ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 29526 TARRANT, BRAIN P STONINGTON FERTILIZER 08/01/02 MCCARTHY ROWDEN & BAKER KNELL & O'CONNOR 2 04WC 22398 SMITH, LEE R SONNOBORN BROS. INC 04/26/04 STRONG LAW OFFICE JAMES M KELLY 3 05WC 37566 STEELE, ROBERT M & M SERVICE CO @ 09/14/04 CULLEY & WISSORE HEYL ROYSTER VOELKER & ALLEN 4 06WC 33529 19B GREGORY, JUDITH BEMENT SCHOOL DISTRICT #5 01/30/06 SHAY & ASSOCIATES GAROFALO SCHREIBER STORM 5 08WC 01854 PROSSER, JASON ARCHER DANIELS 09/27/07 SCHUM LAW OFFICE WINTERS FEATHERSTUN ET AL 13WC021291 -C 6 08WC 18175 COONROD, TIM L CATERPILLAR INC 05/12/06 MCCARTHY ROWDEN & BAKER CATERPILLAR 08WC025522 -C 11WC006684 -C 7 08WC 38429 ROSA, MICHELLE MOSCARDELLI'S MOVING & ST W 07/08/08 SHAY & ASSOCIATES JAMES M KELLY 08WC038430 -C 8 08WC 40963 BURTLE, JOHN MONTEREY COAL COMPANY 10/12/85 HARVEY & STUCKEL LIVINGSTONE MUELLER ET AL 9 09WC 28028 PETERS, DANIEL KBV CONSTRUCTION D/B/A 09/15/08 DAVID J JERMONE LEMP & MURPHY 10 09WC 28334 FOREMAN, NICOLE STATE OF IL DEPT OF CORRE 05/29/09 MOOS SCHMITT & O BRIEN ASSISTANT ATTORNEY GENERAL 11 09WC 32122 HUNT, DALTON Q ST OF IL A MCFARLAND MHC @ 03/05/09 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 12 09WC 35826 MALLY, VICKIE CATERPILLAR INC 08/29/06 COSTIGAN & WOLLRAB PC CATERPILLAR 13 09WC 35827 MALLY, VICKIE CATERPILLAR INC 02/04/08 COSTIGAN & WOLLRAB PC CATERPILLAR 14 10WC 09733 19B TODD, ROBERT E CWLP 12/22/09 BERG & ROBESON HASSELBERG GREBE SNODGRASS 15 10WC 13792 ALLEN, JOHN CATERPILLAR INC 10/20/06 COSTIGAN & WOLLRAB PC CATERPILLAR INC 16 10WC 32309 TEAGUE, CHRIS BEMENT HEALTHCARE CENTER 05/10/10 MARSZALEK AND MARSZALEK KNELL LAW LLC 17 10WC 33600 WATERS, MARY J STATE OF ILLINOIS @ 01/01/10 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 10WC 43455 DUNN, STEPHEN TRI COUNTY COAL 06/16/10 BOSHARDY LAW OFFICE PC CRAIG & CRAIG 19 11WC 01444 WAKEMAN, MICAH B CITY OF DECATUR 08/04/10 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 20 11WC 10088 JENKINS, ERNEST C GREG A JOHNSON W 12/16/10 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 21 11WC 12912 AUSTIN, MICHAEL IL SCHOOL FOR THE DEAF @ 02/17/10 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 22 11WC 13555 HELM, CLARENCE, JR BOURNE ENTERPRISES 03/22/10 WARREN E DANZ, PC MARK S MORTHLAND 23 11WC 20194 BARRY, VICKI INTERNATIONAL PAPER COMPA 08/16/10 MARK A WELLS KEEFE CAMPBELL & ASSOC LLC 24 11WC 29821 YENNEY, TROY A ST JOHN'S HOSPITAL 02/09/11 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 25 11WC 32689 PARK, EVELYN K DECATUR SCHOOL 11/16/09 FREDERICK & HAGLE FEATHERSTUN GAUMER POSTLEWAI 26 11WC 41798 LEE, MARK LAW OFFICES OF MARK N LEE 05/04/10 LEE, MARK N LAW OFFICE 27 11WC 42445 TARRANT, ROBERT E TRI R DISPOSAL 05/25/11 KANOSKI & ASSOCIATES 28 11WC 44643 TALLEY, JACQUELINE M MOWHAWK INDUSTRIES 04/20/11 SCOTT P. HOLWITT ROUSE & CARY 29 12WC 04436 DONELSON, JOHNNY DALE TRI COUNTY COAL LLC 09/24/11 BERG & ROBESON LITCHFIELD CAVO 30 12WC 04671 AVILA, ESLY AL & JON EXPRESS INC W 12/16/10 MCCARTHY ROWDEN & BAKER 31 12WC 11798 ORR, NANCY K SHIRLEY'S FLOWER SHOPPE & 10/22/11 KANOSKI BRESNEY HENNESSY & ROACH 32 12WC 16000 WILSON, GERALD WALMART 03/03/12 SHAY & ASSOCIATES GANAN & SHAPIRO 33 12WC 33035 HUDGINS, BARBARA HELP AT HOME 04/27/12 STRONG LAW OFFICE ROUSE & CARY 34 12WC 37676 SAPP, KONRAD L DOYLE PLUMBING AND HEATIN 06/06/12 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 35 12WC 37866 TROTTER, BRAD COLFAX CORPORATION 08/27/12 NESSLER, FREDERIC LAW OFFI THOMAS & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 36 12WC 41121 APOLONIO, SANDRA J ANIMAL PROTECTIVE LEAGUE 06/04/12 THOMAS W DUDA PATRICIA M CARAGHER 37 13WC 02490 LOVELACE, JAY CITY OF SPRINGFIELD, FIRE 09/06/12 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 38 13WC 05340 MCCLELLAND, THERESA FIRST STUDENT 09/29/11 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 39 13WC 05678 BROWN, BETTY S ILL DEPT OF HUMAN SERVICE @ 01/17/11 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 40 13WC 10444 BATES, EARL MUELLER COMPANY INC 05/09/11 COSTIGAN & WOLLRAB PC MACIOROWSKI SACKMANN & ULRIC 41 13WC 10923 ROBERTS, BRADLEY M PRAIRIE EYE CENTER 12/20/12 KANOSKI & ASSOCIATES 42 13WC 13498 MC CLELLAND, THERESA FIRST STUDENT 04/11/13 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 43 13WC 19595 JAMESON-BRINKLEY, MICHELL WALGREENS PHARMACY 06/27/12 WARREN E DANZ, PC GILDEA & COGHLAN 44 13WC 26063 MITCHELL, JOHN E RIDGE & DOWNES LLC F/K/A 08/13/10 EVANS & DIXON, LLC 45 13WC 27433 KOHLRUS, DAVID M STATE OF ILLINOIS @ 04/26/13 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 13WC038702 -C ST OF IL DEPT OF 13WC038907 -C 46 13WC 34859 POTTS, JERRY CITY OF DECATUR 04/09/13 LEE, MARK N LAW OFFICE SAMUELS MILLER SCHROEDER ETA 47 13WC 35222 BIANCO, JOSEPH AMEREN CILCO 04/17/13 STRONG LAW OFFICE HOLTKAMP LIESE ET AL 48 13WC 39773 CORY, MELINDA SANGAMON COUNTY DISPATCH 08/14/12 CONNOR LAW OFFICES 49 13WC 39820 SPILLER, GARY LABORER'S 509 W 08/08/11 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 50 13WC 41591 CHUMBLEY, PAMELA S CASSEYS RETAIL COMPANY 11/30/11 LUIS A ACEVES & ASSOC 51 13WC 42660 GROEN, LORI A DRAKE NARUP & MEAD PC 10/07/13 SGRO HANRAHAN & BLUE HEYL ROYSTER VOELKER & ALLEN 52 14WC 00819 HELM, CLARENCE, JR JUDD BOURNE 03/22/11 WARREN E DANZ, PC 53 14WC 03635 FRESE, BRUCE F CATERPILLAR INC 06/10/12 BERG & ROBESON CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 54 14WC 04086 CARPENTER, JOYCE (SURVIVI JIMS TOWING & RECOVERY 10/05/13 STRONG LAW OFFICE SGRO, HANRAHAN, & DURR LLP 55 14WC 06929 GORBETT, PAMELA ILLINOIS GAMING BOARD @ 01/30/08 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 14WC006930 -C 56 14WC 08151 LOCHBAUM, JERRY CAPITAL GROUP 02/14/14 SAUNDERS CONDON & KENNY 57 14WC 10032 MOORE, NORMAN MCLEOD EXPRESS 02/11/14 MCCARTHY ROWDEN & BAKER RODDY LAW LTD 58 14WC 11364 PARKER, MARGARET STATE OF ILL DEPT @ 01/27/14 ASSISTANT ATTORNEY GENERAL 59 14WC 11408 MANIS, WILLIAM B TRI COUNTY COAL 10/15/12 BOSHARDY LAW OFFICE PC LITCHFIELD CAVO 60 14WC 16585 HARPOLE, DANA L CITY OF JACKSONVILLE 01/19/12 BERG & ROBESON RUSIN & MACIOROWSKI LTD 15WC021902 -C 61 14WC 18851 CROSS, CARMEN ILLINOIS DEPARTMENT OF RE @ 01/30/14 TAPELLA & EBERSPACHER LLC ASSISTANT ATTORNEY GENERAL 62 14WC 23243 DOHON-SIATEY, KOUAMI CARGILL MEAT SOLUTIONS 11/30/12 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 63 14WC 25996 NORRIS, VICKIE UNIVERSITY OF IL SPRINGFI @ 07/16/14 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 64 14WC 26078 BRASE, JOYE A STAUNTON AREA AMBULANCE 07/06/14 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 65 14WC 27792 SHANKS, MICHAEL L ARCHER-DANIELS-MIDLAND CO 04/16/14 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 66 14WC 28100 SWOFFORD, STEVE DAVIDSANS JAPANESE MAPLES 09/23/12 DODSON PIRAINO & ASSOC 67 14WC 29360 CAPERS, DAVID ARCHER-DANIELS-MIDLAND CO 11/20/13 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 68 14WC 29485 RYAN, JAMES THE MICAR COMPANY 03/27/13 MCCARTHY ROWDEN & BAKER FEATHERSTUN GAUMER POSTLEWAI 69 14WC 32036 ROBBINS, ERICA D ROBERT BALEN, DMD 08/22/13 MICHAEL R GLENN DENIS A MC GRADY, JR 70 14WC 32314 WHETSTONE, LAURA ILLINOIS DEPT OF HFS @ 09/03/14 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 71 14WC 32488 LARRY, JOHN DECATUR MEMORIAL HOSPITAL 07/08/14 FREDERICK & HAGLE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 14WC 33149 CARRERA, TERRY M BRENNTAG MID SOUTH INC 10/18/12 CROWDER & SCOGGINS LTD KORTENHOF MCGLYNN 73 14WC 33222 SEBRING, CHARLES A A&J CONSTRUCTION OF CENTR 10/10/13 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 74 14WC 33276 GOODSON, LADONNA HOPE SCHOOL 03/07/14 LAMARCA LAW OFFICES, PC BRADY CONNOLLY & MASUDA PC 75 14WC 37946 MAHAN, CHRISTOPHER UNITED STATES INFRASTRUCT 06/04/14 MC WARD LAW OFFICE ROUSE & CARY 76 14WC 38637 WILSON, ZELMA CATERPILLAR INC 10/18/12 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 77 14WC 38922 COMPTON, STEVEN GSI 10/17/14 BROWN & BROWN FEATHERSTUN GAUMER POSTLEWAI 78 14WC 39053 FEHRENBACKER, WANDA GAMMA HEALTHCARE 01/10/14 HELLER HOLMES & ASSOC ROUSE & CARY 79 14WC 39808 THOMAS, KIMBERLY SAM'S CLUB 05/21/13 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY 80 14WC 40185 WOODLEY, HERMAN CATERPILLAR 07/12/13 TUGGLE SCHIRO & LICHTENBER CATERPILLAR 81 14WC 40277 POWERS, CAROL SHELBYVILLE CUSD 4 # 10/10/14 TAPELLA & EBERSPACHER LLC RUSIN & MACIOROWSKI LTD 82 14WC 40758 TRAYLOR, DAVID PATTON MINING LLC 10/01/14 CULLEY & WISSORE CRAIG & CRAIG 83 14WC 41379 CAIN, JOAN STATE OF ILLINOIS HFS DCS @ 06/23/14 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 84 14WC 41833 POWELL, SHARON J SOI DEPT OF REVENUE @ 08/14/14 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 85 14WC 42254 