ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 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 10WC 07165 SHANNON, BARBRE HAMILTON MEMORIAL HOSPITA 09/08/09 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM GRA 3 10WC 21215 LEFLER, JOSH MENTOR NETWORK 03/25/10 RON D COFFEL & ASSOC CHILTON YAMBERT PORTER LLP 11WC009783 -C 4 10WC 34618 HENDERSON-ODUM, NANCY CHESTER MENTAL HEALTH @ 07/20/10 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 5 12WC 18004 MARTIN, BRENDA BRUSHY CREEK COAL CO 08/13/11 CULLEY & WISSORE KEEFE & DEPAULI 6 12WC 28841 HENSON, PHYLLIS, WIDOW OF PATRIOT COAL CORP # 02/27/12 CULLEY FEIST KUPPART & JOR KEVIN M HAZLETT LLC 7 13WC 08691 BRADDY, ROBERT ZELLER CONSTRUCTION INC 02/11/13 LAWLER & LAWLER GANAN & SHAPIRO 8 13WC 09488 FITZMAURICE, CHRISTINE NEURORESTORATIVE 11/30/11 WOMICK LAW FIRM CHILTON YAMBERT PORTER LLP 9 13WC 12330 HERRON, BRANDY (GUARDIAN CATERPILLAR, INC 02/11/13 COOK SHEVLIN YSURSA ET AL ROUSE & CARY 10 13WC 18297 19B ELDARACHER, DAVID BOWEN ENGINEERING 02/28/13 TIM DENNY LLC HEYL ROYSTER VOELKER & ALLEN 11 13WC 26991 REED, JOSEPH BIG RIDGE INC 11/17/12 CULLEY & WISSORE EVANS & DIXON, LLC 12 13WC 28804 19B BOWERS, MARK MENARD CC @ 08/20/13 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 13 14WC 03948 HACK, MAGDALENA DOLLAR GENERAL 01/05/14 LAW OFFICE OF JAMES PARROT LEAHY EISENBERG & FRAENKEL 14 14WC 11103 19B OAKLEY, KAREN COMMONWEALTH EXPRESS 03/13/14 LAW OFFICE OF JAMES PARROT FEIRICH MAGER GREEN & RYAN 15 14WC 26856 DWYER, DOROTHY ANN MEMORIAL HOSPITAL 07/09/13 KATZ FRIEDMAN EAGLE ET AL FEIRICH MAGER GREEN & RYAN 16 14WC 29156 19B BURRIS, ROWDY CHOATE MENTAL HEALTH @ 07/29/14 WOMICK LAW FIRM CHTD ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 14WC 36268 SMITH, HERBERT SIH/HERRIN HOSPITAL 04/16/14 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 18 14WC 40801 WALLE, LUIS SJS TEQUILAS INC, D/B/A 10/11/12 JELLIFFE FERRELL DOERGE PH ROUSE & CARY 14WC040802 -C 19 15WC 15693 STAATS, WALLACE MARION CHEVROLET BUICK 06/25/12 GARY L. BEMENT GAROFALO SCHREIBER STORM GRA 20 15WC 18190 TAYLOR, TRAVIS RAIL READY RAILCAR REPAIR @ 05/14/15 WINTERS BREWSTER CROSBY ET 21 15WC 24616 SHERIFF, DAVID W SHORT ENTERPRISES INC 02/06/15 KOLKER LAW OFFICES INMAN & FITZGIBBONS 16WC008910 -C 22 15WC 26098 STEWART, PATRICIA B (ADMI GILSTER MARY-LEE CORP # 08/03/12 FISHER KERHOVER COFFEY FEIRICH MAGER GREEN & RYAN 23 15WC 26223 KEMP, AUGUSTA NOTTUS, INC @ W 06/03/15 CULLEY FEIST KUPPART & TAY ACTON & SNYDER 24 15WC 27255 BALDWIN, COLTON AMERICAN COAL COMPANY 06/21/15 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 15WC027233 -C 25 15WC 30078 CRAWFORD, KARLA AISIN MANUACTURING 07/31/15 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 26 15WC 30588 19B PECKINPAUGH, VICTORIA MEMORIAL HOSPITAL OF 08/18/15 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 27 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 28 15WC 34098 HOOD, BEVERLY INTEGRITY HEALTHCARE 04/16/15 GENE A TURK, JR LAW OFFICE 29 15WC 38327 FREELAND, GORDON G PINCKNEYVILLE AMBULANCE 10/29/15 GLASS & KOREIN RUSIN & MACIOROWSKI LTD 30 16WC 01265 DINKINS, CHARLES A CITY OF PINCKNEYVILLE 01/20/15 BONIFIELD & ROSENSTENGEL P RUSIN & MACIOROWSKI LTD 31 16WC 02295 MELVIN, CANDACE SIM MEMORIAL HOSPITAL 02/05/14 RON D COFFEL & ASSOC FEIRICH MAGER GREEN & RYAN 32 16WC 03893 FOUREZ, RICKY AMERICAN COAL 08/29/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 33 16WC 05472 VALENTINE, RICHARD EDWARD NOTTUS AMBULANCE SERCICE 10/05/15 NELSON & NELSON STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 16WC 06875 ASHLEY, BRENDA NEURO RESTORATIVE 02/27/14 WOMICK LAW FIRM CHTD CHILTON YAMBERT PORTER LLP 35 16WC 07717 PARSONS, LARRY II THE AMERICAN COAL COMPANY 12/22/14 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 36 16WC 11047 PASQUINO, RICHARD KNIGHT HAWK COAL COMPANY 07/01/15 LAWLER & LAWLER LITCHFIELD CAVO 37 16WC 11493 CURTIS, MARY FRANKLIN HOSPITAL 01/22/16 SAM C MITCHELL & ASSOCIATE FEIRICH MAGER GREEN & RYAN 38 16WC 11977 CADY, LORI STATE OF IL/MENARD C C @ 02/19/16 RICH RICH COOKSEY & CHAPPE ILLINOIS ATTORNEY GENERAL 39 16WC 12049 BROCK, DENNIS MACH MINE LLC 07/29/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 40 16WC 16171 WESTRAY, ROSEMARY THE AMERICAN COAL COMPANY # 02/13/16 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 41 16WC 16445 LEDBETTER SHEEHAN, PATRIC FEDEX EXPRESS 01/04/16 BADGLEY, BRAD L WIEDNER & MCAULIFFE LTD 42 16WC 18429 ANTONACCI, AMANDA IL DEPT. OF HUMAN SERVICE @ 05/31/16 WINTERS BREWSTER CROSBY ET ILLINOIS ATTORNEY GENERAL 43 16WC 19338 LITTLE, WILLIAM WRIGHT INDUSTRIAL 06/01/16 LAWLER & LAWLER JELLIFFE FERRELL DOERGE PHEL 44 16WC 19673 GRAHAM, DAVID L STATE OF IL-CHOATE @ 02/10/16 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 45 16WC 20142 DEMENT, MARY ELIZABETH JOPPA SCHOOL DIST 38 12/17/15 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 46 16WC 20402 MILLETTE, BRIAN MENARD'S 12/05/15 WOMICK LAW FIRM CHTD QUINN JOHNSTON HENDERSON ETA 47 16WC 21346 HUIE, CHARLES THE AMERICAN COAL COMPANY 05/23/15 CULLEY & WISSORE CRAIG & CRAIG 48 16WC 22648 TOLER, SCOTT CHOATE MENTAL HEALTH @ 06/01/16 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 49 16WC 24194 WEIR, ROBERT J THE AMERICAN COAL MINE CO 08/29/15 CULLEY & WISSORE CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 16WC 24233 ROBERTS, GARY D. STATE OF ILLINOIS @ 12/17/15 CULLEY & WISSORE ILLINOIS ATTORNEY GENERAL 51 16WC 25691 ELDERS, BRYAN IL DEPT. OF JUVENILE JUST @ 07/14/16 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 17WC020724 -C 52 16WC 27279 SHERROD, GARRON TRU-BILT BUILDING CO. 06/13/16 RON D COFFEL & ASSOC GANAN & SHAPIRO 53 16WC 29133 DUNNING, TONYA GLISTER MARY LEE CORPORAT 04/22/16 STRONG LAW OFFICE FEIRICH MAGER GREEN & RYAN 54 16WC 30539 MCCORMICK, ADA J BRUSHY CREEK COAL COMPANY #W 07/29/16 CULLEY & WISSORE 55 16WC 30648 LEVAULT, TOMMY THE AMERICAN COAL COMPANY 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 56 16WC 31595 BARNETT-PRATER, ANITA ILLINOIS VETERANS HOME OF @ 06/05/16 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 57 16WC 31749 ROWE, RONALD THE AMERICAN COAL COMPANY 02/11/16 CULLEY & WISSORE CRAIG & CRAIG 58 16WC 32739 GIACONE, LARRY THE