illinois workers' compensation commission page 1 … · 68 14wc 10004 donelson, dale johnny...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 91WC 33834 GUINN II, JOHNNY J CITY OF SPRINGFIELD 03/30/91 THOMAS W DUDA LIVINGSTONE MUELLER ET AL 2 04WC 21387 HEWITT, MARY ANN CATHOLIC SOC SVC OF PEORI 05/07/01 EVANS & DIXON, LLC HEYL ROYSTER VOELKER & ALLEN 3 04WC 51293 DONELSON, JOHN D FREEMAN CROWN III 12/20/01 BERG & ROBESON LIVINGSTONE MUELLER ET AL 4 05WC 26805 19B FARRIS, DANNY PHOENIX CORPORATION OF TH 04/26/05 WESTERVELT, JOHNSON, NICOL ODELSON & STERK 5 05WC 32404 CREMEENS, DWIGHT L FREEMAN UNITED COAL CO. 08/14/03 BERG & ROBESON LIVINGSTONE MUELLER ET AL 05WC032405 -C 05WC032406 -C 6 06WC 10216 SLATER, VELBILE STATE OF ILLINOIS @ 12/29/03 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 7 06WC 42299 MC GLENNON, TERRANCE CWLP 10/31/03 BERG & ROBESON LIVINGSTONE MUELLER ET AL 8 07WC 23309 19B HEISSINGER, KEVIN L STANLEY RYAN 05/18/07 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 9 07WC 42925 BROWN, RICHARD POWER MAINTENANCE CONSTRU 05/27/07 BROWN & BROWN GAROFALO SCHREIBER STORM 10 08WC 00045 OTTERSON, RAMONA CASEY'S GENERAL STORE 08/14/07 WINNE LAW OFFICE LLC JAMES M KELLY 11 08WC 20617 PADGET, ANGELA R HEART & HANDS CARE SERVIC 01/18/08 BERG & ROBESON JAMES ACKERMAN 12 08WC 23008 GLISSON, GARY MIDAS AUTO SERVICE 01/02/08 WARREN E DANZ, PC NYHAN BAMBRICK KINZIE & LOWR 12WC007354 -C 13 08WC 43524 WORKMAN, KATHY M ST OF IL DEPT OF CHILDREN @ 01/17/08 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 14 09WC 07118 MILLER, KERRY SPRINGFIELD POLICE DEPT 11/12/08 BERG & ROBESON LIVINGSTONE MUELLER ET AL 15 09WC 09471 OUSLEY, ANGELA SIU 08/13/07 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 09WC009472 -C 09WC009473 -C 16 09WC 18193 HILL, RANDY L SA-NAT INDUSTRIAL CONSTRU 04/16/07 LAW OFFICE MARK WERTZ QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 09WC 24200 WASHINGTON, CHRISSIE DEPT OF AGING @ 07/31/08 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 18 09WC 27565 HERIFORD, ROBERT D GWILLIM TRUCKING, INC 12/27/08 BERG & ROBESON JAMES M KELLY 11WC018219 -C 19 10WC 27179 TIPPS, LORI A PLEASANT HILL VILLAGE 01/21/10 KANOSKI BRESNEY COZZI & GOGGIN-WARD 20 11WC 01443 TAYLOR, MICHAEL S CITY OF DECATUR 08/04/10 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 21 11WC 01559 JACKSON, WARREN ILLINOIS DEPT OF @ 12/05/10 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 22 11WC 02068 KEROUAC, COLLEEN S SANGAMON COUNTY SHERIFF D 03/14/10 BERG & ROBESON RUSIN & MACIOROWSKI LTD 23 11WC 04222 YENCER-PRICE, STEPHANIE STATE OF ILL @ 12/14/10 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 11WC024577 -C 24 11WC 09787 THOMAS, DENISE L SIU SCHOOL OF MEDICINE 12/17/07 PRYOR LAW ASSISTANT ATTORNEY GENERAL 25 11WC 12682 BENNETT, KIMBERLY STATE OF IL HFS DCSE BUCA @ 12/17/10 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 26 11WC 18205 WHITE, MIKE WILLIAM SOI DECATUR CORRECTIONAL @ 09/30/09 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 27 11WC 27383 SCHWESKA, DANIEL STATE OF ILLINOIS @ 04/07/11 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 28 11WC 27566 HELM, VIRGIL DECATUR WOOD 07/16/08 WARREN E DANZ, PC 29 11WC 34105 CHADWELL, RUSSELL ARCHER DANIELS 07/14/11 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 11WC034135 -C 12WC012608 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 11WC 34588 LARSON, MICHAEL A IL DEPARTMENT OF AGRICULT @ 07/18/11 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 31 11WC 35232 LILLER, ROBERT TRI-COUNTY COAL CROWN #3 01/12/10 CULLEY FEIST KUPPART & TAY LITCHFIELD CAVO 12WC038047 -C TRI COUNTY COAL CROWN 3 MI 12WC038227 -C 12WC038236 -C 12WC038237 -C 32 11WC 39840 SANCHEZ, BALDO TYSON TRANSPORTATION 09/03/11 BOUDREAU NISIVACO LLC GANAN & SHAPIRO 14WC021535 -C 33 11WC 40046 19B EGAN, MARK CITY WATER LIGHT AND POWE 07/13/11 DELANO LAW OFFICES LLC LIVINGSTONE MUELLER ET AL 14WC026079 -C 34 11WC 40549 HAYES, BETTY STATE OF ILLINOIS @ 08/31/11 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 15WC034766 -C 35 11WC 48836 HELM, CLARENCE CURRY ICE & COAL INC, ET W 02/25/11 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 36 12WC 00389 KNIGHT, EVERETT SKS ENGINEERS LLC 12/07/11 WARREN E DANZ, PC JAMES M KELLY 37 12WC 04948 WILLIAMSON, DARYLE CITY OF SPRINGFIELD 05/09/11 MILLS, STEVEN C LIVINGSTONE MUELLER ET AL 38 12WC 18882 STROH, DENNIS R M WILLEY INC 03/09/12 SLAVIN & SLAVIN ROSARIO CIBELLA 15WC016912 -C 39 12WC 20932 DUGAN, JEREMY P BRAHLERS TRUCKERS SUPPLY 03/01/11 KANOSKI BRESNEY PERRY GENTILE 40 12WC 27704 COGHLAN, DEANA THORNTON OIL CO 04/06/10 41 12WC 36979 19B HOOTS, RONDA STATE OF IL @ 06/07/12 LAMARCA LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 42 12WC 36982 ROBERTS, MYRON IL DEPT OF PUBLIC HEALTH @ 07/25/12 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 43 13WC 02805 BLAND, JOSH A LERT CONSTRUCTION 10/31/12 GOLDBERG WEISMAN & CAIRO L FEATHERSTUN GAUMER POSTLEWAI 44 13WC 03597 SMITH, ROBERT HFS 04/04/12 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 45 13WC 05495 KEROUAC, COLLEEN S SANGAMON COUNTY SHERIFF'S 06/24/12 BERG & ROBESON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 13WC 07526 SCHOBY, LLOYD A ICG ILLINOIS LLC 03/26/11 CULLEY & WISSORE THOMAS & ASSOCIATES 47 13WC 10935 ROBERTS, BRADLEY M PRAIRIE EYE CENTER 12/20/12 KANOSKI & ASSOCIATES PATRICIA M CARAGHER 48 13WC 11396 MILLS-HAWKINS, CAROL STATE OF ILLINOIS @ 05/01/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 49 13WC 18430 ALLISON, MELISSA J ST JOHN'S HOSPITAL 06/06/10 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 13WC018431 -C 50 13WC 18738 LEHN, AMANDA L ST OF IL DEPT OF DECATUR @ 01/17/12 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 51 13WC 20525 FARLEY, COLT WELLMAN'S LAWN CARE 05/14/13 BOSHARDY LAW OFFICE PC LAW OFFICE OF PAUL O WATKISS 52 13WC 22462 PROCTOR, DOYLE MICHAEL MA RYAN SHAY MINE 06/04/13 BECKER SCHROADER & CHAPMAN 53 13WC 27899 MOREAU, SANDRA L SELECT REHABILITATION INC 01/01/13 EDWARD J FANNING ROUSE & CARY 14WC022695 -C 54 13WC 28974 KERR, JAMISON ILLINOIS DEPARTMENT OF @ 07/02/13 WOLTER BEEMAN AND LYNCH 55 13WC 32137 BYERS, RONALD CR ENGLAND, INC 07/11/13 STRONG LAW OFFICE THOMAS & ASSOCIATES 56 13WC 32617 PERKINS, TACONIS CIRCLE K 03/30/13 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 57 13WC 32899 MYERS, BILL ILMO PRODUCTS CO 01/27/12 LEE, MARK N LAW OFFICE 58 13WC 35217 LOGSDON, VALERIE EBERHARDT VILLAGE 06/22/12 STRONG LAW OFFICE 59 13WC 38776 MC INTOSH, SAMANTHA ILLINOIS DEPARTMENT OF @ 03/28/11 LANGACKER LAW ASSISTANT ATTORNEY GENERAL 60 13WC 39671 WILLIAMS, MESHA K CAPITOL HEALTHCARE AND 10/15/13 KANOSKI BRESNEY SPIEGEL & CAHILL, PC 61 13WC 40847 WRISK, DONALD MACON RESOURCES 01/13/11 STRONG LAW OFFICE BOGGS AVELLINO 62 13WC 41590 CHUMBLEY, PAMELA S CASEYS RETAIL COMPANY 10/19/11 KANOSKI BRESNEY 63 13WC 41868 TAYLOR, RONALD STATF OF IL 09/18/13 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 14WC 00699 ROUSH, MICHAEL E ARCHER DANIELS MIDLAND CO 01/03/12 LAKE LAW FIRM FEATHERSTUN GAUMER POSTLEWAI 65 14WC 01085 SHYMANSKY, SHANNON C IL DEPT OF FINANCIAL & @ 01/17/13 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 66 14WC 05426 RHOADES, JOHN INTERNATIONAL PAPER CO 03/29/11 TAPELLA & EBERSPACHER LLC GOLDBERG & SEGALLA LLP 67 14WC 08150 LOCHBAUM, JERRY CAPITAL GROUP 01/31/14 SAUNDERS CONDON & KENNY 68 14WC 10004 DONELSON, DALE JOHNNY TRI COUNTY COAL LLC CROWN 01/15/12 BERG & ROBESON LITCHFIELD CAVO 69 14WC 11614 PARKER, MARGARET STATE OF IL @ 08/13/13 ASSISTANT ATTORNEY GENERAL 70 14WC 11694 EDDY, SCOTT BALL CHATHAM CUSD #5 02/21/13 LIVINGSTONE MUELLER ET AL WHITT LAW LLC 71 14WC 13058 JONES, BRYAN L LAKESIDE TREE SERVICE 03/19/14 KANOSKI BRESNEY HENNESSY & ROACH 72 14WC 14729 WEIDNER, DOUGLAS JACOBSON COMPANIES 01/28/14 STRONG LAW OFFICE 73 14WC 14750 ELSHOFF, ANTHONY V. STATE OF ILLINOIS DEPT. O @ 08/18/13 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 74 14WC 16760 FERGUSON, RON CATERPILLAR INC 02/20/12 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 75 14WC 18850 CROSS, CARMEN ILLINOIS DEPARTMENT OF RE @ 09/01/12 TAPELLA & EBERSPACHER LLC ASSISTANT ATTORNEY GENERAL 76 14WC 21334 HALL, BRIAN K VAE NORTRAK NORTH AMERICA 07/05/11 KANOSKI BRESNEY 77 14WC 22808 BRUNS, AARON STATE OF IL/DEPT OF 04/14/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 15WC001073 -C 78 14WC 24332 CHILTON, BOB ESTATE EXECU HELP AT HOME 04/16/12 WARREN E DANZ, PC 79 14WC 24796 HELGEMO, KENT L TATE & LYLE 01/14/14 LEE, MARK N LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 80 14WC 25107 FULGENZI, ANNETTE STATE OF IL/DEPT OF @ 12/13/13 ASSISTANT ATTORNEY GENERAL 81 14WC 28095 ARCHER, ALICE MARLENE J C PENNEY CO INC 06/03/12 KANOSKI BRESNEY QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 14WC 28242 COX, ROGER D TAYLORVILLE CORRECTIONAL @ 01/06/14 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 83 14WC 28663 HOPE, JAMES B