ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 40304 GAYON, CHRISTOPHER ALLIED WASTE INDUSTRIES, 08/02/06 REILLY LAW OFFICE LLC GILDEA & COGHLAN 2 08WC 22482 HOGAN, SHERYL ILLINOIS STATE UNIVERSITY @ 05/14/05 COSTIGAN & WOLLRAB PC ASSISTANT ATTORNEY GENERAL 3 10WC 42641 MC CRANEY, TRACEY WENDY'S 09/19/10 WILLIAMS & SWEE 4 10WC 49226 19B KISTLER, PAMELA PONTIAC CORRECTIONAL CENT @ 11/20/10 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 5 11WC 17184 BAILEY, ROGER BRIDGESTONE/FIRESTONE OTR 02/27/11 WILLIAMS & SWEE HENNESSY & ROACH PC 6 11WC 22873 WEXELL, LARRY HUNT TRANSPORTATION 10/12/10 THOMAS R LICHTEN RUSIN & MACIOROWSKI LTD 13WC032354 -C 7 11WC 25333 MARTINEZ, THERESA D MARKING SPECIALISTS CORP 06/16/11 LAW OFFICES DANIEL E MURPH THOMAS & ASSOCIATES 8 11WC 43046 WATKINS, MICHAEL PLS INC LOANING 09/01/11 WILLIAMS & SWEE THOMAS & ASSOCIATES 9 11WC 47302 SHAWGO, CINDY L WEXFORD HEALTH SOURCES 11/04/11 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 13WC001706 -C 10 12WC 07243 PERRY, SCOTT A LOWE'S 10/22/11 KANOSKI & ASSOCIATES INMAN & FITZGIBBONS 11 12WC 17305 STEVENS, ROBERT ASSOCIATED CONSTRUCTION C 10/27/10 WILLIAMS & SWEE KRAKER FANNING & OLSEN 12 12WC 21484 LAIR-WATKINS, MARY ADVOCATE HEALTHCARE 05/18/12 JOHN LESAGANICH NYHAN BAMBRICK KINZIE & LOWR 13 12WC 41222 LACEY, MARK MITSUBISHI MOTORS NORTH 01/20/10 WILLIAMS & SWEE, LTD HEYL ROYSTER VOELKER & ALLEN 14 12WC 43849 CASEY, HAL M ILLINOIS STATE UNIVERSITY @ 10/07/10 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 15 13WC 03531 HERT, DESHONA L IL CENTRAL SCHOOL BUS 09/24/11 KANOSKI & ASSOCIATES MACIOROWSKI SACKMANN & ULRIC 13WC003532 -C 14WC002194 -C ILLINOIS CENTRAL SCHOOL BU 14WC041982 -C 14WC041983 -C ILLINOIS CENTRAL SCHOOL BU 15WC041060 -C 16 13WC 07394 STRONG, KEVIN ST OF IL DEPARTMENT OF @ 01/18/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 13WC 10149 WINCE, ERICK DELIVERY LOGISTICS INC @ W 01/11/12 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 18 13WC 15398 BUFFANO, DAVID FRED GROVES SERVICENTER 05/04/12 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 13WC015399 -C 15WC002124 -C 15WC002125 -C 15WC002126 -C 15WC002127 -C 15WC009126 -C 15WC009139 -C 15WC027005 -C 15WC027175 -C 19 13WC 29581 DEAVERS, JESSE PAPA JOHNS 08/08/13 MCCARRON LAW FIRM, PC HEYL ROYSTER VOELKER & ALLEN 20 13WC 30310 19B PENN, KELLY FRESENIUS MEDICAL CARE 01/11/13 WILLIAMS & SWEE HENNESSY & ROACH 14WC020975 -C 21 13WC 37689 STEVENS, FREDERICK MCLEAN COUNTY SHERIFF'S 02/01/11 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 22 13WC 38244 HIBBARD, JOHN LINCOLN HERITAGE COMMERCI 04/01/13 NESSLER, FREDERIC LAW OFFI 23 13WC 38914 ADAMS, MIKE MICHAEL S WEEDLING 06/02/11 WILLIAMS & SWEE 24 13WC 42183 FIKE, ROBERT CITY OF BLOOMINGTON 04/27/13 CONNOR LAW OFFICES RUSIN & MACIOROWSKI LTD 25 14WC 04235 HATFIELD, PHILIP STATE OF ILLINOIS @ 12/18/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 26 14WC 10073 FRANCISCO, ANGELA ILLINOIS STATE UNIVERSITY @ 01/08/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 27 14WC 25106 STUCKI, JARRETT RD LARSON TREE SERVICE 07/08/14 HOEKSTRA LAW OFFICES PC 28 14WC 28639 HEGENER, LYNETTE KYLE'S CARE AT HOME 04/12/14 RIDGE & DOWNES STONE & JOHNSON CHARTERED 14WC028640 -C 29 14WC 29186 WATTS, CORINE C & K HOTEL GROUP LLC 04/28/14 GOLDFINE & BOWLES GANAN & SHAPIRO 14WC029187 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 14WC 30403 THOMAS, KIMBERLY WAL-MART 01/12/12 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY 31 14WC 33505 19B BISCH, CHARLES ASHLEY FURNITURE 07/12/14 STRONG LAW OFFICE PATRICIA M CARAGHER 14WC033515 -C 32 14WC 34657 BUCHENAU, ZACHARY ILL DEPT OF CORRECTIONS @ 06/21/14 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 33 14WC 35169 GILBERT, KEVIN BRIDGSTONE 07/06/14 FREDERICK & HAGLE FEATHERSTUN GAUMER POSTLEWAI 34 14WC 38462 THOMAS, TINA (WIDOW) CITY OF BLOOMINGTON FIRE 09/24/13 MARTIN J. HAXEL PC RUSIN & MACIOROWSKI LTD 35 14WC 39986 CUNNINGHAM, MARIA SISTERS OF THE THIRD ORDE 04/23/12 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 36 14WC 40905 LITTLE, JASON MCLEAN COUNTY 12/05/12 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 37 15WC 03464 DEAVERS, JESSE SERVUS, INC DBA PAPA JOHN 11/15/13 MCCARRON LAW FIRM, PC HOLECEK & ASSOCIATES 38 15WC 05939 WAR, JACLYN ILLINOIS STATE UNIVERSITY @ 12/08/14 WILLIAMS & SWEE 39 15WC 09948 RUNYON, JANET K CATERPILLAR INC 02/05/15 WILLIAMS & SWEE AMANDA WATSON 40 15WC 13075 FRANCISCO, ANGELA ILLINOIS STATE UNVERSITY @ 02/01/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 41 15WC 14765 EMRIE, DAWN DAIRY QUEEN 