ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 … · 2017-10-02 · 12 10wc 41 809 bryant,...

34
ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 34464 GRIFFITH, PAMELA HARDIN COUNTY UNIT DIST N 02/24/03 CULLEY FEIST KUPPART & TAY RODDY LAW LTD 2 05WC 16540 CRAIG, DONNA DYNOL NOBEL 12/01/04 LAW OFFICE OF JAMES PARROT MCANANY VANCLEVE & PHILLIPS 06WC000073 -C 07WC009553 -C DYNO NOBEL 07WC054280 -C 3 06WC 43291 WILSON, PAM LAIDLAW TRANSIT 12/01/05 LAW OFFICE KEITH SHORT WIEDNER & MCAULIFFE LTD 08WC031570 -C 4 07WC 07672 FRANTZ, SAMMY DOOLIN ENTERPRISES @ W 02/15/06 GENE A TURK, JR LAW OFFICE 5 08WC 19745 SIMS, NANCY GENERAL DYNAMICS 09/01/07 BECKER & GALANTI KEEFE & DEPAULI 08WC019747 -C 6 08WC 37108 DAVIS, TIM PRAIRIE FARMS DAIRY 07/26/08 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 7 09WC 08286 ADAMS, LARRY BIG RIDGE INC 01/10/09 BECKER SCHROADER & CHAPMAN MCANANY VANCLEVE & PHILLIPS 8 09WC 20490 19B BAKER, JEFF MINOVA USA INC 04/27/09 MOSS & MOSS PC MCANANY VANCLEVE & PHILLIPS 10WC033530 -C 9 10WC 05172 KETRING, CYNTHIA GAYLE STATE OF ILLINOIS 12/07/07 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 10 10WC 05257 KETRING, CYNTHIA ST OF IL DEPT OF SOUTHERN @ 11/03/09 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 11 10WC 40550 GALE, WILLIAM STATE OF ILLINOIS @ 03/01/10 LAW OFFICE OF JAMES PARROT ILLINOIS ATTORNEY GENERAL 12 10WC 41809 BRYANT, CYNTHIA TAMMS CORRECTIONAL CENTER @ 09/22/10 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 13 10WC 45432 CRITES, JAMES JUSTIN'S TRUCKING 11/08/10 WINTERS BREWSTER CROSBY ET HINSHAW & CULBERTSON 14 10WC 47618 19B HAYWARD, DOUGLAS STATE OF ILLINOIS-EPA @ 10/13/09 LAW OFFICES OF FOLEY & DEN ASSISTANT ATTORNEY GENERAL 15 11WC 03663 WHITTINGTON, DONNA F S.O.I. - CHOATE @ 09/01/10 JOHN D FOLEY ASSISTANT ATTORNEY GENERAL 16 11WC 10286 CUNNINGHAM, KIM CITY NATIONAL BANK 03/02/11 CULLEY FEIST KUPPART & TAY PATRICIA M CARAGHER

Transcript of ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 … · 2017-10-02 · 12 10wc 41 809 bryant,...

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 34464 GRIFFITH, PAMELA HARDIN COUNTY UNIT DIST N 02/24/03 CULLEY FEIST KUPPART & TAY RODDY LAW LTD 2 05WC 16540 CRAIG, DONNA DYNOL NOBEL 12/01/04 LAW OFFICE OF JAMES PARROT MCANANY VANCLEVE & PHILLIPS 06WC000073 -C 07WC009553 -C DYNO NOBEL 07WC054280 -C 3 06WC 43291 WILSON, PAM LAIDLAW TRANSIT 12/01/05 LAW OFFICE KEITH SHORT WIEDNER & MCAULIFFE LTD 08WC031570 -C 4 07WC 07672 FRANTZ, SAMMY DOOLIN ENTERPRISES @ W 02/15/06 GENE A TURK, JR LAW OFFICE 5 08WC 19745 SIMS, NANCY GENERAL DYNAMICS 09/01/07 BECKER & GALANTI KEEFE & DEPAULI 08WC019747 -C 6 08WC 37108 DAVIS, TIM PRAIRIE FARMS DAIRY 07/26/08 BECKER SCHROADER & CHAPMAN KNAPP, OHL & GREEN 7 09WC 08286 ADAMS, LARRY BIG RIDGE INC 01/10/09 BECKER SCHROADER & CHAPMAN MCANANY VANCLEVE & PHILLIPS 8 09WC 20490 19B BAKER, JEFF MINOVA USA INC 04/27/09 MOSS & MOSS PC MCANANY VANCLEVE & PHILLIPS 10WC033530 -C 9 10WC 05172 KETRING, CYNTHIA GAYLE STATE OF ILLINOIS 12/07/07 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 10 10WC 05257 KETRING, CYNTHIA ST OF IL DEPT OF SOUTHERN @ 11/03/09 LAW OFFICE KEITH SHORT ASSISTANT ATTORNEY GENERAL 11 10WC 40550 GALE, WILLIAM STATE OF ILLINOIS @ 03/01/10 LAW OFFICE OF JAMES PARROT ILLINOIS ATTORNEY GENERAL 12 10WC 41809 BRYANT, CYNTHIA TAMMS CORRECTIONAL CENTER @ 09/22/10 MICHAEL MILES ASSISTANT ATTORNEY GENERAL 13 10WC 45432 CRITES, JAMES JUSTIN'S TRUCKING 11/08/10 WINTERS BREWSTER CROSBY ET HINSHAW & CULBERTSON 14 10WC 47618 19B HAYWARD, DOUGLAS STATE OF ILLINOIS-EPA @ 10/13/09 LAW OFFICES OF FOLEY & DEN ASSISTANT ATTORNEY GENERAL 15 11WC 03663 WHITTINGTON, DONNA F S.O.I. - CHOATE @ 09/01/10 JOHN D FOLEY ASSISTANT ATTORNEY GENERAL 16 11WC 10286 CUNNINGHAM, KIM CITY NATIONAL BANK 03/02/11 CULLEY FEIST KUPPART & TAY PATRICIA M CARAGHER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 11WC 11625 HOLLAND, JAMES WALLACE ELECTRICAL 05/03/10 KOLKER LAW OFFICES GANAN & SHAPIRO 18 11WC 11898 HAMILTON, DAVID GILSTER MARY LEE 02/09/11 WILLIAMS CAPONI & ASSOC FEIRICH MAGER GREEN & RYAN 19 11WC 16177 DOOLEY, JAMES E BIG RIDGE INC 07/31/10 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 20 11WC 19941 LOWERY, BART POWER MAINTENCE & CONSTRU 04/21/11 CULLEY FEIST KUPPART & TAY GAROFALO SCHREIBER STORM 21 11WC 22692 PIERCE, CLYDE SOUTHERN ILLINOIS UNIVERS @ 05/31/96 CULLEY FEIST KUPPART & TAY ASSISTANT ATTORNEY GENERAL 22 11WC 30045 ENGLAND, GARY M BIG RIDGE, INC 03/08/11 CULLEY & ASSOC MCANANY VANCLEVE & PHILLIPS 23 11WC 32490 FRAILEY, LOIS ADVANTAGE NURSING SERVICE 06/30/11 CULLEY FEIST KUPPART & TAY STONE & JOHNSON CHARTERED 24 11WC 35676 STACEY, AMANDA (WIDOW) MIKE DOVER CORP # 07/27/11 CULLEY FEIST KUPPART & TAY WINTERS BREWSTER CROSBY ET A 25 11WC 38592 PETTY, DORIS(SPOUSE) MIDWEST COAL CO F/K/A AMA # 08/08/11 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 26 11WC 38641 MAYBERRY, STANLEY L WHITE COUNTY COAL/ 06/30/11 CULLEY FEIST KUPPART & TAY KEVIN M HAZLETT LLC 27 11WC 40444 NEVILLE, JAMES E GILSTER MARY LEE 10/06/11 LYNN D BARNETT FEIRICH MAGER GREEN & RYAN 28 11WC 41831 DELAHUNT, KENNETH SOUTHERN ILLINOIS UNIVERS @ 06/10/10 COOK SHEVLIN YSURSA ET AL 29 11WC 44646 LAMPERT, DONNA HARDIN CTY GEN HOSPITAL C 04/26/11 TAMMI N. JACKSON GAROFALO SCHREIBER STORM 30 12WC 00789 MC CALEB, BRUCE ILLINOIS DEPARTMENT OF NA @ 08/17/10 WINTERS BREWSTER CROSBY ET ILLINOIS ATTORNEY GENERAL 31 12WC 03047 O'NEAL, SUSAN (SPECIAL RE THE AMERICAN COAL COMPANY 06/16/11 DARRELL DUNHAM MCBREARTY, BRIAN K 32 12WC 05161 CRYSTAL, ROSE CHESTER MENTAL HEALTH CEN @ 05/26/10 EDWARD J FISHER ASSISTANT ATTORNEY GENERAL 13WC036568 -C CASCIO, CRYSTAL ROSE 33 12WC 06790 DAILEY, MARGARET TRI COUNTY SPECIAL 12/09/11 HUGHES LAW FIRM HENNESSY & ROACH, PC 34 12WC 08235 VAN DORN, TRAVIS ADDUS HEALTH CARE 12/16/11 BEATTY & MOTIL HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 12WC 09330 ROSADO, JESUS SOUTHERN ILLINOIS UNIVERS @ 09/01/10 LAWLER & LAWLER ASSISTANT ATTORNEY GENERAL 36 12WC 10718 ACOSTA, KEVIN IL DEPT OF TRANSPORTATION @ 09/21/11 WINTERS BREWSTER CROSBY ET ASSISTANT ATTORNEY GENERAL 13WC039412 -C 37 12WC 11877 19B ALDERSON, CINDY STATE OF IL/IYC HARRISBUR @ 03/20/12 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 13WC019207 -C IYC HARRISBURG 13WC019208 -C 38 12WC 14195 MILLER, STEPHEN G.L. MORRIS REFRIGERATION 03/12/12 HOWERTON, DORRIS & STONE GANAN & SHAPIRO 39 12WC 17113 19B KEPPNER, LISA ST OF IL CHOATE MENTAL HE @ 06/02/09 ROBERT L DEVOTO LC ASSISTANT ATTORNEY GENERAL 12WC017114 -C 40 12WC 22407 ANDERSON, KATHRYNE I TARGET CORPORATION 08/05/10 LAW OFFICE OF ROBERT BATES KEEFE CAMPBELL & ASSOC LLC 41 12WC 22411 LYONS, ANISSA M STATE OF ILLINOIS @ 05/09/12 LAW OFFICE OF JOHN FOLEY ASSISTANT ATTORNEY GENERAL 42 12WC 23128 GEORGE, CAROL WEXFORD HEALTH SOURCES IN 12/07/11 JOHNSON & SCHNEIDER LLC RUSIN MACIOROWSKI & FRIEDMAN 43 12WC 23949 BOCK, JAMES GENERAL DYNAMICS OTS 03/13/10 NEWCOMB, PAULA M KEEFE & DEPAULI 44 12WC 26803 TALANDIS, WALTER BIG RIDGE INC 02/20/11 CULLEY & WISSORE MCANANY VANCLEVE & PHILLIPS 45 12WC 27352 YOCUM, JAMES FRONTIER COMMUNICATION 06/01/12 MUELHAUSEN & STEFANI LAW OFFICE PAUL LARIMORE 12WC027353 -C 46 12WC 29713 QUIGLEY, LARRY R GREATER ST LOUIS AREA COU 06/05/11 HOWERTON, DORRIS & STONE HEYL ROYSTER VOELKER & ALLEN 12WC029869 -C 47 12WC 30567 WINEMILLER, LEE DAVID STANLEY CONSULTANTS 04/17/12 LAWLER & LAWLER THOMAS & ASSOCIATES 48 12WC 33313 BAINBRIDGE, ROBERT MARTIN MARIETTA MATERIALS # 10/22/09 CULLEY & WISSORE GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 12WC 36663 WILLIS, JAMES C SOUTHERN ILLINOIS UNIVERS @ 08/02/11 LYNN D BARNETT ASSISTANT ATTORNEY GENERAL 50 12WC 37589 MORRIS, APRIL D HARRISBURG MEDICAL 06/27/11 CULLEY FEIST KUPPART & TAY MCANANY VANCLEVE & PHILLIPS 13WC016194 -C 13WC016593 -C `ARISBURG MEDICAL CENTER I 51 12WC 40658 LOSS, SUZANNE SOUTHERN ILLINOIS UNIVERS @ 06/08/11 RON D COFFEL & ASSOC ILLINOIS ATTORNEY GENERAL 52 13WC 03707 WISEMAN, ERIC RED LOBSTER 12/04/10 LAW OFFICE OF JAMES PARROT ROUSE & CARY 53 13WC 03744 VALENCIA, MARIELA GILSTER MARY LEE CORPORAT 09/28/12 DARRELL DUNHAM FEIRICH MAGER GREEN & RYAN 13WC018973 -C 13WC028349 -C 54 13WC 05313 STROUD, JOHN JR AMERICAN COAL COMPANY 08/25/10 BEMENT & STUBBLEFIELD MCBREARTY, BRIAN K 55 13WC 05448 DU CLOS, ERIC BRENT BIG D ELECTRIC 10/09/12 ORDER LAW FIRM 56 13WC 07536 BROOKS, DENNIS PEABODY ENERGY 11/30/12 CULLEY FEIST KUPPART & TAY MCANANY VANCLEVE & PHILLIPS 57 13WC 09041 WEATHERLY, KEITH BIG RIDGE INC 11/08/12 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 58 13WC 11649 PATRICK, LINDA K SOUTHERN SEVEN HEALTH DEP 11/08/11 LYNN D BARNETT RUSIN & MACIOROWSKI LTD 59 13WC 11752 GRAYSON, JOHNNIE SOI-CHOATE @ 02/22/13 FOLEY * DENNY ILLINOIS ATTORNEY GENERAL 60 13WC 20943 SHELTON, PATRICIA WILLIAMSON COUNTY 01/09/13 BADGLEY, BRAD L THOMAS & ASSOCIATES 61 13WC 21117 FOLLOWELL, CHARRRLES NOAH BICKETT CONSTRUCTION 04/11/11 PRINCE LAW FIRM 62 13WC 23310 LEWIS, STEVIE SOUTHERN IL HC ENTERPRISE 05/13/13 HOWERTON, DORRIS & STONE FEIRICH MAGER GREEN & RYAN 63 13WC 29376 PENNY, CAMIKA CHESTER REHABILITATION & 07/08/13 MILLER, WILLIAM R LAW OFFI GANAN & SHAPIRO 64 13WC 30712 ROTH, RACHEL KROGER 05/14/13 KIRKPARTICK LAW OFFICES GANAN & SHAPIRO 65 13WC 32148 OWENS, VICTOR AMERICAN COAL 08/03/13 NEWCOMB, PAULA M MCBREARTY, BRIAN K

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 13WC 34298 LOVE, ROBERT PAULY JAIL BUILDING CO 06/28/13 WINTERS BREWSTER CROSBY ET LAW OFFICE CRAIG A HANSEN 67 13WC 34837 HOUSE, THOMAS EDUCATION REALITY TRUST D 10/11/13 LAWLER & LAWLER KEEFE CAMPBELL & ASSOC LLC 14WC015818 -C EIR CARBONDALE IIC & EDUCA 68 13WC 35935 19B HELTON, JAY VIENNA GRADE SCHOOL 07/02/12 MICHAEL MILES NOBLE & ASSOCIATES PC 69 13WC 37697 HEDTKAMP, SARAH GILSTER MARY-LEE 10/09/13 LAW OFFICE OF JAMES PARROT FEIRICH MAGER GREEN & RYAN 70 13WC 37849 BAGLEY, SUE CARBONDALE MEMORIAL HOSPI 06/06/13 KIRKPARTICK LAW OFFICES FEIRICH MAGER GREEN & RYAN 71 13WC 42576 HOLMGREN, DEBORAH PRIMARY CARE GROUP 11/15/13 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 72 13WC 42638 MEYER, GAIL SIH 10/18/13 HOWERTON, DORRIS & STONE FEIRICH MAGER GREEN & RYAN 73 14WC 01328 BROWN, TIMOTHY WALMART STORES INC 11/11/13 LAWLER & LAWLER WIEDNER & MCAULIFFE LTD 74 14WC 01441 MOELLER, STEVE DORMA DOOR CONTROLS, INC 12/16/13 MATHIS MARIFIAN RICHTER ET THOMAS & ASSOCIATES 75 14WC 02399 KAUFFMAN, KAREN ADDUS HEALTHCARE 11/04/13 LAW OFFICE OF JAMES PARROT BONALDI CLINTON & DAVIS LTD 76 14WC 02672 RATHERT, JAMIE PJR & ASSOCIATES 01/06/14 LAW OFFICE OF JAMES PARROT STEPHEN C BUSER 14WC010553 -C 14WC010554 -C 14WC010555 -C 14WC010556 -C 14WC022570 -C 77 14WC 03581 BEHRENS, JUSTIN KEITH LODGE 03/16/13 PRINCE LAW FIRM 78 14WC 03862 BARBER, LETISHA HARRAH'S CASINO 06/16/12 JOHNSON, SCHNEIDER & FERRE HARRIS DOWELL FISHER & HARRI 79 14WC 04132 ALDERSON, CINDY ST OF IL IYC HARRISBURG @ 11/18/13 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 04758 KARAS, RICKEY AMERICAN COAL 10/01/13 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 81 14WC 05195 FINNEY, KEVIN SIU-C @ 11/05/13 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 14WC005196 -C 14WC011332 -C 82 14WC 06523 SUCHOMSKI, CATHERINE J FRESENIUS DIALYSIS CLINIC 08/14/13 SCHUCHAT, COOK & WERNER HENNESSY & ROACH, PC 83 14WC 06953 STOWERS, SHERRY KERR-MCGEE COAL CORP # 11/05/13 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 84 14WC 07749 GRIFFITH, CYDNEY SIU CARBONDALE @ 04/09/13 MICHAEL MILES ILLINOIS ATTORNEY GENERAL 85 14WC 08948 FRAZIER, SYLVIA SOUTHERN ILLINOIS UNIVERS @ 01/21/14 LAW OFFICE KEITH SHORT ILLINOIS ATTORNEY GENERAL 86 14WC 09979 PITZAPATRICK, DAVID THE AMERICAN COAL CO 01/27/14 CULLEY & WISSORE CRAIG & CRAIG 87 14WC 10319 BASLER, KATHY IDES @ 03/04/14 HUGHES LAW FIRM ILLINOIS ATTORNEY GENERAL 88 14WC 10375 FINLEY, ROB COOK HOMES 01/10/14 HOWERTON, DORRIS & STONE JELLIFFE FERRELL DOERGE PHEL 89 14WC 11641 HENDRIX, ROBIN THE KROGER COMPANY 11/07/13 LAWLER & LAWLER GANAN & SHAPIRO 90 14WC 12027 WEBB, RICK ILLINOIS DEPARTMENT OF @ 11/14/13 WINTERS BREWSTER CROSBY ET 91 14WC 12090 PATTERSON, ALICE SOUTHERN 7 HEALTH DEPT & 02/24/14 SAM C MITCHELL & ASSOCIATE KEEFE & DEPAULI 92 14WC 12757 DRONE, MELISSA ST OF IL/VIENNA C C @ 10/23/13 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 93 14WC 13680 BROWDER, CLARENCE SHAWNEE MASS TRANSIT DIST 02/07/14 LAWLER & LAWLER KEEFE & DEPAULI 94 14WC 14507 19B POTOCKI, TROY WAYNE ST OF IL DEPT OF VIENNA @ 08/31/13 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 95 14WC 15501 BURTON, MARY JANE(WIDOW) HONEYWELL # 05/11/11 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 96 14WC 16372 WINTERS, WILLIAM DOUGLAS AMERICAN COAL 04/12/13 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 97 14WC 16393 DILLOW, KATHERINE GILSTER MARY-LEE 02/17/14 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 14WC 16854 SALDER, MICHAEL H.E. MITCHELL CONSTRUCTIO 09/11/13 GOLDLENBERG, HELLER, ANTOG 99 14WC 18055 KEY, ROBERT DRY SYSTEMS TECHNOLOGIES 03/18/14 HOWERTON, DORRIS & STONE GANAN & SHAPIRO 100 14WC 18675 HARRIS, DIANA MEMORIAL H OF CARBONDALE 06/14/13 FEIRICH MAGER GREEN & RYAN 101 14WC 18869 LE VAULT, TAMMIE MANPOWER 02/12/14 LAW OFFICE OF JAMES PARROT HENNESSY & ROACH 102 14WC 19467 FREY, EDDIE M KNIGH HAWK COAL, LLC 06/11/13 PRINCE LAW FIRM FEIRICH MAGER GREEN & RYAN 103 14WC 19811 WILLIAMS, ANGELA IL DEPT @ 03/15/14 MCGARRY, BRIAN P ILLINOIS ATTORNEY GENERAL 104 14WC 19936 WALSH, CHRISTY RURAL HEALTH INC 05/18/14 PATRICIA M CARAGHER 105 14WC 20030 TALLUTO, RICK AMERICAN COAL 08/25/13 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 106 14WC 20211 TALLUTO, RICK AMERICAN COAL 08/25/13 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 107 14WC 20775 HUFF, JOSH NELSON TREE SERVICE INC 02/05/14 HART & HART ADELSON TESTAN & BRUNDO 108 14WC 21234 CLARK, RICHARD THORNTON AUTO CRUSHING LL 03/11/13 COOK SHEVLIN YSURSA ET AL GANAN & SHAPIRO 109 14WC 22011 PRICE, KAELEY FIRST NATIONAL BANK 05/15/14 JOHNSON SCHNEIDER & FERREL MCANANY VANCLEVE & PHILLIPS 110 14WC 22576 LEWIS, STEVIE SOUTHERN ILLINOIS HEALTHA 05/02/14 HOWERTON, DORRIS & STONE FEIRICH MAGER GREEN & RYAN 111 14WC 23514 FITZGERALD, ROBERT ALEXANDER COUNTY 09/03/13 PRINCE LAW FIRM RIPES NELSON BAGGOT KALOBRAT 112 14WC 24946 SWALLOWS, SHAWN THE AMERICAN COAL COMPANY 08/03/13 RON D COFFEL & ASSOC KEEFE & DEPAULI 16WC005284 -C WHITE OAK RESOURCES ALLIAN 113 14WC 25092 FLACK, ROCKY MENARD CC @ 07/03/14 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 114 14WC 25402 PETERS, MICHAEL MALONES EARLY LEARNING 05/02/14 LAWLER & LAWLER STEPHEN H LARSON LAW OFFICE 115 14WC 25559 RIPLEY, AMANDA TRINITY SERVICES INC 03/05/14 MICHAEL MILES BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 116 14WC 27673 CRANE, BOBBY AMERICAN COAL 03/03/14 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 117 14WC 27685 EDWARDS, ALFRED M CHESTER MENTAL HEALTH CEN @ 08/01/14 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 118 14WC 27795 RICHTER, ROLAND STRATA MINE SERVICES 03/20/14 CULLEY & WISSORE THOMAS & ASSOCIATES 119 14WC 28723 PINKHAM, DALE STATE OF IL/MENARD C.C. @ 07/03/14 HANAGAN & MCGOVERN PC ILLINOIS ATTORNEY GENERAL 120 14WC 29200 PINKHAM, DALE MENARD C C @ 07/03/14 HANAGAN & MCGOVERN PC ILLINOIS ATTORNEY GENERAL 121 14WC 29752 MORTHLAND, JOHN REND LAKE CONSERVATORY 05/28/14 MUELHAUSEN & STEFANI 122 14WC 30014 MILLSPAUGH, KENNETH HERITAGE COAL 11/21/12 PRINCE LAW FIRM EVANS & DIXON, LLC 123 14WC 32268 THOMPSON, GLORY SIU-C @ 02/04/14 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 