AMERICAN COAL CO 11/16/14 CULLEY & WISSORE CRAIG & CRAIG 59 16WC 32917 LIEDTKE, LAURA SOUTHERN ILLINOIS HEALTHC 08/25/16 BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 60 16WC 35178 CRAWFORD, KARLA AISIN MANUFACTURING 08/26/16 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 61 16WC 35910 GRAVATT, CHAD MARION PARK DISTRICT 10/10/16 LAW OFFICE OF ROBERT BATES RUSIN & MACIOROWSKI LTD 16WC035911 -C 16WC035912 -C 16WC035913 -C 62 16WC 36293 WYATT JR, DAVID STATE OF ILLINOIS, CHOATE @ 11/11/16 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 63 16WC 36411 19B MATLOCK, STEPHANIE CHOATE MENTAL HEALTH CTR @ 10/30/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 64 16WC 36928 GOMEZ, SANTIAGO SAMMY BYRON 11/20/15 GENE A TURK, JR LAW OFFICE ROUSE & CARY 65 16WC 37719 PARSONS II, LARRY THE AMERICAN COAL COMPANY 11/17/16 RON D COFFEL & ASSOC LITCHFIELD CAVO 66 16WC 38333 WEBB, MARVIN THE AMERICAN COAL COMPANY 01/14/15 CULLEY & WISSORE CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 16WC 38488 ARVIEW, ELVA THE AMERICAN COAL COMPANY 08/29/15 CULLEY & WISSORE CRAIG & CRAIG 68 16WC 38781 HEATH, DAVID BEELMAN TRUCKING 11/13/16 WINTERS BREWSTER CROSBY ET HARRIS DOWELL FISHER & HARRI 69 16WC 39092 19B EHLERS, TODD D DEPARTMENT OF JUVENILE JU @ 12/16/16 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 70 16WC 39214 DRAPER, DONNA SOUTHERN ILLINOIS HEALTHC 11/07/16 KEEFE & DEPAULI FEIRICH MAGER GREEN & RYAN 71 17WC 02690 SANCHEZ, ROBERTO COAL FIELD CONSTRUCTION C 12/26/16 JEROME LEFTON LAW OFFICE 72 17WC 04005 ESTES, JEFF AMERICAN ELECTRIC POWER/ 03/12/14 JEFF ESTES FEIRICH MAGER GREEN & RYAN 73 17WC 04161 STEIN, KOREEN M STATE OF ILLINOIS - CHOAT @ 11/26/16 TIM DENNY LLC ILLINOIS ATTORNEY GENERAL 74 17WC 06400 HILLIARD, DUSTIN CITY OF MARION 04/01/14 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 75 17WC 07082 TONNON, LYLE ROYALTY TECH @ W 02/20/17 SHORT AND DAUGHERTY 76 17WC 07283 LAWLER, JAMES E RIDGWAY TOWNSHIP 12/07/15 HASSAKIS & HASSAKIS PC CRAIG & CRAIG 77 17WC 07462 SCHNOEKER, DEREK CHESTER MENTAL HEALTH CEN @ 02/24/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 78 17WC 07629 BOWMAN, MARIAH ADDUS HEALTHCARE INC UAN 10/07/16 ADAM B LAWLER LAW FIRM HENNESSY & ROACH, PC 79 17WC 08478 BROWN-MARTIN, WILETA ILLINOIS DEPT OF PUBLIC @ 02/07/17 MICHAEL MILES ILLINOIS ATTORNEY GENERAL 80 17WC 08697 MC QUEEN, SAMUEL L AISIN MANUFACTURING IL, L 06/01/16 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 81 17WC 09341 RICKS, DAVID K & R GROUP INC 02/28/17 KARNO, MARK L & ASSOC 82 17WC 10718 ZARANTI, ANTHONY FERRELLGAS 10/19/16 RON D COFFEL & ASSOC KNELL O'CONNOR DANIELWICZ 83 17WC 10804 CREASON, LUCAS A CHESTER MENTAL HEALTH CEN @ 07/10/16 GLASS & KOREIN ILLINOIS ATTORNEY GENERAL 84 17WC 11475 BANKS, CHARLENE HARRISBURG MEDICAL CENTER 12/29/15 HANAGAN & MCGOVERN PC FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 85 17WC 11721 DIEFENBACH, DELORES CHOATE MENTAL HEALTH & @ 03/11/17 MUELHAUSEN & STEFANI ILLINOIS ATTORNEY GENERAL 86 17WC 13191 EDWARDS-SMITH, MYRA STATE OF IL/IYC HARRISBUR @ 02/17/17 HALVACHS & ABERNAT0HY LLC ILLINOIS ATTORNEY GENERAL 87 17WC 13796 RIDDLE, HARRY AMERICAN COAL 02/15/16 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 88 17WC 14668 19B STUEVE, JACKIE JR MENARD CC @ 02/27/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 89 17WC 16148 COWSERT, TRAVIS IL YOUTH CENTER-HARRISBUR @ 04/21/17 HART & HART ILLINOIS ATTORNEY GENERAL 90 17WC 16440 GIRTEN, JOHN AMERICAN COAL 07/02/13 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 91 17WC 16472 KEITH, ROBERT J CENTERSTONE OF ILLINOIS 11/28/16 92 17WC 16746 WEBER, ANGELA ADVANTAGE SALES AND MARKE 05/10/16 HANAGAN & MCGOVERN PC KELLEY KRONENBERG 93 17WC 16835 19B MORRIS, APRIL HARRISBURG MEDICAL CENTER 06/11/16 HANAGAN & MCGOVERN PC FEIRICH MAGER GREEN & RYAN 94 17WC 17522 RAGLAND, PAIGE IL YOUTH CENTER HARRISBUR @ 05/22/17 HART & HART ILLINOIS ATTORNEY GENERAL 95 17WC 17567 WILLIS, STEPHEN AMERICAN COAL 02/05/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 96 17WC 18926 19B KELLY, KENDRA S SIH MEMORIAL HOSPITAL OF 06/29/16 HASSAKIS & HASSAKIS PC FEIRICH MAGER GREEN & RYAN 97 17WC 19556 HAMLIN, DAVID SOUTHERN IL DERMATOLOGY I 05/28/15 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD 98 17WC 20728 DALTON, DONNA AMERICAN COAL 08/29/15 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 99 17WC 23179 19B CHARTIER, MICHAEL ROOF BOLT EXPRESS, INC 04/21/17 SAM C MITCHELL & ASSOCIATE INMAN & FITZGIBBONS 100 17WC 25244 HOLDER, MATT GOLDEN CORRAL 08/01/17 DWORKIN AND MACIARIELLO 101 17WC 25525 LEWIS, CLAUDIA N CHESTER MENTAL HEALTH @ 06/15/17 ASSISTANT ATTORNEY GENERAL 102 17WC 25762 HENDERSON, NANCY STATE OF ILLINOIS @ 04/14/17 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 17WC 25972 MASCIO, HELEN MEMORIAL OF CARBONDALE HO 07/24/16 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 104 17WC 27627 CLIFF, CHRISTINA CASEY'S 08/27/17 RICH RICH COOKSEY & CHAPPE 105 17WC 27837 BREWER, JANICE SIH-MEMORIAL OF CARBONDAL 08/23/17 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 106 17WC 28031 MARVEL, GARY AMERICAN COAL 01/01/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 107 17WC 28043 WINTERS, LUCILLE WILLIAMSON COUNTY AMBULAN 03/13/17 JELLIFFE FERRELL DOERGE PH ROUSE & CARY 108 17WC 28230 BLYTHE, DARYL G DOLLAR GENERAL 07/06/17 MARSZALEK AND MARSZALEK LEAHY EISENBERG & FRAENKEL 109 17WC 28325 HILLIARD, DUSTIN CITY OF MARION 04/19/17 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 110 17WC 28345 RICHTER, LINDA D CHOATE MENTAL HEALTH, ILL @ 05/28/16 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 111 17WC 29070 GRAHAM, DAVID L STATE OF IL CHOATE @ 09/17/17 LAW OFFICES FOLEY & DENNY ASSISTANT ATTORNEY GENERAL 112 17WC 29709 PEEBELS, SCOTT BASLER TRUCKING 12/01/16 WOMICK LAW FIRM CHTD BRADY, CONNOLLY & MASUDA, PC 113 17WC 30112 SPENCE, H.D. EXECUTIVE EXPRESS, INC. 07/05/16 SAUTER, SULLIVAN & EVANS EVANS & DIXON, LLC 114 17WC 30329 OYLER, BRIAN CHESTER MENTAL HEALTH CEN @ 05/30/17 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 115 17WC 30542 PULLIAM, JOHN SUI CARBONDALE @ 01/24/17 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 116 17WC 30841 WALKER, JUSTIN COAL FIELD CONSTRUCTION