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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 12WC 06152 FLEMING, MYRNA L CATERPILLAR, INC 04/21/09 RIDGE & DOWNES DARCY GIBSON 19 12WC 11563 LAGOCKI, ANGELA M (SPOUSE HEYL ROYSTER VOELKER & AL 01/12/12 JOHN LESAGANICH 20 12WC 28182 BENKO, DAVID P BOARD OF EDUCATION 05/26/11 BENASSI & BENASSI STEPHEN P. KELLY 21 12WC 31436 SMITH, PHILIP R EAST PEORIA COMMUNITY 04/16/12 JOHN LESAGANICH PC COZZI & GOGGIN-WARD 13WC011218 -C 22 12WC 39717 BRANCHFIELD, KIEL A MIDWEST CONTROL PRODUCTS 10/02/12 REHN & SKINNER LLC QUINN JOHNSTON HENDERSON ETA 23 13WC 07457 DONALDSON, VICKIE CATERPILLAR INC 12/08/11 WINNE LAW OFFICE LLC DARCY GIBSON 24 13WC 07458 DONALDSON, VICKIE CATERPILLAR INC 12/21/11 WINNE LAW OFFICE LLC DARCY GIBSON 25 13WC 08596 RUNYON, SCOTT PEORIA PUBLIC DISTRICT 15 12/13/12 STRONG LAW OFFICE STEPHEN P. KELLY 14WC000539 -C 14WC000655 -C 26 13WC 16047 COLLINS, RENEE PEORIA SCHOOL 04/08/13 MEYERS & FLOWERS STEPHEN P. KELLY 13WC030941 -C 27 13WC 18499 SNIFF, RONALD CATERPILLAR INC 06/06/12 LAW OFFICE DAVID HUNT DARCY GIBSON 28 13WC 23114 JOHNSON, DONETTE J BOYD GAMING 11/26/12 DOC HALLIDAY QUINN JOHNSTON HENDERSON ETA 29 13WC 27890 MARAS, PAULS S CITY OF PEORIA 02/26/13 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 30 13WC 37770 COUTRE' GEORGE R WESTERN ILLINOIS UNIVERSI 05/17/13 HARVEY & STUCKEL SIMEON NOCKOV 31 13WC 37974 19B COUTRE', GEORGE R WESTERN ILLINOIS UNIVERSI @ 05/02/11 HARVEY & STUCKEL ASSISTANT ATTORNEY GENERAL 32 13WC 39341 HARP, DOUG CATERPILLAR 09/20/12 STEPHENS FIDDES MCGILL ASS DARCY GIBSON 33 14WC 02838 RAMIREZ, LIBRADA A/K/A CENTRAL CLEANIDNG SERVICE 10/31/13 PATRICK JENNETTEN QUINN JOHNSTON HENDERSON ETA 34 14WC 05926 ROBERSON-TAYLOR, VICTORIA PEORIA CITIZENS COMMITTEE 02/20/13 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 14WC 06752 CARTER, JAMES L MORTON BUILDINGS INC 08/13/13 JOHN LESAGANICH, PC KNELL LAW LLC 36 14WC 10642 REGAN, SAMANTHA R (WIDOW) J F ELECTRIC INCORPORATED # 02/25/14 JOEL E BROWN COZZI & GOGGIN-WARD 37 14WC 13972 GRANT, DONALD P III, ADMI L & M STEEL 03/19/14 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 38 14WC 25262 CHRISTIANSON, MIKE CENTURY LINK 07/18/13 STEPHENS FIDDES MCGILL ASS MC ANDREWS & NORGLE LLC 14WC025412 -C 39 14WC 28753 HELLER, KARI S STATE OF ILLINOIS @ 06/09/14 JOHN LESAGANICH SIMEON NOCKOV 40 14WC 29707 LENINGTON, DOUGLAS PAUL WEVER CONSTRUCTION 11/15/13 THOMSON & WEINTRAUB THOMAS & PORTELA 15WC001858 -C 15WC001859 -C 41 14WC 34032 BOWMAN, WARREN ST OF IL-ILLINOIS DEPARTM @ 03/07/12 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 42 14WC 39033 BLEICHNER, CHRISTOPHER HANNA STEEL CORPORATION 10/28/14 JOHN LESAGANICH COZZI & GOGGIN-WARD 43 14WC 40286 19B SECKER, RAYMOND GOODWILL INDUSTRIES 11/09/13 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 44 14WC 40504 YANKAWAY, TABITHA SC2 10/22/14 JOHN LESAGANICH LAWRENCE COZZI - LAW OFFICE 