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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 48730 GOODWIN, DONALD DANVILLE METAL STAMPING 09/06/02 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 02WC062790 -C 03WC056705 -C 08WC007396 -C 08WC026759 -C 2 03WC 03817 19B RICHARDS, KATHLEEN PROVENA COVENANT 06/11/02 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 06WC033725 -C 3 03WC 42264 JONES, DONALD L VITRAN EXPRESS 03/29/01 SMITH LAW LTD FEATHERSTUN GAUMER POSTLEWAI 4 05WC 23622 WORKMAN, BARBARA A CITY OF CHAMPAIGN POLICE 01/12/03 MARSZALEK AND MARSZALEK CITY OF CHAMPAIGN 5 06WC 27769 SISCO, ANGELIQUE (WIDOW BUILDERS TRANSPORATION CO # 12/11/03 SCHROEDER, JOSEPH R HINSHAW & CULBERTSON 6 06WC 55232 HOMAN, MARILYN QUAKER OATS 11/06/06 CAMERON CLARK BRUCE WARREN 7 07WC 37843 HUKILL, ROBERT F SIMONTON WINDOWS 08/24/04 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 11WC041188 -C 11WC041189 -C 16WC019803 -C 8 07WC 39640 GREEN, AARON ENVIRONMENTAL REMEDIATION 01/05/07 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 9 08WC 11812 19B CRAIG, BRADFORD PRAIRIE MATERIAL SALES, I 07/06/07 SPIROS & WALL GAROFALO SCHREIBER STORM 10 08WC 36278 MIEZIO, DENNIS UNIVERSITY OF ILLINOIS @ 01/06/65 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 08WC036568 -C ST OF IL UNIVERSITY OF IL 14WC023862 -C 11 09WC 35658 HADFIELD, BRADLEY M KRUTS ELECTRIC 04/01/09 FREDERICK AND HAGLE BRUCE WARREN 12 09WC 38854 DUNDORE, DEREK S ULTIMATE SEATS INC A/K/A @ W 12/09/08 ERWIN MARTINKUS & COLE 13 09WC 39246 MATCHEM, DOMIANISHA DORS REHABILITATION CTN 02/02/07 ASSISTANT ATTORNEY GENERAL

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 02WC 48730 GOODWIN, DONALD DANVILLE METAL STAMPING 09/06/02 MARSZALEK AND MARSZALEK HENNESSY & ROACH PC 02WC062790 -C 03WC056705 -C 08WC007396 -C 08WC026759 -C 2 03WC 03817 19B RICHARDS, KATHLEEN PROVENA COVENANT 06/11/02 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 06WC033725 -C 3 03WC 42264 JONES, DONALD L VITRAN EXPRESS 03/29/01 SMITH LAW LTD FEATHERSTUN GAUMER POSTLEWAI 4 05WC 23622 WORKMAN, BARBARA A CITY OF CHAMPAIGN POLICE 01/12/03 MARSZALEK AND MARSZALEK CITY OF CHAMPAIGN 5 06WC 27769 SISCO, ANGELIQUE (WIDOW BUILDERS TRANSPORATION CO # 12/11/03 SCHROEDER, JOSEPH R HINSHAW & CULBERTSON 6 06WC 55232 HOMAN, MARILYN QUAKER OATS 11/06/06 CAMERON CLARK BRUCE WARREN 7 07WC 37843 HUKILL, ROBERT F SIMONTON WINDOWS 08/24/04 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 11WC041188 -C 11WC041189 -C 16WC019803 -C 8 07WC 39640 GREEN, AARON ENVIRONMENTAL REMEDIATION 01/05/07 SAUNDERS CONDON & KENNY HEYL ROYSTER VOELKER & ALLEN 9 08WC 11812 19B CRAIG, BRADFORD PRAIRIE MATERIAL SALES, I 07/06/07 SPIROS & WALL GAROFALO SCHREIBER STORM 10 08WC 36278 MIEZIO, DENNIS UNIVERSITY OF ILLINOIS @ 01/06/65 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 08WC036568 -C ST OF IL UNIVERSITY OF IL 14WC023862 -C 11 09WC 35658 HADFIELD, BRADLEY M KRUTS ELECTRIC 04/01/09 FREDERICK AND HAGLE BRUCE WARREN 12 09WC 38854 DUNDORE, DEREK S ULTIMATE SEATS INC A/K/A @ W 12/09/08 ERWIN MARTINKUS & COLE 13 09WC 39246 MATCHEM, DOMIANISHA DORS REHABILITATION CTN 02/02/07 ASSISTANT 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 PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 09WC 45221 SHIRK, BRIAN UNIVERSITY OF ILLINOIS @ 10/21/09 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 15 10WC 10880 NEWLIN, INDIA TRW 02/12/10 ASHER & SMITH HOLTKAMP LIESE ET AL 10WC034538 -C 16 10WC 29312 GRAY, RECARD MEIJER 12/14/09 WARREN E DANZ, PC KNELL & O'CONNOR 10WC029314 -C 17 10WC 36418 FIVECOAT, APRIL HOOPESTON COMMUNITY HOSPI 06/25/10 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 18 10WC 36454 TREADWAY, PAUL VICTOR REINZ 06/26/09 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 19 10WC 37639 STAGE, DIANA L EASTON-BELL SPORTS INC 08/01/08 WILSON LAW COZZI & GOGGIN-WARD 10WC037640 -C 20 10WC 45305 HINDERLITER, RICHARD UNIVERSITY OF ILLINOIS 09/15/10 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 12WC020837 -C 21 10WC 48872 BERRY, MYRENA CARLE FOUNDATION HOSPITAL 07/26/10 WILLIAMS & SWEE BRUCE WARREN 13WC029006 -C 13WC035269 -C 14WC035509 -C 15WC006229 -C 22 10WC 49245 MROFCHAK, PAUL B ROBERSON TRANSPORTATION @ 01/10/05 KANOSKI & ASSOCIATES 23 11WC 16151 BILLHYMER, MICHAEL WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE 24 11WC 16154 LANDGRAVER, PATRICK WITTE ELECTRIC COMPANY 07/10/10 LEE, MARK N LAW OFFICE 25 11WC 18928 VALOUSKY, SUSAN CATERPILLAR 07/12/10 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 26 11WC 42033 CAPEL, JAMES III ILL DEPT OF NATURALRESOUR @ 06/27/11 MEYER CAPEL, PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 11WC 42853 ROBERTS, JESSE UNIVERSITY OF ILLINOIS 10/02/11 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 28 11WC 44331 MELCHI, CYNTHIA UNIVERSITY OF ILLINOIS 12/17/10 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 14WC031940 -C 29 11WC 46483 CUMMINS, MENDORA DOLLAR GENERAL 08/21/11 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 14WC011768 -C 30 11WC 46610 ALLEN, HADLEY ALPHA BAKING INC 09/20/11 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 31 11WC 47762 BESSE, MICHELE COMMERCIAL NEWS 12/25/08 TUGGLE SCHIRO & LICHTENBER THOMAS & PORTELA 32 11WC 48533 HAYS, MERLE E STATE OF ILLINOIS @ 01/19/09 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 33 12WC 05837 SPECKMAN, BART UNIVERSITY OF IL 09/15/10 MARSZALEK AND MARSZALEK GANAN & SHAPIRO 12WC005838 -C 12WC005839 -C 13WC013362 -C 34 12WC 06582 TACKETT, LISA JANE D G RETAIL, LLC D/B/A 06/03/10 COLLISON & O'CONNOR LEAHY EISENBERG & FRAENKEL 13WC021607 -C DOLLAR GENERAL 35 12WC 11660 BROWN, DARWIN USF HOLLAND 05/04/11 MARSZALEK AND MARSZALEK HENNESSY & ROACH 36 12WC 12500 HEATH, STEPHEN UNIVERSITY OF ILLINOIS 02/15/11 LEE, MARK N LAW OFFICE 37 12WC 14248 BELL, RONNIE KNAPP-GERLACH 04/15/12 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 38 12WC 17187 UPTON, ELLEN UNIVERSITY OF ILLINOIS 04/01/12 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 16WC026285 -C 16WC026286 -C 39 12WC 19284 STAMBAUGH, CHARLES CLIFFORD-JACOBS FORGING C 03/01/11 STEPHEN P. KELLY MACIOROWSKI SACKMANN & ULRIC 12WC019285 -C 12WC019287 -C 12WC019288 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 40 12WC 19600 OGLE, PAUL E SIMONTON WINDOWS 05/23/12 STEVEN P GLANCY KEEFE CAMPBELL & ASSOC LLC 41 12WC 26938 WAYMOUTH, BRIAN ROAD READY INC 04/09/12 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 12WC029072 -C 13WC001023 -C 42 12WC 36476 FISHER, BARRY IDOT @ 05/24/12 LAW OFFICE OF PAUL E SELIN ASSISTANT ATTORNEY GENERAL 43 12WC 42254 SMITH, TARA FLEX-N-GATE 03/17/12 DAVID J JEROMEY BRUCE WARREN 44 12WC 42865 CULP, THOMAS JIM STANDERFER ENGINEERIN 01/19/09 FINE, MARK S LAW OFFICES 45 13WC 04492 19B WILLIAMS, DAWN CHAMPAIGN SCHOOL DIST UNI 01/14/13 WOODRUFF & JOHNSON BRUCE WARREN 13WC040009 -C 14WC036953 -C 14WC036954 -C 17WC011513 -C 46 13WC 05176 WILSON, JEREMY R PEPSI MID AMERICA 08/14/12 ANESI OZMON RODIN NOVAK KO ALLEN KOPET & ASSOCIATES 47 13WC 05574 ANDREWS, ERIC L URBANA SCHOOL DISTRICT 11 12/11/12 FREDERICK & HAGLE BRUCE WARREN 48 13WC 06253 MUGHRABI, HISHAM KRAFT FOODS GROUP INC 10/11/12 DODD & MAATUKA LLC BRUCE WARREN 49 13WC 08395 ROYAL-OLMSTEAD, POLLY MC CORMICK DISTRIBUTING & 01/07/13 SCHUM LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 50 13WC 09514 OLIGER, PENNY M KIRBY MEDICAL CENTER 08/15/12 BURNETT & CARON LTD KEEFE CAMPBELL & ASSOC LLC 51 13WC 