ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 97WC 40184 RECTOR, CRAIG CHRYSLER CORPORATION 08/16/94 SMOLER LAW OFFICE, PC WILLIAMS & MCCARTHY 97WC040185 -C 2 99WC 63640 BLEWETT, ARTHUR E WINNEBAGO COUNTY SHERIFF' 11/09/99 GESMER LAW OFFICES, PC WILLIAMS & MCCARTHY 3 07WC 40316 ZIEGLER, SARAH K ROCK VALLEY COLLEGE 09/11/06 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 4 07WC 46356 MALM, SHANE RUBLOFF EXCAVATION 12/18/06 BLACK & JONES HINSHAW & CULBERTSON 5 08WC 18566 PARSONS, STEVE A THE KROGER CO 09/03/05 BLACK & JONES STONE & JOHNSON CHARTERED 6 08WC 40465 GONZALEZ, RENEE L MARTY JOHNSON, IND & D/B/ W 08/28/08 GESMER LAW OFFICES, PC 7 09WC 06025 MAYER, MARIA GRUPO ANTOLIN 10/20/08 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 11WC030087 -C 14WC020993 -C 15WC039086 -C 8 09WC 09385 MARTINEZ, MONICA GENERAL MILLS 06/04/08 BLACK & JONES PAUL A COGHLAN & ASSOC 9 09WC 10896 MAIM, SHANE RUBLOFF EXCAVATING 04/28/08 BLACK & JONES HINSHAW & CULBERTSON 10 09WC 11810 DIAZ, IMILDA G DANAHER MOTION 12/04/07 BLACK & JONES GILDEA & COGHLAN 11 09WC 23881 TRONE, KAREN KOLB-LENA BRESSE BLEU INC 05/18/09 MOSS & MOSS PC RIPES NELSON BAGGOT KALOBRAT 09WC023882 -C 12WC003424 -C KOLB LENA BRESSE BLEU INC 12 09WC 36885 MATTHEWS, STEPHANIE T AMERICAN NATIONAL RED CRO 06/20/09 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 13 10WC 08435 MRSIC, GORAN JOB NETWORK 02/02/10 BLACK & JONES 14 10WC 21765 SEYMOUR, TERRY L IMAGE PRO'S 06/03/10 CACCIATORE, WILLIAM T HOLECEK & ASSOCIATES 15 10WC 28487 BUSH, TINA MARIE AROUND THE CLOCK 02/20/09 GOODE, MICHAEL C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 10WC 29688 SAGER, DEBRA DIXON MEYERS TRANSPORTATI 07/13/10 LAW OFFICE ILONKA ULRICH DOWD & DOWD LTD 17 10WC 32830 BAUER, PATRICIA ARROW ELECTRONICS INC 06/17/10 LOSS & PAVONE SLAVIN & SLAVIN 10WC032831 -C 18 10WC 43135 GONZALEZ, GUADALUPE GUNITE 10/09/10 BLACK & JONES RUSIN & MACIOROWSKI LTD 11WC009816 -C 11WC009817 -C 11WC009818 -C 19 10WC 49463 STOUFFER, BRIAN T BRIAN CARLSON IND & D/B/A W 09/17/10 GESMER LAW OFFICES, PC PROROK LAW OFFICE 20 11WC 09621 TAYLOR, PAULA STATE OF ILLINOIS @ 05/20/08 DREW J FERRACUTI MATTHEW LICAVOLI 21 11WC 09881 DIAZ, NANCY TK GROUP INC 01/17/11 GESMER LAW OFFICES, PC LAW OFFICES JOSEPH MARCINIAK 22 11WC 10061 MCINTOSH, SCOTT R CHRYSLER LLC 01/21/11 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 11WC010062 -C 12WC004854 -C 23 11WC 23485 MEACHAM, TERRANCE A H DOUGLAS SINGER MENTAL H @ 03/02/09 ALEXANDER, PETER LTD. MATTHEW LICAVOLI 24 11WC 26816 SABINE, LISA ANDROID INDUSTRIES 05/16/11 BLACK & JONES WIEDNER & MCAULIFFE LTD 25 11WC 35441 SOTO, MARION FIRST STUDENT 05/25/11 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 26 11WC 36227 WILLIAMS, BESSIE M CITY OF ROCKFORD 06/15/11 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 11WC036228 -C 27 11WC 36490 RIGGS, DONNA CHRYSLER 05/09/11 KINNALLY FLAHERTY KRENTZ & WIEDNER & MCAULIFFE LTD 28 11WC 37207 O'BRIEN, RUTH STATE OF ILLINOIS @ 02/16/11 BLACK & JONES ASSISTANT ATTORNEY GENERAL 11WC042096 -C DEPT OF HUMAN SERVICES 12WC044097 -C ST OF IL DEPT OF DORS 12WC044098 -C 29 11WC 47418 RUSSELL, MICHAEL ILLINOIS CONSTRUCTORS COR 11/29/11 PORRO NIERMANN LAW GROUP SLAVIN & SLAVIN 13WC041166 -C 30 12WC 01477 DALGARD, JAMES 2M EQUIPMENT, INC. W 09/15/11 BLACK & JONES PUMILIA LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 12WC 15719 BUCALO-BUSS, ROSE P HAMILTON-SUNDSTRAND UTC 06/14/10 KATZ FRIEDMAN EAGLE ET AL 32 12WC 24494 MADERO, DANIEL PETERS ENGINEERING INC 01/16/12 DEUTSCHMAN, JEFFREY S RUSIN & MACIOROWSKI LTD 13WC022496 -C 33 12WC 24588 REX, CHARLES ARCHER DANIELS MIDLAND CO 06/11/12 PIGNATELLI & ASSOCIATES SCHOUEST BAMDAS SOSHEA 34 12WC 31241 BRADFORD, TRAVIS COCA COLA ENTERPRISES 11/20/11 BLACK & JONES WIEDNER & MCAULIFFE LTD 13WC015260 -C 13WC030695 -C 35 12WC 36518 SAUNDERS, PAULETTE ROCKFORD BOARD OF EDUCATI 06/04/12 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 36 12WC 41446 WILLIAMS, ANGELA STATELINE STAFFING 01/13/11 LAWFIRST 37 13WC 05815 HAWTHORNE, MATTIE IL DHS REHAB DIVISION @ 05/07/10 LEE, MARK N LAW OFFICE ASSISTANT ATTY GENERAL 38 13WC 09075 BOTIC, FATA PBC LINEAR 03/27/07 BLACK & JONES COZZI & GOGGIN-WARD 39 13WC 09577 DEVLIEGER, RICHARD ROCKFORD POLICE DEPARTMEN 03/06/13 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 13WC009578 -C 40 13WC 10531 CUEVAS, LUIS ROCKFORD BOLT & STEEL CO 12/13/12 BLACK & JONES LAW OFFICES FRANCESCA LARSEN 41 13WC 11530 JOHNSON, WARREN R JR ROCKFORD PUBLIC SCHOOL DI 01/08/13 JOHN J CASTANEDA WIEDNER & MCAULIFFE LTD 42 13WC 15261 JONES, DEAN NICOR GAS 11/05/10 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 43 13WC 15449 DEVEREUEAWAX, JAVELLE CHRYSLER LLC 12/18/12 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 13WC015450 -C 44 13WC 17589 DIAZ, IMILDA G DANAHER MOTION 11/13/08 BLACK & JONES GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 13WC 18569 TAYLOR, BONNIE NORTHWEST EXPRESS 12/21/12 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 46 13WC 24498 BARTZ, JEFF ROCKFORD BICKFORD HOUSE L 09/17/12 GREG TUITE & ASSOC LAW OFFICES JOSEPH MARCINIAK 14WC036707 -C BICKFORD SENIOR LIVING 47 13WC 26783 MAFFEI, CARMELLA SWEDISH AMERICAN HOSPITAL 07/15/12 BLACK & JONES 48 13WC 32488 MOLITOR, RICK BEHR IRON & METAL INC 10/26/12 BLACK & JONES COZZI & GOGGIN-WARD 17WC005200 -C 49 13WC 36817 CENTENO, ROSA JOB NETWORK 06/05/13 BLACK & JONES ADELSON TESTAN & BRUNDO 50 13WC 37156 ROGERS, ANTHONY JR CHRYSLER LLC 10/26/13 KATZ FRIEDMAN EAGLE ET AL 51 13WC 39618 WILSON, GENITA T CHRYSLER GROUP LLC 11/02/13 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 52 13WC 40381 ALEXANDER, DIANE ROCKFORD SPRING CO 04/20/13 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 53 13WC 42228 MARTIN, MARY ANN MENARDS 08/30/12 BLACK & JONES 54 14WC 03074 CAMACHO, ANA PACKAGING COORDINATOR INC 12/26/13 GOLDSTEIN BENDER & ROMANOF LAW OFFICES OF EDWARD J. KOZ 55 14WC 03161 BANGASSER, SUSAN COBALT MEDPLANS 06/26/13 GESMER LAW OFFICES, PC GRANT & FANNING 56 14WC 05975 JUBY, SAMANTHA ASHA SALON & SPA 12/18/13 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 57 14WC 06552 MCLESTER, LARRY E CHRYSLER CORPORATION 12/20/13 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 58 14WC 06678 ALLEN, MEGAN STATELINE STAFFING 07/31/13 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 59 14WC 07200 RICHARDSON, MARIA BERGSTROM 12/21/12 BLACK & JONES WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 14WC 07683 ORLANDI, DOMINIC A CITY OF ROCKFORD 08/21/12 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 61 14WC 08027 HALL, TIM DASCO PRO 09/27/13 BLACK & JONES GANAN & SHAPIRO 17WC015012 -C 62 14WC 08766 ROCHA, MARIA BREMNER FOOD GROUP 03/03/14 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 14WC008767 -C 14WC008768 -C 63 14WC 10017 KAHL, SHERRIE FREEPORT MEMORIAL HOSPITA 01/15/14 GESMER LAW OFFICES, PC GAROFALO SCHREIBER STORM 64 14WC 10980 VILLAFUERTE, GUSTAVO PHILLIPS W 09/07/12 BLACK & JONES ASSISTANT ATTORNEY GENERAL 65 14WC 11716 STEPHENS, LORI ROCKFORD DENTAL CARE 02/07/14 BLACK & JONES RUSIN & MACIOROWSKI LTD 66 14WC 12239 PINEDO, LUZ MARYS MARKET 03/31/10 LAWFIRST BRADY CONNOLLY & MASUDA PC 67 14WC 12716 HARTZELL, GREGORY C MONDELEZ GLOBAL LLC 01/28/14 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 68 14WC 12906 RIZZO, BRENDA CHRYSLER CORP 08/10/13 SKLARE LAW GROUP WIEDNER & MCAULIFFE LTD 69 14WC 13159 RODRIQUEZ, EMILIO CHRYSLER LLC 02/04/14 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 70 14WC 13389 BOSS, DUSTIN JAMCO PRODUCTS, INC. 03/18/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 71 14WC 14733 WESLEY, FELICIA DANFOSS DRIVES 07/15/12 BLACK & JONES COZZI & GOGGIN-WARD 72 14WC 16770 HIEB, DEANA OSF PRIMARY CARE 01/15/14 BLACK & JONES GAROFALO SCHREIBER STORM 73 14WC 16967 FERNANDES, JESUS TH FOODS, INC 01/01/12 BLACK & JONES HOLECEK & ASSOCIATES 74 14WC 17324 19B CZYZEWSKI, ANGELA NORMAN SLEEZER YOUTH HOME 04/11/14 FRANCINE B WHITE WIEDNER & MCAULIFFE LTD 14WC017343 -C 75 14WC 18863 MARTIN, RONNIE R THE BON TON STORES INC 02/19/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 76 14WC 19551 OSEGUEDA, ASCENCION CARNICERIAS JIMENEZ INC 06/21/12 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 77 14WC 20761 SNIDER, STEVEN G4S SECURE SOLUTIONS 03/25/14 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 78 14WC 22190 MANDERA, ANNA FCA US LLC 03/28/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 79 14WC 22521 SMITH, GLORIA RIVER BLUFF NURSING HOME 05/30/14 BLACK & JONES WILLIAMS MCCARTHY LLP 80 14WC 22841 MANNING, GERALD CHRYSLER LLC 06/30/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 81 14WC 23219 COOPER, WILLA INGERSOLL CUTTING TOOL 08/01/13 BLACK & JONES COZZI & GOGGIN-WARD 82 14WC 23837 STONE, MICHELE A IAC BELVIDERE CROSSLINK A 06/15/14 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 83 14WC 24166 NIEDERMEIER, TIMOTHY CITY OF ROCKFORD 06/07/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 84 14WC 24504 COLEMAN, WANDA MERCY HEALTH SYSTEM 06/28/12 BLACK & JONES COZZI & GOGGIN-WARD 85 14WC 25003 DUNN, KAMI NORTHWEST EXPRESS INC 04/10/13 BLACK & JONES 86 14WC 25004 AMADOR, LUZ ELENA ALDEN ALMA NELSON 05/31/12 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 14WC025005 -C 87 14WC 25928 CARRILLO, GERMAN PREFERRED ROOFING & SIDIN 07/16/14 LAW OFFICE EDWARD RUEDA 88 14WC 26193 CARON, GLYNN TRILLIUM INC 04/28/14 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 89 14WC 26392 ROBINSON-WHEELER, DEBORAH ILLINOIS DEPT OF HUMAN SV @ 06/19/14 NEWLAND & NEWLAND ASSISTANT ATTORNEY GENERAL 90 14WC 26448 CRUZ-MORALES, NELSON CHRYSLER LLC 04/02/14 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 91 14WC 27073 ALLEN, TROY JR LIEBOVICH STEEL 09/05/12 GESMER LAW OFFICES, PC POULOS & DIBENEDETTO LAW 92 14WC 27889 DOTSON, JANICE M ESA MANAGEMENT LLC D/B/A 