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ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 18 12WC 28182 BENKO, DAVID P BOARD OF EDUCATION 05/26/11 BENASSI & BENASSI STEPHEN P. KELLY 19 12WC 31436 SMITH, PHILIP R EAST PEORIA COMMUNITY 04/16/12 JOHN LESAGANICH PC COZZI & GOGGIN-WARD 13WC011218 -C 20 12WC 39717 BRANCHFIELD, KIEL A MIDWEST CONTROL PRODUCTS 10/02/12 REHN & SKINNER LLC QUINN JOHNSTON HENDERSON ETA 21 13WC 07457 DONALDSON, VICKIE CATERPILLAR INC 12/08/11 WINNE LAW OFFICE LLC DARCY GIBSON 22 13WC 07458 DONALDSON, VICKIE CATERPILLAR INC 12/21/11 WINNE LAW OFFICE LLC DARCY GIBSON 23 13WC 08596 RUNYON, SCOTT PEORIA PUBLIC DISTRICT 15 12/13/12 STRONG LAW OFFICE STEPHEN P. KELLY 14WC000539 -C 14WC000655 -C 24 13WC 16047 COLLINS, RENEE PEORIA SCHOOL 04/08/13 MEYERS & FLOWERS STEPHEN P. KELLY 13WC030941 -C 25 13WC 18499 SNIFF, RONALD CATERPILLAR INC 06/06/12 LAW OFFICE DAVID HUNT DARCY GIBSON 26 13WC 23114 JOHNSON, DONETTE J BOYD GAMING 11/26/12 DOC HALLIDAY QUINN JOHNSTON HENDERSON ETA 27 13WC 27890 MARAS, PAULS S CITY OF PEORIA 02/26/13 BACH, ROBERT W HASSELBERG GREBE SNODGRASS 28 13WC 37770 COUTRE' GEORGE R WESTERN ILLINOIS UNIVERSI 05/17/13 HARVEY & STUCKEL SIMEON NOCKOV 29 13WC 37974 19B COUTRE', GEORGE R WESTERN ILLINOIS UNIVERSI @ 05/02/11 HARVEY & STUCKEL ASSISTANT ATTORNEY GENERAL 30 13WC 39341 HARP, DOUG CATERPILLAR 09/20/12 STEPHENS FIDDES MCGILL ASS DARCY GIBSON 31 14WC 02838 RAMIREZ, LIBRADA A/K/A CENTRAL CLEANIDNG SERVICE 10/31/13 PATRICK JENNETTEN QUINN JOHNSTON HENDERSON ETA 32 14WC 05926 ROBERSON-TAYLOR, VICTORIA PEORIA CITIZENS COMMITTEE 02/20/13 JOHN LESAGANICH 33 14WC 06752 CARTER, JAMES L MORTON BUILDINGS INC 08/13/13 JOHN LESAGANICH, PC KNELL LAW LLC 34 14WC 10642 REGAN, SAMANTHA R (WIDOW) J F ELECTRIC INCORPORATED # 02/25/14 JOEL E BROWN COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 35 14WC 13972 GRANT, DONALD P III, ADMI L & M STEEL 03/19/14 STRONG LAW OFFICE RIPES NELSON BAGGOT KALOBRAT 36 14WC 25262 CHRISTIANSON, MIKE CENTURY LINK 07/18/13 STEPHENS FIDDES MCGILL ASS MC ANDREWS & NORGLE LLC 14WC025412 -C 37 14WC 28753 HELLER, KARI S STATE OF ILLINOIS @ 06/09/14 JOHN LESAGANICH SIMEON NOCKOV 38 14WC 29707 LENINGTON, DOUGLAS PAUL WEVER CONSTRUCTION 11/15/13 THOMSON & WEINTRAUB THOMAS & PORTELA 15WC001858 -C 15WC001859 -C 39 14WC 39033 BLEICHNER, CHRISTOPHER HANNA STEEL CORPORATION 10/28/14 JOHN LESAGANICH COZZI & GOGGIN-WARD 40 14WC 40286 19B SECKER, RAYMOND GOODWILL INDUSTRIES 11/09/13 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 41 14WC 40504 YANKAWAY, TABITHA SC2 10/22/14 JOHN LESAGANICH LAWRENCE COZZI - LAW OFFICE 42 14WC 40682 SCHLOSSER, ROBERT J II FARMERS COOP ASSOC 11/12/14 DAMON YOUNG CAPUANI, FRANK S 43 14WC 41902 RUTH, JOSHUA TOBIN BROTHERS 11/11/14 DAMON YOUNG KNELL LAW LLC 44 14WC 42025 KENT, MARK D CATERPILLAR INC 09/27/12 KINGERY DURREE WAKEMAN & R AMANDA WATSON 45 15WC 02860 KEIME, RANDY USA TECHNOLOGIES 12/26/14 STRONG LAW OFFICE CHILTON YAMBERT PORTER LLP 15WC005548 -C 46 15WC 06428 CUMMINGS, RENEE CATERPILLAR, INC 02/11/14 DAMON YOUNG AMANDA WATSON 47 15WC 10424 STOEHR, TROY PRAIRIE FARMS 03/13/13 STEPHENS FIDDES MCGILL ASS KNAPP, OHL & GREEN 48 15WC 17074 FRIANT, KENNY CATERPILLAR INC 05/08/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 15WC017075 -C 49 15WC 18189 MC QUAID, TAMMIE S CATERPILLAR INC 04/02/14 WINNE LAW OFFICE LLC DARCY GIBSON 50 15WC 18794 SASSMAN, BRIAN J-TECH 05/22/15 LAW OFFICE DAVID HUNT HOLECEK & ASSOCIATES 51 15WC 19987 REEVES, QUENTIN HUNZEKER SERVICE AGENCY 08/29/14 CUSACK FLEMING GILFILLAN E CHILTON YAMBERT PORTER LLP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 52 15WC 21060 GORDON, MICHAEL R TEMCO MACHINERY INC 04/09/15 JOHN LESAGANICH 53 15WC 21491 SHANKS, ERIN ACI MIDWEST LLC 06/25/15 PATRICK JENNETTEN PATRICIA M CARAGHER 54 15WC 22341 BLANCHARD, THOMAS EVONIK INDUSTRIES 05/29/15 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 55 15WC 22713 SCHLOSSER II, ROBERT J FARMERS COOP ASSOCIATION 05/21/15 DAMON YOUNG CAPUANI, FRANK S 56 15WC 26793 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 02/04/15 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 57 15WC 26796 COATES, JAMES CATERPILLAR, INC. 02/11/15 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 58 15WC 27767 BARBOUR, WENDY L PEKIN COMMUNITY HIGH SCHO 03/25/15 JOHN LESAGANICH COZZI & GOGGIN-WARD 59 15WC 29983 19B MARTIN, MELANIE AT & T 01/06/15 LAW OFFICE OF CHRIS DOSCOT HENNESSY & ROACH 60 15WC 31363 BAKER, BRYAN K LONZA, INC. 08/03/15 LEFANTE LAW OFFICES WIEDNER & MCAULIFFE LTD 61 15WC 33748 GILLES, SCOTT A PEORIA DISPOSAL CO 09/18/15 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 62 15WC 33824 NULL, KEITH A NELSON GLOBAL PRODUCTS 09/23/15 JOHN LESAGANICH 63 15WC 39933 STEWART, BRANDON OBERLANDER ELECTRIC 11/11/14 GOLDFINE & BOWLES CACCHILLO LAW GROUP LLC 64 15WC 41070 CHASTEEN, BEAU UNITED CONTRACTORS MIDWES 10/25/15 DEUTSCHMAN, JEFFREY S KNELL LAW LLC 65 15WC 42349 STECKEN, RICHARD S. CATERPILLAR, INC. 09/24/15 JOHN LESAGANICH AMANDA WATSON 66 16WC 00284 FAGGETT, JIMMY EVONIK INDUSTRIES 08/16/15 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 67 16WC 00346 MURPHY, DIANE OSF HOME CARE SVCS 10/01/15 LAW OFFICE MARK WERTZ HINSHAW & CULBERTSON 68 16WC 00661 SMITH, THERESA ILL DEPT OF MOTOR VEHICLE @ 12/23/15 STEPHENS FIDDES MCGILL ASS ASSISTANT ATTORNEY GENERAL 69 16WC 00959 BACHMAN, GARY PEORIA DISPOSAL COMPANY 11/30/15 LEE, MARK N LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 70 16WC 02088 POMEROY, JAMES IDOT 12/16/15 LEFANTE LAW OFFICES KRISTINA D DION 71 16WC 02277 LEEPER, CYNTHIA D ENVOY AIR INC 08/08/15 JOHN LESAGANICH 72 16WC 03632 19B PRECIADO, LUZ MARIA GCA SERVICES GROUP, INC. 07/10/15 STEPHEN P. KELLY ASA LAW GROUP 73 16WC 06759 SCHOLL, JIM BOB GRIMM CHEVROLET, INC. 01/05/15 DAMON YOUNG MORROW WILLNAUER 74 16WC 10800 MAGNUSON, DEBRA CATERPILLAR INC 03/07/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 75 16WC 14006 BLOOMER, WANDA CATERPILLAR, INC 10/15/15 DAMON YOUNG CATERPILLAR, INC. 76 16WC 16475 STEVENS, ROBERT BRUCE ARTIS D/B/A W 05/03/16 PERONA, PETERLIN, ANDREONI 77 16WC 17490 DAVIS, GLORIA CANTON UNION SCHOOL DIST 06/01/15 STEPHEN P. KELLY INMAN & FITZGIBBONS 78 16WC 17846 CARNES, CASSIE CATERPILLAR, INC 05/04/16 LAW OFFICE OF CHRIS DOSCOT AMANDA WATSON 79 16WC 18025 MCQUAID, TAMMIE S. CATERPILLAR INC. 05/13/16 WINNE LAW OFFICE LLC AMANDA WATSON 80 16WC 20112 NOBLE, MICHAEL E HAVANA SCHOOL DISTRICT 02/08/14 KANOSKI BRESNEY RIPES NELSON BAGGOT KALOBRAT 81 16WC 20643 WILDER, NICOLE COMMUNITY ACTION PARTNERS 01/21/16 JOHNSON & JOHNSON RUSIN & MACIOROWSKI LTD 82 16WC 20959 ROBINSON, GLORIER PEORIA SCHOOL DISTRICT 15 03/16/16 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 83 16WC 22041 LLOYD, BRYAN CATERPILLAR, INC. 07/05/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR, INC. 84 16WC 22174 LANTZ, RANDY CHILLICOTHE METAL CO. INC 07/01/16 JOHN LESAGANICH HOLECEK & ASSOCIATES 85 16WC 23861 HANLEY, TAMARA ROGY'S LEARNING PLACE 06/20/16 JAY H JANSSEN HOLECEK & ASSOCIATES 86 16WC 24230 BRODD, PATRICIA OSF HEALTHCARE SYSTEM DBA 09/22/13 MEYERS & FLOWERS HINSHAW & CULBERTSON 87 16WC 25654 KEERAN, TODD STATE OF ILLINOIS DEPARTM @ 01/29/16 JAY H JANSSEN KRISTINA D DION

