ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 00WC 59313 ROESCH, JUERGEN CRESSWOOD FARMS 09/23/00 CAPRON & AVGERINOS PC SUGAR FELSENTHAL GRAIS HAMME 2 05WC 39390 BUTTERFIELD, SHARON BLACKHAWK COLLEGE 12/09/03 NELSON KEYS & KEYS RUSIN & MACIOROWSKI LTD 3 06WC 21006 19B KPAYEDO, AKUAUI FARMLAND FOODS 07/05/04 'LANRE O AMU STEPHEN P. KELLY 4 06WC 51959 SANCHEZ, ROMAN GREAT DANE TRAILERS 06/13/06 BLACK & JONES SPIEGEL & CAHILL, PC 5 07WC 40759 19B BARBARO, TERRI J.B. HUNT TRANSPORT SERVI 08/16/07 JOHN J CASTANEDA RUSIN & MACIOROWSKI LTD 6 08WC 00985 AMEGNRAN, YAWOVI FEDEX GROUND 10/06/07 SCOPELITIS GARVIN LIGHT 7 08WC 18828 FRY, DAVID L DEMPSEY & SONS CONSTRUCTI @ 03/16/08 DAVID W MANDRGOC LAW OFFIC ASSISTANT ATTORNEY GENERAL 8 08WC 34425 GARCIA, SARAH L WALMART #891 04/17/08 PERONA, PETERLIN, ANDREONI GANAN & SHAPIRO 9 08WC 47636 ASHLEY, DOUGLAS NORFOLK IRON & METAL 01/23/08 HOPKINS & HUEBNER PC GAROFALO SCHREIBER STORM 10 08WC 47799 JACKSON, DENNIS FARMLAND FOODS 08/30/08 STRONG LAW OFFICE STEPHEN P. KELLY 08WC047933 -C 11 09WC 38276 MC INTIRE, DENNIS JOHN DEERE HARVESTER 02/27/07 AMES LAW OFFICES CALIFF & HARPER PC 12 09WC 47468 MONTEGNA, ROBERT HILAND TOYOTA SCION 11/19/08 WHITESIDE & GOLDBERG LTD GAROFALO SCHREIBER STORM 13 10WC 01856 ENGELS, KIMBERLY EYE SURGEONS ASSOCIATES P 07/13/09 CULLEN HASKINS NICHOLSON LAW OFFICES JOSEPH MARCINIAK 14 10WC 02225 FALL, LORI ROGER HAGERTY APPRAISALS 01/11/10 CROWLEY BUNGER PRILL GANAN & SHAPIRO 15 10WC 09659 FISHER, JEANNA ROCK ISLAND COUNTY 02/09/10 WARNER & ZIMMERLE RUSIN & MACIOROWSKI LTD 16 10WC 35295 JOHNSON, DUANE "ROB" MAPLE LEAF, INC D/B/A CUL 01/09/08 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 17 10WC 38233 GOMEZ, CIPRIANO JOHN DEERE HARVESTER 03/23/09 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 18 10WC 38394 MCINTIRE, DENNIS J JOHN DEERE HARVESTER 03/06/09 AMES LAW OFFICES CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 19 11WC 04481 HERNANDEZ, ANA TYSON FOODS, INC. 10/29/10 HOPKINS & HUEBNER PC GANAN & SHAPIRO 20 11WC 07212 MADRIGAL, ARTEMIO KAISER'S CONTRACT CLEANIN 10/31/09 HOPKINS & HUEBNER PC HEYL ROYSTER VOELKER & ALLEN 21 11WC 24429 HOUSSOU, KPENAGNI A TYSON FRESH MEATS INC 02/15/11 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 22 11WC 28604 MARTINEZ DE NEVAREZ, GUAD TYSON FOODS 09/04/09 HOPKINS & HUEBNER PC GANAN & SHAPIRO 23 11WC 30676 LACOURSE, TIMOTHY A CHADCO INC 07/08/11 KANOSKI BRESNEY HENNESSY & ROACH 24 11WC 33221 PINTER, ERIK TYSON 05/12/09 CAPRON & AVGERINOS PC GANAN & SHAPIRO 25 11WC 39458 MILLER, ROBERT GALESBURG CASTINGS INC 11/08/10 REHN & SKINNER LLC RUSIN & MACIOROWSKI LTD 26 11WC 41222 DE LA ROSA, JOSEPH XPAC 02/08/11 GILLIES, WILLIAM G RUSIN & MACIOROWSKI LTD 14WC041161 -C 27 11WC 44878 BURCH, LISHA MCLAUGHLIN BODY 09/02/11 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 28 11WC 47868 19B WILSON, SHANNON DEPARTMENT OF HUMAN SERVI @ 07/20/11 JAMES M RIDGE & ASSOC PC ASSISTANT ATTORNEY GENERAL 29 12WC 04147 ASHLEY, BRIAN GENIE TEMPORARY SRV 09/24/11 REHN & SKINNER LLC STONE & JOHNSON CHARTERED 30 12WC 04917 MYERS, CHARLES W BRAMM'S TREE SERVICE W 01/03/12 PIGNATELLI & ASSOCIATES MERTES & MERTES PC 31 12WC 07147 JONES, MICHAEL TY WARREN COUNTY 11/01/11 JAMES M RIDGE & ASSOC PC RUSIN & MACIOROWSKI LTD 32 12WC 20509 TRICIC, ELDIN ATKINSON LANDFILL COMPANY @ 05/09/12 STRONG LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 33 12WC 20987 PORTUGUE, WILLIAM L DEERE & CO/SEEDING GROUP 02/22/12 KATZ HUNTOON & FIEWEGER P CALIFF & HARPER, P.C. 34 12WC 21323 CHANDLER, PATRICK EXCELON/COMMONWEALTH EDIS 05/04/12 GOLDBERG WEISMAN & CAIRO L HENNESSY & ROACH PC 35 12WC 23308 FIGG, RONALD JR QUAD CITIES AUTISM CTR 01/08/12 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 36 12WC 23855 SIMONEAUX, DEAN ALL FEED PROCESSING & 05/17/10 VANDERGINST LAW PC ARNETT LAW GROUP

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 37 12WC 24447 BURCH, LISHA MCLAUGHLIN BODY COMPANY 07/03/12 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 38 12WC 29134 JESPERSEN, WAYNE S COUNTY WASTE SYSTEMS INC 06/11/12 KATZ HUNTOON & FIEWEGER P LARRY WOODWARD 39 12WC 30200 OSBORNE, TABITHA MULTIBAND CORP 05/16/10 AMES LAW OFFICES THOMAS & ASSOCIATES 14WC021098 -C 40 12WC 32756 WAGER, LOUIS JR ILLINOIS YOUTH CENTER KEW @ 08/16/12 STRONG LAW OFFICE ASSISTANT ATTORNEY GENERAL 41 12WC 34912 KOMASSI, KOKOUTSE TYSON FRESH MEATS, INC 01/18/12 LEADERS LAW CENTER GANAN & SHAPIRO 42 12WC 36253 CORDER, BRYAN PLASTIC PRODUCTS CO 02/09/12 WINSTEIN KAVENSKY & WALLAC HENNESSY & ROACH PC 13WC031420 -C 14WC021117 -C 43 12WC 37112 BENSON, DAVID MENK USA 09/06/12 PIGNATELLI & ASSOCIATES GRANT & FANNING 44 12WC 37353 CAMPAGNA, ANTHONY KVF QUAD CORP 06/01/12 MARSZALEK AND MARSZALEK QUINN JOHNSTON HENDERSON ETA 45 12WC 37470 JOHNSON, DON J YEMM CHEVROLET 03/22/11 JAMES M RIDGE & ASSOC PC HEYL ROYSTER VOELKER & ALLEN 46 12WC 37887 LATHROP, DANIEL L STATE OF ILL DEPT OF @ 08/08/12 JOHN LESANGANICH ASSISTANT ATTORNEY GENERAL 47 12WC 40663 JENNINGS, CHADWICK JOHN DEERE HARVESTER 01/23/12 BELCHER LAW OFFICE KNAPP, OHL & GREEN 48 12WC 40770 FENWICK, MARTIN MENARDS 09/01/11 LAW OFFICE OF CHRIS DOSCOT GANAN & SHAPIRO 49 12WC 44539 MURRAY, LYN LMT INC 09/04/12 JAMES M RIDGE & ASSOC PC RUSIN & MACIOROWSKI LTD 50 13WC 01672 HAENNI, SHERRI WAHL CLIPPER CORP 07/06/09 BLACK & JONES HEYL ROYSTER VOELKER & ALLEN 13WC001673 -C 13WC001674 -C 51 13WC 02240 STRUCK, WILLIAM KNOX COLLEGE 04/26/10 PETER D CORTI LAW GROUP GANAN & SHAPIRO 13WC002241 -C 52 13WC 03759 FRANCIS, RITA JOHNSON OIL SHELL 11/02/12 A RANDOLPH COMBA LAW OFFICES OF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 53 13WC 03985 KOSSIGBO, OTHELLO TYSON FRESH MEATS INC 08/03/12 WINSTEIN KAVENSKY & CUNNIN GANAN & SHAPIRO 54 13WC 06162 LANDRUM, BENJAMIN EAST MOLINE FD 02/01/02 STEVEN J SEIDMAN LAW OFFIC MCCARTHY, CALLAS & FEENEY PC 13WC006163 -C 55 13WC 06818 MUETING, DUSTIN JOHN DEERE HARVESTER 07/13/10 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 56 13WC 07041 ZIRZOW, DAVID EAST MOLINE SCHOOL 01/24/12 HOPKINS & HUEBNER PC MACIOROWSKI SACKMANN & ULRIC 57 13WC 09759 RITZERT, JEFFREY HAPY TEMPS @ W 04/18/10 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 58 13WC 11240 CURPHY, MERLE TRINITY MEDICAL CENTER 12/06/12 MARSZALEK AND MARSZALEK CALIFF & HARPER PC 59 13WC 12074 ADAMS, DANIEL ROCK ISLAND SCHOOL DISTRI 11/04/11 WINSTEIN KAVENSKY & CUNNIN INMAN & FITZGIBBONS 60 13WC 15744 STRADER, ROSE A CGH MEDICAL CENTER 01/27/13 REESE & REESE WIEDNER & MCAULIFFE LTD 61 13WC 18312 AUSTIN, MARIA JOHANNES BUS SERVICE 04/22/13 CROWLEY BUNGER PRILL JAMES