ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 07WC 05820 19B DANIELS, JULIE ALDI, INC 08/10/06 WOODRUFF & JOHNSON LAW OFF LYNN D BARNETT 2 09WC 05863 LEE, BELINDA SUE CHAMPION LABORATORIES 06/10/08 SAUNDERS CONDON & KENNY EVANS & DIXON, LLC 3 09WC 30801 MORRISON, GARY PETCO PETROLEUM CORPORATI 02/05/09 MUELHAUSEN & STEFANI POWER & CRONIN LTD 4 09WC 49200 RIGGS, CAROL MARTIN & BAYLEY INC 07/29/09 BEMENT & STUBBLEFIELD HEYL ROYSTER VOELKER & ALLEN 5 10WC 18795 ANDERSON, DOUGLAS C. WILLENBORG HARDWOOD 04/01/10 MEYER, MICHAEL J KNELL LAW LLC 6 10WC 36494 JOHNSON, DAN VARNER SANITATION 05/31/10 TUNGATE LAW OFFICE CRAIG & CRAIG 7 10WC 37165 ANDERSON, AMY S WARREN G MURRAY DEVELOPME @ 04/26/10 THE FREDERICK LAW FIRM ILLINOIS ATTORNEY GENERAL 16WC004421 -C 8 10WC 37707 HOFFMAN, MARCI STAFF MANAGEMENT 09/16/10 LAW OFFICE OF JAMES PARROT RODDY LAW LTD 9 10WC 41236 HEFNER, JANET TRAVEL CENTERS OF AMERICA 12/21/10 BROWN & BROWN RODDY LAW LTD 10 11WC 07247 19B SEFTON, GREGORY S SOLID PLATFORMS INC 10/13/10 LAW OFFICE CRAIG A HANSEN 13WC008516 -C JOINER SHEET METAL & ROOFI 11 11WC 08596 19B QUANDT, CRYSTAL MURRAY CENTER/SOI @ 02/04/11 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 12 11WC 08861 PAYNE, THOMAS L NORTH AMERICAN LIGHTING 02/22/11 NELSON & NELSON LAW OFFICES STEPHEN CARTER 13 11WC 12097 JOHNSON, MIKE WALGREENS DISTRIBUTION CE 06/06/07 BEMENT & STUBBLEFIELD 14 11WC 12864 SCHULTE, HARRY CONTINENTAL TIRE D/B/A 03/16/11 STRONG LAW OFFICE MCANANY VANCLEVE & PHILLIPS 15 11WC 19868 PAYNE, JOHN R TRIANGE RENTALS INC 06/04/10 STRONG LAW OFFICE INMAN & FITZGIBBONS 12WC010406 -C 13WC009531 -C 16 11WC 25906 HOTTES, TAMI CONTINENTAL TIRE NORTH AM 09/17/10 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 17 11WC 32075 SPRAGUE, GLORIA DOLLAR GENERAL 07/22/11 JAMES M RIDGE & ASSOC PC LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 11WC 37002 SMAIL, DENNIS GRAHAM PACKAGING 09/08/11 JAMES M RIDGE & ASSOC PC MC ANDREWS & NORGLE LLC 19 11WC 45381 SUMMERS, CODY PETCO PETROLEUM CORPORATI 10/06/11 MUELHAUSEN & STEFANI RUSIN & MACIOROWSKI LTD 20 11WC 48960 RIGGS, CAROL MARTIN & BAYLEY INC 10/24/11 BEMENT & STUBBLEFIELD HEYL ROYSTER VOELKER & ALLEN 21 12WC 03248 ALCORN, KATHLEEN GILSTER MARY LEE 11/11/11 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 13WC009932 -C 22 12WC 15483 FATHEREE, DEVRA STATE OF ILLINOIS @ 03/05/11 ERIC L TERLIZZI ILLINOIS ATTORNEY GENERAL 23 12WC 18643 GOLDEN, ROBERT WALGREENS DISTRIBUTION CE 10/01/09 BROWN & BROWN EVANS & DIXON, LLC 24 12WC 20753 ROWLAND, ANNETTE F MURRAY DEVELOPMENTAL CENT @ 11/01/10 STRONG LAW OFFICE ILLINOIS ATTORNEY GENERAL 25 12WC 27059 TROTTER, JOHN CONTINENTAL TIRE 06/25/12 BEMENT & STUBBLEFIELD 26 12WC 28664 LANGLEY, MICHAEL VANDALIA CORRECTIONAL CEN 02/01/11 BECKER SCHROADER & CHAPMAN 27 12WC 36246 BROWN, GREGG WALGREENS DISTRIBUTION CE 03/22/10 BROWN & BROWN EVANS & DIXON, LLC 28 12WC 36681 MILLER, TINA WARREN G MURRAY CENTER @ 04/23/12 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 29 12WC 42022 MEINHART, ELLEN SOURCE INTERLINK 11/19/12 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 30 13WC 02303 BULLARD, BILL CONTINENTAL TIRE 01/29/12 BEMENT & STUBBLEFIELD 31 13WC 05300 HUNT, MICHAEL EDWARD SR GENE L JANSEN D/B/A W 08/27/10 BECKER SCHROADER & CHAPMAN KEVIN M HAZLETT LLC 32 13WC 05572 COOKSEY, BARBARA ILLINOIS DEPT OF CORRECTI @ 08/30/12 HOWERTON, DORRIS & STONE ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 13WC 06834 ELLIS, KELLY BRENT FAYETTE COUNTY 09/19/11 MCGLYNN & MCGLYNN INMAN & FITZGIBBONS 34 13WC 06868 MEREDITH, DORIS GOOD SAMARITAN 01/26/13 MEEHAN LAW FIRM EVANS & DIXON, LLC 13WC010156 -C ST MARYS GOOD SAMARITAN HO 35 13WC 07107 19B CAPPS, JACOB LOWE'S HOME CENTERS INC 09/15/10 HANAGAN & MCGOVERN PC INMAN & FITZGIBBONS 36 13WC 15159 DAVIS, THOMAS NORTH AMERICAN LIGHTING I 11/18/11 BROWN & BROWN LAW OFFICES STEPHEN CARTER 37 13WC 15408 DAVIS, THOMAS NORTH AMERICAN LIGHTING I 03/26/13 BROWN & BROWN LAW OFFICES STEPHEN CARTER 38 13WC 17182 HOWARD, JAMES RCR TRUCKING, INC W 05/04/12 NELSON & NELSON 39 13WC 18559 GREGG, JOHN M LITTLE D DRILLING 04/22/13 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 40 13WC 22288 19B DRAPER, CATHLEEN SALEM TOWNSHIP HOSPITAL 06/10/13 NELSON & NELSON GAROFALO SCHREIBER STORM 41 13WC 24681 HALL, ANDREW C CONTINENTAL TIRE 07/06/13 FOLEY & DENNY KEEFE & DEPAULI 42 13WC 25681 DRAPER, CATHLEEN SALEM TOWNSHIP HOSPITAL 03/17/11 NELSON & NELSON GAROFALO SCHREIBER STORM 43 13WC 29821 RATAJCZYK, KIMBERLY KROGER 07/15/13 LAW OFFICE JOSHUA KARMEL STONE & JOHNSON CHARTERED 44 13WC 31432 HAVING, DEREK ST OF IL DEPT OF @ 06/27/13 WALTON TELKEN FOSTER LLC ILLINOIS ATTORNEY GENERAL 45 13WC 32012 DONOHO, JUDITH A DEPARTMENT OF HUMAN SERVI @ 09/11/13 NELSON & NELSON ELIZABETH LEAHY 46 13WC 33771 THOMPSON, JUDY JOYCE'S CAFE 10/01/11 47 13WC 36352 BANDY, SHARON KAY CROOK HOYLETON YOUTH & FAMILY S 07/19/13 COOK SHEVLIN YSURSA ET AL KEEFE & DEPAULI 48 13WC 37844 MARTIN II, JAMES HERITAGE WOODS D/B/A 10/02/13 BRYCE DOWNEY & LENKOV LLC 49 13WC 38820 ROBERTS, MATTHEW CONTINENTAL TIRE 06/08/13 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 50 13WC 39001 ROBERTS, MATTHEW CONTINENTAL TIRE 09/23/13 BEMENT & STUBBLEFIELD KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 13WC 39625 MUELLER, AMY STAFF MANAGEMENT/SEATON G 09/02/13 BROWN & BROWN RODDY LAW LTD 52 13WC 39829 EHLERS, PARTHENIA US XPRESS INC 11/08/13 WINSTEIN KAVENSKY & WALLAC MCANANY VANCLEVE & PHILLIPS 53 13WC 39930 DUNBAR, CARL CASEY'S GENERAL STORE 10/28/11 HANAGAN & MCGOVERN PC 54 13WC 40596 RUMLEY, DANELLE AUTOMOTIVE TECHNOLOGY 03/06/13 MUELHAUSEN & STEFANI HENNESSY & ROACH, PC 55 13WC 41634 URBA, CHRISTOPHER AMERICAN EQUIP & MACHINE 11/30/12 MICHAEL J BRUNTON LAW OFFI MCBREARTY, BRIAN K 56 13WC 42390 WALKER, GARY WHITE COUNTY COAL COMPANY 01/10/10 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 57 