illinois workers' compensation … · 20 10wc 33199 smith, aaron a aramark 02/17/10 frederick...

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 27098 THORPE, GAIL UNIVERSITY OF ILLINOIS 02/14/02 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 2 02WC 59575 SEHRER, RONALD DEAN STATE OF ILLINOIS @ 03/19/01 PETER FRANCIS GERACI HEYL ROYSTER VOELKER & ALLEN 02WC059576 -C 05WC020187 -C UNIVERSITY OF ILLINOIS 05WC020188 -C 05WC020189 -C UNIVERSITY OF ILLINOIS 05WC020190 -C ST OF IL-UNIV OF ILLINOIS 05WC020191 -C 06WC045730 -C UNIVERSITY OF ILLINOIS 08WC054485 -C 3 02WC 62379 MCCOY, JOHNNIE R R.R. DONNELLEY & SONS CO 08/15/02 THOMAS R LICHTEN CRAIG & CRAIG 03WC005323 -C RR DONNELLEY & SONS CO 4 04WC 08703 GUDEMAN, MARTHA CINGULAR WIRELESS 01/24/04 MARSZALEK AND MARSZALEK HENNESSY & ROACH 5 05WC 09569 HOPPE, MATTHEW J COX TRANSFER 12/22/04 DURA LAW WINTERS FEATHERSTUN ET AL 6 05WC 12252 19B PFORR, CHRISTOPHER R.R. DONNELLY & SONS 12/01/03 THOMAS R LICHTEN CRAIG & CRAIG 7 05WC 31080 GILONSKE, SHIRLEY M HCR MANORCARE 07/20/04 SPIROS & WALL HENNESSY & ROACH PC 8 08WC 03398 LINTON, BRAD JACOBS, MEYER, MAULDIN 10/27/07 MARSZALEK AND MARSZALEK BRADY, CONNOLLY & MASUDA, PC 9 08WC 13651 SUMMERS, JOSEPH E VISCOFAN 01/07/47 THOMAS R LICHTEN KNELL & KELLY 10 08WC 33033 19B GREGORY, LORIE ST OF IL - UNIVERSITY OF @ 06/20/07 WOODRUFF & JOHNSON LAW OFF BRUCE WARREN 11 08WC 52040 HARRIS, OTHA HAROLD HAWN LANDSCAPING 10/23/08 WARREN E DANZ, PC 12 09WC 02875 ASHBY, MICHAEL P CHAMPAIGN FIRE DEPT 11/21/08 THOMAS W DUDA CITY OF CHAMPAIGN 13WC020036 -C CITY OF CHAMPAIGN 13WC020037 -C 13WC020038 -C CITY OF CHAMPAIGN 13WC020074 -C

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 27098 THORPE, GAIL UNIVERSITY OF ILLINOIS 02/14/02 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 2 02WC 59575 SEHRER, RONALD DEAN STATE OF ILLINOIS @ 03/19/01 PETER FRANCIS GERACI HEYL ROYSTER VOELKER & ALLEN 02WC059576 -C 05WC020187 -C UNIVERSITY OF ILLINOIS 05WC020188 -C 05WC020189 -C UNIVERSITY OF ILLINOIS 05WC020190 -C ST OF IL-UNIV OF ILLINOIS 05WC020191 -C 06WC045730 -C UNIVERSITY OF ILLINOIS 08WC054485 -C 3 02WC 62379 MCCOY, JOHNNIE R R.R. DONNELLEY & SONS CO 08/15/02 THOMAS R LICHTEN CRAIG & CRAIG 03WC005323 -C RR DONNELLEY & SONS CO 4 04WC 08703 GUDEMAN, MARTHA CINGULAR WIRELESS 01/24/04 MARSZALEK AND MARSZALEK HENNESSY & ROACH 5 05WC 09569 HOPPE, MATTHEW J COX TRANSFER 12/22/04 DURA LAW WINTERS FEATHERSTUN ET AL 6 05WC 12252 19B PFORR, CHRISTOPHER R.R. DONNELLY & SONS 12/01/03 THOMAS R LICHTEN CRAIG & CRAIG 7 05WC 31080 GILONSKE, SHIRLEY M HCR MANORCARE 07/20/04 SPIROS & WALL HENNESSY & ROACH PC 8 08WC 03398 LINTON, BRAD JACOBS, MEYER, MAULDIN 10/27/07 MARSZALEK AND MARSZALEK BRADY, CONNOLLY & MASUDA, PC 9 08WC 13651 SUMMERS, JOSEPH E VISCOFAN 01/07/47 THOMAS R LICHTEN KNELL & KELLY 10 08WC 33033 19B GREGORY, LORIE ST OF IL - UNIVERSITY OF @ 06/20/07 WOODRUFF & JOHNSON LAW OFF BRUCE WARREN 11 08WC 52040 HARRIS, OTHA HAROLD HAWN LANDSCAPING 10/23/08 WARREN E DANZ, PC 12 09WC 02875 ASHBY, MICHAEL P CHAMPAIGN FIRE DEPT 11/21/08 THOMAS W DUDA CITY OF CHAMPAIGN 13WC020036 -C CITY OF CHAMPAIGN 13WC020037 -C 13WC020038 -C CITY OF CHAMPAIGN 13WC020074 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 09WC 23254 WECKER, FABIAN CARLE HOSPITAL 06/03/06 MINKOW DOMIN BRUCE WARREN 14 09WC 28756 WILLIAMS, DONNA CHARLESTON COMM UNIT 02/11/09 KATZ FRIEDMAN EAGLE ET AL COZZI & GOGGIN-WARD 15 09WC 40038 KISTLER, GALA PROVENA USMC 08/18/09 TUGGLE SCHIRO & LICHTENBER KEEFE CAMPBELL & ASSOC LLC 10WC029148 -C 16 09WC 44082 19B FERRIS, KRAG THE SCHWAN FOOD COMPANY 03/17/08 BRANKEY & SMITH PC HENNESSY & ROACH PC 17 09WC 45417 MAYO, CLYDE JR MARK HATHAWAY HAULING #W 03/12/09 SPIROS & WALL 18 10WC 01166 MORGAN, ANTHONY K AMEREN IP 02/20/08 FREDERICK & HAGLE CLAYBORNE SABO & WAGNER 10WC018021 -C 19 10WC 23004 TURNER, ANGELEE KRAFT 09/11/08 THOMAS R LICHTEN HEYL ROYSTER VOELKER & ALLEN 20 10WC 33199 SMITH, AARON A ARAMARK 02/17/10 FREDERICK & HAGLE INMAN & FITZGIBBONS 10WC034536 -C 10WC034537 -C 21 10WC 34405 KRUEGER, VICTOR RICKS TRACTOR SERVICES IN 08/10/10 SCHUM LAW OFFICE WINTERS FEATHERSTUN ET AL 22 11WC 23708 SIMMONDS, RICHARD VISCO FAN, USA 08/20/09 GARY JOE STOKES LAW OFFICE PAUL LARIMORE 11WC023781 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 23 11WC 26148 CASNER, MARTY R PENSKE TRUCK LEASING 02/05/11 KAPELLA & PARKER BRADY CONNOLLY & MASUDA PC 24 11WC 28294 JASPER, LORETTA EAGLE WING INDUSTRIES 12/04/10 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 11WC028295 -C 11WC044697 -C 12WC009892 -C 12WC011229 -C 12WC011719 -C 13WC017177 -C 25 11WC 35989 NORWICH, RENEE HUMAN RESOURCES CENTER @ W 08/29/11 ASHER & SMITH NYHAN BAMBRICK KINZIE & LOWR 26 11WC 36314 CARTER, JEFF M & O INSULATION CO 07/18/11 LAW OFFICE OF CHRIS DOSCOT GRANT & FANNING 27 11WC 46226 GALEY, ONA PROVENA UNITED SAMARITANS 07/05/10 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 28 11WC 46597 CARMER, MARY CARLE PHYSICIANS GROUP 12/16/09 STEPHEN P. KELLY BRUCE WARREN 11WC047123 -C 29 11WC 47761 BESSE, MICHELE COMMERCIAL NEWS 08/01/10 TUGGLE SCHIRO & LICHTENBER THOMAS & ASSOCIATES 30 12WC 06181 19B BENEKE, SCOTT DANVILLE DASHERS 11/03/11 TUGGLE SCHIRO & LICHTENBER QUINTAIROS PRIETO WOOD & BOY 31 12WC 09513 WESTERMAN, MICHAEL R PRAIRIE MATERIALS 08/26/11 WARREN E DANZ, PC GAROFALO SCHREIBER STORM 12WC009514 -C 32 12WC 13729 VICE, JANET R MCDONALDS RESTAURANTS 01/01/12 ASHER & SMITH HENNESSY & ROACH 33 12WC 14626 ROBINSON, ANDREW EASTON BELL SPORTS 03/19/12 MCCARTHY ROWDEN & BAKER COZZI & GOGGIN-WARD 34 12WC 17445 HAYS, MERLE E STATE OF ILLINOIS @ 02/01/11 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 35 12WC 20162 HAYS, MERLE E DEPARTMENT OF CORRECTIONS @ 02/20/11 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 36 12WC 21479 COATS, MARY A SARAH BUSH LINCOLN 04/12/12 SPIROS LAW PC MACIOROWSKI SACKMANN & ULRIC 12WC021480 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 37 12WC 23457 19B HOWIE, MICHAEL KICKAPOO FIRE 01/03/12 THOMAS R LICHTEN STEPHEN H LARSON LAW OFFICE 38 12WC 24530 PRIDEMORE, JO KELLY UNIVERSITY OF ILLINOIS 03/29/12 FREDERICK & HAGLE GANAN & SHAPIRO 13WC042148 -C 15WC015685 -C 39 12WC 26494 ALEXANDER, DAVID L WARD INSTALLATION CO 08/04/11 MCCARTHY ROWDEN & BAKER STEPHEN H LARSON LAW OFFICE 40 12WC 33316 PATE, TROY A PEPSICO 05/24/12 GARY JOE STOKES 41 12WC 35873 19B ROBY, ROCHELE SOLE CUP 09/24/12 SHAY & ASSOCIATES GAROFALO SCHREIBER STORM 42 12WC 36791 CLICK, GARRY WHITE LINE EXPRESS 05/31/12 WARREN E DANZ, PC SMITH AMUNDSEN LLC 43 12WC 41936 HAWKINS, TODD FACILITIES & SVC UNIVERSI 09/12/12 GOLDBERG WEISMAN & CAIRO L 44 13WC 03107 HUPP, CHAD LD MECHANICAL CONTRACTORS @ 12/16/11 MOSS & MOSS PC ASSISTANT ATTORNEY GENERAL 13WC029387 -C 45 13WC 05709 WINTERS, SANDRA R ST OF IL SECRETARY OF STA @ 01/28/13 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 13WC027896 -C STATE OF ILLINOIS OFFICE O 14WC032801 -C ILL SECY OF STATE 46 13WC 07394 STRONG, KEVIN ST OF IL DEPARTMENT OF @ 01/18/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 47 13WC 08575 FULTZ, THOMAS MICHAEL CHI OVERHEAD DOORS INC 12/07/12 FREDERICK & HAGLE MEYER CAPEL, PC 48 13WC 11244 EDWARDS, KEVIN SHADY REST MATERIAL 05/27/11 MARSZALEK AND MARSZALEK THOMAS & ASSOCIATES 49 13WC 12022 MATZNER, DOUGLAS G MATZNER CLINIC OF 02/02/12 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 13WC022650 -C 50 13WC 13558 BROWN, ALBERT DARRELL SR ALADDIN ELECTRIC 02/04/13 DODD & MAATUKA LLC LAW OFFICE OF PAUL O WATKISS 51 13WC 13719 COIT, PENNY UNIVERSITY OF ILLINOIS 03/27/13 WOODRUFF & JOHNSON BRUCE WARREN 52 13WC 14414 YOUNG, TAMMY DOLLAR