANSIT 01/15/15 TAMVAKIS, GEORGE L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 243 15WC 02615 BABER, NELLIE DATA SEVICE SOLUTIONS 09/10/13 WILLIAMS & SWEE LAW OFFICES JOSEPH MARCINIAK 244 15WC 03103 GOINS, MARQUITA J. ELITE STAFFING INC. 01/23/15 ANDREW P DOMAN GOLDBERG SEGALLA LLC 16WC015898 -C 245 15WC 03276 RAGUSA, PHIL IL DEPT OF TRANSPORTATION 07/25/14 TOSCAS, JOHN Z LAW OFFICE ASSISTANT ATTORNEY GENERAL 246 15WC 03735 ALEXANDER, GROVER HR METRICS INC DHR 07/01/14 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 247 15WC 03932 BOUKAL, RICHARD DIAGEO NORTH AMERICA 01/10/15 BART DURHAM COZZI & GOGGIN-WARD 248 15WC 04430 WILLIAMS, DERRICK FAMILY DOLLAR 01/14/15 VRDOLYAK LAW GROUP LLC 249 15WC 04442 COLLINS, TAWAII M ST. JAMES WELLNESS 02/01/15 ANKIN LAW OFFICE BRYCE DOWNEY & LENKOV LLC 250 15WC 04801 GASKIN, SANDRA VALLEY VIEW SCHOOL DIST 3 10/02/14 ANKIN LAW OFFICE KNELL & O'CONNOR 251 15WC 05021 LESTER, HEATHER EXEL LOGISTICS 12/29/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 252 15WC 05221 BRAMEL, MARK PREMIER EMPLOYEE SOLUTION 01/15/15 EPSTEIN, JACK R LAW OFFICE 253 15WC 05529 DIAZ, LAURA INNOTRAC 09/03/14 LAW OFFICES MICHAEL HELLMA LAW OFFICES JOSEPH MARCINIAK 254 15WC 05756 PERSSON, NICHOLAUS E TERRY'S FORD OF PEOTONE 10/16/14 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 255 15WC 06136 BECKER, JENNIFER SILVER CROSS HOSPITAL 01/23/15 RATHBUN CSEVENYAK & KOZOL MACIOROWSKI SACKMANN & ULRIC 256 15WC 06206 HERRERA, NANCY READERLINK 01/14/15 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 257 15WC 06262 DORNER, SANDRA MENARD, INC 09/23/14 VRDOLYAK LAW GROUP LLC RODDY LAW LTD 15WC006263 -C 258 15WC 06493 REYES, JOSE ANTONIO AMADO ENTRPRISES, LTD. 11/28/14 LUKE C. ANTONSEN 259 15WC 06635 ADAMS, ANDREW AREA ERECTORS 08/02/12 JOHN S. ELIASIK NYHAN BAMBRICK KINZIE & LOWR 260 15WC 06825 ARNOLD, SAM F JR US COLD STORAGE 01/25/15 MCNAMARA PHELAN MCSTEEN LL BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 261 15WC 06946 QUINN, JOSEPH STATE OF ILLINOIS - IDOT @ 01/27/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 262 15WC 07561 FERGUSON, STACEY MASSAGE ENVY 06/22/14 MARC J SHUMAN & ASSOCIATES WOLFE & JACOBSON, LTD 263 15WC 07676 ARELLANO, ART CITY OF JOLIET POLICE DEP 02/02/15 MCNAMARA PHELAN MCSTEEN LL CITY OF JOLIET 16WC016906 -C 264 15WC 07723 NOVELLI, DEBORAH L THERAPY CARE LTD 05/29/14 VRDOLYAK LAW GROUP LLC 265 15WC 07749 FIGUEROA, FRANKLIN SOUTHERN WINE & SPIRITS O 02/23/15 ANKIN LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 266 15WC 08072 MIKAITIS, WILLIAM M.D. ADVOCATE MEDICAL GROUP 02/09/15 JOHNSON, MICHAEL D & ASSOC NYHAN BAMBRICK KINZIE & LOWR 267 15WC 08231 SALGADO, MARTIN LABOR TEMPS 03/03/15 JONATHAN SCHLACK INMAN & FITZGIBBONS 268 15WC 08361 BROWN, DARLENE IL DOC - STATEVILLE @ 01/22/13 BLOCK, KLUKAS & MANZELLA P ILLINOIS ATTORNEY GENERAL 269 15WC 09663 MAYREN, NOHEMI ELITE STAFFING 01/20/15 VRDOLYAK LAW GROUP LLC 270 15WC 10059 MITCHELL, TODD A US SECURITY ASSOCIATES 01/12/15 BAUM RUFFOLO & MARZAL LTD 271 15WC 10202 NUNEZ, ELIZAI ELITE STAFFING 01/12/15 BAUM RUFFOLO & MARZAL LTD 272 15WC 10224 KLINGER, JODI ARAMARK 11/20/14 LOUIS A PLZAK & ASSOCIATES 273 15WC 10260 STOVALL, STEPHEN CITY OF JOLIET DEPT. 02/24/15 RIDGE & DOWNES ROSARIO CIBELLA 16WC012084 -C 274 15WC 10446 ABERNATHY, CAROLYN-WIDOW STATEVILLE CORRECTIONAL C 03/05/15 HORWITZ HORWITZ & ASSOC MALLORY ZIMET 275 15WC 10506 HOUSE, CALLIE JB HUNT 02/09/15 DWORKIN AND MACIARIELLO GRANT & FANNING 276 15WC 10745 MCGREW, ERICA WEATHERTECH 01/26/15 PARENTE & NOREM PC HOLECEK & ASSOCIATES 277 15WC 11032 WALSH, STEPHEN J AUSTIN TYLER CONST. CO 10/18/14 KROCKEY CERNUGEL COWGILL E HOLECEK & ASSOCIATES 278 15WC 11070 WILKOSZ, ERIC ABCO ELECTRIC 01/12/15 O'CONNOR & NAKOS THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 279 15WC 11671 CLARK, PAMELA FIRST MIDWEST BANK 02/13/15 SEIDMAN MARGULIS & FAIRMAN HOLECEK & ASSOCIATES 280 15WC 12103 KIRINCICH, JANINA GRUNDY COUNTY SPECIAL ED 01/08/10 RATHBUN CSEVENYAK & KOZOL 281 15WC 12442 GONZALEZ, GLORIA S&S ACTIVEWEAR 08/01/13 JOHN S. ELIASIK 282 15WC 13009 MOFFETT, CASSANDRA VALLEYVIEW SCHOOL 12/02/14 JAMES J. GAY JAMES J. GAY 283 15WC 13097 REDD, GREGORY STATE OF ILLINOIS @ 03/19/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 284 15WC 13304 BARTLETT, AMY STATE OF ILLINOIS 03/07/14 GOLDBERG WEISMAN & CAIRO L ILLINOIS ATTORNEY GENERAL 285 15WC 13588 MORGAN, CHRISTOPHER S SOLVAY 04/05/15 DWORKIN AND MACIARIELLO 286 15WC 13634 OLBERA, DANIEL KEYWEST METAL 04/10/15 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 287 15WC 13709 MALDONADO, MARIA C SONY ENTERTAINMENT 02/26/15 HERRERA LAW CENTER KEEFE CAMPBELL & ASSOC LLC 288 15WC 13813 ALLEN, DEBRA MORNING STAR MISSION 08/21/14 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 289 15WC 14422 GARNER, DEMETRIUS WASTE MANAGEMENT 04/20/15 RIDGE & DOWNES HENNESSY & ROACH PC 290 15WC 15212 AMOS, JAZERLE NRG ENERGY INC 03/05/15 HORWITZ HORWITZ & ASSOC 291 15WC 15320 MICHON, MICHAEL O'HARE TOWING SERVICE 03/10/15 MEYERS & FLOWERS 292 15WC 15509 CROSIER, THOMAS A & R CARE CARE D/B/A 03/19/15 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 293 15WC 15644 ALAMOS, RAMON KENT PRECISION FOODS GROU 04/24/15 LUIS A ACEVES & ASSOC MICHAEL BEST & FRIEDRICH LLC 294 15WC 15930 SANSONE, ANTHONY UPCYCLE PRODUCTS INC. 03/05/15 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 295 15WC 15958 WADE-ENGLISH, SHERRI IL DEPT OF CORRECTIONS 04/09/15 WOODRUFF & JOHNSON JEANNINE SIMS 296 15WC 16087 RAMIREZ, MARIO THERMAL KINETICS CORP 06/16/14 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 297 15WC 16165 SALAZAR, JESSE ULTRA FOODS 03/16/15 BRIAN T MORROW, LAW OFFICE ROSARIO CIBELLA 298 15WC 16286 RAMIREZ, MARIO THERMAL KINETICS CORP 02/05/15 PORRO NIERMANN LAW GROUP LAW OFFICES JOSEPH MARCINIAK 299 15WC 17145 CECI, JAMES MD MILLER TRUCKING 03/24/15 HORWITZ HORWITZ & ASSOC JAMES M KELLY 300 15WC 17573 MCCLELLAN, MARK ILLINOIS DOC PAROLE @ 12/09/14 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 301 15WC 18652 MITCHELL, SHIRLEY FIRSTGROUP AMERICA INC 05/19/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 302 15WC 18659 DUNMARS, SHAFIAH ST OF IL DOC STATEVILLE @ 05/11/15 BLOCK, KLUKAS & MANZELLA P COLIN KICKLIGHTER 303 15WC 19002 PRAWDZIK, GREGORY HOMER TWNSHP FIRE DISTRIC 11/07/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 304 15WC 19056 BERRY, DENNIS JACOBSON/X-PO 05/13/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 305 15WC 19500 SPOONER, WALTER R SR STORM SERVICES CORP 02/18/15 VRDOLYAK LAW GROUP LLC LAW OFFICES JOSEPH MARCINIAK 306 15WC 20001 DOHERTY, WILLIAM IDOT 02/26/15 EVAN A HUGHES LAW OFFICE ILLINOIS ATTORNEY GENERAL 307 15WC 20285 KOHL, MICHAEL RPM RACKE PIPING & MECHAN 05/11/15 DEPAOLO & ZADEIKIS WIEDNER & MCAULIFFE LTD 308 15WC 20776 KEAGLE, KEITH STAFFMARK/ HOME DEPOT 06/01/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 309 15WC 20796 GARCIA, ALICIA ELITE STAFFING 10/24/14 JOHN J CASTANEDA MARC CAIRO 310 15WC 21659 TAYLOR, GARY PARSEC INC 12/25/14 BUDIN LAW OFFICES MACIOROWSKI SACKMANN & ULRIC 311 15WC 22123 KEANE, MICHAEL HOME DEPOT 01/19/14 KINNALLY FLAHERTY KRENTZ & MC ANDREWS & NORGLE LLC 312 15WC 22201 JUSKAITE, AGNE AGUIRRE GOVERNORS STATE UNIVERSIT 06/16/15 GOLDBERG WEISMAN & CAIRO L MALLORY ZIMET 313 15WC 22437 JIMENEZ, RICARDO ELITE STAFFING INC 06/08/15 CHEPOV & SCOTT LLC GOLDBERG SEGALLA LLC 314 15WC 22452 HANEY, REBECCA HELP AT HOME INC. 06/25/14 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 315 15WC 22537 LANCE, GARRY P. SELECTREMEDY/ REAL TIME 03/05/15 LEWIS & DAVIDSON, LTD LEAHY EISENBERG & FRAENKEL 316 15WC 23090 YANEZ, TRACY ECOLAB 06/28/15 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 317 15WC 23501 SANCHEZ, JOSE MENDOZA LAKEWOOD CARPENTRY SERVIC 06/25/15 VRDOLYAK LAW GROUP LLC KNELL & O'CONNOR 318 15WC 23666 SKUJA, BRIAN AT&T 04/01/13 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 319 15WC 23941 VELASQUEZ, LAURA IL DEPT OF HUMAN SERVICES @ 11/21/14 GORDON LAW OFFICES LTD ASSISTANT ATTORNEY GENERAL 320 15WC 24809 CORTEZ, ARACELI DOLLAR TREE STORES INC 06/17/15 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 321 15WC 24869 CORRALES, JAVIER BARTEL BLDG MAINTENANCE W 06/10/15 CHEPOV & SCOTT LLC MCNAMARA PHELAN MCSTEEN LLC 322 15WC 24906 VILLANUEVA, ROSA HR METRICS INC/TRADER JOE 05/30/15 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 323 15WC 24993 ROCHA, ISELA SANDVIK-EXEL 07/16/15 STROM, NEAL B HENNESSY & ROACH PC 324 15WC 25756 HOWEN, ROBERT NORTHERN ILLINOIS STEEL S 02/17/15 SCHWEICKERT & GANASSIN POULOS & DIBENEDETTO LAW 325 15WC 26086 VAUGHN, MICHAEL MIDWAY INDUSTRIAL 07/02/15 DWORKIN AND MACIARIELLO LITCHFIELD CAVO 326 15WC 26264 FAVIA, FRANK JEWEL OSCO 03/08/15 WOODRUFF & JOHNSON 327 15WC 26352 GOMEZ, BENJAMIN WEST LIBERTY FOODS 06/12/15 CHEPOV & SCOTT LLC HEYL ROYSTER VOELKER & ALLEN 328 15WC 26511 LEE, ANTOINE STAFF FORCE 07/28/15 VRDOLYAK LAW GROUP LLC SLAVIN & SLAVIN 329 15WC 26871 MELQUIADES, GIOVANNI D&D MANUFACTURING, INC. 11/19/14 DEPAOLO ZADEIKIS GORE 330 15WC 27188 NAVARRO, IGNACIO WORK NOW STAFFING 06/04/15 MC HARGUE & JONES HOLECEK & ASSOCIATES 331 15WC 27497 TINDLE, RICHARD ECOLAB 07/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 332 15WC 27907 RIVERA, JUAN DAVIS STAFFING 08/11/15 VASILATOS & COTTER LLC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 333 15WC 27930 ELLIOTT, TODD ALDI 06/19/15 BURNETT & CARON, LTD BRADY CONNOLLY & MASUDA PC 334 15WC 28440 BEY, PATRICIA JOLIET PUBLIC SCHOOLS 06/10/15 ANKIN LAW OFFICE ROSARIO CIBELLA 335 15WC 28765 ANDRADE, ARACELI PRIDE METAL PRODUCTS N/K/ 06/15/14 CORBOY & DEMETRIO PC 336 15WC 28962 RUSS, MARY RML SPECIALTY HOSPITAL 02/16/13 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 15WC028963 -C 337 15WC 29084 HERNANDEZ, JOSEFINA DISTRICT 202 08/04/15 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 338 15WC 29488 STACY, BRENDA AUTOBAHN COUNTRY CLUB 07/02/09 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 339 15WC 29497 STAPP, MICHAEL CITY OF JOLIET 11/08/13 HORWITZ HORWITZ & ASSOC CITY OF JOLIET 340 15WC 29587 RINEHART, JOHN ITW DELTAR FUEL SYSTEMS 08/31/15 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 341 15WC 29631 PETERS, RON PARSEC INDUSTRIES INC 04/04/15 ANESI OZMON RODIN NOVAK KO MACIOROWSKI SACKMANN & ULRIC 342 15WC 30382 PLATTA, TINA DOLLAR GENERAL 03/10/15 WHITESIDE & GOLDBERG LTD LEAHY EISENBERG & FRAENKEL 343 15WC 30878 GORDEN, KIMBERLY ELITE STAFFING INC 09/07/15 BERNAT & BERNAT PC MARC CAIRO 344 15WC 31021 WHITE, GENEVA HR METRICS, INC. 08/29/15 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 345 15WC 31164 RIVERA, GREGORY BOLINGBROOK COLD STORAGE 07/17/15 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 346 15WC 31599 CUNNINGHAM, WILLIAM P NRG ENERGY 09/09/15 DIXON LAW FIRM WIEDNER & MCAULIFFE LTD 347 15WC 31654 NYSTROM , JODI L LINCOLN WAY SPECIAL EDUCA 09/11/15 FIGLIOLI, DAVID INMAN & FITZGIBBONS 348 15WC 31723 TRIPLETT, SHANEICE STAFFING NETWORK 09/19/15 SHELDON I MINKOW & ASSOCIA SLAVIN & SLAVIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 349 15WC 31885 MERCADO, MARIA E ELITE STAFFING 08/30/15 KATZ FRIEDMAN EAGLE ET AL 350 15WC 32199 SWAIN, RUTH PEACOCK 04/20/15 MC HARGUE & JONES HOLECEK & ASSOCIATES 15WC032200 -C 351 15WC 32452 FRONEK, MOLLY TOYS-R-US 08/31/15 PARENTE & NOREM PC KEEFE CAMPBELL & ASSOC LLC 352 15WC 32503 MANRIQUE, AYDE BERGSTROM 08/16/15 COSTA IVONE LLC WOLFE & JACOBSON, LTD 353 15WC 32696 SAYAGO, MARGARITA ELITE STAFFING 09/14/15 DWORKIN AND MACIARIELLO 354 15WC 32735 GARCIA, RUBEN RASNER ENTERPRISES, INC 05/07/15 RUEDA, IVAN A 355 15WC 32884 ALFARO, RAUL M JR CENTRAL GROCERS INC 09/14/15 GOLDBERG WEISMAN & CAIRO L ROSARIO CIBELLA 356 15WC 33434 JURASITS, JASON 101 LODERS CROKLAAN INC 05/13/15 PETER D CORTI LAW GROUP ROSARIO CIBELLA 357 15WC 33677 VEGA, DIONICIO CARTA CONCRETE 10/02/15 358 15WC 34017 KOCHINSKY, VERONICA M LINCOLN-WAY SCHOOL 03/13/14 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 15WC034018 -C 359 15WC 34434 MARIN, VERONICA PACTIV 11/07/13 MCNAMARA PHELAN MCSTEEN LL SPIEGEL & CAHILL, PC 360 15WC 34517 DROWER, DOLORES PLAINFIELD SCHOOL 01/23/15 DAVID W MARTAY KEEFE CAMPBELL & ASSOC LLC 361 15WC 34792 DENT, MICHAEL A XPO LOGISTICS 06/24/14 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 362 15WC 34810 TAYLOR, JEFFREY CLEARSTAFF INC 08/19/15 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 363 15WC 34893 PAYNE, JANET PRESENCE HEALTH CARE SYST 03/04/14 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 364 15WC 35216 THIESSE, ANDREW STATE OF ILLINOIS @ 08/06/14 BAUM RUFFOLO & MARZAL LTD ASSISTANT ATTORNEY GENERAL 365 15WC 35591 FLYNN, MARK STATE OF IL, DEPT OF @ 07/24/13 RATHBUN CSEVENYAK & KOZOL ASSISTANT ATTY GENERAL 366 15WC 35605 URQUIZA, ALMA ADVENTIST BOLINGBROOK 02/11/15 JONATHAN SCHLACK STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 367 15WC 36043 NESE, RICHARD PERFORMANCE FOOD GROUP, I 10/20/15 STELLATO & SCHWARTZ INMAN & FITZGIBBONS 368 15WC 36485 GULYBAN, CYNTHIA L KOHL'S DEPARTMENT STORE # 12/03/14 O'CONNOR & NAKOS HENNESSY & ROACH PC 369 15WC 36773 KESKE, BONNIE PLAINFIELD SCHOOL DIST 20 01/16/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 370 15WC 36990 MORROW, REGINALD BANNER PERSONNEL SERVICE 11/01/15 ANKIN LAW OFFICE BRADY CONNOLLY & MASUDA PC 371 15WC 37296 HILL, RICHARD III HENRY ALES AUTOMOTIVE 08/12/15 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 372 15WC 37323 BALOG, PATRICIA KNOWLEDGE UNI/KINDER CARE 05/01/14 BAUM RUFFOLO & MARZAL LTD HENNESSY & ROACH PC 373 15WC 37955 OLAGUEZ, MIGUEL A CENTRAL GROCERS INC 12/24/13 KELLY & KING ROSARIO CIBELLA 374 15WC 38313 QUINTANA, JAIME ELITE STAFFING 11/11/15 BART DURHAM