ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 38121 VANDERVOORT, DON OLINGER TRANSPORT, INC 05/27/04 THOMAS R LICHTEN 2 05WC 10479 SWAN, ALBERT W SJOSTROM & SONS, INC 10/30/03 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 3 05WC 31501 CARDINAL, VICTORIA CADBURY ADAMS 04/22/05 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 4 07WC 20204 SCHUETZ, DENNIS SCHINDLER ELEVATOR CORP 04/03/07 GESMER LAW OFFICES, PC MC ANDREWS & NORGLE LLC 5 07WC 44057 EICKHORST, SALLY ST OF IL DEPARTMENT OF @ 05/02/06 CACCIATORE, WILLIAM T ASSISTANT ATTORNEY GENERAL 6 07WC 55626 NOVAK, DAMIEN CHRYSLER LLC 09/25/07 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 7 08WC 51717 MURRAY, DANNA STREANWOOD BEHAVORAL HEAL 08/05/08 BLACK & JONES RIPES, NELSON, BAGGOT & 8 09WC 08213 19B DAHL, JAY D HIGHLAND CHEMICAL INC 10/23/08 GREG TUITE & ASSOC CAPUANI, FRANK S 9 09WC 34511 RUSSEY, LEE CADBURY ADAMS USA LLC 05/27/09 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 10 09WC 37829 DEWEY, DANIEL IL DEPT OF TRANSPORTATION @ 05/27/09 BLACK & JONES ASSISTANT ATTORNEY GENERAL 11 09WC 42260 TRY, NANCY M STATE OF ILLINOIS @ 08/28/09 GREG TUITE & ASSOC ASSISTANT ATTORNEY GENERAL 12 09WC 42809 ELDRIDGE, PATRICIA CITY OF ROCKFORD 08/20/09 FRANCINE B WHITE HEYL ROYSTER VOELKER & ALLEN 13 10WC 06374 MC NEELY, ANNETTE CHRSLER LLC 10/21/09 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 11WC042281 -C CHRYSLER LLC 11WC042282 -C 14 10WC 10404 REPPUHN, DANIEL CADBURY ADAMS 01/26/10 BLACK & JONES WIEDNER & MCAULIFFE LTD 15 10WC 19643 VIENS, MARONDA J CHRYSLER GROUP LLC 09/03/08 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 10WC019644 -C 10WC019645 -C 12WC031226 -C 12WC031227 -C 16 10WC 33260 OLSEN, DANIEL ACELL TRANSPORATION 01/02/10 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 10WC 39505 BROWN, MARLEAN WINNEBAGO COUNTY 06/28/10 DWORKIN AND MACIARIELLO WILLIAMS MCCARTHY LLP 18 10WC 48895 WILLIAMS, TAMMY OFS ST ANTHONY HOSPITAL 09/24/10 BLACK & JONES HINSHAW & CULBERTSON 19 11WC 18514 JONES, GREGORY O NISSON FORKLIFT CORP 11/05/10 ALEXANDER, PETER LTD. WIEDNER & MCAULIFFE LTD 11WC018515 -C 20 11WC 19946 LANGERUD, MARY J FAIRHAVEN CHRISTIAN HOME 12/14/10 GREG TUITE & ASSOC PERRY GENTILE 21 11WC 23849 JONES, MISTI KOLB LENA CHEESE CO 05/03/10 GREG TUITE & ASSOC RIPES NELSON BAGGOT KALOBRAT 12WC026761 -C KOLB-LENA CHEESE CO 12WC026762 -C 22 11WC 29328 GUERRERO, GREGORIO MIKRON INDUSTRIES, INC 10/15/09 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 23 11WC 30749 WHIPPLE, CHERYL L RIVER BLUFF NURSING HOME 06/01/11 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 24 11WC 45894 REPPUHN, DANIEL CADBURY ADAMS 11/20/11 BLACK, JIM LAW OFFICE WIEDNER & MCAULIFFE LTD 25 11WC 47641 BROWN, EDITH TESTORS CORP 08/01/11 BLACK & JONES 26 12WC 01307 LYNDE, CHARLES CITY OF LOVES PARK POLICE 08/15/08 HANNIGAN & BOTHA, LTD NYHAN BAMBRICK KINZIE & LOWR 27 12WC 11779 ORTIZ, JOSEPH SYNCREON 02/16/12 KATZ FRIEDMAN EAGLE ET AL 14WC004881 -C 14WC004882 -C 14WC008163 -C 28 12WC 15998 MESSERSCHMIDT, DAYTON VILLA DI ROMA 12/08/11 BLACK & JONES ASSISTANT ATTORNEY GENERAL 29 12WC 16966 FLORENTINE, FRANK WIRTZ BEVERAGE IL 08/01/11 SHELDON I MINKOW & ASSOCIA NYHAN BAMBRICK KINZIE & LOWR 12WC016967 -C 12WC016968 -C 13WC001652 -C 13WC017108 -C 30 12WC 19066 GUSTAFSON, DENNIS CHRYSLER CORP 01/25/12 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 12WC 29970 WHIPPLE, CHERYL RIVER BLUFF NURSING HOME 05/30/12 GREG TUITE & ASSOC 32 12WC 30969 FLORES, ABDIEL KELLYS MARKET COMPANY 09/02/12 SALVATO & O'TOOLE CAPUANI, FRANK S 12WC039923 -C 33 12WC 32023 BRYANT, ROBERTA GENERAL MILLS 03/30/12 BLACK & JONES COZZI & GOGGIN-WARD 14WC005609 -C 34 12WC 33843 FALZONE, JOHN A DOUG'S PLOWING & GROUNDS W 06/22/12 ALEXANDER, PETER LTD. 35 12WC 34272 LEWIS, MARK CHRYSLER LLC 09/14/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 36 12WC 35276 OLSON, DONNA IVENSYS APPLIANCE CONTROL 09/06/12 PIGNATELLI & ASSOCIATES GILDEA & COGHLAN 37 12WC 35443 SPRAY, MICHAEL LOWE'S DISTRIBUTION CENTE 04/18/12 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 14WC018064 -C 38 12WC 36657 FLORES, JOSE M PALTECH 02/17/12 CULLEN HASKINS NICHOLSON RUSIN & MACIOROWSKI LTD 39 12WC 37527 HUEY, TERESA ST OF IL DEPT OF SINGER 10/03/11 BLACK & JONES ASSISTANT ATTORNEY GENERAL 13WC004313 -C SINGER STATE OF IL 13WC030281 -C 40 12WC 41191 DAHLE, STACY CHRYSLER CORP 08/14/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 41 12WC 44534 JEFFERSON, TASHA R INTERNATIONAL AUTOMOTIVE 10/09/12 ANESI OZMON RODIN NOVAK KO GANAN & SHAPIRO 42 13WC 03675 NEWMAN, MICHAEL CARLSON HEATING, COOLING 06/19/12 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 17WC027890 -C 43 13WC 03843 LOZDOSKI, STEVEN T WOODWARD GOVERNOR COMPANY 12/10/12 GREG TUITE & ASSOC HINSHAW & CULBERTSON 15WC001087 -C 44 13WC 04020 DELAROSA, TAMMY T CHRYSLER, LLC 07/24/12 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 45 13WC 06947 MAFFEI, CARMELLA SWEDISH AMERICAN HOSPITAL 11/01/10 BLACK & JONES WILLIAMS MCCARTHY LLP 46 13WC 10337 19B MEDWED, DAVE CHEMTOOL INC 06/30/12 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 13WC 11898 RIVERA, OFELIA JOB NETWORK 01/28/13 GESMER LAW OFFICES, PC LEAHY EISENBERG & FRAENKEL 48 13WC 17588 DIAZ, IMILDA G DANAHER MOTION 12/04/07 BLACK & JONES GILDEA & COGHLAN 49 13WC 19767 LOPEZ, BERTHA R & H LAUNDROMAT & DRY 05/13/13 GREG TUITE & ASSOC RUSIN & MACIOROWSKI LTD 50 13WC 19984 CARTON, ANTHONY M STOCKTON CHEESE INC 02/19/13 HAUSER LAW LLC WIEDNER & MCAULIFFE LTD 13WC029877 -C 51 13WC 30758 MORALES, ALICIA ROCKFORD PROCESS CONTROL 05/29/13 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 52 13WC 32896 MARTIN, MARY ANN MENARDS 08/01/13 BLACK & JONES RODDY LAW LTD 53 13WC 33515 WARD, MICHAEL CHRYSLER LLC 12/22/12 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 54 13WC 35208 WOODFORK, IRENE D UNITED PARCEL SERVICE 07/09/13 GREG TUITE & ASSOC COZZI & GOGGIN-WARD 55 13WC 35730 JORDAN, LISA MONDELEZ INTERNATIONAL 08/23/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 56 13WC 36330 WHITNEY, RICHARD PREMIER CDL TRAINING SERV W 03/26/13 BLACK & JONES 57 13WC 36545 VERNETTI, DAVID VERIZON WIRELESS 03/15/13 BLACK & JONES WHITT LAW 58 13WC 36816 BRASHER, DANA STREAMWOOD BEHAVIORAL HEA 08/05/08 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 59 13WC 41394 MAHAVONG, KIMBERLY SYNCREON NORTH AMERICA IN 10/28/13 GREG TUITE & ASSOC HOLECEK & ASSOCIATES 60 13WC 41854 LEWIS, MARK CHRYSLER LLC 11/18/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 61 14WC 01764 JOHNSON, FRED CHRYSLER LLC 01/11/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 62 14WC 02882 OROS, MICHAEL VITRAN EXPRESS NKA CENTRA 11/14/13 GOLDBERG WEISMAN & CAIRO L COZZI & GOGGIN-WARD 63 14WC 03781 HUNTER, ALBERT G LOWE'S HOME CENTERS, INC 07/08/13 GREG TUITE & ASSOC KEEFE CAMPBELL & ASSOC LLC 64 14WC 06757 STINSON, BRANDFORD A & B FREIGHT LINE, INC 07/31/13 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 14WC 08683 TAYLOR, MELLYORA CHRYSLER LLC 12/03/12 KATZ FRIEDMAN EAGLE ET AL 66 14WC 10844 WHITMORE, JOANNA M BYRON SCHOOL DISTRIC #226 01/30/14 OWENS & LAUGHLIN LLC NYHAN BAMBRICK KINZIE & LOWR 67 14WC 12107 WEBB, FELICIA L BELLTOWER RETIREMENT HOME 09/26/12 THOMAS R LICHTEN GAROFALO SCHREIBER STORM 68 14WC 14724 MORRISEY, WILLIAM R. JOSEPH A. MORRISEY & ASSO 03/14/14 GESMER LAW OFFICES, PC GANAN & SHAPIRO 69 14WC 16247 HELTON, VERGIL D ESTWING MANUFACTURING CO 12/06/13 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 70 14WC 16856 O'BRIEN, DAVID COM ED 07/28/95 BLACK & JONES RUSIN & MACIOROWSKI LTD 71 14WC 16969 RICHARDSON, MARIA BERGSTROM INC 04/21/14 BLACK & JONES WOLFE & JACOBSON, LTD 72 14WC 17377 RALSTON, GAVIN E CHRYSLER LLC 03/20/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 73 14WC 19734 NGUYEN, HA HAMILTON SUNDSTRAND 08/01/13 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 74 14WC 20120 THORNTON, DEBORAH CHRYSLER CORP 03/21/12 BLACK & JONES WIEDNER & MCAULIFFE LTD 75 14WC 20754 CARLSON, ANGELA CHRYSLER LLC 10/15/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 76 14WC 21577 PICHE, KAYCEE PACKAGING COORDINATORS IN 06/10/14 GREG TUITE & ASSOC HEYL ROYSTER VOELKER & ALLEN 14WC021578 -C 14WC021579 -C 77 14WC 21924 HAHN, NICOLE GENERAL MILLS INC 03/03/14 BLACK & JONES PAUL A COGHLAN & ASSOC 78 14WC 22069 SELOVER, MARTIN GKN ROCKFORD INC 08/09/11 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 79 14WC 22540 CADWELL, JOHN E UNIVERSITY OF ILLINOIS 02/28/14 GREG TUITE & ASSOC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 22840 SPAIN, BRIANNA N ANDROID INDUSTRIES 02/28/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 81 14WC 25421 ROSS, JAMIE CHRYSLER CORP 07/01/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 14WC025422 -C 15WC018315 -C 82 14WC 25429 GARCIA, MARISELA ERIE FOODS INTERNATIONAL 12/26/13 BLACK & JONES HOLECEK & ASSOCIATES 83 14WC 25554 MORRIS, THERESA (WIDOW PETRO TECH HAULING INC # 03/20/06 NASH LAW OFFICE PC RODDY LAW LTD 84 14WC 26315 WOODSMALL, TABATHA HEIT HEALTHCARE CENTER 05/21/13 BLACK & JONES RUSIN & MACIOROWSKI LTD 85 14WC 26708 MENDOZA, JOSE METALS USA 01/22/14 BOTTO GILBERT GEHRIS POULOS & DIBENEDETTO LAW 16WC017946 -C 86 14WC 27193 WESLEY, FELICIA DANFOSS DRIVERS 05/03/14 BLACK & JONES HENNESSY & ROACH PC 87 14WC 29364 STAHL, DALE GATEHOUSE MEDIA 07/15/14 THOMAS L NASH PC WIEDNER & MCAULIFFE LTD 14WC042607 -C GATE HOUSE MEDIA D/B/A 88 14WC 32156 CLARK, TIMOTHY IV CHRYSLER LLC 03/05/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC025967 -C 15WC025968 -C 89 14WC 33249 PRINNER, ROBIN UPS FREIGHT SERVICES 02/17/14 BLACK & JONES ASA LAW GROUP 90 14WC 34212 IRVIN, KELLY BREAKERS SALOON & EATERY 06/25/12 BLACK & JONES 91 14WC 35750 OLSON, MICHAEL M DIZZY DOGG INDUSTRIES 04/10/14 RODDY LAW LTD 92 14WC 36592 BUNTON, LLONA BLAIN'S FARM & FLEET 08/03/14 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 93 14WC 37539 RINGEL, MICHAEL M MID STATES CONCRETE INDUS 09/04/14 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM 94 14WC 38880 WILLIAMS, MICHAEL J WILLOWLGEN ACADEMY 01/28/14 GREG TUITE & ASSOC HOLECEK & ASSOCIATES 95 14WC 39511 FLETCHER, JAMES WINNEBAGO COUNTY HWY DEPT 02/28/14 BLACK & JONES WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 96 14WC 40690 CUPLIN, STEVEN R CHRYSLER LLC 10/15/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE 97 14WC 41331 ROSINSKI, ARTHUR F CHRYSLER GROUP LLC 08/14/14 