ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 1 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 1 07WC 01899 19B CARLILE, JASON WAL-MART 03/04/05 BROWN & BROWN GANAN & SHAPIRO 07WC001906 -C 2 08WC 50189 BAILEY, DAVID WAYNE-WHITE COUNTIES 05/03/07 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 3 09WC 22225 MCKINESS, JOSHUA CHARTER COMMUNICATIONS 11/05/08 MCCARTHY ROWDEN & BAKER EVANS & DIXON, LLC 4 09WC 45945 JACOBS, JERRIN NORTH AMERICA LIGHTING IN 10/03/09 BROWN & BROWN LAW OFFICES STEPHEN CARTER 5 10WC 20570 COBB, CHRISTOPHER CONTINENTAL TIRE 05/04/10 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 10WC021900 -C 12WC029086 -C 14WC022017 -C 6 10WC 25611 MILLER, TINA STATE OF ILLINOIS WARREN @ 10/03/08 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 7 10WC 49243 MEREDITH, DARLENE TRAVEL CENTERS OF AMERICA 10/03/10 BROWN & BROWN RODDY LAW LTD 8 11WC 32177 SCRIVNER, GREGORY W CITY OF MT VERNON 04/14/10 THOMAS W DUDA KEEFE & DEPAULI 11WC032178 -C 11WC042334 -C 9 11WC 42223 SHRYOCK, SANDRA L RICHLAND MEMORIAL HOSPITA 06/07/10 GALANTI LAW OFFICES GAROFALO SCHREIBER STORM 10 12WC 10911 RYAN, KIRBY BIG LOTS 03/03/12 WOODRUFF & JOHNSON LITCHFIELD CAVO 11 12WC 11312 BUTLER, STACY BIG MUDDY CORRECTIONAL CE @ 01/11/12 KIRKPARTICK LAW OFFICES ILLINOIS ATTORNEY GENERAL 12 12WC 18198 STEPHENS, LYDIA KAY ST ANTHONY'S MEMORIAL HOS 12/14/11 LEVENHAGEN LAW FIRM PC HEYL ROYSTER VOELKER & ALLEN 13 12WC 22982 19B QUICK, JAMES STATE OF ILLINOIS @ 05/04/12 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 14 12WC 27060 BROWN, BENARD BLACK AND SON CONSTRUCTIO 04/06/12 BEMENT & STUBBLEFIELD 15 12WC 29693 HODGE, JASON PETCO PETROLEUM CORP 04/01/11 STRONG LAW OFFICE RUSIN & MACIOROWSKI LTD 12WC033652 -C

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 2 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 16 12WC 30019 REEDER, NANCY NORTH AMERICAN LIGHTING 08/29/11 DANIELS WILZBACH PC LAW OFFICES STEPHEN CARTER 17 12WC 36203 HULL, SANDRA UNIQUE PERSONNEL CONSULTA 08/19/12 BROWN & BROWN 12WC036245 -C 12WC036495 -C 18 12WC 37766 GOLDEN, ROBERT WALGREEN'S DISTRIBUTION C 03/12/12 BROWN & BROWN EVANS & DIXON, LLC 19 12WC 44083 CALHOUN, CHARLENE ALTAMONT COMMUNITY SCHOOL 07/11/11 BRANKEY & SMITH PC RUSIN & MACIOROWSKI LTD 20 13WC 00159 GOLDEN, ROBERT WALGREEN'S DISTRIBUTION C 01/12/10 BROWN & BROWN EVANS & DIXON, LLC 21 13WC 04506 REYNOLDS, TARA ST OF IL MURRAY DEVELOPME @ 04/11/11 LEVENHAGEN LAW FIRM PC ILLINOIS ATTORNEY GENERAL 13WC005578 -C STATE OF ILLINOIS 22 13WC 17333 AGEE, LISA WALGREEN'S DISTRIBUTION C 03/20/13 SCANLON, CHARLES R EVANS & DIXON, LLC 23 13WC 20529 SWIFT, KASEY CONTINENTAL TIRE 11/08/12 BEMENT & STUBBLEFIELD KEEFE & DEPAULI 24 13WC 21659 RIPPY, DONNA NORTH AMERICAN LIGHTING I 10/01/12 GLASS & KOREIN LLC LAW OFFICES STEPHEN CARTER 14WC018223 -C 14WC018224 -C 15WC014336 -C 25 13WC 24307 GILDER, JACK VAC SALEM BUSINESS CENTER 02/13/13 BROWN & BROWN WIEDNER & MCAULIFFE LTD 26 13WC 29374 NABORS, CARMEN ADDUS HEALTHCARE 05/02/13 BEMENT & STUBBLEFIELD HENNESSY & ROACH, PC 13WC029391 -C 27 13WC 29410 MONTES, RODNEY NORTH AMERICAN LIGHTING 07/10/13 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 16WC035478 -C 28 13WC 33414 SMITH, MAYBEL AIRTEX PRODUCTS, INC. 09/03/13 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 29 13WC 33757 MORRISON, ROGER JOHN BOOS & CO 05/20/13 KATZ FRIEDMAN EAGLE ET AL KNELL LAW LLC 30 13WC 35612 19B HOLLAND, BONNIE WARREN G MURRAY DEVELOPME @ 03/18/13 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 31 13WC 36353 BANDY, SHARON KAY CROOK HOYLETON YOUTH & FAMILY S 07/27/13 GALANTI LAW OFFICES LITCHFIELD CAVO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 3 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 32 13WC 37671 BUTTS, MICHAEL HOME CITY ICE COMPANY 06/27/13 STRONG LAW OFFICE BRYCE DOWNEY & LENKOV LLC 33 14WC 01196 KRACHT, KEITH STATE OF ILLINOIS @ 12/08/13 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 34 14WC 04162 THETFORD, SYLVIA E PROGRESSIVE HOUSING INC 01/03/14 NELSON & NELSON HEYL ROYSTER VOELKER & ALLEN 35 14WC 04266 PLANITZ, DEANNA ADDUS HEALTHCARE 12/16/13 JAMES RUPPERT PATRICIA M CARAGHER 36 14WC 07596 QUICK, STEPHEN MURRAY CENTER @ 07/23/13 KIRKPARTICK LAW OFFICES ILLINOIS ATTORNEY GENERAL 37 14WC 10130 HATHCOAT, GARY SR CONTINENTAL TIRE 09/03/13 SAUTER, SULLIVAN & EVANS KEEFE & DEPAULI 38 14WC 12769 DULANEY, ROBERT BS BLASTING 07/24/12 BURNETT & CARON, LTD 39 14WC 12824 19B GARRISON, TARA ST OF IL/IL DEPT OF HUMAN @ 03/01/14 HANAGAN & MCGOVERN PC ILLINOIS ATTORNEY GENERAL 40 14WC 14054 ECHOLS, JEREMY EARL L TANNAHILL W 01/22/14 GABRIEL, MCCARTNEY & WAGNE CORI STEWART 41 14WC 16361 PAYNE, THOMAS L NORTH AMERICAN LIGHTING 04/16/14 NELSON & NELSON LAW OFFICES STEPHEN CARTER 42 14WC 18653 WITHROW, TAMERA MOUNT VERNON HEART 02/14/14 BROWN & BROWN EVANS & DIXON, LLC 43 14WC 20858 BUCHANAN, KENNETH J MURRAY DEVELOPMENTAL CENT @ 03/11/13 FOREMAN & KESSLER, LTD ILLINOIS ATTORNEY GENERAL 44 14WC 21373 GENTLES, JOSEPH WALGREENS 04/09/14 BROWN & BROWN EVANS & DIXON, LLC 45 14WC 21461 PATE, HEATHER A WARREN G MURRAY @ 03/20/13 KEEFE & DEPAULI ILLINOIS ATTORNEY GENERAL 46 14WC 21609 KANNALL, RUTH ST MARY'S GOOD SAMARITAN 03/24/14 HANAGAN & MCGOVERN PC EVANS & DIXON, LLC 47 14WC 23926 MELTON, CYNTHIA ADDUS HEALTHCARE 02/03/14 MEYER, MICHAEL J HENNESSY & ROACH, PC 14WC028333 -C 48 14WC 26055 JENKINS, TRACY NORTH AMERICAN LIGHTING 05/23/13 SCHOEN WALTON TELKEN & FOS LAW OFFICES STEPHEN CARTER