M KELLY 13WC035706 -C 62 13WC 20345 TRUSSEN, JOHN, III JOHN DEERE PARTS DISTRIBU 05/18/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 63 13WC 21999 WAINSCOTT, KATINA CASEY'S GENERAL STORE 03/14/13 VANDERGINST LAW PC HEYL ROYSTER VOELKER & ALLEN 64 13WC 28004 COLUNGA, SERGIO DIVERSIFIED MAINTENANCE 09/26/12 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 65 13WC 28126 WEST, PAULA A WALMART DISTRIBUTING CENT 08/30/10 RIDGE & DOWNES LLC QUINTAIROS PRIETO WOOD & BOY 66 13WC 28129 LONG, MYRA L XPAC 08/11/13 RIDGE & DOWNES LLC RUSIN & MACIOROWSKI LTD 67 13WC 30353 PETTERSEN, BRANDT C PERKIN'S FAMILY RESTAURAN 09/06/12 KANOSKI BRESNEY BRADY, CONNOLLY & MASUDA, PC 68 13WC 31886 MINST, DOMINIQUE WALMART 06/14/13 MEYERS & FLOWERS WIEDNER & MCAULIFFE LTD 69 13WC 32427 WUORINEN, DAWN XPAC 05/22/13 NELSON KEYS & KEYS RUSIN & MACIOROWSKI LTD 70 13WC 33033 CAVAZOS, EDMUNDO CASA GUANAJUATO QUAD CITI 09/18/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 71 13WC 33875 HAYNES, EDWARD DEPARTMENT OF TRANSPORTAT @ 08/17/12 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 72 13WC 34313 PIERCE, RONALD GREAT DANE 06/21/13 STRONG LAW OFFICE SPIEGEL & CAHILL, PC 73 13WC 34844 QUINN, KELLY R ALEDO REHAB & HEALTH CARE 05/16/13 LAW OFFICE OF CHRIS DOSCOT KNELL LAW LLC 74 13WC 36814 YOCUM, PTRICK J MIDAS 09/11/13 PIGNATELLI & ASSOCIATES WIEDNER & MCAULIFFE LTD 75 13WC 37467 FREEMAN, SARAH G ROCK ISLAND/MILAN 04/30/13 HOPKINS & HUEBNER PC INMAN & FITZGIBBONS 76 13WC 38361 EDWARDS, DOROTHY SUPERIOR GLOBAL SOLUTIONS 10/25/13 WINSTEIN KAVENSKY & WALLAC HENNESSY & ROACH 77 13WC 39687 CRANE, CASANDRA FARMLAND FOODS 02/01/13 WILLIAMS & SWEE STEPHEN P. KELLY 78 13WC 41385 KUEHL, LUKE B ILLINOIS STATE POLICE @ 11/22/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 79 13WC 42269 GADEGBESSO, KOFFI FARMLAND FOOD 11/06/13 LEADERS LAW CENTER LLC STEPHEN P. KELLY 80 14WC 00167 NAAB, CHRISTIAN S CITY OF ROCK ISLAND 06/28/13 THOMAS W DUDA BETTY NEUMAN & MCMAHON 81 14WC 01347 LUNCSFORD, RICHARD C NOOTER CONSTRUCTION CO 11/22/13 RIDGE & DOWNES GAROFALO SCHREIBER STORM 82 14WC 02271 POCI, BENJAMIN G & P TRUCK LINE INC 02/15/11 WINSTEIN KAVENSKY & CUNNIN 14WC002387 -C 14WC002388 -C 83 14WC 05127 QUIROZ, RODRIGO VALLEY GROUP 11/27/13 DWORKIN AND MACIARIELLO 84 14WC 05993 SHERIFF-BAKER, LESLEY GOLD STAR 06/13/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 85 14WC 06588 BERTRAM, ROBERT K AGRI KING 01/30/13 RIDGE & DOWNES 86 14WC 07835 CARNES, WILLIAM COOTS MATERIALS 06/25/13 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 87 14WC 10723 19B CLARK, AMY G RESTHAVE RETIREMENT & NUR 01/14/14 MERTES & MERTES PC KEEFE CAMPBELL & ASSOC LLC 88 14WC 11828 STRUCK, MARY STATE OF ILLINOIS @ 01/29/14 PETER D CORTI LAW GROUP ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 89 14WC 12939 BAKER, DAVID ADEL WHOLESALERS, INC. 09/13/13 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 90 14WC 13515 PUCKETT, DAVID AG-VIEW FS, INC 01/10/13 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD 91 14WC 14117 LANDRY, STEVEN WAYNE STOHL & SONS PLASTE 06/16/13 LEE, MARK N LAW OFFICE 92 14WC 15138 ALLEN, CHERYAL D XPAC 03/05/14 CAPRON & AVGERINOS PC RUSIN & MACIOROWSKI LTD 93 14WC 16184 PALOS, MELISSA A REGALIA MANUFACTURING COM 02/21/14 KATZ HUNTOON & FIEWEGER P EDWARD JANUSZKIEWICZ 94 14WC 16530 GRIFFITH, BILLY KONE 02/12/14 WINSTEIN KAVENSKY & WALLAC GAROFALO SCHREIBER STORM 95 14WC 18169 LAWSON, TOM O'REILLY'S AUTO PARTS 06/25/13 CANDIANO LAW OFFICE HENNESSY & ROACH PC 96 14WC 18482 TEMPLETON, GENE O JR EAST MOLINE METAL PRODUCT 02/27/12 KATZ HUNTOON & FIEWEGER P PERRY GENTILE 97 14WC 20657 PRICE, KEVIN L DUPONT NUTRITION & HEALTH 09/16/13 REESE & REESE RUSIN & MACIOROWSKI LTD 14WC020658 -C 98 14WC 20730 SANDOVAL, FILOMENO DIAZ FCA MANUFACTURING COMPANY 11/20/11 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 14WC020731 -C 99 14WC 24286 BARDELL, TINA ARTHUR WOLF 05/20/13 MEYERS & FLOWERS WARD MURRAY PACE & JOHNSON P 100 14WC 25575 ROBINSON, KATRINA SPARTAN STAFING 05/07/14 PIGNATELLI & ASSOCIATES GANAN & SHAPIRO 14WC028382 -C 101 14WC 25634 THOMPSON, SUSAN FIRST STUDENT 06/09/14 PIGNATELLI & ASSOCIATES 102 14WC 26799 TERRONEZ, BRANDON L ARROWHEAD RANCH 07/11/13 KATZ HUNTOON & FIEWEGER P COZZI & GOGGIN-WARD 103 14WC 26843 HALLOWAY, AUDY BALLARD TREE & @ W 05/23/13 PETER F FERRACUTI & ASSOCI ASSISTANT ATTORNEY GENERAL 104 14WC 28122 COIL, RICK DOHRN TRANSFER COMPANY 07/21/14 BLACK & JONES GANAN & SHAPIRO 105 14WC 29872 WARNER, BREE J JOHN DEERE HARVESTER 04/14/14 MARSZALEK AND MARSZALEK CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 106 14WC 30934 DOOLEY, DAN JOHN DEERE HARVESTER 08/15/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 107 14WC 32387 NAUGLE, BETH HILLCREST HOME 12/29/13 RIDGE & DOWNES INMAN & FITZGIBBONS 108 14WC 32447 SMITH, T MICHAEL KOPPERS COMPANY INC 04/16/13 ELFENBAUM EVERS & AMARILIO RUSIN & MACIOROWSKI LTD 109 14WC 33108 BYRGE, BRAD JOHN DEERE PARTS DISTRIBU 05/12/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 110 14WC 33169 PALMER, JANA OSF HOME CARE SERVICES 12/10/13 REHN & SKINNER LLC 111 14WC 33397 SCHONE, RONALD DEPARTMENT OF TRANSPORTAT @ 05/03/14 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 112 14WC 33530 HANES, JOHN ENVIRONMENTAL SERVICES IN 09/16/14 WINSTEIN KAVENSKY & WALLAC 113 14WC 34547 CHRISTENSEN, KERRI L HOPE CREEK/ROCK ISLAND CO 05/29/14 KATZ HUNTOON & FIEWEGER P BROOKS LAW FIRM 15WC009962 -C 114 14WC 35503 DELONG, THOMAS ILLINOIS CIVIL CONTRACTOR 08/11/14 JOHN LESAGANICH RUSIN & MACIOROWSKI LTD 115 14WC 36403 ENSLEY, PAUL BOMAG AMERICAS 04/24/13 WARNER & ZIMMERLE LAW OFFICES JOSEPH MARCINIAK 116 14WC 37237 CHIPMAN, ANTHONY EAST MOLINE SHEET METAL 08/21/14 WINSTEIN KAVENSKY & WALLAC MACIOROWSKI SACKMANN & ULRIC 117 14WC 39065 ANDERSON, ALLISON (FRIEND EAST MOLINE F.D. # 06/23/13 SEIDMAN MARGULIS & FAIRMAN MCCARTHY, CALLAS & FEENEY PC 118 14WC 39364 WOOD, ORYN MIDSTATE MANUFACTURING CO 06/15/14 RIDGE & DOWNES LLC GANAN & SHAPIRO 119 14WC 40052 DEHM, SANDRA STATE OF ILLINOIS @ 04/22/14 WARNER & ZIMMERLE ASSISTANT ATTORNEY GENERAL 120 14WC 40293 GAYTAN, ROMANA JOHN DEERE HARVESTER 08/14/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 121 14WC 40662 MC KINLEY, ERIC ADRIAN CARRIERS 02/18/14 STRONG LAW OFFICE 122 14WC 40767 LANG, NECIA R GENESIS HEALTH SYSTEM D/B 09/03/14 KATZ HUNTOON & FIEWEGER P HOPKINS & HUEBNER PC 123 14WC 41055 WINTERS, DELBERT AG-VIEW FS, INC 04/19/14 SCHWEICKERT & GANASSIN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 8 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 124 14WC 41228 