LINCOLN TOWERS/STEADFAST 03/05/12 BERG & ROBESON 84 14WC 28997 FOWLER, KEVIN CHRISTY FOLTZ INC 07/10/14 SAUNDERS CONDON & KENNY FEATHERSTUN GAUMER POSTLEWAI 85 14WC 31191 STANFORD, GARY CASEY'S ILLINOIS 03/16/13 MARK A WELLS LAW OFFICE 86 14WC 31841 PETROPOUL, PETER DUNN CONSTRUCTION 08/29/14 LEE, MARK N LAW OFFICE 87 14WC 32114 PERKIN, TACONIS CIRCLE K 05/07/14 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 88 14WC 32507 POKORA, JACQUELINE S STATE OF ILLINOIS @ 05/30/13 DAVID HUNT ASSISTANT ATTORNEY GENERAL 16WC010960 -C IL DEPT OF HUMAN SERVICES 89 14WC 33524 BOYD, DARRELL JR CHRIS KOLTZENBURG DBA 09/25/13 STRONG LAW OFFICE HENNESSY & ROACH 90 14WC 35091 CREVISTON, LARRY SPRINGFIELD FIRE DEPARTME 02/11/13 CONNOR LAW OFFICES 91 14WC 35177 SMITH, LENORE E ILLINOIS STUDENT 12/20/11 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 92 14WC 35458 COX, ROGER ST OF IL DEPT OF CORRECTI @ 01/06/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 93 14WC 36052 COFFINBARGAR, SUE IL SECRETARY OF STATE @ 09/15/57 SGRO HANRAHAN & BLUE ASSISTANT ATTORNEY GENERAL 94 14WC 36814 HUGHES, LONNIE BOESDORFER TRUCKING INC 08/19/13 JAMES M KELLY 95 14WC 38639 WILSON, ZELMA CATERPILLAR INC 01/14/12 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 96 14WC 43494 GRIMM, JOSEPH SOI, SECRETARY OF STATE @ 07/11/14 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 97 15WC 00591 ALBRECHT, DONALD A MACOUPIN COUNTY 02/14/14 SMITH ALLEN MENDENHALL ET EVANS & DIXON, LLC 98 15WC 01886 AUSTIN, RUSSELL J SHARKEY TRANSPORTATION 02/09/14 KANOSKI BRESNEY HINSHAW & CULBERTSON 99 15WC 01899 HICKS, JOHN MUELLER WATER PRODUCTS 10/08/14 LEE, MARK N LAW OFFICE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 15WC 02624 ANDERSON, JOHN E PACKERS SANITATION SERVIC 10/01/14 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 101 15WC 02971 COMPTON, DEREK TELECOMMUNICATIONS MANAGE 10/04/12 GLASS & KOREIN STEPHEN H LARSON LAW OFFICE 102 15WC 03080 DEAN, MAMARA MULLENS CITY OF WHITE HALL 09/17/13 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 103 15WC 03638 HENRY, SHERYLE IL DEPT OF PUBLIC HEALTH @ 11/26/14 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 104 15WC 03675 PATTON, STEPHEN ST OF IL DEPT OF @ 11/20/14 MARK A WELLS LAW OFFICE ASSISTANT ATTORNEY GENERAL 105 15WC 03714 BELER, MCKINDLA INDIVIDUAL ADVOCACY GROUP 01/11/15 STRONG LAW OFFICE GALLIANI DOELL & COZZI LTD 15WC003773 -C 106 15WC 04727 ARMSTRONG, CHADRICK J VANDALIA CORRECTIONAL CEN @ 02/04/14 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 107 15WC 06126 JOHNSON, FRANKLIN EXPERIENCE WORKS 10/25/14 WARREN E DANZ, PC BRADY, CONNOLLY & MASUDA, PC 108 15WC 06410 RUGGLESS, LINDA STATE OF IL - HFS @ 11/10/14 LEE, MARK N LAW OFFICE 109 15WC 06607 BOND, JACKEY HENRY TEICHMANN ENTERPRIS 01/16/15 SHAY & ASSOCIATES THOMAS & PORTELA 15WC035016 -C 110 15WC 07321 PURDON-MENKE, JANENE THE HOPE INSTITUTE FOR 10/03/14 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 111 15WC 07413 MOOMEY, CAROL A STATE OF ILLINOIS CMS 03/29/13 BERG & ROBESON ILLINOIS ATTORNEY GENERAL 112 15WC 07594 LEACH, CHAD UNIQUE PERSONNEL 02/19/15 STRONG LAW OFFICE HENNESSY & ROACH 113 15WC 08473 WILKINSON, JERRY RICHARDSON MANUFACTURING 02/11/15 SGRO HANRAHAN DURR RABIN LIVINGSTONE MUELLER ET AL 114 15WC 09158 KLEIN, TIMOTHY JACKSON FORD INC 01/12/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 115 15WC 09942 SHULL, ROBERT CATERPILLAR INC 07/09/14 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 15WC 10840 TAYLOR, RACHAEL KROGER 05/04/14 LEE, MARK N LAW OFFICE GANAN & SHAPIRO 117 15WC 11195 LITTLE, MARK REYNOLDS CONSUMERS 12/05/14 LAW OFFICE KEITH SHORT GAROFALO SCHREIBER STORM 118 15WC 11641 SMITH, KATHERINE ST OF IL DEPT OF REHAB @ 02/04/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 119 15WC 12274 MCFARLAND, BILL CAPITAL READY-MIX 06/23/14 NESSLER, FREDERIC LAW OFFI WIEDNER & MCAULIFFE LTD 120 15WC 13234 STAPLETON, BRIAN SANGAMON COUNTY SHERIFFS 03/21/15 SGRO, HANRAHAN, & DURR LLP RUSIN & MACIOROWSKI LTD 121 15WC 14322 LAWSON, JOHN TATE & LYLE NORTH AMERICA 10/02/14 MCCARTHY ROWDEN & BAKER MACIOROWSKI SACKMANN & ULRIC 122 15WC 15046 LINDSEY, GEORGE R JR CITY OF WINCHESTER 12/06/12 BERG & ROBESON KEEFE & DEPAULI 123 15WC 15658 BRIDGES, ABRAM IL DEPT OF HUMAN SERVICES 09/19/12 DAVID W OLIVERO ASSISTANT ATTORNEY GENERAL 124 15WC 15847 MASINELLI, JASON HELPING HANDS W 02/24/15 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 125 15WC 15861 19B MILLS, JAMES D ARAMARK @ MILLIKIN UNIVER 04/22/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 126 15WC 17487 MOOMEY, BRIDGET ST OF IL DEPT OF @ 03/23/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 127 15WC 18045 JOHNSON, LASONYA CATERPILLAR, INC. 05/03/14 WILLIAMS & SWEE CATERPILLAR 15WC019926 -C 128 15WC 18241 BORISOV, MATT DONNIE'S HOMESPUN PIZZA 02/23/15 CONNOR LAW OFFICES 129 15WC 18330 BEAM, TYWANNA HORACE MANN INS. CO. 12/09/13 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH 130 15WC 18699 SCHNEPPER, HEATHER CASEYS 11/16/12 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 131 15WC 19607 KONIAK, JOSHUA T DL COLE & ASSOCSDBA 08/06/14 DENIS A MC GRADY, JR 132 15WC 19692 MARTIN, KATHARINE T. SPRINGFIELD POLICE DEPART 01/18/15 BUCKLIN LAW OFFICE LIVINGSTONE MUELLER ET AL 133 15WC 20216 HAYES, JACKIE DECATUR PUBLIC SCHOOL 12/17/14 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 15WC 20387 LUTZ, JASON KML ARCHITECTURAL CONCRET 11/16/13 HOLLEY & ROSEN GANAN & SHAPIRO 135 15WC 20616 CARPENTER, PAUL ST OF IL, IDOT @ 06/12/15 CONNOR LAW OFFICES KRISTINA ECHOLS 136 15WC 22092 LEDUC, SHERRY L. SHELBY MEMORIAL HOSPITAL 08/22/14 MEYER, MICHAEL J MACIOROWSKI SACKMANN & ULRIC 137 15WC 22497 FICKAS, CAROLYN S SPRINGFIELD MASS TRANSIT 04/10/14 WOLTER BEEMAN AND LYNCH HINSHAW & CULBERTSON 138 15WC 22648 SMITH, SABRE LIFETOUCH INC 08/19/14 BOSHARDY LAW OFFICE PC LEAHY EISENBERG & FRAENKEL 139 15WC 22911 BRYANT, SHANE ATHENS FOOD INC. 04/09/13 RODDY LAW LTD 140 15WC 24796 PUSCH, LISA ATHENS CUSD #213 06/24/15 DELANO LAW OFFICES LLC MACIOROWSKI SACKMANN & ULRIC 141 15WC 25121 SPENCER, CARL CATERPILLAR INC 04/01/15 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 142 15WC 25454 MONETTI, DAVID L&L FOOD SERVICES INC 10/28/13 WALTON TELKEN LLC GANAN & SHAPIRO 143 15WC 25669 WHITLER, JEFFREY A COUNTY MARKET 11/06/14 KANOSKI BRESNEY SCHOLZ LOOS PALMER ET AL 15WC025670 -C 144 15WC 25856 SPINKS, SOPHIA MEMORIAL HEALTHCARE 06/28/14 KEEFE & GRIFFITHS PC SORLING NORTHRUP 145 15WC 26491 THURMAN, JOE A. STEVENS IMPLEMENT COMPANY 07/11/13 JOE A THURMAN LIVINGSTONE MUELLER ET AL 146 15WC 27631 19B SLOAN, WILLIAM KONE ELEVATOR & ESCALATOR 03/12/15 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 147 15WC 27705 PICKERING, MICHAEL J NELSON'S TERMITE & PEST 08/27/12 FEATHERSTUN GAUMER POSTLEW 148 15WC 27772 HEINZ, DEREK TEC BUILDERS 07/29/14 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 149 15WC 28204 BEARD, JASON CITY OF SPRINGFIELD 08/23/12 BERG & ROBESON 150 15WC 28806 ROBBINS, JOANNA PASSAVANT AREA HOSPITAL 12/14/14 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 151 15WC 28813 JUSTICE, JOHN ILLINI PAINT COMPANY 08/18/15

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 15WC 29337 PATTERSON, BRENDA SANGAMON COUNTY, ILLINOIS 07/10/15 WOLTER BEEMAN AND LYNCH RUSIN & MACIOROWSKI LTD 153 15WC 30108 ROBERTS, ASHA HOPE SCHOOL 08/27/15 WOLTER BEEMAN AND LYNCH RUSIN & MACIOROWSKI LTD 154 15WC 30487 SUTHARD, JASON M WILLIAMS NATIONAL LEASE L 06/02/15 BOSHARDY LAW OFFICE PC RIPES NELSON BAGGOT KALOBRAT 155 15WC 30625 SIMMONS, JOHN P IRC, INC./ILLINOIS 06/02/14 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 156 15WC 32326 RICHARDSON, TIMOTHY H JIM REIMER @ W 04/30/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 157 15WC 34342 DENTON, FRED, ESTATE ADMI CENTRAL ILLINOIS SECURITY 04/18/15 BUTLER & KEMPER LAW OFFICES STEVEN PILAND 158 15WC 34345 ELLIS, DAVID R & R GENERAL CONTRACTORS 02/19/15 CONNOR LAW OFFICES FEATHERSTUN GAUMER POSTLEWAI 159 15WC 34622 STOCKWILL, DAVID TWIN CITY TENT & 06/13/15 DODSON PIRAINO & ASSOC CHILTON YAMBERT PORTER LLP 160 15WC 35088 LE VEQUE, ROBERT D ST OF IL DEPT OF CMS 03/12/15 KANOSKI BRESNEY KRISTINA D DION 161 15WC 35178 KREN, MITHCELL CITY OF SPRINGFIELD 01/31/14 162 15WC 35589 WELLS, LINDA HSHS ST JOHN'S HOSPITAL 08/13/15 NESSLER, FREDERIC LAW OFFI HEYL ROYSTER VOELKER & ALLEN 163 15WC 37649 TALBOTT, ROBERT A CITY OF SPRINGFIELD 04/11/15 THOMAS W DUDA LIVINGSTONE MUELLER ET AL 15WC037650 -C 164 15WC 37691 BOLYARD, MICHEAL MILLER LIME SERVICE 10/21/15 WILLIAMS CAPONI & ASSOC QUINTAIROS PRIETO WOOD & BOY 165 15WC 37866 HENRY, SHERYLE L. ILLINOIS DEPT OF PUBLIC H @ 09/15/15 166 15WC 38030 STEELMAN, JOEL D SUPERVALU, INC C/O REG AG 09/22/15 BUCKLIN LAW OFFICE WIEDNER & MCAULIFFE LTD 167 15WC 39272 GESELL, GRODON L CITY OF TAYLORVILLE 09/15/14 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 168 15WC 39588 STEWART, WILLIAM A GREEN CAB LLC 10/07/15 169 