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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 11WC 40190 19B WELLER, KENNETH G&D INTEGRATED 09/30/11 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 18 11WC 40540 19B GILMORE, JOHN SR HULL TRUCKING OF MASON 07/31/11 WILLIAMS & SWEE LTD GANAN & SHAPIRO 12WC018726 -C 19 11WC 41583 POWERS, DANIEL H SOI - DEPT OF TRANSPORTAT @ 10/27/10 JOHN LESAGANICH 20 11WC 42159 CHITWOOD, SHERRIEL CATERPILLAR INC 10/13/11 JOHN LESAGANICH CATERPILLAR INC 21 11WC 44027 TORRES, PATRICIA FCA MANUFACTURING 11/01/11 JOHN LESAGANICH HOLECEK & ASSOCIATES 22 12WC 08643 19B EVANS, DENNIS HOSTESS BRANDS 01/30/12 ADELSON TESTAN BRUNDO 23 12WC 16611 ANDERTON, JOSHUA ILLINOIS STATE POLICE @ 11/22/11 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 24 12WC 23345 STEGENS, DAVID JAMES HYMBAUGH D/B/A @ W 06/21/12 STRONG LAW OFFICE JACOB FROST 25 12WC 26080 CALCITRAI, CAROL WIDOW OF LAKE WILDWOOD ASSOICATION # 12/22/09 HEYL ROYSTER VOELKER & ALLEN 26 12WC 30169 DETRICK, BRETT J STATE OF ILLINOIS @ 05/20/12 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 27 12WC 30199 WASHINGTON, DAWN D NELLIS MANAGEMENT CO 03/16/12 JOHN LESAGANICH QUINTAIROS PRIETO WOOD & BOY 13WC037920 -C 28 12WC 31440 ALLEN, LORRAINE IL DEPT OF AGRICULTURE @ 10/17/09 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 13WC004140 -C ILLINOIS DEPARTMENT 13WC004141 -C 13WC004142 -C ILLINOIS DEPARTMENT 29 12WC 33906 KOCH, BRAD RON WAGENBACH CONCRETE 09/22/10 WILLIAMS & SWEE PERRY GENTILE 30 13WC 04222 MELTON, JOSEPH THE PINNACLE ADVISORY GRO 05/17/12 CROWLEY & PRILL STONE & JOHNSON CHARTERED 31 13WC 14217 LOHR, TROY G MATCOR METAL FABRICATION 04/20/12 JOHN LESAGANICH 32 13WC 15241 SKAGGS, TRACIE ST OF IL DEPT OF IDOT @ 04/18/13 KINGERY DURREE WAKEMAN & R 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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 33 13WC 15679 VAN DEHY, STEVEN M P I & I MOTOR EXPRESS 12/12/12 KINGERY DURREE WAKEMAN & R 34 13WC 17485 ROWBOTHAM, WILSON G MONDELEZ GLOBAL LLC 09/02/12 KINGERY DURREE WAKEMAN & R WIEDNER & MCAULIFFE LTD 13WC017487 -C 13WC017490 -C 35 13WC 28294 BREDEMAN, JERRY D COOK GROUP INCORPORATED 01/09/13 STEPHEN P. KELLY HOLECEK & ASSOCIATES 14WC026648 -C 14WC026649 -C 14WC026651 -C 36 13WC 36968 19B GRIFFITH, PENNY KROGER 08/08/13 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 37 13WC 37921 FITCH, BETTY J CASEY'S GENERAL STORE 07/29/13 JOHN LESAGANICH PC HEYL ROYSTER VOELKER & ALLEN 38 13WC 40744 BUGOS, CYNTHIA M CATERPILLAR INC 10/16/11 JOHNSON & JOHNSON DARCY GIBSON 13WC040745 -C 39 13WC 41073 HUFELD, RANDY ILLINOIS REFRIGERATED TRU @ W 11/27/13 STRONG LAW OFFICE HUFF LAW OFFICES 13WC041074 -C 40 13WC 42243 HEATON, SHERRY A THE ELMS 07/11/12 JOHNSON & JOHNSON RUSIN & MACIOROWSKI LTD 16WC022826 -C PETERSEN HEALTH INDUSTRY, 41 14WC 02192 MARTIN, RICK THE KROGER CO 12/10/13 BACH, ROBERT W GANAN & SHAPIRO 42 14WC 02898 WOODS, LYNETTE RED CROSS 09/30/13 POWER & CRONIN LTD 43 14WC 03742 ERVIN, LOUIE D CATERPILLAR INC 10/07/13 ROCHFORD & ASSOC DARCY GIBSON 44 14WC 04584 DEET, ROBERTA P PARKER HANNIFIN CORP 12/04/13 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 45 14WC 06548 SMITH, ANGELA M CATERPILLAR INC 05/01/12 WINNE LAW OFFICE LLC DARCY GIBSON 46 14WC 06839 CARTER, JAMES L MORTON BUILDINGS INC 01/08/14 JOHN LESAGANICH PC KNELL LAW LLC 47 14WC 10642 REGAN, SAMANTHA R (WIDOW) J F ELECTRIC INCORPORATED # 02/25/14 JOEL E BROWN COZZI & GOGGIN-WARD 48 14WC 11297 MITCHELL, JOHN E RIDGE & DOWNES LLC 04/04/11 JOHN LESAGANICH EVANS & DIXON, LLC

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 14WC 14000 WALTER, ROBERT K SPOON RIVER COLLEGE 11/01/11 JOHN LESAGANICH LAW OFFICES STEVEN PILAND 50 14WC 14092 GRANT, DONALD P III, ADMI L & M STEEL 03/19/14 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 51 14WC 14514 WALTER, ROBERT K SPOON RIVER COLLEGE 12/28/12 JOHN LESAGANICH LAW OFFICES STEVEN PILAND 52 14WC 16347 STOCKHAM, WESLEY ST OF ILL ILLINOIS @ 03/12/14 JOHN LESAGANICH 53 14WC 20268 DONALDSON, VICKIE CATERPILLAR INC 05/16/14 WINNE LAW OFFICE LLC DARCY GIBSON 54 14WC 25179 RATTON, BRENDA CATERPILLAR INC 07/16/12 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 55 14WC 26599 CREASER, JOHN NU WAY TRANSPORTATION 12/10/13 THOMAS R LICHTEN COZZI & GOGGIN-WARD 56 14WC 27717 YOUNGER, THEODORE CATERPILLAR 06/23/14 STEPHENS FIDDES MCGILL ASS DARCY GIBSON 57 14WC 28107 MURDOCK, JENNIFER M HGS USA LLC 06/19/14 JOHN LESAGANICH HOLECEK & ASSOCIATES 58 14WC 29599 CONNELLY, RONDA JF ELECTRIC INC # 02/25/14 KINGERY DURREE WAKEMAN & R 59 14WC 31067 SMITH, ANGELA M CATERPILLAR, INC 06/06/14 WINNE LAW OFFICE LLC DARCY GIBSON 60 14WC 31129 DONALDSON, VICKIE CATERPILLAR INC 07/31/14 WINNE LAW OFFICE LLC DARCY GIBSON 61 14WC 31592 TURNER, RENEE CATERPILLAR INC 07/31/12 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 62 14WC 31822 TURNER, RENEE CATERPILLAR INC 02/07/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 63 14WC 31826 TURNER, RENEE CATERPILLAR INC 03/05/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 64 14WC 32257 HILST, BRENDA DORS 05/28/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 16WC035453 -C STATE OF IL DEPT OF 65 14WC 32504 DONALDSON, VICKIE CATERPILLAR, INC. 12/16/09 WINNE LAW OFFICE LLC DARCY GIBSON 66 14WC 35034 GREEN, VIRGINIA UNITY POINT HEATLH 12/29/13 RIDGE & DOWNES STEPHEN P. KELLY

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 14WC 39526 FITSCHEN, ELIZABETH CATERPILLAR INC 06/03/13 LEE, MARK N LAW OFFICE CATERPILLAR 68 14WC 42645 BURDESS, LAURA HOERR NURSERY 09/15/14 BROWN & BROWN BRYCE DOWNEY & LENKOV LLC 15WC010422 -C 69 15WC 00609 ROBINSON, STACEY BELLA ELEVATOR 09/30/14 GOLDBERG WEISMAN & CAIRO L HOLECEK & ASSOCIATES 70 15WC 01865 LEDFORD, LAKODA M UNITED STATE INFRASTRUCTU 11/20/13 JOHN LESAGANICH 71 15WC 02558 19B WILLIAMS, CONTRINA PHD SERVICES 08/22/14 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 72 15WC 02670 TURNER, RUSSELL F CATERPILLAR 10/05/14 JOHN LESAGANICH AMANDA WATSON 73 15WC 02697 CHANCE, MASON A CLASSY GRASS INC 05/19/14 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 74 15WC 04414 NEVITT, NICHOLAS INTERNATIONAL SUPPLY CO 06/25/14 JAY H JANSSEN NYHAN BAMBRICK KINZIE & LOWR 15WC007587 -C 75 15WC 05335 WARD, CAMILLA MORTON TERRACE 12/07/14 STEPHENS FIDDES MCGILL ASS HEYL ROYSTER VOELKER & ALLEN 76 15WC 05787 MAXON, JANENE M APOSTOLIC CHRISTIAN HOME 01/25/15 JOHN LESAGANICH 77 15WC 07821 WISE, CONNIE MID STATE COAL CO # 09/09/14 CULLEY & WISSORE 78 15WC 08238 HAMMONS, NIGERIA M DUNKIN DONUTS/BASKIN ROBB 06/26/14 JOHN LESAGANICH 79 15WC 10797 HOLEMAN, KENNETH PEKIN PAPERBOARD 07/01/14 KATZ FRIEDMAN EAGLE ET AL THOMAS & PORTELA 80 15WC 13571 RAVEN, RYAN ILLINOIS PRO SPORTS LLC 11/15/13 HARVEY & STUCKEL HOLECEK & ASSOCIATES 81 15WC 14326 NOBLE, MICHAEL E HAYANA SCHOOL DISTRICT 07/06/12 KANOSKI BRESNEY NOBLE & ASSOCIATES PC 82 15WC 15145 BRANCHFIELD, JOHN T STATE OF IL @ 03/06/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 83 15WC 18763 RICHARDS, LINDA D PEORIA PUBLIC SCHOOLS DIS 09/23/14 BACH, ROBERT W STEPHEN P. KELLY 84 15WC 19072 BRITTON, VICKIE L UNITYPOINT HEALTH - METHO 05/15/15 BENASSI & BENASSI STEPHEN P. KELLY

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 15WC 20297 OWSLEY, CATHY L WICC LTD 05/22/15 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 86 15WC 20748 ANDERSON, JENNIFER OSF ST FRANCIS MEDICAL CT 01/21/14 SCHWEICKERT & GANASSIN HINSHAW & CULBERTSON 16WC008761 -C 87 15WC 21059 NELSON, MICHELLE M SC2 06/12/15 JOHN LESAGANICH RIPES NELSON BAGGOT KALOBRAT 88 15WC 21443 CARPENTER, THORSTEN KOMATSU 08/20/14 DAMON YOUNG KNELL LAW LLC 89 15WC 21489 ERVIN, LOUIE D CATERPILLAR INC 05/04/15 ROCHFORD & ASSOC DARCY GIBSON 90 15WC 21916 MCGAHEY, CHRISTINE BICKFORD COTTAGE SENIOR L 11/20/14 BOSHARDY LAW OFFICE PC KEEFE CAMPBELL & ASSOC LLC 15WC021917 -C 91 15WC 22299 GORDON, MICHAEL R TEMCO MACHINERY INC 10/10/12 JOHN LESAGANICH 92 15WC 23539 DUPAGE, JOSHUA M SCOTT BANDY D/B/A MCDONAL 07/13/15 JOHN LESAGANICH 93 15WC 24060 SKINNER, DEBRA MICHAEL & ROSEMARY FRAWLE 06/27/15 SCHWEICKERT & GANASSIN STROW LAW LLC 94 15WC 24487 YOUNG, TODD M. NEIMAN FOODS D/B/A 05/24/15 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 95 15WC 25557 BROOKS, MICHAEL PEORIA FIRE DEPT 07/16/15 STEPHENS FIDDES MCGILL ASS HASSELBERG GREBE SNODGRASS 96 15WC 26481 ERVIN, LOUIE D. CATERPILLAR, INC. 10/31/14 ROCHFORD & ASSOC DARCY GIBSON 97 15WC 26555 MC COY, DARYL MORTON SUPPLIES 03/11/15 CUSACK FLEMING GILFILLAN E RODDY LAW LTD 98 15WC 26792 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 01/05/15 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 99 15WC 27585 KRAFT, JESSICA CATERPILLAR 07/23/15 STEPHENS FIDDES MCGILL ASS DARCY GIBSON

