ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 10WC 18795 ANDERSON, DOUGLAS C. WILLENBORG HARDWOOD 04/01/10 MEYER, MICHAEL J KNELL LAW LLC 2 10WC 37165 ANDERSON, AMY S WARREN G MURRAY DEVELOPME @ 04/26/10 THE FREDERICK LAW FIRM ILLINOIS ATTORNEY GENERAL 16WC004421 -C 3 11WC 08861 PAYNE, THOMAS L NORTH AMERICAN LIGHTING 02/22/11 NELSON & NELSON LAW OFFICES STEPHEN CARTER 14WC016361 -C 18WC007304 -C 4 11WC 19868 PAYNE, JOHN R TRIANGE RENTALS INC 06/04/10 STRONG LAW OFFICE INMAN & FITZGIBBONS 12WC010406 -C 13WC009531 -C 5 11WC 45381 SUMMERS, CODY PETCO PETROLEUM CORPORATI 10/06/11 MUELHAUSEN & STEFANI RUSIN & MACIOROWSKI LTD 6 12WC 15483 FATHEREE, DEVRA STATE OF ILLINOIS @ 03/05/11 ERIC L TERLIZZI ILLINOIS ATTORNEY GENERAL 7 12WC 18643 GOLDEN, ROBERT WALGREENS DISTRIBUTION CE 10/01/09 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 8 12WC 36246 BROWN, GREGG WALGREENS DISTRIBUTION CE 03/22/10 BROWN & BROWN EVANS & DIXON, LLC 9 12WC 36681 MILLER, TINA WARREN G MURRAY CENTER @ 04/23/12 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 10 13WC 02303 BULLARD, BILL CONTINENTAL TIRE 01/29/12 BEMENT & STUBBLEFIELD 11 13WC 05300 HUNT, MICHAEL EDWARD SR GENE L JANSEN D/B/A W 08/27/10 BECKER SCHROADER & CHAPMAN KEVIN M HAZLETT LLC 12 13WC 06868 MEREDITH, DORIS GOOD SAMARITAN 01/26/13 BROWN & BROWN EVANS & DIXON, LLC 13WC010156 -C ST MARYS GOOD SAMARITAN HO 13 13WC 15159 DAVIS, THOMAS NORTH AMERICAN LIGHTING I 11/18/11 JEROME LINDSAY SALMI LL LAW OFFICES STEPHEN CARTER 14 13WC 15408 DAVIS, THOMAS NORTH AMERICAN LIGHTING I 03/26/13 BROWN & BROWN LAW OFFICES STEPHEN CARTER 15 13WC 17182 HOWARD, JAMES RCR TRUCKING, INC W 05/04/12 NELSON & NELSON 16 13WC 18559 GREGG, JOHN M LITTLE D DRILLING 04/22/13 WOMICK LAW FIRM CHTD KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 13WC 36352 BANDY, SHARON KAY CROOK HOYLETON YOUTH & FAMILY S 07/19/13 GALANTI LAW OFFICES LITCHFIELD CAVO 18 13WC 38820 ROBERTS, MATTHEW CONTINENTAL TIRE 06/08/13 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 19 13WC 39001 ROBERTS, MATTHEW CONTINENTAL TIRE 09/23/13 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 20 14WC 05194 CROSS, REBECCA WARREN G MURRAY DEVELOPME @ 12/05/13 JEROME LINDSAY SALMI LL ILLINOIS ATTORNEY GENERAL 21 14WC 06466 HOWARD, JAMES UNIMARK TRUCK TRANSPORT L 05/04/12 NELSON & NELSON SCOPELITIS GARVIN LIGHT 22 14WC 09420 KRIBLEY, LAUREN DOLLAR GENERAL 08/18/13 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 14WC024060 -C 23 14WC 11387 WATWOOD, JOHN AUTOMOTIVE TECHNOLOGY SYS 03/19/12 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH, PC 24 14WC 17753 19B GORDON, MELISSA MURRAY CENTER @ 02/26/14 CARAWAY FISHER ILLINOIS ATTORNEY GENERAL 25 14WC 18546 CICHON, TERESA AUTOMOTIVE TECHNOLOGY SYS 05/15/13 MOSS & MOSS PC HENNESSY & ROACH, PC 15WC038278 -C 15WC038288 -C 26 14WC 21447 KISSIAR, DEBRA DOLLAR GENERAL 05/14/12 JEROME LINDSAY SALMI LL LEAHY EISENBERG & FRAENKEL 27 14WC 21695 SWIFT, DEVAN A WABASH & OHIO VALLEY SPEC 09/10/13 LEVENHAGEN LAW FIRM PC 14WC021696 -C 28 14WC 25121 ALEXANDER, FRANK D JR UNITED PARCEL SERVICE 05/29/14 HOLLAND INJURY LAW LLC MCANANY VANCLEVE & PHILLIPS 29 14WC 27729 WILSON, RODNEY MOORE BROTHERS CONTRACTIN 06/09/14 COSTA IVONE LLC STEPHEN H LARSON LAW OFFICE 30 14WC 32922 PAYNE, JOHN TRIANGLE RENTALS INC 01/23/12 STRONG LAW OFFICE INMAN & FITZGIBBONS 31 14WC 40654 LEIGH, MARTY PAUL CAMPBELL ENTERPRISES 09/10/14 BROWN & BROWN STEPHEN H LARSON LAW OFFICE 32 14WC 43492 ALEXANDER, FRANK JR UNITED PARCEL SERVICES 08/27/14 HOLLAND INJURY LAW LLC MCANANY VANCLEVE & PHILLIPS 33 15WC 03273 REXROAD, CATHY, WIDOW OF HETZELS OVERLAND TRANSPOR # 02/14/12 WENDLER LAW PC JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 15WC 10077 REEVES, JAMES ROSENS DIVERSIFIED 07/02/14 CHERRY FRAZIER & SABIN HENNESSY & ROACH, PC 35 15WC 20631 JOHNSON, DONALD CONTINENTAL TIRE NORTH AM 12/01/14 SCHREMPF, BLAINE, KELLY & KEEFE & DEPAULI 36 15WC 22609 WIMBERLY, HEATHER GOOD SAMARITAN REGIONAL H 11/27/13 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 37 15WC 26397 BLUE, BRIAN SCHILLI SPECIALIZED, INC. 07/22/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 38 15WC 29432 HOLLAND, BONNIE WARREN G MURRAY @ 09/03/15 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 39 15WC 31324 SPHAR, JIM EFFINGHAM EQUITY 09/03/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 40 15WC 34310 GAINES, VICKY COUNTRYSIDE MANOR NURSING 08/10/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 41 15WC 37606 MILLER, KEVIN ELITE CONTRACTING & CONSU 07/27/15 SCHULTZ & MYERS LLC 42 15WC 38303 REID, BOBBIE G ED LEWIS TRUCKING INC 05/13/15 RICH RICH COOKSEY PC INMAN & FITZGIBBONS 43 15WC 42021 PHELPS, STEPHEN GOODLUCK REFRIGERATION SV 10/01/14 EVAN A HUGHES LAW OFFICE WIEDNER & MCAULIFFE LTD 44 15WC 42176 WINKLER, JODI LYNN BROWNSTOWN SCHOOL DISTRIC 08/06/13 NELSON & NELSON BRADY, CONNOLLY & MASUDA, PC 45 15WC 42481 KUHNERT, CHARLES CONTINENTAL TIRE OF NORTH @ 07/20/15 ALLEMAN LAW FIRM KEEFE & DEPAULI 15WC042482 -C 46 16WC 03657 TATE, MELISSA R. GRAPHIC PACKAGING 05/03/15 MILLER, WILLIAM R LAW OFFI DOHERTY & PROGAR LLC 47 16WC 03895 NICKOL, TIMOTHY JOHN LAWRENCEVILLE COMM SCHOOL 07/22/15 WARREN E DANZ, PC RUSIN & MACIOROWSKI LTD 48 16WC 05684 HENSON, AARON BLAIR GMS MINE REPAIR & MAINT I 06/22/15 KIBLER, KEITH W 49 16WC 05767 HENSLEY, JOHNNIE L MID STATES SERVICES LLC 05/19/15 STEPHEN H LARSON LAW OFFICE 50 16WC 06611 MARTINEZ, RAUL SANCHEZ GRANDMA'S KITCHEN 02/05/15 CRAIN MILLER & WERNSMAN LTD 51 16WC 06877 BRADHAM, JANUARY L DAVITA DIALYSIS 10/10/15 HASSAKIS & HASSAKIS PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 16WC 07883 HASKIN, ANTAYUS NASHVILLE MATERIAL & SUPP 07/16/15 