GENERAL 02/17/13 WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 53 13WC 15058 WIECK, KATHY CON AGRA FOODS INC 08/26/11 MARSZALEK AND MARSZALEK RUSIN MACIOROWSKI & FRIEDMAN 54 13WC 16836 BOUILLION, ANJEANETTE SEVEN PETALS DOG RESCUE @ W 12/25/12 FREDERICK & HAGLE 55 13WC 17220 GRANT, DANIEL EASTERN ILLINOIS UNIVERST @ 05/07/13 BRANKEY & SMITH PC ASSISTANT ATTORNEY GENERAL 56 13WC 18444 CARTER, DANIEL NEW WAVE COMMUNICATIONS 06/04/12 SPIROS LAW PC STEPHEN H LARSON LAW OFFICE 57 13WC 25411 FRAZIER, DIANA THYSSEN KRUPP 06/02/12 TUGGLE SCHIRO & LICHTENBER WOLFE & JACOBSON, LTD 15WC010910 -C 58 13WC 34287 MALONE, DIANA NORTH AMERICAN LIGHTING 06/24/13 ASHER & SMITH LAW OFFICES STEPHEN CARTER 59 13WC 38454 LANDSAW, CATHY SIMONTON WINDOWS 06/01/12 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 60 13WC 40149 BLACKETER, BRIAN UNIVERSITY OF ILLINOIS 06/10/13 REISMAN LAW OFFICE GANAN & SHAPIRO 61 13WC 41536 ELDRIDGE, MIKE GP COLE INC 01/08/13 GARY JOE STOKES WOLFE & JACOBSON, LTD 62 13WC 41551 BROSAM, JACQUELYNNE K EASTERN ILLINOIS UNIVERSI @ 10/10/11 ASHER & SMITH 63 13WC 41727 WILSON, ZABRINA EVAPCO 10/06/13 KATZ FRIEDMAN EAGLE ET AL PATRICIA M CARAGHER 64 14WC 02068 TEVAULT, LORI SHERWIN WILLIAMS 03/18/13 HELLER HOLMES & ASSOC ROBERT L. SMITH 65 14WC 02075 TEVAULT, DAVID SHERWIN WILLIAMS 03/18/13 HELLER HOLMES & ASSOC ROBERT L. SMITH 66 14WC 03981 STEINER, DAVID UNIVERSITY OF ILLINOIS 10/08/13 LEE, MARK N LAW OFFICE BRUCE WARREN 67 14WC 06996 19B HICKS, BRIAN HEATH'S INCORPORATED 02/08/13 LAW OFFICE OF PAUL E SELIN WOLFE & JACOBSON, LTD 68 14WC 07005 LATOZ, NICK PITTMAN MINE SERVICE 09/04/13 WOODRUFF & JOHNSON CRAIG & CRAIG 69 14WC 07823 KRIEGEL, MARY CLARE URBANA SCHOOL DISTRICT 11 12/11/13 FREDERICK & HAGLE BRUCE WARREN 70 14WC 08471 HOLLINGSWORTH, TROY QUAKER OATS 11/06/13 ASHER & SMITH BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 14WC 14224 ROBLES, CELYA DANVILLE HOUSING AUTHORIT 09/10/13 TUGGLE SCHIRO & LICHTENBER BRADY, CONNOLLY & MASUDA, PC 72 14WC 14819 FLICKINGER, JOHN CARLE FOUNDATION HOSPITAL 03/23/13 REISMAN LAW OFFICE BRUCE WARREN 73 14WC 15185 HOWLIET, SHEILA M ST OF IL LINCOLN'S CHALLE @ 01/30/14 HELLER HOLMES & ASSOC ASSISTANT ATTORNEY GENERAL 74 14WC 15607 WELLUM, ROBERT ST OF IL DEPT OF @ 03/24/14 HELLER HOLMES & ASSOC ASSISTANT ATTORNEY GENERAL 75 14WC 17976 DE MOSS, CHARLES ARENDS HOGAN WALKER LLC 02/05/14 SCHWEICKERT & GANASSIN HENNESSY & ROACH 76 14WC 18196 OHLSSOM, TRISH CHAMPAIGN PUBLIC LIBRARY 09/16/11 FREDERICK & HAGLE CITY OF CHAMPAIGN 14WC041984 -C 77 14WC 18476 PLUMMER, JAMES IL DEPT OF TRANSPORTATION @ 09/26/13 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 78 14WC 19545 MARXMAN, LARRY RPD CABINETS, INC DBA @ 05/28/13 FREDERICK & HAGLE 79 14WC 20296 CARTER, ROBERT ST OF IL DEPT OF 11/19/13 MARSZALEK AND MARSZALEK 80 14WC 21213 LOMAX, MICHAEL G MC LANE MIDWEST CO 04/07/15 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 81 14WC 22414 BAILEY, MARJORIE E EMERITUS AT CANTERBURY RI 10/21/13 FREDERICK & HAGLE 82 14WC 23800 PEARSON, BENJAMIN PRIME INC 06/18/14 SMITH LAW LTD GRANT & FANNING 83 14WC 28538 CLAREY, DONALD RAY BUNGE MILLING CORP 08/31/13 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 84 14WC 29751 LANCE, GARY THE HERSHEY CO 04/22/13 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 85 14WC 31085 KUTZ, TONY FEDERAL EXPRESS 04/06/12 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 14WC031086 -C 86 14WC 31115 BUSSMAN, MARCIE RENT A CENTER 05/30/13 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 14WC031116 -C 14WC031117 -C 15WC010071 -C RENT-A-CENTER 87 14WC 32753 SIVERSON-BRUNNER, ANNIKA ILL SECY OF STATE @ 09/16/14 FREDERICK & HAGLE 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 NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 14WC 32760 MCCALL, REGINA ILL SECY OF STATE @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 89 14WC 33321 NELSON, KAREN ILLINOIS SECRETARY OF STA @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 90 14WC 33749 WELLUM, ROBERT STATE OF ILLINOIS @ 07/05/13 HELLER HOLMES & ASSOC ASSISTANT ATTORNEY GENERAL 91 14WC 35794 KLAPP, JOHN LIBMAN CO 10/29/13 WOODRUFF & JOHNSON STEPHEN H LARSON LAW OFFICE 92 14WC 36389 SIENS, PAUL J FEDERAL COMPANIES 08/04/14 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 93 14WC 36609 JOHNSON, TIM STATE OF ILLINOIS - DOT @ 11/04/13 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 94 14WC 36849 JOHNSON, MICHAEL CAPITAL GROUP INC 04/04/13 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 95 14WC 37297 DOXEY, KARI GEMS LODGING INC 06/27/14 ERWIN MARTINKUS & COLE BRUCE WARREN 96 14WC 40124 STREENZ, NORMA INNOVATIVE STAFF SOLUTION 06/25/14 KOTH & GREGORY PC BRUCE WARREN 97 14WC 42568 WORTON, PAMELA D GSI CORP 08/18/14 HELLER HOLMES & ASSOC FEATHERSTUN GAUMER POSTLEWAI 98 15WC 00058 STUSSE, JANICE MSTER BRAND CABINETS INC 03/29/14 VRDOLYAK LAW GROUP LLC DUGAN & VOLAND 99 15WC 04248 MILLER, MARY JAMES M KOHLMAN, MD, SC 08/07/14 SMITH LAW LTD BRADY, CONNOLLY & MASUDA, PC 100 15WC 05412 GEHRT, BRIAN UNIVERSITY OF ILLINOIS 02/10/15 WOODRUFF & JOHNSON BRUCE WARREN 15WC005413 -C 101 15WC 06175 LANCE, GARY THE HERSHEY CO. 12/19/14 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 102 15WC 06789 DILLON, ALAN VERMILION COUNTY 01/29/13 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 103 15WC 06878 PINKSTAFF, PHYLLIS VICTOR DANA CORP 02/16/15 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 104 15WC 07200 CRAVENS, MARK VERMILION COUNTY 06/12/14 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 105 15WC 09163 LUTZ, LEAH L INDUSTRIAL CONTRACTORS SK 01/06/15 GARY JOE STOKES GRANT & FANNING

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 15WC 09626 SHEPARD, JAROD E PEPSI MID-AMERICA 09/20/13 MEYER, MICHAEL J 107 15WC 10090 PERRY, JEFFREY CORE CONSTRUCTION 12/19/14 WILLIAMS & SWEE KNELL LAW LLC 108 15WC 10102 WITTMAN, PETER C-U MTD 02/04/15 FREDERICK & HAGLE BRUCE WARREN 109 15WC 11420 EDDY, DENNIS ILLINI FS 03/04/15 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 110 15WC 11696 HERNANDEZ, MARIA COUNTY MARKET 02/24/15 LEE, MARK N LAW OFFICE 111 15WC 13573 SALTS, JACK THYSSEN KRUPP PRESTA 01/18/15 LEONARD LAW GROUP LLC WOLFE & JACOBSON, LTD 112 15WC 13650 ROGERS, MARK MIDSTATE SPRING TITE INC. 12/18/14 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 113 15WC 13790 BERTRAM, GREGORY ALLAN CITY OF HOOPESTON 09/06/13 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 114 15WC 13826 FREEMAN, BOBBY CHRISTENSEN FARMS 03/10/15 ASHER & SMITH LEAHY EISENBERG & FRAENKEL 115 15WC 14520 WASHINGTON, ERICA IL DEPT OF REHAB SERVICES @ 11/11/14 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 116 15WC 14597 BELL, RICCARDO C UNIVERSITY OF ILLINOIS @ 02/01/15 WARREN W MARK BRUCE WARREN 117 15WC 15000 DEMLOW, DEBRA COCA COLA 01/19/15 WOODRUFF & JOHNSON BRADY, CONNOLLY & MASUDA, PC 15WC016651 -C 15WC036354 -C 118 15WC 15689 ALUMBAUGH, LINDA MASTERBRAND CABINETS, INC 10/17/12 MCCARTHY ROWDEN & BAKER 119 15WC 16122 CARLOCK, LESLIE MASTER BRAND CABINET 03/01/14 WOODRUFF & JOHNSON DUGAN & VOLAND 120 15WC 16320 TRIGG, VIRGINIA EASTERN ILLINOIS UNIVERSI @ 04/02/15 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 121 15WC 16683 BELL, ROBERT AMEREN ILLINOIS 04/22/15 GOLDBERG WEISMAN & CAIRO L LEMP & MURPHY 122 15WC 16859 THOMAS, LORI ADDUS HEALTHCARE INC 03/13/15 DWORKIN AND MACIARIELLO HENNESSY & ROACH 123 15WC 18353 WRIGHT, JEFFERY CHAMPAIGN URBANA MASS TRA 03/03/15 LAW OFFICE MICHAEL M WOJIT BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 15WC 18684 SHELMADINE, KIMBERLY CHAMPAIGN COUNTY 05/12/14 GARY CLINE