L 07/31/17 LITCHFIELD CAVO 117 17WC 32088 SMITH, SANDRA STATE OF ILLINOIS/ @ 06/22/15 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 17WC032089 -C 17WC032090 -C 118 17WC 32461 WIGGINS, PAUL WIGGINS, PAUL 07/08/17 JOSEPH L SAMUELSON PC 119 17WC 33152 WALDRON, LEONARD CITY OF DU QUOIN 10/02/17 HOWERTON, DORRIS & STONE KEEFE & DEPAULI 120 17WC 33648 LAWRENCE, DAVID MACH MINE LLC 09/28/17 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 17WC 33761 SHURTZ, CARL THE AMERICAN COAL COMPANY 06/09/17 CULLEY & WISSORE CRAIG & CRAIG 122 17WC 33773 PEARCE, DENNIS THE AMERICAN COAL COMPANY 09/22/17 CULLEY & WISSORE CRAIG & CRAIG 123 17WC 33802 OYLER, BRIAN CHESTER MENTAL HEALTH CTR @ 04/04/16 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 124 17WC 34542 FRANCESCON, DONALD KNIGHT HAWK COAL 07/27/17 KEEFE & GRIFFITHS PC LITCHFIELD CAVO 125 17WC 34698 LEWIS, BRADLEY BUNGE NA 08/16/17 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN 126 17WC 34918 EDWARDS, STEVEN B FARE FOODS, INC 06/28/17 MICHAEL MILES HEYL ROYSTER VOELKER & ALLEN 127 17WC 35109 LIEFER, DENISE L DORMA KABA 08/14/17 MILLER, WILLIAM R LAW OFFI ROUSE & CARY 128 17WC 35152 PLUMMER, LINDSEY CHOATE @ 07/22/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 129 17WC 35599 RISLEY, NORMAN BIG RIDGE, INC 12/21/12 CULLEY & WISSORE EVANS & DIXON, LLC 130 17WC 35755 THOMPSON, PATTIE MASSAC MEMORIAL HOSPITAL 08/31/17 LAWLER & LAWLER GAROFALO SCHREIBER STORM GRA 131 17WC 36193 WATTERSON, JOHNATHON M SAMS IGA 11/06/17 MCCARTHY ROWDEN & BAKER 132 17WC 36381 LOGWOOD, JAMEELA INTEGRITY HEALTHCARE 11/23/17 WOMICK LAW FIRM CHTD HOLTKAMP LIESE 133 17WC 36644 COURIER, KENNETH CHESTER MENTAL HEALTH @ 09/09/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 134 17WC 36933 REED, LINDA BIG RIDGE, INC # 10/06/17 CULLEY & WISSORE EVANS & DIXON, LLC 135 17WC 38024 STENNETT, MARSHALL K LIBERTY CRANE, LLC 06/22/15 SCHUCHAT, COOK & WERNER HENNESSY & ROACH, PC 136 18WC 00711 BISHOP, ALEX CITY OF CARBONDALE 02/09/17 WOMICK LAW FIRM CHTD 137 18WC 00878 CAIREL, BARBARA FOR OLD BEN COAL CO/SELF-INSU # 10/13/17 CULLEY & WISSORE KEEFE & DEPAULI 138 18WC 01732 SUITS, TRACY W ROSS FINANCIAL SVS, INC 10/05/17 LAWLER & LAWLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 18WC 01831 MCMILLEN, LINCOLN CENTRIFUGAL SERVICES INC 12/11/17 TIM DENNY LLC CRAIG A HANSEN 140 18WC 02596 RODRIGUEZ, JORGE LEVEL IT EXCAVATING 11/22/17 NELSON & NELSON GANAN & SHAPIRO 141 18WC 02644 HODGES, DAVID ST FRANCIS MEDICAL CENTER 05/21/16 HENNESSEY LAW FIRM 142 18WC 03604 GIBSON, MARSHA C GILSTER MARY LEE 12/16/17 TIM DENNY LLC FEIRICH MAGER GREEN & RYAN 143 18WC 03772 MORRIS, ELLEN D SIU- CARBONDALE @ 08/29/17 WINTERS BREWSTER CROSBY ET ASSISTANT ATTORNEY GENERAL 144 18WC 03945 HALE, CHRYSTAL CHOATE MENTAL HEALTH @ 03/21/16 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 145 18WC 03948 HALE, CHRYSTAL CHOATE MENTAL HEALTH @ 12/29/17 KIRKPARTICK LAW OFFICES ASSISTANT ATTORNEY GENERAL 146 18WC 05101 BRITTIN LANG, SHANNON SOUTHERN ILLINOIS MOTOR X 06/17/17 147 18WC 05334 EMBERTON, JAMES CITY OF ZIEGLER 01/22/18 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 148 18WC 05840 KEITH, MATTHEW EATON CORPORATION 01/30/18 GLASS & KOREIN LEAHY EISENBERG & FRAENKEL 149 18WC 06223 KELLUM-HAMILTON, VICKIE MURPHYSBORO CUSD 186 11/29/17 MCCARTHY ROWDEN & BAKER QUINN JOHNSTON HENDERSON ETA 150 18WC 06362 SETTLEMOIR, CURTIS THE AMERICAN COAL COMPANY 10/23/17 CULLEY & WISSORE CRAIG & CRAIG 151 18WC 07384 SMITH JR., JOHN PJR & ASSOCIATES, INC 09/19/17 NELSON & NELSON KEEFE CAMPBELL & ASSOC LLC 152 18WC 08773 DALLAS, DAN GILSTER MARY LEE 12/15/17 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 153 18WC 10345 STEPHENSON, WILLIAM MACH MINE LLC 01/02/18 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 154 18WC 11172 CORNER, DAWN HELP AT HOME 02/03/18 JEROME LINDSAY SALMI LL 155 18WC 11268 QUINT, MICHELLE JAMP SPECIAL EDUCATION 03/23/17 WINTERS BREWSTER CROSBY ET WIEDNER & MCAULIFFE LTD 18WC038359 -C 19WC017505 -C 156 18WC 11720 ROGERS, TIFFANY KOHL'S 02/21/18 MCGARRY, BRIAN P CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 18WC 12367 KENDRICK, ANTHONY CITY OF CREAL SPRINGS 11/25/17 RICH RICH COOKSEY & CHAPPE INMAN & FITZGIBBONS 158 18WC 12483 KING, RICKY JOHN E ROSE 02/21/18 FOLEY & DENNY HENNESSY & ROACH PC 159 18WC 12613 SLAVENS, JOEL STATE/MENARD C.C. @ 03/25/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 160 18WC 12960 EDWARDS-SMITH, MYRA STATE OF IL/HARRISBURG @ 09/08/17 HALVACHS & ABERNAT0HY LLC ASSISTANT ATTORNEY GENERAL 161 18WC 13124 BUCHANAN, RODNEI JUST KIDS INC FKA TOT LAN 08/10/16 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD 162 18WC 13295 WRIGHT, JOE TARGET CORPORATION 11/03/17 LAWLER & LAWLER KEEFE CAMPBELL & ASSOC LLC 163 18WC 14306 BERRY, SONJA STATE OF IL/IYC HARRISBUR @ 04/05/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 164 18WC 14331 PORTER, WILLIAM AMERICAN COAL COMPANY @ 04/22/17 TIM DENNY LLC CRAIG & CRAIG 165 18WC 14634 COLLINS, MARVIN JAMES ROOFER'S MART INC 02/22/18 MICHAEL MILES 166 18WC 14825 19B GIBSON, BRENDON IYC HARRISBURG @ 04/20/18 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 167 18WC 15554 PARMLY, TAMMY CHOATE MENTAL HEALTH @ 08/21/17 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 168 18WC 15850 PRICE, STEPHANIE CENTERSTONE OF ILLINOIS, 01/23/18 LAWLER & LAWLER 169 18WC 16244 BEARDEN, RICHARD PEABODY ILLINOIS SERVICES 06/29/15 CULLEY & WISSORE KEEFE & DEPAULI 170 18WC 16521 STURGILL, QUINTIN THE AMERICAN COAL COMPANY 09/22/17 CULLEY & WISSORE CRAIG & CRAIG 171 18WC 16660 RISHEL, MICHAEL CITY OF CARBONDALE FIRE D 01/23/18 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 172 18WC 16699 SUITS, TRACY W ROSS FINANCIAL SERVICES I 10/17/17 LAWLER & LAWLER MCDONALD & BOGDAN 173 18WC 17101 POENITSKI, CARLA TRI-COUNTY SPECIAL EDICAT 11/09/17 MUELHAUSEN & STEFANI 174 18WC 18376 WARD, SAM CITY OF MARION 03/05/18 PRINCE LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 18WC 19084 FUQUA, VINCENT PEABODY MIDWEST MINING LL 04/18/18 LAWLER & LAWLER KEEFE & DEPAULI 176 18WC 19279 PLASTERS, MELISSA HELP AT HOME 02/12/18 ARMBRUSTER DRIPPS HENNESSY & ROACH, PC 177 18WC 19906 UCHTMAN, PATTI STATE OF ILLINOIS @ 03/07/14 FISHER KERHOVER