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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 11WC 05574 MITCHANER, VICKI ELLA SYNGENTA SEEDS INC 06/14/10 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 15 11WC 15952 REED, JOHNATHON MCLANE MIDWEST 03/15/10 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 11WC015953 -C 14WC033996 -C MC LANE MIDWEST CO 16 11WC 16153 KAISER, DANIEL WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE 17 11WC 16156 WITTE, DARYL WITTE ELECTRIC COMPANY 06/01/10 LEE, MARK N LAW OFFICE 18 11WC 19273 MOORE, RONALD J EASTHAM TRUCKING @ W 06/03/08 ASHER & SMITH 19 11WC 19772 SHAW, DEBRA A EASTVIEW TERRACE 02/17/11 THOMAS R LICHTEN KNELL LAW LLC 20 11WC 28971 ROBERTS, DAVID CARGILL ARG HORIZONS 08/04/10 TUGGLE SCHIRO & LICHTENBER LIVINGSTONE MUELLER ET AL 21 11WC 32852 SETTLES, MONIQUE UNIVERSITY OF ILLINOIS 07/13/11 WOODRUFF & JOHNSON GANAN & SHAPIRO 22 11WC 38440 BOWMAN-STAUFFER, LESLIE UNIVERSITY OF ILLINOIS 08/02/11 WOODRUFF & JOHNSON GANAN & SHAPIRO 13WC027250 -C 23 12WC 14791 QUINLAN, PAULA TRU REHAB 08/18/11 SPIROS & WALL RUSIN & MACIOROWSKI LTD 24 12WC 15067 19B BOER, JASON CROSS COUNTY CONSTRUCTION 01/30/12 SHAY & ASSOCIATES KNELL & O'CONNOR 25 12WC 18111 MASON, SCOTT PLASTIPAK PACKAGING 05/13/12 WILLIAMS & SWEE MACIOROWSKI SACKMANN & ULRIC 13WC019393 -C 13WC019689 -C 26 12WC 19478 ROBINSON, ANDREW EASTON BELL 03/19/12 MCCARTHY ROWDEN & BAKER COZZI & GOGGIN-WARD 27 12WC 24071 CORNWELL, LINDA RR DONNELLEY 11/15/11 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH 28 12WC 26579 MILLER, ADLAI V LAMBRIGHT, VERNON M DBA @ W 06/29/12 SPIROS & WALL ASSISTANT ATTORNEY GENERAL 29 12WC 32604 PIPER, DAVID MENARDS 05/05/12 ERWIN MARTINKUS & COLE CHILTON YAMBERT PORTER LLP

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 30 12WC 33665 19B DAMMERMAN, DEBRA LAKELAND COLLEGE 08/21/12 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 31 12WC 44065 ADAMS, PENNY SIMONTON WINDOWS 09/14/12 LAW OFFICE OF PAUL E SELIN KEEFE CAMPBELL & ASSOC LLC 13WC014293 -C 32 12WC 44452 MANZANARES, ERASMO A HERNANDEZ PAINTING @ W 12/06/12 33 13WC 05059 LIEVANO, JAMES CITY OF CHAMPAIGN 06/22/12 THOMAS W DUDA CITY OF CHAMPAIGN 34 13WC 10888 19B LOWERY, ALISON KANSAS COMMUNITY UNIT 04/01/11 CRAIG & CRAIG KNELL LAW LLC 35 13WC 14431 OSBORN, SARAH REHABCARE GROUP EAST INC 03/09/13 SPIROS LAW PC ARNETT LAW GROUP 36 13WC 18993 MILLER, TALIB FORE TRANSPORTATION INC 03/05/13 WARREN E DANZ, PC SPIEGEL & CAHILL, PC 37 13WC 19097 SCHLOSSER, TABITHA MATTOON HEALTHCARE & 05/16/13 MOSS & MOSS PC WOLFE & JACOBSON, LTD 38 13WC 21910 ZERRUSEN, PATRICIA SIMONTON WINDOWS 09/13/12 BRANKEY & SMITH PC KEEFE CAMPBELL & ASSOC LLC 39 13WC 22117 OWENS, SHAWNA L LOWE'S HOME CENTERS INC 01/04/13 WILLIAMS & SWEE LTD KEEFE CAMPBELL & ASSOC LLC 15WC028846 -C 40 13WC 23548 CRIPPIN, TERRY MEINOKE CAR CARE CENTER 07/24/12 MARSZALEK AND MARSZALEK THOMAS & ASSOCIATES 41 13WC 23648 MC DADE, RONALD UNIVERSITY OF ILLINOIS 12/08/11 DODSON PIRAINO & ASSOC BRUCE WARREN 14WC033523 -C 42 13WC 23943 BYRNE, MARTIN E GOOD VIBES INC 01/14/13 COLLISON LAW OFFICES STEPHEN H LARSON LAW OFFICE 43 13WC 25416 MATTINGLY, BRENDA J PARIS METAL PRODUCTS LLC 03/14/11 SCHROEDER, JOSEPH R HANSON LAW OFFICE 44 13WC 26847 RIPPON, KERRY UNIVERSITY OF ILLINOIS @ 02/22/12 DODSON PIRAINO & ASSOC

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 13WC 27683 COATS, MARY A SARAH BUSH LINCOLN 05/07/13 SPIROS LAW PC MACIOROWSKI SACKMANN & ULRIC 46 13WC 29857 MC CORD, ELIZABETH DOLLAR GENERAL 05/23/13 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 15WC039598 -C 47 13WC 30544 APPERSON, THOMAS KRAFT 10/15/12 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 48 13WC 31586 NELSON, HOWARD MC LANE MIDWEST 02/15/13 MARSZALEK AND MARSZALEK KEEFE CAMPBELL & ASSOC LLC 49 13WC 34159 MORRIS, ARTAVIA EASTERN ILLINOIS UNIVERSI @ 07/08/13 CHARLES LEVY & ASSOC LTD ASSISTANT ATTORNEY GENERAL 50 13WC 35400 BRAGG, MARK CHAMPAIGN COUNTY SHERIFF 09/22/12 STRONG LAW OFFICE 51 13WC 36597 PAUL, REBECCA CHARLESTON COMMUNITY UNIT 01/22/13 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 52 13WC 39141 19B GREENARCH, LISA UNIVERSITY OF ILLINOIS @ 09/04/13 LAW OFFICE OF PAUL E SELIN GANAN & SHAPIRO 53 13WC 39597 BUCKUS, LINDA ST OF IL DEPT OF DHS @ 07/19/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 54 13WC 40526 JONES, DAVID B MICAR INC 07/27/13 KANOSKI BRESNEY RODDY LAW LTD 55 14WC 04799 WORLEY, JEREMY S KRAFT 02/08/13 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 56 14WC 05631 KATHRENS, KELLY UNIVERSITY OF ILLINOIS 12/18/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 57 14WC 08473 ADKINS, ROBERT MANPOWER 04/18/12 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 58 14WC 09929 KIRTLEY, SUSAN LAKEVIEW MANAGEMENT INC 02/25/13 TUMMELSON BRYAN & KNOX PATRICIA M CARAGHER 59 14WC 12723 MORRIS, CATHY KHIN WOEN LAIJ DDS 02/21/14 FINE, MARK S LAW OFFICES CRAIG & CRAIG 60 14WC 13582 GUM, CLYDE R UNIVERSITY OF ILLINOIS 02/27/14 ANESI OZMON RODIN NOVAK KO BRUCE WARREN

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 61 14WC 15928 COIT, PENNY UNIVERISTY OF ILLINOIS 04/27/14 WOODRUFF & JOHNSON BRUCE WARREN 62 14WC 18672 KASPER, JULIE SCHNUCK MARKETS INC 11/04/13 SPIROS LAW PC HENNESSY & ROACH 14WC037923 -C 63 14WC 20034 WILLIAMS, JACQUELINE A CARLE FOUNDATION HOSPITAL 12/09/13 FREDERICK & HAGLE BRUCE WARREN 64 14WC 20214 COX, JEFFREY AMEREN ILLINOIS 05/22/14 GARY JOE STOKES HOLTKAMP LIESE ET AL 65 14WC 21225 FOX, JOHN MH ACCEPTANCE, INC. 04/08/14 MUELHAUSEN & STEFANI BRYCE DOWNEY & LENKOV LLC 66 14WC 21615 DOWNS, SHAUN D UNIVERSITY OF ILLINOIS 02/22/07 MARSZALEK AND MARSZALEK BRUCE WARREN 67 14WC 22817 ALANIS, MARIA L CHAMPAIGN UNIT 4 06/12/14 DODD & MAATUKA LLC BRUCE WARREN 68 14WC 26096 KIBLER-RUSSELL, SHARILYN TALECRIS PLASMA 12/18/13 ERWIN MARTINKUS & COLE STEPHEN H LARSON LAW OFFICE 69 14WC 28473 MCGHEE, MARY PRESENCE COVENANT MEDICAL 03/09/14 FREDERICK & HAGLE INMAN & FITZGIBBONS 14WC029375 -C 70 14WC 28868 ARTURI, DAVID M J B HUNT 02/12/14 MEYER, MICHAEL J RUSIN & MACIOROWSKI LTD 71 14WC 29088 WEST, JAMES BALL CORPORATION 01/07/14 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 72 14WC 29220 ERVIN, TERRY ZBR TRANSPORTATION SERVIC 06/28/14 MEYER, MICHAEL J 73 14WC 30210 MAPLES, MARK W UNIVERSITY OF ILL 01/03/14 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 74 14WC 30256 POUNDSTONE, DAVID BEMENT CUSD 11/21/13 FREDERICK & HAGLE QUINTAIROS PRIETO WOOD & BOY 75 14WC 30409 CLEMENT, TERRY CHRISTENSEN FARMS 07/09/14 SMITH LAW LTD LEAHY EISENBERG & FRAENKEL 76 14WC 31611 THOMPSON, KENNETH RR DONNELLEY 08/18/14 MCCARTHY ROWDEN & BAKER BRADY, CONNOLLY & MASUDA, PC 77 14WC 31643 BRAGG, JAMES UNIVERSITY OF ILLINOIS 02/26/14 SPIROS LAW PC BRUCE WARREN 78 14WC 31692 ARTHUR, KATHY WAL MART 08/07/14 SMITH LAW LTD GANAN & SHAPIRO