04/17/15 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 232 14WC039165 -C 42 15WC 17191 PHELPS, ANNETTE COMPASS ONE, LLC 03/26/15 WILLIAMS & SWEE GANAN & SHAPIRO 43 15WC 17816 WIELAND, MARK J YRC FREIGHT CORP 05/11/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 44 15WC 22108 BOGUCKI, STEPHANIE INTERLAKE MECALUX INC 03/20/15 KATZ FRIEDMAN EAGLE ET AL COZZI & GOGGIN-WARD 45 15WC 23989 DIXON, CHRISTOPHER IL SIDING SPECIALIST 07/20/15 DWORKIN AND MACIARIELLO 46 15WC 26983 GIVENS, LISA ILLINOIS STATE UNIV @ 09/09/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 47 15WC 27350 LACEY, MARK MITSUBISHI MOTORS 03/13/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 15WC 27691 MCPHERSON, BRIAN STATE OF ILLINOIS @ 06/23/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 49 15WC 27717 LEESMAN, LARRY P MC DONALD'S 05/14/15 KANOSKI BRESNEY HENNESSY & ROACH 50 15WC 28845 BUCHENAU, ZACHARY IL DEPT OF CORRECTIONS @ 04/17/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 51 15WC 32124 MELVIN, TANYA NEW MEDIA INVESTMENT GROU 11/19/14 WILLIAMS & SWEE THOMAS & PORTELA 52 15WC 32996 GLOSSON, WILLIAM MICHAELS CORPORATON 11/11/13 MARSZALEK AND MARSZALEK GAROFALO SCHREIBER STORM GRA 53 15WC 35010 BROWNING, SAMUEL MARK ALEXANDER'S MOBILITY SERV 06/06/14 HENNESSY & ROACH PC 54 15WC 38832 MAYBERRY, HENERY ILLINOIS STATE UNIVERSITY @ 01/15/15 THOMSON & WEINTRAUB ASSISTANT ATTORNEY GENERAL 55 15WC 38885 HICKS, RODNEY ISU @ 09/30/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 56 16WC 00743 WARE, JACLYN ILLINOIS STATE UNIVERSITY @ 08/19/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 57 16WC 02273 VANDENHEUVEL, JESSICA ADVOCATE HEALTH CARE 09/25/15 KOTH & GREGORY PC NYHAN BAMBRICK KINZIE & LOWR 58 16WC 03505 KAGEL, APRIL L THE KROGER CO 12/29/15 WILLIAMS & SWEE STONE & JOHNSON CHARTERED 59 16WC 04271 BACHMAN, ANGELA BOWERS ORTHODONTICS 10/08/15 THOMSON & WEINTRAUB HEYL ROYSTER VOELKER & ALLEN 16WC004272 -C 16WC004273 -C 60 16WC 05078 CHESTNEY, MARILYN SUE ILLINOIS STATE UNIVERSITY @ 08/17/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 61 16WC 05147 GRISMORE, OCTAVIUS FEDERAL COMPANIES 12/08/15 LEFANTE LAW OFFICES QUINN JOHNSTON HENDERSON ETA 62 16WC 09493 LACEY, MARK MITSUBISHI MOTORS 09/05/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 63 16WC 09494 LACEY, MARK MITSUBISHI MOTORS 02/27/15 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 64 16WC 10331 WILLIAMSON, JOHN ILLINOIS STATE UNIVERSITY @ 10/29/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 65 16WC 13412 MC NEELY, ROBERT I JD BYRIDER 11/27/15 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 16WC 13538 GILBERT, KEVIN BRIDGESTONE 03/29/16 FREDERICK & HAGLE FEATHERSTUN GAUMER POSTLEWAI 67 16WC 15938 SHANE, JAMES GRAIN FLO, INC. 05/05/15 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 68 16WC 16143 STEPHENS, MATTHEW KOEHL BROTHERS, INC. A/K/ 02/06/16 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 69 16WC 16510 WALDEN, TRAVIS TREU BODY WORKS 02/16/15 WILLIAMS & SWEE GANAN & SHAPIRO 70 16WC 17040 LOCKWOOD, MICHAEL ILLINOIS STATE POLICE- 09/05/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 71 16WC 19098 KING, ZACHARY PONTIAC CORRECTIONAL CENT @ 06/19/15 ASSISTANT ATTORNEY GENERAL 72 16WC 20199 RICCOLO, TERRY IDOT @ 04/11/16 STEPHENS FIDDES MCGILL ASS ASSISTANT ATTORNEY GENERAL 73 16WC 21621 CARMONA-ORTIZ, GLORIA MEIJER, INC. 03/16/16 WILLIAMS & SWEE KNELL & O'CONNOR 74 16WC 22321 HOVEL, EUGENE E MAP AUTO REPAIR 05/23/16 DREW J FERRACUTI DREW J FERRACUTI 75 16WC 22819 FIEGEL, ROBERT REMINGTON SEEDS LLC. 06/11/15 WILLIAMS & SWEE NOBLE & ASSOC 76 16WC 23144 SMETANKO, BRENT DURRE BROS WELDING & MACH 01/05/16 WILSON LAW OFFICES LLC LAW OFFICES STEVEN PILAND 77 16WC 27008 ZELL, RICHARD J. AMERICAN DRAPERY CLEANERS 06/17/15 ANESI OZMON RODIN NOVAK KO NYHAN BAMBRICK KINZIE & LOWR 78 16WC 27031 BIRCKELBAW, RICK FRONTIER COMMUNICATIONS 02/16/16 JEROME LINDSAY SALMI LL LAW OFFICE PAUL LARIMORE 79 16WC 31520 19B STUDINGER, MATT PONTIAC DISTRICT 90 01/29/16 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 80 16WC 31609 HERT, DE SHONA L ILLINOIS CENTRAL 09/03/16 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 81 16WC 32277 HUGGETT, MIKE OFFICE DEPOT 09/15/15 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 82 16WC 33047 19B RUANO, HECTOR S SUPERIOR DRYWALL & FINISH 10/02/15 DAMON YOUNG HEYL ROYSTER VOELKER & ALLEN 83 16WC 34595 JACKSON, CINDERRETHA ILLINOIS STATE UNIVERSITY @ 09/17/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 16WC 35039 ROY, STEVEN EATON CORPORATION 06/29/16 STRONG LAW OFFICE