ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 08WC 12011 SIMMONDS, FRANKLYN JR TARGET 07/24/06 GENE A TURK, JR LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 2 09WC 51191 KETRING, CYNTHIA G STATE OF ILLINOIS @ 08/23/07 SHORT AND DAUGHERTY ASSISTANT ATTORNEY GENERAL 10WC005172 -C 10WC005257 -C ST OF IL DEPT OF SOUTHERN 3 10WC 07165 SHANNON, BARBRE HAMILTON MEMORIAL HOSPITA 09/08/09 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM GRA 4 10WC 21215 LEFLER, JOSH MENTOR NETWORK 03/25/10 RON D COFFEL & ASSOC CHILTON YAMBERT PORTER LLP 11WC009783 -C 5 10WC 34618 HENDERSON-ODUM, NANCY CHESTER MENTAL HEALTH @ 07/20/10 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 6 11WC 25805 HAFERTEPE, EMILIA Y STATE OF ILLINOIS CHOATS @ 05/22/11 JOHN FOLEY LAW OFFICE ASSISTANT ATTORNEY GENERAL 11WC025819 -C 12WC030240 -C ST OF IL DEPT OF CHOATE 14WC016209 -C 14WC029176 -C ST OF IL DEPT OF CHOATE 15WC026312 -C CHOATE MENTAL HEALTH 7 12WC 18004 MARTIN, BRENDA BRUSHY CREEK COAL CO 08/13/11 CULLEY & WISSORE KEEFE & DEPAULI 8 12WC 28841 HENSON, PHYLLIS, WIDOW OF PATRIOT COAL CORP # 02/27/12 CULLEY FEIST KUPPART & JOR KEVIN M HAZLETT LLC 9 13WC 08691 BRADDY, ROBERT ZELLER CONSTRUCTION INC 02/11/13 LAWLER & LAWLER GANAN & SHAPIRO 10 13WC 09488 FITZMAURICE, CHRISTINE NEURORESTORATIVE 11/30/11 WOMICK LAW FIRM CHILTON YAMBERT PORTER LLP 11 13WC 12330 HERRON, BRANDY (GUARDIAN CATERPILLAR, INC 02/11/13 COOK SHEVLIN YSURSA ET AL ROUSE & CARY 12 13WC 16133 19B MABRY, STEPHANIE MARSHALL BROWNING HOSPITA 01/19/13 RON D COFFEL & ASSOC GAROFALO SCHREIBER STORM 13 13WC 18297 19B ELDARACHER, DAVID BOWEN ENGINEERING 02/28/13 LAW OFFICE OF FOLEY & DENN HEYL ROYSTER VOELKER & ALLEN 14 13WC 26991 REED, JOSEPH BIG RIDGE INC 11/17/12 CULLEY & WISSORE EVANS & DIXON, LLC 15 13WC 28804 19B BOWERS, MARK MENARD CC @ 08/20/13 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 16 14WC 03948 HACK, MAGDALENA DOLLAR GENERAL 01/05/14 LAW OFFICE OF JAMES PARROT 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 NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 14WC 09228 ROMANI, MICHAEL LAMPLEY OIL INC 08/26/11 KEEFE & DEPAULI RIPES NELSON BAGGOT KALOBRAT 18 14WC 11103 19B OAKLEY, KAREN COMMONWEALTH EXPRESS 03/13/14 LAW OFFICE OF JAMES PARROT FEIRICH MAGER GREEN & RYAN 19 14WC 16005 UCHTMAN, PATTI WEXFORD HEALTH 03/07/14 FISHER KERHOVER & WELGE RUSIN & MACIOROWSKI LTD 20 14WC 26856 DWYER, DOROTHY ANN MEMORIAL HOSPITAL 07/09/13 KATZ FRIEDMAN EAGLE ET AL FEIRICH MAGER GREEN & RYAN 21 14WC 34365 LAY, CATHY TRI-C ELEMENTARY 12/17/08 LAW OFFICE OF JAMES PARROT HENNESSY & ROACH, PC 22 14WC 34644 WOLZE, JASON ILL DEPT OF CORRECTIONS @ 01/13/14 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 23 14WC 36268 SMITH, HERBERT SIH/HERRIN HOSPITAL 04/16/14 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 24 14WC 39390 VILLAGOMEZ, IRMA DOLLAR GENERAL 10/01/14 BEMENT & STUBBLEFIELD LEAHY EISENBERG & FRAENKEL 25 14WC 40295 ERWIN, WILLIAM E JOHN A LOGAN COLLEGE 10/30/13 WOMICK LAW FIRM CHTD HEYL ROYSTER VOELKER & ALLEN 26 14WC 40801 WALLE, LUIS SJS TEQUILAS INC, D/B/A 10/11/12 JELLIFFE FERRELL DOERGE PH ROUSE & CARY 14WC040802 -C 27 15WC 15693 STAATS, WALLACE MARION CHEVROLET BUICK 06/25/12 GARY L. BEMENT GAROFALO SCHREIBER STORM GRA 28 15WC 16279 MARTIN, MALLORY KROGER'S 02/21/15 PRINCE LAW FIRM STONE & JOHNSON CHARTERED 29 15WC 18190 TAYLOR, TRAVIS RAIL READY RAILCAR REPAIR @ 05/14/15 WINTERS BREWSTER CROSBY ET 30 15WC 19078 ADAMS, DAVID MACH MINING 03/27/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 31 15WC 24616 SHERIFF, DAVID W SHORT ENTERPRISES INC 02/06/15 KOLKER LAW OFFICES INMAN & FITZGIBBONS 16WC008910 -C 32 15WC 26098 STEWART, PATRICIA B (ADMI GILSTER MARY-LEE CORP # 08/03/12 FISHER KERHOVER COFFEY FEIRICH MAGER GREEN & RYAN 33 15WC 26223 KEMP, AUGUSTA NOTTUS, INC @ W 06/03/15 CULLEY FEIST KUPPART & TAY ACTON & SNYDER 34 15WC 27255 BALDWIN, COLTON AMERICAN COAL COMPANY 06/21/15 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 15WC 30078 CRAWFORD, KARLA AISIN MANUACTURING 07/31/15 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 36 15WC 30588 19B PECKINPAUGH, VICTORIA MEMORIAL HOSPITAL OF 08/18/15 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 37 15WC 30798 19B MATLOCK, STEPHANIE STATE OF IL CHOATE MENTAL @ 09/04/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 16WC002296 -C 229 16WC004246 -C 38 15WC 34098 HOOD, BEVERLY INTEGRITY HEALTHCARE 04/16/15 GENE A TURK, JR LAW OFFICE 39 15WC 38327 FREELAND, GORDON G PINCKNEYVILLE AMBULANCE 10/29/15 GLASS & KOREIN RUSIN & MACIOROWSKI LTD 40 15WC 42624 HILLE, DARREN VIP REMODELING & CONSTRUC 10/28/15 COOK SHEVLIN YSURSA ET AL QUINTAIROS PRIETO WOOD & BOY 41 16WC 00516 TANNER, JODIE GLISTER-MARY LEE CORP 11/10/13 MEYERS & FLOWERS FEIRICH MAGER GREEN & RYAN 42 16WC 01265 DINKINS, CHARLES A CITY OF PINCKNEYVILLE 01/20/15 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 43 16WC 02295 MELVIN, CANDACE SIM MEMORIAL HOSPITAL 02/05/14 RON D COFFEL & ASSOC FEIRICH MAGER GREEN & RYAN 44 16WC 03893 FOUREZ, RICKY AMERICAN COAL 08/29/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 45 16WC 04710 WILLI, STEVEN STATE OF IL/DEPT OF CMS @ 11/19/15 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 46 16WC 05472 VALENTINE, RICHARD EDWARD NOTTUS AMBULANCE SERCICE 10/05/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 47 16WC 06875 ASHLEY, BRENDA NEURO RESTORATIVE 02/27/14 WOMICK LAW FIRM CHTD CHILTON YAMBERT PORTER LLP 48 16WC 07717 PARSONS, LARRY II THE AMERICAN COAL COMPANY 12/22/14 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 49 16WC 11047 PASQUINO, RICHARD KNIGHT HAWK COAL COMPANY 07/01/15 LAWLER & LAWLER LITCHFIELD CAVO 50 16WC 11226 SPAIN, CHARLES THE AMERICAN COAL COMPANY 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 51 16WC 11493 CURTIS, MARY FRANKLIN HOSPITAL 01/22/16 SAM C MITCHELL & ASSOCIATE FEIRICH MAGER GREEN & RYAN 52 16WC 11977 CADY, LORI STATE OF IL/MENARD C C @ 02/19/16 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 53 16WC 12049 BROCK, DENNIS MACH MINE LLC 07/29/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 54 16WC 16171 WESTRAY, ROSEMARY THE AMERICAN COAL COMPANY # 02/13/16 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 55 16WC 16445 LEDBETTER SHEEHAN, PATRIC FEDEX EXPRESS 01/04/16 BADGLEY, BRAD L WIEDNER & MCAULIFFE LTD 56 16WC 18034 ALLEN, THOMAS AMERICAN COAL 07/11/11 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 57 16WC 18429 ANTONACCI, AMANDA IL DEPT. OF HUMAN SERVICE @ 05/31/16 WINTERS BREWSTER CROSBY ET ILLINOIS ATTORNEY GENERAL 58 16WC 19338 LITTLE, WILLIAM WRIGHT INDUSTRIAL 06/01/16 LAWLER & LAWLER JELLIFFE FERRELL DOERGE PHEL 59 16WC 19673 GRAHAM, DAVID L STATE OF IL-CHOATE @ 02/10/16 