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 14WC 31890 GEBHART, MELISSA WATCHFIRE SIGNS 03/13/14 KATZ FRIEDMAN EAGLE ET AL PATRICIA M CARAGHER 80 14WC 32459 REITSMA, TOMME R JR VISCOFAN USA INC 05/06/14 MARSZALEK AND MARSZALEK BRADY, CONNOLLY & MASUDA, PC 81 14WC 32755 BEAR, LAURA ILL SECY OF STATE @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 82 14WC 32761 DAVIS, BETH ILL SECY OF STATE @ 09/16/14 FREDERICK & HAGLE 83 14WC 33264 MORGAN, ANTHONY AMEREN IP 04/10/12 CLAYBORNE SABO & WAGNER 84 14WC 33425 MYLES-BROOKS, PEGGY IL SECRETARY OF STATE @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 85 14WC 33443 SCRIMPSHER, AMY ILLINOIS SECRETARY OF STA @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 86 14WC 35464 DE ROCHA, IGNACIA QUEZADA CARLE FOUNDATION HOSPITAL 03/11/13 FREDERICK & HAGLE BRUCE WARREN 87 14WC 36397 NIGRA, LINDSAY ILLINOIS SECRETARY OF STA @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 88 14WC 37871 BOYD, LAURALEE STATE OF IL - DHS & @ 09/01/09 HELLER HOLMES & ASSOC ASSISTANT ATTORNEY GENERAL 89 14WC 39434 ARTHUR, MARY HELP AT HOME INC 04/18/14 SMITH LAW LTD COZZI & GOGGIN-WARD 90 14WC 40225 DOLLINS, BECKY BAKER AMBULANCE 10/28/12 FEATHERSTUN GAUMER POSTLEW RUSIN & MACIOROWSKI LTD 91 14WC 40837 CASTRO, AMY QUANEX BUILDING PRODUCTS 09/24/14 ASHER & SMITH BRADY CONNOLLY & MASUDA PC 92 14WC 42266 BENNETT, CATHERINE A ISS, INC. 12/28/13 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 93 14WC 42466 CONNIE, HAROLD NORTH AMERICAN LIGHTING 12/27/12 ASHER & SMITH LAW OFFICES STEPHEN CARTER 94 14WC 43308 CRAVENS, THOMAS NEGWER MATERIALS INC 08/19/14 BOSHARDY LAW OFFICE PC BRADY, CONNOLLY & MASUDA, PC

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 95 15WC 00713 GARCIA-BARRAGAN, LUCIO CARLE FOUNDATION HOSPITAL 06/24/14 WOODRUFF & JOHNSON BRUCE WARREN 96 15WC 02058 LAGRONE, ARNOLD JELD WEN 12/22/14 BRADY CONNOLLY & MASUDA PC 15WC002135 -C JELD-WEN 97 15WC 02163 MENDOZA, LUIS MASTER BRAND CABINETS, IN 12/30/14 SPIROS LAW PC DUGAN & VOLAND 98 15WC 02457 HILLMAN, EDWARD JR. STATE OF ILLINOIS - DOT @ 03/02/14 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 99 15WC 02466 TOMES, WILLIAM PRESENCE COVENANT MEDICAL 06/05/14 SPIROS LAW PC INMAN & FITZGIBBONS 100 15WC 02908 DAVIS, DIANA R R DONNELLY & SONS INC 04/30/14 SMITH LAW LTD HENNESSY & ROACH 101 15WC 04221 MISSEY, AMANDA UNIVERSITY OF ILLINOIS @ 12/18/13 MEYER CAPEL, PC GANAN & SHAPIRO 102 15WC 04283 FAY, CARLA LYN ST OF IL DEPT OF @ 11/14/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 103 15WC 05072 MERRILL, DEBORAH SILGAN CONTAINERS 01/14/15 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 104 15WC 05872 STEINER, DAVE UNIV OF ILLINOIS 01/09/15 LEE, MARK N LAW OFFICE BRUCE WARREN 105 15WC 07535 SCHONCHECK, PAMELA VICTOR DANA CORP 02/04/15 RIDGE & DOWNES KEEFE CAMPBELL & ASSOC LLC 16WC014850 -C 17WC000550 -C 106 15WC 07694 HOSKINS, JEANINA KIK 02/17/15 GARY JOE STOKES POWER & CRONIN LTD 107 15WC 08256 JOSEPH, BETH LINCOLN'S CHALLENGE ACADE @ 03/06/14 DODD & MAATUKA LLC ASSISTANT ATTORNEY GENERAL 108 15WC 08762 GUDGEL, CONNIE CASEY'S RETAIL CO 01/30/14 ERWIN MARTINKUS & COLE HEYL ROYSTER VOELKER & ALLEN 109 15WC 09882 KILLION, JOHN CAMPUS PROPERTY MANAGEMEN 02/25/15 SPIROS LAW PC HENNESSY & ROACH PC 110 15WC 10110 REED, SERLENA LYNN UNIVERSAL HEALTH SRVCS, I 04/10/14 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 111 15WC 10996 LOPEZ, ISABEL SMX 11/25/14 FREDERICK & HAGLE RODDY LAW LTD

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 15WC 14479 RAYBECK, SUNJU BOARD OF TRUSTEES, @ 12/02/13 TUMMELSON BRYAN & KNOX HEYL ROYSTER VOELKER & ALLEN 113 15WC 15299 SMITH, DEBBIE DANA SEALING MFG 03/01/15 MOSS & MOSS PC EVANS & DIXON, LLC 15WC015300 -C 17WC021327 -C 114 15WC 16751 WYATT, DOUG LITANA SPORTS GROUP 04/22/15 WOODRUFF & JOHNSON 115 15WC 17084 DODD, RANDY UNIVERSITY OF ILLINOIS 12/01/14 LEE, MARK N LAW OFFICE BRUCE WARREN 116 15WC 17248 SCHRUM, DONNA SIMONTON WINDOWS, INC. 01/03/15 SPIROS LAW PC KEEFE CAMPBELL & ASSOC LLC 15WC017249 -C PLY GEM 117 15WC 17442 DODD, RANDY UNIVERSITY OF ILLINOIS 01/15/15 LEE, MARK N LAW OFFICE BRUCE WARREN 118 15WC 17824 CLARK-JACKSON, PAMELA CHAMPAIGN SCHOOL DISTRICT 01/09/15 BRUCE WARREN 119 15WC 18301 UDEN, CORY M. CORE CONSTRUCTION 05/20/15 GREGORY L. RYAN LAW OFFICE KNELL LAW LLC 120 15WC 18486 CRAFT, CANDICE RESOURCE EMPOLYMENT SOLUT 05/07/15 BURNETT & CARON, LTD 121 15WC 18791 DELEON, ROSALINDA PIX NORTH AMERICA 05/18/15 KAPELLA & PARKER MANION JANOV & DEVENS LTD 122 15WC 20866 PETERSON, RUSSELL A. IL DEPT OF TRANSPORTATION @ 06/02/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 123 15WC 22025 VAN LEER, GREGORY VISCOFAN USA INC 12/16/12 GARY JOE STOKES LAW OFFICE PAUL LARIMORE 124 15WC 23848 FLORES-SOLIS, VICTOR M DWIGHT & ALICE MILLER 01/10/14 GOLDBERG WEISMAN & CAIRO L 16WC013928 -C 125 15WC 24459 JACKSON, MATT AMEREN 03/27/15 MUELHAUSEN & STEFANI LEMP & MURPHY 16WC006775 -C 126 15WC 25282 DE LEON, ROSALINDA MIDWEST OPERATION & 05/18/15 KAPELLA & PARKER MANION JANOV & DEVENS LTD 127 15WC 25541 BUTLER, DAVID CITY OF CHAMPAIGN 08/25/14 MEYER CAPEL, PC CITY OF CHAMPAIGN 128 15WC 27639 PEREZ, VENANCIO L DANVILLE METAL STAMPING 08/01/14 KANOSKI BRESNEY

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 129 15WC 27884 OLMSTEAD, KEVIN CITY OF CHAMPAIGN 08/07/10 SPIROS LAW PC CITY OF CHAMPAIGN 130 15WC 28638 IRIZARRY, ZORAIDA EASTERN ILLINOIS UNIVERSI @ 08/04/14 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 131 15WC 28814 HOUSTON, JOHN M. JELD-WEN 05/30/15 KANOSKI BRESNEY BRADY CONNOLLY & MASUDA PC 17WC007651 -C 132 15WC 29034 STEVENS, CANDY SIMONTON WINDOWS 08/20/15 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 133 15WC 29835 19B VENEGAS, LEONEL COMCAST 08/19/15 ARGIONIS & ASSOCIATES LLC SPIEGEL & CAHILL, PC 134 15WC 30311 HOLLIDAY, CHANDRA MONICAL PIZZA CORPORATION 10/31/14 SPIROS LAW PC 135 15WC 30479 TO, LIEM UNIVERSITY OF ILLINOIS 07/21/15 SPIROS LAW PC 136 15WC 30740 CARSON, JODY CRAMER SIDING AND WINDOWS 07/06/15 KAPELLA & PARKER GANAN & SHAPIRO 137 15WC 31473 CARPENTER, JOE JP EXCAVATING AND TRUCKIN 08/24/15 KAPELLA & PARKER 138 15WC 32772 PINKNEY, ARNOLD UNIVERSITY OF ILLINOIS @ 05/20/15 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 139 15WC 33427 SEHWEIL-ELMUTI, NIDA EASTERN ILLINOIS UNIVERSI @ 09/03/14 BRANKEY & SMITH PC ASSISTANT ATTORNEY GENERAL 140 15WC 33463 MERRIWEATHER, TERRY BUNGE 12/17/14 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 141 15WC 33716 ABBOTT, WILLIAM C JUSTIN HENRY INDIVIDUALLY @ 08/18/14 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 142 15WC 33752 BIRGE, DEBRA FIRST CHRISTIAN 01/01/15 SPIROS LAW PC CRAIG & CRAIG 15WC034419 -C 143 15WC 34556 SEHWEIL-ELMUTI, NIDA EASTERN ILLINOIS UNIVERSI @ 09/03/14 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 144 15WC 35006 MERRIWEATHER, TERRY BUNGE 08/04/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 145 15WC 35026 FLAISHANS, SUZETTE ST OF IL DEPT OF @ 08/17/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 146 15WC 35072 DEVRIES, STACEY COUNTRY INN & SUITES 11/02/12 DODSON PIRAINO & ASSOC

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 147 15WC 35098 ALTHOFF, LOIS L CATEPILLAR INC 06/08/15 KANOSKI BRESNEY DARCY GIBSON 148 15WC 35217 GREEN, SCOTT FEUTZ CONSTRUCTION 09/19/14 TUGGLE SCHIRO & LICHTENBER KNELL LAW LLC 149 15WC 35811 TRIGG, VIRGINIA EASTERN ILLINOIS UNIVERSI @ 08/20/15 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 150 15WC 36276 DORRIS, JOSEPH R EXPRESS SERVICE, INC. 09/11/15 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 151 15WC 36568 HANCOCK, CHARLES THYSSEN KRUPP 05/25/15 TUGGLE SCHIRO & LICHTENBER 152 15WC 38276 STUMPF, JOSEPH WYOMING CARTAGE COMPANY 08/30/15 LAW OFFICE OF CHRIS DOSCOT 153 15WC 38803 GORDON, DOUG JUST RITE MANUFACTURING C 06/17/15 BRADY, CONNOLLY & MASUDA, PC 154 15WC 38828 JORDAN, JACOB HA ENTERPRISING VENTURES @ 08/12/15 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 155 15WC 41385 COOPER, KARLA STATE OF ILLINOIS - DHS @ 11/17/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 156 15WC 42025 JONES, MATTHEW GOLD STANDARD TRANSPORTAT 11/17/15 VRDOLYAK LAW GROUP LLC JAMES M KELLY 157 15WC 42142 HUFFORD, CAMMY CASEY'S 09/17/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 158 15WC 42224 BLACK, ROBERT SR. FIRST STUDENT 01/06/15 TAPELLA & EBERSPACHER LLC 159 15WC 42258 CARLEN, JUSTIN EMPLOYER SOLUTIONS STAFFI 09/16/15 SMITH LAW LTD HENNESSY & ROACH 160 15WC 42320 19B HARDYMAN, STEPHEN A MASTERBRAND CABINETS INC 09/08/15 BURNETT & CARON, LTD DUGAN & VOLAND 161 15WC 42446 PIRTLE, MICHAEL WIRCO 10/20/15 HEYL ROYSTER VOELKER & ALLEN 162 16WC 00573 SMITH, BRYAN UNIVERSITY OF ILLINOIS 12/21/15 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 163 16WC 00903 SHANNON, REBECCA NEW WAVE COMMUNICATION 11/30/15 MARSZALEK AND MARSZALEK STEPHEN H LARSON LAW OFFICE 16WC037207 -C 16WC037209 -C 17WC009771 -C

