ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 03WC 01459 BROWN, DONISE L ST OF IL @ 01/14/00 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 03WC005077 -C STATE OF IL/IL STATE UNIVE 03WC005078 -C 03WC005079 -C STATE OF IL/IL STATE UNIVE 03WC046614 -C 04WC042827 -C 05WC049701 -C 05WC049702 -C 05WC049704 -C 06WC019312 -C 08WC016132 -C ILLINOIS STATE UNIVERSITY 09WC032326 -C 2 04WC 41225 GARLOCK, TIM STATE FARM MUTUAL AUTO 10/17/01 WILLIAMS & SWEE LAW OFFICES STEPHEN CARTER 3 05WC 42638 JONAS, VICKY C ILLINOIS DEPT OF CORRECTI @ 04/14/05 MATTHEW T. GUBBINS PC 4 06WC 13202 JONAS, ATTILA LIVINGSTON MANOR 09/11/05 MATTHEW T. GUBBINS PC KEEFE & DEPAULI 5 06WC 34533 HENDERSON, KERWIN SR. ST OF IL. DEPT. OF @ 05/31/06 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 08WC011818 -C STATE OF ILLINOIS 08WC032625 -C 11WC015795 -C 11WC015796 -C 6 07WC 21697 MARES JOSE MISAEL HERMOSILLO/MIK 05/05/05 PETER F FERRACUTI & ASSOCI COSTIGAN & WOLLRAB PC 7 08WC 08224 TURNER, JULIE OSF HEALTHCARE SYSTEM A/K 10/01/06 WILLIAMS & SWEE HINSHAW & CULBERTSON 09WC049700 -C 09WC050005 -C 8 08WC 51795 STONE, DUSTIN CENTRAL ILLINOIS TRUSS 11/10/08 JAY H JANSSEN PERRY GENTILE 9 09WC 23495 NAPIER, STEVEN KENNEY'S DELIVERY INC 04/11/09 WILLIAMS & SWEE JAMES M KELLY 10 09WC 43424 STICKLEN, MARK NESTLE USA INC & NESTLE N 08/08/09 WILLIAMS & SWEE LTD KEEFE CAMPBELL & ASSOC LLC 11 09WC 48608 CAMPBELL, CYNTHIA LIVINGSTON COUNTY SHERIFF 11/20/08 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 12 10WC 09525 BOOTH, DANIEL WAL MART 10/10/09 WILLIAMS & SWEE LTD GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 13 10WC 11831 RUIZ, PABLA R R DONNELLEY & SONS CO 01/25/10 WILLIAMS & SWEE INMAN & FITZGIBBONS 14 10WC 18164 PARKS, KATHLEEN OSF ST JAMES HOSPITAL 01/19/09 WILLIAMS & SWEE 11WC010796 -C 11WC022016 -C OSF HEALTHCARE SYSTEMS 15 10WC 19387 19B BORING, MARY LIVINGSTON CTY SHERIFF'S 01/25/10 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 16 10WC 22760 GWIN, LOWELL USL A/K/A UNIVERSAL SPORT 01/27/10 WILLIAMS & SWEE LTD HEYL ROYSTER VOELKER & ALLEN 17 10WC 36415 GWIN, LOWELL UNIVERSAL SPORTS LIGHTING 12/21/09 WILLIAMS & SWEE LTD HEYL ROYSTER VOELKER & ALLEN 18 10WC 39931 MENKEN, MARK L MITSUBISHI MOTORS 06/17/10 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 14WC014116 -C 14WC014199 -C 14WC014334 -C 14WC014338 -C 14WC023586 -C 14WC029064 -C 19 10WC 41067 JACKSON, ERNESTINE CHRIS ILLINOIS STATE UNIVERSITY 05/25/10 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 20 11WC 08900 EMBERTON, RICK P.D.K. TREE & LAWN SERVIC 09/20/10 WILLIAMS & SWEE COZZI & GOGGIN-WARD 21 11WC 19869 KAUFMAN, BRIAN BLOOMINGTON PRAIRIE THUND 12/10/10 WOLFE LAW PC 11WC023921 -C 22 11WC 24580 HENRY, BOBBI JO DEN GRAPHIX 04/20/11 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 23 11WC 24812 19B GIGER, MARK HOSTESS BRANDS INC 04/26/11 WILLIAMS & SWEE ADELSON TESTAN & BRUNDO 24 11WC 25802 ADAMS, MIKE M & E CUSTOM FLOOR W 06/02/11 WILLIAMS & SWEE HOEKSTRA LAW OFFICES PC 25 11WC 26577 LACEY, MARK MITSUBISHI MOTORS 03/18/11 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 26 11WC 33130 HENRY, BOBBI JO DEN GRAPHIX 03/17/11 WILLIAMS & SWEE 27 11WC 43692 CRAIG, KEITH EVERGREEN FS INC 08/12/11 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 28 12WC 01121 QUALLS, CAROLYN TRAVELERS INSURANCE 09/15/08 WILLIAMS & SWEE SMITH AMUNDSEN LLC 29 12WC 09238 BAUMGARDNER, MICHAEL BRIDGESTONE/FIRESTONE 09/22/11 WILLIAMS & SWEE MACIOROWSKI SACKMANN & ULRIC 30 12WC 09872 WARE, BABETTE CASEYS GENERAL STORE 02/09/12 WILLIAMS & SWEE LTD HEYL ROYSTER VOELKER & ALLEN 31 12WC 10070 GESLING, HAROLD L TRI-AG INC 10/03/11 JOHN LESAGANICH CAPUANI & SCHNEIDER 32 12WC 11172 COLLINS, CHRISTOPHER EL LOCO CHIC & FISH W 03/04/11 WILLIAMS & SWEE 33 12WC 13955 ROBINSON, KAREN OSF ST JOSEPH MEDICAL CTR 02/23/12 WILLIAMS & SWEE HINSHAW & CULBERTSON 34 12WC 15514 DREON, TINA PONTIAC CORRECTIONAL CENT @ 03/19/12 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 35 12WC 15990 BARNETT, KRISTIN BLOOMING GROVE ACADEMY 04/12/11 THOMSON & WEINTRAUB PATRICIA M CARAGHER 36 12WC 16803 MAYS, LONNIE ILLINOIS CENTRAL SCHOOL B 11/10/11 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 37 12WC 18016 19B MOUNT, JOHN EICHENAUER SERVICES 05/29/11 STRONG LAW OFFICE HENNESSY & ROACH 38 12WC 18660 MILLER, EVELYN STATE FARM INSURANCE CO 05/15/02 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 12WC018727 -C 12WC018728 -C 39 12WC 19314 HERNANDEZ, DEBRA CATERPILLAR INC 04/12/12 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 40 12WC 22938 GLASSCOCK, CAROL NESTLE USA 05/18/12 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 41 12WC 24609 SPIDLE, JOSEPH A CITY OF BLOOMINGTON 07/15/09 COSTIGAN & WOLLRAB PC RUSIN & MACIOROWSKI LTD 42 12WC 28999 SHUBERT, ED STARK EXCAVATING 06/28/11 WILLIAMS & SWEE, LTD HEYL ROYSTER VOELKER & ALLEN 43 12WC 30849 HILKE, LEWIS BRIDGESTONE AMERICAS, INC 03/27/12 BECKER SCHROADER & CHAPMAN MACIOROWSKI SACKMANN & ULRIC 44 12WC 32784 MUNSON, IRMA M WAL MART 08/08/12 KANOSKI & ASSOCIATES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 12WC 34472 ORRIS, ANGELA DENNYS RESTAURANT 04/06/12 WILLIAMS & SWEE LTD RUSIN & MACIOROWSKI LTD 46 12WC 35141 CROSE, RANA BLOOMINGTON PUBLIC 05/14/12 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 15WC023853 -C 47 12WC 38570 MESCHINO, ROBERT INTERLAKE MATERIAL HANDLI 02/01/12 KATZ FRIEDMAN EAGLE ET AL 12WC038571 -C 48 12WC 40015 GALEY, ONA ADVOCATE BROMENN MEDICAL 07/24/12 WILLIAMS & SWEE, LTD NYHAN BAMBRICK KINZIE & LOWR 49 12WC 41646 HNETKOVSKY, JEANNE FEDEX AKA 01/12/11 WILLIAMS & SWEE HANSON LAW OFFICE 50 12WC 42029 19B CHANDLER, TRACEY ILLINOIS STATE UNIVERSITY @ 09/17/12 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 14WC009837 -C 51 12WC 42285 THOMAS, HEATHER EATON CORPORATION 09/01/12 NESSLER, FREDERIC LAW OFFI FEATHERSTUN GAUMER POSTLEWAI 52 12WC 43848 CASEY, HAL M ILLINOIS STATE UNIVERSITY @ 01/26/12 KATZ FRIEDMAN EAGLE ET AL ASSISTANT ATTORNEY GENERAL 53 12WC 44523 ANDERSON, MICHAEL J ST OF IL DEPT OF PONTIAC @ 12/03/12 DREW J FERRACUTI ASSISTANT ATTORNEY GENERAL 54 13WC 00411 HUSSEMANN, MICHAEL KOHLS ILLINOIS INC 07/03/12 WILLIAMS & SWEE LTD HENNESSY & ROACH 55 13WC 01706 SHAWGO, CYNTHIA L WEXFORD HEALTH SOURCES IN 12/14/12 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 56 13WC 03532 HERT, DESHONA L IL CENTRAL SCHOOL BUS 12/12/12 KANOSKI & ASSOCIATES MACIOROWSKI SACKMANN & ULRIC 57 13WC 04414 BROWN, DONISE ILLINOIS STATE UNIVERSITY @ 06/25/12 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 58 13WC 07724 19B RODRIGUEZ, ALFREDO HJ EPPEL AND CO INC 05/28/12 WILLIAMS & SWEE RUSIN MACIOROWSKI & FRIEDMAN 59 13WC 09632 SHULTS, ANGELA R J JUST INC D/B/A 05/26/10 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 14WC016540 -C R.J. JUST INC. 14WC016541 -C 60 13WC 10941 SPENCER, TERRELL ABBEY PLACEMENTS 06/14/12 STRONG LAW OFFICE KOTH & GREGORY PC 61 13WC 11864 ROOK, ANGELA D KROGER 08/03/12 STEPHEN P. KELLY STONE & JOHNSON CHARTERED