124 14WC 32659 HENSHAW, JAMES B TISON AND HALL 08/07/13 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 125 14WC 33281 POWELL, JASON PEABODY ENERGY 09/07/12 MCCARTHY ROWDEN & BAKER 126 14WC 33714 DAVIS, JACLYN MAUREEN DAVITA DIALYSIS 07/17/14 MARK A KOCHAN WIEDNER & MCAULIFFE LTD 127 14WC 34669 GULLEY, MICHELLE ST OF IL DEPT OF JUVENILE @ 09/18/14 CULLEY FEIST KUPPART & TAY ILLINOIS ATTORNEY GENERAL 128 14WC 35535 SHINABARGAR, AMANDA CHESTER MEMORIAL HOSPITAL 11/08/13 BROWN & BROWN CLAYBORNE SABO & WAGNER 129 14WC 36423 SHAW, NEAL THE AMERICAN COAL COMPANY 10/06/14 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 130 14WC 38402 ATKINSON, DEAN WORLD ACCEPTANCE CORP 09/05/14 WINTERS BREWSTER CROSBY ET PATRICIA M CARAGHER 131 14WC 38472 MCALLISTER, KATHY SOUTHERN SEVEN HEAD START 03/14/14 KARCHMAR & STONE KEEFE & DEPAULI 132 14WC 38848 CURRY, TRAVIS PEPSI MIDAMERICA 11/06/14 DEUTSCHMAN, JEFFREY S 133 14WC 39392 MIKEL, ASHLIE ROSE MCCART GILSTER MARY LEE CORPORAT 09/13/14 KOPIS LAW OFFICE FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 134 14WC 39450 RAY, COURTNEY STATE OF ILLINOIS @ 06/16/14 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 135 14WC 40051 GODBEY, TERRY GENERAL DYNAMICS 05/16/14 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 136 14WC 40143 19B FOWLER, RANDALL STATE OF IL/IDOT @ 02/27/14 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 137 14WC 40221 FERRARI, CAROL ANN JOHN A LOGAN COLLEGE 10/09/14 MARK A KOCHAN GANAN & SHAPIRO 138 14WC 40530 WESTLEY, CHARLES S BENNIE'S ITALIAN FOODS 10/06/14 WILLIAMS CAPONI & ASSOC GANAN & SHAPIRO 139 14WC 40802 WALLE, LUIS SJS TEQUILAS INC D/B/A 10/07/13 JELLIFFE FERRELL DOERGE PH ROUSE & CARY 140 14WC 41117 MUSIC, ROY IL DEPT OF CORRECTIONS @ 01/20/14 DARRELL DUNHAM ILLINOIS ATTORNEY GENERAL 141 14WC 41342 WAGLEY, JERRY COMPLIANCE STAFFING AGENC 09/18/14 MICHAEL MILES GANAN & SHAPIRO 142 14WC 42242 BRUSH, AVA MEMORIAL HOSPITAL OF 10/30/14 WINTERS BREWSTER CROSBY ET STEPHEN H LARSON LAW OFFICE 143 14WC 43331 QUERTERMOUS, REBECCA ILLINOIS DEPT OF CORRECTI @ 12/22/11 GARY E STARK ILLINOIS ATTORNEY GENERAL 144 15WC 01221 KIVETT, ANTHONY PEABODY COAL 05/11/14 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 145 15WC 01873 MILLER, RICHARD STEAK 'N SHAKE 04/02/14 MCGARRY, BRIAN P HEPLER BROOM LLC 146 15WC 02304 FARRIS, SARAH J WEXFORD HEALTH SOURCES 10/31/14 EDWARD J FISHER 147 15WC 02408 CROW, LLOYD R JR SIAM GROUP INC 11/14/14 148 15WC 02449 THACKER, DENNIS HAAG FOOD SERVICES 10/10/14 NELSON & NELSON LAW OFFICES OF JOHN D. WENDL 149 15WC 02467 WELBORN, RANDY WILDCAT HILLS MINE A/K/A 08/21/14 RON D COFFEL & ASSOC KEEFE & DEPAULI 150 15WC 02562 WELBORN, RANDY WILDCAT HILLS MINE 01/05/15 RON D COFFEL & ASSOC KEEFE & DEPAULI 151 15WC 02854 HITE, THOMAS CAIRO DRY KILNS INC 12/04/14 BECKER SCHROADER & CHAPMAN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 152 15WC 03220 JOHNSON, KENNETH R MARSHALL BROWNING HOSPITA 04/08/13 KURT HARRIS LAW FIRM GAROFALO SCHREIBER STORM 153 15WC 03288 FOLLOWELL, DENNIS SIU-CARBONDALE @ 12/05/14 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 154 15WC 04510 VAUGHN, OLIVER NEURORESTORATIVE MENTOR 09/30/14 RICH RICH COOKSEY PC CHILTON YAMBERT PORTER LLP 155 15WC 04576 LANE, ALAN BIG RIDGE, INC. 11/16/12 CULLEY & WISSORE EVANS & DIXON, LLC 156 15WC 04699 JOHNSTON, LISA SOUTHGATE NURSING & 01/14/15 CULLEY FEIST KUPPART & TAY BOGGS AVELLINO 157 15WC 07818 KEELING, ROBERT DOUGLAS AMERICAN COAL 01/06/15 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 158 15WC 08995 WINTERS, LAVERNE TISSON & HALL CONCRETE 10/13/13 BECKER SCHROADER & CHAPMAN 159 15WC 09747 THREET, SHELIA GENERAL DYNAMICS 05/20/14 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 160 15WC 09758 WILLIAMS, BOBBY METROPOLIS FIRE DEPT 09/04/14 GALANTI LAW OFFICES KEEFE & DEPAULI 161 15WC 09914 SMITH, DAKOTA J COAL FIELD CONSTRUCTION L 02/11/15 JAMES RUPPERT MCBREARTY, BRIAN K 162 15WC 10240 CROSLEY, DOUGLAS AMERICAN COAL 01/10/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 163 15WC 10329 SNYDER, MELVIN PINCKNEYVILLE CORRECTIONA @ 03/18/15 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 164 15WC 10914 FURLOW, LESTER KNIGHT HAWK COAL LLC 09/30/14 CULLEY & WISSORE CRAIG & CRAIG 165 15WC 11624 GREENE, LACRETIA ELECTRIC ENERGY INC 07/28/14 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 166 15WC 11670 MCKNIGHT, ROBERT JR. THE AMERICAN COAL COMPANY 08/15/14 CULLEY & WISSORE CRAIG & CRAIG 167 15WC 12287 LANKFORD, RHONDA CHESTER MENTAL HEALTH CTR @ 02/04/15 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 168 15WC 12854 WILSON, FRANK CHESTER MENTAL HEALTH CEN @ 09/16/14 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 169 15WC 13806 MOTT, GARISON S.O.I. 11/02/14 RICH RICH COOKSEY PC KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 170 15WC 14609 MULLHOLLAND, CHAD MENARD CORRECTINAL CENTER @ 04/19/15 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 171 15WC 14787 CANELA, JOSE D BREES STUDIO INC 12/04/14 WOMICK LAW FIRM CHTD PATRICIA M CARAGHER 172 15WC 14987 GROGAN, LORA SCHWANS FOOD CO 10/18/12 MUELHAUSEN & STEFANI GAROFALO SCHREIBER STORM 173 15WC 15006 BURKLOW, LESTER AMERICAN COAL CO 04/16/13 HOWERTON, DORRIS & STONE MCBREARTY, BRIAN K 174 15WC 15619 LAFARGE, GARY SHORES MARIETTA, MARTIN 06/28/12 POULOS & DIBENEDETTO LAW 175 15WC 15673 SELLARS, LOUIS E O'REILLY AUTO PARTS 09/30/13 HUGHES LAW FIRM HENNESSY & ROACH, PC 176 15WC 15744 KIRKWOOD, ARTIE RENT ONE 08/30/14 MARK E MORELAND RUSIN & MACIOROWSKI LTD 177 15WC 17211 CAIN, CHRIS AMERICAN COAL COMPANY 01/04/15 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 178 15WC 18000 SMITH, DAKOTA J COAL FIELD CONSTRUCTION L 05/05/15 JAMES RUPPERT MCBREARTY, BRIAN K 179 15WC 18117 PARKER, HEATHER R CHESTER MENTAL HEALTH CEN @ 04/16/15 EDWARD J FISHER ILLINOIS ATTORNEY GENERAL 180 15WC 18128 MEININGER, THEODORE MENARD CORRECTIONAL CENTE @ 07/03/14 EDWARD J FISHER ILLINOIS ATTORNEY GENERAL 181 15WC 18303 FRITCHER, EDWARD L & M GENERAL CONTRACTING 04/08/15 LAWLER & LAWLER HEYL ROYSTER VOELKER & ALLEN 182 15WC 19158 MC LAIN, KIM COMMUNITY UNIT SCHOOL DIS 10/23/14 SEIDMAN MARGULIS & FAIRMAN RUSIN & MACIOROWSKI LTD 183 15WC 19482 SCHROEDER, HANNAH STEAK N SHAKE OPERATIONS 06/10/14 GENE A TURK, JR LAW OFFICE HEPLER BROOM LLC 184 15WC 19540 CAMPBELL, JULIA CASEYS GENERAL STORE INC 07/22/14 LAWLER & LAWLER 185 15WC 19600 SCHROEDER, HANNAH STEAKN SHAKE OPERATIONS I 11/26/14 GENE A TURK, JR LAW OFFICE HEPLER BROOM LLC 186 15WC 19850 QUALLS, YOLANDA ILLINOIS DEPT OF AGING @ 05/13/15 GENE A TURK, JR LAW OFFICE HOLTKAMP LIESE ET AL 187 15WC 20690 STONE, JUANITA SUE COMPAC INTERNATIONAL INC 08/16/14 LAWLER & LAWLER 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 HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 188 15WC 21935 PORTER, CURTIS A LIVING IN A FAMILY 06/21/15 FEIRICH MAGER GREEN & RYAN STEPHEN H LARSON LAW OFFICE 189 15WC 22164 JOHNSON, DANIEL NISBET FARMS 04/02/15 REED HELLER MANSFIELD & GR HENNESSY & ROACH PC 190 15WC 22607 PARTIN, PEGGY D ILLINOIS VETERANS HOME OF @ 11/08/14 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 191 15WC 22808 DOERR, BRADFORD STATE OF ILLINOIS @ 02/16/15 MCGARRY, BRIAN P ILLINOIS ATTORNEY GENERAL 192 15WC 22885 HAMMERS, JAMES G. MURPHYSBORO SCHOOL DIST 1 06/07/14 THE BEARD LAW FIRM HENNESSY & ROACH, PC 193 15WC 22909 WOOLARD, RICHARD AMERICAN COAL COMPANY 12/06/14 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 194 15WC 22922 HARRIS, BONITA SHAWNEE CHRISTIAN NURSING 08/11/14 WOMICK LAW FIRM CHTD 195 15WC 22945 RISINGER, DONALD ALLEGIANT MANAGEMENT SERV 11/09/12 THOMAS C RICH PC 196 15WC 23556 CURTIS, MICHAEL ARPIN VAN LINES 04/05/15 PRINCE LAW FIRM 197 15WC 24543 OETJEN, MARY CHRIS WILLIAMSON COUNTY SPECIAL 