ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 29526 TARRANT, BRAIN P STONINGTON FERTILIZER 08/01/02 MCCARTHY ROWDEN & BAKER KNELL & O'CONNOR 2 05WC 37566 STEELE, ROBERT M & M SERVICE CO @ 09/14/04 CULLEY & WISSORE HEYL ROYSTER VOELKER & ALLEN 3 06WC 01190 19B STODDARD, SHELIA Y WAL MART ASSOCIATES INC 11/16/05 JOHN V BOSHARDY & ASSOCIAT GANAN & SHAPIRO 4 07WC 10434 19B PRATT, LETHA SODEXHO 11/30/06 JOHN V BOSHARDY & ASSOCIAT RUSIN MACIOROWSKI & FRIEDMAN 5 08WC 01854 PROSSER, JASON ARCHER DANIELS 09/27/07 SCHUM LAW OFFICE WINTERS FEATHERSTUN ET AL 13WC021291 -C 6 08WC 38429 ROSA, MICHELLE MOSCARDELLI'S MOVING & ST W 07/08/08 SHAY & ASSOCIATES JAMES M KELLY 08WC038430 -C 7 09WC 32122 HUNT, DALTON Q ST OF IL A MCFARLAND MHC @ 03/05/09 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 8 09WC 35826 MALLY, VICKIE CATERPILLAR INC 08/29/06 COSTIGAN & WOLLRAB PC CATERPILLAR 9 09WC 35827 MALLY, VICKIE CATERPILLAR INC 02/04/08 COSTIGAN & WOLLRAB PC CATERPILLAR 10 10WC 13792 ALLEN, JOHN CATERPILLAR INC 10/20/06 COSTIGAN & WOLLRAB PC CATERPILLAR, INC. 11 10WC 43455 DUNN, STEPHEN TRI COUNTY COAL 06/16/10 BOSHARDY LAW OFFICE PC CRAIG & CRAIG 12 11WC 10088 JENKINS, ERNEST C GREG A JOHNSON W 12/16/10 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 13 11WC 13555 HELM, CLARENCE, JR BOURNE ENTERPRISES 03/22/10 WARREN E DANZ, PC MARK S MORTHLAND 14 12WC 04436 DONELSON, JOHNNY DALE TRI COUNTY COAL LLC 09/24/11 BERG & ROBESON LITCHFIELD CAVO 15 12WC 04671 AVILA, ESLY AL & JON EXPRESS INC W 12/16/10 MCCARTHY ROWDEN & BAKER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 12WC 16000 WILSON, GERALD WALMART 03/03/12 SHAY & ASSOCIATES GANAN & SHAPIRO 17 12WC 30411 19B WEIR, MYRA STATE OF ILLINOIS-DEPT OF @ 08/06/12 GALANTI LAW OFFICES ASSISTANT ATTORNEY GENERAL 18 12WC 33035 HUDGINS, BARBARA HELP AT HOME 04/27/12 STRONG LAW OFFICE ROUSE & CARY 19 12WC 37676 SAPP, KONRAD L DOYLE PLUMBING AND HEATIN 06/06/12 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 20 12WC 37866 TROTTER, BRAD COLFAX CORPORATION 08/27/12 NESSLER, FREDERIC LAW OFFI THOMAS & ASSOCIATES 21 13WC 05340 MCCLELLAND, THERESA FIRST STUDENT 09/29/11 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 22 13WC 13498 MC CLELLAND, THERESA FIRST STUDENT 04/11/13 BECKER SCHROADER & CHAPMAN WIEDNER & MCAULIFFE LTD 23 13WC 26063 MITCHELL, JOHN E RIDGE & DOWNES LLC F/K/A 08/13/10 JOHN LESAGANICH EVANS & DIXON, LLC 24 13WC 34859 POTTS, JERRY CITY OF DECATUR 04/09/13 LEE, MARK N LAW OFFICE SAMUELS MILLER SCHROEDER ETA 25 14WC 00819 HELM, CLARENCE, JR JUDD BOURNE 03/22/11 WARREN E DANZ, PC 26 14WC 04086 CARPENTER, JOYCE (SURVIVI JIMS TOWING & RECOVERY 10/05/13 STRONG LAW OFFICE SGRO, HANRAHAN, & DURR LLP 27 14WC 25996 NORRIS, VICKIE UNIVERSITY OF IL SPRINGFI @ 07/16/14 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 28 14WC 26078 BRASE, JOYE A STAUNTON AREA AMBULANCE 07/06/14 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD 29 14WC 27792 SHANKS, MICHAEL L ARCHER-DANIELS-MIDLAND CO 04/16/14 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 30 14WC 29360 CAPERS, DAVID ARCHER-DANIELS-MIDLAND CO 11/20/13 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 15WC035251 -C 31 14WC 29485 RYAN, JAMES THE MICAR COMPANY 03/27/13 MCCARTHY ROWDEN & BAKER FEATHERSTUN GAUMER POSTLEWAI 32 14WC 38922 COMPTON, STEVEN GSI 10/17/14 BROWN & BROWN FEATHERSTUN GAUMER POSTLEWAI 33 14WC 39808 THOMAS, KIMBERLY SAM'S CLUB 05/21/13 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 15WC 05076 REYNOLDS, DARRELL W DECATUR PARK DISTRICT 07/24/14 KANOSKI BRESNEY HENNESSY & ROACH 35 15WC 09960 JORDAN, SHELLEY STATE OF ILLINOIS @ 01/27/15 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 36 15WC 12397 NORRIS, VICKIE L U OF I SPRINGFIELD @ 03/10/15 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 37 15WC 15047 LINDSEY, GEORGE R JR CITY OF WINCHESTER 04/24/13 BERG & ROBESON KEEFE & DEPAULI 38 15WC 15175 COBB, DOROTHY JACKSONVILLE SCHOOL DIST 05/19/14 LAMARCA LAW OFFICES, PC KNAPP, OHL & GREEN 39 15WC 17865 GUTHRIE, KEVIN C HANOR CO OF WISCONSIN LLC 11/10/14 KANOSKI BRESNEY HENNESSY & ROACH 40 15WC 20618 DORROUGH, CHARLES FUYAO 05/29/15 WARREN E DANZ, PC STEPHEN H LARSON LAW OFFICE 41 15WC 22151 GRIMM, JOSEPH SOI, SECRETARY OF STATE @ 05/21/15 BERG & ROBESON ASSISTANT AT0TORNEY GENERAL 42 15WC 23036 SCHOU, TERRY IL DEPT OF TRANSPORTATION 05/13/15 WOODRUFF & JOHNSON KRISTINA ECHOLS 43 15WC 23335 OVERLIN, STEPHEN WOLF CREEK ENERGY GROUP 07/22/15 MCCARTHY ROWDEN & BAKER ROUSE & CARY 44 15WC 25193 NALE, JAMES UPS 03/16/15 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 45 15WC 26002 FANE, JULIE DECATUR PUBLIC SCHOOLS 07/10/13 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 46 15WC 28189 ALDE, CAROL ST. JOHN'S HOSPITAL 07/25/15 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 47 15WC 29083 WILLIAMS, JACQUALINE ST OF IL DEPT OF 01/26/15 SHAFFER, WILLIAM C III HEYL ROYSTER VOELKER & ALLEN 48 15WC 31248 KALEFF, SHERRI HELP AT HOME 09/04/15 CARAWAY FISHER INMAN & FITZGIBBONS 49 15WC 33144 MYERS, KIM FREEMAN UNITED COAL # 12/31/14 CULLEY & WISSORE CRAIG & CRAIG 50 15WC 34325 ORTMAN, PAUL ALL AMERICAN READY MIX 08/28/15 KOEPKE & HILDABRAND GANAN & SHAPIRO 51 15WC 34505 19B FRIEND, CHARLES STATE OF ILLINOIS - IDOT @ 08/04/15 SHAY & ASSOCIATES STATE OF ILLINOIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 15WC 36400 HAGER, FRANK P G INTERNATIONAL PAPER 06/27/15 BECKER SCHROADER & CHAPMAN BROWN & JAMES, PC 53 15WC 37810 COOK, DAVE J III STATE OF ILINOIS DEPT OF @ 06/02/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 54 15WC 38268 DUNN, STEPHEN SPRINGFIELD COAL CO 06/30/11 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 55 15WC 38333 ARCHIONE, SCOTT M CONNOR COMPANY 06/03/15 KANOSKI BRESNEY GANAN & SHAPIRO 16WC000779 -C 56 15WC 42307 BANKHEAD, LISA SPRINGFIELD MASS TRANSIT 12/04/15 LEE, MARK N LAW OFFICE 57 16WC 00382 FUDGE, LESTER A G&T ALL 02/18/14 BERG & ROBESON 58 16WC 00700 AYRE, KEITH CITY OF SPRINGFIELD 12/17/15 CONNOR LAW OFFICES 59 16WC 02802 BRADLEY, WILLIAM P USF HOLLAND 09/30/15 STEPHEN P. KELLY HENNESSY & ROACH 16WC002803 -C 16WC002805 -C 18WC038004 -C 60 16WC 03674 WILLIAMS, TIM KELLY GROUP 01/30/15 NESSLER, FREDERIC LAW OFFI FEATHERSTUN GAUMER POSTLEWAI 61 16WC 04357 BURNOM, KENNETH L RAMADA CHC MOTEL PARTNERS 09/01/15 WOLTER BEEMAN AND LYNCH KOEPKE & HILDABRAND 62 16WC 05749 BARTELS, TIMOTHY LEON ADM TRUCKING 08/01/15 CROWLEY & PRILL NYHAN BAMBRICK KINZIE & LOWR 63 16WC 07547 VAN DYKE, JOHN IL DEPT OF TRANSPORTATION @ 10/19/15 MCCARTHY ROWDEN KRISTINA D DION 64 16WC 09978 19B DEETZ, GEORGE C "JOE" REFRESHMENT SVCS INC D/B/ 01/06/16 GONNERMAN REINERT LLC STEPHEN H LARSON LAW OFFICE 65 16WC 11287 COOPER, MICHAEL A&N AUTO GLASS 02/24/16 NESSLER, FREDERIC LAW OFFI HOLTKAMP LIESE ET AL 16WC011288 -C 66 16WC 11650 HUSKINS, BRIAN US PIPELINE INC 08/25/15 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 16WC011842 -C U.S. PIPELINE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 16WC 13094 GARRETT-MCGEE, DESSIE FIRST STUDENT, INC 04/11/16 MARC J SHUMAN & ASSOCIATES WIEDNER & MCAULIFFE LTD 68 16WC 14166 PORTWOOD, CATHERINE MC DONALD'S 01/12/16 MCCARTHY ROWDEN & BAKER INMAN & FITZGIBBONS 16WC019350 -C MCDONALD'S 19WC015375 -C 19WC015391 -C MCDONALD'S 69 16WC 14467 ROTHE, STEVE SECRETARY OF STATE @ 04/11/16 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 70 16WC 15095 DUNIGAN, ANITA STATE OF ILLIOIS @ 09/08/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 71 16WC 15943 LYNN, TRACY STATE OF IL-DHS @ 03/27/15 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 