ILLINOIS WORKERS' COMPENSATION COMMISSION … · 30 11wc 24348 tomlianovich, steve amerencilco ......

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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 45701 JONES, DARCY CULBERTSON MEMORIAL HOSPI 09/07/03 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 2 06WC 03010 STERR, BILLIE JO (NEXT FR KOMATSU # 08/05/05 ELFENBAUM EVERS & AMARILIO KNELL LAW LLC 3 07WC 04588 KOVACH, MARK MILTRAN, INC 12/29/06 HORWITZ HORWITZ & ASSOC THOMAS & ASSOCIATES 4 07WC 29974 ZABORAC, KATHRYN CITY OF PEORIA POLICE 04/16/07 LAW OFFICE DAVID HUNT HASSELBERG GREBE SNODGRASS 5 07WC 33669 SIMMONS, DAMON STAR 10/11/02 STEVEN J SEIDMAN LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 6 07WC 43476 JOHNSON, STEPHANIE A. APOSTOLIC NURSING HOME 09/24/06 WINNE LAW OFFICE LLC INMAN & FITZGIBBONS 07WC043477 -C 7 07WC 49725 DEFFENBAUGH, LARRY R. GREG PREY TRUCKING W 10/12/07 JAY H JANSSEN 8 08WC 03618 ALEXANDER, DANIEL BROCK STAATS SERVICE TODAY INC 06/29/05 JOHN LESAGANICH 9 08WC 49567 WISNER, SANDRA LUTHERN SOCIAL SERVICES 12/13/07 BLACK & JONES GAROFALO SCHREIBER STORM 13WC015363 -C 10 09WC 06041 JANSON, TRAVIS S ABC SUPPLY CO INC 07/24/07 STEPHENS FIDDES MCGILL ASS BRADY, CONNOLLY & MASUDA, PC 11 09WC 15257 LAWRENCE, JIM A KEMPER EXPRESS INC 12/23/08 DOC HALLIDAY JAMES M KELLY 12 09WC 16481 FLAUGHER, SEAN M BEYOND PEST CONTROL @ W 06/17/08 MCCARRON LAW FIRM, PC ASSISTANT ATTORNEY GENERAL 13 09WC 18888 JANSON, TRAVIS S ABC SUPPLY CO INC 09/21/06 STEPHENS FIDDES MCGILL ASS BRADY, CONNOLLY & MASUDA, PC 14 09WC 21652 BELLVILLE, DEBBIE FIRST STUDENT 05/13/09 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 15 09WC 23388 DELAP, KEITH OVERHEAD DOOR COMPANY 03/02/09 JAY H JANSSEN HEYL ROYSTER VOELKER & ALLEN

Transcript of ILLINOIS WORKERS' COMPENSATION COMMISSION … · 30 11wc 24348 tomlianovich, steve amerencilco ......

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 04WC 45701 JONES, DARCY CULBERTSON MEMORIAL HOSPI 09/07/03 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 2 06WC 03010 STERR, BILLIE JO (NEXT FR KOMATSU # 08/05/05 ELFENBAUM EVERS & AMARILIO KNELL LAW LLC 3 07WC 04588 KOVACH, MARK MILTRAN, INC 12/29/06 HORWITZ HORWITZ & ASSOC THOMAS & ASSOCIATES 4 07WC 29974 ZABORAC, KATHRYN CITY OF PEORIA POLICE 04/16/07 LAW OFFICE DAVID HUNT HASSELBERG GREBE SNODGRASS 5 07WC 33669 SIMMONS, DAMON STAR 10/11/02 STEVEN J SEIDMAN LAW OFFIC HEYL ROYSTER VOELKER & ALLEN 6 07WC 43476 JOHNSON, STEPHANIE A. APOSTOLIC NURSING HOME 09/24/06 WINNE LAW OFFICE LLC INMAN & FITZGIBBONS 07WC043477 -C 7 07WC 49725 DEFFENBAUGH, LARRY R. GREG PREY TRUCKING W 10/12/07 JAY H JANSSEN 8 08WC 03618 ALEXANDER, DANIEL BROCK STAATS SERVICE TODAY INC 06/29/05 JOHN LESAGANICH 9 08WC 49567 WISNER, SANDRA LUTHERN SOCIAL SERVICES 12/13/07 BLACK & JONES GAROFALO SCHREIBER STORM 13WC015363 -C 10 09WC 06041 JANSON, TRAVIS S ABC SUPPLY CO INC 07/24/07 STEPHENS FIDDES MCGILL ASS BRADY, CONNOLLY & MASUDA, PC 11 09WC 15257 LAWRENCE, JIM A KEMPER EXPRESS INC 12/23/08 DOC HALLIDAY JAMES M KELLY 12 09WC 16481 FLAUGHER, SEAN M BEYOND PEST CONTROL @ W 06/17/08 MCCARRON LAW FIRM, PC ASSISTANT ATTORNEY GENERAL 13 09WC 18888 JANSON, TRAVIS S ABC SUPPLY CO INC 09/21/06 STEPHENS FIDDES MCGILL ASS BRADY, CONNOLLY & MASUDA, PC 14 09WC 21652 BELLVILLE, DEBBIE FIRST STUDENT 05/13/09 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 15 09WC 23388 DELAP, KEITH OVERHEAD DOOR COMPANY 03/02/09 JAY H JANSSEN HEYL ROYSTER VOELKER & ALLEN

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 09WC 26240 SMITH, JEFFREY E SMF INCORPORATED 10/23/08 STRONG LAW OFFICE CHILTON YAMBERT & PORTER LLP 11WC017569 -C 17 09WC 47154 MORETTO, MICHELLE A TAZEWELL COUNTY 10/29/09 CUSACK FLEMING GILFILLAN E QUINN JOHNSTON HENDERSON ETA 13WC010991 -C SHERIFFS DEPARTMENT 14WC005811 -C 18 10WC 07090 BROWN, MICHAEL T CONT'L CARBONIC PRODUCTS 01/10/10 LAW OFFICE MARK WERTZ COZZI & GOGGIN-WARD 19 10WC 32947 19B PAINTER, DANIEL E MARQUETTE HEIGHTS FIRE & 06/29/10 HARVEY & STUCKEL POWER & CRONIN LTD 20 10WC 33570 STIMELING, STEVEN PEORIA PUBLIC SCHOOLS 11/17/09 STRONG LAW OFFICE STEPHEN P. KELLY 10WC033571 -C 21 10WC 38504 TIPPETT, JILL E STATE OF ILLINOS @ 10/05/07 WINNE LAW OFFICE LLC ASSISTANT ATTORNEY GENERAL 22 10WC 40576 BUNTING, JAMES CATERPILLAR, INC 05/01/10 LAW OFFICE MARK WERTZ CATERPILLAR 23 10WC 41241 MORGAN, JOE E WESTERN ILLINOIS UNIVERSI @ 08/26/08 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 24 11WC 03088 FREESMEYER, DEANN STATE OF ILLINOIS DCFS @ 12/30/10 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 25 11WC 06224 CHEATAM, TAMMY L DOLLAR TREE STORES INC 12/30/10 JOHN LESAGANICH BRYCE DOWNEY & LENKOV LLC 26 11WC 07553 SMITH, ANGELA M CATERPILLAR INC 05/17/10 WINNE LAW OFFICE LLC 27 11WC 16234 ULRICH, NORMAN JR CATERPILLAR, INC 04/19/11 ROCHFORD & ASSOC CATERPILLAR INC 28 11WC 16978 BOSWELL, KIMBERLY HIGHLAND PARK CVS LLC DBA 12/02/09 LAW OFFICE MARK WERTZ HINSHAW & CULBERTSON 29 11WC 23774 WINDER, JOHN W BENSON'S APPLIANCE 03/25/11 KANOSKI BRESNEY PATRICIA M CARAGHER 30 11WC 24348 TOMLIANOVICH, STEVE AMERENCILCO 05/17/11 CUSACK FLEMING GILFILLAN E LEMP & MURPHY 31 11WC 25099 SMITH, PAMELA S CITY OF CANTON 05/13/11 JOHN LESAGANICH ANCEL GLINK DIAMOND BUSH & E

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 11WC 32354 19B SMITHEE, THOMAS H CATERPILLAR 06/12/11 STRONG LAW OFFICE CATERPILLAR INC 33 11WC 33434 MITCHELL, KAREN BRADLEY UNIVERSITY 09/23/10 STRONG LAW OFFICE HOLECEK & ASSOCIATES 11WC033435 -C 34 11WC 34400 BESSLER, JAY UNITED PARCEL SERVICE, IN 04/19/10 STEPHEN P. KELLY ASA LAW GROUP 35 11WC 35165 POLLITT, ERIC A AT&T 04/15/11 LAW OFFICES MICHAEL HELLMA HENNESSY & ROACH 36 11WC 35172 HEARN, RACHEL U OF I EXTENSION @ 05/12/11 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 11WC047503 -C 37 11WC 40898 TUCKER, DONNA TCRC INC 10/11/11 JAMES M RIDGE & ASSOC PC BRADY, CONNOLLY & MASUDA, PC 38 11WC 43969 MORGAN, JOE E STATE OF ILLINOIS @ 09/19/11 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 39 11WC 44861 MINER, WILLIE BLACK HORSE CARRIERS 09/18/11 HORWITZ HORWITZ & ASSOC COZZI & GOGGIN-WARD 12WC005817 -C 40 12WC 04945 EARNEST, KIRBY GREATER PEORIA MASS TRANS 04/27/11 LEE, MARK N LAW OFFICE QUINN JOHNSTON HENDERSON ETA 12WC010030 -C 14WC023906 -C 16WC002307 -C 41 12WC 06152 FLEMING, MYRNA L CATERPILLAR, INC 04/21/09 JAMES M RIDGE & ASSOC PC DARCY GIBSON 42 12WC 11563 LAGOCKI, ANGELA M (SPOUSE HEYL ROYSTER VOELKER & AL 01/12/12 JOHN LESAGANICH 43 12WC 20556 MCMILLION, LISA COMMUNITY WORKSHOP & 03/14/12 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 44 12WC 28182 BENKO, DAVID P BOARD OF EDUCATION 05/26/11 BENASSI & BENASSI STEPHEN P. KELLY 45 12WC 31436 SMITH, PHILIP R EAST PEORIA COMMUNITY 04/16/12 JOHN LESAGANICH PC COZZI & GOGGIN-WARD 13WC011218 -C 46 12WC 31695 BURRELL, BRADLEY ILLINOIS DEPARTMENT OF @ 02/18/12 KINGERY DURREE WAKEMAN & R 47 12WC 33906 KOCH, BRAD RON WAGENBACH CONCRETE 09/22/10 WILLIAMS & SWEE PERRY GENTILE

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 48 12WC 36581 MC NEIL JR, EARL THE CSI COMPANIES 10/01/12 STRONG LAW OFFICE LAW OFFICE CRAIG A HANSEN 49 12WC 37856 MALOTT, CRYSTAL L EMPLOYMENT PLUS 10/26/11 KANOSKI BRESNEY RODDY LAW LTD 50 13WC 00249 GOODMAN, DAVID CATERPILLAR INC 04/08/11 GOLDFINE & BOWLES CATERPILLAR INC 51 13WC 01092 JANSON, CHARLES M ILLINOIS DEPARTMENT OF @ 01/31/12 LEFANTE LAW OFFICES 52 13WC 04013 19B SCHOEDEL, ANTHONY CITY OF PEKIN 10/09/12 BACH, ROBERT W NYHAN BAMBRICK KINZIE & LOWR 53 13WC 06126 REASON, JANEL VERSA PRESS 07/09/12 RIDGE & DOWNES LLC ROSARIO CIBELLA 54 13WC 07457 DONALDSON, VICKIE CATERPILLAR INC 12/08/11 WINNE LAW OFFICE LLC DARCY GIBSON 55 13WC 07458 DONALDSON, VICKIE CATERPILLAR INC 12/21/11 WINNE LAW OFFICE LLC DARCY GIBSON 56 13WC 08596 RUNYON, SCOTT PEORIA PUBLIC DISTRICT 15 12/13/12 STRONG LAW OFFICE STEPHEN P. KELLY 14WC000539 -C 14WC000655 -C 57 13WC 09460 SCHADT, BRANDON HAGEL METAL FABRICATION I 08/22/12 JANSSEN LAW CENTER RIPES NELSON BAGGOT KALOBRAT 58 13WC 09499 SHINALL, RICHARD E JBS UNITED INC D/B/A 01/26/12 KATZ HUNTOON & FIEWEGER P CAPUANI & SCHNEIDER 59 13WC 12961 BEECHAM, MICHAEL CATERPILLAR INC 03/22/13 PRUSAK, WINNE & MCKINLEY L DARCY GIBSON 60 13WC 16047 COLLINS, RENEE PEORIA SCHOOL 04/08/13 MEYERS & FLOWERS STEPHEN P. KELLY 13WC030941 -C 61 13WC 18499 SNIFF, RONALD CATERPILLAR INC 06/06/12 LAW OFFICE DAVID HUNT DARCY GIBSON 62 13WC 19958 RUSSELL, ALBERT G, JR WILSON TREE SERVICE 05/13/13 ROCHFORD & ASSOC 63 13WC 20323 BODDIE, OSCAR ARCHER DANIEL MIDLAND 06/03/13 CUSACK FLEMING GILFILLAN E FEATHERSTUN GAUMER POSTLEWAI 64 13WC 21961 SALAZAR-ZUPANCIC, ANGELA STATE OF ILLINOIS @ 07/29/12 STRONG LAW OFFICE 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 ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 65 13WC 22789 TAYLOR, SHELLI ACTIVE WAY HEALTHCARE 06/25/13 JAY H JANSSEN HOLECEK & ASSOCIATES 66 13WC 23114 JOHNSON, DONETTE J BOYD GAMING 11/26/12 DOC HALLIDAY QUINN JOHNSTON HENDERSON ETA 67 