LAW OFFICE OF CELESTINE DO 53 16WC 08359 CUNNINGHAM, STEPHANIE MARION CO. TREASURER'S OF 01/11/16 NELSON & NELSON KEEFE & DEPAULI 54 16WC 09330 COPE, ERIC NATIONAL RAILWAY EQUIPMEN 11/22/15 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 55 16WC 09629 19B DAVIS, BOB E WALGREENS FAMILY OF COMPA 02/22/16 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 56 16WC 10153 FRENCH, ETHAN K MUEHLENBEIN FARMS 01/05/16 57 16WC 10590 MEREDITH, DARLENE WALGREENS DISTRIBUTION CE 02/22/16 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 58 16WC 11116 CRAIG, ROGER CONTINENTAL TIRE 10/24/14 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 59 16WC 12666 MC DANIEL, JENNIFER N HELIA HEALTHCARE OF OLNEY 01/26/16 MCANANY VANCLEVE & PHILLIPS 60 16WC 13581 WOOD, GLENNA HAMILTON MEMORIAL HOSPITA 09/09/15 GOLDENBERG, HELLER, ANTOGN GAROFALO SCHREIBER STORM GRA 61 16WC 14715 PUGH, JAMES F. VANDALIA CORRECTIONAL CEN @ 01/11/16 ASSISTANT ATTORNEY GENERAL 62 16WC 15774 MC DURMAN, GAIL WHITE COUNTY AMBULANCE 05/08/14 MUELHAUSEN & STEFANI KEEFE & DEPAULI 63 16WC 18663 OVERTURF, BOBBIE S CONTINENTAL GENERAL TIRE 05/28/15 GARY L. BEMENT KEEFE & DEPAULI 64 16WC 18670 ROBINSON, CHARLES THOMAS ROARK TRUCKING 02/12/14 PETER BLASI LLC JAMES M KELLY 65 16WC 18881 ARNOLD, TONYA AMY SCHULZ CHILD ADVOCACY 05/05/14 DANIELS WILZBACH PC 66 16WC 19441 HULL, ROBERT E TEAM FENEX AKA SYNERGY 05/23/16 67 16WC 20095 MORGAN-SMITH, TAYLOR A LOWES, INC 07/11/15 JAMES RUPPERT KEEFE CAMPBELL & ASSOC LLC 68 16WC 21465 TAYLOR, STACEY LYNNE SOUTH CENTRAL TRANSIT 01/12/16 HASSAKIS & HASSAKIS RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 69 16WC 21955 MCLASKEY, MARTHA ILLINOIS DEPT OF AGRICULT @ 07/29/15 JEROME LINDSAY SALMI LL ASSISTANT ATTORNEY GENERAL 70 16WC 22484 WALTHES, SCOTT THE MASCHOFF'S 05/28/16 STRONG LAW OFFICE LAW OFFICE CRAIG A HANSEN 16WC026681 -C 71 16WC 23647 WODTKA, DARRELL ENGEL BROTHERS, INC. 11/19/15 BECKER SCHROADER & CHAPMAN GANAN & SHAPIRO 72 16WC 23749 TAYLOR, RICKY O'DANIEL TRUCKING 04/26/16 HENNESSY & ROACH 73 16WC 24436 WALLACE, MATHEW L. RESPONDEK RAILROAD 04/17/14 HASSAKIS & HASSAKIS GAROFALO SCHREIBER STORM GRA 74 16WC 25772 WALTZ, PATRICK VANDALIA CORRECTIONAL CEN @ 04/21/16 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 75 16WC 26017 CRAMER, MICHAEL HELLA ELECTRONICS CORP 01/25/16 KATZ FRIEDMAN EAGLE ET AL ROUSE & CARY 76 16WC 26243 YATES, JENNIFER PEPSI MID AMERICA 10/01/15 WILKINS SCHNELLER LAW LLC 77 16WC 26456 DICKINSON, MELISSA WARREN G MURRAY CENTER @ 06/24/16 HUSTAVA, JOHN H ILLINOIS ATTORNEY GENERAL 78 16WC 26561 PRATER, DUSTIN DEFENDER SERVICES 08/05/16 KEEFE & GRIFFITHS PC 79 16WC 26978 JONES, DAVID BUENING IMPLEMENT, INC. 07/08/15 LAW OFFICE PATRICK JENNETTEN 80 16WC 27010 GUTHRIE, JANE J&M MCLEAN D/B/A MCDONALD 12/17/15 INMAN & FITZGIBBONS 81 16WC 28125 DERRINGER, MATTHEW DEFENDER SERVICES, INC 07/13/16 BROWN & BROWN LAW OFFICE PAUL LARIMORE 82 16WC 28570 SOVA, MATHEW CONTINENTAL TIRE, THE AME 01/24/15 WENDLER LAW PC KEEFE & DEPAULI 83 16WC 28997 FLYNN, DYLAN KINKELAAR PRODUCTS & SERV 08/23/16 STRONG LAW OFFICE CHILTON YAMBERT PORTER LLP 84 16WC 29054 PAGE, ANTHONY S LOWE'S CO INC 06/06/16 HASSAKIS & HASSAKIS PC KEEFE CAMPBELL & ASSOC LLC 16WC029180 -C 85 16WC 29264 SMILLIE, JERRY HAMILTON COUNTY COAL/ ALL 02/05/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 86 16WC 30725 KISELEWSKI, PEGGY CONTINENTAL TIRE NA 04/21/16 HANAGAN & MCGOVERN PC KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 87 16WC 31094 LOCHER, ISAIAH ELASTEC 07/21/16 KEEFE & DEPAULI RUSIN & MACIOROWSKI LTD 88 16WC 31456 GEIER, MICHAEL ILLINOIS SECRETARY OF STA @ 03/03/15 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 89 16WC 31786 WARREN, BELINDA MEDLINE 05/12/15 JEROME LINDSAY SALMI LL GAROFALO SCHREIBER STORM GRA 16WC031788 -C 90 16WC 31933 GROSS, HENRY WHITE COUNTY COAL 09/09/16 KOLKER LAW OFFICES FEIRICH MAGER GREEN & RYAN 91 16WC 32329 GONZALES, DAVID INNOVATIVE STAFF SOLUTION 09/07/16 BRUCE WARREN 92 16WC 33102 HUGGINS, JERAD DCA CONSTRUCTION 09/13/16 CERVANTES & ASSOC 93 16WC 33350 PHILLIPS, MARK CONTIENTAL TIRE 09/10/16 NELSON & NELSON KEEFE & DEPAULI 94 16WC 35791 ENGLIN, JORDON LEE D.E MARTIN ROOFING COMPAN 11/07/16 BECKER SCHROADER & CHAPMAN JAMES M KELLY 95 16WC 35832 EDMONDS, JERREL CONTINENTAL TIRE NA 03/23/16 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 96 16WC 35927 REED, JESSICA NORTH AMERICAN LIGHTING, 09/25/16 DANIELS WILZBACH PC LAW OFFICES STEPHEN CARTER 97 16WC 38228 BELMONT, STEPHANIE WALGREENS DIST CTR 03/30/16 GARY L. BEMENT EVANS & DIXON, LLC 98 16WC 38524 MOODY, PAUL SRM CONSTRUCTION MATERIAL 11/04/16 SAUNDERS CONDON & KENNY BRADY, CONNOLLY & MASUDA, PC 99 17WC 00058 GOBTOP, TONY UNIFIED STAFFING 10/12/16 GARY L. BEMENT 100 17WC 00880 HOUSLEY, MONICA GREEN TREE 10/12/16 KEEFE & GRIFFITHS PC 101 17WC 00909 ARNOLD, GREG STATE OF ILLINOIS @ 12/07/16 HUSTAVA, JOHN H ILLINOIS ATTORNEY GENERAL 102 17WC 01581 WARREN, STEPHEN M ST MARY'S HOSPITAL 07/01/16 BECKER SCHROADER & CHAPMAN EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 17WC 02520 EAGAN-ROBBINS, MARY WALGREENS DISTRIBUTION CT 12/17/14 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 104 17WC 02719 RHODES, TEODORE J ILLINOIS STATE POLICE @ 02/27/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 17WC002721 -C 105 17WC 03054 KEOUGH, DAVID FGM LOGISTICS 01/03/17 KEEFE & GRIFFITHS PC 106 17WC 03089 CAMPISE, SAM CHAD NIC PROPERTIES DBA 09/20/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 107 17WC 03759 MCCLENDON, TAMMY COMPASS GROUP 01/06/16 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 108 17WC 04149 HUTSON, JANICE WHITE COUNTY COAL 11/13/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 