45 14WC 40682 SCHLOSSER, ROBERT J II FARMERS COOP ASSOC 11/12/14 DAMON YOUNG CAPUANI, FRANK S 46 14WC 41902 RUTH, JOSHUA TOBIN BROTHERS 11/11/14 DAMON YOUNG KNELL LAW LLC 47 14WC 42025 KENT, MARK D CATERPILLAR INC 09/27/12 KINGERY DURREE WAKEMAN & R AMANDA WATSON 48 15WC 02860 KEIME, RANDY USA TECHNOLOGIES 12/26/14 STRONG LAW OFFICE CHILTON YAMBERT PORTER LLP 15WC005548 -C 49 15WC 06428 TURNER, RENEE CATERPILLAR, INC 02/11/14 DAMON YOUNG AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 50 15WC 10424 STOEHR, TROY PRAIRIE FARMS 03/13/13 STEPHENS FIDDES MCGILL ASS KNAPP, OHL & GREEN 51 15WC 17074 FRIANT, KENNY CATERPILLAR INC 05/08/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 15WC017075 -C 52 15WC 18189 MC QUAID, TAMMIE S CATERPILLAR INC 04/02/14 WINNE LAW OFFICE LLC DARCY GIBSON 53 15WC 18794 SASSMAN, BRIAN J-TECH 05/22/15 LAW OFFICE DAVID HUNT HOLECEK & ASSOCIATES 54 15WC 19987 REEVES, QUENTIN HUNZEKER SERVICE AGENCY 08/29/14 CUSACK FLEMING GILFILLAN E CHILTON YAMBERT PORTER LLP 55 15WC 21060 GORDON, MICHAEL R TEMCO MACHINERY INC 04/09/15 JOHN LESAGANICH 56 15WC 21491 SHANKS, ERIN ACI MIDWEST LLC 06/25/15 PATRICK JENNETTEN PATRICIA M CARAGHER 57 15WC 22341 BLANCHARD, THOMAS EVONIK INDUSTRIES 05/29/15 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 58 15WC 22713 SCHLOSSER II, ROBERT J FARMERS COOP ASSOCIATION 05/21/15 DAMON YOUNG CAPUANI, FRANK S 59 15WC 26793 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 02/04/15 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 60 15WC 26796 COATES, JAMES CATERPILLAR, INC. 02/11/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 61 15WC 27767 BARBOUR, WENDY L PEKIN COMMUNITY HIGH SCHO 03/25/15 JOHN LESAGANICH COZZI & GOGGIN-WARD 62 15WC 31363 BAKER, BRYAN K LONZA, INC. 08/03/15 LEFANTE LAW OFFICES WIEDNER & MCAULIFFE LTD 63 15WC 33748 GILLES, SCOTT A PEORIA DISPOSAL CO 09/18/15 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 64 15WC 33824 NULL, KEITH A NELSON GLOBAL PRODUCTS 09/23/15 JOHN LESAGANICH 65 15WC 39933 STEWART, BRANDON OBERLANDER ELECTRIC 11/11/14 GOLDFINE & BOWLES CACCHILLO LAW GROUP LLC 66 15WC 41070 CHASTEEN, BEAU UNITED CONTRACTORS MIDWES 10/25/15 DEUTSCHMAN, JEFFREY S KNELL LAW LLC 67 15WC 42349 STECKEN, RICHARD S. CATERPILLAR, INC. 09/24/15 JOHN LESAGANICH AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 68 16WC 00284 FAGGETT, JIMMY EVONIK INDUSTRIES 08/16/15 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 69 16WC 00346 MURPHY, DIANE OSF HOME CARE SVCS 10/01/15 LAW OFFICE MARK WERTZ HINSHAW & CULBERTSON 70 16WC 00661 SMITH, THERESA ILL DEPT OF MOTOR VEHICLE @ 12/23/15 STEPHENS FIDDES MCGILL ASS ASSISTANT ATTORNEY GENERAL 71 16WC 00959 BACHMAN, GARY PEORIA DISPOSAL COMPANY 11/30/15 LEE, MARK N LAW OFFICE 72 16WC 02088 POMEROY, JAMES IDOT 12/16/15 LEFANTE LAW OFFICES KRISTINA D DION 73 16WC 02277 LEEPER, CYNTHIA D ENVOY AIR INC 08/08/15 JOHN LESAGANICH 74 16WC 03632 19B PRECIADO, LUZ MARIA GCA SERVICES GROUP, INC. 07/10/15 STEPHEN P. KELLY ASA LAW GROUP 75 16WC 06759 SCHOLL, JIM BOB GRIMM CHEVROLET, INC. 01/05/15 DAMON YOUNG MORROW WILLNAUER 76 16WC 10800 MAGNUSON, DEBRA CATERPILLAR INC 03/07/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 77 16WC 14006 BLOOMER, WANDA CATERPILLAR, INC 10/15/15 DAMON YOUNG CATERPILLAR, INC. 78 16WC 16475 STEVENS, ROBERT BRUCE ARTIS D/B/A W 05/03/16 PERONA, PETERLIN, ANDREONI 79 16WC 17490 DAVIS, GLORIA CANTON UNION SCHOOL DIST 06/01/15 STEPHEN P. KELLY INMAN & FITZGIBBONS 80 16WC 17846 CARNES, CASSIE CATERPILLAR, INC 05/04/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 81 16WC 18025 MCQUAID, TAMMIE S. CATERPILLAR INC. 05/13/16 WINNE LAW OFFICE LLC AMANDA WATSON 82 16WC 18892 ZBINDEN, ANTHONY L SCHECK MECHANICAL CORP 04/19/16 LAW OFFICE MARK WERTZ ROBERT L. SMITH 83 16WC 20112 NOBLE, MICHAEL E HAVANA SCHOOL DISTRICT 02/08/14 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 84 16WC 20643 WILDER, NICOLE COMMUNITY ACTION PARTNERS 01/21/16 JOHNSON & JOHNSON RUSIN & MACIOROWSKI LTD 85 16WC 20959 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 03/16/16 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 86 16WC 22041 LLOYD, BRYAN CATERPILLAR, INC. 07/05/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 87 16WC 22174 LANTZ, RANDY CHILLICOTHE METAL CO. INC 07/01/16 JOHN LESAGANICH HOLECEK & ASSOCIATES 88 16WC 23752 JACOBUS, AMY BOYD GAMING D/B/A 07/11/16 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 16WC024693 -C 89 16WC 23861 HANLEY, TAMARA ROGY'S LEARNING PLACE 06/20/16 JAY H JANSSEN HOLECEK & ASSOCIATES 90 16WC 24230 BRODD, PATRICIA OSF HEALTHCARE SYSTEM DBA 09/22/13 MEYERS & FLOWERS HINSHAW & CULBERTSON 91 16WC 25654 KEERAN, TODD STATE OF ILLINOIS DEPARTM @ 01/29/16 JAY H JANSSEN KRISTINA D DION 92 16WC 26743 BENNETT, KEVIN TAZEWELL MACHINE WORKS, I 06/21/16 JOHN LESAGANICH 93 16WC 27063 EVANS, MARY BRADLEY UNIVERSITY 03/03/15 RIDGE & DOWNES 94 16WC 28091 BLANCHARD, TOM EVONIK 08/25/16 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 95 16WC 28983 BENNETT, KEVIN TAZEWELL MACHINE WORKS, I 02/03/16 JOHN LESAGANICH 96 16WC 29372 MATHUS, BRANDAN C PLEASURE DRIVEWAY & PARK 01/23/16 HARVEY & STUCKEL HENNESSY & ROACH PC 97 16WC 29434 MC QUAID, TAMMIE S. CATERPILLAR INC 09/14/16 WINNE LAW OFFICE LLC AMANDA WATSON 98 16WC 29889 MUDD, SHAWN STARK EXCAVATING, INC 09/06/16 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 99 16WC 30767 WILLIAMS, BONNIE J BON-TON STORES, INC 04/13/15 STEVEN P GLANCY WIEDNER & MCAULIFFE LTD 100 16WC 30914 ROSS, AMANDA OSF ST FRANCIS MED CENTER 01/13/14 LAW OFFICE DAVID HUNT 101 16WC 31061 HIMEGARNER, JAY COUNTY OF PEORIA 09/23/16 BACH, ROBERT W STEPHEN P. KELLY 102 16WC 31354 DONAHO, KERMIT CONSOLIDATED BRANDS, LLC 08/03/16 KINGERY DURREE WAKEMAN & R 103 16WC 31747 MURRAY, JENNIFER CATERPILLAR, INC. 09/02/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 104 