ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 01135 SALE, JAMES H SR TOWN & COUNTRY DISPOSAL, 08/29/02 DAVID W OLIVERO SPIEGEL & CAHILL, PC 2 05WC 32131 19B TAYLOR, DENNIS SENICA'S INTERSTATE TOWIN 03/18/04 PRESBREY & ASSOC INC HEYL ROYSTER VOELKER & ALLEN 3 05WC 36562 DIROSA, FAITH STATE OF ILL DEPT OF VETE @# 09/17/02 ANTHONY C RACCUGLIA & ASSO 05WC036563 -C 4 05WC 43850 19B BENTLEY, SHERRY PLEASANT VIEW NURSING HOM 05/30/05 PETER F FERRACUTI & ASSOCI INMAN & FITZGIBBONS 5 07WC 22672 TEAUSEAU, MADELINE FRESENIUS MEDICAL CARE 06/25/04 ANTHONY C RACCUGLIA & ASSO GRANT & FANNING 6 07WC 32042 MC CALLUM, DEBBIE STATE OF ILLINOIS @ 05/09/07 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 11WC028537 -C 15WC025716 -C SHERIDAN CORRECTIONAL CENT 7 07WC 49390 FANCHI, ELIZABETH CHD OF PRESTRESS ENGINEERING COR # 12/19/06 BOGGS & FILLENWARTH HOLECEK & ASSOCIATES 8 08WC 03074 LUCAS, THOMAS TLC COMPANIES 11/06/06 WILLIAMS & SWEE BRADY CONNOLLY & MASUDA PC 9 08WC 03868 FRISCH, SHERRY SAVANNA ENTERPRISES INC 09/04/07 PERONA, PETERLIN, ANDREONI GAROFALO SCHREIBER STORM 10 08WC 25559 ROBART, KELLY STATE OF ILLINOIS @ 03/10/08 GANASSIN, SCOTT J ASSISTANT ATTORNEY GENERAL 12WC016140 -C ILL DEPT OF HUMAN SRVS/SOI 11 08WC 29743 TARMANN, LARRY ILL DEPT OF TRANSPORTATIO 03/05/08 WILLIAMS & SWEE SHUAIB A. AHMED 11WC014995 -C STATE OF ILLINOIS 12 08WC 30028 19B BLAND, ROLLAND STATE OF ILLINOIS @ 03/01/07 GOLDSTEIN FISHMAN BENDER E ASSISTANT ATTORNEY GENERAL 13 08WC 40721 BURRELL, GARY PET SMART 07/03/08 JOHN F GREGORIO & ASSOC HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 14 09WC 00940 19B MOSSBERGER, RICK BERRYMAN TRANSFER 09/30/08 HORWITZ HORWITZ & ASSOC JAMES M KELLY 15 09WC 09991 GUTIERREZ, ELIZABETH ST OF IL DEPARTMENT OF 04/24/06 GREG TUITE & ASSOC ASSISTANT ATTORNEY GENERAL 10WC033512 -C STATE OF ILLINOIS 10WC033513 -C 10WC033514 -C STATE OF ILLINOIS 10WC033666 -C MABLEY DEVELOPMENTAL CENTE 10WC033667 -C 10WC033668 -C MABLEY DEVELOPMENTAL CENTE 10WC033669 -C 10WC033670 -C MABLEY DEVELOPMENTAL CENTE 16 09WC 48294 KNAFELC, GEOFFREY PRACTICAL BUILDERS 10/25/05 MARSZALEK AND MARSZALEK QUINN JOHNSTON HENDERSON ETA 17 09WC 49020 BASIL, DENNIS COUNTRY INS & FINANCIAL S 04/30/09 PERONA, PETERLIN, ANDREONI HENNESSY & ROACH PC 09WC049021 -C 11WC013836 -C 11WC013837 -C 12WC010055 -C 18 09WC 49926 SHEA, MICHELLE WAL-MART DISTRIBUTION 08/27/08 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 19 09WC 52386 GRODE, BRIAN RIVERFRONT MACHINE INC 09/02/09 SCHWEICKERT & GANASSIN BRUCE WARREN 10WC003478 -C 11WC005786 -C 20 10WC 03332 WEBB, JEREMY HCC 08/01/08 HORWITZ HORWITZ & ASSOC MACIOROWSKI SACKMANN & ULRIC 21 10WC 11722 GARCIA, JAMIE F STATE OF ILLINOIS @ 07/27/09 ANTHONY C RACCUGLIA & ASSO SHUAIB A. AHMED 22 10WC 16702 MATTINGLY, ROBERT M WAL-MART DISTRIBUTION CEN 03/27/09 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 23 10WC 25107 KING, JODY LASALLE VETERANS' HOME 03/17/10 PETER F FERRACUTI & ASSOCI SHUAIB A. AHMED 24 10WC 27701 PAWLAK, JODY WALGREENS INC 09/26/09 SCHWEICKERT & GANASSIN GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 25 10WC 33780 KIPER, DEBRA D & S FOODS INC 04/19/09 SCHWEICKERT & GANASSIN WOLFE & JACOBSON, LTD 11WC019025 -C D&S FOODS INC. 26 10WC 34230 ALVAREZ, CELIA WRIGLEY MANUFACTURING CO 04/06/09 COLLISON & O'CONNOR LTD GAROFALO SCHREIBER STORM 10WC034231 -C 11WC035499 -C 11WC035500 -C 27 10WC 39100 SCHAVER, DEELANE S KSB HOSPITAL 12/01/09 REESE & REESE NYHAN BAMBRICK KINZIE & LOWR 28 10WC 44908 ORTIZ, LUIS F BP TRANSPORTATION 09/20/10 WILLIAM T SURIN WIEDNER & MCAULIFFE LTD 29 11WC 07249 WISNER, WILLIAM STAPLES 10/27/10 ANTHONY C RACCUGLIA & ASSO BRADY CONNOLLY & MASUDA PC 30 11WC 14607 PONGRACZ, STEVEN L JR RELIABLE MATERIALS 02/21/11 ANTHONY C RACCUGLIA & ASSO GRANT & FANNING 31 11WC 19244 DOWNES, ANGELA A TYSON FOOD, INC 10/03/10 STRONG LAW OFFICE GANAN & SHAPIRO 32 11WC 21564 SIMON, MARK A STATE OF ILLINOIS @ 01/25/11 MATTHEW T. GUBBINS PC SHUAIB A. AHMED 12WC038780 -C 33 11WC 27835 SHERVY, MARK A ST OF IL SHERIDAN CORRECT @ 02/27/10 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 34 11WC 28681 JOHNSON, PAMELA L STATE OF ILLINOIS @ 04/30/09 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 35 11WC 32517 CONTRERAS, ANA S WRIGLEYS MANUFACTURING CO 05/04/11 ALAN A BLUM, PC GAROFALO SCHREIBER STORM 36 11WC 33805 ZULFIC, ALEN SHERIDAN CORRECTIONAL CEN @ 11/04/10 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 37 11WC 34245 ETSCHEID, JACQUELINE DCFS @ 05/21/10 MISKELL LAW CENTER ASSISTANT ATTORNEY GENERAL 38 11WC 34293 CINDRICH, KATHLEEN STATE OF ILLINOIS @ 09/09/08 BLOCK, KLUKAS & MANZELLA P 39 11WC 35615 ZIANO, JESSIE ILLINOIS VALLEY COMMUNITY 11/20/09 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 11WC035687 -C IL VALLEY COMM HOSPITAL 11WC035700 -C 40 11WC 36394 ALFARO, VICTOR WAL-MART DISTRIBUTION CEN 08/06/11 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 41 11WC 37649 WOODWORTH, DALE MENARD, INC 05/30/11 MILLON & PESKIN LTD RODDY LAW LTD 42 11WC 39396 ESTES, JACKIE ILLINOIS VETERAN'S @ 02/11/11 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 43 11WC 41506 THOMPSON, RENEE L ST OF IL DEPT OF SHERIDAN @ 08/30/11 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 44 11WC 43393 STONER, ERIC B & B TRUCKING INC 10/10/11 DAVID W OLIVERO INMAN & FITZGIBBONS 45 11WC 47687 METTILLE, PAULETTE J GREEN PLANET GROUP D/B/A W 06/14/09 DREW J FERRACUTI 46 12WC 02445 HENKEL, MARTIN ILL DEPT OF TRANSPORTATIO @ 10/24/11 FRANCINE B WHITE ASSISTANT ATTORNEY GENERAL 47 12WC 03206 BACKOS, MICHAEL J VACTOR MANUFACTURING, INC 09/03/10 DREW J FERRACUTI BRADY CONNOLLY & MASUDA PC 12WC003207 -C 12WC003208 -C 12WC023173 -C 48 12WC 03646 GONZALEZ, JOSE HOWARD LEASING INC./WIRE 01/06/12 SCHWEICKERT & GANASSIN 49 12WC 06772 HALL, TAMMY DIVISION OF W 01/02/12 SCHWEICKERT & GANASSIN ASST ATTY GENERAL 50 12WC 07511 ERWIN, JMES JAMES HARDIE BUILDING 04/29/08 DAVID W OLIVERO LITCHFIELD CAVO 51 12WC 07740 MOORE, JOYCE ACE DISTRIBUTION CNTR 05/20/11 SCHWEICKERT & GANASSIN KLAUKE LAW GROUP LLC 52 12WC 11421 19B ARWOOD, JAMES ST OF IL DEPT OF @ 02/14/12 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 53 12WC 12495 DORSETT, BERNADINE A OTTAWA PUBLISHING CO THE 04/12/11 ARMSTRONG & SURIN HOLECEK & ASSOCIATES 54 12WC 14048 BROWN, ANNA AMY MOUNCE D/B/A A & J'S @ W 03/31/12 SCHWEICKERT & GANASSIN STROW LAW LLC 55 12WC 14698 19B HARMS, KAREN STATE OF ILLINOIS DWIGHT 04/05/12 COPELAND FINN & FIERI LTD ASSISTANT ATTORNEY GENERAL 56 12WC 16158 PUMFREY, JOEL D DEL MONTE FOODS 04/09/12 DREW J FERRACUTI 57 12WC 18620 19B LANE, PENNY ST OF IL DEPT OF CORRECTI @ 02/25/12 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 58 12WC 19906 LEMUS, RENEE LA SALLE VETERANS HOME 05/08/12 ASSISTANT ATTORNEY GENERAL 59 12WC 20893 LEMUS, RENEE ILLINOIS VETERANS HOME @ 10/19/10 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 60 12WC 22695 LEMUS, RENEE STATE OF ILLINOIS @ 05/08/12 SCHWEICKERT & GANASSIN 