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 13WC 12641 GUERRERO, SYLVIA GROWING GROUNDS 08/15/12 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 63 13WC 13872 SEAMAN, TISHIA EATON CORP 04/05/12 NESSLER, FREDERIC LAW OFFI FEATHERSTUN GAUMER POSTLEWAI 64 13WC 14065 REESER, AMY COX TRANSFER 09/22/11 CUSACK FLEMING GILFILLAN E 65 13WC 14265 WALSH, KELBY ST OF IL DEPT OF CORRECTI 04/22/13 CONNOR LAW OFFICES ASSISTANT ATTORNEY GENERAL 66 13WC 14867 LERCHER, LISA STATE OF ILLINOIS 04/13/13 WOLTER BEEMAN AND LYNCH ASSISTANT ATTORNEY GENERAL 67 13WC 15252 ORR, ELISE MC LEAN COUNTY ORTHOPEDIC 02/25/13 WILLIAMS & SWEE QUINN JOHNSTON HENDERSON ETA 68 13WC 15702 BAKER, AMANDA PETERSEN HEALTH CARE INC 12/09/12 HOEKSTRA LAW OFFICES PC KNELL LAW LLC 69 13WC 21275 SMITH, SUSAN KROGERS 01/14/13 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 13WC022867 -C 14WC002097 -C 70 13WC 21953 RIGGINS, HAROLD WAL-MART 01/11/12 WILLIAMS & SWEE 71 13WC 23192 SOLLARS, MAUREEN MCLEAN COUNTY HEALTH DEPT 11/26/12 WILLIAMS & SWEE LTD HEYL ROYSTER VOELKER & ALLEN 14WC007792 -C MC LEAN COUNTY HEALTH DEPT 72 13WC 24010 IVERSON, JOHN H & M MASONRY CO 05/02/13 WILLIAMS & SWEE GANAN & SHAPIRO 73 13WC 24086 ADAMS, JOSH BLOOMINGTON EDGE PROFESSI 05/04/13 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY 74 13WC 24721 COPES, JOHN ILLINOIS STATE UNIVERSITY @ 07/18/12 MCCARRON LAW FIRM, PC ASSISTANT ATTORNEY GENERAL 75 13WC 26803 MC GOWAN, LUKE STATE FARM 05/07/12 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 76 13WC 27595 WHINNA, LORRIN SUGAR CREEK ALZHEIMER'S 02/25/13 WILLIAMS & SWEE LTD COZZI & GOGGIN-WARD 77 13WC 29583 DEAVERS, JESSE PAPA JOHNS 08/15/13 MCCARRON LAW FIRM, PC HEYL ROYSTER VOELKER & ALLEN 78 13WC 32638 HURT, JOHN EVENGLOW LODGE 06/17/13 PETER F FERRACUTI & ASSOCI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 79 13WC 35543 BEE, RAYMOND DOUG LONG BROTHERS, INC. 11/02/12 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 80 13WC 35554 BEE, RAYMOND DOUG LONG BROTHERS 05/02/12 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 81 13WC 36573 MASSEY, DEANNA EASTON CORPORATION 09/08/13 FREDERICK & HAGLE FEATHERSTUN GAUMER POSTLEWAI 82 13WC 36628 SOLIS, IRENE FLEXITECH 10/27/11 DAVID W MARTAY RUSIN & MACIOROWSKI LTD 83 13WC 37666 ARGENIS SOTO THE STAFFING AGENCY 07/19/13 DODD & MAATUKA LLC STONE & JOHNSON CHARTERED 84 13WC 37761 BREWER, AMY LIBERTY VILLAGE OF CLINTO 12/14/12 MOSS & MOSS PC GANAN & SHAPIRO 85 13WC 38480 SHANKS, RICHARD ILLINOIS STATE POLICE @ 12/15/12 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 86 13WC 38787 SHOOK, TAMMY THRIVE HR AO LLC 11/05/11 WILLIAMS & SWEE SPIEGEL & CAHILL, PC 87 13WC 38833 GODBEY, DENNIS DAVIS MAIL SERVICE INC 04/02/13 MCCARRON LAW FIRM, PC RUSIN & MACIOROWSKI LTD 13WC041286 -C 88 13WC 39669 GUSTAFSON, SHIRLEY WALMART 10/12/13 WILLIAMS & SWEE 89 13WC 41020 BECK, TAMMIE STATE OF ILLINOIS @ 04/25/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 90 13WC 41645 MCDERMOTT, JAMES ILLINOIS DEPT OF @ 07/19/13 HOEKSTRA LAW OFFICES PC ASSISTANT ATTORNEY GENERAL 91 13WC 41966 19B THOMAS, CELESTE STATE OF ILLINOIS @ 12/18/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 92 13WC 42019 LOGAN, KEVIN CITY OF LINCOLN 07/15/12 CONNOR LAW OFFICES KEEFE & DEPAULI 14WC014797 -C 93 14WC 00796 HNETKOVSKY, JEANNE FEDEX A/K/A FEDERAL EXPRE 12/02/13 WILLIAMS & SWEE HANSON LAW OFFICE 94 14WC 02194 HERT, DESHONA ILLINOIS CENTRAL SCHOOL B 12/16/13 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 95 14WC 02615 ROY, JEFFREY MARK PETERS ENGINEERING INC 08/02/11 WILLIAMS & SWEE 96 14WC 02996 MCLEMORE, DAVID KERRY SWEET INGREDIENTS 11/27/13 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 97 14WC 04234 CRAWFORD, PAUL ILLINOIS STATE UNIVERSITY @ 10/07/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 98 14WC 04621 CAMERON, STACY MITSUBISHI MOTORS NORTH 09/09/13 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 99 14WC 04798 SEMINGSON, BRUCE BRIDGESTONE AMERICAS INC 05/09/12 THOMSON & WEINTRAUB MACIOROWSKI SACKMANN & ULRIC 100 14WC 04823 LIBBY, JACK PONTIAC CORRECTIONAL CENT @ 12/13/13 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 101 14WC 05191 TEVORET, TIMOTHY WM MASTERS 04/06/12 MCCARRON LAW FIRM, PC 102 14WC 05881 DAWSON, CLINTON "CJ" BRIDGESTONE FIRESTONE 08/04/13 WILLIAMS & SWEE MACIOROWSKI SACKMANN & ULRIC 103 14WC 06761 FOSDICK, DAIL INTERLAKE MECALUX, INC 02/26/13 WILLIAMS R SWEE, LTD COZZI & GOGGIN-WARD 104 14WC 08193 CRAFTON, CATHY WEXFORD HEALTH SOURCES 01/15/14 GALLAGHER LAW PC RUSIN & MACIOROWSKI LTD 105 14WC 09145 GUERRERO, SYLVIA GROWING GROUNDS 05/29/12 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 106 14WC 09305 MOORE, STEVEN IL DEPT OF TRANSPORTATION @ 09/12/13 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 107 14WC 10072 FRANCISCO, ANGELA ILLINOIS STATE UNIVERSITY @ 12/02/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 108 14WC 11415 KLITZING, BRIAN KONGSKILDE INDUSTRIES INC 02/05/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 109 14WC 12976 COBB, DANIEL J & L CONSTRUCTION 06/14/13 KELLY LAW OFFICE CASSANO & ASSOCIATES 14WC013469 -C J&L CONSTRUCTION/ 110 14WC 14342 ADAMS, TOM MITSUBISHI MOTORS NORTH 04/05/14 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 15WC021033 -C 15WC022271 -C 15WC022272 -C 111 14WC 15646 HUTCHINS, STEVE SK SERVICES CORPORATION D 08/21/13 STEPHEN P. KELLY 112 14WC 15998 SEMINGSON, BRUCE BRIDGESTONE AMERICAS INC 03/18/13 THOMSON & WEINTRAUB MACIOROWSKI SACKMANN & ULRIC 113 14WC 16013 SEMINGSON, BRUCE BRIDGESTONE AMERICAS INC 09/10/12 THOMSON & WEINTRAUB MACIOROWSKI SACKMANN & ULRIC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 114 14WC 16127 BROWN, SHARON MC LEAN COUNTY NURSING HO 03/26/14 115 14WC 16190 WEAVER, KRISTI STATE OF ILLINOIS PONTIAC @ 03/20/14 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 16WC014016 -C ST OF IL PONTIAC CORRECTIO 116 14WC 16524 GONZALEZ, ROBERT COMCAST 01/25/12 WILLIAMS & SWEE SPIEGEL & CAHILL, PC 117 14WC 16565 LAMB, HANNAH E STATE OF ILLINOIS @ 12/15/13 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 118 14WC 17290 RIGEL, TOMESA YWCA 02/03/14 DWORKIN AND MACIARIELLO HENNESSY & ROACH 119 14WC 18007 HINDS, LISA WEXFORD HEALTH SOURCES 01/31/13 RICH RICH COOKSEY PC RUSIN & MACIOROWSKI LTD 120 14WC 18473 TANNER, BILLY R AMEREN IP 12/05/12 COSTIGAN & WOLLRAB PC HOLTKAMP LIESE ET AL 121 14WC 19639 BLACKWELL, PAUL S STATE OF IL 03/01/14 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 122 14WC 21863 HUSSEMANN, MICHAEL KOHL'S ILLINOIS, INC 12/19/13 WILLIAMS & SWEE HENNESSY & ROACH 123 14WC 21866 CURRENT, DAVID O'NEAL BUILDERS 09/25/12 WILLIAMS & SWEE GANAN & SHAPIRO 124 14WC 