ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 06WC 32768 HORSMAN, MATTHEW B POWELL CONSTRUCTION 08/30/03 HOPKINS & HUEBNER PC 2 09WC 27572 MARTINEZ DE NEVAREZ, GUAD TYSON FOODS 02/25/09 HOPKINS & HUEBNER PC WIEDNER & MCAULIFFE LTD 3 10WC 16346 19B ENGLUND, ROLLAND R SHARKEY TRANSPORATION, IN 12/07/09 AMES LAW OFFICES PERRY GENTILE 4 10WC 25114 MARTINEZ, JERONIMO MCLAUGHLIN BODY CO 06/22/09 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 10WC025115 -C 5 10WC 27034 JONES, JEREMY LUMEA STAFFING W 07/19/09 BLACK & JONES SPIEGEL & CAHILL, PC 6 10WC 28412 KINTZ, NIKKI DAN KOSTH D/B/A SPORTRONS 07/16/10 MALVIK, JOHN 7 10WC 39371 ESCAMILLA, ISRAEL THE BEDDING GROUP 02/02/09 HOPKINS & HUEBNER PC 8 11WC 22354 METTLER, JEANNINE STATE OF ILLINOIS @ 02/26/10 JAMES M RIDGE & ASSOC PC ASSISTANT ATTORNEY GENERAL 9 11WC 25338 SCHONE, RONALD IDOT DISTRICT 2 @ 02/02/11 JAMES M RIDGE & ASSOC PC ASSISTANT ATTORNEY GENERAL 11WC047515 -C 14WC027442 -C DEPARTMENT OF TRANSPORTATI 14WC033397 -C 15WC022871 -C DEPARTMENT OF TRANSPORTATI 10 11WC 28604 MARTINEZ DE NEVAREZ, GUAD TYSON FOODS 09/04/09 HOPKINS & HUEBNER PC GANAN & SHAPIRO 11 11WC 35982 MILBY, ELIZABETH E CJ SCOTTS INC DBA 12/03/10 AMES LAW OFFICES LAW OFFICES JOSEPH MARCINIAK 11WC040569 -C C.J. SCOTTS D/B/A DAIRY QU 12 11WC 45513 SABIEL, AMKALSOUM TYSON FRESH MEATS INC 03/15/11 LEADERS LAW CENTER LLC WIEDNER & MCAULIFFE LTD 13 12WC 11097 GREENO, MICHAL W STERLING RAIL SERVICE 10/12/11 MERTES & MERTES PC BRADY, CONNOLLY & MASUDA, PC 14 12WC 18370 CASEY, LAWRENCE J COLONY BRANDS INC 11/01/11 THOMAS R LICHTEN WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 12WC 27062 PUSKAR, JOHN M JENSEN CONSTRUCTION 05/18/12 STEPHENS FIDDES MCGILL ASS 16 12WC 29912 BRODY, MATTHEW P AG FAB LLC W 10/19/11 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 12WC029913 -C 17 12WC 40583 JENNINGS, CHADWICK JOHN DEERE HARVESTER 01/24/12 BELCHER LAW OFFICE CALIFF & HARPER PC 12WC040663 -C 18 13WC 03467 FLORES, JOSE XPAC 07/09/12 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 18WC029525 -C 19 13WC 08393 ALI, PAMELA MCLAUGHLIN BODY CO 01/14/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 20 13WC 09536 19B WILDERMUTH, BRADLEY T ABF FREIGHT SYSTEMS INC 01/09/12 AMES LAW OFFICES KEEFE CAMPBELL & ASSOC LLC 21 13WC 10656 HALEY, DANIEL EAST MOLINE FIRE DEPT 04/01/10 THOMAS W DUDA MCCARTHY, CALLAS & FEENEY PC 22 13WC 10811 HALEY, DANIEL EAST MOLINE FIRE DEPARTME 04/02/10 THOMAS W DUDA MCCARTHY, CALLAS & FEENEY PC 23 13WC 11688 ADAMS, DANIEL ROCK ISLAND SCHOOL DIST 10/06/11 WINSTEIN KAVENSKY & WALLAC INMAN & FITZGIBBONS 13WC012074 -C 24 13WC 18979 MANSARAY, WANDA A SAL FAMILY & COMMUNITY SV 11/01/12 KATZ HUNTOON & FIEWEGER P 25 13WC 19079 19B JONES, RHONDA SBM BUSINESS EQUIPMENT 12/21/12 WOLFE LAW PC HEYL ROYSTER VOELKER & ALLEN 26 13WC 22230 19B ROBERTS, LLOYD USF HOLLAND 05/04/12 RIDGE & DOWNES HENNESSY & ROACH 27 13WC 28164 19B WOOD, SHELLEY GENERAL GRIND AND MACHINE 07/31/13 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 28 13WC 29165 SHELDON, DEBBIE JOHN DEERE 09/10/10 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 29 13WC 35502 MARTINEZ, JERONIMO MCLAUGHLIN BODY COMPANY 07/13/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 30 13WC 38029 FETTERER, SAMANTHA TRIANGLE INN 12/27/12 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD 31 14WC 16746 WILKEN, KATHLEEN STATE OF IL @ 02/19/14 HAUSER LAW LLC ASSISTANT 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 SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 14WC 18134 DOMINGUEZ, NATASHA UNITY POINT TRINITY 03/14/14 WARNER & ZIMMERLE CALIFF & HARPER PC 33 14WC 18857 FITZSIMMONS, ROB HARTLAND CONTROLS 01/24/14 BLACK & JONES RUSIN & MACIOROWSKI LTD 34 14WC 19188 EWING, WILLIAM MCLAUGHLIN BODY COMPANY 02/28/14 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 35 14WC 20418 MEERDINK, KARIA SMITHFIELD FOODS, INC. 03/19/14 WINSTEIN KAVENSKY & WALLAC STEPHEN P. KELLY 36 14WC 22195 BOGGS, HERMAN E JR COUNTY WASTE SYSTEMS, INC W 03/02/14 KATZ HUNTOON & FIEWEGER P 14WC022196 -C JAMES L WATTS DBA 14WC022197 -C 14WC022198 -C JAMES L WATTS DBA 37 14WC 23044 BLACK, JIMMY JOHN DEERE HARVESTER 06/05/13 ANKIN LAW OFFICE BOZEMAN NEIGHBOUR PATTON & N 14WC041179 -C 14WC041180 -C 38 14WC 35917 RAUSCH, CANDY L WALMART STORES INC 08/15/14 KATZ HUNTOON & FIEWEGER P 39 14WC 40813 BROWNFIELD, MATT BOLDT MECHANICAL 11/13/14 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 40 15WC 00311 BELEIN, SAWSAN T TYSON FOODS INC 08/28/13 WIEDNER & MCAULIFFE LTD 41 15WC 00369 MAY, DAVID E PEOPLELINK STAFFING SOLUT 06/18/14 MARSZALEK AND MARSZALEK LAW OFFICES FRANCESCA LARSEN 42 15WC 00926 REED, LISA ST OF IL DEPT OF ILLINOIS @ 11/18/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 43 15WC 01286 WILKINSON, APRIL ACHIEVEMENT UNLIMITED INC 08/26/14 REHN LAW LLC GANAN & SHAPIRO 44 15WC 02822 EDWARDS, RAYMOND JOHN DEERE HARVESTER 08/12/13 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 45 15WC 03286 KOUE-ADJA, AKOSSIWA TYSON FRESH MEATS 04/08/14 CROWLEY & PRILL WIEDNER & MCAULIFFE LTD 16WC014612 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 15WC 06818 EL-MAJDOUBI, AHMED XPAC 02/26/14 WARNER & ZIMMERLE RUSIN & MACIOROWSKI LTD 15WC038241 -C 47 15WC 08485 SEDAM, FRANNIE VALSPAR CORPORATION 11/24/14 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD 15WC017842 -C THE VALSPAR CORPORATION 48 15WC 09160 PEREZ, ANTONIO D JR RELATED MANAGEMENT CO DBA 11/21/14 JOHN LESAGANICH RIPES NELSON BAGGOT KALOBRAT 15WC009325 -C 49 15WC 09733 DELOOSE, GERALD JOHN DEERE CYLINDER 04/17/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 50 15WC 10693 VEGA, MARIO FARMLAND FOODS INC 02/06/15 HOPKINS & HUEBNER PC 51 15WC 12005 DAVIS, CINDY METROLINK 03/25/15 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 52 15WC 13643 APPENZELLER, TIMOTHY UPM RAFLATAC 04/23/12 HORWITZ HORWITZ & ASSOC WOLFE & JACOBSON, LTD 15WC014339 -C 53 15WC 14421 TRANSOU, JASON ILLINOIS YOUTH CTR - KEWA @ 02/20/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 54 15WC 16488 PEREZ, APOLONIA FARMLAND FOODS 08/06/14 VANDERGINST LAW PC STEPHEN P. KELLY 55 15WC 18409 SWANSON, KEN IFH GROUP 04/01/15 DWORKIN AND MACIARIELLO 56 15WC 18999 D'AGOSTIN, SPENCER MJ ELECTRIC LLC 03/13/15 GESMER & REYNOLDS PC RUSIN & MACIOROWSKI LTD 57 15WC 20379 WHEELER, MICHAEL DEERE HARVESTER 12/14/10 VANDERGINST LAW PC BOZEMAN NEIGHBOUR PATTON & N 58 15WC 21271 MOTZ, KRISTIN XPAC PACKAGING 04/15/15 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 59 15WC 21374 WOOD, ADAM JOHN DEERE HARVESTER WORK 02/13/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 15WC021375 -C 60 15WC 21433 CRAWFORD, MICHELLE A IOWA PHYSICIANS CLINIC 01/10/14 CADY LAW FIRM, P.C. BETTY NEUMAN & MCMAHON 61 15WC 25654 CHAVEZ, JUAN STERLING RAIL SERVICES 08/19/13 REESE & REESE EVANS & DIXON 62 15WC 26370 FOSTER, YAKISHA (GUARDIAN KFC 07/14/15 KEYS LAW