16WC 33049 BOWMAN, WARREN K STATE OF IL - IDOT @ 08/02/16 JOHN LESAGANICH KRISTINA D DION 105 16WC 33877 CARRINGTON, LEGRANDE "JOE JAKE WOLF MEMORIAL FISH @ 04/24/16 WILLIAMS & SWEE 106 16WC 34606 POSTLEWAITE, ANTHONY AGAPE MISSIONARY 06/27/16 JOHN LESAGANICH 107 16WC 35042 PETERS, SAMUEL DIGGLE ACE HARDWARE LLC 09/19/16 JOHN LESAGANICH KNELL LAW LLC 108 16WC 35795 19B NICHOLS, TIFFANY STATE OF ILLINOIS - DHS @ 11/02/16 CUSACK FLEMING GILFILLAN E JOSEPH MOORE 109 16WC 38651 BLODGETT, CAROLYN STATE OF IL HUMAN SERVICE @ 11/02/16 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 110 16WC 39467 PATEL, GIRISH 7, 11, 21, GROCERY AND DE 10/14/16 LEFANTE LAW OFFICES 111 17WC 00613 MURPHY DIANE OSF HOME CARE SERVICE 11/20/16 LAW OFFICE MARK WERTZ HINSHAW & CULBERTSON 112 17WC 00663 COFFEY, JOHN SAVE-A-LOT 07/25/16 STRONG LAW OFFICE BOGGS AVELLINO LACH BOGGS 113 17WC 00724 COFFEY, JOHN SAVE-A-LOT 08/23/16 STRONG LAW OFFICE BOGGS AVELLINO LACH BOGGS 114 17WC 01820 MARICLE, DONNA C OSF ST FRANCIS MEDICAL CE 08/23/16 JOHN LESAGANICH HINSHAW & CULBERTSON 115 17WC 02455 WITTY, RICHARD L WASTE MANAGEMENT 01/17/17 RIDGE & DOWNES HENNESSY & ROACH 116 17WC 03075 YOUMANS, CALVIN MAACO PEORIA THE FLEETWOO 01/07/17 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 117 17WC 03395 LAYMAN, JEREMY JOHN CITY OF PEORIA POLICE DEP 08/13/16 MCCALL LAW OFFICES PC HASSELBERG GREBE SNODGRASS 118 17WC 03491 CUMMING, SHAWN P ST OF IL DEPT OF TRNSPORT @ 01/11/17 JOHN LESAGANICH KRISTINA D DION 119 17WC 04249 MCKINLEY, LISA CITY OF PEKIN 10/05/16 WILSON LAW OFFICES LLC QUINN JOHNSTON HENDERSON ETA 120 17WC 04571 SCHAEFER, JOSEPH SAIA LTL FREIGHT 11/03/16 STEPHEN P. KELLY BROWN & JAMES, PC 121 17WC 04637 RISHER, TIMOTHY STATE OF ILLINOIS-HFS/DCS @ 01/10/17 JOHN LESAGANICH KRISTINA D DION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 122 17WC 05592 ELTREVOOG, MATT PHELPS UNIFORM SPECIALIST 01/24/17 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM GRA 123 17WC 07228 SANDOVAL, RUTH CITY OF PEORIA 03/02/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 124 17WC 07649 BRINER, MILDRED DISTRICT 309 EAST PEORIA 02/10/17 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 125 17WC 08257 FITZANKO, STEVE PEKIN POLICE DEPARTMENT 11/01/16 LAW OFFICE DAVID HUNT POWER & CRONIN LTD 126 17WC 08553 MARTIN, PERRY RIVER CITY CONSTRUCTION 12/27/08 STEPHEN P. KELLY GILDEA & COGHLAN 127 17WC 09518 THOMPSON, CARL CATERPILLAR, INC 02/23/17 WILLIAMS & SWEE AMANDA WATSON 128 17WC 10578 PARKS, LORA J JACKSON STREET MARKET 09/14/15 KANOSKI BRESNEY EVANS & DIXON 129 17WC 11385 MEYERS, LOREN CATERPILLAR INC. 01/31/17 STEPHENS FIDDES MCGILL ASS AMANDA WATSON 130 17WC 12175 HILL, DONALD OSF ST FRANCIS MEDICAL CE 03/16/17 LAW OFFICE DAVID HUNT 131 17WC 12423 HESS, JERRY STATE OF ILLINOIS-IDOT @ 10/31/16 JOHN LESAGANICH KRISTINA D DION 132 17WC 13044 RICHARDSON, JADE CATERPILLAR INC 09/01/12 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 