72 16WC 17801 SHULTS, JASON ANIMAL PROTECTIVE LEAGUE 06/20/15 LEE, MARK N LAW OFFICE 73 16WC 18524 GREENWOOD, JEREMY T MILLER FARMS @ W 05/31/14 KANOSKI BRESNEY JAMES ACKERMAN 74 16WC 20901 DORROUGH, CHARLES PPG DBA FUYAO GLASS AMERI 05/29/15 WARREN E DANZ, PC STEPHEN H LARSON LAW OFFICE 75 16WC 25980 ALEXANDER, G SCOTT DECATUR PUBLIC SCHOOLS 06/21/16 LEE, MARK N LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 76 16WC 27387 LIERHEIMER, DENNIS J. JBS FKA CARGILL 02/20/16 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 77 16WC 27594 HOYLE, REBECCA CITY OF JACHSONVILLE 03/04/16 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 78 16WC 27642 MARION, JEFFREY R. JIMMY JOHN'S 08/02/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 17WC016749 -C JTHREE, INC. 79 16WC 29365 HUNT, YVONNE DORS @ 07/19/16 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 80 16WC 31700 JONES, RENEE MUELLER COMPANY 06/16/16 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH 81 16WC 31796 KASTING, MARY JEAN CARLINVILLE REHABILITATIO 09/14/16 SMITH ALLEN MENDENHALL ET WOLFE & JACOBSON, LTD 82 16WC 32044 SIEGRIST, LENORA ARCH COAL MINE DBA 09/19/16 SGRO HANRAHAN DURR RABIN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 16WC 32695 ARMSTRONG, ANGELA CATERPILLAR INC 08/04/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 84 16WC 32768 SCHOFIELD, ADAM TRI-COUNTY FS 07/25/08 SMITH ALLEN MENDENHALL ET NYHAN BAMBRICK KINZIE & LOWR 18WC029642 -C 18WC029643 -C 85 16WC 33354 SUDDUTH, JOHN SPRINGFIELD HOUSING AUTHO 01/19/15 HAXEL LAW OFFICE KEEFE & DEPAULI 86 16WC 34934 MILLER, TAMMY D&L HARBIN INC D/B/A 11/09/14 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 87 16WC 35380 VAUGHN, SHERI SECRETARY OF STATE @ 08/24/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 88 16WC 35553 DONELSON, JOHNNY DALE TRI COUNTY COAL, LLC CROW 11/17/13 BERG & ROBESON 89 16WC 36837 GERECKE, TRONYA REYNOLDS CONSUMER PRODUCT 07/23/16 WOODRUFF & JOHNSON KLAUKE LAW GROUP LLC 90 16WC 38182 KNISLEY, NATALIE CATERPILLAR INC 07/11/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 91 16WC 38363 SCROGGINS, TERRI L STATE OF IL DEPT OF HUMAN @ 10/07/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 92 16WC 38513 MOORE, COY G4S SECURITY 08/06/13 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 93 16WC 38533 COX JR., JOHNNY E PRECISION PIPELINE, LLC 11/12/16 KEITH SHORT WIEDNER & MCAULIFFE LTD 94 16WC 39320 MOORE, EVA STATE OF ILLINOIS @ 09/13/16 JEFFREY R. BACH ASSISTANT ATTORNEY GENERAL 95 17WC 01205 SCHROTH, DOUGLAS C ST OF IL, SECRETARY OF ST @ 01/06/14 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 96 17WC 01658 SLAYTON, WILLIAM THE KENAN ADVANTAGE GROUP 04/01/16 KANOSKI BRESNEY INMAN & FITZGIBBONS 97 17WC 01834 EYER, TERRY HOGAN TRUCKING 10/19/15 FLOYD LAW FIRM BECKER PAULSON & HOERNER PC 98 17WC 02626 GATES, TERRI LYNN SHOP N SAVE 08/09/16 MC WARD LAW OFFICE WIEDNER & MCAULIFFE LTD 99 17WC 03268 FRIEL, MARY STATE OF ILLINOIS @ 12/19/16 CONNOR LAW OFFICES ASSISTANT AT0TORNEY GENERAL 100 17WC 04056 LINGER, JACINDA LABOR READY 12/06/16 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 OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 17WC 04817 BOOTH, BRENDA MCFARLAND STATE HOSPITAL @ 12/08/16 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 102 17WC 05597 MCGEE, MICHAEL CITY OF SPRINGFIELD, FIRE 02/10/17 CONNOR LAW OFFICES 103 17WC 05741 BENTON, JEREMY R ARCHER-DANIELS-MIDLAND CO 06/10/16 FEATHERSTUN GAUMER POSTLEWAI 104 17WC 06554 SEMENIK, TODD STATE OF IL DEPT OF NATUR @ 03/12/14 ROSS TYRRELL ASSISTANT ATTORNEY GENERAL 105 17WC 07077 WILLIS, DONALD S CHICAGO BRIDGE & IRON 09/21/16 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 106 17WC 08694 GILLESPIE, ROBERTO BUNN-O-MATIC CORP 02/21/17 WOLTER BEEMAN AND LYNCH STEPHEN P. KELLY 107 17WC 09025 MANZO, EPIFANIA JBS, USA 02/03/16 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 18WC009807 -C JBS USA 18WC009808 -C 18WC018340 -C JBS USA 108 17WC 09067 SMITH, TERYL ELM CITY RAHABILITATION C 10/25/15 WOODRUFF & JOHNSON THOMAS & PORTELA 109 17WC 09683 LANGAN, AMANDA VIBRA HOSPITAL OF SPRINGF 03/20/17 WOLTER BEEMAN AND LYNCH LAW OFFICE CRAIG A HANSEN 110 17WC 09939 AGUILAR, ADRIAN BEARDSTOWN TRUCK WASH LLC 01/18/17 LAW OFFICES OF ANSELMO DUR 111 17WC 10072 SCOTT-MORRIS, IMELDA SOJOURN SHELTER AND SERVI 01/24/17 NESSLER, FREDERIC LAW OFFI WIEDNER & MCAULIFFE LTD 112 17WC 10331 JORDAN, THOMAS CITY OF DECATUR 12/09/16 LEE, MARK N LAW OFFICE 113 17WC 11342 COCHRAN, JOSEPH A IL DEPT OF CONSERVATION P @ 03/22/17 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 114 17WC 11345 SPENCER, JOSHUA IMPERIAL PLATING CO 11/30/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 17WC011492 -C 115 17WC 12301 HULL, JUDY WYZARD CLEANING SERVICES, 12/10/16 WOLTER BEEMAN AND LYNCH QUINN JOHNSTON HENDERSON ETA 116 17WC 12660 KNISLEY, JOSH S.O.I GRAHAM CORRECTIONAL @ 02/17/17 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 117 17WC 13005 BOYD, ANITA AKORN PHARMACEUTICALS 01/06/17 MCCARTHY ROWDEN & BAKER STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 17WC 13186 STALEY, LESTLIE ADDUS HEALTH CARE 03/21/17 BROWN & CROUPPEN HENNESSY & ROACH 119 17WC 13192 BENTON, JEREMY R ARCHER-DANIELS-MIDLAND CO 03/16/16 FEATHERSTUN GAUMER POSTLEWAI 120 17WC 13206 JOHNSON, TAMMY FIRST STUDENT 02/02/16 NESSLER, FREDERIC LAW OFFI WIEDNER & MCAULIFFE LTD 121 17WC 13949 WORKER, MARK E ENGLAND FARMS 05/28/15 WILLIAMS CAPONI & ASSOC 122 17WC 14808 POE, LAIRA LONGHORN STEAKHOUSE 04/28/17 NESSLER, FREDERIC LAW OFFI 123 17WC 15021 HITE, BETTY STATE OF IL - @ 05/08/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 124 17WC 15548 WICKER, GARRY CATERPILLAR, INC 01/06/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 125 17WC 16057 LAGRONE, RITA E DECATUR PUBLIC SD 61 03/14/17 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 126 17WC 16382 MAHAN, BILL ADM 03/10/17 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 127 17WC 17441 19B DEVLIN, PATRICK VILLAGE OF ASHLAND 11/28/16 STRONG LAW OFFICE INMAN & FITZGIBBONS 128 17WC 17491 BROWN, THOMAS MACOUPIN ENERGY 11/30/16 CULLEY FEIST KUPPART & JOR CRAIG & CRAIG 129 17WC 17749 KENDALL, ANTHONY CHATHAM SCHOOL DISTRICT # 05/18/17 SAUNDERS CONDON & KENNY WIEDNER & MCAULIFFE LTD 130 17WC 18471 GREENE, ZACHERY ASHLEY HOMESTORE 06/13/17 LEE, MARK N LAW OFFICE STEPHEN H LARSON LAW OFFICE 131 17WC 18755 WOODS, HOWARD ABOVE AND BEYOND 03/16/17 SHAFFER, WILLIAM C III 132 17WC 19494 THORNE, JEAN E NIEMANN FOODS 07/19/16 KANOSKI BRESNEY SCHOLZ LOOS PALMER ET AL 17WC019680 -C BAKERS SQUARE RESTAURANT & 133 17WC 20222 GASH, LARRY L UNITED PARCEL SERVICES 05/31/17 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 17WC 20463 ORTMAN, PAUL ALL AMERICAN READY MIX 06/01/15 KOEPKE & HILDABRAND GANAN & SHAPIRO 135 17WC 21677 WALSH, KEVIN U OF I - SPRINGFIELD 05/22/17 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 17WC027939 -C UNIVERSITY OF IL- SPRINGFI 17WC027940 -C UNIV OF IL- SPRINGFIELD 17WC030578 -C 136 17WC 23016 PRICE, CLINTON IDOT @ 12/27/16 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 137 17WC 23066 CODY, NICHOLAS DAN DEWEESE PAINTING 07/31/17 BERG & ROBESON EVANS & DIXON 138 17WC 23334 STEPHENS, RICHARD L AGCO GSI 11/28/16 WOLTER BEEMAN AND LYNCH FEATHERSTUN GAUMER POSTLEWAI 139 17WC 24279 SMITH, DONALD CATEPILLAR 08/03/17 STRONG LAW OFFICE CATERPILLAR 140 17WC 25786 AGBEMAVOR, AFIWA A JBS USA INC, FKA CARGILL 05/04/14 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 17WC025787 -C 19WC018475 -C 141 17WC 26430 DAVIS, PETER SPRINGFIELD MASS TRANSIT 11/18/16 LEE, MARK N LAW OFFICE STEPHEN H LARSON LAW OFFICE 142 17WC 27023 SPRINGFIELD, LETITIA M ARAMARK UNIFORM SERVICES 05/20/17 KANOSKI BRESNEY INMAN & FITZGIBBONS 143 17WC 28777 CLINTON, TAMMY L BANK OF SPRINGFIELD 02/04/17 SHAFFER, WILLIAM C III 144 17WC 29020 BATES, FREDDIE JR. DEPARTMENT OF NATURAL RES 08/05/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 145 17WC 30115 MOSQUITO, BRAD MCFARLAND MENTAL HEALTH C @ 08/17/17 NOLL LAW OFFICE ASSISTANT ATTORNEY GENERAL 146 17WC 30720 TAYLOR, MARCELLE STATE OF ILLINOIS/DHS @ 08/25/17 HAXEL LAW OFFICE BRADLEY DEFREITAS 147 17WC 30896 BAKER, JAMES A JACKSONVILLE SCHOOL DIST 08/10/17 NOLL LAW OFFICE HINSHAW & CULBERTSON 148 17WC 31060 19B HALLIBURTON, DARA STATE OF ILLINOIS-IDOT @ 09/25/17 SHAY & ASSOCIATES ASSISTANT ATTORNEY GENERAL 149 17WC 32078 DOWLING, GWEN STATE OF IL-DHS @ 08/25/17 LAMARCA LAW OFFICES, PC BRADLEY DEFREITAS 150 17WC 32146 HILL, MARY CATERPILLAR INC 08/24/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC.

