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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 17 13WC 10656 HALEY, DANIEL EAST MOLINE FIRE DEPT 04/01/10 THOMAS W DUDA MCCARTHY, CALLAS & FEENEY PC 18 13WC 10811 HALEY, DANIEL EAST MOLINE FIRE DEPARTME 04/02/10 THOMAS W DUDA MCCARTHY, CALLAS & FEENEY PC 19 13WC 35553 DURHAM, CHARLOTTE GOOD SHEPARD 03/25/13 MICHEAL J GALVIN BRYCE DOWNEY & LENKOV LLC 20 13WC 39687 CRANE, CASANDRA FARMLAND FOODS 02/01/13 STEPHEN P. KELLY 21 13WC 42115 SHOVER, JAMES J RAYNOR GARAGE DOORS 08/01/13 REESE & REESE LAW OFFICES JOSEPH MARCINIAK 22 14WC 05993 SHERIFF-BAKER, LESLEY GOLD STAR 06/13/13 WINSTEIN KAVENSKY & WALLAC HEYL ROYSTER VOELKER & ALLEN 23 14WC 08235 BRAND, JOHN ST OF IL @ 11/20/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 24 14WC 08614 SHIELDS, LORI SHERRARD HIGH SCHOOL 10/31/13 WINSTEIN KAVENSKY & WALLAC ROSARIO CIBELLA 25 14WC 09958 SETCHELL, SHANNON E (ON B R & J ENTERPRISE OF IL, I 07/25/11 PIGNATELLI & ASSOCIATES MC ANDREWS & NORGLE LLC 26 14WC 12867 VEGA, MARIO FARMLAND FOODS 04/15/13 HOPKINS & HUEBNER PC STEPHEN P. KELLY 27 14WC 15843 KAALBERG, KENNETH L JOHN DEERE PARTS 12/05/13 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 28 14WC 19034 LANZEN, JUSTIN JOHN DEERE HARVESTER 12/23/13 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 29 14WC 21180 MANG, THUANG TYSON FOODS, INC 11/09/13 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 30 14WC 32554 SETCHELL, SHANNON E ON R & J ENTERPRISE OF IL IN 07/25/11 PIGNATELLI & ASSOCIATES MC ANDREWS & NORGLE LLC 31 14WC 33105 LELOOSE, GERALD JOHN DEERE CYLINDER 04/17/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 32 14WC 36685 GUYER, GARRETT TRI-CITY ELECTRIC 08/09/14 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 33 14WC 41257 NICHOLSON, SHEILA STATE OF ILLINOIS 07/16/14 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 16WC019436 -C 34 15WC 02751 DAVIS, SARAH L ELITE STAFFING INC 12/19/14 VITELL & SPITZ LTD BRADY CONNOLLY & MASUDA PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 15WC 07057 PRESCOTT, DOUG VALLEY CONSTRUCTION CO 11/04/14 LEE, MARK N LAW OFFICE WOLF LAW LTD 36 15WC 10123 SEKAZ, MICHAEL QUICKWAY DISTRIBUTION SER 12/20/12 GLASS & KOREIN GRANT & FANNING 37 15WC 13750 CLAYTON, ROGER IDOT @ 10/29/14 BLACK & JONES ASSISTANT ATTORNEY GENERAL 38 15WC 18493 GASKIN, ANGELA L FEDEX FREIGHT CORP 09/05/12 CERVATES & GORDON PLC QUINTAIROS PRIETO WOOD & BOY 15WC018494 -C 15WC018495 -C 19WC013138 -C 39 15WC 18801 ATWATER-HENRY, ARETHA JOHN DEERE HARVESTER WORK 03/04/15 BLACK & JONES CALIFF & HARPER PC 40 15WC 18805 KIRK, REBECCA A JOHN DEERE HARVESTER 04/15/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 41 15WC 19984 TSANGALA, WILFRID FARMLAND FOODS, INC. 11/28/14 BROWN & BROWN STEPHEN P. KELLY 15WC029438 -C FARMIAND FOODS INC 15WC029474 -C 42 15WC 20380 WHEELER, MICHAEL DEERE HARVESTER 12/07/10 VANDERGINST LAW PC CALIFF & HARPER PC 43 15WC 22102 WILSON, SHANNON DEPARTMENT OF HUMAN SERVI @ 06/29/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 16WC013871 -C ST OF IL DEPT OF HUMAN SER 44 15WC 23581 SCHRADER, JANET FARM AND FLEET 06/23/15 PIGNATELLI & ASSOCIATES WOLFE & JACOBSON, LTD 45 15WC 23896 MC GRUDER, PHILIP A. HOWE OVERHEAD DOORS 03/31/15 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 46 15WC 25887 PIMENTA, JESSICA COTTAGE HOSPITAL 03/02/15 DAMON YOUNG POWER & CRONIN LTD 47 15WC 26003 GOUDY, LARRY GALESBURG CUSD #205 08/18/14 LEE, MARK N LAW OFFICE KNELL LAW LLC 15WC035558 -C CUSD #205 48 15WC 27387 MARLOW, ADALINE STATE OF IL DIVISION OF @ 05/22/15 WINSTEIN KAVENSKY & WALLAC ASSISTANT ATTORNEY GENERAL 49 15WC 27664 FOX, JOSEPH EAST MOLINE CORRECTIONAL @ 08/07/15 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 50 15WC 28966 SUNDAY, TIM VERN'S FARM SUPPLY 08/14/15 PIGNATELLI & ASSOCIATES HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 51 15WC 29628 FRANCIS, JAKE EAST MOLINE 08/23/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 52 15WC 30073 PRESTON, JAMIE FIRST STUDENT INC 12/02/14 SCHWEICKERT & GANASSIN WIEDNER & MCAULIFFE LTD 53 15WC 31594 PEREZ, APOLONIA FARMLAND FOODS 07/06/15 VANDERGINST LAW PC STEPHEN P. KELLY 54 15WC 31848 PAR, SIMI TYSON FRESH MEATS 06/24/13 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 15WC031879 -C 55 15WC 37072 ABBOTT, CYNTHIA JOHN DEERE 09/17/12 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 56 16WC 02820 PARKINSON, SUSAN UNITYPOINT HEALTH TRINITY 07/07/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 57 16WC 03209 KOESTER, LANA HANCOCK FABRICS 09/01/15 CAPRON & AVGERINOS PC LAWRENCE COZZI - LAW OFFICE 58 16WC 04049 EDWARDS, RAYMOND JOHN DEERE HARVESTER 08/12/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 59 16WC 04912 GUERRERO,CELSO C/OGUERRER BNSF RAILWAY # 02/01/15 PETER F FERRACUTI & ASSOCI 60 16WC 05748 ZAAGMAN, CANDACE ST OF IL COMPTROLLER 01/15/16 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 61 16WC 07046 SHAFFER, PENNY JOHN DEERE HARVESTER WORK 06/01/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 62 16WC 07336 AVILA, PENNY J GANA-A'YOO SERVICES CORP 06/01/13 KATZ HUNTOON & FIEWEGER P COZZI & GOGGIN-WARD 16WC007337 -C 63 16WC 09308 BLANTON, ANTHONY TYSON FOODS INC 09/17/15 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 64 16WC 10731 RAMSDALE, NICHOLAS EAST MOLINE CORRECTIONAL @ 12/10/15 WARNER & ZIMMERLE ASSISTANT ATTORNEY GENERAL 65 16WC 11970 HARTMAN, LOIS I AGRI-KING INC 08/11/14 KATZ HUNTOON & FIEWEGER P HOLECEK & ASSOCIATES 66 16WC 12107 DELAROSA, SANDRA A DEERE & CO/HARVESTER WORK 03/10/16 CADY LAW FIRM, P.C. CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 67 16WC 12358 STENDER, LISA D MPK ACQUISITIONS INC A.K. 01/20/16 HOPKINS & HUEBNER PC WOLFE & JACOBSON, LTD 68 16WC 16050 HARRISON, BEN D ARROWHEAD RANCH INC 11/19/14 VANDERGINST LAW PC COZZI & GOGGIN-WARD 16WC016051 -C 69 16WC 18031 RICHARDS, KAMI L. JOHN DEERE HARVESTER WORK 07/29/12 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 70 16WC 18359 GILLMAN, KEVIN MEDIACOM COMMUNICATIONS C 08/27/13 STENGEL BAILEY ROBERTSON 71 16WC 20920 BUSHNELL, ELIZABETH IL DEPT OF CORRECTIONS @ 05/06/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 72 16WC 21108 FRANCISKO, STEVEN ILLINOIS DEPT OF NATURAL 04/13/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 