133 17WC 13270 AITKEN, MICHAEL ALTORFER, INC 04/24/17 LAW OFFICE DAVID HUNT HOLECEK & ASSOCIATES 134 17WC 14376 WEBSTER-HORTON, RENA UNITYPOINT HEALTH - PROCT 03/30/17 BENASSI & BENASSI STEPHEN P. KELLY 135 17WC 14378 PARKS, CINDY L UNITY POINT HEALTH METHOD 12/16/16 JOHN LESAGANICH STEPHEN P. KELLY 136 17WC 14626 JARA JR, HAERMINIO TOSHIBA AMERICA MEDICAL S 10/04/16 TURCYCHUTE LLC HENNESSY & ROACH PC 137 17WC 15481 ROBERTSON, LARRY CHILLICOTHE METALS CO INC 04/24/17 LAW OFFICE DAVID HUNT 138 17WC 16149 ROE, PETER WASTE MANAGEMENT OF IL IN 01/28/15 GOLDFINE & BOWLES 139 17WC 16212 ROSALES, EUSEBIO PETROCHEM INSULATION, INC 09/30/16 STRONG LAW OFFICE HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 140 17WC 16411 COLLINS, MATTHEW CENTRAL ILLINOIS INSULATI 05/04/17 JOHN LESAGANICH EVANS & DIXON 141 17WC 17275 LAUMEIER, JODIE MASON DISTRICT HOSPITAL 03/01/17 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 142 17WC 17292 CAMPEN, JUDY A EAST PEORIA ELEMENTARY SC 09/29/15 BACH, ROBERT W COZZI & GOGGIN-WARD 143 17WC 17774 HODGKINS, KEVIN MCI INDUSTRIAL 09/28/16 LEE, MARK N LAW OFFICE 144 17WC 18352 GOMEZ, DUSTIN STATE OF ILLINOIS 06/08/17 JOHN LESAGANICH JOSEPH MOORE 145 17WC 18360 GOMEZ, DUSTIN STATE OF ILLINOIS @ 06/07/17 JOHN LESAGANICH JOSEPH MOORE 146 17WC 19167 ELLIS, DEBRA DARCY'S CAFE & SLOTS 05/12/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 147 17WC 19303 BALLMER, LARSSES LUTHERAN SENIOR SERVICES 04/24/17 JOHN LESAGANICH 148 17WC 19323 THOMAS, LEVI PEORIA COUNTY SHERIFF 05/20/17 KINGERY DURREE WAKEMAN O'D STEPHEN P. KELLY 149 17WC 19946 BOEKER, ADAM KUHL INSURANCE AGENCY 04/19/16 GOLDFINE & BOWLES LUCY T. UNGER 150 17WC 20207 MCINTOSH, LANDON THARP'S LTD 12/01/16 ANKIN LAW OFFICE CASSANO & ASSOCIATES 151 17WC 20594 MCCARTY, JACOB MCCART HEATING AND PLUMBI 11/01/16 LEFANTE LAW OFFICES 152 17WC 20778 19B CLARK, ARTHUR HAMPTON'S KITCHEN & APPLI 04/12/17 GOLDFINE & BOWLES HENNESSY & ROACH 153 17WC 20791 UNDERWOOD, DENIELLE BOYD GAMING DBA PAR-A-DIC 06/28/17 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 154 17WC 20856 HENN, RICK CATERPILLAR 09/09/16 JAY H JANSSEN AMANDA WATSON 155 17WC 21216 PARKER, WYONA BOARD OF ED, CITY OF PEOR 05/09/17 JOHN LESAGANICH 156 17WC 21484 PISCAGLIA, MARK CATERPILLAR, INC 05/30/17 DAMON YOUNG CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 157 17WC 21648 BYRD, KASEY OSF ST FRANCIS MEDICAL CE 05/22/17 LEFANTE LAW OFFICES HINSHAW & CULBERTSON 158 17WC 21773 WILSON, SCOTT DESIGNER CONCEPTS LANDSCA 11/13/15 GOLDFINE & BOWLES CHILTON YAMBERT PORTER LLP 17WC021774 -C 159 17WC 22040 NIEDERER, GARY MASON DISTRICT HOSPITAL 03/14/17 JAY H JANSSEN 160 17WC 22822 STEPHENS, RANDY K KOMATSU AMERICA CORP 05/31/17 GOLDFINE & BOWLES KNELL LAW LLC 161 17WC 24168 STUMP, MARGARET OSF HOME CARE SERVICES 02/15/17 CROWLEY & PRILL 162 17WC 25294 SPRADLING, SEAN MEDIACOM COMMUNICATIONS 04/26/17 KATZ FRIEDMAN EAGLE ET AL 163 