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 60 16WC 20082 JOHNSON, NICOLE D STATE OF ILLINOIS @ 05/12/16 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 17WC021769 -C 61 16WC 20142 DEMENT, MARY ELIZABETH JOPPA SCHOOL DIST 38 12/17/15 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 62 16WC 20402 MILLETTE, BRIAN MENARD'S 12/05/15 WOMICK LAW FIRM CHTD QUINN JOHNSTON HENDERSON ETA 63 16WC 21346 HUIE, CHARLES THE AMERICAN COAL COMPANY 05/23/15 CULLEY & WISSORE CRAIG & CRAIG 64 16WC 22648 TOLER, SCOTT CHOATE MENTAL HEALTH @ 06/01/16 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 65 16WC 22978 FIELD, JERRY THE AMERICAN COAL COMPANY 05/22/15 CULLEY & WISSORE CRAIG & CRAIG 66 16WC 24194 WEIR, ROBERT J THE AMERICAN COAL MINE CO 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 67 16WC 24233 ROBERTS, GARY D. STATE OF ILLINOIS @ 12/17/15 CULLEY & WISSORE ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 16WC 25104 BERNITA WILD (WIDOW) CONSOLIDATION COAL # 03/17/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 69 16WC 25691 ELDERS, BRYAN IL DEPT. OF JUVENILE JUST @ 07/14/16 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 17WC020724 -C 70 16WC 27279 SHERROD, GARRON TRU-BILT BUILDING CO. 06/13/16 RON D COFFEL & ASSOC GANAN & SHAPIRO 71 16WC 29133 DUNNING, TONYA GLISTER MARY LEE CORPORAT 04/22/16 STRONG LAW OFFICE FEIRICH MAGER GREEN & RYAN 72 16WC 30531 SMITH, DOUGLAS AMERICAN COAL 08/31/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 73 16WC 30539 MCCORMICK, ADA J BRUSHY CREEK COAL COMPANY #W 07/29/16 CULLEY & WISSORE 74 16WC 30648 LEVAULT, TOMMY THE AMERICAN COAL COMPANY 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 75 16WC 31595 BARNETT-PRATER, ANITA ILLINOIS VETERANS HOME OF @ 06/05/16 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 76 16WC 31749 ROWE, RONALD THE AMERICAN COAL COMPANY 02/11/16 CULLEY & WISSORE CRAIG & CRAIG 77 16WC 32739 GIACONE, LARRY THE AMERICAN COAL CO 11/16/14 CULLEY & WISSORE CRAIG & CRAIG 78 16WC 32917 LIEDTKE, LAURA SOUTHERN ILLINOIS HEALTHC 08/25/16 BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 79 16WC 35178 CRAWFORD, KARLA AISIN MANUFACTURING 08/26/16 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 80 16WC 35910 GRAVATT, CHAD MARION PARK DISTRICT 10/10/16 LAW OFFICE OF ROBERT BATES RUSIN & MACIOROWSKI LTD 16WC035911 -C 16WC035912 -C 16WC035913 -C 81 16WC 36293 WYATT JR, DAVID STATE OF ILLINOIS, CHOATE @ 11/11/16 LAW OFFICES FOLEY & DENNY ASSISTANT ATTORNEY GENERAL 82 16WC 36411 19B MATLOCK, STEPHANIE CHOATE MENTAL HEALTH CTR @ 10/30/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 83 16WC 36928 GOMEZ, SANTIAGO SAMMY BYRON 11/20/15 GENE A TURK, JR LAW OFFICE ROUSE & CARY 84 16WC 37613 SWAN, MICHAEL BELT TECH INDUSTRIAL INC 07/16/16 JEROME LINDSAY SALMI LL GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 16WC 37719 PARSONS II, LARRY THE AMERICAN COAL COMPANY 11/17/16 RON D COFFEL & ASSOC LITCHFIELD CAVO 86 16WC 38333 WEBB, MARVIN THE AMERICAN COAL COMPANY 01/14/15 CULLEY & WISSORE CRAIG & CRAIG 87 16WC 38488 ARVIEW, ELVA THE AMERICAN COAL COMPANY 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 88 16WC 38781 HEATH, DAVID BEELMAN TRUCKING 11/13/16 WINTERS BREWSTER CROSBY ET HARRIS DOWELL FISHER & HARRI 89 16WC 39214 DRAPER, DONNA SOUTHERN ILLINOIS HEALTHC 11/07/16 KEEFE & DEPAULI FEIRICH MAGER GREEN & RYAN 90 17WC 00407 SIMON, MICHAEL SCHNUCK'S MARKET 12/30/16 LAW OFFICE JOSHUA KARMEL LEMP & MURPHY 91 17WC 02690 SANCHEZ, ROBERTO COAL FIELD CONSTRUCTION C 12/26/16 JEROME LEFTON LAW OFFICE 92 17WC 03912 SIMON, MICHAEL E SCHNUCKS 12/30/16 LAW OFFICE OF SCOTT B SHAP LEMP & MURPHY 93 17WC 04005 ESTES, JEFF AMERICAN ELECTRIC POWER/ 03/12/14 JEFF ESTES FEIRICH MAGER GREEN & RYAN 94 17WC 04161 STEIN, KOREEN M STATE OF ILLINOIS - CHOAT @ 11/26/16 TIM DENNY LLC ILLINOIS ATTORNEY GENERAL 95 17WC 05599 TRIPP, BENJAMIN EVRARD-STRANG CONSTRUCTIO 02/01/17 WINTERS BREWSTER CROSBY ET KEEFE & DEPAULI 96 17WC 06400 HILLIARD, DUSTIN CITY OF MARION 04/01/14 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 97 17WC 07082 TONNON, LYLE ROYALTY TECH @ W 02/20/17 SHORT AND DAUGHERTY 98 17WC 07283 LAWLER, JAMES E RIDGWAY TOWNSHIP 12/07/15 ADAM B LAWLER LAW FIRM CRAIG & CRAIG 99 17WC 07462 SCHNOEKER, DEREK CHESTER MENTAL HEALTH CEN @ 02/24/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 100 17WC 07629 BOWMAN, MARIAH ADDUS HEALTHCARE INC UAN 10/07/16 ADAM B LAWLER LAW FIRM 101 17WC 07895 TATE, TRAVIS PINCKNEYVILLE CC @ 02/24/17 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 102 17WC 08212 PATEL, KANTU BNJ HOSPITALITY, INC 05/18/14 BUTLER & KEMPER THOMAS MAMER & HAUGHEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 17WC 08478 BROWN-MARTIN, WILETA ILLINOIS DEPT OF PUBLIC @ 02/07/17 MICHAEL MILES ILLINOIS ATTORNEY GENERAL 104 17WC 08697 MC QUEEN, SAMUEL L AISIN MANUFACTURING IL, L 06/01/16 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 105 17WC 09261 ATCHISON, ROBERT AMERICAL COAL 11/10/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 106 17WC 09341 RICKS, DAVID K & R GROUP INC 02/28/17 KARNO, MARK L & ASSOC 107 17WC 10718 ZARANTI, ANTHONY FERRELLGAS 10/19/16 RON D COFFEL & ASSOC KNELL O'CONNOR DANIELWICZ 108 17WC 10804 CREASON, LUCAS A CHESTER MENTAL HEALTH CEN @ 07/10/16 GLASS & KOREIN ILLINOIS ATTORNEY GENERAL 109 17WC 11475 BANKS, CHARLENE HARRISBURG MEDICAL CENTER 12/29/15 HANAGAN & MCGOVERN PC FEIRICH MAGER GREEN & RYAN 110 17WC 11721 DIEFENBACH, DELORES CHOATE MENTAL HEALTH & @ 03/11/17 MUELHAUSEN & STEFANI ILLINOIS ATTORNEY GENERAL 111 17WC 12433 19B HOWELL, SHAYNE MENARD CC @ 03/10/17 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 112 17WC 12819 BEBOUT, BRYAN IL YOUTH CENTER - HARRISB @ 04/20/17 TAMMI N. JACKSON ILLINOIS ATTORNEY GENERAL 113 17WC 13191 EDWARDS-SMITH, MYRA STATE OF IL/IYC HARRISBUR @ 02/17/17 HALVACHS & ABERNAT0HY LLC ILLINOIS ATTORNEY GENERAL 114 17WC 13796 RIDDLE, HARRY AMERICAN COAL 02/15/16 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 115 17WC 14874 MITCHELL, COYET PEPSI MIDAMERICA 01/03/17 SAM C MITCHELL & ASSOCIATE 116 17WC 16148 COWSERT, TRAVIS IL YOUTH CENTER-HARRISBUR @ 04/21/17 HART & HART ILLINOIS ATTORNEY GENERAL 117 17WC 16440 GIRTEN, JOHN AMERICAN COAL 07/02/13 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 118 17WC 16472 KEITH, ROBERT J CENTERSTONE OF ILLINOIS 11/28/16 119 17WC 16746 WEBER, ANGELA ADVANTAGE SALES AND MARKE 05/10/16 HANAGAN & MCGOVERN PC KELLEY KRONENBERG 120 17WC 16835 19B MORRIS, APRIL HARRISBURG MEDICAL CENTER 06/11/16 HANAGAN & MCGOVERN PC FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 17WC 17408 GLODO, RODNEY CRAIN CEMETERY SERVICES, 02/23/17 MCGARRY, BRIAN P FEIRICH MAGER GREEN & RYAN 122 17WC 17522 RAGLAND, PAIGE IL YOUTH CENTER