73 16WC 23802 DRAKE, DAVID JOHN DEERE HARVESTER WORK 07/17/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 74 16WC 24260 WADHAMS, RODNEY SMITHFIELD FARMLAND 06/17/16 RIDGE & DOWNES STEPHEN P. KELLY 75 16WC 24801 BATTLE, PATRICE JOHN DEERE HARVESTER 06/23/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 19WC005621 -C 76 16WC 26385 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 01/29/09 HOPKINS & HUEBNER PC CALIFF & HARPER PC 77 16WC 28181 SANDERS, ASHLEY MANPOWER 08/31/16 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC 78 16WC 28586 GILHOOLY, MELISSA KAY THE ROCK ISLAND BOATWORKS 12/11/15 HEIPLE LAW OFFICE HOLECEK & ASSOCIATES 17WC028166 -C 19WC009490 -C 79 16WC 29924 RADOSEVICH, MARTHA ARAMRK 06/03/16 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 17WC020799 -C ARAMARK 17WC020915 -C 80 16WC 32406 PATTERSON, SANDRA J FULTON CORP 04/05/16 CADY LAW FIRM, P.C. 81 16WC 33744 SANCEN, JOSE JOHN DEERE 05/11/11 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 82 16WC 33745 SANCEN, JOSE JOHN DEERE 08/25/14 MARSZALEK AND MARSZALEK CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 83 16WC 34084 JOHNSON, JARROD ILLINOIS STATE POLICE @ 01/08/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 84 17WC 01855 MAYNARD, CHRISTOPER JOHN DEERE CYLINDER 11/21/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 85 17WC 02820 VALDIVIA, TERESA SERVICE MASTER 09/01/16 PIGNATELLI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 86 17WC 02970 STURGEON, JESSICA MIDSTATE MANUFACTURING 02/23/15 HASSELBERG & ROCK KNELL LAW LLC 87 17WC 03312 MARTIN, SCOTT ELKAY MFG 08/01/16 WOLFE LAW PC GAROFALO SCHREIBER STORM GRA 88 17WC 03401 PORTER, RENAE M SERTOMA CENTRE, INC 12/04/16 CADY LAW FIRM, P.C. 89 17WC 04995 GONZALEZ, ALBERTO I-80 EQUIPMENT LLC 01/09/17 90 17WC 05034 FRANK, JUDY E FRIENDSHIP MANOR, INC. 01/13/17 CADY LAW FIRM, P.C. RIPES NELSON BAGGOT KALOBRAT 91 17WC 05905 SKILES, SHERI L DEERE & CO/HARVESTER WORK 03/11/14 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 92 17WC 05950 REAM, DALTON WICHITA THUNDER 01/07/15 FLOYD LAW FIRM INMAN & FITZGIBBONS 93 17WC 06698 SUNDEEN, MEGAN STATE OF ILLINOIS @ 01/09/17 LAW OFFICE DAVID HUNT 94 17WC 07182 GALINDO-VAZQUEZ, BEATRIZ FARMLAND FOODS 09/16/14 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 95 17WC 07185 BENT, RHONDA FAIRFIELD INN & SUITES 10/26/16 GOLDFINE & BOWLES COZZI & GOGGIN-WARD 96 17WC 07389 LISENBEE, ASHLEY STEAK'N SHAKE 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 97 17WC 07396 LISENBEE, ASHLEY STEAK 'N SHAKE 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 98 17WC 07434 SUSTER, ASHLEY ELLIOTT AVIATION 02/01/17 WINSTEIN KAVENSKY & WALLAC INMAN & FITZGIBBONS 99 17WC 07493 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 02/05/16 HOPKINS & HUEBNER PC CALIFF & HARPER PC 100 17WC 07853 HEBERER, LYNN M KEWANEE COMMUNITY UNIT SC 08/16/16 KEYS LAW OFFICES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 101 17WC 08702 CELESTINO, RICHARD VON HOLTEN & CARLSON 08/10/16 GESMER LAW OFFICES, PC EVANS & DIXON 102 17WC 09407 FREDRICKSON, LARRY E WEST CENTRAL FS, INC 10/30/15 THOMAS E CADY BRYCE DOWNEY & LENKOV LLC 103 17WC 10216 GIBSON, ANGELA HY-VEE 05/03/16 WARREN E DANZ, PC HOPKINS & HUEBNER PC 104 17WC 11062 DOYLE, JACK WRIGHT TREE SERVICE INC 03/27/17 JOHN LESAGANICH HENNESSY & ROACH 105 17WC 11346 ELLIOTT, RANDALL CITY OF ROCK ISLAND 04/22/15 WARNER & ZIMMERLE 106 17WC 12237 TANZILLO, PETE CULLIGAN 03/10/17 GOLDFINE & BOWLES 107 17WC 12407 ATWOOD, JEANINE REGENCY CARE OF STERLING 02/21/17 LAW OFFICES MICHAEL HELLMA WOLFE & JACOBSON, LTD 108 17WC 14913 BARRIGAH, ETHEH L ARCONIC INC 04/24/17 ANESI OZMON RODIN NOVAK KO GAROFALO SCHREIBER STORM GRA 109 17WC 14956 PACE, NATHANEAL JOHN DEERE CYLINDER 05/01/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 110 17WC 15450 ANDERSON, TREVOR UNITED STATES FOOD KING 07/03/15 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 111 17WC 15504 PULLIAM, DERRICK BENNIGANS 02/10/17 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 112 17WC 16479 ABOYTES, ERIKA RAYA SMITHFIELD FARMLAND CORP 05/29/15 CADY LAW FIRM, P.C. STEPHEN P. KELLY 113 17WC 16808 SHELEY, BRYNN JOHN DEERE PARTS DISTRIBU 06/07/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 114 17WC 16989 VOCK, TIMOTHY MENARDS 03/31/17 GOLDBERG WEISMAN & CAIRO L EVANS & DIXON 115 17WC 17055 HENDRICKS, MARSHALL HENRY C HILL CORRECTIONAL 05/08/17 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 116 17WC 17180 VROMAN, KEVIN L CITY OF ROCK ISLAND 04/02/17 THOMAS W DUDA BETTY NEUMAN & MCMAHON 117 17WC 17737 STOKES, TERRY MERCER COUNTY HIGHWAY DEP 05/22/15 BLACK & JONES INMAN & FITZGIBBONS 118 17WC 20546 HICKS, SHAWNA HERITAGE WOODS 07/06/17 GESMER & REYNOLDS PC POWER & CRONIN LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 119 17WC 21775 JEFFREY SCOTT KERR MCLAUGHLIN BODY COMPANY 12/18/14 KEYS LAW OFFICES RUSIN & MACIOROWSKI LTD 120 17WC 22966 CALHOUN, MARION STATE OF IL HENRY HILL @ 06/29/17 REHN & SKINNER LLC ASSISTANT ATTORNEY GENERAL 121 17WC 23456 HAAGA, JOHN JEWEL FOOD STORES 04/28/16 GOLDBERG WEISMAN & CAIRO L 122 17WC 24052 PUYEAR, THOMAS H INPRO SEAL, LLC 02/22/17 CADY LAW FIRM, P.C. LAWRENCE COZZI - LAW OFFICES 123 17WC 24300 HANNA, RICKY J ILLINOIS DEPARTMENT OF @ 06/27/17 124 17WC 24550 SEAVEY, REBEKAH SELECT SPECIALTY HOSPITAL 11/30/16 STRONG LAW OFFICE COZZI & GOGGIN-WARD 125 17WC 25357 MANGO, BARBARA KEWANEE LIFE SKILLS @ 10/13/16 LAW OFFICE OF CHRIS DOSCOT 126 17WC 26481 BRASSART, BRADY QUAD CITY MALLARDS 04/22/17 FLOYD LAW FIRM 127 17WC 26768 JOHNSON, JENNIFER ALDI 08/22/17 BLACK & JONES BRADY, CONNOLLY & MASUDA, PC 128 17WC 27060 STIVERS, KAREN SUE BENT RIVER BREWERY 11/23/16 VANDERGINST LAW PC WOLF LAW LTD 129 17WC 27858 JAMES, RONALD WESTROCK 06/10/15 GOLDFINE & BOWLES GAROFALO SCHREIBER STORM GRA 130 17WC 28776 FRANK, JUDY E FRIENDSHIP MANOR, INC 07/17/17 CADY LAW FIRM, P.C. RIPES NELSON BAGGOT KALOBRAT 131 17WC 29342 SHELTON, JAMES GUS BLANKS 07/01/17 PETER F FERRACUTI & ASSOCI MARTIN DEWULF LAW OFFICE 132 17WC 29794 MALEK, CORY A STATE OF ILLINOIS @ 08/06/17 JOHN LESAGANICH 133 17WC 30103 KINKADE, KRISTEN MATCH MG US, LLC. 04/05/17 TARADASH LAW OFFICE JOSEPH MARCINIAK 134 17WC 30476 THOMPSON, MORGAN O'REILLY AUTO