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 88 16WC 26743 BENNETT, KEVIN TAZEWELL MACHINE WORKS, I 06/21/16 JOHN LESAGANICH 89 16WC 27063 EVANS, MARY BRADLEY UNIVERSITY 03/03/15 RIDGE & DOWNES 90 16WC 28091 BLANCHARD, TOM EVONIK 08/25/16 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 91 16WC 28983 BENNETT, KEVIN TAZEWELL MACHINE WORKS, I 02/03/16 JOHN LESAGANICH 92 16WC 29434 MC QUAID, TAMMIE S. CATERPILLAR INC 09/14/16 WINNE LAW OFFICE LLC AMANDA WATSON 93 16WC 29889 MUDD, SHAWN STARK EXCAVATING, INC 09/06/16 ANESI OZMON RODIN NOVAK KO HEYL ROYSTER VOELKER & ALLEN 94 16WC 30914 ROSS, AMANDA OSF ST FRANCIS MED CENTER 01/13/14 LAW OFFICE DAVID HUNT 95 16WC 31061 HIMEGARNER, JAY COUNTY OF PEORIA 09/23/16 BACH, ROBERT W STEPHEN P. KELLY 96 16WC 31354 DONAHO, KERMIT CONSOLIDATED BRANDS, LLC 08/03/16 KINGERY DURREE WAKEMAN & R 97 16WC 31747 MURRAY, JENNIFER CATERPILLAR, INC. 09/02/16 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 98 16WC 33877 CARRINGTON, LEGRANDE "JOE JAKE WOLF MEMORIAL FISH @ 04/24/16 WILLIAMS & SWEE 99 16WC 34606 POSTLEWAITE, ANTHONY AGAPE MISSIONARY 06/27/16 JOHN LESAGANICH 100 16WC 35042 PETERS, SAMUEL DIGGLE ACE HARDWARE LLC 09/19/16 JOHN LESAGANICH KNELL LAW LLC 101 16WC 35795 19B NICHOLS, TIFFANY STATE OF ILLINOIS - DHS @ 11/02/16 CUSACK FLEMING GILFILLAN E JOSEPH MOORE 102 16WC 38651 BLODGETT, CAROLYN STATE OF IL HUMAN SERVICE @ 11/02/16 LAW OFFICE OF CHRIS DOSCOT KRISTINA D DION 103 16WC 39467 PATEL, GIRISH 7, 11, 21, GROCERY AND DE 10/14/16 LEFANTE LAW OFFICES 104 17WC 00613 MURPHY DIANE OSF HOME CARE SERVICE 11/20/16 LAW OFFICE MARK WERTZ HINSHAW & CULBERTSON 105 17WC 01820 MARICLE, DONNA C OSF ST FRANCIS MEDICAL CE 08/23/16 JOHN LESAGANICH HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 17WC 02455 WITTY, RICHARD L WASTE MANAGEMENT 01/17/17 DAVID HUNT HENNESSY & ROACH 107 17WC 03075 YOUMANS, CALVIN MAACO PEORIA THE FLEETWOO 01/07/17 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 108 17WC 03395 LAYMAN, JEREMY JOHN CITY OF PEORIA POLICE DEP 08/13/16 MCCALL LAW OFFICES PC HASSELBERG GREBE SNODGRASS 109 17WC 03491 CUMMING, SHAWN P ST OF IL DEPT OF TRNSPORT @ 01/11/17 JOHN LESAGANICH KRISTINA D DION 110 17WC 04249 MCKINLEY, LISA CITY OF PEKIN 10/05/16 WILSON LAW OFFICES LLC QUINN JOHNSTON HENDERSON ETA 111 17WC 04571 SCHAEFER, JOSEPH SAIA LTL FREIGHT 11/03/16 STEPHEN P. KELLY BROWN & JAMES, PC 112 17WC 04637 RISHER, TIMOTHY STATE OF ILLINOIS-HFS/DCS @ 01/10/17 JOHN LESAGANICH KRISTINA D DION 113 17WC 05592 ELTREVOOG, MATT PHELPS UNIFORM SPECIALIST 01/24/17 PETER F FERRACUTI & ASSOCI GAROFALO SCHREIBER STORM GRA 114 17WC 07228 SANDOVAL, RUTH CITY OF PEORIA 03/02/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 115 17WC 07649 BRINER, MILDRED DISTRICT 309 EAST PEORIA 02/10/17 LAW OFFICE DAVID HUNT COZZI & GOGGIN-WARD 116 17WC 08257 FITZANKO, STEVE PEKIN POLICE DEPARTMENT 11/01/16 LAW OFFICE DAVID HUNT POWER & CRONIN LTD 117 17WC 09518 THOMPSON, CARL CATERPILLAR, INC 02/23/17 WILLIAMS & SWEE AMANDA WATSON 118 17WC 11385 MEYERS, LOREN CATERPILLAR INC. 01/31/17 STEPHENS FIDDES MCGILL ASS AMANDA WATSON 119 17WC 12175 HILL, DONALD OSF ST FRANCIS MEDICAL CE 03/16/17 LAW OFFICE DAVID HUNT 120 17WC 12423 HESS, JERRY STATE OF ILLINOIS-IDOT @ 10/31/16 JOHN LESAGANICH KRISTINA D DION 121 17WC 13044 RICHARDSON, JADE CATERPILLAR INC 09/01/12 LAW OFFICE OF CHRIS DOSCOT CATERPILLAR 122 17WC 14378 PARKS, CINDY L UNITY POINT HEALTH METHOD 12/16/16 JOHN LESAGANICH STEPHEN P. KELLY 123 17WC 14626 JARA JR, HAERMINIO TOSHIBA AMERICA MEDICAL S 10/04/16 TURCYCHUTE LLC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 17WC 15481 ROBERTSON, LARRY CHILLICOTHE METALS CO INC 04/24/17 LAW OFFICE DAVID HUNT 125 17WC 16149 ROE, PETER WASTE MANAGEMENT OF IL IN 01/28/15 GOLDFINE & BOWLES 126 17WC 16212 ROSALES, EUSEBIO PETROCHEM INSULATION, INC 09/30/16 STRONG LAW OFFICE HENNESSY & ROACH 127 17WC 16411 COLLINS, MATTHEW CENTRAL ILLINOIS INSULATI 05/04/17 JOHN LESAGANICH EVANS & DIXON 128 17WC 17275 LAUMEIER, JODIE MASON DISTRICT HOSPITAL 03/01/17 LAW OFFICE OF CHRIS DOSCOT STEPHEN P. KELLY 129 17WC 17292 CAMPEN, JUDY A EAST PEORIA ELEMENTARY SC 09/29/15 BACH, ROBERT W COZZI & GOGGIN-WARD 130 17WC 17774 HODGKINS, KEVIN MCI INDUSTRIAL 09/28/16 LEE, MARK N LAW OFFICE 131 17WC 18352 GOMEZ, DUSTIN STATE OF ILLINOIS 06/08/17 JOHN LESAGANICH JOSEPH MOORE 132 17WC 18360 GOMEZ, DUSTIN STATE OF ILLINOIS @ 06/07/17 JOHN LESAGANICH JOSEPH MOORE 133 17WC 19167 ELLIS, DEBRA DARCY'S CAFE & SLOTS 05/12/17 DWORKIN AND MACIARIELLO KEEFE CAMPBELL & ASSOC LLC 134 17WC 19303 BALLMER, LARSSES LUTHERAN SENIOR SERVICES 04/24/17 JOHN LESAGANICH 135 17WC 19946 BOEKER, ADAM KUHL INSURANCE AGENCY 04/19/16 GOLDFINE & BOWLES LUCY T. UNGER 136 17WC 20207 MCINTOSH, LANDON THARP'S LTD 12/01/16 ANKIN LAW OFFICE CASSANO & ASSOCIATES 137 17WC 20594 MCCARTY, JACOB MCCART HEATING AND PLUMBI 11/01/16 LEFANTE LAW OFFICES 138 17WC 20778 19B CLARK, ARTHUR HAMPTON'S KITCHEN & APPLI 04/12/17 GOLDFINE & BOWLES HENNESSY & ROACH 139 17WC 20791 UNDERWOOD, DENIELLE BOYD GAMING DBA PAR-A-DIC 06/28/17 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 140 17WC 20856 HENN, RICK CATERPILLAR 09/09/16 JAY H JANSSEN AMANDA WATSON 141 17WC 21216 PARKER, WYONA BOARD OF ED, CITY OF PEOR 05/09/17 JOHN LESAGANICH

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 142 17WC 21484 PISCAGLIA, MARK CATERPILLAR, INC 05/30/17 DAMON YOUNG CATERPILLAR 143 17WC 21648 BYRD, KASEY OSF ST FRANCIS MEDICAL CE 05/22/17 LEFANTE LAW OFFICES HINSHAW & CULBERTSON 144 17WC 21773 WILSON, SCOTT DESIGNER CONCEPTS LANDSCA 11/13/15 GOLDFINE & BOWLES CHILTON YAMBERT PORTER LLP 17WC021774 -C 145 17WC 22040 NIEDERER, GARY MASON DISTRICT HOSPITAL 03/14/17 JAY H JANSSEN 146 17WC 22822 STEPHENS, RANDY K KOMATSU AMERICA CORP 05/31/17 GOLDFINE & BOWLES KNELL LAW LLC 147 17WC 24168 STUMP, MARGARET OSF HOME CARE SERVICES 02/15/17 CROWLEY & PRILL 148 17WC 25294 SPRADLING, SEAN MEDIACOM COMMUNICATIONS 04/26/17 KATZ FRIEDMAN EAGLE ET AL 149 17WC 25944 WEIR, KAREN SEAPCO 02/03/17 DAMON YOUNG INMAN & FITZGIBBONS 150 17WC 26722 REES, WESLEY R P LUMBER COMPANY 08/14/17 WILLIAMS & SWEE 151 17WC 27035 RIEDEL, JENNIFER CATERPILLAR INC 07/05/17 AMANDA WATSON 152 17WC 27218 CALL, DUSTIN HALLMARK FIXTURE OPERATIO 09/05/17 BENASSI & BENASSI INMAN & FITZGIBBONS 153 17WC 27370 LEWIS, DAVID ICC 05/15/15 ROCHFORD & ASSOC INMAN & FITZGIBBONS 17WC027371 -C 17WC027372 -C 17WC027373 -C 154 17WC 27380 MORROW, BRITTANY CLUB CABARET 12/15/14 155 17WC 27381 MORROW, BRITTANY CLUB CABARET 03/24/15 156 17WC 27633 LEE, TONYA AG-LAND FS 05/01/17 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 157 17WC 28310 CAMERON, STEVE CATERPILLAR, INC 06/12/17 LAW OFFICE DAVID HUNT AMANDA WATSON 158 17WC 28355 19B FORD, KEVIN CONTECH ENGINEERED SOLUTI 09/05/17 STEPHEN P. KELLY COZZI & GOGGIN-WARD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 17WC 28702 WIGHT, TIM CITY OF PEORIA 12/14/14 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 160 17WC 29152 YEAGER, DAVID CITY OF PEORIA 09/22/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 161 17WC 30113 SANDLIN, MELISSA BRADLEY UNIVERSITY 11/08/16 STEPHENS FIDDES MCGILL ASS HOLECEK & ASSOCIATES 162 17WC 30323 HASKINS, TIFFANY MOSAIC IN MACOMB 05/03/17 JOHNSON & JOHNSON 163 17WC 30747 PHILLIPS, WILMA DCX-CHOL ENTERPRISES 06/01/17 LAW OFFICE MARK WERTZ HOLECEK & ASSOCIATES 164 17WC 30782 FERRLS, MICHAEL HY-VEE 09/20/16 JOHNSON & JOHNSON QUINN JOHNSTON HENDERSON ETA 165 17WC 31584 BROWNFIELD, TINA M J&J CLEANER CORP 07/29/17 LEO J SCHWAMBERGER INMAN & FITZGIBBONS 166 17WC 32257 BRACKNEY, SCOTT ENERCON ENGINEERING 10/04/17 STRONG LAW OFFICE HOLECEK & ASSOCIAT0ES 18WC023214 -C 167 17WC 32282 WILLIAMS, DEANNA STATE OF ILLINOIS @ 10/21/17 GOLDFINE & BOWLES JOSEPH MOORE 168 17WC 32418 HUNT, GARY BOYD GAMING 09/23/17 LAW OFFICE DAVID HUNT QUINN JOHNSTON HENDERSON ETA 169 17WC 32441 FALLON, DALE WRIGHT TREE SERVICE, INC 05/08/17 KINGERY DURREE WAKEMAN & R LEAHY EISENBERG & FRAENKEL 170 17WC 32540 NORDSIEK, DEBORAH J PEORIA PUBLIC SCHOOLS 09/13/17 DOC HALLIDAY STEPHEN P. KELLY 171 17WC 32546 JACKSON, ARAMIS E CITYLINK 08/21/17 PATRICK JENNETTEN CASSIDY & MUELLER 172 17WC 33939 STOCKOV, KATHY SCHLEIGH J.D.STREET & COMPANY INC 06/05/17 DAMON YOUNG KEEFE CAMPBELL & ASSOC LLC 173 17WC 34203 BAKER, JOSHUA WHEEL WORKS CO 11/03/17 WARREN E DANZ, PC WIEDNER & MCAULIFFE LTD 174 17WC 34731 TAYLOR, DENNIS HACKMAN EXPRESS 06/21/17 MARK WERTZ 175 17WC 36145 POP, DALTON M.J. ELECTRIC 10/21/16 MCCARTHY ROWDEN & BAKER RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 17WC 36721 FIGURSKI, DAN C&T SIDING AND CONSTRUCTI 09/19/17 DAMON YOUNG ASSISTANT ATTORNEY GENERAL 177 17WC 37395 19B ENGLEBRECHT, MARY SELECT POST ACUTE CARE 11/16/17 STEPHEN P. KELLY ROBERT