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 100 15WC 27767 BARBOUR, WENDY L PEKIN COMMUNITY HIGH SCHO 03/25/15 JOHN LESAGANICH COZZI & GOGGIN-WARD 101 15WC 27962 19B NATHAN-HUGHES, STACEY PEORIA COUNTY 06/20/15 GOLDFINE & BOWLES STEPHEN P. KELLY 15WC027963 -C 102 15WC 28376 MOUSHON, TONY ILLINOIS AMERICAN WATER 12/03/12 CUSACK FLEMING GILFILLAN E CLAYBORNE SABO & WAGNER 103 15WC 28635 NIGHSWANGER, EHRIN M LOWE'S COMPANIES INC 05/07/15 JOHN LESAGANICH KEEFE CAMPBELL & ASSOC LLC 104 15WC 30794 19B BESCHORNER, BARBARA O'REILLY AUTO PARTS 07/25/15 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH 105 15WC 31442 BUTLER, SHAUN R TRIPLETT LAWN & LANDSCAPI 08/03/15 BACH, ROBERT W QUINN JOHNSTON HENDERSON ETA 106 15WC 31983 HAVENS, FRANKLIN DAVID VAUGHN & BUSHNEEL MFG 07/15/15 JOHNSON & JOHNSON HEYL ROYSTER VOELKER & ALLEN 107 15WC 32415 RISBY, SAMUEL PEORIA PUBLIC SCHOOL 08/25/15 CHRIS DOSCOTCH STEPHEN P. KELLY 108 15WC 33419 SIMMONS, CIARA D (ADMIN) PEORIA HOUSING AUTHORITY # 09/25/15 BENASSI & BENASSI HEYL ROYSTER VOELKER & ALLEN 18WC004826 -C 109 15WC 36284 HEARNE, KRISTY THE KROGER CO 03/01/15 JOHN LESAGANICH GANAN & SHAPIRO 110 15WC 38290 ESSEX, ANGELA PILLAR HOTELS D/B/A 09/11/15 JOHN LESAGANICH LAW OFFICES FRANCESCA LARSEN 111 15WC 39547 FRAZEE, JACKIE SAM'S CLUB 10/10/15 STRONG LAW OFFICE GANAN & SHAPIRO 112 15WC 42149 HASTE, DAVID CITY OF PEORIA 11/04/15 LAW OFFICE OF CHRIS DOSCOT HASSELBERG GREBE SNODGRASS 113 16WC 01815 VARGAS, VERONICA MCDONALDS CLARK 01/20/13 ROSS J HELFAND INMAN & FITZGIBBONS 114 16WC 01935 OBOURN, RODNEY G CATERPILLAR INC 10/21/13 JOHN LESAGANICH AMANDA WATSON 115 16WC 02359 GARANT, DAVID GRIMM EXPRESS DELIVERY 05/27/15 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 116 16WC 03629 WOLLACK, DALE CATERPILLAR INC 01/26/15 ANTHONY C RACCUGLIA & ASSO AMANDA WATSON 117 16WC 03691 FORD, KENNETH GROWMARK DBA SUNRISE 07/09/15 JAY H JANSSEN

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 16WC 05138 BRYSON, SHIRLEY HAWKINS MINE CONSTRUCTION # 04/17/14 CULLEY & WISSORE 119 16WC 05143 GARNER, JAMES A STATE OF IL-DEPTOF CORREC @ 11/16/15 THOMSON, MCNEELY & TOBIN KRISTINA D DION 120 16WC 05353 CROOKS, SEAN FREEMONS TREE & LOG SERVI W 06/15/15 KRISTINA D DION 121 16WC 05570 BROWN, DALE CATERPILLAR INC 04/11/15 JAY H JANSSEN AMANDA WATSON 122 16WC 06690 BARBSON, JEFFERY A KEYSTONE STEEL & WIRE CO 06/24/15 JOHN LESAGANICH 123 16WC 07158 ROBERTSON, ELIZABETH OTTO BAUM, INC 09/11/15 KINGERY DURREE WAKEMAN & R KNELL LAW LLC 124 16WC 07436 STONE, DONALD HEINZ BROTHERS TRUCKING 08/20/15 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 125 16WC 07724 SHARKEY, THEODORE PNG, INC 02/09/16 WARREN E DANZ, PC SCOPELITIS GARVIN LIGHT 126 16WC 08581 SUITS, BRENDA DARDEN RESTAURANTS INC D/ 11/15/13 HASSELBERG & ROCK WIEDNER & MCAULIFFE LTD 16WC008583 -C 16WC027232 -C 127 16WC 09555 CRAWLEY, JOHN O'BRIEN STEEL 02/01/16 JAY H JANSSEN KEEFE CAMPBELL & ASSOC LLC 128 16WC 09594 TALLYN, ARNOLD ADM 01/23/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 129 16WC 11776 STAHL, LYNN M BOYD GAMING D/B/A PAR-A-D 04/01/16 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 130 16WC 12496 BEVILL, SUSAN UNITYPOINT HEALTH 09/02/15 GOLDFINE & BOWLES STEPHEN P. KELLY 131 16WC 13697 DIXON, RICCO T GREATER PEORIA MASS TRANS 04/08/16 HARVEY & STUCKEL QUINN JOHNSTON HENDERSON ETA 132 16WC 13930 DAVIS, MARCUS GOLDEN CORRAL 03/03/16

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 16WC 13947 ROBINSON, GLEN CATERPILLAR, INC. 03/31/16 JOHN LESAGANICH CATERPILLAR 134 16WC 14326 SNYDER, MICHELE ARAMARK 01/29/16 GOLDFINE & BOWLES INMAN & FITZGIBBONS 16WC014327 -C 135 16WC 16356 SCHULTZ, GREGG A KEYSTONE STEEL & WIRE CO 05/04/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 136 16WC 17180 FLOWERS, PAMELA S MENARDS 02/03/15 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 137 16WC 17820 WEAVER, SEAN CATERPILLAR, INC 05/23/16 JOHN LESAGANICH AMANDA WATSON 138 16WC 18024 MC QUAID, TAMMIE S. CATERPILLAR INC. 06/02/16 WINNE LAW OFFICE LLC AMANDA WATSON 139 16WC 18506 MANNAIONI, JOHN ADVANCED TECH SERVICES, I 11/06/15 HEIPLE LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 140 16WC 18538 HAM, JEFFERY RISINGER BROS TRANSFER IN 01/08/15 HEIPLE LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 141 16WC 19081 MYSZKOWSKI, TONY AMERICAN RED CROSS 10/06/15 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 17WC006589 -C 142 16WC 20902 MILROY, TIMOTHY D STAET OF IL CMS @ 03/08/16 JOHN LESAGANICH KRISTINA D DION 143 16WC 20962 JOHNSON, RICKY EDDIE FREEMON JR & EDDIE W 05/18/16 WARREN E DANZ, PC LAW OFFICE OF CHRIS DOSCOTCH 144 16WC 21216 CARPENTER, JOSHUA BRUCE EKHOFF BUILDERS INC 05/23/16 BRYCE DOWNEY & LENKOV LLC 145 16WC 21472 WALK, JACOB HAYES MECHANICAL 05/03/16 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 232 16WC014434 -C 146 16WC 21802 DEEMIE, CHRISTOPHER WINKLER, LARRY 04/29/16 CHRIS DOSCOTCH GAROFALO SCHREIBER STORM GRA 147 16WC 22040 LLOYD, BRYAN CATERPILLAR, INC. 02/21/14 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 148 16WC 22245 INOCENCIO, ALFONSO JR INTERNATIONAL UNION OF 04/07/16 LAW OFFICE DAVID HUNT LAW OFFICES STEVEN PILAND 18WC033713 -C 149 16WC 22747 ORR, SARA M CATERPILLAR, INC 07/24/13 WINNE LAW OFFICE LLC CATERPILLAR

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 16WC 23759 STOVALL, JESSIE H DUST PATROL INC 06/24/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 151 16WC 25652 JOHNSON, JEFFREY T. FAMILY CORE, INC. 07/06/16 BENASSI & BENASSI HENNESSY & ROACH 152 16WC 25695 COX, TAMMIE ADVANCED MEDICAL TRANSPOR 10/13/15 LAW OFFICE DAVID HUNT JAMES M KELLY 153 16WC 26221 BAILEY, BRETT ROAD SAFE 02/12/16 CUSACK FLEMING GILFILLAN E LAW OFFICE CRAIG A HANSEN 154 16WC 26689 REBHOLZ, MARY ANN OSF ST. FRANCIS MEDICAL C 07/08/16 BACH, ROBERT W HINSHAW & CULBERTSON 155 16WC 27077 CLIFT, DALE LAKE WILDWOOD ASSOCIATION 06/27/15 STRONG LAW OFFICE GANAN & SHAPIRO 16WC027078 -C 156 16WC 27175 19B MUDD, CHARLES GRIMM EXPRESS DELIVERY 02/01/16 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 026 16WC017489 -C 157 16WC 27323 BUYSSE, NINA M OSF ST FRANCIS MED CTR 45 04/18/16 JOHN LESAGANICH HINSHAW & CULBERTSON 158 16WC 27754 PARSON, CALEB LOWE'S 01/15/15 LEE, MARK N LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 159 16WC 29144 GRIER, WILLIAM GRAHAM HOSPITAL 06/13/16 JAY H JANSSEN QUINN JOHNSTON HENDERSON ETA 160 16WC 29726 LOWE, JOSEPH VONACHEN SERVICES, INC 08/18/16 JAY H JANSSEN PERRY GENTILE 161 16WC 29922 GRAY, DANIEL STATE OF IL, IDOC IL RIVE @ 10/06/15 REHN LAW LLC KRISTINA D DION 162 16WC 30342 SIEGEL, VICTOR L RAGLAND COMPANIES INC. 10/17/13 JOHN LESAGANICH 163 16WC 30657 CULBERSON, BERNICE FAYETTE COMPANIES HUMAN @ 09/22/16 WINNE LAW OFFICE LLC STEPHEN P. KELLY 164 16WC 31729 SPANI, MICHAEL CATERPILLAR INC 12/13/10 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 16WC 32294 VILLARREAL, JASON PEORIA AWNING CO 12/18/14 166 16WC 32410 HUMES, DORIS M KROGER 05/27/15 JOHN LESAGANICH GANAN & SHAPIRO 16WC032412 -C 167 16WC 32770 BERLIN, BRYAN CITY OF PRINCETON 11/02/14 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 16WC032776 -C 168 16WC 33377 WILLIAMS, JOHN CATERPILLAR, INC 04/27/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 169 16WC 33876 VIGNASSI, TERRY ST OF IL/ DEPT OF PUBLIC @ 07/11/16 CUSACK FLEMING GILFILLAN E KRISTINA D DION 170 16WC 34233 MCCOMBS, CHRISTOPHER ENTEC SERVICES, INC 02/21/15 LAW OFFICE OF CHRIS DOSCOT QUINN JOHNSTON HENDERSON ETA 16WC034234 -C 171 16WC 34421 KIRLEY, JANNON CHILDREN'S HOME-KIEFER SC 10/26/16 ROCHFORD & ASSOC WOLF LAW LTD 172 16WC 35797 JORDAN, PATRICK CITYOF PEORIA 10/28/16 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 173 16WC 37360 HENRICKS, RONALD THE ARCHER DANIELS MIDLAN 11/10/15 WILLIAM J FLOTOW FEATHERSTUN GAUMER POSTLEWAI 174 16WC 37403 MALINOWSKI, GARY COX TRANSFER 11/30/16 STEPHEN P. KELLY GANAN & SHAPIRO 175 16WC 37803 BOCKLER, DEBRA AMERICAN AIRLINES 12/05/16 GOLDFINE & BOWLES GAROFALO SCHREIBER STORM GRA 16WC039183 -C 176 16WC 37985 PHERIGO, RANDY AMEREN 11/16/16 MUELHAUSEN & STEFANI CASSIDY & MUELLER 177 17WC 01166 BUCKLEY, MICHAEL WHEEL WORX CO 12/27/16 DAMON YOUNG MCANANY VANCLEVE & PHILLIPS 178 17WC 01586 MORGAN, BRIAN M&O ENVIRONMENTAL CO 06/20/16 WARREN E DANZ, PC LEAHY EISENBERG & FRAENKEL 179 17WC 02186 BUTTRUM, DEAN SELECT STAFFING 02/01/16 LAW OFFICE OF CHRIS DOSCOT QUINTAIROS PRIETO WOOD & BOY 180 17WC 02189 BUTTRUM, DEAN CASTING CLEANING RESOURCE 01/09/17 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 181 17WC 02273 HARTZELL, KATHERINE STATE OF ILLINOIS - DEPAR @ 12/19/16 GOLDFINE & BOWLES KRISTINA D DION