05/15/15 WOMICK LAW FIRM CHTD KEEFE CAMPBELL & ASSOC LLC 198 15WC 24572 ELLIS JR, ALEXANDER SOUTHERN ILINOIS MOTOR EX 04/01/15 LAW OFFICES FOLEY & DENNY WOLF LAW LTD 199 15WC 24610 BROWN, BOBBY CITY OF HARRISBURG 03/18/14 JELLIFFE FERRELL DOERGE PH KEEFE & DEPAULI 200 15WC 24761 CRISP, TONY SALINE CARE CENTER 05/03/15 PRINCE LAW FIRM 201 15WC 25370 MELVIN, RICHARD SCOTT CHARLIE MOZI JANITORIAL S 12/02/14 ALLEMAN & HICKS 202 15WC 25562 CLOVER, RANDALL E CHESTER MENTAL HEALTH CTR @ 06/10/15 WOMICK LAW FIRM CHTD ILLINOIS ATTORNEY GENERAL 203 15WC 25710 LOGSDON, JASON BERTUCCI CONTRACTING CORP 04/06/13 PETER D CORTI LAW GROUP GAROFALO SCHREIBER STORM 204 15WC 26099 LUERS, DEREK G. (SON OF GILSTER MARY-LEE CORP 08/03/12 MARY L WEST FEIRICH MAGER GREEN & RYAN 205 15WC 26218 SOVAT, TERRY G, J & D TRUCKING, INC 11/11/13 THE BEARD LAW FIRM JELLIFFE FERRELL DOERGE PHEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 206 15WC 26400 BRAUN, AARON CHESTER MENTAL HEALTH @ 01/21/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 207 15WC 26428 MORGAN, MICHELLE TIMBERLINE FISHERIES CORP 07/28/15 LAWLER & LAWLER GANAN & SHAPIRO 208 15WC 26476 SHARP, GARY SOUTHERN IL MOTORS EXPRES 02/20/15 MUELHAUSEN & STEFANI WOLF LAW LTD 209 15WC 27266 MIGHELL, TANYA CHOATE MENTAL HEALTH @ 12/08/14 KIRKPARTICK LAW OFFICES ILLINOIS ATTORNEY GENERAL 210 15WC 27274 TIPTON, MARILYN CARBONDALE ELEMENTARY SCH 12/01/14 PRINCE LAW FIRM 211 15WC 27345 ALEXANDER, QUINTON M DAHMER CONSTRUCTION 07/17/15 BADGLEY, BRAD L 212 15WC 27386 CARTER, PATRICIA WILLIAMSON CO 01/07/13 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD 213 15WC 27456 KRAMER, NORMA MEMORIAL HOSPITAL CARBOND 07/20/15 WINTERS BREWSTER CROSBY ET FEIRICH MAGER GREEN & RYAN 214 15WC 27474 MC CLELLAN, RYAN STATE OF IL VIENNA C.C. @ 07/24/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 215 15WC 28275 PRESLEY, DARREL K. CITY OF WEST FRANKFORT 07/30/15 SAM C MITCHELL & ASSOCIATE MCANANY VANCLEVE & PHILLIPS 216 15WC 28644 KASH, MONY CITY OF BENTON 03/30/15 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 217 15WC 29292 LAMPLEY, JUDITH BENTON HIGH SCHOOL 12/05/14 MCGARRY, BRIAN P 218 15WC 29526 OVERTURF, TIMOTHY COMPLIANCE STAFFING AGENC 01/03/15 FOLEY & KELLY LLC JELLIFFE FERRELL DOERGE PHEL 219 15WC 29557 BEVINS, MICHAEL SOUTHWATER INC 04/09/15 LAW OFFICES FOLEY & DENNY GANAN & SHAPIRO 220 15WC 30084 FRIES, ANGELA ADDUS HOME CARE 05/28/14 PRINCE LAW FIRM 221 15WC 30109 EARNHEART, TERRY KENT CITY OF WEST FRANKFORT 06/02/14 PRINCE LAW FIRM EVANS & DIXON, LLC 222 15WC 30145 SAVKA, AARON STATE OF ILLINOIS SIU @ 05/30/15 WOMICK LAW FIRM CHTD ILLINOIS ATTORNEY GENERAL 223 15WC 30653 KENNER, CLAIRE (SOLE HEIR SWIFT TRANSPORATION 03/07/15 DAVID M DUREE & ASSOC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 224 15WC 30781 WEST, KEVIN C AMEREN ILLINOIS 03/27/14 HARRIS & JONES CLAYBORNE SABO & WAGNER 225 15WC 30799 MORGAN, JOHN PINCKNEYVILLE POLICE DEPT 01/18/15 PRINCE LAW FIRM RUSIN & MACIOROWSKI LTD 226 15WC 31065 PARKER, CHARLES ST OF IL CHESTER MENTAL @ 07/30/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 227 15WC 31347 PASQUINO, RICHARD KNIGHT HAWK COAL 07/01/15 LAWLER & LAWLER 228 15WC 31849 MOORE, TAMMY MARTIN & BAYLEY, INC. 06/08/15 HANAGAN & MCGOVERN PC 229 15WC 32010 WHITAKER, BETTY J STATE OF IL @ 11/17/12 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 230 15WC 33281 STROBEL, MATTHEW A CITY OF MARION PARK DISTR 11/12/12 LAW OFFICE OF ROBERT BATES KEEFE & DEPAULI 231 15WC 33522 DALE, ROBERT ILLINOIS DEPT @ 09/08/15 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 232 15WC 33668 DAWE, JODIE CHRISTOPHER ELEMENTARY SC 08/24/15 KEEFE & DEPAULI HENNESSY & ROACH, PC 233 15WC 33794 THOMPSON, STEVE SOUTHERN ILLINOIS 07/18/15 HOWERTON, DORRIS & STONE WOLF LAW LTD 234 15WC 34925 KING, STEPHANIE STATE OF ILLINOIS @ 09/01/15 LAW OFFICES FOLEY & DENNY 235 15WC 35082 WEBSTER, GUY MACH MINING LLC 04/18/14 RICH RICH COOKSEY PC GANAN & SHAPIRO 236 15WC 35300 MOTSINGER, LARRY LARRY'S TOWING 10/06/15 LAWLER & LAWLER 237 15WC 35400 TRIP, CORY E STEELCAD INDUSTRIAL SERVI @ W 10/23/13 FISHER KERKHOVER & COFFEY 238 15WC 35570 MERRIWEATHER, DEANZA STATE OF ILLINOIS @ 06/28/15 LAW OFFICES FOLEY & DENNY 239 15WC 35767 WOODSIDE, JESSIE GILSTER MARY LEE 03/30/15 BECKER SCHROADER & CHAPMAN FEIRICH MAGER GREEN & RYAN 240 15WC 35821 WINTERS, JAMES G CITY OF CHESTER 09/12/15 DAVID FRIESS INMAN & FITZGIBBONS 241 15WC 36277 BERGMAN, TIMOTHY RENT-A-CENTER 09/12/14 REED & BRUHN, PC KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 15WC 36401 SMITH, JAMES D BEST ONE TIRE 09/18/15 MICHAEL MILES HEYL ROYSTER VOELKER & ALLEN 243 15WC 36422 BEAN, DANIEL P HIRSCH HEATING & COOLING 01/21/15 HASSAKIS & HASSAKIS 244 15WC 36540 SMITH, CHESTER HASTIE MINING & TRUCKING 08/01/15 THOMAS & PORTELA 245 15WC 37547 19B WISELY, CLIFTON CHESTER MENTAL HEALTH @ 07/01/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 246 15WC 38003 HANKS, LINDELL SCOTT THOMPSON D/B/A SCOT 05/25/15 KIBLER, KEITH W 247 15WC 38175 HELMINSKI, BRED HOME RENTALS 03/31/15 LEONARD LAW GROUP LLC HENNESSY & ROACH, PC 248 15WC 38345 HOUSTON, GABRIEL AISIN 11/09/15 MARK A KOCHAN KEEFE & DEPAULI 249 15WC 38634 NESBITT, DEANA PEPSI MID AMERICA 06/26/15 DWORKIN AND MACIARIELLO 250 15WC 38695 WILLIAMS, JOHN E JR CHRIS WILL CONSTRUCTION 05/13/15 NELSON & NELSON BRANDON SCHMIDT & PALMER 16WC023580 -C KH KLAINE CONSTRUCTION 251 15WC 38913 BOAN, PAM WILLIAMSON CTY SPECIAL ED 09/02/14 WINTERS BREWSTER CROSBY ET 252 15WC 39295 MILLER, FRED CHESTER MENTAL HEALTH CTR @ 11/13/15 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 253 15WC 39536 COX, JARED BONNIE OWEN DBA REALTY IN 09/28/15 LAWLER & LAWLER BRADY, CONNOLLY & MASUDA, PC 254 15WC 39589 RECTOR, MICHAEL LYNN LOWE'S 05/29/15 HOWERTON, DORRIS & STONE KEEFE CAMPBELL & ASSOC LLC 255 15WC 39595 RICHARDS, TONYA GILSTER MARY LEE 11/21/15 FISHER KERHOVER & WELGE FEIRICH MAGER GREEN & RYAN 256 15WC 39826 BELTZ, BILLY AMERICAN COAL 08/29/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 257 15WC 41058 BEVENS, MICHAEL SOUTHWATER, INC. 04/09/15 JOHNSON SCHNEIDER & FERREL 258 15WC 41341 REA, MARSHA KNIGHT HAWK COAL 10/15/14 RON D COFFEL & ASSOC CRAIG & CRAIG

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 259 15WC 41377 BURGANDINE, WILLIAM CHOATE @ 08/12/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 260 15WC 41807 COLP, BROCK MILANI SEPTIC SVC 08/08/13 HOWERTON, DORRIS & STONE LAW OFFICE PATRICK JENNETTEN 15WC041816 -C SKELCHER MILANI SEPTIC SVC 15WC041817 -C 15WC041818 -C 261 15WC 42189 BARKER, PETE L. WILDCAT HILLS MINE AKA PE 04/01/15 RON D COFFEL & ASSOC 262 15WC 42289 SMITH , KANIECE SOUTHERN IL 11/26/15 DWORKIN AND MACIARIELLO FEIRICH MAGER GREEN & RYAN 263 15WC 42501 CANADA, DARRELL VEACH'S SERVICE, INC. 04/30/15 GANAN & SHAPIRO 264 16WC 00508 CHITWOOD, AMY PARKWAY MANOR 10/31/14 HARRIS & JONES GANAN & SHAPIRO 265 16WC 00641 DAYMON, ELLIOT VIENNA C.C. @ 11/30/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 266 16WC 00665 BECK, TERI CHESTER MENTAL HEALTH CTR @ 06/02/15 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 267 16WC 00842 SHOVAN, JOHNNY THE AMERICAN COAL COMPANY 11/13/15 CULLEY & WISSORE CRAIG & CRAIG 268 16WC 00979 MADDOX, JAMES THE AMERICAN COAL COMPANY 02/08/13 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 269 16WC 01298 IRVIN, DENNIS BIG BUCK 12/05/14 CULLEY & WISSORE RUSIN & MACIOROWSKI LTD 270 16WC 01981 KREVICS, ERIC FRONTIER COMMUNICATIONS 02/19/15 MUELHAUSEN & STEFANI LAW OFFICE PAUL LARIMORE 271 16WC 02272 JOHNSTON, LISA FIRST BAPTIST CHURCH OF 12/09/15 WINTERS BREWSTER CROSBY ET 272 16WC 02341 WOODS, DYLAN M SOUTHEAST PERSONNEL LEASI 03/10/15 HANAGAN & MCGOVERN PC QUINTAIROS PRIETO WOOD & BOY 273 16WC 02745 MAJORS, GREGORY CAIRO PUBLIC HEALTH CO. 