PARTS 06/24/16 LEFANTE LAW OFFICES BRYCE DOWNEY & LENKOV LLC 135 17WC 30729 CLEWELL, KEVIN UNITED FACILITIES, INC 02/06/16 STEPHEN P. KELLY COZZI & GOGGIN-WARD 136 17WC 30947 GONZALEZ DE BAHENA, CATAL FARMLAND FOODS 09/27/17 WOODRUFF & JOHNSON STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 137 17WC 31762 KNIGHT, PAMELA STATE OF ILLINOIS DEPT OF @ 09/29/17 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 138 17WC 32438 JONES, KENNETH CITY OF ABINGDON 09/25/17 STRONG LAW OFFICE POWER & CRONIN LTD 139 17WC 32458 MASENGARB, STEVEN NEW IMAGE CONSTRUTION 09/27/17 WINSTEIN KAVENSKY & WALLAC COZZI & GOGGIN-WARD 140 17WC 32481 BRIDEN, JUSTINA T PNC 01/16/17 PIGNATELLI & ASSOCIATES KEEFE CAMPBELL & ASSOC LLC 141 17WC 32502 BAUGHMAN, BRANDON MEYER LANDSCAPE & DESIGN, 07/06/17 MARKS INJURY LAW STEPHEN P. KELLY 142 17WC 33428 VIETMEYER, MICHELLE WAHL CLIPPER CORPORATION 09/11/17 DAVID W MARTAY HEYL ROYSTER VOELKER & ALLEN 143 17WC 34122 SCHMELL, ALLAN JOHNSON CONTRACTING CO IN 06/08/17 CADY LAW FIRM, P.C. CACCHILLO LAW GROUP LLC 144 17WC 34187 DAVIS, RUTHY JOHN DEERE HARVESTER 12/24/15 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 145 17WC 35141 GILBERT, PENNY HOPE CREEK CARE CENTER 02/07/17 CORNFIELD & FELDMAN BROOKS LAW FIRM 146 17WC 35297 BRASSART, BRADY QUAD CITY MALLARDS 04/22/17 FLOYD LAW FIRM 147 17WC 35868 OTEFI, SABAH NORDSTROM 03/25/17 DWORKIN AND MACIARIELLO ROBERT L. SMITH 148 18WC 00062 HUGHES, ANTHONY HILL CORRECTIONAL CENTER @ 11/17/17 RIDGE & DOWNES 149 18WC 00335 SHELTON, JAMES INJURED WORKERS BENEFIT F W 07/01/17 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 150 18WC 00571 KOSTMAN, JOSEPH AG VIEW FS 09/15/17 STRONG LAW OFFICE 151 18WC 02154 ATTWOOD, STEVE DEERE & CO DBA JOHN DEERE 01/10/18 CADY LAW FIRM, P.C. CALIFF & HARPER PC 152 18WC 02658 BOND, TAUREAN APERION CARE 11/27/17 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 153 18WC 03116 RUSSELL, PENNI GREAT DANE TRAILERS 12/15/15 STRONG LAW OFFICE SPIEGEL & CAHILL, PC 18WC006787 -C 154 18WC 03119 CABALLERO-RODRIGUEZ, MARI MOLINE HOTEL, LLC, D/B/A 05/26/17 SCHWEICKERT & GANASSIN HENNESSY & ROACH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 155 18WC 03158 HARRELL, TANASHA JOHN DEERE HARVESTER 02/29/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 156 18WC 03166 GRIFFITH, PATRICIA JOHN DEERE PARTS DIST CEN 12/21/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 18WC016666 -C 157 18WC 03247 MCLNTIRE, STEVEN BLACKHAWK FOUNDATION CO I 05/02/16 WINSTEIN KAVENSKY & WALLAC HEYL ROYSTER VOELKER & ALLEN 158 18WC 03637 MESECHER, LYNDA PREMIER EMPLOYEE SOLUTION 01/08/18 BLACK & JONES GRANT & FANNING 159 18WC 03743 BITTNER, RICHARD FRITO LAY, DIV'N OF PEPSI 11/09/16 WOLFE LAW PC GILDEA, COGHLAN & REGAN LTD. 160 18WC 04027 MORRISSEY, JEFF 3M CORP 07/13/17 CAPRON & AVGERINOS PC KEEFE CAMPBELL BIERY & ASSOC 161 18WC 04821 POLLOCK, LUPE PROJECT NOW HEAD START 05/04/17 VANDERGINST LAW PC 162 18WC 05425 LORD, BRANDON UNITED FACILITIES INC 01/04/18 REHN LAW LLC LAWRENCE COZZI - LAW OFFICES 163 18WC 05583 LA PORTE, NOLAN QUAD CITY MALLARDS 01/07/17 FLOYD LAW FIRM 164 18WC 06058 OETH, BETH PERKINS RESTAURANT & BAKE 01/07/18 DAVID HUNT 165 18WC 06288 ROGERS, BILLIE AEROTEK 12/29/17 WINSTEIN KAVENSKY & WALLAC 166 18WC 06796 BAHINGANA, BLANDINE SMITHFIELD FOODS INC 11/27/17 DAVID HUNT STEPHEN P. KELLY 167 18WC 07044 MORTENSON, SHEILA CITY OF ROCK FALLS 12/12/16 ANCEL GLINK DIAMOND BUSH & E 18WC010863 -C 168 18WC 07308 HARRIS, PATRICIA XPAC 02/07/18 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 169 18WC 07596 NICHOL-RUSSELL, TONYA DOLLAR GENERAL 10/12/17 WINSTEIN KAVENSKY & WALLAC LEAHY EISENBERG & FRAENKEL 170 18WC 07995 HODGEMAN, CASEY STATE OF IL 12/12/17 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 171 18WC 08364 CAMP, MICHAEL JOHN DEERE PDC 09/20/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 172 18WC 08878 PITMAN, TEENA COTTOM'S TRUCKING, LLC # 02/19/16 CASEY LAW OFFICE JAMES M KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 173 18WC 08942 DIAZ, ALYSIA KOKOMOS W 06/09/17 WARD MURRAY PACE & JOHNSON 174 18WC 09636 ROMERO, JOSE BUILDERS SALES 02/19/18 GOLDBERG WEISMAN & CAIRO L RIPES NELSON BAGGOT KALOBRAT 175 18WC 09946 RODRIGUEZ, SYLVIA A CITY OF GALESBURG 02/22/18 SAUNDERS CONDON & KENNY JAMES M KELLY 176 18WC 10079 ROTTMAN, MERROL CENTRAL TRANSPORT 12/07/16 CHRIS DOSCOTCH HINSHAW & CULBERTSON 177 18WC 10250 TIMM, TIMOTHY ELITE STAFFING 01/02/18 WINSTEIN KAVENSKY & WALLAC 18WC010253 -C MENASHA PACKAGING 178 18WC 12145 RAMSEY, HAROLD SENSIENT FLAVORS 02/28/18 REESE & REESE GAROFALO SCHREIBER STORM GRA 179 18WC 12342 REYNAUD, HERMAN COOK COUNTY JTDC 04/18/18 RITTENBERG & BUFFEN STATES ATTORNEY OF COOK COUN 180 18WC 12478 KOSTMAN, PAULA MONDELEZ INTL 03/08/18 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 19WC014946 -C 19WC014952 -C 181 18WC 13343 LAMBRECHT, LISA JOHN DEERE PDC 04/04/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 182 18WC 13585 STURGEON, JESSICA MIDSTATE MANUFACTURING 03/20/18 HASSELBERG & ROCK KNELL LAW LLC 183 18WC 13705 HOLLINGSHED, JESSICA 7/11 04/28/18 DWORKIN AND MACIARIELLO INMAN & FITZGIBBONS 18WC023081 -C 184 18WC 13861 JONES-LAMBERT, HELEN HOPE CREEK CARE CENTER 06/27/16 ELFENBAUM EVERS & AMARILIO BROOKS LAW FIRM 185 18WC 14341 GOBEN, JEREMIE GATES CORPORATION 01/04/18 GOLDFINE & BOWLES 186 18WC 14498 GONZALEZ, EDUARDO T QUAD CITIES INSULATORS IN 02/07/18 CADY LAW FIRM, P.C. STONE & JOHNSON CHARTERED 187 18WC 15073 MCDOWELL, CODY JOHN DEERE PARTS DISTRIBU 09/13/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 188 18WC 15412 NIELSEN, RUSSELL MEMINGER METAL FINISHING 01/17/18 VANDERGINST LAW PC 189 18WC 15873 GARZA, IBEETH GENESIS MEDICAL CENTER 08/03/17 HOPKINS & HUEBNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 190 18WC 16889 WOODS, LISA GATES CORPORATION 01/02/18 STRONG LAW OFFICE QUINTAIROS PRIETO WOOD & BOY 191 18WC 17036 PARROTT, CURTIS M ASTEC MOBILE SCREENS 01/20/17 MERTES & MERTES PC LAWRENCE COZZI - LAW OFFICE 192 18WC 17058 PARROTT, CURTIS M ASTEC MOBILE SCREENS 01/23/18 MERTES & MERTES PC LAWRENCE COZZI - LAW OFFICE 193 18WC 17196 COOKSEY, RACHAEL M ROCK ISLAND SCHOOL DIST # 02/12/18 KEYS LAW OFFICES BRYCE DOWNEY & LENKOV LLC 194 18WC 17372 ADMIRE, BEAU STATE OF IL 06/01/18 RIDGE & DOWNES 