L. SMITH 18WC001881 -C 178 18WC 00705 DEAL, JOHN SHERMAN'S PLACE INC 12/28/17 JOHN LESAGANICH LUCY T. UNGER 179 18WC 01877 CHILDERS, JEFF CITY OF PEORIA 12/25/17 DAMON YOUNG HASSELBERG GREBE SNODGRASS 180 18WC 01884 NEWELL, LYLE CATERPILLAR, INC 12/08/17 STEPHEN P. KELLY AMANDA WATSON 181 18WC 02587 NARTEY, FREDRICK JR ADVANCE SERVICES, INC 01/10/18 HOLLEY & ROSEN KEEFE CAMPBELL BIERY & ASSOC 182 18WC 02643 CADY, MICHAEL M AEROTEK 12/21/17 CROWLEY BUNGER PRILL HENNESSY & ROACH 183 18WC 02646 MASSEY, JEFF CITYLINK 06/01/17 LAW OFFICE PATRICK JENNETT 184 18WC 02758 DELHOTAL, MICHAEL MEDIACOM COMMUNICATIONS C 08/30/17 KATZ FRIEDMAN EAGLE ET AL 185 18WC 02864 ZACHERY, KENYON BIG DADDY CAB CO W 12/23/17 LAW OFFICE OF CHRIS DOSCOT 186 18WC 03092 REIHL, HAROLD HOFFMAN BURIAL SUPPLIES I 12/22/17 JOHN LESAGANICH KNELL LAW LLC 187 18WC 03152 KRUPA, JOANNE RICHARDET FLOOR COVERING 12/10/17 GOLDBERG WEISMAN & CAIRO L CAPUANI, FRANK S 188 18WC 03310 POWELL, CLARENCE ILLINOIS DEPT OF CORRECTI 01/07/18 WILLIAMS & SWEE JOSEPH MOORE 189 18WC 03654 WEST, MARIO WALLICK COMMUNITIES 01/03/18 CHRIS DOSCOTCH STEVEN PILAND 190 18WC 04389 SAYERS, DAVID L DYNEGY MIDWEST GENERATION 02/24/15 SCHUCHAT, COOK & WERNER KEEFE & DEPAULI 191 18WC 05236 OTH, CHARLES ILLINOIS BELL TELEPHONE C 10/16/17 GOLDFINE & BOWLES HENNESSY & ROACH 192 18WC 05533 WILLIAMS, SHIRETTE PEORIA PUBLIC SCHOOL DIST 02/02/18 STRONG LAW OFFICE STEPHEN P. KELLY 193 18WC 05807 BRAY, JAMES A SR MANITO TRANSIT, LLC 10/02/17 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 18WC 05850 WILLIAMS, TONEKA PROCTOR HOSPITAL 4403 01/24/18 JOHN LESAGANICH STEPHEN P. KELLY 195 18WC 05973 REID, BRAD ALPHA BAKING CO INC 06/10/17 DOC HALLIDAY 196 18WC 05993 SMITH, DOROTHY OSF ST FRANCIS MEDICAL CE 08/14/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 197 18WC 06309 WIGHT, TIM CITY OF PEORIA 07/28/17 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 198 18WC 06475 THOMPSON, CARL CATERPILLAR INC 05/20/16 WILLIAMS & SWEE AMANDA WATSON 199 18WC 06676 LARSON, SCOTT IDOT 01/15/18 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 200 18WC 06989 LIVINGSTON, DEBORA GREATER PEORIA MASS TRANS 01/27/18 LEE, MARK N LAW OFFICE QUINN JOHNSTON HENDERSON ETA 201 18WC 06998 LENOVER, LARRY A LAVERDIERE CONSTRUCTION 05/12/17 STEPHEN P. KELLY LIVINGSTONE MUELLER ET AL 202 18WC 07637 MOORE, STEPHEN TODD OX PAPERBORAD ILLINOS, LL 09/19/17 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 203 18WC 07640 MOORE, STEPHEN TODD OX PAPERBOARD ILLINOIS, L 05/30/16 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 204 18WC 07750 ESPINOZA, JOSE CHUCKANUT PRODUCTS 10/07/17 JOHN S. ELIASIK 205 18WC 08083 JOHNSON, TODD CITY OF PEORIA 06/20/17 CHRIS DOSCOTCH HASSELBERG GREBE SNODGRASS 206 18WC 08359 CARDEN, JOHN A NTN-BOWER CORPORATION 12/07/16 KANOSKI BRESNEY WIEDNER & MCAULIFFE LTD 207 18WC 08919 REDDEN, DESMOND MOJA SOUTHERN KITCHEN W 03/10/18 STRONG LAW OFFICE STEPHEN P. KELLY 208 18WC 08939 MCCARTNEY, GARY KEYSTONE STEEL & WIRE CO 02/11/18 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 209 18WC 10075 NIDIFFER, WILLIAM III CATERPILLAR, INC. 01/18/18 DAMON YOUNG CAT0ERPILLAR 210 18WC 10080 STANFILL, BRUCE WHEELIN & SQUEALIN' LLC A 03/17/18 CHRIS DOSCOTCH GAROFALO SCHREIBER STORM GRA 211 18WC 10900 VILLANUEVA, ADAN MCP, INC 12/04/17 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 212 18WC 11213 RENARD, NANCY NE FINCH COMPANIES 04/05/17 JAY H JANSSEN 213 18WC 11412 CRAPS, JUDITH CASEY'S GENERAL STORES 07/11/17 JOHN LESAGANICH 214 18WC 11510 GRAVES, GREGORY KEYSTONE STEEL & WIRE CO 01/25/18 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 215 18WC 11770 19B WALKER, ROSEMARY HGS 02/17/17 STEPHEN P. KELLY HOLECEK & ASSOCIATES 216 18WC 11860 HENDERSON, ROD OSF ST FRANCIS 11/03/17 STRONG LAW OFFICE HINSHAW & CULBERTSON 217 18WC 11939 OWENS, DAWN ELMWOOD SCHOOL DISTRICT # 01/11/18 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 218 18WC 12035 LA SANSKA, CATHY OSF ST FRANCIS MEDICAL CE 09/20/17 GREGORY W. SCRONCE HINSHAW & CULBERTSON 219 18WC 12051 CLEMENTS, KANISHA OSF ST FRANCIS 02/18/18 STRONG LAW OFFICE HINSHAW & CULBERTSON 220 18WC 12176 WILTERMOOD, GARY J DURHAM D & M LLC 03/30/18 HARVEY & STUCKEL GAIDO & FINTZEN 221 18WC 13571 TORTAT, PATRICIA BIG LOTS 03/15/18 STRONG LAW OFFICE LITCHFIELD CAVO 18WC026029 -C 222 18WC 13727 PEREZ, MARIA GCA SERVICES, INC 05/20/15 STRONG LAW OFFICE HENNESSY & ROACH PC 223 18WC 14685 JEFFERSON, SOPHIA PEORIA PUBLIC SCHOOLS - 04/17/18 STRONG LAW OFFICE STEPHEN P. KELLY 224 18WC 15555 PERSICH, MISTY OSF HOME CARE SERVICES 04/20/18 LEFANTE LAW OFFICES 225 18WC 15615 STOUT, JOHN WORLD OF POWERSPORTS 12/08/16 GOLDFINE & BOWLES 226 18WC 16221 WISNER, JIM CATERPILLAR 07/23/17 STEPHENS FIDDES MCGILL ASS CATERPILLAR 227 18WC 16524 SCHURMAN, MICHAEL B RJY ENTERPRISES INC 01/14/18 CASSIDY & MUELLER QUINTAIROS PRIETO WOOD & BOY 228 18WC 16528 STOCKHAM, WESLEY STATE OF IL-IL DEPART OF @ 05/03/18 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 229 18WC 17659 MYERS, DON CATERPILLAR, INC 08/15/16 CHRIS DOSCOTCH CATERPILLAR

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 230 18WC 17868 SCHNEPF, ARTHUR BLUE RHINO FERRELLGAS, IN 05/08/18 GOLDBERG WEISMAN & CAIRO L KNELL O'CONNOR DANIELWICZ 231 18WC 18580 BENNETT, ALVIN KROSECHELL 05/18/18 STEPHEN P. KELLY KEEFE CAMPBELL BIERY & ASSOC 232 18WC 18868 NELSON, DIRK CATERPILLAR 10/08/16 WILLIAMS & SWEE CATERPILLAR 233 18WC 18901 GULLEY, EDGAR AUTOZONE 06/19/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 234 18WC 19041 TIPPETT, JILL STATE OF ILLINOIS @ 12/21/16 DAVID HUNT JOSEPH MOORE 18WC019042 -C 235 18WC 19102 SISSON, CHRISTINE ILLINOIS RIVER @ 01/04/18 JOHNSON & JOHNSON JOSEPH MOORE 236 18WC 19264 MADON, TINA AJINOMOTO WINDSOR INC. 03/06/18 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 18WC019272 -C 237 18WC 19485 BAKER, BRYAN LONZA, INC 03/14/18 LEFANTE LAW OFFICES WIEDNER & MCAULIFFE LTD 238 18WC 19802 ELLIS, JORDAN KOMATSU AMERICA CORP 03/19/18 GOLDFINE & BOWLES HENNESSY & ROACH 239 18WC 20581 MASON, ELONA PEORIA PARK DISTRICT 03/21/18 DAMON YOUNG HENNESSY & ROACH PC 18WC020582 -C 240 18WC 21052 KING, CHAD DOMOR EQUIPMENT LLC 06/26/18 JOHN LESAGANICH 241 18WC 21075 HAMMERL, NICHOLAS PURE FITNESS INNOVATIONS 06/07/18 HEYL ROYSTER VOELKER & ALLEN 242 18WC 21243 LANDRY, #1 ARIANA PEKIN USED FURNITURE 10/11/15 WARREN E DANZ, PC 243 18WC 21369 HARRIS, TRINKA BIRD IN THE HAND STAFFING 06/29/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 244 18WC 21845 PYLES, CHRISTINA THE THIRD DEGREE CLUB, IN 06/23/18 BACH LAW OFFICE 245 18WC 22691 ELTREVOOG, MATT PHELPS UNIFORM SPECIALIST 11/17/16 PETER F FERRACUTI & ASSOCI 246 18WC 23215 ROBNSON, THADDEAUS ENERCON ENGINEERING INC 07/17/18 STRONG LAW OFFICE HOLECEK & ASSOCIATES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 247 18WC 24022 HELLE, LISA HELP AT HOME LLC 07/04/18 JOHN LESAGANICH ROSARIO CIBELLA 248 18WC 24365 THORNTON, PATRICK PEOPLEASE LLC 06/09/18 WILLIAMS & SWEE LEAHY EISENBERG & FRAENKEL 249 18WC 24419 STAHL, LYNN MARIE BOYD GAMING DBA PAR-A-DIC 07/23/18 JOHN LESAGANICH QUINN JOHNSTON HENDERSON ETA 250 18WC 24497 JONES, TERRY GLASS AMERICA 06/22/18 GOLDFINE & BOWLES HOLECEK & ASSOCIATES 251 18WC 24807 HART, MITCHELL HY-VEE, INC 08/13/18 GOLDBERG WEISMAN & CAIRO L QUINN JOHNSTON HENDERSON ETA 252 18WC 24956 DOUGLAS, JAMES CATERPILLAR, INC 01/22/18 DAMON YOUNG CATERPILLAR, INC. 253 18WC 25083 YANKAWAY, TABITHA SC2 07/19/18 JOHN LESAGANICH RIPES NELSON BAGGOT KALOBRAT 254 18WC 25829 BITNER, CHRISTOPHER CITY OF PEKIN ILLINOIS 02/12/17 SHANE VOYLES POWER & CRONIN LTD 255 18WC 26037 CHOATE, WILLIAM AUSTIN ENGINEERING 09/16/16 DAMON YOUNG LUCY T. UNGER 256 18WC 26129 BOONE, BRYAN CATERPILLAR, INC 07/23/18 BENASSI & BENASSI CATERPILLAR 257 18WC 26370 19B HAMBY, JERRY UNITED CONTRACTOR'S MIDWE 06/21/18 DAVID HUNT KNELL LAW LLC 258 18WC 26415 BURCH, JACK TAZEWELL MACHINE WORKS IN 05/02/18 JOHN LESAGANICH HOLECEK & ASSOCIATES 259 18WC 26694 WOODSON, PAMELA HEDDINGTON OAKS 