ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 01WC 37794 KANG, JOSEPH J ST MARY'S HOSPITAL 11/18/99 CALLIS LAW FIRM EVANS & DIXON, LLC 15WC020680 -C 2 02WC 01382 BYERS, JAMES J SHERWIN WILLIAMS INC 01/11/99 MILLER, WILLIAM R LAW OFFI GAROFALO SCHREIBER STORM 3 03WC 12544 DRUMMOND, CONNIE A ST OF IL DEPT OF WARREN G @ 08/12/02 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 03WC012669 -C 4 03WC 32067 19B MAIN, JEFFREY A MENARD INC 04/04/03 KATZ FRIEDMAN EAGLE ET AL CHILTON YAMBERT PORTER LLP 5 05WC 28289 COOK, DOYLE ST OF IL-DEPT OF CORRECTI @ 05/24/04 BECKER & GALANTI ILLINOIS ATTORNEY GENERAL 6 08WC 27311 19B DEADMOND, CAROLYN, WIDOW WARREN G MURRAY'S CENTER @ 01/22/08 DANIELS WILZBACH PC ILLINOIS ATTORNEY GENERAL 7 08WC 38489 RAUSCH, MARILYM STATE OF ILLINOIS/CENTRAL @ 08/05/08 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 8 09WC 03225 GLODO, REBECCA INNERTECH 08/15/08 BROWN & BROWN KEEFE & DEPAULI 09WC003266 -C 10WC023811 -C 10WC023816 -C 10WC024087 -C 10WC024183 -C 11WC028461 -C 12WC002560 -C 13WC026517 -C 13WC026599 -C 13WC026667 -C 13WC026674 -C 9 09WC 28315 MEYERS, JULIA A CONTINENTIAL TIRE NORTH A 08/01/06 MARK GLASS FEIRICH MAGER GREEN & RYAN 10WC031541 -C 12WC002742 -C 12WC002743 -C 13WC028225 -C 15WC029088 -C 10 09WC 44117 ST PETERS, DONALD M C P C LOGISTICS 05/09/09 THOMAS E SCHOOLEY LAW OFFI LEMP & ANTHONY, PC

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 11 09WC 49366 HEFNER, JANET TRAVEL CENTERS OF AMERICA 04/19/07 BROWN & BROWN RODDY LAW LTD 12 09WC 50970 MC GEE, STEPHEN M FERRELLGAS 02/02/05 SL CHAPMAN LLC ADELSON TESTAN & BRUNDO 10WC034404 -C 13 10WC 03485 19B STINE, TAMALA J BATH & BODY WORKS 08/30/09 MEYER, MICHAEL J GALLIANNI DOELL & COZZI LTD 14 10WC 13983 RUIZ, VICTOR T SCHWAN FOOD COMPANY 11/30/06 KATZ FRIEDMAN EAGLE ET AL HENNESSY & ROACH, PC 11WC037952 -C CHAMPION LABORATORIES 15WC030024 -C FRAM FILTRATION 15 10WC 38171 HYLTON, KEVIN CONTINENTAL TIRE 05/10/09 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 10WC048393 -C 11WC041274 -C 16 10WC 41666 CASH, ARLEY CONTINENTAL TIRE N.A. 10/25/07 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 17 11WC 01565 19B HUGHEY, TOMMY JEFFERSON COUNTY 07/30/10 BEMENT & STUBBLEFIELD RUSIN & MACIOROWSKI LTD 18 11WC 10068 DORN, CHERI AMEREN 07/08/10 MUELHAUSEN & STEFANI LEMP & ANTHONY, PC 11WC028051 -C 19 11WC 11148 GORDON, GERALD MCT TRANSPORTATION LLC 12/23/10 RON D COFFEL & ASSOC LITCHFIELD CAVO 11WC030760 -C 20 11WC 14590 FOSTER, STEVEN L NASCOTE INDUSTRIES 03/17/11 NELSON & NELSON LAW OFFICE PATRICK JENNETTEN 11WC019950 -C 21 11WC 23952 MOORE, CHARLISA SALLY'S BEAUTY SUPPLY 05/13/11 DAVID JEROME HENNESSY & ROACH, PC 22 11WC 24651 BROWN, CHRISTOPHER MICHAE ST OF IL DEPT OF @ 04/19/11 BLEYER & BLEYER ILLINOIS ATTORNEY GENERAL 23 11WC 34777 LAMB, KENNETH M SHERWIN WILLIAMS 08/17/10 MEYER, MICHAEL J GAROFALO SCHREIBER STORM 24 11WC 42806 SMITH-WILLIAMS, LATOYA NASCOTE INDUSTRIES 03/30/11 NELSON & NELSON LAW OFFICE PATRICK JENNETTEN 25 11WC 45097 ALLEN, TROY S SHERWIN WILLIAMS 06/15/08 TUNGATE LAW OFFICE GAROFALO SCHREIBER STORM 26 11WC 48144 HOLLAND, CHARLES A WHITE COUNTY COAL LLC 09/28/11 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 27 12WC 02579 JAMES, TABATHA R WHITE COUNTY AMBULANCE 08/10/11 FEIRICH MAGER GREEN & RYAN RUSIN & MACIOROWSKI LTD 28 12WC 04427 HOWARD-CHAPPELL, JUDITH L STATE OF ILLINOIS(DHS) @ 08/10/10 FOREMAN & KESSLER, LTD ILLINOIS ATTORNEY GENERAL 29 12WC 07588 PUNTNEY, MARK A LAWRENCEVILLE CTY MEMORIA 09/05/11 HASSAKIS & HASSAKIS KEEFE & DEPAULI 12WC007596 -C 30 12WC 07679 HARRIS, MARC K CITY OF MT VERNON 01/03/12 THOMAS W DUDA KEEFE & DEPAULI 31 12WC 10387 19B GOLDMAN, JEFF PETCO PETROLEUM CORP 08/03/11 MCWARD LAW OFFICE RUSIN MACIOROWSKI & FRIEDMAN 32 12WC 18573 GOLDEN, ROBERT WALGREEN'S DISTRIBUTION C 04/24/12 BROWN & BROWN EVANS & DIXON, LLC 33 12WC 20045 BOWERS, ANGEL WALGREENS 09/14/11 MCCARTHY ROWDEN & BAKER MCANANY VANCLEVE & PHILLIPS 34 12WC 22001 WICKE, PATRICIA L STATE OF ILLINOIS 11/20/11 TUNGATE LAW OFFICE ASSISTANT ATTORNEY GENERAL 35 12WC 22561 HOWARD, CLAUDE CITY OF OLNEY 01/12/12 MUELHAUSEN & STEFANI KEEFE & DEPAULI 36 12WC 25146 WATSON, CASSANDRA ODIN HEALTHCARE CENTER 03/29/12 BROWN & BROWN HENNESSY & ROACH, PC 37 12WC 31793 MCALEXANDER, ELIZABETH A MT VERNON S D #80 03/13/12 SCHUCHAT, COOK & WERNER BRADY, CONNOLLY & MASUDA, PC 38 12WC 32510 BAILEY, LARRY WALGREENS DISTRIBUTION CE 08/29/11 BEMENT & STUBBLEFIELD 39 12WC 39872 SULLIVAN, JOHN DAVID BANKSTON CREEK 07/24/12 HOWERTON, DORRIS & STONE 40 13WC 02500 GLEASON, JOHN HITACHI METAL AUTOMOTIVE 12/05/12 SMITH LAW LTD MORROW WILLNAUER 41 13WC 03229 KIRKMAN, VICTORIA L ST MARY'S HOSPITAL 12/17/12 LAW OFFICE OF THOMAS SCHOO EVANS & DIXON, LLC 42 13WC 04382 ZECKOVICH, JIM RUSH TRUCKING 07/15/12 RIDGE & DOWNES LLC 13WC004383 -C SELECT REMEDY MT VERNON 43 13WC 06432 WAGNER, JANET SEMINARY TOWNSHIP 04/23/12 MUELHAUSEN & STEFANI JAMES M KELLY 44 13WC 06723 POE, JARAMIE NATIONAL RAILWAY EQUIPMEN 02/07/13 KEEFE & DEPAULI GAROFALO SCHREIBER STORM

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 45 13WC 08389 WHITFIELD, ANGELA BECK US TRANSPORTATION 02/18/12 KEEFE & GRIFFITHS PC ROUSE & CARY 46 13WC 09467 PETTIGREW, JRL L TUMPY HILL FARM 07/23/12 HASSAKIS & HASSAKIS PC BRADY, CONNOLLY & MASUDA, PC 47 13WC 10156 MEREDITH, DORIS ST MARYS GOOD SAMARITAN H 01/26/13 BROWN & BROWN EVANS & DIXON, LLC 48 13WC 10162 BARTHELEMY, ALICIA WALGREENS 11/29/12 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS 49 13WC 17246 HALLAM, MELODY HUFFS SEALING CORP 05/02/12 STRONG LAW OFFICE STEPHEN H LARSON LAW OFFICE 50 13WC 17579 GUENTHER, TORIE TED DATTERS DELIVERY 04/23/13 KATZ FRIEDMAN EAGLE ET AL 51 13WC 19499 BROWN, MICHAEL L MANPOWER 06/01/12 JOHNSTON LAW OFFICE 52 13WC 19965 19B GASTON, JACKIE WARREN G MURRAY @ 01/13/11 BECKER SCHROADER & CHAPMAN ILLINOIS ATTORNEY GENERAL 13WC020103 -C 13WC020294 -C 53 13WC 20293 BAIR, DAVID WALGREEN'S DISTRIBUTION C 08/08/11 BROWN & BROWN EVANS & DIXON, LLC 54 13WC 22881 SHEHORN, TAMMY WARREN G MURRAY DEVEL CEN @ 06/18/13 BROWN & BROWN ILLINOIS ATTORNEY GENERAL 55 13WC 25489 HARVEY, DALE CAPSTONE LOGISTICS 08/19/12 GLASS & KOREIN LLC STEPHEN H LARSON LAW OFFICE 13WC025490 -C 56 13WC 26685 NEHRT, RICKY NOTS LOGISTICS, LLC 01/04/13 BEATTY & MOTIL EVANS & DIXON, LLC 57 13WC 27131 MORGAN, TONYIA NAPA DISTRIBUTION 12/28/12 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 58 13WC 29702 DUNCAN, CORY CONTINENTAL TIRE 03/02/13 DANIELS WILZBACH PC KEEFE & DEPAULI 59 13WC 29777 GILLIAM, RHONDA L WESTERN EGYPTIAN HEADSTAR 02/19/13 NELSON & NELSON ROSARIO CIBELLA 60 13WC 30043 WIGGINS, DARREN M THE SWAN CORPORATION 02/19/13 FOREMAN & KESSLER, LTD ROUSE & CARY 61 13WC 31069 MC ALEXANDER, ELIZABETH A MT VERNON SCHOOL DIST. #8 11/12/12 SCHUCHAT, COOK & WERNER