HARRISBUR @ 05/22/17 HART & HART ILLINOIS ATTORNEY GENERAL 123 17WC 17547 RALLS, STEVEN E SOUTHERN ILLINOIS UNIVERS @ 01/10/17 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 124 17WC 17567 WILLIS, STEPHEN AMERICAN COAL 02/05/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 125 17WC 18926 19B KELLY, KENDRA S SIH MEMORIAL HOSPITAL OF 06/29/16 HASSAKIS & HASSAKIS PC FEIRICH MAGER GREEN & RYAN 126 17WC 19166 RAMIREZ, SOPHIA STEAK AND SHAKE 06/24/17 DWORKIN AND MACIARIELLO HEPLER BROOM LLC 127 17WC 19556 HAMLIN, DAVID SOUTHERN IL DERMATOLOGY I 05/28/15 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD 128 17WC 20524 MARTIN, DAVID COM-PAC INTERNATIONAL 04/30/17 SAM C MITCHELL & ASSOCIATE WIEDNER & MCAULIFFE LTD 129 17WC 20728 DALTON, DONNA AMERICAN COAL 08/29/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 130 17WC 20804 TAYLOR, MARY FAMILY COUSELING CENTER 05/19/17 PRINCE LAW FIRM GOLDBERG & SEGALLA LLP 131 17WC 22964 BODINE, MATHEW NRE GLOBAL HOLDINGS, INC. 05/08/17 MICHAEL MILES GAROFALO SCHREIBER STORM GRA 132 17WC 23179 19B CHARTIER, MICHAEL ROOF BOLT EXPRESS, INC 04/21/17 SAM C MITCHELL & ASSOCIATE INMAN & FITZGIBBONS 133 17WC 24392 LEONARD, MONIQUE ED BURRIS DISPOSAL LLC 05/31/17 BROWN & BROWN BRADY, CONNOLLY & MASUDA, PC 134 17WC 25179 MASSIE, E RUTH CHOATE MENTAL HEALTH @ 06/11/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 135 17WC 25244 HOLDER, MATT GOLDEN CORRAL 08/01/17 DWORKIN AND MACIARIELLO 136 17WC 25525 LEWIS, CLAUDIA N CHESTER MENTAL HEALTH @ 06/15/17 ASSISTANT ATTORNEY GENERAL 137 17WC 25762 HENDERSON, NANCY STATE OF ILLINOIS @ 04/14/17 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 17WC 25972 MASCIO, HELEN MEMORIAL OF CARBONDALE HO 07/24/16 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 139 17WC 27627 CLIFF, CHRISTINA CASEY'S 08/27/17 RICH RICH COOKSEY & CHAPPE 140 17WC 27837 BREWER, JANICE SIH-MEMORIAL OF CARBONDAL 08/23/17 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 141 17WC 28031 MARVEL, GARY AMERICAN COAL 01/01/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 142 17WC 28043 WINTERS, LUCILLE WILLIAMSON COUNTY AMBULAN 03/13/17 JELLIFFE FERRELL DOERGE PH ROUSE & CARY 143 17WC 28230 BLYTHE, DARYL G DOLLAR GENERAL 07/06/17 MARSZALEK AND MARSZALEK LEAHY EISENBERG & FRAENKEL 144 17WC 28325 HILLIARD, DUSTIN CITY OF MARION 04/19/17 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 145 17WC 28345 RICHTER, LINDA D CHOATE MENTAL HEALTH, ILL @ 05/28/16 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 146 17WC 29070 GRAHAM, DAVID L STATE OF IL CHOATE @ 09/17/17 LAW OFFICES FOLEY & DENNY ASSISTANT ATTORNEY GENERAL 147 17WC 29709 PEEBELS, SCOTT BASLER TRUCKING 12/01/16 WOMICK LAW FIRM CHTD BRADY, CONNOLLY & MASUDA, PC 148 17WC 30029 PRIMO, MARVIN SOUTHERN ILLINOIS UNIVERS @ 02/21/17 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 149 17WC 30112 SPENCE, H.D. EXECUTIVE EXPRESS, INC. 07/05/16 SAUTER, SULLIVAN & EVANS EVANS & DIXON, LLC 150 17WC 30329 OYLER, BRIAN CHESTER MENTAL HEALTH CEN @ 05/30/17 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 151 17WC 30542 PULLIAM, JOHN SUI CARBONDALE @ 01/24/17 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 152 17WC 30841 WALKER, JUSTIN COAL FIELD CONSTRUCTION L 07/31/17 LITCHFIELD CAVO 153 17WC 30925 PENGROSS, TERESA R STATE OF ILLINOIS-CHOATE @ 08/23/17 LAW OFFICES FOLEY & DENNY ASSISTANT ATTORNEY GENERAL 154 17WC 32088 SMITH, SANDRA STATE OF ILLINOIS/ @ 06/22/15 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 17WC032089 -C 17WC032090 -C 155 17WC 32461 WIGGINS, PAUL WIGGINS, PAUL 07/08/17 JOSEPH L SAMUELSON PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 156 17WC 33152 WALDRON, LEONARD CITY OF DU QUOIN 10/02/17 HOWERTON, DORRIS & STONE KEEFE & DEPAULI 157 17WC 33484 MODICUE, CASSIE CHOATE MENTAL HEALTH CENT 06/19/15 MCGARRY, BRIAN P 158 17WC 33648 LAWRENCE, DAVID MACH MINE LLC 09/28/17 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 159 17WC 33761 SHURTZ, CARL THE AMERICAN COAL COMPANY 06/09/17 CULLEY & WISSORE CRAIG & CRAIG 160 17WC 33773 PEARCE, DENNIS THE AMERICAN COAL COMPANY 09/22/17 CULLEY & WISSORE CRAIG & CRAIG 161 17WC 33802 OYLER, BRIAN CHESTER MENTAL HEALTH CTR @ 04/04/16 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 162 17WC 34542 FRANCESCON, DONALD KNIGHT HAWK COAL 07/27/17 KEEFE & GRIFFITHS PC LITCHFIELD CAVO 163 17WC 34698 LEWIS, BRADLEY BUNGE NA 08/16/17 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN 164 17WC 34918 EDWARDS, STEVEN B FARE FOODS, INC 06/28/17 MICHAEL MILES HEYL ROYSTER VOELKER & ALLEN 165 17WC 35109 LIEFER, DENISE L DORMA KABA 08/14/17 MILLER, WILLIAM R LAW OFFI ROUSE & CARY 166 17WC 35152 PLUMMER, LINDSEY CHOATE @ 07/22/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 167 17WC 35599 RISLEY, NORMAN BIG RIDGE, INC 12/21/12 CULLEY & WISSORE EVANS & DIXON, LLC 168 17WC 35755 THOMPSON, PATTIE MASSAC MEMORIAL HOSPITAL 08/31/17 LAWLER & LAWLER GAROFALO SCHREIBER STORM GRA 169 17WC 36193 WATTERSON, JOHNATHON M SAMS IGA 11/06/17 MCCARTHY ROWDEN & BAKER 170 17WC 36381 LOGWOOD, JAMEELA INTEGRITY HEALTHCARE 11/23/17 WOMICK LAW FIRM CHTD HOLTKAMP LIESE 171 17WC 36644 COURIER, KENNETH CHESTER MENTAL HEALTH @ 09/09/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 172 17WC 36933 REED, LINDA BIG RIDGE, INC # 10/06/17 CULLEY & WISSORE EVANS & DIXON, LLC 173 17WC 38024 STENNETT, MARSHALL K LIBERTY CRANE, LLC 06/22/15 SCHUCHAT, COOK & WERNER HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 18WC 00562 WOODSIDE, MARK EATON B-LINE 08/29/17 COOK SHEVLIN YSURSA ET AL LEAHY EISENBERG & FRAENKEL 175 18WC 00711 BISHOP, ALEX CITY OF CARBONDALE 02/09/17 WOMICK LAW FIRM CHTD 176 18WC 00878 CAIREL, BARBARA FOR OLD BEN COAL CO/SELF-INSU # 10/13/17 CULLEY & WISSORE KEEFE & DEPAULI 177 18WC 01732 SUITS, TRACY W ROSS FINANCIAL SVS, INC 10/05/17 LAWLER & LAWLER 178 18WC 01831 MCMILLEN, LINCOLN CENTRIFUGAL SERVICES INC 12/11/17 PRINCE LAW FIRM CRAIG A HANSEN 179 18WC 01846 COMPTON, SHARON M PENN ALUMINUM INTERNTIONA 10/01/17 PATRICOSKI, MARK G KEEFE & DEPAULI 180 18WC 02596 RODRIGUEZ, JORGE LEVEL IT EXCAVATING 11/22/17 NELSON & NELSON GANAN & SHAPIRO 181 18WC 02644 HODGES, DAVID ST FRANCIS MEDICAL CENTER 05/21/16 HENNESSEY LAW FIRM 182 18WC 03111 FREYENBERGER MC VICKER EXCAVATING 08/25/17 LAW OFFICES FOLEY & DENNY MCANANY VANCLEVE & PHILLIPS 183 18WC 03604 GIBSON, MARSHA C GILSTER MARY LEE 12/16/17 FOLEY & DENNY FEIRICH MAGER GREEN & RYAN 184 18WC 03657 FRITSCHE, CHRISTOPHER STATE OF IL/MENARD CC @ 01/24/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 185 18WC 03772 MORRIS, ELLEN D SIU- CARBONDALE @ 08/29/17 WINTERS BREWSTER CROSBY ET ASSISTANT ATTORNEY GENERAL 186 18WC 03945 HALE, CHRYSTAL CHOATE MENTAL HEALTH @ 03/21/16 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 