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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 HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 11WC 42159 CHITWOOD, SHERRIEL CATERPILLAR INC 10/13/11 JOHN LESAGANICH CATERPILLAR INC 17 11WC 44027 TORRES, PATRICIA FCA MANUFACTURING 11/01/11 JOHN LESAGANICH HOLECEK & ASSOCIATES 18 12WC 08643 19B EVANS, DENNIS HOSTESS BRANDS 01/30/12 ADELSON TESTAN BRUNDO 19 12WC 16611 ANDERTON, JOSHUA ILLINOIS STATE POLICE @ 11/22/11 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 20 12WC 23345 STEGENS, DAVID JAMES HYMBAUGH D/B/A @ W 06/21/12 JACOB FROST 21 12WC 26080 CALCITRAI, CAROL WIDOW OF LAKE WILDWOOD ASSOICATION # 12/22/09 HEYL ROYSTER VOELKER & ALLEN 22 12WC 31334 19B WAKEFIELD, DENISE PEORIA PUBLIC SCHOOL 08/15/12 STRONG LAW OFFICE STEPHEN P. KELLY 23 12WC 31440 ALLEN, LORRAINE IL DEPT OF AGRICULTURE @ 10/17/09 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 13WC004140 -C ILLINOIS DEPARTMENT 13WC004141 -C 13WC004142 -C ILLINOIS DEPARTMENT 24 13WC 14217 LOHR, TROY G MATCOR METAL FABRICATION 04/20/12 JOHN LESAGANICH 25 13WC 15679 VAN DEHY, STEVEN M P I & I MOTOR EXPRESS 12/12/12 KINGERY DURREE WAKEMAN & R 26 13WC 17485 ROWBOTHAM, WILSON G MONDELEZ GLOBAL LLC 09/02/12 KINGERY DURREE WAKEMAN & R WIEDNER & MCAULIFFE LTD 13WC017487 -C 13WC017490 -C 27 13WC 28294 BREDEMAN, JERRY D COOK GROUP INCORPORATED 01/09/13 STEPHEN P. KELLY HOLECEK & ASSOCIATES 14WC026648 -C 14WC026649 -C 14WC026651 -C 28 13WC 36968 19B GRIFFITH, PENNY KROGER 08/08/13 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 29 13WC 41073 HUFELD, RANDY ILLINOIS REFRIGERATED TRU @ W 11/27/13 STRONG LAW OFFICE HUFF LAW OFFICES 13WC041074 -C 30 14WC 02192 MARTIN, RICK THE KROGER CO 12/10/13 KINGERY DURREE WAKEMAN O'D 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 HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 31 14WC 04584 DEET, ROBERTA P PARKER HANNIFIN CORP 12/04/13 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 32 14WC 06839 CARTER, JAMES L MORTON BUILDINGS INC 01/08/14 JOHN LESAGANICH PC KNELL LAW LLC 33 14WC 11297 MITCHELL, JOHN E RIDGE & DOWNES LLC 04/04/11 JOHN LESAGANICH EVANS & DIXON, LLC 34 14WC 11619 MC KINNEY, MICHELLE L KINDRED HEALTHCARE 02/25/14 DAMON YOUNG ARNETT LAW GROUP 35 14WC 14000 WALTER, ROBERT K SPOON RIVER COLLEGE 11/01/11 JOHN LESAGANICH LAW OFFICES STEVEN PILAND 36 14WC 14092 GRANT, DONALD P III, ADMI L & M STEEL 03/19/14 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 37 14WC 14514 WALTER, ROBERT K SPOON RIVER COLLEGE 12/28/12 JOHN LESAGANICH LAW OFFICES STEVEN PILAND 38 14WC 16347 STOCKHAM, WESLEY ST OF ILL ILLINOIS @ 03/12/14 JOHN LESAGANICH 39 14WC 20268 DONALDSON, VICKIE CATERPILLAR INC 05/16/14 WINNE LAW OFFICE LLC DARCY GIBSON 40 14WC 25179 RATTON, BRENDA CATERPILLAR INC 07/16/12 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 41 14WC 28107 MURDOCK, JENNIFER M HGS USA LLC 06/19/14 JOHN LESAGANICH HOLECEK & ASSOCIATES 42 14WC 28955 VAUGHN, AARON CATERPILLAR, INC 08/19/14 WILSON LAW OFFICES LLC DARCY GIBSON 43 14WC 29599 CONNELLY, RONDA JF ELECTRIC INC # 02/25/14 KINGERY DURREE WAKEMAN & R 44 14WC 31129 DONALDSON, VICKIE CATERPILLAR INC 07/31/14 WINNE LAW OFFICE LLC DARCY GIBSON 45 14WC 31592 CUMMINGS, RENEE CATERPILLAR INC 07/31/12 DAMON YOUNG AMANDA WATSON 46 14WC 31822 TURNER, RENEE CATERPILLAR INC 02/07/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 47 14WC 31826 TURNER, RENEE CATERPILLAR INC 03/05/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 48 14WC 32257 HILST, BRENDA DORS 05/28/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 16WC035453 -C STATE OF IL DEPT OF 49 14WC 32504 DONALDSON, VICKIE CATERPILLAR, INC. 12/16/09 WINNE LAW OFFICE LLC DARCY GIBSON 50 14WC 37190 19B HAMM, DALLAS PAR ELECTRIC 06/16/14 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 15WC019322 -C HENKELS & MCCOY/PAR ELECTR 15WC019323 -C 51 14WC 39526 FITSCHEN, ELIZABETH CATERPILLAR INC 06/03/13 LEE, MARK N LAW OFFICE CATERPILLAR 52 14WC 42645 BURDESS, LAURA HOERR NURSERY 09/15/14 BROWN & BROWN BRYCE DOWNEY & LENKOV LLC 15WC010422 -C 53 15WC 00609 ROBINSON, STACEY BELLA ELEVATOR 09/30/14 HOLECEK & ASSOCIATES 54 15WC 01865 LEDFORD, LAKODA M UNITED STATE INFRASTRUCTU 11/20/13 JOHN LESAGANICH 55 15WC 02558 19B WILLIAMS, CONTRINA PHD SERVICES 08/22/14 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 56 15WC 04414 NEVITT, NICHOLAS INTERNATIONAL SUPPLY CO 06/25/14 JAY H JANSSEN NYHAN BAMBRICK KINZIE & LOWR 15WC007587 -C 57 15WC 05335 WARD, CAMILLA MORTON TERRACE 12/07/14 STEPHENS FIDDES MCGILL ASS HEYL ROYSTER VOELKER & ALLEN 58 15WC 05787 MAXON, JANENE M APOSTOLIC CHRISTIAN HOME 01/25/15 JOHN LESAGANICH 59 15WC 07821 WISE, CONNIE MID STATE COAL CO # 09/09/14 CULLEY & WISSORE 60 15WC 08238 HAMMONS, NIGERIA M DUNKIN DONUTS/BASKIN ROBB 06/26/14 JOHN LESAGANICH 61 15WC 10797 HOLEMAN, KENNETH PEKIN PAPERBOARD 07/01/14 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 62 15WC 15145 BRANCHFIELD, JOHN T STATE OF IL @ 03/06/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 63 15WC 18763 RICHARDS, LINDA D PEORIA PUBLIC SCHOOLS DIS 09/23/14 KINGERY DURREE WAKEMAN O'D STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 15WC 19072 BRITTON, VICKIE L UNITYPOINT HEALTH - METHO 05/15/15 BENASSI & BENASSI STEPHEN P. KELLY 65 15WC 20748 ANDERSON, JENNIFER OSF ST FRANCIS MEDICAL CT 01/21/14 SCHWEICKERT & GANASSIN HINSHAW & CULBERTSON 16WC008761 -C 66 15WC 21443 CARPENTER, THORSTEN KOMATSU 08/20/14 DAMON YOUNG KNELL LAW LLC 67 15WC 21489 ERVIN, LOUIE D CATERPILLAR INC 05/04/15 ROCHFORD & ASSOC DARCY GIBSON 68 15WC 22299 GORDON, MICHAEL R TEMCO MACHINERY INC 10/10/12 JOHN LESAGANICH 69 15WC 23539 DUPAGE, JOSHUA M SCOTT BANDY D/B/A MCDONAL 07/13/15 JOHN LESAGANICH 70 15WC 24060 SKINNER, DEBRA MICHAEL & ROSEMARY FRAWLE 06/27/15 STEPHEN P. KELLY STROW LAW LLC 71 15WC 25557 BROOKS, MICHAEL PEORIA FIRE DEPT 07/16/15 STEPHENS FIDDES MCGILL ASS HASSELBERG GREBE SNODGRASS 72 15WC 26555 MC COY, KELSIE DAUGHTER O MORTON SUPPLIES 03/11/15 CUSACK FLEMING GILFILLAN E EVANS & DIXON 73 15WC 26792 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 01/05/15 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 74 15WC 27585 KRAFT, JESSICA CATERPILLAR 07/23/15 STEPHENS FIDDES MCGILL ASS DARCY GIBSON 75 15WC 27962 19B NATHAN-HUGHES, STACEY PEORIA COUNTY 06/20/15 GOLDFINE & BOWLES STEPHEN P. KELLY 15WC027963 -C 76 15WC 28635 NIGHSWANGER, EHRIN M LOWE'S COMPANIES INC 05/07/15 JOHN LESAGANICH KEEFE CAMPBELL & ASSOC LLC 77 15WC 29788 HYATT, CANDY FARM & FLEET 03/13/15 MEYERS & FLOWERS WOLFE & JACOBSON, LTD 78 15WC 31442 BUTLER, SHAUN R TRIPLETT LAWN & LANDSCAPI 08/03/15 BACH, ROBERT W QUINN JOHNSTON HENDERSON ETA 79 15WC 31983 HAVENS, FRANKLIN DAVID VAUGHN & BUSHNEEL MFG 07/15/15 JOHNSON & JOHNSON HEYL ROYSTER VOELKER & ALLEN 80 15WC 38290 ESSEX, ANGELA PILLAR HOTELS D/B/A 09/11/15 JOHN LESAGANICH LAW OFFICES FRANCESCA LARSEN 81 16WC 01815 VARGAS, VERONICA MCDONALDS CLARK 01/20/13 INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 82 16WC 03629 WOLLACK, DALE CATERPILLAR INC 01/26/15 MEYERS & FLOWERS AMANDA WATSON 83 16WC 03691 FORD, KENNETH GROWMARK DBA SUNRISE 07/09/15 JAY H JANSSEN 84 16WC 05138 BRYSON, SHIRLEY HAWKINS MINE CONSTRUCTION # 04/17/14 CULLEY & WISSORE 85 16WC 05353 CROOKS, SEAN FREEMONS TREE & LOG SERVI W 06/15/15 KRISTINA D DION 86 16WC 05570 BROWN, DALE CATERPILLAR INC 04/11/15 AMANDA WATSON 87 16WC 06690 BARBSON, JEFFERY A KEYSTONE STEEL & WIRE CO 06/24/15 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 88 16WC 07158 ROBERTSON, ELIZABETH OTTO BAUM, INC 09/11/15 KINGERY DURREE WAKEMAN & R KNELL LAW LLC 89 16WC 07436 STONE, DONALD HEINZ BROTHERS TRUCKING 08/20/15 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 90 16WC 07724 SHARKEY, THEODORE PNG, INC 02/09/16 WARREN E DANZ, PC SCOPELITIS GARVIN LIGHT 91 16WC 08581 SUITS, BRENDA DARDEN RESTAURANTS INC D/ 11/15/13 HASSELBERG & ROCK WIEDNER & MCAULIFFE LTD 16WC008583 -C 16WC027232 -C 92 16WC 11776 STAHL, LYNN M BOYD GAMING D/B/A PAR-A-D 04/01/16 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 