GAROFALO SCHREIBER STORM 375 15WC 39106 GUTIERREZ, ANTONIO QUANTUM CROSSINGS 10/29/15 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 376 15WC 39478 PUTRICH, MICHAEL WILL COUNTY SHERIFF DEPT 10/29/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 377 15WC 39637 MURRAY, KEITH JOLIET PARK DISTRIC 11/20/15 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 378 15WC 41262 19B CALDERON, JOSE MANUEL WOODMARK, LLC 08/17/15 MC HARGUE & JONES ACCIDENT FUND HOLDINGS 379 15WC 41586 WARSAW, RICHARD W SOLVAY USA 12/11/15 KATZ FRIEDMAN EAGLE ET AL 380 15WC 41633 REYES, TEODORA MULTI-TEMPS INC 12/10/15 COSTA IVONE LLC 381 15WC 42593 EGGLESTON, CIERA D&U UNITED CORP 10/26/15 PORRO NIERMANN LAW GROUP KURT E. VRAGEL JR PC 15WC042595 -C SDVD/SKIRDOVIDA CORP 382 16WC 00330 LARSON, DONALD CATERPILLAR INC 11/17/15 HORWITZ HORWITZ & ASSOC CATERPILLAR, INC. 383 16WC 00790 LACKEY, KRISTOPHER OSWEGO FIRE DISTRICT 3 06/13/15 GOLDBERG WEISMAN & CAIRO L 384 16WC 00921 VILLAGOMEZ, LILIA HICKORY FARMS DIST CTRAND 09/25/15 EPSTEIN, JACK R LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 385 16WC 01629 CAMMACK, ALLEN RS CORCORAN CO 06/17/15 STEPHEN G PINTO LTD 386 16WC 01949 HOLDING, DUSTIN WEDD HYUNDAI LLC 10/20/15 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 387 16WC 02119 SMITH, WILLIAM D CASSENS TRANSPORT COMPANY 12/17/15 KROL BONGIORNO & GIVEN LTD KNAPP, OHL & GREEN 388 16WC 02303 MUIR, ELBAR PLAINFIELD SCHOOL DIST #2 08/17/15 GOLDSTEIN BENDER & ROMANOF NYHAN BAMBRICK KINZIE & LOWR 16WC033427 -C 389 16WC 02756 GARCIA, ALEX COSTCO 12/09/15 DAVID W MARTAY GANAN & SHAPIRO 390 16WC 03003 REZA, ROGELIA S&S ACTIVEWEAR 11/17/15 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 391 16WC 03183 VAZQUEZ, MARIA Y MACNEIL AUTO PRODUCTS LTD 12/07/15 GOLDSTEIN BENDER & ROMANOF HOLECEK & ASSOCIATES 17WC002024 -C WEATHER TECH 392 16WC 03409 HERNANDEZ, TARA KELLY SERVICES 11/20/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 393 16WC 03523 WEIS, JALAYNE PLAINFIELD SCHOOL DIST 20 03/10/15 HORWITZ HORWITZ & ASSOC KEEFE CAMPBELL & ASSOC LLC 394 16WC 03775 MARINO, DON JOLIET PUBLIC SCHOOL 01/04/16 WHITESIDE & GOLDBERG LTD ROSARIO CIBELLA 395 16WC 03843 19B STEFANICH, DEANNA RYDER INTEGRATED LOGISTIC 01/21/16 HEALY SCANLON LAW FIRM HEYL ROYSTER VOELKER & ALLEN 396 16WC 04320 KOTALIK, DARLINE JEWEL-OSCO 12/23/15 MCNAMARA PHELAN MCSTEEN LL 397 16WC 04809 PARKER, RICKIE ASPLUNDH TREE EXPERT CO 01/20/16 BLOCK, KLUKAS & MANZELLA P KNELL & O'CONNOR 398 16WC 04971 REEDER, WILLIAM LABOR READY 01/29/16 MARC J SHUMAN & ASSOCIATES 399 16WC 05008 AMEGASHIE, THEORDORE K LODERS CROKLAAN USA LLC 02/05/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 400 16WC 05009 AMEGASHIE, THEODORE K LODERS CROKLAAN USA LLC 04/10/15 DEPAOLO ZADEIKIS GORE ROSARIO CIBELLA 401 16WC 05255 ARENZ, MARCEL J B HUNT TRANSPORT SERVIC 02/09/16 COPLAN & CRANE, LTD GRANT & FANNING 402 16WC 05657 GALL, BRADLEY EDON CONSTRUCTION 11/25/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 403 16WC 06059 GIVENS, ESELINA "DOLLY" ILLINOIS DEPT OF CORRECTI @ 01/19/16 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 404 16WC 07020 HORN, JAMES I H SERVICES INC 02/12/16 LAW OFFICES TIMOTHY HENDER WIEDNER & MCAULIFFE LTD 16WC007021 -C 405 16WC 07028 ALLEN, ANNETTE M. PUBLICIS TOUCHPOINT 10/21/15 THOMAS W DUDA 406 16WC 07040 CARVER, JAMES DISCOUNT TIRE 02/03/15 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 407 16WC 07241 FINNEY, PATRICIA JOLIET TOWNSHIP HS 204 09/23/15 WHITESIDE & GOLDBERG LTD INMAN & FITZGIBBONS 408 16WC 07453 DELGADO, JOSE GAYTAN SIGNS 03/06/13 LAW OFFICE HUGO ORTIZ 409 16WC 07661 TINOCO, MARIA SIGN SERVICES, INC. 06/01/15 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 410 16WC 07683 GEREDINE, KEVIN FEDEX 04/23/15 MCANANY VANCLEVE & PHILLIPS 411 16WC 07966 MCPHERSON, DANIELLE FEDERAL EXPRESS CORPORATI 02/16/16 ANKIN LAW OFFICE SCOPELITIS GARVIN LIGHT 412 16WC 08136 REZA, ROGELIA S&S ACTIVEWEAR 02/03/16 GOLDSTEIN BENDER & ROMANOF KNELL & O'CONNOR 413 16WC 08327 MASCOTE, NICAULY AXCESS STAFFING 10/29/15 JAUREGUI & ASSOCIATES HENNESSY & ROACH PC 414 16WC 08447 CUELLAR, JOSE ELITE LOGISTIC SERVICES 11/02/15 SALGADO, DAVID L 415 16WC 08519 BLATTI, DOUGLAS M JR STARKS STEEL CO 11/03/15 LAW OFFICES MICHAEL HELLMA HENNESSY & ROACH PC 416 16WC 08732 SCOLES, JASON RIGGS DISTIER 01/22/16 ROBIN LAW OFFICE 417 16WC 08771 NUNEZ, CHERYL JOLIET HIGH SCHOOL 01/19/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 418 16WC 08778 STRICKLIN, ALYSSA NETCYCLER INC. 01/17/16 BLOCK, KLUKAS & MANZELLA P LAW OFFICES JOSEPH MARCINIAK 419 16WC 08867 BLAKNEY, RALPH J B HUNT TRANSPORT INC 11/16/15 HORWITZ HORWITZ & ASSOC GRANT & FANNING 420 16WC 08957 NEWELL, DEBBRA FARRAGUT ELEMENTRY SCHOOL 09/10/15 STROM, NEAL B HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 16WC 09167 HICKS, CHARLES JOLIET SCHOOL 03/01/16 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 422 16WC 09774 LOPEZ, MINERVA AMERISOURCE BERGIN 10/20/15 PORRO NIERMANN LAW GROUP SPIEGEL & CAHILL, PC 423 16WC 10062 MALDONADO, GABRIEL PEPSI CO 03/23/16 GREGORIO & MARCO ROBERT L. SMITH 424 16WC 10084 FERRER-MARTINEZ, INOCENCI CAP BARBELL INC 03/28/16 JONATHAN SCHLACK RUSIN & MACIOROWSKI LTD 425 16WC 10132 STRAGAND, LORRINE EXECUTO ADVANTAGE SOLUTIONS 03/09/16 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 426 16WC 10176 SALGADO, ERIC USF HOLLAND 10/06/15 LAW OFFICES ROBERT WARSASK HENNESSY & ROACH PC 427 16WC 10240 RODRIGUEZ, MARGARITA PLAINFIELD SCHOOL DISTRIC 01/28/16 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 16WC030960 -C 428 16WC 10578 MC CABE, MARK W CITY OF JOLIET 03/10/16 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 429 16WC 10617 MCCOLLUM, MATTHEW SYBARIS CLUB 06/10/15 JOHN E LUSAK HOLECEK & ASSOCIATES 430 16WC 10771 MATLOCK, CARLOS CITY OF JOLIET 10/21/14 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 431 16WC 10909 MURPHY, ROBERT MARIANOS' 03/25/15 GOLDBERG WEISMAN & CAIRO L 432 16WC 10928 JACKSON, TERESA JEWEL-OSCO 11/30/15 SAUNDERS CONDON & KENNY 433 16WC 11199 BANKS, SAMITRA SILVER CROSS HOSPITAL 03/09/16 STEWART C ORZOFF MACIOROWSKI SACKMANN & ULRIC 434 16WC 11347 UDOWITZ, DYLAN ALRO STEEL 02/08/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 435 16WC 11994 GOWDY, DAVID L FISHER/FEDERATED AUTO PAR 08/18/14 BELT DEARTH & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 16WC 12137 JOHNSTON, SUMMER PARATECH INC 06/03/14 RUBIN LAW GROUP HOLECEK & ASSOCIATES 437 16WC 12219 WIRTH, NORRINE XPO LOGISTICS, INC 08/25/15 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 16WC035504 -C 438 16WC 12269 ARRANGA, JAMIE F/N/A SOSA UNIVERSAL LAMINATING LTD 03/08/16 CHEPOV & SCOTT LLC ROSARIO CIBELLA 439 16WC 12655 DODSON, ROBERT A JR BECTON DICKINSON & COMPAN 09/11/15 TURNER & SACKETT LLC GAROFALO SCHREIBER STORM 440 16WC 12710 SANDOVAL, MANUEL JOHANSEN & ANDERSEN INCOR 01/14/15 GOLDBERG WEISMAN & CAIRO L BRUCE WARREN 441 16WC 13100 GOETSCH, JOHN R. ALTA EQUIPMENT 10/30/14 SEIDMAN MARGULIS & FAIRMAN 442 16WC 13986 GUTIERREZ, MICHAEL GUARDIAN ANGEL COMMUNITY 12/04/15 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 443 16WC 14043 SUYKO, BRIAN J SCHWAN'S CONSUMER BRANDS 03/29/16 MENDOZA LAW PC GAROFALO SCHREIBER STORM 444 16WC 14567 LEJA, ADAM WEST LIBERTY FOODS 02/29/16 NILSON STOOKAL GLEASON CAP HEYL ROYSTER VOELKER & ALLEN 445 16WC 15073 COOPER, ROBERT JR TURBINE PROS LLC 04/14/16 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 446 16WC 15355 RILEY, JERRY FAMILY LOGISTICS 04/28/16 447 16WC 15495 JEMENEZ, MARIA L MONDI ROMEOVILLE INC 02/06/16 OSVALDO RODRIGUEZ PC GAROFALO SCHREIBER STORM 448 16WC 15641 FRANCO, ARELI RUBI IL SEC OF STATE DRIVER SE @ 04/09/16 PARENTE & NOREM PC MALLORY ZIMET 449 16WC 15741 MORAN, HUMBERTO O'DONOGHUE ENTERPRIES LLC 03/19/16 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 450 16WC 15903 GABOR, WILLIAM ECE NEXXIA CORPORATION 03/21/16 STROM, NEAL B 451 16WC 16251 WALSKI, CALA TACO BELL 05/16/16 452 16WC 16285 GIARDINA, EVAN J JB HUNT TRANSPORT INC 02/02/16 KAVANAGH GRUMLEY & GORBOLD GRANT & FANNING 453 16WC 16333 RODRIGUEZ, ORLANDO CLEAN HARBOR'S ENVIRONMEN 04/28/16 MC HARGUE & JONES RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 454 16WC 16430 RAMBO, MARY COMMUNITY CARE SYSTEM INC 11/25/15 DWORKIN AND MACIARIELLO LIVINGSTONE MUELLER ET AL 455 16WC 16547 FAUGHT, CORI VALLEY VIEW SCHOOL 09/01/15 HORWITZ HORWITZ & ASSOC KNELL & O'CONNOR 456 16WC 16760 MC LAURIN, CHARLES ELITE STAFFING BOLINGBROO 01/26/16 EPSTEIN, JACK R LAW OFFICE 457 16WC 16795 TROYNER-SANDERS, RHONDA JOLIET STAFFING/TRADER JO 04/11/16 BLOCK, KLUKAS & MANZELLA P LITCHFIELD CAVO 458 16WC 16813 WOKURKA, DENNIS NW HOMER FIRE DEPARTMENT 04/15/16 EAMES LAW GROUP LTD RUSIN & MACIOROWSKI LTD 459 16WC 17183 WERRY, JOHN FAIRBANKS SCALES, INC. 01/14/15 LAW OFFICE OF CHRIS DOSCOT WOLFE & JACOBSON, LTD 460 16WC 17273 SCHLUETER, KATHY WEATHERTECH 10/14/15 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 461 16WC 18115 RILEY, JERRY FAMILY LOGISTIC INC 04/28/16 FINE, MARK S LAW OFFICES 462 16WC 18276 RAMIREZ, LILIA A/K/A SAND EXCEL BUILDING SERVICES 06/01/16 JONATHAN SCHLACK COZZI & GOGGIN-WARD 463 16WC 18867 JAKIELSKI, CARYN UNIVERSITY OF ST FRANCIS 02/11/16 STYKA & STYKA 464 16WC 18887 SCHUSTER, MICHAEL TURNER INDUSTRIES GRP, LL 12/10/13 BLOCK, KLUKAS & MANZELLA P SPIEGEL & CAHILL, PC 465 16WC 19108 CHANEY, BILL USF HOLLAND 06/09/16 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 466 16WC 19332 PEREZ, JESUS DEPENDABLE STAFFING GROUP 01/16/16 D&O LAW GROUP GAROFALO SCHREIBER STORM 467 16WC 19442 MATLOCK, CARLOS D CITY OF JOLIET POLICE DEP 03/01/16 PARENTE & NOREM PC KNELL & O'CONNOR 468 16WC 19895 CABRAL, JORGE VENTURA HURSTHOUSE LANDSCAPE ARCH 05/03/16 CHEPOV & SCOTT LLC BRYCE DOWNEY & LENKOV LLC 469 16WC 19955 TOWNS, JOHN REYES HOLDING LLC 03/08/16 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 470 16WC 20110 ZOBEL, MICHAEL GORDON FOOD SERVICE, INC 02/29/16 BLOCK, KLUKAS & MANZELLA P GANAN & SHAPIRO 471 16WC 20297 SOLTYS, JOSEPH BMW CONSTRUCTORS 04/15/13 PETER D CORTI LAW GROUP ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 16WC 20333 OVANDO, MAXIMILIANO SNIDER-BLAKE PERSONNEL SR 06/15/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 473 16WC 20415 DIAZ BARRAGAN, EDWARD STAR CON INTERNATIONAL IN 03/03/16 BRIAN CONNERANWEIG 474 16WC 20609 MC CASLAND, MICHAEL SEARS HOLDING COMPANY 06/07/16 SPIROS LAW PC 475 16WC 20674 SOSA, DOMINIQUE COVIDIAN AND METRONIC 06/15/16 LAW OFFICES ROBERT WARSASK POWER & CRONIN LTD 476 16WC 20808 SANDERS, KATHLEEN PROGRESSIVE PETROLEUM 02/15/16 DAVID W MARTAY 477 16WC 21080 MICHELETTO, JANET ADVANCED MOBILITY # 07/05/16 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 478 16WC 21738 CALVERT, KIMBERLY BONNIE MCBETH EARLY 10/31/13 RONALDSON & KUCHLER KEEFE CAMPBELL & ASSOC LLC 16WC021739 -C 479 16WC 21751 NUCI, ALFONSO CLARENCE DAVIDS & COMPANY 06/15/15 RUBIN MACHADO ROSENBLUM RUSIN & MACIOROWSKI LTD 480 16WC 21884 DICKS, KAYLUM J.B. HUNT TRANSPORT 02/23/15 DEAN J CARAS & ASSOCIATES GRANT & FANNING 481 16WC 21942 19B TESTERMAN, LITTLE JOHN ALLTECH DECORATING 07/08/16 RUBENS AND KRESS GANAN & SHAPIRO 482 16WC 22073 JOHNSON, STEPHEN SCHWAB PAPER PRODUCTS CO 07/06/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 483 16WC 22210 FRASSIONE, DAWN DAVITA 03/16/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 484 16WC 22402 KOZNARSKI, KENNETH R. DARCY MOTORS 11/10/15 JASINSKI, GEORGE J 485 16WC 22411 BALSLEY, AMY CITY OF JOLIET 05/26/16 COVEN LAW GROUP ROSARIO CIBELLA 486 16WC 22498 MULARSKI, JAMES G & W ELECTRIC 06/29/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 487 16WC 22500 TYRELL, KATHY JOLIET TOWNSHIP HIGH SCHO 02/16/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 488 16WC 22561 CASTELLI, MASHALE MACY'S 04/29/16 RATHBUN CSEVENYAK & KOZOL ROBERT L. SMITH 489 16WC 22813 GRIFFIN, SHANTINA ONE HOPE UNITED 04/25/16 MARC J SHUMAN & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 16WC 23265 AMMONS, THEODORE DIY GROUP, INC 07/20/16 DEPAOLO ZADEIKIS GORE GANAN & SHAPIRO 491 16WC 23305 GONZALEZ, MARTHA TRIUNE LOGISTICS LLC 07/21/16 ANKIN LAW OFFICE LITCHFIELD CAVO 492 16WC 24184 DAVILA, JOSE M DBM SERVICES, INC 07/14/16 SOSTRIN AND SOSTRIN PC RODDY LAW LTD 16WC024185 -C 493 16WC 24617 DOYLE, WILLIAM DYWIDAG SYSTEMS INTL USA 07/15/16 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM 494 16WC 24646 HOUSTON, ROBERT MUSTANG FIRE PROTECTION 08/06/16 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 495 16WC 24653 ORATE, LIONARDO SEVILLE STAFFING LLC 07/23/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 496 16WC 24717 DALY, MICHAEL HUDSON BOILER 06/21/16 HORWITZ HORWITZ & ASSOC THOMAS & PORTELA 497 16WC 24729 PIROFALO, VICTOR SALISBURY BY HONEYWELL 05/09/16 HEALY SCANLON LAW FIRM MC ANDREWS & NORGLE LLC 498 16WC 24750 LEHNERT, THERESA MINOOKA COMMUNITY HIGH SC 09/17/15 LAW OFFICE OF SCOTT B SHAP MACIOROWSKI SACKMANN & ULRIC 499 16WC 24890 KURECKI, RONALD B & D SOUTH CREEK ENTERPR 01/01/16 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 16WC024894 -C 500 16WC 24974 SIMMS, TERRENCE METRO STAFFING, INCORPORA 08/08/16 WEISS & WEISS LAW OFFICES FRANCIS J DISCIPIO LAW OFFIC 501 16WC 25056 GUIDO, TIMOTHY PROFESSIONAL MEDICAL WARE 07/20/16 GOLDBERG WEISMAN & CAIRO L LAW OFFICES JOSEPH MARCINIAK 502 16WC 25174 WOLFINBARGER, PHILLIP CR TRANSPORT 12/01/14 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 503 16WC 25195 CURTIS, JEANETTE MEIJER 02/21/16 BRISKMAN BRISKMAN GREENBER KOPKA, PINKUS DOLIN, PC 504 16WC 25261 ARMOR, JULIE SILVER CROSS HOSPITAL 06/28/13 LEE, MARK N LAW OFFICE 505 16WC 25274 HARSY, DON AARON ILLINOIS STATE POLICE @ 05/20/16 HARRIS & JONES MALLORY ZIMET 506 16WC 25302 MCNEAL, JOSE