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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 03817 19B RICHARDS, KATHLEEN PROVENA COVENANT 06/11/02 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 06WC033725 -C 2 05WC 23622 WORKMAN, BARBARA A CITY OF CHAMPAIGN POLICE 01/12/03 MARSZALEK AND MARSZALEK CITY OF CHAMPAIGN 3 06WC 27769 SISCO, ANGELIQUE (WIDOW BUILDERS TRANSPORATION CO # 12/11/03 SCHROEDER, JOSEPH R HINSHAW & CULBERTSON 4 07WC 37843 HUKILL, ROBERT F SIMONTON WINDOWS 08/24/04 ASHER & SMITH KEEFE CAMPBELL & ASSOC LLC 11WC041188 -C 11WC041189 -C 16WC019803 -C 5 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 18WC011193 -C 6 09WC 38854 DUNDORE, DEREK S ULTIMATE SEATS INC A/K/A @ W 12/09/08 ERWIN MARTINKUS & COLE 7 09WC 45221 SHIRK, BRYAN UNIVERSITY OF ILLINOIS @ 10/21/09 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 8 09WC 48058 STEVENS, JENNY WALMART - ROBINSON 07/13/09 FITZ & TALLON LTD GANAN & SHAPIRO 9 10WC 48872 BERRY, MYRENA CARLE FOUNDATION HOSPITAL 07/26/10 WILLIAMS & SWEE BRUCE WARREN 13WC029006 -C 13WC035269 -C 14WC035509 -C 15WC006229 -C 10 11WC 18928 VALOUSKY, SUSAN CATERPILLAR 07/12/10 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 11 11WC 26148 CASNER, MARTY R PENSKE TRUCK LEASING 02/05/11 KAPELLA & PARKER BRADY CONNOLLY & MASUDA PC 12 11WC 42853 ROBERTS, JESSE UNIVERSITY OF ILLINOIS 10/02/11 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 13 11WC 47761 BESSE, MICHELE COMMERCIAL NEWS 08/01/10 SCHIRO & THEMER THOMAS & ASSOCIATES 14 11WC 47762 BESSE, MICHELE COMMERCIAL NEWS 12/25/08 SCHIRO & THEMER THOMAS & ASSOCIATES

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 15 11WC 48533 HAYS, MERLE E STATE OF ILLINOIS @ 01/19/09 ASHER & SMITH ASSISTANT ATTORNEY GENERAL 16 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 19WC006149 -C 17 12WC 11660 BROWN, DARWIN USF HOLLAND 05/04/11 MARSZALEK AND MARSZALEK HENNESSY & ROACH 18 12WC 12500 HEATH, STEPHEN UNIVERSITY OF ILLINOIS 02/15/11 LEE, MARK N LAW OFFICE THOMAS MAMER & HAUGHEY 19 12WC 14248 BELL, RONNIE KNAPP-GERLACH 04/15/12 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 20WC000053 -C KRUPP- GERLACH 20 12WC 36791 CLICK, GARRY WHITE LINE EXPRESS 05/31/12 WARREN E DANZ, PC SMITH AMUNDSEN LLC 21 12WC 42865 CULP, THOMAS JIM STANDERFER ENGINEERIN 01/19/09 FINE, MARK S LAW OFFICES 22 13WC 13234 BRAGG, MARK CHAMPAIGN COUNTY SHERIFF 09/22/12 FREDERIC NESSLER & ASSOC HEYL ROYSTER VOELKER & ALLEN 15WC006127 -C 23 13WC 14290 19B PEVERELLE, LAURA GIBSON AREA HOSPITAL 12/20/12 SPIROS LAW PC SCOPELITIS GARVIN LIGHT 24 13WC 19018 SAUCIER, CHARLES ALL STAR CHAMPIONS 04/22/13 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 25 13WC 19564 ZHAO, YUAN INTEREK TESTING SERVICES 03/26/13 FREDERICK & HAGLE LIVINGSTONE MUELLER ET AL 26 13WC 35435 CATRON, ROBERT CHICARGO 08/06/13 FREDERICK & HAGLE 27 13WC 38792 MC CLAIN, ORVILLE CAMAGHI TOWING AND REPAIR 08/29/13 SPIROS LAW PC 28 13WC 42148 PRIDEMORE, KELLY JO UNIVERSITY OF ILLINOIS @ 12/13/13 FREDERICK & HAGLE GANAN & SHAPIRO 29 14WC 00011 RICHARDSON, DAVID UNIVERSITY OF ILLINOIS 09/30/13 WOODRUFF & JOHNSON BRUCE WARREN 15WC037110 -C 30 14WC 02371 ALCORN, MICHAEL G USF HOLLAND 01/14/14 MARSZALEK AND MARSZALEK HENNESSY & ROACH 31 14WC 17038 BELL. CARLA WHAT'S COOKING 03/26/13 SAUNDERS CONDON & KENNY QUINN JOHNSTON HENDERSON ETA

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 14WC 17990 JENKINS, GLENN CHAMPAIGN UNIT 4 SCHOOL D 04/04/14 WOODRUFF & JOHNSON BRUCE WARREN 33 14WC 18541 STIVERS, KATHY DENISE ADDUS HEALTHCARE 01/04/14 ASHER & SMITH HENNESSY & ROACH 15WC010694 -C 16WC010115 -C 34 14WC 26973 YOUNG, RANDY COUNTY MARKET 09/21/13 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 35 14WC 36779 GILL, KEITHER CLASSIC EVENTS CATERING 02/01/09 WOODRUFF & JOHNSON THOMAS & PORTELA 36 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 18WC017781 -C 18WC017782 -C 18WC017783 -C 18WC017784 -C 18WC017785 -C 37 15WC 04613 STEINER, DAVE UNIVERSITY OF ILLINOIS 11/26/14 LEE, MARK N LAW OFFICE BRUCE WARREN 38 15WC 15685 PRIDEMORE, KELLY O UNIVERSITY OF ILLINOIS @ 04/29/15 FREDERICK & HAGLE GANAN & SHAPIRO 39 15WC 17935 SOMMER, RICHARD OBERLANDER ELECTRIC 12/12/14 LEE, MARK N LAW OFFICE CACCHILLO LAW GROUP LLC 40 15WC 23240 WALLACE, ANGELA S NORTH AMERICAN LIGHTING 06/15/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 41 15WC 27754 STRUBBERG, WALTER TUGGLE, SCHIRO & 07/06/15 MARSZALEK AND MARSZALEK GILDEA & COGHLAN 42 15WC 30483 TO, LIEM UNIVERSITY OF ILLINOIS 02/05/10 SPIROS LAW PC 43 15WC 33720 VICE, DEBORAH M NORTH AMERICAN LIGHTING 09/09/15 ASHER & SMITH LAW OFFICES STEPHEN CARTER 44 15WC 42134 LAWSON, PATRICIA NORTH AMERICAN LIGHTING 10/30/15 SCHIRO & THEMER LAW OFFICES STEPHEN CARTER 17WC010706 -C 45 15WC 42259 STEWART, WILLIAM UNIV OF ILLINOIS 06/01/14 LEE, MARK N LAW OFFICE BRUCE WARREN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 46 16WC 00345 BAKER, TRACIE EIASE 11/06/15 SMITH LAW LTD HEYL ROYSTER VOELKER & ALLEN 47 16WC 00956 VANGUNDY, JANET MASTERBRAND CABINETS 09/08/15 HELLER HOLMES & ASSOC DUGAN & VOLAND 19WC000558 -C 48 16WC 03118 LAMBERT, WENDY AREA DISPOSAL 03/11/15 MARSZALEK AND MARSZALEK BRADY, CONNOLLY & MASUDA, PC 49 16WC 05035 KOCHER, BRIAN J REX VAULT & MAUSOLEUM 02/03/16 WOODRUFF & JOHNSON HENNESSY & ROACH 50 16WC 06165 19B BREWER, PAMELA D SOUTHWEST AIRLINES 08/04/15 FREDERICK & HAGLE HENNESSY & ROACH 51 16WC 06897 REYNOLDS, GORDON COLES-MOULTRIE ELECTRIC 05/28/15 SCOTT B SHAPIRO HEYL ROYSTER VOELKER & ALLEN 52 16WC 07000 GRIMES, MELISSA SYGMA CORPORATION 09/28/15 HENNESSY & ROACH 53 16WC 08573 GUTIERREZ, MARIA LIBMAN CO 11/08/15 REISMAN LAW OFFICE LUCY T. UNGER 54 16WC 10136 RHODES, JUSTIN NEW WAVE COMMUNICATION 12/29/15 MARSZALEK AND MARSZALEK STEPHEN H LARSON LAW OFFICE 55 16WC 10723 STANLEY, DEBBIE A UNIVERSITY OF ILLINOIS 01/27/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 56 16WC 11814 COLE, TERRI, WIDOW OF SECURITAS SECURITY 12/26/15 FREDERICK & HAGLE WIEDNER & MCAULIFFE LTD 57 16WC 14621 PHETCHAREUNE, VIRATH UNIVERSITY OF ILLINOIS 11/01/14 WALTON TELKEN FOSTER LLC HEYL ROYSTER VOELKER & ALLEN 58 16WC 20030 OLINGER, DOUGLAS PERRY, PATRICK @ W 03/04/16 MARSZALEK AND MARSZALEK 59 16WC 23848 19B STRAND, NOLINDA K ENTERPRISE 08/06/15 KANOSKI BRESNEY INMAN & FITZGIBBONS 60 16WC 24925 MILLER, DARRELL ROLAND REALTY 06/16/16 SPIROS LAW PC BRUCE WARREN 61 16WC 25133 CLARK, DAKOTA TOTAL GRAIN MARKETING 06/01/16 HEYL ROYSTER VOELKER & ALLEN 62 16WC 25334 FRAISER, GILBERT SDG GLOBAL INC 07/31/16 LUSAK AND COBB GRANT & FANNING 63 16WC 26898 CROW-AMICHE, KATHERINE WALGREENS STORE #9965 08/13/16 FREDERICK & HAGLE EVANS & DIXON, LLC

