ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 91WC 33834 GUINN II, JOHNNY J CITY OF SPRINGFIELD 03/30/91 THOMAS W DUDA LIVINGSTONE MUELLER ET AL 2 04WC 21387 HEWITT, MARY ANN CATHOLIC SOC SVC OF PEORI 05/07/01 EVANS & DIXON, LLC HEYL ROYSTER VOELKER & ALLEN 3 04WC 51293 DONELSON, JOHN D FREEMAN CROWN III 12/20/01 BERG & ROBESON LIVINGSTONE MUELLER ET AL 4 05WC 26805 19B FARRIS, DANNY PHOENIX CORPORATION OF TH 04/26/05 WESTERVELT, JOHNSON, NICOL ODELSON & STERK 5 05WC 27048 LANNOM, FAITH DOMINOS 02/10/05 MCGLYNN & MCGLYNN J BRADLEY YOUNG 6 05WC 32404 CREMEENS, DWIGHT L FREEMAN UNITED COAL CO. 08/14/03 BERG & ROBESON LIVINGSTONE MUELLER ET AL 05WC032405 -C 05WC032406 -C 7 06WC 10216 SLATER, VELBILE STATE OF ILLINOIS @ 12/29/03 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 8 06WC 42299 MC GLENNON, TERRANCE CWLP 10/31/03 BERG & ROBESON LIVINGSTONE MUELLER ET AL 9 07WC 17175 MOORE, TIM J HORVE BUILDERS 11/08/06 BLUNT & ASSOC BRADY, CONNOLLY & MASUDA, PC 10 07WC 23309 19B HEISSINGER, KEVIN L STANLEY RYAN 05/18/07 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 11 07WC 42925 BROWN, RICHARD POWER MAINTENANCE CONSTRU 05/27/07 BROWN & BROWN GAROFALO SCHREIBER STORM 12 08WC 00045 OTTERSON, RAMONA CASEY'S GENERAL STORE 08/14/07 STRONG LAW OFFICE WINNE LAW OFFICE LLC 13 08WC 20617 PADGET, ANGELA R HEART & HANDS CARE SERVIC 01/18/08 BERG & ROBESON JAMES ACKERMAN 14 08WC 23008 GLISSON, GARY MIDAS AUTO SERVICE 01/02/08 WARREN E DANZ, PC NYHAN BAMBRICK KINZIE & LOWR 12WC007354 -C 15 08WC 31181 STAINBACK, TOMMIE JR MONTEREY COAL CO 12/04/07 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 16 08WC 43524 WORKMAN, KATHY M ST OF IL DEPT OF CHILDREN @ 01/17/08 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 17 08WC 50175 BEST, DONALD MONTEREY COAL CO 08/31/06 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 09WC 07118 MILLER, KERRY SPRINGFIELD POLICE DEPT 11/12/08 BERG & ROBESON LIVINGSTONE MUELLER ET AL 19 09WC 09471 OUSLEY, ANGELA SIU 08/13/07 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 09WC009472 -C 09WC009473 -C 20 09WC 18193 HILL, RANDY L SA-NAT INDUSTRIAL CONSTRU 04/16/07 LAW OFFICE MARK WERTZ QUINN JOHNSTON HENDERSON ETA 21 09WC 24200 WASHINGTON, CHRISSIE DEPT OF AGING @ 07/31/08 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 22 09WC 27565 HERIFORD, ROBERT D GWILLIM TRUCKING, INC 12/27/08 BERG & ROBESON JAMES M KELLY 11WC018219 -C 23 09WC 42824 COOMBS, MONICA MEMORIAL MEDICAL CTR 08/01/09 NESSLER, FREDERIC LAW OFFI SORLING LAW OFFICE 24 10WC 16405 DOUGLAS, OTIS MONTEREY COAL COMPANY 11/19/07 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 25 10WC 25283 HENZE, ROBERT FREEMAN UNITED COAL MININ 08/21/07 CULLEY FEIST KUPPART & TAY 26 10WC 27179 TIPPS, LORI A PLEASANT HILL VILLAGE 01/21/10 KANOSKI BRESNEY COZZI & GOGGIN-WARD 27 10WC 30389 SPICER, WAYNE MONTEREY COAL COMPANY 11/30/06 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 28 11WC 01443 TAYLOR, MICHAEL S CITY OF DECATUR 08/04/10 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 29 11WC 01559 JACKSON, WARREN ILLINOIS DEPT OF @ 12/05/10 BRIAN T MORROW, LAW OFFICE ASSISTANT ATTORNEY GENERAL 30 11WC 02068 KEROUAC, COLLEEN S SANGAMON COUNTY SHERIFF D 03/14/10 BERG & ROBESON RUSIN & MACIOROWSKI LTD 31 11WC 04222 YENCER-PRICE, STEPHANIE STATE OF ILL @ 12/14/10 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 11WC024577 -C 32 11WC 09432 BANTON, ERIC DOUGLAS CATERPILLAR, INC 03/11/08 MARK A WELLS CATERPILLAR 33 11WC 12682 BENNETT, KIMBERLY STATE OF IL HFS DCSE BUCA @ 12/17/10 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 34 11WC 18205 WHITE, MIKE WILLIAM SOI DECATUR CORRECTIONAL @ 09/30/09 BERG & ROBESON ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 11WC 27383 SCHWESKA, DANIEL STATE OF ILLINOIS @ 04/07/11 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 36 11WC 27566 HELM, VIRGIL DECATUR WOOD 07/16/08 WARREN E DANZ, PC 37 11WC 34105 CHADWELL, RUSSELL ARCHER DANIELS 07/14/11 BROWN & BROWN NYHAN BAMBRICK KINZIE & LOWR 11WC034135 -C 12WC012608 -C 38 11WC 35232 LILLER, ROBERT TRI-COUNTY COAL CROWN #3 01/12/10 CULLEY FEIST KUPPART & TAY LITCHFIELD CAVO 12WC038047 -C TRI COUNTY COAL CROWN 3 MI 12WC038227 -C 12WC038236 -C 12WC038237 -C 39 11WC 39840 SANCHEZ, BALDO TYSON TRANSPORTATION 09/03/11 BOUDREAU NISIVACO LLC GANAN & SHAPIRO 14WC021535 -C 40 11WC 40046 19B EGAN, MARK CITY WATER LIGHT AND POWE 07/13/11 DELANO LAW OFFICES LLC LIVINGSTONE MUELLER ET AL 14WC026079 -C 41 11WC 40549 HAYES, BETTY STATE OF ILLINOIS @ 08/31/11 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 15WC034766 -C 42 11WC 48836 HELM, CLARENCE CURRY ICE & COAL INC, ET W 02/25/11 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 43 12WC 00389 KNIGHT, EVERETT SKS ENGINEERS LLC 12/07/11 WARREN E DANZ, PC JAMES M KELLY 44 12WC 04948 WILLIAMSON, DARYLE CITY OF SPRINGFIELD 05/09/11 MILLS, STEVEN C LIVINGSTONE MUELLER ET AL 45 12WC 20932 DUGAN, JEREMY P BRAHLERS TRUCKERS SUPPLY 03/01/11 KANOSKI BRESNEY PERRY GENTILE 46 12WC 27704 COGHLAN, DEANA THORNTON OIL CO 04/06/10 STRONG LAW OFFICE 47 12WC 31478 RUFFIN, NANETTE K DECATUR TRANSIT MANAGEMEN 11/03/11 MCCARTHY ROWDEN & BAKER 48 12WC 36979 19B HOOTS, RONDA STATE OF IL @ 06/07/12 LAMARCA LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 49 12WC 36982 ROBERTS, MYRON IL DEPT OF PUBLIC HEALTH @ 07/25/12 LAMARCA LAW OFFICES, PC ASSISTANT 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 NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 13WC 02805 BLAND, JOSH A LERT CONSTRUCTION 10/31/12 GOLDBERG WEISMAN & CAIRO L FEATHERSTUN GAUMER POSTLEWAI 51 13WC 03597 SMITH, ROBERT HFS 04/04/12 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 52 13WC 05495 KEROUAC, COLLEEN S SANGAMON COUNTY SHERIFF'S 06/24/12 BERG & ROBESON RUSIN & MACIOROWSKI LTD 53 13WC 07526 SCHOBY, LLOYD A ICG ILLINOIS LLC 03/26/11 CULLEY & WISSORE THOMAS & ASSOCIATES 54 13WC 10935 ROBERTS, BRADLEY M PRAIRIE EYE CENTER 12/20/12 KANOSKI & ASSOCIATES PATRICIA M CARAGHER 55 13WC 11396 MILLS-HAWKINS, CAROL STATE OF ILLINOIS @ 03/25/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 56 13WC 17240 COOK, WILLIAM P SHERWIN WILLIAMS 04/22/12 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 57 13WC 18430 ALLISON, MELISSA J ST JOHN'S HOSPITAL 06/06/10 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 13WC018431 -C 58 13WC 18738 LEHN, AMANDA L ST OF IL DEPT OF DECATUR @ 01/17/12 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 59 13WC 19108 DODSON, JANICE A KROGER 03/05/13 KANOSKI BRESNEY STONE & JOHNSON CHARTERED 60 13WC 20525 FARLEY, COLT WELLMAN'S LAWN CARE 05/14/13 BOSHARDY LAW OFFICE PC LAW OFFICE OF PAUL O WATKISS 61 13WC 22462 PROCTOR, DOYLE MICHAEL MA RYAN SHAY MINE 06/04/13 BECKER SCHROADER & CHAPMAN 62 13WC 24900 UNDERWOOD, SCOTT SPRINGFIELD SCHOOL 06/11/13 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 63 13WC 27899 MOREAU, SANDRA L SELECT REHABILITATION INC 01/01/13 EDWARD J FANNING COZZI & GOGGIN-WARD 14WC022695 -C 64 13WC 28974 KERR, JAMISON ILLINOIS DEPARTMENT OF @ 07/02/13 WOLTER BEEMAN AND LYNCH 65 13WC 32137 BYERS, RONALD CR ENGLAND, INC 07/11/13 STRONG LAW OFFICE THOMAS & ASSOCIATES 66 13WC 32617 PERKINS, TACONIS CIRCLE K 03/30/13 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 67 13WC 32747 WILLIAMS, MARLENA S CAPITAL CARE REHAB CENTER 08/23/13 BERG & ROBESON SPIEGEL & CAHILL, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 13WC 32899 MYERS, BILL ILMO PRODUCTS CO 01/27/12 LEE, MARK N LAW OFFICE 69 13WC 35217 LOGSDON, VALERIE EBERHARDT VILLAGE 06/22/12 STRONG LAW OFFICE 70 13WC 38464 FOSTER, MARY DECATUR PUBLIC TRANSIT SY 09/10/13 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 71 13WC 38776 MC INTOSH, SAMANTHA ILLINOIS DEPARTMENT OF @ 03/28/11 LANGACKER LAW ASSISTANT ATTORNEY GENERAL 72 13WC 39671 WILLIAMS, MESHA K CAPITOL HEALTHCARE AND 10/15/13 KANOSKI BRESNEY SPIEGEL & CAHILL, PC 73 13WC 40847 WRISK, DONALD MACON RESOURCES 01/13/11 STRONG LAW OFFICE BOGGS AVELLINO 74 13WC 41590 CHUMBLEY, PAMELA S CASEYS RETAIL COMPANY 10/19/11 KANOSKI BRESNEY 75 13WC 41868 TAYLOR, RONALD STATF OF IL 09/18/13 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 76 14WC 00699 ROUSH, MICHAEL E ARCHER DANIELS MIDLAND CO 01/03/12 LAKE LAW FIRM FEATHERSTUN GAUMER POSTLEWAI 77 14WC 01085 SHYMANSKY, SHANNON C IL DEPT OF FINANCIAL & @ 01/17/13 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 78 14WC 05426 RHOADES, JOHN INTERNATIONAL PAPER CO 03/29/11 TAPELLA & EBERSPACHER LLC GOLDBERG & SEGALLA LLP 79 14WC 08150 LOCHBAUM, JERRY