15WC 39682 DEL CORONADO, KRISTY SECRETARY OF STATE @ 12/03/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 15WC 41214 WHICKER, WILLIAM UNITED CONTRACTORS MIDWES 05/05/15 GOLDBERG WEISMAN & CAIRO L KNELL LAW LLC 171 15WC 41649 BYERS, PAUL CITY OF SPRINGFIELD, FIRE 08/28/12 CONNOR LAW OFFICES 172 15WC 41990 MILLER, DAVID INTL PAPER 11/04/15 KATZ FRIEDMAN EAGLE ET AL BROWN & JAMES, PC 173 15WC 42148 SIMMONS, JOHN P IRC, INC/ILLINOIS ROAD 07/01/15 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 174 15WC 42328 WALLACE, MARTIN U OF I AT SPRINGFIELD @ 09/10/15 LACY, THOMAS W HEYL ROYSTER VOELKER & ALLEN 175 15WC 42464 ACKER, CODY MIDLAND FARM & HOME SUPPL 09/23/15 HOLLEY & ROSEN QUINN JOHNSTON HENDERSON ETA 176 15WC 42479 BOUVET, DON ADM 12/11/15 SAUNDERS CONDON & KENNY FEATHERSTUN GAUMER POSTLEWAI 177 16WC 00267 SAMPSON, SANDRA SMTD 12/14/15 LEE, MARK N LAW OFFICE 178 16WC 00381 FUDGE, LESTER A G&T ALL 12/31/14 BERG & ROBESON 179 16WC 00607 WEGING, JAMES E STATE OF ILLINOIS @ 03/11/15 ATSAVES, LOUIS G LTD ASSISTANT ATTORNEY GENERAL 180 16WC 00638 AIDE, CAROL L ST JOHN'S HOSPITAL 07/25/15 BOSHARDY LAW OFFICE PC 181 16WC 00923 SPENCE, NOVA AMEREN ILLINOIS 12/29/15 BROWN & BROWN HOLTKAMP LIESE ET AL 182 16WC 02804 BRADLEY, WILLIAM P USF HOLLAND 11/16/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 183 16WC 02807 STRAYHORN, LATUSHIA BLUECROSS BLUESHIELD 12/18/15 WOLTER BEEMAN AND LYNCH HENNESSY & ROACH 184 16WC 02830 WILDER, LOUELLA ARCHER DANIELS MIDLAND CO 02/25/13 MARK A WELLS LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 185 16WC 03270 HITE, JOYCE MOWEAQUA NURSING & RETIRE 07/26/14 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 186 16WC 03621 MURPHY, PATRICIA SOI DHS ANDREW MCFARLAND @ 09/26/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 187 16WC 03654 BROWN, JUSTIN L. STATE OF IL/SCHOOL OF 12/11/15 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 16WC 03673 WILLIAMS, TIM KELLY GROUP 05/01/15 NESSLER, FREDERIC LAW OFFI FEATHERSTUN GAUMER POSTLEWAI 189 16WC 04315 ROACH, CHAD B IL DEPT OF CORRECTIONS @ 11/04/15 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 190 16WC 04597 HINTON, JOE THE KELLY GROUP 08/21/15 LAW OFFICE MICHAEL M WOJIT 191 16WC 04834 ROBERTSON, RENA IL DEPT OF 05/01/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 192 16WC 05152 CASTLEMAN, WALTER MEMORIAL MEDICAL CTR 01/15/16 NESSLER, FREDERIC LAW OFFI SORLING NORTHRUP 193 16WC 05363 ELDRIDGE, KRISTIAN RYAN NORTH MAC CUSD #34 09/15/14 WINNE LAW OFFICE LLC INMAN & FITZGIBBONS 194 16WC 05373 DITTY, WILLIAM W II CRAFTMASTERS 03/30/15 BOLEN, ROBINSON & ELLIS PERRY GENTILE 195 16WC 05660 KEMPER, PAUL G REYNOLDS CONSUMER PRODUCT 06/10/14 HARVEY & STUCKEL 196 16WC 05954 LAW, JUDY DOLLAR GENERAL 01/06/16 KEEFE & DEPAULI LEAHY EISENBERG & FRAENKEL 197 16WC 06186 MILLS, VINCENT EBY-BROWN COMPANY 10/09/14 BOSHARDY LAW OFFICE PC ROUSE & CARY 198 16WC 06614 SLOAN, KIM L MACON COUNTY STATE'S ATTO 04/17/13 SPIROS LAW PC FEATHERSTUN GAUMER POSTLEWAI 199 16WC 06679 STEPHENS, DUSTIN STATE OF IL NATIONAL GAUR @ 06/14/15 ASSISTANT ATTORNEY GENERAL 200 16WC 06912 DUNN, DEBORAH MACON COUNTY MENTAL HLTH 08/04/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 201 16WC 07748 MARTIN, ANTHONY IL SECRETARY OF STATE @ 12/18/15 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 202 16WC 07872 MCMILLEN, TINA R. STATE OF ILLINOIS-SIU @ 02/15/16 ASSISTANT ATTORNEY GENERAL 203 16WC 09045 19B ASHCRAFT, RANDALL PANA LIMESTONE COMPANY 12/04/15 LEE, MARK N LAW OFFICE LIVINGSTONE MUELLER ET AL 204 16WC 09327 WALLACE, DEREK BENDSEN SIGN & GRAPHICS 12/31/15 MCCARTHY ROWDEN & BAKER KEEFE CAMPBELL & ASSOC LLC 205 16WC 09592 RICHARDSON, JOHN R D LAWRENCE 01/30/12 HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 16WC 09609 SUTER, GARY F WARD PLUMBING & HEATING W 03/31/15 SHAFFER, WILLIAM C III 207 16WC 09638 TAYLOR, ZACHERY AT&T 02/20/16 LEE, MARK N LAW OFFICE 208 16WC 09775 BOWMAN, MICHAEL R. NEW CENTURY TRANSPORTATIO 06/05/13 KANOSKI BRESNEY 209 16WC 10387 STUEBS, ANGELA MASON DISTRICT HOSPITAL 12/03/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 210 16WC 11295 SHOAFF, TIMOTHY E TONY'S WELDING SERVICE 08/12/15 OSTEEN & CHOJNICKI LTD GANAN & SHAPIRO 211 16WC 11692 NICKEL, BRENTT SUNBELT RENTALS INC 04/04/16 LEE, MARK N LAW OFFICE HARRIS DOWELL FISHER & HARRI 212 16WC 12039 MONSON, KIRK SPRINGFIELD PEPSI-COLA CO 10/25/15 LEE, MARK N LAW OFFICE THOMPSON & MCDONALD LAW OFFI 16WC016903 -C 213 16WC 12660 BEHL, FLOYD E SICILIANO, INC 08/12/15 KANOSKI BRESNEY HENNESSY & ROACH 214 16WC 13081 HOLMAN, DONALD W REFRESHMENT SERVICES PEPS 10/01/14 RIDGE & DOWNES 215 16WC 13097 STOLTE, STEVE DECATUR AMBULANCE 03/07/16 SAUNDERS CONDON & KENNY INMAN & FITZGIBBONS 216 16WC 13222 RODGERS, JUDITH THE HOPE INSTITUTE FOR 04/11/16 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 217 16WC 13397 PERIMAN, KEVIN BRANDT CONSOLIDATED 11/16/15 THOMPSON & MCDONALD LAW OFFI 218 16WC 13703 TIPPS, WHITIE TRI COUNTY COAL 12/20/13 CULLEY & WISSORE CRAIG & CRAIG 219 16WC 13836 ABNER, WILLIAM P. DOLLAR TREE STORES, INC. 02/20/16 BERG & ROBESON 220 16WC 14021 GLOSSOP, JOHN DENBY QUEST DIAGNOSTICS 04/21/16 BOSHARDY LAW OFFICE PC STEPHEN H LARSON LAW OFFICE 221 16WC 14046 PETTY, JOHN TRI-R DISPOSAL 01/04/16 DRUMMOND LAW OFFICE SMITH AMUNDSEN LLC 222 16WC 14633 KNUFFMAN, JILL C. HOPE INSTITUTE FOR 09/14/15 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 223 16WC 15601 COTTRELL, JEREMY SANGAMON COUNTY SHERRIF'S 05/01/16 CONNOR LAW OFFICES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 16WC 15941 BAILES, CHRISTOPHER UNDERFANGER MOVING & STOR 05/06/16 STRONG LAW OFFICE JAMES M KELLY 225 16WC 16172 BASIL, DALE PATTON MINING LLC 03/27/15 CULLEY & WISSORE CRAIG & CRAIG 226 16WC 16532 ARMSTRONG, ANGELA CATERPILLAR INC 04/04/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 227 16WC 16699 MYERS, TOM SUPPLY CHAIN 05/08/15 KATZ FRIEDMAN EAGLE ET AL 228 16WC 17190 MONSON, KIRK SR ARCH COAL INC. 04/29/16 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 229 16WC 17228 MANIS, WILLIAM B TRI COUNTY COAL 12/20/13 BOSHARDY LAW OFFICE PC GANAN & SHAPIRO 230 16WC 18248 FOSTER, CRAIG HAYES MECHANICAL 02/23/16 GORI, JULIAN & ASSOC GAROFALO SCHREIBER STORM 231 16WC 18874 BASFORD, HOPE HERITAGE HEALTH & SENIOR 11/18/15 WOLTER BEEMAN AND LYNCH RIPES NELSON BAGGOT KALOBRAT 232 16WC 19350 PORTWOOD, CATHERINE MCDONALD'S 05/05/16 MCCARTHY ROWDEN & BAKER 233 16WC 19705 CLARK, DAWN MAHAN'S WILDSIDE 06/14/16 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 234 16WC 20472 MUCHO, JESSICA M AMERICAN FURNITURE GROUP 05/02/16 MCCARTHY ROWDEN & BAKER STEPHEN H LARSON LAW OFFICE 235 16WC 20680 SHAFFER, NATHAN CAPITAL GROUP 04/20/16 SAUNDERS CONDON & KENNY 236 16WC 20766 COREY, CARLA SANGAMON COUNTY SHERIFF'S 04/04/16 JAMES ACKERMAN RUSIN & MACIOROWSKI LTD 237 16WC 20892 STUDEBAKER, SPENCER UNITED CONTRACTORS MIDWES 06/17/16 LEE, MARK N LAW OFFICE KNELL LAW LLC 238 16WC 20956 FRIEND, HAROLD L. KELLY GENERAL CONSTRUCTIO 06/27/16 WOLTER BEEMAN AND LYNCH MACIOROWSKI SACKMANN & ULRIC 239 16WC 21367 BRADSHAW, GAIL INTERNATIONAL PAPER 11/17/14 WOLTER BEEMAN AND LYNCH BROWN & JAMES, PC 240 16WC 21973 WHITE, DIANA L FIRST STUDENT INC 05/02/16 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 241 16WC 22099 CASE, CHERYL ILLINOIS DEPARTMENT OF RE @ 04/25/16 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 16WC 22880 WALTERS, JACOB ST OF IL DEPT OF CORRECTI @ 01/26/16 HOEKSTRA LAW OFFICES PC ASSISTANT ATTORNEY GENERAL 243 16WC 23220 INMAN, DIANA RESCARE HOMECARE INC 04/10/16 MOSS & MOSS PC SPIEGEL & CAHILL, PC 244 16WC 23337 CORDLE, MICHAEL J. INTERNATIONAL HOUSE OF 06/26/16 BUCKLIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 245 16WC 23535 DAVIS, BILLY JR GROWMARK INC D/B/A SUNRIS 07/19/16 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 246 16WC 23751 BENNETT, CAROL J ST OF IL DEPT OF ENVIRONM @ 05/02/16 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 247 16WC 23986 WARD, BILLY J JOE COLEMAN SALVAGE & DEM 07/31/15 WOLTER BEEMAN AND LYNCH 248 16WC 24062 CLAYTON, TAYLOR M. MEIJER STORES, LTD. 07/02/16 KANOSKI BRESNEY KNELL & O'CONNOR 249 16WC 24439 WILSON, BRENDA PACKERS SANITATION 07/05/16 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 250 16WC 24993 HODGEN, SEAN UNITED PARCEL SERVICE 03/14/16 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 251 16WC 25346 SEVERS, KELLI FED EX EXPRESS 08/19/13 MARK A WELLS LAW OFFICE WIEDNER & MCAULIFFE LTD 252 16WC 25978 DALEY, LISA GRAHAM CORRECTIONAL 08/01/16 DRUMMOND LAW OFFICE 253 16WC 26492 BATES, KIRBY CARLINVILLE COMMUNITY 03/21/13 COOK SHEVLIN YSURSA ET AL MACIOROWSKI SACKMANN & ULRIC 254 16WC 27479 NOBLE, WILLIAM HFS- CHILD SUPPORT SERVIC 08/29/16 255 16WC 28203 DUKES, MISTY CASEY'S GENERAL STORE 06/23/16 GALANTI LAW OFFICES 256 16WC 28605 WEIGLER, ANTHONY THE KELLY GROUP 06/16/16 WOLTER BEEMAN AND LYNCH 257 16WC 28682 BROWN, PENNY L PARK PLACE 03/31/16 KANOSKI BRESNEY PERRY