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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 28288 WEATHERLY, WILLIAM D STATE OF ILLINOIS 03/04/11 KATZ HUNTOON & FIEWEGER P 17 11WC 30792 NANCE, REGINA MCLAUGHLIN BODY 08/29/08 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 12WC023983 -C 14WC010600 -C 18 11WC 34785 BLACK-COZAD, ANNA STATE OF ILLINOIS @ 07/28/11 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 19 11WC 35982 MILBY, ELIZABETH E CJ SCOTTS INC DBA 12/03/10 AMES LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 11WC040569 -C C.J. SCOTTS D/B/A DAIRY QU 20 11WC 39181 SMALL, GWENDOLYN HOPE CREEK 09/08/11 GOLDSTEIN BENDER & ROMANOF STATES ATTY OF ROCK ISLAND 12WC029382 -C 21 12WC 05662 HANDEL, MARSHA K WAHL CLIPPER CORPORATION 07/02/11 FRANCIS J DISCIPIO LAW OFF HEYL ROYSTER VOELKER & ALLEN 13WC008031 -C 22 12WC 07813 PHILLIPS, DENNIS CITY OF ROCK FALLS 08/15/11 MERTES & MERTES PC ANCEL GLINK DIAMOND BUSH & E 23 12WC 10858 MEYERS, PAULA ILLINOIS YOUTH CENTER KEW @ 02/27/12 JAMES M RIDGE & ASSOC PC ASSISTANT ATTORNEY GENERAL 24 12WC 11097 GREENO, MICHAL W STERLING RAIL SERVICE 10/12/11 MERTES & MERTES PC BRADY, CONNOLLY & MASUDA, PC 25 12WC 11424 JAMISON, JULIUS ST OF IL DEPT OF @ 01/24/12 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 26 12WC 18370 CASEY, LAWRENCE J COLONY BRANDS INC 11/01/11 THOMAS R LICHTEN WOLFE & JACOBSON, LTD 27 12WC 21707 TASSIKE, ABALA KOMA TYSON FRESH MEATS INC 07/13/11 LEADERS LAW CENTER LLC GANAN & SHAPIRO 28 12WC 22077 HALL, BRUCE GREAT DANE LTD 05/29/12 SIMPSON PETERSON SPIEGEL & CAHILL, PC 29 12WC 22237 JEAN-CLAUDE, MULUMBA TYSON FOODS 06/14/12 CAPRON & AVGERINOS PC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 12WC 22579 BEESON, MARK KINSETH HOTEL CORP 05/10/12 KATZ HUNTOON & FIEWEGER P HOLECEK & ASSOCIATES 31 12WC 23610 GORDON, JIM HOLM INDUSTRIES INC 04/19/12 LAW OFFICE DAVID HUNT WIEDNER & MCAULIFFE LTD 12WC023611 -C 32 12WC 27062 PUSKAR, JOHN M JENSEN CONSTRUCTION 05/18/12 STEPHENS FIDDES MCGILL ASS 33 12WC 27763 DEAN, ROBERT E EXPORT PACKAGING CO, INC 05/30/12 KATZ HUNTOON & FIEWEGER P RUSIN & MACIOROWSKI LTD 34 12WC 29912 BRODY, MATTHEW P AG FAB LLC W 10/19/11 JAMES M RIDGE & ASSOC PC ASSISTANT ATTORNEY GENERAL 12WC029913 -C 35 12WC 37964 RIVERA, PATRICIA C TYSON FOODS 10/17/12 PIGNATELLI & ASSOCIATES GANAN & SHAPIRO 36 12WC 40583 JENNINGS, CHADWICK JOHN DEERE HARVESTER 01/24/12 BELCHER LAW OFFICE CALIFF & HARPER PC 37 13WC 03467 FLORES, JOSE XPAC 07/09/12 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 38 13WC 08393 ALI, PAMELA MCLAUGHLIN BODY CO 01/14/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 39 13WC 10626 CLASSEN, KEITH TYSON FOODS 01/24/13 FICHERA & MILLER GANAN & SHAPIRO 40 13WC 10656 HALEY, DANIEL EAST MOLINE FIRE DEPT 04/01/10 THOMAS W DUDA MCCARTHY, CALLAS & FEENEY PC 41 13WC 10811 HALEY, DANIEL EAST MOLINE FIRE DEPARTME 04/02/10 THOMAS W DUDA MCCARTHY, CALLAS & FEENEY PC 42 13WC 11241 KOTOKU, YAO JOHN DEERE HARVESTER 03/12/12 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 43 13WC 11688 ADAMS, DANIEL ROCK ISLAND SCHOOL DIST 10/06/11 WINSTEIN KAVENSKY & WALLAC INMAN & FITZGIBBONS 44 13WC 11994 MCCULLUM, WILLIAM BLACKHAWK COLLEGE 02/02/13 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 45 13WC 13230 LEE, CHARLES D DOHRN TRANSFER COMPANY 10/11/11 RUUD SCOVIL & MARSH BETTY NEUMAN & MCMAHON 46 13WC 14499 HOLLANDER, VICKI M ARAMARK CORP 02/25/13 KATZ HUNTOON & FIEWEGER P STONE & JOHNSON CHARTERED 47 13WC 17314 SEGNERI, ALFRED UNITED ELECTRIC 01/24/12 TURNER & SACKETT LLC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 13WC 18257 WARD, PHYLLIS CR ENGLAND DEDICATED 03/20/13 LEONARD LAW GROUP LLC THOMAS & PORTELA 49 13WC 18979 MANSARAY, WANDA A SAL FAMILY & COMMUNITY SV 11/01/12 KATZ HUNTOON & FIEWEGER P 50 13WC 20349 NORD, CHRISTA PLEASANT VIEW NURSING HOM 12/27/12 PIGNATELLI & ASSOCIATES KNELL LAW LLC 13WC020350 -C 51 13WC 25216 JOHNSON, KENT JOHN DEERE HARVESTER 07/03/13 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 52 13WC 26384 MC GUIRE, KAREN S LENNY BOWLYOU D/B/A 04/21/13 KATZ HUNTOON & FIEWEGER P LAW OFFICE OF PAUL O WATKISS 53 13WC 26643 JONES, ANNETTE M J & S KELLY, LLC D/B/A KE 04/16/13 KATZ HUNTOON & FIEWEGER P HOLTKAMP LIESE ET AL 54 13WC 27274 TOSSELL, BRUCE SOI DEPT OF NATURAL RESOU @ 12/03/10 HARVEY & STUCKEL ASSISTANT ATTORNEY GENERAL 55 13WC 28127 WEST, PAULA A WALMART DISTRIBUTING CENT 08/15/09 RIDGE & DOWNES LLC QUINTAIROS PRIETO WOOD & BOY 56 13WC 29165 SHELDON, DEBBIE JOHN DEERE 09/10/10 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 57 13WC 30265 BARDONER, JENNIFER JOHN DEERE CYLINDER AND 12/15/12 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 13WC030266 -C 14WC021668 -C 15WC023198 -C 58 13WC 31416 MEYER, AMY E CITY OF STERLING/STERLING 07/27/13 MERTES & MERTES PC ANCEL GLINK DIAMOND BUSH & E 59 13WC 31582 MEYER, AMY E CITY OF STERLING/STERLING 02/19/11 MERTES & MERTES PC ANCEL GLINK DIAMOND BUSH & E 60 13WC 32354 WEXELL, LARRY HUNT TRANSPORTATION 10/13/10 THOMAS R LICHTEN RUSIN & MACIOROWSKI LTD 61 13WC 32396 SCOTT, CHRISTA HOPE CREEK CARE CENTER 01/20/13 CORNFIELD & FELDMAN BROOKS LAW FIRM 62 13WC 33168 SHOWALTER, SCOTT JOHN DEERE HARVESTER WORK 05/02/12 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 13WC037262 -C 13WC037263 -C 63 13WC 35502 MARTINEZ, JERONIMO MCLAUGHLIN BODY COMPANY 07/13/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 13WC 38029 FETTERER, SAMANTHA TRIANGLE INN 12/27/12 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD 65 13WC 39049 LANE, TIMOTHY ILLINOIS YOUTH CENTER KEW @ 04/11/13 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 66 13WC 39056 DANIELS, BRET E BELLOTA AGRISOLUTIONS & 09/24/12 CERVATES & GORDON PLC BRUCE WARREN 14WC043323 -C 15WC014054 -C 15WC014061 -C 15WC014137 -C 67 13WC 39586 KIRBY, MANDY TPC DEERE RUN 09/08/13 68 13WC 41185 GUERCIO, BRETT GALAXY 1 MARKETING, INC 01/14/11 BETTY NEUMAN & MCMAHON 69 13WC 41283 STURTEVANT, TATE WERNER RESTORATION SERVIE 08/19/13 CAPRON & AVGERINOS PC MACIOROWSKI SACKMANN & ULRIC 70 13WC 41830 MCMEEN, SCOTT A TENNANT TRUCK LINES 06/10/13 HEYL ROYSTER VOELKER & ALLEN 71 13WC 41877 VESEY, CIARA AMERICAN EAGLE AIRLINES 08/30/13 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 72 14WC 03731 SELLERS, WILLIAM JOHN DEERE HARVESTER 08/14/13 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 