07/22/14 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 93 14WC 29356 WRIGHT-KELLEY, JANEL BON TON 07/10/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 94 14WC 29373 FERNANDEZ, MARTHA QUALITY SUITES 03/07/14 GESMER LAW OFFICES, PC RUSIN & MACIOROWSKI LTD 95 14WC 29670 FERGUSON, PAHLLON ADLI, INC. 11/02/13 DWORKIN AND MACIARIELLO MACIOROWSKI SACKMANN & ULRIC 14WC029671 -C ALDI, INC. 96 14WC 30414 LARIOS, JOSE TITAN GROUP 07/01/14 BLACK & JONES SMITH AMUNDSEN LLC 97 14WC 30439 WILLIAMS, JOHN ROCHELLE FOODS INC 05/20/14 BLACK & JONES PAUL A COGHLAN & ASSOC 14WC030440 -C 98 14WC 31313 ALMENDARES, MARYSOL PACKAGING COORDINATORS IN 08/01/14 BLACK & JONES JOSEPH MARCINIAK 99 14WC 32337 SHERMAN, JOYCE ASTA CARE 07/13/14 GESMER LAW OFFICES, PC 100 14WC 33779 DECEGLIE, FAUSTO LITGEN CONCRETE CUTTING & 09/02/14 O'CONNOR & NAKOS QUINTAIROS PRIETO WOOD & BOY 101 14WC 34460 KINLEY, DELBERT C & D INTEGRATED 01/01/14 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 14WC034461 -C G & D INTEGRATED 102 14WC 35242 MARQUEZ, TONYA EMERY AIR INC 07/06/13 BLACK & JONES COZZI & GOGGIN-WARD 103 14WC 35775 GUERRERO, ADRIAN QUALITY CELLULAR INC 08/28/14 BARRICK SWITZER LONG ET AL RUSIN & MACIOROWSKI LTD 104 14WC 37555 MATHERLY, KATHRYN ANDROID INDUSTRIES 09/25/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 105 14WC 38751 KEATING, RAYMOND GREASE MONKEY MIDWEST 12/30/13 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 106 14WC 39369 GALLAGHER, DENNIS CHRYSLER LLC 04/12/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 107 14WC 39425 JORDON, PAMELA DELTA POWER 06/17/14 GESMER LAW OFFICES, PC HOLECEK & ASSOCIATES 108 14WC 39509 WILSON, JEREMY BEHR IRON & METAL 08/21/14 BLACK & JONES COZZI & GOGGIN-WARD 109 14WC 40851 19B DAVIS, TROY HLAVA INDUSTRIAL WELDING 10/21/14 GESMER LAW OFFICES, PC HANSON LAW OFFICE 110 14WC 40881 STIVERS, SHELLY ST OF IL DEPT OF TOLLWAY 01/17/14 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 111 14WC 40916 KURI, SOCORRO ARAMARK UNIFORM SERVICES 09/10/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 112 14WC 43250 KEY, DOUGLAS SPEEDY COURIER SERVICE IN 12/04/14 GESMER LAW OFFICES, PC RUSIN & MACIOROWSKI LTD 113 15WC 00134 BOYNTON, BRENDA SIEMENS ENERGY 09/19/14 GOLDBERG WEISMAN & CAIRO L KOPKA, PINKUS DOLIN, PC 114 15WC 00338 FOSTER, CINDY J CHRYSLER CORP 10/07/14 STROM, NEAL B WILLIAMS MCCARTHY LLP 115 15WC 00606 MABIE, KEVIN CHRYSLER LLC 08/28/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 116 15WC 01524 KIDD, JOHNNY SIEMENS WATER TECHNOLOGIE 01/16/12 HORWITZ HORWITZ & ASSOC KOPKA, PINKUS & DOLIN, PC 117 15WC 03706 WINDHAM, JUSTIN K. CITY OF ROCKFORD 09/06/12 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 118 15WC 04227 ARZATE, EMILY ROCKFORD MEMORIAL HOSPITA 11/06/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 119 15WC 05600 MC GEE, ELMER MONDELEZ INTERNATIONAL 01/01/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 120 15WC 05931 ABUDAYYEH, JACK PACCAR PARTS DIVISION 08/01/14 BLACK & JONES BRADY CONNOLLY & MASUDA PC 121 15WC 06171 ARRINGTON-KLECZEWSKI, WEN CHRYSLER CORPORATION - 10/02/14 LOUIS A PLZAK & ASSOCIATES WIEDNER & MCAULIFFE LTD 122 15WC 06487 SHUMAN, JODY WOOD EQUIPMENT 01/01/13 BLACK & JONES COZZI & GOGGIN-WARD 123 15WC 07507 MARTIN, LAWRENCE C IDOT 02/01/14 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 16WC003693 -C ILLINOIS DEPT OF TRANSPORT 16WC003695 -C 124 15WC 07709 BUSSAN, PHIL TITAN TIRE CO 03/09/12 WOLFE LAW PC GRANT & FANNING 15WC007710 -C 125 15WC 07926 POHLMAN, STACY FIRST STUDENT 03/05/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 126 15WC 08684 RUNKLE, JUDSON BERNER FOODS INC 01/07/14 BLACK & JONES CAPUANI, FRANK S 127 15WC 08948 JONES, CHRISTY WOODWARD GOVERNOR 07/28/14 GESMER LAW OFFICES, PC HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 128 15WC 09364 LEON, MARICELA GOLDEN CORRAL 02/28/15 TUITE LAW BRADY CONNOLLY & MASUDA PC 129 15WC 10001 HERBST, CINDY HAMILTON-SUNDSTRAND 02/19/15 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 130 15WC 10170 CHRISTIANSEN, WANDA J UNITED TECHNOLOGIES CORP 02/23/15 FRANCINE B WHITE MACIOROWSKI SACKMANN & ULRIC 131 15WC 10904 HOLLENBECK, BRIAN E RUSCO MANUFACTURING CO 03/13/15 GREG TUITE & ASSOC ROBERT L. SMITH 132 15WC 11285 HAGEN, MARTIN K CHRYSLER LLC 12/18/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 133 15WC 11509 LOUDERMILK, KEVIN SOURCE INTERLINK COMPANIE 10/23/13 134 15WC 11757 SUTHERLAND, JOE SOUTH BELOIT FIRE DEPARTM 01/01/15 BLACK & JONES RUSIN & MACIOROWSKI LTD 135 15WC 12333 SICKELS, VICKY FIRST GROUP AMERICA 01/26/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 15WC033865 -C 16WC003716 -C 136 15WC 12961 ROJAS, MARIA BERGSTROM INC 08/24/14 BLACK & JONES 137 15WC 13831 BENNETT, DAVID S BRIAN MCWILLIAMS, INDIVUA W 01/21/15 BLACK & JONES CHESTER R CHOSTNER, JR 138 15WC 14449 BILLINGSLEA, TOMMIE ROCK RIVER ACADEMY 12/30/14 BLACK & JONES MC ANDREWS & NORGLE LLC 15WC041064 -C 139 15WC 14664 JACOBSON, MELINDA AS SPEC PRECISION DRIVE & CONTROL # 04/09/13 PIGNATELLI & ASSOCIATES 140 15WC 15881 PHILLIPS, JILL TERESA ILLINOIS TOLLWAY 05/04/15 BARRY A KETTER NYHAN BAMBRICK KINZIE & LOWR 141 15WC 16968 SCALZITTI, MARY FCA US LLC 02/01/14 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 142 15WC 17711 MENDEZ, JOSE MANUEL PARK PLACE 05/28/15 BLACK & JONES BRADY CONNOLLY & MASUDA PC 18WC000573 -C 143 15WC 17736 CURRY, DEMICHA M. CHRYSLER 05/07/14 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 16WC001820 -C 144 15WC 17886 SCHLOSSER, RICHARD DOLLAR GENERAL 11/27/08 RIDGE & DOWNES LLC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 15WC 17953 ALLEN, GREGORY STATE OF IL @ 03/02/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 146 15WC 18307 YOUNG, STACY ROCKFORD P S DIST 205 09/29/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 147 15WC 18310 FLETCHER, JAMES WINNEBAGO COUNTY HWY DEPT 10/07/13 BLACK & JONES WILLIAMS MCCARTHY LLP 148 15WC 18483 STEVENS, CHARLES SHERWIN WILLIAMS 05/28/15 GESMER LAW OFFICES, PC GAROFALO SCHREIBER STORM 149 15WC 18806 HOFFMAN, KIMBERLY S ROCKFORD MEMEORIAL HOSPIT 04/02/15 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 150 15WC 19182 GRANDSTRAND, PHILIP M. GO EXCAVATING, INC. 05/20/14 HAUSER LAW LLC BORGELT POWELL 151 15WC 19274 BRUCE, JEROME GUNITE CORPORATION 02/18/15 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 152 15WC 19371 NEAL, JAMES JR COUNTY OF WINNEBAGO 08/05/14 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 153 15WC 19944 TOWNSEND, ANTHONY T CHRYSLER CORP 01/10/15 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 154 15WC 20568 TILLMAN, THOMAS CHRYSLER LLC 06/01/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 155 15WC 20856 TRAN, BANG ROCKFORD PROCESS CONTROL 05/17/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 15WC020857 -C 156 15WC 20984 ADAMS, TERESA FCA US LLC 04/07/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 15WC020985 -C 16WC005233 -C FAC US LLC 157 15WC 21636 LOVE-COCKRELL, REGENIA ROCKFORD BRD OF ED DIST # 02/07/14 FRANCINE B WHITE WIEDNER & MCAULIFFE LTD 158 15WC 22075 BENTLEY, PATRICIA GENERAL MILLS 11/25/14 CLARK FROST PAUL A COGHLAN & ASSOC 159 15WC 22588 PEARSON, KELLY CHRYSLER CORP 06/26/15 BLACK & JONES WILLIAMS MCCARTHY LLP 160 15WC 22617 OWENS, STEPHANIE COUNTY OF WINNEBAGO, RIVE 05/27/15 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 161 15WC 22649 MIMIER, ANNA K PRESENCE LIFE CONNECTIONS 10/13/13 GREG TUITE & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 15WC 23200 MCBRADY, MARK A CHRYSLER 06/26/15 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 163 15WC 23660 HUTSELL, ED CHRYSLER LLC 06/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC029499 -C 15WC029500 -C 164 15WC 23850 BLACK, KEVIN L CATCHING FLUID POWER 07/29/14 CACCIATORE, WILLIAM T HOLECEK & ASSOCIATES 165 15WC 23894 ANDERSON, JILL ST. ANTHONY'S MEDICAL CEN 07/12/15 KROL BONGIORNO & GIVEN LTD HINSHAW & CULBERTSON 166 15WC 24743 LAWRENCE, JOHN CHRYSLER 04/15/15 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 167 15WC 25222 BILLINGSLEY, BARBRA CHRYSLER LLC 10/15/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 168 15WC 26024 HAYNES, DUNSEY GUNITE CORP/ACCURIDE 08/16/12 BRADY & JENSEN RUSIN & MACIOROWSKI LTD 169 15WC 26557 REDNER, TERESA ANDROID INDUSTRIES 04/20/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 170 15WC 27798 HUFF, ROSE TRANSMETRO DBA ON THE ROC W 01/09/15 BLACK & JONES 171 15WC 28717 ZAVAGLI, THOMAS COUNTRY FINANCIAL 05/03/15 RUBENS AND KRESS INMAN & FITZGIBBONS 172 15WC 28948 OLSON, JONATHAN QPS EMPLOYMENT GROUP 11/15/14 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 173 15WC 29567 MARTINGILIO, KATHY OSF SAINT ANTHONY MEDICAL 05/24/15 BLACK & JONES HINSHAW & CULBERTSON 174 15WC 30802 ZUNIGA, FRANCISCA CHRYSLER CORP 11/06/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 175 15WC 31528 FIERRO, ANTONIO COMTRAK LOGISTIC, INC 09/25/13 HORWITZ HORWITZ & ASSOC SCOPELITIS GARVIN LIGHT 176 15WC 33439 HAYNES, DUNSY GUNITE CORP/ACCURIDE 10/31/12 BRADY & JENSEN RUSIN & MACIOROWSKI LTD 177 15WC 33513 TROST, SUZANN MCCURDY TOOL 04/14/15 BLACK & JONES HOLECEK & ASSOCIATES 178 15WC 34848 SUMPTER, PATRICIA V CHRYSLER CORP 08/17/15 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 179 15WC 34869 ESTES, CHARLES ROCKFORD SCHOOL DISTRICT 10/14/15 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 15WC 35196 KENNEDY, RICHARD CITY OF ROCKFORD 08/05/15 FOOTE MIELKE CHAVEZ & O'NE HEYL ROYSTER VOELKER & ALLEN 181 15WC 35422 WILLIAMS, JENNY VAN MATRE HEALTH S REHAB 09/29/15 GESMER LAW OFFICES, PC SPIEGEL & CAHILL, PC 182 15WC 36593 LIEBER, STACEY HEALTHPORT 10/30/15 BLACK & JONES THOMAS & PORTELA 183 15WC 37675 SEDOLS, RHONDA ROCKFORD BELL CREDIT UNIO 01/26/15 PARENTE & NOREM PC 184 15WC 38095 SCOTT, ERIC TRADESMAN INTL 09/13/15 185 15WC 38127 MORSE, JAMIE TDS