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 182 17WC 02819 BOKESCH-PARSONS, CHARLENE PEORIA SCHOOL DISTRICT 15 @ 10/07/16 KANOSKI BRESNEY STEPHEN P. KELLY 183 17WC 03009 VONDERHEIDE, BRETT CITY OF PEORIA 09/19/14 STEPHEN P. KELLY 184 17WC 03030 MCCLENNING, RUSSELL EVERGREEN FS 01/04/17 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 185 17WC 03051 MCFARDEN, GERALD WALMART 09/13/16 WINNE LAW OFFICE LLC GANAN & SHAPIRO 186 17WC 04853 HOUSTON, TIMOTHY PRECISION PLANTING 11/21/16 STEPHENS FIDDES MCGILL ASS HENNESSY & ROACH PC 187 17WC 05035 ROMESBURG, GREGORY L RILEY'S TRUCKING 03/03/14 DOC HALLIDAY 188 17WC 05067 RANDLE, BARBARA UNITED GROUND EXPRESS INC 12/19/16 GOLDFINE & BOWLES 189 17WC 06664 VONDERHEIDE, APRIL HOPEDALE MEDICAL COMPLEX 11/16/16 LAW OFFICE OF CHRIS DOSCOT SLAVIN & SLAVIN 190 17WC 06758 BRACKETT, STEVE TAZEWELL MACHINE 02/08/17 JAY H JANSSEN HOLECEK & ASSOCIATES 17WC006759 -C 191 17WC 07635 DYNES, STEVEN R NEAL AUTO PARTS INC 02/02/17 JOHN LESAGANICH RODDY LAW LTD 192 17WC 07773 BROWN, LAURENCE KEYSTONE STEEL & WIRE CO 09/09/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 193 17WC 08140 SHIPLA, JOHN M GLOBAL SECURITY SERVICES 02/18/17 KELLY LAW 194 17WC 08803 19B HAUN, KEITH ALTORFER INC 10/31/16 DAVID HUNT HENNESSY & ROACH 195 17WC 09020 BOSECKER, GINA MASSAGE ENVY 12/20/16 LAW OFFICE DAVID HUNT 196 17WC 09339 POLNITZ, EVESTER LONG JOHN SILVER'S 01/05/17 STRONG LAW OFFICE CAPUANI & SCHNEIDER 197 17WC 09548 KIRBY, TERI CATERPILLAR 02/17/17 STEPHENS FIDDES MCGILL ASS CATERPILLAR 198 17WC 10238 SANDLIN, MELISSA BRADLEY UNIVERSITY 05/25/16 STEPHENS FIDDES MCGILL ASS HOLECEK & ASSOCIATES 199 17WC 10420 RILEY, KARLA BIG DADDY CAB 02/24/17 LAW OFFICE OF CHRIS DOSCOT

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 200 17WC 11273 PRINCE, LARRY HAYES MECHANICAL, LLC 03/28/16 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 201 17WC 12233 LOBELLO, KATHY CATERPILLAR 11/03/16 GOLDFINE & BOWLES AMANDA WATSON 202 17WC 12422 MYRICK, DAVID CATERPILLAR, INC 04/09/17 JAY H JANSSEN AMANDA WATSON 203 17WC 12572 CARROLL, JOHN ILLINOIS STATE POLICE 07/15/16 RIDGE & DOWNES JOSEPH MOORE 204 17WC 12745 MANN, MELISSA KROGER 03/30/17 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 205 17WC 14128 BRISTOL, ASHLEY BARTLETT MANAGEMENT DBA K 03/07/17 STRONG LAW OFFICE 206 17WC 14264 LEACH, PAULA J OLIVE GARDEN USA 03/05/16 STEVEN P GLANCY WIEDNER & MCAULIFFE LTD 207 17WC 14893 LEMON-ELLIS, SHAMEIKA BICKFORD COTTAGE 04/01/17 STEPHENS FIDDES MCGILL ASS 208 17WC 15005 FERRIS, MICHAEL HY-VEE 05/03/17 JOHNSON & JOHNSON QUINN JOHNSTON HENDERSON ETA 209 17WC 15465 BILLINGSLEY, RYAN CITY OF EAST PEORIA 04/25/17 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 210 17WC 17002 BONNER, KELLI BURGER KING 05/24/17 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 211 17WC 17272 MAYES, DANNY PEORIA SCHOOL DISTRICT 15 04/03/17 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY 212 17WC 17292 CAMPEN, JUDY A EAST PEORIA ELEMENTARY SC 09/29/15 BACH, ROBERT W COZZI & GOGGIN-WARD 213 17WC 17546 SARGENT, VERNITA PEORIA PUBLIC SCHOOLS DIS 08/15/16 GOLDFINE & BOWLES 214 17WC 17876 ROBINSON, JULIA CHILDERN'S HOME 09/08/16 LAW OFFICE OF CHRIS DOSCOT WOLF LAW LTD 215 17WC 17893 MORELAND, KEVIN HALVERSON CONSTRUCTION CO 07/06/07 WILLIAMS & SWEE 216 17WC 17955 HELD, MICHAEL CATERPILLAR INC 08/25/16 AMANDA WATSON 217 17WC 18003 TRACEY, KEVIN CATERPILLAR, INC 03/02/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 218 17WC 18175 SHUTTS, FREDRICH D KROGER CO 06/10/17 LAW OFFICE MARK WERTZ GANAN & SHAPIRO 219 17WC 18334 MCKENRICK, JOSH CLASSY GRASS 05/26/17 220 17WC 19451 DWYER, DELBERT M SMG CORP HQ 11/18/16 DOC HALLIDAY RUSIN & MACIOROWSKI LTD 221 17WC 20215 O'FLAHERTY, DENNIS FRONTIER COMMUNICATIONS 11/16/16 DOC HALLIDAY LAW OFFICE PAUL LARIMORE 222 17WC 20434 BROWN, DARRELL BIG LOTS 06/12/17 STRONG LAW OFFICE LITCHFIELD CAVO 223 17WC 20510 HUESER, CHRIS J D STREETT & CO, INC 11/10/16 JAY H JANSSEN HENNESSY & ROACH, PC 224 17WC 20583 GORZNY, MICHAEL E KROGER 03/18/17 HASSELBERG GREBE SNODGRASS CLAYBORNE SABO & WAGNER 225 17WC 20780 CRAWFORD, MARY SNYDER VILLAGE 06/14/17 GOLDFINE & BOWLES WOLFE & JACOBSON, LTD 226 17WC 21420 SCOTT, SHERMAN CATEPILLAR 03/16/17 STRONG LAW OFFICE AMANDA WATSON 17WC024158 -C CATERPILLAR 227 17WC 21486 MORRIS, STEVE VELDE CADILLAC BUICK GMC 06/27/17 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 228 17WC 21671 HARRIS, RONNIE HAYES MECHANICAL LLC 06/21/17 JOHN LESAGANICH GAROFALO SCHREIBER STORM GRA 229 17WC 21823 COLEMAN, DAMITA CATERPILLAR INC 05/31/17 STEPHENS FIDDES MCGILL ASS CATERPILLAR 230 17WC 22039 BARTLETT, DEBORAH SODEXO, INC 02/09/17 JAY H JANSSEN 231 17WC 22153 WIEGAND, ANGELA MONSANTO 03/13/17 LEFANTE LAW OFFICES MC ANDREWS & NORGLE LLC 232 17WC 22373 DOSIER, MELODY RENAISSANCE CARE CENTER 06/27/17 LAW OFFICE PATRICK JENNETT 233 17WC 23396 WHITBY, ANITA A OSF ST FRANCIS MEDICAL CE 06/02/17 JOHN LESAGANICH HINSHAW & CULBERTSON 234 17WC 24050 STONE, REBECCA MCDONALD'S 04/17/17 BENASSI & BENASSI 235 17WC 24066 HENDERSON, MARK MCDONALDS 05/28/17 LAW OFFICE OF CHRIS DOSCOT

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 236 17WC 24184 WALLIN, RAYMOND C YETTER MANUFACTURING COMP 10/07/14 KANOSKI BRESNEY LIVINGSTONE MUELLER ET AL 237 17WC 25486 19B SALMON, DUSTIN CITY OF PEKIN 05/24/17 STEPHEN P. KELLY POWER & CRONIN LTD 238 17WC 25508 SMITH, STEVEN HYVEE 03/20/17 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 239 17WC 25581 HANUSKI, TARA OSF ST FRANCIS MEDICAL CE 08/02/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 240 17WC 26115 WYDAJEWSKI, LEONARD CATERPILLAR, INC 12/14/15 LAW OFFICE DAVID HUNT CATERPILLAR, INC. 241 17WC 26210 GREEN, FRANCES SALVATION ARMY 07/27/17 JEFFREY R. BACH RODDY LAW LTD 242 17WC 26727 SCHULTZ, GREGG KEYSTONE STEEL & WIRE CO. 07/27/17 JOHN LESAGANICH 243 17WC 26954 ANDERSON, CHRISTOPH M NTN-BOWER CORPORATION 11/22/16 WIEDNER & MCAULIFFE LTD 244 17WC 27034 WELLER, TROY PRAIRIE FARMS DAIRY INC 07/21/17 LAW OFFICE DAVID HUNT KNAPP, OHL & GREEN 245 17WC 27635 MCGINNIS, ELIZABETH DEE-MACK HIGH SCHOOL 07/18/17 STRONG LAW OFFICE KEEFE & DEPAULI 246 17WC 27679 JACKSON, RICHARD PEORIA PARK DISTRICT 08/22/17 KANOSKI BRESNEY HENNESSY & ROACH PC 247 17WC 27980 SMITH, STACY HERITAGE HEALTH THERAPY & 07/23/17 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 248 17WC 28270 MADDOX-MERO, RONA REFLECTIONS MEMORY CARE 07/12/17 LEFANTE LAW OFFICES GANAN & SHAPIRO 249 17WC 28317 JOHNSON, VERNON DELTA GLOBAL STAFFING 02/23/17 STRONG LAW OFFICE KNELL LAW LLC 250 17WC 28363 GOOD, NATHAN BEAUMONT SMALL ANIMAL CLI 07/05/17 LEFANTE LAW OFFICES LAW OFFICE OF PAUL O WATKISS 251 17WC 28676 SARGENT, SHAWN HOPEDALE AGRI CENTER 08/10/17 JAY H JANSSEN INMAN & FITZGIBBONS 252 17WC 28759 TODT, FRANZ ADVANCED TECHNOLOGY SERVI 07/14/17 MCCARRON LAW FIRM, PC HEYL ROYSTER VOELKER & ALLEN 253 17WC 28952 HOWARD, JOSEPH W MIDWEST UNDERGROUND TECHN 10/26/15 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 254 17WC 29154 YEAGER, DAVID CITY OF PEORIA 01/11/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 255 17WC 29678 AGEE, STEVE CITY OF EAST PEORIA 09/07/17 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 256 17WC 29871 BUGOS, TADD SPOON RIVER COLLEGE DIST 09/22/17 JOHN LESAGANICH GANAN & SHAPIRO 257 17WC 30018 DONALDSON, VICKIE CATERPILLAR INC 04/14/15 WINNE LAW OFFICE LLC AMANDA WATSON 258 17WC 30101 BUSS, ANDREA V UNITY POINT URGENT CARE P 04/03/17 SGRO HANRAHAN DURR RABIN STEPHEN P. KELLY 259 17WC 30147 UPP, THERESA CORNERSTONE FAMILY RESTAU 05/16/17 ESSIG LAW OFFICES 260 17WC 30216 DAVIS, MICHAEL HOMEWAY HOMES INC 09/01/17 JOHN LESAGANICH PERRY GENTILE 261 17WC 30246 ECHOLS, WILLIAM UNITY POINT HEALTH 04/25/17 GOLDFINE & BOWLES STEPHEN P. KELLY 262 17WC 30322 HASKINS, TIFFANY MOSAIC IN MACOMB 08/20/15 JOHNSON & JOHNSON 263 17WC 30746 PHILLIPS, WILMA DCX-CHOL ENTERPRISES, INC 03/08/17 LAW OFFICE MARK WERTZ HOLECEK & ASSOCIATES 264 17WC 30827 MALONEY, SANDRA OSF ST FRANCIS 06/20/17 JAY H JANSSEN HINSHAW & CULBERTSON 265 17WC 31279 COLEMAN, DAMITA CATERPILLAR INC 01/25/17 STEPHENS FIDDES MCGILL ASS CATERPILLAR 266 17WC 31442 FARGHER, SHEA UNITY POINT - PROCTOR 10/09/17 STRONG LAW OFFICE STEPHEN P. KELLY 267 17WC 32116 LACEY, DANILLE MASON DISTRICT HOSPITAL 09/01/17 STRONG LAW OFFICE STEPHEN P. KELLY 268 17WC 32262 HEATH, JAMES K JR MTCO 04/01/16 ESSIG LAW OFFICES STEVEN PILAND 269 17WC 32281 HARMON, SHELLY KROGER 06/25/17 GOLDFINE & BOWLES STONE & JOHNSON CHARTERED 270 17WC 32459 JEFFERSON, WILLIE ADM 09/15/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 271 17WC 32479 WATSON, REASE EDWARD CITY OF PEORIA 10/25/17 BACH, ROBERT W HASSELBERG GREBE SNODGRASS