73 14WC 04248 HAND, WILLIAM L ALBRECHT WELL DRILLING 10/08/13 PIGNATELLI & ASSOCIATES WOLFE & JACOBSON, LTD 74 14WC 05481 ALEXANDER, STEVE J MAZEL & CO 01/02/14 MERTES & MERTES PC BRADY, CONNOLLY & MASUDA, PC 75 14WC 10967 SPARROWGROVE, KENNETH J APPELL ENTERPRISES LLC DB 01/04/12 AMES LAW OFFICES THOMAS & PORTELA 76 14WC 11889 SEBBEN, KARA THE ARC OF THE QUAD CITIE 02/21/14 STRONG LAW OFFICE PERRY GENTILE 77 14WC 12530 SMITH, CHRIS MCLAUGHLIN BODY 03/10/14 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 78 14WC 13497 HARRISON, DARLENE K GALESBURG COTTAGE HOSPITA 03/25/14 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 79 14WC 15242 REEVES, VINCENT EXPORT RACKAGING 03/03/14 RUSIN & MACIOROWSKI LTD 80 14WC 16388 KERR, JOHN DO IT BEST 09/17/13 BLACK & JONES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 14WC 16746 WILKEN, KATHLEEN STATE OF IL @ 02/19/14 HAUSER LAW LLC ASSISTANT ATTORNEY GENERAL 82 14WC 17495 WHITMER, RONI ILLINOIS NATIONAL GUARD 01/25/14 ASSISTANT ATTORNEY GENERAL 83 14WC 18134 DOMINGUEZ, NATASHA UNITY POINT TRINITY 03/14/14 WARNER & ZIMMERLE CALIFF & HARPER PC 84 14WC 18444 PASSNO, AMANDA TYSON FRESH MEATS INC 08/13/13 ELFENBAUM EVERS & AMARILIO BRYCE DOWNEY & LENKOV LLC 85 14WC 18819 THOMPSON, CAROL WAL-MART ASSOCIATES INC 02/07/14 KATZ HUNTOON & FIEWEGER P 86 14WC 18844 THANG, HRANG TYSON FOODS INC 09/10/13 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 14WC035702 -C 14WC035703 -C 14WC035704 -C 14WC035705 -C 87 14WC 18857 FITZSIMMONS, ROB HARTLAND CONTROLS 01/24/14 RUSIN MACIOROWSKI & FRIEDMAN 88 14WC 19188 EWING, WILLIAM MCLAUGHLIN BODY COMPANY 02/28/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 89 14WC 19287 DUNCAN, HOWARD JEFF LARSON 05/05/14 WARREN E DANZ, PC 90 14WC 19634 SMITH, CHARLES R REEDER FARMS 03/12/14 AMES LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 91 14WC 20418 MEERDINK, KARIA SMITHFIELD FOODS, INC. 03/19/14 WINSTEIN KAVENSKY & WALLAC STEPHEN P. KELLY 92 14WC 21991 GAGNON, GARY ROTH PUMP 01/21/13 PERRY GENTILE 93 14WC 22195 BOGGS, HERMAN E JR COUNTY WASTE SYSTEMS, INC 03/02/14 KATZ HUNTOON & FIEWEGER P 14WC022196 -C JAMES L WATTS DBA 14WC022197 -C 14WC022198 -C JAMES L WATTS DBA 94 14WC 22363 SIERRA, ENRIQUE TYSON FOODS 01/01/14 ANDREW BRIBRIESCO GANAN & SHAPIRO 16WC013532 -C 95 14WC 23044 BLACK, JIMMY JOHN DEERE HARVESTER 06/05/13 ANKIN LAW OFFICE BOZEMAN NEIGHBOUR PATTON & N 96 14WC 23204 FOSTER, ELIZABETH ANN WAL MART DISTRIBUTION CEN 02/04/14 MERTES & MERTES PC QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 97 14WC 23941 DYER, ROBERT S MID AMERICAN ENERGY CO 04/04/13 CHRISTINE A KEYS PC BETTY NEUMAN & MCMAHON 98 14WC 25378 SCHULTZ, MICHAEL TYSON FRESH MEATS 12/19/13 STRONG LAW OFFICE GANAN & SHAPIRO 99 14WC 25416 NELSON, BRANDON HARDEES 05/12/14 LAW OFFICES KENNETH MAHAFF PERRY GENTILE 100 14WC 26765 SHERIFF, DONALD LEWIS MACHINE & TOOL CO 05/12/14 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 101 14WC 28651 BRADSHAW, MICHAEL GAVILON HOLDINGS LLC 05/23/12 REHN & SKINNER LLC MCANANY VANCLEVE & PHILLIPS 102 14WC 29528 DERYCKE, TRINA M ST OF IL, IL YOUTH CENTER @ 04/30/14 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 103 14WC 29591 ROUSH, PATRICIA CITY OF EAST MOLINE 07/02/13 CORNFIELD & FELDMAN MCCARTHY, CALLAS & FEENEY PC 104 14WC 30882 WHITSITT, TED AMEREN ILLINOIS POWER 07/13/14 SAUNDERS CONDON & KENNY HOLTKAMP LIESE ET AL 105 14WC 30905 MARCHAND, MARY JO GATES CORPORATION 03/02/14 SIMPSON PETERSON QUINTAIROS PRIETO WOOD & BOY 106 14WC 31820 GASCOIGNE, S PAMELA EAST COLOMBA-NELSON SCHOO 02/20/14 REESE & REESE ROSARIO CIBELLA 107 14WC 31835 RUSSELL, DONNA MANPOWER 08/12/14 BLACK & JONES GOLDBERG SEGALLA LLC 108 14WC 32336 FRAZEE, KAREN XPAC 01/13/14 CHRISTINE A KEYS PC RUSIN & MACIOROWSKI LTD 109 14WC 33083 NEWMAN, SHANE REBENAR SERVICES 05/12/14 WARNER & ZIMMERLE 110 14WC 35241 BURKE, AUSTIN INPRO SEAL 08/13/14 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 111 14WC 36685 GUYER, GARRETT TRI-CITY ELECTRIC 08/09/14 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 112 14WC 37856 MARCHAND, MARY JO GATES CORP 08/20/14 SIMPSON PETERSON 113 14WC 38245 CARNS, LORETTA UNITED FACILITIES 10/12/14 RIDGE & DOWNES COZZI & GOGGIN-WARD 114 14WC 38383 ARNOLDUSSEN, JOHN OLD BLUE ILLINOIS, INC. 09/20/14 REHN & SKINNER LLC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 14WC 38615 HILL, WILLIAM TRENT MCKEOWN CONSTRUCTIO 12/31/13 CAPRON & AVGERINOS PC HEYL ROYSTER VOELKER & ALLEN 116 14WC 38787 CARBER, RICHARD STANDARD FORWARDING COMPA 12/08/08 RIDGE & DOWNES POWER & CRONIN LTD 117 14WC 40355 MASON, TERRI GENESIS HEALTH SYSTEMS 08/14/14 MCDONALD WOODWARD & CARLSO HOPKINS & HUEBNER PC 118 14WC 40610 UMPHRESS, TINA PETERSEN HEALTH CARE INC 09/18/14 SCHWEICKERT & GANASSIN KNELL LAW LLC 14WC040626 -C 14WC040660 -C 14WC041486 -C 14WC041496 -C 14WC041677 -C 119 14WC 40813 BROWNFIELD, MATT BOLDT MECHANICAL 11/13/14 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 120 14WC 40921 MC KENNA, CHERISH R WALMART DISTRIBUTION CENT 08/22/14 MERTES & MERTES PC 121 14WC 41101 JOHNSTON, ERICKA 7-ELEVEN 12/28/13 MARKS & ASSOCIATES MC ANDREWS & NORGLE LLC 122 14WC 42454 MAXWELL, DIANE UNIVERSITY OF ILLINOIS 07/14/14 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 123 15WC 00369 MAY, DAVID E PEOPLELINK STAFFING SOLUT 06/18/14 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 124 15WC 00926 REED, LISA ST OF IL DEPT OF ILLINOIS @ 11/18/14 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 125 15WC 01671 ROSS, GEORGETTE GANA-A 'YOO SERVICES CORP 11/24/14 RIDGE & DOWNES COZZI & GOGGIN-WARD 126 15WC 02822 EDWARDS, RAYMOND JOHN DEERE HARVESTER 08/12/13 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 127 15WC 03083 MC GINTY, JUSTINE FULTON CORP 08/06/12 MUELHAUSEN & STEFANI RIPES NELSON BAGGOT KALOBRAT 128 15WC 03419 SANCHEZ, JOANNA TYSON FOODS INC 05/22/14 PETER D CORTI LAW GROUP BRYCE DOWNEY & LENKOV LLC 129 15WC 05577 PLAINES, RUBY FRIENDSHIP MANOR 01/08/14 WARNER & ZIMMERLE ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 130 15WC 06301 JOHNSTON, BRUCE XPAC 02/03/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 131 15WC 06818 EL-MAJDOUBI, AHMED XPAC 02/26/14 WARNER & ZIMMERLE RUSIN & MACIOROWSKI LTD 15WC038241 -C 132 15WC 07171 PESSMAN, TASHUA R IL DEPT OF HUMAN SERVICES @ 02/04/15 HARVEY & STUCKEL ASSISTANT ATTORNEY