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 98 14WC 42628 FIELDS, WADE E CASSENS TRANSPORT 10/09/14 FRANKS, GERKIN & MCKENNA P KNAPP, OHL & GREEN 14WC042629 -C 99 14WC 43138 CACCIATORE, JENNIFER L ILLINOIS DCFS @ 02/21/14 CACCIATORE, WILLIAM T ASSISTANT ATTORNEY GENERAL 15WC019992 -C STATE OF IL, DEPT OF 100 14WC 43169 PRICE, BOB CHRYSLER, LLC 07/28/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC000729 -C 15WC000730 -C 101 14WC 43334 MANUEL, NIEVES AEROTEK 11/17/14 JAMES ELLIS GUMBINER & ASS LITCHFIELD CAVO 102 15WC 00689 POWELL, MARK LOU BACHRODT AUTO MALL 09/04/13 BLACK & JONES RUSIN & MACIOROWSKI LTD 103 15WC 02842 MAYES, COLEMAN STEPPING STONES OF ROCKFO 02/01/12 BRASSFIELD KRUEGER & RAMLO 104 15WC 03122 BREAN, SCOTT GUNITE 11/19/14 BLACK & JONES RUSIN & MACIOROWSKI LTD 105 15WC 03836 POMLEE, FRANKIE CHRYSLER LLC 08/03/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 106 15WC 05202 CENTENO, JUDITH ARAMARK 12/11/14 CACCIATORE, WILLIAM T WIEDNER & MCAULIFFE LTD 107 15WC 07267 JENNINGS, MICHAEL ROEHL TRANSPORT 12/28/14 DAVID W MARTAY CACCHILLO LAW GROUP LLC 108 15WC 07925 POHLMAN, STACY FIRST STUDENT 10/01/13 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 15WC007926 -C 109 15WC 08316 LEBER, JONATHAN F CARRIER COMMERCIAL 05/15/13 GREG TUITE & ASSOC MACIOROWSKI SACKMANN & ULRIC 110 15WC 09361 LUKE, CAROL STATE OF IL-DORS @ 02/17/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 111 15WC 09415 MCALLISTER, CINDY ELGIN MENTAL HEALTH CENTE 01/19/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 112 15WC 09940 HERBST, CINDY HAMILTON-SUNDSTRAND UTC 02/19/15 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 113 15WC 10169 CHRISTIANSEN, WANDA J UNITED TECHNOLOGIES CORP 08/22/13 FRANCINE B WHITE MACIOROWSKI SACKMANN & ULRIC 114 15WC 10185 PADGETT, JOHN ADVANCE DISPOSAL # 10/24/13 MEYERS & FLOWERS INMAN & FITZGIBBONS 115 15WC 10704 HEARD, KELA ARACHNID 02/05/15 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 116 15WC 11005 JEVTIC, SVJETLANA ROCK RIVER HALTH CARE 10/28/14 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 117 15WC 11692 SHANKLIN, EMMANUEL CHRYSLER CORP 03/09/15 BLACK & JONES WILLIAMS MCCARTHY LLP 118 15WC 14200 MARQUEZ, TONYA EMERY AIR INC 12/12/13 BLACK & JONES COZZI & GOGGIN-WARD 119 15WC 15736 DAVIS, TIMOTHY AMERICOLD LOGISTICS 04/13/15 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 120 15WC 15789 CRABB, DEBORHA L HELP AT HOME 01/23/15 KATZ FRIEDMAN EAGLE ET AL COZZI & GOGGIN-WARD 121 15WC 16476 SKELTON, RANDY M JR DAGNON BUILDING & ROOFING 12/03/14 BARRICK SWITZER LONG ET AL 122 15WC 16941 UDELHOFEN, COURTNEY L IAC BELVIDERE, LLC 02/24/14 GESMER LAW OFFICES, PC GANAN & SHAPIRO 123 15WC 17272 DE VLIEGER, LAURIE A ROCKFORD MASS TRANSIT DIS 05/06/15 GREG TUITE & ASSOC WILLIAMS MCCARTHY LLP 124 15WC 17504 SEVERSON, PAUL NORTHWEST PALLETT SUPPLY 12/10/14 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 125 15WC 17636 GILMORE, TOYA LATRICE CHRYSLER LLC 05/04/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 126 15WC 17951 KULJANIN, MILOMIR MEGA EXPRESS 11/20/13 BLACK & JONES SCOPELITIS GARVIN LIGHT 127 15WC 17952 ROBLES TRETO, NOEL JESSICA FARTH GARCIA D/B/ 03/12/15 BLACK & JONES 128 15WC 18198 NIMAN, AARON UNITED TECHNOLOGY CORPORA 02/20/14 WILLIAMS MCCARTHY LLP MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 15WC 18273 JAMES, JIMMY A STERLING FARM & FLEET INC 05/03/14 GREG TUITE & ASSOC WOLFE & JACOBSON, LTD 130 15WC 19177 TIDWELL, JOSEPH ROCKFORD MEMORIAL HOSPITA 05/21/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 15WC019178 -C 16WC007078 -C 16WC007079 -C 131 15WC 19436 WILLIAMS, DONNA INTERACTIVE HEALTH 03/12/15 DAVID W MARTAY WIEDNER & MCAULIFFE LTD 132 15WC 20523 CHANTHAPHONE, SONENALINH CITY OF ROCKFORD FIRE DEP 12/05/14 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 15WC022058 -C 16WC009683 -C 133 15WC 20854 THOMPSON, LANDON FCA US LLC 07/26/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC005234 -C 134 15WC 20983 MEDINA, NORMA ANCHOR COUPLING 03/20/13 BLACK & JONES GOLDBERG SEGALLA LLC 135 15WC 21479 BUNCH, MICHELLE STATE OF IL DEPT OF CHILD @ 02/23/15 GESMER LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 136 15WC 22382 FOSTER, ZENA M UNITED TECHNOLOGIES CORP. 04/29/15 FRANCINE B WHITE MACIOROWSKI SACKMANN & ULRIC 137 15WC 22443 GALBO, JASON GILLS FREEPORT DISPOSAL 01/08/15 CULLEN HASKINS NICHOLSON NYHAN BAMBRICK KINZIE & LOWR 138 15WC 23194 SANDERS, SCOTT LIEBOVICH CUSTOM FABRICAT 09/03/14 GESMER & REYNOLDS PC POULOS & DIBENEDETTO LAW 139 15WC 24249 HADUCA-DIECKHOUS, PREDICA ROCKTON SCHOOL DISTRICT 1 05/07/14 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK 140 15WC 25221 BILLINGSLEY, BARBRA CHRYSLET LLC 06/12/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 141 15WC 25606 19B CROOK, RICHARD II CON-WAY FREIGHT 11/21/14 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 142 15WC 25757 DAVENPORT, SHANNON CHRYSLER 11/01/13 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 143 15WC 26402 STEVENS, LAKRISHA IAC MANAGEMENT, LLC 12/17/14 BLACK & JONES GANAN & SHAPIRO 144 15WC 26559 WESLEY, FELICIA DANFOSS DRIVES 05/03/14 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 145 15WC 27340 PITTAWAY, JASON SWEDISH AMERICAN HOSPITAL 11/15/12 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 146 15WC 27458 ROBERTS, CRYSTAL PRESENCE COR MARIAE CENTE 06/02/15 BURNETT & CARON, LTD KEEFE CAMPBELL & ASSOC LLC 147 15WC 27556 ADAMS, BRYAN CHEMTOOLS INC 02/01/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 148 15WC 28563 MC GUIRE, CHARLES L. ROCKFORD BOARD OF EDUCATI 07/28/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 149 15WC 29216 MARTIN, DANIEL T CITY OF ROCKFORD 07/21/15 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 150 15WC 29470 ARTEAGA, CLAUDIO MODERN SUSPENSION SYSTEMS 02/14/14 GESMER LAW OFFICES, PC HENNESSY & ROACH PC 151 15WC 29803 RUSH, CHRISTINA M. EGGSCLUSIVE CAFE 08/08/15 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 152 15WC 30863 HAGEN, YEVETTE CHRYSLER LLC 08/07/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 153 15WC 32133 NEEDHAM, KAREN E CHRISTOPHER & BANKS CORP. 12/15/14 FRANCINE B WHITE COZZI & GOGGIN-WARD 154 15WC 33423 WICKLER, AARON M&M CONCRETE 05/19/15 BLACK & JONES GANAN & SHAPIRO 15WC041067 -C 155 15WC 33735 PERRETT, LARRY USF HOLLAND INC 08/27/15 BLACK & JONES HENNESSY & ROACH PC 156 15WC 33863 NEVAREZ, XHAVIER OAKLEY SUB ASSEMBLY 05/26/15 MARTIN V KUGIA 157 15WC 34186 HOLLIMAN, ROSE M ANDROID INDUSTRIES 09/10/15 DWORKIN AND MACIARIELLO 158 15WC 34421 RIVERA, MELISSA (WIDOW) JAMCO PRODUCTS INC 09/25/15 GESMER LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 159 15WC 34648 PETERSON, TERESA CHRYSLER LLC 01/06/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 15WC 34772 VERVINCK, SAMANTHA MCDONALDS 03/26/15 GESMER LAW OFFICES, PC 161 15WC 34800 GRAVES, JAQUELINE TDS AUTOMOTIVE 07/31/14 DWORKIN AND MACIARIELLO SMITH AMUNDSEN LLC 15WC034801 -C 162 15WC 35233 GALVAN, CECILIA SYNCREON 11/17/14 KARCHMAR & STONE KEEFE CAMPBELL & ASSOC LLC 17WC036029 -C SYNCERON 163 15WC 35746 KLOSOWSKI, KARL J HIGHLAND PARK CVS, LLC 08/13/15 GESMER LAW OFFICES, PC HINSHAW & CULBERTSON 164 15WC 36548 WILCOX, MILTON WOODS EQUIPMENT CO 05/20/14 WOODRUFF & JOHNSON COZZI & GOGGIN-WARD 165 15WC 36592 LIEBER, STACY HEALTHPORT 08/28/15 BLACK & JONES THOMAS & PORTELA 15WC036593 -C 166 15WC 37793 PERSON, CRYSTAL CHRYSLER CORP 10/12/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 167 15WC 37802 LEDDY, NICK ROCKFORD ICE HOGS 11/25/12 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 168 15WC 38422 THOMAS, JAMES EARL FAUST LANDMARK APARTMENTS 11/01/14 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 169 15WC 38703 PENA, MADELINE ROSEWOOD CARE CENTER 03/15/15 GESMER LAW OFFICES, PC RUSIN & MACIOROWSKI LTD 170 15WC 38825 KINGAMBO, MARTHES DANFOSS DRIVES 08/20/15 GESMER LAW OFFICES, PC GAROFALO SCHREIBER STORM 171 15WC 39327 SHELTON, JAMES C PEARL CITY ELEVATOR CO-OP 07/09/13 BLACK & JONES CAPUANI, FRANK S 172 15WC 41584 TURNGREN, TIMOTHY CHRYSLER LLC 11/21/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC000265 -C 173 15WC 41706 MICHALSEN, JULIE CITY OF ROCKFORD 12/01/14 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 174 15WC 41709 JOHNSON, JONNY BARNES INTERNATIONAL 10/02/14 BLACK & JONES 175 15WC 42115 STONE, DANIEL SECURITAS 05/14/15 SCHREINER MALLOY & ETZLER STONE & JOHNSON CHARTERED 176 15WC 42233 DITSWORTH, MICHELLE CHRYSLER LLC. 04/24/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 15WC 42261 JACKSON, MARJORIE ROSEWOOD CARE CTR 05/28/15 178 15WC 42452 GUTIERREZ, JESUS NORTHWEST PALLET SUPPLY 12/16/15 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 179 15WC 42491 QUICK, ROBERT FLEET LIFT TRUCK SERVICE 05/26/15 BLACK & JONES BRADY CONNOLLY & MASUDA PC 180 16WC 00264 SPAIN, BRIANNA ANDROID INDUSTRIES 10/20/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 181 16WC 01458 SEAS, SHARLEEN ILLINOIS STATE POLICE @ 04/27/15 RIDGE & DOWNES ASSISTANT ATTY GENERAL 182 16WC 01531 BARBER, SCOTT ROCK RIVER WATER 03/13/14 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 183 16WC 02523 RAMIREZ, MARY RALCORP HOLDINGS, INC AND 07/20/15 HETHERINGTON KARPEL BOBBER KEEFE CAMPBELL BIERY & ASSOC 184 16WC 02567 HARDWICK, ELLIOTT GET FRESH PRODUCE 01/21/16 COSTA IVONE LLC RODDY LAW LTD 185 16WC 03107 ERB, BRYAN K JOSEPH BEHR & SONS INC 06/19/15 COZZI & GOGGIN-WARD 186 16WC 03166 KRATCHNER, SCOTT UTC AEROSPACE SYSTEMS 09/02/15 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 187 16WC 03496 MEJIA, EUJENIO AKA PRESTIGE MAINTENANCE USA 10/30/15 BLACK & JONES COZZI & GOGGIN-WARD 188 16WC 04134 STRONG, JOHN METALS USA 11/14/15 BLACK & JONES POULOS & DIBENEDETTO LAW 189 16WC 04138 NIGHSWONGER, STEVEN TAYLOR COMPANY 05/15/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 190 16WC 04949 VIEL, PEGGY FCA US LLC 09/18/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 191 16WC 05206 CARTER, HENRY GE AVIATION SYSTEMS LLC 03/25/15 MARKS INJURY LAW MACIOROWSKI SACKMANN & ULRIC 192 16WC 05585 WEDEKIND, TROY FED EX 07/13/15 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 16WC005586 -C 16WC019032 -C 16WC027461 -C 193 16WC 05807 MESSINK, CYNTHIA KUMMER AMERICA CORP 01/19/16 GESMER LAW OFFICES, PC LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 16WC 05888 TAYLOR, TED BLOUNT INTERNATIONAL, INC 02/19/15 GESMER LAW OFFICES, PC COZZI & GOGGIN-WARD 