14WC 02774 HOWELL, TIMOTHY CONTINENTAL TIRE 11/24/13 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 58 14WC 04586 PAGE, BENSON D BANKSTON CREEK 04/17/12 MCANANY VANCLEVE & PHILLIPS 59 14WC 05194 CROSS, REBECCA WARREN G MURRAY DEVELOPME @ 12/05/13 BROWN & BROWN ILLINOIS ATTORNEY GENERAL 60 14WC 06031 MUELLER, AMY STAFF MANAGEMENT/SEATON C 12/18/13 BROWN & BROWN RODDY LAW LTD 61 14WC 06466 HOWARD, JAMES UNIMARK TRUCK TRANSPORT L 05/04/12 NELSON & NELSON SCOPELITIS GARVIN LIGHT 62 14WC 09420 KRIBLEY, LAUREN DOLLAR GENERAL 08/18/13 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 63 14WC 11387 WATWOOD, JOHN AUTOMOTIVE TECHNOLOGY SYS 03/19/12 TAPELLA & EBERSPACHER LLC HENNESSY & ROACH, PC 64 14WC 11462 UNDERWOOD, SHELIA MCDONALD'S 06/01/13 KATZ FRIEDMAN EAGLE ET AL 65 14WC 11463 UNDERWOOD, SHELIA MCDONALD'S 03/02/14 KATZ FRIEDMAN EAGLE ET AL 66 14WC 12669 HARNACKE, GAYLA WARREN C MURRAY CENTER @ 10/22/11 67 14WC 12775 WORKMAN, BILLY L P.T.O. SERVICES 05/26/13 HASSAKIS & HASSAKIS PC STEPHEN H LARSON LAW OFFICE 68 14WC 14811 WESTERMAN, DIANA NASCOTE INDUSTRIES INC 04/01/13 MATHIS MARIFIAN RICHTER ET LAW OFFICE PATRICK JENNETTEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 14WC 16563 HAZLETT, TANA HITACHI METALS AUTOMOTIVE 10/25/13 HELLER HOLMES & ASSOC MORROW WILLNAUER 70 14WC 17386 COLE, FALLON WALGREENS 04/13/14 RICH RICH COOKSEY PC EVANS & DIXON, LLC 71 14WC 17753 GORDON, MELISSA MURRAY CENTER @ 02/26/14 KOLKER LAW OFFICES ILLINOIS ATTORNEY GENERAL 72 14WC 17866 THOLE, KENNETH KOHRMANN BROTHERS MASONRY 06/19/12 MICHAEL J BRUNTON LAW OFFI 73 14WC 18227 POPLIN, ROBERT TRI-COUNTY ROOFING LLC 05/02/14 HEYL ROYSTER VOELKER & ALLEN 74 14WC 18546 CICHON, TERESA AUTOMOTIVE TECHNOLOGY SYS 05/15/13 MOSS & MOSS PC HENNESSY & ROACH, PC 15WC038278 -C 15WC038288 -C 75 14WC 20834 19B SNOW, JEREMY WHITE COUNTY COAL 02/17/14 RICH RICH COOKSEY PC FEIRICH MAGER GREEN & RYAN 76 14WC 21447 KISSIAR, DEBRA DOLLAR GENERAL 05/14/12 BROWN & BROWN WIEDNER & MCAULIFFE LTD 77 14WC 21695 SWIFT, DEVAN A WABASH & OHIO VALLEY SPEC 09/10/13 LEVENHAGEN LAW FIRM PC 14WC021696 -C 78 14WC 23767 POZNICH, TERESA WALMART 03/07/13 MCCARTHY ROWDEN & BAKER WIEDNER & MCAULIFFE LTD 79 14WC 23990 MARNATI, DANIEL U.S. XPRESS ENTERPRISES I 04/29/14 MICHAEL MILES 80 14WC 25121 ALEXANDER, FRANK D JR UNITED PARCEL SERVICE 05/29/14 GOLDBLATT + SINGER MCANANY VANCLEVE & PHILLIPS 81 14WC 26308 JOHNSON, DEBRA K CONTINENTAL TIRE NORTH AM 05/05/14 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 82 14WC 27729 WILSON, RODNEY MOORE BROTHERS CONTRACTIN 06/09/14 PETER D CORTI LAW GROUP STEPHEN H LARSON LAW OFFICE 83 14WC 28349 JONES, DAN R SIU-CARBONDALE @ 09/21/11 WILLIAMS CAPONI & ASSOC 84 14WC 28450 LOGAN, JESSICA B MC DONALD'S 04/05/14 NELSON & NELSON 85 14WC 31497 19B HOLTKAMP, MARY WARREN G MURRAY DEV CTR @ 07/23/14 BECKER SCHROADER & CHAPMAN ILLINOIS 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 CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 14WC 32922 PAYNE, JOHN TRIANGLE RENTALS INC 01/23/12 STRONG LAW OFFICE INMAN & FITZGIBBONS 87 14WC 32970 CURTIS, KEVIN E LES WILSON INC 05/02/14 LEVENHAGEN LAW FIRM PC BRANDON SCHMIDT & GOFFINET 88 14WC 33494 TROXELL, J DAVID PETCO PETROLEUM 08/06/14 RON D COFFEL & ASSOC 89 14WC 36175 PRANGE, JEANNE KOHL'S 10/10/13 BEMENT & STUBBLEFIELD HENNESSY & ROACH, PC 90 14WC 36204 DONAHUE, KIMBERLY ANN WARREN G MURRAY @ 07/24/13 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 91 14WC 36355 RUSSELL, DEANNA K AUTOMOTIVE TECH SYSTEMS L 09/12/14 GOSNELL BORDEN ENLOE & SLO HENNESSY & ROACH, PC 92 14WC 36799 HENSON, CHAD BARR CONSTRUCTION COMPANY 09/28/12 SAUTER, SULLIVAN & EVANS HEYL ROYSTER VOELKER & ALLEN 93 14WC 37129 TOLLIVER, DEBORAH HELLA ELECTRONICS 08/20/14 LAW OFFICE KEITH SHORT ROUSE & CARY 94 14WC 38840 BRINKLEY, CHAD FRONTIER COMMUNICATIONS 10/03/13 MUELHAUSEN & STEFANI LAW OFFICE PAUL LARIMORE 95 14WC 40654 LEIGH, MARTY PAUL CAMPBELL ENTERPRISES 10/10/14 BROWN & BROWN STEPHEN H LARSON LAW OFFICE 96 14WC 41498 SCRONCE, RUBY, WIDOW OF FREEMAN UNITED COAL # 02/23/13 CULLEY & WISSORE CRAIG & CRAIG 97 14WC 41681 POTTER, SAMANTHA D MCDONALD'S 11/28/11 CLARK & RACKLIN LTD HOLTKAMP LIESE ET AL 98 14WC 41878 19B ALLEN, DANIEL F SKEE MASONRY INC * 10/14/14 HASSAKIS & HASSAKIS PC CRAIG & CRAIG 99 14WC 43284 BUSHONG, BARRY A TEREX SERVICES 11/18/14 GABRIEL, MCCARTNEY & WAGNE HENNESSY & ROACH, PC 100 15WC 00257 CORNERS, ANN Y WALMART 09/11/14 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 101 15WC 00594 HUMES, ROSE BURGIN MANOR 04/03/14 WIEDNER & MCAULIFFE LTD 102 15WC 01864 GILLSON, COTY J FEDERAL COMPANIES DBA FED 12/10/14 JOHN LESAGANICH 103 15WC 02111 GOODMAN, BOBBIE NORTH AMERICAN LIGHTING I 09/24/14 RYAN RICE LAW OFFICES STEPHEN CARTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 15WC 02249 GUINN, SHELLY HELLA ELECTRONICS 11/14/14 RYAN RICE ROUSE & CARY 105 15WC 02983 PORTER, RICHARD L SR STAR LEASING SERVICES LLC 11/21/14 106 15WC 03273 REXROAD, CATHY, WIDOW OF HETZELS OVERLAND TRANSPOR # 02/14/12 WENDLER LAW PC JAMES M KELLY 107 15WC 03551 PRIOR, LORA WALGREENS DIST CENTER 02/27/12 BEMENT & STUBBLEFIELD EVANS & DIXON, LLC 108 15WC 03633 MURPHY, BARBARA ST ANTHONY'S MEMORIAL HOS 01/16/12 MCCARTHY ROWDEN & BAKER HEYL ROYSTER VOELKER & ALLEN 109 15WC 03981 ASHLOCK, DAVID A ATCHISON COATING 09/30/14 GLASS & KOREIN ROUSE & CARY 110 15WC 05545 MOORE, STANLEY WHITE COUNTY COAL LLC 10/03/14 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 111 15WC 05830 APARICIO, ALLEN J ILL DEPT OF CORRECTIONS @ 11/04/14 CRAIN MILLER & ASSOCIATES ILLINOIS ATTORNEY GENERAL 112 15WC 06553 PRESLEY, WENDELL CONTINENTAL GENERAL TIRE 10/09/13 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 113 15WC 07851 FIALA, PETE WHITE COUNTY COAL 12/21/12 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 114 15WC 09553 GLEASON, JOHN HITACHI METAL AUTOMOTIVE 03/09/15 SMITH LAW