SZOKE, CHRISTINA AT&T 02/03/13 HAXEL LAW OFFICE INMAN & FITZGIBBONS 86 14WC 42605 RHOADES, GREGORY JF ELECTRIC INC 10/22/14 STRONG LAW OFFICE ROUSE & CARY 87 14WC 43297 TRUSNER, JASON DAYTON FREIGHT LINES 09/26/14 MCCARTHY ROWDEN & BAKER RUSIN & MACIOROWSKI LTD 88 15WC 01896 RICHARDSON, JOSEPH CITY OF SPRINGFIELD 01/07/14 WOLTER BEEMAN AND LYNCH LIVINGSTONE MUELLER ET AL 89 15WC 02800 HARDWAY, JULIE STATE OF ILLINOIS @ 07/24/14 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 90 15WC 03489 CRISS, BARRY JACKSONVILLE CORRECTIONAL 03/14/12 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 91 15WC 03662 HURLEY, KAREN ST OF IL DEPT OF @ 01/07/15 SGRO HANRAHAN & BLUE ASSISTANT ATTORNEY GENERAL 92 15WC 03871 SLOE, MICHAEL CITY OF SPRINGFIELD 03/19/13 WOLTER BEEMAN AND LYNCH LIVINGSTONE MUELLER ET AL 93 15WC 04341 DUBBS, JOAN, WIDOW OF MONTEREY COAL CON # 11/27/14 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 94 15WC 04579 DROBNACK, WHITNEY MEMORIAL MEDICAL CENTER 03/24/13 BROWN & BROWN SORLING NORTHRUP 95 15WC 04951 CHAPMAN, RONALD UNIT 7 FIRE PROTECTION DI 10/05/14 EAMES LAW GROUP LTD ROUSE & CARY 96 15WC 05076 REYNOLDS, DARRELL W DECATUR PARK DISTRICT 07/24/14 KANOSKI BRESNEY HENNESSY & ROACH 97 15WC 05654 ASHBY, JOSHUA IL SEC OF STATE CAPITAL P @ 08/20/14 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 98 15WC 05950 VALENCIA, TERESA STATE OF ILLINOIS @ 01/27/15 NESSLER, FREDERIC LAW OFFI KRISTINA ECHOLS 99 15WC 09960 JORDAN, SHELLEY STATE OF ILLINOIS @ 01/27/15 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 100 15WC 12237 BLACKWELL, JERRY IDOT @ 02/17/15 JERRY W BLACKWELL KRISTINA ECHOLS 101 15WC 12397 NORRIS, VICKIE L U OF I SPRINGFIELD @ 03/10/15 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 102 15WC 12666 19B BRAKETT, BART CATERPILLAR INC 02/25/15 LEE, MARK N LAW OFFICE CATERPILLAR 103 15WC 12818 19B GRIFFETH, JAMES DU-KANE ASHPALT 04/02/15 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 104 15WC 13177 19B HOUK, WILLARD VILLAGE OF HARRISTOWN 12/11/13 SHAY & ASSOCIATES HENNESSY & ROACH 105 15WC 15047 LINDSEY, GEORGE R JR CITY OF WINCHESTER 04/24/13 BERG & ROBESON KEEFE & DEPAULI 106 15WC 15175 COBB, DOROTHY JACKSONVILLE SCHOOL DIST 05/19/14 LAMARCA LAW OFFICES, PC KNAPP, OHL & GREEN 107 15WC 17424 FOWLER, MARTEIZ SALVATION ARMY SHELTER 04/30/15 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 15WC 17865 GUTHRIE, KEVIN C HANOR CO OF WISCONSIN LLC 11/10/14 KANOSKI BRESNEY HENNESSY & ROACH 109 15WC 18948 SHEUMAKER, CHERYL WALGREENS 11/05/14 MCCARTHY ROWDEN & BAKER GILDEA & COGHLAN 110 15WC 19843 JAMESON-BRINKLEY, MICHELL WALGREENS 06/27/12 WARREN E DANZ, PC GILDEA & COGHLAN 111 15WC 20395 WATERS, RICHARD LAND OF LINCOLN 12/05/14 SHAFFER, WILLIAM C III LIVINGSTONE MUELLER ET AL 112 15WC 20618 DORROUGH, CHARLES FUYAO 05/29/15 WARREN E DANZ, PC STEPHEN H LARSON LAW OFFICE 113 15WC 20852 BARKER, DAVID STATE OF ILLINOIS - DHS @ 05/14/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 114 15WC 21247 19B MONAHAN, TIMOTHY F IL DEPT OF HEALTHCARE @ 04/10/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 115 15WC 22138 LEVEQUE, ROBERT D STATE OF ILLINOIS CMS @ 01/07/15 KANOSKI BRESNEY KRISTINA ECHOLS 116 15WC 22151 GRIMM, JOSEPH SOI, SECRETARY OF STATE @ 05/21/15 BERG & ROBESON ASSISTANT AT0TORNEY GENERAL 117 15WC 22307 LEE, BRANDY E MCFARLAND MENTAL @ 04/21/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 118 15WC 22784 WRISK, DONALD MACON RESOURCES INC 02/28/14 STRONG LAW OFFICE BOGGS AVELLINO 119 15WC 23036 SCHOU, TERRY IL DEPT OF TRANSPORTATION 05/13/15 WOODRUFF & JOHNSON KRISTINA ECHOLS 120 15WC 23256 BEVERLY, JUDITH STATE OF ILLINOIS @ 04/07/15 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 121 15WC 23335 OVERLIN, STEPHEN WOLF CREEK ENERGY GROUP 07/22/15 MCCARTHY ROWDEN & BAKER ROUSE & CARY 122 15WC 24313 JORDAN, NORMA J SOI - CMS @ 06/25/13 KRISTINA ECHOLS 123 15WC 25193 NALE, JAMES UPS 03/16/15 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 124 15WC 25640 HUGHES, SCOTT E. IL DEPT OF TRANSPORATION 03/11/15 DELANO LAW OFFICES LLC KRISTINA D DION 125 15WC 26002 FANE, JULIE DECATUR PUBLIC SCHOOLS 07/10/13 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 15WC 26633 AVILA, JUANA LAURA PLAID ROOSTER CAFE 03/21/15 STROM, NEAL B 127 15WC 27276 PUCKEL, CARL BLACK HAWK ROOFING @ 07/30/15 WOLTER BEEMAN AND LYNCH HINSHAW & CULBERTSON 128 15WC 27478 MOTTLEY, DONNA C. ILLINOIS DEPT OF AGING @ 07/22/15 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 129 15WC 27716 HOOD, DAJA K HERITAGE BEHAVIORAL HEALT 12/23/14 KANOSKI BRESNEY 130 15WC 28189 ALDE, CAROL ST. JOHN'S HOSPITAL 07/25/15 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 131 15WC 28895 PRESSLER, MARK NEGWER MATERIALS 04/21/15 ELLEN C. BRUCE PERRY GENTILE 132 15WC 29083 WILLIAMS, JACQUALINE ST OF IL DEPT OF 01/26/15 SHAFFER, WILLIAM C III HEYL ROYSTER VOELKER & ALLEN 133 15WC 31109 THORNTON, QUINCE H DYNEGY 06/16/14 O'CONNOR & NAKOS KEEFE & DEPAULI 134 15WC 31248 KALEFF, SHERRI HELP AT HOME 09/04/15 STRONG LAW OFFICE INMAN & FITZGIBBONS 135 15WC 31258 VOWELL, JESSE JD BYRIDER 02/26/13 MARK A WELLS LAW OFFICE NOBLE & ASSOCIATES PC 136 15WC 33144 MYERS, KIM FREEMAN UNITED COAL # 12/31/14 CULLEY & WISSORE CRAIG & CRAIG 137 15WC 33821 MC CAMANT, SCOTT ARAMARK 09/25/15 SHAY & ASSOCIATES 138 15WC 34094 WILLIAMS, PHYLLIS AKORN, INC 08/13/13 KANOSKI BRESNEY STEPHEN H LARSON LAW OFFICE 139 15WC 34152 HENDERSON, DAVID U.S. PIPELINE, INC. 11/11/14 SMITH LAW LTD ROUSE & CARY 140 15WC 34325 ORTMAN, PAUL ALL AMERICAN READY MIX 08/28/15 KOEPKE & HILDABRAND GANAN & SHAPIRO 141 15WC 34436 LONERGAN, THOMAS E FRONTIER COMMUNICATIONS 06/17/15 SCHUCHAT, COOK & WERNER LAW OFFICE PAUL LARIMORE 142 15WC 34505 FRIEND, CHARLES STATE OF ILLINOIS - IDOT 08/04/15 SHAY & ASSOCIATES KRISTINA D DION 143 15WC 35547 DANIELS, JEFF REYNOLDS CONSUMERS 02/13/15 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 144 15WC 36400 HAGER, FRANK P G INTERNATIONAL PAPER 06/27/15 BECKER SCHROADER & CHAPMAN BROWN & JAMES, PC 145 15WC 37810 COOK, DAVE J III STATE OF ILINOIS DEPT OF @ 06/02/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 146 15WC 37941 REDER, SIERRA MEMORIAL MEDICAL CENTER 11/02/15 147 15WC 38268 DUNN, STEPHEN SPRINGFIELD COAL CO 06/30/11 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 148 15WC 38333 ARCHIONE, SCOTT M CONNOR COMPANY 06/03/15 KANOSKI BRESNEY GANAN & SHAPIRO 149 15WC 38363 GORDY, JENNIFER ALPHA & OMEGA TRANSIT NET 10/24/15 HEYL ROYSTER VOELKER & ALLEN 150 15WC 38374 SCOTT, DENISE D SANGAMON COUNTY JUVENILE 07/29/15 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 15WC038375 -C 151 15WC 38709 CREASON, TRACY HENDERSON CONSTRUCTION OF # 10/20/15 CORBOY & DEMETRIO PC 152 15WC 39322 YOUNG, DAVID ILLINOIS DEPARTMENT OF CE @ 09/10/15 DRUMMOND LAW OFFICE ASSISTANT ATTORNEY GENERAL 153 15WC 41201 BYERS, PAUL CITY OF SPRINGFIELD 11/11/12 CONNOR LAW OFFICES 154 15WC 41454 NEICE, MEAGHAN MEMORIAL HEALTH SYSTEM 08/15/15 WOODRUFF & JOHNSON SORLING NORTHRUP 155 15WC 42076 DUNHAM, ROBERT SHEELS 10/29/15 WARREN E DANZ, PC STEPHEN H LARSON LAW OFFICE 156 15WC 42307 BANKHEAD, LISA SPRINGFIELD MASS TRANSIT 12/04/15 LEE, MARK N LAW OFFICE 157 15WC 42329 WALLACE, MARTIN U OF I AT SPRINGFIELD 08/14/15 LACY, THOMAS W HEYL ROYSTER VOELKER & ALLEN 158 15WC 42465 RISER, NEIL DL BROWN INC 10/08/15 HOLLEY & ROSEN STEPHEN H LARSON LAW OFFICE 159 16WC 00199 BLACKWELL, JERRY WAYNE IDOT 02/17/15 KRISTINA D DION 160 16WC 00382 FUDGE, LESTER A G&T ALL 02/18/14 BERG & ROBESON 161 16WC 00643 BRIGGITY, LASTAR BROTHER JAMES COURT 10/12/15 PETER C KOPOULOS WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 162 16WC 00663 STEPHENS, JENNIFER FLORE JEWELERS INC/FLORA 08/31/13 WILLIAMS & SWEE STEPHEN H LARSON LAW OFFICE 163 16WC 00700 AYRE, KEITH CITY OF SPRINGFIELD 12/17/15 CONNOR LAW OFFICES 164 16WC 00779 ARCHIONE, SCOTT M CONNOR COMPANY 08/26/15 KANOSKI BRESNEY GANAN & SHAPIRO 165 16WC 02183 BAILEY MARVIN DOUGLAS PREMIER INSULATION LLC 11/18/15 BOSHARDY LAW OFFICE PC BRADY, CONNOLLY & MASUDA, PC 166 16WC 02802 BRADLEY, WILLIAM P USF HOLLAND 09/30/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 167 16WC 02805 BRADLEY, WILLIAM USF HOLLAND 11/09/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 168 16WC 02810 SUDDUTH, ROBIN ILLINOIS STATE FIRE MARSH @ 11/16/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 169 16WC 02989 BRADLEY, JOSEPH MC FARLAND'S MENTAL @ 12/16/12 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 170 16WC 03076 TURNBULL, HAILEY SAM'S ITALIAN PIZZA 01/09/16 WARREN E DANZ, PC RUSIN & MACIOROWSKI LTD 171 16WC 03457 GROESCH, JOHN E MICHEL CONCRETECONSTRUCTI 09/02/15 HEYL ROYSTER VOELKER & ALLEN 172 16WC 03656 BARNWELL, KAREN MONTEREY COAL CO 12/15/15 