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 62 13WC 31303 FORSON, JASON SOUTHEAST PERSONNEL 08/06/13 KEEFE & GRIFFITHS PC QUINTAIROS PRIETO WOOD & BOY 63 13WC 33415 SMITH, MAYBEL AIRTEX PRODUCTS, INC. 08/07/13 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 64 13WC 36152 WILL, RONALD L ILLINOIS STATE POLICE @ 11/13/10 SCHOEN WALTON TELKEN & FOS ASSISTANT ATTORNEY GENERAL 65 13WC 36351 BANDY, SHARON KAY CROOK HOYLETON YOUTH & FAMILY S 07/11/13 COOK SHEVLIN YSURSA ET AL KEEFE & DEPAULI 66 13WC 37280 SMITH, MICHELLE CROSSROADS COMMUNITY HOSP 06/29/12 KEEFE & GRIFFITHS PC 67 13WC 39400 MUELLER, AMY STAFF MANAGMENT 11/04/13 BROWN & BROWN RODDY LAW LTD 68 13WC 41842 SPREHE, CRAIG CONTINENTAL GENERAL TIRE 11/21/12 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 69 14WC 00613 DORRIS, SHAWN M CONTINENTAL TIRE 02/16/13 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 70 14WC 02067 GARRETT, JUDY A ST MARYS GOOD SAMARITAN I 09/09/12 MEYER, MICHAEL J EVANS & DIXON, LLC 71 14WC 03450 MEINHART, NICHOLAS SIEMER MILLING COMPANY 02/15/13 TAPELLA & EBERSPACHER LLC 72 14WC 03927 HAILS, LINDA EFFINGHAM COUNTY COMMITTE 06/17/13 NELSON & NELSON KEEFE & DEPAULI 73 14WC 04267 MODGLIN, ELIZABETH R WALGREENS DISTRIBUTION CE 01/15/14 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 74 14WC 10368 19B BROWN, PHILLIP GEO N MITCHELL DRILLING C 12/14/13 HEIDI A. HOFFEE ROUSE & CARY 75 14WC 13068 MC DANIEL, AMANDA M SOUTH CENTRAL TRANSIT 03/14/14 76 14WC 13468 TWEEDY, SHERRY PLACE SMART AGENCY 03/24/14 DWORKIN AND MACIARIELLO ROUSE & CARY 77 14WC 14991 FOWLER, ANTHONY PYRAMID STAFFING 04/08/14 BROWN & BROWN WOLFE & JACOBSON, LTD 78 14WC 16023 19B ANDREWS, ERNEST AIRTEX PRODUCTS INC 02/19/12 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 79 14WC 16364 DUGAN-EDWARDS, DENISE S W.G. MURRAY DEVELOP CTR @ 09/30/13 KEEFE & GRIFFITHS PC ILLINOIS ATTORNEY GENERAL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 80 14WC 19142 ZOOK, SHAWN GESELL'S PUMP SALES AND S 02/28/13 DRUMMOND LAW OFFICE 81 14WC 19612 MC CLELLAN, GEORGE E CHAMPION LABS 04/06/13 BEMENT & STUBBLEFIELD EVANS & DIXON, LLC 82 14WC 19838 BARNETT, KENNETH GILSTER-MARY LEE CORPORAT 09/24/11 DANIELS LAW OFFICE FEIRICH MAGER GREEN & RYAN 83 14WC 20241 GATONS, BRANDY UNIQUE PERSONNEL CONSULTA 01/09/14 TAPELLA & EBERSPACHER LLC STONE & JOHNSON CHARTERED 84 14WC 21486 SHEHORN, TAMMY WARREN G MURRAY DEVEL CEN @ 03/25/14 BROWN & BROWN ILLINOIS ATTORNEY GENERAL 85 14WC 21613 MCALEXANDER, ELIZABETH A MT VERNON SCHOOL DIST #80 11/12/12 SCHUCHAT, COOK & WERNER BRADY, CONNOLLY & MASUDA, PC 86 14WC 22085 HALL, BILLY T HOG SLAT INC 02/04/14 WOMICK LAW FIRM CHTD LAW OFFICE CRAIG A HANSEN 87 14WC 22574 MARTHALER, MATTHEW WALGREENS DISTRIBUTION 06/11/14 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 88 14WC 23030 MUELLER, AMY INNOVATIVE STAFFING 06/17/14 BROWN & BROWN BRUCE WARREN 89 14WC 23246 BRUBAKER, RICHARD C WAYNE L STEAVENS CONSTRUC 07/31/13 BECKER SCHROADER & CHAPMAN BRUCE WARREN 90 14WC 23740 SAWYER, BRENDA ILLINOIS SECRETARY OF STA 06/10/14 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 91 14WC 24060 KRIBLEY, LAUREN DOLLAR GENERAL 03/20/04 KATZ FRIEDMAN EAGLE ET AL LEAHY EISENBERG & FRAENKEL 92 14WC 25172 RUHOLL, DONALD FLINT INC AND/OR QUAD GRA 12/31/11 LAW OFFICE KEITH SHORT 93 14WC 25941 BAIR, DAVID WALGREEN'S DISTRIBUTION C 05/13/14 BROWN & BROWN EVANS & DIXON, LLC 94 14WC 27728 WILSON, RODNEY MOORE BROTHERS CONTRACTIN 10/19/12 FITZ & TALLON LTD STEPHEN H LARSON LAW OFFICE 95 14WC 28106 LOKER, TONYA ST OF IL DEPT OF 03/21/13 BEMENT & STUBBLEFIELD ASSISTANT ATTORNEY GENERAL 96 14WC 28919 NEWCOMB, JEROD GEO MITCHELL DRILLING 01/01/14 HANAGAN & MCGOVERN PC ROUSE & CARY 97 14WC 29371 FORTNEY, CLARICE HOYLETON YOUTH & FAMILY 08/09/13 LEVENHAGEN LAW FIRM PC LITCHFIELD CAVO

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 98 14WC 29754 RAMSEY, TAMMY MT VERNON SCHOOL DISTRICT 07/28/14 KOLKER LAW OFFICES HENNESSY & ROACH, PC 99 14WC 31277 NORTON, PEGGY KIRBY RISK ELECTRICAL SUP 11/05/13 LEVENHAGEN LAW FIRM PC ROSARIO CIBELLA 100 14WC 31613 RITCHASON, PAUL SIERRA BRAVO CONTRACTORS 12/30/13 HOWERTON, DORRIS & STONE NYHAN BAMBRICK KINZIE & LOWR 101 14WC 31636 19B PINGSTERHAUS, JOANN ST OF IL/MURRAY CENTER @ 07/24/14 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 14WC031637 -C 14WC031638 -C 15WC022029 -C MURRAY CENTER 102 14WC 31860 REININGER, CYNTHIA DENNY'S CORP 12/17/13 HANAGAN & MCGOVERN PC RUSIN & MACIOROWSKI LTD 103 14WC 32034 LEWIS, BARBARA WALGREENS DIST CENTER 01/02/14 BEMENT & STUBBLEFIELD EVANS & DIXON, LLC 104 14WC 32096 GILDER, JACK VAN SALEM TIRE CENTER 08/13/13 BROWN & BROWN HOLTKAMP LIESE ET AL 105 14WC 33086 WHEELER, DAVID CHESTERFIELD VILLAGE APAR 04/24/14 HOWERTON, DORRIS & STONE 106 14WC 33308 HOLLAND, BONNIE F WARREN G MURRAY DEV CTR @ 07/06/14 NELSON & NELSON ASSISTANT ATTORNEY GENERAL 107 14WC 33379 GOSSAGE, CHARLES PREMIUM ENTERPRISES INC 08/01/13 WOMICK LAW FIRM CHTD KEEFE CAMPBELL & ASSOC LLC 108 14WC 33492 THOMPSON, DARREL CITATION OIL & GAS CORP 05/18/14 RICH RICH COOKSEY PC LAW OFFICE CRAIG A HANSEN 109 14WC 35791 BANNISTER, CONNIE DORS @ 07/12/12 WOODRUFF & JOHNSON ASSISTANT ATTORNEY GENERAL 110 14WC 36098 BAILEY, DAVID WAYNE-WHITE COUNTIES ELEC 05/22/13 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 111 14WC 36799 HENSON, CHAD BARR CONSTRUCTION COMPANY 09/28/12 SAUTER, SULLIVAN & EVANS HEYL ROYSTER VOELKER & ALLEN 112 14WC 36987 BECK, AMY B STATE OF IL @ 03/03/13 MEYER, MICHAEL J ASSISTANT ATTORNEY GENERAL 113 14WC 40148 LEWIS, BARBARA WALGREENS DISTRIBUTION CE 10/20/14 BEMENT & STUBBLEFIELD EVANS & DIXON, LLC 114 14WC 40855 HENCKE, BENJAMIN FED EX FREIGHT 02/10/14 STRONG LAW OFFICE SCOPELITIS GARVIN LIGHT