HEYL ROYSTER VOELKER & ALLEN 125 15WC 18849 ALEXANDER, CHERYL TJ'S LAUNDRY & DRY CLEANI 03/22/15 CAPUANI, FRANK S 126 15WC 19805 COFFEY, RICKY L. KRAFT FOODS 01/23/15 KANOSKI BRESNEY BRUCE WARREN 127 15WC 20007 RUCK, KATHLEEN UNIVERSITY OF ILLINOIS @ 01/09/15 SPIROS LAW PC BRUCE WARREN 128 15WC 20488 PAVLICA, DAVID ACTION CAULKING 06/07/13 JOHNSON, MICHAEL D & ASSOC THOMAS & PORTELA 129 15WC 22549 BROCK, KEVIN JSM MANAGEMENT 04/09/15 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 130 15WC 23842 WILLIAMS, TERRY DECD, BY ALAMO GROUP ILLINOIS INC 04/30/14 WILLIAMS & SWEE WOLFE & JACOBSON, LTD 131 15WC 24430 KULHAN, GARY STATE OF IL DEPT OF HUMAN @ 01/17/10 MARSZALEK AND MARSZALEK ASSISTANT ATTORNEY GENERAL 132 15WC 25394 BLACKBURN, DANNY CHI OVERHEAD DOORS 11/11/14 LAW OFFICE MICHAEL M WOJIT LAWRENCE COZZI - LAW OFFICES 133 15WC 25870 BOWLES, PAULA MASTER BRAND CABINETS 02/04/15 WOODRUFF & JOHNSON DUGAN & VOLAND 134 15WC 27993 SIDWELL, JANET STATE OF ILLINOIS - DHS @ 05/01/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 135 15WC 29069 PHILBECK, DUANE THE NEWS GAZETTE 06/27/15 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 136 15WC 29255 SHANNON, DENNIS UNIVERSITY OF ILLINOIS 03/18/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 137 15WC 29288 ACOSTA, ANTONIO FBI BUILDINGS 11/07/13 SPIROS LAW PC 138 15WC 29556 BIELERT, BRAD D URBANA PARK DISTRICT 07/14/15 ERWIN MARTINKUS & COLE RUSIN & MACIOROWSKI LTD 16WC008352 -C 139 15WC 32768 MAPLES, MARK W UNIVERSITY OF IL @ 05/28/15 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 140 15WC 33723 DODD, GREGORY MERVIS INDUSTRIES INC 06/19/15 DODD & MAATUKA LLC LITCHFIELD CAVO 141 15WC 33803 MERRIWEATHER, TERRY BUNGE 12/24/14 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 15WC 33995 GOODWIN, JEAN M EXPERIENCED WORKS 09/22/15 FREDERICK & HAGLE HENNESSY & ROACH 143 15WC 34165 NICHOLS, PENNY DOLLAR GENERAL 08/27/15 ASHER & SMITH LEAHY EISENBERG & FRAENKEL 144 15WC 34235 OCHS, NEIL A NEVES GROUP 02/11/15 KANOSKI BRESNEY 145 15WC 35266 DAPRON, TED DRAKE HOMES CORPORATION 06/08/15 KATZ FRIEDMAN EAGLE ET AL LAW OFFICE PATRICK JENNETTEN 146 15WC 35578 BRITTON, EDDIE HOME TOWN BUFFET 10/12/15 WARREN E DANZ, PC 147 15WC 35600 YORK, CAROL AUNT MARTHA'S VERMILLION 08/19/15 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 148 15WC 35759 WILLIAMS, TRAVIS HOME TOWN BUFFET 10/16/15 WARREN E DANZ, PC 149 15WC 36275 FRITZ, ROGER W MACHINERY MANAGEMENT 04/10/15 KEVIN L GEISLER SMITH AMUNDSEN LLC 150 15WC 36474 CARLEN, JUSTIN JOB MATCH, INC 09/16/15 SMITH LAW LTD 151 15WC 37459 DODD, THERESA RANTOUL CITY SCHOOLS DIST 04/27/15 KATZ FRIEDMAN EAGLE ET AL 152 15WC 37823 CLAREY, DONALD RAY BUNGE MILLING CORP. 03/25/15 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 153 15WC 38666 HOWLIET, SHEILA LINCOLN'S CHALLENGE ACADE @ 02/19/14 HELLER HOLMES & ASSOC ASSISTANT ATTORNEY GENERAL 154 15WC 38685 VAN CAMP, MICHAEL THYSSENKRUPP 09/01/15 FREDERICK & HAGLE 17WC017285 -C 155 15WC 38795 STUART, TERESA SAATHOFF'S CATERING & CAF 10/23/15 WARREN E DANZ, PC COZZI & GOGGIN-WARD 15WC042646 -C 156 15WC 38835 LONG, JOSHUA NCI INC 11/06/15 MCCARTHY ROWDEN & BAKER COZZI & GOGGIN-WARD 157 15WC 39239 WAUGH, JAMES M ARCHER DANIELS MIDLAND 09/28/15 HEYL ROYSTER VOELKER & ALLEN 158 15WC 39482 HEWERDINE, KRISTEN EXPRESS EMPLOYMENT 11/20/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 159 15WC 39542 GOFF, RITA BROOKDALE ASSISTED LIVING 08/16/15 TUGGLE SCHIRO & LICHTENBER ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 15WC 42136 JONES, RICHARD C MORTON AUTO AUCTION 01/04/13 JOHN LESAGANICH 161 15WC 42319 HAMMOND, MICHAEL PEPSI MID-AMERICA 01/05/15 REISMAN LAW OFFICE 162 15WC 42415 BIERNBAUM, TERRY ROBINSON TOWNSHIP 03/01/13 MCCARTHY ROWDEN & BAKER BRADY, CONNOLLY & MASUDA, PC 163 15WC 42651 19B PRYOR, KENDALL AGRICULTURAL SERVICES CO 10/26/15 BROWN & BROWN HENNESSY & ROACH 164 16WC 00138 DAVIDSON, CINDY SIMONTON WINDOWS 12/08/15 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 165 16WC 00266 DODD, RANDY UNIVERSITY OF ILLINOIS 04/08/14 LEE, MARK N LAW OFFICE BRUCE WARREN 166 16WC 00450 ANDERSON, CLIFFORD T. RURAL KING 06/18/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 167 16WC 00957 GUNDY, JANET VAN MASTERBRAND CABINETS 09/07/15 HELLER HOLMES & ASSOC DUGAN & VOLAND 168 16WC 01417 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 01/01/16 BURNETT & CARON, LTD HENNESSY & ROACH 169 16WC 01943 ROESSLER, KARI RANTOUL CITY SCHOOLS #137 09/11/15 REISMAN LAW OFFICE QUINN JOHNSTON HENDERSON ETA 170 16WC 02185 MARCH-DAVIS, FAYE DANVILLE CARE CENTER 05/29/15 TUGGLE SCHIRO & LICHTENBER GALLIANI DOELL & COZZI LTD 171 16WC 03115 HAYS, PEGGY SMITHSHINE 11/29/15 172 16WC 04425 PARMLEY, STEVEN REYNOLDS TOWING 11/19/15 SPIROS LAW PC RODDY LAW LTD 173 16WC 04454 HOWE, TIMOTHEY W JAMES MILLER D/B/A CREATI @ 06/22/15 MANION JANOV & DEVENS LTD INMAN & FITZGIBBONS 174 16WC 05202 MORRIS, ROBERT CHI OVERHEAD DOORS 01/12/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 175 16WC 05263 COSAT, CHERYL AMERICAN EAGLE AIRLINES I 02/21/13 CHRIS WETZEL 176 16WC 05372 SNEARLY, SHANE VAN HORN INC 03/24/15 THOMPSON & MCDONALD LAW OFFI 177 16WC 05498 LINDERMAN, VIVIAN EPC INC 04/13/15 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 178 16WC 05680 HAMPTON, JACOB PINNACLE FOODS/LENDER'S B 10/02/15 HELLER HOLMES & ASSOC 179 16WC 05822 19B KHAN, SALEEM UNIVERSITY OF ILLINOIS @ 03/05/15 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 180 16WC 06165 BREWER, PAMELA D SOUTHWEST AIRLINES 08/04/15 FREDERICK & HAGLE HENNESSY & ROACH 181 16WC 06944 MILLER, BRUCE SPORT REDI-MIX 08/11/15 GOLDBERG WEISMAN & CAIRO L 182 16WC 07161 MOREFIELD, JOYCE PARKLAND COLLEGE 09/04/15 FREDERICK & HAGLE BRUCE WARREN 183 16WC 07326 FOSTER, KEVIN E KRAFT 01/02/16 KANOSKI BRESNEY 184 16WC 07950 VALENTINE, ESTRELLITA KRAFT, INC 08/18/15 DODD & MAATUKA LLC 185 16WC 08750 GARCIA, YOLANDA ELITE STAFFING 01/12/16 DODD & MAATUKA LLC 186 16WC 09431 RICHMOND, DARWIN LEE FARMS GENERAL PARTNER 12/16/15 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 187 16WC 09457 BLACK, DEBBIE EASTERN ILLINOIS UNIVERSI @ 02/25/16 MOSS & MOSS PC ASSISTANT ATTORNEY GENERAL 188 16WC 09682 COX, JESSICA SOY CITY SOCK CO. 07/29/15 TUGGLE SCHIRO & LICHTENBER RUSIN & MACIOROWSKI LTD 189 16WC 10108 BELANGEE, TIMOTHY E CITY OF URBANA 04/07/15 THOMAS W DUDA 190 16WC 10357 COLLINS, DUSTIN MANPOWER 02/18/14 WARREN E DANZ, PC MACIOROWSKI SACKMANN & ULRIC 191 16WC 10573 PAULEY, JUDY MASTERBRAND CABINETS INC 09/09/15 BURNETT & CARON, LTD DUGAN & VOLAND 192 16WC 10945 CROSS, ED FIBERTEQ 07/28/14 TUGGLE SCHIRO & LICHTENBER MACIOROWSKI SACKMANN & ULRIC 193 16WC 11283 CORRELL, MARY (SURV SPOUS MARATHON PETROLEUM # 05/18/15 HOLLORAN & SCHWARTZ NYHAN BAMBRICK KINZIE & LOWR 194 16WC 11643 JORDAN, CHRIS PETRY KUHNE CO & 02/08/16 REISMAN LAW OFFICE INMAN & FITZGIBBONS 195 16WC 11815 NIELSON, MICHAEL E.H. BAARE CORPORATION 08/06/15 MOSS & MOSS PC STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 196 16WC 12037 SCHALK, TERESA L UNIVERSITY OF ILLINOIS @ 11/18/15 BRIAN T. SCHURTER 197 16WC 12770 RODZEN, PATRICIA RED LOBSTER 03/26/16 WOODRUFF & JOHNSON 198 16WC 13015 SALISKI, THOMAS RESOURCE MFG 03/16/16 WOODRUFF & JOHNSON LEAHY EISENBERG & FRAENKEL 199 16WC 14001 MORROW, JOANNNA ROSS DRESS FOR LESS 04/05/16 SPIROS LAW PC 200 16WC 14171 HENRY, SUSAN C HYRDO-GEAR 06/22/15 KANOSKI BRESNEY BRUCE WARREN 201 16WC 14268 VIRT, DANIEL UNIVERSITY OF ILLINOIS @ 03/26/16 BURNETT & CARON, LTD GANAN & SHAPIRO 202 16WC 14570 SPECIA, DURLYN SECRETARY OF STATE @ 03/03/15 FRANCIS J DISCIPIO LAW OFF ASSISTANT ATTORNEY GENERAL 