195 18WC 17705 PIERSON, HEATHER IL STATE POLICE 04/23/18 RIDGE & DOWNES 196 18WC 17939 PHELPS, JACOB TRILLIUM DELL TIMBERWORKS 04/23/18 WINSTEIN KAVENSKY & WALLAC LAWRENCE COZZI - LAW OFFICE 197 18WC 18365 PIERCE JR, WILLIAM ILLOWA CABLE COMPANY 05/29/18 HARRIS LAW FIRM BETTY NEUMAN & MCMAHON 198 18WC 18883 WISEMAN, DONNA SMITHFIELD FARMLAND CORP 04/17/18 REHN LAW LLC 199 18WC 19182 SIMOSKY, MATTHEW JOHN DEERE PDC 09/21/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 200 18WC 19721 CARR, STEVEN A&J REAL ESTATE INVESTMNT 08/03/17 WARNER & ZIMMERLE 201 18WC 19905 MARTINEZ, BRANDON S JOHN DEERE HARVESTER WORK 01/11/17 ANESI OZMON RODIN NOVAK KO CALIFF & HARPER PC 202 18WC 19926 MCDONALD, DAVID JOHN DEERE HARVESTER 06/13/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 203 18WC 20066 ALDERSON, STEVEN STATE OF ILLINOIS 06/05/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 204 18WC 20068 NIMRICK, JEFF THE BOLDT COMPANY 02/12/18 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 205 18WC 20123 MORENO, ARTHUR R SENSIENT FLAVORS LLC 10/27/17 PIGNATELLI & ASSOCIATES GAROFALO SCHREIBER STORM GRA 206 18WC 20533 RUCKER, GEORGETTE DOLLAR GENERAL 04/15/18 CAPRON & AVGERINOS PC LEAHY EISENBERG & FRAENKEL 207 18WC 21158 FOSTER, BARBARA ALTERNATIVES FOR OLDER AD @ 01/25/18 SIMPSON PETERSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 208 18WC 21447 ANDRESEN, LAURIE DEERE & COMPANY 02/09/18 HOPKINS & HUEBNER PC BOZEMAN NEIGHBOUR PATTON & N 209 18WC 22244 THOMAS, MARLENE D IOWA HEALTH SYSTEM D/B/A 03/28/18 CADY LAW FIRM, P.C. CALIFF & HARPER PC 210 18WC 22277 KPEBANE, ROUKEYATOU TYSON FRESH MEATS, INC 12/18/17 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 211 18WC 22545 SMITH, PATTY L KNOX CO. SHERIFF DEPARTME 04/24/18 CORNFIELD & FELDMAN BUSH MOTTO CREEN KOURY 212 18WC 23371 TAYLOR, JANET WELLS FARGO 08/24/15 REHN LAW LLC 213 18WC 23395 LONGNECKER, JAMES JOHN DEERE HARVESTER 04/12/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 214 18WC 23587 BALDWIN, JAMES MOLINE FORGE 07/02/18 WINSTEIN KAVENSKY & WALLAC KRAKER FANNING & OLSEN 215 18WC 23698 BERHENKE, DENNIS JOHN PETERSON TRUCKING 06/08/18 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 216 18WC 23970 CLARK, RICHARD LOWE'S OF GALESBURG 06/12/18 REHN LAW LLC KEEFE CAMPBELL BIERY & ASSOC 217 18WC 24008 DANNER, ADRIANNA CASEY'S GENERAL STORE 01/02/18 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 218 18WC 24198 ABBOTT, CYNTHIA JOHN DEERE 02/17/16 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 219 18WC 24407 HOBART, CHARLES JR. JOHN DEERE HARVESTER 03/01/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 220 18WC 24812 LOCKWOOD, JEFFREY CITY OF MOLINE 06/11/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 221 18WC 25111 LITTLE, MARCUS JUSTIL PARCEL DELIVERY, I 08/18/18 DWORKIN AND MACIARIELLO STEPHEN P. KELLY 222 18WC 26109 THARP, MICHAEL JOHN DEERE HARVESTER 07/06/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 223 18WC 26115 FIGUEROA, LYDIA GENESIS HEALTH SYSTEM DBA 06/25/18 WINSTEIN KAVENSKY & WALLAC HOPKINS & HUEBNER PC 224 18WC 26127 STUART, CHERYL LUDENS POTTER MAHAFFEY AN 11/21/17 WARD MURRAY PACE & JOHNSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 225 18WC 26319 ARMSTRONG, REBECCA CITY OF MOLINE 04/08/18 RIDGE & DOWNES ANCEL GLINK PC 226 18WC 26542 MARTEL, AIMEE L CAMELOT THERAPEUTIC SCHLS 01/05/17 CADY LAW FIRM, P.C. JOSEPH MARCINIAK 18WC026543 -C 18WC026544 -C 18WC026545 -C 227 18WC 26930 GILMOUR, ADAM QUAD CITY MALLARDS 04/01/17 GORDON LAW OFFICES LTD 228 18WC 27175 ODIA, HORTENCE FARMLAND FOODS 04/03/18 DAVID HUNT STEPHEN P. KELLY 229 18WC 27410 COWDEN, JOEY UNITED FACILITIES, INC 07/22/18 DWORKIN AND MACIARIELLO LAWRENCE COZZI - LAW OFFICE 230 18WC 27820 COMPAORE, FATAHOU TYSON FRESH MEATS 05/10/18 CROWLEY & PRILL WIEDNER & MCAULIFFE LTD 231 18WC 27829 VALLEJO, JOHN TOPPERT JETTING SERVICES, 11/26/17 VANDERGINST LAW PC STEPHEN P. KELLY 232 18WC 28319 GONZALEZ, FABIAN ROCK ISLAND COUNTY 01/26/18 RIDGE & DOWNES BROOKS LAW FIRM 233 18WC 28610 MANSFIELD, JON "KEVIN" HOI VENDING 04/27/18 REHN LAW LLC 234 18WC 28960 NAVA, CARRIE HELP AT HOME, LLC 08/31/18 SIMPSON PETERSON ROSARIO CIBELLA 235 18WC 29059 LONGNECKER, TIFFANY CITY OF MOLINE 05/01/18 WINSTEIN KAVENSKY & WALLAC ANCEL GLINK PC 19WC008581 -C 236 18WC 29310 FULLER, JAMES H CLIMCO COILS COMPANY 06/29/18 MERTES & MERTES PC HEYL ROYSTER VOELKER & ALLEN 237 18WC 29311 DEGROOT, JAMIE L IFH GROUP 12/04/17 MERTES & MERTES PC HARRIS DOWELL FISHER & HARRI 238 18WC 29367 BARNES, LESLIE JOHN DEERE PARTS 07/31/18 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 239 18WC 29524 STEGALL, MARCIA J BLICK ART MATERIALS 05/21/18 240 18WC 29559 BUCKLEY, SUSAN PPC PLASTIC PRODUCTS 10/24/17 WIEDNER & MCAULIFFE LTD 241 18WC 29772 WILLIAMS, JARRED JOHN DEERE HARVESTER WORK 05/30/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 242 18WC 31043 HOKE, ROGER JOHN DEERE CYLINDER 05/13/18 DAVID HUNT BOZEMAN NEIGHBOUR PATTON & N 243 18WC 31261 SNAPP, CYNTHIA J PROPHETS RIVERVIEW 08/23/18 MERTES & MERTES PC GAROFALO SCHREIBER STORM GRA 244 18WC 31467 ATWATER-HENRY, ARETHA JOHN DEERE HARVESTER WORK 03/04/15 BLACK & JONES CALIFF & HARPER PC 245 18WC 31938 ZAMORA DE SAAVEDRA, LUZ JMF COMPANY 07/25/18 DAVID HUNT 246 18WC 32390 FRANKS, KATHY L FIRST STUDENT 09/13/18 REESE & REESE WIEDNER & MCAULIFFE LTD 247 18WC 32409 SWISHER, STEVEN JOHN DEERE HARVESTER WORK 07/11/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 248 18WC 32683 DAVIS, SAMUEL C JOHN DEERE HARVESTER 05/22/17 WINSTEIN KAVENSKY & WALLAC 249 18WC 32727 DAVIS, RUTHY JOHN DEERE HARVESTER 10/15/18 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 250 18WC 33870 ANDERSON, JON GALESBURG CASTING 10/18/18 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 251 18WC 34670 TURNQUIST, JOHN M CITY OF MONMOUTH 03/17/17 THOMAS W DUDA POWER & CRONIN LTD 252 18WC 34700 CURTISS, ADAM JEREMY JO-CARROLL ENERGY 06/04/18 SCHIFF GORMAN LLC HEYL ROYSTER VOELKER & ALLEN 253 18WC 34975 PEREZ, ALEX AMIGOS FOODS 09/26/18 JAMES URTIS HOLECEK & ASSOCIATES 254 18WC 35337 WHITE, JEFFERY TYSON FOODS INC 11/07/18 RYWAK, WALTER Z WIEDNER & MCAULIFFE LTD 255 18WC 35502 DOSS, ANTWONY JOHN DEERE HARVESTER 12/08/15 HOPKINS & HUEBNER PC BOZEMAN NEIGHBOUR PATTON & N 256 18WC 35643 