CAPITAL GROUP 01/31/14 SAUNDERS CONDON & KENNY 80 14WC 09667 GRIMES, BRAD TRI COUNTY COAL 12/20/13 CULLEY & WISSORE CRAIG & CRAIG 81 14WC 10004 DONELSON, DALE JOHNNY TRI COUNTY COAL LLC CROWN 01/15/12 BERG & ROBESON LITCHFIELD CAVO 82 14WC 11614 PARKER, MARGARET STATE OF IL @ 08/13/13 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 83 14WC 11694 EDDY, SCOTT BALL CHATHAM CUSD #5 02/21/13 LIVINGSTONE MUELLER ET AL WHITT LAW LLC 84 14WC 13058 JONES, BRYAN L LAKESIDE TREE SERVICE 03/19/14 KANOSKI BRESNEY HENNESSY & ROACH 85 14WC 14729 WEIDNER, DOUGLAS JACOBSON COMPANIES 01/28/14 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 14WC 14750 ELSHOFF, ANTHONY V. STATE OF ILLINOIS DEPT. O @ 08/18/13 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 87 14WC 16760 FERGUSON, RON CATERPILLAR INC 02/20/12 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 88 14WC 18850 CROSS, CARMEN ILLINOIS DEPARTMENT OF RE @ 09/01/12 TAPELLA & EBERSPACHER LLC ASSISTANT ATTORNEY GENERAL 89 14WC 19296 WILSON, KAY F SPRINGFIELD PUBLIC SCHOOL 12/05/12 WOLTER BEEMAN AND LYNCH HEYL ROYSTER VOELKER & ALLEN 90 14WC 21334 HALL, BRIAN K VAE NORTRAK NORTH AMERICA 07/05/11 KANOSKI BRESNEY 91 14WC 22808 BRUNS, AARON STATE OF IL/DEPT OF 04/14/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 15WC001073 -C 92 14WC 24332 CHILTON, BOB ESTATE EXECU HELP AT HOME 04/16/12 WARREN E DANZ, PC 93 14WC 25107 FULGENZI, ANNETTE STATE OF IL/DEPT OF @ 12/13/13 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 94 14WC 28095 ARCHER, ALICE MARLENE J C PENNEY CO INC 06/03/12 KANOSKI BRESNEY QUINTAIROS PRIETO WOOD & BOY 95 14WC 28242 COX, ROGER D TAYLORVILLE CORRECTIONAL @ 01/06/14 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 96 14WC 28485 HORN, JOAN PEPSICO 08/14/13 BANKS, SAMUEL GILDEA & COGHLAN 97 14WC 28663 HOPE, JAMES B LINCOLN TOWERS/STEADFAST 03/05/12 BERG & ROBESON 98 14WC 28997 FOWLER, KEVIN CHRISTY FOLTZ INC 07/10/14 SAUNDERS CONDON & KENNY FEATHERSTUN GAUMER POSTLEWAI 99 14WC 29726 DONOVAN, KELLY PAT PATTERSON D/B/A 08/12/13 WARREN E DANZ, PC ROUSE & CARY 100 14WC 31191 STANFORD, GARY CASEY'S ILLINOIS 03/16/13 MARK A WELLS LAW OFFICE 101 14WC 31841 PETROPOUL, PETER DUNN CONSTRUCTION 08/29/14 LEE, MARK N LAW OFFICE 102 14WC 32105 DENNISON, JODY W SUBWAY 04/29/14 BERG & ROBESON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 103 14WC 32114 PERKIN, TACONIS CIRCLE K 05/07/14 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 104 14WC 32507 POKORA, JACQUELINE S STATE OF ILLINOIS @ 05/30/13 BUCKLIN LAW OFFICE ASSISTANT ATTORNEY GENERAL 16WC010960 -C IL DEPT OF HUMAN SERVICES 105 14WC 33369 HARPER, FARA STATE OF ILLINOIS @ 08/28/14 RAMMELKAMP BRADNEY PC ASSISTANT ATTORNEY GENERAL 106 14WC 33524 BOYD, DARRELL JR CHRIS KOLTZENBURG DBA 09/25/13 STRONG LAW OFFICE HENNESSY & ROACH 107 14WC 35015 19B PIATT, STEVE PRICELESS FLOORS INC 12/30/13 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 108 14WC 35091 CREVISTON, LARRY SPRINGFIELD FIRE DEPARTME 02/11/13 CONNOR LAW OFFICES 109 14WC 35177 SMITH, LENORE E ILLINOIS STUDENT 12/20/11 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 110 14WC 35354 SCOGGINS, TONY UNIQUE PERSONNEL CONSULTA 04/24/14 MEYER JENSEN PC KEEFE CAMPBELL & ASSOC LLC 111 14WC 35379 19B STUCKER, CAROL HARDEE'S RESTAURANT 12/19/13 BOSHARDY LAW OFFICE PC PATRICIA M CARAGHER 112 14WC 35458 COX, ROGER ST OF IL DEPT OF CORRECTI @ 01/06/13 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 113 14WC 36052 COFFINBARGAR, SUE IL SECRETARY OF STATE @ 09/15/57 SGRO HANRAHAN & BLUE ASSISTANT ATTORNEY GENERAL 114 14WC 36814 HUGHES, LONNIE BOESDORFER TRUCKING INC 08/19/13 JAMES M KELLY 115 14WC 36991 FISHER, DAVID PATHWAY SERVICES UNLIMITE 07/03/14 BOSHARDY LAW OFFICE PC BRADY, CONNOLLY & MASUDA, PC 116 14WC 37913 VOLLINTINE, LOUIS G & L SERVICES & SONS 10/23/14 BECKER SCHROADER & CHAPMAN 117 14WC 38639 WILSON, ZELMA CATERPILLAR INC 01/14/12 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 118 14WC 39166 ACRES, KIM SECRETARY OF STATE OF IL @ 10/02/12 RACHEL LAWRENCE ASSISTANT ATTORNEY GENERAL 119 14WC 39748 THURSBY, KELLY STATE OF ILLINOIS @ 04/29/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 120 14WC 40184 WOODLEY, HERMAN CATERPILLAR 04/10/12 TUGGLE SCHIRO & LICHTENBER CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 121 14WC 42640 MALONE, BRADTISHA THE HOPE INSTITUTE FOR 04/30/14 122 14WC 42727 FAIR, SONNY WHIT'S END 10/01/14 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 123 14WC 43494 GRIMM, JOSEPH SOI, SECRETARY OF STATE @ 07/11/14 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 124 15WC 00240 HOWARD, BRENDA WAL-MART 06/30/14 SHAY & ASSOCIATES GANAN & SHAPIRO 125 15WC 00591 ALBRECHT, DONALD A MACOUPIN COUNTY 02/14/14 SMITH ALLEN MENDENHALL ET EVANS & DIXON, LLC 126 15WC 01886 AUSTIN, RUSSELL J SHARKEY TRANSPORTATION 02/09/14 KANOSKI BRESNEY HINSHAW & CULBERTSON 127 15WC 01899 HICKS, JOHN MUELLER WATER PRODUCTS 10/08/14 LEE, MARK N LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 128 15WC 02624 ANDERSON, JOHN E PACKERS SANITATION SERVIC 10/01/14 KANOSKI BRESNEY 129 15WC 02971 COMPTON, DEREK TELECOMMUNICATIONS MANAGE 10/04/12 GLASS & KOREIN STEPHEN H LARSON LAW OFFICE 130 15WC 03080 DEAN, MAMARA MULLENS CITY OF WHITE HALL 09/17/13 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 131 15WC 03638 HENRY, SHERYLE IL DEPT OF PUBLIC HEALTH @ 11/26/14 ELLEN C. BRUCE ASSISTANT ATTORNEY GENERAL 132 15WC 03675 PATTON, STEPHEN ST OF IL DEPT OF @ 11/20/14 MARK A WELLS LAW OFFICE ASSISTANT ATTORNEY GENERAL 133 15WC 03714 BELER, MCKINDLA INDIVIDUAL ADVOCACY GROUP 01/11/15 STRONG LAW OFFICE GALLIANI DOELL & COZZI LTD 15WC003773 -C 134 15WC 04727 ARMSTRONG, CHADRICK J VANDALIA CORRECTIONAL CEN @ 02/04/14 BERG & ROBESON ASSISTANT ATTORNEY GENERAL 135 15WC 06126 JOHNSON, FRANKLIN EXPERIENCE WORKS 10/25/14 WARREN E DANZ, PC 136 15WC 06410 RUGGLESS, LINDA STATE OF IL - HFS @ 11/10/14 LEE, MARK N LAW OFFICE 137 15WC 06607 BOND, JACKEY HENRY TEICHMANN ENTERPRIS 01/16/15 SHAY & ASSOCIATES THOMAS & PORTELA 138 15WC 07321 PURDON-MENKE, JANENE THE HOPE INSTITUTE FOR 10/03/14 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 139 15WC 07413 MOOMEY, CAROL A STATE OF ILLINOIS CMS 03/29/13 BERG & ROBESON ILLINOIS ATTORNEY GENERAL 140 15WC 07594 LEACH, CHAD UNIQUE PERSONNEL 02/19/15 STRONG LAW OFFICE HENNESSY & ROACH 141 15WC 08473 WILKINSON, JERRY RICHARDSON MANUFACTURING 02/11/15 SGRO HANRAHAN DURR RABIN 142 15WC 08833 ROADS, TREENA M. STATE OF ILLINOIS - @ 01/18/15 THOMSON, MCNEELY & TOBIN ASSISTANT ATTORNEY GENERAL 17WC002499 -C 143 15WC 09158 KLEIN, TIMOTHY JACKSON FORD INC 01/12/15 DWORKIN AND MACIARIELLO RODDY LAW LTD 144 15WC 09904 COLLINS, ELLEN CASEY'S GENERAL STORE 02/21/15 HEYL ROYSTER VOELKER & ALLEN 145 15WC 09942 SHULL, ROBERT CATERPILLAR INC 07/09/14 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 146 15WC 10105 PLUCHINO, JESSICA STATE OF IL @ 04/10/13 147 15WC 10684 JORDAN, NORMA J IL CENTRAL MGMT SERVICES 02/17/11 DORSEY LAW OFFICE KRISTINA ECHOLS 148 15WC 10840 TAYLOR, RACHAEL KROGER 05/04/14 LEE, MARK N LAW OFFICE 149 15WC 11195 LITTLE, MARK REYNOLDS CONSUMERS 12/05/14 LAW OFFICE KEITH SHORT GAROFALO SCHREIBER STORM 150 15WC 11641 SMITH, KATHERINE ST OF IL DEPT OF REHAB @ 03/01/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 151 15WC 12274 MCFARLAND, BILL CAPITAL READY-MIX 06/23/14 NESSLER, FREDERIC LAW OFFI WIEDNER & MCAULIFFE LTD 152 15WC 13234 STAPLETON, BRIAN SANGAMON COUNTY SHERIFFS 03/21/15 SGRO, HANRAHAN, & DURR LLP RUSIN & MACIOROWSKI LTD 153 15WC 14322 LAWSON, JOHN TATE & LYLE NORTH AMERICA 10/02/14 MCCARTHY ROWDEN & BAKER MACIOROWSKI SACKMANN & ULRIC 154 15WC 15046 LINDSEY, GEORGE R JR CITY OF WINCHESTER 12/06/12 BERG & ROBESON 155 15WC 15658 BRIDGES, ABRAM IL DEPT OF HUMAN SERVICES 09/19/12 DAVID W OLIVERO ASSISTANT ATTORNEY GENERAL 156 15WC 15748 DONALDSON, JULIE ARAMARK 02/23/15 DENNIS ATTEBERRY INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 15WC 15847 MASINELLI, JASON HELPING HANDS W 02/24/15 GALANTI LAW OFFICES RUSIN & MACIOROWSKI LTD 158 15WC 15861 19B MILLS, JAMES D ARAMARK @ MILLIKIN UNIVER 04/22/14 GOLDBERG WEISMAN & CAIRO L WIEDNER & MCAULIFFE LTD 159 15WC 16912 STROH, DENNIS R M WILLEY INC 04/15/13 SLAVIN & SLAVIN ROSARIO CIBELLA 160 15WC 17487 MOOMEY, BRIDGET ST OF IL DEPT OF @ 03/23/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 161 15WC 17861 SYKES, WILLIAM JR GEORGIA PACIFIC 04/06/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH 162 15WC 18045 JOHNSON, LASONYA CATERPILLAR, INC. 