GENERAL 133 15WC 07624 TEMPLETON, HOLLYWOOD WALTER BRAUD, CHIEF JUDGE 03/21/12 KATZ HUNTOON & FIEWEGER P 134 15WC 07688 KNIGGE, TIMOTHY M JR MENK USA 07/14/14 PIGNATELLI & ASSOCIATES GRANT & FANNING 135 15WC 08485 SEDAM, FRANNIE VALSPAR CORPORATION 11/24/14 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD 15WC017842 -C THE VALSPAR CORPORATION 136 15WC 08808 NOUAHILI, JASMINKA TYSON FOODS INC 01/02/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 137 15WC 09160 PEREZ, ANTONIO D JR RELATED MANAGEMENT CO DBA 11/21/14 JOHN LESAGANICH RIPES NELSON BAGGOT KALOBRAT 15WC009325 -C 138 15WC 09491 BECKMAN, ESTHER WALMART SUPER CENTER 08/18/14 WINSTEIN KAVENSKY & WALLAC QUINTAIROS PRIETO WOOD & BOY 15WC009497 -C 139 15WC 09733 DELOOSE, GERALD JOHN DEERE CYLINDER 04/17/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 140 15WC 09939 YOUNG, JOEL A JOHNSON CONTRACTING CO 03/30/11 ANESI OZMON RODIN NOVAK KO CACCHILLO LAW GROUP LLC 141 15WC 10123 SEKAZ, MICHAEL QUICKWAY DISTRIBUTION SER 12/20/12 GLASS & KOREIN GRANT & FANNING 142 15WC 10335 MILLER, RICKY J. PRECISION LASER ALIGNMENT 11/26/12 HOPKINS & HUEBNER PC LAW OFFICE PATRICK JENNETTEN 143 15WC 10693 VEGA, MARIO FARMLAND FOODS INC 02/06/15 HOPKINS & HUEBNER PC 144 15WC 10889 BUSHMAN, DAVID A STERLING RAIL SERVICES LL 07/28/14 REESE & REESE RODDY LAW LTD 16WC036618 -C 145 15WC 11192 DENNIS, IONA J WAL-MART SUPERCENTER 01/23/15 REESE & REESE WIEDNER & MCAULIFFE LTD 146 15WC 12005 DAVIS, CINDY METROLINK 03/25/15 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 15WC 13611 ZIMMER, JANE STATE OF ILLINOIS @ 12/30/14 COYLE STENGEL BAILEY ROBER ASSISTANT ATTORNEY GENERAL 148 15WC 13643 APPENZELLER, TIMOTHY UPM RAFLATAC 04/23/12 HORWITZ HORWITZ & ASSOC WOLFE & JACOBSON, LTD 149 15WC 14421 TRANSOU, JASON ILLINOIS YOUTH CTR - KEWA @ 02/20/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 150 15WC 14663 PERSON, BRIAN R XENA INTERNATIONAL 10/25/14 GESMER LAW OFFICES, PC 151 15WC 15445 BATES, CURTIS W THE SEDONA GROUP 11/11/14 WINSTEIN KAVENSKY & WALLAC 152 15WC 15535 HUNTER, RICHARD MORRISON ROCKWOOD 11/25/13 WINSTEIN KAVENSKY & WALLAC ASSISTANT ATTORNEY GENERAL 153 15WC 16030 BARNES, TERRENCE ILLINOIS YOUTH 05/10/15 RIDGE & DOWNES KRISTINA D DION 154 15WC 16488 PEREZ, APOLONIA FARMLAND FOODS 08/06/14 VANDERGINST LAW PC STEPHEN P. KELLY 155 15WC 17117 WAGLER, BLAINE CON WAY FEIGHT 04/15/15 WINSTEIN KAVENSKY & WALLAC 156 15WC 17285 DINGMAN, DEBRA L MONMOUTH ROSEVILLE CUSD 2 05/21/12 STANSELL WHITMAN & BABER 157 15WC 18293 SMALL, GWENDOLYN HOPE CREEK CARE CENTER 06/11/14 GOLDSTEIN BENDER & ROMANOF BROOKS LAW FIRM 158 15WC 18409 SWANSON, KEN IFH GROUP 04/01/15 DWORKIN AND MACIARIELLO 159 15WC 18495 GASKIN, ANGELA L FEDEX FREIGHT CORP 07/10/13 CERVATES & GORDON PLC QUINTAIROS PRIETO WOOD & BOY 160 15WC 18710 STORM, MICHELLE ROCK TENN 12/12/14 CROWLEY BUNGER PRILL GAROFALO SCHREIBER STORM 161 15WC 18999 D'AGOSTIN, SPENCER MJ ELECTRIC LLC 03/13/15 HEDEEN, MICHAEL J PC RUSIN & MACIOROWSKI LTD 162 15WC 19120 DAH-TOHOUENOU, ANSELME TYSON FOODS INC 04/24/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 163 15WC 19925 GOLDEN, JEREMY BOSS ROOFING & SIDING EXP 03/17/15 164 15WC 20139 SANDIFER, DWIGHT USF HOLLAND INC 04/29/15 FRIEND LEVINSON & BERGAL MEACHUM & STARCK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 15WC 20358 STILL, SHEILA JAMIESON COMMUNITY CENTER 11/05/14 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 166 15WC 20379 WHEELER, MICHAEL DEERE HARVESTER 12/14/10 VANDERGINST LAW PC BOZEMAN NEIGHBOUR PATTON & N 167 15WC 21271 MOTZ, KRISTIN XPAC PACKAGING 04/15/15 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 168 15WC 21374 WOOD, ADAM JOHN DEERE HARVESTER WORK 02/13/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 169 15WC 21433 CRAWFORD, MICHELLE A IOWA PHYSICIANS CLINIC 01/10/14 KATZ HUNTOON & FIEWEGER P BETTY NEUMAN & MCMAHON 170 15WC 21904 CHURCH, WILLIAM D STEEL WAREHOUSE COMPANY L 11/10/14 JOHN LESAGANICH MACIOROWSKI SACKMANN & ULRIC 171 15WC 22086 COOK, AMBER HEIRLOOM CAFE 05/23/15 PIGNATELLI & ASSOCIATES 172 15WC 22225 LARSON, HANNAH QUAD CITY SKYDIVING CENTE 06/29/14 WINSTEIN KAVENSKY & WALLAC AMES LAW OFFICES 173 15WC 22376 STRALOW, CAROL ERIE COMMUNITY UNIT SCHOO 01/05/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 174 15WC 23180 SEBBEN, KARA THE ARC OF THE QUAD CITIE 02/21/14 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 175 15WC 23383 HERNANDEZ PEDROZA, MARIA SERVICE MASTER 04/07/15 PETER F FERRACUTI & ASSOCI NYHAN BAMBRICK KINZIE & LOWR 176 15WC 23390 OGOUBI, KOKOU TYSON FOODS 04/10/15 HOPKINS & HUEBNER PC GANAN & SHAPIRO 177 15WC 23896 MC GRUDER, PHILIP A. HOWE OVERHEAD DOORS 03/31/15 VANDERGINST LAW PC 178 15WC 25654 CHAVEZ, JUAN STERLING RAIL SERVICES 08/19/13 REESE & REESE RODDY LAW LTD 179 15WC 25930 SIMPSON, MELANIE EAGLE RIVER LIQUOR 07/09/15 RIDGE & DOWNES LLC BRADY, CONNOLLY & MASUDA, PC 180 15WC 26370 FOSTER, YAKISHA (GUARDIAN KFC 07/14/15 KEYS LAW OFFICES COZZI & GOGGIN-WARD 181 15WC 26838 HILLER, SONJA UNIQUE PERSONNEL CONSULTA 07/17/15 REHN & SKINNER LLC HENNESSY & ROACH PC 182 15WC 27006 SCHULTZ, MICHAEL TYSON FRESH MEAT 09/13/13 STRONG LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 183 15WC 27525 ALI, PAMELA MCLAUGHLIN BODY CO 06/30/15 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 184 15WC 28416 ALLEN, ERIC ILLINOIS YOUTH CENTER KEW @ 08/23/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 185 15WC 28524 ADAMS, ROBERT JOHN DEERE PARTS 01/01/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 186 15WC 29173 WILKERSON, MARY CHRISTINE EYE SURGEONS ASSOC 10/01/14 WARNER & ZIMMERLE 187 15WC 30056 KLINGMAN, JEREMY DOHRN TRANSFER CO. 06/17/15 WINSTEIN KAVENSKY & WALLAC 188 15WC 30203 DAVIS, TERRY L FARMLAND FOODS 10/15/14 REHN & SKINNER LLC 189 15WC 30305 HARTMAN, JAMES K EXELON NUCLEAR SECURITY, 09/19/14 KATZ HUNTOON & FIEWEGER P HENNESSY & ROACH PC 190 15WC 31015 MANDLE, MARCIA L IOWA HEALTH SYSTEM DBA 11/12/12 KATZ HUNTOON & FIEWEGER P CALIFF & HARPER PC 15WC031016 -C 191 15WC 31110 HARPER, FRANCISCO JETCO INC 06/16/13 O'CONNOR & NAKOS 192 15WC 33276 LANE, BRETT A QUAD CITY GARAGE 10/01/15 HOPKINS & HUEBNER PC HENNESSY & ROACH PC 193 15WC 33292 ALI, ABDUWAHAB THE HOME DEPOT 08/11/15 WINSTEIN KAVENSKY & WALLAC ADELSON TESTAN & BRUNDO 194 15WC 33446 MC GEE, STACEY R ILLINOIS YOUTH CENTER KEW @ 