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 115 14WC 40898 RAYBORN, JAMES D WABASH CUSD #348 01/22/14 HASSAKIS & HASSAKIS KEEFE CAMPBELL & ASSOC LLC 116 14WC 41022 SHAVER, PAMELA K BOTTLE HUT OF NOBLE INC 11/27/13 TUNGATE LAW OFFICE 117 14WC 41644 JONES, GARY EAGLE WINGS MANUFACTURING 10/14/14 HELLER HOLMES & ASSOC NYHAN BAMBRICK KINZIE & LOWR 118 14WC 41897 DELANEY, RHONDA R WALGREENS FAMILY OF COMPA 08/30/14 JAMES RUPPERT EVANS & DIXON, LLC 119 14WC 42012 FINFROCK, CURTIS D EFFINGHAM WATER AUTHORITY 05/06/14 MEYER, MICHAEL J HEYL ROYSTER VOELKER & ALLEN 120 14WC 42122 GODWIN, MICHELLE WALGREENS DISTRIBUTION 08/12/14 WOMICK LAW FIRM CHTD EVANS & DIXON, LLC 121 15WC 00592 YATES, NORMAN SOUTHERN ILLINOIS SCALES 05/30/13 BROWN & CROUPPEN 122 15WC 03247 SHIRLEY, KELLY R PETRO OIL TRUCK STOP 04/06/12 WOLTER BEEMAN AND LYNCH RODDY LAW LTD 123 15WC 03622 REED, LARRY CPC LOGISTICS 11/12/14 KOLKER LAW OFFICES 124 15WC 03803 HENSON, CHAD BARR CONSTRUCTION COMPANY 05/09/12 SAUTER, SULLIVAN & EVANS 125 15WC 03907 GEORGE, TONY WALGREENS DISTRIBUTION CT 01/26/15 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 126 15WC 04036 PIKE, ROCKY WHITE OAK RESOURCES 02/07/12 LAW OFFICE CRAIG A HANSEN 127 15WC 05693 19B PHILLIPS, DANNY AMERICAN EQUIPMENT & MACH 01/05/15 LEVENHAGEN LAW FIRM PC MCBREARTY, BRIAN K 128 15WC 05724 SLATER, JUSTIN NORTH AMERICAN LIGHTING, 03/12/14 LAW OFFICES STEPHEN CARTER 129 15WC 06678 MC GEHEE, JAMIE JEFFERSON COUNTY HIGHWAY 02/18/15 BECKER SCHROADER & CHAPMAN EVANS & DIXON, LLC 130 15WC 06989 KING, J DUSTIN ILLINOIS STATE POLICE @ 03/14/12 HARRIS & JONES ASSISTANT ATTORNEY GENERAL 131 15WC 07315 NORTON, PEGGY KIRBY RISK ELECTRICAL SUP 01/23/15 LEVENHAGEN LAW FIRM PC ROSARIO CIBELLA 132 15WC 07484 GUENTHER, PATRICK SHERWYN WILLIAMS 02/19/15 KATZ FRIEDMAN EAGLE ET AL GAROFALO SCHREIBER STORM

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 133 15WC 07666 VAUGHN, JULIE MURRAY CENTER @ 01/27/15 GALANTI LAW OFFICES ILLINOIS ATTORNEY GENERAL 134 15WC 07992 KING, J DUSTIN ILLINOIS STATE POLICE @ 03/14/12 HARRIS & JONES 135 15WC 08116 FLEMING, MAURICE MANPOWER, INC. 02/04/15 NELSON & NELSON HENNESSY & ROACH, PC 136 15WC 08267 19B LEWIS, DAWN A SOUTH CENTRAL TRANSIT 07/08/14 JAMES RUPPERT KEEFE & DEPAULI 15WC008283 -C 137 15WC 08520 MOORE, SUSAN SELECTREMEDY 02/20/14 BROWN & BROWN LEAHY EISENBERG & FRAENKEL 138 15WC 08730 BLUHM, ROBERT D THOMAS E KELLER TRUCKING 12/02/14 HASSAKIS & HASSAKIS HEYL ROYSTER VOELKER & ALLEN 139 15WC 08809 NEAL, MICHELLE WALGREENS DISTRIB CTR 07/01/14 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 140 15WC 08917 STEPP, JUDY JHCI HOLDINGS, INC. 03/21/14 LEVIN RIBACK LAW GROUP WIEDNER & MCAULIFFE LTD 141 15WC 09161 SEFTON, DAVID C IDOT @ 01/05/14 BOSHARDY LAW OFFICE PC ASSISTANT ATTORNEY GENERAL 142 15WC 09448 KRAAY, STACY HELLA ELECTRONICS 12/20/14 LAW OFFICE KEITH SHORT ROUSE & CARY 143 15WC 10314 CARTER, ZACHARY GENCO 01/31/15 SMITH LAW LTD ROUSE & CARY 144 15WC 10373 MAYNARD, JAMES CONTINENTAL TIRE 06/28/14 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 145 15WC 10655 LEHMAN, ANDY WALGREENS DIST CENTER 02/02/15 GARY L. BEMENT EVANS & DIXON, LLC 146 15WC 10788 WITHERS, JOSEPH IL DEPT OF NAT RESOURCES @ 02/23/15 LEVENHAGEN LAW FIRM PC ASSISTANT ATTORNEY GENERAL 147 15WC 10894 EDWARDS, HEDY L WALGREENS DIST CENTER 06/11/14 HASSAKIS & HASSAKIS PC 148 15WC 10986 BRIDDICK, CHARLES AMERREN 11/18/14 MUELHAUSEN & STEFANI LEMP & MURPHY 149 15WC 11521 ASHLOCK, WALTER HAAG FOODS SERVICES INC 01/20/15 DANIELS WILZBACH PC LAW OFFICES OF JOHN D. WENDL 150 15WC 11933 OESTREICH, JOE AMERICAN EQUIPMENT & MACH 03/25/15 NELSON & NELSON MCBREARTY, BRIAN K