CARLSON, KEVIN V&C CONSTRUCTION 02/02/18 DWORKIN AND MACIARIELLO 257 18WC 35731 PLATA III, YSIDRO TIMKEN DRIVES, LLC 06/21/18 PIGNATELLI & ASSOCIATES NYHAN BAMBRICK KINZIE & LOWR 258 18WC 36480 BUSER, CALEB UNITED PARCEL SERVICE, IN 08/07/18 HOPKINS & HUEBNER PC NYHAN BAMBRICK KINZIE & LOWR 259 18WC 36687 MCDUFFIE, GERALD QUAD CITY STEAMWHEELERS 06/16/18 REISMAN LAW OFFICE QUINN JOHNSTON HENDERSON ETA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 260 18WC 36855 TOMSIC, DAVID JOHN DEERE CYLINDER 02/28/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 261 18WC 37256 FLORIEZ BURCH, JOSHUA N DOLLAR TREE STORES INC 10/26/18 KATZ NOWINKSI PC 262 18WC 37331 HENSHAW, STEVEN P HENDERSON COUNTY SHERIFF 12/03/18 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 263 18WC 37431 MARKUS, JENNIFER FED EX GROUND 06/12/18 WINSTEIN KAVENSKY & WALLAC KOPKA, PINKUS DOLIN, PC 264 18WC 37594 CREEK, ROY COOTS MATERIAL COMPANY 10/01/18 GOLDFINE & BOWLES STEPHEN P. KELLY 265 18WC 37636 WEIR, AMANDA GRAPETREE MEDICAL STAFFIN 11/27/18 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 266 18WC 37653 LOCKETT, EDWARD W GREAT DANE TRAILERS 10/29/18 HARVEY & STUCKEL SPIEGEL & CAHILL, PC 267 18WC 37735 BARBOSA, ANA R JMF MANUFACTURING, LLC 08/03/18 BROOKS LAW FIRM 268 18WC 38003 WHITMAN, RANDALL ILLINI FEEDS 03/24/17 REHN LAW LLC BRADY, CONNOLLY & MASUDA, PC 269 18WC 38178 THORNTON, MARTHA GENESIS MEDICAL CENTER 01/11/17 STRONG LAW OFFICE HOPKINS & HUEBNER PC 270 18WC 38189 PIPPENGER, CECIL G C E MCCHESNEY COMPANY 06/06/18 CADY LAW FIRM, P.C. LAWRENCE COZZI - LAW OFFICE 271 18WC 38299 SHIPLEY, SHAWN M CITY OF ROCK ISLAND 05/01/18 THOMAS W DUDA BETTY NEUMAN & MCMAHON 272 18WC 38454 WILCOX, PATRICIA L COTTAGE HOSPITAL 10/05/18 DAMON YOUNG WIEDNER & MCAULIFFE LTD 19WC002583 -C 273 19WC 00163 GREENLIEF, MATTHEW WARREN COUNTY SHERIFF'S O 12/09/18 RIDGE & DOWNES RUSIN & MACIOROWSKI LTD 274 19WC 00228 BURTON, DARWIN D CITY OF ROCK ISLAND 03/13/18 THOMAS W DUDA BETTY NEUMAN & MCMAHON 275 19WC 00499 HOSLER, JASON M KS ENERGY SERVICES, INC. 10/19/18 ANESI OZMON RODIN NOVAK KO 276 19WC 00562 PEAK, ED ILPEA INDUSTRIES 07/10/18 DAMON YOUNG 277 19WC 00901 WELBECK, ALBERT TYSON FRESH MEATS 01/03/18 SMOLER LAW OFFICE, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 278 19WC 01008 MEDINA, STEVEN MA MORTENSON COMPANY 01/09/19 PARENTE & NOREM PC 279 19WC 01132 BOUATLAOUI, MOHAMED TYSON FOODS 06/27/18 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 280 19WC 01673 RINGER, JAMES A CUENO, INC, D/B/A 11/19/18 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 281 19WC 01706 ESCAJEDA, JONATHON JOHN DEERE PDC 11/08/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 282 19WC 02155 WASHINGTON, DEMARCUS TYSON FRESH MEATS 10/23/18 WINSTEIN KAVENSKY & WALLAC WIEDNER & MCAULIFFE LTD 283 19WC 02315 BRITAIN, DAN RCS TRUCKING SOLUTIONS IN 07/03/18 LOGAN LAW QUINTAIROS PRIETO WOOD & BOY 284 19WC 02573 VERNLUND, RONALD NELSON TRUCKING 03/06/18 PATRICK JENNETTEN 285 19WC 02597 HAWBAKER, JANICE ACCEL ENTERTAINMENT INC 11/07/18 PIGNATELLI & ASSOCIATES WIEDNER & MCAULIFFE LTD 286 19WC 03138 KANKWENDA, PATIENT SMITHFIELD FARMLAND FOODS 11/09/18 STRONG LAW OFFICE STEPHEN P. KELLY 287 19WC 03179 GHEER, MARK A FEDEX FREIGHT, INC 10/10/18 CADY LAW FIRM, P.C. QUINTAIROS PRIETO WOOD & BOY 288 19WC 03325 HITCHCOCK, RICKY ALLEN CITY OF ROCK ISLAND 02/09/16 KEYS LAW OFFICES 289 19WC 03553 DAGGETT, BRIAN JOHN DEERE HARVESTER 11/02/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 290 19WC 03597 LOPEZ, FRANCIS EDGARDO JUAN MALDONADO/MONICA TIJ 06/18/18 EPSTEIN, JACK R LAW OFFICE 291 19WC 03784 MILLARD, DAVID JOHN DEERE HARVESTER WORK 07/17/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 292 19WC 03792 MARTINEZ, BEATRICE TYSON FRESH MEATS 03/28/18 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 293 19WC 03980 SIMMER, RODNEY HOPE CREEK CARE CENTER 02/08/16 HOPKINS & HUEBNER PC 294 19WC 04129 GUMA, MAIMOUNA AUGUSTANA COLLEGE 10/17/18 KATZ NOWINKSI PC 295 19WC 04622 WILSON, JENNIFER KREIDER SERVICES 01/22/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 296 19WC 04841 ERICHSEN, RYAN A CITY OF MOLINE 04/07/16 RIDGE & DOWNES ANCEL GLINK PC 297 19WC 05205 MARTINEZ, JESUS GAMETIME SNACKS, LLC 11/01/18 BRIBRIESCO LAW FIRM 298 19WC 05245 CALVIN, KATHRYN GENESIS MEDICAL CENTER 11/05/18 BLACK & JONES HOPKINS & HUEBNER PC 299 19WC 05290 BURGIN, PATTY HENRY C. HILL CORRECTIONA @ 03/28/17 DAMON YOUNG ASSISTANT ATTORNEY GENERAL 300 19WC 05301 HARGRAZE, MICHAEL XPAC 01/21/19 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 19WC008670 -C 301 19WC 05338 WOOSLEY, JEAN WIDOW OF WHITESIDE COUNTY 12/31/18 MERTES & MERTES PC 302 19WC 05664 ENOS, ANTHONY CLOVERLEAF COLD STORAGE 11/01/18 CROWLEY & PRILL KNELL LAW LLC 303 19WC 05705 HAHN, DAN DEERE & CO INC, 09/28/18 SCHWEICKERT & GANASSIN LANE & WATERMAN 304 19WC 05913 KRACK, BRANDON JACKSON DISPOSAL 09/06/18 GORDON LAW OFFICES LTD HENNESSY & ROACH PC 305 19WC 06002 SABEL II, DENNIS MERCER COUNTY SHERIFFS DE 11/23/17 HARRIS LAW FIRM INMAN & FITZGIBBONS 306 19WC 06355 QUINN, TOMMY PDS TECH, INC 01/11/19 LOGAN LAW 307 19WC 06461 STENGER, HAROLD ILLINOIS DEP OF TRANSPORT @ 09/27/18 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 308 19WC 06799 ALLEN, DAVID C GALESBURG TOYOTA 01/09/19 SIMPSON PETERSON HEYL ROYSTER VOELKER & ALLEN 309 19WC 07709 ARCHIE, CURTIS C QUALITY CONTROLLED STAFFI 02/05/19 CHRISTINE A KEYS PC LAWRENCE COZZI - LAW OFFICE 310 19WC 07950 CAMACHO, ANA ISABEL TYSON FRESH MEATS 08/16/18 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 311 19WC 08126 NEVAREZ, JENNIFER JOHN DEERE HARVESTER WORK 01/16/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 312 19WC 08167 ALWOOD, JASON JOHN DEERE HARVESTER 07/12/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 313 19WC 08317 HUIZAR, FRANCISCO ARAMARK UNIFORM SERVICES 02/08/19 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 314 19WC 08486 PAGELOFF, DALE E FRANTZ MANUFACTURING CO 12/17/18 MERTES & MERTES PC INMAN & FITZGIBBONS 315 19WC 08809 DE REU, ROBERT JOHN DEERE HARVESTER WORK 02/04/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 316 19WC 08810 LINDSTROM, RANDY VILLAGE HOME STORES, INC 10/28/18 SCHWEICKERT & GANASSIN 317 19WC 08814 WATSON, RYAN SAIA MOTOR FREIGHT 02/12/19 HARVEY & STUCKEL