DANIELS, KIMBERLY CARE PRO INC 09/12/14 SCHWEICKERT & GANASSIN HOLTKAMP LIESE ET AL 125 14WC 41933 FRANCISKO, STEVEN ILLINOIS DEPARTMENT OF @ 11/22/13 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 126 14WC 43062 BLAKE, CHARLES J ANGELO'S III 11/09/13 EDWARD JANUSZKIEWICZ 127 14WC 43258 KING, JEFF CAMEY CONSTRUCTION @ W 03/31/14 LAW OFFICE OF CHRIS DOSCOT 128 14WC 47261 TENSLEY, NOLAN JEWEL FOOD STORES 10/27/14 MARKS & ASSOCIATES 129 15WC 00038 FAY, BRIAN GALAXY 1 MARKETING INC 02/28/13 HENNESSY & ROACH PC 130 15WC 00938 NELSON, MERISSA THE ARC OF THE QUAD CITIE 03/24/14 HOPKINS & HUEBNER PC 131 15WC 03673 CHAPPELL, SUSAN JOHN DEERE HARVESTER 05/09/12 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 132 15WC 03822 HAMILTON, KAREN METROLINK 01/21/15 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 133 15WC 04096 PALMER, MARY A ROCK ISLAND COUNTY 02/14/14 BRUCE CARMEN BROOKS LAW FIRM 15WC004097 -C 134 15WC 04352 PANDYA, VIBHAKAR ILLINOIS YOUTH CENTER KEW @ 01/24/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 135 15WC 04434 GRAGERT, ERNA COVENTRY LIVING CENTER 07/26/12 WOLFE LAW PC WOLFE & JACOBSON, LTD 15WC004435 -C 136 15WC 05442 BALLARD, JULIA K. WARREN ACHIEVEMENT CENTER 04/16/14 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 137 15WC 05655 RODRIGUEZ, JOSE DIRECT TRUCKING 01/26/15 PORRO NIERMANN LAW GROUP JAMES M KELLY 138 15WC 06433 HUSKEY, RANDAL ROCK ISLAND MILAN S DIST 05/02/14 WINSTEIN KAVENSKY & WALLAC INMAN & FITZGIBBONS 15WC006434 -C 139 15WC 07623 TEMPLETON, HOLLYWOOD ROCK ISLAND COUNTY 03/21/12 KATZ HUNTOON & FIEWEGER P BROOKS LAW FIRM 140 15WC 08298 LICHTENAUER, EARL "BUD" CORRECT ELECTRIC INC 12/17/14 GOLDBERG WEISMAN & CAIRO L RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 141 15WC 08383 ORWITZ, MATTHEW MCLAUGHLIN BODY CO 09/26/14 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 142 15WC 09558 ILES, JAMIELYNN GALESBURG COTTAGE HOSPITA 11/23/14 SIMPSON PETERSON POWER & CRONIN LTD 143 15WC 10121 ELLIS, JOYCE WALGREENS 06/09/14 VANDERGINST LAW PC GILDEA & COGHLAN 144 15WC 10179 DANIELSON, THOMAS DEPARTMENT OF TRANSPORTAT @ 02/25/15 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 145 15WC 10320 PEARSON, ROBERT UNITED TOWNSHIP HIGH SCHO 09/10/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 146 15WC 10814 MILLER, VALERIE CHRISTIAN BROS SERVICES/ 12/30/12 THE NEPPL LAW CENTRE 147 15WC 11261 VANDIERENDONCK, JAMES ILLINOIS YOUTH CENTER @ 03/05/15 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 148 15WC 11767 DIAZ-SANDOVAL, FILOMENO FCA MANUFACTURING CO 02/25/14 HOPKINS & HUEBNER PC HOLECEK & ASSOCIATES 149 15WC 11936 HAMILTON, JOSHUA KING FOOD SERVICES INC 12/30/14 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 150 15WC 12767 LEOS, EVA A TYSON FOODS INC 01/27/12 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 151 15WC 12947 FEATHER, DARCY L AVONLEA COTTAGE 02/16/15 MERTES & MERTES PC KEEFE CAMPBELL & ASSOC LLC 152 15WC 13341 HARRISON, CHRISTINE WAHL CLIPPER CORP. 05/17/13 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 153 15WC 13757 SAGE, SHIRLEY MONMOUTH COLLEGE 08/29/14 REHN & SKINNER LLC INMAN & FITZGIBBONS 154 15WC 14020 MCDOUGLE, LAKESE FARMLAND FOODS 03/27/14 DWORKIN AND MACIARIELLO STEPHEN P. KELLY 155 15WC 14662 PERSON, BRIAN R XENA INTERNATIONAL 01/24/15 GESMER LAW OFFICES, PC 156 15WC 14866 SEBAHAR, GREGORY ESTATE O KONE, INC # 04/05/15 LAW OFFICE OF KEVIN O'BRIE GAROFALO SCHREIBER STORM 157 15WC 14998 SODAWASSER, GRACE WALGREENS 01/18/15 WOODRUFF & JOHNSON GILDEA & COGHLAN 158 15WC 15243 PICKREL, JAMES A CARL A NELSON & CO 12/31/14 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 159 15WC 15410 WEATHERS, PENNIE MAID FOR YOU 02/17/14 DWORKIN AND MACIARIELLO HANSON LAW OFFICE 160 15WC 15465 KOENIG, DALE JOHN DEERE HARVESTER 03/28/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 15WC015466 -C 16WC038932 -C 161 15WC 15914 SEIDEL, CRAIG STERLING STEEL CO 03/05/15 DWORKIN AND MACIARIELLO RUSIN & MACIOROWSKI LTD 162 15WC 17055 FICKLING, PATRICIA STATE OF IL @ 12/06/11 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 163 15WC 17204 CHAPMAN, JAMEY M JOHN DEERE HARVESTER WORK 05/08/14 HOPKINS & HUEBNER PC CALIFF & HARPER PC 164 15WC 17345 EGAN, RICHARD ASTEC MOBILE SCREENS, INC 10/07/13 MAURICE E DUSKY PC COZZI & GOGGIN-WARD 165 15WC 17790 SIMMON, TY M CITY OF MOLINE 05/18/15 THOMAS W DUDA CALIFF & HARPER PC 15WC017791 -C 166 15WC 17948 HAGA, DENNIS RIVER VALLEY COOPERATIVE 01/07/13 SPIROS LAW PC BRYCE DOWNEY & LENKOV LLC 167 15WC 18197 TAETS, DONALD XL CONSTRUCTION DBA 05/02/14 ANESI OZMON RODIN NOVAK KO KNELL LAW LLC 168 15WC 18451 LEITZEN, JEREMY CITY OF FULTON POLICE DEP 05/26/15 RIDGE & DOWNES LLC NYHAN BAMBRICK KINZIE & LOWR 169 15WC 18494 GASKIN, ANGELA L FEDEX FREIGHT CORP 09/05/12 CERVATES & GORDON PLC QUINTAIROS PRIETO WOOD & BOY 170 15WC 18607 HELFTER, KENDRA HELFTER ENTERPRISES, INC. 09/12/13 AMES LAW OFFICES 171 15WC 18743 MOHAMMED, YAHIA TYSON FRESH MEATS, INC. 07/13/12 PARAD LAW OFFICES PC GANAN & SHAPIRO 172 15WC 18805 KIRK, REBECCA A JOHN DEERE HARVESTER 04/15/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 173 15WC 19151 KIRK, TYLER LEGGETT & PLATT D/B/A 05/12/15 PETER F FERRACUTI & ASSOCI 174 15WC 19375 STORM, MICHELLE ROCK TENN 10/15/13 CROWLEY BUNGER PRILL GAROFALO SCHREIBER STORM 175 15WC 19470 CERVANTES, JORGE MICRO INDUSTRIES 05/20/15 PIGNATELLI & ASSOCIATES HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 176 15WC 20076 WICKERSHAM, JOHN VALLEY CONSTRUCTION 06/13/14 ELFENBAUM EVERS & AMARILIO 177 15WC 20215 BELL, EDWARD G OSF HEALTHCARE ST LUKE-KE 02/01/15 LAW OFFICES KENNETH MAHAFF 178 15WC 20381 WHEELER, MICHAEL DEERE HARVESTER 11/05/09 VANDERGINST LAW PC CALIFF & HARPER PC 179 15WC 20755 METTLER, KIMBERLY MONMOUTH NURSING HOME 06/05/15 LAW OFFICE DAVID HUNT HOLTKAMP LIESE ET AL 180 15WC 21166 LAGE, JEREMY A SEDONA STAFFING 06/09/15 MERTES & MERTES PC BETTY NEUMAN & MCMAHON 181 15WC 21591 MADRIGAL, PEDRO TYSON FRESH MEATS INC 10/27/14 ELFENBAUM EVERS & AMARILIO GANAN & SHAPIRO 182 15WC 21821 DAMP, ROSEANNA ARAMARK SERVICES, INC. 10/12/12 THE NEPPL LAW CENTRE 183 15WC 22660 PEREZ-HERNANDEZ, ROSA FARMLAND FOODS 09/25/14 VANDERGINST LAW PC STEPHEN P. KELLY 184 15WC 22740 PUGA, JAIME TYSON FRESH MEATSINC 03/23/15 GANAN & SHAPIRO 185 15WC 22871 SCHONE, RONALD DEPARTMENT OF TRANSPORTAT @ 04/13/15 RIDGE & DOWNES LLC ASSISTANT ATTORNEY GENERAL 186 15WC 23146 DULLA, ALAN D TAXI-PLUS 01/02/14 AMES LAW OFFICES 187 15WC 23375 THOMAS, JASON ACE PEST MANAGEMENT INC @ W 03/04/15 MCDONALD WOODWARD & CARLSO ASSISTANT ATTORNEY GENERAL 188 15WC 23389 