06/08/18 DWORKIN AND MACIARIELLO STEPHEN P. KELLY 260 18WC 26987 GEILER, KEVIN L II ALTER TRADING CORPORATION 06/25/18 JANSSEN LAW CENTER MC ANDREWS & NORGLE LLC 261 18WC 27170 REED, MICHAEL PEORIA DISPOSAL COMPANY D 08/08/18 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 262 18WC 27232 REARDON, KELLY PEORIA SCHOOL DIST 150 08/29/16 DAMON YOUNG STEPHEN P. KELLY 263 18WC 29125 ROBERTS, MICHAEL F USF HOLLAND 02/21/18 STEPHEN P. KELLY HENNESSY & ROACH 264 18WC 29382 MOREDOCK, RYAN PRAIRIE MATERIALS 09/18/18 STRONG LAW OFFICE PRETZEL & STOUFFER, CHRTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 265 18WC 29389 LEHNHAUSEN, BRAD CATERPILLAR 08/16/18 GOLDFINE & BOWLES CATERPILLAR 266 18WC 29392 WARR, ANGEL KNAPP JOHNSON HARRIS 07/12/18 GOLDFINE & BOWLES BRYCE DOWNEY & LENKOV LLC 267 18WC 29479 SALEM, NICOLE METAMORA GRADE SCHOOL 05/24/16 KELLY LAW BRADY, CONNOLLY & MASUDA, PC 268 18WC 29707 MCGOWND, HEATHER LANE BRYANT INC 08/04/18 PATRICK JENNETTEN KOPKA, PINKUS DOLIN, PC 269 18WC 29951 NIDIFFER, WILLIAM CATERPILLAR, INC 09/21/18 DAMON YOUNG CATERPILLAR 270 18WC 30050 DIAZ, CYNTHIA OSF HOSPITAL 08/23/18 CHRIS DOSCOTCH HINSHAW & CULBERTSON 271 18WC 30173 CONNOR, MICHAEL ILLINOIS STATE POLICE 08/13/16 STEPHEN P. KELLY JOSEPH MOORE 272 18WC 30571 MADISON, MICHAEL NTN USA CORPORATION D/B/A 07/27/18 JOHN LESAGANICH WIEDNER & MCAULIFFE LTD 273 18WC 31029 VANDUSEN, JAMES CATERPILLAR, INC 11/18/15 STEPHEN P. KELLY CATERPILLAR 274 18WC 31114 GRAY, JALA' STEAK N SHAKE 08/31/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 275 18WC 31284 BUNDY, ROBERT PACIFIC ETHANOL 09/21/18 STRONG LAW OFFICE LAWRENCE COZZI - LAW OFFICE 276 18WC 31814 PHILLIPS, JOHN WILLIAMS BROTHERS CONSTRU 08/17/18 DELANO LAW OFFICES LLC KNELL LAW LLC 277 18WC 31834 POTTS, CHERYL TAZEWELL COUNTY JAIL 10/01/18 GOLDFINE & BOWLES INMAN & FITZGIBBONS 278 18WC 32691 MOREDOCK, MARVIN SHERMAN'S 07/03/16 DAVID HUNT LUCY T. UNGER 279 18WC 32856 WYDAJEWSKI, LEONARD CATERPILLAR, INC 08/21/18 DAVID HUNT CATERPILLAR 280 18WC 33014 KEMPF, BRUCE CHARLES RIVER LABORATORIE 12/03/15 DAVID HUNT HENNESSY & ROACH 281 18WC 33143 REYNOLDS, BRANDON JT FENNELL 02/01/18 STEPHEN P. KELLY RIPES NELSON BAGGOT KALOBRAT 282 18WC 33242 SHERWOOD, SCOTT ABM 10/15/18 DAMON YOUNG LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 283 18WC 33405 ZEISLER, EDNA NTN-BOWER CORPORATION 04/13/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 284 18WC 34654 SANDERS, KELLY STAFF QUICK 11/01/18 PATRICK JENNETTEN HENNESSY & ROACH 285 18WC 34798 BEAL, JULIA SNYDER VILLAGE 05/03/18 STRONG LAW OFFICE WOLFE & JACOBSON, LTD 286 18WC 35656 HUGHES, JOCELYN APERION MORTON VILLA 11/18/18 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 287 18WC 36108 JOB, MICHAEL L I & I CONSTRUCTION INC 05/15/18 CADY LAW FIRM, P.C. HEYL ROYSTER VOELKER & ALLEN 288 18WC 36221 DENISON, JEANNE P UNITED AIRLINES 04/10/15 ELFENBAUM EVERS ZIELINSKA WIEDNER & MCAULIFFE LTD 289 18WC 36652 ST. CLAIR, TAMMY OFFICE DEPOT 08/12/18 DOC HALLIDAY NYHAN BAMBRICK KINZIE & LOWR 290 18WC 36843 BEVARD, DENA THE CLAYBERG NURSING CENT 01/28/18 GOLDFINE & BOWLES POWER & CRONIN LTD 291 18WC 36860 CARTER, SUSAN CREVE COEUR SCHOOL DIST # 09/23/16 GOLDFINE & BOWLES LAWRENCE COZZI - LAW OFFICE 292 18WC 36963 RIDGEWAY, KATHRYN FREEMAN UNITED COAL # 06/07/17 CULLEY & WISSORE CRAIG & CRAIG 293 18WC 37050 WILTERMOOD, GARY J DURHAM D&M, LLC 11/13/18 HARVEY & STUCKEL GAIDO & FINTZEN 294 18WC 37097 WHITMORE, LEANNA CATERPILLAR INC 11/19/18 GOLDFINE & BOWLES CATERPILLAR 295 18WC 37167 HUTCHISON, JERRY SC2 11/05/18 CHRIS DOSCOTCH RIPES NELSON BAGGOT KALOBRAT 296 18WC 37409 LEWIS, ROBERT G&D TRASPORTATION, INC. 11/12/18 JOHN LESAGANICH LAWRENCE COZZI - LAW OFFICE 297 18WC 37487 DALY, JAMES JOHNSON CONTROLS 08/15/18 DAMON YOUNG RUSIN & MACIOROWSKI LTD 298 18WC 37595 KOEHL, RODNEY OSF HEALTHCARE CORP 12/22/16 GOLDFINE & BOWLES HINSHAW & CULBERTSON 299 18WC 37694 VANANTWERP, KIRK CITY OF EAST PEORIA 12/30/17 DAVID HUNT INMAN & FITZGIBBONS 300 18WC 37958 READER, KATIE TEXAS ROAD HOUSE 09/22/18 PATRICK JENNETTEN KEEFE CAMPBELL BIERY & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 301 18WC 37997 RIORDAN, SARAH (WIDOW) CITY OF PEORIA # 11/09/18 CUSACK GILFILLAN & O'DAY HASSELBERG GREBE SNODGRASS 302 18WC 38040 SMITH, TONY B CITYLINK 12/15/17 HASSELBERG GREBE SNODGRASS CASSIDY & MUELLER 303 18WC 38369 BURT, CHARLES CAPSTONE LOGISTICS, LLC 10/15/18 DWORKIN AND MACIARIELLO 304 19WC 01134 LOCASCIOU, FRANK R JR. STATE OF ILLINOIS-ILLINOI @ 12/13/18 JOHN LESAGANICH JOSEPH MOORE 305 19WC 01137 NOLAN, TIFFANY STEAK N SHAKE 11/23/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 306 19WC 01156 BURDA, CRAIG CATERPILLAR, INC 12/17/17 LEFANTE LAW OFFICES CATERPILLAR 307 19WC 01181 KELLY, ANDREW U-HAUL CO OF ILLINOIS 10/03/18 GOLDFINE & BOWLES RUSIN & MACIOROWSKI LTD 308 19WC 01628 SLAUGHTER, PATRICIA OSF ST FRANCIS 09/24/18 STRONG LAW OFFICE HINSHAW & CULBERTSON 309 19WC 01890 MINNIX, AMY HEDDINGTON OAKS 12/24/18 DWORKIN AND MACIARIELLO 310 19WC 02117 FOSTER, ROBERT JRS MASONRY CONSTUCTION 12/20/18 311 19WC 02190 JEFFORD, JOHN MENARDS 09/26/18 GOLDFINE & BOWLES 312 19WC 02215 COCKFIELD, LESLIE ALTER TRADING CORPORATION 01/18/19 DWORKIN AND MACIARIELLO LANE & WATERMAN 313 19WC 02645 BURNS, RODNEY YELLOW CHECKER CAB CORP 01/11/19 HEYL ROYSTER VOELKER & ALLEN 314 19WC 03176 STOCK, NORMAN LIBERTY UNITED LOVE MIN./ 01/03/19 JOHN LESAGANICH 315 19WC 03279 HARRISON DELORIS PARADISE HOTEL & CASINO 01/12/19 STRONG LAW OFFICE 316 19WC 03428 PEDERSEN, CYNTHIA UPH METHODIST MEDICAL CEN 12/19/18 JOHN LESAGANICH STEPHEN P. KELLY 317 19WC 03549 DECKER, JAMES HAGERTY STEEL & WIRE 01/15/19 DAMON YOUNG POULOS & DIBENEDETTO LAW 318 19WC 04038 TURLEY-HAMMITT, JORDAN MIDWEST CHASSIS INC 01/25/19 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 319 19WC 04075 JUNGERS, CHAD ENTERPRISE RENT-A-CAR 01/23/19 DAVID HUNT 320 19WC 05110 VAN DYKE, ANNETTE M CATERPILLAR, INC 01/18/19 HARVEY & STUCKEL CATERPILLAR, INC. 321 19WC 05149 HORN, MATT STARK EXCAVATING 11/09/17 DAMON YOUNG HEYL ROYSTER VOELKER & ALLEN 322 19WC 05370 ROBERSON-TAYLOR, VICTORIA SHARON WOODS 01/10/19 HARVEY & STUCKEL BRADY, CONNOLLY & MASUDA, PC 323 19WC 05447 DAVIS, ANTOINE PEORIA DISPOSAL CO 10/17/18 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 324 19WC 05622 ROBERTSON, SUSAN R HGS, INC 01/29/19 HARVEY & STUCKEL HOLECEK & ASSOCIATES 325 19WC 06051 BROWN, JEREMY CHEESE NUTS, D/B/A 01/29/19 LEFANTE LAW OFFICES 326 19WC 06171 IMIG, BREANN STATE OF IL/IL STATE POLI @ 01/15/19 HASSELBERG & ROCK JOSEPH MOORE 327 19WC 06356 BREHM, KENDALL CATERPILLAR, INC 01/25/19 STEPHENS FIDDES MCGILL ASS CATERPILLAR 328 19WC 06398 SCRIBNER, KEITH FARM & FLEET 01/09/19 STRONG LAW OFFICE NYHAN BAMBRICK KINZIE & LOWR 19WC006422 -C 329 19WC 06413 MCCLANAHAN, RONNIE KEYSTONE STEEL & WIRE 02/20/18 MARK N LEE 330 19WC 06796 MONFRE, ANTHONY BOB GRIMM CHEVROLET 02/06/18 PATRICK JENNETTEN HENNESSY & ROACH 331 19WC 06834 ANTONINI, MARY R & M PHILLIPS INVESTMENT 02/12/19 JOHN LESAGANICH 332 19WC 06852 BURR, SUSAN ST JOSEPH'S NURSING HOME 01/31/19 JOHN LESAGANICH HENNESSY & ROACH 333 19WC 06891 ROACH, ERIC CITY OF EAST PEORIA 10/22/18 STEPHEN P. KELLY INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 334 19WC 06951 ROGERS, AARON VISTRA ENERGY 01/17/19 MARK N LEE KEEFE & DEPAULI 335 19WC 07391 JENKINS, CHRISTOPHER US XPRESS INC. 07/29/18 JANSSEN LAW CENTER HENNESSY & ROACH PC 19WC007392 -C 336 19WC 07482 MORRIS, CARLOS SEDONA STAFFING 02/18/19 QUINN JOHNSTON HENDERSON ETA 337 19WC 08041 COFFMAN, NANCY LUDY'S CLEANING SERVICE 01/25/19 GOLDFINE & BOWLES 338 19WC 08146 WILSON, MICHAEL MIDWEST ENVIRONMENTAL MGM 02/12/19 JOHN LESAGANICH QUINTAIROS PRIETO WOOD & BOY 339 19WC 08440 TOYNE, LYNKEN T CITY OF PEKIN 01/14/18 MARK WERTZ POWER & CRONIN LTD 340 19WC 08475 TILL, BROCK CITY OF EAST PEORIA 01/28/19 HASSELBERG & ROCK INMAN & FITZGIBBONS 341 19WC 08494 FRIDAY, DONALD CATERPILLAR, INC 02/26/19 STEPHEN P. KELLY CATERPILLAR, INC. 342 19WC 08786 COX, THOMAS DAVID