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 16WC 00961 RANEY, CARMEN CARLE FOUNDATION HOSPITAL 01/04/15 WILLIAMS & SWEE BRUCE WARREN 165 16WC 02086 ALI, BILAL WALMART 11/18/15 MCCARTHY ROWDEN & BAKER GANAN & SHAPIRO 166 16WC 02221 DISPENNETT, MICHAEL K. VEOLIA NORTH AMERICA 11/09/15 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 167 16WC 02238 WATSON, CARRIE RANTOUL CITY SCHOOLS 09/24/15 TUGGLE SCHIRO & LICHTENBER RIPES NELSON BAGGOT KALOBRAT 168 16WC 02808 FAULKNER, MATT UNIVERSITY OF ILLINOIS 08/01/15 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 169 16WC 03468 OWEN, MARY SIMONTON WINDOWS 03/25/15 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 16WC003470 -C 170 16WC 04001 CAMPBELL, CURTIS STATE OF ILLINOIS (IDNR) @ 04/18/06 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 16WC004003 -C 16WC004221 -C 171 16WC 04435 WEAVER, MARK A EASTERN IL UNIVRSITY @ 08/28/15 FERGUSON, MARK E LTD ASSISTANT ATTORNEY GENERAL 172 16WC 04588 FOLKERTE, CATHERINE DANVILLE CORRECTIONAL CEN @ 11/25/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 16WC015409 -C ST OF IL DEPT OF DANVILLE 173 16WC 05068 RICHTER, KATHRYN DANVILLE METAL STAMPING 01/13/16 LEONARD LAW GROUP LLC BRUCE WARREN 174 16WC 05689 SMITH, TAMY JELD-WEN WINDOWS AND DOOR 05/12/15 BURNETT & CARON, LTD BRADY, CONNOLLY & MASUDA, PC 175 16WC 07249 LODEN, KATHY CHAMPAIGN UNIT 4 COMMUNIT 01/09/14 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 16WC007250 -C 176 16WC 08222 VIRE, CHARLES W VEE-JAY CEMENT CONTRACTIN 06/12/14 GARY JOE STOKES LEMP & MURPHY 177 16WC 09028 BEAL, BRIAN YARGUS MANUFACTURING, INC 02/05/16 MCCARTHY ROWDEN & BAKER HEYL ROYSTER VOELKER & ALLEN 17WC015181 -C 178 16WC 09626 WISNASKY, DONALD URBANA PARK DISTRICT 12/18/15 SPIROS LAW PC 179 16WC 10828 MATHEWS, SCOTT B C-U MASS TRANSIT 04/23/13

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 180 16WC 11284 DICKERSON, BARBARA MARATHON PETROLEUM # 07/05/14 HOLLORAN & SCHWARTZ NYHAN BAMBRICK KINZIE & LOWR 181 16WC 11414 BOLEY, RICKY TRIPLE R DEVELOPMENT 02/19/15 DENNIS HESSER THOMAS & ASSOCIATES 182 16WC 11601 MENDOZA, LUIS SR MASTERBRAND CABINETS 02/04/16 SPIROS LAW PC DUGAN & VOLAND 183 16WC 12386 SMITH, CYNTHIA A UNIVERSITY OF ILLINOIS @ 09/09/14 STEPHEN P. KELLY GANAN & SHAPIRO 184 16WC 14269 HUTSON, MARTHA AUTOZONE 04/29/16 TUGGLE SCHIRO & LICHTENBER QUINN JOHNSTON HENDERSON ETA 185 16WC 14300 WILSON, MICHELLE HEALTHCARE SERVICE CORPOR 06/04/13 GARY JOE STOKES 186 16WC 14775 MARANA, WILLIAM CITY OF DANVILLE 12/20/13 BURNETT & CARON, LTD NYHAN BAMBRICK KINZIE & LOWR 16WC014776 -C 187 16WC 16533 DODGE, MICHAEL BUNGE NORTH AMERICA 07/22/15 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 16WC016534 -C 188 16WC 17116 MITCHELL, VICTOR MIDWEST TRANSPORT, INC 04/28/16 NELSON & NELSON HENNESSY & ROACH PC 189 16WC 17800 SPENCER, BARBARA ILLINOIS DEPT OF CORRECTI @ 03/04/16 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 190 16WC 17855 MCANDREW, KEVIN H. CITY OF CHAMPAIGN 12/04/15 MANASSA, STASSEN CITY OF CHAMPAIGN 191 16WC 18856 COMER, MALCOLM KRAFT FOODS 04/25/16 LANGACKER LAW BRUCE WARREN 192 16WC 19626 SHORT, WHITNEY UNIQUE PERSONNEL CONSULTA 01/08/16 ASHER & SMITH HENNESSY & ROACH 193 16WC 19938 GLADNEY, TOBIAS RAMCLEAN, LLC 04/11/16 DODSON PIRAINO & ASSOC 194 16WC 20123 MAYS, JACK WIRTZ BEVERAGE GROUP 12/23/15 NELSON & NELSON NYHAN BAMBRICK KINZIE & LOWR 195 16WC 21263 STRUBBE, AMY COUNTRY HEALTH CARE & REH 11/21/15 MARSZALEK AND MARSZALEK ROSARIO CIBELLA 196 16WC 21345 ALLEN, RYAN SECURITAS USA 06/20/16 TUGGLE SCHIRO & LICHTENBER STONE & JOHNSON CHARTERED 197 16WC 21957 GUTIERREZ MIRANDA, GABRIE VALCOM ENTERPRISES INC 05/06/16 DODD & MAATUKA LLC LITCHFIELD CAVO

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 198 16WC 22201 FUENTES, ANTHONY THYSSENKRUP 09/08/15 FOHRMAN, DONALD W & ASSOCS 199 16WC 22253 SIMS, CARMEN STARK EXCAVATING 07/01/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 200 16WC 22358 WINFEY, LYASIA T CARLE FOUNDATION HOSPITAL 04/18/16 FREDERICK & HAGLE BRUCE WARREN 201 16WC 22883 MCCOOL, WILLIAM SYGMA NETWORKS 02/09/15 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 202 16WC 22966 RICH, HALEY CENTRAL IL CARE SERVICES 12/19/15 STRONG LAW OFFICE ROSARIO CIBELLA 203 16WC 23203 LEWIS, JOHN FE MORAN FIRE PROTECTION 09/04/13 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 204 16WC 23362 NOURIE, JOSEPH HYSTER-YALE GROUP, INC 06/24/16 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 205 16WC 23846 CLODI JR, LARRY VISTA OUTDOORS 12/14/15 SPIROS LAW PC GRANT & FANNING 206 16WC 24061 HUNTER, LEE A. JOSEPH AND LOUISE TITUS, 03/05/15 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 207 16WC 24490 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 02/27/15 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 208 16WC 24972 CLARK, KELLY MASTERBRAND 03/08/16 BURNETT & CARON, LTD DUGAN & VOLAND 209 16WC 25118 MARLATT, LELAND DEDICATED MANAGEMENT GROU 05/19/16 TUGGLE SCHIRO & LICHTENBER KEEFE CAMPBELL & ASSOC LLC 210 16WC 25305 CROUCH, REBECCA CARLE FOUNDATION HOSPITAL 03/07/16 STRONG LAW OFFICE BRUCE WARREN 211 16WC 26810 LYNCH, JOHN M MARATHON OIL REFINERY 01/22/16 KATZ FRIEDMAN EAGLE ET AL 212 16WC 26968 GARCIA-BARRAGAN, LUCIO CARLE FOUNDATION HOSPITAL 05/09/16 WOODRUFF & JOHNSON 213 16WC 27345 BURDEN, STEPHEN CITY OF CHAMPAIGN FIRE DE 04/12/13 CONNOR LAW OFFICES 214 16WC 27552 BRUNLEVE, BRUCE UNIVERSITY OF ILLINOIS 06/28/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 215 16WC 28040 ELLINGTON, CHRISTOPHER LYNCH LIVESTOCK 07/17/15 RODDY LAW LTD