22187 LININGER, NANCI ADVOCATE BROMENN 12/02/13 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 15WC038680 -C 17WC001696 -C 17WC001697 -C 125 14WC 23556 WARE, AARON SR EAST LINCOLN 10/03/11 WILLIAMS & SWEE KNELL & O'CONNOR 126 14WC 23603 THOMAS, KIMBERLY WAL-MART 05/30/14 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY 127 14WC 25231 BLOYD, RYAN SECURITAS SECURITY SERVIC 07/07/14 LAW OFFICE OF CHRIS DOSCOT STONE & JOHNSON CHARTERED 128 14WC 25278 SCOTT, MITZI KROGER 06/09/14 129 14WC 25595 BROWN, DONISE ILLINOIS STATE UNIVERSITY 05/01/12 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 130 14WC 26147 WASHINGTON, LAWRENCE STATEVILLE CORRECTIONAL C 04/30/14 LAW OFFICES ROBERT WARSASK ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 131 14WC 26912 GRISMORE, KATHY DISTRICT 87 BLOOMINGTON J 03/01/12 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 132 14WC 27791 MONTGOMERY, DENISE ILLINOIS CENTRAL SCHOOL B 02/19/14 FREDERICK & HAGLE MCANANY VANCLEVE & PHILLIPS 133 14WC 29082 FRANCISCO, ANGELA ILLINOIS STATE UNIVERSITY @ 11/08/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 134 14WC 30417 COOMER, DAVID ASTA CARE CENTER OF BLOOM W 04/30/14 WILLIAMS & SWEE 135 14WC 33283 THORNTON, DOROTHY AFNI 04/10/14 WILLIAMS & SWEE COZZI & GOGGIN-WARD 136 14WC 33370 SANDOVAL, PETER HOLLAND SPECIAL DELIVERY 09/23/14 MORTON, STEVEN J & ASSOC RODDY LAW LTD 137 14WC 33670 MCCALL, JEFFREY PREMIER COOPERATIVE 10/15/13 LEE, MARK N LAW OFFICE EDWARD JANUSZKIEWICZ 138 14WC 33924 TESKE, JONATHAN BLOOMINGTON-NORMAL PUB TR 09/01/14 LEE, MARK N LAW OFFICE 139 14WC 34527 PENN, JOSEPH NORTHERN CONTRACTING INC 08/04/14 WILLIAMS & SWEE WIEDNER & MCAULIFFE LTD 140 14WC 34570 HERNANDEZ, TERRY CONNECT TRANSIT 07/30/14 WILLIAMS & SWEE PERRY GENTILE 141 14WC 35159 STYNER, ASHLEY RESERVE NETWORKS 07/29/14 WILLIAMS & SWEE WIEDNER & MCAULIFFE LTD 142 14WC 35206 MALCOME, YEVGENIYA HERITAGE HEALTH 08/31/14 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 143 14WC 35517 WATKINS, MICHAEL PLS INC 08/28/11 WILLIAMS & SWEE 144 14WC 36248 MATTINGLYL, RONALD ST OF IL DEPT OF @ 12/10/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 145 14WC 37535 ROSSITER, DANIEL ILLINOIS STATE POLICE 01/06/14 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 146 14WC 37974 WILLS, CORY MC LEAN COUNTY 10/19/14 LAW OFFICE OF JEFF GREEN HEYL ROYSTER VOELKER & ALLEN 147 14WC 38609 CONLEY, DOUGLAS EAST LINCOLN FARMERS GRAI 05/06/13 MCCARRON LAW FIRM, PC KNELL & O'CONNOR 148 14WC 39489 HURD, MARCUS ST OF IL/ILLINOIS STATE @ 08/04/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 149 14WC 39611 WRIGHT, CARRIE L IL CENTRAL SCHOOL BUS 11/06/14 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 150 14WC 40123 POTTER, JEFFREY SELIG SEALING PRODUCTS 07/15/14 BOGGS & FILLENWARTH COZZI & GOGGIN-WARD 151 14WC 40509 MARDIS, BERENICE PRAIRIE CENTRAL SCHOOL 09/15/14 STEPHEN P. KELLY INMAN & FITZGIBBONS 152 14WC 41140 19B VENEGONIA, DANIEL MITSUBISHI MOTORS 06/20/14 KATZ FRIEDMAN EAGLE ET AL HEYL ROYSTER VOELKER & ALLEN 153 14WC 42202 KOLESAR, GINA M SUNRISE HOSPITALITY INC D 08/08/14 GANAN & SHAPIRO 154 15WC 01860 BROWN, AMIE (WIDOW & SURV HUDSON VOLUNTEER FIRE AKA # 03/05/13 WILLIAMS & SWEE 155 15WC 02310 KERBER, JENNIFER MCLEAN COUNTY UNIT DIST # 09/11/14 WILLIAMS & SWEE 156 15WC 03923 WILLIAMS, SEAN ILLINOIS STATE UNIV @ 07/22/14 GOLDFINE & BOWLES ASSISTANT ATTORNEY GENERAL 157 15WC 04021 LUSTER, DALE MONSANTO TECHNOLOGY LLC 10/02/14 WILLIAMS & SWEE MC ANDREWS & NORGLE LLC 158 15WC 04401 BARRY, MONICA DEPARTMENT OF CORRECTIONS @ 03/27/12 WARREN E DANZ, PC ASSISTANT ATTORNEY GENERAL 159 15WC 05846 LEENDERS, JERI CASEY'S GENERAL STORE` 11/17/14 WILLIAMS & SWEE JAMES M KELLY 160 15WC 05890 HOLAWAY, JOHN BIG BROTHER BIG SISTER OF 06/28/14 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 161 15WC 06098 CRIDER, YOULANDA R FIRST STUDENT INC 02/03/15 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 16WC006757 -C 162 15WC 07066 STEWART, KERRY R HOME SWEET HOME MINISTRIE 11/17/14 WILLIAMS & SWEE ROSARIO CIBELLA 163 15WC 07675 HUNT, KENDRA R IGA 09/14/12 KANOSKI BRESNEY HEYL ROYSTER VOELKER & ALLEN 164 15WC 08280 SEBENS, EMILY LORRAINE STATE OF ILLINOIS @ 01/05/15 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 16WC039016 -C ILLINOIS DPART OF CORRECTI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 165 15WC 08823 WATSON, HANNAH FORESITE REALITY PARTNERS 01/26/15 STRONG LAW OFFICE THOMAS & PORTELA 166 15WC 09494 PHINNEY, CHARLES "ED" SALVATION ARMY 08/27/14 WILLIAMS & SWEE RODDY LAW LTD 15WC009498 -C 167 15WC 09535 RICH, JOSHUA A BLOOMINGTON FIRE DEPT 11/18/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD 168 15WC 09931 MCGILLIS, CORY QUAD CITY MALLARDS 11/17/12 GORDON LAW OFFICES LTD INMAN & FITZGIBBONS 169 15WC 10437 GONZALES, RAYMON LOGAN CORRECTIONAL FACILI @ 02/27/15 GREGORY W. SCRONCE ASSISTANT ATTORNEY GENERAL 170 15WC 10703 PRUSER, CHRISTINA TATE & LYLE GRAIN INC # 06/26/14 PATRICK S. O'BRIEN MACIOROWSKI SACKMANN & ULRIC 171 15WC 11204 KUNKEL, JANICE AFNI, INC. 02/26/15 STRONG LAW OFFICE COZZI & GOGGIN-WARD 172 15WC 12238 MCCALL, REGINA ILL SECRETARY OF STATE @ 04/01/13 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 173 15WC 12786 SUNDBERG, JAMES ESTES EXPRESS 09/19/14 WILLIAMS & SWEE WIEDNER & MCAULIFFE LTD 174 15WC 13054 KILVER, JUDY ADVOCATE BROMENN 04/07/15 JEFFREY R. BACH NYHAN BAMBRICK KINZIE & LOWR 175 15WC 13170 JACOBS, APRA VON MAUR INC 02/06/15 WILLIAMS & SWEE 176 15WC 13619 SINGLEY, JASON PJ HOERR INC 10/04/13 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 15WC013620 -C 15WC013621 -C 15WC013622 -C 15WC013623 -C 15WC013626 -C 177 15WC 13627 SINGLEY, JASON PJ HOERR INC 10/05/12 WILLIAMS & SWEE RIPES NELSON BAGGOT KALOBRAT 178 15WC 13882 ARMBRUSTER, GREGORY MITSUBISHI MOTORS 09/22/14 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 179 15WC 14313 SALTZMAN, WANDA R.R. DONNELLY & SONS 11/19/14 KANOSKI BRESNEY RUSIN & MACIOROWSKI LTD 180 15WC 14560 COBB, KELLIE M IL DEPT OF @ 05/09/12 HOEKSTRA LAW OFFICES PC ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 181 15WC 14864 LACEY, MARK MITSUBISHI MOTORS 01/17/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 182 15WC 15026 BIRGE, PETER MR BULTS INC 04/13/15 STRONG LAW OFFICE 183 15WC 15177 LANCASTER, STRUGIS A CLEARY BUILDING CORP 03/30/15 STRONG LAW OFFICE STONE & JOHNSON CHARTERED 184 15WC 15794 ROSS, LARRY NESTLE USA 04/10/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 16WC018774 -C 185 15WC 16481 BOWLING, JUSTIN INTERLAKE MECLAUX, INC 04/28/15 SCHWEICKERT & GANASSIN COZZI & GOGGIN-WARD 186 15WC 17189 HENDRICKS, STEPHEN DARNELL CONCRETE PRODUCTS 02/27/12 THOMSON & WEINTRAUB 15WC026746 -C DARNALL CONCRETE PRODUCTS, 15WC026847 -C 15WC026851 -C DARNALL CONCRETE 15WC026906 -C 15WC027459 -C 187 15WC 17326 19B BISSEY, DAN NESTLE USA INC 04/07/15 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 188 15WC 17438 KRISTICH, CRAIG ST OF IL DEPT OF 12/01/13 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 189 15WC 17855 STEVENS, JUDITH ALEXANDER MANUFACTURING 03/05/15 STRONG LAW OFFICE PATRICIA M CARAGHER 190 15WC 17933 RUSK, JARED O STATE OF IL @ 04/15/15 DELANO LAW OFFICES LLC ASSISTANT ATTORNEY GENERAL 191 15WC 17996 FRIEL, VIOLA JOYCE ST OF IL DEPT OF 04/24/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 192 15WC 18042 ACUP, CHERYL CHRISTIAN CHILD CARE INC 01/27/15 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 193 15WC 19029 ROY, DEANN WEST LINCOLN-BROADWELL 05/01/15 BRADY, CONNOLLY & MASUDA, PC 194 15WC 19473 SMITH, SUSAN NESTLE USA INC 03/17/15 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 195 15WC 20402 DAVIDAGE, ANGELA L. WEXFORD HEALTH SOURCES, I 04/22/15 CHERRY FRAZIER & SABIN RUSIN & MACIOROWSKI LTD 196 15WC 20441 LIBBY, JACK R. STATE OF ILLINOIS @ 03/28/15 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 197 15WC 20646 JEFFERSON, COLLEEN FIRST STUDENT OF AMERICA 11/17/14 WILLIAMS & SWEE WIEDNER & MCAULIFFE LTD 198 15WC 20843 MIDDLETON, NANCY S. NESTLE 11/26/13 KANOSKI BRESNEY KEEFE CAMPBELL & ASSOC LLC 199 15WC 21034 DALTON, JACOB ST OF IL, @ 02/15/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 200 15WC 21349 VASQUEZ, JUANA RANDSTAD-LOANING NEOVIA L 01/20/15 WILLIAMS & SWEE SLAVIN & SLAVIN 201 15WC 21488 CUSTARD, RAYNARD COMFORT SUITES 06/27/15 STRONG LAW OFFICE GANAN & SHAPIRO 202 15WC 22108 BOGUCKI, STEPHANIE INTERLAKE MECALUX INC 03/20/15 KATZ FRIEDMAN EAGLE ET AL COZZI & GOGGIN-WARD 203 15WC 22635 BRUCKER, DONITA ILLINOIS WESLEYEN UNIV 11/14/14 SCHWEICKERT & GANASSIN NYHAN BAMBRICK KINZIE & LOWR 204 15WC 22677 RODRIGUEZ, SALVADOR BROMENN MEDICAL CENTER 08/30/14 KOTH & GREGORY PC NYHAN BAMBRICK KINZIE & LOWR 205 15WC 23441 MILLER, STEVEN RAY HERITAGE ENTERPRISES INC, 06/24/15 WILLIAMS & SWEE RIPES NELSON BAGGOT KALOBRAT 206 15WC 23531 HOYLE, TINA MARRIOTT HOTEL 06/16/15 WILLIAMS & SWEE HOLECEK & ASSOCIATES 15WC023532 -C HY VEE 207 15WC 23743 GIBSON, RYAN DALE TOWNSHIP FIRE DEPT. 11/11/14 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 208 15WC 23860 PAPPAIANOU, NICHOLAS G ALPHA BAKING CO 02/13/15 KARCHMAR & STONE MACIOROWSKI SACKMANN & ULRIC 209 15WC 24115 WELCH, JOSEPH NFI INDUSTRIES 01/19/14 LEO ALT RODDY LAW LTD 210 15WC 25194 HAND, PATRICK NESTLE USA, INC. 06/03/15 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 211 15WC 25478 JORDAN, KAREN TACO BELL STORE #027894 / 05/26/15 PETER D CORTI LAW GROUP KEEFE CAMPBELL & ASSOC LLC 212 15WC 25767 CAREY, LISA STATE FARM INSURANCE 03/01/15 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 213 15WC 25899 THOMAS, EARNESTINE SALVATION ARMY 11/02/12 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 214 15WC 26224 HINTHORN, DON STATE OF ILLINOIS/ ILLINO @ 12/07/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 215 15WC 26437 LEWIS, LINDY STATE FARM BANK 06/18/15 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 216 15WC 26828 BUMPUS, DALE NATIONWIDE MIDWEST A/K/A 08/12/14 WILLIAMS & SWEE 217 15WC 27460 HULL, MARENE CHRONISTER OIL CO 08/25/14 WILLIAMS & SWEE LAW OFFICES OF 218 15WC 27463 HULL, MARENE CHRONISTER OIL CO 07/10/14 WILLIAMS & SWEE 219 15WC 27480 LACEY, MARK MITSUBISHI MOTORS 01/17/14 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 220 15WC 27578 MONTENEGRO, GRACIELLA COMPASS GROUP 02/20/14 COSTIGAN & WOLLRAB PC 221 15WC 27698 MC PHERSON, BRIAN IL STATE UNIVERSITY @ 10/20/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 222 15WC 27979 BUTCHER, KIRCHELL AFNI INC 12/01/13 WILLIAMS & SWEE COZZI & GOGGIN-WARD 223 15WC 27983 SCHROEDER, DOREEN CARPET WEAVERS 05/09/13 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 15WC027984 -C 224 15WC 28156 DAVIS, MARIO CITY OF BLOOMINGTON 07/29/15 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 16WC005636 -C 16WC005637 -C 225 15WC 28512 PAPINEAU, GEORGIA WEXFORD HEALTH 08/17/15 RUSIN & MACIOROWSKI LTD 226 15WC 29046 GLASSCOCK, CAROL NESTLE, USA 08/30/13 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 227 15WC 29175 HENDRICKS, DENNIS TIM HENDRICKS 07/23/15 WILLIAMS & SWEE QUINTAIROS PRIETO WOOD & BOY 228 15WC 29528 RAMOS, NOEMI BICKFORD SENIOR LIVING LL 05/16/15 THOMSON & WEINTRAUB 229 15WC 29533 HART, BRIAN ADVOCATE BROMENN 07/28/15 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 230 15WC 29804 ALLEN, RAYMOND T. EATON CORPORATION 12/10/14 KANOSKI BRESNEY FEATHERSTUN GAUMER POSTLEWAI 231 15WC 29988 COOPER, BILLIE ADM 05/14/15 MOSS & MOSS PC HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 232 15WC 30484 MOBERLY, ROSE ASTA CARE CENTER OF COLFA 09/04/15 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 233 15WC 30607 RICHTER, MELINDA WESTMINSTER VILLAGE 05/28/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 234 15WC 30746 LARKIN, TIM STATE OF IL IL STATE UNIV @ 08/14/15 GOLDFINE & BOWLES ASSISTANT ATTORNEY GENERAL 235 15WC 30793 WERNEBURG, TODD GEORGE YOUNG & SONS 05/12/15 LAW OFFICE OF CHRIS DOSCOT THOMAS & ASSOCIATES 236 15WC 30958 CARROLL, NATHAN GEODYNAMICS INC 09/15/15 KROL BONGIORNO & GIVEN LTD 237 15WC 31429 BYRD, SANDRA S OLYMPIA CUSD #16 03/03/15 WILLIAMS & SWEE COZZI & GOGGIN-WARD 238 15WC 33471 MOORE, JAMES D ATLANTA GAS & LIGHT 08/13/15 PARENTE & NOREM PC MACIOROWSKI SACKMANN & ULRIC 239 15WC 33518 PUGH, ANTHONY STATE OF IL @ 09/13/13 WILLIAMS & SWEE 240 15WC 33611 MAUSER, MICHAEL BRIAN VOLLMER 06/17/15 WILLIAMS & SWEE KNELL & O'CONNOR 241 15WC 33753 PEDERSEN-DAVIS, DEWAYNE JIMMEL CORP 08/21/15 JOHN LESAGANICH 242 15WC 34135 HUNTER, EDDIE AUPPERLE CONSTRUCTION 08/28/15 WARREN E DANZ, PC HEYL ROYSTER VOELKER & ALLEN 243 15WC 34790 GARCIA, ODELIA MANPOWER C/O GALLAGHER BA 07/30/15 WILLIAMS & SWEE STEPHEN P. KELLY 244 15WC 34846 WILLIAMSON, JOHN ST OF IL DEPT OF @ 09/19/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 245 15WC 34892 19B MANGINA, ROBERT STAT OF ILLINOIS @ 09/16/15 GOLDFINE & BOWLES ASSISTANT ATTORNEY GENERAL 246 15WC 35118 DUNN, RENAE CASEY'S GENERAL STORE 06/29/15 FREDERICK & HAGLE HEYL ROYSTER VOELKER & ALLEN 247 15WC 35168 GEISELMAN, DENNIS NESTLE HOLDINGS, INC. 09/01/15 THOMSON & WEINTRAUB KEEFE CAMPBELL & ASSOC LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 248 15WC 35243 PODBELSEK, GUY STATE OF ILLINOIS @ 03/03/15 GREGORY W. SCRONCE ASSISTANT ATTORNEY GENERAL 249 15WC 35404 CUNNINGHAM, WAYNE NESTLE 06/02/15 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 15WC035567 -C 250 15WC 35541 GASS, RODNEY DOMINO TRANSPORT 10/08/15 GALANTI LAW OFFICES WOLF LAW LTD 251 15WC 36402 LEHMAN, CHARLES DR JOHN WARNER HOSPITAL 02/04/14 MOSS & MOSS PC GAROFALO SCHREIBER STORM 15WC036413 -C 15WC036463 -C 252 15WC 36434 LABUD, KEVIN FIRST STUDENT INC 12/01/14 HETHERINGTON KARPEL BOBBER WIEDNER & MCAULIFFE LTD 