187 18WC 03948 HALE, CHRYSTAL CHOATE MENTAL HEALTH @ 12/29/17 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 188 18WC 05101 BRITTIN LANG, SHANNON SOUTHERN ILLINOIS MOTOR X 06/17/17 189 18WC 05334 EMBERTON, JAMES CITY OF ZIEGLER 01/22/18 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 190 18WC 05423 19B GRIFFITH, SARAH REHAB AND VOCATIONAL EDU. 10/05/17 RICH RICH COOKSEY PC WIEDNER & MCAULIFFE LTD 18WC005424 -C 18WC016231 -C 191 18WC 05840 KEITH, MATTHEW EATON CORPORATION 01/30/18 GLASS & KOREIN LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 18WC 06223 KELLUM-HAMILTON, VICKIE MURPHYSBORO CUSD 186 11/29/17 MCCARTHY ROWDEN & BAKER QUINN JOHNSTON HENDERSON ETA 193 18WC 06362 SETTLEMOIR, CURTIS THE AMERICAN COAL COMPANY 10/23/17 CULLEY & WISSORE CRAIG & CRAIG 194 18WC 07384 SMITH JR., JOHN PJR & ASSOCIATES, INC 09/19/17 NELSON & NELSON KEEFE CAMPBELL & ASSOC LLC 195 18WC 08773 DALLAS, DAN GILSTER MARY LEE 12/15/17 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 196 18WC 10060 BRIDGES, ASHLEY CHOATE @ 03/19/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 19WC009771 -C STATE OF IL/CHOATE MENTAL 197 18WC 10345 STEPHENSON, WILLIAM MACH MINE LLC 01/02/18 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 198 18WC 10674 KNIFFEN, SUSAN ST. JOSEPH'S HOSPITAL 07/27/17 KIRKPARTICK LAW OFFICES FEIRICH MAGER GREEN & RYAN 199 18WC 11172 CORNER, DAWN HELP AT HOME 02/03/18 JEROME LINDSAY SALMI LL 200 18WC 11268 QUINT, MICHELLE JAMP SPECIAL EDUCATION 03/23/17 WINTERS BREWSTER CROSBY ET WIEDNER & MCAULIFFE LTD 201 18WC 11720 ROGERS, TIFFANY KOHL'S 02/21/18 MCGARRY, BRIAN P CHILTON YAMBERT PORTER LLP 202 18WC 11909 PATTERSON, JEFFREY DUQUOIN IIP @ 04/04/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 203 18WC 12367 KENDRICK, ANTHONY CITY OF CREAL SPRINGS 11/25/17 RICH RICH COOKSEY & CHAPPE INMAN & FITZGIBBONS 204 18WC 12483 KING, RICKY JOHN E ROSE 02/21/18 FOLEY & DENNY HENNESSY & ROACH PC 205 18WC 12613 SLAVENS, JOEL STATE/MENARD C.C. @ 03/25/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 206 18WC 12960 EDWARDS-SMITH, MYRA STATE OF IL/HARRISBURG @ 09/08/17 HALVACHS & ABERNAT0HY LLC ASSISTANT ATTORNEY GENERAL 207 18WC 13124 BUCHANAN, RODNEI JUST KIDS INC FKA TOT LAN 08/10/16 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD 208 18WC 13295 WRIGHT, JOE TARGET CORPORATION 11/03/17 LAWLER & LAWLER KEEFE CAMPBELL & ASSOC LLC 209 18WC 14306 BERRY, SONJA STATE OF IL/IYC HARRISBUR @ 04/05/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 18WC 14331 PORTER, WILLIAM AMERICAN COAL COMPANY @ 04/22/17 FOLEY & DENNY CRAIG & CRAIG 211 18WC 14634 COLLINS, MARVIN JAMES ROOFER'S MART INC 02/22/18 MICHAEL MILES 212 18WC 14825 19B GIBSON, BRENDON IYC HARRISBURG @ 04/20/18 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 213 18WC 15232 WOOLEY, SARAH STATE OF IL/MENARD C.C. @ 01/24/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 214 18WC 15399 JOHNSTON, WILLIAM CITY OF CARTERVILLE, ILLI 10/03/17 RICH RICH COOKSEY & CHAPPE INMAN & FITZGIBBONS 18WC015400 -C 215 18WC 15554 PARMLY, TAMMY CHOATE MENTAL HEALTH @ 08/21/17 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 216 18WC 15850 PRICE, STEPHANIE CENTERSTONE OF ILLINOIS, 01/23/18 LAWLER & LAWLER 217 18WC 16244 BEARDEN, RICHARD PEABODY ILLINOIS SERVICES 06/29/15 CULLEY & WISSORE KEEFE & DEPAULI 218 18WC 16521 STURGILL, QUINTIN THE AMERICAN COAL COMPANY 09/22/17 CULLEY & WISSORE CRAIG & CRAIG 219 18WC 16660 RISHEL, MICHAEL CITY OF CARBONDALE FIRE D 01/23/18 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 220 18WC 16699 SUITS, TRACY W ROSS FINANCIAL SERVICES I 10/17/17 LAWLER & LAWLER MCDONALD & BOGDAN 221 18WC 16729 COUCH, JUSTIN STATE OF IL/CHESTER MENTA @ 01/20/18 RICH RICH COOKSEY & CHAPPE LISA MADIGAN 222 18WC 17101 POENITSKI, CARLA TRI-COUNTY SPECIAL EDICAT 11/09/17 MUELHAUSEN & STEFANI 223 18WC 18376 WARD, SAM CITY OF MARION 03/05/18 PRINCE LAW FIRM 224 18WC 19084 FUQUA, VINCENT PEABODY MIDWEST MINING LL 04/18/18 LAWLER & LAWLER KEEFE & DEPAULI 225 18WC 19279 PLASTERS, MELISSA HELP AT HOME 02/12/18 ARMBRUSTER DRIPPS HENNESSY & ROACH, PC 226 18WC 19906 UCHTMAN, PATTI STATE OF ILLINOIS @ 03/07/14 FISHER KERHOVER COFFEY 227 18WC 21061 TAYLOR, BRIAN STATE/IYC HARRISBURG @ 04/09/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 18WC 21068 NICHOLSON, TIM MCDONALDS RESTAURANT 02/13/17 WOMICK LAW FIRM CHTD 229 18WC 21230 HALL, DARLENE CASEY 07/26/17 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 230 18WC 21857 COURIER, KENNETH CHESTER MENTAL HEALTH @ 06/24/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 231 18WC 22284 FERGUSON, ALAN KOERNER DISTRIBUTING 07/06/18 FOLEY & DENNY THOMAS MAMER & HAUGHEY 232 18WC 22747 POLLEY, RICK THE AMERICAN COAL COMPANY 08/18/17 CULLEY & WISSORE CRAIG & CRAIG 233 18WC 22859 ROBISON, AUSTIN MADISONVILLE MINING, LLC 09/24/17 TAMMI N. JACKSON HEYL ROYSTER VOELKER & ALLEN 234 18WC 22868 CHANEY, CATHY (BENEFICIAR KNIGHT HAWK COAL, LLC # 04/10/17 CULLEY & WISSORE CRAIG & CRAIG 235 18WC 23689 DIERCKS, MAYLEE GILSTER MARY LEE 04/19/18 BROWN & BROWN FEIRICH MAGER GREEN & RYAN 236 18WC 23869 CONNER, DAWN HELP AT HOME, LLC 02/03/18 JEROME LINDSAY SALMI LL 237 18WC 23876 GABBY, JOHN STATE OF ILLINOIS @ 12/31/16 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 238 18WC 25525 ANDERSON, CHRISTOPHER STATE OF IL/CHESTER MENTA @ 07/17/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 239 18WC 26208 DAVIS, BRIAN STATE OF IL/IYC HARRISBUR @ 04/10/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 240 18WC 26528 RHOADES, SHANE A ILLINOIS YOUTH CENTER @ 08/25/18 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 241 18WC 26549 LAYNE, SHARON G RRR TRANSPORTATION INC 07/14/18 JAMES RUPPERT QUINTAIROS PRIETO WOOD & BOY 242 18WC 26742 PRICE, DONNA HARRISBURG MEDICAL CENTER 07/23/18 CARAWAY FISHER FEIRICH MAGER GREEN & RYAN 243 18WC 26825 BURZYNSKI, JUSTIN STATE/PINCKNEYVILLE C.C. @ 06/13/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 244 18WC 26837 GALLAGHER, ROBERT O'REILLY AUTO PARTS 01/02/17 KEITH SHORT HENNESSY & ROACH, PC 245 18WC 27671 MC KINNEY, WILLIAM WALLACE CONSTRUCTION W 09/10/18 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 18WC 27828 DENT-TURNER, VICTORIA LARRY'S HOUSE OF CAKES 08/15/18 BEARD LAW FIRM GANAN & SHAPIRO 247 18WC 28730 CHURCH, PEGGY FAIRVIEW NURSING HOME 09/07/18 RON D COFFEL & ASSOC BOGGS AVELLINO LACH BOGGS 248 18WC 28780 DELRE, GAIL M INTEGRITY HEALTHCARE OF 07/14/18 FISHER KERHOVER COFFEY HOLTKAMP LIESE 249 18WC 29068 ROBERTS, BOBBY DORMA/KABBA 06/23/18 FISHER KERHOVER COFFEY ROUSE & CARY 250 18WC 29183 HILL, JULIA AISIN MANUFACTURING 10/12/15 NEWCOMB, PAULA M KEEFE & DEPAULI 251 18WC 29345 DOBBS, DONNA CHESTER MENTAL HEALTH CEN @ 09/01/18 