ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 20295 ST VINCENT, CAROL SUE CHRYSLER CORPORATION 03/03/01 THOMAS R LICHTEN WILLIAMS & MCCARTHY 02WC038639 -C 03WC037758 -C DAIMLER CHRYSLER CORPORATI 05WC005739 -C 05WC005740 -C DAIMLER CHRYSLER CORPORATI 07WC029633 -C 2 07WC 26057 MIRACLE, MARIE EYEMART EXPRESS INC 04/27/07 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 3 07WC 28559 KOSTKIEWICZ, PAWEL SEA BRIGHT INSURANCE 06/11/07 MINKOW DOMIN LITCHFIELD CAVO 4 07WC 37748 JONES, DEAN NICOR GAS 06/09/07 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 07WC037749 -C 07WC048432 -C 5 07WC 47019 ROBIN, KIMBERLY GENERAL MILLS, INC. 09/25/07 GESMER LAW OFFICES, PC PAUL A COGHLAN & ASSOC 6 08WC 10425 TAYLOR, PAULA ST OF IL - IDFPR-DPR @ 12/04/07 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 11WC009621 -C STATE OF ILLINOIS 7 09WC 38391 BURNELL, DAVIS S & S CARTAGE 10/11/08 BLACK, JIM LAW OFFICE HINSHAW & CULBERTSON 8 09WC 52126 CHEMELLO, JUDY CRUSANDER CLINIC 08/01/09 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 09WC052127 -C 09WC052128 -C 09WC052129 -C 9 10WC 03147 GUETTERMAN, GABRIELLA CHRYSLER LLC 12/01/09 KRETMAR BEATTY & SANDZA WIEDNER & MCAULIFFE LTD 10 11WC 20798 JOHNSON, PAUL R L LEEK 04/30/11 BLACK & JONES CHILTON YAMBERT PORTER LLP 11 11WC 27138 HOWELL, MELODIE S GENERAL MILLS, GREEN GIAN 10/21/10 GREG TUITE & ASSOC PAUL A COGHLAN & ASSOC 12 12WC 02773 SMITH, MICHAEL CHEM TOOL INC 09/20/11 JOHN S. ELIASIK LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 12WC 04955 BOWGREN, JERRY DAVID HEEREN TRUCKING 11/24/11 COLLISON LAW OFFICES GILDEA & COGHLAN 14 12WC 07220 CUMBA, MARIBELLE JAC BELVIDERE CROSSLINK A 02/03/12 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 15WC026858 -C IAC BELVIDERE CROSSLINK 15WC026859 -C 17WC011558 -C IAC BELVIDERE CROSSLINK AK 15 12WC 11534 DOWNING, JEFFREY A FREEPORT METAL SPECIALTIE 03/09/11 GREG TUITE & ASSOC BRADY CONNOLLY & MASUDA PC 16 12WC 12635 NACHAMPASSACK, KINGKAMONE TESTORS CORPORATION 03/01/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 17 12WC 12636 NACHAMPASSACK, KINGKAMONE TESTORS CORPORATION 01/18/11 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 18 12WC 13666 MINARDI, ANTHONY R CARDINAL GLASS COMPANY 03/15/12 GREG TUITE & ASSOC ROBERT L. SMITH 13WC017675 -C 19 12WC 23178 SCHROEDER, GEOFF CHRYSLER LLC 05/31/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 20 12WC 26445 MYHRE, JEANNE CHRYSLER LLC 05/09/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 16WC034036 -C FCA US LLC 21 12WC 26637 GREEN, THERESA ETNYRE 05/02/12 BLACK & JONES CLARK FROST 22 12WC 29417 MACAULAY, YVONNE BERNER FOOD & BEVERAGE 04/12/12 THOMAS J STIBERTH LAW OFFI CAPUANI, FRANK S 12WC036465 -C 23 12WC 35294 RUSSELL, STEVE STATE OF ILLINOIS/DORS @ 08/31/12 BLACK & JONES JORDAN FRANK 24 12WC 41919 EGELSTON, SCOTT J.B. HUNT 09/14/10 BLACK & JONES COZZI & GOGGIN-WARD 25 13WC 00712 CARRILLO, KELLI LUMEA STAFFING 12/19/09 BLACK & JONES 26 13WC 06240 HITCH, TINA GENERAL MILLS 01/15/13 BLACK & JONES PAUL A COGHLAN & ASSOC 27 13WC 11687 JACOBS, PAUL CHRYSLER ASSEMBLY PLANT 01/30/13 ANESI OZMON RODIN NOVAK KO WIEDNER & MCAULIFFE LTD 28 13WC 16325 HULTQUIST, RICHARD L ED TRNYRE & CO 01/01/11 BLACK & JONES CLARK FROST

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 29 13WC 22899 KINGPHAVONG, PHANOMPHONE TESTORS CORPORATION 02/12/13 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 30 13WC 29206 MELTON, ANTHONY DOUBLE A ROOFING W 11/04/12 BLACK & JONES 31 13WC 33061 HOYLE, NANCY SWEDISH AMERICAN MEDICAL 03/04/11 BLACK & JONES WILLIAMS MCCARTHY LLP 32 13WC 36237 GOMEZ, MARCO PETERSON CLEANING 11/27/12 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 33 13WC 37157 ROGERS, ANTHONY JR CHRYSLER LLC 10/12/12 KATZ FRIEDMAN EAGLE ET AL 34 13WC 40593 GUTIERREZ, ZENON AUSTIN-WESTRAN 05/20/13 ANESI OZMON RODIN NOVAK KO RIPES NELSON BAGGOT KALOBRAT 14WC029921 -C 35 13WC 42632 DELEHANTY, GENE TH FOODS 12/12/13 FRANCINE B WHITE HOLECEK & ASSOCIATES 36 14WC 01246 SELL, BARBARA WALMART SUPERCENTER 07/21/13 CLARK FROST WIEDNER & MCAULIFFE LTD 37 14WC 01497 BILJESKOVIC, LUKA ZENITH CUTTER 12/19/12 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 38 14WC 06990 SOLORIO, MARIA G COURTYARD BY MARRIOTT 12/20/13 AIOSSA LAW FIRM GANAN & SHAPIRO 39 14WC 07333 LUNDSTROM, JEFF HILDEN REMODELING 09/13/13 BLACK & JONES 40 14WC 08786 LANDWEHR, TERRACE L ARK LOGISTICS 05/29/13 TAMVAKIS, GEORGE L NYHAN BAMBRICK KINZIE & LOWR 41 14WC 19733 NGUYEN, HA HAMILTON SUNDSTRAND 06/01/11 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 42 14WC 20122 THORNTON, DEBORAH CHRYSLER CORP 06/17/13 BLACK & JONES WIEDNER & MCAULIFFE LTD 43 14WC 20191 LINN, BRIGITTE ASTA CARE CENTER OF ROCKF W 05/25/14 FOHRMAN, DONALD W & ASSOCS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 44 14WC 20766 PRINCE, LARRY SEIMENS 03/12/14 RIDGE & DOWNES HOLECEK & ASSOCIATES 45 14WC 23671 TILLMAN, THOMAS CHRYSLER 11/26/13 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 15WC020568 -C 46 14WC 26695 HEITTER, CARLA J CITY OF ROCKFORD 05/01/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 14WC037749 -C 47 14WC 28487 PETERSON, RICHARD G COMCAST CABLEVISION 01/02/14 REESE & REESE POWER & CRONIN LTD 14WC038348 -C 15WC017127 -C 15WC038083 -C 48 14WC 29387 ORR, KIMBERLY ROCKFORD SCHOOL 01/01/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 49 14WC 29850 HALL, JOHN J CITY OF ROCKFORD 08/17/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 16WC024346 -C 50 14WC 33731 BAUMAN, MICHAEL D CITY OF ROCKFORD 03/05/14 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 16WC003687 -C 51 14WC 34757 MARTINEZ, REUBEN JOHN D AMERICAN DREAM HOME INC. 08/29/14 MARTIN V KUGIA COZZI & GOGGIN-WARD 52 14WC 35710 PEARSON, KELLY CHRYSLER CORP 09/04/14 BLACK & JONES WILLIAMS MCCARTHY LLP 53 14WC 37054 HOWARD, TRACY JOSEPH JAMES PARTNERS 11/30/13 BLACK & JONES LEAHY EISENBERG & FRAENKEL 54 14WC 37704 HERNANDEZ, SALVADOR ARCHITECTURAL METALS LLC 08/02/13 GREG TUITE & ASSOC BRYCE DOWNEY & LENKOV LLC 55 14WC 39510 FLETCHER, JAMES WINNEBAGO COUNTY HIGHWAY 09/19/13 BLACK & JONES WILLIAMS MCCARTHY LLP 56 14WC 40554 JOHNSON, JAMES A PER MAR SECURITY 10/20/14 ANESI OZMON RODIN NOVAK KO COZZI & GOGGIN-WARD 57 14WC 42485 HOLMES, JAMES IAC BELVIDERE CROSSLINK A 11/13/14 58 14WC 42688 TORIBIO, ALEJANDRO JAN CORTEZ/JC REMODELING W 10/22/14 BLACK & JONES 59 15WC 00031 STAMLER, CORA MENARDS 01/10/14 BLACK & JONES CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 60 15WC 00032 GRAMMER, TYLER CATCH THE WAVE 10/29/14 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 61 15WC 01838 WRIGHT, WALTER MAHONEY ENVIRONMENT 12/18/14 PETER F FERRACUTI & ASSOCI LITCHFIELD CAVO 62 15WC 04342 GLORIA, JOSEPH WALMAR C/O CLAIMS MANAGEM 02/08/14 POLANSKY & CICHON CHTD QUINTAIROS PRIETO WOOD & BOY 63 15WC 07510 CONRO, SUSAN M FAMILY DOLLAR STORES OF I 02/15/09 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 15WC007889 -C 17WC017037 -C 64 15WC 09360 CUEVAS, LUIS ROGERS BROTHERS INC 02/25/15 BLACK & JONES HOLECEK & ASSOCIATES 65 15WC 09735 BEAMUS, PAMELA CHRYSLER CORP. 01/19/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 15WC034471 -C 16WC004131 -C FCA US LLC 16WC004132 -C 16WC016894 -C FCA US LLC 66 15WC 10945 CARLBORG, BRIAN AT&T 09/08/14 CAPRON & AVGERINOS PC INMAN & FITZGIBBONS 17WC025038 -C 17WC025039 -C 67 15WC 11500 WILLIAMS, ROBERT DON HANNEMANN 05/31/14 LAWFIRST 68 15WC 12564 KLOEPPING, MARK WOODS EQUIPMENT CO 08/01/13 PIGNATELLI & ASSOCIATES COZZI & GOGGIN-WARD 69 15WC 14196 RUDOLPH, BRENDA CHEMTOOL INC 01/26/15 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 70 15WC 14333 AVILA, RODRIGO R & D THIEL INC 02/17/15 GALLIANI DOELL & COZZI LTD WIEDNER & MCAULIFFE LTD 71 15WC 15444 LEE, BRIAN AUTO RELEASING INC 02/09/15 CLARK FROST KNAPP, OHL & GREEN 15WC035077 -C 17WC025543 -C 17WC038026 -C 72 15WC 15536 BOYLE, RICHARD D SR WALMART SUPERCENTER 03/22/15 REESE & REESE QUINTAIROS PRIETO WOOD & BOY 73 15WC 16691 DREWS, LEE CHRYSLER, LLC 01/05/15 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 74 15WC 16834 DEMARS, KENNETH JR THREE HAMMER CONSTRUCTION 09/01/13 BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 75 15WC 17938 HOTLOVAC, MURIS ROCKNELL FASTENERS 05/16/15 GESMER & REYNOLDS PC INMAN & FITZGIBBONS 76 15WC 18056 UTRZAN, ERMINA TAYLOR FREEZER 12/06/14 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 77 15WC 18308 OLSON, MICHAEL M. DIZZY DOGG INDUSTRIES 07/30/14 RODDY LAW LTD 78 15WC 18311 FLETCHER, JAMES WINNEBAGO COUNTY HWY DEPT 10/28/14 BLACK & JONES WILLIAMS MCCARTHY LLP 79 15WC 20853 MCKEE, KARA SECRETARY STATE OF ILLINO @ 05/20/15 BLACK & JONES ASSISTANT ATTORNEY GENERAL 80 15WC 22576 SHORES, KEVIN SPG INTERNATIONAL LLC 07/01/12 BLACK & JONES LAW OFFICES FRANCESCA LARSEN 81 15WC 22616 ARAND-CROWE, JOAN M VAN MATRE HEALTHSOUTH 03/25/15 BARRICK SWITZER LONG ET AL SPIEGEL & CAHILL, PC 82 15WC 22756 GUTHRIE, KENNETH J SYNCREON 03/24/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 83 15WC 23583 LANEGRAFF, EDWARD KOJA CONSTRUCTION 02/04/15 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 84 15WC 24636 BECK, KAITLYN DAIRY QUEEN 04/03/15 BARRICK SWITZER LONG ET AL 85 15WC 25039 JONES, KATHY DO IT BEST 06/05/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 86 15WC 25543 FIEDLER, LORI WOODWARD GOVERNOR 11/04/14 MARKS INJURY LAW HINSHAW & CULBERTSON 87 15WC 26521 PICKETT, RICK HENNIG 09/17/12 BLACK & JONES CHILTON YAMBERT PORTER LLP 88 15WC 26558 WESLEY, FELICIA DANFOSS DRIVES 07/15/12 BLACK & JONES 89 15WC 27540 CARRISON, JOHN W ACCURATE CNC MACHING INC 06/22/15 GREG TUITE & ASSOC WIEDNER & MCAULIFFE LTD 17WC011388 -C RELIANCE STEEL & ALUMINIUM 18WC032437 -C SUGAR RIVER MACHINE SHOP,