08/29/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 195 15WC 33822 DOMINGUEZ, JOEL TYSON FOODS, INC 11/09/12 HOPKINS & HUEBNER PC BRYCE DOWNEY & LENKOV LLC 196 15WC 34279 MORRELL, GERALD JTEC INDUSTRIES, INC. 09/24/15 RIDGE & DOWNES HOLECEK & ASSOCIATES 197 15WC 34413 KOOPMAN, WENDY ROCK ISLAND SCHOOL DIST # 01/12/15 STENGEL BAILEY ROBERTSON BRYCE DOWNEY & LENKOV LLC 198 15WC 34580 MARISCAL, ANTONIO METO KOTE CORP 01/16/15 BROOKS LAW FIRM KNELL LAW LLC 199 15WC 34602 DAVIS, DARRYL TYSON FRESH MEATS 01/28/15 ELFENBAUM EVERS & AMARILIO BRYCE DOWNEY & LENKOV LLC 200 15WC 34818 FLYNN, AMANDA XPAC 09/16/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 201 15WC 34879 CERVANTES, JORGE MICRO INDUSTRIES 10/13/15 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 202 15WC 35219 ROGERS, JASON KYMBYL KOMPLETE KARE 06/17/14 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 203 15WC 35453 KELLY, DILLON ILLINOIS YOUTH CENTER KEW @ 09/05/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 204 15WC 35566 CARLILE, RANDALL H JR TWO SISTERS RESTAURANT, I 12/19/14 KATZ HUNTOON & FIEWEGER P WIEDNER & MCAULIFFE LTD 205 15WC 35720 MASSAROLO, ANGELA WAL-MART STORES, INC 10/04/15 WINSTEIN KAVENSKY & WALLAC QUINTAIROS PRIETO WOOD & BOY 206 15WC 35806 MATHRE, RICHARD IL DEPT OF AGRICULTURE @ 03/17/15 LEE, MARK N LAW OFFICE 207 15WC 35964 MISSILDINE, JENNIFER KINDERCARE LEARNING CENTE 10/08/15 POLANSKY & CICHON CHTD HENNESSY & ROACH PC 208 15WC 36470 YOUNG, DARRELL ILPEA INDUSTRIES, INC 10/05/15 STEPHEN P. KELLY THOMAS & PORTELA 209 15WC 37670 BOLIO, WILLIAM JOHN DEERE SEEDING GROUP 10/12/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 210 15WC 38336 BROWN-HALL, WESLEY MALL GROUP INVESTMENT, LL 09/02/15 ROCHFORD & ASSOC COZZI & GOGGIN-WARD 211 15WC 38478 WARD, PATRICIA A DIDOUGH'S PRETZEL 01/31/15 MERTES & MERTES PC NYHAN BAMBRICK KINZIE & LOWR 212 15WC 38497 COVEMAKER, MICHAEL DEERE & COMPANY - JOHN DE 04/01/93 WINSTEIN KAVENSKY & WALLAC 213 15WC 38580 KINKAID, JUSTIN ABC COMPLETE GUTTER SERVI 10/06/15 SAUNDERS CONDON & KENNY 214 15WC 38600 ANDERSON, WES LEGGETT & PLATT 08/31/15 STROW LAW LLC RUSIN & MACIOROWSKI LTD 215 15WC 39841 SWARTS, DARREL W TYSON FRESH MEATS INC 09/15/15 KATZ HUNTOON & FIEWEGER P GANAN & SHAPIRO 216 15WC 39888 MEDHURST F/K/A MAGEE, KER ROSEWOOD ADMINISTRATIVE 04/19/15 REHN & SKINNER LLC RUSIN & MACIOROWSKI LTD 16WC006417 -C 217 15WC 41321 MASON, SUE KONE 07/03/14 WINSTEIN KAVENSKY & WALLAC GAROFALO SCHREIBER STORM 218 15WC 41661 COLVIN, ROBERT SR JOHN DEERE HARVESTER 03/25/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 15WC 42056 DAVIS, ALVIN WOODARD & CURRAN 04/01/15 LAW OFFICE OF CHRIS DOSCOT LAW OFFICE PAUL LARIMORE 220 15WC 42090 MARTINEZ, JOSE JIM GIESE COMMERCIAL RFG 08/26/15 HOPKINS & HUEBNER PC KNELL & O'CONNOR 221 15WC 42601 MELTON, PAMELA J. HY-VEE, INC 10/24/15 KATZ HUNTOON & FIEWEGER P 222 16WC 01295 POPE. FRED A JR MALLARD MANUFACTURING 09/08/15 PIGNATELLI & ASSOCIATES BRYCE DOWNEY & LENKOV LLC 223 16WC 01419 VINAVICH, FARLEY HENRY CTY HOUSING AUTHORI 11/04/15 STRONG LAW OFFICE GILDEA & COGHLAN 224 16WC 01785 YOSAIF, ZAYNAB TYSON FOODS INC 06/26/13 GOLDSTEIN BENDER & ROMANOF GANAN & SHAPIRO 225 16WC 01945 MUNTHER, PAULA JOHNSONS OIL INC 10/17/14 STRONG LAW OFFICE CAPUANI & SCHNEIDER 226 16WC 02081 HAJOSTEK, JERRILYN GATES CORPORATION 08/01/15 BROOKS LAW FIRM 227 16WC 02116 MARTH, MICHAEL COLONY BRANDS INC 12/10/15 HORWITZ HORWITZ & ASSOC WOLFE & JACOBSON, LTD 228 16WC 02309 HAAN, DARREN JOHN DEERE HARVESTER 01/17/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 229 16WC 02728 FIGUEROA, RAFAEL TRAMEC HILL FASTENER, LLC 12/16/15 WHITESIDE & GOLDBERG LTD 230 16WC 03666 HICKS, DERRICK JOHN DERRE DAVENPORT WORK 11/15/15 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 231 16WC 03946 MONROE, GARY CAP STONE 01/11/16 RIDGE & DOWNES 232 16WC 04479 MAYES, DAVID REPUBLIC SERVICES INC 08/15/14 RIDGE & DOWNES GILDEA & COGHLAN 233 16WC 05097 WENDELL, JEFFREY TYSON FOODS INC 08/19/15 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 234 16WC 05270 GUSTAFSON, LARRY JOHN DEERE SEEDING 09/08/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 235 16WC 05291 LEWIS, KEITH APPELL EQUIPMENT SALES & 12/19/15 LEFANTE LAW OFFICES COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 16WC 05384 HERMEYER, KIRBY OSCAR J. BOLDT 02/03/14 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 237 16WC 05744 LAMANTIA-MC FARLAND, KARE ALDI 03/06/14 WINSTEIN KAVENSKY & WALLAC BRADY, CONNOLLY & MASUDA, PC 16WC005745 -C 238 16WC 06051 DECOSTER, NATHAN ILLINOIS YOUTH CENTER KEW 12/15/15 RIDGE & DOWNES 239 16WC 06149 ROBERTS, DAN TRILLIUM DELL TIMBERWORKS 01/13/16 REHN & SKINNER LLC HEYL ROYSTER VOELKER & ALLEN 240 16WC 06426 DESHEPPER, LISA GALESBURG COTTAGE HOSPITA 08/15/15 GOLDBERG WEISMAN & CAIRO L 241 16WC 06598 HAHN, DAN DEERE & COMPANY INC/JOHN 01/28/16 SCHWEICKERT & GANASSIN LANE & WATERMAN 242 16WC 07043 JORDAN, SUSAN ARAMAK UNIFORM SERVICES 01/13/16 WINSTEIN KAVENSKY & WALLAC 243 16WC 07119 DURAN, ROSA ST OF IL DEPT OF CORRECTI @ 01/14/16 PIGNATELLI & ASSOCIATES KRISTINA D DION 244 16WC 07171 MATTSON, KYLE WHITEY'S ICE CREAM 11/24/15 WINSTEIN KAVENSKY & WALLAC CASSANO & ASSOCIATES 245 16WC 08016 BAYONA, BENJAMIN SKOOG LANDSCAPE AND DESIG 11/13/15 EPSTEIN, JACK R LAW OFFICE 246 16WC 08101 MILLER, JAMES R ROCK ISLAND COUNTY 02/24/16 RIDGE & DOWNES BROOKS LAW FIRM 247 16WC 08257 AMOUZOU, AMIVI FARMLAND FOODS 12/23/15 WINSTEIN KAVENSKY & WALLAC STEPHEN P. KELLY 248 16WC 08373 HAAN, DARREN JOHN DEEREHARVESTER 09/03/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 249 16WC 08376 HAAN, DARREN JOHN DEERE HARVESTER 11/05/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 250 16WC 08557 LEAL, RALPH A ROCK RIVER CARTHAGE, INC 04/10/15 MERTES & MERTES PC RUSIN & MACIOROWSKI LTD 251 16WC 08564 WHITELY, BRAD J STERLING CHEVROLET 11/12/15 MERTES & MERTES PC INMAN & FITZGIBBONS 252 16WC 08649 WOLF, LANCE E. TERRY WOLF CONSTRUCTION 02/21/14 REESE & REESE NYHAN BAMBRICK KINZIE & LOWR 253 16WC 08915 HASTINGS, GAIL MCLAUGHLIN BODY 10/14/15 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 16WC 09036 DHABALT, LARRY HERTZ RENT A CAR 01/20/16 MCDONALD WOODWARD & CARLSO BRYCE DOWNEY & LENKOV LLC 255 16WC 09408 MESSER, EARL LEON COOKS QUICK LUBE & AUTO R W 03/03/16 WOODRUFF & JOHNSON WARD MURRAY PACE & JOHNSON P 256 16WC 09665 