GENTILE 258 16WC 29137 SMAIL, BERNIE T NAPHCARE, INC 05/12/16 LAWINGER LAW OFFICE 259 16WC 29394 SPICER, WAYNE JR STATE OF IL MCFARLAND @ 11/14/13 ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 16WC 29430 WEDER, JOSEPH DOT FOODS, INC 01/05/16 JAMES ACKERMAN HEYL ROYSTER VOELKER & ALLEN 261 16WC 29722 RICE, TERRY APPLE CREEK ENTERPRISES D 06/09/15 GLASS & KOREIN ARCHER LASSA & MCHUGH 262 16WC 29772 ROBERTS, STEVEN ORCHARD PARK APARTMENTS 07/05/16 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 263 16WC 30006 LYNCH, DARREN LANDMARK OF TAYLORVILLE 08/25/16 SHAY & ASSOCIATES KOEPKE & HILDABRAND 17WC024704 -C 264 16WC 30155 LUNNY, CALVIN STATE OF IL @ 02/24/14 MOSS & MOSS PC KRISTINA D DION 265 16WC 30165 MOORE, NORMAN MCLEOD EXPRESS 08/08/15 MCCARTHY ROWDEN & BAKER 266 16WC 30454 HIGGASON, DEBRA DYNEGY, INC 05/19/16 BOSHARDY LAW OFFICE PC KEEFE & DEPAULI 267 16WC 30533 GAGNON, MICHAEL G TYJAX IRONWORKS INC 06/30/15 GLASS & KOREIN GANAN & SHAPIRO 268 16WC 30641 SMAIL, BERNIE T NAPHCARE, INC 05/12/16 LAWINGER LAW OFFICE 269 16WC 31522 LIDDELL, CHRISTOPHER DESIGNED ROOFING SYSTEMS, 08/19/16 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 270 16WC 31600 ISOM, KEVIN STRATAS FOODS 04/26/16 LEE, MARK N LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 271 16WC 31792 SKAGGS, DESTINY U OF I POLICE 08/07/14 CONNOR LAW OFFICES GANAN & SHAPIRO 272 16WC 32037 CRAWFORD, BRET A SHOP & SAVE 05/16/14 LAMARCA LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 273 16WC 32111 NEICE, MEAGHAN MEMEORIAL HEALTH SYSTEM 08/16/16 WOODRUFF & JOHNSON SORLING NORTHRUP 274 16WC 32465 MUELLER, RICHARD PRECISION PIPELINE LLC 10/10/16 COOK SHEVLIN YSURSA ET AL BRYCE DOWNEY & LENKOV LLC 275 16WC 32538 MIMS, DESHUN SECRETARY OF STATE @ 09/28/16 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 276 16WC 32585 MCCRORY, TERRANCE OLIVE GARDEN 06/23/16 WIEDNER & MCAULIFFE LTD 277 16WC 32618 ARGO, JACOB EQUIPOWER RESOURCES CORP/ 01/20/15 INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 16WC 32674 RICE, ADAM T HEMBERGER'S BLASTED FARM, 10/14/16 DELANO LAW OFFICES LLC STEPHEN H LARSON LAW OFFICE 279 16WC 32894 BROWN, DECIMA ST CLAIR COUNTY 09/28/16 NELSON & NELSON KEEFE & DEPAULI 280 16WC 33017 MEYER, CHRISTOPHER WOOD FOREST NATIONAL BANK 05/19/16 CRAIG COLBROOK 281 16WC 33088 LEWIS, AUSTIN CITY OF DECATUR 10/12/16 MCCARTHY ROWDEN & BAKER SAMUELS MILLER SCHROEDER ETA 282 16WC 33776 CORDERY, KIM E CITY OF SPRINGFIELD 09/22/16 BUCKLIN LAW OFFICE LIVINGSTONE MUELLER ET AL 283 16WC 34560 WILSON, RANDLE CITY OF LITCHFIELD 08/17/15 STRONG LAW OFFICE INMAN & FITZGIBBONS 16WC035038 -C 16WC035043 -C 17WC005735 -C 284 16WC 35071 LANDERS, PATTI ILLINOIS DEPT OF CORRECTI @ 09/13/16 JASON YOUNG LAW OFFICE ASSISTANT ATTORNEY GENERAL 285 16WC 35131 FENTON, TIM UNITED STATES 11/01/16 GALANTI LAW OFFICES 286 16WC 35361 HOUK, TIMOTHY MACON COUNTY SHERIFF'S DE 09/15/16 SHAY & ASSOCIATES FEATHERSTUN GAUMER POSTLEWAI 287 16WC 35441 MARQUARDT, RICHARD BRAHLER OIL AND LUBE INC 10/23/15 STRONG LAW OFFICE LIVINGSTONE MUELLER ET AL 288 16WC 35452 GIBSON, JULIA EQUIFAX 04/15/16 SHAY & ASSOCIATES LEAHY EISENBERG & FRAENKEL 289 16WC 35867 HAM, MARTIN K BUTLER FUNERAL HOMES AND 04/01/16 NELSON & NELSON LIVINGSTONE MUELLER ET AL 290 16WC 35928 KOCUREK, PAUL TRI COUNTY COAL 12/20/13 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 291 16WC 36203 GADDY, TERESA A NIEMANN FOODS INC DBA 09/04/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 292 16WC 36244 WASHUM, PAMELA J MOSAIC OF SPRINGFIELD 10/14/16 DELANO LAW OFFICES LLC HENNESSY & ROACH 17WC003278 -C 293 16WC 36310 SCHOFIELD, BRENDA K REYNOLDS CONSUMER PRODUCT 10/10/14 KANOSKI BRESNEY 294 16WC 36907 BROWNLOW, ELISHA FUYAO GLASS AMERICA 01/27/16 WARREN E DANZ, PC MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 295 16WC 36920 BROWNLOW, ELISHA FUYAO GLASS AMERICA 02/18/16 WARREN E DANZ, PC MACIOROWSKI SACKMANN & ULRIC 296 16WC 37233 MOORE, DEAN E AHLSTROM FILTRATION, LLC 02/02/16 KANOSKI BRESNEY LAW OFFICES STEVEN PILAND 297 16WC 37640 STEWART, ASHLEY MEMORIAL MEDICAL CENTER 12/06/16 NESSLER, FREDERIC LAW OFFI SORLING NORTHRUP 298 16WC 38113 HAVENS, JANICE WALMART 01/30/16 STEPHEN P. KELLY WIEDNER & MCAULIFFE LTD 299 16WC 38162 BLOODWORTH, DAVID B CAPITOL RADY-MIX, INC 01/14/15 JAMES ACKERMAN WIEDNER & MCAULIFFE LTD 300 16WC 38255 MONIGAN, ALONZO NUDO PRODUCTS 09/13/16 KANOSKI BRESNEY LAW OFFICE CRAIG A HANSEN 301 16WC 38499 MILLER, KEVIN CITY OF SPRINGFIELD 10/18/16 LESKERA LAW FIRM LIVINGSTONE MUELLER ET AL 302 16WC 38527 HARMON, LINDA CITY OF SPRINGFIELD 01/09/15 SAUNDERS CONDON & KENNY LIVINGSTONE MUELLER ET AL 303 16WC 38624 MC CLEARY, BRYCE R CITY OF DECATUR 11/15/16 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 304 16WC 38723 GODAR, DOUGLAS J POOR BOY TREE SVC INC 10/25/16 UNSELL, EDWARD W LAW OFFIC EVANS & DIXON, LLC 305 16WC 38994 BOLTON, SEAN WHALEN TRUCKING 11/12/15 WOLTER BEEMAN AND LYNCH WOLFE & JACOBSON, LTD 306 16WC 39096 HARRIS, DAVID M SPRINGFIELD PARK DISTRICT 10/23/16 BERG & ROBESON LIVINGSTONE MUELLER ET AL 307 16WC 39107 MCNEILL, DENNIS INTERNATIONAL PAPER 11/16/15 KEEFE & GRIFFITHS PC BROWN & JAMES, PC 308 16WC 39240 ROUSER, LAWONDA SPRINGFIELD SCHOOL 10/19/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 309 16WC 39471 PACINO, NICK RITCHIE BROTHERS AUCTIONE 10/16/14 GALANTI LAW OFFICES ROUSE & CARY 310 17WC 00271 O'LAUGHLIN, BREAH BIG BROTHERS BIG SISTERS 06/03/16 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 311 17WC 00608 CHAMPION, WENDY REGENCY CARE 02/02/14 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 312 17WC 01383 SEITZ, ADALINE JBS 01/20/15 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 17WC037948 -C 313 17WC 01554 SORBIE, MELODY, WIDOW OF MONTEREY COAL CO/EXXON RI # 05/19/14 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 314 17WC 01917 O'DELL, LARRY E OTTO BAUM CO. 12/05/16 BERG & ROBESON KNELL LAW LLC 315 17WC 02285 BENNETT, BRYAN REFRESHMENT SERVICES INC 09/01/16 BECKER SCHROADER & CHAPMAN 316 17WC 02365 SCOTT, DAVID DALE WILLIAMS TRUCKING SH 10/12/16 BROWN & BROWN RIPES NELSON BAGGOT KALOBRAT 317 17WC 02705 RICHARDSON, JOLYNNE ARCH COAL 12/15/16 CONNOR LAW OFFICES 318 17WC 02838 SERVERADO, CECIL SR. BUSINESS CLEANING CORPORA 12/19/16 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 319 17WC 02921 ROBERTS, RYAN MONITOR AMA HOLDCO CORP, 01/19/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 320 17WC 03064 HODGE, CLIFFORD JR R&R GENERAL CONTRACTORS 05/30/14 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 321 17WC 03134 HUGHLETT, TIFFANY WENDY'S 01/05/17 DWORKIN AND MACIARIELLO 322 17WC 03271 MC INTYRE, KATHY RICHLAND COMMUNITY COLLEG @ 05/05/15 MCCARTHY ROWDEN & BAKER HEYL ROYSTER VOELKER & ALLEN 323 17WC 03495 HARDEN, ADAM MUELLER, INC. 08/11/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 324 17WC 03519 SHEA, JOHN WILLIAM SPRINGFIELD POLICE DEPART 01/23/17 BUCKLIN LAW OFFICE 325 17WC 03629 OCHU, DEBBIE SANGAMON AREA SPECIAL 09/15/14 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 326 17WC 04078 TIMMONS, SANDRA SMART STYLES 11/15/16 KANOSKI BRESNEY GOLDBERG SEGALLA LLC 327 17WC 04197 GOSSARD, LETIA STATE OF IL DEPT HUMAN @ 12/23/16 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 328 17WC 04531 YOUNG, ANNETTA M LOWE'S HOME CENTERS LLC 04/15/15 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 17WC 04668 SHERRILL, MATTHEW S FURNITURE ROW USA LLC 01/23/15 330 17WC 04816 BOOTH, BRENDA MCFARLAND STATE HOSPITAL @ 05/11/16 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 331 17WC 04907 BROWN, THOMAS L PACKERS SANITATION SERVIC 08/19/16 KANOSKI BRESNEY 332 17WC 04956 GAGE, ROBERT J B HUNT TRANSPORT INC 12/21/16 LEWIS & DAVIDSON, LTD LAW OFFICE CRAIG A HANSEN 333 17WC 05623 KEARNEY, JENNIFER CATERPILLAR INC 02/01/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 334 17WC 05722 O'MALLEY, SARINA M IL DEPT OF PUBLIC HEALTH @ 06/21/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 335 17WC 05739 POWELL, MICHAEL THOMAS J MCCLOSKEY @ 05/20/16 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 336 17WC 06515 POWELL, COLE SANGAMON COUNTY 05/16/16 BERG & ROBESON 337 17WC 06657 ALLEN, DALTON ARCHER DANIELS MIDLAND CO 11/26/16 WILKINS SCHNELLER LAW LLC FEATHERSTUN GAUMER POSTLEWAI 338 17WC 06710 COLLINGWOOD, JEFFERY APPLIANCE RECYCLING CENTE 07/24/14 WARREN E DANZ, PC ROUSE & CARY 339 17WC 06975 MAHNKE, CHERYL MCLEOD EXPRESS 01/06/17 SAUNDERS CONDON & KENNY INMAN & FITZGIBBONS 340 17WC 07096 ROLLET, APRIL SPARC 02/09/17 LEE, MARK N LAW OFFICE LIVINGSTONE MUELLER ET AL 341 17WC 07104 SINGER, MERICKIA FIRST STUDENT 03/17/16 SHAY & ASSOCIATES WIEDNER & MCAULIFFE LTD 342 17WC 07281 GRIFFITHS, CHRISTEL INTERNATIONAL PAPER 05/07/14 WOLTER BEEMAN AND LYNCH BROWN & JAMES, PC 343 17WC 07406 INGHAM, KEVIN PRECISION TANK AND EQUIPM 12/08/16 MCCARTHY ROWDEN & BAKER 344 17WC 07641 LIONBERGER, SHANNON SELECT REHABILITATION INC 06/21/16 BOSHARDY LAW OFFICE PC STEPHEN H LARSON