05/03/14 WILLIAMS & SWEE CATERPILLAR 15WC019926 -C 163 15WC 18241 BORISOV, MATT DONNIE'S HOMESPUN PIZZA 02/23/15 CONNOR LAW OFFICES 164 15WC 18330 BEAM, TYWANNA HORACE MANN INS. CO. 12/09/13 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH 165 15WC 18699 SCHNEPPER, HEATHER CASEYS 11/16/12 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 166 15WC 18769 HART, DEBRA L JACKSONVILLE SCHOOL DIST 09/02/14 RUBENS AND KRESS EVANS & DIXON, LLC 167 15WC 19607 KONIAK, JOSHUA T DL COLE & ASSOCSDBA 08/06/14 DENIS A MC GRADY, JR 168 15WC 19692 MARTIN, KATHARINE T. SPRINGFIELD POLICE DEPART 01/18/15 BUCKLIN LAW OFFICE LIVINGSTONE MUELLER ET AL 169 15WC 20216 HAYES, JACKIE DECATUR PUBLIC SCHOOL 12/17/14 WARREN E DANZ, PC 170 15WC 20387 LUTZ, JASON KML ARCHITECTURAL CONCRET 11/16/13 HOLLEY & ROSEN 171 15WC 20616 CARPENTER, PAUL ST OF IL, IDOT @ 06/12/15 CONNOR LAW OFFICES KRISTINA ECHOLS 172 15WC 21902 HARPOLE, DANA L CITY OF JACKSONVILLE/ 03/24/14 BERG & ROBESON RUSIN & MACIOROWSKI LTD 173 15WC 22092 LEDUC, SHERRY L. SHELBY MEMORIAL HOSPITAL 08/22/14 MEYER, MICHAEL J MACIOROWSKI SACKMANN & ULRIC 174 15WC 22497 FICKAS, CAROLYN S SPRINGFIELD MASS TRANSIT 04/10/14 WOLTER BEEMAN AND LYNCH HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 175 15WC 22648 SMITH, SABRE LIFETOUCH INC 08/19/14 BOSHARDY LAW OFFICE PC LEAHY EISENBERG & FRAENKEL 176 15WC 22911 BRYANT, SHANE ATHENS FOOD INC. 04/09/13 RODDY LAW LTD 177 15WC 24796 PUSCH, LISA ATHENS CUSD #213 06/24/15 DELANO LAW OFFICES LLC MACIOROWSKI SACKMANN & ULRIC 178 15WC 25121 SPENCER, CARL CATERPILLAR INC 04/01/15 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 179 15WC 25454 MONETTI, DAVID L&L FOOD SERVICES INC 10/28/13 WALTON TELKEN FOSTER LLC 180 15WC 25669 WHITLER, JEFFREY A COUNTY MARKET 11/06/14 KANOSKI BRESNEY SCHOLZ LOOS PALMER ET AL 181 15WC 25856 SPINKS, SOPHIA MEMORIAL HEALTHCARE 06/28/14 KEEFE & GRIFFITHS PC SORLING NORTHRUP 182 15WC 26491 THURMAN, JOE A. STEVENS IMPLEMENT COMPANY 07/11/13 LIVINGSTONE MUELLER ET AL 183 15WC 27705 PICKERING, MICHAEL J NELSON'S TERMITE & PEST 08/27/12 FEATHERSTUN GAUMER POSTLEW 184 15WC 28189 ALDE, CAROL ST. JOHN'S HOSPITAL 07/25/15 BOSHARDY LAW OFFICE PC HEYL ROYSTER VOELKER & ALLEN 185 15WC 28204 BEARD, JASON CITY OF SPRINGFIELD 08/23/12 BERG & ROBESON 186 15WC 28806 ROBBINS, JOANNA PASSAVANT AREA HOSPITAL 12/14/14 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 187 15WC 28813 JUSTICE, JOHN ILLINI PAINT COMPANY 08/18/15 188 15WC 28964 FOSTER, MARY DECATUR PUBLIC TRANSIT 05/12/14 LEE, MARK N LAW OFFICE 189 15WC 29337 PATTERSON, BRENDA SANGAMON COUNTY, ILLINOIS 07/10/15 WOLTER BEEMAN AND LYNCH RUSIN & MACIOROWSKI LTD 190 15WC 29653 ROBERTS, JESSE WEST SIDE BUILDERS 08/27/14 CULLEN HASKINS NICHOLSON HEYL ROYSTER VOELKER & ALLEN 191 15WC 30370 BLOODWORTH, DAVID B CAPITOL READY-MIX, INC. 07/31/13 JAMES ACKERMAN WIEDNER & MCAULIFFE LTD 192 15WC 30487 SUTHARD, JASON M WILLIAMS NATIONAL LEASE L 06/02/15 BOSHARDY LAW OFFICE PC RIPES NELSON BAGGOT KALOBRAT

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 193 15WC 30625 SIMMONS, JOHN P IRC, INC./ILLINOIS 06/02/14 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 194 15WC 32326 RICHARDSON, TIMOTHY H JIM REIMER @ W 04/30/15 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 195 15WC 32698 BAUMBERGER, JACOB RV HORIZONS 09/14/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 196 15WC 34342 DENTON, FRED, ESTATE ADMI CENTRAL ILLINOIS SECURITY 04/18/15 BUTLER & KEMPER LAW OFFICES STEVEN PILAND 197 15WC 34345 ELLIS, DAVID R & R GENERAL CONTRACTORS 02/19/15 CONNOR LAW OFFICES FEATHERSTUN GAUMER POSTLEWAI 198 15WC 34622 STOCKWILL, DAVID TWIN CITY TENT & 06/13/15 DODSON PIRAINO & ASSOC CHILTON YAMBERT PORTER LLP 199 15WC 35088 LE VEQUE, ROBERT D ST OF IL DEPT OF CMS 03/12/15 KANOSKI BRESNEY KRISTINA D DION 200 15WC 35178 KREN, MITHCELL CITY OF SPRINGFIELD 01/31/14 201 15WC 35589 WELLS, LINDA HSHS ST JOHN'S HOSPITAL 08/13/15 NESSLER, FREDERIC LAW OFFI HEYL ROYSTER VOELKER & ALLEN 202 15WC 37566 HELD, RAYMOND C QUEST LINER, INC 02/04/15 KANOSKI BRESNEY 203 15WC 37649 TALBOTT, ROBERT A CITY OF SPRINGFIELD 04/11/15 THOMAS W DUDA LIVINGSTONE MUELLER ET AL 15WC037650 -C 204 15WC 37691 BOLYARD, MICHEAL MILLER LIME SERVICE 10/21/15 WILLIAMS CAPONI & ASSOC QUINTAIROS PRIETO WOOD & BOY 205 15WC 37866 HENRY, SHERYLE L. ILLINOIS DEPT OF PUBLIC H @ 09/15/15 206 15WC 38030 STEELMAN, JOEL D SUPERVALU, INC C/O REG AG 09/22/15 BUCKLIN LAW OFFICE WIEDNER & MCAULIFFE LTD 207 15WC 38375 SCOTT, DENISE D SANGAMON COUNTY JUVENILE 08/25/15 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 208 15WC 39272 GESELL, GRODON L CITY OF TAYLORVILLE 09/15/14 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 209 15WC 39588 STEWART, WILLIAM A GREEN CAB LLC 10/07/15 210 15WC 39682 DEL CORONADO, KRISTY SECRETARY OF STATE 12/03/15 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 15WC 39831 JOHNSON, KIRK STATE OF ILLINOIS DEPT OF @ 11/01/15 JAMES ACKERMAN 212 15WC 41214 WHICKER, WILLIAM UNITED CONTRACTORS MIDWES 05/05/15 GOLDBERG WEISMAN & CAIRO L KNELL LAW LLC 213 15WC 41649 BYERS, PAUL CITY OF SPRINGFIELD, FIRE 08/28/12 CONNOR LAW OFFICES 214 15WC 41990 MILLER, DAVID INTL PAPER 11/04/15 KATZ FRIEDMAN EAGLE ET AL BROWN & JAMES, PC 215 15WC 42148 SIMMONS, JOHN P IRC, INC/ILLINOIS ROAD 07/01/15 BERG & ROBESON HEYL ROYSTER VOELKER & ALLEN 216 15WC 42328 WALLACE, MARTIN U OF I AT SPRINGFIELD @ 09/10/15 LACY, THOMAS W HEYL ROYSTER VOELKER & ALLEN 217 15WC 42464 ACKER, CODY MIDLAND FARM & HOME SUPPL 09/23/15 HOLLEY & ROSEN QUINN JOHNSTON HENDERSON ETA 218 15WC 42479 BOUVET, DON ADM 12/11/15 SAUNDERS CONDON & KENNY FEATHERSTUN GAUMER POSTLEWAI 219 15WC 42685 CHEEK, LEIGH A ST OF IL DEPT OF CORRECTI @ 10/30/15 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 220 16WC 00267 SAMPSON, SANDRA SMTD 12/14/15 LEE, MARK N LAW OFFICE 221 16WC 00381 FUDGE, LESTER A G&T ALL 12/31/14 BERG & ROBESON 222 16WC 00607 WEGING, JAMES E STATE OF ILLINOIS @ 03/11/15 ATSAVES, LOUIS G LTD ASSISTANT ATTORNEY GENERAL 223 16WC 00638 AIDE, CAROL L ST JOHN'S HOSPITAL 07/25/15 BOSHARDY LAW OFFICE PC 224 16WC 00923 SPENCE, NOVA AMEREN ILLINOIS 12/29/15 BROWN & BROWN HOLTKAMP LIESE ET AL 225 16WC 02804 BRADLEY, WILLIAM P USF HOLLAND 11/16/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 226 16WC 02807 STRAYHORN, LATUSHIA BLUECROSS BLUESHIELD 12/18/15 WOLTER BEEMAN AND LYNCH HENNESSY & ROACH 227 16WC 02830 WILDER, LOUELLA ARCHER DANIELS MIDLAND CO 02/25/13 MARK A WELLS LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 228 16WC 02872 HORNER, TAMMY L MANAGCARE INC/CAPITOL HLT 12/30/15 BERG & ROBESON HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 229 16WC 03270 HITE, JOYCE MOWEAQUA NURSING & RETIRE 07/26/14 WOODRUFF & JOHNSON HEYL ROYSTER VOELKER & ALLEN 230 16WC 03621 MURPHY, PATRICIA SOI DHS ANDREW MCFARLAND @ 09/26/15 HOLLEY & ROSEN ASSISTANT ATTORNEY GENERAL 231 16WC 03654 BROWN, JUSTIN L. STATE OF IL/SCHOOL OF 12/11/15 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 232 16WC 03673 WILLIAMS, TIM KELLY GROUP 05/01/15 NESSLER, FREDERIC LAW OFFI FEATHERSTUN GAUMER POSTLEWAI 233 16WC 03811 HINDS, JAMES NUDO PRODUCTS INC 11/20/15 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 234 16WC 04315 ROACH, CHAD B IL DEPT OF CORRECTIONS @ 11/04/15 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 235 16WC 04597 HINTON, JOE THE KELLY GROUP 08/21/15 LAW OFFICE MICHAEL M WOJIT 236 16WC 04834 ROBERTSON, RENA IL DEPT OF 05/01/15 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 237 16WC 05152 CASTLEMAN, WALTER MEMORIAL MEDICAL CTR 01/15/16 NESSLER, FREDERIC LAW OFFI SORLING NORTHRUP 238 16WC 05363 ELDRIDGE, KRISTIAN RYAN NORTH MAC CUSD #34 09/15/14 WINNE LAW OFFICE LLC INMAN & FITZGIBBONS 239 16WC 05373 DITTY, WILLIAM W II CRAFTMASTERS 03/30/15 BOLEN, ROBINSON & ELLIS PERRY GENTILE 240 16WC 05660 KEMPER, PAUL G REYNOLDS CONSUMER PRODUCT 06/10/14 HARVEY & STUCKEL 241 16WC 05740 SAWYER, LEAMAN PRAIRIE FARMS 02/02/16 SAUNDERS CONDON & KENNY KNAPP, OHL & GREEN 242 16WC 05954 LAW, JUDY DOLLAR GENERAL 01/06/16 KEEFE & DEPAULI LEAHY EISENBERG & FRAENKEL 243 16WC 06186 MILLS, VINCENT EBY-BROWN COMPANY 10/09/14 BOSHARDY LAW OFFICE PC ROUSE & CARY 244 16WC 06614 SLOAN, KIM L MACON COUNTY STATE'S ATTO 04/17/13 SPIROS LAW PC FEATHERSTUN GAUMER POSTLEWAI 245 16WC 06679 STEPHENS, DUSTIN STATE OF IL NATIONAL GAUR @ 06/14/15 ASSISTANT ATTORNEY GENERAL 246 16WC 06912 DUNN, DEBORAH MACON COUNTY MENTAL HLTH 08/04/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 16WC 07748 