LTD MORROW WILLNAUER 115 15WC 10077 REEVES, JAMES ROSENS DIVERSIFIED 07/02/14 CHERRY FRAZIER & SABIN HENNESSY & ROACH, PC 116 15WC 10687 HOLLINSHEAD, KATHY ST ANTHONY'S HOSPITAL 03/05/12 SMITH LAW LTD HEYL ROYSTER VOELKER & ALLEN 117 15WC 11313 MORRISON, GLENDA UNITED METHODIST VILLAGE 04/02/14 MUELHAUSEN & STEFANI HENNESSY & ROACH 16WC032648 -C 16WC032649 -C 118 15WC 13784 EUBANKS, MARY REND LAKE RESORT 03/07/15 JOHN F GREGORIO & ASSOC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 15WC 14634 MILLER, LISA MID AMERICA MOTORWORKS 07/10/14 BRANKEY & SMITH PC GANAN & SHAPIRO 120 15WC 14753 HENNESSY, NANCY RURAL KING 10/15/14 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 15WC024367 -C 121 15WC 15669 PETERS, DANNY SWAN CORP 03/21/15 NELSON & NELSON INMAN & FITZGIBBONS 122 15WC 15737 ROBERTS, JASON L WEHRLE LUMBER CO 04/07/15 JAMES RUPPERT HENNESSY & ROACH, PC 123 15WC 15942 PALMER, CHRISTOPHER M CONTINENTAL TIRE 01/04/13 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 124 15WC 16956 ROSE, STEVEN SPECIAL MINE SERVICES INC 03/23/12 CULLEY FEIST KUPPART & TAY HANSEN & ENRIGHT 125 15WC 17096 CARTER, JARED PALLET SOLUTIONS, INC 10/26/13 BURNETT & CARON, LTD 126 15WC 17243 FERRIS, KENNETH D EFFINGHAM BUILDERS SUPPLY 01/19/15 OSTEEN & CHOJNICKI LTD HOLTKAMP LIESE ET AL 127 15WC 17747 ESCAMILLA, JESUS JR WIGDAHL ELECTRIC CO 04/09/15 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 128 15WC 18304 OWENS, DELMAR L. III CONTINENTAL TIRE 03/05/13 KEEFE & DEPAULI 129 15WC 18612 MCDONALD, LISA WARREN G. MURRAY @ 04/30/15 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 130 15WC 19533 JACKSON, JOHN M CONTINENTAL TIRE THE 06/06/15 SAM C MITCHELL & ASSOCIATE KEEFE & DEPAULI 131 15WC 19719 BARTELS, ROSE THREE Z PRINTING CO 12/01/14 132 15WC 19726 HOTTES, TAMI WALGREENS DISTRIBUTION CT 06/03/14 BEMENT & STUBBLEFIELD EVANS & DIXON, LLC 133 15WC 20593 MCBRIDE, JEREMY DEPT OF CORRECTIONS @ 03/06/14 KIRKPARTICK LAW OFFICES ILLINOIS ATTORNEY GENERAL 134 15WC 20631 JOHNSON, DONALD CONTINENTAL TIRE NORTH AM 12/01/14 SCHREMPF, BLAINE, KELLY & KEEFE & DEPAULI 135 15WC 20762 PERKINS, TONY C. WARREN G. MURRAY @ 02/06/15 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 136 15WC 21072 GIBSON, DEBORAH ST MARY'S GOOD 04/15/15 MATHIS MARIFIAN RICHTER ET EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 15WC 21245 CURTIS, RANDY L OLD DOMINION FREIGHT LINE 05/22/14 HASSELBERG & ROCK 138 15WC 22609 WIMBERLY, HEATHER GOOD SAMARITAN REGIONAL H 11/27/13 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 139 15WC 24160 SIDWELL, CURTIS ARCHER DANIELS MIDLAND CO 01/07/15 KATZ FRIEDMAN EAGLE ET AL FEATHERSTUN GAUMER POSTLEWAI 15WC041213 -C 140 15WC 24605 GUTZLER, HEATH CONTINENTAL TIRE NORTH AM 05/09/14 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 141 15WC 26100 JACKSON, JOHN M. CONTINENTAL TIRE 07/25/15 SAM C MITCHELL & ASSOCIATE KEEFE & DEPAULI 142 15WC 26397 BLUE, BRIAN SCHILLI SPECIALIZED, INC. 07/22/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 143 15WC 28738 BOWMAN, JAMEY D. TODD GRAY D/B/A GRAY'S 12/01/14 THOMPSON & MCDONALD LAW OFFI 144 15WC 28976 PRIDE, PAUL WHITE OAK RESOURCES 05/09/15 TAMMI N. JACKSON CRAIG & CRAIG 145 15WC 29078 NAFZIGER, AARON SELECT REMEDY 08/03/15 HASSAKIS & HASSAKIS PC LEAHY EISENBERG & FRAENKEL 146 15WC 29432 HOLLAND, BONNIE WARREN G MURRAY @ 09/03/15 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 147 15WC 30348 RUMLEY, DANELLE AUTOMOTIVE TECHNOLOGY SER 10/17/14 MUELHAUSEN & STEFANI HENNESSY & ROACH, PC 148 15WC 30785 LEWIS, HERBERT LES WILSON, INC 01/12/15 COOK SHEVLIN YSURSA ET AL STEPHEN H LARSON LAW OFFICE 149 15WC 31063 GEURIN, JERRA MURRAY CENTER @ 02/08/13 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 15WC030000 -C 150 15WC 31071 RICE, JOYCE L TRADE INDUSTRIES 09/25/12 MEYER, MICHAEL J KEEFE CAMPBELL & ASSOC LLC 151 15WC 31324 SPHAR, JIM EFFINGHAM EQUITY 09/03/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 152 15WC 31616 KAY, BELINDA FAYCO ENTERPRISES, INC 07/01/15 DWORKIN AND MACIARIELLO RIPES NELSON BAGGOT KALOBRAT 153 15WC 32433 GOFF, LARRY TRELLABORG VIBRACOUSTIC 01/05/15 WOMICK LAW FIRM CHTD STEPHEN H LARSON LAW OFFICE 154 15WC 32715 LUTZ, REBECCA TOYOTA ATS 01/13/15 STANCZAK LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 155 15WC 32895 DAMARIN, RICHARD SHERWYN WILLIAMS 03/29/14 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM 156 15WC 32970 19B KARCH, MELINDA WALGREENS DISTRIBUTION CE 07/07/14 KIRKPARTICK LAW OFFICES EVANS & DIXON, LLC 157 15WC 33568 ALLEN, ANNETTE NASCOTE INDUSTRIES, INC 04/12/15 DWORKIN AND MACIARIELLO LAW OFFICE PATRICK JENNETTEN 158 15WC 34310 GAINES, VICKY COUNTRYSIDE MANOR NURSING 08/10/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 159 15WC 34692 MYERS, ALAN PRINCE CORP 07/07/15 DWORKIN AND MACIARIELLO FEIRICH MAGER GREEN & RYAN 160 15WC 37606 MILLER, KEVIN ELITE CONTRACTING & CONSU 07/27/15 SCHULTZ & MYERS LLC 161 15WC 37784 BORTA, DAVID R WHITE COUNTY COAL, LLC 01/21/15 HASSAKIS & HASSAKIS PC FEIRICH MAGER GREEN & RYAN 162 15WC 38201 DAVIS, DWIGHT JOY GLOBAL 03/02/14 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 163 15WC 38225 WOODS, TIFFANY NASCOTE INDUSTRUES, INC. 04/14/15 NELSON & NELSON LAW OFFICE PATRICK JENNETTEN 164 15WC 38303 REID, BOBBIE G ED LEWIS TRUCKING INC 05/13/15 FOREMAN & KESSLER, LTD INMAN & FITZGIBBONS 165 15WC 39911 COLLE, DAVID C WALGREENS FAMILY OF COS 10/26/15 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 166 15WC 41086 WHITE, KENNETH L PLACEMENT AGENCY/NASHVILL 10/27/15 GLASS & KOREIN ROUSE & CARY 167 15WC 42021 PHELPS, STEPHEN GOODLUCK REFRIGERATION SV 10/01/14 EVAN A HUGHES LAW OFFICE WIEDNER & MCAULIFFE LTD 168 15WC 42176 WINKLER, JODI LYNN BROWNSTOWN SCHOOL DISTRIC 08/06/13 NELSON & NELSON 169 15WC 42481 KUHNERT, CHARLES CONTINENTAL TIRE OF NORTH @ 07/20/15 ALLEMAN LAW FIRM KEEFE & DEPAULI 15WC042482 -C 170 