GANAN & SHAPIRO 85 16WC 35280 STEVENS, FREDERICK MCLEAN COUNTY SHERIFF'S D 10/18/16 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 86 16WC 36494 WERT, RODGER NPL CONSTRUCTION 10/12/16 STEPHEN P. KELLY GRANT & FANNING 87 16WC 37852 GRETENCORD, CHRISTINA ST MARY SCHOOL 05/04/16 WILLIAMS & SWEE GANAN & SHAPIRO 88 16WC 38180 GLAD, CHARLES WRIGHT TREE SERVICE 10/11/16 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 89 16WC 38591 SHUMARD, TRUDY COMPASS GROUP USA INC DBA 11/18/16 WILLIAMS & SWEE GOLDBERG SEGALLA LLC 90 16WC 39158 NORBITS, AMANDA AUTO WAREHOUSING 02/19/15 WILLIAMS & SWEE LAWRENCE COZZI - LAW OFFICE 91 16WC 39208 NORBITS, AMANDA AUTO WAREHOUSING 08/23/14 WILLIAMS & SWEE LAWRENCE COZZI - LAW OFFICE 92 17WC 00219 CARSON, JASON L CARGILL 12/03/16 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 93 17WC 02089 RAMOS, NOEMI BICKFORD OF BLOOMINGTON L 12/11/16 CHRIS DOSCOTCH GANAN & SHAPIRO 94 17WC 03502 MIX, CHRISTOPHER CLINTON CU SCHOOL DISTRIC 11/08/16 STRONG LAW OFFICE RODDY LAW LTD 95 17WC 04305 ALMAKKI, WASIM STRYKER ORTHOPEDICS 12/20/16 RIDGE & DOWNES 96 17WC 04582 KLYSZ, CZESLAW OLD DOMINION FREIGHT LINE @ 01/26/17 RYWAK, WALTER Z RODDY LAW LTD 97 17WC 04966 HERCULES, MANUEL SR MCELROY METAL 11/02/16 WILLIAMS & SWEE GRANT & FANNING 98 17WC 05437 COLVIN, MICHELLE LINCOLN COLLEGE 02/14/14 COSTIGAN & WOLLRAB PC 99 17WC 05585 KIZZEE, SHAWN MULTIBAND/DIRECT TV 01/04/17 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 100 17WC 06078 SETTLES, BRUCE STATE OF ILLINOIS @ 01/30/17 LEE, MARK N LAW OFFICE 101 17WC 07127 BOITNOTT, EARL CITY OF BLOOMINGTON 05/21/15 COSTIGAN & WOLLRAB PC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 17WC 08856 WELLER, DEBRA WEXFORD HEALTH SOLUTIONS 01/11/17 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 103 17WC 10066 KOHL, ERIC IDOC 02/08/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 104 17WC 11324 JEFFERY, ERIKA SUGAR CREEK ALZHEIMER CAR 12/24/16 STRONG LAW OFFICE GANAN & SHAPIRO 105 17WC 12420 HESS, JERRY STATE OF IL- IL DEPT OF @ 04/04/17 JOHN LESAGANICH KRISTINA D DION 106 17WC 12950 REECE, TIA STATE OF ILLINOIS @ 03/31/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 107 17WC 13004 MARSHALL, LANCE FASSETT SALES CO 03/01/16 RODDY LAW LTD 108 17WC 14371 SCOTT, DARIN KROGER 04/13/17 WILLIAMS & SWEE 109 17WC 14641 KEMP, TIM STATE OF IL/ 12/15/15 WILLIAMS & SWEE BRADLEY DEFREITAS 110 17WC 14797 NEWELL, VERN WALMART STORES, INC 12/17/16 BACH, ROBERT W QUINTAIROS PRIETO WOOD & BOY 111 17WC 16764 VIRGIL, ISRINGHAUSEN FEDEX 02/16/17 SHAY & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 112 17WC 18016 SCHADE, JACOB ILLINOIS STATE POLICE @ 05/02/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 113 17WC 18353 HARRIS, RAQUEL EATON GROUP 05/23/17 STRONG LAW OFFICE GANAN & SHAPIRO 114 17WC 19288 MCBRIDE, TABETHA WALMART 04/14/17 STRONG LAW OFFICE GANAN & SHAPIRO 115 17WC 19635 JEFFRIES, DIMITRIUS STATE FARM 01/19/16 GOLDBLATT + SINGER 116 17WC 19908 CASEY, HENRY INTERLAKE MECALUX 06/28/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 117 17WC 20211 GOVRO, ROBERT WOODY BOGLER TRUCKING CO 03/29/17 JEROME LINDSAY SALMI LL WIEDNER & MCAULIFFE LTD 118 17WC 20216 MOORE, JAMES AGL RESOURCES 08/13/15 MACIOROWSKI SACKMANN & ULRIC 119 17WC 20912 HARRIS, LOUIS PRECISION PRODUCTS 03/28/17 GREGORY W. SCRONCE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 120 17WC 21489 KIME, NICHOLAS WHITE CONSTRUCTION 07/12/17 LEE, MARK N LAW OFFICE JOSEPH MARCINIAK 121 17WC 22391 MCBRIDE, TABETHA WALMART 06/04/17 STRONG LAW OFFICE GANAN & SHAPIRO 122 17WC 22805 STUART, DAVID CHICAGO BRIDGE AND IRON C 06/15/17 LEE, MARK N LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 123 17WC 22824 ARMSTRONG, KEVIN IHSA 02/06/17 ROCHFORD & ASSOC 124 17WC 24179 JACKSON, JAVALAS JEWEL OSCO 04/15/17 125 17WC 24564 BIRGE, PETER SNYDER BROTHER'S TRUCKING 08/11/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 126 17WC 24986 RICHARD, KEVIN INTERLAKE MECALUX METAL 06/24/17 STRONG LAW OFFICE HARRIS DOWELL FISHER & HARRI 127 17WC 25946 19B GAZELLE, TYLER EL PASO HEALTH CARE 08/03/17 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 128 17WC 26653 WILLIAMS, MARTIN AMERICAN BUIDINGS CO 09/30/14 WILLIAMS & SWEE KNELL LAW LLC 129 17WC 27018 EUMAN, ELLA RESOURCE MFG 10/11/16 DODDS LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 130 17WC 27094 BEAN, KIM ILLINOIS STATE UNIVERSITY @ 04/07/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 131 17WC 27223 RIORDAN, COREY FRONTIER NORTH, INC 06/06/17 WILLIAMS & SWEE 132 17WC 27678 HANY, SARAH GORDON FOOD