MARTIN, ANTHONY IL SECRETARY OF STATE @ 12/18/15 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 248 16WC 07872 MCMILLEN, TINA R. STATE OF ILLINOIS-SIU @ 02/15/16 ASSISTANT ATTORNEY GENERAL 249 16WC 09327 WALLACE, DEREK BENDSEN SIGN & GRAPHICS 12/31/15 MCCARTHY ROWDEN & BAKER KEEFE CAMPBELL & ASSOC LLC 250 16WC 09592 RICHARDSON, JOHN R D LAWRENCE 01/30/12 HEYL ROYSTER VOELKER & ALLEN 251 16WC 09609 SUTER, GARY F WARD PLUMBING & HEATING 03/31/15 SHAFFER, WILLIAM C III 252 16WC 09638 TAYLOR, ZACHERY AT&T 02/20/16 LEE, MARK N LAW OFFICE 253 16WC 09775 BOWMAN, MICHAEL R. NEW CENTURY TRANSPORTATIO 06/05/13 KANOSKI BRESNEY 254 16WC 09925 LOPEZ, JOSE A AMERICAN HEART ASSOCIATIO 02/25/15 BOSHARDY LAW OFFICE PC LAW OFFICES STEVEN PILAND 255 16WC 10387 STUEBS, ANGELA MASON DISTRICT HOSPITAL 12/03/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 256 16WC 11295 SHOAFF, TIMOTHY E TONY'S WELDING SERVICE 08/12/15 OSTEEN & CHOJNICKI LTD GANAN & SHAPIRO 257 16WC 11692 NICKEL, BRENTT SUNBELT RENTALS INC 04/04/16 LEE, MARK N LAW OFFICE HARRIS DOWELL FISHER & HARRI 258 16WC 12039 MONSON, KIRK SPRINGFIELD PEPSI-COLA CO 10/25/15 LEE, MARK N LAW OFFICE THOMPSON & MCDONALD LAW OFFI 259 16WC 12660 BEHL, FLOYD E SICILIANO, INC 08/12/15 KANOSKI BRESNEY HENNESSY & ROACH 260 16WC 13081 HOLMAN, DONALD W REFRESHMENT SERVICES PEPS 10/01/14 RIDGE & DOWNES 261 16WC 13097 STOLTE, STEVE DECATUR AMBULANCE 03/07/16 SAUNDERS CONDON & KENNY INMAN & FITZGIBBONS 262 16WC 13222 RODGERS, JUDITH THE HOPE INSTITUTE FOR 04/11/16 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 263 16WC 13397 PERIMAN, KEVIN BRANDT CONSOLIDATED 11/16/15 THOMPSON & MCDONALD LAW OFFI 264 16WC 13703 TIPPS, WHITIE TRI COUNTY COAL 12/20/13 CULLEY & WISSORE CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 16WC 13836 ABNER, WILLIAM P. DOLLAR TREE STORES, INC. 02/20/16 BERG & ROBESON 266 16WC 14021 GLOSSOP, JOHN DENBY QUEST DIAGNOSTICS 04/21/16 BOSHARDY LAW OFFICE PC STEPHEN H LARSON LAW OFFICE 267 16WC 14046 PETTY, JOHN TRI-R DISPOSAL 01/04/16 DRUMMOND LAW OFFICE SMITH AMUNDSEN LLC 268 16WC 14200 MINICH, MELISSA INTERNATIONAL CONTROL 12/29/15 WOODRUFF & JOHNSON HENNESSY & ROACH 269 16WC 14633 KNUFFMAN, JILL C. HOPE INSTITUTE FOR 09/14/15 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 270 16WC 15601 COTTRELL, JEREMY SANGAMON COUNTY SHERRIF'S 05/01/16 CONNOR LAW OFFICES RUSIN & MACIOROWSKI LTD 271 16WC 15941 BAILES, CHRISTOPHER UNDERFANGER MOVING & STOR 05/06/16 STRONG LAW OFFICE JAMES M KELLY 272 16WC 16057 KEPPLER, BILLY DECATUR PARK DISTRICT 06/02/15 LEE, MARK N LAW OFFICE HENNESSY & ROACH PC 273 16WC 16172 BASIL, DALE PATTON MINING LLC 03/27/15 CULLEY & WISSORE CRAIG & CRAIG 274 16WC 16532 ARMSTRONG, ANGELA CATERPILLAR INC 04/04/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 275 16WC 16542 JACKSON, FREDRICK C. CITY, WATER, LIGHT & POWE 04/29/16 KANOSKI BRESNEY 276 16WC 16699 MYERS, TOM SUPPLY CHAIN 05/08/15 KATZ FRIEDMAN EAGLE ET AL 277 16WC 17190 MONSON, KIRK SR ARCH COAL INC. 04/29/16 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 278 16WC 17228 MANIS, WILLIAM B TRI COUNTY COAL 12/20/13 BOSHARDY LAW OFFICE PC GANAN & SHAPIRO 279 16WC 17810 POWELL, ALFRED FUYAO GLASS AMERICA 08/20/15 MCCARTHY ROWDEN & BAKER STEPHEN H LARSON LAW OFFICE 280 16WC 18248 FOSTER, CRAIG HAYES MECHANICAL 02/23/16 GORI, JULIAN & ASSOC GAROFALO SCHREIBER STORM 281 16WC 18874 BASFORD, HOPE HERITAGE HEALTH & SENIOR 11/18/15 WOLTER BEEMAN AND LYNCH RIPES NELSON BAGGOT KALOBRAT 282 16WC 19350 PORTWOOD, CATHERINE MCDONALD'S 05/05/16 MCCARTHY ROWDEN & BAKER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 16WC 19705 CLARK, DAWN MAHAN'S WILDSIDE 06/14/16 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 284 16WC 20472 MUCHO, JESSICA M AMERICAN FURNITURE GROUP 05/02/16 MCCARTHY ROWDEN & BAKER STEPHEN H LARSON LAW OFFICE 285 16WC 20680 SHAFFER, NATHAN CAPITAL GROUP 04/20/16 SAUNDERS CONDON & KENNY 286 16WC 20892 STUDEBAKER, SPENCER UNITED CONTRACTORS MIDWES 06/17/16 LEE, MARK N LAW OFFICE KNELL LAW LLC 287 16WC 20956 FRIEND, HAROLD L. KELLY GENERAL CONSTRUCTIO 06/27/16 WOLTER BEEMAN AND LYNCH MACIOROWSKI SACKMANN & ULRIC 288 16WC 21367 BRADSHAW, GAIL INTERNATIONAL PAPER 11/17/14 WOLTER BEEMAN AND LYNCH BROWN & JAMES, PC 289 16WC 21973 WHITE, DIANA L FIRST STUDENT INC 05/02/16 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 290 16WC 22099 CASE, CHERYL ILLINOIS DEPARTMENT OF RE @ 04/25/16 TUGGLE SCHIRO & LICHTENBER ASSISTANT ATTORNEY GENERAL 291 16WC 22880 WALTERS, JACOB ST OF IL DEPT OF CORRECTI @ 01/26/16 HOEKSTRA LAW OFFICES PC ASSISTANT ATTORNEY GENERAL 292 16WC 23220 INMAN, DIANA RESCARE HOMECARE INC 04/10/16 MOSS & MOSS PC SPIEGEL & CAHILL, PC 293 16WC 23337 CORDLE, MICHAEL J. INTERNATIONAL HOUSE OF 06/26/16 BUCKLIN LAW OFFICE 294 16WC 23535 DAVIS, BILLY JR GROWMARK INC D/B/A SUNRIS 07/19/16 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 295 16WC 23751 BENNETT, CAROL J ST OF IL DEPT OF ENVIRONM @ 05/02/16 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 296 16WC 23807 HORVE, MICHAEL ILLINOIS SECRETARY OF STA @ 05/05/16 MCCARTHY ROWDEN & BAKER ASSISTANT ATTORNEY GENERAL 297 16WC 23986 WARD, BILLY J JOE COLEMAN SALVAGE & DEM 07/31/15 WOLTER BEEMAN AND LYNCH 298 16WC 24062 CLAYTON, TAYLOR M. MEIJER STORES, LTD. 07/02/16 KANOSKI BRESNEY KNELL & O'CONNOR 299 16WC 24439 WILSON, BRENDA PACKERS SANITATION 07/05/16 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 300 16WC 24993 HODGEN, SEAN UNITED PARCEL SERVICE 03/14/16 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 16WC 25115 SANDERS, SHEMUEL DECATUR MEMORIAL HOSPITAL 12/26/15 MCCARTHY ROWDEN & BAKER MACIOROWSKI SACKMANN & ULRIC 302 16WC 25346 SEVERS, KELLI FED EX EXPRESS 08/19/13 MARK A WELLS LAW OFFICE WIEDNER & MCAULIFFE LTD 303 16WC 25978 DALEY, LISA GRAHAM CORRECTIONAL 08/01/16 DRUMMOND LAW OFFICE 304 16WC 26492 BATES, KIRBY CARLINVILLE COMMUNITY 03/21/13 COOK SHEVLIN YSURSA ET AL MACIOROWSKI SACKMANN & ULRIC 305 16WC 27479 NOBLE, WILLIAM HFS- CHILD SUPPORT SERVIC 08/29/16 306 16WC 27589 PERKINSON, CHASE R DONCO ELECTRICAL CONSTRUC 08/03/16 SMITH ALLEN MENDENHALL ET ROUSE & CARY 307 16WC 27838 BAILEY, JAMES A LME, INC D/B/A 07/29/15 JAMES ACKERMAN MARTIN, PATRICK W 308 16WC 28203 DUKES, MISTY CASEY'S GENERAL STORE 06/23/16 GALANTI LAW OFFICES 309 16WC 28605 WEIGLER, ANTHONY THE KELLY GROUP 06/16/16 WOLTER BEEMAN AND LYNCH 310 16WC 28682 BROWN, PENNY L PARK PLACE 03/31/16 KANOSKI BRESNEY PERRY GENTILE 311 16WC 28893 ODLE, ROBERT HILLSBORO ENERGY 11/09/14 BLUNT & ASSOC LITCHFIELD CAVO 312 16WC 29137 SMAIL, BERNIE T NAPHCARE, INC 05/12/16 LAWINGER LAW OFFICE 313 16WC 29394 SPICER, WAYNE JR STATE OF IL MCFARLAND @ 11/14/13 ASSISTANT ATTORNEY GENERAL 314 16WC 29430 WEDER, JOSEPH DOT FOODS, INC 01/05/16 JAMES ACKERMAN HEYL ROYSTER VOELKER & ALLEN 315 16WC 29722 RICE, TERRY APPLE CREEK ENTERPRISES D 06/09/15 GLASS & KOREIN ARCHER LASSA & MCHUGH 316 16WC 29772 ROBERTS, STEVEN ORCHARD PARK APARTMENTS 07/05/16 LEE, MARK N LAW OFFICE RUSIN & MACIOROWSKI LTD 317 16WC 30006 LYNCH, DARREN LANDMARK OF TAYLORVILLE 08/25/16 SHAY & ASSOCIATES KOEPKE & HILDABRAND 318 16WC 30155 LUNNY, CALVIN STATE OF IL @ 02/24/14 MOSS & MOSS PC KRISTINA D DION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 16WC 30165 MOORE, NORMAN MCLEOD EXPRESS 08/08/15 MCCARTHY ROWDEN & BAKER 320 16WC 30454 HIGGASON, DEBRA DYNEGY, INC 05/19/16 BOSHARDY LAW OFFICE PC KEEFE & DEPAULI 321 16WC 30533 GAGNON, MICHAEL G TYJAX IRONWORKS INC 06/30/15 GLASS & KOREIN GANAN & SHAPIRO 322 16WC 30641 SMAIL, BERNIE T NAPHCARE, INC 05/12/16 LAWINGER LAW OFFICE 323 16WC 31522 LIDDELL, CHRISTOPHER DESIGNED ROOFING SYSTEMS, 08/19/16 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 324 16WC 31600 ISOM, KEVIN STRATAS FOODS 04/26/16 LEE, MARK N LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 325 16WC 31792 SKAGGS, DESTINY U OF I POLICE 08/07/14 CONNOR LAW OFFICES GANAN & SHAPIRO 326 16WC 32037 CRAWFORD, BRET A SHOP & SAVE 05/16/14 LAMARCA LAW OFFICES, PC WIEDNER & MCAULIFFE LTD 327 16WC 32111 NEICE, MEAGHAN MEMEORIAL HEALTH SYSTEM 08/16/16 WOODRUFF & JOHNSON SORLING NORTHRUP 328 16WC 32426 SMITH, JAMES ADM 08/01/16 KATZ FRIEDMAN EAGLE ET AL FEATHERSTUN GAUMER POSTLEWAI 329 16WC 32465 MUELLER, RICHARD PRECISION PIPELINE LLC 10/10/16 COOK SHEVLIN YSURSA ET AL BRYCE DOWNEY & LENKOV LLC 330 16WC 32538 MIMS, DESHUN SECRETARY OF STATE @ 09/28/16 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 331 16WC 32585 MCCRORY, TERRANCE OLIVE GARDEN 06/23/16 WIEDNER & MCAULIFFE LTD 332 16WC 32618 