61 12WC 24740 OSSOLA, ANDREW J IL DEPT OF TRANSPORTATION @ 05/11/12 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 62 12WC 25183 KING, JODY L ILLINOIS VETERAN'S HOME 06/07/12 PETER F FERRACUTI & ASSOCI COLIN KICKLIGHTER 63 12WC 25657 VICICH, JOHN MICHAEL SHERIDAN CORRECTIONAL CTR @ 07/12/11 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 64 12WC 31228 VANZUIDEN, BARBARA STATE OF ILLINOIS @ 06/04/12 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 12WC031229 -C 15WC003430 -C ST OF IL DEPT OF DIXON 65 12WC 32606 DORSETT, BERNADINE A OTTA PUBLISHING CO THE TI 08/20/12 ARMSTRONG & SURIN HOLECEK & ASSOCIATES 66 12WC 33686 SALISBURY, MARK E KENDALL COUNTY FAIR 05/24/12 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 67 12WC 33795 LAIDLAW, LORI STATE OF ILLINOIS @ 07/23/12 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 68 12WC 34490 BALOG, AARON MENARDS DISTRIBUTION CTR 09/14/12 PRESBREY & ASSOC LLC RODDY LAW LTD 69 12WC 35750 JOHNSON, AMBER WALMART SUPERCENTER 06/08/12 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 70 12WC 39347 CARRILLO, THERESA J PARKER NURSING AND REHAB 09/06/11 CHRIS DOSCOTCH BRADY CONNOLLY & MASUDA PC 71 12WC 41624 LUERAS, CASSIE HCC INC 11/06/12 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 72 12WC 42562 EARLE, SANDRA TJX COMPANIES/MARSHALLS 09/08/12 PERONA, PETERLIN, ANDREONI BRADY CONNOLLY & MASUDA PC 73 12WC 42628 FOWLER, CHRISTOPHER SHANE VACTOR MANUFACTURING 09/20/12 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 74 12WC 42710 FOWLER, CHRISTOPHER SHANE VACTOR MANUFACTURING 06/27/11 PETER F FERRACUTI & ASSOCI BRADY CONNOLLY & MASUDA PC 75 12WC 43541 LEMUS, RENEE ILLINOIS VETERAN'S HOME @ 05/18/12 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 76 12WC 43640 19B DELLINGER, JAMES AMERICAN NICKELOID CO 11/19/12 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 77 13WC 00136 O'NEAL, DARLA K HILLTOP FIREPIT RESTAURAN 08/29/11 LAW OFFICE DAVID W CLARK LAW OFFICES JOSEPH MARCINIAK 78 13WC 01058 IVY, LLOYD II HOUSING AUTHORITY OF 04/27/10 EMMANUEL F GUYON GILDEA & COGHLAN 79 13WC 01207 LEE, DALE HEARTH LTD W 11/28/12 SOSTRIN AND SOSTRIN PC 80 13WC 03080 KEITH, ALICIA PILOT FLYING J'S TRAVEL P 11/23/12 SCHWEICKERT & GANASSIN BRADY, CONNOLLY & MASUDA, PC 81 13WC 04352 VASQUEZ, ERIC ADVANTAGE LOGISTICS INC 01/10/13 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 82 13WC 06369 PAPPAS, BETTY IL VETERANS HOME AT LASAL @ 10/18/12 O'CONNOR & NAKOS ASSISTANT ATTORNEY GENERAL 83 13WC 06640 REEDER, ANNETTE LOTZ TRUCKING INC 12/12/12 SCHWEICKERT & GANASSIN JAMES M KELLY 84 13WC 08124 DOWNS, ANGELA TYSON FOODS 10/10/10 STRONG LAW OFFICE GANAN & SHAPIRO 85 13WC 08489 SAAVEDRA, PETRA BG STAFFING 02/07/13 THE ROMAKER LAW FIRM 86 13WC 08699 FREET, MERLENE GATEWAY SERVICE INC 02/28/13 SCHWEICKERT & GANASSIN GALLIANNI DOELL & COZZI LTD 13WC011376 -C 13WC011377 -C 13WC018697 -C 87 13WC 11123 ZARAGOSA, HECTOR B.G. STAFFING 11/08/12 COHN & COHN 88 13WC 11202 WIDGER, MICHAEL STATE OF ILLINOIS @ 10/03/12 SHAY & ASSOCIATES ASSISTANT ATTORNEY GENERAL 89 13WC 14054 QUINTANA, LUZ MARIA MONTEREY MUSHROOM INC. 01/20/12 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 90 13WC 14080 SPIEGEL, DIANE ILLINOIS VETERANS HOME @ 09/19/12 ANTHONY C RACCUGLIA & ASSO ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 91 13WC 14947 NEWBORN, ALEXANDER JWK ENTERPRISES @ W 04/17/13 STEVEN J SEIDMAN LAW OFFIC JAMES L. HARDEMON 92 13WC 16555 FELZ, JUDY A STATE OF ILLINOIS @ 09/03/11 REESE & REESE 13WC016556 -C 13WC016557 -C 93 13WC 21758 CORBI, ANTHONY KROGER, INC 03/24/13 SCHWEICKERT & GANASSIN STONE & JOHNSON CHARTERED 94 13WC 22868 KOSCIEWICZ, JOHN LCN DOOR CLOSERS 05/10/13 HERBOLSHEIMER LANNON ET AL HOLECEK & ASSOCIATES 95 13WC 23098 DALEY, THOMAS ST OF IL CENTRAL @ 07/02/12 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 96 13WC 25341 ALLISON, ANTHONY IL DEPT OF TRANSPORTATION @ 07/26/13 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 97 13WC 25708 MEYERS, ROSE K LASALLE COUNTY ILLINOIS 02/15/13 ANTHONY C RACCUGLIA & ASSO HERBOLSHEIMER LANNON ET AL 98 13WC 27050 CRULL, THOMAS PAUL J SCHMIT TRUCKING IN 04/11/13 ANTHONY C RACCUGLIA & ASSO GANAN & SHAPIRO 99 13WC 27531 CARRINGTON, BRIAN CITY OF PRINCETON 06/13/11 HORWITZ HORWITZ & ASSOC RUSIN MACIOROWSKI & FRIEDMAN 100 13WC 30091 COMMISSO, TIMOTHY J ST OF IL DEPT OF CORRECTI @ 12/27/12 ANESI OZMON RODIN NOVAK KO ASSISTANT ATTORNEY GENERAL 14WC014138 -C 101 13WC 31418 MASON, NANCY PLEASANT VIEW LUTHERAN HO 09/11/13 SCHWEICKERT & GANASSIN KOPKA, PINKUS & DOLIN, PC 102 13WC 31585 REXROAD, COREY GRAYMONT COOP 05/16/12 WILLIAMS & SWEE EDWARD JANUSZKIEWICZ 103 13WC 32429 DE WITT, KENNETH FEDEX FREIGHT 08/14/13 PETER F FERRACUTI & ASSOCI SCOPELITIS GARVIN LIGHT 104 13WC 32752 TRAVIS, GEORGE EXELON CORPORATION 08/29/13 PETER F FERRACUTI & ASSOCI NYHAN BAMBRICK KINZIE & LOWR 105 13WC 32889 DICKEY, TAMMY ADDUS HEALTHCARE 09/04/13 DWORKIN AND MACIARIELLO HENNESSY & ROACH PC 106 13WC 33280 FREY, LORI ADVANTAGE LOGISTICS INC 09/24/13 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 13WC041439 -C 107 13WC 33773 STAPLETON, ANGELA MARSEILLES ELEMENTARY SCH 08/19/13 SCHWEICKERT & GANASSIN ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 108 13WC 35360 RUSH, EDWARD CON WAY FREIGHT 12/07/12 SAUNDERS CONDON & KENNY RUSIN & MACIOROWSKI LTD 109 13WC 37121 NORD, HEATHER M MENARDS INC 07/11/13 ERIC M. MAY RODDY LAW LTD 110 13WC 37690 MOODIE, CATHERINE DEPARTMENT OF CORRECTIONS @ 10/16/13 PETER F FERRACUTI & ASSOCI COLIN KICKLIGHTER 111 13WC 38326 JENKINS, CHAD M DIXON CORRECTIONAL CENTER @ 06/10/13 MERTES & MERTES PC ASSISTANT ATTORNEY GENERAL 112 13WC 38329 SCHOTT, GERALD A OTTAWA TOWNSHIP HIGH SCHO 10/15/13 DREW J FERRACUTI ANCEL GLINK DIAMOND BUSH & E 113 13WC 38631 BEER, ROBERT A STATE OF IL @ 10/22/12 REESE & REESE ASSISTANT ATTORNEY GENERAL 114 13WC 39578 HANDZUS, RON OWENS-ILLINOIS INC. 08/15/13 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 115 13WC 39593 MAYCHSZAK, GUY WOODHAVEN LAKES ASSOC 10/13/13 FOOTE MIELKE CHAVEZ & O'NE 116 13WC 41351 HILTABRAND, RONNIE R IL DEPT OF TRANSPORTATION @ 06/05/13 POPURELLA LAW OFFICE LLC COLIN KICKLIGHTER 117 13WC 42199 BARKMAN, BONNIE ILLINOIS DEPT @ 05/02/13 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 118 13WC 42483 SHINNICK, MICHAEL AMERICAN NICKELOID CO 08/09/13 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 15WC014217 -C 119 13WC 42587 RUSHANI, BEDRIJIE PETERSON HEALTH CARE INC 10/30/12 MARKER & ASSOCIATES KNELL LAW LLC 120 14WC 00154 BENJAMIN, TERRY NOVESTAFF SERVICE GROUP 11/11/13 WOODRUFF & JOHNSON RUSIN & MACIOROWSKI LTD 121 14WC 01304 ZDANY, RICHARD V FED EX FREIGHT 12/19/13 A RANDOLPH COMBA SCOPELITIS GARVIN LIGHT 122 14WC 01863 ZYX, DAVID ST OF IL DEPT OF 12/04/13 SCHWEICKERT & GANASSIN JEANNINE SIMS 123 14WC 02419 ASH, DENNIS R L DOMINGUEZ SONS 10/12/13 JEFFREY R. BACH 124 14WC 02772 VANGELISTI, RODNEY CITY OF MARSELLIES 09/12/13 SCHWEICKERT & GANASSIN