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 4 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 49 14WC 28866 KING, COREY M INNOVATIVE STAFF SOLUTION 06/09/14 MCCARTHY ROWDEN & BAKER BRUCE WARREN 50 14WC 28888 JOHNSON, KIMBERLY A NORTH AMERICAN LIGHTING 08/07/14 NELSON & NELSON LAW OFFICES STEPHEN CARTER 14WC042256 -C 51 14WC 36098 BAILEY, DAVID WAYNE-WHITE COUNTIES ELEC 05/22/13 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 52 14WC 36828 HUGHEY, JOBINA KELLIE WALGREENS DIST CENTER 09/26/14 JAMES RUPPERT EVANS & DIXON, LLC 53 14WC 38531 HAZEL, MARIANNE RICHLAND MEMORIAL HOSPITA 07/31/14 DWORKIN AND MACIARIELLO GAROFALO SCHREIBER STORM 54 14WC 40146 SPEARS, JASON CONTINENTAL TIRE 09/07/14 BEMENT & STUBBLEFIELD 55 14WC 41975 SCOTT, ACANDA PEPSI MIDAMERICA 11/07/14 KEEFE & GRIFFITHS PC 56 14WC 42012 FINFROCK, CURTIS D EFFINGHAM WATER AUTHORITY 05/06/14 MEYER, MICHAEL J HEYL ROYSTER VOELKER & ALLEN 57 14WC 43376 GREENWOOD, ANGELA NORTH AMERICAN LIGHTING 02/14/14 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 16WC020306 -C 17WC013014 -C 58 15WC 00027 DEES, VICKI E HOYLETON MINISTRIES 01/11/14 HASSAKIS & HASSAKIS PC LITCHFIELD CAVO 16WC029059 -C 16WC029446 -C 59 15WC 05320 MEREDITH, DARLENE WALGREENS DISTRIBUTION CE 10/30/14 BROWN & BROWN EVANS & DIXON, LLC 60 15WC 05368 CARTER, DONNA AIRTEX PRODUCTS INC 07/03/12 KATZ FRIEDMAN EAGLE ET AL EVANS & DIXON, LLC 61 15WC 05672 FISHER, DENNIS IDOT @ 03/03/14 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 62 15WC 06400 DIXON, KENNY WALGREENS DISTRIBUTION CE 08/11/14 BEMENT & STUBBLEFIELD EVANS & DIXON, LLC 63 15WC 06485 CROW, JEFF L. WALGREENS FAMILY OF COMPA 04/22/14 JAMES RUPPERT EVANS & DIXON, LLC 64 15WC 06567 PRESLEY, WENDELL CONTINENTAL GENERAL TIRE 08/30/13 KIRKPARTICK LAW OFFICES KEEFE & DEPAULI 65 15WC 07086 BROWN, GREGG WALGREENS DISTRIBUTION CE 01/19/15 BROWN & BROWN MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 5 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 66 15WC 07158 HARRIS, AMBER D PINNACLE FOODS INC 11/23/14 NELSON & NELSON CRAIG & CRAIG 67 15WC 07689 NABORS, CARMEN ADDUS HEALTH CARE 01/28/15 BEMENT & STUBBLEFIELD HENNESSY & ROACH, PC 68 15WC 08376 BROOKS, ALLEN W BIG MUDDY RIVER CORRECT C @ 12/20/14 HARRIS & JONES ILLINOIS ATTORNEY GENERAL 69 15WC 09913 SANDERS, BARBARA E RADIAC ABRASIVES INC 02/09/15 HASSAKIS & HASSAKIS PC HENNESSY & ROACH, PC 70 15WC 10873 ASHLOCK, WALTER HAAG FOODS SERVICES, INC 12/03/14 DANIELS WILZBACH PC LAW OFFICES OF JOHN D. WENDL 71 15WC 11687 CONKLIN, MATT CLAY ELECTRIC COOPERATIVE 09/12/14 MUELHAUSEN & STEFANI HEYL ROYSTER VOELKER & ALLEN 72 15WC 13070 BOWMAN, MICHAEL BOWMAN CHIROPRACTIC, PC 01/30/15 LEVENHAGEN LAW FIRM PC 73 15WC 15114 MITCHELL, AUSTIN C ALLIANCE WHITE OAK RESCS 03/21/15 JOSEPH L SAMUELSON PC FEIRICH MAGER GREEN & RYAN 74 15WC 15700 SOKOLOWSKI, CAMIL WEATHERFORD INTERNATIONAL 03/27/15 BROWN & BROWN THOMAS & PORTELA 75 15WC 15716 SOKOLOWSKI, CAMIL WEATHERFORD INTL 02/06/15 BROWN & BROWN THOMAS & PORTELA 76 15WC 17010 19B HIGHLEY, BRENDA PEERLESS OF AMERICA 09/23/13 BROWN & BROWN EVANS & DIXON, LLC 77 15WC 17073 HAWTHORNE, CHARLOTTE A WALGREENS DISTRIBUTION CT 02/05/15 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 78 15WC 17384 MAYHAUS, PAMELA HITACHI METALS 01/29/15 KATZ FRIEDMAN EAGLE ET AL MORROW WILLNAUER 79 15WC 19336 GUERRERO, ALICIA F. MARIANO'S 05/17/15 CULLEN HASKINS NICHOLSON BRYCE DOWNEY & LENKOV LLC 80 15WC 20403 MAY, CARLA MALANI ADDUS HEALTHCARE 01/14/14 PARK LAW OFFICE 81 15WC 20542 WRIGHT, CHERYL K. LUTHERAN CARE CENTER 06/29/14 KATZ FRIEDMAN EAGLE ET AL GANAN & SHAPIRO 82 15WC 20965 WITHROW, TAMERA MT VERNON HEART INSTITUTE 08/25/14 BROWN & BROWN EVANS & DIXON, LLC 83 15WC 21254 SNYDER, CRAIG A INNOVATIVE STAFF SOLUTION 01/29/15 MEYER, MICHAEL J BRUCE WARREN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 6 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 84 15WC 21396 GROVE, LANNY D EFFINGHAM EQUITY 12/10/14 JAMES RUPPERT KEEFE CAMPBELL & ASSOC LLC 85 15WC 21983 ROBERTS, MARY CENTRALIA CITY SCHOOL DIS 03/26/15 PFAFF GARNER & TERLIZZI 86 15WC 22675 FULK, JACY VANDALIA CORRECTIONAL CEN @ 05/18/15 LEE, MARK N LAW OFFICE ASSISTANT ATTORNEY GENERAL 87 15WC 22919 DONALDSON, DALE A. MIDLAND STATES BANK 06/15/15 MEYER, MICHAEL J ROUSE & CARY 88 15WC 23230 MCWHORTER, JEAN A MECHANOVENT CORP 03/19/14 TAYLOR LAW OFFICES SMITH AMUNDSEN LLC 89 15WC 23701 OLIVIER, FELICITY SILGAN PLASTICS 10/01/13 KEVIN L GEISLER BRADY CONNOLLY & MASUDA PC 15WC027795 -C 90 15WC 23825 CANTRELL, REBECCA WAL-MART DISTRIBUTION CEN 04/14/15 HENNESSEY LAW FIRM WIEDNER & MCAULIFFE LTD 91 15WC 23931 WRIGHT, CHERYL K LUTHERAN CARE CENTER 01/01/14 KATZ FRIEDMAN EAGLE ET AL 92 15WC 25803 19B WHEATEN, JESSICA STATE OF IL/MURRAY CENTER @ 12/13/14 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 93 15WC 26489 HAYES, LESLIE K. WALGREENS DISTRIBUTION CE 06/01/15 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 94 15WC 27240 BALTZELL, KELLY KROGER 05/12/15 THE KARMEL LAW FIRM 95 15WC 27279 MCWILLIAMS, LERONE MT. VERNON MOLD WORKS, IN 05/28/15 PRINCE LAW FIRM STEPHEN H LARSON LAW OFFICE 96 15WC 27499 SMITH, RANDY SOUTH CENTRAL TRANSIT 09/09/13 BROWN & BROWN RUSIN & MACIOROWSKI LTD 97 15WC 27801 SENFF, JENNIFER SHERWIN-WILLIAMS 04/21/15 MARK E MORELAND ROBERT L. SMITH 98 15WC 28773 PALMER, JASON CONTINENTAL TIRE 11/18/14 WILLIAMS CAPONI & ASSOC KEEFE & DEPAULI 99 15WC 29030 GODDARD, BRENDA S ARG RESOURCES, LLC 08/06/15 JAMES RUPPERT LEAHY EISENBERG & FRAENKEL 100 15WC 29089 CONOVER, RICHARD MORTON BUILDINGS 08/11/15 101 15WC 