AUTOMOTIVE HOLDINGS, 10/26/15 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 186 15WC 38237 CORTES, BERNARDINO A. THE BON TON STORES INC. 10/08/15 GESMER LAW OFFICES, PC BRADY CONNOLLY & MASUDA PC 187 15WC 38479 LEBER, JONATHAN F CARRIER COMMERCIAL 02/01/13 GREG TUITE & ASSOC 188 15WC 38654 SANCHEZ, JEFF ABEL'S LANDSCAPING W 11/06/15 GESMER LAW OFFICES, PC 189 15WC 38888 ROBINSON, WILLIE TITAN TIRE CORP 08/26/15 JAMES J BURKE LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 190 15WC 39917 KLOEPPING, MARK WOODS EQUIPMENT CO 09/01/15 PIGNATELLI & ASSOCIATES 191 15WC 41707 MICHALSEN, JULIE CITY OF ROCKFORD 03/01/15 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 192 15WC 41743 VIERCK, GENE GLENN JOHNSON 11/30/15 FRANKS, GERKIN & MCKENNA P 193 15WC 41746 VIERCK, GENE GLENN JOHNSON 10/02/15 FRANKS, GERKIN & MCKENNA P 194 15WC 42196 ALLEN, LORENZO PEARL VALLEY FARM EGGS 11/29/15 MARKS & ASSOCIATES 195 15WC 42249 BOOSE, CHRISTOPHER TRANSPORT AMERICA 11/24/15 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 196 15WC 42252 ZIERLER, SHELLY MEIJER 07/01/15 BLACK & JONES KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 15WC 42333 HERREN, PAUL V. SEDEXO 04/14/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 198 16WC 00481 ZILZ, JACK TERRACON CONSULTANTS, INC 07/27/15 THE FITZ LAW GROUP STEPHEN H LARSON LAW OFFICE 16WC012455 -C 16WC012456 -C 16WC012457 -C 199 16WC 00766 KEEHLER, BRITNEY OREGON LIVING AND REHAB C 01/20/15 BLACK & JONES GALLIANI DOELL & COZZI LTD 200 16WC 01290 WALTER, JOHN FCA US LLC 04/07/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 201 16WC 01532 BARBER, SCOTT ROCK RIVER WATER 05/07/15 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 202 16WC 01880 ST CLAIR, DAVID FN SMITH CORPORATION 10/16/13 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 203 16WC 01913 HRIBAL, SARAH ANDROID INDUSTRIES 02/03/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 204 16WC 02524 DUCKETT, ROSHAWNDA D SECRETARY OF STATE @ 01/14/16 WILLIAMS, ROBERT B LAW OFF ASSISTANT ATTORNEY GENERAL 205 16WC 03171 LINDSEY, WILLIAM CHRYSLER CORP 07/20/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 16WC003172 -C 206 16WC 03497 HOLMQUIST, AMY STAFF ON SITE 12/30/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 207 16WC 03587 RUBIO, ROSA HERITAGE MOLD INC 01/07/16 GESMER LAW OFFICES, PC LAW OFFICES JOSEPH MARCINIAK 17WC021968 -C 208 16WC 03959 EVANS, TROY FCA US LLC 05/15/15 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 209 16WC 03995 ALONGI, IPPOLITO TITAN TIRE CORP 08/01/14 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 210 16WC 04067 STEWART, ROBERT W VALSPAR CORPORATION 10/02/15 TUITE LAW RUSIN & MACIOROWSKI LTD 17WC028171 -C 211 16WC 04072 LINDQUIST, DENNIS JR CASSENS TRASPORT CO 04/22/15 FRANKS, GERKIN & MCKENNA P KNAPP, OHL & GREEN 212 16WC 05486 BRITTIAN, DANELLE JOB SMART 02/04/16 GESMER LAW OFFICES, PC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 16WC 06616 RODRIGUEZ, ANAMARIA SODEXO 07/28/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 214 16WC 07015 JAMISON, CLEAVEN J JR TITAN TIRE 06/15/15 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 215 16WC 07180 ANDERSON, KENNETH FCA US LLC 02/17/16 WOODRUFF & JOHNSON WILLIAMS MCCARTHY LLP 216 16WC 07441 THOMPSON, ROSIE SNAK KING 02/01/16 BLACK & JONES COZZI & GOGGIN-WARD 217 16WC 07444 MANNING, GERALD FCA US LLC 11/17/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 218 16WC 07447 MANNING, GERALD FCA US LLC 06/01/14 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 219 16WC 08280 STONE, MICHELE INT'L AUTOMOTIVE COMPONEN 12/08/15 NASH LAW OFFICE PC GANAN & SHAPIRO 220 16WC 08429 CRUZ, EDVIN CASSENS TRANSPORT COMPANY 02/08/16 RIDGE & DOWNES KNAPP, OHL & GREEN 221 16WC 08591 HENDERSON, WILLIE GKN ROCKFORD, INC 11/17/15 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 222 16WC 09470 LEONARD, BOBBY E PROGRESSIVE STEEL TREATIN 01/27/16 TUITE LAW GANAN & SHAPIRO 223 16WC 09623 ALANIS, AIDA HEALTHCARE PLUS 01/18/16 BLACK & JONES HOLTKAMP LIESE ET AL 224 16WC 09650 MILLS, BRADLEY JAMES ROCKFORD ICEHOGS 04/12/14 FLOYD LAW FIRM 225 16WC 09921 MARTENS, HEIDI A CITY OF ROCKFORD, 04/10/15 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 226 16WC 10161 JOHNSON, ERIC HOOGLAND FOODS D/B/A 05/07/15 MILLON & PESKIN LTD RUSIN & MACIOROWSKI LTD 227 16WC 11348 MALDONALDO, ASWALDO CHEMTOOL INC 11/13/11 DWORKIN AND MACIARIELLO LAW OFFICES JOSEPH MARCINIAK 228 16WC 11388 BERUMEN, TERESA ANDROID BELVIDERE LL 01/19/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 229 16WC 11558 GIPSON, SCOTT ROY GIPSON, SCOTT ROY 06/05/15 REESE & REESE RUSIN & MACIOROWSKI LTD 230 16WC 11688 STORAGE, CHRIS FCA US 11/07/13 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 16WC 11897 JEFFREYS, BRIAN C CHRYSLER CORP 05/01/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 232 16WC 11984 WISDOM, DENNIS SCHNUCKS 12/22/15 BROWN & BROWN 233 16WC 11992 GRANA, ANTONIO LAGUNA LOWE'S DISTRIBUTION CENTE 09/01/15 EPSTEIN, JACK R LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 234 16WC 13145 MAURO, PHILLIP ALL LIFE'S SOLUTIONS 04/13/16 DWORKIN AND MACIARIELLO ROBERT L. SMITH 235 16WC 13174 MILVERT, DUSTIN PREMIER CONCRETE 07/08/15 BRYCE DOWNEY & LENKOV LLC 236 16WC 13448 RODRIGUEZ, MARY A ROSECRANCE HEALTH NETWORK 02/01/14 THE ROMAKER LAW FIRM POWER & CRONIN LTD 237 16WC 13575 TOBIN, BRIAN PREMIUM TRANSP. STAFFING 03/01/15 BLACK & JONES GRANT & FANNING 238 16WC 13839 ARRIOLA, INGRID VENTRA BELVIDERE 03/03/16 GESMER LAW OFFICES, PC BRUCE WARREN 239 16WC 14087 AMES, AMBER FCA US LLC 08/15/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC014088 -C 240 16WC 14206 CORROS, POLICAR HEALTHCARE PLUS CORPORATI 03/31/16 STEPHEN G PINTO LTD HEYL ROYSTER VOELKER & ALLEN 241 16WC 14465 SWEENEY, DARRELL DEAN FOODS COMPANY 05/15/15 CLARK FROST BRADY CONNOLLY & MASUDA PC 242 16WC 14564 RIVAS, EDWIN HARRIS SILVER & SONS INC 03/17/16 LAW OFFICES ROBERT WARSASK GANAN & SHAPIRO 243 16WC 14769 ARVIGO, JAMES WINNEBAGO COUNTY JUVENILE 04/28/16 BLACK & JONES 244 16WC 14865 BURCHFIELD, MICHAEL H. FARM & FLEET OF ROCKFORD 02/08/16 CACCIATORE, WILLIAM T NYHAN BAMBRICK KINZIE & LOWR 245 16WC 15209 SCHULDT, TONJA DICKEY STAFFING SOLUTIONS 04/19/16 DWORKIN AND MACIARIELLO 246 16WC 16345 SMITH, VANTANISHA J FCA US LLC 04/25/16 TUITE LAW WIEDNER & MCAULIFFE LTD 247 16WC 16361 SPRAGGINS, JOHN W STAFF ON SITE 04/12/16 TUITE LAW WIEDNER & MCAULIFFE LTD 248 16WC 16623 PROSIO, EUGENE AMERICAN ALUMINUM EXTRUSI 09/20/15 GESMER LAW OFFICES, PC RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 16WC 16779 MERCER, TOMMY GCA SERVICES GROUP 03/11/16 GESMER LAW OFFICES, PC POWER & CRONIN LTD 250 16WC 16939 HENDRIKSEN, DOUGLAS BYRON POLICE DEPARTMENT 05/12/16 RIDGE & DOWNES INMAN & FITZGIBBONS 251 16WC 17470 HOUPT, JOHN LEMFCO, INC. 01/05/15 HOLECEK & ASSOCIATES 252 16WC 17527 CHRISTIANSEN, WANDA J UNITED TECHNOLOGIES CORP/ 09/14/15 FRANCINE B WHITE MACIOROWSKI SACKMANN & ULRIC 253 16WC 17554 MONTENEGRO, RAUL WHITE & RED TRUCKING, INC 11/23/15 ANKIN LAW OFFICE COZZI & GOGGIN-WARD 254 16WC 17687 MCCORMICK, JOHN HOPPERSTAD KERRY 07/30/15 CLARK FROST BRADY, CONNOLLY & MASUDA, PC 255 16WC 17798 MAURO, PHILLIP R HARBOR AMERICA EAST INC 04/05/16 TUITE LAW ROBERT L. SMITH 256 16WC 18019 CLARK, LISA ROCK VALLEY COLLEGE 05/18/16 TUITE LAW POWER & CRONIN LTD 257 16WC 18861 PINEDA, MARIA DEL CARMEN QPS EMPLOYMENT GRP 05/09/16 GESMER LAW OFFICES, PC WOLFE & JACOBSON, LTD 258 16WC 18871 HARRIS, JOSEPH IDOT @ 03/02/16 LEE, MARK N LAW OFFICE ASSISTANT ATTY GENERAL 259 16WC 19684 FREEMAN, JANINA ROCK RIVER HEALTH CARE 03/26/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 260 16WC 19984 HINKLE, MARVIN E REGAL CUTTING TOOLS, INC 08/15/14 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 261 16WC 20016 SMITH, ERICH JOBSMART EMPLOYMENT SERVI 05/17/16 BLACK & JONES HOLECEK & ASSOCIATES 262 16WC 20394 HUDDLESTONE, DON G SPG INTERNATIONAL, LLC 10/27/14 TUITE LAW LAW OFFICES FRANCESCA LARSEN 263 16WC 20460 MARTINEZ-VALDEZ, MAYRA JONES NATURAL CHEWS 01/23/16 BLACK & JONES PERRY GENTILE 16WC020461 -C 264 16WC 20560 FRESCAS, ALEJANDRO ANDROID INDUSTRIES 03/21/16 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 265 16WC 20638 FITZGERALD, JOSHUA SECURITAS SECURITY SERVIC 06/14/16 BLACK & JONES 266 16WC 20727 HUERTA, JOSE EVERGREEN IRRIGATION 07/06/15 GESMER & REYNOLDS PC CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 16WC 21844 BOLAR, TERRY BIMBO BAKERIES USA INC 05/03/16 FRANCINE B WHITE 268 16WC 21964 GREEN, JENNIFER ROCKFORD HEALTH SYSTEM 08/04/14 CLARK FROST WIEDNER & MCAULIFFE LTD 269 16WC 22428 STARKS, PHOSHAWNDA M FCA US LLC 08/12/15 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 270 16WC 22587 WALTON, LEWIS FCA US LLC 03/15/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC022588 -C 271 16WC 22590 KUZIORA, TOMASZ FCA US LLC 04/11/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 272 16WC 23338 MANDUJANO, HUGO WOODS EQUIPMENT COMPANY 06/25/15 TUITE LAW COZZI & GOGGIN-WARD 273 16WC 23594 MCNALLY, ANGELA K. ROCKFORD PUBLIC SCHOOL 05/19/15 TUITE LAW WIEDNER & MCAULIFFE LTD 274 16WC 23615 WALLS, DARLENE TOP DIE CASTING COMPANY 10/01/15 MEYERS & FLOWERS HOLECEK & ASSOCIATES 275 16WC 23635 COLEY, MAURICE PES PAYROLL DBA EXTREME R 07/22/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 276 16WC 23637 MIATKE, VIRGINIA CHECK INTO CASH 06/23/14 BLACK & JONES RUSIN & MACIOROWSKI LTD 277 16WC 23686 FINSNESS, KENNETH ANDROID INDUSTRIES 02/13/16 ALEXANDER, PETER LTD. 278 16WC 24014 DONALDSON, MARK ROCKTON SCHOOL DIST #140 02/11/14 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 279 16WC 24376 RAINWATER, ALAN UTC AEROSPACE SYSTEMS 03/03/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 280 16WC 24604 MAPLES, JOSEPH FCA US LLC 06/22/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 281 16WC 