SERVICE, INC 08/14/17 STRONG LAW OFFICE GANAN & SHAPIRO 18WC031101 -C 133 17WC 29866 SAGONA, MATTHEW MENARD, INC. 11/05/16 REHN LAW LLC 134 17WC 30204 SENTERS, FRANKLIN MILLER CONTAINER CORP 08/02/17 MOSS & MOSS PC RODDY LAW LTD 17WC033931 -C 135 17WC 30314 KARR, JOHN BAUM CHEVROLET-BUICK 01/12/17 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 136 17WC 30515 DAVIS, NANCY OSF HEALTHCARE SYSTEM ST 08/10/17 WILLIAMS & SWEE HINSHAW & CULBERTSON 137 17WC 30588 WILLIS, TERRY TECHNOLOGY CONCEPTS GROUP 09/05/17 MOSS & MOSS PC LAW OFFICES STEVEN PILAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 17WC 31443 VINCENT, DARIN TRINITY STRUCTURAL TOWERS 09/27/17 STRONG LAW OFFICE RODDY LAW LTD 139 17WC 32513 HARVELL, TONYA CASEY'S GENERAL STORE, IN 10/18/17 MOSS & MOSS PC HEYL ROYSTER VOELKER & ALLEN 140 17WC 33786 KLETZ, TINA NESTLE USA 05/07/15 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 141 17WC 34669 ADAMS-WHEELER, RONDA SPEE-DEE DELIVERY SERVICE 07/21/17 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 142 17WC 34959 BALLENGER, DANIEL CITY OF CLINTON FIRE DEPT 11/13/16 DWORKIN AND MACIARIELLO POWER & CRONIN LTD 143 17WC 35916 CASTANEDA, MARIA NESTLE 10/14/17 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 144 17WC 36086 COX, WARREN STATE FARM INSURANCE COMP 09/29/17 THOMSON & WEINTRAUB GAROFALO SCHREIBER STORM GRA 145 17WC 36331 SWISE, THOMAS PJ HOERR, INC 12/01/17 CORBOY & DEMETRIO PC 146 17WC 36739 SCRIVNER, JODIE JAMES LANG, INC 12/14/14 DODDS LAW OFFICE 147 18WC 00692 TAYLOR, KYLE IL DEPT OF TRANSPORTATION @ 12/11/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 148 18WC 00872 BUSH, JANICE EXPRESS SERVICES INC 09/26/17 MC ANDREWS & NORGLE LLC 149 18WC 01058 DRUMMOND, DEANDRE MUGSY'S PUB, INC 10/26/17 WILLIAMS & SWEE HENNESSY & ROACH 150 18WC 01209 KNIGHT, ANGELA HERITAGE HEALTH 05/25/16 WILLIAMS & SWEE RIPES NELSON BAGGOT KALOBRAT 151 18WC 02189 HUMPHREY, PATRICIA EATON CORPORATION 08/03/17 SHAY & ASSOCIATES GANAN & SHAPIRO 152 18WC 02351 RIDDLE, MICHELLE STAFF QUICK 10/30/17 HOEKSTRA LAW OFFICES PC 153 18WC 02623 FLYNN, MICHAEL MID-ILLINOIS COMPANIES, C 11/14/17 WILLIAMS & SWEE HENNESSY & ROACH 154 18WC 02878 WILSHUSEN, CHELSEA ILLINOIS DEPT OF CORRECTI @ 12/06/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 155 18WC 03182 STURDIVANT, MIKAHL DENNY'S DOUGHNUTS 12/30/17 WOODRUFF & JOHNSON KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 156 18WC 03311 BARNES, JOHN IMAGE AIR OF SOUTHWEST FL 09/11/16 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 157 18WC 03411 JONES, LYNDSEY (WIDOW) WELLS FARGO ADVISORS, LLC # 04/07/15 MC HARGUE & JONES BRADY CONNOLLY & MASUDA PC 158 18WC 03465 KODATT, JASON R ARDAGH GLASS INC 03/05/17 KANOSKI BRESNEY HOLECEK & ASSOCIATES 159 18WC 04835 PEAVLER, WAYNE WORLD OF POWER SPORTS INC 12/28/17 STRONG LAW OFFICE GANAN & SHAPIRO 160 18WC 05227 MENKEN, RICHARD ILLINOIS STATE UNIVERSITY @ 10/16/17 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 161 18WC 05299 SCHMITT, KEITH B ILLINOIS DEPT OF AGRICULT @ 12/15/17 HOEKSTRA LAW OFFICES PC ASSISTANT ATTORNEY GENERAL 162 18WC 05396 CARTER, BRENDA K FIRST STUDENT, INC 01/29/18 HOEKSTRA LAW OFFICES PC WIEDNER & MCAULIFFE LTD 163 18WC 05805 SCHUCH, ROBERT JAMES LANG, INC 06/01/16 KEEFE & GRIFFITHS PC JAMES M KELLY 164 18WC 05967 HUMPHREY, PATRICIA EATON CORP. 06/08/16 BERG & ROBESON GANAN & SHAPIRO 165 18WC 06287 NOLAN, RYAN SOI PONTIAC CORRECTIONAL @ 01/13/18 BRASSFIELD KRUEGER & RAMLO ASSISTANT ATTORNEY GENERAL 166 18WC 06622 JOHNSON, HOWARD SACH'S ELECTRIC 05/20/16 WILLIAMS & SWEE CLAYBORNE SABO & WAGNER 167 18WC 06709 PEREZ, SILVIA COMPASS ONE LLC 08/07/17 CHRIS DOSCOTCH 168 18WC 07360 UNDERWOOD, MICHAEL HCM MECHANICAL SVCS, INC 10/18/17 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 169 18WC 07537 ABBOTT, RYAN STATE FARM 04/02/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 170 18WC 07617 GAINES, FELICIA OSF ST JOSEPH 12/17/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 171 18WC 08255 ELAM, JEREMY T&E WORKFORCE SOLUTIONS, 01/26/18 SCHWEICKERT & GANASSIN MC ANDREWS & NORGLE LLC 172 18WC 08870 FUERTGES, DAVID BETTERWAY SIDING AND WIND 03/01/18 STEPHENS FIDDES MCGILL ASS 173 18WC 09354 ALLEN, RAYMOND T EATON CORPORATION 04/29/15 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 18WC 09443 MARTIN, JILL CLINTON CUSD #15 08/21/17 CHRIS DOSCOTCH ROSARIO CIBELLA 175 18WC 09845 WORTH, DEANN STATE FARM MUTUAL AUTO IN 12/16/16 WILLIAMS & SWEE GAROFALO SCHREIBER STORM GRA 176 18WC 10047 CUNNINGHAM, MARLA SISTERS OF THE THIRD ORDE 09/01/10 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 