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 173 16WC 03674 WILLIAMS, TIM KELLY GROUP 01/30/15 NESSLER, FREDERIC LAW OFFI FEATHERSTUN GAUMER POSTLEWAI 174 16WC 04357 BURNOM, KENNETH L RAMADA CHC MOTEL PARTNERS 09/01/15 WOLTER BEEMAN AND LYNCH KOEPKE & HILDABRAND 175 16WC 05153 CASTLEMAN, WALTER MAMORIAL MEDICAL CTR 01/11/16 NESSLER, FREDERIC LAW OFFI 176 16WC 05364 RULE, JAMES SHANERS TOWING 12/22/15 177 16WC 05635 HAILE, BELAINESH STATE OF IL-DEPT OF REVEN @ 03/20/13 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 178 16WC 05749 BARTELS, TIMOTHY LEON ADM TRUCKING 08/01/15 CROWLEY & PRILL NYHAN BAMBRICK KINZIE & LOWR 179 16WC 05787 HARDIN, STEVEN M TRIDENT RESOURCES CORP 07/13/15 LAMARCA LAW OFFICES, PC NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 16WC 06685 SCOTT, JAMIELA SPRINGVIELD CHAR HOUSE 02/10/16 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 181 16WC 07257 RUBIO, ESPERANZA MI PUEBLITO 09/30/15 STEPHEN H LARSON LAW OFFICE 16WC033419 -C 182 16WC 07483 NORVILLE, TRACI HERITAGE HEALTH THERAPY & 10/26/14 WOLTER BEEMAN AND LYNCH RIPES NELSON BAGGOT KALOBRAT 183 16WC 07547 VAN DYKE, JOHN IL DEPT OF TRANSPORTATION @ 10/19/15 DELANO LAW OFFICES LLC KRISTINA D DION 184 16WC 08205 TIMM, DAVID SANGAMON COUNTY SHERIFF'S 11/01/15 CONNOR LAW OFFICES RUSIN & MACIOROWSKI LTD 185 16WC 08244 WEARY, DWAYNE E STATE OF ILLINOIS @ 04/03/15 LAW OFFICE PHILIP BLOMBERG ASSISTANT ATTORNEY GENERAL 186 16WC 09523 AUSTIN, MICHAEL STATE JOURNAL REGISTER 03/03/15 STRONG LAW OFFICE THOMAS & PORTELA 187 16WC 09670 THOMAS, ALISHA ADM-ARCHER DANIELS MIDLAN 03/18/16 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 188 16WC 09920 BRAMBLETT, REBECCA JEANNE SPRINGFIELD SCHOOL 03/15/16 DELANO LAW OFFICES LLC HEYL ROYSTER VOELKER & ALLEN 189 16WC 09978 19B DEETZ, GEORGE C "JOE" REFRESHMENT SVCS INC D/B/ 01/06/16 MARK A. GONNERMAN STEPHEN H LARSON LAW OFFICE 190 16WC 10189 REDECKER, HOWARD W T & M TRUCKING, INC 02/04/15 LEVENHAGEN LAW FIRM PC INMAN & FITZGIBBONS 191 16WC 10354 MOORE, PATRICIA R ACORN PHARMACEUTICALS 11/09/15 KANOSKI BRESNEY STEPHEN H LARSON LAW OFFICE 192 16WC 11287 COOPER, MICHAEL A&N AUTO GLASS 02/23/16 NESSLER, FREDERIC LAW OFFI HOLTKAMP LIESE ET AL 193 16WC 11296 WILLIAMS, LETRICE DECATUR TRANSIT MANAGEMEN 02/16/16 MCCARTHY ROWDEN & BAKER BRYCE DOWNEY & LENKOV LLC 194 16WC 11650 HUSKINS, BRIAN US PIPELINE INC 08/25/15 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 16WC011842 -C U.S. PIPELINE 195 16WC 11936 SPARLING, JENNA WHITS END 03/31/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 196 16WC 12101 SCHELDT, DENNIS MONTEREY COAL COMPANY 03/17/14 JOSEPH L SAMUELSON PC LIVINGSTONE MUELLER ET AL 197 16WC 12670 KLASSEN, TRACYE ORDER 2 EAT 03/22/16 NESSLER, FREDERIC LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 16WC 12731 GRAHAM, DONALD J. REPUBLIC SERVICES 10/01/15 CHERRY FRAZIER & SABIN 199 16WC 13094 GARRETT-MCGEE, DESSIE FIRST STUDENT, INC 04/11/16 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 200 16WC 13256 HART, PAUL CATERPILLAR INC 10/20/15 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 201 16WC 14166 PORTWOOD, CATHERINE O MC DONALD'S 01/12/16 MCCARTHY ROWDEN & BAKER 202 16WC 14191 BASS, LARRY TODD SHANERS 04/21/16 WARREN E DANZ, PC 203 16WC 14467 ROTHE, STEVE SECRETARY OF STATE @ 04/11/16 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 204 16WC 14627 NICHOLLS, SCOTT D. BINDER MECHANICAL PLUM 08/03/15 MCCARTHY ROWDEN & BAKER CRAIG & CRAIG 205 16WC 15095 DUNIGAN, ANITA STATE OF ILLIOIS @ 09/08/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 206 16WC 15943 LYNN, TRACY STATE OF IL-DHS @ 03/27/15 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 207 16WC 16114 FOWLER, KEVIN D. MCLEOD EXPRESS 02/04/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 208 16WC 16287 CLARK, GARY ST AGNES CHURCH 05/10/16 LAMARCA LAW OFFICES, PC DELANO LAW OFFICES LLC 209 16WC 16341 BENNETT, AMBER CITY OF DECATUR 03/21/16 BECKER SCHROADER & CHAPMAN SAMUELS MILLER SCHROEDER ETA 210 16WC 16538 HARRIS, GWEN IDOT @ 03/05/16 LAMARCA LAW OFFICES, PC KRISTINA D DION 211 16WC 16759 ROWLAND, TIMOTHY CITY OF LITCHFIELD 06/01/15 EAMES LAW GROUP LTD INMAN & FITZGIBBONS 212 16WC 17074 LILLEY, JAMIE L. LIBERTY IMPROVEMENTS 12/01/15 BROWN & BROWN WIEDNER & MCAULIFFE LTD 213 16WC 17229 MANIS, WILLIAM B TRI COUNTY COAL 01/20/14 BOSHARDY LAW OFFICE PC LITCHFIELD CAVO 214 16WC 17516 HUNEKE, SHERYL HELP AT HOME LLC 02/11/16 NESSLER, FREDERIC LAW OFFI 215 16WC 17801 SHULTS, JASON ANIMAL PROTECTIVE LEAGUE 06/20/15 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 216 16WC 18355 WRISK, DONALD MACON RESOURES, INC 01/13/11 STRONG LAW OFFICE BOGGS AVELLINO 217 16WC 18524 GREENWOOD, JEREMY T MILLER FARMS W 05/31/14 KANOSKI BRESNEY JAMES ACKERMAN 218 16WC 20234 BARBEE, LATOYA M. APERION CARE 11/15/14 KANOSKI BRESNEY LAW OFFICES FRANCESCA LARSEN 219 16WC 20282 HERNANDEZ, NANNIE L. THE HOPE INSTITUTE FOR 01/06/16 RUSIN & MACIOROWSKI LTD 16WC037447 -C 220 16WC 20901 DORROUGH, CHARLES PPG DBA FUYAO GLASS AMERI 05/29/15 WARREN E DANZ, PC STEPHEN H LARSON LAW OFFICE 221 16WC 21037 SANCHEZ, MATTHEW HARDEE'S 05/08/16 BROWN & BROWN INMAN & FITZGIBBONS 222 16WC 21635 TREADWELL, JIMMIE SECRETARY OF STATE @ 06/25/14 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 223 16WC 22254 CALHOUN, ANTHONY J. V.F.W. POST 755 05/16/15 BUCKLIN LAW OFFICE 224 16WC 22749 WHITE, TOBY MULTIBAND CORPORATION 02/14/16 STRONG LAW OFFICE 225 16WC 22825 CARTER, PAUL ADM-STRATAS 06/13/16 LEE, MARK N LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 226 16WC 23010 MORRIS, KAYLA ARAMARK SCHOOLS 02/09/16 MICHELLE E RADICE INMAN & FITZGIBBONS 227 16WC 23071 WILLIAMS, SCOTT STATE OF ILLINOIS DEPARTM @ 06/24/16 CORNFIELD & FELDMAN KRISTINA D DION 228 16WC 23679 KOVALY, LORAN CITY OF STAUNTON 05/12/15 UNSELL, EDWARD W LAW OFFIC RUSIN & MACIOROWSKI LTD 229 16WC 24573 SCHOLZ, ANDREA C THE KROGER COMPANY 06/15/16 230 16WC 24848 DAUGHERTY, DONALD SYSCO CENTRAL ILLINOIS 05/18/16 SAUNDERS CONDON & KENNY HENNESSY & ROACH 231 16WC 25980 ALEXANDER, G SCOTT DECATUR PUBLIC SCHOOLS 06/21/16 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 232 16WC 26918 LINDSEY, BRANDI SMART GRID SOLUTION 07/28/16 MUELHAUSEN & STEFANI LAW OFFICES STEVEN PILAND 233 16WC 26957 COLE, KENNETH ACHER DANIELS MIDLAND 08/10/15 MCCARTHY ROWDEN & BAKER FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 16WC 27387 LIERHEIMER, DENNIS J. JBS FKA CARGILL 02/20/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 235 16WC 27594 HOYLE, REBECCA CITY OF JACHSONVILLE 03/04/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 236 16WC 27642 MARION, JEFFREY R. JIMMY JOHN'S 08/02/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 17WC016749 -C JTHREE, INC. 237 16WC 28099 SOLOMON, KEITH KELLY CONSTRUCTION 05/06/16 SHAY & ASSOCIATES WIEDNER & MCAULIFFE LTD 16WC028362 -C 238 16WC 28296 BUNCH, BRADLEY W HURRICAN TOWNSHIP 05/23/16 JAMES M KELLY 239 16WC 29053 CORDLE, MICHAEL J BRITTANY MC CORP 06/21/16 BUCKLIN LAW OFFICE STANCZAK LAW OFFICES 240 16WC 29150 MATTHEWS, CHARLES L CATERPILLAR, INC 05/11/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 241 16WC 29365 HUNT, YVONNE DORS @ 07/19/16 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 242 16WC 29433 GARDNER, KELLIE SANTARELLI DENTAL GROUP 10/13/15 SGRO HANRAHAN DURR RABIN CRAIG & CRAIG 243 16WC 29732 KNORR, VANESSA D WOODFORST NATIONAL BANK 04/19/16 ROBERT S FLAVIN PC HENNESSY & ROACH 244 16WC 30158 MOORE, NORMAN MCLEOD EXPRESS 06/30/14 MCCARTHY ROWDEN & BAKER RODDY LAW LTD 245 16WC 30166 MOORE, NORMAN MCLEOD EXPRESS 07/02/14 MCCARTHY ROWDEN & BAKER RODDY LAW LTD 246 16WC 30167 MOORE, NORMAN MCLEOD EXPRESS 09/18/14 MCCARTHY ROWDEN & BAKER RODDY LAW LTD 247 16WC 30395 KAY, RANDY TOWER HILL FIRE PROT. DIS 09/16/15 MCCARTHY ROWDEN & BAKER GAROFALO SCHREIBER STORM 248 16WC 30396 PATTERSON, LESTER MASON MFG LLC 08/30/16 MCCARTHY ROWDEN & BAKER 249 16WC 31700 JONES, RENEE MUELLER COMPANY 06/16/16 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH 250 16WC 31796 KASTING, MARY JEAN CARLINVILLE REHABILITATIO 09/14/16 SMITH ALLEN MENDENHALL ET WOLFE & JACOBSON, LTD 251 16WC 31868 SKOW, JAMES ADM 11/12/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 16WC 32044 SIEGRIST, LENORA ARCH COAL MINE DBA 09/19/16 SGRO HANRAHAN DURR RABIN RUSIN & MACIOROWSKI LTD 253 16WC 32298 GRANT, ROBIN LOWE'S 10/04/16 BOSHARDY LAW OFFICE PC KEEFE CAMPBELL & ASSOC LLC 254 16WC 32695 ARMSTRONG, ANGELA CATERPILLAR INC 08/04/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 255 16WC 32768 SCHOFIELD, ADAM TRI-COUNTY FS 07/25/08 SMITH ALLEN MENDENHALL ET NYHAN BAMBRICK KINZIE & LOWR 256 16WC 32896 RIGNEY, TERRY TRI COUNTY COAL 12/20/13 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 