13WC 23870 REASON, JANEL VERSA PRESS 03/23/11 RIDGE & DOWNES LLC ROSARIO CIBELLA 68 13WC 27890 MARAS, PAULS S CITY OF PEORIA 02/26/13 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 69 13WC 29490 MAXWELL, ROBERT TRI C COMPANY INC 02/28/13 WILLIAMS & SWEE LTD PATRICIA M CARAGHER 70 13WC 29885 HARRIS-WAYNE, SANDRA G&D TRANSPORTATION 05/21/13 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 71 13WC 30209 NOBLE, LYNNE KELLY MASON COUNTY SHERIFF'S OF 07/09/13 KAVANAGH SCULLY SUDOW ET A INMAN & FITZGIBBONS 15WC000011 -C 72 13WC 32511 WIELAND, KEVIN STS STAFFING 06/07/13 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 73 13WC 35313 NICHOLS, DAVONNA F G&D INTEGRATED TRANSPORTA 06/07/11 LAW OFFICE MARK WERTZ LAWRENCE COZZI - LAW OFFICES 74 13WC 37770 COUTRE' GEORGE R WESTERN ILLINOIS UNIVERSI 05/17/13 HARVEY & STUCKEL SIMEON NOCKOV 13WC037974 -C 75 13WC 39341 HARP, DOUG CATERPILLAR 09/20/12 STEPHENS FIDDES MCGILL ASS DARCY GIBSON 76 13WC 41160 DUNNE, MARTIN J MORTON INDUSTRIES LLC 11/04/13 JOHN LESAGANICH PC CRAIG A HANSEN 77 14WC 02481 KOLB, RENAY ASTA CARE CENTER OF TOLUC 04/26/13 JAY H JANSSEN LAW OFFICES FRANCESCA LARSEN 78 14WC 02838 RAMIREZ, LIBRADA A/K/A CENTRAL CLEANIDNG SERVICE 10/31/13 EPSTEIN, JACK R LAW OFFICE QUINN JOHNSTON HENDERSON ETA 79 14WC 03836 WYLE, STEPHEN ALLIED WELDING 11/08/12 STRONG LAW OFFICE COZZI & GOGGIN-WARD 80 14WC 04504 SCHISLER, LORRIE L NTN-BOWER CORPORATION 05/14/13 RIDGE & DOWNES LLC WIEDNER & MCAULIFFE LTD 81 14WC 05295 BARRIBALL, JAY PEORIA RIVERMAN 02/05/13 THE FLOYD LAW FIRM 82 14WC 05296 BARRIBALL, JAY PEORIA RIVERMAN 01/01/12 THE FLOYD LAW FIRM HOLTKAMP LIESE ET AL

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 14WC 05926 ROBERSON-TAYLOR, VICTORIA PEORIA CITIZENS COMMITTEE 02/20/13 JOHN LESAGANICH 84 14WC 06237 HATTERMANN, JENNIFER OSF-ST FRANCIS MEDICAL CT 01/08/14 STRONG LAW OFFICE HINSHAW & CULBERTSON 85 14WC 06752 CARTER, JAMES L MORTON BUILDINGS INC 08/13/13 JOHN LESAGANICH, PC KNELL LAW LLC 86 14WC 09593 COLLINS, MATTHEW SC2 07/25/13 JOHN LESAGANICH COZZI & GOGGIN-WARD 87 14WC 09652 19B BROWN, CAMERON BENSON'S APPLIANCE 02/17/14 STRONG LAW OFFICE HENNESSY & ROACH PC 88 14WC 11619 MC KINNEY, MICHELLE L KINDRED HEALTHCARE 02/25/14 DOC HALLIDAY ARNETT LAW GROUP 89 14WC 12282 COLLINS, MATTHEW D SC2 03/20/14 JOHN LESAGANICH COZZI & GOGGIN-WARD 90 14WC 12479 SCHIELE, SHAUN M PEPSI BEVERAGES CO 03/26/14 BENASSI & BENASSI ROBERT L. SMITH 91 14WC 13081 COLE, TIMOTHY J KEYSTONE STEEL & WIRE CO 05/07/13 JOHN LESAGANICH, PC 92 14WC 13388 JENKINS, BUTCH A MVG HOLDINGS, INC. 07/05/13 JOHN LESAGANICH LAW OFFICE CRAIG A HANSEN 93 14WC 13972 GRANT, DONALD P III, ADMI L & M STEEL 03/19/14 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 94 14WC 18465 BODDY, HEIDI L UNITY POINT HEALTH METHOD 03/11/14 BENASSI & BENASSI STEPHEN P. KELLY 95 14WC 20788 KUMER, JOSEPH DAVISON-FULTON WOODLAND C 02/08/14 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 96 14WC 22881 FLYNN, AUSTIN D KEYSTONE STEEL & WIRE CO 04/25/14 JOHN LESAGANICH 97 14WC 22882 FLYNN, AUSTIN D KEYSTONE STEEL & WIRE CO 04/25/14 JOHN LESAGANICH 98 14WC 25262 CHRISTIANSON, MIKE CENTURY LINK 07/18/13 STEPHENS FIDDES MCGILL ASS MC ANDREWS & NORGLE LLC 14WC025412 -C 99 14WC 26126 ADAMS, BENJAMIN J MOBILE DIAGNOSTIC SERVICE 09/07/12 ESSIG LAW OFFICES 100 14WC 27621 BARRIBALL, JAY PEORIA RIVERMAN 10/09/11 FLOYD LAW FIRM HOLTKAMP LIESE ET AL

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 14WC 27624 BARRIBALL, JAY PEORIA RIVERMAN 10/28/11 FLOYD LAW FIRM HOLTKAMP LIESE ET AL 102 14WC 28266 TRULSON, SHAWN KOMATSU 01/19/12 ELFENBAUM EVERS & AMARILIO HENNESSY & ROACH 103 14WC 28357 THOMAS, CHRISTOPHER CANTON SCHOOL DISTRICT 66 02/21/14 LAW OFFICE OF CHRIS DOSCOT WIEDNER & MCAULIFFE LTD 15WC030788 -C 15WC030789 -C 104 14WC 28753 HELLER, KARI S STATE OF ILLINOIS @ 06/09/14 JOHN LESAGANICH SIMEON NOCKOV 105 14WC 29257 NOLAN, SCOTT CATERPILLAR INC 02/10/14 LAW OFFICE OF CHRIS DOSCOT DARCY GIBSON 106 14WC 29707 LENINGTON, DOUGLAS PAUL WEVER CONSTRUCTION 11/15/13 THOMSON & WEINTRAUB THOMAS & PORTELA 15WC001858 -C 15WC001859 -C 107 14WC 30949 EWING, TIMOTHY CATERPILLAR 10/06/11 DOC HALLIDAY DARCY GIBSON 108 14WC 33533 BRIDGES, VALERIE HEDDINGTON OAKS 07/17/14 GOLDFINE & BOWLES STEPHEN P. KELLY 109 14WC 34032 BOWMAN, WARREN ST OF IL-ILLINOIS DEPARTM @ 03/07/12 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 110 14WC 35256 GREEN, VIRGINIA UNITY POINT HEALTH 02/26/14 RIDGE & DOWNES LLC STEPHEN P. KELLY 111 14WC 37308 DAVIS, JOSEPH A CATERPILLAR INC 09/03/14 WINNE LAW OFFICE LLC DARCY GIBSON 112 14WC 38800 MILLER, KAREN L CATERPILLAR INC 09/05/13 AMANDA WATSON 113 14WC 39033 BLEICHNER, CHRISTOPHER HANNA STEEL CORPORATION 10/28/14 JOHN LESAGANICH COZZI & GOGGIN-WARD 114 14WC 39097 RETEGUIN, JESUS WILLIAM ALWAN D/B/A 06/06/14 WARREN E DANZ, PC 115 14WC 39838 MEIERKORD, BARRY E STATE OF ILLINOIS @ 09/18/14 GOLDBERG WEISMAN & CAIRO L SIMEON NOCKOV 116 14WC 40286 19B SECKER, RAYMOND GOODWILL INDUSTRIES 11/09/13 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 117 14WC 40495 MAGANA, MARIA UNITYPOINT PROCTOR 09/01/14 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 118 14WC 40504 YANKAWAY, TABITHA SC2 10/22/14 JOHN LESAGANICH 119 14WC 40510 FERNANDEZ, TYLER PEORIA RIVERMEN 11/17/13 LAW OFFICE OF CHRIS DOSCOT HOLECEK & ASSOCIATES 120 14WC 40682 SCHLOSSER, ROBERT J II FARMERS COOP ASSOC 11/12/14 JOHN LESAGANICH EDWARD JANUSZKIEWICZ 121 14WC 41902 RUTH, JOSHUA TOBIN BROTHERS 11/11/14 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 122 14WC 42025 KENT, MARK D CATERPILLAR INC 09/27/12 KINGERY DURREE WAKEMAN & R AMANDA WATSON 123 14WC 42165 HILL, MICHAEL G KEYSTONE STEEL & WIRE CO 07/01/13 WINNE LAW OFFICE LLC 124 14WC 43328 BREITZMAN, AMBER OSF ST FRANCIS MEDICAL CE 08/20/14 ROCHFORD & ASSOC HINSHAW & CULBERTSON 125 14WC 43687 BARTHEL, ANNA PEKIN HOSPITAL 08/19/14 CUSACK FLEMING GILFILLAN E STEPHEN P. KELLY 126 15WC 00763 ABBOTT, ROBERT SOTHERLAND ACE HARDWARE 11/17/14 STRONG LAW OFFICE RODDY LAW LTD 15WC000861 -C SUTHERLAND ACE HARDWARE 127 15WC 01871 SHINKLE, THOMAS J SENECA FOODS CORPORATION 06/12/14 KAVANAGH SCULLY SUDOW ET A GAROFALO SCHREIBER STORM 128 15WC 02105 GREEG, JOE P CATERPILLAR 07/12/12 HEIPLE LAW OFFICE DARCY GIBSON 129 15WC 02554 TURNER, RUSSELL F CATERPILLAR INC 12/03/14 JOHN LESAGANICH AMANDA WATSON 130 15WC 02734 GREEN, OLIVER U ROLEXPRESS INC 05/24/14 131 15WC 02860 KEIME, RANDY USA TECHNOLOGIES 12/26/14 STRONG LAW OFFICE CHILTON YAMBERT PORTER LLP 15WC005548 -C 132 15WC 06428 TURNER, RENEE CATERPILLAR, INC 02/11/14 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 15WC 07311 APLIN, BILLY JOE CATERPILLAR 02/03/15 STRONG LAW OFFICE DARCY GIBSON 134 15WC 07508 QUINTERO, BERNARDO HOME COMFORT INC 05/10/14 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 15WC008088 -C 135 15WC 08798 GRIGSBY, FRANCES JOANN FREEMAN UNITED COAL 05/25/14 CULLEY & WISSORE CRAIG & CRAIG 136 15WC 08910 KELLY, EBONIE CATERPILLAR, INC. 01/30/15 LAW OFFICE OF CHRIS DOSCOT DARCY GIBSON 137 15WC 08919 DINGLEDINE, SARA NIEMAN FOODS, INC. 01/13/15 HASSELBERG & ROCK HEYL ROYSTER VOELKER & ALLEN 138 15WC 10424 STOEHR, TROY PRAIRIE FARMS 03/13/13 STEPHENS FIDDES MCGILL ASS KNAPP, OHL & GREEN 139 15WC 10866 WILES, JONATHAN L AMERICAN RENTAL CENTERS 10/29/14 MCCALL LAW OFFICES PC 140 15WC 13974 WOODS, LYNETTE RED CROSS 03/29/15 LAW OFFICE OF CHRIS DOSCOT 141 15WC 15830 WHEELER, BRIAN AEROTEK, INC. 01/26/15 LEFANTE LAW OFFICES WIEDNER & MCAULIFFE LTD 142 15WC 15832 JORDAN, VANCIE OSF SAINT FRANCIS 02/09/15 STRONG LAW OFFICE HINSHAW & CULBERTSON 15WC009031 -C 143 15WC 17074 FRIANT, KENNY CATERPILLAR INC 05/08/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 15WC017075 -C 144 15WC 18151 ROOT, MARY E EYLER AUTO SALES 01/23/14 KANOSKI BRESNEY RODDY LAW LTD 145 15WC 18189 MC QUAID, TAMMIE S CATERPILLAR INC 04/02/14 WINNE LAW OFFICE LLC DARCY GIBSON 146 15WC 18613 RIECK, BILLY J. BENCHMARK CABINET AND 10/17/13 JOHN LESAGANICH 147 15WC 18794 SASSMAN, BRIAN J-TECH 05/22/15 LAW OFFICE DAVID HUNT HOLECEK & ASSOCIATES 148 15WC 19396 MASON, NICHOLAS PEORIA POLICE DEPT 04/16/15 KINGERY DURREE WAKEMAN & R HASSELBERG GREBE SNODGRASS 149 15WC 19824 MURPHY, CHRISTINE A. PEORIA COUNTY HEALTH DEPT 06/16/14 DOC HALLIDAY STEPHEN P. KELLY