RUSIN MACIOROWSKI & FRIEDMAN 125 14WC 03200 SIMPSON, PATRICK WISEXPRESS, INC/TRANSPORT 11/15/13 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 126 14WC 04306 VOIGHTS, DANIEL CON-WAY FREIGHT INC 12/07/13 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 127 14WC 05027 SZAFRANSKI, CYNTHIA KOHL'S CORP 09/25/13 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 14WC005028 -C 128 14WC 06394 ARNOLD, WILLIAM FLASH INC, INDIVIDUALLY 11/05/10 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 129 14WC 06927 GAZAFERI, MUFIT BEEHIVE RESTAURANT 02/19/13 MISKELL LAW CENTER 130 14WC 09750 HERMAN, JAKE W IDOT 01/28/13 STROW LAW LLC COLIN KICKLIGHTER 131 14WC 10185 KENT, LONNIE W CITY OF MENDOTA 12/19/12 APLINGTON KAUFMAN ET AL RUSIN MACIOROWSKI & FRIEDMAN 132 14WC 11338 COONS, JOHN CASEY'S CORP 12/13/13 SCHWEICKERT & GANASSIN RODDY LAW LTD 133 14WC 11547 ROMANISZAK, GLENNA STATE OF ILLINOIS @ 12/12/12 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 134 14WC 12091 VON RUDEN, LISA COUNTY OF LASALLE 06/17/11 WILLIAMS & SWEE HERBOLSHEIMER LANNON ET AL 135 14WC 12800 GUERRERO, MIGUEL GFS FENCE, GUARDRAIL & SI 03/24/14 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 136 14WC 12996 VEGA, WILLIAM ILLINOIS DEPARTMENT OF @ 03/11/14 SCHWEICKERT & GANASSIN JEANNINE SIMS 137 14WC 13801 PAVY, RICKY A AMERICAN NICKELOID CO 10/20/13 DEBRA M BYRNES NYHAN BAMBRICK KINZIE & LOWR 138 14WC 14416 SCOTT, JOSEPH H III MBL USA CORPORATION 01/27/14 PETER D CORTI LAW GROUP BRADY CONNOLLY & MASUDA PC 139 14WC 14636 FISHER, WILLIAM DIVERSIFOAM PRODUCTS 03/26/14 STROW LAW LLC COZZI & GOGGIN-WARD 140 14WC 14737 JONES, SR. MICHAEL A. ILLINOIS CENTRAL SHOOL BU 03/21/14 STROW LAW LLC MACIOROWSKI SACKMANN & ULRIC 141 14WC 16148 SMILEY, TABITHA SULLIVAN FOODS 03/28/14 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 142 14WC 18858 LOPEMAN, ERNEST L SR HARDEES 05/07/14 PIGNATELLI & ASSOCIATES ACCIDENT FUND HOLDINGS, INC 143 14WC 19508 BALLARD, ROBIN LASALLE COUNTY SHERIFF'S 08/28/09 BOUDREAU NISIVACO LLC HERBOLSHEIMER LANNON ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 144 14WC 20087 ROBINSON, JAMES E JR FRONTIER COMMUNICATIONS 03/15/14 MISKELL LAW CENTER LAW OFFICES OF EDWARD J. KOZ 145 14WC 21052 FOX, CHARLES A LUCKEY TRANSFER LLC 01/30/14 STROW LAW LLC JAMES M KELLY 146 14WC 21267 EINHAUS, DUANE B MIDWEST SERVICES GROUP 06/17/14 DREW J FERRACUTI RUSIN MACIOROWSKI & FRIEDMAN 147 14WC 21436 WALSH, WILLIAM RAILWORKS MAINTENANCE INC 06/01/14 SCHWEICKERT & GANASSIN WOLFE & JACOBSON, LTD 148 14WC 21482 ARREDONDO, ANITA HCC INC 05/14/13 SCHWEICKERT & GANASSIN MACIOROWSKI SACKMANN & ULRIC 149 14WC 24255 ECCLES, RICHARD B HC, INC. 08/08/11 PETER F FERRACUTI & ASSOCI MACIOROWSKI SACKMANN & ULRIC 14WC024256 -C HCC, INC. 14WC024257 -C 14WC041569 -C HCC INC 150 14WC 24599 PENCE, RICHARD VACTOR MANUFACTURING INC 03/05/14 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 151 14WC 24769 HUNKINS, LEONARD C ST OF IL DEPT OF CORRECTI 06/11/13 CONSIDINE LAW OFFICES COLIN KICKLIGHTER 152 14WC 26113 ARNOLD, WILLIAM FLASH INC 10/03/13 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 153 14WC 26729 TAMEZ, RICK SABIC INNOVATIVE PLASTICS 07/03/14 NILSON STOOKAL GLEASON CAP MC ANDREWS & NORGLE LLC 154 14WC 26851 SCHOLLE, MICHAEL RAYMOND SCHOLLE D/B/A 01/15/12 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 155 14WC 26875 HOYT, JENNIFER K IDOT - DISTRICT 3 @ 07/03/14 COLIN KICKLIGHTER 156 14WC 26908 BROWN, SABRA S STATE OF ILLINOIS JACK MA @ 07/17/14 REESE & REESE ASSISTANT ATTORNEY GENERAL 157 14WC 28077 STARKEY, JEFF FEDEX FREIGHT 03/03/14 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 158 14WC 28361 WALSH III, HENRY J CENTRAL PROCESSING CORPOR 01/03/14 TIMOTHY CANTLIN MICHAEL BEST & FRIEDRICH LLC 159 14WC 28402 KUCINSKAS, SHAWN PETSMART DISTRIBUTION CEN 04/11/14 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 160 14WC 29634 HALLAM, DAWN M LASALLE COUNTY NURSING HO 06/12/14 RUBIN LAW GROUP HERBOLSHEIMER LANNON ET AL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 161 14WC 29793 SPEARS, COLETTE MORRIS HOSPITAL 07/25/14 ANTHONY C RACCUGLIA & ASSO STEPHEN P. KELLY 162 14WC 30676 WARNER, BRANDON VACTOR MANUFACTURING 09/09/13 HORWITZ HORWITZ & ASSOC BRADY CONNOLLY & MASUDA PC 163 14WC 31281 KIMBALL, PATRICIA S ST OF IL JACK MABLE DEVEL @ 08/01/14 REESE & REESE ASSISTANT ATTORNEY GENERAL 14WC031282 -C 164 14WC 32259 WALKUP, WILLIAM FGB ENTERTAINMENT AND 01/30/13 BLOCK, KLUKAS & MANZELLA P 165 14WC 32339 BERRIOS, ADRIA ILLINOIS VETERANS HOME 08/16/14 MISKELL LAW CENTER ILLINOIS ATTORNEY GENERAL 166 14WC 33310 IVERSON, KATHLEEN OSF ST ELIZABETH MEDICAL 02/18/12 ANTHONY C RACCUGLIA & ASSO HERBOLSHEIMER LANNON ET AL 167 14WC 34031 HENDERICKSON, N THOMAS ILLINOIS CEMENT COMPANY 09/02/14 ANTHONY C RACCUGLIA & ASSO SPIEGEL & CAHILL, PC 168 14WC 34098 ROBINSON, RON K&M TIRE 05/05/14 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 169 14WC 34337 GOULD, TONY MCCONNAUGHHAY & SONS ROOF 07/15/14 CULLEN HASKINS NICHOLSON RODDY LAW LTD 170 14WC 34539 OSER, DAVID IDOT @ 06/12/14 SCHWEICKERT & GANASSIN COLIN KICKLIGHTER 171 14WC 34906 BROWN, ROY WALMART 07/06/14 CORTINA & MUELLER WIEDNER & MCAULIFFE LTD 172 14WC 35009 CHAMBERS, DUSTIE N STATE OF ILLINOIS @ 07/25/14 REESE & REESE ASSISTANT ATTORNEY GENERAL 173 14WC 35426 BIANCHI, ANTHONY AT&T 04/17/14 MCNAMARA PHELAN MCSTEEN LL 174 14WC 36193 AUSTILL, MARK STATE'S ATTY APPELLATE PR 02/07/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 175 14WC 36449 FUENTES, CECILIA ADVANTAGE LOGISTICS INC 10/14/14 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 14WC036450 -C 176 14WC 37013 PEREZ, NICOLE D ST OF IL DEPT OF JACK MAB 08/19/14 REESE & REESE JEANNINE SIMS 177 14WC 37911 MATEIKA, CHERYL CLOVER TECHNOLOGIES GROUP 06/06/14 SCHWEICKERT & GANASSIN INMAN & FITZGIBBONS 178 14WC 38411 STOCKWELL, DAWN M YORKVILLE COMMUNITY 10/31/14 DREW J FERRACUTI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 179 14WC 39052 HEFLER, BEVERLY OWENS-ILLINOIS, INC. 10/12/14 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 180 14WC 39265 ROGERS, BENJAMIN FLINK 10/27/14 CAPRON & AVGERINOS PC RIPES NELSON BAGGOT KALOBRAT 14WC039266 -C 181 14WC 39787 APPLEMAN, MANDY L STATE OF ILLINOIS @ 05/30/14 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 182 14WC 39978 PEREDA, MARTHA I ANCHOR COUPLING, INC. 10/04/14 PIGNATELLI & ASSOCIATES 183 14WC 40071 MANZANO, GREG ST OF IL, DIXON @ 10/08/13 CORNFIELD & FELDMAN COLIN KICKLIGHTER 184 14WC 40127 AGUIRRE, GUSTAVO PARKER NURSING & REHABILI 07/27/14 SCHWEICKERT & GANASSIN 185 14WC 40350 HEIDENREICH, LINDA CARRIAGE HOUSE CON AGRA I 04/21/14 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 186 14WC 40677 HAGEMAN, MARY LIBERTY VILLAGE NURSING H 10/04/14 JOHN LESAGANICH GANAN & SHAPIRO 187 14WC 40994 BEASLEY, DONNIE LEE JR TURING POINT 09/25/14 PORRO NIERMANN & PETERSEN GAROFALO SCHREIBER STORM 188 14WC 41226 CLIFT, JASON A CITY OF STREATOR 05/31/14 PETER F