DRIVER 12/22/18 DAMON YOUNG KINGERY DURREE WAKEMAN O'DON 343 19WC 08813 WETZEL, LOIS JOY PACT HEAD START/ 09/07/17 REHN LAW LLC 344 19WC 08900 WETZEL, LOIS JOY PACT HEAD START/ 09/18/18 REHN LAW LLC 345 19WC 09456 BARRETT, AUDREY SNYDER VILLAGE 10/11/18 GOLDFINE & BOWLES WOLFE & JACOBSON, LTD 346 19WC 09459 GIRARD, JOE TONY EMERY DBA GREEN RECY 12/02/18 GOLDFINE & BOWLES STEPHEN P. KELLY 347 19WC 09627 MARCILLE, JON WHITTAKER & STEPHENS ELEC 03/23/18 DAMON YOUNG STEPHEN P. KELLY 348 19WC 09737 KATILE, APRIL PELLA CORPORATION 10/07/18 DAVID W MARTAY 349 19WC 09770 KERFOOT, RODNEY AJ'S RECYCLING SERVICES I 02/26/19 JOHN LESAGANICH 350 19WC 09881 GRAHAM, MAX D JR ACME TRUCK LINE, ICN 02/15/19 MARK WERTZ KEEFE CAMPBELL BIERY & ASSOC 351 19WC 09891 EADY, FRED CATERPILLAR, INC 12/06/18 HASSELBERG GREBE SNODGRASS DARCY GIBSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 352 19WC 09999 CERVANTES, EDUARDO SAC WIRELESS 11/29/18 HORWITZ HORWITZ & ASSOC WIEDNER & MCAULIFFE LTD 353 19WC 10116 PRIEST, MONICA FARMINGTON SCHOOL DIST #2 11/07/18 GOLDFINE & BOWLES BRADY, CONNOLLY & MASUDA, PC 19WC018479 -C FQARMINGTON SCHOOL DIST #2 354 19WC 10391 JOHNSON, CARLA BOYD GAMING D/B/A PAR-A-D 01/08/19 JOHN LESAGANICH 355 19WC 10423 SHALLENBERGER, JOHN GROVELAND TOWNSHIP OFFICE 01/09/18 KATZ FRIEDMAN EAGLE ET AL BRADY, CONNOLLY & MASUDA, PC 356 19WC 10780 BARTELMAY, FAYE METAMORA COMM NURSING HOM 08/30/18 STEPHEN P. KELLY WOLFE & JACOBSON, LTD 357 19WC 10824 DUBOIS, PAT FARMINGTON TOWNSHIP 10/06/14 KINGERY DURREE WAKEMAN O'D BRADY, CONNOLLY & MASUDA, PC 358 19WC 10936 MC KOWN, CORY NOAH HERMAN SONS BUILDERS 10/11/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 359 19WC 11037 WRIEDT, TODD CERES ENVIRONMENTAL SERVI 03/03/19 STRONG LAW OFFICE 360 19WC 11069 FONTAINE, MELISSA HY-VEE 08/21/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 361 19WC 11778 WALTER, VICKY CASEY'S GENERAL STORE INC 12/05/18 JOHN LESAGANICH JAMES M KELLY 362 19WC 11881 EUSTICE, JAMES SEDONA STAFFING 04/02/19 STRONG LAW OFFICE 363 19WC 11917 ROBERSON, ANDREW FS WESTERN GRAIN MARKETIN 10/05/18 GOLDFINE & BOWLES 364 19WC 12066 HINSHAW SR, CLARK B LANGSTON COMPANIES INC 12/11/18 HASSELBERG GREBE SNODGRASS 365 19WC 12081 HINSHAW, CLARK B SR. LANGSTON COMPANIES INC. 04/09/19 HASSELBERG GREBE SNODGRASS CRAIG A HANSEN 366 19WC 12085 ALLEMAN, SHANNON UNITYPOINT-METHODIST 09/30/18 STRONG LAW OFFICE STEPHEN P. KELLY 367 19WC 12192 BURCH, JACK TAZEWELL MACHINE WORKS IN 05/09/18 JOHN LESAGANICH 368 19WC 12336 COX, SHARON PAR-A-DICE CASINO 03/11/19 DAVID HUNT 369 19WC 12905 KUHL, DONNA M HEARTLAND HEALTH CARE CEN 07/21/18 DREW J FERRACUTI BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 370 19WC 13185 ENGLEBRECHT II, RANDY HELP AT HOME 02/28/19 STEPHEN P. KELLY INMAN & FITZGIBBONS 371 19WC 13195 LEMAN, CHAD CATERPILLAR, INC 03/01/19 STEPHEN P. KELLY CATERPILLAR, INC. 372 19WC 13743 WRIGHT, KIMBERLY S WASHINGTON COMMUNITY HIGH 05/13/16 MARK WERTZ ROSARIO CIBELLA 373 19WC 13964 SCHNIBBEN, JOHN CITY OF PEORIA 04/09/19 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 374 19WC 14323 JOWERS, ANDEL CATERPILLAR 04/05/19 DAMON YOUNG DARCY GIBSON 375 19WC 14353 MCNEIL, MARY ANN WEST CENTRAL IL 02/25/19 BLACK & JONES NOBLE & ASSOC 376 19WC 14573 SAUNDERS, STEVEN PRAIRIE FARMS 05/13/19 STRONG LAW OFFICE KNAPP, OHL & GREEN 377 19WC 15143 ESPENSCHEID, MELISSA CATERPILLAR 03/09/19 STRONG LAW OFFICE 378 19WC 15325 BOLEN, KATHI CEFCU 12/04/18 STEPHEN P. KELLY HENNESSY & ROACH 379 19WC 15371 BELSLY, PATRICIA LINDY'S DOWNTOWN MARKET 10/19/18 STEPHENS FIDDES MCGILL ASS 380 19WC 15780 OKRASKI, CHARLIE US FOOD SERVICE 12/07/18 KROL BONGIORNO & GIVEN LTD 381 19WC 15953 TOYNE, LYNKEN T CITY OF PEKIN 03/20/19 MARK WERTZ POWER & CRONIN LTD 382 19WC 15988 PERLEY, RYAN SEDONA STAFFING 01/01/18 CROWLEY & PRILL QUINN JOHNSTON HENDERSON ETA 19WC015993 -C 383 19WC 16043 VAUGHN, STEFFANIE MONICALS 05/11/19 STRONG LAW OFFICE MORROW WILLNAUER 384 19WC 16276 NEFF, TIFFANY DENMAN LINEN 03/12/19 DAMON YOUNG LUCY T. UNGER 385 19WC 16452 PETTY, MICHAEL PEORIA PUBLIC SCHOOL DIST 01/08/19 STRONG LAW OFFICE STEPHEN P. KELLY 386 19WC 16549 CRAIG, SONJA GRAPE TREE MEDICAL STAFFI 01/27/19 DAMON YOUNG RUSIN & MACIOROWSKI LTD 387 19WC 16589 AKERS, MICHAEL GRAND + BENEDICTS 12/17/18 WINSTEIN KAVENSKY & WALLAC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 388 19WC 16688 MCGOWAN, JAMES JR. AAA NORTHGATE 02/20/19 RUSIN & MACIOROWSKI LTD 389 19WC 16762 LOGUE, JACALYN SHARON HEALTH CARE PINES 05/05/19 STEPHENS FIDDES MCGILL ASS BRADY CONNOLLY & MASUDA PC 390 19WC 16856 JEFFRIES, JUSTIN CITY OF PEORIA 05/22/19 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 391 19WC 17009 CISNEROS, CRISTIAN BLAST IT ALL 06/06/19 EPSTEIN, JACK R LAW OFFICE RUSIN & MACIOROWSKI LTD 392 19WC 17082 HOPPING, TRENT C WESTERN ILLINOIS UNIVERSI 05/29/19 HARVEY & STUCKEL ASSISTANT ATTORNEY GENERAL 393 19WC 17135 MURNAN, TIM MISSY'S CORNER CAFE 03/20/19 CUSACK GILFILLAN & O'DAY ROSARIO CIBELLA 394 19WC 17208 19B BISHOP, MARK PEORIA PARK DISTRICT 04/19/19 PATRICK JENNETTEN HENNESSY & ROACH 395 19WC 17419 BROWDER, AMANDA TEXAS ROADHOUSE OF EAST 05/18/19 JOHN LESAGANICH KEEFE CAMPBELL BIERY & ASSOC 396 19WC 17432 RINDFLEISCH, MARY CHILDERS EATERY 05/21/19 STRONG LAW OFFICE STEPHEN P. KELLY 397 19WC 17496 SMITH, THERESA OSF ST FRANCIS MEDICAL CE 06/03/19 STRONG LAW OFFICE HINSHAW & CULBERTSON 398 19WC 17693 GREINER, DONNA L MT. HAWLEY COUNTRY CLUB 08/18/17 HARVEY & STUCKEL BRADY, CONNOLLY & MASUDA, PC 399 19WC 18001 WARR, ANGEL CLARY FUNERAL 07/12/18 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 400 19WC 18092 HOPSON, GREG CASE NEW HOLLAND 04/25/19 CHRIS DOSCOTCH INMAN & FITZGIBBONS 401 19WC 18244 HERNANDEZ, ARMANDO A MILLER & CO 05/20/19 CUSACK GILFILLAN & O'DAY QUINTAIROS PRIETO WOOD & BOY 402 19WC 18529 LENARDT, KATHY ARAMARK 08/17/18 SIMPSON PETERSON 403 19WC 18661 BROWN, CHRISTOPHER NEAL AUTO PARTS 03/03/19 STRONG LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 404 19WC 18751 ASH, GREG GLENVIEW PORK, LLC 04/24/19 GALLAGHER LAW PC 405 19WC 18946 WILLIAMS, DAVID TOPLESS TREE SERVICE 06/19/19 GOLDFINE & BOWLES QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 406 19WC 18962 JOHNSON, PAUL F UNDERHILL TRUCKING 04/25/19 MARK N LEE 407 19WC 19041 ROBERTSON, TORI CATERPILLAR, INC 05/10/19 STEPHEN P. KELLY DARCY GIBSON 408 19WC 19414 OBERLE, WILLIAM LIBERTY STEEL & WIRE 06/21/19 GOLDFINE & BOWLES CRAIG A HANSEN 409 19WC 19415 WATTS, JOSEPH BRUNON MOTOR FREIGHT 04/10/19 GOLDFINE & BOWLES QUINN JOHNSTON HENDERSON ETA 410 19WC 19630 RUSSELL, KENDRA, MOTHER O COMCAST # 08/31/16 PATRICK JENNETTEN HENNESSY & ROACH PC 411 19WC 19781 MCCOOL, KEVIN BRADLEY UNIVERSITY 06/07/18 JOHN LESAGANICH 412 19WC 19859 BRIMBLE, PATRICK ILLINOIS DEPT OF CORRECTI @ 02/22/19 KELLY LAW JOSEPH MOORE 413 19WC 19897 PEAK, JERRY CATERPILLAR, INC. 04/01/19 STEPHEN P. KELLY CATERPILLAR, INC. 414 19WC 20362 HINES, JENNY UNITYPOINT HEALTH 05/02/19 GOLDFINE & BOWLES STEPHEN P. KELLY 415 19WC 20365 PURIFOY, MARKISHA APERION CARE PEORIA HEIGH 02/28/19 GOLDFINE & BOWLES BRADY, CONNOLLY & MASUDA, PC 416 19WC 20471 BANKS, BRANDY MEDICAL STAFFING NETWORK 06/24/19 WILLIAMS & SWEE KEEFE & DEPAULI 417 19WC 20639 KRUSA, JACOB APERION CARE MORTON VILLA 06/19/19 BRADY, CONNOLLY & MASUDA, PC 418 19WC 20735 VENABLE, REBECCA WALGREENS 03/13/18 STEPHEN P. KELLY EVANS & DIXON, LLC 419 19WC 21134 SEYMORE, MICHAEL HOLLISTER ELECTRICAL, 01/02/19 LEFANTE LAW OFFICES 420 19WC 21239 SAVAGE, RITCHIE BRADLEY UNIVERSITY 07/12/19 MARK N LEE HOLECEK & ASSOCIATES 421 19WC 21516 OHL, CHRISTOPHER D CITY OF PEORIA 07/23/18 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 422 19WC 21637 MILLER, SCOTT SEDONA STAFFING 05/17/18 STRONG LAW OFFICE QUINN JOHNSTON HENDERSON ETA 423 19WC 21862 JOHNSON, CHERYL HELP AT HOME 01/05/19 LOGAN LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 424 19WC 21963 BARTH, LAURA LIMELIGHT COMMUNICATIONS 07/26/19 STEPHEN P. KELLY HOLECEK & ASSOCIATES 425 19WC 22192 HECOX, JAMES