GDI INTEGRATED 07/21/16 GOLDSTEIN BENDER & ROMANOF COZZI & GOGGIN-WARD 507 16WC 25311 PERRITANO, ANTHONY SMITH CROSSING SENIOR LIV 06/29/16 HORWITZ HORWITZ & ASSOC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 16WC 25534 MORATAYA, WILLIAM STATEVILLE CORRECTIONAL @ 07/09/16 VRDOLYAK LAW GROUP LLC MALLORY ZIMET 509 16WC 25566 SCHOENBECK, CANDACE HOMER SCHOOL DISTRICT 33C 06/03/15 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 510 16WC 26128 SALAJ, DARIUSZ J NATIONAL DPC LLC 08/09/16 LEWUN & KAIS LTD ARNETT LAW GROUP 511 16WC 26296 SPECHT, JAMES SONOCCO BEECHER 03/23/16 RUBENS AND KRESS HENNESSY & ROACH PC 16WC031219 -C PEOPLELINK STAFFING 512 16WC 26443 GARCIA, AGUSTINA UNISTAFF 06/28/16 PORRO NIERMANN LAW GROUP LITCHFIELD CAVO 513 16WC 26526 WILLIAMS, CANTIERRA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS INMAN & FITZGIBBONS 514 16WC 26587 TORRES, WENDY FOR TEE MEDICAL INC 04/28/15 GOLDBERG WEISMAN & CAIRO L 515 16WC 26649 CORTINA, ELVIA BOB'S DISCOUNT FURNITURE 07/26/16 SALK, STEVEN B & ASSOC LTD 516 16WC 26946 WASHINGTON, LINDA A. READERLINK LLC 08/01/16 ANKIN LAW OFFICE INMAN & FITZGIBBONS 16WC038574 -C 517 16WC 27025 BUKALA, ROBERT CITY OF JOLIET 08/18/16 DAVID W MARTAY ROSARIO CIBELLA 518 16WC 27072 ROBINSON, BERTHA CORNERSTONE SERVICES 08/17/16 FOHRMAN, DONALD W & ASSOCS INMAN & FITZGIBBONS 519 16WC 27142 MARTINEZ, SILVERIO TRIUNE LOGISTICS 06/21/16 COSTA IVONE LLC LITCHFIELD CAVO 520 16WC 27158 STUART, DAVID SHOREWOOD LIQUIDATORS INC 01/26/16 RATHBUN CSEVENYAK & KOZOL LAW OFFICES JOSEPH MARCINIAK 521 16WC 27164 19B MCATEE, GREG JB HUNT 12/10/15 RATHBUN CSEVENYAK & KOZOL GRANT & FANNING 522 16WC 27179 BORGES, ISMAEL ILLINOIS DEPARTMENT OF @ 07/08/16 BRUCE RAFALSON LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 523 16WC 27293 IRONS, TRACIE ELITE STAFFING 06/16/16 DWORKIN AND MACIARIELLO 524 16WC 27336 MOTA, GABRIELLA STATE OF IL DOC STATEVILL @ 07/20/16 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 17WC023448 -C 525 16WC 27486 HURD, JOHN D PACRAIL 06/12/16 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 526 16WC 27503 MORALES, ANA EXCEL BUILDING SERVICES, 05/25/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 527 16WC 27565 PUPPILO, NANCY ALDI-OSWEGO 12/01/14 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 528 16WC 27566 PUPPILO, NANCY ALDI-OSWEGO 04/10/16 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 529 16WC 27616 CHURCHILL, CHRISTINE ADAMS & ASSOCIATES 12/08/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 530 16WC 27682 MCWILLIAMS, SUSAN PALLADIUM ENERGY GROUP/ 07/23/15 PORRO NIERMANN LAW GROUP RUSIN & MACIOROWSKI LTD 531 16WC 27798 BADALI, JEAN KOHL'S 06/30/16 RUBIN LAW GROUP HENNESSY & ROACH PC 532 16WC 27922 ZEPEDA, MANUEL RAILWAY & INDUSTRIAL SRVC 09/22/14 CHEPOV & SCOTT LLC INMAN & FITZGIBBONS 16WC039410 -C 533 16WC 27981 OZGA, JOHN F SAM'S FLOORING & SUPPLY 12/23/14 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 534 16WC 28047 REYES, ESMERALDA, ESTATE ORTNER CONSTRUCTION INC # 08/07/16 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 535 16WC 28170 ARMSTRONG, DEBRA OSWEGO SCHOOL DISTRICT 01/21/15 BURNETT & CARON, LTD 536 16WC 28358 HEINZ, AMANDA DUNKIN' DONUTS 09/14/16 DWORKIN AND MACIARIELLO 537 16WC 28453 SMART, MARQUE M CENTRAL GROCERS, INC 03/25/15 ANKIN LAW OFFICE ROSARIO CIBELLA 538 16WC 28481 HARRIS, GERALD CR ENGLAND, INC 06/16/16 LEVIN RIBACK LAW GROUP GOLDBERG SEGALLA LLC 539 16WC 28922 KERR, NICHOLAS AT&T 02/26/14 RANDOLPH GREUNE LAW OFFICE 540 16WC 29121 RIVAS, BLANCA GOYA FOOD, INC 08/12/16 EPSTEIN, JACK R LAW OFFICE LAW OFFICES FRANCESCA LARSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 541 16WC 29331 AGBEMAPLE, CYRIL ECOLAB 09/21/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 542 16WC 30131 HORVAT, COURTNEY SILVER CROSS HOSPITAL 09/15/15 BLOCK, KLUKAS & MANZELLA P MACIOROWSKI SACKMANN & ULRIC 16WC030132 -C 543 16WC 30143 CARDENAS, ROBERT SURESTAFF 09/13/16 MC HARGUE & JONES SURE-STAFF 544 16WC 30179 CORDERO, CHRISTIAN TREADSTONE TIRE RECYCLING 09/21/16 DAVID SZCZECIN & ASSOC 545 16WC 30588 OSTROWSKI, CHRISTOPHER GENERAL CONVERTING INC 04/26/16 CUDA LAW OFFICES RODDY LAW LTD 546 16WC 30682 MIKOS, STEPHEN VILLAGE OF ROMEOVILLE 08/31/16 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 547 16WC 31014 PETEK, GINA GUILLERMINA HELP AT HOME 01/06/16 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 548 16WC 31338 19B MANCARI, LINDA J SPECIAL TOUCH CLEANING CO 09/19/16 PARENTE & NOREM PC ACCIDENT FUND HOLDINGS 549 16WC 31634 KRAMER, JOSEPH DEEFIELD CONSTRUCTION 07/11/16 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 550 16WC 31707 GRAHAM, THOMAS MC HUGH ENTERPRISES 06/29/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL & ASSOC LLC 551 16WC 32076 HERNANDEZ, THELMA FIS 09/20/16 EPSTEIN, JACK R LAW OFFICE GOLDBERG SEGALLA LLC 552 16WC 32113 HULME, ROBIN MEIJER 06/01/15 WOODRUFF & JOHNSON KNELL & O'CONNOR 553 16WC 32345 CRABTREE, ERIC CUSTOM CULINARY 09/30/16 MARKER & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 16WC032346 -C 554 16WC 32529 PIERCE, SUSAN VALLEY VIEW SD 08/04/16 KROL BONGIORNO & GIVEN LTD POWER & CRONIN LTD 17WC027141 -C 555 16WC 32803 ROJAS, RAFAEL RADIAC ABRASIVES, INC 01/15/16 CHEPOV & SCOTT LLC 556 16WC 33138 KITTLING, LASANDRA HELP AT HOME 05/04/16 FRIEND LEVINSON & BERGAL HENNESSY & ROACH PC 17WC009446 -C 557 16WC 33242 FRAZIER, ROGER D WALMART 08/19/16 ANKIN LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 558 16WC 33346 WILKINS, CLINTON COUNTY OF WILL 10/05/16 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 559 16WC 33376 AVEZZANO, LORI GOLD STANDARD ENTERPRISES 02/18/16 CIARDELLI CUMMINGS CAMPAGN COZZI & GOGGIN-WARD 560 16WC 33454 CHANCELOR, MICHAEL C LABOR TEMPS 10/13/16 DAVID W MARTAY BRADY CONNOLLY & MASUDA PC 561 16WC 33562 GOODSON, SHEILA PARAMOUNT STAFFING 09/13/16 PERRY M LAKS LAW OFFICE KNELL O'CONNOR DANIELWICZ 562 16WC 33577 MIRANDA, MARIA WORK NOW STAFFING 10/26/16 HERRERA LAW CENTER HENNESSY & ROACH PC 563 16WC 33697 SMITH, MICHAEL J (BROTHER AGL RESOURCES/NICOR GAS C 10/11/16 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 564 16WC 33792 CORDOVA, JESSICA COSTCO WHOLESALE 05/03/16 LEONARD LAW GROUP LLC GANAN & SHAPIRO 565 16WC 33917 CRISTOFORI, JOHN ILLINOIS STATE TOLL HWY A @ 08/09/16 RUBIN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 16WC033918 -C 566 16WC 33980 SWACKER, ROBERT ALLIANCE GLAZING TECHNOLO 08/30/16 O'CONNOR & NAKOS GRANT & FANNING 567 16WC 33992 GRACIANO, KARINA SCHNEIDER LOGISTICS 10/21/16 COSTA IVONE LLC POWER & CRONIN LTD 568 16WC 34108 SNEDEKER, ROBERT ENERFAB, INC 11/10/16 MICHAEL P MCCREADY & ASSOC LAW OFFICES OF EDWARD J. KOZ 569 16WC 34268 PIPER, JOHN OSHKOSH SPECIALTY VECHILE 11/11/13 BRISKMAN BRISKMAN GREENBER GILDEA & COGHLAN 570 16WC 34298 COLFFELT, PETER A RED TOP SERVICES, INC 07/11/16 PARENTE & NOREM PC GANAN & SHAPIRO 571 16WC 34330 MARTINEZ, VICENTE GERBER COLLISON & GLASS 05/07/15 NAVA LAW HOLECEK & ASSOCIATES 572 16WC 34374 HOWE, BRENDA PLAINFIELD SCHOOL DISTRIC 09/01/16 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 573 16WC 34459 JONES, EUGENE RYDER 09/21/16 FINE, MARK S LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 574 16WC 34557 RUIZ, CASANDRA WEATHERTECH/MACNEIL AUTOM 08/25/16 SALVATO & O'TOOLE HOLECEK & ASSOCIATES 575 16WC 34622 LEDESMA, JOSE NEOVIA LOGISTICS 04/11/16 GORDON & CENTRACCHIO LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 576 16WC 34715 COLE, ROBERT BADGER DAYLIGHTING 11/03/16 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 577 16WC 35061 KEEN, CHARLES AEROTEK 10/21/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 578 16WC 35201 MANZO, LORENZO JIMENEZ & SONS LANDSCAPIN 10/03/16 JONATHAN SCHLACK JOSEPH MARCINIAK 579 16WC 35251 EDWARDS, DEMARCUS CAPTIVEAIRE SYSTEMS 11/04/16 MICHAEL P MCCREADY & ASSOC 580 16WC 35292 OBSCURA, MARIA PLAINFIELD SCHOOL DIST 20 10/14/16 BART DURHAM KEEFE CAMPBELL & ASSOC LLC 581 16WC 35336 HORTON, EDNA ALLEGIANCE STAFFING 10/04/16 CULLEN HASKINS NICHOLSON 582 16WC 35415 WHITSON, AARON FAJITAS MEXICAN RESTAURAN W 06/02/16 WOLFE LAW PC SAM CUBA LAW OFFICE 583 16WC 35544 MCCLEAN, KEVIN BCU ELECTRIC 10/27/16 DWORKIN AND MACIARIELLO LAW OFFICES OF EDWARD J. KOZ 584 16WC 35684 SMEDLEY, AARON L PREMIER TRANSPORTATION 10/16/16 LAW OFFICE OF ROBERT J. IR 585 16WC 35701 HOLZAEPFEL, ERIC H TYCO INTEGRATED SECURITY 11/10/16 SPIROS LAW PC POWER & CRONIN LTD 586 16WC 35782 MUNIZ-RAMOS, ALEXANDRO NFI INDUSTRIES 11/18/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 587 16WC 35949 GRACIDA, MAURICIO DUTCH AMERICAN FOODS 06/30/16 MC HARGUE & JONES HENNESSY & ROACH PC 588 16WC 35998 TRAVIS, JEANIE WILTON INDUSTRIES 11/07/16 DAVID W MARTAY WOLFE & JACOBSON, LTD 589 16WC 36152 CARROLL, KRISTINA LYNN, W CITY OF JOLIET # 10/14/16 THOMAS W DUDA ROSARIO CIBELLA 590 16WC 36258 KLEIN, JAMES H USF HOLLAND 05/22/15 DAVID W OLIVERO 591 16WC 36509 ALVAREZ, ANGELA ATWORK PERSONNEL SERVICES 08/18/16 SPIROS LAW PC HENNESSY & ROACH PC 592 16WC 36704 VENZOR, LAZARO ARGUELLO CORPORATION 08/08/16 GOLDBERG WEISMAN & CAIRO L GAROFALO SCHREIBER STORM 593 16WC 36750 COMPTON, DUANE SHIPPERS WAREHOUSE 11/19/16 SOSTRIN AND SOSTRIN PC

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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 FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 702 17WC 10859 HIR, DANIEL VISION INTEGRATED GRAPHIC 10/13/16 SLAVIN & SLAVIN 703 17WC 10961 DE ANGELIS, LORRAINE ILLINOIS CENTRAL SCHOOL B 02/27/17 RATHBUN CSEVENYAK & KOZOL GILDEA & COGHLAN 704 17WC 10990 MICHALIK, KEN FREIGHT TECH CARTAGE, INC 03/07/17 HORWITZ HORWITZ & ASSOC WOLF LAW LTD 705 17WC 11074 ANDERSON, LESLEY JEWEL-OSCO 05/28/16 MILLON & PESKIN LTD QUINTAIROS PRIETO WOOD & BOY 706 17WC 11255 BAKKER, JUSTIN MOKENA FIRE PROTECTION 03/24/17 LAW OFFICE OF SCOTT B SHAP 707 17WC 11277 RACKER, LESTER GRAND PRAIRIE TRANSIT- 04/04/17 ANKIN LAW OFFICE 708 17WC 11325 HERATH, RONALD ECOLAB 03/25/17 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 709 17WC 11387 HERATH, RONALD ECOLAB 06/06/16 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL & ASSOC LLC 710 17WC 11420 MULARSKI, JAMES G & W ELECTRIC 03/20/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 711 17WC 11447 HAYES, JAMES EDWARD INPAX SHIPMENT SOLUTION 12/08/16 LAW OFFICE OF JAMES URTIS COZZI & GOGGIN-WARD 712 17WC 11504 SOSA, ELVIA ELITE STAFFING 02/02/17 713 17WC 11525 HAJKOWICZ, ERIK M VILLAGE OF UNIVERSITY PAR 09/04/16 THOMAS W DUDA 714 17WC 11538 WILLIAMS-LASH, CRYSTAL AMAZON 02/19/17 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 715 17WC 11561 JOHNSON, ALICIA PRIME COMMUNICATIONS 1, I 09/23/16 RITTENBERG & BUFFEN WIEDNER & MCAULIFFE LTD 716 17WC 11681 STIVERS, GLEENA INTEGRITY SENIOR CARE 04/06/17 BLOCK, KLUKAS & MANZELLA P ACCIDENT FUND HOLDINGS 717 17WC 11784 PATTERMANN, KEVIN TRIM TECH, INC 05/05/16 ROBERT L. SMITH LAW OFFICES JOSEPH MARCINIAK 718 17WC 11870 CAMPOS, FRANCISCO D CITY OF JOLIET 04/23/14 KROCKEY CERNUGEL COWGILL E 719 17WC 12021 JOHNSON, GEORGIA WORK NOW STAFFING 04/18/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 720 17WC 12157 GONZALEZ, MARCOS A MINUTE MEN STAFFING 01/17/17 HERRERA LAW CENTER POWER & CRONIN LTD 721 17WC 12291 ADELMAN, DANIEL FEDEX 01/25/17 BLOCK, KLUKAS & MANZELLA P 722 17WC 12340 GUZMAN, CARLA MCKESSON CORPORATION 02/08/17 THE ROMAKER LAW FIRM NOBLE & ASSOCIATES PC 17WC012414 -C 17WC013790 -C 723 17WC 12490 GARZA, SUSAN WILL COUNTY CIRCUIT COURT 04/12/17 RATHBUN CSEVENYAK & KOZOL HINSHAW & CULBERTSON 724 17WC 12702 MUELLERSCHOEN, JULIE HOMER COMM CONSODIDATED S 04/20/17 RIDGE & DOWNES INMAN & FITZGIBBONS 17WC012701 -C 17WC026891 -C 725 17WC 12714 LOPEZ, ALFREDO TUFFY AUTO SERVICE CENTER 09/22/16 MENDOZA LAW PC 726 17WC 12737 HEYWARD, SHEILA EDWARDS HOSPITAL & HEALTH 04/24/17 THE ROMAKER LAW FIRM KEEFE CAMPBELL & ASSOC LLC 727 17WC 12973 TRIANA, SECILIO RAILWAY & INDUSTRIAL SERV 01/16/17 BRIAN T MORROW, LAW OFFICE INMAN & FITZGIBBONS 728 17WC 13058 AVINA, JOSE FIVE ACES INC 07/13/16 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 729 17WC 13254 TRAFTON, RICHARD JOLIET CITY POLICE DEPT 03/01/17 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 17WC013255 -C 730 17WC 13278 REAGAN, MICHELLE TIFFANY AND CO 10/15/16 HETHERINGTON KARPEL BOBBER LEWIS BRISBOIS BISGAARD 731 17WC 13299 CRUZ-LEZAMA, BENJAMIN PRESTIGE MAINTENANCE USA 08/05/16 CULLEN HASKINS NICHOLSON COZZI & GOGGIN-WARD 732 17WC 13327 DAVIS, CRAIG SCHNEIDER 03/22/17 BOWMAN & CORDAY POWER & CRONIN LTD 16WC009743 -C 733 17WC 13368 GELIN, LARRY JOLIET TOWNSHIP HS 01/06/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 734 17WC 13407 STARANOWICZ, REBECCA PRESENCE ST JOSEPH 04/19/17 MARC J SHUMAN & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 735 17WC 13426 SANCHEZ, THELMA ELITE STAFFING, INC 04/21/17 SALK, STEVEN B & ASSOC LTD