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 17WC 33155 COOK, RAY KELLY CONSTRUCTION 07/20/17 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD 152 17WC 33470 CUSUMANO, CHARLES ANTHONY STATE OF IL - DOT 10/25/16 HAXEL LAW OFFICE JOSEPH MOORE 153 17WC 33807 MYERS, JANE IL DEPT OF VETERAN'S AFFA 01/11/16 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 154 17WC 34692 DEHEVE, DAWN CAPITAL HEALTHCARE 10/12/17 STRONG LAW OFFICE ROBERT L. SMITH 155 17WC 35048 RINABERGER, KAINAN SPRINGFIELD FIRE DEPT 11/01/17 CONNOR LAW OFFICES 156 17WC 35220 BIBBS-SMITH, TANYA L PROACTIVE COMMUNITY SERVI 03/20/17 COSTA IVONE LLC 157 17WC 35785 BUDWELL, ALLISON CASEY'S 09/23/17 STEELE LAW OFFICE KEEFE & DEPAULI 158 17WC 35915 BAKER, LARRY D NESTLE 11/01/17 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 18WC038029 -C 159 17WC 36146 SHARP, ANGELA M IL DEPT OF TRANSPORTATION 09/19/17 DELANO LAW OFFICES LLC JOSEPH MOORE 160 17WC 36463 CHRISTIAN, KEVIN MARYAN MINING 10/17/16 BECKER PAULSON & HOERNER P LITCHFIELD CAVO 161 17WC 37485 HOWELL, KEVIN M ILLINOIS STATE POLICE @ 09/07/17 WOLTER BEEMAN AND LYNCH BRADLEY DEFREITAS 162 18WC 00716 NEWMAN, BERNARD F O'REILLY AUTO ENTERPRISES 10/11/17 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 18WC036184 -C 163 18WC 00895 WATSON, JEFFREY STATE OF ILLINOIS - CMS @ 12/20/17 LAMARCA LAW OFFICES, PC ASSISTANT AT0TORNEY GENERAL 164 18WC 01076 JAMES, TOM MBM - MCLANE 10/04/17 LEE, MARK N LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 165 18WC 02190 CRAW, ANDREW ADM 08/19/17 SHAY & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 166 18WC 02600 VASQUEZ, AUGUSTINE J CITY OF JACKSONVILLE 09/19/17 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 18WC026010 -C 167 18WC 02613 DAMRON, KAREN DECATUR PUBLIC SCHOOL DIS 04/26/17 LAKE LAW FIRM FEATHERSTUN GAUMER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 18WC 02659 SPONSLER, AMANDA ST JOHN'S HOSPITAL 01/24/17 GREGORY W. SCRONCE HEYL ROYSTER VOELKER & ALLEN 169 18WC 02685 BENEDICT, MICHELLE A STAYBRIDGE SUITES 12/04/17 KANOSKI BRESNEY SORLING NORTHRUP 170 18WC 02748 STURM, RICHARD ILLINOIS SECRETARY OF STA @ 12/21/15 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 171 18WC 02893 LOPEZ, ROBERTO COALFIELD CONSTRUCTION CO 01/29/15 JOHNSON SCHNEIDER FERRELL LITCHFIELD CAVO 172 18WC 02978 COX, LESLIE AT&T 12/11/17 WILLIAM B MEYERS, LTD HENNESSY & ROACH 173 18WC 03502 FARMER, LARRY CAPITOL READY MIX 05/27/16 LEE, MARK N LAW OFFICE 174 18WC 03599 MOSS, CONSTANCE STATE OF IL HOUSE OF REP @ 09/18/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 175 18WC 03796 CRAWFORD, KYRIA SANGAMON MASS TRANSIT DIS 12/26/17 STEPHEN H LARSON LAW OFFICE 176 18WC 03989 SCHULTZ, KAREN IL GREAT RIVERS 06/05/17 CONNOR LAW OFFICES 177 18WC 04156 BROWN, ROBERT MEMORIAL MEDICAL CENTER 10/23/17 DELANO LAW OFFICES LLC SORLING NORTHRUP 178 18WC 04856 ECK, JOSEPH MARTIN & BAYLEY, INC 10/19/15 HAXEL LAW OFFICE 179 18WC 05321 VOLKERT, DAVID A WINFIELD SOLUTION 03/24/17 BERG & ROBESON HENNESSY & ROACH PC 180 18WC 05332 ESKEW, ROBERT J VIPER COAL MINE 01/19/18 SGRO HANRAHAN DURR RABIN RUSIN & MACIOROWSKI LTD 181 18WC 05399 RIDGWAY, DEAN CITY OF PANA 08/01/16 ROOSEVELT LAW OFFICE RUSIN & MACIOROWSKI LTD 182 18WC 05645 WADE, MARK PAPER TRANSPORTATION 01/09/18 SHORT AND DAUGHERTY WIEDNER & MCAULIFFE LTD 183 18WC 06048 O'CONNOR, THOMAS MICHAEL VON BEHREN BUILDE 06/20/17 GORI, JULIAN & ASSOC BRYCE DOWNEY & LENKOV LLC 184 18WC 06206 CLOYD, CARRIE L IL ASSOC OF SCHOOL BOARDS 03/03/15 HAXEL LAW OFFICE HENNESSY & ROACH 185 18WC 06684 LEE JR, THEODORE R STATE OF ILLINOIS @ 08/31/15 BERG & ROBESON ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 18WC 07240 RUDERMAN, ADAM J CITY OF DECATUR 10/08/17 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 187 18WC 07317 WITHERSPOON, MITCHELL L STANDARD FORWARDING 11/06/17 HAXEL LAW OFFICE HENNESSY & ROACH 188 18WC 07590 WHITED, JEFFREY R REYNOLDS CONSUMER PRODUCT 02/01/18 STEPHEN P. KELLY KLAUKE LAW GROUP LLC 189 18WC 08158 CLAY, CALVIN APERION CARE CAPITOL 02/20/18 ANESI OZMON RODIN NOVAK KO BRADY, CONNOLLY & MASUDA, PC 190 18WC 08367 WHITE, NICOLE A ADVANCE FAMILY DENTAL 11/15/16 DELANO LAW OFFICES LLC 191 18WC 08397 JOHNSON, MARTHA RIVER BIRCH SENIOR LIVING 03/12/18 STRONG LAW OFFICE HENNESSY & ROACH 192 18WC 08447 HARDWICK, TERRY W REYNOLDS CONSUMER PRODUCT 01/13/16 MORMINO,VELLOFF,EDMONDS,SN KLAUKE LAW GROUP LLC 193 18WC 08790 ALLBRITTON, JEFFIE CATERPILLAR, INC 01/29/18 WARREN E DANZ, PC CATERPILLAR 194 18WC 09629 JONES, JOSIE C HEALTH-PRO HERITAGE 03/06/18 CORNFIELD & FELDMAN WOLF LAW LTD 195 18WC 09772 TAYLOR, AMY MUELLER CO. 06/07/17 FREDERICK & HAGLE FEATHERSTUN GAUMER 18WC036439 -C 196 18WC 10072 HICKEY, SHARI L MEMORIAL MEDICAL CENTER 03/14/18 WOLTER BEEMAN AND LYNCH SORLING NORTHRUP 197 18WC 10553 SOTELO, JESUS CAZARES A-LERT CONSTRUCTION SERVI 03/09/18 EPSTEIN, JACK R LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 198 18WC 10697 GLISSOU, YAWO JBS, USA, D/B/A SWIFT POR 11/30/17 TUGGLE SCHIRO & LICHTENBER NYHAN BAMBRICK KINZIE & LOWR 199 18WC 11283 BARKER-DAVIS, TAMALA PLEASANT HILL VILLAGE 10/17/17 KEEFE & GRIFFITHS PC 200 18WC 11339 PAULDING, VALERIE INTERNATIONAL PAPER 02/14/18 BOSHARDY LAW OFFICE PC DOHERTY & PROGAR LLC 201 18WC 11724 SWARMS, DENNIS CITY OF DECATUR 07/01/16 BECKER SCHROADER & CHAPMAN 202 18WC 11910 CUTTILL, ANGELA ADM 05/02/16 JOHNSON CHILIGIRIS WEAT0HE FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 203 18WC 12536 ROBERTS, RICK RICOH USA, INC 03/12/18 NESSLER, FREDERIC LAW OFFI 204 18WC 12622 MCCLANAHAN, ACE JR. POMPS TIRES SERVICE, INC. 06/28/16 SHAY & ASSOCIAT0ES GAROFALO SCHREIBER STORM GRA 18WC012623 -C 205 18WC 12789 WHITHAM, ARTHUR KELLY GENERAL CONSTRUCTIO 11/13/17 FOSSIER LAW RUSIN & MACIOROWSKI LTD 206 18WC 12963 DUCKWILER, CLOE JBS 09/29/17 HASSAKIS & HASSAKIS KNELL O'CONNOR DANIELWICZ 18WC012964 -C 207 18WC 13346 SCHWARTZ, MIKE WOODWHEELS, LLC 04/19/18 GALANTI LAW OFFICES 208 18WC 13447 FRANZ, CHARLES M MCLEOD TRUCKING 12/29/17 JAMES RUPPERT INMAN & FITZGIBBONS 209 18WC 13753 NICHELSON, JAMES IL SECRETARY OF STATE @ 03/26/18 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 210 18WC 14355 BARTLETT, SEAN HSHS ST JOHNS HOSPITAL 07/25/17 HEYL ROYSTER VOELKER & ALLEN 211 18WC 14971 VOLKENING, ROBERT C USF HOLLAND 03/08/18 STEPHEN P. KELLY HENNESSY & ROACH 212 18WC 15089 HOLZER, CONNIE S JBS, USA 05/17/17 STEPHEN P. KELLY KNELL O'CONNOR DANIELWICZ 213 18WC 15258 GARMON, JACKIE GRAPHIC PACKING 02/08/18 SMITH LAW LTD DOHERTY & PROGAR LLC 18WC032851 -C 214 18WC 