203 16WC 14803 PENCE, MARK D CCI REDI-MIX 10/13/15 HELLER HOLMES & ASSOC CHILTON YAMBERT PORTER LLP 204 16WC 15900 WISE, JOSHUA PEPSICO 01/22/16 SPIROS LAW PC ROBERT L. SMITH 205 16WC 16353 BARRE, SARAH J BEELMAN TRUCK CO 04/29/16 GARY JOE STOKES NYHAN BAMBRICK KINZIE & LOWR 206 16WC 16643 SPARKS, MIRANDA E SYCAMORE ENGINEERING INC 02/25/16 GARY JOE STOKES RIPES NELSON BAGGOT KALOBRAT 207 16WC 17186 YOUNG-WILSON, REBECCA D HAWTHORNE INN 07/01/14 TUGGLE SCHIRO & LICHTENBER GANAN & SHAPIRO 16WC017208 -C 208 16WC 17626 MCCULLOUGH, JAMES SDC CONTRACTING, INC. 01/27/16 WOODRUFF & JOHNSON ROSARIO CIBELLA 209 16WC 17662 RAMSEY, KATHY S. CLARK CO./CLARK CO. COURT 09/23/14 ASHER & SMITH HEYL ROYSTER VOELKER & ALLEN 210 16WC 17804 BROWN, TASHA FEDEX 04/19/16 GOLDFINE & BOWLES SCOPELITIS GARVIN LIGHT 211 16WC 18640 PARNELL, REGINA L CHAMPAIGN/FORD OFF EDUCAT 04/01/16 BOSHARDY LAW OFFICE PC BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 16WC 19674 CAMERER, ROGER HEATHERLY GLEN 10/25/15 HENNESSY & ROACH 213 16WC 19708 HOWELL, SHELLY PROVENA UNITD SAMARITANS 09/30/15 SPIROS LAW PC INMAN & FITZGIBBONS 16WC019806 -C 16WC028304 -C 214 16WC 20293 CONOUR, MARGIE LAKE LAND COLLEGE 03/31/14 TAPELLA & EBERSPACHER LLC RUSIN & MACIOROWSKI LTD 215 16WC 20311 MCMILLION, LARRY COUNTY MATERIAL AND CENTR 10/02/15 SPIROS LAW PC 216 16WC 21219 POST, ROBERT TRW AUTOMOTIVE 06/04/16 MOSS & MOSS PC HOLTKAMP LIESE ET AL 17WC002033 -C 217 16WC 21602 METZLER, PATRICIA CARLE HOSPITAL 01/29/15 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 218 16WC 21648 NORMAN, MICHELLE CARLE FOUNDATION HOSPITAL 06/24/16 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 16WC021649 -C 219 16WC 22062 FUENTES, ANTHONY THYSSENKRUPP 09/08/15 FOHRMAN, DONALD W & ASSOCS WOLFE & JACOBSON, LTD 220 16WC 22357 WINFREY, LYASIA T CARLE FOUNDATION HOSPITAL 01/18/16 FREDERICK & HAGLE BRUCE WARREN 221 16WC 22548 LIGHT, DAMIAN EASTERN ILLINOIS UNIVERSI @ 06/28/16 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 222 16WC 22748 EARNEST, JEFFERSON R MID STATE TANK 01/22/16 HELLER HOLMES & ASSOC HEYL ROYSTER VOELKER & ALLEN 223 16WC 22867 COOKE, JAMES SYGMA-ILLINOIS 05/19/16 SPIROS LAW PC HENNESSY & ROACH 224 16WC 22931 FIFER, STACEY VILLAGE SQUARE REAL ESTAT 06/21/16 WOODRUFF & JOHNSON 225 16WC 23335 HARRIS, MARY KAY EASTERN ILLINOIS UNIVERSI @ 12/11/14 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 226 16WC 23357 HUBERT, BRIDGIT SAVE-A-LOT 06/28/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 227 16WC 24847 FLINN, JULIE MCDONALDS 08/25/15 SAUNDERS CONDON & KENNY 228 16WC 24950 OBERMAN, RAUN BROTCKE WELL & PUMP 02/12/16 BROWN & BROWN GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 16WC 25112 WISEHART, GEORGE JSM MANAGEMENT 06/24/16 FREDERICK & HAGLE HENNESSY & ROACH, PC 230 16WC 25776 BROOKS, CORY ILLINOIS DEPARTMENT OF @ 07/26/16 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 231 16WC 26198 BELANGEE, TIMOTHY CITY OF URBANA 04/10/16 THOMAS W DUDA 232 16WC 26419 GARD, LUKE T SARAH BUSH LINCOLN HEALTH 08/07/15 KEVIN L GEISLER MACIOROWSKI SACKMANN & ULRIC 233 16WC 26481 KOOPER, WILLIAM MIDWEST POULTRY 03/08/16 CULLEN HASKINS NICHOLSON ROBERT L. SMITH 234 16WC 26687 BARTON, MICHAEL RAY CHI OVERHEAD DOORS 07/18/16 235 16WC 27229 ERVIN, TERRY L. ATLAS TRANSPORTATION LLC 06/28/14 MEYER, MICHAEL J 236 16WC 27332 WILSON, DARRICK UNIVERSITY OF ILLINOIS @ 09/09/14 GOLDBLATT + SINGER BRUCE WARREN 237 16WC 27632 LUDINGTON, MELISSA NORTH AMERICAN LIGHTING 07/08/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 238 16WC 27675 WOOTERS, GREGORY VILLAGE PANTRY, LLC 09/01/16 COLLISON LAW OFFICES LAW OFFICES STEVEN PILAND 239 16WC 28306 BROWNFIELD, DALTON HARMON EXCAVATING 09/22/15 MCCARTHY ROWDEN & BAKER PERRY GENTILE 240 16WC 28309 DUVALL, JAMES LAKE OF THE WOODS LLC D/B 08/18/15 SCHUM LAW PC RUSIN & MACIOROWSKI LTD 16WC028592 -C 241 16WC 28597 PERKINS, GERALD FEDERAL COMPANIESINC 05/26/16 DODD & MAATUKA LLC 242 16WC 29545 DOSSETT, RON EVAPCO 02/19/16 MEYERS & FLOWERS LAW OFFICES STEVEN PILAND 243 16WC 29588 O'BRYAN, NICOLA CHAMPAIGN UNIT 4 SCHOOL D 05/20/16 WOODRUFF & JOHNSON BRUCE WARREN 244 16WC 29855 DEMKO, JOSH CHAMPAIGN COUNTY SHERIFF @ 07/26/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 245 16WC 30622 THOMAS, NATASHA CHAMPAIGN COUNTY NURSING 07/09/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 246 16WC 30724 DANIELS, ASHLEY CARLE FOUNDATION HOSPITAL * 07/28/16 SCHUM LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 16WC 31403 SHIRLEY, WILLIAM EVAPCO 03/01/16 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 248 16WC 31603 SCHUMACHER, WILLIAM BANK CHAMPAIGN 07/14/16 SPIROS LAW PC GANAN & SHAPIRO 249 16WC 31903 RECIO, JEANNETTE EXPRESS EMPLOYMENT PROF 10/05/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 17WC007044 -C 250 16WC 32066 MILLER, RUSSELL EXPRESS PERSONNEL 06/23/16 TAPELLA & EBERSPACHER LLC MC ANDREWS & NORGLE LLC 251 16WC 32312 JACOBS, DEREK AMEREN ILLINOIS 10/07/16 GARY JOE STOKES LEMP & MURPHY 252 16WC 32505 PHILLIPS, RANDALL L DCV IMPORTS 08/27/16 CLAPPER & CLAPPER COZZI & GOGGIN-WARD 253 16WC 32849 ROCHA, ALFREDO EL RODEO AZTECA 09/05/16 FREDERICK & HAGLE INMAN & FITZGIBBONS 16WC032850 -C 254 16WC 33046 SMITH, LARRY CITITRENDS 10/11/16 SCHUM LAW PC 255 16WC 33086 CLEMENTS, DAVID SOLAE LLC 02/09/16 SCHUM LAW PC 256 16WC 33385 DOGGETT, JASON AMERICAN NATIONAL SKYLINE 09/24/16 CORBOY & DEMETRIO PC 257 16WC 33550 TOWNSEND, JASON UNIVERSITY OF ILLINOIS 08/20/16 LEE, MARK N LAW OFFICE GANAN & SHAPIRO 258 16WC 33621 GRIMM, GERANE PAXTON HEALTHCARE & REHAB 09/20/16 TUGGLE SCHIRO & LICHTENBER GALLIANI DOELL & COZZI LTD 259 16WC 33746 AUSTIN, MOESHA TRILLIUM STAFFING 07/01/16 MARSZALEK AND MARSZALEK 260 16WC 33824 BARNARD, STEVEN MCLANE MIDWEST 01/03/15 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 261 16WC 33829 TAYLOR, MARK BURGER KING 10/18/16 TUGGLE SCHIRO & LICHTENBER COZZI & GOGGIN-WARD 262 16WC 33873 OGDEN, JODI NORTH AMERICAN LIGHTING 08/16/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 263 16WC 34073 BARRINGER, LEE O DOOR SPECIALTY OF 08/19/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 264 16WC 34189 ARMOUR, JENNIFER DCS LOGISTICS 11/25/15 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 16WC 35181 JEFFERS, WESLEY PRAIRIE MATERIALS 11/02/15 COLLISON LAW OFFICES GAROFALO SCHREIBER STORM 266 16WC 35191 WINLAND, AMANDA K PEPSICO 10/27/14 GARY JOE STOKES BRUCE WARREN 267 16WC 35660 YOUNG, TAMMY QUAKER OATS/PEPSICO 08/01/16 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 268 16WC 35776 GRAY, ROBERT DANVILLE CORRECTIONAL CEN @ 10/26/14 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 269 16WC 36300 MAYBACK, TRUDI PETERSON HEALTH CARE 10/19/16 SMITH LAW LTD 270 16WC 36769 CRESS, BRADLEY SILGAN CONTAINERS 11/07/16 SPIROS LAW PC HENNESSY & ROACH 271 16WC 36798 YOUNG, TAMMY QUAKER OAKTS/PEPSICO 08/29/16 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 272 16WC 36845 WARD, MICHAEL UNIVERSITY OF IL 10/05/16 MCCARTHY ROWDEN & BAKER HEYL ROYSTER VOELKER & ALLEN 273 16WC 36846 ALTHOFF, LOIS L CATEPILLAR 02/03/14 KANOSKI BRESNEY CATERPILLAR 274 16WC 36955 MILES, STEPHANIE CASEY'S GENERAL STORES, I 10/28/16 GARY JOE STOKES HEYL ROYSTER VOELKER & ALLEN 275 16WC 37129 CARPENTER, ANTHONY UNIVERSITY OF ILLINOIS 08/23/16 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 276 16WC 37270 WALSH, BILLY P CHI OVERHEAD DOORS 04/04/16 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 277 16WC 37291 RICKARD, CALVIN MEIJER 10/22/16 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 278 16WC 37738 PAGAN, TOMAS VISTA OUTDOOR INC 10/26/16 COSTA