24809 NAVARRETE-ROJAS, FERNANDO MIDWEST WIRE WORKS 03/17/16 EPSTEIN, JACK R LAW OFFICE BRADY CONNOLLY & MASUDA PC 282 16WC 24956 CARROLL, STEVEN LIEBOVICH STEEL & ALUMINU 11/19/15 GESMER LAW OFFICES, PC POULOS & DIBENEDETTO LAW 283 16WC 25262 JOHNSON, KRISTY SWEDISH AMERICAN HOSPITAL 06/01/15 BLACK & JONES WILLIAMS MCCARTHY LLP 284 16WC 25894 OSBORN, DEBRA J. TARGET 05/08/15 ALEXANDER, PETER LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 16WC 26143 GUZMAN, ANGELA GRUPO ANTOLIN 07/26/15 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 286 16WC 26180 PAGAKIS, CHRISTINA WEST CARROLL DISTRICT #31 02/24/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 16WC026181 -C 287 16WC 26350 MUSGROVE, JEFFERY W. ACCURIDE CORPORATION 08/01/16 MERTES & MERTES PC RUSIN & MACIOROWSKI LTD 288 16WC 26353 KINDS, SCHARLATTA BMO HARRIS BANK CENTER 04/26/16 BLACK & JONES RUSIN & MACIOROWSKI LTD 289 16WC 26387 HUNDLEY, DAVID J. TAYLOR COMPANY 04/30/14 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 290 16WC 26578 GENTRY, STEVEN A MTE HYDRAULICS, INC 03/14/16 TUITE LAW HOLECEK & ASSOCIATES 291 16WC 26640 MC LESTER, LARRY CHRYSLER CORPORATION 05/07/16 THOMAS J STIBERTH LAW OFFI 292 16WC 26735 NEAL, JOANNE ROCKFORD MEMORIAL HOSPITA 08/08/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC026736 -C 293 16WC 26738 HACKENBURG, BRIAN NATIONAL FREIGHT INDUSTRI 07/30/15 BLACK & JONES QUINN JOHNSTON HENDERSON ETA 294 16WC 26776 LOWE, ROBERT ROCKFORD HOUSING AUTHORIT 08/11/16 RIDGE & DOWNES GILDEA & COGHLAN 295 16WC 27057 CRAYTON, NADINE PETERSON CLEANING INC 04/11/16 WOODRUFF & JOHNSON 296 16WC 27457 ORNELAS FLORES, GABRIEL JAMCO PRODUCTS 06/15/16 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 16WC027458 -C 297 16WC 27880 HARGRAVES, JEFF ALPINE BANK 09/03/13 GESMER LAW OFFICES, PC HOLECEK & ASSOCIATES 298 16WC 28036 HILTON, DENNIS L. GENERAL MILLS, INC. DBA G 07/18/16 TUITE LAW PAUL A COGHLAN & ASSOC 299 16WC 28199 GOMEZ, ANA MATRANGA INDUSTRIES INC 08/01/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 300 16WC 28595 GOOD, PAUL FCA US LLC 07/02/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 301 16WC 28694 PETERS, DAVID K CITY OF ROCKFORD DEPT OF 08/24/16 REESE & REESE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 16WC 29159 BARRENGER, TRACY WOODWARD 06/24/15 GESMER LAW OFFICES, PC HINSHAW & CULBERTSON 303 16WC 29824 CARR, JONATHAN CHRIS HOPPER DBA HOPPER D W 09/06/16 BLACK & JONES 304 16WC 30527 HANSEN, GLENN D STATE OF IL-CMS 12/30/14 FRANKS, GERKIN & MCKENNA P HELEN LOZANO 305 16WC 31018 JONES, FRED WINNEBAGO COUNTY SHERIFF 08/11/16 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 306 16WC 31183 HIGGS, MICHAEL GKN ROCKFORD INC 08/29/16 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 307 16WC 31319 SOMERS, JEFFREY LOUIE'S TRENCHING SERVICE 09/23/16 GOLDBERG WEISMAN & CAIRO L PERRY GENTILE 308 16WC 31330 MANIGAULT, HEYARD II FCA US LLC 07/05/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 309 16WC 31494 HAWKINS, SHIRLEY THE VILLA AT PA PETERSON 06/27/16 GESMER LAW OFFICES, PC LAW OFFICES FRANCESCA LARSEN 310 16WC 31532 CALMESE, YUPELLE SNAK KING 02/10/16 WOLFE LAW PC 311 16WC 31590 LAMKIN, JOHN MILTRAN, INC 06/23/16 SCHWEICKERT & GANASSIN INMAN & FITZGIBBONS 312 16WC 31638 BEESON, MICHAEL L APET, INC. 08/25/16 RUBIN LAW GROUP INMAN & FITZGIBBONS 313 16WC 31894 MASINGILL, NATHAN M JAMCO PRODUCTS, INC 02/16/15 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 314 16WC 31967 CLARK, LISA ROCK VALLEY COLLEGE 06/12/14 TUITE LAW 315 16WC 31990 COESTER, JESSE SYSCO FOODS 08/09/16 BLACK & JONES GAROFALO SCHREIBER STORM 316 16WC 32062 HEATH-MCNALLY, NANCY D MERCY HEALTH SYSTEM 01/20/16 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 317 16WC 32568 BOURNE, DONNA NEIGHBORS NURSING HOME 05/01/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 16WC032569 -C 318 16WC 32825 BEACH, NICKITA SERVICOM 09/26/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 319 16WC 32902 DAVIS, MICHELLE (WIDOW) INGERSOLL MACHINE TOOLS I 09/27/16 GESMER LAW OFFICES, PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 16WC 33133 LEON, ANDREA PORTILLO'S 10/08/16 DWORKIN AND MACIARIELLO GRANT & FANNING 321 16WC 33217 NEWLAND, MARCY L ANDROID INDUSTRIES/ 01/15/15 ALEXANDER, PETER LTD. WIEDNER & MCAULIFFE LTD 322 16WC 33223 WARNER, KERRY FCA USA, LLC 08/22/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 16WC033224 -C 323 16WC 33266 JAMES, JANICE GUNITE CORPORATION 05/06/16 GESMER LAW OFFICES, PC 324 16WC 33409 BROUGHTON, MICHAEL ORKIN PEST AND TERMITE CO 11/01/14 BLACK & JONES BRADY CONNOLLY & MASUDA PC 325 16WC 33691 MOORE, TYRONE L ILLINOIS STATE POLICE @ 08/25/16 RIDGE & DOWNES HELEN LOZANO 326 16WC 33859 RICE, MELVIN STAFF ON SITE UNITED INC 10/04/16 TUITE LAW RUSIN & MACIOROWSKI LTD 327 16WC 34036 MYHRE, JEANNE FCA US LLC 03/02/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 328 16WC 34064 HUDSON, FRANK RAC MANAGEMENT CO 10/10/16 BLACK & JONES 329 16WC 34807 MCNAB, SEAN T NOODLES & COMPANY 10/25/16 SHELDON I MINKOW & ASSOCIA 330 16WC 35064 WILKEN, CLIFFORD HONEYWELL INTL, INC 01/20/16 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 331 16WC 35147 MORGAN, ROBERT ACCURITE 04/04/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 332 16WC 35309 KURTZ, ANTHONY UPS FREIGHT 09/14/16 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 333 16WC 35390 BARRETT, SANDRA J PRESENCE CARE TRANSFORMAT 06/25/16 TUITE LAW 334 16WC 35568 TAYLOR, MARY WALMART 01/08/16 BLACK & JONES GANAN & SHAPIRO 335 16WC 36298 SANDERS, MYRTLE CONCENTRIC 09/20/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 336 16WC 36462 DONEGAN, DELOREAN WALMART 06/06/16 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 337 16WC 36492 MANRIQUEZ, MIGUEL ANDROID II 05/17/16 BLACK & JONES SMITH AMUNDSEN LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 16WC 36753 OWENS, TYRONE A SODEXO 11/15/16 GESMER LAW OFFICES, PC 339 16WC 36956 ORIA, JOE COMPUCOM SYSTEMS, INC 08/10/16 NASH LAW OFFICE PC HOLECEK & ASSOCIATES 340 16WC 37054 GIBBONS, DENISE M SUMMERDALE EARLY 11/28/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 341 16WC 37074 BURFIELD, STACY PCI 03/15/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 342 16WC 37736 MILLS, SCOTT IL DEPT OF TRANSPORTATION @ 10/12/16 WOLFE LAW PC HELEN LOZANO 343 16WC 38130 BOE, BRAD ARACHNID 360 01/16/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 344 16WC 38362 TIMUSH, SAMUEL ADVANCED DISPOSAL SERVICE 08/20/16 FRANKS, GERKIN & MCKENNA P INMAN & FITZGIBBONS 345 16WC 38529 BILLBERRY, CANDACE THERMO FISHER SCIENTIFIC, 07/27/16 FRANCINE B WHITE HOLECEK & ASSOCIATES 346 16WC 38889 JONES, JACOB R&D THIEL, INC 07/21/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 347 16WC 38899 ROJAS, EFRAIN SWENSON SPREADER 11/05/14 BLACK & JONES 348 16WC 39035 ZAHN, JOHN BEVERLY MATERIALS, LLC 11/21/16 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 349 16WC 39237 CARR, MARY K LOWE'S DISTRIBUTION CENTE 01/26/15 CLARK FROST KEEFE CAMPBELL & ASSOC LLC 350 16WC 39349 THIELE, JENNA PRESENCE ST JOSEPH CENTER 06/10/16 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 351 16WC 39432 SULLIVAN, DAVID PROTEX INSTALLATIONS INC 09/26/16 BLACK & JONES WOLFE & JACOBSON, LTD 352 17WC 00719 JIMENEZ, FELIPDE GUERRILLA GRAFFIX 05/26/16 GESMER LAW OFFICES, PC RIPES NELSON BAGGOT KALOBRAT 353 17WC 00982 BLAIR, ELGIA GORMAN & COMPANY 07/01/16 BLACK & JONES COZZI & GOGGIN-WARD 354 17WC 01806 QUINTERO, ADOLFO JOHNS RESTAURANT 06/15/16 BLACK & JONES INMAN & FITZGIBBONS 355 17WC 01814 HUGHES, SHAKELA GUNITE CORP 07/14/16 BLACK & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 17WC 01992 WILSON, CURT LOVES PARK POLICE DEPT @ 08/06/14 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 357 17WC 02058 HENKE, JEFFREY GKN ROCKFORD, INC 01/20/17 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 358 17WC 02224 HANNERS, JEROD ESTES EXPRESS LINES, INC. 11/02/16 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 359 17WC 02303 MACKEY, MARTY GENERAL MILLS INC 05/01/16 NASH LAW OFFICE PC BRYCE DOWNEY & LENKOV LLC 360 17WC 02315 ST. VINCENT, ROBERT FCA US LLC 11/16/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 361 17WC 02347 MURRAY, TERESA ST ANTHONY MEDICAL CENTER 08/02/16 DWORKIN AND MACIARIELLO HINSHAW & CULBERTSON 362 17WC 02449 FORD, DAVID UTC AEROSPACE SYSTEMS 08/27/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 363 17WC 02685 STERETT, CODY MP HVAC, INC 08/18/16 GESMER LAW OFFICES, PC 364 17WC 02740 BRINKER, VICTORIA FREEPORT HOUSING AUTHORIT 01/12/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 365 17WC 02824 WOODS, ROBERT J LOWE'S HOME CENTERS, LLC 12/01/16 TUITE LAW 366 17WC 03130 LEMIEUX, ROBERT RW DUTEMAN CO 05/19/14 DWORKIN AND MACIARIELLO 367 17WC 03496 ADAMS, GARY URBAN EQUITY PROPERTY 01/16/17 GESMER LAW OFFICES, PC RODDY LAW LTD 368 17WC 03641 TOTTEN, JUDY A MILESTONE, INC. 08/09/16 TUITE LAW 369 17WC 03686 MANALLI, MARK FCA US LLC 10/31/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 370 17WC 03937 MARTINEZ, EULALIO CMM & ASSOCIATES 10/17/16 COPLAN & CRANE, LTD RUSIN & MACIOROWSKI LTD 371 17WC 04116 AMES, CRAIG A WALMART 06/25/16 HAUSER LAW LLC QUINTAIROS PRIETO WOOD & BOY 372 17WC 04118 ALMS, GARY S MR. BUILT'S INC 07/29/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 373 17WC 04171 BURG, BRAD AEROEK 01/06/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 374 17WC 04230 MONTES, ROMELIA AMERICAN ALUMINUM EXTRUSI 01/06/17 JONATHAN SCHLACK RIPES NELSON BAGGOT KALOBRAT 375 17WC 04274 ALVARADO, ABRAHAM METALS USA 02/07/17 DWORKIN AND MACIARIELLO POULOS & DIBENEDETTO LAW 376 17WC 04584 GRAY, ROBERT TRIBUNE PRECAST 11/14/14 WOLFE LAW PC CASSANO & ASSOCIATES 377 17WC 04643 CASTANEDA, ALICIA AUSTIN WESTRAN 12/05/16 BLACK & JONES WOLFE & JACOBSON, LTD 378 17WC 04664 BROWN, ANTHONY DEARBORN MID-WEST COMPANY 