177 18WC 10841 BROWN, GARY L NAPA AUTO PARTS 02/27/18 KANOSKI BRESNEY INMAN & FITZGIBBONS 178 18WC 11070 SHOOK, ASHLEY N STATE OF IL/LOGAN COUNTY @ 06/23/17 WOLTER BEEMAN AND LYNCH ASSISTANT AT0TORNEY GENERAL 179 18WC 11131 CLARK, ARWON JIMMEL CORP 03/26/18 MARK WERTZ 180 18WC 11396 SHAUGHNESSY, SEAN CONTRACT MIRROR SUPPLY 05/10/17 STRONG LAW OFFICE 181 18WC 12148 HART, LASTENIA EUREST 03/02/17 WILLIAMS & SWEE 182 18WC 12532 HART, LASTENIA EUREST 01/11/16 WILLIAMS & SWEE 183 18WC 12694 KELLEY, BONNIE BLOOMINGTON PUBLIC 04/12/18 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 184 18WC 13120 LUESCHEN, JOHN TOWANDA FIRE PROTECTION D 03/10/17 MIKE MC ELVAIN LAWRENCE COZZI - LAW OFFICE 185 18WC 13405 CHANEY, DIANE KICKAPOO CREEK NURSERY IN 08/26/17 WILLIAMS & SWEE STEPHEN P. KELLY 186 18WC 13566 WARE, DAWN M MCDONALD'S LEROY, INC. DB 04/24/18 WILLIAMS & SWEE 187 18WC 13731 LEHR, CHRISTOPHER S JG STEWART CONSTRUCTION 08/16/17 KANOSKI BRESNEY BRYCE DOWNEY & LENKOV LLC 188 18WC 14292 ADCOCK, STEPHEN H CITY OF BLOOMINGTON 06/14/17 JACK C VIELEY RUSIN & MACIOROWSKI LTD 189 18WC 15091 COCHRAN, DEBBIE STATE FARM 06/01/15 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 190 18WC 15334 MCCARTY, JERRY CRANE TRUCKING INC 06/01/12 KATZ FRIEDMAN EAGLE ET AL BRADY, CONNOLLY & MASUDA, PC 191 18WC 15526 HALFACRE, JOANNE HEARTLAND HEAD START 02/21/18 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 18WC 15903 LOBANO, ROSA R.R. DONNELLEY 03/15/18 MOSS & MOSS PC BRADY, CONNOLLY & MASUDA, PC 193 18WC 16208 STOWELL, LAURA FIRST GROUP AMERICA 01/17/18 DAVID HUNT 194 18WC 16392 PRINCE, STEVEN IL DEPARTMENT OF TRANS @ 02/29/16 STEVEN PRINCE 195 18WC 16558 PERRINE, CHRISTOPHER LINCOLN FIRE DEPARTMENT 04/19/17 JOHNSON, MICHAEL D & ASSOC RUSIN & MACIOROWSKI LTD 196 18WC 17210 TAYLOR, ANN VON MAUR INC 04/22/18 WALTON TELKEN LLC 197 18WC 17211 BAIZE, THOMAS JESUS MIRAMONTES D/B/A 05/14/18 WILLIAMS & SWEE GANAN & SHAPIRO 198 18WC 17463 MYERS, CHERI HOME DEPOT 06/06/18 STRONG LAW OFFICE ADELSON TESTAN BRUNDO 199 18WC 17962 LAWLESS, MELISSA MC LEAN COUNTY UNIT 09/12/17 THOMSON & WEINTRAUB HEYL ROYSTER VOELKER & ALLEN 200 18WC 18361 PUNTONI, JANET A HIGH ROAD SCHOOL 05/31/18 KANOSKI BRESNEY 201 18WC 18911 ARTEMAN, RONALD DAVID NATIONAL CASH REGISTER 02/08/18 WILLIAMS & SWEE SPIEGEL & CAHILL, PC 202 18WC 20035 WILSON, PATRICIA CASEY'S GENERAL STORE #22 05/03/18 WILLIAMS & SWEE JAMES M KELLY 203 18WC 20165 HUBERT, DANIEL E BLACK HORSE CARRIERS INC 04/20/18 GALLAGHER, DONALD V HINSHAW & CULBERTSON 204 18WC 20875 HARTWIG, TERESA LYNN DUPONT PIONEER AKA 01/04/18 FREDERICK & HAGLE LITCHFIELD CAVO 205 18WC 21375 WEBSTER, WESLEY EXPRESS EMPLOYMENT 06/08/16 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 232 16WC019366 -C 206 18WC 22038 GOCHANOUR, JOSH CITY OF BLOOMINGTON TOWNS 02/07/18 MCCARRON LAW FIRM, PC BRADY, CONNOLLY & MASUDA, PC 207 18WC 22414 DAVIS, CECIL MCCOY CONSTRUCTION CO 07/18/18 ANESI OZMON RODIN NOVAK KO INMAN & FITZGIBBONS 208 18WC 22563 BRYANT, ROBERT CORPORATE CLEANING SYSTEM 04/27/17 WARREN E DANZ, PC 209 18WC 22807 LANDER, DEENA OBERWEIS 02/20/18 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 18WC 22850 GADDIS, PAMLA ILLINOIS WESLEYAN UNIVERS 06/09/17 KANOSKI BRESNEY 211 18WC 22896 HANSON, ELIZABETH FIRST STUDENT MGMT, LLC 01/12/17 WILLIAMS & SWEE 212 18WC 23141 MC WHORTER, RICHARD USF HOLLAND 02/12/18 WILLIAMS & SWEE HENNESSY & ROACH 213 18WC 23249 LA FEVER, TIMOTHY MOORE ENTERPRISES 11/25/16 WILLIAMS & SWEE 214 18WC 23382 HARRINGTON, TROY ZELLER DIGITAL INNOVATION 04/25/18 WILLIAMS & SWEE LUCY T. UNGER 215 18WC 23487 BASSETTI, KEN FIRST FINANCIAL BANK 06/14/18 WILLIAMS & SWEE HENNESSY & ROACH 216 18WC 23583 LANDER, DEENA OBERWEIS 02/23/18 STRONG LAW OFFICE 217 18WC 23695 SHANE, JAMES GRAIN FLO, INC 04/25/18 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 218 18WC 23834 RUTLEDGE, STEPHAN TOWN OF NORMAL 12/21/17 ANCEL GLINK DIAMOND BUSH & E 219 18WC 24130 SMITH, ANDREW STATE OF ILLINOIS-IDOC 07/10/18 STRONG LAW OFFICE BRADLEY DEFREITAS 220 18WC 24416 REYNOSO, CARLOS ARTURO THE MASCHHOFFS, LLC 01/24/18 KOTH & GREGORY PC KRAKER FANNING & OLSEN 221 18WC 24687 DICKMAN, MARY MCLEAN COUNTY UNITDIST 5 05/22/18 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 222 18WC 25078 GIBSON, PATRICK PRAIRIE VIEW LANDSCAPING 07/23/18 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 223 18WC 26397 DAVENPORT, MATTHEW D KOHL'S DEPARTMENT STORES, 07/17/18 WILLIAMS & SWEE CHILTON YAMBERT PORTER LLP 224 18WC 26685 BARNHILL, LYNNE CASEY'S GENERAL STORES, I 05/12/18 WILLIAMS & SWEE JAMES M KELLY 225 18WC 