ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 10WC 18795 ANDERSON, DOUGLAS C. WILLENBORG HARDWOOD 04/01/10 MEYER, MICHAEL J KNELL LAW LLC 2 10WC 37165 ANDERSON, AMY S WARREN G MURRAY DEVELOPME @ 04/26/10 THE FREDERICK LAW FIRM ILLINOIS ATTORNEY GENERAL 16WC004421 -C 3 11WC 08861 PAYNE, THOMAS L NORTH AMERICAN LIGHTING 02/22/11 NELSON & NELSON LAW OFFICES STEPHEN CARTER 14WC016361 -C 18WC007304 -C 4 12WC 15483 FATHEREE, DEVRA STATE OF ILLINOIS @ 03/05/11 ERIC L TERLIZZI ILLINOIS ATTORNEY GENERAL 5 12WC 20753 19B ROWLAND, ANNETTE F MURRAY DEVELOPMENTAL CENT @ 11/01/10 STRONG LAW OFFICE ILLINOIS ATTORNEY GENERAL 6 12WC 36246 BROWN, GREGG WALGREENS DISTRIBUTION CE 03/22/10 BROWN & BROWN EVANS & DIXON, LLC 7 12WC 36681 MILLER, TINA WARREN G MURRAY CENTER @ 04/23/12 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 8 13WC 02303 BULLARD, BILL CONTINENTAL TIRE 01/29/12 BEMENT & STUBBLEFIELD 9 13WC 05300 HUNT, MICHAEL EDWARD SR GENE L JANSEN D/B/A W 08/27/10 BECKER SCHROADER & CHAPMAN KEVIN M HAZLETT LLC 10 13WC 06868 MEREDITH, DORIS GOOD SAMARITAN 01/26/13 BROWN & BROWN EVANS & DIXON, LLC 13WC010156 -C ST MARYS GOOD SAMARITAN HO 11 13WC 17182 HOWARD, JAMES RCR TRUCKING, INC W 05/04/12 NELSON & NELSON SCOPELITIS GARVIN LIGHT 12 13WC 18559 GREGG, JOHN M LITTLE D DRILLING 04/22/13 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 13 13WC 36352 BANDY, SHARON KAY CROOK HOYLETON YOUTH & FAMILY S 07/19/13 GALANTI LAW OFFICES LITCHFIELD CAVO 14 13WC 38820 ROBERTS, MATTHEW CONTINENTAL TIRE 06/08/13 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 15 13WC 39001 ROBERTS, MATTHEW CONTINENTAL TIRE 09/23/13 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 16 14WC 05194 CROSS, REBECCA WARREN G MURRAY DEVELOPME @ 12/05/13 JEROME LINDSAY SALMI LL ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 14WC 06466 HOWARD, JAMES UNIMARK TRUCK TRANSPORT L 05/04/12 NELSON & NELSON SCOPELITIS GARVIN LIGHT 18 14WC 09420 KRIBLEY, LAUREN DOLLAR GENERAL 08/18/13 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 14WC024060 -C 19 14WC 17753 19B GORDON, MELISSA MURRAY CENTER @ 02/26/14 CARAWAY FISHER ILLINOIS ATTORNEY GENERAL 20 14WC 21695 SWIFT, DEVAN A WABASH & OHIO VALLEY SPEC 09/10/13 LEVENHAGEN LAW FIRM PC 14WC021696 -C 21 14WC 27729 WILSON, RODNEY MOORE BROTHERS CONTRACTIN 06/09/14 COSTA IVONE LLC STEPHEN H LARSON LAW OFFICE 22 14WC 40654 LEIGH, MARTY PAUL CAMPBELL ENTERPRISES 09/10/14 JEROME LINDSAY SALMI LL STEPHEN H LARSON LAW OFFICE 23 15WC 10077 REEVES, JAMES ROSENS DIVERSIFIED 07/02/14 CHERRY FRAZIER & SABIN HENNESSY & ROACH, PC 24 15WC 22609 WIMBERLY, HEATHER GOOD SAMARITAN REGIONAL H 11/27/13 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 25 15WC 26397 BLUE, BRIAN SCHILLI SPECIALIZED, INC. 07/22/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 26 15WC 29432 HOLLAND, BONNIE WARREN G MURRAY @ 09/03/15 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 27 15WC 31324 SPHAR, JIM EFFINGHAM EQUITY 09/03/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 28 15WC 34310 GAINES, VICKY COUNTRYSIDE MANOR NURSING 08/10/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 29 15WC 42481 KUHNERT, CHARLES CONTINENTAL TIRE OF NORTH @ 07/20/15 ALLEMAN LAW FIRM KEEFE & DEPAULI 15WC042482 -C 30 16WC 03895 NICKOL, TIMOTHY JOHN LAWRENCEVILLE COMM SCHOOL 07/22/15 WARREN E DANZ, PC RUSIN & MACIOROWSKI LTD 31 16WC 06877 BRADHAM, JANUARY L DAVITA DIALYSIS 10/10/15 HASSAKIS & HASSAKIS PC WIEDNER & MCAULIFFE LTD 32 16WC 09330 COPE, ERIC NATIONAL RAILWAY EQUIPMEN 11/22/15 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 33 16WC 10590 MEREDITH, DARLENE WALGREENS DISTRIBUTION CE 02/22/16 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 34 16WC 11116 CRAIG, ROGER CONTINENTAL TIRE 10/24/14 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 35 16WC 13581 WOOD, GLENNA HAMILTON MEMORIAL HOSPITA 09/09/15 GOLDENBERG, HELLER, ANTOGN GAROFALO SCHREIBER STORM GRA 36 16WC 18670 ROBINSON, CHARLES THOMAS ROARK TRUCKING 02/12/14 PETER BLASI LLC JAMES M KELLY 37 16WC 18881 ARNOLD, TONYA AMY SCHULZ CHILD ADVOCACY 05/05/14 DANIELS WILZBACH PC BRADY, CONNOLLY & MASUDA, PC 38 16WC 20095 MORGAN-SMITH, TAYLOR A LOWES, INC 07/11/15 JAMES RUPPERT KEEFE CAMPBELL & ASSOC LLC 39 16WC 23749 TAYLOR, RICKY O'DANIEL TRUCKING 04/26/16 HENNESSY & ROACH 40 16WC 24436 WALLACE, MATHEW L. RESPONDEK RAILROAD 04/17/14 HASSAKIS & HASSAKIS GAROFALO SCHREIBER STORM GRA 41 16WC 25772 WALTZ, PATRICK VANDALIA CORRECTIONAL CEN @ 04/21/16 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 42 16WC 28125 DERRINGER, MATTHEW DEFENDER SERVICES, INC 07/13/16 JEROME LINDSAY SALMI LL LAW OFFICE PAUL LARIMORE 43 16WC 28570 SOVA, MATHEW CONTINENTAL TIRE, THE AME 01/24/15 WENDLER LAW PC KEEFE & DEPAULI 44 16WC 30725 KISELEWSKI, PEGGY CONTINENTAL TIRE NA 04/21/16 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 45 16WC 31933 GROSS, HENRY WHITE COUNTY COAL 09/09/16 KOLKER LAW OFFICES FEIRICH MAGER GREEN & RYAN 46 16WC 32329 GONZALES, DAVID INNOVATIVE STAFF SOLUTION 09/07/16 BRUCE WARREN 47 16WC 33102 HUGGINS, JERAD DCA CONSTRUCTION 09/13/16 CERVANTES & ASSOC 48 16WC 33350 PHILLIPS, MARK CONTIENTAL TIRE 09/10/16 NELSON & NELSON KEEFE & DEPAULI 49 16WC 35927 REED, JESSICA NORTH AMERICAN LIGHTING, 09/25/16 DANIELS WILZBACH PC LAW OFFICES STEPHEN CARTER 50 17WC 00058 GOBTOP, TONY UNIFIED STAFFING 10/12/16 GARY L. BEMENT 51 17WC 00909 ARNOLD, GREG STATE OF ILLINOIS @ 12/07/16 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 17WC 02520 EAGAN-ROBBINS, MARY WALGREENS DISTRIBUTION CT 12/17/14 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 53 17WC 02719 RHODES, TEODORE J ILLINOIS STATE POLICE @ 02/27/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 