LAW OFFICE 345 17WC 07659 ELLIOTT, STERLING M STATE OF IL/ILLINOS SCHOO @ 12/17/16 THOMSON, MCNEELY & TOBIN ASSISTANT ATTORNEY GENERAL 346 17WC 07873 STANLEY, DARLA R HERTZBERG NEW METHOD 07/31/14 LAMARCA LAW OFFICES, PC LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 17WC 08155 ACEVES, ALEJANDRO GARVIN INDUSTRIES 01/16/17 HORWITZ HORWITZ & ASSOC 348 17WC 08252 WHITE, SHANIQUA LOWE'S 08/27/15 BOSHARDY LAW OFFICE PC KEEFE CAMPBELL & ASSOC LLC 349 17WC 08325 STONE, CHRISTIAN G STATE OF ILLINOIS DEPT OF @ 02/10/17 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 350 17WC 08472 MATTHEWS, COZETTE ARAMARK 03/09/17 SHAY & ASSOCIATES INMAN & FITZGIBBONS 351 17WC 08972 HICKS, DAWN FIRST STUDENT 02/28/17 CONNOR LAW OFFICES WIEDNER & MCAULIFFE LTD 352 17WC 09066 SMITH, TERYL ELM CITY REHABILITATION C 10/21/15 WOODRUFF & JOHNSON THOMAS & PORTELA 353 17WC 09188 BECKMANN, MICHAEL J D.O. PATHOLOGY ASSOCIATES OF 01/01/16 WOLTER BEEMAN AND LYNCH LAW OFFICE PAUL LARIMORE 354 17WC 09324 DOZIER, SHANAE ARCHER DANIELS MIDLAND CO 12/29/15 SHAY & ASSOCIATES FEATHERSTUN GAUMER POSTLEWAI 355 17WC 09680 PORTIS, R. KENT LEE ENTERPRISE, INC 08/14/16 KANOSKI BRESNEY 356 17WC 09905 SANCHEZ, GLENN DELTA STAR, INC 02/10/17 FREDERICK & HAGLE ROUSE & CARY 357 17WC 10071 CARLISLE, TERI F STATE OF IL 01/04/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 358 17WC 10217 MARTIN, ROBIN WELLS FARGO 02/02/15 LEE, MARK N LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 359 17WC 10434 SPENCER, SEAN CITY OF LEROY 03/15/17 WILLIAMS & SWEE 360 17WC 10603 FOSTER, MARY DECATUR PUBLIC TRANSIT SY 09/20/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 361 17WC 10816 JOHNSON, CATHY ATG 12/15/16 ASSISTANT ATTORNEY GENERAL 362 17WC 10867 JONES, JAMES L. MONDELEZ GLOBAL, LLC 02/03/17 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 363 17WC 10955 CRUZ, CRIST DECATUR PUBLIC SCHOOLS 12/20/16 LEE, MARK N LAW OFFICE 364 17WC 11131 KEY, KENITH BRAND ENERGY SERVICES, LL 11/08/16 WOLTER BEEMAN AND LYNCH GOLDBERG SEGALLA LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 365 17WC 11206 ALLEN, KEITH PBI REDI MIX TRUCKING, IN 12/19/16 GOLDBERG WEISMAN & CAIRO L JAMES M KELLY 366 17WC 11479 MOORE, DAVID A ELI BRIDGE COMPANY 04/03/17 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 367 17WC 11489 EBERDING, AMY MEMORIAL MEDICAL CENTER 09/10/16 SORLING NORTHRUP 368 17WC 11654 HARNESS, DAVID E CITY WATER LIGHT & POWER 01/25/16 DELANO LAW OFFICES LLC LIVINGSTONE MUELLER ET AL 369 17WC 11771 MAURER, EDWARD J TCR SYSTEMS 04/05/17 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH 370 17WC 11908 WILSON, TERRY ARCHER DANIELS MIDLAND CO 03/14/17 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 371 17WC 12135 WINTERMAN, MICHAEL JK WAKE CONSTRUCTION CO 05/31/14 HAXEL LAW OFFICE 372 17WC 12492 BATEMAN, TAYLOR MENDARS 3293 06/01/16 ELLEN C. BRUCE RODDY LAW LTD 373 17WC 12786 SIEVING, KEVIN STATE OF ILLINOIS - IDOT @ 01/27/16 STRONG LAW OFFICE KRISTINA D DION 374 17WC 13035 HAMILTON, AMANDA HERITAGE HEALTH THERAPY & 01/20/17 STRONG LAW OFFICE 375 17WC 13114 TOLAR, ALEX JR CITY OF SPRINGFIELD 10/06/14 SHAY & ASSOCIATES LIVINGSTONE MUELLER ET AL 376 17WC 13168 LEE, THEODORE R JR STATE OF IL @ 05/19/14 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 377 17WC 13205 JOHNSON, TAMMY FIRST STUDENT 09/09/14 NESSLER, FREDERIC LAW OFFI 378 17WC 13266 SCOTTI, DANIELLE ENTERPRISE RENT A CAR, LL 04/12/17 STRONG LAW OFFICE KNELL & O'CONNOR 379 17WC 13759 PERKINS, DANA RAY R & R GENERAL CONTRACTORS 03/01/17 BOSHARDY LAW OFFICE PC FEATHERSTUN GAUMER POSTLEWAI 380 17WC 13947 SMITH, WILLIAM C JBS, USA 03/15/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 17WC023397 -C JBS USA 381 17WC 14181 STURGEON, TRICHEL DECATUR REHAB & HEALTHCAR 04/27/17 JOHN LESAGANICH KNELL LAW LLC 382 17WC 14239 POWELL, ALFRED E CITY OF SPRINGFIELD, FIRE 03/27/17 CONNOR LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 383 17WC 14548 KITE, PHIL CATERPILLAR INC 08/15/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 384 17WC 15307 DRAGOVAN, DON CATERPILLAR INC 02/21/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 385 17WC 15368 SHOEMAKER, WALTER D LME, INC. 05/01/17 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 386 17WC 15864 BRADSHAW, GAIL INTERNATIONAL PAPER 02/16/17 WOLTER BEEMAN AND LYNCH 387 17WC 16345 DOTY, JODY M (WIDOW OF TEAM DRIVE AWAY # 07/07/15 LAKE LAW FIRM SCOPELITIS GARVIN LIGHT 388 17WC 16384 DEGNER, TAMMY MEMORIAL MEDICAL CENTER 09/27/14 HAXEL LAW OFFICE SORLING NORTHRUP 389 17WC 16627 VALENTI, TERRANCE P IL DEPT OF TRANSPORTATION 02/26/15 KANOSKI BRESNEY KRISTINA D DION 390 17WC 16847 EDWARDS, DIANE L DECATUR PUBLIC SCHOOL 09/27/16 BOSHARDY LAW OFFICE PC FEATHERSTUN GAUMER POSTLEWAI 391 17WC 16900 MAIER, BRIAN E ARCHER DANIELS MIDLAND CO 09/11/16 KANOSKI BRESNEY 392 17WC 17040 WILHELM JR., RICHARD D BERNARD LEITSCHUH/ @ 03/31/17 WALTON TELKEN FOSTER LLC ASSISTANT ATTORNEY GENERAL 393 17WC 17099 HOOTS, LANNY ILLINOIS SECRETARY OF STA @ 02/17/16 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 394 17WC 17479 BROWN, CANDICE SIU - SIMMONS CANCER @ 04/24/17 395 17WC 17494 BALLARD, JASON DOLLAR TREE 07/28/16 STRONG LAW OFFICE EVANS & DIXON, LLC 396 17WC 17539 WATTS, DOUGLAS MOWEAQUA REHABILITATION & 02/08/16 SHAY & ASSOCIATES WOLFE & JACOBSON, LTD 17WC017541 -C ST MARY'S HOSPITAL 397 17WC 17610 SHAW, KEITH O DECATUR TRANSIT MANAGEMEN 05/20/17 KANOSKI BRESNEY BRYCE DOWNEY & LENKOV LLC 398 17WC 17771 SITES, SIDNEY D IL DEPT OF TRANSPORTATION 03/09/17 MCCARTHY ROWDEN & BAKER BRADLEY DEFREITAS 399 17WC 17980 YOUNG, JOHN E WERNER ENTERPRISES, INC 04/21/17 BUCKLIN LAW OFFICE 400 17WC 18104 KELLER, JEFFREY MUELLER COMPANY 05/23/17 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 401 17WC 18341 DOBRINSKY, JANE DECATUR PUBLIC SCHOOLS 12/16/16 LEE, MARK N LAW OFFICE 402 17WC 18447 STAAB, NANCY C MEMORIAL HEALTH SYSTEMS 08/18/15 JAMES ACKERMAN SORLING NORTHRUP 403 17WC 18508 TAPLEY, MICHAEL CAPTIAL TOWNSHIP 06/06/17 STRONG LAW OFFICE JAMES M KELLY 404 17WC 18543 SMALLEY JR., GARY KELLY CONSTRUCTION 06/21/16 KATZ FRIEDMAN EAGLE ET AL 405 17WC 18713 SHAFER, JOHN KELLY GROUP INC 06/15/15 CHATHAM & BARICEVIC MACIOROWSKI SACKMANN & ULRIC 406 17WC 19265 YESKE, ROBERT MARYAN MINING LLC 12/11/16 CULLEY & WISSORE CRAIG & CRAIG 407 17WC 19412 MC KENNEDY, GEORGE ILLINOIS ATTORNEY GENERAL @ 10/17/16 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 408 17WC 19639 RATHBONE, ROBERT QUANTA SERVICES INC DBA I 06/09/17 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 409 17WC 19760 KNOLES, COLETTE STATE OF ILLINOIS 06/22/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 410 17WC 20129 SCHOU, TERRY IL DEPT OF TRANSPORTATION @ 06/13/17 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 411 17WC 20415 RICHARDSON, JOSEPH CITY OF SPRINGFIELD 06/19/17 WOLTER BEEMAN AND LYNCH 412 17WC 20552 FORCUM, JACKIE INTERNATIONAL PAPER 05/03/16 WOODRUFF & JOHNSON BROWN & JAMES, PC 413 17WC 20573 WEAVER, MICHAEL ROCHESTER FIRE PROTECTION 04/06/17 NESSLER, FREDERIC LAW OFFI 414 17WC 20693 MCGUIRE, ROY MIDWEST POWER SOURCE, INC 05/01/17 BUTLER & KEMPER RUSIN & MACIOROWSKI LTD 17WC020719 -C 415 17WC 20694 MCGUIRE, ROY MIDWEST POWER SOURCE, INC 01/27/17 BUTLER & KEMPER RUSIN & MACIOROWSKI LTD 416 17WC 20835 FRAKES, PEGGY S. CASEY'S GENERAL STORES, I 09/27/16 BOSHARDY LAW OFFICE PC JAMES M KELLY 417 17WC 20913 VIEIRA, KENNETH FJ MURPHY 07/07/17 GORI, JULIAN & ASSOC STEPHEN H LARSON LAW OFFICE 418 17WC 21276 HEIL, MARK DYNEGY MIDWEST GENERATION 07/01/15 MCCARTHY ROWDEN & BAKER KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 419 17WC 21278 KLEKAMP, MELISSA PATTON LOGISTICS 06/13/17 NESSLER, FREDERIC LAW OFFI 420 17WC 21282 KROLL, RICHARD M&M SERVICE CORP 09/09/15 MCCARTHY ROWDEN & BAKER 421 17WC 21370 SPEARS, KELLI CATERPILLAR INC 06/07/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 422 17WC 22365 JIMISON, DONNA B HERITAGE BEHAVIORAL 06/15/17 KANOSKI BRESNEY WOLFE & JACOBSON, LTD 423 17WC 22520 MEYER, LARRY REYNOLDS PACKAGING 07/25/17 DWORKIN AND MACIARIELLO 424 17WC 22707 MONTGOMERY, RANDY LYNCH & SON'S CONSTRUCTIO 04/10/17 BROWN & CROUPPEN 425 17WC 22784 MC WILLIAMS, TERRY ARCHER DANIELS MIDLAND 06/21/17 GAUZA LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 426 17WC 22871 BRAUN, PETER JR GSI 07/07/17 DENNIS ATTEBERRY FEATHERSTUN GAUMER POSTLEWAI 427 17WC 23188 SWEET, DENISE GOODTIMERS LOUNGE W 07/27/17 SHAY & ASSOCIATES 428 17WC 23327 PARKER, DARRIN ALADDIN STEEL 05/03/16 DRUMMOND LAW OFFICE HENNESSY & ROACH 429 17WC 23499 PARKER, CARRIE PATHWAY SERVICES UNLIMITE 05/17/17 SHAY & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 430 17WC 23930 NOTTINGHAM, MICHAEL EXPRESS EMPLYMNT PROFESSI 06/22/17 MCCARTHY ROWDEN & BAKER MC ANDREWS & NORGLE LLC 431 17WC 24043 THOMAS, BRYAN TAYLORVILLE POLICE DEPT 04/04/17 DENNIS ATTEBERRY KEEFE & DEPAULI 432 17WC 24119 DORSY, EDGAR MICHEL CONCRETE 07/07/17 LEE, MARK N LAW OFFICE 433 17WC 