OGOUBI, KOKOU TYSON FOODS 03/16/15 HOPKINS & HUEBNER PC GANAN & SHAPIRO 189 15WC 24063 KIDDY, LARRY UNION CONTRACTING 05/28/14 RIDGE & DOWNES 190 15WC 26003 GOUDY, LARRY GALESBURG CUSD #205 08/18/14 LEE, MARK N LAW OFFICE KNELL LAW LLC 191 15WC 26097 BECKMAN, ESTHER WALMART SUPER CENTER 04/03/15 WINSTEIN KAVENSKY & WALLAC QUINTAIROS PRIETO WOOD & BOY 192 15WC 27387 MARLOW, ADALINE STATE OF IL DIVISION OF @ 05/22/15 WINSTEIN KAVENSKY & WALLAC ASSISTANT ATTORNEY GENERAL 193 15WC 27635 DAVIS, ROXAN D WAL-MART STORES INC 08/25/14 KATZ HUNTOON & FIEWEGER P GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 194 15WC 28279 MOKWANGA, NANCY FARMLAND FOODS 05/01/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 195 15WC 28410 WILEMAN, MARTIN STATE OF ILLINOIS @ 08/07/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 196 15WC 29374 KELLY, TIMOTLHY JOHN DEERE HARVESTER 06/12/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 197 15WC 30090 GRIFFITH, BILLY KONE 05/13/15 WINSTEIN KAVENSKY & WALLAC 198 15WC 30743 ALVEAR, MARLON CLEARY BUILDING CORP 05/18/15 LAW OFFICE DAVID HUNT STONE & JOHNSON CHARTERED 199 15WC 31334 HOLDEN, BRADLEY JASON GENERAL ELECTRIC 03/14/15 O'CONNOR & NAKOS MACIOROWSKI SACKMANN & ULRIC 200 15WC 32841 RUIZ, BRIAN PPC PLASTIC PRODUCTS CO. 08/30/15 WINSTEIN KAVENSKY & WALLAC HENNESSY & ROACH PC 201 15WC 33581 BRANDNER, KAY CEE LIGHTHOUSE OF SILVIS 07/11/15 THOMAS W DUDA RUSIN & MACIOROWSKI LTD 202 15WC 34019 WILLIAMS, CHRISTINA HOME TOWN EXPRESS 08/03/15 REHN & SKINNER LLC QUINN JOHNSTON HENDERSON ETA 203 15WC 34168 COOK, STEVEN M IFH GROUP 10/15/14 MERTES & MERTES PC PERRY GENTILE 204 15WC 34442 PAR, SIMI TYSON FRESH MEATS 10/19/11 VANDERGINST LAW PC 205 15WC 34929 DOTSON, SHEENA SUPER 8 MOTEL 09/25/15 REHN & SKINNER LLC GANAN & SHAPIRO 206 15WC 35074 OLALDE, DEBRA L EXCEPTIONAL CARE & 10/08/14 MERTES & MERTES PC LAW OFFICES FRANCESCA LARSEN 207 15WC 35133 O'CONNOR, JANE DICK BLICK MATERIALS 09/21/15 LAW OFFICE DAVID HUNT LAW OFFICES JOSEPH MARCINIAK 208 15WC 35452 WAY, JOELLEN R DERBY SUPPLY CHAIN SOLUTI 07/07/15 RIDGE & DOWNES LAW OFFICES JOSEPH MARCINIAK 209 15WC 35558 19B GOUDY, LARRY CUSD #205 09/10/15 LEE, MARK N LAW OFFICE KNELL LAW LLC 210 15WC 35782 CHAPMAN, JASON JOHN DEERE HARVESTER 06/22/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 211 15WC 35830 GAMBLE, TYLER M AMC ENTERTAINMENT 12/14/14 BOSHARDY LAW OFFICE PC HINSHAW & CULBERTSON 212 15WC 36910 RILEY, CHERYLE DORS 06/13/15 WOLFE LAW PC ASSISTANT ATTORNEY GENERAL 15WC036911 -C 15WC036912 -C 213 15WC 38230 MCKILLIP, ANGELA UNITY POINT HOSPITAL 07/18/14 VANDERGINST LAW PC CALIFF & HARPER PC 214 15WC 38468 YOUNGBLOOD, ASHLEY US SECURITY ASSOCIATES 10/27/15 GOLDFINE & BOWLES COZZI & GOGGIN-WARD 215 15WC 38853 MCFADDEN, JEFF G&M DISTRIBUTORS INC 10/14/15 STRONG LAW OFFICE HEYL ROYSTER VOELKER & ALLEN 15WC039258 -C 216 15WC 39314 TAMAYO, NORA M GARCIA XPAC 07/25/15 ANDREW BRIBRIESCO RUSIN & MACIOROWSKI LTD 217 15WC 39626 WELBECK, MARIE TYSON FRESH MEATS 10/04/14 STRONG LAW OFFICE GANAN & SHAPIRO 218 15WC 39801 BAYONA, BENJAMIN SKOOG LANDSCAPE AND DESIG 06/07/15 EPSTEIN, JACK R LAW OFFICE WIEDNER & MCAULIFFE LTD 219 15WC 39914 SINGLETON, VICTOR RATCLIFF ENTERPRISES W 08/17/15 LAW OFFICE OF CHRIS DOSCOT 220 15WC 41316 COLLINS, DEWEY DOWERS ROOFING 05/06/14 BLACK & JONES RIPES NELSON BAGGOT KALOBRAT 221 15WC 41386 PALMER, ANGELA HENRY COUNTY 02/24/15 WINSTEIN KAVENSKY & WALLAC INMAN & FITZGIBBONS 222 15WC 41452 CARLE, MICHAEL CONSOLIDATED GRAIN & BARG 09/04/14 WOODRUFF & JOHNSON CAPUANI & SCHNEIDER 223 15WC 41702 BOLEA, ANNETTE BAKUBILA A FARMLAND FOODS 06/06/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 224 15WC 42054 DAVIS, ALVIN WOODARD & CURRAN 10/27/15 LAW OFFICE OF CHRIS DOSCOT LAW OFFICE PAUL LARIMORE 225 15WC 42350 MALEK, COREY A. STATE OF IL-IL. STATE POL @ 11/16/15 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 226 16WC 00742 RETHERFORD, DAWN E WAHL CLIPPER 06/18/14 REESE & REESE HEYL ROYSTER VOELKER & ALLEN 227 16WC 00960 ALBERTSON, DANIEL THOMPSON TRUCK TRAILER 04/01/15 PIGNATELLI & ASSOCIATES RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 16WC 01104 SEIDEL, CRAIG A STERLING STEEL COMPANY, A 10/01/15 REESE & REESE RUSIN & MACIOROWSKI LTD 229 16WC 01461 ESSER, COREY E ILLINOIS YOUTH CENTER KEW @ 05/16/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 16WC011669 -C 230 16WC 01585 GORANSON, MICHAEL JOHN DEERE 08/05/15 ANKIN LAW OFFICE BOZEMAN NEIGHBOUR PATTON & N 231 16WC 01872 PAILLE, NATALIE HELP AT HOME, INC. 12/31/15 DWORKIN AND MACIARIELLO 232 16WC 02335 PASLEY, JOSHUA WALMART DISTRIBUTION CENT 12/08/15 RIDGE & DOWNES 233 16WC 02725 FIGUEROA, RAFAEL TRAMEC HILL FASTENER, LLC 12/03/15 WHITESIDE & GOLDBERG LTD 234 16WC 03155 FREW, KENNETH JOHN DEERE SEEDING GROUP 12/09/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 235 16WC 03222 WHEELER, MICHAEL DEERE HARVESTER 12/04/09 VANDERGINST LAW PC CALIFF & HARPER PC 236 16WC 03697 HOFFMANN, FRED JOHN DEER HARVESTER WORKS 11/12/13 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 237 16WC 04035 CISSE, MOUSTAPHA TYSON FRESH MEATS INC 04/17/15 WARNER & ZIMMERLE BRYCE DOWNEY & LENKOV LLC 238 16WC 04927 SOTO RODRIGUEZ, RAHIHAN FARMLAND FOODS 05/01/15 RIDGE & DOWNES STEPHEN P. KELLY 239 16WC 04983 TAETS, DONALD L STERLING COMMERCIAL ROOFI 11/04/14 ANESI OZMON RODIN NOVAK KO 240 16WC 05685 WEST, WADE W. DAV AND TY ENTERPRISES, I 12/23/15 STENGEL BAILEY ROBERTSON 241 16WC 05727 LEAF, STEVEN K DOWERS ROOFING 08/11/15 GOLDBERG WEISMAN & CAIRO L 242 16WC 05748 ZAAGMAN, CANDACE ST OF IL COMPTROLLER 01/15/16 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 243 16WC 05895 DAMITZ, DARRYL MCLAUGHLIN BODY 08/11/14 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 244 16WC 06142 ROSSELL, LINDSAY GREAT DANE L P 01/25/16 REHN & SKINNER LLC SPIEGEL & CAHILL, PC 245 16WC 06422 MAGER, STACY M WALMART DISTRUBUTION CENT 09/26/14 REESE & REESE QUINTAIROS PRIETO WOOD & BOY