17WC002721 -C 54 17WC 03089 CAMPISE, SAM CHAD NIC PROPERTIES DBA 09/20/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 55 17WC 03759 MCCLENDON, TAMMY COMPASS GROUP 01/06/16 DWORKIN AND MACIARIELLO GOLDBERG SEGALLA LLC 56 17WC 04149 HUTSON, JANICE WHITE COUNTY COAL 11/13/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 57 17WC 06068 COLONI, STEVE ALLIANCE COAL 02/01/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 58 17WC 07105 VAIL, BONNIE UPS 09/17/15 HELLER HOLMES & ASSOC MCANANY VANCLEVE & PHILLIPS 59 17WC 07154 GILLENWATER, CARL NORTH AMERICAN LIGHTING 10/04/16 RICH RICH COOKSEY & CHAPPE LAW OFFICES STEPHEN CARTER 60 17WC 07280 BUFF, JOLEEN P MAYCE CLARKSON DBA MAYCE' W 12/07/16 HASSAKIS & HASSAKIS ASSISTANT ATTORNEY GENERAL 61 17WC 08050 BISHOP, DUSTIN J ALLIANCE COAL, LLC 01/15/16 JAMES RUPPERT FEIRICH MAGER GREEN & RYAN 62 17WC 09516 MULDER, MARK EGYPTIAN EXPOSITION 10/20/16 63 17WC 11664 PEARSON, MELISSA MURRAY DEVELOPMENTAL CTR @ 09/12/16 HASSAKIS & HASSAKIS PC ASSISTANT ATTORNEY GENERAL 64 17WC 12525 NELSON, CHARLENE CEFS ECONOMIC OPPORTUNITY 07/15/14 TAYLOR LAW OFFICES ROBERT L. SMITH 65 17WC 12999 MIDDLETON, TOM TOYOTA BOSHOKU ILLINOIS, 09/01/16 MOSS & MOSS PC HENNESSY & ROACH, PC 66 17WC 13140 MIDDLETON, TOM TOYOTA BOSHOKU ILLINOIS, 09/05/16 MOSS & MOSS PC HENNESSY & ROACH, PC 67 17WC 13503 WINTERMANN, JOHN NAL - NORTH AMERICAN LIGH 12/07/16 LAW OFFICES TIMOTHY HENDER STEPHEN CARTER 68 17WC 13762 JOHNSON, DEBRA CIRCLE K 05/04/16 JEROME LINDSAY SALMI LL NYHAN BAMBRICK KINZIE & LOWR 69 17WC 17490 19B HARDY, RANDY THE SHERWIN WILLIAMS COMP 05/01/17 LEVENHAGEN LAW FIRM PC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 70 17WC 18886 MANDRELL, SHELLY WALGREENS 06/02/17 BECKER SCHROADER & CHAPMAN EVANS & DIXON, LLC 71 17WC 19448 WILLIS, KAREN VANSEAL CORPORATION 07/25/16 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 72 17WC 20146 BLAIR, MARLON M-CLASS MINING, LLC 08/25/16 CULLEY & WISSORE CRAIG & CRAIG 73 17WC 20204 WILLMORE, TIMOTHY CONTINENTAL TIRE 06/14/17 GARY L. BEMENT KEEFE & DEPAULI 74 17WC 20585 DOWELL, BRITTANY TONY WALKER D/B/A WALK'N 04/18/17 MERKLEY & SHIELDS LLC 75 17WC 21597 FLENER, RUSSELL WABASH VALLEY SERVICE COM 06/14/17 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 76 17WC 21812 BUENING, CHERYL MR VERNON TOWNSHIP HSD #2 04/27/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD 77 17WC 22344 PIERCE, ROXIE R WALGREENS FAMILY OF COMPA 03/04/15 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 78 17WC 23492 GRINOLS, RHONDA FAIRFIELD HOSPITAL 02/06/17 BROWN & BROWN GAROFALO SCHREIBER STORM GRA 79 17WC 23949 SPENCER, EVA DARLENE NORTH AMERICAN LIGHTING 08/30/16 BROWN & BROWN LAW OFFICES STEPHEN CARTER 80 17WC 24059 BOSNJAKOVIC, BERIZ HAZE TRUCKING, LLC 07/25/17 CANTOR & BURGER 81 17WC 24081 DONALDSON, DALE A MIDLAND STATES BANK 08/25/14 MEYER, MICHAEL J ROUSE & CARY 82 17WC 24551 NIEDBALSKI, KEVIN XPO LOGISTICS, INC 11/05/15 NELSON & NELSON RUSIN & MACIOROWSKI LTD 83 17WC 25138 YOST, SUE WALGREENS 10/05/16 TAYLOR LAW OFFICES 84 17WC 25868 PORTER, DAVID E CONTINENTAL TIRE 04/19/17 JAMES RUPPERT KEEFE & DEPAULI 85 17WC 25964 STRAIN, ANTHONY NORTH AMERICAN LIGHTING 05/04/17 CULLEN HASKINS NICHOLSON LAW OFFICES STEPHEN CARTER 86 17WC 26879 GARNER, DAVID WHITE COUNTY COAL 07/14/17 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 87 17WC 27674 BUCKLEY, MICHELLE HERSHEY CO 07/19/16 TAYLOR LAW OFFICES WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 17WC 27992 RAINWATER, PAUL IL DEPT OF CORRECTIONS @ 08/02/17 GARY L. BEMENT ASSISTANT ATTORNEY GENERAL 89 17WC 28175 WILLIAMS, MEGAN MURRAY CENTER @ 06/19/17 HUSTAVA, JOHN H ASSISTANT ATTORNEY GENERAL 90 17WC 28349 LEAF, NELLIE NORTH AMERICAN LIGHTING 08/23/17 DWORKIN AND MACIARIELLO LAW OFFICES STEPHEN CARTER 91 17WC 28399 JOSEPH, STANLEY GREYHOUND LINES INC 09/10/17 92 17WC 30102 JIMENEZ, JEFFREY CAPSTONE LOGISTICS 08/09/17 CARAWAY FISHER HENNESSY & ROACH, PC 93 17WC 30155 HIGGINS, STEVEN BEELMAN READY-MIX, INC 08/23/17 JEROME LINDSAY SALMI LL HARRIS DOWELL FISHER & HARRI 18WC001724 -C 94 17WC 30850 GOTTBERG, CHRISTINA WALGREENS CO 06/30/17 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 95 17WC 30897 WELLS, JONELLE SSM HEALTH ST MARY'S HOSP 04/29/17 RICH RICH COOKSEY & CHAPPE EVANS & DIXON, LLC 96 17WC 31580 NAAS, GARY HAMILTON COUNTY COAL LLC 01/26/17 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 97 17WC 32250 DELGADO, JOSE A CENTRALIA CORRECTIONAL @ 09/27/17 HASSAKIS & HASSAKIS PC ASSISTANT ATTORNEY GENERAL 98 17WC 32445 WELLS, JONELLE SSM HEALTH ST MARY'S HOSP 08/27/17 RICH RICH COOKSEY & CHAPPE EVANS & DIXON, LLC 99 17WC 33125 LEAF, NELLIE NORTH AMERICAN LIGHTING 08/23/17 DWORKIN AND MACIARIELLO STEPHEN CARTER 100 17WC 33860 LOTT, ROBBY CTC EXPORTS INC 05/13/15 MCCARTHY ROWDEN & BAKER 101 17WC 33997 MCCOY, THOMAS OAK HILL CONTRACTING 10/16/17 HOWERTON, DORRIS & STONE HEYL ROYSTER VOELKER & ALLEN 102 17WC 34348 WHEELER, GABRIEL HAMILTON COUNTY COAL 09/24/17 MATHIS MARIFIAN RICHTER FEIRICH MAGER GREEN & RYAN 103 17WC 34423 ELLER, CHESTER WALGREENS DISTRIBUTION CE 10/14/17 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 104 17WC 34451 BRANTON, JACOB D SHETLEY INVESTMENTS DBA 09/22/17 WALTON TELKEN LLC 105 17WC 35110 OGLESBY, LLOYD HAMILTON COUNTY COAL LLC 11/21/16 JELLIFFE FERRELL DOERGE PH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 17WC 35443 ELDRIDGE, VERNA WAL-MART 10/16/17 RICH RICH COOKSEY & CHAPPE EARLY & MIRANDA PC 107 17WC 37186 HOLLAND, BONNIE WARREN G MURRAY DEVELOPME @ 05/12/17 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 108 17WC 37355 GONZALEZ-VARGAS, JETZARI CHAD HOLLIS CONSTRUCTION # 08/07/15 BLUNT & ASSOC 109 17WC 37365 ELLIS, DONALD M-CLASS MINING, LLC 