ARGO, JACOB EQUIPOWER RESOURCES CORP/ 01/20/15 INMAN & FITZGIBBONS 333 16WC 32674 RICE, ADAM T HEMBERGER'S BLASTED FARM, 10/14/16 DELANO LAW OFFICES LLC STEPHEN H LARSON LAW OFFICE 334 16WC 32766 MOSCARDELLI, CYNTHIA SALVATION ARMY 12/08/13 MILLER, WILLIAM R LAW OFFI RODDY LAW LTD 335 16WC 32894 BROWN, DECIMA ST CLAIR COUNTY 09/28/16 NELSON & NELSON KEEFE & DEPAULI 336 16WC 33017 MEYER, CHRISTOPHER WOOD FOREST NATIONAL BANK 05/19/16 CRAIG COLBROOK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 337 16WC 33088 LEWIS, AUSTIN CITY OF DECATUR 10/12/16 MCCARTHY ROWDEN & BAKER SAMUELS MILLER SCHROEDER ETA 338 16WC 33776 CORDERY, KIM E CITY OF SPRINGFIELD 09/22/16 BUCKLIN LAW OFFICE LIVINGSTONE MUELLER ET AL 339 16WC 33900 BOOTH, MARK D ICG ILLINOIS, LLC 06/15/15 RUSIN & MACIOROWSKI LTD 340 16WC 34560 WILSON, RANDLE CITY OF LITCHFIELD 08/17/15 STRONG LAW OFFICE INMAN & FITZGIBBONS 16WC035038 -C 16WC035043 -C 17WC005735 -C 341 16WC 34669 KING, ERIC ILLINOIS STATE POLICE @ 05/15/16 STEVEN M SELAN ASSISTANT ATTORNEY GENERAL 342 16WC 34955 DIXON, VERA JACKSONVILLE SCHOOL DIST 10/14/16 SHAY & ASSOCIATES 343 16WC 34961 DIXON, VERA JACKSONVILLE SCHOOL 10/18/16 SHAY & ASSOCIATES 344 16WC 35071 LANDERS, PATTI ILLINOIS DEPT OF CORRECTI @ 09/13/16 JASON YOUNG LAW OFFICE ASSISTANT ATTORNEY GENERAL 345 16WC 35131 FENTON, TIM UNITED STATES 11/01/16 GALANTI LAW OFFICES 346 16WC 35361 HOUK, TIMOTHY MACON COUNTY SHERIFF'S DE 09/15/16 SHAY & ASSOCIATES FEATHERSTUN GAUMER POSTLEWAI 347 16WC 35398 JONES, WILLIAM H CITY OF TAYLORVILLE 09/27/16 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 348 16WC 35441 MARQUARDT, RICHARD BRAHLER OIL AND LUBE INC 10/23/15 STRONG LAW OFFICE LIVINGSTONE MUELLER ET AL 349 16WC 35452 GIBSON, JULIA EQUIFAX 04/15/16 SHAY & ASSOCIATES LEAHY EISENBERG & FRAENKEL 350 16WC 35830 BREUCHAUD, KENT L SIERRA, INC 10/10/14 MORMINO,VELLOFF,EDMONDS,SN BRADY, CONNOLLY & MASUDA, PC 351 16WC 35867 HAM, MARTIN K BUTLER FUNERAL HOMES AND 04/01/16 NELSON & NELSON LIVINGSTONE MUELLER ET AL 352 16WC 35928 KOCUREK, PAUL TRI COUNTY COAL 12/20/13 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 353 16WC 36203 GADDY, TERESA A NIEMANN FOODS INC DBA 09/04/16 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 354 16WC 36244 WASHUM, PAMELA J MOSAIC OF SPRINGFIELD 10/14/16 DELANO LAW OFFICES LLC HENNESSY & ROACH 17WC003278 -C 355 16WC 36310 SCHOFIELD, BRENDA K REYNOLDS CONSUMER PRODUCT 10/10/14 KANOSKI BRESNEY 356 16WC 36907 BROWNLOW, ELISHA FUYAO GLASS AMERICA 01/27/16 WARREN E DANZ, PC MACIOROWSKI SACKMANN & ULRIC 357 16WC 36920 BROWNLOW, ELISHA FUYAO GLASS AMERICA 02/18/16 WARREN E DANZ, PC MACIOROWSKI SACKMANN & ULRIC 358 16WC 37152 SLATER, SAUNJA N LUTHERAN SENIOR SERVICES 08/10/16 KANOSKI BRESNEY BRINKER & DOYNELLP 359 16WC 37233 MOORE, DEAN E AHLSTROM FILTRATION, LLC 02/02/16 KANOSKI BRESNEY LAW OFFICES STEVEN PILAND 360 16WC 37447 HERNANDEZ, NANNIE L THE HOPE INSTITUTE FOR 02/24/16 RUSIN & MACIOROWSKI LTD 361 16WC 37640 STEWART, ASHLEY MEMORIAL MEDICAL CENTER 12/06/16 NESSLER, FREDERIC LAW OFFI SORLING NORTHRUP 362 16WC 38113 HAVENS, JANICE WALMART 01/30/16 STEPHEN P. KELLY WIEDNER & MCAULIFFE LTD 363 16WC 38162 BLOODWORTH, DAVID B CAPITOL RADY-MIX, INC 01/14/15 JAMES ACKERMAN WIEDNER & MCAULIFFE LTD 364 16WC 38181 COOPER, DEBRA CATERPILLAR, INC 10/24/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 365 16WC 38225 MONIGAN, ALONZO NUDO PRODUCTS 03/17/16 KANOSKI BRESNEY LAW OFFICE CRAIG A HANSEN 366 16WC 38255 MONIGAN, ALONZO NUDO PRODUCTS 09/13/16 KANOSKI BRESNEY LAW OFFICE CRAIG A HANSEN 367 16WC 38499 MILLER, KEVIN CITY OF SPRINGFIELD 10/18/16 LESKERA LAW FIRM 368 16WC 38527 HARMON, LINDA CITY OF SPRINGFIELD 01/09/15 SAUNDERS CONDON & KENNY LIVINGSTONE MUELLER ET AL 369 16WC 38624 MC CLEARY, BRYCE R CITY OF DECATUR 11/15/16 THOMAS W DUDA SAMUELS MILLER SCHROEDER ETA 370 16WC 38723 GODAR, DOUGLAS J POOR BOY TREE SVC INC 10/25/16 UNSELL, EDWARD W LAW OFFIC EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 371 16WC 38994 BOLTON, SEAN WHALEN TRUCKING 11/12/15 WOLTER BEEMAN AND LYNCH WOLFE & JACOBSON, LTD 372 16WC 39096 HARRIS, DAVID M SPRINGFIELD PARK DISTRICT 10/23/16 BERG & ROBESON LIVINGSTONE MUELLER ET AL 373 16WC 39107 MCNEILL, DENNIS INTERNATIONAL PAPER 11/16/15 KEEFE & GRIFFITHS PC BROWN & JAMES, PC 374 16WC 39240 ROUSER, LAWONDA SPRINGFIELD SCHOOL 10/19/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 375 16WC 39471 PACINO, NICK RITCHIE BROTHERS AUCTIONE 10/16/14 GALANTI LAW OFFICES ROUSE & CARY 376 17WC 00271 O'LAUGHLIN, BREAH BIG BROTHERS BIG SISTERS 06/03/16 LEE, MARK N LAW OFFICE 377 17WC 00608 CHAMPION, WENDY REGENCY CARE 02/02/14 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 378 17WC 01140 MABLY, STEVEN D HILLER MOVING & STORAGE C 02/04/16 KANOSKI BRESNEY JAMES M KELLY 379 17WC 01383 SEITZ, ADALINE JBS 01/20/15 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 380 17WC 01554 SORBIE, MELODY, WIDOW OF MONTEREY COAL CO/EXXON RI # 05/19/14 CULLEY & WISSORE LIVINGSTONE MUELLER ET AL 381 17WC 01839 HENDERSON, LAWRENCE L ILLINOIS DEPT OF PUBLIC H @ 05/03/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 382 17WC 01917 O'DELL, LARRY E OTTO BAUM CO. 12/05/16 BERG & ROBESON KNELL LAW LLC 383 17WC 02160 SULLIVAN, MICHAEL R STATE OF IL/SEC OF STATE @ 01/06/17 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 384 17WC 02285 BENNETT, BRYAN REFRESHMENT SERVICES INC 09/01/16 BECKER SCHROADER & CHAPMAN 385 17WC 02365 SCOTT, DAVID DALE WILLIAMS TRUCKING SH 10/12/16 BROWN & BROWN RIPES NELSON BAGGOT KALOBRAT 386 17WC 02377 BURNOM, LENNORA ST OF IL LAW ENFORCEMENT 10/03/16 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 387 17WC 02705 RICHARDSON, JOLYNNE ARCH COAL 12/15/16 CONNOR LAW OFFICES 388 17WC 02838 SERVERADO, CECIL SR. BUSINESS CLEANING CORPORA 12/19/16 FREDERICK & HAGLE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 389 17WC 02921 ROBERTS, RYAN MONITOR AMA HOLDCO CORP, 01/19/17 ANKIN LAW OFFICE RUSIN & MACIOROWSKI LTD 390 17WC 03064 HODGE, CLIFFORD JR R&R GENERAL CONTRACTORS 05/30/14 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 391 17WC 03134 HUGHLETT, TIFFANY WENDY'S 01/05/17 DWORKIN AND MACIARIELLO 392 17WC 03271 MC INTYRE, KATHY RICHLAND COMMUNITY COLLEG @ 05/05/15 MCCARTHY ROWDEN & BAKER 393 17WC 03495 HARDEN, ADAM MUELLER, INC. 08/11/15 BOSHARDY LAW OFFICE PC HENNESSY & ROACH 394 17WC 03519 SHEA, JOHN WILLIAM SPRINGFIELD POLICE DEPART 01/23/17 BUCKLIN LAW OFFICE 395 17WC 03629 OCHU, DEBBIE SANGAMON AREA SPECIAL 09/15/14 LAW OFFICE DAVID HUNT 396 17WC 04078 TIMMONS, SANDRA SMART STYLES 11/15/16 KANOSKI BRESNEY GOLDBERG SEGALLA LLC 397 17WC 04197 GOSSARD, LETIA STATE OF IL DEPT HUMAN @ 12/23/16 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 398 17WC 04531 YOUNG, ANNETTA M LOWE'S HOME CENTERS LLC 04/15/15 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 399 17WC 04668 SHERRILL, MATTHEW S FURNITURE ROW USA LLC 01/23/15 JAMES ACKERMAN 400 17WC 04816 BOOTH, BRENDA MCFARLAND STATE HOSPITAL @ 05/11/16 WOODRUFF & JOHNSON 401 17WC 04907 BROWN, THOMAS L PACKERS SANITATION SERVIC 08/19/16 KANOSKI BRESNEY 402 17WC 04956 GAGE, ROBERT J B HUNT TRANSPORT INC 12/21/16 LEWIS & DAVIDSON, LTD LAW OFFICE CRAIG A HANSEN 403 17WC 05052 HAZELWONDER, ERIC WAYNE MONSANTO 08/18/16 MILLER, WILLIAM R LAW OFFI MC ANDREWS & NORGLE LLC 404 17WC 05623 KEARNEY, JENNIFER CATERPILLAR INC 02/01/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 405 17WC 05711 DILLOW, CRYSTAL UNIVERSITY OF ILLINOIS-CH @ 08/08/16 WOLTER BEEMAN AND LYNCH HEYL ROYSTER VOELKER & ALLEN 406 17WC 05722 O'MALLEY, SARINA M IL DEPT OF PUBLIC HEALTH @ 06/21/16 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 407 17WC 05739 POWELL, MICHAEL THOMAS J MCCLOSKEY @ 05/20/16 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 408 17WC 05910 GLEN, KATIE JO MID-STATE SPECIAL EDUCATI 03/02/15 MICHAEL R GLENN 409 17WC 06280 MARTIN, DONALD ECF INC 09/20/16 MCCARTHY ROWDEN & BAKER LAW OFFICE CRAIG A HANSEN 410 17WC 06515 POWELL, COLE SANGAMON COUNTY 05/16/16 BERG & ROBESON 411 17WC 06657 ALLEN, DALTON ARCHER DANIELS MIDLAND CO 11/26/16 WILKINS SCHNELLER LAW LLC FEATHERSTUN GAUMER POSTLEWAI 412 17WC 06710 COLLINGWOOD, JEFFERY APPLIANCE RECYCLING CENTE 07/24/14 WARREN E DANZ, PC COZZI & GOGGIN-WARD 413 17WC 06975 MAHNKE, CHERYL MCLEOD EXPRESS 01/06/17 SAUNDERS CONDON & KENNY 414 17WC 07081 SHARP, MARTIN SPRINGFIELD PUBLIC SCHOOL 09/23/16 NESSLER, FREDERIC LAW OFFI HEYL ROYSTER VOELKER & ALLEN 415 17WC 07096 ROLLET, APRIL SPARC 02/09/17 LEE, MARK N LAW OFFICE LIVINGSTONE