OFFICES COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 63 15WC 26838 19B HILLER, SONJA UNIQUE PERSONNEL CONSULTA 07/17/15 REHN LAW LLC HENNESSY & ROACH PC 64 15WC 27525 ALI, PAMELA MCLAUGHLIN BODY CO 06/30/15 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 65 15WC 28416 ALLEN, ERIC ILLINOIS YOUTH CENTER KEW @ 08/23/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 66 15WC 28524 ADAMS, ROBERT JOHN DEERE PARTS 01/01/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 16WC011812 -C 67 15WC 31110 HARPER, FRANCISCO JETCO INC 06/16/13 O'CONNOR & NAKOS 68 15WC 33446 MC GEE, STACEY R ILLINOIS YOUTH CENTER KEW @ 08/29/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 69 15WC 33822 DOMINGUEZ, JOEL TYSON FOODS, INC 11/09/12 HOPKINS & HUEBNER PC BRYCE DOWNEY & LENKOV LLC 70 15WC 35720 MASSAROLO, ANGELA WAL-MART STORES, INC 10/04/15 WINSTEIN KAVENSKY & WALLAC QUINTAIROS PRIETO WOOD & BOY 71 15WC 35806 MATHRE, RICHARD IL DEPT OF AGRICULTURE @ 03/17/15 LEE, MARK N LAW OFFICE 72 15WC 37670 BOLIO, WILLIAM JOHN DEERE SEEDING GROUP 10/12/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 73 15WC 38478 WARD, PATRICIA A DIDOUGH'S PRETZEL 01/31/15 MERTES & MERTES PC NYHAN BAMBRICK KINZIE & LOWR 74 15WC 38497 COVEMAKER, MICHAEL DEERE & COMPANY - JOHN DE 04/01/93 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 75 15WC 38600 ANDERSON, WES LEGGETT & PLATT 08/31/15 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 76 15WC 39841 SWARTS, DARREL W TYSON FRESH MEATS INC 09/15/15 KATZ HUNTOON & FIEWEGER P WIEDNER & MCAULIFFE LTD 77 15WC 39888 MEDHURST F/K/A MAGEE, KER ROSEWOOD ADMINISTRATIVE 04/19/15 REHN LAW LLC RUSIN & MACIOROWSKI LTD 16WC006417 -C 78 15WC 42090 MARTINEZ, JOSE JIM GIESE COMMERCIAL RFG 08/26/15 HOPKINS & HUEBNER PC KNELL & O'CONNOR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 16WC 01945 MUNTHER, PAULA JOHNSONS OIL INC 10/17/14 STRONG LAW OFFICE CAPUANI, FRANK S 80 16WC 02309 HAAN, DARREN JOHN DEERE HARVESTER 01/17/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 16WC002310 -C 16WC008373 -C 16WC008374 -C 16WC008375 -C 16WC008376 -C 81 16WC 04479 MAYES, DAVID REPUBLIC SERVICES INC 08/15/14 RIDGE & DOWNES GILDEA & COGHLAN 16WC004480 -C 16WC004481 -C 82 16WC 05384 HERMEYER, KIRBY OSCAR J. BOLDT 02/03/14 MEYERS & FLOWERS RUSIN & MACIOROWSKI LTD 83 16WC 06598 HAHN, DAN DEERE & COMPANY INC/JOHN 01/28/16 WILSON LAW OFFICES LLC LANE & WATERMAN 16WC006603 -C 16WC009468 -C 84 16WC 07119 DURAN, ROSA ST OF IL DEPT OF CORRECTI @ 01/14/16 PIGNATELLI & ASSOCIATES KRISTINA D DION 85 16WC 08101 MILLER, JAMES R ROCK ISLAND COUNTY 02/24/16 RIDGE & DOWNES BROOKS LAW FIRM 86 16WC 08557 LEAL, RALPH A ROCK RIVER CARTHAGE, INC 04/10/15 MERTES & MERTES PC RUSIN & MACIOROWSKI LTD 87 16WC 08564 WHITELY, BRAD J STERLING CHEVROLET 11/12/15 MERTES & MERTES PC INMAN & FITZGIBBONS 88 16WC 09408 MESSER, EARL LEON COOKS QUICK LUBE & AUTO R W 03/03/16 WOODRUFF & JOHNSON WARD MURRAY PACE & JOHNSON P 89 16WC 10729 MILES, CASSANDRA M ROCK ISLAND COUNTY 12/31/14 VANDERGINST LAW PC BROOKS LAW FIRM 90 16WC 11353 CEDENO, RAMIRO JOHN DEERE HARVESTER 06/03/15 DWORKIN AND MACIARIELLO CALIFF & HARPER PC 91 16WC 12073 PUGA, JAIME TYSON FRESH MEATS, INC. 03/23/15 WIEDNER & MCAULIFFE LTD 92 16WC 12236 LIBERG, MATTHEW T RESCAR 02/01/16 THOMAS R LICHTEN INMAN & FITZGIBBONS 93 16WC 12322 FATAH, ABDI TYSON FRESH MEATS, INC 09/05/14 GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 94 16WC 12489 JENKINS, CORY MCLAUGHLIN BODY COMPANY 02/29/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 95 16WC 12868 EDWARDS, TERRY JOHN DEERE 11/25/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 96 16WC 12892 CASEY, THOMAS F III CF INDUSTRIES 02/20/14 KATZ HUNTOON & FIEWEGER P NYHAN BAMBRICK KINZIE & LOWR 16WC012893 -C 97 16WC 13960 WEST, ANDREW W CITY OF ROCK ISLAND 11/04/15 THOMAS W DUDA BETTY NEUMAN & MCMAHON 98 16WC 14405 REID, AMANDA L. C.R. ENGLAND, INC. 12/17/15 MERTES & MERTES PC SPIEGEL & CAHILL, PC 99 16WC 15922 HASSAN, HALIMA TYSON FOODS, INC. 05/02/12 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 100 16WC 15947 DAVIS, JOSHUA ILLINOIS DEPT OF CORRECTI @ 04/02/16 REHN & SKINNER LLC KRISTINA D DION 101 16WC 16541 SEGAR, KARLA JOHN DEERE HARVESTER 09/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 102 16WC 17063 THOMPSON, CINDY GENESIS MEDICQAL CENTER A 03/25/16 WINSTEIN KAVENSKY & WALLAC HOPKINS & HUEBNER PC 103 16WC 17854 DEWITH, ENYO CITY OF ROCK ISLAND 06/23/13 THOMAS W DUDA 104 16WC 21827 MONTIEL, ALEXANDER WAHL CLIPPER 03/01/16 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 105 16WC 21881 FRANK, DALE JOHN DEERE HARVESTER 12/15/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 106 16WC 22495 BECK, PAMELA WAHL CLIPPER CORPORATION 02/03/16 HORWITZ HORWITZ & ASSOC HEYL ROYSTER VOELKER & ALLEN 107 16WC 23146 MINI, AARON CHICAGO BRIDGE & IRON CO 03/14/16 WILSON LAW OFFICES LLC RIPES NELSON BAGGOT KALOBRAT 108 16WC 23757 JOHNSON, DANNY K SMITHFIELD FOODS INC 01/02/15 JOHN LESAGANICH 109 16WC 24195 PATEL, JIM DLZ CONSTRUCTION 07/22/16 SEIDMAN MARGULIS & FAIRMAN 110 16WC 24572 BUCKINGHAM, LISA WAL-MART DISTRIBUTION CEN 04/08/16 MARTIN V KUGIA QUINTAIROS PRIETO WOOD & BOY 111 16WC 25619 BEAL, JOSEPHINE GOOD SAMARITAN NURSING HO 04/23/16 CAPRON & AVGERINOS PC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 112 16WC 26431 FASSIG, MATTHEW AREA MECHANICAL INC. 08/05/16 LEE, MARK N LAW OFFICE WIEDNER & MCAULIFFE LTD 113 16WC 28103 DAY, THADDEUS ELITE STAFFING 06/16/16 DWORKIN AND MACIARIELLO 114 16WC 28169 FERGUSON, ANGELA JOHN DEERE HARVESTER WORK 03/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 18WC014034 -C 115 16WC 28658 WHITE, BRIAN J COCA COLA REFRESHMENTS, I 01/07/15 VANDERGINST LAW PC BRADY, CONNOLLY & MASUDA, PC 116 16WC 29061 NACHE, MICHAEL SR EBY-BROWN CO 05/08/15 BOSHARDY LAW OFFICE PC COZZI & GOGGIN-WARD 117 16WC 29142 KONEN, GARY R DABNEY TRUCKING, INC 04/05/16 THOMSON & WEINTRAUB NYHAN BAMBRICK KINZIE & LOWR 19WC002668 -C 118 16WC 29918 KAGEE, RANDY JOHN DEERE SEEDING GROUP 09/16/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 119 16WC 30171 STACH, STUART XPAC 09/09/16 RUSIN & MACIOROWSKI LTD 120 16WC 31140 DOUTENA, AFIWA TYSON FOODS, INC 07/02/15 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 121 16WC 31530 REED, ALAN GALESBURG CASTINGS, INC 07/09/15 WINSTEIN KAVENSKY & WALLAC 122 16WC 31720 QAMHI, NAWAL TYSON FOODS INC 09/26/13 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 16WC031724 -C 16WC031725 -C 17WC012473 -C 123 16WC 32751 CHAVEZ, LINDA XPAC 06/19/14 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 16WC032754 -C 124 16WC 33408 BUCKINGHAM, LISA WALMART DISTRIBUTION CTR 04/08/16 MARTIN V KUGIA QUINTAIROS PRIETO WOOD & BOY 125 16WC 34488 ALFREDM EDELYN NAVIGATION INC 09/17/16 126 16WC 35763 ROSALES, LIZBETH GREAT DANE TRAILERS 12/09/15 SPIEGEL & CAHILL, PC 127 16WC 37247 PARKS, LARRY JOHN DEERE HARVESTER 