11683 MATTINGLY, PATTY S NORTH AMERICAN LIGHTING 11/28/12 ASHER & SMITH LAW OFFICES STEPHEN CARTER 52 13WC 12699 RUSHIN, JEFFREY G NEXSTAR BROADCASTING, INC 02/25/13 SPIROS LAW PC 53 13WC 13234 BRAGG, MARK CHAMPAIGN COUNTY SHERIFF 09/22/12 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 15WC006127 -C 54 13WC 14290 19B PEVERELLE, LAURA GIBSON AREA HOSPITAL 12/20/12 SPIROS LAW PC SCOPELITIS GARVIN LIGHT 55 13WC 16109 VAN LEER, GREGORY D VISCOFAN USA, INC 12/16/12 GARY JOE STOKES LAW OFFICE PAUL LARIMORE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 56 13WC 18156 YORK, JAMES R MAX RECYCLING, INC 01/25/13 GOLDBERG WEISMAN & CAIRO L GANAN & SHAPIRO 57 13WC 18700 TONEY, LYNN REGENA UNIVERSITY OF ILLINOIS 03/19/13 FREDERICK & HAGLE GANAN & SHAPIRO 13WC023666 -C 58 13WC 19018 SAUCIER, CHARLES ALL STAR CHAMPIONS W 04/22/13 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 59 13WC 19215 19B WELLER, CINDY J DIVERSIFIED HEALTHCARE 03/28/13 GARY JOE STOKES GANAN & SHAPIRO 60 13WC 19392 MASON, SCOTT PLASTIPAK PACKAGING 08/20/10 WILLIAMS & SWEE LTD SMITH AMUNDSEN LLC 61 13WC 19564 ZHAO, YUAN INTEREK TESTING SERVICES 03/26/13 FREDERICK & HAGLE LIVINGSTONE MUELLER ET AL 62 13WC 25292 ACREE, DEBRA JELD WEN WINDOWS AND DOOR 05/05/13 SPIROS LAW PC BRADY CONNOLLY & MASUDA PC 63 13WC 26670 BELYEA, MICHAEL BRIDLEBROOK ADULT COMM LL 07/15/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 64 13WC 28260 COATS, MARY A SARA BUSH LINCOLN 05/07/13 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 65 13WC 35435 CATRON, ROBERT CHICARGO 08/06/13 DREW J FERRACUTI 66 13WC 35656 DONALDSON, STEPHEN UNIVERSITY OF ILLINOIS 01/29/13 DODSON PIRAINO & ASSOC BRUCE WARREN 67 13WC 38792 MC CLAIN, ORVILLE CAMAGHI TOWING AND REPAIR 08/29/13 SPIROS LAW PC 68 13WC 40148 BLACKETER, BRIAN UNIVERSITY OF ILLINOIS 06/08/12 REISMAN LAW OFFICE GANAN & SHAPIRO 69 13WC 40995 DOBSON, SHANNON R R DONNELLEY 11/04/13 LAW OFFICE MICHAEL M WOJIT CRAIG & CRAIG 70 14WC 00011 RICHARDSON, DAVID UNIVERSITY OF ILLINOIS 09/30/13 WOODRUFF & JOHNSON BRUCE WARREN 15WC037110 -C 71 14WC 01477 FORD, CHERYL G GSI LLC 10/08/13 RIDGE & DOWNES FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 72 14WC 02371 ALCORN, MICHAEL G USF HOLLAND 01/14/14 MARSZALEK AND MARSZALEK HENNESSY & ROACH 73 14WC 10946 KLEMME, CANDICE CATLIN COMMUNITY SCHOOL 10/27/11 TUGGLE SCHIRO & LICHTENBER WHITT LAW 14WC021057 -C 17WC017564 -C ARAMARK 74 14WC 11626 FONNER, LARRY W HICI, INC./DENNY RESTAURA 01/03/14 FREDERICK & HAGLE LAW OFFICE OF PAUL O WATKISS 75 14WC 12933 PANKAU, SHARON URBANA SCHOOL DIST 116 02/04/14 RIDGE & DOWNES BRUCE WARREN 76 14WC 13496 WISE, DANIEL THYSSEN KRUPP 07/14/13 FREDERICK & HAGLE 77 14WC 14999 VAUGHN, BILLY W UNIVERSITY OF ILLINOIS 02/09/14 SCHUM LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 78 14WC 17955 GRANT, CHRIS KIK CUSTOM PRODUCTS 04/23/13 SPIROS LAW PC POWER & CRONIN LTD 79 14WC 17990 JENKINS, GLEN CHAMPAIGN UNIT 4 SCHOOL D 04/03/14 WOODRUFF & JOHNSON BRUCE WARREN 80 14WC 18541 STIVERS, KATHY DENISE ADDUS HEALTHCARE 01/04/14 ASHER & SMITH HENNESSY & ROACH 15WC010694 -C 16WC010115 -C 81 14WC 26800 WALSKI, SCOTT R VERMILLION VALLEY PRODUCT 06/05/14 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 82 14WC 26973 YOUNG, RANDY COUNTY MARKET 09/21/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 83 14WC 30361 CARLOCK, LISLE MASTER BRAND CABINET 11/02/12 WOODRUFF & JOHNSON DUGAN & VOLAND 84 14WC 31693 DAWSON, ROBERT LYNN ILLINOIS DEPT OF CORRECTI @ 08/22/12 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 85 14WC 32482 BESCHORNER, JERRY CENTRAL TRANSPORT INC 07/14/14 LAW OFFICE OF CHRIS DOSCOT HINSHAW & CULBERTSON 86 14WC 32756 BUTTS, LORI ILL SECY OF STATE @ 09/16/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 87 14WC 34771 FAUSER, SEAN L EASTON BELL SPORTS 08/26/14 MARSZALEK AND MARSZALEK COZZI & GOGGIN-WARD 88 14WC 35677 VALDEZ, ERIKA BOWMAN ESTATES DANVILLE 09/11/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 14WC 36640 WILSON, DARRICK UNIVERSITY OF IL @ 08/19/14 DWORKIN AND MACIARIELLO BRUCE WARREN 90 14WC 36779 GILL, KEITHER CLASSIC EVENTS CATERING 02/01/09 WOODRUFF & JOHNSON THOMAS & PORTELA 91 14WC 36780 GILL, KEITHER STAFF MANAGEMENT 04/25/14 WOODRUFF & JOHNSON RODDY LAW LTD 92 14WC 42585 SWINFORD, ERWIN APL ENGINEERED MATERIALS 03/13/14 STRONG LAW OFFICE LAW OFFICE PAUL LARIMORE 93 14WC 43282 HOOVER, JAMES US PRO UNITED SERVICES/ 06/25/14 FREDERICK & HAGLE NYHAN BAMBRICK KINZIE & LOWR 94 15WC 01160 CARTER, ROBERT UNIVERSITY OF ILLINOIS 06/01/13 MARSZALEK AND MARSZALEK BRUCE WARREN 95 15WC 01857 SMITH, ANTHONY BUNGE 02/12/13 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 96 15WC 02460 WIREMAN, STONEY F.E. MORAN FIRE PROTECTIO 11/07/13 WILLIAMS & SWEE 97 15WC 02929 SMITH, MARY UNIT FOUR SCHOOL DISTRICT 10/15/14 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 98 15WC 03816 HELCK, CATHERINE A. PRESENCE COVENANT 10/17/12 MARSZALEK AND MARSZALEK INMAN & FITZGIBBONS 15WC003817 -C 15WC003818 -C 15WC003819 -C 15WC003820 -C 15WC003821 -C 99 15WC 04186 MILLER, DONALD COMBE LABORATORIES 07/10/14 TUGGLE SCHIRO & LICHTENBER PATRICIA M CARAGHER 100 15WC 04317 KUHL, LIGIA RR DONNELLEY & SONS 11/07/14 KATZ FRIEDMAN EAGLE ET AL CRAIG & CRAIG 101 15WC 04613 STEINER, DAVE UNIVERSITY OF ILLINOIS 11/26/14 LEE, MARK N LAW OFFICE BRUCE WARREN 102 15WC 05895 MCCALL. SHARON STATE OF ILLINOIS-DHS @ 11/26/14 BURNETT AND CARON ASSISTANT ATTORNEY GENERAL 103 15WC 07212 MCKELLIP, DIANE D N V FARMS 05/27/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 104 15WC 08474 SIMPSON, KEVIN PERFORMANCE FOOD GROUP 10/31/14 SPIROS LAW PC BRYCE DOWNEY & LENKOV LLC 105 15WC 09307 HEATH, MICHAEL R CUSTOM SERVICE CRANE INC 01/15/13 HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 15WC 09635 WILLIAMS, WESLEY BRETT STEPHENS UNDERGROUND SOLU 07/22/14 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 107 15WC 10101 WITTMAN, PETER C-U MTD 12/23/14 FREDERICK & HAGLE BRUCE WARREN 108 15WC 10111 REED, SERLENA LYNN UNIVERSAL HEALTH SRVCS, I 01/20/15 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 109 15WC 10248 POWELL, STEVE CRONKHITE INDUSTRIES 12/16/14 GARY JOE STOKES NYHAN BAMBRICK KINZIE & LOWR 110 15WC 10319 FOSTER, LONNIE RAY FARE FOODS, CORP. 05/12/14 HOWERTON, DORRIS & STONE WIEDNER & MCAULIFFE LTD 111 15WC 10362 WAGNER, RONDALEE VPS CONVENIENT STORE GROU 12/10/13 ANDREW J. KRIEGEL HEYL ROYSTER VOELKER & ALLEN 112 15WC 11461 BENTON, CHARLES 4MC CORP 02/08/15 ANKIN LAW OFFICE LIVINGSTONE MUELLER ET AL 113 15WC 12210 CRAVENS, TINA VERMILION COUNTY 10/09/13 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 114 15WC 12522 TESTER, ROBERT D JR PLASTIPAK PACKAGING 03/14/15 MARSZALEK AND MARSZALEK SMITH AMUNDSEN LLC 115 15WC 13069 HEINTZ, TIMOTHY JON CITY OF CHAMPAIGN 03/06/14 HOLLEY & ROSEN 116 15WC 13484 TRYBULL, CHERIE CUMBERLAND CUSE #77 08/14/14 SPIROS LAW PC KEEFE & DEPAULI 117 15WC 14315 HICKS, MICHAEL COLMAC COIL 03/18/15 FREDERICK & HAGLE HENNESSY & ROACH 118 15WC 14505 BREYMEYER, WAYNE MORRISON SECURITY 02/06/15 JARED S. KOSOGLAD GRANT & FANNING 119 15WC 14986 COBB, LOGAN J F ELECTRIC CO 05/21/13 MUELHAUSEN & STEFANI COZZI & GOGGIN-WARD 120 15WC 16567 WILLIAMS, DEBRA K HENSON ELECTRIC INC # 06/10/13 CHRIS WETZEL BRADY, CONNOLLY & MASUDA, PC 121 15WC 17085 DODD, RANDY UNIVERSITY OF ILLINOIS 07/30/12 LEE, MARK N LAW OFFICE BRUCE WARREN 122 15WC 17162 BROWN, TERESA PETERSEN HEALTHCARE, INC 08/23/14 KNELL LAW LLC 123 15WC 17249 SCHRUM, DONNA