253 15WC 37044 GEISELMAN, DENNIS NESTLE HOLDINGS, INC. 05/19/15 THOMSON & WEINTRAUB KEEFE CAMPBELL & ASSOC LLC 254 15WC 37736 MEREDITH, JEFF ATLAS VAN LINES 07/18/13 JAY H JANSSEN BRADY, CONNOLLY & MASUDA, PC 255 15WC 38107 KLETZ, TINA NESTLE USA 05/07/15 WILLIAMS & SWEE KEEFE CAMPBELL & ASSOC LLC 256 15WC 38393 MUNSON, IRMA M WAL-MART 12/13/12 KANOSKI BRESNEY QUINTAIROS PRIETO WOOD & BOY 257 15WC 38489 GILBERT, RICHARD J PONTIAC CORRECTIONAL CENT @ 10/30/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 258 15WC 38534 GERMAIN, WAYNE BLOOMINTON SCHOOL DISTRIC 10/14/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 259 15WC 38559 MOTTELER, JAMES ILLINOIS DEPARTMENT OF @ 10/14/15 BOGGS & FILLENWARTH ASSISTANT ATTORNEY GENERAL 260 15WC 38594 HOUGH, DAVID A NU-WAY TRANSPORTATION SVC 09/22/15 JOHN LESAGANICH LITCHFIELD CAVO 261 15WC 38664 GREEN, LANA SUGAR CREEK ALZHEIMER'S R 09/24/15 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 262 15WC 38831 MAYBERRY, HENERY ILLINOIS STATE UNIVERSITY @ 01/27/15 THOMSON & WEINTRAUB ASSISTANT ATTORNEY GENERAL 263 15WC 39186 JORGESEN, KASI STA GROUP LLC 12/06/12 DOHERTY & PROGAR LLC WIEDNER & MCAULIFFE LTD 15WC039187 -C 264 15WC 39252 LANGE, NANCY SOLUTION FOUCSED 10/08/15 STRONG 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 NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 15WC 39931 CLEMONS, ROGER IL DEPT OF CORRECTIONS @ 08/06/15 GOLDFINE & BOWLES ASSISTANT ATTORNEY GENERAL 266 15WC 40302 GOODYEAR, CHRISTOPHER MITSUBISHI MOTORS 11/12/15 NYHAN BAMBRICK KINZIE & LOWR 267 15WC 40393 INGERSOLL, JOSEPH MITSUBISHI MOTORS NORTH 11/12/15 NYHAN BAMBRICK KINZIE & LOWR 268 15WC 41060 HERT, DESHONA L IL CENTRAL SCHOOL BUS 01/14/13 KANOSKI BRESNEY MACIOROWSKI SACKMANN & ULRIC 269 15WC 41192 BENJAMIN, SHERRILYN ILL DEPT OF REHABILITATIO @ 03/18/14 THOMSON & WEINTRAUB ASSISTANT ATTORNEY GENERAL 270 15WC 41309 MCCLELLAN, FRANK SOUTHTOWN WRECKER SVC 10/27/15 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 271 15WC 41657 MC PHERSON, BRIAN ST OF IL DEPT OF ILLINOIS @ 11/06/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 272 15WC 41675 THOMAS, KIMBERLY SAM'S CLUB/WALMART 10/04/13 WILLIAMS & SWEE 273 15WC 42101 SECHREST, BONNIE A PRAIRIE CENTRAL SCHOOL DI 12/02/15 KANOSKI BRESNEY INMAN & FITZGIBBONS 274 15WC 42431 NABORS, MICHAEL A. MITSUBISHI MOTORS NORTH 04/27/15 WINNE LAW OFFICE LLC NYHAN BAMBRICK KINZIE & LOWR 275 16WC 00065 CHAVEZ, ROSA MAINTENANCE CONTRACTORS I 05/22/15 MARSZALEK AND MARSZALEK 276 16WC 00745 PAYNE, BENITA IL. D.O.C LOGAN @ 08/21/15 KANOSKI BRESNEY ASSISTANT ATTORNEY GENERAL 277 16WC 00750 FEARS, JON ILLINOIS STATE UNIVERSITY @ 09/02/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 278 16WC 01116 IRISH, LINDA SELECT REHABILITATION, IN 12/07/15 GOLDFINE & BOWLES HOLECEK & ASSOCIATES 279 16WC 01526 19B MINER, JASON ST OF IL DEPT OF CORRECTI @ 11/26/15 SGRO HANRAHAN DURR RABIN ASSISTANT ATTORNEY GENERAL 280 16WC 01814 ARBOINE, ELEEN M MOTEL 6 07/17/15 KANOSKI BRESNEY 281 16WC 01920 FITZGERALD, DORIS VO MAUR 12/15/15 WARREN E DANZ, PC RUSIN & MACIOROWSKI LTD 282 16WC 02787 TEEL, PRICE TERRY AREA DISPOSAL SERVICES IN 09/25/15 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 16WC 03082 BRANDT, KELLI ILLINOIS STATE UNIVERSITY @ 09/03/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 284 16WC 03408 WHITAKER, CHARLES MAACO OF BLOOMINGTON 01/13/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 285 16WC 03478 ASKEW, DANIEL JOEL DOSS CONSTRUCTION 08/27/13 SPIROS LAW PC 286 16WC 03507 MCCARTY, MARIA ILLINOIS STATE UNIV @ 11/25/15 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 287 16WC 03722 ROBINSON, DEIDRA M45 UNLIMITED INC DBA M45 04/13/15 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 288 16WC 03726 HICKEY, JAYCOM CITY OF BLOOMINGTON 05/13/15 WILLIAMS & SWEE QUINN JOHNSTON HENDERSON ETA 289 16WC 03818 BEECHER, SANDRA UNITY POINT HEALTH PROCTO 10/28/15 LEE, MARK N LAW OFFICE STEPHEN P. KELLY 290 16WC 04273 BACHMAN, ANGELA BOWERS ORTHODONTICS 07/29/15 THOMSON & WEINTRAUB HEYL ROYSTER VOELKER & ALLEN 291 16WC 04438 HARDESTY, BRANDON MASCHHOFFS INC 11/24/13 WILLIAMS & SWEE 292 16WC 05473 SKILLESTAD, GARY BREAKTHRU BEVERAGE ILLINO 11/10/14 STEPHEN P. KELLY NYHAN BAMBRICK KINZIE & LOWR 16WC005478 -C 16WC005479 -C 293 16WC 05488 BAUMGARDNER, MICHAEL BRIDGESTONE FIRESTONE 10/13/14 WILLIAMS & SWEE MACIOROWSKI SACKMANN & ULRIC 294 16WC 06154 DIAMOND, BRIAN CROSS FARMS, INC. 01/06/15 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 295 16WC 06212 WILSON, KEENAN MITSUBISHI MOTORS N AMERI 01/11/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 296 16WC 06661 MARTIN, MICHAEL E. IL DEPT. OF CORRECTIONS @ 11/11/15 BLOCK, KLUKAS & MANZELLA P MALLORY ZIMET 297 16WC 07054 SPICER, JOSEPH TOWN OF NORMAL 01/27/16 WILLIAMS & SWEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 298 16WC 07360 WILLIAMS, STEPHANIE IL DEPT OF CORRECTIONS 03/03/13 JASON YOUNG LAW OFFICE ASSISTANT ATTORNEY GENERAL 299 16WC 08362 DAVIS, RANDY LIPARI FOODS 08/19/14 PETER F FERRACUTI & ASSOCI RIPES NELSON BAGGOT KALOBRAT 16WC008363 -C 16WC008364 -C 16WC015436 -C 300 16WC 08624 SCHENK, MARK CARRI SCHARF TRUCKING, IN 02/09/16 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 301 16WC 08718 CARTER, LEROY JR JANN RESTAURANT INC D/B/A 02/06/16 HOLLEY & ROSEN 302 16WC 08999 SIMPSON, HENRY JR. G4S SECURE SOLUTIONS, USA 02/26/15 WILLIAMS & SWEE BRYCE DOWNEY & LENKOV LLC 303 16WC 09292 LOGSDON, AMY BICKFORD SENIOR LIVING 06/01/13 MCCARRON LAW FIRM, PC LAW OFFICES FRANCESCA LARSEN 304 16WC 09740 ANGELL, BOB PRAIRIE CENTRAL 03/23/16 DWORKIN AND MACIARIELLO 305 16WC 09784 KRUEGER, AMBER AST CARE 04/23/13 WILLIAMS & SWEE LAW OFFICES FRANCESCA LARSEN 306 16WC 10002 LOEPP, LEROY FIRST HOSPITALITY GROUP, 03/03/15 COZZI & GOGGIN-WARD 307 16WC 10226 ANGELL, BOB KEVIN EDELMAN D/B/A PRAIR W 03/23/16 SCHWEICKERT & GANASSIN ASSISTANT ATTORNEY GENERAL 308 16WC 10873 GENTES, JOHN RUSH TRUCK CENTERS OF IL, 07/22/15 THOMSON & WEINTRAUB GAROFALO SCHREIBER STORM 309 16WC 11023 GROVE, LARRY GREG AND KATHY KLEHM 05/06/13 WILLIAMS & SWEE 310 16WC 11145 PAXTON, BARBARA KIRBY FOODS D/B/A LE ROY 08/27/15 WILLIAMS & SWEE GANAN & SHAPIRO 311 16WC 11232 MARLING, ROXANNE M HY-VEE INC 07/21/15 KANOSKI BRESNEY QUINN JOHNSTON HENDERSON ETA 312 16WC 11376 GUZMAN, DAVID GOODIN'S SERVICE 01/20/16 WILLIAMS & SWEE 313 16WC 12091 GILSTRAP, PAMELA AFFORDABLE DENTURES 06/04/15 GOLDBERG WEISMAN & CAIRO L LAW OFFICES STEVEN PILAND 314 16WC 12492 PATRICK, ESTHER ADVOCATE BROMENN MEDICAL 03/16/16 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 315 16WC 12645 BETHEL, STEVE OWENS TRANSPORT 04/05/16 MIKE MC ELVAIN 316 16WC 13444 SCRIVNER, ROBIN DU PONT 08/03/15 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 317 16WC 13675 THOMAS, CASSANDRA ILLINOIS CENTRAL SCHOOL B 02/10/16 STRONG LAW