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 15WC 28561 MCGUIRE, CHARLES L ROCKFORD BOARD OF EDUCATI 06/19/12 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 91 15WC 29480 MEADOWS, CARLA PRESENCE COR MARIAE 06/25/15 FRIEDMAN & SOLMOR LTD NYHAN BAMBRICK KINZIE & LOWR 15WC029481 -C 92 15WC 31285 WASHINGTON, JESSE CITY OF ROCKFORD 07/28/10 THOMAS L NASH PC HEYL ROYSTER VOELKER & ALLEN 93 15WC 31875 CAREY, KEITH W CINTAS CORPORATION 01/13/15 GREG TUITE & ASSOC POWER & CRONIN LTD 94 15WC 33734 PRINNER, BROCK BLAINS'S FARM & FLEET 08/20/15 BLACK & JONES WOLFE & JACOBSON, LTD 95 15WC 33943 REDMOND, PATRICK TH FOODS 01/06/15 ANESI OZMON RODIN NOVAK KO BRADY CONNOLLY & MASUDA PC 96 15WC 34397 ROFFERS, MONICA (WIDOW OF HAGEMANN TRUCKING LLC # 07/14/15 JAMES M KELLY 97 15WC 34711 MELENDEZ, BARBARA A ALPINE BANK 04/16/14 FRANCINE B WHITE HOLECEK & ASSOCIATES 15WC034712 -C 15WC034713 -C 98 15WC 34870 FLOERKE, RAYMOND MORING DISPOSAL 08/07/15 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 99 15WC 34908 CONCHAS, MARIA ARAMARK UNIFORM SERVICES 10/06/15 BLACK & JONES INMAN & FITZGIBBONS 16WC015913 -C 16WC019945 -C 16WC019946 -C 100 15WC 35019 ALLEN, LAURELL K CHRYSLER 02/12/15 BLACK & JONES WILLIAMS MCCARTHY LLP 15WC035020 -C 15WC035022 -C 101 15WC 35090 REYES, ANA NORTHERN PRECISION PLASTI 04/21/15 BLACK & JONES 102 15WC 35270 SHULL, RYAN SYNCREON 01/07/15 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 103 15WC 35652 KLOSOWSKI, KARL J HIGHLAND PARK CVS, LLC 08/05/15 CACCIATORE, WILLIAM T HINSHAW & CULBERTSON 104 15WC 37805 MORRIS, BRAD ADVANCE AUTO PARTS 05/19/14 BLACK & JONES 105 15WC 39325 SPEARMAN, SAMMIE STPHENSON NURSING HOME 11/15/15 BLACK & JONES INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 15WC 41808 STREIT, KEVIN A MONDELEZ GLOBAL LLC 10/16/14 GREG TUITE & ASSOC 107 16WC 00276 WALLACE, RONALD JR ED ENTYRE 11/24/15 BLACK & JONES CLARK FROST 108 16WC 01426 MUSSO, PENNY WALGREENS 09/07/15 BLACK & JONES GILDEA & COGHLAN 16WC016898 -C 109 16WC 01452 ROMAN, LORENA GRUPO ANTOLIN 10/22/15 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 110 16WC 03054 MEAD JR, WILLIAM SJOSTROM & SONS 10/31/13 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 111 16WC 05656 DIEHL, DAN L STATE OF IL DEPT OF TRANS @ 01/27/14 TUITE LAW ASSISTANT ATTY GENERAL 112 16WC 07471 JORDAN, TIARA DASCO PRO 02/29/16 BLACK & JONES WOLFE & JACOBSON, LTD 113 16WC 09569 ARNOLD, BETTY ACOSTA SALES AND MARKETIN 08/15/14 CACCIATORE, WILLIAM T GAROFALO SCHREIBER STORM GRA 114 16WC 09573 NAYONIS, MICHAEL WOODWARD GOVERNOR CO 07/08/04 BLACK & JONES HINSHAW & CULBERTSON 16WC009574 -C 115 16WC 09764 UTRZAN, ERMINA TAYLOR FREEZER 03/15/16 REESE & REESE MACIOROWSKI SACKMANN & ULRIC 116 16WC 09803 LARA MONTENEGRO, LORENZO ESTWING MANUFACTURING COM 02/26/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 117 16WC 10879 SHARP, MICHAEL J. MILESTONE, INC. 12/01/15 TUITE LAW ACCIDENT FUND HOLDINGS 18WC003578 -C MILSTONE, INC 118 16WC 11140 VEGA, REBECCA FCA USA, INC 01/21/16 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 119 16WC 11211 SPRAY, JOHN D BURKHART TRUCKING INC 03/23/16 BARRICK SWITZER LONG ET AL JAMES M KELLY 120 16WC 11386 BERUMEN, TERESA ANDROID BELVIDERE LL 07/03/14 BLACK & JONES WIEDNER & MCAULIFFE LTD 16WC011387 -C 16WC011388 -C 16WC014469 -C 121 16WC 12930 BACON, GEANETTE CHRYSLER DIVISION FCA US 06/26/15 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 16WC 13576 MITCHELL, JEREMY THOMAS PAGE W 12/27/15 BLACK & JONES 123 16WC 15624 FAVRETTO, WILLIAM ROCKFORD MASS TRANSIT 04/13/16 WHITESIDE & GOLDBERG LTD 124 16WC 15747 REYES, MARGARITA TH FOODS, INC. 07/07/15 O'CONNOR & NAKOS BRADY CONNOLLY & MASUDA PC 125 16WC 15777 VOGEL, MARC CBI/STONE & WEBSTER 04/12/16 ELFENBAUM EVERS & AMARILIO RIPES NELSON BAGGOT KALOBRAT 126 16WC 15939 TREVINO, GONZALO (DECEASE WASTE CONNECTIONS # 04/28/16 THOMPSON, ROBERT J SPIEGEL & CAHILL, PC 127 16WC 16180 BRINKMEYER, WESLEYAN CENTRAL RUBBER COMPANY 05/16/16 RIDGE & DOWNES MC ANDREWS & NORGLE LLC 128 16WC 16487 GUZMAN, JOSE ROCK RIVER DISPOSAL 11/06/15 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 16WC016488 -C 129 16WC 16642 PROSIO, EUGENE AMERICAN ALUMINUM EXTRUSI 03/18/16 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 130 16WC 17270 ZACKERY, FARREN ROCK RIVER DISPOSAL 02/08/16 COSTA IVONE LLC BRADY CONNOLLY & MASUDA PC 16WC030432 -C 131 16WC 17397 BYL, ROSE PECATONICA SCHOOL DISTRIC 02/24/15 BLACK & JONES RODDY LAW LTD 132 16WC 17665 HASSAN, MOHAMMED IAC BELVIDERE LLC 05/23/14 TUITE LAW 133 16WC 17676 CLAYTON, ELONDRIO PEOPLE LINK STAFFING SOLU 12/16/15 MARKS & ASSOCIATES WOLF LAW LTD 134 16WC 19400 CLARK, LISA ROCK VALLEY COLLEGE 09/03/14 TUITE LAW COZZI & GOGGIN-WARD 135 16WC 19591 PETERSEN, DONALD OSF ST ANTHONY MEDICAL CE 03/13/16 BLACK & JONES HINSHAW & CULBERTSON 136 16WC 19931 ZACCARD, DANIEL R CITY OF ROCKFORD FIRE DEP 04/29/16 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 137 16WC 20017 MCINTOSH, VINCENT THIESEN MASONRY 10/15/15 BLACK & JONES BRADY CONNOLLY & MASUDA PC 138 16WC 20151 MACIEL, YAYA J SLIDEMATIC PRECISION COMP 02/11/16 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 139 16WC 20229 JONES, CHRISTOPHER ROCK RIVER DISPOSAL 07/22/13 D. RICHARD HAIME

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 16WC 21252 BAUMAN, MICHAEL D CITY OF ROCKFORD 04/02/16 THOMAS W DUDA HEYL ROYSTER VOELKER & ALLEN 141 16WC 21644 MAY, GERALD J INT'L AUTOMOTIVE COMPONEN 05/04/15 BLACK & JONES GANAN & SHAPIRO 142 16WC 21826 DAUGHERTY, JENNIFER BERGSTROM MFG CO 04/01/16 BLACK & JONES WOLFE & JACOBSON, LTD 143 16WC 21842 MAY, GERALD J INT'L AUTOMOTIVE COMPONEN 09/07/15 GANAN & SHAPIRO 144 16WC 22497 LEMBKE, JAMES MCDERMAID 08/11/14 HORWITZ HORWITZ & ASSOC LAW OFFICES OF EDWARD J. KOZ 145 16WC 22570 PENA, JESUS ROCKNEL FASTENERS, INC 04/18/16 BLACK & JONES INMAN & FITZGIBBONS 146 16WC 23733 ANDRADE, CONCEPCION LAWNCARE BY WALTER 06/10/16 O'CONNOR & NAKOS RIPES NELSON BAGGOT KALOBRAT 147 16WC 24069 BROWN, EDITH TESTORS 07/12/16 BLACK & JONES 148 16WC 24377 RAINWATER, ALAN UTC AEROSPACE SYSTEMS 12/23/14 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 149 16WC 24494 BISHOP, KEVIN SEWARD SCREW PRODUCTS, IN 09/16/15 HANSON LAW OFFICE 150 16WC 24610 RILEY-STEELE, MELENDY FCA US LLC 10/07/14 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 151 16WC 26227 THOMAS, LUTHER SYNCREON 05/03/16 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 152 16WC 27022 MCWETHY, TANYA INTERNATIONAL AUTOMOTIC 02/07/14 STRONG LAW OFFICE GANAN & SHAPIRO 16WC027028 -C 16WC027029 -C 153 16WC 27242 19B WACKER, CARRIE B. ILLINOIS STATE TOLL @ 04/26/16 TUITE LAW GANAN & SHAPIRO 18WC011134 -C 154 16WC 27551 MIXON, TINA PAACAR PARTS 06/23/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 155 16WC 27755 NICOLAI, CHRISTOPHER LEMFCO 09/08/16 HENNESSEY LAW FIRM HOLECEK & ASSOCIATES 156 16WC 28107 JACKSON, YVONNE HONEYWELL PLANT 04/15/16 BLACK & JONES RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 16WC 28857 RODRIGUEZ, EMILIO JR FCA US 12/11/15 HORWITZ HORWITZ & ASSOC WILLIAMS MCCARTHY LLP 158 16WC 29086 KIDD, SUSAN WOODWARD INC 10/27/15 GESMER & REYNOLDS PC HINSHAW & CULBERTSON 159 16WC 30034 BADER, KRISTIE UTC AEROSPACE SYSTEMS 04/19/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 160 16WC 30050 THOME, TIMOTHY BLAIN'S FARM & FLEET 09/03/16 161 16WC 30164 CREASY, JANICE SALONCENTRIC 06/30/15 GESMER & REYNOLDS PC HENNESSY & ROACH PC 162 16WC 30203 MORAZA, YUBICELA WAL-MART ASSOCIATES INC 08/28/16 CIARDELLI CUMMINGS CAMPAGN QUINTAIROS PRIETO WOOD & BOY 163 16WC 30391 BOURQUIN, CORY JO DAVIESS COUNTY HWY DEP 07/26/16 STRONG LAW OFFICE INMAN & FITZGIBBONS 164 16WC 30522 PETSCH, JOSEPH LANE'S AUTO SERVICE, INC 03/17/16 GESMER & REYNOLDS PC 165 16WC 30751 PRESENDA, JAVIER NORTHWEST PALLET SUPPLY 06/17/14 RUBIN MACHADO ROSENBLUM HEYL ROYSTER VOELKER & ALLEN 166 16WC 31046 MARTIN DUANAWAY C/O DURAND SCHOOL DISTRICT 08/29/16 BLACK & JONES GAROFALO SCHREIBER STORM GRA 167 16WC 31572 MACKENZIE, THERESA C PACKAGING COORDINATORS, I 09/15/16 TUITE LAW JOSEPH MARCINIAK 168 16WC 31901 MUSSER, MARJORIE K KOLB-LENA, INC 10/20/13 TUITE LAW KEEFE CAMPBELL & ASSOC LLC 16WC038115 -C 169 16WC 31978 EDGREN-EARLE, DIETTA M GENERAL MILLS, INC. 08/06/16 TUITE LAW PAUL A COGHLAN & ASSOC 170 16WC 32240 KADHIM, SALAM LOWES 04/04/16 SEIDMAN MARGULIS & FAIRMAN KEEFE CAMPBELL & ASSOC LLC 171 16WC 32909 HIRTH, COLE M REGAL PRODUCTS 02/13/15 FRANCINE B WHITE PERRY GENTILE 172 16WC 34127 DONEGAN, DELOREAN WALMART SUPERCENTER 06/06/16 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 173 16WC 34224 DIBBIN, EDWARD WINNEGAGO COUNTY 03/19/15 GOTTREICH & GRACE 174 16WC 34269 SMITH, KEITH FCA US LLC 04/11/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 16WC 34271 CHIPMAN, PAMELA GE AVIATION AIR 03/10/16 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 176 16WC 35351 TAYLOR, TED BLOUNT INTERNATIONAL INC 08/02/16 SHAW, ROBERT J 177 16WC 36652 NELSON, CYNTHIA ALPINE BANK & TRUST CO 06/04/16 BLACK & JONES HOLECEK & ASSOCIATES 178 16WC 36935 THATCHER, JOHNNY M FCA US LLC 06/27/16 TUITE LAW WIEDNER & MCAULIFFE LTD 179 16WC 37130 SIVERIO, EWA K WAL-MART STORES, INC. 11/23/15 TUITE LAW QUINTAIROS PRIETO WOOD & BOY 180 16WC 37379 MCMUNN, DAVID THE CALDWELL GROUP 02/23/16 BLACK & JONES HOLECEK & ASSOCIATES 181 16WC 37600 RAMSEY, DEBRA FAIR OAKS REHABILITATION 12/09/16 MC HARGUE & JONES RUSIN & MACIOROWSKI LTD 182 16WC 37799 LOGAN, JAMES IMAGE PROS ASPHALT MAINTE 11/10/15 BLACK & JONES CHILTON YAMBERT PORTER LLP 183 16WC 37856 JONES, ROBERT ACCURIDE CORP DBA GUNITE 07/01/16 LAWFIRST RUSIN & MACIOROWSKI LTD 184 16WC 37972 KESSEL, BARBARA ETNYRE INTERNATIONAL LIMT 11/28/16 CAPRON & AVGERINOS PC CLARK FROST 185 16WC 38518 SALGADO, CELIA BELTWAY HOSPITALITY LLC D W 09/13/16 TUITE LAW 186 16WC 38616 BOWERS, JOHN PEPSI-COLA OF ROCKFORD 08/01/13 BLACK & JONES WOLFE & JACOBSON, LTD 187 16WC 39367 RIOS, LUIS LC AUTO SALES W 11/08/16 MC HARGUE & JONES VELLA & LUND 188 17WC 00346 KOLLENG, MATTHEW SYSCO CORPORATION 11/08/16 GOLDBERG WEISMAN & CAIRO L QUINTAIROS PRIETO WOOD & BOY 189 17WC 00614 GALARZA, SARAH C MACY'S RETAIL HOLDINGS IN 10/06/16 FRANKS, GERKIN & MCKENNA P ROBERT L. SMITH 190 17WC 02176 RATFIELD, JERRY VENTRA PLASTICS 02/02/16 BLACK & JONES BRUCE WARREN 191 17WC 02313 GROGAN, JOHN SYNCREON 10/10/16 KATZ FRIEDMAN EAGLE ET AL SMITH AMUNDSEN LLC 192 17WC 02348 WILSON, JACOB STRAIGHT SHOT EXPRESS 01/16/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 17WC 02522 ZIMMERMAN, KATHRINE VAN MATRE HEALTHSOUTH REH 07/29/16 BLACK & JONES SPIEGEL & CAHILL, PC 194 17WC 02638 HENRY, JODI SWEDISH AMERICAN HOSPITAL 11/07/16 BLACK & JONES WILLIAMS MCCARTHY LLP 195 17WC 02826 NAVA, RAQUEL VENTRA BELVIDERE LLC 11/01/16 TUITE LAW BRUCE WARREN 196 17WC 03739 COZZI, GARY T SOUTHERN CO FOMERLY NICAR 12/27/16 GALLIANI DOELL & COZZI LTD MACIOROWSKI SACKMANN & ULRIC 197 17WC 03945 BARRERA, PASCUAL ANCO STEEL COMPANY, INC 05/12/16 KINNALLY FLAHERTY KRENTZ & 198 17WC 04284 ENZENBACHER, DAVID FIAT CHRYSLER AUTOMOBILES 02/16/16 BART DURHAM WIEDNER & MCAULIFFE LTD 199 17WC 04750 CONTRERAS, ALEJANDRO RW DUNTEMAN CO 08/08/14 JONATHAN SCHLACK 200 17WC 05269 JONES, CHRISTINA COMPANION ANIMAL CLINIC 02/08/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 201 17WC 05586 HARTLEY, BETH STOP-N-GO OF MADISON, INC 08/14/16 GESMER & REYNOLDS PC GANAN & SHAPIRO 202 17WC 05876 FINK, JUDY, WIDOW OF VAN GALDER COACH USA # 01/22/17 MARKS INJURY LAW POULOS & DIBENEDETTO LAW 203 17WC 06083 WILLIAMS, EARL METRO STAFFING INCORPORAT 11/21/16 BRASSFIELD KRUEGER & RAMLO FRANCIS J DISCIPIO LAW OFFIC 204 17WC 06203 HAYES, JO ANN PARRIS ENTERPRISES INC. 05/17/16 TUITE LAW INMAN & FITZGIBBONS 205 17WC 06655 ROSE, DANIELS TARGET 09/30/16 ALEXANDER, PETER LTD. 206 17WC 07061 JONES, JERRY KENT FARMS INC 12/30/16 DWORKIN AND MACIARIELLO 207 17WC 07075 CHANCE, TINA LANDSTAR INWAY INC. 11/28/16 BLACK & JONES COZZI & GOGGIN-WARD 208 17WC 07117 CONGRAVE RUDE, CHENIN OSF ST ANTHONY MEDICAL CE 12/26/16 FRANCINE B WHITE HINSHAW & CULBERTSON 209 17WC 07880 MARONDE, JOSHUA HUGHES RESOURCES 02/24/17 BLACK & JONES SLAVIN & SLAVIN 210 17WC 07883 TIMMERMAN, MICHAEL PACCAR PARTS DIVISION 12/20/16 BLACK & JONES 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 HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 17WC 08174 SIMPSON, WILMA D PINNACLE LOGISTICS 12/30/16 GESMER & REYNOLDS PC KEEFE CAMPBELL BIERY & ASSOC 212 17WC 08270 HORTON, RENEE L WILLOWGLEN ACADEMY-ILLINO 12/04/16 TUITE LAW ACCIDENT FUND HOLDINGS 213 17WC 08689 COLIZ, NOE ACCURATE METALS OF ILLNOI 02/20/17 BLACK & JONES CASSANO & ASSOCIATES 214 17WC 08728 STOVALL, BRENT ROCKFORD BOARD OF EDUCATI 01/24/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 215 17WC 09101 KASKE, JOSHUA MODERN ADVANCED MANUFACTU 12/08/15 KATZ FRIEDMAN EAGLE ET AL 216 17WC 09673 MENEFEE, DONALD D TITAN TIRE CORPORATION 01/25/16 HAUSER LAW LLC MICHAEL JASPER 217 17WC 09693 GANDER, JAMES ROCK ENERGY COOPERATIVE 12/22/16 DOUGLAS RALLO PC HEYL ROYSTER VOELKER & ALLEN 218 17WC 09896 LAMM, GINGER NEW MEDIA INVESTMENT GROU 02/22/17 CAPRON & AVGERINOS PC COZZI & GOGGIN-WARD 219 17WC 10114 MYLNE, MICHAEL NORTH SKYLINE MGMT 03/17/17 WOODRUFF & JOHNSON JOSEPH MARCINIAK 220 17WC 10298 MARONDE, CHRISTINA STATE OF ILLINOIS @ 11/14/16 GESMER LAW OFFICES, PC HELEN LOZANO 221 17WC 10452 CRABTREE, CHERYL CLINTON CO 01/07/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 222 17WC 10598 JOHNSON, CHANTREL UDL LABORATORIES, INC 12/01/16 BLACK & JONES GRANT & FANNING 223 17WC 10725 HALLDEN, JAMES SR. KRAUTER FOREST PRODUCTS L 03/07/17 DERANGO & CAIN FRIEDRICH LAW LLC 224 17WC 10798 COOK, LLOYD K DOTY'S COLLISION CENTER 05/26/16 WARD MURRAY PACE & JOHNSON BRADY CONNOLLY & MASUDA PC 17WC035842 -C 17WC036485 -C 225 17WC 11055 HILL, PENNEY LOWES DISTRIBUTION CTR 04/20/16 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 226 17WC 11068 BLAZER, DONALD PTO SERVICES 03/07/17 BLACK & JONES NYHAN BAMBRICK KINZIE & LOWR 227 17WC 11408 SANDOVAL, ROSIO QPS STAFFING SERVICES, IN 03/16/17 BLACK & JONES WOLFE & JACOBSON, LTD 228 17WC 11628 MCVAY, JORDAN BEHR IRON METAL 06/30/14 GESMER LAW OFFICES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 17WC 11655 DUYNE, MICHAEL MIDWEST PACKAGING & CONTA 04/03/17 NASH LAW OFFICE PC COZZI & GOGGIN-WARD 230 17WC 11739 GONZALEZ, ALICIA MAUH-NAH-TEE-SEE COUNTRY 07/01/16 CLARK CASTREJO LAW FIRM BRADY CONNOLLY & MASUDA PC 231 17WC 12126 LUX, CONSTANCE BON TON DISTRIBUTON CENTE 09/11/15 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 232 17WC 12274 MARQUEZ, YESENIA PCI 03/20/17 GESMER LAW OFFICES, PC JOSEPH MARCINIAK 17WC012510 -C 233 17WC 12681 JOHNSON JR, LLOYD F GCA SERVICES GROUP INC 10/01/16 ROSS TYRRELL ASA LAW GROUP 234 17WC 12830 LUNDE, JACOB ROCKFORD SPECIALTIES CO 02/28/15 BLACK & JONES WOLFE & JACOBSON, LTD 235 17WC 13214 CASAZZA, MEREDITH BON TON STORES, INC 10/26/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC 236 17WC 13667 OLSEN, KATHLEEN MARSHALLS 08/22/14 BLACK & JONES BRADY CONNOLLY & MASUDA PC 17WC013668 -C 237 17WC 14085 LABRIE, PIERRE-CEDRIC ROCKFORD ICE HOGS 03/20/16 FLOYD LAW FIRM 238 17WC 14095 FINK, MICHAEL SLIDEMATIC PRECISION 04/24/17 GESMER & REYNOLDS PC JOSEPH MARCINIAK 239 17WC 14385 STILTNER, ROCKY GRANE TRANSPORTATION 04/05/17 EVAN A HUGHES LAW OFFICE LITCHFIELD CAVO 240 17WC 14677 MARTINEZ, LIZ M. ROCKFORD SD #205 05/09/17 REESE & REESE WIEDNER & MCAULIFFE LTD 241 17WC 14849 WILLIAMS, LAWRENCE BOONE COUNTY AUTO BODY 10/07/16 BLACK & JONES GANAN & SHAPIRO 242 17WC 15006 HARRISON, JOSEPH P COILCRAFT 01/03/17 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 243 17WC 15446 GEHRT, COLE IDOT @ 08/19/15 FRANCINE B WHITE HELEN LOZANO 244 17WC 15508 BRANT, KRISTINA NICAA HEAD START 03/29/17 BLACK & JONES RUSIN & MACIOROWSKI LTD 245 17WC 16263 WILKINS, JENNIFER KEITH COUNTRY DAY SCHOOL 10/02/09 GESMER & REYNOLDS PC LAW OFFICES JOSEPH MARCINIAK 246 17WC 16491 BROWN, DEBORAH FCA US, LLC 07/14/14 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 17WC 16860 SHEETS, MATTHEW UNITED PARCEL SERVICE 10/14/16 ROSS TYRRELL NYHAN BAMBRICK KINZIE & LOWR 248 17WC 16949 HAMMER, LAURA HARLEM SCHOOOL DISTRICT 05/12/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 249 17WC 17368 CROFFOOT, CRAIG S STEPHENSON COUNTY SHERIFF 12/20/16 HAUSER LAW LLC INMAN & FITZGIBBONS 250 17WC 17740 PELLINI, MARK BYRON MOTOSPORTS PARK W 08/07/16 BLACK & JONES 251 17WC 17820 HERDT, EVON PCI PHARMA 05/31/17 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 252 17WC 17894 SWANSON, DEBORAH BON-TON DISTRIBUTION CENT 06/02/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 253 17WC 17949 WILBOURN, JOHN SNAK KING CORP 11/14/16 MARKS INJURY LAW COZZI & GOGGIN-WARD 254 17WC 17994 GOMEZ-SANCHEZ, ARISTEO CPM RECYLING SERVICES 11/23/16 BLACK & JONES 255 17WC 17997 MARQUEZ, JONATHAN CHEMTOOL INC 05/07/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 256 17WC 18432 BUCK, KAREN WINNEBAGO COUNTY HEALTH D 02/15/17 NICHOLAS ROBERT RECCHIA WILLIAMS MCCARTHY LLP 257 17WC 18628 TAYLOR, KEITH AIRGAS STORE 10/01/16 BLACK & JONES MC ANDREWS & NORGLE LLC 258 17WC 18715 GOWAN, LYNWOOD MEADE ELECTRIC CO, INC 09/16/16 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 259 17WC 18841 ROBINSON, RACHEL SURISE TRANSPORTATION 02/06/17 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 260 17WC 18910 LUBINSKI, FRANCIS FCA US LLC 11/28/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 261 17WC 19033 LIVINGSTON, DAWN COUNTY OF WINNEBAGO 06/15/17 GESMER & REYNOLDS PC 262 17WC 19354 MASLIN, PETER USF HOLLAND, INC 06/29/17 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 263 17WC 19508 HARTMAN, MICHAEL ILL DEPT OF TRANSPORTATIO @ 01/24/17 GESMER & REYNOLDS PC ASSISTANT ATTORNEY GENERAL 264 17WC 20082 FORSTER, RANDY ANCHOR HARVEY 08/20/15 WOLFE LAW PC BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 17WC 20180 HOLTE, ELLEN AT-HOME HEALTHCARE 06/23/17 KATZ FRIEDMAN EAGLE ET AL 266 17WC 20746 PIPPEL, KERRY TRI-DIM FILTER CORP 09/01/16 BLACK & JONES INMAN & FITZGIBBONS 267 17WC 20882 ELLIS-GOOCHER, STEPHANI EASTER SEALS METRO 04/27/17 STORTO FINN & ROSINSKI NOBLE & ASSOCIATES PC 17WC019880 -C 268 17WC 21124 MARTIN, ERIK C FCA USA, LLC 06/14/17 ANKIN LAW OFFICE WIEDNER & MCAULIFFE LTD 269 17WC 21408 SCHABACKER, MARK A COUNTY OF WINNEBAGO 06/27/17 TUITE LAW WILLIAMS MCCARTHY LLP 270 17WC 21594 PENA, PATRICIA MCDONALD'S CORPORATION 04/08/17 THOMAS J STIBERTH LAW OFFI HENNESSY & ROACH PC 271 17WC 22309 CLARK, TRACIE OFFICE TEAM 06/09/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 272 17WC 22577 ETHRIDGE, RONALD K MALCOLM EATON ENTERPRISES 07/11/14 HAUSER LAW LLC COZZI & GOGGIN-WARD 273 17WC 22760 HERNANDEZ, MARTINA ND INDUSTRIES INC 02/19/16 GESMER & REYNOLDS PC HENNESSY & ROACH PC 274 17WC 22852 BERTUCCI, DEBORAH GALENA & ASSOC, INC DBA 04/01/16 PETER D CORTI LAW GROUP GANAN & SHAPIRO 275 17WC 23062 VICKERMAN, JUSTIN ONE OF A KIND WALL DESIGN 07/26/17 BLACK & JONES 276 17WC 23226 COULTER, REBECCA STATZ DELONG COMPANY, INC 07/03/17 CLARK FROST COZZI & GOGGIN-WARD 277 17WC 23564 ALSHEREFI, AHMED THE BON TON STORES INC 11/30/15 THE ROMAKER LAW FIRM LAWRENCE COZZI - LAW OFFICE 278 17WC 24101 HARING, WONDA FAMILY DOLLAR 04/07/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 279 17WC 24244 BEASLEY, NANCY EVOLUTION STAFFING 06/14/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 280 17WC 24690 MERSHON, CHRISTINE DAN FOSS 01/01/17 GESMER & REYNOLDS PC 281 17WC 24784 COGGINS, JERRY JR STAR MANUFACTURING 03/01/17 BLACK & JONES CAPUANI, FRANK S

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 17WC 24856 SCHULTZ, DAVID BRIDGEWAY 07/25/17 GESMER & REYNOLDS PC PERRY GENTILE 283 17WC 25088 FREE, TONYA RENT-A-CENTER 04/07/17 BLACK & JONES HENNESSY & ROACH PC 18WC006899 -C 284 17WC 25541 O'CONNOR, MARY VISITING NURSES ASSN 04/19/17 CLARK FROST WIEDNER & MCAULIFFE LTD 285 17WC 25753 EVANS, BETTEY L PINNACLE LOGISTICS 06/15/17 GESMER & REYNOLDS PC KEEFE CAMPBELL BIERY & ASSOC 286 17WC 25941 HARRIS, JEFF MULLER PINESHURST 01/17/17 BRASSFIELD KRUEGER & RAMLO 287 17WC 26373 EDMONDS, CHARLES J EAST DUBUQUE NITROGEN 06/14/16 KATZ FRIEDMAN EAGLE ET AL 288 17WC 26457 TAYLOR, KEITH AIRGAS STORE 08/18/17 BLACK & JONES MC ANDREWS & NORGLE LLC 289 17WC 26466 ROOS, LAWRENCE SIMOS INSOURCING SOLUTION 08/15/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 290 17WC 26717 HANOOSH, SALIH N FURST STAFFING SERVICES, 04/23/17 ACCIDENT FUND HOLDINGS 18WC038078 -C 291 17WC 26927 FOREMAN, ELIJAH MONDELEZ INTERNATIONAL 03/09/15 FRANCINE B WHITE WIEDNER & MCAULIFFE LTD 292 17WC 27203 WALSTON, TASHA SPEE DEE TRANSPORTATION S 08/31/17 DWORKIN AND MACIARIELLO COZZI & GOGGIN-WARD 293 17WC 27217 SWEAT, AMANDA L MERIDIAN CUSD #223 05/16/17 TUITE LAW NYHAN BAMBRICK KINZIE & LOWR 294 17WC 27295 LINDBOHM, PETTERI ST LOUIS BLUES 11/26/16 GORDON LAW OFFICES LTD 17WC027293 -C 17WC027294 -C 295 17WC 27823 NAVA, JESSICA DADY & HOFFMANN LLC 04/05/16 BLACK & JONES LAW OFFICES JOSEPH MARCINIAK 296 17WC 27830 HARDY, JENNIFER WALMART STORES INC 06/14/17 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 297 17WC 27988 WALKER, STEPHANIE ENLIVANT 07/06/17 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 298 17WC 28050 JAMES, TRAVIS GKN ROCKFORD 07/29/17 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 299 17WC 28373 BROACH, AMY FCA US LLC 09/01/17 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 300 17WC 28627 SCHABACKER, EUGENE S SPARKY'S ELECTRICAL 08/08/17 TUITE LAW HEYL ROYSTER VOELKER & ALLEN 301 17WC 28772 KREPFLE, RICHARD DURAND SCHOOL DISTRICT 07/10/17 BLACK & JONES GAROFALO SCHREIBER STORM GRA 302 17WC 28822 JACOBS SR, JAMES SUNRISE SOUTHWEST LLC 05/01/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 303 17WC 29390 ALVAREZ, NICOLE FCA US, LLC 06/19/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 304 17WC 29718 MAY, OTTO JR FCA US, LLC 07/05/15 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 305 17WC 29747 VAGLE, BRAD (ON BEHALF OF STILLMAN BANK 06/26/17 BLACK & JONES 306 17WC 30007 COLLINS, JAVAR FURST STAFFING 07/10/17 DERANGO & CAIN 307 17WC 30302 RAISBECK, TIMOTHY STATE OF ILLINOIS/IDOT @ 09/09/16 ROSENBERG EISENBERG ASSOC ASSISTANT ATTORNEY GENERAL 17WC030303 -C 18WC029987 -C 308 17WC 30346 GARSHVA, MARIAN ROCKFORD MEMORIAL HOSPITA 05/08/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 309 17WC 30424 CREVISTON, TEDDIE BUDDY'S HOME FURNISHINGS 09/19/17 BLACK & JONES HENNESSY & ROACH PC 310 17WC 30703 INGRAM, LANETKA ALDEN PARK STRATHMOOR 08/26/17 DWORKIN AND MACIARIELLO 311 17WC 30765 MONTANA, MARIAN ROCKFOD SCHOOL DISTRICT # 07/21/17 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 17WC030777 -C 312 17WC 30889 ZELLNER, EDWARD C EVEN KEEL MARINE 11/02/15 BLACK & JONES WIEDNER & MCAULIFFE LTD 313 17WC 30948 ZERKEL, SUSAN ST RITA'S CHURCH 09/12/17 WOODRUFF & JOHNSON 314 17WC 31259 RIVERA, MARIO BARBOUR TWO-WAY LANG IMME 09/11/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 315 17WC 31292 LANE-BARRY, JERRY 3P CONSTRUCTION AND REMOD W 05/15/17 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 17WC 31568 BRAUER, TAMRA MEIJER 10/16/17 GESMER & REYNOLDS PC KOPKA, PINKUS DOLIN, PC 317 17WC 32102 HALL, GREGORY METRO STAFFING 10/12/17 BLACK & JONES FRANCIS J DISCIPIO LAW OFFIC 318 17WC 32105 O'LEARY, PATRICK GREASE MONKEY INTERNATION 06/09/17 BLACK & JONES COZZI & GOGGIN-WARD 319 17WC 32251 BERGER, JAMES AXIOM FOODS INC 10/15/17 BLACK & JONES WARMOUTH LAW PC 320 17WC 32274 RIVERA, MARIO AELDRIDGE ROOFING & SIDIN 10/13/17 GESMER LAW OFFICES, PC 321 17WC 32288 TOLENTO, RAFAEL TH FOODS, INC 05/02/16 BLACK & JONES RODDY LAW LTD 322 17WC 32407 ZIMMERMAN, NICHOLE L FEDERAL EXPRESS CORPORATI 03/08/17 TUITE LAW HANSON LAW OFFICE 323 17WC 32451 MENEFEE, DONALD D