FERRACUTI & ASSOCI ANCEL GLINK DIAMOND BUSH & E 189 14WC 41589 CLIFT, JASON A CITY OF STREATOR 07/10/12 PETER F FERRACUTI & ASSOCI ANCEL GLINK DIAMOND BUSH & E 190 14WC 42029 STUCCIO, JONATHAN COSTCO WAREHOUSE 07/17/14 CORTINA & MUELLER GANAN & SHAPIRO 191 14WC 42164 IVY, LLOYD II HOUSING AUTHORITY OF 04/27/10 EMMANUEL F GUYON GILDEA & COGHLAN 192 15WC 00288 MORA, JAVIER DEL MONTE CORP 08/25/14 SCHWEICKERT & GANASSIN RODDY LAW LTD 193 15WC 00552 LADSON, KENNETH ILLINOIS CEMENT CO INC 06/03/14 SCHWEICKERT & GANASSIN SPIEGEL & CAHILL, PC 194 15WC 00862 SANTOY, MARY MBL USA CORP 09/23/13 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 195 15WC 01185 WEIGT, DAVID ST OF IL DEPT OF 07/01/14 WHITESIDE & GOLDBERG LTD JEANNINE SIMS 196 15WC 01187 WEIGT, DAVID ST OF IL DEPT OF 02/15/14 WHITESIDE & GOLDBERG LTD 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 DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 15WC 01318 STOREY, JOSEPH OAK STATE PRODUCTS 11/13/14 DWORKIN AND MACIARIELLO KNELL LAW LLC 198 15WC 03235 JENNER, DEBBIE CREST FOODS 02/14/12 GESMER LAW OFFICES, PC ACCIDENT FUND HOLDINGS 199 15WC 04010 VANPELT, RAY WJ STONE ACE HARDWARE INC 03/11/12 MACIOROWSKI SACKMANN & ULRIC 200 15WC 04930 MARTINEZ, CRISTINA RURAL KING SUPPLY 12/01/14 SCHWEICKERT & GANASSIN LAW OFFICES FRANCESCA LARSEN 201 15WC 05350 RUTKOWSKI, TADEUSZ NORTHFIELD BLOCK CO 10/24/12 DONALD M. PHELAN COZZI & GOGGIN-WARD 202 15WC 05938 DICKSON, PAULA K. STATE OF ILLINOIS @ 12/14/14 REESE & REESE ASSISTANT ATTORNEY GENERAL 203 15WC 06084 ROSE, CATHERINE TASC 12/08/14 PETER F FERRACUTI & ASSOCI JEANNINE SIMS 204 15WC 06731 RICHARDSON, CANDACE COUNTY COMFORT OF PRINCET 10/21/14 A RANDOLPH COMBA HENNESSY & ROACH PC 205 15WC 06948 CANNON, PAMELA S WALMART SUPERCENTER 07/03/14 DREW J FERRACUTI GANAN & SHAPIRO 15WC006949 -C 206 15WC 07067 REASKA, WILLIAM IDOT 02/14/15 SCHWEICKERT & GANASSIN JEANNINE SIMS 15WC030088 -C ST OF IL DEPT OF 207 15WC 07149 WEHRLY, REBECCA MIDWEST SLEEP ASSOC 01/23/15 RATHBUN CSEVENYAK & KOZOL HOLECEK & ASSOCIATES 208 15WC 07410 FREY, MARRISSA L SPECTRUM BRANDS 08/19/14 PETER F FERRACUTI & ASSOCI COZZI & GOGGIN-WARD 209 15WC 07873 HUBBARD, RANDY FLINK CO 02/03/15 PETER F FERRACUTI & ASSOCI 210 15WC 08081 MC CLAIN, CANDACE AMERICAN RED CROSS 02/13/15 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 211 15WC 08091 SHERIDAN, TARA L. STATE OF ILLINOIS, JACK M @ 02/03/15 REESE & REESE JEANNINE SIMS 212 15WC 08124 DAHNKE, JACOB PET'S MART 01/08/15 BERTRAND LAW OFFICE 213 15WC 08161 REBOLLAR, OCTAVIO MIDWEST MANUFACTURING 08/10/14 JAMES ELLIS GUMBINER & ASS 214 15WC 08514 KRUG, JEREMY ILLINOIS DEPT 10/19/12 ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 15WC 08985 BOHM, DANIEL LEE ADVANCED DRAINAGE SYSTEMS 02/26/15 STROW LAW LLC HOLECEK & ASSOCIATES 216 15WC 09022 PEREDA, MARTHA I ANCHOR COUPLING, INC. 03/04/13 PIGNATELLI & ASSOCIATES 217 15WC 09051 CEJA, BRANDY CLANCEY MANLY BROTHERS OF 01/06/15 SCHWEICKERT & GANASSIN BRADY, CONNOLLY & MASUDA, PC 218 15WC 09406 PACK, MICHAEL CITY OF LASALLE 02/24/15 PETER F FERRACUTI & ASSOCI RODDY LAW LTD 15WC035253 -C 219 15WC 09654 BASHTON, MAUREEN FRESENIUS MEDICAL CARE 01/01/14 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 220 15WC 09802 LUDENS, DAVID RAYNOR GARAGE DOORS 03/05/15 RIDGE & DOWNES LAW OFFICES JOSEPH MARCINIAK 221 15WC 10505 BOTTOMS, WILLIAM MBL USA CORP 03/09/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 222 15WC 10830 TERRELL, RICKY E CON-WAY ENTERPRISE 06/26/12 PERONA, PETERLIN, ANDREONI RUSIN & MACIOROWSKI LTD 223 15WC 10992 VANGELISTI, JUANITA MANAGCARE INC 02/09/15 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 224 15WC 11932 PEKICH, ANTHONY J ADVANCE AUTO PARTS 01/09/15 BURNETT & CARON, LTD 225 15WC 11973 LENHAUSEN, LACI HERITAGE HEALTH 10/11/14 PETER F FERRACUTI & ASSOCI 226 15WC 12203 MOREL, VICKI DOCUMENT IMAGING DIMENSIO 10/24/14 227 15WC 12379 HAMPTON, SHELLEY HCC INC 02/25/14 MARTIN V KUGIA MACIOROWSKI SACKMANN & ULRIC 228 15WC 13224 BLANCO, LUKE WAL-MART DISTRIBUTION CEN 01/06/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 229 15WC 13233 TYNE, KENLY J. WALMART DISTRIBUTION 04/13/15 BERTRAND LAW OFFICE WIEDNER & MCAULIFFE LTD 230 15WC 13323 FOLTYNEWICZ, ERIC ADM GRAIN 01/23/15 JOHN C SERKLAND HEYL ROYSTER VOELKER & ALLEN 15WC013324 -C 231 15WC 13577 DYER, JERRIE CHRISTINE FLEXICORPS INC 01/16/15 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 232 15WC 14339 APPENZELLER, TIMOTHY UPM RAFLATAC 04/07/15 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 233 15WC 14363 SHERROD, ROBERT DIXON DIRECT 04/07/15 BLACK & JONES HOLECEK & ASSOCIATES 234 15WC 14580 CHANDAMANY, KEONOUSUK WRIGLEY 12/01/14 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 235 15WC 14793 JOHNSON, BRETT A. WHITTAKER CONSTRUCTION & 04/14/14 PETER F FERRACUTI & ASSOCI WOLF LAW LTD 236 15WC 15185 SWARTZ, LINDA SEATTLE SUTTONS HEALTHY 04/09/15 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 237 15WC 15314 JACOBY, EUGENE L ILLINOIS TOLLWAY AUTHORIT 11/21/13 O'CONNOR & NAKOS GANAN & SHAPIRO 238 15WC 15540 KEARY, JACKIE WALNUT GROVE 12/23/14 SCHWEICKERT & GANASSIN 239 15WC 15824 SONS, SHAWN IL DEPT OF TRANSPORATION @ 02/22/14 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 240 15WC 16129 THARP, MIKE TRANSCANADA ANR 08/09/13 STROM, NEAL B COZZI & GOGGIN-WARD 241 15WC 16291 WEETS, BRITNEY G PERSLEY INSURANCE AGENC 02/26/15 PIGNATELLI & ASSOCIATES 242 15WC 16294 BASHTON, MAUREEN FRESENIUS MEDICAL CARE 12/30/14 WHITESIDE & GOLDBERG LTD HENNESSY & ROACH PC 243 15WC 16310 HERNANDEZ, RAFAEL WRIGLEY 04/26/14 MC HARGUE, JAMES P LAW OFF GAROFALO SCHREIBER STORM 244 15WC 16833 MCKINNON, MYRTLE D WALMART SUPERCENTER #844 11/12/13 O'CONNOR & NAKOS WIEDNER & MCAULIFFE LTD 245 15WC 17095 MANDUJANO, GLORIA DEL MONTE FOODS CO 09/19/14 PERONA, PETERLIN, ANDREONI RODDY LAW LTD 246 15WC 17149 KEEVER, JOSEPH SWIFT TRANSPORATION CO. 07/30/14 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 247 15WC 18425 ALVARADO, ANA LASALLE COUNTY HEALTH DEP 01/22/15 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 248 15WC 19461 FALETTI, DON RP LUMBER 05/19/15 WOLF LAW LTD 249 15WC 19778 FINK, ALBERT VACTOR MANUFACTURING 05/01/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 250 15WC 19902 KRESAL, DAVID INFRA-METALS 03/19/15 JASINSKI, GEORGE J POULOS & DIBENEDETTO LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 251 15WC 20439 JACOBY, EUGENE L. ILLINOIS TOLLWAY AUTHORIT @ 01/05/15 O'CONNOR & NAKOS GANAN & SHAPIRO 252 15WC 21260 HENSON JR, TIMOTHY W INDEPENDENCE TUBE CORPORA 02/06/15 PETER F FERRACUTI & ASSOCI 253 15WC 21526 MARQUINA, LETICIA LA SALLE VETERANS HOME/ST @ 01/21/15 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 254 15WC 21966 DEL FAVERO, TINA ALDI'S INC 04/16/15 RAYMOND M SIMARD, PC 16WC006182 -C 255 15WC 22329 LINDHOLM, JASON MENARDS DISTRIBUTION 06/02/15 HORWITZ HORWITZ & ASSOC RODDY LAW LTD 256 15WC 22889 MILLER, ANN GARY BRADBURY & DEBRA SWI