01/16/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 128 16WC 37828 OLSON, JACKLYN K WEST CENTRAL CUSD #235 08/31/16 THOMAS E CADY MACIOROWSKI SACKMANN & ULRIC 129 16WC 38642 MORRISSEY, WAYNE ANTHONY EUCLID BEVERAGE LLC 01/05/16 REHN LAW LLC ROBERT L. SMITH 130 16WC 38812 CURTIS, NEIL ILLINOIS DEPARTMENT OF IL 12/12/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 131 17WC 01386 EASLEY, KIMBERLY WINNIGN WHEELS INC 01/13/17 DWORKIN AND MACIARIELLO 132 17WC 01670 CASTANEDA-VALDEZ, ANGEL LA LEASING, INC DBA 09/23/16 THE NEPPL LAW CENTRE BETTY NEUMAN & MCMAHON 133 17WC 01930 VAN VOLTENBURG, DEANNA MILLER CONTAINER CORPORAT 11/30/16 WARNER & ZIMMERLE WIEDNER & MCAULIFFE LTD 134 17WC 02008 PETERSON, SHAWN STATE OF ILLINOIS - IDOT @ 10/28/14 JOHN LESAGANICH 135 17WC 02107 KLASSEN, CRAIG WEST ROCK 10/24/16 CROWLEY & PRILL SPIEGEL & CAHILL, PC 136 17WC 02120 19B SCOTT, CYNTHIA ANNAWAN SD UNIT 226 02/24/15 CAPRON & AVGERINOS PC ROSARIO CIBELLA 137 17WC 03007 JOHNSON, JOHN JOHN DEERE HARVESTER 03/10/14 CAPRON & AVGERINOS PC CALIFF & HARPER PC 17WC003008 -C 138 17WC 03053 ROYSE, JEFFREY JOHN DEERE HARVESTER WORK 01/19/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 139 17WC 03085 RUSSELL, TYLER MARTIN ENGINEERING 10/17/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 140 17WC 03285 MILLER, RICKY J PRECISION LASER ALIGNMENT 12/01/15 HOPKINS & HUEBNER PC 141 17WC 03615 MATTHEWS, TAQUANA JOHN DEERE HARVESTER 02/01/14 DONOVAN ROBERTSON CALIFF & HARPER PC 142 17WC 05609 EDWARDS, TERRY JOHN DEERE HARVESTER WORK 08/01/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 143 17WC 05748 FOX, JOSEPH EAST MOLINE CORRECTIONAL 11/15/16 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 144 17WC 06032 SAMPSON, JIM O CGH MEDICAL CENTER 01/16/17 MERTES & MERTES PC WIEDNER & MCAULIFFE LTD 145 17WC 06099 STAHLER, JON KURT HAWKEYE BUILDING DISTRIBU 11/12/15 BUSH MOTTO CREEN KOURY INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 146 17WC 06525 MCDANEL, MICHAEL JOHN DEERE HARVESTER 02/02/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 147 17WC 06707 HILL, PEGGY L THE SALVATION ARMY 07/26/16 THOMAS E CADY EVANS & DIXON 148 17WC 06989 AKPLA, AMA TYSON FOODS INC 07/09/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 149 17WC 07019 OGOUBI, AFI TYSON FRESH MEATS INC 02/28/17 LEADERS LAW CENTER LLC 150 17WC 07487 STEWART, ANGELA JOHN DEERE HARVESTER 06/01/16 DAVID HUNT BOZEMAN NEIGHBOUR PATTON & N 151 17WC 07500 STEWART, ANGELA JOHN DEERE HARVESTER 05/02/14 DAVID HUNT BOZEMAN NEIGHBOUR PATTON & N 152 17WC 07835 HUSKEY, RANDAL ROCK ISLAND MILAN 03/23/16 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 153 17WC 10247 GALINDO-VAZQUEZ, BEATRIZ FARMLAND FOODS 03/01/17 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 154 17WC 10644 MORALES FLORES, VICTOR FE PERFORMANCE FOOD GROUPS 08/25/16 WOODRUFF & JOHNSON BRYCE DOWNEY & LENKOV LLC 155 17WC 11318 GLOVER, WILLIAM ESSG 03/18/17 LAW OFFICE DAVID HUNT WIEDNER & MCAULIFFE LTD 156 17WC 11375 FREDERICK, JENNIFER APERION CARE 03/08/17 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 157 17WC 11688 KOVACS, JUSTIN QUAD CITY MALLAROS (ECHL) 02/17/17 FLOYD LAW FIRM INMAN & FITZGIBBONS 158 17WC 11776 EDWARDS, TERRY JOHN DEERE HARVESTER WORK 08/06/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 159 17WC 12101 THIESSEN, CARRY CHICAGO BRIDGE & IRON CO 04/04/17 HEALY SCANLON LAW FIRM RIPES NELSON BAGGOT KALOBRAT 160 17WC 12551 SPROUSE, STEVEN H HIRSCHBACH MOTOR LINES, I 03/21/16 BETTY NEUMAN & MCMAHON 161 17WC 14700 GORANSON, MICHAEL JOHN DEERE HARVESTER 01/03/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 162 17WC 14953 PIERCE, JOSH JB EXCAVATING 07/20/15 GALANTI LAW OFFICES EVANS & DIXON 163 17WC 14989 DOUMASHIE, AKU TYSON FOODS 05/30/14 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 164 17WC 15504 PULLIAM, DERRICK BENNIGANS 02/10/17 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 165 17WC 15852 SCHMIDT, LEE MAINTENANCE AND MECHANICA 05/02/16 HOPKINS & HUEBNER PC MACIOROWSKI SACKMANN & ULRIC 166 17WC 16080 BARNES, BRIAN L MAPES ASPHALT SVCS 05/03/16 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 17WC016081 -C 167 17WC 16095 MARTINEZ, GUILLERMINA TYSON FRESH MEATS, INC. 08/15/14 ANDREW BRIBRIESCO WIEDNER & MCAULIFFE LTD 168 17WC 16099 GETSON, PATTI VAN WESTERN ILLINOIS BROADCAS 08/08/15 VANDERGINST LAW PC HENNESSY & ROACH 169 17WC 16118 WILSON, LAURIE HEALTHCARE SERVICE GROUP 05/25/16 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 170 17WC 16142 KOVACS, JUSTIN QUAD CITY MALLARDS 04/22/17 FLOYD LAW FIRM INMAN & FITZGIBBONS 171 17WC 16632 SHELEY, BRYNN JOHN DEERE PDC 05/12/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 172 17WC 16966 MCMAHON, GARY P XPO LOGISTICS FREIGHT 04/08/16 HARVEY & STUCKEL RUSIN & MACIOROWSKI LTD 173 17WC 17642 HADDOCK, COY CASEYS GENERAL 06/11/17 174 17WC 17739 SCHEMEL, GERHARD ILLINOIS QUAD CITY CIVIC 03/23/17 BLACK & JONES HOLECEK & ASSOCIATES 175 17WC 18979 GOOCH, CRYSTAL JOHNSON OIL 07/20/16 WARNER & ZIMMERLE 176 17WC 19370 TANNER, BRIAN HOSPICE SOURCE 04/06/17 DAVID W MARTAY 177 17WC 19511 VEAL, CELENA JOHN DEERE HARVESTER 06/09/17 HOPKINS & HUEBNER PC CALIFF & HARPER PC 178 17WC 20713 MCGHEE, POWELL ROCK ISLAND/MILAN SCHOOL 02/01/16 MARSZALEK AND MARSZALEK BRYCE DOWNEY & LENKOV LLC 179 17WC 20890 BROWN, ERIC B MOLINE POLICE DEPT 01/10/14 RIDGE & DOWNES ANCEL GLINK PC 180 17WC 20925 STEWART, JACOB ROCK ISLAND COUNTY HEALTH 04/21/17 TAXMAN POLLOCK 181 17WC 21003 WAYLAND, JESSE W III ROCK ISLAND HIGH SCHOOL 06/27/15 WINSTEIN KAVENSKY & WALLAC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 17WC 21613 HARRISON, WILLIAM C IL DEPT OF EMPLOYMENT SEC @ 06/05/17 HOPKINS & HUEBNER PC ASSISTANT AT0TORNEY GENERAL 183 17WC 22589 CHANDLER, MICHAEL EAST MOLINE SCHOOL 03/02/17 HOPKINS & HUEBNER PC HEYL ROYSTER VOELKER & ALLEN 18WC021312 -C 184 17WC 22995 YEAGER, DALE (DECEASED) THA MAY COMPANY # 01/09/81 RIDGE & DOWNES KNELL LAW LLC 185 17WC 23251 RICE, DEMETRIUS TYSON FOODS 07/31/15 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 186 17WC 24550 SEAVEY, REBEKAH SELECT SPECIALTY HOSPITAL 11/30/16 STRONG LAW OFFICE COZZI & GOGGIN-WARD 187 17WC 24763 SWANSON, TINA JOHN DEERE HARVESTOR WORK 05/08/17 RIDGE & DOWNES BOZEMAN NEIGHBOUR PATTON & N 188 17WC 24989 IVES, DAKOTA W KROGER 04/25/17 MERTES & MERTES PC STONE & JOHNSON CHARTERED 189 17WC 25076 WILKINSON, TINA DURBY INDUSTIES 08/04/17 JOSEPH MARCINIAK 190 17WC 25356 MANGO, BARBARA KEWANEE LIFE SKILLS @ 11/18/16 LAW OFFICE OF CHRIS DOSCOT 191 17WC 25638 GIBSON, ANGELA HY-VEE 02/02/17 WARREN E DANZ, PC HOPKINS & HUEBNER PC 192 17WC 26613 MCSHANE, JEROME ELITE STAFFING 08/31/17 DWORKIN AND MACIARIELLO 193 17WC 26767 JOHNSON, JENNIFER ALDI 06/09/17 BLACK & JONES BRADY, CONNOLLY & MASUDA, PC 194 17WC 27051 JACKSON, TINA DERBY INDUSTRIES, LLC 08/04/17 REHN LAW LLC JOSEPH MARCINIAK 195 17WC 27365 