257 16WC 33302 BENEFIEL, MARK WIN PRODUCTIONS, INC 10/21/16 HOLLEY & ROSEN BRADY, CONNOLLY & MASUDA, PC 258 16WC 33354 SUDDUTH, JOHN SPRINGFIELD HOUSING AUTHO 01/19/15 HAXEL LAW OFFICE KEEFE & DEPAULI 259 16WC 34072 JACKSON, JULIE V CENTRAL COUNTIES 07/08/16 SGRO, HANRAHAN DURR RABIN RUSIN & MACIOROWSKI LTD 260 16WC 34838 MARQUARDT, RICHARD BRAHLER OIL & LUBE INC. 03/12/16 STRONG LAW OFFICE LIVINGSTONE MUELLER ET AL 261 16WC 34934 MILLER, TAMMY D&L HARBIN INC D/B/A 11/09/14 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 262 16WC 35025 TUCKER, JASON N STATE OF ILLINOIS @ 08/25/13 GLASS & KOREIN ASSISTANT ATTORNEY GENERAL 263 16WC 35291 JACKSON, CATHERINE DORS @ 10/15/16 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 264 16WC 35380 VAUGHN, SHERI SECRETARY OF STATE @ 08/24/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 265 16WC 35553 DONELSON, JOHNNY DALE TRI COUNTY COAL, LLC CROW 11/17/13 BERG & ROBESON 266 16WC 35663 ENSIGN, ROBERT CATERPILLAR INC 10/10/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 267 16WC 35831 TAYLOR, CHRISTINA SCHUTT SPORTS 08/06/15 HUSTAVA, JOHN H ALLEN & NEWMAN 268 16WC 35929 SCHNEIDER, ADAM NEW WAVE COMMUNICATIONS 06/21/16 TAPELLA & EBERSPACHER LLC STEPHEN H LARSON LAW OFFICE 269 16WC 36294 BARKER, REBECCA LEWIS MEMORIAL CHRISTIAN 11/15/16 NESSLER, FREDERIC LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 16WC 36493 GRIFFIS, HARRY J RITZ'S LIL FRYER 03/07/16 KANOSKI BRESNEY KOPKA, PINKUS DOLIN, PC 271 16WC 36837 GERECKE, TRONYA REYNOLDS CONSUMER PRODUCT 07/23/16 WOODRUFF & JOHNSON KLAUKE LAW GROUP LLC 272 16WC 37171 CAMPBELL, JOSHUA GREEN LINCOLN MAZDA 11/29/16 LEE, MARK N LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 273 16WC 37234 MCFADDEN, PATRICK C ARCHER DANIELS MIDLAND CO 08/03/16 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 274 16WC 37593 PARISH, TIFFANY HERITAGE ENTERPRISES INC 07/24/16 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 275 16WC 38119 GOAD, KIMBERLY DISCOVERY DEPOT 07/15/16 MCCARTHY ROWDEN & BAKER BOGGS AVELLINO 276 16WC 38182 KNISLEY, NATALIE CATERPILLAR INC 07/11/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 277 16WC 38363 SCROGGINS, TERRI L STATE OF IL DEPT OF HUMAN @ 10/07/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 278 16WC 38513 MOORE, COY G4S SECURITY 08/07/13 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 279 16WC 38533 COX JR., JOHNNY E PRECISION PIPELINE, LLC 11/12/16 THOMAS E HILDEBRAND WIEDNER & MCAULIFFE LTD 280 16WC 38630 SHOEMAKER, WALTER D LME, INC 11/03/16 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 281 16WC 38648 WILHAM, KARLA M LINCOLN LAND COMMUNITY CO 02/01/14 JAMES ACKERMAN POWER & CRONIN LTD 007 15WC027320 -C 007 16WC038650 -C 282 16WC 39093 SUMMERS, JAMES TURNER TREE SERVICE 10/11/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 283 16WC 39320 MOORE, EVA STATE OF ILLINOIS @ 09/13/16 JEFFREY R. BACH ASSISTANT ATTORNEY GENERAL 284 17WC 00209 SHEUMAKER, CHERYL WALGREENS 06/17/16 MCCARTHY ROWDEN & BAKER GILDEA & COGHLAN 285 17WC 01205 SCHROTH, DOUGLAS C ST OF IL, SECRETARY OF ST @ 01/06/14 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 286 17WC 01256 GALASSI, MELODY TUESDAY MORNING 01/05/16 WOLTER BEEMAN AND LYNCH BRADY, CONNOLLY & MASUDA, PC 287 17WC 01658 SLAYTON, WILLIAM THE KENAN ADVANTAGE GROUP 04/01/16 BRADLEY LAW FIRM INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 288 17WC 01800 WEIGLER, ANTHONY E THE KELLY GROUP 12/19/16 WOLTER BEEMAN AND LYNCH 289 17WC 01834 EYER, TERRY HOGAN TRUCKING 10/19/15 FLOYD LAW FIRM BECKER PAULSON & HOERNER PC 290 17WC 02069 VAN HOUTEN, KEVIN SPRINGFIELD SD #186 11/02/16 WOLTER BEEMAN AND LYNCH HEYL ROYSTER VOELKER & ALLEN 291 17WC 02078 HARTSOOK, DARRIN COLE EXCAVATING 12/22/15 BROWN & CROUPPEN 292 17WC 02626 GATES, TERRI LYNN SHOP N SAVE 08/09/16 MC WARD LAW OFFICE WIEDNER & MCAULIFFE LTD 293 17WC 03162 DENBY, ANNETTE HERITAGE ENTERPRISES, INC 01/04/17 LESKERA LAW FIRM 294 17WC 03268 FRIEL, MARY STATE OF ILLINOIS @ 12/19/16 CONNOR LAW OFFICES ASSISTANT AT0TORNEY GENERAL 295 17WC 03649 HINES, TONYA R MILLIKIN UNIVERSITY 12/18/16 KANOSKI BRESNEY GANAN & SHAPIRO 296 17WC 04004 OLIVER, LAWRENCE CLEAN HARBORS ENVIRONMENT 12/13/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 297 17WC 04056 LINGER, JACINDA LABOR READY 12/06/16 298 17WC 04193 CHRISMAN, JOSEPH LOWE'S COMPANIES INC 03/08/14 MARK A WELLS LAW OFFICE 299 17WC 04714 WOODS, JONATHON UNIQUE PERSONNEL CONSULTA 08/10/16 LEE, MARK N LAW OFFICE HENNESSY & ROACH 300 17WC 04817 BOOTH, BRENDA MCFARLAND STATE HOSPITAL @ 12/08/16 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 301 17WC 04968 MATTHEWS, KAYLA M WEXFORD HEALTH SOURCES IN 11/30/16 HARVEY & STUCKEL 302 17WC 05597 MCGEE, MICHAEL CITY OF SPRINGFIELD, FIRE 02/10/17 CONNOR LAW OFFICES 303 17WC 05624 FRAZIER, TOM CATERPILLAR INC 01/27/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 304 17WC 05741 BENTON, JEREMY R ARCHER-DANIELS-MIDLAND CO 06/10/16 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 305 17WC 06448 POWELL, COLE SANGAMON COUNTY SHERIFFS 06/06/16 BERG & ROBESON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 306 17WC 06554 SEMENIK, TODD STATE OF IL DEPT OF NATUR @ 03/12/14 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 307 17WC 07077 WILLIS, DONALD S CHICAGO BRIDGE & IRON 09/21/16 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 308 17WC 07131 BANDY, GREGG E CITY OF SPRINGFIELD 11/02/16 JAMES ACKERMAN 309 17WC 07874 STANLEY, DARLA R. HERTZBERG NEW METHOD 10/23/15 LAMARCA LAW OFFICES, PC LIVINGSTONE MUELLER ET AL 310 17WC 07956 MC CONNELL, STEVEN ADM 02/03/17 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 311 17WC 08262 LIONBERGER, SHANNON T SELECT REHABILITATION, IN 06/21/16 BOSHARDY LAW OFFICE PC STEPHEN H LARSON LAW OFFICE 312 17WC 08279 PREWITT, ROY MIDSTATE OVERHEAD DOORS 11/30/16 WILLIAMS & SWEE GANAN & SHAPIRO 313 17WC 08474 BEAN, EDWARD SEXTON LANDSCAPE CONCEPTS 07/08/16 NESSLER, FREDERIC LAW OFFI 314 17WC 08628 SHELBY, VICKY DECATUR TRANSIT MGMT, INC 04/13/16 MCCARTHY ROWDEN & BAKER 315 17WC 08694 GILLESPIE, ROBERTO BUNN-O-MATIC CORP 02/21/17 WOLTER BEEMAN AND LYNCH STEPHEN P. KELLY 316 17WC 08758 HINTON, TERRY HORIZON PSI 12/27/16 MICHAEL R GLENN STEPHEN H LARSON LAW OFFICE 317 17WC 09025 MANZO, EPIFANIA JBS, USA 02/03/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 18WC009807 -C JBS USA 18WC009808 -C 318 17WC 09067 SMITH, TERYL ELM CITY RAHABILITATION C 10/25/15 WOODRUFF & JOHNSON THOMAS & PORTELA 319 17WC 09189 BECKMANN, MICHAEL J D.O. PATHOLOGY ASSOCIATES OF 07/02/15 WOLTER BEEMAN AND LYNCH 320 17WC 09416 HOLLOWAY, RICHARD PRAIRIE CARDIOVASCULAR 07/03/14 NESSLER, FREDERIC LAW OFFI HEYL ROYSTER VOELKER & ALLEN 321 17WC 09459 PATTERSON, DANIEL S SPRINGFIELD POLICE DEPT 10/06/16 WOLTER BEEMAN AND LYNCH 322 17WC 09683 LANGAN, AMANDA VIBRA HOSPITAL OF SPRINGF 03/20/17 WOLTER BEEMAN AND LYNCH LAW OFFICE CRAIG A HANSEN 323 17WC 09939 AGUILAR, ADRIAN BEARDSTOWN TRUCK WASH LLC 01/18/17 LAW OFFICES OF ANSELMO DUR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 324 17WC 10054 MORRIS, KAYLA ARAMARK SCHOOLS 02/09/16 CALLIS PAPA HALE & SZEWCZY INMAN & FITZGIBBONS 325 17WC 10061 LEE, ROBIN WALMART 11/28/16 MCCARTHY ROWDEN & BAKER GANAN & SHAPIRO 326 17WC 10072 SCOTT-MORRIS, IMELDA SOJOURN SHELTER AND SERVI 01/24/17 NESSLER, FREDERIC LAW OFFI WIEDNER & MCAULIFFE LTD 327 17WC 10228 YOUNG, KURT L XPO LOGISTICS FREIGHT INC 08/26/16 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 328 17WC 10331 JORDAN, THOMAS CITY OF DECATUR 12/09/16 LEE, MARK N LAW OFFICE 329 17WC 10977 HELMS, ERIC CITY OF SPRINGFIELD FIRE 12/18/16 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 330 17WC 11342 COCHRAN, JOSEPH A IL DEPT OF CONSERVATION P @ 03/22/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 331 17WC 11345 SPENCER, JOSHUA IMPERIAL PLATING CO 11/30/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 17WC011492 -C 332 17WC 11480 BANCHI, JOHN L TOWER HILL EQUESTRIAN CNT 02/08/17 HEYL ROYSTER VOELKER & ALLEN 333 17WC 11974 GUIJOSA, PETRA JBS 12/21/15 MC HARGUE & JONES NYHAN BAMBRICK KINZIE & LOWR 334 17WC 12131 TABORN, ELMER ILLINOIS DEPT OF TRANS @ 03/20/17 DELANO LAW OFFICES LLC KRISTINA D DION 18WC009579 -C 335 17WC 12301 HULL, JUDY WYZARD CLEANING SERVICES, 12/10/16 WOLTER BEEMAN AND LYNCH QUINN JOHNSTON HENDERSON ETA 336 17WC 12376 ROARK, DEBBIE ARAMARK 02/03/17 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 337 17WC 12472 CRAVENS, JOHNIE RD MCMILLEN ENTERPRISES I 01/16/17 MCCARTHY ROWDEN & BAKER HEYL ROYSTER VOELKER & ALLEN 338 17WC 12660 KNISLEY, JOSH S.O.I GRAHAM CORRECTIONAL @ 02/17/17 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 339 17WC 13005 BOYD, ANITA AKORN PHARMACEUTICALS 01/06/17 