PRAIRIELAND FUNERAL SUPPL 03/27/19 DAVID HUNT 426 19WC 22330 BEARSS, LYLE EMERALD PERFORMANCE GROUP 02/20/19 DAVID HUNT THOMAS & ASSOCIATES 427 19WC 22363 HARRIS, SAMUEL MATT TODD W 06/02/19 WARREN E DANZ, PC 428 19WC 22518 BARNES, ANTONIKA OSF ST FRANCIS MEDICAL CE 04/01/19 DOC HALLIDAY HINSHAW & CULBERTSON 429 19WC 22644 FORD, TIMOTHY VILLAGE OF METAMORA 07/10/19 STEPHEN P. KELLY POWER & CRONIN LTD 430 19WC 22731 ROSENBERGER, GERALD MARC CATERPILLAR, INC. 06/26/19 STEPHEN P. KELLY CATERPILLAR, INC. 431 19WC 22751 DUNCAN, AUBREY CITY OF PEORIA 05/23/19 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 432 19WC 23159 PURDLE, TIMOTHY LIBERTY UNTIED LOVE MINIS 07/29/19 ADLER & ADLER 433 19WC 23203 BALE, STEPHEN EXCALIBUR CONTRACTING COR 07/23/19 STEPHEN P. KELLY LAWRENCE COZZI - LAW OFFICE 434 19WC 23527 CHAVEZ, IRMA GARCIA ON TIME STAFFING 08/03/19 HERRERA LAW CENTER 435 19WC 23626 HENDEL, BRANDON NUTRIEN AG SOLUTION 06/05/19 STEPHEN P. KELLY SPIEGEL & CAHILL, PC 436 19WC 23724 KOPOSKY, JEFF EPIC 02/27/19 RIDGE & DOWNES 437 19WC 23761 ATWOOD, DENNIS J SR. ROSEWOOD CARE CENTER 10/24/17 DAMON YOUNG ACCIDENT FUND HOLDINGS 438 19WC 23893 GORDON, DAMON PEORIA COUNTY JUVENILE 05/09/19 DAVID HUNT 439 19WC 23946 BUCHANAN, RONALD MATCOR METAL FABRICATION 06/17/19 STRONG LAW OFFICE 440 19WC 24072 HEINZ, SUSAN KINDRED GREATER PEORIA 04/24/19 DAMON YOUNG ARNETT LAW GROUP 441 19WC 24174 WOOD, TINA FAMILY DOLLAR 01/04/19 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 442 19WC 24351 WILSON, SHEILA CATERPILLAR INC 03/27/19 DAMON YOUNG DARCY GIBSON 443 19WC 24366 TERRELL, SHELLY DEER CREEK MACKINAW DIST 06/01/19 ESSIG LAW OFFICES 444 19WC 24628 HALL, NATHAN CATERPILLAR, INC 02/28/19 STEPHEN P. KELLY CATERPILLAR, INC. 445 19WC 24768 BAKER, BRENDA H BOYD GAMING CORPORATION D 09/01/18 MARK WERTZ 446 19WC 25085 HURT, PATRICIA VISTRA ENERGY CORPORATION 02/25/19 STEPHEN P. KELLY KEEFE & DEPAULI 447 19WC 25194 FRIDAY, DONALD CATERPILLAR INC. 02/25/19 STEPHEN P. KELLY CATERPILLAR, INC. 448 19WC 25242 RUTLEDGE, DANIEL PRAIRIE FARMS 09/14/18 STRONG LAW OFFICE KNAPP, OHL & GREEN 449 19WC 25542 BUCHER, RANDALL KEYSTONE CONSOLIDATION IN 08/19/19 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 450 19WC 25549 ROBINSON, STACY RIVER 1000, INC, D/B/A 05/06/19 JOHN LESAGANICH LAWRENCE COZZI - LAW OFFICE 451 19WC 25574 SHIELDS, JOSEPH COMMUNITY WHOLESALE TIRE 08/01/19 DAMON YOUNG HARRIS DOWELL FISHER & HARRI 452 19WC 25788 HERNDON, ARLEEN CATERPILLAR 08/01/19 STEPHEN P. KELLY CATERPILLAR, INC. 453 19WC 25884 DANNER, TRAVIS DEPARTMENT OF CORRECTIONS @ 06/26/19 STRONG LAW OFFICE JOSEPH MOORE 454 19WC 26043 GUZMAN, MARIA MORAN CRACKED PEPPER CATERING 07/03/19 DAVID HUNT 455 19WC 26224 PALAZZO, THOMAS KOMATSU 02/14/19 GOLDFINE & BOWLES HENNESSY & ROACH 456 19WC 26232 MEEKS, DIXIE G&D INTEGRATED 02/11/19 DAMON YOUNG LAWRENCE COZZI - LAW OFFICE 457 19WC 26615 ERICKSON, DENNIS IDOT @ 09/04/19 STEPHEN P. KELLY JOSEPH MOORE 458 19WC 26857 NAGEL, K CHRISTIAN FUSION TECH INTEGRATED 05/20/19 REHN LAW LLC 459 19WC 26985 HOMANN, SCOTT PRAIRIE FARMS DAIRY 06/13/19 STEPHENS FIDDES MCGILL ASS KNAPP, OHL & GREEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 460 19WC 26998 LUNDGREN, JUSTIN MCDONOUGH COUNTY SHERIFF' 02/11/18 LEFANTE LAW OFFICES RUSIN & MACIOROWSKI LTD 461 19WC 27098 NUTTER, BRIAN CITY OF PEORIA 08/22/19 CUSACK GILFILLAN & O'DAY HASSELBERG GREBE SNODGRASS 462 19WC 27120 KETTERING, PAMELA S NIEMANN FOODS, INC 04/02/18 DOC HALLIDAY HEYL ROYSTER VOELKER & ALLEN 463 19WC 27178 STALEY, JAMIE EXCALIBUR 08/29/19 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 464 19WC 27191 SIMS, MICHAEL HELPING HAND RESOURCE CEN 02/07/19 STRONG LAW OFFICE 465 19WC 27287 SINKHORN, TAMMARA CATERPILLAR 02/16/19 RIDGE & DOWNES DARCY GIBSON 466 19WC 27343 SIKES, TONY CORTELYOU READY MIX 04/10/19 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 467 19WC 27353 WIGHT, BRAD LIBERTY STEEL & WIRE 04/29/19 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 468 19WC 27355 LAGAGE, JOHN K G&D INTEGRATED 05/09/19 JANSSEN LAW CENTER LAWRENCE COZZI - LAW OFFICE 469 19WC 27356 GILL, AMY PAR-A-DICE CASINO/BOYD GA 06/29/19 JANSSEN LAW CENTER 470 19WC 28026 MC KNIGHT, TYRELL KELLY SERVICES, INC 08/03/19 JOHN LESAGANICH BRADY, CONNOLLY & MASUDA, PC 471 19WC 28162 MENDENHALL, ROBERT W FERRELLGAS 06/12/19 STEVEN P GLANCY 472 19WC 28272 MYERS, JOHN MONROE SCHOOL DISTRICT #7 08/21/19 JOHN LESAGANICH ACCIDENT FUND HOLDINGS 473 19WC 28350 RADOSEVIC, MARY BURKLUND DISTRIBUTORS INC 07/23/19 STEPHEN P. KELLY KOPKA, PINKUS DOLIN, PC 474 19WC 28361 JACKSON, JAMES MATCOR METAL 08/16/18 STRONG LAW OFFICE 19WC028842 -C 475 19WC 28433 BENSON, ERIC C CITY OF PEKIN 08/07/19 BACH LAW OFFICE POWER & CRONIN LTD 476 19WC 28601 ESTES, BRUCE MV TRANSPORTATION 09/13/19 GOLDFINE & BOWLES BRADY CONNOLLY & MASUDA PC 477 19WC 28705 WEBB, CHRISTOPHER SHERMAN'S 09/11/19 STRONG LAW OFFICE LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 478 19WC 28905 FAGGETT, JIMMY EVONIK 06/29/18 DAVID HUNT LAWRENCE COZZI - LAW OFFICE 479 19WC 29306 PETTIT, DENNIS PACIFIC MANAGEMENT INC 08/21/19 HARVEY & STUCKEL 480 19WC 29502 ESCUDERO, GUADELUPE BEST WESTERN 04/19/19 DAMON YOUNG WIEDNER & MCAULIFFE LTD 481 19WC 29590 NICHOLSON, DONNA CITY OF PEORIA 04/26/19 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 482 19WC 29677 BENNIE, JENNIFER KRA 10/07/17 GOLDFINE & BOWLES LUCY T. UNGER 483 19WC 29750 MENEES, MARK D SANDRIDGE FOOD CORP 09/09/19 HARVEY & STUCKEL PAUL O WATKISS 484 19WC 29819 HELFERS, DEANNA HALVERSON CONSTRUCTION CO 10/04/19 ANESI OZMON RODIN NOVAK KO JAMES M KELLY 485 19WC 29942 PURDLE, TIMOTHY CAST TECHNOLOGIES 07/29/19 ADLER & ADLER 486 19WC 30136 COTELLESO, WILLIAM CITY OF PEORIA 08/20/19 DAMON YOUNG HASSELBERG GREBE SNODGRASS 487 19WC 30175 YOUNG, SYLVIA JOURNAL STAR & ME DELIVER 09/04/19 STEPHEN P. KELLY KNELL LAW LLC 488 19WC 30348 MCKINLEY, DALE AMERICAN MILLING, LP 06/08/17 NYHAN BAMBRICK KINZIE & LOWR 489 19WC 30476 IRONS, TIM LANGSTON BAG OF PEORIA 07/15/19 JANSSEN LAW CENTER CRAIG A HANSEN 490 19WC 30742 MELLOY, DAMION G&D 10/17/19 STRONG LAW OFFICE LAWRENCE COZZI - LAW OFFICE 491 19WC 31051 HINKLE, DOMANQUE HELPING HAND RESOURCE CEN 09/05/19 DWORKIN AND MACIARIELLO 492 19WC 31149 DIBLER, AMY JO NATIONWIDE JANITORIAL SER 10/13/19 STRONG LAW OFFICE 493 19WC 31268 RENY, DANIEL J PEORIA #2 HY-VEE 10/20/19 JANSSEN LAW CENTER QUINN JOHNSTON HENDERSON ETA 494 19WC 31370 HARRIS, TRINKA BIRD IN THE HAND STAFFING 06/29/18 BLACK & JONES WIEDNER & MCAULIFFE LTD 495 19WC 31377 BELMER, TRISHAUNIA OSF HEALTHCARE SYSTEM COR 06/03/19 GOLDFINE & BOWLES HINSHAW & CULBERTSON

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 496 19WC 31381 HEINZ, JIM KOMATSU 09/25/19 GOLDFINE & BOWLES HENNESSY & ROACH 497 19WC 31562 RICE, PHILIP LAKE THUNDERBIRD ASSOCIAT 06/06/17 JACOBSON & SCHIEFELBEIN 498 19WC 31727 HENDERSON, RONALD KEYSTONE STEEL & WIRE 10/10/18 DAVID HUNT RUSIN & MACIOROWSKI LTD 499 19WC 31792 HIATT, ROBERT CATERPILLAR 09/16/19 GOLDFINE & BOWLES CATERPILLAR, INC. 500 19WC 31847 LEE, DANA GANDER OUTDOORS/CWI, INC 08/21/18 STRONG LAW OFFICE 501 19WC 32049 SWANSON, AMY AJINMOTO FOODS NORTH AMER 06/20/19 STEPHEN P. KELLY HEYL ROYSTER VOELKER & ALLEN 502 19WC 32952 BOGNER, BRADLEY CARDINAL LOGISTICS 04/15/19 CROWLEY & PRILL HENNESSY & ROACH PC 503 19WC 33070 THOMPSON, KEO ELAINE PEORIA SD #150 03/15/19 KELLY LAW STEPHEN P. KELLY 504 19WC 33243 IVEY, SHAUN CITY OF PEKIN 10/28/19 STEPHEN P. KELLY POWER & CRONIN LTD 505 19WC 33527 WATERS, KERRIANNE L WESTERVELT, JOHNSON, NICO 11/29/16 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 506 19WC 33564 WILLIS, KAREN LIBERTY VILLAGE 10/13/19 GOLDFINE & BOWLES 507 19WC 33673 MARTIN, ROBERT PEORIA PUBLIC SCHOOL DIST 06/10/19 CUSACK GILFILLAN & O'DAY STEPHEN P. KELLY 508 19WC 33782 MCGILL, BRET HADDADS W PEORIA MARKET 10/16/19 JOHN LESAGANICH HEYL ROYSTER VOELKER & ALLEN 509 19WC 33958 TREECE, TAMATHA UNITED PARCEL SERVICE INC 11/07/19 SCHWEICKERT GANASSIN LAWRENCE COZZI - LAW