15843 MASTEN, MICHAEL VILLAGE OF RAYMOND 02/06/17 HAXEL LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 215 18WC 15917 HOFFMAN, CYBIL CTR FOR YOUTH & FAMILY 05/08/18 LAMARCA LAW OFFICES, PC 216 18WC 16990 ADAMS, FRANCIS GRAPHIC PACKAGING INTL IN 05/03/17 SMITH LAW LTD 217 18WC 17089 RUTHERFORD, TIMOTHY ADM 02/15/18 MARK N LEE HEYL ROYSTER VOELKER & ALLEN 18WC017094 -C 218 18WC 17345 MOYER, CHRISTOPHER FAIRHAVEN CHRISTIAN HOMES 03/02/18 CORNFIELD & FELDMAN BRYCE DOWNEY & LENKOV LLC 219 18WC 17346 FERGUSON, TROY SHOWTIME LANES, INC 10/13/17 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 220 18WC 17410 MELENDEZ, JOSE RAILSERVE, INC 01/23/18 JOHN S. ELIASIK RUSIN & MACIOROWSKI LTD 221 18WC 17478 IRWIN, SUSAN STATE OF IL- DEPT OF @ 06/17/16 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 222 18WC 17969 TURNER, TOMMIE SOL TICK & CO 05/17/16 HEYL ROYSTER VOELKER & ALLEN 223 18WC 18463 RICE, LACEY L FUYAO GLASS 05/25/18 MCCARTHY ROWDEN STEPHEN H LARSON LAW OFFICE 224 18WC 18496 JONES, PAULETTE A MUELLER CO LLC A/K/A 07/14/17 WILLIAMS & SWEE FEATHERSTUN GAUMER POSTLEWAI 225 18WC 18740 MORALES, JOELEANE PACKERS SANITATION SVCS, 01/31/18 DENNIS ATTEBERRY WIEDNER & MCAULIFFE LTD 226 18WC 19120 JOHNSON, STACY ILLINOIS STATE POLICE @ 05/15/18 COLLISON LAW OFFICES ILLINOIS ATTY GENERAL 18WC019118 -C 18WC019119 -C 227 18WC 19190 KAYLOR, ROBERT LANGHEIM CONCRETE 11/01/16 LAMARCA LAW OFFICES, PC QUINN JOHNSTON HENDERSON ETA 228 18WC 19772 TURNER, ASHLEY ADM- STRATUS FOODS 05/16/18 MARK N LEE KEEFE CAMPBELL BIERY & ASSOC 229 18WC 19803 BROWN, BURTON SPRINGFIELD POLICE DEPART 05/14/18 WOLTER BEEMAN AND LYNCH 230 18WC 20742 BROOKS, MICHAELA M APERION CARE CAPITOL 04/17/18 TOMMIE A. HARSLEY III 231 18WC 21079 SMITH, SHARICE CATERPILLAR 05/09/18 SHAY & ASSOCIATES CATERPILLAR, INC. 232 18WC 21196 HORN, GREGORY STATE OF ILLINOIS @ 05/14/18 FREDERIC NESSLER & ASSOC ASSISTANT ATTORNEY GENERAL 233 18WC 21215 GREEN, RON ALPHA BAKING COMPANY INC 05/01/18 SMITH LAW LTD RUSIN & MACIOROWSKI LTD 234 18WC 22243 GRAVES, TALISHA M CATERPILLAR, INC 03/14/18 CATERPILLAR, INC. 235 18WC 23188 STEELE, RENA (FOR) M & M SERVICE COMPANY # 12/19/17 CULLEY & WISSORE HEYL ROYSTER VOELKER & ALLEN 236 18WC 23744 MCCOY, TAMMY MCDONALD'S 07/19/18 STRONG LAW OFFICE 237 18WC 24125 WILHAM, EMILY LIFESTAR AMBULANCE SERVIC 03/13/16 FREDERIC NESSLER & ASSOC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 238 18WC 24222 CYRULIK, MIKE AG LAND FS, INC 06/06/17 HEYL ROYSTER VOELKER & ALLEN 239 18WC 24718 JONES, SYLVIA SPRINGFIELD LOGISTICS 07/25/18 SHAY & ASSOCIATES KOPKA, PINKUS DOLIN, PC 240 18WC 24975 SCHMIDT, DON KW GRAPHICS 06/05/18 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 241 18WC 25087 LINDSEY, GEORGE R JR. CITY OF WINCHESTER 04/09/18 BERG & ROBESON KEEFE & DEPAULI 242 18WC 25998 GAGNON, KAREN REFRESHMENT SERVICES PEPS 08/08/17 WOLTER BEEMAN AND LYNCH 243 18WC 26025 SCHIERHOLZ, STEVEN WEST SIDE TRANSPORT, INC 05/30/18 KANOSKI BRESNEY STEPHEN H LARSON LAW OFFICE 244 18WC 26030 PHILLIPS, ANGIE TUTERA GROUP D/B/A MOWEAQ 01/05/18 STRONG LAW OFFICE 245 18WC 26083 GOODALL, RICHARD IDOT 05/19/18 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 246 18WC 26523 SALMONS, DENNIS ARCHER DANIELS MIDLAND 06/04/18 WALTON TELKEN LLC HEYL ROYSTER VOELKER & ALLEN 247 18WC 26713 BARTELS, GARY ILLINOIS DEPT OF TRANSPOR @ 02/26/18 KELLY LAW ASSISTANT ATTORNEY GENERAL 248 18WC 26829 BERGEE, ERIC STATE OF IL DEPT OF CORRE @ 08/01/18 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 249 18WC 26833 NIEHAUS, TAMARA WALMART 08/09/18 BROWN & BROWN EARLY & MIRANDA PC 250 18WC 26908 BRADLEY, WILLIAM P USF HOLLAND 08/07/18 STEPHEN P. KELLY HENNESSY & ROACH 251 18WC 27826 SCHENIDER, FREDERICK STATE OF ILLINOIS @ 08/22/18 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 252 18WC 28538 WALTON, RAYMOND MUELLER WATER PRODUCTS 08/10/18 MARK N LEE FEATHERSTUN GAUMER 253 18WC 28697 SLAUGHTER, DEMARCO AVERUS FIRE SERVICES 09/26/17 THE HESTER GROUP LLC KNAPP, OHL & GREEN 254 18WC 28749 HARPOLE, DANA L CITY OF JACKSONVILLE/ 03/16/16 BERG & ROBESON 255 18WC 29441 SAXER, PATRICIA KENAN ADVANTAGE GROUP 06/12/17 HOLLEY & ROSEN INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 256 18WC 29507 MURPHY, GAYLON P DOMINO TRANSPORT INC 08/03/18 KANOSKI BRESNEY LEAHY EISENBERG & FRAENKEL 257 18WC 29615 LOGUE, KYLE W ADM BIOPRODUCTS 06/25/18 SGRO HANRAHAN DURR RABIN HEYL ROYSTER VOELKER & ALLEN 258 18WC 29718 ANDREWS, JODI M MICHEL CONCRETE 05/09/18 JAMES ACKERMAN BRADY, CONNOLLY & MASUDA, PC 18WC029719 -C MICH CONCRETE 259 18WC 29752 MILLER, LEROY E MASON MANUFACTURING, LLC 05/22/16 KANOSKI BRESNEY LUCY T. UNGER 260 18WC 30597 HARDEN, TODD MUELLER 09/13/18 BECKER SCHROADER & CHAPMAN FEATHERSTUN GAUMER 261 18WC 31052 BELDEN, EDDIE STAFFQUICK SPRINGFIELD 05/05/18 HOLLEY & ROSEN HENNESSY & ROACH 262 18WC 31100 COLBERT, ALICIA SERVPRO 08/29/18 SHAFFER, WILLIAM C III 263 18WC 31138 GOETZ, LORETTA D SPRINGFIELD SCHOOL 08/27/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 264 18WC 31172 STANFORD, JAMES CHOICE PROPERTIES 09/05/18 LEONARD LAW GROUP LLC 265 18WC 31232 BRENNA, MICHAEL W SECRETARY OF STATE @ 11/24/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 266 18WC 31268 COLBERT, ALICIA R SERVPRO OF SPRINGFIELD 08/29/18 DELANO LAW OFFICES LLC BRYCE DOWNEY & LENKOV LLC 267 18WC 31319 SHAW, DEWEY WPFL, LLC 05/23/18 MARK N LEE RUSIN & MACIOROWSKI LTD 268 18WC 31425 WARNISHER, CLINT E CITY OF SPRINGFIELD 06/14/18 THOMAS W DUDA 269 18WC 31540 MASSEY, DEANNA K HERITAGE BEHAVIORAL HEALT 06/26/18 KANOSKI BRESNEY WOLFE & JACOBSON, LTD 270 18WC 31603 BROWN, SHERRY CATERPILLAR 09/23/18 MARK N LEE CATERPILLAR, INC. 271 18WC 31724 MASSEY, VALORIE QUICKSILVER MAILING SERVI 02/12/18 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 272 18WC 31780 STUKINS, BRENDA ADDUS HOMECARE 09/15/18 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 273 18WC 31921 MORRISON, JESSE NORTH GRAND AUTO REPAIR, @ W 06/18/18 DENNIS ATTEBERRY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 274 18WC 31958 MANUEL, RACHEL A ARCHER DANIELS MIDLAND CO 01/28/18 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 275 18WC 32221 PFEIFFER, VICTOR KEITH ESTES EXPRESS LINES CORPO 09/06/18 KLAR, IZSAK, STENGER LLC WIEDNER & MCAULIFFE LTD 276 18WC 32256 ROBERTS, KELLY HART-CLAYTON INC 10/01/18 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 277 18WC 32393 CRAYS, SHEILA HORIZON TECH 08/22/18 HAXEL LAW OFFICE 278 18WC 32906 HAMM, CHANDRA PERRY STATE OF ILLINOIS @ 06/18/18 GOLDFINE & BOWLES ASSISTANT ATTORNEY GENERAL 279 18WC 33774 CLAY, CALVIN APERION CARE CAPITAL 10/02/18 ANESI OZMON RODIN NOVAK KO 280 18WC 34186 REICHARD, BENJAMIN B ILLINOIS STATE POLICE 03/12/18 RIDGE & DOWNES ILLINOIS ATTY GENERAL 281 18WC 34187 REICHARD, BENJAMIN B ILLINOIS STATE POLICE 04/25/18 RIDGE & DOWNES ILLINOIS ATTY GENERAL 282 18WC 35079 RAPS, NICOLE STATE OF ILLINOIS @ 03/16/18 SGRO, HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 283 18WC 35582 WEST, KELLY CHIC-FIL-A 07/07/18 STRONG LAW OFFICE LITCHFIELD CAVO 284 18WC 35606 HARSHBARGER, DAVID S CITY OF DECATUR 10/15/18 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 285 18WC 36074 RAY, MICHELLE DEAN DOWSON FARMS 08/28/18 WALTON TELKEN LLC BRADY, CONNOLLY & MASUDA, PC 286 18WC 36084 SMITH, STEPHANIE DECATUR TRANSPORTATION CO 02/27/18 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 287 18WC 36426 LEWIS, CARLA J REYNOLDS SERVICES 09/06/18 BERG & ROBESON KEEFE CAMPBELL BIERY & ASSOC 288 18WC 36503 HORN, JAMES R JR MARYAN MINING, LLC 10/25/18 SGRO HANRAHAN DURR 289 18WC 