109 17WC 04189 GARLICK, KIMBERLY RAE N.C.E.E CUSD #3 09/19/16 BEARD LAW FIRM NOBLE & ASSOCIATES PC 110 17WC 06068 COLONI, STEVE ALLIANCE COAL 02/01/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 111 17WC 06108 NOONER, SUE ADDUS HEALTH CARE 02/06/17 RIDGE & DOWNES HENNESSY & ROACH, PC 112 17WC 06998 SANDERS, AMBER TOYOTA BOSHOKU AMERICA 04/22/16 WOODRUFF & JOHNSON HENNESSY & ROACH, PC 113 17WC 07105 VAIL, BONNIE UPS 09/17/15 HELLER HOLMES & ASSOC MCANANY VANCLEVE & PHILLIPS 114 17WC 07154 GILLENWATER, CARL NORTH AMERICAN LIGHTING 10/04/16 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 115 17WC 07280 BUFF, JOLEEN P MAYCE CLARKSON DBA MAYCE' W 12/07/16 ASSISTANT ATTORNEY GENERAL 116 17WC 07946 GRUNLOH, RONALDD B & L MACHINE SALES 06/04/13 HASSAKIS & HASSAKIS CASSANO & ASSOCIATES 117 17WC 08050 BISHOP, DUSTIN J ALLIANCE COAL, LLC 01/15/16 JAMES RUPPERT FEIRICH MAGER GREEN & RYAN 118 17WC 09516 MULDER, MARK EGYPTIAN EXPOSITION 10/20/16 119 17WC 10229 CURRY, DONNA FREEMAN UNITED COAL MININ # 11/13/16 CULLEY & WISSORE CRAIG & CRAIG 120 17WC 11664 PEARSON, MELISSA MURRAY DEVELOPMENTAL CTR @ 09/12/16 HASSAKIS & HASSAKIS PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 17WC 12525 NELSON, CHARLENE CEFS ECONOMIC OPPORTUNITY 07/15/14 TAYLOR LAW OFFICES ROBERT L. SMITH 122 17WC 12999 MIDDLETON, TOM TOYOTA BOSHOKU ILLINOIS, 09/01/16 MOSS & MOSS PC HENNESSY & ROACH, PC 123 17WC 13140 MIDDLETON, TOM TOYOTA BOSHOKU ILLINOIS, 09/05/16 MOSS & MOSS PC HENNESSY & ROACH, PC 124 17WC 13485 MISCHKE, MELODY J SSM HEALTH GOOD SAMARITAN 01/22/17 RICH RICH COOKSEY PC EVANS & DIXON, LLC 125 17WC 13503 WINTERMANN, JOHN NAL - NORTH AMERICAN LIGH 12/07/16 LAW OFFICES TIMOTHY HENDER STEPHEN CARTER 126 17WC 13762 JOHNSON, DEBRA CIRCLE K 05/04/16 JEROME LINDSAY SALMI LL NYHAN BAMBRICK KINZIE & LOWR 127 17WC 14143 CARTER, ZACHARY GENCO DISTRIBUTION SYSTEM 09/28/15 SMITH LAW LTD ROUSE & CARY 128 17WC 16037 BREWER, JOSHUA PACIFIC PRESS TECHNOLOGIE 05/01/17 RIDGE & DOWNES 129 17WC 16757 HAWKINS, TRYMON, C WALGREENS DISTRIBUTION CE 11/17/16 HASSAKIS & HASSAKIS 130 17WC 17535 HITE, DARRELL QUAD GRAPHICS 05/14/17 HELLER HOLMES & ASSOC INMAN & FITZGIBBONS 131 17WC 18627 HAYS, BRIAN PINNACLE FOODS 06/01/17 LEE, MARK N LAW OFFICE INMAN & FITZGIBBONS 132 17WC 18886 MANDRELL, SHELLY WALGREENS 06/02/17 BECKER SCHROADER & CHAPMAN 133 17WC 19448 WILLIS, KAREN VANSEAL CORPORATION 07/25/16 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 134 17WC 20146 BLAIR, MARLON M-CLASS MINING, LLC 08/25/16 CULLEY & WISSORE CRAIG & CRAIG 135 17WC 20204 WILLMORE, TIMOTHY CONTINENTAL TIRE 06/14/17 GARY L. BEMENT KEEFE & DEPAULI 136 17WC 20227 BRIDGEFORTH, LISA DOCTORS NURSING AND REHAB 04/27/17 DANIELS WILZBACH PC 137 17WC 20384 NALLEY, JERRY DAN'S PAINTING AND DECORA 06/26/17 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 138 17WC 20585 DOWELL, BRITTANY TONY WALKER D/B/A WALK'N 04/18/17 MERKLEY & SHIELDS LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 17WC 21597 FLENER, RUSSELL WABASH VALLEY SERVICE COM 06/14/17 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 140 17WC 21668 OWEN II, TERRY ALLEN NATHAN BIRKNER DBA 05/16/17 HEIDI A. HOFFEE LITCHFIELD CAVO 141 17WC 21812 BUENING, CHERYL MR VERNON TOWNSHIP HSD #2 04/27/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD 142 17WC 21873 SMITH, BLAKE UNITED STAFFING 07/11/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 143 17WC 22344 PIERCE, ROXIE R WALGREENS FAMILY OF COMPA 03/04/15 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 144 17WC 22763 BURR, KRISTY COMMUNITY CARE SYSTEMS IN 05/25/17 DANIELS WILZBACH PC LIVINGSTONE MUELLER ET AL 145 17WC 22873 KIRGAN, TONDRA M WARREN G MURRAY DEV CNTR @ 05/16/17 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 146 17WC 23273 BELL, MATTHEW IVAN'S UPHOLSTERY @ W 06/15/17 HANAGAN & MCGOVERN PC PFAFF GARNER & TERLIZZI 147 17WC 23492 GRINOLS, RHONDA FAIRFIELD HOSPITAL 02/06/17 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 148 17WC 23949 SPENCER, EVA DARLENE NORTH AMERICAN LIGHTING 08/30/16 BROWN & BROWN LAW OFFICES STEPHEN CARTER 149 17WC 24059 BOSNJAKOVIC, BERIZ HAZE TRUCKING, LLC 07/25/17 CANTOR & BURGER 150 17WC 24081 DONALDSON, DALE A MIDLAND STATES BANK 08/25/14 MEYER, MICHAEL J ROUSE & CARY 151 17WC 24551 NIEDBALSKI, KEVIN XPO LOGISTICS, INC 11/05/15 NELSON & NELSON RUSIN & MACIOROWSKI LTD 152 17WC 24646 MATRANA, EDDIE BARGER ENGINEERING 10/09/14 HANAGAN & MCGOVERN PC CRAIG & CRAIG 153 17WC 25138 YOST, SUE WALGREENS 10/05/16 TAYLOR LAW OFFICES 154 17WC 25642 WOLFORD, BILLY HODGSON MILL 03/10/17 SMITH LAW LTD KOPKA, PINKUS DOLIN, PC 155 17WC 25743 GREGORY, MICKEY NATHAN BIRKNER D/B/A PREC 05/16/17 HEIDI A. HOFFEE LITCHFIELD CAVO 156 17WC 25868 PORTER, DAVID E CONTINENTAL TIRE 04/19/17 JAMES RUPPERT KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 17WC 25964 STRAIN, ANTHONY NORTH AMERICAN LIGHTING 05/04/17 CULLEN HASKINS NICHOLSON LAW OFFICES STEPHEN CARTER 158 17WC 26879 GARNER, DAVID WHITE COUNTY COAL 07/14/17 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 159 17WC 27674 BUCKLEY, MICHELLE HERSHEY CO 07/19/16 TAYLOR LAW OFFICES WIEDNER & MCAULIFFE LTD 160 17WC 27992 RAINWATER, PAUL IL DEPT OF CORRECTIONS @ 08/02/17 GARY L. BEMENT ASSISTANT ATTORNEY GENERAL 161 17WC 28175 WILLIAMS, MEGAN MURRAY CENTER @ 06/19/17 HUSTAVA, JOHN H ASSISTANT ATTORNEY GENERAL 162 17WC 28349 LEAF, NELLIE NORTH AMERICAN LIGHTING 08/23/17 DWORKIN AND MACIARIELLO LAW OFFICES STEPHEN CARTER 163 17WC 28399 JOSEPH, STANLEY GREYHOUND LINES INC 09/10/17 LAW OFFICES OF ELLEN E MOR 164 17WC 29735 CARTER, CHAD WALGREENS DISTRIBUTION CE 01/10/17 JEROME LINDSAY SALMI LL 165 17WC 30102 