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 754 17WC 15615 BLACKBURN, KENDRICK FRESH THYME DISTRIBUTION 05/03/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 755 17WC 15677 CULBREATH, FRED L CURRIE MOTORS FRANKFORT I 05/17/17 ANKIN LAW OFFICE GANAN & SHAPIRO 756 17WC 16052 MCCABE, MARK W CITY OF JOLIET 07/07/14 MCNAMARA PHELAN MCSTEEN LL ROSARIO CIBELLA 757 17WC 16114 VALERIO, OMAYRA TQUERIA LOST COMALES #14 04/23/17 SALK, STEVEN B & ASSOC LTD ROSARIO CIBELLA 758 17WC 16127 WATTS, REGINALD READER LINK 05/24/17 DWORKIN AND MACIARIELLO 759 17WC 16186 GONZALEZ, ZUJEY ALPHABRODER 05/23/17 LAW OFFICE OF SCOTT B SHAP HOLECEK & ASSOCIATES 760 17WC 16326 WOODARD, BREANNA NOLAN LOGISTICS, INC 05/19/17 BIZZIERI LAW OFFICES RIPES NELSON BAGGOT KALOBRAT 761 17WC 16405 HENDRICKS, ALEX BOYD BROS TRANSPORTATION 05/17/17 BLOCK, KLUKAS & MANZELLA P HEYL ROYSTER VOELKER & ALLEN 762 17WC 16685 CRUZ, JOSE AIM NATIONAL LEASE 05/26/17 POLANSKY & CICHON CHTD INMAN & FITZGIBBONS 763 17WC 17045 GONZALEZ, MARIA E PEACOCK ENGINEERING 01/29/15 MCNAMARA PHELAN MCSTEEN LL HOLECEK & ASSOCIATES 764 17WC 17095 COOPER, ANTHONY S&S ACTIVEWEAR 04/04/17 765 17WC 17148 BEW, TREASONA JEWEL OSCO 05/27/17 WOODRUFF & JOHNSON RODDY LAW LTD 766 17WC 17195 BROWN,B ILLY WASTE MANAGEMENT 02/24/17 RIDGE & DOWNES 767 17WC 17202 HEDGE, BRET HOMER TOWNSHIP 03/23/17 THE ROMAKER LAW FIRM POWER & CRONIN LTD 768 17WC 17257 BONALDI, LOUIS AMAZON 06/28/16 STEWART C ORZOFF WIEDNER & MCAULIFFE LTD 769 17WC 17293 BOYD, RICHARD CITY OF JOLIET 07/15/16 RATHBUN CSEVENYAK & KOZOL ROSARIO CIBELLA 770 17WC 17341 LAVIGNE, KENNETH WEST ROCK 04/07/17 SKLARE LAW GROUP SPIEGEL & CAHILL, PC 771 17WC 17360 ROJAS, ROBERTO SPIRIT TRUCKING 09/23/16 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 772 17WC 17406 HOVORKA, WILLIAM YRC WORLDWIDE 06/01/17 O'CONNOR & NAKOS HENNESSY & ROACH PC 773 17WC 17428 MORGAN, LEIF NATIONAL DCP 04/06/17 LEONARD LAW GROUP LLC ARNETT LAW GROUP 774 17WC 17478 WOODARD, JAVARIS CLEARSTAFF, INC 05/22/17 ROBERT E LUNZ ACCIDENT FUND HOLDINGS 775 17WC 17574 FILUS, TIM WILL COUNTY SHERIFF'S OFF 05/27/17 DAVID SZCZECIN & ASSOC 776 17WC 17594 PHILLIP, VINCENT STATE OF ILLINOIS @ 04/11/16 ROSENFELD HAFRON SHAPIRO F ASSISTANT ATTORNEY GENERAL 777 17WC 17649 VENTRELLA, CRISTINA V AMAZON 04/22/17 DANIEL PERIASWAMY 778 17WC 17711 JUAREZ, NICHOLAS STATEVILLE CORRECTIONAL C @ 08/02/16 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 779 17WC 17776 NELSON, MAURICE HOME DEPOT 06/05/17 FRANK A CELANI MC ANDREWS & NORGLE LLC 780 17WC 17831 GLYNN, BILL TYCO INTEGRATED SECURITY 09/30/15 EFTEKHARI LAW OFFICES 781 17WC 17880 RASMUSSEN, JAMES P WILL COUNTY CORORNER'S OF 10/01/15 HORWITZ HORWITZ & ASSOC HINSHAW & CULBERTSON 782 17WC 17904 PALUCH, MARK REALISTIC LOGISTICS INC 04/30/15 RICHARD O. GREENFIELD RIPES NELSON BAGGOT KALOBRAT 783 17WC 17952 GLIENKE, ERIC ULTA BEAUTY DISTRIBUTION 05/01/15 LANNON LANNON & BARR LTD ARNETT LAW GROUP 784 17WC 18071 OWENS, SUSAN SILVER CROSS HOSPITAL 05/17/17 WOLFE LAW PC MACIOROWSKI SACKMANN & ULRIC 785 17WC 18091 QUINN, JOSEPH STATE OF ILLLINOIS @ 05/09/17 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 786 17WC 18151 CADENA, FERNANDO NC TRANSITION STAFFING CO 05/30/17 BART DURHAM GAROFALO SCHREIBER STORM 787 17WC 18159 PHILLIPS, JIMMY GREENSCAPE SVCS 06/01/17 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 788 17WC 18170 MARTINEZ, BERTHA CARRANZA RAYMOND MANAGEMENT COMPAN 01/05/17 STEWART C ORZOFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 789 17WC 18262 GRIFFIN, PATRICIA AMAZON.COM DEDC, LLC 03/15/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 790 17WC 18309 WHITE, DONNELL MARQUETTE COMPANIES 03/28/17 PETER D CORTI LAW GROUP HENNESSY & ROACH PC 17WC018310 -C 791 17WC 18372 PANZICA, DOMINICK LINCOLN WAY HIGH SCHOOL 05/09/17 STEVEN J MALMAN & ASSOCIAT 792 17WC 18397 ALLEN, TERRON SCHNEIDER LOGISTICS TRANS 06/07/17 ANKIN LAW OFFICE POWER & CRONIN LTD 793 17WC 18522 JONES, ROBERT E SR MILLENIUM METALS 11/28/16 GOLDSTEIN BENDER & ROMANOF GAROFALO SCHREIBER STORM 794 17WC 18738 TASCONE, CARL LINCOLN WAY CENTRAL 05/26/16 RUSIN & MACIOROWSKI LTD 795 17WC 18815 SOSA, GIOVANNI AMAZING FULFILLMENT CENTE 03/01/17 MC HARGUE & JONES WIEDNER & MCAULIFFE LTD 17WC018816 -C AMAZON FULFILLMENT CENTER 796 17WC 18849 DIETER, PHILIP APEX MATERIAL TECHNOLOGIE 12/19/16 MCNAMARA PHELAN MCSTEEN LL 797 17WC 18974 RUZENCEVS, ANDRIS BIG BEAR CARPENTRY 06/08/17 CRONIN & PETERS COZZI & GOGGIN-WARD 798 17WC 19005 RODRIGUEZ, MONICA MEIJER, INC 06/04/17 JOHN J CASTANEDA KNELL & O'CONNOR 799 17WC 19022 FOWLER, TRAVIS J HOMEOWNERS BARGAIN OUTLET 06/01/17 KROCKEY CERNUGEL COWGILL E QUINTAIROS PRIETO WOOD & BOY 800 17WC 19057 HINTON, DWIGHT PRAIRIE CREEK LOGISTICS 10/26/16 HORWITZ HORWITZ & ASSOC CAPUANI, FRANK S 801 17WC 19165 MCDANIELS, BRIAN HORIZON CARPENTRY 10/26/16 CHRISTIAN & MANNO WIEDNER & MCAULIFFE LTD 802 17WC 19239 RODRIGUEZ, MARIO USF HOLLAND 05/22/17 CAPRON & AVGERINOS PC 803 17WC 19305 ORTEGA, FROILAN HOMER TREE SERVICE INC 04/10/17 DUDLEY & LAKE LLC ROBERT L. SMITH 804 17WC 19425 EBERLE, JULIE M WALMART STORES, INC 04/17/17 FIGLIOLI, DAVID WIEDNER & MCAULIFFE LTD 805 17WC 19446 POKORNIK, DAVID LOWES HOME CENTERS, INC 05/04/17 PORRO NIERMANN LAW GROUP KEEFE CAMPBELL & ASSOC LLC 806 17WC 19537 NELSON, JACK JOSCO CONSTRUCTION SERVIC 03/27/17 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 807 17WC 19573 JACKSON-BERG, KATHY TRITON MANUFACTURING 04/07/17 DEPAOLO ZADEIKIS GORE BRADY, CONNOLLY & MASUDA, PC 808 17WC 19647 POE, GABRIELLE INDIVIDUAL ADVOCACY GROUP 06/27/17 ANGELINI & ORI LLC 809 17WC 19694 BIEL, ROBERT METROPOLITAN WATER 06/17/17 LAW OFFICE OF SCOTT B SHAP NOBLE & ASSOCIATES PC 810 17WC 19849 SIMPSON, DARLENE SPRING CREEK NURSING & RE 05/11/17 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 811 17WC 20140 CRICKMAN, DONALD STEPAN CO 06/05/17 RATHBUN CSEVENYAK & KOZOL KLAUKE LAW GROUP LLC 812 17WC 20660 MILONE, PETER JR ILLINOIS DEPARTMENT OF 01/03/17 ANKIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 813 17WC 20700 TRAVER, BRYCE R CITY OF JOLIET 04/16/17 FABRIZIO, HANSON & PEYLA KNELL & O'CONNOR 814 17WC 20711 REYES, REYNA CHILI'S GRILL & BAR 06/26/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 815 17WC 20911 ARMSTRONG, BRUCE TAMMEN TREEBURY FARM 06/02/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 816 17WC 20972 CECI, DOUGLAS CONVEYER SPECIALTIES, INC 04/13/17 PARENTE & NOREM PC HOLECEK & ASSOCIATES 17WC020973 -C 817 17WC 21021 ANTON, SHARILYN GREER LABORATORIES 01/13/16 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 818 17WC 21100 CARSON, GERVA D PACIFIC RAIL SERVICES 03/10/17 THOMAS R LICHTEN GAROFALO SCHREIBER STORM 819 17WC 21143 RIDDLEY, LATANYA AMAZON 06/11/17 LEONARD LAW GROUP LLC 820 17WC 21176 ROMERO, MARIA ELITE STAFFING INC 07/14/17 JAMES ELLIS GUMBINER & ASS 821 17WC 21231 KIDD, ASHLEY MENARDS 09/07/16 RATHBUN CSEVENYAK & KOZOL RODDY LAW LTD 822 17WC 21295 ELDER, DENNIS NRG ENERGY SERVICES 01/03/17 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 823 17WC 21450 WARREN, DARRELL YRC FREIGHT 07/07/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 824 17WC 21513 NESS, RANDY ACTION PLUMBING COMPANY, 07/11/17 HORWITZ HORWITZ & ASSOC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 825 17WC 21540 POTTS, LISA C SYBARIS CLUBS INTRNATIONA 07/12/17 ANKIN LAW OFFICE 826 17WC 21607 LUNA, JOSE ALFREDO BERMUD MIM INSTALLATIONS, INC. 06/28/17 EPSTEIN, JACK R LAW OFFICE COZZI & GOGGIN-WARD 827 17WC 21662 OCHOA, MARTHA KEHE DISTRIBUTORS, INC 04/02/17 WHITESIDE & GOLDBERG LTD POULOS & DIBENEDETTO LAW 828 17WC 21809 JOHNSON, ANN JEWEL FOOD 06/06/14 MATTHEW T. GUBBINS PC RODDY LAW LTD 829 17WC 21841 BELL, DAVID WEATHERTECH 07/14/17 HORWITZ HORWITZ & ASSOC HOLECEK & ASSOCIATES 830 17WC 21896 DOYLE, KEVIN P PRESENCE HEALTH 02/06/16 SOSTRIN AND SOSTRIN PC BRADY CONNOLLY & MASUDA PC 831 17WC 22143 FLORES, MARIA LITTLE EXPLORERS CHRISTIA 09/03/15 SABUCO BECK HANSEN JOSEPH MARCINIAK 832 17WC 22166 IRELAND, LATOYIA NEXUS 07/23/17 DAVID W MARTAY 833 17WC 22274 CALLIS, RAYMOND WALMART SUPERCENTER 03/22/17 PARENTE & NOREM PC GANAN & SHAPIRO 834 17WC 22328 PEDIGO, JAMES CENTRAL GROCERS, INC. 04/27/17 RIDGE & DOWNES ROSARIO CIBELLA 835 17WC 22495 WILLIAMS, SANDRA PCL ALVERNO 03/02/15 LAW OFFICES MICHAEL HELLMA 836 17WC 22516 ROBLES, ALVARO HEITHKOTTER INC 07/18/17 COLLISON LAW OFFICES QUINTAIROS PRIETO WOOD & BOY 837 17WC 22542 FULLER, TODD SUPERIOR LAWN, INC AGA SP 04/21/17 BLOCK, KLUKAS & MANZELLA P CAPUANI, FRANK S 838 17WC 22715 PETERS, GEORGE LANGER TRANSPORT 06/19/17 HORWITZ HORWITZ & ASSOC SPIEGEL & CAHILL, PC 839 17WC 22881 OCANA-PINEDA, ZAIRA S&S ACTIVE WEAR 05/19/17 LEADERS LAW CENTER LLC KNELL & O'CONNOR 840 17WC 22983 HERNANDEZ, ROSA TIMBERS OF SHOREWOOD 11/30/16 BRIAN T MORROW, LAW OFFICE 841 17WC 23006 JOHNSON, KIMBERLY J STATE OF ILLINOIS DEPT OF @ 03/13/17 DWYER AND COOGAN ASSISTANT ATTORNEY GENERAL 842 17WC 23073 BEY, PATRICIA A JOLIET PUBLIC SCHOOLS 07/21/17 ANKIN LAW OFFICE ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 843 17WC 23083 APARICIO, JOSE SEATING CONCEPTS INC 12/06/16 COSTA IVONE LLC 844 17WC 23101 LEVITT, LARRY VILLAGE OF STEGER 06/28/17 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 18WC021354 -C 845 17WC 23130 PIEDRA, JOSE LUIS M&S DELIVERY SERVICE, INC 07/05/17 KAT0Z FRIEDMAN EAGLE ET AL 846 17WC 23284 HERNANDEZ, ALFONSO MEDTRONIC JOLIET 03/23/17 LEONARD LAW GROUP LLC 847 17WC 23364 MEYER, JASON T. BUMP & GRIND AUTO BODY, I 02/15/17 ANESI OZMON RODIN NOVAK KO ROSARIO CIBELLA 848 17WC 23440 LEAL, EMANUAL METRO STAFF, INC 06/02/17 MILLON & PESKIN LTD 849 17WC 23594 READUS, CORINDA MEDTRONIC USA, INC 05/30/17 ANKIN LAW OFFICE 850 17WC 23608 WALKER, MICHAEL WELSCH READY MIX, INC 07/21/17 HORWITZ HORWITZ & ASSOC GILDEA & COGHLAN 851 17WC 23683 MCKENZIE, KAREN AMAZON 06/20/17 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 852 17WC 23726 MARTIN, DARRELL STATE OF IL DEPT OF CORRE 08/01/17 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 853 17WC 23777 JACOBS, JOSEPH AMAZON 07/12/17 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 854 17WC 23865 CARROLL, TANESHA STATE OF IL 08/01/17 HORWITZ HORWITZ & ASSOC 855 17WC 23928 PUSATERI, JOSEPH OZINGA 03/27/17 MICHAEL A. HIGGINS GAROFALO SCHREIBER STORM 856 17WC 24414 SEMANISION, TROY DIAGEO 06/08/17 LEONARD LAW GROUP LLC COZZI & GOGGIN-WARD 857 17WC 24439 LOPEZ, GABRIEL MICHELIN NORTH AMERICA, I 08/16/17 858 17WC 24468 VILLEGAS, MARIA ARYZTA 08/11/17 HERRERA LAW CENTER HENNESSY & ROACH PC 859 17WC 24581 COFFLEY, BRANDON S JHOC, INC D/B/A 08/07/17 ANKIN LAW OFFICE MARTIN, PATRICK W 860 17WC 24608 LUNA, HERBERTO XPEDIENT MANAGEMENT GROUP 07/19/17 MENDOZA LAW PC 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 FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 861 17WC 24621 GUINN, ROBERT DAYTON FREIGHT LINES INC 08/02/17 SANDMAN LEVY & PETRICH GANAN & SHAPIRO 862 17WC 24755 BOSSE, PATRICK LEWIS TREE SERVICE 07/11/17 PETER C KOPOULOS 863 17WC 24789 REED, JUSTIN AMAZON 06/15/17 DAVID W MARTAY 864 17WC 24816 MARTINEZ, GENARO FEDEX SUPPLY CHAIN INC 07/11/17 CHRISTIAN & MANNO 865 17WC 24937 BRAVO, WILSON DSC LOGISTICS, INC. 07/24/17 LAW OFFICES MICHAEL HELLMA 866 17WC 24959 ARTEAGA, ANTHONY M.B.T. TRANSLOAD INC 02/02/16 NICHOLIS J STEIN GANAN & SHAPIRO 867 17WC 25051 HAMILTON, QUINCY MULTI PLASTICS, INC 01/23/17 VRDOLYAK LAW GROUP LLC HOLECEK & ASSOCIATES 868 17WC 25151 MURDOCK, THERESA CORNERSTONE SVCS, INC 09/08/16 LANNON LANNON & BARR LTD INMAN & FITZGIBBONS 869 17WC 25217 TRAVIS, LYSANDER CENTER FOR DISABILITY SER 03/21/17 COSTA IVONE LLC 870 17WC 25232 AALFORD, ADONIS WEATHERTECH 08/16/17 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 871 17WC 25281 COOK, SUSAN L JEWEL OSCO/ ALBERTSONS LL 08/16/16 BAUM RUFFOLO & MARZAL LTD WIEDNER & MCAULIFFE LTD 872 17WC 25333 RAMIREZ, JESUS ANGUIANO SCHNEIDER LOGISTICS 08/10/16 DEPAOLO & ZADEIKIS POWER & CRONIN LTD 17WC025332 -C 873 17WC 25416 JOHNSON, TAMIKA M AMAZON 12/10/16 GOLDSTEIN BENDER & ROMANOF 874 17WC 25580 JETTER, SHERVCE CORNERSTONE SVS, INC 12/02/16 MILLON & PESKIN LTD INMAN & FITZGIBBONS 875 17WC 25676 MARKUSIC, DAVID AIM NATIONAL LEASE 07/27/17 ANGELINI & ORI LLC 876 17WC 25708 ALONSO, NEYVA GREAT AMERICAN BAGEL, INC 04/26/17 CULLEN HASKINS NICHOLSON JOSEPH MARCINIAK 877 17WC 25829 BRASHER, MARK APL LOGSTICS 08/26/17 BAUM RUFFOLO & MARZAL LTD KEEFE CAMPBELL & ASSOC LLC 878 17WC 26344 STEFFEN, NICHOLE SUONGFARR INC 08/24/17 HORWITZ HORWITZ & ASSOC BORGELT POWELL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 879 17WC 26498 CRAMER, JEFFREY BLUELINX 03/31/16 VASILATOS & COTTER LLC 880 17WC 26533 PACH, KATHLYNE (BY AND TH BALTIC LINES II, INC #W 08/14/17 JOHN E LUSAK 17WC027450 -C SEPULVEDA, JEANETTE FOR M 881 17WC 26777 RANGEL GUZMAN, MARIA VIRG FLEXIBLE STAFFING/KENT FO 05/25/17 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 882 17WC 26880 RATHBUN, WILLIAM JB HUNT CO TOYS R US DIST 03/22/16 RUBENS AND KRESS 883 17WC 27033 MORALES, GILMA BAY STATE MILLING 07/14/16 MANUAL CARDENAS & ASSOC 884 17WC 27115 LAS, DOROTA ALDI, INC 09/22/15 TIMOTHY E. TAKASH BRADY CONNOLLY & MASUDA PC 885 17WC 27152 QUEEN, ERIC PALOS PARK FIRE PROTECTIO 08/31/17 DAVID W MARTAY 886 17WC 27170 OSTANEK, ALBERT ERASTEEL, INC. 09/22/16 BRISKMAN BRISKMAN GREENBER THOMAS & PORTELA 887 17WC 27247 CARTER, TERESA R SPEEDWAY, LLC 10/11/14 MICHAEL HELLMAN NYHAN BAMBRICK KINZIE & LOWR 888 17WC 27418 DARDEN, ROBERT STATEVILLE CORRECTIONAL C 07/19/17 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 889 17WC 27428 JIMENEZ, PAULA J WILTON INDUSTRIES 08/23/17 VITELL & SPITZ LTD WOLFE & JACOBSON, LTD 890 17WC 27487 GRIMALDO, EVA MARTINEZ AMAZON FULFILLMENT CENTER 08/04/17 COSTA IVONE LLC 891 17WC 27538 GRUNWALD, KENNETH IL BELL TELEPHONE COMPANY 08/28/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 892 17WC 27574 FLYNN, SEAN AUCTION ACCESS 09/22/16 VRDOLYAK LAW GROUP LLC RUSIN & MACIOROWSKI LTD 893 17WC 27598 BOOKER, SAMIKI T PEOPLE READY 08/16/17 JAMES ELLIS GUMBINER & ASS BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 53 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 894 17WC 27780 FOUST, SHANNON PT FERRO CONSTRUCTION 09/13/17 HORWITZ HORWITZ & ASSOC 895 17WC 27792 DELESIO, ROSARIO GARY GALASSI STONE & STEE 09/01/17 LAW OFFICE OF SCOTT B SHAP HENNESSY & ROACH PC 17WC027793 -C 896 17WC 27845 BERGER, ELKE PANDUIT 11/16/16 JASINSKI, GEORGE J HEYL ROYSTER VOELKER & ALLEN 897 17WC 27888 MOTON, JOHNNY BARTON STAFFING 07/21/17 MARC J SHUMAN & ASSOCIATES SLAVIN & SLAVIN 898 17WC 27974 ORTIZ, MARITZA