OFFICE MACIOROWSKI SACKMANN & ULRIC 16WC013676 -C 16WC013677 -C 318 16WC 13987 PRINCE, DIANA STATE FARM INSURANCE 02/10/15 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 319 16WC 14008 LEIBERGER, LESLEY GENE INTERLAKE MECALUX 03/09/16 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 320 16WC 14017 DUNCAN, SHEILA MCLEAN COUNTY 02/06/15 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 321 16WC 14315 CAREY, COURTNEY OSF ST JOSEPH MEDICAL CEN 11/23/15 MIKE MC ELVAIN HINSHAW & CULBERTSON 322 16WC 14798 DUNLAP, BOBBIE KROGER 04/02/16 WILLIAMS & SWEE 323 16WC 14801 HUSSEMANN, MICHAEL KOHL'S ILLINOIS INC 11/16/13 WILLIAMS & SWEE 324 16WC 14847 HERTZ, SUSAN BLAINE'S FARM AND FLEET 12/14/15 KATZ FRIEDMAN EAGLE ET AL WOLFE & JACOBSON, LTD 325 16WC 15274 MECKLEY, JOHN CITY OF BLOOMINGTON 02/27/15 CONNOR LAW OFFICES RUSIN & MACIOROWSKI LTD 326 16WC 16117 HOUGHAM, TRUDY ADVOCATE BROMENN MEDICAL 10/03/15 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 327 16WC 16142 STEPHENS, MATTHEW KOEHL BROTHERS, INC. A/K/ 06/18/14 WILLIAMS & SWEE RIPES NELSON BAGGOT KALOBRAT 328 16WC 16783 AICHINGER, JAMES BRIDGESTONE FIRESTONE 04/14/14 SCHREINER MALLOY & ETZLER 329 16WC 17216 MOSS, ALEKSANDRA ALPHA CARE 08/09/13 MOSS & MOSS PC 330 16WC 17336 HENDERSON, WILLIAM STATE FARM INSURANCE COS. 04/02/16 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 331 16WC 17691 ROTH, MATT STATE OF IL - LOGAN @ 03/17/16 GREGORY W. SCRONCE ASSISTANT ATTORNEY GENERAL 332 16WC 18851 LENARDT, JULIE MAC'S CONVENIENCE STORE L 03/04/16 WILLIAMS & SWEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 333 16WC 19563 GROVER, DANIEL WALMART 12/28/15 THOMSON & WEINTRAUB GANAN & SHAPIRO 334 16WC 19998 EVANS, TOM FRONTIER COMMUNICATIONS 01/12/16 STRONG LAW OFFICE LAW OFFICE PAUL LARIMORE 335 16WC 20132 SCHNEIDER, MICHAEL JX ENTERPRISES DBA 12/01/15 WILLIAMS & SWEE PERRY GENTILE 336 16WC 20307 PETTIJOHN, CLAUDE FFE TRANSPORTATION SERVIC 10/23/13 BROWN & BROWN 337 16WC 20555 PINKHAM, ANTHONY EURAMAX INT'L INC 12/10/15 WILLIAMS & SWEE 338 16WC 20741 DAVIES, RENEE ST JAMES HOSPITAL 05/31/16 MEYERS & FLOWERS MARK V. KELLY 339 16WC 21557 HALL, ROBERT ALDI INC 11/19/73 RIDGE & DOWNES BRADY, CONNOLLY & MASUDA, PC 340 16WC 21638 KENNEDY, ALLISON STATE OF ILLINOIS @ 06/30/16 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 341 16WC 21966 ARTEMAN, RONALD DAVID NATIONAL CASH REGISTER 09/01/14 WILLIAMS & SWEE SPIEGEL & CAHILL, PC 342 16WC 22126 HALL, ANGELA ACCESS FINANCIAL DBA 12/06/15 STRONG LAW OFFICE 343 16WC 22143 STILLER, MARY TARGET CORPORATION 01/27/15 WILLIAMS & SWEE 344 16WC 23056 YOST, CAROL STATE FARM INSURANCE CO. 08/05/13 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 345 16WC 23508 WEBB, CHRISTINE MEADOWS MENNONITE 07/10/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH 346 16WC 23583 PEIFER, TIM CARGILL, INC. 07/29/15 WILLIAMS & SWEE LIVINGSTONE MUELLER ET AL 347 16WC 23598 LAMB, HANNA LINCOLN CORRECTIONAL CENT @ 01/20/14 MC WARD LAW OFFICE 348 16WC 23847 PITTMAN, JAMES L NORTHERN MATERIALS 05/25/16 KANOSKI BRESNEY GAROFALO SCHREIBER STORM 349 16WC 23908 COLWELL, MISTY QUIK AND EASY 07/23/16 STRONG LAW OFFICE CAPUANI & SCHNEIDER 350 16WC 24263 BREWER, REGINALD PONTIAC CORRECTIONAL CENT @ 07/01/16 DREW J FERRACUTI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 351 16WC 24345 TOBIN, BRIAN P. TOWN OF NORMAL 04/03/16 THOMAS W DUDA ANCEL GLINK DIAMOND BUSH & E 352 16WC 24426 ELLIS, PHILLIP BLACK HORSE CARRIERS INC 07/18/16 GOLDFINE & BOWLES ROSARIO CIBELLA 353 16WC 24482 KUNTZ, LUANN CHRONISTER OIL COMPANY 05/16/16 WILLIAMS & SWEE CAPUANI & SCHNEIDER 354 16WC 24568 BISHOP, BRAD ASSOCIATED MATERIAL HANDL 02/20/15 WILLIAMS & SWEE 355 16WC 24606 BAILEY, DENISE CATERPILLAR, INC. 06/01/15 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 356 16WC 24951 KRUG, MICHAEL PIONEER PLASTICS D/B/A GR 06/21/16 WILLIAMS & SWEE HOLECEK & ASSOCIATES 357 16WC 25187 GRUBB, JONATHON A U.S. PIPELINE, INC 07/23/15 LAKE LAW FIRM COZZI & GOGGIN-WARD 358 16WC 25356 POSHARD, RONALD MC COY CONSTRUCTION INC. 07/06/16 WILLIAMS & SWEE INMAN & FITZGIBBONS 359 16WC 25615 LYLE, TIMOTHY PONTIAC CORRECTIONAL CENT @ 06/25/16 PETER F FERRACUTI & ASSOCI 16WC029961 -C 360 16WC 25767 VIETTI, PATRICK INTERLAKE MECALUX INC 06/24/16 WILLIAMS & SWEE 361 16WC 25954 SCHILLING, DIANE SELIG SEALING PRODUCTS 07/10/16 KANOSKI BRESNEY SPIEGEL & CAHILL, PC 362 16WC 26365 GUISE, EDITH E. INNOVATIVE STAFF SOLUTION 07/27/16 KANOSKI BRESNEY BRUCE WARREN 363 16WC 26525 FORD, GABRIEL A AUTOMATED AGRI SYSTEMS 10/29/15 KANOSKI BRESNEY THOMAS & PORTELA 364 16WC 26818 HOLMAN, QUINCE W. III SPORTS GROUP IL LLC 05/14/16 WILLIAMS & SWEE QUINN JOHNSTON HENDERSON ETA 365 16WC 26986 MCLEMORE, ELANDERA ADVANCED AUTO PARTS 01/27/16 WILLIAMS & SWEE 366 16WC 27577 SCHARFENBERG, ANGELA ALDI'S 05/26/16 JAY H JANSSEN BRADY, CONNOLLY & MASUDA, PC 367 16WC 27673 DAVENPORT, MATTHEW D KOHL'S DEPARTMENT STORE, 08/16/16 WILLIAMS & SWEE CHILTON YAMBERT PORTER LLP 368 16WC 27757 PINKHAM, ANTHONY EURAMAX INTERNATIONAL, IN 11/20/14 WILLIAMS & SWEE HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 369 16WC 27834 LEE, RANDALL BRIDGESTONE AMERICAS TIRE 12/13/13 WILLIAMS & SWEE FEATHERSTUN GAUMER POSTLEWAI 370 16WC 27883 INMAN, STEWART LIVINGSTON COUNTY SHERIFF 07/07/16 LAW OFFICE OF CHRIS DOSCOT RUSIN & MACIOROWSKI LTD 371 16WC 28261 BRYANT, MICHAEL W SYSCO CENTRAL ILLINOIS, I 02/15/16 WOLTER BEEMAN AND LYNCH 372 16WC 28582 BLAKE, NANCY NEW ALBERTSON'S INC. DBA 08/28/16 WILLIAMS & SWEE 373 16WC 29259 JORDAN, TOYA EATON CORPORATION 08/04/16 WILLIAMS & SWEE GANAN & SHAPIRO 374 16WC 29260 CALDWELL, AARON HARDEE'S 08/22/16 STRONG LAW OFFICE 375 16WC 29362 SAYRE, GREG VENUS PAINTING CO 07/21/16 LEE, MARK N LAW OFFICE INMAN & FITZGIBBONS 376 16WC 29528 LEWIS, CARY INTERLAKE MATERIAL HANDLI 08/11/16 KATZ FRIEDMAN EAGLE ET AL 377 16WC 29762 JEFFERSON, COLLEEN FIRST STUDENT OF AMERICA 09/02/16 WILLIAMS & SWEE 378 16WC 29925 BRILL, GARY UNION ROOFING COMPANY INC 02/03/16 WILLIAMS & SWEE LAW OFFICE PAUL LARIMORE 379 16WC 29978 KELLEY, BONNIE BLOOMINGTON SCHOOL DIST 8 09/02/16 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 380 16WC 30139 SMITH, DEREK IDOC - PONTIAC CORR CENTE @ 07/25/16 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 16WC030140 -C 381 16WC 30223 AYALA, LILIA FITZ EUREST DINING SERVICES CO 04/06/16 MCCARRON LAW FIRM, PC 382 16WC 30690 FRALEY, SONIA CONNECT TRANSIT 06/12/16 STRONG LAW OFFICE 383 16WC 30764 ANGELL II, BOBBY G EXPRESS PERSONNEL SVCS 07/25/16 MCCARTHY ROWDEN & BAKER MC ANDREWS & NORGLE LLC 384 16WC 30805 WILFONG, LAWRENCE ANTHONY LIFTGATES 03/28/16 LAW OFFICE OF CHRIS DOSCOT NYHAN BAMBRICK KINZIE & LOWR 385 16WC 30954 TAYLOR, KYLE IDOT 09/16/16 GOLDBERG WEISMAN & CAIRO L 386 16WC 31269 WALLIN, CONRAD CARROLL AUTO AND TIRE, IN 08/15/16 THOMSON & WEINTRAUB