27143 KORNFELD, KENDRA DIOCESE OF PEORIA (CENTRA 12/04/17 STEPHEN P. KELLY GANAN & SHAPIRO 226 18WC 27692 WARD, KIMBERLY TEXAS ROADHOUSE 08/10/18 SHAY & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 227 18WC 28446 BENNINGTON, TIMOTHY R HEYWORTH UNION SCHOOL DIS 02/28/16 KANOSKI BRESNEY LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 18WC 28561 TRAYLOR, RUFUS CHARLES YELLOW CHECKER CAB 08/31/18 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN 229 18WC 28938 RICHARD, MELINDA LSC COMMUNICATIONS 07/24/18 HOEKSTRA LAW OFFICES PC HENNESSY & ROACH 230 18WC 29138 ROPP, TODD CITY OF CLINTON 10/13/15 MCCARRON LAW FIRM, PC POWER & CRONIN LTD 231 18WC 29320 SWITZER, SHAUNTAI PONTIAC CORRECTIONAL CENT @ 07/19/18 PETER F FERRACUTI & ASSOCI 232 18WC 29429 ROGERS, KELLIE SAM'S CLUB WEST INC 03/21/18 STRONG LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 233 18WC 29509 MCGINNIS, JANICE STERICYCLE 05/11/18 MOSS & MOSS PC HENNESSY & ROACH 234 18WC 29721 STETSON, SHARI STATE OF ILLINOIS @ 07/10/18 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 235 18WC 30045 KENNEDY, JEFFERY KROESCHELL OPERATIONS, IN 06/12/17 WILLIAMS & SWEE KEEFE CAMPBELL BIERY & ASSOC 236 18WC 30195 LOLLING, GERALD GRAIN FLO, INC 06/22/18 DWORKIN AND MACIARIELLO 237 18WC 31055 BRIGHT, TERRY MC ELROY METAL 10/04/17 MOSS & MOSS PC GRANT & FANNING 238 18WC 31200 CHASTAIN, DAVID T NORTHERN PIPELINE CONSTRU 08/01/18 KANOSKI BRESNEY KRAKER FANNING & OLSEN 239 18WC 31282 WHYTE, OTIS III ILLINOIS STATE UNIVERSITY @ 03/15/18 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 240 18WC 32112 GOAD, KIMBERLY DD HOMES NETWORK/AUDREY C 10/14/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 241 18WC 32485 MOORE, CHRISTOPHER CITY OF BLOOMINGTON - 05/31/18 GOLDBERG WEISMAN & CAIRO L 242 18WC 33092 FOX, JACK SYSCO CENTRAL ILLINOIS 09/21/18 SAUNDERS CONDON & KENNY 243 18WC 33695 LYONS, JEFFERY L SR. PARKLAND ENVIRONMENTAL GR 01/09/18 WOLTER BEEMAN AND LYNCH NYHAN BAMBRICK KINZIE & LOWR 244 18WC 33899 SHELTON, ANTHONY IL DEPARTMENT OF TRANSPOR 10/29/18 TAXMAN POLLOCK BRADLEY DEFREITAS 245 18WC 34492 KAAIHUE, JOHN LUGWIG 09/17/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 18WC 34536 ROBINSON, ELAINE FIRST STUDENT 11/01/18 JANSSEN LAW CENTER 247 18WC 34818 ABBOTT, RYAN STATE FARM 04/01/17 STRONG LAW OFFICE 248 18WC 34902 HOUSE, JOHN MARIOTT HOTEL & CONFERENC 10/09/18 MCCARRON LAW FIRM, PC HENNESSY & ROACH PC 249 18WC 35628 HOLLON, ANTHONY SELIG SEALING PRODUCTS IN 08/29/18 SPIROS LAW PC SPIEGEL & CAHILL, PC 250 18WC 36025 POPPINS, EVERETT ANJ ELECTRIC INC 01/08/18 WILLIAMS & SWEE 251 18WC 36147 GOODMAN, LISA HEARTLAND EMPLOYMENT SRVC 11/01/16 WILLIAMS & SWEE BRYCE DOWNEY & LENKOV LLC 252 18WC 36362 GUYMON, MARK A CITY OF BLOOMINGTON 06/27/18 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 253 18WC 36365 NEWELL, TEKILA MCDONALD'S 12/06/18 GOLDSTEIN AIOSSA & GOOD 254 18WC 36683 GRESHAM, JENNIFER NUSSBAUM TRUCKING INC 10/18/18 WARREN E DANZ, PC RIPES NELSON BAGGOT KALOBRAT 255 18WC 37054 HONEA, ASHLEY ST OF IL DEPT OF CORRECTI @ 11/09/18 MARK N LEE BRADLEY DEFREITAS 256 18WC 37099 MATSON, RANDALL STATE OF IL-DEPT OF CORRE @ 06/28/18 MARK N LEE BRADLEY DEFREITAS 257 18WC 37277 EATMAN, LARRALL LOWE'S 10/29/18 DODDS LAW OFFICE 258 18WC 37751 BAXTER, RAYMOND QUALITY TRUCK EQUIPMENT C 11/29/18 DWORKIN AND MACIARIELLO 259 18WC 37940 WALLS, DIANE M VONACHEN SERVICES INC. 09/25/18 KANOSKI BRESNEY ACCIDENT FUND HOLDINGS 260 18WC 38037 BENEFIEL, JAMIE MOSAIC 07/16/17 MARK WERTZ GAROFALO SCHREIBER STORM GRA 261 18WC 38144 MCLEMORE, ELANDERA ADVANCED AUTO PARTS 04/09/18 WILLIAMS & SWEE WIEDNER & MCAULIFFE LTD 262 19WC 00164 COX, JOSHUA CITY OF BLOOMINGTON 06/18/18 BRADY, CONNOLLY & MASUDA, PC 263 19WC 00266 DEHM, LLOYD W CATERPILLAR INC 08/02/18 KANOSKI BRESNEY CATERPILLAR, INC.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 19WC 00779 BRUCKER, CORY (MINOR)BY K MONICAL PIZZA CORPORTION 07/20/18 GANAN & SHAPIRO 265 19WC 00894 PRIVETT, BRIAN SYSCO CENTRAL ILLINOIS 08/30/17 SAUNDERS CONDON & KENNY 266 19WC 01179 HARMISON, TONYA FERRERO USA 10/17/18 GOLDFINE & BOWLES 267 19WC 02162 LAWYER, JEREMY LSC COMMUNICATIONS US LLC 12/21/18 WILLIAMS & SWEE 268 19WC 02578 ZIMMERMAN, TASHIA CHRISTIAN HORIZONS 04/16/18 SGRO, HANRAHAN DURR RABIN 269 19WC 02607 ALLTOP, DAVID MR. BULT'S INC 09/30/17 MCCARRON LAW FIRM, PC WIEDNER & MCAULIFFE LTD 270 19WC 03134 TORRES, JENNIFER STATE FARM 09/28/18 KOTH & GREGORY PC GAROFALO SCHREIBER STORM GRA 271 19WC 03197 GRAVES, CHARLES F STEAK N' SHAKE 01/19/18 STEPHEN P. KELLY QUINN JOHNSTON HENDERSON ETA 272 19WC 03404 