17WC 25944 WEIR, KAREN SEAPCO 02/03/17 DAMON YOUNG INMAN & FITZGIBBONS 164 17WC 26722 REES, WESLEY R P LUMBER COMPANY 08/14/17 WILLIAMS & SWEE 165 17WC 27035 RIEDEL, JENNIFER CATERPILLAR INC 07/05/17 AMANDA WATSON 166 17WC 27218 CALL, DUSTIN HALLMARK FIXTURE OPERATIO 09/05/17 BENASSI & BENASSI INMAN & FITZGIBBONS 167 17WC 27370 LEWIS, DAVID ICC 05/15/15 ROCHFORD & ASSOC INMAN & FITZGIBBONS 17WC027371 -C 17WC027372 -C 17WC027373 -C 168 17WC 27380 MORROW, BRITTANY CLUB CABARET 12/15/14 169 17WC 27381 MORROW, BRITTANY CLUB CABARET 03/24/15 170 17WC 27633 LEE, TONYA AG-LAND FS 05/01/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 171 17WC 28310 CAMERON, STEVE CATERPILLAR, INC 06/12/17 LAW OFFICE DAVID HUNT AMANDA WATSON 172 17WC 28355 19B FORD, KEVIN CONTECH ENGINEERED SOLUTI 09/05/17 STEPHEN P. KELLY COZZI & GOGGIN-WARD 173 17WC 28702 WIGHT, TIM CITY OF PEORIA 12/14/14 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 17WC 29152 YEAGER, DAVID CITY OF PEORIA 09/22/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 175 17WC 30113 SANDLIN, MELISSA BRADLEY UNIVERSITY 11/08/16 STEPHENS FIDDES MCGILL ASS HOLECEK & ASSOCIATES 176 17WC 30323 HASKINS, TIFFANY MOSAIC IN MACOMB 05/03/17 JOHNSON & JOHNSON 177 17WC 30747 PHILLIPS, WILMA DCX-CHOL ENTERPRISES 06/01/17 LAW OFFICE MARK WERTZ HOLECEK & ASSOCIATES 178 17WC 30782 FERRLS, MICHAEL HY-VEE 09/20/16 JOHNSON & JOHNSON QUINN JOHNSTON HENDERSON ETA 179 17WC 31584 BROWNFIELD, TINA M J&J CLEANER CORP 07/29/17 LEO J SCHWAMBERGER INMAN & FITZGIBBONS 180 17WC 31841 STENGER, COREY BUSHNELL TRUCK REPAIR & T 05/02/17 SIMPSON PETERSON BRADY, CONNOLLY & MASUDA, PC 181 17WC 32257 BRACKNEY, SCOTT ENERCON ENGINEERING 10/04/17 STRONG LAW OFFICE HOLECEK & ASSOCIAT0ES 18WC023214 -C 182 17WC 32282 WILLIAMS, DEANNA STATE OF ILLINOIS @ 10/21/17 GOLDFINE & BOWLES JOSEPH MOORE 183 17WC 32418 HUNT, GARY BOYD GAMING 09/23/17 LAW OFFICE DAVID HUNT QUINN JOHNSTON HENDERSON ETA 184 17WC 32441 FALLON, DALE WRIGHT TREE SERVICE, INC 05/08/17 KINGERY DURREE WAKEMAN & R LEAHY EISENBERG & FRAENKEL 185 17WC 32540 NORDSIEK, DEBORAH J PEORIA PUBLIC SCHOOLS 09/13/17 DOC HALLIDAY STEPHEN P. KELLY 186 17WC 32546 JACKSON, ARAMIS E CITYLINK 08/21/17 PATRICK JENNETTEN CASSIDY & MUELLER 187 17WC 33939 STOCKOV, KATHY SCHLEIGH J.D.STREET & COMPANY INC 06/05/17 DAMON YOUNG KEEFE CAMPBELL & ASSOC LLC 188 17WC 34203 BAKER, JOSHUA WHEEL WORKS CO 11/03/17 WARREN E DANZ, PC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 189 17WC 34731 TAYLOR, DENNIS HACKMAN EXPRESS 06/21/17 MARK WERTZ 190 17WC 35421 HENDERSON, RANDY LEE AIRGAS USA, LLC 04/13/16 HEIPLE LAW OFFICE 17WC035424 -C 191 17WC 36145 POP, DALTON M.J. ELECTRIC 10/21/16 MCCARTHY ROWDEN & BAKER RUSIN & MACIOROWSKI LTD 192 17WC 36721 FIGURSKI, DAN C&T SIDING AND CONSTRUCTI 09/19/17 DAMON YOUNG ASSISTANT ATTORNEY GENERAL 193 17WC 37395 19B ENGLEBRECHT, MARY SELECT POST ACUTE CARE 11/16/17 STEPHEN P. KELLY ROBERT L. SMITH 