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 64 16WC 26901 WITHERSPOON, ROSIE WILLOWBROOK OF SAVOY 09/25/15 BURNETT & CARON, LTD 65 16WC 27229 ERVIN, TERRY L. ATLAS TRANSPORTATION LLC 06/28/14 MEYER, MICHAEL J 66 16WC 27245 NEWMAN, MARIANA ILLINOIS SECRETARY OF STA @ 08/25/16 PETER T BORICH ASSISTANT ATTORNEY GENERAL 67 16WC 27451 BRYAN, BRIANNE MEIJER 06/21/16 TUGGLE SCHIRO & LICHTENBER KNELL & O'CONNOR 68 16WC 27481 SMITH, ROGER KENNEDY TANK & MANUFACTUR 06/30/16 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 69 16WC 28980 PALOMAKI, SOOQEONG MASIJTA GRILL 08/26/16 70 16WC 29854 DEMKO, JOSH CHAMPAIGN COUNTY SHERIFF @ 06/12/15 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 16WC029855 -C 71 16WC 30621 THOMAS, NATASHA CHAMPAIGN COUNTY NURSING 08/31/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 16WC030622 -C 18WC034313 -C 72 16WC 31799 DIDIORE, KIRK CARRY TRUCKING SERVICES L 06/23/16 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 73 16WC 32822 NELSON, BRENDA ILLINOIS SECRETARY OF STA @ 09/06/14 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 74 16WC 33366 WHEELER, LORI MENARDS 10/14/16 FREDERICK & HAGLE 75 16WC 34665 HOLLEY, DERRICK CONAIR CORP 03/12/14 WOODRUFF & JOHNSON COZZI & ZAPF LAW OFFICE 76 16WC 38252 HOLLAND, DONALD SPECCHIO FARMS 12/19/13 KANOSKI BRESNEY INMAN & FITZGIBBONS 77 16WC 38734 LOOK, KATHERINE R WELLS FARGO BANK, NA 12/01/15 ERWIN MARTINKUS & COLE BRADY, CONNOLLY & MASUDA, PC 78 17WC 01689 MILLS, JOHN R CITY OF CHAMPAIGN, FIRE D 06/01/16 HAXEL LAW OFFICE CITY OF CHAMPAIGN 79 17WC 03839 HANTON, ELLASHATA ARTHUR HOME 09/11/16 KATZ FRIEDMAN EAGLE ET AL BRYCE DOWNEY & LENKOV LLC 80 17WC 03950 CLARK, PHILIP UNIVERSITY OF ILLINOIS @ 01/26/16 DODSON PIRAINO & ASSOC HEYL ROYSTER VOELKER & ALLEN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 81 17WC 04851 VISEL, BETH UNIVERSITY OF ILLINOIS @ 01/12/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 82 17WC 05615 FISCHER, MICHELLE HEARTLAND NURSING CENTER 01/04/17 FREDERICK & HAGLE MORROW WILLNAUER 83 17WC 06201 NIDEY, JESSICA HERITAGE HEALTH- ROBINSON 10/04/16 MOSS & MOSS PC RIPES NELSON BAGGOT KALOBRAT 17WC011307 -C 17WC011308 -C 84 17WC 06647 CLARK, THERESA L NORTH AMERICAN LIGHTING, 08/05/16 ASHER & SMITH LAW OFFICES STEPHEN CARTER 85 17WC 08498 GIBSON, SHAWN ILLINOIS DEPT OF CORRECTI @ 02/20/17 SCHIRO & THEMER ASSISTANT ATTORNEY GENERAL 86 17WC 10814 FAGG, JOHN D JR AMBULANCE MANAGEMENT SERV 04/15/15 ASHER & SMITH KOPKA, PINKUS DOLIN, PC 87 17WC 11717 STEWART, BRENT ESTATE OF, ILLINI FS # 04/21/14 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 88 17WC 12508 ANDERSON, TAMIKA CHAMPAIGN COUNTY NURSING 03/12/17 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 18WC016880 -C 89 17WC 13338 PEPPERDINE, DEE M EASTERN ILLINOIS UNIVERSI @ 03/29/17 SMITH LAW LTD ASSISTANT ATTORNEY GENERAL 90 17WC 13351 LUYANDO JR., NELSON DSC LOGISTICS 11/28/16 REISMAN LAW OFFICE MC ANDREWS & NORGLE LLC 91 17WC 15180 FOLKERTS, KATHERINE ILLINOIS DEPARTMENT @ 04/28/17 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 92 17WC 15261 ROBECK, CHERYL UNIVERSITY OF ILLINOIS 10/05/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 93 17WC 15939 MILLER, WALTER KRAFT FOODS 12/01/15 WILLIAMS & SWEE 94 17WC 16871 OLINGER, DOUGLAS MARTIN HIGH & CONSTANCE H @ W 03/04/16 MARSZALEK AND MARSZALEK THIELEN, FOLEY & MIRDO LLC 95 17WC 17756 DERRICKSON, RON ILLINOIS DEPT OF CORRECTI 05/01/17 TUGGLE SCHIRO & LICHTENBER 96 17WC 17828 HOPKINS, AURA THE ARTHUR HOME 07/13/16 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 97 17WC 19291 CURRY, KRISTAFER UNIVERSITY OF ILLINOIS 05/08/17 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 17WC 20409 SEYFERT, RICKY J REPUBLIC SERVICES 11/08/16 PATEL LAW PC GILDEA & COGHLAN 99 17WC 20929 DILLAVOU, KATHERINE M. CHAMPAIGN COMM UNIT SD 4 12/19/16 WOODRUFF & JOHNSON BRUCE WARREN 100 17WC 21709 LEONETTI, RICHARD IDOT @ 05/31/17 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 101 17WC 21962 VISEL, BETH UNIVERSITY OF ILLINOIS 06/22/17 REISMAN LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 102 17WC 23275 LESLIE, PENNY E CUNNINGHAM CHILDREN'S HOM 05/16/17 FREDERICK & HAGLE HENNESSY & ROACH 103 17WC 23953 19B-1 METZ, JOHN THRIFT TRUCKING, INC 06/22/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 17WC023954 -C 104 17WC 24174 POTTER, CHRIS USF HOLLAND TRUCKING 04/28/17 BURNETT & CARON, LTD HENNESSY & ROACH 105 17WC 26203 BURNETT, KAREEM A KIK CUSTOM PRODUCTS, INC 07/24/17 FREDERICK & HAGLE NYHAN BAMBRICK KINZIE & LOWR 106 17WC 26921 DODSON, COURTNIE FEDEX GROUND 05/06/17 SPIROS LAW PC KOPKA, PINKUS DOLIN, PC 107 17WC 27021 LANG, STUART A MIDSTATE TANK 05/04/17 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 108 17WC 27078 FREEZELAND, PHILLIP CHARLESTON US LLC 11/16/16 DANIELS WILZBACH PC 109 17WC 30149 DOWDY, DAVID USF HOLLAND 09/23/17 GALANTI LAW OFFICES HENNESSY & ROACH 110 17WC 30219 EICHINGER, ANNA M NORTH AMERICA LIGHTING 01/10/17 TAPELLA & EBERSPACHER LLC STEPHEN CARTER 111 17WC 30577 PAWLAK, KEVIN EXPRESS EMPLOYMENT 09/27/17 SPIROS LAW PC MC ANDREWS & NORGLE LLC 112 17WC 30833 HANNAH, TAMMIE D OASIS OUTSOURCING, INC 06/29/17 BRIAN T. SCHURTER WIEDNER & MCAULIFFE LTD 113 17WC 31037 WEBB, LEE PHIL GUD CLEANING SPECIAL 08/15/17 PRILLAMAN & MOORE 114 17WC 32638 BLOCK, DAVID R DAN BLOCK ELECTRIC 09/01/15 LAKE LAW FIRM HEYL ROYSTER VOELKER & ALLEN 115 17WC 33485 BABBS, BRIAN D PINNACLE FOODS CORP/ 08/28/17 ASHER & SMITH INMAN & FITZGIBBONS

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 17WC 33934 SLEIGH, DALE A & R MECHANICAL 10/30/16 SPIROS LAW PC ACCIDENT FUND HOLDINGS 117 17WC 35142 MARTINEZ, FEDERICO PIONNER HI-BRED INT, INC 07/04/17 118 17WC 36561 RIVERA, NEIDA ELITE STAFFING, INC 09/14/17 PETER T BORICH 119 17WC 36656 MORRIS, TIMOTHY R KRD TRUCKING 03/10/17 CULLEN HASKINS NICHOLSON KEEFE CAMPBELL & ASSOC LLC 120 18WC 00288 CODDING, JAMES A JB HUNT TRANSPORTATION 06/15/17 JOHN LESAGANICH MICHAEL JASPER 121 18WC 00693 JEFFRIES, STEVEN G FEDEX 07/27/17 KANOSKI BRESNEY KOPKA, PINKUS DOLIN, PC 122 18WC 01385 STIDHAM, ADRION CHARLES INDUSTRIES 02/15/16 THOMAS R LICHTEN INMAN & FITZGIBBONS 123 18WC 02348 HERNANDEZ, FRANKLIN SK EXTERIORS 12/20/17 WALTON TELKEN FOSTER LLC 124 18WC 02356 MYRICK, GLENDA JEAN DANVILLE METAL STAMPING 11/06/17 GARY JOE STOKES BRUCE WARREN 125 18WC 02804 BIDDLE, ROBERT STAFFQUICK 11/16/16 PARK LAW OFFICE HENNESSY & ROACH 126 18WC 03006 PARK, JEFFERY L MASTERBAND CABINETS 10/23/17 HELLER HOLMES & ASSOC DUGAN & VOLAND 127 18WC 05669 STHAY, DRUCILLA EVAPCO, INC 01/19/18 KEEFE & GRIFFITHS PC 128 18WC 05776 DOEDEN, JUDY WATCHFIRE SIGNS 03/13/15 TUGGLE SCHIRO & LICHTENBER LUCY T. UNGER 129 18WC 06440 GATES, TERRY CITY OF PARIS 09/16/15 MOSS & MOSS PC INMAN & FITZGIBBONS 130 18WC 07786 KELLER, CHARLES COLES MOULTRE ELECTRIC CO 06/14/17 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 131 18WC 08062 COOK, RICK TOTAL GRAIN MARKETING, LL 09/23/17 SMITH LAW LTD HEYL ROYSTER VOELKER & ALLEN 132 18WC 08865 BRANDT, AMY NORTH AMERICAN LIGHTING I 12/05/17 STRONG LAW OFFICE STEPHEN CARTER 18WC008866 -C 18WC008867 -C 18WC023827 -C