BROWN & JAMES, PC 318 19WC 08995 POTTER, BONNIE GENESIS MEDICAL CENTER 12/21/18 CAPRON & AVGERINOS PC HOPKINS & HUEBNER PC 319 19WC 09097 WEBB, FRANK GATEHOUSE MEDIA IL HOLDIN 02/06/19 SIMPSON PETERSON KNELL LAW LLC 320 19WC 09228 PETERSON, CHERIE STERLING UNIT 5 SCHOOL DI 02/26/16 SEIDMAN MARGULIS & FAIRMAN 321 19WC 09327 PHILLIPS, CHRISTOPHER JMF MANUFACTURING 08/25/18 DWORKIN AND MACIARIELLO 322 19WC 09420 MENDOZA, TERRY JOHN DEERE HARVESTER WORK 03/07/19 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 323 19WC 09923 DESSEYN, SCOTT JOHN DEERE HARVESTER WORK 02/15/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 324 19WC 10113 TRETTEEN, MICHAEL AARON'S 03/11/19 PIGNATELLI & ASSOCIATES 325 19WC 10296 SOBKOWICH, DON LUNDA CONSTRUCTION CO 12/21/18 DREW J FERRACUTI KEEFE CAMPBELL BIERY & ASSOC 326 19WC 10624 MARTIN, JOHN THOMAS JR. PRECISION ENTERP, LTD 08/02/18 CADY LAW FIRM, P.C. RUSIN & MACIOROWSKI LTD 327 19WC 10696 CLARK, SHAWN COUNTRY ELMS ESTATES 12/03/18 REHN LAW LLC HENNESSY & ROACH PC 328 19WC 10762 JENSEN, JONATHAN CITY OF SILVIS 01/07/19 CADY LAW FIRM, P.C. POWER & CRONIN LTD 329 19WC 10850 KEELE, CINDY ELKAY MANUFACTURING COMPA 01/25/17 REESE & REESE GAROFALO SCHREIBER STORM GRA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 330 19WC 11220 DUNN, PETER STERLING STEEL 04/11/19 WOLFE LAW PC RUSIN & MACIOROWSKI LTD 331 19WC 11366 BULL, DEAN L THE SHERWIN-WILLIAMS 01/24/19 CADY LAW FIRM, P.C. RUSIN & MACIOROWSKI LTD 19WC011367 -C 332 19WC 11540 ATIVOKU, AFFI SMITHFIELD FARMLAND CORP 06/11/18 ANESI OZMON RODIN NOVAK KO STEPHEN P. KELLY 333 19WC 11771 REED-WILMINGTON, DIANE HEARTLAND HEALTHCARE 04/25/17 WINSTEIN KAVENSKY & WALLAC 334 19WC 11920 BOYD, CAITLIN ILLINOIS DEPARTMENT OF @ 02/17/19 HOPKINS & HUEBNER PC ASSISTANT ATTORNEY GENERAL 335 19WC 12050 ATRIP, MARK CHARTWELLS 01/08/18 VANDERGINST LAW PC 336 19WC 12096 SMITH, DONNA XPAC 11/12/18 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 337 19WC 12213 OAK, DAVID IL DEPT OF TRANSPORTATION @ 03/11/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 338 19WC 12339 BAILEY, KATHLEEN KINDERCARE 04/09/18 VANDERGINST LAW PC 339 19WC 12376 WHITESIDE, DENNIS E REGENCY CARE OF STERLING 01/16/19 REESE & REESE WIEDNER & MCAULIFFE LTD 340 19WC 12853 ROBINSON, LAHARIE TYSON FRESH MEATS 02/21/19 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 341 19WC 13193 JOHNSON, LARRY SMITHFIELDFARMLAND CORP 03/16/19 REHN LAW LLC STEPHEN P. KELLY 342 19WC 13596 LAUGHLIN, MATTHEW M CITY OF STERLING 11/01/18 THOMAS W DUDA 343 19WC 13725 ZIERLEIN, DONALD YRC FREIGHT 02/21/19 RIDGE & DOWNES 344 19WC 14044 MATOS, NELSON SMITHFIELD FRESH MEATS CO 12/01/18 COSTA IVONE LLC STEPHEN P. KELLY 345 19WC 14276 MUDD, KATY DERBY SUPPLY CHAIN SOLUTI 01/02/19 DWORKIN AND MACIARIELLO JOSEPH MARCINIAK 346 19WC 14711 BROWNLEE, DANIEL J SOI-HILL CORRECTIONAL CNT @ 03/13/19 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 347 19WC 14858 HAYES, LA TANYA PREMIER EMPLOYEE SOLUTION 01/28/19 DAVID W MARTAY KRAKER FANNING & OLSEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 348 19WC 15673 LARSON, HALEY QUAD CITY TOWING 03/28/18 BLACK & JONES KNELL LAW LLC 349 19WC 15803 NUSBAUM, COLE LEGGETT & PLATT D/B/A 02/24/19 STROW LAW LLC 350 19WC 15971 PULIS, DOREEN XPAC 03/20/19 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 351 19WC 16007 BANASZEK, DEBRA JOHN DEERE SEEDING GROUP 11/13/17 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 352 19WC 16021 DRAPER, KURT BIMBO BAKERIES 05/05/18 LOGAN LAW 353 19WC 16040 HOVIOUS, DAWN TIMKEN DRIVES, LLC 12/18/17 MARKS INJURY LAW NYHAN BAMBRICK KINZIE & LOWR 354 19WC 16259 COCHRAN, JACKIE L KUNES COUNTRY CHRYSLER 03/23/18 THOMAS W DUDA 355 19WC 16339 BOGENER, THOMAS TODDS MUDJACKING SVC INC 06/06/18 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 356 19WC 16353 JOHNSON, LEONARD DES EMPLOYMENT 05/22/19 DWORKIN AND MACIARIELLO HOLECEK & ASSOCIATES 357 19WC 16537 ANGELO, MICHAEL ST ANTHONY'S NURSING AND 03/27/19 MARKS INJURY LAW 358 19WC 16852 CRUSE, KAYLA UNITYPOINT HEALTH TRINITY 03/08/19 LOGAN LAW CALIFF & HARPER PC 359 19WC 17121 CASCO, JUAN TYSON FRESH MEATS, INC. 06/10/16 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 360 19WC 17219 LEE, RICHARD HD ENTERPRISES, INC W 02/08/18 DAMON YOUNG 361 19WC 17260 QUIROZ, RODRIGO UNITY POINT AT HOME 08/09/18 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 362 19WC 17370 ISENHOUR, THOMAS JOHN DEERE HARVESTER WORK 01/28/19 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 19WC021509 -C 19WC021510 -C 363 19WC 17415 MILLER, DON EDWARD ROSE & SONS 01/28/19 VANDERGINST LAW PC 364 19WC 17521 RANDOLPH, JONATHAN SMITHFIELD FARMLAND CORP. 03/18/19 REHN LAW LLC STEPHEN P. KELLY 365 19WC 17637 TRIGUEROS, JOSE CENTENNIAL CONTRACTORS 05/15/19 ELFENBAUM EVERS ZIELINSKA

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 366 19WC 17798 MILLER, MICHAEL JOHN DEERE HARVESTER WORK 04/30/19 WOODRUFF JOHNSON BOZEMAN NEIGHBOUR PATTON & N 367 19WC 17999 SULLIVAN, JASON L S & B CONSTRUCTION 02/12/19 PIGNATELLI & ASSOCIATES GAROFALO SCHREIBER STORM GRA 368 19WC 18179 CROUSE, TYLER HILL CORRECTIONAL CENTER @ 04/29/19 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 369 19WC 18477 LJUBUNCIC, HISAM HONEYWELL SAFETY PRODUCTS 01/16/19 WINSTEIN KAVENSKY & WALLAC FEIRICH MAGER GREEN & RYAN 370 19WC 18524 DODDS, RANDY CORN CRIB NURSERY INC 08/13/18 WARNER & ZIMMERLE CAPUANI, FRANK S 371 19WC 19661 LONGNECKER, JAMES JOHN DEERE HARVESTER 03/18/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 372 19WC 19731 GERARD, MARSHA, GREAT DANE 02/27/18 PATRICK JENNETTEN SPIEGEL & CAHILL, PC 373 19WC 19808 WEIDEL, KALENE REGENCY CARE OF STERLING 01/05/19 PIGNATELLI & ASSOCIATES WIEDNER & MCAULIFFE LTD 374 19WC 20373 SPIKER, VERNON CONSOLIDATED GRAIN & BARG 03/21/17 LOGAN LAW 375 19WC 20376 ZITTLE, QUENTIN JOHNSON OIL 07/04/18 PIGNATELLI & ASSOCIATES 376 19WC 20420 REYES, MAUSELIO REVOLORIO SMITHFIELD FARMLAND FOODS 04/05/19 DWORKIN AND MACIARIELLO STEPHEN P. KELLY 377 19WC 20511 KISNER, NANCY HY-VEE 01/19/19 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 378 19WC 20547 BERGMAN, FREDRICK R VILLAGE OF CHADWICK 09/26/16 POWER & CRONIN LTD 379 19WC 20816 CARTEE, PAISLEY TYSON FOODS 01/14/18 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 380 