MUELLER ET AL 416 17WC 07104 SINGER, MERICKIA FIRST STUDENT 03/17/16 SHAY & ASSOCIATES WIEDNER & MCAULIFFE LTD 417 17WC 07129 FRANZ, CHARLES M MCLEOD TRUCKING 09/27/16 JAMES RUPPERT HEYL ROYSTER VOELKER & ALLEN 418 17WC 07281 GRIFFITHS, CHRISTEL INTERNATIONAL PAPER 05/07/14 WOLTER BEEMAN AND LYNCH BROWN & JAMES, PC 419 17WC 07406 INGHAM, KEVIN PRECISION TANK AND EQUIPM 12/08/16 MCCARTHY ROWDEN & BAKER 420 17WC 07641 LIONBERGER, SHANNON SELECT REHABILITATION INC 06/21/16 BOSHARDY LAW OFFICE PC STEPHEN H LARSON LAW OFFICE 421 17WC 07659 ELLIOTT, STERLING M STATE OF IL/ILLINOS SCHOO @ 12/17/16 THOMSON, MCNEELY & TOBIN ASSISTANT ATTORNEY GENERAL 422 17WC 07873 STANLEY, DARLA R HERTZBERG NEW METHOD 07/31/14 LAMARCA LAW OFFICES, PC LIVINGSTONE MUELLER ET AL 423 17WC 07940 HAMILTON, MICHAEL ILLINOIS DEPT OF CORRECTI @ 01/14/17 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 424 17WC 08155 ACEVES, ALEJANDRO GARVIN INDUSTRIES 01/16/17 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 425 17WC 08252 WHITE, SHANIQUA LOWE'S 08/27/15 BOSHARDY LAW OFFICE PC KEEFE CAMPBELL & ASSOC LLC 426 17WC 08265 COUNTERMAN, CHAD ERVIN CABLE CONSTRUCTION, 12/15/16 WALTON TELKEN FOSTER LLC EVANS & DIXON, LLC 427 17WC 08309 HAYS, JAMES DESIGN AIR HEATING & AIR 01/14/17 GOLDBERG WEISMAN & CAIRO L 428 17WC 08325 STONE, CHRISTIAN G STATE OF ILLINOIS DEPT OF @ 02/10/17 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 429 17WC 08472 MATTHEWS, COZETTE ARAMARK 03/09/17 SHAY & ASSOCIATES INMAN & FITZGIBBONS 430 17WC 08898 TSCHANTZ, REX CATERPILLAR INC 12/14/15 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 431 17WC 08972 HICKS, DAWN FIRST STUDENT 02/28/17 CONNOR LAW OFFICES 432 17WC 09066 SMITH, TERYL ELM CITY REHABILITATION C 10/21/15 WOODRUFF & JOHNSON 433 17WC 09188 BECKMANN, MICHAEL J D.O. PATHOLOGY ASSOCIATES OF 01/01/16 WOLTER BEEMAN AND LYNCH LAW OFFICE PAUL LARIMORE 434 17WC 09324 DOZIER, SHANAE ARCHER DANIELS MIDLAND CO 12/29/15 SHAY & ASSOCIATES FEATHERSTUN GAUMER POSTLEWAI 435 17WC 09563 COBILLAS, CHARLES G&D TRANSPORTATION, INC 02/24/17 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 436 17WC 09666 SWAN, CHRISTY J JBS, USA 07/01/14 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 437 17WC 09680 PORTIS, R. KENT LEE ENTERPRISE, INC 08/14/16 KANOSKI BRESNEY 438 17WC 09905 SANCHEZ, GLENN DELTA STAR, INC 02/10/17 FREDERICK & HAGLE 439 17WC 10056 BAKER, NATHAN KM PLANT SERVICES 02/23/16 LAMARCA LAW OFFICES, PC 440 17WC 10071 CARLISLE, TERI F STATE OF IL 01/04/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 441 17WC 10217 MARTIN, ROBIN WELLS FARGO 02/02/15 LEE, MARK N LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 442 17WC 10325 HEIPIE, VELMA (WIDOW) SEARS ROEBUCK & CO # 06/09/15 GORI, JULIAN & ASSOC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 443 17WC 10434 SPENCER, SEAN CITY OF LEROY 03/15/17 WILLIAMS & SWEE 444 17WC 10603 FOSTER, MARY DECATUR PUBLIC TRANSIT SY 09/20/16 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 445 17WC 10816 JOHNSON, CATHY ATG 12/15/16 ASSISTANT ATTORNEY GENERAL 446 17WC 10867 JONES, JAMES L. MONDELEZ GLOBAL, LLC 02/03/17 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 447 17WC 10955 CRUZ, CRIST DECATUR PUBLIC SCHOOLS 12/20/16 LEE, MARK N LAW OFFICE 448 17WC 11206 ALLEN, KEITH PBI REDI MIX TRUCKING, IN 12/19/16 GOLDBERG WEISMAN & CAIRO L JAMES M KELLY 449 17WC 11479 MOORE, DAVID A ELI BRIDGE COMPANY 04/03/17 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 450 17WC 11489 EBERDING, AMY MEMORIAL MEDICAL CENTER 09/10/16 SORLING NORTHRUP 451 17WC 11654 HARNESS, DAVID E CITY WATER LIGHT & POWER 01/25/16 DELANO LAW OFFICES LLC 452 17WC 11771 MAURER, EDWARD J TCR SYSTEMS 04/05/17 MCCARTHY ROWDEN & BAKER HENNESSY & ROACH 453 17WC 11817 CARVAJAL, ANDRES CRATE AND PALLET 02/10/17 JONATHAN SCHLACK SPONSLER BISHOP 454 17WC 11908 WILSON, TERRY ARCHER DANIELS MIDLAND CO 03/14/17 DWORKIN AND MACIARIELLO FEATHERSTUN GAUMER POSTLEWAI 455 17WC 12135 WINTERMAN, MICHAEL JK WAKE CONSTRUCTION CO 05/31/14 HAXEL LAW OFFICE 456 17WC 12492 BATEMAN, TAYLOR MENDARS 3293 06/01/16 ELLEN C. BRUCE RODDY LAW LTD 457 17WC 12786 SIEVING, KEVIN STATE OF ILLINOIS - IDOT @ 01/27/16 STRONG LAW OFFICE KRISTINA D DION 458 17WC 13035 HAMILTON, AMANDA HERITAGE HEALTH THERAPY & 01/20/17 STRONG LAW OFFICE 459 17WC 13114 TOLAR, ALEX JR CITY OF SPRINGFIELD 10/06/14 SHAY & ASSOCIATES LIVINGSTONE MUELLER ET AL 460 17WC 13168 LEE, THEODORE R JR STATE OF IL @ 05/19/14 BERG & ROBESON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 461 17WC 13205 JOHNSON, TAMMY FIRST STUDENT 09/09/14 NESSLER, FREDERIC LAW OFFI 462 17WC 13266 SCOTTI, DANIELLE ENTERPRISE RENT A CAR, LL 04/12/17 STRONG LAW OFFICE KNELL & O'CONNOR 463 17WC 13480 WETZEL, MICHAEL DECATUR PUBLIC SCHOOL DIS 04/10/17 LEE, MARK N LAW OFFICE 464 17WC 13759 PERKINS, DANA RAY R & R GENERAL CONTRACTORS 03/01/17 BOSHARDY LAW OFFICE PC FEATHERSTUN GAUMER POSTLEWAI 465 17WC 13947 SMITH, WILLIAM C JBS, USA 03/15/16 BOSHARDY LAW OFFICE PC NYHAN BAMBRICK KINZIE & LOWR 17WC023397 -C JBS USA 466 17WC 14181 STURGEON, TRICHEL DECATUR REHAB & HEALTHCAR 04/27/17 LEE, MARK N LAW OFFICE KNELL LAW LLC 467 17WC 14239 POWELL, ALFRED E CITY OF SPRINGFIELD, FIRE 03/27/17 CONNOR LAW OFFICES 468 17WC 14401 HERNANDEZ, CHRISTOPHER ALLIED CONSTRUCTION 08/09/16 LEE, MARK N LAW OFFICE HARRIS DOWELL FISHER & HARRI 469 17WC 14548 KITE, PHIL CATERPILLAR INC 08/15/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 470 17WC 14795 STARR, STANLEY MUELLER CO 04/06/17 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 471 17WC 15307 DRAGOVAN, DON CATERPILLAR INC 02/21/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 472 17WC 15368 SHOEMAKER, WALTER D LME, INC. 05/01/17 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 473 17WC 15565 TRINIDAD, WILLIAM PSSI SANITATION 03/23/17 WOODRUFF & JOHNSON 474 17WC 15864 BRADSHAW, GAIL INTERNATIONAL PAPER 02/16/17 WOLTER BEEMAN AND LYNCH 475 17WC 16056 MELLOR, JAMES A. EVANS CARTAGE 04/13/17 KANOSKI BRESNEY 476 17WC 16345 DOTY, JODY M (WIDOW OF TEAM DRIVE AWAY # 07/07/15 LAKE LAW FIRM SCOPELITIS GARVIN LIGHT 477 17WC 16361 TERLECKI, MARK E CITY OF SPRINGFIELD 04/06/17 BUCKLIN LAW OFFICE 478 17WC 16384 DEGNER, TAMMY MEMORIAL MEDICAL CENTER 09/27/14 HAXEL LAW OFFICE SORLING NORTHRUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 479 17WC 16627 VALENTI, TERRANCE P IL DEPT OF TRANSPORTATION 02/26/15 KANOSKI BRESNEY KRISTINA D DION 480 17WC 16656 JACKSON, BAKARI S WAL-MART STORES, INC C/O 05/22/17 HETHERINGTON KARPEL BOBBER 481 17WC 16847 EDWARDS, DIANE L DECATUR PUBLIC SCHOOL 09/27/16 BOSHARDY LAW OFFICE PC FEATHERSTUN GAUMER POSTLEWAI 482 17WC 16900 MAIER, BRIAN E ARCHER DANIELS MIDLAND CO 09/11/16 KANOSKI BRESNEY 483 17WC 17027 POE, LAURA LONGHORN STEAKHOUSE 04/29/17 NESSLER, FREDERIC LAW OFFI 484 17WC 17040 WILHELM JR., RICHARD D BERNARD LEITSCHUH/ @ 03/31/17 WALTON TELKEN FOSTER LLC ASSISTANT ATTORNEY GENERAL 485 17WC 17099 HOOTS, LANNY ILLINOIS SECRETARY OF STA @ 02/17/16 HAXEL LAW OFFICE ASSISTANT ATTORNEY GENERAL 486 17WC 17479 BROWN, CANDICE SIU - SIMMONS CANCER @ 04/24/17 487 17WC 17494 BALLARD, JASON DOLLAR TREE 07/28/16 STRONG LAW OFFICE EVANS & DIXON, LLC 488 17WC 17539 WATTS, DOUGLAS MOWEAQUA REHABILITATION & 02/08/16 SHAY & ASSOCIATES WOLFE & JACOBSON, LTD 17WC017541 -C ST MARY'S HOSPITAL 489 17WC 17610 SHAW, KEITH O DECATUR TRANSIT MANAGEMEN 05/20/17 KANOSKI BRESNEY 490 17WC 17742 LIMING, KIMBERLY L REDBOX/OUTERWALL 12/27/16 LAKE LAW FIRM 491 17WC 17771 SITES, SIDNEY D IL DEPT OF TRANSPORTATION 03/09/17 MCCARTHY ROWDEN & BAKER BRADLEY DEFREITAS 492 17WC 17980 YOUNG, JOHN E WERNER ENTERPRISES, INC 04/21/17 BUCKLIN LAW OFFICE 493 17WC 18104 KELLER, JEFFREY MUELLER COMPANY 05/23/17 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 494 17WC 18199 WRIGHT, JUDY BOB FREESEN-YMCA 03/04/15 SHAY & ASSOCIATES 495 17WC 18227 PARKS, MARK L HOSPITAL SISTERS OF ST FR 02/07/17 BOSHARDY LAW OFFICE PC 496 17WC 18341 DOBRINSKY, JANE DECATUR PUBLIC SCHOOLS 12/16/16 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 497 17WC 18447 STAAB, NANCY C MEMORIAL HEALTH SYSTEMS 08/18/15 JAMES ACKERMAN SORLING NORTHRUP 498 17WC 18508 TAPLEY, MICHAEL CAPTIAL TOWNSHIP 06/06/17 STRONG LAW OFFICE JAMES M KELLY 499 17WC 18543 SMALLEY JR., GARY KELLY CONSTRUCTION 06/21/16 KATZ FRIEDMAN EAGLE ET AL 500 17WC 18713 SHAFER, JOHN KELLY GROUP INC 06/15/15 CHATHAM & BARICEVIC MACIOROWSKI SACKMANN & ULRIC 501 17WC 18829 LADAGE, ADAM W PANA, IL POLICE DEPT 07/29/14 BONIFIELD & ROSENSTENGEL P