PLY GEM 01/03/15 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 15WC 17382 BUTLER, KATHY GOWIN ESTATES 02/12/15 KATZ FRIEDMAN EAGLE ET AL 125 15WC 17553 KIDD, ALICIA HEARTLAND APPLE 05/18/15 DODD & MAATUKA LLC 126 15WC 17756 MENDOZA, LUIS MASTERBRAND CABINETS INC 04/14/15 SPIROS LAW PC DUGAN & VOLAND 127 15WC 17935 SOMMER, RICHARD OBERLANDER ELECTRIC 12/12/14 LEE, MARK N LAW OFFICE CACCHILLO LAW GROUP LLC 128 15WC 18761 GALASSI, THEODORE EVANS-MASON, INC. 06/15/12 129 15WC 18803 HASSELBRING, BRYAN VERMILION VALLEY PRODUCE 04/15/15 TUGGLE SCHIRO & LICHTENBER RODDY LAW LTD 130 15WC 19033 CHRISTENSON, SCOTT CUSD UNIT 4 04/09/15 WOODRUFF & JOHNSON 131 15WC 19469 WRIGHT, GREGORY ALLEN DANVILLE CARE 06/05/14 CLAPPER & CLAPPER GANAN & SHAPIRO 15WC020209 -C SECURITAS 16WC007365 -C 132 15WC 20218 FUNKHOUSER, ROBERT D IL DEPT OF TRANSPORTATION @ 11/05/14 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 133 15WC 21255 KIDWELL, LISA FRANKLIN THE PAVILION 05/29/15 FREDERICK & HAGLE MC ANDREWS & NORGLE LLC 134 15WC 22040 BARTLOW, KENNETH W JR SYGMA 03/28/15 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 135 15WC 23240 WALLACE, ANGELA S NORTH AMERICAN LIGHTING 06/15/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 136 15WC 24223 STARR, TONI ALDI 05/02/15 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 137 15WC 25561 MARLOW, SUE SIGMA OF ALPHA DELTA 08/14/14 MEYER CAPEL, PC BRADY, CONNOLLY & MASUDA, PC 138 15WC 26454 BLACKMAN, DAWN FED EX 10/30/12 DEER & STONE PC MCANANY VANCLEVE & PHILLIPS 15WC037587 -C FEDEX 139 15WC 26566 HUNT, JORDAN STEVE LAYDEN 06/13/15 140 15WC 27754 STRUBBERG, WALTER TUGGLE, SCHIRO & 07/06/15 MARSZALEK AND MARSZALEK GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 141 15WC 28562 HOSKINS, JEFFREY FULL-FILL INDUSTRIES, LLC 12/20/14 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 142 15WC 28729 AREVALO, DIEGO B & B FRAMING 03/28/15 SCHREINER MALLOY & ETZLER ROSARIO CIBELLA 143 15WC 28891 JONES, DYLLAN EFFINGHAM EQUITY 04/15/15 MOSS & MOSS PC KEEFE CAMPBELL & ASSOC LLC 144 15WC 29180 NESBITT-CROSBY, LORRIE CHAMPAIGN-URBANA 01/27/15 FREDERICK & HAGLE 145 15WC 29444 WELLER, CINDY J DIVERSIFIED HEALTHCARE SE 10/27/14 GARY JOE STOKES GANAN & SHAPIRO 146 15WC 29679 JACKSON, PAMELA CHAMPAIGN UNIT 4 SCHOOL D 01/15/15 MARSZALEK AND MARSZALEK BRUCE WARREN 147 15WC 29882 HEAVILIN, THOMAS J ST OF IL DOT @ 07/22/15 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 148 15WC 30483 TO, LIEM UNIVERSITY OF ILLINOIS 02/05/10 SPIROS LAW PC 149 15WC 31925 MORRIS, CATHY KHIN WOEN LAIJ DDS 02/25/14 FINE, MARK S LAW OFFICES CRAIG & CRAIG 150 15WC 32478 RUEDI, ANDREA L FOX DEVELOPMENT 12/03/14 HEYL ROYSTER VOELKER & ALLEN 151 15WC 32758 WAGGONER, VICKIE PEPSI MIDAMERICA 09/15/14 152 15WC 33163 PEARCY, DONALD W VILLAGE OF LERNA 11/10/13 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 15WC033167 -C 153 15WC 33200 DAWSON, GORDON A STATE OF ILLINOIS/IL @ 06/16/15 GOLDBERG WEISMAN & CAIRO L ASSISTANT ATTORNEY GENERAL 154 15WC 33397 SADLECK, THOMAS NAPLETON MOTORS, INC 05/24/14 LAW OFFICE OF PAUL E SELIN HEYL ROYSTER VOELKER & ALLEN 155 15WC 33720 VICE, DEBORAH M NORTH AMERICAN LIGHTING 09/09/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 156 15WC 33805 MERRIWEATHER, TERRY BUNGE 04/27/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 157 15WC 33998 ROBINSON, RICK MSTER BRAND CABINETS INC 07/22/15 SMITH LAW LTD DUGAN & VOLAND 158 15WC 34217 HINCHMAN, DEREK ST OF IL DEPT OF CORRECTI @ 06/03/15 TUGGLE SCHIRO & LICHTENBER 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 PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 15WC 35064 BAXTER, ANNA MSTERBRAND CABINETS INC 11/04/14 SMITH LAW LTD DUGAN & VOLAND 160 15WC 36308 PADILLA, JOEL COUNTY MATERIALS 07/06/15 HENNESSY & ROACH 161 15WC 36924 ROMERO, JUAN FREIGHT CAR AMERICA, INC. 12/23/14 KARLIN FLEISHER & FALKENBE 162 15WC 38573 CARMER, MARY CARLE PHYSICIANS GROUP 04/24/12 STEPHEN P. KELLY BRUCE WARREN 163 15WC 39503 POLLITT, MIKE ALSTOM 11/03/15 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR 164 15WC 39666 GRAY, ROBERT FIRST STUDENT 11/24/15 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 165 15WC 41087 ANTUNA, JORGE A LEEMON ENTERPRISE INC 07/16/14 FREDERICK & HAGLE BRADY, CONNOLLY & MASUDA, PC 166 15WC 41275 SMITH, ALDAVID US GRANT MOTEL 01/25/15 DANIELS WILZBACH PC GAROFALO SCHREIBER STORM 167 15WC 41515 MILLER, KELLIE O KC SUMMERS INC 10/17/15 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 168 15WC 41991 SMITH, MARY CHAMPAIGN CUSD #4 09/25/15 KATZ FRIEDMAN EAGLE ET AL BRUCE WARREN 169 15WC 42134 LAWSON, PATRICIA NORTH AMERICAN LIGHTING 10/30/15 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEPHEN CARTER 170 15WC 42150 BARNEY, TODD SYGMA 11/06/14 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 171 15WC 42259 STEWART, WILLIAM UNIV OF ILLINOIS 06/01/14 LEE, MARK N LAW OFFICE BRUCE WARREN 172 15WC 42405 MONTGERARD, SHIRLEY DANVILLE PAPER SUPPLY 01/26/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 173 15WC 42438 BOURISAW, JAMES M. THE FLIGHTSTAR CORPORATIO 12/04/15 FREDERICK & HAGLE 174 16WC 00345 BAKER, TRACIE EIASE 11/06/15 SMITH LAW LTD 175 16WC 00390 BOLDEN, KEVAN A UNIVERSITY OF ILLINOIS @ 11/17/15 FREDERICK & HAGLE BRUCE WARREN 176 16WC 00956 GUNDY, JANET VAN MASTERBRAND CABINETS 09/08/15 HELLER HOLMES & ASSOC DUGAN & VOLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 177 16WC 01383 MOSLEY, TRACI NO AMERICAN LIGHTING 12/15/15 SPIROS LAW PC LAW OFFICES STEPHEN CARTER 178 16WC 03114 HEATH, ADAM UNIVERSITY OF IL @ 11/24/15 STRONG LAW OFFICE GANAN & SHAPIRO 179 16WC 04424 HESSELMANN, SARAH HEARTLAND HEALTH CARE CEN 12/13/15 SPIROS LAW PC 180 16WC 04598 RECKER, MARK CHI OVERHEAD DOORS INC 07/13/15 LAW OFFICE MICHAEL M WOJIT HEYL ROYSTER VOELKER & ALLEN 181 16WC 05035 KOCHER, BRIAN J REX VAULT & MAUSOLEUM 02/03/16 WOODRUFF & JOHNSON HENNESSY & ROACH 182 16WC 05090 TORRES, DARIO OSCAR FLORES SERVICES 10/17/15 KANOSKI BRESNEY COZZI & GOGGIN-WARD 183 16WC 05267 SHAW, GREGORY S MCLANE MIDWEST 01/19/16 CLAPPER & CLAPPER KEEFE CAMPBELL & ASSOC LLC 184 16WC 05322 CROCKETT, TERRELL HENKELS & MCCOY 06/19/15 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 185 16WC 05796 COSAT, CHERYL AMERICAN EAGLE AIRLINES I 07/25/13 CHRIS WETZEL 186 16WC 05938 VONDERHEIDE, STACEY J. CASEY'S GENERAL STORE 06/07/15 JAMES RUPPERT HEYL ROYSTER VOELKER & ALLEN 187 16WC 06897 REYNOLDS, GORDON COLES-MOULTRIE ELECTRIC 05/28/15 FINE, MARK S LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 188 16WC 07000 GRIMES, MELISSA SYGMA CORPORATION 09/28/15 HENNESSY & ROACH 189 16WC 07123 RILEY, DANNY FEDEX GROUND 10/27/15 RON D COFFEL & ASSOC 190 16WC 08087 NEWLIN, INDIA TRW 11/24/15 ASHER & SMITH HOLTKAMP LIESE ET AL 191 16WC 08573 GUTIERREZ, MARIA LIBMAN CO 11/08/15 REISMAN LAW OFFICE 192 16WC 08726 GREEN, DENNIS CABOT CORPORATION 11/17/14 SPIROS LAW PC SAMUELS MILLER SCHROEDER ETA 193 16WC 09590 POULOS, PETRO VISCOFAN 11/22/15 SPIROS LAW PC HENNESSY & ROACH 194 16WC 09789 NIGRA, MEGHAN HUMANE SOCIETY OF DANVILL 03/12/16 SPIROS LAW PC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 195 16WC 10136 RHODES, JUSTIN NEW WAVE COMMUNICATION 12/29/15 MARSZALEK AND MARSZALEK STEPHEN H LARSON LAW OFFICE 196 16WC 10302 SHAW, TIMOTHY B EVAPCO MID WEST 10/24/14 LAW OFFICES STEVEN PILAND 197 16WC 10577 HARRIS, ADAM CONTRACTOR'S SERVICE FOR 01/13/16 SPIROS LAW PC 198 16WC 10723 STANLEY, DEBBIE A UNIVERSITY OF ILLINOIS 