32473 BRANDS, ROBERT A. CITY OF MT VERNON 08/22/14 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 7 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 102 15WC 33516 LUTZ, REBECCA TOYOTA ATS 01/13/15 MOSS & MOSS PC HENNESSY & ROACH, PC 103 15WC 34090 KING, PATTI CONTINENTAL TIRE 08/28/15 WINTERS BREWSTER CROSBY ET KEEFE & DEPAULI 104 15WC 35119 SLATER, JUSTIN NORTH AMERICAN LIGHTING 08/08/14 MOSS & MOSS PC LAW OFFICES STEPHEN CARTER 16WC032914 -C 105 15WC 35708 WINGO, MARY DIANE WALGREENS 08/18/15 KEEFE & DEPAULI EVANS & DIXON, LLC 106 15WC 36392 LANDOLT, NICHOLAS WIEGMANN CONSTRUCTION, IN 12/30/14 JOHNSTON LAW OFFICE JELLIFFE FERRELL DOERGE PHEL 107 15WC 37415 BOOSE, TAYLOR UNITED METHODIST CHILDERN 07/11/14 SCHOEN WALTON TELKEN & FOS HENNESSY & ROACH 108 15WC 37473 GRAY, DERRICK ABF 08/31/15 PARENTE & NOREM PC 109 15WC 38086 SKAGGS, DIANA TA TRAVEL CENTERS 06/01/14 BROWN & BROWN RODDY LAW LTD 110 15WC 38227 MURPHY, JUANITA MT. VERNON SCHOOL DISTRIC 09/08/15 KOLKER LAW OFFICES ROBERT L. SMITH 111 15WC 38266 FISHER, CHARLES A. WARREN G MURRAY @ 05/24/15 DANIELS WILZBACH PC ILLINOIS ATTORNEY GENERAL 112 15WC 38310 SKAGGS, DIANA TA TRAVEL CENTERS 06/23/14 BROWN & BROWN RODDY LAW LTD 113 15WC 38697 PEDDICORD, BRENT PEDDICORD FARMS 09/20/14 114 15WC 39937 ESTES, COREY L WALGREENS FAMILY OF COS 09/29/15 JAMES RUPPERT EVANS & DIXON, LLC 115 15WC 41525 TAYLOR, JENNIFER M FRAM FILTRATION 10/10/15 HASSAKIS & HASSAKIS PC EVANS & DIXON, LLC 116 16WC 01309 KUHLIG, PATTY L SILGAN PLASTICS CORP 01/28/14 KEVIN L GEISLER BRADY CONNOLLY & MASUDA PC 117 16WC 02255 TOURTILLOTT, CARLOTA PLACESMART 12/29/15 STRONG LAW OFFICE ROUSE & CARY 118 16WC 02468 JUHL, ROBERT L. TAYLOR BROTHERS WELDING 06/12/15 HARRIS & JONES RUSIN & MACIOROWSKI LTD 119 16WC 03675 CALHOUN, CHARLENE ALTAMONT COMMUNITY 12/22/15 SMITH LAW LTD 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 GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 120 16WC 03913 WHITE, AMBER STATE OF IL/MURRAY CENTER @ 10/22/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 121 16WC 03925 WHITE, AMBER STATE OF IL/MURRAY CENTER @ 11/12/15 RICH RICH COOKSEY PC ILLINOIS ATTORNEY GENERAL 122 16WC 04036 MCCOLLUM, MARILYN HELIA HEALTHCARE OF OLNEY 10/25/15 HANAGAN & MCGOVERN PC MCANANY VANCLEVE & PHILLIPS 123 16WC 05458 HARRE, RICKY JONES AND BLYTHE 12/21/15 CRAIG & CRAIG 124 16WC 05654 VINES, DARREN STATE OF ILLINOIS LAWRENC @ 01/15/16 HOWERTON, DORRIS & STONE ILLINOIS ATTORNEY GENERAL 125 16WC 05841 CHARLES, RHONDA PACIFIC CYCLE 10/22/15 DWORKIN AND MACIARIELLO WOLFE & JACOBSON, LTD 126 16WC 05876 COUCH, VICKI AUTOMOTIVE TECHNOLOGY SYS 03/03/14 HENNESSY & ROACH, PC 127 16WC 05879 DIPPOLD, SARAH FRIENDSHIP MANOR 12/17/15 BROWN & BROWN HEYL ROYSTER VOELKER & ALLEN 128 16WC 06033 HOLBROOK, BOBBY ROBERT & MARILYN PARKS 12/12/14 EVANS & DIXON, LLC 129 16WC 06622 CRAWFORD, RICHARD AMERICANA BUILDING PRODUC 10/30/15 GANAN & SHAPIRO 130 16WC 06669 STARK, JEFFREY SOUTH CENTRAL TRANSIT 06/10/15 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 131 16WC 06882 KARCH, TAMMY L DAVITA DIALYSIS 10/10/15 HASSAKIS & HASSAKIS PC WIEDNER & MCAULIFFE LTD 132 16WC 07173 WHITE, EARL STATE OF ILLINOIS @ 12/04/14 GARY L. BEMENT ASSISTANT ATTORNEY GENERAL 133 16WC 07753 ADAMS, LARRY WHITE COUNTY COAL CORP 10/08/12 NELSON & NELSON FEIRICH MAGER GREEN & RYAN 134 16WC 08019 KING, KEVIN CONTINENTAL TIRE 07/10/15 GARY L. BEMENT KEEFE & DEPAULI 135 16WC 08096 BRADLEY, JAMES ILLINOIS STATE POLICE @ 02/24/16 TAMMI N. JACKSON ASSISTANT ATTORNEY GENERAL 136 16WC 08401 SANDERS, ROBIN M CLASS MINING 09/21/15 RON D COFFEL & ASSOC LITCHFIELD CAVO 16WC008997 -C 16WC027348 -C 137 16WC 08530 ROACH, KENNETH WHITE COUNTY COAL 03/23/15 FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 9 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 138 16WC 08721 WOODROW, ALAN AIRTEX PRODUCTS 09/22/15 THE BRADLEY LAW FIRM EVANS & DIXON, LLC 139 16WC 09268 HEIMAN, MARIA WALMART 11/06/15 TUGGLE SCHIRO & LICHTENBER EARLY & MIRANDA PC 140 16WC 09310 WILLIS, ADAM WHITE COUNTY COAL 09/03/15 LEVENHAGEN LAW FIRM PC FEIRICH MAGER GREEN & RYAN 141 16WC 11059 NICKENS, GARY E CONTINENTAL TIRE NORTH AM 10/28/15 HARRIS & JONES KEEFE & DEPAULI 142 16WC 11983 JOHNSON, JANET SUE NORTH AMERICAN LIGHTING 05/13/14 BROWN & BROWN FRIEDMAN & SOLMOR LTD 143 16WC 12465 CLARK, MARY BETH CONTINENAL GENERAL TIRE 06/17/15 NELSON & NELSON KEEFE & DEPAULI 144 16WC 12482 HACKER, TERRI HELLA ELCTRONICS 10/29/15 LAW OFFICE KEITH SHORT ROUSE & CARY 145 16WC 12593 SHAW, STEPHEN P NORTH AMERICAN LIGHTING I 01/08/13 WINTERS BREWSTER CROSBY ET LAW OFFICES STEPHEN CARTER 146 16WC 12885 BURNS, PAMELA M REND LAKE RESORT 06/22/15 BROWN & BROWN LITCHFIELD CAVO 147 16WC 14403 SIMMERS, RICHARD CHARLES AUTOMOTIVE TECHNOLOGY SYS 02/26/16 MOSS & MOSS PC 148 16WC 14419 SMITH, FREDERICK MAGNUM STEEL WORKS, INC 12/16/15 GARY L. BEMENT 149 16WC 14623 GROSS, DION ALLIANCE COAL/WHITE CO. C 02/09/16 KOLKER LAW OFFICES FEIRICH MAGER GREEN & RYAN 150 16WC 14774 RUSH, RAPHAEL CENTRALIA SCHOOL DISTRICT 04/07/16 BROWN & BROWN HENNESSY & ROACH, PC 151 16WC 15797 WILSON, JOSHUA LAWRENCE CORRECTIONAL CEN @ 05/01/16 ILLINOIS ATTORNEY GENERAL 152 16WC 16281 MERCHANT, MIKE H ROEHL TANSPORT 12/25/15 RON D COFFEL & ASSOC CACCHILLO LAW GROUP LLC 153 16WC 16849 DESCH, MARK NORTH AMERICAN LIGHTING 03/14/16 BROWN & BROWN LAW OFFICES STEPHEN CARTER 154 16WC 17505 SOSA, BARBARA DRURY INN 04/03/16 HUSTAVA, JOHN H HARRIS DOWELL FISHER & HARRI 155 16WC 17540 DEAN, JOSEPH CITY OF CENTRALIA 03/14/16 BROWN & BROWN INMAN & FITZGIBBONS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 10 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 156 16WC 18611 COPP, JEANA FEDEX FREIGHT 04/09/15 HANAGAN & MCGOVERN PC QUINTAIROS PRIETO WOOD & BOY 157 16WC 18664 OVERTURF, BOBBIE S CONTINENTAL GENERAL TIRE 09/07/14 GARY L. BEMENT KEEFE & DEPAULI 158 16WC 18768 ELMORE, JAMES R. UNIQUE PERSONNEL CONSULTA 06/30/15 TAPELLA & EBERSPACHER LLC HENNESSY & ROACH 159 16WC 19329 HATHAWAY, JEFFREY WHITE COUNTY COAL, LLC 05/13/16 RICH RICH COOKSEY PC FEIRICH MAGER GREEN & RYAN 160 16WC 19448 SMITH, TOMMY DEFENDER SERVICES 02/17/16 GARY L. BEMENT LAW OFFICE PAUL LARIMORE 161 16WC 19622 GUTHRIE, BILLIE JO VERSATECH LLC 05/16/15 SMITH LAW LTD STEPHEN H LARSON LAW OFFICE 162 16WC 20097 BARNEY, ALICIA WALGREENS DISTRIBUTION 03/19/16 HASSAKIS & HASSAKIS 163 16WC 20774 VAUGN, JASON CAMPBELL ENTERPRISES 09/09/13 HOWERTON, DORRIS & STONE 164 16WC 21220 NOWLAND, CAROLYN WALGREENS DISTRIBUTION CE 12/15/15 NELSON & NELSON 165 16WC 21243 SCHMIDT, STEVEN E JOHN BOOS 07/30/14 TAYLOR LAW OFFICES 166 16WC 21623 MAYS, JACK WIRTZ BEVERAGE GROUP 08/04/11 NELSON & NELSON RIPES NELSON BAGGOT KALOBRAT 167 16WC 22429 DAVIS, BRIDGETTE MURRAY DEVELOPMENTAL CENT @ 05/06/16 LEVENHAGEN LAW FIRM PC ILLINOIS ATTORNEY GENERAL 168 16WC 22464 STUMBORG, SCOTT A. THREE Z PRINTING COMPANY 10/01/14 THOMAS W DUDA LITCHFIELD CAVO 169 16WC 22858 BEIGHLEY, SUSAN NORTH AMERICAN LIGHTING 06/22/16 THOMAS C RICH PC LAW OFFICES STEPHEN CARTER 170 16WC 23055 EVANS, MARCELLA P. RICHLAND MOTELS, INC. 08/04/13 MEYER, MICHAEL J 171 16WC 23145 FINLEY, RICHARD L PETCO PETROLEUM CORP 02/19/16 GALANTI LAW OFFICES HEYL ROYSTER VOELKER & ALLEN 172 16WC 23361 NEWCOMB, JACK K MAGNA EXTERIORS NASCOTE I 06/27/16 HAROLD K PIKE III LAW OFFICE PATRICK JENNETTEN 173 16WC 23677 SCHMIDT, STEVEN JOHN BOOS & CO 07/30/14 TAPELLA & EBERSPACHER LLC KNELL LAW LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 11 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 174 16WC 23765 LISSAK, MICHAEL J SHERWIN WILLIAMS 06/28/16 OSTEEN & CHOJNICKI LTD ROBERT L. SMITH 175 16WC 25567 SPONSELLER, WILLIAM PEPSI MID AMERICA 02/08/16 RIDGE & DOWNES 176 16WC 25700 STORM, DOUGLAS K. EFFINGHAM TELCOM SOLUTION 01/26/16 OSTEEN & CHOJNICKI LTD 177 16WC 25763 GOLDMAN, ROBERT IRWIN TELESCOPIC SEATING 10/12/15 BUTLER & KEMPER 178 16WC 25835 HAMMONDS, CHARLES COMPREHENSIVE CONNECTIONS 01/26/16 GARY L. BEMENT HOLTKAMP LIESE ET AL 179 16WC 26563 WILSON, RUSSELL L GEO N MITCHELL DRILLING C 08/02/16 HEIDI A. HOFFEE 180 16WC 27244 ALTENBAUMER, CHAD E. CONTINENTAL TIRE NORTH AM 07/28/16 JAMES RUPPERT KEEFE & DEPAULI 181 16WC 28213 NABORS, CARMEN ADDUS HEALTH CARE 06/01/16 BEMENT & STUBBLEFIELD HENNESSY & ROACH, PC 182 16WC 28566 SOVA, MATHEW CONTINENTAL TIRE, THE AME 08/02/15 WENDLER LAW PC KEEFE & DEPAULI 183 16WC 28676 NEWBURY, BRANDON NAPA 09/29/14 GARY L. BEMENT 184 16WC 28723 THOMPSON, CHRISTINA JOHN BOOS & COMPANY 08/22/16 MEYERS & FLOWERS 185 16WC 29265 KENNEDY, SANDRA K WARREN G MURRAY CENTER @ 06/13/16 NELSON & NELSON ILLINOIS ATTORNEY GENERAL 186 16WC 29571 MCGUIRE, TERRY W CITY OF MT CARMEL 04/13/16 THOMAS W DUDA SCHREMPF KELLY & NAPP 187 16WC 29823 KLEPZIG, DOUG WAUPACA FOUNDRY, INC. 08/15/16 SMITH LAW LTD MORROW WILLNAUER 188 16WC 29901 AVERY, NICK DIRECT LINES INC 04/27/16 WALTON TELKEN FOSTER LLC ROUSE & CARY 189 16WC 30662 PILCHER, AARON WAL-MART STORES, INC. 08/29/15 BOSHARDY LAW OFFICE PC WIEDNER & MCAULIFFE LTD 190 16WC 31068 ROGERS, JACK CTC LOGISTICS @ 02/22/16 MCCARTHY ROWDEN & BAKER 191 16WC 31098 TRAVIS, JOHN E UPS 08/24/16 HASSAKIS & HASSAKIS PC MCANANY VANCLEVE & PHILLIPS

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 12 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 192 16WC 31615 BRADDY, ROBERT SOUTHWESTERN ILLINOIS BUS 12/10/15 BROWN & BROWN HENNESSY & ROACH, PC 193 16WC 31956 DEADMOND, JAMIE MURRAY DEVELOPMENTAL CTR @ 09/08/16 LEVENHAGEN LAW FIRM PC ILLINOIS ATTORNEY GENERAL 194 16WC 32921 HILL, ARTHUR M CLASS MINE 09/10/16 RICH RICH COOKSEY PC MCBREARTY, BRIAN K 195 16WC 33926 PETO, SPENCER RAILCREW XPRESS 10/30/16 DWORKIN AND MACIARIELLO ROUSE & CARY 196 16WC 34684 COBB, DONOVAN SOUTHWIRE 11/09/16 DWORKIN AND MACIARIELLO MORROW WILLNAUER 197 16WC 34953 LOVE, DEBORAH ANN AMEREN 01/20/16 HASSAKIS & HASSAKIS LEMP & MURPHY 198 16WC 35264 INYART, BRENT RICHLAND COUNTY SCHOOL 04/26/16 GLASS & KOREIN KEEFE & DEPAULI 16WC035290 -C 199 16WC 35489 WHITE, DAVID S BAXMEYER CONSTRUCTION, IN 09/15/16 COOK SHEVLIN YSURSA ET AL 200 16WC 35843 JENSEN, DARLIA COMFORT SUITES 08/06/15 GARY L. BEMENT WIEDNER & MCAULIFFE LTD 201 16WC 36456 POSTON, JEFFREY K EFFINGHAM EQUITY 08/24/16 HASSAKIS & HASSAKIS KEEFE CAMPBELL & ASSOC LLC 202 16WC 36938 KENDALL, AMANDA COOKSEY OIL CO, INC 08/12/16 CRAIN MILLER & WERNSMAN LT GANAN & SHAPIRO 203 16WC 37103 GRIMES, NANCY K FIRESIDE HOUSE 06/25/16 WILLIAMS CAPONI & ASSOC 204 16WC 37770 HUGHES, BARNEY R II STATE OF IL, LAWRENCE @ 11/01/16 GLASS & KOREIN ILLINOIS ATTORNEY GENERAL 205 16WC 38229 RIGGS, CAROL MARTIN & BAYLEY, INC 02/05/16 GARY L. BEMENT MCDONALD & BOGDAN 206 16WC 38354 LOY, LISA MIDLAND STATES BANK 02/20/15 KATZ FRIEDMAN EAGLE ET AL COZZI & GOGGIN-WARD 207 16WC 38859 SEIBER, WILLIAM J SHERWIN WILLIAMS 10/13/16 MEYER, MICHAEL J ROBERT L. SMITH 208 16WC 39079 MCCAULEY, CHAD TEAM COMPANY 12/22/16 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 209 17WC 00915 LEANEAVE, BRIAN AMERICA'S BEST VALUE INN/ 12/18/16 CANTOR & BURGER EVANS & DIXON, LLC