24223 WILLIAMS, PAUL J THE MASCHHOFF'S TUCK WASH 01/18/17 WOLTER BEEMAN AND LYNCH 434 17WC 24274 BARTON, KRISTINA HERITAGE HEALTH 07/16/17 LAW OFFICE KEITH SHORT RIPES NELSON BAGGOT KALOBRAT 435 17WC 24287 MCNATTE, RAYMOND SOLOMON COLORS, INC. 02/24/17 BOSHARDY LAW OFFICE PC WIEDNER & MCAULIFFE LTD 436 17WC 24325 BROOSHIER, BRENDA GRAHAM CORRECTIONAL CENTE @ 05/30/17 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 437 17WC 24558 COFFINBARGAR, SUSAN IL SEC OF STATE @ 10/27/15 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 438 17WC 24642 NEEDHAM, CHELSEE WALMART 09/15/14 STRONG LAW OFFICE GANAN & SHAPIRO 439 17WC 24696 LEONARD, CHRISTY C SPRINGFIELD CLINIC 04/20/17 DELANO LAW OFFICES LLC HEYL ROYSTER VOELKER & ALLEN 440 17WC 24800 ATWOOD, VICKI LEE APERION CARE 03/15/15 DELANO LAW OFFICES LLC 441 17WC 25091 ODLE, DEREK PRAIRIE FARMS DAIRY 02/11/17 DWORKIN AND MACIARIELLO KNAPP, OHL & GREEN 442 17WC 25134 MANSFIELD, MARTHA F BALL CHATHAM SCHOOL DISTR 04/27/17 WOLTER BEEMAN AND LYNCH FEATHERSTUN GAUMER POSTLEWAI 443 17WC 25325 PATTERSON, DONALD SR LOGAN ENTERPRISES 11/09/15 SHAY & ASSOCIATES CHILTON YAMBERT PORTER LLP 444 17WC 25501 THOMPSON, TIMOTHY CAVALLO BUS LINES LLC 08/13/17 HARVEY & STUCKEL 445 17WC 25547 COMPARDO, RACHEL AMERICA AMBULANCE 07/27/17 WOLTER BEEMAN AND LYNCH LIVINGSTONE MUELLER ET AL 446 17WC 25600 PORTER, NATALIE L READY LINK 07/29/17 BROWN & BROWN 447 17WC 25733 PATTERSON, DONALD SR LOGAN ENTERPRISES 05/18/17 SHAY & ASSOCIATES CHILTON YAMBERT PORTER LLP 448 17WC 25782 GURNSEY, MARY KATHERINE ILLINOIS EPA @ 07/06/17 GORI, JULIAN & ASSOC ASSISTANT ATTORNEY GENERAL 449 17WC 26110 WALLACE, JASON ITW ALPINE 08/10/17 WALTON TELKEN FOSTER LLC HENNESSY & ROACH 450 17WC 26229 MCCOY, CHRISTOPHER A J HOELTING PRODUCE INC 03/13/17 KANOSKI BRESNEY 451 17WC 26304 HART, DAVID WALLER GRAIN, INC 07/15/16 NESSLER, FREDERIC LAW OFFI ROSARIO CIBELLA 452 17WC 26425 HUNTER, RICKEY DEBT WIZARD 08/21/17 WARREN E DANZ, PC 453 17WC 26615 ISOM, REMALE WENDY'S 08/21/17 DWORKIN AND MACIARIELLO DENNIS J NOBLE & ASSOC 454 17WC 26759 GAITHER, LOLA ST MARY'S HOSPITAL 07/14/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 455 17WC 26922 YOUNG, JOHN E WERNER ENTERPRISES, INC 04/21/17 BUCKLIN LAW OFFICE SMITH AMUNDSEN LLC 456 17WC 27011 TORRES, VICTORIA AREA AGENCY ON AGING FOR 06/26/17 NESSLER, FREDERIC LAW OFFI 457 17WC 27245 GASH, LARRY LL UNITED PARCEL SERVICE 09/16/15 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 458 17WC 27395 TOLLIVER, JEFFREY E AMERICAN AMBULANCE SERVIC 08/03/17 BOSHARDY LAW OFFICE PC KNELL & O'CONNOR 459 17WC 27595 FORESTER, CHARLES AMEREN ILLINOIS 06/11/15 LAW OFFICE OF THOMAS SCHOO HOLTKAMP LIESE ET AL 460 17WC 27940 WALSH, KEVIN UNIV OF IL- SPRINGFIELD 02/01/16 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 461 17WC 27994 MILLS, GARY ALAN CITY OF TAYLORVILLE 04/30/17 DENNIS ATTEBERRY 462 17WC 28034 WALSH, EDWARD JOHN SCHROEDER INCDBA HON 07/11/17 SHAY & ASSOCIATES LIVINGSTONE MUELLER ET AL 17WC031067 -C 463 17WC 28169 TOMLIN, REBEKAH S STRATAS FOODS, LLC 08/02/17 MCCARTHY ROWDEN & BAKER KEEFE CAMPBELL & ASSOC LLC 464 17WC 28428 SAVANT, YVONNE HEALTHCARE SVC GROUP 09/06/17 MORMINO,VELLOFF,EDMONDS,SN RUSIN & MACIOROWSKI LTD 465 17WC 28769 YOWELL, JESSICA ADM 06/27/17 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 466 17WC 28806 HOWARD, NORMAN W IV CITY OF SPRINGFIELD 08/10/17 DELANO LAW OFFICES LLC 467 17WC 29034 RELLER, CHRIS AMEREN 01/16/17 MUELHAUSEN & STEFANI HOLTKAMP LIESE ET AL 468 17WC 29711 JOHNS, RODNEY NIEMANN FOODS INC 09/08/17 SMITH LAW LTD SCHOLZ LOOS PALMER ET AL 469 17WC 29734 TENNILL, MATTHEW THOMAS H BOYD HOSPITAL 07/01/17 SMITH ALLEN MENDENHALL ET NYHAN BAMBRICK KINZIE & LOWR 470 17WC 29865 CLARK, JERRY E CANDLEWOOD SUITES 08/18/17 KANOSKI BRESNEY KNELL LAW LLC 471 17WC 29915 JOHNSON, DAROLD W NOKOMIS SCHOOL DIST UNIT 08/26/15 HARVEY & STUCKEL WIEDNER & MCAULIFFE LTD 472 17WC 30087 WHITE, LARRY FUYAO 09/30/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 473 17WC 30199 RIVERA, JOSE L WIN PRODUCTION LLC 07/16/17 KATZ FRIEDMAN EAGLE ET AL 474 17WC 30513 GOMILLER, CEDRIC D MANPOWER 09/20/17 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 475 17WC 30520 WALLACE, JASON ITW ALPINE 09/06/16 WALTON TELKEN FOSTER LLC HENNESSY & ROACH 476 17WC 30539 RHOADES, VIRGINIA MEMORIAL MEDICAL CENTER 07/18/17 HOLLEY & ROSEN SORLING NORTHRUP 477 17WC 30574 THOMPSON, THOMAS MUELLER COMPANY 11/28/16 WARREN E DANZ, PC HENNESSY & ROACH, PC 478 17WC 30707 WASHINGTON, DEANDREW DECATUR FOUNDRY 10/07/17 DWORKIN AND MACIARIELLO 479 17WC 30950 GARCIA, MARIA EDITH WIN PRODUCTIONS LLC 08/15/17 WOODRUFF & JOHNSON RODDY LAW LTD 480 17WC 31055 MARINACCI, DAWNA, WIDOW O MONTEREY COAL CO, C/O EXX # 07/27/17 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 481 17WC 31081 WHITED, JEFFREY R REYNOLDS CONSUMER PRODUCT 03/27/17 BOSHARDY LAW OFFICE PC KLAUKE LAW GROUP LLC 482 17WC 31266 SCRIBNER, JENNIFER A DECATUR FAMILY YMCA 08/18/16 FEATHERSTUN GAUMER POSTLEW 483 17WC 31436 COOK, RAY KELLY CONSTRUCTION 12/21/16 FREDERICK & HAGLE MACIOROWSKI SACKMANN & ULRIC 484 17WC 31468 ROY, HENRY LOCK STOCK AND BARREL 10/06/17 DWORKIN AND MACIARIELLO 485 17WC 31821 MCINTYRE, RAYMOND DECATUR PUBLIC SCHOOL DIS 05/22/17 LAKE LAW FIRM 486 17WC 31872 RICE, CLIFFORD PROBST, ALAN DBA R PROBST 09/20/17 STROM, NEAL B 487 17WC 32075 WEST, BELINDA FAIR HAVENS CHRISTIAN HOM 10/15/17 DENNIS ATTEBERRY 488 17WC 32097 TORBERT, ROGER DECATUR PUBLIC SCHOOLS 08/28/17 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 489 17WC 32324 EILERS, SCOTT GRAIN SYSTEMS INC 04/05/16 RIDGE & DOWNES FEATHERSTUN GAUMER POSTLEWAI 490 17WC 32498 DRURY, GERI L SPECTRAFORCE TECHNOLOGIES 09/12/17 SGRO HANRAHAN DURR RABIN LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 491 17WC 32541 LIDDELL, STEVEN MEL-O-CREAM 08/26/17 SHAY & ASSOCIATES MCDONALD & BOGDAN 492 17WC 32548 DAVIS, DERRICK NUDO 05/13/16 STRONG LAW OFFICE CRAIG A HANSEN 493 17WC 32669 PATTERSON, DANIEL S SPRINGFIELD POLICE DEPART 10/02/17 WOLTER BEEMAN AND LYNCH 494 17WC 32983 THOMAS, MICHAL JBS 12/31/16 LAW OFFICE OF CHRIS DOSCOT NYHAN BAMBRICK KINZIE & LOWR 495 17WC 33149 HESTER, TINA ARAMARK 10/16/17 SHAY & ASSOCIATES INMAN & FITZGIBBONS 496 17WC 33157 HAYES, WILLIAM KELLY CONSTRUCTION 10/27/17 LEE, MARK N LAW OFFICE 497 17WC 33546 OWENS, JOYCE MACON RESOURCES 09/20/17 SAUNDERS CONDON & KENNY 498 17WC 33701 GOODWIN, CORETTA REFRESHMENT SERVICES 06/07/17 MCCARTHY ROWDEN & BAKER 499 17WC 33740 RHODES, JUSTIN ILLINOIS DEPARTMENT OF @ 01/24/17 MARSZALEK AND MARSZALEK ASSISTANT ATTORNEY GENERAL 500 17WC 33787 DEERING, PAUL ARISTON CAFE 10/04/17 BOSHARDY LAW OFFICE PC 501 17WC 33801 MORGAN, CIARA UNITED CEREBRAL PALSY 10/09/17 SHAY & ASSOCIATES 502 17WC 33932 GRIFFIN, WILBERT JR GSI GROUP LLC 06/16/17 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 503 17WC 33960 OVERTURF, ASHLEY WAL-MART 10/27/17 NESSLER, FREDERIC LAW OFFI QUINTAIROS PRIETO WOOD & BOY 504 17WC 33963 JACKSON, DORIS STATE OF ILLINOIS @ 09/25/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 505 17WC 33979 GILBERT, ETHAN ADM 10/31/17 LEE, MARK N LAW OFFICE 506 17WC 34039 WINCHESTER, DENA ADDUS HEALTH CARE 06/29/17 DENNIS ATTEBERRY WIEDNER & MCAULIFFE LTD 507 17WC 34188 SMITH, KEVIN J HOLMES FARMS, INC 09/28/17 KANOSKI BRESNEY 508 17WC 34215 ROSS, CHARLENE S PLEASANT HILL VILLAGE 06/03/17 NOLL LAW OFFICE LAW OFFICE CRAIG A HANSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 509 17WC 34554 MOORE, ELVIRA D FAIR HAVEN'S CHRISTIAN VI 10/29/17 BOSHARDY LAW OFFICE PC 510 17WC 34683 RHODES, GARY E GEORGIA PACIFIC 09/20/17 BECKER SCHROADER & CHAPMAN 511 17WC 35043 MACKLIN, JULIAN ADVANCED DISPOSAL 11/15/17 SHAY & ASSOCIATES INMAN & FITZGIBBONS 512 17WC 35122 MARTINEZ, FELIPA JBS 09/17/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 513 17WC 35143 BURTLE, JOHN E S.O.I. @ 05/04/17 CORNFIELD & FELDMAN BRADLEY DEFREITAS 514 17WC 35160 NICHELSON, JAMES D STATE OF IL SECRETARY OF @ 12/09/14 CHRISTOPHER T TUCKER ASSISTANT ATTORNEY GENERAL 515 17WC 35287 OYLER, MICHAEL UNITED CONTRACTOR MIDWEST 10/18/17 WARREN E DANZ, PC KNELL LAW LLC 516 17WC 35740 MASON, SCOTT PRAIRIE POWER 12/28/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 517 17WC 35881 HORN, TODD ENCOMPASS 09/13/17 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 518 17WC 35932 BUDDS, RICHARD ASSUMPTION COOPERATIVE GR 10/26/17 MCCARTHY ROWDEN & BAKER EVANS & DIXON, LLC 519 17WC 36106 EVANS, DANIEL PRAIRIE FARMS DAIRY, INC 04/22/17 WOLTER BEEMAN AND LYNCH KNAPP, OHL & GREEN 520 17WC 36143 MILLER, JERRY GRAHAM C.C. @ 10/31/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 18WC005318 -C 521 17WC 36192 CLARK, COREY A IL DEPT OF CORRECTIONS @ 11/03/17 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 522 17WC 36249 RIDGEWAY, JAMES DOWSON FARMS 12/06/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 523 17WC 36409 SMITH, JASON M BRIDGESTONE RETAIL 04/26/17 JAMES ACKERMAN SLAVIN & SLAVIN 524 