TITAN TIRE CORP 08/10/17 HAUSER LAW LLC MICHAEL JASPER 324 17WC 32507 VAN BARRIGER, JOSEPH R BAY VALLEY FOODS 08/25/17 GESMER LAW OFFICES, PC KEEFE CAMPBELL BIERY & ASSOC 325 17WC 32563 MUHASKY, DAVE HOLLAND MOTORS 04/11/12 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 326 17WC 32796 RICHARDSON, JOHNETTA ROCKFORD HOME SERVICES DR 09/27/17 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 327 17WC 33158 GUY, ANDREA WOODS EQUIPMENT 08/01/17 PIGNATELLI & ASSOCIATES 328 17WC 33759 RIVERA, MARIO ANGEL ORTEGA 10/13/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 329 17WC 33858 PETERS, MARY KOLB-LENA CHEESE CO 07/29/17 BLACK & JONES KEEFE CAMPBELL & ASSOC LLC 330 17WC 34209 CALLES, ANTONIO CARPENTER CONTRACTORSOF 10/12/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 331 17WC 34767 TAYLOR, ROBERT FCA US LLC 09/18/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 332 17WC 34832 BASS, CODY ROCKFORD ICEHOGS 12/16/14 WOLFE LAW PC HENNESSY & ROACH PC 333 17WC 35450 CASSIDY, JENNIFER RR DONNELLEY 11/17/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 17WC 35624 LOUDON, CHRISTOPHER VILLAGE OF LISLE 10/27/16 BARRY A KETTER RUSIN & MACIOROWSKI LTD 335 17WC 35749 LOVE, GERALD R ILLINOIS DEPARTMENT @ 03/07/17 FRANKS, GERKIN & MCKENNA P 336 17WC 35935 BOWMAN, RUSSELL P RL LEEK INDUSTRIES, INC 05/05/17 REESE & REESE 337 17WC 36037 HOLTE, CANDICE ALDEN PARK STRATHMOORE 01/24/16 BLACK & JONES FRANCESCA LARSEN 338 17WC 36105 PRINCE, MAURICE EXPRESS EMPLOYMENT PROFES 10/16/16 BLACK & JONES MC ANDREWS & NORGLE LLC 339 17WC 36428 SAGER, RANDY BENNETT BOALS TRUCKING, I 05/30/17 BRADY CONNOLLY & MASUDA PC 340 17WC 36555 CONNER, JERRY STANDARD FORWARDING 11/02/17 LEE, MARK N LAW OFFICE 341 17WC 36565 CARDENAS, JOSE GALVAN AEROTEK 09/15/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 342 17WC 36904 KINCH, BETH ROCKFORD PUBLIC SCHOOLS 02/01/11 BLACK & JONES WIEDNER & MCAULIFFE LTD 17WC036905 -C 343 17WC 36952 MANOS, RANDY FITZGERALD EQUIPMENT 05/07/15 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 344 17WC 37178 LOVE, GERALD R IL DEPT OF TRANSPORTATION @ 06/18/15 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 345 17WC 37589 PRINE, BRIAN CITY OF ROCKFORD 10/12/17 GESMER LAW OFFICES, PC 346 17WC 37744 ABREGO, RONDA MATRANGA INDUSTRIES INC 10/05/17 GESMER & REYNOLDS PC JOSEPH MARCINIAK 347 17WC 37992 HERRERA, OCTAVIO MARTINEZ TRES-M-SOLUTIONS LLC 10/04/17 HAUSER LAW LLC 348 17WC 38027 CEHIC, DZEVIDA ROCKNEL FASTENER, INC 04/14/17 CLARK FROST KOPKA, PINKUS DOLIN, PC 349 17WC 38040 SCHMIDT, ANITA FCA US LLC 04/15/16 GESMER LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 17WC038041 -C 350 18WC 00025 DAVIDSON, VICKEY SERVICOM 12/18/17 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 351 18WC 00118 BASS, CODY ROCKFORD ICEHOGS 05/26/15 WOLFE LAW PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 18WC 00292 HALL, JEFFRY A COUNTY OF WINNEBAGO 07/28/17 TUITE LAW WILLIAMS MCCARTHY LLP 353 18WC 00406 FIGURIN, LYNDA OSF ST ANTHONY MEDICAL CE 10/20/17 BLACK & JONES HINSHAW & CULBERTSON 354 18WC 00569 GILMORE, BONNIE L HOMEGOODS, INC 01/12/17 TUITE LAW BRADY CONNOLLY & MASUDA PC 355 18WC 00575 WILSON, TRAVIS BERNER FOODS INC 07/07/16 BLACK & JONES HOLECEK & ASSOCIATES 356 18WC 00745 HARDY, JENNIFER WALMART STORES INC 12/15/17 JAMES G AHLBERG QUINTAIROS PRIETO WOOD & BOY 357 18WC 00960 UNDERWOOD, GLENN FCA US LLC 11/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 358 18WC 01034 SHONDEL, DAWN CARDINAL STAFFING 10/26/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 359 18WC 01522 PEHL, SUSAN QPS STAFFING 11/03/17 GESMER LAW OFFICES, PC WOLFE & JACOBSON, LTD 360 18WC 01566 VIEDERIS, PAT CARDINAL GLASS COMPANY 01/30/17 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 361 18WC 01702 COLE, GABRIELLE CASEYS GENERAL STORES 05/07/17 WHITESIDE & GOLDBERG LTD HEYL ROYSTER VOELKER & ALLEN 362 18WC 01863 THOAMS, MARZAVIOUS UPS 10/10/17 BLACK & JONES 363 18WC 02024 STROH, VANESSA ROCHELLE GARDENS CARE CEN 11/16/17 BLACK & JONES KNELL LAW LLC 364 18WC 02027 WASHINGTON, WARRICK CHEMTOOL INC 12/21/17 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 365 18WC 02483 PEREZ, MELISSA ARAMARK 09/18/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 366 18WC 02874 BIRD, MICHAEL OAKLEY SUB-ASSEMBLEY 12/14/17 MARTIN V KUGIA ACCIDENT FUND HOLDINGS 367 18WC 02881 ITZEN, LELAND WINNEBAGO FOUNDRY 10/11/17 BLACK & JONES GANAN & SHAPIRO 368 18WC 03280 MARKS, WILLIAM ARAMARK UNIFORM SERVICES 01/16/18 BLACK & JONES INMAN & FITZGIBBONS 369 18WC 03322 MARYOTT, HOLLY M DARDEN RESTAURANTS, INC 01/13/18 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 18WC 03366 GROOMS, DANA L SWEDISH AMERICAN HOSPITAL 01/05/17 KELLY & KING WILLIAMS MCCARTHY LLP 371 18WC 03397 BASSETT, DANICHA EASTERSEALS ACADEMY 08/30/17 BLACK & JONES NOBLE & ASSOCIATES PC 372 18WC 03587 SIVERIO, HECTOR USF HOLLAND, INC 06/20/17 FRANKS, GERKIN & MCKENNA P 373 18WC 03593 BURMMETT, AMY RIVER BLUFF NURSING HOME 04/15/15 BLACK & JONES WILLIAMS MCCARTHY LLP 374 18WC 03596 NELSON-THOMPSON PA PETERSON OUTPATIENT RE 01/20/18 BLACK & JONES GALLIANI DOELL & COZZI LTD 375 18WC 03639 MARTINEZ-VALDEZ, MAYRA JONES NATURAL CHEWS 09/20/17 BLACK & JONES ACCIDENT FUND HOLDINGS 376 18WC 03932 LANE, RAYMOND W GENERAL MILLS, INC. 01/14/17 TUITE LAW BRYCE DOWNEY & LENKOV LLC 377 18WC 04097 DUFEK, JACQUES L BERGSTROM, INC 03/01/17 TUITE LAW WOLFE & JACOBSON, LTD 378 18WC 04397 LASHER, BRANDY ALDI, INC 11/30/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 379 18WC 04431 CUMBA, MARIBELLE RESOURCE MFG/PROLOGISTIX 07/07/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 380 18WC 04548 NAVA, NICANDRO CHRYSLER, LLC/ 11/20/17 RUEDA, IVAN A WILLIAMS MCCARTHY LLP 381 18WC 04678 BLAZER, REBEKAH MENARDS 10/14/17 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 382 18WC 05095 BIRD, MICHEAL OAKLEY SUB-ASSEMBLY 12/14/17 MARTIN V KUGIA 383 18WC 05183 MARQUEZ, MONICA SLIDEMATIC PRECISION COMP 04/26/17 SOSTRIN AND SOSTRIN PC JOSEPH MARCINIAK 384 18WC 05245 SMITH, MARK MORNING DISPOSAL, INC 01/10/18 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 385 18WC 05385 FITTS, MICKEY A & B FREIGHT LINES 08/21/15 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 386 18WC 05577 SMITH, APRIL PARKVIEW NURSING HOME 01/22/17 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 387 18WC 05700 STOREY, RHONDA S AJ KENT, INC DBA GOODTIME 09/17/13 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 18WC 05988 AYERS, JEWELL WAL-MART 01/24/18 GESMER LAW OFFICES, PC QUINTAIROS PRIETO WOOD & BOY 389 18WC 06060 SEAGREN, LANE ESTATE OF SAFELITE AUTO GLASS 12/08/17 GESMER LAW OFFICES, PC SPIEGEL & CAHILL, PC 390 18WC 06484 HOOKS, STEVE CURTIS METAL FINISHING 01/15/18 BLACK & JONES HENNESSY & ROACH PC 391 18WC 06601 BELLOWS, WILLIAM CINCINNATTI TOOL STEEL 02/15/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 392 18WC 06783 HORSTMAN, KEN RYDER INTEGRATED LOGISTIC 02/28/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 393 18WC 06843 MURPHY, CHRISTAL FCA US, LLC 02/06/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 394 18WC 06897 ALVARADO, MARIA TRI STAR METALS 08/15/17 BLACK & JONES HOLECEK & ASSOCIAT0ES 395 18WC 06939 MAY, GERALD J INTERNATIONAL AUTOMOTIVE 04/24/15 GANAN & SHAPIRO 396 18WC 07172 BAKER, JAMES SOS STAFFING AGENCY 02/21/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 397 18WC 07186 SCHEPLEY, JAMES P PIERCE LAMINATED PRODUCTS 10/01/13 RIPES NELSON BAGGOT KALOBRAT 398 18WC 07198 FOWLER, BRUCE EXELON CORPORATION 01/30/18 HORWITZ HORWITZ & ASSOC HENNESSY & ROACH PC 399 18WC 07468 ERUINS, LASHONDA ROSECRANCE, INC 09/11/17 PUMILIA LAW LLC 400 18WC 07657 ABARBANEL, KATHERINE RGIS INVENTORY SERVICES 05/10/17 BLACK & JONES ARNETT LAW GROUP 401 18WC 07802 ALVAREZ-RIVERA, EVANGELIN SLIDEMATIC INDUSTRIES, IN 01/24/18 GESMER & REYNOLDS PC 402 18WC 08019 ORTIZ, JOSE ANDY'S PROFESSIONAL 02/06/18 JOHN S. ELIASIK WIEDNER & MCAULIFFE LTD 18WC034507 -C 403 18WC 08070 STRAM, JASON SPAHN AND ROSE LUMBER 11/22/17 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 404 18WC 08077 LEPKA, PAUL UPS FREIGHT 06/14/17 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICES 405 18WC 08511 DAUGHERTY, LISA HCR MANOR CARE/ HEARTLAND 06/19/17 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 18WC 08535 MC INTYRE, SHARON LIFETOUCH PRODUCTION 12/12/17 GESMER LAW OFFICES, PC RODDY LAW LTD 407 18WC 08727 DANNO, PATRICK ILLINOIS STATE TOLL @ 02/06/18 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR 408 18WC 08860 WATTS, ANDREA CHRYSLER 11/11/17 COVEN LAW GROUP WIEDNER & MCAULIFFE LTD 409 18WC 09006 ERBE, BRANDON S. CHERRY VALLEY FIRE PROTEC 01/16/18 THOMAS W DUDA 410 18WC 09076 WAHLIN, ANITA LEGACY ACADEMY OF EXCELLE 12/01/17 GESMER & REYNOLDS PC 411 18WC 09262 REINE, COLLEEN ROCKFORD RIGGING, INC 10/15/17 NASH LAW OFFICE PC 412 18WC 09481 KRAUCUNAS, ROBERT ALTER TRADING CORP 05/31/17 BLACK & JONES LITCHFIELD CAVO 18WC009482 -C 413 18WC 09484 ERVING, MARQUITA FCA US LLC 03/01/18 BLACK & JONES WILLIAMS MCCARTHY LLP 414 18WC 09596 REINE, COLLEEN ROCKFORD RIGGING, INC. 10/31/17 NASH LAW OFFICE PC 415 18WC 09767 PYFER, JAMES SHEET METAL CONNECTORS 06/22/16 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 416 18WC 09810 SAVALLA, DIANNA D MAGNA INTERNATIONAL INC 01/22/18 REESE & REESE POWER & CRONIN LTD 417 18WC 09954 VAUTSMEIER, JERAMYA J UNITED PARCEL SERVICE CO 03/05/18 TUITE LAW ASA LAW GROUP 418 18WC 10367 MAUERMAN, DUSTIN LOWE'S DISTRIBUTION CENTE 06/05/17 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 419 18WC 10579 NUNEZ, REINALDO MIDCOR SUPPLY 03/31/18 BOTTO GILBERT WIEDNER & MCAULIFFE LTD 420 18WC 10695 TATE, JUDY PCI PHARMA SERVICES 11/07/17 BLACK & JONES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 421 18WC 10839 PONCE DE LEON, DAYRA MIDWEST WIRE WORKS 11/13/17 CLARK FROST LAWRENCE COZZI - LAW OFFICE 422 18WC 10864 KAMPPI, DANIEL FCA US, LLC 02/19/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 18WC010865 -C 423 18WC 11004 SMELSER, JONATHAN DCA US LLC 10/11/16 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 424 18WC 11071 NEMENSKI, PHILLIP R MIDSTATES CONCRETEINDUSTR 09/11/17 SOSTRIN AND SOSTRIN PC GAROFALO SCHREIBER STORM GRA 425 18WC 11288 GELENCIR, JOHN CHRYSLER 09/06/17 BROWN & CROUPPEN WIEDNER & MCAULIFFE LTD 426 18WC 11373 PERSING, JEFFRY PEAK ELECTRIC 02/14/18 BLACK & JONES CAPUANI, FRANK S 427 18WC 11376 HIGGS, LARRY STEINER ELECTRIC 03/29/18 BLACK & JONES NOBLE & ASSOCIATES PC 428 18WC 11503 MINER, RAMON ROCKFORD TOOKCRAFT, INC 04/06/18 DWORKIN AND MACIARIELLO 429 18WC 11981 HARRIS, TIMOTHY CHRYSLER 02/22/18 ASHER, RAYMOND L LTD WIEDNER & MCAULIFFE LTD 19WC001017 -C 430 18WC 12164 HERNANDEZ, ERIC SALVATION ARMY 01/15/18 DERANGO & CAIN RODDY LAW LTD 431 18WC 12182 HARROLLE, JOHN NEW MEDIA INVESTMENT GROU 03/05/18 CLARK FROST KNELL LAW LLC 432 18WC 12541 STRYSIK, CASEY UNIVERSAL DIRECT MARKETIN W 04/16/18 BRIAN J MC MANUS & ASSOC, ASSISTANT ATTORNEY GENERAL 433 18WC 12681 HOLLINGSWORTH, JOHN APRIL SHOWERS, LLC 03/22/18 MARKS INJURY LAW 434 18WC 12773 ILIC, SLOBODANKA WAL-MART 02/11/17 GESMER & REYNOLDS PC QUINTAIROS PRIETO WOOD & BOY 435 18WC 12779 