19WC 20892 DUFAULT, MICHAEL MOLINE POLICE DEPARTMENT 06/29/19 RIDGE & DOWNES ANCEL GLINK PC 381 19WC 21160 SANCHEZ-GARCIA, LUIS JOHN DEERE PARTS DISTRIBU 04/17/18 HOPKINS & HUEBNER PC CALIFF & HARPER PC 382 19WC 21537 SMITH, PATRICIA ESSG 02/20/18 REHN LAW LLC 383 19WC 21651 NICHOLS, KEVIN JOHNSON CONSTRUCTION 01/15/19 SIMPSON PETERSON BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 384 19WC 21789 GUSTAFSON, TANIA JOHN DEERE PARTS DISTRIB 03/25/19 BRIBRIESCO LAW FIRM CALIFF & HARPER PC 385 19WC 21819 TUMPANE, KEVIN ARTLOW SYSTEMS 06/27/19 LEONARD LAW GROUP LLC GILDEA, COGHLAN & REGAN LTD. 386 19WC 21892 HAYES, ROBERT JOHN DEERE HARVESTER WORK 05/30/18 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 387 19WC 21926 GARLAND, DAVID MORTENSON CONSTRUCTION 06/08/19 RIDGE & DOWNES WOLFE & JACOBSON, LTD 388 19WC 21941 PIZANO, DIANA TYSON FOODS, INC 04/24/19 WINSTEIN KAVENSKY & WALLAC 389 19WC 22204 SLUSSER, TROY XENA INTERNATIONAL 07/08/19 REESE & REESE 390 19WC 22281 JONES, LARRY GREAT DANE FABRICATIONS 05/03/19 GALLAGHER, DONALD V SPIEGEL & CAHILL, PC 391 19WC 22331 ZUNIGA, MICHELLE M SMITHFIELD FOODS 07/02/19 BOSHARDY LAW OFFICE PC STEPHEN P. KELLY 392 19WC 22629 YAHYA, FATOMA HILL & VALLEY, INC. 03/06/18 CAPRON & AVGERINOS PC 393 19WC 22689 LASHBROOK, TERRI PETERSEN HEALTH CARE, INC 11/01/18 REHN LAW LLC STEPHEN P. KELLY 394 19WC 22972 PERKINS, DAVID QUAD CITY STEAM WHEELERS 02/22/19 REISMAN LAW OFFICE 395 19WC 23014 TROUT, TRACY FARMLAND FOODS 11/01/17 BLACK & JONES WIEDNER & MCAULIFFE LTD 19WC023015 -C 396 19WC 23035 GRAVES, TERI JOHN DEERE SEEDING 03/21/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 397 19WC 23292 LAUGHLIN, MATTHEW M CITY OF STERLING 02/17/19 THOMAS W DUDA 398 19WC 23555 LONG, RAYMOND E SBL ENTERPRISES, LLC 07/06/19 WOLFE LAW PC 399 19WC 23709 AREVALO, MIGUEL KVF QUAD CORPORATION 06/05/19 HOPKINS & HUEBNER, P.C. 400 19WC 23825 WATERS, CRETA TYSON FRESH MEATS 07/17/19 BLACK & JONES WIEDNER & MCAULIFFE LTD 401 19WC 23930 EDWARDS, GREGORY T. STEEL CONSTRUCTION, IN 06/13/19 LOGAN LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 402 19WC 25031 ALFRED, KEWAN D&B ENTERTAINMENT & SPORT 06/15/19 HENNESSY & ROACH PC 403 19WC 25149 WADDELL, LARRY WARREN CNTY HOUSING AUTHO 04/25/18 KARLIN FLEISHER & FALKENBE GILDEA, COGHLAN & REGAN LTD. 404 19WC 25270 ROBERTS, DAVID SMITHFIELD FARMLAND CORP 04/03/19 REHN LAW LLC STEPHEN P. KELLY 405 19WC 25318 GEHN, BRANDON STATE OF ILLINOIS @ 07/15/19 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 406 19WC 25417 GODSIL, KRISTA DICK BLICK 08/08/19 REHN LAW LLC 407 19WC 25453 BOTKIN, SHARON (WIDOW) WALTER D LAUD CONSTRUCTIO # 08/23/19 ELFENBAUM EVERS ZIELINSKA JAMES M KELLY 408 19WC 25455 PENA RAMIREZ, PETRONILO TYSON FRESH MEATS 05/08/17 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 409 19WC 25652 HAMMELMAN, JOSH LEGGET & PLATT D/B/A 08/26/19 STROW LAW LLC RUSIN & MACIOROWSKI LTD 19WC025653 -C HAWKINS, TONDELYA RJB PROPERTY, INC 410 19WC 25853 HAMMELMAN, JOSH LEGGET & PLATT, D/B/A 06/29/19 STROW LAW LLC RUSIN & MACIOROWSKI LTD 411 19WC 25979 BOCK, DOUGLAS L JR. WAL-MART SUPERCENTER 1 01/26/19 MARSZALEK AND MARSZALEK 412 19WC 25980 BARNES, TIMMY TERRY AND SONS PAINTING 08/16/19 MARSZALEK AND MARSZALEK 413 19WC 26030 LEASE, TODD ADVANTAGE ELECTRICAL SERV 07/23/19 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 414 19WC 26127 BLAGG, CORINNA ROCK FALLS MOBIL 10/04/18 WIEDNER & MCAULIFFE LTD 415 19WC 26190 MYERS, VERNON STERLING STEEL 03/31/19 PIGNATELLI & ASSOCIATES 416 19WC 26418 MONTGOMERY, LESLIE UNITED FACILITIES 08/22/19 RIDGE & DOWNES LAWRENCE COZZI - LAW OFFICE 417 19WC 26724 WADE, NICKOLAS MOLINE POLICE DEPT 04/04/19 RIDGE & DOWNES ANCEL GLINK PC 418 19WC 26764 ACKERLAND, JACOB SC2 SUPPLY CHAIN SERVICES 09/20/18 EAMES LAW GROUP LTD RIPES NELSON BAGGOT KALOBRAT 419 19WC 26794 HALL, RONALD LA LEASING, INC 05/14/18 CAPRON & AVGERINOS PC BETTY NEUMAN & MCMAHON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 420 19WC 27013 MEIRHAEGHE, LISA JOHN DEERE PARTS 07/30/18 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 421 19WC 27204 GONZALES, SONIA WAHL CLIPPER 09/09/16 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 422 19WC 27325 TOGUAMBA, DA'AGOMA TYSON FRESH MEATS, INC 02/18/19 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD 423 19WC 27711 VILLAGOMEZ, FRANCISCO MEDIACOM, LLC 10/17/18 HENNESSY & ROACH 424 19WC 27863 MCNAMEE, MICHELLE ENTERPRISE RENT A CAR CO, 11/13/18 CAPRON & AVGERINOS PC KEEFE CAMPBELL BIERY & ASSOC 425 19WC 27932 MILLER, JOSH LEGGETT & PLATT D/B/A 03/27/19 STROW LAW LLC 426 19WC 28005 STINER, TYLER J TIMOTHY SETTERDAHL 09/22/16 CADY LAW FIRM, P.C. 427 19WC 28090 HUGHES, STEPHEN AUGUSTANA COLLEGE 01/23/12 HOLECEK & ASSOCIATES 428 19WC 28159 JOHNSON, REBECCA EAST MOLINE SCHOOL DIST # 03/29/19 VANDERGINST LAW PC 429 19WC 28282 WHEELER, LORI VITAS HEALTHCARE 09/14/19 STRONG LAW OFFICE 430 19WC 28360 DOBBEL, JOSHUA ALPHA FEED MILL INC. 09/04/19 STRONG LAW OFFICE 431 19WC 28415 HUMMEL, LINDA JOHN DEERE SEEDING 08/12/19 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 432 19WC 28525 MARQUEZ, ELBA L TYSON FRESH MEATS, INC. 10/25/18 CADY LAW FIRM, P.C. 433 19WC 28561 HAMILTON, SHEILA ELC D/B/A EXCEPTIONAL 10/31/17 HENNESSY & ROACH PC 434 19WC 28698 SWEARINGEN, CHERYL JOHN DEERE SEEDING 10/18/17 CALIFF & HARPER PC 435 19WC 29010 WARD, JAMES TYSON FOODS 06/05/19 GOLDFINE & BOWLES 436 19WC 29154 BIRDSALL, DANIEL CHARNOR, INC 11/01/18 PATRICK JENNETTEN 437 19WC 29170 TETTEH, YAWAVI A TYSON FRESH MEATS, INC 08/07/18 CADY LAW FIRM, P.C. WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 438 19WC 29211 CHARLES, TIFFANY MBM JANITORIAL SERVICES L 06/03/19 REHN LAW LLC 439 19WC 29242 BIRDSALL, DANIEL CHARNOR, INC. 11/01/18 STEPHEN P. KELLY 440 19WC 29487 LOPEZ, RAYMOND A XENA INTERNATIONAL, INC 04/16/19 REESE & REESE NYHAN BAMBRICK KINZIE & LOWR 441 19WC 29696 CHESTER, DEMETRIUS SEDONA STAFFING 09/16/19 BLACK & JONES 442 19WC 29713 LAMBRECHT, ADAM JOHN DEERE 10/01/18 VANDERGINST LAW PC BOZEMAN NEIGHBOUR PATTON & N 443 19WC 29843 THOMAS, RONALD DICK BLICK HOLDINGS, INC. 06/04/19 REHN LAW LLC 444 19WC 29909 SKRZYPINSKI, MEGAN DIXON CORRECTIONAL CENTER @ 05/11/18 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 445 19WC 30090 DOYLE, MICHAEL LIBERTY PACKAGING 