11/30/16 CULLEY & WISSORE CRAIG & CRAIG 110 17WC 37459 SHOWALTER, KEVIN DAVIS HOUK MECHANICAL 12/01/17 DWORKIN AND MACIARIELLO STEPHEN H LARSON LAW OFFICE 111 17WC 37618 ESKER, JANET ALDI INC 08/28/16 TAYLOR LAW OFFICES LYNN D BARNETT 112 18WC 00567 FOR ESTATE OF PEGGY DODSO CENTRALIA ESTATES 10/17/17 NELSON & NELSON GANAN & SHAPIRO 113 18WC 01106 GATISON, RICHARD WERNER ENTERPRISE INC 09/26/17 ALEKSY BELCHER SMITH AMUNDSEN LLC 114 18WC 02034 VINYARD, GRETCHEN HARDIN COUNTY COMMUNITY 10/25/16 SAM C MITCHELL & ASSOCIATE 115 18WC 02586 FINDLEY, JENNIFER CONTINENTAL TIRE 05/11/16 WENDLER LAW PC KEEFE & DEPAULI 116 18WC 03137 PORTER, DONTAE CONTINENTAL TIRE 01/08/18 NELSON & NELSON 117 18WC 03817 SMITH, DEVIN W SPS OF ALABAMA, LLC 10/13/17 HUNTER LAW FIRM 118 18WC 06234 JOHNSON, RICHARD L M-CLASS MINING, LLC 08/05/15 CULLEY & WISSORE CRAIG & CRAIG 119 18WC 06244 EUBANKS, ROBERT GMS MINE REPAIR 04/13/17 CULLEY & WISSORE CRAIG & CRAIG 120 18WC 06435 SANDSCHAFER, COREY L SHERWIN-WILLIAMS DISTRIBU 08/11/17 HASSAKIS & HASSAKIS PC 121 18WC 06558 JACOBS, GLENN A WHITE COUNTY COAL, LLC. 11/18/16 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 122 18WC 06866 YORK, JASON R LOWERY'S FIBERGLASSING 09/11/17 HEIDI A. HOFFEE STEPHEN H LARSON LAW OFFICE 123 18WC 08588 DAVID, SHARON NORTH AMERICAN LIGHTING 12/01/17 JEROME LINDSAY SALMI LL STEPHEN CARTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 18WC 10850 VALDEZ, RANDY STATE OF ILLINOIS @ 03/22/18 ASSISTANT AT0TORNEY GENERAL 125 18WC 11091 FREY, DANETTE ADI REPAIRS 10/09/17 126 18WC 11127 PORTER, DONTAE CAPSTONE LOGISTICS, LLC 01/11/18 NELSON & NELSON 127 18WC 14315 SMITH, KRYSTAL M SSM HEALTH GOOD SAMARITAN 08/29/17 JAMES RUPPERT EVANS & DIXON, LLC 128 18WC 15092 MYERS, DAVID M RADIAC ABRASIVES, INC. 03/23/18 HASSAKIS & HASSAKIS PC HENNESSY & ROACH, PC 129 18WC 16245 COMBS, JOSEPH CONTINENTAL TIRE 05/03/17 NELSON & NELSON KEEFE & DEPAULI 130 18WC 16623 PATTERSON, ELIZABETH (WID WALGREENS DISTRIBUTION CE # 04/29/18 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 131 18WC 16700 FARRIS, AMANDA CONTINENTAL TIRE NORTH AM 01/18/18 WINTERS BREWSTER CROSBY SC 132 18WC 16899 FARRIS, AMANDA CONTINENTAL TIRE NO. AMER 11/20/16 WINTERS BREWSTER CROSBY SC 133 18WC 17189 GRAHAM, SHANNON L NORTH AMERICAN LIGHTING 02/15/18 TUNGATE LAW OFFICE STEPHEN CARTER 134 18WC 17736 PAISLEY, ERIC C TRILLIUM CONSTRUCTION 05/03/18 FISHER KERHOVER COFFEY HENNESSY & ROACH PC 135 18WC 19025 DOXIE, JEFF AIR STAMPING, INC. 07/22/15 BLANE OSMAN BRADY, CONNOLLY & MASUDA, PC 136 18WC 19097 HOSICK, KONAN WHITE COUNTY HOUSING AUTH 06/28/17 HANAGAN & MCGOVERN PC RUSIN & MACIOROWSKI LTD 137 18WC 19784 LONGWELL, CHERYL RYAN'S FAMILY STEAK HOUSE 07/17/17 SMITH LAW LTD LAWRENCE COZZI - LAW OFFICE 138 18WC 19984 BROWN, JAY NATIONAL VINEGAR COMPANY 06/13/17 STRONG LAW OFFICE STEPHEN H LARSON LAW OFFICE 139 18WC 20103 BOYER, FREDERICK M CLASS MINING A/K/A 06/15/18 RON D COFFEL & ASSOC LITCHFIELD CAVO 140 18WC 20149 WHITE, CHRISTINE L GSI GROUP, INC 02/14/18 HASSAKIS & HASSAKIS PC FEATHERSTUN GAUMER 141 18WC 20286 ENLOW, CHARLES ADM TRUCKING INC 05/03/18 HELLER HOLMES & ASSOC FEATHERSTUN GAUMER POSTLEWAI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 18WC 20329 STARR, WILLIAM T XPO LOGISTICS 11/13/15 NELSON & NELSON RUSIN & MACIOROWSKI LTD 143 18WC 20356 LAYBURN, MARK E JOB MATCH PERSONNEL SVS 01/03/18 MEYER, MICHAEL J 144 18WC 20696 CRUM, MICHELLE P PINNACLE FOODS 04/17/18 BROWN & BROWN INMAN & FITZGIBBONS 145 18WC 21031 BRANCH, TERRY NORTH AMERICAN LIGHTING 04/01/18 BROWN & BROWN STEPHEN CARTER 146 18WC 21192 WHIPPLE, PATSY HSHS ST. ANTHONY'S MEMORI 06/25/18 LESKERA LAW FIRM HEYL ROYSTER VOELKER & ALLEN 147 18WC 21720 MOUSER, JASON IDOC 05/23/18 JOHNSTON LAW OFFICE CORI STEWART 148 18WC 21833 DOTY, KENNETH ABF FREIGHT SYSTEM 09/05/17 BURNETT & CARON, LTD 149 18WC 22186 HEMPEN, TODD CENTRALIA POLICE DEPARTME 04/08/18 RIDGE & DOWNES INMAN & FITZGIBBONS 150 18WC 22874 WHARTON, RALEIGH "ANDY" C.D FELLER ENTERPRISE 01/25/17 HELLER HOLMES & ASSOC HOLTKAMP LIESE 151 18WC 23094 MASON, KIRK WAYNE CARTER TRUCKING & 07/09/18 LEVENHAGEN LAW FIRM PC EVANS & DIXON 152 18WC 23103 WOODWARD, CHRISTIAN WARREN G. MURRAY DEVELOPM @ 06/11/18 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 153 18WC 23108 GOTTBERG, CHRISTINA WALGREEN CO 05/24/18 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 154 18WC 23574 QUAID, GINGER JOSHUA MANOR 07/04/18 BECKER SCHROADER & CHAPMAN 155 18WC 23749 LONG, CHRISTOPHER W PRAIRIE FARMS DAIRY, INC. 08/15/17 HASSAKIS & HASSAKIS PC KNAPP, OHL & GREEN 156 18WC 24016 PURCELL, DANA STEVENS INDUSTRIES 01/25/17 HELLER HOLMES & ASSOC THOMAS MAMER & HAUGHEY 157 18WC 24508 MOONEY, STACEY WARREN G MURRAY DEV CTR @ 05/13/18 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 158 18WC 24531 FOULKS, ANTONIO PLACESMART AGENCY 05/25/18 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 159 18WC 24546 KIRBY, XAVIER RP COATINGS, INC 01/11/18 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 160 18WC 25098 WILSON, JASON EVARD STRANG CONSTRUCTION 06/18/18 GOLDENBERG HELLER ANTOGNOL 161 18WC 25193 HARRIS, CORY CITY OF ALTAMONT 01/16/17 WOLTER BEEMAN AND LYNCH KEEFE & DEPAULI 162 18WC 26011 MASON, BRANDON M CLASS MINING 05/31/18 RON D COFFEL & ASSOC LITCHFIELD CAVO 163 18WC 26527 ATKINS, TRAVIS AMERICAN EQUIPMENT & MACH 02/06/18 BEARD LAW FIRM 164 18WC 26554 CURRY, DUSTIN COMPLIANCE STAFFING AGENC 06/02/18 RON D COFFEL & ASSOC MCANANY VANCLEVE & PHILLIPS 165 18WC 26728 RENFROW, ANTHONY BRYAN MANOR 04/23/18 DANIELS WILZBACH PC MORROW WILLNAUER 166 18WC 26906 HARRINGTON, SHASTA THREE Z PRINTING CO INC 08/15/18 WILSON LAW OFFICES LLC STEPHEN H LARSON LAW OFFICE 167 18WC 28408 FEAZELL, LB JR. CRST