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 216 16WC 28209 GRANT, DANIEL EASTERN ILLINOIS UNIVERSI @ 08/11/16 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 217 16WC 28669 WRIGHT, GARY THOMAS PRAIRIE INTERNATIONAL 05/19/16 218 16WC 28963 VELAZQUEZ, ELSA RESCARE AKA COMMUNITY ALT 08/21/16 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 219 16WC 29076 SIMPSON, MELINDA FEUTZ CONSTRUCTION 07/15/16 TUGGLE SCHIRO & LICHTENBER KNELL LAW LLC 220 16WC 30247 YOUNG, THERESA KIK CUSTOM PRODUCTS/KCP 10/02/13 LAW OFFICES OF DANIEL BROW 221 16WC 30610 SKAGGS, DANIELLE DOLLAR GENERAL 10/01/16 DWORKIN AND MACIARIELLO 222 16WC 30640 KNIGHT, TROY DEXTER CLAYTON CONSTRUCTI 06/17/16 TUGGLE SCHIRO & LICHTENBER WIEDNER & MCAULIFFE LTD 223 16WC 31021 MARCH-DAVIS, FAYE DANVILLE CARE CENTER 06/07/16 TUGGLE SCHIRO & LICHTENBER 224 16WC 31931 RAMSEY, JASON SAVE-A-LOT 08/10/16 MCCARTHY ROWDEN & BAKER GANAN & SHAPIRO 225 16WC 32299 COUSETT, VERONICA CHAMPAIGN UNIT 4 TRANSP D 08/19/16 MCCARTHY ROWDEN & BAKER 226 16WC 32408 ASHMORE, JEFFREY K EASTERN ILLINOIS UNIVERSI @ 04/19/16 KEVIN L GEISLER ASSISTANT ATTORNEY GENERAL 227 16WC 32587 WEIR, DARREN ILLINOIS POWER GENERATING 08/19/16 STRONG LAW OFFICE KEEFE & DEPAULI 228 16WC 32821 NELSON, BRENDA ILLINOIS SECRETARY OF STA @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 229 16WC 33183 PHILLIPS, JOYCE CHAMPAIGN UNIT 4 SD 08/15/16 FREDERICK & HAGLE BRUCE WARREN 230 16WC 33521 TWYMAN, NICKIE HARRIS BARRIER CORP 10/17/16 RIDGE & DOWNES COZZI & GOGGIN-WARD 231 16WC 33576 PIERSON, CHRISTOPHER SIMONTON WINDOWS & DOORS 08/01/15 KEEFE CAMPBELL & ASSOC LLC 232 16WC 33891 BRYANT, JOSHUA MANITO TRANSIT 10/22/16 SPIROS LAW PC RUSIN & MACIOROWSKI LTD 233 16WC 34231 HERNANDEZ, MELCHOR MJE CONSTRUCTION CO 09/13/16 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 234 16WC 34608 LUCAS, DYANNA L S C COMMUNICATIONS 10/16/16 KEEFE & GRIFFITHS PC 235 16WC 35029 MCGHEE, MARY PRESENCE COVENANT MEDICAL 05/31/16 FREDERICK & HAGLE 236 16WC 35279 PERRY, JEFF CORE CONSTRUCTION 12/19/14 WILLIAMS & SWEE KNELL LAW LLC 237 16WC 35383 BURLEY, MICHAEL NEAL TIRE 04/18/14 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEVEN PILAND 238 16WC 36051 PFEIFFER, LISA KIRLIN'S INC D/B/A 01/09/15 ROUSE & CARY 239 16WC 36770 NOURIE, JOSEPH HYSTER-YALE GROUP, INC 10/25/16 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 240 16WC 36923 PITTENGER, DEBORAH K MENS WAREHOUSE 10/26/16 HAXEL LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 241 16WC 36954 JULIAN, JAMES JACK FLASH 08/27/16 MCCARTHY ROWDEN & BAKER GANAN & SHAPIRO 242 16WC 37865 WIRTH, HANNAH (ADMIN OF E BAHLER TRUCKING 09/08/16 MEYERS & FLOWERS JAMES M KELLY 243 16WC 38284 WEINSTEIN, ALAN UNIVERSITY OF ILLINOIS 09/16/16 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 244 16WC 38749 RILEA, MONICA CHAMPAIGN-URBANA NURSING 11/29/16 LAW OFFICES MICHAEL HELLMA BRADY, CONNOLLY & MASUDA, PC 17WC007931 -C 245 16WC 39142 WALTON, KELLY CITY OF CHAMPAIGN 09/23/16 LAW OFFICE OF CHRIS DOSCOT CITY OF CHAMPAIGN 246 16WC 39323 FUESTING, MICHAEL MICHAEL L FUESTING, DMD, 09/07/16 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR 247 16WC 39332 FURNISH, GEORGE ST OF IL DEPT OF @ 12/20/16 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 248 17WC 00691 CARDOZA, JEANIE DANVILLE SCHOOL 12/15/16 WOODRUFF & JOHNSON BRUCE WARREN 249 17WC 01469 MCCOOL, JOHN SYGMA, IL 07/01/16 HENNESSY & ROACH 250 17WC 01548 MILLER, ZACHARY A STATE OF ILLINOIS/ILLINOI @ 12/14/16 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 251 17WC 01694 CAMPBELL, RAYMOND ADVANCE AUTO PARTS 02/10/16 GARY JOE STOKES 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 HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 252 17WC 01972 LEARY, PATRICK T WORDEN-MARTIN 04/07/16 SCHUM LAW PC BRYCE DOWNEY & LENKOV LLC 253 17WC 02767 LINGLE, TERRY DIXIE CREAM DELI, INC. 10/16/16 MICHAEL MILES NYHAN BAMBRICK KINZIE & LOWR 254 17WC 02938 DAVIS, TROY J&V PROST PORK, INC 01/17/17 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 255 17WC 03159 HENRY, SUSAN C HYDRO-GEAR 04/28/16 KANOSKI BRESNEY BRUCE WARREN 256 17WC 03949 CLARK, PHILIP UNIVERSITY OF ILLINOIS @ 01/26/16 DODSON PIRAINO & ASSOC HEYL ROYSTER VOELKER & ALLEN 257 17WC 04191 JAMES, DEANNA WEXFORD HEALTH SOURCES, I 05/30/16 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 258 17WC 04818 KIRKSEY, MICHELE MONARCH MANUFACTURING INC 08/30/16 WOODRUFF & JOHNSON CRAIG & CRAIG 259 17WC 04832 HEFFERN, MARK KIK CUSTOM PRODUCTS 10/04/16 TUGGLE SCHIRO & LICHTENBER POWER & CRONIN LTD 260 17WC 05062 HERNANDEZ, TRINIDAD EXPRESS EMPLYMNT PROFESSI 11/22/16 MC ANDREWS & NORGLE LLC 261 17WC 05587 RODEFFER, KERRY G CHAMPAIGN UNIT 4 SCHOOL D 09/27/16 KANOSKI BRESNEY BRUCE WARREN 262 17WC 05696 FLORIDA, ERNEST LSC COMMUNICATIONS 01/15/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH 263 17WC 05740 TURNER, SARA M MOULTRIE COUNTY BEACON 01/24/17 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH 264 17WC 06226 MELVIN, CASSANDRA L THOMASBORO CCSD 02/17/16 KANOSKI BRESNEY HENNESSY & ROACH 265 17WC 06372 QUALLS, DAVID A CITY OF CHAMPAIGN 10/05/15 BACH, ROBERT W 266 17WC 06654 FRIEDRICH, LESLIE R SILVERTHORNE AUTO GROUP 10/06/16 JAMES RUPPERT BRYCE DOWNEY & LENKOV LLC 267 17WC 06824 SMITH, CORY FEDEX GROUND 03/01/17 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 268 17WC 07274 LEE MARSH, HEIDI HAWTHORNE INN 02/09/17 COLLISON LAW OFFICES LAW OFFICES STEVEN PILAND 269 17WC 07898 WASHBURN, DOUG ALLIANCE TRACTOR, LLC 12/28/16 SMITH LAW LTD CAPUANI, FRANK S

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 17WC 07957 HORNBECK, NICHOLAS COLMAC COIL MIDWEST, INC 02/20/17 LEE, MARK N LAW OFFICE HARRIS DOWELL FISHER & HARRI 271 17WC 08119 BICKERS, KARA HERITAGE HEALTH 03/30/16 MUELHAUSEN & STEFANI RIPES NELSON BAGGOT KALOBRAT 272 17WC 08307 JAMES, DEANNA WEXFORD HEALTH SOURCES, I 02/12/17 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 273 17WC 08475 NESBITT, KELBY T DYNA CHEM INC 11/15/16 GARY JOE STOKES ORENSTEIN & ASSOCIATES 274 17WC 08617 SNIDER, JAMES L KEELY CONSTRUCTION 10/14/15 TUGGLE SCHIRO & LICHTENBER EVANS & DIXON, LLC 275 17WC 08700 NORD, DOUGLAS KIK CUSTOM PRODUCTS 03/02/17 BECKER SCHROADER & CHAPMAN POWER & CRONIN LTD 276 17WC 09568 ROWELL, DENNIS NEWWAVE COMMUNICATION 05/13/16 KANOSKI BRESNEY STEPHEN H LARSON LAW OFFICE 277 17WC 09619 JOPLIN, JOHN C JR. TRANSPORT SERVICE, LLC 01/20/17 LAKE LAW FIRM 278 17WC 09845 CROWDER, WENDY THYSSENKRUPP 07/01/16 FOHRMAN, DONALD W & ASSOCS 279 17WC 10227 MCINERNEY, MICHAEL J UNIVERSITY OF ILLINOIS 05/16/16 KANOSKI BRESNEY GANAN & SHAPIRO 280 17WC 10332 EATON, CAROLYN VILLA GROVE SD #302 09/20/16 SMITH LAW LTD WIEDNER & MCAULIFFE LTD 281 17WC 10413 HOLLAND, CORA FED EX GROUND 02/01/17 SCHUM LAW PC 282 17WC 10596 HENDERSON, WILLIAM FIRST PRESBYTERIAN CHURCH 09/26/16 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 283 17WC 10855 SMITLEY, DUANE ALPHA BAKING 05/16/16 GARY JOE STOKES 284 17WC 10869 MCCARTY, TRACEY SAVE-A-LOT #23943 02/22/15 MOSS & MOSS PC GANAN & SHAPIRO 285 17WC 11004 KUHL, LIGIA RR DONNELLEY 12/17/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH 286 17WC 11146 GRAVES, ROBERT CLIFFORD JACOBS FORGING 02/28/17 LAW OFFICE OF PAUL E SELIN MACIOROWSKI SACKMANN & ULRIC 287 17WC 11490 COLEMAN, JAMES UNIVERSITY OF ILLINOIS 10/27/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 288 17WC 11624 DARNELL, CHASITY (WIDOW) BUNGE # 03/23/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 289 17WC 11697 AGUERO, ALEJENDRA UNIVERSITY OF ILLINOIS 02/19/14 LANGACKER LAW 290 17WC 11823 DELGADO, DAVID J HORN ELECTRIC, LLC 03/02/17 WILLIAMS & SWEE QUINN JOHNSTON HENDERSON ETA 291 17WC 12426 MCKINNEY III, DAVID UNIVERSITY OF ILLINOIS @ 10/26/16 MEYER CAPEL, PC 292 17WC 12779 LUSTEK, DAVID CONAIR CORPORATION 12/12/16 SCHUM LAW PC COZZI & GOGGIN-WARD 293 17WC 13009 HOOD, SETH FEDEX GROUND 09/26/16 294 17WC 13443 HART, LARRY W SPORT REDI MIX, LLC 04/24/17 PETER T BORICH COZZI & GOGGIN-WARD 295 17WC 13583 VAUGHN, BILLY UNIVERSITY OF ILLINOIS 04/11/17 SCHUM LAW PC HEYL ROYSTER VOELKER & ALLEN 14WC014999 -C 296 17WC 14053 GREEN, SHAUNTA HYDRO GEAR SULLIVAN 01/13/17 DWORKIN AND MACIARIELLO BRUCE WARREN 297 17WC 14372 VOGT, ERIC UNIVERSITY OF ILLINOIS 04/30/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 298 17WC 14552 ZIKE, KOREY EASTERN ILLINOIS UNIV @ 03/29/17 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 299 17WC 15041 HULBERT, BARBARA CHAMPAIGN UNIT #4 SCHOOL 03/30/17 FREDERICK & HAGLE BRUCE WARREN 300 17WC 15190 ELDER, LOWELL E EARL WALKER COMPANY INC 07/21/16 KANOSKI BRESNEY BRYCE DOWNEY & LENKOV LLC 301 17WC 15312 MASON, ROBERT SODEXO, INC & AFFIL CO, E 04/03/17 SEIDMAN MARGULIS & FAIRMAN INMAN & FITZGIBBONS 302 17WC 15438 MCCASLIN, CORY NORTHERN CONTRACTING, INC 12/21/16 KINNALLY FLAHERTY KRENTZ & 303 17WC 16391 MILLER, JASON LORRICO INC 04/12/17 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 304 17WC 16644 BURKEY, CHAZ CARLE FOUNDATION HOSPITAL 02/13/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 305 17WC 16824 DELAHR, MATTHEW ROCKWELL AUTOMATION 04/13/17 WOODRUFF & JOHNSON INMAN & FITZGIBBONS