16WC 00044 MUELLER, AMY INNOVATIVE STAFFING SOLUT 01/30/14 BROWN & BROWN BRUCE WARREN 171 16WC 00262 BROWN, WENDY S WALGREEN CO 10/26/15 REED & BRUHN, PC EVANS & DIXON, LLC 172 16WC 00408 BYERS, SARA A WABASH VALLEY PRODUCE, IN 05/13/15 WILKINS SCHNELLER LAW LLC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 16WC 00550 ISAACS, JUSTINA SOUTH CENTRAL TRANSIT 12/09/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 174 16WC 00821 ELAM, DEWAYNE VANDALIA CORRECTIONAL CEN 12/09/15 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 175 16WC 01533 ABOTT, SAMANTHA DOLLAR GENERAL 01/01/16 SAM C MITCHELL & ASSOCIATE LEAHY EISENBERG & FRAENKEL 176 16WC 02137 MILLER, JAMES K OREILLY AUTO PARTS 01/03/14 OSTEEN & CHOJNICKI LTD HENNESSY & ROACH 177 16WC 03657 TATE, MELISSA R. GRAPHIC PACKAGING 05/03/15 MILLER, WILLIAM R LAW OFFI DOHERTY & PROGAR LLC 178 16WC 03746 UNDERHILE, JOSEPH WARREN G MURRAY @ 12/10/15 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 16WC031972 -C CHESTER MENTAL HEALTH 179 16WC 03895 NICKOL, TIMOTHY JOHN LAWRENCEVILLE COMM SCHOOL 07/22/15 MCCARTHY ROWDEN & BAKER RUSIN & MACIOROWSKI LTD 180 16WC 05684 HENSON, AARON BLAIR GMS MINE REPAIR & MAINT I 06/22/15 KIBLER, KEITH W 181 16WC 05767 HENSLEY, JOHNNIE L MID STATES SERVICES LLC 05/19/15 STEPHEN H LARSON LAW OFFICE 182 16WC 06611 MARTINEZ, RAUL SANCHEZ GRANDMA'S KITCHEN 02/05/15 CRAIN MILLER & WERNSMAN LTD 183 16WC 06877 BRADHAM, JANUARY L DAVITA DIALYSIS 10/10/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 184 16WC 07093 ROGERS, HEATHER N WALGREENS FAMILY OF COMPA 02/02/16 HASSAKIS & HASSAKIS PC 185 16WC 07883 HASKIN, ANTAYUS NASHVILLE MATERIAL & SUPP 07/16/15 LAW OFFICE OF CELESTINE DO 186 16WC 08092 CALHOUN, NICHOLAS S & W SUPERMARKET, INC 05/04/14 SMITH LAW LTD GANAN & SHAPIRO 187 16WC 08359 CUNNINGHAM, STEPHANIE MARION CO. TREASURER'S OF 01/11/16 NELSON & NELSON 188 16WC 08565 CORRELL, RUSSELL CON-WAY FREIGHT, INC 09/25/14 LEVENHAGEN LAW FIRM PC RUSIN & MACIOROWSKI LTD 189 16WC 08569 MULKY, CRYSTAL HUDDLE HOUSE OF MT VERNON 03/01/15 HANAGAN & MCGOVERN PC HENNESSY & ROACH 190 16WC 08645 DOWNES, CHARLES STATE/CENTRALIA C.C. @ 02/27/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 191 16WC 09330 COPE, ERIC NATIONAL RAILWAY EQUIPMEN 11/22/15 BROWN & BROWN GAROFALO SCHREIBER STORM 192 16WC 09440 NEWKIRK, TERRI SOI / CENTRALIA @ 09/05/14 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 16WC009441 -C 193 16WC 09629 DAVIS, BOB E WALGREENS FAMILY OF COMPA 02/22/16 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 194 16WC 09696 WILLIAMS, SHAKIRA CONTINENTAL TIRE 06/03/15 195 16WC 10139 SMITH, JEFF CLAY CO. HWY DEP/CLAY COU 12/09/15 HELLER HOLMES & ASSOC INMAN & FITZGIBBONS 196 16WC 10153 FRENCH, ETHAN K MUEHLENBEIN FARMS 01/05/16 197 16WC 10590 MEREDITH, DARLENE WALGREENS DISTRIBUTION CE 02/22/16 BROWN & BROWN EVANS & DIXON, LLC 198 16WC 11116 CRAIG, ROGER CONTINENTAL TIRE 10/24/14 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 199 16WC 11642 THOMPSON, BRENDA L CONTINENTAL TIRE 11/24/15 GARY L. BEMENT KEEFE & DEPAULI 200 16WC 11750 KUHL, MARVIN G KLOECKNER METALS 05/20/13 MEYER, MICHAEL J STEPHEN H LARSON LAW OFFICE 201 16WC 12467 CLARK, MARY BETH CONTINENAL GENERAL TIRE 03/16/16 NELSON & NELSON KEEFE & DEPAULI 202 16WC 12518 GHOLSON, JAMES T WHITE COUNTY COAL, LLC 12/14/15 HASSAKIS & HASSAKIS PC FEIRICH MAGER GREEN & RYAN 203 16WC 12666 MC DANIEL, JENNIFER N HELIA HEALTHCARE OF OLNEY 01/26/16 GOSNELL BORDEN ENLOE & SLO MCANANY VANCLEVE & PHILLIPS 204 16WC 12908 BROOKS, ALLEN W BIG MUDDY RIVER @ 06/27/15 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 205 16WC 13219 BIRKNER, DAVID CONTINENTAL TIRE 11/09/15 GARY L. BEMENT 206 16WC 13298 RHYNES, LUCY WARREN G MURRAY DEVELOPME @ 02/17/16 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 207 16WC 13516 SHEELEY, CHARLES CONTINENTAL TIRE NORTH AM 04/03/16 LIESER LAW FIRM KEEFE & DEPAULI 208 16WC 13581 WOOD, GLENNA HAMILTON MEMORIAL HOSPITA 09/09/15 GOLDENBERG, HELLER, ANTOGN GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 209 16WC 14018 STANGLE, BRIAN A UNIQUE PERSONNEL 01/25/16 HASSAKIS & HASSAKIS HENNESSY & ROACH, PC 210 16WC 14479 WHIPPLE, STACEY M WALGREENS FAMILY OF COMPA 03/14/16 HASSAKIS & HASSAKIS PC 211 16WC 14715 PUGH, JAMES F. VANDALIA CORRECTIONAL CEN @ 01/11/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 212 16WC 14816 MC COY, JACOB TOTAL GRAIN MARKETING 08/07/15 WILLIAMS CAPONI & ASSOC 213 16WC 15430 SOREY, RACHAEL SUZANNE THE MASCHHOFFS LLC 06/06/13 HOWERTON, DORRIS & STONE 214 16WC 15774 MC DURMAN, RICHARD WHITE COUNTY AMBULANCE 05/08/14 MUELHAUSEN & STEFANI KEEFE & DEPAULI 215 16WC 16067 SIMMONS, TYLER SEGER EGG CORP 08/27/15 ROTH LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 216 16WC 16851 DESCH, MARK NORTH AMERICAN LIGHTING 04/21/16 BROWN & BROWN LAW OFFICES STEPHEN CARTER 217 16WC 17338 STROUD, LAURA K REHAB CARE 03/08/16 HANAGAN & MCGOVERN PC ARNETT LAW GROUP 218 16WC 17657 SMITH, GAIL ADDUS HEALTH CARE 05/04/16 GARY L. BEMENT HENNESSY & ROACH, PC 219 16WC 18205 BOWEN, JASONW DUSTY'S OUTDOOR MEDIA, LL 04/13/16 HASSAKIS & HASSAKIS 220 16WC 18663 OVERTURF, BOBBIE S CONTINENTAL GENERAL TIRE 05/28/15 GARY L. BEMENT KEEFE & DEPAULI 221 16WC 18670 ROBINSON, CHARLES THOMAS ROARK TRUCKING 02/12/14 PETER BLASI LLC JAMES M KELLY 222 16WC 18881 ARNOLD, TONYA AMY SCHULZ CHILD ADVOCACY 05/05/14 DANIELS WILZBACH PC 223 16WC 19355 PEAK, CYNDI SO. CENTRAL IL MASS TRANS 04/25/16 SAUTER, SULLIVAN & EVANS RUSIN & MACIOROWSKI LTD 224 16WC 19441 HULL, ROBERT E TEAM FENEX AKA SYNERGY 05/23/16 RON D COFFEL & ASSOC 225 16WC 19568 NEIKES, ANTHONY GENERAL TIRE, INC 04/27/16 LEE, MARK N LAW OFFICE KEEFE & DEPAULI 226 16WC 19621 GUTHRIE, BILLY JO VERSATECH LLC 03/17/16 SMITH 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 CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 227 16WC 19643 JOHNSON, JOHN R