EXPEDITED 07/27/17 BERG & ROBESON 168 18WC 28546 KING, PATTI CONTINENTAL TIRE 07/05/16 WINTERS BREWSTER CROSBY SC KEEFE & DEPAULI 169 18WC 28965 WILSON, STEPHANIE OAKLAND EDUCATIONAL CENTE 09/10/18 MCGARRY & MALKOVICH HENNESSY & ROACH, PC 170 18WC 29111 MCGUIRE, MICHELLE DOLLAR GENERAL 01/17/18 MCCARTHY ROWDEN LEAHY EISENBERG & FRAENKEL 171 18WC 29241 MINOR, DENISE BIG MUDDY RIVER C.C. @ 05/13/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 172 18WC 29399 MARQUEZ, JACQUELINE WALGREENS DISTRIBUTION CE 08/31/18 BROWN & BROWN EVANS & DIXON, LLC 173 18WC 29435 CAVALETTO, JASON E KASKASKIA COMMUNITY COLLE 12/15/16 DANIELS WILZBACH PC KEEFE & DEPAULI 174 18WC 29776 CLINE, MATTHEW T PIONEER OIL COMPANY 07/11/18 HOFFEE LAW FIRM KOPKA, PINKUS DOLIN, PC 175 18WC 31021 RICHARDSON, GARY D WHITE STALLION ENERGY, LL 06/09/18 176 18WC 31202 SELLERS, HEATHER TOYOTA BOSHOKU IL 11/17/17 HELLER HOLMES & ASSOC HENNESSY & ROACH, PC 18WC031203 -C 177 18WC 31367 APPLEGATE, KYLE D BARR CONSTRUCTION 10/11/17 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 178 18WC 31421 GOTTMAN, DARLA WASHINGTON COUNTY HOSPITA 12/04/17 LEVENHAGEN LAW FIRM PC GAROFALO SCHREIBER STORM GRA 179 18WC 31601 BARTON, ROBERT CENTRALIA CC @ 09/21/18 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 180 18WC 31681 MULLINS, KENNETH XPO LOGISTICS FREIGHT, IN 07/19/18 LEVENHAGEN LAW FIRM PC RUSIN & MACIOROWSKI LTD 181 18WC 31737 WRIGHT, ROGER E WALGREENS DISTRIBUTION CE 08/28/18 JAMES RUPPERT 182 18WC 31934 FELDHAKE, TIM SCHOONOVER TRUCKING 03/14/17 HANAGAN & MCGOVERN PC BRADY, CONNOLLY & MASUDA, PC 183 18WC 32272 NEAL, MICHELLE L WALGREENS DISTRIBUTION CE 03/08/18 HASSAKIS & HASSAKIS PC 184 18WC 32394 WERNER, REBECCA JO NEW YORK BLOWER COMPANY 01/10/18 MEYER, MICHAEL J SMITH AMUNDSEN LLC 185 18WC 32973 JOHNSON, DARLENE (WIDOW) FREEMAN UNITED COAL MININ # 06/15/18 CULLEY & WISSORE CRAIG & CRAIG 186 18WC 33054 SULLENS, PAMELA WALGREENS DISTRIBUTION CE 08/21/18 HANAGAN & MCGOVERN PC 187 18WC 33686 LEIGHTY, ANNETTE L CASEY'S GENERAL STORE 10/12/18 MOLLY WEHKING 188 18WC 35086 THRASHER, PAUL HOWARD CONCRETE PUMPING I 09/29/17 WINTERS BREWSTER CROSBY SC WIEDNER & MCAULIFFE LTD 189 18WC 36762 BEVEL, PATRICIA FORD SQUARE OF MT VERNON 01/15/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 190 18WC 37444 LYONS, CHANE ENGINEERED FLUID INC 04/15/18 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 191 18WC 37890 CARTER, LINDA ST MARY'S HOSPITAL 05/22/18 BEATTY & MOTIL EVANS & DIXON, LLC 192 18WC 37993 GILLIS, KEVIN MONROE BARTELS INC 09/20/17 CRAIG & CRAIG CHILTON YAMBERT PORTER LLP 193 18WC 38310 WEHKING, BEVERLY SOI MURRAY DEVELOPMENTAL @ 11/26/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 194 19WC 00492 KNEEZLE, CHRISTOPHER WALGREENS DISTRIBUTION CE 09/03/18 JEROME LINDSAY SALMI LL EVANS & DIXON, LLC 195 19WC 00555 TOOMBS, BRODIE WALGREENS DIST CENTER 10/12/18 BEMENT STUBBLEFIELD EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 196 19WC 00570 OWEN, AMANDA CHAMPION LABORATORIES 12/11/18 HANAGAN & MCGOVERN PC HENNESSY & ROACH, PC 197 19WC 01112 KEEF, WILLIAM CONTINENTAL TIRE THE 07/01/16 JEROME LINDSAY SALMI LL KEEFE & DEPAULI 198 19WC 01152 MARTIN, NORA ED LEWIS TRUCKING COMPANY 11/27/18 WINTERS BREWSTER CROSBY SC JAMES M KELLY 199 19WC 01462 CASTLEBERRY, RHONDA CENTRAL ILLINOIS CARE SER 08/20/16 MUELHAUSEN & STEFANI 200 19WC 01662 CROSBY, JUYAM DHS-MURRAY CENTER @ 10/02/18 CARAWAY FISHER ASSISTANT ATTORNEY GENERAL 201 19WC 02031 ELLIS, JON NATHAN HAAG & HAAG LANDSCAPE & @ W 03/14/18 TAMMI N. JACKSON WINTERS BREWSTER CROSBY SCHA 202 19WC 02173 GARCIA, JOAQUIN RADIAC ABRASIVES 09/13/18 WILLIAMS CAPONI & ASSOC HENNESSY & ROACH, PC 203 19WC 02275 MC DONALD, DWAINE ARBY'S 07/24/18 HANAGAN & MCGOVERN PC 204 19WC 02959 KAMIS, JOYCE C KDDI, INC, D/B/A DRYDEN-K 11/29/18 HASSAKIS & HASSAKIS KEEFE & DEPAULI 205 19WC 03111 STARWALT, ROBERT T PRAIRIE FARMS DAIRY INC 12/28/18 HASSAKIS & HASSAKIS PC KNAPP, OHL & GREEN 206 19WC 03201 LORTON, MELISSA MURRAY DEVELOPMENTAL CENT @ 11/11/17 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL 207 19WC 03387 HABING, JEFFREY SUMMIT TOWNSHIP 10/10/17 TAYLOR LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 208 19WC 03413 BROWN, LISA CONTINENTAL TIRE 06/22/18 KEEFE & GRIFFITHS PC KEEFE & DEPAULI 209 19WC 03514 DITTERLINE, KIMBERLY FOR MADISONVILLE MINING, LLC # 01/05/19 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 210 19WC 03543 MCDONALD, DWAINE ARBY'S 07/24/18 HANAGAN & MCGOVERN PC LEAHY EISENBERG & FRAENKEL 211 19WC 04050 RICHARDSON, CHRIS CONTINENTAL TIRE MT VERNO 07/26/18 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 212 19WC 04131 MCNEESE, TODD R WALMART STORES, INC 08/10/17 MEYER, MICHAEL J QUINTAIROS PRIETO WOOD & BOY 213 19WC 04313 HARGIS, KRISTY WARREN G MURRAY DEVELOPME @ 08/06/18 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 214 19WC 04461 PRUITT, CHRISTINA BURGER KING 01/09/19 WOODRUFF JOHNSON ROUSE & CARY 215 19WC 05118 MILLER, DAVID W MT VERNON WINNELSON CO 01/18/18 FOREMAN & KESSLER, LTD STEPHEN H LARSON LAW OFFICE 216 19WC 05238 MC GOVERN, KEVIN W IDOT, STATE OF ILLINOIS @ 09/17/18 HASSAKIS & HASSAKIS ASSISTANT ATTORNEY GENERAL 217 19WC 05258 LOWERY, SHARON A WALGREENS FAMILY OF COMPA 09/25/17 HASSAKIS & HASSAKIS PC 218 19WC 05427 FREEMAN, RUSSEL LOWE'S HOME CENTERS, INC 06/15/17 REED & BRUHN, PC 219 19WC 05445 BOSOE, TAYLOR MASTER HALCO 04/05/18 WALTON TELKEN LLC STEPHEN H LARSON LAW OFFICE 220 19WC 05569 HURST, BENNY QUAD/GRAPHICS 06/19/18 KATZ FRIEDMAN EAGLE ET AL KNELL O'CONNOR DANIELWICZ 221 19WC 05675 TATE, JODI L USI INSURANCE SERVICES, L 03/20/17 ASHER & SMITH LUCY T. UNGER 222 19WC 06079 MARLER, JACK CONTINENTAL MILLS 07/17/18 HELLER HOLMES & ASSOC ROUSE & CARY 223 19WC 06384 HAYES, BETTY HAMILTON MEMORIAL HOSPITA 05/27/16 HANAGAN & MCGOVERN PC GAROFALO SCHREIBER STORM GRA 224 19WC 06561 FORD, SUSAN E CRACKER BARREL 08/09/18 MOLLY WEHKING 225 19WC 06597 RUSSELL, JESSICA UNIFIED STAFFING 11/25/18 BEMENT STUBBLEFIELD 226 19WC 06686 PETRO, MARK CONTINENTAL TIRE THE AMER 02/15/16 KEEFE & DEPAULI 227 19WC 06720 NEWTON, JEFFERY CONTINENTAL TIRE THE 11/28/17 KEEFE & DEPAULI 228 19WC 06812 SAWYER, ALAN VANDALIA CORRECTIONAL CEN @ 03/22/18 BECKER SCHROADER & CHAPMAN CORI STEWART 229 19WC 06844 RODRIGUEZ, RENEE DIRECT SERVICE PERSONNEL 08/15/17 BROWN & BROWN 230 19WC 06849 POOL, LARRY CONTINENTAL TIRE NORTH AM 06/13/18 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 231 19WC 06887 GRAY, TYLER CONTINENTAL TIRE THE AMER 10/11/17 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 232 19WC 07154 FULK, SHARON A ST ANTHONY'S MEMORIAL 01/12/19 HASSAKIS & HASSAKIS MC ANDREWS & NORGLE LLC 233 19WC 07276 BASHAM, NANETTE WALGREENS DISTRIBUTION CE 01/18/19 WINTERS BREWSTER CROSBY SC 234 19WC 07388 LEDBETTER, JAMES ST OF IL/BIG MUDDY RIVER @ 01/11/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 235 19WC 07508 WALTRIP, KATHY GRUPO ANTOLIN NASHVILLE 02/08/19 LEVENHAGEN LAW FIRM PC 236 19WC 07615 WEBSTER, TYWON KASKASKIA SPECIAL ED DIST 09/11/18 CARAWAY FISHER WIEDNER & MCAULIFFE LTD 237 19WC 07682 EDWARDS, MALINDA S RURAL KING DISTRIBUTION A 01/04/19 JAMES RUPPERT FEIRICH MAGER GREEN & RYAN 238 19WC 07981 MCELROY, SCOTT L JOHN BOOS & COMPANY INC 02/26/18 NO ATTORNEY 239 19WC 08088 HOFFMAN, LYNSIE FLORA COMMUNITY UNIT SCHO 01/19/18 TAYLOR LAW OFFICES BRYCE DOWNEY & LENKOV LLC 240 19WC 08120 BUTTRUM, ROBERT VILLAGE OF BLUFORD 11/08/18 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 241 19WC 08467 POWELL, STEVEN D PITCHOCO INC 09/11/18 PARK LAW OFFICE 242 19WC 08855 BRANSON, DON R PRIORITY STAFFING 06/06/18 WOMICK LAW FIRM CHTD 243 19WC 08945 SCHLEPER, WANDA V ILLINOIS HEARTLAND LIBRAR @ 03/08/19 HARRIS & JONES 244 19WC 09108 BRANDOL, VICKIE L CENTRAL CITY SCHOOL DIST 02/07/18 GLASS & KOREIN KEEFE & DEPAULI 245 19WC 09243 KAY, KEVIN COAL FIELD CONSTRUCTION C 07/19/17 LITCHFIELD CAVO 246 19WC 09487 COOK IV, JOHN W CONTINENTAL TIRE THE AMER 04/18/18 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 247 19WC 09618 VANCIL, SEAN COMPLIANCE STAFFING AGENC 08/08/18 WINTERS BREWSTER CROSBY SC 248 19WC 10023 LAIRD, DARRIN R TRUCK CENTERS, INC. 02/23/17 STEPHEN H LARSON LAW OFFICE 249 19WC 10040 KNIGHT, TIMOTHY RAY BAPTIST CHILDREN'S HOME 11/07/18 HOLTKAMP LIESE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 250 19WC 10057 DIEL, COLLIN WAL MART DISTRIBUTION CEN 12/01/18 HANAGAN & MCGOVERN PC 251 19WC 10278 POND, ALEXANDER XPO LOGISTINCS 04/02/19 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 252 19WC 10559 SHANE, KELLY FIREFLY GRILL 03/03/19 RIDGE & DOWNES GANAN & SHAPIRO 253 19WC 11067 HARGETT, CHRISTOPHER CPC LOGISTICS 11/25/18 JAMES RUPPERT LEAHY WRIGHT & ASSOC 254 19WC 11752 KLEIN, STEPHEN SHERWIN WILLIAMS 10/15/18 JOHNSTON LAW OFFICE 255 19WC 11995 JONES, DONNA K WALGREENS DISTRIBUTION CE 03/14/18 EVANS & DIXON, LLC 256 19WC 12075 GONZALEZ, REBECCA HODGSON MILLS 12/18/17 KOPKA, PINKUS DOLIN, PC 257 19WC 12936 HOFFMAN, JERAMY C HODGSON MILLS, INC 02/15/18 KOPKA, PINKUS DOLIN, PC 258 19WC 12996 TANNAHILL, MARCIA SSM HEALTH ST. MARY'S HOS 11/08/18 EVANS & DIXON, LLC 259 19WC 13125 LUSTIG, THOMAS JOHN BOOS & CO 03/13/19 GOLDFINE & BOWLES STEPHEN H LARSON LAW OFFICE 260 19WC 13146 HAMBLEN, LISA FEDEX FREIGHT INC 11/30/18 SMITH LAW LTD QUINTAIROS PRIETO WOOD & BOY 261 19WC 13221 VESSELS, JAMES SOUTHERN REFRIGERATED TRA 05/02/19 DWORKIN AND MACIARIELLO LEMP & MURPHY 262 19WC 13261 HALL, BILLY MID-EAST TRUCK & TRACTOR 07/16/18 RUSIN & MACIOROWSKI LTD 263 19WC 13428 TOLCH, AMY RURAL KING 09/18/18 TAYLOR LAW OFFICES RURAL KING 264 19WC 13796 HIRES, ANGELA L HSHS ST ANTHONY'S 09/25/18 TAYLOR LAW OFFICES 265 19WC 14824 HERNANDEZ, MAYA BRYAN MANOR 02/16/18 HANAGAN & MCGOVERN PC 266 19WC 15116 MOSCHENROSE, CHRISTOPHER FEDEX SUPPLY CHAIN INC 11/12/18 MOSS & MOSS PC GAROFALO SCHREIBER STORM GRA 267 19WC 15197 CARTER, SAMANTHA THE SHERWIN WILLIAMS 11/09/17 SMITH LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 268 19WC 15678 POLLARD, JACOB L VIBRACOUSTIC USA INC 04/25/19 HASSAKIS & HASSAKIS PC ROSARIO CIBELLA 269 19WC 15981 KENLEY, TASHAUNA S WALGREENS DIST CENTER 02/11/19 BONIFIELD & ROSENSTENGEL P EVANS & DIXON, LLC 270 19WC 16045 BLADES, TIMOTHY CONTINENTAL TIRE 12/17/18 BEMENT STUBBLEFIELD KEEFE & DEPAULI 271 19WC 16065 MAYDEN, SHERRY HALTER TREE SERVICE/ 12/04/17 RITTENBERG BUFFEN 272 19WC 16459 WILLIAMS, CATHY NORTH AMERICAN LIGHTING 09/18/18 HANAGAN & MCGOVERN PC 273 19WC 16668 WILSON, BRANDON COMPLIANCE STAFFING AGENC 05/09/19 RICH RICH COOKSEY & CHAPPE RUSIN & MACIOROWSKI LTD 274 19WC 16771 MULVANEY, CASEY REPUBLIC SERVICES 03/25/19 JEROME LINDSAY SALMI LL LITCHFIELD CAVO 275 19WC 17070 CARTER, RICHARD MT VERNON MOLD WORKS, INC 05/07/19 LEVENHAGEN LAW FIRM PC 276 19WC 17205 MOORE, LISA ACT RESOURCES, INC 02/20/18 CULLEY FEIST KUPPART & JOR ROUSE & CARY 277 19WC 17254 BETTINGER, LORI GAIL CONTINENTAL TIRE 09/09/18 HOWERTON, DORRIS & STONE KEEFE & DEPAULI 278 19WC 17418 BURGOS, FABIAN COAL FIELD CONSTRUCTION 04/25/19 WINTERS BREWSTER CROSBY SC 279 19WC 18080 REEDER, JAMES A ILLINOIS STATE POLICE 03/22/19 CULLEY FEIST KUPPART & JOR CORI STEWART 280 19WC 18790 HICKERSON, KYLE (ESTATE O EN ENGINEERING INC # 05/16/19 NELSON & NELSON HOLECEK & ASSOCIATES 281 19WC 18841 BELL, WESLEY R JOSH ADDIS TRUCKING INC. 03/12/19 KATZ FRIEDMAN EAGLE ET AL 282 19WC 18960 MCGUIRE, MARY THE S2 HR GROUP, LLC D/B/ 09/11/18 TAPELLA & EBERSPACHER LLC BRADY CONNOLLY & MASUDA PC 283 19WC 