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 272 17WC 32497 FORD, GREGORY STATE OF ILLINOIS @ 09/07/17 LAW OFFICE DAVID HUNT JOSEPH MOORE 273 17WC 32694 BARCALY, DAVID HAGERTY STEEL & ALUMINUM 08/25/17 LAW OFFICE OF CHRIS DOSCOT 274 17WC 32969 TAULIEN, ALEXANDER QB, LLC A/K/A 01/19/17 DEAN J CARAS & ASSOCIATES GAROFALO SCHREIBER STORM GRA 275 17WC 32982 LUCAS, DARRELL ROSEWOOD 09/18/17 LAW OFFICE OF CHRIS DOSCOT PERRY GENTILE 276 17WC 33496 KIESER, SANDRA METHODIST HOME CARE 08/19/17 STRONG LAW OFFICE STEPHEN P. KELLY 18WC015396 -C 277 17WC 33652 TROUTMAN, JANICE MCDONOUGH DISTRICT HOSPIT 01/17/17 REHN LAW LLC 278 17WC 33853 PARKINS, MICHAEL COLLINS ROOFING, INC 10/27/17 LAW OFFICE DAVID HUNT 279 17WC 33969 ALEXANDER, ALPHONSO FRITO-LAY 05/09/17 LEFANTE LAW OFFICES BRYCE DOWNEY & LENKOV LLC 280 17WC 34042 EVANS, TYRON IDOT 04/23/17 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 281 17WC 34060 MCCABE, THOMAS KEYSTONE STEEL & WIRE CO 07/21/17 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 282 17WC 34530 HALDEMAN, ASHLEY GLOBAL GRAPHICS AND DESIG 06/01/17 LEFANTE LAW OFFICES HOLECEK & ASSOCIATES 283 17WC 34677 PORTER, CHRISTINE SHARON HEALTHCARE-PINES 10/24/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 284 17WC 35144 TURNER, GREGORY S.O.I. @ 09/27/17 CORNFIELD & FELDMAN JOSEPH MOORE 285 17WC 35286 BUNTING, AUSTIN PEPSICO 04/10/17 HASSELBERG & ROCK ROBERT L. SMITH 286 17WC 35640 SIMMONS, HAROLD WAYNE KEYSTONE STEEL & WIRE CO 09/14/17 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 287 17WC 35964 MCCLANAHAN, RONNIE KEYSTONE STEEL & WIRE 11/14/17 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 288 17WC 36474 WILLIAMS, TIMOTHY K WORLD OF POWERSPORTS 08/25/17 HARVEY & STUCKEL GANAN & SHAPIRO 289 17WC 36895 URBAN, LAURA WAL-MART 04/01/17 STEPHENS FIDDES MCGILL ASS QUINTAIROS PRIETO WOOD & BOY

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 290 17WC 37224 LOVETT, RONNIE OSF ST FRANCIS MEDICAL CE 10/12/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 291 17WC 37741 BATMAN, MICHELLE MORTON INDUSTRIES 07/28/17 GANAN & SHAPIRO 292 17WC 37971 WHITMAN, CASSANDRA J.D. BYRIDER 09/01/17 WARREN E DANZ, PC 293 17WC 38096 THOMPSON, BETHANY SUBWAY 11/26/17 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 294 18WC 00171 BRIDSON, DONALD STATE OF IL @ 12/05/17 RIDGE & DOWNES ASSISTANT AT0TORNEY GENERAL 295 18WC 00702 LUTSCHG, JAMES O'BRIEN STEEL SERVICE 11/10/17 STRONG LAW OFFICE 296 18WC 00704 HARDWICK, JENNIFER WAL-MART #5157 12/15/17 JOHN LESAGANICH GANAN & SHAPIRO 297 18WC 00899 ROGERS, KELSEY OSF ST FRANCIS MEDICAL CE 12/11/17 BLACK & JONES HINSHAW & CULBERTSON 298 18WC 01322 SMITH, JAY A CITY OF CANTON 11/11/17 THOMAS W DUDA POWER & CRONIN LTD 299 18WC 01853 WALDSCHMIDT, TAMMY CHARLES RIVER LABORATORIE 08/09/17 LAW OFFICE OF JEFF GREEN 300 18WC 02090 WALDSCHMIDT, TAMMY CHARLES RIVER LABORATORIE 12/28/17 LAW OFFICE OF JEFF GREEN 301 18WC 02166 BAKER, TERESA MASSAGE ENVY 01/08/18 LAW OFFICE DAVID HUNT WIEDNER & MCAULIFFE LTD 302 18WC 02181 NORRIS, KELLY DENTAL ARTS LABORATORIES 12/14/17 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 303 18WC 02642 SMITH, MATTHEW RMH FOODS 01/11/18 STRONG LAW OFFICE RODDY LAW LTD 304 18WC 02806 DIMMITT, MARY JO MCDONOUGH DISTRICT HOSPIT 09/09/17 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 305 18WC 02872 BLOYD, RYAN ZIMMER AUTO DETAILING & W 12/03/17 LAW OFFICE OF CHRIS DOSCOT HASSELBERG GREBE SNODGRASS 306 18WC 03162 DEATHERAGE, MARK LOWE'S 10/13/17 LAW OFFICE OF JEFF GREEN KEEFE CAMPBELL BIERY & ASSOC 307 18WC 03273 FRANK, GLENDA OSF HOME CARE SERVICES 11/06/17 GOLDFINE & BOWLES

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 308 18WC 03466 HOLSTED, STEVEN DOUGLAS NAUVOO-COLUSA COMMUNITY U @ 08/31/15 LOGAN LAW 309 18WC 03775 KIRKBRIDE, SHARON CATERPILLAR, INC. 10/27/17 CHRIS DOSCOTCH AMANDA WATSON 310 18WC 04251 NAVA, SHAWN GREATWIDE TRUCKLOAD MANAG 02/16/15 MEYER CAPEL, PC BRADY CONNOLLY & MASUDA PC 311 18WC 04395 RIGGS, DAVID TMI TIME MANAGEMENT INC 09/26/17 STRONG LAW OFFICE 312 18WC 04430 LARSON, HANK NTN BOWER CORPORATION 12/01/17 KATZ FRIEDMAN EAGLE ET AL WIEDNER & MCAULIFFE LTD 313 18WC 04602 WRIGHT, MELISSA OSF ST FRANCIS 01/15/18 JAY H JANSSEN HINSHAW & CULBERTSON 314 18WC 04692 GALLION, OLA PEORIA PUBLIC SCHOOL 12/13/17 CUSACK FLEMING GILFILLAN E STEPHEN P. KELLY 315 18WC 05238 WADE, WILLIAM DUNLAP COMMUNITY UNIT SCH 01/03/18 GOLDFINE & BOWLES ACCIDENT FUND HOLDINGS 316 18WC 05806 JONES, DAVID ROANOKE CONCRETE PRODUCTS 11/14/17 JOHN LESAGANICH RODDY LAW LTD 317 18WC 05837 MORRIS, BOBBY D CATERPILLAR, INC 06/16/16 HASSELBERG GREBE SNODGRASS AMANDA WAT0SON 318 18WC 05846 LOFTON, KYLER THE SEDONA GROUP D/B/A 01/31/18 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 319 18WC 05849 FARSON, CODY CATERPILLAR INC 12/12/17 JOHN LESAGANICH AMANDA WATSON 320 18WC 05864 DEBLIECK, RYAN CATERPILLAR 09/01/16 STRONG LAW OFFICE AMANDA WATSON 321 18WC 05992 SKINNER, RITA HELP AT HOME 02/14/18 STRONG LAW OFFICE INMAN & FITZGIBBONS 322 18WC 06255 CONSTANTINE, DOMINIC BMWC CONSTRUCTORS INC 11/07/17 MEYERS & FLOWERS BRADY CONNOLLY & MASUDA PC 323 18WC 06997 BAUGH, MISTY CATERPILLAR 12/19/17 STEPHENS FIDDES MCGILL ASS AMANDA WAT0SON 324 18WC 07237 LEDESMA, STEVE ERNST YOUNG LLP 02/13/18 LEONARD LAW GROUP LLC PAUL LARIMORE 325 18WC 07388 NUNN, SHARON KROGER 02/09/18 STEPHENS FIDDES MCGILL ASS GANAN & SHAPIRO

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 326 18WC 07493 HILL, DESIREE OFF ST FRANCIS 02/08/18 CHRIS DOSCOTCH HINSHAW & CULBERTSON 327 18WC 07514 HOPSON, REGINA KROGER 02/16/18 STRONG LAW OFFICE GANAN & SHAPIRO 18WC026725 -C 18WC026726 -C 328 18WC 07743 HOWELL, STEVEN R MORTON RUBBER SUPPLY, INC 02/09/18 JAY H JANSSEN 329 18WC 07897 COOPER, CHERRI COLLEGE CHEFS 12/19/17 STEPHEN P. KELLY PAUL LARIMORE 330 18WC 08492 LINGENFELTER, ANGELIA ILLINOIS DEPT OF CORRECTI @ 02/20/18 CHRIS DOSCOTCH JOSEPH MOORE 331 18WC 08514 SASSMAN, MARSHA M THE HANDS GROUP INC 03/07/18 HARVEY & STUCKEL RUSIN & MACIOROWSKI LTD 332 18WC 08543 SILL, ERIC HACKMAN EXPRESS 07/21/17 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 333 18WC 08582 GIBB, KEVIN STATE OF ILLINOIS @ 03/01/18 JOHN LESAGANICH ASSISTANT AT0TORNEY GENERAL 334 18WC 08732 HUNT, SUSAN OSF ST FRANCIS 09/13/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 18WC013920 -C 335 18WC 08915 HILL, RODNEY LOWE/MAP AUTOMOTIVE 01/04/18 STRONG LAW OFFICE LUCY T. UNGER 336 18WC 09413 MC FARLANE, STEPHANIE CATERPILLAR, INC 02/23/18 STEPHEN P. KELLY CAT0ERPILLAR 337 18WC 09440 LACOCK, SHIRLEY GALLAGHER BASSETT 11/11/15 CHRIS DOSCOTCH BRADY, CONNOLLY & MASUDA, PC 338 18WC 09489 BARRETT, AUDREY SNYDER VILLAGE 11/24/17 GOLDFINE & BOWLES WOLFE & JACOBSON, LTD 339 18WC 09527 HUNT, SUSAN J OSF ST FRANCIS MED CTR 09/13/17 DOC HALLIDAY HINSHAW & CULBERTSON 340 18WC 09754 REESE-STURGEON, TRACY CORNERSTONE RESAURANT 03/23/18 STRONG LAW OFFICE GANAN & SHAPIRO 341 18WC 09855 EILERS, CALE RK DIXON 11/17/16 JEFFREY R. BACH LUCY T. UNGER 342 18WC 10024 BOTTRELL, ANDREW STATE OF ILLINOIS @ 10/18/17 DAVID HUNT JOSEPH MOORE