11/18/15 DWORKIN AND MACIARIELLO STEPHEN H LARSON LAW OFFICE 274 16WC 03085 WILKINS, CHRISTINA SOUTHERN ILLINOIS HEALTHC 11/18/15 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 275 16WC 03113 LITTLEFIELD, CLARENCE EDW POPE COUNTY HOUSING AUTHO 01/06/14 HOWERTON, DORRIS & STONE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 276 16WC 03759 SHERRARD, KAREN BRUSHY CREEK COAL CO # 07/21/15 CULLEY & WISSORE 277 16WC 04159 HULEN, MARY B ADDUS HOME HEALTH CARE 03/27/15 O'CONNOR & NAKOS 278 16WC 05247 WHITE, ERIN CHESTER MENTAL HEALTH @ 12/28/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 279 16WC 05330 PRESSWOOD, MATT CHESTER MENTAL HEALTH CEN @ 12/15/15 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 280 16WC 05334 WOODHOUSE, PAUL ALPHA NATURAL RESOURCES 10/24/14 WOMICK LAW FIRM CHTD GANAN & SHAPIRO 281 16WC 05457 SCHULTZ, ROBERT CHESTER MENTAL HEALTH CEN @ 01/04/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 282 16WC 05743 SEABAUGH, HEATHER M CHAMNESS CARE 11/28/15 THE BEARD LAW FIRM 283 16WC 05880 HILL, MARCIA A WEXFORD HEALTH SYSTEMS 01/14/16 BECKER SCHROADER & CHAPMAN 284 16WC 05904 CARTER, MATTHEW THE AMERICAN COAL COMPANY 05/08/13 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 285 16WC 05937 PETTIGREW, SHANE C ILLINOIS STATE POLICE @ 02/08/16 TAMMI N. JACKSON ILLINOIS ATTORNEY GENERAL 286 16WC 06529 MOORE, JUDY HELP AT HOME INC 11/19/15 LAWLER & LAWLER 287 16WC 06558 STRAIGHT, SHAWN STATE OF IL/CHESTER @ 10/13/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 288 16WC 06605 DEATON, ERIC AMERICAN COAL CO 10/31/15 WOMICK LAW FIRM CHTD 289 16WC 06724 ROACH, MARC IDOT @ 02/10/16 RON D COFFEL & ASSOC ILLINOIS ATTORNEY GENERAL 290 16WC 07047 JENKINS, RHONDA ADDUS HEALTHCARE 10/14/15 KRUGER HENRY & HUNTER WIEDNER & MCAULIFFE LTD 291 16WC 07160 KONEMANN, KENNETH KOTTER READY-MIX DO 01/21/16 WINTERS BREWSTER CROSBY ET GANAN & SHAPIRO 292 16WC 07342 COCHRAN, CINDIE LOWE'S 06/15/15 SAM C MITCHELL & ASSOCIATE 293 16WC 07413 PARSONS, LARRY II THE AMERICAN COAL COMPANY 03/09/14 RON D COFFEL & ASSOC MCBREARTY, BRIAN K

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 294 16WC 07549 MORRIS, RANDALL AMERICAN COAL 07/17/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 295 16WC 07836 SMITH, MIRANDA MEMORIAL OF CARBONDALE / 03/06/15 WOMICK LAW FIRM CHTD FEIRICH MAGER GREEN & RYAN 296 16WC 07919 COYLE, DENNIS ASIAN MANUFACTORING IL LL 02/18/16 CULLEY FEIST KUPPART & TAY KEEFE & DEPAULI 297 16WC 07952 MILLER, WILLIAM IL DEPT OF TRANSPORTATION @ 10/29/14 LEE, MARK N LAW OFFICE ILLINOIS ATTORNEY GENERAL 298 16WC 08067 STECKENRIDER, JACOB AMERICAN COAL COMPANY 11/19/15 KIRKPARTICK LAW OFFICES LITCHFIELD CAVO 299 16WC 08561 HILL, BRADLEY STATE OF IL/ IDOT @ 01/22/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 300 16WC 08710 FOX, KATHRYN IL DEPT OF PUBLIC HEALTH @ 03/03/16 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 301 16WC 08730 WHITE, MICHELLE CHESTER MENTAL HEALTH @ 07/16/15 BEARD LAW FIRM ILLINOIS ATTORNEY GENERAL 302 16WC 09043 PAGE, KEVIN B MENARD CORRECTIONAL CENTE @ 02/19/16 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 303 16WC 09232 COBB, JOHNATHON GILSTER-MARY LEE CORP 03/15/16 DWORKIN AND MACIARIELLO FEIRICH MAGER GREEN & RYAN 304 16WC 09343 BRAND, ALAN D JC'S AC & REFRIGERATION 10/01/13 HARRIS & JONES 305 16WC 09450 BISHOP, DAVID L THE AMERICAN COAL COMPANY 06/26/15 CULLEY & WISSORE CRAIG & CRAIG 306 16WC 09553 STREET, JEFFREY IL DEPT OF JUVENILE JUSTI @ 02/03/16 CULLEY FEIST KUPPART & TAY ILLINOIS ATTORNEY GENERAL 307 16WC 09798 JOHNSON, JEWELL IL.CENTRAL SCHOOL BUS LLC 03/16/16 THE BEARD LAW FIRM 308 16WC 09989 QI, DONGZHEN TIMBERLINE 03/15/16 WOMICK LAW FIRM CHTD GANAN & SHAPIRO 309 16WC 10022 SCHOLEBO, ANDREA NEURORESTORATIVE 08/26/15 DWORKIN AND MACIARIELLO CHILTON YAMBERT PORTER LLP 310 16WC 10072 FERGUSON, JACQUELINE DIAGRAPH ITW INC 12/01/15 RIDGE & DOWNES HENNESSY & ROACH 311 16WC 10152 SANDERS, TODD SALMON COMPANIES 01/07/16 WILLIAMS CAPONI & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 312 16WC 10730 HALL, HENRIETTA IL DEPT OF CORRECTIONS @ 01/16/16 LAWLER & LAWLER ILLINOIS ATTORNEY GENERAL 313 16WC 10882 RAMETTA, PAULA KROGER 02/03/16 RICH RICH COOKSEY PC GANAN & SHAPIRO 314 16WC 10963 HAUN, SHANE MUSCLE RELOCATION MAYFLOW 12/04/15 WOMICK LAW FIRM CHTD QUINTAIROS PRIETO WOOD & BOY 315 16WC 11577 CARDWELL, TREVOR D CITY OF THOMPSONVILLE 01/11/16 MCGARRY, BRIAN P KEEFE & DEPAULI 316 16WC 11621 BATTEN, DIANA (NEE PHELPS INTEGRIA HEALTH CARE 03/17/16 COOK SHEVLIN YSURSA ET AL 317 16WC 11624 MANSFIELD, RICHARD SUNSET PROPERTIES 06/23/14 ALLEMAN LAW FIRM 318 16WC 12050 BROCK, DENNIS MACH MINE LLC 07/29/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 319 16WC 12469 PARKER, CHRIS H IDOT @ 03/28/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 320 16WC 12516 CARMONA, LUZ ARAMARK UNIFORM SERVICE 12/19/15 LAW OFFICES FOLEY & DENNY EVANS & DIXON, LLC 321 16WC 13029 RIVERO-WINFIELD, ONA C ST OF IL DEPT OF @ 04/04/16 MCGARRY, BRIAN P ILLINOIS ATTORNEY GENERAL 322 16WC 13216 SUITS, JASON PEPSI MIDAMERICA 08/04/15 CULLEY FEIST KUPPART & TAY 323 16WC 13228 GUETERSLOH, MARK A IL DEPT NATURAL RESOURCES @ 11/16/15 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 324 16WC 13958 YATES, ROGER W CITY OF HERRIN 10/29/15 THOMAS W DUDA SCHREMPF, BLAINE, KELLY & DA 325 16WC 13997 PICKEL, SANDRA CHOATE MENTAL HEALTH & @ 03/20/16 CULLEY FEIST KUPPART & TAY ILLINOIS ATTORNEY GENERAL 326 16WC 14390 HERRON, TONYA AISIN MANUFACTORING 04/14/16 327 16WC 14430 MUCK, JOSEPH D. MACH MINING 11/12/15 RON D COFFEL & ASSOC MCBREARTY, BRIAN K 328 16WC 14786 BERT, AARON CHESTER MENTAL HEALTH @ 07/22/14 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 329 16WC 15262 STERNS, FRED JR WASHINGTON COUNTY WATER 03/01/16 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 16WC 15433 MIX, SHERRY E JEFFERSON COUNTY PROBATIO 06/12/15 HARRIS & JONES RUSIN & MACIOROWSKI LTD 331 16WC 15562 LOVEN, TERRANCE LINWOOD MOTORS 09/22/15 PRINCE LAW FIRM GANAN & SHAPIRO 332 16WC 15607 BELL, CLIFFORD VACCABIOLOGICS 04/20/16 HUGHES LAW FIRM HENNESSY & ROACH 333 16WC 15776 HAMPTON, LUCAS NELSON TREE SERVICES, INC 09/11/15 MUELHAUSEN & STEFANI ADELSON TESTAN & BRUNDO 334 16WC 16107 FRANCESCON, MICHAEL A. AMERICAN COAL COMPANY 05/15/15 BADGLEY, BRAD L LITCHFIELD CAVO 335 16WC 16463 TRIFFO, MIKE MENARDS 04/23/16 WINTERS BREWSTER CROSBY ET 336 16WC 16633 WISE, MICHELLE TRI-COUNTY SPECIAL EDUCAT 12/09/15 FEIRICH MAGER GREEN & RYAN COZZI & GOGGIN-WARD 337 16WC 17124 HOLLEY, RONALD CHESTER SCHOOL DISTRICT 1 02/01/16 BROWN & BROWN WIEDNER & MCAULIFFE LTD 338 16WC 17411 HILL, JULIA AISIN MFG 02/01/15 NEWCOMB, PAULA M 339 16WC 17668 CHANDLER, REBECCA GILSTER MARY LEE 11/12/15 FEIRICH MAGER GREEN & RYAN 340 16WC 17689 CRUZ-SWAIN, TANIA STATE OF IL-SIUC HEADSTAR @ 03/28/16 STRONG LAW OFFICE ILLINOIS ATTORNEY GENERAL 341 16WC 17819 LEITHLITER, ROBERT G. JR WAL MART STORES, INC. 03/27/16 THE BEARD LAW FIRM QUINTAIROS PRIETO WOOD & BOY 342 16WC 17839 ADAMS, JOHN G. GLISTER MARY LEE 11/09/15 HUGHES LAW FIRM FEIRICH MAGER GREEN & RYAN 343 16WC 17901 KNAPP, KENNETH R IDOT @ 11/13/15 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 344 16WC 18066 QUINN, KENNETH SIU @ 05/24/16 MUELHAUSEN & STEFANI ILLINOIS ATTORNEY GENERAL 345 16WC 18210 POENITSKE, GARY CHESTER MENTAL HEALTH CEN @ 05/14/16 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 346 16WC 18358 BIGHAM, ELLEN ALEXANDER COUNTY 03/16/16 RICH RICH COOKSEY PC RUSIN & MACIOROWSKI LTD 347 16WC 18593 HARPER, JULIA CORVEL 03/07/16 HOWERTON, DORRIS & STONE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 16WC 18651 GIBBS, NIKKI FUJIYAMA'S 11/28/15 WOMICK LAW FIRM CHTD RUSIN & MACIOROWSKI LTD 349 16WC 19234 HAMMONDS, PATRICIA BLUE CROSS/BLUE SHIELD 