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 18WC 09841 WILLIAMS, NICHOLAS DANVILLE DASHERS W 02/12/18 134 18WC 10175 ARCHER, CORDARIO GLOBAL SECURITY SVCS 03/09/18 WALTON TELKEN FOSTER LLC WIEDNER & MCAULIFFE LTD 135 18WC 10506 ELLIS, TONY R CITY OF GEORGETOWN 12/31/17 GARY JOE STOKES EVANS & DIXON 136 18WC 11124 COOPER, JENNIFER LITTLE CAESARS PIZZA 03/23/18 BEARD LAW FIRM BRADY, CONNOLLY & MASUDA, PC 137 18WC 11722 MCDONALD, JIMMIE T CHAMPAIGN UNIT 4 SCHOOL D 01/13/18 STEPHEN P. KELLY THOMAS MAMER & HAUGHEY 138 18WC 12621 LEFFLER, EVERETT JUSTRITE MANUFACTURING CO 03/09/18 SMITH LAW LTD HEYL ROYSTER VOELKER & ALLEN 139 18WC 13090 WATSON, DANNY L SILGAN CONTAINERS 10/02/17 DANNY L WATSON 140 18WC 13403 CLARETTE, JESSIE BANKIER APARTMENTS 03/17/18 FREDERICK & HAGLE STEPHEN H LARSON LAW OFFICE 141 18WC 13735 ALLEN, ROGER ALLEN'S FARM QUALITY MEAT 11/23/16 SCHIRO & THEMER GAROFALO SCHREIBER STORM GRA 142 18WC 13944 HESTER, SCOTT UNIVERSITY OF ILLINOIS 03/21/18 WOODRUFF & JOHNSON THOMAS MAMER & HAUGHEY 143 18WC 14038 BROOKS, MICHAEL STAR CORP LLC 04/16/18 TUGGLE SCHIRO & LICHTENBER KRAKER FANNING & OLSEN 144 18WC 15713 BLAKE, ALVIN ROBINSON CORRECTIONAL CEN @ 04/05/18 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 145 18WC 16334 LEFFLER, EVERETT JUSTRIE MFG, LLC 01/10/18 SMITH LAW LTD HEYL ROYSTER VOELKER & ALLEN 146 18WC 16640 JAMES, JASON RAMSHAW REAL ESTATE 08/12/15 COLLISON LAW OFFICES QUINN JOHNSTON HENDERSON ETA 147 18WC 17349 HAMBURG, JOHN ZF AUTOMOTIVE 09/08/17 ASHER & SMITH HOLTKAMP LIESE ET AL 148 18WC 19116 STEPHENS, GREGORY C ROCKWELL AUTOMATION 05/17/18 KANOSKI BRESNEY INMAN & FITZGIBBONS 149 18WC 19364 POFFINBARGER, SHEILA EASTERN ILLINOIS UNIVERSI @ 09/26/17 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 150 18WC 19795 CLICK, KATHY MASTER BRAND CABINETS INC 02/12/18 STRONG LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 18WC 20694 AUBIN, DONALD W MASTERBRAND CABINETS 03/23/18 HELLER HOLMES & ASSOC DUGAN & VOLAND 152 18WC 21024 BOWMAN, KENNETH BIG R 02/19/18 SPIROS LAW PC STEPHEN H LARSON LAW OFFICE 153 18WC 21475 DE JESUS GOMEZ, HERY IRON TORCHMEN CUT METALS 06/29/18 PATEL LAW PC MANUAL CARDENAS & ASSOC 154 18WC 22552 BERGAN, ANDREW ILLINOIS DEPT OF TRANSPOR @ 05/08/18 HORWITZ HORWITZ & ASSOC ASSISTANT ATTORNEY GENERAL 155 18WC 22878 WARREN, SAMANTHA FEDEX GROUND 04/23/18 COSTA IVONE LLC KOPKA, PINKUS DOLIN, PC 156 18WC 23486 GOODNIGHT, RICHARD DIRTWORKS TRUCKING AND 01/08/18 157 18WC 23699 HOLMES, CRYSTAL L FUEL MART 01/12/18 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 158 18WC 24453 POWELL, TRENT B SIMONTON WINDOWS 12/01/17 ASHER & SMITH KEEFE CAMPBELL BIERY & ASSOC 159 18WC 24567 JENKINS, RAYMOND ROWE FOUNDRY 06/02/17 ASHER & SMITH 160 18WC 25082 LACQUET-HOPKINS, MARIA DANVILLE DIST 118 (NORTH 12/01/17 SCHIRO & THEMER THOMAS MAMER & HAUGHEY 161 18WC 25407 PRATT, DAVID DYNACHEM INC 04/16/18 SPIROS LAW PC ORENSTEIN & ASSOCIATES 162 18WC 25994 DONNELL, ALADDIN ALAMO GROUP, INC. 06/28/17 WILLIAMS & SWEE PAUL LARIMORE 163 18WC 26034 ROUSE, CHARLES THYSSENKRUPP CRANKSHAFT C 08/15/18 SPIROS LAW PC GAROFALO SCHREIBER STORM GRA 164 18WC 26123 DAVIS, CATHY BUNGE 03/25/17 SCHIRO & THEMER HEYL ROYSTER VOELKER & ALLEN 18WC026125 -C 19WC033161 -C 19WC033403 -C 165 18WC 26181 DORAN, NADINE NORTH AMERICAN LIGHTING 12/15/17 ASHER & SMITH STEPHEN CARTER 166 18WC 27735 TACKETT, LISA J DOLLAR GENERAL 12/01/16 COLLISON LAW OFFICES LEAHY EISENBERG & FRAENKEL 167 18WC 28333 19B RONEY, GEORGE COMMERCIAL ELECTRIC 01/30/18 WOODRUFF JOHNSON STEPHEN P. KELLY

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 18WC 28604 MARX, MICHAEL FRED'S PLUMBING & HTG 07/31/18 TUGGLE SCHIRO & LICHTENBER GANAN & SHAPIRO 169 18WC 28996 DRUMMOND, TIM CHI OVERHEAD DOORS 04/04/18 KATZ FRIEDMAN EAGLE ET AL 170 18WC 29366 CASTILLO, JOSE HELENA AGRI-ENTERPRISES 04/28/18 MARSZALEK AND MARSZALEK KEEFE & DEPAULI 171 18WC 29438 BARR, ROGER DAVIS MAIL SERVICES, INC 05/09/18 MATTHEW T. GUBBINS PC GOLDBERG SEGALLA LLC 172 18WC 29806 LUMSARGIS, KEITH SEAN LAGACY 10/11/15 SPIROS LAW PC SCHOUEST BAMDAS SOSHEA 173 18WC 30049 PLUMMER, BRENDA MASTERBRAND CABINETS 07/23/18 SMITH LAW LTD DUGAN & VOLAND 174 18WC 30191 CHALMERS, MARIO JELD-WEN WINDOWS & DOORS 10/01/18 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 175 18WC 30357 CORNWELL, CHAD L ENERSTAR POWER CORP 06/22/18 ASHER & SMITH HEYL ROYSTER VOELKER & ALLEN 176 18WC 30886 BAKER, WILLIAM LRJ TRUCKING 10/04/18 SAUNDERS CONDON & KENNY 177 18WC 31041 MC CARTY, GIDGET GOODWILL 10/01/17 KANOSKI BRESNEY 178 18WC 31376 FULLER, JESSICAD OSF SACRED HEART MEDICAL 07/19/18 THOMAS R LICHTEN WIEDNER & MCAULIFFE LTD 179 18WC 31429 SHAFER, HEATHER JACK FLASH PROPERTIES LLC 11/18/17 SMITH LAW LTD 180 18WC 31451 MILLER, KAREN FULL-FILL INDUSTRIES 10/16/17 FREDERICK & HAGLE 181 18WC 31765 LAWN, CHUCK ELITE CARRIERS 09/26/18 NYHAN BAMBRICK KINZIE & LOWR 182 18WC 31844 GRAHAM, JOHN CARGILL 06/05/18 ASHER & SMITH LIVINGSTONE MUELLER ET AL 183 18WC 31845 GRAHAM, JOHN CARGILL 11/03/17 ASHER & SMITH LIVINGSTONE MUELLER ET AL 184 18WC 32246 WOMBLES, RALPH HEARTLAND PROPERTIES GROU 07/17/18 BURNETT & CARON, LTD GANAN & SHAPIRO 185 18WC 32328 GARDNER, SEAN HEARTHSIDE FOOD SOLUTIONS 03/27/18 SCHIRO & THEMER