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 343 18WC 10029 WADE, MELISSA COMMUNITY WORKSHOP & 03/02/18 STEPHEN P. KELLY GANAN & SHAPIRO 344 18WC 10168 HEDGEPATH, RODNEY BTD MANUFACTURING 03/10/18 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 345 18WC 10241 DEPPERT, MELISSA ROGY'S LEARNING PLACE 02/28/18 LEFANTE LAW OFFICES 346 18WC 10353 DARLINGTON, CURT CITY OF EAST PEORIA 12/29/17 DAVID HUNT INMAN & FITZGIBBONS 347 18WC 11212 JACKSON, DARCY MORTON INDUSTRIES, LLC 04/16/15 JAY H JANSSEN LUCY T. UNGER 348 18WC 11235 REED, DENISE KROGER'S 11/22/17 STRONG LAW OFFICE GANAN & SHAPIRO 349 18WC 11274 EINFELDT, DAKOTA L EAST MOLINE GLASS CO 05/28/15 BUSH MOTTO CREEN KOURY MACIOROWSKI SACKMANN & ULRIC 350 18WC 11296 BILLINGSLEY, RHONDA OSF ST FRANCIS 02/06/18 STRONG LAW OFFICE HINSHAW & CULBERTSON 351 18WC 11391 DARROW, BELLAMY THE KROGER CO. 01/19/16 JOHN LESAGANICH GANAN & SHAPIRO 18WC014829 -C 352 18WC 11411 POWERS, TORI SPECIAL EDUCATION ASSOCIA 01/18/18 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 353 18WC 11772 BOHM, DEREK TOMMY HOUSE TIRE COMPANY 03/02/18 CHRIS DOSCOTCH INMAN & FITZGIBBONS 354 18WC 11859 PINTAR, RAYMOND L PHD 01/29/18 DOC HALLIDAY 355 18WC 11938 OWENS, DAWN ELMWOOD SCHOOL DISTRICT # 11/15/17 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 356 18WC 11941 OWENS, DAWN ELMWOOD SCHOOL DISTRICT # 02/20/18 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 357 18WC 11972 PRYOR, DENISE KROGER 11/18/17 STEPHENS FIDDES MCGILL ASS GANAN & SHAPIRO 358 18WC 12489 SOLLENBERGER, CHRISTOPHER MCVEY MECHANICAL SVC 03/26/18 GOLDFINE & BOWLES INMAN & FITZGIBBONS 359 18WC 12594 BARAJAS, JESUS PLAZA TIRE CO 04/10/18 WARREN E DANZ, PC 360 18WC 12668 SHIELDS, JOSEPH AMERICAN TIRE DISTRIBUTOR 02/19/18 DAMON YOUNG LITCHFIELD CAVO

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 361 18WC 12684 HOESLY, JIL CITIZENS EQUITY FIRST 07/06/17 SCHWEICKERT & GANASSIN HENNESSY & ROACH 362 18WC 12755 MOSER, NICOLE MENARDS INC 12/03/17 STRONG LAW OFFICE GANAN & SHAPIRO 363 18WC 12912 FOOTE, ROBERTA PSL HOLDINGS LLC&WA-PSL H 03/01/18 LEFANTE LAW OFFICES BRYCE DOWNEY & LENKOV LLC 364 18WC 13294 FAHNDERS, CHRISTOPHER WINPAK HEAT SEAL CORPORAT 04/02/18 LEFANTE LAW OFFICES HOLECEK & ASSOCIATES 365 18WC 13349 WILES, KYLE CATERPILLAR, INC 11/01/17 CHRIS DOSCOTCH 366 18WC 13458 MCLAUGHLIN, MARY UNITYPOINT HEALTH METHODI 07/12/17 PETER F FERRACUTI & ASSOCI 367 18WC 13582 KORGIS, RUSSELL SET AND SERVICE RESOURCES 02/14/18 HAXEL LAW OFFICE 368 18WC 13726 BARLOW, RICHARD OSF HOME MEDICAL EQUIPMEN 02/15/18 STRONG LAW OFFICE HINSHAW & CULBERTSON 18WC013728 -C 18WC013924 -C 369 18WC 13729 LAMKIN, LAWRENCE MEXICHEM SPECIALTY RESINS 07/18/15 CHRIS DOSCOTCH 370 18WC 13797 MCCORMICK, CHAD KK STEVENS PUBLISHING CO 01/04/18 KELLY LAW RODDY LAW LTD 371 18WC 13803 HANSEN, LISA CHARLES RIVER LABORATORIE 05/24/16 KELLY LAW HENNESSY & ROACH 372 18WC 14484 JASBERG, VERONICA CATERPILLAR INC 08/24/15 STEPHENS FIDDES MCGILL ASS CATERPILLAR 373 18WC 14626 PITTMAN, SARAH PEORIA PUBLIC SCHOOL-DIST 03/19/18 STRONG LAW OFFICE STEPHEN P. KELLY 18WC014627 -C 19WC009050 -C 374 18WC 14811 BORTON, PATRICK AMERICAN RED CROSS 03/24/18 STEPHENS FIDDES MCGILL ASS POWER & CRONIN LTD

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 375 18WC 14882 REED, SABRINA W.I.C.C. 05/03/18 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 376 18WC 15253 ARREGUIN, BETRIZ PARCO LTD D/B/A WENDY'S 02/21/17 STRONG LAW OFFICE CAPUANI, FRANK S 18WC022322 -C WENDY'S 377 18WC 15395 CARTER, LEE BELLA ROSE GROUP, INC 07/15/15 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 378 18WC 15553 JACKSON, SCOTT PEPSICO D/B/A FRITO LAY, 04/24/18 JOHN LESAGANICH 379 18WC 15587 MCCAIN, JASON MANPOWER 04/13/18 CUSACK GILFILLAN & O'DAY 380 18WC 15608 ROBERTSON, DENNIS WALMART#1421 02/27/18 JOHN LESAGANICH GANAN & SHAPIRO 381 18WC 15614 STOUT, JOHN WORLD OF POWERSPORTS 04/27/18 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 382 18WC 15620 LANGENBAHN, JERRY CITY OF PEORIA 03/16/18 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 383 18WC 16114 MANCE, MATT AECOM 02/02/18 STRONG LAW OFFICE HENNESSY & ROACH 18WC016212 -C 384 18WC 16276 ROBINSON, DAVID KEYSTONE STEEL & WIRE CO 03/29/18 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 385 18WC 16319 COLE, WILBERT STATE OF ILLINOIS @ 05/07/18 CORNFIELD & FELDMAN JOSEPH MOORE 386 18WC 16524 SCHURMAN, MICHAEL B RJY ENTERPRISES INC 01/14/18 CASSIDY & MUELLER 387 18WC 16701 KELSO, TIMOTHY ST OF IL DEPT OF TRANSPOR @ 05/09/18 JOHN LESAGANICH LISA MADIGAN 388 18WC 16826 CLUTTER, AUSTIN TRILLIUM STAFFING 12/27/17 JANSSEN LAW CENTER 389 18WC 16888 SCHOON, PATRICK MH EQUIPMENT 10/31/17 HULVEY LAW 390 18WC 17028 CRADY, ROBERT O'BRIEN STEEL SERVICE CO. 04/23/18 LEFANTE LAW OFFICES 391 18WC 17067 DUNHAM, ROGER CITY OF PEORIA 05/04/18 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 392 18WC 17148 JUNIS, JUDY BOB LINDSAY HONDA 05/05/17 STEPHENS FIDDES MCGILL ASS DENNIS J NOBLE & ASSOC

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 393 18WC 17304 WRIGHT, MARY JOHN L. HENSEY ELEMENTARY 03/05/18 DAMON YOUNG 394 18WC 17351 KYLE, JOSEPH KEYSTONE 02/15/18 CHRIS DOSCOTCH RUSIN & MACIOROWSKI LTD 395 18WC 17501 FIORENTINO JR, THOMAS M ALLIED CONSTRUCTION SVS 01/15/18 WARREN E DANZ, PC 396 18WC 17658 DRAWYER, TRACY CATERPILLAR, INC 05/08/18 CHRIS DOSCOTCH CATERPILLAR, INC. 397 18WC 17734 DAVIS, ERIC W SHERMAN'S 12/29/17 MARK WERTZ 398 18WC 17775 FRAZER, CARRIE DOLLAR GENERAL 11/13/17 CUSACK GILFILLAN & O'DAY LEAHY EISENBERG & FRAENKEL 399 18WC 17977 MILLER, SCOTT SEDONA STAFFING 05/17/18 DAVID HUNT QUINN JOHNSTON HENDERSON ETA 400 18WC 18185 ANDERSON, JENNIFER OSF MULTI-SPECIALTY GROUP 06/04/18 SCHWEICKERT & GANASSIN HINSHAW & CULBERTSON 401 18WC 18291 HINTZ, DENNIS CATERPILLAR INC 07/24/15 DAMON YOUNG CATERPILLAR 402 18WC 18542 BOGATITUS, DAVID CATERPILLAR 04/18/18 RICHARD E ALEKSY CATERPILLAR 403 18WC 18775 WAGNER, DAVID S TRI C COMPANY 02/26/18 ANESI OZMON RODIN NOVAK KO RODDY LAW LTD 404 18WC 18867 NELSON, DIRK CATERPILLAR 07/29/16 WILLIAMS & SWEE CATERPILLAR 405 18WC 18878 MCGLASSON, MICHAEL KEYSTONE STEEL & WIRE CO 03/02/18 WARREN E DANZ, PC RUSIN & MACIOROWSKI LTD 406 18WC 18899 DE VALKENAERE, COLLEEN S CATERPILLAR, INC 09/22/17 DAMON YOUNG CATERPILLAR 407 18WC 18905 MORRIS, SHERI VONACHEN SERVICES, INC 06/18/18 GERALD CONNOR 408 18WC 19058 WHITE, CODY J CITY OF PEKIN 03/03/18 BACH LAW OFFICE POWER & CRONIN LTD 409 18WC 19171 ANDERSON, WILLIE UFTRING NISSAN 02/01/18 STRONG LAW OFFICE GANAN & SHAPIRO 410 18WC 19282 WHITE, CODY J CITY OF PEKIN 11/08/15 BACH LAW OFFICE POWER & CRONIN 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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 411 18WC 19490 LANE, TERRANCE L AMERHART LOGISTICS 01/17/18 DOC HALLIDAY 412 18WC 19576 MC CLELLAN, JAMES PEOPLE READY 06/27/18 DWORKIN AND MACIARIELLO 413 18WC 19578 COLLINS, LUTHER CATERPILLAR, INC 11/29/16 DAVID HUNT CATERPILLAR 414 18WC 19699 BOLEY, JAY MORTON BUILDINGS 04/02/18 CHRIS DOSCOTCH 415 18WC 19747 BORTON, PATRICK AMERICAN RED CROSS 05/31/18 STEPHENS FIDDES MCGILL ASS POWER & CRONIN LTD 416 18WC 19792 FOSTER, BRANDON CAST TECHNOLOGIES INC 06/01/18 STRONG LAW OFFICE HENNESSY & ROACH, PC 417 18WC 20030 SMITH, SCOTT CATERPILLAR INC 11/28/17 CHRIS DOSCOTCH CATERPILLAR, INC. 418 18WC 20250 LONG, MISTY J. DRAPER GLASS 03/28/18 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 419 18WC 20580 NELLUM, KENDRICK READYLINK HEALTH CARE 07/01/18 DAMON YOUNG RIPES NELSON BAGGOT KALOBRAT 420 18WC 20752 CAMPBELL, KEVIN CATERPILLAR INC 05/28/18 DWORKIN AND MACIARIELLO CATERPILLAR 421 18WC 20773 DUITSMAN, MARILYN OSF ST FRANCIS MEDICAL CT 02/27/18 DOC HALLIDAY HINSHAW & CULBERTSON 422 18WC 21087 FOUTCH, GENE AG LAND FS 02/23/17 MARK WERTZ 423 18WC 21202 BOSQUES, AARON GOODWILL INDUSTRIES OF 06/09/18 WINSTEIN KAVENSKY & WALLAC HEYL ROYSTER VOELKER & ALLEN 424 18WC 21627 VANDYKE, ROBERTA KELLEHER'S IRISH PUB & EA 06/01/18 STRONG LAW OFFICE GANAN & SHAPIRO 425 18WC 21749 PUTNEY, THOMAS JORDAN'S MOBIL 07/25/15 ANDREW J ALMASI 426 18WC 21844 ALSTON, LARRY O KOMATSU AMERICA CORP 06/19/18 HARVEY & STUCKEL HENNESSY & ROACH 427 18WC 23059 TAMAYO-MENDEZ, FRANCISCO MORTON INDUSTRIES 07/19/18 DEPAOLO & ZADEIKIS GANAN & SHAPIRO 428 18WC 23214 BRACKNEY, SCOTT ENERCON ENIGINEERING 06/27/18 STRONG LAW OFFICE