09/24/19 WINSTEIN KAVENSKY & WALLAC KRAKER FANNING & OLSEN 446 19WC 30111 DOYLE, MICHAEL EXPRESS EMPLYMNT PROFESSI 09/24/19 WINSTEIN KAVENSKY & WALLAC 447 19WC 30288 WHAN, GRETCHEN FAZOLI'S 07/30/19 WINSTEIN KAVENSKY & WALLAC 448 19WC 30485 YAHYA, FATOMA HILL & VALLEY, INC. 05/03/18 CAPRON & AVGERINOS PC 449 19WC 30548 SMITH, CARL L CHICAGO TUBE & IRON CO 07/29/19 CADY LAW FIRM, P.C. 450 19WC 30622 NAAB, CHRISTIAN S CITY OF ROCK ISLAND 10/11/19 THOMAS W DUDA BETTY NEUMAN & MCMAHON 451 19WC 30919 JOHNSON, BERNARD J TRI-STATE ASPHALT, INC 09/20/19 MARSZALEK AND MARSZALEK HEYL ROYSTER VOELKER & ALLEN 452 19WC 31215 CORTEZ, RAYMOND NATIONAL CARRIERS OF AMER 12/28/18 TAMVAKIS, GEORGE L 453 19WC 31246 LING, RAL TYSON FOODS 06/18/18 WIEDNER & MCAULIFFE LTD 454 19WC 31389 KRANZ, WILLIAM JOHN DEERE SEEDING 09/16/19 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 455 19WC 31800 WILLIAMS, CORY WINSUPPLY, INC 10/25/18 HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 456 19WC 31980 SCHELKOPF, ERIC CITY OT KEWAUNEE 11/12/18 STEPHEN P. KELLY 457 19WC 32480 SHANNON, PHILLIP RIVER VALLEY CO-OP * 06/01/19 ELFENBAUM EVERS ZIELINSKA 458 19WC 32845 BENFORD, ADAM DANA INCORPORATED * 10/08/19 DWORKIN AND MACIARIELLO KEEFE CAMPBELL BIERY & ASSOC 459 19WC 32979 CASTILLO, MARIA I HARTLAND CONTROLS LLC * 08/08/18 REESE & REESE 460 19WC 33094 SERGENT, GARY SOUTHERN GLAZERS WINE & * 02/12/19 DRUMMOND LAW OFFICE 461 19WC 33111 TURNER, STEVEN JOHNSON OIL COMPANY * 11/05/19 MC HARGUE & JONES ANCEL GLINK DIAMOND BUSH 462 19WC 33131 JORDAN, MARK GREAT DANE TRAILERS * 10/15/19 ROCHFORD & ASSOC 463 19WC 33470 ADAMS, THOMAS LEGGETT & PLATT D/B/A * 08/17/19 STROW LAW LLC 464 19WC 33529 PHILLIPS, SYLVIA LEE ENTERPRISES INC DBA M * 03/30/19 HOPKINS & HUEBNER, P.C. 465 19WC 33590 CORSARO, MONICA KNOX COLLEGE * 09/12/19 REHN LAW LLC 466 19WC 34478 WILFONG, KAREN M CITY OF ROCK ISLAND * 04/05/19 CORNFIELD & FELDMAN 467 19WC 34704 WOLD, TROY VANDER VENDING * 12/27/18 MARKS INJURY LAW BRYCE DOWNEY & LENKOV LLC 468 19WC 34758 MCCALL, VICTOR C ASSOCIATED MATERIALS, LLC * 09/10/19 MCDONALD WOODWARD & CARLSO ARNETT LAW GROUP 469 19WC 34773 VLAHOVICH, RICHARD WALMART * 02/09/19 DAVID HUNT QUINTAIROS PRIETO WOOD & BOY 470 19WC 34860 KIZER, ELIZABETH HY-VEE, INC * 11/17/14 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 471 19WC 34936 SKORNIA, KYLE GENESIS III INC * 07/17/19 DWORKIN AND MACIARIELLO 472 19WC 35050 WAYSON, ANGELA M HY-VEE, INC * 11/08/19 CADY LAW FIRM, P.C. QUINN JOHNSTON HENDERSON ETA 473 19WC 35206 COLLINSON, ROBERT GATES CORPORTATION * 10/29/19 REHN LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 474 19WC 35359 BRANDNER, RYAN J CITY OF ROCK ISLAND * 10/15/19 THOMAS W DUDA 475 19WC 35552 JOHNSON, BOYD VILLAGE OF CAMBRIDGE * 01/10/18 WINSTEIN KAVENSKY & WALLAC 476 19WC 35649 LEWIS, RUSSELL DOHRN TRANSFER CO. * 06/18/19 BLACK & JONES 477 19WC 35767 HARRINGTON, RODNEY L STATE OF IL DEPT OF TRANS @ * 07/11/19 REESE & REESE ASSISTANT ATTORNEY GENERAL 478 19WC 35934 ZEBADA, KOFFI D TYSON FRESH MEATS * 01/24/19 REHN LAW LLC 479 19WC 36393 TALBERT, WANDA GATES CORPORATION * 11/01/19 GOLDFINE & BOWLES 480 19WC 36647 COE, DAWSON CORTEVA AGRISCIENCE * 11/19/19 SIMPSON PETERSON 481 19WC 36781 RODRIGUEZ, LESLIE X-PAC * 02/08/18 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 482 19WC 36897 O'BRIEN, THOMAS J MIDAMERICAMN ENERGY CORP * 09/17/18 BETTY NEUMAN & MCMAHON 483 19WC 36922 BANUELOS, MONICA NTN BOWER * 12/18/17 STRONG LAW OFFICE WIEDNER & MCAULIFFE LTD 484 19WC 36946 VELEZ, ESPERENZA JOHN DEERE HARVESTER WORK * 04/15/19 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 485 19WC 37000 BRAUER, DEBRA ELKAY MANUFACTURING CO * 10/16/19 PIGNATELLI & ASSOCIATES GAROFALO SCHREIBER STORM GRA 486 19WC 37087 TOUSSOU, VIDJINNAGNI TYSON FRESH MEATS, INC * 11/29/18 BROOKS LAW FIRM WIEDNER & MCAULIFFE LTD 487 19WC 37090 TOUSSOU, VIDJINNAGNI TYSON FRESH MEATS, INC * 04/01/19 BROOKS LAW FIRM WIEDNER & MCAULIFFE LTD 488 19WC 37384 WARNER, TRACY L COMM UNIT SD 205 * 11/22/19 SIMPSON PETERSON 489 19WC 37499 CASTANEDA, FRANCISCO FARMLAND FOODS, INC 10/09/19 ELFENBAUM EVERS ZIELINSKA 490 20WC 00016 SIERRA DE CARRILLO, ARCEL TYSON FRESH MEATS INC * 09/27/18 ELFENBAUM EVERS ZIELINSKA 491 20WC 00074 ARBAB, AWAD TYSON FOODS, INC * 04/12/17 ROGER D RUDICH LTD WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 492 20WC 00118 STEFFENS, CHAD WALMART DISTRIBUTION CENT * 08/16/19 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 493 20WC 00525 DEOPERE, CHRISTOPHER EXPORT PACKAGING CO INC D * 08/22/19 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 494 20WC 00812 HERGERT, MATTHEW PRODUCTION CUTTING SERVIC * 04/26/19 VANDERGINST LAW PC 495 20WC 00842 RILEY, CHERYLE STATE OF IL-DORS * 02/25/15 BLACK & JONES 496 20WC 00886 WARD, JOSEPH MOLINE POLICE DEPT * 08/23/19 RIDGE & DOWNES ANCEL GLINK PC 497 20WC 01021 CASTANEDA, REBECA TYSON FOODS * 05/31/17 WIEDNER & MCAULIFFE LTD 498 20WC 01190 TRIGGER, MADISON BORDER FOODS D/B/A TACO B * 10/18/19 GOLDFINE & BOWLES 499 20WC 01352 REDMON, JEFFREY S GLOBAL IMAGING SYSTEMS, I * 05/15/18 JOSEPH MARCINIAK 500 20WC 01410 WEINBERG, GREG OTTO BAUM COMPANY * 01/17/19 KNELL LAW LLC 501 20WC 01556 SCHNITZLER, TERI ELKAY MANUFACTURING CO * 10/18/19 WILSON LAW OFFICES LLC 502 20WC 01581 EGGERT, ROBERT W JOHNSON CONTRACTING CO 05/14/18 MCCARTHY, CALLAS & FEENEY 503 20WC 01655 WRIGHT, NANCY ROCK ISLAND-MILAN SCHOOL * 01/28/19 MCCARTHY, CALLAS & FEENEY 504 20WC 01997 HINOJOSA, MARTA XPAC, INC. * 11/25/19 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 505 20WC 02111 DYLAN, LEESA DRIVELINE HOLDINGS, INC * 09/19/18 WINSTEIN KAVENSKY & WALLAC 506 20WC 02236 BROWN, OSCAR XPAC * 01/21/20 DWORKIN AND MACIARIELLO 507 20WC 02272 PI, SUM TYSON FOODS * 03/29/17 WIEDNER & MCAULIFFE LTD 508 20WC 02289 MCREYNOLDS, CAROL MOLINE-COAL VALLEY SCHOOL * 05/16/19 GOLDFINE & BOWLES 509 20WC 02431 DE BELMONTES, CRISTINA PR ARAMARK UNIFORM SERVICES * 10/03/19 RIDGE & DOWNES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR ROCK ISLAND 44003 ON 03/02/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 510 20WC 02593 REDECKER, LISA SAL FAMILY AND COMMUNITY * 12/14/18 NYHAN BAMBRICK KINZIE & LOWR 511 20WC 02746 HARPER, TAMMY APERION CARE GALESBURG * 12/07/19 DWORKIN AND MACIARIELLO