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 18WC 32940 LINEBERRY, KELLY THE HOME DEPOT 06/06/16 KATZ FRIEDMAN EAGLE ET AL ADELSON TESTAN BRUNDO 187 18WC 33565 GARCIA, JUAN KRAFT FOODS 04/09/18 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM GRA 188 18WC 34390 MASON, ROBERT STAFF MANAGEMENT 08/01/18 SEIDMAN MARGULIS & FAIRMAN EVANS & DIXON 189 18WC 34481 HORNBROOK, STEVEN SIMONTON WINDOWS 05/30/18 ASHER & SMITH KEEFE CAMPBELL BIERY & ASSOC 190 18WC 34787 DAVIS, SCOT TOM DAVIS ELECTRIC, INC. 10/19/18 LEONARD LAW GROUP LLC MCANANY VANCLEVE & PHILLIPS 191 18WC 35088 MORO, DAWN CHAMPAIGN COUNTY SHERIFF 06/11/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 192 18WC 35105 MORRIS, CRAIG TEASDALE FOODS 09/08/17 BURNETT & CARON, LTD 193 18WC 36030 BOSE, MELINDA DUPONT INC 05/28/18 HOEKSTRA LAW OFFICES PC LITCHFIELD CAVO 194 18WC 36409 TEMPEL, ANDREW DAVIS HOUK MECHANICAL INC 12/19/16 SPIROS LAW PC STEPHEN H LARSON LAW OFFICE 195 18WC 36483 THOMAS, ABBAGAYLE TRILLIUM 11/01/18 PATEL LAW PC 196 18WC 36607 DULANEY, EDGAR NORTH AMERICAN LIGHTING, 08/15/18 SMITH LAW LTD STEPHEN CARTER 197 18WC 36991 WARREN, MARY L MASTERBRANDS CABINETS, IN 07/01/18 KANOSKI BRESNEY DUGAN & VOLAND 198 18WC 37680 WIMMER, THERESA PREMIER INSULATION 10/25/18 SPIROS LAW PC WOLFE & JACOBSON, LTD 199 18WC 38083 JONES, JASON EVAPCO 10/16/18 HELLER HOLMES & ASSOC 200 18WC 38102 CLINE, DARIN HELENA AGRI ENTERPRISES, 05/24/18 SCHIRO & THEMER KEEFE & DEPAULI 201 19WC 00310 DOKEY, DOUGLAS THYSSENKRUPP 06/23/15 TUGGLE SCHIRO & LICHTENBER GAROFALO SCHREIBER STORM GRA 202 19WC 00573 HESS, LARONDA CATERPILLAR LOGISTICS SER 11/15/18 BERG & ROBESON CATERPILLAR 203 19WC 00768 WARD, TANA CHAMPAIGN COUNTY 01/12/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 19WC 01118 QUANE, DEBORAH BUSEY BANK 12/21/18 SPIROS LAW PC HENNESSY & ROACH 205 19WC 01910 HOLTON, WILLIAM USF HOLLAND, INC 01/12/19 GOLDBERG WEISMAN & CAIRO L 206 19WC 02266 SHAFFERS, JUSTIN STEAMTIC 08/13/18 WOODRUFF JOHNSON HEYL ROYSTER VOELKER & ALLEN 207 19WC 02585 BRIZE, JANICE L KRAFT HEINZ COMPANY, INC 06/18/16 PETER T BORICH 208 19WC 02626 MILTON, RICKY L UNIVERSITY OF ILLINOIS 09/04/17 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 209 19WC 02644 HARRIS III, TOMMY HRW 01/03/19 DWORKIN AND MACIARIELLO SCHOUEST BAMDAS SOSHEA 210 19WC 03098 WARD, TINA CHAMPAIGN COUNTY 01/12/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 211 19WC 03142 LORENZEN, LISA C DANVILLE SCHOOL DISTRICT 11/14/16 RICH RICH COOKSEY & CHAPPE THOMAS MAMER LLP 19WC021672 -C 212 19WC 03175 ALFORD-BROWN, AMORI FEDEX GROUND 01/03/19 FREDERICK & HAGLE KOPKA, PINKUS DOLIN, PC 213 19WC 03355 EAGLEN, CODY REPUBLIC SERVICES 12/31/18 BURNETT & CARON, LTD 214 19WC 03371 SIMPSON, CAROLE PROSPECT BANK 12/27/18 FREDERICK & HAGLE CRAIG & CRAIG 215 19WC 04068 TIERNAN, KATHY ILLINOIS DEPT OF CORRECTI @ 08/17/18 SCHIRO & THEMER ASSISTANT ATTORNEY GENERAL 216 19WC 04109 ABDULLAH, AKMAL CATERPILLAR, INC 01/13/19 SPIROS LAW PC CATERPILLAR 217 19WC 04331 CONRAD, JASON SIMONTON WINDOWS 01/23/18 SMITH LAW LTD KEEFE CAMPBELL BIERY & ASSOC 19WC013147 -C 218 19WC 04526 LEACH, HARVEY YRC FREIGHT 03/03/17 RIDGE & DOWNES 219 19WC 04754 PETTIGREW, NANCY ULLINI HERITAGE REHAB & H 10/24/18 WOODRUFF JOHNSON STEPHEN P. KELLY 220 19WC 05365 ROBISON, DEAN H LSC COMMUNICATIONS 11/11/18 SGRO HANRAHAN DURR RABIN BRADY, CONNOLLY & MASUDA, PC 221 19WC 05398 ROUSE, GEORGE W LANZ, INC 05/11/18 GARY JOE STOKES ANCEL GLINK PC

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 19WC 06362 WILSON, GABRILLE FEDEX GROUND 04/18/18 WARREN E DANZ, PC KOPKA, PINKUS DOLIN, PC 223 19WC 06429 WEST, DARRELL L CENTRAL IL MANUFACTURING 05/31/18 MCCARTHY ROWDEN STEPHEN H LARSON LAW OFFICE 224 19WC 06628 DOWNING, LYNETTE M AUTOZONE 02/18/19 BENASSI & BENASSI QUINN JOHNSTON HENDERSON ETA 225 19WC 06866 MILTON, RICKY L UNIVERSITY OF ILLINOIS 01/22/19 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 226 19WC 07707 PORTER, MILISSA PAP-R PRODUCTS CO 11/26/18 SMITH LAW LTD 227 19WC 07979 MCCORKLE, KELLY WHITELINE EXPRESS LIMITED 01/26/19 SCHIRO & THEMER SMITH AMUNDSEN LLC 228 19WC 08147 HEMRICH, NICHOLE UNIVERSITY OF ILLINOIS @ 11/07/18 SCHIRO & THEMER HEYL ROYSTER VOELKER & ALLEN 229 19WC 08458 DEAN, MICHAEL SILGAN CONTAINERS 10/26/18 SPIROS LAW PC WIEDNER & MCAULIFFE LTD 230 19WC 08656 ALLISON, JOHN J SMITH'S TOWING & RECOVERY 03/03/19 GARY JOE STOKES QUINN JOHNSTON HENDERSON ETA 231 19WC 08815 COWGER, JASON CARGILL 02/21/19 ASHER & SMITH LIVINGSTONE MUELLER ET AL 232 19WC 08816 COLE, RODNEY ROAD RANGER 01/31/19 ASHER & SMITH 233 19WC 09600 WINLAND, TROY G QUAKER OATS 12/18/17 THOMAS MAMER & HAUGHEY 234 19WC 09929 MONTGERARD, SHIRLEY DANVILLE PAPER SUPPLY 08/06/18 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 235 19WC 09960 WATSON, ALVINA CAMPUS HOSPITALITY 02/04/19 FREDERICK & HAGLE LUCY T. UNGER 236 19WC 10221 MASUGA, PAMELLA JV ENTERPRISES OF ILLINOI 02/13/19 FERGUSON, MARK E LTD CHILTON YAMBERT PORTER LLP 237 19WC 10933 19B PRICE, BRENDA J COLES CO COUNCIL ON AGING 02/28/18 HELLER HOLMES & ASSOC ACCIDENT FUND HOLDINGS 238 19WC 11097 CHANCELLOR, CORRINE MASTERBRAND CABINETS 09/28/18 MICHAEL M WOJITAS DUGAN & VOLAND 239 19WC 11627 POLLOCK, CHRIS BILL SMITH AUTO PARTS 02/05/19 KATZ FRIEDMAN EAGLE ET AL CHILTON YAMBERT PORTER LLP

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 19WC 11748 ROSNETT, KEITH VISCOFAN 01/31/19 TUGGLE SCHIRO & LICHTENBER WOLF & LAUDICINA LTD 241 19WC 11891 DOWNES, MICHAEL J SR. KENNEDY TANK 11/29/18 MARK N LEE HEYL ROYSTER VOELKER & ALLEN 242 19WC 12061 DAVIS, JOHN ALLIED MECHANICAL 02/23/18 SPIROS LAW PC LUCY T. UNGER 243 19WC 12487 BARKER, SIDNEY THE HOME DEPOT 06/21/18 SCHIRO & THEMER ADELSON TESTAN BRUNDO 244 19WC 12545 ASHBY, MCIHAEL P CITY OF CHAMPAIGN 08/28/17 THOMAS W DUDA CITY OF CHAMPAIGN 245 19WC 13109 HARRIS, KATRENA L WALGREENS 03/11/19 LANGACKER LAW 246 19WC 13308 KIRBY, ANDRE VARSITY STRIPING&CONSTRUC 10/24/16 GRAUER & KRIEGEL LLC HOLECEK & ASSOCIATES 247 19WC 14099 MCCARTY, CANDIS NORTH AMERICAN LIGHTING 04/25/19 DWORKIN AND MACIARIELLO STEPHEN CARTER 248 19WC 14596 BRAZELTON, LAWRENCE SUNBELT RENTALS, INC 12/11/17 FREDERICK & HAGLE BRYCE DOWNEY & LENKOV LLC 249 19WC 14645 KIEFT, ALICE CHAMPAIGN COUNTY 04/02/19 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 250 19WC 15131 JORDAN, CHARLES ALLAN LEBANON SEABOARD CORP 02/20/19 FREDERICK & HAGLE LAWRENCE COZZI - LAW OFFICE 251 19WC 15294 LONG, KIMBERLY CIRCLE K 01/19/19 DWORKIN AND MACIARIELLO 252 19WC 15563 SCHULTE, KYLE W CLINTON COUNTY SHERIFF'S 06/09/15 HARRIS & JONES 253 19WC 15794 WILLIAMS, ALLAN R DIEPHOLZ AUTO GROUP 02/06/17 THOMAS SCHOOLEY BRYCE DOWNEY & LENKOV LLC 254 19WC 15877 HASTING, ANGELA R GORDMANS 11/04/18 KANOSKI BRESNEY 255 19WC 16005 JONES, TRACY RURAL KING DISTRIBUTION C 09/27/17 MCCARTHY ROWDEN RURAL KING 256 19WC 16075 RUPPERT, SHANE COLES-MOULTRIE ELECTRIC C 11/20/17 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 257 19WC 16576 ERWIN, MARION NUTRIEN AG SOLUTIONS INC 05/18/19 SPIROS LAW PC SPIEGEL & CAHILL, PC