195 16WC 05939 MATHEWS, ROSEMARY R CITY OF ROCKFORD POLICE D 02/03/16 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 16WC018893 -C 196 16WC 06089 GRAHAM, CHARLENE BCBS OF IL 03/27/15 BLACK & JONES LAW OFFICES STEPHEN CARTER 16WC025257 -C 197 16WC 06213 FRANK, RICKY II CHRYSLER LLC 08/24/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 198 16WC 06717 GRIFFIN, THOMAS A TOMERMO INC 02/03/16 TUITE LAW ROSARIO CIBELLA 199 16WC 07104 LAWSON-ROSS, BECKY PACKAGING COORDINATORS IN 10/23/15 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 200 16WC 07179 PEYTON, CARA IAC BELVIDERE CROSSLINK A 10/14/15 WOODRUFF & JOHNSON GANAN & SHAPIRO 201 16WC 07443 RILL, H YVONNE ROCKFORD SCHOOL DIST 205 09/08/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 202 16WC 07472 MENESES, ALFONSO ALLYN MASONRY, INC 06/08/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 16WC009571 -C 203 16WC 09338 SULLIVAN, DONALD P FCA US LLC 03/02/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 204 16WC 09513 OSTRANDER, SEAN GRUPO ANTOLIN 03/04/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 205 16WC 09540 SANCHEZ, DONNELL NVUS METALS, INC. 02/17/16 RICHARD O. GREENFIELD THOMAS & PORTELA 206 16WC 09577 MANDERA, ANNA FCA US LLC 02/20/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 207 16WC 09622 ALANIS, AIDA HEALTHCARE PLUS 12/30/15 BLACK & JONES HOLTKAMP LIESE ET AL 208 16WC 10178 JANESKI, JERED KAYLABOB, INC 02/25/16 CLARK FROST 209 16WC 11575 LOPEZ, LEONARDO MARBLE WORKS 01/27/16 REESE & REESE WOLFE & JACOBSON, LTD 210 16WC 11953 MENDEZ, CASSIE F SWEDISH AMERICAN HOSPITAL 07/22/15 ANKIN LAW OFFICE WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 16WC 12051 WINDER, ROBERT GRAFCOR PACKAGING INC 03/01/16 TUITE LAW LAW OFFICES JOSEPH MARCINIAK 212 16WC 12385 CUEVAS, LUIS ROCKFORD BOLT AND STEEL 12/13/12 BLACK & JONES LAW OFFICES FRANCESCA LARSEN 213 16WC 13292 SNOWDON, DEAN R ROCKTON SCHOOL DISTRICT 07/25/13 CONSIDINE LAW OFFICES JOSEPH MARCINIAK 214 16WC 13544 HENDERSON, AMY ROCKFORD MEMORIAL HOSPITA 01/06/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 215 16WC 13571 TOBIN, BRIAN PREMIUM TRANSP. STAFFING 03/10/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 216 16WC 13673 CASIMIR, JAMES ROCKFORD PRODUCTS LLC 11/18/15 BLACK & JONES GILDEA & COGHLAN 217 16WC 13837 VISENTIN, MARK ROCKFORD ICE HOGS 01/22/16 FLOYD LAW FIRM HENNESSY & ROACH PC 218 16WC 14019 AGUILAR, ARMANDO CCA MIDWEST INC 12/01/14 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 219 16WC 14317 SHEPARD, TIMOTHY AIM DISTRIBUTION INC 04/08/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 220 16WC 14489 ODDO, STEVEN FCA US LLC 01/21/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 221 16WC 14696 LOFT, JOHN STATE OF ILLINOIS @ 10/06/14 VANDERGINST LAW PC ASSISTANT ATTY GENERAL 222 16WC 15424 GREEN, PAULA STATE OF IL DORS 04/18/16 BLACK & JONES ASSISTANT ATTY GENERAL 223 16WC 15720 BALDAWI, AHMED AL VALSPAR CORP. 03/20/15 GOLDSTEIN BENDER & ROMANOF RUSIN & MACIOROWSKI LTD 16WC015721 -C 16WC015722 -C 224 16WC 16129 MCWILLIAMS, WILLIAM T. ROCKFORD MASS TRANSIT DIS 04/06/16 LEE, MARK N LAW OFFICE 225 16WC 16150 KOON, LAURAJ. FREEPORT HEALTH NETWORK 08/14/14 TUITE LAW GAROFALO SCHREIBER STORM 226 16WC 16224 GARDNER, RICHARD D JR FAMILY DOLLAR INC 12/31/15 TUITE LAW WIEDNER & MCAULIFFE LTD 227 16WC 16622 JOHNSON, MEGAN F. DEAN FOODS DBA ICE CREAM 05/21/15 TUITE LAW BRADY CONNOLLY & MASUDA PC 228 16WC 16830 CROPPER, ROBERT FISCHER EXCAVATING INC 03/27/11 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 16WC 16891 BROWN, CARLOS TREEHOUSE FOODS 01/13/16 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 230 16WC 17006 EASON, KIESIA CHRYSLER CORP ASSEMBLY PL 10/20/15 LANNON LANNON & BARR LTD WIEDNER & MCAULIFFE LTD 231 16WC 17398 BYL, ROSE PECATONIA SCHOOL DISTRICT 03/07/16 BLACK & JONES RODDY LAW LTD 232 16WC 17569 DAVIS, OKIE SWEDISH AMERICAN 07/02/15 NEWLAND & NEWLAND WILLIAMS MCCARTHY LLP 233 16WC 18888 GREEN, KARIN ROCKFORD BOARD OF EDUCATI 06/29/15 FRANCINE B WHITE WIEDNER & MCAULIFFE LTD 234 16WC 19022 PFAFF, TERESA WALMART 07/01/15 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 235 16WC 19030 JONES, RICHARD SYNCREON NORTH AMERICA 03/31/16 BLACK & JONES GAROFALO SCHREIBER STORM 236 16WC 19349 JIMENEZ, FELIPE GUERRILLA GRAFFIX 10/10/15 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 237 16WC 20161 SOLIZ, BARBARA ANDROID INDUSTRIES 09/15/15 WOODRUFF & JOHNSON 238 16WC 20440 WYNER, ERIC J LOU BACHRODT CHEVROLET 07/17/15 RICHARD E ALEKSY 239 16WC 20453 GENANDT, SUSAN CORNERSTONE CREDIT UNION 02/16/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 240 16WC 20559 FRESCAS, ALEJANDRO ANDROID INDUSTRIES 11/26/15 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 241 16WC 20636 PRESLEY, COURTNEY CITY OF ROCKFORD POLICE D 03/31/15 NASH LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 242 16WC 20884 GRIFFIN, EDWYNNE M ARAMARK UNIFORM & 02/26/16 TUITE LAW WIEDNER & MCAULIFFE LTD 243 16WC 21176 JIMENEZ, LUIS R FIAT CHRYSLER AUTOMOBILES 06/28/14 JACOBSON & SCHIEFELBEIN WIEDNER & MCAULIFFE LTD 244 16WC 21513 LARSON, ROBBY SYCREON 04/25/16 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM 16WC023091 -C SYNCREON 245 16WC 21539 PARHAM, STUDGE GRUPO ANTOLIN 06/16/16 KATZ FRIEDMAN EAGLE ET AL 246 16WC 22243 FOAT, KATASHA APAC 10/04/15 CHASE & WERNER LTD HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 16WC 22452 GONZALEZ, MARIA ARAMARK UNIFORM SERVICES 04/08/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 248 16WC 22519 RENTON, MICHAEL ROCKFORD MASS TRANSIT DIS 03/04/16 LEE, MARK N LAW OFFICE POWER & CRONIN LTD 249 16WC 22546 CARTWRIGHT, JOHNATHAN UTC AEROSPACE SYSTEMS 06/02/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 250 16WC 22567 BROWN, TONYA MENARDS 10/05/15 BLACK & JONES CHILTON YAMBERT PORTER LLP 251 16WC 22589 KUZIORA, TOMASZ FCA US LLC 04/11/16 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 252 16WC 22593 SINGLETON, CHERYL L ANDROID INDUSTRIES 07/09/16 KATZ FRIEDMAN EAGLE ET AL 253 16WC 23352 STAFFORD, ADAM J ILLINOIS TOOL WORKS INC 06/21/16 TUITE LAW HENNESSY & ROACH PC 254 16WC 24036 HILL, COLLEEN DEPARTMENT OF HUMAN SERVI 05/06/15 BLACK & JONES ASSISTANT ATTY GENERAL 255 16WC 24066 RYLATT, JULIE A. STATE OF ILLINOIS DEPT. O @ 07/22/16 TUITE LAW 256 16WC 24934 GONZALEZ, MARIA ARAMARK UNIFORM SERVICES 05/29/15 GESMER LAW OFFICES, PC 257 16WC 24936 RILEY, MICHAEL B CITY OF ROCKFORD 08/04/16 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 258 16WC 25012 CLINE, DAVID E. NORTH BOONE COMMUNITY UNI 02/19/16 TUITE LAW GAROFALO SCHREIBER STORM 259 16WC 25749 SNELL, TRUDY L WARNER ELECTRIC LLC 07/27/16 TUITE LAW HENNESSY & ROACH PC 260 16WC 25839 MOORE, WILLIAM J ABLE BUILDING MAINTENANCE 10/27/15 ALEXANDER, PETER LTD. 261 16WC 25845 NOYOLA, CARLOS CAPITAL BUILDING SERVICES 03/08/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 262 16WC 26546 WATTS, WILLIAM B WESLEY WILLOWS CORPORATIO 05/27/16 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 17WC005040 -C 263 16WC 26559 MOLL, JANE E FREEPORT HEALTH NETWORK 04/12/16 GAROFALO SCHREIBER STORM 264 16WC 26805 BROWN, CARLOS TREE HOUSE FOODS 03/20/16 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 16WC 27541 MOSQUERA MOSQUERA, YACKEL ARAMARK UNIFORM SERVICES 02/15/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 266 16WC 28090 BRUCE, JEROME GUNITE CORPORATION 01/19/15 TUITE LAW RUSIN & MACIOROWSKI LTD 267 16WC 28098 STORM, GRAIL L CONSERV FS, INC 12/30/15 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 268 16WC 28194 VOLKEY, SHANE OAKLE SUB ASSEMBLY 08/24/16 MARTIN V KUGIA PERRY GENTILE 269 16WC 28594 JOINER, FELICIA MAPLE CREST CARE CENTER 08/25/16 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 270 16WC 29813 NEWHAUFEN, BEVERLY HENREY GENERAL MILLS 04/29/16 MARTIN V KUGIA PAUL A COGHLAN & ASSOC 16WC031283 -C 271 16WC 29950 PARRA, LETICIA EBERSPAECHER 08/28/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 272 16WC 30222 READER, ROBERT L WINNEBAGO COUNTY HIGHWAY 04/04/16 TUITE LAW 273 16WC 30425 HOMAN, SONYA THE DEPOT 09/10/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 274 16WC 30449 DRIVER, JENNIFER DEPT OF REHAB SVC @ 09/09/14 GESMER LAW OFFICES, PC HELEN LOZANO 275 16WC 30523 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 09/09/16 GESMER LAW OFFICES, PC ROSARIO CIBELLA 276 16WC 30882 MILLER SR., TONY AUSTIN WESTRAN 06/23/14 KATZ FRIEDMAN EAGLE ET AL RIPES NELSON BAGGOT KALOBRAT 16WC030883 -C 277 16WC 31047 MERSON, JOHN RUAN TRANSPORTATION 07/11/16 BLACK & JONES JAMES M KELLY 278 16WC 31069 DIMARIO, PATRICIA WINNEBAGO COUNTY 12/30/15 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 279 16WC 31447 GONZALEZ-GARIBAY, PEDRO GRJ TRUCKING 05/12/16 GESMER & REYNOLDS PC 280 16WC 31573 DE JIMENEZ, MARIA M TH FOODS 06/10/16 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 281 16WC 31836 MORRIS, TENNES R JR SYNCREON 08/13/16 BLACK & JONES GAROFALO SCHREIBER STORM 282 16WC 31981 RHANOR, MICHAEL ENTERPRISE RENT-A-CAR 10/06/16 GESMER LAW OFFICES, PC KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 16WC 32659 PHILLIPS, VANESSA ALDI 06/10/16 MARTIN V KUGIA BRADY CONNOLLY & MASUDA PC 284 16WC 33060 CHARRON, DAVID FCA US LLC 08/11/16 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 285 16WC 33205 GUSTAFSON, JEFFREY R CITY OF ROCKFORD 04/05/16 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 286 16WC 33222 LOVE, RAYMOND GUNITE CORP 05/31/16 BLACK & JONES RUSIN & MACIOROWSKI LTD 287 16WC 33334 BRINKMEYER, JEFFREY A CASSENS TRANSPORT COMPANY 12/21/15 FRANKS, GERKIN & MCKENNA P KNAPP, OHL & GREEN 288 16WC 33412 ADRIAN, STUART YRC WORLDWIDE 10/11/16 BLACK & JONES HENNESSY & ROACH PC 289 16WC 34032 COKE, JONATHAN NATIONAL TECHNICAL SYSTEM 10/20/15 RUSIN & MACIOROWSKI LTD 290 16WC 34136 MCNAB, SEAN NOODLES & COMPANY 10/25/16 DWORKIN AND MACIARIELLO 291 16WC 34591 STOREY, RHONDA AJ KENT, INC D/B/A 09/17/13 TUITE LAW HENNESSY & ROACH PC 292 16WC 34880 VOSSOUGHI, AMANDA FCA US LLC 10/11/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 293 16WC 35243 BOONE, D'EVYRON CITY OF ROCKFORD POLICE D 07/24/16 NASH LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 294 16WC 35416 FERRIERO, BENN ST LOUIS BLUES 01/24/15 WOLFE LAW PC HENNESSY & ROACH PC 295 16WC 36318 MATHEWSON, RITA K MERIDIAN CUSD #223 01/18/16 TUITE LAW WIEDNER & MCAULIFFE LTD 16WC038121 -C 296 16WC 36472 RICE, LEON TITAN