PLATT, DENNIS J OLD DOMINION FREIGHT LINE 08/03/17 THOMAS E CADY 196 17WC 28092 MARKS, KELLY STERLING CHEVROLET 11/01/16 WOLFE LAW PC 197 17WC 30170 MILLER, TAMMY HNB OIL CORPORATION 03/25/16 SIMPSON PETERSON RIPES NELSON BAGGOT KALOBRAT 198 17WC 30328 HEMMINGER, MARVIN LEE MAZEL & COMPANY 07/15/17 LAW OFFICE PAUL LARIMORE 199 17WC 31076 LINDSAY (VOLOVITZ), JAMIE AUNT MARTHA'S HEALTH 02/20/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 17WC 31148 CORK, TERRY GREEN GABLES 08/08/17 DAVID W OLIVERO POWER & CRONIN LTD 201 17WC 31660 JEWELL, RICHARD MOLINE PUBLIC WORKS 09/27/17 WINSTEIN KAVENSKY & WALLAC ANCEL GLINK PC 18WC015074 -C CITY OF MOLINE PUBLIC WORK 202 17WC 32493 LEC, VEZAIP MENK USA 03/17/17 REESE & REESE WOLFE & JACOBSON, LTD 203 17WC 32641 FOSTER, STEVEN UNITED PARCEL SERVICE INC 08/17/17 WINSTEIN KAVENSKY & WALLAC NYHAN BAMBRICK KINZIE & LOWR 204 17WC 32658 PARVIN, THOMAS J KENDRA & RENE SOTELO DBA W 04/15/17 REESE & REESE 205 17WC 32981 WOODS, CAROLE KNOX COLLEGE 07/27/17 LAW OFFICE OF CHRIS DOSCOT HOLECEK & ASSOCIATES 206 17WC 33367 ERICSON, JASON UNITED FACILITIES 11/07/17 RIDGE & DOWNES COZZI & GOGGIN-WARD 207 17WC 34111 STEPHENS, GARY T ELITE STAFFING INC 10/20/17 ANESI OZMON RODIN NOVAK KO 208 17WC 34138 ATCHISON, MARY LYNN METROPOLITAN AIRPORT AUTH 08/08/17 LEONARD LAW GROUP LLC 209 17WC 34553 PETERSON, JEFF USF HOLLAND 08/02/17 WINSTEIN KAVENSKY & WALLAC HENNESSY & ROACH 210 17WC 34709 PHEIFFER, BARRY AC MCCARTNEY 04/01/12 PATRICK JENNETTEN GAIDO & FINTZEN 211 17WC 35044 CLARK, IVORY BHASED 10/22/15 VANDERGINST LAW PC 212 17WC 35118 SANFO, SOULEYMANE TYSON FRESH MEATS 10/26/17 CROWLEY BUNGER PRILL WIEDNER & MCAULIFFE LTD 213 17WC 35442 VALLEJO, ISABEL M ARC OF THE QUAD CITIES 10/01/17 STENGEL BAILEY ROBERTSON 214 17WC 35897 HART, ANGELA FRIENDSHIP MANOR 10/27/16 VANDERGINST LAW PC RIPES NELSON BAGGOT KALOBRAT 17WC035898 -C 17WC035899 -C 215 17WC 35954 WRIGHT, DENISE DICK BLICK HOLDINGS, INC 08/30/17 JOHN LESAGANICH 216 17WC 36395 BORYS, MICHAEL JAY NATIONAL FREIGHT INCORPOR 06/27/17 WARNER & ZIMMERLE MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 217 17WC 36578 ZINKE, CHAD SENSIENT TECHNOLOGIES COR 09/22/17 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM GRA 218 17WC 36647 SHAFFER, PENNY JOHN DEERE HARVESTER WORK 05/16/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 219 17WC 37065 LACY, DERIC RIVERSIDE STAFFING 11/15/17 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 220 17WC 38031 BAHENA, VICENTE MICRO INDUSTRIES, INC 03/16/17 REESE & REESE 221 18WC 00718 ANDERSON, LARRY O'REILLY AUTO PARTS 06/18/17 CHRISTINE A KEYS PC HENNESSY & ROACH 222 18WC 01538 BELL, YVONNE HALLCON CORPORATION 12/24/17 REHN LAW LLC KNELL & O'CONNOR 223 18WC 01555 HARRINGTON, RUSSELL SEDONA STAFFING 07/01/17 BLACK & JONES BETTY NEUMAN & MCMAHON 224 18WC 01819 BROOKS, PAUL ELITE STAFFING 09/08/17 DWORKIN AND MACIARIELLO 225 18WC 02071 WARNER, JOSHUA M GATES CORP 01/05/18 HASSELBERG & ROCK 226 18WC 02398 ZUNIGA, ADAN CLEAN HARBORS INDUSTRIAL 12/12/17 THE ROMAKER LAW FIRM EVANS & DIXON 227 18WC 02656 TOSSI, PAULIN TYSON FOODS INC 12/07/17 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 228 18WC 02880 WATERS, CRETA TYSON FRESH MEATS 11/01/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 229 18WC 03112 RANDALL, WILLIAM ALB FREIGHT TRANSPORTATIO W 09/10/17 REHN LAW LLC 230 18WC 03123 WHITTINGTON, RODNEY JOHN DEERE HARVESTER 11/15/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 231 18WC 03293 RICO-MORALES, EVA TYSON FRESH MEATS INC 08/05/13 WIEDNER & MCAULIFFE LTD 232 18WC 03332 JENKINS, SHAWN E BUILDERS SALES & SERVICE 01/04/18 CADY LAW FIRM, P.C. RIPES NELSON BAGGOT KALOBRAT 233 18WC 03468 MBEMBA, JEAN PAUL EXPORT PACKAGING CO INC 03/30/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 18WC003469 -C 234 18WC 03806 DAVIS, JACOB JEWEL-OSCO 01/23/18 WINSTEIN KAVENSKY & WALLAC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 235 18WC 04534 BAH, ADAMA HOPE CREEK CARE CENTER 03/21/17 RUBENS AND KRESS BROOKS LAW FIRM 236 18WC 05330 MAUS, TAWNY LAMI INC 01/07/17 COSTELLO LAW FIRM GANAN & SHAPIRO 237 18WC 05486 AUGUSTINE, THOMAS SCHWAN'S HOME SVC 09/23/17 O'CONNOR & NAKOS GAROFALO SCHREIBER STORM GRA 238 18WC 05598 DODSON, JEFF UNITYPOINT HEALTH - PROCT 01/15/18 BLACK & JONES STEPHEN P. KELLY 239 18WC 05683 GUERRERO, RITA GREAT DANE TRAILERS 02/22/16 WILSON LAW OFFICES LLC SPIEGEL & CAHILL, PC 240 18WC 05829 CUEVAS, DAVID HY-VEE INC 11/04/17 REHN LAW LLC QUINN JOHNSTON HENDERSON ETA 241 18WC 06029 ALBERTSON, DANIEL STERLING RESTORATIONS 09/28/17 PIGNATELLI & ASSOCIATES 242 18WC 06813 SWIFT, JUSTIN E KREIDER SERVICES 02/10/18 REESE & REESE 243 18WC 06993 SHORT, SALLY WESTROCK 02/22/18 STRONG LAW OFFICE HENNESSY & ROACH PC 244 18WC 07307 BUNTON, RONALD JOHN DEERE PDC 09/14/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 245 18WC 08493 SCHEUER, STEVE G5 TECH SOLUTIONS 11/28/17 CHRIS DOSCOTCH WOLFE & JACOBSON, LTD 246 18WC 08827 BENNETT, PEGGY A MUSELMAN INVESTMENTS, LTD 04/21/16 CADY LAW FIRM, P.C. 247 18WC 08929 DEYO, DEBRA L MACLEAN-FOGG COMPONENT 12/06/17 TUITE LAW WIEDNER & MCAULIFFE LTD 248 18WC 09346 KEMPEL, JEFFREY JOHN DEERE HARVESTER 08/04/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 249 18WC 09514 ANDERSON, EMILY SEDONA STAFFING 03/01/18 MARC J SHUMAN & ASSOCIATES BETTY NEUMAN & MCMAHON 250 18WC 10097 BLAIR, HANS UPS PARCEL SERVICE 02/15/18 BOZEMAN NEIGHBOUR PATTON & 251 18WC 10236 WADSAGER, DAVID A JOHN DEERE HARVESTER 01/05/18 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 252 18WC 10671 WALES, PALEMA J GENERAL EXPRESS DIVISION 01/09/18 WINSTEIN KAVENSKY & WALLAC SCOPELITIS GARVIN LIGHT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 253 18WC 10840 SIMMONS, LORI LYNN PETERSEN HEALTH CARE 04/01/17 254 18WC 11471 PERLEY, LISA M NEW PERSPECTIVE 03/25/18 THOMAS E CADY WOLFE & JACOBSON, LTD 255 18WC 11839 DAVIS, PIPER C LONG SHOT SPORTS BAR & GR 04/11/17 MERTES & MERTES PC KOPKA, PINKUS DOLIN, PC 256 18WC 11985 RICHARDSON, RYON OLSON FARMS 04/07/18 GESMER & REYNOLDS PC EVANS & DIXON 257 18WC 12052 RUBINGH, KRISTINA JOHN DEERE HARVESTOR 01/05/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 258 18WC 12404 KOSTMAN, PAULA MONDELEZ INTERNATIONAL 01/28/18 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 259 18WC 12791 WRIGHT, SANDRA AS WIDOW O DOHRN ENTERPRISES, INC. F # 03/28/18 COSTIGAN & WOLLRAB PC GANAN & SHAPIRO 260 18WC 13350 CONWAY, DENNIS LANE GALESBURG WELLNESS CENTER 10/25/16 COLLISON LAW OFFICES RUSIN & MACIOROWSKI LTD 261 18WC 13549 KOSTMAN, PAULA MONDELEZ INTERNATIONAL 09/08/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 262 18WC 13799 SMITH, ABIGIL HEALTH CARE SVC GROUP 01/14/18 REHN LAW LLC 263 18WC 13995 ANDERSON, RANDALL AG VIEW FS INC 06/21/17 ANKIN LAW OFFICE 264 18WC 14108 CHURCHILL, STEVEN ARAMARK UNIFORM SERVICES 03/09/18 RIDGE & DOWNES INMAN & FITZGIBBONS 265 18WC 