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 151 15WC 12472 19B WHISLER, JAMES SCHUTT SPORTS 01/28/15 RICH RICH COOKSEY PC EVANS & DIXON, LLC 152 15WC 13201 CARTER, DONNA AIRTEX PRODUCTS, INC 09/09/14 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 153 15WC 14484 DECLUE, PATTI NORTH AMERICAN LIGHTING 09/18/14 KIRKPARTICK LAW OFFICES LAW OFFICES STEPHEN CARTER 09WC038788 -C 09WC038789 -C 13WC014279 -C 15WC020613 -C 154 15WC 14661 NEAL, MICHELLE L WALGREENS DISTRIBUTION CT 05/15/13 HASSAKIS & HASSAKIS PC 155 15WC 14852 JOHNSON, DONALD CONTINENTAL TIRE NORTH AM 03/24/15 SCHREMPF, BLAINE, KELLY & KEEFE & DEPAULI 156 15WC 15694 DAVIS, CORTEZ 4M BUILDING SOLUTIONS 04/10/13 GARY L. BEMENT STEPHEN H LARSON LAW OFFICE 157 15WC 15856 PHILLIPS, RONALD JEWEL FOODS 04/08/15 GOLDBERG WEISMAN & CAIRO L BRADY CONNOLLY & MASUDA PC 158 15WC 16115 TAYLOR, NANCY FRAM FILTRATION 03/23/15 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 159 15WC 17110 MOATS, ANTHONY SAMUEL WAY UNIQUE PERSONNEL 09/30/13 COBLE & MILONE STONE & JOHNSON CHARTERED 160 15WC 18213 MC INTOSH, JILL L. WARREN G. MURRAY @ 04/21/15 GLASS & KOREIN ILLINOIS ATTORNEY GENERAL 161 15WC 18266 SLATER, JUSTIN NORTH AMERICAN LIGHTING 03/12/14 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 162 15WC 19606 LINDHORST, RYAN L VEYANCE TECHNOLOGIES 03/25/15 MCGARRY, BRIAN P ROUSE & CARY 163 15WC 19757 CARTER, DONNA HOYLETON MINISTRIES 04/29/15 RICH RICH COOKSEY PC LITCHFIELD CAVO 164 15WC 22126 FLOWERS, CYNTHIA TRADE INDUSTRIES INC 11/08/14 TAPELLA & EBERSPACHER LLC ROBERT L. SMITH 165 15WC 24594 NICKS, JEFF RDS DELIVERY 01/14/14 166 15WC 25479 DUNCAN, JOE ELECTRIC CONDUIT CONSTRUC 12/03/13 HORWITZ HORWITZ & ASSOC LAW OFFICE CRAIG A HANSEN 167 15WC 25806 HODGE, JOEL RADIAC ABRASIVES 06/19/15 RICH RICH COOKSEY PC 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 ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 168 15WC 26310 EDMONDS, JERREL CONTINENTAL TIRE N.A. 11/20/14 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 169 15WC 26699 KIMBRELL, STAN AIRTEX PRODUCTS INC 06/24/13 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 170 15WC 27011 REYNOLDS, TROY NPC INTERNATIONAL 03/10/14 HAROLD K PIKE III 171 15WC 27469 GUERRETTAZ, CELESTE M. WALGREEN'S DISTRIBUTION C 05/29/15 NELSON & NELSON EVANS & DIXON, LLC 172 15WC 27538 HEINZMANN, VALORIE WALGREEN'S 08/28/14 RICH RICH COOKSEY PC EVANS & DIXON, LLC 173 15WC 27624 WIEBLER, KAREN SUE MURRAY DEVELOPMENT CTR @ 03/04/15 HASSAKIS & HASSAKIS ILLINOIS ATTORNEY GENERAL 174 15WC 28490 MCDOWELL, VALERIE HELIA HEALTHCARE OF OLNEY 10/08/14 SMITH LAW LTD MCANANY VANCLEVE & PHILLIPS 175 15WC 28934 GARCIA, ESTABAN JAMES CLARK D/B/A 03/10/15 SCROGGINS LAW OFFICE 176 15WC 29905 CLEVENGER, DANNY R SR LES WILSON INC 08/10/15 LEVENHAGEN LAW FIRM PC STEPHEN H LARSON LAW OFFICE 177 15WC 30332 TUTTLE, OTIS S.O.I./ILLINOIS STATE POL @ 03/18/15 178 15WC 30666 ADAMS, TODD GMS MINE REPAIR & MAINTEN 08/27/15 RICH RICH COOKSEY PC BONALDI CLINTON & DAVIS LTD 179 15WC 30776 TURNER, MICHAEL HITACHI METALS AUTO COMPO 05/01/13 KATZ FRIEDMAN EAGLE ET AL MORROW WILLNAUER 180 15WC 31101 KELLY, SEAN EFFINGHAM EQUITY 08/26/15 KATZ FRIEDMAN EAGLE ET AL KEEFE CAMPBELL & ASSOC LLC 181 15WC 31444 PEARCE, RHEANNA FRAM FILTRATION 01/13/15 HANAGAN & MCGOVERN PC EVANS & DIXON, LLC 182 15WC 32128 BRYANT, STACY STATE OF ILLINOIS @ 08/14/15 RICH RICH COOKSEY PC 183 15WC 32714 LUTZ, REBECCA TOYOTA ATS 01/15/14 STANCZAK LAW OFFICES 184 15WC 33172 VERDEYEN, ROBIN MARIE JOSH ADDIS TRUCKING, INC. 05/05/15 HASSAKIS & HASSAKIS 185 15WC 33597 LUTZ, REBECCA TOYOTA ATS 01/15/14 MOSS & MOSS PC HENNESSY & ROACH, PC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M ROWE-SULLIVAN, MELIN 072 ARBITRATION CALL FOR MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 186 15WC 34099 JOHNSON, CARL VIKING COAL MINE 07/21/15 KOLKER LAW OFFICES 187 15WC 34220 HAYES, MARK KNAPP OIL CO 02/05/15 RICH RICH COOKSEY PC HENNESSY & ROACH 15WC034221 -C 188 15WC 34310 GAINES, VICKY COUNTRYSIDE MANOR NURSING 08/10/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 189 15WC 34587 MITCHELL, LONNIE WHITE COUNTY COAL 08/12/15 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 190 15WC 34786 HOPPER, JAMES A RADIAC ABRASIVES, INC. 04/24/15 HANAGAN & MCGOVERN PC HENNESSY & ROACH, PC 191 15WC 34997 COOK, JOHN NORTH AMERICAN LIGHTING 06/19/15 HANAGAN & MCGOVERN PC LAW OFFICES STEPHEN CARTER 192 15WC 35081 DAVIS, TAMMY CHAMPION LAB INC/IL INS. 09/01/15 RICH RICH COOKSEY PC EVANS & DIXON, LLC 193 15WC 35170 ELAM, DONALD STATEWIDE TIRES 02/06/15 KEEFE & GRIFFITHS PC HENNESSY & ROACH, PC 194 15WC 35475 JENNINGS, AMY S ST OF IL DEPT OF @ 08/02/14 FOREMAN & KESSLER, LTD ILLINOIS ATTORNEY GENERAL 195 15WC 35653 PARMLEY, BLANCHE C BOULDER CHEVROLET 09/15/15 NELSON & NELSON 196 15WC 36025 HILLE, JULIE RURAL KING SUPPLY 04/14/15 MUELHAUSEN & STEFANI KEEFE CAMPBELL & ASSOC LLC 197 15WC 36575 HUGHEY, MADISON SCHNUCKS 07/09/15 GARY L. BEMENT LEMP & MURPHY 198 15WC 37419 ATCHISON, RON J UNITED RENTALS 05/27/15 RON D COFFEL & ASSOC KEEFE CAMPBELL & ASSOC LLC 199 15WC 37484 HUGHES, MARCUS WHITE COUNTY COAL 09/18/15 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 200 15WC 37569 PICCHIOLDI, ANTHONY S PILOT CATASTROPHE SERVICE 06/21/15 STEPHEN H LARSON LAW OFFICE

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 201 15WC 37745 STUBER, BRIDGETTE STATE OF IL MURRAY CTR @ 07/04/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 202 15WC 38218 ASHLEY-GUMBEL, CHRISTINA NORTH AMERICAN LIGHTING 03/27/13 TAPELLA & EBERSPACHER LLC LAW OFFICES STEPHEN CARTER 15WC038219 -C 203 15WC 38354 YOUNG, MICHAEL CONTINENTAL TIRE 11/17/14 GARY L. BEMENT 204 15WC 38537 STOLICA, BRANISLAV PLACESMART AGENCY 10/16/15 NELSON & NELSON ROUSE & CARY 205 15WC 39541 REED, LARRY CPC LOGISTICS 09/21/15 KOLKER LAW OFFICES HARRIS DOWELL FISHER & HARRI 206 15WC 39749 GONZALES-VARGAS, HECTOR AS PROFESSIONAL ROOFING 08/07/15 BLUNT & ASSOC WIEDNER & MCAULIFFE LTD 207 15WC 39855 EVANS, JULIE JOYCE'S CAFE 02/24/15 LAW OFFICE OF THOMAS SCHOO RUSIN & MACIOROWSKI LTD 208 15WC 41537 SMITH, JAMES SUPERIOR EXPRESS 09/18/15 BROWN & CROUPPEN EVANS & DIXON, LLC 209 15WC 42247 MEADOR, DONALD G DURHAM SCHOOL SVCS 12/08/14 JAMES RUPPERT MCBREARTY, BRIAN K 210 15WC 42346 FRAILEY, DREW SOUTHEASTERN ILLINOIS ELE 08/17/15 HART & HART HEYL ROYSTER VOELKER & ALLEN 211 16WC 00407 VINSON, MICHAEL DC ELECTRIC INC 09/10/14 WOMICK LAW FIRM CHTD HENNESSY & ROACH 212 16WC 00532 SEESENGOOD, JEFF NORTH AMERICAN LIGHTING 05/01/15 DWORKIN AND MACIARIELLO LAW OFFICES STEPHEN CARTER 213 16WC 01812 CRAIN, STEPHEN GMS MINE REPAIR 06/10/15 MCGARRY, BRIAN P MCBREARTY, BRIAN K 214 16WC 02089 ROACH, MARC IDOT @ 10/21/14 RON D COFFEL & ASSOC ILLINOIS ATTORNEY GENERAL 215 16WC 02469 WASHBURN, GEORGE SOUTH CENTRAL FS 08/29/14 CULLEY & WISSORE RUSIN & MACIOROWSKI LTD 216 16WC 03459 MILLER, JANNA C HUCKS 12/20/15 HASSAKIS & HASSAKIS PC THOMPSON & MCDONALD LAW OFFI 217 16WC 04029 AMBROSE, ANTHONY CASSENS TRANSPORT CO 11/19/15 BOWMAN & CORDAY KNAPP, OHL & GREEN 218 16WC 04037 NORTON, PEGGY KIRBY RISK ELECTRICAL SUP 01/08/16 LEVENHAGEN LAW FIRM PC ROSARIO CIBELLA

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 219 16WC 04062 KRCMAR, LORETTA WALGREENS DISTRIBUTION CE 08/27/15 BROWN & BROWN EVANS & DIXON, LLC 220 16WC 05678 DOEDTMAN, MARY ELLEN KOERNER DISTRIBUTING & IL # 01/19/16 HELLER HOLMES & ASSOC 221 16WC 05747 KELLEY, JASON CHARLES LENARD SAWMILL @ W 06/03/14 KEEFE & DEPAULI 222 16WC 05879 DIPPOLD, SARAH FRIENDSHIP MANOR 12/17/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 223 16WC 06289 KOHN, MATTHEW NORTH AMERICAN LIGHTING, 09/18/14 LAW OFFICES STEPHEN CARTER 224 16WC 06543 FINCKBONE, LEONARD CONTINENTAL TIRE 03/18/15 NELSON & NELSON KEEFE & DEPAULI 225 16WC 06613 DODDS, MARSHALL B BIG 3 PRECISION PRODUCTS 01/06/16 JAMES RUPPERT STEPHEN H LARSON LAW OFFICE 226 16WC 06670 KEELE, TERRY NEIL'S TRUCK SERVICE INC. 02/02/16 BROWN & BROWN INMAN & FITZGIBBONS 227 16WC 07137 MEREDITH, DARLENE WALGREENS DISTRIBUTION CE 09/15/14 BROWN & BROWN EVANS & DIXON, LLC 228 16WC 07308 WAID, JUSTIN VIKING MINE 07/24/14 PRINCE LAW FIRM LITCHFIELD CAVO 229 16WC 08531 FOERSTER, KASEY RIDES MASS TRANSIT 12/14/15 MCCARTHY ROWDEN & BAKER 230 16WC 08576 MAINER, JAMI SILGAN PLASTICS LLC 10/22/14 TUNGATE LAW OFFICE BRADY CONNOLLY & MASUDA PC 231 16WC 08998 SUTHERLAND, MICHAEL O. SUTHERLAND-GARNIER 07/01/13 BONIFIELD & ROSENSTENGEL P 232 16WC 09086 STOKES, DAVID W MARION COUNTY HIGHWAY DEP 03/25/13 FOREMAN & KESSLER, LTD RUSIN & MACIOROWSKI LTD 233 16WC 09317 WILLIAMS, DWIGHT EUREST DINING SERVICES 02/15/16 GARY L. BEMENT 234 16WC 09620 THOMPSON, PATRICK RICHARDSON BROS TRUCKING 04/27/15 TAPELLA & EBERSPACHER LLC WOLFE & JACOBSON, LTD 235 16WC 10007 SMITH, JEFF CLAY CO. HWY DEPT/CLAY CO 07/21/10 HELLER HOLMES & ASSOC INMAN & FITZGIBBONS 236 16WC 10555 HOLT, REBECCA SILGAN PLASTICS CORP 02/17/16 HEIDI A. HOFFEE BRADY CONNOLLY & MASUDA PC