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 150 15WC 19987 REEVES, QUENTIN HUNZEKER SERVICE AGENCY 08/29/14 CUSACK FLEMING GILFILLAN E CHILTON YAMBERT PORTER LLP 151 15WC 21060 GORDON, MICHAEL R TEMCO MACHINERY INC 04/09/15 JOHN LESAGANICH 152 15WC 21491 SHANKS, ERIN ACI MIDWEST LLC 06/25/15 LAW OFFICE PATRICK JENNETT PATRICIA M CARAGHER 153 15WC 21662 HUDSON, JOHN D JR CATERPILLAR INC 10/07/14 KINGERY DURREE WAKEMAN & R AMANDA WATSON 154 15WC 22205 PALUSKA, TERRY J ILLINOIS CENTRAL COLLEGE 05/26/15 GOLDBERG WEISMAN & CAIRO L INMAN & FITZGIBBONS 155 15WC 22341 BLANCHARD, THOMAS EVONIK INDUSTRIES 05/29/15 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 156 15WC 22355 WESSLER, MARYFRAN PEORIA PUBLIC SCHOOL DIST 09/11/14 CUSACK FLEMING GILFILLAN E STEPHEN P. KELLY 157 15WC 22713 SCHLOSSER II, ROBERT J FARMERS COOP ASSOCIATION 05/21/15 JOHN LESAGANICH LAW OFFICES OF 158 15WC 22787 ROUDEBUSH, COURTNEY D WEXFORD HEALTH SOURCES 04/12/15 DOC HALLIDAY RUSIN & MACIOROWSKI LTD 159 15WC 23363 CAMPBELL, DONALD GREENBRIER RAIL SERVICES 11/19/14 STRONG LAW OFFICE HOLECEK & ASSOCIATES 160 15WC 24804 DIECKOW, ROSE COOS INC 03/15/15 JOHN LESAGANICH ROSARIO CIBELLA 161 15WC 25191 MADALA, NAGAMANI (WIDOW) AUTOGAS & BAYVIEW INC. # 04/06/15 STRONG LAW OFFICE 162 15WC 25925 JEFFRIES, JUSTIN CITY OF PEORIA 07/25/14 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 163 15WC 25928 BAILEY, CHARLES R ROESE CONTRACTING CO 07/03/12 JAY H JANSSEN 164 15WC 26483 COFFEY, FOREST F. JR. CATERPILLAR, INC. 04/16/15 JOHN LESAGANICH AMANDA WATSON 165 15WC 26793 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 02/04/15 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 166 15WC 26796 COATES, JAMES CATERPILLAR, INC. 02/11/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 167 15WC 27343 MARTIN, CHARLES LOWE'S 07/12/15 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 15WC 27509 MARTIN, CHARLES LOWE'S 07/27/15 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 169 15WC 27942 MYERS, JOSEPH TRUCK CENTERS 12/18/14 GOLDSTEIN BENDER & ROMANOF 170 15WC 28621 POTTER, LONNIE E EMPLOYMENT PLUS 04/13/15 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 171 15WC 29788 HYATT, CANDY FARM & FLEET 03/13/15 MEYERS & FLOWERS WOLFE & JACOBSON, LTD 172 15WC 30103 JONES, HAZEL BOB EVANS 02/24/14 WARREN E DANZ, PC BRYCE DOWNEY & LENKOV LLC 16WC032413 -C 173 15WC 31363 BAKER, BRYAN K LONZA, INC. 08/03/15 LEFANTE LAW OFFICES 174 15WC 31511 EASTON, ALICIA LEE OSF ST FRANCIS MEDICAL CE 10/21/13 CUSACK FLEMING GILFILLAN E HINSHAW & CULBERTSON 175 15WC 32302 BOYLES, WILLIAM M. STATE OF ILLINOIS-ILLINOI @ 08/05/15 JOHN LESAGANICH KRISTINA D DION 176 15WC 33748 GILLES, SCOTT A PEORIA DISPOSAL CO 09/18/15 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 177 15WC 33824 NULL, KEITH A NELSON GLOBAL PRODUCTS 09/23/15 JOHN LESAGANICH 178 15WC 33950 CARRINGTON, LEGRANDE "JOE STATE OF IL JAKE WOLF MEM @ 12/09/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 179 15WC 33951 CARRINGTON, LEGRANDE "JOE STATE OF IL JAKE WOLF MEM @ 03/03/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 180 15WC 34181 COOPER, BYRON L WIN PRODUCTION, LLC 09/12/15 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 181 15WC 34564 KILLON, RENEE DUNLAP SCHOOL DIST. 323 09/10/15 LAW OFFICE OF CHRIS DOSCOT PERRY GENTILE 182 15WC 35044 HENRY, VEREATHA ST OF IL DEPT OF @ 06/30/15 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 183 15WC 36407 MURPHY, RUSSELL EVONIK 06/03/15 JAY H JANSSEN COZZI & GOGGIN-WARD 184 15WC 36408 HOLDER, DUSTIN T NELSON GLOBAL PRODUCTS 09/22/15 JOHN LESAGANICH LAW OFFICES STEVEN PILAND 185 15WC 36721 FRYER, SCOTT BRADLEY UNIVERSITY 06/09/15 LAW OFFICE OF CHRIS DOSCOT

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 15WC 37737 COLEMAN, MARY MUNDAY FIRST STUDENT 09/04/15 JAY H JANSSEN WIEDNER & MCAULIFFE LTD 187 15WC 37971 ABNER, SHARON GREAT PLAINS ORTHOPEDICS 02/21/12 LAW OFFICE OF CHRIS DOSCOT 188 15WC 38269 BARNETT, HERBERT JR. ALTORFER/CAT 12/03/14 KOLKER LAW OFFICES HENNESSY & ROACH PC 189 15WC 38280 JONES, MICHAEL RIVER CITY CONSTRUCTION, 02/20/13 WARREN E DANZ, PC KNELL LAW LLC 190 15WC 38343 JORDAN, MICHAEL CALIHAN PORK PROCESSORS 09/20/15 STRONG LAW OFFICE RODDY LAW LTD 191 15WC 38480 THOMPSON, CHAD E HI-TECH IDUSTRIAL SERVICE 04/15/15 MEYER, MICHAEL J 192 15WC 38530 WALKER, DARRELL HOMEWAY HOMES 03/14/13 WILLIAMS & SWEE PERRY GENTILE 193 15WC 38670 FORD, BONNIE CATERPILLAR, INC. 01/30/14 DARCY GIBSON 194 15WC 39321 BILLINGSLEY, HUGH G SR WASTE MANAGEMENT OF ILLIN 11/06/15 HEIPLE LAW OFFICE 195 15WC 39627 PETTY, DONNA FONDULAC REHABILITATION & 11/10/15 KNELL LAW LLC 196 15WC 39876 ZIMMERMAN, CONRAD NOOTER CONTRUCTION 10/31/15 JOHN LESAGANICH 197 15WC 39933 STEWART, BRANDON OBERLANDER ELECTRIC 11/11/14 GOLDFINE & BOWLES CACCHILLO LAW GROUP LLC 198 15WC 41070 CHASTEEN, BEAU UNITED CONTRACTORS MIDWES 10/25/15 DEUTSCHMAN, JEFFREY S KNELL LAW LLC 199 15WC 41339 RILEY, ETHEL CEDRIK RILEY DBA 04/09/15 LAW OFFICE OF CHRIS DOSCOT 200 15WC 41810 HARRELL, LINDA R CATERPILLAR INC 05/15/12 JOEL E BROWN DARCY GIBSON 201 15WC 42349 STECKEN, RICHARD S. CATERPILLAR, INC. 09/24/15 JOHN LESAGANICH AMANDA WATSON 202 15WC 42357 FRAZIER, JENNA HUMAN SERVICE CENTER 10/27/15 DOC HALLIDAY STEPHEN P. KELLY 203 16WC 00284 FAGGETT, JIMMY EVONIK INDUSTRIES 08/16/15 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 204 16WC 00346 MURPHY, DIANE OSF HOME CARE SVCS 10/01/15 LAW OFFICE MARK WERTZ HINSHAW & CULBERTSON 205 16WC 00392 ABEGG, KENNETH GOODYEAR AUTO 07/29/15 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 206 16WC 00661 SMITH, THERESA ILL DEPT OF MOTOR VEHICLE @ 12/23/15 STEPHENS FIDDES MCGILL ASS ASSISTANT ATTORNEY GENERAL 207 16WC 00959 BACHMAN, GARY PEORIA DISPOSAL COMPANY 11/30/15 LEE, MARK N LAW OFFICE 208 16WC 02088 POMEROY, JAMES IDOT 12/16/15 STEPHENS FIDDES MCGILL ASS KRISTINA D DION 209 16WC 02277 LEEPER, CYNTHIA D ENVOY AIR INC 08/08/15 JOHN LESAGANICH 210 16WC 02475 REED, STANLEY BARTLETT MANAGEMENT 12/30/15 GOLDFINE & BOWLES 211 16WC 02627 BOOTHE, DENNIS DYNEGY IL POWER HOLDINGS 12/10/15 LAW OFFICE OF CHRIS DOSCOT KEEFE & DEPAULI 212 16WC 03303 STEFFEN, CAROL UNITED PARCEL SERVICEOFAM 10/30/15 WIEDNER & MCAULIFFE LTD 213 16WC 04324 STONE, SHAWN GRAINLAND COOPERATIVE 08/25/15 STRONG LAW OFFICE CAPUANI & SCHNEIDER 214 16WC 04330 KRAKEL, MATTHEW TAZEWELL COUNTY ASPHALT C 05/22/14 GOLDFINE & BOWLES KNELL LAW LLC 215 16WC 05577 JURICK, ANITA HERITAGE HEALTHCARE 01/29/16 JOHN LESAGANICH RIPES NELSON BAGGOT KALOBRAT 216 16WC 05648 HUGHES, JEFFERY CATERPILLAR INC 02/03/16 WINNE LAW OFFICE LLC AMANDA WATSON 217 16WC 05750 SMITH, WILLIAM CATERPILLAR INC 11/02/15 CUSACK FLEMING GILFILLAN E CATERPILLAR, INC. 218 16WC 06759 SCHOLL, JIM BOB GRIMM CHEVROLET, INC. 01/05/15 LAW OFFICE OF CHRIS DOSCOT MORROW WILLNAUER 219 16WC 07372 PARKMON, ROBERT CITY OF PEORIA 12/25/15 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 220 16WC 07721 BUHS, LINDA THE BACK STORE 05/12/15 STRONG LAW OFFICE HOLECEK & ASSOCIATES 221 16WC 08052 ERVIN, LOUIE TRILLIUM STAFFING SOLUTIO 02/15/16 ROCHFORD & ASSOC SPIEGEL & CAHILL, PC

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 222 16WC 08090 MCAVOY, JENNIFFER TIMBER CREEK REHAB 02/18/16 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 223 16WC 08239 TODD, CHRIS OSF ST FRANCIS MEDICAL CE 03/02/16 GOLDFINE & BOWLES HINSHAW & CULBERTSON 224 16WC 09068 DAVIS, BILLY JR SUNRISE AG SERVICE COMPAN 06/30/14 JOHN LESAGANICH 225 16WC 10164 WYMAN, RON CASE NEW HOLLAND 03/15/16 LAW OFFICE OF CHRIS DOSCOT INMAN & FITZGIBBONS 226 16WC 10314 TOLF, JAMES METRO PARAMEDIC SERVICES 04/03/15 WHITING LAW GROUP POWER & CRONIN LTD 227 16WC 10576 THOMPSON, HARRY CATERPILLAR INC 02/21/14 STEPHENS FIDDES MCGILL ASS CATERPILLAR, INC. 228 16WC 10800 MAGNUSON, DEBRA CATERPILLAR INC 03/07/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 229 16WC 11037 SMITH, WILLIAM L INDIANHEAD PIPELINE 04/25/14 KANOSKI BRESNEY LAW OFFICE PAUL LARIMORE 230 16WC 11100 LIST, STACEY APOSTOLIC CHRISTIAN RESTM 10/01/15 LAW OFFICE OF CHRIS DOSCOT 231 16WC 11680 MARTINEZ, BRUNO BREDA MOVING COMPANY, INC 11/19/15 LAW OFFICES ROBERT WARSASK KNELL & O'CONNOR 232 16WC 11811 KEPLINGER, LINDA CORNERSTONE REHAB & 02/22/16 CROWLEY & PRILL KNELL LAW LLC 233 16WC 12485 WARD, DOUGLAS WINSHIP FARMS 09/20/15 234 16WC 13689 HARMS, GEORGE PEORIA PARK DISTRICT 04/17/16 ROCHFORD & ASSOC HENNESSY & ROACH PC 235 16WC 13926 VONDERHEIDE, BRETT A CITY OF PEORIA 04/25/16 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 236 16WC 14006 BLOOMER, WANDA CATERPILLAR, INC 10/15/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 237 16WC 14179 WRIGHT, TIA ACTIVE WAY HOME HEALTH CA 04/04/16 JAY H JANSSEN 238 16WC 14301 SCHWINN, STEVEN LOWES HOME & GARDEN CENTE 04/26/16 STEPHENS FIDDES MCGILL ASS 239 16WC 16060 ESTES, JOHN QUIKRETE 01/25/16 STEPHEN P. KELLY COZZI & GOGGIN-WARD