36579 SCHOBY, DOROTHY ICG ILLINOIS LLC # 08/08/18 CULLEY & WISSORE 290 18WC 36659 ZACHERY, KENYON LINSEY'S PROFESIONAL HOOD W 10/31/18 WARREN E DANZ, PC 291 18WC 36818 CRUMP, KAREN STAPLETON SPRINGFIELD SCHOOL DISTR 09/20/18 SGRO HANRAHAN DURR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 292 18WC 36973 HAMES, MORSE L OTTO BAUM COMPANY, INC 06/18/18 JAMES RUPPERT KNELL LAW LLC 293 18WC 36981 MOORE, HERBERT ILMO PRODUCTS COMPANY 10/29/18 MUCHNICK & HABER PC 294 18WC 37082 HARTLEY, DAVID MCLEOD EXPRESS 11/22/18 WOLTER BEEMAN AND LYNCH 295 18WC 37095 JOHNSON, MICHELLE MASON CITY AREA NURSING H 09/23/18 GOLDFINE & BOWLES RIPES NELSON BAGGOT KALOBRAT 296 18WC 37251 ORME, RONALD WALMART 06/16/18 STRONG LAW OFFICE GANAN & SHAPIRO 18WC038185 -C 297 18WC 37355 COPP, COLLEEN M HEADWAY HR SOLUTIONS, INC 10/09/17 WOLTER BEEMAN AND LYNCH 298 18WC 37410 SMITH, MICHELLE M SPARC 09/14/18 KANOSKI BRESNEY 299 18WC 37465 MERRITT, BECKY REYNOLDS CONSUMER PRODUCT 05/01/18 BERG & ROBESON KLAUKE LAW GROUP LLC 300 18WC 37715 LAWLER, ANNE M CONCORDIA VILLAGE 02/08/17 STEPHEN P. KELLY BRINKER & DOYNELLP 301 18WC 37908 VALENTI, TERRANCE ILLINOIS DEPARTMENT @ 04/10/18 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 302 18WC 38012 CRUZ, DANIEL STATE OF ILLINOIS-IDOT @ 12/05/18 MARK N LEE ASSISTANT ATTORNEY GENERAL 303 18WC 38030 WELLER, SAMUEL GRAPHIC PACKAGING 10/08/18 DENNIS ATTEBERRY 304 18WC 38183 RAU, TODD GEORGIA PACIFIC 06/18/18 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH 305 18WC 38342 GRAHAM, SUSAN J STATE OF ILLINOIS IDOT @ 11/28/17 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 306 18WC 38417 SAUNDERS, GLEN MUELLER CO 09/19/18 KATZ FRIEDMAN EAGLE ET AL FEATHERSTUN GAUMER 307 18WC 38464 HAVENS, LINDSAY FREEDOM OIL COMPANY 11/15/18 STRONG LAW OFFICE MCDONALD & BOGDAN 308 18WC 38480 DELGER, MICHAEL MARYAN MINING 08/24/18 MCCARTHY ROWDEN 309 19WC 00307 BRENNAN, MICHAEL W SECRETARY OF STATE @ 03/23/16 KANOSKI BRESNEY 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 OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 310 19WC 00508 PITCHFORD, ALLEN R AVIS BUDGET GROUP, INC. 10/20/17 JANSSEN LAW CENTER BRADY, CONNOLLY & MASUDA, PC 311 19WC 00549 HAGEN, DEREK HENKELS & MOODY 12/16/18 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 312 19WC 01713 JENKINS, RICKY NORTRAK 12/14/18 WARREN E DANZ, PC CHICAGO TRANSIT AUTHORITY 313 19WC 01996 DODD, MICHELLE SPRINGFIELD LOGISTICS, IN 10/10/18 GREGORY W. SCRONCE 314 19WC 02036 AGUILAR, ADRIAN BEARDSTOWN TRUCK WASH LLC 01/18/17 EPSTEIN, JACK R LAW OFFICE 315 19WC 02091 CONROY, FRANK E MCLEOD EXPRESS 10/29/18 KANOSKI BRESNEY INMAN & FITZGIBBONS 316 19WC 02127 PINKERTON, MEAGAN IDCFS @ 12/17/18 BEMENT STUBBLEFIELD ASSISTANT ATTORNEY GENERAL 317 19WC 02192 WILLIAMS, EMILY BURGER KING 03/18/17 ROUSE & CARY 318 19WC 02614 OSLAND, CHAD HOLMES FARMS INC 12/14/18 STRONG LAW OFFICE 319 19WC 02683 CHEPULIS, APRIL D LOWE'S 01/07/19 320 19WC 03294 PIERCE, MARK METAL DECOR 03/05/18 MARK N LEE ROUSE & CARY 321 19WC 03383 DENNIS, ALVIN LEON ARENDS & SONS INC 04/11/18 FREDERIC NESSLER & ASSOC GAROFALO SCHREIBER STORM GRA 322 19WC 03414 CONWAY, SUSAN DECATUR PUBLIC SCHOOL DIS 10/17/17 STEPHENS FIDDES MCGILL ASS FEATHERSTUN GAUMER 323 19WC 03517 WOOLLEN, DONALD MUELLER COMPANY 04/20/18 SHAY & ASSOCIATES FEATHERSTUN GAUMER 324 19WC 03552 TYUS, STEPHEN L ADM 06/11/18 MARK N LEE FEATHERSTUN GAUMER 325 19WC 03581 LAW, CRAIG SANGAMON COUNTY 06/17/17 WOODRUFF JOHNSON 326 19WC 03779 ANTONACCI, LINDA HOSPITAL SISTERS OF ST FR 09/25/18 STRONG LAW OFFICE 327 19WC 03790 PATTON, STEPHEN STATE OF IL DEPT OF SECRE @ 02/17/16 MARK A WELLS LAW OFFICE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 328 19WC 03891 TISH, MIKE DECATUR SCHOOL DISTRICT 6 08/16/18 WOODRUFF JOHNSON FEATHERSTUN GAUMER 329 19WC 05150 DRENNEN, JARED JOSEPH TEXAS ROADHOUSE MGMT CORP 11/10/18 O'LEARY SHELTON CORRIGAN HENNESSY & ROACH 330 19WC 05571 TEMPLAR, AMBER CATERPILLAR INC 07/17/18 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 331 19WC 05634 DALLAS, JUSTIN R PARAMEDIC SERVICES OF ILL 01/17/19 KANOSKI BRESNEY HENNESSY & ROACH 332 19WC 05640 SHELTON, LINDSAY R MEMORIAL MEDICAL CENTER 09/18/17 FREDERIC NESSLER & ASSOC SORLING NORTHRUP 333 19WC 05726 RIDER, CRAIG AGCO CORP 12/07/18 BERG & ROBESON FEATHERSTUN GAUMER 334 19WC 05729 CLARK, TAMMY L ADDUS HOMECARE 11/13/18 SGRO HANRAHAN DURR HENNESSY & ROACH 335 19WC 05800 LOGSDON, MICHAEL L SPRINGFIELD FIRE DEPT 11/25/18 HAXEL LAW OFFICE 336 19WC 06053 BOLTZ, GREG GRAPHIC PACKAGING INT, IN 09/05/18 SMITH LAW LTD 337 19WC 06092 ALLEN, RICHARD INDEPENDENT IRON WORKS 10/17/18 DWORKIN AND MACIARIELLO 338 19WC 06375 HARBARGER, GUY DECATUR MEMORIAL HOSPITAL 06/24/18 FREDERIC NESSLER & ASSOC 339 19WC 06568 MARQUARD, JEREMY UNITED CONTRACTORS MIDWES 11/16/18 MARK N LEE KNELL LAW LLC 340 19WC 06587 BLEDSAW, AARON JAMES MENARD'S 02/26/18 HAXEL LAW OFFICE 341 19WC 06605 MCGILL, BENJAMIN SPRINGFIELD POLICE DEPT 01/25/19 HOLLEY & ROSEN 342 19WC 07338 ZUBER, RONALD F MUELLER, INC 12/17/18 STEPHEN P. KELLY FEATHERSTUN GAUMER 343 19WC 07690 BALES, CRYSTAL G COOPER'S HAWK WINERY & 12/11/18 DAVID PATRICK HALL CRAIG A HANSEN 344 19WC 08476 LEWIS, BRIAN PLEASANT NURSERY, INC 03/22/17 SGRO, HANRAHAN DURR RABIN 345 19WC 08593 SYLVESTER, ROBERT MIDWEST MOTOR EXPRESS 11/16/18 PAUL F SERKLAND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 346 19WC 08691 CLARK, WADE WRIGHT TREE SERVICE 04/06/18 HOLLEY & ROSEN BROWN & JAMES, PC 347 19WC 08835 LICHTENBERGER, ERICH DICK'S SPORTING GOODS INC 05/30/18 HOLLEY & ROSEN 348 19WC 08907 FISHER, KENNETH ADM 05/17/18 DENNIS ATTEBERRY HEYL ROYSTER VOELKER & ALLEN 349 19WC 09441 SEIPP, PAUL R ILLINOIS DEPT OF CORRECTI @ 10/09/18 SGRO HANRAHAN DURR ILLINOIS ATTY GENERAL 350 19WC 09958 CASTLEBERRY, CRAIG JACKSONVILLE SCHOOL DIST 01/28/19 MOSS & MOSS PC HINSHAW & CULBERTSON 351 19WC 09967 YODER, J STEPHEN STATE OF ILLINOIS @ 04/05/18 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 352 19WC 10145 REDDING JR, RAY CAPITAL CONCRETE D/B/A 09/17/18 SAUNDERS CONDON & KENNY FEATHERSTUN GAUMER 353 19WC 10392 MCGUIRE, KELLY CARROLLTON SCHL DIST CCUS 10/04/18 GALANTI LAW OFFICES WIEDNER & MCAULIFFE LTD 354 19WC 10396 HOLMAN, VAVIKA T ST JOHN'S HOSPITAL 04/07/18 KANOSKI BRESNEY 355 19WC 10623 DAVIS, ANGEL HELP AT HOME 02/18/19 FREDERIC NESSLER & ASSOC 356 19WC 11331 HOWARD, KELLY SCOTT COUNTY NURSING CENT 11/16/18 HOLLEY & ROSEN 357 19WC 11646 LEHMAN, MICHAEL SANGMON COUNTY JUVENILE C 04/07/19 WOODRUFF JOHNSON 358 19WC 11773 SHOMIDIE, WILLIAM BREAKTHRU BEVERAGE 04/01/18 WOLTER BEEMAN AND LYNCH NYHAN BAMBRICK KINZIE & LOWR 359 19WC 12055 SMITH, RODNEY UPS 03/04/19 LAWRENCE COZZI - LAW OFFICE 360 19WC 12207 FARTHING II, TODD FARM AND FLEET 12/15/18 FREDERIC NESSLER & ASSOC 361 19WC 12285 ICENOGLE, TERESA JBS 04/10/18 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 362 19WC 12347 HAMMOND, ERIC ROULAND CONSTRUCTION 04/16/19 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN 363 19WC 12395 DANNIS, KYLIE TEXAS ROADHOUSE 04/23/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 364 19WC 12699 WINTERS, SHERRI BALL-CHATHAM SCHOOL DISTR 04/26/18 RIDGE & DOWNES 365 19WC 13088 MEDLEY, BRIAN WILLIAMS NATIONALEASE 04/08/19 FREDERIC NESSLER & ASSOC RIPES NELSON BAGGOT KALOBRAT 366 19WC 13189 GOVEIA, JOHN REPUBLIC SERVICES 01/26/18 HOLLEY & ROSEN GILDEA, COGHLAN & REGAN LTD. 367 19WC 13474 LAWTON, NELMA HILLSBORO COMMUNITY UNIT 11/29/18 WALTON TELKEN LLC NOBLE & ASSOC 368 19WC 13877 GINGER, JEREMY MUELLER COMPANY 11/17/17 BECKER SCHROADER & CHAPMAN FEATHERSTUN GAUMER 369 19WC 