JIMENEZ, JEFFREY CAPSTONE LOGISTICS 08/09/17 CARAWAY FISHER HENNESSY & ROACH, PC 166 17WC 30155 HIGGINS, STEVEN BEELMAN READY-MIX, INC 08/23/17 JEROME LINDSAY SALMI LL HARRIS DOWELL FISHER & HARRI 167 17WC 30324 OVERTURF, BOBBIE CONTINENTAL TIRE 05/13/17 GARY L. BEMENT KEEFE & DEPAULI 168 17WC 30380 SHUPE, JESSICA JOSH ADDIS TRUCKING INC D 08/01/17 KATZ FRIEDMAN EAGLE ET AL HOLTKAMP LIESE 169 17WC 30850 GOTTBERG, CHRISTINA WALGREENS CO 06/30/17 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 170 17WC 30897 WELLS, JONELLE SSM HEALTH ST MARY'S HOSP 04/29/17 RICH RICH COOKSEY PC EVANS & DIXON, LLC 171 17WC 31048 PAYNE, RITA FED EX SUPPLY CHAIN 05/17/16 SPIROS LAW PC ROUSE & CARY 172 17WC 31136 SHARP, STANLEY STAFF QUICK 09/22/17 SMITH LAW LTD HENNESSY & ROACH 173 17WC 31580 NAAS, GARY HAMILTON COUNTY COAL LLC 01/26/17 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 174 17WC 32250 DELGADO, JOSE A CENTRALIA CORRECTIONAL @ 09/27/17 HASSAKIS & HASSAKIS PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 17WC 32445 WELLS, JONELLE SSM HEALTH ST MARY'S HOSP 08/27/17 RICH RICH COOKSEY PC EVANS & DIXON, LLC 176 17WC 32673 RATH, ALISHA, SURVIVING S M-CLASS MINING, LLC # 12/08/15 SAM C MITCHELL & ASSOCIATE BADGLEY, BRAD L 177 17WC 33125 LEAF, NELLIE NORTH AMERICAN LIGHTING 08/23/17 DWORKIN AND MACIARIELLO 178 17WC 33860 LOTT, ROBBY CTC EXPORTS INC 05/13/15 MCCARTHY ROWDEN & BAKER THE CAVANAUGH LAW FIRM 179 17WC 33997 MCCOY, THOMAS OAK HILL CONTRACTING 10/16/17 HOWERTON, DORRIS & STONE 180 17WC 34348 WHEELER, GABRIEL HAMILTON COUNTY COAL 09/24/17 MATHIS MARIFIAN RICHTER FEIRICH MAGER GREEN & RYAN 181 17WC 34423 ELLER, CHESTER WALGREENS DISTRIBUTION CE 10/14/17 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 182 17WC 34451 BRANTON, JACOB D SHETLEY INVESTMENTS DBA 09/22/17 WALTON TELKEN LLC 183 17WC 35110 OGLESBY, LLOYD HAMILTON COUNTY COAL LLC 11/21/16 JELLIFFE FERRELL DOERGE PH 184 17WC 35443 ELDRIDGE, VERNA WAL-MART 10/16/17 RICH RICH COOKSEY PC 185 17WC 35455 FRAILEY, MARSHA BRUNK MID AMERICA CENTER 12/07/16 BROWN & CROUPPEN BRADY, CONNOLLY & MASUDA, PC 186 17WC 35757 KABAT, ROBERT A CONTINENTAL TIRE 05/04/17 NELSON & NELSON KEEFE & DEPAULI 187 17WC 36641 SHERMAN, RODNEY L FIVE P. DRILLING, INC. 08/09/16 GOSNELL BORDEN ENLOE & SLO GAROFALO SCHREIBER STORM GRA 188 17WC 36810 DROCKTON, WESTLEY MARTIN'S IGA 10/04/16 STEPHEN P. KELLY 189 17WC 37079 LISTER, MINNIE K RICHLAND MOTELS INC 09/03/17 HASSAKIS & HASSAKIS 190 17WC 37186 HOLLAND, BONNIE WARREN G MURRAY DEVELOPME @ 05/12/17 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 191 17WC 37355 GONZALEZ-VARGAS, JETZARI CHAD HOLLIS CONSTRUCTION # 08/07/15 BLUNT & ASSOC 192 17WC 37365 ELLIS, DONALD M-CLASS MINING, LLC 11/30/16 CULLEY & WISSORE CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 17WC 37459 SHOWALTER, KEVIN DAVIS HOUK MECHANICAL 12/01/17 DWORKIN AND MACIARIELLO STEPHEN H LARSON LAW OFFICE 194 17WC 37618 ESKER, JANET ALDI INC 08/28/16 TAYLOR LAW OFFICES 195 18WC 00567 DODSON, PEGGY CENTRALIA ESTATES 10/17/17 NELSON & NELSON GANAN & SHAPIRO 196 18WC 00916 POLLARD, BRYAN W FREUDENBERG NOK GP 10/24/17 JAMES RUPPERT ROSARIO CIBELLA 197 18WC 01106 GATISON, RICHARD WERNER ENTERPRISE INC 09/26/17 ALEKSY BELCHER SMITH AMUNDSEN LLC 198 18WC 01837 SEEP, NORMAN "CHRIS" BAILEY AUTO TRANSPORT 08/03/16 SHORT AND DAUGHERTY 199 18WC 02034 VINYARD, GRETCHEN HARDIN COUNTY COMMUNITY 10/25/16 SAM C MITCHELL & ASSOCIATE 200 18WC 02346 PIERCEFIELD, LARRY THE SERWIN WILLIAMS COMPA 06/17/17 SMITH LAW LTD GANAN & SHAPIRO 201 18WC 02586 FINDLEY, JENNIFER CONTINENTAL TIRE 05/11/16 WENDLER LAW PC KEEFE & DEPAULI 202 18WC 03137 PORTER, DONTAE CONTINENTAL TIRE 01/08/18 NELSON & NELSON 203 18WC 03817 SMITH, DEVIN W SPS OF ALABAMA, LLC 10/13/17 HUNTER LAW FIRM 204 18WC 03911 GASS, JAMES M-CLASS MINING 11/10/17 GLASS & KOREIN LITCHFIELD CAVO 205 18WC 04818 SAUNDERS, SHELENE SPS OF ALABAMA 03/02/17 BROWN & BROWN 18WC005325 -C 206 18WC 05317 KUHLS, MATTHEW RADIAC ABRASIVES 12/28/17 RICH RICH COOKSEY PC HENNESSY & ROACH, PC 207 18WC 05337 REYNOLDS, TARA SOI/MURRAY DEVELOPMENTAL @ 10/03/17 LEVENHAGEN LAW FIRM PC ASSISTANT AT0TORNEY GENERAL 208 18WC 05349 SOLES, BETH GRUPO ANTOLIN 10/08/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD 209 18WC 06234 JOHNSON, RICHARD L M-CLASS MINING, LLC 08/05/15 CULLEY & WISSORE CRAIG & CRAIG 210 18WC 06244 EUBANKS, ROBERT GMS MINE REPAIR 04/13/17 CULLEY & WISSORE CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 18WC 06435 SANDSCHAFER, COREY L SHERWIN-WILLIAMS DISTRIBU 08/11/17 HASSAKIS & HASSAKIS PC 212 18WC 06558 JACOBS, GLENN A WHITE COUNTY COAL, LLC. 11/18/16 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 213 18WC 06866 YORK, JASON R LOWERY'S FIBERGLASSING 09/11/17 HEIDI A. HOFFEE STEPHEN H LARSON LAW OFFICE 214 18WC 08268 RATERMANN, HEATHER CASEY'S GENERAL STORE 02/11/18 DANIELS WILZBACH PC 215 18WC 08588 DAVID, SHARON NORTH AMERICAN LIGHTING 12/01/17 JEROME LINDSAY SALMI LL STEPHEN CARTER 216 18WC 09813 EVANS, JOAN ST ELMO LIBRARY DISTRICT 03/21/16 TAYLOR LAW OFFICES LIVINGSTONE MUELLER ET AL 217 18WC 10098 HIGGINS, ROBERT E II WAREHOUSE DESIGN & SERVIC 08/02/16 SCHUCHAT, COOK & WERNER MCDONALD & BOGDAN 218 18WC 10850 VALDEZ, RANDY STATE OF ILLINOIS @ 03/22/18 ASSISTANT AT0TORNEY GENERAL 219 18WC 11091 FREY, DANETTE ADI REPAIRS 10/09/17 STRONG LAW OFFICE 220 18WC 11127 PORTER, DONTAE CAPSTONE LOGISTICS, LLC 01/11/18 NELSON & NELSON 221 18WC 13765 WILLMORE, TIMOTHY A CONTINENTAL TIRE 08/10/17 MICHAEL MILES KEEFE & DEPAULI 222 18WC 14315 SMITH, KRYSTAL M SSM HEALTH GOOD SAMARITAN 08/29/17 JAMES RUPPERT EVANS & DIXON, LLC 223 18WC 15092 MYERS, DAVID M RADIAC ABRASIVES, INC. 03/23/18 HASSAKIS & HASSAKIS