93 16WC 13697 DIXON, RICCO T GREATER PEORIA MASS TRANS 04/08/16 HARVEY & STUCKEL QUINN JOHNSTON HENDERSON ETA 94 16WC 13930 DAVIS, MARCUS GOLDEN CORRAL 03/03/16 95 16WC 13947 ROBINSON, GLEN CATERPILLAR, INC. 03/31/16 JOHN LESAGANICH CATERPILLAR 96 16WC 17180 FLOWERS, PAMELA S MENARDS 02/03/15 DAMON YOUNG GANAN & SHAPIRO 97 16WC 17820 WEAVER, SEAN CATERPILLAR, INC 05/23/16 JOHN LESAGANICH AMANDA WATSON 98 16WC 18024 MC QUAID, TAMMIE S. CATERPILLAR INC. 06/02/16 WINNE LAW OFFICE LLC CATERPILLAR, INC. 99 16WC 20902 MILROY, TIMOTHY D STAET OF IL CMS @ 03/08/16 JOHN LESAGANICH KRISTINA D DION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 16WC 20962 JOHNSON, RICKY EDDIE FREEMON JR & EDDIE W 05/18/16 WARREN E DANZ, PC LAW OFFICE OF CHRIS DOSCOTCH 101 16WC 22040 LLOYD, BRYAN CATERPILLAR, INC. 02/21/14 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 102 16WC 22245 INOCENCIO, ALFONSO JR INTERNATIONAL UNION OF 04/07/16 LAW OFFICE DAVID HUNT LAW OFFICES STEVEN PILAND 18WC033713 -C 103 16WC 22747 ORR, SARA M CATERPILLAR, INC 07/24/13 WINNE LAW OFFICE LLC CATERPILLAR 104 16WC 23759 STOVALL, JESSIE H DUST PATROL INC 06/24/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 105 16WC 25695 COX, TAMMIE ADVANCED MEDICAL TRANSPOR 10/13/15 LAW OFFICE DAVID HUNT JAMES M KELLY 16WC033335 -C 106 16WC 26221 BAILEY, BRETT ROAD SAFE 02/12/16 CUSACK FLEMING GILFILLAN E CRAIG A HANSEN 107 16WC 27175 19B MUDD, CHARLES GRIMM EXPRESS DELIVERY 02/01/16 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 026 16WC017489 -C 108 16WC 27323 BUYSSE, NINA M OSF ST FRANCIS MED CTR 45 04/18/16 JOHN LESAGANICH HINSHAW & CULBERTSON 109 16WC 29922 GRAY, DANIEL STATE OF IL, IDOC IL RIVE @ 10/06/15 REHN LAW LLC KRISTINA D DION 110 16WC 30342 SIEGEL, VICTOR L RAGLAND COMPANIES INC. 10/17/13 JOHN LESAGANICH 111 16WC 30657 CULBERSON, BERNICE FAYETTE COMPANIES HUMAN @ 09/22/16 WINNE LAW OFFICE LLC STEPHEN P. KELLY 112 16WC 31729 SPANI, MICHAEL JOHN AS AD CATERPILLAR INC 12/13/10 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 113 16WC 32294 VILLARREAL, JASON PEORIA AWNING CO 12/18/14 114 16WC 32770 BERLIN, BRYAN CITY OF PRINCETON 11/02/14 RUSIN & MACIOROWSKI LTD 16WC032776 -C 115 16WC 33876 VIGNASSI, TERRY ST OF IL/ DEPT OF PUBLIC @ 07/11/16 CUSACK FLEMING GILFILLAN E KRISTINA D DION 116 16WC 37360 HENRICKS, RONALD THE ARCHER DANIELS MIDLAN 11/10/15 LEFANTE LAW OFFICES FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 117 16WC 37403 MALINOWSKI, GARY COX TRANSFER 11/30/16 STEPHEN P. KELLY GANAN & SHAPIRO 118 16WC 37803 BOCKLER, DEBRA AMERICAN AIRLINES 12/05/16 GOLDFINE & BOWLES GAROFALO SCHREIBER STORM GRA 16WC039183 -C 119 17WC 02819 BOKESCH-PARSONS, CHARLENE PEORIA SCHOOL DISTRICT 15 @ 10/07/16 KANOSKI BRESNEY STEPHEN P. KELLY 120 17WC 03009 VONDERHEIDE, BRETT CITY OF PEORIA 09/19/14 STEPHEN P. KELLY 121 17WC 05035 ROMESBURG, GREGORY L RILEY'S TRUCKING 03/03/14 DOC HALLIDAY 122 17WC 05067 RANDLE, BARBARA UNITED GROUND EXPRESS INC 12/19/16 GOLDFINE & BOWLES NYHAN BAMBRICK KINZIE & LOWR 123 17WC 06664 VONDERHEIDE, APRIL HOPEDALE MEDICAL COMPLEX 11/16/16 LAW OFFICE OF CHRIS DOSCOT SLAVIN & SLAVIN 124 17WC 07635 DYNES, STEVEN R NEAL AUTO PARTS INC 02/02/17 DAMON YOUNG EVANS & DIXON 125 17WC 08140 SHIPLA, JOHN M GLOBAL SECURITY SERVICES 02/18/17 KELLY LAW 126 17WC 08803 19B HAUN, KEITH ALTORFER INC 10/31/16 DAVID HUNT HENNESSY & ROACH 127 17WC 09020 BOSECKER, GINA MASSAGE ENVY 12/20/16 LAW OFFICE DAVID HUNT 128 17WC 09339 POLNITZ, EVESTER LONG JOHN SILVER'S 01/05/17 STRONG LAW OFFICE CAPUANI & SCHNEIDER 129 17WC 09548 KIRBY, TERI CATERPILLAR 02/17/17 STEPHENS FIDDES MCGILL ASS CATERPILLAR 130 17WC 10238 SANDLIN, MELISSA BRADLEY UNIVERSITY 05/25/16 STEPHENS FIDDES MCGILL ASS HOLECEK & ASSOCIATES 131 17WC 10420 RILEY, KARLA BIG DADDY CAB 02/24/17 DAMON YOUNG 132 17WC 11273 PRINCE, LARRY HAYES MECHANICAL, LLC 03/28/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 133 17WC 12233 LOBELLO, KATHY CATERPILLAR 11/03/16 GOLDFINE & BOWLES AMANDA WATSON 134 17WC 12422 MYRICK, DAVID CATERPILLAR, INC 04/09/17 JAY H JANSSEN AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 135 17WC 12572 CARROLL, JOHN ILLINOIS STATE POLICE 07/15/16 RIDGE & DOWNES JOSEPH MOORE 136 17WC 12745 MANN, MELISSA KROGER 03/30/17 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 137 17WC 13999 19B WEMHEUER, WILLIAM ADVANCED TECHNOLOGY SVCS 10/31/16 CAPRON & AVGERINOS PC HEYL ROYSTER VOELKER & ALLEN 138 17WC 14128 BRISTOL, ASHLEY BARTLETT MANAGEMENT DBA K 03/07/17 STRONG LAW OFFICE 139 17WC 14264 LEACH, PAULA J OLIVE GARDEN USA 03/05/16 STEVEN P GLANCY WIEDNER & MCAULIFFE LTD 140 17WC 14893 LEMON-ELLIS, SHAMEIKA BICKFORD COTTAGE 04/01/17 STEPHENS FIDDES MCGILL ASS 141 17WC 15005 FERRIS, MICHAEL HY-VEE 05/03/17 JOHNSON & JOHNSON QUINN JOHNSTON HENDERSON ETA 142 17WC 17272 MAYES, DANNY PEORIA SCHOOL DISTRICT 15 04/03/17 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY 143 17WC 17893 MORELAND, KEVIN HALVERSON CONSTRUCTION CO 07/06/07 WILLIAMS & SWEE 144 17WC 17955 HELD, MICHAEL CATERPILLAR INC 08/25/16 AMANDA WATSON 145 17WC 18003 TRACEY, KEVIN CATERPILLAR, INC 03/02/15 DAMON YOUNG AMANDA WATSON 146 17WC 18334 MCKENRICK, JOSH CLASSY GRASS 05/26/17 147 17WC 19451 DWYER, DELBERT M SMG CORP HQ 11/18/16 DOC HALLIDAY RUSIN & MACIOROWSKI LTD 148 17WC 20434 BROWN, DARRELL BIG LOTS 06/12/17 STRONG LAW OFFICE LITCHFIELD CAVO 149 17WC 20510 HUESER, CHRIS J D STREETT & CO, INC 11/10/16 JAY H JANSSEN HENNESSY & ROACH, PC 150 17WC 21420 SCOTT, SHERMAN CATEPILLAR 03/16/17 STRONG LAW OFFICE AMANDA WATSON 17WC024158 -C CATERPILLAR 151 17WC 21671 HARRIS, RONNIE HAYES MECHANICAL LLC 06/21/17 JOHN LESAGANICH GAROFALO SCHREIBER STORM GRA 152 17WC 24066 HENDERSON, MARK MCDONALDS 05/28/17 DAMON YOUNG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 153 17WC 24184 WALLIN, RAYMOND C YETTER MANUFACTURING COMP 10/07/14 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 154 17WC 25486 19B SALMON, DUSTIN CITY OF PEKIN 05/24/17 STEPHEN P. KELLY POWER & CRONIN LTD 155 17WC 26115 WYDAJEWSKI, LEONARD CATERPILLAR, INC 12/14/15 LAW OFFICE DAVID HUNT CATERPILLAR, INC. 156 17WC 26210 GREEN, FRANCES SALVATION ARMY 07/27/17 JEFFREY R. BACH EVANS & DIXON 157 17WC 26954 ANDERSON, CHRISTOPH M NTN-BOWER CORPORATION 11/22/16 WIEDNER & MCAULIFFE LTD 158 17WC 27034 WELLER, TROY PRAIRIE FARMS DAIRY INC 07/21/17 LAW OFFICE DAVID HUNT KNAPP, OHL & GREEN 159 17WC 27679 JACKSON, RICHARD PEORIA PARK DISTRICT 08/22/17 KANOSKI BRESNEY HENNESSY & ROACH PC 160 17WC 28317 JOHNSON, VERNON DELTA GLOBAL STAFFING 02/23/17 STRONG LAW OFFICE KNELL LAW LLC 161 17WC 28363 GOOD, NATHAN BEAUMONT SMALL ANIMAL CLI 07/05/17 LEFANTE LAW OFFICES LAW OFFICE OF PAUL O WATKISS 162 17WC 28676 SARGENT, SHAWN HOPEDALE AGRI CENTER 08/10/17 JAY H JANSSEN INMAN & FITZGIBBONS 163 17WC 29154 YEAGER, DAVID CITY OF PEORIA 01/11/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 164 17WC 29871 BUGOS, TADD SPOON RIVER COLLEGE DIST 09/22/17 JOHN LESAGANICH GANAN & SHAPIRO 165 17WC 30018 DONALDSON, VICKIE CATERPILLAR INC 04/14/15 WINNE LAW OFFICE LLC AMANDA WATSON 166 17WC 30101 BUSS, ANDREA V UNITY POINT URGENT CARE P 04/03/17 SGRO HANRAHAN DURR RABIN STEPHEN P. KELLY 167 17WC 30147 UPP, THERESA CORNERSTONE FAMILY RESTAU 05/16/17 ESSIG LAW OFFICES 168 17WC 30322 HASKINS, TIFFANY MOSAIC IN MACOMB 08/20/15 JOHNSON & JOHNSON 169 17WC 30746 PHILLIPS, WILMA DCX-CHOL ENTERPRISES, INC 03/08/17 LAW OFFICE MARK WERTZ HOLECEK & ASSOCIATES 170 17WC 30827 MALONEY, SANDRA OSF ST FRANCIS 06/20/17 JAY H JANSSEN HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 171 17WC 31442 FARGHER, SHEA UNITY POINT - PROCTOR 10/09/17 STRONG LAW OFFICE STEPHEN P. KELLY 172 17WC 32116 LACEY, DANILLE MASON DISTRICT HOSPITAL 09/01/17 STRONG LAW OFFICE STEPHEN P. KELLY 18WC036229 -C 173 17WC 32281 HARMON, SHELLY KROGER 06/25/17 GOLDFINE & BOWLES STONE & JOHNSON CHARTERED 174 17WC 32479 WATSON, REASE EDWARD CITY OF PEORIA 10/25/17 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 175 17WC 32694 BARCALY, DAVID HAGERTY STEEL & ALUMINUM 08/25/17 STEPHEN