11/03/15 WOMICK LAW FIRM CHTD HEPLER BROOM LLC 350 16WC 19327 HATHAWAY, JEFFREY GIBSON COUNTY COAL, LLC. 08/14/14 RICH RICH COOKSEY PC FEIRICH MAGER GREEN & RYAN 351 16WC 19637 HOLLAND, MICHAEL ANDERSON'S WAREHOUSE FURN 03/18/16 SAM C MITCHELL & ASSOCIATE GANAN & SHAPIRO 352 16WC 20087 MC REYNOLDS, TRAVIS STATE OF ILLINOIS @ 06/09/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 353 16WC 20099 GIBSON, MARSHA C GILSTER MARY LEE 03/21/14 LAW OFFICES FOLEY & DENNY FEIRICH MAGER GREEN & RYAN 354 16WC 20118 BASEDEN, BILLY W PINOY CONSTRUCTION 03/08/16 MICHAEL MILES 355 16WC 20190 STRAM, MARK ILLINOIS STATE POLICE @ 05/05/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 356 16WC 20761 KRIK, RICKY D MPP GROUP COMPANIES 02/15/16 THE BEARD LAW FIRM 357 16WC 20928 SKAMSER, LYNETTE SIH HERRIN HOSPITAL 04/17/15 RICH RICH COOKSEY PC FEIRICH MAGER GREEN & RYAN 358 16WC 21327 DUNNING, TROY VIENNA CC @ 05/31/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 359 16WC 21347 COCKRUM, TORIE STONEBRIDGE SENIOR LIVING 10/30/15 WINTERS BREWSTER CROSBY ET 360 16WC 21365 MILLER, WILLIAM IDOT 10/29/14 LEE, MARK N LAW OFFICE 361 16WC 21389 PHILLIPS, ANGEL SOI/ILLINOIS DEPT OF REHA @ 05/29/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 362 16WC 21811 ALI, KAILA M SPECIALIZED TRANSPORTATIO # 04/23/16 GIACOLETTO LAW FIRM 363 16WC 22130 MITCHELL, MICHAEL MACH MINE LLC 05/22/16 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 364 16WC 22169 FIRST MID ILLINOIS BANK A UNITED PARCEL SERVICE, IN # 11/26/15 PRINCE LAW FIRM 365 16WC 22340 JOHNSON, LORRIE CASEY'S GENERAL STORE 06/17/16 PETER F FERRACUTI & ASSOCI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 16WC 22479 DONOGHUE, MARK GENERAL CABLE 08/07/15 RICH RICH COOKSEY PC RODDY LAW LTD 367 16WC 22644 KIRCHNER, HAROLD PEABODY IL SERVICES, LLC 02/04/16 CULLEY & WISSORE KEEFE & DEPAULI 368 16WC 22844 FARRIS, DEBRA HERRIN HOSPITAL @ 12/09/14 JOHNSON SCHNEIDER FERRELL FEIRICH MAGER GREEN & RYAN 369 16WC 22967 PASQUINO, RICHARD KNIGHT HAWK COAL, LLC 04/07/16 CULLEY & WISSORE CRAIG & CRAIG 370 16WC 22979 HARRELL, RICHARD KNIGHT HAWK COAL, LLC 06/18/16 CULLEY & WISSORE CRAIG & CRAIG 371 16WC 23342 HICKS, DON TONY RAY DBA TONY'S 06/01/16 LAWLER & LAWLER KEEFE & DEPAULI 372 16WC 23566 JONES, JOESPH BRIAN AMERICAN COAL 07/06/16 SAUNDERS CONDON & KENNY 373 16WC 23588 WILSON, JIMMY AMERICAN COAL 05/04/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 374 16WC 23606 SMITH, WILLIAM TRU-BILT FARM & COMMERCIA 05/19/16 LAWLER & LAWLER 375 16WC 23682 MEARS, JEFF STATE OF IL/SHAWNEE C.C. @ 06/20/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 376 16WC 23798 MELTON, KELLY KNIGHT HAWK COAL LLC 07/14/16 RICH RICH COOKSEY PC LITCHFIELD CAVO 377 16WC 24196 CHUNN, LEVI CHESTER MENTAL HEALTH CEN @ 07/29/16 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 378 16WC 24431 MC CONNELL, KERRY S. CITY OF MARION 02/24/16 SAM C MITCHELL & ASSOCIATE BADGLEY, BRAD L 379 16WC 24699 DEWAR, MARVIN DU QUOIN UNIT SCHOOL DIST 05/20/16 RON D COFFEL & ASSOC HENNESSY & ROACH 380 16WC 24803 STALCUP, LISA CITY OF WEST FRANKFORT 07/28/15 SAM C MITCHELL & ASSOCIATE MCANANY VANCLEVE & PHILLIPS 381 16WC 24958 BURRIS, ANITRA CHOATE MENTAL HEALTH @ 01/19/16 KEEFE & GRIFFITHS PC ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 382 16WC 25009 ATCHISON, ROBERT AMERICAN COAL 11/10/15 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 383 16WC 25378 MENDENALL, TAMARA LOWES HOME IMPROVEMENT 09/30/13 MUELHAUSEN & STEFANI KEEFE CAMPBELL & ASSOC LLC 16WC025379 -C 17WC005491 -C 384 16WC 25688 DAVIS, DANIEL IYC-HARRISBURG @ 12/04/15 RON D COFFEL & ASSOC ILLINOIS ATTORNEY GENERAL 385 16WC 25692 MOORE, MARK MARION DENTURES AND DENTA 04/05/16 RON D COFFEL & ASSOC 386 16WC 25753 MASON, JAMES GILSTER MARY LEE CORP 07/15/16 PRINCE LAW FIRM FEIRICH MAGER GREEN & RYAN 387 16WC 25828 COUCH, JUSTIN CHESTER MENTAL HEALTH @ 07/16/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 388 16WC 25951 GILBERT, GARRY ROOF BOLT EXPRESS, INC 03/31/16 BEARD LAW FIRM INMAN & FITZGIBBONS 389 16WC 26248 PREDNEY, PAUL ARDENT MILLS 07/15/16 THE FREDERICK LAW FIRM 390 16WC 26438 STEWART, WILLIAM E CHARLES H CARTER & SON, I 04/12/16 BADGLEY, BRAD L JAMES M KELLY 391 16WC 26685 HENRY, SCOTT IDOT @ 06/23/16 RICH RICH COOKSEY PC 392 16WC 26730 NIKOLAISEN, STEVE G AIR METHODS 11/25/15 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH, PC 393 16WC 26814 NOLEN, JEFF ILLINOIS YOUTH CENTER @ 07/07/16 TAMMI N. JACKSON ILLINOIS ATTORNEY GENERAL 394 16WC 26974 SHAW, JAMIE LYNN AS ADM O DAVID STANLEY CONSULTANTS # 06/06/16 TAPELLA & EBERSPACHER LLC RUSIN & MACIOROWSKI LTD 395 16WC 27034 DOUGLAS, VICKI HARRISBURG MEDICAL CENTER 04/07/16 STRONG LAW OFFICE FEIRICH MAGER GREEN & RYAN 396 16WC 27453 BRIMM, JENNIFER LHC GROUP INC D/B/A ADDUS 08/02/16 RICH RICH COOKSEY PC INMAN & FITZGIBBONS 397 16WC 27563 JONES, AARON CRISP CONTAINER 07/07/16 RON D COFFEL & ASSOC 398 16WC 28020 SISNEY, MILFORD TRANSPORT LEASING CONTRAC 07/21/16 WINTERS BREWSTER CROSBY ET ROBERT L. SMITH 399 16WC 28093 WEST, ANTHONY CHESTER MENTAL HEALTH CEN @ 08/17/16 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 400 16WC 28266 HEAD, VIRGINIA CHRISTOPHER UNIT SCHOOL 02/02/16 PRINCE LAW FIRM 401 16WC 28392 KING, WALTER SOUTHERN ILLINOIS UNIVERS @ 05/08/14 MUELHAUSEN & STEFANI ILLINOIS ATTORNEY GENERAL 402 16WC 28779 KEMPF, JOSHUA AMERICAN COAL CO 07/01/16 DWORKIN AND MACIARIELLO 403 16WC 28816 JACKSON, PHILLIP C FRANKLIN COUNTY SHERIFF'S 04/01/16 REED HELLER MANSFIELD & GR 404 16WC 29141 HOLLON, DAVID TWIN MILLS TIMBER & TIE C 07/28/16 BADGLEY, BRAD L 405 16WC 29599 SAGER, ANTHONY BUNGE NORTH AMERICA, INC 01/01/16 LAWLER & LAWLER HEYL ROYSTER VOELKER & ALLEN 406 16WC 29770 HOBBS, JOHN ST OF IL DEPT OF @ 09/05/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 407 16WC 30457 RUBY, JAMES A FRICKE MGMT & CONTRACTING 05/13/16 JOSEPH L SAMUELSON PC BRADY, CONNOLLY & MASUDA, PC 408 16WC 30510 JOURDAN, STEVEN D JR IL DEPT OF NATURAL RESOUR @ 08/15/16 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 409 16WC 30532 WEIHMAN, ROBERT CITY OF CARBONDALE 08/01/16 WOMICK LAW FIRM CHTD 410 16WC 30734 MILLER, TODD E SAVE-A -LOT 07/18/16 HARRIS & JONES 411 16WC 30906 TAYLOR, LISA PEACHTREE ESTATES 05/10/16 PRINCE LAW FIRM WIEDNER & MCAULIFFE LTD 16WC030915 -C 412 16WC 31041 GRAHAM, JAMES CONTEMPRI INDUSTRIES, INC 09/19/16 BECKER SCHROADER & CHAPMAN 413 16WC 31864 BARBEE, DUSTIN R DUCK WORKS LAWN CARE, LLC 09/13/16 LAW OFFICES FOLEY & DENNY 414 16WC 31925 GOBLE, JAY BENTON SCHOOL DISTRICT 10/07/15 GALANTI LAW OFFICES 415 16WC 31993 JONES, CHRISTOPHER F BURNETT TRUCKING LLC 05/27/15 WILLIAMS CAPONI & ASSOC 416 16WC 32400 MEARS, JEFF SHAWNEE CC @ 10/05/15 RICH RICH COOKSEY PC 417 16WC 32579 BROWN, JOHN STATE OF IL @ 08/01/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 418 16WC 32753 EARL, CRAIG CHESTER MENTAL HEALTH CEN @ 03/12/16 FISHER KERHOVER & WELGE 419 16WC 33415 COLLIER, KEVIN L IDOC @ 04/03/14 LAWLER & LAWLER ILLINOIS ATTORNEY GENERAL 420 16WC 33504 WRIGHT, BOBBY EATON 06/28/16 MUELHAUSEN & STEFANI GANAN & SHAPIRO 421 16WC 33630 JOHNSON, BRYCE RABEN TIRE 10/10/16 WINTERS BREWSTER CROSBY ET 422 16WC 33662 DELRE, ROBERT P STATE OF IL/MENARD CORR C @ 07/20/16 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 423 16WC 33884 THOMAS, FRANCES HUCK'S 08/12/16 HOWERTON, DORRIS & STONE GAROFALO SCHREIBER STORM 424 16WC 33932 RIGGS, MICHAEL CLEAR WAVE COMMUNICATIONS 09/08/16 BADGLEY, BRAD L STEPHEN H LARSON LAW OFFICE 425 16WC 34448 TRIPP, MELISSA IL VETERANS HOME @ 03/23/16 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 426 16WC 34940 RINELLA, KYLE AMEREN 10/05/16 HOWERTON, DORRIS & STONE LEMP & MURPHY 427 16WC 35107 BEASLEY, BRANDI WEXFORD HEALTH SOURCES, I 06/10/16 WINTERS BREWSTER CROSBY