01/25/17 GESMER LAW OFFICES, PC LAW OFFICES JOSEPH MARCINIAK 379 17WC 04686 JOHNSON JR, LLOYD F GCS SERVICES GROUP, INC 08/01/16 ROSS TYRRELL POWER & CRONIN LTD 380 17WC 04990 MOHR, PAUL FABRICATORS AND MANUFACTU 11/10/15 GESMER LAW OFFICES, PC RUSIN & MACIOROWSKI LTD 17WC030558 -C FMA 17WC030559 -C 17WC030560 -C FMA 381 17WC 05063 MORELL, ANDROCLES SAFEFALL 01/07/17 BLACK & JONES LITCHFIELD CAVO 382 17WC 05151 REDD, LAURA REMEDIES RENEWING LIVES 01/17/17 BLACK & JONES 383 17WC 05618 HOSE, STEVEN E QUALITY METAL FINISHING C 01/16/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 384 17WC 06269 PEPPERS, LISA ROCKFORD SCHOOL DIST 205 04/23/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 385 17WC 06427 EUELLS, TRACY A DELICATE PLASTICS INC 02/13/17 BLACK & JONES 386 17WC 06653 MANZANO, ARTURO EUCLID CHEMICAL 11/01/14 BLACK & JONES RODDY LAW LTD 387 17WC 06684 DAILEY, ANGEL LOWE'S DISTRIBUTION CENTE 04/07/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 388 17WC 06885 RENTERIA, DION FCA US LLC 02/01/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 17WC012700 -C 389 17WC 07074 GARCIA, RUBEN MID-STATE CONCRETE INDUST 05/15/16 BLACK & JONES GAROFALO SCHREIBER STORM 390 17WC 07116 PARLEE, KRISTEN L STARBUCKS 11/05/16 FRANCINE B WHITE GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 17WC 07666 YOCUM, DOUGLAS JP CULLEN & SONS 01/14/17 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 392 17WC 07882 MORELL, ANDROCLES MARCCO RODRIGUEZ DBA 01/07/17 BLACK & JONES 393 17WC 07953 MC CLINE, DONTE QPS EMPLOYMENT GROUP 02/24/17 BLACK & JONES WOLFE & JACOBSON, LTD 394 17WC 08169 MURPHY, STEVE PAYNECREST ELECTRIC, INC 02/27/17 GESMER LAW OFFICES, PC CLAYBORNE SABO & WAGNER 395 17WC 08195 SWANGREN, NEAL FRITO LAY 01/18/17 BLACK & JONES LINDNER & MARSACK 396 17WC 08618 LANE, JOSEPHINE F ACOSTA SALES & MARKETING 06/15/16 HAUSER LAW LLC SPIEGEL & CAHILL, PC 397 17WC 08684 ORAMA, LUIS CALIBER CONSTRUCTION CO 02/09/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 398 17WC 08708 THOMPSON, ROSIE SNAK KING 03/06/16 BLACK & JONES 399 17WC 08770 FISH, KATHERINE ILLINOIS NATIONAL GUARD @ 08/14/16 ERIC H CHECK, LAW OFFICES 400 17WC 09060 ROBERTS, EDWARD MARTIN & COMPANY EXCAVATI 08/28/16 HORWITZ HORWITZ & ASSOC 401 17WC 09076 BOROWICZ, JULIE PARKSIDE WAREHOUSE, INC 11/01/16 BLACK & JONES ANCEL GLINK DIAMOND BUSH & E 402 17WC 09079 NEEL, DAVID JR IDOT @ 04/18/16 FRANCINE B WHITE HELEN LOZANO 403 17WC 09090 ALMOND, TINA DANFOSS 12/14/16 GESMER LAW OFFICES, PC WOLFE & JACOBSON, LTD 404 17WC 09227 WILSON, MARY ROCKFORD SCHOOL DISTRICT 02/06/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 405 17WC 09322 PRINNER, BROCK BLAIN'S FARM & FLEET 08/20/15 GESMER LAW OFFICES, PC 406 17WC 09347 NIETO, OSCAR FURST SERVICES CO, D/B/A 10/31/16 ACCIDENT FUND HOLDINGS 407 17WC 09405 PRINNER, ROBIN UPS FREIGHT 02/17/14 GESMER LAW OFFICES, PC 408 17WC 10163 ALVAREZ, FRANCISCO R&D THEIL 01/20/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 409 17WC 10221 PENA, JESUS ROCKNEL FASTENERS INC 02/27/17 BLACK & JONES 410 17WC 10392 RAIH, PATRICIA ADDUS HEALTH CARE 12/13/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 411 17WC 10592 JACOBSON, DAVID WINNEBAGO COUNTY SHERIFF 03/22/17 NASH LAW OFFICE PC WILLIAMS MCCARTHY LLP 412 17WC 10641 STILES, THOMAS CINTAS 02/18/16 THE ROMAKER LAW FIRM POWER & CRONIN LTD 413 17WC 10811 ASHFORD, PATRICIA M SUPER NURSE, LLC 01/31/17 REESE & REESE 414 17WC 11051 HOLDER, DANIELLE M GENERAL MILLS INC 01/23/17 TUITE LAW 415 17WC 11407 PETERSON, MICHAEL ROCK RIVER DISPOSAL 03/30/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 416 17WC 11560 HURSH, WILLIAM ROCKFORD SCHOOL DISTRICT 07/01/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 417 17WC 11573 LE, LOAN WOODWARD, INC 09/16/14 CLARK FROST HINSHAW & CULBERTSON 418 17WC 11621 JAMES, LESLIE MAXIM HEALTHCARE 01/06/16 GESMER LAW OFFICES, PC RUSIN & MACIOROWSKI LTD 419 17WC 11680 MCVAY, JORDAN BEHR IRON METAL 03/01/17 GESMER LAW OFFICES, PC MCBREARTY, BRIAN K 420 17WC 12066 SCHNEIDER, JAMES TREE HOUSE FOODS INC 01/20/17 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 421 17WC 12124 GROEZINGER, ARLENE S BREWSTER CHEESE 11/10/16 TUITE LAW 422 17WC 12132 VYBORNY, VERNON J HAMILTON SUNDSTRAND CORP 02/13/17 TUITE LAW MACIOROWSKI SACKMANN & ULRIC 423 17WC 12488 LUX, CONSTANCE BON TON DISTRIBUTION CTR 12/27/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 424 17WC 12824 HAWKINS, WILLIAM VICTORY OUTREACH CHURCH 06/28/16 CLARK FROST LAW OFFICES JOSEPH MARCINIAK 425 17WC 12925 DAVIS, EDWARD CITY OF ROCKFORD 04/17/17 ANKIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 426 17WC 12991 YEOMAN, ERIC BERNER FOODS, INC. 06/08/15 HAUSER LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 427 17WC 13129 AMANDA ALAIMO AS GUARDIAN CORPORATE SERVICES, INC 04/06/17 MCNAMARA PHELAN MCSTEEN LL 428 17WC 13199 RUIZ, JOHN WELCH BROS, INC 10/01/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 429 17WC 13248 SIMS, DIANE INGERSOLL CUTTING TOOL 10/28/16 JOHN E LUSAK HOLECEK & ASSOCIATES 430 17WC 13481 JOHNSON, PAUL R.L. LEEK INDUSTRIES 04/30/11 BLACK & JONES CHILTON YAMBERT PORTER LLP 431 17WC 13669 HANSON, MIKE WOODWARD, INC 11/16/16 BLACK & JONES HINSHAW & CULBERTSON 432 17WC 13753 EAGLESON, SHALENE CITY OF ROCKFORD POLICE D 03/27/17 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 433 17WC 13950 NANO, ESMAEL INTERLINK AUTO TRANSPORT, 10/08/16 LAW OFFICES OF JOSEPH YOUN 434 17WC 14103 FERGUSON, YOLANDA FCA US LLC 05/23/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 435 17WC 14210 EVANS, TROY FCA US LLC 10/16/15 WOODRUFF & JOHNSON 436 17WC 14366 AURAND, LORI A SCHNUCKS MARKETS, INC 12/01/15 TUITE LAW 437 17WC 14550 HOLTE, ELLEN AT-HOME HEALTHCARE 01/24/17 KATZ FRIEDMAN EAGLE ET AL 438 17WC 14624 MCNEELY, ANNETTE FCA US LLC 09/09/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 439 17WC 14848 WARD, DANA VILLAGE OF CHERRY VALLEY 12/09/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 440 17WC 14971 SEXTON, JOHNETTE E COUNTY OF WINNEBAGO 01/13/17 TUITE LAW WILLIAMS MCCARTHY LLP 441 17WC 15008 SANCHEZ, MARIA AUSTIN WESTRAN 05/01/16 BLACK & JONES WOLFE & JACOBSON, LTD 442 17WC 15432 BELMONTES, LOU ANN BERGSTROM CLIMATE SYSTEMS 11/03/16 TUITE LAW WOLFE & JACOBSON, LTD 443 17WC 15507 RHYNE, KEVIA BERNER FOODS INC 11/17/16 BLACK & JONES HOLECEK & ASSOCIATES 444 17WC 15725 COOK, LEAH HEALTH CONSERVATION, INC 01/17/17 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 17WC 15859 ISABELL, DEMETRIA TH FOODS INC 03/01/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 446 17WC 16490 BROWN, DEBORAH FCA US, LLC 08/27/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 447 17WC 16493 DALSANTO, NORA SWEDISH AMERICAN HOSPITAL 04/26/17 BLACK & JONES WILLIAMS MCCARTHY LLP 448 17WC 17130 SEGOVIANO, REFUGIO E KINSALE CONTRACTING GROUP 06/06/17 ANESI OZMON RODIN NOVAK KO KLAUKE LAW GROUP LLC 449 17WC 17253 MC ALLISTER, MATT EDWARD JM CONSTRUCTION GROUP, LL 05/21/17 BLACK & JONES COZZI & GOGGIN-WARD 450 17WC 17450 BRIGGS-GUNTHER, EDNA THE VILLA AT PA PETERSON 04/03/17 GESMER LAW OFFICES, PC 451 17WC 17614 CARRILLO, AURELIO NORTHERN ILLINOIS WALL & 01/12/17 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 452 17WC 17991 TALLEY, JERRY E HIRSCHBACH MOTOR LINES, I 01/23/17 LAW OFFICES FOLEY & DENNY GANAN & SHAPIRO 453 17WC 18020 ABRAHAM, WALLACE ACME SCREW COMPANY 06/03/17 GESMER LAW OFFICES, PC BRADY CONNOLLY & MASUDA PC 454 17WC 18355 SANDERS, SCOTT ACURA, INC 05/19/17 BLACK & JONES 455 17WC 18625 CRACKENBERGER, GARY PEARL VALLEY EGGS 10/06/16 PIGNATELLI & ASSOCIATES 456 17WC 18638 CULRA, TARA JOHN E GREEN CO 01/04/17 BLACK & JONES HOLECEK & ASSOCIATES 457 17WC 18641 CARROLL, KIMBERLY ROCKFORD MEMORIAL HOSP-ME 05/08/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 458 17WC 18753 TORNATORE, VINCENT B KASA MANAGEMENT SERVICES, 01/25/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 459 17WC 18795 STANLEY, JAMIE LOCAL 11 OPCMIA 05/31/16 CLARK FROST 460 17WC 18830 MOSER, LYNNE M KREIDER SERVICES 04/27/17 HAUSER LAW LLC 461 17WC 18840 SMITH, NICHOLAS PEPSI-COLA BOTTLING COMPA 06/10/17 BLACK & JONES GAROFALO SCHREIBER STORM 462 17WC 18880 TELLEZ, LUIS ALBERTO DIAZ AMERICAN ALUMINUM EXTRUSI 05/10/17 EPSTEIN, JACK R LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 17WC 18902 MULVIHILL, KATHLENE BELVIDERE COMMUNITY SCHOO 06/19/17 GOLDBERG WEISMAN & CAIRO L 464 17WC 19024 WILCOX, CRAIG BELVIDERE FIRE DEPT 05/16/16 FRANKS, GERKIN & MCKENNA P RODDY LAW LTD 465 17WC 19127 MACARI, PETER HINTZ TRUCKING, ICN 06/02/17 E JAMES RAYMOND 466 17WC 19149 CELLITTI, TRACY L WINNEBAGO COUNTY SHERIFFS 05/03/17 LAWFIRST 467 17WC 19204 ROGERS, BRIAN CHRYSLER CORPORATION 05/26/17 TAXMAN POLLOCK 468 17WC 19275 GIBSON, CHRISTINA M MC DONALD'S CORPORATION 02/20/17 TUITE LAW POWER & CRONIN LTD 469 17WC 19316 DRIVER, SHIRLEY SNAK KING 06/04/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 470 17WC 19320 HENDRYX, TRISHA EASTER SEALS 02/08/17 BLACK & JONES 471 17WC 19648 VELEZ, LUIS SHOREWATER PROPERTIES 04/23/17 GESMER LAW OFFICES, PC HOLMSTROMKENNEDY PC 472 17WC 19809 FONG, DIANNA SPX FLOW INC 06/21/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 473 17WC 20128 WATTS, SHAUN REG ELLEN MACHINE TOOL CO 12/30/15 GESMER LAW OFFICES, PC RUSIN & MACIOROWSKI LTD 474 17WC 20161 SAUCEDO, MARTHA SNAK KING CORP 01/11/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 475 17WC 20164 CHRISTOPHER, ANISSA H&R BLOCK 05/22/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 476 17WC 20301 LUGONJA, VLADO CHYSLER 06/05/17 GALLAGHER, DONALD V WIEDNER & MCAULIFFE LTD 477 17WC 20383 BUNTONBELL, SABRINA BLACKHAWK LEARNING 11/04/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 478 17WC 20532 SANDERS, LAZUNDA ROCKFORD SCHOOL DIST 205 05/26/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 479 17WC 20545 