OUR LADY OF ANGELS 08/20/17 SMITH AMUNDSEN LLC 899 17WC 27984 JIMENEZ, ADALBERTO WORK NOW STAFFING 08/23/17 RATHBUN CSEVENYAK & KOZOL HINSHAW & CULBERTSON 900 17WC 28082 TROUTMAN, FREDRICK C AIR QUALITY INC 01/13/16 SANDMAN LEVY & PETRICH 901 17WC 28207 HIGHLAND, JOSEPH BLACK HORSE CARRIERS 03/17/17 GOLDBERG WEISMAN & CAIRO L 902 17WC 28225 MENCHACA, ROQUE STATE OF IL DEPT OF CORRE @ 10/17/16 LARRY FLEISCHER & ASSOCIAT 903 17WC 28238 PETTIGREW, JERMANE C PRIORITY STAFFING, LTD 08/28/17 ANKIN LAW OFFICE THOMAS & PORTELA 904 17WC 28267 TSIAMAS, ANTHONY WINDY CITY WIRE 09/12/17 LEONARD LAW GROUP LLC HOLECEK & ASSOCIATES 905 17WC 28296 HOLMES, ANTHONY SNIDER BLAKE 08/11/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 906 17WC 28612 SNAPP, LAURA JT CARE 07/20/17 WILLIAM B MEYERS, LTD PAUL O WATKISS 907 17WC 28656 FINGER, TANYA SILVER CROSS HOSPITAL 12/22/16 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC 908 17WC 28689 KORZENIEWSKI, TY ENBRIDGE ENERGY 08/26/11 PONNE LAW GROUP 909 17WC 28735 ALLEN, PAULA POPEYES CHICKEN 03/31/17 DWORKIN AND MACIARIELLO 910 17WC 28774 CALIENDO, PAUL DEVEN TRANSPORT 09/01/17 ROMANEK & ROMANEK JAMES M KELLY 911 17WC 28826 RIVERA, JOSE SUNOCO THERMOSAFE 08/30/17 RANDALL A. WOLFF & ASSOC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 54 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 912 17WC 28974 BARLOW, KELLY J SILVER CROSS HOSPITAL 06/19/17 COLLINS BARGIONE MACIOROWSKI SACKMANN & ULRIC 913 17WC 29127 ELLIS, ROBERT APOLLO COLORS 08/31/17 HORWITZ HORWITZ & ASSOC 914 17WC 29148 MOORE, AMBER ECOLAB, INC 04/05/17 LEWIS & DAVIDSON, LTD KEEFE CAMPBELL & ASSOC LLC 915 17WC 29169 BALCER, JUSTIN BOLINGBROOK FIRE DEPT 09/30/17 HEALY SCANLON LAW FIRM POWER & CRONIN LTD 916 17WC 29214 WALKER, MARQUIS PARSEC, INC 09/07/17 GOLDSTEIN BENDER & ROMANOF MACIOROWSKI SACKMANN & ULRIC 917 17WC 29248 BELTRAN, ARMANDO TRI PAR DRYWALL INC 07/06/17 MARC J SHUMAN & ASSOCIATES RODDY LAW LTD 918 17WC 29292 JOHNSON, MARCUS STAFFMARK INVESTMENT INC 09/28/17 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 919 17WC 29360 DAUBARAS, ANGELA AMAZON.COM INC 12/08/16 NILSON STOOKAL GLEASON CAP WIEDNER & MCAULIFFE LTD 920 17WC 29416 SMITH, SABLE LITTLE KICKERS 10/03/17 MC HARGUE & JONES 921 17WC 29484 MYERS, EVONNE AMAZON FULFILMENT CENTER 08/03/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 922 17WC 29555 DRAINO, WILLIAM MINNESOTA LIMITED 08/04/17 HORWITZ HORWITZ & ASSOC BRADY, CONNOLLY & MASUDA, PC 923 17WC 29613 SALINAS, OLIVIA ELITE STAFFING INC 09/11/17 LAW OFFICES MICHAEL HELLMA 924 17WC 29623 VIEYRA, LORENZO MVP WORKFORCE LLC LOANING 10/03/17 SALK, STEVEN B & ASSOC LTD KOREY RICHARDSON LLC 925 17WC 29750 ALRAMHI, SAHAR JEWEL FOOD STORES 06/15/17 LANNON LANNON & BARR LTD WIEDNER & MCAULIFFE LTD 926 17WC 29792 GARCIA-HERNANDEZ, MARICEL SOUTHLAND SOLUTIONS/ 08/30/17 BLOCK, KLUKAS & MANZELLA P 927 17WC 30142 SMITH, JUSTIN CASSENS TRANSPORT CO 05/12/15 MARKER & ASSOCIATES KNAPP, OHL & GREEN 928 17WC 30156 BOND, SANITA PRESENCE ST JOSEPH 09/16/17 RATHBUN CSEVENYAK & KOZOL NYHAN BAMBRICK KINZIE & LOWR 929 17WC 30282 CLARK, DEBORAH MENARDS 08/06/17 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 55 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 930 17WC 30353 AYALA, YANIRIAN CLEAR STAFF INC 09/13/17 ENCINAS & ORNELAS 931 17WC 30379 NEWTON, JEFFREY A D&M WESTERDALE TRUCKING I 08/07/17 KATZ FRIEDMAN EAGLE ET AL 932 17WC 30462 RIEVES, ADAM G UNITED GLOBAL SERVICES, I 10/01/17 WEISS & WEISS LAW OFFICES GRANT & FANNING 933 17WC 30500 LOPEZ, MINERVA AMERISOURCE BERGEN 10/05/17 PORRO NIERMANN LAW GROUP 934 17WC 30612 CALLAGHAN, SANDRA PRESENCE ST JOSEPH HOSPIT 03/04/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 935 17WC 30771 DEUEL-MEISER, ADRIENNE VALLEY VIEW SCHOOL DISTRI 08/02/17 BURNETT & CARON, LTD 936 17WC 30811 ALEXANDER, MARGUERITTA AMAZON.COM INC 01/20/17 LAW OFFICE PHILIP BLOMBERG 937 17WC 30913 HAIDUKE, HAWK CITY OF JOLIET 08/07/17 MCNAMARA PHELAN MCSTEEN LL KNELL & O'CONNOR 938 17WC 30984 ADAMS, KIMBERLY UNIVERSAL PROTECTION SERV 10/13/17 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM 939 17WC 31032 RAWL, DONNA AMAZON 08/30/17 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 940 17WC 31274 SHARPE, RANDY STAFFING NETWORK 10/12/17 SALVATO & O'TOOLE SLAVIN & SLAVIN 941 17WC 31329 RANDLE, MELVIN JB HUNT 2950 09/13/17 JAMES ELLIS GUMBINER & ASS GRANT & FANNING 942 17WC 31368 BREWER, BROOKE H WILL COUNTY SHERIFF'S OFF # 10/14/17 COVEN LAW GROUP HINSHAW & CULBERTSON 943 17WC 31412 SIRMONS, ANTHONY FEDEX 09/12/17 LANCASTER, DEBORAH 944 17WC 31465 FISCHER, MASON ECOLAB 10/04/17 DWORKIN AND MACIARIELLO 945 17WC 31579 BAILEY, RACHELLE RUSH COPLEY HOSPITAL 04/04/17 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 946 17WC 31703 CRAIG, DEBORAH SOUTHERN COMPANY GAS 09/06/17 LAW OFFICES MICHAEL HELLMA MACIOROWSKI SACKMANN & ULRIC 947 17WC 31739 WILLIAMS, LARRY METRO STAFFING 10/09/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 56 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 948 17WC 31744 MONCHUNSKI, JASON FLEXIBLE STAFFING 10/13/17 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 949 17WC 31776 CRAWFORD, MARY ANN TROY SCHOOL DISTRICT 30-C 09/07/16 RUSIN & MACIOROWSKI LTD 950 17WC 31857 GROSSI, SUSAN MICHAELS 01/16/17 HORWITZ HORWITZ & ASSOC 951 17WC 31954 SANCHEZ, ANTHONY BOLINGBROOK PARK DISTRICT 07/23/17 ANKIN LAW OFFICE HENNESSY & ROACH PC 952 17WC 31970 WEINSTOCK, KARL HR METRICS, INC 10/19/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 953 17WC 31999 SOUTHWICK, KYLE WASTE MANAGEMENT 10/03/17 PARENTE & NOREM PC GAROFALO SCHREIBER STORM 954 17WC 32056 VILLEGAS, STEVEN SNIDER-BLAKE PERSONNEL 08/30/17 EPSTEIN, JACK R LAW OFFICE LAWRENCE COZZI - LAW OFFICES 955 17WC 32160 ORTUNO, ISELA BOWLMOR AMF 09/19/17 ROSENFELD HAFRON SHAPIRO F 956 17WC 32256 WILLIAMS, DENISE DHL 10/12/17 LEITER LAW OFFICES 957 17WC 32341 IBRAHIM, ANWAR MENARDS, INC 07/14/17 SEIDMAN MARGULIS & FAIRMAN 958 17WC 32371 TAYLOR, LISA SOUTHERN WILL COUNTY 09/25/17 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 959 17WC 32494 SEXTON, EUGENE UNITED STATES COLD STORAG 06/20/17 CORTINA & MUELLER BRADY CONNOLLY & MASUDA PC 960 17WC 32580 SALLESE, AMIE JOLIET PUBLIC SCHOOLS DIS 09/07/17 RIDGE & DOWNES 961 17WC 32678 WEIS, DWAYNE CITY OF JOLIET 08/20/16 MCNAMARA PHELAN MCSTEEN LL KAVANAGH GRUMLEY & GORBOLD 962 17WC 32682 HAWTHORNE, CALVIN DERBY INDUSTRIES, LLC 02/27/17 REHN LAW LLC 963 17WC 32949 LACULLA, BRIAN AMAZON 05/05/17 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 964 17WC 33116 GUTIERREZ, CATHLEEN CLIFT AMAZON 08/24/17 FRANCIS J DISCIPIO LAW OFF WIEDNER & MCAULIFFE LTD 965 17WC 33154 RITTER, KENNETH PEMCO SERVICE CO 01/04/16 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 57 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 966 17WC 33283 CRAPIA, DANNY R PETCO 11/15/16 SOSTRIN AND SOSTRIN PC ROSARIO CIBELLA 967 17WC 33423 LOVE, RASHAUN AMAZON 07/23/17 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 968 17WC 33525 GIZA, DIANE M ARAMARK 04/03/17 GALLIANI DOELL & COZZI LTD 969 17WC 33577 STANFORD, MARK MICHAELS CARTAGE 10/30/17 ANGELINI & ORI LLC GANAN & SHAPIRO 970 17WC 33625 BELL, ANTHONY JOLIET STAFFING 11/05/17 DWORKIN AND MACIARIELLO 971 17WC 33708 ERWIN, SHAQUILLE R RJW TRANSPORT 09/26/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 972 17WC 33727 TILLMAN, KELVIN AMAZON 10/22/17 STROM, NEAL B WIEDNER & MCAULIFFE LTD 17WC035351 -C 973 17WC 33865 JURINEK, JACOB WEATHER TECH 09/25/17 RUBIN LAW GROUP HOLECEK & ASSOCIATES 974 17WC 34211 PARAMO, DONAVEN GRAINGER 02/22/17 RATHBUN CSEVENYAK & KOZOL ASA LAW GROUP 975 17WC 34326 PENALOZA REYES, HECTOR M EXCEL BUILDING SERVICES, 10/25/17 COSTA IVONE LLC COZZI & GOGGIN-WARD 976 17WC 34402 AGUILERA, SANDRO AUDREY TRANSPORT INC 12/28/15 BLOCK, KLUKAS & MANZELLA P LEAHY EISENBERG & FRAENKEL 977 17WC 34478 MOORE, MARTIN K ELITE STAFFING INC 10/16/17 ANKIN LAW OFFICE 978 17WC 34550 SODARO, ROSA HARRAH'S CASINO-JOLIET 07/27/17 BAUM RUFFOLO & MARZAL LTD DENNIS J NOBLE & ASSOC 979 17WC 34625 SALAZAR, LUIS ARCTIC GLACIER PREMIUM IC 11/07/17 CHEPOV & SCOTT LLC LAWRENCE COZZI - LAW OFFICES 980 17WC 34743 HICKEY, PATRICK MVP PLUMBING CORP 07/11/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 981 17WC 34853 ARNOLD, DANIEL BLACKHORSE CARRIER/STAFFM 07/25/17 DWORKIN AND MACIARIELLO 982 17WC 34888 FINSTROM, NORINE ALDI INC 05/13/17 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 983 17WC 35078 HARRIS, DANGANETTA STATE OF IL DOC STATEVILL @ 10/11/17 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 58 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 984 17WC 35135 MCALLISTER, PAULA JOLIET TOWNSHIP HIGH SCHO 03/29/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 985 17WC 35136 BOENZI, PATRICK DELLWOOD TIRE & AUTO REPA 01/05/15 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 986 17WC 35235 KIRKLIN, JANICE SCHNEIDER LOGISTICS 11/20/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 987 17WC 35268 SODARO, MICHAEL ITW 02/02/17 CORTINA & MUELLER NYHAN BAMBRICK KINZIE & LOWR 988 17WC 35347 HENNIN, JEFFREY REPUBLIC SVCS, INC 01/21/16 RIDGE & DOWNES 989 17WC 35391 FRANKLIN, ERWIN AMAZON 11/17/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 990 17WC 35451 HOLMES, DENNIS ULTA DISTRIBUTION 08/23/17 BLOCK, KLUKAS & MANZELLA P ARNETT LAW GROUP 991 17WC 35475 RAGER, DENNIS ALRO STEEL CORP 07/13/17 BLOCK, KLUKAS & MANZELLA P GAROFALO SCHREIBER STORM 17WC035476 -C 992 17WC 35512 HENNIN, JEFFREY REPUBLIC SERVICES, INC 10/23/17 RIDGE & DOWNES 993 17WC 35531 VANNATTA, MARCIA WILL COUNTY ATTORNEY'S OF 11/09/16 PETER D CORTI LAW GROUP HINSHAW & CULBERTSON 994 17WC 35669 EZELL, KIMMAR JOLIET JUNIOR COLLEGE @ 11/13/17 BRISKMAN BRISKMAN GREENBER SCOPELITIS GARVIN LIGHT 995 17WC 35767 LAYCOAX, KERRY CRETE MONEE COMMUNITY 09/25/17 WOODRUFF & JOHNSON 996 17WC 35919 BUSSE, WILLIAM R III CITY OF JOLIET 02/23/17 FABRIZIO, HANSON & PEYLA 997 17WC 35992 CORNIEL, SANDRA PRECISION FITNESS 11/22/17 WHITESIDE & GOLDBERG LTD KEEFE CAMPBELL & ASSOC LLC 998 17WC 36067 PEAIRS, JANICE AMAZON 11/29/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 999 17WC 36085 NIEZGODA, ROBERTA STARBUCKS 07/31/17 RATHBUN CSEVENYAK & KOZOL 1000 17WC 36125 POKORNIK, ROBERT THE HOME DEPOT, INC 10/25/17 BLOCK, KLUKAS & MANZELLA P ADELSON TESTAN BRUNDO 1001 17WC 36178 BEY, BELINDA AMAZON 07/25/17 STROM, NEAL B

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 63 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1074 18WC 02709 POE, GABRIELLE TRINITY SERVICES 11/01/17 LAURA A CHILDS GALLIANI DOELL & COZZI LTD 1075 18WC 02769 KOHUT, DAVID AMAZON @ 10/28/17 MC HARGUE & JONES 1076 18WC 02788 JOHNSON, DARNELLA RESOURCE EMPLOYMENT SOLUT 12/18/17 ANKIN LAW OFFICE 1077 18WC 02831 FLORES, ERIC WEATHERTECH/MACNEILL 05/01/15 BRIAN T MORROW, LAW OFFICE 1078 18WC 02837 ALLISON, JAMES CITY OF JOLIET 09/13/17 MCNAMARA PHELAN MCSTEEN LL ANCEL GLINK DIAMOND BUSH & E 1079 18WC 02931 ROMERO, LAURA FERRARA CANDY 09/05/17 COSTA IVONE LLC 1080 18WC 03172 BARRON, PATRICIA ARKA EXPRESS, INC 03/02/15 RUBENS AND KRESS KOPKA, PINKUS DOLIN, PC 1081 18WC 03194 MAYO, MARIA ARYZTA 10/07/17 JOHN E LUSAK HENNESSY & ROACH PC 1082 18WC 03458 CANTRELL, DENNIS WEATHER TECH 12/15/17 LEONARD LAW GROUP LLC 1083 18WC 03540 COX, MONTE WEST LIBERTY FOOD PACKAGI 01/25/18 LEO M. BLEIMAN & ASSOC HEYL ROYSTER VOELKER & ALLEN 1084 18WC 03612 CROUSE, LORRIE DAN'S PAINTING AND DECORA 08/17/17 BRUGGEMAN HURST & ASSOC GILDEA, COGHLAN & REGAN LTD. 1085 18WC 03631 RAGLAND, ROBERT STEPAN CO 10/29/17 RATHBUN CSEVENYAK & KOZOL KLAUKE LAW GROUP LLC 1086 18WC 03765 ALPIZAR, ANA JOLIET STAFFING 11/14/17 CURTIS S BURKE LAW OFFICE HENNESSY & ROACH PC 1087 18WC 03915 CLINTON, JOSEPH WAYNE SR. GREENCORE USA 06/24/17 KEVIN O'BRIEN HOLECEK & ASSOCIATES 1088 18WC 03958 SARNA, BARBARA MARY MENARDS 05/30/17 TAYLOR MILLER SPROWL ET AL RODDY LAW LTD 1089 18WC 03982 BELDING, AUDREY BASS PRO OUTDOOR WORLD, L 01/28/18 GOLDBERG WEISMAN & CAIRO L 1090 18WC 04075 FERNANDEZ, VANIA AMAZON 12/14/17 ASHER, RAYMOND L LTD HENNESSY & ROACH PC 1091 18WC 04329 BETTS, TIFFANY PACE SUBURBAN BUS 01/24/18 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 64 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1092 18WC 04373 BLANCAS, JOSHUA TURANO KNEAD DOUGH CO 11/06/17 ENCINAS & ORNELAS ASA LAW GROUP 1093 18WC 04406 GOMEZ, FELIPE TURANO BAKING COMPANY 08/23/17 MARKER & CRANNELL 1094 18WC 04425 OLIVARES, ENRIQUE RANDSTAD 02/07/18 SKLARE LAW GROUP 1095 18WC 04475 HUMPHREY, JOSEPH CALHOUN TRUCK LINES * 02/08/18 COVEN LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1096 18WC 04578 CREAGH, JULIE MINOOKA COMM HS DIST #111 12/07/17 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 1097 18WC 04627 PORTER, CAPTORIA N TERRABOOST MEDIA LLC 02/06/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 1098 18WC 04661 DETTLOFF, CHRISTOPHER WSI MICHELIN TIRE 11/23/15 SCOTT B SHAPIRO 1099 18WC 04805 LOPEZ, DAGOBERTO UNITEK 01/27/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICES 1100 18WC 04843 SHELTON, BRUCE GENERAL MOTORS CORPORATIO 09/21/17 PORRO NIERMANN LAW GROUP 1101 18WC 04858 MANZO, JULIA ADVANCE AUTO PARTS 01/17/17 RATHBUN CSEVENYAK & KOZOL 1102 18WC 04882 MATHEWS, TOYA AMAZON 02/06/18 TIMOTHY HENDERSON 1103 18WC 04903 LEMUS, OLIDA PRIMARY STAFFING INC 01/30/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 1104 18WC 05023 CORTES, IRMA ASHLEY FURNITURE STORE #8 10/14/17 DWORKIN AND MACIARIELLO 1105 18WC 05130 ONGENAE, PHILLIP MEDTRONIC 01/06/17 SCHIFF GORMAN LLC POWER & CRONIN LTD 1106 18WC 05170 ROGERS, JASON VILLAGE OF PLAINFIELD POL 01/29/18 CULLEN HASKINS NICHOLSON SLAVIN & SLAVIN 1107 18WC 05214 TAYLOR, DARRYL MENARDS 03/13/17 BRIAN T MORROW, LAW OFFICE 1108 18WC 05444 STONE SANDERS, TAYANECKA WORLD CLASS DISTRIBUTION 02/13/18 ANKIN LAW OFFICE 1109 18WC 05457 WALLACE, DONALD F VOGELMANN & COMPANY 08/01/17 QUINTAIROS PRIETO WOOD & BOY