18WC001881 -C 194 17WC 38097 RODRIGUEZ, ANGELA GORDMANS 11/29/17 DAMON YOUNG WIEDNER & MCAULIFFE LTD 195 18WC 00705 DEAL, JOHN SHERMAN'S PLACE INC 12/28/17 JOHN LESAGANICH LUCY T. UNGER 196 18WC 01830 KILLION, IAN SC2 01/11/18 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 197 18WC 01877 CHILDERS, JEFF CITY OF PEORIA 12/25/17 DAMON YOUNG HASSELBERG GREBE SNODGRASS 198 18WC 01884 NEWELL, LYLE CATERPILLAR, INC 12/08/17 STEPHEN P. KELLY AMANDA WATSON 199 18WC 02193 BROWN, DERRICK CASEY'S GENERAL STORE 01/09/18 STRONG LAW OFFICE JAMES M KELLY 200 18WC 02587 NARTEY, FREDRICK JR ADVANCE SERVICES, INC 01/10/18 HOLLEY & ROSEN KEEFE CAMPBELL BIERY & ASSOC 201 18WC 02643 CADY, MICHAEL M AEROTEK 12/21/17 CROWLEY BUNGER PRILL HENNESSY & ROACH 202 18WC 02646 MASSEY, JEFF CITYLINK 06/01/17 LAW OFFICE PATRICK JENNETT 203 18WC 02758 DELHOTAL, MICHAEL MEDIACOM COMMUNICATIONS C 08/30/17 KATZ FRIEDMAN EAGLE ET AL 204 18WC 02864 ZACHERY, KENYON BIG DADDY CAB CO W 12/23/17 LAW OFFICE OF CHRIS DOSCOT 205 18WC 03092 REIHL, HAROLD HOFFMAN BURIAL SUPPLIES I 12/22/17 JOHN LESAGANICH KNELL LAW LLC 206 18WC 03115 MOSS, TERRY DAN ASHOORI & SAM SOLEIMA 01/21/18 STRONG LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 207 18WC 03152 KRUPA, JOANNE RICHARDET FLOOR COVERING 12/10/17 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 208 18WC 03310 POWELL, CLARENCE ILLINOIS DEPT OF CORRECTI 01/07/18 WILLIAMS & SWEE JOSEPH MOORE 209 18WC 03654 WEST, MARIO WALLICK COMMUNITIES 01/03/18 CHRIS DOSCOTCH STEVEN PILAND 210 18WC 04389 SAYERS, DAVID L DYNEGY MIDWEST GENERATION 02/24/15 SCHUCHAT, COOK & WERNER KEEFE & DEPAULI 211 18WC 05236 OTH, CHARLES ILLINOIS BELL TELEPHONE C 10/16/17 GOLDFINE & BOWLES HENNESSY & ROACH 212 18WC 05533 WILLIAMS, SHIRETTE PEORIA PUBLIC SCHOOL DIST 02/02/18 STRONG LAW OFFICE STEPHEN P. KELLY 213 18WC 05807 BRAY, JAMES A SR MANITO TRANSIT, LLC 10/02/17 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 214 18WC 05850 WILLIAMS, TONEKA PROCTOR HOSPITAL 4403 01/24/18 JOHN LESAGANICH STEPHEN P. KELLY 215 18WC 05970 SHORE, MELISSA DR. SKILLRUD M.D., LTD 04/26/16 ROCHFORD & ASSOC 216 18WC 05973 REID, BRAD ALPHA BAKING CO INC 06/10/17 DOC HALLIDAY 217 18WC 05993 SMITH, DOROTHY OSF ST FRANCIS MEDICAL CE 08/14/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 218 18WC 06309 WIGHT, TIM CITY OF PEORIA 07/28/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 219 18WC 06475 THOMPSON, CARL CATERPILLAR INC 05/20/16 WILLIAMS & SWEE AMANDA WATSON 220 18WC 06676 LARSON, SCOTT IDOT 01/15/18 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 221 18WC 06989 LIVINGSTON, DEBORA GREATER PEORIA MASS TRANS 01/27/18 LEE, MARK N LAW OFFICE QUINN JOHNSTON HENDERSON ETA 222 18WC 06998 LENOVER, LARRY A LAVERDIERE CONSTRUCTION 05/12/17 STEPHEN P. KELLY LIVINGSTONE MUELLER ET AL 223 18WC 07358 SIMONS, CARRIE ASSOCIATED BANK 12/23/16 STRONG LAW OFFICE HENNESSY & ROACH 18WC007359 -C 224 18WC 07637 