W 07/23/14 SCHWEICKERT & GANASSIN BERTRAND LAW OFFICE 257 15WC 23106 HUISMAN, APRIL AEGIS THERAPIES 12/04/14 CAPRON & AVGERINOS PC EVANS & DIXON, LLC 258 15WC 23173 BOTTOMS, GARRETT FRESH AIR DUCT CLEANING 09/21/13 ANESI OZMON RODIN NOVAK KO 259 15WC 23498 BOYLE, BARRY TRI-CITY ELECTRIC CO 06/22/15 HORWITZ HORWITZ & ASSOC CACCHILLO LAW GROUP LLC 260 15WC 23704 SCHEFF, RAYMOND J WALMART 07/09/15 MERTES & MERTES PC 261 15WC 23856 HERRERA, MARICELA HERITAGE WOODS OF YORKVIL 07/21/15 PORRO NIERMANN & PETERSEN SLAVIN & SLAVIN 262 15WC 24598 SANCHEZ-GONZALEZ, HUGO UNIQUE PESONNEL CONSULTAN 01/22/15 PETER F FERRACUTI & ASSOCI HENNESSY & ROACH PC 15WC024599 -C 263 15WC 25382 HALSEY, DAVID POMP'S TIRE SERVICE INC 06/29/15 CLARK JUSTEN ZUCCHI KNELL & O'CONNOR 15WC025631 -C 264 15WC 25410 MCQUISTON, BRIAN IMPERIAL MARBLE 12/15/14 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 265 15WC 25624 KNAPP, CATHY ILLINOIS VALLEY INDUSTRIE 12/16/13 KOSIN LAW OFFICE LTD WIEDNER & MCAULIFFE LTD 266 15WC 25717 MULERO, EDWIN STERTIL ALM COOPERATION 06/03/15 DREW J FERRACUTI ACCIDENT FUND HOLDINGS 267 15WC 25978 RAMIREZ, VANESSA BROWN GROUP RETAIL INC. 01/12/15 E JAMES RAYMOND

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 268 15WC 26166 BISKIE, TAMMIE CASEY'S GENERAL STORE 07/07/15 MEYERS & FLOWERS 269 15WC 26395 QUICK, KENNETH JB HUNT TRANSPORT SERVICE 04/20/15 DAVID W OLIVERO KEEFE CAMPBELL & ASSOC LLC 270 15WC 27206 MARINI, RONALD J IDOT @ 05/15/14 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 271 15WC 27559 SCHROEDER, ANDREW SEWER EQUIPMENT OF AMERIC 05/27/15 PIGNATELLI & ASSOCIATES ROSARIO CIBELLA 272 15WC 27636 GUTIERREZ, RUDY OPTIMUM FULLMENT 06/26/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 273 15WC 28070 LLOYD, CHRISTOPHER FIRST AMERICAN METAL CORP 03/20/15 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 274 15WC 28089 HAYS, CLARISSA J. OWENS-BROCKWAY GLASS CONT 06/14/15 SCHWEICKERT & GANASSIN POWER & CRONIN LTD 275 15WC 28238 BOLECH, KAREN OAK STATE PRODUCTS, INC. 11/11/14 ANTHONY C RACCUGLIA & ASSO KNELL LAW LLC 276 15WC 28282 REINBECK, PATRICK ILLINOIS DEPARTMENT OF @ 03/21/14 MARTIN V KUGIA ASSISTANT ATTORNEY GENERAL 277 15WC 29077 REYES, ELENA MID AMERICAN GROWERS 03/30/15 WILLIAMS, ROBERT B LAW OFF HENNESSY & ROACH PC 278 15WC 29570 GOTCH, WILLIAM STREATOR ELEMENTARY SCHOO 02/04/15 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 15WC029571 -C 15WC029572 -C 279 15WC 29811 SCHULTZ, BRAD E. GLEN-GERY BRICK 08/27/15 DREW J FERRACUTI HOLECEK & ASSOCIATES 280 15WC 29920 OSER, DAVID IDOT @ 08/21/13 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 281 15WC 30039 CRAMER, JEFFREY YRC, INC D/B/A YRC FREIGH 08/11/15 282 15WC 30062 HARRIS, ANNETTE JEWEL FOOD STORES 07/21/14 O'CONNOR & NAKOS 283 15WC 30128 GARLAND, MATTHEW STARK EXCAVATING INC. 08/18/15 SCHWEICKERT & GANASSIN HEYL ROYSTER VOELKER & ALLEN 284 15WC 30215 GEORGE, DONNA PLANO MOLDING 08/24/13 TURNER & SACKETT LLC NYHAN BAMBRICK KINZIE & LOWR 285 15WC 30306 DURRE, RONALD JR DIERZEN WELDING & MACHINE 07/24/15 BERTRAND LAW OFFICE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 286 15WC 30504 CASH, SUSANNE ALDI INC 06/24/15 TIMOTHY E. TAKASH BRADY CONNOLLY & MASUDA PC 287 15WC 30581 FERGUSON, THOMAS R EXELON DRESDEN PLANT 05/07/15 BLOCK, KLUKAS & MANZELLA P HENNESSY & ROACH PC 288 15WC 32039 JOHNSON, TIFFANY C KISH HEALTH SYSTEMS 09/20/15 WILLIAMS, ROBERT B LAW OFF SCOPELITIS GARVIN LIGHT 289 15WC 32260 MANRIQUE, BEATRIZ WRIGHLEY MANUFACTURING CO 12/02/14 WOODRUFF & JOHNSON GAROFALO SCHREIBER STORM 290 15WC 32581 FLANNERY, MICHAEL L OBERG FREIGHT COMPANY 09/09/15 DREW J FERRACUTI 15WC032943 -C 291 15WC 32963 BARRAZA, VICTOR MASCO CORPORATION 12/30/14 RIDGE & DOWNES MARTIN, PATRICK W 15WC032965 -C 292 15WC 33461 GARAS, SANDRA D WAL-MART STORES, INC. 08/24/14 GREG TUITE & ASSOC QUINTAIROS PRIETO WOOD & BOY 293 15WC 33647 VESCOVI, DIANA MENARD'S INC 08/27/15 SCHWEICKERT & GANASSIN RODDY LAW LTD 294 15WC 33773 MEDELLIN, JUAN DURO CAST, INC. 09/30/15 BERTRAND LAW OFFICE HOLECEK & ASSOCIATES 295 15WC 33996 HAMILTON, LEANN ADDUS HEALTH CARE 09/23/15 STROW LAW LLC HENNESSY & ROACH PC 296 15WC 34137 TRUEMPER, CHRIS DIXON CORRECTIONAL CENTER 08/31/15 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 297 15WC 34451 MARTIN, SPENCER MENARDS DISTRIBUTION CTR 07/22/15 THE ROMAKER LAW FIRM CHILTON YAMBERT PORTER LLP 298 15WC 34845 MYERS, PATTI WAL MART SUPERCENTER 04/29/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 299 15WC 34878 BRITO, MARTIN ALLIED LOCKE, IND. 08/26/15 PIGNATELLI & ASSOCIATES 300 15WC 35025 SOLIS, RENE MENARDS DISTRIBUTION CENT 03/03/15 KINNALLY FLAHERTY KRENTZ & CHILTON YAMBERT PORTER LLP 301 15WC 35054 CHAFFER, LAUREN M SVD HOSPITALITY & RESORTS 02/21/15 ANTHONY C RACCUGLIA & ASSO MCCARTHY LEONARD KAEMMER 302 15WC 35358 LADD, WAYNE E ILLINOIS STATE POLICE 02/19/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 303 15WC 35756 THOMAS, WILLIAM REGENCY CARE 10/13/15 CORTINA & MUELLER WOLFE & JACOBSON, LTD 304 15WC 36124 CHRONISTER, JOHNNY JAMES HARDIE BUILDING 09/14/15 SCHWEICKERT & GANASSIN LITCHFIELD CAVO 15WC036278 -C 15WC042166 -C 15WC042168 -C 305 15WC 36255 LOPEZ, AURORA GOODWILL INDUSTRIES 09/23/15 RIDGE & DOWNES 306 15WC 36741 JOHNSON, JASON FLEX-O-GLASS, INC. 03/24/15 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 307 15WC 37094 JARRETT, DANNY MANPOWER 10/21/15 STROW LAW LLC HENNESSY & ROACH PC 308 15WC 37149 JAKUPCAK, JOE WALMART DISTRIBUTION CTR 10/06/15 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 309 15WC 38064 KELLEY, SHANE RAGLAND BUILDINGS 09/28/15 PETER F FERRACUTI & ASSOCI THOMAS & ASSOCIATES 310 15WC 38506 MANZO, ASHLEY WALMART DISTRIBUTION CTR 06/15/15 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 311 15WC 38641 WILLIAMS, TERRY ST MARY CEMENT 11/10/15 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 312 15WC 38957 WOLF, ROBERT SAUK VALLEY MEDIA 02/19/14 STRONG LAW OFFICE 313 15WC 39203 MATHES, RALPH LYONDELL BASELL INC. 07/03/14 SCHWEICKERT & GANASSIN 314 15WC 39309 MAGNUSON, DAWN WALMART DISTRIBUTION CENT 10/10/15 PETER F FERRACUTI & ASSOCI WIEDNER & MCAULIFFE LTD 315 15WC 39500 YORK, JERRY US TRUCK BODY 07/15/15 DAVID W OLIVERO 316 15WC 39609 COLON-RUIZ, PEDRO UNITED AIRLINES 12/12/13 BELCHER LAW OFFICE 317 15WC 39653 CROZIER, LISA ZIP PAK INC. 11/25/15 SCHWEICKERT & GANASSIN 318 15WC 39680 HOOD, GREGORY BAY VALLEY FOODS 10/23/15 REESE & REESE 319 15WC 39711 SPANOS, DANIEL J JR HERITAGE ENTERPRISES 01/07/14 STROW LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 320 15WC 39874 ANDERSON, TIM AT&T 11/26/13 CORTINA & MUELLER 321 15WC 39920 ZEBRON, BRIAN T LASALLE POLICE DEPT 08/31/15 PERONA, PETERLIN, ANDREONI POWER & CRONIN LTD 322 15WC 39995 BOYER, DARRIN B CITY OF PLANO 11/13/15 PERONA, PETERLIN, ANDREONI RUSIN & MACIOROWSKI LTD 323 15WC 41257 BURRELL, GARY PET SMART 12/15/14 JOHN F GREGORIO & ASSOC WIEDNER & MCAULIFFE LTD 324 15WC 41450 DAVIS-SCHAUM, PATRICIA