17WC 36510 MAGUIRE, TINA ST JOHN'S HOSPITAL 10/22/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 525 17WC 36649 SCHWALB, SHEILA STATE OF IL, DCFS @ 12/19/16 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 526 17WC 36775 POTTER, MICHELLE LAKE SHORE LEARNING CENTE 07/27/17 JOHNSTON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 527 17WC 36837 HUNTER, EDDIE SANGAMO CONSTRUCTION 06/04/15 WARREN E DANZ, PC LIVINGSTONE MUELLER ET AL 528 17WC 36919 SCHMITZ, KEVIN J CITY OF PANA 10/25/17 KANOSKI BRESNEY 529 17WC 37076 MILLER, VICTORIA L HOME INSTEAD SENIOR CARE 11/14/17 WOLTER BEEMAN AND LYNCH 530 17WC 37191 LEE, PENNY ARAMARK 01/10/17 STRONG LAW OFFICE 531 17WC 37351 MCCAWLEY, STEVE HABITAT FOR HUMANITY 09/15/17 LEE, MARK N LAW OFFICE 532 17WC 37361 DUKEMAN, RANDY ICG ILLINOIS, LLC 06/01/16 CULLEY & WISSORE 533 17WC 37583 GREEN, SHELLEAY KEMMERER VILLAGE 11/20/17 KANOSKI BRESNEY 534 17WC 37926 GIFFORD, SHARON CROSS COUNTRY TRAVEL CORP 06/27/17 CORNFIELD & FELDMAN STEPHEN H LARSON LAW OFFICE 535 17WC 38016 STANSBERY HARBOR LIGHT HOSPICE 08/18/17 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 536 18WC 00170 BEETS, KEVIN JOSEPH UNITED PARCEL SERVICE 08/28/17 GOLDBERG WEISMAN & CAIRO L MCANANY VANCLEVE & PHILLIPS 537 18WC 00715 DURBIN, JACOB SHELBYVILLE DISPOSAL 08/08/17 538 18WC 00802 ZULAUF, JORDAN SAC WIRELESS, LLC 01/22/15 CORBOY & DEMETRIO PC ROUSE & CARY 539 18WC 00897 SIMONTON, JACOB SIERRA INTERNATIONAL 11/07/17 LAMARCA LAW OFFICES, PC 540 18WC 00898 ATTERBERRY, JEFFREY A AG PLUS DEVELOPMENTS, INC 12/05/17 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 541 18WC 01067 MACK, ANDREW STONE TRENDS 07/01/15 HENNESSEY LAW FIRM 542 18WC 01174 MOSS-ADAMS, TARA PRAIRIE FARMS DAIRY 12/20/17 SHAY & ASSOCIATES KNAPP, OHL & GREEN 543 18WC 01227 LAGRONE, RITA E DECATUR PUBLIC SCHOOL DIS 09/20/17 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 544 18WC 01518 REED, JEFFREY E SPRINGFIELD MASS TRANSIT 10/01/17 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 545 18WC 01537 TROSLEY, CAROLE CARLINVILLE REHABILITATIO 08/19/17 BROWN & CROUPPEN 546 18WC 01709 LYNCH, KIERSTEN SPRINGFIELD PUBLIC SCHOOL 02/28/16 SGRO, HANRAHAN DURR RABIN HEYL ROYSTER VOELKER & ALLEN 547 18WC 01793 ARROYO, JUAN DCA CONSTRUCTION 10/31/17 NELSON & NELSON 548 18WC 02011 JARNAGIN, JAMES SCOTT INTERNATIONAL PAPER 08/12/10 SMITH LAW LTD 549 18WC 02049 DUKE, MISTY CASEY'S GENERAL STORE 01/02/18 GALANTI LAW OFFICES 550 18WC 02176 WILLIAMS, CHAD L EXPRESS EMPLOYMENT 05/09/17 KANOSKI BRESNEY MC ANDREWS & NORGLE LLC 551 18WC 02349 MOORE, SUSAN J SPRINGFIELD CLINIC 07/05/16 DELANO LAW OFFICES LLC HEYL ROYSTER VOELKER & ALLEN 552 18WC 02655 LINGARD, JEREMY EMPATH USA 12/23/17 HOLLEY & ROSEN WOLF LAW LTD 553 18WC 02679 RAFERT, MICHAEL SOLRAY LLC 04/15/17 BROWN & CROUPPEN 554 18WC 02759 WELBURN, JAMES CATERPILLAR INC 01/12/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 555 18WC 02836 SCHOONOVER, JACOB T HERTZ 12/07/17 NESSLER, FREDERIC LAW OFFI 556 18WC 02965 DEWITT, THOMAS LITCHFIELD POLICE DEPT 07/07/17 DWORKIN AND MACIARIELLO 557 18WC 03003 SYKES, RENEE C ADDUS HEALTHCARE 01/18/18 KANOSKI BRESNEY 558 18WC 03183 CHRISTISON, RANDY ALTORFER, INC 12/12/17 WOODRUFF & JOHNSON STEPHEN H LARSON LAW OFFICE 559 18WC 03256 LEHN, AMANDA L SOI, DECATUR CORRECTIONAL @ 09/03/15 BERG & ROBESON BRADLEY DEFREITAS 560 18WC 03355 KRUPA, JOANN RICHARDET FLOOR COVERING 09/23/17 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 561 18WC 03467 MIZEUR, RICHARD L AHLSTROM FILTRATION LLC 06/09/17 KANOSKI BRESNEY 562 18WC 03508 SPINNER, JOSHUA M KELLY CONSTRUCTION 01/25/18 DELANO LAW OFFICES LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 563 18WC 03635 JOHNSON, TIM NESTLE BEVERAGE COMPANY 08/23/17 NESSLER, FREDERIC LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 564 18WC 03650 BAILEY, JAMES JR. TRANSERVICE LOGISTICS INC 01/06/17 CHRIS DOSCOTCH LITCHFIELD CAVO 565 18WC 03768 VINCENT, CURT A STATE OF IL-SECRETARY OF @ 01/30/18 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 566 18WC 03795 JEFFERSON, TIFFANY BICKFORD SENIOR LIVING 01/17/18 STRONG LAW OFFICE DAMON YOUNG 567 18WC 03858 REYES, JOHAN A JBS 11/21/17 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 568 18WC 03927 CALKINS, JAMES D JR. GSI GROUP, LLC 07/10/17 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 569 18WC 04122 AYALA, JOSEFINA JBS USA 10/13/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 570 18WC 04257 FRIDAY, BEAU R CITY OF SPRINGFIELD FIRE 12/06/17 THOMAS W DUDA 571 18WC 04437 WITTMER, ANDREW DECATUR POLICE DEPARTMENT 07/11/16 KATZ FRIEDMAN EAGLE ET AL SAMUELS MILLER SCHROEDER ETA 572 18WC 04728 MC CRARY, CAROLYN JBS USA 04/12/17 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 573 18WC 04855 PURDON, JAMES H II TAYLORVILLE CORRECTIONAL @ 01/23/18 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 574 18WC 04877 COOK, RAY KELLY CONSTRUCTION 09/19/17 FREDERICK & HAGLE MACIOROWSKI SACKMANN & ULRIC 575 18WC 05313 DENNIS, JACQUELINE R SYMPHONY ASPEN RIDGE LLC 09/17/17 KANOSKI BRESNEY 576 18WC 05320 HOPPER, MELLISSA COMMUNITY LIVING OPTIONS 04/09/17 STRONG LAW OFFICE 577 18WC 05328 HOGARTH, SARAH GPM INVESTMENTS, LLC VLGE 11/16/15 SGRO, HANRAHAN DURR RABIN 578 18WC 05415 FERRY, LORA MEMORIAL MEDICAL CENTER 05/29/17 HOLLEY & ROSEN 579 18WC 05747 PARIS, PEDRO HYVEE 01/20/18 BERG & ROBESON QUINN JOHNSTON HENDERSON ETA 18WC005748 -C 580 18WC 05766 LUTTRELL, EDWARD ALDI 02/03/18 SHAY & ASSOCIATES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 581 18WC 06005 LAMB, CARISA EXPRESS EMPLYMNT PROFESSI 01/27/18 MCCARTHY ROWDEN & BAKER 582 18WC 06036 TODD, JAMES BRET LANDMARK CADILLAC 05/05/17 NOLL LAW OFFICE 583 18WC 06070 SCRIBNER, STEVEN TATE & LYLE INGREDIENTS 01/01/18 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 584 18WC 06360 DAVIS, HAROLD JR SENIOR SERVICES OF 02/13/18 NESSLER, FREDERIC LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 585 18WC 06401 HAMMOND, MARK WORKSAVER, INC 02/11/17 DRUMMOND LAW OFFICE GAROFALO SCHREIBER STORM 586 18WC 06476 SUTTLES, MARY K COMPUTER SCIENCES CORP 01/12/18 THOMSON, MCNEELY & TOBIN CRAIG A HANSEN 587 18WC 06552 STEPHENSON, FRANKLIN J PRODUCTION PRESS INC 12/14/17 KANOSKI BRESNEY 588 18WC 06577 SCHOLES, CINDY SHELBY REHABILITATION AND 04/27/17 TAPELLA & EBERSPACHER LLC KNELL LAW LLC 589 18WC 06790 PLATT-SHELTON, RUBY E KENTUCKY FRIED CHICKEN 12/22/17 KANOSKI BRESNEY 590 18WC 06885 LAKER, ROBERT LAKER PETROLEUM 04/04/15 DENNIS ATTEBERRY 591 18WC 06994 LANGSTON, MARK CITY OF DECATUR FIRE DEPA 02/18/16 STRONG LAW OFFICE SAMUELS MILLER SCHROEDER ETA 592 18WC 07163 JONES, MARIO M HERITAGE-CRYSTAL CLEAN 12/20/17 KANOSKI BRESNEY HENNESSY & ROACH, PC 593 18WC 07310 STRATTON, JAMES G JBS 01/26/18 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 594 18WC 07492 BEATTY, MARK THE BOAT DOCK 02/22/18 WOLTER BEEMAN AND LYNCH 595 18WC 07632 BENEDICT, WILLIAM CITY OF SPRINGFIELD, FIRE 02/02/18 CONNOR LAW OFFICES 596 18WC 07682 MCCLUNG, DEANN STEAK & SHAKE 01/25/18 DWORKIN AND MACIARIELLO HEPLER BROOM LLC 597 18WC 07913 PENNELL, TIM L ILMO PRODUCTS COMPANY 04/25/17 KEPNER AND REISER 598 18WC 08247 LAWLER, DONNA SOUTHWEST AIRLINES CO 05/22/17 LEWIS & DAVIDSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 599 18WC 08253 KITE, JACOB MILES CHEROLET 02/16/18 HOLLEY & ROSEN 600 18WC 08363 LANGLEY, JEREMY R CATERPILLAR, INC 02/20/18 BOSHARDY LAW OFFICE PC CATERPILLAR 601 18WC 08377 ZOLLER, JOHN LITTLE ITALY'S PIZZA 02/23/18 NOLL LAW OFFICE 602 18WC 08407 JIHNSON, MARTHA RIVER BIRCH SENIOR LIVING 08/19/17 STRONG LAW OFFICE 603 18WC 08513 DAMBACHER, JACOB A WALMART 01/31/18 SHAFFER, WILLIAM C III QUINTAIROS PRIETO WOOD & BOY 604 18WC 08580 LINSAY, DONNA ST MARY'S HOSPITAL 09/11/16 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 605 18WC 08737 BRENNAN, MICHAEL W SECRETARY OF STATE @ 06/27/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 606 18WC 08907 BAUGHMAN, JULIUS WATSON FOODS CO 02/15/18 NOLL LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 607 18WC 08936 MCNEAL, SCOTT EDWARD BEELMAN TRUCK COMPANY 12/26/17 BOSHARDY LAW OFFICE PC 608 18WC 09027 KELLER, LUCY CORNER GAS STATION/KRISPY 03/14/18 STROM, NEAL B 609 18WC 09088 CRITCHELOW, KRISTINA M PASSAVANT AREA HOSPITAL 08/16/17 KANOSKI BRESNEY 610 18WC 09340 JULIUS, MICHAEL T VIPER COAL MINE 06/19/17 SGRO HANRAHAN DURR RABIN RUSIN & MACIOROWSKI LTD 611 18WC 09417 BLEDSAW, DAKOTA TATE & LYLE INGREDIENTS 11/07/17 HOLLEY & ROSEN MACIOROWSKI SACKMANN & ULRIC 612 18WC 09580 BROWN, SAMUEL MCLEOD EXPRESS 10/26/16 HOLLEY & ROSEN 613 18WC 09771 HEMSTOCK, ANDREW LOWE'S COMPANIES, INC./LO 06/23/17 WOLTER BEEMAN AND LYNCH KEEFE CAMPBELL & ASSOC LLC 614 18WC 09876 BRADSHAW, DONNA MEDICAL STAFFING NETWORK 11/24/17 MCCARTHY ROWDEN & BAKER KEEFE & DEPAULI 615 18WC 10026 ROLLIN, BRIAN EXPRESS EMPLOYMENT 02/27/18 KEEFE & GRIFFITHS PC 616 18WC 10140 HOPPER, JENNIFER ILLINOIS SCHOOL FOR THE D 12/19/16 WOODRUFF & JOHNSON BRADLEY