P. KELLY POULOS & DIBENEDETTO LAW 176 17WC 33496 KIESER, SANDRA METHODIST HOME CARE 08/19/17 STRONG LAW OFFICE STEPHEN P. KELLY 18WC015396 -C 177 17WC 34042 EVANS, TYRON IDOT 04/23/17 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 178 17WC 34677 PORTER, CHRISTINE SHARON HEALTHCARE-PINES 10/24/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 179 17WC 35640 SIMMONS, HAROLD WAYNE KEYSTONE STEEL & WIRE CO 09/14/17 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 180 17WC 35964 MCCLANAHAN, RONNIE KEYSTONE STEEL & WIRE 11/14/17 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 181 17WC 37971 WHITMAN, CASSANDRA J.D. BYRIDER 09/01/17 WARREN E DANZ, PC 182 18WC 00171 BRIDSON, DONALD STATE OF IL @ 12/05/17 RIDGE & DOWNES ASSISTANT AT0TORNEY GENERAL 183 18WC 00704 HARDWICK, JENNIFER WAL-MART #5157 12/15/17 JOHN LESAGANICH GANAN & SHAPIRO 18WC031047 -C 184 18WC 01322 SMITH, JAY A CITY OF CANTON 11/11/17 THOMAS W DUDA POWER & CRONIN LTD 185 18WC 01853 WALDSCHMIDT, TAMMY CHARLES RIVER LABORATORIE 08/09/17 LAW OFFICE OF JEFF GREEN HENNESSY & ROACH 18WC002090 -C 186 18WC 02166 BAKER, TERESA MASSAGE ENVY 01/08/18 LAW OFFICE DAVID HUNT WIEDNER & MCAULIFFE LTD 187 18WC 02642 SMITH, MATTHEW RMH FOODS 01/11/18 STRONG LAW OFFICE EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 18WC 02806 DIMMITT, MARY JO MCDONOUGH DISTRICT HOSPIT 09/09/17 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 189 18WC 03273 FRANK, GLENDA OSF HOME CARE SERVICES 11/06/17 GOLDFINE & BOWLES HINSHAW & CULBERTSON 190 18WC 03466 HOLSTED, STEVEN DOUGLAS NAUVOO-COLUSA COMMUNITY U @ 08/31/15 LOGAN LAW 191 18WC 03775 KIRKBRIDE, SHARON CATERPILLAR, INC. 10/27/17 DAMON YOUNG AMANDA WATSON 192 18WC 04251 NAVA, SHAWN GREATWIDE TRUCKLOAD MANAG 02/16/15 MEYER CAPEL, PC BRADY CONNOLLY & MASUDA PC 193 18WC 04430 LARSON, HANK NTN BOWER CORPORATION 12/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 194 18WC 04602 WRIGHT, MELISSA OSF ST FRANCIS 01/15/18 HINSHAW & CULBERTSON 195 18WC 04692 GALLION, OLA PEORIA PUBLIC SCHOOL 12/13/17 CUSACK FLEMING GILFILLAN E STEPHEN P. KELLY 196 18WC 05806 JONES, DAVID ROANOKE CONCRETE PRODUCTS 11/14/17 JOHN LESAGANICH EVANS & DIXON 197 18WC 05837 MORRIS, BOBBY D CATERPILLAR, INC 06/16/16 HASSELBERG GREBE SNODGRASS AMANDA WAT0SON 198 18WC 05846 LOFTON, KYLER THE SEDONA GROUP D/B/A 01/31/18 QUINN JOHNSTON HENDERSON ETA 199 18WC 05849 FARSON, CODY CATERPILLAR INC 12/12/17 JOHN LESAGANICH AMANDA WATSON 200 18WC 05992 SKINNER, RITA HELP AT HOME 02/14/18 STRONG LAW OFFICE INMAN & FITZGIBBONS 201 18WC 07237 LEDESMA, STEVE ERNST YOUNG LLP 02/13/18 LEONARD LAW GROUP LLC PAUL LARIMORE 202 18WC 07743 HOWELL, STEVEN R MORTON RUBBER SUPPLY, INC 02/09/18 JAY H JANSSEN 203 18WC 07897 COOPER, CHERRI COLLEGE CHEFS 12/19/17 STEPHEN P. KELLY PAUL LARIMORE 204 18WC 08543 SILL, ERIC HACKMAN EXPRESS 07/21/17 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 205 18WC 08582 GIBB, KEVIN STATE OF ILLINOIS @ 03/01/18 JOHN LESAGANICH ASSISTANT AT0TORNEY GENERAL 206 18WC 08732 HUNT, SUSAN OSF ST FRANCIS 09/13/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 18WC013920 -C 207 18WC 08915 HILL, RODNEY LOWE/MAP AUTOMOTIVE 01/04/18 STRONG LAW OFFICE LUCY T. UNGER 208 18WC 09413 MC FARLANE, STEPHANIE CATERPILLAR, INC 02/23/18 STEPHEN P. KELLY CAT0ERPILLAR 209 18WC 09440 LACOCK, SHIRLEY GALLAGHER BASSETT 11/11/15 PATRICK JENNETTEN BRADY, CONNOLLY & MASUDA, PC 210 18WC 09489 BARRETT, AUDREY SNYDER VILLAGE 11/24/17 GOLDFINE & BOWLES WOLFE & JACOBSON, LTD 211 18WC 09527 HUNT, SUSAN J OSF ST FRANCIS MED CTR 09/13/17 DOC HALLIDAY HINSHAW & CULBERTSON 212 18WC 09754 CATO, RONALD, EXECUTOR FO CORNERSTONE RESAURANT 03/23/18 STRONG LAW OFFICE GANAN & SHAPIRO 213 18WC 10024 BOTTRELL, ANDREW STATE OF ILLINOIS @ 10/18/17 DAVID HUNT JOSEPH MOORE 214 18WC 10168 HEDGEPATH, RODNEY BTD MANUFACTURING 03/10/18 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 215 18WC 10353 DARLINGTON, CURT CITY OF EAST PEORIA 12/30/17 DAVID HUNT INMAN & FITZGIBBONS 216 18WC 11235 REED, DENISE KROGER'S 11/22/17 STRONG LAW OFFICE GANAN & SHAPIRO 217 18WC 11274 EINFELDT, DAKOTA L EAST MOLINE GLASS CO 05/28/15 BUSH MOTTO CREEN KOURY RUSIN & MACIOROWSKI LTD 218 18WC 11296 BILLINGSLEY, RHONDA OSF ST FRANCIS 02/06/18 STRONG LAW OFFICE HINSHAW & CULBERTSON 219 18WC 11391 DARROW, BELLAMY THE KROGER CO. 01/19/16 JOHN LESAGANICH GANAN & SHAPIRO 18WC014829 -C 220 18WC 11411 POWERS, TORI SPECIAL EDUCATION ASSOCIA 01/18/18 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 221 18WC 11859 PINTAR, RAYMOND L PHD 01/29/18 DOC HALLIDAY 222 18WC 11938 OWENS, DAWN ELMWOOD SCHOOL DISTRICT # 11/15/17 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 223 18WC 11941 OWENS, DAWN ELMWOOD SCHOOL DISTRICT # 02/20/18 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 224 18WC 12668 SHIELDS, JOSEPH AMERICAN TIRE DISTRIBUTOR 02/19/18 DAMON YOUNG LITCHFIELD CAVO 225 18WC 12684 HOESLY, JIL CITIZENS EQUITY FIRST 07/06/17 SCHWEICKERT & GANASSIN HENNESSY & ROACH 226 18WC 12912 FOOTE, ROBERTA PSL HOLDINGS LLC&WA-PSL H 03/01/18 LEFANTE LAW OFFICES BRYCE DOWNEY & LENKOV LLC 227 18WC 13294 FAHNDERS, CHRISTOPHER WINPAK HEAT SEAL CORPORAT 04/02/18 LEFANTE LAW OFFICES HOLECEK & ASSOCIATES 19WC031314 -C 228 18WC 13349 WILES, KYLE CATERPILLAR, INC 11/01/17 STEPHEN P. KELLY 229 18WC 13458 MCLAUGHLIN, MARY UNITYPOINT HEALTH METHODI 07/12/17 PETER F FERRACUTI & ASSOCI 230 18WC 13582 KORGIS, RUSSELL SET AND SERVICE RESOURCES 02/14/18 HAXEL LAW OFFICE 231 18WC 13726 BARLOW, RICHARD OSF HOME MEDICAL EQUIPMEN 02/15/18 STRONG LAW OFFICE HINSHAW & CULBERTSON 18WC013728 -C 18WC013924 -C 232 18WC 13797 MCCORMICK, CHAD KK STEVENS PUBLISHING CO 01/04/18 KELLY LAW EVANS & DIXON 233 18WC 14626 PITTMAN, SARAH PEORIA PUBLIC SCHOOL-DIST 03/19/18 STRONG LAW OFFICE STEPHEN P. KELLY 18WC014627 -C 19WC009050 -C 234 18WC 14811 BORTON, PATRICK AMERICAN RED CROSS 03/24/18 STEPHENS FIDDES MCGILL ASS ASA LAW GROUP 235 18WC 14882 REED, SABRINA W.I.C.C. 05/03/18 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 18WC015024 -C 236 18WC 15253 ARREGUIN, BETRIZ PARCO LTD D/B/A WENDY'S 02/21/17 STRONG LAW OFFICE CAPUANI, FRANK S 18WC022322 -C WENDY'S 237 18WC 15553 JACKSON, SCOTT PEPSICO D/B/A FRITO LAY, 04/24/18 JOHN LESAGANICH GILDEA, COGHLAN & REGAN LTD. 238 18WC 15608 ROBERTSON, DENNIS WALMART#1421 02/27/18 JOHN LESAGANICH GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 239 18WC 15614 STOUT, JOHN WORLD OF POWERSPORTS 04/27/18 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 240 18WC 15620 LANGENBAHN, JERRY CITY OF PEORIA 03/16/18 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 241 18WC 16114 MANCE, MATT AECOM 02/02/18 STRONG LAW OFFICE HENNESSY & ROACH 18WC016212 -C 242 18WC 16277 SEEYLE, HOWARD LOUIS EERTMOED 05/07/18 GOLDFINE & BOWLES 243 18WC 17067 DUNHAM, ROGER CITY OF PEORIA 05/04/18 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 244 18WC 17351 KYLE, JOSEPH KEYSTONE 02/15/18 CHRIS DOSCOTCH RUSIN & MACIOROWSKI LTD 245 18WC 17658 DRAWYER, TRACY CATERPILLAR, INC 05/08/18 STEPHEN P. KELLY CATERPILLAR, INC. 246 18WC 17775 FRAZER, CARRIE DOLLAR GENERAL 11/13/17 CUSACK GILFILLAN & O'DAY LEAHY EISENBERG & FRAENKEL 247 18WC 17977 MILLER, SCOTT SEDONA STAFFING 05/17/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 248 18WC 18185 ANDERSON, JENNIFER OSF MULTI-SPECIALTY GROUP 06/04/18 SCHWEICKERT & GANASSIN HINSHAW & CULBERTSON 249 18WC 18291 HINTZ, DENNIS CATERPILLAR INC 07/24/15 DAMON YOUNG CATERPILLAR 250 18WC 18542 BOGATITUS, DAVID CATERPILLAR 04/18/18 RICHARD E ALEKSY CATERPILLAR 251 18WC 18867 NELSON, DIRK CATERPILLAR 07/29/16 WILLIAMS & SWEE CATERPILLAR 252 18WC 18899 DE VALKENAERE, COLLEEN S CATERPILLAR, INC 09/22/17 DAMON YOUNG CATERPILLAR 253 18WC 19058 WHITE, CODY J CITY OF PEKIN 03/03/18 BACH LAW OFFICE POWER & CRONIN LTD 254 18WC 19282 WHITE, CODY J CITY OF PEKIN 11/08/15 BACH LAW OFFICE POWER & CRONIN LTD 255 18WC 19329 ANDERSON, MIA ROSEWOOD CARE CENTER OF P 06/22/17 DAMON YOUNG ACCIDENT FUND HOLDINGS 256 18WC 19578 COLLINS, LUTHER CATERPILLAR, INC 11/29/16 DAVID HUNT CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 