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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 240 16WC 16475 STEVENS, ROBERT BRUCE ARTIS D/B/A W 05/03/16 PERONA, PETERLIN, ANDREONI 241 16WC 16499 KAPRAUN, VICKI JIM MCCOMB CHEVROLET INC 12/29/14 LAW OFFICE OF CHRIS DOSCOT NYHAN BAMBRICK KINZIE & LOWR 242 16WC 16503 CAGLE, JASON CATERPILLAR INC 03/15/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 243 16WC 16775 MATTHEWS, DARRELL ROANOKE CONCRETE PRODUCTS 07/06/15 STEPHEN P. KELLY HOLECEK & ASSOCIATES 244 16WC 16844 STEGALL, THOMAS G & O DISPOSAL BUBBA DUMP 10/26/15 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 245 16WC 17162 WALKER, JAMES TRACK SERVICES, INC 05/10/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 246 16WC 17223 HALL, ROBERT WESTERN SPECIALTY CONTRAC 05/19/16 JAY H JANSSEN HOLECEK & ASSOCIATES 247 16WC 17343 WIECHMANN, TORREY L KOMATSU AMERICA CORP 05/23/16 HARVEY & STUCKEL HENNESSY & ROACH 248 16WC 17490 DAVIS, GLORIA CANTON UNION SCHOOL DIST 06/01/15 STEPHEN P. KELLY INMAN & FITZGIBBONS 249 16WC 17846 CARNES, CASSIE CATERPILLAR, INC 05/04/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 250 16WC 18025 MC QUAID, TAMMIE S. CATERPILLAR INC. 05/13/16 WINNE LAW OFFICE LLC AMANDA WATSON 251 16WC 18132 GARNER, JAMES A ST OF IL DEPT OF CORRECTI 02/11/16 THOMSON, MCNEELY & TOBIN KRISTINA D DION 252 16WC 18440 NANNEN, JACK CITY OF PEKIN 03/21/16 JAY H JANSSEN NYHAN BAMBRICK KINZIE & LOWR 253 16WC 18892 ZBINDEN, ANTHONY L SCHECK MECHANICAL CORP 04/19/16 LAW OFFICE MARK WERTZ ROBERT L. SMITH 254 16WC 19082 SHAPIRO, KEITH AT&T 02/29/16 LAW OFFICE OF CHRIS DOSCOT 255 16WC 19413 BECK, JOSEPH QUIKRETE OF PEORIA 05/20/16 STRONG LAW OFFICE COZZI & GOGGIN-WARD 256 16WC 19543 ANDERSON, DAVID CATERPILLAR INC 03/24/16 STRONG LAW OFFICE CATERPILLAR 257 16WC 19558 WIGGINS, LARRY J PRAIRIE FARMS DAIRY 03/17/16 BENASSI & BENASSI KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 258 16WC 19999 BERRY, SUSAN JOE'S PLACE 12/26/14 BENASSI & BENASSI HEYL ROYSTER VOELKER & ALLEN 259 16WC 20112 NOBLE, MICHAEL E HAVANA SCHOOL DISTRICT 02/08/14 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 260 16WC 20139 PURHAM SR, TODD S HARRIS DAVIS REBAR LLC 06/14/16 HARVEY & STUCKEL LAW OFFICE CRAIG A HANSEN 261 16WC 20194 CASE, JACK ANTHONY BENDER ELECTRONICS, INC. 01/29/16 GOLDFINE & BOWLES LAW OFFICES STEVEN PILAND 262 16WC 20577 MCCADDON, JAY G&D INTEGRATED 01/20/16 MARC J SHUMAN & ASSOCIATES HEYL ROYSTER VOELKER & ALLEN 263 16WC 20643 WILDER, NICOLE COMMUNITY ACTION PARTNERS 01/21/16 JOHNSON & JOHNSON 264 16WC 20753 WALLACE, SCOTT A HENRY ROBINSON COMPANY 11/24/15 JOHN LESAGANICH 265 16WC 20793 MUELLER, DAVID M. VILLAGE OF METAMORA 06/23/16 ROCHFORD & ASSOC NYHAN BAMBRICK KINZIE & LOWR 266 16WC 20959 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 03/16/16 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 267 16WC 21356 SNELL, ROSALIE GOODWILL INDUSTRIES 12/08/15 GOLDFINE & BOWLES KNELL LAW LLC 268 16WC 21806 KRAMER, VALERIE RED CROSS 06/20/16 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 269 16WC 22041 LLOYD, BRYAN CATERPILLAR, INC. 07/05/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 270 16WC 22174 LANTZ, RANDY CHILLICOTHE METAL CO. INC 07/01/16 JOHN LESAGANICH HOLECEK & ASSOCIATES 271 16WC 22864 NARAHJO, SAUL LEON BRACE INTEGRATED SERVICES 11/09/15 WARREN E DANZ, PC FEATHERSTUN GAUMER POSTLEWAI 272 16WC 23222 CALHOUN, KRISANN STAYWELL 06/28/16 BACH, ROBERT W COZZI & GOGGIN-WARD 273 16WC 23752 JACOBUS, AMY BOYD GAMING D/B/A 07/11/16 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 16WC024693 -C 274 16WC 23861 HANLEY, TAMARA ROGY'S LEARNING PLACE 06/20/16 JAY H JANSSEN HOLECEK & ASSOCIATES 275 16WC 24073 BROWN, ANDREW STANDARD HEATING & COOLIN 06/30/16 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 16WC 24230 BRODD, PATRICIA OSF HEALTHCARE SYSTEM DBA 09/22/13 ANTHONY C RACCUGLIA & ASSO HINSHAW & CULBERTSON 277 16WC 24492 EDMONDS, ANDREW THYSSEN KRUPP 06/28/16 HOLLEY & ROSEN FOLEY & MANSFIELD PLLP 278 16WC 24546 GARDNER, GREGORY IL DEPT OF MILITARY AFFAI @ 07/08/16 SGRO HANRAHAN DURR RABIN KRISTINA D DION 279 16WC 24968 AMERSON, CECILE IL DEPT OF HUMAN SERVICES @ 02/18/15 JAY H JANSSEN KRISTINA D DION 280 16WC 25654 KEERAN, TODD STATE OF ILLINOIS DEPARTM @ 01/29/16 JAY H JANSSEN KRISTINA D DION 281 16WC 25713 STAPLES, TERESE GRAND PRAIRIE OF MACOMB 04/25/16 STRONG LAW OFFICE HENNESSY & ROACH 282 16WC 25858 MCGREGOR, BENJAMIN RAGLAND BUILDINGS 04/14/15 LAW OFFICE PATRICK JENNETT 283 16WC 25877 PEACOCK, LANCE WHEEL WORX NORTH, LLC 01/14/16 LAW OFFICE PATRICK JENNETT WIEDNER & MCAULIFFE LTD 284 16WC 25999 WADDELL, JEFFREY MID AMERICA SYSTEMS INC 11/03/14 GOLDBERG WEISMAN & CAIRO L 285 16WC 26108 BAXTER, SCOTT STATE OF IL-LOGAN CORRECT @ 08/11/16 GREGORY W. SCRONCE KRISTINA D DION 286 16WC 26677 CROSS, BRIAN SAM LEMAN AUTOMOTIVE GROU 07/03/16 JOHN LESAGANICH GAROFALO SCHREIBER STORM 287 16WC 26743 BENNETT, KEVIN TAZEWELL MACHINE WORKS, I 06/21/16 JOHN LESAGANICH 288 16WC 26827 EWING, ANTHONY RYCO AG/RYCO DISTRIBUTING 06/14/16 LEFANTE LAW OFFICES 289 16WC 26959 MENCHACA, ANTONIO NESTLE 08/13/16 LAW OFFICE OF CHRIS DOSCOT NYHAN BAMBRICK KINZIE & LOWR 290 16WC 27063 EVANS, MARY BRADLEY UNIVERSITY 03/03/15 RIDGE & DOWNES LLC 291 16WC 27330 LUMINO, JOSEPH OAK GROVE, LLC 05/26/16 LAMARCA LAW OFFICES, PC 292 16WC 27656 KNOX, DALVIS VONACHEN SERVICES INC 08/25/16 STRONG LAW OFFICE PERRY GENTILE 293 16WC 27831 EDDY, MICHAEL UF2 LLC 11/10/15 LEFANTE LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 16WC 28014 BANKS, TARA GREATER PEORIA MASS 06/04/16 LEFANTE LAW OFFICES 295 16WC 28091 BLANCHARD, TOM EVONIK 08/25/16 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 296 16WC 28983 BENNETT, KEVIN TAZEWELL MACHINE WORKS, I 02/03/16 JOHN LESAGANICH 297 16WC 29006 BONNETT, KEVIN BRAND ENERGY SERVICES INC 10/12/15 LEE, MARK N LAW OFFICE GOLDBERG SEGALLA LLC 298 16WC 29174 UPHOFF, JAMES BROOKMEADOWS APARTMENTS L 04/21/16 STRONG LAW OFFICE 299 16WC 29372 MATHUS, BRANDAN C PLEASURE DRIVEWAY & PARK 01/23/16 HARVEY & STUCKEL HENNESSY & ROACH PC 300 16WC 29434 MC QUAID, TAMMIE S. CATERPILLAR INC 09/14/16 WINNE LAW OFFICE LLC AMANDA WATSON 301 16WC 29622 BURCH, JACK J TAZEWELL MACHINE WORKS IN 08/15/16 JOHN LESAGANICH HOLECEK & ASSOCIATES 302 16WC 29889 MUDD, SHAWN STARK EXCAVATING, INC 09/06/16 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 303 16WC 30654 CAMPBELL, SHANE L RANDY BYERS AND RODNEY BY 03/10/15 NESSLER, FREDERIC LAW OFFI COZZI & GOGGIN-WARD 304 16WC 30660 NORMAN, STEPHANIE ADDUS HEALTHCARE 06/13/16 JAY H JANSSEN HENNESSY & ROACH 305 16WC 30729 KAMMERMAN, DONALD AECOM/URS CORP 10/21/15 CUSACK FLEMING GILFILLAN E HENNESSY & ROACH 306 16WC 30741 MCCABE, PENNY THE ENCHANTED FLORIST 07/03/15 GOLDFINE & BOWLES QUINN JOHNSTON HENDERSON ETA 307 16WC 30767 WILLIAMS, BONNIE J BON-TON STORES, INC 04/13/15 STEVEN P GLANCY WIEDNER & MCAULIFFE LTD 308 16WC 30914 ROSS, AMANDA OSF ST FRANCIS MED CENTER 01/13/14 LAW OFFICE DAVID HUNT 309 16WC 31061 HIMEGARNER, JAY COUNTY OF PEORIA 09/23/16 BACH, ROBERT W STEPHEN P. KELLY 310 16WC 31271 BEASLEY, CHAUNCEY SUNSHINE PROPERTY SVCS, L 12/08/13 311 16WC 31354 DONAHO, KERMIT CONSOLIDATED BRANDS, LLC 08/03/16 KINGERY DURREE WAKEMAN & R

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 16WC 31585 WILLIAMS, ASHA HEALTH ALLIANCE 01/05/16 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 313 16WC 31721 CARRINGTON, LEGRANDE ILLINOIS DNR FISHERIES @ 09/12/16 JAY H JANSSEN JOSEPH MOORE 314 16WC 31747 MURRAY, JENNIFER CATERPILLAR, INC. 09/02/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 315 16WC 31852 LAZCANO-MENDEZ, ABRAHAM WEAVER RIDGE 06/10/16 CUSACK FLEMING GILFILLAN E CAPUANI & SCHNEIDER 316 16WC 32295 VILLARREAL, JASON PEORIA AWNING CO 09/16/16 BRADY, CONNOLLY & MASUDA, PC 317 16WC 32771 FRENCH, JOSHUA FEDEX EXPRESS 05/05/16 STRONG LAW OFFICE 318 16WC 33049 BOWMAN, WARREN K STATE OF IL - IDOT @ 08/02/16 JOHN LESAGANICH KRISTINA D DION 319 16WC 33852 WILLIAMS, MARY AMERICAN RED CROSS 01/05/16 HASSELBERG GREBE SNODGRASS 320 16WC 33877 CARRINGTON, LEGRANDE "JOE JAKE WOLF MEMORIAL FISH @ 04/24/16 WILLIAMS & SWEE 321 16WC 34051 AULT, GARY PACIFIC ETHANOL 09/20/16 CROWLEY & PRILL COZZI & GOGGIN-WARD 322 16WC 34417 CADE, JAMES ADM 10/27/16 WARREN E DANZ, PC FEATHERSTUN GAUMER POSTLEWAI 323 16WC 34447 HERTZ, MARY R&B PRODUCTIONS 04/15/16 CUSACK FLEMING GILFILLAN E MORROW WILLNAUER 324 16WC 34606 POSTLEWAITE, ANTHONY AGAPE MISSIONARY 06/27/16 JOHN LESAGANICH 325 16WC 35000 STAPLETON, JAMIL UPS 04/25/16 LAW OFFICE OF CHRIS DOSCOT ASA LAW GROUP 326 16WC 35042 PETERS, SAMUEL DIGGLE ACE HARDWARE LLC 09/19/16 JOHN LESAGANICH KNELL LAW LLC 327 16WC 35169 KILLEN, MICHAEL STATE OF ILLINOIS - IDOT @ 10/24/16 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 328 16WC 35453 HILST, BRENDA STATE OF IL DEPT OF @ 05/28/14 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 329 16WC 35795 NICHOLS, TIFFANY STATE OF ILLINOIS - DHS @ 11/02/16 CUSACK FLEMING GILFILLAN E KRISTINA D DION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 16WC 35798 JACKSON, LARRY CANTON SCHOOL DISTRICT#66 11/09/16 STRONG LAW OFFICE INMAN & FITZGIBBONS 331 16WC 36200 SHIVERDECKER, ERIC ADVANCED TECHNOLOGY 09/18/15 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 332 16WC 37363 KENYON, FRANKLIN AMERICAN RED CROSS 11/04/16 JAY H JANSSEN HENNESSY & ROACH 333 16WC 37404 GROFF, ROBERT D G&D INTEGRATED 10/31/16 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 334 16WC 37705 SMITH, CLIFFORD CHADCO, INC 11/08/16 LAW OFFICE OF CHRIS DOSCOT 335 16WC 37706 STANLEY, JORDEN AMEREN 11/16/16 LAW OFFICE OF CHRIS DOSCOT CASSIDY & MUELLER 336 16WC 37720 EWING, ANTHONY RYCO AG 06/19/15 LEFANTE LAW OFFICES 337 16WC 38095 DICKINSON, ASHLEY