DECRANE KAHA, SAMANTHA L. HYVEE, INC. 07/21/13 VANDERGINST LAW PC HOPKINS & HUEBNER PC 257 16WC 09704 WARSON, HEATHE E AVONLEA COTTAGE 12/30/15 VANDERGINST LAW PC HEYL ROYSTER VOELKER & ALLEN 258 16WC 09746 WILLER, GARY HOTLINE FREIGHT SYSTEM 03/03/16 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 259 16WC 09811 HELLE, ROBYN KNOX COUNTY NURSING HOME 10/20/15 REHN & SKINNER LLC BUSH MOTTO CREEN KOURY 260 16WC 10654 RANKIN, REBECCA JOHN DEERE HARVESTER 01/08/13 MARSZALEK AND MARSZALEK 261 16WC 10657 ROCKWELL, SHELLEY JOHN DEERE HARVESTER 07/20/15 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 262 16WC 10729 MILES, CASSANDRA M ROCK ISLAND COUNTY 12/31/14 VANDERGINST LAW PC BROOKS LAW FIRM 263 16WC 11159 HENDRICKS, MARSHALL HENRY C HILL CORRECTIONAL 03/18/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 264 16WC 11353 CEDENO, RAMIRO JOHN DEERE HARVESTER 06/03/15 DWORKIN AND MACIARIELLO CALIFF & HARPER PC 265 16WC 11389 STEPHENS, CAROLYN HELP AT HOME INC 01/26/15 HOPKINS & HUEBNER PC COZZI & GOGGIN-WARD 266 16WC 11443 ABBOTT, SHARON DICK BLICK HOLDINGS, INC 11/06/15 STRONG LAW OFFICE LAW OFFICES STEVEN PILAND 267 16WC 12073 PUGA, JAIME TYSON FRESH MEATS, INC. 03/23/15 GANAN & SHAPIRO 268 16WC 12236 LIBERG, MATTHEW T RESCAR 02/01/16 THOMAS R LICHTEN 269 16WC 12322 FATAH, ABDI TYSON FRESH MEATS, INC 09/05/14 GANAN & SHAPIRO 270 16WC 12489 JENKINS, CORY MCLAUGHLIN BODY COMPANY 02/29/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 271 16WC 12662 MC BROOM, WILLIAM STERLYNN ESTATES 08/17/15 STYKA & STYKA HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 272 16WC 12868 EDWARDS, TERRY JOHN DEERE 11/25/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 273 16WC 12892 CASEY, THOMAS F III CF INDUSTRIES 02/20/14 KATZ HUNTOON & FIEWEGER P NYHAN BAMBRICK KINZIE & LOWR 16WC012893 -C 274 16WC 13033 NICOL, ROBERT MATERIAL CONTROL SYSTEMS 07/09/15 WINSTEIN KAVENSKY & WALLAC 275 16WC 13384 ALLISON, CHRISTINA JOHN DEERE HARVESTER WORK 03/06/13 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 276 16WC 13683 STUART, BRYAN R C CONSTRUCTION, INC 02/17/16 REHN & SKINNER LLC QUINN JOHNSTON HENDERSON ETA 277 16WC 13871 WILSON, SHANNON ST OF IL DEPT OF HUMAN SE 11/16/15 RIDGE & DOWNES 278 16WC 13960 WEST, ANDREW W CITY OF ROCK ISLAND 11/04/15 THOMAS W DUDA BETTY NEUMAN & MCMAHON 279 16WC 14405 REID, AMANDA L. C.R. ENGLAND, INC. 12/17/15 MERTES & MERTES PC SPIEGEL & CAHILL, PC 280 16WC 14472 SHUMAN, ALLISON MIDLAND STATES BANK 12/08/15 BLACK & JONES COZZI & GOGGIN-WARD 281 16WC 14673 HUFELD, RANDY BERTIS CARLSON TRUCKING I 04/13/16 STRONG LAW OFFICE JAMES M KELLY 282 16WC 15178 GRASSO, NICHOLAS QUAD CITY MALLARDS 11/23/13 MEYERS & FLOWERS HOLECEK & ASSOCIATES 283 16WC 15379 HILLER, MICHAEL CORNELIUS RENEW 03/29/16 REHN & SKINNER LLC 284 16WC 15922 HASSAN, HALIMA TYSON FOODS, INC. 05/02/12 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 285 16WC 15947 DAVIS, JOSHUA ILLINOIS DEPT OF CORRECTI @ 04/02/16 REHN & SKINNER LLC KRISTINA D DION 286 16WC 16541 SEGAR, KARLA JOHN DEERE HARVESTER 09/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 287 16WC 16560 FAMUTIMI, IDA TYSON FOODS, INC 06/11/15 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 288 16WC 16839 WADKINS, DANNY JR PPC PLASTIC PRODUCTS CO I 02/29/16 BROOKS LAW FIRM 289 16WC 17054 DEAN, PEGGY A. GENESIS AT ILLINI 02/27/14 VANDERGINST LAW PC HOPKINS & HUEBNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 16WC 17063 THOMPSON, CINDY GENESIS MEDICQAL CENTER A 03/25/16 WINSTEIN KAVENSKY & WALLAC HOPKINS & HUEBNER PC 291 16WC 17347 SWIGART, RICHARD D EUCLID BEVERAGE L.L.C. 05/22/15 REHN & SKINNER LLC ROBERT L. SMITH 292 16WC 17759 VALDEZ, TEOFILO K&M EQUIPMENT, INC 01/24/11 BROOKS LAW FIRM 293 16WC 17854 DEWITH, ENYO CITY OF ROCK ISLAND 06/23/13 THOMAS W DUDA 294 16WC 18110 HULL, WILLIAM CLOVELEAF COLD STORAGE IN 02/08/16 LEFANTE LAW OFFICES KNELL LAW LLC 16WC018111 -C 295 16WC 18540 ATTWOOD, STEVE JOHN DEERE HARVESTER WORK 04/28/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 296 16WC 18905 DETMERS, PAUL FARMLAND FOODS 04/07/15 SIMPSON PETERSON 297 16WC 19297 FORD, STEVE ROCK ISLAND-MILAN DISTRIC 07/17/13 VANDERGINST LAW PC INMAN & FITZGIBBONS 298 16WC 19401 PULFORD, ROBERT J CATHOLIC DIOCESE OF PEORI 10/11/15 KATZ HUNTOON & FIEWEGER P GANAN & SHAPIRO 299 16WC 19463 HERNANDEZ, ROSE UNITED TOWNSHIP HIGH SCHO 06/09/13 KATHERINE VARLAS TEEL 300 16WC 19639 DI KANDA, HENRY FARMLAND FOODS, INC 12/18/13 WOODRUFF & JOHNSON STEPHEN P. KELLY 301 16WC 20108 TEMPLIN, ELLEN U THE ROCK ISLAND BOATWORKS 11/21/15 KATZ HUNTOON & FIEWEGER P HOLECEK & ASSOCIATES 302 16WC 20614 BERTHOUD, ANGEL DOLLAR GENERAL 04/29/16 WINSTEIN KAVENSKY & WALLAC LEAHY EISENBERG & FRAENKEL 303 16WC 20735 MCKENNA, TERRY A MALCOLM DRILLING CO INC 05/25/16 REESE & REESE COZZI & GOGGIN-WARD 304 16WC 20889 BUSH, ROBERT JEFF SALLEE HOME 04/29/15 REHN & SKINNER LLC QUINN JOHNSTON HENDERSON ETA 305 16WC 21108 FRANCISKO, STEVEN ILLINOIS DEPT OF NATURAL 04/13/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 306 16WC 21352 NOYES, KEN H NICOR GAS 11/02/15 MERTES & MERTES PC MACIOROWSKI SACKMANN & ULRIC 307 16WC 21362 JERVAY, PAULETTE WINNING WHEELS INC 05/10/16 PIGNATELLI & ASSOCIATES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 16WC 21637 DAHMANI,ACHOUR ROAD RUNNER TRANSPORTATIO 01/08/15 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 309 16WC 21827 MONTIEL, ALEXANDER WAHL CLIPPER 03/01/16 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 310 16WC 21881 FRANK, DALE JOHN DEERE HARVESTER 12/15/15 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 311 16WC 22495 BECK, PAMELA WAHL CLIPPER CORPORATION 02/03/16 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 312 16WC 22871 HILL, MARK SCHULER MOTORS INC 01/07/15 MARKS & ASSOCIATES GAROFALO SCHREIBER STORM 313 16WC 23146 MINI, AARON CHICAGO BRIDGE & IRON CO 03/14/16 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 314 16WC 23448 ALKHALEDY, MOHAMMED H SWIFT TRANSPORTATION CO. 02/25/16 NICHOLIS J STEIN 315 16WC 23531 RIEGE, MICHAEL R FEDEX FREIGHT INC 12/15/14 KATZ HUNTOON & FIEWEGER P 16WC026378 -C 316 16WC 23757 JOHNSON, DANNY K SMITHFIELD FOODS INC 01/02/15 JOHN LESAGANICH 317 16WC 24195 PATEL, JIM DLZ CONSTRUCTION 07/22/16 SEIDMAN MARGULIS & FAIRMAN 318 16WC 24399 FIGUEROA, ALINA WAL-MART 07/06/16 WHITESIDE & GOLDBERG LTD