19197 GRAHAM, COREY A JOHN BOOS COMPANY 02/13/19 JAMES RUPPERT STEPHEN H LARSON LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 284 19WC 20123 CARTER, DONNA HOYLETON YOUTH & FAMILY S 06/18/19 RICH RICH COOKSEY & CHAPPE LITCHFIELD CAVO 285 19WC 20171 MEYER, PHAEDRA NORTH AMERICAN LIGHTING I 08/30/17 RICH RICH COOKSEY & CHAPPE STEPHEN CARTER 19WC020172 -C 286 19WC 20472 HRAGA, JANICE M WALMART, INC 06/17/19 GOSNELL BORDEN ENLOE & SLO GANAN & SHAPIRO 287 19WC 21128 MIDDENDORFF, DAVID GRUPO ANTOLIN-NASHVILLE 09/04/18 NELSON & NELSON WIEDNER & MCAULIFFE LTD 288 19WC 21180 MANN, BRAD CONTINENTAL TIRE 05/06/19 JEROME LINDSAY SALMI LL KEEFE & DEPAULI 289 19WC 21287 LANDES, JEFF NORTH AMERICAN LIGHTING, 02/25/19 MICHAEL MILES STEPHEN CARTER 290 19WC 21737 TOMLIN, KENNETH R CENTRAL TRANSPORT LLC 07/27/16 WIEDNER & MCAULIFFE LTD HINSHAW & CULBERTSON 291 19WC 21900 JAWORSKI, STANLEY CONTINENTAL TIRE 01/30/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 292 19WC 21993 WILSON, KAYLA WIS INTERNATIONAL 05/29/19 WILLIAMS CAPONI & ASSOC 293 19WC 22542 KRAHN, DANIEL RADIAC ABRASIVES INC 03/26/19 HANAGAN & MCGOVERN PC 294 19WC 23048 BARNES, WILLIAM IL DEPT OF TRANSPORTATION @ 07/01/19 WINTERS BREWSTER CROSBY SC 295 19WC 23598 BOLES, REBECCA ELASTEC/AMERICAN MARINE 06/28/19 HOFFEE LAW FIRM RUSIN & MACIOROWSKI LTD 296 19WC 23886 DUNCAN, ERIC CONTINENTAL TIRE 07/13/19 BEMENT STUBBLEFIELD KEEFE & DEPAULI 297 19WC 24636 GASTON, JACKIE STATE OF ILLINOIS @ 06/19/19 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 298 19WC 24656 LINGO, ERNEST MANPOWER 06/20/19 RICH RICH COOKSEY & CHAPPE HENNESSY & ROACH, PC 299 19WC 24756 WILDERMAN, CHAD NORTH AMERICAN LIGHTING 08/14/17 RICH RICH COOKSEY & CHAPPE STEPHEN CARTER 300 19WC 24769 STUDER, JAMES ST OF IL- BIG MUDDY RIVER @ 07/26/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 301 19WC 24904 DOEHRING, DYLAN PETCO PETROLEUM CORP 05/14/19 MCCARTHY ROWDEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 302 19WC 25407 CAPE, DAVID W FERRELLGAS, INC 07/25/19 FOREMAN & KESSLER, LTD 303 19WC 25451 BUHKLER, GARY FEDEX 04/01/19 TAYLOR LAW OFFICES SPIEGEL & CAHILL, PC 304 19WC 25477 TORBECK, MARION K HARMON FOODS, INC 05/22/19 HASSAKIS & HASSAKIS EVANS & DIXON 305 19WC 25585 SCHWAPPACH, FRED MASCHOFF TRANSPORT 03/20/18 HUSTAVA, JOHN H CRAIG A HANSEN 306 19WC 25867 SCHULTZ, JUSTIN JOHN BOOS & COMPANY 06/13/18 KANOSKI BRESNEY 307 19WC 25894 BARTH, BECCA D SSM HEALTH ST MARY'S 06/17/19 JAMES RUPPERT EVANS & DIXON, LLC 308 19WC 26051 COLVIN, JESSE BIG MUDDY RIVER C C @ 08/08/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 309 19WC 26145 WHITE, DANIEL TA OPERATING, LLC 08/18/19 BEMENT STUBBLEFIELD HENNESSY & ROACH 310 19WC 26430 ESTES, JAMES PAUL & DENNIS ALLEN AIRPO 11/30/18 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 311 19WC 26637 KUHLMAN, TIMOTHY RYDER SYSTEM 04/27/19 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 312 19WC 27148 GREEN, NATHANIEL HAMILTON COUNTY COAL, LLC 08/19/19 WINTERS BREWSTER CROSBY SC FEIRICH MAGER GREEN & RYAN 313 19WC 27207 RUSSELL, ERIC CONTINENTAL TIRE THE AMER 04/23/19 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 314 19WC 28105 EARL, STEVEN D GEO. N. MITCHELL DRILLING 06/01/19 HASSAKIS & HASSAKIS PC CRAIG A HANSEN 315 19WC 28156 GRAMES, HOLLY M JOSH ADDIS TRUCKING, INC 06/13/19 KEEFE & DEPAULI HOLTKAMP LIESE 316 19WC 28196 WILLIAMS, KATHLEEN CONTINENTAL TIRE THE AMER 03/17/19 LAWLER & LAWLER KEEFE & DEPAULI 317 19WC 28617 PRICE, TRAVIS W CONTINENTAL TIRE THE AMER 08/10/18 HASSAKIS & HASSAKIS PC 318 19WC 29105 CARRUTH, LAMEATRIA J WALGREENS FAMILY OF COMPA 05/30/17 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 319 19WC 29309 WILLIAMS, KATHLEEN CONTINENTAL TIRE THE AMER 03/13/19 LAWLER & LAWLER KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 19WC 29702 SWIBEL, AMANDA M SMITHFIELD FOODS INC 09/11/19 JAMES RUPPERT WIEDNER & MCAULIFFE LTD 321 19WC 29709 SCOTT, GREGORY BLUE BEACON 02/20/19 TAYLOR LAW OFFICES 322 19WC 29728 GLUCK, DERRICK STATE OF IL/MURRAY CENTER @ 09/07/19 RICH RICH COOKSEY & CHAPPE ASSISTANT ATTORNEY GENERAL 323 19WC 29757 SHIPLEY, WILLIAM RADIAC ABRASIVES 12/18/18 HAMMOND AND SHINNERS PC 324 19WC 29774 GALYEN, JERRY PETRO STOPPING CENTER 10/04/19 DWORKIN AND MACIARIELLO 325 19WC 29858 WILLIAMS, ANGELO M US TRANSPORT 09/19/19 KANOSKI BRESNEY 326 19WC 30414 BOBBETT, ERIC SHERWIN-WILLIAMS 09/27/19 KEEFE & DEPAULI RUSIN & MACIOROWSKI LTD 327 19WC 31179 BAKER, PAMELA J HAMILTON COUNTY COAL, LLC 01/20/17 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 328 19WC 31630 HILLE, LISA THREE-Z PRINTING CO. 05/01/19 KATZ FRIEDMAN EISENSTEIN 329 19WC 31698 SMITH, DONALD HAMILTON COUNTY COAL, LLC 12/16/16 WINTERS BREWSTER CROSBY SC FEIRICH MAGER GREEN & RYAN 330 19WC 31716 BARTLETT, HEATHER L CONTINENTAL TIRE NORTH 07/28/19 NELSON & NELSON KEEFE & DEPAULI 331 19WC 31808 BUTTS, JILL A ALDI STORE #71 03/23/18 KEEFE & DEPAULI 332 19WC 31811 RHEINHARDT, KIRK M MARTIN ENGINEERING 04/09/19 JAMES RUPPERT RUSIN & MACIOROWSKI LTD 333 19WC 32045 YOUNG, KEVIN F HOCKING OIL COMPANY INC W 08/05/19 JAMES RUPPERT TAYLOR LAW OFFICES 334 19WC 32450 MOFFITT, MARK AT&T 01/25/19 GWC INJURY LAWYERS LLC HENNESSY & ROACH, PC 335 19WC 32977 STOCK, TONYA A SSM HEALTH ST. MARY'S 10/28/18 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 336 19WC 33011 KINNEAR, CODY GEO N MITCHELL DRILLING C 10/25/19 HOFFEE LAW FIRM KEEFE & DEPAULI 337 19WC 33143 STEIN, JOSHUA HEARTLAND COCA-COLA 10/17/19 HOWERTON, DORRIS & STONE EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 19WC 33441 BANDY, SHANNON CONTINENTAL TIRE 08/10/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 339 19WC 33583 BISSEY, SUSANNE M CILA CORP 10/05/19 SHORT AND