01/27/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 199 16WC 10952 RODGERS, JACKIE UNIVERSITY OF ILLINOIS @ 03/06/16 TUGGLE SCHIRO & LICHTENBER BRUCE WARREN 200 16WC 11149 CAGLE, KEVIN AMEREN ILLINOIS 11/17/14 BRUCE WARREN LEMP & MURPHY 201 16WC 11814 COLE, LARRY DEE SECURITAS SECURITY 12/26/15 FREDERICK & HAGLE WIEDNER & MCAULIFFE LTD 202 16WC 12341 TRUEBLOOD, LINDA VICTOR DANA CORP 11/25/15 RIDGE & DOWNES 203 16WC 12531 SEAFLER, DALTON MANPOWER 03/23/16 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH, PC 204 16WC 12628 AZAM, ABDUR PREMIER INC. & CO 04/19/16 DWORKIN AND MACIARIELLO KNELL LAW LLC 205 16WC 12890 QUALLS, DAVID A CITY OF CHAMPAIGN 11/04/15 BACH, ROBERT W 206 16WC 14270 HUTSON, MARTHA AUTOZONE 02/05/16 TUGGLE SCHIRO & LICHTENBER QUINN JOHNSTON HENDERSON ETA 207 16WC 14480 TOWNSEND, JASON UNIVERSITY OF ILLINOIS 06/15/15 LEE, MARK N LAW OFFICE GANAN & SHAPIRO 208 16WC 14621 PHETCHAREUNE, VIRATH UNIVERSITY OF ILLINOIS 11/01/14 WALTON TELKEN FOSTER LLC HEYL ROYSTER VOELKER & ALLEN 209 16WC 14809 WARREN, BRIAN CARLE FOUNDATION HOSPITAL 05/02/14 SPIROS LAW PC BRUCE WARREN 210 16WC 15257 MATTHEWS, DARRYL AFFENBERG HYUNDAI 07/23/15 BROWN & BROWN EVANS & DIXON, LLC 211 16WC 15522 BROWN, STUART WHELAN SECURITY 12/03/15 WOODRUFF & JOHNSON WIEDNER & MCAULIFFE LTD 212 16WC 15951 ROBBINS, ROBERT D POSTAL FLEET SERVICES INC 05/03/16 FREDERICK & HAGLE WOLF LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 213 16WC 16319 PIATT, DENVER C USF HOLLAND, INC. 03/02/15 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH 214 16WC 16395 BAER, MARYELLEN DAVID S PALMER ARENA 02/27/14 QUINN JOHNSTON HENDERSON ETA 215 16WC 17432 KUNKEL, KEITH UNIVERSITY OF ILLINOIS 10/10/15 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 216 16WC 17693 RUIZ, FRANCISCO EZ TRAIL INC 06/23/14 DODD & MAATUKA LLC LAW OFFICES STEVEN PILAND 16WC017694 -C EX TRAIL, INC 217 16WC 18639 REYNOLDS, BRITTANY SCHNUCKS 05/29/16 SPIROS LAW PC LEMP & MURPHY 218 16WC 19237 HARDIN, MICHAEL BUNGE 08/15/15 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 219 16WC 19435 RAMSEY, REMONA MC DONALDS, USA LLC 11/04/14 PORRO NIERMANN LAW GROUP BRYCE DOWNEY & LENKOV LLC 220 16WC 20030 OLINGER, DOUGLAS PERRY, PATRICK @ W 03/04/16 MARSZALEK AND MARSZALEK 221 16WC 20209 POLL, DANIEL PERFORMANCE FOOD GROUP CO 04/22/16 FREDERICK & HAGLE INMAN & FITZGIBBONS 222 16WC 20303 BROWN, DAVID IL COMMUNITY ALTERNATIVE 01/15/16 MARSZALEK AND MARSZALEK SPIEGEL & CAHILL, PC 223 16WC 20777 BROWN, RICKEY L DECEASED/ PLASTIPAK # 07/20/14 KANOSKI BRESNEY SMITH AMUNDSEN LLC 224 16WC 20860 NETTLES, KENNETH KELLY SERVICES INC 06/15/16 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 225 16WC 20963 KENNEDY, KYM D. MCLANE MIDWEST 06/03/16 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 226 16WC 21563 WHITESELL, KENNETH B MARVIN KELLER TRUCKING IN 06/24/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 16WC024799 -C 227 16WC 21650 VAUGHN, ANTHONY WILLIAMS BROTHERS CONSTRU 06/25/14 LEE, MARK N LAW OFFICE KNELL LAW LLC 228 16WC 21860 HUFF, SHEILA HERITAGE JUNIOR HIGH @ 10/13/15 WOODRUFF & JOHNSON GANAN & SHAPIRO 229 16WC 21991 MENDOZA, ANN MICHELLE HORIZON HOBBY DISTRIBUTOR 08/07/13 KANOSKI BRESNEY 230 16WC 22272 HACQUET, JULIA DANVILLE METAL STAMPING 03/28/15 SPIROS LAW PC BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 231 16WC 22454 JORDAN, JENNIFER PRESENCE COVENANT MEDICAL 05/18/15 FREDERICK & HAGLE 232 16WC 23001 PETERS, ERVIN ITW HI-CONE 06/14/16 LAW OFFICE MICHAEL M WOJIT HENNESSY & ROACH 233 16WC 23210 BUDD, JOSEPH CHRISTENSEN FARMS & 12/05/15 TAPELLA & EBERSPACHER LLC LEAHY EISENBERG & FRAENKEL 234 16WC 23363 PRICE, CHRISTINA ALDI'S 06/30/16 SMITH LAW LTD BRADY, CONNOLLY & MASUDA, PC 235 16WC 24425 BATES-MARTIN, JEAN A. DANVILLE MASS TRANSIT 06/15/16 GARY JOE STOKES RODDY LAW LTD 236 16WC 24491 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 04/22/16 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 237 16WC 24925 MILLER, DARRELL ROLAND REALTY 06/16/16 SPIROS LAW PC BRUCE WARREN 238 16WC 24963 POE, THOMAS ARAMARK UNIFORM SERVICES 05/11/16 BURNETT & CARON, LTD 239 16WC 25133 CLARK, DAKOTA TOTAL GRAIN MARKETING 06/01/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 240 16WC 25334 FRAISER, GILBERT SDG GLOBAL INC 07/31/16 JOHN E LUSAK GRANT & FANNING 241 16WC 26057 EHLEY, EARL UNIVERSITY OF IL @ 08/06/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 242 16WC 26439 KIDDOO, DIANE K UNIVERSITY OF ILLINOIS @ 01/10/16 GREGORY L. RYAN LAW OFFICE GANAN & SHAPIRO 16WC028353 -C 243 16WC 26560 BRIGGS, SHANNON READYLINK HEALTHCARE 07/23/16 KEEFE & GRIFFITHS PC REED ARMSTRONG GORMAN ET AL 244 16WC 26898 CROW-AMICHE, KATHERINE WALGREENS STORE #9965 08/13/16 FREDERICK & HAGLE EVANS & DIXON, LLC 245 16WC 26901 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 09/25/15 BURNETT & CARON, LTD 246 16WC 26985 RODRIGUEZ, RAFAEL ANTONIO FERNANDO PAYAN MAINTENANC 07/20/15 SCHUM LAW PC 247 16WC 27245 NEWMAN, MARIANA ILLINOIS SECRETARY OF STA @ 08/25/16 BECKETT & WEBBER PC ASSISTANT ATTORNEY GENERAL 248 16WC 27319 FISCUS, ANTHONYS H&L CONSTRUCTION 07/27/16 SCHROEDER, JOSEPH R GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 249 16WC 27451 BRYAN, BRIANNE MEIJER 06/21/16 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR 250 16WC 27592 FIFER, STACEY THE LIBMAN COMPANY 08/08/16 WOODRUFF & JOHNSON LAW OFFICES STEVEN PILAND 251 16WC 27674 SMYSER, CYNTHIA M CCAR INDUSTRIES 06/02/14 KEVIN L GEISLER HEYL ROYSTER VOELKER & ALLEN 252 16WC 28369 FITTON, DOUG OPEN ROAD PAVING 06/07/15 FREDERICK & HAGLE PERRY GENTILE 253 16WC 28491 LANKSTER, STEPHEN PARIS COMMUNITY HOSPITAL 01/14/16 WOODRUFF & JOHNSON MACIOROWSKI SACKMANN & ULRIC 254 16WC 28560 CARTWRIGHT, JOANNE TEASDALE FOODS 05/18/16 SPIROS LAW PC QUINN JOHNSTON HENDERSON ETA 255 16WC 28585 DIGBY, RYAN HOBBICO 08/21/16 TUGGLE SCHIRO & LICHTENBER KNELL LAW LLC 256 16WC 28612 ROBBINS, DONALD ALVAREZ INDUSTRIAL CLEANI 08/30/16 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 257 16WC 28980 PALOMAKI, SOOQEONG MASIJTA GRILL 08/26/16 258 16WC 29397 WOOTERS, GREGORY VILLAGE PANTRY, LLC 01/07/14 COLLISON & O'CONNOR 259 16WC 29767 SISK, HEATHER L CARLE 10/20/15 KANOSKI BRESNEY BRUCE WARREN 16WC029768 -C 260 16WC 29854 DEMKO, JOSH CHAMPAIGN COUNTY SHERIFF @ 06/12/15 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 261 16WC 29903 NORDER, NORMAN IL DEPT OF TRANSPORTATION @ 05/25/16 LAW OFFICE OF PAUL E SELIN ASSISTANT ATTORNEY GENERAL 262 16WC 30329 DJAKOVICH, KENNETH FEDEX FREIGHT, INC. 01/29/16 MOSS & MOSS PC QUINTAIROS PRIETO WOOD & BOY 17WC016253 -C 263 16WC 30621 THOMAS, NATASHA CHAMPAIGN COUNTY NURSING 08/31/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 264 16WC 30780 JACKSON, MARILYN GARDENVIEW MANOR 06/25/16 TUGGLE SCHIRO & LICHTENBER BRADY, CONNOLLY & MASUDA, PC 265 16WC 31799 DIDIORE, KIRK CARRY TRUCKING SERVICES L 06/23/16 FREDERICK & HAGLE 266 16WC 31965 BACK, TRAVIS K & K COATING 09/21/15 FREDERICK & HAGLE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 267 16WC 32063 KENDALL, SAMANTHA ADDUS HEALTHCARE 09/14/16 ASHER & SMITH HENNESSY & ROACH 268 16WC 32313 THOMPSON, CRYSTAL NORTH AMERICAN LIGHTING, 06/15/14 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 269 16WC 32540 PRATHER, QUENTIN LITANIA SPORTS GROUP, INC 09/06/16 WOODRUFF & JOHNSON PERRY GENTILE 270 16WC 32822 NELSON, BRENDA ILLINOIS SECRETARY OF STA @ 09/06/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 271 16WC 32960 