PC HENNESSY & ROACH, PC 224 18WC 15282 TONEY, KELSEY UNIFIED STAFFING 02/11/18 DWORKIN AND MACIARIELLO 225 18WC 16205 HUFF, BRIAN CITY OF MT VERNON POLICE 03/22/17 CARAWAY FISHER INMAN & FITZGIBBONS 226 18WC 16245 COMBS, JOSEPH CONTINENTAL TIRE 05/03/17 NELSON & NELSON KEEFE & DEPAULI 227 18WC 16455 BAILEY, TIMOTHY MAP TRUCKING, INC 07/06/17 KEEFE & DEPAULI 228 18WC 16623 PATTERSON, ELIZABETH (WID WALGREENS DISTRIBUTION CE # 04/29/18 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 18WC 16700 FARRIS, AMANDA CONTINENTAL TIRE NORTH AM 01/18/18 WINTERS BREWSTER CROSBY SC 230 18WC 16899 FARRIS, AMANDA CONTINENTAL TIRE NO. AMER 11/20/16 WINTERS BREWSTER CROSBY SC 231 18WC 17189 GRAHAM, SHANNON L NORTH AMERICAN LIGHTING 02/15/18 TUNGATE LAW OFFICE STEPHEN CARTER 232 18WC 17508 MCCHRISTIAN, ANDRE D WALGREENS DISTRIBUTION CE 01/22/18 JAMES RUPPERT 233 18WC 17736 PAISLEY, ERIC C TRILLIUM CONSTRUCTION 05/03/18 FISHER KERHOVER COFFEY SPIEGEL & CAHILL, PC 234 18WC 18058 TAYLOR, BRENT ST WILLIAMS CONSTRUCTION 06/02/18 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 235 18WC 18301 MAYE, CRYSTAL M MT VERNON WALMART SUPERCE 03/19/18 HASSAKIS & HASSAKIS PC QUINTAIROS PRIETO WOOD & BOY 236 18WC 18579 BOURKE, ROGER LTI TRUCKING SERVICES 08/08/17 DANIEL J. GAUTHIER MCANANY VANCLEVE & PHILLIPS 237 18WC 19025 DOXIE, JEFF AIR STAMPING, INC. 07/22/15 BLANE OSMAN BRADY, CONNOLLY & MASUDA, PC 238 18WC 19097 HOSICK, KONAN WHITE COUNTY HOUSING AUTH 06/28/17 HANAGAN & MCGOVERN PC RUSIN & MACIOROWSKI LTD 239 18WC 19668 FULLER, LEONARD GRAPHIC PACKAGING INTL 12/21/17 REED & BRUHN, PC 240 18WC 19784 LONGWELL, CHERYL RYAN'S FAMILY STEAK HOUSE 07/17/17 SMITH LAW LTD LAWRENCE COZZI - LAW OFFICE 241 18WC 19984 BROWN, JAY NATIONAL VINEGAR COMPANY 06/13/17 STRONG LAW OFFICE STEPHEN H LARSON LAW OFFICE 242 18WC 20057 WIGGINS, RODNEY G TRIPLE S LAND COMPANY 09/11/17 HUGHES LAW FIRM BRADY, CONNOLLY & MASUDA, PC 243 18WC 20103 BOYER, FREDERICK M CLASS MINING A/K/A 06/15/18 RON D COFFEL & ASSOC 244 18WC 20149 WHITE, CHRISTINE L GSI GROUP, INC 02/14/18 HASSAKIS & HASSAKIS PC FEATHERSTUN GAUMER 245 18WC 20286 ENLOW, CHARLES ADM TRUCKING INC 05/03/18 HELLER HOLMES & ASSOC FEATHERSTUN GAUMER POSTLEWAI 246 18WC 20329 STARR, WILLIAM T XPO LOGISTICS 11/13/15 NELSON & NELSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 18WC 20356 LAYBURN, MARK E JOB MATCH PERSONNEL SVS 01/03/18 MEYER, MICHAEL J 248 18WC 20696 CRUM, MICHELLE P PINNACLE FOODS 04/17/18 BROWN & BROWN INMAN & FITZGIBBONS 249 18WC 20903 JOHNSON, ALAN D UPS 05/18/18 GLASS & KOREIN MCANANY VANCLEVE & PHILLIPS 250 18WC 21031 BRANCH, TERRY NORTH AMERICAN LIGHTING 04/01/18 BROWN & BROWN STEPHEN CARTER 251 18WC 21192 WHIPPLE, PATSY HSHS ST. ANTHONY'S MEMORI 06/25/18 LESKERA LAW FIRM HEYL ROYSTER VOELKER & ALLEN 252 18WC 21633 SMITH, THOMAS FRAM FILTRATION 03/30/16 HANAGAN & MCGOVERN PC CLAUSEN MILLER PC 253 18WC 21720 MOUSER, JASON IDOC 05/23/18 JOHNSTON LAW OFFICE 254 18WC 21833 DOTY, KENNETH ABF FREIGHT SYSTEM 09/05/17 BURNETT & CARON, LTD 255 18WC 21893 FOULKS, ANTONIO PLACESMART 05/25/18 KEEFE & GRIFFITHS PC HEYL ROYSTER VOELKER & ALLEN 18WC024531 -C 256 18WC 21993 MOORE, RYAN PHOENIX MODULAR ELEVATOR 01/25/18 WOODRUFF JOHNSON 257 18WC 22186 HEMPEN, TODD CENTRALIA POLICE DEPARTME 04/08/18 RIDGE & DOWNES INMAN & FITZGIBBONS 258 18WC 22753 CARTER, RICHARD MT VERNON MOLD WORKS, INC 03/07/18 LEVENHAGEN LAW FIRM PC STEPHEN H LARSON LAW OFFICE 259 18WC 22874 WHARTON, RALEIGH "ANDY" C.D FELLER ENTERPRISE 01/25/17 HELLER HOLMES & ASSOC HOLTKAMP LIESE 260 18WC 23094 MASON, KIRK WAYNE CARTER TRUCKING & 07/09/18 LEVENHAGEN LAW FIRM PC RODDY LAW LTD 261 18WC 23103 WOODWARD, CHRISTIAN WARREN G. MURRAY DEVELOPM @ 06/11/18 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 262 18WC 23108 GOTTBERG, CHRISTINA WALGREEN CO 05/24/18 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 263 18WC 23574 QUAID, GINGER JOSHUA MANOR 07/04/18 BECKER SCHROADER & CHAPMAN 264 18WC 23749 LONG, CHRISTOPHER W PRAIRIE FARMS DAIRY, INC. 08/15/17 HASSAKIS & HASSAKIS PC KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 18WC 23866 KRETZER, BARBARA GOOD SAMARITAN REGIONAL H 02/18/18 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 266 18WC 24016 PURCELL, DANA STEVENS INDUSTRIES 01/25/17 HELLER HOLMES & ASSOC THOMAS MAMER & HAUGHEY 267 18WC 24508 MOONEY, STACEY WARREN G MURRAY DEV CTR @ 05/13/18 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 268 18WC 24546 KIRBY, XAVIER RP COATINGS, INC 01/11/18 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 269 18WC 24925 POENITSKE, STACHIA SWAN CORPORATION 05/25/18 HANAGAN & MCGOVERN PC STEPHEN H LARSON LAW OFFICE 270 18WC 25098 WILSON, JASON EVARD STRANG CONSTRUCTION 06/18/18 GOLDENBERG HELLER ANTOGNOL 271 18WC 25193 HARRIS, CORY CITY OF ALTAMONT 01/16/17 WOLTER BEEMAN AND LYNCH KEEFE & DEPAULI 272 18WC 26011 MASON, BRANDON M CLASS MINING 05/31/18 RON D COFFEL & ASSOC LITCHFIELD CAVO 273 18WC 26527 ATKINS, TRAVIS AMERICAN EQUIPMENT & MACH 02/06/18 BEARD LAW FIRM 274 18WC 26554 CURRY, DUSTIN COMPLIANCE STAFFING AGENC 06/02/18 RON D COFFEL & ASSOC MCANANY VANCLEVE & PHILLIPS 275 18WC 26728 RENFROW, ANTHONY BRYAN MANOR 04/23/18 DANIELS WILZBACH PC BOGGS AVELLINO LACH BOGGS 276 18WC 26761 WILLMS, SAMANTHA LAKELAND REHAB & HLTH CAR 07/06/18 JEROME LINDSAY SALMI LL 277 18WC 26906 HARRINGTON, SHASTA THREE Z PRINTING CO INC 08/15/18 WILSON LAW OFFICES LLC 278 18WC 28408 FEAZELL, LB JR. CRST EXPEDITED 07/27/17 BERG & ROBESON 279 18WC 28546 KING, PATTI CONTINENTAL TIRE 07/05/16 WINTERS BREWSTER CROSBY SC KEEFE & DEPAULI 280 18WC 28965 WILSON, STEPHANIE OAKLAND EDUCATIONAL CENTE 09/10/18 MCGARRY & MALKOVICH HENNESSY & ROACH, PC 281 18WC 