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 387 16WC 31783 BALLARD, LAURIE RIVENDELL ESTATES 09/14/16 NESSLER, FREDERIC LAW OFFI 388 16WC 32124 BLAIR, MICHAEL R KERRY INGREDIANTS & FLAVO 07/28/16 PETER F FERRACUTI & ASSOCI KEEFE CAMPBELL & ASSOC LLC 389 16WC 32202 PEIFFER, BRAD CITY OF BLOOMINGTON 02/15/16 COSTIGAN & WOLLRAB PC 390 16WC 32311 SCRIVNER, TRISTON CHANGING SEASONS LAWN & 09/01/16 WILLIAMS & SWEE 391 16WC 32369 BUCKLEY, MARY MOLLY MAIDS 09/21/16 WILLIAMS & SWEE MACIOROWSKI SACKMANN & ULRIC 392 16WC 32676 WILLIAMS, ASHLEY KONGSKILDE INDUSTRIES, IN 07/11/16 SCHWEICKERT & GANASSIN RIPES NELSON BAGGOT KALOBRAT 393 16WC 33090 EMMONS, RODNEY DEPT OF NATURAL RESOURCES @ 09/20/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 394 16WC 33226 MONTES DE OCA, LETICIA OSF ST JOSEPH MED CTR 09/08/16 MIKE MC ELVAIN HINSHAW & CULBERTSON 395 16WC 33650 LEVANDOSKI, VICTOR ILLINOIS STATE UNIVERSITY @ 04/14/15 WILLIAMS & SWEE 396 16WC 34564 WOODS, MILLICENT LIBERTY VILLAGE OF CLINTO 09/11/16 MEYERS & FLOWERS GANAN & SHAPIRO 397 16WC 34816 TERVEN, RON STATE OF ILLINOIS/IL STAT @ 09/23/14 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 398 16WC 35051 LANE, FRANCES ST CLARA'S MANOR 07/12/16 MOSS & MOSS PC RIPES NELSON BAGGOT KALOBRAT 16WC035052 -C 17WC002565 -C 17WC002566 -C 399 16WC 35109 OVERMAN, TERRY EXPRESS EMPLOYMENT PROFES 01/11/16 WILLIAMS & SWEE MC ANDREWS & NORGLE LLC 400 16WC 35278 BEAN, GARY STATE OF ILLINOIS @ 06/16/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 401 16WC 35365 THOMPSON, TRENT LOWE'S COMPANY INC 08/29/16 WILLIAMS & SWEE 402 16WC 35457 HOSELTON, CHARLES UNION ROOFING CO INC 06/27/16 WILLIAMS & SWEE 403 16WC 35509 POWERS, ANTHONY J PREMIER FABRICATION 11/02/16 STRONG LAW OFFICE WOLFE & JACOBSON, LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 404 16WC 35737 ROBINSON, BENJAMIN SIERRA SOLUTIONS 10/20/16 HENNESSEY LAW FIRM 405 16WC 36128 PALMER, EUGENE NELSON TRANSPORT SERVICES 11/04/16 SKLARE LAW GROUP 406 16WC 36250 GILLIAM, RICHARD COUNTY OF MCLEAN 06/30/15 WILLIAMS & SWEE HEYL ROYSTER VOELKER & ALLEN 407 16WC 36501 DENNO, MICHELE EUREST DINING 03/01/16 WILLIAMS & SWEE GANAN & SHAPIRO 408 16WC 36687 KASKAVAGE, TROY PRINSCO INC 11/16/16 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 409 16WC 37020 KLAPP, ANDREW ST OF IL/IL STATE UNIVERS @ 11/02/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 410 16WC 37150 BRONSON, MARY STATE FARM MUTUAL 01/09/15 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 411 16WC 37647 MARTIN, BRIAN J PONTIAC CORRECTIONAL CENT @ 12/02/16 DREW J FERRACUTI 412 16WC 37700 BAUGHER, TYLER HERMES SERVICE & SALES 10/31/16 LEE, MARK N LAW OFFICE 413 16WC 37901 TIMMERMAN, JAMES E E.I. DU PONT DE NEMOURS A 12/04/15 KATZ FRIEDMAN EAGLE ET AL RUSIN & MACIOROWSKI LTD 414 16WC 37925 TERRELL, MARY NESTLE 04/29/15 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 415 16WC 38588 ATTEBERRY, JOHN CITY OF BLOOMINGTON 10/27/15 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 416 16WC 38597 LIMBERG, ROBERT ILLINOIS DEPARTMENT OF 09/14/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 417 16WC 38751 LONG, LISA COUNTY OF LIVINGSTON 11/20/16 WILLIAMS & SWEE RUSIN & MACIOROWSKI LTD 418 16WC 39112 LARSON, THOMAS CONNECT TRANSIT 12/16/16 STRONG LAW OFFICE 419 16WC 39157 ROUSEY, STEPHEN KELSO BURNETT 04/04/16 WILLIAMS & SWEE CACCHILLO LAW GROUP LLC 420 16WC 39179 IZZI, BRET TENNANT CO. 08/18/16 NILSON STOOKAL GLEASON CAP 421 16WC 39210 NORBITS, AMANDA AUTO WAREHOUSING 02/13/14 WILLIAMS & SWEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 422 16WC 39469 COLVIN MICHELLE N LINCOLN COLLEGE 06/06/16 COSTIGAN & WOLLRAB PC HOLECEK & ASSOCIATES 423 17WC 00085 ARBUCKLE, JEREMY ALL SEASONS ROOFING 12/21/16 STRONG LAW OFFICE COZZI & GOGGIN-WARD 424 17WC 00467 AYALA, LUIS EATON CORP 08/15/16 WILLIAMS & SWEE GANAN & SHAPIRO 425 17WC 00482 AYALA, LILIA FITZ EUREST DINING SEVICES CO 04/06/16 MCCARRON LAW FIRM, PC 426 17WC 00532 ZURKAMER, MARK EATON CORPORATION 06/26/15 WOLTER BEEMAN AND LYNCH GANAN & SHAPIRO 427 17WC 00651 SCHMID, BONNIE WEXFORD HEALTH SOURCES, I 03/04/15 MOSS & MOSS PC RUSIN & MACIOROWSKI LTD 428 17WC 00727 TACKETT, BEAU AREA DISPOSAL SERVICE, IN 06/09/16 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 429 17WC 01124 BROCKMAN, TERESA FOX DEVELOPMENTAL CENTER 12/09/16 SPIROS LAW PC ASSISTANT ATTORNEY GENERAL 430 17WC 01566 NUNN, TOMMIE STAHLY STORAGE & WAREHOUS 01/03/17 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 431 17WC 01584 WATSON JR., RICHARD PREMIER FABRICATION LLC 10/05/16 WILLIAMS & SWEE WOLFE & JACOBSON, LTD 432 17WC 01698 FIELDS, STEPHANI MCLEAN COUNTY SHERIFF'S D 12/20/16 WILLIAMS & SWEE 433 17WC 01734 DIPIETRANTONIO, TONY ILLINI FIRE EQUIPMENT COM 03/03/14 WILLIAMS & SWEE 434 17WC 02003 COMPTON, ULYSSEUS LABOR READY 01/04/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 435 17WC 02032 HUFF, GLADYS CRACKER BARREL OLD COUNTR 12/26/15 WILLIAMS & SWEE 436 17WC 02185 CLAYTON, JOE SHIVES INC 07/11/16 LAW OFFICE OF CHRIS DOSCOT INMAN & FITZGIBBONS 437 17WC 02219 CUSHING, DAVID STATE FARM INSURANCE 09/27/16 LAW OFFICE OF CHRIS DOSCOT 438 17WC 02625 CARR, DWAYNE A IL DEPT OF TRANSPORTATION @ 08/11/15 439 17WC 02682 DONALD, RAY ILLINOIS HIGH SCHOOL ASSO 01/05/17 WILLIAMS & SWEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 440 17WC 02692 THOMPSON, MISTY AUTO ZONE 10/10/16 WILLIAMS & SWEE GANAN & SHAPIRO 441 17WC 02975 HENEFIELD, BRIAN E EATON CORPORATION 01/03/17 DELANO LAW OFFICES LLC GANAN & SHAPIRO 442 17WC 03061 KARCH, ALLEN GOODMAN NETWORK 11/02/16 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 443 17WC 03090 BRANDT, BARBARA STATE OF ILLINOIS/ILLINOI @ 10/14/16 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 444 17WC 03390 GIPSON, NATHAN DAVIS MAIL SERVICE 01/05/17 LEE, MARK N LAW OFFICE INMAN & FITZGIBBONS 445 17WC 04639 HOWARD, NICHOLAS BIX BASEMENT SYSTEMS 01/13/17 CUSACK FLEMING GILFILLAN E 446 17WC 04712 BLUMENSTEIN, TOLISA LOGAN CORRECTIONAL CENTER @ 02/01/17 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 447 17WC 04911 HAHN, GREG SAM LEMAN 12/19/16 LAW OFFICE OF CHRIS DOSCOT 448 17WC 05039 THOMPSON, SHARON RICHARD'S SERVICES, INC. 08/19/14 WILLIAMS & SWEE GANAN & SHAPIRO 449 17WC 05077 MCDONALD, JOSEPH ALEX AND/OR RANDY BRADBUR 07/15/16 WILLIAMS & SWEE 450 17WC 05673 SETTLES, BRUCE STATE OF IL DEPT OF @ 01/07/14 LEE, MARK N LAW OFFICE 451 17WC 05902 HUNTER, DANIEL TOP FLIGHT GRAIN COOP, IN 09/27/15 MOSS & MOSS PC 452 17WC 06031 MARTIN, ANGELA S & G FARMS TRUCKING INC 12/28/16 FREDERICK & HAGLE QUINN JOHNSTON HENDERSON ETA 453 17WC 06073 SHAFFER, CECILLA E NESTLE BEICH 12/16/16 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 454 17WC 06086 ROBINSON, LOGAN PONTIAC CORRECTIONAL CENT @ 02/11/17 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 455 17WC 06234 MARTIN, JOHN PRAIRIE