IVONE LLC LEAHY EISENBERG & FRAENKEL 279 16WC 38394 OLLIS, MONTY FREIGHT CARE SERVICES 12/15/15 KATZ FRIEDMAN EAGLE ET AL SPIEGEL & CAHILL, PC 280 16WC 38517 POLK, WILLARD D VISCOFAN USA, INC 07/26/16 GREG LIETZ 281 16WC 38560 TAULBEE, TROY COMPLETE INSTALLATIONS IN 07/08/16 LAW OFFICE MICHAEL M WOJIT GANAN & SHAPIRO 282 16WC 38657 KLEIN, MARSHALL STATE OF IL-DOT @ 11/29/16 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 16WC 38931 DORRIS, JAMES UNIVERSITY OF ILLINOIS 10/13/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 284 16WC 38970 REYES, MARIEL MENARD'S 12/18/16 BRILL & FISHEL QUINN JOHNSTON HENDERSON ETA 285 16WC 39221 THOMAS-GRIEST, MARSHA BROOKDALE URBANA 12/18/16 KATZ FRIEDMAN EAGLE ET AL ROSARIO CIBELLA 286 16WC 39251 CHOI, NADIA SAKANAYA RESTAURANT CORP 12/16/16 COLLISON LAW OFFICES GANAN & SHAPIRO 287 16WC 39331 SLOWN, JAMES EWING-OVETT TRANSFER CO 12/06/16 SPIROS LAW PC INMAN & FITZGIBBONS 288 16WC 39455 LOURDEAU, REBECCA SERVEPRO C/O YOLANDA LEFL 02/17/16 WILLIAMS & SWEE 289 17WC 00965 WILSON, RICHARD D II CITY OF PARIS ILLINOIS 06/05/16 TAPELLA & EBERSPACHER LLC INMAN & FITZGIBBONS 290 17WC 01084 MOSELEY JR, LARRY K MEDIACOM COMMUNICATIONS C 12/04/16 GOLDBERG WEISMAN & CAIRO L STEPHEN H LARSON LAW OFFICE 291 17WC 01142 WILCHER, BESSIE JPMORGAN CHASE & CO 01/13/14 SCHUM LAW PC NYHAN BAMBRICK KINZIE & LOWR 292 17WC 01215 MIX, RODNEY DAVID AAK MECHANICAL INC 04/09/14 KOTH & GREGORY PC CRAIG & CRAIG 293 17WC 01583 FOSTER, LESLIE STATE OF IL/IDOT/LEVERETT @ 01/17/16 WILLIAMS & SWEE 294 17WC 01690 MILLS, JOHN R CITY OF CHAMPAIGN, FIRE D 05/07/14 CONNOR LAW OFFICES CITY OF CHAMPAIGN 295 17WC 01949 MCCHRISTIAN, AYOKA IL DEPT OF HUMAN SERVICES @ 05/25/16 FREDERICK & HAGLE 296 17WC 02361 FITZGERALD, VERONICA NORTH MERICAN LIGHTING 01/05/17 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEPHEN CARTER 297 17WC 02961 HILDEBRAND, BRETT CITY OF CHARLESTON 01/27/16 SMITH LAW LTD INMAN & FITZGIBBONS 298 17WC 03850 FOX, JOHN MH ACCEPTANCE, INC 04/08/14 MUELHAUSEN & STEFANI 299 17WC 03948 CLARK, PHILIP UNIVERSITY OF ILLINOIS @ 12/08/15 DODSON PIRAINO & ASSOC HEYL ROYSTER VOELKER & ALLEN 300 17WC 03959 KEMPTON, TADD A KRAFT 07/11/16 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 17WC 04575 JOHNSON, PENNY ANN DUPONT PIONEER SEED 03/31/16 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 302 17WC 04758 MUNOZ-LEDEZMA, LORENA UNIVERSITY OF ILLINOIS 08/13/16 CUSHING LAW OFFICES GANAN & SHAPIRO 303 17WC 04823 AMBROSE, DACI ELITE STAFFING 01/20/17 WOODRUFF & JOHNSON 304 17WC 04856 BRAULT, CATHY A DUPONT 05/03/16 KANOSKI BRESNEY LITCHFIELD CAVO 305 17WC 05061 BRIGGS, AMANDA PARKLAND COLLEGE 06/27/16 WILSON LAW BRUCE WARREN 306 17WC 05329 CAPPELLO, JASON THYSSENKRUPP CRANKSHAFT 11/03/16 KATZ FRIEDMAN EAGLE ET AL 307 17WC 05575 DAVIS, ANTOINE SR 160 DRIVING ACADEMY 12/02/16 DANIEL J. GAUTHIER 308 17WC 05595 GRICE, JOHNATHAN A ROLAND REALTY 01/12/16 FREDERICK & HAGLE QUINN JOHNSTON HENDERSON ETA 309 17WC 05672 ANDERSON, GENEVA UNIT 4 SCHOOL DISTRICT 02/09/17 SPIROS LAW PC BRUCE WARREN 310 17WC 05689 HUSKINS, CHAD ESTES EXPRESS LINES INC 06/19/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 311 17WC 06215 GRAVES, JIMMY LYON, LLC 11/17/16 ASHER & SMITH WOLFE & JACOBSON, LTD 312 17WC 06597 FRY, GARY L UNIVERSITY OF ILLINOIS 06/29/15 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 313 17WC 06701 ENGLISH, JEFF LONG CONSTRUCTION 10/08/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 314 17WC 07343 DOTSON, DAVINA ROSSVILLE-ALVIN COMMUNITY 12/13/16 WOODRUFF & JOHNSON HENNESSY & ROACH 315 17WC 07637 RUBIO, MARIA DANVILLE METAL STAMPING I 02/22/17 FREDERICK & HAGLE 316 17WC 07897 HARNEY, JON UNIVERSITY OF ILLINOIS @ 06/03/16 PRILLAMAN & MOORE 317 17WC 07908 EHLEY, EARL UNIVERSITY OF ILLINOIS 02/10/17 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 318 17WC 08062 MASON, JEFF LANKSTER & GORE SPECTIC & 01/31/17 CULLEN HASKINS NICHOLSON HOLTKAMP LIESE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 17WC 08118 BICKERS, KARA HERITAGE HEALTH 07/11/13 MUELHAUSEN & STEFANI RIPES NELSON BAGGOT KALOBRAT 320 17WC 08198 WOODFALL, CHARLES ALLAN TERRY WELCH DBA 04/16/16 HASSAKIS & HASSAKIS SMITH AMUNDSEN LLC 321 17WC 08254 WILLIAMS, ZACH CHAMPAIGN FIRE DEPARTMENT @ 01/13/17 CONNOR LAW OFFICES 322 17WC 08320 NIELSON, MICHAEL EH BAARE CORPORATION 02/20/15 MOSS & MOSS PC 323 17WC 08418 KYGER, RYAN HYSTER-YALE DANVILLE 02/21/17 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 324 17WC 08561 NADOLNY, TED STOCK TRANSPORT 03/03/17 LAW OFFICE MICHAEL M WOJIT JAMES M KELLY 325 17WC 08858 DALBERG, JULIE SCHNUCKS 02/23/17 SPIROS LAW PC HENNESSY & ROACH 326 17WC 08975 TROSPER, SHAUN R XPO LOGISTICS FREIGHT, IN 11/01/16 MANION JANOV & DEVENS LTD RUSIN & MACIOROWSKI LTD 327 17WC 09312 MILLER, LISA TRIUNE HEALTH GROUP/ 07/19/16 LAW OFFICE OF SCOTT B SHAP STEPHEN H LARSON LAW OFFICE 328 17WC 09476 NORMAN, GARY DUPONT INC 10/25/16 HOEKSTRA LAW OFFICES PC HENNESSY & ROACH PC 329 17WC 09554 WICKMAN, TROY INYART TIRE & AUTO CENTER 03/02/17 HELLER HOLMES & ASSOC PATRICK JENNETTEN 330 17WC 09649 FLINN, STEVEN C AGRI-FAB 12/22/16 331 17WC 09711 KORAK, KATHRYN UNIVERSITY OF ILLINOIS @ 11/12/14 RUBENS AND KRESS GANAN & SHAPIRO 332 17WC 09912 AYERS, AARON HERRIOTT GROUP, INC D/B/A 08/22/16 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 333 17WC 10184 HALL, JACK UNIVERSITY OF ILLINIOS @ 11/26/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 334 17WC 10219 FOX, DENISE KATO FASHIONS 03/15/17 TUGGLE SCHIRO & LICHTENBER WIEDNER & MCAULIFFE LTD 335 17WC 10296 COFFEY, RICKY L KRAFT FOODS 05/01/15 KANOSKI BRESNEY BRUCE WARREN 336 17WC 10318 PARR, KRISTINE CIM-TEK FILTRATION 03/07/17 MCCARTHY ROWDEN & BAKER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 17WC 10586 LOESCHEN, RALPH T JR UNIVERSITY OF ILLINOIS @ 11/21/16 FREDERICK & HAGLE GANAN & SHAPIRO 338 17WC 10706 LAWSON, PATRICIA NORTH AMERICAN LIGHTING 12/10/16 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEPHEN CARTER 339 17WC 10787 GUMBEL, WILLIAM PHILIP SUPERVALU 06/03/16 LAW OFFICE MICHAEL M WOJIT HOLTKAMP LIESE ET AL 340 17WC 10809 COLEMAN, MINA STATE OF ILLINOIS- @ 01/11/17 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 341 17WC 10815 HASTINGS, WILLIAM CLIFFORD JACOBS FORGING 02/14/17 LAW OFFICE OF PAUL E SELIN MACIOROWSKI SACKMANN & ULRIC 342 17WC 10863 WILSON, LAWRENCE KIK CUSTOM PRODUCTS 02/23/17 SPIROS LAW PC POWER & CRONIN LTD 343 17WC 11619 WOODS, SANDRA HARBOR LIGHT HOSPICE 08/05/15 BECKER SCHROADER & CHAPMAN 344 17WC 11695 BURKS, PATRICK W. VERMILION VALLEY PRODUCE 09/14/16 TAPELLA & EBERSPACHER LLC 345 17WC 11951 BUTTERICK, KAREN CVS 12/23/16 KATZ FRIEDMAN EAGLE ET AL 17WC011952 -C 346 17WC 12172 WATTERS, JANNIFER PAP-R PRODUCTS COMPANY 06/01/16 MOSS & MOSS PC 347 17WC 12557 OBERMAN, RAUN BROTCKE WELL & PUMP 02/23/17 BROWN & BROWN GANAN & SHAPIRO 348 17WC 12806 RYAN, ANGELA MARIE PRESENCE UNITED SAMARITAN 03/13/17 FREDERICK & HAGLE INMAN & FITZGIBBONS 349 17WC 13313 BOSWELL, PAUL VILLAGE OF TILTON 01/17/17 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 350 17WC 13339 HARSHBARGER, JOHN P BILL ABBOTTS 03/13/17 BRIAN T. SCHURTER NOBLE & ASSOCIATES PC 351 17WC 13401 WOODS, KIMMY CONAIR CORPORATION 02/15/17 STEVEN A CRIFASE, LTD COZZI & GOGGIN-WARD 352 17WC 14215 STEIN, KATHLEEN URBANA SCHOOL DISTRICT 11 03/27/17 WOODRUFF & JOHNSON BRUCE WARREN 353 17WC 14240 BROWNFIELD, DALTON HARMON EXCAVATING, INC 09/22/15 MCCARTHY ROWDEN & BAKER PERRY GENTILE 354 17WC 14551 HYDE, REBECCA LEBANON SEABORD CORP 02/20/17 KATZ FRIEDMAN EAGLE ET AL LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 355 