MARQUEZ, BONIFACIO SPECTRUM PREFERRED MEATS 06/02/17 PIGNATELLI & ASSOCIATES 480 17WC 20723 HUMPAL, LAWRENCE M JR DEAN FOODS 02/17/17 TUITE LAW BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 17WC 20745 BOOTHE, MICHAEL BOONE COUNTY SHERIFF 05/10/17 BLACK & JONES ELMAN & EHARDT LTD 482 17WC 20993 PRATHER, LYNNE FCA US LLC 06/11/17 CLARK FROST WIEDNER & MCAULIFFE LTD 483 17WC 21108 KOESTER, KENNETH A TITAN TIRE 05/24/16 HAUSER LAW LLC GRANT & FANNING 484 17WC 21127 EVANS, MARK KELLY WILLIAMSON 07/06/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 485 17WC 21130 KING, KENNETH ROCK RIVER VALLEY FLOORIN 06/01/16 BLACK & JONES RODDY LAW LTD 486 17WC 21210 MATSEY, VERONICA PREFERRED HOME HEALTHCARE 06/29/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 487 17WC 21429 LOBOCKI, BRIANNE ROCK RIVER HEALTHCARE 05/14/17 ROBERT L. SMITH 488 17WC 21470 CORTES-AYON, FREDEDINDA TH FOODS, INC 07/14/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 489 17WC 21532 SUMPTER, PATRICIA FCA US LLC 07/11/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 490 17WC 21594 PENA, PATRICIA MCDONALD'S CORPORATION 04/08/17 THOMAS J STIBERTH LAW OFFI 491 17WC 21725 DESONIA, CAROLYN S BRAVO PIZZA & 09/03/15 FRANKS, GERKIN & MCKENNA P 492 17WC 21753 HOPKINS, MARK INNOVATIVE FIXTURE SOLUTI 02/01/17 DWORKIN AND MACIARIELLO 493 17WC 21854 PINSON, ATHENA FCA US LLC 08/16/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 494 17WC 21904 CARR, MICHAEL SYNCREON 06/13/17 BLACK & JONES GAROFALO SCHREIBER STORM 495 17WC 22018 PHILLIPS, VANESSA ALDI 05/16/17 MARTIN V KUGIA BRADY CONNOLLY & MASUDA PC 496 17WC 22205 FLYNN, ANTHONY STAFF ON-SITE MIDWEST 07/18/17 DWORKIN AND MACIARIELLO 497 17WC 22243 MCNEAL, LISA FCA US LLC 08/18/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 498 17WC 22378 WILCOX, ARTHUR HUGHES RESOURCES 06/29/17 DUDLEY & LAKE LLC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 17WC 22678 STEPHENSON, JACKIE MAGNUSON INDUSTRIES 01/03/17 CLARK FROST RUSIN & MACIOROWSKI LTD 500 17WC 22754 DURR, BRIAN J OBIES TOWING AND SERVICE 01/25/17 TUITE LAW WIEDNER & MCAULIFFE LTD 501 17WC 22821 COLBORN, REBECCA WALMART STORES INC 07/11/17 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 502 17WC 23058 CARRALERO, ELIZABETH (PAR EAST BANK CENTER LLC 07/11/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 503 17WC 23061 VARGAS GONZALEZ, ALICIA FURST STAFFING 01/14/17 BLACK & JONES ACCIDENT FUND HOLDINGS 504 17WC 23064 RIVAS, YANIRA ACUMENT GLOBAL TECHNOLOGI 05/17/17 BLACK & JONES HINSHAW & CULBERTSON 505 17WC 23185 FOGLE, CALVIN LOWE'S DISTRIBUTION CENTE 03/21/17 GESMER LAW OFFICES, PC KEEFE CAMPBELL & ASSOC LLC 506 17WC 23229 DAMKEN, JOHN CDV CORPORATION 05/05/17 ALEXANDER, PETER LTD. 507 17WC 23383 JACKSON, ROMELDA WALGREENS 07/27/17 BLACK & JONES GILDEA & COGHLAN 508 17WC 23450 MELAAS, MARK W BLACK DIAMOND PLUMBING 06/05/17 TUITE LAW 509 17WC 23603 SALISBURY, JUSTIN MORSE ELECTRIC INC 07/26/17 KATZ FRIEDMAN EAGLE ET AL 510 17WC 23797 BLAKE, CAVARIK AEROTEK 04/17/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 511 17WC 23996 GARCIA, VICTORIA SWEDISH AMERICAN HOSPITAL 11/23/16 RUBENS AND KRESS WILLIAMS MCCARTHY LLP 512 17WC 24195 ARAUJO, GORIS JONE'S NATURAL CHEWS 06/06/17 BLACK & JONES PERRY GENTILE 513 17WC 24336 MARTIN, DANNY R INGERSOLL CUTTING TOOLS 11/01/14 BLACK & JONES JOSEPH MARCINIAK 514 17WC 24340 BURKE, CHARLES UIC - COLLEGE OF MEDICINE 08/11/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 17WC035903 -C U OF I COLLEGE OF MED ROCK 515 17WC 24366 ENGELKENS, LINDA WESTPHAL & CO INC 07/31/17 GOLDBERG WEISMAN & CAIRO L RIPES NELSON BAGGOT KALOBRAT 516 17WC 25018 KAULL, MARY (WIDOW OF BRI YMCA # 02/22/17 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 17WC 25039 CARLBORG, BRIAN AT&T 08/01/17 CAPRON & AVGERINOS PC 518 17WC 25115 LANG, RAYMOND K CINCINNATI TOOL STEEL CO 12/01/16 TUITE LAW 519 17WC 25187 DUBREE, MICHAEL SPEEDEE DELIVERY SERVICE, 08/04/17 GESMER LAW OFFICES, PC LAW OFFICES OF EDWARD J. KOZ 520 17WC 25249 BRINT, MARCUS EHS ENVIRONMENTAL CONTRAC 08/22/17 DWORKIN AND MACIARIELLO 521 17WC 25283 KREEGER, DANIEL TITAN TIRE COMPANY 09/12/16 WOLFE LAW PC GRANT & FANNING 522 17WC 25521 O'CONNOR, MARY VISITING NURSES ASSN OF 01/16/17 CLARK FROST WIEDNER & MCAULIFFE LTD 523 17WC 25558 FISCHER, RAYMOND TRIDIM FILTER CORP 06/11/17 BLACK & JONES 524 17WC 25571 PACE, TINA M FRITO-LAY 08/08/17 REESE & REESE GILDEA & COGHLAN 525 17WC 25694 DAY, RODGER NUCO2 08/13/17 GESMER LAW OFFICES, PC 526 17WC 25932 THOMAS-WILSON, DEBORAH MERCY HEALTH HOSPITAL 04/23/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 527 17WC 26127 SNUDDEN, JASON NORTH PARK 08/25/17 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 528 17WC 26196 BENDORF, MICHAEL SUNRISE TELECOM 06/29/17 THOMAS R LICHTEN COZZI & GOGGIN-WARD 529 17WC 26266 PYRA, JEFFREY G & K SERVICES 10/06/14 CULLEN HASKINS NICHOLSON POWER & CRONIN LTD 530 17WC 26438 CLARK, EMMANUEL OAKLEY SUB ASSEMBLY 07/10/17 MARTIN V KUGIA 531 17WC 26459 CULTRA, TARA JOHN E GREEN CO 07/26/17 BLACK & JONES 532 17WC 26465 JAMES, KEITH ROCKFORD SCHOOL DIST 205 07/11/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 533 17WC 26468 HANCOCK, AUSTIN CURTIS METAL FINISHING 08/24/17 BLACK & JONES 534 17WC 26703 HANSEL, HEATHER BOONE COUNTY SHERIFF 06/09/17 BLACK & JONES ELMAN & EHARDT LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 535 17WC 26770 WIENZIERL, THOMAS ROCKFORD FOUNDRIES, INC 10/16/16 BLACK & JONES RUSIN & MACIOROWSKI LTD 536 17WC 26912 GRIMES, GALE A MENARD INC 06/29/16 GESMER LAW OFFICES, PC CHILTON YAMBERT PORTER LLP 537 17WC 27059 PETERSON, HELEN WESLEY WILLOWS 08/20/16 GESMER LAW OFFICES, PC KEEFE CAMPBELL & ASSOC LLC 538 17WC 27124 BEEDING, JEFFREY L JC MILLING 06/30/17 BLACK & JONES GANAN & SHAPIRO 539 17WC 27129 PETERSON, DENISE (DIANE) DOLLAR TREE 11/28/16 BLACK & JONES 540 17WC 27194 DEMARIA, PHILLIP MSI STAFFING 08/28/17 DWORKIN AND MACIARIELLO 541 17WC 27624 MILLER, ANTHONY W FURST STAFFING SERVICES, 09/07/17 TUITE LAW ACCIDENT FUND HOLDINGS 542 17WC 27689 GENTRY, SPENCER ROCKNEL FASTENER, INC 05/09/16 BLACK & JONES KOPKA, PINKUS DOLIN, PC 543 17WC 27825 GUTHRIE, KENNETH SYNCREON 09/11/17 BLACK & JONES GAROFALO SCHREIBER STORM 544 17WC 27854 DEUTH, LINDA R MERCY HEALTH 10/24/16 HAUSER LAW LLC WIEDNER & MCAULIFFE LTD 545 17WC 28049 VOITIK, ALLEN ESTES EXPRESS LINES 08/09/17 BLACK & JONES 546 17WC 28057 FLORES ORNELAS, SERVANDO TH FOODS, INC 09/08/17 COLLISON LAW OFFICES 547 17WC 28229 KEHOE, ELAISOIN SUNNY ISLAND RV 09/08/17 MARSZALEK AND MARSZALEK ANCEL GLINK DIAMOND BUSH & E 548 17WC 28820 MEADOWS, TREMAYNE AEROTEK STAFFING AGENCY 12/17/16 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 549 17WC 29016 RICE, TRISHA ALORICA 09/19/17 DWORKIN AND MACIARIELLO RODDY LAW LTD 550 17WC 29565 MEYERS, RACHEL FCA US LLC 08/08/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 551 17WC 29717 MAY, OTTO JR FCA US, LLC 01/24/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 552 17WC 29746 FUGLE, WES MICHAELSON OFFICE FURNITU 02/27/17 BLACK & JONES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 553 17WC 29772 WILSON, CURT LOVES PARK POLICE DEPARTM 07/25/17 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 554 17WC 29913 WASZ, DAVID FEDEX FREIGHT @ 06/23/17 GESMER LAW OFFICES, PC QUINTAIROS PRIETO WOOD & BOY 555 17WC 29986 SAMARDZIC, JELA SCHNUCK'S MARKETS, INC 04/19/17 ELMAN LAW GROUP LLC 556 17WC 30022 SHORT, ANTHONY SCHAFER GEAR WORKS 06/23/17 GESMER LAW OFFICES, PC INMAN & FITZGIBBONS 557 17WC 30326 WHITE, KATHERINE COUNTY OF WINNEBAGO 05/13/16 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 558 17WC 30345 ALLARD, JOANN E DOLLAR TREE STORES 06/09/17 BLACK & JONES 559 17WC 30356 GALBERTH, NOELLE EZPAWN 09/17/17 BLACK & JONES KELLEY KRONENBERG 560 17WC 30360 NULL, CHARLES COMPAK INC 09/29/17 BLACK & JONES 561 17WC 30378 DAWLEY, TERA OSF MULTI-SPECIALTY GROUP 09/05/17 KATZ FRIEDMAN EAGLE ET AL 562 17WC 30475 PALS, ANTHONY BREW CITY PIZZA, INC. DBA 10/06/17 STROM, NEAL B 563 17WC 30503 MOTA, ANTONIO ESTWING MANUFACTURING 02/26/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 564 17WC 30655 WRIGHT, STEPHEN D E WINNEBAGO COUNTY 09/23/17 O'CONNOR & NAKOS 565 17WC 31024 ALICEA, YAZMIN TREEHOUSE FOODS 09/22/17 BLACK & JONES 566 17WC 31113 KELLER, JOSHUA B ALARM DERECTION SYSTEMS 06/15/17 FIGLIOLI, DAVID QUINTAIROS PRIETO WOOD & BOY 567 17WC 31144 SCHUTH, MARK BERNER FOODS, INC 09/12/17 GESMER LAW OFFICES, PC HOLECEK & ASSOCIATES 568 17WC 31285 LINDGUIST, JAY INGERSOLL MACHINE TOOL 01/03/16 BLACK & JONES RUSIN & MACIOROWSKI LTD 569 17WC 31530 RAMOS, ANGEL BEAVER CREEK NURSERY 11/14/16 CAPUANI & SCHNEIDER 570 17WC 31576 MITCHELL, TOBY G INTERN, INC 10/31/16 TUITE LAW WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 571 17WC 31674 BOWSER, NICHOLAS LOWE'S DISTRIBUTION CENTE 06/23/17 KROL BONGIORNO & GIVEN LTD 572 17WC 31736 JONES, JAMES PINNACLE FOODS/BIRDSEYE 04/01/17 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 573 17WC 31817 MORRALL, MICHAEL V JACK WOLF CHRYSLER 03/06/15 HOLMSTROMKENNEDY PC RIPES NELSON BAGGOT KALOBRAT 574 17WC 32101 LEE, DEBORAH BERNER FOODS, INC 02/13/17 BLACK & JONES 575 17WC 32104 VON HUBEN, JACOB ALORICA 09/18/17 BLACK & JONES GRANT & FANNING 576 17WC 32123 NELSON, JANEL UPS 07/19/17 DWORKIN AND MACIARIELLO ASA LAW GROUP 577 17WC 32231 GUGLIELMETTI, JUDY ON BEH GORDAN C. JOHNSON PLASTER 03/17/15 BLACK & JONES GAROFALO SCHREIBER STORM 578 17WC 32255 PENNINGTON, ROBERT SPEEDY DELIVERYSVC 08/03/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 579 17WC 32286 LAKE, STANLEY ALLIED POWERED SERVICES 09/25/17 BLACK & JONES COZZI & GOGGIN-WARD 580 17WC 32287 GULKE, MEAGHAN UPS 10/18/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 581 17WC 32444 GEERTS, DANIELLE L RESIDENTIAL ALTERNATIVES 09/28/17 TUITE LAW 582 17WC 32495 LUMBRERAS, RAMIRO WASTE