MATERIAL 10/26/16 WILLIAMS & SWEE 456 17WC 06367 AUGSTIN, BRIAN ANN INC.DBA JOES TOWING& 12/30/15 WILLIAMS & SWEE RODDY LAW LTD 457 17WC 06671 KING, JAMES EXPRESS PERSONNEL 01/27/16 SHAY & ASSOCIATES MC ANDREWS & NORGLE LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 458 17WC 06954 MORGAN, JEFF NESTLE USA 01/19/11 MCCARRON LAW FIRM, PC NYHAN BAMBRICK KINZIE & LOWR 459 17WC 07111 COOPER, WILLIAM III ILLINOIS DEPARTMENT 02/08/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 460 17WC 07621 RITCHASON, JENNIFER MCLEAN COUNTY UNIT DISTRI 02/16/17 WILLIAMS & SWEE 461 17WC 07718 MC DANIEL ADE HY-VEE 03/12/17 MC HARGUE, JAMES P LAW OFF QUINN JOHNSTON HENDERSON ETA 462 17WC 07886 BICKNELL, NANCY MARTIN & BAYLEY, INC 02/22/17 MOSS & MOSS PC 463 17WC 08280 REECE, TIA STATE OF ILLINOIS @ 02/23/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 464 17WC 08871 HARMS, SHANDA ADVOCATE BROMENN MEDICAL 01/06/16 WILLIAMS & SWEE NYHAN BAMBRICK KINZIE & LOWR 465 17WC 08964 LUEDTKE, MICHAEL CITY OF BLOOMINGTON/POLIC 05/28/16 WILLIAMS & SWEE BRADY, CONNOLLY & MASUDA, PC 466 17WC 08969 ULLOA, BRILLINGSTON ILLINOIS STATE UNIVERSITY @ 01/25/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 467 17WC 09201 FIGUEROA, BRITTANY WEXFORD HEALTH SOLUTIONS 02/10/17 LEE, MARK N LAW OFFICE 468 17WC 10187 ROY, STEVEN EATON CORPORATION 11/16/16 STRONG LAW OFFICE GANAN & SHAPIRO 469 17WC 10317 RIORDAN, COREY FRONTIER NORTH, INC 07/07/15 WILLIAMS & SWEE LAW OFFICE PAUL LARIMORE 470 17WC 10594 HILL, MARK CONTRACTOR'S READY MIX, I 11/09/16 WILLIAMS & SWEE GANAN & SHAPIRO 471 17WC 10930 ANDERSON, DANIEL PREMIER FABRICATION 11/23/16 WILLIAMS & SWEE WOLFE & JACOBSON, LTD 472 17WC 11174 SMITH, ANDREW PONTIAC CORRECTIONAL CENT @ 02/11/17 PETER F FERRACUTI & ASSOCI 473 17WC 11329 LANDSTROM, JESSICA LIBERTY VILLAGE OF CLINTO 04/07/17 MOSS & MOSS PC 474 17WC 11690 CHANDLER, CHARLES KENAN ADVANTAGE GROUP, IN 08/24/14 GOLDFINE & BOWLES 475 17WC 11824 KUHLMAN, CHARLES MENARD'S 02/15/17 WILLIAMS & SWEE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 476 17WC 11851 RUTHER, KELLY BOYS-GIRLS CLUB OF 09/23/11 HOLECEK & ASSOCIATES 477 17WC 12388 CROSE, RANA EAST BAY CAMP * 09/04/14 MOSS & MOSS PC GANAN & SHAPIRO 478 17WC 12447 SULLIVAN, KRISTIN ABC FINANCIAL SVCS * 12/11/16 NESSLER, FREDERIC LAW OFFI 479 17WC 12699 COOL, WILLIAM KERRY INGREDIENTS & FLAVO * 07/29/16 KATZ FRIEDMAN EAGLE ET AL STONE & JOHNSON CHARTERED 480 17WC 12798 HERNANDEZ, MARIE GREEN TREE PHARMACY * 04/18/17 PERONA, PETERLIN, ANDREONI RIPES NELSON BAGGOT KALOBRAT 481 17WC 13002 REECE, TIA STATE OF ILLINOIS/ ILLINO @ * 02/21/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 482 17WC 13144 CURTIS, JAMES NU-WAY TRANSPORTATION SER * 08/12/16 THOMSON & WEINTRAUB 483 17WC 13658 MC COY, MICHAEL ILLINOIS STATE UNIVERSITY @ * 01/06/17 FREDERICK & HAGLE ASSISTANT ATTORNEY GENERAL 484 17WC 13946 FOLLOWELL, THOMAS WADDELL, INC * 04/13/17 WILLIAMS & SWEE WOLFE & JACOBSON, LTD 485 17WC 14377 BOWERS JR, JAMES STATE FARM MUTUAL AUTO * 03/27/17 WILLIAMS & SWEE GAROFALO SCHREIBER STORM 486 17WC 14640 ALPERS, JACK ILLINOIS STATE UNIVERSITY @ * 03/02/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 487 17WC 14833 STEELE, SCOTT LOWE'S * 04/07/17 WILLIAMS & SWEE 488 17WC 14958 REDFAIRN, RICK D CITY OF BLOOMINGTON TOWNS * 04/17/17 BENASSI & BENASSI JAMES M KELLY 489 17WC 15039 ROHLFS, HALLIE A EATON CORPORATION * 08/21/15 KANOSKI BRESNEY GANAN & SHAPIRO 490 17WC 15270 RUIZ, RAY VONACHEN SERVICES, INC * 05/10/17 STELZMAN, RUTH 491 17WC 15425 LAKE, JOHN OSF HEALTHCARE SYSTEM * 02/01/17 WILLIAMS & SWEE HINSHAW & CULBERTSON 492 17WC 15483 WITSMAN, SONNY CATERPILLAR INC * 06/01/15 KATZ FRIEDMAN EAGLE ET AL 493 17WC 15836 CHILDERS, LINDSAY ANIMAL EMERGENCY CLINIC * 12/12/16 REISMAN LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 494 17WC 16010 WHINNA, LORRIN SUGAR CREEK ALZHEIMERS * 05/01/15 WILLIAMS & SWEE 495 17WC 16126 HEMBREE, MICHAEL WATERSSHED FOODS * 01/24/17 DWORKIN AND MACIARIELLO 496 17WC 16407 ALEXANDER, KEVIN L G EATON CORPORATION * 05/08/17 JOHN LESAGANICH GANAN & SHAPIRO 497 17WC 16514 PERKINS, JAMES CATERPILLAR INC * 07/13/16 KATZ FRIEDMAN EAGLE ET AL CATERPILLAR, INC. 498 17WC 16814 WILSON, DONALD ADVOCATE BROMENN MEDICAL * 03/28/17 WILLIAMS & SWEE 499 17WC 16982 MOORE, TREVOR TREV BODY WORKS * 04/19/17 NESSLER, FREDERIC LAW OFFI 500 17WC 17093 BURROUGHS, JULIA KERRY FOODS * 06/01/15 PETER F FERRACUTI & ASSOCI 501 17WC 17345 SUMMERS, WENDY STATE OF IL-DOC @ * 03/03/17 LEE, MARK N LAW OFFICE 502 17WC 17536 PINKHAM, ANTHONY EURAMAX INTERNATIONAL, IN * 05/23/17 WILLIAMS & SWEE COZZI & GOGGIN-WARD 503 17WC 17585 PINKHAM, ANTHONY EURAMAX INTERNATIONAL, IN * 05/03/17 WILLIAMS & SWEE 504 17WC 18006 WILLIAMSON III, JOSEPH E LINCOLN CORRECTIONAL CENT * 05/08/17 NESSLER, FREDERIC LAW OFFI ASSISTANT ATTORNEY GENERAL 505 17WC 18214 POPPEN, ROBERT CC SERVICES, INC * 04/12/16 HENNESSY & ROACH 506 17WC 18762 BOITNOTT, RON PONTIAC RV, INC. * 11/17/16 WILLIAMS & SWEE 507 17WC 18835 DIETZ, CHARLES E BAUER & GUDEMAN, INC. * 09/30/16 COSTIGAN & WOLLRAB PC NYHAN BAMBRICK KINZIE & LOWR 508 17WC 19282 STROUD, HEIDI PRECISION PRODUCTS * 04/11/17 WILLIAMS & SWEE 509 17WC 19343 GASS, BRANDON CRACKER BARREL * 04/03/17 WILLIAMS & SWEE 510 17WC 19507 WILLIAMS, DARRELL STATE OF ILLINOIS/ ILLINO @ * 06/13/17 WILLIAMS & SWEE 511 17WC 19562 TAYLOR, DAVID MANPOWER * 06/20/17 STRONG LAW OFFICE HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR BLOOMINGTON 14002 ON 08/28/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 512 17WC 19650 STETSON, SHARI ILLINOIS STATE UNIVERSITY @ * 05/08/17 WILLIAMS & SWEE ASSISTANT ATTORNEY GENERAL 513 17WC 19752 CLARKE, BRANDON BLOOMINGTON EDGE SPORTS L * 04/08/17 LAW OFFICES OF WILTON PERS 514 17WC 19834 LOGSDON, RICHARD A OSF ST JOSEPH MED CTR * 02/22/17 KANOSKI BRESNEY HINSHAW & CULBERTSON 515 17WC 19895 DELONG, CYNTHIA OAF ST JAMES HOSPITAL * 12/01/16 PETER F FERRACUTI & ASSOCI 516 17WC 20174 PENNINGTON, DAVID TLC COMPANIES * 10/25/16 TAXMAN POLLOCK 517 17WC 20361 HOMAN, RYAN MCLEAN COUNTY SHERIFF'S D @ * 10/25/16 HEYL ROYSTER VOELKER & ALLEN 518 17WC 20509 FISHER, ROBERT CORNBELT ENERGY * 10/01/15 JAY H JANSSEN 519 17WC 20576 ADAMS, JOSHUA BLOOMINGTON EDGE * 03/17/17 STRONG LAW OFFICE 520 17WC 20748 HINDERLITER, GARRY L CITY OF BLOOMINGTON * 02/15/16 KANOSKI BRESNEY 521 17WC 20999 GREEN, CONNIE THE SALVATION ARMY * 03/12/17 THOMSON & WEINTRAUB NYHAN BAMBRICK KINZIE & LOWR 522 17WC 21101 POWE, LINDA MARCFIRST * 03/07/17 THOMSON & WEINTRAUB GAROFALO SCHREIBER STORM 523 17WC 21224 LERCHER, JAMES E RIVERVIEW, INC * 07/06/17 FREDERICK & HAGLE 524 17WC 21369 BAERWALD, JEFFREY MECHANICAL DEVICES CO * 05/30/17 KATZ FRIEDMAN EAGLE ET AL 525 17WC 21581 RAZO, ROMAN MENARDS * 06/08/16 LEFANTE LAW OFFICES 526 17WC 21771 HINES, DAN TMI HOSPITALITY * 10/01/15 GOLDFINE & BOWLES