QUINTAIROS PRIETO WOOD & BOY 319 16WC 24533 LAWSON, DAVID J ADVANCED DRAINAGE SYSTEMS 10/15/15 TURNER & SACKETT LLC 320 16WC 24572 BUCKINGHAM, LISA WAL-MART DISTRIBUTION CEN 04/08/16 MARTIN V KUGIA QUINTAIROS PRIETO WOOD & BOY 321 16WC 24621 DRAPER, JAYME BUILDERS SALES & SERVICE 02/16/16 WINSTEIN KAVENSKY & WALLAC 322 16WC 24844 THOMPSON, LISA VALLEY CONSTRUCTION 09/05/15 ELFENBAUM EVERS & AMARILIO WOLF LAW LTD 323 16WC 25097 PERKINS, DAPHNE UNITY POINT HEALTH-TRINIT 04/01/16 CALIFF & HARPER PC 324 16WC 25108 PICKREL, JAMES CARL NELSON & CO 12/31/14 STRONG LAW OFFICE LAW OFFICE CRAIG A HANSEN 325 16WC 25134 ROBERTS, ZACHARY ANTON BAYER MILLWRIGHT 08/10/16 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 326 16WC 25359 THARP, KENNETH I. JR. KENNY THARP MASONRY 11/06/15 BROOKS LAW FIRM BRADY CONNOLLY & MASUDA PC 327 16WC 25619 BEAL, JOSEPHINE GOOD SAMARITAN NURSING HO 04/23/16 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM 328 16WC 25666 PARVIN, ANTHONY STERLING COMMERCIAL 06/27/16 REESE & REESE STONE & JOHNSON CHARTERED 329 16WC 26008 LEBARRON, BRENDON M MOORE TIRES INC 08/01/16 REESE & REESE CAPUANI & SCHNEIDER 330 16WC 26431 FASSIG, MATTHEW AREA MECHANICAL INC. 08/05/16 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 331 16WC 26579 SCHARLAU, JANINE DCM TRANSPORT, INC 07/30/16 ROSENBERG EISENBERG ASSOC JAMES M KELLY 332 16WC 26672 CARBAJAL, JOSE S TYSON FRESH MEATS, INC 02/10/15 333 16WC 27091 PITTINGTON, JACKIE DICK BLICK ART MATERIALS 05/05/16 RIDGE & DOWNES LAW OFFICES STEVEN PILAND 334 16WC 27220 CHAVEZ-PATRICK, RACHEL UNITY POINT HEALTH TRINIT 08/31/16 DWORKIN AND MACIARIELLO 335 16WC 27760 STOLL, LESLIE ICW GROUP HOLDINGS, INC 04/01/15 CLARK FROST HOLTKAMP LIESE ET AL 336 16WC 28103 DAY, THADDEUS ELITE STAFFING 06/16/16 DWORKIN AND MACIARIELLO 337 16WC 28169 FERGUSON, ANGELA JOHN DEERE HARVESTER WORK 03/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 338 16WC 28205 WILLIAMS, JARRED JOHN DEERE HARVESTER WORK 07/12/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 339 16WC 28352 MICHAEL, JOSHUA STEWART SPREADING INC 08/25/16 SCHWEICKERT & GANASSIN RODDY LAW LTD 340 16WC 28658 WHITE, BRIAN J COCA COLA REFRESHMENTS, I 01/07/15 VANDERGINST LAW PC 341 16WC 29061 NACHE, MICHAEL SR EBY-BROWN CO 05/08/15 VANDERGINST LAW PC COZZI & GOGGIN-WARD 342 16WC 29087 PORSCHKE, CORRINA APERION CARE INC 06/25/16 VANDERGINST LAW PC 16WC029228 -C 343 16WC 29138 THOMPSON, TROY JOHN DEERE HARVESTER WORK 01/12/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 344 16WC 29142 KONEN, GARY R DABNEY TRUCKING, INC 04/05/16 THOMSON & WEINTRAUB NYHAN BAMBRICK KINZIE & LOWR 345 16WC 29155 TAFLINGER, BRAD JOHN DEERE 06/24/14 STEPHEN P. KELLY CALIFF & HARPER PC 346 16WC 29354 GRIMES, GREGORY A.D. HUESING CORPORATION 11/13/15 HOPKINS & HUEBNER PC BRYCE DOWNEY & LENKOV LLC 347 16WC 29442 BRYANT, JOSHUA M VILLAGE OF CAMBRIDGE 03/15/16 REESE & REESE POWER & CRONIN LTD 348 16WC 29832 ADAMS, LACEY L OSTROM FARMS 03/06/16 BRUCE CARMEN LANE & WATERMAN 349 16WC 29918 KAGEE, RANDY JOHN DEERE SEEDING GROUP 09/16/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 350 16WC 29928 AVILA, MINERVA TYSON FOODS, INC 06/27/16 HOPKINS & HUEBNER PC BRYCE DOWNEY & LENKOV LLC 351 16WC 29981 HILL, JAMES VERN'S FARM SUPPLY 04/14/16 CRONAUER, CHARLES E RODDY LAW LTD 352 16WC 30122 NEULEIB, LADONNA JOHN DEERE 08/18/16 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 353 16WC 30151 HUSSEIN, TAREQ JUMER'S CASINO & HOTEL 05/21/16 WARNER & ZIMMERLE HOLECEK & ASSOCIATES 354 16WC 30171 STACH, STUART XPAC 09/09/16 HARVEY & STUCKEL RUSIN & MACIOROWSKI LTD 355 16WC 30317 ROBINSON, CARLOS TYSON FRESH MEATS 09/15/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 356 16WC 30560 HAMM, LENDON J LKQ CORP D/B/A KEYSTONE 06/06/16 KATZ HUNTOON & FIEWEGER P BRYCE DOWNEY & LENKOV LLC 357 16WC 30696 CANTU, FERNANDO BARS FOODS 05/24/16 RUBENS AND KRESS HENNESSY & ROACH PC 358 16WC 31140 DOVTENA, AFIWA TYSON FOODS, INC 07/02/15 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 359 16WC 31305 CHARLET, ROBERT TYSON FOODS, INC 08/31/16 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 360 16WC 31566 MORRIS, PHILLIP DICK BLICK ART MATERIALS 05/13/16 JAY H JANSSEN LAW OFFICES JOSEPH MARCINIAK 361 16WC 31720 QAMHI, NAWAL TYSON FOODS INC 09/26/13 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 362 16WC 31837 WAGNER, PATRICIA E CGH MEDICAL CENTER 10/22/15 MERTES & MERTES PC WIEDNER & MCAULIFFE LTD 363 16WC 31856 MILLER, JOSH L STERLING STEEL, LLC 10/01/16 STROW LAW LLC 364 16WC 31920 JEFFERS, CHRISTOPHER D GREEN GABLES, INC 09/19/16 AMES LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 365 16WC 32051 BRYANT, JOSHUA M VILLAGE OF CAMBRIDGE 10/05/16 REESE & REESE POWER & CRONIN LTD 366 16WC 32330 SEXTON, ANDREW JACK'S BRAKE & ALIGNMENT 03/18/16 CROWLEY BUNGER PRILL RODDY LAW LTD 367 16WC 32398 HINDERLITER, RAYMOND RAFF, INC 09/19/16 HARVEY & STUCKEL 368 16WC 32422 BRANDT, MEREDITH EAST MOLINE SCHOOL 09/26/16 KATZ FRIEDMAN EAGLE ET AL 369 16WC 32751 CHAVEZ, LINDA XPAC 06/19/14 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 16WC032754 -C 370 16WC 32811 DANIELSEN, JEAN A LA LEASING, INC DBA 08/25/16 THOMAS E CADY 371 16WC 32911 CAMPEN, DEREK J CORPORATE SERVICES, INC 08/16/16 372 16WC 33744 SANCEN, JOSE JOHN DEERE 05/11/11 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 373 16WC 33855 PARKER, JOLENE GREAT DANE TRAILERS 07/07/16 STEPHENS FIDDES MCGILL ASS SPIEGEL & CAHILL, PC 374 16WC 34019 DEGBE, YAWA TYSON FRESH MEATS, INC 05/25/12 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 375 16WC 34070 THOMAS, LOGAN VILLAGE OF COAL VALLEY 11/07/15 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 376 16WC 34488 ALFREDM EDELYN NAVIGATION INC 09/17/16 BRISKMAN BRISKMAN GREENBER 377 16WC 34829 INGRAM, LINDSEY WALMART 10/05/16 STRONG LAW OFFICE GANAN & SHAPIRO 378 16WC 34946 TRULSON, ZACHARY SPEE-DEE DELIVERY SERVICE 11/02/16 GOLDFINE & BOWLES BRADY, CONNOLLY & MASUDA, PC 379 16WC 35050 PERSON, DANELLE DERBY INDUSTRIES, LLC 10/26/16 REHN & SKINNER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 16WC 35385 HYATTE, TRACY COMPASS GROUP 10/19/16 STRONG LAW OFFICE 381 16WC 35763 ROSALES, LIZBETH GREAT DANE TRAILERS 12/09/15 SPIEGEL & CAHILL, PC 382 16WC 36206 FRANK, WALTER MEYER STEEL DRUM 03/15/16 BOWMAN & CORDAY QUINTAIROS PRIETO WOOD & BOY 383 16WC 36967 