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 252 18WC 29505 BOLES, JASON AARON'S AUTO CENTER 05/17/18 RICH RICH COOKSEY & CHAPPE GANAN & SHAPIRO 253 18WC 29866 HOUSEMAN-BURNS, TARA MIDCOUNTRY FINANCIAL CORP 07/20/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 254 18WC 29931 TENNISON, GARY PERRY COUNTY CHERIFF'S DE 09/24/18 WINTERS BREWSTER CROSBY SC INMAN & FITZGIBBONS 255 18WC 30016 WETZLER, SCOTT ILLINOIS STATE POLICE @ 05/11/16 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 18WC030017 -C 18WC030018 -C 256 18WC 30583 BERRY, NATHAN MENARD CC @ 10/01/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 257 18WC 30631 MALONE, TYE MACH MINING, LLC 03/02/18 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 258 18WC 31266 SHIPLEY, KENNETH JR COAD CHEVROLET BUICK 11/10/17 MCCARTHY ROWDEN 259 18WC 31379 SILVA, OLIVER MULTIBAND 04/05/16 THE BEARD LAW FIRM 260 18WC 31660 SHEPARD, BRYSON STRATA WORLDWIDE 03/13/18 RON D COFFEL & ASSOC CRAIG A HANSEN 261 18WC 32233 SANDOR, APRIL PADDOCK PUBLICATIONS INC 09/21/18 SMITHPETERS LAW FIRM KNELL LAW LLC 262 18WC 32387 BROWN, ANGELA CHOATE MENTAL HEALTH @ 05/01/18 JOHNSON SCHNEIDER & FERREL ASSISTANT ATTORNEY GENERAL 263 18WC 32479 SMITH, CHARLIE MARSHALL BROWNING HOSPITA 08/03/16 GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 18WC 32647 HODGE, KEVIN LAND OF LINCOLN LUMBER 09/27/18 MUELHAUSEN & STEFANI SCOPELITIS GARVIN LIGHT 265 18WC 32700 THOMPSON, JACOB MURPHYSBORO DISTRICT #186 08/27/18 FISHER KERHOVER COFFEY HEYL ROYSTER VOELKER & ALLEN 266 18WC 32746 JEFFORDS, DONNA CHOATE MENTAL HEALTH @ 10/16/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 267 18WC 32974 QUINTANA, CORY CHESTER MENTAL HEALTH CEN @ 10/17/18 FISHER AND KERKHOVER LAW O ASSISTANT ATTORNEY GENERAL 268 18WC 33451 MARAGNI, MICHELLE A REGIONAL HOME CARE CROSSR 07/26/18 HARRIS & JONES HENNESSY & ROACH, PC 269 18WC 33770 FOSTER, EDDIE THE PANGERE CORPORATION 08/01/18 ANESI OZMON RODIN NOVAK KO WOLFE & JACOBSON, LTD 270 18WC 34893 GLADNEY, EDWIN MENDARD C.C. @ 09/14/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 271 18WC 35588 WIESEMAN, CHRISTOPHER CHOATE MENTAL HEALTH- SOI @ 10/11/18 FOLEY & DENNY ASSISTANT ATTORNEY GENERAL 272 18WC 35596 SADLER, VICKIE CHOATE MENTAL HEALTH @ 09/11/18 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 273 18WC 36077 GUETHLE, SANDRA L GLISTER MARY LEE 09/26/17 BROWN & BROWN FEIRICH MAGER GREEN & RYAN 274 18WC 36136 HAMPLEMAN, JUDITH A TRI-COUNTY SPECIAL ED 11/08/18 DEVIN M JONES LAWRENCE COZZI - LAW OFFICE 275 18WC 36248 WHITLOCK, TERESA JC SKYLINE, LLC, D/B/A 10/25/18 LAWLER & LAWLER STEPHEN H LARSON LAW OFFICE 276 18WC 36453 DAVISON, MICHELLE MACY'S ' 10/31/18 MICHAEL MILES BRYCE DOWNEY & LENKOV LLC 277 18WC 36904 ALLEN, DARRYL PEABODY ILLINOIS SERVICES 09/28/18 CULLEY & WISSORE 278 18WC 37060 SIVELS, SHAWN M R.P. LUMBER @ 08/08/18 FOLEY & DENNY ROUSE & CARY 279 18WC 37198 ABDO, SAMIR HARRISBURG MEDICAL CENTER 11/05/17 TAMMI N. JACKSON FEIRICH MAGER GREEN & RYAN 280 18WC 37248 DANIEL, BEVERLY CITY OF MARION 06/14/18 MICHAEL MILES KEEFE & DEPAULI 281 18WC 37285 TINCHER, MARK CITY OF MURPHYSBORO 08/27/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 18WC 37295 GUETERSLOH, MARK A IL DEPT NATURAL RESOURCES @ 12/01/15 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 283 18WC 37436 AGIN, JASON AMEREN ILLINOIS 07/15/18 DONOVAN ROSE NESTER LEMP & MURPHY 284 18WC 37512 BATTS, BETTY FRANKLIN HOSPITAL 10/26/18 PRINCE LAW FIRM FEIRICH MAGER GREEN & RYAN 285 18WC 37970 JACKSON, CHRIS BEN'S LAWN SERVICE 11/28/18 MCGARRY & MALKOVICH GAROFALO SCHREIBER STORM GRA 286 18WC 38053 MAYO, ANTHONY AISIN ELECTRONICS 12/05/18 KEEFE & GRIFFITHS PC KEEFE & DEPAULI 287 18WC 38103 STACEY, KEVIN GENERAL CABLE 11/21/18 RICH RICH COOKSEY & CHAPPE QUINN JOHNSTON HENDERSON ETA 288 18WC 38155 BROWN, ANGELA CHOATE MENTAL HEALTH @ 05/01/18 KEEFE & GRIFFITHS PC ASSISTANT ATTORNEY GENERAL 289 18WC 38359 QUINT, MICHELLE JAMP SPECIAL EDUCATION 10/02/17 WINTERS BREWSTER CROSBY SC WIEDNER & MCAULIFFE LTD 290 19WC 00171 JOHNSON, RON YRC, INC. C/O CT CORP SYS 12/16/18 HETHERINGTON KARPEL BOBBER 291 19WC 00432 JOHNSON, LORETTA M EATON CORPORATION 08/14/18 GLASS & KOREIN LEAHY EISENBERG & FRAENKEL 292 19WC 00491 HARRELL, BETH PULASKI COUNTY AMUBLANCE 09/05/18 MANDEL & MANDEL LLP 293 19WC 02149 BAILEY, MARY WALMART 09/14/18 BEMENT STUBBLEFIELD EARLY & MIRANDA PC 294 19WC 02570 SMOCK, JOHN HASTIE MINING, INC 11/21/18 LAWLER & LAWLER BRYCE DOWNEY & LENKOV LLC 295 19WC 03125 CORNELISON, JAMIE DEPARTMENT OF CHILDREN & @ 01/15/19 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 296 19WC 03419 WORKMAN, JUSTIN COMPLIANCE STAFFING 09/14/18 TAMMI N. JACKSON 297 19WC 03544 OKER, STEPHANIE EL RANCHITO REST INC DBA W 06/04/17 LAWLER & LAWLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 19WC 04059 RICHARDSON, COREY AISIN 06/17/18 MICHAEL MILES KEEFE & DEPAULI 299 19WC 04104 RISLEY, ANTHONY CHESTER MENTAL HEALTH @ 06/22/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 19WC004105 -C 19WC004106 -C 300 19WC 04107 CONKLE, MITCHELL VILLAGE OF ELIZABETHTOWN 09/13/18 HANAGAN & MCGOVERN PC INMAN & FITZGIBBONS 301 19WC 04141 PENROD, JOSEPH FRONTIER COMMUNICATIONS 01/18/19 MUELHAUSEN & STEFANI 302 19WC 04338 SIMS, JAMYE A STATE OF IL,BOARD OF ELEC @ 02/25/16 WOMICK LAW FIRM CHTD ASSISTANT ATTORNEY GENERAL 303 19WC 05209 BROWN-MARTIN, WILETA ILLINOIS DEPARTMENT @ 02/01/16 LAWLER & LAWLER ASSISTANT ATTORNEY GENERAL 304 19WC 05439 PASQUINO, RICHARD KNIGHT HAWK COAL COMPANY, 03/24/16 LAWLER & LAWLER 305 19WC 05455 AMISON, JUSTIN CHESTER MENTAL HEALTH CEN @ 02/04/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 306 19WC 06007 BRUCE, MICHAEL W DYNEGY INC 01/20/18 JAMES RUPPERT KEEFE & DEPAULI 307 19WC 06102 HOWARD, EDWARD W STATE OF IL CHOATE MENTAL @ 12/31/18 HASSAKIS & HASSAKIS PC ASSISTANT ATTORNEY GENERAL 308 19WC 06370 MULBACK, PATRICIA CHOATE MENTAL HEALTH @ 11/16/18 WILLIAMS CAPONI & ASSOC ASSISTANT ATTORNEY GENERAL 309 19WC 06540 DONALDSON, JENNIFER HALLCON CORPORATION 10/30/18 RICH RICH COOKSEY & CHAPPE LEMP & MURPHY 310 19WC 06848 JONES, KEVIN MEDIACOM 05/17/18 PRINCE LAW FIRM HENNESSY & ROACH 311 19WC 06956 BLACKWELL, STANLEY GILSTER MARY LEE CORP. 05/30/18 NO ATTORNEY FEIRICH MAGER GREEN & RYAN 312 19WC 07196 DELAPORTE, JACK O JR. THOMASON EXPRESS LLC 05/27/18 WIEDNER & MCAULIFFE LTD 313 19WC 07287 DEBOSE, ANGELIA GOLDEN CIRCLE SENIOR CITI 02/11/19 LAWLER & LAWLER BRADY, CONNOLLY & MASUDA, PC 314 19WC 07497 STANTON, ROBERT STATE/DEPTOF NATURAL RESO @ 02/14/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 315 19WC 07518 WADDY, NATASHA CHOATE MENTAL HEALTH @ 01/21/19 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 316 19WC 07605 FUNK, BROOKE IAP WORLDWIDE SERVICES 