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 237 16WC 10582 CONRAD, DAVID WHITE COUNTY COAL 02/05/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 238 16WC 10787 MCWHORTER, PAT ALTAMONT COMMUNITY SCHOOL 03/22/16 SMITH LAW LTD RUSIN & MACIOROWSKI LTD 239 16WC 11115 CRAIG, ROGER CONTINENTAL TIRE 12/03/14 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 240 16WC 11375 VAUPEL, JASON CONTINENTAL GENERAL TIRE 02/05/16 RON D COFFEL & ASSOC 241 16WC 11582 HOFFMAN, KAYLA INNERTECH 11/24/15 BECKER SCHROADER & CHAPMAN HENNESSY & ROACH, PC 242 16WC 11641 MARLOW, RANDALL CONTINENTAL TIRE 03/04/16 GARY L. BEMENT 243 16WC 11821 STRATMAN, TIMOTHY P ALLEN FURNITURE COMPANY, 12/28/15 MEYER, MICHAEL J 244 16WC 11969 DURHAM, DAYDRIAN ST MARY'S GOOD SAMARITAN 02/15/16 JEROME LEFTON LAW OFFICE EVANS & DIXON, LLC 245 16WC 11986 MILLER, ALAN GENERAL TIRE 02/25/16 BECKER SCHROADER & CHAPMAN 246 16WC 12466 THOMPSON, HEATHER JENCHEM 03/07/16 RON D COFFEL & ASSOC 247 16WC 12587 JUHL, ROBERT TAYLOR BROTHERS 02/05/16 HARRIS & JONES RUSIN & MACIOROWSKI LTD 248 16WC 12650 PACE, FELICIA IL DEPT OF CORRECTIONS @ 02/11/16 WALTON TELKEN FOSTER LLC ASSISTANT ATTORNEY GENERAL 249 16WC 12907 AARON, WILLIAM T XPO LOGISTICS F/K/A 11/17/14 HASSAKIS & HASSAKIS PC 250 16WC 13235 BEVOLO, CREED CONTINENTAL GENERAL TIRE 12/08/15 KIRKPARTICK LAW OFFICES 251 16WC 13389 LOTT, PEGGY PEGGY LOTT 01/19/16 GREGORY M. SKINNER 252 16WC 13567 CARPENTER, JOSHUA R. LES WILSON, INC. 11/20/15 HASSAKIS & HASSAKIS PC ROUSE & CARY 253 16WC 13849 PEAK, STEVEN GRAPHIC PACKAGING 12/06/15 GARY L. BEMENT 254 16WC 14000 KRETZER, BARBARA GOOD SAMARITAN REGIONAL H 04/08/15 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 255 16WC 14012 BROWN, JERRY STEWART PRODUCERS INC 07/13/15 GOLDENHERSH & GOLDENHERSH CRAIG & CRAIG 256 16WC 14082 SHIRRELL, DAVID A. JOSEPH W MCDERMOTT D/B/A 08/17/15 JAMES RUPPERT BRADY, CONNOLLY & MASUDA, PC 257 16WC 14408 ULRICH, CARLOS REX ENERGY CORPORATION 03/25/15 HANAGAN & MCGOVERN PC MCANANY VANCLEVE & PHILLIPS 258 16WC 14779 SMALLWOOD, BRETT D RADIAC ABRASIVES, INC. 10/01/15 FOREMAN & KESSLER, LTD 259 16WC 14796 HOLLAND, KIMBERLY K WALGREENS FAMILY OF COMPA 04/15/16 HASSAKIS & HASSAKIS PC 260 16WC 14819 HINTERSCHER, WILLIAM F CHAMPION LABORATORIES, IN 10/30/13 ROBERT ROTH EVANS & DIXON, LLC 261 16WC 15381 CRIPPEN, DARRELL NATIONAL EXPRESS CORP. 11/04/15 HUSTAVA, JOHN H MCBREARTY, BRIAN K 262 16WC 16168 WHITE, ROBERT LEE BURKS HARDWOOD LUMBER 08/06/15 BROWN & BROWN KEEFE & DEPAULI 263 16WC 16238 MITCHELL, LOWELL FRAM FILTRATION 04/08/16 BROWN & CROUPPEN EVANS & DIXON, LLC 264 16WC 16673 RICE, JOYCE L TRADE INDUSTRIES 05/30/13 MEYER, MICHAEL J 265 16WC 16758 DOWNS, DEVIN CONTINENTAL TIRES 04/22/16 STEVEN J TENZER, LTD KEEFE & DEPAULI 266 16WC 16849 DESCH, MARK NORTH AMERICAN LIGHTING 03/14/16 BROWN & BROWN LAW OFFICES STEPHEN CARTER 267 16WC 17177 WILSON, EDWIN SEARS 02/22/16 WILLIAMS CAPONI & ASSOC 268 16WC 17513 BLAIR, RILEY STATE OF ILLINOIS @ 04/01/16 MUELHAUSEN & STEFANI ASSISTANT ATTORNEY GENERAL 269 16WC 17685 HUFFSTUTLER, SHIRLENE CONTINENTAL TIRE N AMERIC 09/18/15 GLASS & KOREIN 270 16WC 18143 HARRELL, MATTHEW B XPO LOGISTICS 01/12/16 HASSAKIS & HASSAKIS PC 271 16WC 18197 RAMSEY, ABRAHAM PEPSI MIDAMERICA 06/03/16 DWORKIN AND MACIARIELLO 272 16WC 18377 ZYK, KANDICE WALGREENS DISTRIBUTION CE 05/31/16 GARY L. BEMENT

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 273 16WC 18638 DALTON, PHILLIP PRECISION PIPELINE 06/03/16 RON D COFFEL & ASSOC HENNESSY & ROACH, PC 274 16WC 18666 COOK, RICHARD HELLA ELECTRONICS 03/23/15 KOLKER LAW OFFICES ROUSE & CARY 275 16WC 18864 BLAKE, MARK CITY OF CARMI FIRE DEPT 12/26/13 KOLKER LAW OFFICES SCHREMPF, BLAINE, KELLY & DA 276 16WC 19235 LANDRETH, RONALD UNIQUE PERSONNEL CONSULTA 12/01/15 HUSTAVA, JOHN H HENNESSY & ROACH 277 16WC 19300 MOLLY, JAY PRECISION PIPELINE LLC 04/18/16 HUSTAVA, JOHN H WIEDNER & MCAULIFFE LTD 278 16WC 19449 SKURDAL, GUSTAV NVK PROPERTIES, LLC 01/15/16 GARY L. BEMENT BRADY, CONNOLLY & MASUDA, PC 279 16WC 19829 MC GEE, JAMES STATE OF ILLINOIS @ 04/27/16 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 280 16WC 19934 SNELL, WILLIAM JR LACH EXPRESS CORP 06/02/16 LEVENHAGEN LAW FIRM PC 281 16WC 20120 FIELDS, CHRIS WHITE COUNTY COAL 05/31/16 RON D COFFEL & ASSOC FEIRICH MAGER GREEN & RYAN 282 16WC 20776 VAUGN, JASON CAMPBELL ENTERPRISES 09/10/13 HOWERTON, DORRIS & STONE 283 16WC 21010 MCGUIRE, TERRENCE SHERWIN WILLIAMS 07/01/16 DWORKIN AND MACIARIELLO 284 16WC 21288 GODBERSEN, TYSON J SHERWIN WILLIAMS 03/01/16 KANOSKI BRESNEY ROBERT L. SMITH 285 16WC 21309 BELLINGER, JONATHAN M AUTOMOTIVE TECHNOLOGY SYS 09/17/14 HASSAKIS & HASSAKIS HENNESSY & ROACH, PC 286 16WC 21476 PAYNE, ZACHARY TURNER INDUSTRIES GROUP, 01/21/16 PFAFF GARNER & TERLIZZI DONOVAN ROSE NESTER 287 16WC 21666 MCNARY, MICHELLE VANDALIA COMMUNITY SCHOOL 09/18/15 FITZ & TALLON LTD RUSIN & MACIOROWSKI LTD 288 16WC 21773 RAMSEY, WILLIAM WILLIAMS TRANSPORTATION 04/18/16 JAY H JANSSEN RIPES NELSON BAGGOT KALOBRAT 289 16WC 21834 SCRIVNER, BANDON W WALGREENS DISTRIBUTION CE 06/05/16 HASSAKIS & HASSAKIS PC 290 16WC 22111 YOUNGBLOOD, DALE L. BROWN BROTHERS PRODUCE CO 04/12/16 FOREMAN & KESSLER, LTD