DAUGHERTY HENNESSY & ROACH, PC 340 19WC 33799 KNIGHT, DANNY A HAMILTON COUNTY COAL LLC 04/01/19 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 341 19WC 34200 DUHON, ASHLEY N CONTINENTAL TIRE THE AMER 10/05/19 JAMES RUPPERT KEEFE & DEPAULI 342 19WC 34257 PEPER, DALE NASCOTE INDUSTRIES, INC 10/26/19 NELSON & NELSON KEEFE & DEPAULI 343 19WC 34508 HALE, MINDY PEPSI MIDAMERICA 08/19/19 KATZ FRIEDMAN EISENSTEIN 344 19WC 34853 REYNOLDS, APRIL PROGRESSIVE HOUSING, INC 08/06/19 HANAGAN & MCGOVERN PC 345 19WC 34965 ESTES, JAMES PAUL & DENNIS ALLEN 10/01/18 DWORKIN AND MACIARIELLO 346 19WC 35069 ILBERY, CHEYENNE E NAPA AUTO PARTS 09/05/19 JAMES RUPPERT 347 19WC 35133 HERD, JOHN P AUTO ZONE 09/10/18 MEYER, MICHAEL J 348 19WC 35440 PARKS, CARROLL D SIGNATURE LABEL 08/19/19 SHORT AND DAUGHERTY 349 19WC 35483 FARMER, TIMOTHY CONTINENTAL TIRE THE AMER 12/20/18 KEEFE & DEPAULI 350 19WC 35539 ALTHOFF, MOLLY A STATE OF IL-MURRAY CENTER @ 07/21/19 BONIFIELD & ROSENSTENGEL P ASSISTANT ATTORNEY GENERAL 351 19WC 35790 BOYD, LARRY ESKER JB & SONS 06/28/19 DWORKIN AND MACIARIELLO 352 19WC 35981 BROWN, KRISTINA DRURY HOTELS 09/21/19 DWORKIN AND MACIARIELLO HARRIS DOWELL FISHER & HARRI 353 19WC 36213 BOYCE, NICOLE LAKELAND REHABILITATION 10/10/18 DAVID W MARTAY 354 19WC 36324 MEYLOR, MARK COMPLIANCE STAFFING AGENC 02/26/18 RUSIN & MACIOROWSKI LTD 355 19WC 36423 PRICE, JARED MT CARMEL POLICE DEPARTME 09/20/19 WOODRUFF JOHNSON SCHREMPF KELLY & NAPP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 19WC 37013 NEILANDS, BRENDA S NORTH AMERICAN LIGHTING, 03/05/18 CRAIN MILLER & WERNSMAN LT STEPHEN CARTER 357 19WC 37091 ROHRSCHEIB, MATTHEW HOLZHAUER AUTO & 03/27/19 PRINCE LAW FIRM 358 19WC 37119 BARTLEY, MICHAEL AMERICANA BUILDING PRODUC 02/28/18 PFAFF GARNER & TERLIZZI GANAN & SHAPIRO 359 19WC 37393 GRAVES, DAVID J LES WILSON, INC 11/21/19 HASSAKIS & HASSAKIS PC 360 19WC 37495 HICKS, W ED WABASH COUNTY, 06/03/17 GOSNELL BORDEN ENLOE & SLO INMAN & FITZGIBBONS 361 19WC 37526 REEDER, DANIEL L GENUINE PARTS COMPANY #10 11/15/19 MOLLY WEHKING KEEFE CAMPBELL BIERY & ASSOC 362 19WC 37587 MARTIN, DYLAN M CONTINENTAL TIRE, 05/24/19 HASSAKIS & HASSAKIS PC 363 20WC 00327 JOHNSON, DILLON C WALGREENS FAMILY OF COMPA 09/27/19 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 364 20WC 00339 BELLINGER, JONATHAN M JABAT, INC 03/25/19 JAMES RUPPERT 365 20WC 00710 ARNOLD, DAVID WALMART, INC 02/04/19 WIEDNER & MCAULIFFE LTD 366 20WC 00779 GEIER, DANIEL CITY OF OLNEY 07/03/18 MUELHAUSEN & STEFANI 367 20WC 01360 MILLER, JENNIFER VANSEAL 10/30/19 STROM & ASSOC STEPHEN H LARSON LAW OFFICE 368 20WC 01743 BROCK, SCOTT L DEFENDER SERVICES INC 01/06/20 HORWITZ HORWITZ & ASSOC GOLDBERG SEGALLA LLC 369 20WC 01993 MENDENALL, STACI ELKS LODGE OF MT VERNON 01/04/19 BECKER SCHROADER & CHAPMAN 370 20WC 02067 RUSH, RAPHAEL CENTRALIA SCHOOL DISTRICT 02/07/18 BROWN & BROWN 371 20WC 02218 MORBER, JOSEPH CABLE ONE, INC 07/30/19 SAM C MITCHELL & ASSOCIATE ROUSE & CARY 372 20WC 02329 ANDREWS, SAMUEL R CONTINENTAL TIRE THE AMER 08/19/19 KEEFE & DEPAULI 373 20WC 02402 INBODEN, BRAIDEN CONTINENTAL TIRE THE AMER 09/21/19 ANKIN LAW OFFICE KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 374 20WC 02942 BARNES, GEORGE MS COMPANIES 12/18/18 DWORKIN AND MACIARIELLO 375 20WC 03150 NICHOLS, NICK JOHN BOOS & CO. 01/11/20 HELLER HOLMES & ASSOC 376 20WC 03244 WAYER, HEATHER R THE REPUBLIC OF TEA 10/01/19 DEVIN M JONES 377 20WC 03687 ARNOLD, CHRISTIAN TEMPCO PRODUCTS CO 10/21/19 SMITH LAW LTD 378 20WC 04222 EDWARDS, CHRISTOPHER EDWARDS STEEL INC. 11/15/19 THE BEARD LAW FIRM 379 20WC 04589 LEWIS SR, JAMES A CONTINENTAL TIRE THE AMER 08/29/19 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 380 20WC 04900 POKOJSKI, JOSHUA MURRAY DEVELOPMENTAL CENT @ 05/19/19 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL 381 20WC 04976 CLARK, DESTINEY M CONTINENTAL TIRE THE AMER 12/11/18 JAMES RUPPERT 382 20WC 05035 ROSBOROUGH, JOSEPH IDOC @ 08/20/19 LAW OFFICE OF JEROME SALMI ASSISTANT ATTORNEY GENERAL 383 20WC 05256 HUGHEY, MICHAEL ROYAL WHOLESALE 09/10/19 BEMENT STUBBLEFIELD 384 20WC 05330 JONES, BRAD CITY OF MC LEANSBORO 08/24/18 LEVENHAGEN LAW FIRM PC INMAN & FITZGIBBONS 385 20WC 05446 BRINK, MARC A NATIONAL RAILWAY EQUIPMEN 12/10/19 LAW OFFICE OF JEROME SALMI 386 20WC 05450 SMITH, WILLIAM P CONTINENTAL TIRE AMERICAS 04/22/19 KEEFE & DEPAULI 387 20WC 05638 HUGE, GINA WALGREEN'S DISTRIBUTION C 12/18/19 BROWN & BROWN 388 20WC 05669 PRICE, PAUL CONTINENTAL TIRE THE AMER 02/08/19 KEEFE & DEPAULI 389 20WC 05672 WARD, JEREMY CONTINENTAL TIRE THE AMER 01/17/19 KEEFE & DEPAULI 390 20WC 05743 MASON, DOUGLAS SHERWIN WILLIAMS 09/19/18 TAYLOR LAW OFFICES 391 20WC 05802 GREIFZU, JAMES CHAMPION LABORATORIES 06/27/19 HANAGAN & MCGOVERN PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 392 20WC 05863 CATES, JULIE A NORTH AMERICAN LIGHTING I 10/02/17 HASSAKIS & HASSAKIS PC STEPHEN CARTER 393 20WC 05930 HARRISON, PATRICK VIBRACOUSTIC 02/10/20 RON D COFFEL & ASSOC 394 20WC 06057 WHITELOW, BRIDGET ST OF IL DEPT OF HUMAN SE @ 10/04/19 REED & BRUHN, PC CORI STEWART 395 20WC 06161 KRUEGER, FRED CONAGRA FOODS 12/12/19 TAYLOR LAW OFFICES PC 396 20WC 06299 MCVEY, BO CONTINENTAL TIRE THE AMER 08/17/19 KEEFE & DEPAULI 397 20WC 06715 MASON, MIKAYLA WALGREENS DISTRIBUTION CE 01/29/20 DWORKIN AND MACIARIELLO 398 20WC 06885 CLARKE, GREGORY CONTINENTAL TIRE 09/30/19 RICH RICH COOKSEY & CHAPPE KEEFE & DEPAULI 399 20WC 07200 BEQUETTE, BENJAMIN R GRAPHIC PACKAGING INTNL I 01/22/20 ONDERLAW LLC DOHERTY & PROGAR LLC 400 20WC 07500 AITKEN, JAMES A&R MECHANICAL CONTRACTOR 01/17/20 DAVID W MARTAY RIPES NELSON BAGGOT KALOBRAT 401 20WC 07583 HUTCHCRAFT, JOSHUA A STATE OF ILLINOIS-LAWRENC @ 07/07/19 