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 306 17WC 17271 ELDER, SHANE W REPUBLIC SERVICES 08/12/16 HASSAKIS & HASSAKIS PC 307 17WC 17390 BELAHI, YURICIE CAMPUS PROPERTY MANAGEMEN 02/16/17 CULLEN HASKINS NICHOLSON 308 17WC 17495 DERIXON, JEFFREY, A OKAW TRUSS INC 03/11/17 HELLER HOLMES & ASSOC GANAN & SHAPIRO 309 17WC 17561 GALYEN, JAYNE GARDENVIEW MANOR 04/08/17 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 310 17WC 17605 LEHIGH, SHONNA PRAIRIE VILLAGE SUPPORTIV 03/10/17 SPIROS LAW PC HENNESSY & ROACH 311 17WC 17829 HOPKINS, AURA THE ARTHUR HOME 02/26/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 312 17WC 17870 MARTIN, GUY HOLLAND TRUCKING 05/15/17 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 17WC018743 -C 313 17WC 17946 GOLDI, RUSTI BIOTECH X-RAY, INC 05/24/17 SPIROS LAW PC 314 17WC 18015 WATKINS, WESLEY JR MERVIS INDUSTRIES 01/25/16 TUGGLE SCHIRO & LICHTENBER BRYCE DOWNEY & LENKOV LLC 315 17WC 18307 VANDERPORT, DAVID CITY OF MATTOON POLICE DE 06/22/16 EAMES LAW GROUP LTD RUSIN & MACIOROWSKI LTD 316 17WC 18495 KAUFFMAN, HOLLY N THE LIBMAN COMPANY 09/07/16 FREDERICK & HAGLE 317 17WC 18632 WHITTINGTON, PAMELA SCHNUCK'S MARKETS, INC 02/28/17 SPIROS LAW PC LEMP & MURPHY 318 17WC 18727 SCHUMACHER, DENA THE VINEYARD CHURCH 02/06/17 GOLDFINE & BOWLES ROSARIO CIBELLA 319 17WC 18867 HOWARD, VLONDINA K CASEY'S GENERAL STORES IN 05/31/16 KANOSKI BRESNEY 320 17WC 19023 CHUMBLEY, DANIEL MASTERBRAND CABINETS, INC 05/02/17 REISMAN LAW OFFICE DUGAN & VOLAND 321 17WC 19292 CURRY, KRISTAFER UNIVERSITY OF ILLINOIS 02/13/17 LEE, MARK N LAW OFFICE 322 17WC 19332 PEASLEE, MARHSALL VISCOFAN USA,INC 04/03/17 GARY JOE STOKES 323 17WC 19769 DOWNES, NAKITA COURIER CAFE INC 06/07/16 ERWIN MARTINKUS & COLE LAW OFFICE PATRICK JENNETTEN

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 324 17WC 19812 WAHAB, SHINA FEDEX GROUND 02/02/17 SCOPELITIS GARVIN LIGHT 325 17WC 20414 SCHRAD, BRETT STATE OF IL DEPT- AGRICUL @ 03/09/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 326 17WC 20425 BATES, JO ANN CHAMPAIGN COUNTY NURSING 12/02/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 327 17WC 20460 COTTRELL, WILLIAM ILLINOIS DEPT OF @ 04/14/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 328 17WC 20544 LEE, JAMES M MYERS TRANSPORTATION SERV 12/22/16 HASSAKIS & HASSAKIS PC 329 17WC 21173 LAWRENCE, ROGER CRETE CARRIER CORPORATION 01/13/16 BOWMAN & CORDAY RUSIN & MACIOROWSKI LTD 330 17WC 21248 MALONE, BILLIE R.R.DONNELLEY 09/08/16 KATZ FRIEDMAN EAGLE ET AL 331 17WC 21301 BODINE, MICHAEL INNOVATIVE STAFF SOLUTION 06/23/17 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 332 17WC 21419 DIVAN, PENNY CRACKED CORP 06/09/17 STRONG LAW OFFICE 333 17WC 21702 GRANGER, CHUCK ENVIRONMENTAL ASSURANCE, 06/22/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 334 17WC 22268 CUTTILL, HEATHER CONAIR CORP 06/17/16 MUELHAUSEN & STEFANI COZZI & GOGGIN-WARD 335 17WC 22366 VONNER, MONICA CHAMPAIGN-URBANA MTD 07/09/16 FREDERICK & HAGLE BRUCE WARREN 336 17WC 22562 FIGGINS, WAYNE L MASTERBRAND CABINETS, INC 09/29/16 HELLER HOLMES & ASSOC DUGAN & VOLAND 337 17WC 22819 RODRIGUEZ, MICHAEL OTTO BAUM COMPANY 05/08/17 SHAY & ASSOCIATES KNELL LAW LLC 338 17WC 23181 MILLER, STEVEN SCOTT STATE OF IL DEPT OF AGING @ 07/27/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 339 17WC 23269 HENDERSON, CRYSTAL K LSC COMMUNICATIONS 05/19/17 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 340 17WC 23847 MONTGOMERY, JEFF KENNEDY TANK & MFG 05/31/17 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 341 17WC 23998 MANNING, RHONDA GENERAL ELECTRIC CO 01/15/15 KATZ FRIEDMAN EAGLE ET AL

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 17WC 24049 RUTHERFORD, LORI UNIVERSITY OF ILLINOIS 06/22/17 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 343 17WC 24123 FARREN, CHRISTOPHER FIBERTEQ, LLC 06/07/16 MACIOROWSKI SACKMANN & ULRIC 344 17WC 24189 WINSTON, AIRON MOVERS 4 LESS 06/23/17 MEYER CAPEL, PC 345 17WC 24693 FLANDERS, SANDRA K CHAMPAIGN URBANA NURSING 05/15/17 KANOSKI BRESNEY BRADY CONNOLLY & MASUDA PC 346 17WC 24752 MEYER, ALAN CITY OF CHAMPAIGN FIRE DE 07/26/17 CONNOR LAW OFFICES 347 17WC 25128 WILSON, ERIC UNIVERSITY OF ILLIOIS 05/07/15 LAW OFFICE DAVID HUNT 348 17WC 25439 VERNON, JOSHUA HELENA CHEMICAL CO 07/12/17 ANKIN LAW OFFICE 349 17WC 25560 19B FLYNN, JAMES A MARTIN TRANSPORTATION 07/11/17 WOLTER BEEMAN AND LYNCH PERRY GENTILE 350 17WC 25598 WILSON, DAWN JELD-WEN HOLDINGS INC 08/08/17 WILLIAMS & SWEE BRADY CONNOLLY & MASUDA PC 351 17WC 25881 WIZA, FRANK CLAYCO, INC 06/15/14 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 352 17WC 26211 COOPER, JAMES CROSS OIL & WELL SERVICE 08/11/17 MOSS & MOSS PC KOPKA, PINKUS DOLIN, PC 353 17WC 26443 SALAZAR, ORLANDO MERVIS INDUSTRIES 03/03/15 TUGGLE SCHIRO & LICHTENBER MC ANDREWS & NORGLE LLC 354 17WC 26450 BUNCH, JENNIFER SECRETARY OF STATE OF ILL @ 08/15/17 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 355 17WC 26726 HAMILTON, KIMBERLY BROOKDALE SENIOR LIVING 08/08/17 FREDERICK & HAGLE ROSARIO CIBELLA 18WC010025 -C 356 17WC 26780 CLARK, KELLY MASTERBRAND 07/07/17 BURNETT & CARON, LTD 357 17WC 27378 EAGAN, RONALD BEST BUY 08/15/17 SPIROS LAW PC 358 17WC 27564 ROSS, HENRY CHAMPAIGN UNIT 4 SD 08/29/17 WOODRUFF & JOHNSON 359 17WC 27912 GREEN, KELLY UNIVERSITY OF ILLINOIS 09/26/16 WOODRUFF & JOHNSON

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 17WC 27942 HOSKINS, BETTINA BAHR'S NOODLES 08/10/17 SPIROS LAW PC GANAN & SHAPIRO 361 17WC 27966 BRUCE, WAYNE L ADVANCED COMMERCIAL ROOFI 07/13/17 FREDERICK & HAGLE CHILTON YAMBERT PORTER LLP 362 17WC 28168 RHODES, JOSH GILLESPIE MANAGEMENT, INC 06/06/17 KANOSKI BRESNEY PERRY GENTILE 363 17WC 28233 SIMMONS, JEFF WIRCO 06/06/17 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 364 17WC 28670 LANDRUM, SHAUN REX VAULT & MAUSOLEUM SER 03/29/16 HENNESSY & ROACH 365 17WC 28977 RODRIGUEZ, CAROLINA NEXSTEP COMMERCIAL PRODUC 11/13/15 KARCHMAR & STONE COZZI & GOGGIN-WARD 366 17WC 29361 MAGEE, LORENE CIRCLE K MIDWEST 09/25/17 LAW OFFICE MICHAEL M WOJIT NYHAN BAMBRICK KINZIE & LOWR 367 17WC 29691 FORD, JIMMY L DAVIS MAIL SERVICES 09/18/17 PATEL LAW PC HENNESSY & ROACH 368 17WC 29907 DE LA ROSA, HUGO OKAW PROPERTIES INC 09/12/17 LEE, MARK N LAW OFFICE 369 17WC 30240 CARTER, MAURICE DAWSON LOGISTICS 08/23/17 PATEL LAW PC 370 17WC 30336 RAY, ROI MONAHAN PARTNERS, INC 06/14/17 SPIROS LAW PC PERRY GENTILE 17WC030835 -C 371 17WC 30690 CASTLEBERRY, RHONDA CENTRAL ILLINOIS CARE SER 05/11/16 MUELHAUSEN & STEFANI 372 17WC 30733 CARTER, MAURICE DAWSON LOGISTICS 08/23/17 PATEL LAW PC 373 17WC 30776 HILL, SHARITA KRAFT FOODS 08/29/17 SPIROS LAW PC BRUCE WARREN 374 17WC 30881 DOWNS, SHAUN D UNIVERSITY OF ILLINOIS @ 08/23/17 MARSZALEK AND MARSZALEK 375 17WC 30910 CARLEN, GREGG EVAPCO, INC 06/09/17 TAPELLA & EBERSPACHER LLC LUCY T. UNGER 376 17WC 31447 ROBERTSON, RICHARD ILLINOIS DEPT OF CORRECTI @ 07/31/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 377 17WC 31451 SILVERMAN, ILENE CHAMPAIGN UNIT 4 SCHOOL D 10/23/14 STEIGMANN LAW BRUCE WARREN