CONNECTIONS 08/18/17 DOUGLAS RALLO PC 583 17WC 32660 LAKE, MARY MORSE ELECTRIC 02/10/17 BRASSFIELD KRUEGER & RAMLO CACCHILLO LAW GROUP LLC 584 17WC 32664 HANTOOSH, MOTHANA SPIDER COMPANY, INC 10/03/17 BLACK & JONES CAPUANI, FRANK S 585 17WC 33142 ALSAMRAAE, BILAL QPS EMPLOYMENT GROUP @ 06/14/17 GESMER LAW OFFICES, PC WOLFE & JACOBSON, LTD 586 17WC 33497 DIETMEIER, MICHAEL L FURST-MCNESS COMPANY 08/23/16 TUITE LAW CAPUANI, FRANK S 587 17WC 33571 PETERS, DAVID CITY OF ROCKFORD 07/18/17 RUBENS AND KRESS HEYL ROYSTER VOELKER & ALLEN 588 17WC 33750 GROVER, JOSHUA CITY OF ROCKFORD POLICE D 10/16/17 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 17WC 33814 GRUNER, JEREMY JOBSMART EMPLOYMENT SVS, 10/20/17 BLACK & JONES COZZI & GOGGIN-WARD 590 17WC 33847 GONZALEZ, JOSE AMPHENOL ANTEL INC 10/25/17 BLACK & JONES GAROFALO SCHREIBER STORM 591 17WC 33850 VASQUEZ, ANNE PCI PHARMA SVCS 04/01/17 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 592 17WC 34036 OVERTON-MILLER, DAWN R SEARS HOLDINGS CORPORATIO 10/24/17 TUITE LAW 593 17WC 34085 MONROY, ANDRES VALLI PRODUCE OF LOVES PA 06/30/17 BOTTO GILBERT 594 17WC 34295 STEIN, AARON FIRST SERVICE INDUSTRIES, 09/07/17 ASHER, RAYMOND L LTD 595 17WC 34483 KIRK, KEVIN TITAN TIRE COMPANY 05/24/16 WOLFE LAW PC 596 17WC 34523 THOMPSON, LAKESHA FCA US LLC 09/17/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 597 17WC 34634 SAINT GERMAIN, CAROL CHRYSLER 10/03/16 BRISKMAN BRISKMAN GREENBER WIEDNER & MCAULIFFE LTD 598 17WC 34716 PORTER, TIM WOODS EQUIPMENT CO 06/09/16 BLACK & JONES COZZI & GOGGIN-WARD 599 17WC 34720 MASSEY, MICHAEL GYPSUM EXPRESS LTD 12/09/16 HANNIGAN & BOTHA, LTD 600 17WC 34772 QUASHIE, RYAN CHRYSLER CORPORATION 09/17/17 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 601 17WC 34856 PICKETT, JUSTIN FIRST STAFFING 11/17/17 DWORKIN AND MACIARIELLO ACCIDENT FUND HOLDINGS 17WC036568 -C FURST STAFFING 602 17WC 34948 WOMACK, SHERMAN SYNCREON 11/03/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 603 17WC 35015 BROCK, KRISTINE FCA US LLC 11/20/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 604 17WC 35644 MORUA, MARIA TREEHOUSE FOODS 02/05/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 17WC 35748 CROSSER, JEFFERY ROPER WHITNEY, LLC 08/03/16 FRANKS, GERKIN & MCKENNA P 606 17WC 35779 KLUCKHOHN, DONALD H BURMEISTER FARM EQUIPMENT 12/31/16 HAUSER LAW LLC ANCEL GLINK DIAMOND BUSH & E 17WC035780 -C 607 17WC 35806 WOMACK, SHERMAN SYNCREON 11/03/17 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 608 17WC 35886 STICH, TIMOTHY HONEYWELL PLANT 1 08/12/17 DWORKIN AND MACIARIELLO 609 17WC 35910 SMITH, CARL AEROTEK 11/21/17 BRASSFIELD KRUEGER & RAMLO 610 17WC 35948 WILLIAMS, CINDY MAXIM HEALTHCARE SVS, INC 09/17/16 PETER C KOPOULOS 611 17WC 36104 GONZALEZ, LOYD JR DIDIER GREENHOUSE, INC 03/17/17 CLARK FROST 612 17WC 36262 FLORES-GONZALEZ, ABEL ROCK VALLEY INDUSTRIES 10/31/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 613 17WC 36286 ROGERS, DENNIE MERCY HEALTH SYSTEMS 09/26/17 HUGHES SOCOL PIERS RESNICK 614 17WC 36383 SUMPTER, AUSTIN J MECHANICAL INCORPORATED 10/13/17 NELSON & NELSON HOLECEK & ASSOCIATES 615 17WC 36424 RAYMOND, JEREMY UPS FREIGHT 10/26/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 616 17WC 36490 VELAZQUEZ, NELSON ALBINO YES STAFFING 11/01/17 BLACK & JONES POWER & CRONIN LTD 617 17WC 36494 MURRAY, SARA SIMOS INSOURCING SOLUTION 11/09/01 BLACK & JONES 618 17WC 36503 GONZALEZ, MARGARITA T H FOODS INC 03/01/17 CULLEN HASKINS NICHOLSON 619 17WC 36553 JAMES, WILLIAM R JR COUNTY OF WINNEBAGO 06/04/17 CLARK FROST 620 17WC 36564 JONES, CARLSON WALLGREN ROOFING, SIDING, 10/19/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 621 17WC 36749 THOMURE, ZACHARY ARAMARK 11/02/17 GESMER LAW OFFICES, PC 622 17WC 36800 TAYLOR, ELIZABETH CUSD #220 11/29/17 SEIDMAN MARGULIS & FAIRMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 17WC 36949 HERNANDEX, MARTINA ND INDUSTRIES, IND 04/13/15 GESMER LAW OFFICES, PC 624 17WC 37081 LEONHARDT, KEITH CASSENS TRANSPORT 11/25/17 BLACK & JONES KNAPP, OHL & GREEN 625 17WC 37129 THOMPSON, ARLAIN FCA US, LLC 06/13/15 GESMER LAW OFFICES, PC 626 17WC 37274 GARRETT, MICHAEL DIAMOND HEAT TREAT 11/28/17 GESMER LAW OFFICES, PC 627 17WC 37620 SHOOP, DAVID TRISTAR METALS 10/31/17 BLACK & JONES HOLECEK & ASSOCIATES 628 17WC 37796 BUSTOS, JOANNE SYNCREON 11/15/17 STROM, NEAL B 629 17WC 37963 PERRY, DEMEKA THE ATRIUM 06/21/17 CACCIATORE, WILLIAM T 630 17WC 38026 LEE, BRIAN AUTO RELEASING, INC 12/06/17 CLARK FROST KNAPP, OHL & GREEN 631 17WC 38033 ALI, NASSER FCS US LLC 07/06/17 CLARK FROST WILLIAMS MCCARTHY LLP 632 17WC 38085 HOBSON, CHARLES JR ADVANCED DISPOSAL 10/18/17 BLACK & JONES INMAN & FITZGIBBONS 633 17WC 38106 VAZQUEZ, MICHAEL DOMINOS PIZZA 12/21/17 DWORKIN AND MACIARIELLO 634 18WC 00006 MACEDO, MARIA C CHIQUITA FOOD MARKET 11/19/17 JOHN J CASTANEDA 635 18WC 00071 MORSE, JAMIE SYNCREON 07/25/17 ANESI OZMON RODIN NOVAK KO 636 18WC 00086 HALL, TAMMY ALDI, INC 11/14/16 HUGHES SOCOL PIERS RESNICK BRADY CONNOLLY & MASUDA PC 637 18WC 00255 ROWLETT, CURTIS SECURE STAFFING LLC 11/02/17 DWORKIN AND MACIARIELLO 638 18WC 00365 TOBLER, BRIAN SYNCREON 10/20/17 BLACK & JONES GAROFALO SCHREIBER STORM 639 18WC 00408 JOHNSON, JACKIE CRAWFORD CONTRACTOR CONNE 12/21/16 BLACK & JONES HOLECEK & ASSOCIATES 640 18WC 00415 ROE, KENT HOLLAND M-BAR-D 05/26/17 BLACK & JONES GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 18WC 00452 RUSTAD, GRANT UNITED PARCEL SERVICE 11/30/17 GOLDBERG WEISMAN & CAIRO L ASA LAW GROUP 642 18WC 00574 WILSON, TRAVIS BERNER FOODS, INC 10/31/15 BLACK & JONES HOLECEK & ASSOCIATES 643 18WC 00577 BIANCHI, MARK PENNSYLVANIA LUMBERMANS M 12/07/17 BLACK & JONES HOLECEK & ASSOCIATES 644 18WC 00595 BASSETT, DERRICKA FCA FIAT CHRYSLER AUTOMOB 12/07/17 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 645 18WC 00921 OCHOA, SALVADOR CHEMICAL PROCESSING, INC 11/08/17 ALEXANDER, PETER LTD. 646 18WC 00954 KASTNING, DUANCE H FCA US LLC 11/15/17 KATZ FRIEDMAN EAGLE ET AL 647 18WC 00962 WICKLUND, BRIAN FCA US LLC 01/02/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 648 18WC 01034 SHONDEL, DAWN CARDINAL STAFFING 10/26/17 DWORKIN AND MACIARIELLO 649 18WC 01078 DELAROSA, TAMMY T FCA US, LLC 08/14/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 650 18WC 01245 KISSICK, BRIAN FCA US LLC 09/21/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 651 18WC 01482 PENCE, JOYCE VONACHEN SERVICES 03/21/17 PERRY GENTILE 652 18WC 01511 GUAMAN, MAURO D CHICO R TRANSPORTATION IN 11/18/16 GALLAGHER, DONALD V 653 18WC 01551 VAN NATTA, CHASE WILLIAM METRO INSULATION 12/27/17 BLACK & JONES 654 18WC 01554 COOPER, LINDA ROCKFORD PUBLIC SCHOOLS 11/03/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 655 18WC 01689 SANCHEZ, JULIE DICKIE STAFFING 01/10/18 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 656 18WC 01862 BOWERS, MATTHEW QUICK DELIVERY SERVICE, I 07/01/17 BLACK & JONES JAMES M KELLY 657 18WC 01874 JOHNSON, CONRAD TAYLOR/UNITED TECHNOLOGIE 12/15/16 GESMER LAW OFFICES, PC MACIOROWSKI SACKMANN & ULRIC 658 18WC 02019 SCHUTT, KIM ST OF IL-DEPT OF AGRICULT @ 01/03/18 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 18WC 02026 GARZA, CHRIS COMPASS GROUP 12/04/17 BLACK & JONES GANAN & SHAPIRO 660 18WC 02200 KRAUSE, AUBREY E LOWE'S HOME CENTERS, LLC 05/30/17 TUITE LAW KEEFE CAMPBELL & ASSOC LLC 661 18WC 02333 SQUIRES, BRIAN S CITY OF ROCKFORD POLICE D 08/28/16 REESE & REESE 662 18WC 02650 MALDONADO-ORTIZ, JOEL NUESTRO QUESO LLC 01/04/18 GESMER LAW OFFICES, PC 663 18WC 02848 RANDOLPH, IDA R MEIJER STORES, LP 10/11/17 TUITE LAW KOPKA, PINKUS DOLIN, PC 664 18WC 02876 BARTLETT, RICHARD FCA US LLC 09/01/17 BLACK & JONES WILLIAMS MCCARTHY LLP 665 18WC 03105 MAHURIN, DAYNA SEPTRAN INC 02/22/16 TIMOTHY J. FREIBERG ROBERT L. SMITH 666 18WC 03129 THOMPSON, RALPH E ILLINOIS STATE @ 10/23/17 REESE & REESE NYHAN BAMBRICK KINZIE & LOWR 667 18WC 03240 GOMEZ, ANTONIO RODRIGUEZ KS ENERGY SERVICES LLC 12/11/17 PIGNATELLI & ASSOCIATES 668 18WC 03365 GROOMS, DANA L SWEDISH AMERICAN HOSPITAL 09/27/15 KELLY & KING 669 18WC 03382 ZUMMO, BRUCE RYDER LOGISTICS 10/19/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 670 18WC 03395 SCRUGGS, ALVIN GUNITE CROP 01/19/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 671 18WC 03578 SHARP, MICHAEL J MILSTONE, INC 02/26/15 TUITE LAW 672 18WC 03592 BRANCH, LYNETTE MERCY HEALTH 12/21/17 BLACK & JONES 673 18WC 03595 AMADOR, JAIME THE ROCKWELL GROUP 02/19/15 BLACK & JONES CACCHILLO LAW GROUP LLC 674 18WC 03625 MANDUJANO, NICOLASA ILLINOIS REVENUE DEPARTME @ 08/17/17 TARADASH LAW OFFICE ASSISTANT ATTORNEY GENERAL 675 18WC 03735 HEDRICK, PHILIP SPX COOLING TECHNOLOGIES, 10/11/17 STEPHEN P. KELLY 676 18WC 03809 MARQUEZ, YESENIA PCI 12/07/17 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 18WC 03920 GAGLIANO, DARIN J BOONE COUNTY GOVERNMENT 08/24/17 TUITE LAW ELMAN & EHARDT LTD 678 18WC 03994 SORNSIN, MARK UPS FREIGHT 03/28/17 LAWFIRST LAWRENCE COZZI - LAW OFFICES 679 18WC 04044 ESCOBEDO, CARLOS DE LIRA ML FARM SYSTEMS, INC 09/26/17 CULLEN HASKINS NICHOLSON 680 18WC 04385 RUSSEY, TARIK MACLELLAN INTEGRATED * 01/10/18 BLACK & JONES 681 18WC 04488 MAZZERI, GIOVANA FEDEX * 05/31/17 DWORKIN AND MACIARIELLO 682 18WC 04608 MARTINEZ, ALFREDO JOHN'S NATURALS * 01/12/18 JOHN S. ELIASIK 683 18WC 04766 GALBO, JASON GILLS FREEPORT DISPOSAL * 06/21/17 CULLEN HASKINS NICHOLSON 684 18WC 04916 KIVISTO, RICHARD FCA US LLC * 05/23/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 685 18WC 05021 MOORE, JASLYNN GUNITE * 01/18/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 686 18WC 05052 FREEMAN, DARRELL D ROCKFORD PUBLIC SCHOOLS * 08/24/17 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 687 18WC 05223 ALMASY, STEVE TITAN TIRE CORP * 10/28/16 GESMER & REYNOLDS PC 688 18WC 05240 SEXTON, PAMELA ROCKFORD MEMORIAL HOSPITA * 