BELL, ESSIE KIK CUSTOM PRODUCTS 09/28/16 DE SALVO, SCOTT D LAW OFFI 272 16WC 33366 WHEELER, LORI MENARDS 10/14/16 FREDERICK & HAGLE 273 16WC 33772 PRUETT, BONNIE SERV-PRO 08/04/16 SPIROS LAW PC 274 16WC 33828 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 09/04/16 BURNETT & CARON, LTD HENNESSY & ROACH 275 16WC 33881 HINES, LADAROL SUPERVALU 02/05/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 276 16WC 34071 KEAN, KENNETH MOHANAN FILAMENTS 10/26/16 STRONG LAW OFFICE KNELL LAW LLC 277 16WC 34665 HOLLEY, DERRICK CONAIR CORP 03/12/14 WOODRUFF & JOHNSON 278 16WC 35388 HAMILTON, NICK GIBSON AREA HOSPITAL 03/31/16 ZELLERMAYER, REUBEN J SCOPELITIS GARVIN LIGHT 279 16WC 35829 CRAFT, BRENDA GENPACT 01/26/16 TUGGLE SCHIRO & LICHTENBER LAW OFFICE PAUL LARIMORE 280 16WC 36153 MAYBACK, TRUDIE LAKEWOOD VILLAGE 10/19/16 STRONG LAW OFFICE KNELL LAW LLC 281 16WC 36619 HAMILTON, HAROLD DAVID FITZGERALD EQUIPMENT 09/02/15 LAW OFFICE PATRICK JENNETT WIEDNER & MCAULIFFE LTD 282 16WC 37100 MILLER, OLEN R KUHNS CONSTRUCTION/ 02/27/14 HELLER HOLMES & ASSOC HEYL ROYSTER VOELKER & ALLEN 283 16WC 37128 BUYNO, JAMES J HERZOG TRUCKING 03/23/16 BURNETT & CARON, LTD SCOPELITIS GARVIN LIGHT 284 16WC 37149 SCHMITZ, CASEY CARLE 09/25/16 RONALDSON & KUCHLER BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 285 16WC 37416 JACKSON, LAURA URBANA SCHOOL DISTRICT 11 10/05/16 WOODRUFF & JOHNSON 286 16WC 38165 AKINS, STEVE KIK 09/18/15 TUGGLE SCHIRO & LICHTENBER POWER & CRONIN LTD 287 16WC 38252 HOLLAND, DONALD SPECCHIO FARMS 12/19/13 KANOSKI BRESNEY INMAN & FITZGIBBONS 288 16WC 38557 TOWELL, JODIE ST OF IL DEPT OF CORRECTI @ 10/03/16 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 289 16WC 38652 POLK, WILLARD D JR VISCOFAN USA INC 07/26/16 GREG LIETZ 290 16WC 38734 LOOK, KATHERINE R WELLS FARGO BANK, NA 12/01/15 ERWIN MARTINKUS & COLE 291 16WC 38950 HOWEY-GAY, LIANA MBR CENTRAL IL PIZZA, LLC 12/11/16 SPIROS LAW PC 292 16WC 39095 WRIGHT, JOHN R MASTERBRAND CABINETS INC. 07/07/16 SHAY & ASSOCIATES DUGAN & VOLAND 293 16WC 39109 CUMMINS, JAMES S EXPRESS EMPLOYMENT 07/06/16 294 16WC 39188 LANMAN, DANIEL COCHRANE ENTERPRISE 11/01/16 BRISKMAN BRISKMAN GREENBER 295 16WC 39274 CRAIL, RICK DON BOWEN 10/15/16 CRAIG & CRAIG 296 16WC 39448 PASLEY, TROY CORT FURNITURE 07/26/16 TUGGLE SCHIRO & LICHTENBER LAW OFFICES STEVEN PILAND 297 17WC 00188 NGUYEN, KHOI UNIVERSITY OF ILLINOIS 12/02/15 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 298 17WC 01214 WINFREY, VICTORIA ILLINI UNION 08/22/16 WARREN E DANZ, PC GANAN & SHAPIRO 299 17WC 01258 SANDLIN, REBEKAH J KAMAL CORP, D/B/A WESTVIL 12/12/15 MANION JANOV & DEVENS LTD COZZI & GOGGIN-WARD 300 17WC 01387 ROSINE, AMANDA MARS PETCARE 11/18/16 DWORKIN AND MACIARIELLO 301 17WC 01582 SANDLIN, REBEKAH J KAMAL CORP/DBA WESTVILLE 07/12/16 MANION JANOV & DEVENS LTD COZZI & GOGGIN-WARD 302 17WC 01689 MILLS, JOHN R CITY OF CHAMPAIGN, FIRE D 06/01/16 CONNOR LAW OFFICES CITY OF CHAMPAIGN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 17WC 01938 TANNER, LISA MARIE RENT-A-CENTER 09/23/16 MOSS & MOSS PC 304 17WC 02180 LEE, JEFFREY TRW, INC. 08/01/16 SMITH LAW LTD HOLTKAMP LIESE ET AL 305 17WC 02895 PIZANA, EVERARDO MAC CONSTRUCTION & ROOFIN 06/24/16 MC HARGUE, JAMES P LAW OFF STEPHEN H LARSON LAW OFFICE 306 17WC 02973 SHUMATE, JOHN DAVID SILGAN CLOSURES 08/08/16 FREDERICK & HAGLE 307 17WC 03137 WILLIAMS, ROBERT EXPRESS EMPLOYMENT PRO 01/27/17 DWORKIN AND MACIARIELLO MC ANDREWS & NORGLE LLC 308 17WC 03571 WOODS, DEREK SENCO CONSTRUCTION INC 11/29/16 SAUNDERS CONDON & KENNY GAROFALO SCHREIBER STORM 309 17WC 03839 HANTON, ELLASHATA ARTHUR HOME 09/11/16 KATZ FRIEDMAN EAGLE ET AL 310 17WC 03950 CLARK, PHILIP UNIVERSITY OF ILLINOIS @ 01/26/16 DODSON PIRAINO & ASSOC HEYL ROYSTER VOELKER & ALLEN 311 17WC 04157 CARTER, JAMES LUTECH RESOURCES 02/02/16 GOLDFINE & BOWLES RIPES NELSON BAGGOT KALOBRAT 312 17WC 04203 HEDRICK, MARLOW CHAMPAIGN COUNTY REGIONAL 01/24/17 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 313 17WC 04819 JONES, GERALDINE CHAMPAIGN UNIT 4 SCHOOLS 02/01/17 WOODRUFF & JOHNSON BRUCE WARREN 314 17WC 04851 VISEL, BETH UNIVERSITY OF ILLINOIS @ 01/12/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 315 17WC 04930 BOSTON, MATTHEW BUNGE MILLING 01/12/17 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 17WC006074 -C 17WC006075 -C 17WC006076 -C 17WC017496 -C 316 17WC 05095 ROSALES, SOTO, LEONEL AMIGO CONSTRUCTION 02/07/17 SCHUM LAW PC 317 17WC 05615 FISCHER, MICHELLE HEARTLAND NURSING CENTER 01/04/17 FREDERICK & HAGLE BOGGS AVELLINO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 17WC 06024 JACKSON, MICAH HOGAN TRANSPORTATION 02/08/17 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 319 17WC 06049 MCNEAL, BOBBY GCA SERVICES GROUP 01/22/17 FREDERICK & HAGLE POWER & CRONIN LTD 17WC006053 -C 17WC006057 -C 320 17WC 06201 NIDEY, JESSICA HERITAGE HEALTH- ROBINSON 10/04/16 MOSS & MOSS PC RIPES NELSON BAGGOT KALOBRAT 17WC011307 -C 17WC011308 -C 321 17WC 06325 ROSINE, AMANDA MARS PETCARE 02/26/17 DWORKIN AND MACIARIELLO 322 17WC 06377 MORGAN, DEREK J MULTIBAND FIELD SERVICES 02/08/17 KANOSKI BRESNEY 323 17WC 06647 CLARK, THERESA L NORTH AMERICAN LIGHTING, 08/05/16 ASHER & SMITH LAW OFFICES STEPHEN CARTER 324 17WC 07310 DODD, THERESA RANTOUL CITY SD 137 11/18/16 KATZ FRIEDMAN EAGLE ET AL 325 17WC 07436 MILBURN, TONYA HERITAGE HEALTH 04/20/16 SPIROS LAW PC RIPES NELSON BAGGOT KALOBRAT 326 17WC 07632 TEGELER, MAKENZIE NICOLE RURAL KING 08/12/16 ASHER & SMITH HENNESSY & ROACH 327 17WC 07884 AUTEBERRY, DENNIS KRAFT FOODS 05/14/16 LEE, MARK N LAW OFFICE BRUCE WARREN 328 17WC 07968 WILLS, BONNIE PAXTON HEALTHCARE & REHAB 07/08/16 TUGGLE SCHIRO & LICHTENBER 329 17WC 08264 GRAVELY, DANNY R PLASTIPAK PACKAGING, INC 12/19/16 FREDERICK & HAGLE SMITH AMUNDSEN LLC 330 17WC 08498 GIBSON, SHAWN ILLINOIS DEPT OF CORRECTI @ 02/20/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 331 17WC 08560 WRIGHT, MITCHELL CLARK LINDSAY VILLAGE 02/26/17 LAW OFFICE MICHAEL M WOJIT PERRY GENTILE 332 17WC 08715 BRYANT, MATTHEW CHAMPAIGN UNIT 4 SCHOOL D 03/07/17 SPIROS LAW PC 333 17WC 08857 BACHERT, RANDALL UNIVERSITY OF ILLINOIS 03/31/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 334 17WC 09326 HAMMOND, MICHAEL PEPSI MID-AMERICA 03/03/17 REISMAN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 335 17WC 09474 RILEY, JIMMY FLEX-N-GATE 07/19/16 SPIROS LAW PC BRUCE WARREN 336 17WC 09542 WESNER, MATHEW AMEREN 08/01/16 KATZ FRIEDMAN EAGLE ET AL HOLTKAMP LIESE ET AL 337 17WC 09630 BIRGE, RYAN CITY OF DANVILLE 05/29/16 SCHUM LAW PC RODDY LAW LTD 338 17WC 09691 DRUM, KELLY R LYONS, LLC 03/10/17 ASHER & SMITH 339 17WC 10348 ANGLIN, VICTORIA MENARDS, INC 02/23/17 FREDERICK & HAGLE QUINN JOHNSTON HENDERSON ETA 340 17WC 10814 FAGG, JOHN D JR AMBULANCE MANAGEMENT SERV 04/15/15 ASHER & SMITH KOPKA, PINKUS DOLIN, PC 341 17WC 10856 WILSON, KAREN L. HENDERICK HOUSE 12/12/16 GREGORY L. RYAN LAW OFFICE 342 17WC 10932 CROWLEY, CLIFFORD D CHAMPAIGN COUNTY HIGHWAY 10/11/16 SCHUM LAW PC HEYL ROYSTER VOELKER & ALLEN 343 17WC 11338 LEE FOX, CARRIE BILL ABBOTTS 03/13/17 BRIAN T. SCHURTER NOBLE & ASSOCIATES PC 344 17WC 11587 DARNELL, CHASITY WIDOW OF BUNGE # 03/23/17 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 345 17WC 11717 STEWART, BRENT ESTATE OF, ILLINI FS # 04/21/14 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 346 17WC 12332 OBERMAN, RAUN BROTKE WELL & PUMP 08/03/16 BROWN & BROWN GANAN & SHAPIRO 347 17WC 12387 SHINN, MATTHEW