COFFEY 178 18WC 21068 NICHOLSON, TIM MCDONALDS RESTAURANT 02/13/17 WOMICK LAW FIRM CHTD 179 18WC 21857 COURIER, KENNETH CHESTER MENTAL HEALTH @ 06/24/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 180 18WC 22747 POLLEY, RICK THE AMERICAN COAL COMPANY 08/18/17 CULLEY & WISSORE CRAIG & CRAIG 181 18WC 22859 ROBISON, AUSTIN MADISONVILLE MINING, LLC 09/24/17 TAMMI N. JACKSON HEYL ROYSTER VOELKER & ALLEN 182 18WC 22868 CHANEY, CATHY (BENEFICIAR KNIGHT HAWK COAL, LLC # 04/10/17 CULLEY & WISSORE CRAIG & CRAIG 183 18WC 23689 DIERCKS, MAYLEE GILSTER MARY LEE 04/19/18 BROWN & BROWN FEIRICH MAGER GREEN & RYAN 184 18WC 23869 CONNER, DAWN HELP AT HOME, LLC 02/03/18 JEROME LINDSAY SALMI LL 185 18WC 23876 GABBY, JOHN STATE OF ILLINOIS @ 12/31/16 CULLEY & WISSORE ASSISTANT ATTORNEY GENERAL 186 18WC 25525 ANDERSON, CHRISTOPHER STATE OF IL/CHESTER MENTA @ 07/17/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 187 18WC 26208 DAVIS, BRIAN STATE OF IL/IYC HARRISBUR @ 04/10/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 188 18WC 26528 RHOADES, SHANE A ILLINOIS YOUTH CENTER @ 08/25/18 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 189 18WC 26742 PRICE, DONNA HARRISBURG MEDICAL CENTER 07/23/18 CARAWAY FISHER FEIRICH MAGER GREEN & RYAN 190 18WC 26837 GALLAGHER, ROBERT O'REILLY AUTO PARTS 01/02/17 KEITH SHORT HENNESSY & ROACH, PC 191 18WC 27671 MC KINNEY, WILLIAM WALLACE CONSTRUCTION W 09/10/18 DWORKIN AND MACIARIELLO 192 18WC 27828 DENT-TURNER, VICTORIA LARRY'S HOUSE OF CAKES 08/15/18 BEARD LAW FIRM GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 18WC 28730 CHURCH, PEGGY FAIRVIEW NURSING HOME 09/07/18 RON D COFFEL & ASSOC MORROW WILLNAUER 194 18WC 29068 ROBERTS, BOBBY DORMA/KABBA 06/23/18 FISHER KERHOVER COFFEY ROUSE & CARY 195 18WC 29183 HILL, JULIA AISIN MANUFACTURING 10/12/15 NEWCOMB, PAULA M KEEFE & DEPAULI 196 18WC 29345 DOBBS, DONNA CHESTER MENTAL HEALTH CEN @ 09/01/18 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 197 18WC 29931 TENNISON, GARY PERRY COUNTY CHERIFF'S DE 09/24/18 WINTERS BREWSTER CROSBY SC INMAN & FITZGIBBONS 198 18WC 30016 WETZLER, SCOTT ILLINOIS STATE POLICE @ 05/11/16 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 18WC030017 -C 18WC030018 -C 199 18WC 32387 BROWN, ANGELA CHOATE MENTAL HEALTH @ 05/01/18 JOHNSON SCHNEIDER & FERREL ASSISTANT ATTORNEY GENERAL 200 18WC 32700 THOMPSON, JACOB MURPHYSBORO DISTRICT #186 08/27/18 FISHER KERHOVER COFFEY HEYL ROYSTER VOELKER & ALLEN 201 18WC 32746 JEFFORDS, DONNA CHOATE MENTAL HEALTH @ 10/16/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 202 18WC 32974 QUINTANA, CORY CHESTER MENTAL HEALTH CEN @ 10/17/18 FISHER AND KERKHOVER LAW O ASSISTANT ATTORNEY GENERAL 203 18WC 33451 MARAGNI, MICHELLE A REGIONAL HOME CARE CROSSR 07/26/18 HARRIS & JONES HENNESSY & ROACH, PC 204 18WC 34893 GLADNEY, EDWIN MENDARD C.C. @ 09/14/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 205 18WC 35588 WIESEMAN, CHRISTOPHER CHOATE MENTAL HEALTH- SOI @ 10/11/18 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 206 18WC 35596 SADLER, VICKIE CHOATE MENTAL HEALTH @ 09/11/18 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 207 18WC 36077 GUETHLE, SANDRA L GLISTER MARY LEE 09/26/17 BROWN & BROWN FEIRICH MAGER GREEN & RYAN 208 18WC 36136 HAMPLEMAN, JUDITH A TRI-COUNTY SPECIAL ED 11/08/18 DEVIN M JONES LAWRENCE COZZI - LAW OFFICE 209 18WC 36248 WHITLOCK, TERESA JC SKYLINE, LLC, D/B/A 10/25/18 LAWLER & LAWLER STEPHEN H LARSON LAW OFFICE 210 18WC 36453 DAVISON, MICHELLE MACY'S ' 10/31/18 MICHAEL MILES BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 18WC 36904 ALLEN, DARRYL PEABODY ILLINOIS SERVICES 09/28/18 CULLEY & WISSORE 212 18WC 37060 SIVELS, SHAWN M R.P. LUMBER @ 08/08/18 FOLEY & DENNY ROUSE & CARY 213 18WC 37198 ABDO, SAMIR HARRISBURG MEDICAL CENTER 11/05/17 TAMMI N. JACKSON FEIRICH MAGER GREEN & RYAN 214 18WC 37248 DANIEL, BEVERLY CITY OF MARION 06/14/18 KEEFE & DEPAULI 215 18WC 37285 TINCHER, MARK CITY OF MURPHYSBORO 08/27/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 216 18WC 37295 GUETERSLOH, MARK A IL DEPT NATURAL RESOURCES @ 12/01/15 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 217 18WC 37436 AGIN, JASON AMEREN ILLINOIS 07/15/18 DONOVAN ROSE NESTER LEMP & MURPHY 218 18WC 37512 BATTS, BETTY FRANKLIN HOSPITAL 10/26/18 PRINCE LAW FIRM FEIRICH MAGER GREEN & RYAN 219 18WC 37970 JACKSON, CHRIS BEN'S LAWN SERVICE 11/28/18 MCGARRY & MALKOVICH GAROFALO SCHREIBER STORM GRA 220 18WC 38053 MAYO, ANTHONY AISIN ELECTRONICS 12/05/18 KEEFE & GRIFFITHS PC KEEFE & DEPAULI 221 18WC 38103 STACEY, KEVIN GENERAL CABLE 11/21/18 RICH RICH COOKSEY & CHAPPE QUINN JOHNSTON HENDERSON ETA 222 18WC 38155 BROWN, ANGELA CHOATE MENTAL HEALTH @ 05/01/18 KEEFE & GRIFFITHS PC ASSISTANT ATTORNEY GENERAL 223 19WC 00171 JOHNSON, RON YRC, INC. C/O CT CORP SYS 12/16/18 HETHERINGTON KARPEL BOBBER 224 19WC 00432 JOHNSON, LORETTA M EATON CORPORATION 08/14/18 GLASS & KOREIN LEAHY EISENBERG & FRAENKEL 225 19WC 02149 BAILEY, MARY WALMART 09/14/18 BEMENT STUBBLEFIELD EARLY & MIRANDA PC 226 19WC 02570 SMOCK, JOHN HASTIE MINING, INC 11/21/18 LAWLER & LAWLER BRYCE DOWNEY & LENKOV LLC 227 19WC 03125 CORNELISON, JAMIE DEPARTMENT OF CHILDREN & @ 01/15/19 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 228 19WC 03419 WORKMAN, JUSTIN COMPLIANCE STAFFING 09/14/18 TAMMI N. JACKSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 19WC 03544 OKER, STEPHANIE EL RANCHITO REST INC DBA W 06/04/17 LAWLER & LAWLER 230 19WC 04059 RICHARDSON, COREY AISIN 06/17/18 MICHAEL MILES KEEFE & DEPAULI 231 19WC 04141 PENROD, JOSEPH FRONTIER COMMUNICATIONS 01/18/19 MUELHAUSEN & STEFANI BRADY, CONNOLLY & MASUDA, PC 232 19WC 04338 SIMS, JAMYE A STATE OF IL,BOARD OF ELEC @ 02/25/16 WOMICK LAW FIRM CHTD ASSISTANT ATTORNEY GENERAL 233 19WC 05209 BROWN-MARTIN, WILETA ILLINOIS DEPARTMENT @ 02/01/16 LAWLER & LAWLER ASSISTANT ATTORNEY GENERAL 234 19WC 05439 PASQUINO, RICHARD KNIGHT HAWK COAL COMPANY, 03/24/16 LAWLER & LAWLER 235 19WC 05455 AMISON, JUSTIN CHESTER MENTAL HEALTH CEN @ 02/04/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 236 19WC 06370 MULBACK, PATRICIA CHOATE MENTAL HEALTH @ 11/16/18 WILLIAMS CAPONI & ASSOC ASSISTANT ATTORNEY GENERAL 237 19WC 06848 JONES, KEVIN MEDIACOM 05/17/18 