13941 SENJAN, JOHN STATE OF IL DEPT OF NATUR @ 02/19/19 HENNESSEY LAW FIRM ASSISTANT ATTORNEY GENERAL 370 19WC 14204 ALBERT, RANDALL PRAIRIE FARMS DAIRY 02/20/19 MILLER, WILLIAM R LAW OFFI KNAPP, OHL & GREEN 371 19WC 14347 HYATT, SANDRARAE STATE OF IL - DEPT OF @ 02/11/19 REED & BRUHN, PC ASSISTANT ATTORNEY GENERAL 372 19WC 14575 SCOTT, JAMIELA SANGAMO CLUB 02/21/19 WOLTER BEEMAN AND LYNCH LUCY T. UNGER 373 19WC 14639 BROWN, CANDICE ST OF IL/SIU CARBONDALE @ 04/24/17 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 374 19WC 14758 ALBERT, RANDALL PRARIE FARMS DAIRY 07/19/16 MILLER, WILLIAM R LAW OFFI KNAPP, OHL & GREEN 375 19WC 14935 LEISURE, JULIE ST. PAUL'S EARLY LEARNING 07/20/18 MCCARTHY ROWDEN LUCY T. UNGER 376 19WC 15192 CARRIGER, HERBERT REYNOLDS CONSUMER 05/08/19 SHAY & ASSOCIATES KEEFE CAMPBELL BIERY & ASSOC 377 19WC 15254 JOHNSON, PORSCHA CATERPILLAR INC 04/17/19 HAXEL LAW OFFICE CATERPILLAR, INC. 378 19WC 15396 CLARK, PATRICIA L CROWN HOLDINGS INC 08/23/18 KANOSKI BRESNEY BRADY CONNOLLY & MASUDA PC 379 19WC 15458 SEGER, KYLE ILLINOIS STATE POLICE @ 03/16/19 RIDGE & DOWNES ILLINOIS ATTY GENERAL 380 19WC 15788 LINDSEY, RONNIE CASS COMMUNICATIONS, INC 10/31/18 HOLLEY & ROSEN GANAN & SHAPIRO 381 19WC 15964 WILLIAMSON, TONY CATERPILLAR 08/10/17 WARREN E DANZ, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 19WC 16272 MERRIFIELD, ROBERT GRAPHIC PACKAGING 03/16/19 TUGGLE SCHIRO & LICHTENBER DOHERTY & PROGAR LLC 383 19WC 16300 MAGUIRE, IVA GRASSROOTS 05/01/18 SHORT AND DAUGHERTY BRADY, CONNOLLY & MASUDA, PC 384 19WC 16333 HILLIS, GREG TRILLIUM STAFFING 02/25/19 SHAY & ASSOCIATES 385 19WC 16570 POWELL, SHIRLEY CATERPILLAR 04/05/19 CARAWAY FISHER CATERPILLAR, INC. 386 19WC 16620 RAY, BETH STATE OF IL - DHS - MCFAR @ 04/12/19 SHAY & ASSOCIATES ASSISTANT ATTORNEY GENERAL 387 19WC 16701 CAYARI, CHRIS DECATUR PUBLIC SCHOOL DIS 02/04/12 MCCARTHY ROWDEN FEATHERSTUN GAUMER 388 19WC 16864 MCCLOUGHAN, CURT AMEREN 02/11/18 MARK N LEE HOLTKAMP LIESE 389 19WC 17083 LASHMETT, TERRY THA HANOR COMPANY/HANOR O 05/15/19 UNSELL & SCHUMAN HENNESSY & ROACH, PC 390 19WC 17106 LASALLE, VANESSA MEMORIAL MEDICAL CENTER 05/01/19 STRONG LAW OFFICE SORLING NORTHRUP 391 19WC 17261 HUNTER, JOHN CHS, INC 04/29/18 SMITH ALLEN MENDENHALL ET 392 19WC 17389 CONDIFF, LAURIE GENERATIONS OF MCKINLEY P 05/17/19 BRADY CONNOLLY & MASUDA PC 393 19WC 17414 DANENBERGER, CARMEL RSP ENTERTAINMENT CORP 03/08/19 SHAY & ASSOCIATES 394 19WC 17441 BARKER, REBECCA M JBS USA 05/17/19 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 19WC017442 -C 395 19WC 17511 FINN, KYLE ADM- CORN PLANT 05/29/19 MARK N LEE 396 19WC 17525 CRUMBEY, BRUCE S&S TRANSPORTATION SERVCS 04/01/18 WILLIAMSON WEBSTER ET AL KOPKA, PINKUS DOLIN, PC 397 19WC 17689 KERN, GARRETT LAKE SPRINGFIELD MARINA 03/23/19 MCCARTHY ROWDEN 398 19WC 18040 HOPPER, KEVIN SUPERVALU, INC 06/13/18 HOLLEY & ROSEN WIEDNER & MCAULIFFE LTD 399 19WC 18073 TISDALE, TERESA A DOLLAR TREE 05/25/18 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 19WC 18387 ICENOGLE, TERESA JBS 08/16/17 THOMAS R LICHTEN NYHAN BAMBRICK KINZIE & LOWR 401 19WC 18515 BOWMAN, PHIL STANDARD FORWARDING 01/14/19 MCCARTHY ROWDEN HENNESSY & ROACH 402 19WC 18528 LAUDEMAN, PETER J.T. CATERING INC 06/25/16 SORLING NORTHRUP LUCY T. UNGER 403 19WC 18577 PETERS, TERESA SUNRISE SKILLED NURSING 02/24/18 WOODRUFF JOHNSON 404 19WC 18613 GROESCH, KEVIN X ST OF IL/SECRETARY OF STA @ 03/19/19 STEPHEN P. KELLY ASSISTANT ATTORNEY GENERAL 405 19WC 18764 HIDALGO-JUAREZ, LUIS A CARTHAGE VETERINARY SERVI 01/30/19 KANOSKI BRESNEY 406 19WC 18768 FOWLER, MARTEIZ STABILIT AMERICA INC, D/B 04/19/19 STRONG LAW OFFICE 407 19WC 18786 FINN, KYLE ADM 05/29/19 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 408 19WC 18843 SAKAUTZKY, CINDY CATERPILLAR INC 02/21/19 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 409 19WC 18901 PRUITT, AMANDA KELLY SERVICES 02/12/19 LESKERA LAW FIRM BRADY, CONNOLLY & MASUDA, PC 410 19WC 18920 TRAYLOR, ANGELA DCFS @ 06/02/19 MARK N LEE ASSISTANT ATTORNEY GENERAL 411 19WC 18925 RESSLER, RANDALL H FRYE WILLIAMSON PRESS INC 08/24/16 JAMES ACKERMAN ACCIDENT FUND HOLDINGS 412 19WC 19200 ROBERTS, JASON A DOLLAR GENERAL CORP 09/24/18 JOE PHILLIPS LEAHY EISENBERG & FRAENKEL 413 19WC 19433 NORTH, BROOKE MITCHELL PALLET WORLD @ W 06/10/19 WOLTER BEEMAN AND LYNCH 414 19WC 19746 MILLER, MOLLI E DECATUR PUBLIC SCHOOLS DI 08/30/17 MCCARTHY ROWDEN FEATHERSTUN GAUMER 415 19WC 19797 JUDGE, ROBERT HORACE MANN 12/19/18 STRONG LAW OFFICE 416 19WC 19807 ADAMS, ALICIA MEMORIAL HOSPITAL 04/28/19 MARK N LEE SORLING NORTHRUP 417 19WC 20127 SCALES, SHAUN W DECATUR COUNTERTOP 04/08/19 KANOSKI BRESNEY ACCIDENT FUND HOLDINGS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 418 19WC 20352 TRIPP, MARK O'REILLY AUTO PARTS 04/02/19 TUGGLE SCHIRO & LICHTENBER HENNESSY & ROACH 419 19WC 20519 WILLIAMS, DAVID BURGER KING- CARROL LLC 06/15/19 MARK N LEE ROUSE & CARY 420 19WC 20562 HALL, HOWARD WORLD FINANCE CORP OF ILL 04/17/19 WOODRUFF JOHNSON LUCY T. UNGER 421 19WC 20879 HERNANDEZ, JESSIE WINN PRODUCTION, LLC 10/26/17 WOODRUFF JOHNSON 422 19WC 21148 HECK, DEBORAH STATE OF ILLINOIS IDOC JC @ 07/05/19 MARK N LEE ASSISTANT ATTORNEY GENERAL 423 19WC 21198 RODRIGUEZ, RODOLFO OTTER LAKE WATER COMMISSI 05/22/17 DWORKIN AND MACIARIELLO 424 19WC 21292 JORDAN, ORRIN EXPRESS EMPLYMT PROFESSIO 05/04/19 BROWN & BROWN MC ANDREWS & NORGLE LLC 19WC021293 -C 425 19WC 21548 MARTIN, LOREN C DONLEY TRUCKING, INC 05/23/19 SGRO HANRAHAN DURR SCOPELITIS GARVIN LIGHT 426 19WC 21746 JONES, JOHNNY IL DEPT OF AGRICULTURE 07/17/19 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 427 19WC 21790 O'BRIEN, KEVIN MCFARLAND MENTAL HEALTH C @ 01/02/19 MARK N LEE ASSISTANT ATTORNEY GENERAL 428 19WC 21841 GOFF, TERRY MCFARLAND MENTAL HEALTH C @ 11/14/17 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 429 19WC 21874 TAYLOR, DEBRA ARAMARK 01/09/19 MCCARTHY ROWDEN 430 19WC 21955 GOBEL, PATRICIA CAFE LEBOG 06/07/01 BECKER SCHROADER & CHAPMAN 431 19WC 22135 BYERS, RICHARD HSHS ST JOHN'S HOSPITAL 07/31/18 SHAY & ASSOCIATES 432 19WC 22184 RICKETTS, FRANK WALMART 07/14/19 MARK N LEE GANAN & SHAPIRO 433 19WC 22205 RAHN, GARY L ALLROWN BUS SERVICE, INC 04/17/19 MCCARTHY ROWDEN HANSON LAW OFFICE 434 19WC 22480 GEHRKEN, TY REFRESHMENT SERVICES PEPS 05/21/19 SHAY & ASSOCIATES HENNESSY & ROACH 435 19WC 22495 REYNOLDS, KAITLYN N FOX VALLEY STANDARDBREDS, 11/19/18 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 19WC 22832 HILLIARD, DONELL PARKE & SON INC 01/08/19 SHAY & ASSOCIATES WOLF & LAUDICINA LTD 437 19WC 22988 GRANT, JAMES WHELAN SECURITY 04/05/19 BOLEN, ROBINSON & ELLIS HEYL ROYSTER VOELKER & ALLEN 438 19WC 23158 WILLINGHAM, HOWARD JBS PORK 08/01/19 DWORKIN AND MACIARIELLO KNELL O'CONNOR DANIELWICZ 439 19WC 23384 PAHLMAN, BEVERLY REYNOLDS CONSUMER PRODUCT 07/31/19 WOODRUFF JOHNSON WIEDNER & MCAULIFFE LTD 440 19WC 23579 SCHMIDT JR, HERBERT POMP'S TIRE 06/18/19 LAMARCA LAW OFFICES, PC GAROFALO SCHREIBER STORM GRA 441 19WC 23639 GILLIS, GERI ST OF IL DEPT OF HUMAN SE @ 03/21/19 HOLLEY & ROSEN ILLINOIS ATTY GENERAL 442 19WC 23840 RICHARDSON, KEVIN BLACKLAND TRANSPORT INC 03/06/18 MCCARTHY ROWDEN SCOPELITIS GARVIN LIGHT 443 19WC 23928 FLYNN, LANCE KEURIG DR PEPPER INC 07/26/19 STEPHEN P. KELLY GAROFALO SCHREIBER STORM GRA 444 19WC 24044 ABBOTT, CYNTHIA QUEST DIAGNOSTICS SPRINGF @ 03/29/19 STRONG LAW OFFICE STEPHEN H LARSON LAW OFFICE 445 19WC 24082 SCARBROUGH, TERRY DECATUR FOUNDRY 07/22/19 DWORKIN AND MACIARIELLO 446 19WC 24160 DAWDY, AARON ARENDS- AWE, INC 07/02/19 FREDERIC NESSLER & ASSOC 447 19WC 24163 