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 291 16WC 22129 JOHNSON, RICHARD SPEED LUBE 04/26/16 MCCARTHY ROWDEN & BAKER 292 16WC 22442 JORDAN, ZACKERY ALLIED BARTON SECURITY 07/17/16 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 293 16WC 22611 WILLIAMS, CHEVALA WALGREENS DISTRIBUTION CT 05/01/16 BECKER SCHROADER & CHAPMAN EVANS & DIXON, LLC 294 16WC 22829 STONE, ANTHONY W. DEFENDER SERVICES, INC. 06/09/16 JAMES RUPPERT LAW OFFICE PAUL LARIMORE 295 16WC 22854 BEIGHLEY, SUSAN NORTH AMERICAN LIGHTING 03/09/16 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 296 16WC 22860 FIELDS, ANNA NORTH AMERICAN LIGHTING 03/25/16 LAW OFFICES STEPHEN CARTER 297 16WC 23178 MORALES, MATTHEW CROSSROADS CLEANING CO 05/18/16 JOHNSTON LAW OFFICE 298 16WC 23227 CONWAY, DWAYNE SHERWIN WILLIAMS CO. 05/04/16 SMITH ALLEN MENDENHALL ET ROBERT L. SMITH 299 16WC 23447 KERR, JOSHUA REX ENERGY CORPORATION 02/24/16 HANAGAN & MCGOVERN PC 300 16WC 23605 MASON, BANDON M CLASS MINING, A/K/A 07/01/16 RON D COFFEL & ASSOC 301 16WC 23645 STOKES, DAVID W. MARION COUNTY HIGHWAY DEP 06/08/16 FOREMAN & KESSLER, LTD RUSIN & MACIOROWSKI LTD 302 16WC 23681 JANSSEN, ZACHARY IRWIN TELESCOPIC SEATING 07/14/16 PRINCE LAW FIRM HENNESSY & ROACH 303 16WC 23966 ALEXANDER, KRISTEN CASEY'S GENERAL STORE 05/17/16 DWORKIN AND MACIARIELLO HEYL ROYSTER VOELKER & ALLEN 304 16WC 24119 HORSLEY, MERLE PRECISION PIPELINE 07/05/16 CULLEN HASKINS NICHOLSON 305 16WC 24429 LOCKLAR, WILLIAM E. PALLET SOLUTIONS 05/13/16 HASSAKIS & HASSAKIS 306 16WC 24443 HACHER, TERRI HELLA ELECTRONICS 10/29/15 LAW OFFICE KEITH SHORT 307 16WC 24547 GALESKI, WILLIAM NASCOTE 04/06/16 FISHER KERHOVER & WELGE LAW OFFICE PATRICK JENNETTEN 308 16WC 24609 GEORGE, MICHAEL WALGREENS DISTRIBUTIONCTR 10/06/15 KATZ FRIEDMAN EAGLE ET AL

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 309 16WC 24813 CHAMBERLAIN, KIMBERLY L WALGREENS FAMILY OF CO 04/20/16 HASSAKIS & HASSAKIS PC 310 16WC 25185 FREY, JOHN FREY PRODUCE, LLC 07/14/16 CRAIG & CRAIG 311 16WC 25226 TOLLIVER, THOR QUAD GRAFICS 01/06/16 DWORKIN AND MACIARIELLO KEEFE & DEPAULI 312 16WC 25289 BELINE, ANTHONY T. JOHN BOOS & CO. 11/11/13 KATZ FRIEDMAN EAGLE ET AL KNELL LAW LLC 313 16WC 25685 MITCHELL, DARWIN WHITE COUNTY COAL 12/31/14 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 314 16WC 25793 MITCHELL, BRANDON CHAMPION LABORATORIES 03/16/15 HEIDI A. HOFFEE EVANS & DIXON, LLC 315 16WC 25812 WODTKA, BRIAN PYRAMID MARBLE & GRANITE, 01/05/14 KNELL & O'CONNOR 316 16WC 26254 BARTHELEMY, EDWARD JR. JOHN BOOS & COMPANY 02/05/15 MEYERS & FLOWERS GILDEA & COGHLAN 317 16WC 26255 BARTHELEMY, EDWARD JR. JOHN BOOS & COMPANY 09/26/15 MEYERS & FLOWERS GILDEA & COGHLAN 318 16WC 26256 BARTHELEMY, EDWARD JR. JOHN BOOS & COMPANY 09/30/15 MEYERS & FLOWERS GILDEA & COGHLAN 319 16WC 26257 BARTHELEMY, EDWARD JR. JOHN BOOS & COMPANY 10/08/15 MEYERS & FLOWERS GILDEA & COGHLAN 320 16WC 26337 CASTEEL, HUBERT E. JR. WALGREENS DC 03/10/16 HASSAKIS & HASSAKIS 321 16WC 26414 PENDLEY, BRIAN LEE JR CIT OF MT VERNON 03/22/16 NELSON & NELSON SCHREMPF KELLY & NAPP 322 16WC 26424 RUSSELL, CHAD LANDER'S TOWING AND COLLI 05/12/16 GARY L. BEMENT 323 16WC 26729 NIKOLAISEN, STEVE G AIR METHODS 08/10/16 BONIFIELD & ROSENSTENGEL P HENNESSY & ROACH, PC 324 16WC 26807 VAUGHT, ROBERT WAYNE COUNTY AMBULANCE SE 04/19/16 HANAGAN & MCGOVERN PC RUSIN & MACIOROWSKI LTD 325 16WC 26820 PETREA, ERICA L PINNACLE FOODS 08/21/16 PETER BLASI LLC INMAN & FITZGIBBONS 326 16WC 26905 FOCHT, SHAUN GDB INTERNATIONAL 07/25/16 COOK SHEVLIN YSURSA ET AL QUINN JOHNSTON HENDERSON ETA

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 327 16WC 27112 HOCH, ROGER DAVIS MAIL SERVICE 07/22/15 WOODRUFF & JOHNSON RODDY LAW LTD 328 16WC 27152 BRUCE, SAMANTHA MURRAY CENTER @ 07/29/14 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 329 16WC 27153 BRUCE, SAMANTHA MURRAY CENTER @ 07/12/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 16WC035041 -C STATE OF IL/O.C.A.P.S. 330 16WC 27231 STERLING, CHRISTEN ARAB TERMITE & PEST CONTR 09/11/15 HELLER HOLMES & ASSOC 331 16WC 27324 BOWLES, SAMUEL D CULLIGAN SOFT WATER SERVI 06/24/16 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 332 16WC 27348 SANDERS, ROBIN M CLASS MINING 08/26/15 RON D COFFEL & ASSOC LITCHFIELD CAVO 333 16WC 27351 ALTENBAUMER, CHAD E CONTINENTAL TIRE NORTH AM 03/22/16 JAMES RUPPERT KEEFE & DEPAULI 334 16WC 27456 KISNER, CHRIS L RIDES MASS TRANSIT DISTRI 03/26/16 ASHER & SMITH KEEFE & DEPAULI 335 16WC 27494 ASHMORE, WILLIAM S STATE OF ILLINOIS IDOT @ 06/14/16 MCGARRY, BRIAN P ILLINOIS ATTORNEY GENERAL 336 16WC 27588 MURPHY, THOMAS INTIER AUTOMOTIVE INTERIO 03/12/16 NELSON & NELSON WIEDNER & MCAULIFFE LTD 337 16WC 27662 HARGIS, SMILKA CONTINENTAL TIRE 05/02/16 RICH RICH COOKSEY PC 338 16WC 27663 HARGIS, SMILKA CONTINENTAL TIRE 06/07/16 RICH RICH COOKSEY PC 339 16WC 27899 BUSBY, CODI SPECIALITY POLYMER SVCS I 08/17/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 340 16WC 28043 MAYERNICH, JOHN ENTERPRISE RENT-A-CAR 05/17/16 HANAGAN & MCGOVERN PC LAW OFFICES OF JOHN D. WENDL 341 16WC 28182 SMITH, PATRICIA WALGREEN'S 06/03/14 RICH RICH COOKSEY PC EVANS & DIXON, LLC 342 16WC 28265 BLOCK, REBECCA CLAY COUNTY REHAB CENTER 03/17/16 RICH RICH COOKSEY PC BOGGS AVELLINO 343 16WC 28391 MASON, ZACHARY PAR ELECTRICAL CONTRACTOR 07/30/15 MUELHAUSEN & STEFANI RUSIN & MACIOROWSKI LTD 344 16WC 28568 GOING, JACQUELINE NASCOTE 08/25/15 BECKER SCHROADER & CHAPMAN LAW OFFICE PATRICK JENNETTEN

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 345 16WC 28579 EVANS, THOMAS CENTRALIA CORRECTIONAL CE @ 07/05/16 KEEFE & GRIFFITHS PC ILLINOIS ATTORNEY GENERAL 346 16WC 28690 HARGIS, SMILKA CONTINENTAL TIRE 05/02/16 RICH RICH COOKSEY PC 347 16WC 28729 THOMPSON, CHRISTINA JOHN BOOS & COMPANY 07/05/16 MEYERS & FLOWERS 348 16WC 28999 MCLAREN, MICHAEL T CONTINENTAL TIRE NORTH AM 04/13/16 NELSON & NELSON KEEFE & DEPAULI 349 16WC 29175 RICH, HALEY AKA HACKETT, RICHLAND MEMORIAL HOSPITA 06/29/15 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 350 16WC 29830 KEYS, RANDY W NORTH AMERICAN LIGHTING 01/12/16 HASSAKIS & HASSAKIS PC LAW OFFICES STEPHEN CARTER 351 16WC 29992 RUSSELL, JEREMIAH SPECIAL POLYMER SERVICES 09/22/16 DWORKIN AND MACIARIELLO QUINTAIROS PRIETO WOOD & BOY 352 16WC 30387 ROLLIE, SHIRLEY WALGREENS DISTRIBUTION CT 06/03/16 NELSON & NELSON 353 16WC 30446 SHOPINSKI, DEBBIE K MAGNA INTL 10/28/15 SHELTON & MADRID LLC KEEFE & DEPAULI 354 16WC 30863 MARTIN, BARBARA NORTH AMERICAN LIGHTING, 05/31/16 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 355 16WC 31043 WOODWARD, PATRICIA BOROWIAK IGA 09/15/16 KIRKPARTICK LAW OFFICES 356 16WC 31091 LOCHER, ISAIAH ELASTEC 02/02/16 RON D COFFEL & ASSOC 357 16WC 31453 PAYTON, ANGELA DOLLAR TREE 01/12/16 RICH RICH COOKSEY PC BRYCE DOWNEY & LENKOV LLC 358 16WC 31556 MAYS, TRACY AMERICAS BEST VALUE INN 09/09/16 REISMAN LAW OFFICE ROUSE & CARY 359 16WC 31625 CARRIGAN, JAMES WHITE COUNTY COAL 07/10/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 360 16WC 31802 KOSHINSKI, TROY L QUAD GRAPHICS 02/23/16 KANOSKI BRESNEY 361 16WC 31957 REEDY, JASON WW TRANSPORT 10/06/16 MILLER, WILLIAM R LAW OFFI HEYL ROYSTER VOELKER & ALLEN 362 16WC 32310 ADAMSON, LYNETTE L HEARTLAND DENTAL 12/01/14 KEVIN L GEISLER