PUDIVITR, TODD SPECTRA PAINTING, INC 10/17/14 JOHN M CICHELERO PC CAPUANI & SCHNEIDER 384 16WC 37093 SMITH, CLARISSA WALMART DC 11/01/16 PIGNATELLI & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 385 16WC 37247 PARKS, LARRY JOHN DEERE HARVESTER 01/16/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 386 16WC 37362 STURGEON, VIRGIL METCON 06/13/16 JAY H JANSSEN 387 16WC 37828 OLSON, JACKLYN K WEST CENTRAL CUSD #235 08/31/16 THOMAS E CADY 388 16WC 38126 CHAPMAN, JASON JOHN DEERE HARVESTER 01/30/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 389 16WC 38642 MORRISSEY, WAYNE ANTHONY EUCLID BEVERAGE LLC 01/05/16 REHN & SKINNER LLC ROBERT L. SMITH 390 16WC 38691 REYNOLDS, JAMES WILLIAMS, WHITE & CO 06/16/16 CAPRON & AVGERINOS PC 391 16WC 38812 CURTIS, NEIL ILLINOIS DEPARTMENT OF IL 12/12/16 DWORKIN AND MACIARIELLO 392 16WC 38881 JONES, ANDREA ROCK ISLAND SCHOOL DISTRI 04/07/16 DWORKIN AND MACIARIELLO 393 17WC 00418 GONZALES, EDWIN FARMLAND FOODS 09/19/16 WOODRUFF & JOHNSON 394 17WC 00725 BOERTLEIN, JOEL R OMNI SPECIALIZED, LLC 08/09/16 THOMAS E CADY 395 17WC 01163 HART, TYSON J FRONTIER COMMUNICATIONS 03/22/16 STANSELL WHITMAN & BABER LAW OFFICE PAUL LARIMORE 396 17WC 01386 EASLEY, KIMBERLY WINNIGN WHEELS INC 01/13/17 DWORKIN AND MACIARIELLO 397 17WC 01529 BABERS, BEVERLY S ALDI INC 07/07/16 THOMAS E CADY BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 17WC 01580 MENDEZ, ANGELA R ACHIEVEMENT UNLIMITED, IN 12/22/16 SIMPSON PETERSON 399 17WC 01670 CASTANEDA-VALDEZ, ANGEL LA LEASING, INC DBA 09/23/16 THOMAS E CADY 400 17WC 01684 CHAPMAN, JASON JOHN DEERE HARVESTER 01/30/14 WINSTEIN KAVENSKY & WALLAC 401 17WC 01857 MCINTIRE, JESSICA JOHNSON CONTRACTING CO 08/30/15 WINSTEIN KAVENSKY & WALLAC CACCHILLO LAW GROUP LLC 402 17WC 01930 VAN VOLTENBURG, DEANNA MILLER CONTAINER CORPORAT 11/30/16 WARNER & ZIMMERLE 403 17WC 01943 JORDAN, MARK GREAT DANE TRAILORS 09/27/16 STRONG LAW OFFICE SPIEGEL & CAHILL, PC 404 17WC 02008 PETERSON, SHAWN STATE OF ILLINOIS - IDOT @ 10/28/14 JOHN LESAGANICH 405 17WC 02107 KLASSEN, CRAIG WEST ROCK 10/26/16 CROWLEY BUNGER PRILL SPIEGEL & CAHILL, PC 406 17WC 02275 HELTON, KEVIN STAFFQUICK 01/13/17 GOLDFINE & BOWLES HENNESSY & ROACH PC 407 17WC 02350 BILLER, MICHAEL BUSHMAN'S SERVICES 09/06/16 DWORKIN AND MACIARIELLO 408 17WC 02379 CARDER, THOMAS A GATES CORPORATION 01/09/17 SIMPSON PETERSON 409 17WC 02818 AGUE-BECHT, DOTTIE L JOHN MANAGEMENT GROUP LLC 08/26/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 410 17WC 02963 LOHF, AMYRELIS TYSON FOODS, INC 06/06/16 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 411 17WC 03007 JOHNSON, JOHN JOHN DEERE HARVESTER 03/10/14 CAPRON & AVGERINOS PC 412 17WC 03018 ROUSH, PATRICIA CITY OF EAST MOLINE 12/05/14 CORNFIELD & FELDMAN MCCARTHY, CALLAS & FEENEY PC 413 17WC 03053 ROYSE, JEFFREY JOHN DEERE HARVESTER WORK 01/19/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 414 17WC 03085 RUSSELL, TYLER MARTIN ENGINEERING 10/17/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 415 17WC 03145 WILLIAMS, LONNY L BUILDERS SALES & SERVICE 07/21/15 ELFENBAUM EVERS & AMARILIO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 17WC 03285 MILLER, RICKY J PRECISION LASER ALIGNMENT 12/01/15 HOPKINS & HUEBNER PC 417 17WC 03358 HEEREN, MARK A CITY OF STERLING 12/08/16 THOMAS W DUDA 418 17WC 03430 ADAMS, PATRICIA WALMART SUPERCENTER #2231 11/09/16 RIDGE & DOWNES QUINTAIROS PRIETO WOOD & BOY 419 17WC 03492 BUNTON, RONALD JOHN DEERE PARTS DISTR CE 10/21/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 420 17WC 03560 ASHBY, WILLIAM DANIEL PERFORMANCE FOOD GROUP 05/04/16 ELFENBAUM EVERS & AMARILIO 421 17WC 03615 MATTHEWS, TAQUANA JOHN DEERE HARVESTER 02/01/14 DONOVAN ROBERTSON CALIFF & HARPER PC 422 17WC 04475 MELTON, JAMES W WHITESIDE COUNTY 12/12/16 MERTES & MERTES PC HEYL ROYSTER VOELKER & ALLEN 423 17WC 04917 PAGE, JOHN F&W TRANSPORT 11/16/16 GALANTI LAW OFFICES 424 17WC 05024 SCOVEL, KELLY J MIDWEST UNDERGROUND INC. 03/15/11 ANESI OZMON RODIN NOVAK KO 425 17WC 05307 SCHULTZ, JOHN MAMMOET USA NORTH 12/10/16 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 426 17WC 05472 STARCEVICH, WILLIAM DHL EXPRESS 12/30/16 STEVEN A CRIFASE, LTD HENNESSY & ROACH, PC 427 17WC 05609 EDWARDS, TERRY JOHN DEERE HARVESTER WORK 08/01/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 428 17WC 05748 FOX, JOSEPH EAST MOLINE CORRECTIONAL 11/15/16 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 429 17WC 05821 MANGIERI, LORI GATES CORP 08/25/16 DWORKIN AND MACIARIELLO 430 17WC 06019 RENTERIA, JOSE WALMART 01/07/17 PATRICIA HARDIMAN LAW OFFI QUINTAIROS PRIETO WOOD & BOY 431 17WC 06032 SAMPSON, JIM O CGH MEDICAL CENTER 01/16/17 MERTES & MERTES PC 432 17WC 06099 STAHLER, JON KURT HAWKEYE BUILDING DISTRIBU 11/12/15 BUSH MOTTO CREEN KOURY INMAN & FITZGIBBONS 433 17WC 06525 MCDANEL, MICHAEL JOHN DEERE HARVESTER 02/02/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 17WC 06652 COX, ROY BUMPY'S STEEL ERECTION 01/03/17 BLACK & JONES COZZI & GOGGIN-WARD 435 17WC 06696 KPATCHA, AKLESSO TYSON FOODS, INC 11/27/15 STRONG LAW OFFICE GANAN & SHAPIRO 436 17WC 06702 KPATCHA, AKLESSO TYSON FOODS, INC 07/01/16 STRONG LAW OFFICE GANAN & SHAPIRO 437 17WC 06707 HILL, PEGGY L THE SALVATION ARMY 07/26/16 THOMAS E CADY RODDY LAW LTD 438 17WC 06989 AKPLA, AMA TYSON FOODS INC 07/09/16 STRONG LAW OFFICE GANAN & SHAPIRO 439 17WC 07019 OGOUBI, AFI TYSON FRESH MEATS INC 02/28/17 LEADERS LAW CENTER LLC 440 17WC 07119 HOBBS, MONTY A WALMART DISTRIBUTION CENT 03/30/15 PIGNATELLI & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 441 17WC 07185 BENT, RHONDA FAIRFIELD INN & SUITES 02/10/17 GOLDFINE & BOWLES COZZI & GOGGIN-WARD 442 17WC 07342 WELSH, MANDY COLONA ILLINOIS POLICE DE @ 09/04/16 WOODRUFF & JOHNSON POWER & CRONIN LTD 443 17WC 07392 COOK, MICHAEL WAYNE STOHL & SONS PLASTE 07/21/16 STENGEL BAILEY ROBERTSON 444 17WC 07433 DAVIDSON, PAMELA JOHN DEERE HARVESTER 02/07/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 445 17WC 07487 STEWART, ANGELA JOHN DEERE HARVESTER 06/01/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 446 17WC 07500 STEWART, ANGELA JOHN DEERE HARVESTER 05/02/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 447 17WC 07526 POLK, RUBEN TYSON FRESH MEATS, INC. 10/03/16 WINSTEIN KAVENSKY & WALLAC 448 17WC 07792 HATHAWAY, KIM WALMART 05/08/16 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 