TRUGREEN 10/17/16 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 17WC013751 -C 338 16WC 38309 STEVENS, AARON SUPERIOR INDUSTRIES INC 11/11/16 GOLDBERG WEISMAN & CAIRO L 339 16WC 38550 CROSS, BRIAN SAM LEMAN AUTOMOTIVE GROU 12/02/16 JOHN LESAGANICH GAROFALO SCHREIBER STORM 340 16WC 38628 SHEETS, NEAH WATERS EDGE CAMP & CONFER 06/22/16 GOLDFINE & BOWLES BRYCE DOWNEY & LENKOV LLC 341 16WC 38651 BLODGETT, CAROLYN STATE OF IL HUMAN SERVICE @ 11/02/16 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 342 16WC 38945 ALEXANDER, CHARLES HACKMAN EXPRESS INC. 12/14/16 JOHN LESAGANICH 343 16WC 39459 PANKEY, BETHANY THE TJX COMPANIES INC 04/25/16 WILLIAM J FLOTOW BRADY, CONNOLLY & MASUDA, PC 344 16WC 39467 PATEL, GIRISH 7, 11, 21, GROCERY AND DE 10/14/16 LEFANTE LAW OFFICES 345 17WC 00087 KROHN, CAROLE PEORIA BALLET CO. 10/01/16 WARREN E DANZ, PC COZZI & GOGGIN-WARD 346 17WC 00663 COFFEY, JOHN SAVE-A-LOT 07/25/16 STRONG LAW OFFICE BOGGS AVELLINO ETAL 347 17WC 00724 COFFEY, JOHN SAVE-A-LOT 08/23/16 STRONG LAW OFFICE BOGGS AVELLINO ETAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 17WC 01085 WU, BENJAMIN S US INFRASTRUCTURE CORPORA 11/16/16 RICHARD E ALEKSY 349 17WC 01675 STRONG, DARYL ILLINOIS STATE POLICE @ 12/27/16 LAW OFFICE DAVID HUNT 350 17WC 01820 MARICLE, DONNA C OSF ST FRANCIS MEDICAL CE 08/23/16 JOHN LESAGANICH HINSHAW & CULBERTSON 351 17WC 02187 BUTTRUM, DEAN SEDONA STAFFING 09/06/16 LAW OFFICE OF CHRIS DOSCOT QUINN JOHNSTON HENDERSON ETA 17WC002191 -C 352 17WC 02190 BUTTRUM, DEAN SELECT STAFFING 01/09/17 LAW OFFICE OF CHRIS DOSCOT QUINTAIROS PRIETO WOOD & BOY 353 17WC 02274 HEFFLEFINGER, LINDA ARTHUR J GALLAGHER & COMP 08/26/16 GOLDFINE & BOWLES HENNESSY & ROACH 354 17WC 02455 WITTY, RICHARD L WASTE MANAGEMENT 01/17/17 RIDGE & DOWNES 355 17WC 02574 MANLEY, CANDACE COMMUNITY WORKSHOP CENTER 01/16/17 STRONG LAW OFFICE ROBERT L. SMITH 356 17WC 02946 HOLLY, KIMBERLY CATERPILLAR, INC 11/23/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 357 17WC 02968 HAYNES, MARC A KNOX COUNTY SHERIFF'S DEP 10/21/16 KINGERY DURREE WAKEMAN & R BUSH MOTTO CREEN KOURY 358 17WC 03075 YOUMANS, CALVIN MAACO PEORIA THE FLEETWOO 01/07/17 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 359 17WC 03260 DROWNS, ARTHUR THARP BROTHERS 12/01/16 MARKS INJURY LAW 360 17WC 03491 CUMMING, SHAWN P ST OF IL DEPT OF TRNSPORT @ 01/11/17 JOHN LESAGANICH KRISTINA D DION 361 17WC 04156 COLLINS, EDWIN PEORIA PUBLIC SCHOOLS - 04/20/16 GOLDFINE & BOWLES STEPHEN P. KELLY 362 17WC 04249 MCKINLEY, LISA CITY OF PEKIN 10/05/16 SCHWEICKERT & GANASSIN QUINN JOHNSTON HENDERSON ETA 363 17WC 04454 HIMEGARNER, JOHN CATERPILLAR, INC 01/12/17 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 364 17WC 04571 SCHAEFER, JOSEPH SAIA LTL FREIGHT 11/03/16 STEPHEN P. KELLY BROWN & JAMES, PC 365 17WC 04637 RISHER, TIMOTHY STATE OF ILLINOIS-HFS/DCS @ 01/10/17 JOHN LESAGANICH KRISTINA D DION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 17WC 04857 HAWKSWORTH, JOHN VILLAGE OF BARTONVILLE 06/16/16 STEPHENS FIDDES MCGILL ASS 367 17WC 04902 WEBB, CHRISTOPHER SC2 06/15/15 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 368 17WC 04936 HANSON, APRIL PERSONAL TOUCH SOLUTION 10/18/16 369 17WC 04965 TURNER, DUANE MIDLE RIVER MARINE 12/13/16 DAVID W OLIVERO SCHOUEST BAMDAS SOSHEA 370 17WC 05592 ELTREVOOG, MATT PHELPS UNIFORM SPECIALIST 01/24/17 SCHWEICKERT & GANASSIN GAROFALO SCHREIBER STORM 371 17WC 05755 SCHMILLEN, CHERYL SELECT POST ACUTE CARE, L 01/05/17 STRONG LAW OFFICE POWER & CRONIN LTD 372 17WC 05894 TUCKER, JACOB TAZEWELL COUNTY 06/14/16 LEE, MARK N LAW OFFICE QUINN JOHNSTON HENDERSON ETA 373 17WC 06082 HEBERER, JOHN NEW MEDIA INVESTMENT GROU 08/31/16 STEPHEN P. KELLY KNELL LAW LLC 374 17WC 06200 DINGLEDINE, STEPHEN OBERLANDER ELECTRIC 01/16/17 LAW OFFICE MARK WERTZ 375 17WC 06386 BARNETT, ABIGAIL CATERPILLAR, INC 03/08/16 STEPHENS FIDDES MCGILL ASS CATERPILLAR 376 17WC 06485 LIDDLE, MIKE JJ BRAKER & SONS INC 10/09/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 377 17WC 06674 LANE, ROBERT SWAN LAKE MEMORY GARDENS 12/19/16 GOLDFINE & BOWLES COZZI & GOGGIN-WARD 378 17WC 06987 BRADBURN, JASON HEADWATER RESOURCES INC 02/14/17 STRONG LAW OFFICE CRAIG A HANSEN 17WC006988 -C 17WC006993 -C 379 17WC 07228 SANDOVAL, RUTH CITY OF PEORIA 03/02/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 380 17WC 07447 SMITH, SCOTT E CATERPILLAR INC 01/04/16 AMANDA WATSON 381 17WC 07484 STONE, SHAWN GRAINLAND COOPERATIVE 08/25/15 STRONG LAW OFFICE CAPUANI & SCHNEIDER 382 17WC 07592 MASON, ELONA PEORIA PARK DISTRICT 09/06/15 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH PC 383 17WC 07649 BRINER, MILDRED DISTRICT 309 EAST PEORIA 02/10/17 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 17WC 07787 RANDLE, ASHLEY N TJM FOODS INC DBA 03/01/17 JOHN LESAGANICH LIVINGSTONE MUELLER ET AL 385 17WC 08257 FITZANKO, STEVE PEKIN POLICE DEPARTMENT 11/01/16 LAW OFFICE DAVID HUNT POWER & CRONIN LTD 386 17WC 08293 WHITEHURST, GARY J.F ELECTRIC 11/09/16 LEE, MARK N LAW OFFICE COZZI & GOGGIN-WARD 387 17WC 08553 MARTIN, PERRY RIVER CITY CONSTRUCTION 12/27/08 LAW OFFICE OF CHRIS DOSCOT GILDEA & COGHLAN 388 17WC 08616 JOHNSON, DANIEL W MORTON BUILDINGS, INC 03/01/17 JOHN LESAGANICH KNELL LAW LLC 389 17WC 08864 BARTH, KRISTINA CATERPILLAR, INC 01/06/16 AMANDA WATSON 390 17WC 09021 ADAMS, ROY RIVER CITY ROOFING 09/28/16 LAW OFFICE DAVID HUNT KNELL & O'CONNOR 391 17WC 09033 MEINDERS, LAWRENCE STATE OF ILLINOIS - IDOT @ 12/16/16 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 392 17WC 09340 GULLEY, EDGAR AUTO ZONE 02/07/17 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 393 17WC 09410 PEARSON, PATRICIA ANTIQUE CATERPILLAR MACHI 08/11/16 STRONG LAW OFFICE LAW OFFICES STEVEN PILAND 394 17WC 09518 THOMPSON, CARL CATERPILLAR, INC 02/23/17 WILLIAMS & SWEE AMANDA WATSON 395 17WC 09550 MERRIMAN, WILLIAM CALLAHAN'S 02/20/17 STRONG LAW OFFICE RODDY LAW LTD 396 17WC 09629 BROWN, MICHAEL A TAZEWELL MACHINE WORKS IN 02/28/17 JOHN LESAGANICH HOLECEK & ASSOCIATES 397 17WC 09634 JOHNSON, DANIEL W MORTON BUILDINGS INC 01/12/17 JOHN LESAGANICH KNELL LAW LLC 398 17WC 09678 PERRY, BROCK O'BRIEN STEEL SERVICE CO 03/28/17 JOHNSON & JOHNSON KEEFE CAMPBELL & ASSOC LLC 399 17WC 10578 PARKS, LORA J JACKSON STREET MARKET 09/14/15 KANOSKI BRESNEY RODDY LAW LTD 400 17WC 10959 HAYFORD, ANNE PAL HEALTH TECHNOLOGIES 02/22/17 GOLDFINE & BOWLES LAW OFFICE OF PAUL O WATKISS 401 17WC 11310 LIGHT, RUSSELL CATERPILLAR 06/24/14 STRONG LAW OFFICE AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 17WC 11385 MEYERS, LOREN CATERPILLAR INC. 01/31/17 STEPHENS FIDDES MCGILL ASS AMANDA WATSON 403 17WC 11630 WISHTART, LAURANETTE PHD JANITORIAL SVCS 02/04/17 LAW OFFICE DAVID HUNT QUINN JOHNSTON HENDERSON ETA 404 17WC 11651 COHEN, CLAYTON BLUNIER BUILDERS, INC 02/08/17 STEPHEN P. KELLY BRYCE DOWNEY & LENKOV LLC 17WC011652 -C 405 17WC 12175 HILL, DONALD OSF ST FRANCIS MEDICAL CE 03/16/17 LAW OFFICE DAVID HUNT 406 17WC 12423 HESS, JERRY STATE OF ILLINOIS-IDOT @ 10/31/16 JOHN LESAGANICH KRISTINA D DION 407 17WC 13019 LAWSON, RACHEL CATERPILLAR INC 02/14/17 KINGERY DURREE WAKEMAN & R AMANDA WATSON 408 17WC 13041 BARTLETT, MIKE PEORIA PARK DISTRICT 03/21/16 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH PC 409 17WC 13044 RICHARDSON, JADE CATERPILLAR INC 09/01/12 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 410 17WC 13120 BINGAMON, BENJAMIN TRIPLE U TRUCKING 05/03/16 GOLDFINE & BOWLES JAMES M KELLY 411 17WC 13124 STEDMAN, COREY MIDWESTERN BLDG SUPPLIES, 03/30/16 GOLDFINE & BOWLES 412 17WC 13133 MILLER, WILLIAM MCLEOD EXPRESS 02/09/17 STRONG LAW OFFICE INMAN & FITZGIBBONS 413 17WC 13270 AITKEN, MICHAEL ALTORFER, INC 04/24/17 LAW OFFICE DAVID HUNT HOLECEK & ASSOCIATES 414 17WC 14075 BRADEN, LARRY CATERPILLAR, INC 10/25/16 CUSACK FLEMING GILFILLAN E AMANDA WATSON 415 17WC 14133 MARONEY, KEVIN JOE'S TOWING & RECOVERY 12/18/16 STRONG LAW OFFICE RODDY LAW LTD 416 17WC 14146 GRISWOLD, MARSHALL WESTERN ILLINOIS UNIVERSI @ 09/30/16 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 417 17WC 14375 HUTCHINSON, BRADLEY CITY OF PEORIA 03/24/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 418 17WC 14376 WEBSTER-HORTON, RENA UNITYPOINT HEALTH - PROCT 03/30/17 BENASSI & BENASSI STEPHEN P. KELLY 419 17WC 14378 PARKS, CINDY L UNITY POINT HEALTH METHOD 12/16/16 JOHN LESAGANICH STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 420 17WC 14626 JARA JR, HAERMINIO TOSHIBA AMERICA MEDICAL S 10/04/16 TURCYCHUTE LLC HENNESSY & ROACH PC 421 17WC 14815 CHAMBERS, JAMES S NEW-INDY IVEX F/K/A BEMIS 05/03/17 DOC HALLIDAY COZZI & GOGGIN-WARD 422 17WC 14897 LEMON-ELLIS, SHAMEIKA WOODROW WILSON SCHOOL DIS 05/01/17 STEPHENS FIDDES MCGILL ASS STEPHEN P. KELLY 423 17WC 15017 WILLIAMS, SANDRA FANNIE MAY CHOCOLATES 12/14/16 BENASSI & BENASSI COZZI & GOGGIN-WARD 424 17WC 15048 OLSON, THAD PEORIA PUBLIC SCHOOL 02/16/16 STRONG LAW OFFICE STEPHEN P. KELLY 425 17WC 15481 ROBERTSON, LARRY CHILLICOTHE METALS CO INC 04/24/17 