ESTATE OF JENNIFER M CARO ROCKFORD PARK DISTRICT 03/07/18 LAWFIRST HENNESSY & ROACH PC 436 18WC 12949 STOHR, IAN EMERY AIR, INC. 11/29/17 BLACK & JONES BRADY CONNOLLY & MASUDA PC 437 18WC 12953 ZELLNER, EDWARD WINNEBAGO COUNTY 12/18/16 BLACK & JONES WILLIAMS MCCARTHY LLP 438 18WC 13115 YATTONE, TAMMY STEPPING STONES 03/01/16 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 439 18WC 13193 SMELTZER, MARK EXELON CORP 04/19/18 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD 440 18WC 13225 BENNETT, JEFFREY WILSON ELECTRIC 04/21/18 BLACK & JONES HENNESSY & ROACH PC 441 18WC 13230 ASTANEDA-ARCE, YADIRA SLIDEMATIC PRECISION COMP 04/16/18 COPLAN & CRANE, LTD WOLFE & JACOBSON, LTD 442 18WC 13433 ELSASSER, DREW UNITED POWER 11/18/15 DWORKIN AND MACIARIELLO 443 18WC 13694 CALDERA, MARIBEL DIVERSIFIED MAINTENANCE 03/27/18 BLACK & JONES HARRIS DOWELL FISHER & HARRI 444 18WC 13909 BYERS, PAMELA FCA US LLC 02/11/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 445 18WC 13978 DUFEK, JACQUES L BERGSTROM INC 01/03/18 TUITE LAW 446 18WC 14083 PRICE, CEDRICK E FEDEX GROUND PKG SYSTEMS 04/21/18 TUITE LAW KOPKA, PINKUS DOLIN, PC 447 18WC 14093 LABBE-ASSELIN, DYLAN MINNESTOTA WILD 04/02/16 FLOYD LAW FIRM HENNESSY & ROACH PC 448 18WC 14130 PHILLIPS, MYRNA BERNER FOODS 05/05/18 DWORKIN AND MACIARIELLO 449 18WC 14290 WAGENKNECHT, CINDY DELTA POWER 03/14/18 BRASSFIELD KRUEGER & RAMLO 450 18WC 14319 GUMS, WANDA SAVENCIA CHEESE LLC 11/01/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 451 18WC 14396 BILLINGSLY, BARBARA FCA US LLC 01/25/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 452 18WC 14818 KING, EDWARD L CITY OF ROCKFORD POLICE D 05/03/18 REESE & REESE 453 18WC 14924 LANDWEHR, VALERIE ED ETNYRE & CO 05/03/18 BLACK & JONES CLARK FROST 454 18WC 15008 MCLAIN, JOHN NEW MEDIA INVESTMENT GROU 08/09/17 CLARK FROST KNELL LAW LLC 18WC015009 -C 455 18WC 15104 CALLAHAN, KATHLEEN VAN MATRE HEALTH SOUTH RE 11/07/17 BLACK & JONES SPIEGEL & CAHILL, PC 456 18WC 15271 GARCIA, LUIS ROMAN HENNIG, INC 03/15/18 BLACK & JONES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 457 18WC 15577 AGUILERA, JUAN AMERICOLD LOGISTICS 10/20/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 458 18WC 15624 LEVERTON, DAVID REYES HOLDINGS, LLC 10/02/17 KATZ FRIEDMAN EAGLE ET AL 459 18WC 15761 SCHUENKE, KEITH AUTOZONE DEVELOPMENT, LLC 08/18/17 CLARK FROST GILDEA, COGHLAN & REGAN LTD. 460 18WC 15799 CASTANEDA-ARCE, YADIRA QPS EMPLOYMENT GROUP 04/16/18 GESMER & REYNOLDS PC 461 18WC 15851 CIMINO, ALDO MIDWEST PACKAGING & CONTA 06/19/17 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICE 462 18WC 15910 TRUCKENMILLER, DARRYL STEPHENSON SERVICE CO 03/05/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 463 18WC 15930 RAMOS, GUADALUPE BEAVER CREEK NURSERY, INC 04/26/17 FRANKS, GERKIN & MCKENNA P CAPUANI, FRANK S 464 18WC 16071 ERNST, ROBERT NAVAJO EXPRESS INC. 02/06/18 WOLFE LAW PC HOLECEK & ASSOCIATES 465 18WC 16475 WHITMORE, JOANNA BYRON SCHOOL DISTRICT #22 11/02/17 OWENS & LAUGHLIN LLC NYHAN BAMBRICK KINZIE & LOWR 466 18WC 16573 AVELLANEDA, ADAN BON TON STORESINC 10/10/16 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 467 18WC 16578 MUNCH, ALLISON EASTERSEALS ACADEMY 11/22/16 BLACK & JONES DENNIS J NOBLE & ASSOC 18WC016579 -C 18WC021082 -C 468 18WC 16581 HARRIS, ANTWON FURST STAFFING 04/15/18 BLACK & JONES ACCIDENT FUND HOLDINGS 469 18WC 16587 CLUKEY, CAROL RESTORIX 07/31/17 BLACK & JONES HOLECEK & ASSOCIATES 470 18WC 16718 ALLEN, ANDRE WINNEBAGO COUNTY JAIL 01/19/17 BLACK & JONES WILLIAMS MCCARTHY LLP 471 18WC 16891 TRICKIE, ADAM W RRB FABRICATION INC 05/17/18 TUITE LAW 472 18WC 16897 HARRIS, THIMOTHY COUNTY OF WINNEBAGO RIVER 04/15/18 TUITE LAW 473 18WC 16964 GONZALEZ, INGRID CRUSADER COMMUNITY HEALTH 04/01/18 ADRIAN MURATI WOLFE & JACOBSON, LTD 474 18WC 16980 WESSMAN, KRISTEN FCA US LLC 11/28/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 475 18WC 17035 SKAKAVAC, DANICA WAL-MART ASSOCIATES, INC. 03/14/18 GESMER & REYNOLDS PC GANAN & SHAPIRO 476 18WC 17121 BOSSANY, MICHAEL J DISTINCTIVE ROOFING, INC 05/16/18 COHN LAMBERT RYAN & SCHNEI 477 18WC 17318 RIESEN, DAVID THERMOPLASTIC INC. 01/25/18 BLACK & JONES JOSEPH MARCINIAK 478 18WC 17377 THOMAS, ERICK A YANEFENG AUTOMOTIVE INTER 04/17/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 479 18WC 17378 THOMAS, ERICK A YANFENG AUTOMOTIVE INTERI 04/30/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 480 18WC 17647 DOBSON, DAVID WILLIAM CHARLES INVESTMEN 01/16/18 GESMER & REYNOLDS PC HOLECEK & ASSOCIATES 481 18WC 17756 ONG, JONAS ENVIRONMENTAL SPECIALTIES 05/11/18 BLACK & JONES THOMAS & PORTELA 482 18WC 17759 CARMACK, MARY FCA US LLC 04/21/18 BLACK & JONES WILLIAMS MCCARTHY LLP 483 18WC 17762 GUZMAN, MARCO ROCK RIVER DISPOSAL 05/08/18 BLACK & JONES 484 18WC 17765 SCOTT JR, JACKIE RAY FORRESTVILLE VALLEY SD 22 02/16/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 485 18WC 17768 HERNANDEZ, ALEJANDRA HELP AT HOME 01/09/18 BLACK & JONES INMAN & FITZGIBBONS 486 18WC 17778 AVELLANEDA, ADAN BON TON STORES INC 05/29/18 BLACK & JONES 487 18WC 17869 COIL, JAMES MARTIN & CO EXCAVATING 06/01/18 GOLDBERG WEISMAN & CAIRO L WOLF & LAUDICINA LTD 488 18WC 18147 LOUIS, ANTHONY ROCKFORD ICE HOGS 11/10/17 GORDON LAW OFFICES LTD 489 18WC 18424 SALDANA, PEDRO BRYNOLF MFG, INC 10/09/17 PEDRO SALDANA GAROFALO SCHREIBER STORM GRA 490 18WC 18504 APARICIO, MARIA ELIASAR MCDONALDS 06/01/18 BLACK & JONES HENNESSY & ROACH PC 491 18WC 18507 FOSTER, BRENDA HERITAGE WOODS OF ROCKFOR 04/10/17 BLACK & JONES GOLDBERG SEGALLA LLC 18WC018508 -C 492 18WC 18514 FOLEY, HEATHER FORRESTON FIRE PROTECTION 10/26/16 BLACK & JONES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 493 18WC 18517 MAY, GERALD IAC 09/07/15 BLACK & JONES GANAN & SHAPIRO 494 18WC 18751 GARCIA, RICARDO THORNE ASSOCIATES, INC 02/28/18 GOLDBERG WEISMAN & CAIRO L 495 18WC 19173 ZUNIGA, AMY YANFENG AUTOMOTIVE 10/28/17 GESMER & REYNOLDS PC HENNESSY & ROACH PC 496 18WC 19267 MELENDEZ, MIRCA I LOWE'S HOME CENTERS, LLC 11/05/16 TUITE LAW KEEFE CAMPBELL BIERY & ASSOC 18WC019268 -C 497 18WC 19305 COCHRAN, SHEILA SAS RETAIL SERVICES 03/26/18 POLANSKY & CICHON CHTD KELLEY KRONENBERG 498 18WC 19328 MALLEN, SUSAN ALLIED UNIVERSAL SECURITY 01/21/18 LEONARD LAW GROUP LLC GAROFALO SCHREIBER STORM GRA 499 18WC 19455 HINRICHS, ANNE SNAK KING 06/04/18 DWORKIN AND MACIARIELLO LEAHY EISENBERG & FRAENKEL 500 18WC 19462 NAVARRETE, FRANCISCO ZEI DECORATING, INC, JIM W 03/24/17 BLACK & JONES HINSHAW & CULBERTSON 501 18WC 19465 COOPER, COLLIES GUNITE CORP 05/23/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 502 18WC 19567 MURRAY, JAMIE K CUSTOM CYLINDER, INC 05/22/18 ALEXANDER, PETER LTD. 503 18WC 19648 KERO, TANNER CHICAGO BLACK HAWKS 02/18/18 GORDON LAW OFFICES LTD 504 18WC 19770 KESSLER, ROBERT ROLLING HILLS TRADING 01/10/18 BLACK & JONES RODDY LAW LTD 505 18WC 20120 KEMPKE, WILL MR. ALBERT J TILFORD DBA W 05/22/18 BLACK & JONES 506 18WC 20144 COLWELL, ROBERT L NATIONAL HEADER DIE CORP 06/11/18 TUITE LAW 507 18WC 20160 PATTEN, PAMELA MACLELLAN INTEGRATED SVCS 03/25/18 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 508 18WC 20245 WELLBORN, CHRISTOPHER LUTHERAN OUTDOOR MINISTRI 05/24/18 TURNER & SACKETT LLC ROSARIO CIBELLA 509 18WC 20280 WILLIAMS, MICHELLE GENERAL MILLS 01/11/16 GESMER & REYNOLDS PC BRYCE DOWNEY & LENKOV LLC 510 18WC 20290 HERTZNER, PAMELA FCA US LLC 06/08/18 BLACK & JONES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 511 18WC 20511 NORDHEIM, BRIANA FCA US LLC 02/02/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 512 18WC 20575 BALLUFF, KEVIN FAMILY DOLLAR 04/27/18 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 513 18WC 20617 RODRIGUEZ, JOSE THOMPSON PIPE GROUP 05/30/18 GESMER & REYNOLDS PC LEAHY EISENBERG & FRAENKEL 514 18WC 20660 WEEDE, MICHAEL J & R RENTAL, INC 01/11/18 QUINTAIROS PRIETO WOOD & BOY 515 18WC 20675 POSLEY, LILLIE SYNCREON NORTH AMERICA 07/03/15 GAROFALO SCHREIBER STORM GRA 516 18WC 20828 ROCHON, SERGE NATIONWIDE INBOUND, INC 12/12/17 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 517 18WC 20890 TOVAR, ORMARI AEROTEK 06/26/18 FOOTE MIELKE CHAVEZ O'NEIL 518 18WC 20942 DAY, THOMAS GROENWOLD FUR & WOOL CO. 01/26/17 HAUSER LAW LLC RIPES NELSON BAGGOT KALOBRAT 519 18WC 21084 HEMLOCK, JOSEPH LAWN CARE BY WALTER 06/21/18 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 520 18WC 21113 SANDS, NIKKI STATE OF IL @ 03/16/18 BLACK & JONES ASSISTANT ATTORNEY GENERAL 521 18WC 21309 KUHNWALD, APRIL M T.Q.M. INC BELVIDERE 03/30/18 FRANKS, GERKIN & MCKENNA P GANAN & SHAPIRO 522 18WC 21498 DALLAS, LEE SWEDISH AMERICAN HOSPITAL 06/27/18 VASILATOS & COTTER LLC WILLIAMS MCCARTHY LLP 523 18WC 21839 GUADALUPE-REYES, MARIA ROCK HOSPITALITY, LLP 06/05/18 GESMER & REYNOLDS PC BRADY CONNOLLY & MASUDA PC 524 18WC 21924 MURO, ROSA TH FOODS 06/08/18 BOTTO GILBERT 525 18WC 22026 BAKER, ANN C WALGREENS 06/20/17 TUITE LAW GILDEA, COGHLAN & REGAN LTD. 526 18WC 22064 HAVLOVIC, MICHELE NORTH BOONE COMMUNITY UNI 07/12/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 527 18WC 22227 LAMB, JANICE FCA US LLC 11/23/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 528 18WC 22416 METZ, AARON ROGERS PRECISION MACHININ 09/04/17 CAPRON & AVGERINOS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 529 18WC 22673 BAILEY, BRANDON L AEROTEK INC 06/23/18 TUITE LAW LITCHFIELD CAVO 530 18WC 22694 YOUNG, SHANEKA GUNITE CORPORATION 07/25/18 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 531 18WC 22784 ROSS, ROBERT INDUSTRIAL MOLDS INC 07/03/18 BLACK & JONES GANAN & SHAPIRO 532 18WC 22787 HUGHART, THOMAS BLAIN'S FARM & FLEET 01/01/75 BLACK & JONES 533 18WC 22857 RODRIGUEZ, IRMA SURESTAFF, INC 08/22/17 GOLDSTEIN AIOSSA & GOOD LOUIS MUNDY 534 18WC 23225 VANGORKUM, EMILY COBALT MEDPLANS 07/26/18 EDWARD J. KOZEL 535 18WC 23258 MOORE, DEBRETTA FCA US LLC 04/14/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 536 18WC 23261 FOREMAN, WHITNEY FCA US LLC 05/11/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 537 18WC 23767 MORRIS, TESS AEROTEK 05/20/18 DWORKIN AND MACIARIELLO 538 18WC 23972 BECK, BASIL P PEI OHIO INC 06/21/18 TUITE LAW 539 18WC 24013 LANDWEHR, VALERIE ED ETNYRE & CO. 07/27/18 BLACK & JONES 540 18WC 24210 BRANDT, BEVAN AMS MECHANICAL SYSTEMS, I 06/27/18 NILSON STOOKAL GLEASON CAP GAROFALO SCHREIBER STORM GRA 541 18WC 24382 FRANK, NEIL TITAN TIRE 12/22/16 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 542 18WC 24609 LETCHER, LAWRENCE PIZZA HUT 08/03/17 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 543 18WC 24826 LEMUS, JESUS DAN DALPRA PROPERTY MANAG 05/12/18 KATZ FRIEDMAN EAGLE ET AL RODDY LAW LTD 544 18WC 24852 BRAVO, ALFONSO TOP DIE CASTING CO INC 04/11/18 LEONARD LAW GROUP LLC 545 18WC 24859 O'HARA, KENNETH DHL EXPRESS USA INC 07/27/18 ANKIN LAW OFFICE HENNESSY & ROACH PC 546 18WC 24965 MCGEE, JAMAL CINTAS CORP 08/07/18 BLACK & JONES POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 547 18WC 25284 BAYLOR, TERESA CASEY'S GENERAL STORE 03/30/18 GESMER & REYNOLDS PC 548 18WC 25633 YOUNG, DANIELLE FCA ASSEMBLY PLANT 08/17/18 LEONARD LAW GROUP LLC WIEDNER & MCAULIFFE LTD 549 18WC 25648 MASON, RACHEL