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 17WC 31574 WALBLAY, MICHAEL BUNGE 03/11/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 379 17WC 31595 HOWARD, LISA A SAMARITANS MEDICAL CENTER 02/03/16 KANOSKI BRESNEY INMAN & FITZGIBBONS 380 17WC 31755 ADKINS, ROBERT JR. LSC COMMUNICATIONS 11/16/16 DWORKIN AND MACIARIELLO 381 17WC 31796 FENNELL, AMANDA SIMONTON WINDOWS 07/13/17 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 382 17WC 31811 WILSON, JACOB ORTIZ EXPRESS EMPLOYMENT 09/08/17 TUGGLE SCHIRO & LICHTENBER MC ANDREWS & NORGLE LLC 383 17WC 31835 SILVERMAN, ILENE CHAMPAIGN UNIT 4 DISTRICT 10/23/14 STEIGMANN LAW BRUCE WARREN 384 17WC 32068 MCDONALD, REGINA CHAMPAIGN COUNTY NURSING @ 09/06/17 WALTON TELKEN LLC HEYL ROYSTER VOELKER & ALLEN 385 17WC 32360 CHANEY, CHARITY NORDCO EQUIPMENT SVCS 12/02/15 THOMAS R LICHTEN 386 17WC 32398 STEEN, MICHAEL GSI GROUP, INC 04/07/15 MOSS & MOSS PC FEATHERSTUN GAUMER POSTLEWAI 387 17WC 32414 LIDDLE, SABRINA EVAPCO MIDWEST 03/22/17 MOSS & MOSS PC LUCY T. UNGER 388 17WC 32503 GOODWIN, ROBERT LOWE'S COMPANIES, INC 08/23/17 SCHUM LAW PC 389 17WC 32905 WAGGONER, STEPHANIE CARLE FOUNDATION HOSPITAL 11/04/16 GOLDENBERG HELLER ANTOGNOL 390 17WC 33172 MILES, KENDRA L NORTH AMERICAN LIGHTING 08/09/17 ASHER & SMITH STEPHEN CARTER 391 17WC 33190 MILES, KENDRA L NORTH AMERICAN LIGHTING 10/31/17 ASHER & SMITH STEPHEN CARTER 392 17WC 33340 BENNETT, CHRIS MASTERBRAND CABINET 07/25/17 LAW OFFICE MICHAEL M WOJIT DUGAN & VOLAND 393 17WC 33744 ADAMS, PENNY SIMONTON WINDOWS 09/08/17 LAW OFFICE OF PAUL E SELIN KEEFE CAMPBELL & ASSOC LLC 394 17WC 33800 MORIN, CHAD AUTO ZONE 10/22/17 TUGGLE SCHIRO & LICHTENBER 395 17WC 33861 SWITZER, DAVID U OF I 03/07/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 17WC 33993 HOPSON, EBONEY LABOR READY 10/10/17 KANOSKI BRESNEY 397 17WC 34017 COLLEEN, DEBRA L DANVILLE METAL STAMPING 07/31/14 KANOSKI BRESNEY 398 17WC 34020 EDWARDS, ASHLEY ARBY'S 11/05/17 399 17WC 34184 WAGGONER, STEPHANIE CARLE FOUNDATION HOSPITAL 11/04/16 GOLDENBERG HELLER ANTOGNOL BRUCE WARREN 400 17WC 34404 REDDISH, CRYSTAL D BYRD'S DRY CLEANERS 11/13/16 KEVIN L GEISLER NOBLE & ASSOCIATES PC 401 17WC 34527 STOMBAUGH, DEBORAH J ALPHA BAKING CO, INC 09/25/17 PETER T BORICH MACIOROWSKI SACKMANN & ULRIC 402 17WC 35140 LUDWIG, JULIA UNIVERSITY OF ILLINOIS 09/28/17 CORNFIELD & FELDMAN HEYL ROYSTER VOELKER & ALLEN 403 17WC 35166 PERSCHALL, ROBERT MID ILLINOIS COMPANIES 12/15/16 WILLIAMS & SWEE HENNESSY & ROACH 404 17WC 35303 BARRETT, NICHOLAS L IL DEPT OF TRANSPORTATION @ 02/02/17 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 405 17WC 35453 CROWLEY, DARRELL DC'S & SONS PAINTING 12/05/16 FREDERICK & HAGLE 406 17WC 35469 WOODARD, CLAYTON ILLINOIS STATE POLICE @ 11/10/17 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 407 17WC 35674 RODGERS, DAVID SCHICK'S SCHOOL/OFFICE SU 01/04/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH 408 17WC 35931 DURBIN, ALEXIS CHRISTIE CLINIC 11/15/17 FREDERICK & HAGLE LAW OFFICES STEVEN PILAND 409 17WC 36138 KALALA, FIDELIE KASANJI EXPRESS EMPLYMNT PROFESSI 11/03/17 PATEL LAW PC MC ANDREWS & NORGLE LLC 410 17WC 36267 BOASTICK, MYRON II PLASTIPACK PACKAGING, INC 06/02/17 ERWIN MARTINKUS & COLE SMITH AMUNDSEN LLC 411 17WC 36558 FRANCIS, LINDA CUNNINGHAM CHILDREN'S HOM 12/16/16 BRIAN T. SCHURTER 412 17WC 36964 AULT, SAMUEL T SANVILLE METAL STAMPING 04/24/17 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 413 17WC 37028 HOPPER, CARL FLEX-N-GATE 07/18/17 MARSZALEK AND MARSZALEK THOMAS MAMER & HAUGHEY

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 17WC 37046 MALONEY, JONATHAN NIEMANN FOODS, INC. 11/19/17 TUGGLE SCHIRO & LICHTENBER 415 17WC 37085 BIRCH, BRADLEY MORGAN INDUSTRIAL, INC 11/08/17 SPIROS LAW PC 416 17WC 37127 JONES, REGINALD IRON TORCHMEN CUT METALS @ 11/29/17 TUGGLE SCHIRO & LICHTENBER MANUAL CARDENAS & ASSOC 417 17WC 37370 WASHINGTON, CURTIS RANTOUL FOODS 10/23/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 418 17WC 37482 WILCHER, KATINA Y BON TON STORES INC 11/21/17 BECKETT LAW OFFICE 419 17WC 37582 BODDY, MARILYN J MEIJER 10/14/15 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 420 17WC 37866 GONZALEZ, IDALIS EXPRES EMPLOYMENT 10/24/17 WOODRUFF & JOHNSON MC ANDREWS & NORGLE LLC 421 17WC 38080 BRYANT, LINDA COMM COLLEGE DIST 505 11/23/16 ERWIN MARTINKUS & COLE BRUCE WARREN 422 18WC 00272 BRESNAHAN, MAURICE IV FEDEX 12/06/17 WILLIAMS & SWEE 423 18WC 00357 STANDIFER, SHANE CITY OF CHAMPAIGN 10/03/16 RIDGE & DOWNES 424 18WC 00516 YONKER, RAYMOND ROSS WILSON TRUCKING 01/02/17 DWORKIN AND MACIARIELLO 425 18WC 00532 CLARK, SEAN FED EX 10/30/17 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 426 18WC 00564 ANDERSON, STEFANI STARBUCKS COFFEE COMPANY 02/13/17 BRIAN T. SCHURTER 427 18WC 00691 ROBINSON, JEFFREY CARRIAGE CROSSING 05/08/17 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 428 18WC 00903 LILLARD, LAWRENCE RANTOUL FOODS 08/30/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 429 18WC 01051 HAYDEN, JOHN P LSC COMMUNICATIONS US, LL 11/21/17 JAMES ACKERMAN NYHAN BAMBRICK KINZIE & LOWR 430 18WC 01382 TYLER, BRYSON RELIABLE MECHANIC CO 12/14/17 GALLAGHER LAW PC GANAN & SHAPIRO 431 18WC 02021 LILLARD, LAWRENCE RANTOUL FOODS 07/13/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 18WC 02106 GIUFFRE, JOHN CHICAGO TRANSIT AUTHORITY 09/24/17 PARENTE & NOREM PC CHICAGO TRANSIT AUTHORITY 433 18WC 02196 SILOTTO, ROBERT D DART CONTAINER CORPORATIO 08/25/17 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 434 18WC 02355 MILES, KENDRA L NORTH AMERICAN LIGHTING 10/31/17 ASHER & SMITH STEPHEN CARTER 435 18WC 02616 BRANDT, JONATHAN FED EX GROUND 04/13/17 SPIROS LAW PC 436 18WC 03025 RADER, DAVID HI TECH INDUSTRIAL SVCS C 04/28/16 TAXMAN POLLOCK WIEDNER & MCAULIFFE LTD 437 18WC 03259 BASILIOS, FATEN CHESTERBROOK ACADEMY 07/25/17 FREDERICK & HAGLE 438 18WC 03323 SNIDLE, CYNTHIA DRYDEN-KAMIS INS AGENCY W 10/19/17 HELLER HOLMES & ASSOC HEYL ROYSTER VOELKER & ALLEN 439 18WC 03406 MINETZ, JOLEN ANYA UNIVERSITY OF ILLINOIS 01/10/16 COHN LAMBERT RYAN & SCHNEI HEYL ROYSTER VOELKER & ALLEN 440 18WC 03511 ZBAN, RICHARD A CHI OVERHEAD DOOR 10/05/17 KANOSKI BRESNEY 441 18WC 03792 MARKEZICH, JOHN W.W. TRANSPORT 10/12/17 KEITH SHORT HEYL ROYSTER VOELKER & ALLEN 442 18WC 04099 DAVIES, DEAN E JELD-WEN 01/04/18 KANOSKI BRESNEY BRADY CONNOLLY & MASUDA PC 443 18WC 04115 RIVERA, MILTON RANTOUL TOWNSHIP HIGH SCH 11/18/16 PETER T BORICH RUSIN & MACIOROWSKI LTD 444 18WC 04416 FRICHTL, BRENDA PAXTON-BUCKLEY LODA 08/23/17 COLLISON LAW OFFICES 445 18WC 04714 MC COY, MICHAEL SIMS CONTRACTING INC 07/28/16 MICHAEL M WOJITAS WOLF LAW LTD 446 18WC 04730 PICKEL, WENDY G CENTRAL IL VISION CENTER 03/30/17 KANOSKI BRESNEY PAUL LARIMORE 447 18WC 04738 ROSE, ALONZO MIH DBA HARDEE'S 03/06/17 STRONG LAW OFFICE GRANT & FANNING 448 18WC 04813 WISEHART, CHELSEY GEORGETOWN FIRE PROTECTIO 09/24/17 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 449 18WC 05255 FORAN, SARA F/K/A HARRIS, JUSTRITE MANUFACTURING, I 02/23/15 SMITH LAW LTD