KEEFE & DEPAULI 502 17WC 18968 MILLER, VERNEEDA WALMART 05/31/17 KEEFE & GRIFFITHS PC GANAN & SHAPIRO 503 17WC 19265 YESKE, ROBERT MARYAN MINING LLC 12/11/16 CULLEY & WISSORE CRAIG & CRAIG 504 17WC 19412 MC KENNEDY, GEORGE ILLINOIS ATTORNEY GENERAL @ 10/17/16 SAUNDERS CONDON & KENNY ASSISTANT ATTORNEY GENERAL 505 17WC 19454 ANDERSON, JOSEPH C BRANDT CONSOLIDATED, INC 07/13/15 CHRISTOPHER T TUCKER MCDONALD & BOGDAN 506 17WC 19637 KUHAR, DALE LOWE'S OF SPRINGFIELD 05/05/16 LAMARCA LAW OFFICES, PC KEEFE CAMPBELL & ASSOC LLC 507 17WC 19639 RATHBONE, ROBERT QUANTA SERVICES INC DBA I * 06/09/17 LAMARCA LAW OFFICES, PC RUSIN & MACIOROWSKI LTD 508 17WC 19760 KNOLES, COLETTE STATE OF ILLINOIS 06/22/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 509 17WC 20129 SCHOU, TERRY IL DEPT OF TRANSPORTATION @ 06/13/17 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 510 17WC 20218 MOORE, DAVID A ELI BRIDGE COMPANY 06/28/17 BOSHARDY LAW OFFICE PC RUSIN & MACIOROWSKI LTD 511 17WC 20245 MERRITT, BECKY REYNOLDS PACKAGING 04/01/15 BERG & ROBESON 512 17WC 20408 SHARP, NORMA JEAN ACE HARDWARE 05/24/17 NESSLER, FREDERIC LAW OFFI 513 17WC 20415 RICHARDSON, JOSEPH CITY OF SPRINGFIELD 06/19/17 WOLTER BEEMAN AND LYNCH 514 17WC 20552 FORCUM, JACKIE INTERNATIONAL PAPER 05/03/16 WOODRUFF & JOHNSON BROWN & JAMES, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 515 17WC 20573 WEAVER, MICHAEL ROCHESTER FIRE PROTECTION 04/06/17 NESSLER, FREDERIC LAW OFFI 516 17WC 20693 MCGUIRE, ROY MIDWEST POWER SOURCE, INC * 05/01/17 ROTH LAW OFFICES RUSIN & MACIOROWSKI LTD 17WC020719 -C 517 17WC 20694 MCGUIRE, ROY MIDWEST POWER SOURCE, INC 01/27/17 ROTH LAW OFFICES RUSIN & MACIOROWSKI LTD 518 17WC 20747 EASTWOOD, STAR XPO LOGISTICS 06/13/17 WARREN E DANZ, PC RUSIN & MACIOROWSKI LTD 519 17WC 20835 FRAKES, PEGGY S. CASEY'S GENERAL STORES, I 09/27/16 BOSHARDY LAW OFFICE PC JAMES M KELLY 520 17WC 20838 MARTIN, JADEN MCKAYS NAPA LITCHFIELD 03/05/17 DENIS A MC GRADY, JR RIPES NELSON BAGGOT KALOBRAT 521 17WC 20913 VIEIRA, KENNETH FJ MURPHY 07/07/17 NESSLER, FREDERIC LAW OFFI STEPHEN H LARSON LAW OFFICE 522 17WC 21053 SMITH, TOMMY STEPHEN COY CONSTRUCTION 12/06/16 DENNIS ATTEBERRY HEYL ROYSTER VOELKER & ALLEN 523 17WC 21274 REED, LOUIS BABY TALK * 04/05/17 SHAY & ASSOCIATES BRUCE WARREN 524 17WC 21276 HEIL, MARK DYNEGY MIDWEST GENERATION * 07/01/15 MCCARTHY ROWDEN & BAKER KEEFE & DEPAULI 525 17WC 21278 KLEKAMP, MELISSA PATTON LOGISTICS * 06/13/17 NESSLER, FREDERIC LAW OFFI 526 17WC 21282 KROLL, RICHARD M&M SERVICE CORP * 09/09/15 MCCARTHY ROWDEN & BAKER 527 17WC 21370 SPEARS, KELLI CATERPILLAR INC * 06/07/17 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR 528 17WC 21650 MCDOWELL, DEVIN PRESNELL BROTHERS INC * 07/03/17 HOLLEY & ROSEN 529 17WC 22365 JIMISON, DONNA B HERITAGE BEHAVIORAL * 06/15/17 KANOSKI BRESNEY WOLFE & JACOBSON, LTD 530 17WC 22520 MEYER, LARRY REYNOLDS PACKAGING * 07/25/17 DWORKIN AND MACIARIELLO 531 17WC 22707 MONTGOMERY, RANDY LYNCH & SON'S CONSTRUCTIO * 04/10/17 BROWN & CROUPPEN 532 17WC 22784 MC WILLIAMS, TERRY ARCHER DANIELS MIDLAND * 06/21/17 GAUZA LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 533 17WC 22871 BRAUN, PETER JR GSI * 07/07/17 DENNIS ATTEBERRY FEATHERSTUN GAUMER POSTLEWAI 534 17WC 22939 PAICE, JOY VILLAGE OF CHATHAM * 05/23/17 CONNOR LAW OFFICES 535 17WC 23032 STOKES, ARIC MANPOWER * 06/08/17 DWORKIN AND MACIARIELLO 536 17WC 23180 SABO, CHESTER PLEASANT PLAINS C.U.S.D. * 09/23/16 WAY LAW OFFICES LLC 537 17WC 23188 SWEET, DENISE GOODTIMERS LOUNGE W* 07/27/17 SHAY & ASSOCIATES 538 17WC 23327 PARKER, DARRIN ALADDIN STEEL * 05/03/16 DRUMMOND LAW OFFICE 539 17WC 23496 SHOEMAKER, LINDA A SPRINGFIELD PUBLIC SCHOOL * 03/24/17 SGRO HANRAHAN DURR RABIN HEYL ROYSTER VOELKER & ALLEN 540 17WC 23499 PARKER, CARRIE PATHWAY SERVICES UNLIMITE * 05/17/17 SHAY & ASSOCIATES BRADY, CONNOLLY & MASUDA, PC 541 17WC 23504 IRWIN, JONATHAN WEST SIDE TRANSPORT * 03/27/16 SGRO, HANRAHAN DURR RABIN 542 17WC 23930 NOTTINGHAM, MICHAEL EXPRESS EMPLYMNT PROFESSI * 06/22/17 MCCARTHY ROWDEN & BAKER 543 17WC 23958 EVANGELISTA, MISTI D MAC'S CONVENIENCE STORES, * 07/29/17 DELANO LAW OFFICES LLC NYHAN BAMBRICK KINZIE & LOWR 544 17WC 24043 THOMAS, BRYAN TAYLORVILLE POLICE DEPT * 04/04/17 DENNIS ATTEBERRY KEEFE & DEPAULI 545 17WC 24119 DORSY, EDGAR MICHEL CONCRETE * 07/07/17 LEE, MARK N LAW OFFICE 546 17WC 24183 ARNOLD-PEAK, STEPHINE FIRST STUDENT * 05/01/17 GREGORY W. SCRONCE 547 17WC 24223 WILLIAMS, PAUL J THE MASCHHOFF'S TUCK WASH * 01/18/17 WOLTER BEEMAN AND LYNCH 548 17WC 24274 BARTON, KRISTINA HERITAGE HEALTH * 07/16/17 LAW OFFICE KEITH SHORT RIPES NELSON BAGGOT KALOBRAT 549 17WC 24287 MCNATTE, RAYMOND SOLOMON COLORS, INC. * 02/24/17 BOSHARDY LAW OFFICE PC WIEDNER & MCAULIFFE LTD 550 17WC 24325 BROOSHIER, BRENDA GRAHAM CORRECTIONAL CENTE @ * 05/30/17 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 551 17WC 24333 HEDERMAN, DAVID DENTAL ARTS LAORATORIES, * 08/10/17 STEPHENS FIDDES MCGILL ASS 552 17WC 24558 COFFINBARGAR, SUSAN IL SEC OF STATE @ * 10/27/15 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 553 17WC 24642 NEEDHAM, CHELSEE WALMART * 09/15/14 STRONG LAW OFFICE GANAN & SHAPIRO 554 17WC 24696 LEONARD, CHRISTY C SPRINGFIELD CLINIC * 04/20/17 DELANO LAW OFFICES LLC 555 17WC 24800 ATWOOD, VICKI LEE APERION CARE * 03/15/15 DELANO LAW OFFICES LLC 556 17WC 25091 ODLE, DEREK PRAIRIE FARMS DAIRY * 02/11/17 DWORKIN AND MACIARIELLO 557 17WC 25134 MANSFIELD, MARTHA F BALL CHATHAM SCHOOL DISTR * 04/27/17 WOLTER BEEMAN AND LYNCH FEATHERSTUN GAUMER POSTLEWAI 558 17WC 25195 ADAIR, JAMES ARCHER DANIELS MIDLAND CO * 08/16/17 LEE, MARK N LAW OFFICE 559 17WC 25252 WILLIS, RICHARD GREEN CHEVROLET * 09/23/16 WOODRUFF & JOHNSON 560 17WC 25325 PATTERSON, DONALD SR LOGAN ENTERPRISES * 11/09/15 SHAY & ASSOCIATES CHILTON YAMBERT PORTER LLP 561 17WC 25501 THOMPSON, TIMOTHY CAVALLO BUS LINES LLC * 08/13/17 HARVEY & STUCKEL 562 17WC 25547 COMPARDO, RACHEL AMERICA AMBULANCE * 07/27/17 WOLTER BEEMAN AND LYNCH LIVINGSTONE MUELLER ET AL 563 17WC 25552 KUNTZMAN, JAMES MONSANTO CO * 07/25/17 STRONG LAW OFFICE 564 17WC 25600 PORTER, NATALIE L READY LINK * 07/29/17 BROWN & BROWN 565 17WC 25636 PRATHER, AMANDA CENTENNIAL POINTE * 08/01/17 NESSLER, FREDERIC LAW OFFI 566 17WC 25733 PATTERSON, DONALD SR LOGAN ENTERPRISES * 05/18/17 SHAY & ASSOCIATES CHILTON YAMBERT PORTER LLP 567 17WC 25782 GURNSEY, MARY KATHERINE ILLINOIS EPA @ * 07/06/17 GORI, JULIAN & ASSOC ASSISTANT ATTORNEY GENERAL 568 17WC 26110 WALLACE, JASON ITW ALPINE * 08/10/17 WALTON TELKEN FOSTER LLC HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 569 17WC 26229 MCCOY, CHRISTOPHER A J HOELTING PRODUCE INC * 03/13/17 KANOSKI BRESNEY 570 17WC 26304 HART, DAVID WALLER GRAIN, INC * 07/15/16 NESSLER, FREDERIC LAW OFFI 571 17WC 26425 HUNTER, RICKEY DEBT WIZARD * 08/21/17 WARREN E DANZ, PC 572 17WC 26487 LOCKWOOD, JOLENE AKORN * 11/01/16 SHAY & ASSOCIATES 573 17WC 26615 ISOM, REMALE WENDY'S * 08/21/17 DWORKIN AND MACIARIELLO 574 17WC 26759 GAITHER, LOLA ST MARY'S HOSPITAL * 07/14/16 TUGGLE SCHIRO & LICHTENBER HEYL ROYSTER VOELKER & ALLEN 575 17WC 26922 YOUNG, JOHN E WERNER ENTERPRISES, INC * 04/21/17 BUCKLIN LAW OFFICE 576 17WC 27011 TORRES, VICTORIA AREA AGENCY ON AGING FOR * 06/26/17 NESSLER, FREDERIC LAW OFFI 577 17WC 27052 MC CAULEY, MATTHEW CENTRAL ILLINOIS * 08/03/17 DENNIS ATTEBERRY HEYL ROYSTER VOELKER & ALLEN 578 17WC 27062 MUHAMMAD, UTHAM MANPOWER * 09/01/17 WARREN E DANZ, PC 579 17WC 27185 DRISCOLL, CHRIS EXPRESS EMPLYMNT PROFESSI * 08/29/17 DWORKIN AND MACIARIELLO 580 17WC 27245 GASH, LARRY LL UNITED PARCEL SERVICE * 09/16/15 MCCARTHY ROWDEN & BAKER NYHAN BAMBRICK KINZIE & LOWR 581 17WC 27395 TOLLIVER, JEFFREY E AMERICAN AMBULANCE SERVIC * 08/03/17 BOSHARDY LAW OFFICE PC KNELL & O'CONNOR 582 17WC 27595 FORESTER, CHARLES AMEREN ILLINOIS * 06/11/15 LAW OFFICE OF THOMAS SCHOO HOLTKAMP LIESE ET AL 583 17WC 27788 KESSINGER, BETH ROODHOUSE ELEMENTARY SCHO * 10/31/16 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 584 17WC 27940 WALSH, KEVIN UNIV OF IL- SPRINGFIELD * 02/01/16 LAMARCA LAW OFFICES, PC HEYL ROYSTER VOELKER & ALLEN 585 17WC 27994 MILLS, GARY ALAN CITY OF TAYLORVILLE * 04/30/17 DENNIS ATTEBERRY 586 17WC 28034 WALSH, EDWARD JOHN SCHROEDER INCDBA HON * 07/11/17 SHAY & ASSOCIATES LIVINGSTONE MUELLER ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 587 17WC 28428 SAVANT, YVONNE HEALTHCARE SVC GROUP * 09/06/17 MORMINO,VELLOFF,EDMONDS,SN 588 17WC 28769 YOWELL, JESSICA ADM * 06/27/17 LEE, MARK N LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 