MCCARTHY ROWDEN & BAKER 340 17WC 13142 BENNETT, CAROL J ILLINOIS ENVIRONMENTAL 12/20/16 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 341 17WC 13186 STALEY, LESTLIE ADDUS HEALTH CARE 03/21/17 BROWN & CROUPPEN HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 17WC 13192 BENTON, JEREMY R ARCHER-DANIELS-MIDLAND CO 03/16/16 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 343 17WC 13206 JOHNSON, TAMMY FIRST STUDENT 02/02/16 NESSLER, FREDERIC LAW OFFI 344 17WC 13329 PHARES, TROY A DECATUR POLICE DEPARTMENT 11/18/16 MCCARTHY ROWDEN & BAKER 345 17WC 13444 VAN HOUTEN, KEVIN SPRINGFIELD SCHOOL 01/27/17 WOLTER BEEMAN AND LYNCH HEYL ROYSTER VOELKER & ALLEN 346 17WC 13513 MAIER, BRIAN E ARCHER DANIELS MIDLAND CO 08/12/16 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 347 17WC 13589 WATKINS, TRAVIS LOWE'S 04/05/16 HOLLEY & ROSEN KEEFE CAMPBELL & ASSOC LLC 348 17WC 13843 MEACHEM, WENDY BRIDGE CARE SUITES 04/01/17 WOLTER BEEMAN AND LYNCH 349 17WC 13949 WORKER, MARK E ENGLAND FARMS 05/28/15 WILLIAMS CAPONI & ASSOC 350 17WC 14028 GILMORE, JOSHUA LAWN PERKS 04/13/17 SHAY & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 351 17WC 14808 POE, LAIRA LONGHORN STEAKHOUSE 04/28/17 NESSLER, FREDERIC LAW OFFI 352 17WC 15021 HITE, BETTY STATE OF IL - @ 05/08/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 353 17WC 15115 OSBORN, JARED TRI COUNTY COAL, LLC 12/20/13 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 354 17WC 15182 SUMPTER, RAMONA STATE OF IL DHS-IL SCHOOL @ 02/22/17 HOLLEY & ROSEN BRADLEY DEFREITAS 355 17WC 15548 WICKER, GARRY CATERPILLAR, INC 01/06/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 356 17WC 15770 SCHOOLEY, DONALD E GATEHOUSE MEDIA ILLINOIS 05/04/17 JAMES ACKERMAN KNELL LAW LLC 357 17WC 16057 LAGRONE, RITA E DECATUR PUBLIC SD 61 03/14/17 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 358 17WC 16382 MAHAN, BILL ADM 03/10/17 LEE, MARK N LAW OFFICE 359 17WC 16628 CRONISTER, GARY DOOLITTLE TRAILER MFG, IN 02/17/17 DELANO LAW OFFICES LLC LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 17WC 16675 ROGERS, NARCIE SPECTRUM PACKAGING 04/01/17 LEE, MARK N LAW OFFICE GANAN & SHAPIRO 361 17WC 17028 STONE, MARK A FKG OIL CO, INC 10/09/16 BUCKLIN LAW OFFICE 362 17WC 17328 JACOBS, CHAD IDOT @ 03/01/17 CONNOR LAW OFFICES JOSEPH MOORE 363 17WC 17491 BROWN, THOMAS MACOUPIN ENERGY 11/30/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 364 17WC 17749 KENDALL, ANTHONY CHATHAM SCHOOL DISTRICT # 05/18/17 SAUNDERS CONDON & KENNY 365 17WC 18293 DUNCAN, WILLIAM PRECISION PIPELINE LLC 06/01/17 DWORKIN AND MACIARIELLO 366 17WC 18342 THOMPSON, ROXANNE STATE OF IL @ 10/15/16 LEE, MARK N LAW OFFICE 367 17WC 18471 GREENE, ZACHERY ASHLEY HOMESTORE 06/13/17 LEE, MARK N LAW OFFICE STEPHEN H LARSON LAW OFFICE 368 17WC 18509 BLUTON, JOHN TEAM COMPANY 03/28/17 KEEFE & GRIFFITHS PC HENNESSY & ROACH 369 17WC 18515 DODDS, DAVID ILLINOIS DEPT OF CORRECTI 05/29/17 WOODRUFF & JOHNSON BRADLEY DEFREITAS 370 17WC 18755 WOODS, HOWARD ABOVE AND BEYOND 03/16/17 SHAFFER, WILLIAM C III 371 17WC 18759 GATONS, ASHLEE ADVANCED DISPOSAL SERVICE 01/12/17 MCCARTHY ROWDEN & BAKER INMAN & FITZGIBBONS 372 17WC 18844 GRAY, NIKA IHOP 05/05/17 NESSLER, FREDERIC LAW OFFI 373 17WC 19148 WILSON, FELICIA L ST JOHN'S HOSPITAL 04/19/17 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 374 17WC 19279 MOFFITT, DENNIS RCM CO OP 10/27/16 SGRO, HANRAHAN DURR RABIN RODDY LAW LTD 375 17WC 19365 SCOTT, HARRY UPS 06/13/17 WILLIAM MARTAY ASA LAW GROUP 376 17WC 19395 EVANS, JAMES DICKERSON ANTENNA & TOWER 06/30/16 SHAY & ASSOCIATES RUSIN & MACIOROWSKI LTD 377 17WC 19494 THORNE, JEAN E NIEMANN FOODS 07/19/16 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 17WC 19761 TALIAFERRO, TIFFANY WEBSTER CANTRELL 06/08/17 NESSLER, FREDERIC LAW OFFI THOMAS & PORTELA 379 17WC 20046 DAVIDSON, AMANDA NAPHCARE INC 06/16/17 RIDGE & DOWNES 380 17WC 20166 GRAY, BRANDY EXPRESS EMPLOYMENT 07/03/17 MC ANDREWS & NORGLE LLC 381 17WC 20222 GASH, LARRY L UNITED PARCEL SERVICES 05/31/17 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 382 17WC 20247 SPIVEY, BRIAN W. MCCLANE F/K/A MBM, INC 05/20/17 BOSHARDY LAW OFFICE PC KEEFE CAMPBELL & ASSOC LLC 383 17WC 20463 ORTMAN, PAUL ALL AMERICAN READY MIX 06/01/15 KOEPKE & HILDABRAND GANAN & SHAPIRO 384 17WC 20755 HASARA, MONICA NORTH MAC CUSD #34 09/15/14 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 385 17WC 21212 DIECKHAUS, JOSEPH CITY OF DECATUR 02/16/17 BECKER SCHROADER & CHAPMAN 386 17WC 21279 STUART, KURT BUTLER AMERICA HOLDINGS 08/03/16 NESSLER, FREDERIC LAW OFFI LUCY T. UNGER 387 17WC 21573 PATTY, KEVIN ILLINOIS DEPT OF TRANS @ 06/06/17 DELANO LAW OFFICES LLC JOSEPH MOORE 388 17WC 21677 WALSH, KEVIN U OF I - SPRINGFIELD 05/22/17 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 389 17WC 21825 EMERY, STEPHANIE A HEALTH CARE SERVICE CORP 04/12/17 HAXEL LAW OFFICE LAW OFFICES STEPHEN CARTER 390 17WC 22526 HARRIS, DEMOND PSSI 06/16/17 DWORKIN AND MACIARIELLO 391 17WC 22662 GUINN II, JOHNNY INDEPEND CITY OF SPRINGFIELD 11/21/16 THOMAS W DUDA 392 17WC 22788 BOLLHORST, DEREK CATERPILLAR, INC 06/25/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 393 17WC 22967 RODDICK, LORI A MT OLIVE COMMUNITY SCHOOL 02/28/17 WENDLER LAW PC 394 17WC 23016 PRICE, CLINTON IDOT @ 12/27/16 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 395 17WC 23066 CODY, NICHOLAS DAN DEWEESE PAINTING 07/31/17 STRONG LAW OFFICE RODDY LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 17WC 23334 STEPHENS, RICHARD L AGCO GSI 11/28/16 WOLTER BEEMAN AND LYNCH FEATHERSTUN GAUMER POSTLEWAI 397 17WC 23388 LANGSTON, CINDY Y WALMART 03/31/17 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 398 17WC 23416 BENTON, TAMARA DECATUR PUBLIC SCHOOL 07/26/16 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 399 17WC 23507 PRITTS, LANCE WHELAN SECURITY 12/18/16 SHAY & ASSOCIATES HEPLER BROOM LLC 400 17WC 23547 FLYNN, DALE IL DEPT OF TRANSPORTATION @ 02/01/17 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 401 17WC 23941 TRADER, DONALD RCM CO-OP 05/22/17 SGRO HANRAHAN DURR RABIN RODDY LAW LTD 402 17WC 24188 COLLINS, KELLY J ARCHER DANIELS MIDLAND 08/07/17 MCCARTHY ROWDEN & BAKER FEATHERSTUN GAUMER POSTLEWAI 403 17WC 24279 SMITH, DONALD CATEPILLAR 08/03/17 WARREN E DANZ, PC CATERPILLAR 404 17WC 24328 FRIBLEY, JOLYNN SPRINGFIELD CLINIC 06/15/17 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 405 17WC 24545 HOAG, SUSAN ST OF IL SEC STATE POLICE @ 08/21/14 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 406 17WC 24643 KESSINGER, FRED TREU BODY WORKS 03/03/17 STRONG LAW OFFICE GANAN & SHAPIRO 407 17WC 25100 DIPPEL, MICHAEL NICHOLAS MILLER D/B/A 06/07/17 SHAY & ASSOCIATES GAROFALO SCHREIBER STORM 408 17WC 25550 GLOVER, DAVID L ARCH COAL, INC 05/27/17 JAMES ACKERMAN RUSIN & MACIOROWSKI LTD 409 17WC 25614 REED, LOUIS MACON-PIATT REGIONAL OFFI 04/05/17 SHAY & ASSOCIATES 410 17WC 25786 AGBEMAVOR, AFIWA A JBS USA INC, FKA CARGILL 05/04/14 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 17WC025787 -C 411 17WC 26123 TRANSOU, LINDA STRATAS FOODS 06/06/17 NESSLER, FREDERIC LAW OFFI KEEFE CAMPBELL & ASSOC LLC 412 17WC 26430 DAVIS, PETER SPRINGFIELD MASS TRANSIT 11/18/16 LEE, MARK N LAW OFFICE STEPHEN H LARSON LAW OFFICE 413 17WC 26686 BYRD, CHRISTOPHER WENDY'S 08/16/17 WARREN E DANZ, PC KOEPKE & HILDABRAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 17WC 26764 VOELKER, EMILY DHS: MCFARLAND MENTAL @ 12/08/16 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 415 17WC 26824 WASILEWSKI, ASHLEY R GOURMET FOOD PRODUCTION, 08/20/17 BOSHARDY LAW OFFICE PC QUINN JOHNSTON HENDERSON ETA 416 17WC 27009 SHANKLIN, JENO KELLY SERVICES INC 08/23/17 HOLLEY & ROSEN BRADY, CONNOLLY & MASUDA, PC 417 17WC 27023 SPRINGFIELD, LETITIA M ARAMARK UNIFORM SERVICES 05/20/17 KANOSKI BRESNEY 418 17WC 27041 ANDERSON, VICKI DOLLAR GENERAL 08/11/17 HOLLEY & ROSEN LEAHY EISENBERG & FRAENKEL 419 17WC 27054 REESE, LEASER PRESBYTERIAN CHURCH DAY C 08/07/17 SHAY & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 420 17WC 27090 ANDERSON, SHAWNDA PATTON LOGISTICS 08/03/17 NESSLER, FREDERIC LAW OFFI RIPES NELSON BAGGOT KALOBRAT 421 17WC 27961 GATONS, PAUL STATE OF ILLINOIS @ 05/11/17 MC WARD LAW OFFICE JOSEPH MOORE 422 17WC 28045 HUFF, MICHAEL ILLNOIS DEPARTMENT OF TRA @ 05/17/17 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 423 17WC 28163 JONES, DANIEL NUDO PRODUCTS, INC 07/22/17 DELANO LAW OFFICES LLC 424 17WC 28424 CANTRELL, STEVE L IL DEPT OF TRANSPORTATION @ 04/30/17 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 425 17WC 28427 SAVANT, YVONNE HEALTHCARE SVC GROUP 06/10/17 MORMINO,VELLOFF,EDMONDS,SN RUSIN & MACIOROWSKI LTD 426 17WC 28777 CLINTON, TAMMY L BANK OF SPRINGFIELD 