KENDALL COUNTY SPECIAL 11/05/15 WOODRUFF & JOHNSON INMAN & FITZGIBBONS 325 15WC 41574 ALMARAZ, THERESA MENARDS DISTRIBUTION CENT 12/06/14 R GARY GOODING, LTD 326 15WC 41696 HARVEY, TIMOTHY G HCC INC 09/22/15 KATZ FRIEDMAN EAGLE ET AL MACIOROWSKI SACKMANN & ULRIC 327 15WC 41912 LOPEZ, ROSE MENARDS DISTRIBUTION CENT 08/13/15 EFTEKHARI LAW OFFICES 328 15WC 42398 CHRISTIANSEN, VIRGINIA PLEASANT VIEW 04/14/15 WOODRUFF & JOHNSON 329 15WC 42434 BASKIN-BOWIE, PHYLLIS PILOT TRAVEL CENTERS, LLC 05/01/15 SCHWEICKERT & GANASSIN BRADY, CONNOLLY & MASUDA, PC 330 15WC 42610 SMILEY, TABITHA SULLIVAN FOODS INC 12/14/15 SCHWEICKERT & GANASSIN 331 16WC 00078 CELAYA, BALDEMAR CABRERA RON'S STAFFING INC 10/29/15 THE ROMAKER LAW FIRM GAROFALO SCHREIBER STORM 332 16WC 00465 GODWIN, KATRINA ATLANTIC PLANT 02/04/15 DREW J FERRACUTI MACIOROWSKI SACKMANN & ULRIC 333 16WC 00518 KAMINSKI, BILL DEKALB COUNTY SHERIFF'S O 11/21/15 MEYERS & FLOWERS WILLIAMS MCCARTHY LLP 334 16WC 00645 TRUTY, KAREN MANLEY BROTHERS, INC. 08/28/15 PETER F FERRACUTI & ASSOCI BRADY, CONNOLLY & MASUDA, PC 335 16WC 00741 AREVALO, JOSE JOSE G. CORREA INDIV D/B/ 12/11/15 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 336 16WC 01100 BLIVEN, JEFFREY MORSE ELECTRIC 12/14/15 GESMER LAW OFFICES, PC CACCHILLO LAW GROUP LLC 337 16WC 01260 SCHOTT, GERALD A OTTAWA TOWNSHIP HIGH SCHO 10/22/15 DREW J FERRACUTI ANCEL GLINK DIAMOND BUSH & E

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 338 16WC 01397 MCKEOWN, WILLIAM PAUL REPUBLIC SVCS 12/28/15 PETER F FERRACUTI & ASSOCI 339 16WC 01637 MACKENZIE, BENJAMIN L INFRA METALS D/B/A RELIAN 12/04/15 MARTIN V KUGIA POULOS & DIBENEDETTO LAW 340 16WC 02422 LAND, WILLIAM DESIGN STAIRS 03/25/15 KINNALLY FLAHERTY KRENTZ & RODDY LAW LTD 341 16WC 02752 ECHOLS, WILLIAM PFAUL TRUCKING 01/11/16 WOODRUFF & JOHNSON 342 16WC 02862 GREUBEL, ALLEN BRIDGEMARK/HILLSIDE REHAB 12/28/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES FRANCESCA LARSEN 343 16WC 03053 ATOR, REGINALD HANDY FOODS 07/27/15 HORWITZ HORWITZ & ASSOC 344 16WC 03549 BEGGS, BRIAN JIMMY JOHNS 08/24/15 LAW OFFICE OF SCOTT B SHAP QUINN JOHNSTON HENDERSON ETA 345 16WC 03661 MATHIEU, DEBRA HEARTLAND BANK & TRUST CO 11/24/15 PERONA, PETERLIN, ANDREONI 346 16WC 03779 DARM, KAREN HERITAGE ENTERPRISES, INC 06/17/14 ANTHONY C RACCUGLIA & ASSO RIPES NELSON BAGGOT KALOBRAT 347 16WC 03921 WOODS, BRYAN US FOODS 12/30/15 DWORKIN AND MACIARIELLO BRADY CONNOLLY & MASUDA PC 348 16WC 04363 JACOBS, JAMIE WESTCARE FOUNDATION 01/29/16 STROW LAW LLC 349 16WC 04448 ROSSI, JONATHAN IL DEPT OF TRANSPORTATION 11/13/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 350 16WC 04515 MORALES, CARLOS R UTILITY CONCRETE PRODUCTS 02/04/16 RUBIN LAW GROUP MC ANDREWS & NORGLE LLC 351 16WC 04859 MATAS, LISA L FLINK COMPANY 01/18/16 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 16WC004860 -C 352 16WC 05102 STEPHENSON, NORTON D JR OTTAWA PLANT FOOD INC 01/28/16 DREW J FERRACUTI 353 16WC 05574 ROTHCHILD, SYDNEY WALMART SUPERCENTER 05/31/15 SCHWEICKERT & GANASSIN 354 16WC 05669 DURRE, MARK UNYTITE, INC. 01/07/16 BERTRAND LAW OFFICE CHILTON YAMBERT PORTER LLP 355 16WC 05687 KNAFELC, GREG ILLINI PRECAST, LLC. 02/08/16 SCHWEICKERT & GANASSIN GILDEA & COGHLAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 356 16WC 05797 PACK, MICHAEL CITY OF LASALLE 01/11/16 PETER F FERRACUTI & ASSOCI 357 16WC 06504 JENSEN, MONICA JACK MABLEY DEVELOPMENTAL 01/16/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 358 16WC 06562 RICHTER, BRIAN L. RAYNOR MANUFACTORING COMP 08/13/15 REESE & REESE LAW OFFICES JOSEPH MARCINIAK 359 16WC 06796 DUNN, ALICIA APERION CARE SPRING VALLE 01/09/16 SCHWEICKERT & GANASSIN 360 16WC 07370 BERTRAND, ALISHA CB & I SERVICES INC 02/20/16 BERTRAND LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 361 16WC 07410 SARVER, KYLE E BALLARD'S TREE & STUMP RE W 01/29/16 MERTES & MERTES PC LAW OFFICES KENNETH MAHAFFEY 362 16WC 07537 MAROTTA, ANN PETSMART 09/25/13 ANTHONY C RACCUGLIA & ASSO WIEDNER & MCAULIFFE LTD 363 16WC 07579 TORRES, ANTONIO MENDOTA AGRI PRODUCT, INC 02/19/16 PERONA, PETERLIN, ANDREONI INMAN & FITZGIBBONS 364 16WC 07917 HALL, JODY M. FRESENIUS MEDICAL CARE 09/04/14 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH PC 365 16WC 08249 SMITH, EMILY US FOOD SERVICES OF IL IN 05/25/16 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 366 16WC 08258 TRACY, KIMBERLY M ILL CAPITAL DEV BOARD @ 12/15/15 PERONA, PETERLIN, ANDREONI ASSISTANT ATTORNEY GENERAL 367 16WC 08302 POE, JULIA A RURAL KING SUPPLY 01/28/16 ANESI OZMON RODIN NOVAK KO KEEFE CAMPBELL & ASSOC LLC 368 16WC 08526 LAIR, MADONNA MC DONLAD'S 02/11/14 MEYERS & FLOWERS 369 16WC 08620 MASON, RONALD AUTOZONE, INC. 03/08/15 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 370 16WC 08689 MORINA, FIDAN MENARDS 01/16/13 PORRO NIERMANN & PETERSEN 371 16WC 08805 MUNOZ, MARIA COLOR POINT 08/01/14 COSTA IVONE LLC 372 16WC 09473 MELVIN, JAMES R WAL-MART SUPERCENTER 03/04/16 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 373 16WC 09845 LANDRUM, JOHN III INVENERGY 03/01/16 HORWITZ HORWITZ & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 374 16WC 09977 SMITH, BRADLEY J BECK OIL COMPANY 02/05/16 SCHWEICKERT & GANASSIN CAPUANI & SCHNEIDER 375 16WC 10219 ROSALES NUNEZ, DALIA MIDWEST MANUFACTURING D/B 09/25/15 BUDIN LAW OFFICES 376 16WC 10333 THOMPSON, TERRY W MORRIS TRANSMISSION & AUT 02/12/16 KAVANAGH GRUMLEY & GORBOLD HOLECEK & ASSOCIATES 377 16WC 10498 COOPER, GERI L GOOD SAMARITAN NURSING HO 11/09/15 BRASSFIELD KRUEGER & RAMLO KEEFE CAMPBELL & ASSOC LLC 378 16WC 10653 GUZMAN, LORETA DE MONTEREY MUSHROOMS 01/24/16 MARSZALEK AND MARSZALEK BRADY CONNOLLY & MASUDA PC 379 16WC 10772 BOULT, STEVE KALUZNY BROTHERS INC 02/19/16 HORWITZ HORWITZ & ASSOC CAPUANI & SCHNEIDER 380 16WC 11174 HAYWOOD, CODY CULVER'S 11/11/14 LAW OFFICES MICHAEL HELLMA 381 16WC 11507 ALBITER, JAVIER STATION IMAGING 12/20/15 DISPARTI LAW GROUP PA 382 16WC 11576 NEAR, ELIZABETH A ALLIED LOCKE INDUSTRIES 03/02/16 REESE & REESE ACCIDENT FUND HOLDINGS 383 16WC 12229 RUGER, BRADLEY L U.S. SILICA COMPANY 01/18/16 ANESI OZMON RODIN NOVAK KO 384 16WC 12318 LINGENFELTER, BRADLEY A UNIMIN CORPORATION 03/28/16 PETER F FERRACUTI & ASSOCI 385 16WC 12360 SEVERSON, JACOB FIRST AMERICA METAL CORP 05/26/15 CORTINA & MUELLER 386 16WC 12378 FASSO, JONELL MENARD'S DISTRIBUTION CEN 04/12/16 STROW LAW LLC 387 16WC 12746 BALZARINE, JAMES O'REILLY AUTO PARTS, LLC 03/24/16 SCHWEICKERT & GANASSIN HENNESSY & ROACH PC 388 16WC 12991 ROBERTS, IRENE CREST FOODS INC 06/12/14 TURNER & SACKETT LLC 389 16WC 13274 GOODWIN, RON K DEPT OF TRANSPORTATION @ 02/23/16 RIDGE & DOWNES MATTHEW J KELLER 390 16WC 13450 REID, ROBERT LASALLE COUNTY SHERRIFF'S 01/09/16 BOUDREAU NISIVACO LLC 391 16WC 13830 HOLLOWAY, BRADLEY C. MARK PIPER CONSTRUCTION,I 04/05/16 MERTES & MERTES PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 392 16WC 14009 SPANOS, DANIEL J DOUBLE D EXPRESS, INC 01/21/16 LAW OFFICE