FORD OF TUSCOLA 05/26/15 KANOSKI BRESNEY 348 17WC 12466 JEAN, JON COLES COUNTY SHERIFF'S DE 04/10/17 SMITH LAW LTD CRAIG & CRAIG 349 17WC 12508 ANDERSON, TAMIKA CHAMPAIGN COUNTY NURSING 03/12/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 350 17WC 12788 PRESTON, ANN CHAMPAIGN COUNTY NURSING 11/16/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 351 17WC 13012 BLACKBURN, JUSTIN D CHAMPAIGN A & K INSULATIO 09/06/16 HARVEY & STUCKEL HENNESSY & ROACH 352 17WC 13207 DAVIS, WANDA EXPRESS EMPLOYMENT 01/04/17 NESSLER, FREDERIC LAW OFFI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 17WC 13338 PEPPERDINE, DEE M EASTERN ILLINOIS UNIVERSI @ 03/29/17 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 354 17WC 13351 LUYANDO JR., NELSON DSC LOGISTICS 11/28/16 REISMAN LAW OFFICE MC ANDREWS & NORGLE LLC 355 17WC 13459 TEMPLES, MARY JANE ADDUS HEALTHCARE 09/09/15 KANOSKI BRESNEY HENNESSY & ROACH 356 17WC 13501 ROSE, ALONZO HARDEE'S 11/25/14 STRONG LAW OFFICE GANAN & SHAPIRO 357 17WC 13985 BOWEN, JOSH CHI OVERHEAD DOORS 04/05/17 KATZ FRIEDMAN EAGLE ET AL 358 17WC 14213 WELLS, KENNETH VISCOFAN USA 06/22/16 WOODRUFF & JOHNSON 359 17WC 14404 CAGLER, NANCY UNIVERSITY OF ILLINOIS @ 10/11/16 BRIAN T. SCHURTER BRUCE WARREN 360 17WC 14549 MAHNKE, MIKE CURRY CONSTRUCTION INC 04/21/17 KATZ FRIEDMAN EAGLE ET AL STEPHEN H LARSON LAW OFFICE 361 17WC 14970 WOODS, KIMMY CONAIR CORPORATION 05/02/17 STEVEN A CRIFASE, LTD COZZI & GOGGIN-WARD 362 17WC 15032 SCHERBRING, MARVIN F VILLAGE OF RANTOUL 12/31/15 SCHUM LAW PC RODDY LAW LTD 363 17WC 15065 MORLAN, LAWRENCE E DANVILLE METAL STAMPING 12/03/15 SPIROS LAW PC BRUCE WARREN 364 17WC 15180 FOLKERTS, KATHERINE ILLINOIS DEPARTMENT @ 04/28/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 365 17WC 15261 ROBECK, CHERYL UNIVERSITY OF ILLINOIS 10/05/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 366 17WC 15413 JENSEN, RITCHIE HERFF JOENS 05/18/17 WOODRUFF & JOHNSON 367 17WC 15487 POWELL, CHERI PRESENCE UNITED SAMARITAN 11/01/16 KATZ FRIEDMAN EAGLE ET AL 368 17WC 15939 MILLER, WALTER KRAFT FOODS 12/01/15 WILLIAMS & SWEE 369 17WC 16196 SAUNDERS, KENT SUPERVALU, INC 11/12/16 MEYERS & FLOWERS HEYL ROYSTER VOELKER & ALLEN 370 17WC 16252 BEACHEY, ROGER UNIVERSITY OF ILLINOIS 05/04/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 17WC 16396 NASIR, NASIR 2 BROTHERS TRUCKING 03/25/17 MOSS & MOSS PC NYHAN BAMBRICK KINZIE & LOWR 372 17WC 16471 STRICKLETT, DANIEL J ST OF ILLINOIS-DOT @ 04/12/17 BURNETT & CARON, LTD 373 17WC 16662 DAVIS, KATHLEEN ADECCO EMPLOYMENT SERVICE 04/13/17 SCHUM LAW PC HENNESSY & ROACH 374 17WC 16845 OAKLEY, MARTY A STATE OF IL - IDOT @ 06/14/16 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 375 17WC 16871 OLINGER, DOUGLAS MARTIN HIGH & CONSTANCE H @ W 03/04/16 MARSZALEK AND MARSZALEK THIELEN, FOLEY & MIRDO LLC 376 17WC 17453 MACIEL, MIGUEL VALOR TECHNOLOGIES INC 05/26/17 CHEPOV & SCOTT LLC LITCHFIELD CAVO 377 17WC 17669 BAILLON, ERNIE LOMAN-RAY INSURANCE GROUP 05/04/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 378 17WC 17756 DERRICKSON, RON ILLINOIS DEPT OF CORRECTI 05/01/17 TUGGLE SCHIRO & LICHTENBER 379 17WC 17828 HOPKINS, AURA THE ARTHUR HOME 07/13/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 380 17WC 17992 TRAN, DUYEN CONAIR 02/07/17 BRIAN T. SCHURTER COZZI & GOGGIN-WARD 381 17WC 18019 JONES, RYAN OLD DOMINION FREIGHT LINE 06/12/15 SPIROS LAW PC RODDY LAW LTD 382 17WC 18248 GONES III, JOHN ALTORFER 08/29/16 FREDERICK & HAGLE 383 17WC 18343 YOUNT, MATTHEW LOWE'S OF DANVILLE 04/19/17 SPIROS LAW PC 384 17WC 18354 HALL, CALEB CREATIVE CONSTRUCTION 11/10/16 SPIROS LAW PC 385 17WC 18710 GRIJALVA, JESUS LSC COMMUNICATIONS 11/16/16 WOODRUFF & JOHNSON 386 17WC 18733 MCGRATH, MICHAEL DUPONT 05/16/17 WARREN E DANZ, PC 387 17WC 18776 HOLLEY, KEVIN LEBANON SEABOARD 04/27/17 TUGGLE SCHIRO & LICHTENBER COZZI & GOGGIN-WARD 388 17WC 18801 JOHNSON, JASON A ALBIN HOMES, INC. 05/24/17 GREG LIETZ

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 17WC 18859 BLAN, ROBERT O'BRIEN'S AUTO PARK 07/27/15 FREDERICK & HAGLE 390 17WC 19025 COLE, RODNEY TODD BRASHEAR D/B/A CLARK W 10/03/16 ASHER & SMITH 391 17WC 19256 JOHNSON, CLAYTON EDGARD COUNTY SHERIFF'S O 06/08/17 WOODRUFF & JOHNSON 392 17WC 19284 HOBBS, ANDY K&K COATING 09/14/16 LAW OFFICE OF CHRIS DOSCOT MACIOROWSKI SACKMANN & ULRIC 393 17WC 19334 PEASLEE, MARSHALL VISCOFAN USA, INC 04/22/17 GARY JOE STOKES 394 17WC 19710 LIKINS, MICHELLE D MASTERBAND CABINETS 04/04/16 LAW OFFICE MICHAEL M WOJIT 395 17WC 20168 ROBISON, STACY S HEARTLAND COCA-COLA BOTTL 04/09/17 ASHER & SMITH 396 17WC 20229 JARVIS, NATHAN RURAL KING SUPPLY 06/26/17 FREDERICK & HAGLE HENNESSY & ROACH 397 17WC 20386 ONEY, TIMOTHY EXPRESS EMPLOYMENT 05/12/17 DWORKIN AND MACIARIELLO 398 17WC 20393 ANDERSON, MICHAEL P & P CONSTRUCTION 07/28/14 MARK A WELLS LAW OFFICE LIVINGSTONE MUELLER ET AL 399 17WC 20430 RODRIGUEZ, NAILYN EXPRESS EMPLOYMENT 11/07/16 REISMAN LAW OFFICE MC ANDREWS & NORGLE LLC 400 17WC 20604 KUHRING, AUSTIN STATE OF IL IDOT 03/01/17 BURNETT & CARON, LTD 401 17WC 20762 SMITH, SAMANTHA PREMIUM PACKAGING CORP 01/16/17 TAPELLA & EBERSPACHER LLC BRADY, CONNOLLY & MASUDA, PC 402 17WC 20827 WINNETT, MELISSA K PINNACLE FOODS 05/12/17 FERGUSON, MARK E LTD INMAN & FITZGIBBONS 403 17WC 20929 DILLAVOU, KATHERINE M. CHAMPAIGN COMM UNIT SD 4 12/19/16 WOODRUFF & JOHNSON BRUCE WARREN 404 17WC 20944 YORK, VICTOR CLIFFORD JACOBS FORGING C 02/23/17 SCHUM LAW PC MACIOROWSKI SACKMANN & ULRIC 405 17WC 21200 MCDOWELL, CURTIS FIDELITY CONSTRUCTION 04/01/17 DWORKIN AND MACIARIELLO 406 17WC 21249 DAUGHERTY, JOY LIBMAN COMPANY 06/16/17 FAJARDO LAW GROUP LAW OFFICES STEVEN PILAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 17WC 21327 SMITH, DEBBIE DANA SEALING MANUFACTURIN 03/10/17 MOSS & MOSS PC 408 17WC 21348 BYNDOM, KATRINA CREATIVE DINING 06/05/17 STEVEN A CRIFASE, LTD 409 17WC 21488 PICKFORD, RAY BPI TESTING 03/07/17 LEE, MARK N LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 410 17WC 21709 LEONETTI, RICHARD IDOT @ 05/31/17 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 411 17WC 21820 WATSON, ELIZABETH LOWE'S COMPANIES, INC 06/27/17 SCHUM LAW PC KEEFE CAMPBELL & ASSOC LLC 412 17WC 21962 VISEL, BETH UNIVERSITY OF ILLINOIS 06/22/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 413 17WC 22299 MANN, ASHLEY S MASTERBRANDS CABINETS 04/21/17 KANOSKI BRESNEY 414 17WC 22375 WINSTON, RICHARD PRESENCE COVENANT MEDICAL 06/25/17 WALTON TELKEN FOSTER LLC INMAN & FITZGIBBONS 415 17WC 22580 FIGGINS, WAYNE L MASTERBRAND CABINETS, INC 07/28/16 HELLER HOLMES & ASSOC DUGAN & VOLAND 416 17WC 22809 NOYES, VICKI B CHARLES INDUSTRIES, LTD 10/02/14 ASHER & SMITH INMAN & FITZGIBBONS 417 17WC 22981 BOLL, CARLENE F SINCLAIR BROADCAST GROUP # 06/26/17 WOLTER BEEMAN AND LYNCH BRADY, CONNOLLY & MASUDA, PC 418 17WC 23048 WELLUM, ROBERT STATE OF IL/DEPT OF @ 06/16/17 HELLER HOLMES & ASSOC 419 17WC 23275 LESLIE, PENNY E CUNNINGHAM CHILDREN'S HOM 05/16/17 FREDERICK & HAGLE HENNESSY & ROACH 420 17WC 23480 CORZINE, CHRISTOPHER C UNIVERSITY OF IL 05/24/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 421 17WC 23953 METZ, JOHN THRIFT TRUCKING, INC 06/22/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 422 17WC 24073 BENSON, LARRY EDWARD DON & COMPANY 06/29/17 VRDOLYAK LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 423 17WC 24174 POTTER, CHRIS USF HOLLAND TRUCKING 04/28/17 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 424 17WC 24338 CROSS, KIMBERLY