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 13 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 210 17WC 01844 FRAILEY, CODY D LONE STAR STEAKHOUSE 01/20/14 MEYER, MICHAEL J 211 17WC 02010 BOWMAN, MICHAEL BOWMAN CHIROPRACTIC & REH 12/19/16 LEVENHAGEN LAW FIRM PC EVANS & DIXON, LLC 212 17WC 02290 STUBBLEFIELD, JAMES BRIAN CONTINENTAL TIRE THE AMER 04/15/16 LEVENHAGEN LAW FIRM PC KEEFE & DEPAULI 213 17WC 02720 RHODES, THEODORE J ILLINOIS STATE POLICE @ 02/27/15 RIDGE & DOWNES ASSISTANT ATTORNEY GENERAL 214 17WC 04194 SHANKS, NATHAN STATE OF ILLINOIS 03/04/14 MARK A WELLS LAW OFFICE ASSISTANT ATTORNEY GENERAL 215 17WC 04279 JONES, ALVIN STAFF QUICK 01/17/17 DWORKIN AND MACIARIELLO HENNESSY & ROACH, PC 216 17WC 04920 SCARBROUGH, DEBORAH OLNEY RURAL KING SUPPLY I 01/05/17 DANIELS WILZBACH PC LIVINGSTONE MUELLER ET AL 217 17WC 05037 TEGENKAMP, ZACHARY ADM ALLIANCE NUTRITION 01/28/17 FEATHERSTUN GAUMER POSTLEWAI 218 17WC 05090 HULTQUIST, MARY FAYCO ENTERPRISES 12/20/16 GALANTI LAW OFFICES BRYCE DOWNEY & LENKOV LLC 219 17WC 06622 OVERTURF, BOBBIE CONTINENTAL TIRE 01/22/17 GARY L. BEMENT KEEFE & DEPAULI 220 17WC 07109 BRADDY, GARY CONTINENTAL TIRE 10/04/16 GARY L. BEMENT KEEFE & DEPAULI 221 17WC 07489 THACKREY, ROBERT WALGREENS CO 10/28/16 LEVENHAGEN LAW FIRM PC 222 17WC 07892 JENSEN, DARLIA COMFORT SUITES 01/27/17 GARY L. BEMENT WIEDNER & MCAULIFFE LTD 223 17WC 07970 WOODWARD, SHAWN SYNERGY POWER GROUP D/B/A 11/15/16 NELSON & NELSON 224 17WC 08315 HOWELL, JAMES CPC LOGISTICS INC 10/22/16 HEIDI A. HOFFEE LEAHY WRIGHT & ASSOC 225 17WC 08423 MORGAN, KRISTIE NAPA DISTRIBUTION CENTER 10/28/16 RON D COFFEL & ASSOC KEEFE & DEPAULI 226 17WC 08716 PRATER, JUSTIN K TSC CONSTRUCTION 10/24/16 JAMES RUPPERT 227 17WC 09479 GROSS, DION ALLIANCE COAL 08/29/16 CARAWAY FISHER FEIRICH MAGER GREEN & RYAN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 14 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 228 17WC 09583 MCGEE, TERRY L NALCO CHAMPION 07/19/16 CORNFIELD & FELDMAN KEEFE CAMPBELL & ASSOC LLC 229 17WC 10175 FITZPATRICK, SUE DRURY INN 11/05/15 MUELHAUSEN & STEFANI EVANS & DIXON, LLC 230 17WC 10361 RIGGS, MICHAEL L WALGREENS DISTRIBUTION CE 02/14/17 JAMES RUPPERT 231 17WC 10469 WHITAKER, MARK TRAVIS ALLIANCE COAL 12/06/16 TAMMI N. JACKSON FEIRICH MAGER GREEN & RYAN 232 17WC 10710 HOSKEY, JACKIE NORTH AMERICAN LIGHTING 01/12/16 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 233 17WC 11129 DAVIS, LISA NO MORE NICOTINE CLUB 03/14/17 DWORKIN AND MACIARIELLO GANAN & SHAPIRO 234 17WC 11304 YONAKA, HEATHER MARION EYE CENTER 07/08/16 235 17WC 11393 MATRANA, EDDIE BARGER ENGINEERING 12/13/16 HANAGAN & MCGOVERN PC CRAIG & CRAIG 236 17WC 11565 HILL, RONNIE DALE WALGREEN CO 12/29/16 ADAM B LAWLER LAW FIRM EVANS & DIXON, LLC 237 17WC 11616 BRADLEY, JOHN DEPT OF TRANSPORTATION @ 03/30/17 LEVENHAGEN LAW FIRM PC 238 17WC 11678 COSNER, DAKOTA BAILEY RETAIL, INC 08/11/16 TUNGATE LAW OFFICE LIVINGSTONE MUELLER ET AL 239 17WC 12198 GALLOWAY, MARK THE MASCHHOFFS 06/21/16 BROWN & BROWN CRAIG A HANSEN 240 17WC 12374 HAWKINS, BOBBY WHITE COUNTY COAL 11/27/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 241 17WC 12518 HEBENSTREIT, DENNIS J RP LUMBER COMPANY 03/31/14 HASSAKIS & HASSAKIS PC KEEFE & DEPAULI 242 17WC 13108 STALLINGS, DENNIS DOUG WINTERS FARM 10/28/16 RON D COFFEL & ASSOC ASSISTANT ATTORNEY GENERAL 243 17WC 13512 PIKE, ERIK HEARTLAND TOWING & RECOVE 02/17/16 TAYLOR LAW OFFICES BRADY, CONNOLLY & MASUDA, PC 244 17WC 13944 HALL, JASON L FED EX SUPPLY CHAIN 02/15/17 DAVID H. BONE LLC 245 17WC 14633 MARQUEZ, JACQULINE WALGREENS DISTRIBUTION CE 12/28/15 BROWN & BROWN

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 15 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 246 17WC 14810 YOUNG, JUSTIN SOUTHERN IL WORKERS, INC 03/21/17 HANAGAN & MCGOVERN PC RUSIN & MACIOROWSKI LTD 247 17WC 15184 ROPER, RICHARD BIG 3 PRECISION PRODUCTS 01/17/17 HUSTAVA, JOHN H 248 17WC 15572 BOYER, JAMES RUCKERS MAKIN BATCH 04/04/17 DWORKIN AND MACIARIELLO KNELL & O'CONNOR 249 17WC 15716 LYONS, CHANE EFI ENGINEERED FLUID, INC 08/31/16 NELSON & NELSON STEPHEN H LARSON LAW OFFICE 250 17WC 15829 VASHEE, JAYESH SPECIALITY POLYMER SERVIC 06/26/13 KEEFE & GRIFFITHS PC RUSIN & MACIOROWSKI LTD 251 17WC 15869 HIGGINS, JAMES M WEXFORD HEALTH SERVICES I 06/25/15 GLASS & KOREIN RUSIN & MACIOROWSKI LTD 252 17WC 15914 HOLLAND, DAWN WALMART 01/06/17 STRONG LAW OFFICE GANAN & SHAPIRO 253 17WC 15940 GIBSON, AMY NORTH AMERICAN LIGHTING, 01/29/16 HEIDI A. HOFFEE LAW OFFICES STEPHEN CARTER 254 17WC 16218 FULLERTON, CHRISTINA N SWAN CORPORATION 04/18/17 JAMES RUPPERT LAW OFFICE CRAIG A HANSEN 255 17WC 16258 CRAWFORD, MATTHEW B PRIORITY STAFFING 04/29/17 JAMES RUPPERT 256 17WC 16427 MURPHY, AMY DAVITA CENTRALIA DIALYSIS 04/15/17 DWORKIN AND MACIARIELLO WIEDNER & MCAULIFFE LTD 257 17WC 16846 OAKLEY, MARTY A STATE OF IL - IDOT @ 02/24/17 LAMARCA LAW OFFICES, PC ASSISTANT ATTORNEY GENERAL 258 17WC 17097 WINTERMANN, JOHN NAL - NORTH AMERICAN LIGH 12/07/16 LAW OFFICES TIMOTHY HENDER LAW OFFICES STEPHEN CARTER 259 17WC 17122 WINTERMANN, JOHN NAL-NORTH AMERICAN LIGHTI 12/07/16 LAW OFFICES TIMOTHY HENDER LAW OFFICES STEPHEN CARTER 260 17WC 17256 DUNNING, KENNETH PEAVLER CORP 06/18/15 TAYLOR LAW OFFICES JAMES M KELLY 261 17WC 17443 BARTLEY, CHRISTINA NORTH AMERICAN LIGHTING 09/22/16 RICH RICH COOKSEY PC LAW OFFICES STEPHEN CARTER 262 17WC 17553 NOWLAND, CAROLYN WALGREENS DISTRIBUTION CE 05/08/17 NELSON & NELSON 263 17WC 18222 BEASLEY, KAREN TUTERA HEALTH CARE SERVIC 05/26/17 SMITH LAW LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 16 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 264 17WC 18358 GARNER, BETTINA CTF ILLINOIS - 07/13/16 MOSS & MOSS PC HENNESSY & ROACH, PC 265 17WC 18602 ALLEN, MICHAEL MT VERNON DREAM HOMES 06/13/17 DWORKIN AND MACIARIELLO 266 17WC 18805 KEMP, DAKOTA M CONTINENTAL TIRE THE AMER 03/07/16 KEEFE & DEPAULI 267 17WC 18888 RICE, TOBEY L LAWRENCE CORRECTIONAL CEN @ 09/10/15 BECKER SCHROADER & CHAPMAN ASSISTANT ATTORNEY GENERAL 268 17WC 19283 FINLEY, AMANDA DOCTORS NURSING AND REHAB 05/21/17 NELSON & NELSON BOGGS AVELLINO 269 17WC 19324 MORBER, JOSEPH CONTINENTAL TIRE 03/21/17 KEEFE & DEPAULI 270 17WC 19453 BROWN, JAY NATONAL VINEGAR COMPANY 06/13/17 MCCARTHY ROWDEN & BAKER STEPHEN H LARSON LAW OFFICE 271 17WC 19633 KEASLING, STACY M RUCKER'S WHOLESALE AND SE 11/28/16 JAMES RUPPERT KNELL & O'CONNOR 272 17WC 19945 ALLISON, JEFFERY B DARRELL FICKAS SAWMILL LL 01/11/17 HASSAKIS & HASSAKIS PC CRAIG & CRAIG 273 17WC 19993 RODRIGUEZ, RUBEN CIVIL COATINGS & CONST./ 06/30/17 STROM, NEAL B 274 17WC 20131 EDDINGER, CHARLES BRYAN IL ROAD CONTRACTORS 06/16/17 WOODRUFF & JOHNSON 275 17WC 20147 LINDSEY, ANGELA NORTH AMERICA LIGHTING 06/19/15 BROWN & BROWN 276 17WC 20205 KNOTT, WILLIAM D JR DAVID STANLEY CONSULTANTS 04/28/17 CULLEY & WISSORE 277 17WC 20233 PRICE, CHARLES CONTINENTAL TIRE 04/18/17 KEEFE & GRIFFITHS PC 278 17WC 20729 HARVEY, AUSTIN BEELMAN READY MIX 06/28/17 BROWN & BROWN HARRIS DOWELL FISHER & HARRI 279 17WC 20831 WILLIAMS, GENE CHAMPION LABORATORIES 01/17/17 HANAGAN & MCGOVERN PC 280 17WC 21090 DAVIS, ANTHONY JH MOORE INC 03/08/17 RUSIN & MACIOROWSKI LTD 281 17WC 21669 RUESKEN, STEVEN G. CON-WAY FREIGHT, INC 11/25/15 FOREMAN & KESSLER, LTD RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 17 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 282 17WC 21963 BUCKLEY, MICHELLE HERSHEY CO 06/17/16 TAYLOR LAW OFFICES WIEDNER & MCAULIFFE LTD 283 17WC 22264 FOX, JOHN CUSTOM STAFFING INDUSTRIA 10/05/15 MUELHAUSEN & STEFANI FEIRICH MAGER GREEN & RYAN 284 17WC 22381 GREEN, JOHNNIE TOYOTA BOSHOKU AMERICA 12/19/15 HENNESSY & ROACH, PC 285 17WC 22653 DAVIS, STEVEN W CONTINENTAL TIRE 07/13/14 KEEFE & DEPAULI 286 17WC 22765 HOSTEMEYER, MICHAEL CPC LOGISTICS 10/27/16 GARY L. BEMENT 287 17WC 22877 LYNCH, PHILLIP BLACHERE USA 07/17/17 WOMICK LAW FIRM CHTD GANAN & SHAPIRO 288 17WC 22988 KUENSTLER, PHILLIP PRESTON TOWNSHIP 10/19/15 HASSAKIS & HASSAKIS 289 17WC 23960 RALSTON, SCOTT SHERWIN-WILLIAMS 07/21/17 STRONG LAW OFFICE GAROFALO SCHREIBER STORM 290 17WC 24199 19B BRADFORD, JEFFERY CITY OF MT VERNON 11/01/16 RICH RICH COOKSEY PC KEEFE & DEPAULI 291 17WC 24378 POMMER, WAYNE OLYMPIC FREIGHTLINES, INC 06/29/17 DANIELS WILZBACH PC SCOPELITIS GARVIN LIGHT 292 17WC 24538 GEORGE, HEATHER WALGREENS DISTRIBUTION CT 02/27/17 KATZ FRIEDMAN EAGLE ET AL 293 17WC 24689 FELTON, CHAD PINNACLE FOODS GROUP LLC 07/27/17 PETER BLASI LLC 294 17WC 24987 FLANAGAN, KATHLEEN A WALGREENS FAMILY OF COMPA 01/16/17 JAMES RUPPERT 295 17WC 25577 STRUCKMEYER, PATRICIA A KNAPP OIL CO, INC C/O 03/31/16 DARRELL DUNHAM 296 17WC 25611 MARQUEZ, ANIBAL SCI INC 08/30/16 BROWN & BROWN 297 17WC 25934 GALLEGOS, JOHN ZF SERVICES 08/18/17 ARGIONIS & ASSOCIATES LLC 298 17WC 26521 WILLIAMS, SHELTON PREMIUM TRANSPORTATION 03/15/17 SCHUCHAT, COOK & WERNER WIEDNER & MCAULIFFE LTD 299 17WC 26699 BOYER, JAMES RUCKERS MAKIN BATCH 08/07/17 DWORKIN AND MACIARIELLO

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 18 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 300 17WC 26799 CARTER, DONNA HOYLETON MINISTRIES 07/23/17 RICH RICH COOKSEY PC LITCHFIELD CAVO 301 17WC 26900 BRAY, TANYA ADDUS HEALTHCARE, INC. 07/03/17 LEVENHAGEN LAW FIRM PC HENNESSY & ROACH, PC 302 17WC 26928 TOTTEN, CHRISTIAN ROBERT SOUTHERN ILLINOIS WORKERS 06/25/15 TUNGATE LAW OFFICE HENNESSY & ROACH, PC 303 17WC 27022 STUMBORG, CHERYL PEPSI MID-AMERICA 04/19/17 HELLER HOLMES & ASSOC 304 17WC 27089 POWELL, MEGAN COMMUNITY SUPPORT SYSTEMS 03/23/16 HELLER HOLMES & ASSOC 305 17WC 27219 BURWELL, ALMA WALGREEN'S 06/22/17 RICH RICH COOKSEY PC EVANS & DIXON, LLC 306 17WC 27241 SMITH, JASON CONTINENTAL TIRES 12/18/16 WOMICK LAW FIRM CHTD KEEFE & DEPAULI 307 17WC 27967 COUNTS, KIM J WALGREENS FAMILY OF COMPA 06/11/17 HASSAKIS & HASSAKIS PC 308 17WC 27997 LAWSON, MARK J RADIAC ABRASIVES 03/15/17 DANIELS WILZBACH PC HENNESSY & ROACH, PC 309 17WC 28046 ROBERTSON, CODY J WHETSTONE OIL LLC 07/17/17 JAMES RUPPERT WOLFE & JACOBSON, LTD 310 17WC 28360 SCHWARTZ, TONYA R AMERICAN AIRLINES 11/28/16 JAMES RUPPERT 311 17WC 28403 BARNES, JESSE S PETCO PETROLEUM CORP 09/06/17 LAWINGER LAW OFFICE 312 17WC 28426 BIVENS, LINDA PARK PLACE 07/21/17 NELSON & NELSON 313 17WC 28594 DUNLAP, ALVIN LEE MILO TRANSPORTATION INC 03/07/15 MINKOW DOMIN 314 17WC 29713 JENKINS, THOMAS HAMILTON COUNTY COAL 06/06/17 RICH RICH COOKSEY PC FEIRICH MAGER GREEN & RYAN 315 17WC 29744 DAVIS, CRAIG M SCHMIDT CHEVROLET OF MT V 06/12/17 HASSAKIS & HASSAKIS PC WIEDNER & MCAULIFFE LTD 316 17WC 29873 MONTES, RODNEY NORTH AMERICAN LIGHTING 09/18/17 RICH RICH COOKSEY PC 317 17WC 29906 MARSCHKE, VALORA M T.G.I. FRIDAY'S 01/26/15 MEYER, MICHAEL J KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 19 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 318 17WC 30110 BRUCE, STEVEN STATE OF IL/MURRAY CENTER @ 06/11/17 RICH RICH COOKSEY PC 319 17WC 30123 ROBESON, MARK EFFINGHAM EQUITY COOP 06/12/17 FREDERICK & HAGLE 320 17WC 30161 MITCHELL, CARL R HAMILTON COUNTY COAL, LLC 02/25/16 CULLEY & WISSORE FEIRICH MAGER GREEN & RYAN 