02/04/17 SHAFFER, WILLIAM C III 427 17WC 29020 BATES, FREDDIE JR. DEPARTMENT OF NATURAL RES 08/05/16 DWORKIN AND MACIARIELLO 428 17WC 29867 TAYLOR, GARY ILLINOIS EDUCATIONAL ASSO 08/28/17 STRONG LAW OFFICE LITCHFIELD CAVO 429 17WC 30001 WASILEWSKI, ASHLEY R GOURMET FOOD PRODUCTION I 08/20/17 BOSHARDY LAW OFFICE PC QUINN JOHNSTON HENDERSON ETA 430 17WC 30040 STRAIGHT, JESSICA STEAK N SHAKE 09/26/17 NESSLER, FREDERIC LAW OFFI 431 17WC 30115 MOSQUITO, BRAD MCFARLAND MENTAL HEALTH C @ 08/17/17 NOLL LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 17WC 30481 WOMACK, RONALD O'REILLY'S AUTO PARTS 10/14/16 SGRO, HANRAHAN DURR RABIN HENNESSY & ROACH 433 17WC 30530 MANGINELLO, MARY MCKINLEY COURT 07/21/17 NESSLER, FREDERIC LAW OFFI NYHAN BAMBRICK KINZIE & LOWR 434 17WC 30578 WALSH, KEVIN U OF I - SPRINGFIELD 02/15/16 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 435 17WC 30720 TAYLOR, MARCELLE STATE OF ILLINOIS/DHS @ 08/25/17 HAXEL LAW OFFICE BRADLEY DEFREITAS 436 17WC 30744 SOUTHERLAND, CHRIS MANPOWER 05/13/17 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 437 17WC 30849 ROACH, RON CITY OF LITCHFIELD 02/10/17 PRINCE LAW FIRM 438 17WC 30896 BAKER, JAMES A JACKSONVILLE SCHOOL DIST 08/10/17 NOLL LAW OFFICE 439 17WC 31060 HALLIBURTON, DARA STATE OF ILLINOIS-IDOT @ 09/25/17 SHAY & ASSOCIATES JOSEPH MOORE 440 17WC 31267 WEIDEL, CHRISTOPHER M BEARING DISTRIBUTORS, INC 10/21/16 KANOSKI BRESNEY STEPHEN H LARSON LAW OFFICE 441 17WC 31444 BOOKER, ANDRE FAMILY DOLLAR 10/13/17 STRONG LAW OFFICE EVANS & DIXON, LLC 442 17WC 31645 CHECK, MICHELLE ANNE SPRINGFIELD PUBLIC SCHOOL 09/14/17 NOLL LAW OFFICE 443 17WC 31788 O'LAUGHLIN, TOM C.H.I. OVERHEAD DOORS 10/24/16 LEE, MARK N LAW OFFICE 444 17WC 32036 MAYORGA, JOSE S LOREDO MONSANTO COMPANY 07/17/16 CULLEN HASKINS NICHOLSON MC ANDREWS & NORGLE LLC 445 17WC 32078 DOWLING, GWEN STATE OF IL-DHS @ 08/25/17 LAMARCA LAW OFFICES, PC BRADLEY DEFREITAS 446 17WC 32146 HILL, MARY CATERPILLAR INC 08/24/17 KATZ FRIEDMAN EAGLE ET AL 447 17WC 32506 SCHWALB, LYNDA K JBS 04/26/16 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 448 17WC 32698 EUBANKS, ANDRE TOMMY HOUSE TIRE CO 09/27/17 WARREN E DANZ, PC RUSIN & MACIOROWSKI LTD 449 17WC 32704 RIXNER, CHRISTOPHER LES JACKSON ROOFING 09/01/17 NESSLER, FREDERIC LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 450 17WC 32821 ALVAREZ, IGNACIO UNIVERSITY OF ILLINOIS 09/23/15 ANDREW BRIBRIESCO 451 17WC 32832 QUEIRO, MELISA JBS, USA 08/02/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 452 17WC 32993 WILLIAMS, LAWRENCE MCDONALD'S 08/01/17 KEEFE & GRIFFITHS PC LIVINGSTONE MUELLER ET AL 453 17WC 33124 FIELDS, DEBBIE SCHNUCKS 10/16/17 DWORKIN AND MACIARIELLO LEMP & MURPHY 454 17WC 33155 COOK, RAY KELLY CONSTRUCTION 07/20/17 FREDERICK & HAGLE MACIOROWSKI SACKMANN & ULRIC 455 17WC 33173 SCOTT, MARLIN DOUGLAS JBS S.A. D/B/A JBS USA, L 09/30/17 JOHN LESAGANICH NYHAN BAMBRICK KINZIE & LOWR 456 17WC 33470 CUSUMANO, CHARLES ANTHONY STATE OF IL - DOT 10/25/16 HAXEL LAW OFFICE JOSEPH MOORE 457 17WC 33494 BASIL, ELIZABETH ST JOHN'S HOSPITAL 07/03/17 BUCKLIN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 458 17WC 33651 SHEPHERD, PAMELA DECATUR PUBLIC SCHOOL DIS 10/24/17 LAKE LAW FIRM FEATHERSTUN GAUMER POSTLEWAI 459 17WC 33756 RODGERS, KALAN MUELLER 08/28/17 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 460 17WC 33792 CUMMINGS, JUNE HELP AT HOME 11/02/17 DENNIS ATTEBERRY 461 17WC 33807 MYERS, JANE IL DEPT OF VETERAN'S AFFA 01/11/16 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 462 17WC 33936 MERRITT, CHRISTINE M IL SECRETARY OF STATE @ 08/10/17 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 463 17WC 33961 SANDOVAL, ANGELO PEPSICO 10/06/17 NESSLER, FREDERIC LAW OFFI BRUCE WARREN 464 17WC 33967 CHAFFEE, WILLIAM CAFE COCO 06/21/17 WOLTER BEEMAN AND LYNCH LIVINGSTONE MUELLER ET AL 465 17WC 33986 THOMAS, MINDY PEPPERMILL GRILL & CHILL 09/27/17 SHAY & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 466 17WC 34047 SHUTZ, KARLEEN KOHLS 05/21/17 RICH RICH COOKSEY PC HENNESSY & ROACH 467 17WC 34190 CRIPE, BARRY ADM 03/27/17 LEE, MARK N LAW OFFICE KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 468 17WC 34534 ROUTE, NICHOLAS MIDWEST INSURANCE COMPANY 06/01/17 STRONG LAW OFFICE 469 17WC 34559 JONES, TIMOTHY GREAT WESTERN PRODUCTS, I 10/30/17 LAMARCA LAW OFFICES, PC BRYCE DOWNEY & LENKOV LLC 470 17WC 34692 DEHEVE, DAWN CAPITAL HEALTHCARE 10/12/17 STRONG LAW OFFICE ROBERT L. SMITH 471 17WC 35048 RINABERGER, KAINAN SPRINGFIELD FIRE DEPT 11/01/17 CONNOR LAW OFFICES 472 17WC 35102 FONNER, PATRICK MUELLER COMPANY 03/12/16 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH, PC 473 17WC 35220 BIBBS-SMITH, TANYA L NORTHFIELD INN SUITES 03/20/17 COSTA IVONE LLC 474 17WC 35438 HAMPTON-NEWMAN, ESTELLE L WEBSTER CANTRELL HALL 07/18/17 KANOSKI BRESNEY MCANANY VANCLEVE & PHILLIPS 475 17WC 35785 BUDWELL, ALLISON CASEY'S 09/23/17 STEELE LAW OFFICE KEEFE & DEPAULI 476 17WC 35915 BAKER, LARRY D NESTLE 11/01/17 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 477 17WC 35933 SCHUECKING, MICHAEL B JR CAPITOL READY MIX 07/21/17 BOSHARDY LAW OFFICE PC GAROFALO SCHREIBER STORM 478 17WC 36053 VAZQUEZ, SUSANA EL CORRAL MEXICAN RESTAUR 02/22/16 CHEPOV & SCOTT LLC RUSIN & MACIOROWSKI LTD 479 17WC 36107 EVANS, DANIEL PRAIRIE FARMS DAIRY, INC 08/30/17 WOLTER BEEMAN AND LYNCH KNAPP, OHL & GREEN 480 17WC 36146 SHARP, ANGELA M IL DEPT OF TRANSPORTATION 09/19/17 DELANO LAW OFFICES LLC JOSEPH MOORE 481 17WC 36344 JACKSON, DEXTER ARENA FOOTBALL ONE LLC 04/08/17 GORDON & CENTRACCHIO LLC 482 17WC 36463 CHRISTIAN, KEVIN MARYAN MINING 10/17/16 BECKER PAULSON & HOERNER P LITCHFIELD CAVO 483 17WC 36469 CLOE, EVELYN K INTERNATIONAL PAPER 06/16/17 MCCARTHY ROWDEN & BAKER 484 17WC 36571 WHITE, ANTHONY W GHJ DRILLING 09/23/16 HASSAKIS & HASSAKIS 485 17WC 36838 HUNTER, EDDIE LAVERDIERE CONSTRUCTIONIN 05/07/15 WARREN E DANZ, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 486 17WC 36947 MUNCY, CHRISTOPHER LANDMARK CADILLAC 09/01/17 NOLL LAW OFFICE RODDY LAW LTD 487 17WC 37048 HUNTER, EDDIE UNITED CONTRACTORS MIDWES 10/05/15 WARREN E DANZ, PC STEPHEN P. KELLY 488 17WC 37223 DANIELS, ROBERT KENT JBS 12/12/16 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 489 17WC 37266 JOHNSON, BRIAN MORTON BUILDINGS 11/17/17 NESSLER, FREDERIC LAW OFFI KNELL LAW LLC 490 17WC 37357 SNYDER, JOHN TOBIN BROTHERS INC 07/18/17 LEE, MARK N LAW OFFICE LIVINGSTONE MUELLER ET AL 491 17WC 37485 HOWELL, KEVIN M ILLINOIS STATE POLICE @ 09/07/17 WOLTER BEEMAN AND LYNCH BRADLEY DEFREITAS 492 17WC 37584 SLEET, CLAIRISE KEMMERER VILLAGE 11/20/17 KANOSKI BRESNEY 493 17WC 37980 HECKWINE, DANNY REXX BATTERY 12/15/16 BURNETT & CARON, LTD LIVINGSTONE MUELLER ET AL 494 18WC 00273 SEXTON, DARREL STATE OF IL/SECRETARY OF @ 11/13/17 BOSHARDY LAW OFFICE PC 495 18WC 00294 WARMAN, RANDY JB HUNT TRANSPORT SVS, IN 06/23/16 CARAWAY FISHER CRAIG A HANSEN 496 18WC 00552 MC EVERS, CANDACE PIZZA GUY, INC 11/04/17 BECKER SCHROADER & CHAPMAN 497 18WC 00716 NEWMAN, BERNARD F O'REILLY AUTO ENTERPRISES 10/11/17 BERG & ROBESON BRYCE DOWNEY & LENKOV LLC 498 18WC 00895 WATSON, JEFFREY STATE OF ILLINOIS - CMS @ 12/20/17 LAMARCA LAW OFFICES, PC ASSISTANT AT0TORNEY GENERAL 499 18WC 01041 PARRISH, DARREN DAP TRUCKING 10/17/17 SHAY & ASSOCIATES RIPES NELSON BAGGOT KALOBRAT 500 18WC 01076 JAMES, TOM MBM - MCLANE 10/04/17 LEE, MARK N LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 501 18WC 01521 BRANN, LISA CHARLIE PARKER'S DINNER 10/07/17 BOSHARDY LAW OFFICE PC 502 18WC 01546 HALCOMB, BRIAN C URSA LOGISTICS 05/21/17 BRADY, CONNOLLY & MASUDA, PC 503 18WC 01549 JONES, DEBRA HSHS ST MARY'S HOSPITAL 11/10/17 SHAY & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 504 18WC 01721 OWENS, JONI DECATUR TRANSIT MANAGEMEN 12/05/17 MCCARTHY ROWDEN & BAKER 505 18WC 02078 CLARK, ANTHONY L MIDLAND RAILWAY SUPPLY IN 12/08/17 BECKER SCHROADER & CHAPMAN 506 18WC 02190 CRAW, ANDREW ADM 08/19/17 SHAY & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 507 18WC 02392 MATHEWS, RANDEL J MED SPEED 10/05/17 WOODRUFF & JOHNSON PERRY GENTILE 508 18WC 02600 VASQUEZ, AUGUSTINE J CITY OF JACKSONVILLE 09/19/17 THOMSON, MCNEELY & TOBIN RUSIN & MACIOROWSKI LTD 509 18WC 02613 DAMRON, KAREN DECATUR PUBLIC SCHOOL DIS 04/26/17 LAKE LAW FIRM 510 18WC 02627 SANDERS, JOHN E GIBBEL HOME SERVICES, INC * 06/07/17 UNSELL & SCHUMAN RUSIN & MACIOROWSKI LTD 511 18WC 02659 SPONSLER, AMANDA ST JOHN'S HOSPITAL 01/24/17 GREGORY W. SCRONCE HEYL ROYSTER VOELKER & ALLEN 512 18WC 02685 BENEDICT, MICHELLE A STAYBRIDGE SUITES 12/04/17 KANOSKI BRESNEY SORLING NORTHRUP 513 18WC 02748 STURM, RICHARD ILLINOIS SECRETARY OF STA @ 12/21/15 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 514 18WC 02893 LOPEZ, ROBERTO