257 18WC 19699 BOLEY, JAY MORTON BUILDINGS 04/02/18 STEPHEN P. KELLY KNELL LAW LLC 258 18WC 19747 BORTON, PATRICK AMERICAN RED CROSS 05/31/18 STEPHENS FIDDES MCGILL ASS ASA LAW GROUP 259 18WC 20773 DUITSMAN, MARILYN OSF ST FRANCIS MEDICAL CT 02/27/18 DOC HALLIDAY HINSHAW & CULBERTSON 260 18WC 21087 FOUTCH, GENE AG LAND FS 02/23/17 MARK WERTZ HEYL ROYSTER VOELKER & ALLEN 261 18WC 21202 BOSQUES, AARON GOODWILL INDUSTRIES OF 06/09/18 WINSTEIN KAVENSKY & WALLAC HEYL ROYSTER VOELKER & ALLEN 262 18WC 21749 PUTNEY, THOMAS JORDAN'S MOBIL 07/25/15 ANDREW J ALMASI 263 18WC 21844 ALSTON, LARRY O KOMATSU AMERICA CORP 06/19/18 HARVEY & STUCKEL HENNESSY & ROACH 264 18WC 23059 DIAZ, BEATRIZ (SISTER) MORTON INDUSTRIES 07/19/18 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 265 18WC 23270 CORNWELL, GEORGE AIR-LAND TRANSPORT SERVIC 04/06/18 STEPHENS FIDDES MCGILL ASS KNELL LAW LLC 266 18WC 23703 DOBBINS, JOHN TEAM CO INC DBA STAFFQUIC 06/20/18 JANSSEN LAW CENTER HENNESSY & ROACH 267 18WC 24019 BRAY, LYNN KROGER #647 07/04/18 JOHN LESAGANICH GANAN & SHAPIRO 268 18WC 24021 MARKSITY, AMY HEDDINGTON OAKS 07/04/18 DAVID HUNT STEPHEN P. KELLY 269 18WC 24500 MORRIS, NICHOLAS STAFFQUICK 04/26/18 GOLDFINE & BOWLES HENNESSY & ROACH 270 18WC 24680 BOLLEGAR, CHRISTINE CATERPILLAR, INC 08/04/18 JOHN LESAGANICH CATERPILLAR 271 18WC 25079 COOPER, JOYCE EPIC INC 01/07/18 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 272 18WC 25116 BUBE, TREVOR CATERPILLAR 08/08/18 DWORKIN AND MACIARIELLO CATERPILLAR 273 18WC 25173 HOMERIN, MELISSA (SURV SP AG-LAND FS, INC # 07/28/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 274 18WC 25279 SIMMONS, DELOIS IPLASTICS D/B/A ILLINOIS 06/27/18 JOHN LESAGANICH HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 275 18WC 26141 PARLIER, JEFFEREY CATERPILLAR INC. 08/14/18 STRONG LAW OFFICE CATERPILLAR 276 18WC 26157 BLAIR, CHARLES CATERPILLAR 08/24/18 DWORKIN AND MACIARIELLO 277 18WC 26180 MOREFIELD, ROBERT SWELLE BROTHERS TREE EXPE 05/14/18 CROWLEY & PRILL KNELL LAW LLC 278 18WC 26369 BURCH, JACK TAZEWELL MACHINE WORKS IN 06/12/18 JOHN LESAGANICH 279 18WC 26375 PETTIJOHN, VICTORIA OSF CENTER FOR HEALTH 07/05/18 STRONG LAW OFFICE 280 18WC 27169 USHER, LISA OSF ST FRANCIS MEDICAL CE 07/22/18 JOHN LESAGANICH 281 18WC 27231 THOMAS, JANEE SIMOS INSOURCING SOLUTION 06/24/18 DAVID W MARTAY 282 18WC 27275 WOLFE, JERRY VOLT TECHNICAL SERVICES 07/05/18 DAMON YOUNG EARLY & MIRANDA PC 283 18WC 27447 ROBISON, GREG CATERPILLAR, INC 07/04/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 284 18WC 27818 ROBERTSON, AMBER TAZEWELL COUNTY 01/14/18 DAMON YOUNG INMAN & FITZGIBBONS 285 18WC 28282 NOLAND, TYLER WRIGHT TREE SERVICE 09/12/18 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 286 18WC 28579 CROW, GORDON CITY OF PEORIA 08/27/18 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 287 18WC 28611 SALL, ELIA STATE OF ILLINOIS @ 01/18/18 STRONG LAW OFFICE JOSEPH MOORE 288 18WC 28720 WHITFIELD, LINDA PROCTOR PLACE 09/02/18 WOODRUFF JOHNSON RIPES NELSON BAGGOT KALOBRAT 289 18WC 28743 PATTERSON, JOSEPH J.A. FRITSCH & SONS INC 03/15/18 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 290 18WC 28789 MARCH, WILLIE DEMATIC CORP 06/06/18 JOHN LESAGANICH 291 18WC 28951 EVANS, CHRISTINA UNITY POINT HEALTH-METHOD 08/01/18 STRONG LAW OFFICE STEPHEN P. KELLY 292 18WC 29166 RALEPIGH, JAMES K O'NEILL TRANSPORTATION 09/29/17 CORNFIELD & FELDMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 293 18WC 29239 ANGLE, JULIE A TAZEWELL COUNTY HEALTH DE 06/13/17 KINGERY DURREE WAKEMAN O'D INMAN & FITZGIBBONS 294 18WC 29716 LAWSON, CIARA CHILDREN'S HOME 08/29/18 DAMON YOUNG WOLF LAW LTD 295 18WC 30940 KING, DANA, ADMINISTRATOR CITY OF PEROIA 09/07/18 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 296 18WC 31036 VANDUSEN, JAMES CATERPILLAR, INC 07/11/18 CHRIS DOSCOTCH CATERPILLAR 297 18WC 31046 CANTWELL, BRYAN KEITH SR O'BRIEN STEEL SERVICES CO 06/25/18 JOHN LESAGANICH 298 18WC 31256 GARRETTS, VERN CATERPILLAR, INC 10/17/17 DAMON YOUNG CATERPILLAR 299 18WC 31345 TAFF, RICHARD A KOMATSU AMERICA CORPORATI 04/12/18 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH 300 18WC 31547 TERRINI, JOSEPH WALMART SUPERCENTER 09/30/18 STRONG LAW OFFICE GANAN & SHAPIRO 301 18WC 31571 PROCTOR, LISA OSF HEALTHCARE SYSTEM 04/01/17 LEFANTE LAW OFFICES HINSHAW & CULBERTSON 302 18WC 32255 GRIMES, DEWAYNE UNITY POINT HEALTH METHOD 09/26/18 STRONG LAW OFFICE STEPHEN P. KELLY 303 18WC 32694 PULLIAM, MAY CITY OF PEKIN 09/26/18 DAVID HUNT POWER & CRONIN LTD 304 18WC 32854 PURDLE, TAMIKA EMBASSY SUITES 08/15/18 DAMON YOUNG HOLECEK & ASSOCIATES 305 18WC 32894 ALTPETER, SCOTT PRAIRIE HOME ALLIANCE 08/24/16 CUSACK GILFILLAN & O'DAY HEYL ROYSTER VOELKER & ALLEN 18WC032895 -C 306 18WC 32977 DUNCAN, KELLY ACOSTA 07/31/18 HARVEY & STUCKEL SPIEGEL & CAHILL, PC 307 18WC 32979 PIER, DAVID KOURIS PUB & GRILL 10/11/18 STRONG LAW OFFICE ACCIDENT FUND HOLDINGS 308 18WC 33006 MEUTH, SYDNEY HY-VEE 09/15/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 309 18WC 33170 HACK, TROY AMERICAN TIRE & DISTRIBUT 09/20/18 DAMON YOUNG LITCHFIELD CAVO 310 18WC 34063 CROW, GORDON CITY OF PEORIA 10/04/18 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 311 18WC 34821 PARKER, KAYRETHA CATERPILLAR 08/01/18 STRONG LAW OFFICE CATERPILLAR, INC. 312 18WC 35567 KYLE, ERIC AEROTEK 09/20/18 STEPHENS FIDDES MCGILL ASS 313 18WC 36066 ZACHERY, KENYON LINSEY'S PROFESSIONALHOOD W 10/31/18 WARREN E DANZ, PC JOSEPH MOORE 314 18WC 36107 JOB, MICHAEL L I & I CONSTRUCTION INC 05/07/18 CADY LAW FIRM, P.C. HEYL ROYSTER VOELKER & ALLEN 315 18WC 36260 AYERS, DAVID WALMART 06/16/18 DAMON YOUNG QUINTAIROS PRIETO WOOD & BOY 316 18WC 36261 AYERS, DAVID WALMART 07/19/18 DAMON YOUNG QUINTAIROS PRIETO WOOD & BOY 317 18WC 36585 REYNOLDS, LONNIE MATHESON TRI-GAS, INC D/B 09/27/18 JOHN LESAGANICH INMAN & FITZGIBBONS 318 18WC 36813 SONDERMAN, KELLY IRON-A-WAY, LLC 10/25/18 JOHN LESAGANICH HOLECEK & ASSOCIATES 319 18WC 36842 BEVARD, DENA THE CLAYBERG NURSING CENT 10/04/18 GOLDFINE & BOWLES 320 18WC 36859 LESONES, DAVID ILLINOIS CENTRAL SCHL BUS 06/12/18 GOLDFINE & BOWLES GILDEA, COGHLAN & REGAN LTD. 321 18WC 37439 DANIELSON, DONNA DOLLAR GENERAL 05/03/18 SIMPSON PETERSON LEAHY EISENBERG & FRAENKEL 322 18WC 37510 OWENS, AUSTIN CATERPILLAR, INC 09/18/18 JOHN LESAGANICH CATERPILLAR 323 18WC 37688 THOMPSON, SHELLEY STATE OF ILLINOIS-IDOT @ 11/16/18 DAMON YOUNG JOSEPH MOORE 324 18WC 37697 BECKER, CRYSTAL CATERPILLAR 11/08/18 STRONG LAW OFFICE CATERPILLAR 18WC038108 -C 18WC038117 -C 325 18WC 37939 STEWART, ANGELA STATE OF IL- DRS 11/26/18 DAMON YOUNG JOSEPH MOORE 326 18WC 37996 BISHOP, TRACY CROWN LIFT TRUCKS 11/27/17 CUSACK GILFILLAN & O'DAY HENNESSY & ROACH 327 18WC 38010 LEEBOLD, LAVERA W. CENTRAL IL SPECIAL ED @ 08/20/15 LOGAN LAW EVANS & DIXON 328 18WC 38134 DINKINS, CHRISTOPHER FIELDHOUSE BAR & GRILL 11/06/18 WARREN E DANZ, PC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 329 18WC 38168 ALEXANDER, PAMELA FIRST STUDENT 12/04/18 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 330 19WC 00284 ZIMMERMAN, BRIAN CITY OF PEKIN 12/18/18 DAVID HUNT POWER & CRONIN LTD 331 19WC 00493 LAING, JAY HINCKLEY SPRINGS 07/23/18 DAVID HUNT CHILTON YAMBERT PORTER LLP 332 19WC 01721 SLOAN, JOHN PEPSO BEVERAGE COMPANY 07/13/18 STEPHENS FIDDES MCGILL ASS GAIDO & FINTZEN 333 19WC 02006 JARIGESE, DAVID PEORIA CHARTER COACH COMP 09/01/17 GOLDFINE & BOWLES 334 19WC 02073 BEEBE, DAVID PEPSI BEVERAGE CORPORATIO 07/23/18 STEPHENS FIDDES MCGILL ASS GAIDO & FINTZEN 19WC037055 -C 335 19WC 02188 RODRIGUEZ, CESAR TUNAS CONSTRUCTION DBA KI 04/25/18 DAMON YOUNG WIEDNER & MCAULIFFE LTD 336 19WC 02217 COSGROVE, JOHN SR. FIRST GROUP AMERICA 01/15/19 STEPHEN P. KELLY WIEDNER & MCAULIFFE LTD 337 19WC 03275 BARRIGA, JOSE ERNESTO BAHENA W 01/21/19 338 19WC 03356 WRIGHT, RONALD JR CATERPILLAR, INC 12/21/18 STEPHEN P. KELLY DARCY GIBSON 339 19WC 03777 HARRIS, REGINALD RISINGER BROS 08/15/18 BROWN & JAMES, PC 340 19WC 04047 DOCKERY, LARRY SEDONA STAFFING SERVICES 12/20/17 DWORKIN AND MACIARIELLO 341 19WC 04558 