RENT-A-CENTER 07/25/18 BLACK & JONES HENNESSY & ROACH PC 550 18WC 25690 JOHNSON, JAMES JESSE MID STATES CONCRETE 08/09/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 551 18WC 25851 HILL, TAMEKA FCA CHRYSLER 08/11/18 ARGIONIS & ASSOCIATES LLC WILLIAMS MCCARTHY LLP 552 18WC 25878 PEYTON, CHRISTINE FCA US LLC 10/03/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 553 18WC 26000 NISSEN, DAVID EXELON- COMMONWEALTH ED. 05/10/18 BLACK & JONES HENNESSY & ROACH PC 554 18WC 26134 TORREZ, ELOY M ZENITH CUTTER CO 11/20/17 TUITE LAW LAWRENCE COZZI - LAW OFFICE 555 18WC 26144 STEELE, MARK A VIKING CHEMICAL COMPANY 11/27/17 TUITE LAW 556 18WC 26194 FEHR, DOUG FCA US LLC 10/05/17 BLACK & JONES WILLIAMS MCCARTHY LLP 557 18WC 26197 MORRISSEY, WILLIAM (BILL) AFLAC 08/17/16 BLACK & JONES INMAN & FITZGIBBONS 558 18WC 26239 MACIEL, VERONICA VAN MATRE HEALTHSOUND REH 07/01/18 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 559 18WC 26243 STEWARD, MYLON BERNER FOODS INC 07/25/18 BLACK & JONES HOLECEK & ASSOCIATES 560 18WC 26365 ROBINSON, MICHAEL FCA US LLC 07/30/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 561 18WC 26449 MILES, FRANCES ROSS DRESS FOR LESS 08/25/18 HORWITZ HORWITZ & ASSOC NYHAN BAMBRICK KINZIE & LOWR 562 18WC 26681 KNECHT, MICHAEL R USF HOLLAND INC 05/21/18 TUITE LAW HENNESSY & ROACH PC 563 18WC 26702 FLAHERTY, CASEY ROCKNEL FASTENER INC 08/21/18 DAVID W MARTAY INMAN & FITZGIBBONS 564 18WC 26817 KENNINGTON, ANDREW ROCKFORD POLICE ADMINISTR 05/22/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 565 18WC 26873 SAUCEDO-CAMPOS, GONZALO ANCHOR HARVEY COMPONENTS, 08/18/18 COHN LAMBERT RYAN & SCHNEI HENNESSY & ROACH PC 566 18WC 26919 WILLIAMS, BRITTANY LOWE'S DISTRIBUTION CENTE 07/30/18 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 567 18WC 26922 CULLINS, ERIC GUNITE CORP 04/15/18 BLACK & JONES RUSIN & MACIOROWSKI LTD 568 18WC 26925 STONECIPHER, DAWN ARAMARK UNIFORM SERVICES 08/03/18 BLACK & JONES 569 18WC 27070 CUSHMEER, ALONZO J BRENNTAG GREAT LAKES @ 12/27/17 NO ATTORNEY EVANS & DIXON, LLC 570 18WC 27388 GOEDERT, RACHEL MEIJER 05/07/18 MC HARGUE & JONES KOPKA, PINKUS DOLIN, PC 571 18WC 27461 LAUER, BRAD CHRYSLER CORPORATION 04/05/18 CAPRON & AVGERINOS PC WILLIAMS MCCARTHY LLP 572 18WC 27700 RAY, DARRELL W US XPRESS, INC 05/13/18 TUITE LAW HENNESSY & ROACH PC 573 18WC 27792 CHRISTOPHER, ANISSA LANDSTAR 08/17/18 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 574 18WC 27815 BENTON, JONATHAN A JR. QPS STAFFING SERVICES INC 08/16/18 TUITE LAW WOLFE & JACOBSON, LTD 575 18WC 27838 JONES, DAVID YANGFENG AUTOMOTIVE INTER 08/19/18 BLACK & JONES HENNESSY & ROACH PC 576 18WC 27875 ST VINCENT, ROBERT FCA US LLC 12/09/15 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 577 18WC 28359 HOIUM, JORDY M FCA US LLC 09/03/17 TUITE LAW WIEDNER & MCAULIFFE LTD 578 18WC 28410 MOSE, LAURIE ARMOR GORILLA 08/24/18 BLACK & JONES 579 18WC 28413 COOK, ROME PA PETERSON AT THE CITADE 07/06/18 BLACK & JONES 580 18WC 28530 VON GILLERN, JEAN H MACY'S RETAIL HOLDINGS IN 06/18/18 TUITE LAW BRYCE DOWNEY & LENKOV LLC 581 18WC 28556 PETERSEN, DONALD OSF ST ANTHONY MEDICAL CE 03/13/16 BLACK & JONES HINSHAW & CULBERTSON 582 18WC 28560 FREEMAN, BERNYCE WESLEY WILLOWS 08/15/18 BRASSFIELD KRUEGER & RAMLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 583 18WC 28654 CASTANON, PAULINA ANDROID INDUSTRIES 03/01/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 584 18WC 28668 LYNCH, JASON AMERICAN ALUMINUM 07/26/18 SCHAFER DERANGO & CAIN 585 18WC 28764 COPPERNOLL, MICHELE CR ASSOCIATES 08/18/18 GESMER & REYNOLDS PC JOSEPH MARCINIAK 586 18WC 29103 LETCHER, DINEEN BBS GROUP, INC 08/24/18 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 587 18WC 29129 CROSSER, MARK PRECISION PIPELINE 07/31/16 BLACK & JONES WIEDNER & MCAULIFFE LTD 588 18WC 29217 WILLIAMS, FRANCESCA FCA US LLC 06/16/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 589 18WC 29614 JACKSON, YVONNE HONEYWELL 09/18/18 BLACK & JONES RODDY LAW LTD 590 18WC 29675 SAENZ, MASEDONIO PYRAMID PLASTICS 08/07/18 BLACK & JONES GANAN & SHAPIRO 591 18WC 29748 PARRINELLO, ANTHONY FCA US, LLC 07/10/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 592 18WC 29928 NEVAREZ, XHAVIER OAKLEY SUB ASSEMBLY 08/10/18 MARTIN V KUGIA 593 18WC 29941 DIEHL, STEPHANIE YANFENG AUTOMOTIVE INTERI 09/26/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 594 18WC 29942 DIEHL, STEPHANIE YANFENG AUTOMOTIVE INTERI 09/13/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 595 18WC 30015 TEDRICK, REBECCA S MERCY HEALTH SYSTEM CORP 03/01/18 TUITE LAW WIEDNER & MCAULIFFE LTD 596 18WC 30041 RONAN, TIM WESTPHAL & COMPANY, INC. 06/12/17 GESMER & REYNOLDS PC RIPES NELSON BAGGOT KALOBRAT 597 18WC 30184 AMBORN, RICHARD A USF HOLLAND 05/10/18 HENNESSY & ROACH PC 598 18WC 30220 SWANSON, GINGER WAL-MART STORES, INC 11/12/17 QUINTAIROS PRIETO WOOD & BOY 599 18WC 30291 BARMORE, GEORGE GUNITE/ACCURIDE 02/02/18 RUSIN & MACIOROWSKI LTD 600 18WC 30392 HORTON, JOHNNY E CONCENTRIC ROCKFORD, INC 11/16/16 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 601 18WC 30581 CAUTHEN, JEFFERY FURST STAFFING 08/22/18 GESMER & REYNOLDS PC ACCIDENT FUND HOLDINGS 602 18WC 30666 COLBY, WILLIAM "BILL" FCA US LLC 08/01/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 603 18WC 30766 BAGGENSTOSS, JAMIE AEROTEC 07/30/18 KATZ FRIEDMAN EAGLE ET AL 604 18WC 30946 PANSANO, JOSEPH SYSTEM ONE 09/06/18 BRASSFIELD KRUEGER & RAMLO MC ANDREWS & NORGLE LLC 605 18WC 31012 CLARDIE, JEREMY SPECTRUM 10/09/18 DWORKIN AND MACIARIELLO 606 18WC 31090 CARDENAS, SANDRA FERNANDE ANDROID INDUSTRIES 07/13/17 KATZ FRIEDMAN EAGLE ET AL 607 18WC 31116 CURRAN, ANTHONY R CITY OF ROCKFORD POLICE D 09/18/18 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 608 18WC 31245 SNIPES, CLIFFORD EVOLUTION STAFFING 09/17/18 BLACK & JONES HENNESSY & ROACH PC 609 18WC 31269 CAUTHEN, JEFFERY FREEPORT SCHOOL DISTRICT 12/15/16 GESMER & REYNOLDS PC 610 18WC 31298 BRADSHAW, LORRAINE LOESCHER CLEANING 10/10/16 BRADY CONNOLLY & MASUDA PC 611 18WC 31341 STUKENBERG, KIMBERLY OREGON COMM UNIT S.D. #22 05/29/18 SEIDMAN MARGULIS & FAIRMAN 612 18WC 31384 PESCHANG, EDWARD H CITY OF ROCKFORD 02/28/17 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 613 18WC 31428 MYERS, BROOKE FCA US LLC 07/03/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 614 18WC 31613 ODOM, PEGGY WALMART SUPERCENTER 05/19/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 615 18WC 31616 SHERER, DAVID ANDRITZ PAPER MACHINE 01/26/18 BLACK & JONES 616 18WC 31704 EDGESTON, JULIUS PHELPS INDUSTRIES 08/08/18 BLACK & JONES 617 18WC 31709 CARDENAS, SANDRA FERNANDE ANDROID INDUSTRIES 09/10/18 KATZ FRIEDMAN EAGLE ET AL 618 18WC 31799 GOBER, MELISSA FCA US, LLC 02/15/18 BLACK & JONES WILLIAMS MCCARTHY LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 619 18WC 31856 COLBORNE, JOE COLORADO AVALANCHE 11/10/17 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 620 18WC 31951 SIMMONS, BRADLEY USF HOLLAND 10/04/18 BLACK & JONES HENNESSY & ROACH PC 621 18WC 31954 BARNES, BRANDON CARPENTER CONTRACTORS 05/29/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 622 18WC 32010 CARLSON, DANIEL FCA US LLC 09/10/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 623 18WC 32209 KOELLER, JUSTIN BERNER FOODS INC 04/16/17 BLACK & JONES HOLECEK & ASSOCIATES 624 18WC 32212 JOHNSON, JEREMY SPHERION STAFFING SERVICE 08/24/18 BLACK & JONES 625 18WC 32373 VENTRE, FRANK WINNEBAGO COUNTY SHERIFFS 05/15/18 BLACK & JONES WILLIAMS MCCARTHY LLP 626 18WC 32384 MCDONOUGH, BRENDA PNC BANK 10/21/16 NASH LAW OFFICE PC 627 18WC 32464 SINGMOUANGTHONG, TOON CITY OF ROCKFORD 09/13/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 628 18WC 32499 MARK, LISA FCA US LLC 06/18/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 629 18WC 32666 VOSS, RODNEY SCHNEIDER NATIONAL 01/24/18 BLACK & JONES HENNESSY & ROACH PC 630 18WC 32677 MILNE, NATHAN W CITY OF ROCKFORD POLICE D 11/12/17 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 631 18WC 32844 GOMEZ, MARIA E MARTINEZ GALENA LODGING VENTRURES 09/08/18 COSTA IVONE LLC LAWRENCE COZZI - LAW OFFICE 632 18WC 32886 THOMPKINS, OMAR PEPSI-COLA BOTTLING COMPA 07/18/18 BLACK & JONES 633 18WC 33015 FINKLEA, TASHA L PRESENCE LIFE CONNECTIONS 08/03/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 634 18WC 33072 ROGERS, ROYE OSF ST ANTHONY'S MEDICAL 08/23/18 LIPKIN & HIGGINS LAW OFFIC HINSHAW & CULBERTSON 635 18WC 33163 TAYLOR, ZACHARY MZI GROUP, INC. 12/14/17 CAPUANI, FRANK S 636 18WC 33243 HOBSON, REGINA ROCKFORD HOUSING AUTHORIT 08/01/18 BLACK & JONES GILDEA, COGHLAN & REGAN LTD.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 637 18WC 33255 ORTEGA, SERGIO CENTRAL RUBBER CO 07/23/18 BOTTO GILBERT MC ANDREWS & NORGLE LLC 638 18WC 33398 DAME, EDWARD NORTH AMERICAN MIDWAY 06/12/17 HENNESSY & ROACH PC 639 18WC 33465 TAPIA, JOHN FCA US LLC 09/17/18 KATZ FRIEDMAN EAGLE ET AL 640 18WC 33753 TENNIN, BEN PREMIUM TRANSPORTATION 02/26/18 BLACK & JONES WOLFE & JACOBSON, LTD 641 18WC 33771 JIMENEZ, JESUS ROCKFORD FASTENERS, INC 03/15/18 ANESI OZMON RODIN NOVAK KO HOLECEK & ASSOCIATES 642 18WC 33898 HILLIARD, CHOWAN UNITED AIRLINES 11/01/18 TAXMAN POLLOCK 643 18WC 34250 LEWIS, QUANTRELL ASSURED STAFFING INC 10/18/18 GESMER & REYNOLDS PC 644 18WC 34303 VALERIO, MARCOS TREE CARE ENTERPRISES, IN 06/13/17 RIPES NELSON BAGGOT KALOBRAT 645 18WC 34377 MC LIN, ROSETTA FCA US, LLC 06/01/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 646 18WC 34509 MELCHOR, SEBASTIAN VENUS PAINTING CO, C/O 08/13/18 HETHERINGTON KARPEL BOBBER MACIOROWSKI SACKMANN & ULRIC 647 18WC 34618 PHINNESSEE, ROBERT MODERN ADVANCED MANUFACTU 06/07/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 648 18WC 34737 WALLACE, DONALD DURAND COMMUNITY UNIT 09/24/18 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM GRA 649 18WC 34974 BARNES, WILLIAM COMBINED ROOFING, INC 10/25/18 STEPHANIE WEISSMAN 650 18WC 35135 BOWERSOCK, BOBBY BARTLETT MANAGEMENT SRVS, 04/25/18 NASH LAW OFFICE PC 651 18WC 35238 GRIFFIN, JAVNAULT FCA 09/17/18 ACEVES & PEREZ PC WILLIAMS MCCARTHY LLP 652 18WC 35403 SNUGGERUD, LUC ROCKFORD ICE HOGS 11/02/18 GORDON LAW OFFICES LTD 653 18WC 35517 ESTRELLA, DAVID ML FARM SYSTEMS, INC 11/16/18 COSTA IVONE LLC RODDY LAW LTD 654 18WC 35566 CORNELIUS, JONATHON R MORING DISPOSAL INC. 10/16/18 TUITE LAW RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 655 18WC 35697 SCHWARTZ, MICHELLE M CITY OF BELVIDERE 09/18/18 BOYD, SCOTT M NYHAN BAMBRICK KINZIE & LOWR 656 18WC 35747 MARTINEZ, ELADIO CARRASCO V & B TRUCKING, INC. 08/11/18 STEVEN B SALK & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 657 18WC 35879 WYATT, MITCHELL A CALEDONIA HAULERS 11/12/18 PATRICOSKI, MARK G 658 18WC 36096 PUEZ, EDDY CONCENTRIC AB 11/29/18 DWORKIN AND MACIARIELLO 659 18WC 36173 KERN, JEFFREY RYDER INTEGRATED LOGISTIC 11/16/18 HEALY SCANLON LAW FIRM HEYL ROYSTER VOELKER & ALLEN 660 18WC 36257 BIRKETT, WILLIAM LOWE'S DISTRIBUTION CENTE 06/22/18 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 661 18WC 36290 RYDELL, DAVID R HOME DEPOT USA, INC 04/13/18 TUITE LAW 662 18WC 36466 FRIAR, MARLON D TREE HOUSE FOODS 11/06/18 TUITE LAW 663 18WC 