HEMMER, LORI ILLINOIS STATE UNIVERSITY @ 03/07/18 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 273 19WC 03485 REILLY, JASON GOODMAN NETWORKS 09/28/16 DWORKIN AND MACIARIELLO 274 19WC 03986 WALSH, MATTHEW E PENN LANDSCAPING AND 01/03/19 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 275 19WC 04061 ROSSITER, DANIEL T STATE OF ILLINOIS/ILLINOI @ 02/27/18 WILLIAMS & SWEE BRADLEY DEFREITAS 276 19WC 04084 BRUCE, CANDACE SUGAR CREEK ALZHEIMER CEN 10/15/18 DAMON YOUNG BRYCE DOWNEY & LENKOV LLC 277 19WC 04325 MEYERS, MICHAEL BUSHERT'S GENERAL STORE 02/04/19 DWORKIN AND MACIARIELLO 278 19WC 05111 WAGNER, STEPHANIE MICHAELS STORES 11/08/18 MIKE MC ELVAIN 279 19WC 05232 RYAN, BENJAMIN ILLINOIS WESLEYAN UNIVERS 07/28/18 GOLDFINE & BOWLES 280 19WC 05574 WITSMAN, SONNY CATERPILLAR INC 03/09/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 281 19WC 05682 MCMINN, HELEN A EUREST DINING SERVICES 07/16/16 HOEKSTRA LAW OFFICES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 19WC 05989 ROBISON, RUSSELL CATERPILLAR INC 06/26/18 CATERPILLAR, INC. 283 19WC 06118 CAMERON, JOHNNY FERRARA CANDY COMPANY 01/13/19 BURNETT & CARON, LTD 284 19WC 06253 KLEIN, JOHN US POSTAL SERVICE 01/29/19 PETER F FERRACUTI & ASSOCI 285 19WC 06360 THLMPSON, LARRY NORDINE REMODELING 12/17/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 286 19WC 06382 KUCHARSKI, JOSEPH DIVERSA TECH METALFAB 03/15/17 STRONG LAW OFFICE GANAN & SHAPIRO 287 19WC 06403 DAVIS, DEBRA YWCA OF MCLEAN COUNTY 01/14/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 288 19WC 06869 SARGENT, DUANE STATE OF ILLINOS 02/08/19 WILLIAMS & SWEE BRADLEY DEFREITAS 289 19WC 07616 TREAKLE, TODD BRANDT INDUSTIES 01/19/19 SHAY & ASSOCIATES 290 19WC 07714 JENKINS, LEONARD MILLENNIUM PAIN CENTER 10/03/18 HUGHES TENNEY POSTLEWAIT 291 19WC 07840 CASE, JEFF OWEN NURSING 02/13/19 DWORKIN AND MACIARIELLO 292 19WC 08125 TOMES, ROBERT STATE OF ILLINOIS/ILLINOI @ 08/10/18 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 293 19WC 08153 PAIGE, JERALD FERRARA CANDY COMPANY HOL 07/16/18 WILLIAMS & SWEE 294 19WC 08184 LEIPOLD, CHRISTOPHER PONTIAC CORRECTIONAL CENT 03/14/19 RIDGE & DOWNES 295 19WC 08483 PRICE, STEVEN COMMUNITY UNIT SCHOOL DIS 12/05/18 THOMSON & WEINTRAUB 296 19WC 08697 GIBSON, GEORGE COMPASS GROUP USA INC DBA 12/14/18 WILLIAMS & SWEE GOLDBERG SEGALLA LLC 297 19WC 08807 DEAVERS, TRACY RR DONNELLEY 11/26/18 MOSS & MOSS PC BRADY, CONNOLLY & MASUDA, PC 298 19WC 09191 FERGUSON, KIMBERLY CHRISTIAN VILLAGE OF LINC 02/24/19 SHAY & ASSOCIATES 299 19WC 09278 CHRISTIANSON, JOSHUA MASTERS BROTHERS INC 12/05/18 MCCARRON LAW FIRM, PC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 300 19WC 09320 ARNOLD, ANNETTE FIRST STUDENT MANAGEMENT 11/05/18 WILLIAMS & SWEE 301 19WC 09447 CLEM, JOSEPH CENTRAL ILLINOIS X-RAY, I 02/07/19 WILLIAMS & SWEE 302 19WC 09672 MESARCHIK, RANDY MR BULTZ INC 03/25/19 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 303 19WC 09789 BUZICKY, MICHELLE HALLMARK MARKETING CO, LL 06/20/18 THOMSON & WEINTRAUB INMAN & FITZGIBBONS 304 19WC 10007 MAREK, COREY PONTIAC CORRECTIONAL CENT @ 03/27/19 RIDGE & DOWNES 305 19WC 10220 STEPHENS, DAVID CC SERVICES, INC 09/15/17 WILLIAMS & SWEE 306 19WC 10379 ADCOCK, STEVE CITY OF BLOOMINGTON 05/14/17 STRONG LAW OFFICE 307 19WC 10771 KAUPP, TRENT GRIDLEY FIRE PROTECTION D 03/25/18 WILLIAMS & SWEE 308 19WC 10817 UMSTATTD, DANIEL STATE FARM 01/14/19 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 309 19WC 10929 BURNETT, DOREEN FIRST STUDENT 03/18/19 MIKE MC ELVAIN 310 19WC 11523 GRAHAM, ED CROPSMITH 02/16/16 GAROFALO SCHREIBER STORM GRA 311 19WC 11830 SPIRES, TREVOR BLAKENEY & OWEN CORP 03/02/19 WILLIAMS & SWEE 312 19WC 12007 TUTOKY, STEVEN PONTIAC CORRECTIONAL CENT @ 12/20/18 PETER F FERRACUTI & ASSOCI BRADLEY DEFREITAS 313 19WC 12045 NEWBORN, LOIS ANN CATERPILLAR 11/20/18 ROBERT G WATERS 314 19WC 12064 ELKIN, ARIC L UNITED PARCEL SERVICE, IN 02/11/19 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 315 19WC 12195 SHEPHERD, DANNY QIK-N-EZ * 11/02/18 DAMON YOUNG HEYL ROYSTER VOELKER & ALLEN 316 19WC 13090 EVANS, GERALD ROD ABF 04/03/19 BURNETT & CARON, LTD 317 19WC 13479 MAZUREK, LYNETTE AMEREN ILLINOIS 01/05/18 COSTIGAN & WOLLRAB PC CASSIDY & MUELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 19WC 13821 PRENTICE, SUSAN K PONTIAC CORRECTIONAL CENT @ 05/02/17 DREW J FERRACUTI 319 19WC 14168 COX, RANDALL ARDAGH 02/01/19 CONNOR LAW OFFICES 320 19WC 14240 BADE, MARY JANE COUNTRY FINANCIAL 08/23/18 KROL BONGIORNO & GIVEN LTD HOLECEK & ASSOCIATES 321 19WC 14383 COREY, ROSANNE MAROA-FORSYTH MIDDLE SCHO 