01/04/16 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 317 19WC 08033 ESTES, CARRIE MARSHALL BROWNING HOSPITA 12/28/18 KIRKPARTICK LAW OFFICES GAROFALO SCHREIBER STORM GRA 318 19WC 08136 SCHOLEBO, JOHN DATE MINING SERVICES LLC 02/12/19 MARK N LEE HEYL ROYSTER VOELKER & ALLEN 319 19WC 08191 GUYTON, CHARLES E MANPOWER 02/13/19 SAUTER, SULLIVAN & EVANS HENNESSY & ROACH, PC 320 19WC 08636 HUNTER, DAVID CHESTER MENTAL HEALTH @ 02/08/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 321 19WC 08818 CANNON, MISTI J PETERSEN HEALTH CARE 01/08/19 FOLEY & DENNY STEPHEN P. KELLY 322 19WC 08857 HAMMEL, DOUGLAS PERRY COUNTY HOUSING AUTH 09/12/18 HUGHES LAW FIRM 323 19WC 08897 CONNER, BILLIE WALMART SUPERCENTER 02/23/19 SAM C MITCHELL & ASSOCIATE EARLY & MIRANDA PC 324 19WC 09107 FERTALY, MARGARET IL ENVIRONMENTAL @ 07/25/18 PRINCE LAW FIRM ASSISTANT ATTORNEY GENERAL 325 19WC 09281 VEATH, RENEE STATE OF IL/ MENARD C.C. @ 02/20/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 326 19WC 09358 YOUNG, FLORA L JODIE'S OL' FARMHOUSE & B 02/16/19 DEVIN M JONES FEIRICH MAGER GREEN & RYAN 327 19WC 09418 PAVEY, DON R SCHNUCKS 06/14/18 BURKE, REX G 328 19WC 09494 BUCHANON, MICHAEL D MINOVA 03/15/19 WOMICK LAW FIRM CHTD 329 19WC 09507 BAUGH, LOIS I TRI-COUNTY SPECIAL EDUCAT 02/14/19 JAMES RUPPERT ROUSE & CARY 330 19WC 09617 VANCIL, SEAN COMPLIANCE STAFFING AGENC 12/01/18 WINTERS BREWSTER CROSBY SC 331 19WC 10307 JUHL, RUSTIN L DUQUOIN POLICE DEPARTMENT 03/20/19 DEVIN M JONES 332 19WC 10517 BRUSH, ALLAN JEM AUTOMOTIVE INC 03/22/19 WINTERS BREWSTER CROSBY SC 333 19WC 10692 WHITE, JAMIE LEWIS BROTHERS BAKERY 03/21/19 SHORT AND DAUGHERTY POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 19WC 10842 COWELL, BRUCE RANDOLPH COUNTY COURTHOUS 02/21/19 BROWN & CROUPPEN INMAN & FITZGIBBONS 335 19WC 10887 GEORGE, RAYMOND A PERRY COUNTY SHERIFF'S DE 03/23/19 HARRIS & JONES INMAN & FITZGIBBONS 336 19WC 11768 HARPER, ANGELA LYNN MALONE'S EARLY LEARNING C 03/14/19 HOWERTON, DORRIS & STONE QUINN JOHNSTON HENDERSON ETA 337 19WC 11790 MILLER, CYNTHIA LOWES 03/02/19 WOMICK LAW FIRM CHTD 338 19WC 11810 HOWELL, RYAN CITY OF HERRIN POLICE DEP 03/20/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 339 19WC 11905 PEDIGO, DEBRA SOUTHERN ILLINOIS HEALTHC 10/15/18 BRIAN K. ZIRKELBACH FEIRICH MAGER GREEN & RYAN 340 19WC 12108 KNUPP, DENISE REBECCA DILLMAN/SUNRISE W 01/23/19 JEROME LINDSAY SALMI LL 341 19WC 12214 HUGYA, JENNIFER D GLISTER-MARY LEE CORP 03/14/19 HARRIS & JONES FEIRICH MAGER GREEN & RYAN 342 19WC 12385 ANDERSON, JAMES JENNIFER'S TRUCKING, INC 06/03/16 RICH RICH COOKSEY & CHAPPE 343 19WC 12686 ARCHIBALD, JUDITH SOI - SOUTHERN IL UNIVERS @ 10/23/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 344 19WC 12775 DEPEW, JIMMY W AISIN ELECTRONICS IL, LLC 11/05/18 JAMES RUPPERT STEPHEN H LARSON LAW OFFICE 345 19WC 13084 MC ALLISTER, JEFF L STATE OF ILLINOIS-CHOATE @ 01/22/19 TIM DENNY LLC 346 19WC 13149 LUNDEBY, ELIZABETH A HARRISBURG VETERINARY CLI 01/03/19 MOLLY WEHKING 347 19WC 13199 EVANS, WILLIAM PILNOY CONSTRUCTION CO 07/17/17 WILLIAMS CAPONI & ASSOC 348 19WC 13472 HUFF, TIFFANY AEIGIS THERAPIES 07/16/18 SAM C MITCHELL & ASSOCIATE BRAD L BADGLEY PC 349 19WC 13965 LAIRD, BRYAN KEITH RC COLA 09/21/18 HOWERTON, DORRIS & STONE LAWRENCE COZZI - LAW OFFICE 350 19WC 14346 WOODROME, KEVIN SLAB MASTERS 04/27/19 PRINCE LAW FIRM ROUSE & CARY 351 19WC 14371 RATHERT, JEFFREY DORMA KABA 09/06/18 FISHER KERHOVER COFFEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 19WC 14381 GIBBS JR, WALTER STATE OF IL/IDOT @ 04/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 353 19WC 14558 BYRLEY, JAMES PEPSI MID AMERICA 03/06/19 MUELHAUSEN & STEFANI 354 19WC 14632 KOMMER, MICHAEL CWI OF ILLINOIS, INC. 09/24/18 LAWLER & LAWLER LITCHFIELD CAVO 355 19WC 14919 CUMMINS, CASEY PEABODY-WILDCAT HILLS 02/08/17 KEEFE & DEPAULI 356 19WC 14936 SHEWMAKER, AMANDA SHAWNEE HEALTH SERVICES 11/01/18 HUGHES LAW FIRM 357 19WC 14945 BASDEN, GWENDOLYN KROGER 02/26/19 MICHAEL MILES GANAN & SHAPIRO 358 19WC 15134 ANDERSON, JEREMY STATE OF IL/SHAWNEE C.C. @ 04/09/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 359 19WC 15252 LANE, ANDREA ELDORADO CUSD #4 10/04/18 RICH RICH COOKSEY & CHAPPE ANCEL GLINK PC 360 19WC 15665 HILLIS, DOYLE JOHN HOLLENKAMP TRUCKING 04/19/18 SAM C MITCHELL & ASSOCIATE BRAD L BADGLEY PC 361 19WC 15997 DAME, TIM FRITO LAY 03/29/19 RON D COFFEL & ASSOC THOMAS MAMER & HAUGHEY 362 19WC 16326 KONEMANN, JOHN MASSAC CNTY SHERIFF'S OFF 01/16/19 SAM C MITCHELL & ASSOCIATE BRAD L BADGLEY PC 363 19WC 16395 RISLEY, LARRY D COUNTY OF FRANKLIN 02/05/18 RUSIN & MACIOROWSKI LTD 364 19WC 16456 MORRIS, DUSTIN MACH MINING 02/06/18 PRINCE LAW FIRM 365 19WC 16564 BRYANT, JERRY EAGLE RIVER COAL 01/06/17 CULLEY FEIST KUPPART & JOR 366 19WC 16614 BYERS, NICHOLAS SHAWNEE C.C. @ 02/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 367 19WC 16742 CRIPPS, JAMES CORY PRAIRIE FARMS DAIRY, INC 04/18/19 WINTERS BREWSTER CROSBY SC KNAPP, OHL & GREEN 368 19WC 16753 GARRETT, LORENZO PLAZA TIRE 01/11/19 MICHAEL MILES 369 19WC 16842 BRASHER, CARLOS B PEABODY ILLINOIS SERVICES 01/02/19 CULLEY & WISSORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 19WC 16876 SANDERSON, LINDA DPS OF HARRISBURG, INC. 12/01/18 MORROW WILLNAUER 371 19WC 17066 FORSTING, GEOFFREY CHESTER MENTAL HEALTH @ 05/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 372 19WC 17107 WRIGHT, TAMMY THE FELLOWSHIP HOUSE 11/13/18 WINTERS BREWSTER CROSBY SC MCDONALD & BOGDAN 373 19WC 17234 THOMPSON, RION CP COMMUNICATIONS 10/15/18 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 374 19WC 17264 ARRINGTON, RICHARD CENTERSTONE 12/11/18 BROWN & BROWN 375 19WC 17378 POE, TIMOTHY J GATEWAY COAL MINE 12/06/18 BONIFIELD & ROSENSTENGEL P KEEFE & DEPAULI 376 19WC 17502 MULHOLLAND, RICHARD GLISTER-MARY LEE CORPORAT 05/02/19 WINTERS BREWSTER CROSBY SC FEIRICH MAGER GREEN & RYAN 377 19WC 17505 QUINT, MICHELLE JAMP SPECIAL EDUCATION 03/29/19 WINTERS BREWSTER CROSBY SC WIEDNER & MCAULIFFE LTD 378 19WC 17603 QUALLS, BARBARA A ONE HOT COOKIE 05/02/19 DEVIN M JONES LUCY T. UNGER 379 19WC 18091 HUMPHREYS, BRUCE CARBONDALE ELEMENTARY SD 06/04/19 RICH RICH COOKSEY & CHAPPE KNELL O'CONNOR DANIELWICZ 380 19WC 18163 PIND, JUDY CHOATE @ 04/29/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 381 19WC 18543 HENDERSON, LARRY STATE OF IL/VIENNA C.C. @ 02/01/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 382 19WC 18552 WARD, SAM CITY OF MARION 04/05/19 PRINCE LAW FIRM 383 19WC 18648 SIMS, CHRISTINE KEREN HART 01/08/19 HOWERTON, DORRIS & STONE NYHAN BAMBRICK KINZIE & LOWR 384 19WC 18773 MOORE, TINIKIA HELP AT HOME 06/06/19 WOMICK LAW FIRM CHTD 385 19WC 18969 TYNER, PHILLISA STATE OF IL, SIU-C @ 10/01/18 HOWERTON, DORRIS & STONE