17WC 14831 MATTHEWS, JERRY TEASDALE FOODS 09/09/16 BURNETT & CARON, LTD HENNESSY & ROACH 356 17WC 14957 PULLEN, WILLIAM BARTELS CONSTRUCTION, INC 10/06/16 TUGGLE SCHIRO & LICHTENBER RUSIN & MACIOROWSKI LTD 357 17WC 15034 QUEZADA DEROCHA, IGNACIA CARLE FOUNDATION HOSPITAL 12/09/16 FREDERICK & HAGLE BRUCE WARREN 358 17WC 15116 LONG, KELLY COUNTRY HEALTH CARE & REH 01/15/17 SPIROS LAW PC RIPES NELSON BAGGOT KALOBRAT 359 17WC 15304 HUNTER, MAURICE BUNGE MILLING CORP 04/13/17 KATZ FRIEDMAN EAGLE ET AL 360 17WC 15434 SHIPMAN, BRADLEY NORDCO, INC 11/04/14 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 361 17WC 15462 LONG, KELLY COUNTRY HEALTH CARE & REH 02/25/17 SPIROS LAW PC RIPES NELSON BAGGOT KALOBRAT 362 17WC 15563 COLLINS, SAMANTHA FE MORAN SECURITY 02/01/17 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 363 17WC 15739 FOSBENDER, TIMOTHY LSC COMMUNICATIONS 04/01/17 WOODRUFF & JOHNSON CRAIG & CRAIG 364 17WC 15982 PRATT, ERIK WALMART 05/23/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 365 17WC 16007 COLEMAN, JAMES UNIVERSITY OF IILINOIS 02/09/15 LEE, MARK N LAW OFFICE 366 17WC 16215 SIMS, CARMEN STARK EXCAVATING, INC 07/01/16 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 367 17WC 16316 WAGONER, STANLEY SILGAN CONTAINER LLC 04/25/14 HENNESSY & ROACH 368 17WC 16462 PALMER, JEFFREY UNIVERSITY OF ILLINOIS @ 08/29/16 SPIROS LAW PC BRUCE WARREN 369 17WC 16520 SHOWALTER, JENNIFER FLEX-N-GATE PLASTICS 05/09/17 SAUNDERS CONDON & KENNY 370 17WC 16669 HEREDIA, HECTOR SIEVERT ELECTRIC COMPANY 08/19/16 ANESI OZMON RODIN NOVAK KO 371 17WC 16856 MILLER, NICHOLE RR DONNELLEY 07/25/16 KATZ FRIEDMAN EAGLE ET AL 372 17WC 17038 JOHNSON, ALEX QUANEX BUILDING PRODUCTS 04/13/16 MCCARTHY ROWDEN & BAKER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 373 17WC 17484 MCCONKEY, JOSHUA PLASTIPAK PACKAGING INC 04/05/16 GOLDFINE & BOWLES 374 17WC 17534 HOPKINS, CHAD UNIVERSITY OF ILLINOIS 04/26/17 REISMAN LAW OFFICE GANAN & SHAPIRO 375 17WC 17560 DAVIS, DOROTHY R TRW 11/28/16 ASHER & SMITH HOLTKAMP LIESE ET AL 376 17WC 17665 WALKER, VIVIAN CENTRAL EAST ALCOHOLISM & 03/16/17 FREDERICK & HAGLE 377 17WC 17987 ORR, RICHARD CITY OF MATTOON 02/14/17 SMITH LAW LTD RUSIN & MACIOROWSKI LTD 378 17WC 18345 HELMUTH, STANLEY G&E TRANSPORT 01/11/17 HELLER HOLMES & ASSOC JAMES M KELLY 379 17WC 18493 CONOVER, JEFFREY DEAN KRAFT INC N/K/A HEINZ KRA 07/10/15 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 380 17WC 18511 LIKYA, FIFI EXPRESS EMPLOYMENT 01/30/17 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 381 17WC 18608 PETTIS, NAKIA BROOKDALE INDEPENDENT LIV 06/16/17 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 382 17WC 18736 CRESS, BRADLEY SILGAN CONTAINERS 04/09/15 SPIROS LAW PC HENNESSY & ROACH 383 17WC 18925 COMPTON, CLAUDETTE C. SECURITAS SECURITY SVCS 01/31/17 KANOSKI BRESNEY 384 17WC 19145 CURRY, KRISTAFER UNIVERSITY OF ILLINOIS 05/19/17 LEE, MARK N LAW OFFICE 385 17WC 19291 CURRY, KRISTAFER UNIVERSITY OF ILLINOIS 05/08/17 LEE, MARK N LAW OFFICE 386 17WC 19440 STENBERG, CHAD CHARLES INDUSTRIES, LTD 03/23/17 COLLISON LAW OFFICES INMAN & FITZGIBBONS 387 17WC 19757 PETTIS, NAKIA BROOKDALE INDEPENDENT LIV 06/16/17 DWORKIN AND MACIARIELLO ROSARIO CIBELLA 388 17WC 20243 MCFARLAND, ANGELA DSC LOGISTICS 06/09/17 TUGGLE SCHIRO & LICHTENBER MC ANDREWS & NORGLE LLC 389 17WC 20409 SEYFERT, RICKY J REPUBLIC SERVICES 11/08/16 PATEL LAW PC GILDEA & COGHLAN 390 17WC 20448 HALLOWELL, BRIAN GLESCO ELECTRIC, INC 11/28/16 SPIROS LAW PC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 17WC 20535 SANDERS, ROBERT E FRONTIER COMMUNICATIONS 12/19/16 HASSAKIS & HASSAKIS LAW OFFICE PAUL LARIMORE 392 17WC 20847 SMITH, ELIJAH M. EXPRESS EMPLOYMENT 04/10/17 ANESI OZMON RODIN NOVAK KO MC ANDREWS & NORGLE LLC 393 17WC 21250 FREEMAN, BRIAN PEPSICO 10/20/15 KATZ FRIEDMAN EAGLE ET AL 394 17WC 21593 VARNER, STEVEN BILLY CO. DBA A1 PAVEMENT 06/07/17 SPIROS LAW PC RODDY LAW LTD 395 17WC 21985 FLESSNER, MARK JTL CARRIERS LLC 02/22/17 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 396 17WC 22064 LILLARD, LAWRENCE RANTOUL FOODS 07/12/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 397 17WC 22311 JOHNSTON, HARVEY WAL-MART STORES INC 04/15/17 KANOSKI BRESNEY GANAN & SHAPIRO 398 17WC 22392 FLAISHANS, SUZETTE STATE OF ILLINOIS - DOT 07/10/17 BURNETT & CARON, LTD 399 17WC 22548 DUZAN, PAT EASTERN ILLINOIS UNIVERSI @ 07/09/15 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 400 17WC 22723 GARRETT, RODNEY LABOR READY 07/31/16 WOODRUFF & JOHNSON 401 17WC 22759 AUTEBERRY, JOHN ASL SOUTIONS 07/19/17 MOSS & MOSS PC 402 17WC 22940 SCHREDER, DUSTINC LABOR READY(LOANING EMPL) 08/03/17 BOSHARDY LAW OFFICE PC BRADY, CONNOLLY & MASUDA, PC 403 17WC 23091 CHIRCHIRILLO, DEAN VISCOFAN, USA INC 07/31/17 GARY JOE STOKES 404 17WC 23205 DEFRATES, RACHEL MANPOWER (MATTOON) 07/18/17 PETER F FERRACUTI & ASSOCI 17WC023206 -C PINNACLE FOODS/ LENDER'S 405 17WC 23271 STEEN, MICHAEL GSI GROUP INC 02/12/15 MOSS & MOSS PC FEATHERSTUN GAUMER POSTLEWAI 406 17WC 23277 STEEN, MICHAEL GSI GROUP INC 04/23/17 MOSS & MOSS PC FEATHERSTUN GAUMER POSTLEWAI 407 17WC 23550 EATON SR, RAY FLEX-N-GATE 05/05/17 WOODRUFF & JOHNSON 408 17WC 24175 FORTNER, MONA MEIJER 07/25/17 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 409 17WC 24540 BILLINGS, DENNIS FREIGHT CAR SVCS 07/01/16 KATZ FRIEDMAN EAGLE ET AL SPIEGEL & CAHILL, PC 410 17WC 24612 FAUST, PATRICIA HOBBICO 11/21/16 SPIROS LAW PC KNELL LAW LLC 411 17WC 24692 FLANDERS, SANDRA K CHAMPAIGN URBANA NURSING 09/09/16 KANOSKI BRESNEY BRADY CONNOLLY & MASUDA PC 412 17WC 24808 OSBORN, MARK SPARKS AUTO CARE 10/05/16 DWORKIN AND MACIARIELLO 413 17WC 25007 ASHWORTH, DAKOTA RURAL KING 03/11/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 414 17WC 25328 CHOUNARD, STANLEY, JR CAMPUS PROPERTY MANAGEMEN 08/19/17 SCHUM LAW PC 415 17WC 25537 WILLIAMS, GERALD CENTRAL ILLINOIS MFG 03/27/17 DWORKIN AND MACIARIELLO 416 17WC 25613 BRADBERRY, JOSH WORE FOUNDRY 04/05/16 MCCARTHY ROWDEN & BAKER 417 17WC 25723 LIFFICK, BRYAN ALLSTAFF TECHNICAL 07/16/16 MARKS INJURY LAW 418 17WC 26199 HONN, ANNETTE PILOT/FLYING J TRUCK STOP 08/03/17 TUGGLE SCHIRO & LICHTENBER BRADY, CONNOLLY & MASUDA, PC 419 17WC 26431 SALAZAR, ORLANDO MERVIS INDUSTRIES 02/05/17 TUGGLE SCHIRO & LICHTENBER LITCHFIELD CAVO 420 17WC 26445 VARALLO, HARRY H JR. AGRI-FAB INC 05/17/17 KANOSKI BRESNEY RODDY LAW LTD 421 17WC 26449 O'BRYAN, KENNETH KRAFT HEINZ FOODS COMPANY 06/23/17 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 422 17WC 26620 DORRIS, RICHTRESHA CARLE FOUNDATION HOSPITAL 08/14/17 DWORKIN AND MACIARIELLO 423 17WC 26689 RING, ANTHONY N PRO AMBULANCE 06/22/17 KANOSKI BRESNEY 424 17WC 26718 SWINFORD, JASON ILLINOIS DEPT OF CORRECTI @ 08/23/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT AT0TORNEY GENERAL 425 17WC 26801 TOOKER, GARY AIMCO 12/11/16 WOODRUFF & JOHNSON HENNESSY & ROACH 17WC026802 -C 426 17WC 26935 KREMER, KALEB M RURAL KING 09/01/17 SMITH LAW LTD HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 427 17WC 27392 HARMON, BRAD DALTON & SON SEAMLESS 10/20/15 LAW OFFICE OF PAUL E SELIN BRYCE DOWNEY & LENKOV LLC 428 17WC 27701 SIMS, ROBERT MANITO TRANSIT 07/15/17 LAW OFFICE DAVID HUNT 429 17WC 27910 EHLEY, EARL UNIVERSITY OF ILLINOIS 09/06/17 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 430 17WC 27934 WATHEN, MARK LIBMAN COMPANY 10/02/16 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEVEN PILAND 431 17WC 28231 TESTER, ROBERT D JR GREEN STREET REALTY 08/11/17 MARSZALEK AND MARSZALEK 432 17WC 28357 GONZALEZ, JUAN FEUTZ CONTRACTORS, INC 07/11/17 LEE, MARK N LAW OFFICE KNELL LAW LLC 433 17WC 