YAEGER, DAVID CITY OF PEORIA 05/01/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 342 19WC 05144 SANCHEZ, DOLORES JASON'S DELI 01/15/19 DAMON YOUNG HOLECEK & ASSOCIATES 343 19WC 05733 BRIGGS, JOHN MOORE TIRES 01/15/19 KARLIN FLEISHER & FALKENBE 344 19WC 06037 JOHNSON, KAY VALESKA HINTON EARLY 07/28/17 LEFANTE LAW OFFICES STEPHEN P. KELLY 345 19WC 06064 FRANK, GLENDA OSF HOME CARE SERVICES 10/01/18 GOLDFINE & BOWLES HINSHAW & CULBERTSON 346 19WC 06115 MAYES, DANNY PEORIA PUBLIC SCHOOL DIST 10/15/18 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 347 19WC 06163 SIMONSEN, DAVID A CITYLINK 12/10/18 HASSELBERG GREBE SNODGRASS CASSIDY & MUELLER 348 19WC 06170 PARKS, CINDY L UNITYPOINT HEALTH-METHODI 07/02/17 JOHN LESAGANICH 349 19WC 06352 BOOTH, RICHARD CITY OF PEORIA 03/10/16 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 350 19WC 06395 BALDWIN, DIANTE CAST TECHNOLOGIES INC 01/25/19 JOHN LESAGANICH 351 19WC 06410 JONES, ONNA GENERATIONS AT PEORIA 01/22/19 ROCHFORD & ASSOC BRADY CONNOLLY & MASUDA PC 352 19WC 06629 TWEDELL, ANDREW KEYSTONE 01/24/19 DAVID HUNT RUSIN & MACIOROWSKI LTD 353 19WC 06890 GROVES, WILLIAM AUSTIN WESTERN IL UNIVERSITY 11/01/17 PATRICK JENNETTEN ASSISTANT ATTORNEY GENERAL 354 19WC 07149 LAWSON, DEVONTE SHERMAN'S 01/29/19 GOLDFINE & BOWLES LUCY T. UNGER 355 19WC 07165 POWERS, ANTHONY OTTER TAIL CORPORATION 11/05/18 KELLY LAW HEYL ROYSTER VOELKER & ALLEN 356 19WC 07278 MILES, REGINALD SMG HOLDINGS INC D/B/A PE 04/24/18 JOHN LESAGANICH 357 19WC 07390 WILLIAMS, JOHNNY E EXPRESS EMPLOYMT PROFESSI 02/06/19 JANSSEN LAW CENTER MC ANDREWS & NORGLE LLC 358 19WC 07465 SPIRES, PATRICK BELLA ELEVATOR 11/07/17 STRONG LAW OFFICE HOLECEK & ASSOCIATES 19WC030299 -C 359 19WC 08040 PITZER, LINDA UNITYPOINT HEALTH-METHODI 06/26/18 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY 360 19WC 08063 FELLERS, SUSANA VONACHEN GROUP, INC. 01/14/19 THOMSON & WEINTRAUB ACCIDENT FUND HOLDINGS 361 19WC 08152 DAVIS, COREY ZEHR PROPERTY MAINTANANCE 01/30/19 JOHN LESAGANICH 362 19WC 08426 HOOK, DANIELLE PAR-A-DICE CASINO 09/20/18 QUINN JOHNSTON HENDERSON ETA 363 19WC 08461 UTSINGER, MICHAEL MARCONE SUPPLY 01/10/19 STRONG LAW OFFICE CRAIG A HANSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 19WC 08492 SMITH, CHARMIA PEKIN MANOR 02/10/19 STRONG LAW OFFICE GANAN & SHAPIRO 365 19WC 08591 BISHOP, MARK PEORIA PARK DISTRICT 11/02/18 JEFF GREEN HENNESSY & ROACH 19WC008599 -C 19WC029834 -C 366 19WC 08811 LEUALLEN, TYLER SERVICEMASTER 10/18/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 367 19WC 09083 HAYES, CHERYLE BICKFORD SENIOR LIVING 12/01/17 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 19WC009086 -C 368 19WC 09130 BURGETT, KIMBER D DYNERGY MISWEST GENERATIO 02/06/18 STEPHEN P. KELLY 369 19WC 09457 BARRETT, AUDREY SNYDER VILLAGE 02/07/19 GOLDFINE & BOWLES WOLFE & JACOBSON, LTD 370 19WC 09460 JOHNSON, CONNIE ILLINOIS MUTUAL LIFE 01/24/17 GOLDFINE & BOWLES HENNESSY & ROACH 371 19WC 09462 WIECHMANN, HEIDI UNITYPOINT HEALTH PROCTOR 01/02/19 GOLDFINE & BOWLES STEPHEN P. KELLY 372 19WC 09621 SUTTER, JOSHUA CITY OF WASHINGTON 11/29/18 DAVID HUNT RUSIN & MACIOROWSKI LTD 373 19WC 09736 KATILE, APRIL PELLA CORPORATION 08/17/18 DAVID W MARTAY 374 19WC 09769 SHIPMAN, KIMBERLY BRIDGEWAY INC 05/17/16 MARK WERTZ 375 19WC 09863 CARPENTER, THORSTEN JR KOMATSU 01/24/19 DAMON YOUNG KNELL LAW LLC 376 19WC 09934 DOLAN, TIMOTHY HELPING HAND 11/02/18 BENASSI & BENASSI 377 19WC 10093 WILSON, TIFFANI PATHWAY MANAGEMENT DBA HE 01/24/19 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 19WC010094 -C 19WC010096 -C 19WC010230 -C 378 19WC 10405 STECKEN, RICHARD CATERPILAR, INC 03/11/19 JOHN LESAGANICH 379 19WC 10531 WIEMER, MARK INGREDION INCORPORATED 10/06/17 JOHN LESAGANICH HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 380 19WC 10766 STEPHENS, JANICE NAVIHEALTH 01/17/19 GOLDFINE & BOWLES HENNESSY & ROACH 381 19WC 10819 HUGHES, TREY J-TEC INDUSTRIES 01/24/19 STRONG LAW OFFICE 382 19WC 11053 MAYBERRY, KENNETH L CATERPILLAR, INC 11/06/15 DOC HALLIDAY CATERPILLAR, INC. 383 19WC 11344 ALEXANDER, ROOSEVELT WALMART 08/06/18 WARREN E DANZ, PC QUINTAIROS PRIETO WOOD & BOY 384 19WC 11370 TIMMONS, SEAN CATERPILLAR 08/22/18 JEFF GREEN 385 19WC 11694 PLIER, STEVEN SUN AG CORPORATION INC. 02/12/19 JANSSEN LAW CENTER CAPUANI, FRANK S 386 19WC 11829 CARPENTER JR, THORSTEN KOMATSU 02/21/19 DAMON YOUNG KNELL LAW LLC 387 19WC 11899 O'NEILL, JOHN KOENIG BODY & EQUIPMENT 01/08/19 CUSACK GILFILLAN & O'DAY 388 19WC 11916 HOULE, SUE FRITO-LAY 03/25/19 GOLDFINE & BOWLES GILDEA, COGHLAN & REGAN LTD. 389 19WC 11919 SKINNER, DIANA GENERATIONS AT RIVERVIEW 03/02/19 GOLDFINE & BOWLES BRADY CONNOLLY & MASUDA PC 390 19WC 12003 BECKETT, DEBRA COUNTRY SIDE FAMILY DINER W 03/23/19 WARREN E DANZ, PC GANAN & SHAPIRO 391 19WC 12102 ROYSE, GARY AEROTEK 03/06/19 STRONG LAW OFFICE HENNESSY & ROACH 392 19WC 12150 COTELLESO, BRIAN ALTER TRADING CORP 03/21/19 LANE & WATERMAN 393 19WC 12189 GIORDANO, BETH STATE FARM FIRE 01/15/19 JOHN LESAGANICH GAROFALO SCHREIBER STORM GRA 19WC015133 -C 394 19WC 12249 EVANS, KAMAL CATERPILLAR, INC. 04/02/19 CUSACK GILFILLAN & O'DAY CATERPILLAR, INC. 395 19WC 13081 BREWER, CAPTAIN SAM LEMAN 11/27/18 WARREN E DANZ, PC GANAN & SHAPIRO 396 19WC 13194 EERTMOED, FRED R IRONWAY 02/05/19 DAMON YOUNG HOLECEK & ASSOCIATES 397 19WC 13471 MAYER, BRANDON PEUGH PROPERTY MANAGEMENT 04/13/19 JOHN LESAGANICH GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 398 19WC 13963 SLOAN, RAMON PEPSI BEVERAGE 07/05/17 STEPHENS FIDDES MCGILL ASS GAIDO & FINTZEN 399 19WC 14173 FEASLEY, JOSHUA CATERPILLAR 01/18/19 STRONG LAW OFFICE CATERPILLAR, INC. 400 19WC 14199 JORDAN, PHIL NEW MEDIA INVESTMENT GROU 01/28/19 JOHN LESAGANICH KNELL LAW LLC 401 19WC 14210 COERS, MIKE DANIEL O'BRIEN W 12/19/17 PATRICK JENNETTEN 402 19WC 14443 SEGAL, ABIGAIL PEKIN COMM SCHOOL DIST #1 02/25/19 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 403 19WC 14741 WIECHMANN, HEIDI UNITYPOINT HEALTH PROCTOR 01/28/19 GOLDFINE & BOWLES STEPHEN P. KELLY 404 19WC 14822 TOCKES, BRIAN BACKSHOR SERVCIES, INC 01/24/19 STEPHENS FIDDES MCGILL ASS 405 19WC 15269 WETZEL, RYAN AMERICAN RED CROSS 10/25/17 STEPHEN P. KELLY ASA LAW GROUP 19WC018523 -C 406 19WC 15274 TERRELL, BOBBIE AMERICAN RED CROSS 03/16/19 STEPHEN P. KELLY ASA LAW GROUP 407 19WC 15368 HALL, TODD RESOURCE MFG 03/12/19 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 408 19WC 15418 BOLEN, KATHI CEFCU 12/04/18 STEPHEN P. KELLY HENNESSY & ROACH 409 19WC 15755 HOWARD, KEITH RENT-A-CENTER 08/11/18 JANSSEN LAW CENTER 410 19WC 16086 WILSON, MARY S GREATER PEORIA MASS TRANS 05/16/19 HARVEY & STUCKEL CASSIDY & MUELLER 411 19WC 16096 HALVERSON, CARRIE MCDONALDS 05/25/19 STRONG LAW OFFICE 412 19WC 16270 EVANS, THOMAS LEROY CMC & MAINTENANCE, INC 03/15/18 HEIPLE LAW OFFICE HOLECEK & ASSOCIATES 413 19WC 16548 WALLENFANG, KAITLYN LUTHERAN HILLSIDE VILLAGE 04/04/19 STRONG LAW OFFICE BRINKER & DOYNELLP 414 19WC 16569 HAMMER, TREY DUNLAP SCHOOL DISTRICT 04/29/19 HALLIDAY LAW LLC 415 19WC 16638 MURPHY JR, CLEMAN FRANKLI MIDWEST LIVESTOCK HAULERS 11/21/18 ANKIN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 416 19WC 16678 MCCOY, BRYAN O'BRIEN STEEL 05/13/19 STRONG LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 417 19WC 16761 GIORDANO, BETH STATE FARM FIRE & CASUALT 07/05/18 JOHN LESAGANICH GAROFALO SCHREIBER STORM GRA 418 19WC 16783 DUFUR, JAMES AJINOMOTO WINDSOR 02/25/19 PERONA PETERLIN ANDREONI 19WC015267 -C 419 19WC 17079 DRUMMOND, JACQUELINE HOLIDAY INN EXPRESS 03/21/18 STRONG LAW OFFICE GANAN & SHAPIRO 420 19WC 17139 ANDERSON, BONITA S COSTCO 03/12/19 BENASSI & BENASSI GANAN & SHAPIRO 421 19WC 17236 GARRISON, MISCHELL PEKIN COUNTRY CLUB 02/01/19 STRONG LAW OFFICE KNELL LAW LLC 422 19WC 17259 JOHNSON, CAROLYN CATERPILLAR INC 05/09/19 STEPHEN P. KELLY DARCY GIBSON 423 19WC 17275 LILLY, GERALD MV TRANSPORTATION 06/22/19 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 424 19WC 17427 FUNCHES, RICHELLE WAL-MART 03/01/19 DAMON YOUNG GANAN & SHAPIRO 425 19WC 18004 FREEMAN, BRIAN WEAVER POPOCORN BULK, LLC 05/28/19 