14344 STOVER, CALEB HILL CORRECTIONAL CENTER @ 04/23/18 GOLDFINE & BOWLES ASSISTANT ATTORNEY GENERAL 266 18WC 14495 SCHLUNG, RICHARD JOHN DEERE HARVESTER WORK 04/04/18 MCDONALD WOODWARD & CARLSO BOZEMAN NEIGHBOUR PATTON & N 267 18WC 14887 BOSENGA, JULIE SMITHFIELD FARMLAND CORP 02/05/18 REHN LAW LLC STEPHEN P. KELLY 268 18WC 15019 BOYER, DORINE J GANA - A'YOO SVS, CORP 08/29/17 CADY LAW FIRM, P.C. 269 18WC 15152 HARRELSON, TRACY L JOHN DEERE 11/15/16 KATZ NOWINKSI PC CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 270 18WC 15667 MILLER, TANNER S TRISTATE FIRE CONTROL INC 01/05/18 ANKIN LAW OFFICE GANAN & SHAPIRO 271 18WC 16105 REED-WILMINGTON, DIANE HEARTLAND HEALTHCARE 03/31/18 WINSTEIN KAVENSKY & WALLAC 18WC031643 -C 272 18WC 16225 SHANER, TAMMY L FIRSTGROUP AMERICA, INC D 04/10/18 REESE & REESE WIEDNER & MCAULIFFE LTD 273 18WC 16616 POLITE, GEORGE YRC FREIGHT 04/24/18 RIDGE & DOWNES HENNESSY & ROACH 274 18WC 16779 SCRITCHFIELD, STEPHEN ROCK ISLAND COUNTY 08/19/16 RIDGE & DOWNES BROOKS LAW FIRM 275 18WC 16887 MANONDZO, PHILIPPINE SMITHFIELD FARMLAND CORP 09/21/17 REHN LAW LLC STEPHEN P. KELLY 276 18WC 17184 WALLACE-MCKENNA, KELLIE HENRY COUNTY HUMANE SOCIE 03/19/18 STEPHENS FIDDES MCGILL ASS QUINN JOHNSTON HENDERSON ETA 277 18WC 17336 MATEYENDOU, MAYONOU JOHN DEERE 12/12/17 KATZ NOWINKSI PC CALIFF & HARPER PC 278 18WC 17476 ZIGLER, MARY F MICRON INDUSRUES CORP 05/07/18 REESE & REESE HOLECEK & ASSOCIATES 279 18WC 17819 CRAM, KEVIN MULTIBAND, INC. 06/04/18 PIGNATELLI & ASSOCIATES 280 18WC 18053 MYERS, JESSICA PETERSON HEALTH CARE 05/28/18 REHN LAW LLC KNELL LAW LLC 281 18WC 18455 HODGES, TERRY HEAT AND CONTROL 07/01/16 REHN LAW LLC 282 18WC 18757 COX, AARON STATE OF IL HILL CORR CTR 02/27/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 283 18WC 18881 DAVIS, RUTHY JOHN DEERE HARVESTER 06/05/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 284 18WC 19337 COLON, CRUZ WAL-MART 08/12/17 KENNETH MAHAFFEY QUINTAIROS PRIETO WOOD & BOY 285 18WC 19684 STRIPLING, CHRIS CLOVERHILLS APPLIANCE 03/15/18 DWORKIN AND MACIARIELLO CAPUANI, FRANK S 286 18WC 19797 VAN WINKLE, CHRISTOPHER FRANSEN TRUCKINGINC 11/01/17 VANDERGINST LAW PC GANAN & SHAPIRO 287 18WC 20069 DONALDSON, GWENDOLYN GATES CORPORATION 05/31/18 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 288 18WC 20406 WILLMAN, MARIE A CASEY'S GENERAL STORE 03/25/17 REESE & REESE 289 18WC 20784 WELCH, JASON TCI MANUFACTURING 05/02/18 ACEVES & PEREZ PC EVANS & DIXON 290 18WC 20959 MERRITT, MICHAEL IL STATE POLICE @ 05/23/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 291 18WC 21053 WERDERMAN, JOSEPH EAGLE ENTERPRISES RECYCLI 11/07/17 JOHN LESAGANICH WOLFE & JACOBSON, LTD 292 18WC 21186 STEWART, GREGORY SUSTAINABLE CONSTRUCTION 05/09/18 GOLDFINE & BOWLES EVANS & DIXON 293 18WC 21408 SNYDER, ARON DUPONT-DANISCO, INC. 09/27/17 CAPRON & AVGERINOS PC LITCHFIELD CAVO 294 18WC 21755 LAPORTE, NOLAN QUAD CITY MALLARDS 12/23/16 FLOYD LAW FIRM 295 18WC 21902 STROM, TODD JOHN DEERE HARVESTER 05/27/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 296 18WC 22389 LAMB, BRIAN JOHN DEERE 02/08/18 LOGAN LAW CALIFF & HARPER PC 297 18WC 22467 MARTINEZ, ERNESTINA FARMLAND FOODS INC 06/07/17 WOODRUFF JOHNSON STEPHEN P. KELLY 298 18WC 23228 MORGAN, CODY R MH EQUIPMENT 08/02/16 MERTES & MERTES PC HENNESSY & ROACH 299 18WC 23362 RYBERG, NARCISA DICK BLICK HOLDINGS, INC 07/16/18 SKINNER & ASSOC 300 18WC 23586 FORBES, LEROY JR. TYSON FRESH MEATS INC 05/24/17 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 301 18WC 23763 DE LOPEZ, MARIA TORRES TYSON FOODS INC 03/01/17 BRIBRIESCO LAW FIRM WIEDNER & MCAULIFFE LTD 18WC023764 -C 302 18WC 23991 MATEJKA, SCOTT MENK USA 08/07/17 THOMAS W DUDA WOLFE & JACOBSON, LTD 303 18WC 24406 ABDENNEBI, NADIA TYSON FOODS, INC. 10/30/17 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 304 18WC 24679 DIKEMAN, LORRETTA AMERICAN PEST CONTROL 05/23/18 DAVID HUNT 305 18WC 24809 NELSON, RICHARD ROCK ISLAND COUNTY 09/14/17 RIDGE & DOWNES BROOKS LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 306 18WC 25467 CUSUMANO, CHRISTOPHER CHARTWELL STAFFING SOLUTI 04/23/18 CAPRON & AVGERINOS PC 307 18WC 26108 TAYLOR, RODNEY JOHN DEERE HARVESTER 02/21/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 308 18WC 26126 STUART, CHERYL LUDENS POTTER MAHAFFEY AN 11/11/15 WARD MURRAY PACE & JOHNSON 309 18WC 26420 FRIEND, DAVID HELP INDUSTRIAL SERVICES 03/22/18 ANKIN LAW OFFICE EVANS & DIXON 310 18WC 26544 MARTEL, AIMEE L CAMELOT THERAPEUTIC SCHLS 01/09/18 KATZ NOWINKSI PC JOSEPH MARCINIAK 311 18WC 26929 DENBROOK, LINDA D&D SERVICES D/B/A PREFER 04/03/18 WINSTEIN KAVENSKY & WALLAC 312 18WC 27124 CHRISTIE, RHONDA MERCER COUNTY SCHOOL DIST 05/01/17 ASHER, RAYMOND L LTD INMAN & FITZGIBBONS 313 18WC 27410 COWDEN, JOEY UNITED FACILITIES, INC 07/22/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 314 18WC 27823 ANGEL, ANTHONY C LA LEASING, INC, D/B/A 09/07/16 KATZ NOWINKSI PC 315 18WC 28301 BAHRS, JASON JOHN DEERE HARVESTER WORK 03/15/18 KATZ FRIEDMAN EAGLE ET AL BOZEMAN NEIGHBOUR PATTON & N 316 18WC 28406 CASSADAY, BRANDI ORA ORTHOPEDICS 01/01/10 WARNER & ZIMMERLE LAWRENCE COZZI - LAW OFFICE 317 18WC 28690 HARMS, JOHN T VOLT MANAGEMENT CORP 07/23/18 KATZ NOWINKSI PC ORENSTEIN & ASSOCIATES 318 18WC 29025 THURMAN, JOHN P HALVERSTON CONSTRUCTION C 08/07/18 ANESI OZMON RODIN NOVAK KO JAMES M KELLY 319 18WC 29118 GRAY, LUETHER ROCK ISLAND-MILAN SCHOOL 08/29/18 CADY LAW FIRM, P.C. BRYCE DOWNEY & LENKOV LLC 320 18WC 29198 ANDERSON, MICHAEL TYSON FRESH MEATS, INC 02/09/18 GANAN & SHAPIRO 321 18WC 29512 BONEY, MICHAEL E HUFFMAN WELDING & MACHINE 03/18/16 KATZ NOWINKSI PC CAPUANI, FRANK S 322 18WC 29526 DAUPHIN, KIMBERLEE A THE BON-TON STORES, INC 08/18/18 WINSTEIN KAVENSKY & WALLAC 323 18WC 29677 RICHARDS, JEREMIAH SLOAN IMPLEMENT CO 04/26/18 PIGNATELLI & ASSOCIATES EVANS & DIXON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 324 18WC 30197 MEAD, BRIAN GREEN GABLES FURNITURE 09/19/18 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 325 18WC 30626 REEVES, JENNIFER COMMUNITY LIVING OPTION 09/18/18 WINSTEIN KAVENSKY & WALLAC 326 18WC 30640 DOBEREINER, BENJAMIN ILLINOIS DOT DISTRICT 2 @ 09/20/17 VANDERGINST LAW PC ASSISTANT ATTORNEY GENERAL 327 18WC 30879 DUHIGG, JACK DISTRINCTIVE ROOFING, INC 08/03/18 HORWITZ HORWITZ & ASSOC KNELL LAW LLC 328 18WC 31113 ROBNETT, CINDY WISE FINANCIAL STERLING, 01/08/18 SCHWEICKERT & GANASSIN 329 18WC 31331 MORRIS JR, DAVID WALMART 08/17/18 O'LEARY SHELTON CORRIGAN GANAN & SHAPIRO 330 18WC 31332 LINDSEY, DAVID W BIRKEYS FARM STORE 09/21/18 SIMPSON PETERSON ACCIDENT FUND HOLDINGS 331 18WC 31364 DEJAYNES, SCOTT WESTROCK 05/24/18 STRONG LAW OFFICE HENNESSY & ROACH PC 19WC012382 -C 332 18WC 31927 ALLEN, AUSTIN PETERSON DISPOSAL SERVICE 03/08/18 REHN LAW LLC 333 18WC 32046 PINTO, HUGUETTE GENESIS MED CTR 05/23/17 WOODRUFF JOHNSON HOPKINS & HUEBNER PC 334 18WC 32600 NEWELL, CALEB