28384 JENKINS, JAMIE LYNN RENZENBERGER INC 06/08/17 BRADY, CONNOLLY & MASUDA, PC 434 17WC 28696 MOUNKA, TIMOTHEE KRAFT HEINZ 03/02/17 SCHUM LAW PC 435 17WC 28934 SCOTT, DANTE ELITE STAFFING 09/25/17 WOODRUFF & JOHNSON 436 17WC 29702 LEE, ANTOINE JELD-WEN 09/14/17 PATEL LAW PC BRADY CONNOLLY & MASUDA PC 437 17WC 29729 JUNGLAS, JENNIFER R VOYLES ENTERPRISES 09/02/16 SPIROS LAW PC 438 17WC 29741 HALL, MICHAEL COLES COUNTY SHERIFF'S DE 06/01/17 SMITH LAW LTD 439 17WC 29870 HOWARD, ROSALIND CASEY'S GENERAL STORES, I 09/06/17 SCHUM LAW PC 440 17WC 30134 DUNCAN, HOLLY CCAR INDUSTRIES 02/20/17 TAPELLA & EBERSPACHER LLC 441 17WC 30165 JOHNSTON, ARCHIE CHAMPAIGN-DANVILLE 07/21/17 FREDERICK & HAGLE 442 17WC 30469 ROGERS, CHARLES ROWE 07/11/17 DWORKIN AND MACIARIELLO 443 17WC 30536 SAVAGE, FALON CHAMPAIGN COUNTY NURSING 05/19/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 444 17WC 30572 ARNOLD, DENNIS RURAL KING 07/15/17 DENNIS ATTEBERRY HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 17WC 30689 CASTLEBERRY, RHONDA CENTRAL ILLINOIS CARE SER 05/03/17 MUELHAUSEN & STEFANI COZZI & GOGGIN-WARD 446 17WC 30710 CARPENTER, WALTER MCDONALD'S 10/02/17 DWORKIN AND MACIARIELLO 447 17WC 30907 HILL, SHARITA KRAFT FOODS 08/29/17 SPIROS LAW PC BRUCE WARREN 448 17WC 31012 WILLIAMS, DAWN FIRST STUDENT INC 05/23/17 WOODRUFF & JOHNSON 449 17WC 31594 EMBRY, TAMMIE LSC COMMUNICATIONS 09/01/17 SMITH LAW LTD NYHAN BAMBRICK KINZIE & LOWR 450 17WC 31742 EDWARDS, GEORGE RANTOUL FOODS 08/26/17 DWORKIN AND MACIARIELLO 451 17WC 31807 HOWARD, LISA A PRESENCE UNITED 08/25/17 KANOSKI BRESNEY INMAN & FITZGIBBONS 452 17WC 31834 HUBBARD, ANTHONY U OF I 04/19/17 LEE, MARK N LAW OFFICE BRUCE WARREN 453 17WC 32060 WHITE, CHRISTOPHER EVAPCO 07/18/17 HELLER HOLMES & ASSOC 454 17WC 32412 WILBUR, DAVID ILLINOIS DEPARTMENT @ 08/30/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 455 17WC 32487 MIKE, JONATHAN COMMUNITY WHOLESALE TIRE 09/18/17 WIEDNER & MCAULIFFE LTD 456 17WC 32639 BEHL, STEVEN GALASSI MASONRY CONTRACTO 11/13/14 WALTON TELKEN FOSTER LLC 457 17WC 32693 THOMAS, ERCELYN L KRAFT HEINZ COMPANY, INC 09/26/17 PETER T BORICH 458 17WC 33167 MC BEE, CHARLES BUNGE 07/28/16 TUGGLE SCHIRO & LICHTENBER 459 17WC 33180 FEAR, DEENA J THE HERSHEY COMPANY 04/30/17 JAMES RUPPERT 460 17WC 33275 O'BRYAN, NICOLA CHAMPAIGN UNIT 4 SCHOOL 08/22/17 WOODRUFF & JOHNSON 461 17WC 33482 GOBLE, DARRELL SILVER BROS, INC 08/01/17 BURNETT & CARON, LTD HENNESSY & ROACH 462 17WC 33646 PEACOCK, CHARLES UNIVERSITY OF IL 10/20/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 17WC 33789 ZEIGLER, LISA UNIVERSITY OF ILLINOIS @ 09/22/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 464 17WC 34019 COLLEEN, DEBRA L DANVILLE METAL STAMPING 06/06/17 KANOSKI BRESNEY 465 17WC 34672 WATTS, FRANTESHA K CHAMPAIGN COUNTY 11/11/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 466 17WC 34961 MCLAUGHLIN, MARVIN CHARLES INDUSTRIES 10/10/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 467 17WC 35161 JIMENEZ, RAQUEL MCDONALD'S 07/12/17 BURNETT & CARON, LTD 468 17WC 35462 ZORN, BRUCE LYONS, LLC 10/02/17 CHRIS WETZEL WOLFE & JACOBSON, LTD 469 17WC 35728 COX, GREGORY A LIBMAN CO 11/14/17 ASHER & SMITH 470 17WC 35911 MITCHELL, MARY E HOBBICO 07/20/17 SPIROS LAW PC KNELL LAW LLC 471 17WC 35965 SIMONS, JEFF RURAL KING SUPPLY, INC 10/21/17 SMITH LAW LTD HENNESSY & ROACH 472 17WC 36133 WILLAMS, GERALD WATERS OF AMERICA 11/22/17 WARREN E DANZ, PC SMITH AMUNDSEN LLC 473 17WC 36140 HEADLEY, DENISE J CIRCLE K 03/01/17 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 474 17WC 36191 MITCHELL, MIKE INNOVATIVE STAFF SOLUTION 10/04/17 SHAY & ASSOCIATES BRUCE WARREN 475 17WC 36244 JAMES, SHAMOLIA FEDEX GROUND 11/11/17 DWORKIN AND MACIARIELLO KOPKA, PINKUS DOLIN, PC 476 17WC 36449 ZIEMNISKEY, CHRIS ILLINOIS DEPARTMENT OF @ 10/03/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 477 17WC 36556 DAHL, DOUG U OF I 10/12/17 LEE, MARK N LAW OFFICE 478 17WC 36584 ARVISU, BEULAH I SYNERGY HOMECARE OF CENTR 05/28/17 KANOSKI BRESNEY 479 17WC 36675 SCHNEMAN, ANDREW D CITY OF CHAMPAIGN 09/22/17 THOMAS W DUDA CITY OF CHAMPAIGN 480 17WC 36782 WARD FROST, CAROLYN HIGHLAND PARK CVS L.L.C. 11/08/17 FREDERICK & HAGLE HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 17WC 37080 CRAWFORD, TONY L BAKER HUGHES OILFIELD 07/14/17 JAMES RUPPERT CRAIG & CRAIG 482 17WC 37121 DENNIS, BEATRICEJ DOLLAR TREE 01/11/15 MCCARTHY ROWDEN & BAKER BRYCE DOWNEY & LENKOV LLC 483 17WC 37179 BALDWIN, GREG MCLANE MIDWEST 05/03/14 RICH RICH COOKSEY PC KEEFE CAMPBELL & ASSOC LLC 484 17WC 37237 REED, BLAKE INTERSTATE COMMODOTIES 10/28/15 KNELL & O'CONNOR 485 17WC 37439 HENNING, KATIE PINNACLE FOODS INC 12/09/16 SPIROS LAW PC INMAN & FITZGIBBONS 486 17WC 37588 TAYLOR, TREMAINE EXPRESS EMPLOYMENT 07/20/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 18WC005674 -C 487 17WC 37664 FAIRMAN, MICHAEL PRAIRIEVIEW LANDSCAPING C 09/15/17 WOODRUFF & JOHNSON 488 17WC 37804 ROBINSON, TINA JENNY CRAIG (JC USA INC) 09/23/17 SEIDMAN MARGULIS & FAIRMAN STEPHEN H LARSON LAW OFFICE 489 17WC 38036 MONTGOMERY, SHAWN JACOBSON TRUCKING 12/07/17 BROWN & CROUPPEN RUSIN & MACIOROWSKI LTD 490 18WC 00039 MC CLAIN, RUSSELL HEARTSIDE FOODS SOLUTIONS 06/17/17 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 491 18WC 00175 DUZAN, RICHARD B EASTERN ILLNOIS UNIVERSIT @ 07/11/16 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 492 18WC 00519 CAMPBELL, DUSTIN LIBMAN 12/07/17 DWORKIN AND MACIARIELLO 493 18WC 00559 CRIOLLO, FRANKLIN GUARDIAN WEST 01/13/16 DODD & MAATUKA LLC BRUCE WARREN 494 18WC 00688 COLUNGA, DANIEL PEPSI CO 02/17/17 SPIROS LAW PC 495 18WC 00774 PURVIS, WAYNE MASTER BRAND CABINETS 07/12/17 KATZ FRIEDMAN EAGLE ET AL DUGAN & VOLAND 496 18WC 00876 CHENOWETH, BLAKE PEPSICO 12/23/17 GARY JOE STOKES BRUCE WARREN 497 18WC 00959 LUSTER, JAMES J YARGUS MFG, INC 01/11/15 MEYER, MICHAEL J 498 18WC 01048 RIGGLE, SPRING RESCARE HOME CARE 01/18/17 SPIROS LAW PC SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 18WC 01543 NELSON, CHERYL KIK 07/31/17 WARREN E DANZ, PC POWER & CRONIN LTD 500 18WC 01789 WHITE, DESSERI NEW MIDWEST HOTELS, LLC 06/18/17 NESSLER, FREDERIC LAW OFFI 501 18WC 02013 VICKERS, JAMES D GROWMARK, INC.- ILLINI FS 04/06/16 HEYL ROYSTER VOELKER & ALLEN 502 18WC 02046 ROOF, JAMES THOMAS HALLECK 02/12/15 BLOCK, KLUKAS & MANZELLA P SCOPELITIS GARVIN LIGHT 503 18WC 02179 ASHFORD, DONNELL FEDEX GROUND 12/27/17 SPIROS LAW PC 504 18WC 02204 DILLARD, WILDON STORMHAWK CONSTRUCTION CO 12/29/17 FREDERICK & HAGLE 505 18WC 02354 LINNABARY, JENNIFER RURAL KING 10/30/17 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR 506 18WC 02391 WASHINGTON, LATANYA URBANA SCHOOL DISTRICT 11 11/07/17 WOODRUFF & JOHNSON 507 18WC 02614 BRANDT, JONATHAN FED EX GROUND 06/22/16 SPIROS LAW PC 508 18WC 02618 CROSS, BONITA CHAMPAIGN COUNTY HEAD STA @ 09/20/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 509 18WC 02716 SHUTTER, SHANNON PIGGUSH SIMONEAU, INC 08/02/17 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 510 18WC 02819 WILDER, CINDY A BROOKSTONE OF MATTOON SOU 01/12/17 PARK LAW OFFICE RODDY LAW LTD 511 18WC 03012 HARVEY, BRYANNA PENN STATION 10/09/17 ALLEN, KENNETH J 512 18WC 03203 EIX, KEITH RURAL KING 11/11/17 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH 513 18WC 03313 JOHNSON, MARSHANNA SCHNEIDER NATIONAL CARRIE 01/10/18 SCHUM LAW PC HENNESSY & ROACH 514 18WC 03333 WHITE, TERESA CANTEEN, INC 11/22/17 BURNETT & CARON, LTD 515 18WC 03729 ANAYA, JESUS J RG CONSTRUCTION SVCS, INC 10/27/17 SALGADO, DAVID L MACIOROWSKI SACKMANN & ULRIC 516 18WC 03770 CLARK, DAMON INDIVIDUAL ADVOCACY GROUP 