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 19WC 16778 WALTERS, JOSH FLEX-N-GATE 02/11/19 SCHIRO & THEMER THOMAS MAMER & HAUGHEY 259 19WC 17116 MORGAN, DENNIS DYNEGY DBA ILLINOIS POWER 06/26/16 HOWERTON, DORRIS & STONE 260 19WC 17508 WALTERS, JOSH FLEX-N-GATE 04/16/19 SCHIRO & THEMER THOMAS MAMER & HAUGHEY 261 19WC 17522 PATTERSON, DONALD E STATE OF IL- DOT @ 09/28/18 BURNETT & CARON, LTD ASSISTANT ATTORNEY GENERAL 262 19WC 17633 PERRY, KEVIN ILLINOIS DEPARTMENT @ 04/16/19 DAVID W MARTAY ASSISTANT ATTORNEY GENERAL 263 19WC 17770 COX, TIMOTHY SCHNEIDER OPERATING/ 11/07/18 DAVID W MARTAY ASA LAW GROUP 264 19WC 17903 TAUBEN, LANA WHITELINE EXPRESS 10/04/18 TUGGLE SCHIRO & LICHTENBER SMITH AMUNDSEN LLC 265 19WC 17909 TAYLOR, STEPHEN HANDLED NOW/RYDER LOGISTI 07/29/17 MARK N LEE HENNESSY & ROACH 266 19WC 18493 WALLACE, PATRICIA FAMILY SERVICE OF 04/02/19 SCHUM LAW PC 267 19WC 19001 SMOTHERS, TERRY MARATHON PETROLEUM 02/01/19 DWORKIN AND MACIARIELLO SCHOUEST BAMDAS SOSHEA 268 19WC 19077 ROWLEY MELANIE THYSSEN KRUPP 03/11/19 SCHIRO & THEMER WOLFE & JACOBSON, LTD 269 19WC 19723 MACEDO, LORENZO SILGAN WHITE CAP CORP 10/06/18 SPIROS LAW PC 270 19WC 19785 BARNHILL, HILLIARY ILLINOIS DEP OF HUMAN SER @ 06/18/18 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 271 19WC 20143 SMITH, VERNA E (PARENT OF DOMINO'S PIZZA # 04/30/19 SCHIRO & THEMER PATRICK MCHUGH 272 19WC 20369 TINDER, CASSAUNDRA L DR. JAMES GOLDSTEIN 11/21/18 HASSAKIS & HASSAKIS EVANS & DIXON 273 19WC 20517 DONOVAN, MATTHEW PATRIOT SIGNS & ELECTRIC 12/26/18 MCCARRON LAW FIRM, PC QUINN JOHNSTON HENDERSON ETA 274 19WC 21006 JUVINALL, SCOTT THIS IS IT FURNITURE 03/14/19 MARSZALEK AND MARSZALEK 275 19WC 21163 WORLEY, TRENT UNIVERSITY OF ILLINOIS @ 07/19/17 MEYER CAPEL, PC HEYL ROYSTER VOELKER & ALLEN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 19WC 21291 MCCAIN, KENNY CITY OF PARIS- FIRE DEPAR 09/24/17 MOSS & MOSS PC INMAN & FITZGIBBONS 277 19WC 22157 FRANKLIN, JERRY CARSO, INC 02/24/08 SMITH LAW LTD QUINN JOHNSTON HENDERSON ETA 278 19WC 22180 DINKINS, PHILIP NEW CENTURY ARMORED 07/05/19 GOLDFINE & BOWLES KEEFE CAMPBELL BIERY & ASSOC 279 19WC 22238 GOODRICH, TONYA CIRCLE K 07/09/19 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 280 19WC 22313 MALONE, DARWIN W BALLARD MARINE CONSTRUCTI 07/26/19 SKLARE LAW GROUP GOLDSTEIN AND PRICE 281 19WC 22488 PAYNE, RICHARD STEVE CRAWFORD TRUCKING, 05/11/18 LYNN D BARNETT SCOPELITIS GARVIN LIGHT 282 19WC 22497 VANCE, WILLIAM P THYSSENKRUPP 02/25/19 BURNETT & CARON, LTD 283 19WC 22521 JOHNSON, MARK DART CONTAINER 06/29/19 SPIROS LAW PC GAROFALO SCHREIBER STORM GRA 284 19WC 22758 GUYER, DESTINY DWN MANAGEMENT, INC. 11/01/18 MOSS & MOSS PC ANCEL GLINK PC 285 19WC 23022 BRIGGS, DAWN AT&T MOBILITY 06/19/17 BURNETT & CARON, LTD 286 19WC 23370 NASERS, MICHAEL S HAYWARD BAKER INC 07/08/19 CULLEN HASKINS NICHOLSON 287 19WC 23762 CRAWFORD, JOSEPH RES-CARE INC 08/31/18 SCHIRO & THEMER SPIEGEL & CAHILL, PC 288 19WC 23897 BUES, NANCY NIEMAN FOODS INC DBA IGA 05/16/19 FREDERICK & HAGLE KNELL O'CONNOR DANIELWICZ 289 19WC 24101 HESTER, SCOTT UNIVERSITY OF ILLINOIS 07/31/19 WOODRUFF JOHNSON THOMAS MAMER & HAUGHEY 290 19WC 24347 POTTER, CARL W AEROGEN-TEK 03/08/19 ASHER & SMITH 291 19WC 24386 LAZZWLL, CLAYTON TRILLIUM STAFFING 08/16/19 DWORKIN AND MACIARIELLO 292 19WC 24533 PEPPERDINE, DONALD EASTERN ILLINOIS UNIVERSI @ 04/24/19 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 293 19WC 24693 JOHNSON, WAYNE LOWE'S 07/23/19 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 19WC 24818 HADLEY, ROBIN VCA HERITAGE 08/09/19 REISMAN LAW OFFICE SLAVIN & SLAVIN 295 19WC 25240 ADAMS, PENNY WALGREENS 11/21/18 WARREN E DANZ, PC EVANS & DIXON, LLC 296 19WC 25444 CONKLIN, ZACKARY CARLE FOUNDATION HOSPITAL 05/13/19 GOLDFINE & BOWLES THOMAS MAMER LLP 297 19WC 25861 PEEBELS, LYNDAL FRONTIER COMMUNICATIONS 02/22/18 WINTERS BREWSTER CROSBY SC 298 19WC 25874 ALLEN, MICHAEL EXPRESS EMPLYMNT PROFESSI 08/12/19 SPIROS LAW PC MC ANDREWS & NORGLE LLC 299 19WC 25943 RUPPERT, SHANE COLES MOULTIRE ELECRTIC 08/19/19 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 300 19WC 26044 WOLEMAN, WILLIAM SUPERVALU 06/23/19 SCHIRO & THEMER LEAHY EISENBERG & FRAENKEL 301 19WC 26187 PRATT, TIMOTHY R&L CARRIERS 07/05/17 GARY JOE STOKES KEEFE CAMPBELL BIERY & ASSOC 302 19WC 26221 DEAVILLE, JASON CLIFFORD-JACOBS FORGING 09/05/18 GOLDFINE & BOWLES KEEFE & DEPAULI 303 19WC 26252 MURPHY, MATTHEW MID ILLINOIS CONCRETE 06/01/19 FREDERICK & HAGLE 304 19WC 26822 REID, PATRICK LITANIA SPORTS 08/05/19 MARK N LEE 305 19WC 26994 BRYANT, DANA CARRIAGE CROSSING 01/23/18 STRONG LAW OFFICE 306 19WC 27322 YEARGIN, GREGORY MILLER ENTERPRISES 01/30/19 GREGORY L. RYAN LAW OFFICE 307 19WC 27556 CHANDLER, CONNIE KIK CUSTOM PRODUCTS 04/19/19 LEONARD LAW GROUP LLC NYHAN BAMBRICK KINZIE & LOWR 308 19WC 28119 SCHEERINGA, JAMES DSC LOGISTICS INC-LOANING 11/07/17 WILLIAMS & SWEE MC ANDREWS & NORGLE LLC 309 19WC 28148 PRATT, TIMOTHY R&L CARRIERS 08/07/19 GARY JOE STOKES KEEFE CAMPBELL BIERY & ASSOC 310 19WC 28289 WARNER, ROGER A AT&T 06/13/19 FREDERICK & HAGLE 311 19WC 28874 CALES, CHRISTOPHER D STATE OF ILLINOIS LAWRENC @ 07/08/19 GLASS & KOREIN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M PULIA, MAUREEN 004 ARBITRATION CALL FOR URBANA 48002 ON 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 19WC 29193 ALLISON, DANNY STATE OF ILLINOIS-IDOT @ 07/24/19 GARY JOE STOKES ASSISTANT ATTORNEY GENERAL 313 19WC 29313 MCDONALD, JIMMIE T CHAMPAIGN UNIT 4 SD 09/24/19 STEPHEN P. KELLY 314 19WC 29745 PALMER, JEFFREY UNIVERSITY OF ILLINOIS @ 02/01/18 SPIROS LAW PC 315 19WC 29850 AMOLE, GARY B AKO TREE SERVICE 07/06/17 REISMAN LAW OFFICE LAWRENCE COZZI - LAW OFFICE 316 19WC 29895 SMITH, SHAWN DANVILLE SCHOOL DISTRICT 09/19/17 MARSZALEK AND MARSZALEK 317 19WC 30113 MORRIS, ROBERT CITY OF CHAMPAIGN P.D. 04/09/19 SPIROS LAW PC CITY OF CHAMPAIGN 318 19WC 30401 STUBBS, ROBERT S SERV PRO 02/25/19 KANOSKI BRESNEY LAWRENCE COZZI - LAW OFFICE 319 19WC 30672 MATTINGLY, PAUL REYNOLDS TOWING INC 04/02/18 FREDERICK & HAGLE INMAN & FITZGIBBONS 320 19WC 31066 CUNNINGHAM, JERRY CARLE 08/19/19 MOSS & MOSS PC 321 19WC 31302 CREEK, RICHARD D HALVERSON CONSTRUCTION 10/15/19 GREGORIO & MARCO 322 19WC 31315 ZIMMERMAN, CHARLES UNIVERSITY OF ILLINOIS @ 01/23/19 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 323 19WC 31411 SPANGLO, CHRIS REPUBLIC SERVICES 09/16/19 BURNETT & CARON, LTD 324 19WC 31484 GRAY JR, JOE EXPRESS EMPLOYMENT 08/28/19 TUGGLE SCHIRO & LICHTENBER MC ANDREWS & NORGLE LLC 325 19WC 31704 GOODEN, PATRICIA TRANSIT SYMPHONY D/B/A 08/30/19 CISCO LAW, P.C. LUCY T. UNGER 326 19WC 31735 KU, EVA REGIONS FINANCIAL CORP D/ 10/15/19 SPIROS LAW PC MCANANY VANCLEVE & PHILLIPS 327 19WC 31836 FISCUS, DENNIS BLOCK ELECTRIC 09/30/19 SCHUM LAW PC 328 19WC 31840 BROUGHER, ELIZABETH SERV-U-SUCCESS 07/19/18 KANOSKI BRESNEY KNELL O'CONNOR DANIELWICZ 329 19WC 32284 OLIVO, JOSE' IBUILDERS CORP 05/09/19 MICHAEL HELLMAN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 19WC 32712 ROGERS, BRIAN CITY OF CHAMPAIGN 12/19/16 RICH RICH COOKSEY & CHAPPE CITY OF CHAMPAIGN 331 19WC 33096 VOGT, ANGELA CITY OF URBANA 09/20/19 REISMAN LAW OFFICE 332 19WC 33163 HEAD, VALERIE UNIVERSITY OF ILLINOIS 01/03/19 SCHIRO & THEMER HEYL ROYSTER VOELKER & ALLEN 333 19WC 33464 SANDERS, MARY VILLAS OF HOLLY BROOK 09/05/19 HEYL ROYSTER VOELKER & ALLEN 334 19WC 33533 FOOTE-BELL, PAULA F KRAFT HEINZ 06/12/19 BRIAN T. SCHURTER GAROFALO SCHREIBER STORM GRA 335 19WC 33766 ADAMS, WANA HYSTER-YALE GROUP 09/03/19 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 336 19WC 33856 NADOLNY, NANCY MASTERBRAND CABINETS 02/18/18 MICHAEL M WOJITAS DUGAN & VOLAND 337 19WC 34014 BARNBROOK, GARY D ANGEL ROSE ENERGY, LLC 06/08/18 MEYER, MICHAEL J LAWRENCE COZZI - LAW OFFICE 338 19WC 34099 HANNER, JANA L ARROW AMBULANCE LLC 05/14/19 FREDERICK & HAGLE 339 19WC 34171 CHAPPEL, GLORIA CROSS CONSTRUCTION 09/18/19 FREDERICK & HAGLE STEPHEN H LARSON LAW OFFICE 340 19WC 34243 MENDEZ, FRIDA MIDAS HOSPITALITY, LLC 12/02/18 SPIROS LAW PC 341 19WC 34281 CROSS, CHAQUERA THE RESIDENTIAL DEVELOPER 10/31/19 FREDERICK & HAGLE 342 19WC 34595 MILLER, LATONYA WALMART 04/05/19 DWORKIN AND MACIARIELLO 343 19WC 34698 PICKERING, KRISTA LAKE LAND COLLEGE 11/14/19 SMITH LAW LTD 344 19WC 34776 RUOT, ZACHARY MARS PETCARE 09/05/19 HELLER HOLMES & ASSOC GAROFALO SCHREIBER STORM GRA 345 19WC 35015 MCKEE, JANE CHRISTIE BUSINESS HOLDING 07/10/19 ERWIN MARTINKUS & COLE 346 19WC 35134 RANDOLPH, JULIA PRESENCE USMC 12/01/17 SCHIRO & THEMER BRADY CONNOLLY & MASUDA PC 347 19WC 35524 ROUX, JASON THYSSENKRUPP CRANKSHAFT C 08/26/19 SPIROS LAW PC GAROFALO SCHREIBER STORM GRA