LEFANTE LAW OFFICES 426 19WC 18083 HINTHORNE, KEITH GORDON FOOD SERVICE 03/04/19 DOC HALLIDAY 427 19WC 18102 FLORES, ADALBERTO CAST TECHNOLOGIES 06/11/19 DAMON YOUNG HEYL ROYSTER VOELKER & ALLEN 428 19WC 18556 DEISHER, JOSEPH PACIFIC PRESS TECHNOLGY 03/20/19 DWORKIN AND MACIARIELLO 429 19WC 18689 THOMPSON, KANISHA GRAPETREE MEDICAL STAFFIN 01/26/19 LEONARD LAW GROUP LLC BRADY, CONNOLLY & MASUDA, PC 430 19WC 18959 TURNER, SEAN O'REILLY AUTO PARTS 09/19/18 JOHNSON & JOHNSON HENNESSY & ROACH 431 19WC 19020 GILES, CHARLES MY TRANSPORTATION 05/21/19 DAMON YOUNG BRADY CONNOLLY & MASUDA PC 432 19WC 19411 BRUNTON, RUSSELL O'BRIEN STEEL 06/21/18 GOLDFINE & BOWLES 433 19WC 19412 BURKETT, GLEDA APOSTOLIC CHRISTIAN SKYLI 05/07/19 GOLDFINE & BOWLES GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 434 19WC 19645 BROWN, JEREMY PIONEER SMOKEHOUSE 11/16/16 LEFANTE LAW OFFICES RUSIN & MACIOROWSKI LTD 435 19WC 19780 CHASTEEN, HAROLD WEST CENTRAL ILLINOIS SPE 09/21/17 JOHN LESAGANICH NOBLE & ASSOC 436 19WC 19800 MCCOY, BRYAN BRIDGESTONE AMERICAS 06/23/19 STRONG LAW OFFICE EVANS & DIXON, LLC 437 19WC 19899 DAVIS, KERRIE CITY OF PEORIA 04/18/19 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 438 19WC 20139 OSBORNE, RANDY CITY OF PEORIA 11/30/18 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 439 19WC 20364 MCGINNIS, MARY MASON DISTRICT HOSPITAL 04/26/19 GOLDFINE & BOWLES STEPHEN P. KELLY 440 19WC 20397 IRBY, JOSHUA GREEN VIEW NURSERY 06/14/19 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 441 19WC 20509 WATSON, KYLE FUENTES CORP & 06/06/19 STRONG LAW OFFICE GANAN & SHAPIRO 442 19WC 20837 OSBORN, MICHAEL TIMOTHY A. BEHM, CONTRACT 07/05/19 JANSSEN LAW CENTER 443 19WC 20972 MCINTOSH, PHILLIP LIPPMANN'S FURNITURE 06/25/19 STEPHEN P. KELLY GILDEA, COGHLAN & REGAN LTD. 444 19WC 21072 BECHTEL, BETH CHILDREN'S HOME 05/10/18 STEPHEN P. KELLY WOLF & LAUDICINA LTD 445 19WC 21175 O'KEEFE, SANDRA PEORIA SCHOOL DISTRICT #1 12/20/18 JOHN LESAGANICH STEPHEN P. KELLY 446 19WC 21182 DAMM, DAVID HENRY GROCERS INC D/B/A 05/14/19 JOHN LESAGANICH 447 19WC 21197 SCOTT, JEFFERY ALLIED WELDING 06/26/19 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 448 19WC 21245 DENNIS, TARYN APERION CARE OF TOLUCA 06/23/19 DAMON YOUNG BRADY, CONNOLLY & MASUDA, PC 449 19WC 21391 DANNER, JARED PROFESSIONAL SWINE MANAGE 07/18/19 DWORKIN AND MACIARIELLO 450 19WC 21494 NORRIS, FRANK LANXESS 01/24/19 BECKER SCHROADER & CHAPMAN SPIEGEL & CAHILL, PC 451 19WC 21636 WILLEY, HEATHER KROGERS 07/09/19 STEPHENS FIDDES MCGILL ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 452 19WC 21732 WENZELMAN, BENJAMIN HENKELS & MCCOY 07/19/19 GWC INJURY LAWYERS LLC HEYL ROYSTER VOELKER & ALLEN 453 19WC 21795 ZINN, JEFF CATERPILLAR 06/28/19 GOLDFINE & BOWLES DARCY GIBSON 454 19WC 21861 BAGGS, MATTHEW HGS, INC 05/15/19 DOC HALLIDAY 455 19WC 21987 JOHNSON, WESTON SHERMAN'S APPLIANCE 07/10/19 STEPHENS FIDDES MCGILL ASS LUCY T. UNGER 456 19WC 22094 POLITIS, EKATERINI CITY OF PEORIA 06/21/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 457 19WC 22134 BRAGDON, DONALD STATE OF ILLINOIS @ 06/25/19 JOHN LESAGANICH JOSEPH MOORE 458 19WC 22181 MOWERS, MARK STATE OF ILLINOIS- DEPT O @ 06/10/19 GOLDFINE & BOWLES JOSEPH MOORE 459 19WC 22580 TOMASKO, ALBERT SECURITAS SECURITY SERVIC 06/24/19 JANSSEN LAW CENTER 460 19WC 22686 HOHENBERY, PATRICK II CATERPILLAR, INC 10/04/18 JAMES M KELLY CATERPILLAR, INC. 461 19WC 22730 MANS, DWIGHT CATERPILLAR, INC. 07/30/19 STEPHEN P. KELLY CATERPILLAR, INC. 462 19WC 22756 TESSIER, BRADLEY CROP PRODUCTION SERVICES 02/13/18 NO ATTORNEY 463 19WC 22967 FARRIS, JUDITH ILLINOIS CENTRAL 09/14/18 DAMON YOUNG GILDEA, COGHLAN & REGAN LTD. 464 19WC 23202 MILLER, BRENDA IRON-A-WAY 01/14/19 STEPHEN P. KELLY HOLECEK & ASSOCIATES 465 19WC 23274 RENNER, MICHAEL CATERPILLAR INC 07/25/19 STEPHEN P. KELLY DARCY GIBSON 466 19WC 23610 WHEELER, TRESSA MCDONOUGH COUNTY 07/15/19 LEFANTE LAW OFFICES RUSIN & MACIOROWSKI LTD 467 19WC 23723 KOPOSKY, JEFF EPIC 01/28/19 RIDGE & DOWNES BRYCE DOWNEY & LENKOV LLC 468 19WC 23926 FARMER, VICKY B COUNTY FINANCIAL 11/07/16 KANOSKI BRESNEY HOLECEK & ASSOCIATES 469 19WC 23948 HINES, DALE E DAVIS BUICK GMC 06/03/19 HASSELBERG GREBE SNODGRASS NOBLE & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 470 19WC 24070 QUINTERO, RAFAEL MATCOR METAL FABRICATION 06/28/19 STRONG LAW OFFICE 471 19WC 24171 MCGARY, MARTHA SC2 06/04/19 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 472 19WC 24356 JACKSON, JENISE CHILDREN'S HOME 05/13/19 GOLDFINE & BOWLES 473 19WC 24696 HULL, MOLLY STEAK N SHAKE 08/05/19 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 474 19WC 24806 SCHMIDT, JAMES J OSF INC 09/04/18 HARVEY & STUCKEL 475 19WC 24915 WOOLFOLK, FINIS SHARON HEALTH CARE ELMS 08/16/19 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 476 19WC 25084 HURT, PATRICIA VISTRA ENERGY CORPORATION 01/21/17 STEPHEN P. KELLY KEEFE & DEPAULI 477 19WC 25241 HARRIS, WILLIAM PETROCHEM INSULATION 03/22/18 STRONG LAW OFFICE HENNESSY & ROACH 478 19WC 25359 MONOHON, DANIEL SUPERIOR INDUSTRIES 08/20/19 STEPHEN P. KELLY GAROFALO SCHREIBER STORM GRA 479 19WC 25408 CATTON, BRAD CITY OF EAST PEORIA 06/25/19 DAVID HUNT INMAN & FITZGIBBONS 480 19WC 25476 COX, THOMAS TERRY TOMLINSON W 12/22/18 DAMON YOUNG 481 19WC 25544 DELGADO, JOSE DERBY PACKAGING INDUSTRIE 03/23/19 STRONG LAW OFFICE LUCY T. UNGER 482 19WC 25562 DINGLEDINE, AMY CHILI'S 01/09/19 STRONG LAW OFFICE 483 19WC 25875 SARVER, KITTRA STAR & STAR RETAIL W 04/07/19 DAMON YOUNG 484 19WC 26233 ROBERTS, KIM PARKER 08/12/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 485 19WC 26453 MCHONE, ROBIN NTN-BOWER CORP 09/30/16 WIEDNER & MCAULIFFE LTD 486 19WC 26614 LEWIS, DOUG CATERPILLAR INC 03/01/19 STEPHEN P. KELLY CATERPILLAR, INC. 487 19WC 26749 RILEY, CHRISTOPHER M STARK EXCAVATING, INC. 12/28/18 HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 488 19WC 26829 MULVANEY, GLEN UNITED PARCEL SERVICE 08/09/19 DAVID HUNT NYHAN BAMBRICK KINZIE & LOWR 489 19WC 26984 HALEY, DARRICK WRIGHT TREE SERVICE 08/28/19 ROCHFORD & ASSOC HEYL ROYSTER VOELKER & ALLEN 490 19WC 26995 HINKLE, DOMANQUE CAST TECHNOLOGIES 09/05/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 491 19WC 27105 KELLEY, TREVWER C FULTON COUNTY 07/28/19 CORNFIELD & FELDMAN 492 19WC 27177 LEWIS, DAVID ICC 09/20/18 ROCHFORD & ASSOC 493 19WC 27189 FITZPATRICK, SANDRA WALGREENS 04/18/19 STRONG LAW OFFICE EVANS & DIXON, LLC 494 19WC 27256 SPAHN, KELLY CATERPILLAR, INC. 06/04/19 DOC HALLIDAY CATERPILLAR, INC. 495 19WC 27300 HOMANN, SCOTT PRAIRIE FARMS DAIRY 06/25/19 STEPHENS FIDDES MCGILL ASS KNAPP, OHL & GREEN 496 19WC 27352 COOK, JAMES CNH INDUSTRIAL 07/09/19 STEPHEN P. KELLY INMAN & FITZGIBBONS 497 19WC 27434 HOCKMAN, JUDY CATERPILLAR INC 11/06/18 STEPHEN P. KELLY CATERPILLAR, INC. 498 19WC 27960 HOWELL, DAVID NTN BOWER CORP 08/13/19 DWORKIN AND MACIARIELLO 499 19WC 28161 BROWN, ROBERT VAUGHN & BUSHNELL MFG CO 03/31/18 REHN LAW LLC HOLECEK & ASSOCIATES 500 19WC 28250 FOBAR, ERIC EPIC 02/14/19 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 501 19WC 28335 SMITH, CHARMIA PEKIN MANOR 02/18/17 STRONG LAW OFFICE GANAN & SHAPIRO 502 19WC 28358 BERNIUS, MARSHALL YRC FREIGHT 04/12/19 STRONG LAW OFFICE 503 19WC 28600 COURTEAU, SEAN CATERPILLAR 09/02/19 GOLDFINE & BOWLES CATERPILLAR, INC. 504 19WC 28711 OXENDINE, DYLAN H BITTNER'S EUREKA LOCKER, 08/28/19 LEFANTE LAW OFFICES INMAN & FITZGIBBONS 505 19WC 29021 GERBER, TRINITY UNCLE BOB'S ICECREAM 09/11/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 506 19WC 29144 WISE, CASEY CATERPILLAR 07/03/19 STRONG LAW OFFICE DARCY GIBSON 507 19WC 29209 RUDD, FRANK EAGLE SERVICES INC 09/17/19 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 508 19WC 29316 MOYE, DEANNA HARDEE'S 08/17/19 DAMON YOUNG INMAN & FITZGIBBONS 509 19WC 29483 KING, KAMA CWTC 02/19/19 STRONG LAW OFFICE 19WC029492 -C 510 19WC 29618 WALKER, TIMYONIA CATERPILLAR, INC. 09/09/19 STEPHENS FIDDES MCGILL ASS CATERPILLAR, INC. 511 19WC 29726 SMITH, JOHNNIE STATE OF ILLINOIS @ 02/12/19 STEPHEN P. KELLY JOSEPH MOORE 512 19WC 29859 