ASSISTANT ATTORNEY GENERAL 386 19WC 19093 HILL, MICHAEL A TITE WELDING LLC 09/18/18 BEARD LAW FIRM 387 19WC 19644 WHITTINGTON, DENISE AISIN MFG 04/05/19 WOMICK LAW FIRM CHTD STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 19WC 19656 MALONE, TYE MACH MINING LLC 06/20/19 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 389 19WC 19671 YATES, GLENN HIRELEVEL INC 06/20/19 WINTERS BREWSTER CROSBY SC 390 19WC 20166 DRAPER, RHIANA STATE OF IL/CHESTER MENTA @ 06/10/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 391 19WC 20175 BOONE, DANIEL FRONTIER COMMUNICATIONS 05/21/19 HOWERTON, DORRIS & STONE BRADY, CONNOLLY & MASUDA, PC 392 19WC 20393 CLARK, JANSEN GENERAL CABLE 06/19/19 RICH RICH COOKSEY & CHAPPE QUINN JOHNSTON HENDERSON ETA 393 19WC 20428 WHEATON, MARY CHOATE MENTAL HEALTH/ @ 07/06/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 394 19WC 20514 POWELL, KEVIN CHOATE MENTAL HEALTH CENT @ 04/05/19 WINTERS BREWSTER CROSBY SC ASSISTANT ATTORNEY GENERAL 395 19WC 21153 PAROLA, JORDAN CROWNLINE BOATS 03/08/19 SAM C MITCHELL & ASSOCIATE HENNESSY & ROACH, PC 396 19WC 21189 MILLER, DAVID WALMART 12/15/18 JEROME LINDSAY SALMI LL EARLY & MIRANDA PC 397 19WC 21190 MONTEITH, TINA COUNTRY CUPBOARD 12/15/18 JEROME LINDSAY SALMI LL LEMP & MURPHY 398 19WC 21275 ELDRIDGE, JAMISON COMPLIANCE STAFFING AGENC 04/01/19 LAWLER & LAWLER 399 19WC 21743 PROWELL, DEBRA LYNN DAVITA DIALYSIS 07/14/18 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 400 19WC 21788 PEEBELS, TIMOTHY AISIN ELECTRONICS ILLINOI 10/17/18 WINTERS BREWSTER CROSBY SC STEPHEN H LARSON LAW OFFICE 401 19WC 21884 HILL, ALAN HARRELL WELL SERVICE 02/25/19 HANAGAN & MCGOVERN PC HEYL ROYSTER VOELKER & ALLEN 402 19WC 22170 NOEL, JAMES ILLINOIS YOUTH CNTR HARRI @ 07/23/19 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 403 19WC 22353 CAMPBELL, ALFRED UNITED PARCEL SERVICE 10/02/17 GOLDENBERG HELLER ANTOGNOL MCANANY VANCLEVE & PHILLIPS 404 19WC 22531 NELSON, MAE WALMART SUPERCENTER 05/08/19 JEROME LINDSAY SALMI LL QUINTAIROS PRIETO WOOD & BOY 405 19WC 22638 BECK, MARY GIDGET PENN ALUMINUM 07/10/19 WOMICK LAW FIRM CHTD KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 19WC 22652 LOSEY, JAMES SOUTHERN ILLINOIS VAULT C 06/03/19 WOMICK LAW FIRM CHTD 407 19WC 22845 REHBEIN, PAM HOWERTON DORRIS STONE LAM 05/19/19 PRINCE LAW FIRM 408 19WC 22971 BRAYFIELD, DANIEL GILSTER-MARY LEE CORPORAT 07/26/19 FISHER KERHOVER COFFEY FEIRICH MAGER GREEN & RYAN 409 19WC 23049 PAREDES, ADRIAN CHESTER MENTAL HEALTH CEN @ 07/15/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 410 19WC 23270 SWINDLE, WESLEY QUEST TRUCKING 06/15/19 SCOTT B SHAPIRO BRYCE DOWNEY & LENKOV LLC 411 19WC 23286 JERALDS, DARLA VILLAHOUSE 06/07/19 DAVID W MARTAY QUINN JOHNSTON HENDERSON ETA 412 19WC 23906 BATEMAN, ROBERT SOUTHERN ILLINOIS UNIVERS @ 06/23/18 HUGHES LAW FIRM ASSISTANT ATTORNEY GENERAL 413 19WC 23956 TRIPP, KAREN ST OF IL- ANNA VETERANS H @ 07/15/19 FOLEY & DENNY ASSISTANT ATTORNEY GENERAL 414 19WC 24055 REDMON, BRIAN WALMART 09/23/18 HOWERTON, DORRIS & STONE GANAN & SHAPIRO 415 19WC 24144 GREENLEE, GARY PIASA MOTOR FUELS 08/06/19 GALANTI LAW OFFICES 416 19WC 24449 WALTERS, ROBERT RABEN TIRE CO, INC 01/02/19 WINTERS BREWSTER CROSBY SC 417 19WC 24460 WALKER, KRISTINA AISIN MFG ILLINOIS, LLC 08/02/19 WINTERS BREWSTER CROSBY SC STEPHEN H LARSON LAW OFFICE 418 19WC 24654 ANDERSON, CHRISTOPHER STATE OF IL/ CHESTER MENT @ 07/31/19 RICH RICH COOKSEY & CHAPPE 419 19WC 24740 FRAZER, AMBER CHESTER MENTAL HEALTH @ 07/16/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 420 19WC 24771 WILLIAMS, RACHAEL ST OF IL- CHESTER MENTAL @ 07/26/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 421 19WC 24909 YURS, LISA GILSTER MARY LEE CORP 07/31/19 LAWLER & LAWLER FEIRICH MAGER GREEN & RYAN 422 19WC 25579 NEWCOMB, ROBIN MASSAC MEMORIAL HOSPITAL 08/01/19 WINTERS BREWSTER CROSBY SC GAROFALO SCHREIBER STORM GRA 423 19WC 25597 FINNEY, KEVIN SIU-C @ 08/07/15 PRINCE LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 19WC 25889 HARRISON, KEVIN GENERAL CABLE 08/12/19 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC 425 19WC 26031 DUNCAN, WILLIAM HARDIN COUNTY SHERIFF'S D 04/17/19 LAWLER & LAWLER INMAN & FITZGIBBONS 426 19WC 26055 BECKER, PATRICIA CRACKER BARREL 05/21/19 RICH RICH COOKSEY & CHAPPE 427 19WC 26098 DAIGHERTY-SUMMERS, GERRI HELIA HEALTH 07/07/19 DWORKIN AND MACIARIELLO 428 19WC 26533 FRAZER, AMBER ST OF IL/CHESTER MENTAL H @ 12/25/17 RICH RICH COOKSEY & CHAPPE 429 19WC 26792 SCHUBERT, MICHELLE M DG RETAIL, LLC 04/03/18 HARRIS & JONES GOLDBERG SEGALLA LLC 430 19WC 27152 BRUNKHORST, AMBER GILSTER MARY-LEE 06/05/19 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 431 19WC 27172 BENNETT, ASHLEY CENTERSTONE OF AMERICA IN 02/28/19 GLASS & KOREIN 432 19WC 27194 WINCHESTER, MELISSA CENTERSTONE OF ILLINOIS N 06/03/19 LAWLER & LAWLER 433 19WC 27203 JOSLIN, DEBORAH HELP AT HOME 07/15/19 MICHAEL MILES ROSARIO CIBELLA 434 19WC 27215 WINGERTER, ERIC CHESTER MENTAL HEALTH @ 08/14/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 435 19WC 27818 SCHMIDT, ANN MARIE BOYS & GIRLS CLUBS OF SOU 08/22/19 JOHN S. ELIASIK FEIRICH MAGER GREEN & RYAN 436 19WC 27946 HOUSEMAN, AMANDA STATE OF IL/CHOATE MENTAL @ 06/26/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 437 19WC 28077 FANN, BILLY GENERAL CABLE 09/04/19 RICH RICH COOKSEY & CHAPPE 438 19WC 28273 WOODHOUSE, PAUL DRY SYSTEMS TECHNOLOGIES 02/11/19 PRINCE LAW FIRM LUCY T. UNGER 439 19WC 28593 DOWNS, TAMMY (WIDOW) FCCC INVESTMENTS, LLC # 07/07/19 SAM C MITCHELL & ASSOCIATE WIEDNER & MCAULIFFE LTD 440 19WC 28858 DAME, TIM FRITO LAY 08/22/19 RON D COFFEL & ASSOC THOMAS MAMER LLP 441 19WC 28944 BAUER, DAVID MB GLOBAL LOGISTICS INC. 12/16/16 RICHARD E ALEKSY MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 19WC 29001 JOHNSON, CATHERINE A AISIN LIGHT METALS, LLC 08/31/18 HARRIS & JONES 443 19WC 29118 GREEN, LAURIE AISIN MANUFACTURING 09/17/18 WINTERS BREWSTER CROSBY SC 444 19WC 29159 CORSO, JOSEPH URSA LOGISTICS 06/25/19 RICH RICH COOKSEY & CHAPPE WIEDNER & MCAULIFFE LTD 445 19WC 29162 THOMPSON, CATHY SOUTHERN SEVEN HEAD START 05/01/19 PRINCE LAW FIRM 446 19WC 29213 WHITTLE, THOMAS MURRAYS BODY SHOP 08/22/18 WOMICK LAW FIRM CHTD ROSARIO CIBELLA 447 19WC 29266 STUART, JEREMY NEAL TIRE & AUTO SERVICE 07/01/19 BEARD LAW FIRM HOLTKAMP LIESE 448 19WC 29315 PETERSEN, DOROTHY SOUTHERN ILINOIS HEALTHCA 08/01/19 BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 449 19WC 29569 WALLER, JOHN KNIGHT HAWK COAL, LLC 10/09/18 LITCHFIELD CAVO 450 19WC 29716 DUCKWORTH, JOHN CHOATE MENTAL HEALTH @ 08/19/19 WINTERS BREWSTER CROSBY SC ASSISTANT ATTORNEY GENERAL 451 19WC 29835 MOHR, TOBY ST OF IL/MENARD C.C. @ 09/24/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 