OFFICE 510 19WC 34073 SCHEINER, CHARLES LIBERTY STEEL & WIRE 10/25/19 STEPHEN P. KELLY RUSIN & MACIOROWSKI LTD 511 19WC 34091 JANSON, KEVIN G&D TRANSPORTATION 02/28/19 JOHN LESAGANICH LAWRENCE COZZI - LAW OFFICE 512 19WC 34147 GRAHAM, TODD EAGLE POINT FARMS LLC 12/14/16 PATRICK JENNETTEN 513 19WC 34168 HODGE, ROBERT WALLICK COMPANIES 10/16/19 STRONG LAW OFFICE LUCY T. UNGER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 514 19WC 34235 ZUKOWSKI, CRAIG CITY OF PEKIN 09/21/19 BACH LAW OFFICE POWER & CRONIN LTD 515 19WC 34295 HARTWELL, DAVID L RELIABLE PUMP SVC 05/14/19 WARREN E DANZ, PC 516 19WC 34344 STENSTROM, CHERYL SEDGEWICK CLAIM SERVICES 11/01/19 STEPHEN P. KELLY KELLEY KRONENBERG 517 19WC 34507 YOUNG, JACQUELINE A CLEANER FINISH, LLC 11/13/19 KATZ FRIEDMAN EISENSTEIN 518 19WC 34736 HODGES, TAMMY K CATCH A STAR LEARNING CEN 01/14/19 KANOSKI BRESNEY NYHAN BAMBRICK KINZIE & LOWR 519 19WC 34828 NEAL, ANTHONY DOOR DASH 11/15/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 520 19WC 34937 JACKSON, KAREN D PEORIA PUBLIC SCHOOL #150 03/15/19 HARVEY & STUCKEL STEPHEN P. KELLY 521 19WC 34955 HUNT JR, ROY CATERPILLAR INC 11/04/19 WARREN E DANZ, PC DARCY GIBSON 522 19WC 35012 LOWE, PAMELA KOMATSU 05/31/19 STEPHEN P. KELLY HENNESSY & ROACH 523 19WC 35140 HAMER, MONICA OSF ST FRANCIS MEDICAL CE 02/11/19 JOHN LESAGANICH 524 19WC 35193 PAUL, ERICH ADVANTAGE SOLUTIONS 11/20/19 STEPHEN P. KELLY KELLEY KRONENBERG 525 19WC 35270 WANLAND, BRANDON WILLIAM BROTHERS CONSTRUC 01/26/19 DWORKIN AND MACIARIELLO 526 19WC 35522 HASLETT, MICHELLE CATERPILLAR, INC 05/14/19 HASSELBERG GREBE SNODGRASS DARCY GIBSON 527 19WC 35549 COOPER, DAVID M ROHN PRODUCTS LLC 07/02/19 KANOSKI BRESNEY 528 19WC 35565 BROOKS, MELANIE D WESTERN ILLINOIS UNIVERSI @ 10/08/19 KANOSKI BRESNEY JOSEPH MOORE 529 19WC 35586 RANNAU, GERALD PEKIN PARK DISTRICT 08/07/19 RYAN POWERS 530 19WC 35862 BREITBARTH, MATTHEW SAME LEMAN 11/21/19 DAMON YOUNG 531 19WC 35917 CLAYTON, STEPHANIE PAR-A-DICE HOTEL CASINO 06/30/19 GOLDFINE & BOWLES

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 31 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 532 19WC 35966 TARTER, ADAM T CATERPILLAR, INC. 08/14/19 HASSELBERG GREBE SNODGRASS DARCY GIBSON 533 19WC 36252 BURNETT, BRANDON J CITY OF PEKIN 12/09/19 BACH LAW OFFICE POWER & CRONIN LTD 534 19WC 36325 GRINMAN, LEONID CENTRAL STATE TRUCKING 08/14/19 JOSEPH J LOSS PC 535 19WC 36470 POLNITZ, COREY DOLLAR TREE 09/03/19 STRONG LAW OFFICE LEAHY EISENBERG & FRAENKEL 536 19WC 36569 SMITH, WILBERT ALEXANDER - STEWART LUMBA 01/14/19 BACH LAW OFFICE LUCY T. UNGER 537 19WC 36944 KRUZAN, MONTE L MOORE TIRES, INC. 11/11/19 KANOSKI BRESNEY 538 19WC 36974 STENSON, KENDRICK HUCKS 12/01/19 WARREN E DANZ, PC 539 19WC 36981 BROWN, LARRY KEYSTONE CONSOLIDATED IND 12/06/19 JOHN LESAGANICH 540 19WC 37006 MYERS, CATHY CATERPILLAR, INC 10/10/19 DOC HALLIDAY DARCY GIBSON 541 19WC 37031 BROWN, JOHN O'BRIEN STEEL SERVICES 11/20/19 STRONG LAW OFFICE KEEFE CAMPBELL BIERY & ASSOC 542 19WC 37098 HARDY, SHANE PEOPLE READY 12/04/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 543 19WC 37147 RENGEL, ASHLEE VOLT INFORMATION SCIENCES 10/03/19 JOHN LESAGANICH 544 19WC 37303 WHITTENBURG, KIRK CATERPILLAR 10/11/19 RIDGE & DOWNES DARCY GIBSON 545 19WC 37404 CHESTER, MANDI SOUTH SIDE MISSION 05/14/19 GOLDFINE & BOWLES ROSARIO CIBELLA 546 19WC 37480 SMITH, JIBARO CATERPILLAR INC 08/01/19 STEPHEN P. KELLY CATERPILLAR, INC. 547 19WC 37520 HELMS, NATHAN KOMATSU 11/15/19 GOLDFINE & BOWLES HENNESSY & ROACH 548 20WC 00128 TYUS, LINDA CHRISTIAN HORIZON 05/20/19 MARK N LEE 549 20WC 00738 BUSHNELL, KEVIN W THE PEORIA JOURNAL STAR 09/09/19 KINGERY DURREE WAKEMAN O'D

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 32 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 550 20WC 00820 WESLEY, FELICIA FAMILY CORE 01/02/20 STRONG LAW OFFICE HENNESSY & ROACH 551 20WC 00982 NASH, KEITH CENTRAL TRANSPORT 12/27/19 JEFF GREEN HINSHAW & CULBERTSON 552 20WC 01072 DRISKELL, ARISSA GENERATIONS AT RIVERVIEW 11/29/19 STRONG LAW OFFICE PAUL O WATKISS 553 20WC 01134 ELLIS, JEREMY(FATHER OF M JIMMY JOHN'S 11/03/19 KELLY LAW 554 20WC 01187 LEE, PATRICE WASHINGTON SENIOR LIVING 12/28/19 GOLDFINE & BOWLES 555 20WC 01222 SOLOMON, MICHAEL LAHOOD CONSTRUCTION 11/08/19 STEPHEN P. KELLY 556 20WC 01252 LYON, DONALD CITY OF EAST PEORIA 10/02/19 DAVID HUNT INMAN & FITZGIBBONS 557 20WC 01288 BILLEN, LAURA SC2 10/02/19 DAMON YOUNG RIPES NELSON BAGGOT KALOBRAT 558 20WC 01356 SMITH, CHARLES CANTON READY MIX 12/11/19 STEPHEN P. KELLY GAROFALO SCHREIBER STORM GRA 559 20WC 01547 HARRIS, SCOTT MARSHALL COUNTY SHERIFF'S 07/23/19 LEFANTE LAW OFFICES 560 20WC 01569 MERRITT, LONNIE VISTRA ENERGY 06/26/19 DAMON YOUNG KEEFE & DEPAULI 561 20WC 01913 MARONEY, KEVIN BILLY JOE'S TOWING & RECO 11/23/19 WARREN E DANZ, PC 562 20WC 01928 EDWARDS, PAUL CITY OF PEORIA 01/07/20 BACH LAW OFFICE HASSELBERG GREBE SNODGRASS 563 20WC 02039 HOLLAND, ASHLEY LITTLE CAESARS 03/25/19 DAVID HUNT 564 20WC 02144 WADE, BRADLEY STATE OF IL- IDOC @ 08/05/19 STRONG LAW OFFICE JOSEPH MOORE 565 20WC 02300 BILBREY, NORMAN FARM KING 03/06/19 KATZ FRIEDMAN EISENSTEIN 566 20WC 02840 DEPEUGH, CHRISTOPHER IDOT @ 07/30/19 STEPHEN P. KELLY JOSEPH MOORE 567 20WC 03020 JONES, BRETT L PEORIA COUNTY JUVENILE 12/10/19 ROCHFORD & ASSOC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 33 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 568 20WC 03065 MOONEY, ANTHONY INTEG MOTORSPORTS 01/01/18 STRONG LAW OFFICE GAROFALO SCHREIBER STORM GRA 569 20WC 03134 ARNOLD, TAMMY GENERATIONS AT RIVERVIEW 04/23/19 STEPHEN P. KELLY BRADY, CONNOLLY & MASUDA, PC 570 20WC 03238 CRITES, NIKKI LYNN CHESTNUT HEALTH SYSTEMS 09/07/19 PETER BLASI LLC 571 20WC 03491 SIMPSON, NIKKI PEORIA PUBLIC SCHOOLS-DIS 02/21/19 MARK N LEE STEPHEN P. KELLY 572 20WC 03574 WIENERS, MARK KS ENERGY SERVICES, LLC 09/05/19 ANKIN LAW OFFICE GAROFALO SCHREIBER STORM GRA 573 20WC 04095 EXNER, CODY SAC WIRELESS 01/27/20 KROL BONGIORNO & GIVEN LTD WIEDNER & MCAULIFFE LTD 574 20WC 04132 RENNAU, GERALD PEKIN PARK DISTRICT 08/07/19 RYAN POWERS 575 20WC 04140 JONES, FRANK W RIVER CITY CONSTRUCTION L 07/31/18 HARVEY & STUCKEL 576 20WC 04155 FREEMAN, DANNY VISTRA ENERGY 02/15/18 DAMON YOUNG KEEFE & DEPAULI 577 20WC 04328 HAUSE, PHILLIP CAPITOL GROUP, INC 01/20/20 DAMON YOUNG 578 20WC 04329 MASON, BRIAN J & M MEATS & SUPPLIES 08/20/19 THOMAS SCHOOLEY 579 20WC 04498 LOWERY, LASHIA GENERATIONS AT RIVERVIEW 12/23/19 PATRICK JENNETTEN BRADY, CONNOLLY & MASUDA, PC 580 20WC 04715 FITZGERALD, KESHA OSF ST FRANCIS MEDICAL CE 01/10/20 STRONG LAW OFFICE 581 20WC 04719 SCHRAEDER, SAMANTHA PO-BOYS ON FROSTWOOD 12/27/19 GOLDFINE & BOWLES 582 20WC 04725 MACCANELLI, ANNA JC PENNEY 11/25/17 CUSACK GILFILLAN & O'DAY RUSIN & MACIOROWSKI LTD 583 20WC 04921 DOWNER, SUE FANNIE MAY 12/16/19 STRONG LAW OFFICE HOLECEK & ASSOCIATES 584 20WC 05231 RAGAN, VINCE MCLANE MIDWEST, INC 01/25/18 RICH RICH COOKSEY & CHAPPE KEEFE CAMPBELL BIERY & ASSOC 585 20WC 05683 REID, ALEX WAITE EQUIPMENT COMPANY 12/20/18 STEPHEN P. KELLY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 34 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 586 20WC 05715 WHITNEY, SHERRY SC2 01/14/20 DAMON YOUNG RIPES NELSON BAGGOT KALOBRAT 587 20WC 05741 VAN ANTWERP, KIRK CITY OF EAST PEORIA 07/08/19 DAVID HUNT INMAN & FITZGIBBONS 588 20WC 05755 BULLERI, JUAN PIZZA HUT/EYM PIZZA 02/05/20 LEFANTE LAW OFFICES WIEDNER & MCAULIFFE LTD 589 20WC 05954 JOHNSON, MARK CNH INDUSTRIAL AMERICA LL 12/06/19 JOHN LESAGANICH INMAN & FITZGIBBONS 590 20WC 05978 SHIPMAN, ERIK CITY OF PEKIN 02/05/20 DAVID HUNT POWER & CRONIN LTD 591 20WC 06125 BOOLMAN, JAMIE COUNTRY CLUB OF PEORIA 07/15/19 GOLDFINE & BOWLES 592 20WC 06128 SASSMAN, CLINT G4S SECURE SOLUTIONS USA 10/17/19 GOLDFINE & BOWLES 593 20WC 06186 ALLEN, ROMAINE GALE OSF ORTHOPEDICS 03/08/19 GOLDFINE & BOWLES 594 20WC 06293 SORENSON, NOAH PEKIN CLIMATE CONTROL 01/08/20 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 595 20WC 06375 RATLIFF, TRAVIS