29111 MCGUIRE, MICHELLE DOLLAR GENERAL 01/17/18 MCCARTHY ROWDEN LEAHY EISENBERG & FRAENKEL 282 18WC 29161 SIMMS, HOWARD B STATE OF ILLINOIS @ 05/08/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 18WC 29241 MINOR, DENISE BIG MUDDY RIVER C.C. @ 05/13/18 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 284 18WC 29312 JOHNSON, DUANE A FORD SQUARE OF MT VERNON 07/14/18 JAMES RUPPERT GANAN & SHAPIRO 285 18WC 29399 MARQUEZ, JACQUELINE WALGREENS DISTRIBUTION CE 08/31/18 BROWN & BROWN EVANS & DIXON, LLC 286 18WC 29435 CAVALETTO, JASON E KASKASKIA COMMUNITY COLLE 12/15/16 HUNTER LAW FIRM 287 18WC 29679 JAMES, SAMANTHA K CONTINENTAL TIRE NORTH 07/21/17 HASSAKIS & HASSAKIS PC 288 18WC 29776 CLINE, MATTHEW T PIONEER OIL COMPANY 07/11/18 HOFFEE LAW FIRM KOPKA, PINKUS DOLIN, PC 289 18WC 30472 SWEET, JOHN SOUTHERN FS 07/21/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 290 18WC 30639 LYONS, JACKIE D RADIAC ABRASIVES, INC 07/09/18 DANIELS WILZBACH PC HENNESSY & ROACH, PC 291 18WC 31021 RICHARDSON, GARY D WHITE STALLION ENERGY, LL 06/09/18 292 18WC 31202 SELLERS, HEATHER TOYOTA BOSHOKU IL 11/17/17 HELLER HOLMES & ASSOC 293 18WC 31367 APPLEGATE, KYLE D BARR CONSTRUCTION 10/11/17 KEEFE & DEPAULI 294 18WC 31421 GOTTMAN, DARLA WASHINGTON COUNTY HOSPITA 12/04/17 LEVENHAGEN LAW FIRM PC GAROFALO SCHREIBER STORM GRA 295 18WC 31601 BARTON, ROBERT CENTRALIA CC @ 09/21/18 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 296 18WC 31681 MULLINS, KENNETH XPO LOGISTICS FREIGHT, IN 07/19/18 LEVENHAGEN LAW FIRM PC 297 18WC 31737 WRIGHT, ROGER E WALGREENS DISTRIBUTION CE 08/28/18 JAMES RUPPERT 298 18WC 31784 WILKINS, BRIAN TEAM FENEX 07/30/18 DWORKIN AND MACIARIELLO 299 18WC 31830 LAWLER, DIANNA CONTINENTAL TIRE 07/12/17 SAM C MITCHELL & ASSOCIATE KEEFE & DEPAULI 300 18WC 31934 FELDHAKE, TIM SCHOONOVER TRUCKING 03/14/17 HANAGAN & MCGOVERN PC BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 18WC 32272 NEAL, MICHELLE L WALGREENS DISTRIBUTION CE 03/08/18 HASSAKIS & HASSAKIS PC 302 18WC 32320 SMITH, SHANE CONTINENTAL TIRE 06/12/18 BEMENT STUBBLEFIELD KEEFE & DEPAULI 303 18WC 32394 WERNER, REBECCA JO NEW YORK BLOWER COMPANY 01/10/18 MEYER, MICHAEL J SMITH AMUNDSEN LLC 304 18WC 32430 TORRES, VANESSA CROMWELL RADIO GROUP 04/26/18 FREDERICK & HAGLE 305 18WC 32973 JOHNSON, DARLENE (WIDOW) FREEMAN UNITED COAL MININ # 06/15/18 CULLEY & WISSORE CRAIG & CRAIG 306 18WC 33054 SULLENS, PAMELA WALGREENS DISTRIBUTION CE 08/21/18 HANAGAN & MCGOVERN PC 307 18WC 33177 WAGGONER, WILLIAM WAL-MART 12/22/17 JOHNSTON LAW OFFICE EARLY & MIRANDA PC 308 18WC 33680 MILLER, DENNIS W. BOROWIAKS IGA FOODLINER I 08/08/18 MOLLY WEHKING KNELL O'CONNOR DANIELWICZ 309 18WC 33686 LEIGHTY, ANNETTE L CASEY'S GENERAL STORE 10/12/18 MOLLY WEHKING 310 18WC 34805 ASH, JONATHAN D NORTH AMERICAN LIGHTING I 10/18/18 HOFFEE LAW FIRM STEPHEN CARTER 311 18WC 34963 HOLLIS, REUBEN IC ENTERPRISES 09/19/18 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 312 18WC 35086 THRASHER, PAUL HOWARD CONCRETE PUMPING I 09/29/17 WINTERS BREWSTER CROSBY SC WIEDNER & MCAULIFFE LTD 313 18WC 36086 SELLERS, TINA KOHL'S ILLINOIS INC 01/12/18 LEVENHAGEN LAW FIRM PC HENNESSY & ROACH 314 18WC 36484 MORAN, MARGARET QUAD GRAPHICS 07/11/18 RICH RICH COOKSEY PC INMAN & FITZGIBBONS 315 18WC 36600 BROWN, JAMES XPO LOGISTICS 07/25/18 HANAGAN & MCGOVERN PC 316 18WC 36762 BEVEL, PATRICIA FORD SQUARE OF MT VERNON 01/15/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 317 18WC 36888 FLETCHER, DONNA R NASCOTE INDUSTRIES 08/23/18 NELSON & NELSON STEPHEN P. KELLY 318 18WC 37276 DONALDSON, JAMES PINNACLE FOODS 09/06/18 SMITH LAW LTD INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 18WC 37291 KUHLS, MATTHEW RADIAC ABRASIVES 11/12/18 RICH RICH COOKSEY PC HENNESSY & ROACH, PC 320 18WC 37354 WITTHAUS, DARLENE MURRAY CENTER @ 11/16/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 321 18WC 37444 LYONS, CHANE ENGINEERED FLUID INC 04/15/18 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 322 18WC 37573 FINKE, ANTHONY T MENARD'S 04/14/18 HAXEL LAW OFFICE 323 18WC 37890 CARTER, LINDA ST MARY'S HOSPITAL 05/22/18 BEATTY & MOTIL EVANS & DIXON, LLC 324 18WC 37993 GILLIS, KEVIN MONROE BARTELS INC 09/20/17 CRAIG & CRAIG CHILTON YAMBERT PORTER LLP 325 18WC 38063 BOYD, DENNIS O SCHREY SYSTEMS, INC 10/26/18 JAMES RUPPERT WOMICK LAW FIRM CHTD 326 18WC 38310 WEHKING, BEVERLY SOI MURRAY DEVELOPMENTAL @ 11/26/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 327 19WC 00492 KNEEZLE, CHRISTOPHER WALGREENS DISTRIBUTION CE 09/03/18 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 328 19WC 00555 TOOMBS, BRODIE WALGREENS DIST CENTER 10/12/18 BEMENT STUBBLEFIELD EVANS & DIXON, LLC 329 19WC 00570 OWEN, AMANDA CHAMPION LABORATORIES 12/11/18 HANAGAN & MCGOVERN PC HENNESSY & ROACH, PC 330 19WC 01112 KEEF, WILLIAM CONTINENTAL TIRE THE 07/01/16 JEROME LINDSAY SALMI LL KEEFE & DEPAULI 331 19WC 01152 MARTIN, NORA ED LEWIS TRUCKING COMPANY 11/27/18 WINTERS BREWSTER CROSBY SC 332 19WC 01299 STINE, CRYSTAL HELIA HEALTHCARE OF ONLEY 12/08/18 DWORKIN AND MACIARIELLO 333 19WC 01462 CASTLEBERRY, RHONDA CENTRAL ILLINOIS CARE SER 08/20/16 MUELHAUSEN & STEFANI 334 19WC 01662 CROSBY, JUYAM DHS-MURRAY CENTER @ 10/02/18 CARAWAY FISHER ASSISTANT ATTORNEY GENERAL 335 19WC 01743 LARIMER, ADAM TA PETRO 12/06/18 DWORKIN AND MACIARIELLO 336 19WC 01982 TOLLIVER, TOM RABEN TIRE COMPANY 10/28/18 SMITH LAW LTD KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 19WC 02012 BROCKETT, MICHAEL ALDI'S 06/02/15 HELLER HOLMES & ASSOC 338 19WC 02031 ELLIS, JON NATHAN HAAG & HAAG LANDSCAPE & @ W 03/14/18 TAMMI N. JACKSON WINTERS BREWSTER CROSBY SCHA 339 19WC 02159 CHAPMAN, KENNETH SHAWN WALGREENS 03/27/18 