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 19WC 35602 CARPENTER, ALEXANDRIA REGIONS BANK 10/15/19 DWORKIN AND MACIARIELLO MCANANY VANCLEVE & PHILLIPS 349 19WC 35698 HUFF, BRANDON HALVERSON CONSTRUCTION 11/27/19 GARY JOE STOKES JAMES M KELLY 350 19WC 35907 JACKSON, COREY ILLINOIS POWER GENERATING 07/06/19 MUELHAUSEN & STEFANI KEEFE & DEPAULI 351 19WC 35964 RINGIS, JERRY MCLANE COMPANY, INC. 05/28/19 SPIROS LAW PC KEEFE CAMPBELL BIERY & ASSOC 352 19WC 36345 CALDER, SHARON PARADOX 04/22/19 SPIROS LAW PC BRADY, CONNOLLY & MASUDA, PC 353 19WC 36353 TORRES, JOSE L MERVIS INDUSTRIES, INC. 05/01/19 MICHAEL MILES 354 19WC 36398 SMITH, DAVID A U.S. TRANPORT SERVICES, I 10/30/19 SPIROS LAW PC 355 19WC 36399 OZUL, NORMA MONAHAN FILAMENTS 12/20/18 SMITH LAW LTD 356 19WC 36418 PACE, LEATRICE RANTOUL SCHOOL DISTRICT 1 12/13/19 WOODRUFF JOHNSON HEYL ROYSTER VOELKER & ALLEN 357 19WC 36440 CONTRERAS MARTINEZ, MARTI YANEZ REMODELING CO 09/29/19 HERRERA LAW CENTER WIEDNER & MCAULIFFE LTD 358 19WC 36631 KECK, SEAN FED EX GROUND PKG SYSTMS 10/17/19 SPIROS LAW PC 359 19WC 36921 RUMLER, TIMOTHY FEDEX 11/04/19 STRONG LAW OFFICE MCANANY VANCLEVE & PHILLIPS 360 19WC 36988 TUCKER, GEORGE CARD'S APPLIANCE 08/12/19 SPIROS LAW PC LIVINGSTONE MUELLER ET AL 361 19WC 37080 LONGEST, JAMES ILLINOIS AMERICAN WATER 10/22/19 FREDERICK & HAGLE 362 19WC 37245 SAVAGE, LAQUISHA AMBER GLEN ALZHEIMER'S 11/20/19 DWORKIN AND MACIARIELLO BRYCE DOWNEY & LENKOV LLC 363 19WC 37391 ABDO, PETER AMAZON 12/01/19 FREDERICK & HAGLE 364 19WC 37512 SULLIVAN, DORENE E CARLE FOUNDATION 10/15/19 FREDERICK & HAGLE 365 20WC 00526 BROWN, KEITH CARSO INC 05/14/18 SPIROS LAW PC

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 20WC 00603 HILL, CHERYL PORTILLO'S HOT DOGS 12/21/19 DWORKIN AND MACIARIELLO 367 20WC 00744 GRONSKY, JOE M COLMAC COIL 08/28/19 KANOSKI BRESNEY 368 20WC 00983 DOWNS, KENNETH UNIVERSITY OF ILLINOIS @ 02/25/19 MARK N LEE 369 20WC 01079 DELGADO, ESTRELLA FOR ATLANTIC SERVICES, INC # 12/19/18 GAROFALO SCHREIBER STORM GRA 370 20WC 01150 BROOKS, MARC KINGS TRANSPORTATION 12/26/19 GOLDBLATT + SINGER EVANS & DIXON, LLC 371 20WC 01310 BUTLER, MELISSA UNIVERSITY OF IL 09/11/19 WOODRUFF JOHNSON HEYL ROYSTER VOELKER & ALLEN 372 20WC 01662 FLYNN, RICHARD UNIVERSITY OF ILLINOIS @ 04/17/19 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 373 20WC 01991 AYERS, WYLESHA EXPRESS EMPLOYMENT PROFES 12/02/19 SPIROS LAW PC MC ANDREWS & NORGLE LLC 374 20WC 02038 WEDDLE, MONICA LSC COMMUNICATIONS 03/16/19 ASHER & SMITH HENNESSY & ROACH 375 20WC 02061 GRADY, EVELYN UNIVERSITY OF ILLINOIS @ 05/27/14 SCHIRO & THEMER HEYL ROYSTER VOELKER & ALLEN 376 20WC 02322 SPAINHOUR, BRIAN UNIVERSITY OF ILLINOIS @ 07/10/19 SPIROS LAW PC 377 20WC 02526 MALONE, BILLIE LSC COMMUNICATIONS 01/09/20 KATZ FRIEDMAN EISENSTEIN HENNESSY & ROACH 378 20WC 03147 SMITH, PHILLIP SENCO CONSTRUCTION, INC. 02/19/19 MOSS & MOSS PC STEPHEN H LARSON LAW OFFICE 379 20WC 03361 JONES, LOLA CHAMPAIGN UNIT 4 DISTRICT 11/20/19 MCCARTHY ROWDEN 380 20WC 03829 ECKEL, CALEN QISHALL TRANSPORT 01/18/20 SPIROS LAW PC 381 20WC 04185 KIRCHNER, NATHAN CARLE FOUNDATION HOSPITAL 07/29/19 KATZ FRIEDMAN EISENSTEIN 382 20WC 04519 TARWATER, DONNA ZF ACTIVE SAFETY AND 07/23/18 MOSS & MOSS PC STEPHEN H LARSON LAW OFFICE 383 20WC 04908 JOHNSON, BRAD VERMILION COUNTY 10/31/18 GARY JOE STOKES

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 20WC 04928 DAVIS, BRANDIE EVAPCO INC 06/07/19 SCHIRO & THEMER LUCY T. UNGER 385 20WC 05050 HOYT, SCOTT XPO LOGISTICS 01/29/20 SCHUM LAW PC 386 20WC 05125 WASHBURN, SHERYL DOLLAR TREE 02/21/20 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 387 20WC 05345 TATMAN, ERIC FEDEX EXPRESS 10/07/19 GREGORY L. RYAN LAW OFFICE WIEDNER & MCAULIFFE LTD 388 20WC 05369 JONES, MICHAEL FEDEX GROUND 02/01/20 FREDERICK & HAGLE KOPKA, PINKUS DOLIN, PC 389 20WC 05444 AGUILAR, EDGAR TRI-RINSE 12/12/19 SPIROS LAW PC HENNESSY & ROACH 390 20WC 05648 MODEST, KERWIN T EXPRESS EMPLYMNT PROFESSI 11/21/19 PATEL LAW PC MC ANDREWS & NORGLE LLC 391 20WC 05664 TOMASELLO, MARK ANAMET ELECTRIC 10/21/19 HELLER HOLMES & ASSOC GAROFALO SCHREIBER STORM GRA 392 20WC 05705 CRAVENS, KENNETH COURTESY FORD 01/31/19 SPIROS LAW PC 393 20WC 05915 HUTCHISON, JAMES KS ENERGY SERVICES 07/21/17 DANIELS WILZBACH PC STONE & JOHNSON CHARTERED 394 20WC 05960 MERCER, SHAWN STATE OF ILLINOIS @ 08/30/18 MARKS INJURY LAW ASSISTANT ATTORNEY GENERAL 395 20WC 06097 COLE, JAMES LEVI YORK BIN COMPANY INC. 09/05/19 BRADY, CONNOLLY & MASUDA, PC 396 20WC 06121 GRANT, NEVAN CLIFFORD JACOBS FORGING C 05/23/19 PAUL E SELIN KEEFE & DEPAULI 397 20WC 06136 COOK, KARI A RANTOUL CITY SCHOOL DIST 11/15/19 BRIAN T. SCHURTER HEYL ROYSTER VOELKER & ALLEN 398 20WC 06175 RILEY, ANGELA MONAHAN FILAMENTS, LLC 02/20/19 TAPELLA & EBERSPACHER LLC 399 20WC 06249 LEWELLEN, MATTHEW CHAMPAIGN HEATING & AIR 11/11/19 ELFENBAUM EVERS ZIELINSKA 400 20WC 06306 LOSCHEN, MARK ILLINI FS 12/12/18 HEYL ROYSTER VOELKER & ALLEN 401 20WC 06513 HENDERSON, CHRISTOPHER A SIGMA-ALDRICH 12/03/19 FREDERICK & HAGLE