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 429 18WC 23270 CORNWELL, GEORGE AIR-LAND TRANSPORT SERVIC 04/06/18 STEPHENS FIDDES MCGILL ASS KNELL LAW LLC 430 18WC 23703 DOBBINS, JOHN TEAM CO INC DBA STAFFQUIC 06/20/18 JANSSEN LAW CENTER HENNESSY & ROACH 431 18WC 24019 BRAY, LYNN KROGER #647 07/04/18 JOHN LESAGANICH 432 18WC 24021 MARKSITY, AMY HEDDINGTON OAKS 07/04/18 DAVID HUNT STEPHEN P. KELLY 433 18WC 24302 BROCKMAN, DARRICK HOME DEPOT 07/12/18 RUSSO & RUSSO LTD ADELSON TESTAN BRUNDO 434 18WC 24425 IGNOTO, TAYLOR A WESTERN ILLINOIS UNIVERSI @ 10/19/17 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 435 18WC 24500 MORRIS, NICHOLAS STAFFQUICK 04/26/18 GOLDFINE & BOWLES HENNESSY & ROACH 436 18WC 24680 BOLLEGAR, CHRISTINE CATERPILLAR, INC 08/04/18 JOHN LESAGANICH CATERPILLAR 437 18WC 24936 LEEPER, TRACY VONACHEN SERVICES 05/01/17 LEFANTE LAW OFFICES ACCIDENT FUND HOLDINGS 438 18WC 25079 COOPER, JOYCE EPIC INC 01/07/18 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 439 18WC 25116 BUBE, TREVOR CATERPILLAR 08/08/18 DWORKIN AND MACIARIELLO CATERPILLAR 440 18WC 25173 HOMERIN, MELISSA (SURV SP AG-LAND FS, INC # 07/28/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 441 18WC 25244 FRIEND, JANET CLIFTONLARSONALLEN 02/27/17 GOLDFINE & BOWLES 442 18WC 25279 SIMMONS, DELOIS IPLASTICS D/B/A ILLINOIS 06/27/18 JOHN LESAGANICH HOLECEK & ASSOCIATES 443 18WC 25378 CATTON, CRAIG ALLEN TAZEWELL COUNTY SHERIFF'S 08/04/16 MICHAEL BRANDOW INMAN & FITZGIBBONS 444 18WC 25832 CROSIAR, KENNETH ALCAST 06/18/18 GOLDFINE & BOWLES WOLF LAW LTD 445 18WC 26009 VINCENT, PATRICIA G&D TRANSPORTATION, INC 08/02/18 JOHN LESAGANICH LAWRENCE COZZI - LAW OFFICE 446 18WC 26035 WHITAKER, CHARLES A-1 FENCING, INC 06/01/18 MCCARRON LAW FIRM, PC RUSIN & MACIOROWSKI 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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 447 18WC 26124 KESSLER, MICHAEL KROGERS 07/26/18 STEPHENS FIDDES MCGILL ASS GANAN & SHAPIRO 448 18WC 26157 BLAIR, CHARLES CATERPILLAR 08/24/18 DWORKIN AND MACIARIELLO 449 18WC 26180 MOREFIELD, ROBERT SWELLE BROTHERS TREE EXPE 05/14/18 CROWLEY & PRILL KNELL LAW LLC 450 18WC 26369 BURCH, JACK TAZEWELL MACHINE WORKS IN 06/12/18 JOHN LESAGANICH 451 18WC 26375 PETTIJOHN, VICTORIA OSF CENTER FOR HEALTH 07/05/18 STRONG LAW OFFICE 452 18WC 26475 BAUGHMAN, ROBERT EAST JERSY DAIRY 03/17/18 CAPRON & AVGERINOS PC KNAPP, OHL & GREEN 453 18WC 26931 WALLACE, NICHOLAS MACOMB PARK DISTRICT 06/27/18 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 454 18WC 27169 USHER, LISA OSF ST FRANCIS MEDICAL CE 07/22/18 JOHN LESAGANICH 455 18WC 27231 THOMAS, JANEE SIMOS INSOURCING SOLUTION 06/24/18 DAVID W MARTAY 456 18WC 27275 WOLFE, JERRY VOLT TECHNICAL SERVICES 07/05/18 LEFANTE LAW OFFICES FEIRICH MAGER GREEN & RYAN 457 18WC 27447 ROBISON, GREG CATERPILLAR, INC 07/04/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 458 18WC 27818 ROBERTSON, AMBER TAZEWELL COUNTY 01/14/18 DAMON YOUNG INMAN & FITZGIBBONS 459 18WC 27843 SCOTT, SYLVESTER HELPING HANDS RESOURCE CE 06/22/18 CUSACK GILFILLAN & O'DAY 460 18WC 28282 NOLAND, TYLER WRIGHT TREE SERVICE 09/12/18 GOLDBERG WEISMAN & CAIRO L HEYL ROYSTER VOELKER & ALLEN 461 18WC 28534 OSSMAN, AMBER GREAT CLIPS 08/08/18 STEPHENS FIDDES MCGILL ASS RUSIN & MACIOROWSKI LTD 462 18WC 28579 CROW, GORDON CITY OF PEORIA 08/27/18 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 463 18WC 28611 SALL, ELIA STATE OF ILLINOIS @ 01/18/18 STRONG LAW OFFICE JOSEPH MOORE 464 18WC 28716 MCADORY, ANDREW IDA DAVIS DBA JOHN DAVIS 06/25/18 WARREN E DANZ, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 465 18WC 28720 WHITFIELD, LINDA PROCTOR PLACE 09/02/18 WOODRUFF JOHNSON RIPES NELSON BAGGOT KALOBRAT 466 18WC 28743 PATTERSON, JOSEPH J.A. FRITSCH & SONS INC 03/15/18 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 467 18WC 28789 MARCH, WILLIE DEMATIC CORP 06/06/18 JOHN LESAGANICH 468 18WC 28794 KIDDY, CLARENCE KEYSTONE STEEL & WIRE CO 05/10/18 STEPHENS FIDDES MCGILL ASS RUSIN & MACIOROWSKI LTD 469 18WC 28841 TRIPOD, VANCE V HERTZ 05/15/18 BENASSI & BENASSI 470 18WC 28951 EVANS, CHRISTINA UNITY POINT HEALTH-METHOD 08/01/18 STRONG LAW OFFICE STEPHEN P. KELLY 471 18WC 29018 CONNOR, MICHAEL ILLINOIS STATE POLICE @ 09/11/18 STEPHEN P. KELLY JOSEPH MOORE 472 18WC 29166 RALEPIGH, JAMES K O'NEILL TRANSPORTATION 09/29/17 CORNFIELD & FELDMAN 473 18WC 29239 ANGLE, JULIE A TAZEWELL COUNTY HEALTH DE 06/13/17 KINGERY DURREE WAKEMAN O'D INMAN & FITZGIBBONS 474 18WC 29289 SMITH, FRANKLIN W CITY OF PEORIA 09/11/18 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 475 18WC 29381 MILLS, TIFFANY SODEXO CAMPUS SERVICES 08/30/18 LEFANTE LAW OFFICES INMAN & FITZGIBBONS 476 18WC 29598 COOK-CATTLEDGE, ELIJAHEON MORTON INDUSTRIES 09/14/18 STRONG LAW OFFICE GANAN & SHAPIRO 477 18WC 29635 SMITH, JOHN L ARAMARK 09/15/18 STEPHENS FIDDES MCGILL ASS 478 18WC 29716 LAWSON, CIARA CHILDREN'S HOME 08/29/18 DAMON YOUNG WOLF LAW LTD 479 18WC 29915 WEEKS, ROBERTA PHD SERVICES 05/31/18 DAMON YOUNG QUINN JOHNSTON HENDERSON ETA 480 18WC 29923 SMITH, KENNETH GCA SERVICES GROUP 07/30/18 GOLDFINE & BOWLES 481 18WC 29999 POUNDS, CHRISTOPHER UNITED PARCEL SERVICE 08/13/18 DAVID HUNT NYHAN BAMBRICK KINZIE & LOWR 482 18WC 30037 MALONE, WILLIAM UNITED SUPPLIERS, INC. 09/20/17 WILSON LAW OFFICES LLC CAPUANI, FRANK S

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 483 18WC 30388 GOURLEY, MIKE BLAIN'S FARM & FLEET 04/12/18 GOLDFINE & BOWLES 484 18WC 30570 ELIAS, SHAUN C AJINOMOTO WINDSOR 01/17/18 HARVEY & STUCKEL 485 18WC 30940 KING, JERRY CITY OF PEROIA 09/07/18 CHRIS DOSCOTCH STEPHEN P. KELLY 486 18WC 30983 DRIVER, DOUGLAS PRECISION AIR CARGO 03/11/17 DAMON YOUNG WOLFE & JACOBSON, LTD 487 18WC 31036 VANDUSEN, JAMES CATERPILLAR, INC 07/11/18 CHRIS DOSCOTCH CATERPILLAR 488 18WC 31046 CANTWELL, BRYAN KEITH SR O'BRIEN STEEL SERVICES CO 06/25/18 JOHN LESAGANICH 489 18WC 31141 ROHRS, RENEE SUPPLY CHAIN SERVICE 09/24/18 WARREN E DANZ, PC RIPES NELSON BAGGOT KALOBRAT 490 18WC 31256 GARRETTS, VERN CATERPILLAR, INC 10/17/17 DAMON YOUNG CATERPILLAR 491 18WC 31322 DUCKWORTH, ERIC S CITY OF EAST PEORIA 04/11/18 BACH LAW OFFICE INMAN & FITZGIBBONS 492 18WC 31345 TAFF, RICHARD A KOMATSU AMERICA CORPORATI 04/12/18 ANESI OZMON RODIN NOVAK KO HENNESSY & ROACH 493 18WC 31417 REYNOLDS, CAROLYN WINGATE BY WYNDHAM 08/05/18 WARREN E DANZ, PC BRYCE DOWNEY & LENKOV LLC 494 18WC 31438 CRAMER, JOHN MIDSTATE MOBILE WASH 05/09/18 DAMON YOUNG LAWRENCE COZZI - LAW OFFICE 495 18WC 31547 TERRINI, JOSEPH WALMART SUPERCENTER 09/30/18 STRONG LAW OFFICE GANAN & SHAPIRO 496 18WC 31571 PROCTOR, LISA OSF HEALTHCARE SYSTEM 04/01/17 LEFANTE LAW OFFICES HINSHAW & CULBERTSON 497 18WC 31833 HERNANDEZ, ISIDRO CUTTIN' IT CLOSE LAWNCARE 09/17/18 GOLDFINE & BOWLES 498 18WC 32255 GRIMES, DEWAYNE UNITY POINT HEALTH METHOD 09/26/18 STRONG LAW OFFICE STEPHEN P. KELLY

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 499 18WC 32417 GARREN, TIM LEANDER CONSTRUCTION INC 03/19/18 GOLDFINE & BOWLES ACCIDENT FUND HOLDINGS 500 18WC 32686 BAKKEN, CHARLES FED EX FREIGHT 03/21/18 SHAY & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 18WC036239 -C 501 18WC 32694 PULLIAM, MAY CITY OF PEKIN 09/26/18 DAVID HUNT POWER & CRONIN LTD 502 18WC 32854 PURDLE, TAMIKA EMBASSY SUITES 08/15/18 DAMON YOUNG HOLECEK & ASSOCIATES 503 18WC 32894 ALTPETER, SCOTT PRAIRIE HOME ALLIANCE 08/24/16 CUSACK GILFILLAN & O'DAY HEYL ROYSTER VOELKER & ALLEN 18WC032895 -C 504 18WC 32898 KOHTA, DANA CATERPILLAR, INC 10/12/17 CHRIS DOSCOTCH CATERPILLAR 505 18WC 32977 DUNCAN, KELLY ACOSTA 07/31/18 HARVEY & STUCKEL SPIEGEL & CAHILL, PC 506 18WC 32979 PIER, DAVID KOURIS PUB & GRILL 10/11/18 STRONG LAW OFFICE ACCIDENT FUND HOLDINGS 507 18WC 33006 MEUTH, SYDNEY HY-VEE 09/15/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 508 18WC 33170 HACK, TROY AMERICAN TIRE & DISTRIBUT 09/20/18 DAMON YOUNG LITCHFIELD CAVO 509 18WC 34063 CROW, GORDON CITY OF PEORIA 10/04/18 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 510 18WC 34204 DURHAM, KRISTINE MAUI JIM, INC 05/03/18 HOLECEK & ASSOCIATES 511 18WC 34704 CALHOUN, RYAN D CITY OF PEORIA 11/04/18 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 512 18WC 34821 PARKER, KAYRETHA CATERPILLAR 08/01/18 STRONG LAW OFFICE CATERPILLAR, INC. 513 18WC 35074 ROSEN, SHELBIE THILLENS 11/07/18 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 514 18WC 35103 NELSON, JOEL S A PROUTY TRUST 01/12/16 KINGERY DURREE WAKEMAN O'D 515 18WC 35567 KYLE, ERIC AEROTEK 09/20/18 STEPHENS FIDDES MCGILL ASS 516 18WC 36066 ZACHERY, KENYON LINSEY'S PROFESSIONALHOOD W 10/31/18 WARREN E DANZ, PC JOSEPH MOORE