LHC GROUP 05/18/17 JEFFREY R KOOI INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 17WC 24430 THOMAS, DAWANNA UNIVERSITY OF ILLINOIS 07/28/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 426 17WC 24557 CROSS, ED FIBERTEQ 02/10/17 TUGGLE SCHIRO & LICHTENBER MACIOROWSKI SACKMANN & ULRIC 427 17WC 24662 ROMO, SANDRA MASTERGUARD 08/09/17 DWORKIN AND MACIARIELLO 428 17WC 24700 RIMMER, KELSEY M RESOURCE MFG 08/11/16 JAMES RUPPERT 429 17WC 24754 GOODLING, RODNEY PREMIER COOPERATIVE, INC. 05/12/17 FREDERICK & HAGLE CAPUANI & SCHNEIDER 430 17WC 25000 GOODE, DAVID A MICROSURFACING CONTRACTOR 05/31/17 O'CONNOR & NAKOS 431 17WC 25355 GORMAN, MAURICE G UNIVERSITY OF ILLINOIS 05/11/17 FREDERICK & HAGLE 17WC033851 -C 432 17WC 25531 LONG, KELLY COUNTRY HEALTHY CARE & RE 05/26/16 SPIROS LAW PC 433 17WC 25579 NEAL, JOHN PLASTIPAK 09/13/16 TUGGLE SCHIRO & LICHTENBER 434 17WC 25893 LAMPLEY, LORI LSC COMMUNICATIONS 06/18/17 KATZ FRIEDMAN EAGLE ET AL 435 17WC 26112 OLVERA, LUIS INNOVATIVE STAFF SOLUTION 08/07/17 REISMAN LAW OFFICE 436 17WC 26203 BURNETT, KAREEM A KIK CUSTOM PRODUCTS, INC 07/24/17 FREDERICK & HAGLE POWER & CRONIN LTD 437 17WC 26233 VANCE, WILLIAM P THYSSENKRUPP 07/11/17 BURNETT & CARON, LTD WOLFE & JACOBSON, LTD 438 17WC 26413 ROESCH, DAVID L STARK EXCAVATING, INC. 06/20/17 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 439 17WC 26510 DAVIS, STEVE STARK EXCAVATING 08/12/17 GREGORIO & MARCO 440 17WC 26650 COLUNGA, AMADEO JR SCHUMACHER ELECTRIC COMPA 06/28/17 KATZ FRIEDMAN EAGLE ET AL 441 17WC 26710 CORTES, PEDRO A HOBBICO, INC. 12/10/15 BECKETT & WEBBER PC KNELL LAW LLC 442 17WC 26921 DODSON, COURTNIE FEDEX GROUND 05/06/17 SPIROS LAW PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 17WC 27021 LANG, STUART A MIDSTATE TANK 05/04/17 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 444 17WC 27078 FREEZELAND, PHILLIP CHARLESTON US LLC 11/16/16 DANIELS WILZBACH PC 445 17WC 27375 WILLIAMS, CESARIO T RANOUTL FOODS, LLC 08/04/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 17WC027376 -C RANTOUL FOODS, LLC 446 17WC 27391 SANTANA, ROSA N BELL SPORTS N/K/A 11/13/14 SCHUM LAW PC COZZI & GOGGIN-WARD 447 17WC 27515 NELSON, THOMAS RV HORIZONS, INC 06/27/17 RIDGE & DOWNES 448 17WC 27700 SIMS, ROBERT MANITO TRANSIT 07/16/17 LAW OFFICE DAVID HUNT 449 17WC 28323 SMITH, SANTEZ SUPERVALU 07/20/17 GARY JOE STOKES HEYL ROYSTER VOELKER & ALLEN 450 17WC 28662 SANTANA, ROSA N BELL SPORTS NKA VISTA OUT 01/16/16 SCHUM LAW PC GRANT & FANNING 451 17WC 28692 LOCKETT, ERNEST L SODEXO, INC 04/25/17 FREDERICK & HAGLE 452 17WC 28714 BELL, ANGELA DANVILLE SCHOOL DISTRICT 08/01/17 DWORKIN AND MACIARIELLO 453 17WC 28827 LOMAX, DANIEL EXPRESS EMPLOYMENT 07/11/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 454 17WC 28979 FIELDS HARRIS, CHRISTINE DON WITZEL ENTERPRISES, I 09/23/17 POLANSKY & CICHON CHTD 455 17WC 29233 LANKSTER, ASHLEY GENPACT 06/15/17 SPIROS LAW PC LAW OFFICE PAUL LARIMORE 456 17WC 29701 BROWN, DAVID SECURE TRUCKING INC 07/22/16 SPIROS LAW PC INMAN & FITZGIBBONS 457 17WC 29704 BROWN, DAVID SECURE TRUCKING INC 04/25/16 SPIROS LAW PC NYHAN BAMBRICK KINZIE & LOWR 458 17WC 29928 REYNOLDS, BRITTANY SCHNUCK MARKETS, INC 04/18/17 SPIROS LAW PC 459 17WC 30021 SAVAGE, FALON CHAMPAIGN COUNTY NURSING 05/19/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 460 17WC 30133 GOMEZ, CARMEN HERFF JONES CAP AND GOWN 01/11/17 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 17WC 30149 DOWDY, DAVID USF HOLLAND 09/23/17 GALANTI LAW OFFICES HENNESSY & ROACH 462 17WC 30219 EICHINGER, ANNA M NORTH AMERICA LIGHTING 01/10/17 TAPELLA & EBERSPACHER LLC 463 17WC 30394 SOSA, SAULO TRI RINSE 10/06/17 PATEL LAW PC 464 17WC 30506 LODICE, JAN ADDUS HOMECARE INC 08/03/17 SPIROS LAW PC HENNESSY & ROACH 465 17WC 30527 IODICE, JAN ADDUS HOMECARE, INC. 08/03/17 FREDERICK & HAGLE 466 17WC 30568 FARTHING, TODD VAN HORN, INC 02/07/17 NESSLER, FREDERIC LAW OFFI KNELL & O'CONNOR 467 17WC 30577 PAWLAK, KEVIN EXPRESS EMPLOYMENT 09/27/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 468 17WC 30691 BICKERS, KARA HERITAGE HEALTH 03/20/17 MUELHAUSEN & STEFANI 469 17WC 30833 HANNAH, TAMMIE D OASIS OUTSOURCING, INC 06/29/17 BRIAN T. SCHURTER 470 17WC 30903 GOSS, LISA M CASEY'S GENERAL STORES 08/08/17 KANOSKI BRESNEY 471 17WC 30945 CREMEENS, GAYLE HEARTLAND HEALTH CARE CEN 10/10/17 PETER D CORTI LAW GROUP 472 17WC 31037 WEBB, LEE PHIL GUD CLEANING SPECIAL 08/15/17 PRILLAMAN & MOORE 473 17WC 31255 MEINERS, GEORGE D AIR METHODS 09/26/15 MATHIS MARIFIAN RICHTER ET BRYCE DOWNEY & LENKOV LLC 474 17WC 31448 SMITH, ALMA FIRST STUDENT, INC 09/07/17 NESSLER, FREDERIC LAW OFFI 475 17WC 31578 JACKSON, DUSTIN COUNTRYMAN CONSTRUCTION 07/24/17 TUGGLE SCHIRO & LICHTENBER 476 17WC 31804 JENKINS, TERRY L AUTO ZONE 03/29/17 KANOSKI BRESNEY QUINN JOHNSTON HENDERSON ETA 477 17WC 31850 ETNIRE, STEVE SENIOR LIFE STYLE 09/12/17 FREDERICK & HAGLE PERRY GENTILE 478 17WC 32476 ARMOLD, DAN CAVALLO BUS LINES INC 03/22/17 SMITH ALLEN MENDENHALL ET

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 17WC 32569 MCCOY, RICHARD TRILLIUM STAFFING SOLUTIO 05/25/16 KATZ FRIEDMAN EAGLE ET AL 480 17WC 32638 BLOCK, DAVID R DAN BLOCK ELECTRIC 09/01/15 LAKE LAW FIRM 481 17WC 32645 CARTER, JOHN S COUNTY MARKET 01/21/15 KANOSKI BRESNEY 482 17WC 33134 HOYT, AMY CHAMPAIGN UNIT 4 SCHOOL D 04/07/17 WOODRUFF & JOHNSON 483 17WC 33179 WENDELL, DEREK ALADDIN ELECTRIC 10/16/17 LEE, MARK N LAW OFFICE CHILTON YAMBERT PORTER LLP 484 17WC 33485 BABBS, BRIAN D PINNACLE FOODS CORP/ 08/28/17 ASHER & SMITH INMAN & FITZGIBBONS 485 17WC 33501 LEMEZIS, LINDA DANVILLE METAL STAMPING 12/09/16 SPIROS LAW PC 486 17WC 33752 ALBERS, SARAH MEATHEADS BURGERS AND FRI 10/08/17 SPIROS LAW PC 487 17WC 33882 SHORE, KELLY EXPRESS EMPLOYMENT PROFES 01/25/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 488 17WC 33934 SLEIGH, DALE A & R MECHANICAL 10/30/16 SPIROS LAW PC 489 17WC 34018 COLLEEN, DEBRA L DANVILLE METAL STAMPING 08/17/15 KANOSKI BRESNEY 490 17WC 34204 JONES, ALISON COTTAGE GARDENS 06/29/17 HELLER HOLMES & ASSOC 491 17WC 34485 HOBBS, CURTIS VCNA 06/27/17 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 492 17WC 34662 ELDER, RYAN WILLARD HELMETH CONSTRUCT 11/07/17 DWORKIN AND MACIARIELLO 493 17WC 34711 MCGARIGLE, PATRICK WILLIAMS BROTHERS CONSTRU 07/21/17 TUGGLE SCHIRO & LICHTENBER KNELL LAW LLC 17WC034712 -C 494 17WC 34929 WISHARD, JASON ANIXTER INTERNATIONAL, IN 08/03/16 MUELHAUSEN & STEFANI 495 17WC 35142 MARTINEZ, FEDERICO PIONNER HI-BRED INT, INC 07/04/17 CORNFIELD & FELDMAN 496 17WC 35471 BERG, MARY MEN'S WEARHOUSE 10/27/17 HAXEL LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 17WC 35683 MURPHY, SCOTT BIG INCH FABRICATORS & CO 05/26/17 DWORKIN AND MACIARIELLO 498 17WC 35804 DUMAS, ROBERT THYSSENKRUPP CRANKSHAFT 05/04/16 KATZ FRIEDMAN EAGLE ET AL 499 17WC 35871 SEALS, ELVIS HUDSON TECHNOLOGIES 10/27/17 DWORKIN AND MACIARIELLO 500 17WC 35959 BALL, BRANDON KELLER GRAIN & LIVESTOCK, 06/14/17 SMITH LAW LTD GAROFALO SCHREIBER STORM 501 17WC 36139 HEADLEY, DENISE J CIRCLE K 11/09/16 KANOSKI BRESNEY 502 17WC 36241 SEXTON, JAMES PARIS FAMILY RESTAURANT 11/16/17 DWORKIN AND MACIARIELLO 503 17WC 36511 SAYON, ROLAND RANTOUL FOODS 12/07/17 DWORKIN AND MACIARIELLO 504 17WC 36561 RIVERA, NEIDA ELITE STAFFING, INC 09/14/17 505 17WC 36586 ARIZU, BEULAH I SYNERGY HOMECARE OF CENTR 11/18/16 KANOSKI BRESNEY 506 17WC 36656 MORRIS, TIMOTHY R KRD TRUCKING 03/10/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 