TIRE 10/17/16 BLACK & JONES GRANT & FANNING 297 16WC 36745 CONARD, ADAM INTERNATIONAL AUTOMOTIVE 10/25/16 CHRISTIAN & MANNO GANAN & SHAPIRO 298 16WC 37073 BURFIELD, STACY PCI 06/07/12 BLACK & JONES SPIEGEL & CAHILL, PC 299 16WC 38031 MATTI, ALIN OCEAN BLUE TRUCKING INC 11/21/16 DWORKIN AND MACIARIELLO 300 16WC 38129 SALLIS, SUMMER IAC 11/10/16 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 16WC 38521 KERR, LISA FREEPORT MEMORIAL HOSP 07/06/16 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM 302 16WC 38809 ROBINSON, RODNEY CLIFFBREAKERS RIVERSIDE H 04/18/15 DWORKIN AND MACIARIELLO 303 16WC 38898 JONES, LASAONYA, ROCKFORD SCHOOL DIST 205 08/18/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 304 16WC 39269 SECHLER, ROBERT ARAMARK 12/15/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 305 16WC 39348 HUERTERO, MERCEDES SCHEIDAIRY FARMS INC 10/28/16 BLACK & JONES 306 16WC 39470 SWEENEY, THOMAS WOODWARD, INC 08/31/16 GESMER LAW OFFICES, PC 307 17WC 00073 DENNISON, DEREK FCA US LLC 07/26/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 308 17WC 01204 MOORE, JANICE M MONDELEZ GLOBAL LLC 11/20/14 TUITE LAW WIEDNER & MCAULIFFE LTD 309 17WC 01382 MACK, JOHN FOLKERTS MANUFACTURING 11/07/16 DWORKIN AND MACIARIELLO 310 17WC 01495 CHAMPLIN, ROGER PRATT INDUSTRIES CORRUGAT 11/03/16 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 311 17WC 01701 REED, SCOTT MEIBORG BROTHERS, INC. 09/10/15 GESMER LAW OFFICES, PC WOLFE & JACOBSON, LTD 312 17WC 01847 GUSTAFSON, JULIE ROCKFORD HEALTH SYSTEM 06/12/15 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 313 17WC 02223 STALLWORTH, DENNIS DELICATE PLASTICS, INC. 12/01/16 MARKS INJURY LAW 314 17WC 02302 VAZQUEZ, JOHNNY CITY OF ROCKFORD POLICE D 10/23/16 THOMAS L NASH PC HEYL ROYSTER VOELKER & ALLEN 315 17WC 02314 GROGAN, JOHN SYNCREON 12/12/16 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 316 17WC 02342 KEHOE, ELAISOIN YALE ENFORCEMENT @ 12/10/16 MARSZALEK AND MARSZALEK HOLECEK & ASSOCIATES 317 17WC 02533 JONES, BRENDA HERITAGE WOODS 12/28/16 BLACK & JONES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 17WC 02639 LUBINSKI, FRANCIS FCA US LLC 02/01/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 319 17WC 02733 MOLINA, MARCO COLON'S RESALE SHOP 11/25/16 320 17WC 03486 ADAMS, GARY URBAN EQUITY PROPERTIES, 01/24/17 GESMER & REYNOLDS PC RODDY LAW LTD 17WC003496 -C 321 17WC 03530 LOWE, EMANUEL METRO STAFFING 11/21/16 BLACK & JONES 322 17WC 03841 TAYLOR, KATHLEEN FCA US LLC 05/07/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 323 17WC 04148 ANDERSON, LORI R LIFE LINE SCREENING 01/03/17 GESMER LAW OFFICES, PC LAW OFFICES JOSEPH MARCINIAK 324 17WC 04642 REIFSTECK, MARGARET WINNEBAGO CO SPC ED COOPE 11/16/16 BLACK & JONES INMAN & FITZGIBBONS 325 17WC 04645 FARMER, ROSEMARIE BYRON SCHOOL DISTRICT #22 10/18/16 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 326 17WC 04929 MITCHELL, JOHN HEIR OF BR CHERRY VALLEY SIGN COMPAN # 09/21/16 BARRICK SWITZER LONG ET AL WIEDNER & MCAULIFFE LTD 327 17WC 04989 ALVAREZ, FRANCISCO R&D THIEL 07/04/16 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 328 17WC 05057 BRAUER, TAMRA K MEIJER 01/15/17 GESMER LAW OFFICES, PC KOPKA, PINKUS DOLIN, PC 329 17WC 05598 SAYNER, SCOTT LINDBLAD CONSTRUCTION COM 01/25/17 SCHWEICKERT & GANASSIN INMAN & FITZGIBBONS 330 17WC 05619 HEADLEY, ORVILLE MR ORVILLE HEADLY 02/06/17 BLACK & JONES HENNESSY & ROACH PC 331 17WC 06267 JACKSON, ROMELDA WALGREENS 01/04/16 BLACK & JONES GILDEA & COGHLAN 332 17WC 06608 ALEXANDER, MATTHEW QPS EMPLOYMENT GROUP, INC 10/28/16 DEPAOLO ZADEIKIS GORE WOLFE & JACOBSON, LTD 333 17WC 06683 BRUSH, ERIC WASTE MANAGEMENT INC 08/15/16 BLACK & JONES HENNESSY & ROACH PC 334 17WC 06686 POWERS, AMANDA ROCKFORD SCHOOL DISTRICT 09/01/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 335 17WC 07073 GARCIA, RUBEN MID-STATE CONCRETE INDUST 01/17/14 BLACK & JONES GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 17WC 07612 FLORES, KARI USF HOLLAND, INC 01/04/17 GESMER & REYNOLDS PC 337 17WC 07789 HERNANDEZ, MARTINA ND INDUSTRIES, INC 02/21/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 338 17WC 08001 TAPPAINER, JACK FCA US LLC 08/15/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 339 17WC 08194 HALL, BRENETTA PRESENCE ST JOSEPH CTR 11/15/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 340 17WC 08197 RASMUSSEN, ANDREW THOMPSON LINEAR 02/20/17 BLACK & JONES GILDEA & COGHLAN 341 17WC 08581 NACHAMPSSACK, KINGKAMONE TESTORS CORPORATION 01/09/17 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 342 17WC 08686 COLLINS, RITA LOWE'S DISTRIBUTION CENTE 11/14/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 343 17WC 09047 CALLAWAY, JOYCE OREGON COMMUNITY UNIT SCH 01/20/15 SCHWEICKERT & GANASSIN 344 17WC 09086 JARRELL, ROBERT J CONCORDIA WIRELESS/TRIAD 02/16/17 MARK E MORELAND 345 17WC 09225 MONTES, ELIZABETH WIS INTERNATIONAL 10/12/16 BLACK & JONES HENNESSY & ROACH PC 346 17WC 09266 ISHAM, STEPHEN YRC WORLDWIDE 03/14/16 BLACK & JONES HENNESSY & ROACH PC 347 17WC 09267 ISHAM, STEPHEN YRC WORLDWIDE 12/18/15 BLACK & JONES HENNESSY & ROACH PC 348 17WC 09694 MANRIQUEZ, REBECCA LANDSTAR INWAY INC 07/29/16 BLACK & JONES COZZI & GOGGIN-WARD 349 17WC 10599 MORALES, ALICIA ROCKFORD PROCESS CONTROL 05/29/13 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 350 17WC 10851 CRUZ, RUBIN ALDEN DEBES REHABILITATIO 04/01/17 STRONG LAW OFFICE LAW OFFICES FRANCESCA LARSEN 351 17WC 10965 NIELSEN, LESLIE MR STEVE DORNICK 10/18/15 BLACK & JONES GILDEA & COGHLAN 352 17WC 11058 FOSTER, ZENA M UNITED TECHNOLOGIES CORP 10/27/14 FRANCINE B WHITE MACIOROWSKI SACKMANN & ULRIC 353 17WC 11151 TANDARA, JUSTIN V BARNES INTERNATIONAL INC. 03/03/17 REESE & REESE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 17WC 11395 SOTELO, MONICA FRANCHESCO'S RISTORANTE 01/02/16 355 17WC 11660 LERCH, MATTHEW SCHMERSE LAWN SERVICE 08/26/16 WOODRUFF & JOHNSON RODDY LAW LTD 356 17WC 12290 LUX, CONSTANCE BON TON DISTRIBUTION CTR 11/07/16 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 357 17WC 12521 JACK, MARK ALDER GROUP, INC 11/11/16 CLARK FROST 358 17WC 12957 LEE, DEBORAH BERNER FOOD & BEVERAGE 02/13/17 BLACK & JONES 359 17WC 13162 GOMEZ, JESUS BL WELLWOOD SERVICES 04/25/17 TUITE LAW LAW OFFICES JOSEPH MARCINIAK 360 17WC 13198 HOWARD, STANLEY JOSEPH MASTER DISTRIBUTORS 01/01/16 BLACK & JONES HOLECEK & ASSOCIATES 361 17WC 13483 STANTON, ASHLEY CARDINAL STAFFING SERVICE 01/26/17 BLACK & JONES HENNESSY & ROACH PC 362 17WC 13677 LAESCH, ERICK CASSENS TRANSPORT 12/13/16 BLACK & JONES KNAPP, OHL & GREEN 363 17WC 14086 LABRIE, PIERRE-CEDRIC ROCKFORD ICE HOGS 04/15/16 FLOYD LAW FIRM 364 17WC 14174 MILLER, SUSAN L SWEDISH AMERICAN, A DIVIS 01/16/17 CACCIATORE, WILLIAM T WILLIAMS MCCARTHY LLP 365 17WC 14266 CHANTHAPHONE, SONENALINH CITY OF ROCKFORD FIRE DEP 04/19/17 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 366 17WC 14363 AURAND, LORI A SCHNUCKS MARKETS, INC 06/01/15 TUITE LAW LEMP & MURPHY 17WC014366 -C 18WC022331 -C 367 17WC 14681 RICHARDSON, THOMAS A ROCKFORD PUBLIC SD #205 01/30/17 TUITE LAW WIEDNER & MCAULIFFE LTD 368 17WC 14832 CUNNINGHAM, AMANDA FCA US LLC 09/29/16 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 369 17WC 14895 KURTENBACH, NICK WASTE CONNECTIONS INCDBA 08/10/16 STROW LAW LLC BRADY CONNOLLY & MASUDA PC 370 17WC 15485 HURSH, WILLIAM ROCKFORD SCHOOL DISTRICT 08/18/16 KATZ FRIEDMAN EAGLE ET AL 371 17WC 15977 FLORES RAMOS, JOSE MANUEL FORREST PALLET SERVICES, 04/04/17 WOODRUFF & JOHNSON CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 17WC 16005 SARTINO, MICHAEL PACIFIC PULMONARY SERVICE 05/03/17 BLACK & JONES KOPKA, PINKUS DOLIN, PC 373 17WC 16100 THORSEN, GERALD ANDREW M. NELSON DBA ANDR 04/04/17 STROW LAW LLC CLARK FROST 374 17WC 16260 CARTER, DAVID TITAN TIRE CORP OF FREEPO 05/21/15 MARKS INJURY LAW GRANT & FANNING 17WC032307 -C 17WC032308 -C 375 17WC 16362 NELSON, CYNTHIA ALPINE BANK & TRUST CO 11/01/16 CLARK FROST HOLECEK & ASSOCIATES 376 17WC 16371 CROSS, FARREN PCI PAHRMA SERVICES 05/11/17 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 377 17WC 16492 RAIH, PATRICIA ADDUS HEALTHCARE 12/13/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 378 17WC 16689 HUGHES, KIM SYNCREON AUTOMOTIVE 11/29/16 O'CONNOR & NAKOS KEEFE CAMPBELL & ASSOC LLC 17WC016690 -C 379 17WC 16891 STUCKEY, JASON BEVERLY MATERIALS, LLC 11/21/16 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 380 17WC 17013 WILKINS, PATRICIA ROCKFORD MASS TRANSIT 05/17/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 381 17WC 17741 STANTON, ASHLEY CARDINAL STAFFING SERVICE 02/06/17 BLACK & JONES THOMAS MAMER & HAUGHEY 382 17WC 18018 MATHESON, ROBERT L JR ROCKFORD MEMORIAL HOSPITA 03/23/15 TUITE LAW WIEDNER & MCAULIFFE LTD 383 17WC 18624 CRACKENBERGER, GARY PEARL VALLEY EGGS 07/26/16 PIGNATELLI & ASSOCIATES 384 17WC 18637 CLAY, RAVEN MILESTONE 09/01/16 BLACK & JONES 385 17WC 18640 RUNDBERG, TORI GENRAL MILLS, INC 01/15/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 17WC030596 -C GENERAL MILLS INC 386 17WC 18752 ELLIOTT, BRANDON P HOME DEPOT USA, INC. 05/29/17 TUITE LAW ADELSON TESTAN BRUNDO 387 17WC 18839 MARTINEZ, ANTONIO STEEL CUTTERS, INC. 11/19/16 BLACK & JONES GAROFALO SCHREIBER STORM 388 17WC 18845 BROWN, LAKENYA FURST STAFFING 04/23/17 BLACK & JONES ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 17WC 18899 CEBUHAR, MICHELLE ILLINOIS LOTTERY 04/07/16 390 17WC 18908 REISER, JOHN FCA US LLC 06/07/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 391 17WC 19041 DIXON, BRIAN BLOUNT INTERNATIONAL INC 05/17/17 TAXMAN POLLOCK GAROFALO SCHREIBER STORM 392 17WC 19249 CHIPMAN, PAMELA GE AVIATION 06/01/17 KATZ FRIEDMAN EAGLE ET AL 393 17WC 19306 SALDANA, PEDRO G BRYNOLF MANUFACTURING INC 03/07/17 TUITE LAW 394 17WC 19319 MARKS, CHELSEA ROCKFORD PARK DISTRICT 06/01/17 MC HARGUE & JONES HENNESSY & ROACH PC 395 17WC 19455 JOHNSON, TANISHA HELP AT HOME 02/27/17 GESMER LAW OFFICES, PC 396 17WC 19642 OLTHOFF, RONALD FIRE AND SAFETY EQUIPMENT 06/06/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 397 17WC 19747 LEGAULT, DEANNA M ROCKFORD PUBLIC SCHOOL @ 09/06/16 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 398 17WC 20151 GARKEY, SANDRA EASER SEALS 05/09/17 BLACK & JONES NOBLE & ASSOCIATES PC 399 17WC 20156 FLOETER, MACKENZIE CHEMTOOL INC 06/23/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 400 17WC 20201 AMMONS, FRANCES E FREEPORT