ET RUSIN & MACIOROWSKI LTD 428 16WC 35174 HANCOCK, REBECCA CHOATE MENTAL HEALTH @ 03/22/16 WOMICK LAW FIRM CHTD ILLINOIS ATTORNEY GENERAL 429 16WC 35194 JOHNSON, KAMILA SECO, MFG A/K/A 10/07/16 LAW OFFICES FOLEY & DENNY STEPHEN H LARSON LAW OFFICE 430 16WC 35444 HOLLAND, TASHA WILLIAMSON COUNTY PROGRAM 11/01/16 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 431 16WC 35477 BARTON, NANCY GASS LOGGING & FIREWOOD 09/15/16 RON D COFFEL & ASSOC 432 16WC 35498 STEWART, TERRY CHESTER MENTAL HEALTH CTR @ 08/01/16 EDWARD J FISHER ILLINOIS ATTORNEY GENERAL 433 16WC 35836 HOWELL, PATRICIA HEARTLAND REGIONAL MED CT 03/25/16 BEARD LAW FIRM 434 16WC 35846 PERRY, CHRISTINA LAB CORP 09/12/16 WOMICK LAW FIRM CHTD HENNESSY & ROACH, PC 435 16WC 35922 VAZQUEZ, AMANDA ROC ONE STOP 11 10/17/16 STRONG LAW OFFICE GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 436 16WC 36212 SMITH, ROBERT W CITY OF HARRISBURG 07/19/16 RICH RICH COOKSEY PC 437 16WC 36254 DRONE, WILLIAM STATE OF IL SIU - CARBOND @ 01/29/14 WOMICK LAW FIRM CHTD ILLINOIS ATTORNEY GENERAL 438 16WC 36848 BARDO, DAVID GILSTER-MARY LEE 11/14/16 WINTERS BREWSTER CROSBY ET FEIRICH MAGER GREEN & RYAN 439 16WC 36945 WEAR, DIANNA HYATT CORP 09/21/15 WINTERS BREWSTER CROSBY ET NYHAN BAMBRICK KINZIE & LOWR 440 16WC 37105 CUNDIFF, CHRISTOPHER CAMPAC INTERNATIONAL 12/22/15 PRINCE LAW FIRM WIEDNER & MCAULIFFE LTD 441 16WC 37107 AMBROSE, RICHARD WALMART SUPERCENTER 01/24/16 PRINCE LAW FIRM EARLY & MIRANDA PC 442 16WC 37110 AMBROSE, RICHARD WALMART SUPERCENTER 11/25/15 PRINCE LAW FIRM EARLY & MIRANDA PC 443 16WC 37371 GRIFFITH, SARAH ADDUS HOME CARE 09/07/16 RICH RICH COOKSEY PC HENNESSY & ROACH, PC 444 16WC 37611 JEFFERS, JOHN CHESTER MENTAL HEALTH @ 09/05/16 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 445 16WC 37620 HALE, STEVEN JOSEPH F BECKER INC 06/30/16 PRINCE LAW FIRM 446 16WC 37840 SCHMITT, RYAN TRANSCENDENT CONSULTING D 04/28/16 O'CONNOR & NAKOS BRADY, CONNOLLY & MASUDA, PC 447 16WC 37919 EMLING, RICHARD C EMLING TOWING INC 09/01/16 WINTERS BREWSTER CROSBY ET 448 16WC 37924 CULLEN, JOHN LOUIS AMERICAN COAL COMPANY 11/21/16 HOWERTON, DORRIS & STONE LITCHFIELD CAVO 449 16WC 38030 SANDIFER, LARRY MICHAELS ARTS AND CRAFTS 11/29/16 DWORKIN AND MACIARIELLO 450 16WC 38397 FOMBELLE, ROBERT DEAN STAFFING PLUS 05/04/14 HOWERTON, DORRIS & STONE 451 16WC 38492 LINGLE II, FRANCIS CHESTER MENTAL HEALTH @ 02/16/16 REED & BRUHN, PC ILLINOIS ATTORNEY GENERAL 452 16WC 38559 REID, DAVID RNR CARRIAGE 09/10/15 RICH RICH COOKSEY PC 453 16WC 38802 HENRY, FRANK ST OF IL DEPT OF @ 09/09/15 MUELHAUSEN & STEFANI ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 454 16WC 38984 HOPPER, CLINT AMERICAN COAL CO 07/05/16 KEEFE & DEPAULI LITCHFIELD CAVO 455 16WC 39103 VANOVER, DUSTIN CHESTER MENTAL HEALTH CEN @ 09/21/16 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 456 16WC 39169 DUCKWORTH, JOHN CHOATE MENTAL HEALTH @ 12/04/16 WINTERS BREWSTER CROSBY ET ILLINOIS ATTORNEY GENERAL 457 16WC 39220 MATYI, STEPHEN R AMERICAN COAL CO 08/29/15 WILLIAMS CAPONI & ASSOC CRAIG & CRAIG 458 17WC 00059 PRINCE, SUSAN ST OF IL DEPT IYC HARRISB @ 12/06/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 459 17WC 00089 LANE, MISTY AISIN MANUFACTURING 12/07/16 RON D COFFEL & ASSOC 460 17WC 00208 BUTLER, JOYCE HARRISBURG COMM UNIT DIS 09/09/16 RICH RICH COOKSEY PC BRADY, CONNOLLY & MASUDA, PC 461 17WC 00877 JAMES, JOHN BUD JAMES CONSTRUCTION CO 08/18/16 WOMICK LAW FIRM CHTD RUSIN & MACIOROWSKI LTD 462 17WC 00910 PARSONS, LARRY II THE AMERICAN COAL COMPANY 11/18/16 RON D COFFEL & ASSOC 463 17WC 01122 PLUMLEE, SAMANTHA PRIORITY STAFFING GROUP, 12/20/16 LAWLER & LAWLER 464 17WC 01264 POINTER, CANDACE INTEGRITY HEALTHCARE 06/12/15 BEARD LAW FIRM 465 17WC 01547 GIBSON, BRENDON STATE OF ILLINOIS/ @ 11/04/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 466 17WC 01654 MAYBERRY, TAMMY ST OF IL DEPT OF @ 02/25/16 LITTLE SCHELHAMMER ETAL ILLINOIS ATTORNEY GENERAL 467 17WC 01829 WILLIAMS, VONDA R CAIRO SCHOOL DISTRICT #1 09/26/16 LAWLER & LAWLER GANAN & SHAPIRO 468 17WC 01903 CAVINS, TERESA CHOATE MENTAL HEALTH @ 12/08/16 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 469 17WC 02086 CONWAY, CURTIS GILSTER-MARY LEE 12/08/16 WOMICK LAW FIRM CHTD 470 17WC 02167 WOOD, NANCY LAKE LAND COLLEGE 11/18/16 NELSON & NELSON KEEFE & DEPAULI 471 17WC 02269 KILPATRICK, RANDY GILSTER MARY LEE 01/29/14 STANCZAK LAW OFFICES FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 472 17WC 02364 WOOD, LESLIE ST OF IL DEPT OF @ 10/12/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 473 17WC 02547 ELLET, AMANDA MARSHALL BROWNING HOSPITA 11/19/15 LAW OFFICE OF JAMES PARROT GAROFALO SCHREIBER STORM 474 17WC 02615 WILLIAMSON, RODNEY SGS NORTH AMERICA 12/15/16 DWORKIN AND MACIARIELLO 475 17WC 02836 DAVIS, MICHAEL E W.F. STIFT CONSTRUCTION, 12/06/16 HUGHES LAW FIRM 476 17WC 02868 LOCKE, SONJA TRI COUNTY SPECIAL EDUCAT 12/05/16 MCCARTHY ROWDEN & BAKER COZZI & GOGGIN-WARD 477 17WC 02950 HOLDER, JARED CITY OF METROPOLIS 11/15/16 SAM C MITCHELL & ASSOCIATE 478 17WC 03157 PRESSWOOD, MATT CHESTER MENTAL HEALTH CEN @ 07/15/15 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 479 17WC 03198 ALDRIDGE, MICHAEL D EATON COOPER B-LINE * 10/20/16 HARRIS & JONES GANAN & SHAPIRO 480 17WC 03264 ASHMAN, SCOTT WILLIAMSON COUNTY GOVENME 05/19/16 GOLDENBERG HELLER ANTOGNOL 481 17WC 03514 GRANT, MICHAEL R AMERICAN COAL COMPANY 12/29/16 GOLDENBERG HELLER ANTOGNOL LITCHFIELD CAVO 482 17WC 03996 SULLIVAN, HOWARD CUSTOM STAFFING SERVICE 11/02/16 RICH RICH COOKSEY PC 483 17WC 04093 BEASLEY, TIM STATE OF IL/SHAWNEE C.C. @ 11/07/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 484 17WC 04119 NEWCOMB, DAVID PITTSBURGH GLASS WORKS LL 04/29/14 ONDER SHELTON O'LEARY EVANS & DIXON, LLC 485 17WC 04138 HENRY, SCOTTY STATE OF ILLINOIS/IDOT @ 02/01/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 486 17WC 04209 TURNER, TAMMY ILLINOIS STATE POLICE @ 03/30/16 RIDGE & DOWNES 487 17WC 04461 JOHNSON, RODNEY INTERTAPE POLYMER GROUP 11/10/15 LAW OFFICES FOLEY & DENNY GAROFALO SCHREIBER STORM 488 17WC 04663 HARMON, JOE FRANKLIN CARTERVILLE UNIT SCHL DIS 03/06/14 HOWERTON, DORRIS & STONE 489 17WC 04888 PARKER, WHITNEY CHESTER METAL HEALTH @ 11/16/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 490 17WC 04899 DIXON, SUSAN STATE OF ILLINOIS - @ 11/28/16 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 491 17WC 05194 REDCLOUD, SAMANTHA STATE OF ILLINOIS - CHOAT @ 12/18/16 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 492 17WC 05493 HALSTEAD, RICHARD PLANTSCAPE NURSERY & LAND 09/02/16 MUELHAUSEN & STEFANI HENNESSY & ROACH, PC 493 17WC 05729 RECTOR, MATTHEW SOUTHERN ILLINOIS UNIVERS @ 10/09/16 WINTERS BREWSTER CROSBY ET ILLINOIS ATTORNEY GENERAL 494 17WC 05888 RAGLAND, JEFFREY SR KNIGHT HAWK COAL 06/02/16 CULLEY FEIST KUPPART & TAY 495 17WC 06202 WAHL, ANGELA WEST BUS SERVICES, INC. 02/03/17 SAM C MITCHELL & ASSOCIATE 496 17WC 06438 THOMAS, KIERA (REED) CRITICAL NURSE STAFFING, 10/17/16 LAWLER & LAWLER 497 17WC 06524 WATSON, JOHN CHESTER MENTAL HEALTH @ 07/06/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 498 17WC 06774 EVANS, WILLIAM HARDEE'S 01/22/17 WOODRUFF & JOHNSON 499 17WC 07087 MELVIN, HENRIETTA CONSOLIDATION COAL CO. # 08/29/16 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 500 17WC 07108 SALAZAR, CONNIE ST OF IL/CHOATE MENTAL HE @ * 11/30/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 501 17WC 07284 ROBINSON, MICHAELE CUSTOM STAFFING SERVICES * 01/06/17 JAMES RUPPERT 502 17WC 07384 WATERS, BOB RURAL KING * 06/28/16 WOMICK LAW FIRM CHTD KEEFE CAMPBELL & ASSOC LLC 503 17WC 07435 KREKE, TERRY V QUAD-COUNTY READY MIX * 10/27/16 NELSON & NELSON 504 17WC 07495 DILLINER, TAYLOR TRI COUNTY SPECIAL EDUCAT * 10/27/16 COZZI & GOGGIN-WARD 