MOORE, STEPHEN TODD OX PAPERBORAD ILLINOS, LL 09/19/17 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 18WC 07640 MOORE, STEPHEN TODD OX PAPERBOARD ILLINOIS, L 05/30/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 226 18WC 07750 ESPINOZA, JOSE CHUCKANUT PRODUCTS 10/07/17 JOHN S. ELIASIK 227 18WC 08083 JOHNSON, TODD CITY OF PEORIA 06/20/17 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 228 18WC 08359 CARDEN, JOHN A NTN-BOWER CORPORATION 12/07/16 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 229 18WC 08568 MCBRIDE, TERRANCE L SPOON RIVER BLACKTOP 08/18/17 JAY H JANSSEN EVANS & DIXON 230 18WC 08919 REDDEN, DESMOND MOJA SOUTHERN KITCHEN W 03/10/18 STRONG LAW OFFICE STEPHEN P. KELLY 231 18WC 08939 MCCARTNEY, GARY KEYSTONE STEEL & WIRE CO 02/11/18 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 232 18WC 10075 NIDIFFER, WILLIAM III CATERPILLAR, INC. 01/18/18 DAMON YOUNG CAT0ERPILLAR 233 18WC 10080 STANFILL, BRUCE WHEELIN & SQUEALIN' LLC A 03/17/18 CHRIS DOSCOTCH GAROFALO SCHREIBER STORM GRA 234 18WC 10900 VILLANUEVA, ADAN MCP, INC 12/04/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 235 18WC 11213 RENARD, NANCY NE FINCH COMPANIES 04/05/17 JAY H JANSSEN 236 18WC 11412 CRAPS, JUDITH CASEY'S GENERAL STORES 07/11/17 JOHN LESAGANICH 237 18WC 11510 GRAVES, GREGORY KEYSTONE STEEL & WIRE CO 01/25/18 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 238 18WC 11770 19B WALKER, ROSEMARY HGS 02/17/17 STEPHEN P. KELLY HOLECEK & ASSOCIATES 239 18WC 11860 HENDERSON, ROD OSF ST FRANCIS 11/03/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 240 18WC 11939 OWENS, DAWN ELMWOOD SCHOOL DISTRICT # 01/11/18 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 241 18WC 12035 LA SANSKA, CATHY OSF ST FRANCIS MEDICAL CE 09/20/17 GREGORY W. SCRONCE HINSHAW & CULBERTSON 242 18WC 12051 CLEMENTS, KANISHA OSF ST FRANCIS 02/18/18 STRONG LAW OFFICE HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/11/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 243 18WC 12176 WILTERMOOD, GARY J DURHAM D & M LLC 03/30/18 HARVEY & STUCKEL GAIDO & FINTZEN 244 18WC 13571 TORTAT, PATRICIA BIG LOTS 03/15/18 STRONG LAW OFFICE LITCHFIELD CAVO 18WC026029 -C 245 18WC 13727 PEREZ, MARIA GCA SERVICES, INC 05/20/15 STRONG LAW OFFICE HENNESSY & ROACH PC 246 18WC 14685 JEFFERSON, SOPHIA PEORIA PUBLIC SCHOOLS - 04/17/18 STRONG LAW OFFICE STEPHEN P. KELLY 247 18WC 15555 PERSICH, MISTY OSF HOME CARE SERVICES 04/20/18 LEFANTE LAW OFFICES 248 18WC 15615 STOUT, JOHN WORLD OF POWERSPORTS 12/08/16 GOLDFINE & BOWLES 249 18WC 16221 WISNER, JIM CATERPILLAR 07/23/17 STEPHENS FIDDES MCGILL ASS CATERPILLAR 250 18WC 16524 SCHURMAN, MICHAEL B RJY ENTERPRISES INC 01/14/18 CASSIDY & MUELLER QUINTAIROS PRIETO WOOD & BOY 251 18WC 16528 STOCKHAM, WESLEY STATE OF IL-IL DEPART OF @ 05/03/18 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 252 18WC 17659 MYERS, DON CATERPILLAR, INC 08/15/16 CHRIS DOSCOTCH CATERPILLAR