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 66 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1128 18WC 06690 SANTIAGO, HILDA TOTAL STAFFING SOLUTIONS 12/15/17 MC HARGUE & JONES KNELL & O'CONNOR 1129 18WC 07031 PADILLA, DAVID JOLIET PUBLIC LIBRARY 11/16/17 HORWITZ HORWITZ & ASSOC JOSEPH MARCINIAK 1130 18WC 07040 CERROS, MARIA YESENIA FIRST LODGING MANAGEMENT, 11/30/17 BAUM RUFFOLO & MARZAL LTD 1131 18WC 07063 COUNDIFF, MATTHEW B UNITED STATES COLD STORAG 07/05/17 BRILL & FISHEL BRADY CONNOLLY & MASUDA PC 1132 18WC 07085 KORABIK, KADEE AMERICAN AIRLINES 02/22/18 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 1133 18WC 07123 CANALES, KIMBERLY SODEXO, INC. 03/15/17 BRISKMAN BRISKMAN GREENBER INMAN & FITZGIBBONS 1134 18WC 07138 WALKER, FRANKLIN WORK NOW STAFFING 09/26/17 DWORKIN AND MACIARIELLO 1135 18WC 07167 HESTER, SABRINA WAL-MART 02/03/18 BLOCK, KLUKAS & MANZELLA P QUINTAIROS PRIETO WOOD & BOY 1136 18WC 07212 MCCOY, YURI PROLOGISTIC 01/12/18 PARENTE & NOREM PC 1137 18WC 07246 MCNEILL, GREGORY A WILL COUNTY SHERIFF DEPT 02/22/18 ANKIN LAW OFFICE HINSHAW & CULBERTSON 1138 18WC 07271 TREJO, NOEL THOMAS TOYOTA OF JOLIET 12/03/15 GARDNER LAW LLC 1139 18WC 07309 PLANINSEK, CHRISTINE DOLLAR TREE WAREHOUSE 02/16/18 BURNETT & CARON, LTD BRYCE DOWNEY & LENKOV LLC 1140 18WC 07334 MOEN, CORRIE FIRST STUDENT, INC 12/13/17 RIDGE & DOWNES WIEDNER & MCAULIFFE LTD 1141 18WC 07350 MILLER III, ROBERT DHL 02/16/18 DWORKIN AND MACIARIELLO 1142 18WC 07382 MASON, ASHLEE PRESENCE MCAULEY MANOR 11/25/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1143 18WC 07439 TAYLOR, ANGELA AMAZON 02/08/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1144 18WC 07557 RUSSELL-HETH, PATRICIA WAL-MART 11/04/17 MICHAEL HELLMAN QUINTAIROS PRIETO WOOD & BOY 1145 18WC 07619 SHAWMEKER, JAMI AMAZON 03/17/17 BURNETT & CARON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 67 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1146 18WC 07672 SPAGNOLA, ANTHONY RENT-A-CENTER 03/05/18 MARKER & CRANNELL KEEFE CAMPBELL & ASSOC LLC 1147 18WC 07702 BRANDON, MATTHEW UNITED STATES COLD STORAG 01/18/18 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 1148 18WC 07857 GRALEWSKI, DARYL E VILLAGE OF CRETE 04/08/17 BARRY A KETTER 1149 18WC 07925 JACKSON, MICHAEL B HR METRICS 02/24/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1150 18WC 07954 DEVRIES, KATRINA UNITED STATES COLD STORAG 01/12/18 DWORKIN AND MACIARIELLO 1151 18WC 08044 ELLISON, BRANDI AMAZON.COM, INC. 11/03/17 STEARNEY, RONALD A LAW OFF 1152 18WC 08091 ROSALES, TEODORO JOHNS MANVILLE 01/19/18 RATHBUN CSEVENYAK & KOZOL BRADY CONNOLLY & MASUDA PC 1153 18WC 08114 LUCKETT, PATRICK E AMAZON.COM.DEDC, LLC 02/08/18 ANKIN LAW OFFICE 1154 18WC 08214 AMBRIZ, ELVA BOLINGBROOK PARK DISTRICT 01/30/17 HETHERINGTON KARPEL BOBBER HENNESSY & ROACH PC 1155 18WC 08278 RANKINS, ARETINA BIMBA MANUFACTURING COMP 12/12/17 HEALY SCANLON LAW FIRM NYHAN BAMBRICK KINZIE & LOWR 18WC008279 -C 1156 18WC 08320 LOPEZ-CORTEZ, FIDELA SUMMIT STAFFING 02/26/18 CHEPOV & SCOTT LLC WIEDNER & MCAULIFFE LTD 1157 18WC 08417 DELGUIDICE, CATHERINE AMAZON 08/11/17 MILLON & PESKIN LTD 1158 18WC 08437 MONTES DE OCA, NICOLETTE PANDA EXPRESS, INC 03/03/18 CORBOY & DEMETRIO PC 1159 18WC 08471 GLADDEN, CARL AMAZON 02/08/18 ACEVES & PEREZ PC 1160 18WC 08507 MILLER, DAVID CITY OF JOLIET 01/12/18 MCNAMARA PHELAN MCSTEEN LL KNELL & O'CONNOR 1161 18WC 08526 ASHLINE, ANNETTE APERION CARE 08/17/17 BARMAN BOHLEN & SCOTT 1162 18WC 08586 ENGLISH, KIRK COMPASS GROUP USA INC 08/11/17 GOLDBERG WEISMAN & CAIRO L 1163 18WC 08604 GONZALEZ, MARIA MAT HOLDINGS, INC 08/11/17 EFTEKHARI LAW OFFICES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 68 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1164 18WC 08650 FLORES, AYME MARTINEZ TRIUNE LOGISTICS 02/09/18 COSTA IVONE LLC LITCHFIELD CAVO 1165 18WC 08667 FISHER, ANDRE F STAFFMARK 01/06/18 ANKIN LAW OFFICE KOPKA, PINKUS DOLIN, PC 1166 18WC 08707 PURIFOY, YLENA AMAZON FULFILLMENT CENTER 02/20/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 1167 18WC 08853 EDMONDSON, JOHNNIE BRIGHT SKY GROUP OF SERVI 07/27/17 DWORKIN AND MACIARIELLO 1168 18WC 08893 PEREZ, JUAN HOMER MANAGEMENT, LLC 09/28/17 SILVERMAN, CLIFFORD A GAIDO & FINTZEN 1169 18WC 09023 GIBBONS, MOJANEE AMAZON WAREHOUSE 01/22/18 BRISKMAN BRISKMAN GREENBER 1170 18WC 09033 FAVIA, ANN SILVER CROSS HOSPITAL 10/12/17 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 1171 18WC 09046 MCKENZIE, TERENCE FEDEX 01/17/18 DWORKIN AND MACIARIELLO 1172 18WC 09071 ROONEY, DENNIS PACTIV CORP 10/01/16 BLOCK, KLUKAS & MANZELLA P WIEDNER & MCAULIFFE LTD 1173 18WC 09116 BARRIOS, JOHANA KEHE FOOD DISTRIBUTORS 05/21/17 HORWITZ HORWITZ & ASSOC 18WC009822 -C 18WC015150 -C 1174 18WC 09239 JOHNSON, WILLIAM CRETE MONEE 03/06/18 DWORKIN AND MACIARIELLO 1175 18WC 09290 CARLSON, JEFFREY BOUCHARD MASONRY 08/01/16 GOLDBERG WEISMAN & CAIRO L ANCEL GLINK DIAMOND BUSH & E 1176 18WC 09380 TOMALIEH, LOUAAI WILL COUNTY SHERIFF'S OFF 03/24/18 COVEN LAW GROUP HINSHAW & CULBERTSON 1177 18WC 09411 FOWLKES, LONDELL MORAN TRANSPORTATION CORP 03/15/18 GRAUER & KRIEGEL LLC 1178 18WC 09474 AMBROSE, BRANDI AMAZON 02/11/18 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 1179 18WC 09536 JOHNSON, ANGELA CATHOLIC CHARITIES DIOCES 02/05/18 BLOCK, KLUKAS & MANZELLA P 1180 18WC 09577 TURNER, LAVERNE DISTRIBUTION PERSONNEL, I 06/26/16 GRAVLIN, MICHAEL J LLC HENNESSY & ROACH PC 1181 18WC 09615 GIVENS, DERRELL DOTS FOODS 01/23/18 SANDMAN LEVY & PETRICH HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 69 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1182 18WC 09674 EDNANSKY, MARIE CURIE MOTORS 01/03/18 VRDOLYAK LAW GROUP LLC 1183 18WC 09736 BENNETT, JOVAN AT&T 11/18/17 CULLEN HASKINS NICHOLSON HENNESSY & ROACH PC 1184 18WC 09750 FLORES, VLADIMIR AMERISOURCEBERGIN 06/02/15 PORRO NIERMANN LAW GROUP 1185 18WC 09824 O'SULLIVAN, MARY JO WEXFORD HEALTH SOURCES, I 09/15/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1186 18WC 09865 ERTMAN, PHILIP PRAIRIE CREEK GRAIN 01/11/18 ANGELINI & ORI LLC CAPUANI, FRANK S 1187 18WC 10009 HILLIARD, ROZETTE SCHNEIDER LOGISTICS 03/18/18 BRISKMAN BRISKMAN GREENBER POWER & CRONIN LTD 1188 18WC 10051 HARVEY, RENARDO JB HUNT 01/24/18 CHRISTIAN & MANNO 1189 18WC 10130 ROBERTS, ROBIN WILL COUNTY SHERIFF'S DEP 01/24/18 RATHBUN CSEVENYAK & KOZOL HINSHAW & CULBERTSON 1190 18WC 10173 GREENLY, ROBERT MARIANO'S 01/22/18 MARC J SHUMAN & ASSOCIATES 1191 18WC 10202 WIMMER, DAVID A JB HUNT TRANSPROTATION 03/10/18 GALLAGHER, DONALD V MICHAEL JASPER 1192 18WC 10273 HORN, CAPRICE JOLIET PUBLIC SCHOOLS 03/06/18 RIDGE & DOWNES 1193 18WC 10290 NUTILE, JOYCS ADVANTAGE SOLUTIONS 01/27/18 STROM, NEAL B KELLEY KRONENBERG 1194 18WC 10365 MEENTS, LUCAS JULIO'S AND SONS, INC DBA 07/27/16 BLOCK, KLUKAS & MANZELLA P HOLECEK & ASSOCIATES 1195 18WC 10384 BOSHARDY, ALLEN J JR. SAM'S 24 HOUR TOWING INC. 03/15/18 WEISS & WEISS LAW OFFICES 1196 18WC 10425 GRAY, AUTUMN RICH PRODUCTION CORP 03/26/18 DWORKIN AND MACIARIELLO 1197 18WC 10542 MARQUEZ-MORENOS, MARTIN M JOSCO CONSTRUCITON INC 03/14/18 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 1198 18WC 10571 WORLEY, VANESSA DRAUDEN POINT MIDDLE SCHO 10/17/16 PETER F FERRACUTI & ASSOCI INMAN & FITZGIBBONS 1199 18WC 10749 BRNCA, GREGORY ALBERTSONS/JEWEL 02/23/18 NILSON STOOKAL GLEASON CAP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 70 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1200 18WC 10757 BRAMMER, JENNIFER STATEVILLE PRISON @ 04/04/18 KREITER, BYCK & ASSOC LLP ASSISTANT ATTORNEY GENERAL 1201 18WC 10821 HALSTEAD, JOSEPH METRO STAFF INC 01/10/18 FRIEND LEVINSON & BERGAL 1202 18WC 10921 SCHOENECKER, EDWARD ILLINOIS TOOL WORKS, INC 04/04/18 CORBOY & DEMETRIO PC NYHAN BAMBRICK KINZIE & LOWR 1203 18WC 10962 WILLIAMS, CHAROLLETTE TRINITY SERVICES- HORSESH 01/14/18 STROM, NEAL B 1204 18WC 11001 VASQUEZ, ANTHONY WELSCH READY MIX, INC 07/11/17 GOLDBERG WEISMAN & CAIRO L GILDEA & COGHLAN 1205 18WC 11036 PONTARELLI, THOMAS ILLINOIS DEPT OF CORRECTI 10/26/17 O'CONNOR & NAKOS ASSISTANT ATTY GENL 1206 18WC 11098 ORTEGA, MIRNA TOYS R US 03/23/18 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 1207 18WC 11133 VAN NESS, TIMOTHY GROOT INDUSTRIES 09/11/17 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1208 18WC 11246 HARRIS, REGINALD PREMIER TRANSPORTATION 10/13/16 RATHBUN CSEVENYAK & KOZOL MARTIN, PAT0RICK W 1209 18WC 11351 ABEL, MATT WILLIAM BROTHERS CONSTRUC 03/19/18 LEFANTE LAW OFFICES KNELL LAW LLC 1210 18WC 11444 APONTE, CHRIS K BROTHERS FENCE 11/24/17 BRISKMAN BRISKMAN GREENBER 1211 18WC 11457 OLIVARES-ANDRADE, MARISOL ALG DIRECT, INC 02/24/18 LANNON LANNON & BARR LTD 1212 18WC 11492 CONYERS, DIONNE WEST LIBERTY FOODS 09/19/17 DWORKIN AND MACIARIELLO 1213 18WC 11591 SENFFNER, TRACY SILVER CROSS HOSPTIAL 11/02/17 FINE, MARK S LAW OFFICES 1214 18WC 11709 CASTRO, SUSANA BIMBA MANUFACTURING CO 07/31/17 ANKIN LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 1215 18WC 11745 KEIL-SENESE, JENNIFER ALDI 08/17/17 RAT0HBUN CSEVENYAK & KOZOL 1216 18WC 11778 JONES, DOUGLAS BEST BUY WAREHOUSE 04/03/18 DWORKIN AND MACIARIELLO 1217 18WC 11944 ANDERSON, ANTHONY DSC LOGISTICS 03/22/18 ROBERT WARSASKI MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 71 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1218 18WC 11999 AUSTIN, JOE W HARMON MOTOR SERVICES & 04/13/18 CELSO FUENTES JR 1219 18WC 12024 WARREN, MEGAN ELITE STAFFING, INC 04/16/18 DWORKIN AND MACIARIELLO 1220 18WC 12108 GAVIN, VICTORIA S&S ACTIVEWEAR 03/02/18 VRDOLYAK LAW GROUP LLC EDWARD J. KOZEL 1221 18WC 12131 KAPLAN, CHARISSA L SILVER CROSS HOSPITAL 02/20/18 THOMAS W DUDA MACIOROWSKI SACKMANN & ULRIC 18WC012132 -C 1222 18WC 12197 MAGANA, BRENDA AMAZON 08/10/17 BURNETT & CARON, LTD 1223 18WC 12255 OTT, DERRICK ELITE STAFFING 12/21/17 RAYMOND M SIMARD, PC 1224 18WC 12311 HARRIS, QUINCY AMAZON 04/04/18 GERALD CONNOR WIEDNER & MCAULIFFE LTD 1225 18WC 12430 MIRKOWICZ, ABIGNIEW MENDARDS 03/29/18 VASILAT0OS & COTTER LLC CHILTON YAMBERT PORTER LLP 1226 18WC 12485 FARKAS, AMBER MERIEUX NUTRISCIENCES 03/13/18 JASINSKI, GEORGE J 1227 18WC 12525 BOWERS, MARVELLE ALLEGIANCE STAFFING INC 03/01/18 GOLDSTEIN BENDER & ROMANOF 1228 18WC 12625 BAKER, IDA FRIENDS OVER50 SENIOR CAR 06/20/17 BLOCK, KLUKAS & MANZELLA P 1229 18WC 12734 SARPONG, AFIA WEST LIBERTY FOODS, LLC 04/19/18 RITTENBERG & BUFFEN 1230 18WC 12753 MOTISI-FLORES, SARA CATON CROSSING ANIMAL HOS 11/11/15 BLOCK, KLUKAS & MANZELLA P INMAN & FITZGIBBONS 1231 18WC 12800 ARTIS, ERIC METRO STAFFING 04/24/18 DWORKIN AND MACIARIELLO 1232 18WC 12817 BUCK, RYAN WERNER ENTERPRISES INC 01/01/18 MICHAEL C. GOODE 1233 18WC 12872 MILLAR, BRIAN HERITAGE FS, INC 07/05/17 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 1234 18WC 12989 GIACOMI, MICHAEL LODERS CROKLAAN 05/21/17 HORWITZ HORWITZ & ASSOC 1235 18WC 13085 MUNOZ, RUTH AMAZON 05/11/17 BART DURHAM WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 72 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1236 18WC 13110 SHAVERS, CHANELL INDIVIDUAL ADVOCACY GROUP 04/13/18 DWORKIN AND MACIARIELLO 1237 18WC 13167 COBB, CYNTHIA PRESENCE HEALTH CBO 10/22/17 ROGER D RUDICH LTD 1238 18WC 13187 CHAPARRO, NORMA (IRIS) PLAINFIELD SD 202 08/17/17 KARCHMAR & STONE 1239 18WC 13247 GUROSH, DOROTHY FANNIE MAY 03/28/18 RATHBUN CSEVENYAK & KOZOL LAWRENCE COZZI - LAW OFFICE 1240 18WC 13296 MUNOZ, RUTH AMAZON 02/06/18 BART DURHAM WIEDNER & MCAULIFFE LTD 1241 18WC 13368 HURD, PAULA R STAFFMARK 04/12/18 ANESI OZMON RODIN NOVAK KO KOPKA, PINKUS DOLIN, PC 1242 18WC 13402 RENNER, BRANDY WALMART SUPERCENTER 06/16/16 RATHBUN CSEVENYAK & KOZOL QUINTAIROS PRIETO WOOD & BOY 1243 18WC 13442 JACOBSON, ANDREW EAGLE EXPRESS LINES 01/13/18 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 1244 18WC 13460 ACEVEDO, EMILIO THE SCOULER CO 02/13/18 SEIDMAN MARGULIS & FAIRMAN 1245 18WC 13559 ANGEL, AGNES FRESENIUS MEDICAL CARE 02/28/18 LEITER LAW OFFICES HENNESSY & ROACH PC 1246 18WC 13623 MIRABILE, JONATHAN BIMBO BAKERY 03/26/18 GOLDBERG WEISMAN & CAIRO L 1247 18WC 13666 FERGUSON, CHERYL WILL COUNTY CIRCUIT COURT 03/28/18 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 1248 18WC 13783 LEROY, BRANDON COAL CITY FIRE PROTECTION 04/22/18 BLOCK, KLUKAS & MANZELLA P 1249 18WC 13824 PEREZ, FABIAN PROLOGISTIX 04/24/18 WOLFE LAW PC 1250 18WC 13845 MENEGON, SUE PRESENCE HEALTH 01/24/18 BLOCK, KLUKAS & MANZELLA P BRADY CONNOLLY & MASUDA PC 1251 18WC 13848 COOPER, WARREN FAMILY DOLLAR STORES OF I 03/25/18 BLOCK, KLUKAS & MANZELLA P BRYCE DOWNEY & LENKOV LLC 1252 18WC 13877 TAYLOR, KRISTY INTEGRITY 02/08/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1253 18WC 13895 DIAZ, KRISTAL PRECISION PIPELINE INC 04/09/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 73 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1254 18WC 13975 SMITH JR, ALBERT PRINCE PATIO 02/26/18 BLOCK, KLUKAS & MANZELLA P 1255 18WC 13992 HOPKINS, CHERYL FLEXIBLE STAFFING 08/23/17 DAVID W MARTAY 1256 18WC 14052 CAMPBELL, CALLI MCDONALD'S 03/31/18 BLOCK, KLUKAS & MANZELLA P 1257 18WC 14128 VANEGAS, FERNANDO(NEXT OF MIRMEG CARTAGE INC 05/04/18 DWORKIN AND MACIARIELLO 1258 18WC 14259 DUDLEY, DEONDRE TRINITY SERVICES 03/31/18 MC HARGUE & JONES GALLIANI DOELL & COZZI LTD 1259 18WC 14264 GUGLIELMO, CAROLINA JAMKIL ENTERPRISES INC 07/17/17 MICHAEL HELLMAN 1260 18WC 14269 VILLAGOMEZ, GUADALUPE PINE RIDGE LAWN & LANDSCA 09/29/17 CULLEN HASKINS NICHOLSON 1261 18WC 14323 WINTERS, LATASHA CROWN SERVICES 