CONTINENTAL TIRE 04/10/16 WILLIAMS CAPONI & ASSOC KEEFE & DEPAULI 228 16WC 19683 SIMMONS, TYLER SEGER EGG CORP 05/16/16 ROTH LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 229 16WC 20095 MORGAN-SMITH, TAYLOR A LOWES, INC 07/11/15 JAMES RUPPERT KEEFE CAMPBELL & ASSOC LLC 230 16WC 20772 TIPSWORD, LISA NORTH AMERICAN LIGHTING I 09/01/15 DANIELS WILZBACH PC LAW OFFICES STEPHEN CARTER 231 16WC 21211 MCDONALD, DWAINE CONTINETAL TIRE NORTH AME 01/09/16 HANAGAN & MCGOVERN PC 232 16WC 21465 TAYLOR, STACEY LYNNE SOUTH CENTRAL TRANSIT 01/12/16 HASSAKIS & HASSAKIS RUSIN & MACIOROWSKI LTD 233 16WC 21955 MCLASKEY, MARTHA ILLINOIS DEPT OF AGRICULT @ 07/29/15 BROWN & BROWN ASSISTANT ATTORNEY GENERAL 234 16WC 22484 WALTHES, SCOTT THE MASCHOFF'S 05/28/16 STRONG LAW OFFICE LAW OFFICE CRAIG A HANSEN 235 16WC 22635 MCKINNEY, TIM CONTINENTAL TIRE 07/16/15 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 236 16WC 22853 BROOKS, MICHAEL W MECHANOVENT CORP/NY BLOWE 06/02/14 HELLER HOLMES & ASSOC SMITH AMUNDSEN LLC 237 16WC 22897 DESETT, KIM, MOTHER OF GA CONTINENTAL TIRE # 05/31/15 NELSON & NELSON KEEFE & DEPAULI 238 16WC 23349 BRUMMER, EVAN HITACHI METALS AMERICAN L 04/13/16 MCCARTHY ROWDEN & BAKER MORROW WILLNAUER 239 16WC 23353 ELLIS, CAMEO GOOD SAMARITAN HOSPITAL 05/14/15 RICH RICH COOKSEY PC EVANS & DIXON, LLC 240 16WC 23614 BROWN, TERRE DURBIN'S SEAMLESS GUTTERI 05/24/16 MEYERS & FLOWERS GANAN & SHAPIRO 241 16WC 23647 WODTKA, DARRELL ENGEL BROTHERS, INC. 11/19/15 BECKER SCHROADER & CHAPMAN GANAN & SHAPIRO 242 16WC 23749 TAYLOR, RICKY O'DANIEL TRUCKING 04/26/16 HENNESSY & ROACH, PC 243 16WC 24436 WALLACE, MATHEW L. RESPONDEK RAILROAD 04/17/14 HASSAKIS & HASSAKIS GAROFALO SCHREIBER STORM 244 16WC 24453 KEYGER, KRAIG CONTINENTAL TIRE NORTH 11/19/15 HANAGAN & MCGOVERN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 245 16WC 24924 NEIKES, ANTHONY CONTINENTAL TIRE THE AMER 04/27/16 LEE, MARK N LAW OFFICE KEEFE & DEPAULI 246 16WC 25269 MICHELS, ARTHUR AT&T 06/18/16 SHAY & ASSOCIATES 247 16WC 25447 KSIAZKIEWICZ, ALAN JIMS'S WELL SERVICES 06/30/16 WOODRUFF & JOHNSON STEPHEN H LARSON LAW OFFICE 248 16WC 25752 GOLDMAN, ROBERT IRWIN TELESCOPIC SEATING 03/11/16 BUTLER & KEMPER WIEDNER & MCAULIFFE LTD 249 16WC 25772 WALTZ, PATRICK VANDALIA CORRECTIONAL CEN @ 04/21/16 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 250 16WC 25829 BULLOCK, APRIL CONTINENTAL TIRE 12/14/15 GARY L. BEMENT KEEFE & DEPAULI 251 16WC 26017 CRAMER, MICHAEL HELLA ELECTRONICS CORP 01/25/16 KATZ FRIEDMAN EAGLE ET AL ROUSE & CARY 252 16WC 26243 YATES, JENNIFER PEPSI MID AMERICA 10/01/15 WILKINS SCHNELLER LAW LLC 253 16WC 26412 MINTON, JOHN M MARLON COUNTY SHERIFF'S O 08/08/16 NELSON & NELSON 254 16WC 26456 DICKINSON, MELISSA WARREN G MURRAY CENTER @ 06/24/16 HUSTAVA, JOHN H ILLINOIS ATTORNEY GENERAL 255 16WC 26561 PRATER, DUSTIN DEFENDER SERVICES 08/05/16 KEEFE & GRIFFITHS PC 256 16WC 26574 BRIDWELL, SIOPHA HEIGHTS FINANCE CORPORATI 12/16/15 HANAGAN & MCGOVERN PC HENNESSY & ROACH, PC 257 16WC 26978 JONES, DAVID BUENING IMPLEMENT, INC. 07/08/15 LAW OFFICE PATRICK JENNETTEN 258 16WC 27010 GUTHRIE, JANE J&M MCLEAN D/B/A MCDONALD 12/17/15 INMAN & FITZGIBBONS 259 16WC 28125 DERRINGER, MATTHEW DEFENDER SERVICES, INC 07/13/16 BROWN & BROWN LAW OFFICE PAUL LARIMORE 260 16WC 28178 HOLTHAUS, GINA M NASHVILLE INTERIORS 03/11/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD 16WC028179 -C 261 16WC 28570 SOVA, MATHEW CONTINENTAL TIRE, THE AME 01/24/15 JUNCKER, DANIEL K PC KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 262 16WC 28997 FLYNN, DYLAN KINKELAAR PRODUCTS & SERV 08/23/16 STRONG LAW OFFICE CHILTON YAMBERT PORTER LLP 263 16WC 29054 PAGE, ANTHONY S LOWE'S CO INC 06/06/16 HASSAKIS & HASSAKIS PC KEEFE CAMPBELL & ASSOC LLC 16WC029180 -C 264 16WC 29264 SMILLIE, JERRY HAMILTON COUNTY COAL/ ALL 02/05/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 265 16WC 29393 HALL, RON UPSTAGING, INC 08/16/15 TAYLOR LAW OFFICES HOLTKAMP LIESE ET AL 266 16WC 29739 RUEZ, PAMELA PINNACLE FOODS 09/22/14 WALTON TELKEN FOSTER LLC INMAN & FITZGIBBONS 267 16WC 29804 PARTIN, ERIN E. CONTINENTAL TIRE NORTH AM 07/02/16 HARRIS & JONES 268 16WC 30450 SMITH, TIMOTHY MT VERNON TOWNSHIP HS 07/29/16 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 269 16WC 30725 KISELEWSKI, PEGGY CONTINENTAL TIRE NA 04/21/16 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 270 16WC 31055 HALL, ANDREW C CONTINENTAL TIRE 10/03/16 LAW OFFICES FOLEY & DENNY KEEFE & DEPAULI 271 16WC 31094 LOCHER, ISAIAH ELASTEC 07/21/16 RON D COFFEL & ASSOC 272 16WC 31438 STANART, MICHAEL ST OF IL DEIPT OF BIG @ 08/27/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 273 16WC 31456 GEIER, MICHAEL ILLINOIS SECRETARY OF STA @ 03/03/15 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 274 16WC 31611 INCE, GLENDA WALMART 09/10/16 BROWN & BROWN EARLY & MIRANDA PC 275 16WC 31786 WARREN, BELINDA MEDLINE 05/12/15 BROWN & BROWN GAROFALO SCHREIBER STORM 16WC031788 -C 276 16WC 31933 GROSS, HENRY WHITE COUNTY COAL 09/09/16 KOLKER LAW OFFICES FEIRICH MAGER GREEN & RYAN 277 16WC 31957 REEDY, JASON WW TRANSPORT 10/06/16 MILLER, WILLIAM R LAW OFFI HEYL ROYSTER VOELKER & ALLEN 278 16WC 32329 GONZALES, DAVID INNOVATIVE STAFF SOLUTION 09/07/16 MEYER, MICHAEL J BRUCE WARREN 279 16WC 32404 STANLEY, BRAD PRAIRIE FARMS DAIRY 06/05/14 HANAGAN & MCGOVERN PC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 280 16WC 33102 HUGGINS, JERAD DCA CONSTRUCTION 09/13/16 CERVANTES & ASSOC 281 16WC 33350 PHILLIPS, MARK CONTIENTAL TIRE 09/10/16 NELSON & NELSON KEEFE & DEPAULI 282 16WC 33421 KNEEZLE, CHRISTOPHER WALGREENS DISTRIBUTION CT 09/12/16 BROWN & BROWN EVANS & DIXON, LLC 283 16WC 33736 WEATHERSBY JR., CHARLES ALPHA & OMEGA CONSTRUCTIO 07/20/15 WILLIAMSON WEBSTER ET AL MORROW WILLNAUER 284 16WC 33971 CLYMER, CHRIS CONTINENTAL TIRE 12/15/15 BOYNE, KEVIN PC KEEFE & DEPAULI 285 16WC 34238 