COALFIELD CONSTRUCTION CO 01/29/15 JOHNSON SCHNEIDER FERRELL LITCHFIELD CAVO 515 18WC 02978 COX, LESLIE AT&T 12/11/17 WILLIAM B MEYERS, LTD HENNESSY & ROACH 516 18WC 03103 WING, EARL S PRAIRIE FARMS DAIRY INC 05/17/16 THE DONOHOO LAW FIRM KNAPP, OHL & GREEN 517 18WC 03502 FARMER, LARRY CAPITOL READY MIX 05/27/16 LEE, MARK N LAW OFFICE 518 18WC 03573 BAFFORD, KEVIN VILLAGE OF BLUE MOUND 02/04/15 MCCARTHY ROWDEN & BAKER SCHREMPF KELLY & NAPP 519 18WC 03599 MOSS, CONSTANCE STATE OF IL HOUSE OF REP @ 09/18/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 520 18WC 03645 SNYDER, RON ADM 01/17/18 LEE, MARK N LAW OFFICE 521 18WC 03652 AKERS, MORRIS JAY ENCOMPASS GRAIN & RAIL CO 10/20/16 CHRIS DOSCOTCH KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 522 18WC 03744 KENDALL, RICKY SR MEMORIAL HEALTH SYSTEMS @ 11/28/17 JAMES ACKERMAN 523 18WC 03776 LOGSDON, MICHAEL HEARTLAND COCA-COLA BOTTL 02/21/17 RICH RICH COOKSEY PC BRADY, CONNOLLY & MASUDA, PC 524 18WC 03796 CRAWFORD, KYRIA SANGAMON MASS TRANSIT DIS 12/26/17 STRONG LAW OFFICE 525 18WC 03808 MC CLENDON, JOHNNY DECATUR PUBLIC SCHOOL #61 11/01/17 MCCARTHY ROWDEN & BAKER 526 18WC 03989 SCHULTZ, KAREN IL GREAT RIVERS 06/05/17 CONNOR LAW OFFICES 527 18WC 04105 CHAVEZ ACEVES, FELIX JBS, USA 12/02/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 528 18WC 04156 BROWN, ROBERT MEMORIAL MEDICAL CENTER 10/23/17 DELANO LAW OFFICES LLC SORLING NORTHRUP 529 18WC 04812 BAFFORD, KEVIN VILLAGE OF BLUE MOUND 08/28/15 MCCARTHY ROWDEN & BAKER 530 18WC 04856 ECK, JOSEPH MARTIN & BAYLEY, INC 10/19/15 HOLLEY & ROSEN 531 18WC 05321 VOLKERT, DAVID A WINFIELD SOLUTION 03/24/17 BERG & ROBESON HENNESSY & ROACH PC 532 18WC 05332 ESKEW, ROBERT J VIPER COAL MINE 01/19/18 SGRO HANRAHAN DURR RABIN 533 18WC 05399 RIDGWAY, DEAN CITY OF PANA 08/01/16 ROOSEVELT LAW OFFICE 534 18WC 05418 QUEIRO, MELISA JBS, USA 01/19/18 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 535 18WC 05645 WADE, MARK PAPER TRANSPORTATION 01/09/18 KEITH SHORT MCANANY VANCLEVE & PHILLIPS 536 18WC 05771 ALEXANDER, WILLIAM ILLINI COUNTRY CLUB 05/12/17 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 537 18WC 05782 BOYD, ROBERT ST JOHN'S HOSPITAL 01/16/18 MCCARTHY ROWDEN & BAKER 538 18WC 05872 FRANKLIN, KELLY AKORN INC 04/25/17 MCCARTHY ROWDEN & BAKER 539 18WC 05972 ROODHOUSE, KEVIN STATE OF ILLINOIS, IDOT @ 10/31/17 CONNOR LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 540 18WC 06048 O'CONNOR, THOMAS MICHAEL VON BEHREN BUILDE 06/20/17 GORI, JULIAN & ASSOC BRYCE DOWNEY & LENKOV LLC 541 18WC 06206 CLOYD, CARRIE L IL ASSOC OF SCHOOL BOARDS 03/03/15 HAXEL LAW OFFICE HENNESSY & ROACH 542 18WC 06381 PETERS, DENISE L ST JOHN'S HOSPITAL 02/10/18 DELANO LAW OFFICES LLC HEYL ROYSTER VOELKER & ALLEN 543 18WC 06404 KELLY, JARETT CITY OF SPRINGFIELD 01/01/18 SGRO, HANRAHAN DURR RABIN 544 18WC 06477 CANTU, CAMILA WALMART 02/13/18 SHAY & ASSOCIATES GANAN & SHAPIRO 545 18WC 06662 JURANEK, M.D., ROBERT HOSPITAL SISTERS HEALTH S 10/07/16 DELANO LAW OFFICES LLC HEYL ROYSTER VOELKER & ALLEN 546 18WC 06684 LEE JR, THEODORE R STATE OF ILLINOIS @ 08/31/15 BERG & ROBESON 547 18WC 06708 OLIVER, KERI SANGAMON MASS TRANSIT DIS 01/26/18 LEE, MARK N LAW OFFICE 548 18WC 06801 ENDRES, PHILLIP NEXT GEN. MONROE LLC 01/20/18 WARREN E DANZ, PC LIVINGSTONE MUELLER ET AL 549 18WC 06974 BREWER, ROBERT L ILLINOIS POWER HOLDINGS 11/17/16 BEATTY & MOTIL 550 18WC 07240 RUDERMAN, ADAM J CITY OF DECATUR 10/08/17 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 551 18WC 07317 WITHERSPOON, MITCHELL L STANDARD FORWARDING 11/06/17 HAXEL LAW OFFICE HENNESSY & ROACH 552 18WC 07590 WHITED, JEFFREY R REYNOLDS CONSUMER PRODUCT 02/01/18 BOSHARDY LAW OFFICE PC 553 18WC 07634 BRAUN, KIMBERLY GRAPHIC PACKAGING 01/21/18 DENNIS ATTEBERRY DOHERTY & PROGAR LLC 554 18WC 08158 CLAY, CALVIN APERION CARE CAPITOL 02/20/18 ANESI OZMON RODIN NOVAK KO BRADY, CONNOLLY & MASUDA, PC 555 18WC 08250 HODGES, VICTOR A MEL-O-CREAM DONUTS 10/26/17 KANOSKI BRESNEY 556 18WC 08267 HONNIES, SCOTT SOI/GRAHAM CC @ 01/26/18 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 557 18WC 08367 WHITE, NICOLE A ADVANCE FAMILY DENTAL 11/15/16 DELANO LAW OFFICES LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 558 18WC 08397 JOHNSON, MARTHA RIVER BIRCH SENIOR LIVING 03/12/18 STRONG LAW OFFICE HENNESSY & ROACH 559 18WC 08447 HARDWICK, TERRY W REYNOLDS CONSUMER PRODUCT 01/13/16 MORMINO,VELLOFF,EDMONDS,SN KLAUKE LAW GROUP LLC 560 18WC 08536 STEWART, JAMES CITY OF SPRINGFIELD 05/25/17 MILLS, STEVEN C 561 18WC 08608 GARCIA, ILEANA JBS 02/29/16 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 562 18WC 08790 ALLBRITTON, JEFFIE CATERPILLAR, INC 01/29/18 WARREN E DANZ, PC CATERPILLAR 563 18WC 09078 O'LAUGHLIN, DONALD D GRAPHIC PACKAGING 02/24/18 KANOSKI BRESNEY 564 18WC 09212 MOORE, GERALD (WIDOWER) O MILIKIN UNIVERSITY # 02/27/18 ROMANUCCI & BLANDIN BRYCE DOWNEY & LENKOV LLC 565 18WC 09263 POPE, JOSHUA CITY OF TAYLORVILLE 08/31/16 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 566 18WC 09389 COOPER, BILLIE J SIERRA INTERNATIONAL MACH 07/10/17 THOMAS E HILDEBRAND BRADY, CONNOLLY & MASUDA, PC 567 18WC 09434 KAISER, JAMES SCHNUCK MARKETS, INC 05/11/17 LIESER LAW FIRM LEMP & MURPHY 568 18WC 09629 JONES, JOSIE C HEALTH-PRO HERITAGE 03/06/18 CORNFIELD & FELDMAN 569 18WC 09772 TAYLOR, AMY MUELLER CO. 06/07/17 FREDERICK & HAGLE 570 18WC 09839 HOUSE, RICHARD AMERICAN AMBULANCE SERVIC 09/02/17 WARREN E DANZ, PC LIVINGSTONE MUELLER ET AL 571 18WC 09893 MIESENHEIMER, RICHARD MEULLER COMPANY 03/06/18 WOODRUFF & JOHNSON 572 18WC 10072 HICKEY, SHARI L MEMORIAL MEDICAL CENTER 03/14/18 WOLTER BEEMAN AND LYNCH SORLING NORTHRUP 573 18WC 10247 MCFADDEN, PATRICK C ARCHER DANIELS MIDLAND CO 09/01/16 KANOSKI BRESNEY 574 18WC 10251 GILL, DALLAS HILMES TRUCKING LLC 03/13/18 MCCARTHY ROWDEN & BAKER BRADY, CONNOLLY & MASUDA, PC 575 18WC 10553 SOTELO, JESUS CAZARES A-LERT CONSTRUCTION SERVI 03/09/18 EPSTEIN, JACK R LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 576 18WC 10697 GLISSOU, YAWO JBS, USA, D/B/A SWIFT POR 11/30/17 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR 577 18WC 10782 STOUT, RICHARD SR. CIRCLE K 02/27/18 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 578 18WC 10854 STEVENS, CHAD TITAN PIPE AND TUBE 01/15/18 KEITH SHORT RUSIN & MACIOROWSKI LTD 579 18WC 11078 DANIELS, MATT CITY OF SPRINGFIELD 02/28/18 SHAY & ASSOCIATES 580 18WC 11178 KOUDELKA, JAMES L JBS 06/04/16 BADGLEY, BRAD L NYHAN BAMBRICK KINZIE & LOWR 581 18WC 11283 BARKER-DAVIS, TAMALA PLEASANT HILL VILLAGE 10/17/17 KEEFE & GRIFFITHS PC 582 18WC 11339 PAULDING, VALERIE INTERNATIONAL PAPER 02/14/18 KANOSKI BRESNEY DOHERTY & PROGAR LLC 583 18WC 11467 KNAPP, TIM HOPE SCHOOL 10/22/17 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 584 18WC 11724 SWARMS, DENNIS CITY OF DECATUR 07/01/16 BECKER SCHROADER & CHAPMAN 585 18WC 11757 SAMSON, MARK IL STATE FIRE MARSHALL @ * 02/21/18 WOLTER BEEMAN AND LYNCH 586 18WC 11855 SMITH, RODNEY CHARLIE PARKER DINER 07/07/17 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 587 18WC 11910 CUTTILL, ANGELA ADM 05/02/16 JOHNSON CHILIGIRIS WEAT0HE FEATHERSTUN GAUMER POSTLEWAI 588 18WC 12067 GIGLIO, ALEXANDER A ILLINOIS STATE POLICE 02/14/18 FIGLIOLI, DAVID 589 18WC 12162 WALSH, JODIE ILLINOIS DEPARTMENT OF RE @ 03/22/18 SHAY & ASSOCIAT0ES ASSISTANT ATTORNEY GENERAL 590 18WC 12200 CLARK, EDWARD A PUGSLEY CONTAINER 12/16/17 HAXEL LAW OFFICE LAWRENCE COZZI - LAW OFFICE 591 18WC 12536 ROBERTS, RICK RICOH USA, INC 03/12/18 NESSLER, FREDERIC LAW OFFI 592 18WC 12622 MCCLANAHAN, ACE JR. POMPS TIRES SERVICE, INC. 06/28/16 SHAY & ASSOCIAT0ES KNELL & O'CONNOR 593 18WC 12664 GEE, CAROLYN D DECATUR PUBLIC SCHLS DIST 03/12/18 JAMES RUPPERT FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 594 18WC 12789 WHITHAM, ARTHUR KELLY GENERAL CONSTRUCTIO 11/13/17 FOSSIER LAW MACIOROWSKI SACKMANN & ULRIC 595 18WC 12963 DUCKWILER, CLOE JBS 09/29/17 HASSAKIS & HASSAKIS MCANANY VANCLEVE & PHILLIPS 596 18WC 13205 SANTANA, MISAELA PSSI 12/12/17 CULLEN HASKINS NICHOLSON 597 18WC 13346 SCHWARTZ, MIKE WOODWHEELS, LLC 04/19/18 GALANTI LAW OFFICES 598 18WC 13447 FRANZ, CHARLES M MCLEOD TRUCKING 12/29/17 JAMES RUPPERT 599 18WC 13753 NICHELSON, JAMES IL SECRETARY OF STATE @ 03/26/18 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 600 18WC 13876 JUMP, CODY ADM 10/04/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 601 18WC 13921 WEST, KAREN MACON COUNTY SHERIFF'S DE 08/21/17 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 602 18WC 13954 STRATTON, AMY HERITAGE HEALTH 12/15/17 HOLLEY & ROSEN 603 18WC 14044 CARTER, RICKEY WALDBART & SONS NURSERY 04/07/18 GALANTI LAW OFFICES LAWRENCE COZZI - LAW OFFICE 604 18WC 14095 BEILER, MARIA AKORN PHARMACEUTICALS 08/29/17 