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 450 18WC 05405 OLEA, GIOVANNA P ELITE STAFFING 08/17/17 PETER T BORICH 451 18WC 05460 NASH, CARLA THE HERSHEY COMPANY 04/24/15 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 452 18WC 05481 SMYSER, MICHELLE MASTERBRAND 10/05/17 KATZ FRIEDMAN EAGLE ET AL DUGAN & VOLAND 453 18WC 05504 TRIMBLE, VINCENT TOTAL HOME & FARM VIDEO 12/29/17 MEYERS & FLOWERS QUINTAIROS PRIETO WOOD & BOY 454 18WC 05668 STHAYM DRUCILA EVAPCO INC 12/29/17 KEEFE & GRIFFITHS PC 455 18WC 05733 BUTLER, DAVID CITY OF CHAMPAIGN 01/10/17 MEYER CAPEL, PC 456 18WC 05742 BOYD, PAUL E DART CONTAINER CORPORATIO 11/14/17 BRIAN T. SCHURTER GAROFALO SCHREIBER STORM 457 18WC 05770 DOEDEN, JUDY WATCHFIRE SIGNS 07/18/16 TUGGLE SCHIRO & LICHTENBER LUCY T. UNGER 458 18WC 05827 KENDRICK, MECHALE CARLE HOSPITAL 02/16/16 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 459 18WC 06203 GATES, TERRY CITY OF PARIS 03/27/15 MOSS & MOSS PC INMAN & FITZGIBBONS 460 18WC 06292 RAMSEY, JONNIE ZF TRW AUTOMOTIVE 09/11/16 TAPELLA & EBERSPACHER LLC HOLTKAMP LIESE ET AL 461 18WC 06398 GATES, TERRY CITY OF PARIS 03/18/15 MOSS & MOSS PC INMAN & FITZGIBBONS 462 18WC 06443 GATES, TERRY CITY OF PARIS 12/20/16 MOSS & MOSS PC INMAN & FITZGIBBONS 463 18WC 06611 SHAFFER, MARY C CARLE FOUNDATION HOSPITAL 09/12/17 PETER T BORICH 464 18WC 06674 O'TOOLE, JOHN FEDEX GROUND 01/16/18 TUGGLE SCHIRO & LICHTENBER 465 18WC 06785 JONES, BOBBY REPUBLIC SERVICES 11/06/17 TUGGLE SCHIRO & LICHTENBER 466 18WC 06847 LABAUME, WOODROW NEAL TIRE & AUTO SERVICE 03/01/17 KATZ FRIEDMAN EAGLE ET AL 467 18WC 07153 OGLE, CARLA MEIJER 12/11/15 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 468 18WC 07289 THACKER, WILLIAM R KRAFT HEINZ 01/25/18 COSTIGAN & WOLLRAB PC GAROFALO SCHREIBER STORM 469 18WC 07520 RAMBOLE, PENNY GENPACT 12/13/16 TUGGLE SCHIRO & LICHTENBER PAUL LARIMORE 470 18WC 07664 CARLEY, SANDRA K UNIVERSITY OF ILLINOIS @ 01/09/18 PETER T BORICH BRUCE WARREN 471 18WC 07774 ROSE, KEITH VESUVIUS USA 11/01/16 MICHAEL M WOJITAS QUINN JOHNSTON HENDERSON ETA 472 18WC 08023 BERG, TARA STEAK 'N SHAKE 04/18/17 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN 473 18WC 08518 LOUCKS, HEIDI PLEASANT MEADOWS SENIOR 12/08/17 SPIROS LAW PC HENNESSY & ROACH 474 18WC 08749 MYERS, DANA R CHAMPAIGN COUNTY NURSING 02/14/18 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 475 18WC 08862 MORTON, JOHN EASTERN IL UNIVERSITY @ 08/28/17 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 476 18WC 08867 BRANDT, AMY NORTH AMERICAN LIGHTING I 12/22/16 STRONG LAW OFFICE STEPHEN CARTER 477 18WC 08894 HERNANDEZ, MARCO ANTONIO MZR CORPORATION 02/10/18 STANCZAK LAW OFFICES 478 18WC 08955 CREED, RONNIE C SOS PLUMBING, INC 03/23/17 LUCY T. UNGER 479 18WC 09086 SPECKETER, KEVIN A TOSHIBA GLOBAL COMMERCE 03/30/17 HARVEY & STUCKEL RODDY LAW LTD 480 18WC 09584 FULFORD, AMANDA MILK SPECIALTY 01/23/18 ASHER & SMITH LUCY T. UNGER 481 18WC 09601 ROACH, EDGAR RAY FRONTIER COMMUNICATIONS 10/21/16 REISMAN LAW OFFICE PAUL LARIMORE 482 18WC 09769 BALDWIN, NATHAN KICKAPOO FIRE PROTECTION 02/12/18 SPIROS LAW PC 483 18WC 10061 DUDLEY, TERRI ADECCO 03/13/18 SPIROS LAW PC HENNESSY & ROACH 484 18WC 10244 SEGGEBRUCH, COLE MIDWEST UNDERGROUND 08/01/17 TUGGLE SCHIRO & LICHTENBER 485 18WC 10376 DAVIS, MILTON BILLY BAROOZ 01/28/18 SCOTT B SHAPIRO QUINTAIROS PRIETO WOOD & BOY

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 486 18WC 10499 FRUHLING, ROBERT SPORT REDI-MIX 02/26/18 FREDERICK & HAGLE LAWRENCE COZZI - LAW OFFICES 487 18WC 10663 SNOW, MICHAEL EXCEL MODULAR SCAFFOLD & 01/08/18 MOSS & MOSS PC GAROFALO SCHREIBER STORM 488 18WC 11023 WOLSKI, JEFFREY CUBA TOWNSHIP 10/13/17 JOHN E LUSAK BRADY CONNOLLY & MASUDA PC 489 18WC 11062 MOORE, CHRISTOPHER BILLINGSLEY SERVICE CENTE 02/09/17 MCCARTHY ROWDEN & BAKER 490 18WC 11175 WESTERGUARD, SAMANTHA WANDA'S KITCHEN 03/28/18 SPIROS LAW PC 491 18WC 11249 OVEROCKER, JEFFERY ROYCE & BRINKMEYER 03/29/17 HENNESSY & ROACH 492 18WC 11392 LAMM, KENNETH STEAMATIC OF CHAMPAIGN, I 01/18/18 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 493 18WC 11532 HOLDREN, JUSTIN THE WARRANTY GROUP 02/07/18 RIDGE & DOWNES 494 18WC 11721 MCDONALD, JIMMIE T CHAMPAIGN UNIT 4 SCHOOL D 10/28/16 BOSHARDY LAW OFFICE PC 495 18WC 11854 ALVARADO, FERNANDO CHI OVERHEAD DOORS 10/11/17 STRONG LAW OFFICE FRANCESCA LARSEN 496 18WC 11866 BOMAN, JEREMY PAR ELECTRICAL CONTRACTOR * 10/23/15 LAKE LAW FIRM RUSIN & MACIOROWSKI LTD 497 18WC 11971 ZOOK, AARON KRAFT FOODS 11/11/16 REISMAN LAW OFFICE 498 18WC 11975 RUSHING, JASON CITY OF URBANA 03/05/18 PAUL E SELIN 499 18WC 12165 HUDSPATH, MATTHEW PREMIER COOPERATIVE 04/05/18 REISMAN LAW OFFICE CAPUANI, FRANK S 500 18WC 12318 MITCHELL, LINDELL D MARATHON PIPELINE/MORRIS 02/23/18 THOMAS SCHOOLEY BRYCE DOWNEY & LENKOV LLC 501 18WC 12528 FALBE, CHRISTIAN PAUL'S MACHINE & WELDING 11/01/17 SHAY & ASSOCIAT0ES 502 18WC 12568 INGRAM, BRIAN CITY OF URBANA 12/14/17 WOODRUFF & JOHNSON THOMAS MAMER & HAUGHEY 503 18WC 12826 BELL, MILTON UNIFORST CORP 06/28/17 PETER F FERRACUTI & ASSOCI

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 504 18WC 12959 JOHNSON, KEVIN OPEN ROAD PAVING CO, LLC 04/17/18 LEE, MARK N LAW OFFICE PERRY GENTILE 505 18WC 13084 ABU-MAHFOUZ, ASAD KRVJA & SON TRUCKING, INC 04/16/18 FREDERICK & HAGLE 506 18WC 13218 HOCH, LENA COURAGE CONNECTION 12/14/16 WOODRUFF & JOHNSON 507 18WC 13282 GORRELL, CHRISTY COUNTRY HEALTH CARE AND R 04/17/18 SPIROS LAW PC 508 18WC 13463 NASSER, JULIE DANVILLE SCHOOL DISTRICT 04/02/18 KATZ FRIEDMAN EAGLE ET AL 509 18WC 13633 CONOUR, TOM MASTERBRAND CABINETS 04/23/18 MICHAEL M WOJITAS DUGAN & VOLAND 510 18WC 13733 GARZA, GILBERTO VISCOFAN 03/18/18 TUGGLE SCHIRO & LICHTENBER WOLF LAW LTD 511 18WC 13930 MEISENHEIMER, ROGER SHEPARD & SHEPARD MECHANI 07/10/17 ASHER & SMITH 512 18WC 14051 GOINES, CATHERINE KRAFT HEINZ COMPANY 11/09/15 SPIROS LAW PC 513 18WC 14362 BRIDER, JAMES ELITE STAFFING 02/28/18 SPIROS LAW PC 514 18WC 14480 COY, RONALD G SOI, DEPT OF TRANSP DIST @ 05/07/17 RONALD COY ASSISTANT ATTORNEY GENERAL 515 18WC 14511 CAMP, RACHEL BODY STARS, INC D/B/A 11/18/17 ROMANUCCI & BLANDIN CAPUANI, FRANK S 516 18WC 14724 EDWARDS, CRYSTAL THYSSENKURPP 02/01/18 FOHRMAN, DONALD W & ASSOCS 517 18WC 14874 ESTATE OF BRET VOGT ROUND ROBIN ENTERPRISES, # 05/03/16 MEYER CAPEL, PC HENNESSY & ROACH PC 518 18WC 15196 ROBERTS, CORY M CITY OF URBANA 04/12/18 THOMAS W DUDA 519 18WC 15198 MILLER, TODD A HUNTLEY FIRE PROTECTION D * 10/27/17 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 520 18WC 15247 BELL, EDWARD HOGAN PERSONNEL LLC 01/12/18 THE STOKES LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 521 18WC 15339 SCARBROUGH, SUSAN FEDEX GROUND 04/25/18 KATZ FRIEDMAN EAGLE ET AL

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 522 18WC 15740 HAVENER, GWENDOLYN CASEY'S GENERAL STORE 01/17/18 JOHNSTON LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 523 18WC 15783 WIDNER, BRUCE HYDRO-GEAR 04/05/18 TAXMAN POLLOCK THOMAS MAMER & HAUGHEY 524 18WC 15846 STRUBE, DANE CITY OF CHAMPAIGN 09/05/17 STRONG LAW OFFICE 525 18WC 15872 BOLSER, RICH NSI NETWORKING, INC 04/02/18 SPIROS LAW PC PETER T BORICH 526 18WC 16108 AXTELL, CARRIE STEEL GRIP 11/17/17 SPIROS LAW PC HENNESSY & ROACH PC 527 18WC 16261 JOHNSON, JAMES SYGMA 04/04/18 SPIROS LAW PC 528 18WC 16307 RUSSELL, CASHONTI IL DEPT OF HUMAN SVS (IDH @ 05/27/18 GERALD CONNOR ASSISTANT ATTORNEY GENERAL 529 18WC 16437 LUCAS, TAKELA CITY OF URBANA 06/17/16 FREDERICK & HAGLE 530 18WC 16445 SIMPSON, MELINDA FEUTZ CONSTRUCTION 08/11/16 TUGGLE SCHIRO & LICHTENBER 531 18WC 16523 ARVIZU, BEULAH I ADVANCED FILTRATION SYSTE 04/23/18 KANOSKI BRESNEY PAUL LARIMORE 532 18WC 16597 DEEDRICK, CODY C H I OVERHEAD DOORS 05/29/18 DWORKIN AND MACIARIELLO 533 18WC 16731 MOTTON, JERRY D VISTA OUTDOORS INC 01/24/18 KANOSKI BRESNEY LEAHY EISENBERG & FRAENKEL 534 18WC 16890 KAMRADT, JEREMY SULLIVAN-PARKHILL AUTOMOT 10/04/16 SPIROS LAW PC 535 18WC 17054 FLESHNER, SKYLER MOULTRIE COUNTY BEACON 04/27/18 DWORKIN AND MACIARIELLO LIVINGSTONE MUELLER ET AL 536 18WC 17204 GREER, ALISON COMMON GROUND FOOD CO OP * 12/31/17 FREDERIC NESSLER & ASSOC LITCHFIELD CAVO 537 18WC 17337 ROSENQUIST, MARC V STAFF MANAGEMENT * 05/24/18 FREDERICK & HAGLE RODDY LAW LTD 538 18WC 17570 KIMBERLIN, TRISH CHI OVERHEAD DOOR * 01/11/17 HENNESSEY LAW FIRM 539 18WC 17681 WALLE, MARK SERVICE KING * 05/29/18 SPIROS LAW PC LAWRENCE COZZI - LAW OFFICE