505 17WC 07643 YATES, RUTH SHAWNEE CC @ * 04/15/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 506 17WC 07679 SIMPSON, JAMES CUSTOM STAFFING INDUSTRIA * 02/17/17 BRIAN J MC MANUS & ASSOC, LITCHFIELD CAVO 507 17WC 07794 QUALLS, SUSAN GILSTER MARY LEE * 01/14/17 RICH RICH COOKSEY PC FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 508 17WC 07846 BETTS, WILLIAM SOL/CHOATE MENTAL HEALTH @ * 09/23/16 ILLINOIS ATTORNEY GENERAL 509 17WC 07964 SAHLIN, STEPHANIE L AISIN MANUFACTURING IL, L * 10/25/16 LAWLER & LAWLER KEEFE & DEPAULI 510 17WC 07979 FONDAW, BARRY BRAZIER FARMS & FERTILIZE * 08/25/16 WINTERS BREWSTER CROSBY ET 511 17WC 08433 WILLIS, MARGARET J ADVANTAGE NURSING SERVICE * 01/12/17 WINTERS BREWSTER CROSBY ET 512 17WC 08494 MITCHELL, JOSEPH D&C SHEET METAL * 10/28/15 WINTERS BREWSTER CROSBY ET 513 17WC 08623 HALL, WILLIAM D RALEIGH READY MIX * 02/17/14 HANAGAN & MCGOVERN PC JAMES M KELLY 514 17WC 08698 RILEY, DANNY RAY 5/P DRILLING INC * 06/08/16 CULLEY FEIST KUPPART & TAY GAROFALO SCHREIBER STORM 515 17WC 08823 WALLACE, MICKEY TRU-BILT BUILDING CO * 01/01/17 DWORKIN AND MACIARIELLO 516 17WC 09132 GROVES, JACKIE GOODWILL INDUSTRIES * 12/02/16 WOMICK LAW FIRM CHTD 517 17WC 09199 SCHULTZ, MARY K ADDUS HEALTHCARE * 01/12/17 THE FREDERICK LAW FIRM WIEDNER & MCAULIFFE LTD 518 17WC 09505 MOTSINGER, DUSTIN UPS * 03/17/17 WINTERS BREWSTER CROSBY ET MCANANY VANCLEVE & PHILLIPS 519 17WC 09572 STUBY, REBECCA VILLAS OF HOLLYBROOK * 01/20/17 CULLEY FEIST KUPPART & TAY 520 17WC 09621 GIBSON, TERRY K L&R HANDYMAN SERVICES * 07/29/15 JAMES RUPPERT 521 17WC 10232 THIES, NATHAN CHESTER MENTAL HEALTH CEN @ * 03/11/17 FISHER KERKHOVER & COFFEY 522 17WC 10425 ZEIDLER, TIM CHESTER MENTAL HEALTH CEN @ * 05/27/14 HANAGAN & MCGOVERN PC ILLINOIS ATTORNEY GENERAL 523 17WC 10461 BENDER, DUSTIN STATE/CHESTER MENTAL HLTH @ * 01/30/17 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 524 17WC 10713 OBERTINI, MICHAEL W DUQUOIN IIP CORRECTIONS @ * 02/23/17 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 525 17WC 10733 ROWLAND-CLAYCAMP, JULIE MEDIC ONE MEDICAL RESPONS * 12/30/16 PRINCE LAW FIRM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 526 17WC 10846 BOWEN, LAURA CASEY'S GENERAL STORE * 03/17/17 MICHAEL MILES 527 17WC 10934 REDCLOUD, SAMANTHA ST OF IL- CHOATE MENTAL H @ * 08/13/15 LAW OFFICES FOLEY & DENNY ILLINOIS ATTORNEY GENERAL 528 17WC 11081 QUINTANA, CORY R CHESTER MENTAL HEALTH CEN * 01/11/17 FISHER KERKHOVER & COFFEY 529 17WC 11086 QUINTANA, CORY R CHESTER MENTAL HEALTH CEN * 12/15/14 FISHER KERKHOVER & COFFEY 530 17WC 11312 QUINTANA, CORY R CHESTER MENTAL HEALTH CEN @ * 08/25/14 FISHER KERKHOVER & COFFEY 531 17WC 11347 QUINTANA, CORY R. CHESTER MENTAL HEALTH CEN @ * 04/08/16 FISHER KERKHOVER & COFFEY 532 17WC 11402 SIMPSON, JOHN M ILLINOIS YOUTH CENTER @ * 02/08/17 RON D COFFEL & ASSOC 533 17WC 11577 LAWRENCE, SHANE CHESTER MENTAL HEALTH @ * 11/29/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 534 17WC 11583 DILLMON, SCOTT GENERAL DYNAMICS * 07/12/16 RICH RICH COOKSEY PC 535 17WC 11631 BRADLEY, CECIL R. J&L ROBINSON DEVELOPMENT * 08/12/16 MCANANY VANCLEVE & PHILLIPS 536 17WC 11722 ARNOLD, DOUGLAS HAMILTON COUNTY CONSTRUCT * 09/14/16 MUELHAUSEN & STEFANI 537 17WC 11874 CHILDERS, DAVID BREHM PREPARATORY SCHOOL * 07/06/16 MEYERS & FLOWERS 538 17WC 12227 SMITH, KENNETH G VILLAGE OF DOWELL * 04/29/16 HARRIS & JONES KEEFE & DEPAULI 539 17WC 12311 FIGUEROA, ANGEL GILSTER-MARY LEE CORPORAT * 06/15/16 FEIRICH MAGER GREEN & RYAN 540 17WC 12326 BANKS, JOHN AMERICAN TOWING * 01/01/17 THE BEARD LAW FIRM HENNESSY & ROACH, PC 541 17WC 12487 RAMON, TANYA GILSTER-MARY LEE CORPORAT * 09/02/16 FEIRICH MAGER GREEN & RYAN 542 17WC 12524 WELBORN, WAYMON SECURITAS SECURITY SRVCS * 07/31/16 STONE & JOHNSON CHARTERED 543 17WC 12777 BIGGS, SCOTT BEELMAN TRUCK CO * 02/10/17 LAWLER & LAWLER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 544 17WC 12784 GIBSON, BRENDON IYC HARRISBURG @ * 03/30/17 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 545 17WC 12825 SHASTEEN, TIMOTHY REMINGTON SEED * 11/25/14 SAM C MITCHELL & ASSOCIATE NOBLE & ASSOCIATES PC 546 17WC 12994 GRAHAM, GARY DAVID STANLEY CONSULTANTS * 02/02/17 RON D COFFEL & ASSOC RUSIN & MACIOROWSKI LTD 547 17WC 13036 CLARK, DENNIS EASTERN TOWNSHIP OF FRANK * 12/09/16 HANAGAN & MCGOVERN PC 548 17WC 13107 CAVINS, TERESA CHOATE MENTAL HEALTH @ * 08/21/14 PRINCE LAW FIRM ILLINOIS ATTORNEY GENERAL 549 17WC 13138 MITCHELL, JETSON AMERICAN COAL * 04/13/17 CULLEY FEIST KUPPART & TAY CRAIG & CRAIG 550 17WC 13194 MYERS, MICHAEL R. LOWES * 08/22/16 GLASS & KOREIN 551 17WC 13651 BROWN, JAMES D K B BAR B QUE * 04/17/17 WOMICK LAW FIRM CHTD 552 17WC 13719 O'SULLIVAN, PATRICK SOUTHERN ILLINOIS MINERS * 06/25/15 COZZI & GOGGIN-WARD 553 17WC 13802 STOUT, MATTHEW COAL FIELD CONSTRUCTION * 09/12/16 LITCHFIELD CAVO 554 17WC 13837 ANGONE, JOSHUA THE AMERICAN COAL COMPANY * 02/08/16 LITCHFIELD CAVO 555 17WC 13939 COUCH, JUSTIN CHESTER MENTAL HEALTH @ * 04/04/17 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 556 17WC 14115 JONES, WILLIAM K COAL FIELD CONSTRUCTION C * 06/23/16 557 17WC 14120 HUTCHINSON, JOSEPH D BERNSTEIN PAINTING, INC * 04/19/17 GILBERT C SCHUMM HEYL ROYSTER VOELKER & ALLEN 558 17WC 14219 ROSE, STEVEN SHAWNEE EXPRESS * 08/16/16 DWORKIN AND MACIARIELLO 559 17WC 14260 HARGRAVE, JC AMERICAN COAL COMPANY * 11/20/16 WOMICK LAW FIRM CHTD 560 17WC 14666 JOHNSON, DOROTHY A L&N CLEANING SERVICE * 02/01/17 LAW OFFICE KEITH SHORT EVANS & DIXON, LLC 561 17WC 14736 STREET, JEFF ILLINOIS YOUTH CENTER @ * 04/18/17 RON D COFFEL & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 562 17WC 14813 WISEMAN, DARLENE DILLARDS * 00/00/00 BLEYER & BLEYER 563 17WC 14870 APPEL, TRACY CHESTER MENTAL HEALTH @ * 03/10/17 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 564 17WC 14879 PEARSON, TINA L. RENHILL STAFFING SVCS * 03/30/15 LAW OFFICES FOLEY & DENNY MCANANY VANCLEVE & PHILLIPS 565 17WC 14966 COKE, LINDSAY SR. GLISTER-MARY LEE CORPORAT * 08/10/15 FEIRICH MAGER GREEN & RYAN 566 17WC 15025 ASSELMEIER TLC GENERAL CONTRACTORS, * 04/19/16 WALTON TELKEN FOSTER LLC 567 17WC 15053 LLOYD, JESSICA CHESTER MENTAL HEALTH CEN @ * 11/11/16 FISHER KERHOVER & WELGE 568 17WC 15176 COULEAS, KELLY PINCKNEYVILLEC.C. @ * 02/20/17 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 569 17WC 15268 WILLIS, CLINT CITY OF WEST FRANKFORT * 05/15/15 MCANANY VANCLEVE & PHILLIPS 570 17WC 15437 JOHNSON, OLIVIA WRIGHT WAY RESCUE LLC * 08/08/16 KIRKPARTICK LAW OFFICES 571 17WC 15454 KOENEMAN, KATHERINE CHESTER MENTAL HEALTH * 04/18/17 RICH RICH COOKSEY PC 572 17WC 15475 BASLER, KATHERINE G IDES, STATE OF ILLINOIS * 05/01/17 HUGHES LAW FIRM 573 17WC 15712 MUNDELL, JOY EXTRA HELP, INC * 01/03/17 WOMICK LAW FIRM CHTD 574 17WC 16053 SHANKS, TAYLOR FUJIYAMA * 05/14/17 CULLEY FEIST KUPPART & TAY 575 17WC 16098 QUINN, SCOTT THE AMERICAN COAL COMPANY * 10/07/15 LITCHFIELD CAVO 576 17WC 16219 O'GRIFFIN, SEAN THE AMERICAN COAL COMPANY * 09/10/16 LITCHFIELD CAVO 577 17WC 16250 STOLTE, CARLEEN DORMA USA * 03/08/17 RICH RICH COOKSEY PC 578 17WC 16270 HARRIS, ERICA N SOI - SOUTHERN ILLINOIS U @ * 02/17/17 CORNFIELD & FELDMAN 579 17WC 16445 FLETCHER, RONNIE KNIGHT HAWK COAL * 04/04/16 CULLEY FEIST KUPPART & TAY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M HEMENWAY, CHRISTINA 031 ARBITRATION CALL FOR HERRIN 13001 ON 07/10/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 580 17WC 16481 SMITH, TAMMICA MARSHALL BROWNING HOSPITA * 03/18/17 LAWLER & LAWLER 581 17WC 16748 PALMER, TONYA R LEISURE PROPERTIES, LLC * 02/08/17 MCANANY VANCLEVE & PHILLIPS 582 17WC 16779 BACON, JUSTIN CRISP CONTAINER * 05/10/17 RON D COFFEL & ASSOC 583 17WC 16941 GOEBEL, CHARLES MOONLITE FIELD REPAIR, IN * 04/07/16 BRADY, CONNOLLY & MASUDA, PC