CITY OF MONMOUTH 03/18/18 KARLIN FLEISHER & FALKENBE RUSIN & MACIOROWSKI LTD 335 18WC 32707 HEXOM, CHRISTOPHER PARR INSTRUMENT CO 09/27/17 VANDERGINST LAW PC KEEFE CAMPBELL BIERY & ASSOC 336 18WC 32848 LEWIS, MICHAEL W WHITESIDE COUNTY SHERIFFS 10/09/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 337 18WC 33023 BROWN, BRANDON SERVICE STEEL 08/02/18 WINSTEIN KAVENSKY & WALLAC NYHAN BAMBRICK KINZIE & LOWR 338 18WC 33172 CHAVEZ, JESSICA I PARKWAY CENTER, INC. 10/09/18 REESE & REESE 339 18WC 33539 SPRIET, CODY A.D. HUESING CORP 09/06/18 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 340 18WC 33793 HULSANDER, HOLDEN GREAT DANE TRAILERS 10/18/18 NO ATTORNEY SPIEGEL & CAHILL, PC 341 18WC 33859 BROWNLEE, DANIEL HILL CORRECTIONAL CENTER @ 10/12/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 342 18WC 34064 DELBRIDTGE, SARAH GRAPETREE MEDICAL STAFFIN 10/29/18 STEPHEN P. KELLY KEEFE CAMPBELL BIERY & ASSOC 343 18WC 34500 NUNEZ, ELODIA SMITHFIELD FOODS 04/28/17 DAMON YOUNG 344 18WC 34986 HAGER, DUSTIN STATE OF IL @ 06/05/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 345 18WC 35077 CARMONA, ANDRES L.A.LEASING INC D/B/A SED 06/15/17 HOPKINS & HUEBNER PC 346 18WC 35099 SIMPSON, RENEE TYSON FOODS, INC 03/31/18 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 347 18WC 35504 DOSS, ANTWONY JOHN DEERE HARVESTER 01/27/16 HOPKINS & HUEBNER PC BOZEMAN NEIGHBOUR PATTON & N 348 18WC 35729 BITLER, DOUGLAS CLIMCO COILS CO 08/30/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 349 18WC 36027 SCHULTZ, LYNN HEALTHCARE PLUS 10/18/18 PIGNATELLI & ASSOCIATES 350 18WC 36210 TOMSIC, DAVID JOHN DEERE CYLINDER 08/15/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 351 18WC 36447 GARCIA, DANIEL J DEERE & CO/HARVESTER WORK 03/12/18 KATZ NOWINKSI PC BOZEMAN NEIGHBOUR PATTON & N 352 18WC 36674 VAN DELLEN, STEPHANIE WHITESITE COUNTY 09/26/18 PIGNATELLI & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 353 18WC 36799 BOSS, VANESSA WALMART DISTRIBUTION CTR 11/01/17 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 354 18WC 37171 BEARSLEY, NATHANIAL MACLEAN-FOGG 11/10/18 CAPRON & AVGERINOS PC HENNESSY & ROACH PC 355 18WC 37393 BURMEISTER, RICK JOHN DEERE HARVESTER WORK 08/06/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 356 18WC 37581 DESHANE, ADAM UNITED PARCEL SERVICE, IN 04/09/18 HOPKINS & HUEBNER PC 357 18WC 37649 HAGLUND, CHARLOTTE R IOWA HEALTH SYSTEM DBA 06/26/17 KATZ NOWINKSI PC CALIFF & HARPER PC 358 18WC 37728 HAYNES, MARC A KNOX COUNTY SHERIFF'S DEP 06/28/18 KINGERY DURREE WAKEMAN O'D BUSH MOTTO CREEN KOURY 359 18WC 37745 MENDOZA, NIESHA CLOVER LEAF COLD STORAGE 12/07/18 DWORKIN AND MACIARIELLO KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 360 18WC 37967 BAILEY, LAKEETA BAYMONT INN SUITES 11/11/18 REHN LAW LLC GANAN & SHAPIRO 361 18WC 37991 RASCON, PATRICIA J ACHIEVEMENT UNLIMITED 03/25/18 PIGNATELLI & ASSOCIATES 362 18WC 38054 WHITMAN, RANDALL ILLINI FEEDS 04/07/17 REHN LAW LLC BRADY, CONNOLLY & MASUDA, PC 363 18WC 38073 MISTIC, LARRY HY-VEE 10/09/18 CHRIS DOSCOTCH QUINN JOHNSTON HENDERSON ETA 364 18WC 38121 KANTOR, CORLEY KHAWAJA KASHIF ISMAIL DBA 02/03/18 REHN LAW LLC 365 18WC 38317 JACKSON, KAYLA HILLCREST HOME 08/16/18 CORNFIELD & FELDMAN INMAN & FITZGIBBONS 19WC004018 -C 366 18WC 38411 FOX, SAMANTHA L IL DEPT OF CORRECTIONS @ 11/30/18 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 367 19WC 00048 MINRICK, JACOB KEWANEE LIFE SKILLS 11/16/18 RIDGE & DOWNES 368 19WC 00141 KATES, MARK MURPHY CONTAINER 11/02/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 369 19WC 00304 OSTROWSKI, MICHAEL LANGMAN CONSTRUCTION, INC 07/30/18 LOGAN LAW STEPHEN P. KELLY 370 19WC 00579 NYMAN, EMILY DICK BLICK HOLDINGS INC 08/16/18 SKINNER & ASSOC JOSEPH MARCINIAK 371 19WC 00795 DUCEY, JAMES E CITY OF ROCK ISLAND 01/06/18 THOMAS W DUDA BETTY NEUMAN & MCMAHON 372 19WC 01111 DIGGINS, RENITA R & B HENDERSON INC./ ARB 09/24/18 REHN LAW LLC INMAN & FITZGIBBONS 373 19WC 01158 COOPER, RON JONES LEASING PROPERTIES, 12/25/18 MARSZALEK AND MARSZALEK 374 19WC 01664 HOLLIS, JIM UNITED FACILITIES 09/13/18 WINSTEIN KAVENSKY & WALLAC 375 19WC 01669 GIRMAN, STEPHEN BASTIAN AUTO OUTLET 04/03/18 GOMEZ MAY LLP 376 19WC 01686 DENNIS, KELLY REN & KEN ENTERPRISES INC 03/30/18 PIGNATELLI & ASSOCIATES HENNESSY & ROACH 377 19WC 01913 LOCKWOOD, DONALD EUGENE OFFICE MACHINE CONSULTANT 07/30/18 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 378 19WC 02025 MAUSSER, DAN STACKIS HYDRAULICS & HOSE 11/09/18 BLACK & JONES ROSARIO CIBELLA 379 19WC 02154 WASHINGTON, DEMARCO TYSON FRESH MEATS 06/29/18 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 380 19WC 02378 CORNETT, MAURICE UPS FREIGHT 01/12/19 RIDGE & DOWNES ASA LAW GROUP 381 19WC 02590 GLORIA, ALEXIS HAPPY TAILS INC 09/17/18 PIGNATELLI & ASSOCIATES 382 19WC 02610 PETERS, RONALD L JR. SIMPSON TRUCKING & 07/17/17 MCDONALD WOODWARD & CARLSO QUINN JOHNSTON HENDERSON ETA 383 19WC 02967 LOUCKS, NICHOLAS L DEERE & CO./SEEDING GROUP 12/14/18 KATZ NOWINKSI PC CALIFF & HARPER PC 384 19WC 03129 GENDE, SARAH HCCS CODING & CONSULTING 08/27/18 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 385 19WC 03152 HULKE, GINGER WAL-MART DISTRIBUTION CEN 10/27/18 REESE & REESE QUINTAIROS PRIETO WOOD & BOY 386 19WC 03324 BOWMAN, JOHNNY E LCI CONCRETE, INC 10/31/18 SKINNER & ASSOC 387 19WC 03345 FRANTZ, THOMAS L BILL THOMPSON TRANSPORT, 01/14/18 CADY LAW FIRM, P.C. 19WC003346 -C 388 19WC 03786 MILLARD, DAVID JOHN DEERE HARVESTER WORK 11/09/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 389 19WC 03979 SIMMER, RODNEY ROCK ISLAND COUNTY 02/08/16 HOPKINS & HUEBNER PC BROOKS LAW FIRM 390 19WC 04022 HAMP, CASEY ORA 11/07/18 CORNFIELD & FELDMAN 391 19WC 04077 KELSO, SHANNON WALMART 12/10/18 LESKERA LAW FIRM GANAN & SHAPIRO 392 19WC 04525 FIELDS, JONIE K XPO LOGISTICS INC 12/12/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 393 19WC 04980 COMBS, CHERYL LOWE'S HOME IMPROVEMENT 08/13/18 RIDGE & DOWNES 394 19WC 05117 KOFRON, CAITLYN FRESENIUS KIDNEY CARE 01/08/18 VANDERGINST LAW PC HENNESSY & ROACH PC 395 19WC 05235 SIMMER, RODNEY HOPE CREEK CARE CENTER 02/08/19 HOPKINS & HUEBNER PC BROOKS LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 396 19WC 05273 EDDY, MICHAEL R SR. SHAWN HAMBELTON TRUCKING 06/21/18 NO ATTORNEY HEYL ROYSTER VOELKER & ALLEN 397 19WC 05295 ENOS, SILVA CLOVERLEAF COLD STORAGE 06/27/18 CROWLEY & PRILL KNELL LAW LLC 398 19WC 05405 STRISSEL, THOMAS XPO LOGISTICS 03/23/18 KROL BONGIORNO & GIVEN LTD RUSIN & MACIOROWSKI LTD 399 19WC 05686 MADDY, JOEL PURDY BROTHERS TRUCKING 06/06/18 CUSACK GILFILLAN & O'DAY BRADY CONNOLLY & MASUDA PC 400 19WC 05907 SMITH, TIMOTHY D TYSON FRESH MEATS, INC. 05/21/18 WIEDNER & MCAULIFFE LTD 401 19WC 06023 HARGER, STEVEN CLOVERLEAF COLD STORAGE 12/19/18 GOLDFINE & BOWLES KNELL LAW LLC 402 19WC 06057 HARRIS, TABITHA RIVERSIDE STAFFING 02/07/19 BLACK & JONES BRYCE DOWNEY & LENKOV LLC 403 19WC 06066 HARGER, STEVEN CLOVERLEAF COLD STORAGE 09/05/18 GOLDFINE & BOWLES KNELL LAW LLC 404 19WC 06113 STOKES, GREG WYFEELS HYBRIDS 09/28/18 CHRIS DOSCOTCH MCANANY VANCLEVE & PHILLIPS 405 19WC 06389 DAVIS, LEROY CLOVERLEAF COLD STORAGE 01/23/19 REHN LAW LLC KNELL LAW LLC 406 19WC 06569 FOX, HEATHER L SETON CATHOLIC SCHOOL 05/10/18 CALIFF & HARPER PC GANAN & SHAPIRO 407 19WC 06591 SNEED, DAVID W CPC LOGISTICS INC 10/05/18 CADY LAW FIRM, P.C. GAROFALO SCHREIBER STORM GRA 408 19WC 06709 CLARKE, AMANDA WESTROCK 11/07/18 STRONG LAW OFFICE HENNESSY & ROACH PC 409 19WC 06805 WARD, RICKY J MIDSTATE MANUFACTURING CO 02/11/19 MARK N LEE STEPHEN P. KELLY 410 19WC 06854 ADAMS, THOMAS LEGGETT & PLATT D/B/A 06/10/18 STROW LAW LLC RUSIN & MACIOROWSKI LTD 411 19WC 07273 BERNARDINI, ANGELA ANNE GOOD SAMARITAN SOCIETY 11/25/17 NO ATTORNEY 412 19WC 07709 ARCHIE, CURTIS C QUALITY CONTROLLED STAFFI 02/05/19 CHRISTINE A KEYS PC LAWRENCE COZZI - LAW OFFICE 413 19WC 07950 CAMACHO, ANA ISABEL TYSON FRESH MEATS 08/16/18 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 414 19WC 08085 THOMPSON, TERRILL QUAD CITY TOWING, INC. 10/20/18 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 415 19WC 08478 ATKINS, RICKY XPO LOGISTICS FREIGHT, IN 05/15/18 CHRISTINE A KEYS PC 416 19WC 08647 TUKIYA, NADINE SMITHFIELD FARMLAND CORP 05/12/18 REHN LAW LLC STEPHEN P. KELLY 417 19WC 08800 BEBENSEE, ANN EAST MOLINE SCHOOL DIST # 05/29/18 HOPKINS & HUEBNER PC HEYL ROYSTER VOELKER & ALLEN 418 19WC 08901 THOMPSON, TARA GATES CORPORATION 02/15/19 REHN LAW LLC QUINTAIROS PRIETO WOOD & BOY 419 19WC 08942 MUNOZ, CARMEN TYSON FRESH MEATS, INC. 04/27/18 BRIBRIESCO LAW FIRM WIEDNER & MCAULIFFE LTD 420 19WC 09212 PAINTER, CLIFFORD STANDARD FORWARDING 02/19/19 RIDGE & DOWNES 421 19WC 09481 DEPOVER, BRYAN JOHN DEERE PARTS DISTRIBU 02/18/17 VANDERGINST LAW PC CALIFF & HARPER PC 422 19WC 09622 SANCHEZ, BONITA MAPLE CROSSING AT AMBOY L 03/06/19 SCHWEICKERT & GANASSIN FRIEDRICH LAW LLC 423 19WC 09775 ROBERTS, JEFFREY QUAD CITY FAMILY ENTERTAI 07/19/18 WINSTEIN KAVENSKY & WALLAC 424 19WC 09922 DESSEYN, SCOTT JOHN DEERE HARVESTER WORK 12/22/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 425 19WC 10071 MANG, CHAN FARMLAND A/K/A 04/16/18 MARSZALEK AND MARSZALEK STEPHEN P. KELLY 426 19WC 10338 DOUGLASS, BRANT BIMBO BAKERIES USA, INC 08/25/16 KRALOVEC & MARQUARD 427 19WC 10525 DECKER, MARGARET KNOX COUNTY NURSING HOME 10/18/18 REHN LAW LLC 428 19WC 10682 NOSA, JOHN XPAC 02/15/19 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 429 19WC 10836 LYNN, DAVID LYNNBROOK FARMS 11/26/18 DAVID HUNT 430 19WC 11101 ZILIC, HALIMA TYSON FRESH MEATS 04/18/17 ELFENBAUM EVERS & AMARILIO 431 19WC 11349 MILLS, KELLI AVADYNE HEALTH 02/20/19 VANDERGINST LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 432 19WC 11537 WHITTLE, LEWIS SERVICE STEEL 03/26/19 CAPRON & AVGERINOS PC 433 19WC 11888 MACK, KEVIN ALLIED POWER SERVICES 03/24/19 MARK N LEE 434 19WC 12047 BOYLE, MARTIN NUTRIEN AG SERVICE 04/22/17 KALEEL, DAVID M 435 19WC 12094 MILLER, LAVONNE HELP AT HOME 11/19/18 VANDERGINST LAW PC 436 19WC 12114 NICHOLS, JOSHUA ZACHARY BEINTEMA, CONTRAC 09/20/18 JANSSEN LAW CENTER GAROFALO SCHREIBER STORM GRA 437 19WC 12191 TAYLOR, RODNEY JOHN DEERE HARVESTER 07/17/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 438 19WC 12373 HAIFA, CARLO A IL BELL TELEPHONE COMPANY 07/26/17 BROOKS LAW FIRM 439 19WC 12773 SHAMBOUL, TASABIH TYSON FRESH MEATS, INC 04/08/19 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 440 19WC 12853 ROBINSON, LAHARIE TYSON FRESH MEATS 02/21/19 ELFENBAUM EVERS AMARILIO Z WIEDNER & MCAULIFFE LTD 441 19WC 12923 DASSIE, THOMAS AT&T 04/05/19 SAUNDERS CONDON & KENNY HENNESSY & ROACH PC 19WC012921 -C 19WC012922 -C 442 19WC 13030 QUINTERO, IRENE TYSON FOODS 06/21/16 WIEDNER & MCAULIFFE LTD 443 19WC 13046 SPINKS, RENEE SCHNEIDER NATIONAL 03/29/19 VASILATOS & COTTER LLC 444 19WC 13091 MC LEAN, LILY K&K FAST FOOD, INC 12/06/18 REHN LAW LLC BRYCE DOWNEY & LENKOV LLC 445 19WC 13130 TIWA, KOMLAN TYSON FRESH MEATS INC 03/25/19 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 446 19WC 13177 GROSS, SHIRLEY MISS MAMIE'S 02/13/19 WINSTEIN KAVENSKY & WALLAC NYHAN BAMBRICK KINZIE & LOWR 447 19WC 13411 MASTON, DONALD HIRSCHBACH MOTOR LINES IN 01/31/19 REHN LAW LLC CHICAGO TRANSIT AUTHORITY 448 19WC 13497 DEWARLE, DON DIETZ DRAINAGE INC 07/06/17 PETER F FERRACUTI & ASSOCI BRADY, CONNOLLY & MASUDA, PC 449 19WC 13557 LANE, CORY VALLEY CONSTRUCTION 05/01/19 ELFENBAUM EVERS AMARILIO Z WOLF & LAUDICINA LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 450 19WC 13875 EDEUS, JOSEPH W HAROLD'S FURNITURE 12/10/18 MERTES & MERTES PC 451 19WC 14213 MILLORO, MICHELLE GENERAL GRIND AND MACHINE 02/28/19 WINSTEIN KAVENSKY & WALLAC ANCEL GLINK PC 452 19WC 14365 SANDERS, TODD A SCHNEIDER TRUCKING 03/29/18 PIGNATELLI & ASSOCIATES ASA LAW GROUP 453 19WC 14572 FREDERICK, JENNIFER JOHN DEERE HARVESTER WORK 04/26/19 REESE & REESE BOZEMAN NEIGHBOUR PATTON & N 454 19WC 14660 BURLESON, FAY DES EMPLOYMENT GROUP 03/13/19 DAVID W MARTAY 455 19WC 14770 FOSTER, STEVEN UNITED PARCEL SERVICE, IN 05/06/19 WINSTEIN KAVENSKY & WALLAC 456 19WC 14831 NIMRICK, JEFF OTTO BAUM 01/04/19 PETER F FERRACUTI & ASSOCI KNELL LAW LLC 457 19WC 14949 FURNALD, KAREN WEST CENTRAL CUSB 235 11/02/18 BROOKS LAW FIRM 458 19WC 14984 ISRAEL, REUBEN GREAT DANE TRAILOR CO 07/15/18 BLACK & JONES SPIEGEL & CAHILL, PC 459 19WC 15435 WADE, RANDEE HAPPY JOE'S PIZZA 05/13/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 460 19WC 15548 RICHARDS, DANIEL SADONA STAFFING 03/01/19 DWORKIN AND MACIARIELLO 461 19WC 15658 STEINBAUGH, MARIA IL DEPT OF EMPLOYMENT SEC @ 04/05/18 HOPKINS & HUEBNER PC 462 19WC 15707 MCCOY, DAVID IL DEPT OF TRANSPORTATION 03/26/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 463 19WC 15786 MAYES, DANA JOHN DEERE PARTS 08/02/18 CALIFF & HARPER PC 464 19WC 15963 HUIZENGA, ROBERT WILLIAMS WHITE & COMPANY 01/18/18 WINSTEIN KAVENSKY & WALLAC 465 19WC 15996 STEINBAUGH, MARIA ILLINOIS DEPARTMENT OF @ 04/05/18 HOPKINS & HUEBNER PC 466 19WC 16020 HAYTON, JASON DTS TRANSPORTATION 02/01/19 VANDERGINST LAW PC STONE & JOHNSON CHARTERED 467 19WC 16025 MOONEY, ANDREW TODD MUELLER D/B/A TODD'S 05/10/19 PIGNATELLI & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 468 19WC 16052 BURGESS, BROOK L HERITAGE WOODS OF STERLIN 02/19/19 MERTES & MERTES PC POWER & CRONIN LTD 469 19WC 16332 VELEZ DEGONZALEZ, ROBERTA XPAC 03/06/17 HOPKINS & HUEBNER PC RUSIN & MACIOROWSKI LTD 470 19WC 16341 HESS, JASON CITI TRENDS 03/25/19 WINSTEIN KAVENSKY & WALLAC 471 19WC 16775 HANNAH, TIMOTHY MIDNITE TRUCKING 04/27/19 WINSTEIN KAVENSKY & WALLAC SCOPELITIS GARVIN LIGHT 472 19WC 17012 HOPES, FRANKLIN CITY OF STERLING 05/05/19 FOOTE MIELKE CHAVEZ O'NEIL 473 19WC 17129 MONJARAZ, MARTHA SET AND SERVICE RESOURCES 05/21/19 MILLON & PESKIN LTD 474 19WC 17250 QUIROZ, RODRIGO