LAW OFFICE DAVID HUNT 426 17WC 15866 WILLIAMS, JERRY CALIHAN, PORK PROCESSORS 03/13/16 WARREN E DANZ, PC RODDY LAW LTD 427 17WC 15909 LEWIS, ANTONIO CAST TECHNOLOGIES INC 05/01/17 STRONG LAW OFFICE 428 17WC 15945 LAWRENCE, RICHARD PRAIRIE FARMS DAIRY 02/10/17 GOLDFINE & BOWLES KNAPP, OHL & GREEN 429 17WC 15948 WOODMANCY, LEEANN CITY OF PEKIN 08/30/16 GOLDFINE & BOWLES POWER & CRONIN LTD 430 17WC 16149 ROE, PETER WASTE MANAGEMENT OF IL IN 01/28/15 GOLDFINE & BOWLES 431 17WC 16212 ROSALES, EUSEBIO PETROCHEM INSULATION, INC 09/30/16 STRONG LAW OFFICE 432 17WC 16379 COTTY, KENNETH EMERALD PERFORMANCE 02/06/17 DOC HALLIDAY 433 17WC 16411 COLLINS, MATTHEW CENTRAL ILLINOIS INSULATI 05/04/17 JOHN LESAGANICH 434 17WC 16621 DIXSON, JACOBY L MARTIN & BAYLEY, INC 04/06/17 JOHN LESAGANICH 435 17WC 16630 DELONG, ROBERT ROECKER CABINETS & MILLWO 10/05/16 LEFANTE LAW OFFICES 436 17WC 16816 LANCE, JEFFERY PACIFIC ETHANOL PEKIN, IN 05/23/17 GOLDFINE & BOWLES COZZI & GOGGIN-WARD 437 17WC 17275 LAUMEIER, JODIE MASON DISTRICT HOSPITAL 03/01/17 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 17WC 17493 TAYLOR, CHARLES O'BRIEN STEEL SERVICE CO 05/25/17 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 439 17WC 17544 SARGENT, VERNITA PEORIA PUBLIC SCHOOLS DIS 11/18/14 GOLDFINE & BOWLES 440 17WC 17774 HODGKINS, KEVIN MCI INDUSTRIAL 09/28/16 LEE, MARK N LAW OFFICE 441 17WC 17889 DILLON, JASMINE HELP AT HOME 04/25/17 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH 442 17WC 17953 ANDREWS, DAVID COMCAST SERVICE CENTER 03/09/15 STRONG LAW OFFICE POWER & CRONIN LTD 17WC017954 -C 443 17WC 17966 NEEDHAM, LARRY JR. TRILLIUM STAFFING 05/31/17 JAY H JANSSEN 444 17WC 18009 DILLARD, JESSICA PEORIA COUNTY 02/15/17 NESSLER, FREDERIC LAW OFFI STEPHEN P. KELLY 445 17WC 18165 CALLIGAN, JASON CITY LINK 04/27/17 WARREN E DANZ, PC CASSIDY & MUELLER 446 17WC 18245 NELLUM, ANTONIO L BRENNTAG MIDSOUTH 06/07/17 HASSELBERG GREBE SNODGRASS EVANS & DIXON, LLC 447 17WC 18246 HUDNALL, RICARD BOLEY TOOL 06/05/17 JAY H JANSSEN 448 17WC 18352 GOMEZ, DUSTIN STATE OF ILLINOIS 06/08/17 JOHN LESAGANICH 449 17WC 18360 GOMEZ, DUSTIN STATE OF ILLINOIS @ 06/07/17 JOHN LESAGANICH 450 17WC 18716 SAMPSON, DAVID PRAIRIE FARMS DAIRY 12/16/16 STRONG LAW OFFICE KNAPP, OHL & GREEN 451 17WC 18744 ROGERS, JILL(ON BEHALF OF METHODIST UNITY POINT HEA 03/16/17 WARREN E DANZ, PC STEPHEN P. KELLY 452 17WC 18977 KEAYES, ANGIE GROUP 2029 INC DBA 05/28/17 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 453 17WC 19167 ELLIS, DEBRA DARCY'S CAFE & SLOTS 05/12/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 454 17WC 19295 GULLETT, RAYMOND HAGERTY BROTHERS CO & 06/27/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 455 17WC 19323 THOMAS, LEVI PEORIA COUNTY SHERIFF 05/20/17 LEFANTE LAW OFFICES STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 17WC 19657 MAGNER, JOSHUA CNS FORESTRY & LANDSCAPIN 05/30/17 LEE, MARK N LAW OFFICE 457 17WC 19662 ANDERSON, MICHAEL CATERPILLAR 08/10/16 GOLDFINE & BOWLES AMANDA WATSON 458 17WC 19932 MAY, BRANDY MASSAGE ENVY 01/21/17 JAY H JANSSEN LAW OFFICE PAUL LARIMORE 459 17WC 19946 BOEKER, ADAM KUHL INSURANCE AGENCY 04/19/16 GOLDFINE & BOWLES 460 17WC 20032 SMITH, SHAWN AECOM 04/06/17 DREW J FERRACUTI HENNESSY & ROACH 461 17WC 20136 LINDBERG, JOHN A CATERPILLAR INC 02/13/17 WINNE LAW OFFICE LLC AMANDA WATSON 462 17WC 20207 MCINTOSH, LANDON THARP'S LTD 12/01/16 ANKIN LAW OFFICE CASSANO & ASSOCIATES 463 17WC 20217 SHAKE, JEREMY CATERPILLAR IN C 03/01/16 STEPHENS FIDDES MCGILL ASS AMANDA WATSON 464 17WC 20594 MCCARTY, JACOB MCCART HEATING AND PLUMBI 11/01/16 LEFANTE LAW OFFICES 465 17WC 20627 ROBINSON, TIMOTHY CHILDREN'S HOME ASSOCIATI 03/20/17 STEPHEN P. KELLY WOLF LAW LTD 466 17WC 20754 GIROUX, BRIAN PARSONS COMPANY, INC 06/10/17 JOHN LESAGANICH KNELL LAW LLC 467 17WC 20778 CLARK, ARTHUR HAMPTON'S KITCHEN & APPLI 04/12/17 GOLDFINE & BOWLES HENNESSY & ROACH 468 17WC 20791 UNDERWOOD, DENIELLE BOYD GAMING DBA PAR-A-DIC 06/28/17 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 469 17WC 20821 ROMANE, GREGORY ROBERT NGL ENERGY OPERATING, LLC 04/14/17 JOHNSON & JOHNSON WOLF LAW LTD 470 17WC 20840 CORP, JAMES DEAN LANGSTON COMPANIES 06/19/17 STRONG LAW OFFICE LAW OFFICE CRAIG A HANSEN 471 17WC 20856 HENN, RICK CATERPILLAR 09/09/16 JAY H JANSSEN AMANDA WATSON 472 17WC 21004 MAY, BILLIE HELP AT HOME 07/03/17 STRONG LAW OFFICE ROSARIO CIBELLA 473 17WC 21089 WATSON, MARTIN MAUI JIM SUNGLASSES 12/14/16 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 17WC 21216 PARKER, WYONA BOARD OF ED, CITY OF PEOR 05/09/17 JOHN LESAGANICH 475 17WC 21484 PISCAGLIA, MARK CATERPILLAR, INC 05/30/17 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 476 17WC 21576 BAHAN, CHRISTOPHER W CNH INDUSTRIAL 06/22/16 COSTIGAN & WOLLRAB PC INMAN & FITZGIBBONS 477 17WC 21648 BYRD, KASEY OSF ST FRANCIS MEDICAL CE 05/22/17 LEFANTE LAW OFFICES HINSHAW & CULBERTSON 478 17WC 21773 WILSON, SCOTT DESIGNER CONCEPTS LANDSCA 11/13/15 GOLDFINE & BOWLES CHILTON YAMBERT PORTER LLP 479 17WC 22040 NIEDERER, GARY MASON DISTRICT HOSPITAL 03/14/17 JAY H JANSSEN 480 17WC 22329 FOX, CONNIE B THE ELMS 03/06/17 RIDGE & DOWNES KEEFE & DEPAULI 481 17WC 22545 CURLEY, LYNTEE CITYLIFT 10/13/16 LEFANTE LAW OFFICES 482 17WC 22820 MABRY, WACONDA NEXT DOOR SELF-STORAGE 07/26/17 HARVEY & STUCKEL BRADY, CONNOLLY & MASUDA, PC 483 17WC 22822 STEPHENS, RANDY K KOMATSU AMERICA CORP 05/31/17 DOC HALLIDAY KNELL LAW LLC 484 17WC 22863 STEFFEL, LAWRENCE YRC WORLDWIDE 07/26/17 KROL BONGIORNO & GIVEN LTD 485 17WC 22941 CURRY, JERROD L FEDERAL COMPANIES 07/19/17 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 486 17WC 23110 IVEY, SHAUN CITY OF PEKIN 05/01/17 STEPHEN P. KELLY POWER & CRONIN LTD 487 17WC 23173 MORAN, DEAN G&D INTEGRATED 06/15/17 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 488 17WC 24064 COTELLESO, WILLIAM CITY OF PEORIA 06/02/17 LAW OFFICE OF CHRIS DOSCOT HASSELBERG GREBE SNODGRASS 489 17WC 24070 BROWN, THOMAS CATERPILLAR INC 05/04/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 490 17WC 24096 HUNTER, EDDIE WILLIAMS BROTHER CONSTRUC 11/01/15 WARREN E DANZ, PC KNELL LAW LLC 491 17WC 24110 MATTHEWS, SAMANTHA HYVEE 05/27/17 GOLDFINE & BOWLES QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 17WC 24168 STUMP, MARGARET OSF HOME CARE SERVICES 02/15/17 STRONG LAW OFFICE 493 17WC 24221 SLACK, ERIN CITY OF CANTON 12/30/16 JOHNSON & JOHNSON 494 17WC 24278 HUNTER, EDDIE AUPPERLE CONSTRUCTION 09/01/15 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 495 17WC 24410 EDWARDS, MIKAYLA SC2 05/09/17 JAY H JANSSEN 496 17WC 24614 FISHER, TRACIE CITY OF PEKIN 04/24/17 GOLDFINE & BOWLES 497 17WC 24806 ELLIOTT, BRADD MARQUETTE HEIGHTS POLICE 07/26/17 LAW OFFICE OF CHRIS DOSCOT POWER & CRONIN LTD 498 17WC 24917 LEILANIE HUSKISSON BRAND ENERGY SERVICES, IN 08/25/16 WOODRUFF & JOHNSON GOLDBERG SEGALLA LLC 499 17WC 25294 SPRADLING, SEAN MEDIACOM COMMUNICATIONS 04/26/17 KATZ FRIEDMAN EAGLE ET AL 500 17WC 25329 THOMAS, CHARLES GREATER PEORIA MASS TRANS 02/19/17 WARREN E DANZ, PC CASSIDY & MUELLER 501 17WC 25499 VANDYKE, KEVIN L PACIFIC ETHANOL PEKIN LLC 08/23/17 HARVEY & STUCKEL 502 17WC 25532 HAMILTON, HAROLD DAVID FITZGERALD EQUIPMENT 05/16/17 LAW OFFICE PATRICK JENNETT WIEDNER & MCAULIFFE LTD 503 17WC 25727 KING, ADAM PEORIA COUNTY SHERIFF'S O 07/01/17 GOLDFINE & BOWLES STEPHEN P. KELLY 504 17WC 25780 SIMAYTIS, DEBORAH BRAVO HOLDING COMPANY/ROS 06/07/17 WARNER & ZIMMERLE PERRY GENTILE 505 17WC 25885 DOBRYDNIA, GARY RICK'S CONCRETE 09/13/16 ANTHONY C RACCUGLIA & ASSO BRADY, CONNOLLY & MASUDA, PC 506 17WC 25944 WEIR, KAREN SEAPCO 02/03/17 LAW OFFICE OF CHRIS DOSCOT 507 17WC 26111 LARIMORE, STEVE BLAIN'S FARM & FLEET 08/15/17 JOHN LESAGANICH WOLFE & JACOBSON, LTD 508 17WC 26204 OEDEWALDT, CHERYL UNITY POINT METHODIST 08/08/17 STRONG LAW OFFICE STEPHEN P. KELLY 509 17WC 26482 POMPA, MELODY OSF MUTI-SPECIALTY 04/17/17 GOLDFINE & BOWLES HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 17WC 26722 REES, WESLEY R P LUMBER COMPANY 08/14/17 WILLIAMS & SWEE 511 17WC 26903 WHITE, DESTENY APERION CARE TOLUCA 08/19/17 LAW OFFICE PATRICK JENNETT 512 17WC 27014 CARTER, RACHEL KELLY SERVICES, INC 08/23/17 STRONG LAW OFFICE BRADY CONNOLLY & MASUDA PC 513 17WC 27035 RIEDEL, JENNIFER CATERPILLAR INC 07/05/17 JAY H JANSSEN AMANDA WATSON 514 17WC 27131 DOZARD, COREY A PEORIA DISPOSAL CO 04/21/17 HAUSER LAW LLC HEYL ROYSTER VOELKER & ALLEN 515 17WC 27218 CALL, DUSTIN HALLMARK FIXTURE OPERATIO 09/05/17 BENASSI & BENASSI INMAN & FITZGIBBONS 516 17WC 27370 LEWIS, DAVID ICC 05/15/15 ROCHFORD & ASSOC INMAN & FITZGIBBONS 17WC027371 -C 17WC027372 -C 17WC027373 -C 517 17WC 27380 MORROW, BRITTANY CLUB CABARET 12/15/14 HASSELBERG & ROCK 518 17WC 27381 MORROW, BRITTANY CLUB CABARET 03/24/15 HASSELBERG & ROCK 519 17WC 27526 HAMBY, TERRY KOMATSU 08/23/17 LAW OFFICE DAVID HUNT 520 17WC 27633 LEE, TONYA AG-LAND FS 05/01/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 521 17WC 27676 HAGGERTY, HEATHER PAL HEALTH