449 17WC 07835 HUSKY, RANDAL ROCK ISLAND MILAN 03/23/16 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 450 17WC 08060 SCHIPPER, BRAD MID AMERICAN ENERGY 01/21/16 FOHRMAN, DONALD W & ASSOCS BETTY NEUMAN & MCMAHON 451 17WC 08150 ESPARZA, ANTONIO CREATIVE MACHINING 01/14/16 RIDGE & DOWNES WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 17WC 08258 OMOKENGE, MOISE PUTSHU FARMLAND FOODS 12/28/16 LAW OFFICE DAVID HUNT 453 17WC 08973 ROOS, STEPHANIE FBG SERVICE CORPORATION 11/02/16 WINSTEIN KAVENSKY & WALLAC HOLECEK & ASSOCIATES 454 17WC 09091 BONNER, MARUISA GENESIS HEALTH SYSTEM 08/05/16 THOMAS E CADY HOPKINS & HUEBNER PC 455 17WC 09833 TUTTLE, KENNETH O'REILLY AUTO PARTS * 11/29/16 CAPRON & AVGERINOS PC 456 17WC 09935 ESPARZA, ANTONIO CREATIVE MACHINING TECHNO * 01/24/16 RIDGE & DOWNES WOLFE & JACOBSON, LTD 457 17WC 10247 GALINDO-VAZQUEZ, BEATRIZ FARMLAND FOODS * 03/01/17 LAW OFFICE DAVID HUNT 458 17WC 10443 ANDERSON, ASHLEY A JACK MABLEY DEVELOPMENTAL @ * 03/22/17 REESE & REESE ASSISTANT ATTORNEY GENERAL 459 17WC 10458 CHEZEM, NICHOLAS WALMART DISTRIBUTION CENT * 12/05/16 HAUSER LAW LLC QUINTAIROS PRIETO WOOD & BOY 460 17WC 10518 BESERRA, STANLEY OFFICE MAX * 11/16/14 CAPRON & AVGERINOS PC NYHAN BAMBRICK KINZIE & LOWR 461 17WC 10574 MAES, DEBRA CHS * 11/01/16 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 462 17WC 10644 MORALES FLORES, VICTOR FE PERFORMANCE FOOD GROUPS * 08/25/16 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 463 17WC 10736 WINN, DERALD CENTENNIAL CONTRACTORS * 06/03/16 WINSTEIN KAVENSKY & WALLAC HEYL ROYSTER VOELKER & ALLEN 464 17WC 10929 CARLSON, RYAN MAIN HITCH FARM, INC. * 02/07/17 REHN & SKINNER LLC BRADY, CONNOLLY & MASUDA, PC 465 17WC 11318 GLOVER, WILLIAM ESSG * 03/18/17 LAW OFFICE DAVID HUNT 466 17WC 11375 FREDERICK, JENNIFER APERION CARE * 03/08/17 DWORKIN AND MACIARIELLO 467 17WC 11688 KOVACS, JUSTIN QUAD CITY MALLAROS (ECHL) * 02/17/17 FLOYD LAW FIRM 468 17WC 11776 EDWARDS, TERRY JOHN DEERE HARVESTER WORK * 08/06/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 469 17WC 12101 THIESSEN, CARRY CHICAGO BRIDGE & IRON CO * 04/04/17 HEALY SCANLON LAW FIRM RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 470 17WC 12366 MANTHE, ALLEN LEE ENTERPRISES * 03/03/15 WOLFE & JACOBSON, LTD 471 17WC 12473 QAMHI, NAWAL TYSON FOODS INC * 07/31/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 472 17WC 12551 SPROUSE, STEVEN H HIRSCHBACH MOTOR LINES, I * 03/21/16 BETTY NEUMAN & MCMAHON 473 17WC 12744 MILLARD, ANNA M HOPE CREEK CARE CENTER * 02/16/16 AMES LAW OFFICES BROOKS LAW FIRM 474 17WC 13062 NIMMERS, MARCQUES PFG-THOMAS PROESTLER COMP * 03/15/17 RIDGE & DOWNES 475 17WC 13189 NAVARRO, HERIBERTO TYSON FOODS, INC * 01/14/17 WINSTEIN KAVENSKY & WALLAC 476 17WC 13676 SIMPSON, WAYNE FIRST STUDENT, INC * 09/13/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 477 17WC 13786 BOSSIER, ROBERT E WAL-MART DISTRIBUTION * 04/15/17 SAUNDERS CONDON & KENNY QUINTAIROS PRIETO WOOD & BOY 478 17WC 14096 SCHILD, PATRICIA E AIR HOST INC * 01/04/15 BROOKS LAW FIRM 479 17WC 14187 CALLIHAN, JONATHAN T MICRO INDUSTRIES CORPORAT * 11/07/16 REESE & REESE 480 17WC 14700 GORANSON, MICHAEL JOHN DEERE HARVESTER * 01/03/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 481 17WC 14834 DECLERCK, JON UPS FREIGHT * 03/29/17 MARKS & ASSOCIATES COZZI & GOGGIN-WARD 482 17WC 14878 WEBER, JOSHUA CITY OF STERLING * 04/09/17 FOOTE MIELKE CHAVEZ & O'NE 483 17WC 14953 PIERCE, JOSH JB EXCAVATING * 07/20/15 GALANTI LAW OFFICES 484 17WC 14989 DOUMASHIE, AKU TYSON FOODS * 05/30/14 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 485 17WC 15047 KIVISTO, GRACE KCCDD * 11/03/16 SIMPSON PETERSON 486 17WC 15075 JONES, MICHAEL J. JOHN DEERE HARVESTER WORK * 03/08/16 BOZEMAN NEIGHBOUR PATTON & N 487 17WC 15172 TOPORAN, MUJO TYSON FOODS, INC * 07/22/16 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 488 17WC 15450 ANDERSON, TREVOR UNITED STATES FOOD KING * 07/03/15 WINSTEIN KAVENSKY & WALLAC 489 17WC 15480 BARNES, TRINA C JOHN DEERE HARVESTER * 09/02/14 CALIFF & HARPER PC 490 17WC 15504 PULLIAM, DERRICK BENNIGANS * 02/10/17 WINSTEIN KAVENSKY & WALLAC 491 17WC 15764 YOUNG, DARRELL ILPEA INDUSTRIES * 10/01/15 STEPHEN P. KELLY THOMAS & PORTELA 492 17WC 15852 SCHMIDT, LEE MAINTENANCE AND MECHANICA * 05/02/16 HOPKINS & HUEBNER PC CASSANO & ASSOCIATES 493 17WC 16080 BARNES, BRIAN L MAPES ASPHALT SVCS * 05/03/16 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 494 17WC 16095 MARTINEZ, GUILLERMINA TYSON FRESH MEATS, INC. * 08/15/14 ANDREW BRIBRIESCO 495 17WC 16099 GETSON, PATTI VAN WESTERN ILLINOIS BROADCAS * 08/08/15 VANDERGINST LAW PC 496 17WC 16118 WILSON, LAURIE HEALTHCARE SERVICE GROUP * 05/25/16 DWORKIN AND MACIARIELLO 497 17WC 16142 KOVACS, JUSTIN QUAD CITY MALLARDS * 04/22/17 FLOYD LAW FIRM 498 17WC 16368 STEELE, MICHAEL VANOPDORP TRUCKING * 10/31/16 BLACK & JONES JAMES M KELLY 499 17WC 16474 FRANKS, KATHY L FIRST STUDENT * 05/19/17 REESE & REESE 500 17WC 16482 AWOUR-KUR, EKALINO M JOHN DEERE HARVESTER * 01/04/16 CALIFF & HARPER PC 501 17WC 16632 SHELEY, BRYNN JOHN DEERE PDC * 05/12/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 502 17WC 16962 CROXTON, JOHN AIRLAND TRANSPORT SERVICE * 09/19/16 CHRISTINE A KEYS PC 503 17WC 16989 VOCK, TIMOTHY MENARDS * 03/31/17 GOLDBERG WEISMAN & CAIRO L 504 17WC 17325 THOMPSON, TROY JOHN DEERE HARVESTER WORK * 05/24/17 WINSTEIN KAVENSKY & WALLAC 505 17WC 17563 SMITH, MICHAEL D UNITED IRONWORKERS, INC * 02/22/17 HARVEY & STUCKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 08/01/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 506 17WC 17642 HADDOCK, COY CASEYS GENERAL * 06/11/17 DWORKIN AND MACIARIELLO 507 17WC 17739 SCHEMEL, GERHARD ILLINOIS QUAD CITY CIVIC * 03/23/17 BLACK & JONES 508 17WC 18048 SANCHEZ, JOANNA TYSON FOODS, INC * 04/28/15 PETER D CORTI LAW GROUP 509 17WC 18105 MEDINA, RAYMOND JOHN DEERE PARTS * 03/09/16 HOPKINS & HUEBNER PC 510 17WC 18148 NAVARRO, PATRICIA GUITIER HCR MANOR CAFE * 05/03/16 WINSTEIN KAVENSKY & WALLAC 511 17WC 18669 DEMAY, JEREMIAH PIEHL BUICK GMC CADILLAC * 08/08/16 HOLECEK & ASSOCIATES 512 17WC 18724 HASSELBACHER, MICHAEL KOPPERS * 05/16/17 GOLDFINE & BOWLES 513 17WC 18979 GOOCH, CRYSTAL JOHNSON OIL * 07/20/16 WARNER & ZIMMERLE 514 17WC 18994 CARDENAS, GUADALUPE VALLEY MEATS, LLC * 09/25/14 ANDREW BRIBRIESCO