ELLIS, CAMEO GOOD SAMARITAN HOSPITAL 05/12/15 RICH RICH COOKSEY PC EVANS & DIXON, LLC 286 16WC 34819 JOHNSON, CARL VIKING COAL MINE 11/02/15 KOLKER LAW OFFICES 287 16WC 34951 MEYER, LAURA L SMITHFIELD FARMS 08/06/16 MITCHELL DELMER 288 16WC 35167 AKIN, HEATHER MCDONALD'S 06/27/15 HANAGAN & MCGOVERN PC 289 16WC 35574 HAMMOCK, CHAD CONTINENTAL TIRE OF AMERI 07/24/16 RON D COFFEL & ASSOC 290 16WC 35791 ENGLIN, JORDON LEE D.E MARTIN ROOFING COMPAN 11/07/16 BECKER SCHROADER & CHAPMAN 291 16WC 35832 EDMONDS, JERREL CONTINENTAL TIRE NA 03/23/16 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 292 16WC 35927 REED, JESSICA NORTH AMERICAN LIGHTING, 09/25/16 DANIELS WILZBACH PC LAW OFFICES STEPHEN CARTER 293 16WC 36926 KOESTER, DENNIS ROBERT NIEBRUGGE & SONS 09/26/16 FREDERICK & HAGLE BRUCE WARREN 294 16WC 36936 WRIGHT, DEBRA S WEST END FOODS, INC/BJR I 08/09/15 LAWINGER LAW OFFICE RODDY LAW LTD 295 16WC 36972 DALEY, JEFFREY ALABAMA FARMERS COOP, INC 01/08/16 DRUMMOND LAW OFFICE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 16WC 37156 MEYER, JESSICA CENTRALIA MANOR 07/09/15 DANIELS WILZBACH PC 297 16WC 37590 SMITH, PATRICIA WALGREEN'S 10/26/16 RICH RICH COOKSEY PC EVANS & DIXON, LLC 17WC000225 -C 298 16WC 38228 BELMONT, STEPHANIE WALGREENS DIST CTR 03/30/16 GARY L. BEMENT EVANS & DIXON, LLC 299 16WC 38524 MOODY, PAUL SRM CONSTRUCTION MATERIAL 11/04/16 SAUNDERS CONDON & KENNY 300 16WC 38849 SCHWARTZ, HELEN PACIFIC CYCLE 11/22/16 NESSLER, FREDERIC LAW OFFI 301 16WC 38987 JONES, GREGORY CONTINENTAL TIRE 11/01/16 WILLIAMS CAPONI & ASSOC KEEFE & DEPAULI 302 16WC 39285 MAINES, SHERRY PINNACLE FOOD 08/16/16 WILLIAMSON WEBSTER ET AL CRAIG & CRAIG 303 17WC 00058 GOBTOP, TONY UNIFIED STAFFING 10/12/16 GARY L. BEMENT 304 17WC 00464 CHAFFIN, TRAVIS CONTINENTAL GENERAL TIRE 06/23/16 KIRKPARTICK LAW OFFICES 305 17WC 00533 SMITH, LAMETRIA GRUPO ANTOLIN 08/30/16 WILLIAMS CAPONI & ASSOC 306 17WC 00647 ESCATEL, JUAN PRECISION PIPELINE LLC 12/13/16 SCHWEICKERT & GANASSIN ALISON E. STEWART 307 17WC 00880 HOUSLEY, MONICA GREEN TREE 10/12/16 KEEFE & GRIFFITHS PC 308 17WC 00909 ARNOLD, GREG STATE OF ILLINOIS @ 12/07/16 HUSTAVA, JOHN H ILLINOIS ATTORNEY GENERAL 309 17WC 01413 BRADDOCK, BURLYN LES WILSON INC 07/15/11 GARY L. BEMENT 310 17WC 01581 WARREN, STEPHEN M ST MARY'S HOSPITAL 07/01/16 BECKER SCHROADER & CHAPMAN EVANS & DIXON, LLC 311 17WC 01699 DAUGHERTY, DAVA GROUPO ANTOLIN 12/07/16 JOSEPH L SAMUELSON PC WIEDNER & MCAULIFFE LTD 312 17WC 02220 WILSON, WILLIAM A.E. WEASE, INC. 03/03/16 HUSTAVA, JOHN H MCANANY VANCLEVE & PHILLIPS 313 17WC 02374 VAUGHN, JASON CAMPBELL ENTERPRISES 05/30/14 HOWERTON, DORRIS & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 17WC 02520 EAGAN-ROBBINS, MARY WALGREENS DISTRIBUTION CT 12/17/14 BROWN & BROWN EVANS & DIXON, LLC 315 17WC 02719 RHODES, TEODORE J ILLINOIS STATE POLICE @ 02/27/15 RIDGE & DOWNES 17WC002721 -C 316 17WC 02755 YANEZ, ASHLEY HOSPITAL HOUSEKEEPING SER 12/14/16 HUSTAVA, JOHN H HENNESSY & ROACH, PC 317 17WC 03054 KEOUGH, DAVID FGM LOGISTICS 01/03/17 KEEFE & GRIFFITHS PC 318 17WC 03089 CAMPISE, SAM CHAD NIC PROPERTIES DBA 09/20/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 319 17WC 03759 MCCLENDON, TAMMY COMPASS GROUP 01/06/17 DWORKIN AND MACIARIELLO 320 17WC 04124 MCCRAY, GEORGE STAFF QUICK 01/11/17 KEEFE & GRIFFITHS PC HENNESSY & ROACH 321 17WC 04149 HUTSON, JANICE WHITE COUNTY COAL 11/13/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 322 17WC 04189 GARLICK, KIMBERLY RAE N.C.E.E CUSD #3 09/19/16 BEARD LAW FIRM NOBLE & ASSOCIATES PC 323 17WC 04532 SCOTT, NEVIN R PETCO PETROLEUM CORP 10/28/16 KANOSKI BRESNEY 324 17WC 04727 BOOZER, RANDALL CENTRALIA RECREATION COMP 04/11/15 NELSON & NELSON NYHAN BAMBRICK KINZIE & LOWR 325 17WC 04916 STONE, JENNIFER L ODIN HEALTH CARE 11/30/16 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 326 17WC 05078 HULTQUIST, MARY FAYCO ENTERPRISES 05/13/16 GALANTI LAW OFFICES 327 17WC 05579 GROFF, LESTER E NORTH AMERICAN LIGHTING, 10/26/16 JAMES RUPPERT LAW OFFICES STEPHEN CARTER 328 17WC 05710 EMMONS, JULIANNAB WALMART DC #6059 08/15/16 HASSAKIS & HASSAKIS EARLY & MIRANDA PC 329 17WC 06068 COLONI, STEVE ALLIANCE COAL 02/01/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 330 17WC 06108 NOONER, SUE ADDUS HEALTH CARE 02/06/17 RIDGE & DOWNES HENNESSY & ROACH, PC 331 17WC 06359 KOLLMAN, JAMES TEAM COMPANY INC DBA UNIQ 10/24/16 SCHWEICKERT & GANASSIN 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 CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 332 17WC 06460 HODGES, TABITHA TOYOTA BOSHOKU 10/10/16 STEVEN J MALMAN & ASSOCIAT HENNESSY & ROACH, PC 333 17WC 06669 SANDS, TAMMY HELP AT HOME 04/27/16 BROWN & CROUPPEN 334 17WC 06766 GEORGE, RAYMOND PERRY COUNTY SHERIFFS DEP 01/13/17 HARRIS & JONES INMAN & FITZGIBBONS 335 17WC 06998 SANDERS, AMBER TOYOTA BOSHOKU AMERICA 04/22/16 WOODRUFF & JOHNSON HENNESSY & ROACH, PC 336 17WC 07105 VAIL, BONNIE UPS 09/17/15 HELLER HOLMES & ASSOC MCANANY VANCLEVE & PHILLIPS 337 17WC 07154 GILLENWATER, CARL NORTH AMERICAN LIGHTING 12/16/16 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 338 17WC 07280 BUFF, JOLEEN P MAYCE CLARKSON DBA MAYCE' 12/07/16 339 17WC 07774 JARRELL, FRED PILOT TRAVEL CENTER 06/09/16 KEEFE & GRIFFITHS PC BRADY, CONNOLLY & MASUDA, PC 17WC007982 -C 340 17WC 07857 ARNING, DEBORAH A DOWNTOWN MT VERNON DEVELO 01/31/17 JAMES RUPPERT 341 17WC 07946 GRUNLOH, RONALDD B & L MACHINE SALES 06/04/13 HASSAKIS & HASSAKIS CASSANO & ASSOCIATES 342 17WC 07981 HASLETT, DAVID KELLY CORPORATION 02/03/17 BROWN & CROUPPEN 343 17WC 08050 BISHOP, DUSTIN J ALLIANCE COAL, LLC 01/15/16 JAMES RUPPERT FEIRICH MAGER GREEN & RYAN 344 17WC 08165 PIJANOWSKI, JAMES CONTINENTAL ENERGY LLC D/ 12/15/16 SCHWEICKERT & GANASSIN ROUSE & CARY 345 17WC 08712 CRAIN, ROXANNA L ASHLEY CCSD #15 11/01/16 JAMES RUPPERT 346 17WC 08727 KAYS, TERRY KASKASKIA SPECIAL ED DIST 12/21/16 CARAWAY