321 17WC 30325 GRIFFITH, LYNDSAY CONTINENTAL TIRE 09/02/17 GARY L. BEMENT 322 17WC 30467 BEE, CLARA MCDONALDS 10/04/17 DWORKIN AND MACIARIELLO 323 17WC 30839 CLINE, TERRY CONTINENTAL TIRE 08/21/17 GARY L. BEMENT KEEFE & DEPAULI 17WC030840 -C 324 17WC 30884 AMPOLE, LORI SPS OF ALABAMA, LLC. 05/26/17 ROBERT ROTH 325 17WC 30906 BEETLEY, FRANCINE GRUPO ANTOLIN 09/20/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD 326 17WC 31042 DILLMAN, DEBRA MT VERNON CITY SCHOOL DIS 08/22/17 RICH RICH COOKSEY PC ROBERT L. SMITH 327 17WC 31254 CIZICK, BRIAN SCHUTT SPORTS 08/31/17 HUSTAVA, JOHN H 328 17WC 31437 NORRIS, KEVIN ALLIANCE COAL - 09/12/17 HOWERTON, DORRIS & STONE 329 17WC 31596 BISHOP, DAVID L GMS MINE REPAIR & MAINTEN 08/22/15 MARK A KOCHAN 330 17WC 31789 DIAZ, ANGEL M TYLER AUTO SALES, LLC 06/19/17 HASSAKIS & HASSAKIS BRADY, CONNOLLY & MASUDA, PC 331 17WC 31812 BYERS, REBECCA L NORTH AMERICAN LIGHTING 02/28/17 HASSAKIS & HASSAKIS PC LAW OFFICES STEPHEN CARTER 332 17WC 31877 HUTCHESON, QUINTON D WOOD ENERGY INC 08/22/17 HEIDI A. HOFFEE KEEFE & DEPAULI 333 17WC 32446 ROSE, CHRISTOPHER NORTH AMERICAN LIGHTING, 10/04/17 RICH RICH COOKSEY PC 334 17WC 32500 DIAL, JUNIOR CONTINENTAL TIRE 01/20/16 MCGARRY, BRIAN P 335 17WC 32655 CULBRETH, STACY A XPO LOGISTICS FREIGHT INC 08/14/17 NELSON & NELSON RUSIN & MACIOROWSKI LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 20 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 336 17WC 32688 PEDIGO, DAVID A TA OPERATING, LLC 02/10/17 HUGHES LAW FIRM RODDY LAW LTD 337 17WC 32890 PATTON, LESA M GOLDBELT, INC 07/26/17 HASSAKIS & HASSAKIS PC ROUSE & CARY 338 17WC 33127 LEAF, NELLIE NORTH AMERICAN LIGHTING 03/23/17 DWORKIN AND MACIARIELLO 339 17WC 33176 VARYS, WILLIAM J CRACKER BARREL 10/15/17 JAMES RUPPERT 340 17WC 33714 MORGAN, SHAWN AUTOMOTIVE TECHNOLOGY 06/10/16 MUELHAUSEN & STEFANI 341 17WC 33983 PHELPS, DONNA M WALGREENS DISTRIBUTION CT 05/01/17 BROWN & BROWN 342 17WC 34387 COPE, FRANKLIN STATE OF IL/BIG MUDDY RIV @ 09/20/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 343 17WC 34455 HILL, KEVIN E COUNTY MATERIALS 08/14/15 HELLER HOLMES & ASSOC HENNESSY & ROACH 344 17WC 34707 SHELTON, CHARLES JR CONTINENTAL TIRE THE AMER 07/16/17 LEVENHAGEN LAW FIRM PC 345 17WC 35055 WILLIS, ANTHONY F&L SALVAGE & RECYCLING 04/08/17 LAW OFFICE KEITH SHORT 346 17WC 35284 EDMONDS, WILLIAM ALLIANCE COAL 06/15/17 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 347 17WC 35789 WELLS, RONALD D PRAIRIE FARMS DAIRY, INC 06/15/15 HASSAKIS & HASSAKIS PC KNAPP, OHL & GREEN 348 17WC 36061 SMITH, BRADLEY PRECISION PLUGGING & SALE 11/13/17 DWORKIN AND MACIARIELLO 349 17WC 36419 BIGGERSTAFF, BRANDON HOWELL PAVING, INC 05/20/16 SMITHPETERS LAW FIRM KNELL & O'CONNOR 350 17WC 36752 SPOTANSKI, MATTHEW P CONTINENTAL TIRE 11/21/17 NELSON & NELSON 351 17WC 36811 DROCKTON, WESTLEY MARTIN'S IGA 03/23/17 STEPHEN P. KELLY 352 17WC 36913 RICH, WILLIAM CONTINENTAL TIRE NORTH AM 07/15/16 SAM C MITCHELL & ASSOCIATE 353 17WC 36926 LOWERY, VIVAN E. W. DOUBLE OVERTIME GRILL, IN 07/25/17 BADGLEY, BRAD L

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 21 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 354 17WC 37049 FINNEY, DIANE S CONTINENTAL TIRE NORTH 04/12/16 JAMES RUPPERT 355 17WC 37055 MUELLER, RONALDD IL DEPT OF TRANSPORTATION @ 07/31/17 BROWN & BROWN 356 17WC 37215 WEBB, BENNIE R TRADE INDUSTRIES 11/02/17 BECKER SCHROADER & CHAPMAN ROBERT L. SMITH 17WC037279 -C 357 17WC 37270 WIMBERLY, ELIZABETH TWIN WILLOW NURSING HOME 11/02/17 GARY L. BEMENT 358 17WC 37352 SIMMONS, KEISHA(ON BEHALF PRECISION PLUGGING AND # 11/14/17 JAMES RUPPERT 359 17WC 37356 GONZALEZ-VARGAS, JETZARI AS PROFESSIONAL ROOFING # 08/07/15 BLUNT & ASSOC 360 17WC 37591 STOCKE, KENT M-CLASS MINING, LLC 03/10/16 CULLEY & WISSORE CRAIG & CRAIG 361 17WC 38035 HEAD, NATHANIEL BIG MUDDY RIVER @ 11/26/17 RICH RICH COOKSEY PC ASSISTANT ATTORNEY GENERAL 362 18WC 00370 HAWTHORNE, CHARLOTTE WALGREENS DIRSTRU CTR 01/27/15 HASSAKIS & HASSAKIS PC 363 18WC 00714 GRAY, RODNEY SUPERIOR EXPRESS INC 08/04/17 RICH RICH COOKSEY PC RUSIN & MACIOROWSKI LTD 364 18WC 00917 SMITH, DEBORAH J CONTINENTAL TIRE NORTH AM 08/18/17 JAMES RUPPERT KEEFE & DEPAULI 365 18WC 01222 DURBIN, MICHAEL BIG MUDDY RIVER @ 12/18/17 HARRIS & JONES ASSISTANT ATTORNEY GENERAL 366 18WC 01712 COOK, JAMES CONTINENTAL TIRE 06/18/17 WINTERS BREWSTER CROSBY ET KEEFE & DEPAULI 367 18WC 01962 DROCKTON, WESTLEY MARTIN'S IGA 11/09/17 STEPHEN P. KELLY GAROFALO SCHREIBER STORM 368 18WC 02035 VINYARD, GRETCHEN HARDIN COUNTY COMMUNITY U 12/04/17 SAM C MITCHELL & ASSOCIATE 369 18WC 02076 HAYWOOD, SHANE QUAD GRAPHICS 06/29/17 MICHAEL J BRUNTON LAW OFFI 370 18WC 02347 JOHNSON, TRACY TMZ OIL SERVICES, LLC 07/18/17 RON D COFFEL & ASSOC 371 18WC 02595 MCDONALD, ROBERT THREE Z PRINTING CO 10/31/17 STRONG LAW OFFICE