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 363 16WC 32361 HOWE, MARCIA FARM FRESH DAIRY STORE 03/23/16 NELSON & NELSON 364 16WC 32516 MCWHORTER, TONY J EFFINGHAM EQUITY 03/20/16 LAWINGER LAW OFFICE KEEFE CAMPBELL & ASSOC LLC 365 16WC 32664 PARISH, MELINDA TOYOTA BOSHUKU ILLINOIS 09/18/15 MCCARTHY ROWDEN & BAKER 366 16WC 32743 WEAVER, KYLE L CONTINENTAL TIRE NA, INC 09/04/16 HEIDI A. HOFFEE KEEFE & DEPAULI 367 16WC 33344 TRIPP, SUSAN CONTINENTAL TIRE 04/08/15 WINTERS BREWSTER CROSBY ET KEEFE & DEPAULI 368 16WC 33378 TRIPP, SUSAN CONTINENTAL TIRE 03/30/16 WINTERS BREWSTER CROSBY ET KEEFE & DEPAULI 369 16WC 33496 BLAIR, ANTHONY WALGREENS DIST CTR 06/13/16 GARY L. BEMENT 370 16WC 33591 ENSMINGER, CATHERINE C RURAL KING, INC 11/23/14 HASSAKIS & HASSAKIS 371 16WC 33773 ENSMINGER, CATHERINE C RURAL KING, INC 11/01/14 HASSAKIS & HASSAKIS 372 16WC 33935 LEVESQUE JR., LEO A MT VERNON TV & APPLIANCE 06/15/16 BADGLEY, BRAD L HENNESSY & ROACH, PC 373 16WC 34624 SMITH, MICHAEL PRECISION PIPELINE 07/25/16 NELSON & NELSON 374 16WC 35031 KASIM, IMAD XPO LOGISTICS 09/26/16 STRONG LAW OFFICE 375 16WC 35124 BUCHANAN, RANDALL WHITE COUNTY COAL 03/04/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 376 16WC 36924 KOESTER, DENNIS ROBERT NIEBRUGGE & SONS 02/13/15 FREDERICK & HAGLE BRUCE WARREN 377 16WC 37025 BROWN, ANGELA STATE OF ILLINOIS/ @ 08/28/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 378 16WC 37776 HINDMAN, JANICE BIG MUDDY CORRECTIONAL CE @ 11/16/16 FISHER KERHOVER & WELGE ILLINOIS ATTORNEY GENERAL 379 16WC 37931 HEAD, GREGORY J OELZE EQUIPMENT COMPANY, 06/14/16 HANAGAN & MCGOVERN PC 380 16WC 38154 GREENWOOD, MARTY ORSCHEIN INDUSTRIES 08/17/15 SMITH LAW LTD STEPHEN H LARSON LAW OFFICE

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 381 16WC 38359 COOPER, KRISTA CASEY'S GENERAL STORE 05/04/16 DANIELS WILZBACH PC 382 16WC 38949 TALLY-GLISPIE, FELICIA MURRAY CENTER @ 10/11/16 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 383 16WC 39113 NOLAN, MICHAEL E RYAN'S FAMILY STEAKHOUSE, 08/12/15 SCHROEDER, JOSEPH R 384 16WC 39329 GILL, SHANNON WALGREEN'S 11/15/16 RICH RICH COOKSEY PC EVANS & DIXON, LLC 385 17WC 00629 MARTIN, BARBARA NORTH AMERICAN LIGHTING I 08/03/16 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 386 17WC 01254 JOLLY, BEN DATA LOCK 02/26/16 HANAGAN & MCGOVERN PC 387 17WC 01695 DICKINSON, CHERIANN MURRAY CENTER @ 07/24/15 HUSTAVA, JOHN H ILLINOIS ATTORNEY GENERAL 388 17WC 01810 BEASLEY, KAREN TUTERA HEALTH CARE SERVIC 12/08/16 SMITH LAW LTD WOLFE & JACOBSON, LTD 389 17WC 01845 JENSEN, DARLIA COMFORT SUITES 12/09/16 GARY L. BEMENT WIEDNER & MCAULIFFE LTD 390 17WC 01924 PAWLISA, GAYLA S UNITED PARCEL SERVICE 09/17/16 GLASS & KOREIN MCANANY VANCLEVE & PHILLIPS 391 17WC 02085 SETTLES, CHARLES D CONTINENTAL TIRE THE AMER 12/06/16 LEVENHAGEN LAW FIRM PC 392 17WC 02537 MIDDLETON, TOM TOYOTA BOSHOKU ILLINOIS, 08/27/16 MOSS & MOSS PC HENNESSY & ROACH, PC 393 17WC 02739 JONES, WILBURN CITY OF MT VERNON 02/01/16 HUSTAVA, JOHN H 394 17WC 02847 DENOMIE, JON BANNER PERSONNEL SERVICE, 06/20/16 HART & DAVID LLP 395 17WC 02945 GRESHAM, LISA COMMUNITY FIRST BANK 11/02/16 BROWN & BROWN 396 17WC 03168 PEEPLES, EVAN PATRICK UNIFIED STAFFING 06/21/16 WILLIAMS CAPONI & ASSOC 397 17WC 03204 BOGGS, MATTHEW W HUELSING TRUCKING LLC 09/26/16 OSTEEN & CHOJNICKI LTD JAMES M KELLY 398 17WC 03272 PRICE, BARRETT R FEDERAL EXPRESS FREIGHT 07/14/16 KANOSKI BRESNEY 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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 399 17WC 03758 MCCLENDON, TAMMY COMPASS GROUP 07/19/16 DWORKIN AND MACIARIELLO 400 17WC 04143 WELCH, WILLIAM DANIEL QUD COUNTY READY MIX 09/04/15 HANAGAN & MCGOVERN PC 401 17WC 04182 JONES, WILBURN CITY OF MY VERNON 05/27/15 HUSTAVA, JOHN H 402 17WC 04507 IRVIN, ERIC SERVEPRO 02/16/16 KATZ FRIEDMAN EAGLE ET AL 403 17WC 04726 STIEF, TOMMY WALGREENS DISTRIBUTION CT 12/17/16 BROWN & BROWN 404 17WC 04852 SCARBROUGH, DEBORAH OLNEY RURAL KING SUPPLY, 09/29/16 DANIELS WILZBACH PC LIVINGSTONE MUELLER ET AL 405 17WC 04904 WHALEY, GREGORY SOUTHWESTERN IL C.C @ 12/30/16 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 406 17WC 04935 DIAL, TONY INDUSTRIAL MECHANICAL 08/25/16 HANAGAN & MCGOVERN PC JELLIFFE FERRELL DOERGE PHEL 407 17WC 05056 HUGE, GINA WALGREENS DISTRIBUTION CE 11/15/16 BROWN & BROWN 408 17WC 05118 GIBSON, DAVE DI-PETRO, INC 10/24/16 HORWITZ HORWITZ & ASSOC HOLTKAMP LIESE ET AL 409 17WC 05494 KOEHLER, JORDAN SHERWIN WILLIAMS 08/17/16 MUELHAUSEN & STEFANI ROBERT L. SMITH 410 17WC 05608 COLONI, STEVE ALLIANCE COAL 02/01/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 411 17WC 05709 SHAW, LINDA M STC INC 07/06/15 JAMES RUPPERT INMAN & FITZGIBBONS 412 17WC 05731 STOVER, GREGORY CHARLES H CARTER & SONS I 01/24/17 GARY L. BEMENT JAMES M KELLY 413 17WC 05873 BETHEL, CHRIS SHERWIN WILLIAMS CO 10/24/16 CRAIG & CRAIG ROBERT L. SMITH 414 17WC 06006 PONTIOUS, JOHN RC BUILDERS 12/14/16 DWORKIN AND MACIARIELLO 415 17WC 06079 WOOD, WILLIAM M PINNACLE FOODS 07/21/16 NESSLER, FREDERIC LAW OFFI CRAIG & CRAIG 416 17WC 06595 SHAFFER, MICHAEL NORTH AMERICAN LIGHTING 08/17/16 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 417 17WC 06659 COSBY, JOSHUA COMPLIANCE STAFFING AGENC * 01/14/17 RON D COFFEL & ASSOC 418 17WC 06757 BROWN, JEFF WHITE COUNTY COAL * 11/15/16 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 419 17WC 06823 LAGLE, ERIC MATT WALDROP CONSTRUCTION * 06/15/16 DWORKIN AND MACIARIELLO 420 17WC 07338 JONES, CHELSEA R WALGREENS FAMILY OF COMPA * 11/05/16 HASSAKIS & HASSAKIS PC 421 17WC 07403 CRIPPEN, PATSY NATIONAL EXPRESS * 10/31/16 HUSTAVA, JOHN H 422 17WC 07623 KING, ROBERT WES ROGERS TIRE & AUTO IN * 10/19/16 GALANTI LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 423 17WC 07732 FIGURA, LISA 127 LOUNGE * 11/13/16 WOODRUFF & JOHNSON 424 17WC 07856 SHIRLEY, ALLEN DALE IDOT @ * 02/03/16 HASSAKIS & HASSAKIS 425 17WC 07893 CHRYSLER, NICHOLAS TRACY ELECTRIC * 09/14/16 HELLER HOLMES & ASSOC ROUSE & CARY 426 17WC 07973 DENZIK, TAMMY SALEM TOWNSHIP HOSPITAL * 10/18/16 PFAFF GARNER & TERLIZZI GAROFALO SCHREIBER STORM 427 17WC 08049 CARSON, CHAD D IDOT DISTRICT #9 @ * 02/23/17 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 428 17WC 08164 WELKER, TROY QUAD GRAPHICS * 02/25/17 HELLER HOLMES & ASSOC 429 17WC 08193 MCGREGOR, TODD J PRAIRIE FARMS DAIRY, INC * 05/31/16 HASSAKIS & HASSAKIS PC KNAPP, OHL & GREEN 430 17WC 08301 ZAREK, LINDA MEDLINE * 02/10/17 KEEFE & GRIFFITHS PC GAROFALO SCHREIBER STORM 431 17WC 08473 O'HARA, JAMES BIG MUDDY CORRECTIONAL CE @ * 03/10/17 WINTERS BREWSTER CROSBY ET ILLINOIS ATTORNEY GENERAL 432 17WC 08559 DOOLEY, LAURIANN CEFS * 03/07/17 LAW OFFICE MICHAEL M WOJIT 433 17WC 08629 KAYS, TERRY KASKASKIA SPECIAL ED DIST * 09/14/15 CARAWAY FISHER 434 17WC 08696 GILL, TRACY E ADDUS HEALTHCARE INC * 11/07/16 JAMES RUPPERT