JACOBS, ARTHUR FRONTIER COMMUNICATIONS C 12/29/17 COSTIGAN & WOLLRAB PC 513 19WC 30147 ESCUDERO, GUADELUPE BEST WESTERN 04/19/19 DAMON YOUNG WIEDNER & MCAULIFFE LTD 514 19WC 30357 LUTES, TERRANCE CATERPILLAR 12/06/18 GOLDFINE & BOWLES DARCY GIBSON 515 19WC 30428 WORENT, BARRY PRAIRIE FARMS DAIRY, INC 09/12/19 JOHN LESAGANICH KNAPP, OHL & GREEN 516 19WC 30723 MAGANA, GLORIA LANGSTON BAG OF PEORIA 02/19/19 STEPHEN P. KELLY CRAIG A HANSEN 517 19WC 31039 WALLACE, ROCHELLE STATE OF ILLINOIS WESTERN @ 06/10/19 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 518 19WC 31055 LANE, KELLEY CITY OF PEORIA 09/24/19 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 519 19WC 31115 MAYBERRY, SCOTT WALMART 01/06/19 STEPHEN P. KELLY WIEDNER & MCAULIFFE LTD 520 19WC 31267 RENY, DANIEL J PEORIA #2 HY-VEE 09/30/19 JANSSEN LAW CENTER QUINN JOHNSTON HENDERSON ETA 521 19WC 31358 DEPOY, ANTHONY R BRIDGEWAY, INC 09/30/19 KANOSKI BRESNEY 522 19WC 31380 HEFT, STEPHEN ALLIED WELDING INC 03/04/19 GOLDFINE & BOWLES RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 523 19WC 31558 BANKES, JOHN JR. KEYSTONE CNSLIDATON INDUS 10/11/19 JOHN LESAGANICH 524 19WC 31695 SHROYER, TODD FARMINGTON COUNTRY MANOR 05/31/19 STRONG LAW OFFICE KOPKA, PINKUS DOLIN, PC 19WC031696 -C 525 19WC 31724 MAY, PHILIP ALCAST CO. 10/10/19 JOHN LESAGANICH WOLF & LAUDICINA LTD 526 19WC 31789 BUTTERFIELD, DOUGLAS G MCDONOUGH CTY SHERIFF'S O 05/18/18 RIDGE & DOWNES KEEFE & DEPAULI 527 19WC 31841 SMITH, PEPSI THE LOFT REHABILITATION 10/01/19 STRONG LAW OFFICE GANAN & SHAPIRO 528 19WC 31870 SILOTTO, MARK CATERPILALR, INC 03/01/19 JOHN LESAGANICH CATERPILLAR, INC. 529 19WC 32907 SMITH, BRENDA DOLLAR GENERAL 08/28/19 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 530 19WC 32957 MCNAIR, RHONDA WALLICK PROPERTIES MIDWES 10/10/19 DOC HALLIDAY 531 19WC 33242 IVEY, SHAUN CITY OF PEKIN 10/21/19 STEPHEN P. KELLY POWER & CRONIN LTD 532 19WC 33437 SCHRODER, WILLIAM G&O DISPOSAL, LTD 09/09/19 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 533 19WC 33485 MOLL, AARON MANITO SENTRY HARDWARE IN 09/06/19 GALLAGHER LAW PC GANAN & SHAPIRO 534 19WC 33563 IVES, GREG WASTE MANAGEMENT 11/18/18 DAMON YOUNG 535 19WC 33778 MAY, PHILIP ALCAST CO 11/04/19 JOHN LESAGANICH WOLF & LAUDICINA LTD 536 19WC 33945 BARR, COLIN RJ DISTRIBUTING 04/21/19 STEPHEN P. KELLY 537 19WC 34083 GARD, WILLIAM L G&D INTEGRATED 08/05/19 MARTIN, PATRICK W LAWRENCE COZZI - LAW OFFICE 538 19WC 34167 HODGE, ROBERT WALLICK COMPANIES 10/16/19 STRONG LAW OFFICE LUCY T. UNGER 539 19WC 34175 DAVIS, CRESHONDA PEORIA PUBLIC SCHOOL DIST 11/11/19 LEFANTE LAW OFFICES STEPHEN P. KELLY 540 19WC 34294 LEITNER, JENNIFER L CITYLINK 11/09/19 HASSELBERG GREBE SNODGRASS CASSIDY & MUELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 541 19WC 34505 BOHM, JEAN A CLEANER FINISH, LLC 11/13/19 KATZ FRIEDMAN EISENSTEIN 542 19WC 34703 ANDERSON, KIMBERLY PEORIA SCHOOL DISTRICT #1 02/08/19 JOHN LESAGANICH STEPHEN P. KELLY 543 19WC 34825 BERKLEY, DANIEL J CITY OF EAST PEORIA 08/06/19 BACH LAW OFFICE INMAN & FITZGIBBONS 544 19WC 34858 BRONSON, STEPHEN EMERALD KALAMA CHEMICAL 10/11/19 RATHBUN CSEVENYAK & KOZOL 545 19WC 34947 SANDERS, BRIEN AMEREN 09/02/19 SCHWEICKERT GANASSIN CASSIDY & MUELLER 546 19WC 35021 PULLEY, DARRIN COMPASS GROUP/EUREST DINI 07/10/18 DOC HALLIDAY GANAN & SHAPIRO 547 19WC 35057 VEAL, DAWN M TAZEWELL WOODFORD 11/09/17 STEPHENS FIDDES MCGILL ASS 548 19WC 35091 MORRIS, TANYA DAVIER HEALTH CARE CENTER 09/30/19 COSTA IVONE LLC 549 19WC 35202 MADON, TINA AJINOMOTO WINDSOR INC. 11/08/19 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 550 19WC 35269 WANLAND, BRANDON WILLIAMS BROTHERS CNSTRCT 09/13/19 DWORKIN AND MACIARIELLO 551 19WC 35521 HYMBAUGH, JOHN NE FINCH 09/09/19 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 552 19WC 35531 FABRY, TRACY ADDUS HEALTHCARE 08/01/19 STRONG LAW OFFICE HENNESSY & ROACH 553 19WC 35576 MEICHTRY, WENDY OSF HEALTHCARE 11/03/18 DAMON YOUNG HINSHAW & CULBERTSON 554 19WC 35915 GUTIERREZ, ROCIO LANGSTON COMPANIES 01/21/19 CUSACK GILFILLAN & O'DAY 555 19WC 35922 PFEIFFER, ROXANNE SPUDNUT INC 02/06/19 TUFFENTSAMER LAW 556 19WC 36049 HOCKMAN, JUDY CATERPILLAR INC 08/29/19 STEPHEN P. KELLY 557 19WC 36290 CROCKET, TREVA AUNTIE ANNE'S 12/20/17 KATZMAN & SUGDEN LUCY T. UNGER 558 19WC 36391 FERNANDEZ, JASON PEPSI BEVERAGES CO 11/08/19 GOLDFINE & BOWLES GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 559 19WC 36469 RETEGUIN, JUAN Y&C CONSTRUCTION, D/B/A 11/26/19 STRONG LAW OFFICE 560 19WC 36493 VONBOECKMAN, WENDY THE LODGE OF MANITO 10/29/19 STRONG LAW OFFICE 561 19WC 36553 BANKS, MARK MIDWEST CONSTRUCTION CO 11/01/19 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 562 19WC 36636 STEWART, ARTHUR KROGER 12/05/19 WARREN E DANZ, PC 563 19WC 36855 CULBERSON, CHRISTOPHER AMEREN ILLINOIS 03/29/19 CASSIDY & MUELLER 564 19WC 36942 GREENSTREET, KEVIN MATHESON TRI-GAS INC DBA 11/18/19 JOHN LESAGANICH INMAN & FITZGIBBONS 565 19WC 36980 KLAUS, ARTHUR CITY OF EUREKA 08/27/19 STRONG LAW OFFICE POWER & CRONIN LTD 566 19WC 37004 MCCLARY, FRANK G&D INTEGRATED 08/14/19 GOLDFINE & BOWLES COZZI & ZAPF LAW OFFICE 567 19WC 37017 BAUGH, MISTY CATERPILLAR, INC 05/20/19 CUSACK GILFILLAN & O'DAY CATERPILLAR, INC. 568 19WC 37045 RODDEN, ANITA DOLLAR GENERAL 11/22/19 STRONG LAW OFFICE LEAHY EISENBERG & FRAENKEL 569 19WC 37097 HARDY, SHANE PEOPLE READY 12/10/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 570 19WC 37137 LILLIE, JOHN BUELL'S MARINE 07/17/19 HULVEY LAW 571 19WC 37382 SCHOON, PATRICK ILLLINOIS RIVER CORRECTIO @ 02/09/19 HULVEY LAW JOSEPH MOORE 572 19WC 37521 HOWARD, JEFF PEORIA COUNTY CORONER 11/11/19 GOLDFINE & BOWLES 573 20WC 00125 MC COMBS, ERICA C GRAHAM HOSPITAL ASSOC 01/15/19 BACH LAW OFFICE 574 20WC 00361 KNOWLES, JENNIFER R GRAHAM HEALTH SYSTEM 03/16/19 HULVEY LAW 575 20WC 00405 MOOBERRY, BONNIE WALGREENS 05/14/19 RIDGE & DOWNES 576 20WC 00870 NAUMAN, RICHARD WATER WORKS CAR WASH 12/05/19 LUSAK AND COBB

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 577 20WC 00923 FRANKLIN, W.T. CITY LINK 04/01/19 STEPHEN P. KELLY CASSIDY & MUELLER 578 20WC 01073 JOHNSON, REBECCA FIRST HOSPITALITY GROUP I 11/18/19 STRONG LAW OFFICE LAWRENCE COZZI - LAW OFFICE 579 20WC 01159 DAMRON,MARY PIER ONE IMPORTS 11/29/19 CUSACK GILFILLAN & O'DAY INMAN & FITZGIBBONS 580 20WC 01197 WHITE, LYNETTE ROSEWOOD CARE CENTER 12/23/19 DAVID HUNT 581 20WC 01222 SOLOMON, MICHAEL LAHOOD CONSTRUCTION 11/08/19 STEPHEN P. KELLY 582 20WC 01223 SOLOMON, MICHAEL LAHOOD CONSTRUCTION * 12/13/19 STEPHEN P. KELLY 583 20WC 01421 GATLIN, LEON LUTHERAN HILLSIDE VILLAGE 03/19/19 DWORKIN AND MACIARIELLO HARRIS DOWELL FISHER & HARRI 584 20WC 01555 SHEPPARD, JESSICA SHARON HEALTH CARE ELMS 12/29/19 STRONG LAW OFFICE 585 20WC 01563 BELL, ERIC SR. SHERMANS WAREHOUSE 11/22/19 WARREN E DANZ, PC 586 20WC 01777 HILL, CHRISTOPHER ROADSAFE TRAFFIC SYSTEMS 12/04/19 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 587 20WC 01926 HAMM, CHANDRA L IL DEPT OF HUMAN SERVICES @ 10/11/19 MARK N LEE JOSEPH MOORE 588 20WC 02015 WALDSCHMIDT, TAMMY CHARLES RIVER 07/03/19 PATRICK JENNETTEN HENNESSY & ROACH PC 589 20WC 02041 SHIERS, PAULA OSF HEALTHCARE 08/07/18 DAVID HUNT 590 20WC 02138 BURNETT, BILLY IDOT/STATE OF ILLINOIS @ 02/25/19 HASSELBERG & ROCK JOSEPH MOORE 591 20WC 02290 WATSON, KIRBY CATERPILLAR 04/16/19 GOLDFINE & BOWLES CATERPILLAR, INC. 592 20WC 03042 BROWN, CHARLENE VILLAS OF HOLLY BROOK 11/26/19 STEPHENS FIDDES MCGILL ASS 593 20WC 03070 LATHAM, ELLWEE HARDEES 08/12/19 WARREN E DANZ, PC EVANS & DIXON 594 20WC 03179 MANTLE, RODNEY BTD MANUFACTURING 01/21/20 PATRICK JENNETTEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 595 20WC 03379 HERRIN, MARIANNE CANTON SCHOOL DISTRICT 01/17/19 STRONG LAW OFFICE INMAN & FITZGIBBONS 596 20WC 03653 PHELPS, CHRIS SALVATION ARMY 01/12/19 DAMON YOUNG EVANS & DIXON 597 20WC 03864 STARKEY, KATHLEEN T DEER CREEK-MACKINAW HIGH 01/08/20 KATZ FRIEDMAN EISENSTEIN RUSIN & MACIOROWSKI LTD 598 20WC 04000 JOHNSTON-GARCOS, MCKENSYE WALMART SUPERCENTER 08/17/19 DWORKIN AND MACIARIELLO 599 20WC 04126 MC KAY, RANDOL