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 22 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 372 18WC 02673 FERGUS, JOSHUA R ILLINOIS STATE POLICE DIS @ 01/08/18 HARRIS & JONES 373 18WC 02897 THOLE, WANDA L WAL-MART ASSOCIATES, INC 07/05/17 GANAN & SHAPIRO 374 18WC 03069 SIMMS, HOWARD B S.O.I. LAWRENCE CORRECTIO @ 01/03/18 CORNFIELD & FELDMAN ASSISTANT ATTORNEY GENERAL 375 18WC 03278 KNIGHT, DANNY A ALLIANCE COAL, LLC 08/29/17 JAMES RUPPERT FEIRICH MAGER GREEN & RYAN 376 18WC 03491 BARKER, VICKI D WALGREENS DISTRIBUTION CE * 07/25/17 HASSAKIS & HASSAKIS PC 377 18WC 03516 NEVINGS, TIFANIE CONTINENTAL TIRE NORTH AM * 08/30/17 HANAGAN & MCGOVERN PC KEEFE & DEPAULI 378 18WC 03620 FORTNEY, CLARICE HOYLETON YOUTH&FAMILY SER * 08/24/15 RICH RICH COOKSEY PC LITCHFIELD CAVO 379 18WC 03803 EUBANKS, DARRELL COUNTY MATERIALS CORPORAT * 10/04/17 HANAGAN & MCGOVERN PC HENNESSY & ROACH 380 18WC 03922 EDWARDS, LARRY ZODAK CASEY MIDDLE SCHOOL * 01/21/18 BROWN & BROWN ROBERT L. SMITH 381 18WC 03938 TIPSWORD, AARON WALMART DISTRIBUTION * 10/19/17 HANAGAN & MCGOVERN PC 382 18WC 04103 STRONG, KALI SALEM ELEMENTARY * 03/11/17 BROWN & CROUPPEN GANAN & SHAPIRO 383 18WC 04140 FENDER, COTY M-CLASS MINING LLC * 08/02/17 SAUNDERS CONDON & KENNY 384 18WC 04264 STARNES, CHERYL HEARTLAND DENTAL * 01/28/16 CULLEN HASKINS NICHOLSON STEPHEN H LARSON LAW OFFICE 385 18WC 04859 SAUNDERS, SHELENE SPS OF ALABAMA * 10/04/17 BROWN & BROWN 386 18WC 05099 SNYDER, BYRON WALGREENS DIST CENTER * 01/23/18 BECKER SCHROADER & CHAPMAN 387 18WC 05325 SAUNDERS, SHELENE SPS OF ALABAMA * 05/24/17 BROWN & BROWN 388 18WC 05342 ATCHISON, JOHN W BEELMAN READY MIX * 05/13/17 HUSTAVA, JOHN H 389 18WC 05394 SOLES, BETH GRUPO ANTOLIN * 01/18/17 NELSON & NELSON WIEDNER & MCAULIFFE LTD

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 23 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 390 18WC 05407 DEFEND, CONNOR P SALEM TIRE CENTER * 11/22/17 HASSAKIS & HASSAKIS PC 391 18WC 05608 PONTIOUS, SHIRLEY KROGER * 06/26/17 RICH RICH COOKSEY PC GANAN & SHAPIRO 392 18WC 05779 GIBSON, RHONDA ST OF IL/DEPT OF REHABILT @ * 01/17/18 RICH RICH COOKSEY PC CORI STEWART 393 18WC 06071 DAVIS, RITA LUTHERAN CARE CENTER * 11/04/17 KATZ FRIEDMAN EAGLE ET AL 394 18WC 06351 MEADOR, ROBERT AMERICANA BLDG PRODUCTS, * 09/11/17 DANIELS WILZBACH PC GANAN & SHAPIRO 395 18WC 06459 SPITZNER, MALACHI SPS OF ALABAMA * 11/23/16 BROWN & BROWN 396 18WC 06573 HODGE, JOEL RADIAC ABRASIVES * 02/08/18 RICH RICH COOKSEY PC HENNESSY & ROACH, PC 397 18WC 06685 DUBON, JOSE A MCGREGOR ROOFING * 01/04/18 HUGHES LAW FIRM CRAIG & CRAIG 398 18WC 06867 MCGINNIS, BRANDON ALDIS * 07/22/17 HUSTAVA, JOHN H 399 18WC 06976 BELMONT, STEPHANIE WALGREENS DISTRIBUTION CE * 11/01/17 GARY L. BEMENT 400 18WC 07203 FLEMING, MICHAEL ELASTEC * 09/13/17 KATZ FRIEDMAN EAGLE ET AL 401 18WC 07513 TOWNSEND, QUANTINA CASEY'S GENERAL STORE * 10/01/15 MCCARTHY ROWDEN & BAKER 402 18WC 07594 GIBBS, DANNY MADISONVILLE MINING LLC * 10/19/17 HOWERTON, DORRIS & STONE 403 18WC 07645 NEIGHBORS, ERIC S REPUBLIC SERVICES * 01/17/18 HASSAKIS & HASSAKIS PC 404 18WC 07666 WILLIAMS, ERIC PETCO PETROLEUM * 02/23/18 HAROLD K PIKE III 405 18WC 07899 WELLS, BRENT E SHERWIN WILLIAMS MINWAX * 08/03/17 SMITH LAW LTD 406 18WC 08503 POTTER, JOSHUA SF CONTRACTING LLC * 12/07/17 SMITHPETERS LAW FIRM 407 18WC 08583 GRAY, KEVIN CONTINENTAL TIRE THE AMER * 10/12/16 KEEFE & DEPAULI

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 24 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 408 18WC 08593 GAJEWSKI, DENISE CONTINENTAL TIRE THE AMER * 08/08/17 KEEFE & DEPAULI 409 18WC 08681 SANDERS, WALTER L SCHMIDT CHEVROLET OF MT V * 10/04/17 HASSAKIS & HASSAKIS PC 410 18WC 08931 JACOBS, LEE CUSTOM STAFFING * 03/02/18 CULLEY FEIST KUPPART & JOR 411 18WC 09251 GEORGE, RATMOND A PERRY COUNTY SHERIFF'S DE * 01/21/17 HARRIS & JONES 412 18WC 09412 TAYLOR, JASON HUCK'S * 01/02/18 RICH RICH COOKSEY PC 413 18WC 09503 TULLIS, KATHY NORTH AMERICAN LIGHTING, * 01/31/17 STEPHEN CARTER 414 18WC 09974 GUFFEY, MARCIA, WIDOW OF EFFINGHAM COUNTY # * 03/13/18 RIDGE & DOWNES CRAIG & CRAIG 415 18WC 10071 TRIBBLE, MATTHEW IDOC/LAWRENCE CORRECTIONA @ * 01/15/18 GLASS & KOREIN ASSISTANT AT0TORNEY GENERAL 416 18WC 10101 PAGE, BENNETT CHASTAIN AND ASSOCIATES * 06/21/17 HOWERTON, DORRIS & STONE 417 18WC 10344 MUSGRAVE, GARY ALLIANCE COAL * 11/23/16 CULLEY FEIST KUPPART & JOR FEIRICH MAGER GREEN & RYAN 418 18WC 10685 OESTREICH, ZEBULON C ROD FRANKLIN WELL SERVICE * 02/01/16 HASSAKIS & HASSAKIS PC 419 18WC 10983 HART, TONI UNITED METHODIST VILLAGE * 12/07/17 MARSZALEK AND MARSZALEK 420 18WC 11101 BOSLER, EARL M VILLAGE OF SANDOVAL * 11/01/17 LEVENHAGEN LAW FIRM PC 421 18WC 11162 DOUTHIT, DENNIS MARTIN IGA AND FROZEN FOO * 09/06/17 GAROFALO SCHREIBER STORM 422 18WC 11384 SWALLS-LOMAN, TAMMY CEDARHURST SENIOR LIVING * 12/18/17 NELSON & NELSON MCANANY VANCLEVE & PHILLIPS 423 18WC 11486 INYART, COLBY WAYNE'S TREE SERVICE * 07/15/15 HANAGAN & MCGOVERN PC 424 18WC 11766 BURLINGAME, NATE MCDONALD'S/LINDERS LIMITE * 03/29/18 BROWN & BROWN 425 18WC 12006 SMITH, LINDA DOLLAR GENERAL * 06/06/17 KEEFE & DEPAULI LEAHY EISENBERG & FRAENKEL

ILLINOIS WORKERS' COMPENSATION COMMISSION PAGE 25 C A S E H E A R I N G S Y S T E M GALLAGHER, WILLIAM 026 ARBITRATION CALL FOR MT VERNON 39003 ON 06/05/2018 SEQ CASE NBR PETITIONER NAME RESPONDENT NAME ACCIDENT DATE ATTORNEY NAME ATTORNEY NAME *********************************************************************************** * = NEW CASE # = FATAL @ = STATE EMPLOYEE W = IWBF - 426 18WC 12077 JORDAN, JERRY UNITED PARCEL SVCS, INC * 04/10/18 ALEKSY BELCHER NYHAN BAMBRICK KINZIE & LOWR 427 18WC 12141 UNDERBRINK, NICHOLAS KIEFER LANDSCAPING LLC * 03/16/18 DAVID W MARTAY 428 18WC 12320 LAMKE, ERNEST CONTINENTAL TIRE THE * 07/10/17 KEEFE & DEPAULI 429 18WC 12372 WILLIAMS, ELIZABETH VANSEAL CORPORATION * 12/15/15 DANIELS WILZBACH PC 430 18WC 12838 FINFROCK, JUSTIN EFFINGHAM COUNTY SHERIFF * 05/21/17 RIDGE & DOWNES 431 18WC 13219 MILLER-GRAY, DEMONTEZ CONTINENTAL TIRE * 03/04/18 WOODRUFF & JOHNSON 432 18WC 13347 BOONE, LES ALAN CONTINENTAL TIRE THE AMER * 06/27/17 KEEFE & DEPAULI 433 18WC 13394 WEMMER, BRADFORD CONTINENTAL TIRE THE AMER * 08/04/17 KEEFE & DEPAULI