OF CHRIS DOSCOT JAMES M KELLY 393 16WC 14214 REUTER, CURTISS D LCN CLOSURES A/K/A 08/13/14 SCHWEICKERT & GANASSIN 394 16WC 14328 MARTINEZ, DAVID H MANPOWER 04/15/16 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 395 16WC 14644 WIEKERT, MORGAN PARK POINTE HEALTHCARE & 11/25/15 WHITESIDE & GOLDBERG LTD BRADY, CONNOLLY & MASUDA, PC 396 16WC 15100 TERBUSH, JESSICA MARIA VETERANS HOME 03/14/16 MEYERS & FLOWERS MATTHEW J KELLER 397 16WC 15411 CONTRERAS, AMANDA KOHL'S DISTRIBUTION CENTE 04/01/16 PETER F FERRACUTI & ASSOCI CHILTON YAMBERT PORTER LLP 398 16WC 15447 LOPEZ, ANTONIO MONTEREY MUSHROOMS INC 09/23/15 STRONG LAW OFFICE 399 16WC 15934 OLIVER, ESPIRIDION CESAR RAMIREZ HERNANDEZ I W 01/12/16 SCHWEICKERT & GANASSIN 400 16WC 15991 TULLY, MICHAEL CB & I 11/10/15 JASINSKI, GEORGE J RIPES NELSON BAGGOT KALOBRAT 401 16WC 16389 TULLETT, BRYAN MENARDS, INC. 12/28/15 SCHWEICKERT & GANASSIN 402 16WC 16428 OCHOA, JULLIAN EAKAS CORP 05/23/16 DWORKIN AND MACIARIELLO 403 16WC 16543 CHEZUM, TONYA L. AG VIEW FS, INC. 10/21/14 KATZ HUNTOON & FIEWEGER P RUSIN & MACIOROWSKI LTD 404 16WC 16628 BURASH, MICHAEL OSF ST ELIZABETH MEDICAL 04/14/16 PETER F FERRACUTI & ASSOCI HERBOLSHEIMER LANNON ET AL 405 16WC 17034 FRENCH, EDWARD O ST OF IL/SHERIDAN CORRECT @ 05/19/16 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 406 16WC 17342 WILINSKI, PAULA STREATOR UNLIMITED INC 03/16/16 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 407 16WC 17403 HERRERA, CHRISTINA PEOPLELINK LLC 05/14/16 SCHWEICKERT & GANASSIN WOLF LAW LTD 408 16WC 17488 GOTCH, WILLIAM STREATOR ELEMENTARY SCHOO 12/22/15 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 409 16WC 17563 TREMBLY, WILLIAM UNYTITE 05/20/16 PETER F FERRACUTI & ASSOCI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 410 16WC 17598 MALDONADO, ABEL MIDWEST MANUFACTORING/MEN 12/15/15 MC HARGUE, JAMES P LAW OFF 411 16WC 17664 GRAY, AMANDA OAK STATE 02/02/16 BRASSFIELD KRUEGER & RAMLO 412 16WC 17939 VALENCIK, SCOTT KENDALL COUNTY SHERIFF'S 04/12/16 HORWITZ HORWITZ & ASSOC INMAN & FITZGIBBONS 413 16WC 18035 DODSON, LINDA WALMART SUPERCENTER 01/20/15 SCHWEICKERT & GANASSIN QUINTAIROS PRIETO WOOD & BOY 414 16WC 18247 MEYER, LARRY ST OF IL, DEPT OF CORRECT 11/22/15 PIGNATELLI & ASSOCIATES 415 16WC 18621 ROBINSON, DERRICK FASTENAL 01/29/16 DWORKIN AND MACIARIELLO 416 16WC 18927 MASQUIDA, OSWALDO NICOR GAS 06/23/15 GOLDBERG WEISMAN & CAIRO L MACIOROWSKI SACKMANN & ULRIC 417 16WC 19254 SANTOY, BENITO BLAIN'S FARM & FLEET 06/12/16 DREW J FERRACUTI 418 16WC 19330 KLOCK, JAMIE JAMES HARDIE BUILDING 12/28/15 SCHWEICKERT & GANASSIN LITCHFIELD CAVO 419 16WC 19535 CHAMBERLAIN, MARIAN CLIFFORD W ESTES CO 04/21/16 SCHWEICKERT & GANASSIN 420 16WC 19922 DANTZLER, ZENA STATE OF ILLINOIS @ 04/19/16 ROUSKEY & BALDACCI ASSISTANT ATTORNEY GENERAL 421 16WC 20122 BURNS, RICHARD EUGENE COMPLETE PERSONNEL LOGIST 08/28/15 MCCALL LAW OFFICES PC 422 16WC 20627 WALLGREN, KATHY A LASALLE VETERANS HOME/ST @ 05/23/16 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 423 16WC 20799 WILKENS, MICHAEL OAK STATE PRODUCTS, INC. 06/15/16 SCHWEICKERT & GANASSIN KNELL LAW LLC 424 16WC 21307 PAPENBURG, NIKKI DOLLAR GENERAL 05/21/16 PETER F FERRACUTI & ASSOCI 425 16WC 21439 PUENTE, CARLOS MAINTENANCE COATING, CO. 10/26/12 NEWLAND & NEWLAND 426 16WC 21520 SIEFERT, JOHN STATE OF ILLINOIS @ 08/10/13 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 427 16WC 21801 GREEN, WANDA THE KROGER COMPANY 05/05/16 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 428 16WC 21992 EDMONDS, CAROL WALMART SUPERCENTER 06/10/16 SCHWEICKERT & GANASSIN GANAN & SHAPIRO 429 16WC 22109 HALSTEAD, VICTORIA R. ALDI'S 06/23/16 ROUSKEY & BALDACCI 430 16WC 22467 ALCARAZ, ABRAHAM MENARDS 08/19/15 PORRO NIERMANN & PETERSEN 431 16WC 22517 HICKS, VERRONDA D. DIXON ELKS LODGE 779 03/04/11 REESE & REESE WIEDNER & MCAULIFFE LTD 432 16WC 22562 PERALTA, GINA R AURORA SPECIALTY 01/25/16 TUITE LAW 433 16WC 23052 WHITE, DEVON SECURITAS SECURITY 07/07/16 SCHWEICKERT & GANASSIN INMAN & FITZGIBBONS 434 16WC 23139 DONOHO, MERLEY SCHLAGE LOCK COMPANY LLC 06/03/16 SCHWEICKERT & GANASSIN HOLECEK & ASSOCIATES 435 16WC 23649 GROSSMAN, CECILIA A. SPECTRUM BRANDS, INC. 06/18/15 REESE & REESE COZZI & GOGGIN-WARD 436 16WC 23805 LAABS, TROY INFRA-METALS 09/15/14 CORTINA & MUELLER 437 16WC 23989 GALLAGHER, BETHANY PLEASANT VIEW LUTHER HOME 11/22/15 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 438 16WC 24231 BAIRD, KELLY A. TARGET CORPORATION 04/07/15 PERONA, PETERLIN, ANDREONI 439 16WC 24458 MC MULLEN, KAREN L. ILLINOIS CENTRAL SCHOOL B 05/12/16 DREW J FERRACUTI GILDEA & COGHLAN 440 16WC 24589 ABRAHAN, SIMON ACE HARDWARE DISTRIBUTION 05/02/16 SCHWEICKERT & GANASSIN KLAUKE LAW GROUP LLC 441 16WC 24719 BAILEY, JAMES NICHOLS CRANE RENTAL 06/08/16 HORWITZ HORWITZ & ASSOC QUINTAIROS PRIETO WOOD & BOY 442 16WC 24810 PAGE, CHRISTOPHER INDUSTRIAL FLOORING 04/01/16 BOTTO GILBERT BRADY, CONNOLLY & MASUDA, PC 443 16WC 24822 LEWIS, JAMIE ALDI 05/31/16 GOLDSTEIN BENDER & ROMANOF BRADY CONNOLLY & MASUDA PC 444 16WC 25005 MUNOZ, TAMMY THE FRESH MARKET 08/04/15 JOHN LESAGANICH 445 16WC 25651 DUFFY, MATTHEW UNIQUE RISK MANAGEMENT 05/05/16 DAVID W OLIVERO HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 446 16WC 25928 CROW, CHRISTOPHER WAL-MART 08/02/16 PIGNATELLI & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY 447 16WC 26094 FARA, CHARNELLE WALMART DISTRIBUTION CENT 05/16/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 448 16WC 26179 ALVAREZ, ALBERTO LUBE STOP 08/03/16 DWORKIN AND MACIARIELLO 449 16WC 26502 HOWARD, AUTY MENARDS 05/17/16 DWORKIN AND MACIARIELLO 450 16WC 26650 SCHMIDT, ROBERT PILOT TRAVEL CENTERS, LLC 09/29/13 SCHWEICKERT & GANASSIN BRADY, CONNOLLY & MASUDA, PC 451 16WC 26690 WHITECOTTON, LUKE BUCHHEIT TRUCKING 01/12/16 PETER F FERRACUTI & ASSOCI 452 16WC 26748 FRANTZEN, BRUCE J PEPSI BEVERAGES COMPANY 07/21/15 WOODRUFF & JOHNSON 453 16WC 26766 PYLE, RYAN CORRECT ELECTRIC 12/12/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 454 16WC 26891 BICE, ASHLEY A HYVEE 11/21/15 DREW J FERRACUTI QUINN JOHNSTON HENDERSON ETA 455 16WC 27083 MILLER, TRISTAN RIVER DOCKS, INC. 08/18/16 SCHWEICKERT & GANASSIN 456 16WC 27233 SMITH, GREG MENDOTA AGRI-PRODUCTS, IN 03/23/16 SCHWEICKERT & GANASSIN BRADY, CONNOLLY & MASUDA, PC 457 16WC 27252 CHALKEY, DENNIS FLINK COMPANY 02/03/15 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 458 16WC 27841 CARLOS, MAYRA EAKAS CORPORATION 02/01/16 PERONA, PETERLIN, ANDREONI 459 16WC 28011 ZURMELY, MARTHA WALMART * 06/27/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 460 16WC 28056 GALINA, DAVID R. SNOWDANCE TOWING * 08/30/16 DREW J FERRACUTI 461 16WC 28144 GASCOIGNE, STEVE E COMBINED CLEANING 06/15/16 MEYERS & FLOWERS COZZI & GOGGIN-WARD 462 16WC 28154 HEWITT, JOHN YORKVILLE SCHOOL DISTRICT 06/18/15 GREGORIO & MARCO ROSARIO CIBELLA 463 16WC 28157 HEWITT, JOHN YORKVILLE SCHOOL DISTRICT 07/22/16 GREGORIO & MARCO ROSARIO