SCHOOL DISTRICT 05/10/17 TUITE LAW COZZI & GOGGIN-WARD 401 17WC 20347 EELLS, THOMAS COMMONWEALTH EDISON 08/26/16 DERANGO & CAIN CLAYBORNE SABO & WAGNER 402 17WC 20461 JOHNSON, DIANA L BELOIT ANIMAL HOSPITAL 06/13/17 REESE & REESE CAPUANI, FRANK S 403 17WC 20531 SABINE, LISA ANDROID INDUSTRIES 09/09/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 404 17WC 20534 JONES, JAUNAY FCA US LLC 06/14/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 405 17WC 20828 FREET, MICHAEL S WINNEBAGO COUNTY SHERIFFS 05/05/17 STROW LAW LLC WILLIAMS MCCARTHY LLP 406 17WC 21126 KEEDI, MIRNA ROCKFORD SCHOOL DISTRICT 02/06/17 CLARK FROST WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 17WC 21129 MC ELYEA, VESTLE RAY JR ADVANCED DISPOSAL 02/22/17 BLACK & JONES INMAN & FITZGIBBONS 408 17WC 21293 BLACKWELL, KEITH GUSTAVE A LARSON COMPANY 04/26/17 HORWITZ HORWITZ & ASSOC NOBLE & ASSOCIATES PC 409 17WC 21409 GERMAIN, RENEE L FREEPORT HEALTH NETWORK 01/26/17 TUITE LAW GAROFALO SCHREIBER STORM 410 17WC 21435 WENBERG, JACOB S EWT/3DCNC INC 11/10/16 TUITE LAW INMAN & FITZGIBBONS 411 17WC 21713 HART, MARGARET FCA US, LLC 07/02/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 412 17WC 21817 LEON, MARICELA EVOLUTION STAFFING INC 05/11/17 TUITE LAW HENNESSY & ROACH PC 413 17WC 21907 ISHAM, STEPHEN YRC WORLDWIDE 03/14/16 BLACK & JONES HENNESSY & ROACH PC 414 17WC 21908 ISHAM, STEPHEN YRC WORLDWIDE 12/18/15 BLACK & JONES HENNESSY & ROACH PC 415 17WC 22173 RAMOS, JOHANN QPS EMPLOYMENT GROUP 07/22/17 COSTA IVONE LLC 416 17WC 22241 FUNK, DAVID HAMILTON-SUNDSTRAND UTC 01/25/17 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 417 17WC 22816 LUX, CONSTANCE BON TON DISTRIBUTION CENT 06/08/17 GESMER & REYNOLDS PC 418 17WC 23056 MCLESTER, RAMONA LUCRAMARE, INC DBA 07/10/17 THOMAS J STIBERTH LAW OFFI 419 17WC 23063 THOMAS, QUENTIN DR PEPPER SNAPPLE GROUP 01/25/17 BLACK & JONES GAROFALO SCHREIBER STORM 420 17WC 23178 BARNHART, MICHAEL CITY OF ROCKFORD DEPT 05/09/17 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 421 17WC 23446 CRUZ, JAVIER COMCAST CORPORATION 01/22/16 GESMER LAW OFFICES, PC POWER & CRONIN LTD 422 17WC 23799 ARTEAGA, CLAUDIO MODERN SUSPENSION SYSTEMS 12/16/13 BLACK & JONES HENNESSY & ROACH PC 423 17WC 24194 ARAUJO, GORIS JONE'S NATURAL CHEWS 05/15/16 DWORKIN AND MACIARIELLO PERRY GENTILE 424 17WC 24197 GAUTHIER, MIKE GDC COMPANIES 01/23/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 17WC 24294 PHILLIPS, ANEATER ROCKFORD RESCUE MISSION 03/28/17 NASH LAW OFFICE PC WILLIAMS MCCARTHY LLP 426 17WC 24339 MESCH JR, DARYL MWTS 03/13/17 SCHWEICKERT & GANASSIN 427 17WC 24857 SCHULTZ, DAVID BRIDGEWAY 06/28/17 GESMER LAW OFFICES, PC PERRY GENTILE 428 17WC 25103 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 01/11/17 GESMER LAW OFFICES, PC ROSARIO CIBELLA 429 17WC 25513 ALLEN, KURT E BALLARD ELECTRIC DIVISION 05/27/16 ALEXANDER, PETER LTD. HOLECEK & ASSOCIATES 430 17WC 25569 YANCE, RENEE STATE OF ILLINOIS @ 08/19/17 GESMER LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 431 17WC 25738 RUSH, BRIAN J MEIBORG BROS INC 06/14/17 FRANKS, GERKIN & MCKENNA P WOLFE & JACOBSON, LTD 432 17WC 25761 STARK, JAMES FRANKLIN TOWNSHIP CEMETER 06/26/17 GESMER & REYNOLDS PC JAMES M KELLY 433 17WC 25860 GIBBONS, JENNIFER SWEDISH AMERICAN HOSPITAL 08/26/17 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM 434 17WC 26386 ROBINSON, FELISA M BARBARA OLSON CENTER OF H 03/17/16 JOHN J CASTANEDA RUSIN & MACIOROWSKI LTD 435 17WC 26437 CLARK, EMMANUEL OAKLEY SUB ASSEMBLY 04/14/16 MARTIN V KUGIA 436 17WC 26458 FISCHER, RAYMOND TRI-DIM FILTER CORP 08/01/17 BLACK & JONES 437 17WC 26467 FREEMAN, MARK ROCKFORD MASS TRANSIT 07/01/17 BLACK & JONES POWER & CRONIN LTD 438 17WC 26468 HANCOCK, AUSTIN CURTIS METAL FINISHING 08/24/17 BLACK & JONES HENNESSY & ROACH PC 439 17WC 26837 MADRIGAL, ALICIA STAFF ON SITE UNITED INC 08/10/16 HERRERA LAW CENTER 440 17WC 27123 DOTSON, JANICE SUNRISE TRANSPORTATION 08/23/17 BLACK & JONES KNELL & O'CONNOR 441 17WC 27128 PETERSON, DENISE (DIANE) DOLLAR TREE 04/10/17 BLACK & JONES 442 17WC 27210 GIOPPO, LISA LOWE'S COMPANIES, INC 07/18/17 GESMER LAW OFFICES, PC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 17WC 27398 VALENZUELA, LORINE PHANTOM REGIMENT DRUM 07/03/17 CLARK FROST BRADY CONNOLLY & MASUDA PC 444 17WC 27519 LILLY, BRIAN QPS EMPLOYMENT 07/28/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 445 17WC 27688 GOBER, MELISSA FCA US, LLC 05/21/17 BLACK & JONES WILLIAMS MCCARTHY LLP 446 17WC 27729 HARROLLE, CATHLEEN FCA US LLC 11/01/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 447 17WC 27849 FINN-SCHAIBLE, KELLI ABLE HOME HEALTH, LLC 09/04/17 BARRICK SWITZER LONG ET AL PERRY GENTILE 448 17WC 27884 FLORES, ALFREDO TH FOODS 08/09/17 KATZ FRIEDMAN EAGLE ET AL QUINTAIROS PRIETO WOOD & BOY 449 17WC 28051 GOODWIN, ZACHARY REITZEL ROOFING INC 11/11/16 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 450 17WC 28119 HARRELL, AVERY FREEPORT STREET DEPARTMEN 08/17/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 451 17WC 28228 KEHOE, ELAISOIN SUNNY ISLAND RV 08/21/17 MARSZALEK AND MARSZALEK ANCEL GLINK DIAMOND BUSH & E 452 17WC 28380 ORTIZ, CARLOS F THE KUEHNE GROUP, INC 12/11/16 BARRICK SWITZER LONG ET AL 453 17WC 28747 SMALLEY, JESSICA PORTILLO'S 05/11/16 DWORKIN AND MACIARIELLO GRANT & FANNING 454 17WC 28771 JENKINS, RICHARD YRC WORLDWIDE 07/20/17 BLACK & JONES HENNESSY & ROACH PC 455 17WC 28823 WEAVER, TRENT TITAN TIRE 08/30/17 BLACK & JONES GRANT & FANNING 456 17WC 29716 MAY, OTTO JR FCA US, LLC 08/04/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 457 17WC 29739 HOLAWAY, JEFFREY FCA US, LLC 05/19/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 458 17WC 29748 SCHUTT, ELIZABETH BEST BUY 07/15/16 BLACK & JONES HENNESSY & ROACH PC 459 17WC 29787 ALMS, GARY S MR BUILTS, INC 05/19/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 460 17WC 29985 SAMARDZIC, JELA SCHNUCK'S MARKETS, INC @ 10/10/15 ELMAN LAW GROUP LLC ASSISTANT AT0TORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 17WC 30015 REYES, FEDRICO ASSURED STAFFING 09/05/17 REESE & REESE ROSARIO CIBELLA 462 17WC 30118 BARBER, LUCAS GLASS ENHANCEMENTS 07/05/17 GESMER LAW OFFICES, PC JOSEPH MARCINIAK 17WC030119 -C 463 17WC 30215 SMITH, JARED WINNEBAGO COUNTY 05/28/17 GESMER LAW OFFICES, PC WILLIAMS MCCARTHY LLP 464 17WC 30344 BURKI, STEVEN STATELINE FOUNDRIES 04/26/17 BLACK & JONES 465 17WC 30358 JACKSON, YVONNE HONEYWELL 04/15/16 BLACK & JONES RODDY LAW LTD 466 17WC 30386 STEVENSON, DEMEQUEA CARDINAL STAFFING 10/02/17 MC HARGUE & JONES HINSHAW & CULBERTSON 467 17WC 30498 ALSAMRAAE, BILAL JAMCO PRODUCTS 09/14/17 GESMER & REYNOLDS PC 468 17WC 30502 RODRIGUEZ, GUSTAVO TAYLOR COMPANY CARRIOR CO 08/11/17 TUITE LAW MACIOROWSKI SACKMANN & ULRIC 469 17WC 30546 BERGERON, KYLE LYNAM, INC. 09/20/17 ARIANO HARDY NYULI JOHHSON COZZI & GOGGIN-WARD 470 17WC 30565 URBINA, MANUEL CHRYSLER CORP 10/06/15 FRANKS, GERKIN & MCKENNA P WIEDNER & MCAULIFFE LTD 471 17WC 30621 INGRAM, LANEKTA ALDEN DEBES REHAB & 09/26/17 KATZ FRIEDMAN EAGLE ET AL 472 17WC 30757 DRUMMER, CODY ROCK RIVER DISPOSAL 11/09/15 COPLAN & CRANE, LTD 473 17WC 30894 O'BRIEN, LAURA ROCKFORD BOARD OF EDUCATI 11/21/16 ALEXANDER, PETER LTD. WIEDNER & MCAULIFFE LTD 474 17WC 31026 WAWIORKO, ELIZABETH FCA US LLC 08/06/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 475 17WC 31143 ZIMMERMAN, JOHN PAYNECREST ELECTRIC, INC 01/15/17 GESMER LAW OFFICES, PC CLAYBORNE SABO & WAGNER 476 17WC 31220 LOWER, ANN ROLLING HILL PROGRESS 07/08/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 477 17WC 31284 SALAMONE, CHARLES INDEXING TECHNOLOGIES INC 12/08/14 BLACK & JONES 478 17WC 31288 STURTZ, BONNIE SNAK KING CORP 11/21/16 BLACK & JONES LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 17WC 31613 NUTT, MATTHEW QPS 10/09/17 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 480 17WC 31749 VANCE, JOHN ATLAS COMPONENT 04/01/17 DWORKIN AND MACIARIELLO NOBLE & ASSOCIATES PC 481 17WC 32076 RICHMAN, JEFF RYDER TRUCK RENTAL 08/03/17 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 482 17WC 32122 LOVE, MARTINA CHRYSLER ASSEMBLY PLANT 10/05/17 WILLIAMS MCCARTHY LLP 483 17WC 32269 AVILA, TIFFANY S UNITED PARCEL SERVICE 09/21/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 484 17WC 32484 ALLABAUGH, ANDY QUANNEX BUILDING PRODUCTS 09/08/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 485 17WC 32508 VAN BARRIGER, JOSEPH R BAY VALLEY FOODS 04/16/16 GESMER LAW OFFICES, PC 486 17WC 32665 ALBANK, AHMED JAMCO PRODUCTS 07/18/17 BLACK & JONES HENNESSY & ROACH PC 487 17WC 33312 NEILD, DALE USF HOLLAND 01/30/17 RIDGE & DOWNES HENNESSY & ROACH PC 17WC033313 -C 488 17WC 33449 FULLER, TERRY BERGSTROM CLIMATE 06/04/15 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 489 17WC 33747 STOVALL, BRENT ROCKFORD BOARD OF EDUCATI 09/16/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 490 17WC 33824 MCCAFFREY, TIMOTHY JP CULLEN & SONS, INC 10/14/17 MARKS INJURY LAW 491 17WC 33890 MCBRADY, MARK A FCA US, LLC 08/14/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 492 17WC 34024 HANSON, MICHELLE ORTHO ILLINOIS SURGERY CE 09/19/17 BLACK & JONES GANAN & SHAPIRO 493 17WC 34070 GARCIA, ANGELA COURTYARD MARRIOTT 10/15/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 494 17WC 34192 DE PAUW, LORI LOVES PARKPOLICE DEPT 06/19/17 FOOTE MIELKE CHAVEZ O'NEIL NYHAN BAMBRICK KINZIE & LOWR 495 17WC 34525 VOITIK, ALLEN ESTES EXPRESS LINES 11/10/17 BLACK & JONES 496 17WC 34578 RUSSEY, BRUCE AUTO ZONE 05/16/17 GOLDSTEIN BENDER & ROMANOF GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 17WC 34670 KROHMER, ANDREA SOUTHERN IMPERIAL, LLC 09/06/17 GESMER LAW OFFICES, PC ACCIDENT FUND HOLDINGS 498 17WC 34718 PORTER, TIM WOODS EQUIPMENT CO 11/17/16 BLACK & JONES GAROFALO SCHREIBER STORM 17WC034716 -C 17WC034717 -C 499 17WC 34956 WALLACE, SANDRA MAXIM HEALTHCARE SERVICES 09/25/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 500 17WC 35441 SMITH, DEWAYNE LAKESIDE INTERNATIONAL TR 04/25/17 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM 501 17WC 35579 THOMPSON, QUANETTA SYNCREON 10/30/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 502 17WC 35776 BURCHARD, JUDY L CONCENTRIC ROCKFORD INC 04/20/17 TUITE LAW BRADY CONNOLLY & MASUDA PC 503 17WC 35797 LAMB, LARRY TQ LOGISTICS 06/26/17 CLARK FROST 504 17WC 35814 RAFAEL, C DELIA MAGNA INT'L INC 09/25/17 BAUM RUFFOLO & MARZAL LTD POWER & CRONIN