04/18/18 DWORKIN AND MACIARIELLO RODDY LAW LTD 1262 18WC 14419 BALSITIS, DENNIS VILLAGE OF ROMEOVILLE 09/13/17 GREGORIO & MARCO SLAVIN & SLAVIN 1263 18WC 14448 GALLINA, DONALD WINGS R US INC 03/11/18 SANDMAN LEVY & PETRICH 1264 18WC 14502 HERNANDEZ, ALBERT BOLINGBROOK PARK DISTRICT 04/26/18 CELSO FUENTES JR 1265 18WC 14585 MALCOLM, SHONAUGH AMAZON.COM DEDC LLC 05/04/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 18WC013494 -C 1266 18WC 14606 COKLEY, BILLY GREENCORE USA 05/07/18 SCOTT B SHAPIRO 1267 18WC 14646 WILLIAMS, MEGHEN BROOKS, TARULIS & TIBBLE, 04/16/18 PORRO NIERMANN LAW GROUP 1268 18WC 14691 ROBINSON, TIVIONA AMERISOURCE BERGEN 04/11/18 LEITER LAW OFFICES SPIEGEL & CAHILL, PC 1269 18WC 14716 JOHNSON, MARQUIS A WALMART INC 04/29/18 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 1270 18WC 14791 BELL-WHITLEY, JOVETTE AMAZON 09/25/17 DWORKIN AND MACIARIELLO 1271 18WC 14859 RAMIREZ, BEATRIZ ANGUIANO SUPERIOR HEALTH LINEN 03/20/18 DEPAOLO & ZADEIKIS LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 74 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1272 18WC 14917 RUIZ, GUADALUPE JOLIET STAFFING 04/17/18 JONATHAN SCHLACK HENNESSY & ROACH PC 1273 18WC 14991 ZAMORA, CARLOS PRATER INDUSTRIES 01/24/18 HORWITZ HORWITZ & ASSOC 1274 18WC 15002 LAND, SHANNON S AMAZON 04/11/18 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 1275 18WC 15099 ZUBRICK, RICHARD JAMES HERR & SONS REPAIRI 01/19/17 SCHREINER MALLOY & ETZLER GANAN & SHAPIRO 1276 18WC 15171 OWAYNAT, MOHAMMAD FIRE SCIENCE TECHNIQUES L 05/14/18 ANKIN LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 1277 18WC 15281 CAIN, JONATHAN TIMBERLINE GENERAL CONTRA 04/23/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 1278 18WC 15324 GIAMPA, SALLY KING AMAZON 11/02/17 HEALY SCANLON LAW FIRM 1279 18WC 15368 ORTIZ, YESENIA VALLEY VIEW SCHOOL DIST 3 03/22/18 KROL BONGIORNO & GIVEN LTD 1280 18WC 15437 RECENDES, GLADIZ ELITE STAFFING 05/11/18 DWORKIN AND MACIARIELLO 1281 18WC 15589 DIXON, SANDRA AMAZON 11/29/16 STEVEN J TENZER, LTD WIEDNER & MCAULIFFE LTD 1282 18WC 15606 ZAFFINO, BILL GEOMAT, INC 10/02/17 ADAM ZAYED INMAN & FITZGIBBONS 1283 18WC 15694 ROBINSON, BRITTON ADAMS & ASSOCIATES 02/21/18 DWORKIN AND MACIARIELLO 1284 18WC 15745 CAPPS, JAN AMERICAN PRESIDENT LIENS, 11/17/17 KOSIN LAW OFFICE LTD 1285 18WC 15805 PUGA, EDUARDO ROADRUNNER TRANSPORTATION 02/02/18 CULLEN HASKINS NICHOLSON 1286 18WC 15868 WILKINSON, THOMAS J GEOCON PROFESSIONAL SRVCS 04/10/18 TUITE LAW RODDY LAW LTD 1287 18WC 15945 TAYLOR, DARNESHIA AMAZON.COM.DEDC LLC 04/28/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1288 18WC 15967 COOL, RANDELL SCHNEIDER LOGISTICS 03/28/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 1289 18WC 16002 WEIDEMANN, THOMAS AURELIO'S PIZZA OF LOCKPO 05/09/18 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 75 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1290 18WC 16089 WINEINGER, BRADLEY STATE OF ILL DOC STATEVIL @ 04/29/18 BLOCK, KLUKAS & MANZELLA P ASSISTANT ATTY GENL 1291 18WC 16174 AMBROSIO, FELIPE WAREHOUSE SVCS, INC 09/28/16 SAUNDERS CONDON & KENNY 1292 18WC 16256 ATEN, LESTER JOLIET JUNIOR COLLEGE 02/07/18 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 1293 18WC 16346 CUSACK, BRANDON M VILLAGE OF BOLINGBROOK 02/22/18 MORICI FIGLIOLI & ASSOC 1294 18WC 16404 GARDNER, TYRON AMAZON 04/10/18 DWORKIN AND MACIARIELLO 1295 18WC 16451 BELLINO, JOSEPH A BUTLER CORING 07/10/17 NILSON STOOKAL GLEASON CAP GANAN & SHAPIRO 1296 18WC 16494 TRIMMER, GARY ABETTER POUR LLC 05/08/18 ROBERT WARSASKI JOSEPH MARCINIAK 1297 18WC 16544 KELLER, CHERIE A AMAZON.COM.DEDC LLC 02/28/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1298 18WC 16576 KENTON, ROGER AQUA AMERICA INC 10/30/17 BARMAN BOHLEN & SCOTT SUGAR FELSENTHAL GRAIS HELSI 1299 18WC 16651 BARAJAS, GILBERT CYBERDYNE MASONRY CORP 05/29/18 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 18WC016652 -C 1300 18WC 16824 ALLEN, STEVEN NFI INDUSTRIES 05/23/18 VASILATOS & COTTER LLC 1301 18WC 16852 THOMSEN, ERIC VILLAGE OF BOLINGBROOK FI 01/15/18 BLOCK, KLUKAS & MANZELLA P POWER & CRONIN LTD 18WC016850 -C 18WC016851 -C 1302 18WC 16919 RICHARDS-HUNT, CYNTHIA AMAZON 04/26/18 COSTA IVONE LLC 1303 18WC 16955 GLANVILLE, NICHOLAS HOME DEPOT 05/22/18 WOODRUFF & JOHNSON ADELSON TESTAN BRUNDO 1304 18WC 17046 CRAWFORD, MATTHEW ROCK INDUSTRIAL SERVICES 02/08/18 DWORKIN AND MACIARIELLO 1305 18WC 17069 GASIENICA, KATARZYNA AMAZON 04/10/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 18WC014134 -C 1306 18WC 17119 JABUREK, DEREK J STATE OF IL (STATEVILLE) 05/26/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 76 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1307 18WC 17215 WASHINGTON, DEANDRE MONDI PACKAGING 05/31/18 KREITER, BYCK & ASSOC LLP GAROFALO SCHREIBER STORM 1308 18WC 17350 REYES, ROBERTO ARGONNE NATIONAL LABORATO 09/21/16 BLOCK, KLUKAS & MANZELLA P KEEFE CAMPBELL BIERY & ASSOC 1309 18WC 17391 SAENZ, IRMA SALEM VILLAGE NURSING & R 02/27/18 JONATHAN SCHLACK POWER & CRONIN LTD 1310 18WC 17404 BURNS, STEPHANIE AMAZON 01/08/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 1311 18WC 17415 WARD, RASHAUN AMAZON 05/27/18 GERALD CONNOR WIEDNER & MCAULIFFE LTD 1312 18WC 17433 GRADY, ANTHONY METRO STAFF INC 03/14/18 DWORKIN AND MACIARIELLO FRANCIS J DISCIPIO LAW OFFIC 1313 18WC 17458 ALEXANDER, REGINALD THE RESERVES NETWORK 05/02/18 JAMES ELLIS GUMBINER & ASS WIEDNER & MCAULIFFE LTD 1314 18WC 17484 SCHWANTES, MARK RJ PRICE AND ASSOCIATES 08/04/16 E JAMES RAYMOND HEYL ROYSTER VOELKER & ALLEN 1315 18WC 17545 BEADLESTON, MAUREEN PLAINFIELD CONSOLIDATED S 03/02/17 BLOCK, KLUKAS & MANZELLA P 1316 18WC 17612 GOURLEY, CRYSTAL FEDERAL SIGNAL CORP. 05/23/18 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 1317 18WC 17723 HALL, STEPHEN DR PEPPER SNAPPLE GROUP 12/28/17 RATHBUN CSEVENYAK & KOZOL GAROFALO SCHREIBER STORM 1318 18WC 17725 BISHOP, MARK RUAN TRANSPORT CORP 03/16/17 BLOCK, KLUKAS & MANZELLA P 1319 18WC 17790 TRIPLETT, NALENA ELITE STAFFING INC 05/15/18 BRISKMAN BRISKMAN GREENBER 1320 18WC 17800 REYES, WILFREDO ECOWIZE NORTH AMERICA 06/04/18 ENCINAS & ORNELAS 1321 18WC 17827 THOMPSON, VIVIAN AMAZON 06/04/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1322 18WC 17844 CORREA, JAIME UPLAND CONCRETE INC 10/02/17 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 1323 18WC 17916 PODGORNY, SHERI MEIJER INC 02/15/17 RICHARD O. GREENFIELD KOPKA, PINKUS DOLIN, PC 1324 18WC 17953 CROWDER, MICHAEL DSC LOGISTICS 04/18/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 77 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1325 18WC 18017 DOWNEN, ALLEN R VILLAGE OF ROMEOVILLE 05/30/18 STROM & ASSOC SLAVIN & SLAVIN 1326 18WC 18080 BARNES, LAURA M SILVER CROSS HOSPITAL 01/25/16 DAVID W MARTAY 1327 18WC 18095 DE OCA, ELIZABETH MONTES JULIAN ELECTRIC 04/20/18 DWORKIN AND MACIARIELLO 1328 18WC 18105 DEVINE, BRIAN CCI SYSTEMS 07/31/17 DWORKIN AND MACIARIELLO 1329 18WC 18284 SEALS, MARVIN F WEST LIBERTY FOODS 06/07/18 MARKER & CRANNELL 1330 18WC 18387 JOHNSON-BAILEY, FLORENCE WILL COUNTY SHERIFF'S DEP 04/23/18 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 1331 18WC 18492 POPOCA, DANIEL GREENCORE 05/24/18 TIMOTHY HENDERSON HOLECEK & ASSOCIATES 1332 18WC 18608 HALL, VICTORIA STAFFING NETWORK HOLDINGS 06/06/18 DWORKIN AND MACIARIELLO SLAVIN & SLAVIN 1333 18WC 18645 BURL, RAYSHONNA J AMAZON.COM DEDC, LLC 06/10/18 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 1334 18WC 18760 ORSINI, BRIAN MARIANO'S 04/26/17 HORWITZ HORWITZ & ASSOC 1335 18WC 18772 PENRO-HENDERSON, PATRICE CANTEEN VENDING SERVICES 05/09/18 STROM & ASSOC GANAN & SHAPIRO 1336 18WC 18944 MOORE, CHARLOTTE AMAZON 05/21/18 COSTA IVONE LLC WIEDNER & MCAULIFFE LTD 1337 18WC 18991 GRIFFITH, KATHY AMAZON.COM DEDC LLC 03/01/18 ANKIN LAW OFFICE 1338 18WC 19010 WILLIAMS, ANTHONY NICOR GAS 05/20/18 PETER C KOPOULOS MACIOROWSKI SACKMANN & ULRIC 1339 18WC 19049 ALGOZINE, EDWARD III R&R SEWER WATER EXAVATION 06/14/18 TRAPP & GELLER BRADY CONNOLLY & MASUDA PC 1340 18WC 19099 KAMRY, AMINA EL WEATHER TECH 12/12/17 SALVATO O'TOOLE FROYLAN BRADY CONNOLLY & MASUDA PC 1341 18WC 19129 CAMPBELL, NATHANIEL G CARANE COMPOSITES 06/18/18 JOHN C SERKLAND 1342 18WC 19162 ABIAGOM, DOMINIC O AMAZON CORP 05/02/18 HERBERT ABRAMS WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 78 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1343 18WC 19181 MARTINEZ, ALFONSO NORTHWEST FENCE 06/04/18 BLOCK, KLUKAS & MANZELLA P 1344 18WC 19210 FREVERT, RICHARD AMAZON 04/14/18 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 1345 18WC 19292 MARTIN, IRENE ESHUN ALPHABRODER 05/09/18 WOODRUFF JOHNSON HOLECEK & ASSOCIATES 1346 18WC 19303 BURNETT, SUZETTE AMAZON 05/26/18 DWORKIN AND MACIARIELLO 1347 18WC 19351 MARTINEZ, MARIO J.T. THORPE & SON, INC 06/13/18 SALVATO O'TOOLE FROYLAN ROSARIO CIBELLA 1348 18WC 19394 HARRISON, JUSTIN JB HUNT TRANSPORT 05/09/18 BLOCK, KLUKAS & MANZELLA P 1349 18WC 19397 TAYLOR, KRISTY INTEGRITY STAFFING AMAZON 02/09/18 BLOCK, KLUKAS & MANZELLA P SLAVIN & SLAVIN 1350 18WC 19400 STYX, PATRICK UPS 01/29/18 BLOCK, KLUKAS & MANZELLA P NYHAN BAMBRICK KINZIE & LOWR 1351 18WC 19429 HILL, RICHARD MCMAHON TRANSPORT GROUP L 02/07/18 ANKIN LAW OFFICE RODDY LAW LTD 1352 18WC 19474 NEIDERMYER, BRANDON HOME DEPOT RDC 5851 03/06/18 HORWITZ HORWITZ & ASSOC ADELSON TESTAN BRUNDO 1353 18WC 19508 JACKSON JR, RAYMOND JOLIET TREATMENT CENTER @ 02/15/18 COHN LAMBERT RYAN & SCHNEI ASSISTANT ATTORNEY GENERAL 1354 18WC 19520 BROWN, BOBBY KELLOGG'S 06/27/18 1355 18WC 19528 DIAZ, ROBERTA CRATE SERVICES INC 05/04/18 KATZ FRIEDMAN EAGLE ET AL 1356 18WC 19540 ANDRADE, SALVADOR WEST LIBERTYVILLE FOOD 04/02/18 JONATHAN SCHLACK 1357 18WC 19595 VELNA, JANET JEWEL OSCO 12/13/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 1358 18WC 19669 KULKA, BRIAN BLUE FROST HEATING & COOL 12/14/17 RATHBUN CSEVENYAK & KOZOL BRYCE DOWNEY & LENKOV LLC 1359 18WC 19710 OCAMPO, MINERVA MACY'S 02/20/18 EPSTEIN, JACK R LAW OFFICE GAIDO & FINTZEN 1360 18WC 19833 FINNEGAN, THOMAS USF HOLLAND 06/20/18 PARENTE & NOREM PC

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 85 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1469 18WC 25577 BONNES, MELISSA TISCHLER'S MARKET 06/18/18 BAUM RUFFOLO & MARZAL LTD GILDEA, COGHLAN & REGAN LTD. 1470 18WC 25605 BRASKI, BRENT JOLIET JUNIOR COLLEGE 08/07/18 KROL BONGIORNO & GIVEN LTD 1471 18WC 25657 SCOTT, CHARLES SOUTH HOLLAND METAL FINIS 08/20/18 DWORKIN AND MACIARIELLO 1472 18WC 25695 PUHRMANN, DAWN HOMEWOOD SCHOOL DIST 153 04/16/18 BLOCK, KLUKAS & MANZELLA P 1473 18WC 25717 SHERWIN, STEPHEN MC MAHON TRANSPORT GROUP, 11/07/16 KRISIK, DENNIS J LTD 1474 18WC 25758 CHAVEZ, NICOLAS AMSYSCO, INC 04/27/18 JONATHAN SCHLACK 1475 18WC 25812 LANE, TYLER BOB'S DISCOUNT FURNITURE 07/25/18 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 1476 18WC 25889 SPANGLER, PAMELA MEIJER, INC 07/18/18 KARCHMAR & STONE 1477 18WC 25914 COLE, FELICIA WEST LIBERTY FOODS 08/17/18 DAVID W MARTAY 1478 18WC 25970 REYES, AUGUSTIN HOME LANDSCAPE MATERIALS, 07/05/18 RICHARD O. GREENFIELD 1479 18WC 25984 LARA, VERONICA DSC LOGISTICS, INC. 04/06/18 FRANCIS J DISCIPIO LAW OFF MC ANDREWS & NORGLE LLC 1480 18WC 26049 LOWERY, VALERIE AMAZON 07/31/18 TIMOTHY HENDERSON WIEDNER & MCAULIFFE LTD 1481 18WC 26085 PECKA, GEORGE USF HOLLAND 08/06/18 SAUNDERS CONDON & KENNY 1482 18WC 26106 BARRILE, SCOTT HIGH VOLTAGE MAINTENANCE/ 10/28/17 DUDLEY & LAKE LLC BRADY CONNOLLY & MASUDA PC 1483 18WC 26218 MOELLER, ART FOREST PRESERVE DISTRICT 08/21/18 HEALY SCANLON LAW FIRM HENNESSY & ROACH PC 1484 18WC 26284 SEMA, JUAN PABLO PEREZ CRISPY WAFFLE * 05/23/18 MC HARGUE & JONES 1485 18WC 26338 ORTEGA, TERESA S & S ACTIVEWEAR LLC * 03/09/18 JONATHAN SCHLACK 1486 18WC 26372 PALENCIA, CRYSTAL NIKO'S BREAKFAST CLUB * 07/13/18 RATHBUN CSEVENYAK & KOZOL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 86 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1487 18WC 26426 LEONARD, MICHAEL NFI INTERACTIVE LOGISTICS * 08/24/18 ANKIN LAW OFFICE QUINN JOHNSTON HENDERSON ETA 1488 18WC 26468 SCONYERS, JERMAINE STANT CORPORATION * 03/01/17 WOODRUFF JOHNSON 1489 18WC 26496 BROWN, ELLA AMAZON * 08/03/18 RATHBUN CSEVENYAK & KOZOL WIEDNER & MCAULIFFE LTD 1490 18WC 26591 HOWARD, ROY JOLIET STAFFING, LLC * 07/30/18 HORWITZ HORWITZ & ASSOC 1491 18WC 26604 BEST, JUDITH MEADOWBROOK MANOR * 06/18/18 STEVEN J MALMAN & ASSOCIAT 1492 18WC 26647 GRIFFITH, KATHY AMAZON.COM DEDC LLC * 05/01/18 ANKIN LAW OFFICE 1493 18WC 26653 OCAMPO, MARIA ROSARIO PERSONALIZTIONMALL.COM LL * 05/02/18 STEVEN B SALK & ASSOC LTD KOPKA, PINKUS DOLIN, PC 1494 18WC 26682 PODLASEK, MARY BETH DAHL LANDSCAPE * 07/21/18 CAPRON & AVGERINOS PC 1495 18WC 26701 SELLERS, GREGORY RJW TRANSPORTATION * 09/05/18 DWORKIN AND MACIARIELLO 1496 18WC 26770 AGUIRRE, JAZMIN A/K/A RONS STAFFING SERVICES * 08/02/18 GOLDSTEIN BENDER & ROMANOF 1497 18WC 26848 MULKA, CHRIS UPS # 08/28/18 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 1498 18WC 26878 VANHOOK, ALLESAUNDRA AMAZON * 06/25/18 STROM & ASSOC 1499 18WC 26953 MILLER, WALTER W WEST LIBERTY FOODS * 08/25/18 VITELL & SPITZ LTD HEYL ROYSTER VOELKER & ALLEN 1500 18WC 26972 BELTER, SHAWN G NEW ALBERTSON'S INC * 08/23/18 ANKIN LAW OFFICE 1501 18WC 27001 BARRERA, ERIC ARYZTA * 08/25/18 COSTA IVONE LLC HENNESSY & ROACH PC 1502 18WC 27147 MARTIN, DEWANDA IL ACTION FOR CHILDERN * 09/06/18 VASILATOS & COTTER LLC 1503 18WC 27186 MINOR, DIONARDO W WORLD CLASS DISTRIBUTION * 08/14/18 ANKIN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 1504 18WC 27233 ERVIN, CHARLES WEST LIBERTY FOODS, LLC * 09/10/18 STEVEN B SALK & ASSOC LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 87 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1505 