TECHNOLOGIES 08/17/17 GOLDFINE & BOWLES 522 17WC 27797 VITTITOW, TODD CITY OF EAST PEORIA 08/11/17 LAW OFFICE OF CHRIS DOSCOT 523 17WC 27856 BLUNIER, DEBORAH APOSTOLIC CHRISTIAN HOME 05/17/17 GOLDFINE & BOWLES PERRY GENTILE 524 17WC 28062 GREEN, PERRI CATERPILLAR, INC 03/22/17 CUSACK FLEMING GILFILLAN E AMANDA WATSON 525 17WC 28194 BARTLETT, CORY GOLF GREEN LAWN CARE 07/21/17 STRONG LAW OFFICE COZZI & GOGGIN-WARD 526 17WC 28272 MADDOX-MERO, RONA REFLECTIONS MEMORY CARE 09/11/17 LEFANTE LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 527 17WC 28310 CAMERON, STEVE CATERPILLAR, INC 06/12/17 LAW OFFICE DAVID HUNT AMANDA WATSON 528 17WC 28694 CRAIG, SCOT CITY OF EAST PEORIA 09/14/17 LAW OFFICE DAVID HUNT 529 17WC 28702 WIGHT, TIM CITY OF PEORIA 12/14/14 LAW OFFICE OF CHRIS DOSCOT 530 17WC 28706 WILLIAMS, TERESA CATERPILLAR, INC 09/19/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 531 17WC 29152 YEAGER, DAVID CITY OF PEORIA 09/22/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 532 17WC 29225 SANCHEZ, ANGELA HGS 06/14/17 STRONG LAW OFFICE HOLECEK & ASSOCIATES 533 17WC 29564 GIBSON, AMBER AT&T 08/15/16 ASHER, RAYMOND L LTD 534 17WC 29679 AGEE, STEVE CITY OF EAST PEORIA 09/11/17 LAW OFFICE DAVID HUNT 535 17WC 29796 PATTERSON, JAMES TRILLIUM STAFFING SOLUTIO 08/16/17 STRONG LAW OFFICE SPIEGEL & CAHILL, PC 536 17WC 30075 MCFADDEN, LASALOME AT&T SERVICES INC 09/29/17 SALK, STEVEN B & ASSOC LTD 537 17WC 30113 SANDLIN, MELISSA BRADLEY UNIVERSITY 11/08/16 STEPHENS FIDDES MCGILL ASS HOLECEK & ASSOCIATES 538 17WC 30171 HARVEY, CHRISTL PEORIA PUBLIC SCHOOLS 08/30/17 HASSELBERG GREBE SNODGRASS STEPHEN P. KELLY 539 17WC 30243 BILLEN, JAMES ALLIED WELDING 08/12/17 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 540 17WC 30247 SNIDER, MARK LUTHERAN CEMETERY 03/29/17 GOLDFINE & BOWLES 541 17WC 30323 HASKINS, TIFFANY MOSAIC IN MACOMB 05/03/17 JOHNSON & JOHNSON 542 17WC 30569 PARRIS, ROBERT CIRCLE K D/B/A 09/01/16 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 543 17WC 30604 ROSE, CHRIS PIA AVCENTER LLC/ D/B/A 03/01/17 GOLDFINE & BOWLES 544 17WC 30605 PAGE, DONNA L KANOSKI BRESNEY 12/01/16

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 545 17WC 30747 PHILLIPS, WILMA DCX-CHOL ENTERPRISES 06/01/17 LAW OFFICE MARK WERTZ HOLECEK & ASSOCIATES 546 17WC 30782 FERRLS, MICHAEL HY-VEE 09/20/16 JOHNSON & JOHNSON QUINN JOHNSTON HENDERSON ETA 547 17WC 30922 SCHOPP, NEIL CITY OF EAST PEORIA 03/02/17 GOLDFINE & BOWLES 548 17WC 31072 ERNST, JASON CITY OF EAST PEORIA 09/20/17 LAW OFFICE DAVID HUNT INMAN & FITZGIBBONS 549 17WC 31355 HAYES, TERRI CATERPILLAR, INC. 07/25/17 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 550 17WC 31358 RODRIGUEZ-CORTEZ, VICTOR NESTLE 09/23/17 LAW OFFICE OF CHRIS DOSCOT NYHAN BAMBRICK KINZIE & LOWR 551 17WC 31584 BROWNFIELD, TINA M J&J CLEANER CORP 07/29/17 LEO J SCHWAMBERGER 552 17WC 31824 PANNELL, ARTIONNE IL CIVIL CONTRACTORS INC 09/26/17 LEE, MARK N LAW OFFICE LIVINGSTONE MUELLER ET AL 553 17WC 31841 STENGER, COREY BUSHNELL TRUCK REPAIR & T 05/02/17 SIMPSON PETERSON 554 17WC 31968 HARRELL, THOMAS O'REILLY'S AUTO PARTS 05/18/16 DWORKIN AND MACIARIELLO 555 17WC 32181 ESTRADA, ESMERALDA NESTLE HOLDINGS, INC 09/29/17 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 556 17WC 32257 BRACKNEY, SCOTT ENERCON ENGINEERING 10/04/17 STRONG LAW OFFICE 557 17WC 32282 WILLIAMS, DEANNA STATE OF ILLINOIS @ 10/21/17 GOLDFINE & BOWLES JOSEPH MOORE 558 17WC 32351 GUTIERREZ, ANDRES MANUFACTURING MAINTENANCE 03/07/17 JAY H JANSSEN HOLECEK & ASSOCIATES 559 17WC 32418 HUNT, GARY BOYD GAMING 09/23/17 LAW OFFICE DAVID HUNT QUINN JOHNSTON HENDERSON ETA 560 17WC 32441 FALLON, DALE WRIGHT TREE SERVICE, INC 05/08/17 KINGERY DURREE WAKEMAN & R LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 561 17WC 32465 EHRINGER, KELLY MEADOWBROOK VET CLINIC 10/11/17 STRONG LAW OFFICE HOLECEK & ASSOCIATES 562 17WC 32486 SMITH, RICHARD PHD SERVICES INC 02/11/15 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 17WC003503 -C ALLEGIS GROUP INC 563 17WC 32540 NORDSIEK, DEBORAH J PEORIA PUBLIC SCHOOLS 09/13/17 DOC HALLIDAY STEPHEN P. KELLY 564 17WC 32546 JACKSON, ARAMIS E CITYLINK 08/21/17 LAW OFFICE PATRICK JENNETT CASSIDY & MUELLER 565 17WC 32631 SILVA, ALONZO M REZA CALLIHAN PORK PROCESSORS 05/10/17 WARREN E DANZ, PC RODDY LAW LTD 566 17WC 32696 DAEBELLIEHN, TIM AT&T 07/14/16 LAW OFFICE OF CHRIS DOSCOT 567 17WC 32814 TURPEN, CLARENCE SWIFT TRANSPORTATION 11/25/15 MATLOCK LAW GROUP WIEDNER & MCAULIFFE LTD 568 17WC 32979 MOSLEY, RAYMOND CITY OF PEORIA 02/15/16 LAW OFFICE OF CHRIS DOSCOT HASSELBERG GREBE SNODGRASS 569 17WC 33068 PERRY, KENNY C CITY OF PEKIN 06/14/17 BACH, ROBERT W POWER & CRONIN LTD 570 17WC 33077 HAYNES, JOSEPH CATERPILLAR INC 09/27/17 LAW OFFICE DAVID HUNT AMANDA WATSON 571 17WC 33794 AMBROSE, CATHY A MORTON VILLA 09/30/17 HARVEY & STUCKEL ROBERT L. SMITH 572 17WC 33893 HUNT, THANE PEORIA POLICE DEPARTMENT 09/27/09 LAW OFFICE PATRICK JENNETT HASSELBERG GREBE SNODGRASS 573 17WC 33939 STOCKOV, KATHY SCHLEIGH J.D.STREET & COMPANY INC 06/05/17 JOHNSON & JOHNSON KEEFE CAMPBELL & ASSOC LLC 574 17WC 33980 MOSLEY, RAYMOND CITY OF PEORIA 08/29/17 LAW OFFICE OF CHRIS DOSCOT HASSELBERG GREBE SNODGRASS 575 17WC 34033 TAYLOR, MARIA COLLEGE CHEFS * 09/11/17 CUSACK FLEMING GILFILLAN E LAW OFFICE PAUL LARIMORE 576 17WC 34057 FLAKE, LINDSEY STARK COUNTY CUSD #100 10/23/17 GOLDFINE & BOWLES 577 17WC 34058 GOODMAN, RYAN UFTRING AUTO GROUP 09/01/17 GOLDFINE & BOWLES 578 17WC 34061 SIMPSON, NIKKI PEORIA PUBLIC SCHOOLS DIS 10/23/17 GOLDFINE & BOWLES STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 579 17WC 34168 LOHNES, KEVIN EAGLE SERVICE 01/06/16 DWORKIN AND MACIARIELLO 580 17WC 34203 BAKER, JOSHUA WHEEL WORKS CO 11/03/17 CULLEN HASKINS NICHOLSON WIEDNER & MCAULIFFE LTD 581 17WC 34409 LITTLE, FRANKLIN NEW-INDY IVEX LLC 11/16/17 JOHN LESAGANICH COZZI & GOGGIN-WARD 582 17WC 34518 ECHOLS, DONNA SPOON RIVER HOME HEALTH 04/25/17 GOLDFINE & BOWLES 583 17WC 34531 TRIER, JAN OSF HEALTHCARE SYSTEMS 08/17/17 LEFANTE LAW OFFICES HINSHAW & CULBERTSON 584 17WC 34540 MICHAEL, DAWN UNITY POINT HEALTH-METHOD 07/14/17 STRONG LAW OFFICE STEPHEN P. KELLY 585 17WC 34694 COOPER, JODY KELLY SERVICES, INC 10/17/17 DOC HALLIDAY BRADY CONNOLLY & MASUDA PC 586 17WC 34731 TAYLOR, DENNIS HACKMAN EXPRESS 06/21/17 LEFANTE LAW OFFICES 587 17WC 35106 WANLESS, RICHARD RMH FOODS LLC 08/25/17 STRONG LAW OFFICE 588 17WC 35421 HENDERSON, RANDY LEE AIRGAS USA, LLC 04/13/16 HEIPLE LAW OFFICE 589 17WC 35684 GEIGER, ANTHONY NORTHERN TAZEWELL 10/15/15 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 590 17WC 35741 SLOAN, RAMON PEPSICO 09/29/16 STEPHENS FIDDES MCGILL ASS ROBERT L. SMITH 591 17WC 35909 FARLOW, RODNEY ROCKET TIRE SERVICE 11/09/17 GOLDFINE & BOWLES HEYL ROYSTER VOELKER & ALLEN 592 17WC 35956 ERVING, SAMMY MV TRANSPORTATION 11/20/17 LEE, MARK N LAW OFFICE 593 17WC 36025 NELSON, AMEE MIDDLE CREEK SWINE, LLC 10/11/17 KATZ FRIEDMAN EAGLE ET AL 594 17WC 36116 SCHRODT, BONNIE J HEARTLAND-RIVERVIEW OF 11/01/17 HARVEY & STUCKEL 595 17WC 36145 POP, DALTON M.J. ELECTRIC 10/21/16 MCCARTHY ROWDEN & BAKER RUSIN & MACIOROWSKI LTD 596 17WC 36260 NELSON, STEPHANIE CATERPILLAR, INC 10/10/17 STEPHENS FIDDES MCGILL ASS AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 597 17WC 36450 STOCKE, RYAN TAZEWELL COUNTY-TAZEWELL 10/21/17 JOHN LESAGANICH INMAN & FITZGIBBONS 598 17WC 36573 DAVIS, JUSTIN AEROTEK 10/12/17 GOLDFINE & BOWLES 599 17WC 36721 FIGURSKI, DAN C&T SIDING AND CONSTRUCTI 09/19/17 LAW OFFICE OF CHRIS DOSCOT ASSISTANT ATTORNEY GENERAL 600 17WC 36987 PIPPIN, TIFFANY CATERPILLAR, INC 11/28/17 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 601 17WC 37009 HELSEL, ALLEN OPERATION 01/15/16 INMAN & FITZGIBBONS 602 17WC 37264 POORE, MEGAN STEAK N SHAKE 11/27/17 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 603 17WC 37278 COTTON, JENNIFER AKA JENN BURGER KING 06/15/16 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 604 17WC 37395 ENGLEBRECHT, MARY SELECT POST ACUTE CARE 11/16/17 LAW OFFICE OF CHRIS DOSCOT ROBERT L. SMITH 605 17WC 38012 BROWN, TYRONE III PEOPLELINK STAFFING SOLUT 12/11/17 GOLDFINE & BOWLES 606 17WC 38092 TURNER, ROBERT MCCORMICKS LAWN CARE 06/21/17 REHN LAW LLC QUINN JOHNSTON HENDERSON ETA 607 17WC 38097 RODRIGUEZ, ANGELA GORDMANS 11/29/17 LAW OFFICE OF CHRIS DOSCOT 608 18WC 00380 BURNETT, BILLY TERRY DAVIS TRUCKING 10/03/16 GOLDFINE & BOWLES 609 18WC 00442 SULLIVAN, JEFFREY ARCHER DANIELS MIDLAND CO 12/04/17 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 610 18WC 00471 ZEILER, PAMELA HUCK'S CONVENIENT FOOD ST 07/06/17 JAY H JANSSEN 611 18WC 00536 WILLIAMS, JERRY CALLIHAN PORK PROCESSORS 04/13/17 WARREN E DANZ, PC RODDY LAW LTD 612 18WC 00705 DEAL, JOHN SHERMAN'S PLACE INC 12/28/17 JOHN LESAGANICH 613 18WC 00794 HUDNALL, RICARD BOLEY TOOL * 12/14/17 JAY H JANSSEN 614 18WC 00871 WOODS, TONEY L CITYLINK 12/05/17 HASSELBERG GREBE SNODGRASS CASSIDY & MUELLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 