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 16WC 06615 MELINE, DEBRA KCCDD 02/14/14 REHN & SKINNER LLC 247 16WC 07132 SCOTT, CORTNEY R B D H ROCK ISLAND PAWN, L 02/02/16 AMES LAW OFFICES HOLECEK & ASSOCIATES 248 16WC 07306 HAGEMEIER, MARK E JOHN DEERE 02/04/16 MERTES & MERTES PC BOZEMAN NEIGHBOUR PATTON & N 249 16WC 07337 AVILA, PENNY J GANA-A'YOO SERVICES CORP 09/08/15 KATZ HUNTOON & FIEWEGER P COZZI & GOGGIN-WARD 250 16WC 07427 REH, POE SMITHFIELD FARMLAND FOODS 08/27/15 STANSELL WHITMAN & BABER STEPHEN P. KELLY 251 16WC 07584 BAKER, JONATHAN J. FARMLAND FOODS 01/15/15 REHN & SKINNER LLC STEPHEN P. KELLY 252 16WC 07720 WAITKUS, RICHARD MOLINE FORGE 08/26/15 WINSTEIN KAVENSKY & WALLAC 253 16WC 07742 HARDING, JOHN BREAKTHRU BEVERAGE IL F/K 03/04/15 GOLDBERG WEISMAN & CAIRO L NYHAN BAMBRICK KINZIE & LOWR 254 16WC 07951 MARQUEZ, LUIS ASPLUNDH TREE EXPERT CO 06/02/15 WINSTEIN KAVENSKY & WALLAC KNELL & O'CONNOR 255 16WC 08025 YOUNG, PAMELA A WESTERN IL UNIVERSITY @ 09/08/15 RIDGE & DOWNES KRISTINA D DION 256 16WC 08223 DOUTY, BEYEM B TYSON FRESH MEATS INC 05/24/14 BROOKS LAW FIRM GANAN & SHAPIRO 257 16WC 08375 HAAN, DARREN JOHN DEERE HARVESTER 09/25/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 258 16WC 08751 PIERCE, PATRICK GARY SPENCE 01/05/16 REHN & SKINNER LLC BOZEMAN NEIGHBOUR PATTON & N 259 16WC 08911 ROYCE, JANE E MEL FOSTER COMPANY INC 02/14/14 BOZEMAN NEIGHBOUR PATTON & 260 16WC 09058 FELDHAN, GARRETT VALSPAR CORP 10/22/14 RUSIN & MACIOROWSKI LTD 261 16WC 09460 MEDRANO, RUBICELIO TYSON FRESH MEATS 02/25/15 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 262 16WC 09468 HAHN, DAN DEERE & CO INC/ 02/22/15 SCHWEICKERT & GANASSIN LANE & WATERMAN 263 16WC 09679 DECRANE KAHA, SAMANTHA L. HYVEE, INC. 01/11/16 VANDERGINST LAW PC HOPKINS & HUEBNER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 16WC 09706 WATSON, HEATHER E AVONLEA COTTAGE 02/20/16 VANDERGINST LAW PC HEYL ROYSTER VOELKER & ALLEN 265 16WC 09800 KUKLOK, TAMARA DAL GLOBAL SERVICES, LLC 10/19/13 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 266 16WC 09879 BOKEN, SANDRA K WALMART 03/02/16 CULLEN HASKINS NICHOLSON QUINTAIROS PRIETO WOOD & BOY 267 16WC 10598 SAGE, MICHELLE JOHN DEERE HARVESTER WORK 06/15/14 STRONG LAW OFFICE BOZEMAN NEIGHBOUR PATTON & N 268 16WC 10656 CROWDER, GREGORY JOHN DEERE HARVESTER 01/23/15 MARSZALEK AND MARSZALEK BOZEMAN NEIGHBOUR PATTON & N 269 16WC 10728 MILES, CASSANDRA M ROCK ISLAND COUNTY 05/31/13 VANDERGINST LAW PC BROOKS LAW FIRM 270 16WC 10753 WAITKUS, RICHARD MOLINE FORGE 12/10/15 WINSTEIN KAVENSKY & WALLAC 271 16WC 10919 PEMBERTON, PATRICK ILLINOIS YOUTH CENTER KEW @ 03/24/16 RIDGE & DOWNES KRISTINA D DION 272 16WC 11212 PICKREL-MONKUS, ANITA BREAK TIME 01/29/15 THE NEPPL LAW CENTRE 273 16WC 12036 SIGEL, GORDON R KIMBALL MIDWEST 02/15/16 REESE & REESE LAW OFFICES JOSEPH MARCINIAK 274 16WC 12491 TESSIER, ANTHONY JOHN DEERE HARVESTER WORK 08/12/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 275 16WC 12866 NGUMBU, SERGE LUMUUNGA FARMLAND FOODS 09/15/15 LAW OFFICE DAVID HUNT STEPHEN P. KELLY 276 16WC 12878 GOULD, TRUDY JOHN DEERE 10/27/15 MERTES & MERTES PC BOZEMAN NEIGHBOUR PATTON & N 277 16WC 12903 ALONSO, MANUEL TYSON FRESH MEATS 02/17/15 BUSH MOTTO CREEN KOURY BRYCE DOWNEY & LENKOV LLC 16WC012904 -C 278 16WC 13082 ANDERSON, JAMES ROADRUNNER TRANSPORTATION 04/09/15 RIDGE & DOWNES HINSHAW & CULBERTSON 279 16WC 13652 KUSHMER, JONATHAN ELECTRIC DOCTOR 06/17/15 ELFENBAUM EVERS & AMARILIO STONE & JOHNSON CHARTERED 280 16WC 14164 BROWNSON, JOANNE L CASEY'S GENERAL STORES IN 05/15/15 KATZ HUNTOON & FIEWEGER P HEYL ROYSTER VOELKER & ALLEN 281 16WC 14670 DOUMASHIE, AKU TYSON FOODS, INC. 05/21/14 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 16WC 15099 BARTOSCH, MICHAEL JOHN DEERE 03/13/14 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 283 16WC 15581 PETERSON, KATHY F EXPORT PACKAGING CO, INC. 09/09/13 KATZ HUNTOON & FIEWEGER P RUSIN & MACIOROWSKI LTD 284 16WC 15942 RADER, RONALD JOHN DEERE HARVESTER 06/23/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 285 16WC 15953 DELOS SANTOS, REY FRANTZ MANUFACTURING 05/06/16 PIGNATELLI & ASSOCIATES MCANANY VANCLEVE & PHILLIPS 286 16WC 16051 HARRISON, BEN D ARROWHEAD RANCH INC 12/17/14 KATZ HUNTOON & FIEWEGER P COZZI & GOGGIN-WARD 287 16WC 16297 SENTERAS, BEVERLY HACIENDA BAR & GRILL 04/27/16 THOMAS E CADY HOLECEK & ASSOCIATES 288 16WC 16447 BERRYMAN, PATRICIA UNITY POINT CLINIC 11/20/15 MARKS INJURY LAW BETTY NEUMAN & MCMAHON 289 16WC 16509 JILES, JESSICA FARMLAND FOODS 02/27/15 DODD & MAATUKA LLC STEPHEN P. KELLY 290 16WC 16776 LEWIS, BONNIE M HELP AT HOME HOLDINGS INC 01/11/16 PIGNATELLI & ASSOCIATES INMAN & FITZGIBBONS 291 16WC 17049 BYRD, MICHAEL WAL-MART, INC. 09/14/15 QUINTAIROS PRIETO WOOD & BOY 292 16WC 17628 TORRES, MARIA RICO FARMLAND FOODS INC. 02/03/16 WOODRUFF & JOHNSON STEPHEN P. KELLY 293 16WC 17681 FRANKS, JENNIFER AUTO ZONE 04/30/15 HOPKINS & HUEBNER PC GILDEA & COGHLAN 294 16WC 18209 RICHARDS, KAMI L JOHN DEERE HARVESTER WORK 11/20/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 295 16WC 18478 MEINCKE, JENNY GENESIS MEDICAL CENTER 05/09/16 DWORKIN AND MACIARIELLO HOPKINS & HUEBNER PC 296 16WC 18539 ATTWOOD, STEVE JOHN DEERE HARVESTER WORK 04/10/14 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 297 16WC 18613 JOHNSON, BRUCE D JOHN DEERE HARVESTER 03/02/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 298 16WC 18780 SHAPPARD, HELVETTIA WALMART DISTRIBUTION CENT 04/03/16 RIDGE & DOWNES GANAN & SHAPIRO 299 16WC 19436 NICHOLSON, SHEILA M STATE OF ILLINOIS @ 05/17/16 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 300 16WC 20247 HELLER, JOHN S CITY OF MOLINE 05/17/16 THOMAS W DUDA CALIFF & HARPER PC 301 16WC 20886 BEESON, MARK THE WALLMAN OPTICAL CO 06/15/16 KATZ HUNTOON & FIEWEGER P RUSIN & MACIOROWSKI LTD 302 16WC 21321 AULT, BRANDON PROGRESS RAIL SERVICES 03/18/15 GOLDBERG SEGALLA LLC 303 16WC 21361 HAMILTON, KAYTLIN EXCEPTIONAL CARE & TRAINI 08/31/15 PIGNATELLI & ASSOCIATES 304 16WC 21974 KIVISTO, GRACE KCCDD 04/22/16 SIMPSON PETERSON 305 16WC 22353 FLANNERY JR, CURTIS JOHN DEERE HARVESTER 11/13/14 WINSTEIN KAVENSKY & WALLAC 306 16WC 22522 HOFFERT, REBECCA BRADFORD COMMUNITY UNIT S 07/30/13 ANTHONY C RACCUGLIA & ASSO 307 16WC 23140 AMEGANDJIN, COFFI XPAC 02/02/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 308 16WC 23706 BOLEYN, JOHN LEANDER CONSTRUCTION INC 04/15/16 HORWITZ HORWITZ & ASSOC PERRY GENTILE 309 16WC 23804 THORPE, PAMELA UNITYPOINT HEALTH TRINITY 11/25/15 WINSTEIN KAVENSKY & WALLAC 310 16WC 23950 SCARSELLA, HOPE JOHN DEERE SEEDING 06/19/12 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 311 16WC 24386 OWENS, EDWARD GATES CORPORATION 02/04/16 RIDGE & DOWNES 312 16WC 24435 KIEL, HOWARD R&L CARRIERS, INC. 02/04/16 VANDERGINST LAW PC SLAVIN & SLAVIN 313 16WC 24461 ROBERSON, MIKE BRANDT CONSTRUCTION CO. 05/07/16 HARTNETT GLADNEY HETTERMAN BETTY NEUMAN & MCMAHON 16WC027390 -C 314 16WC 24479 LATHROP, PAUL STATE OF ILLINOIS-DEPT @ 06/29/16 PIGNATELLI & ASSOCIATES ASSISTANT ATTORNEY GENERAL 315 16WC 24525 WALLACE, ANTHONY ILLINOIS DEPARTMENT OF 08/07/16 DWORKIN AND MACIARIELLO ASSISTANT ATTORNEY GENERAL 316 16WC 24571 BRAMM, JOSEPH M UOI URBAN OUTLET 03/10/16 MERTES & MERTES