MCCARTHY ROWDEN & BAKER 605 18WC 14334 SMITH, GREGORY DECATUR PUBLIC SCHOOLS * 01/10/17 LEE, MARK N LAW OFFICE 606 18WC 14355 BARTLETT, SEAN HSHS ST JOHNS HOSPITAL * 07/25/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 607 18WC 14373 SCHMUTZ, BARBARA DECATUR SCHOOL DISTRICT 6 * 04/20/18 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 608 18WC 14644 THRASHER, KEITH B MEMORIAL MEDICAL CENTER * 04/20/18 DELANO LAW OFFICES LLC SORLING NORTHRUP 609 18WC 14823 RICHARDS, JOHN NEGWER MATERIALS * 11/27/17 DRUMMOND LAW OFFICE ACCIDENT FUND HOLDINGS 610 18WC 14971 VOLKENING, ROBERT C USF HOLLAND * 03/08/18 BOSHARDY LAW OFFICE PC 611 18WC 15089 HOLZER, CONNIE S JBS, USA * 05/17/17 BOSHARDY LAW OFFICE PC MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 612 18WC 15252 PUSCH, LISA ATHENS CUSD #213 * 03/28/16 DELANO LAW OFFICES LLC MACIOROWSKI SACKMANN & ULRIC 613 18WC 15258 GARMON, JACKIE GRAPHIC PACKING * 02/08/18 SMITH LAW LTD 614 18WC 15393 MC GRATH, ROBERT T STATE OF ILLINOIS - DEPAR @ * 05/10/18 DELANO LAW OFFICES LLC 615 18WC 15558 SHANKLIN, ROMARIUS SPRINGFIELD SCHOOL * 05/01/18 MARK N LEE 616 18WC 15708 BAKER, BRIDGETTE H.D. SMITH * 04/30/18 CONNOR LAW OFFICES SPIEGEL & CAHILL, PC 617 18WC 15843 MASTEN, MICHAEL VILLAGE OF RAYMOND * 02/06/17 HAXEL LAW OFFICE 618 18WC 15894 THRASHER, KEITH B MEMORIAL MEDICAL CENTER * 05/16/18 DELANO LAW OFFICES LLC 619 18WC 15917 HOFFMAN, CYBIL CTR FOR YOUTH & FAMILY * 05/08/18 LAMARCA LAW OFFICES, PC 620 18WC 16112 JOHNSON, JUDITH A NOKOMIS SCHOOL DISTRICT * 11/16/17 HARVEY & STUCKEL 621 18WC 16219 WHEALEN, MICHAEL PRAIRIE FARMS * 03/09/18 JOHNSTON LAW OFFICE KNAPP, OHL & GREEN 622 18WC 16447 OLSON, DYLAN M TACO BELL * 04/19/18 KANOSKI BRESNEY MCDONALD & BOGDAN 623 18WC 16522 SARGENT, DWAYNE DEFENDER SERVICES INC * 03/16/18 STRONG LAW OFFICE PAUL LARIMORE 624 18WC 16591 WESSEL, STANLEY ST JOHNS HOSPITAL * 12/08/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 625 18WC 16990 ADAMS, FRANCIS GRAPHIC PACKAGING INTL IN * 05/03/17 SMITH LAW LTD 626 18WC 17089 RUTHERFORD, TIMOTHY ADM * 02/15/18 MARK N LEE 627 18WC 17115 CORPIN, SHELBY HILLSBORO REHAB & HLTH CA * 03/01/18 RIDGE & DOWNES 628 18WC 17136 MUNDY, PATRICK SIEMENS MEDICAL * 09/18/16 MCCARTHY ROWDEN STEPHEN H LARSON LAW OFFICE 629 18WC 17176 PUSCH, LISA ATHENS CUSD #213 * 03/28/16 DELANO LAW OFFICES LLC MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 630 18WC 17202 JUSTICE, JAMIE IHOP * 05/18/18 FREDERIC NESSLER & ASSOC 631 18WC 17206 HARRIS, STEPHEN STATE OF ILLINOIS @ * 08/04/17 FREDERIC NESSLER & ASSOC JOSEPH MOORE 632 18WC 17340 BATTLE, JOHN FUYAO GLASS ILLINOIS, INC * 04/19/18 KANOSKI BRESNEY STEPHEN H LARSON LAW OFFICE 633 18WC 17345 MOYER, CHRISTOPHER FAIRHAVEN CHRISTIAN HOMES * 03/02/18 MCCARTHY ROWDEN 634 18WC 17410 MELENDEZ, JOSE RAILSERVE, INC * 01/23/18 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 635 18WC 17478 IRWIN, SUSAN STATE OF IL- DEPT OF @ * 06/17/16 LAMARCA LAW OFFICES, PC LISA MADIGAN 636 18WC 17724 SMITH, DANIEL COMCAST * 11/02/17 LYNN D BARNETT 637 18WC 17904 BOLASH, LINDA SANGAMON COUNTY CIRCUIT C * 05/15/18 WOLTER BEEMAN AND LYNCH RUSIN & MACIOROWSKI LTD 638 18WC 17969 TURNER, TOMMIE SOL TICK & CO * 05/17/16 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 639 18WC 18294 WALSH, DAVID ADM * 04/17/18 MARK N LEE 640 18WC 18332 BROWN, GREGORY E HOPE SCHOOL * 05/22/18 LAMARCA LAW OFFICES, PC 641 18WC 18341 ROSSMAN, BEVERLY THOMAS J PHILLPS, JR * 04/18/18 SHAY & ASSOCIATES 642 18WC 18463 RICE, LACEY L FUYAO GLASS * 05/25/18 MCCARTHY ROWDEN 643 18WC 18740 MORALES, JOELEANE PACKERS SANITATION SVCS, * 01/31/18 KANOSKI BRESNEY 644 18WC 19089 BRADSHAW, GAIL INTERNATIONAL PAPER * 01/13/18 WOLTER BEEMAN AND LYNCH 645 18WC 19120 JOHNSON, STACY ILLINOIS STATE POLICE @ * 05/15/18 COLLISON LAW OFFICES ILLINOIS ATTY GENERAL 646 18WC 19190 KAYLOR, ROBERT LANGHEIM CONCRETE * 11/01/16 LAMARCA LAW OFFICES, PC QUINN JOHNSTON HENDERSON ETA 647 18WC 19261 CARLINO, THEODORE A HOSPTIAL SISTERS HEALTH S * 02/28/18 HARVEY & STUCKEL HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 648 18WC 19306 DEMPSEY, JUNIS HILLSBORO REHAB CENTER * 06/16/18 DWORKIN AND MACIARIELLO 649 18WC 19498 ROBERTS, ZACHARY EXPRESS EMPLOYMENT * 05/29/18 STRONG LAW OFFICE MC ANDREWS & NORGLE LLC 650 18WC 19582 MOSELEY, TUTEEKIA KFC * 06/18/18 FREDERIC NESSLER & ASSOC 651 18WC 19641 ISAACS, SHAWN DOHRN TRANSFER CO * 10/17/15 DRUMMOND LAW OFFICE GANAN & SHAPIRO 652 18WC 19698 LEWIS, ROBERT SANGAMON MASS TRANSIT DIS * 06/12/18 MARK N LEE 653 18WC 19704 HILL, STEVEN D BARTON MANUFACTURING * 02/26/18 MCCARTHY ROWDEN HEYL ROYSTER VOELKER & ALLEN 654 18WC 19772 TURNER, ASHLEY ADM- STRATUS FOODS * 05/16/18 MARK N LEE KEEFE CAMPBELL BIERY & ASSOC 655 18WC 19803 BROWN, BURTON SPRINGFIELD POLICE DEPART * 05/14/18 WOLTER BEEMAN AND LYNCH 656 18WC 19922 MCCLURE, RICK PUGSLEY CONTAINER SERVICE * 06/19/18 FREDERICK & HAGLE 657 18WC 20038 CLAWSON, CODY PATTERSON COMMERCIAL FLOO * 11/13/17 FREDERIC NESSLER & ASSOC 658 18WC 20102 SUTER, ZACHARY MIDWEST MISSION * 06/01/17 SHAY & ASSOCIATES 659 18WC 20153 DIXSON, ANGELA JBS PORK * 10/19/17 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 660 18WC 20403 CAIRY, CHRIS NIEMCZYK PAINTING & PAPER * 02/26/18 SHAY & ASSOCIATES 661 18WC 20584 WASHBURN, JAMES PEGASUS TRANSPORATION, IN * 05/28/18 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 662 18WC 20742 BROOKS, MICHAELA M APERION CARE CAPITOL * 04/17/18 TOMMIE A. HARSLEY III 663 18WC 20867 COLE, PHILLIP D MASON MANUFACTURING, LLC * 05/21/18 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 664 18WC 20904 BRIDGMAN, LOREN MUELLER * 10/26/17 BECKER SCHROADER & CHAPMAN 665 18WC 21079 SMITH, SHARICE CATERPILLAR * 05/09/18 SHAY & ASSOCIATES CATERPILLAR, INC.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 666 18WC 21100 CLARK, ARLETTA ATHENS CUSD #213 * 03/03/17 QUINTAIROS PRIETO WOOD & BOY 667 18WC 21196 HORN, GREGORY STATE OF ILLINOIS @ * 05/14/18 FREDERIC NESSLER & ASSOC 668 18WC 21215 GREEN, RON ALPHA BAKING COMPANY INC * 05/01/18 SMITH LAW LTD 669 18WC 21403 GILLASPIE, TERRY L GRAPHIC PACKAGING INTERNA * 01/15/18 WOLTER BEEMAN AND LYNCH 670 18WC 21503 SCHWAB, STEPHANIE SPRINGFIELD SCHOOL DIST 1 * 03/01/18 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 671 18WC 21602 SIMMONS, JEANIE ASP MARINE HOLDINGS INC * 03/01/18 EVANS & DIXON, LLC 672 18WC 21906 DAVIS, RON LOWE'S * 04/14/18 FREDERIC NESSLER & ASSOC KEEFE CAMPBELL BIERY & ASSOC 673 18WC 22054 PALLADINI, JASON PRECISION PRODUCTS * 07/12/18 STRONG LAW OFFICE 674 18WC 22091 MOREY, BRENT CITY OF DECATUR * 05/17/17 BOLEN, ROBINSON & ELLIS 675 18WC 22243 GRAVES, TALISHA M CATERPILLAR, INC * 03/14/18 KANOSKI BRESNEY CATERPILLAR, INC. 676 18WC 22315 WEIMANN, VINCENT O AMERISOURCE BERGEN CORP * 02/20/18 DELANO LAW OFFICES LLC SPIEGEL & CAHILL, PC 677 18WC 22392 PAONI, JOSEPH TDJ RENOVATIONS * 07/07/18 SHAY & ASSOCIATES 678 18WC 22682 VINSON, SEAN LITCHFIELD FIRE DEPARTMEN * 04/10/18 HOLLEY & ROSEN 679 18WC 22730 FELIX, MICHAEL SECRETARY OF STATE @ * 06/30/17 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 680 18WC 22746 MARTIN, SCOTT LAKEVILLE MOTOR EXPRESS * 04/19/18 DRUMMOND LAW OFFICE 681 18WC 22823 SCOTT, DENNIS TRIC ITY CANVAS PRODUCTS * 09/13/16 NYHAN BAMBRICK KINZIE & LOWR 682 18WC 22835 LUSTER, RICHARD CATERPILLAR INC * 12/13/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 683 18WC 22886 HUGHES, DUSTIN MID CONTINENTAL COMPANIES * 03/10/17 GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 09/19/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 684 18WC 23068 GONZALES, ADRIAN C KROGER * 06/11/18 KANOSKI BRESNEY 685 18WC 23136 BLAKEY, SUSAN L WALMART STORES, INC * 03/17/18 EARLY & MIRANDA PC 686 18WC 23188 STEELE, RENA (FOR) M & M SERVICE COMPANY # * 12/19/17 CULLEY & WISSORE 687 18WC 23272 GRATTON, GEORGE JR SPRINGFIELD PLASTICS INC * 03/16/17 SGRO HANRAHAN DURR 688 18WC 23398 BARKER, BENJAMIN COAL FIELD CONSTRUCTION C * 10/04/17 LITCHFIELD CAVO 689 18WC 23641 UNDERWOOD, BRENDA SECRETARY OF STATE, DEPT @ * 08/04/17 GOLDBERG WEISMAN & CAIRO L 690 18WC 23744 MCGOY, TAMMY MCDONALD'S * 07/19/18 STRONG LAW OFFICE 691 18WC 23927 SUMNER, MICHAEL DECATUR PUBLIC TRANSIT * 10/09/17 HEYL ROYSTER VOELKER & ALLEN 692 18WC 23981 BILLS, BENJAMIN HTH COMPANIES, INC * 10/14/17 KANOSKI BRESNEY 693 18WC 24125 WILHAM, EMILY LIFESTAR AMBULANCE SERVIC * 03/13/16 FREDERIC NESSLER & ASSOC 694 18WC 24209 MIBB, CURTIS MARTIN TRANSPORTATION SYS * 11/05/17 ACCIDENT FUND HOLDINGS 695 18WC 24268 SETTLES-BALLARD, SCOTT IL DEPT OF TRANSPORTATION * 05/24/18 WOODRUFF JOHNSON 696 18WC 24439 FERNANDES, KEVIN DOYLE PLUMBING & HEATING * 01/30/18 BECKER SCHROADER & CHAPMAN 697 18WC 24481 SMITH, MICHICKO MUELLER CO * 03/15/18 KATZ FRIEDMAN EAGLE ET AL