MICHAEL MILES 340 19WC 02173 GARCIA, JOAQUIN RADIAC ABRASIVES 09/13/18 WILLIAMS CAPONI & ASSOC HENNESSY & ROACH, PC 341 19WC 02275 MC DONALD, DWAINE ARBY'S 07/24/18 HANAGAN & MCGOVERN PC 342 19WC 02684 DEPAUW, TENA CONTINENTAL TRE 01/29/17 HOWERTON, DORRIS & STONE KEEFE & DEPAULI 343 19WC 02959 KAMIS, JOYCE C KDDI, INC, D/B/A DRYDEN-K 11/29/18 HASSAKIS & HASSAKIS KEEFE & DEPAULI 344 19WC 03111 STARWALT, ROBERT T PRAIRIE FARMS DAIRY INC 12/28/18 HASSAKIS & HASSAKIS PC KNAPP, OHL & GREEN 345 19WC 03201 LORTON, MELISSA MURRAY DEVELOPMENTAL CENT @ 11/11/17 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL 346 19WC 03313 BATTS, SHERRY CONTINENTAL TIRE 12/22/17 RICH RICH COOKSEY PC 347 19WC 03387 HABING, JEFFREY SUMMIT TOWNSHIP 10/10/17 TAYLOR LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 348 19WC 03413 BROWN, LISA CONTINENTAL TIRE 06/22/18 KEEFE & GRIFFITHS PC KEEFE & DEPAULI 349 19WC 03514 DITTERLINE, KIMBERLY FOR MADISONVILLE MINING, LLC # 01/05/19 RICH RICH COOKSEY PC LITCHFIELD CAVO 350 19WC 03543 MCDONALD, DWAINE ARBY'S 07/24/18 HANAGAN & MCGOVERN PC LEAHY EISENBERG & FRAENKEL 351 19WC 04050 RICHARDSON, CHRIS CONTINENTAL TIRE MT VERNO 07/26/18 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 352 19WC 04067 HANKS, WENDY L PINNACLE FOODS INC 11/30/18 PETER BLASI LLC INMAN & FITZGIBBONS 353 19WC 04087 STINSON, CORA M WALGREENS FAMILY OF COMPA 01/12/19 HASSAKIS & HASSAKIS PC 354 19WC 04131 MCNEESE, TODD R WALMART STORES, INC 08/10/17 MEYER, MICHAEL J QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 355 19WC 04313 HARGIS, KRISTY WARREN G MURRAY DEVELOPME @ 08/06/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 356 19WC 04461 PRUITT, CHRISTINA BURGER KING 01/09/19 WOODRUFF JOHNSON ROUSE & CARY 357 19WC 04793 WOOLFORD, BENJAMIN CPC LOGISTICS 12/19/18 DAVID W MARTAY LEAHY WRIGHT & ASSOC 358 19WC 05118 MILLER, DAVID W MT VERNON WINNELSON CO 01/18/18 FOREMAN & KESSLER, LTD 359 19WC 05238 MC GOVERN, KEVIN W IDOT, STATE OF ILLINOIS @ 09/17/18 HASSAKIS & HASSAKIS ASSISTANT ATTORNEY GENERAL 360 19WC 05258 LOWERY, SHARON A WALGREENS FAMILY OF COMPA 09/25/17 HASSAKIS & HASSAKIS PC 361 19WC 05274 CROSS, BROOK N UNIFIED STAFFING 01/22/19 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 362 19WC 05427 FREEMAN, RUSSEL LOWE'S HOME CENTERS, INC 06/15/17 REED & BRUHN, PC 363 19WC 05445 BOSOE, TAYLOR MASTER HALCO 04/05/18 WALTON TELKEN LLC 364 19WC 05569 HURST, BENNY QUAD/GRAPHICS 06/19/18 KATZ FRIEDMAN EAGLE ET AL KNELL O'CONNOR DANIELWICZ 365 19WC 05675 TATE, JODI L USI INSURANCE SERVICES, L 03/20/17 ASHER & SMITH LUCY T. UNGER 366 19WC 05778 SHADRICK, LANCE HEUERMAN TRUCKING 11/27/18 DANIELS WILZBACH PC 367 19WC 05798 MORRIS, ALLEN TUNE TRUCKING 04/02/18 HANAGAN & MCGOVERN PC INMAN & FITZGIBBONS 368 19WC 06079 MARLER, JACK CONTINENTAL MILLS 07/17/18 HELLER HOLMES & ASSOC ROUSE & CARY 369 19WC 06384 HAYES, BETTY HAMILTON MEMORIAL HOSPITA 05/27/16 HANAGAN & MCGOVERN PC GAROFALO SCHREIBER STORM GRA 370 19WC 06558 MALONE, JAMES H WALGREENS DISTRIBUTION CE 05/30/18 HASSAKIS & HASSAKIS 371 19WC 06561 FORD, SUSAN E CRACKER BARREL 08/09/18 MOLLY WEHKING 372 19WC 06597 RUSSELL, JESSICA UNIFIED STAFFING 11/25/18 BEMENT STUBBLEFIELD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 373 19WC 06649 HAMILTON, JULIE HELLA ELECTRONICS CORP 02/14/19 DWORKIN AND MACIARIELLO ROUSE & CARY 374 19WC 06686 PETRO, MARK CONTINENTAL TIRE THE AMER 02/15/16 KEEFE & DEPAULI 375 19WC 06720 NEWTON, JEFFERY CONTINENTAL TIRE THE 11/28/17 KEEFE & DEPAULI 376 19WC 06812 SAWYER, ALAN VANDALIA CORRECTIONAL CEN @ 03/22/18 BECKER SCHROADER & CHAPMAN CORI STEWART 377 19WC 06844 RODRIGUEZ, RENEE DIRECT SERVICE PERSONNEL 08/15/17 BROWN & BROWN 378 19WC 06849 POOL, LARRY CONTINENTAL TIRE NORTH AM 06/13/18 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 379 19WC 06887 GRAY, TYLER CONTINENTAL TIRE THE AMER 10/11/17 KEEFE & DEPAULI 380 19WC 07154 FULK, SHARON A ST ANTHONY'S MEMORIAL 01/12/19 HASSAKIS & HASSAKIS MC ANDREWS & NORGLE LLC 381 19WC 07277 CHAPPELL, JOANNA TOYOTA BOSHOKU OF ILLINOI 09/24/18 FERGUSON, MARK E LTD HENNESSY & ROACH, PC 382 19WC 07365 DILLON, GREGORY THE MASCHHOFFS, LLC 12/12/17 LEVENHAGEN LAW FIRM PC CRAIG A HANSEN 383 19WC 07388 LEDBETTER, JAMES ST OF IL/BIG MUDDY RIVER @ 01/11/19 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 384 19WC 07508 WALTRIP, KATHY GRUPO ANTOLIN NASHVILLE 02/08/19 LEVENHAGEN LAW FIRM PC 385 19WC 07615 WEBSTER, TYWON KASKASKIA SPECIAL ED DIST 09/11/18 CARAWAY FISHER WIEDNER & MCAULIFFE LTD 386 19WC 07679 WILKERSON, JOHNNY R RIVER CTY TOWER&CNSTRCTIO 02/05/19 JAMES RUPPERT KNELL LAW LLC 387 19WC 07682 EDWARDS, MALINDA S RURAL KING DISTRIBUTION A 01/04/19 JAMES RUPPERT FEIRICH MAGER GREEN & RYAN 388 19WC 07981 MCELROY, SCOTT L JOHN BOOS & COMPANY INC 02/26/18 NO ATTORNEY 389 19WC 08026 HELLIGE, LANCE PAUL RAKERS BUILDERS 01/09/19 MAAG LAW FIRM LLC RUSIN & MACIOROWSKI LTD 390 19WC 08088 HOFFMAN, LYNSIE FLORA COMMUNITY UNIT SCHO 01/19/18 TAYLOR LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 391 19WC 08120 BUTTRUM, ROBERT VILLAGE OF BLUFORD 11/08/18 RICH RICH COOKSEY PC KEEFE & DEPAULI 392 19WC 08467 POWELL, STEVEN D PITCHOCO INC 09/11/18 PARK LAW OFFICE 393 19WC 08665 DENNEY, STEVE TOYOTA BOSHOKU ILLINOIS L 11/06/17 MOSS & MOSS PC 394 19WC 08855 BRANSON, DON R PRIORITY STAFFING 06/06/18 WOMICK LAW FIRM CHTD 395 19WC 08945 SCHLEPER, WANDA V ILLINOIS HEARTLAND LIBRAR @ 03/08/19 HARRIS & JONES 396 19WC 09108 BRANDOL, VICKIE L CENTRAL CITY SCHOOL DIST 02/07/18 GLASS & KOREIN 397 19WC 09243 KAY, KEVIN COAL FIELD CONSTRUCTION C 07/19/17 LITCHFIELD CAVO 398 19WC 09487 COOK IV, JOHN W CONTINENTAL TIRE THE AMER 04/18/18 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 