SAM C MITCHELL & ASSOCIATE HENNESSY & ROACH 238 19WC 06956 BLACKWELL, STANLEY GILSTER MARY LEE CORP. 05/30/18 NO ATTORNEY FEIRICH MAGER GREEN & RYAN 239 19WC 07287 DEBOSE, ANGELIA GOLDEN CIRCLE SENIOR CITI 02/11/19 LAWLER & LAWLER BRADY, CONNOLLY & MASUDA, PC 240 19WC 07518 WADDY, NATASHA CHOATE MENTAL HEALTH @ 01/21/19 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL 19WC008574 -C ST OF IL- CHOATE MENTAL HE 241 19WC 08033 ESTES, CARRIE MARSHALL BROWNING HOSPITA 12/28/18 KIRKPARTICK LAW OFFICES GAROFALO SCHREIBER STORM GRA 242 19WC 08636 HUNTER, DAVID CHESTER MENTAL HEALTH @ 02/08/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 243 19WC 08818 CANNON, MISTI J PETERSEN HEALTH CARE 01/08/19 TIM DENNY LLC STEPHEN P. KELLY 244 19WC 08857 HAMMEL, DOUGLAS PERRY COUNTY HOUSING AUTH 09/12/18 HUGHES LAW FIRM RUSIN & MACIOROWSKI LTD 245 19WC 09107 FERTALY, MARGARET IL ENVIRONMENTAL @ 07/25/18 PRINCE LAW FIRM ASSISTANT ATTORNEY GENERAL 246 19WC 09281 VEATH, RENEE STATE OF IL/ MENARD C.C. @ 02/20/19 ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 19WC 09418 PAVEY, DON R SCHNUCKS 06/14/18 BURKE, REX G 248 19WC 09494 BUCHANON, MICHAEL D MINOVA 03/15/19 WOMICK LAW FIRM CHTD 249 19WC 10307 JUHL, RUSTIN L DUQUOIN POLICE DEPARTMENT 03/20/19 DEVIN M JONES 250 19WC 10517 BRUSH, ALLAN JEM AUTOMOTIVE INC 03/22/19 WINTERS BREWSTER CROSBY SC 251 19WC 10692 WHITE, JAMIE LEWIS BROTHERS BAKERY 03/21/19 SHORT AND DAUGHERTY POWER & CRONIN LTD 252 19WC 10842 COWELL, BRUCE RANDOLPH COUNTY COURTHOUS 02/21/19 BROWN & CROUPPEN INMAN & FITZGIBBONS 253 19WC 10887 GEORGE, RAYMOND A PERRY COUNTY SHERIFF'S DE 03/23/19 HARRIS & JONES INMAN & FITZGIBBONS 254 19WC 11768 HARPER, ANGELA LYNN MALONE'S EARLY LEARNING C 03/14/19 HOWERTON, DORRIS & STONE QUINN JOHNSTON HENDERSON ETA 255 19WC 11790 MILLER, CYNTHIA LOWES 03/02/19 WOMICK LAW FIRM CHTD KEEFE CAMPBELL BIERY & ASSOC 256 19WC 11905 PEDIGO, DEBRA SOUTHERN ILLINOIS HEALTHC 10/15/18 BRIAN K. ZIRKELBACH FEIRICH MAGER GREEN & RYAN 257 19WC 12108 KNUPP, DENISE REBECCA DILLMAN/SUNRISE W 01/23/19 JEROME LINDSAY SALMI LL 258 19WC 12214 HUGYA, JENNIFER D GLISTER-MARY LEE CORP 03/14/19 HARRIS & JONES FEIRICH MAGER GREEN & RYAN 259 19WC 12385 ANDERSON, JAMES JENNIFER'S TRUCKING, INC 06/03/16 RICH RICH COOKSEY & CHAPPE KOPKA, PINKUS DOLIN, PC 260 19WC 13149 LUNDEBY, ELIZABETH A HARRISBURG VETERINARY CLI 01/03/19 MOLLY WEHKING 261 19WC 13472 HUFF, TIFFANY AEIGIS THERAPIES 07/16/18 SAM C MITCHELL & ASSOCIATE BRAD L BADGLEY PC 262 19WC 13965 LAIRD, BRYAN KEITH RC COLA 09/21/18 HOWERTON, DORRIS & STONE ROUSE & CARY 263 19WC 14106 19B MIGNERON, JASON STATE OF IL/MENARD C.C. @ 04/24/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 264 19WC 14346 WOODROME, KEVIN SLAB MASTERS 04/27/19 PRINCE LAW FIRM ROUSE & CARY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 19WC 14371 RATHERT, JEFFREY DORMA KABA 09/06/18 FISHER KERHOVER COFFEY 266 19WC 14558 BYRLEY, JAMES PEPSI MID AMERICA 03/06/19 MUELHAUSEN & STEFANI 267 19WC 14632 KOMMER, MICHAEL CWI OF ILLINOIS, INC. 09/24/18 LAWLER & LAWLER LITCHFIELD CAVO 268 19WC 14936 SHEWMAKER, AMANDA SHAWNEE HEALTH SERVICES 11/01/18 HUGHES LAW FIRM 269 19WC 14945 BASDEN, GWENDOLYN KROGER 02/26/19 MICHAEL MILES GANAN & SHAPIRO 270 19WC 15252 LANE, ANDREA ELDORADO CUSD #4 10/04/18 ANCEL GLINK PC 271 19WC 15997 DAME, TIM FRITO LAY 03/29/19 RON D COFFEL & ASSOC THOMAS MAMER & HAUGHEY 272 19WC 16326 KONEMANN, JOHN MASSAC CNTY SHERIFF'S OFF 01/16/19 SAM C MITCHELL & ASSOCIATE BRAD L BADGLEY PC 273 19WC 16564 BRYANT, JERRY EAGLE RIVER COAL 01/06/17 CULLEY FEIST KUPPART & JOR 274 19WC 16614 BYERS, NICHOLAS SHAWNEE C.C. @ 02/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 20WC006297 -C 275 19WC 16742 CRIPPS, JAMES CORY PRAIRIE FARMS DAIRY, INC 04/18/19 WINTERS BREWSTER CROSBY SC KNAPP, OHL & GREEN 276 19WC 16753 GARRETT, LORENZO PLAZA TIRE 01/11/19 MICHAEL MILES 277 19WC 16842 BRASHER, CARLOS B PEABODY ILLINOIS SERVICES 01/02/19 CULLEY & WISSORE 278 19WC 17066 FORSTING, GEOFFREY CHESTER MENTAL HEALTH @ 05/19/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 279 19WC 17107 WRIGHT, TAMMY THE FELLOWSHIP HOUSE 11/13/18 WINTERS BREWSTER CROSBY SC MCDONALD & BOGDAN 280 19WC 17234 THOMPSON, RION CP COMMUNICATIONS 10/15/18 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 281 19WC 17264 ARRINGTON, RICHARD CENTERSTONE 12/11/18 BROWN & BROWN 282 19WC 17378 POE, TIMOTHY J GATEWAY COAL MINE 12/06/18 BONIFIELD & ROSENSTENGEL P 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 TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 19WC 17502 MULHOLLAND, RICHARD GLISTER-MARY LEE CORPORAT 05/02/19 WINTERS BREWSTER CROSBY SC FEIRICH MAGER GREEN & RYAN 284 19WC 17603 QUALLS, BARBARA A ONE HOT COOKIE 05/02/19 DEVIN M JONES LUCY T. UNGER 285 19WC 18163 PIND, JUDY CHOATE @ 04/29/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 286 19WC 18543 HENDERSON, LARRY STATE OF IL/VIENNA C.C. @ 02/01/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 287 19WC 18773 MOORE, TINIKIA HELP AT HOME 06/06/19 WOMICK LAW FIRM CHTD ROSARIO CIBELLA 288 19WC 18969 TYNER, PHILLISA STATE OF IL, SIU-C @ 10/01/18 HOWERTON, DORRIS & STONE ASSISTANT ATTORNEY GENERAL 289 19WC 19644 WHITTINGTON, DENISE AISIN MFG 04/05/19 WOMICK LAW FIRM CHTD STEPHEN H LARSON LAW OFFICE 290 19WC 19656 MALONE, TYE MACH MINING LLC 06/20/19 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 291 19WC 19671 YATES, GLENN HIRELEVEL INC 06/20/19 WINTERS BREWSTER CROSBY SC 292 19WC 20166 DRAPER, RHIANA STATE OF IL/CHESTER MENTA @ 06/10/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 293 19WC 20175 BOONE, DANIEL FRONTIER COMMUNICATIONS 05/21/19 HOWERTON, DORRIS & STONE BRADY, CONNOLLY & MASUDA, PC 294 19WC 20428 WHEATON, MARY CHOATE MENTAL HEALTH/ @ 07/06/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 295 19WC 20514 POWELL, KEVIN CHOATE MENTAL HEALTH CENT @ 04/05/19 WINTERS BREWSTER CROSBY SC ASSISTANT ATTORNEY GENERAL 296 19WC 21189 MILLER, DAVID WALMART 12/15/18 JEROME LINDSAY SALMI LL EARLY & MIRANDA PC 297 19WC 21190 MONTEITH, TINA COUNTRY CUPBOARD 12/15/18 JEROME LINDSAY SALMI LL LEMP & MURPHY 298 19WC 21275 ELDRIDGE, JAMISON COMPLIANCE STAFFING AGENC 04/01/19 LAWLER & LAWLER RUSIN & MACIOROWSKI LTD 299 19WC 21743 