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 20WC 06634 PERSCHALL, ROBERT FELMLEY-DICKERSON 10/05/18 STEPHEN P. KELLY JAMES M KELLY 403 20WC 06704 MCDOWELL, JASON TAYLOR STUDIOS INC 12/16/19 SPIROS LAW PC BRYCE DOWNEY & LENKOV LLC 404 20WC 07461 SALVATO, MICHAEL ONE EARTH ENERGY LLC 01/28/20 STRONG LAW OFFICE COZZI & ZAPF LAW OFFICE 405 20WC 07603 ORTIZ, LAURA MONAHAN FILAMENTS LLC 08/25/19 SMITH LAW LTD 406 20WC 07626 STITES, DANIEL L TEAM CO INC D/B/A STAFFQU 12/28/19 HELLER HOLMES & ASSOC HENNESSY & ROACH PC 407 20WC 07697 NELSON, MICHAEL UNIVERSITY OF ILLINOIS @ 04/17/17 ERWIN MARTINKUS & COLE 408 20WC 07945 CORDREY, STEPHANIE DANVILLE METAL STAMPING 08/21/19 GARY JOE STOKES 409 20WC 07991 HEADRICK, MATHEW J JIMMY JOHNS ENTERPRISES,L 02/28/20 FREDERICK & HAGLE 410 20WC 08025 BOARDMAN, TERESA FIRST STUDENT 12/18/19 BURNETT & CARON, LTD WIEDNER & MCAULIFFE LTD 411 20WC 08205 LONNQUIST SUTPHEN, KAREN KANOSKI BRESNEY 03/20/17 NO ATTORNEY 412 20WC 08243 KAUFFMAN, DANNY EZ TRAIL INC 02/07/20 MCCARTHY ROWDEN 413 20WC 08315 JORDAN, MICHAEL AREA ERECTORS INC 02/29/20 GREGORIO & MARCO ACCIDENT FUND HOLDINGS 414 20WC 08348 BOYD, ANTHONY IH SERVICES INC 12/22/19 SPIROS LAW PC 415 20WC 08442 BLAKENEY, SHAWNA AT&T MOBILITY SVS, LLC 02/13/20 SMITH LAW LTD 416 20WC 08490 TAYLOR, LORETTA SIMONTON WINDOWS & DOORS 03/20/20 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 417 20WC 08735 KENNEDY, LANDON VILLAGE OF MAHOMET 02/05/20 SPIROS LAW PC EVANS & DIXON 418 20WC 08781 GARY, DENA P UNIVERSITY OF ILLINOIS AT 03/03/20 ANESI OZMON RODIN NOVAK KO THOMAS MAMER LLP 20WC010309 -C 419 20WC 08846 LAWSON, PEGGY NORTH AMERICAN LIGHTING I 11/14/19 CHRISTIAN & MANNO STEPHEN CARTER

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 420 20WC 08918 BELT, EVA RESCARE 02/17/20 DWORKIN AND MACIARIELLO SPIEGEL & CAHILL, PC 421 20WC 09001 LABAUME, LEVI MATCHLESS METAL & POLISH 11/26/19 RUBENS KRESS MULHOLLAND 422 20WC 09230 NOGHREHCHI, ANTHONY WHITE LINE EXPRESS LTD 02/26/20 SPIROS LAW PC SMITH AMUNDSEN LLC 423 20WC 09498 DE LA GARZA, SUGEY EXPRESS EMPLOYMENT 03/05/20 GARY JOE STOKES MC ANDREWS & NORGLE LLC 424 20WC 09518 MCINTYRE, PATRICK RANTOUL FOODS 11/27/19 SPIROS LAW PC HEYL ROYSTER VOELKER & ALLEN 425 20WC 09587 HERNANDEZ, FRANKLIN JCD CONTRACTORS, INC 04/08/19 EPSTEIN, JACK R LAW OFFICE 426 20WC 09826 VICKER, DENVER EVAPCO INC 03/16/20 MICHAEL M WOJITAS 427 20WC 10032 FAGG, RANDY A WRIGHTS TREE SERVICE 04/06/20 FREDERICK & HAGLE 428 20WC 10300 CRADDOCK, TOMMY CIFFORD-JACOBS FORGING 03/09/20 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 429 20WC 10333 MCDORMAND, KEN LANZ, INC 01/23/19 DAVID W MARTAY 430 20WC 10637 KELSHEIMER, TAYLOR TOP FLIGHT GRAIN COOPERAT 03/21/19 SHAY & ASSOCIATES EVANS & DIXON 431 20WC 10735 BELL, BRETT A BELL & BELL DEMOLITION IN 07/10/19 COZZI & ZAPF LAW OFFICE 432 20WC 10817 GARCIA-RAMIREZ, EMANUEL RANTOUL FOODS 12/07/19 HEYL ROYSTER VOELKER & ALLEN 433 20WC 10868 YAMBA, PAULINE M URBANA SCHOOL DISTRICT #1 03/06/20 PETER T BORICH 434 20WC 10888 LITTLE, TAMMY J HERFF JONES LLC 11/18/19 PETER T BORICH STEPHEN H LARSON LAW OFFICE 435 20WC 11234 CERVANTES, MICHAEL URBANA POLICE DEPARTMENT 04/10/20 SPIROS LAW PC 436 20WC 11305 HEIMAN, SARAH ALDI 11/11/19 SCHIRO & THEMER 437 20WC 11407 MEDLEN, DON SAFELITE AUTOGLASS 06/14/19 SCHIRO & THEMER

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 20WC 11444 HERNANDEZ, FRANKLIN SK SERVICE CORP, D/B/A 12/20/17 EPSTEIN, JACK R LAW OFFICE 439 20WC 11478 PETERSON, JUSTIN B CHARLESTON POLICE DEPARTM 01/07/20 KEVIN L GEISLER 440 20WC 11484 SANDMEYER, AMY J HYSTER-YALE 12/05/19 GARY JOE STOKES BRADY, CONNOLLY & MASUDA, PC 441 20WC 11670 GRAHAM, NATHAN O G & D INTEGRATED 03/13/20 KANOSKI BRESNEY COZZI & ZAPF LAW OFFICE 442 20WC 11703 REDDING, JANICE SILGAN CONTAINERS 01/16/20 TUGGLE SCHIRO & LICHTENBER 443 20WC 11727 MC INTYRE, BRIAN MARATHON PETROLEUM LOGIST 04/20/20 SPIROS LAW PC SCHOUEST BAMDAS SOSHEA 444 20WC 11917 BAKER, ERICK HUDSON TECHNOLOGIES 04/09/20 DWORKIN AND MACIARIELLO 445 20WC 12133 ROBINSON, LEO UNIVERSITY OF ILLINOIS 02/16/20 WOODRUFF JOHNSON 446 20WC 12155 CURRAN, RICHARD GSI GROUP LLC 02/14/18 FEATHERSTUN GAUMER 447 20WC 12377 WILLIAMS, ELIJAH CAPSTONE LOGISTICS 05/30/20 CISCO LAW, P.C. 448 20WC 12431 DUGLE, DAVID SILGAN CONTAINERS, LLC 02/01/20 WOODRUFF JOHNSON ASA LAW GROUP 449 20WC 12451 MATEO MATEO, BALTAZAR GIO ABC SANITARY HAULING 05/12/20 EPSTEIN, JACK R LAW OFFICE 450 20WC 12809 RAMIREZ, MAURICIO COUNTRY KETTLE 02/08/20 KATZ FRIEDMAN EISENSTEIN 451 20WC 13080 CREASON, BRANDON FLEX-N-GATE 10/29/18 SHAY & ASSOCIATES 452 20WC 13371 MILLER, CLAYTON CHI OVERHEAD DOORS 10/07/19 KANOSKI BRESNEY THOMAS MAMER LLP 453 20WC 13506 SINGER, JAMES CREATIVE DINING SERVICES 01/08/20 MEYER CAPEL, PC 454 20WC 13539 MC CAFFERTY, PATRICIA VISTA OUTDOORS 09/13/19 WOODRUFF JOHNSON LEAHY EISENBERG & FRAENKEL 455 20WC 13598 CURRY, MICHAEL VISCOFAN USA, INC 04/13/20 SPIROS LAW PC SLAVIN & SLAVIN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 20WC 13765 BUYNO, JONAH VERMILLION COUNTY HWY DEP 11/05/18 DWORKIN AND MACIARIELLO 457 20WC 13920 REYNOZO, JENNIFER LIBMAN CO 05/15/20 SPIROS LAW PC 458 20WC 13983 HELMUTH, ADDISON AMAZON LOGISTICS DIL 1 06/15/20 DWORKIN AND MACIARIELLO 459 20WC 14049 RECIO, JEANETTE MERRY MAIDS 10/24/19 WOODRUFF JOHNSON KEEFE & DEPAULI 460 20WC 14175 HUNT, TATIYANNA DSC LOGISTICS 04/06/20 SPIROS LAW PC 461 20WC 14219 BLISSIT, BRANDON KRAFT 02/04/20 CISCO LAW, P.C. 462 20WC 14222 TSHIANTAMBWE, ANICET INNOVATIVE STAFF SOLUTION 09/03/18 CISCO LAW, P.C. 463 20WC 14300 TAYLOR, HEATHER MASS TRANSIT DISTRICT (MT 05/19/20 SPIROS LAW PC 464 20WC 14396 FOOTE-BELL, PAULA F KRAFT HEINZ 07/12/19 BRIAN T. SCHURTER 465 20WC 14413 GADDY, LORINE MASTERBRAND CABINETS 04/29/20 SHAY & ASSOCIATES DUGAN & VOLAND 466 20WC 14445 HAMPTON, EVERETT EASTERN ILLINOIS UNIVERSI @ 07/17/19 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 467 20WC 14456 CUNNINGHAM, ALICIA DISCOVERY HEALTH PARTNERS 05/25/20 GARY JOE STOKES 468 20WC 14685 THOMPSON, MARC CHI OVERHEAD DOORS 10/16/19 HELLER HOLMES & ASSOC 469 20WC 14785 BROEKER, CURTIS PETRY KUHNE 05/13/20 SHANNON LAW GROUP STEPHEN H LARSON LAW OFFICE 470 20WC 14909 DOYLE, MIKE DARAD, INC. 03/13/19 KNELL LAW LLC 471 20WC 15084 HOOKER, KEITH ALLEN ALLERTON SUPPLY CO 02/27/18 ACTON & SNYDER 472 20WC 15175 MORRIS, SCOTT WILLIAMS NATIONAL LEASE 05/21/20 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 473 20WC 15426 PAYNE, JESSICA GOOD NEWS SRVES CORP/ 06/24/20 DWORKIN AND MACIARIELLO LITCHFIELD CAVO