DEFREITAS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 617 18WC 10213 DAILY, REBECCA L MARIO'S PIZZA 03/21/18 DELANO LAW OFFICES LLC 618 18WC 10552 SOTELO, JESUS CAZARES A-LERT CONSTRUCTION SERVI 11/01/16 EPSTEIN, JACK R LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 619 18WC 10667 KHARST, DESTINY ST OF IL-MCFARLAND MENTAL @ 01/04/18 STRONG LAW OFFICE ASSISTANT AT0TORNEY GENERAL 620 18WC 10781 STOUT, RICHARD SR CIRCLE K 11/25/17 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 621 18WC 10846 STEVENS, CHAD TITAN PIPE AND TUBE 03/14/18 KEITH SHORT RUSIN & MACIOROWSKI LTD 622 18WC 11077 ESCOTT, VICTORIA HY-VEE INC. 03/25/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 623 18WC 11195 HOUCHENS, BILLY FRIENDLY CHEVROLET 02/20/18 NESSLER, FREDERIC LAW OFFI 624 18WC 11277 WATKINS, ANGELO ADM 10/31/16 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 625 18WC 11293 MOORE, LORAINE CENTAUR SVCS 03/26/18 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH, PC 626 18WC 11465 STOKES, JOHN MUELLER WATER PRODUCTS, I 03/07/18 FREDERICK & HAGLE 627 18WC 11763 SWARMS, DENNIS CITY OF DECATUR 03/10/17 BECKER SCHROADER & CHAPMAN 628 18WC 11882 POORMAN, RICHARD APACHE INDUSTRIAL UNITED 04/02/18 GOLDBERG WEISMAN & CAIRO L 629 18WC 12046 GORWELL, SHAINE EXPRESS EMPLYMNT PROFESSI * 11/25/17 STRONG LAW OFFICE MC ANDREWS & NORGLE LLC 630 18WC 12192 FESSLER, ROBERT ATI FLEET SERVICES * 11/02/17 LEE, MARK N LAW OFFICE 631 18WC 12398 WOMACK, ALFRED B SANGAMON COUNTY SHERIFF'S * 04/04/18 DELANO LAW OFFICES LLC 632 18WC 12476 WOODLEY, FABIAN AIR CASTER CORP, LLC * 09/21/17 KANOSKI BRESNEY HENNESSY & ROACH 633 18WC 12616 DENNISON, DEBORAH K TEXAS ROADHOUSE * 03/25/18 KANOSKI BRESNEY 634 18WC 12624 DAY, TERRY T CITY OF SPRINGFIELD/ * 01/21/17 BUCKLIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 635 18WC 12837 FOX, JACLYN DECKER TRUCK LINE, INC * 12/29/17 RIDGE & DOWNES 636 18WC 12909 VANMETER, SHIRLEY REYNOLDS CONSUMER PRODUCT * 05/15/17 BROWN & CROUPPEN KLAUKE LAW GROUP LLC 637 18WC 13292 MADKINS, CHRISTOPHER MCLANE FOOD SERVICE INC * 12/05/17 NESSLER, FREDERIC LAW OFFI KEEFE CAMPBELL BIERY & ASSOC 638 18WC 13342 MYATT, CALVIN INTERNATIONAL PAPER COMPA * 08/17/17 NESSLER, FREDERIC LAW OFFI GOLDBERG SEGALLA LLC 639 18WC 13614 KLING, MASON WALMART * 03/09/18 PETER F FERRACUTI & ASSOCI GANAN & SHAPIRO 640 18WC 13752 NICHELSON, JAMES IL SECRETARY OF STATE @ * 03/26/18 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 641 18WC 13798 RHODES, TERRY R CITY OF DECATUR * 02/27/18 MCCARTHY ROWDEN & BAKER 642 18WC 13918 SCHMUTZ, BARBARA DECATUR SCHOOL DISTRICT 6 * 01/16/18 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 643 18WC 13928 HAYNES, MATTHEW D USF HOLLAND * 01/29/18 BOSHARDY LAW OFFICE PC 644 18WC 14086 LONG, RYAN K PRAIRIE LAND FS * 08/08/17 SMITH ALLEN MENDENHALL ET 645 18WC 14189 SHEPPARD, SCOTT FIRE & ALE * 02/14/18 DWORKIN AND MACIARIELLO 646 18WC 14354 MCCLURE, DUSTIN T CITY OF TAYLORVILLE * 01/24/18 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 647 18WC 14372 GLEICH, SHERRI G CHRISTOPHER & BANKS * 09/23/17 DELANO LAW OFFICES LLC 648 18WC 14641 BECHERER, SALLY ILLINOIS DEPARTMENT @ * 10/11/17 HOLLEY & ROSEN 649 18WC 14821 COATS, HERBERT L JR. STATE OF IL DEPT OF @ * 10/13/17 STEVEN C MILLS ASSISTANT ATTORNEY GENERAL 650 18WC 14876 SANGSTER, STACEY DECATUR FOUNDRY * 08/21/17 SHAY & ASSOCIATES FEATHERSTUN GAUMER POSTLEWAI 651 18WC 15015 BRINYON, HALLIBURTON EXPRESS EMPLOYMENT * 05/01/18 SHAY & ASSOCIATES MC ANDREWS & NORGLE LLC 652 18WC 15022 STRAWBRIDGE, PATSY RIVERTON SCHOOL DISTRICT * 02/21/18 FREDERIC NESSLER & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 653 18WC 15256 DOWELL, SCOTT L COUNTY MARKET * 04/01/18 KANOSKI BRESNEY 654 18WC 15739 BELL, BRIAN ARCH COAL * 01/05/18 FREDERIC NESSLER & ASSOC 655 18WC 15767 BEST, TODD STATE OF IL * 12/25/17 MARK N LEE BRADLEY DEFREITAS 656 18WC 15841 VOGEL, ESTHER L ST JOHN'S HOSPITAL * 06/29/16 HEYL ROYSTER VOELKER & ALLEN 657 18WC 15876 RAPIEN, TRAVIS BORAL * 02/22/18 BROWN & CROUPPEN 658 18WC 15915 LOGUE, MERIEDA L STATE OF ILLINOIS @ * 09/24/15 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 659 18WC 15928 MASAS, SALINA JACKSONVILLE SKILLED NURS * 10/24/17 BERG & ROBESON 660 18WC 16038 JOY, MARIAH LEE EXECUTOR CROWN PLAZA * 05/21/13 WARREN E DANZ, PC 661 18WC 16173 MAGELITZ, ROBERT NESTLE, INC * 04/22/18 SAUNDERS CONDON & KENNY NYHAN BAMBRICK KINZIE & LOWR 662 18WC 16216 MOLTON, THEODORE E BRICKHOUSE GRILL & PUB * 05/01/18 KANOSKI BRESNEY 663 18WC 16272 SCHROEDER, MACKENZIE P DECATUR MEMORIAL HOSPITAL * 07/05/16 COSTIGAN & WOLLRAB PC 664 18WC 16389 MOSCARDELLI, CARA CITY OF SPRINGFIELD * 06/10/17 SGRO, HANRAHAN DURR RABIN 665 18WC 16610 ROOS, CALEB CITY OF SPRINGFIELD * 10/13/16 DAVID W MARTAY 666 18WC 16684 HALE, TYSON CONCORDIA VILLAGE * 05/09/18 SHAY & ASSOCIATES 667 18WC 16996 MOLOHON, JEFF PANHANDLE EASTERN PIPELIN * 04/04/18 WOLTER BEEMAN AND LYNCH 668 18WC 17099 SHELBY, STERLING FUYAO GLASS * 04/23/18 SHAY & ASSOCIATES 669 18WC 17132 SIMMONS, DAVID GULLEY TRANSPORTATION, IN * 05/09/17 HAXEL LAW OFFICE JAMES A. HANSEN 670 18WC 17169 SCHNEIDER, FREDERICK ST OF IL SEC OF STATE @ * 02/15/16 BERG & ROBESON LISA MADIGAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 671 18WC 17205 FORSLUND, JOHN JBS * 07/08/17 FREDERIC NESSLER & ASSOC NYHAN BAMBRICK KINZIE & LOWR 672 18WC 17339 SPERRY, TIMOTHY E STATE OF ILLINOS @ * 10/19/17 KANOSKI BRESNEY JOSEPH MOORE 673 18WC 17344 JACKSON, JULIE V CENTRAL COUNTIES HEALTH C * 03/07/18 SGRO, HANRAHAN DURR RABIN 674 18WC 17473 DICKERSON, SYLVIA FIRST STUDENT * 05/24/18 STRONG LAW OFFICE 675 18WC 17500 WHITACRE, MIKE MCLEOD EXPRESS * 05/16/18 WARREN E DANZ, PC 676 18WC 17671 GRIFFITH, MICHAEL SHORT FURNITURE INCORPORA * 06/15/17 STRONG LAW OFFICE 677 18WC 17961 EDMONDS, JENNIFER C SIU SCHOOL OF MEDICINE @ * 02/12/18 678 18WC 18009 SCHLEIFENBAUM, MICHAEL WEISE USA * 05/31/17 SAUNDERS CONDON & KENNY WOLFE & JACOBSON, LTD 679 18WC 18068 CRIPE, TIMOTHY BODINE ELECTRIC OF DECATU * 10/11/17 MCCARTHY ROWDEN 680 18WC 18324 ELLIS, WALDON TERRA FIRMA SOIL SOLUTION * 05/02/18 LAMARCA LAW OFFICES, PC 681 18WC 18340 MANZO, EPIFANIA JBS USA * 05/16/18 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 682 18WC 18409 WHITELOW, DIANN CATERPILLAR INC * 04/18/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 683 18WC 18462 MINTON, KIM MEL-O-CREAM * 05/22/18 STRONG LAW OFFICE 684 18WC 18468 PARIS, STEPHEN APACHE INDUSTRIAL SERVICE * 10/31/17 STRONG LAW OFFICE 685 18WC 18494 BRUST, ROBERT ARAMARK UNIFORM SERVICES * 03/21/18 KANOSKI BRESNEY 686 18WC 18618 KOCHES, ALPHA S ADM * 05/15/18 DENNIS ATTEBERRY 687 18WC 19056 WALLACE, JASON ITW ALPINE * 08/10/17 WALTON TELKEN LLC 688 18WC 19119 JOHNSON, STACY ILLINOIS STATE POLICE @ * 05/09/18 COLLISON LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 689 18WC 19189 KAYLOR, ROBERT LANGHEIM CONCRETE * 09/16/16 LAMARCA LAW OFFICES, PC 690 18WC 19260 TIRPAK, STEVEN PRECISION PIPELINE * 07/10/17 HENNESSEY LAW FIRM 691 18WC 19263 STANLEY, DARLA HERTZBERG NEW METHOD * 05/30/18 LAMARCA LAW OFFICES, PC LIVINGSTONE MUELLER ET AL 692 18WC 19579 MOUSER, ZACK JONES CONCRETE, INC * 04/27/16 FREDERIC NESSLER & ASSOC 693 18WC 19696 KLOEVER, DANIEL JR DECATUR AMBULANCE SERVICE * 03/11/18 MARK N LEE 694 18WC 19702 DUNCAN, GEOFFREY T DECATUR AMULANCE SERVICE * 06/05/18 MCCARTHY ROWDEN 695 18WC 19800 DAUGHERTY, DEDRA GSI * 06/06/18 DENNIS ATTEBERRY 696 18WC 19826 SLUSSER, JOHN NEAL TIRE & AUTO SVC * 04/24/17 LUCY T. UNGER 697 18WC 19954 CHAPLIN, FRANCIS UIS * 06/26/18 LAMARCA LAW OFFICES, PC 698 18WC 20040 JONES, NATASHA KFC * 06/18/18 FREDERIC NESSLER & ASSOC 699 18WC 20089 BARRY, ROBERT COAL FIELD CONSTRUCTION * 04/08/15 LITCHFIELD CAVO 700 18WC 20112 MUNOZ-MORTERA, BRIAN DECATUR FOUNDRY INC * 05/15/18 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 701 18WC 20402 FAVRE, ROBIN SANGAMON COUNTY SHERIFF'S * 09/30/17 MARK N LEE 702 18WC 20421 BLAINE, JEFF FREEDOM CHEVROLET * 12/17/16 KEEFE & DEPAULI 703 18WC 20572 BEATY, ZACHARY ID SIGNS * 04/30/18 CONNOR LAW OFFICES 704 18WC 20717 KELLAMS, BRAD MAGRO'S PROCESSING INC * 10/17/16 WOLFE & JACOBSON, LTD 705 18WC 20812 EHRHARDT, MARK EQUIPOWER RESOURCES CORP/ * 12/11/14 INMAN & FITZGIBBONS 706 18WC 20869 JACKSON-STILLE, CHANCE T DAVIS BROTHERS, INC. * 06/18/18 KANOSKI BRESNEY INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 08/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 707 18WC 21055 WHITCOMB SR, MATTHEW THE HOME DEPOT * 06/05/18 FREDERIC NESSLER & ASSOC 708 18WC 21089 FRAKES, KELLY M THRONTON'S, INC * 05/25/18 BOSHARDY LAW OFFICE PC 709 18WC 21150 LINDSAY, DAVID CITY OF LITCHFIELD * 05/31/18 HUSTAVA, JOHN H 710 18WC 21198 JACKSON, NINA MEMORIAL MEDICAL CENTER * 01/09/18 FREDERIC NESSLER & ASSOC 711 18WC 21223 KRAUS, WILLIAM UNIVERSITY OF IL @ * 08/10/16 TURCYCHUTE LLC 712 18WC 21445 KILVER, BLAIR ADM MECHANICAL DEPT * 07/19/17 SHAY & ASSOCIATES

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