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 402 20WC 07601 BERNER, JAMES VANSEAL 07/22/19 DRUMMOND LAW OFFICE 403 20WC 07631 BROWN, EARL AUTO ZONE 02/14/20 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 404 20WC 07837 KING, SHANNON M WALGREENS FAMILY OF COMPA 01/11/19 HASSAKIS & HASSAKIS PC 405 20WC 07863 RANDLE, JAMES III COMMERCIAL TRANSPORT, INC 02/05/20 WOLFGRAM & ASSOCIATES 406 20WC 07977 BRESSIER, KENNETH COMPLIANCE STAFFING AGENC 05/28/19 LAW OFFICE OF JEROME SALMI 407 20WC 07993 TOEDTE, PAUL GRUPO ANTOLIN 11/04/19 RICH RICH COOKSEY & CHAPPE 408 20WC 08058 RICHARDSON, CHRIS CONTINENTAL TIRE MT VERNO 02/07/20 DWORKIN AND MACIARIELLO 409 20WC 08106 MITCHELL, NATHAN CONTINENTAL TIRE THE AMER 08/01/19 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 410 20WC 08119 WALKER, MARYSOL CHAMPION LABORATORIES 09/12/19 HANAGAN & MCGOVERN PC 411 20WC 08178 KLEPZIG, DOUGLAS C WAUPACA FOUNDRY, INC 06/17/19 JAMES RUPPERT 412 20WC 08216 SMITH, PATRICIA WALGREEN'S 04/30/19 RICH RICH COOKSEY & CHAPPE EVANS & DIXON, LLC 413 20WC 08247 JOHNSON, CODY CONTINENTAL TIRE THE AMER 10/14/18 KEEFE & DEPAULI 414 20WC 08375 STUCKEY, MARY R MENARDS INC 10/14/19 HELLER HOLMES & ASSOC 415 20WC 08440 LUMPKINS, FRANKLIN L WALGREENS FAMILY OF COMPA 02/03/20 HASSAKIS & HASSAKIS PC 416 20WC 08467 MASTERSON, JAMES QUAST CONSTRUCTION 02/14/20 DWORKIN AND MACIARIELLO 417 20WC 08522 COLLIER, DERIK NORTH AMERICAN LIGHTING, 05/17/19 KATZ FRIEDMAN EISENSTEIN STEPHEN CARTER 418 20WC 08750 HART, RICKEY WALGREEN CO * 09/23/19 JELLIFFE DOERGE PHELPS 419 20WC 09267 POTTER, GARY H RADIAC ABRASIVES * 04/29/19 DANIELS WILZBACH PC 420 20WC 09391 PATTERSON, WESLEY CONTINENTAL TIRE * 08/08/19 BROWN & BROWN KEEFE & DEPAULI 421 20WC 09464 CRISEL, MICHAEL ET WORKS RETAIL, LLC 10/11/19 WINTERS BREWSTER CROSBY SC 422 20WC 09496 NETTLETON, DUSTIN GARRISON-JONES & SONS * 07/30/19 LIVINGSTONE MUELLER ET AL 423 20WC 09807 PARKER, CHARLES SAIA LTL FREIGHT * 04/30/19 TAYLOR LAW OFFICES HENNESSY & ROACH, PC 424 20WC 09834 LOY, JEFF TRI POWER TOWING * 03/11/20 WOODRUFF JOHNSON BRYCE DOWNEY & LENKOV LLC 425 20WC 10050 BRADFIELD, JUSTIN T S & L INDUSTRIES, LLC D/B * 10/24/19 MOLLY WEHKING LITCHFIELD CAVO 426 20WC 10191 LANGE, STEPHEN RHINE ENTERPRISES, LLC * 10/22/19 HOLTKAMP LIESE 427 20WC 10640 OWENS, MARLA WALGREENS * 07/29/19 WOMICK LAW FIRM CHTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 428 20WC 10909 PATTERSON, DALTON DETER'S DELIVERY SERVICE * 02/20/19 MCCARTHY ROWDEN 429 20WC 10983 EUBANKS, ALLEN CONTINENTAL GENERAL TIRE * 11/04/19 KIRKPARTICK LAW OFFICES 430 20WC 11300 TAYLOR, BRIAN RED HILL CUSD 10 * 09/26/19 RICH RICH COOKSEY & CHAPPE COZZI & ZAPF LAW OFFICE 431 20WC 11309 HOUSEWORTH, TONI C WALGREENS DISTRIBUTION CE * 06/04/19 JAMES RUPPERT 432 20WC 11439 WATSON, ESSA CIRCLE K * 12/20/19 DANIELS WILZBACH PC 433 20WC 11669 JOHNSON, RACHEL DUNHAM'S ATHLEISURE * 07/28/19 BEMENT STUBBLEFIELD 434 20WC 11741 FOWLER, GEORGE BALDWIN MANUFACTURING, IN * 02/17/20 GALANTI LAW OFFICES NOBLE & ASSOC 435 20WC 11763 SKURAT, JODIE A WALGREENS DISTRIBUTION CE * 04/06/20 JAMES RUPPERT 436 20WC 12025 HEISE, MATT CONTINENTAL TIRE THE AMER * 08/20/19 KEEFE & DEPAULI 437 20WC 12147 GILES, DOUGLAS D HOELSCHER CONCRETE * 08/22/19 HOLTKAMP LIESE 438 20WC 12154 SHERMAN, BRADLEY SOUTHER TRIANGLE OIL CO * 05/10/19 CRAIG & CRAIG 439 20WC 12342 ROSE, SHANE M CONTINENTAL TIRE AMERICAS * 07/29/19 KEEFE & DEPAULI 440 20WC 12821 VANBLARICUM, DARREL EDWARDS COUNTY CUSD #1 * 10/03/18 RIPES NELSON BAGGOT KALOBRAT 441 20WC 13043 LEWIS, TIM MT. VERNON TOWNSHIP HSD # * 12/10/19 HANAGAN & MCGOVERN PC 442 20WC 13056 BULLARD, JUSTIN CPC LOGISTICS * 04/09/20 HANAGAN & MCGOVERN PC 443 20WC 13084 LIND, AMBER TEAM COMPANY INC * 07/11/18 KLEZMER MAUDLIN PC 444 20WC 13092 BECK, JESSE MURRAY CTR @ * 03/20/20 RICH RICH COOKSEY & CHAPPE 445 20WC 13153 LUCAS, KIMBERLY CONTINENTAL TIRE * 07/19/19 RICH RICH COOKSEY & CHAPPE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 446 20WC 13329 FORBES, ROBERT PARKER AUTOMOTIVE * 02/19/19 HANAGAN & MCGOVERN PC 447 20WC 13468 BOONE, LES ALAN CONTINENTAL TIRE * 11/20/19 KEEFE & DEPAULI 448 20WC 13475 BELL, TYLER GEO N MITCHELL DRILLING C * 12/23/19 KEEFE & DEPAULI 449 20WC 13486 BUTCHER, NATHAN CONTINENTAL TIRE THE * 10/02/19 KEEFE & DEPAULI 450 20WC 13494 FINCKBONE, LEONARD CONTINENTAL TIRE * 03/15/19 KEEFE & DEPAULI 451 20WC 13519 KANE, LINDA M DEFENDERS SERVICES, INC * 02/20/20 JAMES RUPPERT EDWARD J. KOZEL 452 20WC 13572 WEASE, MARK ASL SOLUTIONS, INC * 12/05/19 KEEFE & DEPAULI 453 20WC 13591 COPP, JEANA RENEE FEDEX FREIGHT * 05/07/20 FREDERICK & HAGLE 454 20WC 13622 CARTER, RYAN T BIG MUDDY RIVER CORRECTIO @ * 05/20/20 DEVIN M JONES 455 20WC 13902 WILLIAMS, THOMAS L ADM/ARCHER DANIELS * 05/01/20 PATRICOSKI, MARK G 456 20WC 14178 SHERWOOD, STEVE MISSION CARE OF LLC * 04/13/20 LAW OFFICE OF JEROME SALMI 457 20WC 14327 COOK, MORGAN I HEARTLAND HEALTH SYSTEMS * 12/29/19 JAMES RUPPERT 458 20WC 14356 GARRETT, KRYSTAL MISSION CARE OF LLC ABBOT * 04/13/20 LAW OFFICE OF JEROME SALMI 459 20WC 14443 BAKER, JARREN STAFF QUICK * 04/28/20 KEEFE & GRIFFITHS PC 460 20WC 14465 SMITH, JAMES WOLFE RESTORATION INC * 01/14/19 HANAGAN & MCGOVERN PC 461 20WC 14705 WHITE, TAMMY ST OF IL- MURRAY CENTER @ * 11/13/19 RICH RICH COOKSEY & CHAPPE 462 20WC 14719 ASH-BRIGHT, AMANDA L CHAMPION LABORATORIES, IN * 01/06/20 JAMES RUPPERT 463 20WC 15067 MILLER, RUSSELL W CONTINENTAL TIRE THE * 01/04/19 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M TBA 094 ARBITRATION CALL FOR MT VERNON 39002 ON 08/04/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 464 20WC 15099 NIXON, JACOB OWS OF IL, LLC * 12/03/19 CRAIG & CRAIG 465 20WC 15178 LASH, KELLY POLY-PAK & SHIP INC * 01/02/20 BROWN & BROWN