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 540 18WC 17781 HELCK, CATHERINE A PRESENCE COVENANT * 01/14/16 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 541 18WC 17784 HELCK, CATHERINE A PRESENCE COVENANT * 07/27/16 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 542 18WC 17974 WELLS, VICTOR T LANZ HEATING AND PLUMBING * 05/04/18 SPIROS LAW PC INMAN & FITZGIBBONS 543 18WC 18091 DAWSON, TALEN STAFFQUICK * 06/07/18 GERALD CONNOR HENNESSY & ROACH 544 18WC 18346 EGGERS, SIDNEY W MILLER & OVERTON TRUCKING * 04/25/18 KANOSKI BRESNEY LEAHY EISENBERG & FRAENKEL 545 18WC 18374 ST JOHN, RAYMOND N SECURITAS SECURITY SERVIC * 04/02/18 KANOSKI BRESNEY 546 18WC 18465 ALI, ASIF DYNACHEM, INC. * 04/04/17 SCHUM LAW PC ORENSTEIN & ASSOCIATES 547 18WC 18659 BELL, RONNIE KRUPP - GERLACH * 01/01/17 KATZ FRIEDMAN EAGLE ET AL 548 18WC 18780 LYNCH, JOHN MARATHON ROBINSON REFINER * 01/22/16 KATZ FRIEDMAN EAGLE ET AL 549 18WC 18963 CARNAHAN, BRADLEY MATTOON PRECISION * 03/15/18 KATZ FRIEDMAN EAGLE ET AL STEPHEN H LARSON LAW OFFICE 550 18WC 19159 DIEPHOLZ, ADAM AMEREN ILLINOIS * 03/06/18 TUGGLE SCHIRO & LICHTENBER CASSIDY & MUELLER 551 18WC 19289 MAROSS, TIMOTHY CITY OF URBANA FIRE DEPT * 01/03/18 WOODRUFF JOHNSON 552 18WC 19386 WALTERS, KEVIN MASTER BRAND CABINETS * 11/15/17 DAVID W MARTAY DUGAN & VOLAND 553 18WC 19495 KUNKEL, KEITH UNIVERSITY OF ILLINOIS * 05/23/17 SPIROS LAW PC GANAN & SHAPIRO 554 18WC 19559 BRYANT, JEFFREY EXPRESS EMPLOYMENT INC * 05/31/17 TUGGLE SCHIRO & LICHTENBER 555 18WC 19580 RENFROW, JASON R PRAIRIE STATES WAREHOUSE * 01/19/18 DEVENS & MCFETRIDGE LTD EVANS & DIXON, LLC 556 18WC 19909 ISAAC, COREY GREEN VIEW LANDSCAPING * 05/03/18 FREDERICK & HAGLE HENNESSY & ROACH, PC 557 18WC 19986 BAKER, TAIMIKA CHAMPAIGN UNIT 4 DISRICT * 04/16/18 MCCARTHY ROWDEN

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 558 18WC 20067 KNOX, PHILLIP ILLINOIS DEPARTMENT OF @ * 03/11/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 559 18WC 20205 CHANEY, APRIL TOWNEPLACE SUITES BY MARR * 05/27/18 ANKIN LAW OFFICE 560 18WC 20284 GOSSAR, MARY A DANVILLE CORE CENTER * 04/05/18 KANOSKI BRESNEY 561 18WC 20378 FASSOLD, JONATHON WAYNE HRW * 04/19/18 SUSAN GRAMMER INMAN & FITZGIBBONS 562 18WC 20500 LUNA, ARNOLD MIDWEST UNDERGROUND TECH * 01/15/17 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 563 18WC 20501 LUNA, ARNOLD MIDWESET UNDERGROUND TECH * 12/14/17 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD 18WC020502 -C 564 18WC 20689 RUTHERFORD, LORI UNIVERSITY OF ILLINOIS @ * 05/08/18 TUGGLE SCHIRO & LICHTENBER THOMAS MAMER & HAUGHEY 565 18WC 20982 MELVIN, CASSANDRA L THOMASBORO CCSD * 11/16/17 COLLISON LAW OFFICES HENNESSY & ROACH 566 18WC 21023 BOWMAN, KENNETH BIG R * 11/01/17 SPIROS LAW PC 567 18WC 21205 BRADLEY, VICTOR C LINCOLN'S CHALLENGE ACADE * 09/03/17 KANOSKI BRESNEY 568 18WC 21527 VILLALBA, FERMIN HOGER FARMS * 10/20/16 JOHN S. ELIASIK 569 18WC 21590 WRIGHT, JACQUELINE DANVILLE SD 118 * 10/27/17 ELFENBAUM EVERS & AMARILIO 570 18WC 21726 WILFORD, KELSEY RURAL KING * 06/20/18 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 571 18WC 21797 WARD, DEBRA UNIVERSITY OF ILLINOIS * 04/23/18 WOODRUFF JOHNSON THOMAS MAMER & HAUGHEY 572 18WC 21842 MARANA, WILLIAM CITY OF DANVILLE * 06/13/18 BURNETT & CARON, LTD 573 18WC 22006 JOHNSON, JAMIE KIRBY FOODS IGA SUPERMARK * 03/01/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 574 18WC 22247 HARRISON, HAROLD EXPRESS EMPLOYMENT PROF * 05/18/18 SPIROS LAW PC MC ANDREWS & NORGLE LLC 575 18WC 22326 BAKER, WILLIAM MANPOWER * 05/15/18 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 576 18WC 22464 SPELLMAN, BERNICE AGRI-FAB * 06/21/18 WOODRUFF JOHNSON RODDY LAW LTD 577 18WC 22688 BLACK, TAMMY E FEDEX * 05/14/18 KANOSKI BRESNEY 578 18WC 22862 MILLER, DEREK MARTIN ONE SOURCE * 08/21/17 BROWN & BROWN 579 18WC 22873 LICHTENBERGER, TODD D TUGGLE, SCHIRO, LICHTENBE * 03/05/18 NYHAN BAMBRICK KINZIE & LOWR 580 18WC 23083 LAUE, SHANNON CITY OF MOTTOON * 05/18/17 CHRIS WETZEL RUSIN & MACIOROWSKI LTD 581 18WC 23144 JONAS, STORMY CHRISTENSEN FARMS MIDWEST * 04/19/18 WARREN E DANZ, PC LEAHY EISENBERG & FRAENKEL 582 18WC 23247 SWANEY, KYLE VISCOFAN * 12/09/16 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 583 18WC 23325 THOMAS, CHRISTOPHER THE PAVILION BEHAVIORAL H * 02/11/18 DAVID W MARTAY 584 18WC 23386 MORRIS, KELLY ROWE FOUNDRY * 03/05/18 MCCARTHY ROWDEN BRYCE DOWNEY & LENKOV LLC 585 18WC 23483 SNOW, RYAN UNIVERSITY OF IL * 07/11/18 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 586 18WC 23660 HOWARD, JENNIFER HOBBICO * 08/01/16 FREDERICK & HAGLE 587 18WC 23827 BRANDT, AMY NORTH AMERICAN LIGHTING I * 06/04/18 STRONG LAW OFFICE STEPHEN CARTER 588 18WC 23977 MELCHI, CHRISTINE MAID TO PERFECTION * 05/11/18 PATEL LAW PC 589 18WC 24334 BUOY, JEFFERY THRIFT TRUCKING * 09/11/17 REISMAN LAW OFFICE 590 18WC 24431 COMER, LAWANDA ARBOR ROSE * 03/01/18 SPIROS LAW PC 591 18WC 24496 WOOD, LEE E MASTERBRAND CABINETS, INC * 10/02/17 KEVIN L GEISLER KEEFE CAMPBELL BIERY & ASSOC 592 18WC 24511 TIPSWORD, DAVID CRACKER BARREL * 09/25/16 DAVID W MARTAY 593 18WC 24555 COMER, LAWANDA ARBOR ROSE * 06/27/18 SPIROS LAW PC

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 594 18WC 24682 VANDERBILT, KASHUS D EXPRESS EMPLOYMENT * 07/18/18 KANOSKI BRESNEY MC ANDREWS & NORGLE LLC 595 18WC 24976 DOWDY, KYLE PRO-AGR D/B/A WALKER AG G * 07/13/18 CHRIS DOSCOTCH 596 18WC 25074 QUALLS, HOLLY ILLINOIS DEPT OF CORRECTI @ * 03/08/18 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 597 18WC 25122 REYLING, BONNIE UNIVERSITY OF ILLINOS * 05/30/18 WOODRUFF JOHNSON 598 18WC 25188 BURK, KELSEY NORTH AMERICAN LIGHTING * 04/15/18 TUGGLE SCHIRO & LICHTENBER STEPHEN CARTER 599 18WC 25282 GREEN, TERESSA R INNOVATIVE STAFF SOLUTION * 08/02/18 MCCARTHY ROWDEN THOMAS MAMER & HAUGHEY 600 18WC 25410 WILLIAMS, PAUL WATSON GENERAL TIRE * 12/27/17 SPIROS LAW PC 601 18WC 25481 WHITE, ALEXIS FED EX * 09/01/17 WOODRUFF JOHNSON 602 18WC 25557 GRISSOM, CURTIS LEE DIEPHOLZ CHEVROLET * 07/14/16 MUELHAUSEN & STEFANI 603 18WC 25702 DOUGHERTY, DALE ARKA EXPRESS * 08/06/18 SPIROS LAW PC 604 18WC 25728 PIERSON, LIZA CASEY/WESTFIELD CUSD #C-4 * 11/06/17 PARK LAW OFFICE 605 18WC 25974 GARRETT, COLUMBUS CITY OF DANVILLE * 03/24/18 BURNETT & CARON, LTD 606 18WC 26015 HARRINGTON, DEAN BARTON MALOW CO * 06/12/17 MARK N LEE 607 18WC 26118 MOFFITT, DONNA M PREFERRED PEDIATRIC HOME * 01/26/18 KEITH SHORT 608 18WC 26139 DUKE, DAVID J DOWMAN ESTATES * 04/19/18 DEVENS & MCFETRIDGE LTD HENNESSY & ROACH 609 18WC 26363 GIBSON, KARON TEAM CORN & SOIL INC * 07/19/16 TUGGLE SCHIRO & LICHTENBER CAPUANI, FRANK S 610 18WC 26490 SHAFFER, SUSAN EAGLE WINGS INDUSTRIES * 04/15/14 TUGGLE SCHIRO & LICHTENBER 611 18WC 26712 SIBLEY, JAMES B WAL-MART * 04/21/18 KANOSKI BRESNEY GANAN & SHAPIRO

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 URBANA 48001 ON 10/22/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 612 18WC 26832 HARRIS, AUSTIN TOM FRAREY TRUCKING, INC * 08/17/18 FREDERICK & HAGLE 613 18WC 27089 GARCIA, HECTOR RED LOBSTER * 04/14/18 SPIROS LAW PC 614 18WC 27628 ROBINSON, CHARLES DRAKE REFRIGERATED LINES * 07/21/18 LEONARD LAW GROUP LLC 615 18WC 27674 BROWNFIELD, RACHEAL FIVE GUYS BURGERS & FRIES * 09/23/16 DWORKIN AND MACIARIELLO 616 18WC 27723 KAY, GORDON LINCOLNSHIRE FIELDS CNTRY * 05/29/17 GANAN & SHAPIRO 617 18WC 27827 THOMPSON, KURTIS RURAL KING SUPPLY * 04/20/18 KANOSKI BRESNEY 618 18WC 28186 WATSON, THOMAS WIRCO, INC * 05/17/17 BRADY, CONNOLLY & MASUDA, PC