PC RUSIN & MACIOROWSKI LTD 317 16WC 24698 MAGEE, TOM KOPPERS 01/03/15 JAY H JANSSEN RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 16WC 25103 SEBARANZI, ADONIS TYSON FRESH MEATS, INC 08/19/13 BUSH MOTTO CREEN KOURY GANAN & SHAPIRO 319 16WC 25166 BERHILI, RACHID TYSON FOODS, INC 07/11/16 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 320 16WC 25665 CASTILLO, MIRNA PETERSEN HEALTH CARE INC 07/18/16 REESE & REESE KNELL LAW LLC 321 16WC 25864 MBOUNGOU, FAUVETTE SMITHFIELD FARMLAND 02/28/16 RIDGE & DOWNES 322 16WC 25925 RUBINGH, KRISTINA JOHN DEERE HARVESTER 04/21/10 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 323 16WC 26420 NOBLE, TONY L MILLER CONTAINER CORPORAT 07/14/16 STENGEL BAILEY ROBERTSON 324 16WC 26692 DIAZ, TIM SURFACERS, INC 07/20/16 MISKELL LAW CENTER RUSIN & MACIOROWSKI LTD 325 16WC 27159 HENDRICKS, PEGGY WEXFORD HEALTH SOURCES 12/17/15 LAW OFFICE DAVID HUNT RUSIN & MACIOROWSKI LTD 326 16WC 27547 SAGE, MICHELLE JOHN DEERE 02/16/16 GOLDFINE & BOWLES BOZEMAN NEIGHBOUR PATTON & N 327 16WC 27561 CEJA, RICARDO JOHN DEERE SEEDING GROUP 10/09/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 328 16WC 27651 ACEVEDO, MARY D SAM'S CLUB/WALMART STORES 07/26/16 HOPKINS & HUEBNER PC QUINTAIROS PRIETO WOOD & BOY 329 16WC 27653 ABBOT, TONY R BUHS AGRI-INTERMODAL SVS, 08/01/16 MEYERS & FLOWERS 330 16WC 27738 LARSON, DENNIS JOHN DEERE CYLINDER 09/16/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 331 16WC 27830 SUMMERS, JOSH SENSIENT FLAVORS INT'L IN 03/30/16 SCHWEICKERT & GANASSIN 332 16WC 28140 FLANNERY, CURTIS JR JOHN DEERE HARVESTER 03/23/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 333 16WC 28204 WILLIAMS, JARRED JOHN DEERE HARVESTER WORK 10/22/13 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 334 16WC 28331 LOPEZ, JORGE MCI MCCARTHY IMPROVEMENT 06/28/16 ANESI OZMON RODIN NOVAK KO BETTY NEUMAN & MCMAHON 335 16WC 28657 JILL, ALIER TYSON FRESH MEATS 09/03/15 VANDERGINST LAW PC GANAN & SHAPIRO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 16WC 29073 CALDWELL, JUSTIN LIFT SYSTEMS INC 03/16/16 WINSTEIN KAVENSKY & WALLAC 337 16WC 29352 HANTZ, WENDY JOHN DEERE HARVESTER WORK 11/16/15 HOPKINS & HUEBNER PC BOZEMAN NEIGHBOUR PATTON & N 338 16WC 29593 MORRIS, TERRI L O'REILLY AUTO ENTERPRISES 08/27/16 TUITE LAW 339 16WC 29736 DUNSWORTH, KELLEY MID-AMERICAN ENERGY CO 05/01/15 CHRISTINE A KEYS PC 340 16WC 29826 MANNING, PATRICIA STATE OF IL/DORS @ 08/23/16 BLACK & JONES ASSISTANT ATTORNEY GENERAL 341 16WC 29927 AVILA, MINERVA TYSON FOODS, INC 01/05/16 HOPKINS & HUEBNER PC BRYCE DOWNEY & LENKOV LLC 342 16WC 30154 LOPER, CLIFFORD BLICK ART MATERIALS 09/10/16 STRONG LAW OFFICE LAW OFFICES JOSEPH MARCINIAK 343 16WC 30412 CLAY, RICHARD GATES RUBBER CO 08/01/16 SAUNDERS CONDON & KENNY 344 16WC 31023 BROCKETT, KIRK GATES MANUFACTURING 12/23/15 STEPHEN P. KELLY QUINTAIROS PRIETO WOOD & BOY 345 16WC 31445 MOWER, MICHAEL J ROCK GATE CAPITAL, LLC 12/24/15 KATZ HUNTOON & FIEWEGER P LAW OFFICES JOSEPH MARCINIAK 346 16WC 31725 QAMHI, NAWAL TYSON FOODS INC 08/12/14 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 347 16WC 31897 CLARK, BETTY REHABILITATION SVCS 08/19/16 DWORKIN AND MACIARIELLO 348 16WC 32210 JORDAN, JOSHUA NATHANIEL FEDEX GROUND 09/23/16 349 16WC 32406 PATTERSON, SANDRA J FULTON CORP 04/05/16 THOMAS E CADY 350 16WC 32522 FAVELA, JOSE GREAT DANE TRAILERS 01/28/16 PETER F FERRACUTI & ASSOCI SPIEGEL & CAHILL, PC 351 16WC 32586 MORGAN, MICHAEL SR JOHN DEERE HARVESTER WORK 03/24/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 352 16WC 32810 DANIELSEN, JEAN A LA LEASING, INC DBA 03/18/16 THOMAS E CADY 353 16WC 33148 ALI, OSAMA TYSON FOODS 04/20/16 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 16WC 33357 MCDONALD, TOM WAHL CLIPPER 07/10/16 LAW OFFICE OF CHRIS DOSCOT HEYL ROYSTER VOELKER & ALLEN 355 16WC 33757 TOWNSEND, KEVIN USF HOLLAND 09/30/16 RIDGE & DOWNES HENNESSY & ROACH 356 16WC 33858 NOUR, SOMAYA TYSON FRESH MEATS, INC 12/09/14 WINSTEIN KAVENSKY & WALLAC GANAN & SHAPIRO 357 16WC 35111 WOOD, CONNIE JOHN DEERE HARVESTER 03/31/16 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 358 16WC 35356 TOPORAN, MUJO TYSON FOODS INC 04/22/15 WINSTEIN KAVENSKY & WALLAC 359 16WC 35432 DYER, HOWARD JOHN DEERE HARVESTER 07/31/15 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 360 16WC 35557 PETTERA, JEFFERY R METFORM 03/27/15 PIGNATELLI & ASSOCIATES 361 16WC 36126 JAQUET, JODLE VITAS HEALTHCARE CORPORAT 10/07/16 HENNESSY & ROACH PC 362 16WC 36248 SCHUELER, DOUG WALMART 05/04/16 JAY H JANSSEN QUINTAIROS PRIETO WOOD & BOY 363 16WC 36409 PETERSON, SHAWN STATE OF ILLINOIS IDOT @ 11/10/16 JOHN LESAGANICH ASSISTANT ATTORNEY GENERAL 364 16WC 36953 BIRD, DONALD ALL EVENT SVCS RS COMPANI 08/17/16 VANDERGINST LAW PC RUSIN & MACIOROWSKI LTD 365 16WC 37249 PRINS, MICHELE M FARMERS AUTO MGMT CO DBA 09/20/16 THOMAS E CADY HEYL ROYSTER VOELKER & ALLEN 366 16WC 37273 BRABSON, ANDREW VILLAGE HOME STORES 10/15/14 367 16WC 37336 DEVILDER, DARRELL CITY OF ROCK ISLAND 09/28/16 THOMAS W DUDA BETTY NEUMAN & MCMAHON 368 16WC 37449 LOGSDON, DAVID S GABRIEL M HILLS DBA 06/24/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 369 16WC 37802 LEATHERS, JAY AMEREN 11/04/16 LAW OFFICE DAVID HUNT WINNE LAW OFFICE LLC 370 16WC 38062 LEATHERS, JAY AMEEN 08/29/16 LAW OFFICE DAVID HUNT WINNE LAW OFFICE LLC 371 16WC 38106 TOMS, JAMES GREAT DANE TRAILERS 12/04/15 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 16WC 38556 FOSTER, JIM RICK SCOTT, LOANING EMPLO 12/10/16 JAY H JANSSEN HENNESSY & ROACH PC 373 16WC 38663 HODGES, THOMAS F JR PAR ELECTRICAL CONTRACTOR 10/31/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 374 16WC 38897 JONIAK, MICHEAL J COWSER, INC 11/19/16 FISHER, JOHN W 375 16WC 39414 QUICK, KEITH E CITY OF ROCK ISLAND 10/31/16 THOMAS W DUDA BETTY NEUMAN & MCMAHON 376 17WC 00298 HOLMAN, RICHARD EAST MOLINE POLICE DEPART 01/13/16 RIDGE & DOWNES MCCARTHY, CALLAS & FEENEY PC 377 17WC 00469 KNIGHT, PATSY WARREN ACHIEVEMENT 02/26/16 JAY H JANSSEN 378 17WC 00892 MORRIS, JOHN YEMM FORD 12/21/16 LAW OFFICE DAVID HUNT HEYL ROYSTER VOELKER & ALLEN 379 17WC 01137 BATEMAN, PAUL SERVICE STEEL 03/14/16 DONOVAN ROBERTSON 380 17WC 01546 SULLIVAN, SHERRY MISSISSIPPI VALLEY REGION 11/20/14 WINSTEIN KAVENSKY & WALLAC PERRY GENTILE 381 17WC 01663 NICHOLSON, DIANE MAURICES 06/29/16 CUSACK FLEMING GILFILLAN E 382 17WC 01678 GUERIN, BONNIE DICK BLICK 12/31/15 REHN & SKINNER LLC 383 17WC 01855 MAYNARD, CHRISTOPER JOHN DEERE CYLINDER 11/21/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 384 17WC 01940 MARQUEZ, LUIS ASPLUNDH TREE EXPERT CO 01/03/17 WINSTEIN KAVENSKY & WALLAC KNELL & O'CONNOR 385 17WC 02286 PETERSON, SHAWN STATE OF ILLINOIS IDOT @ 10/06/15 JOHN LESAGANICH 386 17WC 02569 LAY, SHERI MERCER COUNTY HEALTH DEPT 06/20/16 HOPKINS & HUEBNER PC 387 17WC 02616 AHRENS, JEREMY TRAPKUS BUILD 01/24/17 DWORKIN AND MACIARIELLO 388 17WC 02817 AGUE-BECHT, DOTTIE L JOHN MANAGEMENT GROUP LLC 03/02/16 THOMAS E CADY RUSIN & MACIOROWSKI LTD 389 17WC 02896 SMITH, DANIEL JC ASSOCIATES 07/11/15 MC HARGUE, JAMES P LAW OFF