10/14/17 PATEL LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 18WC 04002 MORRIS, GARY CHI OVERHEAD DOORS 01/16/18 HELLER HOLMES & ASSOC 518 18WC 04066 ANDREWS, LAWRENCE VISCOFAN USA 08/29/17 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 519 18WC 04114 ORBERSON, VICTOR DUCE CONSTRUCTION 11/10/17 SPIROS LAW PC 520 18WC 04726 MOSER, SAMANTHA A CHRISTIE CLINIC * 06/07/17 KANOSKI BRESNEY STEVEN PILAND 521 18WC 04734 SHANK, DONALD WHITE LINE EXPRESS * 10/18/17 TUGGLE SCHIRO & LICHTENBER 522 18WC 04906 RICHARDSON, MARK SUPER VALUE INC * 05/04/16 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 523 18WC 05395 GRAY, CALVIN JR EXPRESS EMPLOYMENT * 11/08/17 KANOSKI BRESNEY 524 18WC 05480 RAMSEY, BILL MATTOON COMM SD #2 * 10/14/16 KATZ FRIEDMAN EAGLE ET AL 525 18WC 05540 WILDER, CINDY A MERIDIAN SENIOR LIVING * 05/11/15 PARK LAW OFFICE 526 18WC 05670 GUMM, AMBER D UNIT 7 SCHOOLS * 11/02/17 KANOSKI BRESNEY 527 18WC 05741 WILSON, ANDREA LSC COMMUNICATIONS * 08/17/17 TAPELLA & EBERSPACHER LLC NYHAN BAMBRICK KINZIE & LOWR 528 18WC 05769 DOEDEN, JUDY WATCHFIRE SIGNS * 04/14/17 TUGGLE SCHIRO & LICHTENBER 529 18WC 05778 DOEDEN, JUDY WATCHFIRE SIGNS * 08/10/15 TUGGLE SCHIRO & LICHTENBER 530 18WC 05870 PATRIDGE, ANN CIRCLE OF FRIENDS ADULT D * 11/08/17 KANOSKI BRESNEY 531 18WC 06035 WATSON, ELIZABETH LOWE'S COMPANIES, INC * 08/01/17 SCHUM LAW PC KEEFE CAMPBELL & ASSOC LLC 532 18WC 06205 GATES, TERRY CIY OF PARIS * 01/14/15 MOSS & MOSS PC INMAN & FITZGIBBONS 533 18WC 06382 GATES, TERRY CITY OF PARIS * 04/08/15 MOSS & MOSS PC INMAN & FITZGIBBONS 534 18WC 06442 GATES, TERRY CITY OF PARIS * 04/18/17 MOSS & MOSS PC INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 535 18WC 06578 KEEFER, RYAN W FEDEX GROUND * 05/30/16 536 18WC 06664 FORD, RANDY LANZ HEATING AND COOLING, * 11/09/17 MCCARTHY ROWDEN & BAKER 537 18WC 06736 BANNER, JOYCE L CHAMPAIGN URBANA NURSING * 10/17/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 538 18WC 07280 MURPHY, SCOTT SYGMA * 11/01/17 SPIROS LAW PC HENNESSY & ROACH 539 18WC 07342 SPIDLE, TIM CITY OF MATTOON * 01/11/18 KATZ FRIEDMAN EAGLE ET AL 540 18WC 07773 CARTER, JOHN CHI OVERHEAD DOORS INC * 09/26/16 MICHAEL M WOJITAS 541 18WC 07794 MAHONEY, KEVIN AREA DISPOSAL SERVICE, IN * 01/02/18 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 542 18WC 07808 BROWN, BRENDA MERCK CO * 02/16/17 HAXEL LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 543 18WC 07942 POOLE, DANIEL GUARDIAN WEST * 03/08/18 WOODRUFF & JOHNSON 544 18WC 08066 CORTES, GLORIA L ELITE STAFFING * 03/03/18 PETER T BORICH 545 18WC 08504 HAUGEN, KRISTINA CITY OF CHAMPAIGN * 06/16/17 546 18WC 08532 BERLATSKY, MARK REGENCY CONSOLIDATED * 01/26/18 SPIROS LAW PC 547 18WC 08708 FLORIDA, ERNEST LSC COMMUNICATIONS * 01/07/17 DWORKIN AND MACIARIELLO 548 18WC 08800 OHNESORGE, DENNIS VESUVIUS * 11/28/17 KATZ FRIEDMAN EAGLE ET AL QUINN JOHNSTON HENDERSON ETA 549 18WC 08866 BRANDT, AMY NORTH AMERICAN LIGHTING I * 12/01/16 STRONG LAW OFFICE STEPHEN CARTER 550 18WC 08892 ROOT, JASON L CITY OF MATTOON * 11/21/17 FERGUSON, MARK E LTD 551 18WC 08925 ROSE, JAMES E EASTERN IL UNIVERSITY @ * 08/15/17 ASHER & SMITH ASSISTANT AT0TORNEY GENERAL 552 18WC 09225 JACKSON, MATT AMEREN * 02/28/18 MUELHAUSEN & STEFANI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 553 18WC 09347 GILL, MITCHELL CHARLES INDUSTRIES * 06/26/17 SPIROS LAW PC 554 18WC 09850 PRATT, CHRISTOPHER DEVONSHIRE VILLAGE * 01/12/18 TUGGLE SCHIRO & LICHTENBER 555 18WC 10050 BOZA, JOHN COUNTY OF WILL HIGHWAY DE * 11/22/17 BLOCK, KLUKAS & MANZELLA P HINSHAW & CULBERTSON 556 18WC 10100 WELLS, SAMANTHA CARLE ARROW AMBULANCE * 01/05/17 TUGGLE SCHIRO & LICHTENBER 557 18WC 10361 SHANNON, BRIAN C PERFORMANCE FOOD GROUP * 05/17/16 KANOSKI BRESNEY 558 18WC 10532 COON, COTY CRAIG BLACKWELL * 03/28/18 DWORKIN AND MACIARIELLO 559 18WC 10662 SHOTT, NANCY HORIZON HOBBY * 12/13/17 MCCARTHY ROWDEN & BAKER 560 18WC 10735 MARLOW, DAVID COLLINS & HERMANN * 01/26/18 SAUNDERS CONDON & KENNY 561 18WC 11006 WILCOXEN, ZACHARY MIDWEST ENGINEERING & TES * 07/31/17 KATZ FRIEDMAN EAGLE ET AL 562 18WC 11269 KISSEE, KIMBERLEY COUNTRY HEALTHCARE AND RE * 03/18/18 TUGGLE SCHIRO & LICHTENBER 563 18WC 11390 ZAHRN, KIMBERLY CHAMPAIGN UNIT 4 SCHOOL D * 02/28/18 SPIROS LAW PC 564 18WC 11464 COWLEY, JAMES QUAKER OATS * 07/18/17 BRUCE WARREN 565 18WC 11516 STEPHENS, TRAVIS IL DEPT OF CORRECTIONS @ * 01/06/18 SCHUM LAW PC ASSISTANT AT0TORNEY GENERAL 566 18WC 11595 SEIMER, BETTY WAL-MART SUPERCENTER * 11/14/17 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 567 18WC 11716 GREENWELL, SHAWN CRAWFORD COUNTY OIL LLC * 11/08/16 KEEFE & DEPAULI 568 18WC 11833 BROWN, ANNETTE VISTA OUTDOOR * 02/26/18 SPIROS LAW PC 569 18WC 11896 LOWE, RALPH WALMART * 01/13/18 SPIROS LAW PC GANAN & SHAPIRO 570 18WC 11974 ROBINSON, BRIDGETT KRAFT FOODS INC * 02/10/17 PAUL E SELIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 571 18WC 12048 PRATHER, JAMES A CITY OF HOOPESTON * 01/10/18 FREDERICK & HAGLE 572 18WC 12151 WALL, JAMES TRW AUTOMOTIVE * 12/07/16 MOSS & MOSS PC HOLTKAMP LIESE ET AL 573 18WC 12284 WELLS, RICKY LUKE QUAKER OATS * 11/17/17 MARSZALEK AND MARSZALEK THOMAS MAMER & HAUGHEY 574 18WC 12493 BRAY, MATTHEW CLIFFORD JACOBS FORGING C * 01/19/17 KEEFE & DEPAULI 575 18WC 12567 GARCIA, VALENTE FOR MCDONALD'S * 02/24/18 WOODRUFF & JOHNSON 576 18WC 12655 SEIMER, BETTY WAL-MART SUPERCENTER * 02/16/18 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 577 18WC 12682 PHILLIPS, WILLIAM RANTOUL FOODS * 03/12/18 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 578 18WC 12788 YAMBA, PAULINE M ELITE STAFFING * 04/13/18 PETER T BORICH 579 18WC 13204 BRITTON, EDDIE EXPRESS * 03/21/18 CULLEN HASKINS NICHOLSON MC ANDREWS & NORGLE LLC 580 18WC 13281 BEHREN, TYLER VON MIDWEST FIBER * 02/28/18 SPIROS LAW PC 581 18WC 13403 CLARETTE, JESSIE BANKIER APARTMENTS * 03/17/18 FREDERICK & HAGLE 582 18WC 13561 DORN, DONNA FLEX N GATE * 11/28/17 TUGGLE SCHIRO & LICHTENBER 583 18WC 13692 HARRIS, JOHNNIE UNIVERSITY OF ILLINOIS @ * 05/05/16 DODD & MAATUKA LLC 584 18WC 13926 MCEVERS, DAKOTA HALLBECK HOMES INC * 04/05/18 SPIROS LAW PC 585 18WC 14047 MOORE, KENNETH WALMART * 01/17/17 TUGGLE SCHIRO & LICHTENBER 586 18WC 14087 HAMICK, DEBORA QUAKER OATS/PEPSICO * 11/15/16 TUGGLE SCHIRO & LICHTENBER THOMAS MAMER & HAUGHEY 587 18WC 14357 MCCLAIN, AMANDA WALMART, INC * 04/17/18 FREDERICK & HAGLE QUINTAIROS PRIETO WOOD & BOY 588 18WC 14857 HAWKINS, BLAKE WAL-MART ASSOCIATES, INC * 02/15/18 GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR URBANA 48003 ON 06/26/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 18WC 14913 SAPP, PHILLIP W UNIVERSAL TRUCKLOAD, INC * 11/13/17 JAMES RUPPERT 590 18WC 14981 CONOUR, MARGIE BOARD OF TRUSTEES CMTYCOL * 12/08/17 TAPELLA & EBERSPACHER LLC 591 18WC 15020 GARRETT, DESJUAN FED EX GROUND * 03/27/18 SPIROS LAW PC 592 18WC 15085 BOWES, DAVIA HELIA HEALTH CARE * 02/24/18 SPIROS LAW PC 593 18WC 15205 JOHNSON, CHARMELLE UNIVERSITY OF ILLINOIS @ * 04/05/18 WOODRUFF & JOHNSON 594 18WC 15238 BEAR, BONITA L WACKENHUT CORPORATION * 06/12/17 KANOSKI BRESNEY 595 18WC 15299 DILLON, JEFFERY EXPRESS EMPLOYMENT PROF * 05/13/18 TAXMAN POLLOCK 596 18WC 15359 QUINLAN, THOMAS UNIVERSITY OF ILLINOIS * 01/09/18 WOODRUFF & JOHNSON 597 18WC 15438 WILLIAMS, DAVID BRIDGEMART-HELIA HEALTHCA * 12/14/17 DWORKIN AND MACIARIELLO 598 18WC 15609 COTTRELL, WILLIAM IL DEPT OF NATURAL RESOUR @ * 07/04/17 TUGGLE SCHIRO & LICHTENBER 599 18WC 15724 PERRYMAN, ZACHARY RANTOUL FOODS * 12/28/17 TUGGLE SCHIRO & LICHTENBER 600 18WC 15766 NEWKIRK, DOUGLAS W TOTAL PRINTING SYSTEMS * 02/12/18 HASSAKIS & HASSAKIS PC