UNITYPOINT AT HOME 03/24/19 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 475 19WC 17380 NITZ, DOUGLAS JOHN DEERE PARTS 02/07/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 476 19WC 17443 JACKSON, LARRY BELLOTA AGRISOLUTIONS 02/20/19 VANDERGINST LAW PC JOSEPH MARCINIAK 477 19WC 17637 TRIGUEROS, JOSE CENTENNIAL CONTRACTORS 05/15/19 ELFENBAUM EVERS AMARILIO Z 478 19WC 17641 SHREEVES, EMILY OSF ST MARY MEDICAL CENTE 03/18/18 ELFENBAUM EVERS AMARILIO Z 479 19WC 17687 OECHSNER, RICHARD FANTH & CURRY HOME IMPROV 06/08/17 MCDONALD WOODWARD & CARLSO BRYCE DOWNEY & LENKOV LLC 480 19WC 17742 PARADISO, BRIDGET SPRINGFIELD ARMORY 03/02/18 RUBENS KRESS MULHOLLAND 481 19WC 17884 MAVES, SCOTT TETTEN'S GRAIN, INC. 11/01/18 CAPRON & AVGERINOS PC 482 19WC 17996 MORRIS, PHILLIP MANPOWER GROUP 01/18/19 REHN LAW LLC WIEDNER & MCAULIFFE LTD 483 19WC 18039 ZENATI, YOUNES TYSON FOODS 01/16/18 WIEDNER & MCAULIFFE LTD 484 19WC 18349 POWELL, CONSTANCE ACRO SERVICE CORPORATION 07/01/18 MARSZALEK AND MARSZALEK 485 19WC 18522 MASTERS, BRIAN STATE OF ILLINOIS STATE P @ 04/25/19 CROWLEY & PRILL ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 486 19WC 19615 LEWIS, BRANDON R CITY OF ROCK FALLS * 04/08/19 THOMAS W DUDA 487 19WC 19664 LONGNECKER, JAMES JOHN DEERE HARVESTER * 05/09/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 488 19WC 19679 BROWNLEE, NANCY MIDWESTERN PET FOODS INC * 09/13/17 REHN LAW LLC 489 19WC 19929 RATHBURN, SHARON VALLEY MEATS * 02/27/18 HOLECEK & ASSOCIATES 490 19WC 20005 LINDSAY, TIMOTHY VALLEY MEATS LLC * 05/29/19 DWORKIN AND MACIARIELLO 491 19WC 20370 SPIKER, VERNON CONSOLIDATED GRAIN & BARG * 02/07/19 LOGAN LAW 492 19WC 20375 SPIKER, VERNON CONSOLIDATED GRAIN & BARG * 03/21/17 LOGAN LAW 493 19WC 20395 LEATHERS, MICHAEL AGAN'S QUALITY CONSTRUCTI * 05/31/19 VANDERGINST LAW PC 494 19WC 20492 HERNANDEZ, DAVID SCHNEIDER NATIONL TRUCKIN * 12/11/18 O'CONNOR & NAKOS 495 19WC 20659 REID, JASON K CITY OF EAST MOLINE * 04/24/19 THOMAS W DUDA POWER & CRONIN LTD 496 19WC 20803 DOUGLAS, KYLE QCOMM911 * 02/07/19 WILSON LAW OFFICES LLC BRADY, CONNOLLY & MASUDA, PC 497 19WC 21092 DE BOER, KENNETH STERLING COMMERCIAL ROOFI * 07/28/18 CULLEN HASKINS NICHOLSON HOPKINS & HUEBNER, P.C. 498 19WC 21274 SEIBER, CHARLES ROCK ISLAND MILAN SCHOOL * 11/20/18 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 499 19WC 21510 ISENHOUR, THOMAS JOHN DEERE HARVESTOR WORK * 01/24/19 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 500 19WC 21643 MESSERLY, THEODORE GOETZ CONCRETE CO * 07/08/19 WINSTEIN KAVENSKY & WALLAC 501 19WC 21701 RICHMOND, ANDREW AUTO TRUCK TRANSPORT * 07/15/19 DWORKIN AND MACIARIELLO 502 19WC 21792 FRANKLIN, GARY II SENDONA STAFFING * 04/08/19 WINSTEIN KAVENSKY & WALLAC 503 19WC 21847 BUSHUR, LAWRENCE JOHN DEERE PDC * 05/16/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 504 19WC 21939 PIZANO, DIANA TYSON FOODS, INC * 11/16/18 WINSTEIN KAVENSKY & WALLAC 505 19WC 21982 RAMIREZ, DAWN WESTERN IL HOME HEALTH CA * 04/10/19 SIMPSON PETERSON GANAN & SHAPIRO 506 19WC 22218 BOCK JR, DOUGLAS L WALMART SUPERCENTER (1) * 12/19/18 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 507 19WC 22327 WELVAERT, JUSTIN T CITY OF ROCK ISLAND * 02/01/17 THOMAS W DUDA BETTY NEUMAN & MCMAHON 508 19WC 22374 DESPAIN, KENNETH SWANSON TRUCKING INC * 12/11/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 509 19WC 22477 BORNSHEUER, MICHAEL GREAT DANE TRAILERS * 07/03/19 PERONA PETERLIN ANDREONI 510 19WC 22585 PHELPS, MICHAEL S STANDARD FORWARDING * 03/20/19 RIDGE & DOWNES 511 19WC 23005 WOODS, GEOFFREY IFH GROUP * 05/10/19 BLACK & JONES EVANS & DIXON 512 19WC 23034 GRAVES, TERI JOHN DEERE SEEDING * 04/06/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 513 19WC 23104 ZENATI, YOUNES TYSON FOODS, INC * 01/16/18 CAPRON & AVGERINOS PC WIEDNER & MCAULIFFE LTD 514 19WC 23186 SHIRLEY, ROBBIE IMH PRODUCTS * 02/28/19 MC HARGUE & JONES 515 19WC 23506 DEBOER, KENNETH STERLING COMMERCIAL ROOFI * 07/10/19 CULLEN HASKINS NICHOLSON STONE & JOHNSON CHARTERED 516 19WC 23577 SALOMON, FRANK KROGER CORP * 06/15/17 PIGNATELLI & ASSOCIATES GANAN & SHAPIRO 517 19WC 23754 WHEELHOUSE, REBECCA DIXLINE CORPORATION * 02/08/18 WINSTEIN KAVENSKY & WALLAC 518 19WC 23843 HULL. SCOTT JOHN DEERE HARVESTER * 07/19/19 WINSTEIN KAVENSKY & WALLAC 519 19WC 23898 LANDON, MONICA HEARTLAND HEALTH CARE CEN * 02/04/19 SIMPSON PETERSON 520 19WC 24344 HASSON, JEFF MIDAMERICAN ENERGY COMPAN * 03/02/18 BETTY NEUMAN & MCMAHON 521 19WC 24542 CEDENO, CINDY JOHN DEERE * 05/01/18 DWORKIN AND MACIARIELLO BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 522 19WC 24667 KLING, JAMES DEL'S METAL * 07/11/19 BLACK & JONES HENNESSY & ROACH 523 19WC 24941 ROBERTSON, MARSHALL TYSON FRESH MEATS I JOSLI * 03/27/19 DWORKIN AND MACIARIELLO 524 19WC 25193 BROCK, RONALD THARP BORTHERS * 08/12/19 LEFANTE LAW OFFICES 525 19WC 25239 THIRTYACRE, JULIE JOHN DEERE HAVESTER * 07/18/19 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 526 19WC 25311 UTLEY, ANTHONY SMITHFIELD FOODS * 04/25/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 527 19WC 25416 GODSIL, KRISTA DICK BLICK * 11/15/17 REHN LAW LLC 528 19WC 25453 BOTKIN, SHARON (WIDOW) WALTER D LAUD CONSTRUCTIO # * 08/23/19 ELFENBAUM EVERS AMARILIO Z JAMES M KELLY 529 19WC 25488 BABLER, DARRYL E PAUL TRUCKING, INC * 01/23/19 TUITE LAW ANCEL GLINK PC 530 19WC 25556 HARRIS, ROBERT STASHU & SONS, INC * 05/18/18 WINSTEIN KAVENSKY & WALLAC KOPKA, PINKUS DOLIN, PC 531 19WC 25963 KUNZLE, CHRIS BUHS GRI INTERMODAL 04/01/19 STEPHEN P. KELLY 532 19WC 26121 ANDERSON, JEFFERY S N & M TRANSFER * 10/04/18 RIDGE & DOWNES 533 19WC 26147 MCGANN, BARBARA CONSOLIDATED GRAIN & BARG * 04/08/19 LOGAN LAW 534 19WC 26217 MOHR, EMILY THE MAIDS 02/03/17 VANDERGINST LAW PC 535 19WC 26890 BRISBON, LONNELL WEST SIDE TRANSPORT INC * 08/02/19 GRAZIAN & VOLPE PC 536 19WC 26996 NEFF, KIMBERLY IL DIVISION OF REHABILITA @ * 05/29/19 REHN LAW LLC 537 19WC 27143 GANYO, KODZO TYSON FRESH MEATS, INC * 02/28/19 CADY LAW FIRM, P.C. 538 19WC 27321 POUNDERS, LUKAS R WAL-MART DISTRIBUTION CEN * 09/01/19 MERTES & MERTES PC 539 19WC 27449 WEIS, DOUGLAS J THERMO KING CHRISTENSEN I * 02/12/19 NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR ROCK ISLAND 44002 ON 11/04/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 540 19WC 27479 SMITH, THOMAS W GENESIS AMBULANCE SERVICE * 01/22/19 ELFENBAUM EVERS AMARILIO Z 541 19WC 27992 HARRIS, JOHN T TYSON FOODS * 02/01/19 WIEDNER & MCAULIFFE LTD 542 19WC 28066 KOVACIC, TRUDY MERCER MANOR REHABILITATI * 06/05/19 WINSTEIN KAVENSKY & WALLAC 543 19WC 28115 FARHAN, MOHAMMED TYSON FOODS INC * 07/01/18 STENGEL BAILEY ROBERTSON 544 19WC 28338 HABBEN, JUSTIN STERLING STEEL * 12/23/18 RUSIN & MACIOROWSKI LTD 545 19WC 28523 LOCOH, AYOKO LILI V TYSON FRESH MEATS, INC. * 10/13/18 CADY LAW FIRM, P.C. 546 19WC 28658 GREENE, ALBERT EAST MOLINE CORRECTIONAL @ * 04/01/19 RIDGE & DOWNES