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 17WC 02949 DORSEY, JEREMY ARROWHEAD RANCH, INC 05/11/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 391 17WC 03017 ROUSH, PATRICIA CITY OF EAST MOLINE 04/02/15 CORNFIELD & FELDMAN MCCARTHY, CALLAS & FEENEY PC 392 17WC 03072 LEES, JEFF KEWANEE SALE BARN 09/10/16 VANDERGINST LAW PC GAROFALO SCHREIBER STORM 393 17WC 03205 GODFREY, CONNIE KNOX COLLEGE 11/02/16 LEE, MARK N LAW OFFICE 394 17WC 03333 RICE, PAUL KELLY SERVICES 11/28/16 CAPRON & AVGERINOS PC BRADY, CONNOLLY & MASUDA, PC 395 17WC 03533 EARL, MARCY A WALMART DISTRIBUTION CENT 10/18/16 BLACK & JONES QUINTAIROS PRIETO WOOD & BOY 396 17WC 03987 DYE, KEGIN CHARTWELL STAFFING SERVIC 08/08/16 PETER F FERRACUTI & ASSOCI 397 17WC 04304 DENT, MYRON TYSON FRESH MEATS, INC 12/29/14 GOLDBERG WEISMAN & CAIRO L BRYCE DOWNEY & LENKOV LLC 398 17WC 04382 KRUG, COLTON WALMART SUPERCENTER 12/20/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 399 17WC 04522 BRENTISE, CHARLES E HILL CORRECTIONAL CENTER 10/29/14 MARIO J PEREZ 400 17WC 04833 PASCHAL, NANCY ADDUS HEALTH CARE 04/20/16 VANDERGINST LAW PC HENNESSY & ROACH 401 17WC 05023 SCOVEL, KELLY J MIDWEST UNDERGROUND INC. 12/26/14 ANESI OZMON RODIN NOVAK KO GRANT & FANNING 402 17WC 05066 MOLINA, PHILLIP SMITHFIELD FARMLAND 02/03/17 GOLDFINE & BOWLES 403 17WC 05340 KIRK, TYLER LEGGETT & PLATT 02/14/17 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 404 17WC 05596 SERRANO, JUAN L DEERE & CO/HARVESTER WORK 02/06/17 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 405 17WC 05773 BENHOFF, MICHAEL ILLINOIS TOLLWAY @ 01/31/17 WOLFE LAW PC GANAN & SHAPIRO 406 17WC 06005 ARRINGTON, JOHNATHAN CHC SOLUTIONS 02/22/17 DWORKIN AND MACIARIELLO 407 17WC 06284 THAYER, TOMMY L AUTOZONE 11/20/16 MERTES & MERTES PC HENNESSY & ROACH PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 17WC 06434 BOEH, GARY NATIONAL RAILWAY EQUIPMEN 06/23/16 WINSTEIN KAVENSKY & WALLAC 409 17WC 06504 HAMMONS, SHANNON INSERV 02/15/17 DWORKIN AND MACIARIELLO 410 17WC 06528 MORGAN, TISSA JOHN DEERE HARVESTER 08/21/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 411 17WC 06695 KPATCHA, AKLESSO TYSON FOODS, INC 11/23/15 STRONG LAW OFFICE GANAN & SHAPIRO 412 17WC 06700 HEDGEPATH, DANIEL L GREAT DANE TRAILERS 02/09/17 HARVEY & STUCKEL SPIEGEL & CAHILL, PC 413 17WC 06705 RULE, JAMES SODEXO 02/02/17 ILLINOIS ATTORNEY GENERAL INMAN & FITZGIBBONS 414 17WC 07183 GALINDO-VAZQUEZ, BEATRIZ FARMLAND FOODS 11/21/15 LAW OFFICE DAVID HUNT 415 17WC 07390 LISENBEE, ASHLEY STEAK'N SHAKE 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 416 17WC 07411 LISENBEE, ASHLEY STEAK N SHAKE, ROCK RIVER 06/08/16 WINSTEIN KAVENSKY & WALLAC QUINN JOHNSTON HENDERSON ETA 417 17WC 07477 EVERSOLL, PATRICIA A-TOWN GAS W 11/19/16 REHN & SKINNER LLC 418 17WC 07486 STEWART, ANGELA JOHN DEERE HARVESTER 01/06/17 WINSTEIN KAVENSKY & WALLAC BOZEMAN NEIGHBOUR PATTON & N 419 17WC 07499 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 09/02/15 HOPKINS & HUEBNER PC CALIFF & HARPER PC 420 17WC 07653 VELEZ, ESPERANZA N DEERE & CO/HARVESTER WORK 11/29/16 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 421 17WC 08133 FYE, KENNETH SCOTT'S DISPOSAL 04/21/16 LEE, MARK N LAW OFFICE 422 17WC 08166 PETERSON, ANITA AMI VENDING 10/17/16 WINSTEIN KAVENSKY & WALLAC RUSIN & MACIOROWSKI LTD 423 17WC 08223 WRIGHT, JULIA WALMART DISTRIBUTION 03/10/16 DAVID W MARTAY QUINTAIROS PRIETO WOOD & BOY 424 17WC 08568 LINDER, PAUL SENSIENT FLAVORS INT'L, I 10/07/16 SCHWEICKERT & GANASSIN 425 17WC 09006 MCDOWELL, CODY JOHN DEERE PARTS DISTRIBU 06/06/16 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 17WC 09069 MONGE, MICHAEL SMITHFIELD FARMLAND 09/29/16 WOODRUFF & JOHNSON 427 17WC 09200 THOMPSON, TARA GATES CORP 03/06/17 REHN & SKINNER LLC QUINTAIROS PRIETO WOOD & BOY 428 17WC 09413 RODRIGUEZ, LUIS HILL & VALLEY, INC 04/25/16 VANDERGINST LAW PC HOPKINS & HUEBNER PC 429 17WC 09497 NEVILLE, FARON GALESBURG CASTINGS, INC 01/24/17 STRONG LAW OFFICE BRADY, CONNOLLY & MASUDA, PC 430 17WC 09867 ENGELKENS, KAREN TIMKEN DRIVES LLC 02/15/17 DWORKIN AND MACIARIELLO NYHAN BAMBRICK KINZIE & LOWR 431 17WC 09948 WELLMAN, FLOYD STERLING STEEL 11/20/16 WOLFE LAW PC 432 17WC 10090 THOMAS, JEROME MOLINE POLICE DEPARTMENT 05/25/16 RIDGE & DOWNES CALIFF & HARPER PC 433 17WC 10241 GELAUDE, BEJAMIN CALMER CORN HEADS, INC 08/01/16 STRONG LAW OFFICE GANAN & SHAPIRO 434 17WC 10397 HEATHER, TIMOTHY FLEET STAFFING 03/16/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 435 17WC 10451 SMITH, DEE PROPHET HILLS COUNTRY CLU 07/12/16 BLACK & JONES CAPUANI & SCHNEIDER 436 17WC 10489 MARCELENO, LORENZO TYSON FRESH MEATS, INC 08/15/16 GANAN & SHAPIRO 437 17WC 10607 GUZMAN, ALYSSA M P&P INDUSTRIES 01/14/17 REESE & REESE HOLECEK & ASSOCIATES 438 17WC 10728 BEARDEN, AMY WALMART 10/29/16 REHN & SKINNER LLC QUINTAIROS PRIETO WOOD & BOY 439 17WC 11346 ELLIOTT, RANDALL CITY OF ROCK ISLAND 04/22/15 WARNER & ZIMMERLE 440 17WC 11683 SLAUGHTER, DIANNE JOHN DEERE HARVESTER WORK 03/05/12 HOPKINS & HUEBNER PC CALIFF & HARPER PC 441 17WC 11997 KETTLER, BRETT CITY OF EAST GALESBURG 04/18/17 CAPRON & AVGERINOS PC POWER & CRONIN LTD 442 17WC 12237 TANZILLO, PETE CULLIGAN 03/10/17 GOLDFINE & BOWLES 443 17WC 12257 PETTY, JOSHUA TKO ENTERPRISES, INC. D/B 03/28/17 PETER F FERRACUTI & ASSOCI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 26 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 444 17WC 12453 JONES, KEANAN CHEVROLET 04/22/17 DWORKIN AND MACIARIELLO 445 17WC 12512 REDINGTON-OVERBECK, BRIDG RC SMITH TRANSPORTATION 09/12/16 BLACK & JONES INMAN & FITZGIBBONS 446 17WC 12743 ARSHAD, JUBBAR HERTZ RENT A CAR 10/15/16 MCDONALD WOODWARD & CARLSO BRYCE DOWNEY & LENKOV LLC 447 17WC 12947 KIRK, TYLER LEGGETT & PLATT D/B/A 04/22/17 PETER F FERRACUTI & ASSOCI RUSIN & MACIOROWSKI LTD 448 17WC 13156 AYERS, CORBIN E CITY OF ROCK ISLAND 04/02/17 THOMAS W DUDA BETTY NEUMAN & MCMAHON 449 17WC 13728 FORNEY, BARBARA CASEY'S 04/24/17 JOHN E LUSAK 450 17WC 13907 TIDABACK, TONYA WALMART 08/23/15 WOLFE LAW PC QUINTAIROS PRIETO WOOD & BOY 451 17WC 14079 HART, LYLE CONSUMER FRIENDLY TRADING 