615 18WC 01124 REESE, MARY CATERPILLAR * 11/28/17 STEPHEN P. KELLY AMANDA WATSON 616 18WC 01719 TAYLOR, DARRELL M SR PRAIRIE FARMS DAIRY * 05/13/17 BENASSI & BENASSI KNAPP, OHL & GREEN 617 18WC 01830 KILLION, IAN SC2 * 01/11/18 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 618 18WC 01877 CHILDERS, JEFF CITY OF PEORIA * 12/25/17 LAW OFFICE OF CHRIS DOSCOT HASSELBERG GREBE SNODGRASS 619 18WC 01880 RUDEBECK, KATHLEEN CHRIST LUTHERAN SCHOOL * 12/07/17 LAW OFFICE OF CHRIS DOSCOT 620 18WC 01884 NEWELL, LYLE CATERPILLAR, INC * 12/08/17 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 621 18WC 02127 ADAMS, CARLOS G&D INTEGRATED * 10/24/15 FOHRMAN, DONALD W & ASSOCS 622 18WC 02168 MINTUN, JOSEPH CRUSEN & KLEIN INC D/B/A * 11/23/17 JOHN LESAGANICH 623 18WC 02193 BROWN, DERRICK CASEY'S GENERAL STORE * 01/09/18 STRONG LAW OFFICE 624 18WC 02358 KING, MARGARET LAURA J DONLAN, DDS, PC * 12/30/15 JOHN LESAGANICH 625 18WC 02587 NARTEY, FREDRICK JR ADVANCE SERVICES, INC * 01/10/18 HOLLEY & ROSEN 626 18WC 02643 CADY, MICHAEL M AEROTEK * 12/21/17 CROWLEY BUNGER PRILL FEATHERSTUN GAUMER POSTLEWAI 627 18WC 02662 WHALEN, ANGELA RISINGER BROTHERS TRANSFE * 07/17/17 STRONG LAW OFFICE 628 18WC 02681 RAWDON, AMANDA PROFESSIONAL THERAPY SVCE * 07/20/17 STEPHENS FIDDES MCGILL ASS 629 18WC 02758 DELHOTAL, MICHAEL MEDIACOM COMMUNICATIONS C * 08/30/17 KATZ FRIEDMAN EAGLE ET AL 630 18WC 02864 ZACHERY, KENYON BIG DADDY CAB CO * 12/23/17 LAW OFFICE OF CHRIS DOSCOT 631 18WC 02870 MCBRIDE, DOUGLAS CATERPILLAR INC * 12/04/17 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 632 18WC 03092 REIHL, HAROLD HOFFMAN BURIAL SUPPLIES I * 12/22/17 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 633 18WC 03115 MOSS, TERRY IHOP 01/21/18 STRONG LAW OFFICE 634 18WC 03152 KRUPA, JOANNE RICHARDET FLOOR COVERING * 12/10/17 GOLDBERG WEISMAN & CAIRO L CAPUANI & SCHNEIDER 635 18WC 03167 CHITWOOD, MARK IL CORN PROCESSING, LLC * 12/25/17 LAW OFFICE DAVID HUNT 636 18WC 03242 WINKLER, TIMOTHY NRG ENERGY INC * 01/29/17 LAW OFFICE MARK WERTZ 637 18WC 03274 POWELL, SHAWN MV TRANSPORTATION * 01/10/18 GOLDFINE & BOWLES BRADY CONNOLLY & MASUDA PC 638 18WC 03310 POWELL, CLARENCE ILLINOIS DEPT OF CORRECTI * 01/07/18 WILLIAMS & SWEE 639 18WC 03496 BLOCK, ALEX R GREEN HOLDING COMPANY * 12/19/16 MICHAEL T. MAHONEY 640 18WC 03575 FORTINO, MICHAEL WALMART OF PEKIN #603 * 01/10/18 JAY H JANSSEN GANAN & SHAPIRO 641 18WC 03590 BUTLER, BRETT CITY OF PEKIN * 11/17/17 DAVID HUNT POWER & CRONIN LTD 642 18WC 03648 PEMBERTON, TJ FRITCH HEATING & COOLING * 07/19/17 CHRIS DOSCOTCH RODDY LAW LTD 643 18WC 03654 WEST, MARIO WALLICK COMMUNITIES * 01/03/18 CHRIS DOSCOTCH STEVEN PILAND 644 18WC 03810 KINOSHITA, ANDY CITY OF PEORIA * 01/29/18 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 645 18WC 03859 CZAPEK, CHRISTINE UNITYPOINT HEALTH-METHODI * 01/23/17 GOLDFINE & BOWLES STEPHEN P. KELLY 646 18WC 04162 MENDENALL, DAVID GODDARD TRUCKING INTL * 01/23/18 MCCARTHY ROWDEN & BAKER 647 18WC 04310 MICHEL, ARNOUS DA HOERR & SONS, INC. * 08/16/17 BRYCE DOWNEY & LENKOV LLC 648 18WC 04389 SAYERS, DAVID L DYNEGY MIDWEST GENERATION * 02/24/15 SCHUCHAT, COOK & WERNER 649 18WC 04504 JONES, ANTHONY P FOUR SEASONS GUTTER * 01/19/18 JAY H JANSSEN QUINTAIROS PRIETO WOOD & BOY 650 18WC 04826 SIMMONS, CIARA ADMIN OF E PEORIA HOUSING AUTHORITY # * 09/25/15 BENASSI & BENASSI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 651 18WC 04853 ALLEN, ROGER M JR MORTON INDUSTRIES * 10/13/17 WARREN E DANZ, PC GANAN & SHAPIRO 652 18WC 04926 GARBER, JESSE R UNITED CONTRACTORS MIDWES * 09/21/17 ANESI OZMON RODIN NOVAK KO KNELL LAW LLC 653 18WC 05097 ZEHR, JULIA APERION CARE MORTON TERRA * 12/24/17 DOC HALLIDAY 654 18WC 05236 OTH, CHARLES ILLINOIS BELL TELEPHONE C * 10/16/17 GOLDFINE & BOWLES 655 18WC 05312 LOWE, JEREMY LOWE, JEREMY * 06/05/16 PATRICK JENNETTEN 656 18WC 05473 MCELFRESH, DARIN TRIMCO * 03/18/16 BRYCE DOWNEY & LENKOV LLC 657 18WC 05587 WISE, NORMAN WIESE USA, INC * 10/12/16 GOLDFINE & BOWLES 658 18WC 05793 HOFFMAN, KEVIN W KELLY SERIVCES, INC * 12/08/17 HARVEY & STUCKEL 659 18WC 05807 BRAY, JAMES A SR MANITO TRANSIT, LLC * 10/02/17 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 660 18WC 05842 CHAMBERS, CORTLAND PEORIA TOYOTA * 01/06/17 REHN LAW LLC MORROW WILLNAUER 661 18WC 05847 RISBY, MATTIE OSF SAINT FRANCIS MED CTR * 01/09/18 JOHN LESAGANICH HINSHAW & CULBERTSON 662 18WC 05850 WILLIAMS, TONEKA PROCTOR HOSPITAL 4403 * 01/24/18 JOHN LESAGANICH STEPHEN P. KELLY 663 18WC 05866 GRAHAM, CHARLOTTE MANPOWER * 01/10/18 STRONG LAW OFFICE 664 18WC 05973 REID, BRAD ALPHA BAKING CO INC * 06/10/17 DOC HALLIDAY 665 18WC 05993 SMITH, DOROTHY OSF ST FRANCIS MEDICAL CE * 08/14/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 666 18WC 06294 KUHN, LEIGHANNE AC SKYLINES HOME CARE * 09/28/17 CUSACK FLEMING GILFILLAN E 667 18WC 06309 WIGHT, TIM CITY OF PEORIA * 07/28/17 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 668 18WC 06313 NAU, ROSE CATERPILLAR INC * 12/22/17 CHRIS DOSCOTCH AMANDA WATSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 669 18WC 06475 THOMPSON, CARL CATERPILLAR INC * 05/20/16 WILLIAMS & SWEE AMANDA WATSON 670 18WC 06564 JOHNSON, MISTY PEKIN ANIMAL HOSPITAL * 10/21/16 STRONG LAW OFFICE 671 18WC 06682 PIQUARD, JAMES CATERPILLAR, INC * 08/01/16 CATERPILLAR 672 18WC 06788 SCHMIDT, DANIEL PRAIRIE FARMS DAIRY * 04/15/17 DOC HALLIDAY KNAPP, OHL & GREEN 673 18WC 06868 JACKSON, LANCE PAR ELECTRICAL CONTRACTOR * 02/27/17 STEPHENS FIDDES MCGILL ASS 674 18WC 06919 BUTLER, KARI CHILDREN'S HOME ASSOC OF * 02/18/18 GOLDFINE & BOWLES 675 18WC 06989 LIVINGSTON, DEBORA GREATER PEORIA MASS TRANS * 01/27/18 LEE, MARK N LAW OFFICE 676 18WC 06998 LENOVER, LARRY A LAVERDIERE CONSTRUCTION * 05/12/17 BOSHARDY LAW OFFICE PC LIVINGSTONE MUELLER ET AL 677 18WC 07358 SIMONS, CARRIE ASSOCIATED BANK * 12/23/16 STRONG LAW OFFICE 678 18WC 07494 QUINN, MICHAEL MINTER HEATING & AIR * 01/26/18 CHRIS DOSCOTCH RUSIN & MACIOROWSKI LTD 679 18WC 07516 INMAN, MARIA O'REILLY AUTO ENTERPRISES * 02/08/18 JOHN LESAGANICH 680 18WC 07637 MOORE, STEPHEN TODD OX PAPERBORAD ILLINOS, LL * 09/19/17 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 681 18WC 07640 MOORE, STEPHEN TODD OX PAPERBOARD ILLINOIS, L * 05/30/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 682 18WC 07750 ESPINOZA, JOSE CHUCKANUT PRODUCTS * 10/07/17 JOHN S. ELIASIK 683 18WC 08055 WARNING, RYAN KEYSTON STEEL & WIRE CO. * 02/18/18 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 684 18WC 08067 WILLIAMS, DAVID MATHESON TRI-GAS INC * 12/28/17 STEPHENS FIDDES MCGILL ASS 685 18WC 08083 JOHNSON, TODD CITY OF PEORIA * 06/20/17 CHRIS DOSCOTCH 686 18WC 08359 CARDEN, JOHN A NTN-BOWER CORPORATION * 12/07/16 KANOSKI BRESNEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 40 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 687 18WC 08399 AYALA, ENRIQUE WEAVER RIDGE GOLF CLUB 09/20/17 WARREN E DANZ, PC 688 18WC 08490 HUMPHREY, RICHARD CATERPILLAR INC * 02/02/18 CHRIS DOSCOTCH 689 18WC 08497 WILEY, DAVID BTD * 02/13/18 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 690 18WC 08538 GRAHAM, JOE L CALIHAN PORK PROCESSORS, * 02/21/18 JOHN LESAGANICH 691 18WC 08568 MCBRIDE, TERRANCE L SPOON RIVER BLACKTOP * 08/18/17 JAY H JANSSEN 692 18WC 08585 SILVA, ALONZO M REZA CALLIHAN PORK PROCESSORS * 02/24/17 WARREN E DANZ, PC 693 18WC 08733 MITCHELL, MYSKESHIA PEORIA PUBLIC SCHOOLS DIS * 01/16/18 STRONG LAW OFFICE STEPHEN P. KELLY 694 18WC 08919 REDDEN, DESMOND MOJA SOUTHERN KITCHEN * 03/10/18 STRONG LAW OFFICE STEPHEN P. KELLY 695 18WC 08939 MCCARTNEY, GARY KEYSTONE STEEL & WIRE CO * 02/11/18 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 696 18WC 09083 EDWARDS, SCOTT A AJINOMOTO WINDSOR * 10/16/17 HARVEY & STUCKEL 697 18WC 09326 SANDIFAR, NICHOLAS CITY OF PEKIN * 07/17/16 POWER & CRONIN LTD 698 18WC 09421 ATKINS, GREG TRILLIUM * 03/07/18 CHRIS DOSCOTCH 699 18WC 09425 GIBSON, KEINDRICK CATERPILLAR, INC * 03/05/18 CHRIS DOSCOTCH 700 18WC 09441 HOFFMAN, CONNIE BON-TON STORES/BEGNER'S * 04/24/16 CHRIS DOSCOTCH 701 18WC 09490 CASTLEMAN, KAREN OSF ST FRANCIS MED CTR * 03/07/18 GOLDFINE & BOWLES 702 18WC 09600 HOCKER, DAVID W ARNOLD BROTHERS HEATING & * 09/11/17 HEYL ROYSTER VOELKER & ALLEN 703 18WC 09756 GARCIA, BRANDON MERLIN'S 200000 MILE SHOP * 04/05/17 LEFANTE LAW OFFICES 704 18WC 09858 WOOD, JOANN AJINOMOTO WINDSOR FOODS * 09/14/17 STEPHENS FIDDES MCGILL ASS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 41 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 05/07/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 705 18WC 10029 WADE, MELISSA COMMUNITY WORKSHOP & * 03/02/18 STEPHEN P. KELLY 706 18WC 10075 NIDIFFER, WILLIAM III CATERPILLAR, INC. * 01/18/18 CHRIS DOSCOTCH 707 18WC 10080 STANFILL, BRUCE WHEELIN & SQUEALIN' LLC A * 03/17/18 CHRIS DOSCOTCH 708 18WC 10160 MCLEAN, RICK US CONVEYOR TECH MFG, INC * 06/01/17 LUCY T. UNGER 709 18WC 10242 MURRAY, EDWARD CHILLICOTHE METAL COMPANY * 01/26/18 LEFANTE LAW OFFICES