PROWELL, DEBRA LYNN DAVITA DIALYSIS 07/14/18 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 300 19WC 21788 PEEBELS, TIMOTHY AISIN ELECTRONICS ILLINOI 10/17/18 WINTERS BREWSTER CROSBY SC STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 19WC 21884 HILL, ALAN HARRELL WELL SERVICE 02/25/19 HANAGAN & MCGOVERN PC HEYL ROYSTER VOELKER & ALLEN 302 19WC 22170 NOEL, JAMES ILLINOIS YOUTH CNTR HARRI @ 07/23/19 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 303 19WC 22353 CAMPBELL, ALFRED UNITED PARCEL SERVICE 10/02/17 GOLDENBERG HELLER ANTOGNOL MCANANY VANCLEVE & PHILLIPS 304 19WC 22531 NELSON, MAE WALMART SUPERCENTER 05/08/19 JEROME LINDSAY SALMI LL QUINTAIROS PRIETO WOOD & BOY 305 19WC 22638 BECK, MARY GIDGET PENN ALUMINUM 07/10/19 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 306 19WC 22652 LOSEY, JAMES SOUTHERN ILLINOIS VAULT C 06/03/19 WOMICK LAW FIRM CHTD 307 19WC 22845 REHBEIN, PAM HOWERTON DORRIS STONE LAM 05/19/19 MICHAEL MILES 308 19WC 23049 PAREDES, ADRIAN CHESTER MENTAL HEALTH CEN @ 07/15/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 309 19WC 23270 SWINDLE, WESLEY QUEST TRUCKING 06/15/19 SCOTT B SHAPIRO BRYCE DOWNEY & LENKOV LLC 310 19WC 23906 BATEMAN, ROBERT SOUTHERN ILLINOIS UNIVERS @ 06/23/18 HUGHES LAW FIRM ASSISTANT ATTORNEY GENERAL 311 19WC 23956 TRIPP, KAREN ST OF IL- ANNA VETERANS H @ 07/15/19 TIM DENNY LLC ASSISTANT ATTORNEY GENERAL 312 19WC 24055 REDMON, BRIAN WALMART 09/23/18 HOWERTON, DORRIS & STONE GANAN & SHAPIRO 313 19WC 24449 WALTERS, ROBERT RABEN TIRE CO, INC 01/02/19 WINTERS BREWSTER CROSBY SC 314 19WC 24460 WALKER, KRISTINA AISIN MFG ILLINOIS, LLC 08/02/19 WINTERS BREWSTER CROSBY SC STEPHEN H LARSON LAW OFFICE 315 19WC 24740 FRAZER, AMBER CHESTER MENTAL HEALTH @ 07/16/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 316 19WC 24771 WILLIAMS, RACHAEL ST OF IL- CHESTER MENTAL @ 07/26/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 317 19WC 24909 YURS, LISA GILSTER MARY LEE CORP 07/31/19 LAWLER & LAWLER FEIRICH MAGER GREEN & RYAN 318 19WC 25579 NEWCOMB, ROBIN MASSAC MEMORIAL HOSPITAL 08/01/19 WINTERS BREWSTER CROSBY SC GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 19WC 25597 FINNEY, KEVIN SIU-C @ 08/07/15 PRINCE LAW FIRM 320 19WC 25889 HARRISON, KEVIN GENERAL CABLE 08/12/19 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC 321 19WC 26031 DUNCAN, WILLIAM HARDIN COUNTY SHERIFF'S D 04/17/19 LAWLER & LAWLER INMAN & FITZGIBBONS 322 19WC 26098 DAIGHERTY-SUMMERS, GERRI HELIA HEALTH 07/07/19 DWORKIN AND MACIARIELLO 323 19WC 26533 FRAZER, AMBER ST OF IL/CHESTER MENTAL H @ 12/25/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 324 19WC 26792 SCHUBERT, MICHELLE M DG RETAIL, LLC 04/03/18 HARRIS & JONES GOLDBERG SEGALLA LLC 325 19WC 27172 BENNETT, ASHLEY CENTERSTONE OF AMERICA IN 02/28/19 GLASS & KOREIN 326 19WC 27194 WINCHESTER, MELISSA CENTERSTONE OF ILLINOIS N 06/03/19 LAWLER & LAWLER 327 19WC 27203 JOSLIN, DEBORAH HELP AT HOME 07/15/19 MICHAEL MILES ROSARIO CIBELLA 328 19WC 27215 WINGERTER, ERIC CHESTER MENTAL HEALTH @ 08/14/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 329 19WC 27818 SCHMIDT, ANN MARIE BOYS & GIRLS CLUBS OF SOU 08/22/19 JOHN S. ELIASIK FEIRICH MAGER GREEN & RYAN 330 19WC 27946 HOUSEMAN, AMANDA STATE OF IL/CHOATE MENTAL @ 06/26/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 19WC027947 -C 331 19WC 28077 FANN, BILLY GENERAL CABLE 09/04/19 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC 332 19WC 28273 WOODHOUSE, PAUL DRY SYSTEMS TECHNOLOGIES 02/11/19 PRINCE LAW FIRM LUCY T. UNGER 333 19WC 28858 DAME, TIM FRITO LAY 08/22/19 RON D COFFEL & ASSOC THOMAS MAMER LLP 334 19WC 28944 BAUER, DAVID MB GLOBAL LOGISTICS INC. 12/16/16 RICHARD E ALEKSY MCANANY VANCLEVE & PHILLIPS 335 19WC 29001 JOHNSON, CATHERINE A AISIN LIGHT METALS, LLC 08/31/18 HARRIS & JONES 336 19WC 29118 GREEN, LAURIE AISIN MANUFACTURING 09/17/18 WINTERS BREWSTER CROSBY SC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 19WC 29159 CORSO, JOSEPH URSA LOGISTICS 06/25/19 RICH RICH COOKSEY & CHAPPE WIEDNER & MCAULIFFE LTD 338 19WC 29162 THOMPSON, CATHY SOUTHERN SEVEN HEAD START 05/01/19 PRINCE LAW FIRM 339 19WC 29213 WHITTLE, THOMAS MURRAYS BODY SHOP 08/22/18 WOMICK LAW FIRM CHTD ROSARIO CIBELLA 340 19WC 29315 PETERSEN, DOROTHY SOUTHERN ILINOIS HEALTHCA 08/01/19 BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 341 19WC 29716 DUCKWORTH, JOHN CHOATE MENTAL HEALTH @ 08/19/19 WINTERS BREWSTER CROSBY SC ASSISTANT ATTORNEY GENERAL 342 19WC 30031 WOODWORTH JR, RONNIE KRD 06/21/18 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 343 19WC 30104 SMITH, DAKOTA RABEN TIRE AND AUTO SERVI 02/16/19 SAM C MITCHELL & ASSOCIATE 344 19WC 30663 HOAGUE, DAVID DURHAM SCHOOL BUS 01/04/19 RICH RICH COOKSEY & CHAPPE BRADY CONNOLLY & MASUDA PC 345 19WC 30734 JACKSON, CHRISTYNA AISIN ELECTRONICS IL LLC 08/27/19 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 346 19WC 30819 OPP, ROBERT CITY OF PINCKNEYVILLE 09/05/19 JEROME LINDSAY SALMI LL 347 19WC 31069 HAMBURG, JEFFREY R ADVANCED MED CAR 09/24/19 BROWN & BROWN RIPES NELSON BAGGOT KALOBRAT 348 19WC 31199 JACKSON, CHRISTYNA AISIN ELECTRONICS ILLINOI 08/30/19 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 349 19WC 31263 HOLDER, WENDELL IDOT @ 07/10/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 350 19WC 31303 SIMPSON, JOHN GREG WEEKS, INC. 07/05/19 GORI JULIAN & ASSOC JAMES M KELLY 351 19WC 31395 HUDSON, DOUG SOUTHER FS, FARM SERVICE 03/04/19 HUGHES LAW FIRM HEYL ROYSTER VOELKER & ALLEN 352 19WC 31650 BECK, TERI CHESTER MENTAL HEALTH CEN @ 10/23/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 353 19WC 32210 NOVSEK, TRACY PUBLIC HEALTH DEPARTMENT 06/25/17 KATZ FRIEDMAN EISENSTEIN 354 19WC 33144 ELDERS, STEVEN SWANSON INDUSTRIES, INC 02/01/17 LAWLER & LAWLER HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 355 19WC 33411 BAUER, JAYME CHESTER MENTAL HEALTH CEN @ 09/26/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 356 19WC 33413 CERISIER, FRANTZY GOODMAN NETWORKS 09/07/19 WINTERS BREWSTER CROSBY SC BRADY CONNOLLY & MASUDA PC 357 19WC 33444 CERVANTES-PEREZ, GUILLERM PEABODY-WILDCAT MINE 08/20/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 358 19WC 33580 BLEVINS, MACHELLE MURPHYSBORO