SMITH, KENNETH SPRINGFIELD VAN & STORAGE 07/17/19 FREDERIC NESSLER & ASSOC 448 19WC 24350 DALBEY, NOEL L THEATRICAL SERVICES, INC 12/23/18 WOLTER BEEMAN AND LYNCH RUSIN & MACIOROWSKI LTD 449 19WC 24422 MORROW, LISA ST. JOHN HOSPITAL 03/03/19 HEYL ROYSTER VOELKER & ALLEN 450 19WC 24455 LAPPE, DANIELLE SANGAMON COUNTY @ 07/31/19 WALTON TELKEN LLC 451 19WC 24528 MCNEELEY, RONALD KOPETZ MANUFACTURING 04/02/15 BOLEN, ROBINSON & ELLIS SLAVIN & SLAVIN 452 19WC 24685 MARSH, TIMOTHY VILLAGE OF SOUTHER VIEW 03/19/19 WILLIAMSON WEBSTER ET AL INMAN & FITZGIBBONS 453 19WC 24765 HENDERSON, JULIE HOSPITAL SISTERS HEALTH S 04/19/19 BECKER SCHROADER & CHAPMAN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 454 19WC 24887 ZEITLER, KURT MAY TOWNSHIP 07/02/18 MCCARTHY ROWDEN JAMES M KELLY 455 19WC 25317 EVANS, BARBARA S.O.I. - SIU @ 04/10/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 456 19WC 25410 BAKER, EILISH DOLLAR GENERAL 06/23/19 STRONG LAW OFFICE LEAHY EISENBERG & FRAENKEL 457 19WC 25566 JOHNKE, AARON GRAPHIC PACKAGING 06/16/19 SPIROS LAW PC 458 19WC 25595 WOOLSEY, WILLIAM CITY OF SPRINGFIELD 08/18/19 STRONG LAW OFFICE 459 19WC 25728 EDGAR, DERECK L ENDRIZZI CONTRACTING, INC 07/11/19 HASSAKIS & HASSAKIS PC HEYL ROYSTER VOELKER & ALLEN 460 19WC 25859 CREIGHTON, CAROL UNITED PARCEL SERVICE 08/14/19 MCCARTHY ROWDEN LAWRENCE COZZI - LAW OFFICE 461 19WC 26053 BARROWS, CHRISTIAN TACO BELL 07/30/19 DENNIS ATTEBERRY 462 19WC 26162 FULLER, JOSHUA FEDEX GROUND 08/23/19 SHORT AND DAUGHERTY MCANANY VANCLEVE & PHILLIPS 463 19WC 26479 HIGDON, ZACHARY SANGAMON COUNTY JUVENILE 08/19/19 WOODRUFF JOHNSON 464 19WC 26633 GOODLOW, ANDREA CATERPILLAR INC 06/11/19 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 465 19WC 26830 CHRISMAN, JOSEPH LOWE'S COMPANIES INC 06/06/17 MARK A WELLS LAW OFFICE 466 19WC 26850 CHANCEY, GLENDA H R&R BINDERY SRVC, INC 04/18/19 JAMES ACKERMAN WIEDNER & MCAULIFFE LTD 467 19WC 26875 PHIPPS, JON ADM/R&R CONTRACTORS, INC 07/17/19 FREDERIC NESSLER & ASSOC HEYL ROYSTER VOELKER & ALLEN 468 19WC 27190 PRZEWOZNIK, JUSTIN NATIONAL FOODWORKS SERVIC 05/17/18 MCCARTHY ROWDEN QUINTAIROS PRIETO WOOD & BOY 469 19WC 27258 DRUMMER, AMBER N GRAPHIC PACKAGING INTERNA 05/09/19 KANOSKI BRESNEY DOHERTY & PROGAR LLC 470 19WC 27346 CAMERON, TODD PRAIRIE FARMS 07/11/19 MILLER, WILLIAM R LAW OFFI KNAPP, OHL & GREEN 471 19WC 28071 SIDENER, EARL STATE OF ILLINOIS @ 07/01/19 GREGORY W. SCRONCE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 19WC 28097 MUFFICK, DUSTIN WIS INTERNATIONAL 01/22/19 FREDERIC NESSLER & ASSOC 473 19WC 28121 ORTEGA, JULIE A CATERPILLAR, INC 05/15/19 KANOSKI BRESNEY CATERPILLAR, INC. 474 19WC 28226 HURT, KYLA THE SOURCE 08/16/19 WOODRUFF JOHNSON BRYCE DOWNEY & LENKOV LLC 475 19WC 28253 STRATTON, BRENT MARYAN MINING LLC 05/03/19 SHORT AND DAUGHERTY 476 19WC 28287 VAN DYKE, JOHN IL DEPT OF TRANSPORTATION @ 10/19/15 MCCARTHY ROWDEN 477 19WC 28363 ROBINSON, DORIAN HEARTLAND E & E INC. 08/16/19 SHAY & ASSOCIATES 478 19WC 28426 COOPER, GRACIE ST JOHN'S HOSPITAL 08/23/19 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 479 19WC 28437 FOSTER, WILLIAM MCLEOD EXPRESS 03/09/19 MCCARTHY ROWDEN INMAN & FITZGIBBONS 480 19WC 28443 RAUCH, CODY M MCLANE FOOD SERVICE 11/21/18 DELANO LAW OFFICES LLC 481 19WC 28520 MARUCCO, JUDY M MACON COUNTY MENTAL 01/12/18 LAKE LAW FIRM 482 19WC 28708 PETTY, SHELLY L LEWIS MEMORIAL CHRISTIAN 04/18/19 KANOSKI BRESNEY 483 19WC 28852 AUSTIN, EDGAR LEE SCHULTE HOSPITALITY GROUP 06/15/19 HOLLEY & ROSEN 484 19WC 28877 HOPPER, KEVIN SUPERVALU INC DBA SHOP N 10/11/17 HOLLEY & ROSEN WIEDNER & MCAULIFFE LTD 485 19WC 29019 ETHRIDGE, ROGER COMCAST 07/15/19 MARK N LEE HENNESSY & ROACH PC 486 19WC 29135 RICHIE, BERNICE STATE OF ILLINOIS, DEPART @ 12/08/17 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 487 19WC 29163 DILLON, EASTON JBS USA HOLDINGS, INC 08/25/18 HAXEL LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 488 19WC 29192 REDDING, KAREN L STATE OF ILLINOIS-VETERAN @ 04/10/19 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 489 19WC 29288 HENDERSON, DAVID MUELLER 02/02/18 BECKER SCHROADER & CHAPMAN FEATHERSTUN GAUMER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 19WC 29476 MC INTIRE, STACY KEEN TRANSPORT, INC 09/19/19 MARK N LEE WIEDNER & MCAULIFFE LTD 491 19WC 29484 HAMPTON, BRIAN W HOI VENDING 06/19/19 KANOSKI BRESNEY 492 19WC 29507 HAYS, MONICA CHICK-FIL-A 06/05/19 WOLTER BEEMAN AND LYNCH LITCHFIELD CAVO 493 19WC 29620 WRIGHT, CAROLYN STATE OF IL EPA @ 08/23/19 LAMARCA LAW OFFICES, PC ILLINOIS ATTY GENERAL 494 19WC 29700 FINCH, RICK J JANVRIN PLUMBING 07/22/19 KEEFE & DEPAULI 495 19WC 30119 DUNCAN, WINDY M CASEY'S GENERAL STORE 09/07/19 MCCARTHY ROWDEN 496 19WC 30131 DURBIN, NATHAN S BIG R 09/26/19 MCCARTHY ROWDEN 497 19WC 30295 DOUGLAS, SHRONE D JBS 11/13/18 KANOSKI BRESNEY KNELL O'CONNOR DANIELWICZ 498 19WC 30302 DAUGHERTY, BRIAN L STATE OF ILLINOIS/ DEPT O @ 09/30/19 STEPHEN P. KELLY ASSISTANT ATTORNEY GENERAL 499 19WC 30339 CONNER, STEPHANIE SPRINGFIELD CLINIC 05/09/19 FREDERIC NESSLER & ASSOC 500 19WC 30416 WASHINGTON-BUCKLEY, DEMET G&D TRANSPORTATION, INC 08/05/19 SHAY & ASSOCIATES LAWRENCE COZZI - LAW OFFICE 501 19WC 30537 SAXER, JOSEPH UNITED PARCEL SERVICE 06/13/17 HOLLEY & ROSEN NYHAN BAMBRICK KINZIE & LOWR 502 19WC 30540 MUSGROVE, MINEIYA HOPE INSTITUTE 10/02/19 STRONG LAW OFFICE ACCIDENT FUND HOLDINGS 503 19WC 30657 ESTES, SHANNON 4M BUILDING SOLUTIONS 07/24/19 SHAY & ASSOCIATES HENNESSY & ROACH 504 19WC 30820 MARCONI, ANTHONY J FIRST STUDENT INC 03/07/19 JAMES ACKERMAN WIEDNER & MCAULIFFE LTD 505 19WC 31046 GEORGE, WILLIAM BRANNER GLASS 08/17/18 MARK N LEE RUSIN & MACIOROWSKI LTD 506 19WC 31093 MILLER, MICHAEL SLOAN IMPLEMENT CO, INC 08/29/19 JACK L SHANKMAN 507 19WC 31175 SAUER, JOHN A PUTNAM TRUCKING 07/01/19 DELANO LAW OFFICES LLC KOPKA, PINKUS DOLIN, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 19WC 31356 JONES, MARK HF FRITSCH AND SONS 07/20/18 MARK N LEE 509 19WC 31393 ROMANOTTO, ALYSSA DOLLAR GENERAL 12/15/17 STRONG LAW OFFICE LEAHY EISENBERG & FRAENKEL 510 19WC 31469 CRUMPLER, TIFANIE RUSH ENTERPRISES 06/19/19 LAMARCA LAW OFFICES, PC HENNESSY & ROACH 511 19WC 31507 BELL, RENA DOLLAR GENERAL 09/20/19 LAMARCA LAW OFFICES, PC LEAHY EISENBERG & FRAENKEL 512 19WC 31545 POESCHAL, JORDAN JACKSONVILLE POLICE DEPAR 03/20/18 WOODRUFF JOHNSON 513 19WC 31634 HAYES, DARRAMIOUS CATERPILLAR INC 09/18/19 KATZ FRIEDMAN EISENSTEIN CATERPILLAR, INC. 514 19WC 31706 CLARK, RANDY SANITARY DISTRICT OF DECA 11/09/18 BECKER SCHROADER & CHAPMAN 515 19WC 31719 LENOVER, TANYA JBS USA 02/11/19 STEPHEN P. KELLY 516 19WC 31842 MURRAY, SULTAN SHIPEX LLC 10/12/19 STRONG LAW OFFICE 517 19WC 32329 SMITH, KATHRYN DECATUR HOUSING AUTHORITY 09/23/19 SAUNDERS CONDON & KENNY KNAPP, OHL & GREEN 518 19WC 32655 WILLIAMS, T.J. STAFFQUICK * 10/08/19 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 519 19WC 33095 KELLY, PATARICA STATE OF ILLINOIS @ * 10/03/19 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 520 19WC 33137 KELLY, PATARICA STATE OF ILLINOIS @ * 06/26/19 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 521 19WC 33182 CLAYCOMB, RICHARD LOWE'S * 06/19/19 STEPHEN P. KELLY KEEFE CAMPBELL BIERY & ASSOC 522 19WC 33469 DAVIS, MAYJAN Q SIU SCHOOL OF MEDICINE @ * 07/31/19 SGRO HANRAHAN DURR RABIN 523 19WC 33539 HORRIGHS, STEVEN SR. DUNLEY TRUCKING * 07/13/19 KAPLAN LAW OFFICES SCOPELITIS GARVIN LIGHT 524 19WC 33550 BANDY, GREGG E CITY OF SPRINGFIELD * 05/14/19 JAMES ACKERMAN 525 19WC 33653 FUERTES, GRACIELA WIN PROFESSIONAL * 12/13/18 WOODRUFF JOHNSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 