LTD 505 17WC 35905 BEEDING, JEFFREY L JC MILLING 08/15/17 BLACK & JONES GANAN & SHAPIRO 506 17WC 35972 MACLIN, IVA FCA US LLC 10/08/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 507 17WC 36265 GAMALSKI, DEAN THREE PHASE LINE CONSTRUC 11/21/15 BLACK & JONES 508 17WC 36414 HERNADEZ, MARTINA ND INDUSTRIES,INC 02/18/15 GESMER & REYNOLDS PC 509 17WC 36467 LIPSCOMB, LORENZO QPS EMPLOYMENT GROUP 10/24/17 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 510 17WC 36493 SAUCEDO, ROXANA TITAN PERSONNEL W 10/11/17 BLACK & JONES 511 17WC 36551 ROSSI, JASON COUNTY OF WINNEBAGO 03/16/17 CLARK FROST WILLIAMS MCCARTHY LLP 512 17WC 36562 CADENAS, YUVIEL MIDWEST PACKAGING 11/21/17 AIOSSA LAW FIRM COZZI & GOGGIN-WARD 513 17WC 36638 GONZALEZ, LOYD JR. DIDIER GREENHOUSE, INC. 03/17/17 CLARK FROST 514 17WC 36751 DEWITT, SUSAN THE CITY OF ROCKFORD 11/15/17 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 17WC 36866 MONROE, ALEXA PINNACLE LOGISTICS 12/01/17 DWORKIN AND MACIARIELLO 516 17WC 37102 ALVARADO, MARTIN ALTER TRADING 12/02/16 BOTTO GILBERT MCBREARTY, BRIAN K 517 17WC 37479 MORRIS, JOHN II THOMPSON PRESSURE PIPE 09/01/17 GESMER LAW OFFICES, PC ROSARIO CIBELLA 518 17WC 37619 SPEICHER, MARIANNE THE CLOTHES BIN 11/07/17 BLACK & JONES CASSANO & ASSOCIATES 519 17WC 37751 MALY, CHRISTEN N ROCKFORD PUBLIC SCHOOL 10/23/17 TUITE LAW WIEDNER & MCAULIFFE LTD 520 17WC 37900 HILL, DEXTER FCA US LLC 02/07/15 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 521 17WC 38032 SCHUSTER, BENJAMIN J CITY OF ROCKFORD POLICE D 12/10/17 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 522 17WC 38041 SCHMIDT, ANITA FCA US LLC 04/18/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 523 18WC 00032 KUYKENDALL, DOSS QPS EMPLOYMENT GROUP 10/23/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 524 18WC 00085 HALL, TAMMY ALDI, INC 01/26/16 HUGHES SOCOL PIERS RESNICK BRADY CONNOLLY & MASUDA PC 18WC000086 -C 525 18WC 00414 ROE, KENT HOLLAND M-BAR-D 06/03/16 BLACK & JONES GOLDBERG SEGALLA LLC 526 18WC 00418 CROSS, MICHELLE CHERRYVALE PLACE 12/02/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 527 18WC 00576 WILSON, TRAVIS BERNER FOODS INC 07/30/17 BLACK & JONES HOLECEK & ASSOCIATES 528 18WC 00728 LOGEMANN, MICHELE KOLB-LENA INC 04/30/15 MARKS INJURY LAW KEEFE CAMPBELL BIERY & ASSOC 529 18WC 00900 ALLEN, WALTER FURST STAFFING 12/18/17 BLACK & JONES ACCIDENT FUND HOLDINGS 530 18WC 00945 BROOKS, JOSEPH OREGON POLICE DEPT DIST 1 11/14/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 531 18WC 00957 HARRISON, WARREN FCA US LLC 06/17/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 532 18WC 00961 NICOSON, SCOTT FCA US LLC 12/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 18WC 01077 DELAROSA, TAMMY T FCA US, LLC 01/05/15 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 534 18WC 01199 HUGHES, RUFUS CHRYSLER 10/25/17 PORRO NIERMANN LAW GROUP WIEDNER & MCAULIFFE LTD 535 18WC 01505 TOMLINSON, JAMES W AEROTEK INC 10/24/17 TUITE LAW 536 18WC 01539 JOINER, FELICIA NORTHWOODS NURSING HOME 11/29/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 537 18WC 01553 PENDLETON, DESTINY MILESTONE 12/11/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 538 18WC 01861 BOWERS, MATTHEW QUICK DELIVERY SERVICE, I 06/01/16 BLACK & JONES JAMES M KELLY 539 18WC 01873 JOHNSON, CONRAD TAYLOR/UNITED TECHNOLOGIE 11/14/17 GESMER LAW OFFICES, PC MACIOROWSKI SACKMANN & ULRIC 540 18WC 01986 DAVIS, NICHOLIS D WALGREENS 12/07/17 LAW OFFICE MICHAEL M WOJIT 541 18WC 02025 LUBINSKI, FRANCIS FCA US LLC 01/25/15 BLACK & JONES 542 18WC 02317 STEINHABLE, JASON TRADESMEN INTERNATIONAL 10/25/17 DWORKIN AND MACIARIELLO RODDY LAW LTD 543 18WC 02883 KINGERY, DONALD A OFFICE SYSTEMS INSTALLATI 08/23/17 PIGNATELLI & ASSOCIATES 544 18WC 03168 LAMM, RONI R FREEPORT SCHOOL DIST #145 05/10/17 TUITE LAW LAWRENCE COZZI - LAW OFFICES 545 18WC 03227 SIGAFUS, HEIDI K NASCOTE INDUSTRIES INC DB 01/12/18 TUITE LAW POWER & CRONIN LTD 546 18WC 03281 TOBLER, CHRISTINA DOLLAR TREE STORES 01/04/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 547 18WC 03326 BEACH, JERAMY D SCHNEIDER NATIONAL CARRIE 06/20/17 TUITE LAW HENNESSY & ROACH PC 548 18WC 03381 HOLTE, CANDICE ANAM MEMORY CARE 12/29/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 549 18WC 03394 SIMMONS, MATTHEW L SPECTRUM PREFERRED MEATS 11/01/17 MERTES & MERTES PC 550 18WC 03398 THOMPSON, KATHRINE HEALTHCARE SVCS GROUP 11/06/17 BLACK & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 18WC 03591 SLEZAK, DAVID ESTWING MANUFACTURING 01/23/17 BRASSFIELD KRUEGER & RAMLO 552 18WC 03611 GAREY, MARK FOREST CITY GEAR 12/18/17 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 553 18WC 03640 RIVERA, MARIA BLANCO KELCE & COMPANY 05/17/17 BLACK & JONES 554 18WC 03862 CANALES, PETER LOWE'S DISTRIBUTION CENTE 11/18/17 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 555 18WC 03914 THOMAS, DANIN S SEAL RITE DOOR COMPANY 01/22/18 TUITE LAW HOLECEK & ASSOCIATES 556 18WC 04568 COATES, STEVEN FCA US LLC 07/25/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 557 18WC 04586 MCNEIL, MARK ROCKFORD ICE HOGS 11/22/15 GORDON LAW OFFICES LTD 558 18WC 04849 STEVENS, LAKRISHA RESOURCE MFG 09/13/17 BLACK & JONES 559 18WC 05017 THIBEDEAU, JOHN MONDELEZ INTERNATIONAL 11/16/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 560 18WC 05051 PRICE, TERRANCE HUGHES RESOURCES 12/20/17 MARKS INJURY LAW SLAVIN & SLAVIN 561 18WC 05229 BEDARD, CHARLES CITY OF ROCKFORD 11/08/17 FOOTE MIELKE CHAVEZ & O'NE HEYL ROYSTER VOELKER & ALLEN 562 18WC 05242 BRAUER, TINA LOOSE SCREW BAR & GRILL 07/26/15 BLACK & JONES 563 18WC 05275 PALMER, MARK HENNING INC 12/08/17 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 564 18WC 05315 PEREZ, JOSE ROSE MOVING STORAGE 10/27/17 CARONE LAW OFFICES HENNESSY & ROACH PC 565 18WC 05422 AGUILAR, MIGUEL A HAMPTON PROPERTIES 12/01/17 TUITE LAW RODDY LAW LTD 566 18WC 05596 BUCHHOLZ, BRIAN K RAYNOR GARAGE DOORS, INC 10/30/17 MERTES & MERTES PC 567 18WC 05597 JANSEN, HEATH AECOM 12/13/17 BLACK & JONES HENNESSY & ROACH PC 568 18WC 05710 PAULSON, RICK APPLE CANYON LAKE PROPERT 07/27/17 KROL BONGIORNO & GIVEN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 18WC 05869 MERCER, JONATHAN R ANCHOR-HARVEY COMPONENTS 10/21/17 TUITE LAW HENNESSY & ROACH PC 570 18WC 05995 VAUGHAN, JULIE SWEDISH AMERICAN HOSPITAL 12/21/17 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 571 18WC 06188 NICHOL, SHANNON FCA US, LLC 11/13/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 572 18WC 06474 MARTUCCI, LAWRENCE CONTEMPORARY HAMMER WORKS 12/21/17 CLARK FROST 573 18WC 06485 HOOKS, STEVE CURTIS METAL FINISHING 02/19/18 BLACK & JONES HENNESSY & ROACH PC 574 18WC 06527 BARRAGAN, ALONSO J&M PLATING 08/28/14 BLACK & JONES HOLECEK & ASSOCIATES 575 18WC 06602 SISLER, NICO L POINT ROCK INVESTMENTS IN 10/07/17 PIGNATELLI & ASSOCIATES 576 18WC 06784 HORSTMAN, KEN RYDER INTEGRATED LOGISTIC 01/17/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 577 18WC 06898 DOWTHARD, KAYONNA GRUPO ANTOLIN 12/04/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 578 18WC 06901 GREEN, JESSICA STATE OF IL - DORS 02/14/18 BLACK & JONES ASSISTANT ATTORNEY GENERAL 579 18WC 06940 CAHILL, SANDRA FHN MEMORIAL HOSPITAL 09/14/17 BLACK & JONES GAROFALO SCHREIBER STORM 580 18WC 06943 CASEY, THERESA FCA US LLC 05/11/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 581 18WC 07043 RIOS-MAPPE, JULIO C ROCKFORD MASS TRANSIT DIS 12/12/17 GOLDBERG WEISMAN & CAIRO L 582 18WC 07095 HALL, JEFFRY A COUNTY OF WINNEBAGO 09/16/14 TUITE LAW WILLIAMS MCCARTHY LLP 583 18WC 07170 LARSON, TRESEA MERCY HEALTH CORPORATION 08/24/16 BLACK & JONES 584 18WC 07311 NORTHROP, HOLLY ROCKFORD HEALTHY PHYSICIA 02/14/18 CLARK FROST 585 18WC 07396 GREGG, KEVIN J BOZEMAN ENTERPRISES 11/08/17 CULLEN HASKINS NICHOLSON BRADY CONNOLLY & MASUDA PC 586 18WC 07463 TAYLOR, ANGELA MALACE INTERNATIONAL 01/26/18 BLACK & JONES WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 18WC 07465 DOZIE, MARY UPS 12/27/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 588 18WC 07466 CRAM, TERESA KELLEY WILLIAMSON MOBIL 12/24/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 589 18WC 07521 RICHTER, RONALD HINCKLEY SPRINGS WATER 02/13/17 TURNER & SACKETT LLC CHILTON YAMBERT PORTER LLP 590 18WC 07653 HENYARD, DOMINQUE MERCY HEALTH CORPORATION 02/26/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 591 18WC 07690 JOHNSON, VERNE LOWE'S DISTRIBUTION CENTE 01/09/18 DWORKIN AND MACIARIELLO 592 18WC 07803 GUSE, DAVID BLACK DIAMOND PLUMBING & 12/27/17 NASH LAW OFFICE PC BRYCE DOWNEY & LENKOV LLC 593 18WC 07863 RANDECKER, NORMA M STATE OF IL 11/13/17 TUITE LAW ASSISTANT AT0TORNEY GENERAL 594 18WC 07908 PEREZ, MELISSA ARAMARK UNIFORM SVCS 09/18/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 595 18WC 08071 PEARCE, ROBIN OREGON SCHOOL DISTRICT #2 01/10/18 BLACK & JONES 596 18WC 08170 MUNOZ, ANGELA UNITED CONTINENTAL HOLDIN 07/28/17 GRAUER & KRIEGEL LLC 597 18WC 08258 POUNCY, TERRY METRO STAFF, INC 11/21/16 STRONG LAW OFFICE FRANCIS J DISCIPIO LAW OFFIC 598 18WC 08519 WYCKSTANDT, SHAWN GUNITE CORPORATION 01/03/18 MARKS INJURY LAW RUSIN & MACIOROWSKI LTD 599 18WC 08553 KING, GEORGE PINNACLE LOGISTICS 03/12/18 DWORKIN AND MACIARIELLO 600 18WC 08782 DENNIS, MELISSA RIVER BLUFF NURSING HOME 03/07/18 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 601 18WC 08889 RASNER, VICTORIA FCA US, LLC 02/28/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 602 18WC 08900 GIARDONO, ANITA SNAK KING CORP 02/22/18 BLACK & JONES ROBERT L. SMITH 603 18WC 09050 MOON, SKY QPS EMPLOYMENT GROUP 02/20/18 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 604 18WC 09090 PARKS, BRADLEE YMCA ROCK RIVER VALLEY 03/15/18 BLACK & JONES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 18WC 09101 FOOTE, MARGIE MONDELEZ INTERNATIONAL 03/19/18 BLACK & JONES 606 18WC 09302 ELIZONDO, WILLIAM SYNCREON 10/15/17 KATZ FRIEDMAN EAGLE ET AL 607 18WC 09482 KRAUCUNAS, ROBERT ALTER TRADING CORP 08/01/17 BLACK & JONES MCBREARTY, BRIAN K 608 18WC 09485 DAVIS, DARLENE M COMMUNITY CARE SYSTEMS, I 09/17/17 BLACK & JONES LIVINGSTONE MUELLER ET AL 609 18WC 09602 MCNIECE, DOMINIK ROCKFORD POLICE DEPARTMEN 11/28/17 GESMER & REYNOLDS PC 610 18WC 09688 LOPEZ, ANTHONY ARBORWORKS, LLC 03/14/18 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 611 18WC 09837 FOSTER, HAROLD JR ESTWING MANUFACTURING COM 12/04/17 CHASE & WERNER LTD