36798 ROCHA, DAMIEN DANIE RUIZ 09/28/18 BLACK & JONES 664 18WC 36827 RODRIGUEZ, JOSE TOP DIE CASTING 02/06/18 GOLDBERG & DOHAN 665 18WC 36928 DENTON, AMANDA L AEROTEK, INC 11/01/18 TUITE LAW 666 18WC 36964 ESPINOZA, BENJAMIN CMG PROPERTY MANAGEMENT, 08/18/17 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR 667 18WC 36970 TRAVIS, TAMMY FOREST CITY REHAB CE 10/31/18 BLACK & JONES BRADY CONNOLLY & MASUDA PC 668 18WC 37027 CASTANEDA, JULIAN THOMPSON PIPE GROUP- PRES 05/23/18 GESMER & REYNOLDS PC ROSARIO CIBELLA 669 18WC 37106 LEWIS, ANTHONY RAYCAR GEAR AND MACHINE I 09/11/18 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 670 18WC 37143 ROBINS, DAVID GREENLEE TEXTRON 02/01/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 671 18WC 37147 SCHMIDT, NICOLE MAGNA SERVICES OF AMERICA 10/10/18 BLACK & JONES POWER & CRONIN LTD 672 18WC 37250 THURMAN, PATRICK M PEOPLE READY INC 11/13/18 TUITE LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 673 18WC 37272 APPLEBY, GALE INTERNATIONAL PAPER CO 10/06/18 BLACK & JONES GOLDBERG SEGALLA LLC 674 18WC 37442 CARLSON, KAREN OSF HEALTHCARE SYSTEM 07/18/18 GESMER & REYNOLDS PC HINSHAW & CULBERTSON 675 18WC 37488 ROGERS, GILBERT STATE OF ILLINOIS TOLLWAY @ 10/25/18 CLARK FROST NYHAN BAMBRICK KINZIE & LOWR 676 18WC 37535 BORNEMEIER, LISA HELP AT HOME, INC 10/11/18 GOLDBERG WEISMAN & CAIRO L 677 18WC 37584 WILLIAMS, BRIAN USF HOLLAND 05/03/18 BLACK & JONES HENNESSY & ROACH PC 678 18WC 37586 WILLIAMS, BRIAN USF HOLLAND 08/03/18 BLACK & JONES HENNESSY & ROACH PC 679 18WC 37956 BROWN, MARY BROSE BELVIDERE, INC 01/01/18 CLARK FROST 680 18WC 38042 MOORMAN, JEFFREY ILLINOIS DEPARTMENT @ 07/23/18 FRANKS, GERKIN & MCKENNA P ASSISTANT ATTORNEY GENERAL 681 18WC 38088 YEVERINO, VICTOR CPC LOGISTICS MO 11/15/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 682 18WC 38166 KRAMER, TANNER MID-STATES CONCRETE INDUS 08/28/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 683 18WC 38253 BREMBRY, DEVAN RITE-WAY FURNITURE 11/27/18 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 684 18WC 38351 ORTIZ, JESUS OLD DOMINION FREIGHT LINE 09/07/18 GESMER & REYNOLDS PC RODDY LAW LTD 685 18WC 38368 BOWEN, RACHEL ROSEWOOD CARE CENTER 12/13/18 DWORKIN AND MACIARIELLO 686 18WC 38462 GUERRERO, MARTHA JONES NATURALS HOLDINGS I 09/14/18 GESMER & REYNOLDS PC 687 19WC 00008 WALLACE, LAUREN SECURITAS SECURITY SRVCS 12/11/18 ANGELINI & ORI LLC STONE & JOHNSON CHARTERED 688 19WC 00132 PHILLIPS, LARRY MID STATES SCREW CORP 11/20/18 BLACK & JONES WOLFE & JACOBSON, LTD 689 19WC 00179 WESTCOTT, RONALD GUNITE CORP. 05/10/18 RUSIN & MACIOROWSKI LTD 690 19WC 00302 KEY, RITA ROCKFORD RESCUE MISSION 10/16/18 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 691 19WC 00612 FISH, JANICE BYRON SCHOOL DISTRICT #22 01/10/17 BLACK & JONES 692 19WC 00740 MARTIN, KENYATTA DONEGAL EXCAVATING 12/31/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 693 19WC 00800 FLOREZ, KEVIN VELASQUEZ & SONS 04/03/18 ADRIAN MURATI 694 19WC 01011 WHITFORD, MARK JP CULLEN & SONS INC 11/05/18 GOLDBERG WEISMAN & CAIRO L 695 19WC 01096 FLORES, ALFREDO TH FOODS 12/13/18 GESMER & REYNOLDS PC QUINTAIROS PRIETO WOOD & BOY 17WC027884 -C 696 19WC 01170 RAAB, KIRK JO DAVIESS COUNTY SHERIFF 03/31/17 REYNOLDS & KENLINE LLP INMAN & FITZGIBBONS 697 19WC 01202 PERKO, DIXIE KONECRANES/KCI HOLDING US 11/29/18 GOLDBERG WEISMAN & CAIRO L LAWRENCE COZZI - LAW OFFICE 698 19WC 01626 PARKS, JACKIE QPS EMPLOYMENT 10/11/18 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 699 19WC 01640 RICHARDS, KIM R COUNTY OF WINNEBAGO 11/04/18 TUITE LAW WILLIAMS MCCARTHY LLP 700 19WC 01647 PARKS, JACKIE QPS EMPLOYMENT 12/12/18 GESMER & REYNOLDS PC WOLFE & JACOBSON, LTD 701 19WC 02000 RAY, JOHN NAPLETON AUTO WORKS 07/28/18 BLACK & JONES GANAN & SHAPIRO 702 19WC 02010 AGUILERA, ELIZABETH DUNKIN DONUTS 06/28/18 GESMER & REYNOLDS PC LAWRENCE COZZI - LAW OFFICE 703 19WC 02014 ANDERSON, JOSHUA OGLE COUNTY SHERIFF'S DEP 10/15/18 BLACK & JONES INMAN & FITZGIBBONS 704 19WC 02046 KNIFFEN, DAVID WINNEBAGO CNTY SHERIFF'S 08/30/18 REESE & REESE WILLIAMS MCCARTHY LLP 705 19WC 02088 STEVENS, DONNA ROCKFORD PROCESS CONTROL 04/26/18 GESMER & REYNOLDS PC KEEFE CAMPBELL BIERY & ASSOC 706 19WC 02115 BECK, KIMBERLY THE CONNECTION 01/19/19 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 707 19WC 02326 COOPER, EDWARD U.S. XPRESS INC 09/23/18 WILLIAMS & SWEE HENNESSY & ROACH PC 708 19WC 02373 BROWN, THOMAS MIKE HARRIS MASONRY CONTR 06/08/16 HORWITZ HORWITZ & ASSOC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 42 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 709 19WC 02581 STEELE, DARLENE J FURST STAFFING 07/24/18 PIGNATELLI & ASSOCIATES 710 19WC 02598 HAWBAKER, JANICE ACCEL ENTERTAINMENT INC 11/07/18 PIGNATELLI & ASSOCIATES 711 19WC 02634 PELLEY, TYRAN RAYNER COVERING SYSTEM 10/18/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 712 19WC 02648 EKBERG, TERRI ROCKFORD PARK DISTRICT 12/14/18 CLARK FROST 713 19WC 02973 COTTRELL, JOSEPH R.L. LEEK INDUSTRIES 11/13/18 BLACK & JONES WOLFE & JACOBSON, LTD 714 19WC 02976 CARDONA, MICHELLE PEAK MEDICAL HOME CARE 12/22/18 BLACK & JONES 715 19WC 03158 ZEHNER, WICHUDA HOME STAFF INC 01/08/18 GESMER & REYNOLDS PC GANAN & SHAPIRO 716 19WC 03174 MENDEL, MICHAEL FEDEX EXPRESS 02/02/16 GESMER & REYNOLDS PC 717 19WC 03240 IVES, JUDY WAL-MART 01/18/18 GESMER & REYNOLDS PC GANAN & SHAPIRO 718 19WC 03270 NIETO, ETHELVINA YANFENG AUTOMOTIVE 03/03/18 GESMER & REYNOLDS PC 719 19WC 03333 ZEPEDA, GUADALUPE CONCENTRIC ROCKFORD, INC 12/21/18 MILLON & PESKIN LTD JOSEPH MARCINIAK 720 19WC 03384 DRAPER, DOUG HARRIS REBAR ROCKFORD INC 03/06/18 FREDERIC NESSLER & ASSOC WIEDNER & MCAULIFFE LTD 721 19WC 03408 LARSEN, TED LIEBOVICH BROTHERS 02/01/11 BLACK & JONES POULOS & DIBENEDETTO LAW 722 19WC 03411 BURIE, ELIZABETH ASPEN DENTAL 11/30/18 BLACK & JONES LAWRENCE COZZI - LAW OFFICE 723 19WC 03484 BREMBRY, DEVAN RITE-WAY FURNITURE & APPL 12/06/18 DWORKIN AND MACIARIELLO GILDEA, COGHLAN & REGAN LTD. 724 19WC 03833 SHUMAN, BRODERICK FOSLER CONSTRUCTION 09/10/18 BRADY CONNOLLY & MASUDA PC 725 19WC 04060 GAINEY, MARKIS UPS 09/02/18 GESMER & REYNOLDS PC 726 19WC 04113 VIDALES, DANIEL LUNG FUNG #2 01/13/19 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 43 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 727 19WC 04340 KNOX, ROSETTA WILLOW GLEN ACADEMY 12/17/18 GESMER & REYNOLDS PC 728 19WC 04381 SWIDERSKI, EDWARD JR. FCA US LLC 08/23/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 729 19WC 04500 ROOP, LARRY USF HOLLAND 09/25/17 HENNESSY & ROACH PC 730 19WC 04530 ALVAREZ, NICOLE FCA US LLC 12/13/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 731 19WC 04702 BACON, GEANETTE CHRYSLER DIVISION FCA US 05/25/18 RICHARD O. GREENFIELD WIEDNER & MCAULIFFE LTD 732 19WC 04807 MOXLEY, KEVIN SNAK KING 09/14/18 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 733 19WC 04856 GARCIA, JOSE T C TRANSPORT INC. 02/08/19 GOLDBERG WEISMAN & CAIRO L 734 19WC 04950 GROZDANOVIC, MIHAJLO THOMAS SERVICES, INC 02/11/19 GRAUER & KRIEGEL LLC WIEDNER & MCAULIFFE LTD 735 19WC 04974 ALOBA, JOHN VALLEY EXPO & DISPLAY 10/28/18 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 736 19WC 05063 KIELY, KIMBERLY M CITY OF ROCKFORD POLICE D 08/19/18 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 737 19WC 05208 NEUBAUER, ALISSA K PARAMEDIC SERVICES OF ILL 12/04/18 REESE & REESE HENNESSY & ROACH PC 738 19WC 05239 HOLIDAY, GABRIELLE AMBERWOOD CARE CENTER 01/13/19 BLACK & JONES GALLIANI DOELL & COZZI LTD 739 19WC 05242 CHASE, SARAH VALLEY MILL PUB AND GRILL 07/20/18 BLACK & JONES 740 19WC 05246 SAYGO, LATRICA SIMOS INSOURCING SOLUTION 01/17/19 BLACK & JONES BRADY CONNOLLY & MASUDA PC 741 19WC 05249 VIVIAN, JENNIFER FCA US LLC 09/28/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 742 19WC 05263 JANICKE, KIMBERLY R SNAK KING 08/26/18 HAUSER LAW LLC 19WC005264 -C 743 19WC 05286 OWENS, RICK TAYLOR COMPANY 01/14/19 BLACK & JONES MACIOROWSKI SACKMANN & ULRIC 744 19WC 05305 RUIZ, JUAN DANFOSS 02/07/19 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 44 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 745 19WC 05515 WILSON, CURT LOVES PARK POLICE DEPT 09/14/18 RIDGE & DOWNES NYHAN BAMBRICK KINZIE & LOWR 746 19WC 05657 KUCHER, JOSEPH FCA US LLC 02/01/19 BLACK & JONES WILLIAMS MCCARTHY LLP 747 19WC 05672 WADSWORTH, BRIAN CITY OF ROCKFORD POLICE D 12/21/16 GESMER & REYNOLDS PC HEYL ROYSTER VOELKER & ALLEN 748 19WC 05678 KEELING, KYLE LOWES DISTRIBUTION 01/04/19 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 749 19WC 05689 FERGUSON, LISA MARIE TEMCO GRINDING INC 01/27/17 BLACK & JONES RODDY LAW LTD 750 19WC 05692 WUBBEN, RONALD STAR MANUFACTURING 10/05/18 BLACK & JONES CAPUANI, FRANK S 751 19WC 05718 FIDECKI, CHRISTOPHER FREEPORT POLICE DEPARTMEN 07/21/18 RIDGE & DOWNES 752 19WC 05852 MEYERS, CHARLES JR EVOLUTION STAFFING 01/02/19 DWORKIN AND MACIARIELLO 753 19WC 05887 CRAWFORD, RICHARD SYNCREON 01/10/19 KATZ FRIEDMAN EAGLE ET AL 754 19WC 05965 BIRD, MICHAEL OAKLEY SUB-ASSEMBLEY 01/10/18 MARTIN V KUGIA 755 19WC 06015 RUST, MARK VILLAGE OF FORRESTON 11/14/18 BLACK & JONES POWER & CRONIN LTD 756 19WC 06045 VOSS, RODNEY SCHNEIDER NATIONAL 02/02/18 BLACK & JONES HENNESSY & ROACH PC 757 19WC 06050 LEVINE, DENA D CANDLEWICK LAKE ASSOCIATI 02/06/19 REESE & REESE 758 19WC 06090 CLARK, RICHARD SECURITAS SECURITY SRVS 02/01/19 DWORKIN AND MACIARIELLO STONE & JOHNSON CHARTERED 759 19WC 06104 KAUKE, KENNETH ROCKFORD SCHOOL DIST #205 10/02/18 CLARK FROST WIEDNER & MCAULIFFE LTD 760 19WC 06378 RUVOLO, MICHAEL J JR. STATE OF ILLINOIS DEPT OF @ 09/20/18 TUITE LAW 761 19WC 06588 CHASTEEN, CHERYL FORD TOOL & MACHINING LLC 06/11/18 GESMER & REYNOLDS PC JOSEPH MARCINIAK 762 19WC 06622 BOWES, BRIAN CARDINAL STAFFING SERVICE 04/01/18 BLACK & JONES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 45 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 763 19WC 06625 LEONHARDT, KEITH CASSENS TRANSPORT 12/05/17 BLACK & JONES KNAPP, OHL & GREEN 764 19WC 06657 MUNOZ, OMAR A MYERS INDUUSTRIES 02/20/19 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 765 19WC 06825 HOLZ, ALANDA BARKAU AUTOMOTIVE 02/08/18 MARKS INJURY LAW RUSIN & MACIOROWSKI LTD 766 19WC 06878 LEACH, JAMES MACLELLAN INTEGRATED SRVS 10/26/18 DOUGLAS RALLO PC KNELL LAW LLC 767 19WC 06967 HALL, ANN EAGLE RIDGE RESORT & SPA 05/05/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 768 19WC 07044 LUAISA, JUAN ILLINOIS STATE POLICE @ 02/18/19 RIDGE & DOWNES 769 19WC 07101 WILSON, PAMEKA L INSTACART 02/27/19 ANESI OZMON RODIN NOVAK KO KRAKER FANNING & OLSEN 770 19WC 07297 DEVOE, JEROME AUTOZONE INC * 02/26/19 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 771 19WC 07328 WANSTROM, ROCK ANDROID INDUSTRIES * 08/15/18 KATZ FRIEDMAN EAGLE ET AL 772 19WC 07441 WALKEY, JEREMY CASSENS TRANSPORT COMPANY * 05/24/17 KROL BONGIORNO & GIVEN LTD KNAPP, OHL & GREEN 773 19WC 07499 STARKS, KEAYONIA SYNCREON * 02/09/19 GESMER & REYNOLDS PC 774 19WC 07526 CHAPMAN, BOBBI CHRYSLER ASSEMBLY PLANT * 02/19/19 DWORKIN AND MACIARIELLO WILLIAMS MCCARTHY LLP 775 19WC 07619 GONZALEZ, TRINADAD MIDWEST PACKAGING & CONTA * 06/19/18 TAXMAN POLLOCK