526 19WC 33686 OLIVER, ALENA G SODEXO * 09/28/18 KANOSKI BRESNEY 527 19WC 33787 OLIVER, ALENA G SODEXO * 11/13/18 KANOSKI BRESNEY 528 19WC 33980 BROWN, TREVOR IL DEPT OF CORRECTIONS @ 08/27/19 STRONG LAW OFFICE BRADLEY DEFREITAS 529 19WC 34026 BASS, JULIE M JBS * 03/08/19 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 530 19WC 34035 HOGUE, RONALD INDUSTIAL REPAIR SERVICES * 01/21/19 MCCARTHY ROWDEN 531 19WC 34064 DAY, DALE MECLEOD TRUCKING * 09/08/19 MCCARTHY ROWDEN INMAN & FITZGIBBONS 532 19WC 34095 JORDAN, NORMA STATE OF ILLINOIS @ * 05/29/19 FREDERIC NESSLER & ASSOC 533 19WC 34174 SUTTON, THELMA LAQUINTA INN * 07/10/17 WARREN E DANZ, PC GANAN & SHAPIRO 534 19WC 34237 GARD, BILLY W DESIGNER LANDSCAPE * 04/19/19 KANOSKI BRESNEY 535 19WC 34280 LANE, RONALD NESTLE * 08/09/19 WOLTER BEEMAN AND LYNCH NYHAN BAMBRICK KINZIE & LOWR 536 19WC 34701 DENNISON, CHAD CITY OF SPRINGFIELD * 07/25/18 SGRO, HANRAHAN DURR RABIN 537 19WC 34778 GIRDLER, THOMAS JR. MUELLER COMPANY * 11/05/18 BECKER SCHROADER & CHAPMAN FEATHERSTUN GAUMER 538 19WC 34862 WATTS, MICHAEL R STATE OF ILLINOIS @ * 11/14/19 DELANO LAW OFFICES LLC ILLINOIS ATTY GENERAL 539 19WC 35025 ROGERS, LANCE MARTIN TRANSPORTATION SYS * 06/12/19 POLANSKY & CICHON CHTD 540 19WC 35061 HUNGERFORD, BRANDON DHS ILLINOIS SCHOOL FOR * 10/30/19 HOLLEY & ROSEN ILLINOIS ATTY GENERAL 541 19WC 35121 NASER, TAHSEEN ARCHER DANIELS MIDLAND * 11/15/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 542 19WC 35201 MUSGROVE, MINEIYA THE HOPE INSTITUTE * 11/19/19 STRONG LAW OFFICE ACCIDENT FUND HOLDINGS 543 19WC 35388 SMITH, MARK LITTLETON STORM & TIMBER * 08/24/18 MCCARTHY ROWDEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 19WC 35557 MOYER, CRAIG PEPSI REFRESHMENT SERVICE * 11/11/19 WARREN E DANZ, PC 545 19WC 35600 FUQUA, CARLA FUYAO * 02/26/19 MARK N LEE 546 19WC 35776 LEE, NOLAN UHAUL INTERNATIONAL * 08/01/19 MCCARTHY ROWDEN RUSIN & MACIOROWSKI LTD 547 19WC 35820 HARRELL, LATRICE NISHIDA SERVICES, INC * 10/22/19 KATZ FRIEDMAN EISENSTEIN RUBENS KRESS MULHOLLAND 548 19WC 35854 BROUGHTON, GREGORY ILLINOIS STATE POLICE @ * 10/16/19 FREDERIC NESSLER & ASSOC ILLINOIS ATTY GENERAL 549 19WC 35892 HOWARD, RON HAROLD O'SHEA BUILDERS * 06/09/17 HEYL ROYSTER VOELKER & ALLEN 550 19WC 35923 ZELLERS, STEVEN R LTI TRUCKING SERVICES * 10/16/19 HASSAKIS & HASSAKIS PC RIPES NELSON BAGGOT KALOBRAT 551 19WC 35947 THOMPSON, JOANNE WALMART * 01/22/19 FREDERIC NESSLER & ASSOC QUINTAIROS PRIETO WOOD & BOY 552 19WC 35950 CLARK, TIMOTHY KCM TRUCK & EQUIPMENT REP * 08/28/19 FREDERIC NESSLER & ASSOC BRADY, CONNOLLY & MASUDA, PC 553 19WC 36023 MARTIN, RALPH H MC LEOD EXPRESS * 11/01/19 CULLEN HASKINS NICHOLSON INMAN & FITZGIBBONS 554 19WC 36223 CHAPMAN, JASON ARCHER DANIELS MIDLAND CO 02/14/19 FEATHERSTUN GAUMER 555 19WC 36395 BRIDA, RUDOLPH A SPRINGFIELD POLICE DEPART 09/02/19 WOLTER BEEMAN AND LYNCH 556 19WC 36537 JENNINGS, ANTHONY ILLINOIS SECRETARY OF STA * 07/11/19 SAUNDERS CONDON & KENNY 557 19WC 36609 VERDEYEN, JOYCE STATE OF ILLINOIS DEPT OF @ * 10/15/19 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 558 19WC 36730 GOODWIN, ADRIAN LAVERN UNITED PARCEL SERVICE * 11/21/19 STEVEN B SALK & ASSOC LTD NYHAN BAMBRICK KINZIE & LOWR 559 19WC 36943 LOWREY, ANDREW M IL DEPT OF TRANSPORTAION @ * 09/10/18 DELANO LAW OFFICES LLC 560 19WC 37007 FARLEY, JOSHUA L REPUBLIC SERVICES * 09/27/19 BOSHARDY LAW OFFICE PC 561 19WC 37025 GREGORY, JUDY MACOUPIN COUNTY PUBLIC TR * 09/16/19 DRUMMOND LAW OFFICE INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 562 19WC 37047 CROSBY, DEBORAH A WALMART * 12/03/19 HARVEY & STUCKEL 563 19WC 37127 WINTER, BONNIE KFC * 09/30/19 SHAY & ASSOCIATES 564 19WC 37414 COE, BRENT M STAR MINE SERVICES, INC * 02/13/15 CULLEY & WISSORE 565 19WC 37518 DANIELS, ELIZABETH CASEY'S * 05/24/19 STRONG LAW OFFICE 566 19WC 37557 SANDMORE, KENNETH DENIER & SONS, INC * 08/16/19 SPIROS LAW PC 567 20WC 00141 SULLIVAN, CASEY ST OF IL DEPT OF HUMAN SR @ * 10/17/19 HOLLEY & ROSEN 568 20WC 00227 HOPPES, JOHN TAYLOR TIRE AND AUTO * 08/17/18 DRUMMOND LAW OFFICE 569 20WC 00359 MAXEY, MARTIN CITY OF DECATUR * 06/15/18 BECKER SCHROADER & CHAPMAN SAMUELS MILLER SCHROEDER ETA 570 20WC 00529 O'NEAL, VASEAN MEMORIAL MEDICAL CENTER * 12/02/19 STRONG LAW OFFICE SORLING NORTHRUP 571 20WC 00739 MARFELL, JEROD CITY OF SPRINGFIELD * 11/18/19 SGRO, HANRAHAN DURR RABIN 572 20WC 00823 MOLT, RODNEY STATE OF ILLINOIS-MCFARLA @ * 01/01/20 STEPHEN P. KELLY ASSISTANT ATTORNEY GENERAL 573 20WC 00859 NEVILLE, DESARAE MCFARLAND MENTAL HEALTH @ * 12/20/19 MARK N LEE 574 20WC 00986 PETTIS, BRIANNA FIFTH DAY RESTAURANT CORP * 12/20/19 HAXEL LAW OFFICE 575 20WC 01066 VANFLEET, THOMAS CATERPILLAR, INC. * 05/30/18 TUGGLE SCHIRO & LICHTENBER 576 20WC 01198 ARNOLD, JAMES VILLAGE OF MANCHESTER * 04/03/19 SCHREMPF KELLY & NAPP 577 20WC 01335 NORRIS, KARA ILLINOIS SECRETARY OF STA @ * 11/20/19 SAUNDERS CONDON & KENNY 578 20WC 01438 JEWELL, STEVE ALSEY REFRACTORIES CO * 12/17/18 DAVID W MARTAY 579 20WC 01542 LONGDEN, TAMMY WAL-MART * 10/10/19 STRONG LAW OFFICE EARLY & MIRANDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 580 20WC 01567 DAWDY, TREENA WINGMEN V LLC DBA BUFFALO * 11/21/19 STRONG LAW OFFICE 581 20WC 01909 DEERWESTER, RICKY K STRATAS FOODS LLC * 11/22/19 KANOSKI BRESNEY 582 20WC 02054 EASTIN, ROBERT D CRACKER BARREL OLDCOUNTRY 03/22/19 KANOSKI BRESNEY 583 20WC 02068 BROWNBACK, ROBIN GSI GROUP LLC * 09/24/19 SGRO HANRAHAN DURR RABIN 584 20WC 02075 WILKEY, JERRY L JBS * 06/12/19 KANOSKI BRESNEY KNELL O'CONNOR DANIELWICZ 585 20WC 02134 DOWERS, GARY CAFE MOXO * 12/16/19 STRONG LAW OFFICE 586 20WC 02214 MARX, DANIEL L CITY WATER LIGHT & POWER * 12/04/19 JAMES ACKERMAN 587 20WC 02556 ORRIS, MATTHEW TRI-TECH CONSTRUCTION * 08/25/19 WOODRUFF JOHNSON WOLFE & JACOBSON, LTD 588 20WC 02675 GOATLEY, DANIEL K COMPUTER TECHNOLOGIES, IN * 11/07/19 GANAN & SHAPIRO 589 20WC 02794 PAROLA, CINDY SPRINGFIELD URBAN LEAGUE * 01/14/20 CORNFIELD & FELDMAN HENNESSY & ROACH 590 20WC 03062 GILLES, GREGORY CATERPILLAR INC * 12/12/19 WILLIAMS & SWEE 591 20WC 03105 BEEKMAN, DAMON BRAND ENERGY SERVICES, LL * 01/21/20 TURCYCHUTE LLC GOLDBERG SEGALLA LLC 592 20WC 03154 AMBRIS, CONSUELO PSSI * 06/12/19 DENNIS ATTEBERRY 593 20WC 03183 CURRIN, GARY KENCO GROUP, INC * 10/24/19 MARK N LEE 594 20WC 03269 DENNIS, ROBERTA DOLLAR GENERAL * 01/12/19 STEPHEN P. KELLY LEAHY EISENBERG & FRAENKEL 595 20WC 03360 RICHARDS, HARVEY CITY OF SPRINGFIELD * 10/05/17 HAXEL LAW OFFICE 596 20WC 03655 PHILLIPS, PATSY NPC INTERNATINAL DBA PIZZ * 01/07/20 STRONG LAW OFFICE 597 20WC 03678 HOCKING, EVAN CITY OF DECATUR * 11/13/19 BOLEN, ROBINSON & ELLIS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M OBRIEN, DENNIS S 024 ARBITRATION CALL FOR SPRINGFIELD 46003 ON 03/23/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 598 20WC 03819 HALL, RICHARD MORRISONVILLE FARMERS COO * 12/17/18 DWORKIN AND MACIARIELLO 599 20WC 03883 LOY, WILLIAM BOB LAMB COMPANY, INC. * 12/10/18 HENNESSY & ROACH 600 20WC 03977 GRANDA, DALE MARQUIS BEVERAGE SERVICE * 05/22/19 NYHAN BAMBRICK KINZIE & LOWR 601 20WC 04188 MONROE, ALICE BUCHHEIT ENTERPRISES, INC * 02/12/17 MCDONALD & BOGDAN 602 20WC 04235 WEISENBERGER, SABREENA SUBWAY * 04/19/19 SHAY & ASSOCIATES 603 20WC 04377 OVERBY, PAUL MCLEOD EXPRESS, LLC * 10/02/18 INMAN & FITZGIBBONS 604 20WC 04512 GROESCH, KEITH CITY OF SPRINGFIELD FIRE * 12/11/19 SGRO HANRAHAN DURR 605 20WC 04518 BARNES, GRANT SPRINGFIELD POLICE DEPART * 01/22/19 NOLL LAW OFFICE 606 20WC 04656 MEYER, PAMELA STATE OF ILLINOIS, DEPT O @ * 06/01/19 WOLTER BEEMAN AND LYNCH