399 19WC 09618 VANCIL, SEAN COMPLIANCE STAFFING AGENC 08/08/18 WINTERS BREWSTER CROSBY SC 400 19WC 09937 LEWIS, TIM MT VERNON TOWNSHIP HSD #2 01/08/19 HANAGAN & MCGOVERN PC 401 19WC 10023 LAIRD, DARRIN R TRUCK CENTERS, INC. 02/23/17 STEPHEN H LARSON LAW OFFICE 402 19WC 10040 KNIGHT, TIMOTHY RAY BAPTIST CHILDREN'S HOME 11/07/18 HOLTKAMP LIESE 403 19WC 10057 DIEL, COLLIN WAL MART DISTRIBUTION CEN 12/01/18 HANAGAN & MCGOVERN PC 404 19WC 10278 POND, ALEXANDER XPO LOGISTINCS 04/02/19 DAVID W MARTAY 405 19WC 10559 SHANE, KELLY FIREFLY GRILL * 03/03/19 RIDGE & DOWNES GANAN & SHAPIRO 406 19WC 11067 HARGETT, CHRISTOPHER CPC LOGISTICS * 11/25/18 HUGHES LAW FIRM LEAHY WRIGHT & ASSOC 407 19WC 11752 KLEIN, STEPHEN SHERWIN WILLIAMS * 10/15/18 JOHNSTON LAW OFFICE 408 19WC 11995 JONES, DONNA K WALGREENS DISTRIBUTION CE * 03/14/18 EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 409 19WC 12075 GONZALEZ, REBECCA HODGSON MILLS * 12/18/17 KOPKA, PINKUS DOLIN, PC 410 19WC 12164 CHAPMAN, DAHLIA WARREN G MURRAY @ * 08/05/18 BECKER SCHROADER & CHAPMAN 411 19WC 12936 HOFFMAN, JERAMY C HODGSON MILLS, INC * 02/15/18 KOPKA, PINKUS DOLIN, PC 412 19WC 12996 TANNAHILL, MARCIA SSM HEALTH ST. MARY'S HOS * 11/08/18 EVANS & DIXON, LLC 413 19WC 13125 LUSTIG, THOMAS JOHN BOOS & CO * 03/13/19 GOLDFINE & BOWLES 414 19WC 13146 HAMBLEN, LISA FEDEX FREIGHT INC * 11/30/18 SMITH LAW LTD 415 19WC 13157 KNOX, IESHA STATE OF IL/WG MURRAY DEV @ * 11/13/18 PFAFF GARNER & TERLIZZI ASSISTANT ATTORNEY GENERAL 416 19WC 13221 VESSELS, JAMES SOUTHERN REFRIGERATED TRA * 05/02/19 DWORKIN AND MACIARIELLO LEMP & MURPHY 417 19WC 13261 HALL, BILLY MID-EAST TRUCK & TRACTOR * 07/16/18 RUSIN & MACIOROWSKI LTD 418 19WC 13428 TOLCH, AMY RURAL KING * 09/18/18 TAYLOR LAW OFFICES RURAL KING 419 19WC 13796 HIRES, ANGELA L HSHS ST ANTHONY'S * 09/25/18 TAYLOR LAW OFFICES 420 19WC 14185 BARNES, SHARON NASCOTE INDUSTRIES, INC. * 11/28/18 NELSON & NELSON 421 19WC 14357 SHELTON, RONNIE CONTINENTAL TIRE THE AMER * 08/20/18 KEEFE & DEPAULI 422 19WC 14707 SPENCER, KIMBERLY CHAMPION LABORATORIES, IN * 04/15/19 CORNFIELD & FELDMAN 423 19WC 14824 HERNANDEZ, MAYA BRYAN MANOR * 02/16/18 HANAGAN & MCGOVERN PC 424 19WC 14843 BEAN, VANESSA N MOUNT VERNON CITY SCHOOLS * 02/21/19 MOLLY WEHKING GAIDO & FINTZEN 425 19WC 15116 MOSCHENROSE, CHRISTOPHER FEDEX SUPPLY CHAIN INC * 11/12/18 MOSS & MOSS PC 426 19WC 15149 STOWELL, JON AMEREN * 03/26/19 STRONG LAW OFFICE CASSIDY & MUELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 427 19WC 15197 CARTER, SAMANTHA THE SHERWIN WILLIAMS * 11/09/17 SMITH LAW LTD 428 19WC 15530 SMITH, GRAIG WAUPACA FOUNDRY INC * 07/20/18 SMITH LAW LTD 429 19WC 15678 POLLARD, JACOB L VIBRACOUSTIC USA INC * 04/25/19 HASSAKIS & HASSAKIS PC ROSARIO CIBELLA 430 19WC 15850 PETERSON, MICHAEL S CONTINENTAL TIRE THE AMER * 03/01/18 KEEFE & DEPAULI 431 19WC 15981 KENLEY, TASHAUNA S WALGREENS DIST CENTER * 02/11/19 BONIFIELD & ROSENSTENGEL P 432 19WC 16045 BLADES, TIMOTHY CONTINENTAL TIRE * 12/17/18 JEROME LINDSAY SALMI LL 433 19WC 16065 MAYDEN, SHERRY HALTER TREE SERVICE/ * 12/04/17 RITTENBERG BUFFEN 434 19WC 16459 WILLIAMS, CATHY NORTH AMERICAN LIGHTING * 09/18/18 HANAGAN & MCGOVERN PC 435 19WC 16571 MC GAHA, NATHANIEL L DOLLAR GENERAL CORPORATIO * 12/31/18 HOFFEE LAW FIRM 436 19WC 16582 OTTO, VERN BENIACH CONSTRUCTION CO * 08/31/18 KEEFE & DEPAULI 437 19WC 16668 WILSON, BRANDON JENNMAR * 05/09/19 RICH RICH COOKSEY PC 438 19WC 16705 ENGLAND, WILLIAM CONTINENTAL TIRE THE AMER * 02/09/18 KEEFE & DEPAULI 439 19WC 16771 MULVANEY, CASEY REPUBLIC SERVICES * 03/25/19 JEROME LINDSAY SALMI LL 440 19WC 16861 TALBERT, MARK A POSEY COUNTY LLC * 07/23/18 JAMES RUPPERT GANAN & SHAPIRO 441 19WC 17070 CARTER, RICHARD MT VERNON MOLD WORKS, INC * 05/07/19 LEVENHAGEN LAW FIRM PC 442 19WC 17205 MOORE, LISA ACT RESOURCES, INC * 02/20/18 CULLEY FEIST KUPPART & JOR 443 19WC 17254 BETTINGER, LORI GAIL CONTINENTAL TIRE * 09/09/18 HOWERTON, DORRIS & STONE 444 19WC 17400 GARCIA, ROSALINDA CONTINENTAL TIRE THE * 06/15/18 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/06/2019 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 445 19WC 17418 BURGOS, FABIAN COAL FIELD CONSTRUCTION * 04/25/19 WINTERS BREWSTER CROSBY SC 446 19WC 17434 EDMONDS, JERREL CONTINENTAL TIRE N.A. * 02/26/18 HANAGAN & MCGOVERN PC 447 19WC 17501 PERKINS, BARBARA J WALGREENS DISTRIBUTION CE * 10/13/18 HASSAKIS & HASSAKIS 448 19WC 17516 STILWELL, MICHAEL SHORES BUILDERS, INC. * 07/24/18 BROWN & CROUPPEN KEEFE & DEPAULI 449 19WC 17682 REDDIC, AITZA E AMERICAN AIRLINES INC * 12/19/15 JAMES RUPPERT 450 19WC 18009 ROGERS, MATTHEW B CONTINENTAL TIRE THE AMER * 11/07/18 KEEFE & DEPAULI 451 19WC 18080 REEDER, JAMES A ILLINOIS STATE POLICE * 03/22/19 CULLEY FEIST KUPPART & JOR 452 19WC 18097 GLUCK, DERRICK ST OF IL/ MURRAY CENTER @ * 04/13/88 RICH RICH COOKSEY PC 453 19WC 18496 OVERBEY, BARBARA DURHAM SCHOOL SERVICES * 02/07/19 RICH RICH COOKSEY PC 454 19WC 18602 MCGILL JR, LUTHER H CITY OF MT CARMEL * 01/05/19 KEEFE & DEPAULI 455 19WC 18775 VEACH, LARRY S&F TRANSPORT, EIN ENERGY * 08/13/18 WOMICK LAW FIRM CHTD 456 19WC 18790 HICKERSON, KYLE G EN ENGINEERING INC * 05/16/19 NELSON & NELSON 457 19WC 18841 BELL, WESLEY R JOSH ADDIS TRUCKING INC. * 03/12/19 KATZ FRIEDMAN EAGLE ET AL 458 19WC 18960 MCGUIRE, MARY THE S2 HR GROUP, LLC D/B/ * 09/11/18 TAPELLA & EBERSPACHER LLC 459 19WC 19082 HIGGINS, NATASHA LOVES TRAVEL STOP * 01/14/19 WOMICK LAW FIRM CHTD 460 19WC 19197 GRAHAM, COREY A JOHN BOOS COMPANY * 02/13/19 JAMES RUPPERT 461 19WC 19226 BEAL, ELIZABETH NORTH AMERICAN LIGHTING I * 10/28/16 STEPHEN CARTER 462 19WC 19399 MILES, KEITH ALAN HAMILTON COUNTY UNIT 10 * 11/29/16 GOLDENBERG HELLER ANTOGNOL