FISHER WIEDNER & MCAULIFFE LTD 347 17WC 09277 WALL, DARRYL JR WALGREENS DISTRIBUTION CT 03/10/17 KROL BONGIORNO & GIVEN LTD 348 17WC 09516 MULDER, MARK EGYPTIAN EXPOSITION 10/20/16 STRONG LAW OFFICE 349 17WC 09577 COOK, DEBRA ALDI, INC 09/17/13 HANAGAN & MCGOVERN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 350 17WC 09579 GROSS, DION ALLIANCE COAL 11/15/16 CARAWAY FISHER FEIRICH MAGER GREEN & RYAN 351 17WC 09676 WERNSING, JERE DAVITA DIALYSIS 01/04/17 SMITH LAW LTD WIEDNER & MCAULIFFE LTD 352 17WC 09742 HEMPEN, TODD CITY OF CENTRALIA 05/14/16 INMAN & FITZGIBBONS 353 17WC 10207 SEELEY, SIERRA PINNACLE FOODS CORP 11/12/15 ROTH LAW OFFICES CRAIG & CRAIG 354 17WC 10229 CURRY, DONNA FREEMAN UNITED COAL MININ # 11/13/16 CULLEY & WISSORE 355 17WC 10742 SCOTT, ADAM ALTAMONT AMBULANCE SERVIC 03/27/17 NELSON & NELSON 356 17WC 10807 KASIM, IMAD XPO LOGISTICS 09/26/16 MCCARTHY ROWDEN & BAKER 357 17WC 10957 GOODWIN, BRANDI L WABASH CHRISTIAN 03/07/17 JAMES RUPPERT INMAN & FITZGIBBONS 358 17WC 11186 HAWS, BRIAN WAL-MART ASSOCIATES, INC. 07/08/16 GANAN & SHAPIRO 359 17WC 11314 DISMANG, ELIZABETH WABASH AREA DEVELOPMENT, 11/16/16 MCCARTHY ROWDEN & BAKER 360 17WC 11412 CARRIERS, HANCOCK HANCOCK CARRIERS 02/16/17 WOODRUFF & JOHNSON JAMES M KELLY 361 17WC 11564 GROSS, GWEN D KENNETH HAILS 09/07/16 JAMES RUPPERT GAROFALO SCHREIBER STORM 362 17WC 11599 STOVER, JEFFREY STATE/CENTRALIA C.C @ 02/13/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 363 17WC 11664 PEARSON, MELISSA MURRAY DEVELOPMENTAL CTR @ 09/12/16 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL 364 17WC 11715 STALEY,LORETTA TDL GROUPHOMES 04/11/17 DWORKIN AND MACIARIELLO 365 17WC 12312 OVERTURF, MARK T&T CARBIDE INC. 12/29/16 LAWLER & LAWLER BRADY, CONNOLLY & MASUDA, PC 366 17WC 12369 DAVIS, JENNIFER HELLA ELECTRONICS 06/01/16 LAW OFFICE KEITH SHORT ROUSE & CARY 367 17WC 12525 NELSON, CHARLENE CEFS ECONOMIC OPPORTUNITY 07/15/14 TAYLOR LAW OFFICES ROBERT L. SMITH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 368 17WC 12794 ROBERTS, ANSEL CHAD BETTENDORF-STANFORD, INC 01/11/16 PFAFF GARNER & TERLIZZI 369 17WC 12999 MIDDLETON, TOM TOYOTA BOSHOKU ILLINOIS, 09/01/16 MOSS & MOSS PC HENNESSY & ROACH, PC 370 17WC 13140 MIDDLETON, TOM TOYOTA BOSHOKU ILLINOIS, 09/05/16 MOSS & MOSS PC HENNESSY & ROACH, PC 371 17WC 13485 MISCHKE, MELODY J SSM HEALTH GOOD SAMARITAN 01/22/17 JAMES RUPPERT EVANS & DIXON, LLC 372 17WC 13503 WINTERMANN, JOHN NAL - NORTH AMERICAN LIGH * 12/07/16 LAW OFFICES TIMOTHY HENDER 373 17WC 13577 BEIGHLEY, BRENT XPO LOGISTICS 09/22/16 KROL BONGIORNO & GIVEN LTD 374 17WC 13587 SANNER, DARREN J WAL-MART DISTRIBUTION CEN 06/20/16 BONIFIELD & ROSENSTENGEL P 375 17WC 13762 JOHNSON, DEBRA CIRCLE K 05/04/16 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 376 17WC 14089 KASZIAN, MARK CONTINENTAL TIRE NORTH AM 06/02/16 LAWLER & LAWLER KEEFE & DEPAULI 377 17WC 14143 CARTER, ZACHARY GENCO DISTRIBUTION SYSTEM 09/28/15 SMITH LAW LTD ROUSE & CARY 378 17WC 14365 NICHLS, DONALD SCHMIDT CHEVROLET 01/23/17 GARY L. BEMENT 379 17WC 14749 STEWART, RHONDA J WALMART STORES, INC 10/27/16 BADGLEY, BRAD L QUINTAIROS PRIETO WOOD & BOY 380 17WC 14866 YOUNG, RONALD G AEROTEK 04/05/17 HASSAKIS & HASSAKIS PC HENNESSY & ROACH, PC 381 17WC 15451 SUMMERS, TODD CONTINENTAL TIRE 05/03/17 KEEFE & GRIFFITHS PC KEEFE & DEPAULI 382 17WC 15863 ROBERTS, SHERI A WALGREENS FAMILY OF COMPA 03/07/17 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 383 17WC 16037 BREWER, JOSHUA PACIFIC PRESS TECHNOLOGIE 05/01/17 RIDGE & DOWNES 384 17WC 16078 LOCKART, TYLER ALDI'S INC 03/19/15 LYNN D BARNETT 385 17WC 16257 SMITH, HARLEY DUST & SONS AUTO SUPPLY 04/20/17 RON D COFFEL & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 386 17WC 16342 WILLIAMS, JEFFREY CPC LOGISTICS 11/01/16 HANAGAN & MCGOVERN PC LEAHY WRIGHT & ASSOC 387 17WC 16486 POCRNICH, APRIL M MENARD, INC 06/13/16 JAMES RUPPERT 388 17WC 16664 LERCHER, CATHERINE ANDOLIN-INNERTECH 05/11/17 WILLIAMS CAPONI & ASSOC 389 17WC 16757 HAWKINS, TRYMON, C WALGREENS DISTRIBUTION CE 11/17/16 HASSAKIS & HASSAKIS 390 17WC 16849 WISDOM, ELLIS PRECISION PLUGGING 12/14/16 MCCARTHY ROWDEN & BAKER STEPHEN H LARSON LAW OFFICE 391 17WC 17024 YORK, LINDA BIRDIE'S SPORTS BAR AND G 09/18/16 WOMICK LAW FIRM CHTD HENNESSY & ROACH, PC 392 17WC 17058 BURKE, LEROY DEFENDERS 05/21/17 DWORKIN AND MACIARIELLO 393 17WC 17432 CALLAHAN, JESSE CITY OF MT VERNON 10/03/16 HUSTAVA, JOHN H KEEFE & DEPAULI 394 17WC 17490 HARDY, RANDY THE SHERWIN WILLIAMS COMP 05/01/17 LEVENHAGEN LAW FIRM PC GANAN & SHAPIRO 395 17WC 17535 HITE, DARRELL QUAD GRAPHICS 05/14/17 HELLER HOLMES & ASSOC INMAN & FITZGIBBONS 396 17WC 18102 REZBA, EDITH SUE NORTH AMERICAN LIGHTING, 01/23/17 PRINCE LAW FIRM LAW OFFICES STEPHEN CARTER 397 17WC 18180 KAYS, WILLIAM NATIONAL RAILWAY 08/19/16 HANAGAN & MCGOVERN PC 398 17WC 18216 RAUCH, MARK A VANDALIA CORRECTIONAL CEN 03/17/17 BECKER SCHROADER & CHAPMAN 399 17WC 18242 HOLLAND, CHARLES HAMILTON COUNTY COAL 02/01/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 400 17WC 18627 HAYS, BRIAN PINNACLE FOODS 06/01/17 LEE, MARK N LAW OFFICE INMAN & FITZGIBBONS 401 17WC 18767 ORLANDO, ERIC DINOS LOGISTIC/DINOS TRUC 05/17/17 JEROME LEFTON LAW OFFICE MCANANY VANCLEVE & PHILLIPS 402 17WC 18802 KNIGHT, TIMOTHY TOYOTA BOSHOKU OF ILLINOI 08/05/16 MCCARTHY ROWDEN & BAKER 403 17WC 18886 MANDRELL, SHELLY WALGREENS 06/02/17 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 404 17WC 18958 HERNANDEZ, SHIRLEY A PINNACLE FOODS CORPORATIO 06/07/17 PETER BLASI LLC CRAIG & CRAIG 405 17WC 19448 WILLIS, KAREN VANSEAL CORPORATION 07/25/16 NELSON & NELSON 406 17WC 19943 BRYANT, JEFFREY W DASH STAFFING & TRANSPORT * 05/26/17 HASSAKIS & HASSAKIS PC 407 17WC 20125 HOWARD, KEITH CONTINENTAL TIRE OF AMERI * 06/25/17 LAWLER & LAWLER KEEFE & DEPAULI 408 17WC 20146 BLAIR, MARLON M-CLASS MINING, LLC * 08/25/16 CULLEY & WISSORE 409 17WC 