507 17WC 36795 LASCAREZ, EFREN PLASTIC CONTAINER CORP 11/06/17 JOHN S. ELIASIK 508 17WC 36888 MATYAS, MICHAEL CHIEFTAIN CONTRACT SERVIC 11/01/17 BECKER SCHROADER & CHAPMAN 509 17WC 37077 RAYMER, JENNIFER RAJESHWARIKRUPA INC D/B/A 04/05/17 SPIROS LAW PC 510 17WC 37086 HUBERT, BRIDGIT SAVE A LOT 01/05/17 LEE, MARK N LAW OFFICE 511 17WC 37216 SIMMONS, JOSH SYNERGY LABOR SOLUTIONS 11/15/17 FREDERICK & HAGLE HENNESSY & ROACH 512 17WC 37405 DEAVILLE, TERESA UNIVERSITY OF ILLINOIS 06/28/17 WOODRUFF & JOHNSON GANAN & SHAPIRO 513 17WC 37437 ZELLERS, CORINA DAVIS MAIL SERVICE 04/27/17 GREGORY L. RYAN LAW OFFICE HENNESSY & ROACH 514 17WC 37586 WILLIAMS, GERALD WATERS OF AMERICA 07/20/17 WARREN E DANZ, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 17WC 37775 KOISSABA, BEN AMBER GLEN ALZHEIMER'S 08/11/17 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 516 17WC 38099 LAUGHLIN, GREG RUCKER CANDY 08/02/17 LAW OFFICE OF CHRIS DOSCOT KNELL & O'CONNOR 517 18WC 00168 HARVEY, WANDJELL UNIVERSITY OF ILLINOIS 12/04/17 WOODRUFF & JOHNSON BRUCE WARREN 518 18WC 00288 CODDING, JAMES A J.B. HUNT 06/15/17 JAY H JANSSEN 519 18WC 00533 DEAVENS, MICHAEL MAN POWER 11/05/17 WOODRUFF & JOHNSON 520 18WC 00554 HOFFMAN, JEREMY PEPSI COLA CU BOTTLING CO 07/04/17 FREDERICK & HAGLE 521 18WC 00693 JEFFRIES, STEVEN G FEDEX 07/27/17 KANOSKI BRESNEY 522 18WC 00810 BLAZAITIS, ADAM PEPSICO * 05/09/17 GARY JOE STOKES 523 18WC 00937 HARDWAY, COURTNEY M PEPSI MID AMERICA * 05/07/15 KANOSKI BRESNEY 524 18WC 00999 HAWN, TERESA PAPA JOHN'S PIZZA * 12/14/17 DAVID W MARTAY 525 18WC 01163 ESSEX, ROBERT HEEL TO TOE * 01/02/18 DWORKIN AND MACIARIELLO 526 18WC 01385 STIDHAM, ADRION CHARLES INDUSTRIES * 02/15/16 THOMAS R LICHTEN INMAN & FITZGIBBONS 527 18WC 01515 GRAHAM, JOSHUA J OKAW TRUSS INC * 10/19/17 FERGUSON, MARK E LTD 528 18WC 01815 RODGERS, KALAN SUPERVALU * 09/29/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 529 18WC 01892 PEEBLES, JENNIFER CHRISTENSEN FARMS & * 05/31/16 TAPELLA & EBERSPACHER LLC LEAHY EISENBERG & FRAENKEL 530 18WC 01985 HARPER, JEROME VERSUVIUS USA * 11/03/16 LAW OFFICE MICHAEL M WOJIT QUINN JOHNSTON HENDERSON ETA 531 18WC 02041 GRAHAM, CORTEZ RANTOUL FOODS * 12/09/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 532 18WC 02197 HARMON, DEANA L CENTRAL ILLINOIS * 08/26/17 KANOSKI BRESNEY LAWRENCE COZZI - LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 18WC 02348 HERNANDEZ, FRANKLIN SK EXTERIORS * 12/20/17 WALTON TELKEN FOSTER LLC 534 18WC 02356 MYRICK, GLENDA JEAN DANVILLE METAL STAMPING * 11/06/17 GARY JOE STOKES BRUCE WARREN 535 18WC 02562 HOWARD, MONICA ALDI * 11/25/17 LEONARD LAW GROUP LLC BRADY CONNOLLY & MASUDA PC 536 18WC 02617 SOUTHERN, BRADLEY R PAR TECHNOLOGY CORPORATIO * 09/07/17 THOMSON & WEINTRAUB 537 18WC 02695 NIELSON, MICHAEL EH BARRE CORPORATION * 10/22/15 MOSS & MOSS PC 538 18WC 02804 BIDDLE, ROBERT STAFFQUICK * 11/16/16 PARK LAW OFFICE HENNESSY & ROACH 539 18WC 03006 PARK, JEFFERY L MASTERBAND CABINETS * 10/23/17 HELLER HOLMES & ASSOC 540 18WC 03180 BELL, LINDA HERITAGE HEALTH & REHAB * 12/29/17 WOODRUFF & JOHNSON 541 18WC 03241 CROSS, DEBRA NIEMANN FOODS * 10/25/16 SPIROS LAW PC 542 18WC 03265 HOMES, KATHERINE FAIRFIELD INN * 08/30/17 FREDERICK & HAGLE 543 18WC 03324 SWARMS, JAYMON SYNERGY LABOR SOLUTIONS * 09/05/17 FREDERICK & HAGLE 544 18WC 03512 GOODWIN, MERIDETH ODD FELLOW REBEKAH HOME * 01/15/18 FREDERICK & HAGLE RIPES NELSON BAGGOT KALOBRAT 545 18WC 03964 MCCAFFERTY, PATRICIA VISTA OUTDOORS * 12/14/17 WOODRUFF & JOHNSON LEAHY EISENBERG & FRAENKEL 546 18WC 04102 PIERCE, CHAD MASTERBRAND CABINETS * 06/27/17 SHAY & ASSOCIATES 547 18WC 04117 LAKE, STEVEN ADECCO * 09/19/17 DAMISCH & DAMISCH LTD 548 18WC 04341 FUDGE, WILLIAM GSI GROUP * 06/07/17 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 549 18WC 04715 LOGSDON, CHARLES VESUVIUS USA * 09/05/17 MICHAEL M WOJITAS QUINN JOHNSTON HENDERSON ETA 550 18WC 04785 EICHELBERGER, BRAD UNIVERSITY OF ILLINOIS * 10/23/17 WOODRUFF & JOHNSON GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 18WC 04862 WOOLARD, SANDRA DOCASTERS MECO * 04/08/16 HELLER HOLMES & ASSOC 552 18WC 05108 WIMSETT, MARY S FIRST FINANCIAL * 07/12/17 ASHER & SMITH 553 18WC 05298 TALBOTT, TYLER DEDICATED MGMT GROUP * 06/22/17 SPIROS LAW PC 554 18WC 05344 WALTERS, ERIC LAKESIDE CLASSICS COMMUNI * 05/01/17 TUGGLE SCHIRO & LICHTENBER 555 18WC 05461 NASH, CARLA THE HERSHEY COMPANY * 03/17/16 MUELHAUSEN & STEFANI WIEDNER & MCAULIFFE LTD 556 18WC 05531 WIMMER, THERESA SPRINKMANN INSULATION, IN * 01/04/18 SPIROS LAW PC 557 18WC 05669 STHAY, DRUCILLA EVAPCO, INC * 01/19/18 KEEFE & GRIFFITHS PC 558 18WC 05734 GIBBS, CHARLES COLLEGE CHEFS * 01/22/18 SPIROS LAW PC PAUL LARIMORE 559 18WC 05754 BOYCE, GERALD 13 BROADBAND * 02/10/18 DWORKIN AND MACIARIELLO 560 18WC 05776 DOEDEN, JUDY WATCHFIRE SIGNS * 03/13/15 TUGGLE SCHIRO & LICHTENBER 561 18WC 05868 BAKER, JOSEPH CLEAN STREAK AND CO * 01/19/18 SPIROS LAW PC 562 18WC 06366 MC CLURE, BERNIE BUNGE MILLING * 03/20/17 TUGGLE SCHIRO & LICHTENBER 563 18WC 06440 GATES, TERRY CITY OF PARIS * 09/16/15 MOSS & MOSS PC INMAN & FITZGIBBONS 564 18WC 06562 BROWN, DAVID SECURE TRUCKING, INC. * 02/12/18 SPIROS LAW PC INMAN & FITZGIBBONS 565 18WC 06627 MC KOWN, TONYA HELP AT HOME * 01/10/18 TUGGLE SCHIRO & LICHTENBER 566 18WC 06791 CROSS, BONITA CHAMPAIGN COUNTY HEAD STA @ * 02/21/18 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 567 18WC 06896 KELLEY, AMELIA SARAH BUSH LINCOLN * 08/24/16 TAPELLA & EBERSPACHER LLC MACIOROWSKI SACKMANN & ULRIC 568 18WC 07135 SCHLENSKER, ERIC COLMAC COIL * 10/26/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 18WC 07341 SPIDLE, TIM CITY OF MATTOON * 02/28/17 KATZ FRIEDMAN EAGLE ET AL 570 18WC 07786 KELLER, CHARLES COLES MOULTRE ELECTRIC CO * 06/14/17 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 571 18WC 07804 CHAMBLISS, CATHY HOOSIER CARE INC./SWANN * 03/25/17 FREDERICK & HAGLE 572 18WC 08062 COOK, RICK TOTAL GRAIN MARKETING, LL * 09/23/17 SMITH LAW LTD 573 18WC 08382 KEELE, MARK EAGLE WINGS INDUSTRIES, I * 03/15/16 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR 574 18WC 08509 OLSON, SHERWOOD LIPA OF INDIANA INC D/B/A * 11/07/17 QUINN JOHNSTON HENDERSON ETA 575 18WC 08531 BUTT, BRIAN K GENERAL ELECTRIC CO * 11/15/16 CRAIG & CRAIG 576 18WC 08638 TURNER, BARBARA CARRIAGE CROSSING CHAMPAI * 01/08/18 BECKETT LAW OFFICE 577 18WC 08789 WOFFORD, ROBIA FIRST GROUP, INC * 05/01/17 WIEDNER & MCAULIFFE LTD 578 18WC 08865 BRANDT, AMY NORTH AMERICAN LIGHTING I * 12/05/17 STRONG LAW OFFICE STEPHEN CARTER 579 18WC 08876 LA REAU, DARREN UNIVERSITY OF ILLINOIS @ * 12/11/17 MEYER CAPEL, PC 580 18WC 08904 DENNIS, BEATRICE J DOLLAR TREE * 01/11/16 MCCARTHY ROWDEN & BAKER 581 18WC 09002 MIDDLETON, HENRY VARSITY STRIPING CONSTRUC * 08/31/17 BRADY, CONNOLLY & MASUDA, PC 582 18WC 09086 SPECKETER, KEVIN A TOSHIBA GLOBAL COMMERCE * 03/30/17 HARVEY & STUCKEL 583 18WC 09414 MC CLURE, BERNIE BUNGE MILLING * 03/20/17 TUGGLE SCHIRO & LICHTENBER 584 18WC 09585 DAVIS, AMY CHAMPAIGN UNIT #4 SCHOOL @ * 09/02/16 SPIROS LAW PC 585 18WC 09841 WILLIAMS, NICHOLAS DANVILLE DASHERS * 02/12/18 STRONG LAW OFFICE 586 18WC 10099 RATH, CHANDOEUN DART CONTAINER * 02/08/18 BURNETT & CARON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 05/08/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 18WC 10175 ARCHER, CORDARIO GLOBAL SECURITY SVCS * 03/09/18 WALTON TELKEN FOSTER LLC 588 18WC 10319 HUTSON, REGAN UPS * 09/29/16 NYHAN BAMBRICK KINZIE & LOWR