SMITH GARDEN CENTER 02/04/20 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 600 20WC 04139 VAUGHN, CORDELL CATERPILLAR INC 09/11/18 DAMON YOUNG DARCY GIBSON 601 20WC 04145 HARPER, JOSHUA LANGSTON BAG OF PEORIA 01/20/20 STRONG LAW OFFICE CRAIG A HANSEN 602 20WC 04325 CLARE, CHRISTOPHER ROANOKE CONCRETE * 01/08/20 STRONG LAW OFFICE GANAN & SHAPIRO 603 20WC 04423 PORTSCHELLER, JOSH PEPSI CO 11/06/19 STEPHEN P. KELLY GAIDO & FINTZEN 604 20WC 04696 HUNT, KIESHA D CITYLINK 11/27/19 HASSELBERG GREBE SNODGRASS 605 20WC 04714 ATKINS, TEDDY AEROTEK 04/09/18 GOLDFINE & BOWLES 606 20WC 04718 RODRIGUEZ, MAURICIO HOME COMFORT INSULATION 02/14/18 GOLDFINE & BOWLES 607 20WC 04724 MACCANELLI, ANNA JC PENNEY 11/01/19 CUSACK GILFILLAN & O'DAY RUSIN & MACIOROWSKI LTD 608 20WC 04734 GARCIA, ANTONIO JR. MIDDLE RIVER MARINE, LLC 11/11/19 BRILL & FISHEL SCHOUEST BAMDAS SOSHEA 609 20WC 04824 HILL, BRENT CATERPILLAR INC 06/15/18 STEPHEN P. KELLY CATERPILLAR, INC. 610 20WC 05037 WIELAND, MARK USF HOLLAND 02/20/20 STEPHEN P. KELLY 611 20WC 05216 ADAIR, BETH MORTON COMMUNITY BANK 10/09/19 JOHN LESAGANICH 612 20WC 05244 ARAGON, MARTHA GOLDEN CORRAL 02/13/20 STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 613 20WC 05356 JOHNSON, WESTON UFTRING AUTO GROUP 01/27/20 STEPHENS FIDDES MCGILL ASS 614 20WC 05659 TODD, CHRIS OSF ST FRANCIS MEDICAL CE 12/04/19 JOHN LESAGANICH 615 20WC 05710 FUNCHESS, STEFFAN UNITY POINT METHODIST 12/24/19 STEPHENS FIDDES MCGILL ASS 616 20WC 05740 DESPINES, BRIAN CITY OF EAST PEORIA 01/24/20 DAVID HUNT INMAN & FITZGIBBONS 617 20WC 05746 WASHINGTON-THOMAS, MARY MV TRANSPORTATION 11/21/19 GOLDFINE & BOWLES BRADY CONNOLLY & MASUDA PC 618 20WC 05949 SCHNIBBEN, JOHN CITY OF PEORIA 01/06/20 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 619 20WC 05977 JOHNSON, ROBBIE STATE OF ILLINOIS DEPT OF @ 04/18/18 DAVID HUNT JOSEPH MOORE 620 20WC 06030 HURST,HEATHER WILDLIFE PRAIRIE PARK 11/29/19 STRONG LAW OFFICE 621 20WC 06111 HILL, LISA LUCKY BREAK 02/06/20 STRONG LAW OFFICE WOLF & LAUDICINA LTD 622 20WC 06127 LONG, RICKY ILLINOIS OIL MARKETING 11/16/18 GOLDFINE & BOWLES BRADY, CONNOLLY & MASUDA, PC 623 20WC 06144 HERNANDEZ, JUAN BTD MANUFACTURING 10/25/19 DAMON YOUNG 624 20WC 06290 SMITH, NICHOLE R PELLA CORPORATION 08/16/19 KANOSKI BRESNEY 625 20WC 06360 GARCIA, ANTONIO JR. MIDDLE RIVER MARINE, LLC 08/11/19 BRILL & FISHEL 626 20WC 06483 LEWIS, DOUGLAS CATERPILLAR,INC 06/10/18 DARCY GIBSON 627 20WC 06562 BROWN, JENNIFER WALMART 01/23/20 JANSSEN LAW CENTER GANAN & SHAPIRO 628 20WC 06673 PEACHER, DANIEL UNITY ENVIROTECH ILLINOIS 09/23/19 KINGERY DURREE WAKEMAN O'D 629 20WC 06703 GAYLOR, REBECCA L EAST PEORIA SCHOOL DIST 8 11/15/18 KINGERY DURREE WAKEMAN O'D 630 20WC 06899 NUTTER, BRIAN CITY OF PEORIA 01/27/20 CUSACK GILFILLAN & O'DAY HASSELBERG GREBE SNODGRASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 631 20WC 07099 CURTIS, ELLIOT PEORIA PARK DISTRICT 04/29/18 GOLDFINE & BOWLES 632 20WC 07169 LEWIS-RISBY, TERRALETTE ERA VALDIVIA CONTRACTORS, 06/29/18 PATRICK JENNETTEN 633 20WC 07328 SAMS, DOUGLAS OLD REPUBLIC INSURANCE CO * 06/06/19 CRAIG A HANSEN 634 20WC 07459 SMITH, SCOTT HAAS INTERNATIONAL * 11/11/19 STRONG LAW OFFICE WOLF & LAUDICINA LTD 635 20WC 07491 ABERNATHY, COY WESTERN ILLLINOIS UNIVERS * 02/21/20 STEPHEN P. KELLY ASSISTANT ATTORNEY GENERAL 636 20WC 07599 GANDY, AUSTIN DAKER SEAMLESS GUTTERS * 12/22/17 STRONG LAW OFFICE 637 20WC 07654 SMITH, DENISE M CEFCU * 02/14/20 HARVEY & STUCKEL 638 20WC 07715 ROGERS, MATTHEW ALLIED UNIVERSAL SECURITY * 03/10/20 STEPHEN P. KELLY GAROFALO SCHREIBER STORM GRA 639 20WC 07874 ZEISLER, EDNA NTN BOWER CORPORTATION * 12/24/18 DWORKIN AND MACIARIELLO 640 20WC 07960 MINER, CARA BUREAU COUNTY SHERIFFS OF * 05/06/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 641 20WC 08009 RANDLE, ADRIANE M PULLING FREIGHT * 01/06/20 LEFANTE LAW OFFICES 642 20WC 08047 DURM, TODD LIBERTY STEEL & WIRE * 06/15/19 STRONG LAW OFFICE 643 20WC 08131 ZIMMERMAN, ASHLEY US XPRESS ENTERPRISES * 06/19/19 STRONG LAW OFFICE HENNESSY & ROACH PC 644 20WC 08195 HENDON, DERRIC STATE OF ILLINOIS @ * 02/14/20 JOHN LESAGANICH JOSEPH MOORE 645 20WC 08212 DONNELLY, ROBERT EMPLOYBRIDGE LLC FOR REAL * 12/18/19 JOHN LESAGANICH SPIEGEL & CAHILL, PC 646 20WC 08462 FARNEY, EMILY KROGER * 12/20/19 STRONG LAW OFFICE 647 20WC 08707 MUSTREAD, CHARLES CATERPILLAR, INC * 02/17/20 STEPHEN P. KELLY CATERPILLAR, INC. 648 20WC 08728 STRUNK, BRYAN STATE OF ILLINOIS @ * 03/04/20 DAMON YOUNG JOSEPH MOORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 649 20WC 08763 VAUGHN, CORDELL KEYSTONE STEEL & WIRE * 03/16/18 DAMON YOUNG 650 20WC 08810 GRANT, JARRAD MEL'S CAFE * 03/01/20 JANSSEN LAW CENTER 651 20WC 08973 KENON, SHATAQUA TOWNE PARK LLC * 10/18/19 STRONG LAW OFFICE 652 20WC 09193 HESS, SEAN RENY BROTHERS ROOFING * 03/13/20 DWORKIN AND MACIARIELLO 653 20WC 09212 LINGLE, JAMES PEOPLELINK STAFFING SOLUT * 02/21/20 DWORKIN AND MACIARIELLO 654 20WC 09482 WILLIAMS, ROBERT BOLEY TOOL & MACHINE WORK * 02/19/20 JOHN LESAGANICH 655 20WC 09506 SEDGWICK, KIMBERLEY J WESTER ILLINOIS UNIVERSIT @ * 02/26/20 KANOSKI BRESNEY 656 20WC 09527 ROSEN, JOE BTD MANUFACTURING * 04/03/20 STEPHEN P. KELLY 657 20WC 09582 SIMMONS, WILLIAM SHARKEY TRANSPORTATION, I 09/20/19 ACCIDENT FUND HOLDINGS 658 20WC 09842 COSGROVE, ROBERTA CITY LINK * 02/06/20 WARREN E DANZ, PC 659 20WC 09863 GILPIN, PAULA HEARTLAND HEALTH CARE * 03/15/20 GALLAGHER LAW PC BRYCE DOWNEY & LENKOV LLC 660 20WC 10012 GOINES, RICHARD JR PEORIA CITIZENS COMM ECON * 03/26/20 STRONG LAW OFFICE 661 20WC 10196 BOAZ, WAYNE T SC2 * 11/12/19 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 662 20WC 10289 HUFNAGEL, ED ROHN PRODUCTS * 12/24/19 STEPHEN P. KELLY 663 20WC 10508 BILDERBACK, BENTLY MILLER & MARTIN * 04/10/20 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 664 20WC 10600 SEELYE, LAWRENCE MID-ILLINI AUTO CENTER, I * 06/18/19 PATRICK JENNETTEN 665 20WC 10827 OSBORN, MIKE TIM BEHM D/B/A PAINTING & * 07/05/19 GOLDFINE & BOWLES 666 20WC 10897 STAMBAUGH, TEAGE DELAVAN AMBULANCE * 01/02/20 DAMISCH & DAMISCH LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 667 20WC 10976 MOORE, RODNEY K VAUGHAN & BUSHNELL MFG CO * 11/07/19 KANOSKI BRESNEY 668 20WC 11021 BAUMAN, DAWN OSF * 12/02/19 PATRICK JENNETTEN 669 20WC 11101 JORDAN, DENNIS UFTRING AUTOMOTIVE GROUP, * 01/24/20 GANAN & SHAPIRO 670 20WC 11176 COFFEY, FORREST CATERPILLAR, INC * 04/06/20 JOHN LESAGANICH 671 20WC 11217 SEA, ROBERT CITY OF PEKIN * 11/14/19 DAMON YOUNG 672 20WC 11258 HOLCOMB, FRANK PEORIA PARK DISTRICT * 05/17/19 HENNESSY & ROACH PC 673 20WC 11384 WOOD, MATHESON CITY OF PEORIA * 03/03/20 STEPHEN P. KELLY 674 20WC 11410 VENYAK, KANDIS WEXFORD HEALTH SOURCE * 10/12/19 DAVID HUNT 675 20WC 11421 DANE-SIEGLER, JACQUELINE WAL-MART * 12/18/19 JANSSEN LAW CENTER 676 20WC 11615 HAYWOOD, CHAUNCEY CNH GOODFIELD * 12/21/18 STEPHEN P. KELLY 677 20WC 11694 MATTERN, JEREMY CATERPILLAR * 04/20/20 STRONG LAW OFFICE 678 20WC 11712 WOOD, TAYLOR KEYSTONE CONSOLIDATED * 09/10/19 CRAIG A HANSEN 679 20WC 11765 MORDHORST, MILO K ALTORFER, INC * 07/05/18 ESSIG LAW OFFICES HOLECEK & ASSOCIATES 680 20WC 11800 HATHCOCK, MARCIA UNITY POINT HEALTH-PROCTO * 11/07/19 DAMON YOUNG 681 20WC 11971 PASSWATER, CHARLES MIDWEST CONSTRUCTION SERV * 05/05/20 STEPHEN P. KELLY 682 20WC 12100 HOLOCKER, DON KOMATSU AMERICA CORP * 03/07/20 GOLDFINE & BOWLES 683 20WC 12159 MCNEAL, RYAN WALMART * 05/15/20 DWORKIN AND MACIARIELLO 684 20WC 12625 BERNSHAUSEN, JOHN A FORMAN FIRE PROTECTION * 03/14/19 COZZI & ZAPF LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HINRICHS, ADAM 002 ARBITRATION CALL FOR PEORIA 41001 ON 07/13/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 685 20WC 12688 POTTS, DORA TAZEWELL COUNTY HEALTH DE * 06/24/19 GOLDFINE & BOWLES 686 20WC 12724 STEAR, STACY CITY OF PEORIA * 05/01/20 STEPHEN P. KELLY 687 20WC 12942 STONE, RONALD KEYSTONE CONSOLIDATED * 08/26/19 CRAIG A HANSEN 688 20WC 12958 ELLEFRITZ, TRAVIS CITY OF PEORIA * 06/01/20 STEPHEN P. KELLY 689 20WC 12985 SOLOMON, RANDY CATERPILLAR, INC * 03/24/20 STEPHEN P. KELLY