CUSD #186 03/22/19 WOMICK LAW FIRM CHTD 359 19WC 33691 WALKER, DAVID PEABODY COAL WILDCATE HIL 08/17/15 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 360 19WC 34015 WILLFORD, BRITTANY JEREMIAH'S KITCHEN 07/23/19 HOWERTON, DORRIS & STONE STEPHEN H LARSON LAW OFFICE 361 19WC 34196 GUZMAN, LEE BIMBO BAKERIES USA 08/26/19 RATHBUN CSEVENYAK & KOZOL 362 19WC 34837 KOWZAN, DANIEL L GOLD PLATE PROGRAM OF 09/10/19 FEIRICH MAGER GREEN & RYAN KNELL O'CONNOR DANIELWICZ 363 19WC 34960 RIEHLE, CHRIS STRYKER 09/04/18 GALANTI LAW OFFICES MORROW WILLNAUER 364 19WC 35246 SHORT, CYNTHIA HARDIN COUNTY GENERAL HOS 08/18/18 MARK N LEE GAROFALO SCHREIBER STORM GRA 365 19WC 35551 WARD, CHRISTOPHER PLACESMART AGENCY 09/09/19 WINTERS BREWSTER CROSBY SC 366 19WC 35924 ANDERS, BRANDON S PRYSMIAN GENERAL CABLE 07/11/19 HARRIS & JONES KEEFE CAMPBELL BIERY & ASSOC 367 19WC 36091 KING, TRACY JACKSON COUNTY HOUSING AU 12/20/17 RUSIN & MACIOROWSKI LTD 368 19WC 36351 ATWOOD, MICHELLE M SPERO FAMILY SERVICES 11/06/19 RON D COFFEL & ASSOC HENNESSY & ROACH, PC 369 19WC 36457 GIBBS, WHITNEY ILLINOIS VETERANS HOME OF @ 07/28/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 370 19WC 36652 FRICKE, BRIAN CHESTER DAIRY COMPANY 10/02/19 FISHER KERHOVER COFFEY HENNESSY & ROACH 371 19WC 36770 DONOGHUE, MARK GENERAL CABLE 07/16/19 RICH RICH COOKSEY & CHAPPE EVANS & DIXON 372 19WC 36950 WEBER, VICKI RANDOLPH COUNTY 12/06/19 FISHER KERHOVER COFFEY INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 373 19WC 36963 GRAH, ROBERT CHESTER MENTAL HEALTH CEN @ 10/12/19 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 374 19WC 36972 WHITED, KARLA MARSHALL BROWNING HOSPITA 03/21/19 RICH RICH COOKSEY & CHAPPE GAROFALO SCHREIBER STORM GRA 375 19WC 37052 DEEN, KIMBERLY DEPT OF CORRECTIONS/DUQUO @ 06/07/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 376 19WC 37113 JOHNSON, MATTHEW STATE OF ILLINOIS @ 10/03/19 HOWERTON, DORRIS & STONE ASSISTANT ATTORNEY GENERAL 377 19WC 37367 COURTNEY, JOSHUA DAVID STANLEY 08/15/19 DWORKIN AND MACIARIELLO ROUSE & CARY 378 19WC 37517 CHAPMAN, DOUGLAS STATE OF IL/ SIUC @ 01/20/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 379 19WC 37563 ROOD, COREY CHOATE MENTAL HEALTH @ 07/10/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 380 20WC 00543 DILDAY, MICHELLE FEDEX EXPRESS 07/23/19 RICH RICH COOKSEY & CHAPPE BRADY CONNOLLY & MASUDA PC 20WC000544 -C 381 20WC 00663 MOORE, BENJAMIN SOUTHERN ILLINOIS MINERS, 07/27/18 LAWRENCE COZZI - LAW OFFICE 382 20WC 00988 PHINNEY, MITCHELL ROYAL CROWN COLA OF HERRI 12/18/19 WINTERS BREWSTER CROSBY SC LAWRENCE COZZI - LAW OFFICE 383 20WC 01176 FIELDS, TRACY BEELMAN TRUCKING 05/08/19 WOMICK LAW FIRM CHTD HARRIS DOWELL FISHER & HARRI 384 20WC 01395 PLUMER, STEVEN R CITY OF MARION 09/19/19 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 385 20WC 01658 SULLIVAN, JOHN SOI/DUQUOIN IMPACT @ 12/17/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 386 20WC 01677 VALLIANT, MICHAEL GILSTER MARY LEE 03/26/19 THE BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 387 20WC 02059 PETTY, PAULA TJ MAXX 08/26/19 WOMICK LAW FIRM CHTD BRADY, CONNOLLY & MASUDA, PC 388 20WC 02201 SCHLAUTMANN, DAVID ILLINOIS DEPT OF CORRECTI @ 09/25/19 LAW OFFICE OF JEROME SALMI ASSISTANT ATTORNEY GENERAL 389 20WC 02211 ROCHE, DUSTIN PINCKNEYVILLE CC @ 01/09/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 390 20WC 02589 DECOURSEY, MARK HEARTLND MECHANICAL CNTRA 05/07/18 STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 20WC 03167 GRIFFITH, RYAN CLINTON MARSHALL D/B/A 10/18/19 LAWRENCE COZZI - LAW OFFICE 392 20WC 03193 MARVEL, MAVERICK A SOUTHEASTERN ILLINOIS 02/05/19 HART CANTELL LLC HEYL ROYSTER VOELKER & ALLEN 393 20WC 03529 HOUSLEY, MONICA N LIBERTY VILLAGE OF MARION 12/16/19 MOLLY WEHKING GANAN & SHAPIRO 394 20WC 03647 BERRY, EILEEN CHOATE MENTAL HEALTH CENT @ 11/03/19 WALTON TELKEN LLC 395 20WC 04025 STANLEY, ROGER D CITY OF WEST FRANKFORT 09/14/17 MCANANY VANCLEVE & PHILLIPS 396 20WC 04225 HANGER, CATHERINE GLISTER MARY LEE 02/12/19 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 397 20WC 04334 IWANICKI, JERZY DZIPKO TRANS INC 02/01/19 ROBERT WARSASKI 398 20WC 04593 WHITEHEAD, STEVEN MAC-WELD INC 08/16/18 HARRIS & JONES 399 20WC 04659 MILLER, ANNA MICHELLE LOWE'S 05/30/19 HOWERTON, DORRIS & STONE KEEFE CAMPBELL BIERY & ASSOC 400 20WC 04858 LEE, TIM KROGER 11/12/19 RICH RICH COOKSEY & CHAPPE 401 20WC 04945 AUSTIN, DENNIS STATE OF IL/ VIENNA C.C. @ 08/30/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 402 20WC 04973 GLASSER, DYLAN M WILDCAT HILLS 09/11/19 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 403 20WC 04984 CROW,GARRETT VIENNA C.C. @ 10/18/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 404 20WC 05145 RICH, VIRGIL ALLEN DORRIS TRUCKING, INC. 11/25/19 LAWLER & LAWLER 405 20WC 05368 MARLOW, CHARLES GENERAL CABLE 02/03/20 RICH RICH COOKSEY & CHAPPE CRAIG A HANSEN 406 20WC 05674 KELLEY, LINDA STONEBRIDGE NURSING & REH 08/29/19 SAM C MITCHELL & ASSOCIATE 407 20WC 05709 SMITH, MARK H MACH MINING, LLC 11/17/17 CULLEY & WISSORE CRAIG & CRAIG 408 20WC 05766 BASTIEN, REBECCA MURPHYSBORO CUSD #186 01/09/20 WOMICK LAW FIRM CHTD KNELL O'CONNOR DANIELWICZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 409 20WC 05789 LEMCKE, JOHN JR. CHESTER MENTAL HEALTH CEN @ 11/05/18 FISHER KERHOVER COFFEY 410 20WC 05801 SHADOWENS, SHANE JOHNSON & JOHNSON ENTERPR 07/03/19 WINTERS BREWSTER CROSBY SC KEEFE & DEPAULI 411 20WC 05903 WILSON, GANNON MENARD CORRECTIONAL CENTE 12/03/19 FISHER KERHOVER COFFEY 412 20WC 05929 WALKER, GABE ILLINOIS YOUTH CENTER @ 10/24/19 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 413 20WC 05955 WATKINS, KEVIN THOMAS LIQUOR & GAS 01/11/20 WOMICK LAW FIRM CHTD BRADY, CONNOLLY & MASUDA, PC 414 20WC 06113 HARRIS, STAN FEDEX 01/29/20 HOWERTON, DORRIS & STONE QUINTAIROS PRIETO WOOD & BOY 415 20WC 06285 CASEY, GARY RAY SIU-C @ 06/26/17 HOWERTON, DORRIS & STONE 416 20WC 06301 FLEMING, DUSTIN PLAZA TIRE SERVICE 04/29/19 THE BEARD LAW FIRM FEIRICH MAGER GREEN & RYAN 417 20WC 06336 DAVIS, MICHELLE FIVE STAR INDUSTRIES 10/21/19 THE BEARD LAW FIRM 418 20WC 06355 ODUM, GARY SOUTHERN ILLINOIS POWER 10/17/19 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 419 