452 19WC 30031 WOODWORTH JR, RONNIE KRD 06/21/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 453 19WC 30104 SMITH, DAKOTA RABEN TIRE AND AUTO SERVI 02/16/19 SAM C MITCHELL & ASSOCIATE 454 19WC 30122 JERALDS, TERESA BANK OF HERRIN 05/23/18 HOWERTON, DORRIS & STONE 455 19WC 30305 MELVIN, DIANA GILSTER MARY LEE CORPORAT 08/31/18 HARRIS & JONES FEIRICH MAGER GREEN & RYAN 456 19WC 30368 GILLEY, BROCK QUALITY NETWORK SOLUTIONS 08/10/18 WINTERS BREWSTER CROSBY SC ROUSE & CARY 457 19WC 30577 PERKINS, ASHLEY LITTLE CESARS PIZZA 03/29/19 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 458 19WC 30663 HOAGUE, DAVID DURHAM SCHOOL BUS 01/04/19 RICH RICH COOKSEY & CHAPPE BRADY CONNOLLY & MASUDA PC 459 19WC 30734 JACKSON, CHRISTYNA AISIN ELECTRONICS IL LLC 08/27/19 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 19WC 30819 OPP, ROBERT CITY OF PINCKNEYVILLE 09/05/19 JEROME LINDSAY SALMI LL 461 19WC 31069 HAMBURG, JEFFREY R ADVANCED MED CAR 09/24/19 BROWN & BROWN 462 19WC 31194 SPAULDING, JOHN CHOATE MENTAL HEALTH @ 09/21/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 463 19WC 31199 JACKSON, CHRISTYNA AISIN ELECTRONICS ILLINOI 08/30/19 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 464 19WC 31204 LEE, TIMOTHY FRANKLIN CNTY HOUSING AUT 09/03/19 RICH RICH COOKSEY & CHAPPE GOLDBERG & SEGALLA LLP 465 19WC 31263 HOLDER, WENDELL IDOT @ 07/10/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 466 19WC 31303 SIMPSON, JOHN GREG WEEKS, INC. 07/05/19 GORI JULIAN & ASSOC 467 19WC 31395 HUDSON, DOUG SOUTHER FS, FARM SERVICE 03/04/19 HUGHES LAW FIRM HEYL ROYSTER VOELKER & ALLEN 468 19WC 31650 BECK, TERI CHESTER MENTAL HEALTH CEN @ 10/23/19 FISHER KERHOVER COFFEY 469 19WC 32210 NOVSEK, TRACY PUBLIC HEALTH DEPARTMENT 06/25/17 KATZ FRIEDMAN EISENSTEIN 470 19WC 33144 ELDERS, STEVEN SWANSON INDUSTRIES, INC * 02/01/17 LAWLER & LAWLER HEYL ROYSTER VOELKER & ALLEN 471 19WC 33411 BAUER, JAYME CHESTER MENTAL HEALTH CEN @ * 09/26/19 FISHER KERHOVER COFFEY 472 19WC 33413 CERISIER, FRANTZY GOODMAN NETWORKS 09/07/19 WINTERS BREWSTER CROSBY SC BRADY CONNOLLY & MASUDA PC 473 19WC 33439 BECKER, PATRICIA CRACKER BARREL * 07/12/19 RICH RICH COOKSEY & CHAPPE 474 19WC 33444 CERVANTES-PEREZ, GUILLERM PEABODY-WILDCAT MINE * 08/20/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 475 19WC 33580 BLEVINS, MACHELLE MURPHYSBORO CUSD #186 * 03/22/19 WOMICK LAW FIRM CHTD 476 19WC 33691 WALKER, DAVID PEABODY COAL WILDCATE HIL * 08/17/15 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 477 19WC 34015 WILLFORD, BRITTANY JEREMIAH'S KITCHEN * 07/23/19 HOWERTON, DORRIS & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 19WC 34196 GUZMAN, LEE BIMBO BAKERIES USA * 08/26/19 RATHBUN CSEVENYAK & KOZOL 479 19WC 34702 SHACKLETON, KATHY DILLARDS * 09/11/18 WINTERS BREWSTER CROSBY SC 480 19WC 34837 KOWZAN, DANIEL L GOLD PLATE PROGRAM OF * 09/10/19 FEIRICH MAGER GREEN & RYAN KNELL O'CONNOR DANIELWICZ 481 19WC 34856 PORRITT, LEO PEPSI MIDAMERICA * 10/07/19 BRIAN K. ZIRKELBACH 482 19WC 34960 RIEHLE, CHRIS STRYKER * 09/04/18 GALANTI LAW OFFICES MORROW WILLNAUER 483 19WC 35246 SHORT, CYNTHIA HARDIN COUNTY GENERAL HOS * 08/18/18 MARK N LEE GAROFALO SCHREIBER STORM GRA 484 19WC 35394 SHULTZ, ROBERT ST OF ILLINOIS/CHESTER ME @ * 10/17/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 485 19WC 35551 WARD, CHRISTOPHER PLACESMART AGENCY * 09/09/19 WINTERS BREWSTER CROSBY SC 486 19WC 35721 ALLISON, JAMONTE STAFFQUICK * 10/08/19 ARGIONIS & ASSOCIATES LLC LEMP & MURPHY 487 19WC 35924 ANDERS, BRANDON S PRYSMIAN GENERAL CABLE * 07/11/19 HARRIS & JONES 488 19WC 36091 KING, TRACY JACKSON COUNTY HOUSING AU * 12/20/17 RUSIN & MACIOROWSKI LTD 489 19WC 36283 CRAFT, JAMES A AMEREN ILLINOIS * 05/11/18 KEEFE & DEPAULI 490 19WC 36351 ATWOOD, MICHELLEM SPERO FAMILY SERVICES * 11/06/19 RON D COFFEL & ASSOC HENNESSY & ROACH, PC 491 19WC 36457 GIBBS, WHITNEY ILLINOIS VETERANS HOME OF @ * 07/28/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 492 19WC 36652 FRICKE, BRIAN CHESTER DAIRY COMPANY * 10/02/19 FISHER KERHOVER COFFEY HENNESSY & ROACH 493 19WC 36770 DONOGHUE, MARK GENERAL CABLE * 07/16/19 RICH RICH COOKSEY & CHAPPE EVANS & DIXON 494 19WC 36950 WEBER, VICKI RANDOLPH COUNTY * 12/06/19 FISHER KERHOVER COFFEY INMAN & FITZGIBBONS 495 19WC 36963 GRAH, ROBERT CHESTER MENTAL HEALTH CEN @ * 10/12/19 FISHER KERHOVER COFFEY 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 NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 19WC 36972 WHITED, KARLA MARSHALL BROWNING HOSPITA * 03/21/19 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 497 19WC 37052 DEEN, KIMBERLY DEPT OF CORRECTIONS/DUQUO @ * 06/07/19 BECKER SCHROADER & CHAPMAN 498 19WC 37113 JOHNSON, MATTHEW STATE OF ILLINOIS @ * 10/03/19 HOWERTON, DORRIS & STONE 499 19WC 37367 COURTNEY, JOSHUA DAVID STANLEY * 08/15/19 DWORKIN AND MACIARIELLO 500 19WC 37517 CHAPMAN, DOUGLAS STATE OF IL/ SIUC @ * 01/20/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 501 19WC 37563 ROOD, COREY CHOATE MENTAL HEALTH @ * 07/10/19 BECKER SCHROADER & CHAPMAN 502 20WC 00262 HUG, BRENDA ACCEL EXNTERTAINMENT * 08/08/19 WIEDNER & MCAULIFFE LTD 503 20WC 00334 PEARL, BRANDI SUBWAY * 09/01/19 HARRIS & JONES 504 20WC 00543 DILDAY, MICHELLE FEDEX EXPRESS * 07/23/19 RICH RICH COOKSEY & CHAPPE 505 20WC 00663 MOORE, BENJAMIN SOUTHERN ILLINOIS MINERS, * 07/27/18 LAWRENCE COZZI - LAW OFFICE 506 20WC 00920 KABAT, NICOLE WORLD ACCEPTANCE CORP * 01/01/19 LUCY T. UNGER 507 20WC 00988 PHINNEY, MITCHELL ROYAL CROWN COLA OF HERRI * 12/18/19 WINTERS BREWSTER CROSBY SC 508 20WC 01176 FIELDS, TRACY BEELMAN TRUCKING * 05/08/19 WOMICK LAW FIRM CHTD 509 20WC 01395 PLUMER, STEVEN R CITY OF MARION * 09/19/19 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 510 20WC 01658 SULLIVAN, JOHN SOI/DUQUOIN IMPACT @ * 12/17/19 RICH RICH COOKSEY & CHAPPE 511 20WC 01677 VALLIANT, MICHAEL GILSTER MARY LEE * 03/26/19 THE BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 512 20WC 02059 PETTY, PAULA TJ MAXX * 08/26/19 WOMICK LAW FIRM CHTD 513 20WC 02132 STEARNS, CORY VALIANT CARBONDALE AKA * 10/24/19 RON D COFFEL & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR HERRIN 13003 ON 03/09/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 20WC 02201 SCHLAUTMANN, DAVID ILLINOIS DEPT OF CORRECTI @ * 09/10/19 LAW OFFICE OF JEROME SALMI 515 20WC 02211 ROCHE, DUSTIN PINCKNEYVILLE CC @ * 01/09/20 RICH RICH COOKSEY & CHAPPE 516 20WC 02589 DECOURSEY, MARK HEARTLND MECHANICAL CNTRA * 05/07/18 STEPHEN P. KELLY 517 20WC 03167 GRIFFITH, RYAN CLINTON MARSHALL D/B/A * 10/18/19 LAWRENCE COZZI - LAW OFFICE 518 20WC 03246 ETHINGTON, CALVIN MISSELHORN WELDING & * 06/10/19 KNELL LAW LLC 519 20WC 03383 HUNSIL, RAYMOND CHOATE MENTAL HEALTH * 12/27/19 LAW OFFICE OF JEROME SALMI