589 17WC 28806 HOWARD, NORMAN W IV CITY OF SPRINGFIELD * 08/10/17 DELANO LAW OFFICES LLC 590 17WC 29034 RELLER, CHRIS AMEREN * 01/16/17 MUELHAUSEN & STEFANI HOLTKAMP LIESE ET AL 591 17WC 30513 GOMILLER, CEDRIC D MANPOWER * 09/20/17 KANOSKI BRESNEY 592 17WC 30520 WALLACE, JASON ITW ALPINE * 09/06/16 WALTON TELKEN FOSTER LLC HENNESSY & ROACH 593 17WC 30539 RHOADES, VIRGINIA MEMORIAL MEDICAL CENTER * 07/18/17 HOLLEY & ROSEN SORLING NORTHRUP 594 17WC 30707 WASHINGTON, DEANDREW DECATUR FOUNDRY * 10/07/17 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 595 17WC 30740 STAGG, WARREN RENT-A-CENTER * 09/12/16 WARREN E DANZ, PC KEEFE CAMPBELL & ASSOC LLC 596 17WC 30950 GARCIA, MARIA EDITH WIN PRODUCTIONS LLC * 08/15/17 WOODRUFF & JOHNSON RODDY LAW LTD 597 17WC 31055 MARINACCI, DAWNA, WIDOW O MONTEREY COAL CO, C/O EXX # * 07/27/17 CULLEY & WISSORE 598 17WC 31081 WHITED, JEFFREY R REYNOLDS CONSUMER PRODUCT * 03/27/17 BOSHARDY LAW OFFICE PC KLAUKE LAW GROUP LLC 599 17WC 31266 SCRIBNER, JENNIFER A DECATUR FAMILY YMCA * 08/18/16 FEATHERSTUN GAUMER POSTLEW 600 17WC 31436 COOK, RAY KELLY CONSTRUCTION * 12/21/16 FREDERICK & HAGLE MACIOROWSKI SACKMANN & ULRIC 601 17WC 31468 ROY, HENRY LOCK STOCK AND BARREL * 10/06/17 DWORKIN AND MACIARIELLO 602 17WC 31634 STEWART, RENEE HOPE SCHOOL * 10/03/17 LAMARCA LAW OFFICES, PC 603 17WC 31797 ELWOOD, JAMIE M NOKOMIS REHAB HEALTH CARE * 05/24/17 HARVEY & STUCKEL KNELL LAW LLC 604 17WC 31821 MCINTYRE, RAYMOND DECATUR PUBLIC SCHOOL DIS * 05/22/17 LAKE LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 605 17WC 31872 RICE, CLIFFORD PROBST, ALAN DBA R PROBST * 09/20/17 STROM, NEAL B 606 17WC 32075 WEST, BELINDA FAIR HAVENS CHRISTIAN HOM * 10/15/17 DENNIS ATTEBERRY 607 17WC 32097 TORBERT, ROGER DECATUR PUBLIC SCHOOLS * 08/28/17 LEE, MARK N LAW OFFICE 608 17WC 32259 BROWN, MIYON L REGENCY * 10/11/17 SGRO HANRAHAN DURR RABIN RIPES NELSON BAGGOT KALOBRAT 609 17WC 32324 EILERS, SCOTT GRAIN SYSTEMS INC * 04/05/16 RIDGE & DOWNES FEATHERSTUN GAUMER POSTLEWAI 610 17WC 32498 DRURY, GERI L SPECTRAFORCE * 09/12/17 SGRO HANRAHAN DURR RABIN 611 17WC 32511 FRAZEE, JACOB W EXPRESS EMPLOYMENT * 08/17/17 KANOSKI BRESNEY MC ANDREWS & NORGLE LLC 612 17WC 32541 LIDDELL, STEVEN MEL-O-CREAM * 08/26/17 SHAY & ASSOCIATES MCDONALD & BOGDAN 613 17WC 32548 DAVIS, DERRICK NUDO * 06/09/16 STRONG LAW OFFICE 614 17WC 32669 PATTERSON, DANIEL S SPRINGFIELD POLICE DEPART * 10/02/17 WOLTER BEEMAN AND LYNCH 615 17WC 32830 RICHARDSON, DENNIS JR PLAZA TRUCK SERVICE, INC * 08/01/15 HOLLEY & ROSEN 616 17WC 32983 THOMAS, MICHAL JBS * 12/31/16 LAW OFFICE OF CHRIS DOSCOT NYHAN BAMBRICK KINZIE & LOWR 617 17WC 32996 PARKER, JEREL PATHWAY SVS UNLIMITED, IN * 09/22/17 BERG & ROBESON 618 17WC 33149 HESTER, TINA ARAMARK * 10/16/17 SHAY & ASSOCIATES INMAN & FITZGIBBONS 619 17WC 33157 HAYES, WILLIAM KELLY CONSTRUCTION * 10/27/17 LEE, MARK N LAW OFFICE 620 17WC 33546 OWENS, JOYCE MACON RESOURCES * 09/20/17 SAUNDERS CONDON & KENNY 621 17WC 33701 GOODWIN, CORETTA REFRESHMENT SERVICES * 06/07/17 MCCARTHY ROWDEN & BAKER 622 17WC 33740 RHODES, JUSTIN ILLINOIS DEPARTMENT OF @ * 01/24/17 MARSZALEK AND MARSZALEK ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 623 17WC 33787 DEERING, PAUL ARISTON CAFE * 10/04/17 BOSHARDY LAW OFFICE PC 624 17WC 33801 MORGAN, CIARA UNITED CEREBRAL PALSY * 10/09/17 SHAY & ASSOCIATES 625 17WC 33932 GRIFFIN, WILBERT JR GSI GROUP LLC * 06/16/17 STRONG LAW OFFICE FEATHERSTUN GAUMER POSTLEWAI 626 17WC 33960 OVERTURF, ASHLEY WAL-MART * 10/27/17 NESSLER, FREDERIC LAW OFFI 627 17WC 33963 JACKSON, DORIS STATE OF ILLINOIS @ * 09/25/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 628 17WC 33979 GILBERT, ETHAN ADM * 10/31/17 LEE, MARK N LAW OFFICE 629 17WC 34039 WINCHESTER, DENA ADDUS HEALTH CARE * 06/29/17 DENNIS ATTEBERRY 630 17WC 34116 BEAN, MONTE NORTRAK * 10/13/17 BOLEN, ROBINSON & ELLIS 631 17WC 34188 SMITH, KEVIN J HOLMES FARMS, INC * 09/28/17 KANOSKI BRESNEY 632 17WC 34215 ROSS, CHARLENE S PLEASANT HILL VILLAGE * 06/03/17 NOLL LAW OFFICE LAW OFFICE CRAIG A HANSEN 633 17WC 34411 WEST, RYAN NOONANS TRUE VALUE * 07/20/16 CONNOR LAW OFFICES LIVINGSTONE MUELLER ET AL 634 17WC 34554 MOORE, ELVIRA D FAIR HAVEN'S CHRISTIAN VI * 10/29/17 BOSHARDY LAW OFFICE PC 635 17WC 34683 RHODES, GARY E GEORGIA PACIFIC * 09/20/17 BECKER SCHROADER & CHAPMAN 636 17WC 35043 MACKLIN, JULIAN ADVANCED DISPOSAL * 11/15/17 SHAY & ASSOCIATES 637 17WC 35122 MARTINEZ, FELIPA JBS * 09/17/15 WOODRUFF & JOHNSON NYHAN BAMBRICK KINZIE & LOWR 638 17WC 35143 BURTLE, JOHN E S.O.I. @ * 05/04/17 CORNFIELD & FELDMAN BRADLEY DEFREITAS 639 17WC 35160 NICHELSON, JAMES D STATE OF IL SECRETARY OF @ * 12/09/14 CHRISTOPHER T TUCKER ASSISTANT ATTORNEY GENERAL 640 17WC 35287 OYLER, MICHAEL UNITED CONTRACTOR MIDWEST * 10/18/17 WARREN E DANZ, PC KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 641 17WC 35553 HARDY, CHANTE ALDI * 10/07/17 DAVID W MARTAY 642 17WC 35740 MASON, SCOTT PRAIRIE POWER * 12/28/15 STRONG LAW OFFICE 643 17WC 35881 HORN, TODD ENCOMPASS * 09/13/17 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 644 17WC 35932 BUDDS, RICHARD ASSUMPTION COOPERATIVE GR * 10/26/17 MCCARTHY ROWDEN & BAKER EVANS & DIXON, LLC 645 17WC 36106 EVANS, DANIEL PRAIRIE FARMS DAIRY, INC * 04/22/17 WOLTER BEEMAN AND LYNCH KNAPP, OHL & GREEN 646 17WC 36143 MILLER, JERRY GRAHAM C.C. @ * 10/31/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 647 17WC 36192 CLARK, COREY A IL DEPT OF CORRECTIONS @ * 11/03/17 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 648 17WC 36249 RIDGEWAY, JAMES DOWSON FARMS * 12/06/17 DWORKIN AND MACIARIELLO 649 17WC 36409 SMITH, JASON M BRIDGESTONE RETAIL * 04/26/17 JAMES ACKERMAN 650 17WC 36510 MAGUIRE, TINA ST JOHN'S HOSPITAL * 10/22/17 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 651 17WC 36595 MALONE, ZACHARY PRARIE WHOLESALE SUPPLY C * 08/02/17 HEYL ROYSTER VOELKER & ALLEN 652 17WC 36649 SCHWALB, SHEILA STATE OF IL, DCFS @ * 12/19/16 LAMARCA LAW OFFICES, PC 653 17WC 36775 POTTER, MICHELLE LAKE SHORE LEARNING CENTE * 07/27/17 JOHNSTON LAW OFFICE 654 17WC 36837 HUNTER, EDDIE SANGAMO CONSTRUCTION * 06/04/15 WARREN E DANZ, PC LIVINGSTONE MUELLER ET AL 655 17WC 36919 SCHMITZ, KEVIN J CITY OF PANA * 10/25/17 KANOSKI BRESNEY 656 17WC 37076 MILLER, VICTORIA L HOME INSTEAD SENIOR CARE * 11/14/17 WOLTER BEEMAN AND LYNCH 657 17WC 37191 LEE, PENNY ARAMARK * 01/10/17 STRONG LAW OFFICE 658 17WC 37256 PHERIGO, MICHAEL FORNOFF FERTILIZER SERVIC * 10/18/17 GALANTI LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 659 17WC 37351 MCCAWLEY, STEVE HABITAT FOR HUMANITY * 09/15/17 LEE, MARK N LAW OFFICE 660 17WC 37361 DUKEMAN, RANDY ICG ILLINOIS, LLC * 06/01/16 CULLEY & WISSORE 661 17WC 37444 WHITEHEAD, RICHARD MCLEOD EXPRESS * 06/24/17 TUGGLE SCHIRO & LICHTENBER 662 17WC 37583 GREEN, SHELLEAY KEMMERER VILLAGE * 11/20/17 KANOSKI BRESNEY 663 17WC 37926 GIFFORD, SHARON CROSS COUNTRY TRAVEL CORP * 06/27/17 CORNFIELD & FELDMAN 664 17WC 37961 HODGES, ETOYRIA PATTON LOGISTICS * 12/13/17 WARREN E DANZ, PC 665 17WC 38016 STANSBERY HARBOR LIGHT HOSPICE * 08/18/17 KANOSKI BRESNEY 666 18WC 00170 BEETS, KEVIN JOSEPH UNITED PARCEL SERVICE * 08/28/17 GOLDBERG WEISMAN & CAIRO L 667 18WC 00287 WEHRLE, TAMMY STAFF QUICK * 09/03/17 HENNESSY & ROACH 668 18WC 00715 DURBIN, JACOB SHELBYVILLE DISPOSAL * 08/08/17 669 18WC 00802 ZULAUF, JORDAN SAC WIRELESS, LLC * 01/22/15 CORBOY & DEMETRIO PC 670 18WC 00897 SIMONTON, JACOB SIERRA INTERNATIONAL * 11/07/17 LAMARCA LAW OFFICES, PC 671 18WC 01041 PARRISH, DARREN DAP TRUCKING * 10/17/17 SHAY & ASSOCIATES 672 18WC 01067 MACK, ANDREW STONE TRENDS * 07/01/15 MCCARTHY ROWDEN & BAKER 673 18WC 01174 MOSS-ADAMS, TARA PRAIRIE FARMS DAIRY * 12/20/17 SHAY & ASSOCIATES 674 18WC 01227 LAGRONE, RITA E DECATUR PUBLIC SCHOOL DIS * 09/20/17 KANOSKI BRESNEY 675 18WC 01518 REED, JEFFREY E SPRINGFIELD MASS TRANSIT * 10/01/17 KANOSKI BRESNEY 676 18WC 01537 TROSLEY, CAROLE CARLINVILLE REHABILITATIO * 08/19/17 BROWN & CROUPPEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR SPRINGFIELD 46002 ON 02/20/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 677 18WC 01548 GARNER, GARY MATHENY HEATING & COOLING * 04/10/17 LAMARCA LAW OFFICES, PC 678 18WC 01603 LINK, JULIE H&S MANAGEMENT INC * 03/09/17 BRYCE DOWNEY & LENKOV LLC 679 18WC 01619 PINKERTON, MICHELLE BUCHHEIT OF JACKSONVILLE * 12/08/14 COZZI & GOGGIN-WARD 680 18WC 01709 LYNCH, KIERSTEN SPRINGFIELD PUBLIC SCHOOL * 02/28/16 SGRO, HANRAHAN DURR RABIN 681 18WC 01793 ARROYO, JUAN DCA CONSTRUCTION * 10/31/17 NELSON & NELSON