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 435 17WC 08725 FORSON, LLOYD PTO SERVICES * 07/18/16 BROWN & CROUPPEN 436 17WC 09099 HALL, DEANA MURRAY CENTER @ * 09/03/16 RICH RICH COOKSEY PC 437 17WC 09414 WILLIAMS, JESSE LEE ALLIANCE COAL * 03/13/17 HOWERTON, DORRIS & STONE FEIRICH MAGER GREEN & RYAN 438 17WC 09471 RAUCH, RONALD R PRECISE CONSTRUCTION INC * 09/12/16 HASSAKIS & HASSAKIS DANNA MCKITRICK PC 439 17WC 09483 BRADDY, ROBERT SOUTHWESTERN ILLINOIS * 01/04/16 BROWN & BROWN HENNESSY & ROACH, PC 440 17WC 09506 HUGHES, MARCUS WHITE COUNTY COAL * 09/18/15 CULLEY FEIST KUPPART & TAY FEIRICH MAGER GREEN & RYAN 441 17WC 09576 COOK, DEBRA ALDI, INC * 08/11/16 HANAGAN & MCGOVERN PC LYNN D BARNETT 442 17WC 09618 SCHUSTER, LEANN M WAYNE CITY CUSD #100 * 10/05/15 HASSAKIS & HASSAKIS PC BRADY, CONNOLLY & MASUDA, PC 443 17WC 09739 RACHAU, JAY ABF FREIGHT SYSTEMS, INC * 12/06/16 CAPRON & AVGERINOS PC 444 17WC 10176 FITZPATRICK, SUE DRURY INN * 01/03/17 MUELHAUSEN & STEFANI 445 17WC 10299 EVANS, JOHN NILES INDUSTRIAL COATINGS * 06/08/16 BROWN & BROWN 446 17WC 10394 PERRY, STEPHEN NASCOTE INDUSTIES INC * 02/25/17 DWORKIN AND MACIARIELLO LAW OFFICE PATRICK JENNETTEN 447 17WC 10643 BOATNER, BRIAN COALFIELD CONSTRUCTION * 11/11/16 WOODRUFF & JOHNSON 448 17WC 10794 SCOGGINS, TIMOTHY UNIFIED STAFFING * 12/02/16 WALTON TELKEN FOSTER LLC HENNESSY & ROACH, PC 449 17WC 10939 HOSICK, DEREK B ALLIANCE RESOURCE PARTNER * 04/20/15 HASSAKIS & HASSAKIS PC FEIRICH MAGER GREEN & RYAN 450 17WC 11313 SETTLE, SAMUEL CONTINENTAL TIRE * 09/23/16 NELSON & NELSON KEEFE & DEPAULI 451 17WC 11394 MATRANA, EDDIE BARGER ENGINEERING * 02/09/17 HANAGAN & MCGOVERN PC CRAIG & CRAIG 452 17WC 11471 FELDKAMP, DARREN EFFINGHAM COUNTY * 12/15/15 BECKER SCHROADER & CHAPMAN CRAIG & CRAIG

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 453 17WC 11597 STEBINS, JOHN MT VERNON SCHOOL DIST 80 * 01/30/17 CARAWAY FISHER 454 17WC 11634 TAYLOR, RANDY WHITE COUNTY COAL, LLC * 07/31/15 RICH RICH COOKSEY PC FEIRICH MAGER GREEN & RYAN 455 17WC 11687 STUCKER, TRAVIS W SPS OF ALABAMA, LLC * 02/07/17 ROBERT ROTH 456 17WC 12064 GATES, SABRINA CIRCLE K * 12/17/16 KATZ FRIEDMAN EAGLE ET AL NYHAN BAMBRICK KINZIE & LOWR 457 17WC 12144 FELTMEYER, MARILYN FRIENDSHIP MANOR GROUP, L * 12/16/16 NELSON & NELSON 458 17WC 12199 HOUSEHOLDER, TROY PRESTO X PEST CONTROL * 09/20/16 WOMICK LAW FIRM CHTD 459 17WC 12307 MCKINNEY, K.R. PARRISH TRUCKING * 01/17/17 HASSAKIS & HASSAKIS 460 17WC 12367 BROWN, MATTHEW S CONTINENTAL TIRE THE AMER * 10/31/16 KEEFE & DEPAULI 461 17WC 12435 WEST, BENJAMEN CUSTOM MARBLE, INC * 04/10/17 BOYNE, KEVIN PC 462 17WC 12523 HEBENSTREIT, DENNIS J RP LUMBER COMPANY * 05/05/14 HASSAKIS & HASSAKIS KEEFE & DEPAULI 463 17WC 12558 CREGGER, ALURIE U.S XPRESS * 12/17/15 JUNCKER, DANIEL K PC 464 17WC 12661 ADAMSON, ERIC SOI LAWRENCE CORRECTIONAL @ * 12/17/16 CORNFIELD & FELDMAN ILLINOIS ATTORNEY GENERAL 465 17WC 12728 BOWLIN, THERESA GOOD SAMARITAN HOSPITAL * 04/23/17 DWORKIN AND MACIARIELLO EVANS & DIXON, LLC 466 17WC 12986 SHELTON, GARY CONTINENTAL TIRE COMPANY * 02/11/16 BROWN & BROWN KEEFE & DEPAULI 467 17WC 13014 GREENWOOD, ANGELA NORTH AMERICAN LIGHTING * 01/18/17 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 468 17WC 13134 ALLEN, DANYEL SSM HEALTH GOOD SAMARITAN * 06/03/15 KIRKPARTICK LAW OFFICES 469 17WC 13267 INGRAM-THIES, ANGELA J. CEFS ECONOMIC OPPORTUNITY * 02/10/16 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 470 17WC 13518 KORBAR, TODD A CONTINENTAL TIRE THE AMER * 08/18/16 KEEFE & DEPAULI

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 471 17WC 13581 WESTJOHN, GARY CITY OF EFFINGHAM * 11/26/14 KEEFE & DEPAULI 472 17WC 13747 WINDLE, KENNETH D B&B TANK TRUCK & CONSTRUC * 12/17/14 HOWERTON, DORRIS & STONE 473 17WC 13915 RICHMOND, SIMONE REAL URBAN BBQ * 05/04/17 DWORKIN AND MACIARIELLO 474 17WC 13953 SCHILLING, LUCAS J CENTRALIA POLICE DEPT * 03/22/17 HARRIS & JONES 475 17WC 14078 SMITH, THOMAS SOUTHERN TRIANGLE OIL CO * 12/15/16 KEEFE & DEPAULI 476 17WC 14098 KIOUS, TREVOR VANDALIA CORRECTIONAL CEN @ * 11/21/16 BECKER SCHROADER & CHAPMAN 477 17WC 14135 BUSHUE, DALE K. MARTIN'S IGA * 05/12/16 DELANO LAW OFFICES LLC GAROFALO SCHREIBER STORM 478 17WC 14364 ZYK, KANDICE WALGREENS DIST CENTER * 04/18/17 GARY L. BEMENT 479 17WC 14793 KIRK, BRIAN K CONTINENTAL TIRE THE AMER * 08/19/16 KEEFE & DEPAULI 480 17WC 14865 BASS, CHARLES D BLANK JR PAINTING & * 07/08/16 KNELL & O'CONNOR 481 17WC 15030 SCANNAHORN, KOURTNEY LAKELAND REHAB * 03/12/17 RICH RICH COOKSEY PC 482 17WC 15290 HOWARD, JOHN XPO LOGISTICS FREIGHT INC * 01/15/16 GAROFALO SCHREIBER STORM 483 17WC 15436 GLENN, LESLEY HELIA HEALTH CARE * 04/15/17 GARY L. BEMENT 484 17WC 15600 DUFFY, KATRINA SSM HEALTH * 05/17/16 NELSON & NELSON 485 17WC 15661 MULLINS, DENNIS A NORTH AMERICAN LIGHTING I * 07/06/15 LAW OFFICES STEPHEN CARTER 486 17WC 15830 MAMELL, DIANE B FRED'S MEAT & PROCESSING * 03/27/17 JAMES RUPPERT 487 17WC 15872 PEZZONI, CHRISTOPHER CUSTOM STAFFING SERVICES * 02/09/17 KLEZMER MAUDLIN PC 488 17WC 15922 MITCHAM, ROBERT BIG 3 PRECISION PRODUCTS, * 02/10/17 HUSTAVA, JOHN H

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 MT VERNON 39001 ON 07/05/2017 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 489 17WC 16014 NUTTAL, ERIC R UPS * 01/31/17 HASSAKIS & HASSAKIS PC 490 17WC 16060 LEIST, MATTHEW A. UNITED PARCEL SVC * 12/05/16 MCANANY VANCLEVE & PHILLIPS 491 17WC 16229 STEPHENS, JEFFREY VANDALIA CORRECTIONAL CEN @ * 05/13/17 BECKER SCHROADER & CHAPMAN 492 17WC 16245 MELTON, MICHAEL MT VERNON TRANSPORTATION * 04/21/17 RICH RICH COOKSEY PC