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 517 18WC 36107 JOB, MICHAEL L I & I CONSTRUCTION INC 05/07/18 KATZ NOWINKSI PC HEYL ROYSTER VOELKER & ALLEN 518 18WC 36221 DENISON, JEANNE P UNITED AIRLINES 04/10/15 ELFENBAUM EVERS & AMARILIO WIEDNER & MCAULIFFE LTD 519 18WC 36225 LEPRETRE, FORREST HOERR CO. 07/02/18 STRONG LAW OFFICE KNELL LAW LLC 520 18WC 36251 WEBB, JUDITH A HEARTLAND HEALTH SERVICES 03/06/18 STRONG LAW OFFICE 521 18WC 36260 AYERS, DAVID WALMART 06/16/18 DAMON YOUNG QUINTAIROS PRIETO WOOD & BOY 522 18WC 36261 AYERS, DAVID WALMART 07/19/18 DAMON YOUNG QUINTAIROS PRIETO WOOD & BOY 523 18WC 36470 MUNSELL, RICHARD ST FRANCIS MEDICAL CENTER 04/01/16 WILLIAMS & SWEE 524 18WC 36585 REYNOLDS, LONNIE MATHESON TRI-GAS, INC D/B 09/27/18 JOHN LESAGANICH INMAN & FITZGIBBONS 525 18WC 36671 RUSTERHOLZ, BRITANY CATERPILLAR INC 08/07/18 CHRIS DOSCOTCH CATERPILLAR 526 18WC 36813 SONDERMAN, KELLY IRON-A-WAY, LLC 10/25/18 JOHN LESAGANICH HOLECEK & ASSOCIATES 527 18WC 36842 BEVARD, DENA THE CLAYBERG NURSING CENT 10/04/18 GOLDFINE & BOWLES 528 18WC 36859 LESONES, DAVID ILLINOIS CENTRAL SCHL BUS 06/12/18 GOLDFINE & BOWLES 529 18WC 37093 CARTER, MARY SHARON HEALTHCARE WILLOWS 06/05/18 GOLDFINE & BOWLES 530 18WC 37163 SCOTT, COREY PEORIA SCHOOL DIST 150 01/18/18 CHRIS DOSCOTCH STEPHEN P. KELLY 531 18WC 37229 HALL, DRAVID MORTON INDUSTRIES, LLC 11/07/18 JOHN LESAGANICH GANAN & SHAPIRO 532 18WC 37439 DANIELSON, DONNA DOLLAR GENERAL 01/06/18 SIMPSON PETERSON LEAHY EISENBERG & FRAENKEL 533 18WC 37456 BROOKINS, KEITH MCDONALD'S 03/30/18 WARREN E DANZ, PC 534 18WC 37510 OWENS, AUSTIN CATERPILLAR, INC 09/18/18 JOHN LESAGANICH CATERPILLAR