10/06/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 689 18WC 05244 SMITH, MARK MORNING DISPOSAL, INC * 09/29/17 GESMER LAW OFFICES, PC 690 18WC 05290 MCCLURE, JAMES SECURITAS USA * 10/17/17 JOHN E LUSAK 691 18WC 05331 SAVAGE, CHRISTOPHER NICAR GAS * 10/05/17 HEDEEN, MICHAEL J PC MACIOROWSKI SACKMANN & ULRIC 692 18WC 05409 PADRON, ARTHUR J ILLINOIS STATE @ * 12/19/17 REESE & REESE GANAN & SHAPIRO 693 18WC 05455 FENGER, MICHAEL JB CONTRACTING CORPORATIO * 02/02/18 TURCYCHUTE LLC PERRY GENTILE 694 18WC 05642 FLORES, LUCIA ROCKFORD MEMORIAL HOSPITA * 12/15/15 GOLDBERG WEISMAN & CAIRO L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 18WC 05643 FLORES, LUCIA ROCKFORD MEMORIAL HOSPITA * 01/24/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 696 18WC 05735 BARKER, TAMMY UPS CC MILAN * 11/29/17 BLACK & JONES ASA LAW GROUP 697 18WC 06190 BRUGMAN, JAMES JR FCA US, LLC * 11/29/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 698 18WC 06307 MARTUCCI, LAWRENCE CONTEMPORARY HAMMER WORKS * 12/21/17 CLARK FROST 699 18WC 06402 RUDERT, SABRINA CORPORATE EMPLOYMENT SVCS * 02/02/18 CLAYBORNE SABO & WAGNER 700 18WC 06480 PLOCK, REHANNON PINECREST COMMUNITY CENTE * 10/15/17 BLACK & JONES GRANT & FANNING 701 18WC 06486 HACKNEY, MARK WORLD CLASS MOTORS * 06/22/17 BLACK & JONES GANAN & SHAPIRO 702 18WC 06596 STRANG, BRYCE FITZGERALD EQUIPMENT * 11/18/16 BLACK & JONES 703 18WC 06600 HANVY, NIKOLE CONTINENTAL PAINTING * 11/22/17 BLACK & JONES 704 18WC 06673 TABER, SHAUN M SPX FLOW US, LLC * 06/06/17 TUITE LAW WIEDNER & MCAULIFFE LTD 705 18WC 06781 HARTEL, JACK CENTRAL STATES TRUCKING * 10/31/17 GESMER LAW OFFICES, PC HINSHAW & CULBERTSON 706 18WC 06823 ERLINS, LASHONDA ROSECRANCE INC * 09/11/17 PUMILIA LAW LLC 707 18WC 06895 SEMINI, EDMOND MODERN PLATING CORP * 12/13/17 GESMER LAW OFFICES, PC HOLECEK & ASSOCIAT0ES 708 18WC 06899 FREE, TONYA RENT-A-CENTER * 04/07/17 BLACK & JONES 709 18WC 06902 FRISCH, JENNIFER ROCKFORD TOOLCRAFT * 12/16/16 BLACK & JONES LITCHFIELD CAVO 710 18WC 06941 SCOTT, GLORIA MONDELEZ INTL * 01/24/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 711 18WC 06944 CASEY, THERESA FCA US LLC * 09/01/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 712 18WC 06975 TIMBUSH, MELISSA DOTSON WALMART * 05/03/16 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 18WC 07084 WILCOX, MILTON WOODS EQUIPMENT CO * 03/02/18 WOODRUFF & JOHNSON 714 18WC 07171 LARSON, TRESEA MERCY HEALTH CORPORATION * 02/03/18 BLACK & JONES 715 18WC 07200 HERRERA, RAUL SUNSET LOGISTICS LLC * 12/08/17 GOLDBERG WEISMAN & CAIRO L 716 18WC 07283 HERNANDEZ, PETER ESTWING MANUFACTURING COM * 01/30/18 BLACK & JONES 717 18WC 07312 KEARNS, HOLLI STARBUCKS * 02/04/18 CLARK FROST 718 18WC 07464 DOZIE, MARY UPS * 12/20/16 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 719 18WC 07467 MADRIGAL, DARIO THE CALDWELL GROUP, INC * 12/07/17 BLACK & JONES EDWARD J. KOZEL 720 18WC 07522 BARBARY, ANTHONY AEROTEK * 12/08/17 GESMER & REYNOLDS PC 721 18WC 07593 EVANS, JEROME QUALITY METAL FINISHING * 02/08/18 GESMER LAW OFFICES, PC RIPES NELSON BAGGOT KALOBRAT 722 18WC 07654 VINES, ERICA ROCKFORD MASS TRANSIT * 12/24/17 BLACK & JONES 723 18WC 07793 STEWARD, WILLIE M BERNER FOOD & BEVERAGE, I * 11/09/17 TUITE LAW HOLECEK & ASSOCIATES 724 18WC 07825 STEELE-KING, SOPHIA LINCOLNSHIRE PLACE * 02/17/18 DWORKIN AND MACIARIELLO 725 18WC 07864 HORTON, JOHHNY E CONCENTRIC ROCKFORD INC * 10/19/17 TUITE LAW 726 18WC 07871 PULLEM, VANESSA LAUNCH TECHINICAL * 03/11/18 MC HARGUE & JONES RIPES NELSON BAGGOT KALOBRAT 727 18WC 07909 DAME, KATHLEEN WILLOWGLEN ACADEMY * 03/23/17 BLACK & JONES 728 18WC 08074 JEFFERSON, FRANK TH FOODS INC * 01/26/18 BLACK & JONES 729 18WC 08104 MC GHEE, DECARLES ROCKFORM CARBIDE * 10/02/17 GANAN & SHAPIRO 730 18WC 08501 SANTOS, JASMINE ANDROID INDUSTRIES * 02/02/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 18WC 08529 JONES, JAMES PINNACLE FOODS * 04/01/17 BLACK & JONES 732 18WC 08581 JANISCH, DENNIS CASSENS TRANSPORT COMPANY * 12/21/17 GESMER & REYNOLDS PC KNAPP, OHL & GREEN 733 18WC 08830 BARCELLONA, DOMINICK COUNTY OF WINNEBAGO, ILLI * 08/26/14 TUITE LAW 734 18WC 08890 KELLEY, PATRICK GATEHOUSE MEDIA * 12/31/17 BLACK & JONES KNELL LAW LLC 735 18WC 08935 MCALL, THOMAS LEADING EDGE HYDRAULICS * 02/20/18 GESMER & REYNOLDS PC KNELL & O'CONNOR 736 18WC 09063 PHILBEE, ANGELA ROCKFORD BOARD OF EDUCATI * 06/19/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 737 18WC 09074 WAHLIN, ANITA LEGACY ACADEMY OF EXCELLE * 01/22/18 GESMER & REYNOLDS PC 738 18WC 09093 CASH, ASHLEY MONDELEZ INTERNATIONAL * 02/25/17 BLACK & JONES 739 18WC 09102 COLLINS, LEOLA HONEYWELL * 12/02/16 BLACK & JONES RODDY LAW LTD 740 18WC 09207 WOLBER, BETH BLOUNT INTERNATIONAL/ WOO * 09/21/16 LAWRENCE COZZI - LAW OFFICES 741 18WC 09361 TILTON, CHRIS MIDWEST SEAMLESS GUTTERS * 06/19/17 CLARK FROST GANAN & SHAPIRO 742 18WC 09483 AUSTIN, JAMIE RO-PAL GRINDING INC * 11/03/16 BLACK & JONES 743 18WC 09486 DAYTON, BOBBIE FCA US LLC * 02/19/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 744 18WC 09620 ZMUDKA, PEGGY SUE EAST DUBUQUE ELEMENTARY S * 05/02/17 SEIDMAN MARGULIS & FAIRMAN KNELL LAW LLC 745 18WC 09792 HENDRICKS, MARVETTA SUNRISE BUS COMPANY * 03/21/18 DWORKIN AND MACIARIELLO 746 18WC 09949 RUSSELL, BRIAN G. W. BERKHEIMER * 01/05/18 GESMER & REYNOLDS PC 747 18WC 10000 SEITZ, KURT DATON FREIGHT * 11/14/17 GESMER & REYNOLDS PC 748 18WC 10110 YOUNG, MARIO RESOURCE MFG * 01/27/18 DAVID W MARTAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 18WC 10155 PAUL, EUGENE WOODWARD, INC * 12/07/17 HINSHAW & CULBERTSON 750 18WC 10343 WILLIAMS, JOVAN MAGNA * 02/13/18 BRISKMAN BRISKMAN GREENBER 751 18WC 10400 HUBBELL, MICHAEL W ILLINOIS DEPT OF TRANSPOR * 08/10/17 MERTES & MERTES PC 752 18WC 10424 EADS, JACOB CORPORATE SERVICES INC * 09/25/17 DWORKIN AND MACIARIELLO POULOS & DIBENEDETTO LAW 753 18WC 10529 GUTIERREZ, ERIK LDR CONSTRUCTION * 04/27/17 DWORKIN AND MACIARIELLO 754 18WC 10694 SEGERS, REGGIE THE WORK PLACE * 03/08/18 BLACK & JONES GRANT & FANNING 755 18WC 10859 BROWN, FELICIA ROCKFORD MASS TRANSIT * 03/21/18 BLACK & JONES 756 18WC 10862 SEGERS, REGGIE THE WORK PLACE * 03/19/17 BLACK & JONES 757 18WC 10866 JONES, T J YANGFENG AUTOMOTIVE INTER * 03/02/18 BLACK & JONES 758 18WC 10872 DODSON, MELVA FREEPORT SCHOOL DISTRICT * 09/08/17 BLACK & JONES 759 18WC 10907 DAVIS, LASHELLE FCA US LLC * 02/07/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 760 18WC 10967 WELCH, THELMA FOREST CITY NURSING * 02/28/18 DWORKIN AND MACIARIELLO 761 18WC 11096 METZ, DONALD ANDERSON AUTOMOTIVE GROUP * 12/26/17 GESMER & REYNOLDS PC 762 18WC 11136 SAMPSON, STEVE SPARE PARTS SOLUTION * 03/12/18 CLARK FROST 763 18WC 11273 LONG, CHARLES M BAY VALLEY FOODS * 01/12/16 TUITE LAW 764 18WC 11334 LONG, CHARLES M BAY VALLEY FOODS * 01/08/17 TUITE LAW 765 18WC 11372 SMITH, WILLIAM DEVANSOY * 01/30/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 766 18WC 11375 VIEL, KELLY MCDONALD'S * 12/21/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 767 18WC 11491 THOMAS, TAUREAN STAFF ON SITE * 04/05/18 DWORKIN AND MACIARIELLO 768 18WC 11541 STADEL, CHRISTOPHER SPX FLOW, INC * 02/12/18 CLARK FROST 769 18WC 11726 MELENAS, MARK PEARSON * 06/21/16 GESMER & REYNOLDS PC 770 18WC 11835 LA LOGGIA, JEANINE ENVOY AIR * 04/05/18 BLACK & JONES 771 18WC 12149 MANQENE, MATTHEW TEXAS STARS * 10/17/15 FLOYD LAW FIRM 772 18WC 12175 NELSON, KEITH ANDERSON DODGE * 01/30/18 GESMER & REYNOLDS PC 773 18WC 12178 GUNN, JOHN STS DELIVERY INC * 01/08/18 CLARK FROST 774 18WC 12212 STEIN, CASEY M WALMART, INC * 09/11/17 WIEDNER & MCAULIFFE LTD 775 18WC 12263 LAMBAREN, HECTOR CUSTOM ALLOYS INC * 04/27/16 COSTA IVONE LLC 776 18WC 12270 WHEELOCK, WILLIAM JONES PACKING LLC * 02/27/18 THOMAS & PORTELA 777 18WC 12501 WRIGHT, KAREN HARLEM SCHOOL DISTRICT 12 * 04/06/18 HANNIGAN & BOTHA, LTD 778 18WC 12531 MUNKACSY, ROBERT MAGNA INTERNATIONAL * 01/24/18 TARADASH LAW OFFICE POWER & CRONIN LTD 779 18WC 12650 PAISLEY, MICHAEL R SPAHN & ROSE LUMBER CO * 01/31/18 HOLMSTROMKENNEDY PC 780 18WC 12945 BRYANT, DANNY PREMIERE WOODWORKING * 11/01/17 BLACK & JONES 781 18WC 12948 POWELL, JOHN SR. FCA US LLC * 01/18/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 782 18WC 12952 HANSON, AMANDA LUNDQUIST MANUFACTURING * 09/01/17 BLACK & JONES 783 18WC 12955 HOGAN, SAMANTHA UPS * 10/24/17 BLACK & JONES ASA LAW GROUP 784 18WC 12958 RIESKAMP, ZACH GREENLEE TEXTRON * 03/22/18 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M GLAUB, MICHAEL 006 ARBITRATION CALL FOR ROCKFORD 45003 ON 06/13/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 785 18WC 13108 VEITCH, MICHAEL J KINNIKINNICK CCSD #131 * 06/08/16 TUITE LAW 786 18WC 13121 YATTONE, TAMMY STEPPING STONES * 03/09/17 GESMER & REYNOLDS PC 787 18WC 13217 CHAVEZ, ROSALBA PCI PHARMA SERVICES * 10/01/17 GARDI & HAUGHT 788 18WC 13227 LYNDE, JOHN II ROCK RIVER FORD * 05/03/16 BLACK & JONES 789 18WC 13290 ROSS, BRIAN A POPLAR GROVE PACEMAKER LL * 03/01/18 TUITE LAW 790 18WC 13406 THROOP, ALYSE N BERNER FOODS * 04/09/18 REESE & REESE 791 18WC 13478 GRIFFETH, JARED MIKE HARRIS MASONRY CONTR * 03/05/18 HORWITZ HORWITZ & ASSOC 792 18WC 13560 GONZALEZ, CANDELARIA LIBERTY STAFFING * 02/13/18 TUITE LAW 793 18WC 13628 SANDOVAL, GUADALUPE BREMNER FOOD GROUP * 02/15/18 KATZ FRIEDMAN EAGLE ET AL 794 18WC 13693 DIAZ, RAMON ANDY'S PROFESSIONL LANDSC * 10/05/17 BLACK & JONES 795 18WC 13746 ZELLERS, MARGIE SWEDISH AMERICAN HEALTH S * 04/13/18 KATZ FRIEDMAN EAGLE ET AL 796 18WC 13908 MEGGENBERG, RICHARD FCA US LLC * 03/15/18 KATZ FRIEDMAN EAGLE ET AL 797 18WC 13923 SMITH, DESTINY CARDINAL SMITH * 04/26/18 GESMER & REYNOLDS PC 798 18WC 14061 JACKSON, SHANNA M FCA US LLC * 02/03/18 TUITE LAW 799 18WC 14090 SMOLINSKI, TIMOTHY ILLINOIS WATER TECHNOLOGI * 04/11/18 GESMER & REYNOLDS PC 800 18WC 14104 GRESTY, MICHAEL R ARCHITECTURAL METALS, LLC * 03/04/16 GANAN & SHAPIRO