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 20WC 15482 SANTOYO, ELVIA HEARTHSIDE FOOD SOLUTIONS 10/31/19 BLOCK, KLUKAS & MANZELLA P 475 20WC 16098 GAINES, KARLA IL DEPT OF HUMAN SERVICES @ * 03/27/20 FREDERICK & HAGLE 476 20WC 16105 PARSLEY, SHEILA BROOKSTONE ESTATES OF MAT * 05/30/19 TAPELLA & EBERSPACHER LLC 477 20WC 16131 HOUSTON, NICHOLAS AGRI-FAB * 04/24/20 MARK N LEE 478 20WC 16150 RODRIGUEZ, MARITZA URBANA COUNTRY CLUB * 02/18/20 SPIROS LAW PC LUCY T. UNGER 479 20WC 16190 LEE, TIANNA P CARLE FOUNDATION HOSPITAL * 06/17/20 LEONARD LAW GROUP LLC 480 20WC 16257 GRIFFIN, ROBERT M CLIFFORD-JACOBS FORGING * 06/11/20 GARY JOE STOKES KEEFE & DEPAULI 481 20WC 16579 FOLLOWELL, CHRISTOPHER A&R MECHANICAL CONTRACTOR * 11/08/19 MOSS & MOSS PC 482 20WC 16610 SIMS, ROBERT MANITO TRANSIT * 06/17/20 DAVID HUNT 483 20WC 16824 WATSON, ANTHONY SPHERION STAFFING - * 06/26/20 SPIROS LAW PC 484 20WC 16917 DOWNEY, CHARLENE M BEMENT HEALTHCARE * 03/06/18 KANOSKI BRESNEY 485 20WC 17156 WALLACE, DIANE M ARAMARK FOODS * 06/02/20 KANOSKI BRESNEY 486 20WC 17281 SAMPAH, VICTORIA BLUE CROSS BLUE SHIELD OF * 07/01/20 EAMES LAW GROUP LTD STEPHEN CARTER 487 20WC 17439 MCKIBBEN, CLAY MATTOON PRECISION * 07/03/19 HELLER HOLMES & ASSOC 488 20WC 17454 DAVIS, FAYE MARCH VILLAS OF HOLLYBROOK * 06/13/20 489 20WC 17477 HATON, DEBRA S PLEASANT MEADOWS SENIOR L * 12/28/19 DODSON PIRAINO & ASSOC 490 20WC 17545 MARTIN, TRANCE TRI RINSE * 07/01/20 WOODRUFF JOHNSON 491 20WC 17557 WILEY, ALEESHIA OSF HEALTHCARE * 06/24/20 WOODRUFF JOHNSON

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 20WC 17596 WATSON, PAUL EXPRESS EMPLOYMENT PROFES * 06/02/20 DAVID W MARTAY MC ANDREWS & NORGLE LLC 493 20WC 17651 POLLUM, RHONDA MEYER OIL COMPANY * 06/14/20 SMITH LAW LTD 494 20WC 17663 JEFFERS, MIKE UNIVERSITY OF ILLINOIS 07/09/20 REISMAN LAW OFFICE 495 20WC 17696 COLLINS, SAMPSON STAFF MANAGEMENT * 07/07/20 FREDERICK & HAGLE 496 20WC 17838 BAUGHMAN, JASON BEAUTY QUEST * 06/25/20 SPIROS LAW PC 497 20WC 17876 WATSON, DANNY SILLIGAN CONTAINERS * 06/01/20 SCHIRO & THEMER HENNESSY & ROACH 498 20WC 18054 GAROWSKI, CANDY HYSTER-YALE GROUP * 10/25/19 SPIROS LAW PC 499 20WC 18178 KERNS, CALVIN R CITY OF URBANA * 06/25/20 THOMAS W DUDA 500 20WC 18465 MARCINKO, DOUG THYSSENKRUPP CRANKSHAFT * 01/14/20 KATZ FRIEDMAN EISENSTEIN 501 20WC 18834 DEAVILLE, TERESA UNIVERSITY OF ILLINOIS * 09/13/19 WOODRUFF JOHNSON 502 20WC 18883 BATTLE, ROGER WORDEN MARTIN, INC * 03/04/19 PAUL E SELIN 503 20WC 19401 HAYWARD, HEATHER RUFF DAYZ DOGGIE * 07/27/20 MC HARGUE & JONES 504 20WC 19585 JOHNSON, MARIAH L EDWARD ROSE DEVELOPMENT * 02/06/18 KANOSKI BRESNEY 505 20WC 19655 WILLIAMS, PARADISE SUPERVALU * 07/04/20 SCHUM LAW PC LEAHY EISENBERG & FRAENKEL 506 20WC 19688 MC NAMER, KAREN BLAIN SUPPLY, INC * 01/17/20 SCHWEICKERT GANASSIN WOLFE & JACOBSON, LTD 507 20WC 19815 POSEY, JOSEPH O'REILLY AUTO PARTS (1) * 07/09/20 MARSZALEK AND MARSZALEK 508 20WC 19904 BRUNO, ANTHONY PROPERTY MAINTENANCE COMP * 12/18/19 ACCIDENT FUND HOLDINGS 509 20WC 19985 CONERLY, RACHEL REFLECTIONS MEMORY CARE * 06/01/20 MCCARTHY ROWDEN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 20WC 20073 CRUMP, ROBERT BROWNWN-RUAAO CONSTRUCTIO * 05/22/20 FREDERICK & HAGLE 511 20WC 20092 PRICE, DOUGLAS FOX & AUSTIN MASONRY & * 06/30/20 SGRO HANRAHAN DURR RABIN BRYCE DOWNEY & LENKOV LLC 512 20WC 20111 THIGPEN, JUNIOR PEOPLE READY * 12/24/19 SHAY & ASSOCIATES 513 20WC 20152 COPHER, SCOTT HEARTHSIDE FOOD SOLUTIONS * 07/10/20 MARSZALEK AND MARSZALEK 514 20WC 20418 BRUNO, ANTHONY PROPERTY MAINTENANCE COMP * 12/18/19 ACCIDENT FUND HOLDINGS 515 20WC 20454 DEATON, JESSICA FED EX * 12/16/19 WILLIAMS & SWEE 516 20WC 20580 SEWARD, TAHNIJAH FEDEX GROUND * 08/21/20 DWORKIN AND MACIARIELLO 517 20WC 20992 SCHROCK, ALAN FED EX * 08/14/18 DAVID W MARTAY 518 20WC 21261 WEBER, MATTHEW BAPTIST STUDENT FOUNDTN A * 01/15/19 HENNESSY & ROACH PC 519 20WC 21368 HELTON, MARLA MASTERBRAND CABINETS 07/17/19 WOODRUFF JOHNSON 520 20WC 21371 WALTON, DEIDRE EXPRESS EMPLOYMENT * 08/25/20 WOODRUFF JOHNSON 521 20WC 21653 RIVERA, JANICE CHARLES INDUSTRIES * 05/19/20 PETER T BORICH 522 20WC 21957 RKINS, JENNIFER EASTERN IL AREA * 08/21/19 FREDERICK & HAGLE 523 20WC 21964 NICOSON, JEFFREY CITY OF DANVILLE * 05/20/19 SPIROS LAW PC 524 20WC 21976 DAVIS, ALISON FEDEX GROUND * 06/05/20 SPIROS LAW PC 525 20WC 22401 DEVINE, CASONDRA WALMART * 08/08/20 DAVID W MARTAY 526 20WC 22431 EXSON, JAMES JELD-WEN WINDOWS & DOORS * 06/22/20 WOODRUFF JOHNSON 527 20WC 22484 WILLOUGHBY, RICHARD PEORIA CHARTER COACH CO * 03/18/19 HEYL ROYSTER VOELKER & ALLEN

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 528 20WC 22687 MCNAMER, KAREN BLAIN SUPPLY INC. * 01/17/20 SCHWEICKERT GANASSIN 529 20WC 23124 SCHROEDER, MACHELLE WHITELINE EXPERSS, LTD * 09/01/19 DWORKIN AND MACIARIELLO 530 20WC 23261 MAGGI, ROBERT ALL IN ONE PROFESSIONAL S * 07/09/20 DAVID W MARTAY 531 20WC 23368 ERVIN, GREGORY (ADMIN OF LOVE'S TRAVE STOPS & COUN # * 08/05/20 CZAPLA LAW 532 20WC 23453 PARO, GARY CHI OVERHEAD DOORS * 10/22/19 DWORKIN AND MACIARIELLO 533 20WC 23532 DALE, KENNETH BUNGE MILLING * 06/06/19 SCHIRO & THEMER 534 20WC 23634 GAST, JERRY BEN TIRE DISTRIBUTORS LTD * 12/23/19 ACCIDENT FUND HOLDINGS 535 20WC 23697 GARRISON, PAUL CLIFFORD-JACOBS FORGING * 05/18/20 FREDERICK & HAGLE 536 20WC 23704 WELLMAN, GARY CASEY'S GENERAL STORE * 07/06/20 WILLIAMS & SWEE 537 20WC 23725 AYERS, ALMA EASTERN ILLINOIS UNIVERSI * 07/14/20 SMITH LAW LTD 538 20WC 23757 CRAIG, JOSHUA L C.H.I. OVERHEAD DOORS, IN * 06/18/20 COSTIGAN & WOLLRAB PC 539 20WC 23806 MORGAN, DENNIS LYNN TRANSPORT SERVICES OF SUL * 02/14/20 HOWERTON, DORRIS & STONE 540 20WC 24011 ADAMS, ROBERT CORNERSTONE BLDNG BRANDS * 08/20/20 SPIROS LAW PC 541 20WC 24148 FOOT, STACEY AVMS PC * 07/29/19 HEYL ROYSTER VOELKER & ALLEN 542 20WC 24220 KOOPMAN, SUSAN VISTA OUTDOORS * 05/14/20 FREDERICK & HAGLE 543 20WC 24259 MABRY, DANIEL ROGERS ELECTRIC * 08/20/20 FREDERICK & HAGLE 544 20WC 24270 ISAAC, BROK CUSTOM SERVICE CRANE * 07/07/20 SPIROS LAW PC 545 20WC 24289 GRACE, ROBERT PEPSI-COLA C-U BOTTLING C * 07/07/20 SCHIRO & THEMER

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 11/17/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 546 20WC 24385 BEASON, KATIE M AGRI-FAB, INC. * 06/24/20 FERGUSON, MARK E LTD