20WC 06506 HILL, BRANDON KKN MAIN ST MOBILE, INC 11/19/19 LAWLER & LAWLER HENNESSY & ROACH, PC 420 20WC 06514 MOORE, REX GILSTER MARY LEE 08/20/19 COOK SHEVLIN YSURSA ET AL FEIRICH MAGER GREEN & RYAN 421 20WC 06566 FLUTE, TRAVIS PERDUE FARMS 10/10/19 WALTON TELKEN LLC HENNESSY & ROACH, PC 422 20WC 06744 TRAVELSTEAD, ADA HOME CITY ICE COMPANY 07/03/17 MCANANY VANCLEVE & PHILLIPS 423 20WC 06884 LAWRENCE, MATTHEW IDOT @ 01/06/20 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 424 20WC 07086 BOURLAND, JAMES SIU-CARBONDALE 06/15/19 WINTERS BREWSTER CROSBY SC 425 20WC 07184 SPILLER, NANCY CATERVILLE CUSD 5 02/06/20 SAM C MITCHELL & ASSOCIATE 426 20WC 07481 LEONARD, BRIAN FRONTIER COMMUNICATIONS 01/21/20 WOMICK LAW FIRM CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 427 20WC 07650 DOBYNS, CHRISTOPHER CHESTER MENTAL HEALTH CTR @ 03/01/20 FISHER KERHOVER COFFEY 428 20WC 07674 WIGGINS, CHRISTAL STATE OF ILLINOIS @ 09/12/19 HANAGAN & MCGOVERN PC 429 20WC 07860 MILLS, RICKY L JR ANCHORAGE LONGWALL REBUIL 11/06/19 HUGHES LAW FIRM 430 20WC 07959 GEARHART, ANGEL CHESTER MENTAL HEALTH CEN @ 02/23/20 FISHER KERHOVER COFFEY 431 20WC 08011 THOMAS, MICHAEL HOME DEPOT 02/04/20 RICH RICH COOKSEY & CHAPPE ADELSON TESTAN BRUNDO 432 20WC 08033 ANDERSON, JAIME PEABODY COAL WILDCAT HILL 12/13/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 433 20WC 08120 CHAABAN, ALIA JIMMY JOHN'S 02/28/20 THE BEARD LAW FIRM 434 20WC 08209 DOBBS, DAVID D MENARD CORRECTIONAL CTR @ 03/06/20 FISHER KERHOVER COFFEY ASSISTANT ATTORNEY GENERAL 435 20WC 08241 STONE, BRENDA APERION CARE 01/11/20 GLASS & KOREIN 436 20WC 08351 MULHOLLAND, RICHARD GILSTER-MARY LEE CORPORAT 05/06/19 WINTERS BREWSTER CROSBY SC FEIRICH MAGER GREEN & RYAN 437 20WC 08387 HEAPE, SETH NIGHT HAWK COAL LLC 01/07/20 KEEFE & DEPAULI 438 20WC 08463 WEASEL, JASON PEABODY COAL WILDCAT HILL 12/13/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 439 20WC 08481 KARNES, KATHEE HEARTLAND REGIONAL MEDICA 03/24/20 DWORKIN AND MACIARIELLO 440 20WC 08740 SNYDER, THOMAS PEABODY COAL WILDCAT HILL 12/13/19 CULLEY FEIST KUPPART & JOR 441 20WC 08754 LOCKETT-HAMILTON, GAIL GILSTER MARY-LEE 08/07/19 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 442 20WC 08961 FRANKLIN, MAURY AECOM 08/09/17 JOHNSON SCHNEIDER & FERREL HENNESSY & ROACH 443 20WC 09408 BOCOOK, DONNA RURAL KING 03/03/20 WINTERS BREWSTER CROSBY SC RURAL KING 444 20WC 09700 COURTNEY, JOSHUA BLUE GOLD MINE SERVICES, 08/15/19 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 20WC 09958 NOLAND, YVETTE MENARD CC @ 01/18/20 RICH RICH COOKSEY & CHAPPE 446 20WC 10582 NESSA, SHAWN CONTINENTAL TIRE 02/20/20 HARRIS & JONES KEEFE & DEPAULI 447 20WC 10805 BUSTAMANTE, SHAWN RURAL KING * 07/04/18 SAM C MITCHELL & ASSOCIATE RURAL KING 448 20WC 10985 AUSTIN, DENNIS STATE OF IL/VIENNA C.C. @ * 03/14/20 RICH RICH COOKSEY & CHAPPE 449 20WC 11183 BLOOM, DIANNA LYNN STAFFQUICK * 03/31/20 LAW OFFICE OF JEROME SALMI LEMP & MURPHY 450 20WC 11230 PEELER, NATHANAEL ROADWORKS, LLC * 11/08/19 RICH RICH COOKSEY & CHAPPE 451 20WC 11242 MONEY, THERESIA J APARTMENT 4U PINE SHORES * 10/13/11 JOHNSON SCHNEIDER & FERREL BRADY, CONNOLLY & MASUDA, PC 452 20WC 11313 RANDOLPH, LISA M GILSTER-MARY LEE CORPORAT 04/18/20 MOLLY WEHKING FEIRICH MAGER GREEN & RYAN 453 20WC 11643 KEMPFER, JAMES GILSTER MARY-LEE * 03/28/20 RICH RICH COOKSEY & CHAPPE FEIRICH MAGER GREEN & RYAN 454 20WC 11737 JACKSON, LARRY PEABODY COAL WILDCAT HILL * 04/30/19 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 455 20WC 13081 PITTMAN, MICHAEL KROGER * 01/02/20 HUGHES LAW FIRM GANAN & SHAPIRO 456 20WC 13326 HILLE, MICHAEL STATE OF IL/ SHAWNEE C.C. @ * 05/11/20 RICH RICH COOKSEY & CHAPPE 457 20WC 13338 GIBSON, JAMES CAIRO SCHOOL DISTRICT 1 * 03/03/18 MUELHAUSEN & STEFANI 458 20WC 13557 JOHNSON, DEBRA TRICO COMMUNITY UNIT * 10/23/19 TAPELLA & EBERSPACHER LLC WIEDNER & MCAULIFFE LTD 459 20WC 13655 CAVINS, TERESA STATE OF ILLINOIS @ * 03/18/20 TIM DENNY LLC 460 20WC 13824 WALTON, DON NEWCOMB CONSTRUCTION * 10/15/19 DAVID W MARTAY 461 20WC 13876 VOGEL, PAUL BARNETT REDI-MIX, INC * 08/08/19 RON D COFFEL & ASSOC 462 20WC 13886 SANDES, SUMMER FIVE STAR INDUSTRIES * 04/13/20 BECKER SCHROADER & CHAPMAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 463 20WC 14305 MCMAHAN, ANGELA MURRAY ROSE & ASSOCIATES * 04/23/19 SAUTER, SULLIVAN & EVANS 464 20WC 14352 SISNEY, TRACY ST OF IL/PINCKNEYVILLE C. @ * 01/15/20 RICH RICH COOKSEY & CHAPPE 465 20WC 14517 MERRIWEATHER, TYROME SOUTHERN IL MOTOR XPRESS * 02/16/20 RICH RICH COOKSEY & CHAPPE KOPKA, PINKUS DOLIN, PC 466 20WC 14706 PAYNE, JOHN CRISP CONTAINER, INC. * 10/07/19 MICHAEL MILES 467 20WC 15088 WELGE, MELISSA HEARTLAND REGIONAL MEDICA * 03/06/20 RICH RICH COOKSEY & CHAPPE WIEDNER & MCAULIFFE LTD 468 20WC 15161 LIVELY, SEAN CHESTER MENTAL HEALTH @ * 05/19/20 RICH RICH COOKSEY & CHAPPE 469 20WC 15199 HENSON, ANGELICA PEPSI MID AMERICA * 06/01/20 RICH RICH COOKSEY & CHAPPE 470 20WC 15361 UNSELL, JOHNNY THE HOME DEPOT USA, INC * 11/10/18 ADELSON TESTAN BRUNDO 471 20WC 15637 DRONE, MELISSA VIENNA C.C. @ * 06/03/20 RICH RICH COOKSEY & CHAPPE 472 20WC 16073 MANDRELL, NICOLAS AUTO ZONE * 06/11/20 WINTERS BREWSTER CROSBY SC 473 20WC 16149 MOULTRIE, MOSES PEABODY COAL * 05/26/20 CULLEY FEIST KUPPART & JOR KEEFE & DEPAULI 474 20WC 16236 EWELL, SARAH CHOATE MENTAL HEALTH @ * 03/26/20 BECKER SCHROADER & CHAPMAN 475 20WC 16911 MERRIWEATHER, TYROME SOUTHERN IL MOTOR EXPRESS * 02/16/20 RICH RICH COOKSEY & CHAPPE 476 20WC 17183 LEON, JULIA FRANKFORT HEALTHCARE & RE * 07/24/19 HANAGAN & MCGOVERN PC 477 20WC 17437 TURNER, RODNEY SOUTHERN ILLINOIS UNIVERS @ * 09/11/19 TIM DENNY LLC 478 20WC 17803 LAWRENCE, MONICA DON TACO * 02/13/20 THE BEARD LAW FIRM 479 20WC 17827 MINTER, GARY JR CHESTER MENTAL HEALTH @ * 05/19/20 RICH RICH COOKSEY & CHAPPE 480 20WC 17840 HAYWARD, JULIA HUMANE SOCIETY OF SOUTHER * 05/18/20 TIM DENNY LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR HERRIN 13003 ON 09/08/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 481 20WC 17915 PENROD, JOSEPH FRONTIER COMMUNICATIONS * 06/29/20 MUELHAUSEN & STEFANI BRADY, CONNOLLY & MASUDA, PC 482 20WC 18092 THOMPSON, PATTIE MASSAC MEMORIAL HOSPITAL * 06/30/20 LAWLER & LAWLER GAROFALO SCHREIBER STORM GRA