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 PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 535 18WC 37511 WASHINGTON, RAYCHELL MC DONALD'S 10/31/18 DAVID HUNT 536 18WC 37577 ROGERS, DOMINICA L MENARD, INC 06/16/16 MICHAEL T. MAHONEY 537 18WC 37688 THOMPSON, SHELLEY STATE OF ILLINOIS-IDOT @ 11/16/18 DAMON YOUNG 538 18WC 37697 BECKER, CRYSTAL CATERPILLAR 11/08/18 STRONG LAW OFFICE CATERPILLAR 18WC038108 -C 18WC038117 -C 539 18WC 37939 STEWART, ANGELA STATE OF IL- DRS 11/26/18 DAMON YOUNG JOSEPH MOORE 540 18WC 37996 BISHOP, TRACY CROWN LIFT TRUCKS 11/27/17 CUSACK GILFILLAN & O'DAY HENNESSY & ROACH 541 18WC 38010 LEEBOLD, LAVERA W. CENTRAL IL SPECIAL ED @ 08/20/15 LOGAN LAW RODDY LAW LTD 542 18WC 38070 EDWARDS, JESSICA HARDEE'S 12/08/18 GOLDFINE & BOWLES RODDY LAW LTD 543 18WC 38134 DINKINS, CHRISTOPHER FIELDHOUSE BAR & GRILL 11/06/18 WARREN E DANZ, PC 544 18WC 38168 ALEXANDER, PAMELA FIRST STUDENT 12/04/18 STRONG LAW OFFICE 545 18WC 38186 DEHART, JAMES PHILIPPI - HAGENBUCH INC 11/07/18 STRONG LAW OFFICE GANAN & SHAPIRO 546 19WC 00281 MEADOWS, PAM BLAIN'S FARM & FLEET 09/24/18 GOLDFINE & BOWLES 547 19WC 00284 ZIMMERMAN, BRIAN CITY OF PEKIN 12/18/18 DAVID HUNT POWER & CRONIN LTD 548 19WC 00493 LAING, JAY HINCKLEY SPRINGS 07/23/18 DAVID HUNT CHILTON YAMBERT PORTER LLP 549 19WC 01128 WHITBY, RICHARD A KOMATSU 09/13/18 HASSELBERG GREBE SNODGRASS 550 19WC 01148 MICHEL, ALEC R PEORIA COUNTY SHERIFF'S D 11/27/18 KINGERY DURREE WAKEMAN O'D STEPHEN P. KELLY 551 19WC 01180 HELLE, LARRY PEORIA JOURNAL STAR 12/21/18 GOLDFINE & BOWLES 552 19WC 01627 FAULKNER, KEVIN BRIMFIELD CUSD #300 01/09/18 KELLY LAW ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 553 19WC 01721 SLOAN, JOHN PEPSO BEVERAGE COMPANY 07/13/18 STEPHENS FIDDES MCGILL ASS 554 19WC 01737 LEGGISON, ROY CATERPILLAR 12/20/18 STRONG LAW OFFICE CATERPILLAR 555 19WC 02006 JARIGESE, DAVID PEORIA CHARTER COACH COMP 09/01/17 GOLDFINE & BOWLES 556 19WC 02073 BEEBE, DAVID PEPSI BEVERAGE CORPORATIO 07/23/18 STEPHENS FIDDES MCGILL ASS GAIDO & FINTZEN 557 19WC 02133 MILES, JACOB W CITY OF PEORIA 12/12/18 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 558 19WC 02188 RODRIGUEZ, CESAR TUNAS CONSTRUCTION DBA KI 04/25/18 DAMON YOUNG GAROFALO SCHREIBER STORM GRA 559 19WC 02217 COSGROVE, JOHN SR. FIRST GROUP AMERICA 01/15/19 STEPHEN P. KELLY WIEDNER & MCAULIFFE LTD 560 19WC 02321 LINGENFELTER, BRANDON CJ HOLDING CORP DBA J&J 04/03/18 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 561 19WC 02623 LEE, PATRICE OSF HOSPITAL 12/23/18 STRONG LAW OFFICE HINSHAW & CULBERTSON 562 19WC 02741 PIZARRO, ADRIANNA INNOVATED STAFFING, LLC 12/27/18 ANGELINI & ORI LLC 563 19WC 03153 UNDERWOOD, RYAN POCH STAFFING INC D/B/A 06/13/18 DALE THOMAS 564 19WC 03173 JONES, ANITA HERITAGE HEALTH 12/31/18 CHRIS DOSCOTCH 565 19WC 03186 OLSON, TRAVIS ASHLEY HOMESTORE 08/16/17 DAVID HUNT GANAN & SHAPIRO 566 19WC 03244 JONES, TIMOTHY C JR. CITYLINK 01/07/19 HASSELBERG GREBE SNODGRASS 567 19WC 03275 BARRIGA, JOSE ERNESTO BAHENA W 01/21/19 STRONG LAW OFFICE 568 19WC 03356 WRIGHT, RONALD JR CATERPILLAR, INC 12/21/18 CHRIS DOSCOTCH 569 19WC 03397 STRINGER, ANTWAIN STAFFQUICK 01/12/19 GOLDFINE & BOWLES HENNESSY & ROACH 570 19WC 03427 DURHAM, JANICE UPS 08/31/18 DAVID HUNT NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 571 19WC 03777 HARRIS, REGINALD RISINGER BROS 08/15/18 STRONG LAW OFFICE BROWN & JAMES, PC 572 19WC 04047 DOCKERY, LARRY SEDONA STAFFING SERVICES 12/20/17 DWORKIN AND MACIARIELLO 573 19WC 04112 MILLER, ROBERT M TCM OF CENTRAL IL, INC 04/17/18 DOC HALLIDAY 574 19WC 04558 YAEGER, DAVID CITY OF PEORIA 05/01/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 575 19WC 05094 MOEHLENHOF, MARY JO BENJAMIN F EDWARDS 01/15/19 CHRIS DOSCOTCH HENNESSY & ROACH 576 19WC 05144 SANCHEZ, DOLORES JASON'S DELI 01/15/19 DAMON YOUNG HOLECEK & ASSOCIATES 577 19WC 05277 JOE, STEPHEN FRONTIER COMMUNICATIONS 01/24/19 GOLDFINE & BOWLES 578 19WC 05654 DEAKIN, WES WILLIAMS BROTHERS CONSTRU 11/27/17 KNELL LAW LLC 579 19WC 05733 BRIGGS, JOHN MOORE TIRES 01/15/19 KARLIN FLEISHER & FALKENBE 580 19WC 06037 JOHNSON, KAY VALESKA HINTON EARLY 07/28/17 LEFANTE LAW OFFICES STEPHEN P. KELLY 581 19WC 06064 FRANK, GLENDA OSF HOME CARE SERVICES 10/01/18 GOLDFINE & BOWLES 582 19WC 06115 MAYES, DANNY PEORIA PUBLIC SCHOOL DIST 10/15/18 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY 583 19WC 06163 SIMONSEN, DAVID A CITYLINK 12/10/18 HASSELBERG GREBE SNODGRASS CASSIDY & MUELLER 584 19WC 06170 PARKS, CINDY L UNITYPOINT HEALTH-METHODI 07/02/17 JOHN LESAGANICH 585 19WC 06352 BOOTH, RICHARD CITY OF PEORIA 03/10/16 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 586 19WC 06381 MARICLE, ROBERT SEDONA STAFFING 02/02/19 STRONG LAW OFFICE 587 19WC 06395 BALDWIN, DIANTE CAST TECHNOLOGIES INC 01/25/19 JOHN LESAGANICH 588 19WC 06410 JONES, ONNA GENERATIONS AT PEORIA 01/22/19 ROCHFORD & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 589 19WC 06430 ABERNATHY, BRANDON SEDONA STAFFING 09/25/18 STRONG LAW OFFICE 590 19WC 06629 TWEDELL, ANDREW KEYSTONE 01/24/19 DAVID HUNT RUSIN & MACIOROWSKI LTD 591 19WC 06795 MANGUM, MIRANDA KAMLA KAUR GROUP, INC 01/04/19 CHRIS DOSCOTCH 592 19WC 06814 FARNEY, EMILY KROGER 10/30/18 STRONG LAW OFFICE GANAN & SHAPIRO 593 19WC 06841 ANDERSEN, SEAN CHRISTIAN HORIZON 11/25/18 JEFF GREEN HEYL ROYSTER VOELKER & ALLEN 594 19WC 06890 GROVES, WILLIAM AUSTIN WESTERN IL UNIVERSITY 11/01/17 CHRIS DOSCOTCH ASSISTANT ATTORNEY GENERAL 595 19WC 06899 HAYES, RICHARD TRI-COUNTYPAINTING&SANDBL 10/01/18 STRONG LAW OFFICE 596 19WC 07149 LAWSON, DEVONTE SHERMAN'S * 01/29/19 GOLDFINE & BOWLES 597 19WC 07165 POWERS, ANTHONY OTTER TAIL CORPORATION * 11/05/18 KELLY LAW HEYL ROYSTER VOELKER & ALLEN 598 19WC 07278 MILES, REGINALD SMG HOLDINGS INC D/B/A PE * 04/24/18 JOHN LESAGANICH 599 19WC 07358 CHURCH, TYLER CATERPILLAR, INC * 11/30/18 STEPHENS FIDDES MCGILL ASS CATERPILLAR, INC. 600 19WC 07390 WILLIAMS, JOHNNY E EXPRESS EMPLOYMT PROFESSI * 02/06/19 JANSSEN LAW CENTER MC ANDREWS & NORGLE LLC 601 19WC 07465 SPIRES, PATRICK BELLA ELEVATOR * 11/07/17 STRONG LAW OFFICE 602 19WC 07561 ALLEN, NICKEY G&D INTEGRATED * 02/06/19 KATZ FRIEDMAN EAGLE ET AL LAWRENCE COZZI - LAW OFFICE 603 19WC 07676 MERRILL, TOMMY INCE'S TOWING/BMI ENTERPR * 05/17/18 DOC HALLIDAY QUINN JOHNSTON HENDERSON ETA 604 19WC 08040 PITZER, LINDA UNITYPOINT HEALTH-METHODI * 06/26/18 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY 605 19WC 08063 FELLERS, SUSANA VONACHEN GROUP, INC. * 01/14/19 THOMSON & WEINTRAUB ACCIDENT FUND HOLDINGS 606 19WC 08152 DAVIS, COREY ZEHR PROPERTY MAINTANANCE * 01/30/19 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 607 19WC 08426 HOOK, DANIELLE PAR-A-DICE CASINO * 09/20/18 QUINN JOHNSTON HENDERSON ETA 608 19WC 08461 UTSINGER, MICHAEL MARCONE SUPPLY * 01/10/19 STRONG LAW OFFICE 609 19WC 08492 SMITH, CHARMIA PEKIN MANOR * 02/10/19 STRONG LAW OFFICE 610 19WC 08591 BISHOP, MARK PEORIA PARK DISTRICT * 11/02/18 JEFF GREEN HENNESSY & ROACH 611 19WC 08785 PARKS, KRISTAL NEXSTAR BROADCASTING * 10/16/18 DAMON YOUNG HOLECEK & ASSOCIATES 612 19WC 08811 LEUALLEN, TYLER SERVICEMASTER * 10/18/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 613 19WC 08893 SHELTON, THERESA SET & SERVICES LLC * 08/22/18 STRONG LAW OFFICE 614 19WC 09130 BURGETT, KIMBER D DYNERGY MISWEST GENERATIO * 02/06/18 BOSHARDY LAW OFFICE PC 615 19WC 09457 BARRETT, AUDREY SNYDER VILLAGE * 02/07/19 GOLDFINE & BOWLES WOLFE & JACOBSON, LTD 616 19WC 09460 JOHNSON, CONNIE ILLINOIS MUTUAL LIFE * 01/24/17 GOLDFINE & BOWLES 617 19WC 09574 KIDD, CHRISTOPHER MEDIACOM * 02/11/19 STEPHEN P. KELLY HENNESSY & ROACH PC 618 19WC 09611 TRAVIS, BRIAN CATERPILLAR * 09/01/17 STRONG LAW OFFICE CATERPILLAR, INC. 619 19WC 09621 SUTTER, JOSHUA CITY OF WASHINGTON * 11/29/18 DAVID HUNT 620 19WC 09635 LOWE, JEFFERY KEYSTONE STEEL & WIRE * 06/13/18 PATRICK JENNETTEN RUSIN & MACIOROWSKI LTD 621 19WC 09736 KATILE, APRIL PELLA CORPORATION * 08/17/18 DAVID W MARTAY 622 19WC 09769 SHIPMAN, KIMBERLY BRIDGEWAY INC * 05/17/16 MARK WERTZ 623 19WC 09863 CARPENTER, THORSTEN JR KOMATSU * 01/24/19 DAMON YOUNG KNELL LAW LLC 624 19WC 09886 PHEASANT, CYNTHIA TERRI MAIDS CLEANING SERV * 11/01/18 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 625 19WC 09934 DOLAN, TIMOTHY HELPING HAND * 11/02/18 BENASSI & BENASSI 626 19WC 09959 WILKERSON, EVELYN ARAMARK CAMPUS, LLC * 02/06/18 CHRIS DOSCOTCH 627 19WC 10093 WILSON, TIFFANI PATHWAY MANAGEMENT DBA HE * 01/24/19 STRONG LAW OFFICE 628 19WC 10115 CARTER, MARY SHARON HLTHCRE WILLOWS N, * 02/04/19 GOLDFINE & BOWLES 629 19WC 10380 CLONTZ, SHIRLEY ILLINOIS CENTRAL COLLEGE * 02/11/19 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 630 19WC 10405 STECKEN, RICHARD CATERPILAR, INC * 03/11/19 JOHN LESAGANICH 631 19WC 10531 WIEMER, MARK INGREDION INCORPORATED * 10/06/17 JOHN LESAGANICH GAROFALO SCHREIBER STORM GRA 632 19WC 10766 STEPHENS, JANICE NAVIHEALTH * 01/17/19 GOLDFINE & BOWLES HENNESSY & ROACH 633 19WC 10782 GOODAPPLE, JAQUETTE VELDE FORD * 03/25/19 CHRIS DOSCOTCH 634 19WC 10819 HUGHES, TREY J-TEC INDUSTRIES * 01/24/19 STRONG LAW OFFICE 635 19WC 10935 MUNSON, JAMES PEPSI CO * 01/31/19 STEPHENS FIDDES MCGILL ASS GAIDO & FINTZEN 636 19WC 11053 MAYBERRY, KENNETH L CATERPILLAR, INC * 11/06/15 DOC HALLIDAY 637 19WC 11344 ALEXANDER, ROOSEVELT WALMART * 08/06/18 WARREN E DANZ, PC 638 19WC 11370 TIMMONS, SEAN CATERPILLAR * 08/22/18 JEFF GREEN 639 19WC 11557 JORDAN, PATRICK CITY OF PEORIA * 03/18/19 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 640 19WC 11694 PLIER, STEVEN SUN AG CORPORATION INC. * 02/12/19 JANSSEN LAW CENTER CAPUANI, FRANK S 641 19WC 11775 MADDOX-MERO, RONA REFLECTIONS MEMORY CARE * 07/13/17 LEFANTE LAW OFFICES 642 19WC 11829 CARPENTER JR, THORSTEN KOMATSU * 02/21/19 DAMON YOUNG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 643 19WC 11899 O'NEILL, JOHN KOENIG BODY & EQUIPMENT * 01/08/19 CUSACK GILFILLAN & O'DAY 644 19WC 11916 HOULE, SUE FRITO-LAY * 03/25/19 GOLDFINE & BOWLES GILDEA, COGHLAN & REGAN LTD. 645 19WC 11919 SKINNER, DIANA GENERATIONS AT RIVERVIEW * 03/02/19 GOLDFINE & BOWLES 646 19WC 12066 HINSHAW SR, CLARK B LANGSTON COMPANIES INC * 12/11/18 HASSELBERG GREBE SNODGRASS 647 19WC 12084 DOYLE, STEVEN P CITY OF PEORIA * 03/03/19 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 648 19WC 12102 ROYSE, GARY AEROTEK * 03/06/19 STRONG LAW OFFICE 649 19WC 12150 COTELLESO, BRIAN ALTER TRADING CORP * 03/21/19 STRONG LAW OFFICE MC ANDREWS & NORGLE LLC 650 19WC 12189 GIORDANO, BETH STATE FARM FIRE * 01/15/19 JOHN LESAGANICH GAROFALO SCHREIBER STORM GRA 651 19WC 12249 EVANS, KAMAL CATERPILLAR, INC. * 04/02/19 CUSACK GILFILLAN & O'DAY CATERPILLAR, INC. 652 19WC 12329 VARGAS-SUTTON, JEFFREY M RMH FOODS LLC * 08/24/17 RYAN POWERS 653 19WC 12340 SMITH, RYAN CITY OF PEKIN * 02/26/19 DAVID HUNT POWER & CRONIN LTD 654 19WC 12601 BERRYMAN, BOBBIE PEPSI CO. * 05/28/16 STEPHEN P. KELLY GAIDO & FINTZEN 655 19WC 13010 KOENING, LORI SCHOOL DISTRICT 1 METAMOR * 08/24/18 BRADY, CONNOLLY & MASUDA, PC 656 19WC 13081 BREWER, CAPTAIN SAM LEMAN * 11/27/18 WARREN E DANZ, PC GANAN & SHAPIRO 657 19WC 13127 PETERSON, ALLEN O'REILLY AUTO PARTS * 08/30/18 GOLDFINE & BOWLES HENNESSY & ROACH 658 19WC 13181 SIEFERT, AMY WALGREENS * 09/03/16 STRONG LAW OFFICE 659 19WC 13194 EERTMOED, FRED R IRONWAY * 02/05/19 CHRIS DOSCOTCH HOLECEK & ASSOCIATES 660 19WC 13471 MAYER, BRANDON PEUGH PROPERTY MANAGEMENT * 04/13/19 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 661 19WC 13732 ROBINSON, GLEN WALMART INC * 08/20/18 QUINTAIROS PRIETO WOOD & BOY 662 19WC 13963 SLOAN, RAMON PEPSI BEVERAGE * 07/05/17 STEPHENS FIDDES MCGILL ASS GAIDO & FINTZEN 663 19WC 13972 CARTER, WILLIE CAST TECHNOLOGIES INC * 02/01/19 GOLDFINE & BOWLES 664 19WC 14104 MCBRIDE, DAVID G&O DISPOSAL * 09/19/18 CUSACK GILFILLAN & O'DAY 665 19WC 14173 FEASLEY, JOSHUA CATERPILLAR * 01/18/19 STRONG LAW OFFICE 666 19WC 14199 JORDAN, PHIL NEW MEDIA INVESTMENT GROU * 01/28/19 JOHN LESAGANICH 667 19WC 14210 COERS, MIKE DANIEL O'BRIEN * 12/19/17 PATRICK JENNETTEN 668 19WC 14323 JOWERS, ANDEL CATERPILLAR * 04/05/19 DAMON YOUNG 669 19WC 14443 SEGAL, ABIGAIL PEKIN COMM SCHOOL DIST #1 * 02/25/19 CHRIS DOSCOTCH 670 19WC 14571 FRISBY, JACQUELINE WALMART * 04/05/18 LEFANTE LAW OFFICES GANAN & SHAPIRO 671 19WC 14583 WEBB, DIANA OSF HEALTHCARE * 02/14/18 DAMON YOUNG 672 19WC 14741 WIECHMANN, HEIDI UNITYPOINT HEALTH PROCTOR * 01/28/19 GOLDFINE & BOWLES 673 19WC 14805 CALDWELL, JAMES QUALITY METAL PRODUCTS, I * 11/30/18 GAROFALO SCHREIBER STORM GRA 674 19WC 14816 WEYER, JOHN KEYSTONE STEEL & WIRE * 05/11/19 STRONG LAW OFFICE 675 19WC 14822 TOCKES, BRIAN BACKSHOR SERVCIES, INC * 01/24/19 STEPHENS FIDDES MCGILL ASS 676 19WC 15142 SIEFERT, AMY WALGREENS * 02/06/18 STRONG LAW OFFICE 677 19WC 15269 WETZEL, RYAN AMERICAN RED CROSS * 10/25/17 CHRIS DOSCOTCH POWER & CRONIN LTD 678 19WC 15274 TERRELL, BOBBIE AMERICAN RED CROSS * 03/16/19 CHRIS DOSCOTCH POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 C A S E H E A R I N G S Y S T E M SEAL, PAUL 023 ARBITRATION CALL FOR PEORIA 41001 ON 07/08/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 679 19WC 15368 HALL, TODD RESOURCE MFG * 03/12/19 STRONG LAW OFFICE 680 19WC 15376 MC GLOTHLIN, DAVID PRECISION PRODUCTS * 04/17/18 STRONG LAW OFFICE 681 19WC 15409 MCDONALD, DOUGLAS FICEK ELECTRIC & * 04/27/18 SCHIERER, CHARLES G 682 19WC 15418 BOLEN, KATHI CEFCU * 12/04/18 STEPHEN P. KELLY 683 19WC 15755 HOWARD, KEITH RENT-A-CENTER * 08/11/18 JANSSEN LAW CENTER 684 19WC 15948 HAYWOOD, CHAUNCEY CNH GOODFIELD * 01/28/19 STEPHEN P. KELLY INMAN & FITZGIBBONS 685 19WC 15984 BARRETT, WILLIAM E MORTON INDUSTRIES, LLC * 12/26/18 KANOSKI BRESNEY 686 19WC 16041 MANN, GREGORY G&D INTEGRATED * 12/15/18 STRONG LAW OFFICE 687 19WC 16096 HALVERSON, CARRIE MCDONALDS * 05/25/19 STRONG LAW OFFICE 688 19WC 16211 CHISHOLM, LOIS WAYNE PRINTING COMPANY * 01/09/17 NYHAN BAMBRICK KINZIE & LOWR 689 19WC 16270 EVANS, THOMAS LEROY CMC & MAINTENANCE, INC * 03/15/18 HEIPLE LAW OFFICE 690 19WC 16368 PAYNE, LYLE R WALMART ASSOCIATES INC * 01/12/19 GANAN & SHAPIRO