01/21/17 GOLDFINE & BOWLES GANAN & SHAPIRO 452 17WC 14693 PETERSON, KATHY F. EXPORT PKG CO, INC 02/06/17 THOMAS E CADY 453 17WC 14737 PAXTON, GARY STANDARD FORWARDING 11/21/16 VANDERGINST LAW PC HENNESSY & ROACH 454 17WC 14843 RENTERIA, JOSE WALMART 11/10/16 PATRICIA HARDIMAN LAW OFFI QUINTAIROS PRIETO WOOD & BOY 455 17WC 14960 BROWN, TIM M CARE CENTER OF ABINGDON 04/19/17 KANOSKI BRESNEY 456 17WC 15028 HEATH, STEVEN W HY-VEE, INC 01/21/16 BROOKS LAW FIRM HOPKINS & HUEBNER PC 457 17WC 15110 BROOKS, JAMES N JR. DEERE & CO/HARVESTER WORK 02/14/17 THOMAS E CADY BOZEMAN NEIGHBOUR PATTON & N 458 17WC 15263 FIGUEROA-HABANA, MIGUEL SMITHFIELD FOODS 04/19/17 WOODRUFF & JOHNSON 459 17WC 15439 DONSBACH, TONYA OSF MULTI-SPECIALTY GROUP 05/10/17 GOLDFINE & BOWLES HINSHAW & CULBERTSON 460 17WC 15469 WHITE, TOMMIE HILL & VALLEY INC 10/01/16 WINSTEIN KAVENSKY & WALLAC 461 17WC 15503 ALI, OSAMA TYSON FOODS 07/09/15 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 27 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 462 17WC 15751 SENTER, DAVIDL JB LEE TRANSPORTATION CO 12/14/16 DREW J FERRACUTI 463 17WC 15832 WILSON, ALEX T SEEDORFF MASONRY, INC 03/13/17 BOZEMAN NEIGHBOUR PATTON & WIEDNER & MCAULIFFE LTD 464 17WC 16141 GIBSON, KEVIN QUAD CITY MALLARDS 04/15/17 FLOYD LAW FIRM 465 17WC 16412 DIEHL, ETTIE BRIDGEWAY, INC 12/19/16 POLANSKY & CICHON CHTD 466 17WC 16480 ABOYTES, ERIKA RAYA SMITHFIELD FARMLAND CORP 11/12/16 THOMAS E CADY 467 17WC 16948 MAGEE, ANITA AVONLEA COTTAGES OF 05/04/17 BLACK & JONES PERRY GENTILE 468 17WC 17030 SWANSON, TONY RUSSELL CONSTRUCTION 03/11/17 LEE, MARK N LAW OFFICE 469 17WC 17290 DAVIDSON, STEVEN SERVICE STEEL * 01/16/17 WINSTEIN KAVENSKY & WALLAC 470 17WC 17583 SULLIVAN, SHERRY MISSISSIPPI VALLEY * 11/04/16 WINSTEIN KAVENSKY & WALLAC PERRY GENTILE 471 17WC 17738 SCHEMEL, GERHARD ILLINOIS QUAD CITY CIVIC * 04/21/17 BLACK & JONES 472 17WC 18497 INGRAM, LINDSAY J MCDONALD'S CORPORATION * 03/25/17 KANOSKI BRESNEY 473 17WC 18629 COLLINSON, RICHARD JOHN DEERE HARVESTER WORK * 05/14/15 BLACK & JONES BOZEMAN NEIGHBOUR PATTON & N 474 17WC 18717 PATTERSON, BRIAN JOHN DEERE HARVESTER WORK * 06/01/17 STRONG LAW OFFICE 475 17WC 18782 PEREZ-HERNANDEZ, ROSA FARMLAND FOODS * 03/01/14 VANDERGINST LAW PC 476 17WC 18885 THOMPSON, MELVIN ILPEA INDUSTRIES * 04/17/17 LAW OFFICE DAVID HUNT 477 17WC 18989 SLOAN, LISA FARMLAND FOODS, INC * 08/13/15 REHN & SKINNER LLC 478 17WC 19030 VEATCH, BRYAN STERLING STEEL WAREHOUSE * 01/17/17 REESE & REESE HENNESSY & ROACH PC 479 17WC 19285 NAJERA FIGUEROA, JAVIER BELLOTA AGRISOLUTIONS * 01/22/17 LOGAN LAW

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 28 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 480 17WC 19289 FREEMAN, JEFFERY ERIKSEN CHEVROLET * 03/14/16 LOGAN LAW 481 17WC 19510 VEAL, CELENA JOHN DEERE HARVESTER * 03/02/17 HOPKINS & HUEBNER PC CALIFF & HARPER PC 482 17WC 19666 REIHM, RENE DOLLAR TREE STORES, INC * 08/29/16 REHN & SKINNER LLC 483 17WC 19830 GREEN, MARY HOPE CREEK CARE CTR * 05/19/17 CAPRON & AVGERINOS PC 484 17WC 19907 ALANIZ, EDWARD MOLINE POLICE DEPARTMENT * 01/06/17 RIDGE & DOWNES CALIFF & HARPER PC 485 17WC 20208 VALLAS, RAYMOND G TRI-CITY ELECTRIC CO OF I * 10/20/16 WINSTEIN KAVENSKY & WALLAC BETTY NEUMAN & MCMAHON 486 17WC 20487 HUGHES, JAMES CITY OF MOLINE * 03/25/16 DWORKIN AND MACIARIELLO CALIFF & HARPER PC 487 17WC 20548 TRUSSEN, JOHN III JOHN DEERE PARTS DISTR CE * 02/18/15 WINSTEIN KAVENSKY & WALLAC CALIFF & HARPER PC 488 17WC 20584 BRAZILE, JAMES JOHNNY'S ITALIAN STEAKHOU * 05/28/17 WINSTEIN KAVENSKY & WALLAC BRYCE DOWNEY & LENKOV LLC 489 17WC 20915 RADOSEVICH, MARTHA ARAMARK * 06/26/17 WINSTEIN KAVENSKY & WALLAC 490 17WC 21002 FROST, JEFF DICK'S SPROTING GOODS * 01/31/17 VANDERGINST LAW PC BRYCE DOWNEY & LENKOV LLC 491 17WC 21220 LAUNIUS, RICHARD E CITY OF MOLINE * 05/17/16 WINSTEIN KAVENSKY & WALLAC 492 17WC 21487 HART, HEIDI DEPT OF REHAB SERVICES * 07/07/17 PIGNATELLI & ASSOCIATES 493 17WC 21599 BARTHOLOMEW, PAUL TYSON FRESH MEATS * 10/24/16 WARNER & ZIMMERLE 494 17WC 21664 BISHOP, CRAIG WELLS PET FOOD * 04/20/17 REHN & SKINNER LLC 495 17WC 21826 FENDERM CHRISTOPHER JOHN DEERE HARVESTER WORK * 04/06/17 WINSTEIN KAVENSKY & WALLAC 496 17WC 22093 ELLIS, CHARLES A ROCK ISLAND COUNTY HIGHWA * 02/03/17 RIDGE & DOWNES BROOKS LAW FIRM 497 17WC 22207 MASON, SUE KONE * 03/16/17 WINSTEIN KAVENSKY & WALLAC GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 29 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 498 17WC 22296 FIGUEROA, JAVIER NAJERA BELLOTA AGRISOUTIONS * 01/22/17 LOGAN LAW 499 17WC 22325 TRUEBLOOD, MACKENZIE LEGGETT & PLATT/STERLING * 10/18/16 RUSIN & MACIOROWSKI LTD 500 17WC 22582 PETERS, DAN W DAVE DUNN'S AUTOBODY, INC * 06/05/17 KINGERY DURREE WAKEMAN & R 501 17WC 22845 BRIGGS, PEBBLES FARMLAND FOODS * 06/30/17 REHN & SKINNER LLC 502 17WC 22982 WILSON, RICHARD D HUTCHINSON MAYRATH * 12/09/15 TAPELLA & EBERSPACHER LLC 503 17WC 23090 ACCLASSATO, YAWAVI A TYSON FRESH MEATS INC * 11/19/14 THOMAS E CADY 504 17WC 23186 SPEER, JOSHUA KELLY SERVICES * 07/27/17 WINSTEIN KAVENSKY & WALLAC 505 17WC 23278 SAAVEDRA ZAMORA, JORGE TYSON * 02/17/17 LAW OFFICE DAVID HUNT 506 17WC 23443 BORKHARDT, LORNA ALDI, INC * 04/26/17 WINSTEIN KAVENSKY & WALLAC 507 17WC 23850 ROSS, MICHAEL WOODARD & CURRAN * 02/08/17 LAW OFFICE OF CHRIS DOSCOT 508 17WC 23991 CASHION, DAVID K YRC FREIGHT * 04/18/17 RIDGE & DOWNES 509 17WC 24069 ALFARO, ALICIA SMITHFIELD FARMLAND FOODS * 07/05/17 LAW OFFICE OF CHRIS DOSCOT 510 17WC 24204 GARCIA-ANYONA, LOURDES HILL & VALLEY INC * 08/10/15 ANDREW BRIBRIESCO 511 17WC 24277 JACKSON, AMY EASTER SEALS CENTRAL ILL * 10/19/15 REHN & SKINNER LLC 512 17WC 24529 LODWIG, YOLANDA MANPOWER * 06/14/17 RIDGE & DOWNES HENNESSY & ROACH PC 513 17WC 24595 PONTIOUS, TINA TRI-COUNTY OPPORTUNITIES * 01/13/17 MC HARGUE, JAMES P LAW OFF 514 17WC 24661 BURCIAGA, CASSIE SMITHFIELD FARMLAND FOODS * 03/13/17 DWORKIN AND MACIARIELLO 515 17WC 24853 DELACRUZ, TERRIE FARMLAND FOODS * 11/18/15 REHN & SKINNER LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 30 C A S E H E A R I N G S Y S T E M NOWAK, MICHAEL 094 ARBITRATION CALL FOR ROCK ISLAND 44001 ON 10/02/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 516 17WC 24988 IVES, DAKOTA W KROGER * 04/18/17 MERTES & MERTES PC 517 17WC 25073 WOMACK, DWAIN HIGH CLIFF ESTATES * 07/25/17 DWORKIN AND MACIARIELLO 518 17WC 25408 LIAN, TIAL TYSON FRESH MEATS * 10/20/15 GANAN & SHAPIRO 519 17WC 25544 BELL, WILLIE J CRST DEDICATED SERVICES, * 12/14/16 BOZEMAN NEIGHBOUR PATTON & 520 17WC 25563 MOORE, JAMES MODERN PIPING * 05/02/17 LEE, MARK N LAW OFFICE