CIBELLA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 464 16WC 28273 PALKO, CHERYL OWENS-BROCKWAY GLASS CONT 02/02/16 DREW J FERRACUTI 465 16WC 28298 BARBARD, CHARLES EXELON CORPORATION 07/22/16 HERBOLSHEIMER LANNON ET AL RUSIN & MACIOROWSKI LTD 466 16WC 28302 JURKAS, MCHAEL J ST OF IL DEPT OF CORRECTI 08/22/16 SCHWEICKERT & GANASSIN MATTHEW J KELLER 467 16WC 28365 BOYCE, STEPHEN C THE HOME DEPOT 09/18/14 ANTHONY C RACCUGLIA & ASSO MC ANDREWS & NORGLE LLC 468 16WC 28606 RAMIREZ, JUAN A WIRE MESH CORP 02/07/16 FISHER, JOHN W 469 16WC 28858 GARZA, RENATO CURRAN CONTRACTING CO 08/16/16 HORWITZ HORWITZ & ASSOC GAROFALO SCHREIBER STORM 470 16WC 28996 SEROKA, ROBERT M FLINK CO. 02/05/15 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 471 16WC 29019 VICICH, DEREK LASALLE COUNTY SHERIFFS O 08/05/16 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 472 16WC 29223 BUCKLEY, DEBRA ILLINOIS VALLEY COMMUNITY 04/19/16 PERONA, PETERLIN, ANDREONI SCOPELITIS GARVIN LIGHT 473 16WC 29349 MARTINEZ, MARISSA SISTER ACT INC. 02/22/16 PORRO NIERMANN & PETERSEN NYHAN BAMBRICK KINZIE & LOWR 474 16WC 29655 RODRIGUEZ, ADRIANA OAK STREET PRODUCTS, INC * 06/16/16 ELFENBAUM EVERS & AMARILIO 475 16WC 29844 DELGADO, BLAS NEWLY WEDS FOODS INC * 07/08/16 WOODRUFF & JOHNSON WOLFE & JACOBSON, LTD 476 16WC 30294 OWENS, BETTY SPECTRUM BRANDE * 01/14/15 PETER F FERRACUTI & ASSOCI 477 16WC 30444 O'BRIEN, ANDREW E CREST FOODS CO, INC * 08/19/16 TUITE LAW 478 16WC 30624 ANDEL, ROBERT APRIA HEALTHCARE * 09/20/16 RATHBUN CSEVENYAK & KOZOL 479 16WC 30726 ACKERMAN, JENNIFER MENDOTA LUTHERAN HOME * 08/23/16 SCHWEICKERT & GANASSIN 480 16WC 30742 NELSON, MALCOLM GREEN TREE PHARMACY * 09/01/16 GOLDFINE & BOWLES 481 16WC 30765 HITE, CHRISTINE THE KROGER CO * 08/24/16 SCHWEICKERT & GANASSIN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 482 16WC 30804 SIENZA, KATHY SPRING VALLEY CCSD #99 * 10/22/12 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 483 16WC 30860 PRICE, NATHAN LASALLE COUNTY SHERIFFS O * 07/12/16 SCHWEICKERT & GANASSIN HERBOLSHEIMER LANNON ET AL 484 16WC 30886 GARCIA, MARIA E MENARD, INC * 01/22/15 LAWRENCE A SCORDINO RODDY LAW LTD 485 16WC 30923 MENENDEZ, MIGUEL ANGEL MEXICAN ROOFING * 08/17/16 CHEPOV & SCOTT LLC HOLECEK & ASSOCIATES 486 16WC 31032 JOHNSEN, ALAN L DHL EXPRESS (USA) INC * 05/03/16 RAYMOND M SIMARD, PC 487 16WC 31172 ENGELS, SARA L WALMART STORES, INC * 09/13/15 ANTHONY C RACCUGLIA & ASSO QUINTAIROS PRIETO WOOD & BOY 488 16WC 31304 MCALPINE, STEVEN GLEN-GERY BRICK * 09/13/16 DREW J FERRACUTI 489 16WC 31529 GUZMAN, NOEMI MONTEREY MUSHROOMS, INC * 02/18/15 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 490 16WC 31565 GUZMAN, NOEMI MONTEREY MUSHROOMS, INC * 10/02/15 SCHWEICKERT & GANASSIN BRADY CONNOLLY & MASUDA PC 491 16WC 31733 WARWICK, WILLIAM H.B. FULLER MORRIS * 03/22/16 PETER F FERRACUTI & ASSOCI 492 16WC 31862 GONZALEZ, CRISTOBAL MONTEREY MUSHROOMS, INC * 09/26/16 HERBOLSHEIMER LANNON ET AL BRADY CONNOLLY & MASUDA PC 493 16WC 31939 HEATON, DANINE FAMILY DOLLAR * 10/09/16 BERTRAND LAW OFFICE 494 16WC 32597 ROGERS, EDWARD COSTCO DISTRIBUTION CENTE * 06/01/15 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 495 16WC 32690 PICCIOLI, CRYSTAL IL DEPT OF VETERANS AFFAI * 07/10/16 HORWITZ HORWITZ & ASSOC MATTHEW J KELLER 496 16WC 32713 CIONTEA, JERROLD UNITED ROAD SERVICE * 05/28/16 MEYERS & FLOWERS 497 16WC 32812 STAAKE, KENNETH WINNINGER EXCAVATING * 09/25/12 KINNALLY FLAHERTY KRENTZ & BRADY CONNOLLY & MASUDA PC 498 16WC 33152 PEREZ, ESPERANZA MENARDS * 10/22/16 VASILATOS & COTTER LLC 499 16WC 33261 SCHAAL, JUSTIN HENDERSON ENGINEERING CO * 07/01/16 SCHWEICKERT & GANASSIN LAW OFFICES JOSEPH MARCINIAK

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 500 16WC 33311 KRUG, ROBERT BADGER LAND CARWASH * 09/15/16 DREW J FERRACUTI 501 16WC 33651 KURTZ, MICHAEL KENDALL COUNTY * 05/05/15 GAINES & GAINES INMAN & FITZGIBBONS 502 16WC 33726 IMEL, MATTHEW BELLINI'S CUSTOM WELDING * 09/16/16 DWORKIN AND MACIARIELLO BRADY, CONNOLLY & MASUDA, PC 503 16WC 33778 LEWIS, BENJAMIN RIPPEL CONSTRUCTION, INC * 07/28/16 MEYERS & FLOWERS 504 16WC 33942 GROLEAU, ANDREW J GROSENBACH'S AUTO REPAIR * 11/05/15 PERONA, PETERLIN, ANDREONI GANAN & SHAPIRO 505 16WC 34140 GUERRERO, DONIELLE WALMART DISTRIBUTION CENT * 02/22/16 PETER F FERRACUTI & ASSOCI 506 16WC 34275 KOLAT, JOHN DOUBLE D EXPRESS * 09/07/16 HORWITZ HORWITZ & ASSOC 507 16WC 34702 BANASIAK, CAROLINE WALMART * 10/25/16 PETER F FERRACUTI & ASSOCI QUINTAIROS PRIETO WOOD & BOY 508 16WC 34821 OWENS, HEATHER L STATE OF LLINOIS JACK MAB @ * 11/01/14 REESE & REESE ASSISTANT ATTORNEY GENERAL 509 16WC 34965 COPELAND, TERRY FMC CORPORATION * 11/21/15 BRADY, CONNOLLY & MASUDA, PC 510 16WC 35293 TINAJERO, MARCELA PRONTO STAFFING * 02/08/16 BERTRAND LAW OFFICE POWER & CRONIN LTD 511 16WC 35522 HUNT, JOHN COMCAST CORP * 10/19/16 ANKIN LAW OFFICE 512 16WC 35739 DUNN, ROGER DILLON TRANSPORT * 09/29/16 SEIDMAN MARGULIS & FAIRMAN ROSARIO CIBELLA 513 16WC 35848 BERTULI, BRIAN WALMART DISTRIBUTION CTR * 10/06/16 SCHWEICKERT & GANASSIN 514 16WC 35923 GOTT, MONICA DIVERSI FOAM PRODUCTS, IN * 10/24/16 SCHWEICKERT & GANASSIN 515 16WC 35977 NORRIS, JUDY SCI CORPORATION * 07/29/15 LAW OFFICE PATRICK JENNETTEN 516 16WC 36155 KROLAK, MICHAEL CARUS CORP * 01/28/15 INMAN & FITZGIBBONS 517 16WC 36243 JONES, CARA ROSATI'S * 10/03/16 BLOCK, KLUKAS & MANZELLA P

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M DOHERTY, CAROLYN 027 ARBITRATION CALL FOR OTTAWA 40001 ON 01/20/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 518 16WC 36371 ROBINSON, CATHERINE R PETSMART, INC * 11/16/16 DREW J FERRACUTI 519 16WC 36432 GALLARDO, ESTELA WRIGLEY * 02/22/16 WOODRUFF & JOHNSON 520 16WC 36521 DETTMANN, MICHAEL A&R LOGISTICS * 07/12/16 RATHBUN CSEVENYAK & KOZOL 521 16WC 36540 OELSCHLAGER, GARY SILVERLEAF RESORTS INC * 09/15/15 ANTHONY C RACCUGLIA & ASSO 522 16WC 36627 WILLOUGHBY, ROGER JR FLINT HILLS RESOURCES * 02/17/16 ANTHONY C RACCUGLIA & ASSO MC ANDREWS & NORGLE LLC 523 16WC 36744 CAGLE, DONALD AMERIGAS * 02/09/16 KINNALLY FLAHERTY KRENTZ & 524 16WC 36833 WALKER, TERRY TARGET CORPORATION * 11/30/16 SCHWEICKERT & GANASSIN 525 16WC 36949 NOVACEK, MILO OSF HEALTHCARE SYSTEM,ET * 11/08/16 LANZILLOTTI GRIBBEN & MARC 526 16WC 36990 MORRIS, SAMUEL DEL MONTE FOODS * 01/27/16 RODDY LAW LTD 527 16WC 37036 HARRISON, MICHAEL SYSCO CENTRAL ILLINOIS, I * 04/28/16 ANTHONY C RACCUGLIA & ASSO 528 16WC 37243 MCQUISTON, BRIAN IMPERIAL MARBLE * 10/01/15 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 529 16WC 37695 GUTHRIE, EVAN IDOT/STATE OF ILLINOIS @ * 03/16/16 PETER F FERRACUTI & ASSOCI 530 16WC 37935 FUNDELL, RONALD J FASTENAL * 08/27/15 ANTHONY C RACCUGLIA & ASSO 531 16WC 38176 ADAMS, JOSEPH L B&B ELECTRONICS * 05/09/13 DREW J FERRACUTI 532 16WC 38375 GILMORE, NANCY L SODEXO * 11/09/16 BERTRAND LAW OFFICE 533 16WC 62725 STRADLER, DAVID PILOT TRAVEL CENTERS, LLC 01/30/16 SCHWEICKERT & GANASSIN BRADY, CONNOLLY & MASUDA, PC