WIEDNER & MCAULIFFE LTD 612 18WC 09955 STRANGLAND, MARK ARAMARK 03/12/18 GESMER & REYNOLDS PC 613 18WC 10394 SCHMOLDT, TRACY A CARRIER CORPORATION 05/12/17 TUITE LAW MACIOROWSKI SACKMANN & ULRIC 614 18WC 10415 SUNN, CODY ORBITAL ENERGY SERVICES 03/04/17 DWORKIN AND MACIARIELLO 615 18WC 10512 GALLAGHER, PAUL P ROCKFORD ILLINOIS POLICE 10/18/16 VITELL & SPITZ LTD HEYL ROYSTER VOELKER & ALLEN 616 18WC 10617 DERUS, RICHARD FEDERAL EXPRESS 10/17/17 CAPRON & AVGERINOS PC 617 18WC 10664 SUTHERLAND, KENNETH AMERICAN EXTRUSION INTERN 03/19/18 GESMER & REYNOLDS PC 618 18WC 10858 ZARATE, MIGUEL JUAN HERRERA 03/30/18 BLACK & JONES LAWRENCE COZZI - LAW OFFICES 619 18WC 10861 PENCE, JOYCE M VONACHEN SERVICES, INC 03/21/17 BLACK & JONES ACCIDENT FUND HOLDINGS 620 18WC 10865 KAMPPI, DANIEL FCA US, LLC 01/03/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 621 18WC 10866 JONES, T J YANGFENG AUTOMOTIVE INTER 03/02/18 BLACK & JONES HENNESSY & ROACH PC 622 18WC 11009 WAINWRIGHT, QUENTIN MIKE HARRIS MASONRY CONTR 03/05/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 18WC 11072 NEMENSKI, PHILLIP R MIDSTATES CONCRETE INDUST 12/05/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM 624 18WC 11244 SMITH, RAY ESTWING 11/16/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 625 18WC 11316 NIETO, ETHELVINA YANFENG US AUTO INTERIOR 03/03/18 EDWARD RUEDA 626 18WC 11343 BARBER, EDWARD ANDERSON DODGE 02/14/18 GESMER & REYNOLDS PC 627 18WC 11374 VIEL, KELLY MCDONALD'S 12/17/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 628 18WC 11466 PARR, KYLE CITY OF ROCKFORD 02/23/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 629 18WC 11533 DEPAUW, LORI LOVES PARK POLICE DEPT 04/03/18 FOOTE MIELKE CHAVEZ O'NEIL NYHAN BAMBRICK KINZIE & LOWR 630 18WC 11831 JACOBS, TINA DASCO PRO 03/13/18 MARTIN V KUGIA WOLFE & JACOBSON, LTD 631 18WC 11844 YOUNG, DAVID MORING DISPOSAL 03/06/18 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 632 18WC 11997 MCCLESKEY, BRIANNE T SWEDISH AMERICAN HOSP ASS 11/05/16 TUITE LAW WILLIAMS MCCARTHY LLP 633 18WC 12173 ZNOY, ROBERT ROPER WHITNEY 04/09/18 REESE & REESE 634 18WC 12189 KJELLGREN, ROXANNE WINNEBAGO COUNTY 02/15/18 BARRICK SWITZER LONG ET AL WILLIAMS MCCARTHY LLP 635 18WC 12468 THOMPSON, BILLY GREENLEE TEXTRON INC 03/11/18 DWORKIN AND MACIARIELLO 636 18WC 12518 KRAUSE, GARRY NICHOLSON ELECTRIC INC 02/27/18 GOLDBERG WEISMAN & CAIRO L CASSANO & ASSOCIATES 637 18WC 12546 ZALUCKYJ, BROOKE FCA US LLC 01/07/18 KAT0Z FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 638 18WC 12691 LEWIS, LEROY HOLLAND 01/06/18 BLACK & JONES HENNESSY & ROACH PC 639 18WC 12778 YOHO, KRYSTAL M KINDERCARE 03/09/18 REESE & REESE 640 18WC 12785 SHOULDER, MARLOES MCLAIN FOOD SERVICES 03/13/18 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 18WC 12940 BLUNT, MARVA ROCKFORD PUBL SCHOOL DIST 09/25/17 MARKS INJURY LAW WIEDNER & MCAULIFFE LTD 642 18WC 12947 POWELL, JOHN SR. FCA US LLC 06/01/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 643 18WC 12954 LEONHARDT, KEITH CASSENS TRANSPORT 04/05/18 BLACK & JONES KNAPP, OHL & GREEN 644 18WC 12957 RIESKAMP, ZACH GREENLEE TEXTRON 04/01/17 BLACK & JONES GAROFALO SCHREIBER STORM 645 18WC 13107 HOWARD, CORBIN SOS STAFFING 01/03/18 DWORKIN AND MACIARIELLO 646 18WC 13226 QUICK, MATTHEW YANGFENG AUTOMOTIVE INTER 04/22/18 BLACK & JONES HENNESSY & ROACH PC 647 18WC 13240 DURICK, LORETTA STRAIGHT SHOT EXPRESS 03/29/18 REESE & REESE RIPES NELSON BAGGOT KALOBRAT 648 18WC 13338 MERCHANT, JON M FEDERAL EXPRESS CORP 12/02/17 HOLMSTROMKENNEDY PC 649 18WC 13477 GRIFFETH, JARED MIKE HARRIS MASONRY CONTR 05/01/17 HORWITZ HORWITZ & ASSOC 650 18WC 13540 MALLEK, EDWARD US MESSENGER & LOGISTICS 04/18/18 FRANCIS J DISCIPIO LAW OFF MACIOROWSKI SACKMANN & ULRIC 651 18WC 13743 SCHUTT, ALAN IPSEN INC 06/26/16 KATZ FRIEDMAN EAGLE ET AL 652 18WC 13907 MEGGENBERG, RICHARD ANDROID INDUSTRIES 10/01/16 KATZ FRIEDMAN EAGLE ET AL 653 18WC 13910 AUTON, TARA SYNCREON 05/01/18 KATZ FRIEDMAN EAGLE ET AL 654 18WC 14005 SWANSON, RUTH ALMA BRUCE- FOX RIVER VALLEY HUNT ASS 10/07/17 JOHN J CASTANEDA BRYCE DOWNEY & LENKOV LLC 655 18WC 14089 NILES, BRADLEY J FCA US, LLC 02/01/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 656 18WC 14094 SMOLINSKI, TIMOTHY ILLINOIS WATER TECHNOLOGI 04/11/18 GESMER & REYNOLDS PC 657 18WC 14192 HARRIS, FLORA MAGNA EXTERIORS BELVIDERE 05/01/18 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 658 18WC 14320 GUMS, WANDA SAVENCIA CHEESE LLC 06/01/15 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 18WC 14408 LEON, CASIANO KONSTRUCTION SVS, LLC 03/30/18 FRANKS, GERKIN & MCKENNA P 660 18WC 14793 MARTIN, EDWARD BUCKSHOT RIDGE FARMS & 05/07/18 DWORKIN AND MACIARIELLO 661 18WC 14925 MORALES, VICTOR USF HOLLAND 05/01/18 BLACK & JONES HENNESSY & ROACH PC 662 18WC 15009 MCLAIN, JOHN NEW MEDIA INVESTMENT GROU 04/11/18 CLARK FROST KNELL LAW LLC 663 18WC 15012 ALVARES, VERONICA MOSAIC 04/14/18 BLACK & JONES GAROFALO SCHREIBER STORM 664 18WC 15102 BARKHO, MARIE MEDICAL STAFFING SOLUTION 06/22/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 665 18WC 15105 DACH, RICHARD CROWN MACHINE 05/11/18 BLACK & JONES 666 18WC 15125 DISMUKE, CARLETTIA GALAPAGOS ROCKFORD CHARTE 05/08/18 DWORKIN AND MACIARIELLO HEHEHAN, DONOVAN & ISAACSON 667 18WC 15231 HEDLUND, JEREMIAH CITY OF ROCKFORD POLICE D 05/10/18 GESMER & REYNOLDS PC 668 18WC 15250 PRICE-DOWTHARD, YOLANDA CITY OF ROCKFORD 12/06/17 GESMER & REYNOLDS PC 669 18WC 15270 PASTRAN, VALERIO HENNIG, INC * 10/01/17 BLACK & JONES HENNESSY & ROACH PC 670 18WC 15566 STONE, GREGORY JR ROCKFORD HEAT TREATERS 04/26/18 BLACK & JONES 671 18WC 15595 BANKES, ROBERT ARCO MACHINERY MOVERS LLC 04/09/18 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 672 18WC 15705 LE, LOAN WOODWARD INC 06/09/14 CLARK FROST HINSHAW & CULBERTSON 673 18WC 15772 SELL, COURTNEY FCA US LLC 04/17/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 674 18WC 15897 WILLIAMS, KERRY O MIKE HARRIS MASONRY CONTR 03/05/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 675 18WC 15911 DANIELS, ERICA UPS 01/30/18 BLACK & JONES 676 18WC 16074 HERNANDEZ, ERIC PALTECH ENTERPRISES INC. 02/06/18 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 18WC 16095 SUMMERS, JULIE MONDELEZ INTERNATIONAL IN 03/30/17 GESMER & REYNOLDS PC 678 18WC 16241 NOVAK, MICHAEL SERTA MATTRESS 04/04/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 679 18WC 16388 GONZALEZ, MOISES CAMBRON FOREST CITY FRAMERS INC 01/09/18 SALK, STEVEN B & ASSOC LTD WIEDNER & MCAULIFFE LTD 680 18WC 16390 CRACKENBERGER, GARY PEARL VALLEY EGGS 07/27/15 PIGNATELLI & ASSOCIATES 681 18WC 16575 ROBINSON, RACHEL SUNRISE TRANSPORTATION 03/23/18 BLACK & JONES FRANCESCA LARSEN 682 18WC 16579 MUNCH, ALLISON EASTERSEALS ACADEMY 04/20/17 BLACK & JONES DENNIS J NOBLE & ASSOC 683 18WC 16585 FLUKER, ONDREA FCA US LLC 10/01/17 BLACK & JONES WILLIAMS MCCARTHY LLP 684 18WC 16632 CASHATT, TIM R&W RESTORATION 05/14/18 CAPRON & AVGERINOS PC CHILTON YAMBERT PORTER LLP 685 18WC 16704 CHARAPATA, BETTY MILESTONE INC. 06/25/17 SOSTRIN AND SOSTRIN PC 686 18WC 16742 GARRISON, SEAN M BULT'S, INC 01/01/18 MC HARGUE & JONES 687 18WC 16894 ALANBAQY, AHMED ARAMARK UNIFORM SERVICES 05/16/17 TUITE LAW MICHAEL COHEN 688 18WC 16931 MORING, JEFF GEO MECHANICAL 08/17/16 HORWITZ HORWITZ & ASSOC 689 18WC 16965 TORRES, DAMIEN TRUE BLUE/ 11/24/17 ADRIAN MURATI BRADY CONNOLLY & MASUDA PC 690 18WC 17088 COLLINS, CHARLES T ROCKFORD AREA 08/02/17 ALEXANDER, PETER LTD. HENNESSY & ROACH PC 691 18WC 17251 ALLEN, SWAHILI FCA US LLC 04/05/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 692 18WC 17319 TURNER, ADREIN MAGNA EXTERIORS 01/10/18 BLACK & JONES POWER & CRONIN LTD 693 18WC 17348 DIETMEIER, MICHAEL L FURST-MCNESS COMPANY 07/10/17 TUITE LAW CAPUANI, FRANK S 694 18WC 17376 MOYA, EDGAR FCA US LLC 05/19/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 695 18WC 17691 BROWN, PHILLIP UPS 05/31/18 COSTA IVONE LLC ASA LAW GROUP 696 18WC 17757 ONG, JONAS ENVIRONMENTAL SPECIALTIES 05/16/18 BLACK & JONES THOMAS & PORTELA 697 18WC 17760 CARMACK, MARY FCA US LLC 05/23/18 BLACK & JONES WILLIAMS MCCARTHY LLP 698 18WC 17763 HARNISH, DAVID TAYLOR COMPANY 05/11/18 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 699 18WC 17766 SALINAS, HUMBERTO UNIVERSAL HOSPITAL SVCS 04/12/18 BLACK & JONES 700 18WC 17769 HERNANDEZ, ALEJANDRA HELP AT HOME 05/14/18 BLACK & JONES 701 18WC 17826 MAZZERI, GIOVANNA FEDEX 05/24/18 DWORKIN AND MACIARIELLO 702 18WC 17885 HASSELBRING, WILLIAM DILLON TRANSPORT 05/31/18 ANGELINI & ORI LLC WIEDNER & MCAULIFFE LTD 703 18WC 18052 RIBARICH, RHONDA TAYLOR FREEZER 10/26/15 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 704 18WC 18148 LOUIS, ANTHONY ROCKFORD ICE HOGS 09/28/17 GORDON LAW OFFICES LTD 705 18WC 18161 BARBER, MICHAEL K CITY OF ROCKFORD 04/26/17 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 706 18WC 18406 BARRON, JEAN FCA US LLC 06/18/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 707 18WC 18505 MCCLAIN, DAVID WINCHESTER HOUSE 05/07/18 BLACK & JONES 708 18WC 18508 FOSTER, BRENDA HERITAGE WOODS OF ROCKFOR 05/21/18 BLACK & JONES GOLDBERG SEGALLA LLC 709 18WC 18511 KOSIER, MARK POOLCORP 03/06/18 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM 710 18WC 18515 MAY, GERALD IAC 05/04/15 BLACK & JONES 711 18WC 18520 JETER, JAMES HENNIG INC 05/07/18 BLACK & JONES HENNESSY & ROACH PC 712 18WC 18622 BARBER, EDWARD ANDERSON DODGE 06/08/18 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 713 18WC 18992 SHARP, VICTORIA K ROCKFORD MEMORIAL HOSPITA 11/22/16 JOHN J CASTANEDA WIEDNER & MCAULIFFE LTD 714 18WC 19021 KENT, CLARK RYDER INTEGRATED LOGISTIC 01/20/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 715 18WC 19158 FRALEY, TODD L ED ETNYRE & CO 01/25/18 TUITE LAW CLARK FROST 716 18WC 19268 MELENDEZ, MIRCA I LOWE'S HOME CENTERS, LLC 02/01/18 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 717 18WC 19314 WURM, BRADLEY TITAN TIRE 03/11/15 HAUSER LAW LLC 718 18WC 19456 DICKENS, CHRISTINE BERNER FOOD & BEVERAGES 06/16/18 DWORKIN AND MACIARIELLO 719 18WC 19463 ANDERSON, LUDIVINA ROCKFORD SPRING CO 09/25/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 720 18WC 19466 COOPER, COLLIES GUNITE CORP 06/09/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 721 18WC 19569 FAVRETTO, ALMA PCI PHARMA SERVICES 04/16/18 MARK N LEE 722 18WC 19673 WILSON, DENISE INNOVATIVE FIXTURE SOLUTI 05/08/18 BLACK & JONES HENNESSY & ROACH