20204 WILLMORE, TIMOTHY CONTINENTAL TIRE * 06/14/17 GARY L. BEMENT KEEFE & DEPAULI 410 17WC 20227 BRIDGEFORTH, LISA DOCTORS NURSING AND REHAB * 04/27/17 DANIELS WILZBACH PC 411 17WC 20384 NALLEY, JERRY DAN'S PAINTING AND DECORA * 06/26/17 DWORKIN AND MACIARIELLO 412 17WC 20585 DOWELL, BRITTANY TONY WALKER D/B/A WALK'N * 04/18/17 MERKLEY & SHIELDS LLC 413 17WC 20697 CHESNEK, PAMELA JUNG TRUCK SERVICE, INC. * 09/06/16 HANAGAN & MCGOVERN PC JAMES M KELLY 414 17WC 20753 LEVINA, SHAWN GMS MINE REPAIR * 09/13/15 NELSON & NELSON 415 17WC 20844 GREEN, JOYCE WALGREEN'S * 02/15/17 RICH RICH COOKSEY PC 416 17WC 21280 HIGHTSHOE, MISTY TOYOTA BOSHOKU ILLINOIS * 06/05/17 MCCARTHY ROWDEN & BAKER 417 17WC 21597 FLENER, RUSSELL WABASH VALLEY SERVICE COM * 06/14/17 NELSON & NELSON 418 17WC 21626 BLUMENSTOCK, JARET L K-MAC HOLDINGS CORPORATIO * 01/03/17 MCANANY VANCLEVE & PHILLIPS 419 17WC 21668 OWEN II, TERRY ALLEN NATHAN BIRKNER DBA * 05/16/17 HEIDI A. HOFFEE LITCHFIELD CAVO 420 17WC 21812 BUENING, CHERYL MR VERNON TOWNSHIP HSD #2 * 04/27/17 NELSON & NELSON 421 17WC 21873 SMITH, BLAKE UNITED STAFFING * 07/11/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 422 17WC 22155 STEELE, SEAN B. LES WILSON DRILLING * 09/08/15 RON D COFFEL & ASSOC ROUSE & CARY 423 17WC 22211 KRANTZ, MELISSA HELLA ELECTRONICS CORP * 01/17/17 RICH RICH COOKSEY PC ROUSE & CARY 424 17WC 22344 PIERCE, ROXIE R WALGREENS FAMILY OF COMPA * 03/04/15 HASSAKIS & HASSAKIS PC 425 17WC 22613 FEIG, ADAM UNIVERSITY OF ILLINOIS * 05/30/17 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 426 17WC 22763 BURR, KRISTY COMMUNITY CARE SYSTEMS IN * 05/25/17 DANIELS WILZBACH PC 427 17WC 22873 KIRGAN, TONDRA M WARREN G MURRAY DEV CNTR @ * 05/16/17 NELSON & NELSON 428 17WC 22960 PRICE, PAUL B CONTINENTAL TIRE * 11/15/16 BECKER SCHROADER & CHAPMAN 429 17WC 23033 ALLISON, CANDY NORTH AMERICAN LIGHTING * 01/17/17 DWORKIN AND MACIARIELLO LAW OFFICES STEPHEN CARTER 430 17WC 23273 BELL, MATTHEW IVAN'S UPHOLSTERY W* 06/15/17 HANAGAN & MCGOVERN PC 431 17WC 23492 GRINOLS, RHONDA FAIRFIELD HOSPITAL * 02/06/17 BROWN & BROWN GAROFALO SCHREIBER STORM 432 17WC 23949 SPENCER, EVA DARLENE NORTH AMERICAN LIGHTING * 08/30/16 BROWN & BROWN LAW OFFICES STEPHEN CARTER 433 17WC 24059 BOSNJAKOVIC, BERIZ HAZE TRUCKING, LLC * 07/25/17 CANTOR & BURGER 434 17WC 24081 DONALDSON, DALE A MIDLAND STATES BANK * 08/25/14 MEYER, MICHAEL J ROUSE & CARY 435 17WC 24370 OWENS, LILA SWAN CORPORATION * 05/04/17 RICH RICH COOKSEY PC KNELL & O'CONNOR 436 17WC 24376 BRANCH, BRANDY R. HELP AT HOME, LLC * 03/13/17 FOREMAN & KESSLER, LTD 437 17WC 24502 SANDS, ROBERT BEELMAN READY-MIX INC * 07/18/17 DWORKIN AND MACIARIELLO HARRIS DOWELL FISHER & HARRI 438 17WC 24551 NIEDBALSKI, KEVIN XPO LOGISTICS, INC * 11/05/15 NELSON & NELSON 439 17WC 24646 MATRANA, EDDIE BARGER ENGINEERING * 10/09/14 HANAGAN & MCGOVERN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 440 17WC 24799 WEBER, DEBBIE CORPORATION * 08/18/16 LIVINGSTONE MUELLER ET AL 441 17WC 25111 TARR, JOANN WALMART DISTRIBUTION CTR * 07/20/17 HANAGAN & MCGOVERN PC EARLY & MIRANDA PC 442 17WC 25138 YOST, SUE WALGREENS * 10/05/16 TAYLOR LAW OFFICES 443 17WC 25367 SMITH, KYLE HENKELS & MCCOY * 07/18/16 MUELHAUSEN & STEFANI 444 17WC 25459 SMITH, LINDA DOLLAR GENERAL * 12/28/16 DWORKIN AND MACIARIELLO 445 17WC 25523 EUBANKS, ALLEN D CONTINENTAL TIRE NORTH * 04/10/17 JAMES RUPPERT KEEFE & DEPAULI 446 17WC 25596 SMITH, DEBRA L MAGNA INT'L NKA GRUPO ANT * 01/19/17 JAMES RUPPERT 447 17WC 25642 WOLFORD, BILLY HODGSON MILL * 03/10/17 SMITH LAW LTD 448 17WC 25743 GREGORY, MICKEY NATHAN BIRKNER D/B/A PREC * 05/16/17 HEIDI A. HOFFEE LITCHFIELD CAVO 449 17WC 25868 PORTER, DAVID E CONTINENTAL TIRE * 04/19/17 JAMES RUPPERT 450 17WC 25964 STRAIN, ANTHONY NORTH AMERICAN LIGHTING * 05/04/17 CULLEN HASKINS NICHOLSON LAW OFFICES STEPHEN CARTER 451 17WC 26186 JOHNSON, DAVID WAYNE-WHITE COUNTY ELECTR * 10/27/14 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 452 17WC 26228 JOLLY, RON D FORESIGHT ENERGY LP * 08/13/17 HEIDI A. HOFFEE 453 17WC 26442 KISSIAR, ROBERT D STATEWIDE TIRE DISTRIBTOR * 09/26/16 LAWINGER LAW OFFICE 454 17WC 26712 GUINN, DIANA HERITAGE WOODS OF MCLEANS * 07/26/17 SAM C MITCHELL & ASSOCIATE 455 17WC 26879 GARNER, DAVID WHITE COUNTY COAL * 07/14/17 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 456 17WC 26925 LUMPKINS, FRANKLIN L WALGREENS FAMILY OF COMPA * 10/18/16 HASSAKIS & HASSAKIS PC 457 17WC 26960 PONTIOUS, ERIC SHERWYN WILLIAMS * 06/07/16 KATZ FRIEDMAN EAGLE ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M CELLINI, PAUL 008 ARBITRATION CALL FOR MT VERNON 39002 ON 11/07/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 458 17WC 27048 SNOW, DONNA D WALGREENS FAMILY OF COMPA * 06/08/17 JAMES RUPPERT 459 17WC 27232 ACREE, IAN RESOURCE MFG * 06/01/17 RICH RICH COOKSEY PC 460 17WC 27520 TOLLIVER-GOODE, MATTHEW ERWIN SEATING CO * 08/12/17 DWORKIN AND MACIARIELLO 461 17WC 27674 BUCKLEY, MICHELLE HERSHEY CO * 07/19/16 TAYLOR LAW OFFICES 462 17WC 27796 JAKE, JEFF AIRTEX PRODUCTS, LP * 05/11/09 BROWN & BROWN 463 17WC 27992 RAINWATER, PAUL IL DEPT OF CORRECTIONS @ * 08/02/17 GARY L. BEMENT 464 17WC 28002 MIELKE, ROBERT WALGREENS FAMILY OF COMPA * 10/02/15 EVANS & DIXON, LLC 465 17WC 28175 WILLIAMS, MEGAN MURRAY CENTER * 06/19/17 HUSTAVA, JOHN H 466 17WC 28191 BRUCE, RUBY ANN FAIRFIELD PARK DISTRICT * 08/16/17 HOWERTON, DORRIS & STONE 467 17WC 28349 LEAF, NELLIE NORTH AMERICAN LIGHTING * 08/23/17 RICH RICH COOKSEY PC 468 17WC 28399 JOSEPH, STANLEY GREYHOUND LINES INC * 09/10/17 LAW OFFICES OF ELLEN E MOR 469 17WC 28425 COX, FRANK WHITE COUNTY COAL * 11/10/16 CULLEY FEIST KUPPART & TAY 470 17WC 28498 POOLE, HAROLD CONTINENTAL TIRE THE AMER * 09/06/16 KEEFE & DEPAULI 471 17WC 28623 ALLEN, CHASE M CLASS MINE * 08/31/17 SMITHPETERS LAW FIRM 472 17WC 28775 HOSICK, KONAN WHITE COUNTY COAL * 08/19/16 CULLEY FEIST KUPPART & TAY