04/18/17 MCCARTHY ROWDEN LUCY T. UNGER 322 19WC 14756 FREEMAN, DOREN VONACHEN GROUP, INC 10/09/18 WILLIAMS & SWEE ACCIDENT FUND HOLDINGS 323 19WC 14835 YOCUM, MICHAEL CATERPILLAR, INC. 04/15/19 DAMON YOUNG CATERPILLAR, INC. 324 19WC 14847 JEFFERSON, COLLEEN FIRST STUDENT INC. 05/09/19 WILLIAMS & SWEE WIEDNER & MCAULIFFE LTD 325 19WC 14955 BRANDT, STEVE CUSTOM UNDERGROUND 03/04/19 STEPHENS FIDDES MCGILL ASS HENNESSY & ROACH 326 19WC 15125 GREY, SHAWNA OSF ST JOSEPH MEDICAL CEN 03/23/18 MCCARRON LAW FIRM, PC HINSHAW & CULBERTSON 327 19WC 15280 STETSON, SHARI STATE OT ILLINOIS/ @ * 11/21/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 328 19WC 15800 BEAL, TROY CITY OF BLOOMINGTON * 11/20/18 COSTIGAN & WOLLRAB PC RUSIN & MACIOROWSKI LTD 329 19WC 15856 HENRY JR, CURVIN ZOIE LLC * 12/13/18 KANOSKI BRESNEY 330 19WC 16268 GUITHER, MARK BOB MELTON TRUCKING SERVI * 08/23/18 KANOSKI BRESNEY LEAHY EISENBERG & FRAENKEL 331 19WC 16328 HOWARD, DONNA OMNIMAX INTERNATIONAL INC * 02/25/19 GOLDFINE & BOWLES 332 19WC 16515 MCTIZIC, BIANCA JEWEL FOOD STORES, INC. * 06/04/19 GRAVLIN, MICHAEL J LLC 333 19WC 16673 RAFFERTY, TRAVIS ILLINOIS DEPT OF CORRECTI @ * 03/19/19 STRONG LAW OFFICE 334 19WC 16770 HULL, MARENE SAM'S CLUB * 01/19/19 MCCARRON LAW FIRM, PC GANAN & SHAPIRO 335 19WC 17068 CLARK, JENNIFER ABRAHAM LINCOLN MEMORIAL * 03/10/19 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 19WC 17085 THOMAS, RAPHAEL E BEAR DOWN LOGISTICS * 01/15/19 KANOSKI BRESNEY HENNESSY & ROACH 337 19WC 17273 COLLINS, TRAVIS PRECISION PRODUCTS INC * 04/22/19 MCCARTHY ROWDEN 338 19WC 17405 CRAMER, JOHN DAVID CARGILL INC * 04/11/19 FREDERICK & HAGLE LIVINGSTONE MUELLER ET AL 339 19WC 17426 MAGANA, ASHLEY ADVOCATE HEALTHCARE * 04/02/19 MIKE MC ELVAIN 340 19WC 17487 GRAHAM, SHEILA BUMPERS PUB * 03/01/19 STEPHEN P. KELLY LUCY T. UNGER 341 19WC 17699 JOHNSON, JENNIFER MCLEAN COUNTY JAIL * 03/08/18 STRONG LAW OFFICE 342 19WC 18164 FRIZZELL, MICHAEL MCLEAN COUNTY SHERIFF'S D * 05/28/19 WILLIAMS & SWEE 343 19WC 18478 DITCHEN, GREG US MECHANICAL SERVICES * 05/29/18 STRONG LAW OFFICE 344 19WC 18491 O'DELL, DAWN MCLEAN COUNTY UNIT * 10/07/18 WILLIAMS & SWEE 345 19WC 18548 BROWN, JENNIFER STATE FARM INSURANCE * 05/15/19 RATHBUN CSEVENYAK & KOZOL 346 19WC 18915 BRUSS, MARY TDR TRANSPORT * 10/22/18 STRONG LAW OFFICE 347 19WC 18976 REINHOLD, ERIC CATERPILLAR * 05/23/19 PETER F FERRACUTI & ASSOCI CATERPILLAR, INC. 348 19WC 19727 SIMMONS, JASON MCLEAN CO SHERIFF * 11/27/18 CONNOR LAW OFFICES 349 19WC 19794 LARIMORE, BRIAN TOWN OF NORMAL * 06/06/19 WILLIAMS & SWEE 350 19WC 20383 CASALI, ROBIN AS WIDOW OF TRAVEL CENTERS OF AMERICA # * 06/04/19 CHRIS DOSCOTCH HENNESSY & ROACH 351 19WC 20458 BRAUN-RICHARD, EMILY HY-VEE INC * 04/25/19 WILLIAMS & SWEE 352 19WC 20552 BRYANT, GERALD CATERPILLAR INC * 06/12/19 RUBENS KRESS MULHOLLAND CATERPILLAR, INC. 353 19WC 21167 HARRIS, KRISTINA J PHI SIGMA SIGMA, INC * 04/24/17 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 19WC 21297 FRANK, RODNEY MCLEAN COUNTY SHERIFF'S D * 06/26/19 WILLIAMS & SWEE 355 19WC 21447 TOBIAS, PATRICIA HEARTLAND BANK * 07/05/19 STEPHEN P. KELLY 356 19WC 21677 THAYER, JONATHAN STERICYCLE * 04/15/19 MOSS & MOSS PC 357 19WC 21954 ORGAN, CHRISTINE CHESTER-EAST LINCOLN SCHO * 10/12/18 DAVID HUNT 358 19WC 22050 GLOGOWSKI, RAYMOND BRUNTON MOTOR FREIGHT * 07/09/19 WOODRUFF JOHNSON 359 19WC 22208 ROBINSON, COREY LINCOLN CORRECTIONAL CENT @ * 06/08/19 MARK N LEE 360 19WC 22467 MORRIS, JESSE STERICYCLE * 05/15/18 MOSS & MOSS PC 361 19WC 22550 STEWARD, VIRGINIA WALMART * 03/02/19 MIKE MC ELVAIN 362 19WC 22748 HEMANN, SHELLEY PONTIAC CORRECTIONAL CENT @ * 06/27/19 STRONG LAW OFFICE 363 19WC 22757 SCOTT, STANLEY COMMERCIAL INDUSTRIAL SER * 07/10/19 WILLIAMS & SWEE 364 19WC 22841 SCHLINK, KEITH OSF ST JOSEPH MEDICAL CEN * 07/19/19 JOHN LESAGANICH 365 19WC 23454 THOMPSON, RANDY INTERLAKE MECALUX, INC. * 01/03/18 RUSIN & MACIOROWSKI LTD 366 19WC 23728 BISHOP, BRAD ASSOCIATED MATERIAL HANDL * 05/31/19 WILLIAMS & SWEE 367 19WC 23790 AMERSON, MICAH WALMART * 08/12/19 DWORKIN AND MACIARIELLO 368 19WC 24173 COX, DOUGLAS MCLEAN CITY NURSING HOME * 07/15/19 STRONG LAW OFFICE 369 19WC 24319 KOMNICK, RYAN N FRONTIER COMMUNICATIONS C * 11/28/18 KRAKER FANNING & OLSEN 370 19WC 24389 DENHAM, MICHAEL RESOURCES MFG * 08/15/19 DWORKIN AND MACIARIELLO 371 19WC 24471 ROSS, JOCELYN LAJOY GROUP INC * 12/30/18 ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR BLOOMINGTON 14003 ON 09/23/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 19WC 24574 LONG, KENNETH BAUM CHEVROLET-BUICK COMP * 07/11/18 BRADY, CONNOLLY & MASUDA, PC