18WC 27312 LOPEZ, HERMINDA ILLINOIS INDUSTRIAL TOOL, * 08/16/18 LUSAK AND COBB 1506 18WC 27339 MISHKA, RICHARD M WILLIE BROTHERS CO * 08/16/18 RUBIN LAW GROUP WIEDNER & MCAULIFFE LTD 1507 18WC 27365 GREER, MILTON JR. POPEYES * 08/17/18 DAVID W MARTAY 1508 18WC 27406 STEWART, ANTIONE TH RYAN * 09/10/18 DWORKIN AND MACIARIELLO 1509 18WC 27526 PHILLIPS, MICHAEL RICH PRODUCTS * 08/31/18 THOMAS LAW HOLECEK & ASSOCIATES 1510 18WC 27571 NELSON, DUSTIN THORNE ELECTRIC CO, INC * 08/14/18 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 1511 18WC 27604 CZERWINSKI, MELANIE PORTILLO'S HOT DOGS * 06/14/18 WOODRUFF JOHNSON 1512 18WC 27622 TURNER, JORI K ILLINICARE * 03/07/18 TOPPER & WEISS LTD 1513 18WC 27686 LENARCZAK, AMANDA SOAP OPERA LANDROMAT * 09/07/18 STEVEN J TENZER, LTD 18WC006827 -C 1514 18WC 27720 ZIMMERMAN, KURT J YRC FREIGHT * 08/19/18 RIDGE & DOWNES HENNESSY & ROACH PC 1515 18WC 27775 BISHOP, MARY CARSON PIRIE SCOTT * 08/17/18 CULLEN HASKINS NICHOLSON 1516 18WC 27803 ANTHONY, PAUL STAFFMARK * 09/05/18 TRAPP & GELLER 1517 18WC 27883 SORIA, ESMERALDA HOME DEPOT * 02/17/18 CAPRON & AVGERINOS PC 1518 18WC 28180 CAZARES-MAGANA, MARGARITA XTREME CLEANERS INC * 08/23/18 KATZ FRIEDMAN EAGLE ET AL 1519 18WC 28243 WAFFORD, TINA CHILDREN & FAMILY SERVICE * 03/15/17 HERRERA LAW CENTER 1520 18WC 28331 GLON, TRACI ASG STAFFING * 10/30/17 WOODRUFF JOHNSON FRANCIS J DISCIPIO LAW OFFIC 1521 18WC 28390 CARR, LARRY HOME DEPOT * 09/14/18 DWORKIN AND MACIARIELLO ADELSON TESTAN BRUNDO 1522 18WC 28405 THIGPEN, RICHARD AEROTEK * 08/30/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 88 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1523 18WC 28433 HERNANDEZ, PABLO STRATEX DEVELOPMENT * 08/13/18 COSTA IVONE LLC 1524 18WC 28468 KNOPPERS, BASTIAN FIDELITY NATIONAL * 09/15/15 GOLDBERG SEGALLA LLC 1525 18WC 28535 SPENCER, CHRISTOPHER M VILLAGE OF MANHATTAN * 08/21/18 DAVID W MARTAY POWER & CRONIN LTD 1526 18WC 28544 LOZANO, RANDY ERRIS MASONRY * 01/18/18 BLOCK, KLUKAS & MANZELLA P 1527 18WC 28587 GILES, RANDY WILMAC ENTERPRISES LLC * 02/02/17 DAVID M DUREE 1528 18WC 28615 HERNANDEZ, GERARDO CONNEMARA CONVERTING * 01/16/18 BART DURHAM HOLECEK & ASSOCIATES 1529 18WC 28627 MORRIS, DEBRA PREMIER EMPLOYEE SOLUTION * 08/22/18 MCNAMARA PHELAN MCSTEEN LL 1530 18WC 28665 FRICANO, CHRISTOPHER SR FRASER CONSTRUCTION * 07/30/18 MARK N LEE 1531 18WC 28715 HAMILTON, CHAZ PREMIER STAFF SERVICE * 09/19/18 MC HARGUE & JONES ROBERT A. WILSON 1532 18WC 28861 ROBERTS, BROCK D CONSTRUCTION * 07/17/18 RUBENS KRESS MULHOLLAND 1533 18WC 28910 PARKER, DONNA CROWN PAINTING * 01/24/18 MARK LOFTUS 1534 18WC 29011 TRIBBLE, DESMOND GEODIS * 08/07/18 STEVEN J MALMAN & ASSOCIAT LAWRENCE COZZI - LAW OFFICE 1535 18WC 29033 JOHNSON, KEONA S ADVENTIST BOLINGBROOK HOS * 07/11/18 PETER D CORTI LAW GROUP NYHAN BAMBRICK KINZIE & LOWR 1536 18WC 29067 GROSS, ZIPPORAH GRAINGER WAREHOUSE * 06/11/18 COVEN LAW GROUP ASA LAW GROUP 1537 18WC 29090 WYNGOWSKI, STANLEY AMAZON FULFILLMENT CENTER * 06/21/18 DWORKIN AND MACIARIELLO 1538 18WC 29094 PAXTON, EVITA AMAZON * 09/11/18 DWORKIN AND MACIARIELLO 1539 18WC 29184 WHITECOTTON, STEVE HERLIHY MID-CONTINENT CO * 05/01/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 1540 18WC 29190 KISSEE, KENISE CRETE-MONEE SCHOOL * 09/19/18 TAXMAN POLLOCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 89 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1541 18WC 29227 KENNEDY, MICHAEL IDOT - (MOVABLE BRIDGES D * 09/25/18 STROM & ASSOC ASSISTANT ATTORNEY GENERAL 1542 18WC 29257 BLACKMON, MELVIN C INNOVATED STAFFING LLC * 09/20/18 ANKIN LAW OFFICE HOLECEK & ASSOCIATES 1543 18WC 29274 HERRERA, CHEYENNE RANDASTAD/DHL SUPPLY CHAI * 09/11/18 LEONARD LAW GROUP LLC 1544 18WC 29319 GREGORASH, ROBERT WOODLAND GROUP/CEDAR CROS * 06/22/18 BLOCK, KLUKAS & MANZELLA P ROSARIO CIBELLA 1545 18WC 29352 SIMPSON, DEREK STATEVILLE ILLINOIS DEPT @ * 07/18/18 MARKER & CRANNELL 1546 18WC 29374 BRUKNIS, PATRICK BLACK HORSE CARRIERS * 09/18/18 SOSTRIN AND SOSTRIN PC WIEDNER & MCAULIFFE LTD 1547 18WC 29439 BURKETT JR, CEDRICK B TRUE BLUE, INC D/B/A * 09/17/17 ROUSKEY & BALDACCI 1548 18WC 29448 KURTZ, THOMAS TRI-STAR CABINET & TOP CO * 09/25/15 RATHBUN CSEVENYAK & KOZOL 1549 18WC 29488 MORALES, REBECA MAGID GLOVE & SAFETY * 07/10/18 ANSELMO DURAN 1550 18WC 29580 ZAVALA, HECTOR WASTE MANAGEMENT * 09/19/18 PARENTE & NOREM PC 1551 18WC 29608 CASILLAS, WENDY MCDONALDS * 09/22/18 ANKIN LAW OFFICE 1552 18WC 29689 LOPEZ, NATALIE AMAZON * 01/15/18 DWORKIN AND MACIARIELLO 1553 18WC 29702 GOMEZ, LUIS DESLAURIERS * 10/24/17 EPSTEIN, JACK R LAW OFFICE 1554 18WC 29740 IVLOW, TRISHA DISTRICT 30 TROY SCHOOLS * 09/17/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 1555 18WC 29800 HARGIS, KEVIN CITY OF JOLIET * 04/25/16 HETHERINGTON KARPEL BOBBER 1556 18WC 29828 CICERO, THOMAS HD TRUCK EQUIPMENT * 09/07/18 KROL BONGIORNO & GIVEN LTD 1557 18WC 29856 KRUPINSKI, ROBERT AT&T * 08/24/18 DWORKIN AND MACIARIELLO 1558 18WC 29903 GOLDMAN, MAMIE ABACUS STAFFING SERVICES * 08/29/18 STEVEN J MALMAN & ASSOCIAT WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 90 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1559 18WC 29954 MATA, MIGUEL SONY CORP OF AMERICA * 08/21/18 MCNAMARA PHELAN MCSTEEN LL 1560 18WC 30004 STEGENGA, MICHAEL C VILLAGE OF UNIVERSITY PAR * 03/14/18 THOMAS W DUDA 1561 18WC 30094 SCOTT, JOSEPH FUNCHES TRUCKING * 09/21/18 CHARLES LEVY & ASSOC LTD 1562 18WC 30116 MARR, DONALD CYBOR FIRE PROTECTION CO * 05/22/17 DONALD FOHRMAN & ASSOC BRYCE DOWNEY & LENKOV LLC 1563 18WC 30136 LOERA, JOSE CLEAR STAFF INC * 10/02/18 LEONARD LAW GROUP LLC 1564 18WC 30149 DOBBINS, FRENCHIE DAVIS STAFFING, INC * 04/18/18 MC HARGUE & JONES KEEFE CAMPBELL BIERY & ASSOC 1565 18WC 30187 JOHNSON, APRIL METRO STAFF * 09/27/18 DWORKIN AND MACIARIELLO 1566 18WC 30209 LANG, GABRIELLE AMAZON * 06/08/18 DANIEL PERIASWAMY 1567 18WC 30270 KRUPINSKI, ROBERT AT&T * 08/24/18 THE ROMAKER LAW FIRM 1568 18WC 30320 ELLIS, JEREMIAH B DHL SUPPLY CHAIN * 10/03/18 ANKIN LAW OFFICE 1569 18WC 30366 WILSON, FRANCISCA SCHNEIDER LOGISTICS * 05/25/18 DWORKIN AND MACIARIELLO 1570 18WC 30382 WILLIAMS, VIVIAN L AMAZON * 05/07/18 GALLAGHER, DONALD V 1571 18WC 30445 GADSON, D'AVONTA ARBY'S RESTAURANT LLC * 09/01/18 ANKIN LAW OFFICE GRANT & FANNING 1572 18WC 30488 MUNOZ, JUAN SURGE STAFFING * 10/02/18 KATZ FRIEDMAN EAGLE ET AL 1573 18WC 30524 MOFFETT, CASSANDRA VALLEY VIEW CMNTY UNIT SC * 07/10/18 JAMES J. GAY KNELL O'CONNOR DANIELWICZ 1574 18WC 30542 WIEKERT, SHANE MEADE ELECTRIC CO * 08/20/18 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 1575 18WC 30594 LILLEY, VALERIE STATE OF ILLINOIS DOC, * 09/11/18 BLOCK, KLUKAS & MANZELLA P 1576 18WC 30677 GINN STEPHANIE FLEXIBLE STAFFING * 08/17/18 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 91 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1577 18WC 30737 LEWIS-PHILLIPS, SPARKLE AUTUMN LEAVES * 03/19/18 FRANKLIN, VALARIE P & ASSO 1578 18WC 30791 WHITE, JASMINE AMAZON LLC * 03/18/17 STEVEN J MALMAN & ASSOCIAT 1579 18WC 30844 KRUEGER, THOMAS DARVIN FURNITURE & APPLIA * 04/03/18 MC HARGUE & JONES 1580 18WC 30903 PATINO MEDINA, JUAN F WESTERN DUPAGE LANDSCAPIN * 07/24/18 THE ROMAKER LAW FIRM 1581 18WC 30932 ANDREWS II, FREDERICK AMAZON * 07/19/18 KROL BONGIORNO & GIVEN LTD 1582 18WC 31013 RASHEED, ZAHRA FURGAAN ACADEMY * 12/20/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 1583 18WC 31030 MCCARTHY, TIMOTHY NCP CORP * 06/28/18 WOODRUFF JOHNSON 1584 18WC 31103 REGAN, ROBERT BUNGE LODERS CROKLAAN * 09/14/18 RATHBUN CSEVENYAK & KOZOL 1585 18WC 31178 OFOMA, KELLY ITW * 07/23/18 VASILATOS & COTTER LLC NYHAN BAMBRICK KINZIE & LOWR 1586 18WC 31258 SULLIVAN, SAMANTHA WILMINGTON POLICE DEPARTM * 08/04/16 MCNAMARA PHELAN MCSTEEN LL 1587 18WC 31430 GOODSON, BRIANCA LINEAGE LOGISTICS * 08/24/18 VASILATOS & COTTER LLC 1588 18WC 31449 RODRIGUEZ, BLANCA LA FLOR OF ILLINOIS * 07/10/18 RATHBUN CSEVENYAK & KOZOL 1589 18WC 31458 PANNARALLA, JACQUELINE MENARD'S * 06/03/18 BLOCK, KLUKAS & MANZELLA P 1590 18WC 31499 BENNETT, JUNETTE STATE OF IL * 08/09/18 HORWITZ HORWITZ & ASSOC 1591 18WC 31542 CAMARDO, PASQUALE OPTIMUM STAFFING, INC * 03/15/18 HOLMSTROMKENNEDY PC RUSIN & MACIOROWSKI LTD 1592 18WC 31579 SERRANO, ERIK SERRANO LANDSCAPING, INC * 10/16/18 TOPPER & WEISS LTD 1593 18WC 31655 WILLIAMS, TAMMY HR METRICS, INC/TRADER JO * 07/03/18 BLOCK, KLUKAS & MANZELLA P 1594 18WC 31663 PANNARALLA, GEOFF STATE OF ILLINOIS * 05/29/18 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 92 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1595 18WC 31697 TERRAZAS, ANTOLIN ML MATTHEWS DISTRIBUTIONS * 05/04/18 PAUL MARZANO BRYCE DOWNEY & LENKOV LLC 1596 18WC 31804 FISHER, MARSHA AUTUMN LEAVES OF OSWEGO * 10/03/18 MARKER & CRANNELL WOLF LAW LTD 1597 18WC 31852 MOTON, JOHNNY SCHNEIDER LOGISTICS, INC * 03/02/18 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 1598 18WC 31902 MCCLENDON, CAMERON 48FORTY SOLUTIONS * 10/10/18 VITELL & SPITZ LTD WIEDNER & MCAULIFFE LTD 1599 18WC 31992 GERLACH, BRIAN AT&T * 10/09/18 GOLDBERG WEISMAN & CAIRO L 1600 18WC 32038 PARRA-LOPEZ, ROBERTO KOVA, LLC * 09/27/18 KARCHMAR & STONE 1601 18WC 32253 BALES, NELLANN CHICAGO AEROSOL * 07/07/18 RATHBUN CSEVENYAK & KOZOL KEEFE CAMPBELL BIERY & ASSOC 1602 18WC 32300 BATCHELOR, CLIFF HAYES MECHANICAL * 06/14/18 O'CONNOR & NAKOS 1603 18WC 32337 DEMARIA, FRANK P NATIONAL FREIGHT, INC * 08/13/18 RUBIN LAW GROUP 1604 18WC 32457 GALVEZ, ANTONIO DIAGEO * 06/02/18 BART DURHAM 1605 18WC 32483 LEON, VICTOR ST DENNIS CHURCH * 01/24/18 HORWITZ HORWITZ & ASSOC STONE & JOHNSON CHARTERED 1606 18WC 32538 PERZ, BRIAN PETCO * 05/07/18 HANNIGAN & BOTHA, LTD 1607 18WC 32609 CLERK, NORVEEA GRAND PRARIE TRANSIT CO * 09/24/18 RIDGE & DOWNES 1608 18WC 32645 MARQUEZ, BEATRIS ULTA * 07/25/18 BLOCK, KLUKAS & MANZELLA P RUSIN & MACIOROWSKI LTD 1609 18WC 32695 EBERHART, ANTHONY CITY OF JOLIET * 01/23/17 MCNAMARA PHELAN MCSTEEN LL 1610 18WC 32734 RODRIGUEZ, ALEXANDER LOVITT BLIND & DRAPERY * 09/10/18 BLOCK, KLUKAS & MANZELLA P 1611 18WC 32781 ROCHA, ELVIRA DHL * 09/05/18 WOODRUFF JOHNSON 1612 18WC 32817 PARKS, RICHARD VULCAN MATERIALS CO * 06/17/16 NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 93 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1613 18WC 32833 HILL, CHERYL HOME DEPOT * 09/23/18 WOODRUFF JOHNSON ADELSON TESTAN BRUNDO 1614 18WC 32930 BARNES, LOUIS TA OPERATING LLC * 10/08/18 HETHERINGTON KARPEL BOBBER 1615 18WC 32952 LANDEROS, ELIAS NORTH COAST HOLDING * 06/23/17 SEIDMAN MARGULIS & FAIRMAN 1616 18WC 32968 CRUZ, FERNANDO J MEDRONIC PLC * 02/01/18 VRDOLYAK LAW GROUP LLC 1617 18WC 33000 VARSEK, JOYCE DELTA AIRLINES * 07/03/17 FRANCIS J DISCIPIO LAW OFF 1618 18WC 33035 GALL, JOHANNA AMAZON FULFILLMENT CENTER * 10/30/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 1619 18WC 33146 WALKER, MELVIN LAVELLE DHL SUPPLY CHAIN * 10/04/18 VRDOLYAK LAW GROUP LLC 1620 18WC 33165 BLACKMORE, DAVID CITY OF JOLIET POLICE DEP * 08/21/18 MCNAMARA PHELAN MCSTEEN LL KNELL O'CONNOR DANIELWICZ 1621 18WC 33217 WEST, ARRION FLEXIBLE STAFFING * 10/30/18 DWORKIN AND MACIARIELLO 1622 18WC 33281 ANANIA, ANTHONY THE HOME DEPOT USA, INC * 07/22/17 ADELSON TESTAN BRUNDO 1623 18WC 33391 WYDRA, JENNIFER L FANNIE MAY FINE CHOCOLATE * 12/11/17 VITELL & SPITZ LTD 1624 18WC 33428 SZABPSKI, CHRISTINE AMAZON * 07/22/18 GAINES & GAINES 1625 18WC 33568 KEENE, RICHARD DYNAMIC UTILITY SOLUTIONS * 07/19/18 SOSTRIN AND SOSTRIN PC 1626 18WC 33587 HAMILTON, CHAZ SCHNEIDER NATIONAL, INC * 09/19/18 MC HARGUE & JONES 1627 18WC 33592 BUGAREWICZ, TRENT J.B. HUNT * 09/28/17 MEYERS & FLOWERS 1628 18WC 33625 RIDDLEY, LATANYA AMAZON * 10/17/18 LEONARD LAW GROUP LLC 1629 18WC 33648 VELASQUEZ, JUANITA ELITE STAFFING * 08/19/17 EPSTEIN, JACK R LAW OFFICE 1630 18WC 33660 PETERSON, DONALD ALLIED BARTON SECURITY SE * 10/27/16 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 94 C A S E H E A R I N G S Y S T E M FLORES, BARBARA 020 ARBITRATION CALL FOR NEW LENOX 31001 ON 01/03/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1631 18WC 33663 WISNIEWSKI, PEGGY PRESENCE ST JOSEPH MEDICA * 09/10/18 BLOCK, KLUKAS & MANZELLA P 1632 18WC 33729 ALTAMIRANO, FRANCISCO READERLINK DISTRIBUTION S * 10/24/18 ANKIN LAW OFFICE 1633 18WC 33758 JEFFERSON, CHARMANE LATRE AMAZON.COM * 09/28/18 STONE & MAYA PC 1634 18WC 33807 BAILEY, EARNEST INDIVIDUAL ADVOCACY GROUP * 11/01/18 DONALD FOHRMAN & ASSOC 1635 18WC 33827 CORNEJO, MANUEL ALPHABORDER * 09/25/18 HERRERA LAW CENTER HOLECEK & ASSOCIATES 1636 18WC 33865 ZURALES, LISA SILVER CROSS HOSPITAL * 03/24/18 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 1637 18WC 33878 JOHNSON, TYLER CLEARSTAFF * 10/27/18 DWORKIN AND MACIARIELLO 1638 18WC 33939 CLEMONS, GIRARD AMAZON * 09/12/18 ROGER D RUDICH LTD RUBENS KRESS MULHOLLAND 1639 18WC 34015 STIRRATT, WILLIAM RECRUIT HOLDINGS CO LTD D * 02/05/18 SCHWEICKERT & GANASSIN 1640 18WC 34034 CHRISTY, SHAWN ARYZTA * 10/12/18 GIAMANCO & OOINK LAW OFFIC 1641 18WC 34038 STEBBINS, CHARLES SHOREWOOD CAR WASH * 11/18/16 BRADY, CONNOLLY & MASUDA, PC 1642 18WC 34057 TONDA, DELORES PRACHITO TRUCKING, ICN * 10/08/18 KATZ FRIEDMAN EAGLE ET AL 1643 18WC 34074 DREW, LISA AMAZON.COM.DEDC.LLC * 08/22/18 ANKIN LAW OFFICE 1644 18WC 34119 FERREIRA, ANA V JIMENEZ GREENCORE USA INC * 10/05/18 ANKIN LAW OFFICE 1645 18WC 34134 MOTLEY, YVONNE SUNNY HILL NURSING HOME O * 09/12/18 STEVEN J TENZER, LTD HINSHAW & CULBERTSON 1646 18WC 34214 SKAGGS, RANDALL G MFR MANUFACTURING * 09/20/18 BLOCK, KLUKAS & MANZELLA P 1647 18WC 34232 GENTRY, VERONICA IH SERVICES INC. * 10/31/18 COSTA IVONE LLC 1648 18WC 34319 ZAGIELSKI, CAROLYN COWORX * 10/22/18 ARGIONIS & ASSOCIATES LLC

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