AZZ GALVANIZING 02/27/20 STEPHEN P. KELLY KEEFE CAMPBELL BIERY & ASSOC 596 20WC 06490 WALTERS, BRUCE A KOMATSU AMERICA CORP 03/27/19 KINGERY DURREE WAKEMAN O'D HENNESSY & ROACH 597 20WC 06578 EETEN, MIKE CITY OF PEKIN 02/19/20 DAVID HUNT POWER & CRONIN LTD 598 20WC 06686 CALLEAR, KENNETH ARPIN VAN LINES 06/01/19 STRONG LAW OFFICE HENNESSY & ROACH 599 20WC 07100 AUSTIN, DEMETRICE WALGREENS 11/19/19 GOLDFINE & BOWLES GILDEA, COGHLAN & REGAN LTD. 600 20WC 07183 SPENCER, KENNETH J-TEC INDUSTIES, INC. 10/24/19 DOC HALLIDAY HOLECEK & ASSOCIATES 601 20WC 07460 SMITH, SCOTT HAAS INTERNATIONAL 01/15/20 STRONG LAW OFFICE WOLF & LAUDICINA LTD 602 20WC 07646 EDWARDS, MICHAEL LE MYERS CO 03/12/20 GWC INJURY LAWYERS LLC 603 20WC 07662 BAKER, JOSEPH ACOUSTICAL CEILINGS 07/23/19 CHATHAM & BARICEVIC WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 35 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 604 20WC 07833 EPKINS, DAN MORTON HIGH SCHOOL 01/29/20 GOLDFINE & BOWLES 605 20WC 07880 YEPSEN, MELINDA BRADLEY UNIVERSITY 10/15/19 STRONG LAW OFFICE 606 20WC 07907 DAWSON, ALLISHIA CATERPILLAR, INC 01/05/20 STEPHEN P. KELLY CATERPILLAR, INC. 607 20WC 07999 BAUMBERGER, JACOB AGRIDYNE 02/24/20 HAXEL LAW OFFICE KNELL O'CONNOR DANIELWICZ 608 20WC 08020 LEON JR, MANUEL AMBER & MARTY'S FILLIN 02/21/20 STRONG LAW OFFICE ACCIDENT FUND HOLDINGS 609 20WC 08190 CARTER, KAREN BLAIN'S FARM & FLEET 12/16/19 GOLDFINE & BOWLES 610 20WC 08207 MOORE, CLINTON PACIFIC ETHANOL INC, D/B/ 01/20/20 JOHN LESAGANICH COZZI & ZAPF LAW OFFICE 611 20WC 08224 PULLIUM, ANTHONY TAZEWELL MACHINE WORKS 01/23/20 JOHN LESAGANICH 612 20WC 08452 KENYON, KEITH NRG ENERGY 09/21/19 GOLDFINE & BOWLES 613 20WC 08464 HARDY, ANTONIO CATERPILLAR 09/01/19 STRONG LAW OFFICE DARCY GIBSON 614 20WC 08717 ANDERSON, TERESA BOYD GAMING 12/06/19 JOHN LESAGANICH 615 20WC 08753 BLAKE, TAYLOR OSF ST FRANCIS MED CTR 12/03/19 DAVID HUNT HINSHAW & CULBERTSON 616 20WC 08770 JACKSON, IRIS RESOURCE MANUFACTURING 03/11/20 WARREN E DANZ, PC 617 20WC 08921 HILL SR, GERMAINE CATERPILLAR 11/01/18 DWORKIN AND MACIARIELLO CATERPILLAR, INC. 618 20WC 08975 PARKER, DANIEL CATERPILLAR INC 02/14/20 DAVID HUNT CATERPILLAR, INC. 619 20WC 09194 WATTS, JOHNNY SHERMAN'S WAREHOUSE * 01/17/20 DWORKIN AND MACIARIELLO 620 20WC 09244 WILLIAMS, CHATAUQUA CATERPILLAR * 12/01/19 STRONG LAW OFFICE 621 20WC 09282 PEAK, MICHAEL MINNESTOTA LIMITED, LLC * 03/20/20 PATRICK JENNETTEN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 36 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 622 20WC 09409 TUTHILL, JENNIFER A PELLA CORPORATION * 10/19/19 KANOSKI BRESNEY 623 20WC 09494 ROBISON, CHERYL KEVIN WILLENBORG DBA * 09/13/19 DAVID HUNT 624 20WC 09516 BAXTER, MICHAEL LOGAN TRIVOLI FIRE DEPT * 02/01/19 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 625 20WC 09844 DORAN, ALYSIA BRASKY'S BAR & GRILL * 10/27/19 STEPHENS FIDDES MCGILL ASS 626 20WC 09862 MCCORMICK, MATTHEW CITY OF EAST PEORIA 09/28/18 STRONG LAW OFFICE 627 20WC 09870 TURNBOW, DAVID CATERPILLAR, INC * 08/22/19 DAMON YOUNG DARCY GIBSON 628 20WC 09871 TURNBOW, DAVID CATERPILLAR, INC 04/01/20 DAMON YOUNG DARCY GIBSON 629 20WC 10018 BROWNELL, STEVEN B GREATER PEORIA MASS TRANS * 09/06/19 HARVEY & STUCKEL 630 20WC 10060 MITCHELL, MATTHEW ROHN PRODUCTS * 12/06/19 CUSACK GILFILLAN & O'DAY HOLECEK & ASSOCIATES 631 20WC 10236 STEAR, STACY CITY OF PEORIA 04/25/20 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 632 20WC 10537 FEENEY, JOSHUA CITY OF PEORIA * 04/23/20 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 633 20WC 10736 KING, MACKENZIE E SMARATIAN MINISTRIES INT * 05/15/18 COZZI & ZAPF LAW OFFICE 634 20WC 10828 YOUNGER, CHRISTOPHER ROHN PRODUCTS LLC * 01/22/20 GOLDFINE & BOWLES HOLECEK & ASSOCIATES 635 20WC 10880 YEPSEN, RICHARD BRADLEY UNIVERSITY * 04/09/20 STRONG LAW OFFICE HOLECEK & ASSOCIATES 636 20WC 10972 TAPP, RICHARD J-TECH INDUSTRIES INC * 11/01/18 STRONG LAW OFFICE 637 20WC 11130 BRESNAHAN, STEPHEN CITY OF PEKIN * 05/04/20 STEPHEN P. KELLY POWER & CRONIN LTD 638 20WC 11177 COFFEY, FORREST CATERPILLAR, INC * 04/06/20 JOHN LESAGANICH DARCY GIBSON 639 20WC 11218 RAMIREZ, MARK A BRANDT CONSTRUCTION * 11/13/17 MCCARTHY, CALLAS & FEENEY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 37 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 640 20WC 11354 APISA, ANTHONY OTTO BAUM COMPANY * 08/27/18 CAPRON & AVGERINOS PC 641 20WC 11388 WOOD, TAYLOR KEYSTONE CONSOLIDATED * 09/10/19 CRAIG A HANSEN 642 20WC 11412 RINGEL, ORION CASTING CLEANING RESOURCE * 07/15/19 DAMON YOUNG 643 20WC 11531 BIXBY, RONALD HITCHCOCK SCRAP YARD 12/21/18 STEPHEN P. KELLY INMAN & FITZGIBBONS 644 20WC 11686 MORRIS, JUDE PDC SERVICES INC. * 01/06/20 JOHN LESAGANICH 645 20WC 11699 TOURNEAR, ASHLYNN A MOSAIC, INC * 12/31/19 KANOSKI BRESNEY 646 20WC 11730 BECKER, CRYSTAL CATERPILLAR * 01/06/20 STRONG LAW OFFICE 647 20WC 11786 TOMPKINS, JON CHJG ENTERPRISES * 12/18/19 HULVEY LAW MCANANY VANCLEVE & PHILLIPS 648 20WC 11819 HEATON II, CHRISTOPHER CITY OF PEORIA * 09/15/18 HASSELBERG GREBE SNODGRASS 649 20WC 12047 TATE, LEO UPS FREIGHT- EAST PEORIA * 04/16/20 SAUNDERS CONDON & KENNY COZZI & ZAPF LAW OFFICE 650 20WC 12087 EDGINGTON, EARL PEORIA PUBLIC SD 150 * 01/10/20 DAVID HUNT 651 20WC 12103 FUENTES, JOSE PETROCHEM * 02/12/20 DAVID HUNT 652 20WC 12684 CADY, MICHAEL RAWLINGS ALIVE TREE CARE * 12/09/19 GOLDFINE & BOWLES COZZI & ZAPF LAW OFFICE 653 20WC 12725 STEAR, STACY CITY OF PEORIA * 05/02/20 STEPHEN P. KELLY HASSELBERG GREBE SNODGRASS 654 20WC 12780 SALINAS, JESUS UNITED FACILITIES INC * 05/11/19 MC HARGUE & JONES 655 20WC 12943 RASMUSSEN, ANDREW KEYSTONE CONSOLIDATED * 10/28/19 CRAIG A HANSEN 656 20WC 13118 FISHER, PATRICK ROANOKE CONCRETE * 11/01/18 KELLY LAW 657 20WC 13128 MISTEKEVIC, JOE AJINOMOTO WINDSOR * 01/23/20 HARVEY & STUCKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 38 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 658 20WC 13363 BROOKS, BOB AECOM DBA AMENTAM * 03/17/19 DAMON YOUNG HENNESSY & ROACH 659 20WC 13503 WUNDER, MERILEE OSF ST FRANCIS MEDICAL CE * 03/27/19 DAMON YOUNG 660 20WC 13533 FRANCISKOVICH, VANCE VISTRA ENERGY * 05/21/19 KEEFE & DEPAULI 661 20WC 13613 BARR, MARGARET MASON DISTRICT HOSPITAL 02/11/20 JANSSEN LAW CENTER 662 20WC 13684 BRANCECUM, ROBERT HIRSCHBACH TRUCKING * 01/03/20 GOLDFINE & BOWLES HINSHAW & CULBERTSON 663 20WC 13688 TUDELA, ZACHERIAS FL SMIDTH * 05/06/20 GOLDFINE & BOWLES 664 20WC 13923 SMALL, MICHAEL BROCK INDUSTRIAL SERVICES * 03/18/20 MALLOY ETZLER & LAWHEAD PC 665 20WC 14046 LOWE, JAIME CATERPILLAR INC * 12/13/18 WILSON LAW OFFICES LLC 666 20WC 14313 BARTH, AMY OSF ST FRANCIS MEDICAL CE * 06/12/17 CUSACK GILFILLAN & O'DAY 667 20WC 14328 HOYLE, DAWN PPS DISTRICT 150 * 10/01/19 MARK N LEE 668 20WC 14425 SPENCER, THOMAS TAZEWELL COUNTY * 12/17/19 CUSACK GILFILLAN & O'DAY INMAN & FITZGIBBONS 669 20WC 14430 GABBERT, MICHAEL BODINE SERVICES OF PEORIA * 05/11/20 GOLDFINE & BOWLES 670 20WC 14435 ALSTON, LARRY O KOMATSU AMERICA CORP * 10/25/18 HARVEY & STUCKEL 671 20WC 14470 BAKER, CLINT FED EX EXPRESS * 04/23/20 HARVEY & STUCKEL 672 20WC 14677 WALLACE, YOLANDA OSH HOME HEALTH & HOSPICE * 12/24/19 DAVID HUNT 673 20WC 14687 LAUMEIER, JODIE MASON DISTRICT HOSPITAL * 08/26/19 DAMON YOUNG 674 20WC 14700 THOMAS, KIMBERLEE CITY OF PEORIA * 09/28/18 BENASSI & BENASSI HASSELBERG GREBE SNODGRASS 675 20WC 14728 SHANNON, PATRICK LEMAN PRECAST CONCRETE * 03/06/20 WARREN E DANZ, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 39 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR PEORIA 41002 ON 08/10/2020 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 676 20WC 15111 FERGUSON, ROGER STEL 'N SHAKE * 02/25/20 DAVID HUNT 677 20WC 15149 BASSETT, ANTHONY CITY OF HAVANA * 09/23/19 DOC HALLIDAY INMAN & FITZGIBBONS 678 20WC 15184 LAWSON, AGOSSOU FIRST HOSPITALITY GROUP I * 02/26/20 STRONG LAW OFFICE 679 20WC 15244 RICH, HANNAH PLAY ALL DAY DOG DAYCARE * 03/03/19 STEPHEN P. KELLY 680 20WC 15561 GRAYSON, LOGAN CITY OF PEORIA * 06/29/20 STEPHEN P. KELLY