LAWRENCE COZZI - LAW OFFICE 776 19WC 07634 STYTZ, JEFFREY COMCAST * 02/27/19 KROL BONGIORNO & GIVEN LTD SPIEGEL & CAHILL, PC 777 19WC 07672 OLSEN, DENNIS ALLEGIANT RECYCLING MGMT * 10/11/18 GESMER & REYNOLDS PC 778 19WC 07677 CHRONISTER, APRIL MTP INC * 06/04/18 GESMER & REYNOLDS PC CHILTON YAMBERT PORTER LLP 779 19WC 07706 HERHOLD, TONI WESLEY WILLOWS * 12/29/18 GESMER & REYNOLDS PC 780 19WC 07843 MEDINA, EDVIN HENRY LUCAS GONZALEZ * 01/03/19 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 46 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 781 19WC 07862 PATEL, NIRAL KD POS, INC * 01/11/18 DWYER & COOGAN 782 19WC 07983 RUDDER, KODY NORTHERN IL WILBERT VAULT * 01/25/19 BLACK & JONES 783 19WC 08293 MARTINEZ, MARGARITA YANFENG AUTOMOTIVE INTERI * 08/02/18 DWORKIN AND MACIARIELLO 784 19WC 08420 SIMPSON, PRINCELLA C MERCY HEALTH * 11/06/17 REESE & REESE 785 19WC 08459 LISTON, GINA SWEDISH AMERICAN HOSPITAL * 06/01/18 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 786 19WC 08543 COURTRIGHT, ROBERT FCA US LLC * 03/07/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 787 19WC 08587 SNYDER, DAKOTA L BUCK SHOT RIDGE FARM & * 04/14/18 REESE & REESE JAMES M KELLY 788 19WC 08632 BRITNELL, BRIAN C CITY OF LOVES PARK * 02/07/19 TUITE LAW POWER & CRONIN LTD 789 19WC 08731 RICE, NANCY SAM'S CLUB * 02/14/19 GESMER & REYNOLDS PC QUINTAIROS PRIETO WOOD & BOY 790 19WC 08830 LOMAX, HOLLY A HERITAGE WOODS OF FREEPOR * 01/01/19 HAUSER LAW LLC GOLDBERG SEGALLA LLC 791 19WC 08840 ELLIOTT, DAVID A JAMCO PRODUCTS INC * 02/27/19 TUITE LAW HENNESSY & ROACH PC 792 19WC 08935 BROSHOUS, DERYL APPLE CANYON LAKE POA * 04/23/18 BLACK & JONES GAROFALO SCHREIBER STORM GRA 19WC008936 -C 793 19WC 08938 TINGLESTAD, DAVID ARCO MACHINERY MOVERS * 01/02/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 794 19WC 08967 EDGE, CLINTON BARNES INTERNATIONAL, INC * 01/26/17 BLACK & JONES HOLECEK & ASSOCIATES 795 19WC 08971 SMITH, MICHAEL R MECHANICAL INC * 02/01/16 BLACK & JONES 796 19WC 08974 GRUTTER, LYNNE PANERA BREAD * 02/10/19 BLACK & JONES 797 19WC 09031 CONRAD, STEVE FCA US, LLC * 06/04/18 WILLIAMS MCCARTHY LLP 798 19WC 09094 HOIDAHL, ROGER DALE H LONG SCREW MACHINE * 12/20/17 GESMER & REYNOLDS PC JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 47 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 799 19WC 09301 BOYER, STEVEN A-AMERICAN MACHINE & ASSE * 11/20/17 NYHAN BAMBRICK KINZIE & LOWR 800 19WC 09386 DAVIS, ERICKA FCA US LLC * 03/06/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 801 19WC 09469 JUAREZ, LILIA GENERAL MILLS * 11/26/18 LEO ALT BRYCE DOWNEY & LENKOV LLC 802 19WC 09513 SNOW, MARK YANGFENG AUTOMOTIVE INTER * 12/12/18 BLACK & JONES 803 19WC 09543 FLETCHER, JOSEPH JR. FCA US LLC * 12/07/18 KATZ FRIEDMAN EAGLE ET AL WILLIAMS MCCARTHY LLP 804 19WC 09598 STIEN, BRADLEY J CITY OF ROCKFORD POLICE D * 09/03/18 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 805 19WC 09632 BRUZAN, ELIZABETH "BETH" CARDINAL SERVICES LLC 02/14/19 TUITE LAW HENNESSY & ROACH PC 806 19WC 09648 KING, ANGELA STAFF ON SITE MIDWEST INC * 12/18/18 DWORKIN AND MACIARIELLO 807 19WC 09791 MARTIN, ROB WIN-BUR-SEW FIRE DEPT * 02/08/19 BLACK & JONES 808 19WC 09794 PUTZ, RUSSELL COMED 03/05/19 BLACK & JONES HENNESSY & ROACH PC 809 19WC 09869 KALEN, SCOTT VIKING CHEMICAL CO * 02/12/19 BLACK & JONES 810 19WC 09889 SNOW, STEPHEN EVANS-MASON, INC * 07/18/18 MARK N LEE 811 19WC 09906 SMITH, KERMIT BERNER FOOD & BEVERAGE * 11/09/18 GESMER & REYNOLDS PC 812 19WC 09928 HUNT, NICOLE ROCKFORD PUBLIC SCHOOL DI * 03/12/19 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 813 19WC 09933 MCRAE, HELEN ROCKFORD PUBLIC * 01/09/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 814 19WC 09990 WILDER, DARREN EVOLUTION STAFFING * 03/23/19 WOODRUFF JOHNSON 815 19WC 10111 MOORE, ROSE FREEWAY CORP * 01/02/19 BLACK & JONES HENNESSY & ROACH PC 816 19WC 10121 KREEGER, WILLIE SNAK KING * 10/24/18 WOLFE LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 48 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 817 19WC 10263 THOMAS, TAUSHA ROCKFORD PUBLIC SCHOOLS * 04/05/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 818 19WC 10375 ALLEN, LAURELL FCA US LLC * 08/03/18 BLACK & JONES 819 19WC 10520 SIMMONS, MELISSA PEARL PAVILION * 03/10/19 GESMER & REYNOLDS PC 820 19WC 10561 WOLFENBERG, ADAM GENERAL MILLS, INC * 02/20/19 MC HARGUE & JONES BRYCE DOWNEY & LENKOV LLC 821 19WC 10578 PARROTT, RICHARD WOODS EQUIPMENT * 03/08/19 BLACK & JONES GAROFALO SCHREIBER STORM GRA 822 19WC 10687 SABIN, JENNIFER LOWES HOME IMPROVEMENT * 03/27/19 BLACK & JONES KEEFE CAMPBELL BIERY & ASSOC 823 19WC 10712 JURING, ANGELA FCA US LLC * 02/08/19 KATZ FRIEDMAN EAGLE ET AL 824 19WC 10715 DAVIS, STEVEN FCA US LLC * 06/06/18 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 825 19WC 10838 GARVEY, TOM A FCA US LLC * 01/31/19 GESMER & REYNOLDS PC WILLIAMS MCCARTHY LLP 826 19WC 10971 SENN, NANCY WOODS EQUIPMENT * 04/04/17 WOLFE & JACOBSON, LTD 827 19WC 11049 DALTON, JEFFREY FCA US, LLC * 03/11/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 828 19WC 11174 MOYER, WAYNE A JO DAVIESS COUNTY SHERIFF * 02/11/19 KATZ FRIEDMAN EAGLE ET AL INMAN & FITZGIBBONS 829 19WC 11362 EKQUIST, WILLIAM WOODS EQPMNT A/K/A BLOUNT * 02/14/18 PIGNATELLI & ASSOCIATES WOLFE & JACOBSON, LTD 830 19WC 11376 DUNCAN, BRIAN HB PLASTICS INC * 12/11/18 DWORKIN AND MACIARIELLO 831 19WC 11521 VETTORE, JEFFERY MARVS TOWING & REPAIR, IN * 06/27/18 BRADY CONNOLLY & MASUDA PC 832 19WC 11628 GARIBAY, MARTHA FCA US LLC * 03/05/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 833 19WC 11740 SUMMERS, DANIELLE FREEPORT SCHOOL DISTRICT * 04/28/17 LAWRENCE COZZI - LAW OFFICE 834 19WC 11816 BONNER, JACQUELINE ROCKFORD MASS TRANSIT DIS * 03/24/19 GESMER & REYNOLDS PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 49 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 835 19WC 11865 STORY, ROBERT L (WIDOW) ILLINOIS STATE POLICE # * 03/28/19 MORICI FIGLIOLI & ASSOC 836 19WC 11937 HILL, KEVIN PAUL POMP'S TIRE * 04/11/18 BRASSFIELD KRUEGER & RAMLO 837 19WC 12165 DAVIS, RICK QPS EMPLOYMENT GROUP * 03/27/19 TARADASH LAW OFFICE 838 19WC 12178 GARVEY, TOM A FCA US, LLC * 04/10/19 GESMER & REYNOLDS PC 839 19WC 12354 WALKER, MIRANDA SPX FLOW, INC * 03/15/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 840 19WC 12357 KOZUCH, KATHY MERCYHEALTH HOSPITAL-RIVE * 02/23/19 BLACK & JONES 841 19WC 12369 CABALLERO SALGADO, ALEJAN DSI CORPORATION * 04/15/16 BLACK & JONES ACCIDENT FUND HOLDINGS 842 19WC 12372 ROMERO, CARLOS TRI STAR METALS * 02/25/19 MARKS INJURY LAW 843 19WC 12573 DICKENS, DARIUS SECURE STAFFING LLC * 04/24/19 DWORKIN AND MACIARIELLO 844 19WC 12714 BUSTOS, JOANNE SYNCREON * 04/08/19 STROM & ASSOC 845 19WC 12751 SUMMERS, DANIELLE FREEPORT SCHOOL DISTRICT * 04/28/17 LAWRENCE COZZI - LAW OFFICE 846 19WC 12762 RETTIG, BRIAN WOODWARD, INC * 03/22/19 BLACK & JONES HINSHAW & CULBERTSON 847 19WC 12765 RAMOS, JUAN ROCKFORD TOOLCRAFT * 03/20/19 BLACK & JONES 848 19WC 12811 RIOS, MARY FCA US LLC * 04/24/19 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 849 19WC 13011 NICHOL, NIKA PHELPS INDUSTRIES 03/22/19 DAVID W MARTAY 850 19WC 13096 UGARTE, YURIDIANA SPX FLOW * 11/02/18 GESMER & REYNOLDS PC WIEDNER & MCAULIFFE LTD 851 19WC 13116 RITTER, JAIMIE L MERCY HEALTH * 12/14/18 REESE & REESE 852 19WC 13142 CARVAJAL, ROBERTO NEW SUNRISE PATIO & LAWN * 07/02/18 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 50 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 853 19WC 13154 CLEMENS, MICHELLE PRN HEALTH SERVICES * 04/07/18 DERANGO & CAIN 854 19WC 13277 SMITH, ERICA CINTAS * 03/28/19 SOSTRIN AND SOSTRIN PC POWER & CRONIN LTD 855 19WC 13326 MURPHY, CARIZMA FCA US LLC * 12/20/18 KATZ FRIEDMAN EAGLE ET AL 856 19WC 13366 RODRIGUEZ, GUILLERMO CCA, INC * 03/25/19 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 857 19WC 13404 MUNZ, SUSAN ROCKFORD PUBLIC SCHOOL * 09/21/18 FABIANO LAW OFFICES 858 19WC 13422 HACKENBURG, BRIAN NATIONAL FREIGHT INDUSTRI * 04/11/19 BLACK & JONES QUINN JOHNSTON HENDERSON ETA 859 19WC 13425 RADCLIFFE, OFELIA SEWARD SCREW PRODUCTS * 08/27/18 BLACK & JONES HOLECEK & ASSOCIATES 860 19WC 13438 BROWN, FREDRICK DAN FOSS DRIVES * 02/27/19 BLACK & JONES 861 19WC 13448 FERRARESI, MARY US BANK * 04/01/18 BLACK & JONES HENNESSY & ROACH PC 862 19WC 13451 WICKLEIN, MICHAEL USF HOLLAND * 10/01/18 BLACK & JONES HENNESSY & ROACH PC 863 19WC 13456 BALER, TRACEY ELGIN SWEEPING SERVICES * 04/08/19 BLACK & JONES 864 19WC 13663 HEDRICK, PHILIP SPX COOLING TECHNOLOGIES, * 10/04/17 STEPHEN P. KELLY WIEDNER & MCAULIFFE LTD 865 19WC 13999 ROLDAN, RODOLFO SYNCREON * 10/13/18 KATZ FRIEDMAN EAGLE ET AL 866 19WC 14226 MELENDEZ, LUIS ALBERTO GO MASTER ROOFING AND REMODE * 02/02/19 JAMES URTIS 867 19WC 14352 REYNOLDS, ANNETTE PHELPS INDUSTRIES * 03/01/19 BLACK & JONES GILDEA, COGHLAN & REGAN LTD. 868 19WC 14360 MANDUJANO, ADAM MIKE HARRIS MASON CONTRAC * 10/15/18 BLACK & JONES GANAN & SHAPIRO 869 19WC 14363 VAZQUEZ, SUSAN BERGSTROM CLIMATE SYSTEMS * 11/01/18 BLACK & JONES WOLFE & JACOBSON, LTD 870 19WC 14421 MILLER, DAWN ST ANNE CENTER * 04/26/19 GESMER & REYNOLDS PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 51 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 871 19WC 14481 BEHRS, ANDREW U.S. XPRESS, INC. * 04/25/19 MARKHAM M JEEP & ASSOCIATE HENNESSY & ROACH PC 872 19WC 14620 CONWAY, NICHOLAS LONNIE'S STONECRAFTERS IN * 09/18/18 NYHAN BAMBRICK KINZIE & LOWR 873 19WC 14755 DAYTON, MICHAEL W STENSTROM CNSTN/STENSTROM * 05/07/18 CLARK FROST 874 19WC 14973 ARELLANO, JOANNA BARBARA OLSEN CENTER OF H * 11/28/18 BLACK & JONES 875 19WC 14978 BABCOCK, MELODY FREEPORT SCHOOL DISTRICT * 10/05/18 BLACK & JONES 876 19WC 14985 HILL, MARILYN SYNCREON * 04/23/19 BLACK & JONES 877 19WC 15155 GOMEZ, FRANCISCO ASPLUNDH TREE EXPERT CO * 04/06/19 DWORKIN AND MACIARIELLO 878 19WC 15256 SMITH, THERESA GE AVIATION * 04/19/19 GESMER & REYNOLDS PC 879 19WC 15669 KUZMICKI, EDWARD PYRAMID PLASTICS * 02/04/19 BLACK & JONES 880 19WC 15675 WHITE, DONNA CVS * 02/15/19 BLACK & JONES 881 19WC 15684 DAVIS, LORRAINE E GALENA LODGING VENTURES I * 04/02/18 HAUSER LAW LLC 882 19WC 15733 WESSMAN, KRISTEN FCA US LLC * 04/16/19 KATZ FRIEDMAN EAGLE ET AL 883 19WC 15896 MUHASKY, DAVID HOLLAND MOTORS * 04/09/19 GWC INJURY LAWYERS LLC 884 19WC 16010 LAROCHE, JOSEPH L ILLINOIS STATE TOLL HIGHW @ * 04/17/19 REESE & REESE 885 19WC 16054 DAVENPORT, LASHONE S PACKAGING COORDINATORS, I * 04/29/19 REESE & REESE 886 19WC 16187 BALL, DONNA S FCA US LLC * 05/29/19 KATZ FRIEDMAN EAGLE ET AL 887 19WC 16207 HUTCHISON, WILLIAM MODERN PLATING CORP * 01/31/18 HOLECEK & ASSOCIATES 888 19WC 16305 LOCKE, SANDRA FAIR OAKS HEALTH CARE CEN * 07/08/18 BLACK & JONES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 52 C A S E H E A R I N G S Y S T E M HEGARTY, JESSICA 019 ARBITRATION CALL FOR ROCKFORD 45001 ON 07/09/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 889 19WC 16308 ELSEN, JAMES USF HOLLAND * 01/22/19 BLACK & JONES 890 19WC 16319 DAMKEN, JOHN CDV CORPORATION * 02/11/19 ALEXANDER, PETER LTD. 891 19WC 16484 WOLF, LINDA WALMART INC * 12/23/18 QUINTAIROS PRIETO WOOD & BOY