PC 723 18WC 19746 GETTY, CHARLENE CITY OF ROCKFORD POLICE D 04/13/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 724 18WC 19819 EDMONDS, GREGORY R EAST DUBUQUE NITROGEN 01/01/18 HAUSER LAW LLC 725 18WC 19882 BUFFINI, RICHARD FCA US LLC 09/03/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 726 18WC 20060 THOMPSON, CHRIS KELLENBERGER TECHNOLOGY 06/08/18 GOLDBERG WEISMAN & CAIRO L 727 18WC 20125 LOOMIS, JODI E WOODS EQUIPMENT CO 04/11/18 PIGNATELLI & ASSOCIATES 728 18WC 20145 GORS, COURTNEY E BURR CHEMICAL COMPANY, IN 01/08/18 TUITE LAW INMAN & FITZGIBBONS 729 18WC 20246 RIVAS JR., EDWIN MID STATES CONCRETE INDUS 06/21/18 TUITE LAW 730 18WC 20281 MCDONALD, NANCY CITY OF FREEPORT 03/14/18 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 731 18WC 20288 PETERSON, DON BENSON STONE COMPANY 05/23/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 732 18WC 20368 SAGO JR, ANTONIO GUNITE CORP 06/13/18 BLACK & JONES 733 18WC 20380 SCRIVANO, TRACIE M HOME DEPOT USA INC 05/24/18 TUITE LAW 734 18WC 20615 CAVINESS, DONTAY D MOVING ANGELS OF ILLINOIS * 06/22/18 GESMER & REYNOLDS PC 735 18WC 20618 PAVIA, ROMAN IPSEN CERAMICS * 07/05/18 GESMER & REYNOLDS PC GAROFALO SCHREIBER STORM 18WC020616 -C 736 18WC 20676 POSLEY, LILLIE SYNCREON NORTH AMERICA * 06/02/15 GAROFALO SCHREIBER STORM 737 18WC 20948 OGREN, CARL COMED * 06/27/18 GESMER & REYNOLDS PC HENNESSY & ROACH PC 738 18WC 21082 MUNCH, ALLISON EASTER SEALS ACADEMY * 06/16/17 BLACK & JONES DENNIS J NOBLE & ASSOC 739 18WC 21086 MILLER, JODY WINNEBAGO CO STATES ATTY * 09/20/17 BLACK & JONES WILLIAMS MCCARTHY LLP 740 18WC 21115 AGUIRRE, MARITZA ALDEN ALMA NELSON DEBES * 08/04/17 BLACK & JONES 741 18WC 21217 GOMEZ, ALMA VALLI PRODUCE * 06/06/18 BLACK & JONES GANAN & SHAPIRO 742 18WC 21236 KING, ROGER FHN MEMORIAL HOSPITAL * 01/31/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 743 18WC 21345 SMITH, TIMOTHY GKN ROCKFORD * 10/30/17 RIPES NELSON BAGGOT KALOBRAT 744 18WC 21506 BOUQUOT, ROXANE SYNCREON * 05/14/18 GESMER & REYNOLDS PC 745 18WC 21640 ELLINGSON, DAVID G CITY OF BELVIDERE A MUNIC * 09/24/17 BOYD, SCOTT M POWER & CRONIN LTD 746 18WC 21708 WHITE, DESTINY MALONE STAFFING SOLUTIONS * 07/07/18 BLACK & JONES SLAVIN & SLAVIN 747 18WC 21744 O'DONELL, BRIAN NEWPORT INDUSTRIES INC * 11/06/17 BRASSFIELD KRUEGER & RAMLO CACCHILLO LAW GROUP LLC 748 18WC 21823 PFILE, DEAN W STAR MANUFACTURING COMPAN * 07/15/17 TUITE LAW CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 749 18WC 21880 MILEY, RAYMOND E AIRGAS USA, LLC * 02/02/18 TUITE LAW MC ANDREWS & NORGLE LLC 750 18WC 22033 KENDALL, DUANE A GAARD LLC * 06/25/18 TUITE LAW 751 18WC 22194 GOMEZ, FABIAN FIAT CHRYSLER * 04/12/18 MC HARGUE & JONES WILLIAMS MCCARTHY LLP 752 18WC 22242 VOHLKEN, KEVIN JACK COOPER TRANSPORT CO * 12/05/17 MICHAEL C. GOLDBERG 753 18WC 22380 MOORE, TIMMERI RESOURCE/MFG * 06/15/18 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 754 18WC 22434 DENK, KELLY M WESLEY WILLOWS * 02/27/18 REESE & REESE 755 18WC 22674 GARAS, SHAWNNE L MERCY HEALTH SYSTM CORPOR * 06/30/18 TUITE LAW 756 18WC 22719 HOCKMUTH, MICHAEL J O'REILLY AUTO AENTERPRISE * 10/30/17 TUITE LAW 757 18WC 22785 DUELLMAN, TYMISSA PCI PHARMA SERVICES * 04/06/18 BLACK & JONES HOLECEK & ASSOCIATES 758 18WC 22788 PLINE, ROBERT BILDERBACK'S AUTO PARKS I * 02/01/17 BLACK & JONES DENNIS J NOBLE & ASSOC 759 18WC 22979 AULTMAN, CHERYL FREEPORT SENIOR CENTER * 05/10/18 DWORKIN AND MACIARIELLO 760 18WC 23044 NASER, GARY SUGAR RIVER MACHINE, INC * 05/08/17 NYHAN BAMBRICK KINZIE & LOWR 761 18WC 23063 HORNA, JEREMY INTERNATIONAL PAPER * 07/19/18 FRANKS, GERKIN & MCKENNA P GOLDBERG SEGALLA LLC 762 18WC 23220 WOODY, JOHN ADAPT PLASTICS, INC * 12/05/16 GESMER & REYNOLDS PC GANAN & SHAPIRO 763 18WC 23256 ASPRILLA, ANDRES CANDELO SECURE STAFFING * 06/07/18 BLACK & JONES HENNESSY & ROACH PC 764 18WC 23259 MORIARITY, PATRICK FURST STAFFING * 07/27/18 BLACK & JONES 765 18WC 23291 MARTINEZ, JAVIER ROSEWOOD CARE CENTER * 02/26/18 BOTTO GILBERT 766 18WC 23373 JOHNSON, MITCHELL A BRISTOL-MYERS SQUIB COMPA * 08/14/15 TUITE LAW RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 767 18WC 23475 JONES, PAIGE MAGNA SERVICE OF AMERICA * 01/24/18 BLACK & JONES POWER & CRONIN LTD 768 18WC 23480 WOODS, CYNTHIA ROCKFORD PUBLIC SCHOOLS * 02/06/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 769 18WC 23563 BERGMAN, TERRY KMART * 07/17/18 DWORKIN AND MACIARIELLO 770 18WC 23756 TAMRAS, AUGAR GLEASON CUTTING TOOLS COR * 06/20/17 LAWRENCE COZZI - LAW OFFICE 771 18WC 23902 CRULL, PENNY MIDWEST ICE CREAM COMPANY * 12/01/16 ORENSTEIN & ASSOCIATES 772 18WC 23973 HAIL, L.C KOLB-LENA, INC * 06/02/18 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 773 18WC 24009 WITT, STEVEN ESTWING MANUFACTURING COM * 07/14/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 774 18WC 24375 HUGHES, MARK GKN ROCKFORD * 03/15/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 775 18WC 24378 THOLIN, JARRED SAM'S CLUB * 08/15/15 BLACK & JONES GANAN & SHAPIRO 776 18WC 24513 MARTINEZ, NICOLE JIMMY JOHN'S W* 05/30/18 BLACK & JONES 777 18WC 24690 BUSE, JEREMY RYAN INCORPORATED CENTRAL * 05/01/18 FRANKS, GERKIN & MCKENNA P CHILTON YAMBERT PORTER LLP 778 18WC 24830 HOLLEY, JAY THE BOLDT COMPANY * 06/20/18 GREGORIO & MARCO RUSIN & MACIOROWSKI LTD 779 18WC 24858 RAMIREZ, ALBERTO ROJAS MYERS INDUSTRIES INC * 03/14/17 HENNESSY & ROACH PC 780 18WC 24966 EKLUND, DAVID PERKINS TRANSFER * 03/23/18 BLACK & JONES 781 18WC 25141 FRY, MATTHEW AMERICAN AXLE * 01/15/18 GESMER & REYNOLDS PC 782 18WC 25192 CASTLE, ANTHONY AEROTEK * 08/10/18 GESMER & REYNOLDS PC 783 18WC 25288 BELKNAP, RONALD TWO MEN & A TRUCK * 05/30/18 MARKS INJURY LAW 784 18WC 25647 WARE, JAY WOODWARD, INC. * 01/01/17 BLACK & JONES HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 785 18WC 25688 WILLIAMS, AMBREA SYNCREON * 08/08/18 BLACK & JONES 786 18WC 25718 MONTERO, VERONICA HEADWAY WORKFORCE SOLUTIO * 05/17/18 ALEXANDER, PETER LTD. 787 18WC 25815 KNOBLE, BROOKE ECOLAB * 07/25/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 788 18WC 25864 POST, SHERRI EAST DUBUQUE HIGH SCHOOL * 02/06/18 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 789 18WC 25899 BLAKELY, VIRGINIA ROCKFORD MASS TRANSIT * 07/28/18 MARK N LEE 790 18WC 25963 KEIL, ADAM MIDWEST PACKAGING * 08/03/18 MICHELLE L. LANDON LLC LAWRENCE COZZI - LAW OFFICE 791 18WC 26003 COLE, ROBIN EASTERN IOWA GRAIN INSPEC * 07/31/18 BLACK & JONES 792 18WC 26072 ESQUIAS, ANDRES CENTRAL RUBBER * 03/01/17 EDWIN REYES LAW FIRM MC ANDREWS & NORGLE LLC 793 18WC 26136 SWANSON, BERNICE J KINNIKINNICK CCSD #131 * 05/08/17 TUITE LAW 794 18WC 26183 WILSON, MARY ANDROID INDUSTRIES * 02/01/18 GESMER & REYNOLDS PC 795 18WC 26195 FEHR, DOUG FCA US LLC * 04/05/18 BLACK & JONES WILLIAMS MCCARTHY LLP 796 18WC 26230 WHITEHORN, MARCUS ROCKFORD TOOLCRAFT, INC * 08/06/18 MARKS INJURY LAW 797 18WC 26240 NELSON, CYNTHIA ALPINE BANK & TRUST * 06/04/16 BLACK & JONES 798 18WC 26494 GROBE, BETH A IAS LOGISTICS DWF, LLC D/ * 01/30/18 TUITE LAW 799 18WC 26551 NOEL, JONATHAN MISSISSIPPI VALLEY TREE E * 08/01/18 BLACK & JONES BRADY CONNOLLY & MASUDA PC 800 18WC 26556 GLEASON, BRIDGIT TITLEMAX TITLE LOANS * 08/20/18 BROWN & BROWN 801 18WC 26683 KAISER, DANIEL MIDCOR SUPPLY * 06/15/18 GESMER & REYNOLDS PC 802 18WC 26727 JOHNSON, RODERICK BRIDGESTONE FIRESTONE * 01/17/17 FRANKS, GERKIN & MCKENNA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 803 18WC 26818 WATSON, NICHOLE LOWES DISTRIBUTION * 04/10/18 BLACK & JONES 804 18WC 26914 JOINER, FELICIA LINCOLNSHIRE PLACE * 07/09/18 BLACK & JONES 805 18WC 26917 HOLBERT, JOSEPH J.L. CLARK * 08/23/18 BLACK & JONES 806 18WC 26920 PERTEETE, TYREE ROCKFORD TOOLCRAFT INC * 08/27/18 BLACK & JONES INMAN & FITZGIBBONS 807 18WC 26923 CULLINS, ERIC GUNITE CORP * 04/01/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 808 18WC 26946 ROECKER, JOSHUA UNITED TECHNOLOGIES CORP * 04/17/18 MACIOROWSKI SACKMANN & ULRIC 809 18WC 27046 GILL, EARL AEROTEK * 08/05/18 GESMER & REYNOLDS PC 810 18WC 27097 FAVRETTO, ALMA PCI PHARMA SERVICES * 08/20/18 MARK N LEE 811 18WC 27342 CANTRELL, ANTHONY L WALMART INC * 04/28/18 WIEDNER & MCAULIFFE LTD 812 18WC 27413 SKOGSBERG, JEFF PRAIRIE FARMS DAIRY/ * 07/17/17 HENNESSY & ROACH PC 813 18WC 27471 CLAXTON, ROBERT EXELON WEST * 06/07/16 HENNESSY & ROACH PC 814 18WC 27533 BOYCE, THOMAS COLLIER RV CENTER INC * 05/09/17 ROSARIO CIBELLA 815 18WC 27799 SLAUGHTER, TANIKA CHRYSLER * 08/03/18 DONALD FOHRMAN & ASSOC 816 18WC 27830 CORDER, JEFFREY W ILLINOIS TOOL WORKS, INC * 01/10/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 817 18WC 27850 CASSARO, CHARLES S AIM DISTRIBUTION, INC * 08/23/18 TUITE LAW 818 18WC 28160 WISNIOWSKI, ANDRZEJ GERBER COLLISION & GLASS * 08/20/18 RICHARD E ALEKSY 819 18WC 28226 BAUTISTA, MARIA ADVANCED MAINTENANCE SERV * 05/26/17 RIPES NELSON BAGGOT KALOBRAT 820 18WC 28396 GONZALEZ, ARACELIS ILLINOIS CENTRAL * 09/13/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR ROCKFORD 45002 ON 11/09/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 821 18WC 28411 KITTINGER, JORDAN J X ENTERPRISES * 04/06/18 BLACK & JONES 822 18WC 28442 LOPEZ-AVILA, ERNESTO PAPER RECOVERY * 07/25/18 SCHAFER DERANGO & CAIN 823 18WC 28554 UVARIO, BRYAN OMAKASE * 08/15/18 BLACK & JONES 824 18WC 28557 GREEN, ANJELIQUE UNITED AIRLINES * 09/25/17 BLACK & JONES 825 18WC 28563 LOTTIE, RONNIA SR. OAKLEY INDUSTRIES SUB ASS * 08/24/18 MARTIN V KUGIA 826 18WC 28655 CASTANON, PAULINA ANDROID INDUSTRIES * 06/19/18 KATZ FRIEDMAN EAGLE ET AL 827 18WC 28699 BATLEY, LINDA M WALMART STORES, INC * 07/28/18 TUITE LAW 828 18WC 28825 ALLEN, CRAIG SPEEDWAY AUTO MALL * 07/09/18 GOLDBERG WEISMAN & CAIRO L 829 18WC 28995 HOWARD, PATRICIA ANCHOR HARVEY COMPONENT * 03/27/18 KATZ FRIEDMAN EAGLE ET AL 830 18WC 29127 LOMAS, SAM HAMILTON SUNDSTRAND * 07/20/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 831 18WC 29180 RAMIREZ, LUIS A NORTHERN ILLINOIS * 02/07/17 RODDY LAW LTD 832 18WC 29221 ROBINSON, GLORIA FCA US LLC * 03/01/18 KATZ FRIEDMAN EAGLE ET AL 833 18WC 29672 POWELL, JOHN SR. FCA US LLC * 02/13/18 BLACK & JONES 834 18WC 29685 WHITAKER, DECAMERON FCA ASSEMBLY PLANT * 09/11/18 DWORKIN AND MACIARIELLO 835 18WC 29763 GRAHAM, MARILYN L COMMUNITY CARE SYSTEMS * 09/11/18 TUITE LAW 836 18WC 29933 SMITH, ERIC CROWN LIFT TRUCKS - SCHAU * 01/05/18 GESMER & REYNOLDS PC 837 18WC 29943 DIEHL, STEPHANIE YANFENG AUTOMOTIVE INTERI * 01/04/18 KATZ FRIEDMAN EAGLE ET AL